City of Maple Grove
App. Status: ApprovedCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369
Kelly Matzke (612-968-3615)
APPLICANT
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CONTRACTOR
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PROJECT
| Nature of Work: | Main Installation |
| Surface to be disturbed: | Boulevard |
| Work to start on or after: | 05/14/2020 |
| To be completed on or before: | 11/13/2020 |
| Applicant Project No.: | N.735757 |
INSTALLATION / CONSTRUCTION
| Provide a detailed work description: | Access only for splicing at existing HH3-HH3 at 12000 Elm Creek Blvd N. Access only for splicing at existing HH1 at 11852 Elm Creek Blvd N. Access only for splicing at existing HH11700ECB at 11670 Elm Creek Blvd N. Access only for splicing at existing HH188-HH7 at the intersection of Zachary Lane and Elm Creek Blvd. Access only for splicing at existing HH7710R at the intersection of Revere Lane and Elm Creek Blvd.. Access only for splicing at existing HH1191-HH9 at 7865 Jefferson Hwy N. Access only for splicing at existing MH8514-8514 at 7865 Jefferson Hwy N.. For all splice points we will be using Utility work ahead signs and our trucks have 360 degree strobes and cones At MH 8513-8513 bore 26’ to customer property. |
| Attach detailed plan sheet: |
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| Size and kind of pipe: | 1.25" ID |
| Depth from surface: | 36"- 48" |
| Length of utility construction: | 26 |
| Method of installation: | Directional Bore Other |
| If other is selected, please provide additional information: | bore and access for splicing |
| Development: | Existing |
N.735757-GIS-SKETCH2.pdfLOCATION
| Location/Address: | 12000 Elm Creek Blvd N |
| 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
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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.
Any placement of utilities, including but not limited to cabinets, boxes, and pedestals must conform to City Code.
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.
All traffic control devices must be removed from the job site promptly upon completion of work.
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 #3387 (05/07/2020)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 05/07/2020 12:37 PM Excavation permit fee per occurance |
$160.00 | x 1 | $160.00 |
| added 05/07/2020 12:37 PM In addition to excavation permit fee (per lineal foot) |
$0.40 | x 26 | $10.40 |
| Grand Total | |||
| Total | $170.40 | ||
| Payment 05/07/2020 | $170.40 | ||
| Due | $0.00 | ||
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Cindy L. Albright - 05/07/2020 12:38 PM 49271d6f724eac11b575bd71f41dd6ea 89c5b82ecaea77283e1cd14c797ef1cd | |
| #1 Right of Way Technician Approval | Kelly Matzke - 05/20/2020 10:44 AM ba7b94e3e1b395cc07093a15323889c9 bca686cfd6c774cc5f6cb3a784e36df7 | |
| #2 Traffic Operations Engineer Approval | John Hagen - 05/21/2020 2:04 PM 5e38546acca3bd3ac6c2f691cc8714c6 e9c77a4b2b58b3986dff2db5c6a66b4c |
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