OCTOBER 24 2016 BUILDING APPSto tb'ta3 r7
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NEW HANOVER COUNTY BUILDING PERMIT
AP P L,CATION TY PE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR
"Project Responsibilitly''
Zarono
cnorecr 0}lly
Dennis Thomas Dere. 1010212016APPLICANT,S NAME
PROJECT ADORESS:1000 shadow moss court ctTy. wilm z]P.28412
5ggp1y15191. H untington Forest
pRopERTy owNER,s NAME. Dennis Thomas pnor,le r: 910 6'16-6462
OWNER,s ADDRESS: 1000 shadow moss court
LOT #
coNTRAcToR: Carports and More D"--,
ADDRESS: 170 Holly Spring Rd ctTy. Mount Airy
ELDG LICENSE d
STr nc aP.27030
EMAIL ADDRESS: :i :PHONE 336 789-3818
J
P ROJE!-i COlfi ACT PERSOIII Robbie PHONE
TOTAL sQ FT UNDER Root lJor proposed work) Heated gn1r""q"6. 15 x 26ft
TOTAI, PROJECT COST (Less Lot): S 1800
lstheproposedworkchangingthenumberof bedrooms? E Yes E uo
ls any Electri€al, Plumbing or Mechanical work bein8 done to th e Accessory St ructu re E Yes E ruo
lf the project is a Relocation, is there a Natural Gas Line on the current site? fl Yes E No
ls there Electrical Power on this Building? D Yes E lto
Property Use/ occupancy: E single Family ! Duplex fl Townhouse
Description of Workr
laws and ordinances and r€Bulations. The NHC Development SeNices Center will be notilied of a the approved plans and specifications or change ]n contractor
information. "'NOTEi Any work performed without the appropriale permits will be in vlolat of the NC BldB Code and subject t
Owner/6on,r".aor. Dennis Thomas Signature
"Licensed Quolifier" Ptint Nome
ls the property located in a floodplain? tr ves ( no
Existing lmpervious Areai
-
Sq Ft Total Acres Disturbed
New lmpervious Area:Sq Ft Existing Land Disturbing Permit: E yes D tlo
WATER: n CFPUA E Community system E Private well E central well E Aqua
SEWER: D CFPUA E CommunitY Systern E Private Septic E Central Septic E Aqua
zone:
-
oflicer:
-
setbacks (F)
-
(l-H)
-
(RH)- (B)
-Approval:-- City:
-
Date:- Flood: (A)
-
(v)
-
(N)
-
BFE+2ft=
-Comment:Permit Fee: S
'&i
clTy. wilm 7;p28412
EXISTING CONSTRUCTION; ! Alteration ! Renovation D General Repairs
NEW CONSTRUCTION: E Erect New Residence ! Addition to ExistinB Residence ! Relocation
I' *PLEASE CHECK AND ANSWER EELOW ATL THAT APPLY TO YOUR PROJECT'I'}*
tr AttGarage(SF)_ tr DetGarage{SF)_ tr Porch(SF)_
! Sunroom (SF)_ n Pool (5F)_ ! Storage Shed (SF)_
! Greenhouse(SF)- ! Deck(5F)- E other (sF)Carport
I
ls the proposed work changin8 the existing footprint? n ves S No
APPL ICANT's NAMt: J
r a olEcr AooREss: - -[-2-
SUBDIVISION:
co . ; r,a ToR
A DDRI S5
EMAIT ADt:T:5
f L-\,ra \rtJ .l-Ur t ld i*"
NEW HANOVER COUNI Y BUILDIN6 PTHMI I
,A P P U CA O N rYPE: RESIOE NTIAI
pLfASt,{NS!'!'tP,r.1.L Ot Ii' CNSAPPLICAB|E 'I ,OJR PR()-t( I
"Proiect Responsibilily"
.^otL-io31L
tb lL-2L"8
. o"," 1 :\+ 16
fJ'r-n,d{Ta-xi zo €2",p3- .
*11=- to,r+ J,z\reH€ RD.c ITY
LOT '
,/
PROPf F-Y OWNT R'5 NAMT
OWNTR'S ADORESS:
lw
) s--r (
, J'\ | .j '\.8
_>
r\ofe{pHoNEF a\o :256-..'lrtt1-.
r,, , Vl r.,"vr ,u Cpr.-l zw i ) ..q. )
ELDG LIC€N5E
'1
ST
.1 E-.,F
-. iaY a.-.-!w,'-\
=Jnv .-$<* l-
cin ZIP
PHONi:
.i fJEcT coNTti-.iisoN PHONT
tXISTING CON:-rrJa: : \: Alterarroc >/ 1....T,,atron : Genrra Rep3[s
NEW CON:',:r:.-tlN :...'Ne!! Re!id(..r I Add,tr.- ic Existang Restden€e l helocat,.-
, . . P'.EAsE CHECX ANO ANSWT R BELOW ALI. THAT APPLY TO YOUR PRO'TCT"'
<l<-. AQ-.n>< !\J \JL .v
,- Atr G-, ..,, (5r)__
; S'rnr( (!l )
: Greenhou!.,(Sl)
ls ihr,nrapos{,0 vJcrli (ha BinB the exisling foo:t-"'11? '
I I Det Garirr" iSF)____Porch (5f)
Ii Pool (SF),
[ oeck (sr),i
:-cIAL SQ :- UitC:: ?C -: \ic, ,.npasea,,-,orll ..,'ed. \t 52-
-o;A pRorrrr cc'- -.. .. sJtl , 575.
rs il,(. frr,,p.!{-cl vr(rk .han8rnA the number of b.drooms ) - ves f, tto
, ,rn! Ele(trical. Plumbing or Me.hanical !,rork bern6 dorlo to the Accesscry str!cture l( ves D r'ro
ir llre l]rllecl r, ,, Relocation, rs there a Nalural G.rr t rne on lh(' c!rr€nt srte? [ yes -l t',to
t! lh(,r(,fle(r c.l Power on tli6 EuilCrng? . Yes f llo
3:T:;1t,Y::1 i,::I : t!,K I&"d "''i\Hfi lojIH_gA {A*s a k=
rli
Di5li-il -' '
iinr-_.'_C z1\ s
-Eu,dqs--
:,,1 r.r:-:. ".,,.'. ,,,'-f. irr::'lr:.1""\
-la" t^. J< ,-}7wOwne r/Contracto.
t, ltr, prorr'r ly lo(.ill .! rn <: iloodplarn,
-i*v 6'JcQ.r:',f-,..,1
V 3't liu itt ,o
'
q Ar tA
FLOOD ZOrdH[(k.i,.,e Ar tu.
ves fl t':o
€xistin8 r-i.rviour Area' 5q Ft Total A.reg Di5iurbed:
NeLv lmpcrviousArea , 5q Ft Existing Land Disturbint Pe:'r t -- Yes fl No
wr':', f 111',11 I i.e1--. rn iy Syitelx :' r'.rJ.,1r .'''ll - c:r:rar\,ryell : Aqu,r
stv! - I ,,. .. !, .,''\!Cr, f ri,.ird selti ,'.0., ,
,"^, RikO o,,,.,, rKfii si':3(ksrr) lV/i rLxrUG r*rrdl,"t rur Nlt
App,ovar. t[- .',, l{fL[ ,,,' lulliilu,'"0 ,nl 13' {v)--.. {N) ",,'rtt= J5'
'-c--..'r1
16r P
P^ttnt t shry+ry ri +& SFHA - 5*z- at'aeho4 Ptr- Perm' Fee: s
rdrnv* fnnddrsnS.
40?"o
SloraEe She{, (SF)
OIhc'lSFl _-_ . .
kquest 4a 'cPnt41 ,iL,\ i".i !,r:r-r 'ri rt'l- t', + ,.r,,,,,,1 {}oiq. > tr.*.,t-l*.n' (tr-tC -{l l',lr'.'ilTr- v() rvP'te" ' '/
W HANOVEh' COUfury BUILDING PERmIT RECEIVED l'lAR 11 20s
&
.ro1*t
UN
APPLICATIoN rYPE; COI1MERCIAL
PLEASI ANSI,IER Art QUESTIOtiIs APPTI(A8LE IO YOUR PRO]aCT
"ProJect Responsibillty"
.,/ \ |
APPLICATIO{
Number
(O{fIc. Use}
APPLICANT,S l,r{ E: coastal Conslructj.on t Consulting, LLC
DEVELOPER: AB Harirra Group, LLc
PROIECT ADORESS: 2127 cle&nons way
OCCUPAT{I/BUSINESS t{AnE l Aochors Bend Marina
ztP | 24411
PHONE f: 919.215.5491
ST. Nc ZIp.276I9
ST: NC ZIp: 28402
PHONE *:9r0.s99.7881
PXONE S:9t0.s24.5200
GENERAL RE PAIRS RE LOCATION
No IS BLDG SPRINKLERED?Qv"" Qro
[--l noo ro rxrsr srnucrun(,/r]
rs Elect Power on this Buildj.ng 0 Yes A *{n/A
DATE. l/10./2016
pHONE *:919.215.5494
CITy: vli lmington, Nc
pROpERTy OHNER,S NAttE: AB Marina croup, LI.c
O.INER, S AoORESS: Po Box I7566 CITy: Raleigh
CO TRACTOR: Coas!al Construction 6 Consulting LICENSE r. 72155
AOORESS: Po aox si7 CITY, wlLningroo
El,tAIL ADDRISS : davld0coolaclcoaslal.com / Ieoecontacrcoastal. com
PROIECT COIIIACT PERSO . oavid Edmonds, Ryan Lisk, Leo ltoulton
a\U
(Ch..r AII rhat Ap9l v)
EXIST CONSTRUCTION:ALTERATION RENOVATION
lf Rslocagon. is there a Nalural Gas Line on the Curred Srte?Yes
NEW CONSTRUCTIOiI:ERECT i]EI,J STRUC'URT I rasr rucx !SHEL L UPF IT
ACCESsORY STRUCTURE: N/A
N
si
H tlolar Ootnolidoo ndft.tiyls t rsb.st6 rEnoyal Frmi lppttattcar ara D ba lunrirEd usiarg tt€ sppli:rto.l
coarEin AtDaitoc o( not YolJ rr! ruqur.&, b ratl tha nrdo.ll EmaSiOa Sarl<,aadr lO, iisZrrdllJa Air poilullnrs
dgndilon of 6ny holi/ry or buitdino. S€€ A!b.sro6 Ubb S{.: hnp f./*,r 68 srrlr nc ug.pilssb€sEclanm, hr.n
If UPFIT - The 5he1l. Pe.mit f: N/A
ARCH OESIGN PRoFEssIotlAL: N/A
.i.r. rs rHIs A cHArJcE oF occupAr{cy uset f!v:s @ lro '-...IF Yes, h'trat rlas the Prevlous Occupancy Type? -N/A , _ - Htrat 1r the €r O(cupancy Type? N/A
pH. N/A NC RE6 s. N/A
NC Ra6 r. 1096rl-u
,ow
ENGR/0ESIGfl PROFESSIOIIAL: Gary cree e Lngineerrng i pH.9t9.4I7.16
V'u., t6 )a a..,.bh/ p.- plot <..b""h,f 74p-;&lv
DESCRIpTIoN 0F WORK: sde Attached ExhibiL, Sumnary of work lHrHc Buildin
!8,
gPe rmit Relt:,J-0o-1,
1-'
U
ls food or b€vsraoes proprod o. s6.ved h Ot anrarre? Q vu. QlNo h The Property Localod tn Tho Fboopatn? Qtves f,t r,ro
Code and all orher applcable Slare
olans andltc srare and
I
,h
\J
\E
+JOTAL PROJECT COST. s300,000
TOTAL AfiEA Se FT . n/a
BUILOING HEIGHT: n/a
to.rn (OHHS-376!) wf'.UrGr flr trci5i d boitdt { rs! tqad to
(NESHAP) .t (919)707-5950 .r 166.t l0 6!yr !.io. ro 0.
I
fOF UNTTS: 44 stips
SO FI
OIt R-20 / Uarina
TorAL so FT UNDER RooF r',/a
Sa FT PER FLR:-!'1 _ - ... ,.-_
# OF STRUCTURES. r c""iigror", OF STORIES: n,i a
g 6p p16gpg. n/a
ACRES DISTUREED: N/A EXST LAND DISTUREING PERMIT? tr:,IYES EI NO
NEW IMPERVIOUS AJIEA. I/A SQ FT EXISTING IMPERVIOUS ARE,\. I/A
pRopERry usE: fprrrce flnesraumr.n fl*en fleouc f]ecr lcoNoo orHa* MARTNA
CFPUA
CFPUA
COMMUNIIY
CENTRAL SEPNC COMMUN
PAYT ENTMETHOo: QCASx @Cxecx leavmE To NHC) f,tnr,renlcar a<eRESs OMCMSA Q orSCOVen
ZoNE: oFFrcER: ('T$[E[T,H=-LH:..
- ,RH:-B:Approval:___ City:_ DATE_ FLOOD: _ _ _ BFE+zft=
R€VIS€D OArE a/11112
flty
lo-at - /b )-lLr
Ji6oat t) t
&
OWNEF,/CONTRACTOR:
) n".dtCoasta I €"\.*<..,,0 t ?/, l.L^1( <<.Co[struction ! Cotsulti,SIGNATURE:
WATER:
SEWER:
,r$\*
wL'
o+\r-$x l\.l@ ?LALJ9+
2gtt, -l}LlDL
APPLICATION
Number
(office Use)
rnl \
\'r
tu
EW HANOVER COUNTY BUILDING PERMIT
APPLICATIA1 rYPe: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
G,.J. c Cotr,sr,'DATE:ia-zq-/ IAPPLICANT'S NAI{E:
-DEVELOPER:PHONE S:
PRO]ECT ADDRESS:
SUBDIVISION:
0 CITY:ztP: )94o3
PROPERTY ot,lNER'S NAME:
OI^]NER, S ADDRESS:c
'lon [il*.t*
CITY:
LICENSE #:
CITY: W'
SF OTHE R:
# OF STORIES:
TOI^]NHOUSE
Io c.'
to +PHONE f:
sr | y'lc-zrP t.7tr,/d2
CONTRACTOR i
ADDRESS:
t)
PROIECT CONTACT PERSoN I
DESCRIPTION OF WORK:
ACCOUNT f:
PHONE #:
PHONE *:
sr,l&zrr.Wtr
lto -539-rro2
EXISTING CONSTRUCTION:AL TERATION RENOVATION GENERAL REPAIRS RE LOCATION
NEI^l CONSTRUcTION:ERECT NEhI RESIDENCE oT ADDITION TO EXISTING RESIDENCE
'*PLEAs€ CHECK ANo AiJSbIER BELOI^I ALL THAI APPLY T0 YoUR PRoIECT:
ATT GARAGE
-
SF
suNRooPl _5F
GREENHOUSE SF
DET GARAGE
-
SF
POOL _ SF
PORCH SF
STORAGE ED
-
SF
5F
/q cC
TOTAL HEATED 5Q FT:_ ToTAL 5Q FT UNDER ROOF: _ TOTAL AREA SQ FT: _
DECK
(
6rc f
TOTAL PROIECT C05T tress roo : $00c
Is Any ELECTRICAL, PLUI{BING
If the project is a Relocation, is there a
Is there ElectricaL Power on this Buildin
PROPERTY USE / OCCUPANCY:INGLE FAI4I
.k Eeing Done to the Accessory structure? g7", a ro
Naturat Gas Line on the Current sitel n Yes
fi/v", [m
(Co I
DISCLAIMER: lhereby certity lhai all lnfomalion in tlrs application is corect and all work willcomply wih the Stale Buikiing Code and alloher applicable SlaE and rocat raws
and odinances and rcgulaions The NHC Developmenl Services Center will be notfied ofany changes in he approved plans and speolications
contraclor nlormalion "'NOTE Any s Up To $500.00"'lare Bldg
OI,JNER/CONTRACTOR:
****,******,*,r,***************(i!'lllil"J*******"*****+**:I;***x,*,*xx:rxx*:*:*xx*****,F****)i**,*)r*x**:*
IS THE PROPERTY LOCATED IN A FLOODPLAIN? E YES f] 'O
EXISTIiIG IMPERVIOUS AREA: _SQ FT TOTAL ACRES OISTURBED|
NEW Ii'lPERVIous AREA:
-sQ
FT EXIST LAND DISTURBING eent,lrr: I vrS l--l Ho
I,.JATER:CFPUA CO[,1MUNITY SYSTEI.,l PRIVATE WE LL CENTRAL UIELL
SEWER;CF PUA f] crrrnal sEprrc E pRrvArE sEprrc fl commururrv svsrer.r
*** SEPAIIATE PERI4ITS REQUIRED FOR ELECT, IIECH, PLBG, GAS IQUIP, PREFABS & INSERTS *'*
PAYFIEMT r4ErHOD: I CasH I CreCK (PAYABLE rO rxcl I BrLL accOUNr I rcTvrSl I orScOVrn
*,r** *,** ** * * * *** ***,t,**i( i(,** i< +*,** * ,r,* *;*** *** * * * )*,r + *,t **** * * * * *,**;*'r * ** **;f *,t,t*,t** ***i( **r(* ***** *
y{k Pe,rofled w/o d'erp,opnate Perm,ts w,r'be ,n vbrano. or rhe Nc s
(9o. r/ ; ( Cr arr '-g.',^- srGNAruRE:
:::',%-*-,,-nI*:'44-44 5E0 oaTE 04l11/l2
ZONE:
Appro
Comme
va1:
I,'IE C HAN I CA L
nt:/A
F]
,//1 //j€.
N
PERMIT FEE: $
EMAIL ADDRESS:
BLOC( S: LOT f: _
d'l
DUP LEX
BFE+2ft= _
{Irb(,/orc@c
DiglS ion. D2843682-F 1474987 -94E2-D
!,cEw
RECEIVED SEP O120fi
3F1F0699533HANUVIK COUNTY BUILDING PERMIT
APPLICAEoN TyPE.. RESIDENTIAL
PIEA5E AXST,JER aLL QuEST:OXS aopLlcaaLE TO YOUR pROlECr
-proJect ResponstbiliEp
/ 7ltv *ww
APPTJCAITO'{
tl8:1ber,
APPLIC-A T,S MrttE:
DEVELOP:PI
Sean Cahan
DATE: 08-30-2016 3:59 PM PDT
PRO]ECT ADDRESS;
SUBDIWSION:
P$O E #:N4onroe CTTY| W ng n 7yp 128401
PHOiIE *:
ego sr:CAzrp: 92109
UNSE BLoCK *! _.'_._- LOT *:
PROPERIY CI,IIJ'IJ S Ud{E:
o(,ll]ER,S ADDiESS: 1760 a aya CfTYI n
COI.ITRN,CTO R:
ADOREsS:
Chavez Resoration LICEiEE S:
CITY:
c2o152220043\c@uNr *: _LLI,
ENATL ADDRESS:5T: za?l
PRolEcT CoMTACT PERSoi{: Jake WYer pssxs x; 619-888-1922
SE
.,{-p+
gas line
*ISTIiIG COISftUCl:oN: j ALTERATION I nercvnrrou I eerurnal *rAlns I RELoCArronj
NEr.l colsTRtErISr: I rr:ci I
''PLEASE CHECK A}O AITSWEi BELOI'
flar eeaaee *-'-- sF
I surunoo,t _ sF
GREENHqJSE SF
EtJ RESIDE CE o" I aoorruo,.t To EcsIrNG RESTDENCE
ALL TTTAT APPLY TO YOUR PRO]:CT:
I orr cauce sr I eoeca _-sF
POOL --_ sF I sronace SHED _ 5F
DECK
---
5F oIrtER:
*
TorAL HEATED SQ fie 2766 TorAL sQ FT uNDER x6op3 2766 TorAL AREA sQ FT! _
TOTAL PRoIECT COST(t*ro0: $ .-_-. * OF STORIES:
rs Any ELECTRTCAL, pLular:N6 or inEcHANfcAL l.tork Belng Oone to the Accessory St.lctui.l E V". X ttoIf the p.oject is a Relocation, !s there a Narural Gas Line on the Curr€nt S!te? i'l Vus ll No
Is tirerc Electrical Power on this Building?EIV"r f,nlo
pRopERTy usE / ocaJpaMyr fr sr*r-r FAmILy I DUPLE( E TO!'I,IrCU5E N j
DEscRIPIrol'l 0F UcR(; Third nlt s bein converted to sto exisun kitchen b
cappe
OISCLAIMEt I heosy co t 5ar3tlhi.halor ir nisarrtca$n bcoricland i{ }'oftvil .cini? *liir !'3 SBre SJiidh! (bde 8id all ots arp[ebio SBr, rod bcal 14.
tjnd odhecar a.d EwtsdorLs tro Nl..tC ,oEiopm6n! S€ rvi:.6 Conbr $i:t b€ rcrif.3 ot€n y c]1an!6 in ho eppoved ,lan 6 6d s-sci aBdons or dsgo h cont_€.Dr or
br i.6ma&.. '_NOTE Ary l^/o* P€r6.m6! WO ho AppEFtri3b p6.nitBw b€ in \aEla6on ol lira N C St}E Adg Codo ard 9!bl@t ! Fin€6 W Io S50C.0ar-
CONTRACTCR:s an Cahan sIGn{ATI.}RE: 1.,,.. e,*,..
******r i***r**1*r:I********JISlJi'fl*******:r*+**********:B****:r
Ll YES I INo
TOTAL ACRE5 DISTURBED:
E(rST LAND DISTURBII,IG PERfiTT: E YEs Erc
MTER: I cFruA E cq,4r4lJNrry sysTEM D PRIVATE kELL E CENTRAL wELL
sElrER: I cFpuA I CENTRAL sEpTIc f, ruvare sEpTIc X co,t\,luNlTy sysTEl,4
rrt s
PAYI{EIIT ITETIIOD:I cHEcK (pAyaBLE ro xxcl f, e:ll lcco:ur !\Cl\rr sA I orscwrr
EPA?ATE PE TIIS TEQUITEO FOR ELECT ) AEan, PL86, Cns EQUrp) pRaFlsS & IISIRTS
atsii x**l;i***,ir)********;i****:t**************rt **ia**:r********t*(N(-)( Foc crrjcE usE ofilY)*EVI5E oAtE 6,3/1t/:2
IS THE PROPERW LOCATED III A FLOODPLAIII?
TXISTING Ii.|PERVr0US AREA: _SQ FT
NA,l D4PERVI0US AqrA: _SQ FT
ZONE R-7
ApprovaL:
SETBAC}<S:F: 16 LH:_I)16 nr:N€_ e'-NjI}
orre,t-31.1{a FLOOD:
(c"
{P +a. q O,,ql-,
o-{a*nzro,ruaF u nI
ERi,rrr FEE:
- I4.r, .\,.t v<o'da r,rl--
Z^n il."
,t
P
i'i,1, inc^6 nnrr Donrtttan 0ll'?ii 9t]'r
5 \^* --q
Cc*rant:
vl/ Q oirr-c.rv\it gd,..g\lL
PH0NE *: 910471-9013
X arE+zft- _
Zo tl 88s7
DhiSion: D2843682-F 1 Al 4987 -94E2O3F1 F0699533- _
/,c_ a \\ rrE$r EAmlvrt( couilTy BUILDING pERf4IT
l{ fib yrl applzcAlz:crt ry}E; RESTDET{TrAL
\\ trFtf/ pttrr. l,lrGr ^u qfsDoG rrpualrE !o rqre ,?erEcl
YF,.T rhoJect nosF,E!.burqf
APPlICllfi, s ,uffE :
DEYELOPEE:
Sean Cahan
GTT:\i':!r ngton
arPugrEol
lid.r
(offt r ll.)
DAT[: 8.3D20r6 359 P PDT
_ sr:Cll D: 92109
PAO]ECT
'IDDRESS:
'1925 Monroe Sl Pflo E *:
EEMIo T s Lrn Se e (4P't28:^'-)
BUICX t: _ LOT r:
PflO E ':
PROPETTY OOIEB'S'IA}IE:
ol{tGR,s AomEsSr 1780 La)
CDi{TRACmRT
ADDiESS:
AU:IL IDDRESS :
TI LICE{SE ':
a
AC@JIT 3:
CITY:
OTYi Art o
o\ r CC "-.r
sr,-p5ic4c|Fc'7
r:__1 Y/u 77t.Grtt
*t -ffi22piolEcy cofrAcl pEnso r "t lr.f$an
arsTlt$ @6rH,crlo , fr lr-rearror I
rElt CO sr r[Ioa{: I rrucr riEa iEsrDErGE
..H.rugE ocCI rro ATEt|Gi IELO| rll mr Arptv to y(r.Q plorccts
^/l;r lbb"r4i
PFONT
PltotE
RE\Dt/Arror{ [ eanenn REpArRs f] RELGATToI 'tlc ?jl'-6u2
or I oornor ro E syrrc iEsrD:lrcE
I arr eanse _ sF
flsumoo,r _sFI e trauo.re _ sr
E oer cARA6:
E ror-_ sr
flucx _ sr
sr E pcnor
-sF
I srmlcr SHED _ sF
ol}iER:5F
-IgTAL
HEATE sQ Frr ts TuIAL se FT uitrrEn i&F: #s TorAL aREA :y.n, 7{C
goTAL PRoTECI CoST GEr"o :
'
_ 3 OF STORIE5 ! I
Ir tuy ELEGTEGAL, ptlltBl3lc e t{lcltllEcjl. thrk BslnS Do'E to th. Acc.trcry struqtlrr, f] Ve, fl noIf the pr.oJcct is a RelocJtlon, 1s there r tl.turel, oas tjl.ne cn the curEnt sftef f-tVes i_i lo
Is ther€ ElcctFical poyer on thls Bu!d!,ng? FlVes f] fo
! monatse )r.{ i .' .'.1
1
'^tr''gas lina
caPpe
rS IXE PMPBIY LOCAIED I]I A FL@PLdD? E YEs E TO
EISIDE IlDERyIdrs AnEA: _SQ FT TOTAL ACRES DllSTlJRlED:
IEt IXPEXI,IOUS inEA; _ SQ FI ECIST |,rD Drs,ttrEDt6 pedrrr: l-'l yrs El m
uArER: I crEA E coF],r,t{ITy sysrE{ E pBrvATE yELL ! canmu urr-l
sHEn: fl crna D c6rrrAl sEp1rc E prrvrrr sErrlc E @mu,u?y sysTBr
'r. slPtta?t ,ta{rrs SEgrrrE Fr ElEcr, ,{EcH, pctc! srs E(prP, PI.EFIEs I urElts -.
patnG}lr rE rEo: E cr"t E "r*q (rrYrlLE ro x}:) E rrul rs.rn E *r"rt^ f] urscwrr
DESCnIPITOI OF tloix:unit is converted to stora e, existin kitdlsn bei remowd and
(.)
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.- - ( l/ R \ (y...}1 (tt otEct ur r.n .Fno EE r^!/r,
zane, K- / -orrrceni \llY sErBAff: rt-dE_ ut-dla rx:tr)lA a: N,A
Apprev.r:- 6ty:- oarrrftfullg ll@o:
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PERfiII TEE
A : t- --ft.r.o J^* --l v\-d vt-,r-s
q
Corr,re nt:
tt/Ol\a-OV\i+Y^*Y
r,: {a.' a -0
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"lP -G^^.'.\.-1 t<nrdlut -L--
pnDPErry l,sE / occrJpA[cy: fr smu rAEty E urpru
Jg
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SIG'{ATUNE: