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 -
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