MARCH 20 2018 BUILD APPS2o t0-)6tC
NEhI HAT{OVER COUNTY BUILDING PERIiIIT
APPLICATI(N TYPE.. CO'/&IERCIAL
PLEASE AI{SI,IER ALL qJESTIO'{S APPLICAALE TO YO.,R PRO]ECT
'?roject Responsibilitlf
AFFEIEfImn
iluEber
(oFftce rrr€)
APPLICAT{T' S MllEt Metissa Da11ser - DATE:3 /s/ L8
DEVELOPER: ar&]'
PROJ ECT : :zt lleroicage nd
OCCUPANI/BITSINESS M!lE: Ar&r
PKTPERTY O{[{ER'S MllE: a6".1."r, Toeer corpor.ation
Park*ay, STE 1o0 CITY: gary
CO{TRACTOR: uastec Netrork goluriorr6 - LICEiEE *: zoosz
AIDRESS: looo centre creeq way CITY: gary
EI4AIL AIDRESS: Brad. conn@maaEec. com
PROIECT CO TACT PERSol{: yq115sa pangsa
(chect all Inat Apply)
P}o E *: sts-2G2-4LLo
: Castle Ha).ne ZIP z 2s429
- Pt0l{E $: sto-74s- 6s2j
PHOtaE
5T: 11s ZIP:2 751s
5T:Nq ZIP:27513
*, rGorro,
- PH)[{E *: sL9-2l2-4rto
EXIST CONSTRUCTION:GE
lf Relocalion, is there a es
No
irr'Eu corsrnucrro{: n EREcr NEr{ srRrrcruRE E FAsr rRAcK il sHELt fl uPFrr
ACCESSORY STRUCTURE : Morropole
ALTERATI()I{ T--I REiOVATIO
Gas Line on theurrent Stu? f -
irERlrL REPAIRS TlNo lS BLDG SCFfl,lKLEREDtr-Ye{- _
RELOCATION
AID TO EXIST STRUCTURE
TyDel
AREH DESIG PmFESSIO{AL: ?yler Barker _ PH:405.:ag.sl69 NC REG *:Oaggtt
EI{GR DESIGI{ PROFESSIOiIALLI,yIeI. Barker
DESCRIPTIOI{ OF IORK: "Jd i.at..-"e, add 3 trrAs, add s RRIra
tsfood or beverages prepared or sen ed h rh'rs srnraure?f-- Yesl-- No ls The Property Localed ln The Flooddainf - Yelr -
a! other app[cable $(€
okans and s*cificarionsNC Stde Bldg codo arn
&**.
If UPFrr - The Shell. Pefldt #:fs Elect Porer on this Buildins f. Yes f No
.+*.. rs rHrs A cMItGE oF (rGrPAitCY r,sE?r YEs r- rO .*...
IF Yes, iilat Et the Prcvious OccuPancy TtPe? couraercial - Ihat Is the lld OcRPancy comne!cia1
EXST LAND DISTURBING PERMIT? T YES T NO
llole: Denolitloo rEnificelioos I asoesEe r€mo\rd permn applicalione are to be sd)ntitH fqm (DHH$3768) r$€ther tre ffiity building !_ds{oond b
coitain Asbestc or nat You a.e requlred to call the tlati,rlal Enission Sandards tor th.ardous An Pdftrtants (I,GSHAP) d (919)707-5950 at bsl 10 days prbr to tlr€
d€rnolilioi d ery laoliry or buiHirrg: See AsbesG Wet She: hupJl^/ww.epi.slale.nc.usi7epuasbesIorahmp-html
TOTAL PROJECI COSTi 2sooo. oo BUILDING HEIGHT:
SQ FT PER FLR: .
# OF UNITS:
TOTAL AREA SO FT :# OF STORIES:
# OF FLOORS:TOTAL SQ FT UNDER ROOF: _
ACRES DISTURBED:
# OF STRUCTURES:
SA FT
WATER:
SEWER:
SYSTEM
CFPUA
CFPUA
F.'I COMMUNfi SYSTEM T-'I WELL T-] ZONING USE
flcerrnar- seerc f] pRIvArE sEpnc DLCoMMuNrry
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA:
pRopERTy USE: EoFFrcE I nrsraunnrvr I r'lrrncarlrrul-] EDUcf] APr CONDO OTHEfuelecom
I]tr
CLASSIFICATION
" SEPARATE PERMITS REOUIRED FOR ELECT. MECH, PLBG. GAS EOUIP, PREFABS & INSERTS- peyuEr'rr uE+roD: f cASH f-. cnscx leavaBLE To NHc) [-- auencan exeREss f- Mc/vtsA J-- orscoven
(FOR OFFTCE USE ONLY)
OFFICER SETBACKS: F: LH- RH- B_-
Approval:_ City:- DATE- FLOOD:- BFE+2ft'--
AVNComment PERMIT FEE: I
18€631
ol6tER'S ADIIRESS:35ee
pn:fiiEfiZ?6- NC nrG *:67t!E-
ZONE:
W,C'Ptk, -(._l,L_-It-2 7t-1
;fi It-1?RA*-rr.rA€[>
ii rrl
o5i
t{NEW HANOVER COUNTY BUILDING PERMIT
APPLICAT lott IYPE I COH}IERCIAL
pt,EA5E Atslllgt AtL qJESIIONS ApptICAEtt I0 yorJA ptortcl
"ProJect Responsiblltty"
n
AFFTITIiION
Numb€a
PRO]TCT
oC(UPANI,/BUSINCSS AfiE I < .r yyl
PROPERTY OHNER'S NME I
OHN€R'S ADDn€SSr //
APPI.ICAIII'S tIAflE:
DEVELOPER:
CONTRACT
ADDR ESS:
EIiIAIL AD
9,,n.\ tto *- .l
(
.A
.;t
SETBACKS: F
DATE t6lIB rr-ooo
- tIC ENSE 0l
CITY:
i
PSONE S:
PHONT $l
r 1ot
illirt
OAT
PHotlE f I
ehoHE {r J
,/-t-l8
z P.,
,/Ji-iiq I
OR:
PRO]ECT CONTAC
ffi
c tjPU A
C F I'TJA
zorurCB oFFrcER
Approval OL Ci
blSCLAll,l€R: rheraty cerrt thar 6[ ntormoti)o..d lorall.6 Md ordinrnces s,rd rcoul.rion! Yor chanue ln conlraclor or 6u..tor r-nldmrll;^Subie.r'lo t,nes Up Io 1500 00"'
SEWER
SYSTEM
€ xlsT col,STRUcTIoNr Tl ALIERATIoN
ll Relocar,on. is thcre s N6tira.-lGas LIne ol thc
No
, (an.<l ll $.t Apply)rfl nENovATlor'l T-.] ccI{ERAL REprrRs r-t
birronr Sire? 5 *ipi "" ,s aroc spH
RELOCATION
KLERED'{-l
NCS
SQ FT
BFE+ 211
€ERI\4IT FEE
\./€y(€l<.\7
a)
ZtPt 2
ST I 'LltP t?-8\ lot
of-
eySrL- o
NEI/J Coi.JSTRUC]r0 r E ERECT NEW SrRU(rURE
ACCESSORY SIRUCTURE:ff FAsr rRAc( n
If UPfIT - The Shell Peflnit ,l:
It Yes, l,lhat wa6 the P.eviou
aRtH otsIGN PflOrESStOitAt:
l-
SHELL UPFI T ADD IO EX 5T STRUCTURT
I9 E1ect PoHer on this Suilding Yes T N0
Is lrrs A €HAMr oF o(cupAtcy usrllvyrs ti-, flo ....,
s occupan.y Typc) 4d lJ,r - wl5\ r. tK.'H.u o..rpon.y (\)1\
Prl: l,r( RE6
PH:- I.IC RE6ttlGR DESIGN Pnof gSSIOtUl :--
DTSCRIPTlON OF HORK i
3\t,vrvy
ls food o, beverages preparcd or sewcd in thas slruclurc?[- VcsJ] t'to ls Tho Property Localed h The Ftoodpto @v"grr,fi.t.,
Norc:Otmcrrci nolj,tolist 6 lsbotlos renDvol pemit .pprlc.rbos 6,0 h be submlfied uil^g rho spplcllion lo,h (Or ]|5.37681 wtronrer lhe tac t,1y o
conlaJn Aslctlos or nd Yo! 8re rcquk d lo cs ll lh. tlador'ar fnri.3h. Sl.nd.,& lor Hizadas Al, Pollulanrs (NESHAPI st 1919)707.5950 al t4 n t O
do trti,lio. d ony lacirirr d U!iEin9. Soe Asbo6ros \1eb S't6. hflp /r^s.*..rl.sta r. rr.usJepirarbo!rorEhnp hlmr
'roTAL PROJECT COSL iltoo BU]LDING HEtcHT: doF uNtTS:
OWNER/coNrFAcron: fl [.!ut( q-/,Ll),7;t^- SIGNATURE
TOTAL AREA SO FT SO F] PER FLR
IOTAL SO FT UNDER ROOF ,, OF STRUCTURESI
ACRES DISTURBED:
I OF FLOORS
EXsr r AND DtsruRBtNc PERMtrT f yEs NO
SO FT EXISTING lltlPERV Ot,S AREA
PROPERTy USE: lOFFtcE n RESrAUnenr ! UencnrullEI EDUC CONDO OTHE{
PAY[.4ENr r',4EIrrot)f- cAsH f cHEcx (pAyA{JtE ro Nrrcl l- AMERTcAN Expnrss T Mc^/rsl J
-T]ISCOVER
COMMUNITY SYSTEM
CENTNAL SEP] IC
Ur,rl'i, I Ofi t L I Cl r,1l.Cr r. r,l tjc (,/.S t r)tr P. r,lrl I AU! a rlsl:,i I S
(aon oFFrcE usc oNtY)
TI WELL TI ZONING USE CLASSIFICA]ION
F,RIVATE sEPr rc fl-CoMMUNT] Y
N/A Lr'r N/A nu " NYA $q4Y
N
me()l
d+rnL6l bL_reatJlt
ta.r atfutdrad afftoUf (').'r 6tWiArrl Pt 1nL\11
Commen'
(lfi.4ffvrlU Cih,nspeclion Requlreo, 9l 0.254'09S1)
by
Apo,xa
Ekt' pn nulnspetlt 4ca
\
ST:
,, oF s-roRrEs:
NEW II,lPEBVIOUS AREA
I
\1r.J 1 y._rfi \n'()Jct ( 2+1
\\"-
t)
NEW HANOVER COUNTY BUILDING PERMIT
aPPLICATI0N rYPE: COI{}IERCIAL
PLEAS€ ANSWER ALL QUESTIONS APPLICABIE TO YOUR PRO]ECI
"Proje€t Responsibility,,
AFFIT.TridN
Number
(offi.e use)
-DATEt l- f,,-/ tt
PHONE #:
PROJECT
oCCUPANT/BUSTNESS r,lAfl E :
PROPERTY OhINER'S NAlrtE :
OWNER'S ADDRESS: //
CONTRACTOR :A
ADDRESS:
EI,IAI L
PROJECT CONTACT PERSON:
9,.,.) na-L
ZIP':42X ,{rf
- PHoNE *: 1lo -'(St - 5.-lq ,
sTttLztPt2XL( o
st: Ntzo:L7\@f
PHONE S:
PHONE S:
-a q vvr
LL
C {.ITY:
LICENSE f:
CITY:
,A
.;yy-
l,^ ,
EXIST CONSTRUCTION:ALTERATION ELOCATION
LEREDr; Yesfilf Relocation, is there a Natural Gas Line on the
No
NEI.I CONSTRUCTION: E ERECT NEhI STRUCTURE
ACCESSORY STRUCTURE:EFAsr rRAcK E SHELL n upFrr f] ADD ro Exrsr srRucTuRE
/. (Ch.(k AII That Apply)m RENoVATToN T-l cEtitERAL REparRs r--l R
birrenr site? 5 vH5 ruo
's
aroc srH*x
If UPFIT - The SheII Permit f:
***** IS THIS A CHANGE OF OCCU
IF Yes, lrhat was the Previous Occupancy Type?
IX8fi ?orrr* pRoFEssro*L :
ENGR DESIGN PROFESSIONAL
Is Elect Pouer on this Buildin8 f6 Yes f NO
pANcy usE?f yEs Er. o ---.-(?Oe,f kr.ro*\
- Uhat is the New Occupa)fcy rl
PH:NC REG S:
NC nte *:-PH
DESCRIPTION OF WORK:+t
OWNER/CONTRACTOR: A\M NJ,. b /l,Z-*-^ SIGNATURE:
TOTAL PROJECT CoST: Ll{oo
TOTAL AREA SO FT
V C€-/"l\\7
Trre Froodprainfr ye{E6()
Code and allolher applicable Stale
l.rc s and
contain Asb€slos or nol. You are required lo calllhe Na onalEmission siandardsfor Hazardous Air Potluiants (NESHAP)ar (919)707-5950 al teasl lodays prior lo lhedemolilion o, any facilhy or building. See Asbeslos Web Site: hlip:/t w.epi.slaie.nc us/epi/asbesroyahmp hlmt
# OF UNITS
TOTAL SQ FT UNDER ROOF
Exsr LAND DtsruRBlNG pERMtr? f yES f. No
NEW IMPERVIOUS AREA SQ FT EXISTING IMPERVIOUS AREA:
CONDO OTHEI
# OF STORIES
# OF FLOORS:
SO FT
WATER
SEWER
SYSTEM
CFPUA
CFPUA EH
COMMUNITY SYSTEM
CENTRAL SEPTIC T}H WELL
VATE SEPTIC
T-'I ZONING U
l-l coMMUNtTY
SE CLASSIFICATION
PAYMENT METHOD p casn l- cHEcK (eAvABLE To runc1 f - ar,lentcAN EXeRESS J- rrlcnasa [- DtscovER
ZONE: OFFICER
(FOR OFFICE USE ONLY)
SETBACKS: F:Approval:_ City: DATE_ FLOOD:_
AVN BFE+2ft,
... SEPARATE PERI\,{ITS REOUIRED FOR ELECT, MECH. PLBG. GAS EOUIP, PREFAES E INSER]S
LH RH B
Comment PERMIT FEE: :
APPLICANT'S NAI4E:
DEVE LOPER:
*lr\u"(notik Lhzo^
ACRES DISTURBED:
BUILDING HEIGHT:
SQ FT PER FLR:
# OF STRUCTURES:
PROPERT usE: floFFtcE ! nesraunar.rr ! uencaNr[el-l eDUcTlAprfl
-X quali€,er rynrt}rnre k
/-.',ii!
\:\\^
'.?;.i.
,r: t l..(r l- (': )18---607NEId HANOVER COUNTY BUILDING PERMIT
APPLICATIoN IrPEi COIMERCIAL
PLEASE AIISWER ALL QU€STIONS APPIICABLE TO YOUR PRO]ECT
"Project Responsibility"
AFFftzmro-u
Numbea
(office Use)
APPLICANT'S NA|1E: )4e: i s s.r Ja,,.re!. DATE:2 / 21"/ i8
DEVELOPER: xn
PRO]€CT I 194 9 oawson street-: wilnin<ton
PHONE #:
ZIPi2ata3
PHONE fl: gt9-59s-4a92
OCCUPANI/BUSINESS NAI1E; r,: :
PROPERTY OttltlER' S tlAr'lE : 1,.: r,e w.:, :I,e r llnr e : t-a ixmeLr
OWNER'S ADDRESS: 192: :.ronr s:
CONTRACTOR : Masrcc N@L',,ork sclur ic.rs - LICENSS #: ; rr c:t-;
, CITY: nrl,r,ar,r 5T: .si ZIP:;1r;5
ST:5g ZIP: 27513
- PHONE f: r04_840-2358
ADDRESS: iOO0 Cjenr-:-e Gr:eer l.idy CITY: r:r,'i
EIIAIL ADDRESS: ornar. gon zr I e zG$a s !€c. con
PROIECT CONTACT PERSON: ye:::;.;a i:r;,r--r - PHONE f: 9tg-262-4\tC
EXIST COTISTRUCTION:ALTERATION
lf Relocation, is ihere a Natural Gas Line on the arrent Site?
No
NEW CONSTRUCTION:€RICT tlEl,l STRUCTURE FAST TRACK SHELL UPFIT
ACCESSORY STRUCTURE:
r.1 GENERAL REPAIRS T-.l RELOCATIONH6 rr" rs BLDG sPLfit'NKLERED?ti YesT
ADD TO EXIST STRUCTURE
(Check AU That Apply)r
If UPFIT - The Shell Permit f:Is Elect Power on this Building li. Yes f. N0
r..** 15 THrs A CHANGE OF OCCUpANCY USE?r YES [-. NO *.'.*
tF Yes, uhat was the P.evlous Occupancy Type? - what is the Nev occupancy
TvDelAQtH
E Gn DEStGtl PROF ESSIOi|AL ,-iolre: lngireeli.rg Prcfessicnals
DESCRIPTION 0F r,,oRK: .allns-;a;;rr.r !o sr.-e
DESTGN PROFESSIONAL: I'cwer EIrgir-,cerrng protcssionats - PH:919-661-635.t NC REG S:('-t 194
- PH:rjtE51-6,351 NC RE6 s:a-1'/94
ls lood or beve.ages prepared or served in this structure?f*, Yesli- No ts Tfre Property Located In The Floodplainf_ YeE-_
No
OISCLAtt!.tER I hereby cerr,ty lhar ail rnlormarion in this applicalio. rs corecr and allwo.k will comply wilh the Slale Euilding Code and all olher applrcable Stale
and tocal laws and ord.nances a1d requlaliols I re NdC Developmenl Servrc€s Cenler l^rll be notr''ed ol any chanqes in lhe approved Dlans and specrlicat ons
or chdnae ra coitraclor or cgrltlacro, ,illomratron "'NOTE A,1y Work perlomed w/O lhe Appropriale P€,m ls will Lie in Violalion or tfie NC Slate Bldg Code ald
sribroctlo FLn€s Up To $500 00"'
&"n-
conrai. Asbesros or nor. You are required ro call rhe National EmBsron Standards ror Hazardous Air Polluianls (NESHAP) al(919)707-5950 at leasl 10 days prior ro the
demoribon ofa.y racilS o.buirdng. Soe Asb€slos Web Site hnp,!!w epislale n. lslepi/asbeslovahmp hrhl
TOTAL PROJECT COST: 25I]O(),OO BUILDINGHEIGHT: 20: #OFUNITSI
TOTAL SQ FT UNDER ROOF
ACRES DISTURBED
NEW IN,IPERVIOUS AREAJ
PFOPERTY USE:OFFICE RESTAURANT
SO FT PER FLR
# OF STRUCTURES
EXST LAND DISTURBING PERI,,IIT? T YES T NO
SO FT EX]STING IMPERVIOUS AREA
MERCANTILE EDUC APT CONDO OTHEI
SO FT
WATER
SEWER
SYSTEM
ZONING USE CLASSIFICATION
'':il rrnii/i'a rrl iit,l,T-sql!LrlirEirFr.r!tii:!:: r,ll r'ri PLgc.l^liL..,rijrir f,tri.r'llsti,!:tiil!D ,\,MUNITY
PAYMENT METHOD r CASH r CHECK (PAYABLE TO NHC) r- AMERTCAN EXPRESS f*- r"rCl'lrSe [-_ O|SCOVER
ZONE: OFFICER
(FOR OFFICE USE ONLY)
SETBACKS: F:B
Aooroval: Citv: DATE FLOOD BFE+ztt
Comment
LH RH
N
PERMIT FEE: I
R ENOVATION
OWNER/CONTRACTOR:u";;***a;6.. BradConn SIGNATURE:
TOTAL AREA SQ FT :f OF STORIES:
# OF FLOORS:
T.lCFPUA T'] COMMUNITY SYSTEi.,I T"'I WELL
ficrnua flceNrner sEprc D Hvrre sEptrc
ffi1ryffi'lo
c
:
E
1-
NEt^l HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANTJ S NAME:
DEVELOPER:
,.\ /\"72/>zz,( i),cbnr-
APPLICATION
Number
(office Use)
. DATE:3 /8/18
PHONE #:
PRO]ECT A . 125 S. 3RD STREET LJ.I Y: wrl,l,lrNctoN ZIP 2 284 al
OCCUPANT/BUSINESS NAlvlE : FrRsr pREsByrERrAN cHrrRCH
PROPERTY Ot^lNERr S iIAME: FrRs,r. pjtEstsyrrjRlAN SHURCH
Ol.lNERrS ADDRESS: 12s s. 3RD srREEr , CITY: W11y11q616r.r
CONTRACTOR: sERvrCE RooFrNG & SHEET METAL Co LICENSE #: 165a1
ADDRESS: 4838 Us Hwy. 421 N - CITY: p11y1116165r
EttAIL ADDRESS: dj ones@servi ceroof ing. com
PROIECT CONTACT PERSON: pArRrcK DrcKERsoN
(Check Al.1 Ihat Apply)
PHONE #:
5T: p6 ZIP:2 6 4 91
_ PHONE #: 910-343 9s6o
, PHONE #: 910-343 9850
EXIST CONSTRUCTION:ALTERATION RENOVATION
rrent Site? f-ll Relocation, is there a Natural Gas Line on the
RELOCATION
KLEREDtr_Yesf_
SHELL UPFIT ADD TO EXIST STRUCTURE
U
l-ll GENERAL REPATRS Tl
Yes l-_ no rs BLDG sPFfN
NoNEtl CONSTRUCTI0N:ERECr NEW Sr*uCtu*e pFASr rRACK
ACCESSORY STRUCTURE:
If UPFIT - The 5he11 Permit #:Is E1ect Power on this Building f. Yes rN0
***** Is THIS A CHANGE oF oCCUPANCY USE? f YES f. NO {"*x'r"t
IF Yes, what was the Previous Occupancy Type? _ tlhat is the New Occupancy
II8fi ?orrro* PRoFEssroNAL :NC
ENGR DESIGN PROFESSIoNAL i-NC
DESCRIPTION OF NOR K: rean opp ExrsrrNc BUrLT up RooF AND REpLACE wrrH .060 rpo MEMBRANE Roop
ls food or beverages prepared or served in this structure?f, Yesli, No ls The Property Located ln The Floodplainf Yef_
NoOISCLAIMER: I hereby certity that all information in this application is correcl and all work will comply wilh the State Building Code and all other applicable State
and local laws and ordinances and regulations. The NHC DeveloDmenl Servicesqr change in contraclor ol c9ill@clor informatlon "'NOTE: Any Work Performed
Subiecl-io Fines Up To $500.00"'
anv charmils will
REG
REG
PH
PH
#
#
Cenler will be notified of 'NC SLate
sDecificatrons
Bldg Code andW/O the Appropriale Pe of
OWNER/CONTRACTOR: pArRrcK DrcKERsoN SIGNATURE:
(OElife, (ftintName)
Note: Oemolilon nolificalions & asbestos removal permit applications are to be submilted using the application form (DH 768) whether lhe facility or building was lound to
contain Asbestos or nol. You are required to callthe National Emission Standards for Hazardous Air Polluiants (NESHAP) ar (919)707-5950 at teasl 10 days prior to rhe
demolilion ofany lacilily or building. See Asbestos Web Siter htrpJ/www.epi.srate.nc.us/epi/asbestos/ahmp.himt
TOTAL PROJECT COST: g3o, s11 BUILDING HEIGHT: 4o'# OF UNITS
TOTAL AREA SQ FT: 17oo SQ FT PER FLR
TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:1700
ACRES DISTURBED:EXSr LAND DTSTURB|NG pERMtT? r yES r NO
SQ FT EXISTING IMPERVIOUS AREA:
CONDO OTHEF 6HUpgH
SQ FT
WATER -ICFPUA
SEWER: FiCFPUA
SYSTEM LJ ... s
PAYMENT METHOD:
COIVIMUNITY SYSTEM T-1 WELL
CENTRAL SEPTIC D FRlvnre seprrc T-[ ZONING USE CLAS'dovtituNtrv SIFICATION
EPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS
f CASH J- cnecx lenvnBrE ro NHc) l- euenrcar EXpREss l-_ rrlcnrrsa l-_ otscovER
(FOR OFFTCE USE ONLY)
SETBACKS: F:ZONE: OFFICER LH RHApproval:_ City: DATE_ FLOOT,___^ _____i______ *_
B-
BFE+2ft,
Comment PERMIT FEE: I
C
. ST: I1g ZIP: 2s461
NEW IMPERVIOUS AREA:
# OF STORIES: 2
# OF FLOORS:
pRopERry usE: f]oFFrcE ! nesreunnrr ! uencnurrrel-1 EDUCI-1 AprfJ
P ?ot1-)144
1e995
APPLICATION
l'lumben
{0fft(. u.o)
:,
NEhI HANOVER COUNTY BUILDING PERMIT
APPLI1aTI1N IYPE; COMTIERCIAL
PLEASE AIISI./ER ALT QUISTIONS APPLICASLE TO YOUfi PRO]ECT
"Project ResPonsibil1tY"
APPLICANT's NAlilE: rirnclce6 |ropiirtics lnc . - , DATE:
ADDRESS:852 tse inl s!er Lane lmi L
EI.4AIL AODRESS:tonygtl eIe6sDroDert I eBcc. com
PROIECT CONIACT pERS0N: Tonv .rolmBon "
3-X-18
PHONE {:0EVELoPERl .Mavfair ToergCenter /cBIr Ploperties
PRoIECT ADDRESsT s2o 't'own?CenCer Drlve suit-e Gtl10 CITY: w1l minqEon
OCCUPANT/BUSINESS NAI4E: Doh cone
PROPERTY oWNERrS NAiIE: ilason craf
OHNER'S ADDRESS I Moss Tre CITYr wtlml
CONTRACTOR: Tlmeless Propertles Inc LICENSE $:6S',t84
CITYi r,i
ZrP | 2a4c."
ST: NC ZfP:2840s
sT: Nc ZIP: 28{05
PHoNE fl: 910-550-53s9
PHoNE fr 910-550 -6359
I-l fprinar nepuRs l-l nrlocnt
vFE nro ts eroo spR-iixlrneozExrsl CONSTRUCTTON: E ALTERATTON fl nrHovar ION ION
lf Rolocsuon, is there a Natural Gas Line on the CuI.ent Site?I ves fltto
NE11 CoNsTRUcTrol: I enrCr NE14 STRU6TURE I rxr rnlcx I Sger-r. [l ulr1r [ rco rO EXIST STRUSIURE
If UPFII - The She1l Permlt ir:Is Elect Power on this Bulldlng El Yes il Ho
++r,. rs rHrs a CHAIJGE 0F occupalcy usrr fives flxo **'"*
IF Yes, ehat lras the Prevlous Occupancy Typel tlhat ls the Nen occuPancY TYPe?Cookie DoN
ARCH OESIGN PiOF€SSIO|IAL:PH:910-3{3-1065
PAr 9\O-210-3'l4J
lilc REG S: ?4t4
ilc REG ,: 23913rN6R DESI6N PROFESSIONAL:!.lcdouell Enqineerinq
OESCRIPTION OF l,lOR(: I-)nf it 6pacs with rew denrslhq wal16 lnEerior u'aIIs and finjahes
ls food or boveragos paepsled or gsrvsd ln thls su(rclurs?ves [ ruo ls fie Prope{ty Located ln Th6 Roodplsln? E ves [l lo
wlh lhe srar6 E0ildin o. appli€bl6 Sla!6
iiil1F"lffiil{li}if}!"Ynff''irldii:,flq{i.T:L$ai1qs^{jJ'I,T*ijf;riieill:;
Sublectlo Fine3 UP To S500 00"'
Eldq Code and
OWNEFYCONTRACTOR:SIGNATURE:
Nole: oomolldon holic€toas
contsln A3baslos oa mt YorJ a& rsqul
& !5b66los rsnovsl perml sppllcrdons ar6
rod to csll lh9 Nelooal Emlsslon Stsndstds for Hazsrdous Air PolluLnls (NESHAP) el (919)707'5950 ,1 lottllo b6.ubmltt5d u6lnC h€ sppllcston lom (oHHS or bulldl'lg {6! ,o0nd lo
0 day6 !.lo{ ro rh.
dsnblltion ol any bdfiy or b{lldlng S€€,!sbsstoB wob s1Li hi9 J,lrew.gpl,srab.nc.ua/opuosb€5los/ehmp.hl,rl
TOTAL PROJECT COST: -!:!9!9- BUILDING HEIGHT 22 f OF I.JNITS:
# OF STORIES: rTOTAL AREA SQ FT :16!,0 sa FT PER FLRI 16so
TOTAL SO FT UNDER ROOF;
--
# OF STRUCTURES:# OF FLOORS;
ACRES DISTURBED;Exsr LANo DrsruRarruc nenurr I ves I xo
NEwlMPERVloUSAREA:-SoFTExIsTlNGIMPERvloUSAREA:-SO FT
pRopERry usE: noFFrcE flnesraun our lueRcetwtle !eouc fiaer lcoruoo OTHEFI saton
WATER:
SEWER:
@aCFPUA
CFPUA
T-.] COMMUNIry SYSTEM TIWELL T]ZONING USE CLASSIFICATIONjfi cerurmr- seerrc n n-RMATE sEplc ff doMMUNrry sysrEM
PAYMENT METHOD: [f CASH ECirrCK (PAYABLE TO NHC) EeuentCel eXpneSS f] UClvtSe E OtSCOwn
(FOn OFFICE USE
SETBACKSI
FLOOD:BFE+zft=
OFFICER: ;)I (2 oJl]|Ln,
r,.tAnH,nl/h E,NiI
REVIgEO DATE ,{/1 1/12
ZONE
Approval
I
N
PERMIT FEE: $_
I
I
Comm6nt ,1 Crt o
DATE
-to
C!l' In:p*tion Pequlreo, 91 0.254'19$l
I
PHONE S:
^. sEpAnAT€ PEnt lS REOUTREOFOn rtECT, MECI], pl.BC. CASeOUlP,TRIFA&S & lNSrnIS -'
TYNU
z
,
a.
o
2or6-N4Lx€-€e5NEW HANOVER COUNTY BUILDING PERI4IT
aPPLIcAtIoN rYPt: COIIIIIERCIAL
PLEASE A'ISTER ALL QUESTIOIIS APPLICABL€ TO YOUR PRO]€CT
"Project ResPonsIbillty"
Ei!AIL ADDRESS: t onv@t ime leaaploDert ie 6cc com
PROIECT CONTACT PER$TN: ronv Johnson
APPLICATION
Number
(office Use)
APPLICA{T'S M}lE: TimeLe66 Properties Inc DATE: 3-1-18
DEVELOPER: r46y1 air Towrt-enter /ProDe!ti PHONE *:
PRolEcT ADDRESS: 820 Town€Center Dlive uile G130 ZIP:2840s
OCCUPANT/EUSINESS t,IATtE :DOn
PROPERW Ot{t{ER'S taA}tE: Ja6on Glaf
Oi'INER,, S ADDRESS: Moss Tiee CIW: wi.Imi t ST: NC ZIP: 2840s
CONTRACToR: rime ess Properties Inc LICENSE S:65784
ADDRESS: 852 Bedminister Lane CITY: r,ti lminqtoD
PHONE
ST:q ZIP: _3339
$:910-550-6359
(Ch€ck AII Thtt APPIY)
ExrsT coNsrRucrron: E ALTERATToN [z RETVATIoN f] elnrnn REPAIRS f] RELoCATIoT{
r R€roca0on, is rhere a Naturat cas uI'- ii''|" fiit."i i',"i 5vF5 H" ls BLDG sPRIN-KLEneoz [l ves I uo
Eht cot6rRucTlqi, I enrcr EU sTRucrURE I raSr rmcx ! sarr-r- fl ur6r ! rco ro Exlsr srRUcruRE
ARO{ DESIGN PROFESSIOTIAL:eoodrich ArchitecEure PH:910-343-106s }{C REG *: 7434
If UPFIT - The Shell Permit #;rs Elect PoHer on this Bullding El Yes E Ho
ENGR DESIGN PROFESSIOTIAL :Mcdowe 11 Enqineeri PH: 910-270 -314'7 NC REG *:23933
ce sith new demi6 1nq 'ealls interior wal16 and fini EheEDESCRIPTION OF WORK:Upfit
b bod o. b€\rqage prePa.od d ssY€d ln trb *ucue? Eves flHo 18 Tho Prop€.ty Locdod ln Tho Flooddeh? E ves [l tlo
and
pplicable State
sD€cificatrons
Bldg Code and
ean
OWNEF/CONTRACTOR:Anthonv John SIGNATURE:
(oo.Iid)
Nol6: D€.nolltoi nodllcatlons & ssb6t6 rrnovrl 9€.mh appllc.to6! aro to bo sub.nltbd ultno th€ sgdlcaloo fqm
codah Asbast6 0. nol Yol,ars raqulr€d b c.ll lh€ Nstldlrl Embslon Sfandsrd! lo. HErrdoo! Alr PdlutimE (NESHAP)st (919)m75960 6t ben I
dornottbn oa any trdllv o. buudnC. So Arb.dB tfbD Shs: ht9Jh.rrrv sd.61at0.nc.udopualb6to6i/ahmp'tnml
or bulldlrC w.3 hmd io
0 day! do. b lho
TOTAL AREA SQ FT :1550 SO FT PER FLR:1650
ToTAL SQ FT UNDER ROOF:
-
# OF STRUCTURES:
WATER: EICFPUA
SEWER: f7l CFPUA
# OF STORIES: r
# OF FLOORS :1
ACRES DISTURBED:EXST LANO DISTURBING PERMIT? E YES E NO
NEw IMPERVIoUS AREA:-SQ FT EXISTING IMPERVIoUS AREA SA FT
pRopERryusE: fhFFrcE Enesraunanr [uencernu f]eouc flaet lcoNoo orHER-seE-
ncoMMUNrrY SYSTEM - WELL EzoNlNG usE cl-AsslFlcATloN:
E celrner- seprc E p-RrvATE sEprtc 11-coirMUNITy sYsrEM
", SEPARATE PERMITS REOUIRED TOR ELECT. MECH, PL3G. GAS EOUIP. PREFABS & INSERTS "'
(FOR OFFTCE USE ONLY)REMSED OATE ,',I11lI2
ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B:
Approval:_ City:- DATE: FLOOD:
-- -
BFE+tr_
AVN
Comment
OZbF,.e-\
PERMIT FEE: $
CITY: wi l minolon
PHONE $:
PI(INE $:910-5s0-63s9
*'*.' rs rHrs a cH GE oF occlrPAt{cY usE? EYES B Is **"*
IF yes, uhat uas the prevlous occupancy Type? N,/A t rat is the a{en occupancy Type? .@,Eis-4gL
pAyMENr METHoD: ficasx Elcnecx (pnvnstE ro NHc) fleuenrcan D@RESS ! ucrvlsl E orscoven
TOTAL PROJECT CoST: 13oooo BUILDING HEIGHT:4- #OFUNITS:
NEhI HANOVER COUNTY BUILDING PERMIT
APP L I CAT I(N TYPE.. CO}I}IERCIAL
PLEASE A'{SHER ALt- qJESTIOTS APpLICABLE I0 youR PRoIECT
"PnoJect Responsibllity"
xlurr. Pelcz r.ra$u c
2ot6.;r^14lLg-A95
AFFEATia{
Nunber
(Offtc. Us.)
. DATE :2'/ ?'/8
DEVELOPE
PRO]ECT
R:PHONE {:
OCCUPANT/BUSINESS NA}IE :
PROPERTY O{NER' 5
Oti[{ER'S ADDRESS:
CO TRACTOR:
ADORESS:
EIiIAIL ADDRESS:
crrvz /);/^ji+"n
- LICENSE o, ngZAr/
srWZ zIPtZSt/d3
sr.J,/< ztPt Z6las
PHONE S:
- cIrY I Utilr\; ttll.A
PHONE S
PHOT{E T
(@Zss'zrlz-
QQz-tesfuo
e
PRO]ECT CONTACT PERSO :
ACCESSORY STRUCTURE:
(Checr All Ih.t Apply)
ItR elocation, is there a Nalural Gas Line on the
ALT ERATIOIi trCurrent Site?
RENOVATIONr.Tl GENGRAL REPATRS n RELfiATTO{
viiil-_ ruo rs aLoc spEifuxleREof_ vesf-_
EXIST CO|{STRUCTIO'l:
N
N
o
EW CONSTRUCTIO:ffene.-f. NEH sTRrrcruRE E FAsr rmcx ! SHELL E upFrr E ADo ro Exrsr srRrrcruRE
EN6R DESIGiI PROFESSIO{AL :_
Is E1ect Pover on this Building f.Yes lFt,-,no....* rs THrs a cHAl{GE oF (rcuPAr{cY usE? r YEs lTiD r.r..
IF Yes, Htlat ras th€ Prevlous Occupancy Type? _ Llhat ls the xet. Occupancy
IItf toesreir PioFEssror{al : dalf v?*W_NC RE6 S
CREG$
DESCRIPTION OF tIORK:
ACRES DISTURBED
NEW IMPERVIOUS AREA
E
CFPUA
CFPUA E
COMMUNIry SYSTEM
CENTRAT SEPTIC
rorAl PRoJEcr c o* *? <5 *.rtutorl
rorAL AREA so Fr , /b-E soFrp
TOTAL SO FT UNDER RObF: 76ppa fOFST
GHETGHT: Q6'
ERFLR:. ,/4 Aoo
RUCTURES: I
SO FT
s a-a,
ls lood or beverages prepared or served in this slructure?f- Yefi1tl'o ls The Properly Located ln Tho Floodplainf -Yetrz-
ng Cod€ and all olher +di{:able Stalelheolans and so€cficatroflsNC Sbte Bldo Code and
Not€: DemdlUm noriflca0oo5 6 ssbostos rerirovElpermil apdic€tionE are !o be subninrd usjng lha afdicslion tolm (DH ) *ielher the tacllity or bulding was lourd tocodain Asbsstos ot not. You aro toqiired lo can lhe N5ldl,l E nisim Sliandards tor Hazrrdou6 Air Polutants (NESHAP) at (9t9)707'5950 al leas 10 days pflor to thedernolitjm ol any ladhy oI ilding. S€€ Asb66los Wab Sfle: hlp://u,rty.epr.stale.nc.ugrfj/asbesbrahmp.hEnl
# OF UNITS: I
f OF STORIESi
# OF FLOORS:
EXST LAND DISTURBING PERMIT? T YES T. NO
EXISTING IMPERVIOUS AREA:
l--I WELL T1 ZONTNG USE CLA
PFlvArE sEPTtc BToMMUNtTy
SO FI
pRopERry usE: g,irrct ! nesrruRertr ! rvrencru.rrrLef-leoufl ecrf[ coNDo orHEr
WATER
SEWER
SYSTEM
SSIFICATION
... SEPARATE PERMITS RET,IUIRED IOR ELECl, MECh PLAG. GAS EOUIP, PREFABS 6INSERTS
PAYMENT METHOD f cAsH l- cnecx lcavaBLE To NHc) J-_ euenrcaru EXeRESs l-- rvrcnrrse l-_ otscovER
ZONE: OFFICER
(FOR OFFICE USE ONLY)
SETBACKS: F:LH RH BApproval:_ City: DATE_ FLOOD:_ BFE+2ft,AVN
PERMIT FEE: :Comment
NHc Nrlc t,,e ruo n&h\q-QfuOL,
X4\
)EI/,/
APPLICAiTT' 5 tIAIilE :
If UPFIT - The Shell Permit f:
OWNER/CONTRACTOR:fi**L,SIGNATURE:
?ot}D,40
APPLICANT'S NAME:
NEW HANOVER COUNTY BUILDING PERMIT
APP LICAT lO N TY P Er RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responslbility''
S r..-.,*eo-i e*Pre u-a-f- 5r,,.lc.po r+g
Lg;727
Applicatlon
Number
(omce use)
Date: e | , o-) r., t+<.a [LB€F.aJrLe_ci-CITYi lJrr-ArJl,il, J Ztp, lt.{.r(-
.t,.;
,.
PROJECT ADDRESS:
suBDrvrstoN:l-+^rr
^-J A Cl2r,s 9,,\)(,LOT#: Lo
PROPERry OWNER'S NAME 6-re, \4eanrel+ { 6aa.r>+pHoNE #: ?(? - 'f9 - ).-g?
oWNER'S ADDREss: Vi-3 frtg€ l,Lt\lLeri Lf 611y. LJiu+a, o 6i-l J ztP ls{.,(-
CONTRACTO S".-n a,--.t 6r --a-€ S v-sttoo--s
ADDRESST B'* {a.ap ?CITY: \^lr LM, {{6C.) J sr: Ncztp: >S 't- S
BLDG LICENSE #LBr3(
EMAIL ADDRESS:9 w-<1*,\ aoo.4t - <.ott
Ji*a +1...,r*'r
E Det Garage (SF)_
E Sunroom (SF)! Pool (SF)
n Greenhouse (SF)! Deck (SF)
TOTAI- PROJECT COST (Less Lot): S 4i1a,
Property L.,sel Occupancy: Ef Single Family fl DuplexD Townhouse
tr Porch (SF)
D Storage Shed (5F)_
E/other (sF)3<c.1^ Co o .^ i rg 5 E
PHoNE: 4o - 117 " 7:1 c t
PH ONE:9ro -141 - )ic\PROJECT CONTACT PERSON:
EXISTING CONSTRUCTION: E Alteration n Renovation I General Repairs
NEW CONSTRUCTION: E Erect New Residence g/Addition to Existing Residence n Relocation
***PLEASE CHECK AND ANSWER BEI-OW ALL THAT APPLY TO YOUR PROJECT***
D Att Garage (SF)_
unheatedi l>o
ls the proposed work changing the number of bedrooms? ! v"t EZUo
ls any Electrlcal, Plumbing or Mechanical work being done to the Accessory Structure I yes ! No
lfthe project is a Relocation, is there a Natural Gas Line on the current site? E yes E No 6)
lsthere Electrical Poweronthis Building? g(Yes a No
rll a-
+t
Description of Work:B, n.-u (o r,J 5cn6r,r n ac !1
O*, c.-liJo ConLrLExE s-4o
DISCLAIMER: I hereby certifu that allthe information in thh epplicalion is corr€rt and all work will compty wtth the State Buildi ng Code and allother appllcable Stat€ and locallaws and ordinances and regulations. The NHc Development services Center willbe notified ofany changes in the approved plans and specifications orchan8e in contraatorinformation. *"NOTE: Anywork perfo.medwithoutthe appropriate pemits will be in violation ofth dsubject to fines up ro Ssm.m...
Owner/Contractor '-J 1)'+*
+,c-Ld1 H'"Li.ensed Qudllflet" Print Nom
ls the property located in a floodplain? E yes
Existing lmpervious Area: _ Sq Ft na
Slgnature:
Total Acres Disturbed:4
e
{;,es
New lmpervious Are ., d Sq Ft Existing Land Disturbing Permit: ! Yes ffio
WATER; IrCFPUA n Community System D private Well fl Central We fl Aqua
SEWER: E/CFPUA E Community System n private Septic D Centralseptic ! Aqua
Zone: _ Offlcer: _ Setbacks (F) _ {tH} _ (RH} _ (B} _
Approval: _ City: _ Date: _ Flood: (A) _ (Vl _ (N) _ BFE+2ft=
Comment:Permit Fee: S
ls the proposed work changing the existing footprint? D yes n No
TOTAL Sq FT UNDER ROOF Vor proposed work) Heated: _
. NEW HANOVER COUNTY BUILDING PERMIT
APPLI @T'ON TYPE, RESIDENTIAT
R E C E I v E D t{AR 0 1 l0l0l s€ ANs*' * ^[[t:l'3]1::1,:'ot&E r o You R PRor €c1_\$
f ao)tr-Lus{
Ap!,licrton
lo(fitE u3€l&
APPUCANT'S NAME: Garv M. Anthonv Date:
PROJECT ADDRTSS: 8421 Bald Eaole Ln CrY: !!ilrniislen ztP. 28411
suBDtvtSroN:LOT f
PROPERW OWNER'S NAME: ^ same Garv Anthorw
OWNER'S ADDRESS:
PHoNE f: (910) 547-0218
CITY AP..
t/,t/r CONTRACTOR BLDG UCEr{SE r:-.--
5TADDRESS:cnY /th
EMAII ADDRESS:PHON
PROJTCT CONTACT PERSON Ownar - Gr^,PHoNE: t910) 547-0218
EXISIIitc CONSTRUCnOT{: I Alteration Ll Renovation i General Repairs
NEu, CONSrRUCnOlt I Erect New Residence L Addition to ExistinS Residence ! Relocation
ITT.PIEAST CHICK A'{DANSWER EEIOW ATT TIIAT APPTYTO YOUR PROJICTI,T
I Att Gffage (5F) _Cl Det Garage (SF)n Porch (sF)
ll Sunroom (5F)
-
tr Pool (SF)_X Slorage Shed (SF)aprtox 12x50
n Greenhouse (sF)_i-l Deck (sF)il Ortler (SF)
Itthe proposed work changing the exininS footpriht? I Yes [] No Approx.
Uhhcated: 596.3 8q.fr.TOTAT SQ tT UNDERROAF llor goposed wor*) Heated:
TOTAI PROJECT COST (Lesi Lot): 5 Estimated $19.000
ls the proposed work chanSinS the number ol bed rooms? rl Yes [j No
ls anfE&qEEEU PlumblrE or lvledt.nlcal work being done to the Accessory Structure E Ye3 :l o
lf the pmiect is a Rebcatlon, is there a Natural Gas Line on the current site? :.r- Yes a o
ls there ElectricalPower on thls Building? I Yes:_ No
Property Use/ Occupancy: l'l Slr8le Famlly ex ! Townhouso
Descrlption of work:Storaoe sherl orl hac s ard lawn molvers 12x5O "Old Hi.korv" orefah arrl uild on-site buiHinos
We arezoned R-20S, I have read and no problem w/ sebacks - Some block botings on one low erd, < ? feet. ll
alert u/cll ha.l fr.tm tha <artli. .l in fiel.l e rrt lhpra ic rh HOA
law! .nd o.dinanceiand rct ul.t ion3. Th€ NHc Dev€bpment 5€rvi(€s c€ntEr wiI b€ notilpd of any dirnter in the approved phns and sp€dliEatjons s ch. n8e in rontrxlorrnlorm.tion. "'t{OrE: Any worl p€rlormed wihorrt the.pprogri.te pelmiiswill be in violaron ol the NC Stiis Bl€ Code.nd !L6lecl to t|'|es lo to S!00.00.,.
recro.. Gary Anthony Sknature:flr1'Ucensed Qw$ie/ Print l,tome
lsthe propeny located in a rloodplain? tl yes !21 No
Ex|nirE lmpervloG Area:
--
Sq Ft Total Acres Osturbed. - 596 sq. ft
l,lew lrF.rvbl,s Area: _ Sq Ft EdsttB t nd Dlnurblnt pernrit I ye3 A o
WAfER: f_l CFPUA fl Community Sysr€m X private Well D Central Well fj Aqua
sEwERt n CFPUA c Communlty syslem a private septic ! centralsep r t"l Aqua
Uoie: _ Offcer: _ S€tback (F) _ {rHt _ {RHt _ p} _
Apprwak _ Chy: _ Date: _ rbod: (A)_ (Vl _ {n}_ BFE+2t= _Comment:Permh Fee:s
Clear Form i print I
t-pw,2.O?//
ffi
NEW HANOVER COUNTY BUILDING PERMIT
APPLTAIK)N TYW : RESIDENTIAL
PITAE ANSWER ru qUESTlo'{S APPIICASTE TO YOUR PROJECT
'ProlGct t.tpootlbllly
JotS-213 t
L8-7 62
Arrlc.don
loilicc u!.)
APPUCANTS NAME:Mary Looan - Lrgan Homes
orY Wilmington
Drtt:I
A?IPROJECI AODN"ESS:D-
suBDMstol,tr Coltage tOT l: 3
PROPERTY OWNEtrS itAME: bgan Devslopers LLC PXO Tfr:9'10-452-7175
OI,\'NER'I ADDRESS:60 Gregory Rd oTY: Belville ztP W.
COTfiRACTOR:Logan Homes gLD6 ggE13p g1 34408
ADDRESS:60 Grcgory Rd 6n; BeMlle sT:!qap:2&451
EMAIL ADDRESS:mlogan@loganhomBs.com PHONE:9l0.452-7175
PRO',ECT COiITACT 96156p1 Mary Logan PHONE:91c-{.s2-7175
ExEnNG ooNsTRUCTloflr D AlterEtlon D Renovrtlon E General Blpaln
NEW COI{$IUCnO : El Er€ct Ncw Rlsldencc O Addition to Exietlng Residcn€e E Relocatlon
aaa aaa
E att earasc 1sr1 t*15 O Det 6.rr8c (sF)
-
p, rorch (sr)r0s
E) Sunroom (SF)O Pool(sR
-
O storase Shed (sFl _
tr other (sO
-
E GrGrnhous€ (sF)
-
El o.d (sr)
lsthr propos€d work ch.rlginl the numb€] ot bedrooms? El YGs d'No
ls any glctrlc.l, Plumbl4 or M.rhrikrl wort beinS donc to the A&ssory Strucure tr vcr { t{o
lf the protect ls a Rclo(|dm, is th€re e NaturslGas LFeon th. cnrrcnt sitc? Ct Ye' I No
ls th.re ElectricrlPow.r on lhl! Bulldlnt? tr Ycr {llo
Propcrty Urd (kg.D.ncy: E gndc F.mty tr Duphx [J Tovrhors.
Descdptlon of Wo*: SFR - ner construclion
law. and ordh.ru.s .nd r.tul.tioN. lhe tlHc Dewhpm.nt S.M_c!! c.nt r will b. notificd ol .ny chlnfll in lhc .ppror.d phns .nd ,p..illi.tionr or dr.nt. ln .ontrstor
ln o.rn.rbn. ...xOE: Any wort Frfofmd silho'rt th! .!9ro9rbt. p.mhwnlba h vlobtlon ol th. NC Stn. Bldt Cad!.rrd srbjld to nhs op to 55ln.m...
Awna.lCa ntrrdor: D Logan
'Lic.n*dQuotlw ,,lnt Nom.
lsthcpropertylocatedin afloodplain? D YGs F No
Erlnint lmp.rvlou. Arcar 0 5q Ft rotal acres Ol*urbcd: , lD
Signtture:
.r lntplwkrur Arc., 3SK q rt trdrth! brd olsturbtni Pcrmh: D Yc. E 1lo
WAIERT El CfPUA El Clmmunity System E Private Well E Grtralwell E A{ua
SEWER: E CFPUA 0 Community System E Prlvat€ Septlc E Centralsrptlc E Aqua
Zonc:
--
Otffc.c _ Sctb.ds lt) _ ltH) _ lRlll _ (B) _
Approv.l:
--
Oiy:
-
D.ter _ Flood: (Al _M _ (N) _ lFEr2ft= _
commcnti Permh Fcc: $J 1.00
15 thr propo5ed work dln8lnt thc ldrting footprlnt? E Yrs D No
TgtAL sq Fr uIlDtR R oo| lfot propot d war*) ncet"a, QJ"l{ unrrcetrdr \.4O3
ToTAL ?RorEcr oo$ (rcs ro0: S-:ZS QI]CDQ