HomeMy WebLinkAbout18110123 Right-of-way PermitCITY OF CARMEL RIGHT-OF-WAY PERMI-C,
PERMIT NUMBER:
TODAY'S DATE: 11/26/2018 ESTIMATED DATE OF WORK: 12/05/2018
APPLICANT (Person doing the work) Casey -Bertram Construction
COMPANY: Casey -Bertram Construction
ADDRESS: 5780 E 25th Street, Indianapolis, IN 46218
PHONE: (317) 460-9444 EMAIL PERMIT TO: jarthur@caseybertram.com
CUSTOMER: John & Jordanna Perry
ADDRESS: 15815 Shining Spring Drive, Westfield, IN 46074
PHONE: 317-716-5716
ADDRESS OF PROJECT: 1680 W Main Street
DESCRIPTION OF WORK (check all that apply)
ROAD BORE Ll DRIVEWAY REPLACEMENT 7
CONSTRUCTION ENTRANCE✓ LANE CLOSURE F-1
STREET CUT ROAD CLOSURE 71
OTHER D
DESCRIPTION:
TYPE OF SURFACE CUT (if applicable):
*NOTE., OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES / NO
DRAWING ATTACHED YES V/1 NO
*NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUB -CONTRACTORS INVOLVED
SURETY BOND. Please see Item #1 of the Right -of -Way Conditions.
BONDING COMPANY: (ON -FILE)
BONDING NUMBER:
EXPIRATION DATE:
s applicant for this Right -of -Way Permit, /understand and agree to a// of the specifications and
_--conditions listed on the attached sheet.
James A. Arthur
(#ppcant's signature) (Print Name)
b, z
PERMIT GRANTED BY: DATE ISSUED:
(City Official)
COMMENTS:
=3'— / ?_
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)