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Home My WebLink AboutMAY 31 2017 BUILDING APPSgrr( Z+{"nr Wri}on W'fi"g.!frW N EW HANovE* .or^R9l,Hili,'#f{fr APPLICATIO N TY PE.. RESIDENTIAL prrasE aNswER ALr QU::l 3i,t#,i,:l.fiilro youR pRorECT orr", $1/, 117'aoo<APPI-ICANT'S NAME PROJECT ADDRISS: SUBDIVISION: CITY ztP LOT H PHONE #.23q /PROPERTY OWNER'S NAME: OWNER'S ADDRESS:ztZJ<*Lko a00 LCONTRACTOR 8I.DG TICENSE H ADDRESS {t UzUfz-t*ST EMAIL ADDRESS:PHONE PROJECT CONTACI PERSON )e/ro/ aoak PHONE EXISTINGCONSTRUCTION: E-flteration B'Renovation ll General Reparrs NEW CONSTRUCTION| ! Erect New Residence E Additionto ExistinB Residence D Relocation * **PTEASE CHECX AND ANSWER BEI.OW ALL THAT APPI.Y TO YOUR PROJECT* ** D Att Garage (S F)o6 E Det Garage {SF)_ ;"2-t4rnZ Qft.fuo. zrTr al Sunroorn (SF) [ ] Greenhouse (SF) tr Pool (SF) D Deck (St) ls the proposed work changing the existing footprint? E 'Yes E No TOTAT SQ FT UNDER ROOF lfor proposed work) Heated ?,, fl unheated TOTAL PROJECT COST {Less Lot)i S '7r o?JD &itian ls the proposed work changing the number of bedrooms? a yes 8/no ls any Electrical, Plumbing or Mechanical work being done to t he Accesso ry Struct ure d/yes tr trto lf the project is a Relocation, is there a Natural Gas Line on the current site? n Yes .Ho ls there Electrical Power on this Building? E-ies tr, No Property use/ occup"n.y, Pfingl. t".ily I Dudlex I Townhouse F, D€scription o, Work: nyLLtl laws and ordinances and retulatrons The NHC Development Services Center will be notfled of any chantes in th€ approved plans and specfications or change rn contractor 11,,, information. '*'NOTE:Any work performed wthoul the appropriat€ permlls will be n violation of the Nc slate 8 code and subiect to fines up to 5500 00"')etuztOwner/Contractor "Licensed Quoliret" ls the property located in a floodplain? n Yes Existing lmpervious A r"", /f,Qlsqrt New tmpervious Are ", \'l 4 * sqtt WATER: n CFPUA I CommunitySystem TotalAcres Disturbed: Existint Land Disturbing Permiti ! Yes : No f Central Well a Aqua PO" ivate Well SEWER| E CFPUA E Community system gd*ate Sept, D CentralSeptic n Aqua zone: - officer: - setbacks (F) - (LH) - (RH) - (B) -Approval: - City:- Date:- Flood: (A) - (V) - (N) - BFE+2ft= - Comment:Permit Fee: S I ffi Aot+-.tlrt, 1q_4% D Porch (St)_ D Storage Shed (St)_ E Other (st)- ,$1'.1] prl r RgcitvEoAPRoozolT 3+31nA ffi NEW HANOVER COUNTY BUILDTNG PERMTT APPLICATION IYPE j RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPL]CABLE TO YOUR PRO]ECT "Project Res pons ibil ity" APPLICATION Number (0ffic€ Use) APPLICANT'S NAIVIE: Rock Sotid construcLion LLC DATEi 4 /5/ 2at'7 Z\P i 2e4a5 DEVELOPER:PHONE f: PRO]ECT ADDRESS: SUBDIVISION: 202 ADolfo Drive CITY: wi lminqton BLOCK *:LOT #: .il scc: 4 PROPERTY OWNER'S NAI,IE: 'rimothy worman PHONE #: OI4INER'S ADDRESS: 202 Apol10 Drive CONTRACToR: Rock solid consLrucLion LLC ADDRESS: Po Box 13 24 LICENSE *: ?4ee7 CITY: shallotre CITY: wi lmincton sT: ll zIP 28445 ST: NC ZIP: 28459 970 77'/ -3744 Ei!AIL ADDRESS; rock. sof idconstr.uction@yahoo.com PROIECI CONTACT PERSON: Rocky Doan rr EXISTING CONSTRUCTION :A LTE RATION R ENOVATION GENERAL REPAIRS RE LOCATION NEW CONSTRUCTION;ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE **PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT: ! eoncH - sFATT GARA6E - SF suNRoot"l _ 5F GREENHOUSE SF DET GARAGE - SF POOL _ SF DECK SF PHONE *: PHONE #: 9ta 231 7476 STORAGE SHED 5F 5FOIHER ToTAL HEATED SQ FT: .rzo TOTAL SQ FT UNDER ROOF: l:!_ TOTAL AREA SQ FT: TOTAL PROJECT COST tress ror) : $ 4o,gzo # OF STORIES: 424 inc I ude 1full bathroom and an open room. (See additional info aEtached.) DTSCLATMER: thereby cerr,V hal arr rnkrrmalion m his applicarion rs corecr and allwork willcomply wih lhe Slale Burlding Code and alloher applicable Slale and locar laws conrractor rnbrmaton "'NOTE AnyWork ed w/O he Appropriare Permils wrl be r Violation ol the NC Slate Bldg Sublecl to r nes up To $500 00"' OTJNER/CoNTRACT0R :SIGNATURE * * + * * * * * * * * * * *,r x * * * * * * ** *,t I5 THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTING IMPERVIOUS AREA: :I3J1- SQ FT NEW II'IPERVIOUS AREA: +420 SQ FT YES sEr^JER: ! creul ! CENTRAL sEPTrc E pnrvarE seerrc fl coMiquNrrY sYsrEM *** SEPARATE PERI']ITS REQUIRED FOR ELECT, I4ECH, PLBG, GAS EQUIP, PREFABS & INSERTS *** pAyrirENr r4ErHoDr I casH I cxrc( (payABLE ro tuc; I mrnrcAN ExPREss n ,./rrso I orscovrn * )r,*,* *** * t ,i,t **** * )t *,t ,t *)* **** *,t,t* )*** * *,f ,t *,t** )****,*)** ** r( 't *+ '* )* '*** * * )t '** )i't*'* )* )* '* '** )* *** * ** 'i 'i *'*i('f 'f* WATER ! creul E coMr4uNrrv svsrrm ! pRrvATE wELL ZONE:OFFICER: CENTRAL WELL (FOR OFFICE IJSE ONLY) REVISED DATE O4l11/12 SETBACKS: F:- LH:- RH:- B:- BFE+2 N PERI4IT FEE: $ Approval:- CitY:- DATE:- FLOOD: - A comment : ls Any ELECTRICAL, PLUMBII,IG or ECHrlr.lICAL l.lork Being Done to the Accessory Structure? [ Ves f] ruo rf the project is a Relocation, is there a Natunal Gas Line on the current site? [ves fl lo rs there Electrical Power on this BuiLding? [El ves l-l ruo pRopERry usE / occupA rcyr Isrrucre ramrrv ! ouerex ! Toh]NHousE DESCRIPTION OF WORK: Add addltion at back of house on a slab with roof to maLch existinq. wiLl Ero TOTAL ACRES DISTURBED: .o'r. EXIST LAND DI5TURBING PERI'IIT: E YE5 I-iI rc GtlR014 AppLtcANTs NAME: H & H Constructors of Fayetteville, LLC NEW HANOVER COUNTY BUILDING PERMIT A PPL,CATION IYPEi RESIDENTIAL PTEASE ANSWER ALL OUESTIONS APPLICABTE TO YOUR PROJECT "Project Responsibility'' 0,ct1---W,bx t7-L707 -Application Number (ofil.e use) s1s 0512412017 pRoJEcT ADDRESS: 7861 Bristlecone Drive sUBDlvlsloN: Gable Run pROpERTy oWNER,S NAME: H & H Constructors of Fayetteville , LLC OWNER'S ADDRESS: 8209 Market Street, Suite C 6;1y; Wilmin lon 71p.28411 tOT #: 014 pxorur e. 910.219.1485 CtTYr Wilmington 71p. 28411 CONTRACToR: H & H Constructors of Fayetteville, LLC s166 116gx5p 4. 74158 ADDRESS: 8209 Markel Street, Suite C g;1y; Wilmington sr: NC zrp: 28411 pRoJEcT coNTACT pERsoN: JJ Brenning p116xs.910.219.1485 EXISTING CONSTRUCTION: tr Alteration E Renovation E General Repairs NEW CONSTRUCTION: E} Erect New Residence E Addition to Existing Residence E Relocation ***PLEASE CHECK AND ANSWER BE ALT THAT APPLY TO YOIJR PROIECT** * A Att Garage (SF)521 E Det Garage (SF) _@ Porch (sF)2?4 tr Pool (5F)E Storage Shed (SF)_ E Greenhouse (SF)E Deck (sF) ls the proposed work changin8 the existing footprint? E Yes A No TOTAT SQ FT UNDER ROOE l,fot proposed work)gqs1s6;2310 TOTAT PROJECT COST (Less tot): S 137,105 ls the proposed work changing the n umber of bedrooms? D Yes EI ruo ls any Electrical, PIU mbing or Mechan ical work being done to the Accessory Structure fl Yes EI No lf the project is a Relocation, is there a Natural Gas Line on the current site? E Yes E No lsthere Electrical Power on this Building? E Ves EI No Property Use/ Occupancy: E Single Family E DuplexE Townhouse Descripti on of work: SINGLE FAMILY DWELLING laws and ordinances and reSulations. The NBC oevelopment Servic€t Center lvillbe notifled of any chanSer in the app.oved pl3nsand specificatlons or change ln contractor lnfo.mation. "'NOTEi Any work performed without the appropriate permits vvill b€ in violation of the NC State Bldg Code and subject to fines up to 9500.00". Owner/Con1136gs1; JJ Brenning Signature: "Licensed Quoltlet" Print None ls the property located in a floodplain? E Yes E No Existing Impervious Area:Sq Ft Total Acres Disturbedr .23 New lmpglyisu5 tryg3; 2883 Sq Ft Existing Land Disturbing Permit: EI ves E t'to WATER: E CFPUA El community system E Prlvate well n central Well E Aqua SEWTR: O CFPUA E Community System E Private Septic E CentralSeptic E Aqua zore: - offlcer:- setbacks (F) - (LH) - (RH) - (B) Approval: - City: - Date: - Flood: (A) - (V) - (N) - BFE+2ft= - s \ )Comment: Permit Fee: $ 338 EMA|LADDRESS: iulicafferty@hhhomes.com/ jerrybrenning@hhhomes.com pHoNE:910.219.1485 E Sunroom (5F) _ tr other (sF)_ gn1,"s1g6;745 t, NEW HANOVER COLINTY DEPAR'IMENT OF BUILDINC SAFETY 230 GOVERNMEN'I'CENTER DzuVE - SUI'I'E I70 WILMINGTON, NORTH CAROLINA 28403 'l'elephone: 910.798.7308 F ox: 910.798.781I I nte rne I : wtt u,. n hcgov. cont 4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE STATEMENT OF UNDERSTANDING JuliCafferty , am submitting an application for a residential building permit to New Hanover County. And, as the applicant or person submitting the application, I check the box/boxes below to acknowledge that: a have atta h an official CFPUA receipt or document that has acknowledged an approval of the payment made to CFPUA. n t have attached an official proof of a Zoning sign-off from the City of Wilmington, for this work that will be done in the City of Wilmington. n I have attached an official proof of an approval granted by the New Hanover County Environmental Health Department, for this work that requires an approval from Environmental Health. lf the application is correct and complete with the required drawings, and if there are no corrections or revisions to plans and drawings, and if there are no further clarifications required by New Hanover County; New Hanover County can guarantee that the building permit will be issued within 4 (four) to 7 (seven) working days after the official submittal date/time (the stamped date/time notation made by the Building Safety Department on the application or submittal document). I understand that the 4 (four) to 7 (seven) working days only begins when the application is submitted prior to 4:30 pm on any working-day. Signed in acknowledgment: iuliCafferty 5/24/2017 Signature Printed Name 7861 Bristlecone Drive tqk:ez- Address for the proposed residential work Date rl N] Y; z T $t NEhI HANOVER COUNTY BUILDING PERMIT APPLICATI T IYPE; COtlli1ERCIAL PLEASE ANSIiJER ALL QUESTIoiIS APPLICABLE fO YOUR PROJECT "Project Responslbtlity" CLt-,-.9t;.5 4 P-\. I ?ot+5u;f APPLICATION Number (Office Use) APPLICAIT'S ltlAltE : DEVE LOPER: D^rE. t- ll. l'7 PROJECT ADDRESS:(s Lr OCCUPANT/BUSINESS Na t: 6 +ca-L <. CITY: \,lt ^^tr.+ PTONE f :J ztP: '2- ? I oJc- o..l- OttlNER'S ADDRESS: 'zs ,-l (<oc.t lu-vt ClfY i PHoNE *: Z36'1)2ol Sf t/.L Zi,P;Z ('t <>> ut- sr,: t!=zptZglos PIffCNE *: PTONE f : n t,>' 21 a.\l'tL CONTRACTOR :( L- *5t::s +R-s. / ADDRESS : (-t C \-., I LICENSE *: /S C ITY:I.:) -r-\il'c.r-EIiIAIL ADDRESS:-1,, PRO]ECT CONTACT PERSON:w .^-1, : c\o^-'l- L: r;t (Check All That Apply) EXIST CONSTRUCTION: lf Relocadon. is there a Natural aLTERATToN I-l nercvarrot l-l cr Gas Line on the -Current Siteu [vF[ reml neearns !No IS BLDG SPRIN RELOCATIOI'I KLERED? fl ves I No NEr.l coNsTRucTro'r: I enrcr NEt{ STRUCTURE I rasr rmcx I srrr-l UPFIT E ADD To ExIsT STRUcTURE ACCESSORY STRUCTURE: If UPFIT - The Shell Penmit #:Is Elect Power on this Building /v"' E Ho ***** rs rHrs A CHATGE oF occupaNcy uset fivesIF Yes, ttfiat was the Previous Occupancy Type?What is Type? ARCH DESIG1I PROFESSIOTUIL: T,T'{. T !. J C \P,.^./.. I T PH PH F&ro n, 19;,/ ENGR DESIGN PROFESSIOI,IAL: ,<'td ? Nc REG #: iL 1, al e t -fu.****the ew Occupancy 31G r-8q - t] DESCRIPTION OF WORK:1 ls food or berrg€gos prepol€d o( sen ed in th4s €tudurc? EY No b Tho Prop€rty Located ln Th6 Ftoodptatn? E yes ilding Code and all other applicable Slale in tha )tc state soecrficationsBldg Code and : Z'l o- Note: D€ ol6on nodilcado.rs , 8sb€6t06 rqnovsl p€Imh appllcaiions arE to b€ submhtd uskE tho appltceto.l6nn (DHHS3768) ( conteh Arb€atoa or not You are G4ulrBd b call the Nstknsl dentolldon ot Eny fadllty o( bulldlng. S€€ Asbeslo6 Web Site: Emts lon S't&d.(! br l&n ou. Ar Po0utsnE (NESHAP) at (919)m7{950 ai t*r 'tO (by! Ftor b tle hnpJ nvw epi.staie.nc.us/epi/asb€stotshmp.htrnt ToTAL PROJECT COST: 7 o. oc-'>BUILDING HEIGHT SQ FT PER FLR: TOTAL SQ FT UNDER ROOF: ACRES DISTURBED NEW IMPERVIOUS AREA: PROPERTY # OF STRUCTURES: EXST LAND DISTURBING PERMIT? SA FT EXISTING IMPERVIOUS AREA # OF STORIES # OF FLOORS: fllzoNrNG usE ctIsstFtcATtoNfl coMMUNrrY S\4STEM NO SQ FT usE24FFrcE Enesrnunnxr luencmrnc leouc nApr EcoNDo WATER: FICFPUA -COMMUNITYSYSTEM T-'IWELL sEwER:'E cFpuA -CENTRAL sEprrc E P-RMATE sEpnc SEPARATE PERMITS REQUIREO FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS & INSERTS -' PAYMENT METHOO Ecesn pj,6+cK (pAyABlE ro NHc) EAMERIcAN D<eREss I ucrvrsr I orscown (FOR OFFTCE USE O[LY)REVISED DATE 4/1 V12 {#f PROPERTY OHTER'5 iIAI{E: I VJo= CLJ \;ss # OF UNITS: ToTAL AREA SO FT: iToo S9 OTHER: ZONE:_OFFICER:_SETMCKS:F:_LH:_RH: B:Apsovd:_clty_DArF. FLooo'_______i_BFE+tr_Sl4t .--Cornmont PERM|TFEE:$_____: - I AIMF Iarl- *t"cZ , -L a ? NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: COMMERCIAL PLEASE ANSHER ALL QUTSTIONS APPLICAEI-E TO YOUR PRO]ECT "Project ResPonsibilitY" rJ_ ISt'tf,Y l? 4:28P APPLICATION Number (Office Use) APPLICANT'S NAME: DEVE LOPER : oerc:5'12 PHoNE $: A l\6 t8</)- zrPi LSLI o 5- PHONE #: PRO]ECT ADDRESS: I(O€JK 3r_t crTY:t-^)it^ occUPANT/BUSINESS NAI4E: G GI- PROPERTY OWNER,S NAME: OWNER,S ADDRESS: IqO d Otre,.s €a.sJ.r>:r>o Il.f,qriCITY:I ST: _ ZIP: _ b PRO]ECT CONTACT PERSON: EXIST CONSTRUCTION: lf Relocation. is there a Na l$2 LICENSE #:\t6 7\CONTRACTOR: ADDRESS: 2_>!4 L',ua$aa1 EI'IAIL ADDRESS:a cITy: c.), t,,,,-'w st:ppzw: LALI I Ig. yoc> ffil.lLo .. .- * (check AlI rhat Apply) RENOVATION PHONE PHONE #: at c, 8( ALTERATION Gas Line on the GENERAL REPATRs l-l nrlocerrouE"o rs sloc spii xleneou Iv". flruoturalCurrent Site?Yes NEII.J CONSTRUCTION:ERECT NEr,'r STRUCTURE ! rasr rmcr fl sxer-r- [ urrrr I aoo ro Exrsr srRUcruRE ACCESSORY STRUCTURE: If UPFIT - The Shell Penmit #: ,.^ro.J A(c- Is Elect Power on this Building Yes Eruo PH:1ro t(A Ltqbl NC REG +: IO ^.UNC REG *:PH: r,**** rs rHrs A cHANGE oF occupANcy usrl flvrs N0 ***** ARCH DESIGN PRoFESSIOi'IAL: ENGR DESIGN PROFESSIONAL: ex{e^l { (e-co,^ (.t-o "4Ci..o sDESCRIPTION 0F l^iORK ls food or bov6rag6s proparod or sorvod in this structure? EYes ffii- rc rn" e.porty Located ln The Floodptain? [ ves [ ruo ilding Code and allother applicable State Notei Demolilion nolific6lions & asbestos re.noval permit 6pPlbstjons are io t€ submiled using the aPpl conEin Asb€stos or nol You aro requirsd lo call the Nslional Emisslon Standards for Hazsrdous Ar Pol demolition of any Iacility or building. S€€ Asbestos Web Site: htp/$tw.epi.state.nc.us/epuasb€stos/ahmp hEnl TOTAL PROJECT COST: '\o ooC)BUILDING HEIGHT SO FT PER FLR: zoNE: oFFICER: in the SIGNATURE: ication form (DHHS-3768) whether the hcility or building w6s found to lutanb (NESHAP) at (919)707-5950 a! least 10 dsys p.ior to th€ # OF UNITS: on in thrs aooftcalion rs co(ecl and all work w,tlcomply with lhe Stale Bu The NHC DeveloDmenl SeNrces Center wll be notified of any chanoes n. "'NOTE Anv Work Performed w/O the Applopnale Permits will tje in Viola approvedlion of the and soecilcatlons Bldg code and OWNER/CONTRACTOR:A. {Ou.llfor) (Pitt TOTAL AREA SQ FT : TOTAL SQ FT UNDER ROOF: - # OF STRUCTURES: ACRES DISTURBED:EXST LAND DtsrunstNo peRt trt n Yes NO NEW IMPERVIOUS AREA:- SO FT EXISTING IMPERVIOUS AREA: pRopERryusE: firrrce flnesreunerur [uencmtrtle [eouc f]epr ECONDO OTHER: WATER: SEWER: rzlcrput Tl coMMUNtrY sYSTEM T-lwELL EzoNlNG usE cLASSlFlcATloN: ficreua fr cer',nner- seertc Ei-RlvArE sEPTlc DcoMMUNlrysYsrEM ,",SEPARATE PERMITS REOUIRED FOR ELECI, [4ECH PLBG GAS EOUIP PREFAAS 8 INSERTS -' pAyMENT METH9D: EcAsH f]cHrcx leavneLE TO NHc) fieuentcnn excnesS I ucnrtse E otscoven (FOR OFFTCE USE ONLY) SETBACKS: F:-LH:- RH:- B: Approval:- City:- DATE:- FLOOO, - o --- , N BFE+2I= # OF STORIES: # OF FLOORS: SQ FT REMSED DATE 411/12 Comment PERMIT FEE: $ \5 i:Y IF Yes, what was the Previous Occupancy Type? *...-- What is the New occupancy Type? - --:i . \. '.. ' Clear Form Print eMail NEW HANOVER COUNTY BUILDING PERMIT APP LI CATION ryPE., RESIDENTIAT PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROJECT "Project Responsibilih/' Aot+-zt*a+ Application NLrmber loffice use) ItrBiFl 3 APPTICANT'S NAME: PROJECT ADDRESS: ,4^zA.o A / rztx<* ztP 2-Et/z PHONE #: 33o o;u 555/- Date s;/t r/ 77i \ctw SUBDIVISION: PROPERTY OWNER'SNAME: tApt'' J- l r-,t-, OWNER'SADDRESST Z3 3 CONTRACTOR ADDRESS: crw ztp794aL Rn<ll,k.BLDG LICENSE #:ali R l Fer n CITY:,t sTl/r ztP zo4r9 EMAIL ADDRESS: n Sunroom (SF) o r.r lZ-rtr i cleu.d. COrnr PHONE 7 rc3g/L - z>? - EXISTING CONSTRUCTION: E Alteration n Renovation n ceneral Repairs NEW CONSTRUCTION: E Erect New Residence n Additionto Existing Residence ! Relocation ,}**PLEASE CHECK AND ANSWER BETOW AtL THAT APPTY TO YOUR PROJECTT** E Att Garage (SF)_E Det Garage (SF)_tr Porch (SF) I Greenhouse (SF)_ n Pool (sF) n Deck (sF) Unheated: :-qv g Storage Shed (5F)L.Y Zo n Other (SF) dno ls the proposed work changing the existing footprint? n Yes n No TOTAT SQ FT UNDER ROOF lfor prcposed work) Heated: TOTAT PROJECT COST (Less Lot)S .?coc. ,- ls the proposed work changing the number of bedrooms? 3 v"r ffruo ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure t yes lf the project is a Relocation, is there a Natural Gas Line on the current site? E yes ff lo lsthere Electrical Power on this Building? n Yes n No Property Use/ Occup Description of Work: ancy:ingle Family E Du lex n TownhouseI ari//e/u, DISCI-AIMER: I hereby certify that all the rnformation in this application is correct and allwork willcomply with the state Euilding Code and all other appticable State and local laws end ordinances and regulationt- The NHc Development services Centerwillbe notified ofanychanges in the approved plansand specifications or change in contractorinformation. "*NOTE: Any work ed withoutthe appropriate permits willbe in violation ofthe NC State B e and subject to fines up to S500.00... /Contractor:Signature: "Licensed QuoIifier"e ls the property located in a floodplain? ! yes No Existing lmpervious Area: _ Sq Ft Total Acres Disturbed: New lmpervious Area:Sq Ft Existing Land Disturbing Permit: fl Yes tr No WATER: tl CFPUA tr Community System E private Well a Central Well f, nqua SEWER: tr CFPUA n CommunitySystem E Private Septic E Centralseptic d Aqua Zone: _ Officer: _ Setbacks (F) _ (LH)_ (RH) _ (B) _ Approval: _ City: _ Date: _ Flood: (A) _ (Vl _ (N) _ BFE+2ft= -_ o Comment:Permit Fee: S {ls- LOT #: PROJECT CONTACT PERSONT //,t ) L, Z'LyLrn qHONE: 3 \u t2i-p 5 , S L