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HomeMy WebLinkAboutOCTOBER 16 2015 BUILDING APPSc-,gruA NEI^I HANOVER COUNTY BUILDING PERMIT APPLI.ATIoN rYPE: COMITTERCIAL PLEASE ANSI.]ER ALL QUESTIONS APPLICASLE TO YOUR PRO]ECT "Project Responsibility" APPLICANT'S l,lAflE: CIanc) t Theys ccnstructirn aompany DEVELOPER; cameron company LLC PROIECT ADDRESS: 4403 .tean.ier Dr ( )be-qtoo APPLICATION Number (Office Use ) \\ DATE: 8-12 rs CITY: wr tmrnqto:l PHONE S: () ta) ;a2-2ata OCCUPANT/BUSINESS NAME: CarLercn Company LLC PROPERTY OWNERTS NAME: a3r-trer.r ac:rLparv LLal OWNER'S ADDRESS: I:r, GLen lleade F.ca.i po Box i61 CITY: l.,ri,nin.rtcn CONTRACTOR: alr.cy d Theys Construction aolnprn/ LICENSE #: 2-1ll PHoNE #: (9r0)762-2 616 ST: NC ZIP: r8{rr6 ST: Nt ZIP: 2 ir,t t l PHoNE #: e10-39:-s220 PHONE #: 91,'r-i9l-5:.:o ADD TO EXIST STRUCTUR E ADDRESS: 2250 shipyard B]vd; suire 1CITY: ',.Jr Iml ngton EfirlAI L ADDRESS: .rrrip..,,-orna:rGcIanc ir,he i:: . ..:r PROIECT CONTACT PERSON: Chrp overman (check alr Ihat Apply) Yes NEl1l CONSTRUCTION:EREcr NEhr srRUcruRE ! rasr rRAcK El sxrll ! unrrr ACCESSORY STRUCTURE: EXrST CONSTRUCTTON: ! ALTERATTON ! nelrOVarrOru lf Relocation. is there a Natural Gas Line on the Current Site? Ll GENERAL REPAIRS Em TsBLDGSPRIN RELOCATION KLERED? E Yes I No z=zl If UPFIT - The SheII Permit #: Is Elect Power on this Building E Yes E ro ***** rs rHrs A CHANGE oF occupANcy user fivts T NO **** * IF Yes, what was the Previous Occupancy Type?tlhat is the New Occupancy Type? ARCH DESIGN PROFESSfOML: LS3P Associates Ltd PH: 910-790-9901 NC REG *: 5041r ENGR DESIGN PROFESSIOI,IAL: Lrarid sims ! Associates PH: 910-791-80r6 NC REG #: 1150 DESCRIPTION 0F WORK: Construction of 1-story CMU building for mixed-use rei:aiI State Building Code and all other applicable Slate cha plans andspecilicalions NC SEte Eldg Code and ls food or beverages prepared or served in this sructure? [ ves [l No ls The Property Located ln The Floodflatn? [ ves [l ruo DISCLAIMER: I hereby cerlrfy thal all information in this application rs correct and all work willcomply with tho and ocal laws and ord nances and reoJlalions. The NHC DeveloDment Services Cenler wrll be notified of anv or chanqe rn coqlraclor or collraclor riformation. "'NOTE. Any Work Perforn"ed w/O lhe Appropriate Permiis Sublectio Fines Up To $500 00"' SIGNATURE: PROPERW USE: lOrrrCe lneSrnUnnNr MERCANTILEEDUC lner !CONDO OTHER: WATER: ZCFPUA SEWER: E CFPUA ...SEPARATE PERIT4ITS REOUIRED FOR ELECT. I\IECH. PLAG, GAS EOUIP, PREFABS & NSERTS *' PAYMENT METHOD flcasn flcnecx leevaeLE To NHc) fiervtenlceru ExeRESS fl r'lcnrrsa I orscoven ECoMMUNTTY SYSTEM E WELL IIZON|NG USE CLASS|F|CAT|ON flcENTRALsEprc LlpRrvArE sEprc fl coMMUNtry sysrEM (FOR OFFICE USE ONLY)REVISEO DATE 4/11/12 ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B: Approval:_ City:_ DATE:_ FLOOD: __ _ BFE+2ft AVN Comment PERMIT FEE: $ Celcv/ ZIP i 2a Ac) OWNER/CONTRACTOR: ::,,p .-.. e ::::a. (Ou.m6d (Pdnt tL..ie) contain Asb€stos or mt. You Ere required lo c€ll tle National Embslon Slandads ior Hazardous Ajr Pollutant' (NESHAP) 6t (919)707-5950 at l6ast 10 d6ys Fio. to th6 dernolifon of any facility or building. S@ Asbesb6 Web Sile: htts:/ ftnv.epi.state.nc.us/epi/asb€sto6/ahmp.htnl TOTAL PROJECT COST: S1,2!C,NI' BUILDING HEIGHT: J]'_I-'I" #OFUNITS: 1 TOTAL AREA SQ FT:-5j1:_ SQFTPERFLR: r5.3i5 #OFSTORIES: r TOTAL SQ FTUNDER ROOF: .]j,_jlj_ #OF STRUCTURES: I #OFFLOORS: 1 ACRES DISTURBED:3]- EXST LAND DISTURBING PERMIT? I_IYES EI NO NEW IMPERVIOUS AREA: i] SQFT EXISTING IMPERVIOUS AREA: 40,O."O SQFT t. NE!'n FIANOVER €OUNITY B[,JItDltUG pERfltnT aPpllcarto[ nar: CoIIHERCIAL PI.EASE AISIllEi ALL QUISTIONS APPL:CABLE TO Y ,|R PRO]ECI .projcct R6sporEibiutlf acl:-?gnc APPLICATION Numben (Offlc. Ur.) APFLICANTJ 5 iIAItG:ClaDcyThevs Construc DATE: I-12-:.s DEVET-OPER; g2q6ye1 Co]tlDa!1v LL PHoNE #i (e1o)'762-2576 FROJECT ADDRESS:Dr,CITY: wttnlncron Z\P't 2s403 OCC[pAi\|TIBITSINESS NAlilE: cameron ComDenv LIf PROPERTY OUINER'S I'IAII,IE :LLC PHoNE #; ..j!]qf!2j?!E oI,,t'lER'S ADDRESS: 1201 G1 Meade Road Po Box 364CIIY: flllmlnqton 5T: Iq ZIP: 2s406 CoMRACToRIC1an.v& ahevs con!EtuctsloD LICE!,|sE f: 2o?? AI,DRESS: Blvil6ulte 1 CITY: rllminqron ST: lllc ZIP;2!4!a E|IIIL AoDRESS: ch1 PlOl{E *: erc -3e2 -5220 PRoIECI CONTAC]I PERsoN: c}liD ov€iman PmNE #: 9r-o-392-s220 If UPFrT - The SheU Pernlt *:rs El.ct powen on thls Butldtng E yes E tro ARCH 0ESI6N PRoFESSIoSIqL! Ls3p AssocialesLrd Ptl: 9r0-790-9901 NC REG #: so4x? Ptl; 9i,o-791-8016 tlc REG *r 11scENq DESIGiI PROFESSIo AtT David slns 6. Assoclr.Ect, PC DESCRIPfIoiI OF t^!R(: Consrructiotr of I-Etory Cl,lU buildinq for mixed-u6e retaiL. b food or bsvs6g68 FEpaed or s8wed ln tfib s0udure? [Ves No ls Tho Prcpary Locdod ln Ite Eoodphh? [ vus @lo Exrsr corrrsrRucrr, r E ATTERATT.N n *rrliliifr'Ti?;il1*r nrprrns l-'l RErocarrorrr rt Rorocathn, isrheraa NarurarGasLrne on lhe Furrenr sire? [veT[uo ts gLoo spR]iKfnEDz I ves INo NErd coNsrRucrroNr E] nrcr rueu STR|ETURE ! rAsr rnacx ! strr.r. I uorrr I aDD m Exrsr srRUcruRE ACCEsSORY STRI.'CIURE : *$**r rs rnrs A cr{arcE oF occupANcy rrsE? flves filxg **o*o IF Y!s, rhrt ras the Preylous o€cupancy Typo? l$at ls the lle$ O.cuplrcy lypet * DISCI IMEH: l h6 1oby cefllly that ail lnformlton n tils epplbsdon ls co 6ct and stt viork wiltcomlly with th. fl$'3;3Jil#i${i;}ii!.i6l#niiggp;l*.$[$s$.jT/ffi.ss#fi3f,eb',[yj{,r;d.llf".,{,$tSublecllo Flnes U9 ToiS00.00- SETBACKS: F:.Y^ tH.:gl_Rl-t_:p B._:I- FLOOD: Srlie BCodo ond 6llolher €ppli.6bl6SBte NC and SQ FT EEV]9ED DATE 4' 1/12 EFE+28t--7\ N PERfl,iIT FEE: Ol NER/CONTRACTOR: cntp o"e.'oa" SIGITIATURE: (oda.4 lFltr.NlrE) Not3: Denollton mdflcadott & a!!a!lo! lemovll lannta rppt,clliqrr !I. to be rubmhad u,lt ha arplaaton clntsln Atbssb8 or not You a,e lEqull€d to ct! lrie Na{onal E1nhlho Sbndardt br Hrzadous Alr d6 mollUon of .iy hdllry or bulldh0, aea Abosur6 Wo! SIE: TOTAL MOJECT COST:s 1.2 0o,000 BUILDING HEIGHT: l9l:1!l:_ SQ FT PER FLFI; l-5, 33s d OF UIVITS: TOTAL AFEA SO FT : xs.r3s _ -# OF STORIES: TOTAL SQ FI UNOER ROOF: 1s.33s # OF STRUCTURES: I OF F["OORS: r ACRES DISTURBEDT d-Exsr LAND DrsruRBrruo peRunrz tr:lvrs NO NEW IMPERVIOL'S AREA: S8 FT EXISTING IMPEBVIOUS AREA:40.o0o pRopERTy usE: EoFFtcE lnesraunnrur @uencmnl"e fleouc larr [mnoO OTHER: WATER ECFPUA sEwER EA CFPUA ". SEPAFAT€ PERMITE REOUIREO FOR ELECT, MECH. PLBG,GAg EQUIP, PREFASS C NSEIITS '' pAyMENr METHOD: ECASH ECHECI( (pAyAEtE To rfic) fleuenrcm aoRess E McMgA I OrsCoVen zoNE: pi3 sflcER fi*6a.+!r{fu'!#..d.drs (FOR OFR€E UsE ONTY} ElcorMuNnysysrEM EwEr_ EzoNtNGUsECtASStFrCATlor*E cEMTML sEr,fl c I r-mvnrr smrc f]-cotrlMuNry s\6rErs Approval; .:)L1r1v.t 5 '-lrD ,uo )gt.e ,t.,;t, fta< 4,-',, tt.'. ii.,) - .i! a,lr I I it:tr ir'rrt litlfr1;-n167,ffii1r ,liil'::t ji -*-, \ (,ffi,/ )A'I 6tlru LI 'rttv.rnpp.lo/?-3ra NEtil HANOVER C(IJNTY BUILDING PERITIIT APPLT CATT(N IIPE',. RESIDENTIAL PLETSE AlslEn ALL qJCSTlOrE aTPLICAELE lO yOUn pnOrECT rPr.orect Responslbtltq/ Mi,^\-()=Y APPLICATIOI'I unber (Offl<. t s!) oare, ro/rs/lfAPPLICA T,S ]{/ITIE: DEVEI.OPER:PHONE S: PRO]ECT ADDRESSi SUBDIWsION: otr{ER'S ADDRESS: r CITY gITY: LICENSE CITY: BLOCX $: zrP: Atrrr",eol -JLOT *: PHo E *: 111 -Qo\'761{ sr:rrLzIP:*g{os c0 TRACroi: ADORESS: EITAIL ADDRESS: PROIECT COIIITACT PERSONT lAi.\ror-\ O6Y ACCO|JNT S:st........ 4 PHoNE S: '?12 -zo. .?., * t- PHot{E f: 7tz -2or-76 q 5- ExrsTrNG coNsTRucTroN: I rlrenarrot f] nrNovrrron ! eetenal neearns I RELocATToN r{Ehr co srRlrcrrorir: ! rnrcr EH nEsrDENcE o" ffiorrror ro Exrsrr{6 REsTDE!{cE ..PLEASE CHECX AIID ATISI{ER BELOI{ AIL TIIA] APPLY TO Y(I'i PRO]ECT: ffi,orr co*ee - sF ! oer aRaee sr ! eonor -sF I suunoom _sF I eoor- _ sr ! sroRace sHED _ sF ! eneelHousr - sr ! oecx 5F OTHER:SF ToTAL HEATED sQ FT: _ TOTAL SQ FT U]'|DER ROOF3 _ TOTAL AREA Sq FT: _ TOTAL PROJECT COST trcss tort : $< €3oY\ Is Any ELECTRICAL, PLUiBII{G or IiECHA{ICAL lrork Eelng Don If the project is a Relocation, ls there a Natunal Is thene Electrlcal Power on this Buildtng? Elyes pRopERTy usE ,/ occupAr{cy, f}&ruGr-e rarrr-v ! ourlex ! toururousr aDESCRIPTIOII OF HORK: f 0F SToRIES: uaAtekJ e to the Accessory structurel ffV"r I Uo Gas Llne on the current Slte? [ Ves ffno Eruo DISCLAIIER I tctlby c.dly hll €t srd odlnancat did '.oMatcrlt. Th€ contEcbr hb,rn.ion. 'il{OTE: Any OltltrlER/CONTRACTOR : lnbrm ln nl. ipplcslon ls comct !.d .I wort wittcomply wth trc Sr!t!Cod. and al ofiar Eppllcsblc Stsr gld tocst tst rs NHC Dcv6bph.nl S.wlc!! C€nt.wlttD! noifi.d ofsnych6noaa h 66 spprDved pt€n Wolt Pcfunn.d WE tl€ AgprDpdlE P.rmtr! wH b6 tr llG Adg C.d!Dhton ol 0r! NC S SIGMTURE: +. i * *ti r.*r *:r*:! *.** r.r *. *. Jliti I li'*']rl**a*+a+t ta++I++at*atta*:t::ta+t**+***|lt*tlJ*|lta*ttai** rs rHE pRopERw LocArED r{ e rlooonurrl I ves f] r,o EXISTUTG rHpERyI(rus AREA: _5Q FT IOTAL ACRES DISTUREED: I{EI,I II4PERYIOI'S AREA: -5Q FT EXIST LAflD DISTURBING PER'IIT: I-'I VES I rrO uarEn: f| creua ! con4uNrry svsreu fl pRrvarE r,rELL ! crtrRal lell sEl,rER: E creua I CEiTTRAL sEpTrc I enrvare seerrc I co+tuNrry sysrEfi 'r' SEPAIIATE PERltrrs REQUTRED FoR ELEcr, ltEcH, PL8G, GAs EgJrp, pREFAB5 & rNsERrs .'r pAyrEir nEmro: I cesr I crecx (payaBLE ro r,,cl E ,r.i 0..*i ' [i.7rrro- - jj rrr.*r*:r**+:ll't++tt,l+tfat:ll**t*tt*t*t1*tt,tttt*,i,r:i+rrtttatltr*,tra++**aat+ataa**rt+{ra,titrrr+aaa+, (roi Offl(a USE Ol!y) iEylsED OArE O4l11/12ZONE: OFFICER:SETBACKS: F:_ LH: RH:_ B:_ iurl Ig,tdai Approval:_ Ctty:_ DATE:_ FL@D: _ BFE+Zft=Avrl PROPERW OI{NER' S M'i!E 3 32- ffi APPLICANT'S NAI'IE: DEVELOPER: PRO]ECT ADOR E SUBDIVISIol{: NEhI HANOVER COUNTY BUILDING PERMIT APPLICAUoN TyPE.. RESIDENTIAL PLEASE ANsW€R ATL QUESTIONS APPLICAELE TO YOUR PRO]ECT "Project Responsibilit)/, CITY: BLOCK #: ITY: LICENSE #: CITY APPLICATION Number (Office Use) DATE:4 EXISTING CONSTRUCTION :ALTERATION fl oerueRar Reenrns REL NEI{ CONSTRUCTION:ERECT NEW RESTDENCE oT ! eoorrrot'l To ExrsrrNc REsr E CHECK AND ANSWER BELOI{ ALL THAT APPLY TO YOUR PRO]ECT: ATT GARAGE ,Qb5 ,,DET GARAGE - SF suNR00t4 _5F PROPERTY OWNER'S TJAI,IE: OI^,NER' S ADDRESS: CONTRACTOR: ADDRESS: ETIAIL AODRESS: PRO]ECT CONTACT PERSO : DESCRIPTIOiI OF WORK: 4 PHO E $: PHOI{E * PHOTIE # PHOT{E #: zrP LOT # ST: IP ST: IP T SF '#mrlf sEP 01 2015 trFE-!dl trt GR E ENHOUS E - SF rorAL HEATED sa nrATV TorAL SQ Fr UrrrDER a(r,r \-1 a,j rorAL AREA ta rrrlT2U_ rorAL pRolEcr cosr(LessLoo , $al(4C.fr * oF sroRrEs: A rs any ELEcrRrcAL, PLUMBTNG or t'tEcHA rcAL t^tork Being Done to the Accessory structure? fl yes POoL _ sF DECK SF Gas STORAGE SHED OTHE R : No TOh]NHOUSE If the pnoject is a Relocation, is there a NaturaL Is there Electrical Power on this Building? [Ves PROPERTY UsE / OCCUPANCY: SILE FAI4 ILY ffi ves Ine on the Current Site? fl* n\& DISCLAIMER: lhereby cerlify har all inbmaton in his appticaton is corrcct and awork wiil comply wih he Stale Buitding Code and a oher apptacabte State and local tawsand ordinances and regulations. The NHC DeveloDment Services Cenler wi be notfed ofany changes in tie ap will be io Violation ofthe NC proved plans and specontaclrr infomation "'NOTE A.ny Work Performed w/O tle Ap 500 ot.lNER/COwTRACTOR: ***************fP.int Nam. r * * {,* * * + * *** * * * * * * * * + **+********)*** SIGTTIATU I t\ IS THE PROPERTY LOCATED IN A FLOODPLAIT'TT I--] VTS NO EXISTING IMPERVIOUS AREA:SQ FTTOTAL ACRES DISTURBTo: .Jl NEW IMPERVIOUS AREA:SQ FT EXIST LAI{D DISTURBING PERMIT: I--] VES @NO WATER : SEWER : Vi eua ! coMMUNrTy svsrrm ! pRrvATE wELL I cerurnar seerrc !pRrvATE sEprrc ! coul,turrrv svstru F CF PUA ZONE : _ OF FICE R: *T* S;PARATA PSRI'11T5 C!CI]IAED :CR 'LECT, ,\1ECF, P136, 6A5 EQUIP, PREFAES &pAyrENr ErHq): ! crsn l-l cxec( (pAyABLE ,o ,r.; [ *.*** .*..r, tr;;;r;; F.'l orscoven*)k*****************'k*:*********)k,**)t****,******;****,t***x*****+**,t***)***********,r**,r***r,r:*r.* CENTRAL WELL (FOR OFFICE US€ OtlLy) REVTSED OATE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ FL@D: BFE+2ft=Aooroval:Citv DATE: Aots-7*oq ,f -1 .-^ , RENOVATION ffo*r, { tr DUP LEX n 9061tco NEId HANOVER COUNTY BUTLDTNG PERMIT APPLTCA|ION TYPE.. RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibilitt/, CITY: ITY: LICENSE #: CITY EXISTIN6 CONSTRUCTION:ALTERATlON R ENOVATIONGENERAL REPAIRS RE LOCATION ffi APPLICATION Number ice Use) APPLICA T'S NAI,IE : DEVELOPER: PRO]ECT ADDRE SUBDIVISION: DATE : t5 PROPERTY OU['lER'S NAIIIE : OWNER,S AODR ESs: CONTRACTOR: ADORESS: EPIAIL ADDRESS: PRO]ECT CONTACT PERSON: **PL E CHECK PROPERW UsE / OCCUPANCY:SIN LE DESCRIPTION OF WORK: PHONE * PHONE #: ne on the Curnent Site? tr No EGffiEslfU*a wffitrrtSF SF ffi \ ves I H" 6\& PHOi,IE *: PHOI{E # LOT *: ST: IP ST: ztP NEW CONSTRUCTION:ERECT NEW RESIDENCE ocADDITION TO EXISTING RESID ATT 6ARAGE AND ANS}IER,qj-BELOI.I ALL THAT APPLY TO YOUR PRO]ECT: sF Ll DET GARAGE _ SF JC sEP 0l 2015POR CH SUNROOM SF GREENHOUSE SF TOTAL PROIECT COST (Less Loo : sa n,l5b TOTAL so C'4 Fr uNDER aoorr\-l( oA rorAL AREA sq fi, [l(fi\ # OF STORIES: TOTAL HEATED STORAGE SHED $ (!JJt' rs Any ELEcrRrcAL, PLUMBTNG or IrtEcHANrcAL work Being Done to the accessory stnucture? fl yes POOL _ SF DECK If the project j.s a Relocation, is thene a Natural Is there Electrical Power on this Building? [yes FAMILY DUP L EXTOWNHOUSE 5' DISCLAIMER: lherebycerlify flatallintolmation in hrsapplication is corect d all work witt compty witl he State Buitding Code and all otrer applicabte SraE and locat taws and ordinances and regularions. The NHc Developmenl services cenEr wi be notified of any chanqes in he apprcved ons orchange in contracbror confactor informalion. a"NOTE AnyWork Perfofined W/O he Appropriate permitswi| be in OWNER/CONTRACTOR : rr*^ * r + *r* * !,x* r* * * ** * *-,* *(I'^Tl *'i?i. * IS THE PROPERTY LOCATED IN A FLOODPLAINI NO TOTAL ACRES DISTURBED: ( ******)******* SIGNATU NC To $500. '0I YES (FOR OFFICE USE OIILY) SETBACKS: CENTRAL WELL COIVIMUNITY SYSIEM E EXISTING IMPERVIOUS AREA: NEhI IMPERVIOUS AREA: WATER : SEl,iER: ZONE: _ 0F FICE R: Aooroval: Citv: DATE: SQ FT SQ FT c PUACOMMUNI TY sYsTEM PRIVATE NE LL CF PUA fl cerurnar- srerrc fl pRrvArE sEprrc EXIST LAND DISTURBII{G PERMIT: l-.] ,CS ffiO .3b *'kt SiPARATE ?ERttrls REQirrrED soR Er-Ecr, rECrr, p196, 6As EQUrpr pREFABS & JNsERrs irl pAyr.lE.rr rr{ErHoD: Icasx l]''lcxrcK (pAyaBLE ro rr.l [*.*r.*.**.i, tr;;;;;; F'l orscoven**** * * * **** **** ** **:** )* *r.** )t *** * )t*,* ** * **,*,r,** ** *,*,* x,t** *** * *** **,t **** * * ***,t,t* *,* r:,. ** *,t,t** * i.* REVTSEO OAIE 04/\!/!2F:- LH: RH: B: FLOOD:BFE+2ft= '##aBLOCK f: tr SF OTHE R: n tr & APPLICA T'S IIAi4E: DEVELOPER: AND ANS J4l NEW HANOVER COUNTY BUTLDING PERMIT APPLICA|I@I TYPE.. RESTDENTIAL PLEASE ANSWER ALL QUEsIIONS APPTICABLE TO YOUR PRO]ECT "Project Responsibilit)/, &rS 1ss* APPLICATICN Number Office Use PROJECT ADDRES CTTY: BLOCK #: PROPERTY OhI'{ER'S NAITIE : Ot lilER' S ADDR ESS: ITY: CONTRACTOR:LICENSE #: ADDRESS:CITY EIi|AI L ADORESS: PROJECT CONTACT PERSON: EXISTING CONSTRUCTION :A LTE RATION 6ENERAL REPAIRS NEW CONSTRUCTIO :gRecr Hew RESIDENCE o" I AOOrrrOt TO EXTSTING REs *,}PLEASE CHECK PHO E *: PHONE # DATE :,t LOT S: ST:P T: zlPs PHONE PTIONE #: Eqf ffiftf.* AIT GARAGE PROPERTY USE / OCCUP DESCRIPTIOT'I OF WORK: POOL _ SF DECK SF STORAGE SHED U'ER BELOI,I ALL IHAT APPLY TO YOUR PROJECT: sF I oer eanaee _ sF PORCH (!sEP 01 2015 F SF SF TOTAL HEATED SQrr, 150 7 TOTAL TOTAL PROIECT COST rr."" r"rr : $(&!(t7 Fr UNDER noor, \51]rorAl AREA sQ Fr:15.L1- OTHE R : soqi rs any ELEcrRrcAL, PLUIIBrNG on [EcHAflrcAL tJonk Being Done to the Accessory structure? [ v"t ffi ne on the Cunrent site? flves I*" n\&ff the project is a Relocation, is there a NaturaL Is thene Electrical Powen on thls Building?[-]yes No ANCY : 5I LEFAMILY DUP LEXIOh]NHOUSE,'3 : ,fer DISCLAIMERT lhe.eby certjt, d.|at all intomation in hls appticaton is conecl and alt work wilt comply wilh he Stare Buitding Code and ordinances and regulations. The NHC Developmenl Seruices CenEr will be norifed of any changes in he approved ptans and and all oher applicable State and tocat taws iions orchange in conlractrr or 500 n conuacbr informalion "'NOTE AnyWork Performed W/O he Appropriate Permilswillbe in V ot,,NER/CONTRACT0R : +*r*: Fx* ****** * r*+***x +*+**(:iTl.lilel**,*,*+******* SIGITAT .m e NC I rs rHE pRopERTy LocATED rN A FLooDpLArHr l--'l yrs EXTSTING IMPERVIOUS AREA: NEhI IMPERVIOUS AREA: COMMUNITY SYSTEI!4 PRIVATE hELLNATER: SEWER: ! cerurnal seerrc I eRrvnre secrrc ! TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERMIT: I_I YEs CENTRAL WELL COMMUNITY SYSIEM 5Q FT SQ FT JC *'. s;DARATE P:Rt4rrs REQl.rii:D toR ELEcr, !Ecr.i, pLsG) 6As EQUrp, pREFABS & rNsERr-s ..* pAyMEin r{ErHoD: I casx rl orecK IpayrBLE to nr.) ft *.*r.* .**.r, -tr;;r; - [ orscoven**** ** * *** * *** * **** *** **** '**'*** ** +***,t *** ** * * *** *l** **** *** *** * **** *:r** *** **** +* *,t **** i(+ (FOR OFFICE US€ Ot{tY) REVISED DATE O4l11l12zoNE : _ oFFICER: Aooroval: Citv: SETBACKS: F:_ LH: RH:_ B: DATE:FLOOD:8FE+2ft= SUBDIVISION: ! surunooN _sF ! enrmnousr RENOVATION z5#u1 tr # OF STORIE5: &. tr V*o ffiroua(crruo 2ot91sSl & APPLICANT'S NANTE: DEVELOPER: NEW HANOVER COUNTY BUILDING PERHIT aPPLICATI)N rvPE: RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT "Project Responsibility'' CIry: BLOCK #: ITY: LICENSE S: CITY ATTERATION RENOVATION RE LOCAT ION OATE: PHONE #: zlP LOT #: PHOT{E fl ST:P ST:IP ptone *?fl| PHoriE #:(j APPLICATION Nunber (Office Use ) 5 ffi81fffi u-- [ ${ l- PRO]ECT ADOR E STJBDIVISION: e PROPERry O ER'S NA E: OIdNER, S ADDR ESS CONTRACTOR : ADDRESS: EMAIL ADORESS: PRO]ECT CO TACT PERSOI{: EXISTING CONSTRUCTION: NEtl C0NSTRUCTION:ERECT NEW RESIDENCE oT AIID ANSWER POOL DECK G- I.I.PLEASE CHECK [z[nrr cnnnce BELOW ALL THAT APPLY TO YOUR PRO]ECT: sF L_l DEr GARAGE _ sF suNRooM _sF GREENHOUSE SF Fr uNDER noor, 144,i TOTAL ADDITTON TO EXISTING RESIDE PORCH 5FSTORAGE SH ED SF OTHE R: Gas No DUP LEXTOI^]NHOUSE AREA sq Fr)!UlL- siP 0l 2015 5F SF TOTAL HEATED SQTOTAL SQ TOTAL PROIECT COST rress rotr : $41e$1 Is Any ELECTRICAL, PLUMBTNG or IIIECHAI{ICAL Work Being Done to the Accessory Stnucture? [ V". ffi ne on the Current Site? [ Ver I* n\& rr' IJJD If the project is a Relocation, is there a NaturaL Is there ELectnical Power on this euildingl l-l Ves PROPERTY USE / OCCUPANCY:SI LE FAIlI LY DESCRIPTIOf'l OF IIORK: 5 DlscLAlMERr lhereby ceni6/ fat all inbrmalion in his applicaijon is conecr and all work will comply wih tle state Buitding code and alt oher appticable staE and tocat taws and ordinances and regulations. The NHC Developmenl Services CenEr will be nolified of any changes in he approved plans andiiicatiors or change n contracto conEactor informalion. "-NOTE Any Work P€rlormed W/O he Appopriate Permits witl be in Vio tation o( the NC 00 OWNER/CONTRACTOR :(' STGNATU * * ** * * * ** ** * * ** * * * * * * * ** * * *(I!ti: lil"l * * IS THE PROPERTY LOCATED IN A FL@DPLAII{? EXISTINC IMPERVIOUS AREA: NEW I PERVIOUS AREA: ACRES DISTURBE,, ,IT] ******+**+*** nrl YESIrl0 TOTAL EXIST LAND DISTURBING PERMIT: T-I YES SQ FT 5Q FT d*o WATER: SEt^/ER:CF PUA c PUACOMMUNITY SYSTEM PRIVATE h]E LL CENTRAL WELL I cer'rrnar- srerrc I pRrvATE sEprrc ! cour,ruru rrv svsrru (FOR OFFICE USE ONIY) REVIsED DATE O4l11/12 SETBACKS: F:_ LH: RH:_ B:_ FLmD: BFE+2ft= **r S;pARAI: p:RF1ITS R:qLrraD ,-DR :LEaT, nECp, pLBG, 6A5 aQUi?r pREFAES & INSERTS *.t pAyMENr rirETHoD: I clsn florrcK (payABLE ro rvnc; I arenrcA ExpREss ! rcTvrsr I orscoven ****,***r(**)i(****,t**:l*:*L)t:t*********,*,*****,t**,i(**,t*,***)*****************+********:t *********** l()/ Aoonoval: OFFICER: Citv:DATE : tr GENERAL neearns ! tr # OF STORIES: P tr tr ZONE: tots-4tGL & NEW HANOVER COUNTY BUILDTNG PERMIT APPLICATIo TvpE: RESfDENTIAL PLEASE ANSI,IER ALL QUESTIONS APPLICABLE TO YOUR PROIECT "Project Responsibilitf, CITY: BLOCK #: ITY: LICENSE *: CITY PHOI'r|E #: APPLICATION Number ice use) PROJECT ADDRES SUBDIVISION : PROPERTY Ot lilER'S NAIIIE: OhINER, S ADDR ESS CONTRACTOR : ADDRESS: EIi,IAIL ADORESS: APPLICANT'S NAI4E: D€VELOPER: EXISTING CO.ISTRUC NEtl CONSTRUCTION: PHOiIE # LOT #: ST: IP DATE T ZIPs *PHONE PH(}{E S: TION:A LTE RATlON RENOVATION 6ENERAL REPAIRS ERECT NEW RESIDENCE oTADDITIOT',I TO EXISTING RESIDE E CHECK AND ANSIdER EELOI' ALL THAT APPLY TO YOUR PRO]ECT: ATT GARAGESF DET GARAGE SF SUNROOM 5FPOOL _ 5F DECK 5F STORAGE SHED ON sEP 0l 2015 SF -H 6R E ENHOUS E PROPERTY USE / OCCUP DESCRIPTIq{ OF LIORK: SF OTHE R : ANCY: SI LE FAMIT Y DUP LEXTOWNHOUSE iJY:S TOTAL HEATED SQ TOTAL PROJECT COSTlLessLor) : $ Is Any ELECTRICAL, PLUMBING or i'4ECHAIUCAL {^/ork Being Done to the Accessory Structure? fl yes If the project is a ReLocation, is there a NatunaL Is there Electrical Power on this Building? f]yes Gasne on the Cunrent Site? [ No rr: lSfDr UNDER noor: 16l rorAl AREA sq rr: @.i__ ffi \ ves I No n\& '.3 DISCLAIMER: I hereby certiry tlat all int rmation jn his applicaton is conecl and all work wi{lcomply wif) h€ State Buildjng and ordjn ances and reg ularions The NH c De velopmen t s6 Nices cen ler wi be not,ied of an y changes in he appoved ptan conracbr intu.maton'*NOTE: Any Work Performed W/O he Appropriate Pemitswillbe in VNC Code and all oher applicabte StaE and tocat taws fcalions orchange rn contracbror To 00 SIGNATUOWNER/CONTRACTOR : *,* ** ** * * * *+ + * ** * *** * ** * *** *(ii'{! *111] * * IS THE PROPERTY LOCATED IN A FLOODPLAIITIIt ,o,' |IATER: SEWER: EXISTING IMPERVIOUS AREA: NEt{ IMpERVIous anea:_Xr(rl ISQ FT COMMUNI TY SYSTEM PRIVATE L/EL L fl crrurnar sEprrc n pRrvArE sEprrc ** * ** * *** * *,*,r * F: LH: RH: B: NO TOTAL ACRES DISTURBED: . Jb EXIST LAND DISTURBING PERMIT: T] YEs CENTRAL l../ELL COMMUNITY SYSTEI4 ]. II YES (FOR OFFICE USE q!LY) SETBACKS: E +r' 5;pARATE PERMrrs R;QrtrrED :DR ELEcr, r'1EcF, pLg6, 6As EQUTpJ pREFABS & rNsERTs rri pAy Ewr r{ErHd): Icsx flcxec( (pAvABLE ,o nr.1 f]*..** .**rr, tr;r; I orscovrn** ** ** * ** )** +* ** )t*** * '** ** ** *** '* * *+ ** ** *,*,r * * *:r,*,*** **** ** +* **,* ** * *** * * **** *)*,* * )*** ** ** *:t** * * REVISED DATE O4l11l12zoNE: _ oFFICER: ADonoval: Citv:DATE :F LOOD: B F E+2ft = _ji--%.&Hr2-*--+- PRO]ECT CONTACT PERSO : ffo*r^ zrP'i47lJt I 9-+tt tr * OF STORIES: I @G ffi.rpud(uruo NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL PTEASE ANSIIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Res pons ibility" w AotS-1&oo APP L I CATION Number (office Use) APPLICANT'5 NAl.'lE : NErL ANDEi.:ril:.1 DATE: 1o/1,/1s DEVELOPER : r., :, PHONE #: !1-541-6344 PROIECT ADDRESS: 2s!: GTLLETTE DRrvE SUBDIVISION: i-. r, ... , - OWNER'S ADDRESS: 2s02 GTLLETTE DRrvE €tafv\ CITY: WI LMINGToN LOT #: i;2 sec 5 Sr: .ll!- zIP : :j]q ST , t'[!zw 2840 3 PHONE CONTRACTOR: ADDRESS: Q 5J a LICENSE #: CITY:c EITAIL ADDRESS: v1 PHoNE #: 910-517-6301 RE L OCAT TONR ENOVATTONGENERAL RE PAIRS NET'.I CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE **PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT: EXTSTTNG COnSr*rCrrOn,! nrrrnarroru ! DET GARAGE - SF POOL 5F PORCH _ SF STORAGE SH EDSF DECK SF OTHER: SHED DOP.I'1ER ]O 5F DESCRIPTIoN OF I'IORK: SECoND FLooR sEt,lrNG RooM/Arrrc EXPANDED To BE EULL BEDp.ooM AND NEL,I BATHR TOTAL PROIECT COST rress ror) : $ :o,ooo # OF STORIES: Is Any ELECTRICAL, PLUI4BING or iTECHANICAL l^/onk Being Done to the Accessory Structure? [ V"r [l ruo If the pnoject is a Relocation, is there a Natunal Gas Line on the Cunrent Site? [ Ves [ ruo Is thene Electrical Power on this Building?I ves l-ll ruo PROPERTY USE / OCCUPANCY: SIN6LE FAI'1ILY DUP LEXTOWNHOUSE BY ADD]NG SHED DORMER IN EX]STING ROOF. EX]STING HOUSE FOOTPRINT NOT EXPAND ED ON SITE and ordinances and regulations The NHC Developmenl Servic€s CenEr willbe noliJied of any changes in he approved plans and specifcations or change in contracttr or contacbr inlt,rmalion "'NOTE Any Work Performed W/O the AppropriaE Permits will be in Violarion of the NC StaE To $500 00"' OWNER/CONTRACTOR: @ SIGNATURE : (P.int N.me) ,t )r ,* ,r ,* * )r )r * *+ )t *:i it it+ + + *** **r.* *,* * * ***,** ffi- c + r * t** t + * + *,*,*,t* )r* **** * * +,t * + + + * )r * *** * * + + * * * *,t )r,r * x + + + + + rs THE pROpERTy LOCATED rN A FLOODPLATN? n yES D 'O EXISTING IIIPERVIOUS AREA: -SQ FT TOTAL ACRES DISTURBED: NEW IMPERVIOUS AREA: SQ FT EXIST LAND DISTURBING PERMIT:YES I-l ruo crfUn ! corJrluNrry sysrEM PRIVATE WELL CENTRAL l,iELLllATER: SEWER:CFPUA CENTRAL SE PTICPRIVATE SEPTIC ZONE : OFFICER: r'** SEPARATE PERfirrs REQUTRED FoR ELEcr, lilEcH, PLBG, GAs EQUTP, PREFABS & rNsERTs '"** pAynENr ErHoD: I casr ficnrcK (payaBLE ro Hrcl fimenrao* ,rr*ri, E "cTvrso E orscoven******,*,*********,*,***j*x)********++****,r*+*****++,*****i***+,*+)***x*,**,**+***)*++***i**,*,*,t+**** (FOR OFFTCE USE ONtY) SETBACKS: F: COMMUNITY SYSTEM LH: RH REVISED DATE 04l11/12 4 B:_ N n,lel i Appnoval: _ City:_ DATE:_ FLOOD:BF E+2ft= CITY: wl LM INGToN ZIP::840i BLOCK #: PROPERTY 0i/',NER' S NAIIE: Jarrett and Neil Ander:son PIIONE #: 911'r-s4l-63i4 I ! arr clnace _ sF I sulrnoolr _sF ! cn e eruuous e _ sF PRO]ECT COI'ITACT PERS tr TOTAL HEATED SQ FT: _ TOTAL SQ FT UNDER ROOF: ':'rr-- TOTAL AREA SQ FT: _ ffi APPLICA T'S NA}TE : DEVELOPER : 90t57gt"g APPLICATION Number (office Use) NEW HANOVER COUNTY BUILDING PERMI APPLICATION TYPE: RESIDENTIAL PLEASE ANSW€R ALL QUESTIONS APPLICABLE TO YOUR PRO]ECI "Project Responsibility" DATE : PRO]ECT ADDRE SUBDIVISION: CITY: BLOCK #: PROPERW Oh[{ER'S i,IAITIE : OM\IER'S ADDRESS rTY: CONTRACTOR:LICENSE *: AODRESS:CTTY EIiIAIL ADDRESS: PRO]ECT CONTACT PERSON: EXISTING COiISTRUCTION : ALTERATION RENOVATION I'IEW CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTIiIG RESIDENC **PL E CHECK AND ANSI,IER SELOT{ ALL THAT APPLY TO YOUR PROJECT: PHOT,I E $ : PHOI{E * ZTP : LOT *: ST: T ZIP P PHON E s * PTIONE #: R \(/ STORAGE 5HED TION sEP 01 2015 SF ATT GARAGESF SUNRO0MSF GR E ENHOUS E DECK TOTAL HEATED SQ 6 If the pnoject is a Relocation, is there a Natunal Is there Electrical Power on this Building? [-] ves PROPERTY UsE / OCCUPAI{CY: 5I LE FAMILY 1 ,a9_DET GARAGE - SF POOL SF SF OTHE R:BY: rt r,ln)a TOTAL SQ FT UNDER RoOF:t5+-o TOTAL AREA SQ FT:ttla TOTAL PROIECT COST 11."" r"e : $t1* OF STORIES: 9 Is Any ELECTRICAL, PLU!4BING or ECHA ICAL t^,onk Being Done to the Accessory Structure? [ yes ffi \ ves I No n\&Gasne on the Current Site? tr No DUP LEX 5 DISCLAIMER: lhereb and ordinances and re contactor inlormation. y cerlify hal all infomation in hrs applicaton ls conec! and all work wll comply wih he State Buitdrng Code and a oher applicable Stale and local laws gulations The NHC Development S€rvices Centar wittbe nolifed ofany changes in he apprcved plans andifications or change in contraclrr or '-NOTE AnyWork Perfoaned W/O he AppropriaE Permitswi be in Viotation oflhe NC 00 OWNER/CONTRACTOR : * * ** *** * * ** * *** * *** * *+ *+** * *** *,* * *) SQ FT SQ FT rs rHE pRopERTy LocATED rN A FLooDpLArrur I--'l yrs EXISTING IMPERVIOT'S AREA: NEW II.IPERVI(ruS AREA: NO TOTAL ACRES DISTURBED:.lq EXIST LAND DI5TURBING PERMIT: T-i YEs NO F:_ LH:_ RH:_ B: (' STGNAT * * )*:** * ** * ** )* * (FOR OFFICE UsE OIt LY) I'r1 WATER: SEWER: ffi ! crrurRar seerrc ! pRrvATE sEprrc ! couuururrv svsteu FPUA COIYMUNITY SYSTEIY fl enrvare wrrr I cENTRAL wELL CF PUA +ir 5:pARATE pERtrlrTs REQLIRED lOR ELEaT, rEcr.r, pL3G, 5A5 E?UIp, pREFAES & lNSERTS rr* pAyitE*r i,tErHoD: I csx l.l cxecK (pA'ABLE ,o ,r.1 ft *.*r.^ .*r*.r, A ,iril U DrscovER** ** ** * * *** * * ** **** **)*:*i*** **** ** * ** * * ** !* * **,* * *** * **t *** * *,** *** **t**;i,t ** * ** **** **** +*** ** REVISED DAIE q4/71/12zoNE: _ 0F FICER: _ Aooroval: Citv: OATE: SETBACKS: FLOOD:BFE+2ft= llh/e. \ * rvu {f,.,rne .tG.J DESCRIPTIOiI OF I.{ORK: tr GENERAL neearns I ffo*r, n IOhINHOUSE NEW HANOVER COUNTY BUTLDTNG PERMIT APPLICaTIoN rypE: RESf DENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility', crw: BLOCK #: ITY: LTCENSE *: CITY ATT GARAGE U BELO ALL THAT APPLY TO YOUR PRO]ECT: sF ! oer eanaee _ sF PORCH suN R0014 SFPOOL _ 5F DECK 5F STORAGE 5H ED GRE ENHOUS E No D€SCRIPTION OF I,.IORK: Zfris-$,ll APPLICATIOI'I Number ffi,' APPLICANT'S AI4E: DEVELOPER: PRO]ECT ADORES SUBDIVISION: PROPERTY OI{NER'5 NAITIE: OhNER'S ADDRESS: CONTRACTOR: ADDRESS: EMATL ADDRESS: PROJECT CONTACT PERSOi,I: DATE : PHOiIE S: ZIP LOT *: PHOE# 5T: IP ST: pxcrte *?fl! office Use P EXISTIN6 COI{STRUC NEtl CONSTRUCTION: PHOI'IE #: TION:ALTERATION R ENOVATION ERECT NEW RESIDENCE o" I nootrroil To EXISTING RESID\fEtF- B; **PLEASE CHECK AIID ANSWER I I i tI SiPO1 2015 5F OTHE R : TOTAL HEATED SQff : ITOTAL SQ FT UNDER ROOF: I rorAL aREA se ,r,lJ51 TOTAL PROIECT COSTrressr.rr : g 7.1tt rs Any ELEcrRrcAL, PLUMBTN6 or r'{EcHAr{rcAL rrork Being Done to the accessory structu.e? E yes If the project j.s a Refocati.on, is there a Natural Is there Etectrical power on this Building? EJyes Gasne on the Cunnent Si.te? [ PROPERTY USE / OCCUPANCY:SINLE FAMI LY DUP LEX TOWNHOUSE 3' SF ffi \ ves [ ruo n\& DISCLAIMER: lhereby certify hat a inbrmation in his appticaton is conecl and awork willcomply wrfl lhe Srate Buitding Code and a[ oher appticabte State and tocat tawsand odinances and regulations The NHC Devetopment Services C€ntsr wiI be noljfed ofany changes in he apprcved ptans aod spns orchange ln contracbr orconlraclor informalion. r-NOTE Any Work Perfomed W/O he Appropfiale Permilswill be in NC$500 0"" (SIGNATUOhINER/CONTRACTOR : ***************(p. int Name)**+++***+**********+ ilrs rHE pRopERTy LoCATED rr\,r A FLooDpLArr,rr [-] ves Wno EXISTING IMPERVIOUS AREA: NEW IMPERVIOUS AREA: * * ** ** * *,i *+** ** ** * ** +++ F:- LH: RH: B: TorAL AcREs DISTURBED: . Jb -.-/ExrsT LAND DTSTURBTNG pERr,trT: l--'l ves El-rio SQ FT SQ FT WATER : SEWER: c PUACOMMUNITY SYSTEM PRIVATE WE LL ! crrurnal wrlr CF PUA I cerurnal seerrc ! pRrvATE sEprrc ! courlururrv svsrem rrr S.PARAIE pER TS Rgt-LIa:D:OR eLECT, ,lECilr pL3G, 6A5 EQUI?r pREFABS & INSERTS t.. pAyr4ENr rErHoo: I casx l-l] cxrcK (,A'ABLE ,o *r.1 fl*.*r.* .**.r, tr;;;.;; - Florscoven+**********,t****,t***,i**)***)*****i.*****,***,***,r,****,t********,***,*********:t**:r****t********** (FOR 0FFTCE USE OiILY)REVIsED DAT€ O4l11/ 12ZONE: Aooroval: OFFICER: Citv:DATE: SETBACKS: FLOOD BFE+2ft= n GENERAL necarns ! f OF STORIES: I tr tr NEW HANOVER COUNTY BUILDING PERMIT APPLIcafIoN rypE: RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABI.E TO YOUR PRO]ECT "Project Responsibilitt/, )ots-ls?u APPLICATION Number (Office Use) a- ffi APPLICANT'S NA E: DEVELOPER: PROJECT ADDRE SUBDIVISION: DATE CIry: BLOCK #: PROPERTY Ot,lN ER'S tlAI{E: OhINER ' S ADDRESS:rTY: CONTRACTOR :LICENSE S: ADDRESS:CITY EIiIAI L ADDRESS: PRO]ECT CONTACT PERSOT,I: EXISTIN6 CONSTRUCTION:ALTERATION RENOVATION NEhI CONSTRUCTIOiI:ERECT NEW RESIDENCE or E morrrou ro ExrsrrNc REsTDENc E CHECK AND AIISIdER BELO}' ALL THAT APPLY TO YOUR PRO]ECT: PHO E $: PHONE # '{-WLOT *: ST: IP ZTP 9A.i SF 5F DET GARAGE - SF POOL SF PORCH STORAGE SHED sr' flfplcltt *?fl.| tt*, OrQ SF ATT GARAGE ( SUNROOM GR E ENHOUS E F"$vffii 012015 I SEP 5U SFDECK SF OTHER: No ffi \ ves I rvo n\& TOTAL HEATED Sq TT: I3a7 ToTAL sQ, rorAL pRorEcr Cosrrressror , $&fuC4 rorAL AREA tq ,t, {U'i.lFr uNDER *oot, lUlS f OF STORIES: .? rs Any ELEcrRrcaL, PLUMBTNG on mEcHA,{rcAL l^/ork Being Done to the Accessory structure? [ yes If the project is a Relocation, is there a Natunal Is there Electrical Por,/en on this Buildi.ng? [-lyes ne on the Cunrent Site? [ PROPERTY USE / OCCUPA CY: 5I LE FAI4ILY DUP LEX I0t^INH0USE,'3\ DISCLAIMER: I hereby certify tl at all in bnn arion in tr and ordinances and regulalions. The NHC Devetopme conract]r infomation "'NOTE Any Work Perfonned is applicarion is conect and nl S€rvices CenEr willbe n W/O he AppropriaE Perm OWNER/CONTRACTOR : + i * * * *,* * * r * * + * * * * * * * * * * * * * *(I'*'I i Iil"J * * 5Q FT SQ FT allwork willcomplywih he State Building Code and a[ olher applicable State and local laws olified ofany changes in tre approved ptans and itswillbe in Violaiion ofthe NC To $500 (' STGNAT x***xx******* iIT IS THE PROPERTY LOCATED IN A FLOODPLAIN? l...l YEs NO EXISTI'{G IMPERVIOUS AREA: NEW IIIPERVIOUS AREA: L'.IATER: SEh,IER: c PUACOMMUNIry SYSTEM I IPRIVATE l^lEtl I I CFPUA ! cerurnal secrrc ! pRrvATE sEprrc TOTAL ACRES DISTURBED: , b) Exrsr LAND DrsruRBrNG ,r*ril-5 ,r, WG CENTRAL t^/E L L COMMUNITY SYSTEI4 **" SiPARAIE PERIlTTS R:QLIIED I:OR ELECT, \1ECF, PL86, 6A5 EQUIP, PREFASS & INSERTS **.pAyrirErr HErHd): E cnsn E- <xe-.I I:*r.,_. ro runcy I orerrcaN ExpREss E n./rrro I orscovrn** ** *+ * *** * *** * ** ** )t**:* r'i'* **'k* ** '* * 't** *,** * * * ** ** * *i ** *** * *** +** **,t** **** *** *,tx* **** *,r.** * * (FOR oFFICE USE ONLy) ZONE: _ oFFICER: ADDroval: Citv: REVISED DAIE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B: DATE:FLOOD:BFE+2ft= tr GENERAL REPAIRS N DESCRIPTION OF WORK: NEW HA]'IOVER COUNTY BUILDING PERMIT APPLICATIOTT TYPE: C$ttrtERCIAL PLEASE ANSW€R AII QUTSIIOI{S APPLICABLE IO YOUi PRO]ECT "Project Responsibilitr, )nt:'q?€3 +-9€+- APPLICATION Iumber (Of{lce Use) CITY: l,ll lmrnqton PlOalE t: l04-844-3loc ZIP::8: I4PnOIECT ADORESS: 5004 riarolina Beach Rcad (rcCUPAl{T/8t SI ESs ilAfiE: Harr1s Teeter auet sti,troI, Olt{ER' S ADORESS: I0s corporale CONTRACTOR: . 8oS* Pt/- c"t'ts'ttit4 flt<- LtcENsE tt 1t Zs+ ADDRESS:,+'*4)D CITY. W t L-+4 t^JL io^J &vs Drive, SuiEe A CITY: spartanbu rqST: sc ZIP: 29301 t .nl121p7 Z84a? EiIAIL ADDRESS:P.2-/Y1*7L, ao PROIECT COI{TACT PERSOI{: Jacob PharesPIO E ,: I04-814 3100 If UPFIT - The Shell Permit *: ...r. rs rHrs a CHA,IGE oF occupa,rcy usrt Ivrs 8m...,- IF Yes, hfiat ras the Prevlors occupancy Typel ARCII DESIGa{ PROFESSI(XAL: N/A lttrat is th€ tteu Oc(upancy Type? D€SCRIPTIoI{ OF IORK: Harr}s Teeter Euel Statlon - Ftve fuei di spensels,j{qjlf!1ol|1, and cano!}, TOTAL PROJECT COST: ...: , BUILDING HEIGHT: ".. " f OF UNITS: # OF STORIES: , ACRES DISTURBED: l. ':.I YES ENo NEW IMPERVIOUS AREA so Fr pRopERry USE: [orrrce nnesmr.rner.n @lrencarnr-e ! eruc f]mr lcoroo OTHER PH t,IC REG f : h lood o( bovsse€s p.BpuEd d sswd h t*s *uctrez [ve" @Ho rne eroperty LoceH ln Tho Floodplaint I ves @ruo sbte g6l!'ng code and chanoas d lhe aoorovedsll # 'rw'olst'oi ol lhe olans and soecr6caDbns NC Sbte Bldg Code and dlbin Arb-E d lEL Yq., rt ltqrtd lo c.ll lh. t{-o.d Ehbtio.! Sa.rffi h. tb.rro(l3 Ar ht ta a (}€S}|AP) .r (919)707-580 .t t .ar 10 daya rrb b rt firraltlq| o, ,ry lbc ly d bt..dlng. S.. fut-b. $trb Slb: httsr ry.w..ri.Ei!i..nc.uJ.t llb.rG/ehmp.htnl thrsication rsall oher applicable Stale NHC E. Any OWNEF/CONTRACTOR:f,s,f^ts*,az-SIGNATURE: (o/-J) oa.: Ddr<rltd! nodtcarhB 6 abdloa rrnov.l F.mh lpdlcrtid}! ..! b b. tub.nh6d urlng dla.pdlcrdo.r ft.rn (DttHS-3ru) wio0Er tr lbdtlty bulldhg wa hxd b WATER: E CFPUA S€WER: EICFPUA EcoulruNny sy€TErr EWELL flzoNtilc usE crAsstFtcATloN: [cerernal seerrc E pR-MArE sEprrc E6t uuNmr sysrEM-^1t pAy[rENr METHOO: lCrSx @CneCr< leevaatE ro NHc) f]anenrcel exrREss EIMfi D(ST LAND DISTURBING PERMIT? SO FT O(STING IMPERVIOUS AREta': $1cir"- DlscovER ffi aPPLTCANT',S lulrE: DATE: jlML!-!_l:_ DEVELOPER: PROPERTY o}ll{CR'S MltC: BRM Assc,c.lates. 1.1-.. PHX{E f: (Che(t alI rh.t AppIy ) €xrsr cor{srRrrcrro : E ALTERATTOT I nrrcVlUO E GEI{ERAL nellrns ! RELOCATTON It Rolocaibn. E drere a NaturatGas Lrne on the renl 51",) [V"r!r.ro ts aLDG spffixreRED? E Yes ENo NEr{ Co{srRucrro{, [l enecr [Ex srRrrcruRE ! rsr rnlcr ! srer-r- [ rnrrr ! oo ro Exrsr srRr]cruRE ACCESSO*Y STRI,CTURE: pHo E s: ?to -3?Z.7So3 Is Elect Porer on this Buildin8 E Yes E tO EI{GR oESIGX PROFESSIO AL: Matlheu/ A. EdHarcs, p.E. pH: iil{-9:1-i,491 NC REG *: !12410 TOTAL AREA SO FT :L- SO FT PER FLR: . - . TOTAL SQ FT UNDER ROOF: !A]- # OF STRUCTURES: .# OF FLOORS: 1 (FOR OFFICt t }E OfLY) FEvrsED rxrE.fltn2ZONE:_OFFICER:_ SETBACKS: F:_LH:_ RH:_ B:_Apprcvel:_ Cltf_ DATE: FLOOD: __ _ BFE+2t---_ AVNCornrn€nt PERMIT FEE: g_ NEW HAI'IOVER COUNTY BUILDING PERII,IIT APPLICATIOQI ryPE; ZO{IN6 (thincorporated A...s of County) Pttast PRINI CLEARIY & AXSUTR ALL QUISIIOI/5 "Project Responsibility" 6-q3\ APPLICATION l{umb€r (Offi(. Urc) APPLICAT{T,S NA}IE: 1' : ,., ', DEVELOPER:.HT iue i :.i{lLLC. PRO]ECT ADDRE 600 4 Carolina Beach Road SUBDIVISIOT{: CITY: ;i: _:, :-, LOT *: TE: 'i']. l ,I f il .:',pHoN$ PH)I{E S: rate DriveSuit CO TRACTOR: ADDRESS: E AIL ADDRESS: PRO]ECT COiITACT PERSOI{: DESCRIPTION OF hPRX: Hdrr.il; Tecrer a ARCH OESIGOI PROFESSICI.{AL: Ijli TOTAL PROIECT COST 6ess torr: I PiOPERTY OINER.'S olINER'5 ADORESS: CFPUA C FPUA CITY:ur nsers, 240 SF kiosk ST: sc ZIP: 2930j LICET{SE }: CITY: PHOI{E $: PIO E f : ,- o 4 - {J 4 4 , 3 I o o llation I neplacement I ottrer PH PH t{C REG f : t{C REG i:EIIGR DESIGI{ PROF€SSI0 AL: r\,iar- Lh€! A. a3r.:,rl:; rs THE pROpERTy LOCATEO rN A FLOOPLAT t Eyes. ACCESSORY STRIJCTURE rut sr oe pss nrai. SEASONAL SALES LOT @ Orxrn; BUILDING HEIGHT: I]. 5 ]/:" TOIAL SQ FT UNOER FOOR: NUIIBER OF STRUCTURES: 3 LISCI IEF: I hqeby c€dty lhar sll rnldmd|o.r rn rhrs apprrarlon ,s 6nd o.dinances end r€oulations. Th€ NHC Devetoprnent Servrces Cent€r co.r.do. anlormdion -'t{oTEj Any wort Ho.rn€d wo tE s o L Statlon L.332 Ac fl colsrRwrror rmrlrR Nt,ilBER OF STORIES: TOTtrI SITE AREA Pe.ih(s w l be rn V,olarloo ol the I wort willcdrlriy w h\rc lGd ot eny charpcs 'n th and all cther epplc€ora sate ara tocst |rws speaitcdios c chenga in cofitecto. or and suq€d to FrEs t p To ts(D.m- TOTAL..ACRES DISTURBEO: I.332 AC Slare Buld'oo CoOe o{r{ER/cot{TRAcT0R:SIGNATURE: PROPERry UsE: E RESIDET{TIALUSINESS I cu.rc n APT ! coHoo OTHER: !a trtr COI{.IUNI TY C ETITRALEPTIC YSTEM PRIVATE SEPTIC PRIVATE WELL ZONING USE CL co trur'r I TY sYsT PAYttEtIt tiEIlOO | tr rs REQUTRFo rOR rLE(r. xtCH, pt-86, GAs EQUIp, PR€rABS t fifl ctecr (eAvABLG ro rlrc) ! orearcu exrnrssriclvrsA E orscoven .T' SEPARATE PEN IISERIS T" **l*r*all**t*riar t.1,rr*tr***, ( FOR OfFI(t t,sE OtLY)vt5aD e/\2/12 SETEAC(S:F: LH: RH: 8: FICATIoI.I: Lrndeve loped 8FE+2ft=_ ZONE : _OFFI R: Approval.:it y: _ OATE:_ FLoOD I Center - frve fuel Ins I Cofl nent : RECEIVEOAPR6-m[ PERIIIT fEE: t_ ZIP: .t:i. ..i / BLOCK '; IS YOtR PROIECT: @ Commercial E Residential @ new ST: _ ZIP: _ IS YOI'R PRO]ECT: IIATER: SEHER: NEId HANOVER COUNTY BUTLDTNG PERM APPLICATI@I ryPE: RESf DENTIAL PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT "Project Responsibilit)/' CIry: BLOCK #: LICENSE *: CITY EXISTING CONSTRUCTION:ALTERATION GENERAL RE PAIRS NEW CONSTRUCTION:ERECT NEld RESIDENCE or ADDITION TO EXISTING R PORCH SUNROOM5F POOLSF STORAGE 5H SF OTHE R: ffi n$%8? APPLICATIO t{umber (office Use) APPLICANT,S NAI,IE: OEVELOPER: PRO]ECT ADDRE SUBDIVISION : DATE : PHO E #: P LOT *: PHOT{E # 5T: ST: IP P PHOI{ E S PXOTE *:9 AREA SQ FT: sFsEP t1205 SF SF PROPERTY O T{ER's NA E: OUIIER'S ADDRESS: CONTRACTOR : ADDRESS: EII'IAI L ADDRESS: PRO]ECT CONTACT PERSON: TOTAL HEATED SQ FT: DESCRIPTION OF WORK: it' tl \ iiI :l U **PLEASE CHECK AND AiISIiER BELOW ALL THAT APPLY TO YOUR PRO]ECT: -/ rr /pfurr cnnree JdU sr ! oer eenrer _ sF TOTAL SQFr UNDER noor, IU,C ,oPXi Gasne on the Cunrent Site? tr No 11r,2L TOTAL PROIECT CoSTlressroj , t@! I * oF sroRrEs: \ Is Any ELECTRICAL, PTUMBING on IiIECHA ICAL Work Being Done to the Accessory Stnucture? [ yes If the pnoject is a Relocation, is there a Natural Is there Electnj.cal Power on this Building? J-l yes PROPERTY UsE / OCCUPANCY: SILE FAI4ILY DUP LEXTOI^INH0USE 5' ffi ves ft No n\& DISCLAIMER: lhereby ce.lify hat all inlbrmation in bis applicaijon rs corecr and all work will compty with he State Buitding Code and a oherapplicable Siaie and loca and ordinancas and regulalions. The NHC Development Services CenEr willbe nolified of any changes in he approvsd ptans and ns or change in contracbr conlractor informaljon '*NOTE Any Work Perfomed W/O f,e Approprtate pemitswil be in * * +* * * )t ** * * + * * * * * To $500 [} REVISEO DAIE O4/71/12 SIGNATU NC OWNER/CONTRACTOR : * * ** ** * * * *+ * * ** ** * * ** * * ** * *(iiTl.lil-"j IS THE PROPERTY LOCATED IN A FLOODPLAIN}YES NO n WATER: SEhIER: ffi f] cnrrnnr srerrc ! pRrvArE sEprrc EXISTING IMPERVIOT'S AREA: NEW IMPERVIOUS AREA: ZONE: 'L so FrOl4-tq rr TOTAL ACRES OISTURBED: PUA COI4IYUNI W SYSTEM PRIVATE NE LL CF PUA (FOR OFFICE USE OiILY) EXIST LAND DISTURBING PERMIT: I_I V* @.IA CENTRAL WELL COI,IMUNITY SYSTEM F:_ LH:_ RH:_ B: *Ti S;PARAIE PERMITS RE?UITED jci? ELEcT, xECF, PL86, 5;1S EQUIp) PREFASS & IilsERfs **+ pAyMENr r{ErHoD: ! crsx rl cnecK (payABLE ro rrc; I menr.* ,rr*rr, tr;;;; - [ orscoven't*r(****:k***********)i****)t*,(**,*,***********,**)*******+*********+***,t*******:i**:i*x:t *,t*;i***** SETBACKS: ADoroval: OFFICER: Citv:DATE:FLOOD:BFE+2ft= Itbb-\xmtif,rnea.6r R ENOVATION I enreurouse _ sF I oecx tr RE LOCATION ! aas -4ssz APPLICANT'S NAfiE: DEVELOPER: NEt^l HANOVER COUNTY BUILDING PERMIT APP LI CATIOI,I IYPE: R ESIDENTIAL PLEA5E ANSWER ATL QUESTIOTIS APPTICABL€ TO YOUR PRO]ECT "Project Responsibility" Leani,laz l-olo ,?aere -Z /l-r) APPLICATION Number (office use) DAfEt q- /r-Zo/5.*. , ilr-Zti-,rs^s-.1rt/PHONE f PRO]ECT ADDRESS: SUBDMSION: Eau rbare F.zL/ t t/ PROPERTY O}'INER'S MI4E: a; ue-zrP: Z4 LOT *: ProNE #: ,il?-646 -q7o6 sr: LzrPtz3ll( sttLtL-zrPz -Zl42 l BLoC( S: ,fr/,- koa te. @ COUTRACTOR: I cr-.'"/*z-&-qv'? ADDRESS: 31? Bo F - LrcEr,rsE #: - ctty, irr ; /. ,z- 2'c,a CITY: **PLEASE CHECK AND ANSI4ER BELOI,I ALL THAT APPLY TO YOUR PRO]ECT: EXISTING CONSTRUCTION: NEhI CONSTRUCTION: tr ERECT NEW RESIDENCE o EITIAI L ADDRESS: PRO]ECT CONTACT PERSON: DESCRIPTION OF WORK: I arrrnarforu ! h'eruovarroru ! "$, GENERAL REPAIRS RE LOCATION ITION TO EXISTING RESIDENCE PORCH SF SToRAGE SHED I42 SF SFOTHE R : ATT GARAGE suNRooM _sF GREENHOUSE DET GARAGE - SF P00L _ 5F DECK SF SF 5F TOTAL HEATED SQ FT: I TOTAL SQ FT UNDER ROOF | '/A TOTAL AREA SQ Fr,t /47, TOTAL PRolEcT CoST rress roo : $ .l{4D. o.{# OF STORIES: I Is AnyPLUiIBING or I,IECHAIICAL ulork Being Done to the Accessory Structu.e? @tr", | "oIf the project is a Relocation, is there a Natural Gas Line on the Cunrent Site? I v". p]rG,- Is there Electrical Powen on this BuildinglEV"t EM pRopERTy usE / occupaNcy ' psrrucle ramrrv ! oucLrx TOWNHOUSE DtZ and ordinances and regulalions, The NHC De\,€lopment Servaces CenErwillbe noljfed olanychanges in he apprcved plans and specificaiions orchange in contactrr or contractor inbrmatjon. "'NoTE:Any work Performed wo rhe Appropriaie Permits will be in violaiion ofthe Nc staE Erdg code and subjecl rc Fines up To $500.00.- OWNER/CoNTRACToR: I IGNATURE : )*** * )*** * * ** + +,f *i(* * * ** * )** )k* * ,*,* *+ *i( * i<)t* * )t* * * * Eno TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERIiIIT: E YEs E NO '/7 i * * * * * * * * * r + + * *, ** * * * * *. ** *(IlTl lil"i * * * * * * *r* * IS THE PROPERTY LOCATED IN A FLOODPLAIN? E.YES EXISTING II4PERVIOUS AREA: -5Q FT NEW IMPERVIOUS AREA: -SQ FT sEwER: EfcFpuA ! crNrul sEprrc n pRrvATE sEprrc I cor,,rururw svsrrm *** SEPARATE PERIi,IIT5 REQUIRED FOR ELECT, I.IECH, PLBG, 6A5 EQUIP, PREFABS & INSERTS *** pAyr4Er{r itErHoo: IcasH ficnec( (payABLE ro runc) ftarrnr.oil ,*.*r$ ft rcTvrsa I orscovrn * *,t* * )** ** )a * * )t *,t **** *)** )**+ * *** )t )**+ )i,t * * * ,*,* * +* *)t **,* ** )t* * ** *,** * )t*+ +,t )*** *rt+* *)** *,*** *:*+*,t,i** r*,* (FOR OFFICE UsE OiILY) REVISED DAIE O4l11l12 [^,ATER:CF PUA COI4I"IUNITY SYSTEMRIVATE I^jELL CENTRAL WELL ZONE:OFFICER:SETBACKS: F:_ LH:_ RH:_ B:_ ADDroval: citv: _ DATE;_ FLOOD: _ AV Corment: BFE+2ft= N PERI'IIT FEE: $ TRICA /-:--: --: ..,: i .. i-&, E+ffi OhINER'S ADDRESS:'X74 IA. PHONE s: i/O- a/? - .d E? 5 PI0NE *: ilO-77e -qq6, CITY: t, tr NEI^J HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL PIEASE ANSI{ER ALL QTJESTIONS APPTICABLE TO YOUR PRO]ECT "Project Responsibility'' 'lhompson ResEora! ion DBA Ser!.pro O'INER'S ADDRESS: 8400 BaId Eaqle Ln. CITY: I,ii lminqton COiITRACToR: Thompson RestoraLion DBA serapro LICENSE *: 57933 ADDRESS:66 06 windmill WayCITY: wilmlngton ElilAIL ADDRESS: tonmy@serwroofnewhanover. com PROIECT CONTACT PERSON: rommy sneed 2-st6-495t APPLICATION Number (office use) APPLICANT'S tlAI,lE: DEVELOPER: ST: Ig_ zIP ::!3ll_ PHOt'lE f : PHONE *: 914 - 162- alAO 910-367 0643 EXISTItIG COI'ISTRUCTION :ALTERATION [] nrrcvarror E crrennr REpArRs n RELocATToN NEUI CONSTRUCTIOru: ! enrCr NEW RESTDENCE o" ! mOrrrOt TO EXTSTTNG RESTDENCE *'PLEASE CHEC( AiID A'ISI,{ER BELOW ALL THAT APPLY TO Yq',R PRO]ECT: ! err crue r - sF ! surunoom - sF ! cneerHous r - sr ! oer aanace sr ! eoncH -sF PooL - sF f] sronrcr sHED - sF DECK SF OTHER: SF TOTAL HEATED SQ FT:2020 TOTAL SQ FT UNDER ROOF: _ TOTAL AREA SQ FT: _ TOTAL PROIECT COST 1r.* r.r1 : $150K# OF STORIES: r OISCLAIMER: I herby cerIv hai all inttrmation in his applicaton is correci and allworkwillcomply wih he Stale Burlding Code and all oher applicable StaE and tocat taws and o.danances and regulalbns. The NHC Devebpment Services Cener willbe notfi€d ofany changes an he approved phns and spec conracbr inbrmaiion. r-NOTEiAny Work Perbmed w/O f'e AppropnaE Perm its willbe in Violation oflhe NC SlaE 8Ug Code and 00" OWNER/CONTRACTOR I tommy sneedSIGNATURE: ** * *** * *** *(iiTllil"J* * IS THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTII{G IIiIPERVIOIJS AREA: -5Q FT NEhl IMPERVTOUS AREA: _ SQ FT TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PER}IIT: fi Yes l]''l ro MrER: I cFpuA n co]1]ruNrw sysrEM E pRrvATE r.lELL I crtrul well SEWER: n cFpuA E CENTRAL sEprrc ! enrvlre seerrc ! coMMUNrry sysrEM *** SEPAIATE PERi{ITS REQUIRED FOR ELECT, I.IECH, PLBG, 6A5 EqJIP, PREFABS & II{SERTS ,T* pAyr.rE r rirErHoD: flcasu flcurcx (payaELE ro NHc) n A,,lERrCAr,t EXpREss I nCrursa I orscovrn *!t*,*,***+**+*,Br(*:**)i*************,i*******)**++*)*****)i)t)**++**!t)t**,*++++,t*)i)*)*++*,t :i:i)i)t)***,*)*,*,*)*:* ZONE ;OF FICE R : Approval:_ City:_ DATE:_ FLOOD: _ A Coment: ,t,t,t r( ,t,f * * *** * rt * * *,** *,* ** * ** *,* )* ** * **,f ,1)t * ri )t,*,* ,*,* + + +,*,t,t ,t * I ves fl *o (FOR OFFICE UsE OTILY) REWSED DATE O4l11l12 SETBACKS: F:_ LH:_ RH:_ B:_ BFE+2ft= _ PERfiIT FEE: g ,) (.\ r.Y L0" ,- -- .,....,, r,- i,. :.,).., '&,1 OATE: 1o-1 2015 PK)NE fl: PROIECT ADDRESS: @ CIIY: Il]!l!9!9!_ zlPt 23!JL SUBDMSIoN; BLOCK #: LOT S: _ PROPERTY 0h ERJS tlAltE: Gradv Merri.man PTONE *: 910-228 4164 ST: 19_ zIP : :!3q Is Any ELECTRICAL, PLUIiBII{G or I.aECHAIICAL work Being Done to the Accessory Structure? P V"t I Ho If the proje(t is a Relocation, is thene a Natural Gas Line on the Cunrent Site? fl ves fi ruo Is there Electrical Powen on this Building?[v"t Ino pRopERw usE / occupar{cY t EI srrucle rnmrlv ! ouerrx I TobJNHousE DESCRIPTIOITI OF l.'lORK: Repa]'rs from tire damaqe to the marn home. A11 elecErical, HVAC, and roof SysEem wiIl be replaced. Al1 inEerror trnishinqs, dryrrall, !rrm, doors, tloorinq ro be replaced. "jf,rr-ci'l Y1 & APPLICANT'5 NA}JE : DIVELOPER: NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE; R ESI DENTIAL piEA5E Afi5sa! aLL QUTSIIO!5 APPiI(A8La l0 YoUA PROIEC-1- "P.oj ect Responsibility" is JTag APPLICATION Nufiber (OfIi(e u5€ ) )o $r., 5 . 9m rcey. )',2 q DLIEI / '/{ ctIYt LJ/ Lri/^J Qf!1 LOT *; PHONE * ztP z 844? PHONE */o -6za -71 4/ sr: &l;zIP: sr,df-(rrPt? k4o 74/P!$NE *t qto -(ezD - 74 stP 18 ?811 suBDrvrsroN: ^JaoDo€Rtz.r Fo,z-€-sr etocx *t PROPERTY Ol,,Ji.IER'S |.lAME: 01,'INER'S ADDREsS: J-dH^i S. 5mt(€>/ ,5-a2 {vtt €y', CITY: LICENsE {: CIlY: a ^.:l CONTRACfOR: ADORESS: EttAIL ADORESS: -aAa VE ' pno:tct coNTAcr PERSoN:P$NE *: q/a .LZA.? 44/ ExrsrrNc cofisrRucrroN: I ar-rrnnlroru fi-drrcvarroH !e$trnlr nrearns I ntrocr NEI,{ CONSTRUCTTON, ! enrCr NEh/ RESlDEl.lCE o" @dOOrrrOl rO EXISTING RES TION *.PIEASE CH€CX AI.IO A}ISWIR SELOI.] ALI- THAT APPLY TO YOUR PRO]EC]: SF ! oer canrcr se DfoacH 2tAT'I GARAGE suNiooM _sF POot _ sr SIORAGE SHED fl cnr:nHousr - st ffficx 35 o sF orHER: SF SF IOTAL HEATED SQ FT: - IOTAL SQ FT UI{DER ROOF TorAL pRoJ EcT cosr i, "ss Lo,) , $ I (K * oF sr Is Any ELECTRICAI-, PLUI'18IIiG or iIICHANICAI i^lork Eeing Done to the If the project is a Relocation, is there a Natu.al Gas Lin Is there Electrical Polie. on this Building? fl v"t l*l lo 318 SY: TOTAL AREA SQ FT: ORIES: a(.essory strLrcture? $/ves I r,ro e on the Cunnent Sitel fi ves I to / 1D PROPERIY USE / OCCUPANCY: DESCRIPTION OF I,]ORK: SC-RCEN 5IN6LE FAitliLY DUPLEXIOi,JNHOUSE 5<*t_ TS-T L€3 L DISCIAIM€R rhereov !€nr'_! lrar alr r.lormaro. m tl13 appalcaicn ,s coie.r.nd ,lr w..k wI romplyw]0r ore Sr6re Bir!6ng code and aN o6er arpitatk stae and 6ca 16ws :onra.b, {jb,oabo. "'NOTE rrriU;orr Pedorined !!rO h€App'opr ale poimnsqrr,be,.vl.,linD.o{rneNC SlrE owNER/coNrRAcron: 5o *r.r 5 Sm I c€y .J72.516xq1us5. -.. *, " * *-. -ri'-",fl,l'l',i';. ., * - *,, * .. * * rs rHE pRopERTy LoCATED rN l rloooelarrul I vts E Ho EXISTING II1PERVIOUS AREA: -SQ FT TOTAL ACRES DISTURBED: ..r srpaRArE pERr,lITs REq.lIRto FoR frfcr, r4tcH, pL86. cAS IQUIp, pRtFABS S INSERTS '*^ fl casr Icrrcx (PAYABLE To NHc) zoNE: _ oFrTCEE: I arrnrcnr rxcnrss tr r1c /vI5A f] orscore* ltoR otFl(, LrSr (Nrr) iflMD oArt 6artl/12 SETBA((s: F:-. LH:_ RH:_ B:_ Approval:_ City:_ DATE:_ FLOoD: _ _ 4V corment: _ BFE+2ft= PERI1IT FEE: g PRO]ECI ADDRESS: 4 ZT7 C: TZEV C€A F >E , oll( NEW II'IPERVIOIIS AREA: -SQ F] EXIST LAND DISTURSII'IG PIRfiII: N YES T-.] NO _1 wxeRt ZILFpu^ n colulururry sysrE[4 [ pRlvATE l,,rELr f] crrrnar wrrr sEetERt CFpuA a-,r*r.0,- sEprrc f];rvArE sEprrc fr aonrr*rr r"srm PAYI{ENT figTHOD: