Excavation Permit Utility Installation UID # 248
App. Status: Returned for Changes
Valid: 09/23/2016 - 11/21/2016
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Amy Clarke
Company:
D&D Service
Company Phone:Local Phone:
(763208 - 0195
(763208 - 0195
Email Address:
danddadmin@comcast.net
Mailing Address:
950 Co Rd 10, Ste 216
Spring Lake Park mn 55432
Additional email address to notify: william_degel@comcast.com

CONTRACTOR

Contractor:

PROJECT

Nature of Work:
Other
Surface to be disturbed:
Concrete
Work to start on or after: 09/23/2016
To be completed on or before: 11/21/2016
Applicant Project No.:

INSTALLATION / CONSTRUCTION

Provide a detailed work description:
Attach detailed plan sheet:
Size and kind of pipe:
0
Depth from surface: Other, I will describe below
If other is selected, please provide additional information:
Length of utility construction: 0
Method of installation:
Other
If other is selected, please provide additional information:
OBSTRUCTION PERMIT
Development: Existing
Attach letter/door hanger used to notify property owners affected by construction:

    LOCATION

    Location/Address: 11850 Fountains Way
    Mark the location of the installation
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    TRAFFIC CONTROL

    Will traffic control be necessary?

    TRAFFIC CONTROL PLAN

    Attach Traffic Control Plan:

      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 #194 (09/21/2016)

      Charge Cost Quantity Total
      Non-Taxable
      added 09/21/2016 10:47 AM

      Add obstruction fee if applicable to project.

      $35.00 x 1 $35.00
      Grand Total
      Total $35.00
      Payment 09/22/2016$35.00
      Due$0.00
      This Application has not been submitted, so you may not pay for this Invoice.

      Public Notes

      Text:
      Hennepin County permit requires as work is taking place on Hemlock Lane.
      File(s):

        Internal Notes

        Text:
        File(s):
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