City of Maple Grove

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Obstruction Permit Obstruction Permit Permit No. 2020-OP006, UID # 3958
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:
Cindy Lou Albright
Company:
Telcom Construction
Company Phone:Local Phone:
(320) 286 - 8369
(320) 286 - 8369
Email Address:
cindy.albright@telcomconstruction.com
Mailing Address:
PO Box 189
PO Box 189
Clearwater MN 55320

CONTRACTOR

Contractor:
Name:
Cindy Lou Albright
Company:
Telcom Construction
Company Phone:Local Phone:
(320) 286 - 8369
(320) 286 - 8369
Email Address:
cindy.albright@telcomconstruction.com
Mailing Address:
PO Box 189
PO Box 189
Clearwater MN 55320

OBSTRUCTION

Reason for obstruction: 
Access for splicing at existing HH20-HH20 at the intersection of Jonquill Way and East Fish Lake Rd. Work truck with 360 degree light will be parked more than 2 feet from the curb on the boulevard that has been coned off to pedistrian traffic.
Access for splicing at existing HH21-HH21 at the intersection of Marilyn Dr N and East Fish Lake Rd. Work truck with 360 degree light will be parked more than 2 feet from the curb on the boulevard that has been coned off to pedistrian traffic.
Access for splicing at existing HH22-HH22 at the intersection of Sycamore Lane N and East Fish Lake Rd. Work truck with 360 degree light will be parked more than 2 feet from the curb on the boulevard that has been coned off to pedistrian traffic.
Right-of-Way being obstructed:
Boulevard
Attach detailed plan sheet:
Obstruction to start on or after: 07/22/2020
Obstruction to be completed on or before: 01/22/2021

LOCATION

Location/Address: 6701 Evenstad Dr N, Maple Grove
Mark the location of the obstruction:

TRAFFIC CONTROL

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 #3478 (07/15/2020)

Charge Cost Quantity Total
Non-Taxable
added 07/15/2020 1:10 PM

Obstruction Permit fee per occurance

 $50.00 x 1 $50.00
Grand Total
Total $50.00
Payment 07/15/2020$50.00
Due$0.00

Approvals

ApprovalSignature
ApplicantCindy L. Albright - 08/10/2020 12:21 PM
7588ac86200c039f5fc9cd0d3d19f9f9
5fd5f0cbddcaebb3f1b72dc518c999ab
#1 Right of Way Technician ApprovalKelly Matzke - 08/17/2020 10:48 AM
bd10d34bab580132dc21a4ae93674985
595504c2b3cbf57c53e6d183debf2417
#2 Traffic Operations Engineer ApprovalJohn Hagen - 08/17/2020 11:36 AM
231e9c688bac002327e58c42f77d06e5
04038071464d9a2e54d3c09a79e7e519
Application has been approved. All signatures have been obtained.

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