Excavation Permit Utility Installation Permit No. 2016-235, UID # 396
App. Status: Closed
Valid: 11/23/2016 - 05/23/2017
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Shawn Niess
Company:
CenturyLink
Company Phone:Local Phone:
(651312 - 5389
(651312 - 5389
Email Address:
shawn.niess@centurylink.com
Mailing Address:
425 Monroe Street
Anoka MN 55303
Additional email address to notify: becky.richter@centurylink.com

PROJECT

Nature of Work:
Service Installation
Surface to be disturbed:
Boulevard
Work to start on or after: 11/23/2016
To be completed on or before: 05/23/2017
Applicant Project No.: N.151378

INSTALLATION / CONSTRUCTION

Attach detailed plan sheet:
Size and kind of pipe:
N/A
Depth from surface: 36"- 48"
Length of utility construction: 500
Method of installation:
Directional Bore
Machine excavation: Yes
Development: New

LOCATION

Location/Address: 9520 Garland Lane 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 #276 (11/10/2016)

Charge Cost Quantity Total
Non-Taxable
added 11/10/2016 9:07 AM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 11/10/2016 9:07 AM

In addition to excavation permit fee (per lineal foot)

$0.20 x 500 $100.00
Grand Total
Total $230.00
Payment 11/10/2016$230.00
Due$0.00

Approvals

ApprovalSignature
ApplicantBecky Richter - 11/10/2016 9:07 AM
a18fea73b3fab1c5e541366a25878a5e
b13f4fa8b0550bc5ba8a864f2fa40189
#1 Approved ByKelly Matzke - 11/16/2016 8:18 AM
8677149b53f85b9ef059b997b2877f1d
ee3f59d8284eb08ebaa855b4726ebc20
Application has been approved. All signatures have been obtained.

Public Notes

Text:
11.16.16 Talked with Shawn and County Permit has been obtained as work being proposed is crossing county road.
File(s):

    Internal Notes

    Text:
    File(s):
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