City of Maple Grove

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Excavation Permit Utility Installation Permit No. 2024-EP008, UID # 6606
App. Status: ApprovedCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Jeff lao
Company:
Xcel Energy
Company Phone:Local Phone:
(612) 322 - 4176
(612) 322 - 4176
Email Address:
jeff.c.lao@xcelenergy.com
Mailing Address:
825 rice street
st.paul MN 55117

CONTRACTOR

Contractor:
Name:
Brian Gordon
Company:
Michels
Company Phone:Local Phone:
(763) 428 - 3554
(612) 363 - 6913
Email Address:
bgordon@michels.us
Mailing Address:
9950 73rd st ne
otsego MN 55362

PROJECT

Nature of Work:
Main Installation
Surface to be disturbed:
Boulevard
Work to start on or after: 12/04/2023
To be completed on or before: 12/31/2024

INSTALLATION / CONSTRUCTION

Provide a detailed work description: 
Install electric backbone for new development Rush Hollow.
Attach detailed plan sheet:
Size and kind of pipe: 
4" pvc pipe
Depth from surface: 36"- 48"
Length of utility construction: 19800
Method of installation:
Directional Bore
Open Trench
Joint Trench (Xcel Energy)
Development: New

LOCATION

Location/Address: Rush Hollow
Mark the location of the installation
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TRAFFIC CONTROL

Will traffic control be necessary? Yes

TRAFFIC CONTROL PLAN

Attach Traffic Control Plan:

Invoice #6108 (11/15/2023)

Charge Cost Quantity Total
Non-Taxable
added 11/15/2023 9:58 AM

Excavation permit fee per occurance

 $160.00 x 1 $160.00
added 11/15/2023 9:58 AM

In addition to excavation permit fee (per lineal foot)

 $0.20 x 19,700 $3,940.00
Grand Total
Total $4,100.00
Payment 11/15/2023$4,100.00
Due$0.00

SPECIAL PROVISIONS

Any proposed work and/or traffic control placed within County right-of-way will need approval by Hennepin County.

Approvals

ApprovalSignature
ApplicantJeff lao - 12/28/2023 10:59 AM
053acae2f068d47d6b0a121db9129ea9
1d5c36797aaa330579d74e0ccc7d9103
#1 Right of Way Technician ApprovalKelly Matzke - 01/02/2024 2:10 PM
defcee8a3dd2bdebbb5b9dd67456aecb
3566622bc26e40d4cce5e101f9ff1635
#2 Traffic Operations Engineer ApprovalJohn Hagen - 01/02/2024 2:10 PM
1d1a44fc8ca1c06da773ecb8f8f42a88
d64b3c875f1101514c8de85550f56e46
Application has been approved. All signatures have been obtained.

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