Excavation Permit Utility Installation Permit No. 2017-085, UID # 825
App. Status: Approved
Valid: 04/01/2017 - 12/31/2017
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Ron Bozich
Company:
CenturyLink
Company Phone:Local Phone:
(612861 - 8162
(612834 - 7645
Email Address:
ronald.bozich1@centurylink.com
Mailing Address:
301 W 65th St
Richfield MN 55423
Additional email address to notify: becky.richter@centurylink.com

PROJECT

Nature of Work:
Other
Surface to be disturbed:
Boulevard
Work to start on or after: 04/01/2017
To be completed on or before: 12/31/2017
Applicant Project No.: N.184766

INSTALLATION / CONSTRUCTION

Provide a detailed work description:
Place two new handholes at 17300 CO RD 30.  Place one new handhole over existing joint trench ID at 9524 Merrimac Ln N.  Pull new fiberoptic cable through existing 2” duct from existing handhole at Southeast corner of 95th Ave N and Lawndale Ln N to new handhole at 17300 CO Rd 30.  Bore 304’ from new handhole at 17300 CO Rd 30 through second new handhole at 1730 to new handhole at 9524 merrimac Ln N.
Attach detailed plan sheet:
Size and kind of pipe:
2" PVC
Depth from surface: 36"- 48"
Length of utility construction: 835
Method of installation:
Directional Bore
Machine excavation: Yes
Development: New

LOCATION

Location/Address: Cambridge Park
Mark the installation/construction
location on the map:
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.
Will traffic control be necessary? No
Will any excavation be taking place on Hennepin County right-of-way? Yes

EXCAVATION LOCATION

How much work is going to be performed in right of way? Both City of Maple Grove and Hennepin County

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.

HENNEPIN COUNTY RIGHT OF WAY
  • Since all or partial work will be completed in the Hennepin County Right of Way, you are also required to submit an application to [url=https://roadpermits.co.hennepin.mn.us/]Hennepin County[/url].

Invoice #683 (03/21/2017)

Charge Cost Quantity Total
Non-Taxable
added 03/21/2017 7:27 AM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 03/21/2017 7:27 AM

In addition to excavation permit fee (per lineal foot)

$0.20 x 835 $167.00
Grand Total
Total $297.00
Payment 03/21/2017$297.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBecky Richter - 03/21/2017 7:27 AM
c3d0abec2c81ba714ed8c4d10a63df27
613edd90435d586c6e27c6231dc0ab07
 
#1 Approved ByKelly Matzke - 05/08/2017 12:18 PM
6025061209bc809aa2be78f8a61593b9
45520ffdf8bfc9f45f72adf592419e44
 
Application has been approved. All signatures have been obtained.
Text:
4.25.17-Ron Bozich confirmed project will be starting early next week to avoid restoration of the boulevard being done twice.  Construction crew will call to activate permit early next week.
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