City of Maple Grove

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Obstruction Permit Obstruction Permit Permit No. 2021-OP004, UID # 4271
App. Status: Returned for ChangesCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Kelly Edward Matzke
Company:
City of Maple Grove
Company Phone:Local Phone:
(763) 494 - 6365
(612) 968 - 3615
Email Address:
kmatzke@maplegrovemn.gov
Mailing Address:
12800 Arbor Lakes Parkway
Maple Grove MN 55369
Additional email address to notify:

CONTRACTOR

Contractor:
Name:
Kelly Edward Matzke
Company:
City of Maple Grove
Company Phone:Local Phone:
(763) 494 - 6365
(612) 968 - 3615
Email Address:
kmatzke@maplegrovemn.gov
Mailing Address:
12800 Arbor Lakes Parkway
Maple Grove MN 55369

OBSTRUCTION

Reason for obstruction: 
TEST
Right-of-Way being obstructed:
Street
Attach detailed plan sheet:
Obstruction to start on or after: 01/01/2021
Obstruction to be completed on or before: 12/31/2021
Applicant Project No.: TEST
Attach letter/door hanger used to notify property owners affected by construction:

    LOCATION

    Location/Address: 10622 Lancaster Lane N.
    Mark the location of the obstruction:

    TRAFFIC CONTROL

    Will traffic control be necessary? No

    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 sidewalks, trails, or ped ramps when seasonal weight restrictions are in effect in Maple Grove. Approval to access areas during other times of the year requires approval from the City of Maple Grove.

    • 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 #3753 (01/21/2021)

    Charge Cost Quantity Total
    Non-Taxable
    added 01/21/2021 2:13 PM

    Obstruction Permit fee per occurance

    		 $50.00 x 1 $50.00
    Grand Total
    Total $50.00
    Due$50.00
    This Application has not been submitted, so you may not pay for this Invoice.
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