Excavation Permit Utility Installation Permit No. 2017-026, UID # 492
App. Status: Expired
Valid: 02/20/2017 - 05/31/2017
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Michael G. Laughlin
Company:
TLR Consulting - MP Nexlevel
Company Phone:Local Phone:
(320963 - 2400
(320963 - 2836
Email Address:
mlaughlin@consulttlr.com
Mailing Address:
TLR Consulting inc.
9938 State Hwy 55 NW
Annandale MN 55302
Additional email address to notify: mlaughlin@consulttlr.com

PROJECT

Nature of Work:
Service Installation
Surface to be disturbed:
Boulevard
Work to start on or after: 02/20/2017
To be completed on or before: 05/31/2017
Applicant Project No.: 17163101

INSTALLATION / CONSTRUCTION

Provide a detailed work description:
STARTING FROM AN EXISTING LEVEL3 COMM. HAND HOLE HEADING WEST FOR 10' OUT OF THE RIGHT OF WAT OF WEDGWOOD RD. INTO THE PRPERTY AT 13490 BASS LAKE RD. TO PROVIDE A DIVERSE FEED TO 13490 BASS LAKE RD.
Attach detailed plan sheet:
Size and kind of pipe:
1.25" HDPE
Depth from surface: 36"- 48"
Length of utility construction: 10
Method of installation:
Directional Bore
Hand Dig
Open Trench
Machine excavation: Yes
Development: Existing

LOCATION

Location/Address: 13490 BASS LAKE RD.
Mark the installation/construction
location on the map:
Mark the location of the installation
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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 #350 (02/06/2017)

Charge Cost Quantity Total
Non-Taxable
added 02/06/2017 12:25 PM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 02/06/2017 12:25 PM

In addition to excavation permit fee (per lineal foot)

$0.40 x 10 $4.00
Grand Total
Total $134.00
Payment 02/06/2017$134.00
Due$0.00

Approvals

ApprovalSignature
ApplicantMichael G. Laughlin - 02/06/2017 12:27 PM
8e96a40c636ce6e5dcdcc6232a97365c
f3f47489f5ff25372540db01a0011d15
#1 Approved ByKelly Matzke - 02/22/2017 3:20 PM
df2715da6129af6fa03ce1b3d7cc671d
d0b58fa4dc2538523d03c92ad8bf0be4
Application has been approved. All signatures have been obtained.

Public Notes

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File(s):

    Internal Notes

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