Excavation Permit Utility Installation Permit No. 2016-106, UID # 150
App. Status: Closed
Valid: 08/05/2016 - 08/26/2016
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Steph Kunkel
Company:
TelCom Construction
Company Phone:Local Phone:
(320287 - 5735
(287287 - 5735
Email Address:
stephanie.kunkel@telcomconstruction.com
Mailing Address:
PO Box 189
Clearwater MN 55320
Additional email address to notify: stephanie.kunkel@telcomconstruction.com

PROJECT

Nature of Work:
Service Installation
Surface to be disturbed:
Bituminous
Boulevard
Work to start on or after: 08/05/2016
To be completed on or before: 08/26/2016
Applicant Project No.: 16137798

INSTALLATION / CONSTRUCTION

Attach detailed plan sheet:
Size and kind of pipe:
3pr, 22g, copper
Depth from surface: 36"- 48"
Length of utility construction: 130
Method of installation:
Directional Bore
Hand Dig
Other
If other is selected, please provide additional information:
plow
Machine excavation: No
Development: Existing

LOCATION

Location/Address: 12130 62nd Ave N
Mark the installation/construction
location on the map:
Mark the location of the installation
How to use:
1. Use only one option (dot, line, or polygon)
2. Made a mistake? Click on feature and press delete key.
Will traffic detouring be necessary? No

Terms

Requirements
  • Contact the Right-of-Way Technician by phone (612-968-3615) 24 hours prior to starting work, and upon completion so a final inspection can be completed in a timely manner.

  • You must adhere to [url=https://www.revisor.mn.gov/statutes/?id=216D]Minnesota Statutes 2015 CHAPTER 216D. EXCAVATION NOTICE SYSTEM[/url]

  • Notify all affected properties in writing prior to beginning work.

  • All cabinets, boxes, pedestals, etc. at corners must meet the City of Maple Grove's City Code, Sec. 360818 traffic visibility at corner lots.

  • All large trucks or large equipment are not allowed on any boulevard sidewalk or bituminous trails unless prior approval has been granted by the Right-of-Technician.

  • All signing for equipment in street must conform to the current MnDOT Manual on Uniform Traffic Control Devices.

  • Pneuma gophering is not allowed by the City of Maple Grove in this area.

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

  • No hand holes or pot-holing in bituminous trails unless approved by the Right-of-Way Technician.

  • All disturbed areas must be returned to their original conditions within 30 days.

  • Lawn / Blvd areas must be restored per 28-105 of the Maple Grove Code of Ordinances.

  • Must adhere to MnDOT's Standard Specifications for Construction, Section 2575 and Maple Grove's specification for grading, landscaping and traffic control.

  • Notify Right-of Way Technician when work under this permit is completed, not at year's end.

  • Flag or mark utility location as required by state statue prior to calling in locates.

  • No work shall begin this year if it cannot be properly restored this year (unless emergency).

  • Street crossings to be installed perpendicular to street whenever possible.

Invoice #115 (08/04/2016)

Charge Cost Quantity Total
Non-Taxable
added 08/04/2016 8:15 AM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 08/04/2016 8:15 AM

In addition to excavation permit fee (per lineal foot)

$0.40 x 130 $52.00
Grand Total
Total $182.00
Payment 08/04/2016$182.00
Due$0.00

Approvals

ApprovalSignature
ApplicantSteph Kunkel - 08/04/2016 8:15 AM
0743638e265921ac62d02dfbfd003925
f0cbaf79cea04f579808a3ddae6d949e
#1 Approved ByKelly Matzke - 08/04/2016 2:04 PM
aadb185d2ce1a4c887a42a360b973e8d
ff889d5dd5018cd35d77831d50d61199
Application has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

    Internal Notes

    Text:
    Driveway is in bad condition.  Take pictures of driveway before construction takes place.
    File(s):
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