HomeMy WebLinkAboutROW PERMITCITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER: O 3 ( 3 ic? -10
�arrnel Engineering Dept,
DAY'S DATE: 03/12/2019 ESTIMATED DATE OF WORK: 04/01/2019
APPLICANT (Person doing the work) Craig Dice
COMPANY: Case Design / Remodeling
ADDRESS: 99 E. Carmel Dr., Suite 100, Carmel, IN 46032
PHONE:
CUSTOMER:
ADDRESS:
PHONE:
(317) 846-2600 EMAIL PERMIT TO: cdice@caseindy.com
Peter & Margaret Hentz
13919 Shelbourne Rd., Carmel, IN 46074
317-337-3517
ADDRESS OF PROJECT: 13919 Shelbourne Rd., Carmel, IN 46074
DESCRIPTION OF WORK (check all that apply)
ROAD BORE 0 DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE ® LANE CLOSURE
STREET CUT E] ROAD CLOSURE ❑
OTHER F✓
DESCRIPTION: Dump 4uck, sma9 excavation equ'pmenl, delivery truck going from She'rboume Rd. co existing aspW driveway
TYPE OF SURFACE CUT (if applicable):
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS fBPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES NO
DRAWING ATTACHED YES M&VI 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: The Ohio Casualty Insurance Company
BONDING NUMBER: 325425421
EXPIRATION DATE: 02/06/2n20
As applicant for this Right -of -Way Permit, 1 understand and agree to all of the specifications and
conditions listed on the attached sheet.
Craig A. Dice
(Applic n 's S re) (Prir> Name)
PERMIT GRANTED BY: '/4-� DATE ISSUED: ;S,//,
COMMENTS:
(City Official)
l/Q .'D ,
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)
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