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Home My WebLink AboutLong Term Occupancy Permit - Beacon Memorial Walsh Construction - TABLEDTRAFFIC CONTROL AND OCCUPANCY REQUEST City of South Bend - Division of Engineering 227 W Jefferson Boulevard, Ste 1316 4 = South Bend, IN 46601 APPLICANT INFORMATION Name of Contractor/Company: 44,401.aL..•rrr�dGTi a,.� Name of Applicant: lii Phone:��-9�.f-�'f�.�-� Email Address: �2r7� cr7 �a��d� • Go'`� On -Site Contact: Phone: 3/.2- 22/ 9330 PROJECT INFORMATION Requested Dates (mm/dd/yyyy): 9 / 15' /20 A 3 to -s 1 I 120 z 4 Time of Work: .4's to .�'.�o &A4 Location of Work: ❑ Entire Street ❑ Travel Lane ❑ Parking Lane 'Sidewalk ❑ Tree Lawn ❑ Alley Type of Work: ❑ Excavation/Boring (Also requires Excavation Form) "ew Drive Approach (Also requires Curb Cut Application)(TE„/o'^gAy) I'Sidewa I k Address of Project: . �'� � �+^� S� J -VA .c4cmll, :EW .`�.��o0 Project Boundaries: r ,14c. Al. $.ve1 W r1 — �✓. i`1vi:� ,r Description of Work: cif INCLUDE THE FOLLOWING ITEMS WITH YOUR APPLICATION: i�Traffic control plan including detour map and traffic devices ❑ Communication (letter, door hanger, signs, etc.) to affected property owners Failure to use traffic control for traffic restrictions or closures will result in stop work orders and/or delay in permitting. This Occupancy Permit Request is non -transferable. A signature subjects the named contractor/permittee to all applicable rules, duties and obligations imposed by the South Bend Municipal Code and to all regulations imposed by the City's Board of Public Works. Signature of Applicant: Date: ��'-� -? Applications should be dropped off to the City's Engineering Office or emailed to rowpermitsoffice[?southbendin.gov. For questions, contact Tara Bussell at 574.235.9254. OFFICE USE ONLY: Date Received: Fee Paid: Approval Date: City of South Bend/Public Works 227 W. Jefferson Blvd South Bend, IN 46601 Application and Permit Long Term Occupancy of City Right -of -Way Applicant: Date: 9-/-to2 3 Applicant Address: 47 �;A. A.►a .��:c ,�I� �;,,{� �.,� IA/ 4(o / Project Site Address: A. rYfc V'rA 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 right-of-way, construction deliveries, etc.): Duration of Occupancy: 2&Vz Signature of Applicant: 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/Fee Amount: $ Date Bond/Fee Filed: Compliance with CH 6, ART 5 and CHI 8, ART 7, Sec 18-62 of the South Bend Municipal Code Fee Paid Date Issued: BOARD OF PUBLIC WORKS President Member Issued By: Member Member V 2.1 [1.15.211 N City of South Bend Public Works u Engineering Division a 52 227 W. Jefferson, County City Building 1316C South Bend, IN 46601-1830 CURB CUT APPLICATION Phone: 574.235.9251 Fax: 574.235.9171 Email:rowpermitsoffice@southbendin.gov Requires 3 WORKING days minimum for review by Engineering Division prior to Construction Submission Date: / .z• Z -7 Applicant Name: /-/09rr4 C+-j-T/.��c �r■� E ��,Q.•cy Contact Information (Phone and Email): .?/.2 - yS-�f�.t,S ,� �.rvi fie•+ , G o Property Address: alS' X71 ,f d� ,��,,., _ZA/ Gin / lyr.y el,14 c. �o,f�•9 Type of Curb Cut: ❑ Residential Driveway ❑ Commercial Driveway - 24' Maximum Width ❑ Alley Approach - 14' Typical Width ❑ 10' (Single) j El 16' (Max Width) Industrial Driveway - 30' Maximum Width � Complete each item: 1. Does the existing lot meet setback requirements for the governing district? [+eYes ❑ No 2. For lots being improved, has a variance been granted from the Board of Zoning Appeals? RN/A ❑ Yes ❑ No 3. Are there any intersections within 50' of the proposed residential drive? ❑ Yes 2r No (Industrial approach requires 100' distance from intersections) Provide Proximity 4. Are there any obstructions near the drive? (i.e light poles, hydrants etc.) If so, list here: ❑ Yes 0 No 5. Does the existing property have access to garage via an alleyway? ❑rYes v No 6. Does the proposed work meet clear sight area requirements? R Yes ❑ No Additional Comments: Drawing of proposed work must be included with this application "Contractor bonded with Public Works shall pull a permit for construction work in the Right of Way ENGINEERING OFFICE USE ONLY: ❑Approved [—]Approved as Noted ❑Denied as Noted ❑Traffic Study Required Comments: Date- Engineering Division Authorized Signature -New engineering review and approval required after 3 months if no permit has been issued for work - Version 2.1 [1/15/20211 Temporary Curb Cut 25' (+/- 2 1/2 Years) I Temporary Curb Cut 60' (+/- 2 1/2 Years) BARn TT -.mr. -(—�V Temporary Delivery and Storage Area Construction Fencing Construction Gate Stop Sign > Traffic Flow Line Construction Traffic Only Sign Curb w/ truncated dome strip =1 Sidewalk Closed 0 Do not Enter Sign Patient Drop Off ONLV Right Turn Only Sign I. Sidewalk Closed Do Not Cross VAV One Way Sign E] No Left Turn Pedestrian Traffic Main Entrance / Bartlett Parking Garage MMP Hospital Patient Drop Off Oncoming Traffic Does Not Stop Barricade \A1 Pedestrian Crossing Sign W BARTLETT ST CONSTRUCTION LIMITS (TYR) a m m m m IIIIIIIIIII11i Asphalt ------------------ Au l:kSRNG B UAis. 4L " PA1i1 ' Z 0[NF AREAS Q K i 4T < } A . SHALL RCgEryE TRAFFIC 1 fWADEO LID 99 CASTM 1 " 4yMATl LKWIK y z � {ryp) . ATE I RAmc ARIL I ` AEP VAULTS AND NEW ll PO0 ERRSCONNECTION BY \ , S I � •� I 0-0 0-0 GRAPHIC SCALE if - ° -E�- �� r IN FEET) ... I Ina 20 Fr Jr TRUCK UNLOADING ZONE / e Existing � T � i � BuildinF� o �, �•, 0 CONTRACTOR SHALL ?¢� INSTALL NEW PARKING r GARAGE ACCESS APRON Existing Parking Garage Structure r i \ 0 � s•r j � ❑ J.— PatiehDrop—off Area �j d �^ L; LEGEND ��■�j � � J U EXISTING GRADE -V \ i F \ ' r Q TI PROPOSED GRADE ��- _ 1 APPROXIMATE LOCAON TOWER ME PROPOSED CATCH BASIN/STORM 1I1LrcT OF CRANE ® PROPOSED CATCH BASIN/STORM INLET I Hospital Entrance �- Q PROPOSED STORM MANHOLE l PROPOSED GRADE BREAK TC PROPOSED TOP OF CURB EP PROPOSED EDGE OF PAVEMENT Q O DRAINAGE RETENMON C"ULATIIMS ® — DETAILS LEGEND, PROJECT SITE j yyy� CONSTRUCTION LIMITS TOTAL AREA 36,424 SET (0 84 AC) EXISTING SURFACE % •.� 7"JJ7"'77-rr777 .!.'�'-7J777'T� EXISTING ASPHALT PAVEMENT 2.779.69 SET x i INDOT a2 AGGREGATE (2"3" SIZE), MIN. B" THICK DETAIL X / C402 EXISING OPEN SPACE _-- ....... ...--...... 11,626 73 SET -' �•/ OVER 'CARTHAGE 6%" OR APPROVED EQUAL TOTAL ..... ................. . 36.124 SET 1-1/2" (0165/SYD) HMA SURFACE, TYPE B, DETAIL 5 / SD101 eRi]POSEt)-TEA ORARY P8IVEHE"T WRFAC6 ON TACK COAT OVER, EXISPNG ASPHALT 10,605 SET 2-1/2 (0275 SYD HMA INTERMEDIATE, TYPE B 0%100 TEMPORARY ASPHALT ...... ...... ... ...... _ 8,630 SET / / ) TEMPORARY GRAVEL 9,792 SET 6" (p660/SYD) HMA BASE, TYPE B, OVER OPEN SPACE 7,397 SET 6" AGGREGATE BASE, NO, 53 OVER, COMPACTED SIM AQC TOTAL... 36,424 SFT O3 12' CHAIN -LINKED CONSTRUCTION DETAIL X / SD101 GiI1Q;(;;_ pJ'X31 fIRK0 FENCE ENTRY GATE ASSUMPTIONS ...... _._ C = 030 (PERVIOUS SURFACE) O 16' CHAIN -LINKED CONSTRUCTION DETAIL X SD101 C = 0.90 (IMPERVIOUS SURFACE) / I = 3,0 INCHES OF RAIN IN 24 HOURS FENCE ENTRY CATS V = CIA (MODIFIED RATIONAL METHOD) NON -PERMEABLE 0.90 x 0,25 FT Ox %XX, XXX SIT = XX.XXX OFT 5 CHAIN -LINKED CONSTRUCTION FENCE DETAIL X / SD101 PERMEABLE .. .... 130 x q25 FT x XY•XXX SET = %,XXX CFT � TOTAL ._- .......... ..... XX,XXX CFT + X,XXX CET = X%,XXX CFT �_ i y o • TEMPORARY III GRASS DETAIL X / SD101 �YENTIDN PRDHC>EPR�HC1Fi3 v TOTAL STORAGE REQUIRED %%X, x%% CFT PROPOSED RETENTION POND ....._ XXX,XXX CFT O CURB, 6" DETAIL 2 / SD101 EXCESS RETENTION VOLUME PROVIDED %X4XXX CFT - XXX,XXX = XX%,XXX CFT 0 k G Zn In LU Y 3 a w - In C Z z F _ Ewa zm a Ine w a 7R RE -VIEW FURPOsEs ONLY RJH auwNar RJH / JH REVIEWED BY AC DATE AUGUST 2022 JOB NUMBER: 2022-0216 SCALE 1-20' C201