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HomeMy WebLinkAboutJANUARY 8-11 2016 BUILDING APPSNEW HANOVER COUNTY BUILDING PERMIT aPPLIcATIott rYPF: RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility''*12-\ insY\,e fuli:q qrg APPLI CATION Number (office Use) APPLICA T'S NA}IE: DEVELOPER: DArE: I -[ l- lA PHo.{E *: q)6^23,.tl a3 PRO]ECT ADDRESS: ! oer eanaee - sF ! eoor- - sF ! eoncH - sF ! sroRnce sHro SF OTHER:farh c-zrP: ?3961 LOT #: PHO E S: C srt lL.zrP2AA\cfl ttrlLrrr,AA3b PHot'rE #: <tcS. lZt.tt423 SF crw: SUBDIVI5ION:8L0CK f: PROPERTY Oh'NER'5 TJAIIE: t,l( OI.I[{ER, S ADDRESS: CONTRACTOR c ADDRESS: cG-r, CITY: LICENS CITY: E #: ETUIL ADDRESS: EXrSTrl{G CONSTRUCTTON: ffiLrenarrOn @'ne HOVaTTOU ! Orr'lenal nenarRs RE LOCATION NEW CONSTRUCTIOT: ! rntCr r{EU RESIDENCE o" ! mOrrrON TO EXISTING RESIDENCE **PLEASE CHECK AND At{St/ER BELO/U ALL THAT ApPLY TO YOUR PROIECT: lrn canaer - sF ! sur'rnoolr - sF I cneemxous e - sF PROPERTY USE / OCCUP DESCRIPTION OF I{ORK: ! oecr rorAL HEATED sC rr, ffi rorAL sQ Fr urrrDER **r,W rorAL aREA ,O ,r't$ TOTAL PR0l ECT COST tr-ess rort i $L&oo* OF STORIES: ( Is Any ELECTRICAL, PLUl.tBIllG or MECHAT{ICAL Work Being Done to the Accessory Structure? [fV"a fr ruo If the pnoject is a Relocation, is there a Natural Gas Line on the Current Site? [ Ves [f Uo Is there Electrical Power on this Building? ffves J]l ruo ANCY : [fsrruclr rnurlv ! oueLrx ! rowruuouse P,tn DISCLAIMERT lhereby certify hai all infomalion in his applicaljon is corecl and all work will complywih h6 State Building Code and att oher and ordrnances and regulalions. The NHC D€velopmenl Servicesnotiled ofany changes in he approved plans and conractcr inbrmaton. "'NOTE Any Work its willbe in Violalion ofrhe NC Siale Bldg State and local laws $s00 00'-T OWNER/CONTRACTOR : .***;l-*qd*m; ZONE: OF FICE R: GI'IATURE : e A (Print Name)f * * ** + *** * * * * * *,r * *+,t **,** )*:r * * )t*:t,*,t +:* **rt,* * *+ + ** * )r:r:r* * +* * *,t ,t +:* *)t **:tr* )t,t,* )* * )t rs rHE pRopERw LocArED rr{ A FL@opLArN? fl vrs E uo EXISTING IfiPERVIOUS AREA:SQ FT TOTAI, ACRES DISTURBED: NEt4l IllPERvIouS AREA: _ SQ FT EXIST LAND DISTURBING pER rT: E veS [ rc t.taIER: fl crcun I cor,lrluNrry svsreu I pRrvArE wELL I crtrnal well sewen: I creua I cENTRAL sEprrc ! enrvarr seerrc ! co MUNrry sysrEM *** SEPARATE PERIITITS REQUIREO FOR ELECT, IVIECH, PI-BG, 6A5 EQIJIP, PREFAES & INSERTS *ii:{' pAyi,tENT itErHoD: I crsx I cxrc( (pAyaBLE ro rinc 1 ft mrnr.* ,*o*ri, E ,.rurri I orscove n)t*)****,t****)t***j*****)*,***)t,******,*:t*)i******)t,t+***,**,t**********)***,r***+*****+*,*:i*)*,rr)t**,r+** (FOR OFFICE Ust or,ily) REVTSED DATE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ ApprovaL:_ City:_ DATE:_ FLOOD: _ BFE+2ft= _AVN PRO]ECT CONTACT PERSON: Sq ff\<. PHONE *: /-) '/A7 17-079TAB NEW HANOVER COUNTY BUILDING PERMTT APPLrcArrd rypEr COI4MERCfAL PI.IASE AHSI.JER ALT QUESTIO}JS APPLITABTE TO YOUR PROJECI .,proj€(t R€sponsibillty,, APPLICAIiIT, S NA''I6, SmithlVloore Leatherwood LLP DEVELOPER:10'1 North Third Street, LLC. PlloliE *: 91 0.520.8780 PROJECI ADDRESS: 101 N.3 St ctTys Wilminton -ZIP: NC OCCUPANT/Busr[Ess NMEr Smithl\,4oore Leatherw PROPERWor,,r,lE1,s liAitE ! 101 North Third Street, LLC.; David N4artin PHONE #: ol,lflER',s ADDnESSI 300 N:Thl;A St. Suiie 301 cttYr Wilmington---- 5T: N C2r.9r28401 COTIIRACTOR:LICENSE *:AoDRESS: ttrv. EI.IAIL ADDRESS I Plio E S! PHONE *: b"qp*,'lt- i{- 3LtgL apiiiilio-'u Number (offtc. Ur.) DNEl2t14t2015 &pry) RENOVATION D GETIERAL NEPAIRS f| RelocarroH lf Reloc-atlon, is ther€ I Nslwal G8s Line on lhe Cwrent Sire? fi Yes trNo lS BLoc SPRTNKTERED?[< lve" flruo r,tct{ coNsrRUCrrOr{, I rnecr ilEr,I sTRucTURE ft resr rnlcr fl suru AccESsoBY STnUCIUXE! UPFIT tr ADD TO EXIST STRUCIUNE rf upFIT - The sheU permtt Si 2014-7754 Is Elect PoHcr on thls Buudtng E yes E UO..4.. :S TIiJS A CfiAItICE ot occuplficv uset IIF Yes, uiat xar the Pr€vlous occupancy fypel . - [h[ YEs [ltto ..... ls th€ er occ{pancy Iypel _ AROI 0ESIGll PR0FESSI0l,lALl ENGR DESIGN PIoFESSIoIALl aul c.J .:! --._) -.-ls >r PH :- c REG #; PH NC REG #; DESCRIPTTO Or HOR(:1st Generation office Tenant Upfit On One Floor+A ls lood ot bevorages proparod or G€rved ln thls structur€? trYes[JNo ts ltre Rroperry Loc€tsd lnthe Floodptatn?flves I No roTAr pRoJEcTcoel; $609,000 est BUILDING HEIG 74',# OF UNITS: TOIAL AREA SO FT :6eF75-SQ FT PER FLnr 15,851 # OF STRUCTUREE-# oF sroRtESa5TOTAL SQ FT UNDER ROOF:_r or rloons:l l- DISCLAIMEF: I h€reby cefiry lh8t all hlormarton tn 6nd locallaws and ofi,'18hces snd teoirlallons. The or chenoe ln conuedor'ot @nt6ctor lnlormat,dn.." Sublsctlo Flnes Up To 5500,00"' $iliiHfi;tiffi,ffi ffi f#,tq!ffiffi,i#"ffi *fl 'srifl lf, ffi r.#fi 'ffi tu"ffiffi ffi OWNEFUCONTFACTOR:- STGNATURE:_ Notoi Olmnlldon noufiaatlols I lrb€dos t.rnov6l p6rfl ll epdbat ons 8ri to !a aobrfl,tlad ultnO lho ooplt ;xnrmr.lr*m;;:*1"*l"tx;.tt;pmt'm:1"'finamr#i'niilffi,i,lB#ffiTl".x"Yf:ilT:,ti.i*" ACRES DISTURBED:- EXST ;AND DTSTURBTNG prpurr t-t vco t-I. NEw lMPERVlous AREAr- . . se Fr .r'rr,*o 'r"r."^i.tilriX,t "* *o_ ro ., pnopEFryusE: [prrrce flnesnunnur flueRcaNrlr fleouc flerr Ecoxoo orHERr- ySEfi F3:iUtE3:il*Xt'HL'J'HF,ilH,.,,,.trBi,",,ll1i#sEqAssrFrcAnoN:.'!--n'SEPARATE PERMITS REoUIRED FoR ELEGI MECH. PL.BG,cAs EaUIP. PREFABS ! INsE-iIs,- PAYMENT I,IEIHOD: ICNSX ICITCK (PAYABI.E TO NHC} EAMERICAN B(PRESS EIMCIYISA I OISCOVTN..d.rrtfi,irft rnafid6.rra..a.arfiii,rrrir ft-6 zoNE:-oFFlcER: (tjffiffiffi:H' LH-R,:- B: REvrsEoD^rErnn2 Apprcval: City:-DATE: .FLOOD, - - -Oi!-;i_n=I 0Commonl 3, cz, c€ PERMIT FEE: PRO]ECT CONIACT ATTERATIOIiIrs- q3 L e-5 \A,N&:wra, Mtltiittul lorruc f DEVELOPER: PROJECT ADDRESS: NEt^l HANOVER COUNTY BUI APPLICATIoN ryPE.. COI{M ERMIT ERCIAL xt8 APPLICANT'S NAME:5nr,-{t PLEASE ANSLJER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibllity" ('\l>a- Leri{&ru:od APPLICATION Number (Office Use ) CITY: cd CITY: LICENSE #: 5 /620 CITY: wi,minqton PHoNE f: 5)0t"Td zrp:)8 kl3 PHONE S srt Alezlpt}tgl ST: nc ZIP: 28405 PHONE $:9:c.199.2295 PHoNE #:9ia.199.2295 Eto ST STRUCTURE OCCUPANT/BUSINESS NAME : PROPERTY OWNER'5 NAME: OWNER'S ADDRESS: CONTRACTOR: Thomas Construction Group, LLC ADDRESS: 1111 Mrlltary curoff Rd. , Suite 191 EIIAIL ADDRESS: lwrlLlams"6thomasconstructionqroup. com PRO]ECT CONTACT PERSON:Tony Da tena (check AII That Apply) Exrsr coNsrRucrroN: f| ALTERATToN I neuovrrroN f] ce lf Rolocatim, is there a NaturalGas Line on the -Current Srte? EY;E NERAL REPAIRS No IS BLDG SP tr neLOCatIOtl ,/ xrenroz ffv"" NEW CONSTRUCTION:EREcr NEW srRUcruRE ! rasr rnlcr ! srer-r- unrrr ! ADD To Exr ACCESSORY STRUCTURE: If UPFIT - The She11 Permit #: IF Yes, what was the Previous Occupancy Type? ARCH DESIGN PROFESSIONAL: ENGR DESIGiI PROFESSIOT,IAL : ACRES DISTURBED 2or4-rr:-t[Is E]ect Power on this Building E ves I tO '***** rs rHrs A cHANGE oF occupAncy usel flves Src..... tti'e Ner occupancy Type?Nhat is PH: PH: NC REG #: NC REG #: DESCRIPTION OF UORK:S'c( OWNEFYCONTRAQJQFI; :aura w: r I iams SIGNATURE: (Ot 6liL.) (Prl.r r.lr.n ) l.h6: Oemoiltoh mtificatlons & asbctG rsnoval p€mh appihadorE srE to b6 sub,nltbd uslng t lo sppllcadon blm conbln Atboaroa or mt You €re r€qulr"d to call tlle Nadonal Embslon standads for Hszadol]s Al. pollutants (NEs delmltrron of eny fEdllty o. bulldlng. S€€ Asb€sb6 Web Slt6: hflp/ ,vww.6pl.stab.nc.us/epi/asb€sb6Jshmp.htrnl I1t/ ls tuod or borroragos p.€par€d d sdvsd in thie *uaurc? [ ves [ ruo b Tho Proporty tocatod ln The Ftoodflain? ft ves [ ruo DISCLAIMER: i hereby cenity lhat all rnformation in lhts applicatron rs correct and all work wl cornplv wrtn the and lo{rl laws and o.dtnances and regulatrons. The NHC Development Services Center will be notifi;d ol anv or change rn conlraclor or conlraclor information "'NOTE: AnyWork Performed w/O the Appropriate perm,G Subjecllo Frnes Up To $500.00"' Stale Euitd cha HAP)(e1s) nd allother applicable State Blds ificalions Code and sc ()Exsr uANo DtsrunatNo eeRralrr I ves I r.ro SQ FT EXISTING IMPERVIOUS AREA: whettl€r tE facility or bulldlng w4s bund to 707-5950 st lesst 10 doys Fior to flo SQ FT pRopERryusE: EoFFtcE lnesnunem f]usncernu leouc f]err lconoo orxen: NEW IMPERVIOUS AREA: CFPUA CFPUA WATER: SEWER: EIF EcoMMUNmySySTEM EWE_L LIZONINGUSEC|-ASS|F|CAT|ON; LIGENTRAISEmC LlpRtvATESEprC EcoMMUNnySysTEM '. SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EOUIP. PREFABS 8 INSERTS *' PAYMENTMETHOD: ECASH [CxecrleevaaLEToNHC) flnUenrcru.rexeness flucnnsa Iorscoven ,:1 D^r* l)/i(/tf (t rorAl pRoJEcr cosr: .(48.!\]jl_ BU|LD|NG HEtcHr: J41 #oF uNtrs: ToTAL AREA SQ Fr: L(i{\lS SeFTpERFLR: l\,(\ I r or SrOnres,--6- TOTAL SO FT UNDER ROOF: _ # OF STRUCTURES: # Or rlOOnS: E- n' rf ( (FOR oFFIcE UsE oNLY) REuaED oAlE 1/I,III2ZONE: . OFfICER:_ SETBACKS: F: LH: RH:_ B:_Apptoval: city: DATE: FLooD: - - - BFE+2ft=comment ^ v Jr*u,rr.rl_ Lot + ,$ APPLICANT'5 I,IAI,IE : DEVELOPER: PROJECT ADDRESS: SUBDIVISION r ?fz $-5ro? 7otb-t27 APPLICATION Number (Office Use) I /- V-/ tffi NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE; RESIDENTIAL PLEASE ANSWER ALL QUESTIOIIS APPLICASLE TO YOUR PRO]ECT s roject Resons ibility" CL)t C ITY: BLOCK f: ITY: LICENSE Sl PHONE *:cl/o^C l7-og3 sttQ-t:n: 2,?.?// :-zrP:ilX-tltt a,33 PROPERTY Oh]NER,5 f"il{ilE : OWNER,S ADDRESS: ATT GARAGE - SF suNRooM _sF GREENHOUSE SF PROPERTY USE / OCCUPANCY: DESCRIPTION OF I^IORK: DET GARAGE _ SF POoL _ SF DECK SF DATE: PHONE f; ZTP i LOT T: SF Yes No all of'er applicable Stab and tocat taws iicalions or change in conllacbr or Subjecr b Fines Up To 5500 ocr', CITY E AIL ADDRESS:PHONE *: PRO]ECT CONTACT PERSON:PHONE #: o.- ENERAL REPAIRS RE LOCAT ION '*PLEASE CHECX AND AIISWER BELOW ALL THAT APPLY TO YOUR PROJECT: NEW CONSTRUCTTOH: ! rArCr NEW RESTDENCE or ! nOOrrrOU TO EXTSTTNG RESTDENCE Sh eo STORAGE SHED L SF OTHE R : 5F TOTAL HEATED SQ FT: ToTAL 5Q FT UNDER ROOF: 7L TOTAL AREA SQ FT:7L TOTAL PROJECT COST lress Log : $25Dfl# OF STORIES: Is Any ELECTRICAL, PLUI4BING on MECHAI'IICAL lro.k Eeing Done the Accessony Structure?Yes No POR Violalion of the NC S SIGNATURE NO If the project is a Relocation, is there a Is there Electrical Power on this Building? Gas Line on the Curnent Site? Eto Natun es SINGLEFAIYI LYDUPLEX TOWNHOUSE DISCLAIMER: Ihelebycertit halallinirnnation rn hrs applicaton is coreci and a[ workwil comptywih tie Stare &]itding Code and ordinances ard regulaiions Tne NHC DevelopmenlSeruices C€ nrer will be noilied of an y changes in he approved ptans and conuacb, n6 raton "'NOTE Anywo,t eerlorred w/O or.rNER/coNrRAcr o fri du tL hd\AoDroeria€ Perm lswittbe rn teha*v *,1,i * *,* * ,r,i,*,* *,r,**,r**, * ** **** *(I!'Il |i1"] * * *** * ** ** ** * **** IS THE PROPERTY LOCATED IN A FLOOOPLAIN? EXISTII'IG IITPERVIOUS AREA: _SQ FT NEW IMPERVIOUS AREA: _5Q FT ,* * *,i ,t,t * * * * *,t *** * * )t* *** * ** *,r * * ** * * YES TOTAL ACRES DISTURBED: EXrST LAND DTSTURBTNG lrnmrr: I yrs f-'] ruo F PUA f] comuururrv svsreu PRTVATE WE LLCENTRAL I^/E L LIdATER: SEWER: creua f] cENTRAL sEprrc I enrvnre seerrc f] colrMuNrry sysrEr"r *'T St PARA] E PERJI PAYiIEI,,T IiIETHoD: E cos,CHECI( (PAYABLE TO NHC ECH, PLB6, GAS EQUIP, PREFABS & INSERTS i*+ ; I lrlerrcm exnnrss [ ,c/rrsa I orscoven *)t)t )i * )*,t **** +** * *+ *,*,* + + *,i * )k )*r** *** *,t*,** ***,t * * Il5 QUIRED FOR EtECT, I.1 *,f * * ** * **,** *** * * * * * * *,* **,f * * ** * ,*,* * *** * ****,**,t* (FOR OFFICE USE oNLY) RTVISED DATE o4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ AViI PERITT FEE: $ Comment:-7{.a CONTRACTOR: ADDRESS: EXTSTTNG CONSTRUCTTON: ! llrrRlrrOu ! nrruOVnrrOr,r ZONE: _ OFFICER: NEW HANOVER COUNTY BUILDING PERMIT aPPLIcafiON rYPs : RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT "Project Res pons ibility" ZatL- t3\ 15-358 6 APPLICATIOiI Number (Office Use) APPLICANT'S NAiIE: D.F. :ror.1,on, rncDATE: 1: :8 1] DEVELOPER:PHONE #: PROIECT ADDRESS: lal8 ,ancouver ct SUBDMSION: I,Jaterside at'4oodlake CITY: M\./ rt le Beach PHoNE #: 843-546-2318 ST: SC ZIP: 2,5]9 BLOCK #: PROPERTY OU,NERJS NAI\4E: r Il. H!.r-.r:,Inc oWNER'S ADDRESS: 4073 BeLte rerre BLvd CoNTRACTOR: u.ii. H.rrr-or ADDRESS: 401l Belle Terre Bl-,.rdCITY: MvrtIe Beach ST:g_ZfP:29579 EIilAf L ADDRESS: nrdarierspdrho:t-on. conr PHoNE f: 910-581 11184 PROJECT CONTACT PERSON: t.:rcrael :aniel:PHONE #: 91t-58r-418q EXISTING CONSTRUCTION:ALTERATION R ENOVATIONGENERAL REPAI RSRE LOCATION NEW CONSTRUCTION:ERECT NEW RESIDENCE OTADDITION TO EXISTING RESIDENCE **PLEASE CIIECK AND ANSWER EELotll ALL THAT APPLY TO YOUR pRolECT: ATT GARAGE 195 SFDET GARAGE SFPORCH -_5F SUNROOt4SFPOO LSFSTORAGE SHEDSF GR E ENHOUS E SF DECK SF TOTAL HEATED 5Q FT: 2132TOTAL SQ FT UNDER ROOF: 26ee TOTAL AREA 5Q FT: 26ee TOTAL PROIECT COST r1""" r"o : $# OF STORIES: 1 SF OTHER: 130436 (prinr'{are)*,*,*+*******,****,**,t,t*****++*+******,i++********+,F*,t******,*,***+**xx***+*x**)*+*****jr*+,t,t,**,*)t Is Any ELECTRICAL, PLUMBING or MECHA fCAL Work Being Done to the Accessory Structure?Yes il No E If the project is a Relocation, is there a Natunal Gas Line on the cunnent Site? fl ves!No Is there Electrical Power on this Building? [Yes T No PROPERTY USE / OCCUPANCY: SINGLE FAI'4ILY DUPLEXTOWNHOUSE DESCRIPTION OF l.lORK: Sinqle Familv Residential DISCLAIMER: lhereby cerlify hat all jnbrmalion in his application is conecr and all work will comply wih he Slal€ Auibing Code and al oher appticabte Star and tocat taws and ordinances and reg{rlatons The NHc Development services cenEr willbe notlied ofany changes in he approved plans and specifcalions orchange in conlractcror contaclrr inbmaton. 'h OTE Any work Performed w/O he apprcpriat Perm its will be in Violarion of the NC SlaE Etdg Code and Subjecl b Fines Up To $S00 00... OWNER/CONTRACTOR: uicnaer Daniets, D. R. Hor.rcn r :.. SIGNATURE: MTER: SElalER: CFPUA CF PUA ! crrurul sEprrc E pRrvATE sEprrc ! comrururrv svsrem IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YES EXISTING IMPERVIOUS AREA: -SQ FT NEI{ I PERVIOUS AREA: 3403 SQ FT T NO TOTAL ACRES DISTURBED: .22 EXIST LAND DISTURBING PERMIT: N YES lrl NO LBG, GAS EQUIP, PREFABS & INSERTS i,** BrLL AccouNr I r,rclvrsr fl orscoven ,t,* +,t x * t+ + * x + + i(* * + + *x * +** x * + * * * * * * ** * * * COMMUNITY SYSTEM PRIVATE WELL CENTRAL WELL '*iI* SEPARATE PER}!ITs REQUIRED FOR ELECT, ME pAyr.lEi,rT rirETHoD: !casn Icnec( (PAYABLE TO NHC) CH, P a * * * * + +,f )r*** +** )*,* + +* *** *,t,t* x*+ * ** * x*** * * * + +,t,t )i ++ *,* )* OFFICER: (FOR oFFTCE UsE Oflly) REVTSED OATE O4l11l12 SETBACKS: F:_ LH:_ RH:_ B:ZONE Approval:_ City:_ DATE:_ FLOOD Cf,* ttb z<:.^<-Nl,2ol,rto \*OY, .ffi CITY: lri tminqron ZIP | ljllL LOT $: -.,:Il1_ LICENSE #: 2961' ACCOUNT #: BF E+2ft= NEI^I HANOVER COUNTY BUILDING PERMIT APPLTCATION TYPE; RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT "Project Responsibility" lau 'g L5-3584 APPLICATION Number (office Use) APPLICANT'S NAIiIE: D :r lor:on l rrcDATE: t2 28.15 DEVELOPER:PHONE #: PROJECT ADDRESS: 'i, lr 'ra...cu1'er a.CITY: Hi tminqcon SUBDIVISION: ir'at e L:r i.le a: .roo.iiaie LOT #: :48 OITNER'S ADDRESS: 4c7l Berle Terre Lrl!-d LICENSE #: : ?. T,,ACCOUNT *: ADDRESS: 4ll3 Belle Terre ELvdCITY:Mvrtfe Beac h sT:jizIP:295re Ei'IAIL ADDRESS: mrdaniels,adrhorron.com PHONE *: !,:r :i1 a',a,1 PROIECT CONTACT PERSON: t.lichael :rar,ieL.:PHONE #: 91a-s8r cr8.1 PORCH:6'ATT GARAGE 4 95 SF SUNROOM _SF DET GARAGE - SF POOL _ SF DECK SF 5F STORAGE SH EDSF OTHE R :SF ToTAL SQ FT UNDER ROOF: 2re6 TOTAL AREA SQ FT: :re! ! cR e eruHous r _ sF FT:20r2 DESCRIPTION OF WORK:SinqIe Fmilv Re s ident ia 1 andordinancesandregulationsTheNHCDevelopmenlServicesCenb.willbenoijfiedofanychangesintreapprovedplansandspecifcationsorchangencontractoror conlracl(Jr nformatjon "'NOTE:Any work Pedormed W/O he Appropr ae Pennils willbe in Violation of the NC SiaE Bldg Code and Subject rc Fines Up To $500 00." ,* )i * * + ++,t+*,t,r,*,* * * * * * * * * **** *(l!'{l }i1",}* * * *** *** *,r** **** *++r:B,F* * x * * * * +,} +,*** *:r* +*** * *,r *,i *+ jr. ir. * SEI.JER: cFpuA fl CENTRAL sEprrc l-l enrvarr seerrc IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YES EXISTING MPERVIOUS AREA: _SQ FT NEW IMPERVIOUS AREA: -r431 SQ FT WATER:CF PUACOMMUNITY SYSTEM !NO TOTAL ACRES DISTURBED: ]3 EXIST LAND DISTURBING PERI'iIT: N YEsI NO PRIVATE Ii,]ELtCENTRAL WELL ! coltrurlrrv svsreN LBG, GAS EQUIP, PREFABS & INSERTS *T* Br-L accour{r E ,azrrro I orscovrn **,*,*** ** * * + * * * *+ * * *+* ** * ***:i< * * * *,t,**t ** H, P T * x ** +** ** * + + * * * x * * + + ** * * * * + * * *,k +,*,*,*,*,*,t *,* * *** +,*x* ** ZONE: _ OF FICE R: *** SEPARATE PERiIITS REQUIRED FOR ELECT, fiEC pAyilENr r.tETHoD: I casx IorecK (PAYAELE TO NHC) Approval:_ City: _ DATE:_ FLOOD: AV (FoR oFFIcE USE oNtY) REVT5ED DATE O4l11l12 SETBACKS: F:_ LH:_ RH:_ B: BFE+2ft= NI12,t4'o e ZIP | 2E1i2 BLOCK S: PROPERTY OI^JNER'S NAI'1E: D.R. Hoj.ton, Inc. PHONE #: 841-546-231E CITY: Myrrle Beacr ST: l!_ ZIP:2llfl CONTRACTOR: DR Hor:on, rrc. EXTSTTNG CONSTRUCTTON: ! AlrennrrOru ! neruOvrrrOr'r ! Oeruenar neclrns ! RELocATToN NEW CONSTRUCTIOT: I eneCr NE]J RESTDENCE o" ! aOOrrrOru TO EXTSTTNG RESTDENCE *,I.PLEASE CHECK AND AI{SWER BELOU ALL THAT APPLY TO YOUR PRO]ECT: TOTAL HEATED SQ TOTAL PROIECT COST rress roo : $ r::rs: # OF SToRIES: ls Any ELECTRICAL, PLU BING or MECHANICAL l^ionk Being Done to the Accessory Structurel fi V"r [ ruo If the project is a Relocation, is thene a Natunal Gas Line on the Current Site? [ Ves ff ruo rs there Etectrical Power on this Building? F'l v"r IEI r.ro PROPERTY USE / OCCUPANCY ' I STruCTT FAMILY E DUPLEX E TOWNHOUSE OWNER/CONTRACTOR: r.iichaet paniet:j p.F..uorrcn,rn.. SIGNATURE: ,_^rJ m 2otL'1"11 r.5-3593 AP PI.I CATI (}T Number (ofllc. Uie) NEW HANOVER COUNTY BUILDING PERMIT APPLIEaTI(N ryPf ; RESIDENTIAL pLEAS[ ANStti Att qrtsIItDts AppLt(A8LE T0 y01.Jt pROJt(l "Project Responsibility" CITY: BLOCK }: PRO]ECI AI'ORE SUBDMSION r PROPTRIY olrNERr s rgrc: 5€L ilEN cor{sTRUcTroN, s a*ra, i{Ell REsrDEitcE or f] HmtssAPPLIC/NI'S i'A EI DEVELOPER: suNR@M ___ SF oEl GARAGE _ Sr Poot _ sF Etl sToRA6t SXED _ 5r 0o.., 4Zl ,, ol.rNER'S ADDRESS:CITY: CONTEACTOR:LICE ST *:oA accqruT i: ADDREsS:CITY:l.r EI'IAIL AI'DRESSI PROf,ECI CONIACT PERsON: EXISTING coNsTRucrroll: f]ALTERATIOiI RENOVATION I erunnr nrelrns I ADOITTON TO EXISTING RESTDEICE DATEI i?- 7z PHONE TI zrP: LoT $: lZl ProNE f :1(o qsz-1t']s sr; }..f- zrpZgll5\ STizIP:Ql!l{ PHoNE f: qloqsz'-ll?s prcxr *Q.F.dSZ1!S RTTOCITlON SF No PI.TASE CHIC( AND AT'SI{TR BELOI.I ALL IHAT APPTY TO YOUN PNO]ECTI A'rr GARAcE 5 3rt sr flearrerousr _ sF I oecx Power on this Euilding? [Yes SINGLE FAMITY I ounlrx I rol,r'rHousr \1 Ulr CM+ruch u\ ls there Electrlcal PNOPERTY USE / OCCUP DESCRIPTIoN OF tloRl(i *'.;s Sno SF OTHE R: TOTAL HEATED SQ FT:It1 TOTAL SQ FT UI{DER TOOT,3I[EZ TOTAL AREA 5Q FT: - ToTAL pROIECT CoSI lr"ars toe : $ Z^SD, O # oF STORIES: 2* . /ls Any ELECTf,ICAL, PlU,,l8I{6 or liECtUl}lICAf Uork Being Done to the Accessory Stru(tu.et I V"t fi,If the pnoject is a Reloration, is the.e a atu.al Gas [1ne on the Current Site] f]yes Bno oIECLAIMER I hecby cenry nlt a, lnd odhEnacs elt, retutalbns Tta tohtetor i6b,n€ton .-NOTET Arry OT'I.IER/CONTRACTOR; kltnm.lbn h llls rppli:alon h .on cl lnd .! riort ri, corEtti r,lrt tE sEt! BiriEino code lld .1 ohu eDEslE sta[. 3nd bcd lr^,s NBC De 'alopmnl S€Ni;.s C.nler rvll b. rbt'fed ot 6ly chrl!€s h $e lpp.olid pEns sxl sp.ci6..nJrs o! ch-g€ in SubFcr lo rt!.E l, Tot500.0q"Wo* PerlofiEd WO &. Aprropnsb P.rnnE ?fi b6 i. VDtotbn ol 0l! NC Stob ntiHorrrx SIG ATURE: ,a +rr r. r* rr rrr. *rtr r.rrrt r i*'r*.1r*ra * t*f ?+r, ai a,r * r a,:,ir, r ** IS THE PROPERTY LOCATEO IiI A FIOODPIAIN?vEsiro EXISIIT{6 IrPERVIOI'S AIEAI SQ FTTOTAL ACRES DISTUNBED: uEl, Il{PERVIot S Ansa, tlZXl sq rr frEXISI LAI{D OX5TURSIiIG PERIIIIT: fI YEs NO d fr SI PARA] t P E RI.I PAYI'ITM IiETI,{OD: f] casr ffi cHEcK (pAyaBLE ro ur) E RTQUTfiTD TON TII(I, fiTCBI PT86' GA' FQUIP, PR!rA8S t' InlstiTS ttii, t+* 1*r. *r, r tt*t *** aa+*,+t*r r*rr* BII"I. ACCO.NT ,itclvrsA f] orscovm ZONE: _ OFFICTR: ** 'r t ti:l +** +:l + t * *t a ii +r**+t* irr +a i*tr+i*t 4t +:t,| i,t +**a*r. (foi or,t(t ust 6try) IayttrD Mrr arrlrt/l2 SETBACKS: F:_ LH: RH:_ B:_ *a ** 4*4 * *:r. i ++r * +* **1r rr r * -F crpua D corfiuNrry svsrel f] pRrvArE r,rElr f] crxrnnt ltLr creur I cENTRAL sEpTrc I lnrvarr srrrrc ! co t{ulrry sysrErit I{ATER: SEI,IER: Appnoval;- City:-_ DATE:_ FTOOD: _ol- Comment i N PERI'UT fFF: t t40S,o BFE+2ft= _ NEW HANOVER COUNTY BUILDING PERMIT$41APPLIATIo rypE; RESIDENTIAL PLEASE AXSXER ALL QUESTIOI{S APPLICASLE TO YOUR PROJECT ?o\t'vfr APPLICATION Nunber (Office Use) APPLICAI'IT, S M,rrE: DEVELOPER: PRoIECT ADDRESS 3 SUEDTWSION: C lgrt s DDo- Sl^,r nc\ri,- P-l r- t0-- sr I mn+r --sFI sroneor SHED _ sF SF PIiOI'IE f:!2 BLOCK *: _ LOT *: pHoNE #, fro )-e-) t)5^9 sr *g-ztp ilr\61 ACCOUNT #:sr(Ei'iQ7r! Ptot'lE *: ?rc LLI ystr PHoNE #: ?tt 1-Ltr tt S< TOTAL AREA 5Q FT: 0ATE: i t ZI?: r.L crw3 1 PRoPERTY ot{tlER, S NAME:/..^ S^'1r,,. Olnlt'lER'S loOnEss: 7lc S I1q '^.*-L l+ S e L CTTY -Grt LrcErHE CITY: \-r. *3 r'o cant*actos:c-l) r-t D9L ADDRESS: L,1 EiTAIL ADDRESS: t\(-I 6 Irtt- PRO]ECT CONTACT PERSON:(t-z ocsrric cor{sTnucrroN: I alrenarrolr I nenovarroru [ eenenar- REpArRs n RELOCATTON NEN coNsrRtjcTrq{: I enecr r{Eht RESTDENCE o" I aoorrro,l ro Ecsrrltc RESTDENCE .*PLEASE CHAC( AN' AIJS}IER BELOII ALL THAT APPLY TO YOI'R PRO3ECT: flnrr enmor _ sF I sur,tnoo'l _ sF GARAGE L b+3 *I ene rr'no.rse _ s I oecr _ sr orHERr IOTAL HEATED SQ FT:TOTALSQFTU Eprr ilpa 4J't If the pnoject is a Relocation, is there a Natunal Is thene Electnical Power on this Building? nyes 6as Lon the Cur,nent Site?Yes No No NDER ROOF: # oF sToTOTAL PROIECT COST rress $&tES: Is Any ELECTRICAL, puJttEING or ttEcHrrNIcAL Nork Being Done to the Accessory structure?Yes Eruo PROPERW USE / OCCUPANCY; n SINGLE FAI4ILY DUPLEX I rout*rouse DESCRIPTION OF l.loR(: a't*o't^L DISCLAIUEFU I hdEby c6rUt hat aI hbrmadon in hi6 6pplcaton b co,,rEcr and dl vD* vjllco.nply wih he S$ts &ritdi€ (r)do and 6nd odh6nc€s snd €gutatons Th6 NHC Oe!€lopm€nt S€ryicss Csnl9r wi! be noifed ofanydrengoa in fie applo contEcnr inbrfl aio.,'-NOTE:P6m iE wll b€ in \rolaton ot dr€ N C Cods o!{NER/CONTFACTOR SIGMTURE **x**********+****+******+*+**+ + + ++ * * * * * ** I5 THE PROPERTY LOCATED IN A FLOODPLAIN} rl EXI5TING IIIPERVIOUS AREA: --SQ FT +:l+:*rr+++ ***+ * *x++:t+**,t* +** +++* +*:f +****:t+ d* To 95O0.0Cr" YES TOTAL ACRES DISTURBED: NEt,lJ $lPE AREA: SO FT E(IST LATO DISTURBII{G PERI.IIIT: I:i VrS I--I IUO I,JATER: SEhIER: I comrunrw svsreN I pRrvATE wELL ! cerurmr- wer_uf! cegRal senrrc f] pRrvATE sEprrc f! co,r,rulr:w svsrauCFPUA ,^r, D-r{ Approval:_ City:--_:Lk- DATE Co|rllEnt: +o3 sEpLRArE pE&'rrTs REqUIRED FOR ELECTT I{ECH, pL8G, Gas Equxp, PREFAES & MSER?S *s*pAyl:Ir lErlioD: f| csri [*ncr (,A'ABLE ro,r"l Eurri *;;-'--;;;'.-tr;r****** ***:l *rt****:&:F*t*****,tr**r.***:t :i**i(*rt:* **t***** ii*****:F**x:* +*:t r,i+ t f,f** ****,**,t*,ii ****.r*)i.*;ti( oFFrcER: 5r7(FOi oFFtCE t SI OnL SETBACKS: F: Y) M-. nrXrtl--an: (s/ ,, qn,)'*- *" *'"'u ,/ BFE+2ft=N7\- PERI'IIT FEE: 9 rltlr,FLOOD: "PrcJect Res pons ibilit5r- k^ -7'{ I ?otb (, NEhI HANOVER COUNTY BUILDING PERMIT APPLICATI(N TVPE: RESIDENTIAL PLEASE ANS}JER ALL Oj€STIONS APPLICABLE TO YOUR PRO]ECT -Project Responsibluty'' 0 APPLICATI(x{ I{umbe r (Office Use) DATE: 1/6/76 DEVELOPER: CITY: ql!&!!ston PHOI{ E #: ST: NC ZIP:ry ST:gZIP:28411 PH E *: 910-443-336s PK,{E fr: 910-443-336s PRO]ECT AIDRESS:106 Navaho Trail SUBDIVISIOiI:Tanglewood PROPERTY ()l{ilER'S A E: tlarrls and Jennifer Gr.iffin O0{ER'5 AOORESS: 106 Navaho rrail COiITRACTOR: B.J.'s Construction Co- ADDRESS: 6s17 old Eort Rd BLOCX *: sec. 5 LOT *: -L_ PlOilE *: 910-262-2991 CITY:Wl lrnington LICEilSE *: 40799 CITY: wi Lminqton ! alrrnaruouRENovarroN ! ernrnar nrearns ! RELocATToN NEll cor{srRucrrorir r ! enecr NEU REsTDENcE o" f} noorrror ro Exrsrrirc REsroENcE *.PLEASE CHECK AND AIISI{ER BELO}I ALL THAT APPLY TO YOUR PRO]ECT: PROJECT COI{TACT PERSO : EXISTI]TG CO STRU€TIO : Barbara l,ambert ATT GARAGE L- SF SUNROOI.I SF ! oer orme r n poou - sr SFPORCH 112 5F SF ! sroue r SHED _ sF OTHER: SF f] aneeruuousr - sr DECK TOTAL HEATED SQFT:1s78TOTAL 5Q TOTAL PROIECT COST tress rort : $ qt,ggo FT UNDER ROOF: 1578 f OF STORIES 3 1 TOTAL AREA SQ FT: t.ra Is Any ELECTRICAL, PLU BITaG or IIECHAftICAL Hork Being Done to the Accessory Structure? [ Ves I f'fo If the project is a Relocation, is there a Natural Gas Li.ne on the current site? flves [ ruo Is there Electrical Power on this Building?t ves I Ho PROPERW USE / OCCUPANCY:sTNGLE FAMTLv ! ouer-ex ! rorr'nousr DESCRIPTION OF UORK: See attached Sheel conractlr inbmaton. ,1{OTE: Any Work Perfomed WIO the Appop ab Permils will be in Violslion of the NC Siab BUg Cod€ snd Subject t s Up To 9500.00"' q{iIER/COIIITRACTOR : Ba rbara Lambert sIG ATURE: (.f>o'.j*-'-n- (Print tlane) ,i tt )i )* *****)i* **** r.)i** **)t *)i** )t*** *+ + + * * * ++ + * * +,t * )i**,**,**,t,i** ++,t **)t )****)i:*,t**,t:t* * ,*:* )i **,*;i +***,1* DSCI-AIMER lhereby cenily tlal all inbrmaton in his applaali,on is corcct and dlworkwil comply wih he StaE BuihiE Code ard all oter applicable StaE md loc€t taws and ordinances and rcgulalhns- The NHC Developmenl Servi:es CenEr will b€ notfed ofany changes in he approv€d plans 6nd speciftations or change in contracbr or IS THE PROPERTY LOCATED IN A FLOODPLAINI EXISTII'IG IIITPERVIOUS AREA: -5Q FT NEI,I IIiPERVIOTS AREA: _ SQ FT fives Erro L,IATER: SEI,IER: TOTAL ACRES DISTURBED: EXIST LAND DISTURBIITIG PER IT: l-lves I NO creul ! co{r4uNrry svsrru f] pRrvATE wELL ! cerurul wtr-r- creua ! CENTRAL sEprrc f] enrvarr sreuc I cofilruNrw sysrEm ZoNE: _ OFFICER: (FOR OFFICE UsE dtI.Y) REVISEO DAIE O4IL7I12 SETBACKS: F:_ LH: RH:_ B:_ *** SEPARATE PER',IITS REQUIRED FOR ELECT, I,IECH, PLBG, GAs EQUIP, PREFABS & INSERTS *T* pAyrErr liErHoo: ! clsx I cxecK (PAYABLE ro uncy I orrarcAir ExpREss El uclvrsa ! orscoven *tri,* ++* *,|,f t )t,f ** * ,t,t * ,t,* * * *,* * )t**:t ***,!*** *+:i+ *,i*)* *++ ***,i ***+*** *** *+*** )i*++,t** *ri+*,f x*x +**,t,t* Approval:_ City:_ DATE:_ FLOOD: _ Cornrent: BFEt2ft= N PERI4IT FEE: $ \'IvY: ffi APPLICANT' S t.lAllE: Barbara I-ambert zw| ry EfiilAIL ADORESS: barblamb8ec. rr. com N trnfiIatub NEh, HAI'IOVER COUNTY BUILDING PERMIT APPLICATION TYPE; RESIDENTIAL PIEASE ANS}/ER ALL QUESTIONS APPI-ICAELE TO YOUR PRO]ECT "Project Responsibility" 2otG- | Sl TEZ t5 -3tus APPLICATIO I Number (Office Use) APPLICANT'S M$lE: DEVELOPER: Haqood Homes, Inc. DATE:1-2/9 /ts PIONE *: CITY: wilminqron - BLOcK *: - r-OiT ztP | 2342 83 PROIECT ATDRESS: 4i 15 SUBDMSIOT'l:Georoe PROPERW 4[{ER'S MtiE: Douq andwaldreo CITY: wilminoton 5T: I!_ ZIP: 28401fr ER,S ADDRESS: 813 woodland Foles COI'ITRACTOR:Haqood r ct. LICETISE *: ADDRESS: po Box 1369 CTTY:Wriqhtsville Beach ST: Nc ZIP: 28480 EitAIL ADORESS r kirbr/r@haqoodhomes . comPIONE *: e1-o -256 - a2B4 PRO]ECT CO{TACT PERSOJ :srew ctlrlrl 'i. EXrSrrirG coNsTRucTroit: ! nlrrnrrrol f| nercverroN ! crlenu nremns ! RELocATror{ r{Er{ cor{sTRucTror: I rnrcr NEhr REsrDEl{cE o" fl eOOrrrOlr To ExIsTI G RESIDENCE *.PLEAsE CHEC( AI{D AI{SIIER BELOTI ALL THAT APPLY TO YO(,R PRO]ECT: filrr eluee s6G sF ! orr oanlee sr I eonor ss2 sF f] surunoou _sF ! aoor, _ sr ! sronace SHED _ sF SF OTHER: SFf] cneeuousr _ sr ! oecr TOTAT HEATED SQ TOTAL PROIECT COST tess roO : $4 0110 7 f OF STORIES: T rs Any ELEcrRrcaL, PLur,rBD{6 or ttEc}u rcal Ho.k Seing Done to the Accessory structur€? [ v"s [ rcrf the pnoject is a Relocation, is thene a Natural Gas Line on the current sitel f] ves [ ruo Is there Electrical power on this Building? f]ves [ruo PROPERTY USE / OCCUPAT{CY, uI StHClr rmltlv ! ouer-rx I ro^rrnouse Cfr or,l Sf BDESCRIPTION OF K)RK: NeuJ Conqtrut r,{., Trul}iL DISCLAIMER lherebyceniry hatattinbmarion in his appthaton isconectand an wor*wiIcomplywi$ he SiaE Building Code and al oher appticabte Sl.E and locat tawsand ordinences End regutatjons. The NHC Del€bpmenl9oices C€iErwil be nonfod ofanycnarges jn fie appo\€d ptans end specifrcstions or change in conracbrorconEacbrinbrhaton'"itOTE:AnyWork performedw/O tleAppopriaE periniEwilbe$s00.ocr-in Viohtion olthe NC Srats SIGMTURE: BldgCode and Sub q{NER/CONTRACTOR:Homes, Iac I5 THE PROPERTY LOCATED IN A FLOODPLAII{? Exrsrrilc D,rpERvrous liea: _sq rt t{Ex II,iPERVIO( S AREA: 4253 sQ FT NO TOTAL ACRES DTSTURBEO: EXIST LAI{D DISIURBING PERIiIIT: fI VrS I rrO ,i********,r,r*+**************(I!'l!Jil"]+* ** )t)t ** )t !t )t *:a t* !** )t )* lr +:t *,t )t,t * * +,t:t,* **:i,*,*,* ** **ii+ )t,*,*,* **E EYES MTER: SEI{ER: E.E. FPUA FPUA ZONE: _ OFFfCER: Approval:_ City Comrent: cor'ri.ruNrw svsreu ! pRrvATE wELL ! cerrul well cENTRAL sEprrc ! eRrvlre sEprrc f] cc[4MuNrry sysrEM (FoR OTFICE UsE q{LY) REyISED oATE 94111/12 SETBACKS: F:_ LH: RH:_ B:_ :_- DATE:_ FLOOD: _ _A v i- BFE+2ft= **I. SEPARATE PERI4ITS REQUTRED FOR ELECT, II,IECH, PLBG, GAS EqJIP, PREFABS & II{SERTS **TpayrEAr Erxoo: I crsn I cxecx (pAyasLE ro n*1 [ *r*r; J;;;, --tr ,.-^rio"'" E orr.orr***!t)i )t:* * * )i )t '* *:r***+**,*** )t)t)t* +,f ,*,t ** )t )i )*:* r! )t )*:** * )t )* )* )t**,* r! * i. )t*)t*:*)+* +** * !t )t ** *:** + ** + * **+ ** * + )ia***,* PER IT FEE: ' @J PK)NE *: e1o 3s2-063s PHONE f: 91e - 610 9074 FT:2s7a TOTAL SQ FT UNDER ROOF: 3?2s ToTAL AREA SQ FT: 2o6- 1s> ex\ NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATION TVPE: RESIDENTIAL PTEASE ANSIIER ALL QUESTIONs APPTICABLE TO YOUR PRO]ECT .'project Responsibiliq/, ie)a238 APPLICATION Number (office Use) APPLICAI{T'S IUIIIE: DEVEI-OPER: x(V-t-1,'rgt a,\t<--o^tE: i(-:.-?1 -t 2- PHONE Si PROJECT ADDREsS: SUBDIVISION:t,'.i<t.,"-7 i-{ r.-r Lo PROPERry OhNER'S TUI'IE: 0l.lllER'S ADDRE55; 'ZIO I.^i-.:\ . .1 Ao CITY: PHONE sr: tlJtP:Z1iOC( LICENSE *:ACCOUNT f: CITY:r--,tEE-Srt &ztP,t t.a+O) CIW:zrPtzg4{-,'i I BLOCK S: U Lorrfi .J,s: ll CONTRACIOR:>4- ADDRESS: ?- o ElrlAIL ADDRESS: a PRO]ECT COI'ITACT PERsON:iM/.1 PKINE $: ?rD- 64 ?- /0 i'io "v-v-z- fl eoor- _ sF nrtI arr camee _ sF #Fsemr+- sr_P. DET 6ARA6E SFPORCH SF STORAGE SHED - SF 5F6REENHOUS ESF @oec Z sF orHER:x izi TOTAL HEATED 5Q FT: - IOIAL 5Q FT UNDER ROOF I .11 2- TOTAT ARE TOTAL PRolEcT GOSTGessr-or) : g 3SOO * oF sToRIEs3 I Is Any ELECTRICAL, PLUIIBIIIG or IiIECHTTNICAL Llork Bei.ng Done to the A(cessory Structure? If the project is a Relocation, ls there a Natunal 6as Line on the Current sit rs there Electrical Power on this Building? f] ves fl tlo pRopERW USE / OCCUpANCY, ffi SrlrCle raUrrV I OUeleX I TOWNHOUSE snd odlnsnces snd rcgulatbN. Th€ NHC OevElopmonl Servlces CenEr wlllbe nomed ol6hy changes in ho Bpplot€d pbns 6nd lpearbahns or change in contEcbror coorsctor inb|mstion. ''llOTE: Any Wort Per(ormed W/O the AppEpislE Permils wlll bo in Vols on ol lne NC Stab 8ld! Code and Subjecr b Fines Up To 3500.00"' I ONNER/COI.ITRACTOR:sIG'IATURE : ,l * * )** f ** ** * * *,* *+ ** ** | * *+,t+ * **r,r:i****:r*:r ++** ******* ***, *(IiIl111"] * * * * ** ** * * *,r t *** + )r)r,*)t,r *,t * rs rHE pROpERTy LOCATED rN A FLoODPLATNT $YES f] ruO uArER: f] creua I cof$4uNrw sYsrEm SPRwarE WELL I crlrnal well sEr,lER: E creur I CENTRAL sEPrrc p rhrvare sEPrrc EI coMMUNrrY sYsrEr'l ri:i SFpaRATr pERflITS R[q).rTNEt) FOR [i-E(r, riECH, Ft0G, GAs EQrrIP, PREFABS 8INSli8TS r.' pAy,lEr,fi rirETHoD: I costr I crrck (pAYABLE To t,*tc1 [ eru eccortr E ncivrsa I orscowr '* t *,1** *,1* * * t*** +* t,l,t *:} * *:r:} ,} * * * **:t )t + ** *+ *l +*** *J* *:}** t.t* *,r *+ +f* +)t *+|tt** * * ** +'},t +** *:}*** *)t (FOR oFfI(€ UsE or'llY) REVlatO OArE O4l11/12 EXISIING IMPERWoUS AREA: -SQ FT NE}J T PERVIOUs AREA: -5Q FT TOTAL ACRES DISTURBED: EXTST LAND DISTURBING PETI4IT: l]] ves d flo ZONE: - 0F FICER:SETBACKS: F: LH: RH: 8: Approval:- City:- DATE:- FL00D: - BFE+2ft= AVN 1-B tnsP 'ai'L> Oo +c-r->Da) ya2 P"4;dH Comme nt :PERI,IIT FEE: P}ONE S: ExrsrrN6 coNsrRucrroN: I alrenarron I nrruovarrou Ieruenll neeatns f] nE.ocorr8rt O " Z7l -11 11 NEI.I CONSTRUCTIOru: ! CRECT NE}J RESIDENCE O" I AOOTTTOru TO EXISTING RESIDEITICE T.PLEASE CHEC( AilD ANSI,ER EELOll ALL THAT APPLY T0 YOUR PRolEcT: i OESCRIPTION OF l.lORI(: ,.f .:' -: . ' J. r:'.r i ! d$,v'-_--:-- ?t:n-tsr1, ra =13€? NEW HANOI/ER COUNTY BUILDING PERMIT Applrcatror! rypr: RESIDENTIAL PLEASE ATSI{ER ALL QUESI]OXS APPLICABLE IO YOUT PRO ECT "project Responslbiliqf APPLICATION l{umber (office u!e) DATE: ln -2.1 .-lZAPPLTCAiIT, S MTE : DEVELOPER: xr\|u.anr<-I PRO]ECT ADDRESS: SUBDrVrStoN: PROPERTY OUINER'S M}'IE: O}'NER's ADDRESS:'?-*a CONTRACTOR: ADDRESS: 4ol. Ei,IATL ADDRE5S: {.^ l-* iD-,i A{icrw: crw; LICETIsE *: crw: BLOCK *: PHONE tr: PHONE ACCOUITIT $: PTONE *: zrP?z.e..4n3 sT: r'.t-Zrp:76i-iF? -'figztq --r+rq#: :ll 0 - Cr ( ? - a -C Z-<-r: sT:kizlp: ?#uo1 PROJECT CONTACT PERSON: x-r-iz t I^ Exrsrrirc coNsTRUcrroN: f] alrenarrou I nrHovarroru ! errenal nrnarns fl *r.o*rlbho - z'?1- -?4'?t NEI.' CON5TRUCTIOru: fI CNTCT NEH RE5IDENCE O" I AOOTTTOU TO EXTSTING RE9IOEI{CE ..PLEASE CHEC( AI{D I'{S}IER BELOH ALL THAT APPLY TO YOIN PXOJECT: f] rrr enmce _ sF I oer eamcr sr fl roncH _ sF I suunoom -sF I cneerHouse _ sr f] poor - sF ffsronace sxeo TOTAL HEATED SQ FT: o TOTAL SQ FT UNDER ROoF: _ TOTA! ARAA TOTAL PR0IECT C0STttesr.ol: $/soo, oo f OF STORIES: , Is Any ELECTRICAL, PLImBIXG or I'IECHAIUCAI tJork B€ing Oone to the Accessory Structure? El .r=a g If the project is a Relocation, is there a Natunal 6as Line on the Cunrent Sitei =y:sIs there Electrica} Power on thls Building? [ves f]no PROPERTY UsE ,I OCCPAflCY: ffi I ounr-rx fl rowluouse DESCRIPTION OF }!lORl( I St f oecx - sF orHER: olscfAlMER I herEby cartly ol€l 3ll xlbrnslbn h 'lls 6pprEs[oh is corEcl snd oll wort wtu compty vrih t,e slaE Bltitdtng code and oldlnanc€s and regulalbns TI|e NHC Oovelopm€nt S€Nices ConE, wil Da nottsd ot 6n y.ianges h fie appoved pbns sd and al oher apprtzii! !r- ard to.at taws specj&ations ordE {s h enEacltrot and srbjocl b Fnes t lp To 5500.0r..con!'acbr inb.mabrL "IOTE: &ry Work Psrtorm€d w/O the Applopri rE PemG wlll be in Vbbtbn ot rhe NCSEts BUg @eI oWNER/C0ITRACTOR 3 SIGI{ATURE : *+r*+**+**+ i**r+** **** **** *(IiTlfff]*. I5 THE PROPERTY LOCATED IN A FLOODPLATN? EXISTING IIiIPERWOUS ,.REA: -5Q FT t{E}, II{PERVIoIJS AREA: _SQ Fr 'l+ t+ +*:l** +,t + 'f t+ ++,li*:tt t+ii:t,*rr*:l a:.t,i * +a a+t** TOTAL ACRES DISTURBED: EXIST LAI{D DISTURBTNG PERNTT: I-'l ves fr ves tf NO com{uNrry ,"rr., gfi*rvore wrlr- f} CENTRAL r.lELL CENTRAL sEprrc p eawerc. srnrrc f] coMr,ruNrry sysrEm N-&*q sEr{ER r D CFPUA [{,TTER:CFPUA trtr 1{r SFPiRATE PEP"{ITS R€Qr-rrtEo FOR E'-ECT, riECH, PLBG, Grl"s Eqrrp, pREFAES S INSERTS rF' pa\4{E*r iErHoD: E cos" E crr.x (pAyABL€ ro rrcl [e,.r accanrr f] ecTvrsa - firrrao**r*rrr*:34*:i*r * * *:i t *,t,t * *:r *,. ra:a,r,r + * +*r+:t)t*:i,t +* )trt:*,3t}* + *:* rit,lrt,r * **+ *t *,t +*t * +,i** +,a* *:r:t:**+*:i + +* * +* bldtr +- /a:Y (FOr OFEI(E USE O{!y)8EyI5E0 D IE o./rtll2 ZoNE: _OF FICER:SEISACKS: F:_ LH: Rlt:_ B: Approva]:_ City:_ DATE:_ FL00D: _ BFE+2ft= AV w ai) Comn€nt:DFIIII?T EEE. d #'st, PIoNE *: otra- k1- lalq SINGLE FAIVIILY NEW HANOVER COUNTY BUILDING APPUATIoN TyPE: RESIDENTIAL PLEASE ANSI,IER ALL QUESIIOXS AppLICtALE To \oUR PROIECT(Project Res pons ibllit5d -Til<_ PERMrrp#lg:€t APPLICAIION l.lunber (OFfice Use) - lTt r(f barEAPPLICANT'S MI'IE: DEVELOPER 'PRO]ECT SUBDIWSION: PROPERTY Oi{NER'S MfiE: Otrll'lER' 5 ADDRESS: CONIRACTOR: f ADDRE5S : EiiIIA]L AD'RESS: PRO]ECT CONTACT PERSON: flrrr cannee _ sF I sulrnool _sFI enerruno.rsr _ sr and odin6nc€sand €gutaior&s, The cont€o6. inbrm6don, ."NOTE| p,ny ot{NER/CoNTRACTOR: ZONE: f] orr oanroe sr f] concH _&__trI coot- _ sr I sronaee SHED_ sF Sou CTTY: ry .c Z,P:2?tta a LICEIISE *:?ACCOUNT *: LOT *: -_- PHONE *: *?6a - ,eJ? sT.l/'<zttlg./a/ sr 4/"tztlraF:W-a PHONE #: PHONE #:?/o-bt6-{bV SF BLOCK *: CITY: 4Ua./m4' ,+ EGSTII{G co!,tsrRucrro : I alreRtrrot fi nalrvnrror'r I oerueur- REPATRS E RELOCATToN NE!'I COI{STRIETIO : I TNECT EH RESIDEIICE O" I AOOTIIq,| TO trSTIT{G RESIDEIICE *?LEASE CTIECK AIO AflSIdER BELOI{ ALL THAT APPLY TO YOI'R PRO]ECT: I oecr _ sr orHER: TOTAL HEATED 5Q TorAL se FT UNDER noor: /1AO rorAl AREA sefic //6o TOTAL PROJECT COST 1ressl.ol z $ 5?OOO # oF SToRIES 3 Is Any ELECTRICAL, PLUiiBING or ECHANICTIL l,Jork Being Done ta the Accessory Structure? [ V"t I no rf the pnoject is a Relocation, is there a NaturaL Gas Line on the curnent site? fives [ruoIs thene Electnical potren on this Building? pRopERTy rrsE / occt pANcyr pl-srruele rnl,ulv ves [ft-o f] ouer-ex I rowurouse DESCRIPTION OF NORK: /,r a '.. L -(r cedi, har all h bniadon in his app[calbn i6 coflect €nd dl s,ork trilcomplywih he SEt6 8u;ldhg Ocdo L,ht a,l- REVIsED DATE A4lt1l' -U:_ d61-6eft NH C Dav€lopmen! S€rvic6 C6n6r will be not6€d of any chsng€E in fi6 arp loved plan6 and Work Pe ormed w/O h6 0'me-t- Applopriab Pffmib will b€ in violalion of he Nc s T// c 'TGNATURE: Eb Bldg Olde ********++ ***+ )r+***** ******(IFII Jil1** +*+* *+** ***:* *:!* i+*+ *** * * * *:i*+ * *+** ***f***:t++* +**+:t:t IS IHE PROPERTY LOCATED ItI A FLOODPLAI ? r-] YES Ki NO EXISTIIIG IMPERVIoUS AREA: _SQ FT TOTAL ACRES DISTURBED: NEt^l IIiIPERVIOIJ5 AREA: -SQ FT BGST LA}O DISTURBIiIG PERI{IT: f] YES T'I NO MTER: [[ cFpuA D com4rJNrry sysTEM fl pRrvATE uIELL I ceumr_ uelr_ sEhrER: EJ creue fl CENTRAL sEpTrc I enrvare seerrc I cqquuN]Tv sysTaq +d< situti4lE palrilTs REqUIREO FOR EL8CT, t{Gcft, pLBG, c43 EqUI pAylrEMT r,,rErHoD! flcasn f] crrecr (PAYABLE ro n*) [r.,.i ecc-ur p, PRi:FA5S & IIJSERTS r,q E r.rclvrsl ff orscoven******* **,1*******:t:l )t* + *,t * **:i * +:t ** * * *.t;t;a:t:i *:t * * ****i*ii:!i*d. *f *r *:i:tr:i *:** *,t** **:t:t**:t *:*:t***f .l:e.B Umx oFFrcER: #(foa ofFlcE us€ orLY) SEIBACKS: F:LH RH:Approval:_ City: F,un DATE:l2ltrlrS FLooD: Connent: A"F BFE+ PERI{TT FEE: OuD A"$E 'TzaP z{O a^m AT Cii, lnspeclion Rqurreo, 91 0'254'09m D x, ?7o l,r,\.bn') NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: COMMERCIAL PLEASE AI,ISWER ALL QUESIIONs APPLICABLE TO YOUR PROJECT "Project ResPonsibilitY" APPLICATION Number (office Use) APPLICANT'S NAIIE: James Beam DEVELOPER: 'dB erawlev Co CITY: !.rilminqton OCCUPANT/BUSINESS NAI'{E PRO]ECT ADDR WATER: m CFPUA SEWER: M CFPUA : WB Br:awley Cc) ESS; 102 old Eastwood Rduolts D-2 PROPERTY OI^JNERTS NAME: Bruce Brawlev CITY: wilmi t-on2 oid Eastwood Rdunit D-2 CITY: wilmin.rLon PHONE #: 9ra -452 -2t9s sT: NC zIP: 28403 ST: NC ZIP: 28403 OhINERJ S ADDRESS: 10 CONTRACTOR: IllB Brawrev co. ADDRESS: 102 o]d Eastwood Rd. uni'- D-2 LICENSE *: ?3240 EI14AIL ADDRESS: i beam@wbbralvIev . com PROIECT CoNTACT PERSON: .lim eeam (check All That Apply) ACCESSORY STRUCTURE: EXrST CON5TRUCTTON: f] ALTERATToN R ENOVATION 6ENERAL REPAIRS RELOCATION lf Relocdor, is lhere a Natural Gas Line on the Current Site? il Yes nNo lS BLDG SPRINKLERED? E YesNo NEW CONSTRUCTTON: I ERECI NEhl srRucruRE Irasr rnncr SHE LL UPF IT f] mo ro Exrsr srRUcruRE If UPFIT - The shell Permit #:Is E1ect Por.rer on this BuildingI Yes Eruo ***** IS THIS A CHANGE OF OCCUPANCY USTI flVCS IF Yes, hhat was the Previous O.cupancy Type?hhat is the Ne& occupancy ]YPe? ARCH DESIGN PROFESSIOI.IAL : ENGR DESIGN PROFESSIOi'AL: PH: PH: ls food or beversges prepared or se.vod ln thls structure? E Yes ls Tho Property Localed ln The Ftoodplain? E Yes DESCRIPTIoN 0F WORK: office renovations No I No SO FT DISCLAI m: I hcreby ce.lily that all rnfrrrmalion in lhis appl;cation is correct and all work willmmply wrth ihe I#i#""r:"";rii:ls,'*;"'i:'"i:ii,:gtl*;1,:"'laMfP"o',xlffTfi"13f#li3i?'i8ii.rls",i,""'it"'""i'""i't Subjecr'io Fines Up To $500.00"' Slate Building Code and chanoes in lhe apptoved wilt 5c in Violeton of thc SIGNATURE {atE[to.) Not6: D€molldon noutcalions (mdr&tlto) & esbesios rcnovEl peinh appllc6tlom ar€ to bo submltl6d uslno $e appllcellon fom conbln Asbesbs oa nol You aro equlred lo call ihs Na{oml Ernlsslon sliand3rds fol Hazardous Alr Pollirtenls dorlollion of aoy frclllty fi bulldlru. Sec arb$to6 !V6b she: h!F, *rrwad.stsle rE u6r''gytsb6iodahmp hBnl TOTAL PROJECT COST: 39,OOO BUILDING HEIGHT L2' wheth6. lhe hclllty or bulldlng wes foond lo 9)707-6950 a! Iesst 10 days prlor lo the # OF UNITS: 1 # OF STORIES: r # OF FLOORS TOTAL AREA SQ FT 5 .120 ACRES DISTURBEDNA Rattov Ar:.e* NEW IMPERVIOUS AREA: c SO FT PER FLR:5.i20 ToTAL SO FT UNDER ROOF: s. r2o# OF STRUCTURES:1 1 tlE COMMUNTTY SYSTEM CENTRAL SEPTIC fI flzoNtNc usE crsssrFlcATtoN: COMMUNITY SYSTEM MIT?YESNO REVISEO t ATE /Ul1lr2 lfi6sF Exsr IAND DrsruRBrNG PER SQ FT EXISTING IMPERVIOUS AREA: U PROPERTY USE: mOFFICE [nesreUnmr I MERCANTTLE IeOUC [nrr [coruoo OTHER: nWELL PRMATE SEPTIC PAYMENT METHOD: rIMSH I CHECK (pAyABrE TO NHc) nAMERTCAN D(PRESS I lrCruSa f]orSCOWn .. SEPARATE PERMIIS REOUIRED FOR ELECI, MEC+I. Pt8G. GAS EQUIP, PREFABS & INSERTS '' (FOR OFFICE USE ONLY) ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B: Approval:_ Clty:_ DATE:_ FLOOD: _ _ _ BFE+2fF_ AVN I I I Comment PERMIT FEE: $ I l) 0 ?,0t6-l t7 1-s-3550 :1. _i -' ! ,ffi DATE: 12-18-15 PIloNE f: 9to-452 -21-95 ZIP: 2a4a3 PHONE *: 9Lo - 452 -2795 PHoNE #: 9to 452 -2) 95 NC REG $: NC REG #: OWNEFYCONTRACTOR: James e gearr NEW HANOVER COUNTY BUILDING PERMIT APPLI5ATI2N IYPE; COMMERCIAL PLEASE ATISSTER ALL QllESrrONS ,\PPLTCAaLt TO YOUR PRoIECT "Project ResPonsibiIity" )oltp- Bt Ls-3550 APPLICATION Numbe. DATE: 12-1u 15APPLICANTJ S NAI'iE: Jamas Barrr DEVELOPER I Qlr !tr_awICo PRO]ECT ADDRESS: 102 o1d CITY: vrilninq!on OCCUPANT,/BUSINESS NAME :llA Brar]e PROPERTY O|^INER'S l,lAFlE: eruce graclev PHONE OI^,NER, S AODRESS: IO2 OIdEaslwood Rd. Uni t D_2 CITY: wi 1m PHONE $i 910 - 452 219! ZIP'.2a40) *: 9ro-452-219!i LICENSE #: 7l:r 4 o sT: NC ZIP:28403 ST: NC ZfP;2940iCONTRA(ToR: wB Brawlev co. AD0RE55: 102 old Easluood Rc. uni.t D-2 PRoIECT CoNTACT PER50N I ElttAI L ADDRESS: i be:rn\@,rbbrawl cv . com EXr5T CON5TRUCTTONt I ALIERATrON lf Relocadon. is there a Natural Gas Line on the REI.JOVATIONGENERAL REPAIRSRELOCATION Current Srte? f E ruo IS BLDG SPRINKLIRED? CITY i PHoNE ff:910-45r-2]91 PHoNE f:9lo-4s2-:195 f.ic I NO rf r. l^lhat is the Ner,r occupancy Type? -- (Check all th.t aPPIY) SHELL UPFITADD TO EXIST STRUCTURE ACCESSORY STRUCTURE: If UPFIT - The 5he1l Permit 1t: NE CONSTRUCTTON: I rn:cr NEul STRUCTURE I rASr rnncx I **N+* rs rHrs A cHANct oF occupaNcY usrr f vrs IF Yes) what uas the Previout Ocaupancy Type? ARCH DESI6il PRoFESSIONAL I ENGR DESIGN PROFTSSIOiIAL: DESCRIPTIoN 0F woRK: otfice Yexovalio.s q.t[ ls food or beverages prepar€d or served ln tlis srucrurot I No ls The Property Located ln The Ftoodplain? E Yes I\.) lhis aoDttstro rsco|cat ard allwork wlrmrnllv *rn lhe Sldle BLi rrrnlc itivetoomcm S.ry ces Ce ,!4'wil be .oritod o{ a.} chirgcs NOfE A-y Jvr'k P€dorned WO lhe App,opridte r'' m 'r'x' oo r'|NC Sralc pplicablo Stale Bldo Ccde and DISCLAI!.lER:l ld rg Codc and allothct c 500 00-' OWNER/CONTRACTOR or chirhoe in contractor o SuUj.) l-to Fines Up To S TOTAL AREA SQ FI TOTAL SO FI UNDE : .Ian.ls Elj SIGNATURE (A6l!{) lPri: NaDe) Nob: Demolll'on no t;auons & asbestos bmovolp€rmil aPirfcauons ar€ lo b€ submlttld uslry the oPpllcallon lo contah Asb€sros or nol- You sre roquked to 6lllho Natl.n6l Emlillon Stand.ds forHasdous A'rPollut'nts (N dsmolilion oi ahy fsclliv or bLJllClnr. S€€ Aibaslos Web She: :tt:'1r'r'r .,ri r!r. 1c r!'':'ris: et!'!"':tet r'llr I TOTAL PROJECT COST:tti BUILDING HEIGHT: SO FT PER FLR: s.120 -{o wh6lh6r the tacllliy orbutldlngwas bund lo 9)7076s50 al lcasl l0days pdor L lho # OF SToRIES: r # OF FLOORS SQ FT 5, 120 ACRES DISTURBED:N;1 NEW IMPERVIOUSAREA: O WATER: mCFPUA SEWER: E CFPUA ZONE:OFFICE;1 Approval RROOF:5.r20 #OFSTRUCTUR 8os€ SO FT ES: 1 PROPERTY USE: ZOFFICE [nesreumu I MERcANTTLE f rouc [mr f]conoo ornrn, Re Nov ARe*'t,t fl coMMUNrw sYsrEM IwELL LCENTRAL SEPTIC L]PRIVATE SEPNC Exsr LAND DrsruRBtttc penvtrr [--'lves NO EXISTING IMPERVIOUS AREA: [lzoNlNG usE cIASSIFICATION IcoMMUNITSYSTEM PAYIIENT METHOD: ECASH I CHECK (PAYABLE To HliCl flrulentcrul exeness f] ucruse f otscowR (FOR OFFTCE USE SETBACKS: FLOOD:- ONLY) F: N/r+ LH-d1q5n, rlfea, t1g ' ,'ot\ x BFE+2ft= (lnv-tu N I I I Commentl ldn.5 City:DATE '-,i'r inspecfion keouiieo 9l trZcrr-uvu, ERMIT FEE 0 .-: - - > t' ffi i Is Elect Powen on this guilding El Yes E N0 Pll: NC REG #: NC RtG fl: # OF UNITS| NE!15:D DATE .{1 '12 NEW HANOVER COUNTY BUILDING PERMIT APPLI.ATION rYPE: COMMERCIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" PROIECT ADDRESS: q:os errspsoN srpsrrCITY: wrr,MrNGToN oCCUPANT/BUSINESS NAfitE: L AND w suppl,y coMpANy PROPERTY OWNER,S NAME: MARV]N HARR]s Oi'INER'S ADDRESS: 104 Teaf CircleCITY: Hampstead CONTRACTOR: ALL SPAN BUILDING sUsTEMs ]NCLICENSE #: 8037 ADDRESS: i36 }IARLEY DRrvECITY: wTLMTNGTON EMAIL ADDRESS: nei 1@a11 - span PROIECT CONTACT PERSON: NErL FrLrpplNI (check All That Apply) potQ t7 15-3566 APPLICATION Number (office use) PHONE f: gta 270 4o4a ST: Ig_ zIP::!33:_ ST: NC ZIP: 2s4os No EXIST CONSTRUCTION:ALTERATIONRENOVATIONGENERAL REPAIRS RE LOCATION lf Relocation. is there a Natural Gas Line on the Current Site? n YesI No IS BLDG SPRINKLERED? Iv".I NEW CONSTRUCTION:ERECT NEW STRUCTUREFAST TRACK SHE LLUPFITADD TO EXIST STRUCTURE ACCESSORY STRUCTURE : N/A If UPFIT - The Shell Penmit # IF Yes, lrhat was the Previous Occupancy Type? ARCH DESIGN PROFESSIOT.IAL: ]i .] Is EIect Power on this Buil.ding I Yes nruo PH: N/A NC REG #: N/A ENGR DESIGN PROFESSIOT.]AL: N/A NC REG #: N/A DESCRIPIION OF WORK: REPAIR 15' LINEAR FEET oF INTERIoR WALL NoN STRUCTUAL METAL STUD S DRYWALL ls food or beverages prepared or served in this structure? Yes INo ls The Property Located tn The Ftoodflain? [ ves [l ruo PH: N/A DISCLAIMER: I heleby certity thal allrnformauon rn thrs application is correcl and all work wllcomply with rhe State Building Code and afl other apptrcabte Stateand local laws and ordinanccs and rpo,,lerions. The NHC Developmenl Servrces Cenler witt be nolified of any changes in th; app.oved plans and ibecificatronso, channe in conrrach, o, ..nrra.ro, ';r.rmatron. "'NorE: Ani Wo,i Pertoimia Wrcj rne AppropiiitJpifri{siiiiiEJin vi;iari,fi;liir; Iic Srai;68;ffi;;;;Subjectjo Frnes Up To $500.00"' OWNEF/CONTRACTOR: arr, spArr BUTLDTNG susrEMs INC SIGNATURE: //o/e (Audn€d (prh tarE) Note: Demoliton notifications & asb€stoa rqnoval p6mit appttcalions aro to be submitbd lAino the applicati& form (DHH contain Asbeatos or not. Ycu ale r€qulrcd to csll the Nsdoosl EmHsion Standards br HazaEtcus Alr Polluranb (NESHAP) domolfion of sny fucjlity or building. 5€6 Asb€sto6 Web Site: http:/ rww.epi.state.nc.us/epi/asbestovahmp.htmt TOTAL PROJECT COST: $ 8,865.00 5"3768) wh€Or€r rh€ tgciliv or at (919)707-5950 at least 10 dsys prior to the # OF STORIES: I # OF FLOORS: 1 EXST LAND DISTURBING PERMIT?!YES nNo SQ FT EXISTING IMPERVIOUS AREA: TOTAL SQ FT UNOER ROOF #OF STRUCTURES: r: N/ ACRES DISTURBED: N/A NEW IMPERVIOUS AREA: N1A N/a SO FT PROPERTY USE: lOrrrCe ! nesreunnrur MERCANILE leouc leer CONDO OTHER: WATER: ECFPUA fl COMMUNITY SYSTEM fl WELL flzONtNG USE cLASStFtCATt sEWER: 17 CFpUA ECENTRAL SEpTtC E pRvATE SEpTtC DCOMMUNTTY SYSTEM *'SEPARATE PERMITS REOUIRED FOR ELECT I\,4ECH, PLBG, GAS EOUIP PREFABS & INSERTS *' ON: N./a PAYMENT METHOD: E]CASH [CneCX leaVaeLE TO NHC) I AMERTCAN EXPRESS n MCA/|SA I OTSCOVen (FOR OFFICE USE ONLY) REvtsEo DATE 4n1n2ZONE: OFFICER:SETBACKS: F:-LH:- RH:- B:Approval:_ City:_ DATE:_ FLOOD:__ _ BFE+2fr= Jr*r,-r..'$ l,o .', : APPLICANT'S NAII'IE: ALL SPAN BUTLDTNG SUSTEMS TNC. DATE I J2J32J2!):- DEVELOPER: N,/A PHONE #: N/A ZIP i 2s4a3 PHONE #: 9ao '799 9L2o PHONE #: 9ra -t 99 - 972a tr tr '*i'<i!*'I* rs rHrs A cHANGE oF occupAircy usE? tryEs fiNo ***** l,lhat is the New Occupancy rype? _ BUILDING HEIGHT: N/A # oF UNITS: N/A TOTAL AREA SQ FT : Jzl__ SQ FT PER FLR: N,/A Comment &otb-ltl Ls-3565NEIII HANOVER COUNTY BUILDING PERMIT APPLICATION Iypsr COI'IMERCIAL PLEASE Al\lsl.lER ALL 0UES110NS APPLICABLE IO YOUR PROIECT "Project Responsibility,, APPLICANT,S NAIIE: AU- SPA}] F:];:-DING sus]!I,,!s iNC DEVELOPERI N/A PROIECT ADDRESS: 42cs at.|].::_1oN s:.n-T m APPLICATION l\lumber (offj..e U5e) DAIEI rz/22/2ats PHONE #: N/A CITY: WIT.I4ING,IoN OCCUPANT/BUSINESS NAIiIE; L AND iI suppl,Y CCMPANY PROPERTY OWNER,S NAME; }4"1Rv1Ii i.i}.RRIs oWNER'S ADDRESS; 104 rea: circ1e CONTRACTOR: AiL spA}. BU]L,I:nG sUsTlI4s INC ADDRESS: i3 6 ri^Rt,Hy DITIVE LICENSF Si r6i? CITY: W!I,MINcT 5I: NC ZIP: :" 8,1053N EIiIAIL ADDRESS: rroi loal I - srnr\ PRO]ECT CONTACT PERSON: NEIL FILIpPINI PHONE S:910,799-9120 PHONE A: 910-7e9-9120 i(h€ck all lhat Apply) EXlST CONSTRUCTION:ALTE RATlON RENOVAIIONGENERAL REPAIRS RE LOCATION if Relocalion, is there a Natural Gas Line on the Current Site? n I No lS BLDG SPRINKLEREOZ I Ves I No NEW CONSTRUCTION:ERECT NEl^l STRUCTUREFAST TRACKSHELL UPFTlADD TO EXIST STRUCTURE ACCESSORY STRUCTURE: N,/r,- If UPFTT - The Shell Pe.nit *: IF Yes, i.'hat was the Previous occupancy Type? ARCH DESIGII PROTESSIOI.IAL I N/A ***+* rs rHrs A cHANGE oF occupANcy user f]ves a NO ***+* l./hat is the Ne, occupancy Type? PH: NNC RiG f : .\,-ln ENGR DESIGN PSOFESSIONAL: /A DESCRIPTION OF hJORK:RApAIR 15r LINEAR FlgT OF INTERIOII WAIL NON STRU.'::r,1L I,t!t:ALSTUTS DRYITIALI, Ils iood or bovorages prepared or seared in his strucure? [ YesNo ls The Property Located ln The Floodptain? [ vesrsN DISCLAIMER: I hereu/ cen fy lhat a Lnlormalro,l in and l(rcdr laws arrd o drna'rces and reautato.ls I hc oI cl anue rn co']uaclor or corueclur i-nlo,mBtron "' SLrbl.rrlo Frnes lJp To $500.00'- NllC DeveloDmenl Serv'cesNc-t Any lvor1, Perlomed Center willbe norltied ol aovwo rhe Approp ale Peirnils (hur'.lcs,r lru d! I L,-dLlh'\arOsOeL.ILdlOn: ^ ll oie,r V o,atioa ol rhe'NC Stdte Blog Cooe a rd this applrcatlon is cor€ct and allwork willcorn dy wirh rhe Stale Buitdlng Coda ard all olher applicdble Srrte OWNEFYCONTRACTOR:.l1!L SP.All l-'ri-r,llIl\rc Sli! ir':lS LNC 516S111Up1P' ,t/o%' (qdiiod Ncle: Oemollioll nothrcations & asbeslos ,einoval p€rmlt spplbalh.L! ar€ to be gubmtred usiru tie apptication folm (DHHS3768) wherh€. th. tacitiry or blit ng .omah Aboslos cr nol. You 3rB rcquir€d lo callll|e Natlonal EmBslon Sr.nd€r.b hr Hoz6ntous Air Po dan15 (NESt{Aq ai (919m7595O sl teasr 10 dsF prlcr tl tne deftblll'rn ol any hclllty or building. Soo PBbanos \Y6b Slre: t1r;l!,....^r.rt i.s!ere. r. !:rq! /:rjtn!1.r,l:t'.r.r,,|i.t TOTAL PROJECT COST: s e,a65,co BUILDING HEIGHT: TOTAL SQ FT UNDER ROOF: N ,A ACRES DISTURBED: N/A NEW IMPERVIOUS AREA: N/a ),I /A EXST LAND DISTURBING PERMIT?I YES NO N/A #OF STRUCTURES: l SQ FT EXISTING IMPERVIOUS AREA: PROPERTY USE: f]OFF|CE nnesmUnnxr MERcANTLE [rouc I err @NDO OTHER SQ FT eAvMENT MEIHoD [cnsx [cnecK (pAyABt-E ro NHc)AMERTcAN D@RESs f-l rucrursl D orscown Ul.ll l_ .OR tLLl:., MEC| i. t,l 8c G\:l LO(itP :ii:r :i.t)S & iri:i:';r! I (FOR OFFTCE USE O LY)REVTSED UA1E {1 1/12 I Comm i,,i,, lnspeciion Requreo, q I 0-25{-090' ZIP:2e403 PHONE f: 910-270-4040 CITY: liaxr.stead ST: NC ZIp:2e4,r3 rs E1ect Por/er on this Building E yes f] *o PH: N/A NC REG #: N,/A f OF UNITS: N/'A # OF STORIES; 1 # OF FLOORS: r TOTAL AREA SQ FT : N/A SQ FTPERFLR: N/A y3]:t mglry.l flcoilrruNlrYsYsrEM flwELL [zoNtNGUsEcrAsstFrcAIoN:Nr].sEwER: mcFpuA E CENTRqL SEpnC fleFvrre semc llcouuuNrysysrEM Jr^r,r..r,s/0- 9 0( -tp'lSJt t Vi,JL als tt-3t1q NEW HANOVER COUNW BUILDTNG PERfiIT APPLICATToN nps: CofiIIitE RCIAL PI.EASE ANs}/ER AII. QUESTIONS APPLTCABLE TO YOUR PRO]ECT "proJect iesponsibility. rfi l -a 1tu '"i|u Pe ' ('l+ ?.otu-jf,*/ APPLICATION l{umber (off1.. Ur.) t.-?k-t<-APPLICAIT's MIIE: DEVELOPER:DATE PHO E f:PROJECT ADORESS: occt PAIT/BUSTilESS M]iE: PNOPERW OflNER's iAiIE: OI.IIER'S ADDRESS: coirTRAcroi 3 AI'ORESS: crw: ctw: LICETTSE f: ,rr-';evfl? *, 5*A-63Q(sr,//[zre@s- sr(r[zrr,CIYY: I ) E AIL ADORESS: PROJECT CO TACT PERSoiI: PHO E f: P}ONE T: ;1:'J-,,e::::iirj:x:,tr*::Ln'j:li"Hm"frJ#fiIi--,sr.g:,*^tr*ti*?Tffi ,".s," r{Errr coNsrRucrror{: I rnrcr ELr srRucruRE I rrcr rucr ! sxelr_ [ urrrr [ ,o ,]-rrr5T sriucrunEAccESSoRY STRUCIUiE ! If UPFIT - The Shell Permlt $: Is Elect pol,eF on yis Building.r... rs rHrs A cfiaNcE oF occupAl{cy usel flvts ffi.r.,.IF Ycs, h,hat ras th€ Prcvlous occupancy Typ€? - fftfl i. tt?-to, occupancy Type? Yes Eruo ARCH DESIGII PROFESSIONAI": EIIGR DESIG PNOFESSIO AL: -___ r'tc REG S : Fr,lcREG{:DESCRIPTION OF IIOR(: b tood or beverags6 Fcparod or sewed ln this stnrclrre?ENo b lhe properry Locdod tn The Ftoodphh?Eyes PH PH No thls NHC ls rhe Code and a ol l,llf, oArE {lt/t2 D c(1 TOTAL PROJECT COST: ow RO( # OF UNITS: Ioscoven AI 0(1 1t-5t1q NEhl HANOVER COUNTY BUILDfNG PERI,IIT aPPLICArro ry"f; COfl{ERCIAL PL€A5t Ar,lsrEe atl QUtS.no s appLICArrE rO yOUn pro]rcl "proj.(t RG3ponjibiliqf APPLTCAiIT'S iIA'{E:"Drm r r-r 0s a UN DIVELOPER: tolb--1tea APPLICAIIfiI fuIIDtr (oftl.r Ur.) oarett).?k-l{- PROJECT ADORESs: P}O E ':crw:ZIP I oCCUPA|{T/BUSIilESS M]tE r PR@ErtY O{riEi'5 iAnE:t<iOT. TR'S ADORESS: * CITY!sr tP;Z&ztl- COi'TRACTOR: ADOf,ESS: LICE SE *: CIIY: I )sr 6.,j!,zrrEIIIAIL ADORESS: PioJECT COl,lTACr PtiSOr{! pho E f: P}O E T: EXIST COI{STTUCTIO{: tr AL TERATIONI a#;c* All rh.t Arply) TIOI{GEIIERAL REPAIiS I rer.ocarrorlf Relocltion, b there s Natura, Gss Line on th€ Curr€nt Site?Ye$ Druo ts BLDGSPRTNKLERED? E ves fluo ,{Er{ cor6TRUCTrO{, I rnrcr ilrH Srnucru[E I rlsr rrecr I sxa.r E uprrr ! oo ro Exrsr srRU.,uEACCESSORY STRUCIURE: If UPFIT - The Siell Permit s:Is El.ct Pore rr* .r rs Tl{ls a cHAttGE fF Y€s, r,hrt uas thc Prcvloos Occupancy TypG? ? Ll\cslfi.t is r or!!,its BuitdinS ffta..*. Yes Eno or occuPlr{cY usf ARO{ DTSI6 PTO'ESSIOI{AI: EMn 0€tl6l{ PROfESSIO AI, ! tha ar occuPan<y Ty,DCt t+l: PH:--r_ rc REG ,: ---- NC REG *: DESCRIPTIOi' OT }OR( : Yes Enob food or b6var8lp3 Erpared or !€ry€d h tl$ sfl.Etllrs?b Thc Prop.ny Locl6d n nc fUoOpfrnf I Ves No thls ls correclCodc 6nd a o1 to ACRES DISTUREED:E(sT LAND DISTURBING P€RMTnflves flroNEW IMPERVIOUS AFEA:so FT EX|ST|NG TMPERVTOUS ASEt ---.- SQ FT PROP€RTY USE; EOFF|CE nRESTAUMIr vATER: 46rA ECOuMUNny S\tsTEu SEWER: ACFPUA EfCTNTMTSEPTTC E fluenamu-e Eewc trAFr fhoroo orxentrwElr ElzoNtNG usE QASSIFICATON: PRIVAIE SEPTIC uCIMUUNITY S\SIE',I-. SEPARAE P€RT,IITS REOUIRED FOR EIECT, MECH, PLAG GAS EOIXP, PREFAAS ' rfrsEr\ - PAYMENT METHOD: flcesx flcneo<(PAYAEIETO Nr€) flnueercm acrness trMCMSA (FOR OFFTCE tr6E oreY)ZONE: OFFICER:SETBACIG: FApprcval:_ Cit),:- DATE:.__.;- FLOOD: :-LH:_RH:B: --_BFE+2t=I iEvxtrD oArE r,l fiI Commed PERMIT FEE: I (qrlid fioscoven r(1 it-3i1q NFil HAI',OVER COUNTY BUILBIS6 PER,T{IT APPLtCATra r:.pt: f&\{l{tiCIAL Ptaa5t Aill{g ll,t QU[s,rr3r]S t]puclllE Tg youi pi0:r(T *proJact R!5r.nstbtlity,n Qolb- lto PnolEcT Ar0fifssr ocflJPAlIT/BU5XS{5' XA}tF : PnOP€RTY Qw{ai'5 t{trtE: aTFLICAUT'S L&rt: orveLoPlRr c&TnAct Rt A,$155; -txrr r NflS U t; t--. f Pii0fir *: APPI ICAiIOI,J lluirber (orflR ur{) / >,.?\-i :- ZIP I DAIT LICTIS! *r CITYIrfall ADonfit: PROJ€CI COTTACT PIRS'}';:{ ll fi6loc8lion, is lh€re a l,latlJal6ss Line on the Cln€ S,t€?Yet lo x!r.{ cor;srnuarrool: I rnccr xew s]itlcrurr I rxr reacx ACCEssofiy sltualutr!: DE5'RIPT:OI'I OT IORK : ls food or toyer8res &FE rd or gery€d in thi$ bi4rcturc?ves fi ur tlSCLAltiaFrl ar6? fi61 alt Inti..1r{ci :r thts ls BIDG SPQ&rKLrRart fr ves f ro sxtlr, [] uPFar n 130 to rxraT snucturr Ino a: "t #) (2, '. 4 5l;r:L#t', j:&/...1-- <'l lf, "' '. PXOIE fr EIrgl CON,tsTRUCy:Oir, - lt'EuT:ott E-i,#iffi}Stlrtar\L iEFAlXs f rrlocanon If Llpt:T - ?he 5het1 P€ryit *: Is Elect polrer olhis Buildjlg '.'., :s trrrs * oullcr o, occup|&cy us€; fivrs ffi,n..*,L Y€t, Lirt va, trit PrevLo1lr Ocit,pan.y Ttpe? *fri is tt?-trar gqs!,parcy T,?al AROi D[SI6 lROrtsslo.,rAr: EN6s r)!sr6{ pRot€t5rar{alr m ;;::: _- Xi ff!{: di i! b Ttc Prrpsrly Loe&rsd h &e nco&Xi,rf Ves cooe srd a} o1t?r b{! Clde .16 an6 OWNERICONTRACTOH:SIGNATUfiT: tJor! .-\.i!l,n?1 rc(*cl-r,u t tlDa!1J! r.rv'rd pF?,,>lu*ntad usln; ta t!9lL:3(!n &r-!t{AHPt3?tl8l 1r.tall{rul.hrliny or bliB$q rt' iofi rolo.iaL &Ldo5 0r nd, You ira r.qrll'd l! .as !]{ Nalldrt trnbrtgl Slrnd6d! fB Hqrrltora Alr pr|l&.{s ie_{: $1,.]l!l e {9t nig7-5e50 &r brt l0drF rk &$.dtndd!fi o{ ..ry hcil, r, lr,{E}t. Sr{ ,.&!er.t r.v4[rai,err6/3n np)tmt IOTAI PRCJECT COS1 8U]LD]'{G HEIGHT:# OF UTITS:TOTAI AREA SO TT: TO]AI SQ fl UNDFR ROOF zoNe Appm\.al SC FT PER FLR: ,r cF srRU crus;;i..-._-# Of S"ORIESI a 0F FLoORsl ACRES DISTLeBEST EXST tANo Dt$ltRStNG pEn}affLJ NONEW IMPESV'OUS AREA:SQ FI E(S1ING IMPERVIOUS AX&q; --_ sc Fr PRoPERTY USEi_ fpFFCE ffnesnumrr werca 6Sua n cousruNTy sysrE, sEwE* ffi-cf?rrA tf cf}lTeAr SEFlE I .il\i) fuenc*nrnr APr &0N00 orHER fT r,,r-r r PfrtyAlE sEp'rc r:zoNtNG usE qrsstncn.l]ON: ffcOMiiuNrrtsYsl-trr*-':arAffaIa Flali:-r! lEcun€i! roe ;]fql r,iE:n, pLaG. cas EoulF. !:aErpAyi{rriT €},oD; r:cAsH mcHEcK {pAyABtE IO NHC}EAi*aa,c r,l &?Ress n McrdsA t olsco,rea Camned. $rr?t,*-r ot- Lr:l"i{r') x\)tx ?s*{ r*,. ,',r'i&*&..fr o{l&rn,s &}'irrs: -t a!\a5!l oAtE ,!u': r$1 rs-ifgo ,t otb 1bt A,PPLTCAIIT'5 I'E: DEVELOPEE: PIOJECT A'OiE55: OCCUPAT'T/8USI]IE55 iAXE : PiOPERTY OT'{EiJ5 iAiIE : Ot{TiER'S ADOR€SS: COITTRACTOR : ADORESS: E ArL ADOiESS 3 PRO]CCT CoIJTACT PERSdI: EXrSr CO STRUCTTO : D ATTERATTOS' It RGlocafion, b lhereo l.rstural Gss Line on the NEt CoNSrRUCrlOr: ACCESSORV SIiUCIURE: NE[A, HAIi(}VER COUNW BUILDING pER{fT appL,catro't rvpsr C{}$IERCIAL PLEASE Ar{srER At[ qrEgttdls pptrc StE TO y(x,t ptoJrir "Prorect tcsgonrlblllty" CIW: LICETISE }: CIIY: lpr-ffiior unbcr (Offt.. ur. ) oaft: 'd-2?_/) Plp[E t: ptotE t:-/84 ZIP 9t ST: _ Ztp: )r SI t: ,M (Ctu(r.tt ntrt rpply) lZlR E rovar rot{ . I-'] errrmr_ curem Site? [t,vi-[ ruo Plto{E tloalE t: REPAIRS I rer.ocrrron IS BLDG SPRTNKLERED? E ves fiwoI rnecr ilEhr srlucruRE fl rrcr rurr n sxrlr. I urr11 [ ADD ro lxrsr srnucnnE If UPFTT - The shcll PePrit t: Is El.ct ..... $ rxrs A ctrAr{6r oF oconncv usrt IIt y.r, glrt yrr tht prlvlq,I Occsp:ncy T]"r t ___ Ltia lrcH D€sro, PtoFESStoIAr. r E A DE5I6II PIOFESSIOIAI: - Pover on this Buildtng I ves E,ro YEs flrc '....15 thc tl.y Occup.ncy Typtl _E__*t----_ r,lc REG s:fr,-- {c r!! r. DESCRIPTIOT{ OF IORK : b bod or D.vrrrp gtprnd or rcn d h A* *ralrAf,V"s I m f Ih. properry toc{.d tn ltc Eoodphh?E ves I toDISCLAIUER: I heEby.rrtt lllal € inlormltion rr €rld locallan! 9rd odlnamas rm |egulgttois, The or chan!€ ln comraClor 9I@nlr6dor lhformliDn. ." Sdrecilo FllEs Up To 3500.m'- ZONE:-OFFICER: rmffi. App,ov*:-cry'--}7:i[-;ioo;;F: LH: RH: 6: wl$ rtle St t Code 8nd 3 in o{ or{LY) -_ BFE+2ll= $ ncutED i(E {/lt/12 0 Comme : A PERMTT FEE: $ I 0 ) t. n' (O..eLr, t 0F uNrB:,OFSTORE_ # 0F FLOORS: r'Ir---- rri!---_- Iorscovrn COS' ool Dts PA'tuE r ETHOO: f]caSx ^-\ L\r t &olb -lbt ,;; r lnpeciron Requreo, 91 0-?54.S0r; \r-1fgo NEW HANOVER coUNTY BUILDIN6 PER,{TT appLrcaTto nri Cq{flERCIAL tL€a'E ^,SX!q l!! (\J!sy:ons At?tr(tllt TO VOt{ pio)Elr APP LI CAt!OI{ llunbcr (Otrl.. ur.) tu$i PlolECT AD9iESSi oCCUPAIT/8U5!I!5S i&nE ! PBOPEiTY 0a! 8f,'5 rnUE: ot{,{ER',5 A'ORESST Co TRACTon: ADORES5: EIAIL A'ORIsS: PRO]ECT CONTACT PtSSOTi: DESCRIPIION OT HORK: Comm6nt(tirrII ilBl .i: lLtuLZ:d: L.l h 1.r/, Pllol,lE t PBOIiE I: 5T:ZIP: pH3flE *; P}OTE f : A?PLICAI{T'S i'A!4I: DEVELOP ER I "Proje.t ierp.nrtbillt/, lfYl aarc: !8-7t-i5* ztp -6t*q \- CITY: LIC crw,lt-zi)k!r,c t?7t - -?<,,2 -P t/'1, - 1 ./-// ErIsT cor{s rx{rcTror{: I ltrtur:o+l lt trblocation. b there s {slursl Gss Line on the GEIITRAL iEFA:RS f] erocnnoptrNo IS SLDG srnnr<t.eneor f, vcs firu0r{:I coNsTRUCrIOa{r I rnrcr xrl sT*uc?uic I rlsr r*cx LJ silELr Ll urFtr n loD ro txtrr srtlcrriEACCTS5ORY SIRUC?BE: _,/ ((t{d AII ri.r Ljl' RElOt auor{. I I Curenr shel [vi- If UPFIT - the Shrll perait {: Is Elect A Cxlt\t6F Or OCOTltlCy USrr l_.]If Y!t, rfiat llat tha Pt aylo{ra Oc(uprnay T}?a, _ *? ltor DEsIol FIoFElgto At,. EIG' OTSJCT pmrarslo[a!, %.-*-- Porcr on this Building E yes [r x: ws [m..-. 1! thr x.t{ oc(up:i<y lyp.l ---H;- 1,16 6g6 s. Ptl: - tc ntcr: .- L. ts tood or !.vr''oe3 Flpsr.d or xryld tn tti! slr**f t'v* [ Uo f"Ihe Propert Loabd In TI|e Roodpls r'trBv"',(r .'l:Hlfij#:yml#*JIme*ff$s,ffi f fi mffi,*#,s,g,&#&EljPlt fl ,3Jii?.a,i s%fffi s ihlorulo1'- i-S:1e 8u r:; coce z-- , ! - -''r.::.' i.:j i!:lt. &di.s$! lFoR ornc€ rlgAC DA FLOO tr\ l-r e i.h!- X Lr f1!P.,"111^ c( [xi(f r^([,,r lt t/.tln: . .t'/. I r$1 rs-ifg'o 3 o l(, -Uat APPLICA|\@T rvPE: COTIIIERCTAL PTEASE AnShER ArL QUESTIOTJS AppltcABLE TO YOUR pRolrar "ProJect Responsibility, ry crw: LICEIGE *: CIWI l1 rilEilrron umbar (Offlc. Ur.) oar. ./8-2t-) P}O E *: ZIP I pHo{E S: -684,/ ST: _ ZIp: r srtlLzr APPLTCANT,S AIIE: DEVELOPER: PRO]ECT AODRESS: OCCUPAfIIT/BUSII{CSS MNE : PRoPERTY Orlt{ER's ilAfiE : oHttER',s ADOiESS: CO}ITRACTOR: ADDRESS: ETAIL ADDRESS: PRO]ECT COTACT PERSO : ZONE:-OFFICER: (FOR OmcE usE oNt Y) SETBACKS: FADorovel: Citv: P PHO E I: P}ONE ': ;[',JJ[::lTr:[,H,::ffi'"'fl "*:;,prdi,F$ti.-,sr,.*,.*tr*lilrjffi ,*n*. ff:rfflr;;l;H{J rnscr EN srRucruRE ftrrcr rmcr ft sxrr.r. I upFrr E ,o ,.'*r, sriununE If UprIT _ The Sh€Il peniit *: Is Elect pouer on this Buitdlng.r... tg rHrs a cHAt{68 oF occupA cy uset fiws []o ...., IF Ye6, hfiat ras thr Prwlou. occup.ncy Typ.t rmfi f, tti-t* qccrpen(y t)pc I ves ? Ero LH: RH: -_B: BFE+2ft= nEvBED MtE {n fi2 {Commenti DATE: p1699; A PERMIT FEE:p NEW HANOVER COUNTY BUILDING PERMIT PH: PH,-IIC REG f : t,IC REG *: b bod or bet 6r.gss Fplrsd or served kr O,f .n -r"l/V". [ ruo b rhe propeny Loc{od tn rhe Ftoodpbh? E ves fl uo DESCRIPTION OF I{ORK: (Orr.lfi.i Ioscwen ) 1 otb-lab5-3573 APPLICATION Number (Office Use) NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: COMMERCIAL PLEASE ANSI,iER ALL QUESTIoNS APPLICABLE TO YOUR PRoIECT "Project Responsibility" APPLICANT, S NAME:Codv Gorman - Agent for Verizon wireless DEVELOPER: ,ie r, z.n 7i1L.i.ss CITY: PHONE *: !80 2!2 5s65 PROIECT ADDRESS: : -. r:.i::a- :rr , -:. OCCUPANT/BUSINESS NAME: verr z o:r Nirele!:: PROPERTY Oh'NER,S NAME:RusseII M. Carter PHONE #: \, .r. O.INER' S ADORESS: 8 ,15 rJorrh 2 I rd st CONTRACTOR: Be; aconr CITY: wr tminqton LICENSE #: r1er5 CITY: Tho orrosas ST: fL ZIP: i1592ADDRESS: 9331 EasL rowler Avenue EIiIAIL ADDRESS: hall:r@betacominc. com PHONE *: 81r-986 .r9:2 PRO]ECT CONTACT PERSON:PHONE f: lBt-:.':-5565Cody Gorman If UPFIT - The shell Permit #: IF Yes, what was the Previous Occupancy Type? ARCH DESIGN PROFESSIOi,IAL: N/A ***** IS THIS A CHA'{GE OF OCCUPANCY USE? EYES I iO rt***': What is the New Occupancy Type? rs Elect Power on this Building f] Yes E ruo PH:NC REG #: ENGR DESIGN PROFESSIONAL: Jcrn ai.,Lrr-l PH: 919-661-6351 NC REG #: 032011 DESCRIPTION OF WORK: verizon tc6) antennas and add (6) antennasto exist inLl moint ls food or beverages prepared or served in this structure? Eves fi lo ls The Property Located ln The Floodplainf I ve" [l uo State Euilding Code and all olher applicable StateDISCLAIMER: I hereby certify that all information in this application is correct and all work will comply wilh lhe and tocatlaws and ordrnancea and reoulalions Tle N.lC Devebomenl Services Cenlerwillbe notified olany or chanqe rn conlractor or conlraclor riformation "'\OTE. Any Work Pedorned wO the Approorrale Permrls Subjecr'to Fines Up To $500.00"' cnanoes rn the aooroved olans and soecifrcalDns will tie in Violatioi ol thellc Srare Bldg code and SIGNATURE:4/fr:a>OWNER/CONTRACTOR:Cody Gorman (AusmeD (Pdnl tlamo) coitaln Asb€atos o. mt. You ar€ Equked b €ll tho Nadonal Eml*slon StaMads for Hezerdous Air Pollutants (NESHAP) al (919)707-5950 ar l€6t l0 days prior to the d€molitbn ot any facility or bulHlng. S€€ Asbesbc Web Siite: htts:/ 'w,rv.9pi-staie.nc.G/spUasb€€b6Jahmp.hlrnl TOTAL PROJECT COST: S21,9OO BUILDING HEIGHT: SXrStrNq #OF UNITS: N,/A ACRES DISTURBED:EXST LAND DISTURBING PERMIT? N YES E NO NEW IMPERVIOUS AREA: il SO FT EXISTING IMPERVIOUS AREA: NIA PROPERTY USE: lOrrrCe E neSrAUnnNr MERCANTILEEDUCAPT CONDO OTHER:ceLt r.we r wArER: ECFPUA SEWER: f-l CFPUA *. SEPARATE PERII,IITS REOU RED FOR ELECT. I\,IECH. PLBG, GAS EQUIP. PREFABS & INSERTS *' 'A'MENTMETHoD E:::.9::=-:ff..'i:y?.-tr*5:::y:.::.""'..F;*::.:: florscoven (FOR OFFICE USE ONLY)REVISED DATE 4/11/12ZONE:_OFFICER:_SETBACKS: F:_LH:_ RH:_ B:Approval:_ City:_ DATE: FLOOD:___ BFE+2fr= SA FT ECoMMUNTTY SYSTEM EWELL EZONTNG USE CLASS f] CENTRAL SEPTIC LI PRIVATE SEPTIC E COMMUNIry SYSTEM IFICATION:'rra tmi nor on Comment N PERMIT FEE: $l0a DATE: r2l21l201s ZIP: -.e.,aaa ST: NC zIP: 281c5 Exrsr coNsrRucrroN: E ALTERATToN E *.rJifffi'[j^l'rti'r*o,- REPATRs E RELocArroN tf Retocarion, is there a Natural Gas Line on the airrent SiteZ f] Vi-[ no lS BLDG SPRINKLERED? ff Yes I Uo NEW coNsrRucrrou: I enrcr NEt.t srRUcruRE ! rnsr rnacr ! sxer-r- ! unrrr ! noo ro Exrsr srRUcruRE ACCESSOqY STRUCTURE: TOTAL AREA SQ FT : JA_ SQ FT PER FLR: rr rr # OF STORIES: r.r ,r, TOTAL SQ FT UNDER ROOF: r: -.. # OF STRUCTURES: 1 # OF FLOORS: :: ,r QstblGb 15-3573 ffi NEh' HANOVER COUNTY BUILDING PERMIT APPLICATroN rYPt; C0|,!HE RCIAL PLEAsE ANsIIER ALL QUESIIOTJS APPLICASLE IO YOUR PRO]TCT "Project Responsibility" APPLICATION Nulr1ber (office Use) APPLICAIITTS l,lAr'lE: Cody corman - Asent for verizon wireless DAIEt t2 /23 / 2015 DEVE LOPER: Verizon lrlilel CITY: wilrninqr.on PI"ONE f: e8o-202-s565 ZIP i 2Bai.PROIECT ADoRESS: 914 NorEh 23rd sE OCCUPANI/BUSINESS NAi{E: verizon !,Jiretess Ot{t'lER'S ADORESS: so6 Norrh 23:d sL. CONTRACTOR: Betacorn ADDRESS: 9331 Eas! Fouler Av€nue EttAIL ADDRESS: haI1s@betsacominc. com LICENsE *: 71e05 CITY: Thonorosas ST: NC ZIP: 284l5 STi Fr, ZfP: lis92 PHONE *:813-986-4922 PHONE #: 98c-202-5s55 CITY: wilminqron PROIECT CONTACT PERSON: codv co!maD (Check AII Ih.t Apply) EXrST C0NSTRUCTI0N I lf Rolocatlon, is there a Natural NEr,r CoNSTRUCTTON' ! rneCr NEh' STRUCTURE ! rasr rnlCr ! SXrr-r- [ Uerrr I mO rO EXrST STRUCTURE ACCESSORY STRUCTURE: If UPFIT - The 5he11 Permit f;Is Elect Polrer on this Building n Yes NO ARCH DESIGI{ PROFESSIOTIAL: N ALTERATToN ! nrnovlrroH ! errueul neearns ! RELocATroir cas Line on the Current Srtef !ves !ruo tS SLOC SpRttrfleReOf Iv"" [ru0 PH P NC RE6 #: NC RE6 #:€NGR DESIGN PROFESSIONAL: John Goins919-651-5351 c32017 DESCRIPTION OF WORK: verizon to remove (6) antennasand add (6) anEennas to exi.stinq mounE ls food or bovorEges fgpsrod or strved ln this s'u,rc-t r"? [v"" ACRES DISTURBED: O NEW IMPERVIOUS AREA: No ls Th6 Property Localed ln The Roodplain?E YesNoI I DISCI-AIMER: I hereby cenify that all lnlormalion in lhis applicaion is corecr and all wolk willcomply wirh rh6 Srare Buitdtng Code and att orher appticabte 316r€ and local laws ano ordrnances and .coulatons, I he NHC Develoomenl Servrces Center will be nolrfed ol anv chanoes rn the aoorovod otans and soecitcal on s or chanqe in conrraclor or contaciorrnformaUon.'"NOTE. Any Worr( Pedomed W/O rre Appropnal€ Permilswil Se in viotatron or lh€ |.tC Srate Bldg Code and Suqecl lo Frnes Up fo 3500.00"' OWNEFYCONTRACTOR: c"ay co'*anSIGiIATURE: '42fr;\(O6lilL, (Prht tlm.) con!.ln as!€slos or mL You ars roqukod to call lhe ilatbnal E b6lon S!brxb.& 6r H.zsrdous Ar Poltubnrs {t€SttAP) !t (919)m7€960 d h€$ 10 dsF !.tor b ltb demdnbn of 8ny lbdllv q b{Idhg. S€o AlEslo! Wbb SIsi hlip7\vww.€ptststs.nc.us/e9uasb6tos,/snmp.nn]t TOTAL PROJECT COST: s24. sooBUILDING HEIGHT: exrsrinq #OF UNITS: TOTAL AREA SQ FT : SQ FT PER FLR: !/AI OF STORIES: N/A TOTAL SQ FT UNDER ROOF: N,/A # OF STRUCTURES: I# OF FLOORS: Exsr LAND orsruRarNc peRMm l-l yEs E No SO FT EXISTING IMPERVIOUS AFIEA: \l/A N/A SQ FT PRopERTy usE: noFFtcE [nesraumm [uenclrrrlE Eeouc n epr nconoo orHEFLceL.r rower WATER: fICFPUA SEWER: IJCFPUA E@MMUNTTY SYSTEM E WELL LJCENTRAL SEPTIC LI PRIVATE SEPTIC ECOMMUNITY SYSTEM mZONING USE CLASSIFICATISN: wa imin (FOR OFFTCE USE ONLY) '.'t;Et,r.) -' ,: ,lt:itt, i);tii:i: tili arr Ftl;..:,i1 r ...!,1r!r,t .,. PAYMENT METHOD: flusn [cirecK FAvABLE To NHcl [nuenrcat oeness f, ucruse I orscown \aHa,ZONE:OFFICER:SETBACApproval:- city:- _6ffi : tZ:4ljrloo Comment PERMIT FEE: $ RE\ISED DATE {1 V12 PROPERTY O,ll{ER'S tlAl4E: Russe}I M. CarEer PHONE *: N/A '.... rs rHrs A CHANGE oF occupaNcy user flves E]rio.'-.. IF Yes, what lras the Previous Occupancy Type? _ hlhat ls the New o€cupancy Type? _ RECEIVED DEC A12015 NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL PLEASE ANSIiIER ALI QUESTIONS APPLICASLE T0 YOUR PROIECT "Project Responsibility" \5 -wlo 4olto-/tp8 APPLICATION Number (office Use) ffi APPLICA T,S NAITE : DEVELOPER: PRO]ECT ADDRESS: SUBDIVISION: PROPERTY ON,INER'S tlAI.'lE : CITY: PHONE #: DATE : LOT #: ztPtil&Al1 BLOCK f: 'K./ t PHONE #: oU[{ER' S A COI{TRACTO ADORESS: ETIAIL ADD DDRESS:ITY: sr],t42ztp;ZW/ R: RESS: PRO]ECT CONTACT PERSq{: EXISTING COI'ISTRUCTIoN: NE}'I CONSTRUCTION: *'TPLEASE CHECK AliD AtiStUER SELOtrl ALL THAT APPTY TO YOUR PROJECTi LICENSE #: CITY:ST: _ ZIP: _ A LIERATION R E NOVATIONENERAL REPAIRS RE LOCAT ION ! oecr _ sF orHER:l SF SF rl.'> /1\t- fl *o ! rnecr NEr{ RESTDENCE o" p aoorrroH To Exrsrruc RESTDENcE flarr ennree 6lZ sF ! oer eannce sr fl eoncu - sF SUNROOMSF POOLSF STORAGE SHED I cneerunousr SF rorAL HEATED SA Frt ?I? rorAL sQ Fr UNDER *OOr, ?1(TOTAL AREA SQ FT: TOTAL PR0l ECT COST lress r-ot1 : $a7\ # OF STORIES: ' Is Any ELECTRICAL, PLUlilSIt{G or MECHANICAL Work Being Done to the Accessory Structure? tr Yes tr No If the pnoject is a Relocation, is there a Natunal Gas Line on the Curnent Site? [ ves Is thene Electrical Power on this Building?ffiv"t Iuo PROPERTY UsE / OCCUPANCY:5I LE FAMILY DUP LEX OWNHOUSE DISCLAIMER: lhereby cert ry hal all and ordinances and re!!{airons The co.tactor inbmauon "'NOTE Any Ot.lNER/CONTRACTOR : intomalion in his applicaton is corecl and allworkwill NHC Dev€lopm€nl 56ruices Centsr willbe nolifEd otan complywih h€ Slate Building Code y changes in tle apprcved W/O f|e AppropriabViolation ofthe NC SraE Bldg Cod6 SIGNATURE: (? + + + + *+* *+* +,* *1.,1. * + + +:i,* )* ,* ,* ir + +,*+ ** +* * * ** * ** *** * {** IS THE PROPERW LOCATED IN A FLOODPLAIN?YES NO EXISTING I'iIPERVIOUS AREA: 5Q FTTOTAL ACRES DISTURBED: NEW II4PERVIOUS AREA: - 5Q FTEXIST LAND DISTURBING PERMIT: [-'l vrs I-] ro !'IATER: SEWER: f] creun (f corvr"rururrv svsrem ! pRrvArE wELL I crrurnal well I creun ! cerurnal seerrc I pRrvArE sEprrc ! cor.rr'runrw svsr er.r *** SEPARATE PERI..IITS REQUIRED FOR ELECT, ECH, PLBG, GAs EQUIP, PREFABS & INSERTS :*** pAytqENT rilErHoD: I clsr I cnec( (pAyABLE ro mc; I meucAN ExpREss I mcTvrsl fi orscovra ,.**x**+1.***,*r(r(r<*,*****+,t,t,*,*,t,*,t,li(,k**,t*,*,t,*,****,i**)r)r)*r***)r**)****+***,***********+)**,*****,*r*,*+rk+ ZoNE: 0F FICE R: (FOR OFFICE UsE ONTY) REVIsED DATE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ EE N Appnoval:_ City:_ DATE:_ FLOOD: _B F E+.2ft = dI/r pr(xE *:/A_ZX>A* Plror{E #: q t<2 ts:? DESCRIPTIOI{ OF WORK: \J )rtt / l2lar 2 \5- 3tx) 2ot b1bl NEW HANOVER COUNTY BUILDTNG PERIqIT APPLIcATro rPE.. cOiIItERcrAL PLEASE ATJSIER Al,L QUCSUOTJS ApprtcArlE TO YOUR PROJECI "project RGsponsibiltty- - T-- lpElffiior l{umb€r (Offr... Ur.) OATE: -- Z,,: Ay</ APPLICAI.IT'5 M}tE: DEVELOPER: PROJECT ADDRESS: occuPAr{T/8usll{E55 io}rE : PROPEiTY (MNER'S Ml,lE: OIi ER'S ADORESS: COiITRACTOR: AODNESS: P}O E f:< CTTY: CITY: LICEI,ISE *: CITY: rq) <a i,- 4 PHO E *: -ay_ st,@.s st+Lzrpt ? fy'a )EiIAIL AI'DRESS: PRoIECT COITITACT PtnSO : EXIST CONSTRUCTTO :ALTERATIOil E RE NOVATIOI{ lf Relocation, is lhere 8 Nstural Gss Line on th€Site? tr NE},l CONSTRUCTTOI: $+nrcr br A ACCESSORY STRUCIURE: DESCRIPTION OF hDRK: ls tood or b3yer'ges pGperod or serv€d in this stnrcture? lr onnation ln thls The NHC TOTAL PROJECT COST: TOTAL AREA SO FT : TOTAT SO FT UNDER ROOF: ACRES DISTUREED: Cunent nrt &rly) . flgxrrr REparRs El RErocArrot{ Yes LINo lS BLoc SPRTNKLERED? E yes ENo rRAcK E sHELr E upFrr E ADD ro Exrsr snucruRE *l li (Ch..l All fl rrsr I ves EL*o ? !,!_____ r,lc REG {: L"or/ r.----- C REG #: ves Slo b The properry locdcd ln lhe Emdphh?Elyes E ruo ls corect PHO{E PHOt{E If UPFIT _ The Sh€ll permit #: Is El€ct power on thls Buildin8..... JS T|{IS a CHA 6E OF OCGUpat{Cy USEI EyrS []O ..... IF Y.s, rft.t tJas thc P.cvious occugancy Typel . rnrlI fs tt-c ttey occupancy fype ARCH DESIGU PNOFESSIOMT: EilGR DE5TGI{ PROFESsIO{AL: PH PH Ell other sppltcsbte Stat ptan9 Bnd speclllcauonsrru Stlie Btdg cod€ sd /.looo BUI-DING HETGHT: _f OF UNITS: SQ FT PER FLR:# 0F sToRrEs:# OF STRUCTURES: bclllty or hrtsh0 w.! tbodto leasl 10 6ayr prbl to 0E trrr--- # 0F FLOORS: --_ EXST LAND DISTURBING PERMTNflves fircNEW IMPERVIOUS AREA: sQFT EXISTING IMPERvIoUs AREA: _----_SQ FT PROPERTYUSE: srnCe trREsrArrRAr{T fluencmmr-e leouc flmr Eoroo orHER: r r ,/.-r,.WATER: 6B CFPUA tlECOMMUN]TY S\ETEM CENTMLSEPTTC ESEWER:CFPUA EwEr PRMAIE SEPTE ElzoNtNG uSEq.AssIFICATON:tr@UMUNmYSYSIBT,Ii, SEPARATE PENMIS REOUIRED FOR ELECT, MECH, PI3G. GAS EOUIP. PREFABS I |NSEEIS.- pAylrENT METHOD: ECASX flcreo< paveatE TO NHC) flluenrcel ocness trMC/usA ElDscwER ZONE:-OFFICER:roR OmcE t,sE ONLY) REVEED DAIE fifi2SEIBACKS: F: LH: RH:_ B. Aoororal: Clh,:----- BFE+2fr= t{Comment DATE: .619ggt PERMIT FEE: 0 t (O.r.lllt i &alb-i 1l 15-15lq ffi, , "?^r,\ RECEIVEI) OEC Tr ?015 NEW HANOVER COUI'ITY BT ILDING PERI4IT aPPLlcarlott ryPf r RESIDENTIAL pi-alsE AnsnER arL QriES|iONS rtrl IcAALt T0 YOUR P8oJ!CI e(t i.espons lblLlt/' APPLICIIII,S NAIIE DEVELOPIR: PRO]ECT ADDIESS: suEDrvrsloll: APPLICAIIO ttudb€r (qr{l(€ ure) oarr. 12fy6Jtf '(f3s)6?o-a tc(S PHONE I PRoP;RTY ortlER's tlA E: <: =A rr+:€* O,ll,lER'5 AD0REiS: CONTRACTOR:it\lnpu! VlF : >-74A 3 LOT *: PHo E *: __ _- ST: Z1? I ?!'403-,- LICEI'|SE s: -- f] pmr- .'*- st tl sroRAGE sHEt -- otcr 24{ sr crHr R: O CTTY:J rr- 8L0CK f: CITY: ADOREss \so?a \A'( t AJ lrN C] TY: \.,/ s TnITt .cov'.'* 'sT1 ZIP PRO]E'T CONTAC' PTRSOII:?.,i JZ ^-s Exrslrt6 cofisrrucrror, E ALTERATToN [ *rmvarror ftcrHrnal neearns f] RELocArroN irEr{ coi6rRuclroN, D rnrcr laEh REsrDEt.[cE o" ffnoorrro+l ro Exrslrt'lc REsrDEl{cE .'PLEASE CHECT A}JO ATISI{ER BEL*I ALL THAT APPLY TO YOUT PRO]ECT: I a; l canncr -*- sF n otr enercr ...- sF E poac* -- st SF 5F SUNROOT1 f, one ruol.rse -- sF n Is any ELECTnICAL, pLUfiBI}lG or trEcHAflICAL wo.k Eeing Done to the Ac{esso'y St'ucture} [ V91 $n" If the project is a Relocation, is there a Natural 6as Line on the current site? f] ves I no Is there Ele(trtcaL Pot,/er on this EuiIdlogl fi vus ftlo TO]AL HEATED SQ FT:TOTAL 5Q FT UNDER ROOF: - TOIAL AREA 5Q FT: * OF STORIES: ,_E t_) fl oua-tx n ror'nnousrPROPE&IY USE / OCCUPANCY5It.l6I.E FAI,IlLY I\,t)eDESCRIPIIoI{ OF I.}ORK: ZONE: ?, 6 *tt.r*' 9ISCLAIMER lhBeby F.ttin$lsaptli::,...bcotredand.llerlwillcorplywl&r,"Sla€BuluiilCldlesndal,otltrnt,rl"nFSaPandbcalll$( ald odtna..8 a.., lsAllalio.,i Tn6 NNC Deyob!"!.nl SeNt6 C€nlr *i! b. nolifld oi d!y dr..tet n 6€ slrll q dn!. n Enlrtll or conf.cbr intlrnalion "'!{OTE Any !Vo.l Pnlaft4d Wlo fi. ApPrDP.i.b p..ttit* wir l* ilVbt $n olto r'lC 5,n C.t.{:,fi)'_ ot{NER/co[TRAcroR: ?a, \ ' S. To ^ ., S SIGr'BTURE: ..*-.."*,,(l;ti'.l:l't.. "' . ..,......a r. r.* ' -* r*i+**r rs rHE pRopERTy LocATEu rtl A FLooDPlartJ? il Yrs El r'p EXISTIIIG :l.tPERVI0{rS AREA: -* . ., SQ FT IIEI,I $PERVICT'S AREA :5Q FT IAIER t E] CFPUA SEIIEB; l'/J (F PUA f] cor,rururrv svsren I pRrvarE l,tELL f crurur wetl f] cenrnnl strrrc [] pRrvATE srP'rrc I coulluurw svsrru IoTAL ACRES DISIURBEDi --- ExIsT LAts oIsruRBIt{G PEnflrr: -[ ves l1'l m (to{.rrlct u$ ortY) SETBACKST F r.'] ifs l"H:-* i€vi\ra DArf @r/lln2 Lll-$rLooo' , nH,.,L a'r?-L- ,X BrE+Zft= ." SEpARATE r'iRhI-S iE?UInED rr1a ElFfT. 'itCH, p186, 6A5 =grrP, pF'-''5S &:tlSIe-St; pAylrEr,rT r,'Enoo: [ .*" f] .recx (PAYABLE ro *trc; [ *.*rc* t*t*e"s [-l nc'rwsr l-l orscovrn *a,'t* *,i* t*t1*ia*a*t*',*r, rt* * t:t* r +i(, ' l-*+**tai!* t t' t' Appnoval: .--.- c 1tY: -- DATE : 1 h{_ r, Sn "{& Y\i}t la.{ O *fiCo lent:.,JJ 2 N PERITIT FEE il_e -- ::i:\ ET1AIL AODTESS:PT6NE S: onn n{*s)wr.,e,rq TOTAL PROIECT C05r tro* ra, | $ 1 {A- RECETVED DEC tZ 2015 NEhI HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL PLEASE ANSI.]ER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project ResPonsibility"-P"., \--\a ',,,. . -,S 15-Itlq Jo1b-t1t zrPt>34o3 LOT #: APPLICATION Number (office use) oarr, t' /t6 /t f:&3t)-h4a-:o/r'/APPLICAI'IT, S NAIi1E: DEVELOPER: PRO]ECT ADDRESS: SUBDIVISION: PTIONE # ()CITY:-+ BLOCK #: PROPERTY OgNER'S T,IAI.IE : CIhINER'S ADDRESS: ,.:.- 4 P}ONE #: ST:CITY: COT,ITRACTOR: ADDR E SS : nuu 1A NUS LICENSE *: CITY: IJN An \,/ s F,.e'zna I ( . C-o *"'-Er'rAIL ADDRESS: 7tJ PROJ ECT CONTACT PERSON: EXISTING CONSTRUCTION: tru ST:ztP I *i ZIP i ,-830j b(o-a/q 500.00'- J;vr, r;S P}IONE PHONE*3r) ft nlrtnnruoru ! neruovnrroru fl cruennl neearns f] RELocArroN NEht cot{sTRUcTIot: ! rnecr NEul RE9IDENCE o" [l'aoorrrol To ExIsTIilG RE9IDEN6E LEASE CHECK AIID AT{S}'ER BELO{ ALL THAT APPLY TO YOUR PRO]EC'I. ATr GARAGE _.- sF fl ocr canncr - sF suNRooM - sF !eoou .........._ sF GREEMTousE - sF 'ffoecx Z4{ sr STORAGE SHED OTHE R TOTAL SQ FT UNDER ROOF: - TOTAL AREA SQ FT: fl eoncu SF ,D" "r ffuo[v"t fiuo SF SF Is Any ELECTRICAL, PLUMBING or llEcHAfllCAL Work Beint Done to the Accessor y st.ucture? [ Y IftheprojectisaRelocation,lsthereaNaturalG€sLineonthecurrentSite? Is there Electrical Power on this Building? Ev"t EIruo TOTAL HEATED SQ FT: TOTAL PROIECT COST c".'i.tt : $ PROPERW USE / OCCUP DESCRIPTION OF hIORK: and ordinances and regulations Th contactrr informaton '-NOTE: A O[,JNER/CONTRACTOR: 1 ANCY :SII,IGLE FAMILY n ouerrx ! TohrNHousE e NHC Development ServicesCenler willbe nolif'ed ol anychanges in llle appmved Plan nyWork Perfonned W/C fne Appropiab Pemitswill be in Violadon of the NC SbE SIGNATURE : ?,.r l -S..IIq,^., s DISCLAIMER: I he€byceniry at all infomatjon in tnis applicatoniscorrectandalllrorkwillcomplywi$tnestaEBuildingcodeandalloherapplicableStaEandlocallaws orchange in conlracbror fP.int Nane) * +*+ *,* * ***)* * *i(+ ** +* * ** *+** *'* * * *** *'l*+ **** **+*:|** **** '* '**,t *,k***+***** **** *** 't* Code Sub BF E+2ft= CFTERI,JA NEhI IMPERVIOUS AREA:SQ FT PUA ccx'4r4uN r ry svsrrm ! cnware wtrr f|E E I cerurnal srerrc fl PRrvArE sEPrrc ESEhIER:CF PUA I5 THE PROPERTY LOCATED IN A FLOODPLAIN? E VCS EXISTI]IIG II'IPERVIO{'IS AREA: -- SQ FT ZONE :OF F ICE R: El-rw TOTAL ACRES DISTURBED: -EXIST LAND DISTURBING ''*"' T:] VES I]]! rc CENTRAL },IE L L COITIMUNITY SYSTEI'1 *,* sEPARATE PER.illl S REQUIREo FoR ELEcT, l4EcH, PLBG, GAs EQJIP, PREFAES & Il'lSERTs ,},1.* ,or"r* rrrrool'^tr;; ij;r** it^t*,-r ro nol E*,*,.* u*'*"' Erac/wsr tr DISCOVER ***1.*****+***+****++***,*+***++++************+****************,**)t!:tr!+:+*****************!** (toR oFFICE UsE Ol'lLY)REVrStD DATE O4l11/12 SETBACKS: F:- LH:- RH:- B:- Approval:- CltY:- DATE:- FLoOD: - AV Conme nt : N PERMIT FEE: $0)o (')* OF STORI E S: ra V , -. :. 'j &*:' if*. li, Ll8,'. <D, APPLICAfl'S ItA.ltE: DEvEL0PER i PRO]ECT AOORESS: SUBDIvISION: _ RECEIVE NEW -1-) Y<,,t 0 DiC 1? 201i HANOVER COUNTY BUILDING PERT4IT APPLICATI1\ |YPE; R ESIDENT IAL p!f..s€ at{slrtR Alt qtat::iils /.rll ICAaI t T0 /oUR PRol!Cl ponslbllltf' p olto-/l/ r5-lr\q APPI.ICAT I fi tluEbe r oa-TE: iz-/t o /r f pnxc t: (r3i)t"?o -o /€t/ )a "ProJe<t Res \ -T*^,,-, <a -:.--)q. ., r", [),..],on SLOCK r: /LOT *: r.*3. O,{TIER'S ADDBEsS:JA ivt COMI RACTOR:ilULlnpu!LICEIsE I aDDREss: -\ $0 l-,r\l 9l! E rarL ADoR€ss: TaJa^ PRO]ECT (OIIACI PERSO.II Ptror{E r: ST: CITY: ziP: 5T: ?s105 4o-o/f4 \-, 3 t-\q" 1 . C a,'r-PK)Nf ' ProxE *(utPo*-,i-a nvS EXrSTrir6 CO STIUCTTO : I aLrrRrirlol fl nttlov;':ti.l't I celeaar- neearns I RELo(aTtor,J r,rEul coNsrRuclrotlr tr rngcr NEF RESTDENCE o" IaOOtt Iox To Exrsrlt{G RESTDENCE ..PLEASE CHECI A'IO ATST'IER EELO{ ALL TIIAT APPI'Y -C YOUR PRO]ECT: A] 1 GARAGE 5F 6RE$*t0usE _ *SF|;r otcx 24{I sronace sxr:, _ () i"r! li: st 5F 5UNRO0,'1 'ISCLAIME R I h@br..'1t,r' . .r,: r h t,!.4.; rii...r!.' M. nll 5o.!', Ll c.rEli *'i1'' st r. EJ l' -'On.*d L6ntt t-.t' DET GARAGE ,,- SF P00L st PoRCI{ SF TOTAL HEATED SQ FT : TOIAL SQ FT UNDER R@F: -- TOTAL AREA 5Q FT; TOTAL PROIECT C05T rr* r-ar ': $ 1 {C # OF STORIES: Is Any ELECTRICAL, pLUitB:N6 or 1EqHAIICAL tlork Being Don€ to the Ac.essory struclurel I Ve. fil-1" If the project is a Relocation, 15 there a Natural Gas Line on the cu'rEnt Site? [ v"t I lo Is the.e Electrlcal Pol.ler on this 8'Jilclngl Ev"t ETNo PROPERTY USE / OCCUP OESCRIPTIOI{ OF I.IORK: axcY: 7l SrNGr- l)u ' i r rrurL v l-l ouprrx [-l Towr,*ousf d, del3J"L;A-2,{S-a.' De.k; -t _^b."it. <6t ond tr:al l,$r .d.dh$.6 a.d ltooln!$i cont!.tx ll:bm.lio. "nOTE Thr Nra Dsrck ptuntSePEsCt^r I ril Li nofF. ol'rvcla.rzlr n oo Bftrwd Any Wuk P.dnmr\t WO t',i.1ppopnrt 2!6h. r,i Li ir Vi!l'rrr'n ol E' NC ni'r q OuTNER/CONTRACToR , ?a.u\ 'S, To^./S SI6I'IATURE: s.'. \ eFF+zft: It PERYIT FEE flrc IS THE PROP€RW LOCATED II' A FLOOOPIAI'II f] VES EIHO EXISTI}IC IHPERVIU,S AREA: -, , SQ TT IOTAL ACRES DTsTURBED: N€ll tMPERVIot S AREA: -- SQ tT FXI5I LAI{D OISTURBI}IG PERIUT: E YES 9iATER: SEI,ER: fl ctnr,rrl strrrc fl catvate stnrrc Il:J cFpuA M cr pur PRIVT,TE l.1E t t CET']I-AL IIET L coflt4ufl I'l Y sYgTil.1 .!r s:naqATE rjtFh:is tEQUIS.:0 F ti. EI aa:, t!:ali, PLB6, 6AS agrrP' rF::::s & Ili:!t'5 -::' ,orrr* ,rt*', -' -8 ,^; tr;;; i;^to*, 'o nol E *t*tt* 'intu" fl 'c7wsr I orsco"'e r€v:- 0rIt a./ll./r ? o, ::i(! L,rl oitY) ,*r, i-{ orrrcrn: .\ :f. -. sErancrs: r'f, Approval:----- clty: .--- DArE:i;':r-5;looo' - p tH: -* nn: -I-- e Ce. -:u!'CIrr"r- :1L n - r,b -u-\2- "'1 " "-.% \^-{Ji:-ra.{ , +0Q _t-Corne nt PROP:RTY GCIER'5 Nll'E: .- CITY: Q o tb-\13 5' 33v3 . -_a.--:-.':: @, NEW HANOVER COUNTY BUTLDTilG PERIITT ^PPLICArrc ryer: COIU{ERCfAL Pttast A SldtR Att QutsTrols appttcaBLE TO yor,n pto)act "proj.ct RGsponJtbllitlf aPrlrcAt T'5 l{rrit: OEVELOPEN: APPLICATIO ,{uobaa (Offl(. t r.) zt?:ITYc ./l ,2 PROJTCT AODRESS;Prot{E * occrrPArrt/BUrSIraESS r4fiE: a Pf,OPEiW OTiIEi,S iIAflE: 0H gn's ADonEss: COJTRACTOR: Al)Dttss : EIiAIL ADORESS: PROJECT COI{TACT PERSO|: t', PtoltE i. - sT:Zlt t Sf :s UIp:., . ; .'a PHol{E t: crw: c tL P}O E,: EXrST COt{STrUCTrOt: El ArrEn Tto{ D RCTOVATIOI{R It Rslocllio'l, is there s Narwal G8s Line on rhe Cunent Site? [ts fr cor{STRucrrq{: D ER€CT ilEx grRucrurE fl rrcr rnrcr SHET ACCISSORY STRUCTUIE:tr tI:LrPPrvtI I errem- ves-flruo EPArili E iELOCArrof{ BLDG SPQ|P61Eq5D? E Ye6 ENOt [.4f wrsT fl ^Do ro Exrsr snt,cIl,RE (6..k ^t! ZoNE:-oFlcER, ,r,=, ''TffiF,Lrr,-RH: B:Approvtl:_ Cily: OATET_ FLOOD: _ _= BFE+Z1I! Commenl I PERMIT FEE: nEr/BgD aArE {t v!: If uPftT - The Sh.ll pernlt *: /l--a. - 12 Is Elcct poncr on this Building $rat Is tht fan Ocrup.n<y lyp!? r.lc REG *: tic REG T: I ves f]m.r... JS TI{IS A Cltl},GE OF fiorPr cy lrsE ? ErEs [fm.....fI Ycs, rfirt $es thc Pr"vlour Occupancy Typet atct DEstol ProrEsttotat : III6R DE'IGI PROFTSSIOIAT: DESCRIPTIOI,' OT IORK: ,4- /) b food or !svs(!ge8 Frplrsd d 3.r!€d h tHs !trrri,,rs? E}Ves E No (O..lt r, aoflaln Alanoa or no( TOTAT PROJECT COST: . LJ:_ TOTA,L AREA SO FT : IOTAI. SO FT UNDER ROOF: ACRES DISTUREED: PROPERTYUSE: EoFFrCt WAIER: ICFPUA El@MuuilnysrsTEu nWEr SEWER: flcFPUA DcENIRAtSEPflc Eifrerrieptrc Eosco'ren 2otL11e ls-arlGNEt^l HANOVER COUNTY BUILDING PERMIT aPPLIcarIOt't IYPE: RESIDENTIAL PLEASI ANSWER AI-L QUESTIONS APPLICABLE TO YOUR PRO)ECT "Project ResPonsibility" APPLICATION Number (office Use) APPLICANTJ S IIAfiE : DEVELOPER: 1T TDUE Etruction, fnc DATE: 9.22. Ls PRoIECT ADDRESS: 6231e Landinq PIMyrt CITY: wi lminqEon PHONE #: 910-251-so3o SUBDIVISION:Myrtle Landing BLoCK *: - LOT f: PROPERTY OVJNER, S IlAilE :Myrtle ventures, LLC OI,/NER, S ADDRESS: 1Ocardinal Dr cITY: wi lminqton ST: NC ZIP: 28403S. CONTRACTOR:Tribute Construct ionIncLICENSE *: 6oco1 ADDRESS: 10 s. cardinal Dr CITY:wilminqtonsT: IL zIP : :!3!a EIttAIL ADDRESS: c lane@t ributeconstruction. com PHONE #: 9ao -2st- 2381 PRO]ECT CONTACT PERSON: Kent Tanner PHONE f: 910 - 512 - 814 8 EXISTING CONSTRUCTION:ALTE RATIONRENOVATIONGENERAL REPAIRS RE LOCATION NEl,,l CONSTRUCTI0N:ERECT NEhr RESTDENCE o" fl nOOrrrou ro ExrSTrNG RESTDENCE *'PLEASE CHECK AND ANSi'{ER BELoN ALL THAT APPLY TO YOUR PROIECT: ! nrr ennaer - sF I oer oanaee - sFPoRCH:L_sF STORAGE SHED - SFSUNROOM _sF POoL _ sF ! enerHxouse - sF ! oecr SF OTHER:SF TOTAL HEATED SQ FT: rzzs TOTAL SQ FT UNDER ROOF: rssg TOTAL AREA SQ FT: - TOTAL PROIECT COST tress r-o0 : $ g:,qeo rs Any ELEcrRrcAL, pLUlBl{G o. fiEcHANTcAL tJork Being Done to the Accessory structure? [ v"t I Ho If the project is a Relocation., is there a Natural Gas Line on the Current Site? !ves I no Is thene Electrical Powen on this Building? l--l v"t [ruo iolaiion ot lhe NC Stale SIGNATURE : pRopERTY USE / OCCUPANCY: I SrnClr rnmrlv I oucrrx TOlnNHOUSE DESCRIPTION OF WORK:Construct new townhome DtscLAtMER thereby certity hat a[ inb.maion ln his applicaDon is conect and all workwillcomply with lhe stale Building code and all oher applicable staE and local laws and ordinances and regutations. The NHC Development Services Cener will be nolified ofany changes in he appo\ed plans and specifrcations or change in cofliractor or conlactor informaton. '-NOTEi Any work Perlomed wO tle AppropriaE Pemllswil be in v Bldg Code and Su To $500.00"' 0tllNER/CONTRACTOR: B Kai ser. (P.int Name) * * * t ,* * * * )r * * ,t * * x i **,f *,*r,{,*i*il.,t*i*i**,t,t*+1,*x,*ir,***,*,*)h****'}'}tr?'t+r*xrir*)t*)t+i"t+***)t*)k*i(**)*'**r***'} IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YEs EXISTII.IG IMPERVIOUS AREA: !-SQ FT NEI^I II,IPERVIOUS AREA: ]!I!-- SQ FT I NO ToTAL ACRES DISTURBED: o EXIST LAND DISTURBING PERMIT:!vEs I--l ruo WATER :CF PUACOMMUNITY SYSTEMPRIVATE UJE LLCENTRAL I.JE L L sEr,rER: I creua f] CENTRAL sEPrrc ! enrvnre seerrc ! coMl4uNrrY sYsrEr4 *** SEPARATE PERiIITS RIQUIRED FOR ELECT, iIECH, PLBG, GAs EQUIP, PREFABS & INSERTS ii* ,o"rrn, arrror, - E aog E lrecr (PAYABLE ro t'txc; I menrcm exenrss E rclvrsl E orsco"t ***,i *,** *:t ,* )t *,*{.* )t*,}* *x x:i +*+ it**,} *,t+ r**:t*,}{.+r* t)** * *** r** ** *:t*r* r* ** *,t+ )** ** * * 't* 't +**:t* )** 'k'**r* **** * '* (FOR OFFICE UsE ONLY) REVISTO DATE O4l11l12 Approval:- CitY:- DATE:- FL00D: - SETBACKS: F:- LH:- RH:- B:- BF E+2ft= N Comment : PERIVIIT FEE: $ I # ZIP i 284t2 PHoNE *: e1o 2s1-so3o # OF STORIES: 2 zoNE: _ 0F FrcE R: a-) NEId HANOVER COUNTY BUILDING APPLICATI@I IYPE: RESIDENTIAL ,'< !/',,/0/Q,_177 PERMTT lf:' ,i_l l-? APPLICATION Number (Office Use) PLEASE ANSI.IER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECI "Project Responsibility" APPLICANT's tlAl'lE : DEVELOPER: Tribute Construction, Inc DATE: 9 .22. ts PHONE #: 910-2s1-so3o PROIECT ADDRESS: 62sMyrtle Landinq P1 CITY: wilminqton ztP. 3SgZ_ SUBDIVISION:Myrt1e Landing BLOCK *:LOT *: PRoPERW OI'/NER'S tlAIilE :Myrtle VenturCS, LLC OWNER,S ADDRESS: 10 S, Cardinal Dr CONTRACTOR:Tribute ConsEruction Inc. ADDRESS: 10 s. cardinar Dr cITY: wi fmj.nqtonST: NC ZIP: 28403 sT : I!_ zIP: 2!3!:_ LICENSE f: 5ooo1 CITY:wilminqEon El'tAIL ADDRESS: clane@tr.ibuteconstruct ion . com PHONE f: s t-a -25:--238\ Pl.lONE #: 910 - 51.2 8148PRO]ECT CONTACT PERSON EXISTING CONSTRUCTION: : Kent Tanner ALTE RATION f] nrruovrnon !GENERAL REPAIRS RE LOCATION NEt,l coNsrRucTrol: Z] enecr NEhl RESTDENCE o" E mOrttot'l To ExrsTrNG RESTDENCE *I.PLEASE C}IECK AND ANSI,JER BELOW ALL THAT APPLY TO YOUR PRO]ECT; ATT GARAGE - sF ! oer cnnlce - 5F suNRooM -sF f] eoor - sr PORCH LsF STORAGE SHEDSF SFGRE ENHOUS E5F DECKSF OTHE R: TOTAL HEATED SQ FT i 7o2z ToTAL SQ FT UNDER ROOF: 1255 TOTAL AREA 5Q FT: - TOTAL PROIECT COST (u"ss r-o0 : $ ;s,:so S OF STORIES: Is Any ELE6TRI6AL, eLU BING or NECHAI{ICAL Work Being Done to the Accessory structure? [ Ves I Uo If the project is a Relocation, is thene a Natunal Gas Line on the Cunnent Site? E ves [ ruo rs there Electrical Power on this Euitding?[v"t l-l to pRopERTY USE / OCCUPANCY, ! SrUelt FAl4rLY E DUPLEX E TOWNHOUSE DESCRIPTION OF WORK:Construct new t DtSCLAtMER therebycedity hata[ inbrmarion in his apptacaton is corectand all work will comply wiih he Slale Building Code and allofer applacabb SL?b and locallaws and ordinances and regulalions. The NHC DevelopmenlServices Cenier will be notfied ofany changes in he approved plans and speciRcalions or change an conlractlr or Bldg Code and Su Up To $500.00"contactor inbrmation. "'NOTE:Any work Performed w/O t)e AppropriaE Permits willbe in v OWNER/CONTRACTOR: B Kai s er (Prtnt Name) *xx,* )*:* ir *,*,****** **{,* x,** r,*** i*,t*,ti.x *,1** *,*{,* {,i** )*x* *,t*,} *,t*,* )t* )t x )* IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YES EXISTING IMPERVIOUS AREA: J_- SQ FT NEL/ ImPERVIoUS AREA: }?ff-- SQ FT l4ATER:cFpuA E coMt4uNrrY sYsrEM n PRTVATE WELL ! cerurRar wrll sEwER: I cFpuA fl CENTRAL sEPTrc I enrvnrt srcrrc fl coutrunrw svsrrm *** SEPARATE PERTI PAYI,IENT I,IETHOD: E clS,I REQTJIRED FOR ELECT, I'IECH, PLB6, GAS EQUIP, PREFABS & INSERTS **} CHECK (PAYABLE TO NHC) E AflERICAI,I EXPRES5 E NCUVTSI E OTSCOV'* iolaiion olthe NC Slate SIGNATURE : I NO * *+ +** ++:Fx *)i* )t*** N***,t*x* rr * URBED: O TOTAL ACRES DIST EXIST LAND DISTURBING PERMIT:TYES N NO ITS *t:*:t*,*,*****iir,******trr)**)***i.+*r***r.*+**!**)t*rirt*r**r******)*,ri*X*{''l'+'*+****'***i'+***'()t*****'**r**xx**'* ZoNE: _ 0F FICE R: (FOR OFFICE USE ONLY) RTVISEO DATE 64111/12 SETBACKS: F: LH: RH: B:- Approval:- City:- DATE:- FLOOD: - BFE+2ft= - AVN Cornment: .ziGi-.I\ PHONE *: 910-2s1-5030 PERMIT FEE: $- ^1 L\' \ NEI,J HANOVER COUNTY BUILDING PERMIT APPLIr:aT roN rrPE: RESfDENTIAL PIEr\S: A\,<t{Ee Ata Qli5::an5 APPI,ICABtE -a YaUi ?F)lECr "Proj ect Re5pons ibilitF -l 1-:a-{OJ 7rr ril r/ \S-]5 ?,1 2bW480 APPLICA'IIOI Nunber (offi.e ute) ffi A?PLICA I'S NANE: OEVELOPER:PHor.tE f: PRO]EC'AOORiSS:r) -1. SUSDIVISIO: PROPERTY OrirER',S ltAar I ''.k:...-.i..,, "1 ls<rs-J G*.IER,S AI]DR ESS: o2 cirY: BIOCX S: tor t: ZIP : rtt ia: co rRAc'l'oR: ADOR E SS:x CffV: r<.t 1'1..f.}j PHONE {: STNlL zl! | -!_,ga , (, ST: ZaP i LICEIsE *: C ITY: PRO]E'T CO TACT PERSO :A-., -., J r^ Qn., o -.j EXrSr$r6 COi{5TRUCTTON: ix+L:aRArrori f RE ovArIoN I 5 FI]E RAL R'TAIRs RI LC(A-:ON IEt{ CONSTRUCTTON' f tnecr IEU RESIDEIICE o" E AOOrrrOn TO EXrST]ire RESTDEIICE .IPLEASE Ctlt(X IilD ANSITER EELOT,I ALL THAI APPLY TO YOUN PROJ€CI: En/cIL ADDRESs: , ,J. - Ptor,tE ,: PIONE S:()to-3sl -)tz I tr-r 6ARA6E _ 5F suNRoor'1 _5F GREENHOUSE SF TOTAL PROIECT COSTt**r.,' : f DES.RIPTION OF I{ORK i r?l ! orr crnact - sF E SF POR'H - SF STORAGE SHECPOOL DE CK 5F si TOTAL HEATED SQ Fi: !ao TOTAL SQ FI UNDER ROOF iSsc TOTAL AREA SQ FT: * oF SroRrES: ! l/z- the ac(essory st.ucture? fl ves f] Ho Line on the current site? [ v"s ffi r',ro fto SF OTHER: Is Any ELE(TRICAL, PL$18Ili6 c. iECHAI{ICAL work Being Done If the proJect is a Relocation, is there a Natural. Is there Ele.trical PoBe. on this Bu:lcing? El Yes to PROPERTY USE / OCCUPANCY: Q srHor-r FAnTLY D DUPLIXTOI,JNHOUSE DISCIAIMEFL lle,-: e Brd arl- 6ci & ri.n. up To 1 :r: J0. OtJtrER/CoriTRAcToR : G. r- Jr^l IS THE PROPERTY LOCATED IN A FLOOOPLAIN? E YES EXISTIIIG II(PERyIOU5 AREA: --- 5Q FT SIGNAT,JRE: (p.int raraiir*tr*r*t*r** * tr r*rtrrtt9*rJt+**trt**i1*rr*itrrirrt+r*r* NEl,l IltPERvTtt S AREA:SQ FI lu-rER: B cFpuA f corwuurrv svsrr,.r fi PRTVATE l.,lEl- L sEwER: BcF pua I crrurn,rl sroric f] pRrvATE sEPTrc ELno TOTAL ACR€S D]STUREED: EXIST LAND DISIURBII,IG P E R!'1IT :YES0 f, cotruult:.', svsrrn ... SEPARATi PFAhI'I9 RFQUIRED FOR ELECT, it{€CH, PLBG, GAs EqJIP, PR';,its & pAyME T EETHoD: f casx [-] crrrcx (PAYASLE ro ruc; f,mrnrcm rxrnrss Emlvrsl f ,rscorr, "' 'ii!i: ,r^..:-:.t J5( ft!Y) ,t r: a i.: :i t: ZONE Approval:-- City:- DATE I 5 E:8ACK5r:1f rx8Hr i.Ji,+ B:diA []i 0r,,.,*,-Us : \ -3'iti: rl r or:f FLOOD: Gvvion ,!, Li*iy w E'i-2ft= I DArE t2'2 {- ) C <t^-^,t,, ?..' :r I -^ 1.. J ,^.-..- ;,',; I I