HomeMy Public PortalAbout1995-041" m i n n e g a s c o '
A D i v i s i o n o f A r k l a , I n c .
F i G C # 1 6 6 3
A 2 2 5 2 - 9 5
A P P L I C A T I O N F O R P E R M I T T O
I N S T A L L U T I L I T I E S O R T O P L A C E
U N D E R G R O U N D C O N S T R U C T I O N
C i t y o f e i L L i N A
P e r m i t n o .
N a m e o f p a r t y o r o r g a n i z a t i o n p e r f o r m i n g w o r k M I N N E G A S C O , I N C .
A d d r e s s P . O . B o x 1 1 6 5 , M p l s . , M N 5 5 4 4 0 - 1 1 6 5 T e l e p h o n e R i c h a r d . i . P i l o t . , i ' 1 ~ 3 2 1 - 5 4 5
1 . N a t u r e o f w o r k K X Q' g a s m a i n i n s t a l l a t i o n
a p e o f s u r f a c e t o b e d i s t u r b e d L D
( C h e c k t y p e ) Q' G r a v e l
Q' g a s s e r v i c e i n s t a l l a t i o n Q' o t h e r
Q' B i t u m i n o u s Q' C o n c r e t e
Q' B o u l e v a r d
2 . L o c a t i o n S E E A T T A C H E D ` + G S 1 1 6 , � L E A N D E R R D
S t r e e t , a v e n u e a n d h o u s e n u m b e r
( A d d i t i o n a l i n f o r m a t i o n a t t a c h e d w h e n n e c e s s a r y )
3 . S i z e a n d k i n d o f p i p e , c o n d u i t o r c a b l e r T R , C L 6
D e p t h f r o m s u r f a c e Q' 2 . 5 f e e t � C 3 f e e t
D i m e n s i o n s o f e x c a v a t i o n A S R E 0 . 1 1 R E D
4 . M e t h o d o f i n s t a l l a t i o n o r c o n s t r u c t i o n ( i n c l u d i n g m e t h o d o f c o m p a c t i o n a n d e x c a v a t i o n )
I n a c c o r d a n c e w i t h p r o c e d u r e s d e s c r i b e d i n M i n n e g a s c o O p e r a t i o n s M a n u a l . . P r o c e d u r e s ,
S e c t i o n 5 0 0 , " I n s t a l l a t i o n ' ; t h e m o s t r e c e n t e d i t i o n o n f i l e w i t h t h e p e r m i t t i n g a u t h o r i t y .
M a c h i n e e x c a v a t i o n : Y e s X N o
5 . W o r k t o s t a r t w i t h i n 3 0 d a y s a n d b e c o m p l e t e d w i t h i n 3 0 d a y s t h e r e a f t e r .
6 . W i l l d e t o u r i n g o f t r a f f i c b e n e c e s s a r y ? N O I f s o , d e s c r i b e r o u t i n g :
F o r M I N N E G A S C O , I N C .
S i g n e d b y
( A p p l i c a n t )
D a t e
T h e d a t e w h e n w o r k i s c o m p l e t e d m u s t b e r e p o r t e d t o t h e p e r s o n d e s i g n a t e d b y m u n i c i p a l i t y .
A U T H O R I Z A T I O N O F P E R M I T
U p o n p a y m e n t o f p e r m i t f e e i n t h e a m o u n t o f $ i a n d i n c o n s i d e r a t i o n o f t h e a g r e e m e n t t o c o m p l y i n a l l
r e s p e c t s w i t h t h e s t r e e t o r a l l e y e x c a v a t i o n o r d i n a n c e s a n d r e g u l a t i o n s a p p l i c a b l e c o v e r i n g s u c h o p e r a t i o n s , p e r m i s s i o n
i s h e r e b y g r a n t e d f o r t h e w o r k t o b e d o n e a s d e s c r i b e d i n t h e a b o v e a p p l i c a t i o n , s a i d w o r k t o b e d o n e i n a c c o r d a n c e w i t h
s p e c i a l p r e c a u t i o n s r e q u i r e d , a s h e r e b y s t a t e d :
I t i s e x p r e s s l y u n d e r s t o o d t h a t t h i s p e r m i t i s c o n d i t i o n e d u p o n r e p l a c e m e n t o r r e s t o r a t i o n o f t h e r o a d s u r f a c e t o i t s
p r o p e r c o n d i t i o n i n a c c o r d a n c e w i t h t h e a p p r o p r i a t e r u l e s a n d r e g u l a t i o n s . I t i s f u r t h e r u n d e r s t o o d t h a t t h i s p e r m i t i s
s u b j e c t t o r e v o c a t i o n w i t h i n t e n ( 1 0 ) d a y s o f r e c e i p t o f c o p y o f a p p l i c a t i o n b y t h e c o u n t y e n g i n e e r w h e n t h e p e r m i t i s f o r
w o r k o n a c o u n t y r o a d .
A P P R O V E D
D A T E
A l l r e q u i r e m e n t s s h o w n o n r e v e r s e s i d e t o b e c o m p l i e d w i t h .
W h i t e c o p y a p p l i c a n t . Y e l l o w M u n i c i p a l i t y E n g i n e e r . B l u e M u n i c i p a l i t y S t r e e t S u p e r i n t e n d e n t
F o r m 1 6 R 7 / 8 8
RULES PERTAINING TO STREET AND ALLEY EXCAVATIONS
SAFETY
1. Excavations shall be properly protected and identified by barricades and flags in the daytime, and flares, red
lanterns or flashing signals at night.
2. Barricades shall be erected so they provide suitable visibility in all directions.
3. Excavations must be cribbed when necessary, depending upon type of soil, in order to prevent cave-ins.
4. No guys or stays should be attached to trees on right-of-way.
5. Underground construction must be constructed so it will not harm or unnecessarily destroy the root growth of
trees.
ROADWAY
1. Installation of pipe under concrete or high type bituminous pavements shall be done by jacking or boring unless
otherwise authorized by engineer.
2. All backfilling must be placed in 6-inch layers and thoroughly tamped; material must be flush and even with the
road surface when finally in place, unless engineer authorizes alternate method of construction.
3. Finished surface, base, and sub -base of road after excavation and backfill shall be at least equal in stability to
finished surface, base, and sub -base prior to excavation.
4. Concrete pavement shall be replaced according to specifications provided by the engineer.
5. If settlement or excavation caves in within one year of completion date so materials settle (bituminous mat or
concrete base), it shall be restored to its original condition by the holder of this permit.
6. No pole anchors, anchors, braces, or other construction shall be put on roadway shoulder except by special
authorization.
7. There will be no driving onto highway from ditch or driving on shoulders except when authorized by the engineer;
if damage occurs, permit holder will make proper repairs.
8. No machine excavation shall be permitted except when noted in application for permit.
9. Excavations greater than four feet in width at top of trench will not generally be permitted and may be made only
when expressly provided for on the permit.
10. Street may not be closed to traffic unless expressly authorized by the permit.
LIMITATIONS
1. No lugs which will damage the road surface shall be used on equipment traversing road.
2. Roadside shall be cleaned up after work is completed.
3. The permit holder shall notify the municipality issuing the permit and, when applicable, the county engineer
within 24 hours, (Saturdays, Sundays and legal holidays excluded) that the work has been completed and is ready
for final inspection.
4. The county engineer shall notify the applicant of any objection the county may have to the application within 10
days of receiving the permit application.
(g/ 3) /14---Au4. 4 - z zS-2
MINNEGASCO MAIN JOB
NOTE:
BORE ALL PAVED STREETS AND DRIVEWAYS
Minimum depth requirements for pueumagopher crossings
of state highways and county roads ie 60". Minimum
depth requirement for pneumegopher croesinga of city
streets and township roads is le". Minimum depth for
parallel installations on state highways and county
roads in 36". Minimum depth for parallel installations
on city streets and township roads ie 30".
14PLIJOR MINOR SUFFIX
�b 18k3 I l3I2�131
PROJECT LOCATION
I ZIZ IS. ICI IQI:' Iv l IM°
WORK ORDER SIZE TYPE
P'qe n,r. d 4 741.- C 4- 6,
4 - i 99s---
33' c=
ye% e
"ONE/CALL"
Quadrant
Section
Twp.Range
S1..J
(
// elZ3
5
c:
// if/c;_3
Pipe Required
ZG.O 1 2 "T.P - G
Total Pipe ZZ6. t5
Main will lie ft.±6" below existing grade
PERMITS REQUIRED
St. Hwy.
R.R
/.
Co. Rd. 7- // r!, /Y E)-I r /,e,i 7
City of /1.9,"07,'97
Addition _
Map work needed Yes '._: NoX
DESIGNED B(
PHONE.3z
Cyr= L Out DATE
/ S 92 1/7/ 7,
DESIGN APPROVED,
RELEASE FOR
2t! 9-7-95
CONST.
P
F jy :
U
M
A /0CDC7
P
Form 299M R3/90 ID007