Obstruction Permit Obstruction Permit Permit No. 2023-OP026, UID # 6289
App. Status: Approved
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
patrick edmonds
Company:
TLR Consulting
Company Phone:Local Phone:
(320963 - 2845
(320963 - 2845
Email Address:
patrick.edmonds-tlr@consulttlr.us
Mailing Address:
500 co. rd. 37 e.
maple lake mn 55358
Additional email address to notify: patrick.edmonds-tlr@consulttlr.us

CONTRACTOR

Contractor:
Name:
jessub pearson
Company:
MP Nexlevel
Company Phone:Local Phone:
(320963 - 2400
(612499 - 4436
Email Address:
jessub.pearson@mpnexlevel.us
Mailing Address:
500 co. rd. 37 e.
maple lake mn 55358

OBSTRUCTION

Reason for obstruction:
Splicing and changing out of existing equipment at locations shown in red on attached map.
Right-of-Way being obstructed:
Boulevard
Attach detailed plan sheet:
Obstruction to start on or after: 07/03/2023
Obstruction to be completed on or before: 07/20/2023
Applicant Project No.: 21112023E - JB1339211

LOCATION

Location/Address: 9315 sycamore ct. n.
Mark the location of the obstruction:

TRAFFIC CONTROL

Will traffic control be necessary? No

Terms

DEFINITIONS
  • Public right-of-way. "public right-of-way" means the area on, below, or above a public roadway, highway, street, cartway, bicycle lane, and public sidewalk in which the local government unit has an interest, including other dedicated rights-of-way for travel purposes and utility easements of local government units. A public right-of-way does not include the airwaves above a public right-of-way with regard to cellular or other nonwire telecommunications or broadcast service.

    City. "City" means the City of Maple Grove, Minnesota

    Indemnified Parties. "Indemnified Parties" means the City and its elected and appointed officials, officers, employees, contractors, and agents.

    Terms and Conditions. "Terms and Conditions" means these 2023 Terms and Conditions on Obstruction Permit.

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 and revocation of permit approval.

GENERAL
  • (1) City Code Art. IV.- Public Right-of-Way Management will be enforced for obstruction in the public right-of-way. (2) Underground installation requirements are determined through City Code 28-124. (3) Obstructions taking place in the Maple Grove city limits in the Hennepin County public right-of-way requires permits from the City and Hennepin County. (4) All properties affected by the obstruction must be notified in writing prior to beginning work. (5) The permit issued does not in any way imply an easement on private property or grant a right to encroach on private property. (6) A City Obstruction Permit shall be on site at all times and available upon request by any City official. (7) Safety vests must be worn by all people occupying the right-of-way; and (8) 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.

CONSTRUCTION
  • (1) 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 and boulevard parking. 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. (2) Any placement of utilities, including but not limited to cabinets, boxes, and pedestals must conform to City Code. (3) Any changes or revisions to the City Obstruction Permit after approval must be resubmitted, subject to the review and approval of the City Director of Public Works or designee before proceeding with obstructing the public right-of-way; and ((4) Inclement weather shall be reason for delay or suspension of obstruction as determined by the City.

TRAFFIC CONTROL
  • (1) All permit applications requiring traffic control shall conform to the most recent version of the Minnesota Manual on Uniform Traffic Control Devices, including but not limited to the Temporary Traffic Control Zone Layouts Field Manual, and is subject to the review and approval of the City Transportation Operations Engineer. (2) The City only allows traffic control to occur during off peak hours, which is between 9:00am-3:00 pm Monday thru Friday. (3) All traffic control devices must be removed from the job site promptly upon completion of work; and (4) Traffic control on weekends requires prior approval from City 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. Restoration must conform to City Code 28-105.

ADDITIONAL INFORMATION
  • All contractors, including subcontractors, must be registered with the City to do work in the public right-of-way. Contractors doing work in the public 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.

MISCELLANEOUS
  • (1) By reason of the grant of a public right-of-way permits, the City does not assume any liability for injuries to persons, damage to property, or loss of service claims by parties other than the permittee or the City or claims or penalties of any sort resulting from the installation, presence, maintenance, or operation of equipment by permittee or activities of permittee; (2) The permittee shall, in accordance with Minn. R. 7819.1250, defend, indemnify, and hold harmless the Indemnified Parties from all liability or claims of liability for bodily injury or death to persons, or for property damage, in which the claim: (a) alleges a negligent or otherwise wrongful act or omission of the permittee or its employee, agent, or independent contractor from the installation, presence, maintenance, or operation of equipment by permittee or activities of permittee and alleges that the Indemnified Parties are liable, without alleging any independent negligent, or otherwise wrongful, act or omission on the part of the Indemnified Parties or (b) is based on the Indemnified Parties' negligent or otherwise wrongful act or omission in issuing the permit or in failing to properly or adequately inspect or enforce compliance with a term, condition, or purpose of the permit granted to the permittee. Permittee is not required to indemnify the Indemnified Parties for losses or claims occasioned by the negligent or otherwise wrongful act or omission of the Indemnified Parties, except to the extent authorized above regarding the issuance of a permit or the inspection or enforcement of compliance with the permit or when otherwise expressly agreed by permittee; (3) permittee shall adhere to and comply with all provisions of the Terms and Conditions, City Code, and all applicable federal, state, and local rules and regulations, including, but not limited to, Minn. Stat. 237.162 and 237.163; and (4) in the event of a conflict between the Terms and Conditions and City Code, City Code shall govern.

Invoice #5790 (06/22/2023)

Charge Cost Quantity Total
Non-Taxable
added 06/22/2023 9:18 AM

Obstruction Permit fee per occurance

$50.00 x 1 $50.00
Grand Total
Total $50.00
Payment 06/22/2023$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.

Approvals

ApprovalSignature
ApplicantBen Elsenpeter - 06/22/2023 9:19 AM
91d37c84f32f9fc1092cdf5845334f08
1529f62ea6d691e80d0b8586517ff00e
#1 Right of Way Technician ApprovalKelly Matzke - 06/26/2023 11:28 AM
75c40087d4680d09c1557b2c7bc68641
9c86c4d9c3ed5143c94c2b2bd215b4e6
Application has been approved. All signatures have been obtained.

Internal Notes

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    Public Notes

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