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HomeMy WebLinkAboutJUNE 21 2018 BUILD APP+1 ,vi $.s APPI.ICAI{T,5 NAME: PRO,ECT ADDRESSi suBDlVl5loN: PROPERTY OWNENTS NAME: OWNER,S ADDRESS: CONTRACTOR: ADDRESS: EMAII ADDRESS: N &ot ffiz{ !kp t\eu*> NEW HANOVER COUNW BUILDING PERMIT APPLTCAflO N TYPE: RESIDENTIAI PLTASE AIISWER AI,I OUESTIONS APPLICASIE TO YOI'R PRO'IECT 'Pro,act Rltpoo3lbltltlr f t C-1,Date lofice us.) 6 0 v-vu r fi,.-, CITY CiTY: CITY: A PHONE H ?x5 ztP BLDG IICENSE ;*'|J!pZZf 2E PtlONE: 7 I ) -/)t - 37t/ ,uh ztP z2-fi 5-38(lS # C,) aiSTlNG CONStRUcIlof: tr lteration AZnenovatlon O GenetalRepairs t{EW @NSTRUCTION: E Erect Ne'w Residence D Addition to E'sting Resldence D Relocatlon PROJECI CONIACI PERSON E Att Garage (SF) - E Sunroom (SF)tr Pool(Sr) D Greenhouse (SF) - D Deck (Sf) B the propored work dtanSlnS theexistint footPrint? E ves S-tto PHONE: ...PLEASE CI.IECT AND ANSWCR BTLOW AI,J, THAT APPLY TO YOUR PROJECT.Ti D D€t Garage (SF)-tr Porch (SF) tr Storage shed (st)-' tr other (5r) ?1?- unheated:3 o7) ToTAL SQ fT U,{DER ROOi lfot proposed work) Heatrdr ToTAL PRoJEcr cosT ltesstorl s '25, /d? Is th€ groposed work changlng the number oI bedrooms? YYcs 0 No ls any Elcctricrl, Plumbing or Mechanlcal work being done to the Aclessory Sttucture tr yes dtrl(o IIthe p.olect ls a Relocauon,ls there a Natural Gas llne on the Gurrent slte? E Yes D No ts itre.e riectrlcatpo*et on thls Building? ffio p lo Lruii 1E 12:47Ptt m4 worl: olsolrrt€R: I h.rebY.lnirY that allthr tilonhatbo in lhlr appll.2tlul 15 corr.d and .ll *!* $ll codply wnhthe Strte EulldlngCo(le and atlother apCiable st'te end loc'l lav/s and odin3nceJ and r€gulations'The Nlrc D€vdoPm€nt Servlcer centcr will bc ndtlfled of anY.hrtSP s tn the appmv€d plans and sPeclffcauons or chante ln tonira'to' lntormrtton, ...NOTE: Any s,od plrrormed without lhe applDpriate Permns wlll be ln vlolatton ol !h€ Nc stite to fln* up to 95m.00"' 08,u sltnatu Property Use/ Detcription of Owne/ContEctori "Llcensed Quolifer" Famlly fl Dupler O T J-- ls the propertY located ln a floodplain? $Yes tr to Existins rmpcrvious Are at fllLsqn Total Acre! Disturbed: New lmpervious Ar€a:/)1L sqFt Exlstlng Land Dlsturblnt Peimtt: tr Ves Qpo wArER: &-CFPUA El Communitv sYstem El Private Well E Centralwell O Aqua SEWER: kacFPUA E Communitv svstem E P'ivate sePtic E Censalseptic D Aqua zone: -- offiGer: - setbacks (F} - (LH} - (RH) - (B) -Approval: _-_ City: - Date: - tlood: (A)=--(vl- (N) - 8FE+zlt= -c.oar"n* P€rmit Fee: s ,1 ..oi*i.,.,iffij NEW HANOVER COUNTY EUILDING PERMIT AP P LI CATI O N TY P E : RESI DENTIAI. PTTASE ANSWTfl AIT OUTSTIONS APPL1CAETE TO YOUR PRO'ECT 'Prolect R!5ponslbllh!" 2o *:fi,+o Appuc,Atfi's NAME: r4!e_l!!{lDIrTrBr lLc- PROJECT ADDRTSSI DrR suBDtvrsrolr Jll r.ET RJa}l.I tlAlzBOB. PROPTRTY OWNER'S tlAMEr 238 Nrgr PoruI OWNTR'S ADDRTSS coNrnAcroR: !S {,: X ik'r crn, 1(Llt, r(4lor{ ztP Nc- . _ Lor # lC- ADDRTSS:)/..1 \lr. A:. Al. LJ CITY pxoner qlt 62qq58L crw. ASLI _.ztPla:l?a BLDG IICENSE T:- . - - -sr'Nr.z.tP:r21, qZ. , PHONI: 1r 5 -(2t-4fEMAIL ADORES5 PROJ€CT COMIACI PERSON Lj Afi 6ara8e (SF)-- fl Sunroom (Sf)- El Greenhouse (SF) - i <.-lar Q. Aat --RurtrKtN Pr{oNE: qlD 1"11 -9Q22- //' ExlsTlNG CONSTRUcfION:/Alteratron a Renovatron D General Repairs NtWcO STRUCIION: 3 Erect New Residence E Addition to Existing Residence E Relocation ...PUASE CTIICK AND ANSWER BEI'OW AI.I. THAT APPLY TO YOUR PROIECI"' n tl€t Garaqe (SFl I Pool{SF) y'o..t {sr) 6*cnlnlZg fl Storage Shed (Sf) - ls the propoJ€d work chansln8 the exrstin8 footPrint? fl Yes E No TOTAL Sq Ff UNOER Ro'f Wt ptoposed u,/ort) H€ated: ToraL PRorEcT cosT (tesr Lot) S- - - is the proposed work ahanSint the number of bedrooms? ls any ElecEical, PIumbillt or Me(hanlcal work be'n8 don I other (SF) unheatedt 3A Q- - 91t'tofl Yes e to the Accessory Structure . ves &/ttu tf the project is a Relocation, is there a Natural Gas tine on the current site? a ves E fio ls there Electrica I Power on thls Builffi u-vo o no Property ure/ oc.u Famlly : tlu E Townhouse D€scriplion of Work ct+ AtrD rjlorl,t." tliAl ? ' gucrur.o-E<-glDe EC4=EP-YOR DL5CLATMIR herebr..n'fY1n3ln.15crlorhal'onr rnt.9r)rc.nur 5 rc dlcr i nd dl wort wlll compv wllh t h e stale Buidl.t Code and all ot'€r ap dis ble s{zrt 'nd locrl Iaet.nd odhan.6 a.d regllatiols. The NHCDtveloPrrenr SeNkti azntrr will b. Ntllledci shvch eee lnlhc rpproved plsnti'd sp+c fl€tlo" or chanEe l1'oolr'clor t^to.mlrro....'Ncrrt a.t wrl pa.formed wlthoul t.he epproprlate pcrmnrwll. bp ]n vkrhtion ol l'r. NCSaat€ EldSCoce and slbiecl lo lln!! ec to S50o'm"' owner/contr.ctorr -,.H,lJz"\y r-U.zt Slgnature: ls $e property loceted in 6 f loodplaln? <Yes I No Erlrting lmperviout Area: -=-- Sq fl Iotal Acres Dirturbed: New lftpervlout Area: =---- Sq Ft Erlnlnt Land Dlsturblng Permlt: I Yes |] No WATER: 3 CFPUA I Community System g Privatt Well : CentralWeil C Aqua SIWER: -.r CFPUA I Community Svstem dPnvatc septrc D Centralseptrc D Aqua zone: -=-- Offi.err - Setbacks (F) -- {LH) - (RH) - (S) -App,ovatr__ clty: -. Date: - Flood: (A) -_ (v) - lNl - Bf E+2tt= - P€rmit Fee. S LAE lrzsrt) Comment: Da.e. -5 -15-2DlA A(1 hlr r r tRt> 9e wlech;ca-\ PrrwY& gae 9o,w lK -J166 NEW HANOVER COUNW BUILDING PERMIT APPLTCABO N TWE: RESIDEIITIAL PTIASE ANSWER ATI QUESTIOHS APPI.ICABTE TO YOt'R PROJECI 'Ptolrd RrsDonslbllqf CITY Appll6don (ofi.e uJe) [/r:/rsatl-fltl=-Date APPUCANT,S NAME: PROJECTADDRESs:H SUEDlvlsloN: PROPI RTY OWt{EtrS ltlAME: owNER'S ADOntss: PHONE H: CITY: ! ,zt?: 0 a BLOG TICTNSE !7 1!rr Sr: -ll]. zlP {il NE 4l - (laz PHoNE: l(/ - (12-q31t CONTRACTOR;CITY: ADDRESS: EMAIL AODRESS: PROJECT CONTACI PE&SON:So.'.L LtL EXISTING CO STRUCnON: El Alter.tion E Renovation D GeneralRepairs EW cONSInUCfpN: E Erest N€w Residence T4dditlon to ExistinB Residence E Relocation I"P'LTASI CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT. ' ' 1 E Att Garage (SF) - E sunroom (5F) .- E Greenhouse (SF) - B D€t GaraBe lsF) - ls the proposed work cianSlngthe existint footPrint? C Yes fl No TOTAL SQ FT UNDER '(Oot $ot ptoposed wo*) Heated: .=-- Unheated: TOTAL PROIECI COST (Less Lot)i S 7n. D fther (5F)t7 .s! Total Acres Oistutbed: Erlstlng Land Oisturblng petmhr E Yes D No O Porch (SF) --.=,-.-- El Storate Shed (SF) -' tr Pool (SF) tr Deck (Sr) ls the propossd work charEing the number of bedrooms? tr Yet g/ o ls any Electtlcrl, PlumOing or uectrmfaiwork belng done to the Accessory sttucture E/veo O lo ii tt " pio1".r i, " nerocatlon, is there a Natur/'Gas tlne on the cunent she? D Yes lfto ls there Electrlcal Powet on thls Bulldin8? g Y€6 fl No I ?JUl{ i.i t:ilFrli PropErW Use/ Occ Fa llv Desc.iRion of work:ov<l AotS -Qot>Lp olsclNMff,: I hetebY ..nitY that all the hlofliatbo in thlt applla:tlot ls conrd and all worl r,ill c<,.rplY $ththe State SulldhS Cod€ and all other apdioble 9'te 'nd bal laws and ordhences and r€Culatjo ns. The NtlC DevdopnEnt SsMce! c€nlel will b. notlflsd ot anY chanFs ln the approv€d p|'n!and spealficauons or ah6n6.ln mntrlatol I ntormatlon, ...NOIt: ArrY worl plrtorm€d wlthout the epp.oPriate Permlts wlll be In vlolatton oi th€ Nc state BldS code and tubiect to lln.5 up to 95m.00t " Owne/Cgntractol:rtL I L"o slgnature: "Licensed QuolAer' {*ls the property located ln a tloodplaln? O Yes Existint lmpervlous Atea: -- sq Ft New lmperviou! Area: ,-- Sq R WATER: b CFPUA D Community System E Private well E Centralwell O Aqua StWt* $ CFPUA tr Communlty System D Private Septic D Centialseptic E Aqua zone: -- offcer: - setbacks [F} - {LH} - (RH) -- (B) -Approval: =-- Cityi - Date: -- flood: (A) --.(v) - (N)- BrEtt* ;;;, ru", S Comment: $8s- 2 , a o NIY] c w14 Iof @c+ APPLICATION Number (Office Use) NEW ,o*or.ff Tdlfi ft # Hrt LS r rue PERMIT APPLICATIOTT TYPE; CO ITTERCIAL PLEASE ANSWER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECT "Project Responsibility" APPLICANT'S I{AfiE : DEVELOPER: si.mon Roofinq and Sheet MeEal corp PROJECT ADDRESS: 4311 oteander Drive CITY: wilminqron OCCUPANT/BUSINES$ tlAltE : CalqEear Commercial Ollt{ER'S ADDRESS: 1os1 Millrary curoff Road CITY: wilninqron ADDRESS: ?o Karaqo Avenue CITY: younqstorr'n, PROIECT CONTACT PERSON: James cornell **'l** rs rHrs A cHANGE oF occupANcy usrr Ives I i{o r***, IF Yes, xhat was the Previous Occupancy Type? DATEi 03 / 16 /2017 PIIONE *: 330-62s i663 ST: Nc ZIP:2840s 5T: !L ZIP: l3:lz PHoNE #: 3za 629 7663 PHONE #:'i 04-j'73 -0322 (ch€ck All That Apply) EXrST CONSTRUCTTON: E ALTERATTOT l-l nrrcVrrrOt M CrHeUl neplrnS [-l RELOCATTON r R6locadm, is there a Naturatc6 Line on the Edrent Site? EY;ElNo tsBLDGsPi KLERED? ftves lno NErd cor{sTRucTr0{: ! enrcr NE}l sTRucTURE ! rasr rRAcr ! sner-r- ! urrrr ! aoo ro Exrsr srRucruRE ACCESSORY STRUCTURE: Is Etect Power on this Building E Yes E t',0 ARCH DESIGI{ PROFESSIOTIAL : ENGR DESIGN PROFESSIOML: PH:NC RE6 #: NC REG #:PH: DESCRIPTION OF l'rORK: Roof restoration, edbeddi.nq a oolv fabr:lc ia a li quid membrane all other applicable Stateolans and sDecitlcations NC Stare Bldg Code and OWNER/CONTRACTOR: ci"ai Donitzen SIGNATURE (ouallter) Not6: D€moll{on notlflcalions & 6sb€sto6 rqnov6l permh apdicaions arB to b€ Bubmftbd uslno tho applicalion iorm (OHHS3768) rvtlolher $€ fadltt or bulldklg wss bund to conlaln fubosbs o( not You erB raqullBd b crll ti6 tlatoml Embsion SiarErr4! br Hszsdoue Alr Pollulants (NESHAP) ar (919)707€950 ai losst 10 dsy3 Ftor b th6 d.rnollton ot any hdllty oI tulldlno. S€€ Asb6st6 Web Slb: htrpr,\rww.6pl.state.nc.uvepuasb€stoyahmp.hunl TOTAL PROJECT COST: gs2, o3e.3s TOTALAREASQFT: 5.040 TOTAL SO FT UNDER ROOF:# OF STRUCTURES: ACRES DISTURBED:Exsr LAND DrsrunsrNc peRurrr l-']ves [ ruo NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA: pRoPERTyUSE: EoFFrcE Enesraunnrr lueacannu [eouc lmr f]coNoo OTHER: WATER: ECFPUA SEWER: EICFPUA BUILDING HEIGHT: SO FT PER FLR:# OF STORIES: # OF FLOORS: SQ FT flcoMMUNrTY SYSTEM fl WELL fIZON|NG USE CLASS|FEAT|ON:I cemnru seerrc fl p-RN/ArE sEplc E-cotuMuNtry sysrEM _'SEPABATE PERlvllTS REOUIRED FOR ELECT. MECH. PLBG. GAS EOUIP, PREFABS E INSERTS "' pAyMENr METHoD: flcasn f]clecx pavnalE To NHc) flluenrcat o<eRESs E Mc/vtsA E orscoven (FOR OFFICE USE ONLY)FIEVISED DATE {1 1/I2 ZONE:OFFICER:SETBACKS: F:-LH:- RH:- B: ZIP: 284a3 PROPERTY OtlNER'S MltE: cape Fear commercial PHONE *: 9ta-s2o-ta62 CONTRACTOR: simon Roofinq and sheeE Metal corp LICEISE #: 25824 ElilAIL ADDRESS: cdoni t z en@s imonroof inq . com If UPFIT - The She1l Permit f: Hhat is the New Occupancy Type? ls lbod or beverages preporcd q ssved in uis srr.rar.rrez I ves [ ruo b The Proporty Locdod tn The Roodflain? [ ves f] llo DISCLAIMER: # OF UNITS: Approval:_ City:_ DATE: FLOOD: _ _ _ BFE+2frA v - =Nlotr-Commont PERMIT FE .+" NEW HANOVERCOUNTY BUILDING PERM'T APPLTCAflON TWE: RESIDENTIAL PLTAST ATISWER AU OUESTIOI{S APP UCASTE TO YOt,R PfiOJECT 'Itoled Rrrgondblllllf 3rr<c1o appllGtlon lofnce ui€) APPUCAIT,s NAME: CITY: Date btttt tZzrpjtrt!]3-PROJCCT ADDRISS: SUBDMSIOI{: t o\ Il rlL,r (}ta f: i){ PROPEBTY OW ErS r,nME: E)C\L)aq6q-l.;, lscr-PHonE #r A Sa -11.{- Gs Sa c-< c.b rt CITY ZlPl CONTRACTOR:5a..t c-e ztP: PHOHE:EMAIL ADDiESS: OWNIR'S ADDRESS: _1, ADDRESS: CflY BLDG TICEIIISE ST: PRO,'ECT CONTACI PE&SON:PHOT'IE: EXlSTlrlG CONSIRUCAON: O Alteration E Reno/ation D GeneralR€pairs NEly CO STRUCTIoIi: D Erect Ner.r Resid"nc" u/Addition to tuisting Residence D Relocation r..PtfiqsE CHECI( ANO ANSWER BELOW ALl. THAT APPLY TO YOUR PROECT"i D Det Garage (SF) - tr Porch (SF) 5 oq El Att Garage (St) - fl Sunroom (5F) - E Greenhouse (SF)- ls the proposed work dlanglng the existing footprint? O Yes E No TOTAL sq FT UNDER R@F tfor ptoPosed wort) Heatsd: TOTAL PROJECT COST (Less Lot): S tr Pool(SF) tr Deck (SF) U/Storace Shed (sr) - tr fther (SF) -- llnhealed:lL+t+ ls the proposed work changinE the number of bedrooms? ls any Electricel, Plumbing or Mechanlcd work belng done lf the pro.iect is a neloqtion, is ther€ a Natural Gas Une on is there Electri€al Power on this Buildin8? tr Yes Mtfo Pmp€rty us€/ occupat "vt U/SnsL r"trry tr Dupler D Towrhorce a rn d*o to the Accrssory Structure E Y€5 dNo the cunentihe? D YGr U'Itlo 1i JUI ig 4 r39Ptl laws and ordhancej and regulrtions" The NHC D€rrdopmlnt Selvk.3 center will h. notlfled ot any .hdtE3 h the appmved Pl6n3 and sp.cliGltlons or .hante ln cont.dq lilorm.tton. ...ltglt: aiy wort plrformed wtthout ire approprtatc permB\xtllbe h vblatson ot the Nc State gldg code and tubitct 1o flnc5 up to 55@ 00"' Description ol Work: O{une/Conlractor: "ucehsed Quoltfct' ls the property located in a floodplain? tr ves /l'to ExlJting lmpervious Area:- Sq tt Nest lmpervious Area: - Sq Ft WATER: E CFPUA El Community System D Prlvate Sn ER: tr CFPUA E Community system 0 Priv.te Zone: - Officer: - Setbacks (F) - ( Approval: -- CitY: - Date: -- Flood Slgnatur€: TotalAcres Oisturbedl Erlstlng t d Disturblnt Permh: E Yes D No Well E Central Well g4qua septic E Central se plc daqua ur) - (RH) - (Bl -: (A) - (vl- (N)- BFE+2fE - Permlt fee: I S-+S- Comment: \lt 2orfl-ht-g-t8rI\I t) APPLICANT'S NAME:[4 NEW HANOVER COUNTY BUIIDING PERM!T APPLICATION TYPE: RESIOENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO.IECT "Proiect ResponsibiliV' o \)<crw e zre, lF'\a-q LOT \8 PHONE #:o So ot33 ztP B oQ Application Number (office use) c, Ira\ra BIDG TICENSE #6o\1q sr:$( zrp: 88\os PROJECT ADDR suBDtvlstoN: PRoPERwowNER'r"or.lRN,\ ;T,,^.\ C"V OWNER'5 ADDRESS:5 i\)C CITY ctw r$i coNrRAcroR: {er*\oE B-U G L co\ADDRESS:o EMAIL ADDRESS:Cu \S PHONE Qto 3sa 6rq.1 pxor,rr, 1\o 35 a (a-lqPROJECT CONTACT PERSON:*uE EXISTING CONSTRUCTION: n Alteration ! Renovation n General Repairs t{EW CONSTRUCTION: [] Erect New Residence n Addition to Existing Residence n Relocation .**PLEA9E CHECK AND ANSWER BEIOW ALL THAT APPI.Y TO YOUR PROJECT'* ' I att earace (sr) 651 E Det Garase (sF)- 3(!$ Porctr (sr)3 "+\ tr Sunroom (SF)n Pool (SF) ! Greenhouse (5F)y'raa\Parc-hecr lsrt lqb ls the proposed work changingthe existing footprint? E Yes E No TOTAT SQ FT UNDERROOF (for proposed workl ueatea: AbQ3 Unheated:\l8s TOTAL PROJECT COST (Less Lot): S t tS'ooo, oo ls the proposed work changing the number of bedrooms? ! Yes ! No ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure D Yes ! No lftheprojectisaRelocation,isthereaNaturalGasLineonthecurrentsite?EYes!No ls there Electrical Power on this Building? ! Yes ! No -/Property Use/ Occupancl:.fl Single Fami[ n Duplex D Townhouse eeE' Description of W laws and ordinances and regulations. The NHC Development Services Centerwillbe notified of any chanSes in the approved plans and speaifications orchange in contractor informalion. I r'NOTE: Any work performed wthout the amropriate permits wlll be rn vrolatron of the NC Start Bldg Code and subiec!to lines up lo S5OO.OO... owner/contractor: N\ar\in E- VA*oE- sisnature: //&l f C'--- "Licensed Quolifiel Print Nome ls the property located in a floodplain? a ves {No Existing lmpervious Area:o New lmperyious Area:7 ,a7 TotalAcres Disturbea: O, \ \Sq Ft Sq Ft Existing Land Disturbing Permit: n Yes n No WATERT {CFPUA ! Community System E Private Well n Central Well E Aqua _/, SEWER: 6 CFPUA n Community System ! Private Septic D Centralseptic E Aqua Zone: _ Officer: _ Setbacks (F) _ (tH) _ (RH) _ (B) _ Approval; _ City: _ Date: _ Flood: (A! _ (V) _ (Nl _ BFE+zft= _Comment: Permit Fee: S ;'t' & Date: fl StoraBe Shed (5F)_ tr other (sF)_ Print eMa il NEW HANOVER COUNW BUILDING PERMIT APPLICATION TYPEi RESIOENTIAL PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT "Project Responsibility'' 2ot r bTza r1{6-Clear Form APPLICANT'S NAME: Tevis Blom Date:6/1/2018 Nurrlber PROIECT ADDRESS: 1 14 Keaton Ave.CITY: Wilminoton ztP 28403 SUBDIVISION: PROPERIY OWNER'S NAME:Rrad and lae l-)illpr PHoNE #: 775-636-4761 OWNER'S ADDRESS: 114 Keaton Ave CITY: Wilminoton ztP: 28403 CONTRACTOR: Crux Carpentry LLC BTDG I.ICENSE #NI/A ADDRESS: 225 Monterev Drive CITY: \(il6inqlen 5T: NC ztP 28409 EMAIL ADDRESS : lewicarrrr rvrarncntni cnm PHONE: 303-725-0283 PHONE: 303-725-0283PRO.JECT CONTACT PERSON: Tev S Blom EXISTING CONSTRUCTTOn:f VLLAlteration I Renovation E General Repairs NEw CONSTRUCTION: n Erect New Residence .K aaAi,iJri.'6?liliing Residence n Retocation 'l*,TPLEASE CHECK AND ANSWER BELOW Att THAT APPLY TO YOUR PROJECT'}*'} ! Att Garage (SF)_ n Greenhouse (SF) E Det Garage (5F) Ef sunroom lsF)r 250 ! Pool (sF) E Deck (sF) ls the proposed work €hanging the existing footprint?ts Yes ! No ToTAL PROJECT COST (Less Lot)521 .200 Description of work tq 1/d iro tr t, e.i'43 Unheated:250 ;(;,. Signature: Total Acres Disturbed: 0 lsthe proposedworkchangingthenumberof bedrooms? tr Yes E No ts arrf€6lri6t)tumbing or Mechanical work being done to the iccessory Structure I Yes ! No lf the piojea-rs a Relocation, isthere a Natural Gas Line on the current site? - Yes n No lsthere Electrical Power on this Building? F Yes tr No Property Use/ Occupancy:rE Single Family E Duplex n Townhouse 4JUt{ I8 l?:?4Fr'1 laws and ordinances and regulations. The Ntic Development Services Center willbe notified ofany changes in the approved plans and specifications or change in contractor rnformation "+NOTE: Any work performed without the appropriate permits will be in violation of the NC State Bldg Code and subject to fines up to S5OO.OO+** Owner/Contractor: Tevis Blom "Llcensed Quolifie/' Print None ls the property located in a floodplain? tr Yes E. No Existing lmpervious Area: 3118 SqFt New lmpervious Areat 3424 SqFt Existing Land Disturbing Permit: tr YesE No WATER: M CFPUA n Communitv System E Private Well E Central Well n Aquar-. SEWER: F CFPUA tr Community System E Private Septic ! CentralSeptic E Aqua Zone: _ Oflicer: _ Setbacks (F) _ (tH) _ (RHl _ (B) _ Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _ Comment:Permit Fee: S ?s'-' : ffi LOT H: 50 ToTAtsqFTUNoERRooFaorpropo5edWork)Heated:- E Porch (SF)_ ! Storage Shed (SF)_ I Other (SF)_ a5 flf t4so Clear Fo,m Print oMall NEW HANOVER COUNTY BUITDING PERMIT A PPLI CAIION TYPE RESIDENTIAL PIEAST ANsWtR AI,L QUESTIONS APPLICAOLE TO YOUR PAOIECT "Projecl Responslblllty'' APPLICANT'S NAM€| Tevis Eloln Oatet6l1l2018 PROIECT ADDRESSI 1ld Keaton Ava CIIY: Wilminoton ZtP:28403 SUBDlVlSlONr Brookwood PROPERTY OWNER's NAME: Brad and Lee Diller PHONE r: 775-636-4761 OWNER'S A0ORISST 114 Keaton Ave CIW: Wilmlngto!---__ ZIP:18403 coNTRACIOR: Crux CarDentrv LLC StDG tICENSE l:NiA- ADDRESS: 225 Monterev Drive - CITY: Wilmington 5T: trlc_ zlPr 28409 EMAIL ADDRESST tawicli\^.,'v^ir^-^l^r .^m PHONT:303-725-0283 PROJECT CONTACT PERSON: Jeyis Blam PHoN€r 303-725-0283 . )t. L EXISIING CONSTRUCTION: E Aheration .l Renovation D GeneralRepairs/ , ,**^ NEW CONSTRUCTIONi . Erect New Residence .& Addition to Existing Residence E nelocation ... PI.EASE CHECK ANO ANSWER BTTOW AI,t THA' APPIY IO YOUR PRO.,ECT" 1 :.1 Att 6ara8e (SF)-_ - Greenhou5e (SF)- n Dot Garare lSFl l.l Porch {5F) F Sunr.rom.{5F)250 a_l Pool{sF) JrJ oeck {sr) ls the propo5ed \,york changing tho exitting footprint?ts Yes il No rOTAt Sq FT UNOTR ROOF lJor proposed worl) Heated: TOTAI PROTECT COST (Less Lot): S 21.200 Property Use/ Occupan cyrl4 Slngle Famlly Duplex:- Townhouse Descrlptlon ot Work:Exteftddn(J1.M 1lf nc rr.A,}C Olh€r (Stl Unheatedr 250 ll Storage Shed (5F) **- 4;gv 16 1lr ?{ Ffl ls the propo.sed work changinS the numbcr of bedrooms? C Yet F tlo ls an{Ele.ttl.aL)lumbint or Mechanlcal work beinS done to the Accestory St.ucture 8i Yes ! No r, rhe piojcct'i-s a Relocatlon, is there a NatlrralGas line on the currant slte? :.1 Ye! f] t{o ls there Clectrical Power on thi: Building? Al Yet n No t,,,,t.' 'nto.mat'on'.'NoTEiAnywortD€rfdmedwithourrheipp.otriarepcrmittwillboinvlolalionoltheNcsrareSldgcode.ndlubt€cttollncruptot50omr" Owner/Controctoa i Tevis Blom C,' {tir::clon peQlrfsfl, prg,?_r,.r nna, Slgnature: 'Liccnted Quoli!|er" Pinl Name ls the property localed in a floodplalnT I I Yes !tr No Erlstint lmpervlous Area:3jL1IL_ Sq Ft New lmpcrviou5 Area: 3424 Sq tt Exlsllnt Land Dlslu.blng Permlt: I YasJ{ No WATERT P CFPUA ! Community System LJ Private Well C CentralWell f] Aqua st Zo Approvali Commenti City rdllu 0ate A ll Total Acres Dlsturbed: 0 nitysystem I I Privatc septic : I cen alood: (Al_ _-"_ (V (N) * 8rE+2ft= _-- setbacks (F) NIA (rH] N ln (RH)S,[,tr#i*n cx's{i,.z Permit fee: ScL* 3,q31 5P of q,fi 5 q$'/.No "o0 ow,tvq P*'$d LOT x: 50 ,l ') Clear Form Print eMail NEW HANOVER COUNTY BUILDING PERMIT \ \ aPPLTCA|TON ryPE.. co IERCIAL PLEASE ATISWER ALL QUESTIOI{S APPTICABLE TO YOIJR PRO]ECf "ProJect Responsibility,, >DtK'613> t6 tS tz AFFEA'i-rot{ Nunber (Office Use) DATE:9571672616APPLICAT{T'5 I{AIIE: psls City Buitders ,Inc DEVELOPER: PRO]ECT OT.INER' S ADDRESS I Masonboro Ro ad y Board of Education PIONE #: srA1, sts2-7 2 ZIP i 28412 PloirE #: ST /6 ?fY./"1 c0 .NC Wilm-ington OCCUPANT/BUSINESS l{AllE : ps1s1q y Elementary Schoo1 PROPERTY O{NER,S ilAr'tE: New Hanover count: 6410 Carolina Beach Road CITY: wilm.ington z 28412 co TRACTOR: porr city Buifders, fnc. ADDRESS _ LICENSE #: 4s3e: 109 Sebrell Avenue CfTY: i^1i1.in ton ST: Nc ZIP: *l gr-or q ett z EI{AI L E PRO]ECT COIiITACT P EXIST COT{STRUCTION lf Relocation. is there a N cbincoec. rr , com : Chuck Mi ]1er.PTONE f :9102'7 92L24 (check all That apply):fl atural ALTERATION Gas Line on the TI REIiIOVATIOI{ TI GENERAL REPAIRS T--I Eurrent site? J- *d1- No ts BLDG sph/N RE LOCATIOI{ KLERED{-_ Yesf _No NEW CO{STRUCTIOI{:ERECT NEU STRUCTURE FAST TRAC(SHELL f] uPFrr f] ADo ro Exrsr srRucruRE ACCESSORY STRUCTURE: If UPFIT - The Shell permit #: fF Yes, uhat was the previous Occupancy Type? II8fi?orsron pRoFEssro AL: warren r{i1son Is Elect Pouer on this Building f. yes Ji'**:}*T IS THIS A CHAI{GE OF OCCUPANCY USE?r YES ll NO Ihat is the ilex Occupan.y 36 I trts? l8 .3r58Pti PH:91635211j4 EiIGR DESIGI{ PROFESSIO{A OESCRIPTION OF I.IORK: L Bag qett Engineerin q PH :9103970808 NC REG *r 2 663 NC REG #:frlf- Install (2)24'x36r Mobile classrooms and connect all util ities ls food or beverages prepared or served in this structure? l- Yeslf - No ls The property Located ln The Floodplaint l- yes E llo 3,f?H,i:t* :#f,?1tr#"dla1all info.maton in this applicauon is corecr and alrwolk wil compry with rhe srat6 Bu dins code and a[ other appticabte srste 3';ffift'"pfSlflX{S'{i}"fi,H"tT,fltfl?tit#e.il8?.?fl,jWTf,B3f#fi$9,?Eily,LT,#,9#,"J#{""*",,"*"";iSXFg,*"i,J#*"$#f5,ffti; SIGNATURE G iv\rOWNER/CONTRACTOR: chuck M1.r rer Nol6: D€rnolition notifcatirns E asb€stos rohoval pemit applic€Uons are to b€ submit€d using lh€ appticalin fonn (DHH$3768) wt|€t er U,e lacility o, bulding was found tocontaan Asb€stos o. not You ars r€quir€d lo call tll€ NeEonal demditon of any tacility o. buading. S€e Asbestos W€b Site: TOTAL PROJECT COST: 1250oO TOTAL AREA SO FT : 8 64 TOTAL SQ FT UNDER ROOF: 86a ACRES DISTURBED: -1 NEW IMPERVIOUS AREA: 172s PROPERTY USE ZONE:OFFICER Approval:_ City: DATE_ FLOOD Emission Standards tor Hazardous Air pdturanls (NESHAP) ar (91 9)707-5950 at leasr 1 0 (hys prior to fi€htip://www epr state nc.us,'ep/asbesrogahmp hrmt BUILDING HEIGHT: 14 SQ FT PER FLR: . e et # oF srRUcruRES.-- EXST LAND DISTURBING PERMIT? -ji YES T NO SQ FT EXISTING IMPERVIOUS AREA: IFICATION SETBACKS: F B # OF UNITS: 2 # OF STORIES: r # OF FLOOR S: 1 SQ FT floFFtcE flResreunnrur I uencntrlreFl EDUCI-1Apr[-[coNDo orHEr WATER; SEWER: CFPUA CFPUA ElcoMMUNtry sysrEM f] WELL _E zoNtNG usE cLAss l-!cENTRAL sEplc IJ pRtvATE sEplc Ll coMMUNtry sysrEM... SEPARATE PERMITS REOUIRED FOR ELECT, MFCH PLBG. GAS FQU P PREFABS & INSERTS',PAYMENT METHOD: r- CASH I- CXECX IEEVIALE TO NHC) r- AMERICAN EXPRESS -. MC^/ISA r- OISCOVER(FOR OFFTCE USE ON|_Y) BFE+2ft, Comment LH RH N - PERMIT FEE: : -<ini>/:2'T\ LI'T: ffi ) r>lt'b)3) BBCloar Forft Prilt eMail NEt'{ HANOVER COUNTY BUILDING i APPLICArION rrPE: CoIfiERCIAL PLEASt Allsta8 ALt QUISTTONS Appt rCASLE TO YOUS pRolt(T "ProJect Responsiblll,ty" PERHIT l$- tsrz AP-FIITATITT l,lumber (0ftir. ur.) -DATE:6s711,,2619APPLICAIIT'S NAIIE: p61s ci!y tsnirdels , 1nc. DEVE LOP ER :- PlOtlE X: et 079t s2l2 llP| 2sa12PRO]ECI 0CCUPANT/BUSIIIESS NAIIE: p3;51jy Elencnir.y rjr.hcoi PROPERTY Ot{tlER'S NAr'lE: Net{ l.nover co,rnr o|jt{ E R,S ADDRESS: 6{1c carolina !e.ch Road CONTRACT0R: po!r. ciry Bui1der$t Inc. Bo.) rd of Educat ion PHoNG fi: jtt:4y 't)t'c 5T: Nq ZIP:26.112 9T: Nc ZIP: . PHOilE ,: sfi7gta2 .12 . PHONE S: sfi21921.!4 - LICEiISE #: a s19 i tti tmrn $Ji !nirgt clrADDRESS: r09 sel,relr A,/enue - CITY: EIIAIL ADDRESS: PRO]ECT CONTAC cb),ncBec. !r, corn : chuck Mr l.Ie r Exrsr cor{srRucrror,t : r-r ALrERATror,r rr RElJifii'r;li 'liT'r',iiro. REparRs r-'l It Rolocation, is rherc o Natureut cos Lino on rhe tuJrront Siro? J-.*J1-uo tS BLDG Sp\Td.l RELOCATIOII KLEREDl- _ Yesf -NoEW Co STRUCTIOI;ERECr NEr{ STRUCTURE f] FAST IRACK n SHErr n upFrr n ADO ro Exrsr STRUCTURE ACCESSORY STRUCTUR Is Elect PoH€r on this Eulldi.ng T. Yes F N0 tirrt IS THIS A CHA,{GE 0F oCCUPAflCY U5€?T Y€5 fi. O ..... IF Yei, rhat ras the P.evlous occupancy Tyge? - tJh.t ls tie lex Occupancy ! {.i nY l, 3r:iB.rH3( IX€fi 'ortro* PRoFEssro*AL: warren }illson NC REG l: 2683IN6R OESIGN PROFESSIO AL LHaggelt Enginccrincl NC REG {:17202 OESCRIPTION OF WORK: rnsrall 12) 24'x]6' Mobile classrooms and cannect ali utilitjes OISCI"A,MER: I horoby certly lh all iatoflnstoll in and loc.llaws e^d ordinancos snd regulalron!. Thg or chanoo rn @Blrador g, conlradoa tnlofiiatbn. "'Sublocllo Fin6s Up To 3500.00"' OWNER/CONTRACTOR: crruex ui ls food or bovorages propared or serv€d in this structure? T YesF.ruo ls The Property Locsted ln the Floodplain? l- V"" li ruo this spplicouon is co.yect rnd bltwo.t fittcoopty wilh lhs Slsto Euidino Code a.E B[ otie.agdiaabb Stato il89E?il"J"'ifri"l##fr:i9,,:3ily*,rl,1l'i#p'J,"#..fff[t",h,tii8i#ti,,*fllfls,:H;ffi8s:ggli lrer srcNnrune: CJ> &\ \(Jk-(O!.1'ad) (prir N@) .o.1r..in A!be.to! or not Yoi, ar. rcqoirrd ro crd f€ Nedonat Emlssion sbndsrdr to. He:s.&or Aj. pdlvtrnB (l{EsEAI) at (8 t9)707.5950 at t9a.t i0 oays pflx to tnedenidrbo ol any lacility o. biJloflg. See ArbOsros Wob Sta: rni: .*.& ec, si.:+ .. jL .rr, ,i1r4.i!i ar.nt) i.n TOTAL PROJECT COST: r2scoo TOTAL AREA SQ FT : i}64 IOTAL SQ FT UNDER ROOF: a54 BUILDING HEIGHT: l4 SQ FT PER FLR:.664 f OF STRUCIURES:2 SO FT f OF UNITST # OF STORIES: 1 ACRES DISTURBED: -1 NEW IMPERVIOUS AREA: i r2g # OF FLOORS: 1 EXST LANO DISTURBING PERMIT? ]T YES ]- NO EXISTING IMPERVIOUS AREAI E COMMUNITY SYSTEM n WELL f] zoNrNG usE CLASStFICATION CENTRAL SEPTIC D PRIVATE SEPIIC tr COMMUNIIY SYSTEM PAYMENT METHOD: T CASH T CHECK (PAYABLE TO NHC) T.AMERICAN EXPRESS J-- UCITISA [- - OISCOVEN (FOR OFFICE USE ONLY) WATER: SEWER: CFPUA CFPUA zoNE:&l .1 oFF Apgroval: OY- C Comment [lnsl A^9 + O1l'1 soLa..taa TBACKS: F: /<t ya 2o Nd 2o g 23ICER: DATE FLOOD: V 8FE+2t1, fruz---N PERMIT FEE: ] laV ,LY Le,7a,)B p1y6es\ €vr.(o b1 Rou6orclo.. - \*tt,,lt::X1Of !ef::::it g'l[i:l ll!) ^uu(E))t r88 lt.lsonboro t,oop t{c.1d LllY: l,ti tnrngton cr' If UPFIT - The Shell Penmlt *: PH:9r03521334or'ljAlE6;i6'- PRoPERTY usE; noFFtcE I nesreunft,rr I MERCANTLEI-,I EDUCI Apr[ coNDo orHEr _ SO FT Clear Form print eMail NEW HANOVER COUNTY BUILDING APP L I CAT TOII rYPE,. COMIiIE RCIAL a+", PLEASE AT{SI.'ER ALL QUESTIONS APPLICAALE TO YOt'R PRO]ECT "Project Responslbilltr, PERI4IT 7ot?- lae'f (a 7 APPLICAiIT, S ilME: p611 6ig y Builders , Inc. AFFIfc,arro-roN Number (Cffi.e Use) DATE: s511612s16DEVELOPER: _ PHONE f: e1o19tA2t2i 225 Mabee wa wilmington ZlP a 284tIOCCUPANT/BUSINESS l{A}lE: y, y13 yville Elementar y Schoo.I PROPERTY ot{iIER'5 IiIA',I OUNER'S ADDRESS: 641 E: New Hanover count Board of Education _ PHONE *: 9ta254420A0 Carolina Beach Road . CITY:Wrlmi ng t on ST: NC ZIP z 2Aan CONTRACTOR: port ciry Bui lders Inc._ LICENSE *: 4839ADDRESS:109 Sebrell Avenue CITY 'WrimrngtonEfiAIL ADDRESS: PROJECT Coi{TAC IIE[{ CONSTRUCTION:EREcr r{Eh, STRUCTURE E FAsr TRACK ! SHELL . ST: Nc ZIP: P}ONE *: P}ONE #: 9L07 91A212 91.02-t 92124 EXrST CONSTRUCTTOT{: f-l ALTERATTO lf Relocation. is there a Natr]ra-l Gas Line on theNo (Check Alr That Apply)I lREt{ovATroN n GENERAL REPATRS T-.1linenr Site? ;-.6;_ ruo tSBLDGSph{ RE LOCATIOT{ KLEREDI-_ Yesf _ E upFrr E ADo ro Exrsr srRUcruREACCESSORYSTRUCTURE: If UPFIT - The Shell permit #: IT**' IS THIS A CHATiGEIF Yes, what was the prevlous Occupancy Type? TvDe?AnCH DESIGT{ PROFESSIO AL: !,tarren wr-Lson Is Elect poHer on thls Buitding f. yes 1.. NO oF occuPAI{cY USE? r YEs lJ. Mr ***r* _ l'rhat is the t{er Occupancy 36 IENBV tg -3:SBpl1 - PH: ENGR DESI6I{ PROFESSIOI{AL DESCRIPTION OF WORK Haggett Eng ineering 9103521334 9103970808 NC REG *:2663 NC RE6 *:ft!l-PH: : InstalI (2 24'x36r Mobile cfassroom BUILDING HEIGHT: 14 s and connect a_1.1 utilities ls food or beverages prepared or served in this structure? I-. yesli-- tto ls Th€ property Located ln The Floodplaint I- Ves lf lo 3,f?HH :#H.'##.H?]j:[HI{,n9!s -applicslion is corecl6,a all wort witrcorndy u,irh rhe srare &r dins co<re and al oth€r apdicabte stare ErH;jtr*EL?l##3jT6ir&egrfsil*$:Jre.il89.?ffiJfiffi,tffie4:urul"r;*m,*lr"",r,lir!ilmffirt8#dffi?"; :*lt*1?9::1"o"'ot''n'"* ""'1oro,*; slo'rnrune' ( 6 Mt il/€ha contain Asb6tos or nd' You are requ'r€d lo call lhe National Emssioo srandards for H€zard;s Ar pofluEnts (NEsHAp) ar (919)707-59so at l6ast .ro d€ys prior ro th€dea.lilion ofanyteciliry or bulding. S€e Asb€nos Web Sitei h.pTw**.epr stai, ,..r"r"pr""0""""*." n,.r TOTAL PROJECT coST: 1250oO TorAL AREA se FT , een - NEW IMPERVIOUS AREA: 172s SQ FT PER FLR: . B 64TOTAL SQ FT UNDER ROOF: B6a # OF STRUCTU RES: 2 ACRES DISTURBED: -1 EXST LAND DISTURBING PERMIT? .Iii YES T NOSQFT EXISTING IMPERVIOUS AREA: IFICATION # OF UNITS: 2 # OF STORIES: r # OF FLOORS :1 SQ FTpRopERry usE; noFFtcE flnesreumr.rr I r,aencntrrr_epl EDUcTlAprEcoNDo orHEr CFPUA CFPUA ElcoMMUNtry sysrEM E WELL _E zoNtNG usE CLASS LJ CENTRAL SEPTIC I-J PRIVATE SEPTIC LI COMMUNIry SYSTEM WATER: SEWER: PAYMENT METHOD: ZONE: SEPARATE PEHiTtTS REOUTRED E-OR ELECT. MECH pLaG GAS EOUtp. pREFABS & NSEHf cASH f. cHEcK (eAvABLE ro Nxcy l-- nl,rEnrcar.r *"e"neis (FOR OFFTCE USE ONL!) TS' OFFICER:SETBACKS: F B l-_ r,tcnrrsa F_ otscovER BFE+2ft.Approval:_ City: DAT Comment E_ FLOOD LH RH N _ PERMIT FEE: I Qru -<1i-ii:- -----r- .,.-T A PRO]ECT Mill.eriRsoi RECEIVED JUN 1S 2018 PrlntClear Form APPLICANrS NAME: Skve Dunnino NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL PLEASE ANSWER ALL QUISTIONS APPUCAELE TO YOUR PROJECT "Prolect ResponslbiliV Oate:611412018 PROJECT AODRESs: 5124 Nicolas Creek Circle CITY: Wilminolon ZIP:28409 SUBDIVISION:PH 4 i,{ASONBOF}O FORFST PROPERTY OWNER'S NAME: HACK THOtr,4AS DIANE PHoNE #: (910) 540-1337 OWNER'S ADORISS: 5124 Nicolas Creek Circle CITY: Wilminoton ZIP:28409 PROJECT CONTACT PERSON: Dannv irorrow PHONT: 910-789-04& E(lsfl ?{C COI{STRUCflON: DfAheration D Renovation E GeneralRepalrs trlEw COI{STRI CTION: E Erect New Residence E Addition to Existing Residence D Relocation '"PI..EASE CHECT AND AI{SWER BETOW AI,I THAT APPLY TO YOUR D Att Garage (sF)_E Det Garage (5F) _ tr Pool(sF) tr Deck (SF) Yes E tr Porch (5F) 0 Storage Shed (SF)_ tr orher (sF)n Greenhouse (SF)_ ls the proposed work changing the existint footprint? trl TOTAI Sq FT UNDER ROOF lfot ptoposed workl Healdl Unheated: TOTAL PROJECT COST {Less Lot): S 4923 03 ls the proposed work changing the number of bedrooms? tr Yes D t{o ls any gectrlcal, Plumblnt or Mechanical work being done to the Accessory Structure D Yer fl No lfthe project is a Rdocatior, asthere a NaturalGas Une on the current site? O Yes [J No lsthere ElectricalPoweron this Euildin8? O Yes E No Prop€.ty t sel oc.upan y: tr slngle Famit tr Dupler Ll Townhouse Oescription ol Wo.ki laws and ordinance5 a.d r€gulatons- The Nllc Oevelophenr Servlces Cent€r wlll be notiff€d of any chan8et in the approved pLans and sp€cific.tronr or change in contmctor information. .'. NOTE: Any worl pedomed vthout the appropd.te permlts wlllbe ln vlolatlon of the l'lc State 81d8 Code.nd subject to fines up to S5m.m... i^s' ZaLt,1 Owner/Contractor: StyqDUOOiOq_ Slgnature: -Llcensed Quolfiel Print Nofie K CL u/L5ls the property located in a floodplain? g v"./ no Exijtlnt lmpe.vious Area: t , clhl6q\,Total Ac.es olsturbed; ,y'-/o.t' a T New lmperuious Area:Sq Ft Existing tand DisturbinS Permh: fl Yes fl No WATER: -Br CFPUA E Community System E Prlvate Well E Centralwell E Aqua SEWER: A CFPUA fl Communiw System E Private Septic E Centralseptic E Aqua zone: _ officer: _ Setbad(s (Fl - [-H] -(RH)- (B] -Approval: _ City: _ oate: _ Flood: (A) _ (V) _ (N) _ BFE+2fE _ -t)tr/ Comment:Permit Fe€: S RECEIVED JUN i9 Z01O ?elL:b7cL LOT *: 397 COTJTRACTOR: Building Pertormance Specialists Bl.D6 UCENSE #:- AODRESST 126 Mctoria Dr _ CltY: Wilmington SI: XQZ,P: 28401 EMAILAOORESS: skye,@bf\sgreenhomes ..m PHO E: 9'l(M70*203 O Sunroom (sF)_ ,%- RECEIVED JUi!21?Oi.J NEW HANOVERCOUNTY BU]LDING PERMIT APPLicIflON TYPE: RESIDEI{TIAI PLEASE ANSWER AtL QUESTIONS APPI.ICABI.E TO YOUR PROJECI 'Itoiest Rrtgontlbl[ty/ )otr-^(rbjc Appliction Number lofice ure) __ oate: 5-15-2O18h(trfilrrerorr ztPt Nc-APPUCA'fi,S NAME:Nl,.T PRO',ECTADDRESS: suBDlvlSloN i:lllEr UAPBNQ PROPE RTY OWNER'S i"IAME:z3a NlEr bt OWNER'S ADDRESS: CONTRACTOR: ADDRESS: EMAIL ADDRESS:rl ( PROJECT COITIACI PERSON:Ittfn*eo TrrrtrKlN El Greenhouse (sF)- {oe* lsrl tA x trz ls th€ proposed work dlanglng the existing footPrint? E Yes El No Lll,- CITY LoT E: a C- PHoNEa: qlq eALl q CITY: /\€A ztP:2842D r*an<at +.: So " /€61"i{24 l a)^*,/eAc{nes' \-e BLITG LtcEtilsE J^/C sa CITY 5*ufoeo sT:[,!-ZlP PHONE PI{ONE: q tD 6ltl -cq72_ Z>B I ./ ExtsTlNG CONSTRUCITON: gf Alteration E Renovation D General R€pairs NEW COI|STRUCIION: E Erect New Residence D Addltlonto Existing Residence D Relocatlon T"PLEASE CHEO( AITD AT{SWER BEToIII' AlT THAT APPLY TO Yol,N PROJECT..' E Att Garage (SF)- E Sunroom (SF) - n Det Garase {SF}6orch (srl 320 ! Pool (SF)tr Stordge Shed (sF) - tr other (SF) TOTAL sQ FT UNDER ROoF lfot proposed work) H€atsd: TOTAL PROJECT COST {Less Lot): S ls the proposed work chanting the number of bedrooms? ls any dcctricrl, Plumbint or Mechaokalwork being done lf the project i5 a Relocation, is there a Natural Gas Llne on lsthereElectrlcal Poweronthls Building? E Yes tr ffo f] Yes ET No -to ure iccessory strucure tr Yes E(-No the current she? tr Yes E-[e Property Ut€/ Oercription of Work Faml lvtr D To$rnhouse fuA 1IPED€D "OR cH auD rltoorot wkL*- lards and ordhanc6 and r€B,tations. Tte Nirc Dardopmenr ServkE5 Center u.illb. mtlflad of any chn8ct ln the appov€d pldnr and speclicauonr or chante ln contracto. lnto.m.!oo, ...NgTt: any $,ort plrfo rd wlthout Ete approprlate permltswlll be tn vlrbtlon ot lhe Nc slat€ BldS code and qrlt€ct io fln.5 uptos5m.00"' ftuezf.2--Orr,ner/Co ntractor:{wc--f| A{cvg SlEnature: 'uccns.d Quglifier' Ptlna Nome ls the property located in a floodplaln? E:Yes fl No Eristlng lmpervious Arca: -- Sq Ft New lmpervigus Area:sqR Erlstlnt Lard oisturblnt Permh: E Yes E No WATER: E CFPUA E Community System M'P.lvatewell E Centralwell D Aqua SEWER tr CFPUA tr Community system gzlPrivate Septic D Centralseptlc D Aqua zone: - Oficer; - setbdc (F) - (ul) - (RH) -(B) -Approval: - Clty:- Date: - Flood: (A)-(v)- (N)- BrE+ztt= - LAE irz srt ) TotalAcres Dirturbed: Comment:Permit Fee: I $15 tbMT urheatedr 3A O NB/I/ HANOVH @IJNTY RJII.DI NG PH\II IT APHD\N dU TWE FEI DE{'IIAL R.trEANS/\'HATLCXJBNC}ISAFHICAEETO \CIJB FFOE5T "Project Responslblllty'' Aorfi -Q112- L8-L928 ApHlcdlon lvunb€r (office use) 6/18/1 IAPPLICAN?S NAME:Herrington Classic Homes, LLC Date:+ I / UUt I tuuta L,,I tve oTr. !,as e Hayne 24429PFOECT SJBOMSOI.I: AP. tgf #:49 pRopERry owNER,s neur, Brucc & Betsy Ritter OWNER,SADDFE& PHOi{E#: OTY zP- Herrington Classic Homes,LLC 06 xADDFFS OTV s B.DGeBe 2A4At)r guaL PHONE 9'10- Ll Ge€nhouss ($) E0SnNG OI\ISIE CTION: ! Ateration ! FHD\ration tr General Fbpairs NEU1I @NSIR CIIOII: = Eect l.,ler^, FHidence tr Addition to Bi$ing k!'dence tr Fblocdion ,** PIEASq{EO(AliIDAI\ISN'RBB3W AIITHAf, APPI-YTO ruRM.ECT ** E Att C€rag€ ($) 618 tr Det er{e (S) E turch (q Ll Sinroom ($)tr tod (S) tr Deck ($) 518 tr Sorage Shed ($) ! Gher (SF) lsthe proposed work changing the exising footprint? E Yes ! M TOTALS FT UNDR Po6/F (for propd work) tbated:2078 untrcded' 1 1 36 TUIAL PFOtr @Sr (Les LoD :383,000 ls the proposd work cflanging the number of bedrooms? E Yes tr No lsany Eedrlcal, Humbingor Medranlcalwork beingdoneto the ANry Srudure tr Yes E No lf the projed isa Elocatlon, isthere a Natural Gaslineon theqJrrent site? tr Yes E No lsthe{e Eectrical fuwer on lhisfuilding? tr Yes E No Property Ud Oesiptlon of Oorpanor: E Snde Emilv n Dudatr Tornhous wo,k. L;onstrucf new slngle family residence q SAM R I hereby certity thd dl the lr$ormdion in this apd icdlon is corred and ajl work will cofiSy with t lE S6t6 Arildng Od6 and sll otlrc( applicaHs gde ard local laws and ordinanc fld r€ddions ltE NIC Dadopmenl *rvices Goter will be notified ot any tfle ddE6d +edlicdionsor dEr€e in contrador informdion. '* ' I'IOTE Any vlrork performed wit lrout the app(opride pqrnits will be in viold jon of t he and srued lo fines up lo $500.00' '* olvner/ *nrador. Craig Johnson Sgnature: "Llcensed Quo fler"l+int l,lane ls the prop€rty located in afloodplain? fl Yes E No Edsling lmpeMous Area: _ I R Total Acre6 Dldurbed: New ImpeMousArea:3177 qH EdEIng land Dlsturblng Fefmlt: tr Yee tr No WATR E CFflJA tr Ommunity q/9ern tr frirrate Wdl tr Gntral Well tr Aqua SB/'/E E CFPUA tr Olmmunity q/sefi [ Rivate$ptic tr entraj Septic tr Aqua Zot*.: _ Offter: _ $tbad*(D _(llD _Gt0 _ (q _ Approval: _ Oty:_ Date: _ Hood: (4 _ (V) __ (N) _ EErffi=-- Omrnent:Fermlt fe: $488.0D pHlErq)NrAcrr*,n. Craig Johnson/Dwayne Harrison pnone !]0-aa115a4l919 j99-