City of Maple Grove
App. Status: Work CompletedCity 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: | rdaniels@whe.org | ||||||||||||||||||||||||||||||||||||||||
CONTRACTOR
| Contractor: |
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PROJECT
| Nature of Work: | Other |
| Surface to be disturbed: | Boulevard |
| Work to start on or after: | 03/03/2020 |
| To be completed on or before: | 12/31/2020 |
| Applicant Project No.: | 910712 |
INSTALLATION / CONSTRUCTION
| Provide a detailed work description: | We are replacing a transformer and pad it is attached to for a like for a like replacement |
| Attach detailed plan sheet: | |
| Size and kind of pipe: | N/A |
| Depth from surface: | Other, I will describe below |
| If other is selected, please provide additional information: | Like ForLike Replacement. 6" Deep |
| Length of utility construction: | 1 |
| Method of installation: | Other |
| If other is selected, please provide additional information: | Vac. around existing box pad |
| Development: | Existing |
Bass_Lake_Road_And_Sycamore_Lane_Transformer_Change.pdfLOCATION
| Location/Address: | Sycamore and Bass Lake Road |
| 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. |
TRAFFIC CONTROL
| Will traffic control be necessary? | Yes |
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.
Excavations taking place in the Maple Grove city limits in the Hennepin County right-of-way requires permits from the City of Maple Grove and Hennepin County.
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 Excavation 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.
Any changes or revisions to the Excavation Permit after approval must be resubmitted and approved before proceeding with work in the right-of-way.
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, including the 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.
Invoice #3088 (03/02/2020)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 03/02/2020 8:37 AM Excavation permit fee per occurance |
$160.00 | x 1 | $160.00 |
| added 03/02/2020 8:37 AM In addition to excavation permit fee (per lineal foot) |
$0.40 | x 1 | $0.40 |
| Grand Total | |||
| Total | $160.40 | ||
| Payment 03/02/2020 | $160.40 | ||
| Due | $0.00 | ||
SPECIAL PROVISIONS
It is assumed that the applicant is also working to get the required approvals and/or permits from Hennepin County to work within their right-of-way since Bass Lake Road is a County facility, and the traffic signal at Bass Lake Road and Sycamore Lane is a County-owned and maintained signal.
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Ryan Daniels - 03/02/2020 8:37 AM 260ade52fb70e31bbfa4dea4313cc310 b4ac71bda6b309d48293ad20b3a9e054 | |
| #1 Right of Way Technician Approval | Kelly Matzke - 03/16/2020 1:25 PM 64e0b2a57fe5658d0bc9c257b2f4e7e3 8bbc5dfc55e67b6771dc090c2abc6168 | |
| #2 Traffic Operations Engineer Approval | John Hagen - 03/18/2020 11:16 AM d6d0bbc3953b940a820f9cf38c052ad3 8955281457d6e362fffb9e99f7893b4c |
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