HomeMy WebLinkAboutOccupancy Permit Extension - Contract Land Staff1316 COUNTY -CITY BUILDING
227 W. JEFFESON BoULEVARD
S01 1-111 BEND. INDIANA 4660 1 - � 930
CITY OFSOUTH BLND PETEBOTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
September 25, 2018
Contract Land Staff
11401 Lamar Avenue
Overland Park, KS 66211
RE: Occupancy Permit Extension
To Whom It May Concern:
PHONF7 574/ 235-9251
FAX 574/ 2,35-9171
The Board of Public Works, at its meeting held on September 25, 2018, approved the
Temporary Occupancy Permit for the aerial electrical transmission line re -build for an
additional ninety (90) days through November 5, 2018 on Belleville Circle at S. Lombardy
Drive.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. Gii,o'r SUZANNA M. FRITZBj3RG EuZABET1 i A. MARADIK JAMEs A, MUELLER T1 IERE'SE J. DoRAU
City of South Bend/Public Works
0,0UT11,0 227 W. Jefferson Blvd
0
South Bend, IN 46601
4
1"k
f;A(M 0 Application and Permit
1865 * Affowing Extended Occupancy of City Right of Way
Applicant: Contract Land Sta:ff for Black and'! Veatch Date: 09-14-2018
Applicant Address: 11401 Lamar Avenue, Overland Park, KS 66211
Project Site Address: Where Belleville Circle runs into S. Lombardy Drive in SW South Bend
Note: Occupancy limited to street(s) immediately in front of construction site,
Nature and extent of Occupancy (e.g.: proposed construction activities, equipment proposed
to occupy public (ight-of-way, construction deliveries, etc.):
This is an aerial electrical transmission line rebuild and the crew needs access to reach the tower site.
I have included the original permit issued along with overheads with this submission.
New Expiration date requested would be November 5, 2018.
Signature of A
THE TERMS AND PROVISIONS OF CHAPTER 6, ARTICLE 5 and CHAPTER 18, ARTICLE 7, Sec 18-62 OF THE
SOUTH BEND MUNICIPAL CODE ARE INCORPORATED HEREIN IN THEIR ENTIRETY. FAILURE TO COMPLY
WITH THESE PROVISIONS SHALL RESULT IN CANCELLATON OF THIS PERMIT.
THIS PERMIT SHALL BE CONDITIONED UPON THE EXECUTION AND FILING WITH THE BOARD OF PUBLIC
WORKS OF A BOND IN AN AMOUNT APPROVED BY THE BOARD OF PUBLIC WORKS, CONDITIONED TO
INDEMNIFY, SAVE AND KEEP HARMLESS THE CITY OF SOUTH BEND, INDIANA, FROM ANY AND ALL LOSS,
EXPENSE, COST OR LIABILITY OF ANY KINDS WHATSOEVER WHICH THE CITY MAY SUFFER OR BE PUT TO
FROM OR BY REASON OF ANY ACT OR THING DONE OR NEGLECT TO BE DONE, OR BY VIRTUE OF THE
AUTHORITY GIVEN IN SUCH PERMIT.
TO BE COMPLETED BY CITY STAFF ONLY.
Bond Amount: $ Date Bond Filed: IA14
Compliance with CH 6, ART 5 and CH 18, ART 7, Sec 18-62 of the South Bend Municipal Code
ElFee Paid
Date Issued: Z�2 L Issued By:
02
BOARD OF PUBLIC WORKS
Presid
Member
Membe,/
Member
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
103R���
Occupancy Permit No.: 2507
Date Issued: 7/2/2018 Contractor Name AEP
Start Date 7/9/2018 Contractor Phone (574) 232-2091
Exp 8/8/2018
Address
4716, Bellevue Avenue
Issuer DCH
Inspector Matt Loncifeflow
Inspector Phone (574) 286-9589
Comments Contract Land Staff/Black and Veatch --NIB (Lane closures to
access construction site - 90 days. Will apply for extended
occupancy.
OFFICE OF THE CITY ENGINEER, South Bend, Indiana certifies that the above contractor, having an
approved occupancy bond on file with the Board of Public Works is granted a permit to occupy the, City
Right of Way in front of the above address under Provisions of the South Bend Municipal Code Chapter 18.
THIS OCCUPANCY PERMIT IS NON -TRANSFERABLE AND ITS ISSUANCE SUBJECTS THE NAMED
CONTRACTOR/PERMITTEE TO ALL APPLICABLE RULES, DUTIES AND OBLIGATIONS IMPOSED BY
THE CITY OF SOUTH BEND MUNICIPAL CODE AND TO ALL REGULATIONS IMPOSED BY THE SOUTH
BEND BOARD OF PUBLIC WORKS.
VOID AFTER 90 DAYS. GREATER THAN 90 DAYS REQUIRES BOARD OF PUBLIC WORKS APPROVAL.
Amount 5455.00
Payment Type Invoice Contractor Signature
Paid by Check No.: TXFR
Printed Name
This tis not a survey product. Distances in this nnap are approArnatlons
only and should not bw e used for ahorilative definition of legal Belleville Circle - Lombardy Dr. Contmct
boundary, or property title. Gravel Pit
Land Sta,ff