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CITY OF CARMEL
PERMIT RECEIPT
/
OPERATOR: vdolarr
COpy # 1
See: Twp: Rng: Sub:967 Blk: Lot:302
PARCEL ID ........: 1610280105035000
DATE ISSUED.......: 05/18/2006
RECEIPT #.........: 22093
REFERENCE ID # ...: 06040069
SITE ADDRESS ...... 5767 MEADOWLARK PL
SUBDIVISION ......: TRAILS AT AVIAN GLEN, THE
CITY .............: CARMEL
IMPACT AREA ......:
OWNER..... .......: JOE GORZALSKI
ADDRESS ..........: 5767 MEADOWLARK PLACE
CITY/STATE/ZIP ...: CARMEL, IN 46032
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANy.......... :
ADDRESS ..........:
CITY/STATE/ZIP ...:
TELEPHONE .... .....
KILBURN BROTHERS
LIC # KILBBRO
KILBURN BROTHERS CONSTRUCTION
405 VISTA DR
INDIANAPOLIS, IN 46280
(317) 339-2029
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
IRESFINAL FLAT RATE 1. 00 55.50 0.00 55.50 0.00
IRESFTSLB FLAT RATE 1. 00 55.50 0.00 55.50 0.00
IRESROUGH FLAT RATE 1. 00 55.50 0.00 55.50 0.00
RESADD SQUARE FEET 324.00 172.38 0.00 172.38 0.00
RESC/O FLAT RATE 1. 00 53.50 0.00 53.50 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 392.38 0.00 392.38 0.00
METHOD OF PAYMENT
AMOUNT
NUMBER
CHECK
TOTAL RECEIPT :
392.38
10263
392.38
CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: Residential New Structures, Additions, Remodel.s, & Accessory Buildings
Permit #: 06040069
Date: 05/18/2006
PARCEL ID #: 1610280105035000
LOT & SUBDIVISION: 302 TRAILS AT AVIAN GLEN, THE
ADDRESS OF CONSTRUCTION: 5767 MEADOWLARK PL CARMEL, IN 46033
Township?: Zoning: S1 Flood Zone: N
PROPERTY OWNER INFORMATION:
Name: JOE GORZALSKI
Ph, #: 3178440473 Fax #: 3175711142
Street Address: 5767 MEADOWLARK PLACE CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: KILBURN BROTHERS CONSTRUCTION
Ph,#: (317)339-2029 Fax#: 3175711142
Street Address: 405 VISTA DR INDIANAPOLIS, IN 46280
Lot Split: N
Email:
Plumber's Name:
Codes for Project:
,nedal N ndition",
RESIDENTIAL PORCH ADDITION, LOT 302 TRAIL AVIAN WY
4/20/06, RESUBMITTED ISSUES FOR PERMIT ISSUANCE
CONDITONAL RELEASE: GIRDER SHALL BE A 2-2X10 OR
EQUIV. . NO NOTES'
PERMIT TYPE: RESPORCH
RESIDENTIAL PORCH ADDITION
Water Service by: CARMEL
County Well Permit #:
Sewer Service by: CARMEL
County Septic Permit #:
Foundation Type: SLAB
Estimated Cost of Construction: $12000
Manufactured Trusses: N
Sump Pump: N
Porch: Y
Deck:
Square Footage: 324
Early Release ILP: N
Model Home:
This penllit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release. All construction
must he completed (C/O issued) within two (2) years of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993"
(Z~ 289) and amendments, adopted under authority of LC 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further certify
that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
APPLICANT NAME: TIMOTHY
FEES:
RES FINAL 55.50
RES FOOTING & UNDRSLB
RES ROUGH-IN
RESIDENTIAL ADDITION
RESIDENTIAL CIO
KILBURN
55.50
55.50
172.38
53.50