HomeMy WebLinkAbout2001-10-25 MnDOT Driveway Access Permit10/29/01 MON 14:15 FAX
Oct 23 01 12:28p
MrilDOT TP.1721 (4X71)
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MINNESOTA DEPARTMENT OF TRANSPORTATION
APPLICATION FOR ACCESS DRIVEWAY PL' RMf' `
SFS
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A TTA C SC A SKETCH OF THE PROPERTY, PRESENT AND PROPOSED DRIVEWAYS, AND RELATION TO TRUNK UNKC IIJGHWA Y SUCH SKETCH
SHALL BE DRAWN TO SCALE WHEN REQUIRED BY THE ENGINEER. PRINT OR TYPE APPLICATION. SIGN IN SPACE PROVIDED.
SUBMIT TO LOCAL OFFICE MINNESOTA DEPARTMENT OF TRANSPDRTATIO.N
AFPLICANT (
PROPERTY OWNER
jIzg Y 51orsrif.a
LOCATION OF PftO rOSEJJ DRIVEWAY
Highway in 04K.
No Yes (Specify Type)
Etar
PURPOSE OF DRIVEWAY CITemtwrary ❑ Field En ante
r (Spec fy Type) _ _ Is A LULLDING TO III' CONSTRUCTED'.
NUMBER OF FRESI NT DRIVEWAYS TO PR
LEGAL UFSCKIf'T(O(V OF 1'k01't1(TY
49.-tkiC‘Clea
1, We, the undersigned, herewith accept the terms and conditions or the
permit requirements of the Commissioner of Transportation and agree to
fully comply therewith to the satisfaction or the Minnesota Department of
Transportation_ It is agreed that no work in connection with this application
will be started until the application is approved and the permit issued. It is
further understood that this permit is issued Subject to the approval of local Dated this 1 9 day of q 20
city, village or borough authorities having joint supervision over said street
or highway and subject to applicant's compliance with the rules a nd
regulations of tltc Minnesota Environmental Quality Board and any other
affected governmental agencies.
Further - more, except for negligent acts of the State, its agents anti
employees, the applicant or his agentsore ontractor shell assure all liability
for, and save the State, its agents and employees, harmless from, any and
PERMIT NOT VALID UNLESS
D ARING SIGNATURE AND NUMBER
It is expressly understood that this permit is conditioned upon replacement or restoration of the trunk highway to its original condition or to a satisfactory condition.
In consideration of the applicant's agr om en! to comply in all respects with the regulations of the Commissioner of Transportation covering such operations, permission
is hereby g ranted for the work to be performed as described in the above application, said work to be performed in accordance with special provisions as hereby stated:
jou e ,2-001
Date All Work To Be Completed By
UlsTRIgLrrLt N
3
Original to Area Maintznanee Engineer
A ppliicant
Subarea Supervisor
Roadway Regulations Supervisor
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C TONE CONSTRUCTION CO E
City /Townslitp 1.06A2S tL
T1:LEP ZONE
( 75Z - ) " -
TELLI
(651 )4&zas
Residential 0 Proposed Public Street
WILL. T HE BUILDING DE
❑ Temporary
EXACT LOCATION OF PRESENT DRIVEWAYS
WORK TO START ()N OK AFTER
(Date)
DO NOT WRITE BELOW
AUTHORIZATION OF PERMIT
SEE ATTACHED SPECIAL PROVISIONS
Author!
By
County
1 14rermattent
Signature;
n&DOT Signature
District
C.S.
14 ‘b AP eilA
DEPOS1'r REQUIREMENTS
No Dcposir Required
❑ Deposit Required in the Amount or 5
Date Deposit Received
I )vpo it t lie returned ( l■un satisfactury compact iy't ur all work.
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54191
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s , - .._.._ T - 14 .
00 NOT COMPLETE TINS" SECTION. FOR OFFICE USE ONLY)
ADDRESS (Street. City. State. Zip)
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ADDRESS (Strct-t. City, State. Zip)
i
(CIItCLI: ()N1:) (I'[CIFIC ROAD INTERSECTION OR LANI)M1MAKK)
OR FRONT OF 1 ►tlil FP ISLAM) tS
•)N rosrT .TYPE
Maus u -5 -E r CDA
BF-QUESTED DR IVEWAV'WIDTH PROPERTY IS XN
P 1
j005
Fi:ct Mucci Area 0 Unplauct1 Arta
DISTANCE FROM cEisr 'ER OF HIGUWM TO FRONT OF BUILDING
EXACT LOCATION OF PROPOSED DRIVEWAY
5; Ee A' "'
FEE
WORK TO BE COMPLETED ON OK BEORE
(Date)
all claims.for damages, actions or causes of action arising out of the work to be done
herein and the continuing usage, constructing, reconstructing, maintaining and ruing
of said access driveway under this application and permit for construction.
Name = Faint or Type
SEE. REvERSE SIDE FOR GENERAL
INFORAIATTON AND REQUIREMENTS
Berra 2d
Date of A uthorized Sirnatwrc
Cashier's Cheek ht
Certified Chcck #
Money Order a
Bald K
DATE WORK COMPLETED
(The dote when the work is completed must be remitted to the Meal JLrr/DOT Roadway Regulations 5rjprrviYor.)
-
I'aec 1 of
10/29/01 MON 14:13 FAX C OO1
Oct 29 01 12:28p G `TONE CONSTRUCTION CO S. 54191 p v 2
III -A -too 1 -0719 C.S. 8214 T.I. 36 Greystone Construction
THIS PERMIT IS SUBJECT TO THE FOLLOWING CONDITIONS:
The applicant or its contractor shall notify, Mr. Keith Van Wagner, MN /DOT Roadway
Regulation Supervisor at 651 - 5824443, at least 48 hours prior to starting construction
so State inspection may be arranged, and for approval of all highway materials prior to
their placement. All work authorized by this permit shall meet MN /DOT
specifications.
This permit authorizes the applicant to construct two accesses on the South Frontage
Road of T.H. 36 approximately 0.25 mile west of Oakgreeil Avenue N in the City of
Oak Park Heights as shown on applicant's plan sheet(s).
The westerly access shall be temporary and shall be removed when the proposed street
along the westerly property line is constructed.
The applicant shall provide in -house inspection at all times while working on trunk
highway right of way,
The applicant shall furnish, install and maintain. all required traffic control devices
accordin g to the Minnesota Field Manual on Temporary Traffic Control Zone Layouts
(Janu ary 2001 see web page www _dot. state .mn. us /trafficeng /) , while performing
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the construction authorized by this permit, Due to the Twin City rush hour
° allowed from 6 :00 AM to 9:00 AM or from 3 :00 PM
restrictions no work 'VYIlI be a�l� f�
the MN /DoT Permit office at 651-582-1443.
to 6 :00 PMo unless authorized b
If the temporary traffic control zone is to remain in one place for more than 3 days or
involves a detour, road closure or a situation where the typical layouts do not apply, the
applicant shall prepare a specific Traffic Control Plan for approval by MN/DOT prior
to start of any constructions
All persons while performing authorized work on MN /DOT Right of Way shall be
required to wear a MN/DOT approved High Visibilit Safety Vest and Soft Cap /Hard
Hat. Any authorized night work requires all personnel to wear a MN /DOT approved
full night safety suit (pants and jacket).
No material shall be deposited on the traveled roadway.
Post -it° Fax Note 7671
10/29/01 LION 14 :14 FAX
Oct 29 01 12: 213p GI TONE CONSTRUCTION CO 9 54191
M- A- 2041 -0719 C.S. 8214 T.H. 36 Greystone Construction
It shall be the responsibility of the applicant to utilize the "Gopher State One Call"
excavation notice system as required under Minnesota Statute Chapter 216D, 48 hours
prior to performing any excavation (Phone 651 -454 -0002 Twin Cities Metro Area or
Toll Free 1- 800 -252- 1166).
The applicant shall contact the owners of the in -place utilities and make all
their relocation or revisions as required for h it uired due to the construction �
authorized by this permit.
All excavations along n T. H. 36 shall be back-filled at night to a height within 2
inches of the driving surface.
The outside edge of the in-place bituminous roadway shall be saw -cut to provide a
uniform edge for the new construction to abut.
cin disturbed by the construction authorized by this
Bituminous and concrete surfacing �'
• MN/DOT right of way, become the property of the
e.���l�t shall be removed from g �'
P v
applicant, and shall not be reused as grading material on this prod ect e
protection of pedestrian traffic while performing the
The applicant shall provide for pr p
conconstruction uction authorized by permit b this ermito It is expressly understood that this permit is
issued subject to the applicant's compliance with the Rules and Regulations of the
oard. and any other affected Governmental
Environmental Quality Board �
Agencies •
All areas disturbed by the applicant shall be restored with a minimum of 6" of
topsail (according to MN/DOT Standard Specification 2105 Table 1 Topsoil
Borrow), then sodded or seeded. Seed or sod should be the same as /or compatible
with the existing turf cover. If the areas are to be seeded, a MN/DOT seed mixture
comparable to the existing turf along with Type 1 Mulch and Disk Anchoring shall
be used according to MN /DOT Specification 2575.
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The applicant perpetuate a licant shall e etuate all existing drainage.
this `t is issued subject to the applicants compliance is expressly understood that this perrnl i�
Environmental Environmental Environmental Quality Board and any � ith the Rules and Regulations of the Minnesota
other affected Governmental Agencies_
10/29/01 MON 14:14 FAX
Oct 2S 01 12 :2Sp
G} TONE CONSTRUCTION CO 9, `54191
M C.So 8214 T.H. 36 Greystone Construction
The applicant is required to preserve all existing survey monuments. If MN /DOT
determines that monuments have been disturbed or destroyed during construction
activities, the applicant shall accept full responsibility for all costs incurred in the re-
establishment of the monuments.
Winter work shall be considered from November 1 through April 15. Work during
this period shall be on a day to clay basis at the discretion of the Roadway Regulation
Supervisor.
All work authorized by this permit and the restoration of the State's right of way shall be
satisfactorily completed by June 1, 2002.
The applicant or their contractor shall notify the permit office at 651-582 -1443 for final
inspection_
2003
P 4
10/29/01 MON 14:14 FAX
Oct 29 01 12:23p G 'TONE CONSTRUCTION CO a '.54191
03/23/00 15:53 FAX 6123701o78 tww. 1NL.
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