Natural Gas Service Application and Policy

Attn: Natural Gas Customers

RE: Natural Gas Service Charges

Attached is the Hibbing Public Utilities Natural Gas Service Application. It is our policy to

charge for service installation in order to recover the costs of materials used in

installation of the service. The base charge of $450 recoups the costs of the meter,

pipe, regulator, meter set, other miscellaneous materials. The adder of $3/foot over 90

feet recoups a portion of the total costs associated with the additional service length.

These aforementioned items are expenses to the Utilities that need to be recovered.

The alternative to recovery through the service charge is recovery through the natural

gas rates. In an effort to continue to offer competitive rates in the Hibbing Public Utilities

Commissions' (HPUC) system, this service fee policy has been implemented.

This clarifies the reasoning behind the HPUC's gas service installation fee. I thank all

applicants for their understanding as HPUC looks forward to continuing to provide

competitive rates and quality service.

Sincerely,

HIBBING PUBLIC UTILITIES COMMISSION

Luke J. Peterson

General Manager

LJP/plr

Attachment

cc: I:\Sharepoint\Forms\Natural Gas Service Application and Policy

"Providing Quality Utility Services at Competitive Rates"

NATURAL GAS INSTALLATION INSPECTION

FORM

Form CI-97

Address:

Customer's Name:

Installer's Name:

Company:

Mechanic Permit No.:

Rough Piping Inspection

Date:

Piping: Size Material.

Support

Connections

Air Test

---

Start Time

---

Psi

Hours

Finish

Time

---

Final Piping Inspection

Date:

----------------

Was the gas service energized?

Explain

Notes:

Equipment Installed

Valving:

Venting:

Main

Valve

Size

Material

Appliance Valve(s)

Cold Air Return

Make-Up Air

Signature

of Installer:

Signature of Inspector:

Signature of Hibbing Building Inspector:

I:\Sharepoint\Forms\Natural Gas Service Application and Policy

Make

Model

Serial No.

Input

Capacity

Furnace

Boiler

Water Heater

Range

Dryer

**No gas service will be energized without a mechanical permit (Hibbing City Hall), inspection, and approval**.

OWNER (Last/ First)

SERVICE

ADDRESS

MAILING

ADDRESS

DATE

ACCT. NO.

PHONE NO.

ALT PHONE NO.

REQUEST

FOR:

LENGTH:

CHARGES:

OFFICE

USE ONLY

NEW SERVICE

0-90'

$450

3-MONTH INSTALLMENT PLAN

DYES

□

NEW

SERVICE

Conversion

0-90'

NO CHARGE

ADDITIONAL

FOOTAGE

EACH

FOOT

OVER

90'

$3.00/FOOT

RELOCATION

PER

LINEAR

FOOT

$4.00/FOOT

REPLACEMENT OR

2ND SERVICE

PER

LINEAR

FOOT

$4.00/FOOT

BARRICADE

PROTECTION

IF REQUIRED

$150

NOTICE - CONDITIONS OF RECEIVING GAS SERVICE

•

Requests for service made prior to September 1 will be addressed in the order they are received. If applicants are

not ready for service at the HPU scheduled time, HPU will attempt to reschedule the installation at a later date if

weather permits.

•

Service requests received after September 1

may be installed for that year, weather permitting.

•

With the exception of the conditionally waived categories, all new services request must be accompanied by a $200

deposit and a 3-month installment plan, or $450. Relocation, replacements, or second services will be billed to the

ustomer after completion.

•

HPUC Heat Department shall return the completed work order verifying the details of the installed gas line. If a

variation is noted, the Billing Department will make the necessary billing adjustments to the customer.

•

Service piping footage is based on the distance from the property line to the meter set location.

•

Restoral from property line to meter set location shall be by the owner.

•

When customer has air test ready, a 24-hour notice must be given before the air test inspection will be performed.

All air tests must start a minimum of 12-hours prior to test inspection.

HPUC Heat Department will conduct an

inspection and flow gas if inspection is satisfactory. Piping contractor must be present at the time of inspection.

•

HPUC service policy allows single family dwelling piping to be installed by owner. The owner or any installer shall be

aware of HPUC service installation policy regulations and requirements.

•

Future service upgrade costs in order to accommodate an increase in natural gas throughput shall be assessed on

time

& material basis and billed to the customer.

•

The property owner is responsible for locating all private utilities on the property, and if deemed necessary by the

HPU Heat Department to safely install the gas service.

•

HPU Heat Department will determine if a barricade is required and inform the customer prior to performing the

work, as it may be an additional expense to the owner.

•

The property owner shall be responsible to pay for any natural gas service installation permit fees.

I hereby apply for gas service as listed above and agree to be governed at all times by the rules and regulations of HPU. I

have read the conditions on the bac of this application and have received the "Gas Service Installation Policy.'

SIGNED: DATE:

SEE OTHER

SIDE

NATURAL GAS SERVICE APPLICATION

PAID

PLEASE MAKE A DETAILED SKETCH OF THE HOME, GARAGE, FENCE, SIDEWALKS, DRIVEWAYS

AND ANY OBSTRUCTIONS THAT MAY BE IN THE AREA OF THE PROPOSED SERVICE LOCATION.

DATE

ADDRESS OR LOCATION

HEAT DEPTARTMENT

NATURAL GAS SERVICE

HIBBING PUBLIC UTILITIES

PUBLIC UTILITIES COMMISSION

HIBBING, MINNESOTA

NATURAL GAS SERVICE POLICY

Dated: August 31, 2012

TABLE OF CONTENTS

SECTION FIVE - Gas Utility

GENERAL

Service Territory 1

Rates and Regulations 1

Gas Leaks - Safety 1

II.

CUSTOMER GAS INSTALLATIONS

Requirements 1

Main Extensions 1

New Services, Relocated Services, Second &

Replacement Services

Gas Service Line Ditches

HPUC Allowable Pressure Supply Downstream of 2

the Meterset

Size of Gas Service

Customers'

Piping

Pipe Sizing

Prohibited Fittings

Testing of Pipes

Approved Gas Appliances 3

Chimneys, Vents, and Combustion Air Intakes

Chimneys and

Vents

Combustion Air Intakes

III.

METER INSTALLATION

General Regulations 4

Residential

Installations

Industrial and Commercial Installations 4

Special Large Capacity Meter Installations 5

IV.

INSPECTION RESPONSIBILITY OF THE COMMISSION

Requirements 5

Certification

oflnspection 6

Test by Installer, Inspected by Commission

Commission's Inspection

Tests Installer Shall Perform

Commission Employees Not Responsible

V. APPENDIX

Drawing HPU-G13

I:\Sharepoint\Forms\Natural Gas Service Application and Policy

GENERAL

SERVICE TERRITORY

Natural gas service is available at all premises located within the area served by the Public Utilities

Commission's natural gas lines, subject to capacity limitations of the Commission's system, their ability to

purchase natural gas from the supplier, and their distribution facilities.

RATES AND REGULATIONS

Standard agreements to supply gas service shall be in accordance with the Rate Schedule and the Rules and

Regulations which are available at the Public Utilities Commission Offices along with the Commission's

ability to purchase gas from the supplier and their distribution facilities.

Subdivider, owner, developer, or contractor shall be responsible for the installation and repairs of their own

gas piping. This piping shall begin at the downstream side of the meter and continue to the appliance(s).

GAS LEAKS- SAFETY

Immediate notice shall be given to the Commission's Office if any escape of gas is suspected or discovered.

No open light shall be taken near any escape of gas. It shall be a provision of the Rules and Regulations that

the Commission shall not be responsible for any damage or loss which may arise from any escape of gas on or

in the customer's premises.

There shall be no charge for investigation of a suspected gas leak.

II.

CUSTOMER GAS INSTALLATIONS

REQUIREMENTS

The customer's gas installation shall be constructed and maintained in accordance with standard practices as

determined by the Policies, Procedures and Regulations of the most recent Minnesota Mechanical Code.

The most recent Minnesota Mechanical Code shall be the standard practice for all unit installations.

The customer shall not utilize any apparatus or device which may adversely effect the gas service.

The Commission reserves the right to discontinue or withhold gas service to any installation failing to conform

to these requirements.

MAIN EXTENSIONS

No extension of a main shall be required to be made by the Commission unless the main, as then constructed,

has sufficient capacity to provide the gas service requested without jeopardizing gas service to the area being

served by such main.

Residential, commercial and industrial extensions are subject to review with regard to the ability to serve, cost

of services, and facilities.

Gas Service Policy Dated 8/31/2012 1

NEW SERVICES, RELOCATED SERVICES, SECOND

REPLACEMENT SERVICES

All natural gas service installations will be installed by the HPUC or an HPUC approved qualified installer.

GAS SERVICE LINE DITCHES

"Joint" trench installations will be considered for the installation of gas electric, telephone and cable

TV/communications. There shall be at least twelve (12) inches of vertical and/or horizontal separation

between underground services. Service line depth shall be a minimum of eighteen (18) inches.

Gas service line ditches shall not be used for the installation of sewer or water services.

Gas services located under buildings are strictly prohibited.

HPUC ALLOWABLE PRESSURE SUPPLY DOWNSTREAM OF THE METERSET

RESIDENTIAL

7 Inches W.C. (1/4 lb.)

COMMERCIAL/INDUSTRIAL

As needed based on the design requirements of the appliance.

SIZE OF GAS SERVICE

Sizes of domestic, commercial and industrial services for low pressure, medium pressure (up to 10 PSIG) and

high pressure (10 to 50 PSIG) shall be determined by the Commission on the basis of codes, rules, and

regulations that govern.

CUSTOMERS' PIPING

Detached single family residences may be piped by the owner, as long as the entire gas piping system is

installed according to the HPUC policy. Detached single family residences not piped by the owner, and all

other classes of customers' piping upon and in their premises, shall be installed and tested and in accordance

with the most recent Minnesota Mechanical Code. The requirements of this policy are only an outline of

procedures or recommendations of the policies, rules, and regulations governing the installation of gas pipe.

The installer must comply with the applicable codes, policies, procedures, rules and/or regulations indicated in

paragraph II.A. above to ensure safe and satisfactory installation of piping.

The results of the air test and the inspection of the gas piping system must be witnessed and inspected by an

HPUC representative.

All preferred gas piping shall be steel or wrought iron of full weight, standard gauge and thickness. Wrought

iron pipe is recommended for most installations. Copper piping and stainless steel seamless corrugated flex

pipe shall not be allowed, unless specifically approved by the Hibbing Building Official.

Steel and wrought iron pipe shall comply with the most recent Minnesota Mechanical Code requirements.

Steel and wrought iron piping run outside exposed above ground shall be coated with rust resistant material

(by customer). Compression fittings shall not be allowed. Reference Section G., Page 3, PROHIBITED

FITTINGS.

Gas piping and fittings shall be clean and free from cutting burrs, defect in structure, or threading.

Eve1y appliance shall have an approved accessible shut-off cock with a lever handle.

An approved pipe union shall be installed between the shut-off cock and appliance.

Gas Service Policy Dated 8/31/2012

Drip tees comprised of a tee fitting with the bottom outlet capped must be installed at the base of supply piping

dropping down to an automatically controlled gas burner or appliance, before any regulator or automatic gas

valve, and ahead of all pounds-to-inches pressure regulators. The tee must be installed so that the gas enters

the tee from the top and leaves at a 90 degree angle from the inlet.

All gas pipe concealed or larger than 2" shall be completely welded, using either butt or socket weld fittings.

All concealed type of construction shall be inspected, tested, and approved before concealment.

When gas meters are installed on the exterior of the building, a main shut-off valve, the same size as the main

building gas supply, shall be installed in an accessible location inside of the building as close to the entrance

wall as possible.

All mobile home installations shall have a flexible connector installed immediately after the outlet union of the

meter set.

PIPE SIZING

Pipe carrying gas to domestic appliances shall not be smaller than one-half (1/2) inch in size.

Pipe shall be of ample size to carry the desired BTU load, preferably not to exceed three-tenths (0.3) inch drop

in water pressure.

PROHIBITED PIPING FITTINGS

The use of bushings is prohibited. Reducer fittings shall be used to reduce pipe size. The use of street elbows

is prohibited. Cast iron and compression fittings shall not be used. Old pipe or galvanized pipe shall not be

used. The use of pipe plugs is prohibited. Caps shall be used at all times to terminate open pipes.

Tin straps, wires, and make-shift supports shall not be used. Use only standard wire pipe hanger hooks, pipe

straps, or strap hanger iron.

Only reliable standard ground joint unions shall be used.

Hose or flexible tie-ins shall only be allowed in the vicinity of the appliance connection.

Cement shall not be used or caulking done to repair faulty fitting work. All imperfect fittings shall be

replaced.

Use as few couplings as possible. Couplings not absolutely necessary shall be removed.

TESTING OF PIPES

All piping shall be air tested before the gas is turned on. All piping of a customer service shall be tested under

at least 25 PSIG of air pressure. This test shall be applied by the installer and must be maintained for a

minimum of twelve (12) hours prior to inspection. No pressure loss can occur. Be sure all appliances are

disconnected and piping capped off when testing, as the usual stove cock will not stand this pressure. All

piping shut-off valves shall be in the open position during testing. Appliances shall be tested as provided for

in the most recent Minnesota Mechanical Code.

APPROVED GAS APPLIANCES

All gas burning appliances and conversion burners shall be approved by the American Gas Association, or

National Board of Fire Underwriters Laboratories.

The contractor installing a gas fired installation of any type shall notify the Commission of the installation so

that a HPUC serviceman can be present when the burner is ready to start. For piping, an accessible lever

handle cock shall be installed in the drop pipe to each furnace or burner not less than five (5) feet from the

Gas Service Policy Dated 8/31/2012 3

floor. For main floor cook stoves, the shut-off valve shall be in the basement or behind that appliance. All

electric wiring between the gas appliance and the building wiring shall be installed by a qualified electrician,

and shall conform to the National Electrical Code of the National Board of Fire Underwriters and the Policies,

Rules and Regulations of the Commission.

CHIMNEYS, VENTS AND COMBUSTION AIR INTAKES

CHIMNEYS AND VENTS

Shall be in accordance with the most recent Minnesota Mechanical Code.

COMBUSTION AIR INTAKES

Shall be in accordance with the most recent Minnesota Mechanical Code.

III.

METER INSTALLATIONS

GENERAL REGULATIONS

The Commission shall approve the location of, and properly maintain, at its own expense, such meter or meters

and metering equipment as may be necessary to measure the quantity of gas used by the customer. Ownership

of such equipment shall remain the property of the Commission.

Only authorized agents of the Commission shall set or remove, turn on or turn off (except in emergencies; must

immediately notify the HPUC of this action), or in any way handle such meters. Connections to the

Commission's gas system shall be made only by the Commission's duly authorized agents.

RESIDENTIAL INSTALLATIONS

Meters shall be located on the customer's premises in a safe location, readily accessible for reading and

changing. Installations must comply with any Federal, State, or local requirements.

Outside meter locations are mandatory. The meters and associated regulation and relief valves shall not be

closer than three (3) feet to any source of ignition such as electric meters, switches, and transformers, as well as

windows or other openings to the residence. Meters may be installed by bracket or post at an approved

location. Meter locations shall avoid water taps, electric facilities, air intake vents, edges of sidewalks, and

driveways. For recommended clearances for gas meter installations, see Appendix, Drawing No. G13, Page 11.

The meter shall be installed at least six (6) inches above finished grade level.

INDUSTRIAL AND COMMERCIAL INSTALLATIONS

Items dictating the design of a meter installation are volume of gas, pressure at which gas is metered, type of

structure or business in respect to its public nature or number of occupants. Public buildings requiring new

meter installations shall install the meters outside. These meters shall be hard case. Meter installations subject

to physical damage shall be protected by the customer as approved by the Commission.

Meter setting materials shall comply with standards specified for gas service. Pipe materials shall comply with

the applicable specifications.

Support for the meter by means of a mounting bracket is preferable. A meter shelf, or concrete slab, may be

provided as required. Hard case meters shall be hung where practicable.

Meters shall not be installed in areas where rapid deterioration from corrosion or other causes is likely to occur

from foreign material.

Appropriate instructions given under residential meter installations shall apply to industrial and commercial

meter installations.

Gas Service Policy Dated 8/31/2012 4

A bypass valve and piping with test tees may be required on the large volume or interruptible meters, depending

on the method used to test the meters.

Outside meters and associated regulation and relief valves shall not be closer than fifty (50) feet to any standby

propane storage tank or fuel transfer points.

SPECIAL LARGE CAPACITY METER INSTALLATIONS

Special new meter installations covered herein, require more than the normal metering facilities, including the

following:

Installations where metering is done at unregulated medium pressure and above.

Installations where metered gas exceeds fifty (50) CCF per hour any pressure class.

Installations where meter house or enclosure is required.

In selecting the type of installation for a specific metering application, factors that should govern the degree of

special treatment are the volume for gas to be delivered to the customer, the pressure of the gas at the delivery

or metering point, the type of structure to be served in respect to its public or other nature (hospitals, schools,

auditoriums, hotels, business with many employees, etc.) and need for securing accessibility to the metering

facilities.

Where customers request or require a separate meter room or house, the customer will be responsible for the

installation of the room or house. The HPUC will provide information and shall approve as stated in paragraph

II.A. above.

Typical meter installations for various applications shall be obtained from the Hibbing Public Utilities

Commission. These are examples only, and not intended to be relied upon to ensure compliance with the most

recent Minnesota Mechanical Code.

All piping from the point where the service enters the structure to the meter shall be exposed and accessible.

The piping to the meter shall be so installed that the connections to the meter fit without strain.

The Commission shall furnish a separate meter for each consumer if it can be classified as a complete apartment

or business.

Gas service valving at the riser shall not be turned on before piping has been completed to at least one major

appliance, and after certification of inspection has been properly executed.

Meters shall be set by employees of the Commission, or their agents.

Plumbers, gas fitters, dealers, or any other unauthorized person shall not be permitted to turn on the gas without

permission of the Commission.

IV.

INSPECTION RESPONSIBILITY OF THE COMMISSION

REQUIREMENTS

Gas service shall not be rendered until the Commission inspection has been made and Certification of

Inspection has been received from such inspector. The Commission reserves the right to inspect the

customer's installation prior to rendering service and from time to time thereafter, but assumes no

responsibility whatsoever as a result of having made such inspection. (SEE APPENDIX, CERTIFICATION

OF INSPECTION, FORM NO., CI-97)

Gas Service Policy Dated 8/31/2012 5

CERTIFICATION OF INSPECTION

Upon completion of the gas service, the gas piping of any building or the installation of any gas equipment, it

shall be the duty of the customer, firm, or corporation doing same to apply for a gas inspection. Once the gas

service passes inspection, the inspector shall make the necessary connections to install the gas meter. The

installer shall make the final connection to the outlet side of the meter. No such gas connections shall be made

to any gas piping until the Certification of Inspection has been issued and properly signed by all required

parties. No inspection shall be made on Saturdays, Sundays, or holidays.

The Commission's Certification oflnspection shall be required of any person or corporation who:

Makes any alteration or addition to the existing gas piping of any building.

Makes any connection with service pipe, constructs or installs any gas furnace, conversion burner, gas

stove or plate, hot water heater, clothes dryer, or gas connections of any sort.

All gas installations shall be tested by the installer and inspected by the Commission before being energized.

The Commission's inspection shall consist of the following:

Inspect piping, venting, and appliance installations for apparent compliance.

THE INSPECTION

CANNOT AND DOES NOT CONSTITUTE A WARRANTY OR REPRESENTATION THAT

ITEMS INSPECTED, IN FACT DO MEET ALL APPLICABLE CODES, POLICIES, RULES OR

REGULATIONS.

Witness air pressure test performed by the installer.

The installer shall perform the following tests on the installation:

Perform air pressure test on piping system witnessed by an authorized Public Utilities employee.

The installer is also required to sign the Commission natural gas installation inspection form which will be

filled by the Commission inspector at the time of gas inspection.

Commission employees shall not be responsible for adjusting equipment, piping, or appliances not passing

inspection.

(SEE APPENDIX, CERTIFICATION OF INSPECTION, FORM NO. CI-97)

I:\Sharepoint\Forms\Natural Gas Service Application and Policy

Gas Service Policy Dated 8/31/2012

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Form TR-97

GAS APPLIANCE TEST RECORD

After completion of all installations, the installer shall test all safety and operating controls and venting

before placing the burner in service. The installer shall perform the tests specified in the most current issue

of Chapter 25 of Minnesota Uniform Mechanical Code, Chapter 1346. The installer shall verify by checking

the appropriate box that the tests called for in the Minnesota Uniform Mechanical Code have been

successfully completed and that the requirements of the Code have been satisfied. This form must be

completed for each appliance installed.

Customer:

Address:

Installer:

Date;

(Company)

Appliance Information

Type:

Make:

Model:

Serial No.:

Section 2504

Rate of Flow

Designed Flow Rate

BTU /hr.

Initial Metered Flow Rate

BTU /hr.

Final Metered Flow Rate

BTU

/hr.

Calculated Heat Loss---------------- BTU /hr**

Total Input Demand BTU /hr***

* Final Metered Flow Rate must be within plus or minus two percent of the required BTU/hr rating at the

manifold pressure specified by the manufacturer.

** For conversion burners installed in hot water boilers or warm air furnaces, the flow rate must be

adjusted to within plus or minus five percent of 1.7 times the calculated BTU /hr heat loss of the building

in which it is installed.

Calculated Heat loss:

BTU/hr.

***For conversion burners installed in steam boilers, the flow rate must be adjusted to meet the steam load

requirements. The fuel input demand necessitated by an over-sized boiler must be established and

added to the input demand for load requirements to arrive at a total input demand. Total Input

Demand:

BTU/hr.

Section 2505

Pilot Operation

Section 2506

Burner Operation

Section 2507

2508- Method of Tests

Carbon Monoxide

Flue Gas Temp (F)

Carbon Dioxide

Efficiency

%Oxygen

Section 2509

Special Requirements

The undersigned hereby certifies that he information contained herein is accurate and that the requirements of the

Minnesota mechanical Code have been satisfied and the unit has been installed according to the manufactured

instructions.

Name (Please print)

MN Master Plumber License****

Signature

Date

**** A MN Plumber's License is required for installations in multi-family, commercial and public buildings.

Failure to comply with the requirements herein may result in discontinuation of

gas service and/or revocation of

the

right of the installer to install natural gas piping and equipment.

Customer Buried Piping Notice

Hibbing Public Utilities will notify each customer that owns "customer buried natural gas piping"

of the following information:

1. Hibbing Public Utilities does not maintain the customer's buried piping.

2. If the customer's buried piping is not maintained, it may be subject to the potential hazards

of corrosion and leakage.

3. Customer buried piping should be inspected for leaks and if the piping is metallic, inspected

for corrosion. If an unsafe condition is discovered, it should be repaired.

4. When excavating near the customer's buried gas piping, the piping should be located in

advance and the excavation done by hand. Plumbing contractors and heating contractors

may be of assistance in locating, inspecting and repairing the customer's buried gas piping.

Hibbing Public Utilities will notify each pertaining customer no later than 90 days after the

customer first receives gas at a particular location, and no later than once in a three-year period

thereafter.

(a)

This section applies to each operator of a service line who does not maintain the customer's

buried piping up to entry of the first building downstream, or, if the customer's buried piping

does not enter a building, up to the principal gas utilization equipment or the first fence (or

wall) that surrounds that equipment. For the purpose of this section, "customer's buried

piping" does not include branch lines that serve yard lanterns, pool heaters, or other types

of secondary equipment. Also, "maintain" means monitor for corrosion according to

§192.465 if the customer's buried piping is metallic, survey for leaks according to§ 192.723,

and if an unsafe condition is found, shut off the flow of gas, advise the customer of the

need to repair the unsafe condition, or repair the unsafe condition.

(b)

Each operator shall notify each customer once in writing of the following information:

The operator does not maintain the customer's buried piping.

If the customer's buried piping is not maintained, it may be subject to the potential

hazard or corrosion and leakage.

Buried gas piping should be:

Periodically inspected for leaks;

ii. Periodically inspected for corrosion if the piping is metallic; and\

iii. Repaired if any unsafe condition is discovered

(c)

When excavating near buried gas piping, the piping should be located in advance, and the

excavation done by hand.

(d)

The Operator if applicable, plumbing contractors, and heating contractors can assist in

locating, inspecting, and repairing the customer's buried piping.

(e)

Each Operator shall notify each customer no later than August 14, 1996, or 90 days after

the customer first receives gas at a particular location, whichever is later. However,

operators of maters meter systems may continuously post a general notice in a prominent

location frequented by customers.

I:\Sharepoint\Forms\Natural Gas Service Application and Policy

(a) This section applies to each operator of a service line who does not maintain the customer's