USE OF THE PUBLIC WAY APPLICATION

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1 USE OF THE PUBLIC WAY APPLICATION CITY OF CHICAGO BACP-PWU GRANT OF PRIVILEGE PERMIT APPLICATION V General Grant f Privilege Permit Applicatin 1. Please find attached an applicatin fr the use f the public right-f-way. The LEGAL NAME f the applicant will be the entity that the permit will be issued t, as well as the entity that will be respnsible fr paying annual usage fees and listing the city as c-insured n liability insurance cverage relating t the public way encrachment. 2. This applicatin is t be cmpleted fr any qualified permanent ccupatin f public way space, including encrachments n, ver r under the street, sidewalk, parkway r alley. 3. Yu must include plans printed n 8-1/2 inch by 11 inch paper which display the items t be lcated n, ver r under the public way. The exact dimensins must be clearly marked n the plans depicting the actual area f public-way affected by the encrachment. 4. Include phts f the existing public way encrachment, r the lcatin f the prpsed public way encrachment as well as the actual area f public-way affected by the encrachment. 5. If the applicant des nt have a current accunt number with the Department f Revenue - IRIS, a Business Infrmatin Sheet (BIS) must be cmpleted t create an accunt. Any questins that d nt apply t yur situatin shuld be marked N/A (nt applicable). 6. When yu have cmpleted the applicatin tgether with plans and phts, yu can send by mail t the lcatin listed belw. NOTE: It is the respnsibility f the applicant t btain the signature f the alderman f the ward n the applicatin where the public way use is lcated prir t submitting. In additin, the applicant shall als btain the apprpriate cnstructin permit(s). Please cntact the Department f Buildings and/r the Department f Transprtatin fr details. 7. All public way encrachments require review and apprval by varius City Inspecting Departments. The Public Way Unit will be respnsible fr btaining such apprvals. 8. Once apprved, the Public Way Unit will prepare the necessary dcuments fr intrductin t the City Cuncil by the alderman f the ward where the use f the public way is t exist. 9. After intrductin t the City Cuncil, the matter is referred t the Cmmittee n Transprtatin. If passed, the matter is then sent back t the Cuncil fr full passage, at which time the Public Way Unit will ntify the applicant by mail. 10. The ntificatin will request the first year s annual fee, Certificate f Insurance and acceptance letter signed by applicant. 11. Once received, the Public Way Unit will issue and mail yur permit fr Public Way Use. 12. Permits fr all privilege types are issued fr (5) years and are renewable. Please submit all f yur applicatin materials via mail t ur address listed belw. N faxes will be accepted. Page 1 f 7

2 APPLICATION CHECKLIST Applicatin Please ensure that all pages f the enclsed applicatin are accurately cmpleted. Specifically: Page 4, Grant f Privilege Permit Applicatin, must cntain the signature f the Alderman whse ward yur prpsed use f the public way is lcated. See page 7 fr an Aldermanic Ward Offices List. Page 5, Applicatin Wrksheet, must have all applicable sectins filled-in. Page 3, Acceptance f Permit terms, must be signed. Please carefully read the Municipal Cde f Chicag s and fr further requirements. Phtgraph(s) Please prvide phtgraph(s) which are clear and depict the Bundle item(s) and its relatinship t the surrunding public way. Plan(s) Plan(s) shall be submitted n 8 ½ X 11 paper(s), and clearly illustrate: 1. The business name and address as they appear n yur business license. (if Applicable) 2. The exact length(s) and width(s) f the Bundle item(s), and they must match the dimensins n the applicatin. Plan(s) that d nt meet the requirements will be returned t the applicant fr crrectins, thus delaying the prcessing f yur applicatin. Insurance Requirements Please include yur insurance with this applicatin. The requirements are belw: 1. The Certificate f Insurance is evidencing less than $1,000,000.00, cmbined single limit, with said insurance cvering all liability, bth public liability and prperty damage, that may result frm the granting f said privilege. Please ensure that the insurance liability is n less than $1,000, The Certificate f Insurance must clearly indicate the fllwing: City f Chicag, its agents and emplyees are listed as additinal insured in regards t canpy, awning, balcny, sign, light fixtures, flag ple, vault, sidewalk café, etc. (Please list YOUR specific public way use, yur specific use must be listed r it will nt be accepted). The Certificate Hlder des nt mean that we are listed as additinal insured. Please ensure that the statement abve is listed n yur Certificate f Insurance. 3. Insurance shall prvide fr 10 days prir written ntice t the City f Chicag if cverage is substantially changed, cancelled r nt renewed. 4. The Certificate f Insurance Certificate Hlder sectin must include the fllwing: CITY OF CHICAGO PUBLIC WAY USE UNIT 121 N. LASALLE, ROOM 800 CHICAGO, IL When returning the Crrected Certificate f Insurance, please ensure that the related accunt and permit numbers are listed n the certificate s it may be applied crrectly. Page 2 f 7

3 APPLICATION CHECKLIST (cntinued) Acceptance Letter ACCEPTANCE OF GRANT OF PRIVILEGE PERMIT TERMS I hereby understand and accept the terms and cnditins relative t the issuance f the permit, and by signing belw, I acknwledge the receipt f a cpy f the Municipal Cde f Chicag s and regulatins, as well as all the additinal requirements prmulgated herein: I understand it shall be my duty as the permit hlder, and as a cnditin f the permit, t: 1. Cmply with all the requirements defined within Chicag s Municipal Cde, the Rules and Regulatins, as well as the requirements prmulgated herein; 2. Upn the passage f the permit rdinance at City Cuncil, pay the nn-refundable applicable Grant f Privilege annual permit fee. 3. Upn the submissin f the permit applicatin the applicant shall furnish the certificate f insurance; and, 4. Reslve all Accunt Hlds since failure t d s will prevent the prcessing f this permit applicatin; 5. Install r maintain the grant f privilege after the issuance f the permit by the Cmmissiner f Business Affairs and Cnsumer Prtectin; I hereby agree t accept the terms and cnditins relative t issuance f the permit. I agree t renew the Certificate f Insurance at least 10 days prir t expiratin f the plicy. I understand that if the item r items are nt cnstructed/maintained the permit fees will nt be refunded. I understand that failure t adhere t all cnditins impsed in the permit may result in revcatin f the permit. SIGNATURE: PRINT NAME: DATE: TITLE: ACCOUNT #: SITE # LEGAL NAME OF ENTITY: BUSINESS NAME (DBA): BUSINESS LOCATION ADDRESS: CITY: Chicag STATE: Illinis ZIP CODE: BUSINESS PHONE: PERMIT TYPE: Page 3 f 7

4 APPLICANT INFORMATION LEGAL NAME OF ENTITY: PERMIT MAILING ADDRESS: CITY: STATE: ZIP: CONTACT PERSON: TITLE: PHONE: FAX: PROPERTY OWNER INFORMATION NAME: ADDRESS: CITY: STATE: ZIP: USE OF THE PUBLIC WAY 1. List the prpsed r existing use(s) belw, and cmplete the wrksheet n page 3. Use nly ne applicatin fr all public way use type. TYPE HOW MANY? BUILDING ADDRESS 2. Please enclse ne sketch f prpsed use f the public way, which maps t scale the prpsed use and its relatinship t surrunding right-f-way. All measurements must be indicated. 3. All N Fee items require a $50 applicatin fee. Please remit with applicatin. 4. N Fee items are listed in the price list n page The prints shuld als accurately depict the lcatin f the prperty line and public facilities (meters, light ples, sidewalks). APPLICANT CERTIFICATION I hereby certify that all statements made as part f the applicatin, and the attachments herein, are true t the best f my knwledge and belief. BY: F.E.I.N. r SOCIAL SECURITY NUMBER: TITLE: ALDERMAN S APPROVAL As part f this applicatin prcess, yu are required t ntify/btain apprval frm the Alderman in whse ward yur prpsed use f the public way is lcated. ALDERMAN S SIGNATURE: DATE: WARD: Page 4 f 7

5 Exact Street (i.e. S. State St.) Quantity Length Width Depth Height Height belw r abve grade Is this an Existing Public Way Use (Y/N) CITY OF CHICAGO BACP-PWU GRANT OF PRIVILEGE PERMIT APPLICATION V APPLICATION WORKSHEET Fr use by NEW APPLICANTS ONLY. Fr renewals btain frm frm City Hall, 121 N. LaSalle St., Rm. 800 r call (312) 74 - GOBIZ ( ) DIMENSIONS OF PUBLIC WAY USE WORKSHEET Use fr all public way encrachments except canpies, signs (including marquees) and sidewalk cafés. Cmplete the wrksheet fr use f the public way and indicate all applicable measurements. Describe in detail hw the public way is t be used tgether with the descriptin f lcatin. YEAR* BUILDING WAS CONSTRUCTED: * Buildings built befre 1923 must prvide dcumentatin. NOTE: Pursuant t sectin f the Municipal Cde f the City f Chicag the Crpratin Cunsel f the City f Chicag may require any such additinal infrmatin frm any applicant t achieve full disclsure relevant t the request fr actin by the City Cuncil r ther city agency. Pursuant t sectin f the Municipal cde f the City f Chicag any material change in the infrmatin required abve must be prvided by supplementing this statement at any time up t the time the City Cuncil r any city agency takes actin n the applicatin. Page 5 f 7

6 FEE STRUCTURE Annual Fees Awning Canpy Balcny Banner Barber Ple Bay Windw Bicycle Rack Bllard Cable Cnduit (fiber r nt) Clck Dr Swing Fire Escape Flag Ple Light Fixture Light Ple Manhle Marquee Park Bench Security Camera Sign Smking Management Receptacle Trash Cntainer Windscreen Landscaping Planter Trees Tree Grate FLAT FEES $50 fr the first 25 feet + $1 each additinal ft $50 fr the first 25 feet + $1 each additinal ft $10 each $50 fr 1 st 25 feet + $1 each additinal linear ft $6 per linear ft $75 fr the first + $5 each additinal light $50 fr the first 25 feet + $1 each additinal ft $100 each (if less than 25 square feet) $300 each (if 25 square feet and up) (permanent) (prtable) The fees fr all ther structures ccupying the public way are determined by a frmula based n square feet, real estate value, and level (n, ver, under the public way), with a minimum charge f $400 per item. Ntwithstanding the abve, the ttal fee fr a public way use fr any cmbinatin f signs less than 25 square feet, canpies, awnings, r light fixtures, at the same lcatin, shall nt exceed $ fr all such public way uses. Exemptin: N fee shall be charged fr a public way use that is n r abve the public way fr the fllwing: In the case f a residential building, as that term is defined in sectin , cnstructed in r befre 1922 (with prf prvided with this applicatin), a public way use that is part f the riginal cnstructin and is a permanent structure f the building prvided that in the case f a mixed used building, any public way use that slely is fr the use r benefit f any cmmercial r business activity in the building shall pay the fees fr the public way use. In the case f a landmark building, any part f the building which is n r ver the public way, including a clck r light fixture if the clck r light fixture is part f the landmark designatin. Fr the purpses f this sectin, a landmark building shall als include any building, ther than a nn-cntributing building in a landmark district. Fr any public way use which is belw grade level r under the public way r ther public place fr any building specified abve shall pay the apprpriate fees. In additin, pursuant t the Municipal Cde f Chicag, the permittee shall indemnify the City f Chicag and its agents and emplyees, and furnish prf f insurance naming the City f Chicag and its agents and emplyees as additinal insured thrughut the duratin f the permit term. DO NOT INCLUDE ANNUAL FEE PAYMENT(S) WITH THIS APPLICATION. Page 6 f 7

7 ALDERMANIC WARD OFFICES LIST WARD NAME WARD PHONE WARD OFFICE ZIP 1 Mren, Prc Je (773) N. Western Ave Firetti, Bb (312) S. State St., Suite A Dwell, Pat (773) S. State St Burns, William D. (773) E. 35 th St., 1st Flr Hairstn, Leslie A. (773) E. 71st St Sawyer, Rderick T. (773) & ½ E. 83rd St Jacksn, Sandi (773) S Yates Harris, Michelle A. (773) S. Cttage Grve Beale, Anthny (773) E. 112 th Pl Ppe, Jhn (773) E. 106 th St Balcer, James (773) S. Halsted St Cardenas, Gerge A. (773) S. Archer Ave Quinn, Marty (773) S. Pulaski Rd Burke, Edward M. (773) W. 51 st St Fulkes, Tni (773) W. 63 rd St Thmpsn, Jann (773) S. Western Blvd Thmas, Latasha R. (773) S. Racine Ave Lane, Lna (773) S. Western Ave O'Shea, Matthew J. (773) S. Western Ave Cchran, Willie (773) S. Cttage Grve Brkins, Jr., Hward (773) S. Ashland Ave., Unit B Munz, Ricard (773) S. St Luis Zalewski, Michael R. (773) S. Archer Ave Chandler, Michael D. (773) S. Keeler St Slis, Daniel (773) S. Oakley St Maldnad, Rbert (773) W. Divisin St Burnett, Jr., Walter (312) W. Chicag Ave Ervin, Jasn C. (773) W. 16 th St Graham, Debrah L. (773) W. Divisin St Rebyras, Ariel (773) N. Milwaukee Ave Suarez, Regner Ray (773) W. Fullertn Ave Waguespack, Sctt (773) N. Clyburn Mell, Richard F. (773) N. Kedzie Ave Austin, Carrie M. (773) W. 111 th St Clón, Rey (773) N. Sawyer Ave Spsat, Nichlas (773) W. Diversey Mitts, Emma (773) W. Nrth Ave Cullertn, Timthy M. (773) W. Irving Park Rd Laurin, Margaret (773) W. Lawrence Ave O'Cnnr, Patrick J. (773) N. Lincln Ave O'Cnnr, Mary (773) N. Nrthwest Highway Reilly, Brendan (312) W. Hurn, Suite Smith, Michele (773) N. Halsted St Tunney, Thmas (773) W. Belmnt Ave Arena, Jhn (773) N. Milwaukee Ave Cappleman, James (773) N. Bradway Ave Pawar, Ameya (773) N. Lincln Ave Osterman, Harry (773) N. Bradway Ave Mre, Jseph A. (773) N. Greenview Ave Silverstein, Debra L. (773) W. Devn Ave., Suite A Fr up-t-date aldermanic infrmatin, please g t the City Clerk s website at: Page 7 f 7

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