City of Maple Grove

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Obstruction Permit Obstruction Permit Permit No. 2020-OP004, UID # 3870
App. Status: Work CompletedCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Kim A Rakotz
Company:
Comcast
Company Phone:Local Phone:
(651) 269 - 6712
(651) 493 - 6258
Email Address:
kimberly_rakotz3@comcast.com
Mailing Address:
4255 Lexington Ave
STE 100
Areen Hills MN 55126
Additional email address to notify: ssandkamp@usi-universal.com

CONTRACTOR

Contractor:
Name:
Nick Sarantos
Company:
Universal Services
Company Phone:Local Phone:
(651) 775 - 1713
(651) 714 - 0630
Email Address:
nsarantos@usi-universal.com
Mailing Address:
12151 120th St. S
Hastings MN 55033

OBSTRUCTION

Reason for obstruction: 
Trucks, equipment & cable reel trailers in ROW to install fiber in existing conduit. (Comcast Job # JB 327700)
Right-of-Way being obstructed:
Street
Sidewalk/Trail
Turf
Attach detailed plan sheet:
Obstruction to start on or after: 05/18/2020
Obstruction to be completed on or before: 09/18/2020

LOCATION

Location/Address: 13000 63rd Ave. N / Sycamore Ln. N (Comcast Job # JB 327700)
Mark the location of the obstruction:

TRAFFIC CONTROL

Proposed work that impacts vehicle and/or pedestrian traffic will require a traffic control plan. Will traffic control be necessary? Yes

TRAFFIC CONTROL PLAN

Attach Traffic Control Plan:

Terms

ACTIVATION REQUIRED

  • Contact Kelly Matzke at (612) 968-3615 at least 24 hours prior to obstruction 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. Public Right-of-Way Management Ordinance will be enforced obstruction in the right-of-way.

  • All properties affected by the obstruction must be notified in writing prior to beginning work.

  • Any work involving excavation, such as but not limited to digging, boring, or physically disturbing the right-of-way, will require an Excavation Permit instead of an Obstruction Permit.

  • Obstruction taking place in the Maple Grove city limits in the Hennepin County right-of-way requires permits from the City of Maple Grove and Hennepin County.

  • The permit issued does not in any way imply an easement on private property or grant a right to encroach on private property.

  • A City of Maple Grove Obstruction 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.

CONSTRUCTION

  • 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.

  • Any changes or revisions to the Obstruction Permit after approval must be resubmitted and approved before proceeding with obstructing the right-of-way.

  • Any placement of utilities, including but not limited to cabinets, boxes, and pedestals must conform to City Code.

  • New ground structures must be placed near existing structures at a minimum of at least five feet away from hydrants.

  • Inclement weather shall be reason for delay or suspension of obstruction as determined by the City of Maple Grove.

TRAFFIC CONTROL

  • All permit applications requiring traffic control shall conform to the most recent version of the Minnesota Manual on Uniform Traffic Control Devices, including the Temporary Traffic Control Zone Layouts Field Manual, 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.

  • All traffic control devices must be removed from the job site promptly upon completion of work.

  • Traffic control on weekends requires prior approval from Transportation Operations Engineer John Hagen. John can be reached via email at jhagen@maplegrovemn.gov or 763-494-6364

RESTORATION

  • Damage on roadways and boulevards due to vehicles or equipment must be restored and treated the same way excavation damage is restored.

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.

Invoice #3391 (06/01/2020)

Charge Cost Quantity Total
Non-Taxable
added 05/08/2020 6:18 PM

Obstruction Permit fee per occurance

 $50.00 x 1 $50.00
Grand Total
Total $50.00
Payment 06/02/2020$50.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantKim A. Rakotz - 06/01/2020 6:14 PM
d1ef8e2f99e994067bad1f459a8e0981
27c5eaa3884a6ff530841926d750bf0d		 
#1 Right of Way Technician ApprovalKelly Matzke - 06/02/2020 8:26 AM
06f9316c2de0ff876fd2bd0b38c0219c
0b391676743213d9e5adb40b92127903		 
#2 Traffic Operations Engineer ApprovalJohn Hagen - 06/02/2020 1:30 PM
f5f75ecb6e5f7efe521e4f5b05d92285
2f31a563f2c5c075a7198a8e68bb89fa		 
Application has been approved. All signatures have been obtained.
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