APRIL 28 2016 BUILDING APPS4
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Rorb-3t 7 6
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APPLTCATION
Number
(Office Use)
14t.n
NEt^J ANOVER COUNTY BUILDING PERMIT
APPLICATIU,I TYPE: RESIDENTIAL
LEASE AI,ISI{ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
BLOCK f:
CITY:
LIC ENS
APPLICANTJS I,IA'{E:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER'S
OWNER'S ADDRESS:
DATE
P E *:
E ProNE $: 5.zo'$e>nfa
sr: @.zrc:-
WR
LOT #:
5
ZIP i _
IP
co
ADDRESS :
EIiIAIL ADDRESS:
PRO]ECT CONTACT PERSON:
AL ERATION R ENOVATION
f
I T I ON To E x I s T I NG R E s I D E NC E
STORAGE SHED 5F
SF OTHE R:xr!|,.L !sr 55o
1 s t h e T e a N a t u T a L
PI.ION E
PHONE
tr
Eo"
v N o
e s
r applicable
s or change in contracbror
Up 00'
RavIsED oATE 04l 11l12
v
NEW CONSTRUCTION:ERECT R E s I D E NC E o r
AL L THA T A PP L TO YOUR P RO l E c T
SUNROOM SF POOL SF
SF DECK
TOTAL HEATED SQ FT:
T0TAL PROJECT COST lress roq :oo2
Is Any ELECTRICAL, PLuI'IBING or 14 HAN c L Won Be 1 n D o nIk
roraL sQ Fr UNDER RooF, 6bO ToTAL AREA 5Q FT:
--
# OF STORIES:
e to the Accessor
Gas Line on th
W^,o*'IPLEASE CHECK
,K o, oo*0,
AND ANSUEW R BELOW
5F ! orr cnnace sr ! eoncH _sF
INGLE FAMILY NHOUSE
DESCRIPTION OF WOR(:
DISCLAIMER: iherebycertit lllat all nbrmalDn in and all work will comply wirl t)e Srare Bui
and ordinances and regulalions, The NHC De!€Services Center willbe nolried ofany changes in he approved ptans
contraclor inbrmaton. "'NOTE: Any Wo /O ihe Appropriate Pe I be ln Violarion orihe NC Slate Btd
SIGNATURE:
,** +* *,t* * )*** r*,* r** * + +* *,t* * *
IS THE PROPERTY LOCATED IN A loooeurnr ft ves
If the project is a Relocati
Is there Electrical Power on
ZoNE: _ OF FICE R:
Appnoval :_ City:
Corment:
)EI:;;**
*** **:* rt+**
'* x*++ * ++ 't't** +**r* )** )** r.*
OTAL ACRES DISTURBED:
h I s B u 1 1 d 1 n ?tr'Ees No
TEXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
FT
FT
sQ
sQ EXIST LAND DISTURBING PERI,IIT:l-'l vrs I-'l r'ro
WATER:CFPUA CO[1MUNIry YSTE M ffinnrvarr r.rrr-r- !CENTRAL I^/E L L
sEwER: ! creun ! CENTRAL s TIC PRIVATE SEPTIC prconmururw svsrer,r
*** SEPARATE PERIIITS
PAYI'|E|T r'lETHoD; EI coS, E HEc( (pAyaBLE ro nuc; ftareucAl ExpREss
EQUIRED FOR ELECT, IiIECH, PLBG, GAs EQUIP, PREFABS & INSERTS ***
E ,c/rrso ! orscovrn
ND c,PPua
*+,i* * r** * *+* )t** )i * )* i*,* *,t * * )***** + ***,*++ *,k* ** *,t+ + x* * + * +,t ,* x x:* +,N,i *x+ +**,r * ,*:t *,* ** r*,* )**+ ** ** + +*)r )**
(FOR OFFICE USt o LY)
SETBACKS: F: LH :_ RH:_ B:_
DATE :_ FLOOD: _
A
EXISTING CONSTRUCTION: E
CITY:
CITY:
\
=s"
#
J
! cRrrruHous r
! crlrmr nerntns ! RELocATToN
structure? fif yes
Cunnent Site? Ll
PROPERTY USE / OCCUPANCY:DUPLEX
OWNER/CONTRACTOR :
TOT
T kra]
NEI^J HAN',ER cofffY#r## l/ilr, zaL-'\r)
APPLICATION
Number
(Office Use)
APPLICATION IYPE.; RESIDENTIAL
ttASE ANSI4IER ALL oUESTIONS APPLICABLE T0 YOUR PRoIECT
"Project Responsibility"
APPLICANT'S NAIlE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
CONTRACTOR:
ADDRESS:
o
DATE:* zs.t t,
PHONE f:
ztP: ZB +\l
LOT f:
ploNE *: q\D,B{1 - tlg j
CITY: V\i,ln/\t natp.:,5T: NL ZIP: L8 t llJ
PROPERTY OWNER'S TIAME:
OWNER,S ADDRESS: -1
c"tc g
LICENSE #:
CITY:ST:_ZIP:_
EI4AIL ADDRESS:
PROIECT COI'ITACT PERSON:Co
PHONE *:
PTIONE *:4lD e{ 1- t1l ?,.
EXISTING coNsTRUcTIoN: EI a ERATION RENOVATION GENERAL RE PAIRS RE LOCATION
NEN CONSTRUCTION:ERECT I'' RESIDENCE O" IEOOTTTOU TO EXISTING RESIDENCE
*'PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
! oer cnnnoe sr ! eoncH _sFATT GARAGE 5F
l-l surnoom _ sF
I cRrrlHousr _ sF
TOTAL HEATED 5Q FT:c ToTAL SQ
and ordinances and regulations. The NHC Oevet Services C€
conlractor inbmation. "'NOTET Any Work o
* )*,**,*,i ** )t * ,*,* + *** * +* * *)** )r ,r *,t * **,*+ *,t
F:_ LH:_ RH:_ B:
TOTAL PR0IECT COST rr.ess rorr :
Is Any ELECTRfCAL, PLUI'IBING on
If the project is a Relocati
Is there Electrical Power on
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WORX: t
OWNER/CONTRACTOR :
ZONE: _ 0FFICER:
Appnoval :_ City:
Corrme nt :
5F
FT UNDER ROOF: {5O TOTAL AREA SQ FT: Ti 5C>
* OF STORIES: I
Lt-
lo, ooo
PooL _ sF STORAGE SHED
-
5F
CHTU,IICAL work Being Done to the Accessory Stnucture? [fV"r I No
, is there a Natural Gas Line on the Current Site?
his BuiLding? pf ves I to
tr Yes EI ruo
INGLE FAI,lILY ! ouelex ! rowrurousr
(s +l.\t
a-*hru
DISCLAIMER: lherebycerlit lhal all inlorrnation in wl S Bu rns Code Slare
th crrang
N c State Cod SU bjecr Up T s500 0tr,r
SIGNATURE: t/l^
* ** * *** *,1 * * r ** * ,i* * + * t * x * * * * *
L
**,t* * ,t,* *,*+ * *,t *,i ***,* *,t* rt* *
IS THE PROPERTY LOCATED IN A
EXISTIiIG IIiIPERVIOTJS AREA :
rooorurrur I ves El Ho
NEt^, II'IPERVIOUS AREA: i.\,EXIST LAND DISTURBING etnurr: I ves Eruo
r.rArER: ! creua p|'cor'1,rrururw SYSTEi\4 PRIVATE l^lE L L CENTRAL WE LL
SEt.lER: I creua ! CENTRAL s PIIC ! enrvarr srerrc [fcomlruNrry sysrEM
*** SEPARATE PERI4ITS
PAYtiEr,rT itETHoD: E cas, E HEcK (pAyaBLE ro rxc; [ *rrucAN ExpREss
EQTJIRED FOR ELECT, MECH, PLB6, GAS EQUIP, PREFABS & INSERTS ***
Ej"-rr/utso I orscoven** ** * * * + +* * * * *;f * * )** * *,f * **,r*,f * **,* * )i)t* *** * *,*)i* )** * +,t,t ,i ** ** * * * )* +,1 )* * * * + * )* * *,t*,* )*** )*,* * + * *** * )t*
(FOR OF FICE USE ONLY)REVISED DAT€ O4l 11l12
SQ FT
SQ FT
S ETBACKS
DATE: FLoOD:
A N
PERiIIT FEE: $OO
CITY: \Li r Irnrn"t."yr
BLOCK *: 2
! orcr _ sr orHER:
BFE+2ft=
'(x
RECE|VEDAPRll?0t
NEW VER COUNTY BUILDING PERMIT
aPPLICATIOT'I TYPF: RESIDENTIAL
E AI{s}IER ALL QUESTIOI{S APPLICABLE TO YOUR PftO]ECT
"Proj ect Res pons ibilit)/'
APPLICANT,S M}IE: F. S.T-. I. C dba RamJack DATE:,11 xl tu
DEVELOPER:PHO{E #: 919 -3ae- 9121
PROJECT ADDRESSi 3.:r'l F.n Diive CITY: wimi nston ZIP i 284D9
SUBDMSION; ri Il Ierood PARID 52 0 9-O 0 5 -0 0 9-000 BLOCK #: IOT #: 30
PROPERTY OdllER'S NA}IE: Roofto s LLC
oWNER,S ADDRESS i 333 En l.ewoo Drive CITY:l,lilminqton ST: NC ZIP:2u4U9
CoNTRACTORT F.L.I.. C. dba LICEISE *: s3]78
ADDRESS: 4122 Bennett Memoria Road suil-e 304 CITY: Durham ST: Nc ZIP: .:l!!i
EIIAI L ADDRESS: char:lie(lram PHONE #: 9\9-309-9121
PROJECT CONTACT PERSOiI: Charl e Leh,is PHO{E *: 919-3oe-9.i2f
EXISTING CO STRUCTION; E ALT RAIION R E NOVAT ION GENERAL REPAIRS RE LOCATION
NEIJ CONSTRUCTTO{' ! rnrCr xe RESIDENCE o" ! nOOrrrOr To EXISTTNG RESIDENCE
**PLEAsE CHECK ANO ANSIIER BELO#L THAT APPLY IO Y(xJR MO]ECT:
I oer eanaee
-
sF
! eool
-
sr
?6'.l-\6- \r??
\tz- )8\o
APPLICATIOII
umber
(office Use)ffi
ATT GARAGE
-
SF
suNRooM _5F
GREENHOUSE
-
SF
tr PORCH _ sF
STORAGE SHED
! orcr 5F OTHER:
SF
SF
TOTAL HEATED SQ FT:
TOTAL PROJECT COST ir-.ss roo :21,800.00 # OF STORIES:
Is Any ELECTRICAL, PLUI4BI G or l'l CAL l^lork Being Done to the Accessory structurei I Yes I No
DESC RIPTION OF !.IORK: lnsLafla on of helical iers to sLabi Iize foundation
If the project is a Relocati
Is there Electnical PovJer on
PROPERTY USE / OCCUPANCY:N6LE FAMILY
DSCLAIMER lheeby clmry nd a! htmalbn in 4pficatb. iscorEr and aI *o
and ordinrces and Equl3lions. The NHC Services CenE, willbe nodned
conr_acl5r inbrmadon -"NOTE: Any Worr wm he AppropriaD Permil!wll
or,.tNER/CONTRACTOR: char lie L
, is there a Natural 6as Line on the Current sitel I Yes n No
his 8u ilding ?I ves fito
ouPLEX n TOhINHOUSE
,kwilcomplyBih lhe Srst€ Brildhg Code 4d all obe
olany chonges in
'le
+pov.d plans and sp€ctfcalb
r apglicabl6 Slab snd locol lds
ns q EhEnge ir conlracro.or
D Fh6s Up To i500.00'-
S IGNATU
NC SEE Bldg Code q.d
aez t/^, l;
Subje.t
'rX,GS
* * **,k **,|+,t* '. ,:,r.,| ,* *** +t* ***x* * * * *,** * * r ** * ** + !t I t * *i.** **)x*,r)** **)r *:*:i*r.:r.*x* **,t( ** * * *,I,* t *)* * * * *
LmDPLAII.?EYEs n'*o
EXISTING IMPERVIOUS AREA:
NE}{ $/IPENVIO.JS AREA:
5Q FT
SQ FT
TOTAL ACRES OTSTURBED:
EXIST LATID DISTURBING PER IT:l-.l ruoYES
WATER: N CFPUA
srwrn: ! crcua
I cowururw
! crmnnr s
vsrem f] pRrvarE wELL I cerurnar wen
c I earvrrr srerrc I cor'ruuNrw sysrEl'l
(FOE OFf!CE U5[ ONLY) REVISEO 0 rE O,r/11l12
sETBACKS: F:_ LH: RH:_ 8:_
V.' S E PARATT P[Ri1ITS
PAYI,IEI{T ITIETHOOI E 'OS' E
,r,i++ 'tt t tt r*+,r++{a *
ZONE: _ OF FICER:
Approval:- City:
EQUIREO FOR ELECT, I4ECH, PLB6, CAs EQUIP, PREFABS & INSERTS *iI
EcK ( pAyaBLE ro ruxc; flmrrrcaN ExpRrss a 'rclvrsa D ortcor.*
DATE:_ FLOOD: _ BFE+2ft= _
AVtl .])
P[()NE #: 910-411-9171
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
-
I5 THE PROPERTY LOCATED IN A
L\T \
NEW
RECEIYEOAPgll?IT
ER COi,NTY BUILDING PERI.{IT
btwzvlo
qe x- tb- \tXT
AP9LICATIOI
NuBber
ATT GARAGE
-
5F
suNRootl _5F
DTSCRIPTIOII OF }ICRK
APPLT.ATI0}! rYPEr RESf DENTIAI-
s€ ax5x€n arL ?uLsiio(s aPeL!( BLt T0 YoUn PiOJtCT
"P.oject Responslbillq/'
OET GARAGE
-
SF
p00L sF
tr,
qE
oo'rc. 4/\l ruAPPI"ICAJ{T,S !,|AI'!E: .-S :.1 dir r
OEVELOPER:PtfiE 6i )i'l 1r'r_r:;
PiolECI ADDRESS: I jr t-1or"e":r CITY i ,limirrq.on ZIP: ?i 1.r!
su80Iv15IOlt::r,' 1-. 1-i)Cf-UrtI-aI a BLOCK #:l-OT l: l:
PROPERTY I}T{ER, S I'IAI4E: P].i:.PHONE *:t :...-t: -t ,i
0{n:R'5 ADORE5s: l:l !:n Dri!i CITY: trilninqton 5T: llq ZJP iIi,!
CoiiTRACT0R: F LICENSE *: rj I r:3
ADoRESS i il2"' Ei1i..tt Ychoria R..l !!ice 304 CI ST : IL ZIP: : .r:.
EiIAIL AtloRESS: cl:) r l i.c. -
PRO]ECT COIITACT PER50 i c" !-.PHOI$E #: el(' :r.,'-, r-
Ix]srrn6 coarSTRUcTroN:AL-nerroH f] REirovATroN GENERAL REPA:R5 R€LOCA- ION
NEr,/ coNsTRtcTro : f] taecr RESIDE$CE o" ] aOOtTtOl TO EXrSTrllc RESrDErlca
..PLEAS€ CFECK ANO arii'rER BElOl.t L IHAT APPTY TO YOl,n PNO]ECT:
PORCH _ SF
5 ioRAGE SHED
--
5F
f] cnreuxouse
-
se D ECK 5f olllt R:SF
-IOTAL HEATED SQ FT!TOTAL SQ FT UITIDER ROOF I
-
TOTAL AREA SQ FT:
-
2 i,300 -.tr
If rhe p.oje(t is a Relccatio
Is theie Ele<tricol Po{er on
TOTAL PROIECT COST tt-cor uoo :
Is Any ELECIRICAT, PLUHaIiG or ll I(A! Ho.k Being oonc to tie accessory st.rr',,^'l I V"t I Ho
, is the.e a Natural Gas Line on the current Site) Eve: f,lto
his EuiIding?I Yes f] Ho
PROPERTY USE / OCCUP'INCY:NGLE F AI-1I tY I oucrtx ! -rcutrou::
re!5 !o s!abi : i ze for:in.':ti .r
OISCL llraR inleby cf,nit, lhttoI 'h'in!tn rr
r.il ^-hr.ca d..{rbrcft IIE Nllc cf'*bF
4'pl(1!.n 6 c@cr -d sI Krr *,Ierrlvwrh h. s!!k tr,ir'litl &fa ra Jl.*'r.pt i: fle s aF e"- b'dl i!r!
1S?r^1c.r C..s. will lr. nott d olmr.r ing.r rr io it'trlved plr rand spci'ttra'r d 'itng6 r' 'oiit"bi''
rtribr 6b,nr.!in '-NCTi Anvt'r''r PPr'':w,O n. ADDr.ET|.! Pt-^nll\wllb. n vi,i',$n o!oa NC sl$a.t DttD! Up Tot50o.0t "
.,.1. -\orrN t R/CONTRACToR: ''' :.r;r: :j SIGNATURE
IS THE PROPERTY LOCATED II{ A LOOD PLA i
',J
?Y€S
TOTAL ACRES DIsTURBED:
.1,
EXIST IIIG ITPERVIO.IS AREA:
I{Et{ I''{P ERYIqJ5 AREA:
5Q FT
sq rT EXTST LA'D OISIUREIXG PERIIIT
PRrvArE r.rELL I crtlrnat we'-l
srEER; ! :rer.rn fll
Cor,flUftIry
CFNTPdL 5
svsrer I
tlc I earverr srerrc ! coqf'uttr rv sYsrEtl
PAYIIEI.IT I'iETHOO:x caSlt
': : ,':,.:ir.
EC( (PAYAALE TO tlHC )
d* tu'^
I er.e"tcor. uantss
YES ItO
D I5COVERa
zote: B::L! orrrctn:
approval r--[!- city
- Cnrpr^Ptil/ts
DATE
T3ACK5
F L oo0
'nl*Rfl: U/f+ I s/l.^-r_
Tnrrid
N
8FE+2ft=
--
N/L.,
^
B,
. ?xP&nsicn %gro
Pfl(NE *i 919-109-9r:i
* 0F sToRIEs: _ -
r,artR: ! creul !
N
Joru-Tts
16-1081
AP P LI CAT IOI''
l{umber
((xfl(. use)
HANOVER COUNTY BUILDING PERMIT
APPLICAIION TYPE : RESIDENTIAL
PrtaSt aNsl,[B aLL Qutsr]ot{s aPPLI(AAIt T0 YOUR PROlrrl
"Project Responsibiltty"
Horyrss
CITY:
BLOCK #;
J.-(tt).
4S
APPLICANT'S NAJ'{E I
,1 t;t\.1
DEVELOPER:
PRO]ECT AT'D
SUEDMSIO
PHONE fI
DATE:
LOT fl:
0
R
* +* *,1* * * ** a,a t r t ** r, t* *
zrP::Z-L![o\
112-
PROPENTY ONNEi'S NANE:
0t|NER'S ADDRESS:
d
N
l.lATE R :
SEIER:cr eur I cr
PAYiIEIIT I4EIHOD:
CTTY:
DEI GARA6€
-
SF
POOI SF
DE CK
PORCH
SF OTHER:
PHoirE s: q(o qSZ-1t'is
sr: NL zrp?gi,L \
SF
sl
SF
ite
BFE+2ft=
SUNROOM SF
TOTAL HEATED SQ FT:
TOTAL PROIECT COST rLs"s
Is Any EIECTRI€AL, PLUMBING
If the project is a Reloc
Is there Electrical Power
$ '*,
IS IHE PROPERTY IOCATEO ]
EXISTING ITIPIRVT(US ANEA:
tlEl., fiPERVIOt S AREA;
€L
cotriAcToR!
ADD8E55;
EIiIAIL ADDRESS:
PRO]ECT CONTAC-T PERSON:
EXISf ING CONSTRUCTION :ALTERATION I Rruovarroru f] eerurnm Rrerrns
LrcENsE s: 34qoAcrry: eeh,,iG-sr : JN,zrP: Zgt5 I
AccolJt{T rr t\r'Dr{(g
PHor'tE #; qloqsz'-l r?s
pmlir *,QleglLIfS
RE TOCATION
NEhJ CONSTRUCTION:NEW RESTDENCF o" I aOOrrrOt rO EXTSTTNG RESTDENCF
T.PLEASE CHECI( ANO ANSIITR E OI.i ALL THAT APPLV TO YOUN PNO]ECT:
Arr GARAGE 4Li 4L4
STORAGE SHED
)Z TOTAL SQ FT UNDER ROOT: ..; I.,1' TOTAL AREA 5Q FT:
-
OISCLAbTER: lher.by csnlty hal sll In 0ris applbston ls colect and allworiwii complywl$ he Sbls Auitd{ Code snd oll obsi spplEabh St€r€ snd bc.r lad!
ard ordh8n@s Bnd r€gulstlon! The NHC De l s€Mces ccnter wlllb€ nolll.d ol3nr.hshoes in tle apFo\€d plahs n'd apccil'ca|i(rrs or ch5n9€ ln coit Ecbr or
conE6co hbmalon ''NOTE:Any Wod WO lle &pr@rEE Permils wilt be ln VoLlion o, th€ NC StaE s{,bFcr ro Fhss l, To $t{o.(ro'
Ol'lNER/CONTRACTOR I Horvux SIGNATURE:
+* ** *,r + *** * r*a* * r a * r *tr .*.rtr++*ri**.r+rr*t*rr++*.t|r+,ril}*****+*ta**i*rrlr+i)tr,t,f*lr:tr**t*
PROPERTY UsE / OCCUPA CY:
DESCRIPTION OF BORX:
Nil NO
TOTAL ACRES DISTURBED: _
EXIS'I LAI\D D:STURBING PER[{IT: f}YES NO&
lc(/vI5A DISCOV€R
IlECH/l|,lIcAt t{ork Eeihg Done to the Arces
tion, is there a Naturaf 6as Line on
on this Buitdingl l-l Yes ry No
$o2)
A FTOODPLAIN?YES
sory Stru(tlre I
the Current S
vu, ff,rot [v"' $m
J
SQ FT
SQ FT
CF PUA co|.1HU
. ,I S f PARAI T PER s RTQUIRtD rOR fltrT, t1E(H, pt86, cA' fqJIp, pRttaBS 8 IN5tRT5 ".
ry sysrEu f] puvarr wrr-r ! crNTRAt r,Ju r
srrrrc I pRrvATr sEprrc I commultw svstru
CASH cx€c( (PAYATLE ro uc; I erll rconr
{ *r, *** * *,t I * t,t ***, * f *,t ++* **t* **t,i }rt**r * +**r* *r*t r*,t *r t*tl)t t***ll**
(ron 0rrl(r lrst lr[y] Rtu5ro oaMa/11/1?
ZOt'lE; *-- OFFICER:
Approval:- ___ Clty:
Cofire nt :
SETBACKS: F:_ LH: RH:__ Br_
_ r rooD;
N
PERI1IT FrF I $
'rrora O
OATE:
I is?
f] eRrrrrousr
sTNGLE FAMTLY I ouelrx I rowrucrusr
|l
e?r,a
APPLICANT'S NAME:
DEVELOPER:.
PROJECT ADDRESS:
SUgDIVISIOI{:
)- tb-33/S
sr, ivtzrp, 184b\
o. q11r-1iffi!
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAIION TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIOIIS APPLICASLE TO YOUR PRO]ECT
"Project Responsibillty"
{lt K,
L6-L023
APPLICATIOI{
Number
(Office Use)
orrr, 4-l-2016
PH]NE S:
CITY:llv , l rr r,r.r ]-s r zIP: ) Sqlt
PHONE *:9to -r,t- r.r,
sT: /vc zrP : ) I tl \\
ffi
)
q
PROPERTY OI/$IER, S I\IAfiE :D
ollNER's AoDRESS: 7'1 CITY:
CONTRACTOR:Fea Strlo.+gnnS LTCENSE r: t fLtt\
ADDRESS:CITY:
EI'IAIt ADDRESS:a).
.l Lon
t
(
: fc.ni ( rn^
PRO]ECT CONTACT PERSOI,I:
ExrsrrNc corsrnucrrou: fi n TE RATION ! Rercvarror I eenenal neerrns f]
**PLEASE CHEC( ANO ANSWER BEL
Et,t REsTDENcE or I noorrror ro ExrsrrNc REsroENcE
ALL THAT APPLY TO YOUR PRO]ECT:
tr
*,** * ,t,t * + ri ** ** *tr * + * * ,r ,i,t *,*
i** SEPARATE PERI4ITS
5Q FT
SQ FT
cor.{.1uNI
CENTRAL
SYSTEM n PRIVATE WELL
PTIC PRIVATE SEPTIC
PORCH
-
SF
STORAGE SHED
a^-1 0
LOiwt e.
IOTAL ACRES DISTURBED:
Exrsr LAI{D DrsruRBrNG prnurr: I-l vss l-l m
! cerurnal wrr l
fl conluurw svsrer
PHONE
piror{E #: qb-L\L- L'183
RE LOCATION
I orscoven
REVIsED 0A1E 04l11/12
SF
SFOTHE R:
TOTAL HEATED SQ FT:TOTAL 5Q FT UNDER R@F:
-
TOTAL AREA 5Q FT:
TOTAL PROIECT COST rLess ro') :
a 0u * OF STORIES:
HANICAL Wonk Eeing Done to the Accessory St.ucturei EfYes [*o
, is there a Natural Gas Line on the Cunrent Site?f] v"r I no
thls Building ? n yes E No
PROPERTY USE / OCCUpAiTCY:,-.SINGLE FAMILY
,.lio.,.
DET GARAGE
-
SF
POOL _ SF
DECK SF
$
15 Any ELECTRICAL, PLUMBIiIG oT
If the project is a Relocat
Is thene Electrical Power o
DESCRIPTION OFlt,a 0
ZONE: _ oFFICER:
Approval:_ City:
Coment:
K: Jr5 S \\)
DISCLAIVER lhercby ce ily harali inbmab.is applicaton is conecl and dly,ork wit comptywib ha stiar. Bliilding code snd a[ oherappt{cabte sEb and tocd taw6
and ordnances and legulatlons, The NHC enl Seruices C€nbr wiltbe noilied ol any chaues in h6 apprcy€d plats 6nd spscificaii,cns orchange in conracbror
contacbr inbrmalion. "'NOTE: Aoy Work W/O theAppmpri8b P€mdswillbe in Violation ofth6 NC Srab Bdg Cods snd Subject to Fin€s Up To t500.00,.'
c NER/CONTFTACToR:SI6{ATURE :
I
PA A E
+ * )** )t,* x,i *,i ri* * )t)**,t **,t)t * * * *ri* * *,i,t lr * **,t,i* * ** *,i, *,t*** * r(,i*
IS THE PROPERTY LOCATED IN A FLooDPLATN? f-l yEs f] uo
EXISTIiIG I PERVIOUS AREA:
NEW IMPERVIOUS AREA:
WATER; L:] CFPUA
SE[.,ER: L{J CFPUA
REq.'IRED FOR GIECT, I,rECH, 9186, 6As EQUIP, PnEFASS & rrrtSERTS '*'PAYnE[r [ErHoD: I clSx CHE CK BL TO NHC tr AIiIE RI CAN EXPR E 5S tr t1c /VISA,* *,i * * * * * *** *,ht* ** ** )h* * +* *** *,* *rt +*,t***,*,i *
(FOR OFfTCE Ult oiLY)
SETBACKS:F: LH: RH: B:
BFE+2ft=
N
DATE: FLOOD:
AV
PERMIT FEE: $-PS
! nrr crnacr _ sF
f] surunoor'r
-sF
! cne e uror..rs r
-
sF
BLOCK #: LOT f:
NEt^r coNsrRucTrorut I rnecr
,'7'
ouelex fl To{.,NHousE
l-/2ott, V\71
NEW
APPLICANT's llAI'lE : sanco
DEVELoPER: sanco Builders
sUBDIYISION:
PRoPERTY o|,$IER'S NAIiIE I Na
oWNERjS ADDRESS: 75ro Rl d
ANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; RESIDENTIAL
LEASE ANsllER Att glESTIOl,lS APPLICAALE To YoUR PROIECT
"Project Responslbllit/'
CIWi vtirmlnqton
BLOCK *: N/A
lo
APPLICATION
Nunber
(oFfl.e Use)
DArE : _gll3llE_
PHONE *: jl!:f:]:ll:jzl
ZIP I zBat2
LoT *: ]!lL
PHONE *:gto-zgt-trse rl
CITYi willtrinqEon sTt NC zlp: 28412
CONTRACTO
ADDRESS:
R: sahco
3t6l
Ei.4AIL AoDRESS; narhan@e
PRO]ECT CONTACT PERSON:Na sanderB
ExrsrrNc coNsrRucrror: fl l
NEW CoNSTRUCTTON, ! enrCr
*T.PLEASE CHECX AiID AIISIIER BEL
f| err eanacr
-
sF
I surunoom
-sF
E cnrrnuousr
-
sr
TOTAL HEATED 5Q FT:A
TERATToN I nrmvnrtor I eeltennt- nrnerns ! RELocATToN
EW RESTDENCE o" @ AOOrrrOru TO EXTSTTNG RESTDENCE
ALL THAT APPLY TO YOUR PRO'ECT:
E orr eamee sr ! eoRctt
-sF
! eool
-
sr STORAGE 5HED
-
5F
! orcr SF oTHERT @!lg!c- 5F
TOTAL SQ FT UNDER ROOF : ]!IL- TOTAL AREA SQ FT ; II4-
$ lt'ra * OF STORIES:
cHAIIcaL r,lork Being Done to the accessory structur.? [l V"t I No
n, is thene a Natural Gas Line on the current Sitel EYes Euo
PIONE #: 910-?91-1196 Xl
PHONE *: e1o-?str:tfg!x-L
** +*'i {:fi *+ i r**rt *!t * *,**,t **:t + *+* ***** +++** *,i******'F* +***,}*
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBII{G PERfiIT; VrS [ rc
N
TOTAL PROIECT COST G'a! t"r,
]s Any ELECTRICAL, PLUI1BING OT
If the project j.s a Relocat
DESCRIPTION OF WORK:ta
,**** *x(,* r'**+ * +,*,*,1'i:1,* *,t* r'
Is there Electrical Power this Building? Ef Yes I No
PROPERW USE / OCCUP'NCY:sTNGLE FAMTLv ! ounrrx I rowttHoust
DISCLAIMER lh6lBbyc€dlt h€r a! inbmsdon
6nd ordinacas €nd BsulBlbN,Th.NHC D€\€lo
!116 sppllcalon i6 comolaod all work *lllcomply Yvlh ho Sbb Bulldlng Code.nd 6U otor aPPrrclbls St b .nd lodll6w3
SbMc66 c6nbr wll bo nolfi.d ol uy ch.ngos in $€ 8pprcEd pbns 6nd speM6dons o. chmg. n .on tEbr or
contBcbr lnbmEion. '-NOTE: Any Wolk wo th6 AppEprigb P€mltE wlllb€ ln Viol6don ofh€ NC St6E Bldg code .nd 9ubj6clb Fines Up To 9500,00"'
OWNER,/CONTRACTOR: rer K SIGNATURE:/Y//2*', k*r<-O-"1
**(
I5 THE PROPERTY LOCATED IN rlooorurHl I ves E rvo
DGSTING IMPERVIOUS AREA:
NEI,IJ ImPERvIoUS AREA:
SQ FT
sq FT
T.ATER: ! crnun I commurr svsrrm !PRIVATE I{ELL CENTRAL WELL
eerrc ! pRrvATE sEprrc f] courlulmw svsrrmsEl,lER: l-'] crpua I-..l certnn-7*. ,"I*o,,,,*
,a"meta, ,**r, E COSH
L
I
******* ***t +,f** **,t* *,t* *:i **+***,t**+**+***rt***** *** +*+++****** *******,*++*******+*,***** **
REqUIRED FOR ELECT, IilECH, PLBGJ GAS EqUIP' PREFABS & JIJSERTS **'
cHEcr( (IAvABLE ro rHc; I menrcAN ExpREss E n./,rrro I orr.ovr.
(EOt oFECE UsE OtLy) iEvtsED DATE O4l11/12
SETBACKS: F:_ l-H: RH:_ B:_ZONE:OFFICER:
Approval r_ City _ BFE+2ft= _
N
Comment I
DATE:_ FLoOD: _
A
PRO]ECT ADDRESS:
910z
LICENSE *: 34s2o
CITY: glgf!gl!!_ ST:gZIP: 28405
_ _RECEIVED APR 13 20fiI udv 0lAll3lu
'iz
N/I
PERTIT FEE:
dd+
-{s-i
Et
D'ctV' >Z>l
RECEIVEDApRlB2tll5
81UdV ClAllllu G
ii_
t t',)L(
!l cosf +.%r.J
NE
APPLICANT'S IJAflE:
APPLIfATfON
N!mber
_sq FT
DATE r _!jlflll!_
B
DRESS:7
Ni
OI,)NER'5 ADDREsSI 5L0 R!
DEVELOPEN:
PRO]ECT AO
SUBDIWSIO
CONTRACTO
ADDRES5:
EI.1AI L ADD
CITY: DllhlDdhon ZIP | 2aa12
BLOCR H: ]!IL LOT fl: III4-
PHoNE *: ll!:ll]:1i9q!
sT r J!_ ZIP: ?3j::-CITY
R:
3!57
RESS:
PRO]ECT CONTACI PERSONi
EXISTING CONSTRUCTION:
Is there Electrical Pov,/e
IATE R n C
LICENSE S: 3,rs2o
PHoNE f: 910-791-1r96 XI
PHoNE 3: 910 -791 -r196 r( i
ALTERATToN I neruovntroru ! eeltrnnl neeuns f] RELocATrotl
NEI.J CON5TRUCTION: E ERE NEW RESTDENCE o" I nOOtttOH TO EXTSTTN6 RESTDENCE
I+PLEASE CHECK AND ANSIIER B ALL THAT AFPLY To YouR PRolEcTl
f] oer canaer sr D poncu
-
sF[-l nrr canace
I-'l surunoou sF
l-l cnrrrura;sr
TOTAL HEATED 5Q FT;
TOTAL PROIECT CoSTtt*.$
AGE SHED SF,",'.."'."* tr 55,5 sl,
d oe\
{x+a
STOR
OTNER
S 0F sToRIEs: IVI_eo\cic \<)
I5 ANY ELECTRICALJ PLUIIBING
If the project ls a Reloc Ivu,E Nc
PROPERTY USE / OCCUP,\NCY I SINGLE FAI'1I LY I ourru I TOl,lNHOUSE
DESCRIPTIoN 0F l,{oRKI a MonlmenE Gate
DIScLAiMER: lhoroby ccni, hor.u ln,om n h nr16 oppll$i.n lsconoct all vro* wlll cohply wlh lr€ Sl3l! Bulldhq Codo 4d 6ll o h.r .pplic.ble slEb .nd hcal .w E
lnd.rdlndcoo ond 6gul.lhns.Tho Nllc lopmsnl soryl.s. Conlrwl! benoiied olinych8n!6s ln lhd .pprovod pkns ond 6pel,ld&os orchmo6 h con!icn.or
!onroob. rnbmodon, '_NoTE: nywolk m6d w/O h6 AppmFrlsr,r Pem,l5sIIbo h laoLdon ol08 NC SLb 6tO Code dd Eobj€cl b F]I.! Up Io5s00,00"'
r tlEcHANIcAl, ork Beint Don
tlon, is the.e a Natural
on thls Building? ff Yes
e to th€ Ac<65sory St.uctur€i Yes Eruo
Gas Line on the Current Site?
otlNER/CONTRACToR: re SIGNATUR E /Y?2.- llz-,<.a-n
i,r**x** trr 'I.* r' r - v7-* *a:i *:r:i *:r* * i* ** *++,l +* +t*+**
I5 THE PROPERTY LOCATED a rLoooelarrur f] yes f] ruo
EXISTING II4PERWoUS AREA I
NEW II4PERVIoUS AREAi SQ FT
w svsrrn !PRIVATE I{ ELL
No
TOTAL ACRE5 DISTURBEDI
ExrsT LANo DrsruRBrNc pER$rT. ff ves f] ruo
I o:scovee
ffcowt,L]
CENT I seprrc l-l puvarp seprrc Mat
CENTRAL WELL
CCII1F1UN lTY SYST EI.I
U
s Etl E R A crcu
E!IE TS REqU]REO FOB ELECT, I\ECH, P!BG, 6!5 EQUIP, PRETAES & INSERTs '+*
NT fi EIHOD U f].rro< lervlalr ro rxc; I arrnrcm exonrss E t./r.tocarH
(FoR orFtcE llsE ollt)nEv$Eo DnrE €4/11/!2
ZoNE: _ oFFICER:
Approval :_ Clty:
Comnent:
SETBACKS: F: LH: RH: B:
DATE:_ F1000: _ _AV
BFE+2ft=
PERI,IIT FEE: 9_
g
HANOVER COUNTY BUILDING PERTVIIT
APPLTCAfiON TYPE: RESIDENTIAL
PLEAsE ANSI,IER ALL QUEITIOII5 APPLI'AELE TO YOUN PRO]ECI
"Prolect ResPonsi}l1itY"
PROPERTY OWNER,S NAfiE:
PHONE *: 910-?91-1196 ll
rrYv! srtlmlhdton ST: lic ZIP: 23406
TOTAL 50 FT UNDER ROOF: N/A TOTAL AREA SQ FT! N/A
I eool
-
sr
I-l oecr sF
NEW HANOVER COUNTY BUILDTNG PERMIT
APPLICATION TTPE; RESIDENTIAL
LEASE ANSWER ALL QUESTIONs APPLICASLE TO YOUR PRO]ECT
"Project Responsibility,,
IU'15t{
@v,3\27
&
APPLICANT'S NA'i'IE :
OEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
,u1
PROPERTY OI{NER,5 T,IAfiE :
OWNER,S ADDRESS:
CONTRACTOR:
ADDRESS:
EII1AIL ADDRESS:
PRO]ECT CONTACT PERSON:
CITY:
CITY:
LICENSE #:
CITY:
L
RAGE SHED
CQ
E IPR 5 &I NS
PHONE S:/7
zrP: 2(///Z
P}loNE f: Eld^g fj'3q/3
st C z].P t2 g</ i2
srtQ ztP | 2y<,// )
PHONE *:9to 3<g:- 21, t/i 7
PI0NE *: glo )3?-<q37
D^rEt SjUa/6
SF
sr ttoo/
L
A ERATION R ENOVATION GENERAL REPAIRS RE LOCATION
NE[^J CONSTRUCTIOU, ! rnrCr
**PLEASE CHECK ANO ANSWER BELO
RESIDENCE o" ! AOOrrrOr,r TO ExrsTrN6 RESIDENCE
ALL THAT APPLY TO YOUR PRO]ECT:
I oer crnnce sr ! eoncr
--sF
EXISTII'IG IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
! orcr
_sF I sro
SF OTHE R:
POOL
ToTAL SQ FT UNDER ROoF:
TOTAL PROIECT COST tess ror; :# OF STORIES: i
Is Any ELECTRICAL, PLUI.'IBING or CHANICAL Work Being Done to the Accessory Stnu(ture? E yes
If the project is a Relocati
Is thene Electrical Porder on
Ot,NER/CONTRACTOR: /re / <J r
n, is thene a Natural Gas Line on the Current Site? [his Building? [*-l v"s ffino
Elnro
Yes [la{o
SIGNATURE:
TOTAL ACRES DISTURBED:
EXrST LAND DISTURBTNG pER[rT: E yrs l--l ruo
. TOTAL AR EA sQ Fr: :lA!_Z
? tly.-
PROPERTY USE / OCCUPANCY:INGLE FAT1ILY DUPTEX
DESCRIPTION OF WORK:
u) //L
DISCLAIMERT lhereby cedit $atallintomailon in rs applicaton is corecr and aU wo.kw I comptywih he Slare Buitding Code and at oher a pplicable Stale and locat tawsand ordinances and rcgulalions The NHC De nt S€ryices Cencr wittbe notlSed otany changes in tre approved plans and speciticarions orchange in contractororconlraclor inicrmaton'"NOTE:AnyWork Perform W/O t'e Approp ale Permits witt be in Viotarion of ihe NC Srab BIdg Code and Subjecr b F nes U! To $500 00.,.
(t,
,t *,t * !r*)r **,F* rt**t rt)***,t** * ,f,i
I5 THE PROPERW LOCATED IN A loooprarru? l-l yrs EKruo
* rt ,* )*,t )* )*,* + + ,f,t,k **++* )t)i* *** *** )*)**** **** *** *** )* **** *j***,k*
COIYMUNIIY
sEwER: ! Creul ! CENTRAL S
*,I * SEPARATE PERI1IIS
PAYIiIEMT flETHOO: E CASrr E
**** !* * * !*)*** )* + *,r * )t** *** * **
ZONE: _ 0F FICE R:
Approval:_ City:
Comment:
SQ FT
SQ FT
svsrrm ! pRrvATE taELL ! crurnal well
errc fl pRrvArE sEprrc f] cor,u,lurlrrv svsrru
|1C I s A
E QU I R ED OR E E c T It E c H P L B G GA5 E QU I
CK PA ABL E TO NHC tr B I L L accollNT tr
(roR 0FFICE UsE ONLy)
SETBACKS: F;_ LH:_
E R 5
8:
I orscovrn
iEvIsED DATE 04l11/12
DATE: FLooD:
A
-- BFE+2ft=
N
RH
PERMIT FEE:
APPLICATION
Number
(office Use)
BLOC( *: LoT *:
ACCOUNT *:
EXISTING CONSTRUcTION; E
! arr crnocr _ sF
I suunoor.r
-sF
fl cne rnHouse _ sr
TOTAL HEATED SQ FT:
TOWNHOUS E
MrER: f] creua I
*
gortn*3taZ
L6-LL82
ADDRESS:
EITAIL ADDRESS:
If the project is a Reloc
Is thene Electrlcal Power
DESCRIPTION OF T{ORX:5F
1,* + 'l **l *'t* * 'l 'r ** *l *, *** *
IS TH€ PROPERTY LOCATED It'l
HANOVER COUNTY BUILDING PERMIT
APPLI CATIort TYPF; RESIDEIIITIAL
PLEASE A'{SW[R A!I- qJESTIONS APPLICABLE TO Yq'R PRO]€CT
"Project ResPonsibilitY"
sloc( *:
CITY:f.J
LICENSE *:
CITY:mr
es
DECK SF OTHER:
DATE: 3 rD
prmr *r QID - t-.-i 1,3 .Z ?r7L
zrP I Z-Bqc3
IZG
PHOt'lE #:qtu 3'Zb1L
sr: [f zrP: ZBqD -)
ACCOtJilT }:
SI:N 03ZIP:
Prcnr l: 4lU t.{4 3 - zolz
P}ION E r: qiD \43-ZtfiZ
SF
d,r,
iltfr4E
NEW
"JK
APPLICATION
l{urber
(of{l€e use)
\1,
APPLICAI'IT,S I.IAIIE :
DEVELOPER:
PRO]ECT ADDRESS:
SUEDIVISIO:
PROPERTY O{.rNER'S ilAl'lE :
O,O,IER'S ADORESS:
CONTRACTOR:K
LOT S:
\\r
PRO]ECT CO'ITACT PERSoi,I:
EXISTING CONSTRUCTIOI: n LTERATION f] nruovarrolt I eeurnnl aeparns f] RELocATToN
NEt, co*sTRucrlol{, S ,**a,NE}I RESIDEIiEE O" f} MOTTTOI TO EXISTING RESTDE'{CE
*TPLEASE CH[C( AilD ANSI'IER ALL THAT APPLY TO YO,R PROJECT:
E orr eluet
-
sF $ro*.* bic t,ND
Arr GARAGE l"{-S sr
suirRooM _ 5F
GREEI|HOTJSE _ sF
f] noor- .-..- sr I sroRrer sHED
-
sF
TOTAL HEATED SQ FT:flt ToTAL sQ FT Ul,lDER nOOrr UDS.j ToTAL AREA 5Q FT: ..
TOTAL PROIECT COST 6ecs t-ot1 $*OF s TORI E s n
tr s No
C D L{x)
Is Any ELCCTRICAL, PLUIISING o $ECHAfl CALI l,{ork 8e l n E Do ne t t he AC c e s
t h r a I G a s L I n eon1sereaNatu
sor v 5 t ructu I e sne
U r t t e ?n e 5 s Noonthecrens1
t h 1 s I u 1 td 1 n c ?
FLOODPLAIN?
SQ FI
SQ FT
tf m NoYes
PR@ERW USE / Off(F'NCY:srr{6lE FAfirLy I u.letex I rouurousr
DISCLAIIvER: I nef.by cerury h al .[ls aonocl snd all lvorl yril comply wlti lre SnE auldhg Cod. 6nd sI ohcl app abb gale ad bcal ltrs
and ordln6nces and t€gulBllons, Th6 NHC Servlces CeaEr wlll be mlfod o{ sny clt€noes ln he apploved pbns a'ld spcclfc6uoos ot chan€o
contscbr bbrmato.. '"NOTE: Any work PemlB wll be io Vblotion ol fie NC Stats $500.0c"
OH ER/CONTRACTOR:SIGNATURE:
(P
;;...ffi :l *:i t t *** +** * *t*,1+* *
m
TOTAL ACRES DISTURBED:
4.1. L, L_EXISTIIIG I P€RVIOUS AREA:
}'IEH IiIPERVIOI'S AREA:3 EXIST LATD DISTURBI}IG PERiIIT:YES IE
AT* SEPARATE PERI'1I s
*** * l*t * r** * *** t +** * * *,1 ,*+ * I ** t, * * +*+:r ** 'lr.,irr* r *,t * * *****t * * ***l * r ** i t**+ * *,i*** ** 'f *** ** *.1i +
(roi orfrcE u5E oNLY)IEVI9CO ta u/tt/17
F
ffix
IIATER:
SEHER:
CF PUA
CT PUA I crnrnnr
f] co'lrul
srrrrc f| pRrvATE sEprrc f] coutlurrw svsrrn
svsreu I IRIVATE r.,rELL I ct*rRel wrlr
PAY ET{T r,rErHoo: f} cos,
REqJIREO FOR ETECI, i'IECH, PLBG, 6A5 EQUIP, PREFASS & IIISERTS I"
cxEcx (payABLE ro rucl [erlr xcorr ffi rarrrto f]orscovtn
ZONE: _ oF FICE R:
Appnoval:---. city:
SETBACKS: Fr LH: RH: 8l b8/
crw:
BEI
APPII(',IT'S I'AXE I
O€VTL(PER:
PRO]ECT AMRESs:
,rrDRE SS:
EfiTqIL AIDRTSS:
O'.IER'5 ADOR ESS :
CCSITRACTOR: h
Approval:
IJ W HAIIOVER COUNTY BUILDING PERMIT
APPLICATIUt rYPE: RESIDENTfAL
,riAsr ^rliti aLt a)utsrloi5 rppi,l(a8rt ro yqJi pcolt(r
"Project nespons ibil ity,,
2 otb4'47
1,6 -LLg2
APPLTC'I]O}I
-D\1U c\ \..r
-
CITY: -1.-. , -}{X1r!-- zlp: /eti 15
SLoCX t: -./LoI l: l7-tr
PHo E rr q.lL
r) +l3 Zt)7L
suscrt,Islcl: JtJ,
PROPER]Y OiftER'S IJI"I E :
K3t
PRolECr CotiTACl PTRSOfl:
EXISTING COHSrRU(l'Iollr
NEx coNs rnucltori: N €R
.rP!aa!t cHtcK au) Alslt€t
lTlarr eonncr ll ti.
f] sulnma _ sF
f crt:r'ror-,sr
Is Any Elt(rfiIc^t/ Plt}1al 6
If the pro:ect is a Relo
Is there E lectrl cal Powe
OI.JNER,/CO{TRAC''OR : ti\
CITY: [,^- ] '.. !t\irr..J
LICENSE {:
Pr€+{E t:Qr
5r: Yl zrn: zt-1-L.'>
ACCOUTI
',sr:Nf,li r, ,- z;l t.r3
Pt{t?rE s:.lLt- Nd,, ZA1Z
Pr{orE rr qit) Ll\i'?bi
\]
e
()CITY
^,\
t)
f.(.:.
{i\v
Ar:rqArroN f] aerwlrroH Ieenenrl nererns f] RElocarrot
T NEH nESTDEN(€ o" ! OOrrrOr,t rO €XtSrrtJ6 RTSIOENCE
L0{ ALL THAI APPTY fO YOU8 PROJTCT
r,!i
tion, is there a Nat!
l-L
Ll oE] GaRAGr sF L! poRcH
l-l oecx
xtcHArlrci! ko.k 8€ing
blc ,,
n pmr _ sF I sroRAG€ sHEo SF
SF
TOTAL HEATEO SQ FT:
ToTAI PRoIECT CoST rc*1j'-1.-)rL!X,s Or STOR I ES i 2-
5F OTHE R
SIGNATURE:
TOTAL Sq FT UNDER ROOF; .-T DiS TOTAL AREA SQ FI: -
on thi5 Building? []
Donc to the Acc€lsory ttu(tu-?7 [ t". |] nro
'al 6ar Line on the current sttet IyI M] No
ves S No
PROPT RIY USE / OCCUPAIICY
OESCTIT-IOr Of IOnx: ,5
S rr*,, rmllv f urclrx ! roeHnousr
olscLAlMEB: In'.b, crnray rrll, l.br&rn hll no9rsarfr 15 (o.roct 3.d * wt*r comply wlrt tu scll B!i6i]9 c.aa o.n dt on.r FrlalDts 31.c .na bd r&,
3.0 oldh|'c!r..<,c!!r.rbnr. Ih. NHc fr,l 5{drcas r-ns wltbo nr.6ra olmycn.Ter h n..ooroEd nb.! 6d 5!..inc.bn! o. cn D.dv6.a. hbfith "'NoTE A^yWb*w/O t{&Fop.l.E P.m,Elrrb. hVbr.r.6orfio NC SE!
IS THE PRO2ERTY IOCATED A TIMDPLAINT f ves
" :)- sQ Fr
Lt M
EX]sTIIG TY.PERyIOUS AREA:
IEI II'PERVIOI'S AREAI
9FPIIC
QU
.|1
Extsl LAro orsruRsrrc r.;Rrrr: f ves lItr uo
XFI TOIAL ACRES OISTURBE o, .LL
*rur, S:reur ! co+r tTy svsrEr,r 1-ll enrvrrr wrrr ]] crlrnaL nrtL
sEr{ER: N1] crPUA aJ CENTR
*'ji:.::"i?....[.'i::tc(
fl enrvrrr secr:c fi cotiuNrry sysrEn
tO
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