HomeMy WebLinkAboutLong Term Occupancy Permit - Beacon Memorial Walsh Construction1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAx 574/235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
December 12, 2023
Mr. Jeff Cerney
Walsh Construction
929 West Adams
Chicago, IL 60607
j cerneykwalshgroup. corn
RE: Long Term Occupancy Permit — 615 N. Michigan St. (Memorial Hospital)
Dear Mr. Cerney:
At its December 12, 2023 meeting, the Board of Public Works approved the Long -Term
Occupancy Permit for temporary curb cuts, sidewalk closures, delivery/storage area, and site
fencing for the new Memorial Hospital Bed Tower. This permit will be valid from September
15, 2023 to May 1, 2026 and the cost will be in the amount of $2,740. Please submit this
payment with the Permit Manager at rowpermitsofficegsouthbendin.gov .
If you have any further questions regarding this matter, please call this office at (574)
235-9254.
Sincerely,
Is/ Theresa Heffner
Theresa Heffner, Clerk
Enclosures
TH/lh
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA MIcou
"" r,, r TRAFFIC CONTROL AND OCCUPANCY REQUEST
City of South Bend - Division of Engineering
_ 227 W Jefferson Boulevard, Ste 1316
n.., South Bend, IN 46601
APPLICANT INFORMATION
Name of Contractor/Company: 4i.0is C�..�rr�ycr-i a.•�
Name of Applicant: A<< G'f2��/
Phone: ZM-99f—J731.41*" Email Address: GOi`f
On -Site Contact:. Voe Z- -yetj Phone: 3/,Z- 22/ 9330
PROJECT INFORMATION
Requested Dates (mm/dd/yyyy): 9 1 1-r /20 A 3 to S /20 A 4
Time of Work: 7,0,1 to ,P'.?o P•N
Location of Work: ❑ Entire Street ❑ Travel Lane ❑ Parking Lane
(O'Sidewalk ❑ Tree Lawn ❑ Alley
Type of Work: ❑ Excavation/Boring (Also requires Excavation Form)
21jew Drive Approach (Also requires Curb Cut Application)(TEM/d.V^'*'%)
5?"Sidewa I k
Address of Project: �'� � �"� S � � ��^ • _y yr"�,O/
Project Boundaries: I6%_,se d Al. &'AAA/# r,04 — �✓ i`1yia ,r�
Description of Work: T-.•,r�an•� L'va� cvr{ ,,;�,,o�G�sv�scs _ S�i�ec��f
INCLUDE THE FOLLOWING ITEMS WITH YOUR APPLICATION:
VIT'raffic 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. l
Signature of Applicant: Date:
Applications should be dropped off to the City's Engineering Office or emailed to
rowper-mitsoffice@southbendin.gov. For questions, contact Tara Bussell at 574.235.9254.
OFFICE USE ONLY:
Date Received: Fee Paid: Approval Date:
uTji
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:
Applicant Address: 7eB7 rl! .rl .ry-.-le .CIF .5:,,1,d Am 1, = .W G(o /
Project Site Address:1��,�,rr.1,it A1,k4a.1Z 4&r Al 414,901
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.):
Z7� ,,,AA.y 4,14 el' /S <a & %i "g�'y %sf�icA �' �4tie.� � � a! ,�.� "05 w e-A
�! ✓A Z& C a ry ia. e.f 5-Ile
Duration of Occupancy:
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: $ 2,740.00 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:
Issued By:
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
ta'k�a
Elizabeth A. Maradik, President
Joseph R. Molnar, Vice President
Gary A. Gilot, Member
Briana(/M� iicou, Member
Murray L. Miller, Member
Attest: Theresa M. Heffner, Clerk
Date: December 12, 2023
.1-1-117r-i Fr1 .
City of South Bend Public Works u rd Phone: 574.235.9251
Engineering Division
227 W. Jefferson, County City Building 1316 Fax: 574.235.9171
South Bend, IN 46601 1830 %. Email:rowpermitsoffice@southbendio.gov
CURB CUT APPLICATION
Requires 3 WORKING days minimum for review by Engineering Division prior to Construction
Submission Date: Z -7 Applicant Name: (-1,e1j-4
Contact Information (Phone and Email):
Property Address: G/s, / /tic P J .� .�;.•�� �� _ r,-/ 3160d / /Kn 14AI L
a. , 4 {
Type of Curb Cut:
❑ Residential Driveway ❑ Commercial Driveway - 24' Maximum Width ❑ Alley Approach - 14' Typical Width
❑ 10' (Single)
Industrial Driveway - 30' Maximum Width
❑ 16' (Max Width) .2'YcA/s•S'
Complete each item:
1. Does the existing lot meet setback requirements for the governing district? 101yes ❑ No
2. For lots being improved, has a variance been granted from the Board of Zoning Appeals?
FN/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:
5. Does the existing property have access to garage via an alleyway?
6. Does the proposed work meet clear sight area requirements?
Additional Comments:
❑ Yes 0 No
❑ Yes [f No
21Yes ❑ No
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 [1/15/2021]
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
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REVIEWED BY
AC
DATE
AUGUST 2022
JOB NUMBER: 2022-0216
SCALE
1-20'
C201