Excavation Permit Utility Installation Permit No. 2016-119, UID # 166
App. Status: Closed
Valid: 08/17/2016 - 10/03/2016
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Cindy Lou Albright
Company:
Telcom Construction
Company Phone:Local Phone:
(320286 - 8369
(286286 - 8369
Email Address:
cindy.albright@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: 08/17/2016
To be completed on or before: 10/03/2016
Applicant Project No.: 16089644

INSTALLATION / CONSTRUCTION

Attach detailed plan sheet:
Size and kind of pipe:
3 pr 22 gauge copper cable
Depth from surface: 36"- 48"
Length of utility construction: 170
Method of installation:
Directional Bore
Open Trench
Machine excavation: Yes
Development: Existing

LOCATION

Location/Address: 6630 Fish Lake Road E
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 #130 (08/10/2016)

Charge Cost Quantity Total
Non-Taxable
added 08/10/2016 2:09 PM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 08/10/2016 2:09 PM

In addition to excavation permit fee (per lineal foot)

$0.40 x 170 $68.00
Grand Total
Total $198.00
Payment 08/10/2016$198.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
Applicantcindy L. Albright - 08/10/2016 2:09 PM
cae882d3bee641ea5fbd15efd3ccff78
5c58584ba937fa07c522120f30ffb5f4
 
#1 Approved ByKelly Matzke - 08/15/2016 10:41 AM
4e62b7bb94ce61fe023bca69cb07987f
dbda94fbde7e84d1473d927c90e7fda7
 
Application has been approved. All signatures have been obtained.
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