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HomeMy WebLinkAboutCarmel ROW Permit - McBroomADDRESS OF PROJECT: 14556 Jackie Spring Ct., Carmel, IN 46033 DESCRIPTION OF WORK (check all that apply) ROAD BORE DRIVEWAY REPLACEMENT CONSTRUCTION ENTRANCE LANE CLOSURE STREET CUT ROAD CLOSURE OTHER 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 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: BONDING NUMBER: EXPIRATION DATE: The Ohio Casualty Insurance Company 325591933 915!19 As applicant for this Right -of -Way Permit, I understand and agree to all of the specifications and conditions listed on the attached sheet. Jordan Stocklin ( plicant's Signature) (Print Name) PERMIT GRANTED BY: (City Official) COMMENTS: DATE ISSUED: 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) g Dept - RIGHT-OF-WAY PERMIT PERMIT NUMBER: 0S0eJ 7-11 = - . TODAY'S DATE: 5/3/19 ESTIMATED DATE OF WORK: 5/28/19 APPLICANT (Person doing the work) Jordan Stocklin COMPANY: CASE Design/Remodeling ADDRESS: 99 E. Carmel Dr. Ste. 100, Carmel, IN 46032 PHONE: 317-846-2600 EMAIL PERMIT TO: Jstocklin@caseindy.com CUSTOMER: McBroom, Frederick R. III & Carin A. ADDRESS: 14556 Jackie Spring Ct., Carmel, IN 46033 PHONE: 317-443-9599 ADDRESS OF PROJECT: 14556 Jackie Spring Ct., Carmel, IN 46033 DESCRIPTION OF WORK (check all that apply) ROAD BORE DRIVEWAY REPLACEMENT CONSTRUCTION ENTRANCE LANE CLOSURE STREET CUT ROAD CLOSURE OTHER 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 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: BONDING NUMBER: EXPIRATION DATE: The Ohio Casualty Insurance Company 325591933 915!19 As applicant for this Right -of -Way Permit, I understand and agree to all of the specifications and conditions listed on the attached sheet. Jordan Stocklin ( plicant's Signature) (Print Name) PERMIT GRANTED BY: (City Official) COMMENTS: DATE ISSUED: 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) g Dept - 2 /ono (/ 1� � .jm C EB -;,8 7m� ycc 9 E@p@ e ��DygyS •Y 2; xiiE8 e�gF ££094 euelpuI IawJe� q�fiuud5 aih�eC 955bT N. 4 o J Q 40_ �0'I �SESF 5e Hd ��£ 6g =SEs W..Jvw ul,Je],s PaJd uo1 6uini joo n �.ppd l p� O O z H U o 39 a �$�� �x a�uapisaa woO.ig�w y r N I \ I / 80yb ws Aa 226 OJ iSao 0Uc.m-� �o (P Ow Ln Um^m n m � 16r .- F4 •,6.00 F- t` '3's '�aSA9s4ia 1N3L12Ff1SB69vt� -- . � ti •�-tin— — wa :4