Obstruction Permit Obstruction Permit Permit No. 2021-OP012, UID # 4963
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 at existing HH 8253 south of the intersection of Fernbrook and Hwy 610. Work truck with 360 degree light will be parked more than 2 feet from the curb on the boulevard.
Right-of-Way being obstructed:
Turf
Attach detailed plan sheet:
Obstruction to start on or after: 11/15/2021
Obstruction to be completed on or before: 05/16/2022
Applicant Project No.: N.936589

LOCATION

Location/Address: 14500 99th Ave N, 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 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.

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 #4444 (11/08/2021)

Charge Cost Quantity Total
Non-Taxable
added 11/08/2021 2:11 PM

Obstruction Permit fee per occurance

$50.00 x 1 $50.00
Grand Total
Total $50.00
Payment 11/08/2021$50.00
Due$0.00

Approvals

ApprovalSignature
ApplicantCindy L. Albright - 11/08/2021 2:12 PM
1f4a714166580a1a44f3508f08058cb4
19f0fcc5c74e9187c8e9df24ae68b71f
#1 Right of Way Technician ApprovalKelly Matzke - 11/16/2021 3:34 PM
6c0972496ec2da882185e872707238c9
25bf75e556573a4ba05aaa9ffe20efb9
Application has been approved. All signatures have been obtained.

Internal Notes

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    Public Notes

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