City of Maple Grove
Excavation Permit Utility Installation Permit No. 2023-EP184, UID # 6203
App. Status: ApprovedCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369
Kelly Matzke (612-968-3615)
App. Status: ApprovedCity 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: | patrick.edmonds-tlr@consulttlr.us | ||||||||||||||||||||||||||||||||||||||||
CONTRACTOR
| Contractor: |
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PROJECT
| Nature of Work: | Other |
| Surface to be disturbed: | Boulevard |
| Work to start on or after: | 07/12/2023 |
| To be completed on or before: | 08/10/2023 |
| Applicant Project No.: | 21112023E - JB1339209 |
INSTALLATION / CONSTRUCTION
| Provide a detailed work description: | Contractor to set new node pedestal and handhole next to existing power supply. Once completed, contractor to change out existing equipment at locations shown in red on attached map. |
| Attach detailed plan sheet: | |
| Size and kind of pipe: | 2" hdpe |
| Depth from surface: | Other, I will describe below |
| If other is selected, please provide additional information: | 18" |
| Length of utility construction: | 5 |
| Method of installation: | Hand Dig Open Trench |
| Development: | Existing |
JB0001339209_Coax_PAM_DESIGN.pdfLOCATION
| Location/Address: | 9870 maple grove pkwy. |
| 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. |
TRAFFIC CONTROL
| Will traffic control be necessary? | Yes |
TRAFFIC CONTROL PLAN
| Attach Traffic Control Plan: |
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Invoice #5703 (05/22/2023)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 05/22/2023 2:40 PM Excavation permit fee per occurance |
$160.00 | x 1 | $160.00 |
| added 05/22/2023 2:40 PM Add obstruction fee if applicable to project. |
$50.00 | x 1 | $50.00 |
| Grand Total | |||
| Total | $210.00 | ||
| Payment 05/22/2023 | $210.00 | ||
| Due | $0.00 | ||
Action: Print
SPECIAL PROVISIONS
It is assumed that the proposed work and/or staging will not impact pedestrian traffic along the existing sidewalks/trails. If the proposed work will impact pedestrian traffic, a revised traffic control plan will need to be submitted and approved.
Any proposed work and/or traffic control placed along this segment of Maple Grove Parkway is within County right-of-way, and will also require approval by Hennepin County.
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Ben Elsenpeter - 05/22/2023 2:40 PM a65df35bfe28a075955cfa0c364d88e4 ca7bafe85919a5f563a937cb1b1d0659 | |
| #1 Right of Way Technician Approval | Kelly Matzke - 06/01/2023 8:03 AM 1e37d77a9acd63088f074fccaaf14938 7c83d63fb53ee909162c87cc9a6cc1f0 | |
| #2 Traffic Operations Engineer Approval | John Hagen - 06/01/2023 10:00 AM 241d2fff599cb4e2b590a09363bb22b0 cfe5f70f61fe9002dfc822d8515aef4d |
Application has been approved. All signatures have been obtained.
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