Excavation Permit Utility Installation Permit No. 2017-100, UID # 485
App. Status: Approved
Valid: 01/31/2017 - 10/01/2017
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
(763760 - 3878
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: 01/31/2017
To be completed on or before: 10/01/2017
Applicant Project No.: N.186465

INSTALLATION / CONSTRUCTION

Provide a detailed work description:
We will be placing a new 288 splitter cabinet on 69th Pl N, 20 peds and a total of 3 hand holes.  We will also be placing various sizes of fiber optic cable inside 1.25” innerduct throughout the joint trench to feed the Hamlets of Rush Creek development
Attach detailed plan sheet:
Size and kind of pipe:
1.25" innerduct with various fiber optic sizes
Depth from surface: 36"- 48"
Length of utility construction: 5000
Method of installation:
Joint Trench (Other)
Machine excavation: Yes
Development: New

LOCATION

Location/Address: Hamlets of Rush Creek
Will traffic control be necessary? No
Will any excavation be taking place on Hennepin County right-of-way? 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. [url=https://www.municode.com/library/mn/maple_grove/codes/code_of_ordinances?nodeId=COOR_CH28STSIOTPUPL_ARTIVPURI-WMA]Public Right-of-Way Management Ordinance[/url] will be enforced for work being done in the right-of-way.

  • All excavations taking place in right-of-way must conform to [url=https://www.revisor.mn.gov/statutes/?id=216D]Minnesota Statute Chapter 216D. Excavation Notice System[/url].

  • All rules and regulations for locates must conform to the most current [url=http://www.gopherstateonecall.org/images/GSOCHandbookOnlineVersion.compressed.pdf]Gopher State One Handbook[/url].

  • 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.

  • It is recommended that jobs that consist of more than 1000 feet in length set up meets with locators.

  • A City of Maple Grove right-of-way approved 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.

  • Work being done on Hennepin County right-of-way requires notification permit with City of Maple Grove and a Hennepin County right-of-way permit.

CONSTRUCTION
  • All underground utilities must be placed a minimum of 36” and 48” maximum below finished top of curb elevation.

  • Vehicles, equipment, and materials are not allowed on any sidewalk or trail unless prior approval has been granted by a City of Maple Grove official.

  • Notify Kelly Matzke at 612-968-3615 of any changes or revisions made to right-of-way permits that have already been approved by the City of Maple Grove.

  • 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.

  • Core drilling in street or trail requires approval prior to doing work.

  • 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.

TRAFFIC CONTROL
  • All permit applications requiring traffic control shall conform to the most recent version of the Minnesota Manual on Uniform Traffic Control Devices [url=http://www.dot.state.mn.us/trafficeng/publ/mutcd/index.html] Minnesota Manual on Uniform Traffic Control Devices[/url], including the Temporary Traffic Control Zone Layouts Field Manual [url=https://www.dot.state.mn.us/trafficeng/publ/fieldmanual/fieldmanual.pdf] Temporary Traffic Control Zone Layouts Field Manual[/url], 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.

  • Traffic control on weekends requires prior approval from Transportation Operations Engineer John Hagen. John can be reached via email at [url=mailto:jhagen@maplegrovemn.gov]jhagen@maplegrovemn.gov[/url] or 763-494-6364

RESTORATION
  • Restoration must conform to [url=https://library.municode.com/mn/maple_grove/codes/code_of_ordinances?nodeId=COOR_CH28STSIOTPUPL_ARTIVPURI-WMA_S28-105RERI-W]Section 28-105. Restoration of Right-of-Way [/url].

  • 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 cement is allowed during winter working months without approval.

Invoice #343 (01/25/2017)

Charge Cost Quantity Total
Non-Taxable
added 01/25/2017 8:50 AM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 01/25/2017 8:50 AM

In addition to excavation permit fee (per lineal foot)

$0.20 x 5,000 $1,000.00
Grand Total
Total $1,130.00
Payment 01/25/2017$1,130.00
Due$0.00

Approvals

ApprovalSignature
ApplicantBecky Richter - 01/25/2017 8:50 AM
120d9e7aa03e52bdd9a59cf880f0d9a9
11ce2369512566e17c6b72f9f103501c
#1 Approved ByKelly Matzke - 05/12/2017 10:18 AM
b695de5a07d3963b435042d67e0960e1
5670157c7a8e8c75498baa99fe765db2
Application has been approved. All signatures have been obtained.

Public Notes

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    Internal Notes

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