HomeMy WebLinkAboutROW permit # 052119-3CITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER: 657 Z / 1 °I —3
ITODAY'S DATE: 05/16/2019
APPRO�`,a-
CCannel Engineerin,,
(317) 460-9444 EMAIL PERMIT TO: jarthur@caseybertram.com
CUSTOMER: Ken Weerts
ADDRESS: 4630 Lisborn Drive, Carmel, IN 46033
PHONE: 317-997-1534
ESTIMATED DATE OF WORK: 06/10/2019
APPLICANT (Person doing the work) Casey -Bertram Construction
COMPANY: Casey -Bertram Construction
ADDRESS: 5780 E 25th Street, Indianapolis, IN 46218
PHONE:
ADDRESS OF PROJECT: 931 Oswego Road, Carmel, IN 46032
DESCRIPTION OF WORK (check all that apply)
ROAD BORE M
DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE 1]
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 ,v/ NO 8
*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:
J s applicant for this Right -of -Way Permit, l understand and agree to all of the specifications and
Cs listed on the attached sheet.
James A. Arthur -
(p icant's Signature) (Print Name)
PERMIT GRANTED BY:
(City Official)
DATE ISSUED: c5 /Z
COMMENTS:
w• °•# / S9 � �R
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)
u
o m
Q 3
m
I
I
I
I
I
I
C C
C.
O ,`e
E
v
I
O
o
J
U
C)
10 OJ
Ol
I
g
QO I
O I
O
N
O
I
I
I
00o
my
O p
J
X
W
I
G
a-i
�
H
I
�
o
7t
I
a
i
vi
N O
N
1
3
1>
>
C �
X o
O
I >
O
W
^
i
O
o
N
N
3
�
I
N
H O
I
� m
I
O
I
�
�
O �
I
I
I
a
r
I
c
�
a
I
I
I
�
O1
Y
u
I
I
I
I
1
I
I
0 3t
p
m
c
I
1
3
a
X
W
I
N
C
O
a
I
I
O
V
(p
�
d
m
3
0