City of Maple Grove
App. Status: Restoration RequiredCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369
Kelly Matzke (612-968-3615)
APPLICANT
| Applicant: |
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PROJECT
| Nature of Work: | Small Cell Utility |
| Surface to be disturbed: | Concrete |
| Work to start on or after: | 05/28/2019 |
| To be completed on or before: | 06/21/2019 |
| Applicant Project No.: | U69_Freddies |
INSTALLATION / CONSTRUCTION
| Provide a detailed work description: | Replace Existing City-Owned Light Standard with New Cast-in-place Foundation. Install Electrical from Nearest Transformer |
| Attach detailed plan sheet: | |
| Size and kind of pipe: | 2" Rigid Conduit for Electrical. |
| Depth from surface: | 36"- 48" |
| If other is selected, please provide additional information: | The existing foundation and pole will be removed and replaced per structural analysis guidelines |
| Length of utility construction: | 30 |
| Method of installation: | Hand Dig |
| If other is selected, please provide additional information: | Machine excavation for new light pole foundation. |
| Machine excavation: | Yes |
| Development: | Existing |
Freddies_MS90XSU69_Permit-App-v.3_Construction_Drawings_2019-05-06.pdfLOCATION
| Location/Address: | West of the Intersection of Elm Creek Blvd. N, and Fountains Dr. Light Pole on South side of Elm Creek Blvd |
| Mark the installation/construction location on the map: |
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| 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. |
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| Will traffic control be necessary? | Yes |
| Will any excavation be taking place on Hennepin County right-of-way? | Yes |
WIRELESS SERVICE PROVIDER AUTHORITY
| Please upload the Wireless Service Provider Authority Document: |
TRAFFIC CONTROL PLAN
| Attach Traffic Control Plan: |
Terms
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.
Article IV. Public Right-of-Way Management Ordinance will be enforced for work being done in the right-of-way.
All excavations taking place in right-of-way must conform to Minnesota Statute Chapter 216D. Excavation Notice System.
All rules and regulations for locates must conform to the most current Gopher State One Handbook.
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.
The permit issued does not in any way imply an easement on private property or grant a right to encroach on private property.
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.
All underground utilities must be placed a minimum of 36” and 48” maximum below finished top of curb elevation.
New ground structures must be placed near existing structures at a minimum of at least five feet away from hydrants.
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.
Inclement weather shall be reason for delay of the project start or suspension of the project as determined by the City of Maple Grove.
All permit applications requiring traffic control shall conform to the most recent version of the Minnesota Manual on Uniform Traffic Control Devices Minnesota Manual on Uniform Traffic Control Devices, including the Temporary Traffic Control Zone Layouts Field Manual Temporary Traffic Control Zone Layouts Field Manual, 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 jhagen@maplegrovemn.gov or 763-494-6364
Restoration must conform to Section 28-105. Restoration of Right-of-Way.
Restoration Requirements on Soft Surfaces:
- Turf: Hydroseeding is required unless otherwise directed by Right-of-Way Technician.
- Soil: Six inches of topsoil is required on all boulevards that are damaged.
- Sprinklers: Restore to prior condition with like materials and equipment.
- Pet Fences: Check for continuity after repair.
- Landscaping: Restore to original with like materials.
Removal/Restoration Requirements on Hard Surfaces:
- Bituminous: Shall be removed and restored in a timely matter to its original or better condition.
- Concrete: Shall be removed and restored in a timely matter to its original or better condition.
- Driveways: Notify Right-of-Way Technician of any damage and address with homeowner.
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.
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.
Since all or partial work will be completed in the Hennepin County Right of Way, you are also required to submit an application to Hennepin County.
Invoice #2077 (11/19/2018)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 12/04/2018 10:03 AM Excavation permit fee per occurance |
$130.00 | x 1 | $130.00 |
| added 12/04/2018 10:03 AM In addition to excavation permit fee (per lineal foot) |
$0.40 | x 30 | $12.00 |
| Grand Total | |||
| Total | $142.00 | ||
| Payment 12/04/2018 | $142.00 | ||
| Due | $0.00 | ||
Approvals
| Approval | Signature |
|---|---|
| Applicant | Shelley Trampetti - 05/30/2019 9:29 AM f0773c121c9cfc8617b27cb8fc65715d 56c6887ac3f9c292d6d520c806898ebf |
| #1 Approved By | Kelly Matzke - 05/31/2019 9:11 AM 7f1e975280053886d1c3a8acae567f89 77c6c36870e45965398e71e7e39bae93 |
| #2 Traffic Control Approval | John Hagen - 06/04/2019 9:39 AM 58463830b2604f575686a9d78ebb5e9c 32677b0c4ced437597d477d145c9f922 |
Public Notes
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Internal Notes
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