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APRIL 27 2016 BUILIDING APPS$- NEt^, RECETVED Xrn 28 2llt HANOVER COUNTY BUILDING PERMIT APPLICA|ION TY"E; RESIDENTIAL PIEASE ANSI,{ER ALL QUESTIONS APPTICABTE TO YOUR PRO]ECT "Project Responsibilit)/, CITY: BLOCK doa-f,tfl ?Ez rb_ qqu APPLICATION Number (Offire Use) ,,L toefit J/2? //lAPPLICANT'5 tlAilE: OEVELOPER: PROJECT ADORESS: SUBDMSIOI'I: COI'ITRACTOR: ADDRESS: PROPERry OWNER,S I,IAtilE : LICENSE *: 7 fir5 ACCOUNT S: ProNE *: q/0-3q?-gti/ sr I Ll-.zrP tp-K40t srrttJC-fr@ - 660 -1tm #. LOT f: NO PION E *: st ZtP t M'/03 CITY: CITY: EIiiAIL ADDRESS: PRO]ECT CONTACT PERSOiI: EXISTIIG CONSTRUCTION: n A NEW CONSTRUCTIOH: ! rnrcr ,*PLEASE CHEC( ANO ANSWER BE f] arr cruce _ sF ! surnoor.r _ sF ! cnrrruuousr _ sr If the project is a R€locati Is there Electrical Power on ZONE: _ OF FICER: Approval :_ City: Collment: PlOl{E *: 7 PHONE *: ,, TERATION M'RENovATroN ! eetrnar- nrnarns I RELocArroN El1, RESIDENCE o" fl aoorrror To EXISTTNG RISIDENCE ALL THAT APPLY TO YOUR PRO]ECT: ( fl oer cnnner [-l poor <E I--l orcr <E sr f| concx _ sF fl sronacr SHED _ sF OTHER: TOTAL HEATED SQ FT: /5 TOTAL 5Q FT UNDER RooF: _- TOTAL PROI ECT C05T 1t-ess ro9 : Is Any ELECTRICAL, PLUtitBI G or 15.tqo * OF STORIES: Being oone to the Accessory Structune? pllVe, I no Natunal Gas Line on the Curnent Site) [V"s [ ruoI p/ves I r.ro f] ounlrx ! rot^rruxousrPROPERW USE / OCCUPANCY:SINGLE FAMILY SQ FT SQ FT TOTAL AREA 5Q FT: and alloh€r appticable Stee anO tocat taws specifications or change in conrractor or and Subjeci b Fines Up Io $500.00., $ ECBANICAL Bork thi is then€ a s Building DESCRIPTION OF WORK; DISCLAIMER: I nereby ceni, fi ar atl inrDmalion i rk wili wih Stale Build rns Cod is and odinances and regulslions The NHC S€Ni€es CenE wil 9esconracbr inrormalion. r'lJOTE Any Work lo th wll th NC Stare Bldg Codeits O NER/CONTRACTOR:SIGNATURE: ***,1)*)t* +,****,t*,* * )t:t:t +,f )* :* * IS THE PROPERTY LOCATED IN A EXISTIM II,IPERVIOUS AREA: F LOODP LAIN? **:t,* ****,r** ** *,r ** *:* * **,r * *,r *,r Ii*** **** * ** ** * *. * * * * * *,*r l YEs LZ tro TOTAL ACRES DISTURBED: EXIST LAND DISIURBING PERiiIT: T..] YEs PRTFABS & |Mrcntsa tr :- LH: *rt- ,, *Evrsto oart o4l11/12 -/'l,laTER: lyl qnua l_l couuutr sEr,,ER: dCFpuA I crrurur- svsrrm ! pRrvATE wELL ! crrrnnl wellrrrc l_J pRrvATE sEprlc ! coullurutrv svsrem IIElt, II,IPERVIOJS AREA : *** SEPARATE PERI{ITS QUI ED OR E L E CT M E CH p L BG 6AS EQUI pRER PAYiIEMT METHoD: I casH CH CK PA L E TO HC tr BI LL ACCOUNT I NS E R TS E YAB OI SCOVE R+,i** **:r !t!**)r **** **** )* *,t * * * (roR oFaI(E usE otrY) SETBACKS: F DATE:- FLooD: OI.INER, S ADORESS: - 8FE+2ft= Jr*rrr ,r., t 4CIF #c. tlL- APPLIIANT' S DEVELOPER: PRO]ECT ADD Et'IGR '),rble.l1. OWNE Comment N PERMIT FEE: $ NEW RECEIVED APR 26 2015 HANOVER COUNTY BUILDING PERMIT APPLICATION rYPs; COI1HERCIAL SE ANsHIA ALL QUESIIONS APPLICASLE TO YOUR PRO]ECT "Project Responsibil,ity" ?o16 -561f, APPLICATION Number (offlce Use) NAIIE: ,I RrSS: 562 o ni1 Beach lid OCCUPANT/BUSf(ESS NAME: rsi :{ alrl _-l CITY: w:irnlnqcorr Luc : r,:, Be.rci': Itd COI,iTRACTOR: 't i ne I e r.:. I:1. ADDRESS: Pr'r ll.:-r:.: I ';4 EMAIL ADDRESS: t i n,irleit: PROIECI CoNTACI PERSON: \:j Ir?aIe ALTE TION PROPERTY OWNER,S NTIME: O i{ER'S ADDRESS: ,..2rr If UPFIT - lhe Shell Permit *.,** : IF Yes, lhat llas the Previous LICENSE f: 55'1a1 CITYi !i.i lmirilron PH pl.l SIGNATURE PHollE $ ; !r.o-5{-r-ij5il 91C-159-415t c,t[6 *:5:599 910-79;.-8416 NC REG *: ii227 h lhe Slalc llllldi PT|ONE *: CITY: r,, i Im:rqr,)!1 5Ti NC zIP::g.lr1l l, Rglocation. is there a Natural Gas e on the CiJrrent Sile'l I tr Et,t srRUcruRE I rasr rnrcr ! sxrrr- [ uer:r ACCESSORY STRUCTURE I PHoNE s: 9ro-5{r-!54.1 ((he(k A11 I hat apply) RENOVATlON GENERAL REPAIRS RELOCATION No IS tsLDG SPRINKLERED?[v"" fi r'ro AOD TO EXIST STRUCTURE Is Elect Power on this Building ff *o THIS A CHA|IGT OT OCCUPANCY UsE?T v:s flrrc '*--- cupancy Typ what ls the New occupancy Typ e? Reslr..:.ri'a ST; ra zIP: ? i.l: :. BldLr CoJe Jrtrl h lood or bevorages proparsd or in this struc,turo?I Yes No aws an.l ordinancea dnd rcgula in contracror 0r conka.tor xror Flres tl,) To 5500.00"' thi\ anrr'4alron 's .tu'e.l,nd all wu,l dll .ompl/ wl NHC D€veloome l Scrvi.'es CeI,lc. ,!rll ire,rLr(,ficll,nNOlE Any U,/orl F.d(,l,rF lWf,) lhe AL4{oprirlc Pe 1l ARCH DESIGN PROFESSIONAL: D d Ari:"i aectrrr," OESIGN PROFESSIONAI: )3w Sims and Associ ates DESCRIPT10N OF WOR(: ru i.t in .1ce i n f-c r..etauran! DISCLqIMER: I lrdr.il,y ce,lii! lhal all inrc{ln R/CONTRACTOR: r',, t I WATER: mCFPUA SEWEH: Z] CFPUA (FOR OFFTCE USE ONL\') ZONE: _OFFICER: (olrtlt 4 Note: DomoliUoo nollic€Iiois a asbe3los re.n {PlhlN&.) p€.mn app0asdoos ar6 lo b6 sutmltad oslng l,|6 spdlcElon tdrt SQ FT REVISEO DATE 4X1X2 contain Asbeslos o. ftr, Yur ars rdqulr€d lo call Nariorlal Emission Slanda.ds tor Hazardo$ Ai Po nads INESHAP) al {91$707-5950 ar defiplilion o, any lacilily o, building. Seo W€b Sile: hllpr^rwlv.epl.stat€.nr.LB/epl/3sh€sbranmp.html TOTAL PROJECT CC)ST: 2:,r.rcc BUILDING HEIGHT: 18' TOTAL AREA SO FT :SQ FT PER FLR: ir,r6 # OF STORIES: r TOTAL SQ FT UNDER ROOF:# OF STRUCTURES f OF FLOORS ACRES DISTURBED EXSI LAND DrsruRerruc eenr,rrr f] ves f] ruo NEW IMPERVIOUS AREA SO FI EXISTING IMPERVIOUS AREA: PROPERTY USE: IOrrrce I sTAURANT [uencrurrru f,rouc f] aer Ecolroo OTHER: COMMUN SYSTEM CENTRAL eenc fl PAYMENT METHOD:[casn f]EcK (eAvABLE To Nnc; f]euenrcaru ExpREss finrcrursl I otscovrn LlwErL rlzoNrNc usE CLASSTFTCATION: PRIVATE SEPIIC f] COMMUNITY SYSTEM , ,''. :.\) ,'1 Approval:_ City:_ SETBACKS: F:_LH:_ RH:_ B:_TE:_ FLOOD:.-__ BFE+2ft= I NCS 0ATE i -__:j:i__l:_ PHONE *: ZIP i 2a4 t.:. ls The Property Lo€at€d ln The Floodplain? [ ves fi ruo # OF UNITS: EXIST CONSTRUCTION: n V NEW coNsTRucTroN, f] sntcr EXISTING CONSTRUCTION: f] AL ERATTON NOVATION GENERAL REPAIRS RE LOCATION NEW CONSTRUCTION:ERECT RESIDENCE or E ADDTTTON TO EXISTING RESTDENCE **PLEASE CHEC( AND ANSIIER BELOW ALL THAT APPLY TO YOJR PRO]ECT: ! orr canncr sr ! eoncu - sFATT GARAGE - SF SUNROOM 5F ! eoor _ sr sT0 E SHED _ 5F ! cRernuouse _ sF DECK ANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL LEASE ANSIIER ALL QUESTIOIIS APPLICABLE TO YOUR PROJECT "Pnoject Responsibility" CITY: BLOCK #: CITY: LICENSE #: ITY: SF OTHER: 5 00"' ISTURBED: Exrsr LAND DrsruRBrNG ernmrr: I yEs Ef No PHONE #: PHONE *: 6", Gas Line on the Cunnent Site? [ yes E No EHo N,A {ez-t't@1tA Do tb^3fit r APPLICATION Number (Offi.e Use) APPLICANT'S t,AfiE: DEVELOPER: PRO]ECT ADDRESS: SUBDIVISION: CONTRACTO ADDRESS: EMAIL ADD PROPERTY OI.INER'5 iIAME: OWNER'S ADDRESS: orre, 31D. lt LOT #: PTiONE #:€;2.9 .b 5sr: Nr zrP :1 _y1 /b1 sr: f.\c zrP;irq8d PHONE #: \ R: ss:v TOTAL HEATED SQ TOTAL PROIECT COST rress rorr : Is A E LECTRICAL T rf th e pro is a Relocati ZoNE: _ 0F FICE R: Appnoval :_ City: Corment: * )**,* ** + +*,i* )t,t ** * * * * *)*r* * t * IS THE PROPERTY LOCATED IN A EXISTING IMPERVIOUS AREA: t-ooorunn I vrs 5Q FT SQ FT TOTAL NEW I ERVIOUS AREA: I,IATER: SEWER: El comuururw YSTE M PRIVATE l^lE LL FT: 54 SF ToTAL SQ FT UNDER R00F:5$A.-TOTAL AREA SQ FT:n4 # OF STORIES: HANICAL Work B€ing Done to the Accessory Structure?Ero , is there his Bui.ldin a Natu nal*ffi,Is there Electrical Power on PROPERTY USE / OCCUPANCY:INGLE FAMILY DUP LEX TOI^INH0USE DESCRIPTION OF WORK: DISCLAIMER: lhereby cert4/ hai aU rnformation in is appricaton is correct and all workwi compty wirl ihe stale Buitding and ordinances and regulatlons. The NHC De Servrces Cenier willbe notfed ofany changes in lhe approved conlracty infrrmatJon. *'NOTE: Anv Work priaie Permirswrllbe in Volation 01$e NC StaE OWNER/CONTRACTOR:SIGNATUR {,'+ * +,f,t* *'[ ** * ** * *,* * * *x* PUAF ts CENTRAL WELL COMMUNITY SYSTEMCF PUA ! crrrRar s TIC PRIVATE SEPTIC *** SEPARATE PERI'IITS QUIRED FOR ELECT, IIECH, PLBG, GAS EQUIP, PREFABS & TNSERTS *'I* PAYIiIENT METHOD:I cosr EcK (eAvABLE ro rrc; ! olenrcAN ExpREss El mclvrsr I orscoven ,t ***,t** *+ ++ +,t** )* * )t )* +** * )*)t*,** *,t * * ** )t,*,* )*** )* * )** *+* )k,* * * *,t* )t )t* )* + +*,f )t**+ *,t )** *,t,* * ,i,t * * +,t,i :i xj* * )t,t (FOR OFFICE USE ONLY)REVISED DATE O4lT1l12 SETBACKS:F: LH: RH: B: B F E+2ft= N BING DATE: FLOOD: AV PERMIT FEE: $4to C- NEt^l 4qe,u i+-\\'l L /tl I ZIP i PRO]ECT CONTACT PERSON: tr lft4 ,{a niLid VER COUNTY BUILDING PERI.IIT APPLICATION IYPE; R ESIDENTIAL E AtlSlrE'r aLt QUISIIoNS aPPTIABIE IO YOUR PRort(r "Project Responsibility" 2ttb-3t'ts (e z*tb-fltA APPLICATION] I'lumbe. (offrc€ Us€)& APPLICANT' 5 NA''IE OEVELOPER: PRO]ECT AOORESS: SUBOIVISIOT: Fr: ';4.4 DATE :a tr. I L" PHON€ f,: PROPE RTY O NTRJS tIAfiE: OWNFR,S AODRESS: .t: ADCRESS: CITY: LICENS E f: BLOCii *: I sron OTHE R: >\ LOT $ E SHED SF SF PTIONE #: ST _l--1 1gf zrn,, yr+61 sr,t lc zrc;{PiJS,6; ZIP: (,'Ag - \ a1 j ITY: ^r--t 1EMIL ADDR s5 Pto E #: PRO]ECT CONTACT P' |I5ON:P t-toN E r AL'ia-toN NOVAT 1O\! errurnal n:carns I RELocarroN NEI,I CONSTFUCllCN ERECT iEsIDENCE o" I lOOrrrON TO EXISTTNG RESTDENCE .:PLEASE CHECX AND AiISWER BELOI/L TIIAT A?PLY TO YOUR PRO]€CT: [,rrr cannct _ sr []] surunoor.r _sF !enrrruxwsr_ sr DET GARAGE -- sF PooL _ 5F DECK _ SF I eoncx - sF TOTAI PR0IE(T COSTir,.. u: : TOTAL HEATED SQ 4 rnrcALf e Ie(t 1s Is A Ij!)""t ( TOTAL SQ FT UNDER ROOF:5$4 TOTAL AREA SQ FT: f OF STORI ES: ICAL ttoak Eeint oore to the A(cessory Structurel Yes f] ruo ;)I ,l c ;:t I OI,INER/CONTRACIOR : IIEh ERVIOUS AREA: If the Is ther HATER: SEWER i CFPUA CFPUA e E lectri. ca 1 Pouer on is the.e a Ylial G-Line on the current site? ! ves [ ruo 131j.s Buildingl LrJYes L lNo PROPERTY USE / OCCUPlrllCY:ircLE FAr4rLY ! our:ex DESCR:PTION OF I.JORK: TOKNHOUSE aiid crd,....rs 3t regut, :rrr r r'e Nrrr.i lx:lLtlon .onua.o, 'nlonnatoo " NOTE Anyy.,orrt luj,l rO ttr'apirci)r,rtl PerorLrswrrroe rnvioElic. ol lne NC Slar, OTSCLAIMER. M.i, _r "'! uinr.r -".-..1.n rip,{:::-r' r! c0 . - 1.c a r Qclr. w ti compty wrfi h6 sral€ t . s{!rf5l}nre nr n.: nofl€d o, a.i ch.nles rn lre appro\. ..j 1 SIGt'lATU D S50! 0r' I5 THE PROPERTY LOCATEO IN A EX]STTNG II.IP ERVIOTJS AREA: OODP LA I \tl YE S 5Q FI sq FT T CT R I 5 U R E :l EXIST LAI\D DIsTURBI^IG PERfiII: E YEs Dro COMI'UN]IY YS TEM I cnrvrrr wrr-r- ! cENTRAT ltELL CEIITNAL 5 I(f] rnrvrrr srnrrc p coqxuNlry sysrEr !crs* fi gJTREO roR trECr, IECH, pL86, GAs EQUIp, ptEFAES & IrisEirs ... EcK (payaBrE ro rrc1 [ ar.renrcA ExpREss I rcTvrsr ! orscorn ri' sEpaR/.TI prR.IT5 PAYTE f IETHOo' zoNE:,<-?a oFFrcEP: App.ovaI :-- City:FLOOD:/ art*z+r fi PENi!IT F€E: ' SETBACKS: o{r.r) ?,1tr;1,r,til,n nr: tu rfr ,,^j,,i'""'u oalt u1/11/\7 Corment: O; I: t,llY lnsffrqi(,rl Hequrfi 910.25i1. i\n^ -1 EXISTING CoNSTRU(TIoN: L ..d --t'rer\: 7.V, Ir li\,. 0k11'lq s ET I >5 =o -g t3 5 3 .. 5E F c, I 14 t :t t: Irli lB ^ B I ! EI : a trI ie t tr i I Ii ^8 nr 8: R3 ;I l,i trEJE T I hE F P llrEe =Il-asaol E - =-*rEn e.:>g; Fp: a; irilgliinFI I tE iql ; E I LrEpFF;Fii ; a 'a ls * I6l s "',-l E tr t" Ell !! 4 o +e .i .ii * + si i i ! r r"I fi H;\ i:i. g q e E R : r: ^,3*e L";8 - si arE g iIss11:.'s I 4_5 E 6 .? i. g r-,: H 1 r i l; -! F + ; tY O H E F 4; IE i ik.E.- l EUOEF ] ;E s*is = o;{" O}'a e l ". Ll = r 3 - 8*r ; - : trre :rHu E h t: ,': I 9 iF I!.q I d,"9 D;o :orErog o6z l3 t- I , , e I I i I E q 6 ! 3 8 4 { 3 a { 3 I a t I E I 6 c n 3 g t 4 g I; 3 I 6 *i Bd zg q g I I f T zI *Ee. =-r I bE Ieo !gEs tt-tt- szZ:l i o TTEI EB 3 ft ot E a EE trtr E: !N =*;, gl x*E tr=.xLJ Ktr : F .EI ig I * is; c H inE€ 3 iY;it !E'Ell ipi c I iE€ L. lE t EFriSa , .3 :Ll- | = ix'a .l :3 f 'f io* . !Q B- is: I lz.rqi = iY;' $ iE: Ie "' ii z,m =i-a>hz e-X<i!8"HedB;Ir=;;*{:".i< gi;@ s i !4ci- P =Ht-xr<:29";;=,ro;9'O3rn =H i la F a f 8 ll 4^ =T =?2a #i- P 6\ ItsF o\ o) :T E f q : ifr1! l* I l'lt o 3 t ; 1l lr l' I DEVELOPER: ADDRES EI4AI L PRO]EC/1 FIOAYl EXIST or chan Subject D ISCI-AIMER: d local 13 ZONE: WATER: SEWER: Commont PERMIT FEE:i0s &olQ3ts), NEW ne ltolllty coNsTRUCrroN: fl ar-re *:*,*** IS IF Yes, srhat was the Previous Oc ARCH DESIGN PROFESSIO!,IAL : EiIGR DESIGN PROFESSIOML: DESCRTPTION OF WORK: ER COUNTY BUILDING PERMIT /brL PL APPLICANT,S NAIiIE: Wilmi ton Cellular Te1 PROIECT ADDRESS: 122s sourh 3th Street OCCUPANT/BUSINESS l,lAllE: wilm on Cellular Tele PRoPERTY o!,/NER'S l,lAI4E: Remin on Investments LLC OWNER'S ADDRESS: CONTRACTOR: New Horizon Towe s Inc S: tG84 NC 111 Sou ADDRESS: cb on@newho i zontowers . net T CONTACT PERSON:Faulk APPLICATION IYPE: COMMERCIAL E ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Pnoject Responsibility" APPLICATION Number (office Use) lf Relocdion, is there a Natural Gas Li on lhe Current Site?n Yes INo IS BLDG SPRINKLERED?flv"" [No NEW CONSTRUCTTOU: ! rnrCr srRUcruRE I rasr rucx ! snell ! uerrr I aoo ro Exrsr srRUcruRE ACCESSoRY STRUCTURE: Add ator inside the existi.cel l- tower c und If UPFIT - The shell Penmit NA Is Elect Powen on this Building E Yes D HO rs a CHANGE oF occupANcy user [vts fiNo ***** upancy Type?[hat is the New Occupancy Type ?NA TOTAL AREA SQ FT : TOTAL SQ FT UNDER ROOF: ACRES DISTURBED: NEW IMPERVIOUS AREA: PROPERTYUSE: lOrnCe ! CFPUA CFPUA trEEE COMMUN CENTRAL SYSTEM WELL a North Carolina co ra DATE: CITY: Carolina Beach LICENSE *: 5-le8o CITY: seven sprinqs er (Check All That Apply) ION REM'VATION GENERAL REPAIRS RELOCATION : 919-661-G35r NC REG # 1 State Building Code and allolher applicable State s in lhe SO FT tr USE CLASS FICATION:zoNr NG PRMATE SEPTIC COMMUNIry MSYSTE Exsr IAND DrsruRano peRurz Fl ves fi llo SQ FT E(STING IMPERVIOUS AREA: PHONE f: PHONE S: ST: Nc ZIP:28428 ST: NC ZIP: 28s78 PHONE *: 9t9 77a 99'ir PHONE #: 3J.a-347-:5se At-5b3 -Z7qa PH PH ti lease area ls food or beverag€s prepared or trts structrreZ [ve" [ ruo ls Tre eroperty Locared ln The FtooddainZ Eves EHo hereby an contractor Fines Up To or conlraclor $500.00*' chanqe will be olans and sDecrllcetions l/C State Bldg Code andthe OWNEF/CONTRACTOR: (ata/tf6{, 1S herEB SIGNATURE: (Pnd Nam€) Noie: Demolt{on mtficadons & 6sbosb6 nrnoval applica{ons or€ b b6 submttr.d uslno the appllcalion brm (DHHS-3768) whotEr th€ fuclllty or buttdhg w*s bund b contaln Asbcslc or not You 6re rcqul€d b call Ehb3lon Stan&ds br thzrdous A.lr Pollutants (NESI.BP) st (919)rc76g50 et t€an 10 dsys Fbr ro th€ d€rnoltdon of eny hdllty or bulldh. S€e Asb€61o6 Slte: htQr/www.epl.state.rc.us/epyasb€sro6/ahmp.ht I TOTAL PROJECT COST: laws cerli fy lhat al a nd 13000.0 PAYMET\r METHOD: [CeSn I IRED FOR ELECT MECH, PLAG G4.S EOUIP, PREFABS t N.]SERTS *' N (pAyABlE ro NHc) fleuenlcen o<enrss I ucnnse florscoven (FOR OFFTCE USE ONLn REVISED DATE,I/I1/'2 SETBACKS: F:_LH:_ RH:_ B:_ FLOOD: _ BFE+2fr=-_ OFFICER: Approval:_ City:_ CITY: wi rminqron ZIP i 2}4rt tr NC REG *: BUILDING HEIGHT: _ # OF UNITS: SO FT PER FLR:_ #OFSTORIES:--#OFSTRUCTURES: # OF FLOORS: luencatrtu leouc lmr lcoruoo orHER:cerr rower HANC Nnr ./.r.':: :;-'t,'>.. 1,-&' APPLICA''IT'S DEVELOPERI PRO]ECT AOO occt PAxr/su ApplDval;_ Cornmant qty:_ Cily ln$ecfon Recureq, gttr25l fi:: NE l,lAl,lE: l{ RESSi t2zs sour 13th Siree! SINESS [AIitE: rn oATE: PHOT,IE #: ZIP: 28{t 1 PtloNE #r 5Ti Nc ZIP:28428 ST: xc ZIP: 285?a PllOt{E Ii 919-?:,1-9e?1 PHOIIE *: r+a-a4r-l{s.l CITY: 'litmioq ClTY: Ca.<r1ira Bgach LTCENSE fr 67981 CITY: seven s 1n exi sl i HANOVER COUNTY BUILDING PERMIT APPLICaTIaN IYPE I COI'II4ERCIAL IEASE ANSrfi Alt QUES1IoNS APPLICA8IE TO YOUR rloltcl "P.oject Responslbl.l.lty" olol U-3tsA APPLICATION ilumber (offl<e ur.) (,t),1./: tJ- PROPERTY oIJNER'S tlA,'lE : OWNER,S ADDiES5: H ADDRESSi 16 8{ Nc EI{AIL ADDAEsS: cb To s Inc 1r1 S rh I $tiA PRO]ECI CONTACT PERSON:''hatr*- l4AollltY EXIST COTSTRUCTIoI: D AL ON ri zonao*crs . nel ((h€c* ^ll lh.t Arpry) R E T.TOVAT ION D 6ENERAL REPAIRS A!LOCATIOHf,3)t-5\'3-Zqea SQ FT lf Fl6loczdon, ls there a Natural Gas t{El,J CotlSTlucTIO : nen:Cr ACCESSORY STRUCTURE: on th e Curren! Sile?tr Nq lS BLDG SPRIN rLrneoz I ves NO rf UPFIr - The Shell Permi IF Yaa, r,lrat ras the Prevlous Is Elect Poi{er on thj.s SuildinS f Yes E ttO rHrs A clra,,r6e oF occupuay use r flves $ rc ..-,- upancy TypE ?NA hhat is the Nel. Oc.upan<y Type ?NA Pir: ts iood o. ber/€a806s prsp8rod s rr ue rtr.:tret I v". [l no u rre rroperty Locdod kr Tho Roodd&t? E yes a No atl olher €pplicablc Stale Dlans End sDcolEarbns NC Slate Bldg Codc and OWNERICONTRACTOR: {o.dn4 rEA SIGNATURE: tlobt oormnidr rldln a{d! t arb63t pdrmn lppbi,olB !.l b !. $amltld ll3llE tE rpglLatb!1 brm (D+0(t.3768) rn.lll- tt hdrV o. h.{<}ro rs! bnd b tDril.h AlbdG or i(,i. You ... toq!.!d b N.nona Em5*o S!nd.n'3 6. tbarlbor Ae Poll.isrtt' {iESttAP).t (919)r?75$0 .t t .n 10 d.yr pdcr b tr d..dlron of .ny t ctry o. nrBlc. S..${r! gt : hrFrwr-apl-rE(!,,lc.lr5/aDtEs!6r1.a,/atmp,n'nt TOTAL PROJECT COST:I1000 oo BUILDING HEIGHT: TOTAL AREASO FI: ARCH DESIGII PROFESSIOTAI.: TNP ENE OESIO{ PROFESSIOML: D€SCRIPTION OF 'NO8( I TOTAL SO FT UNDER ROOF: ACRES OISTURBED ,{EW IMFERVIOUS ARE}C PROPERW USE: aqFHCE I WATER ECFPUA SElit/ER [: CFPUA zoNE: q{ oFFtcER: PAYME$I METHOD: ECA.SH (pAyABL€ro Mtc) [euenrcaH exenEss f: irc/vrsA I oscovrn f]uencarru I rurc [lrr ncouoo orr€F: cerr ro*ernncot M SEPTIC SYSTE tr tr WELL D ZONING US CLASS IFlcATIONiM PR'VATE SEPTIC n CO}lM SYSTEUUNITY -.1: r: f i a.or,, 'ra{:rlr:li. FOn n lcl. Mtcti pLttr',, (+S E0dlp, ir|i ; Atr$ i [t..)t ], : ! -. (Jln2 Exsr LAND DrsruRBrxo eenum f] ves f] lo SQFT E(ISTING IMPERVIOUS AREA: : CONTRACTOR: s?RUcruRE f] rasr rnlcx fl sHrr-r- [ urrrr ffi aoo ro Exrsr srRUcruRE NC REG f,i _ # OF UNIIS: SOFTPEaFLR:_ f oF STORTES: # OF STB(TTURES: -- fOF FLOORS: -_- fouorr.,r*10-0-- flaro*3tss NE HAIiIOVER COUNTY BUILDING PERMIT APPLTCAI TOiI TPE.. CO'IIiERCIAL PLEASE AXSXER ATL QUESIIOIIS APPLICABIE TO YOI'R PRO]ECT 'Project Responsibllitld Te1 b{( APPLICATION I{umber (offlce Use) OCCUPANT/8USII'IESS NA E: rr Imi APPLICAT'IT'S NAfiE: DEVELOPER: PROPERTY OUIiIER'S I,IAIi,IE : OI*{ER'S ADORESS: 4012 Iina CITY: wilrdnqton C DATE PHONE *r Zl9:2a4a:. c Is & Ilelen Jacks Road CONTRACTOR: ADDRESS: 36 84 NC 111 EiIAI L ADDRESS: Imcdonal PRO]ECT CONIACT PERSON:Ere I If UPFIT - The Shell Perm attl* IF Yes, h,hat rIas the P.evlou #: NA ARCH DESIGI.I PROFESSIOML: TE ENGR DESIG{ PROFESSIOML I DESCRIPTION OF WORK: Add ide SDr STr NC ZIP: 28578 PHOI{E #: et9-778-997 L PHONE S:8-807-2559 Is Elect Power on this Building E yes E ruo rr{r5 A otorcE oF occuparcy user I ws I tlica Fo No PHOiIE *: LICEIsE *: CITY: seven (Ch€ck Alt Inat Aoply) ExISr COI{STRUCTIOX: ! AL RATION tr R E iov rot{GEI{ERAL REPAIRS ! arlocarronATtr lf Rslocation, is fiere a Natural G Une on the Current Site?tr Yes Eno rs BLDG sPRrNKLEReoz I ves ERE NEt.t srRUcruRE fl rsr rmcx f] sxeu ! unrrr I aDD To Exrsr srRUcruRE ACCESSORY STRUCTURE:inside the exi i PH PH 919-551-5351 ilc REG *: _ ceLl touer c b food or bev€r8g€s prBpared oa io t*; stuctre? [Yes T No b The ProDerty Locabd ln Ths Floodptrh? E yes I Slare ELrilding Code and chanoes in lha aoorov€d will 5e inViolanoi of the all other applic?ble Srate olans and soecif cations NC State Bldg Code and OWNEFYCONTRACTOR: {qrd.r) Not6: D€molfion notlrcations & asb€3os cor ain Asb€d6 or rd, You ar6 r€qdred to lLitiral EmBsloo SIGNATURE: sublniu€d uslng lhe Bpplica(on (DHHS3768)fa.lllly bulldng Sandards for Haza.dous PolllJlanis (NESHAP)(919)m7-5950 dt least 10 ffia the d€rE&t .r of any bdriy d bu[dhO. Sce w€b S1e: TOTAL PROJECT COST:1300 .OO BUILDING HEIGHT: TOTAL AREA SO FT :SQ FT PER FLR: WATER: ECFPUA SEWER: E CFPUA # OF UNITS: # OF STORIES: # OF FLOORS:TOTAT SQ FT UNDER ROOF ACRES DISTURBED:Exsr LAND DrsruRarno ernurr I ves f] to NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS ARE-!u PROPERry USE EOrrCe E !uencernu EDUC !APT trtl semc flSYSTEM PRIVATE SEPTIC []WELL @MMUNTTYSYSTEM flzoNtNc usE ct sstFtcATloN:! zoNE: t,R FISQ coNDo OTHE R'Scf]-_fqc' - ' PAYI|ENT MEIHOD: ECASH cHEcK (eAvABLE To NHc) EAMERIcAN EpREss E McMse ! oscoven .. SEPAqATE PERII S REOUIREDFOR ETECT, MECH, PLBG. GAS EQUIP. PREFAES I INSERTS-'-(Doc: D E D u11n2 C \c) O l\..](.'r .E-l-.oJ Appro\ral OFFICER:SETBA ,.ffi; EIro NEW COiISTRUCTIO : E Oc<upan(y Type? NA Hhat ls the ilcrr occupancy Type? -N4_ NC REG #: PRO]ECT ADDRESS: CITY: wilminqron ST: Iq ZIp:2€409 # OF STRUCTURES: J, 0 DEVELOPER: CONTRACTOR: WATER: SEWER: NEId NOVER COUNTY BUILDING PERMIT aPPLIcarIoN IYPE: COIvIMERCIAL E ANSI,IER AtL QUESTIONS APPIICABLE TO YOUR PROJECT "Project Responsibility" ao/b -3213 1u-r.rY APPLICATION Number (Offi.e Use) PL APPLICANT,S NAT4E: !.Ii lmin Ceflular Tel hone a North Carolina co DATE : PHONE f: PROIECT ADDRESS: 4oo5 Masonb L Road CIW: wilmi ZIP i 2a4]]- oCCUPANT/BUSINESS NAflE: wi1 ton Ce11ular Te1 hone c an PROPERTY OllNER'S NAiIE: oenni & Hel n ack Earoest Patricia Forbes oWNER'5 ADDRESS: 4 012 Ma Road Horl zon nc LICENSE f: 5?980 ADDRESS: 3684 Nc I1I Sou ST: Nc ZIP: 2Bs7B ElilAIL ADDRESS: lmcdonald@new rizontowers. net roanne . motle faulkandfoster PRO]ECT CONTACT PERSON:Motl Faulk and Fos PHONE #: so1 s6i 8e42 (Check All That Apply) ALTE ION R ENOVAT ION GENERAL REPAIRS RE LOCATION lf Relocation, is there a Natural Gas Lin on the Current Site?tr Yes Ero IS BLDG SPRINKLERED?I v"" [Ho NE[,t CONSTRUCTIOT: ! eneCr r srRUcruRE I rmr rucx ! srrr-l ! uerrr ADD TO EXIST STRUCTURE ACCESSORY STRUCTURE: Add Ge ator inside the exist.i ce1l tower c d fenced area If UPFIT - The Shell Permit NA Is Elect Power on this Building fl Yes fl ruo *r,rra IS IF Yes, what was the P.evious Oc rs A cHANGE oF occupANcy usrr Ives flto ***** upancy Type?NA l.lhat is the Ne!,l Occupancy Typ e? NA ARCH DESIGN PROFESSIOT.IAL : ENGR DESIGN PROFESSIOIIAL : PH PH NC REG #: NC REG #: : 919-661-6351 DESCRIPTIoN OF WORK: Add atoi inside the exis I 11 tower d fence e in a i ls food or beveraoes preparsd or us snmnez ff ve. fi to rc nre erop*ty Located ln The FtoodgainZ I ves [l ruo Buildi Code a ll olher applicable State OWNER/CONTRACTOR:E SIGNATURE: @Jdmg) Note: Damollton mtlfcatlorls & ssbestos rsnovel Epplicadons are b be submftled uslng th€ appltcatbn brm (DHHS-3768) whetEr $o contsln Asbeslos or not You 6re EqulrEd to csll Embslon Standards br ltazadous Arr Pollutants (NEStBp) st (919)7075950 st l6sst .10 &ys prtor b th€ httsr^y*w.epl.stale. nc.us/epuasbsstos/ahmp.htnlcbmollthn ol any fadllty or bulldhg. S60 Aabesto6 Slt6: TOTAL PROJECT COST:13000.0 Dlans and soecificauons NC Stale Eldq Code and or bulldtE was fuund b TOTAL AREA SO FT PAYMENI METHOD: [CrcN I (pAyABlE ro NHc) f]euenrcer o<eness I ucnrrsn I olscoven ZONE:_OFFtCER:(FOR OFFTCE USE ONLY)REVISED OATE lJl 1fl2 Approvat:_ GU:_ Comment SETBACKS:F:-LH:-RH: B:FLOOD:_ BFE+2ft TOTAL SQ FT UNDER ROOF: ACRES DISTURBED EXST LAND D|STURSTNC peRt,trT? l-lves I r,ro NEW IMPERVIOUS AREA:SA FT EXISTING IMPERVTOUS AREA:_ Se FT PROPERTY USE: [OrrrCe I nnrr [umcerrtu leouc ! nrr lcoloo orHER:celr rower CFPUA CFPUA nE SYSTEM WELL n ZONING USE CLASSIFICATION:EE CENTRAT tr PRIVATE SEPTIC tr COMMUN SYSTEMnY.. SEPARATT PER'4'IS I]t IRED FOR ELECT,I\,,IECH PLBG, GAS EQUIP, PREFABS E INS€RIS '' GT ai;\ '. ^&.Eg PHONE #: CITY: wilminqron ST: NC ZIP: 29409 CITY: seven sprinqs PHONE f: etg - i7B - 99'7 | EXIST CONSTRUCTION: E tr BUILDING HEIGHT: _._ # OF UNTTS: SQ FT PER FLR: _ # OF STORTES: #OF STRUCTURES:_ # Or TLOORS: - J.*r,r r.., o-/D 9-- NEW NOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL E ANSHER ALL QUESTIONS APPT]CA8LE IO YOUR PRO]ECT "Project Responsibility" Joz6 =3758 16- 965 APPLICATION Number (offi<e Use) I ffi APPLICANT'S NAIiIE : :,1i ,rhael Lral els DEVELOPER: DF. llorr,on Inc PROIECT ADDRESSi - .-:-LA r Dr CITY: nrlmrnctor SUBDIVISION: 3as:r l,.rLe at r'Jo.r Lake PROPERTY OWNER'S NAiIE: DR ho.on Inc OUINER' S ADDRESS: 1i-r,. BeLie:rre B11,d CITY: i.j rt.l e Beach CoNTRACToR: DR Ho rr, on rr,c ADDRESS: 4r149 Bette Terre Elvr CITY: Mvrt Ie Beach EI4AIL ADDRESS: mr.ia,,rets drhc PROIECT CONTACT PERSON: ::l I son ALT T ION NEW CONSTRUCTION:ERECT NE RESIDENCE or ADDITION TO EXISTING RESIDENCE **PLEASE CHECK AND ANSWER BELOW L THAT APPLY TO YOUR PRO]ECT ATT GARAGE 429 SF DET GARAG E SF PORCH 11! SF SUN ROOM SF POOL SF STORAGE SH ED GREENHOUSE SF DECK TOTAL HEATED 5Q FT: -, t2 e TOTAL PL ** ** * * +,F + * * * * * * * * * * * * * * * * * NEhI IMPERVIOUS AREA: 258] PHONE #: 91:-82r r556 ZIP : -,.' : LOT #: .r 4 ST: l!_ zIP ::Ejj_ sT:l!_zIP:2957e 9187 TOTAL PROIECT COST tr."" roo : $ 1s Any ELECTRICAL, PLUMBIN6 or 11E ANICAL Work Being Done to the Accessory Structure?! is there a Natural Gas Line on the Curnent Site?tr Yes n No is sui lding ? ll'l ves T No PROPERTY USE / OCCUPANCY:s GLE FAMILY DUP L EX TOWNHOUS E DESCRIPTION 0F WORK: :iev., re:,i.i ntial If the project is a Relocation Is there Electrical Power on t DISCLAIMER: lhercbycertii/ tlat all inft)rmation in hi and ordinances and regulations. The NHC Developme contacbr in()rmal,on "'NOTE:Any Work Perfomed OWNER/CONTRACTOR: Michael Da SF 5Q FT UNDER ROOF : : 'r.',1 . TOTAL AREA SQ FT : # OF SToRIES: - NO TOTAL ACRES DISTURBED: .I 184000 Yes No applicaton is coneci and all work will comply wilh he Slale Building Code and alloher appticabte Srate and tocat taws SeruicesCenErwillbenotifiedofanychangesinheapprovedplansandspecifcationsorchangeincontractcror /O lhe AppropriaE Permirswittb6 in Viotation ofihe NC Slate Bldg Code and Subject tc Fines Up To $500 00." DF. Horton Inc. SIGNATURE:lels **j*++******)****,t***,t*:t******,t,*,**:t++****+++r(*+*+***********+* r5 THE PROPERTY LOCATED TN A F OODPLAIN? I_I YES I EXISTING IfiPERVIOUs AREA:SQ FT 5Q FT EXIST LAND DISTURBING PERMIT: CENTRAL WELLCOMMUN I TY TE I"1 PRIVATE WELL CENTRAL 5EP c * * * *,* *,* * * * + + * * * **** *** *,k * * )* Approval : Citv: I.IAT E R : SEWER: CF PUA CF PUA YEs T-l No *** SEPARATE PER},IITs R IRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *** PAYMENT Ii,IETHODI D CASH n CK (PAYAELE TO NHC) E ff4ERICAN EXPRESS I mcTvrsa I orrcoven IC * *,* x,* +,r * * * +,t * x*,t,r *,r,r **** *+*,* *** *x* ** *,** * x * + * x + * * + +,r * * + )k * + + * * (FOR 0FFICE UsE OflrY)REVI5EO DATE O4l11/ 12 S ETBACKS :F:- LH: RH: B: TE:_ FLOOD: ! B F Eri2ft =, - #lbw DATE: i./ a/ta BLOCK #: PHoNE #: 84:-:lsr 81il!l LICENSE #: , ::. :. PHONE #: 9:r-821 iJ556 PHONE $: )',a-a-:- r'- !:) EXISTING CONSTRUCTION: E ! nrruovarroru ! cerurnt REpArRs E RELocArroN SF OTHER: 12C SF ! cnrvarr sEprrc E coMMUNrry sysrEM ZONE : _ OF FICE R: Jofu-3tsl L6-97 0 t; NEt^l E ANSWER AtL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" APPLICANT,,5 NAIiIE: :'l1.1-.r€ i i--rl elJ DEVELOPER: Jl Horrc:r f r,c PROIECT ADDRESS: r!41 I ,r La n Dr CITY: lJi Imrn.lton SUBDIVISION: 3.r:rs Lake at iio.)Lake BLOCK f: PROPERTY OWNER'S NAi4 E :on Inc OI{NER' S ADDRESS: 444? 3elle I'rre B1\'d CITY: I,{'.,. t ie .-erci, CONTRACTOR: DR Horton I nrl LICENSE *: p l i,l5 ADDRESS: 444!l Belle rerLe Bf,,-CITY: Myrtle Beach EI4AIL ADDRESS: i:. , j PROJECT CONTACT PERSON: ...: , ALT ATION RENOVATION GENERAL REPAI RS NEW CONSTRUCTION:ERECT NE RESIDENCE or AODITION TO EXISTING RESIDENCE **PLEASE CHECX AND ANSWER BELOW L THAT APPLY TO YOUR PROJECT: SF PORCH -15 ,m ATT GARAGE 389 SF SUNROOM -5F GREENHOUSE SF OVER COUNTY BUILDING PERMIT APPLICATION IYPE: RESIDENTIAL DEI GARAGE POOL 5F STORAGE SH ED APPLICATION Number (office Use) ZIP 2 2a412 LOT #: -++ sT: sc zIP: : v5 , 9 ST: E_ZIP: 2e. t e PHoNE f: l1a '121 E5s6 PHONE #: 9r1,'-s:a ?r93 RE LOCATION SF SF OTHE R: 16!'l _ sF SF TOTAL HEATED SQ FT: .: DECK TOTAL SQ FT UNDER ROOF: .,.- ToTAL AREA 5Q FT: ,.-- # OF STORIES: 2TOTAL PROIECT COSTtr"""roo : $ If the pnoject is a Relocati.on Is thene ELectrical Power on t 180000 Is Any ELECTRICAL, PLUMBING or lrlE ICAL Work Being Done to the Accessony Stnucture?t ves [ ruo is Building? n Yes I Line on the cunrent Site? [ v"t [ ruo No is there a Natunal Gas PROPERTY UsE / OCCUPANCY: DESCRIPTION OF hORK: :,IrL^: s Lesid NGLE FAMI LY :1iiaL DUP L EX TOWNHOUSE *+*****,r,r)*)****++++,*++,*+++**x:t:tjt**lr******x+***,i***xx:l,F++++*** DISCLAIMER: lherebycertfy har allintomarion an hr and odinances and regulations. The NHC Developme connacbr inbrmation "'NOTE AnyWork Pedomed applicalion is conecl and all work will complywih he Slale Building Code and all orher applicable Star and tocat taws S€ rvices Cen ier will be nolilied ol an y changes in he approved plan s and specificarion s or change in con rrac rc r or /O he AppropriaE Permits will be in Violation of tire NC Staie Bldg Code and Subject b Fines Up To $S00.00,', OWNER/CONTRACTOR: Mr.r,,,. I D;iels/ DR Horton rnc. SIGNATURE: * * * * * * * * * * * * * ** ++,F+ + + + + i. i. * IS THE PROPERTY LOCATED IN A F EXISTING U'IPERVIOUS AREA: ooDPLATN ? J--.l vrs I NO SQ FT 5Q FT TOTAL ACRES DISTURBED: .:. EXIST LAND DISTURBING PERMIT:I YES [-l rvo TEM PRIVATE WELL CENTRAL WELL 1C QUIREO FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *** EcK (pAyaBLE ro runc1 [ ameucAN ExpREss fl r,rcTvrsl fl orscoven (TOR OFFICE U5E OiITY) REVISED DAIE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ WATER: SEWER: CF PUA CF PUA COMMUNITY CENTRAL SE NEW IIiIPERVIOUS AREA: : 5 il l *** SEPARATE PERMITS R PAYI4ENT IiIETHOD: D CASIr EC *,k** * * * * * * *,t * ** x*** + +* * ** * *x,t,******x**,4+**xx**,t***xx++******++****+*****+***x*+*xx*,**** ZONE : OFFICER: Approval: Citv: N HiiraDATEF LOOD: DATE: l,-a, tt PHONE #: 9:fi-8,,1-d556 EXISTING CONSTRUCTION: E PHoNE #: E4-r-l!r-81r: I enrvnre srerrc ! coMMUNITy sysrEM APPLICANT,S I'JAfiE; DEVELOPER:F PRO]ECT ADDRESS: SUBDIVISION: PROPERTY OTJNER'S NAME: OlatrlER'S ADDRESS: CONTRACTOR: ADDR E SS : EI4AIL ADDRESS: TOTAL HEATED SQ FT: TOTAL PROIECT COST(LessLor) : Is Any ELECTRICAL, PLUnBI G o. If the project is a Relocati Is there Electrical Power on NEW HANOVER COUNTY BUILDING PERMIT APPLICATIOiI IYPE: RESIDENTIAL IEASE ANsI,{ER ALL QUESTIOXS APPLICABLE TO YOUR PRO]ECI "Project Responsibility" CITY: BLOCK f: Lon CITY: tLe LICENSE S: LOT *: PHONE *:v0 -20o- 2/5/ sr/z:ztP:2ta2? sr.rw-ztP: -2Y/21CITY: oxr, ?-t7 -/L PHoNE $: ?/0-6/6 -3tss- zrP:,2Y./Jq/Ul+- ' (sL tL-lr4o &o/b 3-760 APPLICATION Number (Office use) EIrc 6ra PRO]ECT COi,IACT PERSON: EXISTING CONSTRUCTION:ERATION RENOVATION GENERAL REPAIRS RE LOCATION NEW CONSTRUCTTOT: ! eneCr EI4, RESIDENCE oT LI ADDITION TO EXISTING RESIDENCE AI.L THAT APPLY TO YOUR PRO]ECT:**PLEASE CHECK AND ANSWER BE fl orr enuce sr ! eoncn _ sF /. c pwNe *: ?/A - I /0-s f3f PFr/NE *:?0' L/6- 31 9 5- 5F STORAGE SHED SF SFSF OTHE R: TOTAL SQ FT UNDER ROOF: - TOTAL AREA SQ FT: g ;22, {3 5og # oF sroRrEs: / ,NICAL Work Being Done to th€ Accesso.y Structune?rzt{ a No ATT GARAGE - SF suNRooM _ sF GREENHOUSE 5F POOL DECK n, is there a Natural Gas Lin the current Site? [ ves I lo th auitd ing ? ff ves PROPERTY USE / OCCUPANCY:INGLE FAMILY DU rx ! rowHHousr DESCRIPTION OF WORK:/< DISCLAIMER: lherebycertit rhat atl intomalion in aton is coreci and all willcomplyidirl the Srale Buitding Code an all olher applicable S1are and and odinances and regulations. The NHC Develo nl Services Cenbr willbe noiilied otany changes in ihe approved ptans and specificalions or ch6nge in conlra€br orcontaclcr nbrmaiion'"NOTE: AnyWorkPe wo the Appropriate Pemitswi be in viotation otthe NC state l io Fines Up To $500.00"' ot,JNER/CONTRACTOR :SI6NATURE: * * )k+,*** **,t *i i ** t + +rt* * * r,r * IS THE PROPERTY LOCATED IN A FLooDPLAIN? Ll YEs 1.,1 No t,t * ***+ *+'*'i )t:i** ***,k *r + + *+* +** * r** PL ur), /r1. *,t* )* * )** * )** r* +,t * )k rk*** + )t** * r* EXISTING IMPERVIOT',S AREA: NEI^/ IMPERVIOUS AREA: TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PER IT: E YES (/, vL at rt 5Q FT 5Q FT CO[4MUNI sEwER: ! crcur f] CENTRAL s *i* SEPARATE PERI,IITS PAYI.IENT II'IETHOD: E CASrr EJ SYSTE PTIC PRrvarE sEprrc I commulrw svs TETl RIVATE h'EL t CENTRAL WELL RE M DATE: FLOOD: AV QIJIRED FOR ELECT, I1ECH, PLB6, GAS EQUIP, PREFABS Ecr( (eAvABLE ro Hucy I arrnrcAN ExpREss Bfrvso E orscovr** )t* *,* *,t ** * * * *** * )*,* * * * *,** ** **+ ** * r*+ )N )t )t )k** )i* * *,t*,* * )*+* )i** r* rt* r( )*+* ** ** !t * )** * )*+* ** * )t * * )t * *)t**,t,t (FoR ofFICt USt o{Ly) REVI5ED DATa O4l11/12 SETBACKS: F:_ LH:_ RH: - B:_ BFE+2ft= N PERfitIT FEE: g ZONE: _ OFFICER: Approval :_ City: Coment :qro I,'TATER: f] creua !tr $(- &o. ffifr4',. NEW HANOVER COUNTY BUILDING PERMIT APPLICA|ION IYPE: R E5I DE N TIAL LEASE ANSWER ALL QUESIIONS APPLICASLE TO YOUR PRO]ECT "Project Respons ibility" Jolh*Xlal I L'tt15 APPLICATION Number ttt C DATE : (office Ure )4-1o-/ (o.tu-(c t<f (.,*-APPLICANTJS NAI4E: OEVELOPER: CONTRACTOR:e ADDRESS: E L.> 9to sF r-,€ ()'c ITY: o,\c C ITY: ^: +;.LICENSE S: CITY: 5T:(ZtP :2 2s-.3 2 r-^".*+ P"-.[..^4/ sr_ SF 5F PHONE # ZIP IPRO]ECT ADDRESS: SUEDIVISION: PROPERTY OWNER ' S OWNERJS ADDRESS: r.<. [-{r.^. 2 BLOC( *:LOT #: PHONE #:I I)7figL/ACCOUNT f: /o-...i,N!-ztP,@o bc*L- OTHE R: PHONE B: PHONE S:PROJECT CONTACT PERSON: EXISTING CONSTRUCTION: lLn NEI^J CONSTRUCTION:ERECT EtJ RESIDENCE or L.o<\^[c.L ADDITION TO EXISTING RESIDENCE O\- ERATION R ENOVATION GENERAL REPAIRS RE LOCATlON *lPLEAsE CHECI( AND ANSI,IER BEL ALL THAT APPLY TO YOUR PRO]ECT: ! oer cnnacr _ sF 6ffi i17 ,,ATT GARAGE TOTAL HEATED SQ FT: SUNROoTY _ SF GREENHOUSE 5F PooL _ sF DECK 5F STORAGE SHEO /--) -) TOTAL SQ FT UNDER ROOF: .(-( , TOTAL AREA SQ FT:IrJ) # OF STORIES: /- TOTAL PROIECT COST lress ro9 : Is Any ELECTRICAL, PLUI4BIN6 or If the project is a Relocati Is there Electrical Power on PROPERTY USE / OCCUPANCY: DESCRIPTION OF WORK: contactor iniDrma[on "'NOTE Any OWNER/CONTRACTOR: <.J d WO rhe Approp.iate Permits wiltbe in Vlotarron of lhe NC Slate Btdg Code ^e5,. * * * ++ * * * * *,* * * * * * *,t ** ** * + $CL (L- ers CHTNICAL Work Being Done to the Accessony Structure?I ves I r,ro n, is there a Natunal Gas Line on the Current Site? f] yes I No this Building? l--l ves l-l ruo INGLE FAI4ILY DUP L EX TOWNHOUS E OISCLAIMER: lhereby cerriry tar all rnformaton in is applicadon is correct and allworkwillcomplywih rhe State Auilding Code and altoher appticabte Srare and tocat taws and ordinances and reqularions The NHC D€veo ent Services Cenler willbe noliled ol any changes in the approved plans and speciticarions (.^ TOTAL ACRES DISTURBED: ,, NEW IIIPERVIOUS AREA NATER:IJA COMIqUN I SYSTE[1 PRIVATE t^lE LL CENTRAL WELL SEl,./ER:creua ! celrrnnr PT IC }*I. SEPARATE PERtlITS REQUIRED FOR ELECT, I,lECHJ PLBG' GAS EQUIP, PREFABS & INSERTS *}i cHEcK (pAyaBLE ro rxc; Iaru accorHr Inclvrsl !orscovrnPAYIYENT ETHoD: ! cosx SI6NATURE: l*+*+4****++*rta*+*++++,t+rt +*** *,tr( *,t* ** ** * * *,* ,t * *,* * * *,t + I5 THE PROPERTY LOCATED IN A F LOOOPLAIN? EXISTING IMPERVIOUS AREA I ZoNE: _ OF FICER: Approval :_ City: Comment: YES NO F T DATE: FL00D: REEr r+r-- AVN *+,f * 1** * )* +,r *,t * )t,t * *,*,* * *,t i **+*,t,*******x*,**,*,*,t,t**,*,*,t*******,r)r+****+*****,i,1**,****,t******+** (FOR OFTICE UsE ONLY) R€VIsED DAIE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ J C-{' TE ines Up To $ a: PERMIT FEE: $ I EI'IAIL ADDRESS: E -.t f U. ! cnrvarr seerrc ! coMr4uNrry sysrEm sQ Fr EXrST LAND DTSTURBTNG pERMrr: f] yrs [--l no DEVE LOPER: PRO]ECT ADDRESS: OhINER,S ADDRESS: CONTRACTOR ADDRESS : EITAIL ADDRESS: DISCLAIMER and local Su chan biecl in ZONE: Approval: Comment PERMIT FEE:0 NEt^l ER COUNTY BUILDING APP LICATION TYPE.' COIiIIIERC IAL E ANSH€R ALL QUESTIOTIS APPLICABLE TO YOUR PRO]ECT "Proj ect Res pons ibility" di't' L*'4ni CITY: ?fL \b- 1ql)ottoll[ d PERMIT APPLICATION Number (Office Use) APPLICANT'S i,IA'4E: o OCCUPANT/BUsINEsS T,IA E:LE PROPERTY OWNER'S T,IA}IE :E p,i: ltoes-ne PHONE *:o4- or)ZIP i 2 PIIONE $:711-+t1 -17Lo PHONE #:-lo*-t/p-5s1o PIIONE f : ION Yes n UP F IT ADD TO EXI s T STRUCTUR ) DATE:tQ{ LL LLC- 5 CITY: LIC E CITY: ST: zIP: der PROJECT CONTACT PERSON: lf Relocation, is there a Natural Gas NEW CONSTRUCTTOT: ! enrcr ACCESSORY STRUCTURE: If UPFIT - The Shell Permit .**,r ** I IF Yes, lrhat was the Previous ARC1I DESIGN PROFESSIOiIAL: ENGR DESIGiI PROFESSIOTAL: that all a and TOTAL AREA SQ FT : TOTAL SQ FT UNDER ROOF o ACRES DISTURBED: NEW IMPERVIOUS AREA: OFFICER: .)a NSE *: ACCOUNT *;<;EF- sr: A)e ztP;Z<'+4o rrP , cO,,"\ € EXrST CONSTRUCTTON: E AITE T ION tr R NOV IONEAT l--l cruruu Fpr.r" ,ror*, ffiroao, BLDG SPhINKLERED?E E*"on th e urrent tr che Th applv Y R Site? STRUCTUR E tr F AS T TRACK SH E L L E *Is Elect Pouer on this Building Yes EHo THrs a cHANGE oF occupANcy use r flvrs ff m ***** cupancy Type?L'lhat is the I'les, Occupancy Type? PH: PH: NC REG *: NC REG *; DESCRIPTION OF IIORK:€An -J-6 tt4iJ ;^e F S,+€ ls food or beverages Propared or ln thls *nraure? ffves No ls The Propefty Locatcd ln The Flooddaln?Iv".No hereby cenjfy nd ordinances Building Code and all other applicable State The rhe Up ot confactot $s00.00"' n of andcontta T OWNER/CONTRACTOR:ilq-SIGNATURE: (Pdnt l\ltrn )(Ouallrbr) Noto: Demolldon nolificatons & asbestos p€rmh appllcatons arE to bc submltLd uslng th€ appllcatlon lonn (DHHS-3768) whelhor the frdllty or bulldlng w6a bund to co aln Asbeslos or not You are EqulIEd to Natonel Embsloo Slandards br Hszadous Alr PollucnB (NESHAP)at (919)707-5950 st l€ast 10 dsys prlor ro lhe domolltlon of any faclllty or bulldlng. 560 Wsb Slt6: httprl.rww.epl.sl!t6.nc.us/epi/ssbostoyahmp.hllnl TOTAL PROJECT COST:b BUILDING HEIGHT:# OF UNITS: SO FI SQ FT PER FLR: # OF STRUCTURES: ExSr LAND DlsTunetr{o peni,ttT? l-'lveS I HO SO FT EXSTING IMPERVIOUS AREA: SETBACKS: F:_LH:_ RH:_ B:FLOOD:- BFE+2fr AVN # OF STORIES: # OF FLOORS: luenceNrrr-e leouc lner lmroo or*r*-1g- t/-y[,5 try SYSTEM WELL tr ZONING USE ctAss IFICATION: SEPTIC tr PRIVATE SEPTIC tr COMMUNITY SYSTEM NEOUIRED f:OR ELECT, MECIJ, PLBO, GAS EOUIP, Mi:FAtsS 8 II'ISEIiTS "' PAYMENT MEIHOD: ECASH ct{EcK (pAyABrE To Nncl flaru eccouur flucruse florscoven (FOR OFFTCE USE ONLY) Oer @r.aA,,& EoFFrcE WATER: SEWER: REVISED OAIE L/t Vt2 I i f- tb+loq 4 8 I a I a ).I t Eg I a a * a{ at* c g a a 3 P: 1 =r g I g t s I 2 I I6 dg i I + eg I I ea t! E g gr ,i rF=s:ri I: nnlir I I" ii; 3* E!lI ;i : g __ 5 x _r H :^3 Lllsl E 6 E f ,. iF;q? EedI I 1'? E= - aI I !^: ' !] I -I | .\J5 6 2 I | '',1 iEE is ll E |. " iE; ?tr;{ g I $;i:f; i, oi*:!*; I= ile;i;e:iE iEo"I L iE.E ISJtr ii 6 .i ,= igE EE E;I : ;CI ; -" <= 9a' = iO* 3= ae'li$tl Er'- is3 :ltl-iq3 o'i :iE: 6 I :' uliz s E :t F O'l IHNP O\ *=; 3i i i lsti lH ,l 3 , T I E :T I I g d E c6 a B 1l f la t" I It :9 I B 8 e * l6tt t: t- != I b^ Is; E ti.zgE E EgEBe: PAUe=:i: E Entr -9 i aU3;E i TEtr d9 hEtzi* ii G BTJ** F trtr8 nl-t898r= t I r;lri trtr ES IH r"l "l trE *A o ls rl Igu = , +' d 'F l +-3 I .' = rB I B S \ iie q o e L.E a -i p*E ='JI E aH i nE;l::.r: 6 r * E tgI rlll.ead E 4; ts E. d": a tr oES r E ris i ; -o n rn" EII'e e lLl rc$ - 8 E sB il r!.1q - I i,i tsH N.: ,; I r1t4lit*5 r I6-' !fo ;orEfn ts z t!o t; I I e a a I E :f z. =i-}D a$Pi;5- i";dErEi=E..<i"I*-g q nc {-"'4(f.PET , -6lE.',X |tl 3H-{ tr * * 9 I I i E: 5 : le l" it: pl.l, 'ti.l ii 8 a tloaaI ^3tto tI a E - -t II s e E:l j E : tf; : I F a 8 o B : a : IE I B!t E t> =i gr -8 ea : c a.l ?i 41 En fitr XEnQ Etr;3 I' 6! E I.J 6 n 9 trESie9r; 93^- Ht n I lttt;lttrl,t!I ql s - -P s trtrtr: II Ei lttS 63++rii EN r"a H H;\ :i;;! 1o68 rrj -8=e e"r 8 - si seEi I;-- ' ;; . i 3:lse*l-l'! * 3-5 E e IE6 F*E trl- E16l-a aEE E4;I;E ik d.': aEnoEF r '9 <; - {"E*eelcll =:3.8 ! f : e fi rsI F il.: ,; I ' oiil ri.! I a,. :, 'Fo ;6ss;n or J a lBo l{l* I q I l zI ! a a ! a 3 t ? L { ;!*; tr9 7a g? $: a c I lI s B i 1 € E I s I !g gF .E tE a:9l i= r-rr-r e t - I i" iB; EE aEE'"* i,.EoseEr [r. i5E AE F' I!] IEE ifr II E l=l"iii?n::El3li:fi;E o-BE;."'-= =56<!*. *d a "t t.'iE; a; ;; I .i ,' iEI E= E;I I ' ! -{ ic| ' I -- -= Ee' i iO! f E ;E Lii! ' ilsl,ip9 oif 6iE: a | :!* Er:8 znt =i-a>;iP. ! !'- l'ti;6-H;is- 4:eEifz$:i11i *- E E EEr.;rq-:*(,'rE! " r6) 9!trm-, =H{ d , -1c a J '?Es le ;l_t" I 5 :: I I 5 : ls l" t t 6'E P o\ IHNP{ :l I t" :B 5d a I g It.o, &r \ 1 -_) DEVELOPER i ADoRESST i-:i WATER SEWER t Commsflt fity lnpeclion Reqrueo, 9l&254$ . j ,10/to - jlta NEI^J , RECEIVED MAR 16 A}ro j'',*'liltlt -, HANOVER COUNTY BUILDING PERMIT- APPLIcatIotl rYPEr CotlilERCIAL t,..t L EAst Aisr,,rEN ALr QUtSrrorS aprttcAatE To youi piolacr "ProJe<t Responribill.ty', CItY: erilminaron sa School , Diocese o! Ra ler CIIYi Ra:eiqh PIO E {: 9r9-82r "rrl! ST: nc zI9: 2-761J l..irt ,i'r:,:. tL,<-, t.. ,. ( - { No DATE {J1'1? PERMIT FEE: S APPTICAI]ON N!mbea APPLICAiIT'5 N{'lE r Basi}ica hr.iue o( sl. t'i PROIECT ADDRESS: 412 Ann s ! OCCUPANT/BUSIIESS FIA EI Iica Shrinf ot St. I'ta PROPTRTY OI,IiJER,S IJAIiIE: A:S ,aichacl P. aurbi OHNEfi'S ADORESS:2 Dr!ve CO TnACTOR: .j 6 J Floo::s, r DATS: l-16 ti PIO E *:_ ZIP: ?8{0r L]CE CITY:lerla.ds itcl 5T: !:a ZIPi :$ra5 E'IAIL ADDRESS:Plloil€ l: 9:a-i62,'>i9l PRo)ECT CoNTA(T PERSol,l i j Da:o ((h..r ^ll tnri applr) ExISr CONSIRUCTXOII: f, AL lI0 D R E NOV TI 0 i7l! l 6EI{E RE P A r8s I R E LOCA TIONRAL ll Roloaar,on ts lhsre a NaturalGas o the c Srte ?n n No IS BL SPR NK I E E D?tr L,iDCnYes No NEi.' COiI5TRUITIOl{:€BEfT ,J STRUITURE fl rlsr rnacr I sHelr. f uerrr I mo ro Exrsr srnucrurE AccESSoRY SIRUCTURE r Is Elect Poxer on thi5 Building I Yes nNo j-" * t"r, r,hat xas.the Previous . ARCH DESIGN PRo'EssIoi{AL I ' tircR DESTGX pROFESSTO /U- | l If UPFIT - The 5he11 Per&1 . r {o,ldi.n . \ Nola: ocmolltlofi n4nclddrs & 65boslrot'- corrld. ,6boaoa or no( Ydi sri roqllred dirolrb. ol any bcrrt or !(|&lE. Sre TOTAL PROJECT COST: 6e rxrs A cHAxcE oF occuparcy use : flvrs fi m ."... (upancy Typel }ft.t is the N(w oaaupan(y Typel _ Ptlr ilc REG *l PH: tIC REG S: D€SCRIPTIO'{ OF I,iORX i Ra 13 tood or b€ve(agos prop&€d q in Uis strrrcr,ro? [Ves I No b Ths Propo.ty Locdsd ln Thc Flooddain? E ves DTSCLAIMER: , l['ooy cefljly inal nlxl luoal raw\ eni ordinanc€saDa rtrl( ,e.r 4o al{Drkwllcondy {rh lhe sur. P'.rdrna cooo 3hdr,! es Ccorar $rllb? rord'eo ol dny d|ani:ee 'rr tl* aooro?edrr{-,ed ?,/O lhs App.oqnare Ppr,ls 6I ri ,- volar6, ot lh! al olrrer ap9l'crorc sEle olars ar}d slEir i6\\C Sr.!e Bldo Coda ano 9500.00"' OWNER/CONTRACTOR 3a5 lca shrine of ST IGNATURE: pgnl,l tlrllcdlrN !r9 10 ifuk/o. Dutrdrlg f,6lbuE lo t{.ilon l Embrlon srnd.rd. h. tb:i,rb!3 At Porlutsdr (NEssAP) .1 (81E7a?-5950 st tr€3t 10 dsy! y'.( ro 1t€ w.n gia: hrlrj 6e..pi.n ..rE,urrpl,3!b4bd!6nt.h1hl t9i TOTAL AREA SQ FT : PAYMENT MEIHOD: nCASH (pAyABLE ro NHc) ff errlenrcex exeness nuc flsA I orscovm TOTAL SO FT UNDER ROOF: ACRES OISTURBED EXsr rANo DrsruRBno eenurrr I ves f] r.ro NEW IMPERVIOUS AREA;SOFT EXISTING IMPERVIOUS AREAi So F-i PROPERTY USE: DOrrCr I mrr fluencunle [ewc f] enr ficoHoo omER_a7) CFPUA CFPUA COMM SYSTEM D WE LL -ZONING U SE LASSI F ICA T1ON: SEPTIC PR IVATE .COMMUI.i SYSTE,TY l]l'rr,]i,i)rr,II: I raIrr.fLDi,o..st-Q!11.r:r:,Ir i-:(Ir r-:, zoNE: l, D- i? orricER Approval;_ Cfty:_ a PlloNE r: 9:.a-?6:-:,1r: EUILDING HEIGHT: _ # OF UNITS: SO FT PER FLR: _ f OF STORT€S: f OF STRUCTURES: _ rOr rlOOnS.- U NEId kNo ?lant#' ANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL Ve.4't61t'Y )otb-7n'/ LEASE ANSNER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT "Project Responsibility" lt/ C ITY: APPLICANT'S tlAl'1E : DEVELOPER: PRO]ECT ADDRESS: SUBDIVISION: PROPERTY USE / OCCUPANCY: DESCRIPTION OF WORK: rLl APPLICATION Number (offi DATE :o b PHONE f: ZIP: _ PROPERTY OWNER, S I,IAIiIE : CONTRACTOR:*1 v I5 A If the pnoject is a Relocati Is thene Electrical Power on a PHONE f: CITY:L *l t1 7oN ST ZIP: E NS E #1'\?27 o I L I c ADDRESS:5 T EI4AIL ADDRESS:pl*# PRO]ECT CONTACT PERSON:PTONE #:9*4. E RATION ffi nrlovarror,r I GENERAL REPAIRS RE LOCATION NEW CONSTRUCTIOU: I rntcr RESIDENCE or ADDITION TO EXISTING RESIDENCE ,*PLEASE CHECK AND ANSWER BELOI.I AI.L THAT APPLY TO YOUR PRO]ECT: ,{!:rrt;284o{qLe-43l3gs I otr cnaace sr I eoncH 40 s,ATT GARAGE - 5F suNRooM _ sF GREENHOUSE 5I POO L DE CK I sronacr srro OTHE R: 5F SF TOTAL HEATED SQ FT: TOTAL PROJ ECT COSTlressLor) : *rorAL sQ Fr uNDER RooF, l41o* rorAL AREA sQ Fr: oo SF SF (E t*) BF E+2ft= N PERMIT FEE: $ ,,@@"tJork Being Done to the Accessory Structu.e? $V"a ! ruo , is thene a Natunal Gas Line on the current Site? [ ves tEl to his Building? @ ves IHo $ n Ni INGLE FAMILY ouerrx f] rowNHousE oISCLAIMER: lhereby cedily |hat att i n is corfect and all work wi comptywih the s[ate Buitding code and applrcable slaE and localtawsand ordrnances and regularons 'l he NHC Oevetop nl Services C€n€r will be notfed ofany changes in the approved ptans and or change m conlracbr orconiraclor informalion "'NOTE:Any Work Per fle Appropriale Permilswittbe in Vlotaiion oflhe NC SlaA B Up To $500.o(r" OWNE R/CONTRACTOR :u U,SIGNATURE : Elrzl%out +*** ** *,** )*,t *,t** *** + +,t* **,* IS THE PROPERTY LOCATED IN A E E)* )* *,t* )* **r** *** * * +,* ** !t* *** +* * **** *,t * LOODPLAIN?YES NO EXISTING IMPERVIOUS AREA: NEW IMPERVIOUS AREA: 5Q FT SQ FT TOTAL ACRES DISTURBED; WA Exrsr LAND DTSTURBTNG PERMTT: E vrs ff ruo EE TER CF PUA COMMIJNT S YSTE iT PRIVATE WE LL CENTRAL l^lE L L SEWER:crcua ! cENTRAL s P TIC f] enrvarr srerrc f] coMMUNrry sysrEM *** SEPARATE PERI,4ITS PAYTIENT i'1ETHOD: E clsn E REQUIRED FOR ELECT, I,IECH, PLBG, GAs EqJIP, PREFABS & INSERTS *** HEo( (payABLE ro rxcl I nnrnrcAN ExpREss E mclrrso I orscoven)*+* * * * * * )**,t * * * * * !t)k* * + * )i)t*,* *** * ** * *,i * rt * )tt * *,t r* ** * * +** * )**+ +)t * * r** ** *jt * * )*+ +,** rt *** * + *,i x * * ** ** (FOR OTFIC' UsE ONLY)REVISED DATE O4l11/12 ZoNE: _ 0F FICE R: Approval :_ City: Co ment: DATE: FLOOD: AV ovo HANI wtr@, LE C] qiT L OI{NERJ 5 ADDRESS: tr BLOCK #: _ LoT #: CITY: EXISTING CONSTRUCTION: E tr t ''t t-*t trt4fo*) PHONE 7a, o@.# OF STORIES: ( SETBACKS: F:_ LH:_ RH:_ B:_ lft"l i'{ NEW RECEIVE0 aPr 11 ilf HANOVER COUNTY BUILDING PERf.jtIT APPLI.ATT0N TyPE: RESIDENTIAL PL€A5E AtsI{Ei ALL QO'SiIONS APPLICASLE TO YOVi FF']]-'Ci '?roject Responstbtll.q/ &u-5111 ?i z tL- \\?j APPLICATlON ttumber# APPLIC,I,{T,S iIAAE: DEVELOPER: PRO]ECT ADORESsI suS0rvIsIoit: AIT GANAGE -- SF sL,NRmt 5r a,Lc la.Cr r:-. s CITY: lrrlirr:'.:1 DATE:i.it! .! ZIP | 2a:c - Plol'l€ fl: PRoPERW O IER'S llil,4E: H""rs oI xi lni. o[^t\fn rS ADatRESS | ]r?i .,,1 '(:CJTY: u.ilnraqLo]l q zIP:_ CoI{TRACToR: H.ndy-oanr,t Ho L],:LICEHSE #: /29'l9 ADJR E55: 2: 14 ca!:e:ire L. rQ CITYi aicsirndl;5T : ::_ zIP: j:!!_a EiqAIL ADORESS: hi-"i Pl0flE r:91ca{a96-3 PRol ECT CoUTACT pERST}l: ri PHlllE {: iI:3.laq8:3 EXISTI G C(XSTRUCTIOIT: I TERATiON ..:rtERAL : r:. n r.;-OCi J NFlrl CONSTRICTI0{{:r{ RE5TDENCE o" E mOrrrOr TO EXT5T {6 RESTOE CE ..PLEAs' CHEC( AI\O AII5IJES BTL ALL THAT APFLY TO YO{'R PRO]ECI: PHoa,ll ,: s'r I oer elnaer sr I concx -sF D poor- - sr f-] sronacr SHFD - sF ! oneruouse -- sr ! orcx rOIAL HEATEO SQ IOTAL 5Q FT UI{DER ROOF' -.A3 TOTAL AREA 5;Q FT: TI- $ ?o-oo) ir.n{ICA! r,rork sotnE Oo,re to the Ac.essory Stro<t!.e7 E Yes I NO SF i'NER:5F FT:9,13 TOTAL PROIECT COST i!6 tor) 15 Any ELECTRICAL, PlUriBrN6 or If the proje<: is . Reloce-t PROPERTY USE / OCCUPA.NCY: on, j.s there a Natural Gas Line on the cu.rent site? fl Yca this Buildint? E ves I no srNcLE rAnrLY f, u.rcrot I romouse l!o !i : ,'Jli oF !i : :i r3!aL 1 i!tch€:: cabl:..:r i_ ' aII ial: - :n: int.!rc..f hc OIIIOIIMER lt €br..r't t drl ddi,,e6ad @Col6(r,1. Tra NHC .di tr. rtr iibmalM'_iJOTE,\Iy work ollN E R /CoNTRACTOR : rr.ieI I5 THE PROP€RTY LO(ATED IN FLOODP LAIN ] r.., r.d dl @rt wil cohply irtn tlc $rrE Bolldtt! Codo {nd o! ortcr 0rtr.roh Stot &1d lo.d lar't r wil b. rollcd ol .ny ch.it t i nE @9Dwd Prll s ..d .lr.crL,!.B ot ci.ng. l. @.lrb. { 6b ftf;'Ewlr b. n vobdon or Do NC st b/E,r{ode i1dff t yj!oi-n\s00.00-' src AruRE; tt -)y/* k..ids-"t ) r NOYES EXIST]NG TiPEEVIO{'S APFA: NEU U4PERVIOUS AREA : sq Fr sQ rr TOTAL ACRIS DIS'IJRBED: EXIST LAI'iO oISTURBIiIG PER,q lT A-..:{,."." YE5 l,lO 0rsc0vER *arER: I crrur @ ccultunr SYSTEX fl enrvrrr ueu fl rrc I enrvarr stlrrc CENTRAL WELL col{.lur\rI rY sYll E[lSEU€R: I creua f] cerrmr .". 5EpARlT: p-_:.iti:T pAY!!€$r l{ETrpD: I asn eFcrlIaED FOII ELECT, ',ECH, PLa6, 5As LCl.: 2.',-:.-,:) : i -r: cHEo( (payaBrE ro *r,c1 f, u:rrccr ucrrss E lcrwsn zoN E AT a 5EIBAC Itiiv; rv , P-i orrt o,ilItr xsr r:[!_.,i t-tt LOOD: 'l'+E 8:rri-'* -'-''" aFE+2ft- ,ra,r67PERIITT AA--l 'lI r t^f ,\e^i^n Danr ;'16,1 Cl n,1l I .h Colllment: C I c_a.-- BI-OCX *: _ LOT *: _ 9102 9', 3 5: c * OF SIORIES:: Is there Electri.a] Pore. Y'l'"1,l'ii I..