Excavation Permit Utility Installation Permit No. 2016-261, UID # 449
App. Status: Approved
Valid: 12/12/2016 - 06/12/2016
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Norelisse Lopez Moulier
Company:
CenturyLink
Company Phone:Local Phone:
(651312 - 5429
(651312 - 5429
Email Address:
norelisse.lopez-moulier1@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: 12/12/2016
To be completed on or before: 06/12/2016
Applicant Project No.: N.196450

INSTALLATION / CONSTRUCTION

Attach detailed plan sheet:
Size and kind of pipe:
2" PVC
Depth from surface: 36"- 48"
Length of utility construction: 800
Method of installation:
Open Trench
Joint Trench (Other)
Machine excavation: No
Development: New

LOCATION

Location/Address: Ploceus Meadows
Mark the installation/construction
location on the map:
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.
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 #312 (12/08/2016)

Charge Cost Quantity Total
Non-Taxable
added 12/08/2016 8:49 AM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 12/08/2016 8:49 AM

In addition to excavation permit fee (per lineal foot)

$0.20 x 800 $160.00
Grand Total
Total $290.00
Payment 12/08/2016$290.00
Due$0.00

Approvals

ApprovalSignature
ApplicantBecky Richter - 12/08/2016 8:49 AM
9eacc40c94615d7612a00b8dba9ed97d
39c62699df71cb9024b41b41dfd8e697
#1 Approved ByKelly Matzke - 12/12/2016 8:28 AM
5ba07686a12d6283a6f4e1d1e0230a17
7e134cd6818c5fb07c737d3e92258c70
Application has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

    Internal Notes

    Text:
    File(s):
      Powered by