Obstruction Permit Obstruction Permit Permit No. 2021-OP007, UID # 4297
App. Status: Work Completed
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Cindy Albright
Company:
Telcom Construction
Company Phone:Local Phone:
(320286 - 8369
(320286 - 8369
Email Address:
cindy.albright@telcomconstruction.com
Mailing Address:
PO Box 189
Clearwater MN 55320

CONTRACTOR

Contractor:
Name:
Cindy Albright
Company:
Telcom Construction
Company Phone:Local Phone:
(320286 - 8369
(320286 - 8369
Email Address:
cindy.albright@telcomconstruction.com
Mailing Address:
PO Box 189
Clearwater MN 55320

OBSTRUCTION

Reason for obstruction:
Access for splicing in existing HH 138B at 12915 63rd Ave N. 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 in existing HH 138AA at 6250 Sycamore La N. Work truck with 360 degree light will be parked in nearby parking lot
Access for splicing in existing HH 138A at 12700 Bass Lake Rd. Work truck with 360 degree light will be parked in nearby parking lot
Access for splicing in existing HH 138 at 12700 Bass 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:
Turf
Attach detailed plan sheet:
Obstruction to start on or after: 03/03/2021
Obstruction to be completed on or before: 09/03/2021
Applicant Project No.: N.834873

LOCATION

Location/Address: 12720 Bass Lake Road, Maple Grove
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? 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 #3779 (02/24/2021)

Charge Cost Quantity Total
Non-Taxable
added 02/24/2021 12:46 PM

Obstruction Permit fee per occurance

$50.00 x 1 $50.00
Grand Total
Total $50.00
Payment 02/24/2021$50.00
Due$0.00

SPECIAL PROVISIONS

It is assumed that the proposed work and/or staging will not impact either vehicular traffic within the roadway travel lanes, and/or pedestrian traffic on the existing sidewalks/trails on Sycamore Lane and Bass Lake Road. If the proposed work will impact either of these two items, then a traffic control plan will need to be submitted and approved before work is performed.

Any work and/or traffic control that is proposed within the right-of-way of Bass Lake Road (County Road 10), will require the appropriate approvals from Hennepin County.

Approvals

ApprovalSignature
ApplicantCindy L. Albright - 02/24/2021 12:46 PM
5577b2951ed2718a3758153a41e0436b
4d8a504ef8cc138a656aedc45e5dd20d
#1 Right of Way Technician ApprovalKelly Matzke - 03/04/2021 10:12 AM
10b3ff47f6a4de61f955de88537fc392
3a3715180a887cdec2c43ac77921171c
Application has been approved. All signatures have been obtained.

Internal Notes

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    Public Notes

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