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HomeMy WebLinkAboutSEPTEMBER 9 2015 BUILDING APPSNEW HANOVER COUNTY BUILDING PERMIT aPPLIcarIoN TYPE: COMMERCIAL 6ft: PLEASE ANSI'ER ALL QUESTIONS APPLICAELE IO YOUR PROJECT "Project Responsibility" A1ts-Yrr. APPLICATION Number (office Use) APPLICANT'S NAI'4E: DEVELOPER: y7n AshLey HaqueDATE: arr.2l i-l CITY: iiritminqron PHONE #: 9 La. r6.t . arr5: OCCUPANT/BUSINESS NAlvlE: Beach Baqe Ls PROPERTY OWNER,S NAME: ronv DiNorcia PHONE #: a6, .rir.r-:r4 OWNER'S ADDRESS: 59C6 cleander Dr. lf Relocation, is there a Natural Gas Line on the Current NEI,I CONSTRUCTION: N ERECT NEW STRUCTURE ACCESSORY STRUCTURE: Site? il YesNo lS BLDG SPRIN FAST TRACKSHELL KLERED? N YeS E No UPF IT ADD TO EXIST STRUCTURE CITY: l,li lmingron CONTRACTOR: ADDRESS : E-l(..l*<e G,lT4et:Tr,... t <)L LrcENsE #: 6 {-.c,e"=' accouNT #: 4,:?: Lr LuNbrl Att< 4tJE. crrY: ('t+(h' c t -t-tt+ g.1ct4 sr /\LzrP2z'.:i'GrA EMAIL ADDRESS: i{o e e.t<,tr \< - c-,,,PHONE #: 'rc. 5? i,'7-<}=t PHONE #:PROJECT CONTACT PERSON: (check AI1 That Apply) EXIST CONSTRUCTION:ALTERATION RENOVATION tr GENERAL REPAIRS RE LOCATION If UPFIT - The SheU Penmit #: IF Yes, what was the Previous Occupancy Type? ARCH DESIGN PROFESSIOTIAL: David Lisle ENGR DESIGN PROFESSIOT,IAL: N/A DESCRIPTION OF WORK: Renoyation cf existing bagel shop Is Elect Power on this Building m Yes E ruo ***** Is THI5 A CHANGE oF occupANcy usrf Ives E*o ---.. I,lhat is the New Occupancy Type? PHi 91A.163.5A52 NC REG f: ?903 PH:NC REG #: ts food or beverages prepared or served in this structure? fllves ff no ls The Prope]ty Located ln The Floodplainz fi ves [l ruo ilding Code and all other applicable State in the approved plans and ipecrfications tion ofthe NC state Bldg code and TOTAL PROJECT COST: 75, OOO TOTAL AREA SQ FT :SQ FT PER FLR:# OF STORIES: 1 (Ousmer) (PdntNsme) c.ntain Asb€stos or not. You are required to c6ll lhe Nalional Emission Standards ior Hazardous Air Pollutants (NESHAP) at (9'19)707-5950 at least 10 days prior to the demolition of any lacility or building. See Asbestos Web Sile: http:/ ,vrvw.epi.sbte.nc.us/epi/asbeslo6/ahmp.html 2, 21r ACRES DISTURBED NEW IMPERVIOUS AREA: PROPERTY USE: IOFF|CE WATER: EICFPUA SEWER: [Z CFPUA flcoMMuNrry sysrEM EWELL flzoNtNc usE cLASStFtcAION fl CENTRAL SEPTTC LI PRTVATE sEprc EcoMMUNrw SYSTEM EXST LAND DTSTURBTNG pERMrr? n yES lJ NO SQ FT EXISTING IMPERVIOUS AREA: RESTAURANT MERCANTILEEDUC EAPT [coHoo ornen REVISED DATE 4/11/12 SQ FT *. SEPARATE PERMITS REOUIRED FOR ELECT, I'IECH, PLBG, GAS EOUIP. PREFABS & INSERTS "' PAYMENT MErH.o.D;...H::::-*n*::=-::::y-:.:l:::?..-ry-'"1::i::::i:.-n-.f::T*-n*? scovER ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B: Approval:_ City:_ DATE:_ FLOOD: __ _BFE+2ft=_ AVN Comment PERMIT FEE: $_ Vtrre 1o-n 6Y!.,,.:r,,-,. a . I ' ..\ ",.&' PROIECT ADDRESS: 5906 oLeander Dr.ZIP i 281a3 5T: Nc ZIP: 28403 BUILDING HEIGHT: 15 ' # OF UNITS: 1 TOTAL SQ FT UNDER ROOF: 2 . 2 41# OF STRUCTURES: 1# OF FLOORS: 1 Dtsc (FOR OFFICE USE ONLY) ?ot1-Xfif e RECEIVED t1fl10- P",rirI \5'249OF CAROLINA BEACH Lake Park Blvd., Carolina Eeach NC 28428 (910)45&2978 or cax (910)458'2997 ffi. Rocelved _ BUILDIN ONING PERMIT APPLICATION Applicdions nust be pifted or lypewritten and have all infornation ans'Lered. A "to-scale" plot plan nust anompany lhis applhalion as well as water/sewet application (if applicable). lnconplete or i egibls applbations wi not be accepted ot processed APPLICATIoN is hereby made for a permit to perform the following n/ork which wlll be done in accordance wllh the description, survey and pJans submitted puEuant to the Town 0f Carolina Beach Zonlng ordinance, Nodh Carolina State Buliding Code and all other applicable Local, State and Federal laws and regulations. 5/PROJECT LOCATION: SECI/O,V, - PROJECT INFORMATTON 1) PropertyOwnels lntormation: Name Address 2) Contnctor's tnlorn Nane /ddress Enail Address Nane Email 4) Proposed 5) oescription ol ProposedConstruction ,no,,*?/4- Zil-43/5- e e,s t914:Z3l-828* Conlraclat's License #4blbl)bili.dt4carotna Beach Pnv ese Licensa L 3) Contact Person tor lheProject: t1.1 Con strucli o n : f lease ci rc lew) - Two Fam y - Accessory Building - Swimning Pool - Fence - S@n - llulti-fanily Dwe ing - novation/Repair/Addition - Huicane/Storm Repai - Mobile Home - Eeach Accesswalkway -Othet Total squZl40 neaeolfuLsq.fi. unneaa ?4L sq.ft. Totat Cost of Constuction) DSiing/e Lot covercge_.- % zone Cantjlever per side e- RL hetght ft. fnnt setbxrZi! ft. rear setbac* j,5, tLtt. side setback-IaG Existi ng U selP revi ou s U se :5i^ale- {),r;1,, Proposed Uso; lf this propefi is "non-conforning" or located in a froodzone, cosls CANNoI e.{ceed 50% of lhe appraised value of the strudue The Town of Carolina Beach and FEMA requte that consttuction You arc requircd to include wth this application, a brcakdown ot 't 4of7 the list af mateials. including labor AALa drcwing af the project. 9 /2/201,510:01 AM ?7&/? eno,e*!f1!2/ll-ffflf1 NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE; RESIDENTIAL PI.EASE ANSWER ALL QUESTIONS APPLICASLE TO YOUR PRO]ECT "Project Res pons ibility" ts 2.as- $sY5 /faqPJ- APPLICATION Number (office Use) APPLTCANT,S NAITIE: DEVELOPER: SUEDIVISION: CITY: DATE: PHONE fr ACCOT NT *: RE LOCATION SF Zlo=uo-zefy zrP: 2./* / | NA[1E : CITY: CoNTRACTOR: m*rt \ea,h CLC LICENSE #: AODRESS: itclz 9r r o4,CITY: EI4AIL ADDRESS: 7v{ PRO]ECT CONTACT PERSON: EXISTING CONSTRUCTION:ALTERATION RENOVATIONGENERAL REPAI RS NEI^l CONSTRUCTIoN:ERECT NEld RESIDENCE or ADDITION TO EXISTING RES IDENCE **PLEASE CHECX AND ANSWER BELOII ALL THAT APPLY TO YOUR PRO]ECT: PROPERTY OI"]NER, S OI,.INER, S ADDRESS: ATT GARAGE suNRoot4 _sF GREENHOUS E PTONE f: ST: EruA*rC' *,Trp, zZq/3 oPHONE #: PHONE #: 7to SF SF DET GARAGE _ 5F PooL _ sF DECK SF PORCH _SF STORAGE SHED OTHE R:2..' TOTAL HEATED 5Q FT: _ ToTAL 5Q FT UNDER RoOF: _ ToTAL AREA 5Q FT: _ rorAL pRorEcr cosrG...ro,) , t ll, fl,,1f,oo # oF sroRrEs: Is Any ELECTRICAL, pl-Ul,4BING or l4€CHrrr,ltCAL Work Eeing Oone to the Accessory Structure? | Vet .fttno If the project is a Relocation, is there a Natunal Gas Line on the Current Site? [ Ves ffNo Is there Electrical Powen on this Building?l-l ves ff r'to PROPERW USE / OCCUPANCY r,/SrltCLr 'OrrlVDESCRIPTION OF WoRKi DUP LEX TOI,,]NHOUSE er DISCLAIMER: lhereby ce(i, u)al all intomalirn in fiis appticaton is cooecr and a[ work wiI compty with he Slale Bu and ordinances and rcgLrlailons. The NHC Developmenr Services CenEr wiltbe rotilied ofany changes in te approve ilding Code and all oher app icabte SraE and tocat taw conlractor informaton. "'NOTE:Aiy Work Perlormed W/O iheropriale Permirs will be in Violarion ollhe NC Slate OI{NER/CONTRACTOR:SIGNATURE: i,r** r + + *,rr** * * ** + + - * *** * + *..(li'I: Jil"i,t,* ****,*)*,** *+* *** * **+* * *,* ,* +* +****,t)* rs rHE pRopERTy LocATED rN a rlooorurl? ! ves E] ro EXISTING IMPERVIOT S AREA: _SQ FT TOTAL ACRES DISTURBED: NEW IMPERVIOT S AREA: _SQ FT EXIST LAND DISTURBING PE .-.-Au6tt-2015 rrrarER: ! crnua f] coMMUNrry svsrem /enrvnrr wrll ! sEwER: I creua ! CENTRAL sEprrc fl ca: ate seerrc ! CENTRAL WELL CoM|\4UNITY SYSTEi'.1 ..** SEPARATE PERMrrs REQUTRED FoR ELEcr, r4EcH, PLBG, GAs EQUrp, pREFABS & rNsERTs *** pAyitENT r4ErHoD: I casH I cnrcK (pAyaBLE ro ,rc1 [ er,-i o..** ' E ".irrio- '-E-orr.orm *'*** **,*,** *,* * )*,t * ,*,*,*,1 ,t * * * *,t* * **,* +* )t,t,***,t***,tt )*,* )*** *,*,r,i ,t *:* * )i * )* ,r )t,r ** *+* *t*)t *+* ** *,r ,t )* *,t :r x x * ,*,t (FOR ofFrCE USE (r!Ly) REVTsEO OArE O4l11l12 SETBACKS: F:_ LH:_ RH:_ B:ZONE:OFFICER: Appnoval:_ City:_ DATE :_ FLOOf;BF E+2ft= a v *- Comment: ($/,fu LOT *: PROJECT ADDRESS: BLOCK #: tr SF \\t-*'i YES /u uc* lio /rlps * NEI^I HANOVEC tOUruTY'BUILDING PERMIT APPLICATIoI'I IYPE: RESIDENTIAL PTEASE ANSI4IER ALL QUESTIOXS APPLICABLE TO YOUR PRO]E'T "Project Res pons ibility,, Qrl-tt pz )S {srs .2ols-g;1b APPLICATION Number (office use) /?t APPLICANT'S NA'TE I DEVELOPER: A. r oar:4-l1S PHONE $: PROJECT ADDRESS: SUBDIVISION: PROPERTY OWNERJS iJAME: OW\IER'S ADDRESS: :1 (- CITY: t-\ r-11 ZIP i D {\\ 6CONTRACTO ADDRESS: C C ITY: LICENSE T: CITY: PTONE *: PTONE f : st: /J<ztp:2? 1,/ srt jgLztPt /S{*f PIln/NE St 7/) R: o? EMIL ADDRESS:+( 4ta -170 7){ 33 )ot_( EXTSTTNG CONSTRUCTTON: ffO,rr*Orro, fr-*rrouorro, ! crrurnal nrenrns fl RELOCATTON NEW CONSTRUCTIOU: ! rnrCr NEW RESIDENCE o" ! AOOrrrOt To EXTSTING RESIDENCE **PLEASE CHECK ANO AI{SI,JER BELOW ALL THAT APPLY TO YOTJR PRO]ECT: SF ! oer canace sr ! eoncH _sF! surunoom _sF ! eoor _ sr I sroRncr srro 6R E ENHOUS E 5F ATT GARAGE Is Any If the Is the project i re Electrical Powen PROPERTY USE / OCCUPANCY: E 5F OTHER: loo SF SF TOTAL HEATED 5Q FT: 9oo.TorAL SQ FT UNDER ROOFT i;'pO roTAL AREA SQ n; /O) TOTAL PROIECT COST lress roe : $/D k# OF STORIES: / sa eoca r |4ECHAI{ICAL work Being Done to the Accessory structure? frV", f] Ho tion, is there a Natural 6as Line on the Cunnent Site? [ ves ftfoon this Buildingl [lves [ ruo sTNGLE FAMTLv ! ouer-rx !TOWNHOUSE e oua r f(1/o arl n L-, b.Nl., - ECTRICPLUiIEING d a /\^' DISCLAIMER: r hereby ceniry har alt inbrmarion in this applical,on is correcr and altworkwiltco mplywi!.l the State Buitding CoOe and altofier appticabte State and toc€ awsand ordi.ances and regutations. fhe NHC DevetopnEni SeNices CenEr wiltbe notilted olanychanges in the approved ptans and specifications orchange in coni acbr orcontaclor inbrmaiiOn. '-NOTE:Any Work perlofi|ed W/O lhe Appropnate permilswiltD€ inVblalion olthe NC StaE 8td OI,'INER/CONTRACTOR : ta,r tf?; ** ** **i * *x* *+ r * ** * * *** * * ** *(il,lllil] ** IS THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTING IMPERVIoTJS AREA: _SQ FT NEt4t IMPERVIOUS AREA: _SQ FT SIGNATUREA(S{rbiecr r} Fine )t* )*+ *** * )i )t )* ** )t* +*)t)k **,t,i** *,**** )*,* + )t )k** )** ** )*:t rt )t )*+** * )tftves K* TOTAL ACRES DISTURBED: EXIST LAND DISTURBING tl EYES NO REVISED DATE O4l11l12 PERMIT: uraren: (crnur! com,,"rururw svsrem tr PRIVATE WE LL CENTRAL lrlE L L n sEhrER: EfcF puA fl ce trRaL srerrc PRrvArE sEprrc I comuurrw svsrrm (FOR OFFICE USE OILY) SETBACKS: F:_ LH *** SEPARATE PER'rrrs REQUTRED FoR ELEcr, mEcH, pLBG, GAs EQurp, ,REFABS & rNsERT' 'r,**pAyrirEirr ErHoD: I crsx f] crrcK (pAyaBLE ,o ,r.i E *r*r; ;;r;, -ij-r.rrrro" 'E orr.orr*+******'t)*+*'t**'i)t*'**)**)t***)t,**,t**+*****+)*)**)t*)i****i+**********,i)*+****,t*,**)*+**,**+*)*****,t)t** Appnoval:_ City:_ DATE:_ FLOOD: _- Conment: A : RH: R. BF E+ 2ft =VN PERMIT FEE: $ BLOCK #: t, LoT #: A _v- ^PROIECT CONTACT PERSON: - rNSox ( o v-r6.A ! orcx _ DESCRIPTIoN OF t^/oRK: -4.-- ZONE: _ OFFICER: _ .A\ Lpn* NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATION TYPF: RESIDENTIAL PLEASE AIISI{ER AIL QUESTIOI{s APPLICASLE TO YOUR PRO]ECT .,project Res porsibility,, urly Srew er ?€2 \5- )llo abls-8s'17 APPLICATION Number (office Use) ', DEVELOPER: LU sgs, 9'1-zuls fosr So\ar Jsle65 LLL CITYI '../ PHONE S: g/0 ^z)u -(r.3& PloirE f: q/d -.)-)2-c\&. PHONE #:Q/o- 71r -62rY SF SF PRO:'ECT ADDRESS: SUEDIVISION: PROPERTY olllNERj S ilAl,lE: owNER,s ADDRESS: ftzJ. CON'I'RACTOR: ADORESs: EltAIt ADDRESS: ). CITY: L/ LLL l-ICEIrlSE f: 6 CrrY: Pil a- BLOCT( fr_LoTS: ztP t 2?qor P.oNE *. qlo'171 '$tf sT ,t N ztp | >tt/or {. l'lt z:.p. JY?r} .Lr 13r"*". .F; 1",. t4 D. rt 5^Crh _/ EXTSTTNG CONSTRUCTION: fi ALTERATION f] nrrcvarrol ! crlrnnl neenrns f]RELOCATION NEhl CoNSTRUCTION, ! rnrCr NEIJ RESIDENCE o" I morrrou To EXISTING RESIDENCE *TPLEASE CHEC( AND AIISUEN BELOW ALL T(AY APPLY TO YGJi PRO]ECT: fl arr caraee _ sFDET GARAGE - 5F PROIECT COiITACT PERSON: 0".l l*ke- I sunnoou _ sF I eooL _ sr I cnerruous r _ sr I ronor _ sr I sroue r sHED _ OTHER:DECK SF TorAL HEATED SQ FT: _ TOTAL SQ rT UNDER ROOF: _ TOTAL AREA SQ FT: TOTAL PROIECT C0ST r.ess.o| : $ Y]O, o orr * OF STORIES: rs any ElEcrRrcar-, pLUllgrNG or r.tEcHANrcAL t{o.k Belng Done to the accessory st.ucturel I v", ff ruoIf the pnoject i.s a Rel,ocation, is there a Is there Electrical Po!./er on this Buildj.ng,/ pRopERTy uSE / OCCUPATTKy: flsttclr rmlrrv DESCnIPTION OF hIORK: f^|otoISI I'tatural 6as Line on the cunrent Si.te? fl ves fl noIffves ffno oulr-rx I TowNHousE (- DISCLAIMER Iherebyceru'lha!a[ inb.maton in this apptEaton is correcland slr work \{t! and ordlnances 8fld rcglrbtlons.The NHc oevotopmenl s6 lces c€nl€, wiltbe notitedotan conlraclor inlorrnaiion, '^'NOTE:Any Work Pe(ormed WO the Appropriale psrm[swdtb6 in cornplywlh Ihe Siale Buildhg Code and atr other @pticabte Slate and to.at tews ychanges in lhe approved pt€nssnd sps€lic€tons o, ch6nge in contacbr or Fines Up To $500 00", ot^rNER/coNTRACTOB : Rol.. I ?^.ke-SIGNATURE: **+* * *,* i)r* * ** j****** ***.*** *(IiTl lill *,, *****.** * **, +*+ + +*,r * *:r * rs rHE pRopERw LoCATED rN A FLooDPLATN? n yEs E uo EXISTITG ITIPERVIOUS AREA: _SQ FT NE[,J IIiPERVIoUS AREA: _ SQ FT TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERIiIIT: T-] VES fI HO PirvATE wELL I crurnal wtt_t RtvlslD oArE O4l11/12 H: RH: R. B F E+2ft = vioraion oirhe Nc slab Sub ********+****'I wArER r f] crnur fl coMMUNrw sysrEr,l srwen: I cFpuA E cruraal srnrrc f]PRTvATE sEprrc I comuurrw svsrem ZoNE: _ OFFICER: (FoB OFFI(a usa 6lrY) SETBACKS: F; L *r* SEPaRATE pERr,4rTS RTQUIRED FOR ELECT, t{fCH, pLBG, GAS EqJlp, pRtFABS & IIISERTS *** payr{ENT ErHoD: I casn I cnrcx (payaBLE ro *rl tr *r.rii, ;;.;, -tr-r;r;rro"'' E rrr.orr***'|* *** *** * ****)i **'* ******,i **** *)r* ***,i x*** * ***,t+*,|*** *r** *,***x* * * *** * *,r *,*,* * * **x *,r** **** ** ApproyaL:_ City:_ OATE:--."- FLOOD; _ Comment: PERIiIIT FEE: $ RECEIVEDSEPOS2OI5 APPT.ICANT'5 NAIiIE: ?otS- S56j RECEIVED+lrcle-'. -,TqWN OF CAROLINA BEACH -1121 Nlake Park Blvd. Carolin6 Beacr, NC 28428 Tel (910)458-2978 or I'ax (910)458-2997- BUILDING/ZONINGPERMITAPPLICATION >r ui{ P",nnt \6'AL Rec6ived be.Artfiel or typewritten and have att inlomaton answered. A "tFscale" plot phn musl acconpany this 6s waterhewer application (if applicable). lncanplete or illegible applications will not be accepted or processed. APPLICATION is hereby made for a permit to perrorm the following u/ork which will be done in accordance with ttre description, survey and plans submitted pursuant to the Town of Carolina Beach Zoning Ordinance, North Carolina State Building Code and all other applicable Local, State and Federal laws and regulations. PROJECT LOCATION:br, SECTION 1 - PROJECT INFORMATION 1) Propefi Owner's lnformation: J.Nane pno** QIQ'Z&-I{-3tg 2) Contra ctor's I nf orn atio n : 2(,one #2- Address Enail Address scaandleehannil,Car---- Classificationbuild.t na carolina Beach Pnviteoe----------_)-ticense* 172-4-7 3) Conlact Personthe Proiect: Nane 0fit pnone*910:zJ) BZJ2- Enail 4)ed Construction: Please circle belaw) Famil- Two Family - Accexory Building - Swimning Pool - Fence - Sign - Mufti-family Dwelling - - Huricane/Stom Repah - Mobile Home - Beach Access/Walkway -Othet rotat sq. t. Z I fO heated jf J-b!, sq.ft. unneata fitD sq.fl Totat cost ot const ucton $/ZC/&D 5) Desciption ot Ptoposed Construction I Lal coverage % zone R2 height_ft. t,ont satacr4lt. rcar setbackl5! lbft. sne setoacr/{. n. Cantilever per side% Ex isti ng U selPrev iou s U s e :hrne u(- Proposed Use: lf lhk yope y is "non-confoming in a flood zone, The Town of Carolina Beach and FEMA requie that constn$tion cotrs CANNof exc€ed 5@ ot he appraised vdue ot the stucture. You are rcquied to include with this application, a breakdown of the list of mateials, induding labor lLa dnwing of the projed. 2of7 9 /2 /201.510:01 AM ,4ppircatrons m\f \l Address cont r aca / s Li c e n se # -fu ,fu LL ?otS-3Sd 00-l-l]0r)L){rri l-leS EI ED OF CAROLINA BEACH N. Lake Park Blvd., Carolina Beach, NC 28428 Tel(910)458 2978 oI Fa( (910)458'2997 BUIDIG/ZONING PERMIT APPLICATION Permit # Received tb-26 Applications must be pintod ot typewriften and have all infomation answered. A'loscale" plot plan nust anonpany this application x well as iater/sewer ;pplication (t applicable). lnconplete or iltegide appl:rcdions will not be acceptod ot prccessed APPLICATION is hereby made for a permit to perform the following wgrk which will be done in acmrdance vYith the description, survey and plans submitted pursuant to lhe Town of Camlina Beach Zoning Ordinance, North Carolioa State Building Code and all other applicable Local, State and Fedeml laws and regulations. PROJECT LOCATION: sEcflo/v1- PROJECT INFORMATION 1) Propefty Name slnformation: nddress 2) Contnctor's lnlormation 6d,Dr, Phone # €t nl,Nane Address Enail Address ContractofsLicense #Carclina Beach PivilegeLicerse #37Zt i)Contact Person lor theProject: Name Phone # Email 4) Proposed Construction: lPlease circle below) Two Family - Accessory Building - Swinming Pool - Fence - Sign - Multi-fanily Dwelling - - Re n ov at i o n/Re p a i r/ A d d it i o n - Hudcane/Storm Repai - Mobile Home - Beach Accesgwalkway-Other totat sq. ft. Z/40 heatedj?/)/) sq.ft. unheated //*l ,n ft. Total Cost of Construction $ 5) Descriplion of Propgsed Cons setracr&,lft. r"r, utourk@Lfr . side setnacrZd Usel por sida -ok Lot covetw-% zoneheight_ft front cantibvet tuisting Proposed Use.' lf lhis prcpefly is "non-conforming"orin a flood zone,The Town of Carolina Beach and FEMA require lhat construction clsts CANNOI exceed 50% of the appruised value of the struclue. You arc rcquied lo include with fl,is application, a breakdown of the list of nateids, including labor ouLa drawing of ke project. Famil 6of7 9/2/201.510;01AM apPLrc&rT'5 t{Al*!,el=ro,J )ots -sr(qq APPI.ICATIOiI ilu[ber (offl+ Ut.l *f*,"f,- APPLKATn ry"r; C0I${ERCIA[ PI:A5E ANSIEi ALr QUTSr'O S A'"LICAgLE TO YOW PIO]€CI "Project Rerponstblllty. -(;<€c LC. PHOTE *r DATE OEVELOPER. PROJECT ADDRESS: occuPA$vBuslfl l5S fl Ar,lE I'@, t) PtoPEiw oBltEi's ilal'lE: otiflfR,s ADDiESST coilmAcmBl&s A'DNESS: ?*q- 't)- EiIAIL ADORESS: PnolECr CoNrACf Pl$ol'lr t|a CITY: L)i!*r " ZIP!fqv.. - ST: ,/JCZIP: A -<Lrl\ phONE *l 4lc .1/u !..5-r-','. t PIONE * | CITY: - PHOIE *: CI'Y: - sT ; ZIP: EXI5T CoISTRUCTION; E ll Relocr on, i3 fter€ B Nrtural uen CournUOrol, I rn ACCESSORY 5T8UCIUf,E: Pm,;* g *nJili'lii,"Et!1|** nrrarns fl REloca,,or (ias Lrne on lh€ Uurrent Sirs? LlYe,&JNo tS BrDG SPR|NKLEREOT fi v"" ffiUo Ecr flEl, sTRucruiE fl rrcr rucr I slrr.r. I urrrr ! rDD ro Exrsr srRucllglE i.*i. ts rxrs A crANcE oF occwctcv usrr I IF Yor, l,/hat r,as tie Prcviour (kcuprncy fyprl _ t{h.t AR(H DESIGX PROFEISTOi'AL: EiJGR DE5I6fl PRoFESS IOfl/{" I DESCRIPTION OF I,IOR( I POU e.+ i^ j-'",.--V L. If UPFIT - The Shcll Permlt {: roTAL PROJECT CoST: \?,6oc - TOTAL AREASQ FT; 3-. , : a TOrAL SO m UNDEF ROOFT _ t/h7 Pox€r on this Buildlnt El yes E ro ws ffim *.-. 13 the fler O((uprn(y Typ€? _ Pll: _ rr nEG f:PH: Hc nEG l. - Is Ellct *) q"*.,.c.q (1.\-,s rll '; t BUILDING HEIGHT: ^'/,ISQFTPERFLE: A**orsrnucrunEffi_ ,0F uNtTs: I #0F-'-.-+E_sroRtEs u/ '4FLOoRsr --filE--#0F ACRES DISTURBED: - /'-E$T LAND DISTURBING PERMIT? flves flruoNEW IMPERVIOUS AFEA: - SQ FTD(ISTING IMPERVIOUS AREA. ----__oUttPROPERTY usE: &*o flnesreumNr WATER: [bCFPuA f] COMMUXITY EXTTEM sEvvEB: ffiCFPUA gScelrnnC sEPrc I^F-yE+____ - _ElaoMNc lJsE ctJ^sstFtcATroN: PR|VATE SEPTTC EcoMMUNtW S\.SIEM flurncelnu treouc flmr Ecoloo ornpR, '' SEPARATE PERI4rrB REOUIRED FOR AECT. MECIL PIJG, q4S EOUIP. PAEFABS r 'NSE&T DISCOVER PAYMENT METHOD: [CnSn I cHEctqpAyABtE ro r.rxcy filuenrcm urness MCMSA tr DAiEflI/U *DE;vtcx" NEW HANOVER COUNW BUILDIIIG PERTIIT-F++tg ,s food or bovqnges g[parod or 3ervBd tn rhh EhdureZ flveyfifuo ts IhB Proparty Loc|iod h ft3 noodptrin? E yE{INo CsJ NEtd HANOVER COUNTY BUILDING 1or-&"9f- PERMTT L5-24064 DEVELOPER: appt-rcarrol Number (office Use) DATE: i 6,]5 *A aPPLrcatroN rvPE; R ESIDENTIAL ##. PLEASE ANsfiER AtL QUEsTIoNs APPLICABLE To YoUR PRolEcT 5t{ "Project Res Ponsibility" APPLICANT,,S NAIiIE: ,.R. Horj-oi,, r..l PHONE #: PROIECT ADDRESS: 5r-L sfeele i.ocp SUBDIVISION: The Reserve at hrest Bay 62' CITY: $i lrnrnotonZIP i .ara'-'- LOT f: 51 PHONE #: 843 646 23tE Yes No T No BLOCK *: PROPERTY OWNER'S NAI'1E: r ,. :....- :I nc CONTRACTOR: J:.R. Jii,L-.rnInc ADDRESS: 4lfl Bette Terre BlydCITY: M,,rtIe Beach ST::r zIP: -i.-:,t ElilAIL ADDRESS: pCBalderoseLidrhorron. com PIIONE #: 843 646 23L8 PROJECT CONTACT PERSoN: rr : I I .r i,, ier.,.l PHONE S: 843-646-2318 EXISTING CONSTRUCTION:A LTERATION R ENOVATIONGENERAL REPAIRS RE LOCAT ION NEW CONSTRUCTION:ERECT NEI{ RESIDENCE oTADDITION TO EXISTING RESIDENCE *,*PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT: ATT GARAGE 429 PORCH 92 5F 5UNRO0r45F STORAGE SH ED 5F GR E ENHOUS ESFDECK SF oTHER: Front Porch 185 SF TOTAL HEATED 5QFf : teA'tTOTAL SQ FT UNDER ROoF: :.5' TOTAL AREA SQ FT: TOTAL PROIECT COSTlL.ssroe : $ ::r,e,: # OF STORIES: Is Any ELECTRICAL, PLUI4BING or MECHANICAL !.lork Being Done to the Accessory Structure? If the project is a ReLocation, is there a Natunal Gas Line on the Cunrent Site? E yes Is there Electrical Powen on this Buildingi l-''l y"r l!-'l to PROPERTY USE / OCCUPANCY: SINGLE FAMILY DUPLEX TOWNHOUSE DESCRIPTION OF WORK: r-rinqle lrarLr Iv P,esident ial andordinancesandregulations.TheNHCDevelopmentSeruicescenErwillbenoijfiedofanychangesinrheapprovedptansandspecifcationsorchangeinconlracloror conuacb ntoimaton. "'NOTE Any Work Pe{ormed W/O he AppropriaE Permits will be in Violarion of lhe N C siaE Btdg Code and Subjecr rc Fines llp To g500.00... ****,ix**x:t++*x*************(iitllli'*"]**********++++*x+++,r,r,*x+,**,*,**x*,*,r***:t*****:r+,F*****:*,** IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YES I NO EXISTING II{PERVIOI'S AREA:SQ FT 5Q FT TOTAL ACRES DISTURBED: 5 NEt..t TMPERVIOUS AREA: J ];.]EXIST LAND DISTURBING PERIIIIT: N YEs IEI NO LBG, GAS EQUIP, PREFABS & INSERTS *** BrLL ACCOUT{T I mclvrsl I orscoven *+ *** x + * * * + i **x* * ***+ * x + +** x,i** * *,* * * *,r SETBACKS: F:_ LH:_ RH:_ B: WATER: SEWER: CF PUA CFPUA *** SEPARATE PERI{ITS REQUIRED FOR ELECT, ME pAyr4ENr r4ErHoD: Icrsn flcnec( (payaBLE ro ;Hc) COMMUNITY SYSTEM PRIVATE t^lE L L CENIRAL WELL ! cerurnar sEprrc I pRrvArE sEprrc COMIIIUN ITY SYST EI4 CH, P I****+** *,*** *x++,*,i,i* +,** ***,****+,t** **,i,* * ******,*,f ,r*** (FOR OFTTCE Usr ofltY) ZONE: _ 0F FICE R: REVIsED DATE O4l11l12 Approval:_ City:_ DATE:_ f IOOD: __f,_ _;_ N ! 8FE+2ft= ut ohlNER'S ADORESS: 4073 BeLle rerre Bli'd. CITY: ]l:.L!]9..@i_ ST: jj: ZIP:2:E LICENSE #: )'.)t;t. ACCOUNT #: sF ! oer eaRace _ sF ! noor - sF OI{NER/CONTRACTOR: Fhir B L.F..Hcrt,on,rr,c. SIGNATURE: NEW HANOVER COUNTY BUILDING PERMIT APPLICATIm'I TYPE; RESIDENTIAL PLEASE ANSI,{ER ALL QUESTIONS APPTICABLE TO YOUR PRO]ECT "Proje€t Responsibility" APPLICATION Number (office Use) DATE: j/9/15 PHONE f: e1c-s3B-s639 ZIP i 214tt LOT #: 81 5-1883 CITY: lr'i lminqton BLOCK #: LICENSE #: ?2034 CITY: wilininqton APPLICANT'S NA}IE: ;oe Miller Construction, DEVELOPER: Joe tlilter Construction, LLC PROIECT ATDRESS: 1801 olde pond Road SUBDMSIOT{: count ry Haven LLC ALTE RATION R ENOVATIONGENERAL REPAIRS ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE **PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT: PORCH 112 CONTRACTOR: Joe Miller Construcl,ion, LLC ADDRESS: b-'rr MdrkeL -'( r eeL EI4AIL ADDRESS: joe. joemiLlerhomes.com PROIECT CONTACT PERSON: -'.e :.1i-ler EXISTING CONSTRUCTION: NEW CONSTRUCTION: IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES SQ FT SQ FT PROPERTY O.f'lER'S loltE: Joe Mlfler construction, OhINER'S ADDRESS: 8209 Marker sLreet A325 WATER: SEWER: ATT GARAGE 477 5F SUNROOM SF GREENHOUSE SF DET GARAGE POOL DECK 1OO SF SF SF LLC CITY: wrlmrngton PHONE #: 91!' 538 5619 ST: NC ZIP: 28411 SF YES T NO REVISED DATE 04l 11/12 sT: r.]c zIP: 28411 PIIONE f: 910 s38 5639 PK,NE S: 91a-538-5639 RE LOCATION OTHE R TOTAL HEATED SQ FT: ls1eTOTAL SQ FT UNDER ROOF: .':r,gTOTAL AREA SQ FT: TOTAL PROIECT C0ST rr."" rot) : $ 22o,DOt # OF STORIES: r.5 Is Any ELECTRICAL, PLUMBING or ITECHANICAL Work Being Done to the Accessory Stnucture?Yes T No DESCRIPTION OF TJORK: Construction of new single family residence Gb AUg bjecr tt Fines Up To $500 00"' If the pnoject is a Relocation, is thene a Natural Gas Line on the cunrent Site? E YesNo Is there Electnical Powen on this Building? l-l Yes T No PROPERTY USE / OCCUPANCY:SINGLE FAI^4ILYDUPLEX TOWNHOUSE STORAGE SHEDSF SF ,i + ***i** ***,*:i )i * * )i:i * ++ii*,1*,** ** TURBED: >. 50 ac re and ordinances and regulations The NHC Development Services CenEr will be noliried of any changes in he approved plans and specincalons or change in contracbr or contacbr intorma[on. "'NOTE Any Work Pedomed W/O lhe Appropr ats Permils will be in Violailon of the NC S OI.IIIER/CONTRACTOR: ,roe Mirrer SIGNATURE: ,*,i,r,i++,F,r+,r,r,r,*,r)r************(I!t{!}i1"}******r***,******)r)r*)i)r)i)r,r,r EXISTING Ii4PERVIOUS AREA: NEW ITIPERVIOT,S AREA: 2]CO TOTAL ACRES DIS EXIST LAND DIST T NO URBING PERIiIIT: CFPUACOI'IMUNI TY SYSTEI,IPRIVATE WELLCENTRAL WELL CF PUA CENTRAL SE PTIC ! earvlre sEprrc E cofiMuNrry sysrEll **I* SEPARATE PERJiIITS REQUIRED FOR ELECT, IIECH, PLBG, GAs EqJIP, PREFABS & INSERTS **'I ! crrcx (PAYABLE ro NHc) flPAYMENT ETHOD:CASH AI1ERICAN EXPRESS mclvrsA DISCOVER ****xx*+**r.******xx***,t+,t++,*,******,*,t*****+*****xx++*,t********+*****x*+****1.*)*)*)k***,k:*)*:*:** ZONE: Approval OFFICER: City I ! DATE: (FOR OFFICE U5E oNtY) SETBACKS: F: FLOOD: LH:RH: N B BFE+2ft= ///7 - lotr*SttY 1,. NEW HANOVER COUNTY BUILDTNG PERIIIT ?EL 6-eqtl APPLTCAiIT' S |{A',IE:n DEVELOPER: PRO]ECT AODRESS; OCCUPANT/BUSINESS M',IE : I PnOPERW OI.t, ER'S tAl4E:I omrrn's ADoREss: X commcron:oru ftl X ADORESS: X rulrr loonrss: F PROJECT COiTTACT PERSO{: If UPFIT - The Sh€ll Permlt #: .**r* IS rHrS A CHAiIGE fF Yes, xiat hras the Prcvlous occuparcy Type ? APPLICATImI rvpr: COlrllrlE RCIAL PLEASE AilSXgR Alt Qt ESTIOXS ApptICABLE TO yOUr PROJECT "ProJect iesponsibillttp crw: Rtr4{J APPLICATIOII l{umbcr (OFflG. Us.) DafE: Z ITS PHONE *: zrPz2Q\(Sl PHmilE *t ?/o -o76\sI:lpzwrZ%t4o\ I CTTY: Wnt LICEIISE T: CIW: IJ(2Tdr\)ST pHo{E *: P}O E *: I flws Im ..... lhat is the t{eu Occupancy Type! ,NLzvr?fu,lol 9.e-zqz-L3(L 603-z1z-Lze_ Is Elect pow€r on thLs Buitding E yes E rO OF OCCUPAI{CY USE ARCH OESfq{ PROFESSIO'IAL: EI{GR DESI6I{ PROFESSIO AL: PH: PH: I,IC REG *: tIC REG *: DESCRIPTION OF hIORK: lnformalion ln thls TOTAL PROJECT COST: TOTAL AREA SQ FT : TOTAL SQ FT UNDER ROOF: ACRES DISTURBED: NEW IMPERVIOUS AREA: PROPERTYUSE: !O WATER: SEWER: E]ECFPUA crxrnalserrrc [lITY S\6TEM CFPUA # OF STORIES: # OF FLOORS: EXST LAND DISTURBING PERMI.n IvesNA SQ FT EXISTING IMPERVIOUS AREA: A/6 ,ffJto.#fitB,&ffi q#fi '#HtuT[tEH!:*: d*o lo SQ FT REVISEO OAIE fiIII2 E lbod or bot€r8ges pcpared or ser\red ln tHs er,n ra? flves ls The Properry Locsrod ln lhe Floodptain?ffis I Ho EnEsnunnrlr fluencamle trpr EoorooorxeqffllgL&clhtr EOUC ls @rrecl ElwEtr PRIVATE SEPTIC ECOMMUNITY sYs,IEM ", SEPAMTE PERMITS REOUIRED FOR EIECT, MECH, PI.3G, GAS EOUIP, PREFAES t INSERTS.-pAyMENilrtETl.tOD: flCnSr flcrecx paveatE TO NHC) trAMERTCAN E(PRESS fiucrusl I orscoven flzoNtNc USECtAss IFICATION: oNtY) F:_LH:_ RH: B: Comment: PERMIT FEE: Exrsrcor{srRucrron:dar_rrurron"H":"..#l!fr,SEli._,:fg:rH_[.#Tlfi vesftrolf Relocalion, is there 8 Natural G6s U NEr't coNsrRucrro{: I rnrcr E], sTRUcruRE I rlsr rucx I sxer.r- ! uPFrr [ ,, , .rr$ STRUCTURE ACCISSORY STRUCIURE: (q/!fft.rl BUILDING HEIGHT: SQFTPERFLR: NlI # OF STRUCTURES # OF UNITS:fuA tu) 'lryf-fVf le z * | <- 17 8'l a i}-"s NEW HANOV ER COUNTY BUILDING PERMIT APPLICATI0I,I naE: COIiSIERCIAL PLEASE ANSI{ER ALL QUESTIONS APPLICASI"E TO YOUR PRO]ECT "Pno Ject Responsibility" t1crw: :"1 CITY: LICENS PHONE *: ST: 2-7t6 APPLICATION Number (office Use) APPLICANT,S DEVELOPER: E DATE '7- | -ls \PHONE #: PRO]ECT ADDRESS: occuPAI{T/EUSI ESS i,rAr.,rE : PROPERTY Ol'rNER'S lAl4E r tZbo CONTRACTOR: ADDRESS: ETIAIL ADDRESS: PROJECT CONTACT PERSON: o- IP Cfwr"d! t i(r'Y:z#?-8* PHONE $: PHoNE *: AtD -243. j 13l w\ f" C-ol/\ Exrsr coNsrRucrro : E arrERArro* 5 *roJifii!;li 'EiT'.'i?-^, neprrns l-l RELocArroN,, tf Retocsrion, is there a NaruratGas Lineonrhe current sitez Ives [lruo ts aLDG spR-iirleneoz frv"" [ruo NEr{ coNsrRucrron, fl enrcr Eh, srRUcruRE I rlsr rmcx I sxell @uerr ! aoo ro Exrsr srRUcruRE ACCESSORY STRUCTURE: If UPFIT - The Shell Permit #: ol-tz L Is Elect povJ€r on this Building Ero **{i*. JS THIS A CHAI'IGE OF OCCUPAI{CY USE? tr YES Ero -'..-. B/r","1 IF Yes, hfiat was the Prevlous Occupancy Type? ARCH oESIGltl PROFESSIoI'I L: EII6R DESIGI{ PROFESSIOML : DESCRIPTION OF I,JORK: ls food or beverages pepared or served in this structure? !ves dernolhlon of any facflny or TOTAL PROJECT C @o ac eutLotr.rc nercxr S€e Asb€stos Web Site: lttpJ,ty/v/.epi.nde.nc.uV6frasbe$oyshm p.hlml PH PH NC REG #: IIC REG f : lhat is the ei,occupancy Type? DISCLAIMERII hereby and ordin cerlify that all information in and locallawsanc€s andalions. The orchanoe in contraclor oI conlradot Subledlo Fhes Up To $500.00"' OWNER/CONTRACTOR: (aJ.lir.d Noto: Oemollton notmcalons & asbeslos rqnoval ll sppliGtlons Erc to be submtfod ustng the spdication torm codsln Asbeslos of not. You are r€quirod to call$e Na[oo€l Embsion s]endsrds tcr Hszeftbus Ai, po lnerts(NESHAP)d (91 on No ls The Propedy Locstod ln The Floodplain? flves [ruo BU Code and allother applicable of the nd rhe hciliv or al leasl '10laior io th€ f OF UNITS:I ICATION: TOTAL AREA SO FT : TOTAL SQ FT UNDER ROOF ACRES DISTURBED: NEW IMPERVIOUS AREA: #OFSTORTES: / #OFFLOORS: i Exsr LAND DtsruRerruc lenurr I ves I rvo SQ FT EXISTING IMPERVIOUS AREA: -SQFT onree o<i\ JpRopERryUSE: EoFF|CE lnesrnunerur [uencaurle leouc leer flcoNoo wAfERt gfgFpuA EcoMMUNtTy SYSTEM fl WELL EzoNtNG usE crAsstF sEwER: [uJcFpuA f:]CENTRAL SEprrc E p-RtvATE SEPT|C ECOMMUNTTY SYSTEM va ". sEpAR Jt PERMtrs REOUTRED FOR EIECT, MECH, pLBG GAS EOUtp, PREFABS & tNSERTS -. PAYMENT METHoD: pfcesx flCnecr leavaaE To NHc) fleuenrcel oeness I uc|rsr I oscoven (FOR OFFTCE USEONL'REVISED DAIE '/I1N2 ZONE:_OFFICER: ADoroval: CiN: OAT SETBACKS: F: LH: RH: B. - BFE+2ft=- Comment F.FLOOD: __AV N PERMIT FEE: $ \ ZIP I ollt{E R',s SO FT PER FLR: #OFSTRUCTURES: I Tox'n OJ' l+ rightsville Beuclr Plan ning and Inspeclions 321 Csusewoy Drive Wrightsville Beach,,\C 2 8480 2o r;*trt-1r1_ d ? rit Petnit.\'umher: Bulldlog 8739 ,lpplicant .\'cmpj .4ddttss: iohn VanHc'r ,lpptot.Dat.: f]127tr016 Ptutnc: {708)369.8C?9 Porcel Po6,tl Numb77: R06315-002-C02-C00 .lddrc.s: 420 WAYNICK Legol Dttlription; LOT AOJ 5 WRI BCH Zonlng floodtonr: L'nirType: R.1 O*nttt .\'.rrn€l .lddrcr.r: Johl A Ptnqy Vrhcfr 420 W.ynlcx WrlghtivlrE B. ilC 2&4E0 Col,,lrzt|'rt.a Contoaor Type; .\'oacr .lddrtss: Euildcr Phon': (S10) 612{166 John F Chsnry Phoac: Jonn Ch.ney Conrt W|LMINOTON ,NC 2Ezl05 Dtscrilttlon Sfiucturt l.'se: Prol#t Cosr:s13 00c.30 PtttJttlDttt ptloa.' Encloce ground f;cor rrr! fsr gtraSG Condltlons Description MEE; 2012 l}C AUI'.DII.S C,OO€6 UEE" FLOOD AHD ZONltrO ORO. A3 PER PLAXS COPY R'Sco tu NEW HANOVER COUNTY BUILDING PERMIT APPLICATION IYPE; RESTDENTIAL PLEASE ANSI.JER ALL QUESIIONS APPLICABLE TO YOUR PROJECT "Project Res pons ibil ity" \t - ?t68 ?il5,TTL1- APPLICATION Number (offlce Use) OEVELOPER:PHONE #: PROIECT ADDRESS: 1826 south ChurchilL Drive CITY: i4i lminqron SUBDMSI0N: oleander Estates BLOCK #:LOf *t 22 PHONE *: Ol.lNER'S ADDRESS: 1825 south churchilf DrlveCITY: wi lminqton ST: NC ZIP:28403 CONTRACToR: The Farlow croup, Inc LICENSE *: 4588e ADORESS: po Box s17CITY: t{r1qhtsvi1le BeachST: NC ZIP: 2e480 E[i1AIL ADDRESS: j im@farlowgroup. com PROIECT CoNTACT PERSON: Jrn Fartcw EXISTING CONSTRUCTION:A LTERATION E nrloverror El eeuenar nrenrns IR NEW CONSTRUCTTON: E ERECT NEW RESTDENCE o" ! aOOrrrOru TO EXTSTTNG RESIDENCE **PLEASE CHECK AND ANSWER BELOT{ ALL THAT APPLY TO YOUR PROIECT: ATT GARAGE SF RELOCATION SFDET GARAGE - SF POOL SF PORCH SUNROOMSFSTORAGE 5H ED _ sF GR E ENHOUS ESFDECK SF OTHE R: TOTAL PROIECT COST lress roj : $ -5]ooo -# OF STORIES: Is Any ELECTRICAL, PLUI,IBING on IiIECHANICAL Wonk Being Done to the Accessory Structune? [ V"r S If the project is a Relocation, is there a Natunal Gas Line on the Current Site? E Yes Is there Electnical Power on this Building? flv"s Ino El'o PROPERTY USE / OCCUP DESCRIPTION OF WORK: K SINGLE FAMI LY IA oiscL/uomplywlhIheSlaleBuildingCodeandallolherapplicableSta€andlocallaws and ordinances and regulalions. The NHC Development Services C€nEr will be nolified ofany changes in he appand specilicalions or change in contracbr or conlracbr in ft)rm ation. ,'NOTE: Any Work Performed W/O he AppropriaE Permils willbe in Violalion ofthe NC Se and Subjecl tc Fines up To $500.00*' €i{NER/CONTRACTOR:SIGNATURE (P.int Na,he) ,* ,1 ,1 * * * * * * * x * )a ,* ,i + rr * rt + ,t ,* ,* ,* * * * + + + * r r r l * r * * * + + + * * + * ,t * + + ,t ,t ,t * ,* ,* * * *x x * * * * + rt:* + +,t,t,t + * + * *,*,** *,*,* * rs rHE pRopERTy LocArED rN A FLooDpLArrl l-l yrs El ruo EXISTING II{PERVIOUS AREA: SQ FT TOTAL ACRES DISTURBED: No NEW IMPERVIOUS AREA:sQ WATER: SEWER: CF PUA CF PUA I cerurnnl srerrc I COMMUNITY SYSTEM !crsn IcxecK (pAvABLE ro ruxc; I LAND DTiST! E YES E NOFT EXIST ! earvare we ll RBING PERMIT: PRIVATE SEPTIC FOR €L ECT, IlECH , P wagu, C ENTRAL COMMUNITY SYST EI'4 LBG, GAS €QUIP, PREFAES & IN5ER15 AnERrcAr{ ExPREss E nclrrso tr I,JELL fr,run o, gl PAY ENT I4ETHOD:DISCOVER * * * * * * * * * * * ,* x r* )* x r* ,r * * ,* ,* ,* * * * * * * + + * * * * ,t * * * * * + + * * + * r. ir * * * ,* ,t ,t ,t x * * * * + jt * jt * * * )t ,t ,* ,* ,t ,* ,* ,* )r * * + j! * * * + ,t * ,t zorue : 2-r5 oFFrcER: # l'"H:-';:?: ,L ,*' I nH' J e - lpproval:-city: brr-n ootrliklk- rLooo' - -. -Vry6 F{lt;d[ Dg*ePFrf,- - xe6P6PP,^ ['S lrl REvrsED'^"*#e.15 Ii,aur APPLICANT'S NAME: The Farlow croup, Inc. DATEI g/B/2oj.s ZIP: 2e4i ) PROPERTY OWNER'S NAIIlE: Brian and Katherrne croat PHONE *: (910)so9 leoo PHoilE *: leloJ 4'71,- 4733 5F TOTAL HEATED SQ FT: _ TOTAL SQ FT UNDER ROOF: _ TOTAL AREA SQ FT: _ ouelrx f] TowNHousE Ti,ts d,ffioLo, '