HomeMy WebLinkAboutRight of way permitVCITY OF CARMEL RIGHT-OF-WAY PERMIT R : t
PERMIT NUMBER:
19060158
TODAY'S DATE: 06/21/2019
C) (a Z t-1 1`7 -
ESTIMATED DATE OF WORK: 07/10/2019
APPLICANT (Person doing the work) Bruce Torrance
COMPANY: Torrance Contracting LLC
ADDRESS: 9608 Copley Drive
PHONE: (317) 339-2187 EMAIL PERMIT TO: bruce@mainscape.com
CUSTOMER: Bruce Torrance
ADDRESS: 11838 Hoster Road, Carmel, IN 46033
PHONE: 317 339-2187
ADDRESS OF PROJECT: 11838 Holter Road
DESCRIPTION OF WORK (check all that apply)
ROAD BORE ri DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE ® LANE CLOSURE ❑
STREET CUT ® ROAD CLOSURE El
OTHER
DESCRIPTION: Demolished old home, building a new home.
TYPE OF SURFACE CUT (if applicable): NIA
*NOTE. OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL
USE OF HEAVY EQUIPMENT YES 8 NO 8
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:
As applicant for this Right -of -Way Permit, 1 understand and agree to all of the specifications and
conditions listed on the attached sheet.
Bruce Torrance
(Applicant's Signature) (Print Name)
PERMIT GRANTED BY: ��}�e DATE ISSUED:
(City Official)
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)
Oep .