City of Maple Grove
App. Status: Work CompletedCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369
Kelly Matzke (612-968-3615)
APPLICANT
| Applicant: |
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| Additional email address to notify: | frank.felser@telcomconstruction.com | ||||||||||||||||||||||||||||||||||||||||
CONTRACTOR
| Contractor: |
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OBSTRUCTION
| Reason for obstruction: | Access for splicing at existing HH-5-HH-5 at intersection of Zachary Lane N and Weaver Lake Road N. Work truck with 360 degree light will be parked more than 2 feet from the curb on the boulevard. This will not effect pedestrian traffic. Access for splicing at existing HH-8550Z at 8601 Valley Forge Lane N. Work truck with 360 degree light will be parked more than 2 feet from the curb on the boulevard. This will not effect pedestrian traffic. |
| Right-of-Way being obstructed: | Boulevard |
| Attach detailed plan sheet: |
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| Obstruction to start on or after: | 10/19/2021 |
| Obstruction to be completed on or before: | 04/19/2022 |
| Applicant Project No.: | N.923301 |
N.923301_GISI.pdfLOCATION
| Location/Address: | 10950 85th Ave |
| Mark the location of the obstruction: |
TRAFFIC CONTROL
| Will traffic control be necessary? | Yes |
TRAFFIC CONTROL PLAN
| Attach Traffic Control Plan: |
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Terms
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.
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.
Vehicles, equipment, and materials are not allowed on sidewalks, trails, or ped ramps at any time unless the contractor performing work has exhausted all other alternatives, including, but not limited to lane closures, boulevard parking, etc. If it has been determined that all alternatives have been exhausted, permission must be obtained from City representative before proceeding to use sidewalks, trails, or ped ramps.
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.
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
Damage on roadways and boulevards due to vehicles or equipment must be restored and treated the same way excavation damage is restored.
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 #4388 (10/12/2021)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 10/12/2021 8:47 AM Obstruction Permit fee per occurance |
$50.00 | x 1 | $50.00 |
| Grand Total | |||
| Total | $50.00 | ||
| Payment 10/12/2021 | $50.00 | ||
| Due | $0.00 | ||
SPECIAL PROVISIONS
It is assumed that the proposed work will not impact travel lanes and/or shoulders and that staging will not impact pedestrian traffic along the existing sidewalks/trails. If the proposed work will impact either of these two items, a traffic control plan will need to be submitted and approved. Any proposed work and/or traffic control placed within County right-of-way will need approval by Hennepin County.
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Cindy L. Albright - 10/12/2021 8:49 AM 7d16abeef2b4568a2af762a832713461 1d1a5865e8dea6c2b17171c41a7b3a42 | |
| #1 Right of Way Technician Approval | Kelly Matzke - 10/20/2021 3:19 PM 26f455eef387080a9dc32569b27b787f fa0c151a736930ff29ca8796c522acda | |
| #2 Traffic Operations Engineer Approval | John Hagen - 10/20/2021 3:19 PM 1692d64799a52e720a1fa740c1014706 0312bfd794320c166f15ea36f50c77dc |
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