City of Maple Grove

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Excavation Permit Utility Installation Permit No. 2021-EP032, UID # 4329
App. Status: Work CompletedCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Kimberly Kay Ignatowicz
Company:
CenterPoint Energy
Company Phone:Local Phone:
(612) 321 - 5325
(612) 321 - 5325
Email Address:
kimberly.ignatowicz@centerpointenergy.com
Mailing Address:
700 W Linden Ave
Minneapolis MN 55440

CONTRACTOR

Contractor:
Name:
Kimberly Kay Ignatowicz
Company:
CenterPoint Energy
Company Phone:Local Phone:
(612) 321 - 5325
(612) 321 - 5325
Email Address:
kimberly.ignatowicz@centerpointenergy.com
Mailing Address:
700 W Linden Ave
Minneapolis MN 55440

PROJECT

Nature of Work:
Service Installation
Surface to be disturbed:
Concrete
Bituminous
Boulevard
Work to start on or after: 03/15/2021
To be completed on or before: 12/31/2021
Applicant Project No.: 1005-2021

INSTALLATION / CONSTRUCTION

Provide a detailed work description: 
MGC# 21-845
CONTACT JOSH HAUKOM
612-321-5066
REPLACE SERVICE LINES AS NEEDED IN CONJUNCTION WITH THE 2021 HENNEPIN COUNTY
RESURFACING PROJECT ON CSAH 30 - 93RD AVE N. SEE MAP
12779, 12863, 17340 93RD AVE N, AND 9293 PINEVIEW LN N
Attach detailed plan sheet:
Size and kind of pipe: 
5/8" - 2" PE
Depth from surface: 36"- 48"
Length of utility construction: 691
Method of installation:
Directional Bore
Hand Dig
Other
If other is selected, please provide additional information: 
PIT
Development: Existing

LOCATION

Location/Address: 12779, 12863, 17340 93RD AVE N, AND 9293 PINEVIEW LN N
Mark the location of the installation
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TRAFFIC CONTROL

Will traffic control be necessary? No

Terms

ACTIVATION REQUIRED

  • 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.

GENERAL

  • 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.

CONSTRUCTION

  • 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.

  • Absolutely no removal of bituminous or concrete is allowed without prior approval from the City of Maple Grove.

  • Core drilling is not allowed in street, sidewalk, or trail without prior approval from City of Maple Grove. The City of Maple Grove does not allow core drilling to take place in ped ramps.

  • Vehicles, equipment, and materials are not allowed on sidewalks, trails, or ped ramps when seasonal weight restrictions are in effect in Maple Grove. Approval to access areas during other times of the year requires approval from the City of Maple Grove.

  • 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.

  • 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.

TRAFFIC CONTROL

  • 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

  • Restoration must conform to Section 28-105. Restoration of Right-of-Way.

  • Restoration Requirements on Soft Surfaces:

    1. Turf: Hydroseeding is required unless otherwise directed by Right-of-Way Technician.
    2. Soil: Six inches of topsoil is required on all boulevards that are damaged.
    3. Sprinklers: Restore to prior condition with like materials and equipment.
    4. Pet Fences: Check for continuity after repair.
    5. Landscaping: Restore to original with like materials.

  • Removal/Restoration Requirements on Hard Surfaces:

    1. Bituminous: Shall be removed and restored in a timely matter to its original or better condition.
    2. Concrete: Shall be removed and restored in a timely matter to its original or better condition.
    3. Driveways: Notify Right-of-Way Technician of any damage and address with homeowner.

  • Restoration Requirements in areas where core drills were approved:

    1. Bituminous: Core drills in bituminous paths are replaced at width of path (example: 8 foot wide path is replaced 8'x8' per core).
    2. Concrete: Core drills in sidewalks require a minimum of two panels to be replaced per core to assure base has been properly reestablished.

  • 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.

ADDITIONAL INFORMATION

  • 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 concrete is allowed during winter months.

Invoice #3811 (03/08/2021)

Charge Cost Quantity Total
Non-Taxable
added 03/08/2021 11:39 AM

Excavation permit fee per occurance

 $160.00 x 1 $160.00
added 03/08/2021 11:39 AM

In addition to excavation permit fee (per lineal foot)

 $0.40 x 691 $276.40
Grand Total
Total $436.40
Payment 03/08/2021$436.40
Due$0.00

SPECIAL PROVISIONS

It is assumed that the proposed work will not impact travel lanes and/or shoulders and that staging will not impact pedestrian traffic along the existing sidewalks/trails. If the proposed work will impact either of these two items, a traffic control plan will need to be submitted and approved. Any proposed work and/or traffic control placed within County right-of-way will need approval by Hennepin County.

Approvals

ApprovalSignature
ApplicantKimberly K. Ignatowicz - 03/08/2021 11:42 AM
38584285a5651cae503e710390a0a9d9
510d5c3f6a7edfa4dc2e135e22c6abad
#1 Right of Way Technician ApprovalKelly Matzke - 03/09/2021 8:34 AM
198bdd54595df15063b259ae1bfebc2b
1a373e2c494f368e0226b529a33ab29a
Application has been approved. All signatures have been obtained.

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