Excavation Permit Utility Installation Permit No. 2017-148, UID # 1142
App. Status: Closed
Valid: 07/06/2017 - 11/20/2017
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
jane Brown
Company:
Telcom Construction
Company Phone:Local Phone:
(320365 - 0086
(320365 - 0086
Email Address:
jane.brown@telcomconstruction.com
Mailing Address:
PO BOX 189
Clearwater mn 55320

PROJECT

Nature of Work:
Service Installation
Surface to be disturbed:
Boulevard
Work to start on or after: 07/06/2017
To be completed on or before: 11/20/2017
Applicant Project No.: 17133978

INSTALLATION / CONSTRUCTION

Provide a detailed work description:
Plow 120 feet of 1s fiber, including a bore under driveway at 8345 Cottonwood LN N from ped to house
Attach detailed plan sheet:
Size and kind of pipe:
1s fiber
Depth from surface: 36"- 48"
Length of utility construction: 120
Method of installation:
Directional Bore
Open Trench
Machine excavation: No
Development: Existing

LOCATION

Location/Address: 8345 Cottonwood LN N
Mark the installation/construction
location on the map:
Mark the location of the installation
How to use:
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2. Made a mistake? Click on feature and press delete key.
Will traffic control be necessary? No
Will any excavation be taking place on Hennepin County right-of-way? No

Terms

ACTIVATION REQUIRED
  • Contact Kelly Matzke at (612) 968-3615 at least 24 hours prior to construction to activate permit. Failure to contact Mr. Matzke to activate permit prior to work being started shall be considered a violation of the permit and grounds for dismissing contractor from the job site.

GENERAL
  • Article IV. [url=https://www.municode.com/library/mn/maple_grove/codes/code_of_ordinances?nodeId=COOR_CH28STSIOTPUPL_ARTIVPURI-WMA]Public Right-of-Way Management Ordinance[/url] will be enforced for work being done in the right-of-way.

  • All excavations taking place in right-of-way must conform to [url=https://www.revisor.mn.gov/statutes/?id=216D]Minnesota Statute Chapter 216D. Excavation Notice System[/url].

  • All rules and regulations for locates must conform to the most current [url=http://www.gopherstateonecall.org/images/GSOCHandbookOnlineVersion.compressed.pdf]Gopher State One Handbook[/url].

  • Flagging or painting of route required by City of Maple Grove prior to calling in Gopher State One Call ticket.

  • All properties affected by excavation and construction must be notified in writing prior to beginning work.

  • It is recommended that jobs that consist of more than 1000 feet in length set up meets with locators.

  • A City of Maple Grove right-of-way approved permit shall be on site at all times and available upon request by any City official.

  • Safety vests must be worn by all people occupying the right-of-way.

  • Work being done on Hennepin County right-of-way requires notification permit with City of Maple Grove and a Hennepin County right-of-way permit.

CONSTRUCTION
  • All underground utilities must be placed a minimum of 36” and 48” maximum below finished top of curb elevation.

  • Vehicles, equipment, and materials are not allowed on any sidewalk or trail unless prior approval has been granted by a City of Maple Grove official.

  • Notify Kelly Matzke at 612-968-3615 of any changes or revisions made to right-of-way permits that have already been approved by the City of Maple Grove.

  • Street crossings must be installed perpendicular to the road to avoid future potholing in street.

  • Plowing and pneuma gophering are not acceptable forms of excavation allowed in the City of Maple Grove.

  • Core drilling in street or trail requires approval prior to doing work.

  • All open trenches and holes must be backfilled before leaving work site at the end of the day.

  • All flags from locates must be removed and picked up immediately once excavation has been completed.

TRAFFIC CONTROL
  • All permit applications requiring traffic control shall conform to the most recent version of the Minnesota Manual on Uniform Traffic Control Devices [url=http://www.dot.state.mn.us/trafficeng/publ/mutcd/index.html] Minnesota Manual on Uniform Traffic Control Devices[/url], including the Temporary Traffic Control Zone Layouts Field Manual [url=https://www.dot.state.mn.us/trafficeng/publ/fieldmanual/fieldmanual.pdf] Temporary Traffic Control Zone Layouts Field Manual[/url], and be approved by the Transporation Operations Engineer.

  • The City of Maple Grove only allows traffic control to occur during off peak hours, which is between 9:00am-3:00 pm Monday thru Friday.

  • Traffic control on weekends requires prior approval from Transportation Operations Engineer John Hagen. John can be reached via email at [url=mailto:jhagen@maplegrovemn.gov]jhagen@maplegrovemn.gov[/url] or 763-494-6364

RESTORATION
  • Restoration must conform to [url=https://library.municode.com/mn/maple_grove/codes/code_of_ordinances?nodeId=COOR_CH28STSIOTPUPL_ARTIVPURI-WMA_S28-105RERI-W]Section 28-105. Restoration of Right-of-Way [/url].

  • All disturbed areas during excavation must be restored to their original condition within 30 days.

  • Damage on boulevards due to vehicles and equipment must be restored and treated the same way that excavation damage is restored.

  • Work completed in winter months must notify City with plans for restoration to take place in the spring.

  • Once restoration has been completed, contact Kelly Matzke at (612) 968-3615 or change status on permit software so an inspection can be completed in a timely manner. Failure to notify the City will result in all permits with the City of Maple Grove being put on hold until notification takes place.

ADDITIONAL INFORMATION
  • All contractors, including subcontractors, must be registered with the City of Maple Grove to do work in the right-of-way. Contractors doing work in the right-of-way that are not registered with the City will be considered in violation, and will be dismissed from the work site until registration is completed.

  • Absolutely no removal of bituminous or cement is allowed during winter working months without approval.

Invoice #1020 (07/03/2017)

Charge Cost Quantity Total
Non-Taxable
added 07/03/2017 11:12 AM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 07/03/2017 11:12 AM

In addition to excavation permit fee (per lineal foot)

$0.40 x 120 $48.00
Grand Total
Total $178.00
Payment 07/03/2017$178.00
Due$0.00

Approvals

ApprovalSignature
ApplicantJane M. Brown - 07/03/2017 9:42 AM
fa2b24171357b0615fec628179c68783
1d33d86f2865b9bc88cc3d43fb221eb7
#1 Approved ByKelly Matzke - 07/13/2017 3:18 PM
eb9883edd5522cf3fecb472eeeca695a
0ec983f9d3e894d8b6abd1a20a013a53
Application has been approved. All signatures have been obtained.

Public Notes

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    Internal Notes

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