City of Maple Grove

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Excavation Permit Utility Installation Permit No. 2016-056, UID # 63
App. Status: Closed
Valid: 05/11/2016 - 07/01/2016City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Cindy l Albright
Company:
Telcom Construction
Company Phone:Local Phone:
(320) 558 - 9485
(320) 558 - 9485
Email Address:
cindy.albright@telcomconstruction.com
Mailing Address:
PO Box 189
Clearwater MN 55320

PROJECT

Nature of Work:
Main Installation
Surface to be disturbed:
Boulevard
Work to start on or after: 05/11/2016
To be completed on or before: 07/01/2016
Applicant Project No.: 16091192

INSTALLATION / CONSTRUCTION

Attach detailed plan sheet:
Size and kind of pipe: 
1 strand Fiber
Depth from surface: 36"- 48"
Length of utility construction: 280
Method of installation:
Directional Bore
Open Trench
Machine excavation: Yes
Development: Existing

LOCATION

Location/Address: 17364 77th Ave N.
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 #56 (05/09/2016)

Charge Cost Quantity Total
Non-Taxable
added 05/09/2016 2:48 PM

Excavation permit fee per occurance

 $130.00 x 1 $130.00
added 05/09/2016 2:48 PM

In addition to excavation permit fee (per lineal foot)

 $0.40 x 280 $112.00
Grand Total
Total $242.00
Payment 05/09/2016$242.00
Due$0.00

Approvals

ApprovalSignature
Applicantcindy L. Albright - 05/09/2016 2:48 PM
20ad351f33e7963feb1648252934067e
eaccd4309ca1a148b6105eee8670cd1b
#1 Approved ByKelly Matzke - 05/10/2016 1:06 PM
3684ca8ab7b4989ca9275f8ac453271a
34e4c72fda77f8571a638125a6abddb6
Application has been approved. All signatures have been obtained.

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