Obstruction Permit Obstruction Permit Permit No. 2024-OP014, UID # 7398
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:
Loranne D Shambach
Company:
CenturyLink
Company Phone:Local Phone:
(612798 - 2400
(612798 - 2400
Email Address:
loranne.shambach@centurylink.com
Mailing Address:
301 W 65th Street
Richfield MN 55423

CONTRACTOR

Contractor:
Name:
Jeremy Olson
Company:
TelCom Construction
Company Phone:Local Phone:
(612618 - 1854
(612618 - 1854
Email Address:
jeremy.olson@telcomconstruction.com
Mailing Address:
2218 200th Street E
Clearwater MN 55320

OBSTRUCTION

Reason for obstruction:
Access needed to an existing handhole located at the NE corner of 95th Ave N. and Upton Ln N. for cable splicing only. No excavating required. This work is being done to provide fiber service to 15800 95th Ave N.
Right-of-Way being obstructed:
Turf
Attach detailed plan sheet:
Obstruction to start on or after: 11/01/2024
Obstruction to be completed on or before: 12/20/2024
Applicant Project No.: P.263585
Attach letter/door hanger used to notify property owners affected by construction:

LOCATION

Location/Address: 15800 95th Ave N, Maple Grove, MN
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? Yes

TRAFFIC CONTROL PLAN

Attach Traffic Control Plan:

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 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 tipped over or removed when not in use; (4) All traffic control devices must be removed from the job site promptly upon completion of work; and (5) 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 #6901 (10/31/2024)

Charge Cost Quantity Total
Non-Taxable
added 10/31/2024 8:59 AM

Obstruction Permit fee per occurance

$50.00 x 1 $50.00
Grand Total
Total $50.00
Payment 10/31/2024$50.00
Due$0.00
Action: Print  

SPECIAL PROVISIONS

If any advance traffic control signage is placed on Maple Grove Parkway, the applicant will nee to get prior approval from Hennepin County.

Approvals

ApprovalSignatureOptions
ApplicantLoranne D. Shambach - 10/31/2024 9:00 AM
1a14667a7f2c184594b3e9a87431a0e9
07c78bc5a0e817573c0388ce08c1bf73
 
#1 Right of Way Technician ApprovalKelly Matzke - 11/12/2024 2:54 PM
e6125fd775bc74039966a73aa89e2928
040397ef6f2c318c13879bacbef68d66
 
#2 Traffic Operations Engineer ApprovalJohn Hagen - 11/12/2024 2:55 PM
fc88521dab1f560d74fdcb06370e594e
b1122c354eb7b10655338f4c67dc6547
 
Application has been approved. All signatures have been obtained.
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