REFUND
ORDERED, That the City Controller is hereby authorized and directed to refund the amount of $9,451.57 to Peace Corner Youth Center representing payment of permit fees for construction projects at 5012 West Madison Street.
Dept. of Zoning & Land Use Planning 121 N. LaSalle St., Rm. 905 JJhicagprItJ0602 ______
OR - COOT - Permit
o.oo o.oo
Activity ID: 5184220505
Permit Lnber: 780885893
DR - CDOT - Permit Item 1,066.67
1.066.67
Activity ID: 5184220800~648-84-3033-6002 780885893
DR - CDOT - Permit Item
708.00 708.00 Activity ID: 5184220799"300-84-2135-2561 780885893
DR - CDOT - Permit Item
708.00 708.00 Activity ID: 5184220805"300-84-2135-2562 780885893
SubTotal: 2,482.67 Total: _ _ 2,482.67 _
Checks 2~482"67~" Number : 019578
11/04/2010 09:41 DR09507 #2023988 /2503/77
Pay parking tickets, water bills and other City fees on-line at
Please take a
few moments to tell us about your visit today by using the online Customer
Survey at www.c i tyofch i cago.o rg/revenue.
Thank
you.
Permit # 780885893
Received Date: Nov 4, 2010 9:34:25
MVP PLUMBING CORP. 1995 AUCUTT RD. MONTGOMERY, IL 60538
MATT WEISZ 630-897-6000
ACTIVITYHOURS
Permitted activity hours begin at 9:00 A.M. Permitted activity hours will end at 4:00 P.M. ANY WORK ON ARTERIAL STREETS MUST ADHERE TO ALL RUSH HOUR RESTRICTIONS. 5022-5022 W MADISON ST Street Opening (Curb Lane &Traffic Lane)
DATES
^_Nov 10, 2010 through Dec 10, 2010_
ACTIVITIES
Sidewalk & Parkway Opening(s): Dig#: TBD
There will be 2 for the purpose of SEWER AND WATER.
10 Feet x 4 Feet x 5 Feet.
Excavation may commence on - NO SOONER.
5022-5022 W MADISON ST
Street Opening (Curb Lane &Traffic Lane): Dig #: TBD
There will be 1 opening(s) in the public way for the purpose: WATER.
30 Feet x 4 Feet x 5 Feet ! Excavation may commence on - NO'.SOONER.
City of Chicago Department of Transportation (312) 744-4652
MVP PLUMBING CORP. 5164220505
Permit # 780885893 Counter Page #: 1
Street Opening (Curb Lane ^Traffic Lane): Dig #: TBD
5022 - 5022 W MADISON ST
Street Opening (Curb Lane &Traffic Lane): Dig #: TBD
There wiil be 1 opening(s) in the public way for the purpose: WATER.
10 Feet x 4 Feet x 5 Feet
Excavation may commence on - NO SOONER. 5022 - 5022 W MADISON ST
Parking Restriction Posting/Meter Bagging: Dig #: TBD
A Parking Restriction Sign Posting between NOV 10, 2010 and NOV 24, 2010 is required for USE OF CURB LANE. The posting is on the North side of the street and will is be effectives from 9:00 AM and to 4:00 PM.
Special Instructions are N/S OF W MADISON.
The corresponding Service Request number is 10-01804689. 5020 - 5024 W MADISON ST
Restrictions:
1. All signs must be removed by the contractor when job is complete.
2. Applicant must contact Construction Compliance for any changes that affect the date(s), time(s) or location(s) for Meter Bagging and/or Parking Restriction Sign Posting.
3. Any questions regarding the actual placement of signs or meter bagging, contact the Bureau of Traffic Services at (312) 747-5085.
4. A copy of the permit must remain on-site for inspector's review.
5. Permit fees must be paid within 24 hours of the date of issuance. Failure to pay will result in you being considered in violation of the terms und agreement of the permit and subject to any applicableTme and fees as if you never attained a permit. Additionally, you will still be responsible for the cost of the original permit Monthly billing accounts are not applicable to the 24 hour payment criteria but failure to pay the monthly bill by the due date will result in the same penalties applying.
6. All directional boring must be pre-approved by the Office of Underground Coordination.
MVP PLUMBING CORP. Permit # 780885893 Counter Page #: 2
Restrictions:
7. Contractor must secure plating over all openings in the roadway during non-working hours until such time when the road surface is restored.
8. Contractor must notify DIGGER at 312-744-7000 no less then 48 hours (exclusive of Saturdays, Sundays and Holidays) but no morf. then 14 calendar days in advance of the start of the excavation or demolition, unless the excavation date was provided with the application and remains unchanged. Prior to 26 calendar days the Contractor must notify DIGGER to renewal the dig date! V,
9. It is the Excavator's responsibility to request refreshing of marks when needed, but no longer than 28 calendar days after the last requested date.
10. When applicable, all excavation areas are to be clearly marked in safety white paint prior to calling DIGGER. White paint is not required for joint meets or emergency work.
11. Excavators requesting dig tickets are responsible for the protection of utility markings at the job site. Any markings of underground utilities utilizing utility colors, must be done by facility owners or authorized agents only.
12. Permittee must provide a sign which identifies the telephone number and company or person performing the work. Signage may be affixed to barricades.
13. Permanent base pavement restoration to follow within 5 days after the completion of underground work.
14. All pavements are to be restored in accordance with CDOT Construction Standards.
15. Work to be performed as per plans and specifications.
16. Use of pneumatic equipment must not begin before 8:00 A.M. or continue after 8:00 P.M. i 7. Maintain pedestrian traffic at all tunes.
18. Pavement opening to be backfilled to grade/or plated during off work hours.
19. Parkway excavation by hand, cut and replace sod wherever possible.
20. Permittee to provide all barricades, signs and/or flagmen as necessary.
21. Sidewalk pavement broken by hand or with pneumatic hammer only.
22. No work in or use of the public right of way is to be done when a special event is taking place. It is up to the applicant to determine if an event is scheduled. To obtain a listing of programs or events within the City of Chicago please dial 311 when you are within the City boundaries.
23. It is the responsibility of the applicant to fund Traffic Control Aides if the City deems it necessary due to heavy congestion situations.
24. Pursuit to City Ordinances 10-20-150 and 10-28-281.3 a re-inspection fee of $100 may be assessed for each inspection conducted after the initial inspection.
25. Restore all lanes to normal operation during non-working hours.
26. All traffic control will be the responsibility of the contractor and must comply with all MUTCD standards. .
27. Must use flagmen and/or arrow boards to maintain traffic operations through the work zone.
28. All street openings must be restored with concrete base to grade.
29. Streets recently resurfaced must be restored to proper standards (resurface to nearest 1/4 pt, see CDOT Construction Standards for'further details).
30. Contractors to post signs to indicate: BIKE LANE CLOSED - SHARED LANE YIELD TO
MVP PLUMBING CORP. SlflMBgOSOS
Permit # 780885893
Counter
Page #: 3
Restrictions:
BIKES.
It is also the permit holder's responsibility to restore to original condition any damage to any bikeway, including replacement pavement markings and signage. You must contact Ben Gomberg (312) 744-8093 48 hours, jn advance of any activity. 31. All metal plates used for public way construction or placed within the right-of-way must indicate Ownership!
Sidewalk & Parkway Opening(s)
11-04-2010 - Fee Pavement Opening CBD: N Cost Per EA: $ 354.00 Tiered: N # Of EA: 2.00 Mora: N
CAPS:
Late charge: $ Amount: $
300-84-2135-256 . 00 708.00
Street Opening (Curb Lane &Traffic Lane)
11-04-2010 - Fee Pavement Opening CBD: N Cost Per EA: $ "354.00 Tiered: N # Of EA: 1.00
Mora: N
CAPS:
Late charge: $ Amount: $
300-84-2135-256 . 00 354.00
11-04-2010 - Paving Fee CBD: N Cost Per Sq. Ft, Tiered: N # Of Sq. Ft.: Mora: N
6 0.00 CAPS: 4.44 Late charge: $ Amount: $
648-84-3033-600 . 00 266 . 67
11-04-2010 - Paving Fee CBD: N Cost Per Sq. Ft Tiered: N Of Sq. :Ft. : Mora: N
60.00 CAPS: 13.33 Late charge: $ Amount: $
648-84-3033-600 . 00 800.00
11-04-2010 - Fee Pavement Opening CBD: N Cost Per EA: $ 3 54.00
Tiered: N # Of EA: 1.00 Mora: N
CAPS:
Late charge: $ Amount: $
300-84-2135-256 . 00 354.00
MVP PLUMBING CORP. SlfiMHEDSOS
Permit # 780885893
Counter
Page #: 4
Total Fees: $ 2,482.67
Grand Total Fees: $ 2,482.67
Affected CUAN Sites: 5, 15, 20, 21, 22, 27, 28, 31, 53, 61, 70, 140, 147, 148
EFFECTIVE DATES OF PERMIT
Current: Nov 10, 2010 through Dec 10, 2010 (Input date: Nov 04, 2010 9:34:25 a.m.)
TCND OFTERMIT
MVP PLUMBING CORP.
Ptrmit # 780885893 Counter Page #: 5
Payment Processed
Page 1 of2
as&w. _w«- ~?*3S&
Your Account ►
Executive Construction Inc. [ Logout ]
Confirmation
Customer Number: EXECCONS Customer Name: Executive Construction Inc.
Payment Number:
Created Date:
Processed Date:
WEBPMT0000000060 10715/2010 10/15/2010
Transaction Details
Capture Amount:
Type:
Card/ Account Number:
Billing Address:
$5,225.40 AmericanExpress
xxxxxxxxxxxl017
Executive Inc. 235 Fend Lane Hillside, IL 60162 USA
Status:
Origination ID:
Authorization Code:
Approved VPCE5F7A7585
280074
Paid Invoice List
Invoice #
Amount Paid
10/15/2010
Payment Processed
104099 104065
$739.40 $4,486.00 Invoice Total: $5,225.40
INVOICE
"Historical**'
Bill To: Executive Construction Inc. 235 Fend Lane Hillside, IL 60162 USA
Account Date: Due Date: Invoice
Customer P.O.
EXECCONS 10/07/2010 11/06/2010 104099
Payment terms: Net 30
Vendor No.
No
Sidewalk Opening Permit At Peace Corner Youth Center / 5022 W. Madison / Matt Egan
Description
Amount
Process approval for temporary use of the publicway
Work types to include General Constmction (OT) Dept. of Transportation Expense*
Opening Permit for One (1) Sidewalk Opening To Drive In Fence Post at Peace Comer Youth Center. From 10/11/2010 - Two (2) Months. 9AM to 4PM. Permit in Conjunction with Permit #777768206. Secured per Matt.
$350.00
$389.40
Please submit all payments to Burnham Nationwide, Inc. Payment Applied: All major credit cards accepted. Balance Due :
$739.40 $0.00
Terms: All conditions under Account Agreement EXECCONS are applicable.
Reports Trade Experience
Original Order Number: 1-44873336 10/07/2010 Quote Number: 1-QPSHH
Sidewalk Opening Permit At Peace Corner Youth Center / 5022 W. Madison / Matt Egan Page 1 of 1
Printed: 11/12/2010 10:43:57AM
Burnham Nationwide, Inc. | The Burnham Center | 111 W. Washington Street -4« Floor | Chicago, IL 60602
Remit Payment To: PO Box 88270 Chicago, IL 60680-1270
800.407.7990
SIMPLY GETTING IT DONE
INVOICE
Bill To: Executive Construction Inc. 235 Fend Lane Hillside, IL 60162 USA
Payment terms: Net 30
Account Date: Due Date: Invoice
Customer P.O. Vendor No.
EXECCONS 10/05/2010 11/4/2010 104065
No
Public Way Permits For Peace Corner Youth Center / 5022 West Madison / David Sipes
Description Amount
Process approval for temporary use of the publicway $ 350.00
Work types to include General Construction (OT) Dept. of Transportation Expense* $ 4,136.00
Public Way Permit for a Temp Driveway, 60' Of Full Sidewalk Closure, and 60' of Curb Lane closure to stage jersey barriers to maintain a pedestrian walkway. From 10/11/10 -2/7/11. Secured Per Dave.
Payment Applied: $0.00
Please submit all payments to Burnham Nationwide, Inc.
All major credit cards accepted. Balance Due : $4,486.00
Terms: All conditions under Account Agreement EXECCONS are applicable. Reports Trade Expc "."Dee
Original Order Number: 1-44865063 Dated: 10/05/2010 Remit Payment To:
Quote Number: 1-QPM2U Pr» R fWOm
Public Way Permits Par Peace Comer Youth Center/5022 West Madison / David Sipes ru oox °°*'u
Printed: 10/5/2010 11:26:42AM Chicago, IL 60680-1270
Page 1 of 1
Burnham Nationwide, Inc. | The Burnham Center | 111 W. Washington Street - 4= Floor | Chicago, IL 60602 | 800.407.7990
Chicago Dept. of Buildings 121 N. LaSalle St., Rn. 90C Chicago, IL 60602
OR - Buildings - Building Permit
0.00 0.00 Application Number: 100327583
OR - Buildings - 8uilding Permit - Item
75.00 75.00 Application Number: 3077266
DR - Buildings - Building Permit - Item 1,500.00
Application Number: 3130649
i,500.00
SubTotal: 1,575.00 Total: 1,575.00
Checks i"575.66"
Number : 024931
09/23/2010 12:14 DR09519 #1845539 /2501/76 Pay parking tickets, water bills and other City fees on-line at www.cityofchicago.org,
Please take a few moments to tell us about your visit today by using the online Customer Survey at www. ci tyof clii cago. org/revenue,
Thank you.
INVOICE ONLY - THIS IS NOT A PERMIT OR LICENSE
City of Chicago
Department of Water Management
Matthew Weisz Mvp Plbg Corp (Sl-242) 1995 AucuttRd. Montgomery, IL 60538
INVOICE AMOUNT
$168.50
DUE: NOV 4, 2010
D.O.B. Singular Ownership Without a Covenant
Sewer Permit Number: ---1006784
Sewer Permit Fee: ----115JQQ.
Special Deposit Number: -JLQQOSii
Special Deposit Fee: -----$9150
T^OM: 5022 W Madison St
CAPS CODE: BC16-314-88-2005-4410 CAPS CODE: BD33-314-88-2005-4409 TO: 5022 W Madison St
INVOICE ONLY - THIS IS NOT A PERMIT OR LICENSE
Detach bottom portion and return coupon with your payment to any Department of Revenue cashier or mail as indicated.
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Chicago Department of Revenue
121 N. LaSa
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DR - Sewer Permit - Permit
0.00 0.00
Item Number: 1006784 DR - Sewer Permit Item
93 50 93 50 Item Number: 5184220966:BD33
DR - Sewer Permit Item
75.00 75.00 Item Number: 5184220966:BC16
SubTotal: 168.50 Total:_____ 168.50
Checks 168.50 Number : 019579
11/04/2010 10:00 DR0011 #2024207 72298/75 Pay parking tickets, water bills and other City fees on-line at www.cityofchicago.org.
Please take a few moments to tell us about your visit today by using the online Customer Survey at www.c i tyof ch i cago.org/revenue.
Thank you.
04-Nov-10 10:18am From-
T-721 P.001/001 F-371
CITY OF CHICAGO PERMIT TO CONNECT WATER SERVICE PIPE
Permit No: 333263
Permit Type: Job Location: Data Issued: Date Created: Suilding Type: dumber of Units: Number of Fixtures: Contractor: Contractor Phone: Plumber Lie. #: Existing Service: Existing MC: Service Required:
New Service Size.
Tap Size (in.): Main Size (in.)
Main Location:
PUMP (GPM): Bldg. Permit No: Street Permit #; Plat Book No/Page: Block/Lot: Cut-Off:
Out-Off Size:
Cut-Off Location: Location As$u:
A-PERMIT
5022 W. MADISON
11/4/10
5/18/10
OTHER
YOUTH CENTER 18
WEISZ
16723 3/4
YES
3
4 8
40 S. N. L OF MADISON
100327583 780885893
91/71
Cut-Off Completed: Check Processing: Dom Mtr 1 Size: Dom Mtr 2 Size: Meter Location: Remote Reader:
Meter Number?:
Serial Number: Fire Dept. ok?: Fire Dept. Pump: Fire Meter Size: BFD Type: BFD Size:
Contact:
Owner's Address: Contact Phone;
Order Number.
Check Number: Transponder SD 200-10: Meter TestSD 200-10:
Tap Fee SD 200-16:
HOLD (UNTIL FURTHER NOTICE)
VAULT NO
PEACE CORNER YOUTH CENTER
5014 W MADISON CHGO.IL 60644 773 261 5330
19577
Material SD 200-20: Cut-Off SD 297-32; FA Estimated SD
296- 30:
FA Fixed Fee SD
297- 32:
238' W. OF LAVERGNE Location Actual:
9A/LOT 28/29 1
3/4"
241'W. OF LAVERGNE
$2550 ON HOLD
$2015.00
Comments; 8X4 TAP. 4" TAP WITH 3" PIPE. CITY TO INSTALL TAP, ALSO FURNISH 3" SERVICE VALVE AND B-BOX. WEISZ TO DO ALL EXCAVATING AND SUPPLY ALL PIPE, TAPPING SLEEVE AND TAPPING VALVE. REGULAR TIME. CENTRAL DISTRICT.,
Permit Clerk Signature:, Date:
Permit Number: 333263
Date Printed: 11/4/10 10:21:27 AM
INVOICE ONLY - THIS IS NOT A PERMIT OR LICENSE
City of Chicago Department of Water Management
Matthew Weisz Mvp Plbg Corp (Sl-242) 1995 AucuttRd. Montgomery, IL 60538
INVOICE AMOUNT
$168.50
DUE: NOV 4,2010
D.O.B. Singular Ownership Without a Covenant Sewer Permit Number: JUlO£284
Sewer Permit Fee: ______$35.00
Special Deposit Number: 1QOQ931 Special Deposit Fee: ___S9JL5Q
CAPS CODE: BC16-314-88-2005-4410
CAPS CODE: BD33-314-88-2005-4409
FROM: 5022 W Madison St
TO: 5022 W Madison St
INVOICE ONLY - THIS IS NOT A PERMIT OR LICENSE
Detach bottom portion and return coupon with your payment to any Department of Revenue cashier or mail as indicated.