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Home My WebLink AboutAUG 1 2017 BUILDING APPS\$u )ot pgast NEW HANOVER COUNTY BUILDING PERMIT AP P Ll CAT lO N TY P E : RESIDENTIAt PLEASE ANSWER ALt QUESTIONS APPLICABLE TO YOUR PROJECT "Project Responsibilit/' :;'JUL 17 1t ! 5,.;P Application Number (office use) Stevens Fine HomesAPPLICANT's NAME: PROIECT ADDRESS: suBDtvtstoN: Tralee Place 00 ?,qnL CITY Date: LOT#: 2 ztD: 28/,0,9 pRopERTy owNER,5 114111g. Stevens Fine Homes oWNER,s ADDRESS: SZo Oleander Drive Suite 2oo PHONE#. 910-794-8699 qry; \4Tilrnington ztp. 28403 CONTRiqCTOR: Stevens ADDRESS: flo 200 ST:NC zP: 28403CITY BLDG UCENSE #. 31626 EMATL ADDRESS: snicholson@stevensfinehomes.com PHONE: pROJECT CONTACT pgp5gX. Staci Nicholson pHoNE. 910-332-85$ EXlsflNG CO STRUCTION: E Alteration fl Renovation ! General Repairs NEWCOI{STRUCIION: E ErectNewResidence n AdditiontoExistingResidence E Relocation ***PIEASEIH8E(ANDAILSWER BELOW AIf, THAT APPLY TO YOUR PROJECI''"/td Att Garage (SF)- tr Detcarage(SF)_ d porch (SF) E Sunroom (SF) _ fl Greenhouse (sF) ! Pool (SF) n Deck (sF) ls the proposed work changing the existing footprint? tr Yes d No TOTAT SQ FT U DERROOF lfor proposed workl *."r"o. 1o1l Unheated:9b o9 TOTAT PROJECT COST (Less Lot):12O,OOO lsthe proposed workchangingthe number of bedrooms? E Yes El No lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEYesENo lftheprojedisaRelocation,isthereaNaturalGasLineonthecurrentsite?EYesENo ls there Electrical Power on this Building? E Yes E tto Property Use/ Description of occupancy: E Single Famlly E Dupler E TownhouseWork Nerv residential single fumily home. laws and ordinances and regulations. The NHC Development Services Centerwill be notified ofanychanges in the approved plans and speciff€ations or change in contrastor information. *1'NOTET Any work performed without the appropriate permits will be in violation of the NC State and subjecttofrnes up to $5oo.oo*** chrel Crni 5 ttten'tOrrner/Contractor: "Licensed Quolifret" Signature: lsthe propertylocated in a floodplain? tr Ves d rc Existirg lmpervious N.", ZbZh s1Ft TotatAcres DisturH: $# daaorr.f lt New lmperuious Area:LlLb Sq Ft Existing Land Disturbing Permh: tr Ves d ruo WATER: E CFPUA E Community System E Private Well E Crntral Well d equa SEWER: d CFPUA tr Community System E Private Septic E Central Septic E Aqua Zone: _ Officer: _ Setbacks {Fl _ (tH} _ (RHl _ (B} _ Approyal: _..- GtVz _ Date: _ Flood: (A| _ (Vl _ (Irll _ BFE+2ft= Commelrt: 1,5{0'-ts rF \5 t0 Permit F )5 Lb E Storage Shed (SF)_ ! other (sF)_ NEW HANOVER COUNTY BUILDING PERMIT APPLICATION fYP€i RESIDENTIAL PLEASE ANSWER ALL QUESTiONS APPUCABLT TO YOUR PROJECT "Proiect Responsibility" adlm?8+1-#rc4 Appllcatlon Number {offfce use} AppltCANT,S NAME. Horrington Classic Homes, LLC oalei 7 pRoJEcT AoDREss: 802 Midnight Channel Rd 61Ty. Wilmington ztP.28403 5gg9;y1516x. Autumn Hall LoT 8: 66 PROPERTY OWNER'S NAME: OWNER's ADDRESS: Tim & Vickl Mllam PHONE # CITY:ZlPl g6111p466X, Herrington Classic Homes, LLC BLDG uCENSE 8. 68106 4gpg6sg. PO Box 538 611y. Wrightsville Beach ST; NC Ztp: PHoNE. 910399-5688 28480 EMATL ADDREss: heather@herrlngtonclasslchomes.com pRoJEcT coNTAcT pERsoN. Craig Johnson PHONE.910-442-7500 EXISTING CONSTRUCTION: D Alteratlon D Renovation [J General Repairs NEW CONSTRUCTION: E Erect New Residence ! Addltlon to Existing Residence [] Relocation **,.PLEASE CHECK AND ANSWER B AtL THAT APPTY TO YOUR PROIECTI'* E ett carage (sr) 618 E Det Garage (SF)_ n sunroom (sF) E Greenhouse (SF) tr Deck(sF)_ ls the proposed work changing the existing footprlnt? E Yes E No TOTAT SQ FT UNDERROOF lfor proposed workl 9""1"6.4058 gn6""1"6. 1524 TOTAL PROJECT COST (tess Lot):S697000.00 ls the proposed work changing the number of bedrooms? E Yes E No lsanyElectrlcal,PlumblngorMechanlcalworkbelngdonetotheAccessoryStructureEYesENo lftheproiectisa Relocatlon, isthere a Natural Gas Line on the current site? E Yes E No Is there Electrical Power on this Buildin€? E Yes E ttto Property Use/ Occupancy: E Singl€ Family U Porch (SF)222 E storage shed (sF)_ Descriptlon of Work:Construct slngle famll fl Dupl y reside ex tr Townhouse nce OISCIAIMER: I hereby certlfy that all the lnforrnation in thlsappll(iatlon ls co(ect and allwork vrlll compV wlth the State 8ulIdlnB Codeand allother appllcable State and local laws and ordlnances and regulatlons. Th€ NHC D€velopment Servlces Center will tr€ notlf,ed of anychanges ln and spedflcations or change In conthctor lnformation. "TNOTE: Anywork performed wlthout the approprlate permlts willbe ln vlolatloo o, the NC State to $soo.oo.". Owner/contractor Cralg Johnson Signature: "Llcensed Quolfief P nt Nome ls the property located in a floodplain? E Yes E No Exlstlng lmpervious Area: _ Sq Ft Total Acres Disturbed: New lmpervlous Ar ea' 4227 sq Ft Exlstlng land Dlsturblng Permlt E Yes E No Slg/zpAt iL,4vrt -?s WATER: g CFPUA E Community System E Private Well E CentralWell E Aqua SEWER: E CFPUA n Communlty System E Private Septic E Centralseptic D Aqua Zone: _ Otflcer: _ Setbacks (r) _ (tHl _ (RH)_ (Bl _ Approval: _ City: _ Oate: _ Flood: (A) _ (V) _ (Nl _ BFE+zft= _ 7.zs<' l0 z,tq r Comment: Permlt lt! A n6r [1 Pool (5F)_ E other (sD 396 2 *st 30 loy e hotrn,c,l - co"-- l( ,.ot + (o( 3*i",.\,,NEW HANOVER COUNW BUILDING PERMIT AP PLICATIO N TYPE RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLIC}BI-E TO YOUR PROJECT "Prored Responsibilltl/' ctrj,. /J,Z-,,'-^L 6N APPI-ICANT'S NAME: PROJECT ADDRESS: CONTRACTOR: AODRESS: (office u5e) Datet G-2?7-/7 zt?t 1QL/I ) SUEDrVrSrON: PROPERTY OWNTR'S NAME: OWNER'S ADDRESS: - zGi z5- CITY PHONT #-o-a6 zlP: BI.DG LICENSE f*:flfr aP: LffO)- PHO E:%./>n 7A€g PHoNet ,/b q-k) ?GeY LL< CITY ! Att Garage {SF)_ ! Sunroom (SF) _ ! Greenhouse {SF) PROJECT CONTACT PERSON EXIS'IING CONSTRUCTION: ! Alteration ! Renovation fl General Repairs NEW CONSTRUCTION: E}.ztlrect New Residence I Addition to Existing Residence [] Relocation ***PTEASE CHECK AND ANSWER BETOW ALL THAT APPTY TO YOUR PROJECTT''T El Det Garage (SF)_ ! Pool(SF) V6eck lsrl ls the proposed work changing the existing footprint? D Yes E No TOTAI Sq FT UNDER ROOF lfor proposed workl Aeate& 29o6 unheated: @ /Zi: TOTAI, PROJECT COST (Less Lot): 5 J .?7 {Y,.o lsthe proposed work changing the number of bedrooms? ! Yes D No lsanyElectrical,PlumbingorMechanlcalworkbeingdonetotheAccessoryStructure!YesINo lf the project is a Relocation, istherea Natural Gas Line on the current site? ! Yes fl No ls there Electrical Power on this Building? E Yes ! No Property Use/ Occupancy: n Single Famtly El-Ouplex C Townhouse Description of Work: L {ro otC information. "'NOTE: Any work p€dormed without lhe eppropriate p€rmit5 will be in violation of the NC State laws and ordinances and re8ulations. The NHC Development Services Center willb€ notilied of any chanSes in the approved plans and specifications fi chanSe in contrasror p to Ssoo.m"' Ja,s.^L""^-.Owner/Contractor: "Licensed Quolifier" ls the property located in Existing lmpervious Area New lmpervious Area: a floodplain? *4 O *. ZZ! sqn Signature: TotalAcres Disturbed: Existing Land Disturbint Permitr D Yes D No n;;46; Sq Ft WATERT ! CrpU.n fll'iL6'rn.rnity System ! Private well n CentralWell 6'Aqua SEWER: D Cf eUe ffir.rnity System E Private Septic ! Central Septic D AquaPzone:_ officer: _ setbacks (F) _ (ttl lp lRHl tO lsl 2-b $\ )l1u@ Approval: _ City: _ Date: _ flood: (A) _ (V) _ (N) _ BFE+2ft= _ Comment: Permit Fee: S EMAIL ADDRESS: ! Porch (sF) / ll a-. ! Storage Shed (SF)_ ! Other (sF)_ NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL PLEASE ANSWER ALI. QUESTIONS APPTICABI€ TO YOUR PROJECI "Project Responsibilih/' Aor+-t q o fr--W Application Number (of{ice use) APPLICANT'S NAME:5.,-rt(^;'|l'.'3 J Date PROJECT ADDRESS: suBDlvtsloN: h oT r ctrY: CaS"l lc ZIP ,) b eqon PROPERTY OWNIR'S OWNER'S ADDRESS: NAME:eJ J-or5 t1 26 fi\avalh PHONE I CITY BLDG LICENST #: h(ZIP:. CONTRACTOR:fp is rn re fiu', lJ,.6 ADDRESS:at 004 ?3o TMAIL ADDRESS:I tS CITY: I 'sr UCztD )1 o tl 0O,av PHONE 3 ?b' q t.5. rrl IY PxoNE: 33 b tl L{Jqlq 0 storage shed (sFl / t S aa r <1 crJ PRO.}ECT CONTACT P€RsON 5t o 1'l 5," ,l h tXlSflNG CONSTRUCTIONT n Alteration ! Renovation n General Repairs NEw CONSTRUCIION: ! Erect New Residence fl Addition to Existing Residence I Relocation * 1'PLEAS€ CHECK AND ANSWER B€IOW ALI. THAT APPLY TO YOUR PROJECT*.' tr Att Garag€ (SF) _rl Det Garaee ISF)! Porch {SF) Description ol work: D Sunroom {SF)_tr Pool(SF) I Greenhouse (SF)n Deck (SF)tr Other (SF) ls the proposed work changing the existing footprint? n Yes D No TOTAT Sq FT UNOER ROOF Uot ptoposed workl Heated: iUO f1"..+ Unheated: l 5 ra ToTAt PRoJECT cOSr (less l-ot): S-aE-:L?3:l I ls the proposed work changing the number of bedrooms? E Yes dNo ls any Electrical, Plumbing or Mcchanicalwork being done to the Accessory Structure I Yes /No lftheprojectisaRelocation,isthereaNaturalGasLineonthecu.rentsite?!YesENo ls there Electrical Power on this Buildin8? fl Yes UfNo Property Use/ Occupancy: ! Sintle Family E Duplex E Townhouse +tt,(o,,I lbe in violation ofthe NC Owner/Contractor:Jr"715-.) t"Signature: "Licensed Quolilier" Pint Nome ls the property located in a floodplain? n Yes dNo Existirg lmpervious Area:Sq Fl TotalAcres Disturbed: New lmpervious Area:Sq Ft Existing Land Disturbing P€rmit: ! Yes fl No WATER: tr CFPUA E Community System f4aPrivate Well D Central well f] Aqua SEWER: n CFPUA tr Community System Ef Private Septic E Central Septic ! Aqua zone: - officer: - setbacks (F) - (LHl -lRHl 7 D lr1 7o Approval: _ City: - Date: - Flood: (A) - (v) - (N) - BFt+2ft= - OISCLAIMER: I hereby certify that allthe information in this application as corred laws and ordinances and reSulalions, The NHC Development Services Cenler will information. "*NOTI: any work performed withoul the appropriate permits wil and allwork willcomply with the State Building Code and allother applacable Slale and local b€ notified ofany changes in the approved plens and specifications or chanSe in contractor state BJdg code and subiect to frnes up to S500.0o"' ,// .,/ "//x '{,./ $1S-.- Comment:Permit Fee: S ffi LOT f: L APPLICANTS NAME: NEW HANOVER COUNW BUILDING PERMIT AP PL|CATIO N TYPEi RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT "Proiect ResponsibiliV' v9-.CITY Ictt Brcz Application Number {office Lrse) PROJECT ADDRESS: suBDrvrstoN: PROPERTY OWNER'5 NAME: OWNER'S ADDRTSS: CONTRACTOR ADDRESS: Q."t,^-l t:) 'r./1^o-! Date tP: Z[b3 LOT #: PHONE {cntL)rW BLDG LICENST #:tl' st.fi t-ztp: 2&Y r z--2,/ 3 Y._,,.CITY ) EMATLADDRESS: RT ft t\r ES q e- EC . i it. t'or1 ?..t^t /{r,* PHONE: ?lu f -),-, 2! ll. PROJECT CONTACT PERSON tXlSflNG CONSTRUCTION: n Alteration ! Renovation ! General Repairs NEW CONSTRUCIION: fl Erect New Residence ffddition to frirting Residence E Relocation **.PTEAsE CHECK AND ANSWER BETOW ALT THAT APPIY TO YOUR PROJECT*'i ! Att Garage (SF) ! Sunroom (SF) ! Greenhouse (Sf)tr Deck (SF) ! Porch (SF) E Storage Shed (Sr)_ tr Other {SF)D^i t ls the proposed work changing the existing footprint? n Yes E No TOTAL Sq FI UNDER ROOF $or prcposed work) Heated:Unheated: TOTAI. PROJECI GOST (Less Lot): S a.c1) ls the proposed work changing the number of bed rooms? fl YesrXNo ls any Electrical, Plumblng or Mechanical work being done to the Accessory Structure ! ves ur trto lf the project is a Relocation, is there a Natural Gas Line on the current site? D Yes ,f'No ls there Electrical Power on this Building? ! Yes E'No Property Use/ Occupancy: ffiingh family ! Duplex ! Townhouse c)/l-"I >.*Description of Work: laws and ordinances and re8ulations. The NHC Oevelopment Services Center will be notified ot any chan8es in the approved plans and specifications or chanSe in contractor information- "'NOTI: Aoy work Owner/Contrador: "Licensed Quolifier" Eg Code./5nd subFcr to fines up lo S5m.0O"'Wrnwthout the appropri permitswillbe in violation ot rh€ NC State Bld J^41t Signature: ls the property located in a floodplain? ,X Yes ! No Existing lmpervious Area: _ Sq Ft Total Acres Disturbed: New lmpervious Area Sq Ft Existing Land Disturbing Permit: ! Yes n No WATER: CFPUA I Community System I Private Well f] Centralwell E Aqua $J6 SEWER: dCFPUA E community System E Private Septic E Central Septic ! Aqua I ' t ^ zone: - ofticer: - setbacks (F) - (r.r, -,*r, ,., -- lL\i Ll ,( ,1,\ Approval: - city: - Date:- Floodr (A) - (V) - (N)- 8f E+2ft= - fli tl Comment:Permit Fee: S PtroNE: qlo '17 o .24 # E Det Garage (SF)_ D Pool (SF)_ lotP 8ol+ APPLICATION rvPE: COMMERCIAL LEASE ANSWER ATL QUESIIONS APPLICASLE TO YOUR PRO]ICI "Project Responsibility" OR:d16 Arp ar-6Pr.t*tvf-D a i z L t ?JUL !? t 6r3lHH DArE:7\rc t7 PHONE s: nto .a8 3'811 j ztP:28*o5 PHONE C:sriyLzrPt_ IAPPLICANTJ S NAME: DEVELOPER: N*a 4 - /tl A .lf. o?3 9ee-( - Q et+ffio Wetvs<etP PRoIECT ADDRESS: 17oL ?et 5 (Vke ga\E CrTY: [J19111i4;Tpp1 OCC UPANT/ BUSI N E 55 N'\flE: 6 P flosLe e -11 PROPERTY OWNER'5 NAME: N cao Zo. c:e @. OI{NER' S ADDRESS: AblO C UtrYE^ UA. Po crTY: WtLmtUday \/ corurmcr-[oor*rtt'LICENSE #: CITY:ST: ZIP I EMAIL ADDRESS:rr alna.rJ, r,rl@rrstztn e rr hc s , n €t PRO]ECT CONTACT PERSON;Pto**A l,lJ€r*rs rflN PHONE g: PHoNE s: \vo'17 6- o-,417 (Check A11 Ihat Apply) Exrsr coNsTRUcTroN: fi ALTERATTON lf Relocation, is there a Natural Gas Line on the RENOVATION tr Crrrrent Site?Yes trtr NEtl CONSTRUCTION:ERECT NEI^J STRUCTURE FAST TRACK SHE LL GENERAL REPAIRS No lS BLDG SPRIN RELOCATION KLERED? [v"" !ruo UPF IT ADD TO EXIST STRUCTURE If UPFIT - The shell Permit #:rs Elect Power on this auilding I ves E ruo ARCH DESI6N PROFESSIONAL: ENGR DESIGN PROFESSIONAL: PH PH DESCRIPTION OF VJORK: CI|*ST.C L cLxtsead,t'< -n W€-( Uge ****{, rs rHrs A CHANGE oF occupANcy usrl f] ves S* ***** NC REG f: NC RE6 #: ls food or b€veragss pr€parad or sarved in ttrts srruaure? ft ves I No ls Tho Property Locatod In Tho Floodplain? [ v"" [ ruo DISCLAIMER: I hereby certity thal allinformati and local laws and ordinances and reoulalions. or chanoe rn conlractor or conlraclor iilormatioSubtecllo Fines Up To $500 00"' OWNERYCONTRACTOR: NEUI (oualifs) Note: Demotiton noijllcsiions & osbestos removai permh applbstons are to b€ submined using th6 applicslion rorm (DHHS-3768) whether the lacilily or building was lound !o conrain Asbestos or not You are required to calltho Nslionsl E nisslon Standards ior Hazsrdous Ar Pollubnts (NESHAP) 3t (919)707-5950 st l€ast 10 days prior to th8 demolition ot any lacility or building. 566 Asbestos Web Slt6: hltpr/wYn .epi.sbte.nc.uyepi/asb€stos/BhmP.htnl TOTAL PROJECT COST: TOTAL AREA SO FT : TOTAL SO FT UNDER ROOF: - # OF STRUCTURES ACRES DISTURBED EXST LAND DISTURBING PERMIT? T''lYES fI NO SO FT EXISTING IMPERVIOUS AREA: CONDO OTHER: SO FT pRopERry usE: EoFFrcE lnesreuneNr f]rr,lencnNrrr-e!5:Duc EAPr E COMMUNITY SYSTEM CENTRAL SEPTIC WATER: FICFPUA [-I SEWER:BCFPUA -EWELL fIZONING USE CLASSIFICATION: PRTVATE SEPTTC fl COMMUNTTY SYSTEM NEW IMPERVIOUS AREA: Approval ".SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLAG, GAS EOUIP, PREFABS 8 INSERTS "' pAyrvrENT METHOD: I]CASH [CneCX leavAeLE TO NHC) fiementCen o<eREss EMc /lsA ! otscown (FOR OFFICE USE ONLY) SETBACKS: F:-LH:RH:_\lo DryE3ly1z [Le- RE\lSED B: FLOOD:BFE+2fl= N(VCommenl ity: C+PERMIT FEE:ttc Srl"oob NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATION Number (Office Use) ACCESSORV STRUCTURE: IFYes,WhatwasthePreviousoccupancyType?-h,hatistheNewoccupancyType?- SIGNATURE: BUILDING HEIGHT: - SQ FT PER FLR: - # OF UNITS: f OF STORIES:_ # OF FLOORS:- ZONE:OFFICER: NEW HANOVER COUNTY BUITDING PERMTT APPLICATI ON TYPE : RESI DENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT "Prolect Responsibillt/ Jo)?- flGI Appli€ation Number (office use) 3r84Ft'1 APPLICANT'S NAME:David Fex Date: 51251 17 PROJECT ADDRESS: 310 N. Channel Haven Dr CITY: Wilminoton zlP 284Q9 SUBDIVISION;Channel Haven PROPERTY OWNER'S NAME: David Fex PHoNE s: 910-619-0990 OWNER'S ADDRESS: 310 N. Channel Haven Or. ?xCONTRACTOR: ADDRESS:t0 crrv: WlI. SE P: PHONE:4to -q -oqqo BLDG I.ICEN 6tDxJsr,2Etto\ EMAIL ADDRESS: ! rtt Garace (sr) 6 15 n Oet Garage (SF)_ n Sunroom (SF)! Pool (SF) E Greenhouse (SF) ( t tr Deck (SF) \-., the proposed work changing the existing footprint? ! Yes n No TOTATSQ FfU DERROOF lfor proposed workl Heatedi Unheated: @ TOTAT PROJECT COST (Less Lot): ls the proposed work changing the number of bedrooms? n Yes fl No lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructurelyes[]No lftheprojectisa Relocation, istherea NaturalGas Line on the current site? D yes I o ls there Electrical Power on this Euilding? ! Yes Ll No Property Use/ Occupancy: E Single Family n Dupbx n Townhouse Description of Work: Cover existinq eck leave area open DECIAIMER: lhereby certify that allthe information in this application is correct and allworf willcomplywith the State Building code and alt other appticabte State and local lau/s and ordinances and regulations. The NHc Development S€rvices Centerwillbe notified ofanychanSes in the approved plansand specifications or chanSe in contrador information *+*NOTE: Any work performed without the appropriate permits willbe in violation ofthe NCState Bldg e and subied to fines up to S50O.m... IA ls the property located in a floodplain? ( Yes n No Existing tmpervious erea; 1 . ( Jo sq rt New lmpervious Area:l)Sq Ft SiSnature: Total Acres Disturbed: Quolifie/' -tL 'q15 ,1" rn WATER: E], CFPUA tl Community System E Private Well f] Central Well E AquaT 1-,:WER: \qCFPUA D Community System D private Septic I Central Septic ! Aqua Zone: Officer: .- Setbacks (F) _ (tH) _ (RH) _ (B) _ Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft. _ Comment:Permit Fee: $ LOT t: 80 clTY: wilmington ztP:28409 PROJECT CONTACT PERSOT{: David Fex PHONE: 910419-0990 EXEnNG CONSTRUCnOT: f Ateration ! Renovation n General Repairs NEW COI{STRUCTION: n Erect New Residence n Addition to Existing Residence n Relocation .**PIEASE CHECK AND AI{SWER BETOW Att THAT APPTY TO YOUR PRO,ECTI*' ! Porch (SF)_ ! Storage Shed (SF) _ ! other (SF)_ ExistinS Laod Disturblng Permit: E Yes E No \ I \2\ APPLICAN?S NAME: PROJECT ADDRESS: 710 S Sth Street NEW HANOVER COUNTY BUITDING PERMIT APPLTCAT,ON TYPE: RESIDENTIAI PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECI "Project Responsibilit/ , LLC CITY Application Number (office use) Datet 312712017i,eu SUBDIVISION:LOT 4 ?9.lot PROPERTY OWNER'S NAME: same owNER's ADDRESs: --llO 3 6+fi PHONE f CITY zlP pRo1EcT cONTACT pgpggl; Markus Schmid ntone: 910.622.7711 EXISTING CONSTRUCTION: tr Alteration E Renovation E General Repairs NEW CONSTRUCTION: 6'frect New Residence n Addition to Existing Residence D Relocation **,PLEASE CHECK AND ANSWER BETOW ATL THAT APPTY TO YOUR PROJECT*I'* n Att Garage (SF)_! Porch (SF)408 n sunroom (SF)D Storage Shed (SF) _ n Greenhouse (sF)_tr Deck (SF)tr other (sF) ls the proposed work changing the existing footprint? n Yes E No unheated: 21CTOTAT Sq FT UNDERROOF Vor proposed work)11g61s61 1690 TOTA| PROJECT COST (Less Lot)r S /2o oc2<2 - O c> lstheproposedworkchangingthenumberof bedrooms? D Yes O No ls any Electrical, Plumblng or Mechanical work being doneto the Accessory Structure E Yes EI No lfthe project isa Relocation, istherea Natural Gas Line on the current site? E Yes D No lsthere Electrical Poweronthis Building? E Yes E No Property use/ occu p.n"v, /sngb r"mily E Duplex E Townhouse Description of Work: Build new 2 story home DISCLAIMER: I hereby certify that allthe informetion in this application is corred and allwork willcomply with the State Building Code and allotherapplacable State and local laws and ordinances and regulations NHC DevelopmeT information.'+*NOTE: Any nt Service, Centerwillbe notified of any changes in the app.oved plans and specifications or change in contractor propriate p€rmits will be in violation o, the NC State fines up to S50O.0O*",L, H-re:QOwner/Contractor: "Licensed Quolifiet" ls the property located in a floodplain? fl Yes E lfo Existing lmpervious Area: _ Sq Ft Total Acres Disturbed: New lmpervious Area:5q Ft Existing Land Disturbing Permit: E Yes ! No WATERT Z/CFPUA E Community System D private Welt E Central Well fl Aqua SEWER: ErCFPUA E Community System D private Septic E Central Septic fI Aqua Officer:setbacks (F) _ (tH) _ (RH) _ (B) _ Approval: _ City: _ Date; _ Flood: {A} _ (V} _ (N} _ BFE+2ft= _ $Qtps Comment: permit Fee: $ E aorl# cowaecroa: s* a *ng:*' * 1a-/.*" 5<(.* 'al Boc LtcENsE *: 7) /?2 aooness: 3'10 Whitebridge Rd 6lly Hampstead St: NC ztp: 28443 EMAf t ADDRESS: Markusschmid20oo@yahoo.de pHONe 910.622.7711 E Det Garage (5F) tr Pool (sF)_ NEhI HAilOVER COT'NTY BUILDING PERMIT APPLICATIOI! TTPE.. RESIDENTTAL PLEAS€ Ai'JSI,{ER ALt QUESTIC*IS APPLIC4ELE TO yotiR pROl€CT *Project Responsibility'' JotT- ? tto +F€€ts APPLI CArIOiI Nu$er (office u5e) #ffi, ffitr'aB' APPLICANij S MflE r DEVEL@ER: Leurel CO{Tf,ACTOR: AmRE5S r L1a o^rE e -zl' t) PlI)tlaE t: L zrP | 2g.l o? PHOiIE #:to- 6 32'zdSLl <_ CITY: a{, ' 1,,,r PRO]ECT ADDRESS:170 I TY uval k C PROPERW O,INER'S ilAr,{E : l2t SLOCK : LOI f: 9 E\UTL ADDRESS:PHoilE #: 1o-63?- iZ6S PRO]ECT COITTACT PER5OiI:Ron Lpa PT*}NE f: Exrsrr G coflsr*t crroH: I nrrenarrot f] nerozarrou I eeuennl neenres fl RELoCATTON EH COiTSTRUCTT(]{II r B-errCr EU RESTDEI{CE o" f] aOorrrot ro ExrSTll{G RESID€NCE .TPLEASE OIECI( AII} A'{S ER BELO' ALI THAT APPLY TO YOI'T PRO]BCT: f] arr eanaee 2 G O sr f] prr eanasr _ sF I sunnoou _sF f] noor- _ sr I onrrr'*ousr - sr I orcx _ sr I roncr 2a sF TOTAL HEATED SQTTI ?3IL TOTAL 5Q FT U DER RooF:- TOTAL AREA WWI 2G9A TOTAL PROIECT COSTIr*r"or1 : $ 3l$,aO * OF STORIES: 7 rs any fLEcrSlcAL, PLUi!a:r{6 or ]t6c]ut{rcal Hork Bei.g Done to the accesso.y structure? f] v"a fffm LICENgE #: CITY: ST:t)!L_ZlPt 2 g<Jod 5F SF STORAGE SHED O'IHER: If the project is a Relocation, is there a Is there Electrical Pouer on this Building? PRoPERTy usE / o(cupar{cy, gd*nl, rmrlv I ourr-ex I DEsCRIPTION OF ',IORK: 1F ral Gas L-!ne on the Current site? flves pffi Yes llftto TOI^]NHOU5 E P ?-.aattt DISC_L &trER I herEby cenity Aslal hbnrrlon io t is appttcslr, b conect €'d a[ wo* wjr compty wi& tje Stste Airitdhg Cod€,d orlha.c?B and rEgdati)G The XHC O€v€ropd€nt SsNEa. Conb. wil be rlofl1ed ofay.h€ng* h 'le aprEov.d pts.s a1dcont_46r ntrm.l6n- '-NoTE: a.y worr P.'romed wlo aie ApplopriaE Pemi6 w be h \.btatifi ot drc Nc staE Bdg codc and al 0&6. appFcgbta SbE and &rcd tsws sp€cifca{6n! orcn-ge h conracbr or OI,NER/CONTRACTOR: Lra..rnel .les LtZ- SIGNATURE i Nad€)i.**+*r*,r,r***t*,t ******rr+.*:,:.ffi:: IS THE PROPERTY LOCATED IN A FLOODP EXISTIIIE $TPERYTfl'S AREA: P LAIN? SQ FT IOTAL ACRES DISTURBED: NEtd II0ERWCXJS ARE t Z?CO Se Fr EXIST LAI{D DISTT'RBII{G PERfiT: T'-1 YES n cou,lur,rrrv svsreu f] pRrvarE hrELL I cerrnar urllI crurmr serrrc I pRrvArE sEprrc f] corxururw svsrer.r B'rrouo 96"uo HATER: SETER: PAT'HE T TETIODi n'.or" ]*-nuo (pAyaBLi ro **l D i t::: i1c/vlsa f|mscwreA}IERICAtt EXPRESS*************** ** *****+t+* *)i**:t ** *+** l*** ***.: *:*,t***+**** ** **,rr + *,|+* **** ra***** *r*,* * **: l.* (FOi OaEr(E USE OILY)REVTSEO ortE 04/11/12ZONE: OFFICER:SETBACKS: F: LH: RH: B: ADoroval: Citv: * DATE:_ FLOOD: _ BFEiZft= AVN Coment i PERHIT FEE: 7t|367 ST: _ ZIP: _ q'D rte-1 A)dces s -7 a 1b Dr:r.o.utnl k a+11 Jo)7-- ? t'-to ,.,rj ffF4-* NEhI HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE.. RESIDENTIAL PLaASa Ai9.,EF AL Qti,ElIIoils APPL;CABLE TC YCIJR ,loiEC-l "Project Responsibility" APPLICATION Nunbe. Leu.el (on ,. 72rc Dro j': :; ADCRESS: _.+#-1;)^l LUa llL PROPERw OI,JNER'S NAmE: ChNER'S AD'RESs:lzt L(1 u i.e ,7arr- 1 C -?l't) PHONE +: zlP | 28.16 LOT S: to-632-zaS SI '.tuJ- ZlP. > gt <1 o S- S'I :I.D : "ho{t st qtp-6sZ- j765 ll c- 611y; Lg)1t-r-- a(NTRAcToR: / rt t,.- I ( o*t) Ap,as '-? tt ?,/Q PRO]ECT CONTACT PERSON I EXI5TING CONSIRUCIION: -T'i''nLc-Q RrLocAI _ON NEl{ CO{srRUcrroN, ffi-tnecr EltJ RESTDENCE or [l *+PIEASE CHEIX AND ANSIIER BEI,OH ALI THAT APPLY TO YOUR PRO]ECT: ATI GARAG:Co:,i 70 si 5JNR00r'r -_ sF GRFFNHOUS F TOIAL HEATED Sq *: ?3I L TOTAL 'Q FT UNDER ROOF: - TOTAL AREA Sq fi. Z.G 9_1 Yas Gl.,r.o ves pi$ri DET GARAGE - SI' S IORAGL 5tiED - SF 5F C IHER Is Any IIECTRICAI, PLt ilB{i6 o. I'IECIUS{ICAL Work Belng Done to the A.ccsio,.y Str-ucturel f] If the p.ojecI is a Re]ocatlon, Ls the-e r NdtuldL Cls,9ne on the Cii.rent Site? Ts :l^c-e Elecr-:ca1 PoF,er cn :!-1s 3ui icir.3l l ]res lt-'1-r;; PRoPERtY ust / occuPAficY: p<-^0,. :rrl . I uuPlr: ! rcl{:,rrious E5t- ?err, taats * r.: :ltr I OI,CNER/CONTRACTOR: Lr:.r,.e I e ^lpt Ltz-I rS THE PROPERTY LOCATED IN A FLOODPLAIN? EXIST G rHPERvIous AREA: *,F-tP,- i'iEi.r Ir.tPtRvIoUs AREA | :ZZ.iO_SQ Fl rraTER: E6FPUA I comur'rriv Svsrrr i'tL [] cerrrur seeirc I enrvari srcrrc I ,ot ff{u* (PAYAaLE ro NHE)f] mrnrcar, rxnness [ ,rcTusa 'tl l0l'lE: ,qppnoval:-_ City:_ DAT[:__ F1000: _ A Cqrtslent: ToTAL PRolEcr cosr lLess ro,r : * 33l,aA # OF SIORIES; _2,_- "';"r* r.r,trqff- NEh, HATiIOVER COT'NTY BUILDING PERI,IIT APPLICATTd{ TYPE .. RESIDEI{TIAL PLEAS€ A['ISI{€R ALL QI,ISTIOIIS AFPLICAELE TO YOUR PRO]ECT "Project ResponsibiliBf Lau.el Z1a DArEt 6-Zl- t) ZIP: 2Fi4 oQ PHONE *:l to-2 1 7d5 gT:QllZI,P:. 2 a <JsS; )d}&lL5 L7 -209L nppr-iclrrsr'r Nu,nb€r (qffi(e gse ) tu EE APPLICSIT'S M''IE: DEVELOPER: PRO]ECT ADDRESS: SUBDIYTSI6FI: COT{TRACTOR: ADD{ESS: ./ Cl TY: L1<* CITY: Lt-l r l*- LICE SE *: CITY: 74369 ELOCK *: LOT f: PROPER]Y OHNER'S t\IA'.tE : OI.{NER'5 ADORESS:tzt ST: ZaPl EIi'1AIL ADDRESS: PRO]ECT'ONTACT PERSON: Pr{cfiE *: 1n-632- i?6f, PHO'IIE *rRnn ). pa Exrsrrrc corsrRucrrorrr! f] alrunnrroru f] nerorarroru fl crrmnl neearns I RELocArroN rrrEr., C(}rsTRt cTId{, pf-rnfCr HEH RESIOEiTCE o. [ 4p,1116x To ExIsIIt{G iEslDgtrtcE +.PLEASE CHECT A'O A'{STER SELO}I ALL IHAT APPLY TO YOUR PRO'€CI: I arr oamer GO sr I orr cenaee sr I nonca -J?-sr flsunnoora _sF I eoor- _ sr SToRAGE SHED _ SF I enrerwouse - sr I orcr SF OTHER:SF TOTAL HEATED &fi2 23IL TOTAL 5Q FT UN0ER RooF:- ToTAL AREA sqeT: ZG9A TOTAL PROIECT COSTrr"*r"r): $j o&* OF STORTES: 2 Is Any ELECTRICaL, PLul€Il{i or llEcltAJrlcal. trork seing Done to the Accessory structure? fl Vur [ffVioIf the project is a Relocation, is there a Natural Gas L e on the current slte? flves pffi Is there Electrical Po|rer on this Building? nyes No pRoPERry usE / occupANcy , g{r*r, ro.rrr-v f] ouclex f]IOI.JNHOUS E DESCRIPTION OF l.lORK:5trP A)ed) ?,.1^J t hereby cenily Aal aU hbrm3liot h hs apptcaton n co{ect ,d 6, wo.t rii conply wih fio Stee EuilrrB Cod€ aod 6, oficr appfic€bb Starg atd toad tass5d o.dherEEs arx, regulato.E lhe NHe Der.ebgrn4t seBirs c.nEr sj8 be noaf€d corlnacbr anbfmalton- "'!tO?E: Any Wo.r Perlorn€d w/O ll€ fupopria! Pemirs wtt 6f any.ilrses io 6e aroroved ,lfis 6d lpeeitcslioii q ch96 in corrErr. or bo in Vbbiton or trE NC Stac BUg Coda ,td 9ri6c! &To S50O00'- O$NER/C0{'ITRACTOR: ********x)r*:***'t+ Lra.,rre I o .scn Ll<- 5TGNATURF: * * )*+r* **{.s* * t ,} r** * *** ***;ts*** r** * * *ri**,}* ***}J.*i* t** !l1** T ITER: SEI..,ER: ffyuo I coruwrw svsru I pRrvarE wELL ffireua ft cenrnar- srcrrc I pRrvArE sEprrc SETBACKS: F:_ LH:_ RH:_ B:_ CENTRAL lnEL L DISCOVER I cannultrrv svsrtn i:_::.r .: ..1.:r:i* .,:.,.-::::,- r:,. ;ir:._t. .-- ,-;:: .. ;..,.... pAyriEt{r flErHoD: lcsn I cnecr (pAYABLE ]o nxc; I mrnrcan eXnnrSS n ncrrrso a **'l * ** * rt*a +:a rt * * * a,t t*t **l* *a** *,|* **ir*:**** *t!r:l ***!i,l+,*:r:l:t* )r*:a**:r a*:t.:r ** jr* *:l*+*++:r*******,r!i {FOt OFaIC€ US€ (IILV) RE\.TSGO I) t€ e4l1U12 ZONE:OFFICER: Approval:_ City:_ oATE:_ FLOOD: _ BFE+2ft= _Avfl Corment:PERITIT FEE: PKT{E *: rs THE PROPERW LOCATEO IX n rlOOOpUrXl f-l yes E rc EXISTITG IITPERWCX.TS AREA: _ 5Q FT TOTAL ACRES DI5T|TRBED: EU rr?ERlnous AREA: _ 5Q Fr Exrsr LAro DrsTURErfiG pmnrr: I--] ves [--]. tw NEtAl HANOVER COUNTY BUITDING PERMIT APPLI .ATI oN TyPE.. RESIDENTIAL PLIASa ANS{Eq AtL QUtSir0NS ASPLlCAeLi rO y(}J8 pf,oJ[(T "PFoject Responsibility'' Lpu.el (or,ne*tc,s L11 (.o rreol *)a^e=S .3, a'7 ZLI Duneo,nt k -4 L+-219+ APPLICATION Nurnber otl-Z(zS i,r ffif'"da APPLICANT}S NAM€ DEVELOPER:f\\ Q eL 7 7 2.1 Do/. u.a \k <)pi{oNE f'l PRO]ECI AODRESs: SUEDIVISIo}i: L-i)-l Walll al;r, €-Zl- 2 234q L1<- CITY: t _, | ,,r.- pHaNE tt l to- 6 32 ' <2d5 sT:tlLzIP: > ggoS; LOT s.: ST: ZIP,. l2t CONTRACTOR: ADDRESS: Bn,. ). ce I.IEL^' CONSIRUCTION. PI-EIECT NEUJ RESIDENCE Or I ++PLTASE CHEC( AITO AIISIIER BT LOIi ALL IHA] APPLY TO YOUR PROJECT: f]ru eannci ZGO sr I ir caa,rer =- sF LICENSE {: CITY: 7qsa9 PHONIE *t q to-63 2- 3?6f PHONT S: SUNROOII SF SF DECK - 'zo si: f sroue r sHED - sF :l: is Any ELECTRICAL, PLUIVEING or IIEC}IANICAL uiork Being Done to the Accessol.y st.uctu.e? D Ycs ne on the cJrrent Site? E TOTAL HEATED 5Q FII 23I L TOTAL 5Q FT UNOER ROOF: - TOTAL AREA SQ FT:ZG9 -) IOTAL PROIECT C05T rt"....r; : $o@ # OF 5TORIE5; ? I4i6 ves ffi Is tl"cce Electricaf PoH€r on this Bui:ding? pRopE8ry usE ,/ occupANcy: E{rrurerr rar'rrr" Yes 5tr2 - NetL) taats't OIaINER/CONTRACTOR : La '.-.r,.^e I ^ttes Ltz- SiGNATURE: rs rHE pRopERTy LocATED rN a rroooeiarrul f] ves EX]sTII.{€ IiIPER\,'IOUS AREA : NEl,] I]f ERVIO{',S ABEA : i^JATER: E] CFPUA sEwEB: fU cFpuA sQ FT f eRrvare wrrr- [] TOTAL ACRES DISTURBED; EXIST LAND DISTURSTNC PERI]IT: I cerrRnr seerrc f] PRlvArr sEPTrc CLNIRAL I4EL L col4l.luNfry SYsTE14 CASH I cHec* 1oo"oo. ro rxcy [][ ,acTwso ! orscwe n ZONE; _ Approval:_ City:_ DATE:_ FLoOD Comment: Hi _ Bl-E+2+ { PERI1IT FEE: g E Bg PRO]ECI CO TACi PERSONi: \- NE!{ HANOVER COUNTY BUILDINC PERMIT AWLICATI0fiI rYPE: RESIDENTIAL PLEASE ANSI,IER ALL qJESTIOI{S APPLICABLE TO YOUR PRO]ECT "Project Responsibilityp RoberL Parker 54 L2 Shi.nn Creek Lq^e JotPg(3+ APPLICATIO{'I f{unbe r (Offl.e Usc) APPLICANT'5 I,IAIiIE: DCVELOPER:1171 PRO]ECT ADDRESS: SUBDIWSION: CITY: PROPERTY $,lllER'S NAiIE: per er orfe PIONE #: (910)532-4190 ollNER'S ADDRESS: 8412 shinn cr:eek CITY: l.[j.1qlnqton 5T: I!_ ZIP: 2840s CONIRACTOR: cape Fear solar Systems LICENSE $:646'7 7 AODRESS: 901 Martin srreer CITY: wilminoton ST:ILzIP:284or EMAIL ADDRESS: supporr@ca pePearSolarSvstems . com PHoNE *: {910) 2l2-62A8 PROIECT COIITACT pERSOlrl: Roberr parker PHONE *: (e1O)232_G2Bg EXTSTTNG COilsrRUCTrO[: Z} arrenlrro* [ nrHoverroN ! eetennl nenlrns I RELoCATTON I{EI.I COT{STRUCTIS{ ' ! CNECT NEW RESIDEiICE O" I EOOTTTOI TO EXISTING RESIDENCE I1PLEASE CHECX AT'D AJ{sI{ER BE LOt,I ALL THAT APPLY TO YOUR PROJECT: ! nrr enuee _ sF I surunool.r _ sF f] enrenuo.rsr _ sr I oer oanaoe sr I eoncx _ sFf] eoor _ sr SToRAGE SHED _.I orcr _ sr orHER: SF 5F TOTAL PROJECT COST tr-ess rou : $49 ,8 4 # OF STORIES: rs Any ELEcrRrcAL, PLUllBrt{G or EcHAxrcaL Hork Being Done to the Accessory structure} fi v"s f] Norf the project is a Rel.ocatlon, is there a Natural Gas Line on the current slter Ives I lo Is there Electrical Powen on this Building?@Ves fl to PROPERTY USE / OCCUPANCY: I Srruele rnmrlv ! ouelrx TOWNHOUSE DESCRIPTIoN 0F I.{ORK: rnsrallarion of solar panels on the xoof of Mr. LamDorle,s home OISCIAIMER I hsreby certity h and ordina.ces and relolalions, contacbt intormaton. "'NOTE at sllinformstbn ir his applicalion is corracl and ell work will comdy with tr6 Stals BuiBang Codo and aI oherarplcabte Stsb and bcaltawsTha NHC Dov€lopm€nl S€rvices CenEr wiB be notfsd otany changes h he approvcd phns end Ep€cincsions orctenge in conlactororAny Work P6tbrmed wlo he Applopaeb Pamits willbo in volstbn of$e NC StaE 8ld9 Cod6 ard Subirct !o Fin€s U; To $S0O.Oe- O!,lNER/CONTRACTOR: noberr arker SIGNATIJRE :(p.l.t xare)***,t!****r***:***+*+***:****iri****t**,[********,t,*!****:**,t****,**,t**,],]*******tt*****)t***+******* rs rHE pRopERw LocATED rN a rloooemnu I vrs EI uo EXISTING IIiIPERVIOT,S AREA: -SQ FT NEW IMPERVIqTS AREA: _SQ FT TOTAL ACRES DISTURBEO: EXrST LAND DTSTURBTNG pERt'lrT: r] VrS fl rc WATER:CFPUA f| cowunrw svsrer'r I PRIVATE I^]E LL CENTRAT WELL SEI,JER:CFPUA f] cerrnal seerrc D PRIVATE SEPTIC CO}{VIUNITY SYsTEMtr Approval:_ City:_ DATE:_ FLOOD: _ Comrent : $15p E'' SEPARAIE PERINIIs REqUIRED FOR ELECTJ IIECH' PLEG' 6A5 EQUIPJ PREFABS & II,ISE IS ***$l0 rtc PAYI'IE T I'IETIOD:u tr cHECr( ( PAYABLE TO flHC)AIITERICAN EXPRESS E ncuvrsoCASH :t,t 't tt *,t+ !t**,* **)***,*,*+ ***:t**,t ***:t **!t *)**)t**+** )t,i * **:t:t**)t *jt,x:l:****)t***,***** )t )t,a** !t ** )t jt + *,t ***:*:t* ZONE: oFFICE R: (FOR oFrrCE UsE OiLy) r.EvIsED DATE O4l11/r2 SETBAC(S: F:_ LH: RH:_ B:_ BFE+zft- n PERI4IT FEE: $ / DATE: 1BJur17 PIO E *; (e1o) 232-82II wilminqton ZfP: 28409 BLOCK *: LOT ': - TOTAL HEATED SQ FT: _ ToTAL SQ FT UNDER ROOF r _ TOTAL AREA SQ FT: _ lor+-- uzrl w(i11036 NEW HANOVER COUNTY BUILDING PERMI'T APPLI CATN N IYPE,. RESIDENTIAL PLEAS€ ANSWTR ALL QUESTIONS APPLICA8I"E TO YOUR PROJEC']' "Pro,ecl Responsibility" +1133+ Number (oflice use) salq O712012017 pRoJEcT ADDREss: 6049 Otler Tail Trail clTY: Wllmington 71p 28412 sUBDtvtstoN: Willow Glen Estates PROPERTY OWNTR,s NAME: H & H CONSh,UCIOIS Of F tteville, LLC OWNER,S ADDRESS: 8209 Market Street, Suite C t.OT fl: 036 pr.tonr t: 9'10.21 9. 1485 71p. 28411 66NTRACT9R: H & H Constructors of Fayetteville, Ll-C ggp6 Ugsf{56 6; 74158 ADDRESS: 8209 Marl(et Street, Suite C s;1y; Wilmington sr: NC ztp 28411 EMATL ADDBEssr .iulicafferty@hhhomes.com/ jerrybrenning@hhhomes.com PtloNEr 910.219.1485 pRoJEcT coNTA6T pERsoN: JJ Brenning p116xs.910.219.'1485 246 E Sunroom {SF)tr Pool {5F)n Storage shed (sF)_ fl Greenhouse {SF)U Deck (SF)tr other (sF) Is the proposed work changing the existing footprint? E Yes El No TOTAL Sq FT UNDER ROOF lfor ptoposed work)Hg219!1 3292 tJnheated: BB3 TOIAt PROJECT COST (l.ess Lot): $187 075 lsthe proposed work changing the number of bedrooms? El Yes U No lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureDYesENo lf the project is a Relocation, is there a NaturalGas Line on the current site? EI yes E No ls tl'lere Electrical Poweronthis Building? El Yes n No Property Use/ occupancy: m Single Famlly n Duplex D Townhouse Description of Workr SINGLE FAMILY DWELLING Owner'/Contractor: JJ Brenning Signature: "Licensed QuoliJiet" P.int Nafie ls the property located in a floodplain? D Yes El ttto hfo.mat{on. .*'NOTE: Any work performed witholt the approprlate permits willbe kl viol.tlon of the NC Staie BklB Code and sobJe.t to tl es upto $SOO.00"* Existing lmpervious Area:Sq ft New lmpe ru;qu5 41s2; 3207 5q ft Existing Land Disturbing Pe rmit: [3 Yes f] No WATIR: I CFPUA fl community System E Private Well fl Central We Aqua SEWER: I CFPUA n community Systenr [f Private Septic f] Central sep Aqira officer: - - setbacks (F) --- (LH) *- {Rl{) .- . , -- (B} --- $+5 kpail Q.,.r{ l,stz-ac 7lr+l0l,*l(\te, App|oval: _ City: -- Date: .-- Flood: (A) ---, (Vl - (N) - BFE+2ft= e )T 14f-r AppUcANT,s NAME: H & H Constructors of Fayetteville, LLC --,- clrY: lqilmington EXISTING cONsfRUcTloN: E Alteration E Renovation Il General Repairs NEW coNSTRUcTloN: m Erect New Residence n Addition to Existing Residence E Relocation "**PLEASE CHECKANDAN *** A Attcarage(SF) 529 tr Detcarage(SF)- tzl Porch (sF) Total Acres Disturbed! -:S Commenti _ l t, NEW I.IANOVER C]OIINTY DI]PA R'l-M I]NT OF BUII-DING SAFI]TY 230 GOVBI{N]V{IiN't'CTNTEII I)RIVF, . SI]I]'I] I70 WILMING'I'ON. NORTI I CAROT-INA 28403 'l'elephone: 910.798.7308 F?tx: 910.798.781 I lnlernet: tt'tv u,. n hc go t,. c o nt 4 to T IIVORKiNG DAYS TURNAROUND TIME F'OR PERMIT ISSUANCE STATEMENT OF UNDERSTANDING Juli Cafferty , 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 boxlboxes below to acknowledge that: I have attached an official CFPUA receipt or document that has acknowledged an approval of the payment made to CFPUA. tr I 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. II 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 correetions or revisions to plans and drawings, and if there are no further clarifications required by New Hanover County; New Haneiver 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 aoplication is submitted prior to 4:30 pm on any working-day. signed in acknowledgment:.* I +hS NJ€;1 6rIEoR+IoCD II-SES AQttn k 7 t20/2017 Siqnature Printed Narne Acldress for the proposed residential work 6049 Otter Iail'liail l')ate @* -:_l\J Ilvl.0t]2 APPL|CANT,S NAn E: H & lJ Constructors of Fayetteville, LLC NEW HANOVHR COUNTY BUILDING PERMIT AP PLICATIO N IYPE: RESIDENTIAL PTEASI ANSWER ALL QUESTIONS APPI-ICABLE TO YOUR PROJECI "Pro.iect Responsibility" Aor) t tzzL+-23* Applicition (oflice use) oate: O712012017 pRoJEcT ADDREs5: 4755 Waves Pointe ctTy: Wilmillgbrr 1p. 28412 sUBDtvtst()N: Riveriights PROPERTY oWNER,S NAME: Ii & FI CONSITUCIoTS of Fqygllleyille, Ll.c CoNTRACToRT H & H Constructors of Fayetteville, LLC ADDRESS: 8209 Market Street, Suite C 611y; Wilmi loD sT: NC zlP;?9111 ._ p1.1611p. 910.2'19.1485 LOT #: 0B2 PHCINE fl: 910.219.1485 CtTy. Wilmington 4p. 28411 EMATL ADDRtss: julicafferty@hhhomes.com/ jerrybrenning@hhhomes.corn PROJECT CONTACT PERSON: JJ BTCNNiNg EXISTING CONSTRUCTION; [f Alteration El Renovation [3 General Repairs NEW CONSTRUCIION: E ErectNew Residence D Addition to Existing Residence n Relocation t K ANSWER BELOW AtL TTIAT APPLY p11611s. 910.2'19.1485 E Att GaraBe (sF) 514 E Sunroom {SF} _ E Greenhouse (SF) EI Det Garage (SF) __ tr Pool (SF) tr Deck (sF) E Porch (5F)374 ls the proposed work changing the existing footprint? f, Yes EI No TOTAL SQ tT UNDER ROAF lJor proposed wotk)Hg21E6; 2010 unhgslq!;888 TOTAI PROJECT COST (Less Lot)5 126,252 lstheproposedworkchangingthenumberof bedrooms? E Yes E No ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structu re n Yes El No lf the proiect is a Relocation, is there a Natural Gas Line on the current site? [] Yes El lto lsthere Electrical Power on this Building? E Yes No Property Use/ Occupancy: m Single Farnily IJ Duplex Townhouse Descripti on of work: SINGLE FAMII,Y DWELLING *-.RILEY PLAN. B ELEVATIONT"' info.mation. *+'NOTE: Any work performed without the appropriale permits wlll be ln vlolallon of the NC State Bldg Code and subiect to flne5 up to S500.0O... Owner/Contractor; JJ Brenning Signature: x Total Acres Disturbed: .12 Existing Land Disturblng Permit: El Yes ll No t5 daaol P-^a l,B1 -+5 WATER: El CFPUA E Community Systern ll Private Well tr Central Well E Aqua SEWER: EI CFPUA fl Community System lf private Septic Central Septic l1 Aqtra lolre ofticer:____ setbacks (n _ (LH) __ (nH) _,. *_ (B) _ Approval: _ _ City: *--_ Date; ____ Flood: (A) _. _- {V) . .._,., (N) __ BFE+zft. * __lr uq ,+no({-ont lrent: t,?7 +/4/r- oWNER's ADDRESS; 8209 Market Street, Suite C s1s6 11ggp5E g; 74158 E Storage Shed (SF)_ Ll other (SF)__ "Licensed Quoltiet" hint Nofie lsthe property located in a floodplain? fJ Ves El No Existlng lmpervlousArea: _Sg Ft New lmpervious Area: 3221 sq Ft lIi04- I, NBW HANOVER COLTNTY DEPAIi,TMENT OF BI.JII,DINC SAFDTY 230 GoVIIRNMIIN'l' Ct'lN't'E.t{ I)IUVE - SUITFI 170 WII,MIN(JTON, NORTH CAROI"INA 28403 Telepltone: 9 10.798.7308 t'ax; 910.798.781 I I nternel : v' tvw. n h c got,. co nt 4 to 7 WoRKING DAYS TURNAROUND TIME FoR PERMIT ISSUANGE STATEMENT OF UNDERST n l.:,,..1 uliCaffe , am submitting an application for a residential building permit to New Hanover County. And, as the applicant or person $ubmitting the application, I check the box/boxes below to acknowledge that: E I have attached an official CFPUA recei pt or document that has acknowledged an approval of the payment made to CFPUA. n I 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. tr 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 Gounty 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 aDDlica tion is submitted orior to 4:30 pm on any working-day. Signed in acknowledgment: JuliCafferly Signature Printed Narne Address for the proposed residential work:s I'ointe Dak: rul HOt{020 APPLIcANT,s NAMI: H & H CONSTTUCTOTS Of FAYEIIEViIIE, LLC NEW HANOVER COUNTY BUILDING PERMIT A P PLICATIA N rYPE; RESIDENTIAL PLEAS! ANSWFR ALt QUESTIONS APPTICABLE TO YOUR PROJECT ?roiect Responslbility" )or1 8l zo_w Number (office use) oate: 0711912017 pRoJEcT ADDRESs: 1332 Eastbourne Drive ctTy: Wilmington 7p.28411 suBDtvtstoNr sanctuary at Hanover Reserve PROPERTY OWNER'S NAME: H & H CONSITUCTOTS Of FAYEIIEViIIE. LLC OWNER'S ADDRESS: 8209 Market Street, Suite C coNTnACTOR: H & H Constructors of Fayetteville, LL.C ADDRrss: 8209 Market Street, Suite C cfTY: wlmington __aPi 284.11 sgp6 U6gr{59 g. 74158 ;61 s. 020 pHorue r; 910.219.14B5 clTy Wilmington sr: NC ztp,28411 EMATL ADDRESS: iulicafferty@hhhomes.com/ jerrybre nninq@l.rhhornes.conl PHoNE:910,219.1485 PROJECT CONTACT PERsoN JJ Brenning pHorur:910.219.1485 ExlsTlNG CONSTRUCTION: n Alteration E Renovation E General Repairs NEW CONSTRUCTION: El Erect New Residence Addition to Existing Residence E Relocation ***PTEASE CHECK AND ANSWER BELOW AI.L THAT APPLY TO YOUR PROJECT*T'' A Att Garage (5F) 523 n Det Garage (SF) _El Porch {sF)277 LJ Surrroom (SF)tr Pool (SF)t] Storage Shed (5F)*__ trl Greenhouse (SF) tr Deck (SF) -- ls the proposed work changing the existin8 footprint? E Yes El No [] other lsF) ToTAL Sq FT UNDER ROOF (fo( proposed workl tlg2lsd; 2632 gnhs61s6; 800 TOTAT PROJECT COsT (Less Lot);5 154,800 ls the proposed work changing the number ofbedrooms? [ Yes E ttlo ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure E Yes E No lftheprojectisaRelo€ation,isthereaNaturalGasLineonthecurrentsite?EYesENo ls there Electrical Poweronthis Building? E yes E No Property Use/ Occupancy: El Single Famlly n Duplex E Townhouse Descripti on of Work: SINGLE FAMILY DWELLING Owner/Contractor: JJ Brenning Signature: 'Lice sed QuoliJier" kint Nofie ls the property located in a floodPlain? n yes EI No Existing lmpervious Area: _Sq Ft New lmpervious Are3; -3391 - 5q 61 TotalAcres Dlsturbed: .22 Existing Land Disturbing Permit: Ii yes ll No WATERT EI CFPUA n Community System E Private Well n Central well EI Aqua SEWER: E CFPUA E community System E Private septic n centralSeptic n Aqua Zone: ofricer: , -_ setbacks (F) -_ (tH)- {nH} _--_ (B} ---Approval: - City: - Date; - Flood: (A) -...---.- (V) --- (N) - BFE+zft= loO laws and o.dlnances and regulations. The NHC Developrnenl Servlces Centerwillbe notlliad of any changesln the approved plans and specificatlons or change in contractor lnlormation. r+*NoTE: Any work performed wlthout the app.op.iate permits will be ln violatioo o, the NC State Bldg code and subject to lines up to 95oo.0o+" \tre,Lepo,rt prl l)5\5 l,t 5o -?5 ---.:-r,q)3 Permit Fee: S 510 -* Comment:____ t, NI]W HANOVEI{ COUNTY t)EPARTMDNT OF BUII,,DING SA}.E'fY 2]O GOVI.]RNMF]N'T C]I,]NT'T]R DRIVE - SUI'I'B I70 WILMINCTON, NOR'I'II CAROLINA 2tt40] 'l'elephone: 91 0.798.7308 Fux: 910.7911.781 I ln t et-ne l : vwvu,. n ltc gov. c o nt 4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE STATEMENT OF UND ERSTANDING .,uliCafferty , 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/boxe$ below to acknowledge that: I have attached an official CFPUA recei pt or document that has acknowledged an approval of the payment made to CFPUA. n I 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. fl 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 aDolication is ubmitted prior to 4:30 pm on any working-day. Signed in acknowledgment: .luli Caf{erty 7 /19/2017 Vatu re Printed Name \\VW Address for the proposed tesidential work 1332 Fastborrrne Drive I)ate NEhI HANOVER COUNTY BUILDTNG PERMIT APPLICA11ON TYPE., RESTDENTIAL PLEASE AIISWER ALL QUESIIONS ADPLICABLE TO YOUR PRO]ECT spt oject Res ponslbil.iqf JorT-7/ 3t APPLTCATION Ntmber (oFftce Use);#APPLICAT{T'S N'I}IE: DEVELOPER: DATE PHOiTE #:PRO]ECT ADDRESS: SUEDTVISION: PROPERTY q,O,lER, S NAIiIE: OI!,NER'S ADDRESS: CONTRACTOR:d ADDRESS: EIIAIL ADDRESS: PRO]ECT COI.TTACT PERSON3 Ho I err eanaee _ sF f] surunocr,r _sFI enemnorse _ sr CITY3 z'P: BLOCK *:LOT *: rrorire *1Q to) r3 I -6 71'1 CITY: \r.\r\rtr, nolrsr-r 0,C ST:g:zlP,:7t,-\\) LfCE SE *: ACCOUMI *: CITY;sr'HYE-ZXs-(> PnoNE #: 9JA_#n3% enoue *: (9 to)Lt 3l -3:fuq DCrSnriG CoNSTRUCrION: ffar-reurror'r I naovarroN I earemr_ necarns I RELocATToN NE!'l COr{STRt}CTrOl,r: I sntcr NE$l tEsIDEltcE o" fr aOOrrror To Ef,ISTIt{G RESTDET{CE '+PLEASE CHEC( A'S I'ISI{ER BELO}I ALL THAT APPLY TO YOI'R PRd'€CT: (l ! orr eaanoe _ sF I eool _ sr I oecr _ sr E poncH -- sF I sronaee sHED _ sF OT}IER3 SF roTAL HEATED SQ FT: _ TOTAL se FT UNDER RooF:9oo TOTAL AREA SQ FT: _- TOTAL PROIECT CoSTlresr-oq: $# OF STORTE5 3 Is Any ELECTRICAL, PUrl.tBIa{6 or I,IECHA'IICAL tiork Being Done to the Accessory StructuFe? If the prcject is a Relocationr is there a Natural 6as Line on the Curr€nt S Is thene Electrical Pe$,er on this Building?fiYes l--1No fr v". fl uo :.ter fives f,rio PROPERW USE /E"ING LE LY n DUP LD(tr DESCRIPTION OF NOR(:-I (-)l l('or'Y1 and otdinanc€s and €gul€1jons. The NHC O€\€lopmentS6Mc6 C€nErwillb6 no!6ed of gly chaigs6 in 1he apploy€d plan6 and specifcadons or ctlsngs h contr ;Dror cont^acDr inormaljon, -NOTET ONNER/€ONTRACTOR fin Pe.micw{l b€ io Vrolat'oo ofti6 NC Slab Cod6 €nd Sublect b Flne6 t-F s50{}( 7- l'&elurunrt \N *+* +*+* +* +*** ++***+*++** **(Pr1rt t.Ec)*+***++**+* ******** * rs rrE pBopERTy LocATED rN A FLooDprArN? f-i yEs EXISTII,IG II4PERI/IOUS AREA: -SQ FT ilEltl !4PER,IIIOUS AREA: _ SQ FI ,*., P1O oFFrcER: **********:************{.**fi* I . 4t\- 17 FLooD: _--L BFE+ **+** +******++J TOTAL ACRES DISTURBED: trIST LATO DIsTURBIM PERI'ITT:l-l ves II r,p OAIE },IATER: S E!,IER: Xz( cFpuA D copr\4uNrry svsreu I pRrvATE wELL I ca,nnel uell CFPUA E CENTRAL sEpTrc E pnrvare sEpTrc E co$,luNrw sysTEM **,& 5EPA&ATE pE&KITS REqUIRED FO& EL8CT, AECH, PLEG, 643 Equrp, PREF&BS & XNSERTS *r* PAY EHT r,'tETHoD: ff CSX fi "*e.K (PAYABLE ro ruXc1 [ erlU aCCOrrr E r.rcZwsa ffio:scwer)irt*************i*:E*:t++*rts*********rt**f*:a:t*******:i:FFf,:F{r|F:t:t.t*,t:t:l:};t:t:t:tlt:tit**;fri,t:iri*ri,t:t:l*:*:t:t:t:at (roR oFElcE t,sE OnLY) SrrAaCrs, r, # R€YISED LH,--JE wr, * ,, YAppnoval:_ City: DATE:Prf,o' praurr re e : vlfr+ Comnent: e<*usa/l i v\4eplle havnr" ,')ity lnspeclion Regurreo, 9.l0.2 )=-15I _-->-$4Si $3 OC NEW HANOVER COUNTY BUITDING PERMIT APPUCAT@N TYPE : RESIDENTIAL P[TASE AITSWER AII. OUESNONS APPLICAAE TO YOUR PROJECT "ProiEGt nsEponsD nlf 0 t?-8{ Appli€ation Numb€r (office use) lzt6 t e0{fi,7-z{ -1 m, ,2?/oz )GAPPUCAi{TS NAME| MOJECT ADDRESS:6 r,,t r l$clrY suBDtvlsloN:/u /l t(at /7--- ,l;^?toPHONE#:- 6/6 - 9Ssr qryt: / t-t / Ll\ z -7,:'.-w:28)10) PHONE:?to-5Yo*/kz7 PROPERTY OWNER'S NAME: OWNER'S AODRESS: COI{TRACTOR:,*Aon-u ADDRESS; EMAII. AODRESS: CC aoiLsq. f l)CITY: z Cr: r-.- PROJECT COi{TACT PERSON:o Eruiniac Co{l5IBt,cnoff?X at"*i* E Renoeadon E General Repairs I{EWCo{l$trUCno:EErectl{ervResidenceEadditiontoer&neRe.idenceERelocatlon }'a* E Att Garage (sF)- tr Det GaraEe (SF)- tr Ponfi (sF| PHO E:9to*5 ro -/33> D Storage Shed (sF) - ! other (sF)- E Sunroom (sFl - ! Pool (5F) - I Greenhouse (sF)-D Deck (SF) -,oTAL PnoJEcf @5T (tess tot): I 0 QOo ls the proposed wod( changing the number of bedroorns? E Yes Xno ls arry Electrkal, plumbing or M€chaoic'al lyork beilE done to t re Accessory Structurer{ Yes E l{o tfthe project is a Relocatirn, is there a NaturalGas Line on the curent site? EYesE o ls there Electrical Power on this Euilding? ! Ves tr ffo o without the @ropriate permits wfl be in vidatioi of rhe NC code and subiect to ines too q G ll'.-f 'licensed Qwllw mfi Nome WAtn:rK CFPUA E community system E Private well E centrelwell E Aqua ls the property located in a floodplain? E Yes Eiisting hperYiors lueet -fLL4ft,{ew lrrlpen lo{s Area: _ Sq ft awrovat 11 crrrl. /LM lHe: Edsting Land Disturbing Permit: E Yes E No System Private Septic tr centrals€ptic E Aqua e (no ,iltwill nrrAk@&(a_M (l{l Y BFE+zft= Comm€nt:'a/,/cr,r i'ihr lncrrantinn Do/'r llr4 01 fl-)E/-fdrr'v' Permit Fee: $$azs- lor #,- tlcEI{SI ls the proposed wdrt changint tte existing footrnnt? tr Vesfino IOTALSqFrU DERRc/1F (for pmpod workl H.#lkdl 5OO Udreaed: - tr /, L l^.Sti e Total Acres Disturt€ a: ? // tr +o-D .1.. \/ t' ' lrX f'.); Vt-^^-(- X \ NEw HANovER couNTy BUTLDTNG plhrvrrr AP PLI cAf IoN TYPE: RESIDENTIAL PLEAST ANSW€R ALt. QUESTION5 APPLICASLE 1O YOUR PRO,'ECT'?roject Responsibiliry" ?pt1.805^ APPLICA\I'5 NAME ?,t o lt,r \,!Date 1 4t t') PROJECT AODRESS SUBDIVISION: i ii' -cnY: -!l)- , A r, tr e \ri- \t-/F- CITY zlP _ _ ztP - PROPERTY OWNES'S NAME OWNER'S ADDRESS: 4"11";r,.lr]coltsea€+eR A D DRESS EMAIL ADDRESS PROJECT CONTACT P€RS _. BLOG LICENSE 'IsT __ zrP (l\I"v +, .,\ t evl L 6e - *q'0 EXISTING CONSTRUCTI NTW CONSTRUCTION: PHONE OI\Alteratlon n Renovation :. General Reoairs a Erect New Residence i] Addition to Eristing Residence I Relocatron ".PLEAsE CHECK AND ANSWER 8€I.OW ALt THAI APPTY TO YOUR PROJECT"' ,-l Att GaraBe {SF}_-_ Sunroc,m (SF)-__ - Greenhousc (5F) -- E Der GaraBe (SF)-.__-: Porch (SFl :: Storage Shed (SF) _. -__I Pool (5F)_ :. Deck (Sr)- Other (SF J 15 lhe p.oposed work changinB the existing footprint? :l yes I No TOTA! SQ r: UNDER ROO( Uot ptopased wo,.k) Healed TOTAL PROI€CT COST (Les5 Lot) S rs there Electrical Power on this Building?Yes No Property tise/ Occupancy, *5in gle tamily a Duplex - De5cription of Work: l5 the proposed wo.k chanBinB Ihe nurnber of bedrooms?Yes No ls.ny Electrical, Plumbing or Mechanical work being done to the Accessory 5rructure __l lf ihe proJect is a Relocatign, is there a Natural Gas Line on the current site? _l yes a No Unheated Yes - No ( (c.,ucrt tl.| ,., i*u f' ho- rl /''!,.t Lu,-S fOprt) Z tn ( .* (.-'tl .)tt roz,,/, ,n 6,,1 'lr //, DISCIAIMES: l ho.ohy (en y thrt all tho rnforhatlon rn th|t appli.anon ., ccrie.t and a1l work ?riit complt wnh.Frr .^d ordinan(es J^d reBulalions rhr NHC 0evetophent S.rvice5 Center wnL be ioril.eO of arly chantr! i. tL, Eurldrn! Codt lnd dllolher app|caore 51.1e and tc.il 00 00".,,fo,milio- ".Ncit Anv work rrrtomeo qirhout (h(, aprJ,op owner/contra(tor: . ..-...1J , ,, ' 1- ,+ l l: Lhe prcperty locdted rn a iloodplarn) j Yes Existing lmpe.vious Area: -,_. Sq Ft New 'mpervious Area: -_ __, __ Sq Ft pcrmnr wrll bc rn !olal on ol the N( St _ _ Signature TotalAcres Disturbed: Existing Land Disturbing permit: a yes :_ No FE+2f:= Permit Fee: 5 !t(e.sed Qtolthet" {Nc WATER: : CtPtJA ['r Communrty System -_- prjvate Well - Centralwelt ] Aqua 5EWER: Ll CFPUA L_.r- Comrnunrty System lJ p.ivate Seprrc E Centratseptic I_- Aqua zon., R-7 yhi"*,-5n".[,_ setba{^s,(r) {_11.*1 5' 1*rt-f' trt f / Approvat:. ./ citv, \.J-.i"- o"t.,i..,!]11 aood:(A) - (v)- (N) { Bcomment:|i F.,lt; [.luu\ 'Du-[ - 6u^-"t,ri Iur^ i"H i\u- t, ,,*1 (-.,1{ o(i I u ILA i^ -\i ^ - , \,J31t c'u, ;f| rnp€crl0n iequreo gl 0.2i4+; :.1 !- .}\__ PHONE.'- PHONE:___ \ $