Obstruction Permit Obstruction Permit Permit No. 2025-OP001, UID # 7515
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 an existing handhole for cable splicing only to provide fiber service at 12080 73rd Ave N. No excavavting.
Right-of-Way being obstructed:
Turf
Attach detailed plan sheet:
Obstruction to start on or after: 01/07/2025
Obstruction to be completed on or before: 03/31/2025
Applicant Project No.: P.278656
Attach letter/door hanger used to notify property owners affected by construction:

LOCATION

Location/Address: 12080 73rd 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 28-131. (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; (8) All vehicles and people occupying the public right-of-way must be clearly identified. Identification requires that all uniforms and/or safety vests and vehicles include the name of the permit applicant; and (9) 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. No stockpiles shall be allowed within the public right-of-way; (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 and Engineering or designee before proceeding with obstructing the public right-of-way; (4) Inclement weather shall be reason for delay or suspension of obstruction as determined by the City; and (5) Access to driveways must not be obstructed at any time.

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.

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 28-91.

ADDITIONAL INFORMATION
  • (1) 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; and (2) Two-way traffic must be maintained at all times when work is being done in the public right-of-way unless a traffic control plan approved by the City Engineer provides otherwise.

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 #7018 (01/02/2025)

Charge Cost Quantity Total
Non-Taxable
added 01/02/2025 9:10 AM

Obstruction Permit fee per occurance

$50.00 x 1 $50.00
Grand Total
Total $50.00
Payment 01/02/2025$50.00
Due$0.00
Action: Print  

SPECIAL PROVISIONS

Any proposed work and/or traffic control placed within County right-of-way will need approval by Hennepin County.

Approvals

ApprovalSignatureOptions
ApplicantLoranne D. Shambach - 01/28/2025 1:12 PM
9ea1b3d1aff1311b374082d52a6cca94
b22c0a518d35bccb4e081e53faffd34b
 
#1 Right of Way Technician ApprovalKelly Matzke - 02/07/2025 1:53 PM
46c5fc228b9c324098517bd8cfdc4dec
d69054c04f313d2a3372bbd5013eb50c
 
#2 Traffic Operations Engineer ApprovalJohn Hagen - 02/07/2025 1:54 PM
37c10fad82c2c5763d6e9345f7fb5f69
b91f9537e525915a14cab764023cc574
 
Application has been approved. All signatures have been obtained.
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