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OCTOBER 28 2015 BUILDING APPS,.w*" fidlrc>s CLaLS<: tg bt! <l * a,cs'_ roaoo /5-;?t7 RECETVED ocr142015 NEW HANOVER COUNTY BUILDII{G PERIiIIT APPLIcAfion mEr COII ERCJAL PLE SE At6t{ER AtL grESTt()iE APpLIC ALE IO \drR PfiOIECT 'Project icsponsiblllqf occuPAItT/BUsIllESs ilAnE: St. Paub Lutpran Church pROpERTy OtltER,S iAI'|E: St. Pauls Luthetan Churctr OiIER'S ALDRESS: 12 Norlh 6th Stteet CoITRACToR: BakerBoofino ADoRESS: 517 MercuryStr9gt PHOflE *: CITY: Ralsigh ST: NC zIP: 27603 E AIL AOORESS:ahinson@bakeroof ino.comPr(rlE *: 91G79+7585 PH E r: 91Grl43'0193PRolEcT COIITACI PERSO : Allen Hlnson Exrsr co,6r rcrro : D aLrERArr* g.tffiffi EEtil. n.,urs ! RElocarror It Ralocaflon, b rh6re E Nalural Gaa Llne on tne -cuneatt site? Ev"i-E u. ts BLDG spRlN-Kleneol f] ves fif\|o rEt{ coflsrmrcrro{: ! rnecr EH srnucruRE ! rlsr rmcr I snrr-r- ! rnrrr fl ADo ro Ef,rsr srnucnnE PH: PH: NC REG *: NC RE6 ': ACCESgORY ST rIlNE: rf UPFrT - The shcll Permlt *:Is Etect Pfl.r on thls Bu1ldlng E Yes E ruo ..... ts Tltrs A olllcE oF ocorp^t6t user flvrs [tD ..... IF Ycs, tl.lat Er the prewlqls (kcupancy Typel gEt t5 the Is Occupancy Typel Atot DEstcL PRoFESSIO;;1L: i'l/A EiIGRDESIGN PRoFESSIOIAL I IVA DESCRIPTION OF UIORX:Remove existino rool and lnslall a now Metalsvstom E bod tr bcvc.oo6 prrgd€d fi !{!€d int lr sErJctrr? [Ves flno b TIF Props.ty lrceled lnThe Rodfhln? Elves E r,ro uilh lho StrtoCods and dl OWNER/CONTRACTOR:Allen HinsonSIGNATURE: (orx.4 Noaa: Dlrlotlo.l rdiadoat t t!6 rl(,rd pa.nl .FHo,L ]!b ba rnolEd drt Ua .F{aalo.t bfit (DHl€988) *Ldr. tE tdlry .. trtl&t Y- bnd b cdt*r AlbiE a rd. Yo(l lrD llqllgd b cdloto t$doo.l Emblhn ffidt h. lffiJ. A& P.lliJtsr. (NESHAP) i O19nrr-5*' a l|rt 10 tv. Fk b tE &dElio.r oa dly ftdfy o, h dlE. Ss Ab..b fthb gE h@r lr.€d re.ic, u!@/6bdD+ErmP.htm I TOTAL PROJECT COST:$74 00 Ur.-Drr*G HaGHT:30'0'# OF UNITS: TOTAL AREA SQ FT :4900 SO FT PER FLR:2450# OF STORIES: 2 TOTAL sa FT UNDER ROOF: llL #OF STRUCTURE$I f OF FLOORS:- ACFES DISTURBEDi - NEUI' IMPERVIOUS AREA er(sr LAND DrsruRBrNG pERMrm f] yEs E No SOFT O(SNNG IMPEEflOUS AREA pRoPERTYtsE [orrrce Enesreuneur fluenca^nrc Eeouc flnnr flcorco OTHER SYSTEM WELLEzoNlNG USE CLASSHCAIOit CENTRAL SEPTIC PRIVATE SEPTIC fICOMMUNITY S\sTEM .. SEPARATE PERMITS REOUIRED FOR ELECT' MECH, PLBG. GAS EOUIP, PREFABS E INSERTS -' pAyltENT METltoD: [mSu flcxeCr< pavee1g To NHC) fluu eCcOUm flrrcnnSl ftotscoven .............. (FOR OFFICE tlSE (}ILY} ZONE OFFICER:SETBACKS: F:-LH:- RH:- B:- Approva[ CIYI-OATE- FLOOD:BFE+2ft= N 1 SO FT WAIER: EfCFPUA SEWER: E]oFPUA REr/l8ED D IEiutln2 Comm6ntl PERMIT FEE:t APPLICATIOiI umbe? (offtcr ur.) ApplrcArPs AIIIE: Baker Rmfino companv DATE:;l!U!3@glL DEVELOPER: l.l/A PtO E 3 ,*laar o- clrYs l,vi!E!Sp!_ sr::re zrP; j?g:ql IrCEISE *i 5A12 Accot {T *: 7'{oq f/2b)?&S aJfuG RECEIVED oCI 14 ?015 NEW HANOVER COUNTY BUILDTNG PERIiIIT APPLTCAI r$t n?Er corilt{ERcrA! PI.EASE IIISI{EB ALL QUEsIIOI{s APPLICAELE TO YOTJE PRO]ECI "Projert Rerponslblllt/ dotS- rOaoO /5-S?/7 A}DLICATTO flur$cr (Otflc. Us.) D iEt 'lol14120l5APPLICATT'S TA E: DEVCLOPER:PXO E }: PROJECTcrw:7lP | 28401 0ccl,PAllTChurch pRopERTy outtER,s fiaiE: St Pauls Luthotan ChudlPIS E Sr odER,s aDDRESS: 12 North 6fi Strset CITY: .14!E!!@!-- sr:;N!: zrP! j?ryL 12ACCOUr *! STrNq zlP! 276@ 91G799-7585PIO E }: pRolEcr cofl rAcT PEiSoll:Alldn lllnson Ptltr{E *: 010-d43'0193 (cll.Gr r nrt ry?IY) EXrSr Co.STBU€rror: I llreurru I nrrcvrrrcn E35nrur- nernrns I RElocarrotl ll RdElbn, ls ther6 i Natt,'arG€a Llno on the Curent Sho? LlYts Ll]'l'o lS BLOG SPRINKLEREm Ll Ye! LlNo rlr COISTiUcrxOl! f| enrCr lrt STRUCTUT! [ resr rUcx ! sretl I urrrr I ADo ro Exrs1 sTRUCnnE !i UPFIT - The ShlU Pemlt *:Is Elect ..rr. Js Ttlls a olrrcE oF oconlllcv uer I tI Yltr {rrt nt thc Prqrlous occupancy llrDc? -..-- t*Et Ano{ DESTCfl PioFE S5tdlAL IN/A Poucr on this Bulldtng E ves I tro Yrs f] m .'". fu the llH Ocarbrncv fvoe? PHi TIC REG f: Et{Gi DESIGII Pf, OFEsSI{IIAI.r ltUA PHr tlc RE6 t: orscRIPTIofl 0F lilORK;B€movo sxl8tlno rooflnstall a new Motal Hoof svstsm tr tbod o. bcvrsed cr.o.rsd o..{l,!d h l r $rrct e? [ves[r,o E rh. Ptop!ry lrcabd tnfte ama&trf f]vet E r'ro TOTAL AREA SO FT :4{t00 soFTPER FLR 2450 It,ll Cod. and Srt6 tlla strt6 OWNEFYCONTRACTOR:All€n Hlnson SIGNATURE: e.It FrllottErOrrA'lnUi*r f $a.5. tsvd F.ldlmlH. rtbbaa{|htd rfiL.tlqt .i .rdr ^l!rr d ttat Ydr i. E$l,td 5 rg h. tlto.rl E tlb.loi 8Eid. t Huddr,tP!& !bdioHBS-s7ia)$|. tridllv rhrl5e 3. hlld E (xE8H P, r (91u7rr{s n k tioittFldDlr. drtoliol| di"haCuo.h{d(r. i-Ab..n W.b 3lE hnpnvar,*,lpl.!Ib.ltc,ttL9u6h.&./dwtp.l!nl TOTAL PROJECT cOsI: $74350.00 BUIIDING HHOHT:30' 0'#OFUNITS: I I OF STORIES: 2 TOT,\L SQ FT UNoEB ROOF:4900 # oF grRUcTuRES:,OF FLOORS:- ACRES DISTUiBED:-Exsr IAND Drsn RBrue ranunz f] vss Ixo NEW IMPERVIOT,'S AREA FT E(ST]NG IMPERVIOUS ANEA SO FT pRopERTy usE: EoFFrcE Enesr^unrrr fluencar,rnrr fleouc lrrr flcolDo orl{ER- wArER: T]CFPUA rI@MMUNTTY sYSTEM EWEI. EIZOI{NG USE CiISS|FICATIOII -- 8EWER: E CFPUA tf Cerrn[ Semc fle-aVrre semc 5-couuurrv svsreu - -.8€FAMTE PERMTTS RrcUIREO FOR ELECI. AIECIi FI.EG, GAS EOUIP PREF,I€$ I INSERTS -' PAYMENT METHOD: f]CeSX f]CXecr (PAYABTE TO NHC) flaru eCCOUtr EMC /lSA fiOrscovm c4 A- rAd -/ b - q 3 -&z .+nqn-a . 0 tErul!r1e COITRACIOR: ADORESS: EIAIL ADORESS: CITY:Raleloh (FOR GICE n8E Ol[Y) ttD 1or-wuA APPLICA}JT' 5 tii}18 DEVELOPER: NEtrJ HANOVER COUNTY SUfLDING PERMIT aPPLTATIjN rrpE I RESfDENTIAL ptarga ,lx(ra. ltt QU!tyro,/t r!rLr(raL! Tt v!,irR paojt(t "Project R€5por5ibility" ,,.,-'.1:_/ ) 'dv )'l APPLITATIOII lturte. -rf eLoci r' /*---- Loii zIP qtAYe3 o*^r r,?QilL14/ > t t14j t].: iEwo'J sr tlc z*: 24P7 PtltrNE 4t 9/O57 OAT' ,IHONE S: o sr 5F j2 ?ROJECT AODRESS: SUBDIVlSION: PROPERTY Og.!,{'R ' 5 IU$1:: -\| <:t 1 ClTY I *- (Dircrrsz oCoflTRACTOR | * EftAIL ADOnISS: S [-]i - saur'r __ sF l_ ]sur*roo'r ___ si fj ,,rarrruro:sr _ sF :1/'\_ sr lE ,aa+ !:i9L sr r, ] ) ror^bt \-tu jr OiHERI )C I1J ,l CI|Y: r\);ltn(7 €xISrI g coriSTRUCt:ON: I aLi€RAriol ! nerr,vartoar I Cetennt aeelras I RELotATIor,l NEh CONSTRUCTIO : ffi rnrCr IEH RE5IO€IC€ o" ! nootrtoru To Exlsrr],rG REsIoEijcE ..PLEA5E (HEC{ Arr0 AllSttIR AELo,l ALL Tllll APPLY t0 YOUR PROI:CT: i)F i i;AiAGE _ Pi,OL fl otc" PROPEnT'Y USE ,l OCCUPT, Cv: fl 5 DE5CRIPTIOft oF A'}RK: (}/r-)1i+, JN:r.E iA:t!Y ! ourirx ffirorl ttc/ Z E-*,, ,{e.-" fltcon. r i n :r. S'!ie g! rcng icdr aid ,r oh.: .rp',.anh SoE !.!, o.,,,*r,.n o l il,n3i,l,rourriDrs IheliP.nrchr.!€3,i h. aJp o\.d da.nd sp€c i..1,ons arch3igej^ ic.l,r:r.,,.,' -., r' ...,:t i il OWTTR/CO IRACTCR: r r'. - . _!rr,6rj .y ) hc -rjktl"^ {c.,,5IGNATURE: rs rHE plopEfry locATED :n ,r rrooorrltrr I vts Q ,o EXIS iI!16 INPERVIOUS AR€A IEW INPTRV:CUs AR:A D sg rr rl o.l, rqr 4 trnun .-.1 co/l.4Lrrrry sysrEir D DRrvi;E 14€LL fi c.eu; --l 1r, EA. stprIc - pF:vA-E sEprIC .€NTA3L !]TL L (cHl1u^tIIY svsrEfi PAYfEt{T tftrioLrr :_: ,r,,, P5-t,i,f),r,-:g-_g m t! mO € irjrnut rOIAL ACNES D]5]URBID EX]sT LAIJD OISTUREII.IG PERI1II fE5 Fno l2tr'stk , 1:: rrr: J_.. t .x.!- - X I F F,l+i= ---- PERI1I ] F€E: '-- tl"i --ov-\qf' I 2ali,Irs ni-QuIf;t! iD! :L!(i. t,t co.n pc,.rrr* (ea\ABLt Io \,r( ) L- (H, Pr ar-1, 5.5 tQUIP,,'r!Fia5 i :r.:a ii5 arltnicar,r txPFE55{(/v t 5a tr 0:SccvtR rt 5: rgaaIs I f ( rt),:- __ DAi::,q,,.itS.tccD )ls4;\,]";.-l ,:&..+&i.r ,,.. Approva] Comr'eit: .'i, --^) \ .{ a7 8?+ PRO; ECI COTTACI PIRSO : ,rpxe ,,?g!JLjBl TCTA- HEATEO Sq ET: iT4./ :o;Ai. sQ FT UT{DER RmF: /7L1 ToTAL AREA sQ TI: --ToTAL PRolEcr aosri",5..! , $ lEriet.:_@ r Or SfORftS, A,--.,.--.,..,-. '' "'' (gg"-i"i, Q@,1;,,", €j,4,+ r'r. k .ielre oone rc ihe a((es'o.i strucru.p, fi v", I ro i, t1-e p.cj€.t tc e ltl..a:io._ ir |-e.r n ftatu.al Gas Lixe on the :u..e.! S-te) I-l y", Fl rrnls tr,ere tlect.!(al )cne. c. rhrs aJrl.lingi Elye5 E rlc 1o NEW HANOVER COUNTY BUILDING PERMIT APPLICA|ION TYPE I RESIDENTIAL PTEASE ANSIIER AtL QUESTI0t'15 APPIICABIE T0 YoUR PROIECT "Project ResPonsibility" NEI.' CONSTRUCTIOru' P TNCCT NEW REsIDENCE OT E ADDITION TO EXISTING RESIDENCE I surunoom - sF ! eool - sr f] sronnor sHED - sF tf-lTztb / s--aq s'? APPLICATION Number (Offi.e Use) ffi CONTRACTOR: ADDRESS : APPLICANT,S NAIVIE: OEVELOPER: tt h)ct PROJECT AODRESS:CITY: SUBOMSION: BLOCK S: PROPERTY OI,IN E R, S NAT1E:s OI^INER' 5 ADORESS:CITY: coircerust,7 oatEttr'26 PH}NE *| a(c 7 LOT f: zrp:Hfu93 PHONE #:?ro-s3f,-77 sr{W:ztPt iBlo? srfu=zre,' -?&o7 Pr.roNE *: Sto-S3t- 173'7 puo1e *t?ro-S3t- ?73-l RE LOCATION SF CITY:ln EMAIL ADDRESS: PROJECT CO{'ITACT PERSON: EXTSTTNG CON5TRUCTTON: f] Alrenlrroru [ Rrltovlrroru f] celenal nrearns ! LEASE CHECX AND AllSl'lER BELOI", ALL THAT APPLY T0 YOt R PROJECT: Arr GARAGE - sF ! oer cnnace sr ffieonc, (2O ,, I cnernuousr - sF ! oecr rorAl HEATED sQ fit ltrq1 rofAL sQ Fr UNDER noort /76'/2 ng Done to the Accessory Structure? E Yes tr NO SF OTHE R TOTAL PROIECT COST tress rort $ /lqea"oo S OF STORIES: Is Any If the pno Work Bel ect is aocation, is thene a Natural Gas Line on the cunnent Site? tr YeS,E,O)e Is there Electnical Power on this Building? XIv"t [-l ruo PROPERry UsE / OCCUP DESCRIPTIOII OF WORK: ANCY:SINGLE FAIYI LYcfz E oupr-rx E TOI^lHOUS E ,{*-* LECTRI INGP CHANI OISCLAIMER: I hereby certifyhar all inbrmation in his applicaton is corcci and allwork willcomply witt lhe State Buildmg Codeand alloher applicable StaE and local laws specilicalions orchange an conllaclor orand ordinances and €gulaiions. The NHC oevelopmenl Services Cen€r willbe not,ied ofanv changes in ue app.oved plan coniracror inbmaton "'NOTE Any work PedoAppropriale Permrls will be ins Up To $500 00"' OhINER/CONTRACTOR: *,* ,* i *,t * :* )i,* * * ****r(,t * (P.1nt N.n€) rs rHE pRopERTy LocATED rN a rtooorurul ! v:s EXTSTTNG TmPERVTOUS AREA: ./) sQ rt NEW rrrrPERvrous AREI: i I 0.11*qr WATER: SEWER; tr E vio aiion ofrhe Nc sraE SIGI,IATURE : Ero TOTAL ACRES DISTURBED, 129 sok EXIST LAND DISTURBING PERI'IIT: l-l Yes lF rc TO *** **i!* *t( * * * )t* *r(* )*,i(* * *** ** * ** t*,* * ,*,* * * * ** creul I coMryuNrry svsrer,r ! pRrvATE r"/ELL I cerurnnl wrrl creul ! CENTRAL sEprrc I enrvlre sen'rrc ! cof4MuNrry sYsrEM ZONE : _OFFICER: *** SEPAIIATE PERI4ITS REQUIRED FOR ELECT, iVlECH, PLBGJ 645 EQUIP' PREFAES & INSERTS pAyr,lEr,rT r,lETHoo: ! cos, flcrrcK (PAYABLE rO runC; I alrenrcA|l EXPRE5S E './rrto I orscoven {r*r****,r,r,**)r*++****,r/************)t*r<)k*,t*****,t**,ti(,*,****,***********,***)*****'t***********,** (FOR OFFICE USE ONLY) REVISED DATE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ nm(-) m mo C6) I\9 o) c=a Appnoval:_ City:_ DATE:_ FL00D: _ BFE+2ft= _ AVN Comment:PERI,IIT FEE: TOTAL AREA 5Q FT: - ,iarst Af.Srft 4Lr Br,srIoti! Aprtltaarf ro vollF eporaar "Proiect Respons ibrl ity ' APPLICANT'5 NA,1E DTVELOPER: 'VEW HANOVER COUNTY EUILDIN6 APPLICATI1 ryPE; RESIDENT IAL RECEIYED AUG zd ?08 PERMT T/ s 'z/,s^tr applrcarrofi 1 OAT€::1r 24-/f _ 8LO(X ' PHOI{E T C ne ,Q&a3 "w11s s, ?rc -93,f- ?)?/ fi /u !:ztP : 28ta.a sr 19 zre, 2!Aa7 P$Na ,. g /o-53 t- , ? J7 p,,s1g 6,?a>-5?, 8- ?7 3l PRO]ECI TODRTSS SUBOIVISIOTI: ) l^1 i)q CITY pRoerRrY qirE''s ,*, , S )crtl, ,- oHt\ER's AooRtss: u)".(q 1 /:. .ONTR4'IOR .1tDR€Ss: (-nn CIIY: CITY EIIAII A'Di:SS i-l crttru*,ust sr I I r.cx s, oriFe c2 trctrse o ,7 ;lml-s-rl 7t<^:l c t PRoPERTY usr / ocCUPANcy: [] stNcrrnl:r-v rL EXISTING COi{STRUCTIONT Ll Ar.T!RA':oN L--l REflOVA':IO f] CeUenrr n:naraS f RELOC,ITI$l rE,r cor{slRucT]or,t: p :atcr NElr REsio;NcE o. ! nootr:ox ro ExrsTING RESIOEnCg .''LE5E (XTC( A'ID AIiSI,I'F AELO|I ALL 'HAI A'PTI TO YOI'8 PRO]ECI: [].rrr canact sF I D:-r' 6aRA6r sr ffieoncr l2C - s, J su,vnoori _ sF fJ ec"rL ----- sF I sroqacE sHED sF SF roTAL HEATED sa fi, / tq1 rorAL sQ ,, ,xoe^ ^ooe, fl!7! . rorA. AREA SQ Fr: _ TOIAL PRoIECI COST,..,.", : $ ]EA&.{ttl * oF sloRrEsr 2 l- z':- - -. ,---,. -,'r({.tg.+, €.tr"t r1i,".@1yD o.k serr,€ Done to ihp A..esso.,- sr.!(ru.e) fi v", [ *o I, trr p.sja11 r,. c qcl:<otionl:- tre.e a Xatr-.1 G.j -r4p,.,, Lhc Cu.,c,,l Sirc> [-l .", Fl*" I( :hpre tlprtri(a: ,:,er on thr5 auija!at) frr", E No DFs(RItTrOi ot woR(t ( /-- /11/.k a I ou.rx ffiT0;ii HOUSE E;*< L{,, t/ srcr'lAruRE i 7::,.................. a.n sp!. i5.i.!:.r o, ch.9e .6.1,&ro,,' c'/:!: R// coi{TRAc T0R rs ;rE pnoprnTy Locari3 rN a rLooonr.rrrl [l vrs Q m txISTIirG LTPfRVIOUS AiEA: L . SO FI TOTAL ACR€S SISTUREEO l,iAIER: 5[viaR; aldL: r;run L_l (cr'rluNrry svs:Ei.r f-l pRtvAiE !.1€LL f c:urr,li rrr- 6reua ff c:f,.itAL stprl( [] cnrvrrt sEprr( I cor1F.l l1y sysrEi lLliu:{* NEtl Ir4PERvIoUs AREA: ! I O /, <q:r ExIsI rAflo DISTURBI{G pERmrT: E] vrs ffi nO -.. !r9nRArt i)tallll! aEQUaRFa, rci ELtai, rtrc8, pi35, cr\ EQLriti, paalisS a lNsieTs -', pa/qE[r ,Er(r, f] ,-.rn pan,.* :pnyaaLE lo nrc; i-i r,nrnrcar excelss [ "czrrso I orrcorr*..,4.,...,, r -,( .\ vm m E S._r9.^cr.t {,,,,+-+ BFE+2!t= ai c,1>Sr-iltt lx-:, Ir ..o\dtrc{\,0 C\,Str,c*. )-otrlprr IOT *: _ PRO]EC: CO TA(T PERSOru: ,/ /';a-.,1 ,4i4 PERI4I'I FE€: ' ((*,t. Approvil:-- (i,ty.- - DArt: p ZD lSFLooD: - - Y1+ RECEIYED AW26N6 NEW HANOVER COUNTY BUILDING PERMIT APPLICATION IYPE; RESIDENTIAL PLEASE ANSWER ALL QIJESTIONS APPIICABLE TO YOUR PRO]ECT "Project ResPonsibility" ,1h)4 AC r..r-awill( TaFtozx- /*zlae APPLICATION l'/umber (office Use) APPLICANT,S NAI'IE: DEVELOPER: PRO]ECT ADDRESS:at1 CITY: c2irctusr *,,7 C ITY:rn oorr.3'21'/f PHoNE s: ar o-J38a1237zlr:gyfuo3 LOT #: PI.ONE*,,?ro-s3t-7? sr/W:z]I. ;BioZ srfu;znt -?-nro? PnoNE s: Clo--S3t- Q"57 plrlnt *r?ro-S3f- ?737 5F 5F t^4, CITY: SUSDIVISION:BLOCK f: PROPERTY O}'INER,S O NER,S ADDRESS: NAfil E :s CONTRACTOR: ADDRESS: EIiIAIL ADDRESS: S PRO]ECT CONTACT PERSON: EXISTING CONSTRUCTION : Is Any k(1 A LTERATION RENOVATIONGENERAL REPAI RS RE LOCATION flEW CONSTRUCTTOT: p enrcr NE!,, REsTDENCE o" I mOrrrou To ExrsTrNG RESIDENCE *}PLEASE CHECX A D AI{SHER BEI.OT4I ALL THAT APPLY TO Yfl,R PRO]ECT: I./-I ! nrr crnnce - sF ! oer canaee sr ffieoncH lZ-sr I surunoorur -sF f] eool - sr STORAGE SHED f] cRee ruous e - sF If the pro ectsaRe ocation, DECKSF OIHER l,Uork Bei s there a Natural Gas Line on the current Site? tr Yes,E,O TOTAL HEATED SQFf : irq./TOTAT SQ FT UNDER AOOT ' /?6I TOTAL AREA 5Q FT: - TOTAL PROJECT COST tress rort $ /nN.oo* oF SToRIES: 2 ng Done to the accessory structure? E Ves [ ruo i 1 1 cfz Xv"t Eruo E ouplex F TOWHOUSE Is there Electncal Power on this Building? pRopERTY UsE / OCCUPANCY, ! SrruCre ramrlv DESCRIPTIOI{ OF WORK:..{r-. LECTRI PrNGECHANI DISCLAIMER: I hereby cerirfyhar alt inbrmation in fiis appticaiion is cofleci and allwork wjllcomply wih he Slaie Burlding Code and all oher applicable StaE and local laws and ordinances and regulations. The NHC D€v€lopment Se.vicss CenEr willbe noijfied ofany changes in fie approved plafland spec licalions or chan!e in co.traclor or s Up To $500 ocr"conuacbr inbnraton "'NOTE:Any Work Pew/O he Appropriate Pemils willbe in OWNER/CONTRACTOR:tz. lPrint N.nel***++xt r. i. t +,* * +,1. **)******* * )t* * i(,*,* * *** *** r( ri,F + * ,t,* * *** * *+,* ** * x violai on ofrhe NC siate SIGNATURE : EIruo ,offo.-*r, orsruRBED: 129 so{" * * **,i,t:t ** * * * **)k * )t** rs rHE pRopERTy LocATED rN l rlooonurru? [ vrs EXrSTrire T PERVTOUS AREA: /- Sq rr NEri IilPERvIous AREA, I I O.l " <qr EXIST LAND DISTURBING PERIiIIT: I-l ves fF ruo WATER: SEWER: I E creun ! CENTRAL sEprrc ! enrvnrr seerrc CF PUACOIYI4UNITY SYSTEMPRIVATE WELL I cerurRal werl ! comuururrv svsrell 1** SEPAiATE PERilIls REQUIRED FOR ELECT, HECHJ PLBG' GAS EQU]P' PREFABS & INSERTS T*' payrilEr{T tltEtHoo: E crsx E[crrcK (payABLE ro uc; ! A]vrenrcair ExPREss E mc/vrsr I orscovrn * * * * * * * * * + * * * * ,l + * * + * r ,Z* * * * * r. r. * * + + :i :i ;t * * ;* ;* ;* * ,* (FoR oFFICE USE ONLY) RaVlSE9 OATE 04/!L/72 zoNE: _ 0FFICER: Approval:_ City:_ DATE:_ FL00D: - BFE+2ft= AVI\I Comment: PERMIT FEE: $ SETBACKS: F:_ LH:_ RH:_ B:_ vmc)m mO CG) h9 a: e, & lat 1w3 NEW HANOVER COUNTY BUILDING PERIIIIT aPPLICATIoN rYPf; R ESIDENTIAL rra:sa L_>r!; :rr (La5-tori5,irlLI(.iELt ro ycus pRalEar "P.oj ect lespons ibi l ity" L<)oorr,?'26-/. FHoxE r: 7/ o J-fYD37 /. _ zre:Q1yfuo3 l\- xl{S- APPLICATIOIi APPLICA' T ' 5 NAAI€ 0EVtLOPER r PRO]E(T ADDR€S5I SiBDIVISIOtI: Clf\ i L-) | PRoPERTY oflnER's n ",' \ jefl.o^ o#.{ER's ADtREss: (2,i S >- ' 7, (]{-cA(rOR: 9Vi1uu+i<a^ I t,, h. i A,DREss: - l;t,f X )a)l{ . li.lAiL rrcRfsS: s ( c,t U;L./ i'-a{n'v-LOT $: p1pne a, ?o -S3t-7? 3l sr /ULzrP I itr<{of sr{9ztc,Zeo? ?rcNE ct g /o -:rlr|:_!J 57 p*w r.?e'-53 5l- ?7'1 C-1- , re , (c,^ P101rCT COti-A(T PERSO:.{: _ _ EXISII)re CC sTRUCTIOII Ai.:EAAI:OI{ f ] crir*-,rors; 5. i-l r,.:< fit N0vArI0{ f] cerurnrr aeea:ns l] iELocArroN NEH co srRlcTIoN: p rnecr ttEN RESIoENCs o" f aoorrrot ro €xrsTfi,l6 RE5loEricE ..pl€Ast QiECt( AriD AttSltlER BE(Oti Att THAi APPLY tC yOUi piot:Cr: [-]ar; canrrr - sF ] o:r caaaci sr [foon.:r lZC' ,, f surnoor __ sr t I porl .__ sF !] sionncr sxeo sF Ji CTIER i'l TOTAL HEAT:D SQ FT lfql ToTAL sQ rr u$orR RooF: /7L{ roTAr. aREA sQ Fr: TOTAL pRoiEcT CoST ."" .,. : $ [P.,'t! ' in: * OF SIORIES: aL the a((eslo.y st.u(ture? EJ v"s [ ,lo Linc on ti,e aL..€nt 5:te? [v"r E lo (o PRoPTRTY uSE r' oCCUPANCY: f] SrrcLr FAI.ilrY f orr,t, I5 rlouSt l-___z-z__-_.,__r' *,Gq1yc2n,Q6,ary)",€,*B) ,"c,'r Br,4E oone I, rl"c o.o_lc(t i1 a Ro-oc.rt:or, :, trc.1' J rlrtu.al Is the.e El.e(t.ical, Porer an this BLri)dingl ffives t. GJ! ot;.:IPTICti c; uoar: (a2Y!14=/- 2 F,o*, / f.z-'n,/u-* i-t.,; ,, ;5 I}1E PROPII]TY :OCATLC JN A 'LOODPLAINl Ex;5TIfi6 , PEflVIouS aREAr t_ 5Q ri itlo+ to,,-"q f ves Eno iOiAL ACRES OIS1URSEC (4, t [2tt sOV -rrl T mE I]EI,/ IHPiRVIOTJS AREAI { I O 1, {qr Exls'i LAM) DISTURBIHG PERHII: [- vrs ffi rc rrnren ' fl crcur ! cci.l*rur\: ry svsr:.: [_J pR:rAr: iraLr f ctrrrnar i.:r-L srhER: ts cPu; l l cEri-.iAi- sa?ii( ll ar:r,;-: rir-r, J ao:.i\luftrTy sysTEr.l .'' :rorl1l5 pEFli::9 taQLrrREr F0| !!r:r, rEari, pL!a (iAs aluIp, ,irFA81 I rlSERiS '..pay,.tru il.T*oc. Ecos* [rrr.. (pAyaBL! ro *r.i i]*r.r.on ,ror,r, I n.Trrio I orscovrn r.:t-...:,1'..-.r. - -,t. >) . -.\ '] "':,! .5r ,.,:',,, '/-3 crrr.rn \<_*!i__ _ _ .(-.':,:, r _[A).-.rvr!:-.i:r,_ care l,;-2,1 l5r-moi _ PERfiIT TEE: 'c,,.- I t&rrurTr-w.c -1, tanci ri-:e"*J d,>1n{_i. d orifi aR/ cor,tTRAcToR : J 7^ )+ APPLICANT,S NAIiIE: DEVELOPER: NEW HANOVER COUNTY BUILDING PERMIT APPLICATIU,I TYPE: RESIDENTIAL PLEASE ANSIER AIL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project ResPons ibil itY" ..1h)eL CITY: 4 CTTY: c2ircersr r,,7 CITY: (/- ?btf t07t) lf)/${ APPLICATION Number (office use) oorr.tr'24-/f PHONE $: Zro-s-<f1>3 7ztPtb%b3 PHONE S:?ro-s3t-?7 st{w:ztPt 2B-tO7 srfuLzv;-?&o? PRO]ECT AODRESS: SUBDIVISION: PROPERTY OI.INER, S NAME :s O NER,s ADORESS: CONTRACTOR: ADDRESS: EiIAI L ADORESS: ATT GARAGE - SF suNRool4 _sF l-l cnEeusouse sF Is Any If the pro)ect DESCRIPTIOiI OF hJORK: DET 6ARA6E PooL _ sF DECK SF 5F DUPL EX TOWHOUSE ffieoacn (2O t, ! sronnce sHED - sF oTHER: SF o PRO]ECT CONTACT PERSON: EXT5TITG CONSTRUCTION: I nrrennrroru ! nrruovnrrOn I Orruennr REPAIRS E RELOCATION ilEW CONSrRUCTror,rr p rnecr lrw *T.PLEAsE CHECK AND AiISWER BELOI'I AL RESTDENCE o" ! AOOrrrol To ExrSTrNG RESTDENCE L THAT APPLY TO YOUR PROJECT: TOTAL HEATED SQFT: /q"/ rorAr sQ Fr uNDER noort /76{ roraL AREA sQ Fr: - TOTAL PROIECT COST tress rou : $ lnN-@ f OF STORIES: 2 Ev", E No , (PLUMBTNG ] is a ReLocation, j.s t Is there Electricaf Power on this Building? PRoPERTY USE / OCCUPANCY, ! Stnele rlmrlv l,{ork Being Done to the Accessory Structure? here a Natural Gas Line on the Current Site?Yes F,o Xl v"r l-l ruo Xcfz,,{u-. LECTRI CHAN DISCLAIMER: I hercby ce fY har alt inbrmation in his appticaton is coneci and all work wil comply wih fte Siate Building Code and all ofier applicable Stae afld local laws and ordinances and regulalions The NHC Developmefll Servicss Cenler willbe noiified ofanychanges in te approved plan and spe.ilications orchange in conlracor or conractor inbmaton "'NOTE I A ohtNER/coliTRAcToR: ,t * *,* *** r(*** * ,* *,* )* *** Appropriare Pemirs willbe in leB l{c lP.rnt Nane) * * * * * * *** + r. ** *,lxi*************t ** *,* ***,k **,tr( **i( *** * *,* * ** * Vo aiion oithe NC Sta SIGNATURE: l--l Yes fr ruo r , ToTAL AcREs DI5TURBED: 129 SO+T s Up To $500 00"' IS THE PROPERTY LOCATED IN A FLOOOPLAINT EXISTII\G IMPERVIOUS AREA: ,D Sq TT vmOm m C6' a9(') NEll rrpERvrorJs AREI, i I O,/ I f54'r Exrsr LAND DrsruRBrr'lc PERMTT: E veS ffi lo WATER: SEWER: ts6 creua ! CENTRAL sEprrc f] enrvnrr sEPTrc n coMMUNrrY sYsrEM CF PUA COI4MUNITY sYsTEM ! nnrvlre wrr-r- ! cENTRAL t^tELL ZoNE: 0F FICE R: (FOR OFIICE UsE ONLY) REVISEO OATE O4l11/12 SETBACKS: F:- LH:- RH:- B:- *** SEPA]IATE PERT1ITS REQUIRED FOR ELECT, 14ECH, PLBG, GAS EQUIP, PREFABS & INSERTS T** payirEpT r4ErHoD: Ecesr EI4rrcK (IAvABLE ro rurcy I orrnrcAil ExPREss E mclvrsa I ors.or.* ************+++)******f*********)tr<**)*,*,****,*********,i+*)*,**)******+)t***,t)*****,*;i**********)**:i( Appnoval:-City:- DATE:- FLOOD: - BFE+2ft= - AVN Comment:PERI1IT F EE: $ .l # BLOCK #:LOT #: _ PtoNE *: qro-538- 9737 p$NE *tfu*S3A 3fj7 tr # RB[€EiV5Pdrq s 6]p,t NEW HANOVER COUNTY BUILDING PERMIT AePLIcarIo rvPE; RESIDENT IAL ,. rrst lrJa[tn au q,ilrloirs AptLI(aBrt t0 voul ,co)aaT "P.o ject Responsibility" Zof-nzs t 'f aq\'v APPLICATIOII N!nber oorr, y-26 -/_)'APPLICATI' S N','{E : DEVELOPSR: _ PRO]ECT AODRESS SUSDIVI5IOT{: FroNE r: 7t C -jif?fi 37 z:.P:&{&o3C I ,-Y P ROPEnIY Oll\[a'3 n^i{i o'4itER's A00rE55 atoix *, / - TOT T: -\ *fl*,, f-,. *'or1 ,/,A-, rrl -4urrr-,,a,rane e . ?t^ -s3 f,- f )3/ ,-7;;,-ka{d7_ cui, (c sI /u,!:zt? | lE<-/o1 st lgzte ' :Zeo? f,. <?lo-f3E- ? ? J7 ptrlrr.e *:?tz>- 53 t' ?)31 (sNTRACTOfl ASaRESS Ic r'v :itAMooRESS: SLc4rj..t/ @ eL . f r, Co,",PhONE tJfi{ corys'rRuciloN: p ;nrcr NELI RESroENct o" f lDolrrotr To EXISTING RESI0ENCE .,PL[A5f (HECX ATD AI{ShiR SITO|.J ALL THI-I APPLY TO YOJS PRO]ECTI ! arr canrcr - s. I lr sanac: sr fifconc, {2C ,, :.{isTrN6 coruSrRUaricr'l4. T E '.A::C Ii f] surnoor --_- sFPC! I. SF f ,- car:r+rcusr _ sF 1, :rrx _ sr LETIi if the p.oj Pct :s a-H?)-ccationJs the.e a il;tu..t 6as It rhe-e Llectr":ca1 po!,en on thrs Euil.r.ntl $v"t f] pRcp€RTy usE / occupANcyi f] srloL: ran:rv I oultex ffir.tZ l] aclovnrror I cerrnar nrerrns ! RELocATrorJ si TOIAL HEATEO Sq FT: r'4 IOTAT SQ TT UNDER ROOF I /?6q TOTAL AREA 5q FT; TOTAL PROIECT COSTr.essro,r : $/ffi;ea-oa* O; STORIES: 2 lcAi (.flnuit7.C'tA"JICAxo.k Being oo.p to th€ Ac(essc.y s:.u.tur€:fi V"r I Xo Line on the cJffent site) f ves E lro lic D!5CR;P] OF l^rgR(: HCi-S E ,{r.nP;,'-.-'/i coii-.r.tftab. 'ncT! an *iNER/COt{TRACTOR:s:6rr,iAr;.lRE:/.J t..i..r1i...++i. vmc)m fnO ^> IS TH: PROPEiTY LOCAIEO IN A FLOODPLAINT EXISIIN IHPERVIOI]S AiEA: /2 5Q FI Ntir Ir,rPERvIous ARZ^: I I O.1 , {ri/f-T YEs Ero /. ror^L rcREs DTsTURBED: [2s1' st,{f Exrsr LrrD frsruRBrru6 prnmrr, l--l vts I3 ro r',lr;a ' [] crc.La f] con^ruNir] s]srEN f] pRIVArt t,tiLr I ctrlrrL ner- sErra: fi qreur, I cEru-pAr sErTIc f narv,rr: seerrc I co,yHUNriy sysrEr] '.'5EPAXAat PFti^11tS *"':5. ::',.Y'. .. .?"':::# :)-!"'i ,rL-"\ l::I(E1, REQU:'][9 fON 'LTCI, TIECil, ?1S6, 5A5 EQUTP, PIEFAAS 8 INSER15 "' cgEcx (rAyaaLE ro rrc) I arerrcar tr""rss [ ,.zvrsl [ ,rraorto ipp"o.a-' ( tt/. CAlc ! F T.qi: fl5 ,:: {o:._} cr Cill --*1.l)1)r r co o v BF t r2ft- _ FEE: '--.t,cr,qD --:r_*" ^-4P€R[lIT lf, 4d <-d)wi r-f ,5i-,^'*^1,^,'l,o'^ ,\*t:lr^l>. lonuo-t t:7 ii3:EC- COTiTA(: ?ERSoir: _ _ Coftrent I ?i?- nEE€,Etyg0.euo ! 00ils NEld HANOVER COUNTY BUILDING PERMIT aPPLI.ATI1N rYPE: RESf DENTIAL PLEASE ANSWER AIL QUEsTIONS APPLICABLE TO YOUR PRO]ECT "Project ResPonsibiIity" ,'t h)cc CITY I L)L"-*- ,orr,,3'26'/f PHONE S: ar O-C7 zll:Q97fr\1o3 pHoNE *: ?ro's3f,-?2 ${L!:zrPt l&{e? *rLLzrPt -?eo? ProNE r: q@--538- ?737 *lone rt?to-S3?- ?7 7 l\-- laztl luq,\'y APPLICATION Number (Office Use) APPLICANT, S ilAIilE ; DEVELOPER: PRO]ECT ADDRESS: CONTRACTOR: ADORESS: ! surRoom - sF PROPERTY USE / OCCUP DESCRIPTION OF WORK: SUBDIVISI0I'lr BLIA iav- PROPERTY OWNER'S NAfiIE :s oI.JNER,5 AOORESS:CITY: @Lrcmtsr r,,7 CITY: EIIAI L ADDRESS:,. EXISTING CONSTRUCTION:ALTERATION RENOVATIONGENERAL REPAIRS RE LOCATION STORAGE SHED - SF 5F NEW COi{STRUCTTOI: p tnecr NE!{ RESTDENCE o" ! nOOrrrou ro ExrSTrNG RESTDENCE .iIPLEASE CHEC( AND AI{SI,/ER BELOI,I ALL THAT APPLY TO YOUR PRO]ECT: T^,/1 I nrr ornnce - sF ! oer cnnne r sr ffieonor I z(/ sr POOL _ SF ! oneenuousr - sr ! orcr If the pro ect i.s a Re 5F OTHE R: ocation,s thene a Natural Gas Line on the curren ANCY:SINGLE FAMI LYDUPL EXTOW HOUSEcfz TOTAL HEATED 5QFf : if q'/ rorAL sQ Fr uNDER RooFt /76{ rorAL AREA sQ Fr: - TorAL PRorEcT CoSTlressroq z $ l&@2:Cn# OF STORIES:2 Is Any lrork Being Done to the Accessory Structu""r fi v"s [ ruo t site ? ! ves EI ruo Is there Electrical Powen on this Building? Xl v", l-l ruo X,/r-. LECTRIING HAl,lI DISCLAIMER| Ihereby ce it hat aI informaiion in his appticaljon is correcr and allwork willcomp]ywih he Staie Burlding Code and alloher applicable StaE and local laws and ordinances and regulations. The NHC oevelopmenl Services C€n@r willbe noliiied ofany changes in the approved planand specilicaljons orchanqe in conkace1ror s Up ro $s00 00"'conlractor inirnnaljon "'NOTE Any Work PerfoWO he Appropriale Pemits willbe in OWNER/CONTRACTOR:tc- (Pri^t Naf,e) r* * )* *** * * * + * ** + +* Vlolation oftho NC StaE SIGT.IATURE: l--l vrs ftm r. rorAL AcREs orsruR'ro: 129 so+f x*** ** ** * ** ** *+ *+ * * r(* * ** * * * ** * ** * *,r* * ***!t,t i( * *+ * **r(* i! *,t,i( )* t<+* vmC)m mo q6) l\9 G o IS THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTING IMPERVIOUS AREA: I) Sq TT zoNE; 0FFICER: NEW filpERvrous AREA: i I O.l 1{!.{'r Exrsr LAND DrsruRErNG PERMTT: E vrs [F Ho I{ATER: SEWER: creul I coMMUNrry svsrem ! pRrvATE wELL ! cerurRnl well creun f] CENTRAL sEprrc ! nnrvlre seerrc I coi'rMuNrrY sYsrEM *** SEPARATE PERi\4ITs REQUIRED FoR ELEcT, i,1ECH, PL86, cAS EQUIP, PREFABS & INSERTS *** pay EMr rilETHoD: ! .ot, flcrrcK (PAYABLE ro ruxc) ! arrreucAN ExPREss I rclvrsr f] orscoven * * * * *,f,** + * *r.r. * *+ + ,*,* )*,* ** * t ,*,*,* * * *+ *,*** ***,r,r*)r:r,F (FOR OFIICE UsE ONLY) REVIsED OATE O4l11/12 SETBACKS: F: LH: RH: B: Approval:_ City:_ DATE:_ FL00D: _ BFE+2ft= _ AVN $Comment:PERI'1IT F EE; ,m LOT #: _ PROJECT COI'ITACT PERSON: E E lns -wLoy NEW HANOVER COUNTY BUILDTNG PERMIT APPLICATIoN TyPE; RESIDENTIAL PLEASE ANSWER ATL QUESTIONS APPLICAELE fO YOUR PRO]ECT ..project Responsibility,, APPLICAI,IT'5 NAI1E: srone-Monrqome Constr\rction DEVELOPER: PROJECT ADDRESS: 206 Beach N PTONE f : PROPERTY OWNER'S TIAT4E: OWNERJS ADDRESS: Dave and Beth T aylor SUBDTVISION: Fi Eiqh t Island CITY: wi lminoron ZtD..ani1 BLOCK #: _-_ LOT f:206 Sec15 ST: ZIP I LICENSE f: 2s130 CITY: wilminqron ST: NC ZIp: 28403 CITY: CONTRACTOR: stone-Monr Construction ADDRESS: 11s-5 sin EI'IAIL ADDRESS: i ennlfer@st' PROIECT CONTACT PERSON: ,ro€h srone PHONE f: .t ss - 3s}e PK)NE *: 520 - e76a EXrSTrr{G co*srRucrroN: ! alrrnarroru [ nerovnrroru ! oe*ennl neenrns ! RELOCATTON NEW CONSTRUCTIOI,I: ! rNECr NEW RESIDENCE O" ! MOTTTOU TO EXISTING RESIDENCE 1*PLEASE CHECK AI{D ATs}IER BELOW ALL THAT APPLY TO YOUR PROJECT: I-l art eanaep s.E fl surunoom _ sF I-l cneenuousr <E DESCRIPTIOI{ OF hIORK: N ! oer eannce -- sF E!eool_sr n SINGLE FAMILY n DUPLEX ! rouHHouse PoRCH qF SToRAGE SHED _ sF TOTAL HEATED 5Q FT:1200 TOTAL PROJECT COST lress roj : g 130,000 Is Any ELECTRICAL, pLUtitBING or titECHA ICAL Work BeingIf the pnoject is a Relocation, is thene a Natu fs there Electnical power on this Building? r PROPERW USE / OCCUPAiICY: DE CK 5F OTHER:SF TOTAI 5Q FT UNDER ROOF: rzoo n oa sroR;: Oone to the Accessory Structure? [ V"s fl lo ral Gas Line on the Current Site? [ ves [t no ves ll'l ruo DISCLAIMER lhereby certify hat aI inbrmaton n fiasalion is conectand allwork wafl comptywih he SraE Building Code and alt oher apptic6bte Srab and tocat tawsand ordinances and rcgutations. The NHC Oer€topmenl Se rvices C€ner wittbe notfied otany changes an he apProved phns and specrficaiions orchange in contr6cbrorconuacb. inbrmation. ,*NOTE: Any Wori performed W/O itle Appropriab Pemirs wi be inViolarion o,ihe NC State Btdg Code ro Fines Up To $500.00,.. OWNER/CONTRACTOR: rosh sr SIGNATURE: * +,*+ *,i,* * * *,r ** !r * * * * * * * * * * * * *(IiTl lil"J * * IS THE PROPERTY TOCATED IN A FLOODPLAIN? YEs fl ,o Ister h&6tbath Other ths wi lre eve new toile 1es ln exlst 1 !t,t,* * )t)** * )t,t*,t** *)i * )r,a )* + * )*+ *,t )*)i* )*)t* )t )***)* +,i* * ** f loo in 3rd floor la& kit hen. Inaf1 e inisti shaft c RwISED D IE O4/71/72 EXISTING II.IPERVIOUS AREA: -SQ FT TOTAL ACRES DISTURBED: NEI{ rrtPERvrous AREA: _ sQ FT Exrsr LAND DrsruRBrNG p;;r, I: yEs l-i,.] rrro uarrn: f] crnun ! co[MuNrry sysrEM EJ pRrvArE wErL ! cetrml wrlr sErrlER: ! cFpuA n CENTRAL sEprrc EI eRrvnrr sEprrc - coMMUNrry sysrEM r*+ SEPARATE PER',IIT' REQUIRED FOR ELECT, IIECH, PLB6, GAS EQUIP, PREFABS & INSERTS ***pAynEr{r ErHoD; E cml E_ crecl lpAyaBLE To ,*i- tr -r*rcAr{ ExpREss E ,./rrro ft orscoven *'i***)t+ *)irt**+*)t )*+']r )* +*)* )t**)* )**+* )r *,i **** +*)r,*,i*+,k**iii** **** *** *** * )**!r* )k)r* jt ,i *,* ***)i **)r****,*,x)* zoNE: _ 0F FICER: Approval:_ City Conment: (roR 0FFICE USE ON[Y) SETBAa(S' F._ ru._ 6', :_ DATE:_ FLOODI _ Av :_ B:_ BFE+2ft= N PERIitIT FEE: g ?oo- :. & ffia-t- mjDrid-rron Number (Office Us€) DA'lEi 70 /23 /2u.s PTONE f : ToTAL AREA SQ FT: r2oo E ,\y* No PLAUS r [o 'fi NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL PLEASE ANSWER ALL QUEST]ONS APPLICABLE TO YOUR PRO]ECT "Project Res pons ibil ity" oarc t()-zz-/d APPLICATION Number (office Use) 5F 5F Yes E.f!6- APPLICANT,S NAME: DEVELOPER:,V4 5o.L- -T[.onc.s PROJECT ADDRESS: 73 I I Kon 1.. c i. C* crry: SUBDIVISION ELOCN $: A./ n tot *,UR pHoNE *: '?lO-J7,f - 12 r I srt J.l?tPt?ttl{( ADDRESS: :h EI'4AIL ADDRESS:W\e^ LICENSE $:4 CITY: ^-;L PHONE #: zIP I a V'l1l srtUlLzrPt eVr{2q PHONE #: PII)NE #: q/0 L/L 3S5f rs E (c -t Jos t- I L'*->ona I CTTY; \aJt\mrn^.1,VA PROPERTY OWNER,S NAIiIE : OWNER,S ADDRESS: ,^Ar" Ll,l.o.(+ CONTRACTOR: /nAu/n LL( )-4 PRO]ECT CONTACT PERSON: EXISTING CONSTRUCTION:A LTE RATION *,IPLEASE CHECK AND ANSHER BELOI|I ALL THAT APPLY IO YOUR PRO]ECT NEW CONSTRUCTION: tZl DESCRIPTION OF WORK: DET GARAGE - SF POOL SF fl enrcr NEta REsTDENcE o" fl loorrrolr ro ExrsrrNc atstornce l,/ fl PoRCH _ SF STORAGE SHED DECKSF OTHE R: TOTAL HEATED 5Q FT: ,r TOTAL SQ FT UNDER ROOF: - TOTAL AREA SQ FT: TOTAL PROJECT C05T1L*sLal : $tf,oose# OF STORIES: I Is Any ELECTRICAL, PLUI'IBING or I4ECHAr{ICAL Work Being Done to the Accessory Structure? [ Yes If the project is a Relocation, is there a Natural Gas Line on the Current Site? ! Is there Electrical power on this Building? pJdt I m pRopERry usE / occupANcy, fl-srrucle rrmrrv fl ounrrx TOU/NHOUSE "d(a',a.t(l,i 32" door.q- /aa Je. s/. P. - S/J),tan DISCLAIMER: hereby cerli, hal a I rnk'rnjalion in t1is applicadon is correcl and a I work wtlcomptywih e Stare Bullding Code and att oher appLicabte Stare and toca aws and ordlnances and regr alions The NHC Deve opmeil Setuices Cenrer will be notlied or any chanqes n rhe approved p ans and speci,icatons or chanae io conlraclor or otJ'lNER/C0 alon "'NOTE Any Work PeAppropriaE Permils wilrbe in Violation ollhe NC Stae aEg NTRACTOR:-a- _JO: TtowAS SIGNATU *,r*,* ** *,* * * * ** **,*** * * ** *** * *(ii'li Nil"J Up To S500 00"' *,* )k *,* * *)t** ** * )*)*** * **,r,*** )r)t* * * )k,*,* )**** *,*,*,r**,* * x x,*,k *,r * * * IS THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTING II'IPERVIOUS AREA: _SQ FTTOTAL ACRES DISTURBED: NEW IMPERVIOUS AREA iSQ FT EXIST LAND DISTURBING PERMIT:YES i--l ruo h,ATER I SEWER:creur I cENTRAL sEprrc ! enrvnrr srerrc I coMt"luNrry sysrEr4 COJV1MUNITY SYSTEMPRIVATE I,JELL CENTRAL tlELL YES W'no SETBACKS: F *+" SEPARA]E P€RI1ITS REQUIRID FOR ETECTJ AIECH' PLAG, GAs €QUIP, PRETABS & INSERTS I,, pay}lENr MErHoo: f] crsn I curcK (PAYABLE ro nHcy I o.rrnr.* .irr.i, fl rclrrro I orscovrn * * *,r * * * *,* * * *,r * )r,***,r * **,** * *,** *,t *,t* *** *,r *,* * * *** *,1,t ,t,t * * *,*,*,t *,* +,t* * )*,* *,* *,r** )t ** * * + * * * * *,* ,*,*,* * ** (FOR OFFICE UsE ONLY) iEVISED OATE O4l1rl12 ZONE:OFFICER B Approval:_ City:_ DAI t:_ FLOOD BFE+2ft= u PERMIT FEE: $-Comment: LH:RH JotS \Dzt3 ]9t15=foz? I neruovnrroru [ crruenar neearns ! RELocArroN I rrr clnacr _ sF ! surnoor,r _ sF ! cnr rrHous r - sF tr APPLICANT'5 NAJ'4E:f€'< NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TTPE I RESIDENTIAL PLEASE ANSWER ALL QUESIIONS APPLICABLE TO YOUR PRO]EIT "Project ResponsibiIity" (.,,*,4r C t5-aq6 g Qots - loATo APPLICATION Number (office Use) DATE: /o-2a--n- DEVELOPER: PRO]ECT ADD SUEDIVISION CON]RACTOR: ADDRESS: F.<r'€ c . foy CITY: c PHONE #: PHONE #: PROPERTY OWNER, S OWNER,S ADDRESS: Qv O(^e o PHONE #: 3/ 3-33)/ luLt P119112 O' ztP 7841?z86- 5-2\-3J-j2 RESS:st E o c-. <^) CITY: ta\",1*rh^sr'NLzi,?8rb3 LICENSE SACCOUNT f: CITY: L-r sr,N!-ilP;ruc bt EI1AIL ADDRESS:n r., < ),". a..-". I (Co.-..- PRO] E CT CONTACT PERSON:o.-r.,4Lo'- LJ <:^lc-t L-- ATT GARAGE ftLsF EXISTING CONSTRUCTION:A LTERATlON R ENOVATlONGENERAL REPAIRS NEW CONSTRUCTION:RECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE **PLE E CHECK ANo ANSWER BE Lol,,J ALL THAT APPLY T0 YoUR PROIECT RE LOCAT ION ,ur*oo, -?6RE E NHOUS E - SF DET GARAGE - 5F POOL _ SF DECK SF lfr " {"''rP';t:S FPORCH STORAGE SHED OTHER: SF SF rs thene Electrical Power on this Building?f]Yes No pRopERTy usE / occupANcy, I srncle rlNrrv UPLEX TOI^INH0USE .: / o.J*<DESCRIPTION OF I4ORK: DISCLAIMER: lhereby cerliry $al all information in his applicadon is cor.ecl and all work willcomply wrrh lhe Slale Building and ordinances and regulalions. The NHC Development S€rvices Cener willbe nodled ol any chanqes in he approved plan conrracror inlormalon "'NOTE AnyWorkPerbrmedw/OUeApproprialePerrnitswllbeinVlolationo{lheNCSlaEAUq 0tlNE R/ C0NTRACT0R:SIGNATURE: * *,r* + *,i,r *,* * *+** * * * * *** * *** *(i 1'I i Jil"] * * * * ** * * **,i( r i( + * tr<,*,i{( YE5 NE[,r IMPERvIous aREA': / 7/ .7 ,1o SQ FT IS THE PROPERTY LOCATED IN A FLOODPLAIN? ExrsrrNc rvrpERvrous mea, L(7il6 sq rt TOTAL ACRES DI'TURBED: , G Subject lo *,t* ++* * *i( * * *,t * *,k r( * * * REVISEO DATE 04l 11/ 12 RH:_ B:_ WATE R : CFPUACOI4MUNITY SYST E14 EXIST LAND DISTI.JRBING PERT1IT:YE5 NO RIVATE WELLCENTRAL WELL (FOR OFFICE UsE ONLY) SEWER:CF PUA ! crrurRal srcrrc fl pRrvATE sEprrc I cor,tuururrv svsrrm *** SEPA]IATE PERI'4I15 REQUIRED FOR ELECT, [1ECI], PLBG, GAS EQUIP, PRETABS & INSERTS *}i pAyrlENr r4ETHoD: ICaSH !CneC( (payABLE rO NHC) E BrLL aCCOT,NT EmC/vrsq !OrSCOVrn****,******,*r***+*,*,*,*,***+,t**,t*******,**+*****,*******,*,*,t,t*,i*,tx,***+)**+)t**,*,t*+**,t**+*,i***,i**** ZONE :OFFICER LH: Appro va I : _-__r_ City:_ DATE:_ FLOOD: _ _ BFE+2ft= N SETBACKS: F : es Up To $500"' Comment:PERTlIT FEE: $ _rr\ gN' ffi WLlfiMqhM BLOCK S: " LOT S: 7{19 L/ tr rorAL HEATED 'q ", ?y'l.o--rorAL sQ Fr UNDER RooFt507I .rorAL AREA sqfi:3o78 rorAL pRoJEcr cosrrressrorr , $-2=r*; o o, ,ro rrr, fu Is Any ELECTRICAL, PLUI4BING or I4ECHAiIICAL l^lork Eeing Done to the Accessory Structure? ! V"t I fVo If the project is a Retocation, is thene a Natural Gas Line on the current Site? [ ves ! no \"u_.{L*\.c.).'^b. "A E ttt-^ r r-Dq6 t ?ols-16169 ffi NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPF; RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLITABLE TO YOUR PRO]ECT "Project Respons ibility" f((=,*i./i c APPLICATION Number (office Use) o^rEt ./O-2 A -ri- PHONE #: * APPLICANT, DEVELOPER: PRO]ECT AO S NAfiE: '<F.€ cITY: t-.:DRESS: BLOCK #: up,29qta8-r- -J3)PHONE S: SF suBDrvrsroN: ht"o4lS Lc.*di xa €^:<l!a,^. LOT *: PROPERTY OWNER, S OI^INER,S ADDRESS: I0,\c CITY: CITY: LT ACCOUNT S: sr: {-(Z],P :2 *rfl< zrer@6 1r, 5:s - 35-J2 5F OR:<-. f^f,CONTRACT ADDRESS: EMAIL ADORESS:PHONE #: PRO]ECT CONTACT PERSON:o--^{t-nLr<\^ta-c L o PHONE *: EXISTING CONSTRUCTION:LTE RATION R ENOVATIONGENERAL REPAIRS RE LOCATlON NEW CONSTRUCT]ON;ERECT NEW RESIDENCE or (c: *'i'PL9,A5E CHECK AND ANSWER BEL ffnt eoaor;. Sl\ sr OlJ ALL THAT APPLY TO YOUR PRO]ECT: fro.r+/*cL /71/ t/Y SUNROOI1 _SF GREENHOUSE 5F DET GARAGE - SF PooL _ sF DECK SF Is there Electrical. Power on ttlis Building? PRoPERTY UsE / occUPANcY,ffi,oL,,o,,L" RCH STORAGE SHEDSF SFOTHER: TOTAL HEATED SQ FT: *,/3 ToTAL 5Q FT UNDER R00F.3 rorAL AREA Sq rr, 5o7878 T0TAL PROIECT COST(Lestor) : $/7J ooo# OF STORIES: Is Any ELECTRICAL, PLUI1BING or IT1ECHANICAL l,,lork Belng Oone to the Accessony Structure? [ Ves f] f'fo If the project is a Relocation, is thene a Natunal 6as Line on the cunnent Site? !Ves [ ruo Yes E*o OUP L EXTOt^iNH0US E DEscRrprroN oF woRK: E z. ec/- S ,\u.r I e F","-l 1y ( o-r". Ao.^.3 a (e! w/u'ne DISCLAIMER: lhereby cerlit lhat all mbrmation in his applicadon is correcl and all work willcompiy wilh ore State Auibinq and ordinances and regulations. The NHC Development S€,vices Cen€, willbe nodfr€d ol any chang€s in he approved plans and speci YE5 NO OWNE R/ CO a[on"'NOTEAnyWorkPerlormedWOheAppropriatePermitswttbeinVotationolrheNCSlateB rdg Cod-aI I . ^--1 [.* L-t-S'--L-"-SI6NATURE:NTRACTOR: ExrsrrNc n4PERVrous o*ee,|ZlLA 5Q FT TOTAL ACRES DISIUil,BEO: t / NEr,{ il,rPERvrous aaea iplLb se n ,f * * * * *++ * + *,* +* + * * IS THE PROPERTY LOCATED IN A FLOOOPLAIN?YES EXIST LAND DISTURBING PERMIT: l.lAT E R : CFcot4lvtuNlTY sYs'rE!1PRIVATE l^lE L LCENTRAL WELL SEI^IER:CFPUA ! cenrnal srcrrc !PRIVATE SEPTICCO|4MUNITY SYSTEI,l ZONE: OFF]CER Approval:_ City:_ DATE:_ FLOOD i*+ SEPARATE PERI,IITS REQUIRED FOR ELECT, MECHJ PLBG' 6A5 EQUIPJ PREFABS & INSERTS *+i pAvirrENr METHoD: !casn !orecK (payaBLE ro *r.; Iar,-l occor*i Euc/vrsr f]orscovrn******,******+*)t,|****,**,**+,*****,******,*,r+1*******,*,t,r*+*++***,*,*+*,r***********,****r+**,****** (FOR OIFICE UsE OI{TY) REVISED DAIE O4l11/12 SETBACKS: F: LH: RH: B: 00"' Comment: I LICENS E S:7{1,q L/ ! aoorrroru To ExrsrrNc REsTDENcE B F E+2ft= Y-t{ \t-?q6\SEtr D{EJ F-d{z 4?//cr+'- NEId HAhIOVER COUNTY BUILDItre PER'{IT aPPLIoATI&{ rYPEr Cof{fi ERCIAL PLEAS€ A.ls16l. rLL Qa,ESrIOt.s IP?LIC alf TO tIUa PROIECI 'Project Responsibilitlf ,l Qs51CIto '.1',:-' APPLICA$I,s NA*E:T MADGIi:M I'A,T.q NN Tll OEVELOPER: PRO] ECT ADORESS:o cITY z'IP:')€L/. r -6222 P}O E S:91Ol 443-1 431 OCCUPATT/BUSIiIESS NAI'IE:A PROPERTY OTNER,S t{A'tE : CIIY:ST: lg zIP:-- C(XTfUCTOR: TALMADGE M. WA soN -TT LICEiEE r: 29208 accottlr f,: aD0RESS: PO BOX 201( EIIAIL AOORESS: l-rta l-s.tnFi 'he gOai 1. com crw: cARotrtla BlacE- 5 PI{FIE * TiNC zIP: 10)458 28428 PRolEcT Co{TAcf pEItSoN: TTM I'a'r'qnr'l Chc<r AU rh.t rtprY) GENERAL REPA]RS R€LOCATIS'I (_I o:, EXrSl CO|{5TR|JCTrON, f lltenarrol I nelwarrol If Relocdit l, is $ere a Natsal Gas Une on fie Cured Ste? LlYes No IS BLDG SPRINKLERED? nves I No If UPFIT - The sheLl Per0it *:Is Elect Pq.er on this guilding El Yes ff No "'i. rs rgrs a cHAt{cE or ccuPA'lcY usel fl ves El* *." IF Yet, t{hat uas the Previous oc(upen'y Ty'pe? fhat is th€ lte}'/ Occupa!<)t Typ€? ARCH r€s!6?t PRO'ESSIoi{AL: €MN 0E516 PROFESSIOML: 5lrrr *EU €$rsrRucrr$i, I enccr NEir srlrlgruiE I rasr rmcr I sxrlr- f] urrrr I Aoo ro Eusr srRUcruRE PH PH tlc REG d: .-- NC REO {: '-- o\- DESCRTPTION OF UORK: t6 ,ood or bsrsagG prDpsrd 6 s€nEd h t& *trctreZ SVes I No E The Prop€tty Locsted ln Ths Eooddah? ilvoEliro all ofEr appllcdE S@e d3ns d ioeqiadoIs NC Srare gldg Code and OW||ERICONrRACTOR:TAaMADGE M. wAtgoN. rrr SIGNATURE: Nore Oemdlitn odltcator6& asbd6 r*novd ,€rm[ #]cdorts dE to bsst ni!€d us8€ fE rtd.dd1tum (DHHS-'/E)6&y or b.Odrtg rG hrtd E cdtlh A.i€do6 6 'lot Yo(, 6rs ,q'..ead !d calt OE Nsdotrd EmEar S'l&td6 fs lJee.trrs AIr Poautsr6 (NESH P) a €197Sr'535O a! lA 10 dtvs,r1o.lo t'e d€.ndlton d !r,yHlryor bddnE. S€e AsBl6 TOTAL PROJECT COST TOTAT AREA SQ FT : TOTAL SO FT UNDER ROOF:.lloO , oF STRUCTURES: # OF UNITS: #OFSToRIES: I # OF FLOORS: Bbbgta .,..rr, . :.:..i:ri.r.:._; BU[.DING HEIGHT: OTHER: Efl CFPUA CFPUA D co{rn uNny s rsrEM D wELt- flzoNrNc usE ctASstFtcATtoN: E CENIRAL SEPTC L] PRIVATE SEPITC D COi'MUNTTY SYSTET' pAyMENr MEmoD: $6nSa [f Cnecx {pAyABtE ro r*rc) f]au accouxr nrcMSA [orSCOven ).-r'*'\ zone, t fiDOFFICER: {FOR OFF}CE USEor{LY}r,-b'-u, C''RH L/B: C'SETBACKS:approrcl city:_..:5arelo.e*i&OOcr -i(,N.BFE+AF fr+D F VSED DATE l/11112 PER$llT FEE: $on.'.1f,..1-,* r!, \ utB ){o, ''c, c It,l Commart t Pl€t{E S: __- APPLICATIO r&trb€r (oFft.. Use) o^rElL!)LbLL> ott'lER's trDiEss: ACCESSORY STRI'CTURE: PtOtlE *: .-___.--_- SO FT PER FLF; - AcREs O|STURBEBT - EXST LAND DTSTURBTNG peRMnr r']YES T'INO NEW IMPERVIOUS AREA:-SQ FT D(STING IMPERVICXjS AREA -.- SO FT pRopERTy usE norrrce plhEsmunnr,n [uencermr-e I eor.rc f]arr Doomo WATER: SF,WER SEE IXgu1 F:dz 4flltr+t 1f -?46\ eot?lo)tD APP LICATIOiI Nuflber (otri.. us€) illii4{ fiALO\rER COUruTV BUILDING PER}IIT AwL I1ATTi}.'! rYPr: CO4fiERCIAL PI EAsE AAsIdiR ALL QIE5IiOI6 JIzFLICAALF TO I(ljR PRO]ECI 'Project ResPonsibilitif DATE: APPLICATI, S I{A!'f : DEVELOPER: PROIECT ADTRESS: ri,1.,' '. PEOIiE *: a. tr-ztPi-zi!--,' 4..i. .-7i i:.IOCCUPANT/8UsINESS N'THE: PROPERTY OHNER,S TI ITE:Pliol{E *: ST:tg zIP:- -OhNER'5 ADDiE5S; CO.'iJTRAITOR: TAt E{AIL ADIRESS: I wa f s onl) t rrrrba gina _i 1 . COnt PRO]ECI CC$'IACT PERSCN: LICEI6E *:29208 ACC06IT *: (TTYi Ctr,ROLINA RE:AC'T ST P+ot{E l+: ZlP. 0)4 28428 58 :NC (91-6222 I{{oE s: {910)443-1431 EXIST CoNSTRTJCTIO : -- ALTERATION lf Relocdion, is there a Nat..jral Gas l-ine on the GET,]EEAL RE?AIRS If Cuirer Site?'J no rs BLm (al.(L a-U hrt APPI!) SiIEL L RELO€ATI(x{ ruaeozIves[No ! mo to Exrsr srRUcruRE SPRIN UPFIT NEt{ CO 5IRUCTION: f-1 earCr l'irU SfiWrUnr I A'CESSORY'-=UCTURE WATER: --ICFPUA SElryER T'] CFPUA ZCNE: Appror?l:_ Citla_ Comme.lt \,, --i( , v.".'^.. @#ffUNnYSYSTEM "IWELi- CENTML SEF.I-'C E PRIVA]E SE71C I NC RE6 *: _..--- 4> SQ FT P€\'}SE' DAIE r/i '1? ls E1ect P+rer on this Building vo< [-.l ruo If UPFIT - Tt'e Shel1 Pernit * ir 1r. IS.IHIS A CHAj\tG; LF Yes, xhal ras thc Pr"evjout Oc<uPancy Type? oF oc€u?arcY usrl fivrs Qruo "*'* !,rhat is the ileH OacuPancy TYPe uc REc + ARCH OEsIGfl PROFESSIO|\IAI: Fi!GR D5]GN PROFESSIOIAL:./1r'5 f r'cr DESCRIPTION OF h!ORK: ls food or bsvoragB prep6,'ed cr seweC h d',is *-tcatz f{ ves f-' No ls The Prope{ty Locaed in lhe Floodplin? Ivo fiitvo all oth€r applrczble Slale c,ans and ii,cofcrl{ns I{C sEre Bldq Codc 3nd OWNEFYCONTRAC:OR E I,!. }JSIG!.IATURE: TOTAL PROJECT COST: S a# OF UNITS a. L> (q|rda4 iP'it xs) Nors D€rnC,il; ndf.arc.s E 6sDs rqnorBl Fermil aidbato's "l lo be srtr' 6nsL alEG 6 rd, Y@ ar' reqrS€d to d, rhe Nalc^d Enisb'r Salbis i:r derDdltm C ar-v bclity lx E'ldn! See Asles.s YVe5 Etel ilea usr'€ uE lr6d.a fu- (DHilS-376S) l.tlldlg;{hs f jry ct hil&E r-.5 b'xl to rsz.'dd.6 Ar Pc.t.E s (r€SliAP) d (59m7-595oat 16110 €F t 1d b u'. TOTA- AqEA SO FT # OF STRUCTI]iI'S Exsr IAND DrsruRarc eenurr flvrs f,No pRopERry usE: ilorrce Elnesreumrr --lltrRcer'Tl- l]eorrc I :l apr Emuoo o'i}i!R: DzoNrirc usE CLASS FtcATloN: M{MUNTTY SYSTEM SQ Fl' PER FL.R: __ SOFT : {]SIING ]MPERVIOUS AREA: F'RMiI FEE: {FoR CFF}C€ US: SI':tsACKS: CI,{LY] r, "'rxr_C. n*j' ' ll' TO]AL SQFT UNDER ROCF: 3/oO ACRES DISTURBED: NEW IMPERVIOUS AREA :'i:,Y:rl :]: : l!:n-':.Il i pcnsn [] cr-recK pAyABiE ro Nric) L-lsLL Accourr EMcMsA florscoven BFE..2n= ',ri )"'1r specfior,Eequirec gl)E I', l- .v,i'cn.:Y-r,.,i PH: -- PH, =.-- c:rvi:7i+.JTJi- tr # oF STORIES: __ t:- # OF FLOORS:-i sEE Drg'",t tr.lz 4?/'0r+'-1y -?ab \ NEht HAt\pvER courrY BUTLDTNG PERI'lrr QOlt-/Offo . aPPLIcAtIott TYPE. CO[tSlE RCIAL PLEASE AT{sER ALL qUESIIOI{S APPLICABLE TO Y{T'i PRO]ECT -Proj ect Responsibilttlf PM)I{E *: 5T; 4! ZIP: - APPLICATION umber (oFftce Use) ZIPZZ?./. / qr:NC zIP:28428 *': l91Ol 458-6222 APPLICANT,S I{AIiE:T T,MA w lnC TTT PHO E f: DEVELOPER: PRO]ECT ADDRESS:o occUPA T/BUSII{ESS NAI'IE: PROPERTY CIT$IER,S tIA''tE: OhflER,S ADDRESS: CITY:(- 0-o CONTRACTOR:TALI.,IADGE },I.WATSON .II crw: LICENSE*:29208 ACCO.iIT *: CITY:ROL NAEA PHONEADORESS:Po x??s EI4AIL ADORESS: i.wa ts.\nFI I'mha gnai I . com PHot{E #:9101443-1 43',1 PROIECT COiITACT PERsO{: TTM wLTqCrr{ chcct au That lpPlv)n RELOCATIOI'I EXrsT col{srRtrcTrofl t ff alremrron tr REM)VATION tr GENERAL REPAIRS I ve' flruo lf Reloc€don, is there a Natural G6 Line on the Curem Ste? t]Yes EIH' IS BLDG SPRINKLERED? NEu coilsrRuctrol{: I rnecr NEU STRUCTURE f] rasl rnacr I SHEL Lurrrr I AI]D To Exrsr srRUcruRE pRopERTYUsE: noFFlct Ehiesrnunnrr nuenmrnle [eouc ilarr tr@NDO OTHER: WATER ECfPUA SEWER EICFPL,A r..I MMMUN]TY SYSTEM NWEI.I EZOITII}'IG USE CI.ASSIFICATION: Ecelnru septc flen-vareseerrc E corrMuNnv sYsrEM : -1-: ' ' : :: ' pAyMENr MErHoD, f,dsn [cxecr leaveaE To NHc) flatu rccouur flruovrSe I oscoven oarc:-lekbl{ Eho -rY ACCESSORY STRt'CIURE:D Yes EwoIf UPFIT - The SheU Permit *:Is E1ect Poryer on this Building {!*r** IS IHIS A cHAl{GE OF occuPANCY ustr flves [lNo ""' IF Yes, [hat uas the Previous Occupancy T]pe?t*rat 1s the tr Occupancy TyPe? PH: - C REG *: EI6R DESIGN PROFESSIo}TAL: PH:NC REG *: DESCRIPTION OF L'IORK: E*o NEW IMPERVIOUS AREA SQ FTE)(STING IMPERVIOUS AREA: - SQ FI (F(Xr OFFICE USE Ot[Y) EEV(IED DAlE',Utl'l12 ZONE:-OFFICER:-SETBAC'I(S:F: LH;.-RH-B:- &p-lat,-City:-OAfr' --FLOOD:- BFE+2F- AVN cornrri€.rt pERt ITFEE:$-.L0II- J>ts- L5-2 APPLICATION Number (Office Use) id).1935NEI^J HANOVER COUNTY BUILDING PERMIT APPLICATIoN IYPE: COI!'IMERCIAL PLEASE ANSWER ALL QUESIIONS APPLICAELE TO YOUR PRO]ECT "Project Responsibility" APPLICANT'5 NAIIE: ttew Hdnover Count, schoi)fs DEVELOPER: "7.PROIECT ADDRESS: 555 ualtburton Memoriat parkway DATE: 1a,/ 8 / r 5 CITY: l^tr trnrngt-on PHONE *: g r rl - r 9o -2 -l6c OCCUPANT/BUSINESS NAIiIE: Ashte,, ;liqh schicl PROPERTY OIINER'S NAIiIE: l.le 6, Har.over CcLnr-v Er.ir.l of Education O[{NER' S ADDRESS: 5410 Carofina Beach Roa(t CONTRACTOR: NeL./ Hanover a.,untv schools ADDRESS: c41l aarr)l in.L ie-:L.h Road Eti'lAI L ADORESS: leon :rneeC nhcs ne1, PROIECT CONTACT PERSON: L"c:. ::r,eec LICENSE #: n/; CITY: wirmrn.,ron CITY: ',,r i I n,l,,nr .,rl PHONE f: -cr, 2r.t .iltl ST: NC ZfP: 28412 ST: rJ'. ZIP: .r l PHONE #: r9l-236!. r:a-l PHoNE #: ;r -a]a, a-.): I v".No ADD TO EXIST STRUCTURE EXrST CONSTRUCTTOT: fl ALTERATTON ll Relocation. is there a Natural Gas Line on th (Checl AII That Apply) RENOVATIONGENERAL REPAIRSRELOCATION e Current Site? il Yes nNo IS BLDG SPRINKLERED? NEW CONSTRUCTION:ERECr NEt/', SrRUcruRE f] rlsr rRAcK ! SHELL E upFrr ACCESSORY STRUCTURE: B' x 1.2, storaqe bui.L.tinq If UPFIT - The SheU Permit #: Is Elect Power on this Building E Yes T NO *')*'*'** rs THIS A CHANGE OF OCCUPANCY USE? EYES T IF Yes, what was the Previous Occupancy Type?What is the New Occupancy Type? ARCH DESIGN PROFESSIOTIAL: airciror! P K ot PH: 910-612-4354 NC REG #: 6r59 ENGR DESIGN PROFESSIOT,IAL:PH: NC REG #: DESCRIPTION OF WORK: construct a Bx12 storage shed (deslgn previously approved by NHC Inspections) SIGNATURE: TOTAL PROJECT COST: , ,, , BUILDING HEIGHT: r'8"# OF UNITS: TOTAL AREA SO FT : ls food or beverages p.epared or sewed in this structure? Eves fl llo ls The Property Located ln The Floodplainz I ves [l tlo DISCLAIMER: I hereby certify thal all inlormalion in this applcation is correct and all work will comdy with the State Building Code and all other applicab e State and local laws and ordirances and reoulalions. The NHC Develooment SeNrces Center will be norified of anv chanoes rn lhe aoDroved olans and soecifr.arrons or chanqe rn conlractor or conlraclo' i-nlormatron. NOTE Any Work Performed w/O lhe Appropflale Permris will de in Vrolatr6n of the NC Srate Bldg Cooe and Subjeclio Fines Up To $500.00"' (Ou.lhed (PdntNan8) contaln Asb€stos or not. You are requlred to call the Nalional Emlsslon Standerds tor Hazardous Air Pollutsnts (NESHAP) at (919)707-5950 st teast '10 days prior to the demoliton of 6ny facility or building. S€€ AsbestG Web Site: htts:/ irww.epi.state.nc.us/epi/asbestos/shmp.htrnl # OF STORIES: - ACRES DISTURBED:EXST LAND DISTURBING PERMIT? N YES T NO NEW IMPERVIOUS AREA:SQ FTEXISTING IMPERVIOUS AREA: pRopERw usE: lorrrce lnesreunerur luencaur[e EDUCAPT CONDO OTHER: WATER: ECFPUA SEWER: T-l CFPUA .'SEPARATE PERMITS REQUIRED FOR ELECT. MECH. PLBG, GAS EOUIP, PREFABS & INSERTS -' PAYMENT METHOD flcasx flcuecr leavnsLE ro NHc) fieraenrcen expRESS E McA/tsA E DtscovER 95 SF SQ FT EcoMMUNtTy SYSTEM EWELL EZONTNG USE CLASSTF LjCENTRAL SEpTtC Ll PR|VATE SEpTtC flcoMMUNtry SYSTEM ICATION: R i 5 l I ffi ZIP i ZtsA t2 OWNERyCONTRACTOR: Ec.iie Anderson, NH cs SQ FT PER FLR: ]. :F TOTAL SQ FT UNDER ROOF: Ii :T# OF STRUCTURES: 1 #OFFLOORS: I (FOR OFFICE USE ONLY) REvtsED DATE 4/rr/12 ZONE: . OFFICER:_ SETBACKS: F:_LH:_RH:_ B:Approval:_ City:_ DATE: FLOOD: __ _ BFE+2ft= A v t 'r.rE-Comment PERMIT HOR10s NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE I RESIDENTIAL PTEASE AI{sHER ALL QUESTIOiIS APPLICABLE TO Y&JR PRO]ECT "ProJect Responsibility" L5-2863 APPLICATION Number (office Use) APpLICANT'S NAME: H&H coNsrRUCToR's, rNC. PHONE #: CITY: wILMINGToNPROJECT ADDRESS: 1455 EASTBOURNE DRIVE SUBDIVISION: SANCTUARY AT HANOVER RESERVE BLOCK #: 14 ssLOT f: PROPERTY OI,{NER,s NAME: H&H CoNsTRUcloR ' s, INC. PHONE #:910-219-1485 o[lJNER.,5 ADoRESS: 8209 Market street suite c CoNTRACTOR: H&H coNsrRucroR i sINCLICENSE #: J r.s54 ADDRESS: 8209 Market street, suite e CITY: WILMINGTON sT: Ig_ zIP: 28411 EIiIAIL ADDRESS: .lerryBrenninq@hhhornes. com / le€lherMqqKenzie@hhhojnes. co!PHoNE #: sto -2t9 - 74as fi nrr caneee489 5FDET GARAGE - SF fieoncu lLsF STORAGE SHED ztP | 232J?- 105 OTHER: TOTAL HEATED SQFT:3453 TOTAL SQ FT UNDER ROOF: zzso TOTAL AREA SQ FT: zzeo TOTAL PROJECT COST (Less tor) : $ lgz,ler S OF STORIES: 2 Is Any ELECTRICAL, PLUIIIBING or I'IECHAI'IICAL Work Belng Done to the Accessory Structurel n Yes No If the project is a Relocationr is there a Natural Gas Line on the Cunnent Site? tr Yes I No Is thene Electrical Powen on this Bullding? PROPERTY USE / OCCUPAN(Y: E SINGLE FAI'II LY DESCRIPTION OF hIORK: SINGI,E FAMILY DWELLING conracbr inbrmaton. "'NoTE: Any work Pertormed w6 he Appfopriab Permils wHl be ln violatbn oflhe NC s[a!e Bl@ cod6 8.r(tbpcr t) Fines Up To $5m.00"' OWNER/CONTRACTOR : J,l Brenninq SIGNATIJRE: (Prlnt ilane) f * x * ,1 ,t I * t :f + {. + + :t * * * )* + + ,t * ,t * :} * x * r* )* :t + * +,t,|*+t**)F*,* r*)t)t,tit** ***)*****;t**t$*t)r*+:t :t :l*,t,t***** PooL _ 5F DECK 5F SF 5F I ves lll uo DUPLEX f] TOWNHOUSE DISCLAIMER I hereby cerlit t|6t all inbrmalloo ln hls appllcaton is corecl and all work wlll comply wih ho Slalo Eulldhg Code 8nd alloher applicabb Sttb and bcaltaws snd ordinances and r€gulatbns. The NHC Delelopmont SeNices C€nbr wlE be nolified otanychanges in ft6 approwd piars and sp€clficalrcns orchange in contracbror IS THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTING IMPERVIOUS AREA: -SQ FT I NO TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERMIT; YEs f-l No YE5 NEW IMPERVIOUS AREA: 3 217SQ FT I^,IATER:CF PUA COMIIUNITY SYSTEM PRIVATE WE LL CENTRAL t^JE L L sEwER: E CFPUA n CENTRAL sEpTrc I enrvarr srRrrc ! commururrv svsrru *** SEpARATE PERIIITS REq.'rREO FOR ELECT, i4ECH, pL8G, 6A5 EQ{JIP, PREFAES & Ii{SERTS r.* PAYME T tlErHoD: I cnsn flcrrc( (pAyaBLE ro tHc) f] AfiERTcAN ExpREss I r,rcTvrsa l-l orscov.* ****:l,t,i**,1.,t+ii++:t+'t**,t,t,t*,*)t,i,**tt***r**:t)t,*,t,t*t,t*)t*,i,1)*+**:t:i*)t,!*)t,***)iir*+)t*l**+,t*)i*,*:r++:ii.)t)t,*** ZoNE: _OF FICE R : (FOR OFTICE USE CI{LY) REVISED DATE O4lI1l12 SETBACKS: F:_ LH:_ RH,_ B:_ I I Qds- lD3b DATE: 1oloBl201s DEVELOPER: CITY: ilminqron ST: NC ZIP: 28411 PROIECT CONTACT PERSoN: .r; grenninq PHONE f: et0-263-276'7 EXTSTTNG cO srRUCrrON: I nlrenarron I neNovarron ! oerurnal REPAIRS n RELocATToN NEUI CONSTRUCTTON: E] ERECT NErd RESTDENCE o" ! nOOrrrON TO EXTSTTNG RESTDENCE i{'PLEASE CIIECK AND Al,lstllER BELOII ALL THAT APPLY To YoUR PROIECT: fl sunnoom - sF ! enr eruxous e - sF Approval:_ City:_ DATE: FLOOD: _ , N BFE+2ft= $ toIG- # APPLICANT,S NAI\4E: DEVELOPER: NC t;-il?i{€' Joty loa 33 APPLICATTON Number (office Use) NEW HANOVER COUNTY BUILDING PERMIT APPLICATION IYPE; RESIDENTIAL PLEASE ANS(ER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT "Project Responsibility" IL L C PHONE f: PRolEcT ADDRESST 7/K tt 1.^tp!z.r€EE /Z>.CITY:'o / L n? )r 6-7dN BLOCK S: DATE: //?2. /5- PROPERTY oWNER'S NAIi'tE: f l€ D1 €i?E EaT i owNER'S ADDRESSl. 7/8 tr/tu1>€,q €)z € PD crrv: tl tzt ztp: 2 8y'O9" LOT S: PHONE *:?/a z6z ,988 srt P(ztPt?8Yc4- CONTRACTOR: ADDRESS: LICENSE S: 7az/t / Z? ,l'/4sF2p I4.4sf I LLzrP tZ__322W PHONE *t 7/Z-) ,'j: PROIECT CoNTACT PERSoN: te PHONE #: EXISTING CONSTRUCTION:A LTE RAT]ON R ENOVATIONGENERAL REPAIRs RE LOCATION NEW CONSTRUCTION:ERECT NEI^J RESIDENCE or ADDITION TO EXISTING RESIDENCE ,i*PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT: g11y2 tt/ t "-t /.r€ 7a.u 6 /Et'J t gd-, oo*oo,Zg suNRootl _sF GRE ENHOUS E DET GARAGE - 5F POoL _ SF DECK SF Gas ! concH - sF STORAGE SHED - SF OTHER: ?/azzt Ytrr/ 4;,,/ SF SF TOTAL HEATED SQ fiI |iOO TOTAL SQ FT UNDER ROOF I 2.IOO TOTAL AREA SO FT: TOTAT PROIECT COSTtLessr.oo : $600, oo# OF STORIES: Is Any ELECTRICAL, PLUI,IEING or IIECHANICAL l,,Jork Being Done to the Accessony Structune? {*, If the project j.s a Is there Electrica1 PROPERTY USE / OCCUP DESCRIPTION OF WORK: nl Relo(ation, is there a !!y2i 1 Power on this Building? LZl yes ffi*u,, ,orr* No Line on the Curnent Site? EYes No Ero DUPLEX TOI,.JNHOUSEANCY: ile/ti l,"n J /*i// Zb'rz8'4C t applicaion is corr€ct and all workwttcompty wrh he Srare Building Code and a[ oher appticabte SiaE ard locat taws <t15< 4 DISCLAIMER: hereby certi, and ordmances and legulaions The NHC Developmenl Servrces Centerwillbe no dlied of an y changes in $e approved plans and specifEations or chanoe in conrractor or (oruacD' rlhnduon "'NOTE Arv Wo,h Perlormeo w,O tr-e AppropnaDp Perm.ls w tbe ,n voral,ol ot "F NC SraE Btdg owNER/coNrRAcroR: W,//,+-, 116//^* srGNAruRE: es Up To $s00 00- ,r * **** )** * * * ** 'f,f,r * * )r,* * ** REVISED OAIE O4l11/12 8F E+2ft= tprint ranelZ+***+rr+tr*r*++*rrrr++{*+++?r*+***+4, -IS THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTING IiTPERVIOUS AREA: _SQ FT .,-WATER : - SEhIER: YES NO TOTAL ACRES DISTURBED: NEW II'IPEIOUS AREA: _ SQ FTEXrST LAND DTSTURBTNG prnmrr: I--l ves I-.l rc CFCOI4I"IUNITY SYSTE14PRIVATE WE LL CENTRAL WELL CF PUA ! cerrnal srerrc fl pRrvArE sEprrc ! comuururw svsrem '*i srpaRATE pERlillTS REQUTR[D FoR ELTCT, |1ECH, pLBG, GAS EQUrp, pREtABS &-*tlsERTS 1.i pAyMENr r4ETHoD: f] crsr I cHrcK ( payABt-E ro tHc; ! orrnr.o, ,*o.rr, ffirnrro ! orscovrn * )*** *,f * * * ** **** * * ,r * ,r ,*,* **** *,r*,*,t* * * ** * * ,r )*,r *,i,t * ** * * * ** * * *,* ,f,t * ** * * *,*,* *,t ** * ** * * *** *,* )* + +x x)i rr* (FOR OFFICE USE ONLY) SETBACKS: F:_ LH:_ RHZON EOFFICER Comment:PERI'IIT FEE: $ SUBDIVISION: EIII,AIL ADDRESS; tr Approval:_ City:_ DATE:_ FLOOD: _ _ NEW HANOVER COUNTY BUILDING PERMIT APPLICAfiON TYPE: RESIDENTIAL PLIA5E AN5!En rlr (UEsttols Ap2IICABLE T0 yoUR pRClaC] "Project Respofl sj.bility' eolt- lr-re AP P LI CAT IOTI Nu,nber (ofti(. ur.) t6)33 re APPLICANTIS IIA'i1E: DEVELOPER: tu tl tL c PHG.I€ } €/yEEE E>. CITY: :r t t'4 ztP t Z 8/6- BLOC( $: LOT t: CITY:lvta,-trr4 sfIx:2!P,23//Z OAT€:/D /? 9RO]ECT ADDR€SS: suE0rvrsror,r: / / 't< 4)),!D PNO9ERTY OI.,NER'S !.fi'IE :fP€D PHOr.lE *:rcz riis,l o,,lNER'S ADDRESS: 7/8 ,,-i-t>z-ntz€ ED CITY: ,-v/. ir//.\./ 4 -r?',./ S:,t LLZfp | ? gyA<- LICENSE S: 7.22 / g COMTRAC'OR AODRESS: /2./7a.- €t{ATL ADDRESS: ;,"iuil{t:r/a ;;k. ,;Ptio,..,tE *t VL-. .':(..'/ PRO]ECT CONTACT PIRSON: IXISTI},IG COIiSTRUCTION:A LTERATIONRENovarron I cerrnal neearns f] RELccATToN NEW COr,rsrRUCrrO : fl rneCr El.,' RESrDEr,rcE o.AOOITION TO IXISTING RESIDENCT ..PLEAsE CHTCX At\D A'\XSIiITR SETO}I ALL l}lAT APPI"Y IO \4)UR PRO]ECT: {or oo on -7 Z g sr n DEr GARAGE sr fl concx -* sr n surunoou -st EpooL-'--.--..-*sr I sroRace sHED-sF oro*e o, ?/a /z{ itl/ TorAL HEATED se Ff Z'l0o TorAL sQ FT uNDER RooF: Zfoo TorAL aREA sQ FT: _- TOTAL PROIECT CO5T(Le5sr.d) : $7/Aoo , oo# OF STORIES: Is Any ELECTRICAL, pLUI'48ING o. llECHAlrlICAl Wo.k Being Done to the A.ce5sory Structu.e? {ru J*o If the proje(t is a Relocation, is there a Natugl Is there Ele(t.icaI Power on this Euilding? ffve< 6as Lin€ on th€ Current Site? [ves I no No PROPTRIY USE / OCCUP D€SCRIPTION OT HORK: -..l2f'srrcL e rrr.rrrv I lruerrx2*,n 5 TO1,{NHOU5 Ei// Za'tz8'4,,/ 6REENHOUSE _ Sf ANCY OECK 5F OTHER: YIS NO 5F I o r,nes L,! io S500 00" YES NO Rts " DI5COVER 4 DrSCLAlMER he,ebyccrl'ry a atli.aoo. ,s cor.cl and arlwortwlr compry wrb lhe Slare 8u[di^g Code s.d attc$er aaFt.csbt. StsE sd rrel la*i }.tt or.G..nces &rd rcoubrDis Th! NH C O€ vobpfranl So&{es Ccn E, *ill bc noite. ot .n y .hen9.. n lhe appolrd , Lan r .nd spea,icaI!ft or crrng. n conE .br or t4 1o x'l .onu-brf,brF.uon "\OTE Anr wo'r P.,brhed L1r/C neApp'oD,'.E P€'Firiwrro€h orrNER/coNTRAcro *, wtll,+-, #//^,tt V,obr.. ol60 NC Sl.r Erdg SIGI'IATURE; *IS THE PROPERIY LOCATEO III A FLOODPLAIN? ExlSTIl'16 IltPEflvIoUg AnEA: -SQ FT 'OIAL ACRES DISTURBED: liEl,l L{P EIOIJS AREA; _ 5Q FTEXIST LANO OISTURBING PER,.IIT .-I.IAIER: - SEIIJER; CF tr COMMUNITY SYSTEIiPRIVATE l^IELL CENTRAL WEL L nFPUA u CENTRAL sEPTIC PRIVATE SEPTIC COMI'UNITY SYSTEM .:3 idI C}:};(,rbtl (Do ; (3 4..> ('| .}i. C'.oa n .,. s[paRA]t ptRr.ills REQul,ito rol. trE('t, tltcrt, pL86r 6A5 [Q{]||,, pNrrASS tr,.}t!si pAyriElrl nETKD: [ .os, [ .rrcr (payaslE To mrl I orrnrcA,i rxrness W{urrro .-,,;.,,;.,-'SETBAC(S: F ,r t*t ***r * a* * i**, * "\,/ itvls€D 0AT' 6"11/ l? LH: iL.: RH:lL I 4) _1qy1 Apptoval |_ City:_ DATEr Comment: 1i"-t'a :l: FLcoo y' Brerzftr-7\- PER''IIT FEE: ' RECEIVED AUo252015 t5- a45?II Q\lt-loaal APPL ICATIOI Nunber (office Use) Clorr FofmPrint NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATIOTI TYPE: COI,U'IERCIAL PLEASE AIISI{ER ALL QUEsTIOI{S APPI-ICABIE TO YO{,]R PflOJECT U c)cr r "Prolcct ltesPonslbilitf OEVELOPER: H6LIDAY DEITA PROIECT AIDRESS: Il.PrcAsTLE HAyNE D CITY: clsrr,r Hryrn OCCUPAI/T/BUSINESS MI,IE : nor.{:r,{crs &flER's AoORESS: s92e MARKET srREErCIW: wILMINGToN CO{TRACTOR: Arr spAN BIlrrprNG sysrEMLICENSE f: B r,i i AIX)RESS: r35 ]rARr,EY RoAD CIIY: wTLMTNGToN EitAIL ATDRESS : NErrcAI,l,-spAN.coM PROJECT COTITACT PERSO.I: NEIL FIT-IPPINI ffi APPLIC fi''S lllAr.lE: uor-rDAY DEI?AOATE, ao /2a/2a15 PHOaIE *: 9\a-199-6900 ZIP't 2s429 ST: NC ZIP:28405 ST: Nc ZIP: 28405 Ptot{E *; etc-199-9\2c) PlOl'lE *: 9!a-199-9r2a Exrsr cor,rsrRucrro{: E ALrERArror,r n **,ifiilil,''[iTIliJ*,- neerrns f] RELocArroir If Rehcstion, is rhere a Naturalcas Lineon the E-unent Site? [v;.flr.ro ts gLoc spfii rlenror Ives p'lo Er{ COi{STR(rTrON, ! eneCr NE}l STRT.TCTURE I rlSr rnACX ! Sner-r- ! Uerrr ! oo ro Exrsr srRUcruRE ACCESSORY STR(rcTURE: If UPFIT - The Shell Perflit #: Is Elect Power on this Building ..*.. rs rHrs a o{nteE or (rcuparrcy user fives Elro *...[| ves El no IF Yes, r*rat 169 the Previous Occupancy TyPe?lhat Is the tl€Y occupancy Type? ARCH DESIG}/PROFESSICMI.: N/A ENGR DESIG'{ PROFESSIC}JAL: N/A PH: PHi NC REG *: NC REG S: DESCRIPTION OF I.IORK: INSTATL NEw FI-ooR T]I.E. PAINT, NEW WA],! TIiE AND NEw CAB]NETS ts tood or b6rer.ges pcparEd ( 66(YGd h thi! souct m? $res f] Ho ts nr eroperty Locded ln ltle FloodphhZ f]res flto OISC|-AMEFt I hsebv cerutv tlat ell rriormalon in this spdrcaton ls con€d ad all ydk will cqrply wrth h€ Stae Buldm Code and dl oth€, apprcaue S(ate End locel lews a]d qdrEnc(i and reoLJstons. The NFIC ClSrdoprn€nt SbMcs C€ribl will be notifed or any charEes in ttb arpro/€d darB and spedfcalons or chanoo In @ntactor d conusclor rftfoamatim '"NOTE AJty Woak Perroamed w/O tha Appropnato Pe.miB will b€ in VDladm ol lhe NC StEte Bldg Co<le end Suttisdlo Frn6 Up To l5cr0 00- OWNER/CONTRACTOR:@ SIGNATURE: - r/'% f'?'tr"" 9L(o'r!t.4 Pltr lrn) ' " / tloE: Dsn Jirill ndft.doi. & 8b-b rtlnc ..1 p.rml .pCi..t'bE aro b b. submi!.d u.hg th. .pplic.tid tqm (DtS,lS-376S) r,h.6.. tr. ldfty n buildng vB h-nd to corr.h A.b-b. or iot. Yoo.r. r.qlnd b e.{ lh tLtoi.l Bnbtirn Srld.ltr h.Hc.dot. AirfuluE tE (f€SH D.t (919)707591t0rll-.t l0 d.yi Fkrbtlc dlmohirn ot.ny h.ilty o. fui5irE. S.. A.b-b. nGb Sibr htFl/u/v/w..ti.!tab.nc u./.pi/db$16/anmp htnl TOIAL PROJECT COST: 20, oooEUILDING HEIGHT 12 f OF UN]TS:1 TOTAL AREA SQ FT :1200# OF STORIES: I TOTALSO FTUNDER ROOF: l2!!_ fOF STRUCTURES: l_# OF FLOORS: ACRES DISTURBED:ExsT LAND DtsTuRsrNe penunl lflves I lrO NEW IMPERVIOUS $lEA: N,/A SO FI EXISTING IMPERVIOUS ARE,U N,/ASO FI pRopERTy usE: EoFFrcE @nesraumr.n [uencrrnr-e leouc f]APr [cor.roo oIHER: WATER: EPFPUA SEWER: E CFPUA . SEPAPAII] PERI.,4 S FECIJIFCOiCF ELECT IIIECH PLBG GASEOUIP PFEFABS A ]I,ISEFlS'* pAyr/cNr METHOD: ECASH TpHECK (PAYABLE rO NHG) EFnERtcA^t ExpRESs r]Mc/vt$ srscoven E CorrrlruNny sYsrEM flwEtl EzoI{tNG usE ct-ASstFtcATtoN:lf c=unru sEprrc E iHl/ArE sEmc E-coifin Nmy sysrEM PROPERTY OI{ER'S NAI{E: Ho],IDAY DEITA PIIdIIE *: 910_799-6900 SQ FT PER FLR: a4- (FOF OmCE USE OtfY] REvtsED DArE,t/Iv12 ZONE:_OFFICER: _ SETBAGKS: F:_LH: RH:_ B:_ApproEl:_ City:_DATE- FLOOD: _ BFE+2ft=_ ".*n,r. ^ ' ,X"rr,tr.*;-mQ- 4 fr)' ^. (r^..,",jotE-lrldQS NE!'I HANOVER COUNTY BUILDING PERMIT APPLICATIOTJ TYPE; RESIDENTIAL PTEAsE AXSTIER ALL QUTSIIO'TS APPIICAALE IO YOI,i PRO]€(T *ProJect ResPonslbiIitY" /5- A87A APP L I CATIOT{ u[6er ((Xfiac use) APPLICAIT, S M'4E: COTViNA, LLC DATE: -IqI]I]:- DEVELOPER: PK'IE r: PRO]ECT AOORESS:538 CamwavDr CITY: wilmi.nqton zlP't 28413 SUBDIVISIOT{:Eastwind BLOCX *: LOT i: - PROPERTY O {ER'S MrilE: corvina, LLC Pt{ lE *: s 9 91441 O*{ER,S AODRESS:116 5 A.!boretuh Dr.CITY:wi lminqEon ST: nc ZIP: 28405 CO{TRACTOR: corvina LLc ADDRESS: 116 5 Arboretum Dr. EIIAIL ADDRESS: kevin. hormne s@odvs sevf ire . com PllOt{E *: 910s9914 41 PRO]ECT CO{TACT PERSOiI:kevin hommes P[ollE *: s991441 Exrsrr* cotsrRucTlot{: Etr alrenlrror I Rtnovarrot ! ceHent neearns ! RELocArIotl EW CO|iSTRUCTTON, I enecr NEbl RESTDE CE o" ! mOrrror To Exrstrl{G RESTDENCE ..PLEASE CXECX A}D AIIST{ER BELO{ ALL THAT APPLY TO YOUR PRO]CCT: ! orr cnnrer sr ! eoncx - sF CITY:ST; !g_ zIP: 13.3!! SF SF [-l arr ermee sF [-'l suHnmu sF I enrrmousr - sr POO LSF l-l orcx sF OTHER: STORAGE SHED TOTAL HEATED 5Q FT: 25oo TOTAL SQ FT [M)ER ROOF: -llf:-- TOTAL AREA 5Q FT: - TOTAT PROIECT C0STrreora): S -:-q-9.9.9-* oF STORIES: 2 s {Plea6e see addiEional scope of wolk at.tachment for ful1 6cope of work) DtscLAllER I hecbyceni! Ulsl s! inbmarion in tis applica$n 6 corBcl and dlworrwil comply ritr he stac Buildmo code ttd .l oh.r appLable st E md bcd laws a1d orlir.nc€s rld regulatons The NHC Oe,€loPm€nl Services CenE willbe no!tu ofaty ch&Ces a ie appm'/ed pb. conrebr abrmalon. "1{OTE:Anyworfi Pertonied vvlC the AppoPiab PeiniLs wllbe n vbhlion ol the NC SlaE SldgCode s and speciic€lbns or chag€ . cont_acor or S0b,e!nes t, To 35m 0(r" OdI'IER/CONTRACTOR: (evin A. H corvina, LLC SIGMTURE : IS THE PROPERTY LOCATED IN A FLOOOPLAIX? E YES E TO EXISTIIS I}TPCRVIOUS AREA: -SQ FT iIEX IIiIPERVIOUS AREA: - 5Q FT TOTAL ACRES DISTURBED: EXIST LAI$ DISTURBING PERIIT: I-l vrs l-"1 no rArER; I creun ! cofiuNrry sysrEM E pRrvATE IIELL ! celrml rell sEwER: ! creur f! CEI{TRAL sEprrc I earverr sEPTrc fl cofinJNrrY sYsrEr4 T*i S€PAJIATE PER}IITS REQI'IRED FOR ELECI, iTECH, PLBG, GAs EqJIP, PREFABS E IIEERTS 1'' PAYI4ETfi i,IETHOO: tr trcHECx (PAYABLE rO t()A}IERICAII EXPRESS E lrclrrso tr DISCOVER cAslt ,r * *,* * *;i **** +** *,***rr * )r,* *)*r,r,** *r* *** ri!r,r * r **,| ii * !t* ***,t*,*t,*++*t *+,i** **'l** **** *,* * *+ *,* t*,t* *** t I r Approval:_ city:_ oATE:_ FLoOD: - BFE+2ft= - ZONE :OFFICER: (roR otFrat ust olLy) Rtvl5co 0Arr 04111/12 SETBACKS: F:_ LH:_ RH:_ 8:_ Coirment: il PER'{IT FEE: RECEIVED OCI O6 2OI5 LICE'6E $: Is Any E1-ECTp1CAL, PLt aI 6 or ITECHA{ICAL ylork Seing Oone to the Ac(esso.y Structu.e? @ Ves [ rc If the project is a Relocation, is there a Natural 6as Line on the current site? ! ves fl Ho Is there Electrical PoBer on thj.s BuildinS?@ves Ino PROPERTY USE / OCCUPAT{CY: @ STTiETE FAfiILY D OUETEX ! TO{NTOUSE DESCRIPTIO{ OF tloRl(: Renovation of Interior and Exterior finishes. removal of interior ea115, , EIY.----.--1L..---- RECEIVED OCI O6 2015 NEIIJ HANOVER COUNTY BUILDING PERMIT APPLICaTIfiI rY?E i RESIDENTIAL PLE'SE A'IsNER A(L q]TSTTONS AP'LICABLT'TO YOUR PiO]E(I "Project ResponslbllltY' TOTAI- ACRES DISTURBEO: EXIST LA,ID DIS1URBING PERiiITI E YEs fI o 0olS - /d-ra8 /5- es 7A APPI.ICATIOiI Numb€r PIe ti khnent fIL co r&6.nblm.bn 1!oTE Aiy Wdk tudomd wO rne A!!,orrias P.miB wll bo b vioblid ol lne Nc scb e,69 SU APPLICA,{T'5 il,A,lE: corvina LLC DATE: iolt/r5 DEVELOPER:PHONE fii PRO]ECT ADORESSI 538 crnway Dr.CITY; llilmj.nqron ZIP: 3!l!a SUBbIVIsION:Easrwi.ndBLoCX f: _ LoT X: _ PROPERTY O,INER'5 .{AfiEIcorvina, LLc PHONE *l 5991441 OTiIER,S ADDRESS:115 5 ArboteLum CITY5T I n9- zIP ::!l!! COITRACIoR rCoryina, LLC LICENST *: ADORESS:116 5 Arboretun Dr.CITY: ,iln-inqton ST:gZIP:.@ EHAIL ADORTSS:kevin, honrneEoody6 6eyt r re . con PIfONE *: 91os99t PNO]ECT COT,ITACT PERSON!PTONE #: 99 91{4 r rxrsTrr,rc cor.rsrRucrroN: ElALrERArroN El neNovarroN Icrltarl teca:ns ! RELocArroN NEH COi{STRUCIIONT ! eeeCr lew REsrDEl{cE o" ! aoorrrol ro Exrsrrl',lc REsro€t{cE ..DLEAsE CHECX A'{D AflSI{CN BELOI/, AIL THAT APPLY TO YOI'R PRO]ECT: lrn cnmcr sr E DET GARAGE sr ! eoncr"r -sr Esuraoom -sF ! pooL - st ! sToRAGE SHED - sF E cReeuoust - sr ! orcx - sr OTHER I SF DESCnIPTIoI{ 0F l,JoRl(: Renovatr.cn of lnterior and Exre.io! f:nishes, lemoval of interror *alLs, orscl AIER I h.Bby ce,l,t tlol st mb.hlxon h o\rs 8pora.!o^ 'r con.cr 6nd 3( wr* rrr conpry a,n lne sl!r. Building cod. rld llr otl.r .pp!..!le sr.E ..d b{.r L*s 4d o.din c.i a.d ..!ur.rb.r Tn€ N8C D.Ebpmsn r S€ p(.s C..Er pil b. nolf.d or 5y chaoes a lre 4Dnivr:n !,bn! snd sp..,e!b.s o. cnau. in co.rrEb, or *,ri,t *r* ?+ir I * *+ a *ri * *,a rr r,a* * J*1**r**+r* *+++**+r+*+l,r****rr*'r*** ****r4rr**r.ai*+ **r**'rr*** rs THE pnopERry LocATEo rrl l rlooopllrr? Ill vrs iV no OI,INE R/COITRACToR: (ewin A. Hoftmes, corvina, LLc SIGiIATURE; EXISIING II,IPERVIoUS AREAi _SQ FT I,JEH I'TIPERVIOUS AREA: - SQ FT Lp ro 3500 0O" At!,lsro oarE erlr1/12 ITATER: ! creua ! com4ur{rry svsrem I en:vnre urr-r ! CENTRAL !]ErL sErrER; I creua f] c€irrRAL sEprr( f] enrvare srcrrc I cfiM,Nrry sysrEH ... SEPAIiATE PERIIIT5 REQUIEED TOR ETECT, MECH, PL8G, 6A5 EQUIP, PREFABS S INSERTS *'' PAYIIEIJ] IlETIIOD tr casll Ecxrcx (pryr"rr ro nrc1 [ orrnrcor :xen:ss I mclrrsn tr 0IscovER , u,8'15 orrr.r., @ SETBACKS: f:"iqp,-.4*nx,1)gre, tJltr) -[ ere+zrt= - 'jJ4 Approval:- city:--- DATE: l0- lZ1S FLooo: PTNMIT FEE ICom!ent f il , tncnoftnn Upfrr r,,o^ U t r t, rh,' . ,. ,, -. Li ., rr ..:'r. ) ToTAL HEATEO SQ FT: 26:0 ToTAL sQ FT UNDER ROOF: 1lf3- TOTAL AREA sQ FT: - ToTAL PROIECT COST tre,s r"ort : $ lppg- * OF STORI€S: 2.5 Is Any ELECTRICA!, PlullBIxG o. rEcHlltlcaL llork Eeing Done to the A(.esso.y structur!? [l Ves ! fio If the p.oject is a Relo€atlon, j.s the.e a tlatural Gas Line on the current Site? [ves fi lo Is there Electrical Porer on this auildin8) [tves El Ho pR@ERTy USE / OCCUPAT,ICYT @ SrlCl: retrlv ! oueLex ! roulxousr ,A' RECEIVED OCI12 2015 NEW HANOVER COUNTY BUILDING PERMIT APPLI CATION TYPE: RESIDENTIAL PLEASE AlrSl{€R ALL QU€STIOI{S APPLICASLE TO YOIJR PROIECT "ProJect Respons1blllty" ".hs -16m7 +APPLICATION Number (Offi.e Use) DEVELOPER: AbIe 1116Eal lations PHoNE S: e1o-2s1-0038 PROIECT ADDRESS: 47? Albema!1e Road CITY: SUBDIVISION:Lantana Cro€sinq PROPERW 0 NER'S Mr4E: Linda By'waters PHONE #: 7 03 -s98-524L ohI{ER,S ADDRESS: 4?? Albemarle Road CITY:wilminqton 5T:Ig_ZIP:.@ COUTRACTOR: Able Instal lat ions LICENSE *: 3e337 ADDRESS: 3934 Market stleeE CITY:Wilminqton ST:gZIP:l!3!l Ei{AIL ADDRESS: Ableok@qmai1. com PHoNE $: e1o-2s1-0038 PROIECT CoNTACT PERsol,l: Ftank Kearnev PHO E *: 910-2s1-0038 EXrSTI{G COT{STRUCTTON3 ! elrenlrrOH ! nrHOVArrOl ! erHrnnl neearRs I RELOCATTON NEI,I CONSTRUCTIOI: I CNTCT EI,J RESIDENCE O" ! AOOTTTOI TO EXISTING RESIDSNCE *.PLEAsE CHECI( A'{D AflSt.'ER BELOW ALL THAT APPLY TO YOUR PRO]ECT: n AJ CA6 cA f]arr cenaoe - sF I suunoom -sF I enerHrouse _ sr ! oer camor sr ! eoacx -sF I eoor- 1r x 2s sF ! sronaee sHED - sF DECKSF OTHER:SF ToTAL HEATED 5Q FT: _ ToTAL SQ FT UNDER RoOF: _ TOTAL AREA SQ FT: _ TOTAL PROIECT C0ST rru's roo : $3\,i10.*# OF STORIES: rs Any ELECTRTCaL, PLUiIBTNG or ltECiaANrCAL work 8€tnB Done to the Accessory Structure? E Ves E Ho If the project is a Rel.ocation, is there a Natural Gas Line on the Current Site? [Ves filo Is there Electrlcal Po[er on thls Buildlng? ftlves Ino PRoPERTY USE / OCCUPANCY t !SrNele raUrlv ! oUer-rx ! rOh'NHouSE DESCRIPTI0iI 0F l,lORX: construct a Piber q1a66 in-qlourd Eirinming pool DISCLAIMER lheGbycord,y hat al inb.matlon in fils applcaton ls corecr and all work witr complywlh tle SElo Bullding Codo and aI ofier Eplcable Stsb and locd bws and odin cls and rBgula0on8. Tho NHC Dev6lopm€nl Servicrs Conbr wiilDo notli€d ofanyarraigos ln lhg appoved plans arE qecllL€dons or d|aEg ln contr6cbror contact r lnb,mauon. "'NOTE:AnyWork Perlom€d w/O tle Approprlab P€rmlrswlllb6ln Vlolatlon o,tho NC Sraband Su Upo 6500.00"' O{NER/CONTRACTOR: ?Ut1e rnsratt ation6 SIGNATURE: +* *,1+)r)r r *:r:r:r *:r)* ****. ** ***r*(3!'ll,l!TJ,*,*+a t+ * )r ,|:r :t 'i +,t,t+,t,it t,t * a + ,i +,1 +,1 ,*:l:| ,|,r + ,l + :i:i :l t +:i I +)3* **l + ** rs rHE pRopERTy LocATED rN a rloooeurr? [ ves NO EXISTING II4PERVIq,S AREA; -SQ FT TOTAL ACRES DISTURBED: NEhl rilPERVIqrS AREA: _SQ FT EXrST LAND DTSTURBING pERmrT: E VeS I tO r,arER: EPcFpuA I cor'u-ruurrv svsrrm ! pRrvATE WELL ! ceHrnal well sEr'lER: FcFpuA I ceHrnal senrrC ! PRIVATE sEpTrc I coruururw svsrrm r.. SEPAIIATE PERI{ITS REQUTRED FOR ELECT, I,IECH, PLBG, GAS EQUIP, PREFASS & INSERTS ..' pAyr,rErr r,rErHoD: I casn filcnecK (payaBLE ro Hrcl I orerra- rir*rir E rqclvrsa ! orscovrn +:l+* *** *,r+*t,***,t+*:l,l **,*t:it * rt 't* r. *,| '|,t ,i * jr:.,r {. +l + '},t.t*,}*:t $ +**!t.t*:},*** + ji*,}+ *:} ,t * + + + ,} *,*,i :i:t:t rt *:}+ * t:t ZONE: OF FICE R: (FOR OFFI(E UsE O{LY) iEVI5EO DATE O4l1'./12 SETBACKS: F:_ LH:_ RH:_ B:_ N T AppnovaL:_ City:_ DATE:_ FL@D: _ $:s APPLICANT's l,lAr4E: Linda Bvi,ralels OATE: !21231W- lfilminoton ZlPr 284os BLOCK #: LOT $: - BFE+2ft= _ t(- DEVELOFTR: E'"AIL ADDRESS; t\ll 2als-lAab !r-lqga APPLIC^I 1$I Numbe. i&'; APPLTCAT.I'S }'AilE I NEhJ HANOVER COUNTY BUILDTNG PERMIT APPLICATI0N rypE I RESIDEN I iAL PLEASE ANSt,]!' ALL QUE5']'!5 APPLICASLE IO YOUR PiC]'.,I "p.oJe(t Respons j,bi 1ity,, (_ r. C lTY: l^e oa;r: Ii'r I rlitt PRO]ECT ADDRESS: SUBDIVISION: COXTRACTOR: ADDRESS: -I Sl'\c PHONE 'r: BLOC,( $; , LOT S: zrp:.lrrlD3 t .l r-1 PROPERTY O,I!;R 'S t]IAfiE: OIdNER'S AOORESS: !ITY -.1t., c, PHo{.tE s: {qtD ) tr, } - trB9Ll LITSNS E *:ACCoUIIT tr sr f,l- zrP i 'i!:lO] PHONE pHo,{E s:(QplI:LI.,eldl}( -)rrrl)', rl, rxlsrING c0{sTnucTl0N:ALTTRAI 1']N I arrovrr:rr N:RAL REpaIRs f, Rerocar;0ru N:r.,J co srRUcT:rlN' ] rnecr N[]J RESTDENCE o" fl mutrron To ExrsrrNc REsrDfircE i.plEASE CHECX ANo AllSl.,lR SE.oll AlL IHAT AppLY T0 YoUR PBOIECT: PRolECl CoMTACT PERSoN: . : '' f alr er*oer - sF,l surunoon - sF f, enrtrnousr _ sr p-orr eo*cr \1t, sr I eoor- -- sr PORCII qF STORAGE SHED )(rL, If the project is a Relo(atjon, is there a Is thene Ele.trical Por,rer on this Bujlding? PROPERTY USE / OCCUPANCY: 5IN6LE FAI.4'tY DESCRIPTIOI{ OF I,]OR(: oUNER/CONTRACTOR: C,.r f] orcx *- sr orHER: Nat !Li I Gas Line on the Current Site? Gl" 5F 5F TGTAL HEATED SA '?: A}qN TOIAL 5Q FI UTIDER ROOF: .- TOTAL AR€A SQ FT: TOTAL PROIECT COST 6ess Lot) : $ l').Di,lr * OF STORIES: \ _,/Is Any (;Lt C';c.!0A1. ipr'Jt8iL or HECBAflICAL l,,lor( Bpilg Dcne to the ^cccssory Structu.el /V"S I ffo s f-l ruo [Jlo al] ounr-rx ll rowrur"rou:l t 6oLo{ j rrr-P 1a .r )IUO(:r oTSCLAIUER I neBby ce.l'rt rra! al, tlt?a on in tis atoi.!a!o. 6 cofrea::.: ,! q1_.,t *iu cniplyeih t,s ar5 od6ance! aE ,elltaurns Tne NB C Oo Ebomont SeNices C€n Br wir !€ noltt d ot ay cisnoes h he conracb. |.bd.rjo.'-NOTE'AoyWod Pertoreaw/O tleArfi:l'ilb Pl,|,::lEwillbsinvirElonot|ne c/ cflanle n ao.lri: :lr o I Fincs Ur'lo !5000y ' t.i r- ,-!,ldin0 Code sod a:oirr N rYl O(h)'SI6t{ATUR ) (p.int xr!.1r + + * * . + . r r . . + r . + r ' . , . I r , , . r I . . r - rs rHE pRopERTy LocarEo rN a rlooonr.lrul f] ves EXISTI|TG IrilpERVIOlrS AREA: -* sQ F1 NEW ll.lPERVIOuS AnEA: -*-SQ FT crnua [ {c&r'rurr r Ty svs;rn f nnrvare wtLl I PAYTENT HEiH@:L-l casx L-l t\0 ToTAL ACRES DISTURBFDI EXIST LAND DrSrtRSltlG pERmrT: E v:S l-] ruO IdATER:CENTRAL WELL COi{M]N:'I} SYSTEI 6A5 EQUIp, pREFlts sErirR: EI crcue fl CENTRAL slprrc f] enrvr;: srprtc T-l SIPARATE PER]'lI]S R EQUIRED FOR ELECi, I.I€CH, PLBG,& Ilslers cHEcK (payABr-E ro Hrcl f] ortl ncco:rr nrrc,/vrsa I orscorrn .fi?i:"}i'ti', :r: i 0r rlc a u5t &lt't--t'' ' SfTBACXS: r:3iiia DAIE : .t:..?-3 i-(F L@); {'' ZONE: ADoroval: Citv: ? l'j orr,r'LH: jl RHr * r t /r{ncl :lfv .-.lrn'^;- Pi'\&;- lr ...-+./-\ ?n a.\,4 .'Ly. BFE+2ft = fll,,: t r.i'.) { rit, .: -'a . .: ,\' l-',1-tr., it,1, ) "&lta l'-aqga JotS-l0Aro \ APPLICANT, S T{AfiE : DEVELOPER: NEI^J HANOVER COUNTY BUILDING PERMIT APPLICATION rypE: RESf DENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT "Project Responsibility', n crw: BLOCK #: CITY Lu nn LrcENsE #: e SF LOT *: PHoNE #: (qlD) i,ra)- qu5q ST:OIC ZIP:,I'BJO3 ACCOUNT i: APPLICATION Number (office Use) onre: lD I )/,t PHONE #: PRoPERTY oWNER'S tlAtlE : OWNER'S ADDRESS: PRO]ECT ADDRESS: SUBDIVISION: CONTRACTOR: ADDRESS: {- ZIP: Jq?.JD3 i"Jq sr:O! zIP:.Aflqp, PROJECT CONTACT PERSON: EXISTING CONSTRUCTION:ALTERATION I Reruovnrron NEt^l CONSTRT CTION: n Enecr NEW REsTDENcE or ! loorrroru To ExrsrrNc REsTDENcE *.PLEASE CHECK AND ANSWER SELOSJ ALL THAT APPLY TO YOUR PRO]ECT: EI4AIL ADDRESS: ! arr caraoe - sF SUNROOM TOTAL PROIECT COST Gess r-ory : $ CITY: PHONE ENERAL REPAIRS PHoNE # :(8..1ulJ4clL!lz.,l57 RE LOCAT ION Q/orr eanacr \1to sF EpoRcH -sF ! noor- _ sF I sronece sHED _ sF * OF STORIES: GR E ENHOUS E - SF ! orcr SF OTHER: 3oo TOTAL HEATED Sq FT:r.l ToTAL SQ FT UNDER ROOF: _ TOTAL AREA SQ FT:a) Is Any If the pnoject is a Relocati Is thene Electrical Powen on PROPERTY UsE / OCCUPANCY: .,@N on mECHAI,{ICAL t^,ork Being Done to the Accessony Structure?Eruo{", , is thene a Natutal Gas Line on the Cunrent Site? his Building? lJYes Ll No [}fes I No sTNGLE FAr'1rLy ! ouerrx ! rowruuouse u$'.fin-p on (la et- I-Dor., or change in conlracbror Fines Up To $500.00'" ) DESCRIPTION OF t.'lORK: DISCLAIMER: lherebycenity halall lnbmalion in his applicaton is conecr and altwork will comply wit| tte Building Code and att oherappticable SlaE and ordinances and regulalions. The NHC Developmenl SeNlces CenEr will be noliied of any changes in tle conracior informaion. "'NOTE: Any Work Performed W/O tle Approprlab Pemits witt be ln Viotation of lhe N slaie alCode and OWNER/CONTRACTOR : SIGNAT (Print lafle]************* *,1* * * * ,*:l ,* 't,l,trt* *,l.,ir:i.,* + + **:f *trIS THE PROPERTY LOCATED IN A FLOODPLAIN?YES EXISTIT{G IMPERVIOUS AREA: -5Q FT TOTAL ACRES DISTURBED: NEW IMPERVIoU5 AREAr _ sQ FT ExrsT LAND DTSTURBTNG nenmrr: ll'l vrs I ro r^tArER: I cFpuA n coMMUNrry sysrEM E pRrvArE WELL fl ceurRal well sEilER: EJ creua ! CENTRAL sEprrc I enrverr seerrc fl cor4MuNrry sysTEM *** SEPARATE PER,IITS REqJIREo FOR ELECT, |4ECH, PLBG, GAS EgJIp, pREFABS 8' IiISERTS *:lr. payr4ENr METHoD: Icasx f]cxrcK (payABLE ro uc; fleru rccot r I r,rcTvrsn I orscoven ,*r*'*!*:***:t,lr**)*,1*,*:*)t**,1***!t'*,t+*+)t,t*,*,1**,*:i+*,i,t:*:t't,t*,i*,*,*r*,**'****+*:f+,ir+r(**)t,t*+*1r)*:t,**,t)t,*)t,t+:i)r)**:t (FOR OFFICE USE ONLY) REvIsTo DATE O4l11l12 *,t )t,t *,**:t*,***,t r+ rt,t ,* ,t :* ZoNE : _ oFFICER:SETBACKS: F:_ LH: RH:_ B:_ N f3"o {nt n.I-\ LECT Approval:_ City:_ DATE:_ FLoOD: _ , BF E+2ft=$lrm C ED,bOrr\ ( TAlD\l + &otr-/oaaY r': ; t5 ?bgLl APP!l(J.Tr,-r:t 4,r:lffi,i APPLIC,IX] 'S }IA],IE DEVE!Cplfi: ) NEL.] HANOVER COUNTY BUILDING PERIlIT A?pLiC,..t :o TypEi RESIDENTjAL ,r4,,.. r lii.lrD,..ai {!:i'' i5 i:;: ia:!i!,a _._1 r- r:::: .r -.. ict icsD6:ribility. ,) - _. 0",i, PtouE *:PRoJECI ADtnlS! i su80I\,lS;clt:l:F: ;'! ! '!i oax ;: _.-. ._ IOT t -; i" t. --.:*----PHoRE ,r .j /i : | _:&-,.1j-l:r...:j-.. :- _-- sr: :1 ?I9: -trj:.'",- ] moPER i=l rrrtrn,S L$tE: o,nt;i?,s;ooit!,iq CCiIJTRAC,'IR ] , ,.,. A'CRE5Si fXAIL TD' ::TY LIaEIiSE i: i,. i carYr t- I5T: ,v zlri -t r. \ 5. I T SUNROoa qE Pi.lorl! s: .1 ,-,..1 "1 .,. / .r) PfCltfi CO,itlAeT pifiSoltt tl \f rs., , Er(rsTlls co{siiuciirl: f, rrLl:ti-i;ll il nercv...:cl f e*l:1r., tsra:rr i]j lE!-6c..:.:.:;,1 li!,; a(rJiciat r:,-r - --:l-'€t!ar hE; n:s:DEr;a: oc f] rooirrol To E{:!rl}i,i ii 5rrEria: 'aPiEas: CHEC( Af!! AatsriEq BELo, alt L";I Aroly To yoiJF ?i9:!aTrI..- o.ar.c: f, s:cuc: s.t:c L: cii::iioisa --* s, l:;cr :s ::,::. :r, ::-:c.tr ?onpr i - txrs tsLildl,1gl i: /..: ToTAL HalT€D sQ rr: 11.-lq roTAr sQ Fr UNDER RooF: ]lj_!_ rorAr- ASEA sg;r, I ita T0rAL reolgc-: CaSi ... : g'.'. ,r_ * C: i;Ontj>. _ --:s ,1-; E!€Clrt(Ai, e!lr1t;:l.i .- f4Eat,u:a.\! ,;.rk 9i:,:g il3.r :s iht tc.Lr::-,. a., _.,"-". 1_i v,,. ! .l: :f :-.: ,.cr._: tt . '.1:.a.' :cr,, .:! :.i-. a Net!-ai Gas Line on tre C_,.-.,.i irtc; ll lo, f-l r,. pa3?ERy? usE / occi.i;:Arin; l--]:.-r._.r r ;ru:rv I HpLEx f_l -,ati\-)rsi D€Sati:9;lJN Or [Cnit: ] lk..( ot*NER/.oNTaACToR: n L, - ':- ,..1,:.-.: _ SfG ATUR. i :);:_.j__l- _ ;::ilT::;:::;:::: ::':i;"; -'",.f J.,,,,,,u.u pLOOp ZONE cr^::r.r:.. .;, .. -..I . . -,.---,.r-_:. ."ri:.-a,l !i;.i:r 6 npa lj co;r,.-$I ] s's':,.r !]"] ralva;e irlL :rir.,..:r-ir.".:::.r.-...:,.^,-i.:u-.--i-,r!..:f{,...:_;. .,.a.. ",t..r,--.:- [FiJ ]IPEF.yIoUS AltrA: __-_ sQ Fr EOsr LA]O D:SllpBIr: terr:r, f] VeS f] nO SEI.IER: f f.osn l] c.,rc,, a:',-:1: rla:: c:'ua Ij caiillA! sEp-:a []:r:',,..,r: saprrc f c:1irr.--::riy sy:-.:.: ztlti ::ri"!:.:: _ _ -i-:.,_ *.::-::\;)-a.si*a) ''*r,J t<i6ai* \laJj.rr\, J )o',rJ : ^,Jrr{ir,_lt s, 9l^.ratf lrlSj-tao Cr,:4$r:r-orr sn 5,,t )lc&,a \-o*.-,I'*1 }{{f ^rl ,,^h) }*,,., o.;{ 'r: I ' r-r,lnspector Requrreo, 910-25d-090 t{}'. S?'rq ',t,.,...' NEW HANOVER COUNTY BUILDING PERMIT AppLr.aTroN rypE: RESIDENTIAL PLEASE AIISIdER ALL QUESTIONS APPLICABLE TO }OUR PRO]ECT ..project Res pons lbititlp #i,7;-li;i\ APPLICAIT'S MT,IE: DEVELOPER; r^- +'t'-ea* DATE: PHOIE #: APPLICAIION Nmber (office Use) 5 UP,ZE_! 3 PROJECT ADDRESS: SUEDTWSION: CIW: t--l . I ,rr', n<-ln ^ BLOCK *i _- LOT *: PROPERTY O En,S Mir,tE: Irv4 ola,NER'S ADDRESS: CONTRACTOR: ADDRESS: EMATL ADDRESS: PRO]ECT CONIACT PERSON; l-l suruRooa qF I eneelruorse _ sr ! eoor-_ sr Iorcr .- l.(,ahS(1-, Chr,, CTTY: ( 1r^]'\PTIONE *:qta z-l ,l 5 ct6 sT: vJL?lP,t Leq.) ttcptse *: € t3t3 ACCOUNT #: CITY 5T:_4521p;12A9t 15<:-7C pHoitE #: c4rr 211 5c 71. f] sroneee sHED_ sF 5F OTHER: DGSTTiIG cof,lsTRUcTrO : f] alrenarrou fl nerovarrou f] e erueur- aerarns fl RELocArroN NEll,l COiIS TRIrcTIOiI:ERECT NEtl REsIDEl,lcE or I noorrrol ro Dcrsrrirc REsTDENCE *TPLEASE CHECI( ATO A si{ER BELOI{ ALL THAT APPLY TO YCUR PRO]ECT: [arr cannee _- sF U DET @RAGE sr ! roacn _ sF rorAL HEATED sq rr: ((.'lY rorAl sQ Fr UNDER noor: \{* rorAL AREA sq rr, [0(8 TOTAL PROIECT COST 1rs ro9 : g 76t,rrtc . - # OF STORIES: I Is Any ELECTRICAL, pLUttBII,lG or ECHANICTIL Work Being Oone to the Accessory St.uctuiel ffi, ffNorf the project is a Relocation, is there a Naturar Gas Line on the cur.rent s:.te? f]ves [ruoIs thene Electrical Powen on this Building? ves [fN6 PROPERW USE / OCCTJPANCY: rr{6LE FAl4rLy [ runr-ex I ro*urouse DESCRIPTION OF NORK: PUA 1,+ cl< OlSql[rEFt I h6Eby c€niry hat a[ h brmadon tn t iE app[cabn bcaftctal(l alleD.k v,ill co.,plywih tle Sbte Buitdirig Code and dl otlora99[cable S66 and b.a] la,r/6and odh€6c€s and Egut€lions Th6 NHC Oevelopm€ni S€rvic€s CenEr will bo notfred of any changos h the apprcy€d ptan 6 and6p€ciicalions or change h conlEbr oroon!-&6r in6.marion. .-NOTEi Any Work pertonned w/O heApplopriab Per.niEwllb€ in Vr.?hdon oft|6NCS6ta Edg Oldo ot{NER/CONTRACTOR:5IGi{ATURE 3 ,r *** +** ++ + * ** + + * * ** * * * ** ** *(iH lfl*? ++* *** **{* IS THE PROPERTY LOCATED IN A FLOODPLAIN? Z1YES EXISTII'IG IJt,IPERWous AREA: - sQ FT MTER: SEhiER:CFPUA E *****:l*t+*+******+*t*+**** +++*+++t****:t**+* Eno TOTAL ACRES DISTURBED: NEtl, $,IP ERVIOIjS AREA: _ sQ FT E(IST LAI{) DISTURBIIiIG pERttIT: l--l ves l-ll no cor04uNrw sysTEM n pRrvATE WELL I CAnAlr- weu CENTRAL sEprrc I enrvarr sEprrc E coleuNrry sysra,t sE}ANATE PE&1IXTS REQUI&ED FOT ELECTt{EcH, P186, GAS EqUIpr pREFAES & IDiSERTS *!&* B:LL rccqrm E a.z** [ orscorsn ,ai*:t*ra f rt*:*** **i:t:t,t**,t ;ht :i:f it:* *:i** *****r PAYI,IEHI I'IETHOD: nca"n ECHEC( (PAYABLE TO NHC) *)a* **** **:t * **{.:t **** **it;i.:t*+**i:itt:t***:t:} i.i.)*:} **** ***** ZONE: _ OFFfCER: Appnoval:_ City:_ DATE;_ FLOOD: _ _AV Coffiient 3 (roF oFEtcE UsE ottlY) AEvrsEl OAIE 04111/12 SETBACKS: F:- LH, RH:- B:- B F Er 2ft= N PERJVIIT FEE: 1 q SF iECt VtD OCI O 6 ?015 uIr_DrR(G PERMTT APF) I(AflON 1'PECOil!4ERCIAL pra,\sa a!5!!r aL i QL,ts:toRs aPpI TO Pn0l:_(T aols-/d)aa, APPLICATION Nu.llber"Project R es po ns l bi.lity', APPI.ICANT' 5 NAiI4E ]!VE LOP ER: !.1,I ;!nl,!. i?r,.l j l Jirj cD PHCiiI *; CITV: t.ill,,iIlietCN 3ROpERMQNEa)S N.{i{E I rEc,r.H jN:jTr)R ccHpArti , _ phoNa # DATE: ro. o5. aol! CITYi GRgENSBoRo ST: Nat ZIp: 2-r4ts LiCEi{SE #: l CIIY: ATr,,,L\TA 0htlER'S ADDRESS: ?::!-jcjrr:t cilul!!a in!}ta frt \ \,, aq t_- r,:ON-iRACT0R:,.,:L_i,ii,r! s i.:E-. altlc ao IDORESS i .is9.1 l^lNTEns cirApa:STr cA ZIP: lca6! P}IONE *: t04 796 osri:litAIL ADDRESS: nt i shaneLraniirc:: ab.i croof in piolECI (oNTACI PERSOUT ^!rslA NEi,i[qN (.r+!, a)l rh.t ap!1r) .XI5r C0 STRUtiICu li Rdo,caton :s lhere a Natilrai NEI.I CONSTRUCTION: LJ ER ,ICCtSSoRY STiUCflie:: GENERAL REPATRS r-l n:Locerrolr Llro rs Br DC sPet\KLL.RL o, I vr. f]N: ALTEiATICII (ias I n( on ih R E NCVAi IO,1 ert Sire, ]l Yes EC-r iJEr srRucruRr I ras: *a,cr I surlr I uerrr E loo ro rxrsr srRUcruRE If DPFIT - The Shell Pc.,rit # Is !le(t Po{er on this Building fl res E xo I]HARCH DISIA PROFFSSION.IL: I;/'^ Fil6R DTSIG-\ ;ROttSSIOir.ll , __I r _ _ NC R€G } NC REG ; le ,ocd or b€vs€ges Fi-e?€red cr ssv'ed i:r tj:h slli*lrtsr f yes E lto ls rh8 prop€n!, Loed rn the FtoogBifl? f] ves B ruo Stae BuiEinq code and a[ cth€. cher{cs n lhe arorEled wrl! h,: i Violrrio^ ol li. OWl.*EFUCOI,{TPACTOR: t' jj.''<r..9c, i (Fi.r N::x or-c.clc'. ts€ 5r,5D1.,& 6litg trs sPclrltbi brn I*'h6ti.r Ue ieGlq ., b'i E.:E rss brnd t SIGNATUR olri Donolton rclfia€lo-r 3 esi)3E!6 rEt:loerl?!i"dl1 3p9:h€xon6 erc !o olsclAll,=r lerprrc"tvtnarl. l.orrrurro irr^,<3pp.raic.,1conc:d10tll.o:rF.comdvwturhc iryil*i"Y;"xte":i9. ; :"?"i?i"1?i"rln; rs. xJ9:c€"'.!.x,T.iT.'"? ii: !,e31[$J,et1ljilo"g#il,Subie(lloiresUp r35LC00" \.\ \\ .<-.,- i. r,\:\f>_tX.. c.nEh &!€dD6 or mr Yo u ors isqrtrod ro €ea ne Negc,]a! e.rEl o. ol any hdlt q *t,a!1g. s€€ ArtEstDs vyeo srsi TOTAL PROJECi COST' : j. I6. , ' TOTAL AFIEA SO FT rirpri*e,v.orsr,E nc ua'irllsb5si5s,€nmp.nBnt 3iil:OltlG HEIG:T: EnlBrcn S€ig:.d. tr. r-bierC.B A, Pott E 16 (NESUAT) d (919)70H5SO €t h.6l 10 daF Fkr b t! d OF UNiTS: TOTAL SQ rT JNDER ROG . _i:-j_ _ ACRES DISTURAED; 8 C)F STORIES 8 OF FLOORS: NEw IMPERVIOUS, -r\i_ PROPERTY IJSE: EOFFiCE wATEn [:erPur, SEWER: f CFPUA ,90FS - iCTiJ!ES: EXST LAND DISIUREING PERMIT? NYES SO F: IXISTING IMPERVIOUS AREA: I,{C I n:s,:aunem f]urnc.trrru [rouc ffi nrr f]mnoo orue* t{ SQ F: co!,Ml_;Nr-/s\fs:EM -wE-r_ nzoifll,IcusEctAsstFtcAToN: CL\IrRAl SEDI:C rj FqivAiZ SEP-IC Ll COMMUNmy SySTEM '''sLP,',.Errrarrarr,/r-ari!:ctrticr!!l.lrct\4acr.:iiii_l o,rslculrr,tREF{8s6Nsrfils.., PAYMENT iiErHoo: i1c*sr ilcr-iecx $"AyASLE ro nltc) f]ArrmteAN ExpRESs E cJVlsA Elorseoran zoNE: ij'f,l'.oFFtc=R:\ \ , ?_ SETEACKS: F: I_,,)LH: NrARH: l.l,iS: N la epp.t'e[-- c;1y ...- --,i=r 1f,LCoD - ......-,- *-BFe*dn= JJYII ,"{ i (Cf,S^a *T .{ Ci,Gtmiiie:,t i\l ,r5 ca{PERMIT FEE: $ ZIPlilro-rpRo)ECT AIDRESS: r-ia li i,rni ! Li-ri'i Ar.itliil:l CCCUPAi [,/BUSIN:SS NA_FIE: ulJ: v.pl-I:l-_&qcE =-_=_- PttO!'lE *: ??o 45t-0cDo .'".i rs rxis A ctar,{=E or occupaNay usE? [vrs P m ".*.if Yes. uhat ras thp prpvldr< o?r.ipan(y lype? ...=--=._ $let ir the l{er/ Occupanay Typ€? .--- ffi RECEIVED OCT O6 2OI5 NEtd HANOVER COUNT UIL PERMIT APPLICATION I COTIIIERCIA PLEAsE At{S}tER AtL qJ€SllONS APP|ETO PRO] ECT "Project Responsibil.ity" Qots- 16> a A.PP L ICAT IOT{ Number (Office Us€) APPLTCANT'S NAtriIE: DEVELOPER: PRO]ECT ADORESS: 910 N. MACMILLAN AVENUECITY: !.tr LMTNGToN OCCUPANT,/BUSINESS NAME: L]NIVERSITY PLACE PROPERTY OTJNER'S NAtltE: WESTM INSTER COMPANYPHONE fl OI{NERTS ADDRESS; 2720 NoRTH CHURCH STREET CITY: GREENSBoRoST: NC ZIP: 2 ?41s CONTRACTOR: ATLANTA,S REr,rABr,E RooErNG coLICEtISE #: 4 9413 ADDRESS; 4s94 wrNTERs clrAPEL RoADCITY: ATr,ArrrAST: cA ZIP: 30360 EIiIIAIL ADDRESS : aL i shanewman@ref iabler:oof 1ng. bi zPHOiIE *:40{-795-0011 PRO]ECT COUTACT PERSON:ALISHA NEWi\,IAN Pto E f: ??o-4s?-0000 (che(r All Thai Apply) EXIST CONSTRUCTION:ALTERATION Gas Line on theCurreni Site? RENOVATIONtrYes atrGENERAL REPAIRS No IS BLDG SPRINKLERED? RELOCATION Yes Noll Ralocatton, rs there a Natural tru NEt{ coNsrRucrroN: I rnrcr irEtrl srRucruRE ! rAsr rnacx I snrr-r- ! urrrr ff mo ro Exrsr srRUcruRE ACCESSORY STRUCTURE: If UPFIT - The Shel1 Penmit #;Is Elect Pouer on this BuildinB I ves f] Ho ARCII OESIGN PROFESSIONAL: N/A PHi NC REG # EXGR OESIGN PROFESSIOML: N/A PH:NC REG $: DESCRIPTION OF I^,ORK: ro REMovE AND REprrAcE RooF sHrNGtEs 4 \N s$ 6'\ ls lbod or bdvEag6 propcsd ff lqvod h thb enrctro? [ Ves INo b Tho Bopety l-ocated h Ths Flooqan? [ ves @ no all olhcr6pplicable State olan NC Srale OWNER/CONTRACTOR: (Adi.., SIGNATUR Nolc Damolllon nodtcadoGt a3b6tc rsnoval p€mlt at',lcrliois al! b baualrt tro applbatoi bm TOTAL AFEA SO FT TOTAL SQ FT UNDER ROOF: 52oo# OF STRUCTURES: 0 wtloGar rr tscn? or bdtshg rias hra to @fiElll At!.3bc r rEl. You lra lt$rllld b cel ile ilaion lEmbAon Srn(bnb hr tLzriloll Atr PolEr.nE (NE8HAP).t (010)7075950 c 161 10(ly! Fbrb i|! dqndtbn of elry fr(flt or Ui5irg. Saa Ase6ba llibb Slto: hllp.//x,}{.odsi3E.nc.url€rue3b€.ro3,/ehmp.innt TOTAL PRoJEoT coST: _j!J_]s!-_gf_BUILDING HEIGHT SO FT PER FLR: # OF UNITS: # OF STORIES: f OF FLOORS: ACRES DISTURBED: - NEW IMPERVIOUS AREA: Exsr LAND DrsruRetro eenurr Ives T NO SO FI EXISTING IMPERVIOUS AREA: .. SEPARATE PERMITS REOUIRED FOF ELECT, MECH, PLBG. GAS EOUIP. PREFASS & INSERTS '* SO FT pRopERry usE: EoFFEE Eaesnumm lueac^rrru Eeouc E AP'r [couoo OTHER En E coirMuNrTv slsrEM E l,vErr LlzoNrNG usE cr-AssrFrcATKrl* _Ecerrnelseprrc ! e-ruvert semc 5 couuurrw svsreu CFPUA CFPUA pAylrEirT METHOD: [CeSx [OreCX prVmlE TO MrC) ftmrenrcm o<eness I uovsl ! oscoven ATLA}ITA ' s RELTABLE RooFrNG co DATC: _lg_9:j_?!ll_ P}ONE f : ZIP; 2 s4 o3 *rr'* rs 1{rs a cHAr{GE oF occupAircy usrr flves @ro **r** IF Yes, {hat was the Previous Occupancy Type? _ llhat is the Nel/ occupancy Type? WATER: SEWER: (FOf, OCFICE UsE Ol{LY} RE!i8E rxrE anJnZONE_OFFICER:_ SETBACKS: F:-LH:_ RH:- B:- Appo\rEl:- qq/:-DATE- FLOOD: --- BFE+tr-- comrr'nt A v Jr"ut*'r-J0O- NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: REsIDENTIAL PLEASE ANSUER Atr QUESTIOXS APPLICAELE T0 YOUS PSOIEC-r "Project Responsibllity" 8L0CN si CITY: Jotr-/o)ao /J"-zpt APPLICATIOf'I Number (office use) DATE,JD b.le PRO]ECT AODRESS: SUBDIVISIO{: MOPERTY OI,INER'S NA,I4E : OUNIER'S ADDRESS: APPLICANT'5 DEVELOPER:PHONE $: LOT S: PHONEo, b l1-- lt"'T osr,L&zEog- ZIP: oS EMAIL ADDRESS:PHOTIE f: EXTSTTNG C0r,rsrRUcTroN: f] arrrnarroru\n ENOVATION ! crrenal nreerns I RELocArroN NEI, CONSTRUCTTON, ! rnecr NEl/,, REsIDENCE o)ffiorr.ror'r ro ExrsrrN. REsr EffiffiEW**PLEASE CHECK AND ANSI,IER EELOIn ALL THAT APPI-Y TO YoUR PRoIECT: fl orr cruce sr ! rcncn ! lrr elnacr - sF E surunoor -sF f] enrrrurouse - sr I noor- - sr ! oecr SHED -J- SF ocT 0 6 2015 SF SF TOTAL HEATED SQ FT: - TOIAL SQ FT UNOER ROOF: - IOTAL AREA SQ FT: ToTAL PRolEcT CosT luess r-or) : I4,6bO f oF sToRrEs: Is Any ELECTRICAL, pLUl,lBING or I4ECHATTIICAL l,Iork Belng Done to the A(cesso.y Structure? [ V"r [l ruo If the project is a Relocation, j.s there a Natural.6as Line on the Cunrent Sitei IVes Ito Is there Electnical Power on this B,rildlnglfiVur f]lo BY: PROPERTY UsE / OCCUPANCY:5INGLE FAI1ILYDUPLEX fl ranruHousr DESCRIPTION OF NORK: DISCLAIMER lhsroby cerrit har6ll inbrmsllon h tris applworlwirlcdnpry wih fi€ S6te 8u[dln0 Code slld altoher applicEble Slate and IocB svys 6fld odinances lnd €0ul3 ons, Tie N H C O€\€lopmonl Se Nlces C. n Er will be no 6fled ol any cllnger In fie approved rtans €nd specinc8lions chsnge h conlrE bro(conftcbr hb,mali'l '-NOTE:AnyWork Porloried WO Permlrs wfltbe in Vrollion ot th6 NC SE UD To 5500.m"' Oi.,NER/CONTRACTOR: )--nAa--.)SIGNATURE: ** ** *:r* **r+*,*** ** ** ** * ** * * *(il'lllllt */r****** ** rs rHE pRopERTy LocarED rN a rloooplarnr [-l YES .* *tr.* ** * * +* * r.r* '** * '|* + i,* * *** )r+*r rr *, Ero ffi r{ L)r aa EXISTIiIG IIIpERVIoUS AREA: _SQ FT TOTAL ACRES DISTUREED: I'lEul II'1PERWoUS AREA I -- SQ FT EXIST LAND DISTURBING PERI,IIT: E YE5 [f Ho S El^JER ,tr ,E crcua ! cENTRAL sEprrc pRrvATE sEprrc f] cot'u,tulrw svsrtr.r h]ATERCFPUA COI'II4UNIry SYSTEMPRIVATE WELL I crtrml welLtr .*. SEPARATE PER}IITS R EQUIRED FOR EIEO, IIECH, P186, GAS EqUIPJ PNEFAES 8 TNSERTs *** PAYI'IET{T ETHOD: E cos, tr cHEcx (pAyasLE ro rHc; flerll acco.nrxclvrsa I orscoveal,**t t*r*i**,t***,t,*** * * * ** * +**+* + *,* ,I * ra ** trr ****: +* **r,i,r*** ****,i, +***t * * **+* I )*r(ti* * *,* * ,r,*,* * ** (F03 0FFrCt U5E O6lL aEvIsEa oAfe a4/!Llr-(P$\)(tt 5 E =3:o(t) EI \o ZONE: P-19 orrrru^,5ETBACKS: F: ADoroval: Citv:ome'fi'tZ'15 rtmo, "\"LH'$-E nH:__a[t] s d-J€r OTHE R No @Xpqv1sr(ot," o/ ct^6^/tr r'\'L,qA-- BFE+2ft=o -aao.':! CITY: CONTRACTOR: LICENSE #: ACCOUNT #: ADORESS: _ CITY: _ ST:_ZIP:_ PROJECI CO'JTACT PERSON: PHOI{E T: ....--_-