HomeMy WebLinkAbout18100013 Right-of-way Permit�:I na AIR 0 0010111-1 A aww"M I
APPROVED
Ca IV
HU, L)&PL
TODAY'S DATE: 04/07/201 7 ESTIMATED DATE OF WORK: 05/01/2017
APPLICANT (Person doing the work) Gradison Design Build
COMPANY: Gradison Design Build
ADDRESS: 633 E 75th Street Ste 156, Indianapolis, IN 46250
PHONE: (317) 594-7575 EMAIL PERM IT TO: nhufford@gradison.net
CUSTOMER: John & Gloria Barbour
ADDRESS: A V M L LN, qUO32-
PHONE:
ADDRESS OF PROJECT: 2028 E 106th Street, Carmel IN 46032
DESCRIPTION OF WORK (check all that apply)
ROAD BORE 0 DRIVEWAY REPLACEMENT M
CONSTRUCTION ENTRANCE ri LANE CLOSURE
STREET CUT ROAD CLOSURE
OTHER
DESCRIPTION: New Home Construction
TYPE OF SURFACE CUT (if applicable):
*NOTE.- OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES NO g
DRAWING ATTACHED YES NO
,*NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUBS -CONY RACTORS INVOLVED
SURETY BOND, Please see Item 41 of the Right -of -Way Conditions.
BONDING COMPANY: Western Surety Company
BONDING NUMBER: 15210434
EXPIRATION DATE:
;7
As applicant for this Right -of -Way Permit, I understand - and agree to a// of the specificati—ons- --- and
conditions listed on the attached sheet.
Mark Gradison
(A re) (PrJpt Name)
PERMIT GRANTED BY:
(CiiyOfflcial) DATE ISSUED:
COMMENTS:
REPAIR WORK INSPECTED AND APPROVED
I have inspected the repair of the above right-of-way and find it to be completely satisfactory.
(City Inspector) (Date Released)
RELEASED FOR CONSTRUCTION
Subject to compliance with all regulations
of State and Local Codas
E14 of Comall
Nick Mishler