City of Maple Grove
App. Status: Approved
Valid: 12/12/2016 - 05/31/2017City 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: | dheider@mi-tech.us | ||||||||||||||||||||||||||||||||||||||||
PROJECT
| Nature of Work: | Service Installation |
| Surface to be disturbed: | Bituminous Boulevard |
| Work to start on or after: | 12/12/2016 |
| To be completed on or before: | 05/31/2017 |
| Applicant Project No.: | KM ISO-0176213 |
INSTALLATION / CONSTRUCTION
| Attach detailed plan sheet: |
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| Size and kind of pipe: | two 1.25" |
| Depth from surface: | 36"- 48" |
| Length of utility construction: | 55 |
| Method of installation: | Directional Bore |
| Machine excavation: | Yes |
| Development: | Existing |
9401_85th_Ave_N_12.6.16_r2.pdfLOCATION
| Location/Address: | 85th Ave N & Jefferson Hwy |
| Mark the installation/construction location on the map: |
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| 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. |
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| Will traffic detouring be necessary? | No |
Terms
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 #309 (12/07/2016)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 12/07/2016 10:14 AM Excavation permit fee per occurance |
$130.00 | x 1 | $130.00 |
| added 12/07/2016 10:14 AM In addition to excavation permit fee (per lineal foot) |
$0.40 | x 55 | $22.00 |
| Grand Total | |||
| Total | $152.00 | ||
| Payment 12/07/2016 | $152.00 | ||
| Due | $0.00 | ||
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Charles A. Cogbill - 12/07/2016 10:14 AM 1ad50d50383194f6ed47f8657e7af3a8 401fb3a41cd8594a4b23394f685f27cc | |
| #1 Approved By | Kelly Matzke - 12/12/2016 9:11 AM 570abed268dbb06b57591629946d60e1 405e1b836d69db5c2aea28a04be03440 |
| Text: | 12.12.16 Work taking place on Hennepin County ROW and Brooklyn Park ROW. Permit required through City of Maple Grove will be notification only. Will follow up with applicant about refunding current fees collected for permit. Refunded fees and sent email to Doug Heider making him aware of refund. |
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