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2015-04-15 WC Access & ROW Permits
\Vasbington Donald J.Theisen,P.E. COuntv Director / Wayne H.Sandberg,P.E. Deputy Director/County Engineer April 14, 2015 Shawn Dahl TIC Investments, LLC 2607 White Bear Avenue Maplewood MN 55109 WASHINGTON COUNTY ACCESS PERMIT#2015-A-02 AND RIGHT OF WAY PERMIT 2015-U-35 FOR THE OAK RIDGE PLACE MEMORY CARE ADDITION LOCATED AT 6060 OXBORO AVENUE (COUNTY ROAD 63) IN OAK PARK HEIGHTS Dear Shawn: Washington County has approved the Access Permit and Right of Way Permit according to the plans submitted and dated 10/15/14 with revisions dated 4/2/15.Construction includes an access with a concrete apron, sidewalk and pedestrian ramps. The following permit conditions also apply to the permits: • A fee of$150 for the Access Permit,$100 for the Right of Way Permit and a company check or performance bond in the amount of$2500 made out to:Washington County Treasurer and mailed to: Washington County Public Works, 11660 Myeron Road North, Stillwater MN 55082, shall be received prior to construction. • The access shall be constructed according to the plans submitted. No changes or alterations may be made at any time without written permission from Washington County. • All pedestrian facilities must meet all relevant accessibility standards. • No additional ponding shall occur in the County right-of-way. • A Traffic Control Plan and an Obstruction Permit shall be submitted where work on or near the roadway is necessary, proper signs,warning lights,shall be erected to protect traffic and workers. All traffic control devices and methods shall conform to the Minnesota Manual on Uniform Traffic Control Devices. This provision applies at all locations, including locations where vehicle parking is allowed on the shoulder. • All areas disturbed during construction in the right of way shall be restored and stabilized with proper erosion control, including temporary erosion control as needed,within 7 days and maintained until the new turf is established. • No foreign material such as dirt, gravel, or bituminous material shall be left or deposited on the roadway during the work. If material is tracked onto the roadway, it must be removed immediately. • Class 2 fluorescent safety vests shall be worn when working in the road right of way. • Following the construction of the access and utility connections,the applicant shall call 651-430- 4313 to arrange for an inspection. After receiving a satisfactory inspection,the check or performance bond will be returned. Please feel free to give me a call at 651-430-4313, if you have any questions. Si rely, 0• 1A-4 Carol Hanson Office Specialist C: Nik Costello-Washington County Joe Gustafson-Washington County Ann Pung-Terwedo-Washington County Kurt Quaintance-James R Hill, Inc. WASHINGTON COUNTY PUBLIC WORKS DEPARTMENT pemNt No.• Q/-S' o • Washington 11660 Myeron Road North• Stillwater,Minnesota 55082 CSAH/CR -- Phone:(651)430-4300• Fax:(651)430-4350 .'--t (;OUrity Right-of-Way APPLICATION FOR Municipality Storm Sewer - STREET OR DRIVEWAY ACCESS PERMIT Permit Fee$ AIS Attach a drawing of the property,present and proposed access and relation to the county road and any adjacent streets. 1 Applicant Address(Street,City,Zip) Tel.S h a w n Dahl TIC Investments, LLC 2607 White Bear Ave, Maplewood, MN 612-366-4600 Property Owners Address(Street,City,Zip) 55109 Tel.Shawn D a h l TIC Investments,LLC 2607 White Bear. Ave.Maplewood,MN 612-366-4600 Legal Description of Property(abbreviate if necessary)and Street Address: 55109 Lot 1, Block 1, Oak Park Heights Garden Purpose of ❑Street ❑Driveway ❑Field Entrance Is a Building to ONo Access: ®Commercial(Specify type) Driveway Be constructed? Wes(Type)Senior Living_ Win the OTemporary or Property 3t]Platted or Distance from ce r0 of highway to front IC Building be: Permanent Is in: ❑tin atted area❑Subdivision of building: _ 0 feet No.of present Exact location of proposed driveway to property Exact location of present driveway to property driveways to property: 1 30' north of southeast 295' north Date needed: 12/31/14 property corner of southeast property Estimated completion date: 12/31/15 corner OD OFFICE USE ONLY y,�y� !l deposit of$01500 ,payable to Washington County Treasurer,in the form of a Company Check,,��i�e�rtitled or Cashiers Chdc�shan accompany the pptcation and will be returned upon final acceptance by the County. No interest shall be earnes,pr p id on this deposit. It is the responsth ty of the permit r to notify the County when the work is completed. cheek No. (I)(We),the undersigned,herewith make appricathon for permission to construct the access at the above location,said access to be constructed to conform with the regulations of Washington County and to any special provisions included in the permit It is agreed that all work will be done to the satisfaction of Washington County. It is further agreed that no work in connection with this application will be started until the application is approved and the permit issued. It is expressly understood that this permit is conditioned upon replacement or restoration of the highway to its original or to a satisfactory condition. It is further understood that this permit is issued subject to the approval of local city,village,or townsh authorities having joint supervision over said street or highway. /6/Z 3 /1/ ..---- Date Signature of II b0NOT VII 1 E gs ? THI " REA .-. II �'� �-...,., fit.,H ACCESS DRIVEWAY PERMIT AUTHORIZATION—PERFORMANCE REQUIREMENTS As a condition of this permit,culvert is required: ❑Yes ONo Culvert Size x Culvert aprons required:[Yes ❑ No A Storm Sewer present: Yes ❑No Locate by date:( .,�,D( j --Jut,If the work is rot completed by the date given on this application,the/i12 cost of completing unfinished construction by County forces may be deducted from the deposit. In the event that construction has not start �b-yythhi'sJdaate,this permit becomes null and void and the permit fee�shhalllbbe fforfDeited and the deposit shall be refunded. SPECIAL PROVISI NS: / ,i'�y nI C di Li77b0 ,..b /e r j ,4 12L `-t 4 - / a /2114/rut I • Permission is hereby granted for the construction of the driveway as described in this application,said driveway to be constructed in accordance with all regulations of Washington County and subject to the above requirements and special provisions. All work to be mpleted by i°�/3 I // c Approved: ( / -Authorized Signature Washington County Public Works Department Date Copies: ❑Applicant ❑County Engineer ❑Municipality Revised 9/2013 4ieo R:Permlts\Fonns'+Access Permit doc �L- .)� G r Washington WASHINGTON COUNTY PUBLIC WORKS DEPARTMENT Permit Nc. ow �County 11660 Myeron Road North 6 Stillwater, Minnesota 55082 County Road Phone: (651)430-4300 • Fax: (651)430-4350 Utility Service$25 Storm Sewer Utility Distribution$100 loo off, Non-Utility Excavation$100 Permit Fee APPLICATION FOR RIGHT OF WAY PERMIT ALL APPLICANTS MUST BE REGISTERED WITH WASHINGTON COUNTY TO OBTAIN PERMIT Name of Applicant Contact Address Shawn Dahl 2607 white Bear Ave. Phone 612-366-4600 TIC Investments, LLC CtyMaplewood Fax Contractor: TBD State/Zip MN 55109 Date and Location Proposed Start Date:12/31/14 Proposed End Date: 12/31/15 County Road Number: Cty Rd 63 City/Township: Oak Park Heights Describe Location and Project Limits. Include a Drawing and/or Map if Necessary. See attached plan set Type of Work(Check all that Apply) x Install New Underground Utilities _Install Sign or Monument x Grading/Excavation/Boring _Install New Overhead Utilities x Install Street/Sidewalk/Driveway/Culvert _Tree/Brush Removal _Install New Ground-Level Utilities Place Temporary Structure or Container _Use of County Road for Detour Maintenance(No New Installation) Install New Landscaping _Other(Describe Below) Traffic Impacts(Check ONE) _No Traffic Impacts x Sidewalk,Shoulder,or Trail Closure(Vehicle lanes not affected) x Closure of Traffic Lane(s)without detour.(Flagging or lane reduction,no re-routing of traffic). A Traffic Control Plan may be required. _Closure of Traffic Lane(s)requiring detour(Traffic being re-routed). A traffic control plan MUST be submitted with permit application. Utility Information(If applicable) Utility Type: For Undero►.+�and Utilities: For Overhead Utilities: _Electrical Size:__ Installing New Poles? _Yes No _Telephone Conduit Type: Minimum Height of Conductor from ground: _Cable TV Casing Tyne.. – Minimum Height of Conductor over roadway: _Fiber Optic Depth: Line Voltage: Natural Gas Voltage: ,,yam_,, /� Water or Sewer Pressure: Pa/724i �,c.�'4ZC .l --0 _Other: V.The applicant shall perform all work according to the terms of this permit,the Washington County Right of Way Ordinance and all other regulations of Washington County,and any Standard and/or Special Provisions which are attached to the permit. The applicant shall comply with all applicable codes,laws,and ordinances including County Ordinance*188.The work performed shall be in no way detrimental to the highway or to the safety of the public.All traffic control shall comply with the provisions of the Minnesota Manual on Uniform Traffic Control Devices,Including the Temporary Traffic Control Zone Layouts Field Manual. Applicant shall supply accurate electronic'as-built"drawing files in either.DWG or .DXF format. Files will be accepted' other formats and converted,at the applicant's expense,to a compatible format.If the • ty cannot convert rtes.the applicant must convert them to a compatible format. Con,= <'•/•=is will be rd• - • n at a•.licable billable labor rates plus material costs. Signature: �� — eA_L Date: `' FOR OFFICE USE ONLY r ~� In accordance with this application,a Right of Way Permit Is granted to the applicant to place,construct,and maintain said utility on or across the right of way of said County highway in the location shown on the drawing which Is a part of this application,or in a location or manner specified by the County Engineer in the attached Special Provisions. A copy of this Permit must be available at the work site at all times. Performance Bond,Cashier's Check,or Certified Check No. ' Amount No interest shall be earned or paid on this deposit. SPECIAL PROVISIONS / / t � /.2 d -61--".- 01-' –179 APPROVED I Wa 4110!'. county Public works Deparanent Date R:\TRAFFIC1FormstRight of WayPermit.doc Revised 5/24112 Julie Hultman From: Kurt Quaintance <kquaintance @jrhinc.com> Sent: Tuesday,April 14, 2015 11:04 AM To: Eric Johnson; christina.mlejnek @stantec.com;Julie Hultman Cc: 'Shawn L. Dahl' Subject: FW: CR 63 Access and Right of Way Permit for Oak Ridge Place Attachments: D00041415-04142015095410.pdf Follow Up Flag: Follow up Flag Status: Flagged All, Attached is the Washington County permit for your records. If you have any questions, please give me a call. Thanks. Kurt Kurt D.Quaintance,PE Vice President James R.Hill, Inc. 2500 West County Road 42,#120 Burnsville, MN 55337 Ph.952-890-6044 (ext.117) Fax. 952-890-6244 Cell(612)508-8890 kquaintance@jrhinc.com Original Message From: Carol Hanson [mailto:Carol.Hanson @co.washington.mn.us] Sent: Tuesday, April 14, 2015 10:30 AM To: 'kquaintance @jrhinc.com' Cc: "Shawn L. Dahl' (ShawnDahl©amesco.com)'; Nik Costello; Joe Gustafson; Ann Pung-Terwedo Subject: RE: CR 63 Access and Right of Way Permit for Oak Ridge Place Hi Kurt: Sorry, I forgot to attach the permits. Th xt.]ci Yaw, Ccr Carol Hanson Washington County Public Works 11660 Myeron Road N Stillwater MN 55082 (651)430-4313 1 From: Carol Hanson Sent: Tuesday, April 14, 2015 10:29 AM To: kquaintance@jrhinc.com Cc: 'Shawn L. Dahl' (ShawnDahl@iamesco.com); Nik Costello; Joe Gustafson; Ann Pung-Terwedo Subject: CR 63 Access and Right of Way Permit for Oak Ridge Place Good Morning Kurt: Attached is the approved Access Permit and Right of Way Permit with Permit Conditions stated in a letter for the Oak Ridge Place Memory Care Addition. Please feel free to give me a call if you have any questions. Th.a n.k!Yaw, Cowoi/ Carol Hanson Washington County Public Works 11660 Myeron Road N Stillwater MN 55082 (651)430-4313 2