JULY 27 2016 BUILDING APPSPROIECT ADDRESS: 4121 Donnel-Iv Lane CITY: wilminqton
2-0 u-72-(f
L6-202L
APPLICATION
Number
(office Use)
DATE2 7 /7L/1-6
PHONE #i 9to-524-4900
LOT #:
ZlPz zaqog
21-
PHONE #2 910-297 -5661
ST: q ZIP. 2840e
PHONE #: gto-sz+-qgoo
PHONE #: _ry_
NEt^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPL]CABLE TO YOUR PRO]ECT
"Project ResPonsibiIitY"
SUBDMSION: Masonborouqh Plantation BLOCK #:
PROPERTY OWNER,S
OWNER,S ADDRESS:
MI'IE: scott Combs
6111 Chi-lcot Lane
CONTRACTOR: senter Home B\lil4erE --Iriq
ADDRESS: 653 Grovewood Lane sE
CITY: Iti]rqins!_e4
LICENSE *: s8420
CITY: Bolivia ST: NC zTPi 28422
EMAIL ADDRESS: heatherti,sandwhomebuil,ders. com
PRO]ECT CONTACT PERSON:Heather Senter
d
l../(
bt
ql
s
S
-+
-J-3nq
C/
EXTSTTNG CONSTRUCTTOT'r: I ALTERATTON f] neruOVarrOru f] crr.renar- REPATRS ! nelOCArroru
NEW CONSTRUCTION: E enrCr NEht RESIDENCE or E eOOrrrON TO EXISTING RESIDENCE
ALL THAT APPLY TO YOUR PRO]ECT:
E oEr GARAGE sF E PoRcH 5e2
I surunooN SF I eoor- _ sF ! sronncE sHED
-
sF
! cnrrruHouse SF [] orcr s08 SF OTHER:
TOTAL HEATED SQ FTi 4318 TOTAL SQ FT UNDER ROOF:6348 TOTAL AREA SQ FT:68s5
TOTAL PROIECT COSTrresst-oo | $ e os, ooo # OF STORIES: :
Is Any ELECTRICAL, PLUMBING on MECHANICAL Work Being Done to the Accessory Structure? fl Ves E *o
If the project is a Relocation, is thene a Natural Gas Line on the Current Site? [ Ves E Uo
Is thene Electrical Power on this Building? l-lY"t E *o
pRopERTy usE / occUPANCY: I SrruCr-r FAMTLY ! OUeleX E TOWIJHOUSE
DESCRIPTION OF tdORK: New Sinql-e family residence
and ordinances and regulations. The NHC Development Services Cenbr will be notified of any changes in he approved plans and specifications or change in contractor or
confacticr inficrmation. -'.NOTE:AnyWork Performed W/O treAppropriate Permitswill be in Violation of the NC StaE Bldg Code and Subject tc Fines Up To $500.00"-"
OWNER/CONTRACTORi Hearher senrer SIGNATURE:
(Print Name)**x****i(***********+**+*****++******************x****************,ir(******,f**************
wATERT I creun I commur,rrry sysrEm ! enrvnrr wrll ! cerurnnl wELL
sEr{ER: fl creua ! crrurnal sEprrc I enrvarE sEprrc E coplplur.rrry sysrEM
IS THE PROPERTY LOCATED IN A FLOODPLAIN? [-I VES El
EXISTING ImPERVIOUS AREA: SQ FT
NEW ImPERVIoUS AREA. 475e .SQ FT
ZONE:OF FICE R :
(FOR OFFICE USE ONLY)
SETBACKS: F:
Approval :_ City:
*** SEPARATE PERJT1ITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS +**
I casn fi cHrcx (eAvABLE ro NHc) fl amenrcaN ExpREss E mcrvrsa I orscovenPAYilENT METHOD: I
*****************************x**********x***************************r.***************,1.***
**PLEASE CHECK
I nrr GARAGE
AND ANSWER BELOT{
1408 SF SF
SF
TOTAL
EXIST
NO
ACRES DISTURBED: .1093
LAND DISTURBING PERI{IT: J]I VCS IEI UO
REVISED DATE O4/!7/L2
OFPux, ct\'tu^
DATE:F LOOD:
LH:RH: B:
BFE+2ft=ffin-
APPLICANT'S NAME:Ifcel-hcr Senter
2//6 -.72 7 7
NEW HANovER couNTY BUTLDTNG PERmrr WZ1V,'lgt L
APPLICATION IYPE J RESIDENTIAL
PLEASE ANSIIER ALt QTIESTIONS APPLICABLE T0 YoUR PRoIECT
"Project Respons ibiIity"
APPLICATION
Number
(office use)
,4r €oa'* j.-/(-/(,
CONTRACTOR:. TI
ADORE SS:
EMAIL ADORESS:
PRO]ECT CONTACT PERSON:
! sur,rnoom _ sF
! cne eruuouse
-
sF
r<
! eool
-
sr
! oecr
f] sronacr
OTHE R:
APPLICANT ' 5
DEVELOPER:
f(
PRO]ECT ADDRESS:
SUBDIVISION:LOT S:
PROPERTY OWNER, S
OWNER,S ADDRESS:
o, 3i 3-313/
*,&u:_-p.'@o3
LJ <)
PHONE T:
PHONE S:
'rs
- 3s-5.f
ExrsrrNc coNsrRucrroN: ! rlreRarror ! arruovrrron ! crrurnnr nrenrns ! RELocATToN
_.-.
NEr^/ CONSTRUCTTOn: ffiAeCt NEW RESTDENCE o" ! AOOrrrOru TO EXTSTING RESIDENCE
.,pyp{sE cHEcK AND ANswER BELow ALL THAT Apply ro youR pRorEcr: ,,. f ro,1 /pn r{-
flnrr cnmcr L.lQ sr ! oer crnrcr sr fieotcu -Q,k-t, '' 6dS l'
5F
SHED _ SF
SF
ToTAL HEATED s9.{,,2{79 ToTAL sQ FT UNDER RooTI ?G<.>O ToTAL AREA sQ FT:366o
TOTAL PRolEcT CoSTrr-essr-oo , 5 12> 2tcO@ # OF STORIES: i
Is Any ELECTRICAT, PLUI,IBIi,IG or EECHANICAL Work Belng Done to the Accessory Stnucture? [ Ves f] no
If the project is a Relocation, is thene a Natural Gas Line on the Cunrent Site? f] ves [ ruo
Is thene Electrj.cal Powen on this Building? [v.t [ruo
PRoPERTY usE / occuPANcY , W4rofi rrmrrv ! ounrex
DESCRIPTION OF WORK;
and ordinances and regulations. The NHC Developmenl Services Cenler will be notilied oI any changes in he approved plans and
conuactor inktrmadon. "'NOTE:Any Wqrk Performed W/O he Appropriate PeImits willbe in Violation of the NC State Bldg
ot^INER/CoNTRACTOR:
**'** i,!** i +**i, *********.. * JiiTlliTl** ***.** **"****
SQ FT
SQ FT
TOTAL ACRES
EXIST LAND
t * * * * * * i( * + * * * * * * * * * * ** *+
DISTURBED: , / Y
DISTuRBING PERMIT: T-l vrs [--l ro
Approval:_ City:
(foR 0FF1CE U5E oNLY)
SETBACKS: F:
REVISE0 oATE 04/11/r2
B:-
BF E+ 2ft=
rs rHE pRopERTy LocATED rN l rLoooplatu? I--l vrs
EXISTING IMPERVIOUS AREA:
NEW IIVIP ERVIOUS AREA:
wArER: I cS;eit fl cowauNrTy sysrEM f] enrvnrr werr ! cENTRAL r^tELL
sEwER,: dcFpu| ! cruranl se crrc f| pRrvATE sEprrc I comlrutrrv svsrrm
*}* SEPAJIATE PERI.4ITs REQUIRED FOR ELECT, IilECH, PLBG, GAS EQUIP, PREFABS & INSERTS **T
oo"l'|].1'.1110.'..-.H.'l'l..?.T:'l.l:111'.'.',-I.H'.)..tr...:l::l':lll...Hl:1".'.'1...*-E.'-'-'.1'::1.
ZONE:
Comment:
OFFICER:
tr^tg e-c,efr
DATE :FLOOD:
LH: RH:
pERr,rrr FEE: tJ521_?
!
PHONE S:
i
ffi
ZIP i
CITY:
LrcENsE r: zfi9 q AccouNr r:-crrv, t i[.-i o - *,$!z:+l.@6 le
NEt^l
WGEO46
L6-2027
APPLICATION
Number
(office Use)
NAME: H&H coNsrRflcroRts or EAIETTEVI_LI,E __LLC.DATE: o7/Lt/20:-6
PHONE #:
PR0IECT ADDRESS: 5009 otter rai.l rrail CITY: wILMINGTON ZI?i 2s412
SUBDIVISION: Willow GIen Estates BLOCK #: sooe LOT #! 046_
PROPERTY OWNER,S NAME: H&H CONSTRUCTORS O! FAYETTEVILLE, LLC PHONE
DEVELOPER:
0hJNER'S ADDRESSi 82as Market street Suite c CITY: wilminqlon
CONTRACTOR: H&H CONSTRUCTORS OF FAYETTEVILLE. I,LC LICENSE #: ZATSA
ADDRESS: 8209 Market rslreet, suite C CITY: WlLMINGTQN
ElrlAIL ADDRESS: j ul icaf f erty@hhhornes - qof JerryBrenninq@hhhomes . com
PROIECT CONTACT PERSON: JJ Brenninq
**P
mnn
#: 910-219*l-485
ST: NC ZTPi2B4\I
ST: !.{,q ZIPi 28417
PHONE #: gro-zrg-rass
PHoNE #: 910-219-148s
EXTSTTNG CONSTRUCTTON: fl ALTERATToN I nrmOVnrrOm I Crrurnnl REPAIRS I nrlocnrroru
NErd C0NSTRUCTTONt ffi rneCr NEW RESTDENCE or fJ nOOrrrON TO EXTSTTNG RESTDENCE
ALL THAT APPLY TO YOUR PRO]ECT:
I nrr GARAGE sF m PoRcH 2t7 -. sF
fl nooL f] sronncE sHED
-
st
OTHER: 2A2
TOTAL HEATED SQ FTi z6la TOTAL SQ FT UNDER ROOF:3G00 TOTAL AREA SQ FT: zaeo
TOTAL PROIECT CoSTo-esst-ou i $ leo,gzr # OF STORIES: z
Is Any ELECTRTCAL, PLUMBING or MECHANICAL Wonk Being Done to the Accessory Structurei f,] Vet EI f,\fo
If the project is a Relocation, is thene a Natural Gas Line on the Curnent Site? fl V"t EI ruo
Is there Electnical Power on this Buildlng) IEIv"t f] ruo
pRopERTy usE / occuPANCY: fl srnclr FAMTLY I ounlex I rouruHousr
DESCRIPTION OF hIORK: SINGLE FAMILY DWELLING
and ordlnances and regulatlons. The NHC Development Services Center will be noulied of any changes ln he approved plans and specifications or chanoe in contractoror
conr.rcbr informaton. "'NOTE: Any Work Perform6d WO ttre Appropriate Permits will be in Violation ol the NC Slab Bldg Code and Sub.lect o Fines Up To $50O.00"'
0WNER/CONTRACTOR: .r,r Brenninq SIGNATURE:
(Pnint Name) I*x****dr*********r<**************xx**+***************************r(:t **********x,i
rs rHE pRopERry LocArED rN A FLooDPLATNI f] vrs EI ruo
EXISTING IMPERVIOUS AREA:
NEN IIYIPERVIOUS AREA:4125 SQ FT
SQ FT TOTAL ACRES DISTURBED: .25
EXIST LAND DISTURBING PERMIT: FI YTS [] T.TO
hrArER, I creua f] cor"rmururry sysrE]l fl enrvarr wrll fl crrurnal well
sErilER: f] crnun I crrurnnl sEprrc D pnrvarE sEprrc f] comtoruNrrY sYsrEM trAUA-l
*** SEPARATE pERl,lITS REQTJIRED FOR ELECT, I'!ECH, pLBG, 6A5 EQUIP, PfitfABS & INSERTS )r**
pAyt,lENT METHoD: E casH E curcr (nAvABLE ro NHc) [-l auenrclN ExpREss fl mcrursa I-1 orscoven
*x** *** *i(** ** ** **** * ** ******* 't( *** {.*t( x *,F** *** * * ** **** * *** *** ** * ***** ***,1. *i(* r( *{(* *,**r. *r(*,i,1.*
ZONE :OFFICER:
LEASE CHECK AND ANSI4IER
ATT GARAGE ?72
BELOW
SF
suNRooM _sF
GREENHOUSE _ SF
-SF
-SF
fl nrcr SF
(FOR OFFICE USE ONLY)
SETBACKS: F:
REVISED DAIE O4/IL/!2
LH: RH:_ B:_
2l/6'72?B
HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE' RESIDENTIAL
PLEASE ANSIIER ALL QUESTIONS APPLICABLE TO YOUR PROIECT
"Project ResPonsibility"
Aoonoval:City:--- DATE:_ FLOOD:BFE+2ft= ,U 3V 4
APPLICANT,S NAII,IE : Mich
DEVELOPER: DR Horton r
PROIECT ADDRESS! 7853 champrain Dr
SUBDIVISION: Bass Lake at wood Lake
16 -1 907
APPLICATION
Number
(office Use)
DAIEi 6/2'1/L5
PHONE #: 910-821-8556
_ ZIP. 284t2
BLOCK #:LOT #: 28
PHONE #: 64 r-r5l-d4iC
CITY: MvrtIe Beach ST: sc zIPi 29519
LICENSE *i 2e61 6
CITY: Myrtle Beach ST: SC ZTP2 ry
#: 910-821-8556
#2 9tA-520-1793
PROPERTY OWNER,S NAIVIE:DR horton Inc
OT^INER,S ADDRESS: 4A49 Belle Terre Bfvd
CONTRACTOR: DR Horton fnc.
ADDRESS: 4049 Bel]e Terre Bfvd
EHAIL ADDRESS! mtdanrelsGdrhorton. com
PRO]ECT CONTACT PERSON: Sam Wifson
PHONE
PHONE
I suunoom _sF
! cnerrunousr SF
TOTAL HEATED SQ FT i 3283 TOTAL SQ
TOTAL PROIECT COST(ressL-ot) ! $ reoooo
Is Any ELECTRICAL, PLUIqBING or MECHAITIICAL Work Being Done to the Accessory Structure? fi Ves E *o
If the pnoject is a Relocation, is thene a Natural Gas Line on
Is there Electrical Power on this Building? J-l y"t E to
the Current Site? [ v"t E *o
pRopERTy usE / occuPANcY: I srruclE FAMTLY I ounlrx ! rowruHousr
DESCRIPTION OF WORK: New residential
and ordinances and regulations. The NHC Development Services Cenbr will be notjlied of any changes in he approved plans and specifications or change in contractor or
contraclor informatjon. "-*NOTE: Any Work Performed W/O he Appropriate Permits will be in Violation of the NC State Bldg Code and Sub.iect b Fines Up To $500.00'..
O[^INER/CONTRACTOR: Michaef Daniers/ DR. Horton rnc. SIGNATURE:
(Print Name)**{<r.********,k*r<r<,1 *{<******r.**********r(,k***********X******r.*********,F,**tr *****.*****XX******
IS THE PROPERTY LOCATED IN A FLOODPLAIN? I"] VCS
EXISTING ImPERVIOUS AREA: SQ FT
NEW TmPERVTOUS AREAI 2555 _ SQ FT
r^lATERr [7l crpun I coultururry sysrEM f] enrvarr well f] cer,rrnnL wELL
SEWER: E] creua I crrurnnl sEprrc I nnrvarE sEprrc ! communrrY SYSTEM
*** SEPARATE PERJ,IITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS **,.
PAYMENT rilETHoD: E cmn I crecx (PAYABLE To NHc) [ amenrcaN ExpREss E rnczvrsa l-'1 orscoven
**********i(i(******************************************************************X*****r(***
REVISED OAIE O4/LT/L2
RH:_ B:_
! eoor-
-
sF
! oecr _ sF
sF E] PoRcH 112 sF
! sronncE sHED
OTHE R :
SF
SF
FT UNDER ROOF: 3iB4
# OF STORIES: 2
TOTAL AREA SQ FT: g:re
NO
TOTAL ACRES DISTURBED: .21
EXIST LAND DISTURBING PERMIT: ITI VES I-I ruO
ZONE: _ 0FFICER:
Approval:- City:
(FOR OFFICE USE ONLY)
SETBACKS: F:
Zotl- 73 o /
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibilitY"
Wi lmington
EXTSTTNG CONSTRUCTTON: ! ALTERATTON ! neruOVnrrOru ! Ceruenal REPATRS ! nrlocnrroru
NEht CoNSTRUCTTONt @ rneCr NEW RESIDENCE or ! AOOTTTON TO EXISTTNG RESIDENCE
**PLEASE CHECK AND ANSWER
Inrr GARAGE 38)
BELOtd ALL THAT APPLY TO
sF E orr GARAGE
YOUR PROJECT:
DATE:_ FLOOD:
LH:
BFE+2ft= /63ot:
ADDRESSi 2514 Rel-iance Avenue
NEW HANOVER COUNTY BUILDING PERMIT 1' 5 - 1' 3 ]' 1'
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
LICENSE *i 70466
CITY: Apex
?arb-lj)G
APPLICATION
Number
(office use)
APPLICANT'S NAl|lE: Munqo Homes of North Cqsolina _ DATEi 5/3/2016
DEVELOPER: SSP Investment, Inc PHONE S: 97a-443-3283
PROIECT ADDRESS: 8813 Ramsburv wav CITY: wilminqton ZIPi 284LT
SUBDIVISION: Pfantation Landinq BLOCK #: Ph3 sec 1 LOT S: 276
PROPERTY Oi^INER'S MME: Munso Homes of North Carolina PHONE #: 919-303-852s
OWNER'S ADDRESSi 25].4 Reliance Avenue CITY: Apex 5T: Nc ZTPi 21539
5T : r,rc ZIP i 27 539
CONTRACTOR: Munqo Homes of North Carofina
EMAIL ADDRESS: klusk@munqo.com (Katherine Lusk)PHONE #: 919-303-8s2s
PROIECT CONTACT PERSON: Brad rilyou (project mallqgeI)PHONE s: 803 600-7527
EXTSTTNG CONSTRUCTTOru' E ALTERATTON ! nrruOVAilOru f CeNennl REPATRS ! nelOCarroru
NEW CONSTRUCTTON: I enrCr NEhr RESTDENCE or ! nOOrrrON TO EXTSTING RESTDENCE
**PLEASE CHECK AND ANShIER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
I arr GAMGE 4,tt sF ! orr GARAGE SF EPORCH LSF
sF ! sronncr SHED
-
sF! surunoom
-
sF I eoor-
! enrrruHousE _ sF ! oecr SF OTHER:5F
TOTAL HEATED SQ FT:3046 TOTAL 5Q FT UNDER ROOF: 37tr TOTAL AREA SQ FT: :zrr
TOTAL PROIECT COST (t-ess t-ot1 : $ Lzs , ola # 0F STORIES: r . s
Is Any ELECTRICAL, PLUMBING or MECHANICAL Work Being Done to the Accessory Structure? [ Ves E ftfo
If the project is a Relocation, is there a Natunal Gas Line on the Current Site? [ Ves E f,lo
rs there Electrical Powen on this Building? I-l ves n ruo
pRopERry usE / occupANcy: E] 5TNGLE FAM]LY fl ouelrx f] rowruHouse
DESCRIPTION OF WORK: New Sinqle Famify Resrdence
and ordinances and regulations. The NHC Development Seryices Center will be notjfied of any changes in the approved plans and specillcations or change in contractor or
contractor information.'*NOTE:AnyWork Performed W/O heAppropriate Permitswall be inViolation of the NC State Bldg Code and Subjectto Fines UpTo $500.00-".
OWNER/CONTRACTOR: Munqo Homes by Katherine Lusk SIGNATURE:
,,;:-;;;Jil^#ffiffiHl;--H***+***{<*******************,t<***+***+*
ExIsTINGIMPERVIoUsAREA:-sQFTToTALAcREsDIsTURBED:.33
NEW IIVIPERVIOUS AREA: 3815 SQ FT EXIST LAND DISTURBING PERMIT: ITI VTS [-I T'TO
NATER: I creun I coNnururry sysrEM I enrvnrr well ! crrvrnal wrll
SEhlER: I crnun ff crurnnl sEprrc n pnrvare sEprrc ! comNururrY sYsrEM
*** SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS X**
*'x'|].5.1'.',;,-..H.'l:I..H-T:'l.l:1"1'.1',-r.1i'.'..tfl:l',.'l|.:liil'.'...H.1YJ,-':1.-.H:-':::"-
(FOR OFFICE UsE ONLY) REVISED DAIL O4/1.1/I2
SETBACKS: F: LH: RH: B:
Approval:- City:_ DATE:_ FLOOD:
Comment:
ZONE: OFFICER:
BF E+2ft=A v
Jr**r, FEE: g t6\S .oo
NEW HANOVER COUNTY BUILDING PERI'IIT
aPPLIcAtIatt rrPEr Col'll.lERCIAL
PLlASt Ar59tr ArL qUE5TIO 5 ArrLt(A8t E r0 Y,JU' PiOr€Ct
"Proj.(t ReiponsibiLity"
iIAHE: Ashley }]aq\re
PRoJECT ADORESS: 6Bs9 Monunenr Dr.CITY: Bilninqron
oCCUPANT/BUSI'{ESS tlAllE: Eplc Frr
APPLICAiIT,S
OEVELOPER:
CONTRACTOR:
ADDR€S5:
9ROPERTY OI]IIER'S
O{NER'S AOORESS:
lllAllE: .r1m P.rr: I La
CITY:
LICEI,ISE T:
C ITY:Z7P i
ENAI L ADDRTSS:PlOtlE sl
PHOTE T:
ExrsT cor'r^ucrro , E ALrERArror D -r*fi;!;li 'h?Jii*,- nrrarns l-l RElocArrolr
I R.tocdo.|, is rhere a NarurarGa Line on rhe binefi si6? EY;ElNo ts BLDG sP;iiKt EREor El ves f]r':o
[El{ COiETnUCTrOx: I enrCr reu STRUCTURE ! rSr rnrcr ! srrt l I uPFrr f] ADo To Exrsr srRucrui€
ACCESSOSY STRUCTURE:
Is Elect Pou/er on this Buildin8 E] Yes E ,,JO
pRol rcT co TAcT PERSofl:
If UPFIT - The Shell Pe nit r:
IF YesJ what nas the Pievlous Ocaupan(y Type?
.'... rs rHrs a cHAxGr oF occupArcy usE? flvrs @ rc .'...
l$at is the Ner Occupancy Type?
ARCH DT5IGTT PROTESSIOITAL:
EI/GR OESIGiI PROFESSTO AL:Sec arDendlx B
R{: 910. r6t 605! NC REG ,:
NC ntc r:
Davi.d Lrsle
oESCRIPTIOiI 0F IIORK; ::rie!ror uofrt of exis!inq crmncrcial sDac.
b lood sbov€.lgos p(lpaod r sgv€d h tls lhEr.?flves EI ruo bThc ftopqry Locd€d h lrrs noodptah? Elves ENo
D|SCI"AIUER: I h.r€b/ crrtt tn.r orlrilormato,l rn th'r appr.,lrfi rs cond ,ld.rl.lork *lrlcmdy srh:h€ St re Bu ldrn{ Coo€ a.d slrori€. eml'caue S'6e
lnd ldl 16*! 3M ordinlnces an(, raoulrrio.B. Tha NFc D€vdoffn?r'r saruc!! crntcr wl'l be nor,f.d ol !nJ chano€5 rn the arDrov€d danr a.d sgeolKJtons
or charxE ir corx'Bcior or conraclor ilo.mauon "'NOTE Any Wort PcdfiEd WO trl. Apgopnlre P.mt! wl tiE m vldalci oi ttcNC Stale glOg Coeed4d
5'Dr..110 rr^cs Up Io l5m 00-'
OWNEFyCONTRACTOR: ;rsiLcv i;.,.ue SIGNATURE:(O.i5 trrr! r.r)
Ndd rbnuttoi ndj,Ilddr E 6r0ast€ rlioval Fmn apgltllro.r fr b t rj!fillEd !.ll! iha rr9lenbn b{m (oHris3768) wlD0rr uE lc0lv o hribig vaa hr{ a
@rr.h ArD6 o. nor Ydr...,q.al.l to c.r ll! rtridrr Ern[rn stdht tx tEtbr.a ruu]rr (]€s]l^P) n {90)70r-5160 r l.n r0 (ttt rrob dtedrbo ol .I.ry baaty d ua&o. So A'EaE trr.D 9a: lll9:/I1irrv..pt..ld..rE.ELpu.aiadodahmp.trrnt
TOTAL PROJECT COSTr r.so,ooo BUILDING HETGHT:21__ * OF UN|TSI
TOTAL AREA SO FT:1J!5- SOFTPERFLR:- ,OF STORIE6: r i'TOTAL SO FT UNDER ROOF:
-
# OF STRTrcTURES: 1 ! OF FLOORS: .I-
ACRES DISTUREED: nza E6T LAND oISTURBING PERMTNL YES f]No i
NEW IMPERVIOUS AREA: n.za SQFT A(STlNc IMPERVIOUS AREA
-
SO Ff: l
i:>
pRopERry usE: DoFFrcE EResreunexr [uencermu [eouc f]APr lmxoo orHER3s_
WATER: zjCFPtJA E coMMUNnY S\BIEM -wEu flzoNlNc uSE CIASSIFIC,{TIO}t - {l
sFwER: E cFpuA f, cerrner- se erc n pEvnre srmc a6uuulrw svs*ii,':-.P1,^]i-.'..,-]JL:lL-]Icjlli'Lllr'Li}lP!5cG1SEc.],],1l:l-LJsa|,r
pAYrrrEMr METHOD [CaSu f] Cxecx (pAyAsrE rO Mlc) flaU rCmurr fiucrvrsa Eorscoven E
. /^ ^^ {FOR OFFICE USE OlrYl ,
zoNE: Y] Y }FFICER: LY / I I SETBACI(S; F: I{ /A
.F:::.F.:.""" E
r Elr@DAlErYll^, glnx$[-s;t.liA sApprovar: 0L cnyll)llrn DATE t rLooD:
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