City of Maple Grove
App. Status: Restoration Required
Valid: 10/03/2016 - 12/30/2016City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369
Kelly Matzke (612-968-3615)
APPLICANT
| Applicant: |
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| Additional email address to notify: | ssandkamp@usi-universal.com | ||||||||||||||||||||||||||||||||||||||||
PROJECT
| Nature of Work: | Service Installation |
| Surface to be disturbed: | Boulevard |
| Work to start on or after: | 10/03/2016 |
| To be completed on or before: | 12/30/2016 |
| Applicant Project No.: | JT 19743 |
INSTALLATION / CONSTRUCTION
| Attach detailed plan sheet: |
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| Size and kind of pipe: | Existing 1.5" HDPE conduit. |
| Depth from surface: | 36"- 48" |
| Length of utility construction: | 20 |
| Method of installation: | Other |
| If other is selected, please provide additional information: | Pull fiber in existing conduit. Hand dig/back hoe for vaults. |
| Machine excavation: | Yes |
| Development: | Existing |
CX_MAP.PDFLOCATION
| Location/Address: | 9600 Upland Ln. N. |
| 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 detouring be necessary? | No |
Terms
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 #204 (09/26/2016)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 09/26/2016 12:37 PM Excavation permit fee per occurance |
$130.00 | x 1 | $130.00 |
| added 09/26/2016 12:37 PM In addition to excavation permit fee (per lineal foot) |
$0.40 | x 20 | $8.00 |
| Grand Total | |||
| Total | $138.00 | ||
| Payment 09/26/2016 | $138.00 | ||
| Due | $0.00 | ||
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Keith J. Gesinger - 09/26/2016 12:37 PM c1ce9f758dbc148d970eea7d47167c71 f6e5895cf3255898849865f543b645b6 | |
| #1 Approved By | Kelly Matzke - 09/26/2016 3:24 PM a7f30ec7260b53f72b0037d058b92fa1 665f60af2f65e1e6160c476413c778c8 |
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