HomeMy WebLinkAboutEncroachments - Indiana State Historial Marker Sign - Law Offices of Chester & Elizabeth AllenINTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE SENT: 11/22/2019
TO: Matt Longfellow, Division of Engineerin
Federico Rodriguez, Fire Departrnent�
Chris Dressel, Community Investment
Street and Sewers,,,
FROM: Linda M. Martin, Clerk
ENCROACHMENT RECOMMENDATION
SUBJECT: City of SB - Indiana State Historical Marker Sign
LOCATION: Various — See attached
DATE DUE: December 3 2019
FAX OR E-MAIL TO: 235-9171 / lrnartin@southbendin.gov
RECOMMENDATIONS AND COMMENTS:
By Date
REVOCABLE PERMIT
�t a
RECOGNITION OF ENCROACHMENT UPON CITY OF SOUTH BEND -CONTROLLED
PROPERTY AND PROVISIONS ALLOWING TEMPORARY CONTINUANCE OF SAME, mu` am
Company/Homeowner City of South Bend,
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 parties 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: A
:...
01
Signature:
......
Date: '...,1.�_.....m...........
` BOARD OF PUBLIC WORKS APPROVAL
President Member Member
Member
Member
Date
Updated 02/18
APPLICATION
To ENCROACH ONTO PUBLIC RIGHT-OF-WAY ( a
THE BOARD OF PUBLIC WORKS MUST HAVE FOUR (4) WEEKS PRIOR NOTICE
PLANS AND SPECIFICATIONS MUST BE ATTACHED
IS6 ,-
Date: 11/5/19
Location of Encroachment: 115 S..:...Lafayette Blvd.. _y,,m................................................m.
PROPERTY -OWNER'S INFORMATION
Business/
Homeowner
Name: City of South Bend
Address: 227 W. Jefferson Blvd. — Suite 1400S
City/State/Zip: South Bend, IN 46601
Phone 574-235-5814 mail ctltt swel ea�soutl L cndin. oym ..
E
Signature ."
Print Name: —_t...
INSTALLER'S INFORMATION
Business Name: Citv of South Bend
Address: 227 W. Jefferson Blvd. — Suite 1400S
City/State/Zip: South Bend, IN 46601
Phone
Signature
Print Name:
Encroachment
Description:
574-235-5847 Email cdressel southbendin.Rov
Indiana State Historical Marker
CL Road to R/W Line S. Lafayette Blvd.
Distance of R/W 15'
Attach Photo of Site
Here
(Or See Attached Photo)
Size of 3.5'
Encroachment
3.5'
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: City of South Bend
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.
ARD O t LIC` APPROVAL
F1 estden t Member
Member
Member
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251 Fax: (574) 235-9171
Date
Sign Location and
Elevation
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251 # Fax: (574) 235-9171
Example of Existing Sign at SE Corner of Michigan and Washington Streets
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251 • Fax: (574) 235-9171
....... ..............®.... _.... ,.......
STREET SIDE of Curb
w
Light Post Alley Approach
.50 Post Historical Marker
_......... .... _ _ a....._.....__
21' 1 4
9.5'
BUILDING SIDE
131 S. Lafayette Blvd. NOT SCALE
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251 * Fax: (574) 235-9171