Excavation Permit Utility Installation Permit No. 2016-268, UID # 395
App. Status: Approved
Valid: 10/25/2016 - 01/17/2017
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Justin Foth
Company:
CenturyLink
Company Phone:Local Phone:
(651312 - 5323
(651312 - 5323
Email Address:
justin.foth1@centurylink.com
Mailing Address:
425 Monroe Street
Anoka MN 55303
Additional email address to notify: becky.richter@centurylink.com

PROJECT

Nature of Work:
Main Installation
Surface to be disturbed:
Boulevard
Work to start on or after: 10/25/2016
To be completed on or before: 01/17/2017
Applicant Project No.: N.149709

INSTALLATION / CONSTRUCTION

Attach detailed plan sheet:
Size and kind of pipe:
1.25" Innerduct
Depth from surface: 36"- 48"
Length of utility construction: 1900
Method of installation:
Joint Trench (Other)
Machine excavation: Yes
Development: New

LOCATION

Location/Address: 82nd Place and Oakwood Court N
Will traffic detouring be necessary? No

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 #275 (11/10/2016)

Charge Cost Quantity Total
Non-Taxable
added 11/10/2016 6:59 AM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 11/10/2016 6:59 AM

In addition to excavation permit fee (per lineal foot)

$0.20 x 1,900 $380.00
Grand Total
Total $510.00
Payment 11/10/2016$510.00
Due$0.00

Approvals

ApprovalSignature
ApplicantBecky Richter - 11/10/2016 7:00 AM
096fc94322a0bf01abeb331f0d6fd1be
4bfa09caba82af7fdf9970cee5d863b3
#1 Approved ByKelly Matzke - 12/12/2016 1:08 PM
4561461bee0dfa7493ffe38b32d19a2e
2b0b946434fbedd2deb0224e50278869
Application has been approved. All signatures have been obtained.

Public Notes

Text:
12.12.16 Application already received with Xcel Energy joint trench application.  Refunded amount paid and made applicant aware of refund.  In 2017, joint trench applications will be handled differently.  Will send out information on that in the near future.  
File(s):

    Internal Notes

    Text:
    File(s):
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