HomeMy WebLinkAboutJoshi Right of Way ApprovalCITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER: /002 /q-/ Z
TODAY'S DATE: ; 0 — � ` 19 ESTIMATED DATE OF WORK: I v./ % t7 / / r
APPLICANT (Person doing the work)
COMPANY:
/y ,
ADDRESS: (f
f ��
PHONE: 21
EMAIL PERMIT TO:
le?
CUSTOMER:
-
ADDRESS
PHONE: S ;
�-� �"%
ADDRESS OF PROJECT:
DESCRIPTION OF WORK (check all that apply)
ROAD BORE !(j DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE El LANE CLOSURE
STREET CUT ® ROAD CLOSURE
OTHER i~ i I ,SnfT'/nr o
DESCRIPTION: l 1 -0 `f)
TYPE OF SURFACE CUT (if applicable):
*NOTE. OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW1 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. I
BONDING COMPANY: )' 7 , ' L. AV �P/_i
BONDING NUMBER:
EXPIRATION DATE: / I
As applicantfor this Ri h
pplicant's Signature)
PERMIT GRANTED BY:
(City
COMMENTS:
t-of-Way Permit I understand and agree to all of the specifications and
conditions listed on the attached sheet.
(Print Name)
DATE ISSUED:
mod,
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)
10�
Liberty
Mutual:.
SURETY
National Bond Center
350 E. 96th Street
Indianapolis, Indiana 46240
+1 (888) 8442663 Fax: +1 (866) 5474883
CONTINUATION CERTIFICATE
To be attach8d to and form a part of surety bond number
, for Right of Way
dated the 5th day of September, 2018
The Ohio Casualty Insurance Company
32S591908
(the "Bond"), cross reference bond number
in the penal sum of
$ 5,000.00
issued by
as surety (the "Surety"), on behalf of
METATRON, LLC DBA CAPEHEART LANDSCAPE AND DESIGN as principal (the "Principal"), in favor of CITY OF CARMEL
ENGINEERING DEPARTMENT, as obligee (the "Obligee").
The Surety hereby certifies that this Bond is continued in full force and effect until the _
September, 2020 , subject to all covenants and conditions of said Bond.
5th
day of
Said Bond has been continued in force upon the express condition that the full extent of the Surety's liability under said
Bond, and this and all continuations thereof, for any loss or series of losses occurring during the entire time the Surety
remains on said Bond, shall in no event, either individually or in the aggregate, exceed the penal sum of the Bond.
IN WITNESS WHEREOF, the Surety has set its hand and seal this 22nd day of
LMIC - 3300
July, 2019
The Ohio Casualty Insurance Company
'I'l INS&
(Surety) �oP�OVOLPO
By: i k e ? oo
1919
% hA UP`+� D
-- — _Timothy A MikolajewskL
Assistant Secretary - Liberty Mutual Surety
The Smith Sawyer Smith Agency LLC
124 E 8th Street
Rochester, Indiana 46975-1508
�'.`_ .'`�-�►-� _�� �._.-w �'.y� _ sue+-:
1 `ti
gfn706798YffN-r0N01
bilk JOSHI RESIDENCE N
Pool Area Plot Plan Overlay
10574 ELIZABETH COURT, CARMEL, IN 46032