City of Maple Grove
App. Status: Closed
Valid: 04/10/2017 - 10/01/2017City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369
Kelly Matzke (612-968-3615)
APPLICANT
| Applicant: |
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PROJECT
| Nature of Work: | Service Installation |
| Surface to be disturbed: | Boulevard |
| Work to start on or after: | 04/10/2017 |
| To be completed on or before: | 10/01/2017 |
| Applicant Project No.: | 79083588 |
INSTALLATION / CONSTRUCTION
| Provide a detailed work description: | Install a new 1/2" plastic gas service (replacement) MGC# 17-1307 |
| Attach detailed plan sheet: |
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| Size and kind of pipe: | 1/2" plastic |
| Depth from surface: | 36"- 48" |
| Length of utility construction: | 0 |
| Method of installation: | Directional Bore |
| Machine excavation: | Yes |
| Development: | Existing |
maplegr-6450balsamlnn-0404.pdfLOCATION
| Location/Address: | 6450 Balsam LN N |
| Mark the installation/construction location on the map: |
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| 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. |
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| Will traffic control be necessary? | No |
| Will any excavation be taking place on Hennepin County right-of-way? | No |
Terms
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.
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.
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.
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 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.
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 #818 (04/04/2017)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 04/04/2017 11:20 AM Excavation permit fee per occurance |
$130.00 | x 1 | $130.00 |
| Grand Total | |||
| Total | $130.00 | ||
| Payment 04/04/2017 | $130.00 | ||
| Due | $0.00 | ||
Approvals
| Approval | Signature |
|---|---|
| Applicant | Jody Cox - 04/04/2017 11:21 AM 3b0b9d921c286055a9ab598db9c15419 71138358c8a9dbb05cdc43bdfb684054 |
| #1 Approved By | Kelly Matzke - 04/06/2017 3:03 PM ca685823726427cbd9cf919d1d721102 cb11f4d1e544f3a798c647291e222813 |
Public Notes
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Internal Notes
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