ORDINANCE
NORTHWESTERN MEMEORIAL HOSPITAL Acct. No. 85392 - 12 Permit No. 1065528
Be It Ordained by the City Council of the City of Chicago:
SECTION 1. Permission and authority are hereby given and granted to NORTHWESTERN MEMEORIAL HOSPITAL, upon the terms and subject to the conditions of this ordinance to maintain and use, as now constructed, four (4) clay Drain Tile(s) under the public right-of-way adjacent to its premises known as 259 E. Erie Street for the purpose to transfer waste from building sewer/sanitary system.
Said Drain Tile(s) at E. ERIE measure(s):
One (1) at thirty-six (36) feet in length, and eight (8) feet in width for a total of two hundred eighty-eight (288) square feet.
One (1) at three hundred thirty-two (332) feet in length, and four (4) feet in width for a total of one thousand three hundred twenty-eight (1328) square feet.
Said Drain Tile(s) at N. FAIRBANK measure(s):
One (1) at twenty-four (24) feet in length, and eight (8) feet in width for a total of one hundred ninety-two (192) square feet.
One (1) atone hundred thirty-four (134) feet in length, and four (4) feet in width for a total of five hundred thirty-six (536) square feet.
The location of said privilege shall be as shown on prints kept on file with the Department of Business Affairs and Consumer Protection and the Office of the City Clerk.
Said privilege shall be constructed in accordance with plans and specifications approved by the Department of Transportation (Office of Underground Coordination) and Department of Water Management.
This grant of privilege in the public way shall be subject to the provisions of Section 10-28-015 and all other required provisions of the Municipal Code of Chicago.
The grantee shall pay to the City of Chicago as compensation for the privilege #1065528 herein granted the sum of four thousand nine hundred fifty-one ($4,951.00) per annum in advance.
A 25% penalty will be added for payments received after due date.
The permit holder agrees to hold the City of Chicago harmless for any damage, relocation or replacement costs associated with damage, relocation or removal of private property caused by the City performing work in the public way. '
Authority herein given and granted for a period of five (5) years from and after Date of Passage.
Page 1
FAIRBANK STREET
LEGEND
I EUSTINC CATCH HASN
i E*1STWC CATCH BASN TO BE REMOVED
i PROPOSED CATCH BASIN
] CDMMUON WEALTH EDISON CO. UANHTJLE
) CUT ELECTRIC MANHOLE
i EXISTING (NLEI
[ EXISTING WLEI 10 BE REMOVED i PROPOSED Mil f FIRE HYDRANT
' cas valve ) cas manhole PROPOSED manhole EXISTING MANHOLE T3 BE ADJUSTED EXISTING MANHOLE METAL SJCN PARKING M£TER
e
© TELEPHONE MANHOLE
TREE 4 SIZE IN NCKS
© WATER MANHOLE
© PROPOSED WATER VALVE
B-o PROPOSED UCHT POLE
H-^ EBSTiNG UGHT POLE
CAS UNE
EXISTING SEWER UNE
PROPOSED SEWER UHE UNDERGROUND TELEPHONE UNE UNDERGROUND ELECTRIC CABLE OR CONDUIT WATER UNE
WESTERN UNION CABLE
APPROXIMATE LOCATION OF UNTXRCHOUNO TREMCH (PER PLANS SUPPUEO BY POWER/CRSS) CA.I.V. CONDUT
TOP OF CURB ELEVATION FLOW UNE ELEVATION
(1U0) EXISTING ELEVATION
Northwestern
Memorial
Hospital
Redevelopment Project
APPLICATION TO USE THE PUBLIC RIGHT OF WAY
City of Chicago Department of Business Affairs and Licensing Public Way Use Unit 333 S. State Street, Suite 310 Chicago, IL 60604-3977 Stan Adams I (312)747-9035 or
Lisa Pusateri (312)747-9034
FAX
(312)745-2958
APPLICANT INFORMATION
legal name of entity: Northwestern Memorial Hospital_
permit mailing address . 259 E. Erie Street Suite 448_
city Chicago_stateIL_zip code: 60611
contact person: Bud Vance
title System Engineer
USE OF THE PUBLIC WAY
1. List the proposed or existing use below and complete the attached worksheet. Only use one application per public way use type.
Type
How many?
<f4AM Tile rjg/M_±_
Building Address
E
S 2. Please enclose one sketch of proposed use of the public way, which maps to scale
the proposed use and its relationship to surrounding right-of-way. All measurements must be indicated.
The prints should also accurately depict the location of the property line and public facilities ( meters, light poles, sidewalks).
/ 3. Please provide a full sized 80 Acre map, with the adjacent property and portion of the public way clearly outlined.
The 80 Acre is available at Maps and Plat in Room 905 City Hall w/$5.00 fee. APPLICANT CERTIFICATION:
I hereby certify that all statements made as part of the application and the attachments herein, and true to the best of knowledge and belief.
Bv: fixAiAvu^
Title:
F.E.I.N. or Social Security Number:
ALDERMAN'S APPROVAL:
As part of this application process, you are required to notify/obtain approval from the Alderman in whose ward your proposed use of the public way is located
LDERMAN'S SIGNA
WARD
DATE