HomeMy WebLinkAboutReport of Plans & specifications, Health Permit Application and Watertower Access Agreement 2335 Highway 36 W
St.Paul, MN 55113
Tel 651-636-4600
Fax 651-636-1311
www.bonestroo.com
Bonestroo
March 16, 2011
Mr. Brian Noma
Minnesota Department of Health
Drinking Water Protection Section
625 N. Robert St., PO Box 64975
St. Paul, MN 55155
•
Re: Health Permit Application
500,000 Gallon Water Tower No. 2 Rehabilitation
City of Oak Park Heights, MN
Bonestroo Project No. 55-11173-0
Dear Mr. Noma:
We are transmitting the following for the project noted above. Please review, comment upon, and
approve these plans and specifications:
(2) copies Plans
(2) copies Specifications
(1) original Plan Review Fee Form #56
and the Permit Application Fee ($100)
Questions regarding this project should be directed to Mark Rolfs at 651-604-4872. A copy of any
correspondence should be directed to my attention at this office.
Sincerely,
BONESTROO
Cathy White
Administrative Assistant
cc: Eric Johnson , City of Oak Park Heights
Engineering
Planning
Science
•
1 6 0 8
BONESTROO,INC. Associated Bank
2335 HIGHWAY 36 W.
SAINT PAUL,MN 55113 79-57-759
(651)636-4600
CHECK DATE
March 10, 2011 5
I
PAY
One Hundred and 00/100 Dollars
AMOUNT
TO $100.00
Minnesota Department of Health Void after 90 days
625 North Robert Street eAue-zeieri
P.O. Box 64975
St. Paul MN 55164-0975 AUTHORIZED SIGNATURE
L660680 1:0 7 5900 S 7 SI: 2 2 2 3 0 7 7 8 2 30
BONESTROO,INC.
1 6 6 0 6 8
Invoice Number Date Voucher Amount Discounts Previous Pay Net Amount
55-11173-0 3/8/11 000000043801 100.00 0.00 0.00 100.00
Minnesota Department of Health
Totals 100.00 0.00 0.00 100.00
OPERATING 11 10525
M I N N E S O T A
MPH
DEPARTMENT OF HEALTH
Protecting maintaining and improving the health of all Minnesotans
April 15, 2011
City of Oak Park Heights
do Ms. Jennifer Pinski, Deputy Clerk
Oak Park Heights City Hall
P.O. Box 2007
Oak Park Heights, Minnesota 55082-3007
Gentlemen/Ladies:
Subject: Water Tower No. 2 Rehabilitation - 500,000 Gallon, Oak Park Heights, Washington
County, Minnesota, Plan No. 110561
We are enclosing a copy of our report covering an examination of plans and specifications on the
above-designated project. It is the project owner's responsibility to retain the plans at the
project location.
The submitter shall give the owner a set of plans and specifications representative of the
completed construction within six months of finished construction.
If you have any questions in regard to the information contained in this report,please contact me
at 651/201-4683.
Sincerely,
Brian A. Noma,P.E.
Public Health Engineer
Section of Drinking Water Protection
P.O. Box 64975
St. Paul, Minnesota 55164-0975
BAN:nkk
Enclosure
cc: Bonestroo
Chad Kolstad, MDH District Engineer, St. Paul District Office
General Information: 651-201-5000 • Toll-free: 888-345-0823 • TTY 651-201-5797 • www.health.state.mn.us
An equal opportunity employer
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on storage(coating): Water Tower No. 2 Rehabilitation -500,000 Gallon,
Oak Park Heights, Washington County,Minnesota,Plan No. 110561
OWNERSHIP: City of Oak Park Heights,do Ms.Jennifer Pinski,Deputy Clerk,Oak Park Heights City
IIall, P.O. Box 2007,Oak Park Heights,Minnesota 55082-3007
SUBMITTER(S): Bonestroo,2335 West Highway 36, St. Paul,Minnesota 55113
Plans Dated:
Date Received: March 17,2011
Date Reviewed: April 12,2011
SCOPE: This report covers the design of this project insofar as the safety and sanitary quality of the water for
public consumption may be affected,and applies to this project only and not to the entire system or any other part
thereof. The examination of plans is based upon the supposition that the data on which the design is based are
correct,and that necessary legal authority has been obtained to construct the project. The responsibility for the
design of structural features and the efficiency of equipment must be taken by the project designer. Approval is
contingent upon satisfactory disposition of any requirements included with this report.
Water supply plans are examined with regard to the location,construction and operational features of the design
and maintenance of all parts of the system which may affect the safety and sanitary quality of the water.
Examination is based on the standards of this department.
This project consists of the rehabilitation of a 500,000 gallon elevated water storage tower for the city of Oak Park
Heights,Minnesota. The tower is a fluted column design,and the rehabilitation will include the surface
preparation,painting,and other related work.
Requirement(s):
Storage(Coating)
1. The Kasco submersible mixer that is being bid as an alternate bid does not appear to be ANSI/NSF Standard
61 listed,and must not be installed in the water tower. Only products that are listed in the ANSI/NSF
Standard 61 are approved for contact with potable water. If another mixer is chosen, then it must first be
reviewed and approved by Minnesota Department of Health.
COMPLIANCE: No construction shall take place except in accordance with the approved plans. If it is desired to
make deviations from the approved plans, the State Department of Health should be consulted and approval of the
changes obtained before construction is started; otherwise,such construction is installed without proper approval,
and in addition may create dangers to public health.
Water Tower No. 2 Rehabilitation -500,000 Gallon
Storage(Coating)
Plan No. 110561
Page 2
April 12,2011
Authorization for construction in accordance with the approved plans may be withdrawn if construction is not
undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean that
recommendations or requirements for change will not be made at some later time when changed conditions,
additional information,or advanced knowledge make improvements necessary.
Approved:
e-204.to..A i\\ItAt
Brian A.Noma,P.E.
Public Health Engineer
Section of Drinking Water Protection
P.O. Box 64975
St.Paul,Minnesota 55164-0975
City of Oak Park Heights-Watertower Access Agreement
1) Person(s)/Firms accessing the City's water towers or the water tower property do so at their OWN
RISK.
2) Person(s)/Firms who do access City water towers and/or site are aware of the risks and perils
associated with water tower inspections,evaluations and/or construction activities in and around
water towers-regardless of purpose or scope of such evaluation or activity.
3) Person(s)/Firms who access City water towers and/or site indemnify and hold harmless the City
from any and all claims that may result from accessing the City's watertowers and/or site.
4) The City does believe that its water towers are in a reasonably good condition,but does not
guaranty any such condition.The City does not warrant that its water towers are compliant with
applicable safety standards.
5) Person(s)/Firms accessing the City water tower property must first receive written permission
from the City.
6) Person(s)/Firms who do access City water towers and/or site shall utilize all applicable safety
equipment to prevent injury.All such safety equipment shall be self-provided by the
Person(s)/Firms accessing the water tower,and not by the City.The City makes no warranty as to
the exact nature of such safety equipment nor does the City maintain a responsibility to ensure that
such safety equipment is adequate.
7) Person(s)/Firms accessing the City water tower may be entering a"confined-space".As such,
Person(s)/Firms accessing such water tower shall provide all necessary safety equipment and
manpower to meet all regulatory standards that apply to"confined space entry".The City makes
no warranty as to the exact nature of such practices and has no responsibility to ensure that effort
is adequate.
8) The City reserves the right to revoke or withhold access to the City water tower and/or site at any
time and for good cause.
9) Person(s)/Firms who access the City water towers and/or site shall be responsible,at the discretion
of the City,to repair,replace or fully fund the correction of any damages that may occur.
Signed:
e4� Date /" —( /
Sy signing ove,you have read,understand and agree to the above conditions and hereby warrant that you and your
firm sh comply with such conditions and statements.
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Please PRINT your n % s co y.
Notary: .A S�
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kY on M P/N S/(/
City of Oak Park Heights-Water tower Access Agreement
1) Person(s)/Firms accessing the City's water towers or the water tower property do so at their OWN
RISK.
2) Person(s)/Firms who do access City water towers and/or site are aware of the risks and perils
associated with water tower inspections,evaluations and/or construction activities in and around
water towers-regardless of purpose or scope of such evaluation or activity.
3. Person(s)/Firms who access City water towers and/or site indemnify and hold harmless the City
from any and all claims that may result from accessing the City's water towers and/or site.
3. The City does believe that its water towers are in a reasonably good condition,but does not
guaranty any such condition.The City does not warrant that its water towers are compliant with
applicable safety standards.
3. Person(s)/Firms accessing the City water tower property must first receive written permission
from the City.
3. Person(s)/Firms who do access City water towers and/or site shall utilize all applicable safety
equipment to prevent injury.All such safety equipment shall be self-provided by the Person(s)/
Firms accessing the water tower,and not by the City.The City makes no warranty as to the exact
nature of such safety equipment nor does the City maintain a responsibility to ensure that such
safety equipment is adequate.
3. Person(s)/Firms accessing the City water tower may be entering a"confined-space".As such,
Person(s)/Firms accessing such water tower shall provide all necessary safety equipment and
manpower to meet all regulatory standards that apply to"confined space entry".The City makes
no warranty as to the exact nature of such practices and has no responsibility to ensure that effort
is adequate.
3. The City reserves the right to revoke or withhold access to the City water tower and/or site at any
time and for good cause.
3. Person(s)/Firms who access the City water towers and/or site shall be responsible,at the discretion
of the City,to repair,replace or fully fund the correction of any damages that may occur.
Signed:
? / __;.. _ 1/7/ /,//t
Date
f t
By signing above,you have read,understand and agree to the above conditions and hereby warrant that you and your
firm shall comply with such conditions and statements. 1�~�
i
L/1 I LOAF) )PE �a�u6S rRc1�=y jj/ , '-.,
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Please PRINT your ii me, =;:1.co . .
Notary: + ■ .__�►_.��`�.` ~ -,<4
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