HomeMy WebLinkAboutAUGUST 15 2016 BUILDING APPLICATIONS,ffi
APPLICAIT'S llA}IE:
DEVELOPER:
+La-+tfl
APPLICATIO[iI
]{unber
(offlce Use)
PROJECT ADDRESS:
*:
ST:
CONfiNACR'R:
ADDRESS:O., t
EIfiIL ADDRESS:*L
PRO]ECT CO]{TACT PERS0trl:?6! -Aob-173?
oF occuPArEY usE? EyEs E * .'*.
I{hat is the ller., Occup.ncy
ARCH DESI€N PROFESSIOML:
ElilGR DESIGN PRoFESSIoML I
IyPe?
NC REGPH:
PH:
*:
NC REG
BUILDING HEIGHT:
SQ FT PER FLR:
# OF STRUCTURES:
# OF UNITS:
# OF STORIES:
# OF FLOORS:
EXST LAND DISTURBING PERMIT? NYES I NO
SQ FT EXISTING IMPERVIOUS AREA
pRopERryusE: EoFFrcE f]nesru.ms lurncarnle leouc f]Apr EcoNDo orHER__a25&!]4&I4-
yl]=T EfT.u.f flcoMMuNrrysysrEM TIWELL EzoNtNctrsEcLAs6tFlcAnoN:----dsElir/ER,ECFptrA -cENrRA sEmc E ffinre semc E-coin UNnv Jvsreu-
PAYMENT MEAoD: [cesn !eeo< pAYaau ro rfic) EBlrrccouNr IMGMSA I cxscoven
[*,r..=r-- E
SO FT
Aottn b%o
NEW HAfIIOVER COUNTY BUILDING PERMIT
APPLICATI$I ryPE; COIt]IERCIAL
PIEASE AI'ISIIER ALL QUESTIOi{S APPTICABLE TO YOUR PRO ECT
'Project Responsibility"
DArr: 6- o- 20\b
PtotlE *: 1 OLl- ?O b - t13O
: \}J\L.'I^ r Y\ ArTeA) ZIP: ? 8 Llo I
ACCOIiIT *:ulltrry: w,".ar.-[ffiJ sr, PLzrPt L84ct
Pfo E *:
pHoitE *:
Exrsr cor{srRrrcrror: fl ALTERATT* n .#ff}rf,i 'E?.li'.*. nrparns [-l RELocarror{
lf Rdocdio, is hare a |iarurat Gas Line on the currenr ste? [vas-[ r.u ts aLDG spRtN-xLEReoz I ves [ruo
EW CO|STRUCTTO : I rnecr Ehl sTRrcTURE I rASr rnACX I SXIU ! Uerrr I ADD To Exrsr srRrrcTURE
ACCESSORY STRUCTURE:
-
If UPFIT - The Shell permit #:
I'*,.' IS THIS A CHA^IGE
IF Yes, brhat was the paevious Occupancy Type?
Is Elect pouer on ttrts eutfaing /ves E ruo
DESCRIPTION 0F tr,ORK:
ls lbod or borlgeg€3 F€pr.d a sdvEd lh tir tutrrZ [Ves
DISoLAIMER: I herebv c€rtitv uEl 6lt intomation in lhis applicstion is con*'t snd allwork witl comEy with the sbte Buildrng cod6 and a other appticsbte state:r$J3ffiLmflgigghri,Hty#j*s:",t:M+qii"J;gf,s.im9,:atiylif-,ffi*#,tfl"k-r$."=;v$[,#tstr"fia,3;r.$flflrg.jt,
OWNERYCONTRACTOR: IlOAAU, SLIDfi^oI.4, SIGNATURE: .L4- 9">"^.<,{q.F.r, (r'iri.,n )
-
Nots: Dtmollix troffQlir.rs & .sD..b. t!.noEl p.rtnh lpcr;td|i !; b b6 st brnhrd u.ing tE.pdk tim hn (DHHs37ss) wh.tl€r fis bdtiv or Dundnc $6 tbund tocclr tln A.b..E or mi You rli .rqulrcd b G.ll ihe fLtofll €m:don sand&r. tu ]h.rdor. Ar polut lE (NEsMp) .t (gig)rcruitto .r h.c t0 d.]E p.io. b i|ed.molhion otlny hcllity or bldtdtE, 8G Arbcb WBb 6ibi hqr..r!$.v.rB.iBrs.rL.6&r!r.atE !l{/!Jx!., nrni
TOTAL PROJECT COST:
TOTAL AREA SQ FT :
TOTAL SO FT UNDER ROOF:
ACRES DISTURBED:
NEW IMPERVIOUS AREA
oCCUpAI{T/BLSIi|ESS ilAfilE: T\.{\€ EX(T aAuyl €S
PROPERTY O}flER'S
0l^r]{ER' S ADDRESS:
ilA E: T\,6'\ <-\4,1.4^f<EAS pHOitEa
erzr- LICEIIEE t:
@) <La-\o?io
No ls Thr Proprty Loo*.d bt lhe FoodCdn?E
lR oFFrcE lrsE oNL{ ^SETBAGKS: F:!fl-L!Ln:
Cily lnsoeclion Requreo, g I S254{{?i
zor.re(4D ornce*
Appro'val:
2otro-) q)q
:..i NEW HANOVER COUNTY BUILDING PERMIT
I APPLICATION TYPE; RESIDENTIAL' 5tt" aPPLrcArroN
\ {ff} , ILEASE aNswER alL QU€srroNS aPPLIcaBLE ro YouR PRortcr Number
qE "Project Responsibilitv" (orrice use)
AppLrcANr,s Hr,nr, 4rC k L nro rp-€ oA!.!t
-
DEVELOPER: P}ONE T:
crrY=/'j---/'J--lr ;nP'?'</aIPRolEcT AD0RE55t 5l I l: Ast r Rrqtr?4' LA crrY: lui lrt'+t^a) .\ --suBDrvrsror,l: Yt C-oJte Ca..re alocx *l Lor *t (:L=-
ffi;r;'^ffi::'i*eir i,,@42
ExrsTrNG coNsTRUcTIoN: I aurrnnrrot fifnrtounrroru [crnrnar nrenrns ! RELocATIoN
NEN CONSTRUCTTOT: I rnrcr NEt!, RESTDENCE o" ! AOOrrroH TO EXTSTING RESTDENCE
T*PLEASE CHECX AtlO AI'ISWER BELOT'I ALL THAT APPLY T0 YOUR PROIECT:
! orr crmce sr f| eoncH 5F
trtr
TOTAL HEATED SQ TT: -!I IQ_ TOTAL 5Q FT UNDER ROOF:roTAL AREA Sg rr: f1D
TOTAL PROIECT COST tr-es. r-.rr : $ Jl,<ft-l S OF STORIE5: .?
Is Any ELECTRICAL, PLUI{BtilG or TIECHANICAL Work Being Done to the Accessory
If the project is a Relocation, is there a Natural Gas Line on the
rs there El.ectrical Power on this Building?$v"t lliNo
COI,ITRACTOR: \ i
ADDRESS:
EI.IAIL ADDRESS:
[-l nrr ernaor
-
sF
l-T sulnoou
-
sF
I earennouse
-
sF
EXISTING IMPERVIOUS AREA:
NEtt I}'IPERVIOUS AREA:
,r[t/C ,,pr,B4/2
i,fl-to-*u.VZsse
o. 51ri ,a r.s -arsa
POO L
DECK
5F f] s'ronae r srro
SF OTHE R:
SF
5F
structure? S v"t Ilo
current site? ! v"t fl r'ro
pRopERTy usE / occuPANcY, fi SrnAle ratlrlv I ouelrx I rouJNHousE
DESCRIPTION OF IJORK: t€ ^Lar,{r- Lef'I1\
OIdNER/CONTRACTOR:fi
-f
I - (p.int r,tahe) |**, r **+ ** t* * * + + *, t {* {,} *, '* * rr'l.* * * '. '} 'l 'i * *+ '}{ ** ++ *)trt +**:i * * '}* * 'r '} 'r * I I * ** * *** * ** ** * )t,i 't *+
IS THE PROPERTY LOCATED A FLOODPLAIN? ITLJEs
SQ FT
SQ FT
E*o t
ToTAL ACRES DISTURBED: d
Exrsr LAND DrsruRBrNG nrnnir, 5 ves I ro
*+*SEPAIIATTPERI4IISR€QUIREDFORELECT,NECH,PLEG,GASEQUIP,PREfABSSINSERTSi
oo"r.* nrr*oo,
-
EJ.ot, E arrax (PAYABLE ,o *".) E *r*rcAN ExPREss E tclvrsr ! orscourn
,t*,**,f,t,t * ,r,* * * *,i * ,t,B *,* ,* * ,i +*t + * *,t *,t* *,i*,t* *,t ** * ,l,t * ,i * * ***t * ** * ** !t *,i,i(,* * *,r+ ** **,** * **'i* ** ** * **'i *'I
(FOR OrrrCE U5t or,lLY)
SETBACKS: F: LH:
REVI5rD OArt 04/11/12
RH:
-
B:-
warrn, @.creul f| colttturutrv svs'rrm I PRTvATE taELt ! cetlrnlr wrll
srwrn: @gr eua ! crrurnar seerrc I PRTVATE sEPrrc ! communrrv svsrtu
OF FICER:ZONE;
Approval:- City:BF E+ 2ft=
N
PERMIT FEE: $Comment:
DATE:F LOOD:
otscLAlMER: thcrcby cenit hal alt inbrmalion in his appticaron b conecr afld allwork wlll comply watl he siale Building code and al oher applicabl€ staE and lclcal laws
h h. rnih@.1oLns rnd soecifEalions orchanqe in contracloror
and ordin ances and r€gutarions The NH C Deveropmenl S€ rvices Cen Er will b€ flolifed ol an y changes -r be approved Plans and
.on'aclol inhmaton, ''lNoTE:Any work Pelr.Qed W9 the AppropiaE Permns willbe ir Vbl€tlon of the Nc slaE Bld. cod,##:;;;;,;;"4;; ;;y w;;-;;&". w9 $e Appropiae permns wu be iri.bn;n orthe Ni srac eid" c:d7di6 suD\r b Fines r,h ro $s00 oo"
wr* l6-naa
PHONE $:
ECEIVED AU612 Zl]llj
NEhr F{A*cvER cour\fi BU'LBET{€ pERfliE? fu>1't'19?0
AFFIi€A$II'S MI,IE I Cq.r
DE\IELOPSR:
PBOJEST ADDRESS:
SUBD!:IESION:
MgPEBTY O$NM'S NAiqE:
0HrllEfl'S A0DRESS: rJ
cgi\t?RAcioR:
A9DTIE€9:
MIAEL ADORESS:
PRdIECT CON?ACT PERSOII:
aIx5ril6 C@.9iRUCii!E:
.{PPliCAlT(D! iYPs: RESIDE$ITIFi
PLEASC AH.9En ALL qrESrUrS APPLICAILE TO y(UR pnOlECT
nPrlojed. Res pofls tbiUilP
SLOC|( #:
APPLTCAT:TO
lluder
(o#.L.G Use)
Dart. Y-'l-lL
e|4s1tJ
DUllarE 4. _
CITY: t.lul^^. - .ti@
,iCCOUt{i I t
9H9irE fii
,th E *r
NAd COt'lSTRUriEOtt, El snecT NEll RESIDEIdCE or ! eOO:-Coru To EiiEIi A RESIDEIJEE
Eqfl.SIlE OIEC{ TM IflSf;R BELOU ALL ?IUI NPDLV TO YOUR PRO3E€:I:
f]nrr enares
-
sF
ff suunoor
-sF
f-'leneerurouse sF LJ DECI( _ SF OTHER: <E
TOTAL I.IEA?ED 5Q FT:T0TAI 5E .:? u lER i€OF:
I aurrnarrou fl nmrwarrou I omenlr. REpArns E BELocATTBt
E otr emm sF EpoRcr _._sF
El roor- 9 5., - 5p f] sronnae **]_ ro
?OTAI PBOJEC? C05? {.cs rd) : $ 5j Or-t $,OF STCPJES:
v -fl oue TOI,II{HOUS E
r3 any ELECTITICAL, gurrtB8 E on ,|ECnArf,IEAT +rock Bclng Done to the Accessory Struqture? ffiVeS fi nOI+ tha project is a Relocation, is ihere a [tatural Ges Line on th. cu*em srili ffiv", $.rors thene Elctrical poHec on this Bui:ding, Eyes I! ruo
PnoPm?Y usE / OCCUpA$$.':
DESCRSFfiI0S OF tioRl(r
E,ESTET ImEsrgqrs AEEB: _SO_ F?TOiAL .{fiIEs DISN,RBED:ffiT{ IIDEINrIWS
'TREA: SQ F?'* ryEiro.rr.rr ,*"Ea; _ sq F? E}G,T L^p D35TUB8,E ernnrrQ ,* E ruc
unrrn, E cnrun I couxun:w *.*n p4*.rn s ueuu I sEilrRAr nErL
sEen: ffcrnun E conRAL sprrc D-pxrvrrs ,rrrra fr c*sr irv sasrB,r
___-_ _::ttH-o!tE *er*.o roR E!-Ecr) r.rEoL pLB6, EAs Eqrxp,mYIEflT f,ETIOD: ,':_l cAsli Llg{EA( (PAV.ABLE io mrcl !a:u_..cornrr
?IEFABS & iiEEnTS s6
Errcrrrsr norscorrm
TO-' AL A.qEA so Fr:
{FOi Grtc! u3! crr.YtZflE:
-
OFEICER:5FiBACKS: F:_ LH: Rlt:
tnltlo [rE !{rlvr:!
-
B:_
AV
2e; ).K zt.: r
c,,r.Ehhmnb'. -rcnear"7rc* *lruio !vD-;" A*;&;-;ff;;;tffiJr|"ffi6qffi ffiIffiEi-*Y-] :-#'i**'@
l0E[Uv!1: City.,:: oATS:_ FLOODi _ BFEr2ft=
(
---ri- GPEffIi EEEr { n
[1 lkQr*'uED AUG 12 ror$
Apgrlca$rs lffi: \
DEVEI.I'PER:
FBBEETgmlff$It!
PROPffirY ff{ENiS TANE:
ffi'S tfiRESS:
@f?naffoll:
A9DRES5:
61IAEL ADORES9:
T0TAL iIEATED Sq FT:TmlL 5q FT tmER R@F: _
?grAL PP:IEC? @5El-14 z I6O,Ay;s oF STSiXiS:
PROPIRT| IEE ./ OGI,P&T8:rrucg1'[ unlu TCfltEUSE
rrEscRrfiEaE oF H0fl(:
$IEhI IE$EVEB coUMrY BujLtsTlII€ PER}tr?
.{ppEa?Iof, r}"8: EEEDEIITIS!
9ttasc tffi ert. gu6?rG lrFUEI&8 rO r,u5 itoltr
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13 ary Et Errsca!, EuEft 6 EHTEIE !. irofr B.nq Dcr to tn **oG,r.r Ev.* * mr# rtre projcct rr ! n€b.,ttat, ts tl,"m a rrsnel 6.r LinG dr rrrG crrrrirr srtrr f,lves snoIs tist ! Clrctrlol rtx.r on thfs &rl]'dht? i:!yo Efo
! I!)
TIril"L nB DISiUR.ES,
ACESTljDETUB8ffi
b
PsErE
rll fiE PEo9EBly LnctiED I piOOpt*fn .?T vesDCtfiB ltElllqlt efr&: _sg FatEr rltultrM AtttA: gr- Ft
c[TB: E crnn Eiloxrur* srsrrr E onsrrre HEu E cilrn& iErrscm; E crnn E cEnRAL sgrrc Elr*rro.s *. il mrrcrr *srBrg:. SEDffiIE DErrEiS"ru** m^*s;;*
-&?Er
',- i l/--
ir:-?--
ProflE 8:
ACCOT*I? &.
TOiAL AREA SO .Sr:
Ygh+>a
hto-1qql
apPuIca.f,rd
l{d.r
(offrs! tse)
EEre
arat c.lcr ut. ctLttUre:
-OFFIf,ER:
SETBACXS: F:
-
tJ.i- E{:-a,.-***
-- .;.-BFE+ilft'--rpEro$l: ef?-_ DATE- FLOSi
PE[tIi tEr r 1,<,-oo
PREECI' O{ilIT PERS@:
Ptof,E $: .1t}-dtq - ql1 4Ergrril d{sirtrucmf,: fier.rrmnor finsnreTlor fteamrl- nrpus E "a*r_Gr s,lr8TRrrsa:lcr{r [l =nscr B, RE3DBEi! on I aoosrioa .iD EElxBfi REEWE
teoLBlE OlEt[ m lmm cltsl ru Bnr r!DLV rD rrarR mortcrrEIT_ry"_$ Eon ame ----iigro*o_.__sF
Efsm.-sF Eeoo,- - se Isromar srm_sr[ca,nsr-_sr fiora 4oo- sr ]r*m,
O!INEfr.|@ITRIC3ER:S:G{AruRE:
NEt^l HANOVER COUNTY BUILDING PERMIT^ ro-
0..^., ^,l,li':,'::::,:::::, :::T':t#pRn,F.r' d0)bzPLEASE ANSWER ALL QUESTIONS APPLICABLE T0 YOUR PROIECT
L6-2 0 9 I
Number
(Office Use)
DATE: 1 /18/20t6
"Project Responsibility"
APPLICANTTS NAME; Monteith Constructlon, Thomas Gore
DEVELOPER: Live Cak Bank
PROIECT ADDRESS: 18eo rrask Dr CITY: wilmj-nqton
PHONE #z 843-296-4514
ZTPi 28405
OCCUPANT/BUSINESS NAME: Live oak Bank
PROPERTY OI^INER'S NAfiE:
OWNER, S ADDRESS: ).1 4I
Live Oak Bank
Tiburon Drive CITY: wilmington
PHONE #: 910-5s0-2258
ST: NC ZIP:.28a03
ST: NC ZIP: 2B4At
PHONE #: 910-791-8101
PHONE #: 843'296-4514
CONTRACTOR: Monteith Construction
ADDRESS: 32 N Front St
EmAIL ADDRESS; tgoreGmonteithco. con
LICENSE #: 433re
CITY: Wilmington
PROIECT CONTACT PERSON; rhomas Gore
EXIST CONSTRUCTIOTTT: ! ALTERATION
lf Relocation, is there a Natural Gas Line on the
(check A11 That Apply)n Reruovarroru n eerurnnl
Current Site? l__lYes lrlruo
REPATRS ! nelOCnrrOr
lS BLDG SPRINKLERED? Elves [ ruo
NEW CONSTRUCTTON: I eneCr NE]J STRUCTURE E FAST TRACK ! Snrr-l ! Urrrr E eOO TO EXrST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The SheII Penmit #:Is Elect Power on this Building I ves E ruo
fl No *****
the New Occupancy Type?
***** IS THIS A CHANGE
was the Previous Occupancy Type?
PROFESSIoML: The Wilson Group
occuPANcY usE? EYEs
What is
OF
IF Yes, what
ARCH DESIGN
ENGR DESIGN
Business If-B
PH,W Nc REG #: 9212
PROFESSIOML: CBHF Engineers PH:910-791-4000 NC REG #: 02331r
DESCRIPTION 0F WQRK; Corporate hangar complex with alrcraft hangar and attached 2-story offlce
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
)1)' t 86,
ts food or beverages prepared or served in this structure? l],?Yes E uo ls The Property Located ln The Floodplain? fi Yes El ruo
DISCLAIMER: I hereby certify that all information in this application is correct and all work will comply with the State Building Code and all other applicable State
and local laws and ordinances and requlations. The NHC Development Services Center will be notified of any changes in the approved plqnq and specilications.
StBi"rjlqS iift"J,,ii.+"J E[..Sf,t[?_cJor
iiformation. .--NorE: Any Work Performed wo the Appropriate Permiis will 5e in violation of the NC st2=lreocqlnd
OWNER/CONTRACTQII; rholas Gple SIGNATUR
(QualmeD (Ptlnt Name)
Note: Demolilion notifications & asbestos removal permit applications are to be submitted using the application form (DHHS-3768) whether was found to
contain Asbestos or not. You are required to call the National Emission Standards for Hazardous Alr Pollutants (NESHAP) at (919)707-5950 at least 10 days prior to the
demolition of any f;acility or building. See Asbestos Web Site: http:r\rww.epi.state.nc.us/epi/asbestoyahmp.html
TOTALPROJECTCOST: $5, 100, 000 BUILDING HEIGHT' 40 ft # OF UNITS: r
TOTALAREASQ FT . 2b, be2 SQFTPERFLR: 2.3,r2t ! r,tr/1-)# OF STORIES:
# OF FLOORS:TOTAL SQ FT UNDER ROOF: 2b , bez #OFSTRUCTURES: -
EXSr LAND DTSTURB|NG PERM|T? ffi veS E] *O
EXISTING I MPERVIOUS AREA:N/A
pRopERTyusE: EoFFtcE ERESTAURANT luenCnruIlE EEDUC EApr ECONDO OrHER:
WATER: ACFPUA fIGOMMUNITYSYSTEM [IWELL flzoNlNcUSECI-ASSIFICATION:
SEWER: ECFPUA EcerurRet-SEPTlc LIPRIVATESEPTIC ECOMMUNITYSYSTEM
*- SEPARATE PERIVITS REQUIRED FOR ELECT, IVIECH, PLBG, GAS EOUIP, PREFABS & INSERTS *-
pAyMENr',='::..1..=*::::-**E...::.=*r.:j:.:::..-:-::f1..*tr.-Y::j:::.T::"::.:"."tr-..::.:jsa E DrscovER
c(€uP nt/)
(FOR OFFICE USE ONLY) REvtsED OA\E 4t11t12 q.
ZONE:-OFFICER: SETBACKS: F:-LH:-RH:-B:- 61($
v
Aooroval: Citv: DATE: FLOOD: BFE+2ft= Y
^ , ^ \-\.--lComment PERM|T FEE$- CO(
100
SQ FT SO FT
NEI^J HANOVER COUNTY BUI LDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSI{ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilitf'
2o )b--l qq +
APPLTCATION
Number
(Offi€e Use)
#: 5J-
':l{i-cnqu
APPLICANT'S tlAi{E:
DEUELOPER:
PRO]ECT ADDRESS:
SUBDIVISTON:
PHONE
CITY:
PROPERTY
oIINER' S
OTJNER'S
ADDRESS:
:rnc.
PHONE #:
frn rAR
LICENSI Accourur *t &3 [
sr:I\s- zre:a8c{a1
sr :I\!(.zrn: J 8c,lO t
*:Jr.p1-K1tA
PHONE *: 4;4-5Q rl
EmAIL AIDRESS: fDSZ r^raefQo onbu-i trt tn6crcrp.
CONTRACTOR:
ADDRESS:
PRO]ECT CONTACT PERSON:
flsunnoom
-
sF f] noor
-
sF
f]enrrnHousE .---- sF f] orcr
ExrsrrruG coNsrRucrroru: f a-rrennrroru fJnn{ovarroru flcrrurnnl RErATRS f] nrlocnrroru
NEt{ coNsrRUCTroN: ffiru NEW REsTDENCE or flnoorrroN To ExrsrrNc REsTDENcE
**PLEASE CHECK AND ANShIER BELOT'I ALt THAT APPLY T0
ffir c,,ARAGE toQt-c sr f] orr GARAcE
TOTAL HEATED SQ FT: 3I-1 { TOTAL SQ FT UNDER ROOF: qA'L TOTAL AREA SQ TT: 35}L,I
TOTAL PROIECT COSTTT-essr-oq : $ 5 "1lq>9 * OF STORIES: .2
Is Any ELECTRfCAL, PLUI4BING or IiIECHAiIICAL Wonk Being Done to the Accessory Structure? Q Ves gd
If the pnoject is a Relocation, is there a Natural Gas Line on the Cunnent Site? Q v"r GJ{rf
Is there Electnical Power on this Building? F'll Ves G*f
pRoPERry usl / occupANcyt [fficrE FAMTLY f] ounlrx f rowruHouse
DESCRIPTIOTI OF l,lORK:
and ordinances and regulations. The Nl-lC Development Services CenEr wiil be notified of any changes in he apprcved plans and specifications or change ln contracbr or
conracbr hbrmaton. "-'NOTE: Any Work Performed W/O ho Appropriab Permits will be in Vaolation of the NC SlaE Subject b Fines Up To $500.0tr-'
wArER ,Q{ywo f, commururry sysrEm f] enrvnrE wELL f] crr'rrnal wELL
sEr'rERr fftcrrun f] cerurnal sEprrc fl enrvnrE sEprrc f] conmurvrry sysrErvr
*** SEpAIiATE PERT4TTS REqJTRED FOR ELECT, |'1ECH, pLB6, GAs EQ{JrP, PREFAES & TIISERTS ***
pAyrirErlr IilErHoD: f,lcnsn ff criscr (pAyABLE ro NHc) f,f arrr. AccorrNr fJ r.rclvrsl ff orscovrn
,1.***************'t*******************t****:f,t******{.**********,t****,t**,t**,t*******,}'t*,t,C****
ZONE:
Appnoval:_ City:_ DATE:_ FLOOD: BFE+2ft=
CITY:
YOUR PRO]ECT:
SF
sr ffip.H 4t{ sr
I I STORAGE SHED _ SF
OTHER: SF
rs THE PROPERTY LOCATED rN A FLOODFLATT{? 0 VeS
sQ FT
sQ FT
EXISTING IMPERVIOUS AREA:
NEW IIIIPERVIOUS AREA:
TOTAL ACRES DTSTURBED:
EXIST LAND DISTURBING grm ffi
REVISTD OATE 04/tt/L2
.as
PERMIT:
OFFICER 3
(FOR 0FFTCE USE Or.lLY)
SETBACKS: F:._ LH:_ RH:_ B:
MIVIE:
Jr*r, rer, s-l90l-@
rre: r/r /rq,:lt-eiiB:taC
-
zIP: J≷
lotb- 8ooo
TeLtlo-l+Zg
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION rYPE; C0IIIMERCIAL
PLEASE ANSTTER ALL QUESTIoNS APPLICAELE T0 yoUR pRotECT
"ProJect Responsibility"
APPLICANTT S NAlilE: Tirneless Propert.ies Inc
APPLICATION
Number
(qffice use)
OATE.1/23/20t6
DEVELOPERi .Cameron Manaqemenr
CITY: wilminsron
PHONE S:
ZIP i ?.BAo5
PHONE #;
ST:g ZIP:.@
ST: Nc ZI?'. ze+oa
PHOI{E *: 910-54?-064.1
PHOi{E *: e1o-54?-0541
PROIECT ADDRESS: 44ol oieander Dr Unir D
OCCUPANT/BUSINESS l"lA,tlE: Adore NaiIs
PROPERTY OWNER'5 NAME: cameron Manaqemen!
OI^JNER,S ADDRESS| I2OI GIen Meade Rd
CONTRACTOR: Timeless Properties rnc
ADORESS: Pc Box 1?e2
EMAIL ADDRESS:
CfTY: wilminerorr
, LICEI'ISE s: 6s784
CITY: wilminqron
PROJECT CONTACT PERSON: V:clal.Eralsy
NE[,J CoNSTRUCTToN: [l enrcr NEhr srRUcruRE f]FAsr rRAcK f sHer-r- [] uerrr I aoo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
If UPFIT - The 5he11 Permit #:Is Elect Pobrer on this Building fi ves fJ ruO
r+rrr rs rurs A ct{AllGE oF occtpAt'lcy usrl pvrs f No *****
fF yes, what was the Previous Occupancy Type? N/A tfrrat is the Neu OccuPancy TyPe? Nail salon
ARCH DESIGN PROFESSIONAL: Desiqn Professionals Ptl:.910-509-3131 lilC REG s:
PH: _ NC REG *:EN6R 9ESIGN PROFESSIONAL:
DESCRIPTI0N 0F W0RK: Eiaish -interior of bu!1d14q to make iE. a nail salon
Exrsr cor,rsrRucrrol,r: fl arrenrrroru m -.Ji[;l;il'[ifil*o. REpArRs fJ nrrocarro*
lf Relocation, is there a Natural Gas Line on the Current SiteZ Ivef [ ruo E BLDG SPRINKLEREDa I ves INo
ts tuod or bwtragc propfled or served h thls srucure? E ves EI ruo b The Property Loc#d h The Floodphin? fl ves El ruo
DISCLAIMER: I hereby cerlity that all in{ormatton in this appllcatlon ls conect ed all work will com.Ply ,rilh tlE Stale Building Code and all olher applicahe Stale
ini toiai ra*s and ordinancei and reourarions The NHC b'eveboment Services Center will be notifiecotaq{..,}..",,"83i;lr$,?33fit1r,igr^l8SBiSSffi"838[Tfr
5r ctiinqein contracr6, oiconlracioii'nioimat,on. "'NOTE: Any Work Perrormed wO the Aopropr
SuUealo Fines Up To $500 00'
OWNEFYCONTMCTOR:SIGNATURE:
(otdir) (P,trl&mr)
cDrtailn Asb€stoc or not Ydr 8re requlr€d b call th. titsbl8l Emhslon s8n(b,d3 h tlrzildous Atr Pollugts (NESIIAP) at (9 t9)707-5S0 d l€sst 10 (lEys p.lof b ra
dendiloo ol aty hdlty fi bulldlng. S€€ Asbdos Web $b: hng/ fi/vv.epl.98b.nc,u3/ePl/Esb6dahmPjr,ml
TOTAL PROJECT COST: ?OOOO BUILDING HEIGHT: 22 # OF UNITS:
TOTAL AREA SQ FT :SQFTPERFLR::.zoo #OFSTORIES:--
TOTAL SQ FT UNDER ROOF:
-
# OF STRUCTURES:r OF FLOORS:-
ACRES DISTURBED:EXSr I-AND DTSTURBTNG PERMI? n Y=S f] NO
NEW IMPERVOUS AREA:SQ FT E(STING IMPERVIOUS AREI.:SQ TT
pRopERrvusE: noFFtcE nREsrAumrr EueRcANrtLE fleouc Ilnr fcoxoo orHER.
WATER mcFpUA f]CoMMUNrYSYSTEM EWELL _EzoNlNGl,rsiEcN.ASSlFlCATloltt
SEWER: ECTpUA ECerrnru-sEPTlc E p-nvnresemc flcoirMuNnrs\BTEM
pAya,.Mr ME,,';,
" ri;;' 5;'ilffi#.,[ ;#En,iffi #&'E u",,* r oscoven
ZONE K 6 OFFICER:
(FOR OFFICE t SE O+{LY)REI/ISED DATE 'fi1n2
SETBACKS:F: . -;..LH:, RH:.-- -B: .
Approval: Clt}n--DATE:'"'-"':- FLOOD:- BFE+2fr=
AVN
PERMIT FEE $-Comment
i615grnfr6r', [inr., rrro/r 01n-lf t
&q"
frlftj{;-
Aolb-%ooZ
It"-)zo7
:
&
DEVELOPER3 , , :ir! ?t rnvnc ft;r---III--illJTr
pROIECT ADDRESS. -l{i i, I lrj,,ni., f t,... .. _ CITY: rr-\ i,,',r,+ i, .. l" ' _ zlP:. iSl}-l
J ,^- -SUBDlVISION:BLOCX f;: ":__ LOT *:
!)l t ,.
PF0NE #: ll 'pRopERTy O111ER,S ggqg. l.i.r.*i,". rr.-t {i .i. {r,Nhx,
EXrSTrr{G CONSTRUCTTOH, fl ALTERATTON I nrruovarrou f] errurnal REPAIR5 fl neloclrron
NE1a coNsrRUCTroN: fl tnrcr NEhr REsrDENcr o" plaoDrrroN To Exrsrrxc REsTDENcE
'*PLEASE CHECI( AI'JD Al{ShlER BELOI'I ALL T}1AT APPLY rO YOUR PROIECT:
f] arr 6AMGE sF fJ oer GARAGE sF flPoRcH
-sF
NE1AJ
orParaO*r', Xa[g t i:. ' {f
[-l surunoom sF
[-l cnrrrusousr sF
[-l poor sF
fl orcx
TOTAL HEATEo 5Q FT: ":-j".-:iir. TOTAL SQ FT
TOTAL PROIECT COSTtressiot): $' '( ' 'ti{"'"'"
i
NEl,{ Il'tPERVI0US AREA:sQ Fr
(fOi 0tFICE dSE CfiLY)
p.3 vb
HANOVER COUNTY BUILDING PERMTT
APPLICATTOI,I IYPE: RESI DENTIAL
PLEAS€ AI{SHER ALL Q{JESIIONS APPLICABLE TO YOUR PRO]ECT
"ProJect ResponsibilitY"
P}iONE S:
APPLICATION
Number
(office Use)
, \ ')- - /DATE: ! ' 1- .', 't \.i 1.
*rr.1
RfttsED 0 -TE 94./11/tli
I sronacr sHED
-*
5F
sF oTHER: Jsv,
-sFlVc*lre 1 (-'.,,\
UNDER ROOF: -.I:. T TOTAL AREA Sq FT:
Is Any ELECTRICAL, pLUHBING or tttECHAilICAL ftork Being Done to the Accessory
If the project is a Relocation, is there a Natural Gas Line on the
rs there Electrical Power on this Buildingl Ef\ies f] *o
* OF STORIES; d
structure? [l ves n tlo
current site? [ ves E *o
*...r".' r-i l.SIGNATURE.: "-It:i i"ii.r ) /'{t J;"-''>-/,
pRopERw usE / occuPnncv: ffiirNGLE FAMTLY I ouelex I ro^lr'rxoust
DESCRIPTION OF TJORX:fucs"lourr l*'XlY'
and odinances and regutalions. Th€ NHC Dsvebpment Seruices Cenlsr will be notifed o{any changes in tre apptoved plans and specifications of ctrange in contructor or
contr*to, inbrmation. ..'NOTE: Any Work Perrormed W/O the Appropriaie Permils will be in Vbtation ol the NC StaE BBg Code 6nd Sub,€ct b Fines Up To S500.0Cr"
o|JNER/CONTRACTOR: .', ii',.-*u-', li,il '.lii{ ,
*,r. *x * * r ** ** * * * * *, +:r. * + * * * * * *(i!Tl Iil"J * * * *** ** * * *** * * * + * * x * * * * * * J** ** * * ** x +,1,t t* + + t t ** * *** * *
rs rHE PROPERTY L0IATED rN A f LOODPLATII? fJ YES EI *O
EXISTING IHPERVIOUS AREA:
-
SQ FT TOTAL ACRES DISTURBED:
Exrsr LAND DrsruRBrNG PERHTi: l-l vrs l-l Ho
r,,rATER: I crnun fl commururrY sYsrEM []eRrvare well I crrurnal wrll
SEWTRT f] creun I crrurnal sEPrIc f] rnrvlre 5EPTIC fl comnururrY SY5TEM
,*: SEPAI1ATE PERHITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABs & INSERTS "**
pAylrEr,rT nETHoD: ft cosx f] cxrcx (nAvABLE To NHc) [ *unrcaN ExpREss f] mclvrsr E prscovr*
**rr**i*******r***r*****,*+******f**********i(+**'i.+*+,N+i**+{r***t**}******iti**aaa+***}****
ZONE:OF FICE R:
Approval :- CitY :- DATE :
SETBACKS: F: _ LH:_ RH:- B:-
F LOOD :
N
PERMITComment:
( *o cF313..,n Z'nD
,,,:1_6,co
O}S{ER,S ADDRESS:
CONTRACTOR:t.....
CI'TY' r. .;rl,rr'.r'\( N
ADDRE55: ,,*
! 1",ENAIL ADDRESS:PHONE
PIONEPRO]EfT CONTACT PERSON:fi {l arrrt I lc: i rl'r{.t
sr:Lli-, uPrW i
r: ci.ier-jlo"Jjr;y
6, {i' I {:,' :;ii 1.,'.-j' :r'rl
Lr
i
1
+r
j
&
A3Sbru""AA
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATIfiI'1 rYPr; RESIDENTIAL
p1'€A5t ANSr4rfR ALI QutS]IONS APPIICASIE 'r0 Y0IJR PROIICT
"Project BesPons ibilltY"
2o)Lp-8o Dg
r?4+n-?+'tSr
appLlcnriol
Humber
(0{fice Usr)
(-_ :.:p:&f{63
AFPLICAT.ITJ S
DEVE LOPER :
PROIEC'r ADDRESST
5UBOIVI5lON:
PROPERTY OhINER,S
OtlN[R'5 ADDRESS:
CONTRACTOR:
ADORESS:
EI4AIL ADORfS9:
PRO]ECT CONTACT PERSON:
EX15T116 COI{SIRUCTION:
BLOCK
PIrcNE $:7lA'Strg-toSS
Ph0NE$: t\ r1
489
f! al*rnrro* ffinovarro* [ cr*rnal RIPAIR, fl nrlocarron
fJsunnoom ..- sF fJ Poor
-
sF
f] enrn'rnoust .- sF f] urcx ..- sF
NEil coNSTRUcrroN: I enrcr IEN RESTDENCT or I AgDrr]oltl TO EXTSTTNG RESTDENCE
+*PLEASE CHSCIT A}ID A!'ISI'IER BELOI'I ALL THAT APPLY TO YOUR PBO]ECT:
f] arr GAnnGE
-
sF I uer GARAoE sF f]PoRCH
-
sr
f] sronacr SHED ., -SF
**r*, /L-t+ o ve 'k st .
P-trTZ;;Ltc/-.1 r
TorAL ttEArED 5Q Fr: A7*5 TorAL sQ FT uNDER Roor:TOTAL AREA SQ FT:
ToTAL PRoIECT COSTIt-essrol , * 4*AOO S OF STORIES: I
{BrNG or "rarilil *ork Being 0one to the A(cessory structure) fl vgt n N:
- |ryl ,, r
;; T""fi;T i, l"*"ro.ation, is there a {1!uyr 6as Line on the curent site? f]ves il ro
ve q f?t+, t^t
rs there Electrical Por,ren on this Buildin1,;W{es E*on -'' rLY f] ourlex fJro,.rnuousl ,:::::il,H"!r".iii"*tffffi{i- ^- + r ;,".<,^ ,^
::l: :j:lx 3H5:111ff lX* "lK:ll$ll,Til:#IrJ;:#l':".:rii;[H#,SJ;]*txx";,fffi#[*,.,:*llil'"*l:::Lf,.sU:';ffi:r"*Wfw-trX
ordN'n/c0,{rRAcroR: he,,. t'l . F*n.r// STGNATURE:
*.* + * *:i * + *t + + ++ a I I + i ., . * * * t *(l!'#l JiTJ * * * * * * * * ** * * t r I +' * * + * 4 ** * ** * + + + + x * t + t t *
rs rHE pROptBTY L0CATED rhl A FLoODPUTHT IJ vrs F *o
ExI5TING1,'1ptavIoUsABEAl-5QFTToTALAcREsDISTURBEol-_-*
tlEwIt,1PERvIoUSAREAl-sQFTExI5TLANDDIsTURBINGPERHIT:[|YE5IJNo
NATER: ffi crni",a f couvutlrrY 5YSTEM I-l pntvarr weul f] crruraal Nrtl
sEr,JER: ffi .rruo I crtlrnal sEPrrc f] enrvare sEPrI( fl comnullrrY sYsrEl'1
{,}A 5[PARATT P[RI.1I"T5 R[QUIRID FOR TLECI, 'IECII.,
PL8G, CAS EQUIP' PRETJls 8lNSERTS }**
pAyrl.Nr *rr*ooi"'-iJ.;;; n.;;; i;^r^r.i-ro -"1, n *.*r.* ,*o*.r, fl xcrvrsa ff otsco"t*
+**,}}****}'+41{ii*++}*+++'tt*+?11',,,*+'i'ii$+i+*,'*}*,*'*+***+'*$*iti'+l**'{4.+i****ti
{ rO* or r t Ct iJsl {fii Y)flr,.rIS!0 lilt A,aj:1
OF T 1(ER:SrTBACI(S: F:- LH:-RH: B:
Approval:- CitY:- DATE :- FLOOD:BF E+ 2ft=
Commafit:
c.\ zu"'*.-/nr. cffirc-
furr rur,*A0,.@
LL(
CITY:
a cl
1 6-
Safi
2069NEId HANOVER COUNTY BUI LDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(Office Use)
DATE2 1 .74.2416APPLICANTTS NAITIE; John F Breshears
DEVELOPER: New]-and Communiries
CITY: wj-lmingron
PHONE #: 910.520.3943
ZIP i 284t2PROIECT ADDRESS: 4116 Watercraft Ferry Ave
OCCUPANT/BUSINESS NAME: Lake House Pool
PROPERTY OIdNER,S NAltlE:
OWNER,S ADDRESS: 73.7.11
Newl-and Communities PHONE #: 9L0.442.2840
Ballantyne Corp. Place CITY: Charfotte ST: NC ZTPi272I1
ST: NC ZlPz 28401
fi3 910.791.8101
g; 919 .920 .2691
CONTRACTOR: Monteith Construction Corp
ADDRESS: 32 N Front Street
EIIAIL ADDRESS; byoungGmonteithco.com
LICENSE #: 43319
CITY: wilmington
PROJECT CONTACT PERSON; John Breshears
PHONE
PHONE
EXrST CONSTRUCTTOru: ! ALTERATTON
lf Relocation, is there a Natural Gas Line on the
(Check A11 That Apply)
l_l Reruovrrroru n eerueRll
Current Site? llYes l_lruo
REPATRS ! nelOCarrOru
tS BLDG SPRINKLERED? Elves fiNo
NEW coNsrRucrroNr I rnrcr NE}'l srRUcruRE E FAsr rRAcK ! sxrr-r- ! uerrr f aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit f:
***** IS THIS A CHAITIGE
was the Previous Occupancy Type?
PROFESSIOML: LS3P Laura MiIIer
PROFESSIOML: Woods Engineering Don Woods
DESCRIPTION OF WORK; New Pool Construction
Is Elect Power on this Building fi ves E ruO
OF occuPANcY usE? EYEs flNo *****
What is the New Occupancy Type?
PH: 910 .391 .3636 NC REG #: 9888
IF Yes, what
ARCH DESIGN
ENGR DESIGN PH: 910.343.8007 NC REG #: 79415
and local laws and
TOTAL SQ FT UNDER ROOF:
ACRES DISTURBED:
NEW IMPERVIOUSAREA:
ts food or beverages prepared or served in this structure? [Yes E]r.lo ls The Property Located ln The Floodplain? [ ves El No
DISCLAIMER: I hereby certify that all information in this application is correct and all work will
and local laws and ordinances and reoulations. The NHC Develooment Services Center will br
that all information in this application is correct and all work will comply with the State Building Code and all other applicable State
and reoulations. The NHC Develooment Services Center will be notified of anv chanoes in the aooroved olans and soecifications
ractor ihformation. .'.NOTE: Anv Work Performed W/O the Approoriate Permiis will 6e in Violation of the'NC State Bldq Code andor chanoe in contractor or contraclor
Subiect-to Fines Uo To $500.00"'
evelooment Services Center will be notified of anv chanoes in the aooroved olans and soecifications
Any Work Performed W/O the Appropriate Permiis will 6e in Violation of the'NC State Bldg Code and
Subject-to Fines Up To $500.00-'.
OWNER/CONTRACTQft; ;onn Breshears S!GNATURE:
(Quallier) (Prlnt Name)
contain Asbestos or not. You are required to call the National Emission Standards for Hazardous Air Pollutants (NESHAP) at (919)707-5950 at least 10 days prior to the
demolition of any facility or building. See Asbestos Web Site: http:/rl,ww.epi.state.nc.uyepi/asbestos/ahmp.html
TOTAL PROJECT COST: $8c0, 000 BUILDING HEIGHT:
SQ FT PER FLR:
# OF UNITS:
TOTALAREASQ FT. rr, /br # OF STORIES:
# OF FLOORS:# OF STRUCTURES:
EXST LAND DTSTURBTNG pERMrr? fi VrS E ruO
SQ FT EXISTING IMPERVIOUS AREA:
pRopERrvUSE: lorFrcE ERESTAURANT luencnrurlE EEDUo EApr EcoNDo orHER:
WATER: ZCFPUA fICOMMUNITYSYSTEM fIWELL EZONINGUSECIASSIFICATION:
SEWER: EICFPUA fICENTRALSEPTIC LIPRIVATESEPTIC fICoMMUNITYSYSTEM
*- SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS & INSERTS *'
PAYMENT METHoD: flcnsx flcxecx (PAYABLE To NHc) fiaurnrceN EXPRESS fl trrcnrtsn il orscovrn
(FOR OFFICE USE ONLY)REVISED DATE 4111112
ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B:_
Approval:_ City:-DATE:_ FLOOD: BFE+2ft=.
AVN
U
SQ FT
Comment PERMIT FEE: $
,tfJL t 9.3,V6
WAJo FLA /u s#
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICA|ION IYPE I RESIDENTIAL
PL€ASI AirslilEn Att QUESTIoIIS APPLICABIT TO VOUR P80l!(T
"Project ResPorlsibility"
ClWt ll,i/ t\
BLOCX
\
APPLICANT'
DEVC LOPE R :
pRorEcT coNrAcr r,*ror, prrlxe t Q@S1J:E tr*-i
ExrsrrNc coNsrRucrroNr dAtrtRAnoru f] RENovArroN fl errrnar' ne narns I RELocAlroN
PRoIECT ADoRESS i
5UBDIVlSION:
PROPERTY O!./NER, !
O!,INER,5 ADDRESS:
E I,1AI L ADDRESS:
ZONE:
OCCUPANCY:SINGLT FAI4ILY
WORK:
OFFICER:
NEN CONSIRUCTION:
.iPLEASE CHECX AND
I nrr cnuct
I sutrnoorr 5F
I otttnHoust
I raecr NEt,l RESTDENcE o" f] aootrron To ExrgrrNc REsrDEllcE
AiISXEN BELON ALL THAT APPLY TO YOUR PRO]ECT:
st
SF
TOTAL HEATED SQ FT{Kg,'- TOIAL 5Q
TOTAL PR0IECT COST cess Lor) : $ QAAI--* OF STORIES:4 ,{r", f]ro ,
site ? t] ves [[ruo
8F Er 2ft=
ls any EIECTRICaL, PLUIIBTNG or riEcH.at{lcal l'Jork Seing oone to the Aclessory St'ucture
If the project is a Relocation, is there a 3lri] 6as Line on the Cu|rentIt the p.oje(t rs a Relocatjon, i5 thero a lJatulEl tas Ll
rs there tlectri(a.l Power on this BuildinglfZfv"t f] r'ro
PROPERTY US! /
DESCRIPTIOI{ OT
-.-,/
oupr-tx I rfror,lltuousr
nslc// tLtu rcrt:l a.t.r t'nd t'.* t<'LA" '*/^@
orscLAI,,ER. ,he,e5/cen't t..,.u,nbhaLio' t 'iliiii ii--I*
"n.hdk'rncomD
v!-rh hc s:-:-:::11"t"5::::::,11"T:::l':;tii,::"ilY;::Y'orscrAlMEn: rne,eby cen'ry inEr mDrm ur s u'Er"gJ#c;;;;;#;*0
"i.", "ii"i"" n *
"pproved
pranssnd spec,rsrons o,chanqe_imnra.ro,o,
.ni1 odindnc0s snd ,eeulations rh. NBc D€vebpoe'l s€rytces lenrer wn' N no!wo :' 1'l:'::::"-::::,.':':.--:-.ii^i-" "ii.,,iL- . rin.. G 1o ssoc 0{} '
.hnreb. inb'saton ''NOTE Anv Work Pe.,om"i Wi6 J" ^pp^o''"
p*mils wl]l be h Violarion ol the NC slaP at1a Code "d Subjecr lI) f mes Up l (
,-.)or{NER/CoNrMCrO# srGNAruRE: Qn-" "' ll,'^l
EXISIIN6 ImpERVIOI,S AREA: *----5Q FT TOTAL ACRES DISTURBED:
NfN It4pERvIOUs AREA:
-
Sq fr ExIsT LAND DISTURBING PERMIT: L_-] YES L-J NO
MrER: dcFPUA ft con unrrv svsrrtr I PRrvArE NELL I cturnat welr-
5EHER: ZCFPUA l au*r*o, senrrc I pRrvATE sEPTrc I corluutlr-rv svsrtlt
PERXI'I5 RTQUIRTD FOR TTTC], MfCH, P.BG, GAS LQUIP' PREIAE5 8 IN5ERTS *'
oorr,*, nrr"oo, f] car, [."ic* (PAYABLE ro t'tnc; [ Al,ttnrcon rxoress L-l nc/vrsn LJ D]scovER
i ** *r * +** * * t+ *i'i * t * * r*r 4 t, i +** * *
(roi orrr(a ug! o.jt Y )Rrvrs!o 0A1€ onl 1_r/ t1
SETBACXS: F :B:
Approval:.- CitY:-DATE:-- r LOODi
)atta-Oo33re241#)
APPLICATION
!,tunber
PsoNE iq//A:!:@
sr !uJ:27P ,
fl orr crnrct sr I eoncn .--sF
f] noor .- sr
5F OfH'R:
I sronaer sreo SF
SFf] orcx
FT UNDER *oar:2609-TOTAL AREA SQ FT:
DATE:
comoent :
c,\ are. , xo CQAtcr-.,
PeR IT FEE: $
A00RESS I
PBaNE $tV/!:52UtGka
LrcENsE f : bar-r-
CITY: LLr ) '$- srlJl zIP izl<4ll
NE[^J HANOVER COUNTY BUTLDTNG PERMTT ?E? W - 2\+L
APPLICATIU,T TYPE r RESIDENTIAL
PLEASE AIIS}'ER AI.L QUESTIOI,JS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
,,,fztl / (1a /-a/4
APPLICATION
Number
(office Use)
APPLICANT,S tIAflE:
DEVELOPER:
PROPERTY OIINER,5
O.JN€R'S ADDRESS:
PROJECT ADDRESS:
SUEDIVISION:
CONTRACTOR:
ADDRESS:
EMAIL ADDRESS:
PROJECT CONTACT
l.lAii'lE:
2325
PHONE *:
LOT f:
*nw *, ?b.L-
sr ; NcztP I
:rrP,4f
'a3 /1 ..1
b-D721"74rCITY:
LICENS E
CITY:er'4 *r^lc:IIp,241,n* orZl,;14'q/rl
ProNE *: 10:211 1169aacti
*,}PLEASE CHEC(
!nrr eanact
fl sur,rnoon SF
I cnreruous e SF
ZONE :OFFICER:
SF
sr ! eoncH
-sF
f] sronncr sHeo
OTHER:
SF
5FSF
TOTAL HEATED 5Q FT:TOTAL 5Q FT UNDER ROOF:TOTAL AREA 5Q FT:
TOTAL PROIECT CoST rr""" r-ou : $ J2,"ao # OF STORIES:
Is any ELESTRI6AL, pLUttBrNG or IECHANT6AL work Being Done to the Accessory structure? [ V- [ no
If the project is a Relocation, is there a Natural
Is there Electrical Powen on this Buitding?EYes
Gas Line on the cunrent site? [ves [ ruo
l-l ruo
PROPERTY USE / OCCUPANCY:[l srrucle rnmrlv ! ouer-tr
OF IIORK:,/A fe$
alt oher applrabte SlaE and locallaws
o, change in conkactoror
Up To $500 00"'
(prrnr Nane)******t**,t+tr****r.+******,t,1.i***i**t,l******+**i"t*)*'**I****+++****'t*)*)*{r***
IS THE PROPERTY LO€ATED IN A FLOODPLAIN? E YES E 'O
EXISTING IMPERVIOUS AREA:
-5Q
FT TOTAL ACRES DISTURBED:
\EU TNPCNVTOUS AREA:
-SQ
FT EXIST LAND DISTURBING PERMII: E YES E NO
\-
wrrr4S cFpuA fl coMMUNrrY sYsrEM f] PRrvArE wELL f] cenrnal wtrr
srwen'! cFpua E cENTRAL sEprrc ! enrvnre sEPTrc E coilmuNrrY sYsrEM
*:* sEPAIiATE PERI'lITs REQUTR€D FoR ELEcT, l'4EcH, PLB6, 6As EQUIP, pREFABS & rNsERTs **ri
pAy,,rENT r,lErHoD: ! casH I cnrcK (PAYABLE ro NHc) E AI4ERTCAN ExpREss I mczvrse I orscovrn
* * )*,r * r** *)r** )k,t,* )* )* x:* * x)i+ +*** **** rt*)t **** )i+***,t,f * *{()* **** **)t* *'*'* 'l )***'t)*** )* *,( 't 't)********'** * )t**'* )*
(fOR OFFICE UsE ONLY)
SETBACKS: F: LH:
REVISED DATE O4l11/12
RH: B:
Approval:- CitY:- DATE :- FLooD:
N
PE RI,IIT
7d,lo' tsD31
DATE :
ExrsrrN6 coNsTRUcrIoN: f] nrrrnarroru fi netlovrlon f] ceuenrr- nenarns I RELocATIoN
NEW CONSTRUCTTOI, I rnrcr NEbl RESTDENCE o" ! AOOrrroru To ExrsTrNG RESTDENCE
AND ANSWER BELOH ALL THAT APPLY TO
-
sF ! orr canner
I eoor
I oecr
YOUR PRO]ECT:
otscLAtMER: thdby;er[ry haral inbrmai6n in tlis applicadon h conecrand all work wllcomply wih hyState Building Code
and ordinances and regulalions. The NHC De!€lopment S€rvices C€nErwillbe noif,ed olany changes in fie approved plans and
Comment:
I (,
BFE+2ft= _
,rr' sy'lDP
conlracL,r inbmadon
+;,, / A,,-.1 SIGNATURE :
20\lr-U35
NEhI HAIIOVER COUNTY BUILDING PEII{4IT
APPL,CAYTNI TYPfi ; RE5I9ENTIAL
pLEASE AN$r.iril ALL QUrSrIO$rS APPLTCABLE 10 YAJR PR0I€CT
"Proj ect fiesponsibilit)/'
.':tn,"-,;lI itlt:.i:
APPLICATIOI.I
?.1..l$her
(off*.c Lrse)
DArf :gjl4llAPPLf CAfiT'S !'UtqE:
DEVELOPfR:
PAglEt? ADB&ESS: 52: MoSS tF.ti:r llR.
BLOCX #: -{.2_ LOT $:
Pll0tlE *:
ZIP: 28,{05
PHol.lE $: (?l-:.1 11,3.--1.9.!:....
5T: NC ZIP: ?9{Qs ,
5T: NC ZtrF: 2Sa80
PHONE *: (9ro)26{-9{4{
Pll&,lE *: $:cl 25,!:34,4!_
SUBDIvtrsloN: i,$lli!:i
pA&pERTY o&8{Ift'S NA'qE: }-ll?uc}lY & cAF.cr. N}.s!l
O{t'a€fr's ADORESS: !!5 UDS!,,IEiE !i,.
CONTRA{TOR: fiDGAR B XE:Ti,i
ADDRESS: PC BO}; 9?8
CITY: -i!l:,!lItiq!. !l
LICEftSE *: 73t25
E}IAIL ASDRESS : Eite ithQ I nt racoas.'-a I Rea i t
pnolECT CoNTACT PERSOiI: il:,Tr KEi:fl
EXISTTilc COr,tSTBr'{Tr*Ht fl ArT€RATr0l,r [ *rrtOVarrOru f]erNrnal REpAIns f] nruocArroru
ilfiu coilsTRu{floN: il rxrcr ilE!{ efsl}f]rrt or ffi Ap0III0N 10 EXrSTIHG RE$ISt]lCt
TT,PIEASE CHECT A$P AilShJ&* STLOd ALt THAT APPTY TO YOI}R PRO]ECTI
ffarr 6ARA6E
-
sr I ner GARAcT sr fJ PoRcH
-sF
I sur,rnmtt SF f] sronnce sura SF
i] ene euirouse orHER: i-ll.-*" ".. - -"-,., sF
rs rHE pRsprflTy LOCATCB rN A FLo*DpLArt{? Il Y€5 ffi m
f noor
-
sF
5F f,] oecr
-
sF
TOTAL }trArfrCI 5Q FT: l)_ T0TA{- SQ FT UruDER ROOF:::i TCITAL AREA Sq FT: l?s _
TSTAL PRCIJECT CoST{res.sr-or} I $ .rcrcn$f OF STBRIES: I ,.
Is Any ET ECTRICAL, PLuSSIilG or liECtlAtlICAL tJork Beinfi Done to the Accessory Structure? ffi VeS ff *o
If the project is a Relccation, is there a Natural. Gas Line on the Current Si.te? fl ves il no
Is there Electrical Power on this Buildinc? n v"s lXlNo
pRop€RTy usE / occuprrilcY: ffi srNsLE FMrrY fl ouer-ex f] rowruuousr
DISCI-A&.|SR: I herqby certjiy hat €tl hbrmadon ifl fiis aFpfcarhn is corect and df wt wtl cgnply wih he Stal, Srilding Coca ond ot o&or oppllcrbla Slate rtld &tcd ls*s
and ordinanccs and f;:!uls!h!:g. The NHC f],)!"lrir{nl S€rr;ft$ tanEr wlg br ilolfied ot ,fly xt3ite; in he Bpprovad ,lans gld st:*ciicSt?ns or changa in conkoclcr or
f,if;rzr!3r inbmatcn. ".tl*T€: Any y/srk Fe.l0mrd !Y:e h. A6trcf!'!"!: P*nii'G wll be h Violrl'.sn ot tho NC Sta& Bldq Cad" aild Suirect b Ftnoe UP To t500.
5I6I{ATURE:
rxIsTr!{c Ii4FSRVTOUS AfiEA: 1!43 5Q FT
NEI.I Illp*RlrIOuS AREA: .1:*L_. SQ FT
TOTAL ACRES DISTUREEO:
EXrST LAilD DTSTURBTNG PERlcrr: IJ VeS Hl no *;{}r$t>itr
{i}-}
uATERT ffi crrua f, cor*uNrw sYsr[n fJ rnrv*rr utll f] ceurnrl nrlr"
sE!,rER: ffi crrun fJ crtlnm SEPTrc t] o*rvnre sEPrjc fl coruuxrrv sYsrEM
4$* qf i-B& , tii;r-::;...r lrl{:{.r.ill5t Il:R iLtir };t:iit} PLBC, C{q !$-::i frl9r&gq & ii.,l5IitrS "-'
pAy,q*sr ,{E*roD: ffi casn ffcxscx (pAyABrE ro rric} f,mrxrax ExpREss ffi ,.ruruo I orscoura :S
;3
.o*r, &tQ-lirr.u*, *g t
sETEACK5: erNJA* ux: I9l" RH: !,0' . e, .10', :..r4
Psl,xp"e + h,{, ?ouu Eo.rrfrrrs:,.1{ Mqt{ $€fl A v :-..-- ---
10'$grB*oes
c.l./ Zrr.,o,
CITY: wIu{]${;TcN
CJTY:'d!UCI{TSY;:.i,n BEAi::;
DES(&Ip?I0N OF HORK: ;Oi:lt',tir"rr? iQni- 1:.'l'',:,14 ?_rl ?Lill
,.;
ffi
6ilrcr),*,DgnO nB
NEIAJ HANOVER COUNTY BUILDTNG PERMIT
AP?LICATIAN rypE; COItll{E RCIAL
PLEASE ANSIJER ALL QUESTIONS APPLICABLE TO yoUR pROlEaT
"Project Responsibility,,
?otb8o37
APPLICATION
Number
(Office Use)
APPLICANT'S trlAME; St,one-Montsomery Consrrucrion DAf Ei 7 /2t/20t6
DEVELOPER: PHONE *:
PROIECT ADDRESS: 1106 Ann srreer CITY: wilminqron ZIP;, zaqot
OccuPANT/BUsrNEss NA,lllEi New Hanover Counry schools-Greqory school
PROPERTY OhTNER'S NA!4E: New Hanower Cqunry schools PHONE #:
OWNER'5 ADDRESS: 6410 Caroti-na Beach Road CITY: wilminqcon ST: uc ZIPi 284L2
CONTRACTOR: Stone-Monrqoinery Consrrucrion LICENSE #;28130
ADDRESS: l.t5-5 Hinron Avenue CITy: witmi Eon ST: NC ZIPi zl4a3
El'lAIL ADDRESS : i ennif er@stonemontqomery. com
PROIECT C0NTACT PERSON: Roberr Monr.somery
PHONE
PHONE
*: 799- 3939
#:520-1653
***{.'. IS THIS A CHANGE
fF Yes, what uas the Previous Occupancy Type?
ARCH DESIGT'I PROFESSIONAL :
ENGR DESIGN PROFESSIO}.IAL :
NE!'l coNsrRUCTr0N: fl rnecr NEht srRUcruRE f] FAsr rnacK I snrr-r- f] uerrr I noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The 5he11 Permit #:
Exrsr coNsrRucrrorrr: fJ ALTERATToN n *r*lif;illli 'iiT'J;L*, *roor*, fl nerocarron
lf Rolocation, is lhere a Natural Gas Line on the Current Site? flyFfi r.ro ts BLDG spffixlenrD? il ves flruo
Is Elect Power on this Building ffi Ves flruo
oF occuPANcY uSE? [ves J*l1s *****
What is the Neu Occupancy Type?
PH:
PH:
DESCRIPTION 0F WORK: Replacinq ceiling trles and movinq and addinq new liqht.inq in two classrooms
ls food or beverages prepared or served in this structurer fl ves f] *o ls The Property Located ln The Floodflain? [-1 yes EI r.ro
DISCLAIMER: I hereby certify that all information in rhis
and local laws and ordinances and reoulations. The NHland local laws and
or change in contreor chanoe in contractor or contractor
Subjectlo Fines Up To $500.00*'
OWNEHyCONTMCTOR: &obe4r w. Monrqornery SIGNATURE:(Oudmtr) (PrhrNanE)
Note: Demolidon notifications E esbestos removal permh applbations ara b be submitt€d using the application form (DHHS-3768) wtrether the
contain Asbstos or nol You aIB rBquired io call the National Emission Standards ficr Hazardous Air PolluEnts (NESHAP) at (919)707-59$0 st least l0 days p.ior b tha
demolirion of any fiacility or building. See Asbestos Web Site: htp:/Arvww.epi.state.nc.us/epi/asbestos/ahmp.hfnt
TOTAL PROJECT COST: 6000. OO BUILDING HEIGHT:# OF UNITS:
TOTAL AREA SQ FT :SQ FT PER FLR:# OF STORIES:
#OF FLOORS:TOTAL SO FT UNDER ROOF:# OF STRUCTURES:
ACRES DISTURBED:
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:
pRopERwusE: f]oFFrcE f]RESTAURANT fluencnxrLE EEDUc f]npr flcor.roo orHER:
EXSr LAND DTSTURBTNG pERMtT?f]vrS ilNO
WATER: mcFPUA [ICOMMUNIWSYSTEM f]wELL f:IzoNINGUSECLASSIF|CATION:
SEWER: mCFPUA [fCEMTRALSEPT|C f]enveresEpTtc f_lcoMMUNtTysysTEM
'-"SEIrl\llAT[p[R1,,'lllSffLCUlti[:l)Fi)]ltL[:1 lrlLr]l-t. l,LLiO.(iASLOl.ll['.r,i:iEr'ABS&INSEBI-c"'
PAYI,TENTMETHoD: ficnsn f]cnscx(PAYABLEToNHc) nnrrrenrcANEXPRESS flrucnnse ff olscoven
(FOR OFFTCE USE ONLY)REVISED DATE ,[/11112
ZONE:_OFFIGER:SETBACKS: F:-LH: RH:- B:
NC REG #:
NC RE6 #:
was bund b
SQ FT
Approva[_ City:- DATE:_ FLOOD:
Comment
BFE+2ft=
N
PERMIT FEE: $-
sqr*&€ftlq c,\z.r*-z
acb-8@
L5-723
fi.t\
ifl I:.{;
APPTICAI'IT,S IUIIIE:
NEW HANOVER COUNTY BUILDING PERIYIIT
APPLICATIOTT rYPf : COtt{l{ERC IAL
PLEASE AIIST{88 ALL QUEST:TT{S APPLICABLE TO YOUR PRO]ECT
"Project Responstbility''
PACE S J(::iN.cON ir or iENaS: 'i{ iLDS. aqenr for Dr"'EI-nF.ri?
APPLICATTON
Itlumber
(o#icc Use]
OA\Ei 02/t1/2aL6
DEVEL0PERI HARl4oNy Hosi,TTnl:Ty. rNc.PTFNE S: ?s7.153, e67r
PROIECT ADDI{ISS: t. :' ,." ' : ri: :: ."-. E CITY: .$r:i.H:Noroti zIP:2s{01
PllflNF s: ?s', 161 q6-,r,. T.T
OI"INER'S ADDRESS: 1300 prArr{oNp spRrNcs, srE 204 CITY: vrRcrNrA BE}.cH
CoNTRACToR: H. M. .roRFAN cor.rpAlrr or TBD LICEN5E S:
AODRESS: : ?: 2 rr,.::.1::tD r:l CITY: WILI'IINGToN
E l4AIt ADDRESS : i. i. ne:-, :-..rrrtt1 Jor{i.1x . com
PRO]ECT CONTACT PERSON: JERRY WI}iEGAR
OCCUPANI/BUSINESS !rlAI'?E: EMBAssy surrEs HorEL
PROPERTY OtrlLiER'S NAI'IE :
PHONE
PiloNt
5T: va ZlPi 234sa
5T:39_ ZIP: 28403
f : 910. r,?-= .4551
*: 910. G?9.45s1
Exrsr corsrRU(rroN: I n-rrnarroH n **i[;rgi,HEil** REpArRs I nerocrrrox
tf Relocation,isrhereaNarurat GasLineon:heCurrenrsiter lTJveif,r'ro ISBLDGSpiltnr-xueReo-: Ei ves Ino
t{EW CONSrRUCTIoI{: fi ERECT NEr^r STRUCTURE f rasr TRACK I SHELL tr UpFrr r ADD TO Exrsr STRUCTURE
ACCESSORY STRI'{TURE:
If UPFIT - The Shell Permit #;
r*1r. Is rHIs A cHArlGE 0F
IF Yes, what v/as the P:^evious Occupancy Type?
ARCH DESIS{ PROFESSIOML: EP}IEST w oLDS
TII6R OESIST PROFES5IUilAL: I.IESTC:; G BOTES
DESCRIPTION OF l.lORK: s::'i /BUr
Is Elect Power on this Building ,! Ves
occuPAt{cY usE? !- YEs E No +i..r
l{hat ls the ller Occupancy fype?
luo
Pll: -2.1.9...r41.'160.g_ NC RE6 #: 106J5
PH:31,&glg_ NC REG lr: 03-/333
contah Asocstos o. not Yd rrD r€qulrn, to call tio Nsd,cml Emirsion Sb.rdsr{! lor Hazardous Alr hltllerl3 {fr=SHAP)
dsnpttlbo o, Eny fsdlry qr bulldlng. 8# A3bqsl9s Web SiE: htlpl\Y$itr.9Pl.st8:*-tE.:rs,'odlarbestos/sheP.hrnl
l€ast 1 0 days pror lo the
IOTAL PROJECT COST:BUILDINGHEIGHT: rzc':.0' #CF
TOTALAREASQFT: reo.'gz - SOFTPERFLR: sir a:uc;::. #OF
TOTALSQFTUI{DfnROOf:- #OFSTRUCTURES: r #OFFLOORS:
ACRES DISTURBED: O.8 EXST I.AND DISTURBING PERMIT? f.I YES :I
NEW IMPIflVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA:
ls lood or bevereges prepered tr s€rved ln thls sfructure? E V"r E m b T?re Property Locded ln The
)r
OWNERiCONT*ACTOR: 1'-"..' - i'-r:r-:!tis=----:+ SIGNATURE; --..-*---*-(odrEi {fthltEa.)
c"rr*t * muat c-.rr,u.l r ,, ur/ rfQQ qft|.t*ai d J=*u,, FEE: $--
0lffvr,o.' frty tnspeeihl Req.lreo, ?1$254{i,l,l
pRopERTyusE: fJoFFtcE [nesrnunarur f,uencarnr-e ]eouc [Jerr fcoxoo oTHER:n: - Hornr .
YdATER: mcFPUA flCOMMt",NlwsYsTEM [WE-L _DZONINGUSECLASSIFICATION: csu
sEwER ZCTPUA nffiNTRALSEPTIC LIPRTVATESEPTIC IICOTUMUNTTYSYSTEM
rr{iTi '*"li'l,i:TCtl:--.i,lFE -^- lJccH.ptBG.6AsEotjlp.::'- 3s8|]j-..--- "'
pAytilENT MErH@: [-:CeSn I CXECX paVnSLE rO N]tC) [ nUenrCe,n E(PRESS f UCrVrSn Joscoven
FEVISED DATE /Vlltl2
zoNE: C&D oFFlcER:
(FOR OFFTCE USE ONLY!.
- SETBACKS: r: f rt:nH:-lF B,+-
Aooroval: Civ:FLOOD:
" BFEDF III
Bs/vo
NEhI HAM)vEn cdlrry BUTLDTNG pERtjtrr 2or(P-rc+l
APPLICATT(}I
ttu6er
(officc lrs. )
APPLICAIT'5 MIiE :
DEVELEER:
PRO]ECT AI'ORESS:
SUBDIVISIq{:
aPPLIcArIqt rnE; RESIDEITITIAL
P|-EASE AXSTIR AtL qrg5Tl06 AppLI(A3t-E TO youn PXOJECT
BLOCI( r:
oq tll' 'o'r-"r
LICETTSE T:
- ooo
P}IXE t],LOT I:
z''Pt:ft1:d5'u
I
XPROPERW M{EN'S tl,I'IiE :(xen,s ArDREss:
ADDfiESS:
EitAIL AIDRESS:
PRO]ECT COiITACT PERSO :
[l oer crucr
fl poor
-
4vO
SF
sr peoncu a?'l srp sromee sueo
OTHE R:
tt4 5F
SF
l"n
Approval:- City:_ DATE:
Coment:
rEvr96 tE aal1v12
OFFICER:
(r(x ofrrcE lrst ottY)
SETBACXS: F: LH: R}I: B:
PERrlIT
-PrcJect Rlsponsibilitf
crrx, lzL.,)
-
sr.fr4 ztP. etfus^
Pl0*E * q/o'ltq)- t 3 D7
Ploa{E *: ?/a ^./L/ 5-f3a-7
ExrsrriG cq{srRucrro r I rlrumrror fl nrrcvrrron l a*a*L *rAI* x #roaorr*
rlEr Co]|STRUCTTOI: I enrcr NE]r RESTDENCE o" ffi OOrrrOn rO EXrSTrirG RESTDEI{CE
.+PLEASE CHECX AIO AlSllER BELOII ALL TXAT APPLY T0 YOln PiOJECT:
lar crme e
! suunoon
-
sF
! earrnuorsr _ sr fi orcx lf D sr
rorAl HEATEo sqfiz //13 rorAl se Fr IIDER R@Ft /lu7 rorAL AREA sq.r: tAEl
TOTAL PROIECT COSTTL:sstat I t a\ffi * OF STORIES: I
Is Antr ELEGTRICAL, PLlr3IlE or iECtuxIGA Lork B€ing IbrE to the Accessory Strrrcture? [t V"t ! ffo
rf the project is a R€location, is there a l{atunal Gas Line on the current site} f] ves I ro
rs there Electrical Pouer on this Buildingl BYer l]1 ro
pRopERTy irsE / (rorpAlcYr $sruelE r*ulv n mplrx TO{NHOUSE
OF H(XK:'.7..,
iJ-/u-t u^ol,
t)|SCtAiaER t tE eby cerrit har ar hbdnarion h his TptEabn b conect rld C io.twil comply itl t!. Stab &ritsirg Codeerd.l oisr applicable SiBE s|d bcd laws
tnd ordh.ncss rrd Ggulat Lr Th6 NHC D€r,elofittent SsNi:es C6lE, wil bG noifGd of rly dl,rgcs h te e9m€d pbns rd spcc catbns o(chf,t!. h contrebr o.
.oni&br hbmeion.'"I{OTE: Any b€ h Vobrior of [rc NC StaEgrg Corls dd SubFcr b Fhes l,i Io t5m.0c-
SIGMTURF:
EXISTIG IripERvrqJS xE : l'7/l * FT t-?ll TOTAL ACRES
EI ITPERVId,'S
^RE,l-
dB6d q, FT )bL2I EXIST LAIO DTSTURBIIIG PEN'iIT: !..] VTS ffiTN
urER: [t crnn E co]mlr{rw svsrrn ! pRrvArE I{ELL ! cturmr- ueu
srurn: ( crrur I cE]rrRAr sEprrc ! enrvarr sreuc f] co{lrJirrry sysrEr,r
r*. SEPAIATE PER}TTS REQUIRM FOR ELECT, }IECH, PISG, GAS EQUIP, MEFABS & IiEERTS "T
paynE r nErloo: El casx E orrcx (PAYABLE m ur; flcrerrcor rxeness E rcrursr ! orscorrrn
+++,t,!i.** * *:i )*:t:t,t,*:*:.*,t,t + +++* )t )t,t 't:*,t:! +* *,! *J}*rt| * + t,t * *,1+ ar:t,* *,t * *:* *** +l+a )*:t:*:f:I *:i t +:l+**)t** *,t*)t*+
ZONE :
FL@D:BFE+2ft=
,.., , hbn iJ
P}O E I:
COiITRACTOR:
crw:
X(HI|ER/@NTRACTOR:
IS THE PiOPERTY LOCATED II{ A FLfiDPLAIN? J..l YES tI)