HomeMy WebLinkAboutEncroachment - JCD Holding LLC - 119 N Michigan1.316 COUNTY-Cay E3urr...nrNG
227 W. h,'rF1.atScar Bok)LENAN)
Sou n1 11FND. INDIANA 46601-1930
Clear OF SOUTH BEND PETS I3UTr1GIEG,MAYOR.
BOARD OF PUBLIC WORKS
July 24, 2018
Jeremy young
JCD Holding LLC
2226 Treys Trail
Mishawaka, IN 46545
RE: Encroachment into Public Right -of -Way — 119 N. Michigan St..
Dear Mr. young:
1'11()M-1 574/ 235.9251
FAX 574/ 2.35-9171
The Board of Public Works, at its meeting held on July 24, 2018, approved your request for
a gas meter relocation at 11.9 N. Michigan St. This encroachment was approved subject to
the improvements not becoming a safety hazard. Engineering requested bollards be placed at
the site :for safety. Enclosed please find a copy of the permit.
The encroachment will be permitted to remain and continue until such time as the Board of
Public Works of the City of South. Bend shall determine that such encroachment is in any way
impairing or interfering with the highway or with the free and safe flow of traffic thereon.
Said encroachment shall not in any way prejudice or preclude the City's rights with respect
to the future use of that portion of the right-of-way.
If you have any farther questions regarding this matter, please call this office at (574) 235-
925 L
Sincerely,
Linda M. Martin, Clerk
GARY A. GIL{: T SUZANNA M. R rZBE:W 1 LIZABEs 11 B.A. 1'v'1ARADIK JAW's A. MUEiLLER rT"11E RES1 J. DORAU
APPLICATION
To ENCROACH ONTO PUBLIC RIGHT-OF-WAY
THE BOARD OF PUBLIC WORKS MUST HAVE FOUR (4) WEEKS PRIOR NOTICE
PLANS AND SPECIFICATIONS MUST BE ATTACHED
Date: 6/28/2018
Location of Encroachment: 119 North Michigan Street
PROPERTY -OWNER'S INFORMATION
Business/
Homeowner
Name:
JCD Holding LLC
Address:
2226 TreysTrail
City/State/Zip:
Mishawaka, IN. 46545
Phone
574-250-3777 Email Jeremy 0cnotius, shushi,com,
Signature
Print Name:
Jeremy Young
INSTALLER'S INFORMATION
Business Name:
Accelerated Service LLC
Address:
23526 C.R, 4
City/state/zip: Elkhart, IN. 46514
Phone 574-310-0241 Email wdahlnen@comcast,net
Signature
Attach Photo of Site
Here
(Or See Attached Photo)
Print Name: Bill Dahmen
Encroachment
Description: Utilities (Gas, Meters relocation, existing are in basement of Coney Island Bar)
Size of
CL Road to R/W Line Sidewalk Easement See attached pictures Encroachment 10'x 12'
Distance of R/W Amount in R/W
The above information is to the best of my knowledge accurate and correct with regard to the encroachment in the City's right-of-way.
Placed By:
This Encroachment should not be
relocated because
It has been determined that this encroachment in no way impairs the highway or with the free and safe flow of traffic thereon, and it is
recommended that the encroachment be permitted to remain.
R%qBLI=S APPROVAL,/A
Al-" -— —.4
President Member '-elnbW
-7 12 q
Member Member Date'
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251 9 Fax: (574) 235-9171
REVOCABLE PERMIT OaMa,,
ens �C;�D
RECOGNITION OF ENCROACHMENT UPON CITY OF SOU'rii BEND -CONTROLLED d,
PROPERTY AND PROVISIONS ALLOWWG'rEMPORARY CONTINUANCE OF SAME w vgnce ��
Company/Homeowner JCD Holding LLC (Woochi Japanese fusion Bar)�1`s�s
�4x
Name:
Herein, "APPLICANT".
The encroachment will be permitted to remain and continue under the following terms and conditions:
1) Until such time as the BOARD OF PUBLIC WORKS (BOARD) of the CITY OF SOUTH BEND (CITY) shall
determine that such encroachment is in any way impairing or interfering with the highway or with the free and safe flow
of traffic thereon;
2) Said encroachment shall not in any way prejudice or preclude the CITY'S rights with respect to the future use of the
portion of the right-of-way;
3) The encroachment as it now exists shall in no manner be added to or enlarged in its present scope or dimensions;
4) In the event of change of ownership of the fixture or any other item of personal property which constitutes the aforesaid
encroachment, this permit shall become null and void;
5) The CITY shall not be liable to APPLICANT for any damages caused to APPLICANT that arise out of or is incidental to
any activity and/or incidences authorized by this permit;
6) In consideration of the granting of this Permit by the BOARD, APPLICANT shall indemnify, hold harmless and defend
the CITY from and against any and all actions or causes of action which the CITY may suffer or incur by reason of
bodily injury, including death, to any person or persons, or by reason of damage to or destruction of any property,
including the loss thereof, arising out of or in any manner connected with any activity and/or incidences authorized by
this permit and/or any activities and/or incidences incidental thereto, or which the CITY may sustain or incur in
connection with any litigation, investigation, or other expenditures incidental thereto, including any suit instituted by the
CITY to enforce the obligation of this agreement of indemnity.
It is the intent of the panties hereto that the APPLICANT shall indemnify the CITY under this indemnification clause to
the fullest extent permitted by law, except that APPLICANT shall not indemnify CITY for any damage or expense
caused by the sole negligence of the CITY.
This approval shall be binding upon everyone past or present, claiming any interest in and to the aforementioned encroachment.
ACCEPTANCE OF TERMS AND CONDITIONS
I accept and agree to be bound by all of the terms and conditions of this permit.
Submitted By: William Dahmen ]�
Signature:
Date: 6/28/2018
BOARD OF PUBLIC WORKS APPROVAL
President Memb rere em er
Member
Member
`7L11120 / S'
Date
Updated 02/18
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CURRENT ISSUE: GAS STANDARD
7-1-15 METERING — DESIGN DRAWING 340-0050
SUPERCEDES: AL425/40OA/AC630 LOW PRESSURE DIAGRAGM
4-1-15 PAGE 1 OF 2
AL425/40OA/AC630
CONSTRUCTION DRAWING
-----------------------------------•---
NIPSCO DESIGN PRESSURE: 100 PSIG
MINIMUM CUSTOMER DESIGN PRESSURE: 2 PSIG
DELIVERY PRESSURE: 6.5" W.C.
Meter Capacity
(SCFH)
Meter
3�" w'c'
DEfferentlal,
AL425
425
400A
400
AC630
630
�9S
G
Z
co
U3 * IF AN ANODELESS RISER IS BEING USED,
THE RED MAXIMUM BURY DEPTH MARK ON
THE RISER MUST BE ABOVE GRADE,
Do- DENOTES REVISION
LATEST REVISION: ADDED NOTE ABOUT MAXIMUM BURY DEPTH MARK ON AN ANODELESS RISER.
NORTHERN INDIANA PUBLIC SERVICE COMPANY
7---1--15 METERING - DESIGN DRAWING 340-0060
SUPERCEDES: ALBOO LOW PRESSURE DIAPHRAGM
4--1--9a PAGE 1 OF 2
CONSTRUCTION DRAWING
---------------------------------- --_
NIPSCO DESIGN PRESSURE: 100 PSIG
MINIMUM CUSTOMER DESIGN PRESSURE: 2 PSEC
DELIVERY PRESSURE: 6.5" W.C.
Meter Capacity (SCFH)
Meter
Ya' mc.
Dlfferential
AI-800
800
G USED.
MARK ON
,DE.
No- DENOTES REVISION
LATEST REVISION: UPDATED CAPACITY INFORMATION. ADDED NOTE ABOUT MAXIMUMBURY DEPTH. ON AN ANODELESS
I RISER,
NOHIHLHN INUTANA HUBLIU �SWAVIUL: I:UMY'AIVT
7-1--16 METERING - DESIGN DRAWING
SUPERCEDES: 1.5M 2 PSIG FIXED FACTOR IN —LINE
NA PREFABRICATED
NIPSCO DESIGN PRESSURE: 100 PSIG
MINIMUM CUSTOMER DESIGN PRESSURE: 2 PSIG
Meter Capadty CSCFH)
Meter 2 PSIG Delivery Pressure
L5M 1850
' MANIFOLD ASSEMBLY
-1 I �y _ I
i
' OUTLET ASSEMBLY —\)
—1 /4" INLET ASSEMBLY
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34D-D11 D
PAGE 1 OF 2
NOTE:1. IF BEING INSTALLED ON STEEL SERVICE,
SEE 340--0220, ITEM I FOR INSULATION
DETAILS.
2. THE RISER SHALL BE INSTALLED 8"-12"
FROM THE BUILDING WALL AND 6"-10"
ABOVE GRADE.
MATERIAL DESCRIPTION
S.I.N.
LOOP, PREFABRI CATED,FOR A 1.5M
IN -LINE METER,LOW PRESSURE
225160
OR FIXED FACTOR INSTALLATION
* A STANDARD 1,5M LOW PRESSURE METER SET IS USED FOR A 2 PSIG INSTALLATION WITH THE
SUBSTITUTION OF A 2 PSIG REGULATOR IN PLACE OF THE LOW PRESSURE REGULATOR.
bo- DENOTES REVISION
NORTHERN INDIANA PUBLIC SERVICE COMPANY
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MICHIGAN STREET
CONSTRUCTION SET (06,26.2018)
A � WOOChi RJAPAANESEEFUSION &BAR AmO
e� gxc __ - � a + ✓� `�9
a
' V GASE METER LCOATION PLAN CONSTRUCTION CO., INC.
ANCOk CONS7RUC71ON CO., INC. 214E ELKHART RD. GOSHEN. INOIANA46526 574.533.5561 574V4.041 FA%:574,534.5546