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JUNE 9 2017 BUILD APPS>-2ol7-u o rta :)'.). NEId HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE; RESIDENTIAL PLEASE ANSWER ALt QUESTIONS APPTICABLE TO YOUR PRO]ECT "Ppoject Responsibilit)d DT CITY: wilminqton10 s _ CONTRACTOR: Tribute constructi , Inc. ADDRESS: lo s. cardinal Dr Pet156 1 APPLICATION NumbeP (oFfice Use) APPLICANT'S l,lAllE: rribur.e consr ion, Inc.DATE; 04 - 13 . r? DEVELOPER:PHONE #: 910 -2st -s03o PRO]ECT ADDRESS:L CITY: wiLminqron zIP i 284L2 SUBDIVISION: Mlztle La.ndinq BLOCK #;LOT #: PROPERW oWNER'S tlAl4E: Mv-lrle veprules, Lr,c PHONE f: 9ro-2sL-so3o O}INER, S ADDRESS: EtiAIL ADDRESS: ctarle@rr ibuEeconstruct ion - com LICEIISE #: 5ooo1 CITY: Wil"rninqton ST: NC ZfP: 29403 ST: NC ZIP: 28403 PTPNE #: g:-o -2sr-23aL mOIECT CoMTACT PERSON: Kenr r EXISTING CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS I Rer-ocnrroru NEt'l CONSTRUCTIoN:ERECT NEI^r RESTDENCE o" f] AOOrtton To ExrsTrNG RESTDENCE **PLEASE CHECK AND A}ISI,IIER BELOI,' ALL THAT APPLY TO YOUR PRO]ECT: r ATT GARAGE - SF suNRoot"l sF I onrerunousr _ sr TOTAL HEATED SQ FT. L2 TOTAL PROIECT COST(LarsLo0 : $ e*eoo DISCLATMER I hereby ceniryfiat alt intormaUon in tis appljcaton ls conecl and al work \rlt and odlnances and regulations.The NHC Oevetopment Services CenlerwiU be notfed ofsncontador hbnnaton. '-NOTE: Any Work performed w/O the AppropdaE permjls w be io complywih the Srate Buitding Code and aU oher applcabte Sra|e and tocat tawsy changes in lhe apprO ved ptan s and sDectficalons or change ln contacicr or \rlctlatlon ofoe Nc srac Btdg code end subied b Ftnes up To 65oo.oq., OWNER/CONTRACTOR:ibut tI.1.rc Inc.SIGNATURE: !r * !*,r.:ir* + *)r,r+ * !r,r* * ** * ******* JiitliJil? rs rHE pRopERTy LocATED rN n rrooonLarrur f] ves EXISTING I!,IPERVIOUS AREA: O SQ FT NEW IMPERyIOUS AREA: 12?4 SQ FT * rt * * * {. * *,*:i,} *,i * *,i )t r.+***,*t()*** )**** *****,**r*,t*,** *****:**,t x* NO TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERITIIT: JEI YTS I-1 NO REWSaO OAIE O4/aa/!2: RH:- B:- BFE+2ft= VN MTEn: @ crrua ! cor$4uNrry svsrru fl PRTVATE WELL ! crrurur wrll sewen: [] cFpuA f] cENTRAL sEprrc ! eRrvarr seerrc ! coMMUNrry sysrEM ZONE: _ OFFfCER: (FOR OFFICE USE ON!Y) SETBACKS: F; LH *** SEPARATE PERMITS REqUIRED FOR ELECT, I{ECH, PLBG, GAS EQUIP, PREFABS & INSERTS I**pAyr'rE!'Ir rirETHoD: I crsr I cHecK (,A'ABLE ,o *r.l E *i^r; ;;;;, ''fr ".-r-ro^'' E rrr.or.***r** *** *'i*rt '**** ****** * * r*** **** **,t **** * *!*,t *,*)** **,i *rt,**,irt** **,i *++,*** ** **+,f *** **** **:r.+ **,*,t ** Approval:_ City:_ DATE:_ FLOOD: .-- Corment: I PERI'IIT FEE: g RECEIVED JUN O2 2OI7 PHONE #: 9r0-612-g14B ! orr ennror sr I eoncn -E83_sr! eool _ sr I sronaee SHED _ sF ! oecr _ sr oTHER: _ sF rorAL sQ Fr UNDER noor: i?-]l TOTAL AREA Sq rr: lssl # OF STORIES: 2 rs Any ELEcrRrcaL, pLUflBrNG or I,rEcHANrcAL work Being Done to the Accessony structune? [ ves ! ruorf the pnoject is a ReLocation, is there a Natural Gas Line on the cunrent site? [ ves I uoIs there Etectrical power on this Bullding? l-lyes J-.lHo pRopERry usE / occupANcy, ! sruele remrrv ! ouerex @ rowNHousE DESCRfpTION OF WORK: consErucr ner^, rownhome )a1 -bD/ b NEW HANOVER COUNTY BUILDING PERMIT APPLICATTON TYP E: RESIDENTIAL PLEASE ANSWER ALL QUESIIONS APPLICAELE TO YOUR PROJECT "Project Responsibilit/' l-7-1815 Application Number (office use) AppltCANT's NAME: Pulle Homes p31g; 5-31-'17 pROJECT ADDRESS: 41 1 1 Passerine Ave clTy: Wilmington 7p. 28412 SUBDtVtStON: Del Webb Riverlights tOT #: 01 'l 25 pROpERw OWN€R,S NAME; Pulte Homes pHONE #: 843-353-5119 owNER'5 ADDRESS: 3504 Faringdon Court Ctw: Myrtle Beach 21p.29579 6oNTRACT6R: Pulte Homes g1p6 uqsx5g p 19311 ADDRESS: 3504 Faringdon Court ctw. Myrtle Beach sr: SC zrp. 29579 EMATL ADDREss; Tiffany.Bowie@Pulte.com PROJECT CONTACT PERSgx Tiffany Bowie *.*PLEASE CH AND ANSWER B ALL THAT APPLY TO YOuR PROJECTTi*i' PHONE: 843-353-5119 pHoNE: 843-353-5119 /ll.te"rae"lsr)g,i{,,n1rrl538 I Sunroom (5F] _ fl Greenhouse (5F)_ 425 TOTAT PROJECT COST {Less Lot): 5 134874 OISCLAIMER: I hereby.ertify thar allthe information jn this application ircorrect and allwork will complywith the State BuildinS Code and all other a pplica ble State and locallaws and ordinances and regulationj. Th€ NHC Development Services Center willbe notifaed ofeny changes in the approved plans and specifications or change in contractorinlormation. "'NOTE Any work performed without the appropriate permits will be in ; Tiffany D Bowie violation oft Signature: he NC Bldg ds ie.t to fines up to 5500.00'.. Owner/Contractor "Licensed Quolifie/' ls the property located in a floodplain? E yes D No Existint lmpervious Area; _ Sq Ft Total Acres Distu.bed: New lmpervious Area: .--.*- Sq Ft Existin8 Land Disturbing permit: fl yes E No WATER: E CFPUA tr Community System E private Well EI Central Well E Aqua SEWER: E CFPUA tr Community System E private Septic I Central Septic D Aqua Zone; _ Officer: _ Setbacks (r) _ (tH) _ (RH) _ (Bl --Approval: --- City_-. Date: _ Ftood; (A)_ (V) _ (N) _ BFE+2ft= --l3b t 7q Commenti Permit Fee: S t\/: EXISTII{G CONSTRUCTION: I Alteration n Renovation f] General Repairs NEW CONSTRUCTION: fr,/rect New Residence D Addition to Existing Residence E Relocation E Det Garage (SF) n Pool (sF)-- ! Deck (5F)_ n Stora8e Shed (SF)_ n other (sF) _ ls the proposed work changing the existing footprint? [ yes D No TOTAT sQ FT UNDERROOF (lor proposed work) Heated: 1962 Unheated: !63 lsthe proposed work changing the number of bedrooms? fl ves fl no lsanyElestrical,PlumbintorMechanicalworkbeinBdonetotheAccessoryStructuretryeslNo lf the projectisa Relocation, istherea Natural Gas Line on the current site? E yes D No ls there Electrical Power on this Building? E Yes E No ,/ Property Use/ Occupancy: y'single Family E Duplex E Townhouse Description of Work: Martin Ray Elevation LC3G with screened porch, fireplace, study ILO flex, master bath option 1, walk-in shower @ bath 2 :r )n-toz/eNEW FIANOVER COUNTY DEPARTMENT OF BUILDING SAFETY 230 GOVERNMENT CENTERDRIVE - SUITE 170 WILMINGTON, NORTH CAROLINA 28403 Telephone: 910.798.7308 Fax: 910.798.781 l Internet : www. nhcgav. com t, 4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE STATEMENT OF UNDERSTANDING Tiffany Bowie (Pulte Homes), am submitting an application for a residential building permit to New Hanover County. And, as the applicant or person submitting the application, I check the box/boxes below to acknowledge that: Ul I have attached an official CFPUA receipt or document that has a nowledged an approval of the payment made to CFPUA. I have attached an official proof of a Zoning sign-off from the City of Wilmington, for this work that will be done in the City of Wilmington. tr I have attached an official proof of an approval granted by the New Hanover County Environmental Health Department, for this work that requires an approval from Environmental Health. lf the application is correct and complete with the required drawings, and if there are no corrections or revisions to plans and drawings, and if there are no further clarifications required by New Hanover County; New Hanover County can guarantee that the building permit will be issued within 4 (four) to 7 (seven) working days after the official submittal date/time (the stamped date/time notation made by the Building Safety Department on the application or submittal document). I understand that the 4 (four) to 7 (seven) working days only begins when the aDolication is submi D nor to 4:30 pm on any working-day. Signed in acknowledgment: Tiffany D Bowie 5-31-17 Sig nature Printed Name 4lil Passerine Ave Address for the proposed residential work: Date s ) or> (ooa NEW HANOVER COUNTY BUILDING PERMIT APPLICATI ON ryPE.. RESIDENTIAI. PL€ASE ANSWER ALL QUEsTIONS APPLICAELE TO YOUR PRO]ECT "Pror€ct Responsibility'' 17-1819 Application Number (office use) AppLtcANT,s NAMEr Pulte Homes Oate: 5-31-'17 pROTECT ADDRESS: 3755 Old Sand Mine Drive CtTy: Wilmington 21p.28412 SUBDtVtStON: Del Webb Riverlights tOT #: 011 18 pROpERTy oWNER,s NAME: Pulte Homes pHoNE #; 843-353-51 19 OWNER'S ADDRESSi 3504 Faringdon Court 6ONTRAST6R: Pulte Homes s1s6 gggx5g s. 193.1.l ADDREss: 3504 Farinodon Court CtTy: Myrtle Beach sr: SC zrp: 29579 EMAtt ADDRESS: Tiffany.Bowie@Pulte.com pxorur: 843-353-51 19 PRO.IECT CONTACT PERSON:Tiffany Bowie pH6it6. 843-353-5119 /Sunroom (sr)200 n Pool (sF)L_J 5rorage shed {5i,_ n Greenhouse (5F)_tr Deck (sF) ls the proposed work changing the existing footprint? [] yes [] No TOTAT SQ FT UNDERROOF Uor proposed work)Hgs1s6;2736 Unheated: 807 TOTAT PROJECT COST (Less Lot): S 173076 lstheproposedworkchangingthenumberof bedrooms? E yes 0 tto lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEyesDto lftheprojectisaRelocation,isthereaNaturalGasLineonthecurrentsite?EyesENo Is there Electrical Power on this Building? [3 Yes E wo ,. Property Use,/ Occupancy: Single Family E Duplex E Townhous€ Descript ion of work: Sonoma Cove plan, Elevation LC2H, Sunroom, Fireplace , 4' Garaqe Extension, Master Bath Option 2, Walk-up Attic Stora Dlso lMER: lhereby.ertifY that allthe inlormation in this application is correct and allwork willcompV with the state Buildidg code and allother applicable state and local laws and ordinances and regulations. The NHC Development Service5 Ceoterwill be notified of any change informatio6. *arNOTI: Any work performed without the appropriate permits will be in violation of the NC s in the approved plans end specifiaations or change in contractor up to 5100.00*** Owner/Cont ;361q1; Tiffany D Bowie Signature: "Licensed Qudlifie/' Print Nome lsthepropertylocatedinafloodplain? D Yes E Xo Existing lmpervious Area: _ Sq Ft Total Acres Disturbed: State Code and fi New lmpervious Area: _ Sq Ft Existing land Disturbing permit: D yes E No WATER: E CFPUA tr Community System n private well EI central well n Aqua SEWER: L CFPUA D Community System E Private Septic E Central Septi€ E Aqua Zone: _ Officer: _ S€tbacks (F) _ {tH} _ (RH} _ {Bl _ Approval: _ City: _ Date: _ Flood: (Al _ {V} _ {N} _ BFE+Zft= _'b'3Ll-Comment: permit Fee: S Cny: Myrtle Beach 71p.29579 EXISTING COI{STRUCTION: f] Alteration n Renovation f] General Repairs -./NEW CONSTRUCTION: gErect New Residence E Addition to Existing Residence n Relocation ***PLEASE CHECK Af{D AIISWER BELOW ALT TXAT APPTY TO YOUR *** MAtt Carage 1Sr; 697 E oet Garase (SF) fiorch gr1 110 n other (sF)-- a ^,.-NEwHANovERCoLTNTY "/ al )-G o-zcl DEPARTMENT OF BUILDING SAFETY 230 GOVERNMENT CENTER DRIVE . SUITE 170 WILMINGTON, NORTH CAROLINA 28403 Telephone: 910.798.7308 Fax: 910.798.781 I Internet : www. nhcgov. com 4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE STATEMENT OF UNDERSTANDING Tiffany Bowie (Pulte Homes), am submitting an application for a residential building permit to New Hanover County. And, as the applicant or person submitting the application, I check the box/boxes below to acknowledge that: il I have attached an official CFPUA recei pt or document that has a nowledged an approval of the payment made to CFPUA. I have attached an official proof of a Zoning sign-off from the City of Wilmington, for this work that will be done in the City of Wilmington. n I have attached an official proof of an approval granted by the New Hanover County Environmental Health Department, for this work that requires an approval from Environmental Health. lf the application is correct and comptete with the required drawings, and if there are no corrections or revisions to plans and drawings, and if there are no further clarifications required by New Hanover County; New Hanover County can guarantee that the building permit wil! be issued within 4 (four) to 7 (seven) working days after the official submittal date/time (the stamped date/time notation made by the Building Safety Department on the application or submittal document). I understand that the 4 (four) to 7 (seven) working days only begins when the application is submitted prior to 4:30 pm on any working-day. Signed in acknowledgment: Tiffany D Bowie 5-31-',t 7 Sig nature Printed Name 3755 OId Sand Mine Drive ffi, t, I Address for the proposed residential work: Date t l ffi 9oflIpo2) NEW HANOVER COUNW BUITDING PERM]T APPUC/.TI(N TYP E: RESIDENTIAL PTEASE ANSWER AtL qUESIIOiIS APPTICABTE TO YOUR PNOJECI ?roJ.ct Ra$onsibilh/ 17 -183s Appllc.tion Iumber lofflce use) UCAITT'S NAME: IECT ADDRESS: IDNISTON: E Att Garage (sF)o )PERTY OWNEBS NAME:OTY: SNERS ADDRESS: ,NIRACTOR: )DRESS: UIAIL ADDRESS: PHOIIE: ROJECT @T{TACT PERSON: Xlsn G @ASTRI filo : E Afteration E Rcnovation El Genorsl Repairs EflCoilSTnUCTTO{: {Erect New Resldenc. Et Addition to Exbung Residrnce E Relocation Datr:z -\1 OTY:ZIP:a8 +ol toT #: PIl(}NE f:5o o ztq, lDLe) BIDG UCEIISE *; sr: f..lrztp: _a-B"lgl2 t t o a57l*l o \f oool (sR jl. stonee shed {sFl E Ded (sF)D E other (sF) 9LEASE ctIECX AND A!6lirEn BEUTW Atr TI{AT APpLY TO YOUft PEOJECrrt' Et ttQtclrete (sF) O I rot*tsrt o Sunroom (sF)o El Gre€nhouse (sF)o ls the proposad work changing the existing footprint? tr t*^tr.r*l ^ToTALsq m u oER BooG llot Proposed*o't) x*t"a'--d!-ljz--- unh6ttcd: rorAr PRorEct @5r (tess Lot): Sj!Eg-Q@- -/ bthe propd€d work ctan8ing the number of bedrooms? EzVec El lto '/ ts eny Elactdt l, Plumbtnror mctaitcalwork belnt done to the Accessory structurc E4cr El No tf tlr. pmiect isa Bclocrtton,ls urere fra'"tfotti"".* ut€ cutront site? El ver Gla(o Lit.r" r-t"oacar po*er on thls Buildlng? EFYcs El t{o PloFtY t r./ OcEttplltcy: DGtErlptlon ol WorlL g/sgna-rv Duptcx El Townhous.b Dlscl,altliER:I hseby .Ertlry $d .ll dtehformttion ln thb.Pdhatloh C con€cl .Id ai wori(wll .ornpv ttih th; st te &rlldnr cod. end al o{har applicaol€ Stato and lgc'l L\i! and ordinanc€s and reguhblE' Tha t*tc Davslo9minl S,3rvLag C!fit.rwl b. nolmd of eny duna6 h tte.PProvod dal6 and tpodflcatlorr or dranlo h codr.do. ffi rmrdon. t"ilOTE A^Y wort the approprbta pomltt wllb€ ln violttlon ofthe C code rnd 3u to fln=jllo $:o.oo"r Requrreo, I I &254'CD irl Commant: s ?rl t- Tot lAcrutDknl.b*, ' OQ Edrtlna trnd Dl6r6lng Pcrmh: d v.3! m :' ffi ilding permit to Neur Hanover CountY' l app on, I check the borlboxes I have attached ack ged an a I have attached \Mlmington, forthis r h\B-attached Environmenta from EnvironmentalHealth. Signed i acknowledgment: Signature Address for the proposed residential work: 9r< Date NEW HANOVER COUNTY DEPARTMENT OF BUILDING SAFETY 230 GOVERNMENT CENTER DRIVE - STIITE I7O WILMINGTON.NORTHCAROLINA 28403 Telephone: 910.798.7308 Fa: 910'798'781 I I nte met : www. nhcgov' com 4 tO 7 WORKING DAYS TURNAROUND TIIiE FOR PERMIT ISSUANCE STATEiTENT 9F U NDERSTANDING am submitting an application for a reslden And, as the aPPllcant or Penson submitting below to acknowtedge that: an official CFPUA receipt or documentthat has pproval of the payment made to CFPUA' an official proof of a Zoning sign-off fromthe City of work thatwill be done in the City of Wlmington' an official Proof of an aPproval granted bY the New Hanover I Health DePartment, for this work that requires an approva tial ltheapplicatloniscortectandcompletewiththerequireddrawingg,andif herc arc no correcuoi" oi,"rr"rons to prans and drawtngs, and if therc are no urther clartflcations *q'it"O nV New Hanover Gounty; New Hanover County lan euarantee that td;;iiiitl!"*t1Y!!Lb" lssued withln 4 (four) to 7 (seven) rorklng days afterth;;fti;ffi;o'itt'l dateftlme (the stamped dateftime notation made by th";;iilinglateu oepartment on the applicatlon orsubmlfral document). I unoerstaii'iiii'tt" o fi'9"11" z (seven) worklng dave onlv beglns when the to 4:30 pm on any worklng'day' Printed Name d*^ t ffi ,\ot)'boZL NEW HANOVERCOUNTY BUITDING PERMIT APPUCAilOil TYPE; RESIDENTIAL PTEASE ANSWER ALL QUESTIONS APPTICASLE TO YOUR PROJECI "Proicct Rc.poh3lbllly L7-L835 Apptcatbn Number (oface us€) D.tc ZlPi tor r4: AIUEL 3156ucrx55x' 1 lB*{ PUCAN?S NAME: OJECT ADDRESS:iro rt IOPERTY OWNER'S NAME: WNERS ADDRESS: Ot{TRACIOR:(a 9 0 tt}DRESS: :MAIL ADDRESS: PROJECT CONTACI PENSON: B0sIlilGcolilSIRUCIl0|,1:EtAlteratbnoRenovstionEGencralRepalrs M r Ua"'pxonr r,0 0 J*OTY: OTY: OTY:sr:ALzlP:v0 o NAll, El At Gar.8e (sF) -.- El sgrroom (sF) - E Gre€nhous€ (5F) - cosrnucnar;Pr4req ( El Det Gar€o tSR O Pool {st}- tr Dcd (sF) - Yes E No G PHONE o 37 7 E Porch (s t) --- E Storage Shed (SO {ot'"'(sF)70 ? oo\o t{ S"L Unhr.trd: -- El No New Re6idence Et Addttion to ExMIE R€sldence E Relocati'on PLEASE C}IECX AiID AI{SII'ER BELOI AU. THAT APPLY 'O YOUR PNOJECT... ls the proposcd work chan8lng the extstnS footnrtnt?d TOTAL SQ FI UNDER ROOf (for propos€d t{'orkl H"trd: Propcrty ut / occup.nct(sndc F mnY E Dupl' E Torvnhouta Dascr{ptbn of Worlc ls the Propo6€d wBrk cllanglnt the number ot bedrooms? r "tw'gitf-f, pf"mbht or M*h'nlc'l wo belng done ft tft" p-pct b " ndoc.tlon, is thers e NatUEl Gas llnc on i *"[ i',."tr.", tower on thls Buildinrr { var EI no tr vea U Ho to the dlersorv structure !( Yas the cunent slte? tl v.. (fo (Zsr u-5b,utrl ?oo DEClrlMEl: I h6r.by c.ntrl that all the hormstlco ln thb .Ppllittlon b con€at .nd all vro wltl comPv wlth the St te &rlldinS (ode and .ll ottlet .pPnc.d€ stat6 'nd local lau/r and ordlnanaE and regulztbt!.The NHc D€l/cloPmdll sa,vlc6 c'ilterwill be notm€d of arY cttn86 ln the approv€d data ard sFdtLatlorE or dEnge h contridor hronnatlon. t"NoTE: Arywo* parform'd wll,loln thr .PPoPrlrta Pormts wlll bo ht vlolatlon d thc llc sltl€cod. .nd $Hed to ,ln.t !P to$so.oo.l' ounrr.lContradot: "tk nt d Qt dW' Sltnttur.: Prlnt I'laffte bthc properly loc.ted in a 6oodplain? tr vcs KNo E**lra hpctrbu3lr-, O sq rt Ncr^, tmp.rvlout Ar.., 30* sq r' Totrl AGr6 Dlstult dt - E lstl trnd Dk0lrbln! P'rmlB El vcc {b well Et c.ntrllwell El Acua s€ptlc El centrals.Ptic E Aqua WA1EN:CFPUA E Communlty System El Private gEWERI O fl" scturcta tg kturl--Xltt", l.- lat-&'Ct\lyl)p/c+Ltrt"\CFPUA tr Communlty Syst€m tr Prlvate ?-onei nnt_M_1g1_l!_ere+zt.-1r Apercvll:otn lu4 oact{-?A4\oatoY- Commcnt:tt IB Permh fce S o,'(al o 9d o reomstot: Sr tn ^I !'\ 1{1''n ToTALPRolEct GT (Lei, Lo{: S-Lq{-0rc- l-l \?- \n\ b I{EW HANOVER COUNTY BUI]DING PERMTTAPTAn,ON TYPE RESIDEI{TIAI. PI.EASE ANSWER AtT OUESNOIS APPUCAST.E TO YOUR PNOJECT "prcrect iesporlrlbl$tlf 2 or1- boz3 Apptbt ; (offce use) aIolt1 5,ri.lt,l t7 ;4:63t I I ii II I II I I! i { I I I t!It aI ,i :tII,I i I I I Ir fi tt 1;rpgqql-75 116y9, Stevens PROJECT ADDf,ESST tz T/A Stevens Fine Hornes Oate QW:zp: 28409 sUBD,tVtStOXr Th€ CrBsk at willot,t ick toT *: PROPERTY OWNB,5 NAME Steve0s Building Company nronr *: 91 G794-€699 Owt{ER5 AITOiESS: 5/10 Ol€nder Driv6 Sufie 200 c|Ty: Wilmington Zp. 282103 6911tra6161 Stevens Buidrrg Company gtDG,CE1SE S: 31626 ADDRESS:5710 Olernder Drir€ Suib 2A0 oTr: WilmirEbn 5y. NC gp, 2E4O3 EMAIL AODNESS:PHolrE: 91tr79-8@0 pRoJEcT cotlrAcr ptnsol: Slaci Nicfiokon p6qp6; 9.1332{515 EnSnNG @ SfnUCIlOl{: O eratbn tr Renovztion E GrreGlRepatrs ilEW @Xslnfrcno , d E ot l* n**a"r= E Mditior to &i$fE ReCdence tr Reloedoo / '..?1EASE OcCr aro AxsrxE Bfrotu aI rHAr ApptI To yot t pnotBcI..* d rtt earage 1sq tibb tr Det Gares. (sR _ ,**,* IOti O sunrooh (sFl- O pool(sF) .-- tr storaFshed (sR.....--- tr creenhou5e (SR _tr Deci( {5R --- E other tsF) 15 the p.opo5ed work drangingtie €risting fooFaml tr yes d to TOTAI, SQ Ff U DER n(xrF Vot p@wed w*l n *a, bOb Udreat d:561 TOrAI PROTECI G,SI (tE6s t qrli 120,0@ a lsthe proposcd work dunging the rumber ofbedrooms? E Ves d fo ls any Eedriel, Pto,bit or MrdtrlcJ wo.k b€in8 done to the A.E€sso.y stnrcture fr ycs d mf th€ proFd is a Reloedor, is ther€ a Natur.t Gas Lige on thc orrreor dteZ tr yes d ]{o ls ther€ El€ctslcalpower on this Bufiding? tr yes d.fo Propcrty Usc/ Occupncy: d SrU. f""tf, tr Dt faa tr Tormhos* Dsc.ipdon of Wo.k New Residenthl Consfudbn DlSCtAta& I herlby c.rtify $at .11 tE [rDnnaEor| h 6b apdt€dql ts coftd .nd .I wrt w rqTly wtdl dE SEre Sufldtts Code .rd dl oftc't!9Lau€ strt! ard toGtbws .nd ordlmne5 ad r!guld*rn5. Th€ t{HC t}evdopn.rts.rrL.s Csriterwllt b6 nottfed of anv dralt.s h ttl!dala and sD€dfi@to.Lr o.i{ormd.[ ...I{OTE: Any wst p€rfdrr€d rthd.Ath€ rpproFirt plfmntsurifl b. h virHo.r of th€ NC Code to fnes 14 ro Ss@.mF.. SteYensOwDer/ConF.dot: "Lienscd qrdfrer'Pdtft Noo,e lsthe prope.ty located ln a floodplain? tr yc! d ib Edsdng ltrplrvtosr Arcs. 151, scft Ne.wlmpenbusAreE, l5l' qft Signatlrre: totel lner ot*rr*a: 1/3 EdsdrELnd Dtorbfr(plnrit tr yea d ib WAff* d CFPUA E Communtty System E prirate Well E Centralwell E Aqla TswW&i,w,tri,,ffx,w aw-a, 0* *r, LA{ .*,(/6/,/ H""diht M_trq X an zr_-^*' *o*,s lb bc i I I j 1Or.{/--- /n' I _:/ii/ \, CONTRACTO .\61\$ NEW HANOVER COUNTY BUILDING PERMIT AP P LICATI ON TYPE: RESIDENTIAL PLEASE ANSWER AtL QUESTIONS APPLICABLE TO YOU R PROJECT "Project Responsibility" ,lblT@21-+JUl+? 3!fir'hApplication (office u se) lt f<^.t H,,-.6 -6- 1-rAPPLICANT'S NAME PROJECT ADDRESS: PROPTRTY OWNER,S OWNER,S ADDRESS: ME:o Ol^* r- ^ ,kA,/CITY Dnt e SUBDIVISION:+S Ohh <.+\ .t_^ Cc^u,-el \- LOT II ztS Y 2 J..--.'\,7 !-L-L.rl t I CITY L^s *. \.-G".^,' /-. 9, o-3 / 3^??? / 7 PHON E # CITY: (,ll*i*ZIP t /<*) <-[J.^.I A BLDG I-ICENSE /1 '7l1gc1 5T 11]Lzrp:29 noC PHONE 7za-ils *f ) PHONE '?, ,' - 5.i ..5 ii2 LADDRESS; EMAIL ADDRESS:tr C) PROJECT CONTACT PERSO N b\-l]- c^ .-.r- EXISTING CONSTRUCTION: ! Alteration D Renovation n General Repairs NEW coNsTRUCTIO t'l: ffit New Residence E Addition to Existing Residence ! Relocation HE K ND ANSWER BELOW ALt THAT APPLY TO YOUR PROJ cT'i* * dn caraee lsF)5>G D sunroom (sF) E Det GaraBe (SF) D Pool (5F) ! Deck (sF) Porch (SF)t52 n Greenhouse {5F) _ n storaBe sh drn",,r, ls the proposed work changing the existing footprint? E Yes ! t',to i,' t '-l unheated: 2Ztt t ed (sF) _qv porc I t_4 _/F)-h D l^7 (s TOTAT SQ FT UNDERROOF lJor proposed work) Heated: TOTAI- PROJECT COST (Less Lot): S r o ls the proposedworkchangingthe numberof bedrooms? E Yes E No ls any Electrical, Plumbing or Mechanicat work being done to the Accessory structure D Yes 0 No lf the project is a Relocation, is there a Natural Gas Line on the current site? E Yes E No ls there Electrical Power on this Building? E Yes ! No Property Use/ Occu Ornrr, {rrn le Family !Du p lex Townho .OL c-" S, c/e^ c9)Description of Work:.r'(,-f -\ laws and ordinances and regulations. The NHC oevelopment Services Center will be notified of any chanBes in the approved plan5 and specirications or change in contractor information. "'NOTE: Any work performed without lhe appropriate permits will be in violation of the NC Slale Bl d subje Owner/Contractor: "Licensed QuoliJiet" )o- ke) ^6*6 L.Sign at u r ls the property located in a floodplain? Z Ves ffi Existing tmperviou, er"", /O4fJ sq rt Total Acres Disturbed: , I 7 Sq Ft Existing Land Disturbing Permit: n yes n ruo ystem E Private well ! Central Well I Aqua ,. sEwER: O/cFPUA n Communitysystem E) Privateseptlc E Central septic E Aqua Zonei - Officer: - Setbacks (F) - {LH)- (RH) - (B) -Approval: _ City: _ Date: - Flood: (A) - (v) - (N) - BFE+2ft= - es up lo 5500.00 ", 70 lLNew lmpervious Are WATER: ! CFPUA Cornmunity S ) Comment:Permit Fee: S \,/b.r I ta' I )oD-Q03 I v\ NEW HANOVER COUNTY BUITDING PERMIT APPLI CAf ION rYPE: RESIDENTIAL PLEASE ANsWER ALL QUESIIONS APPLICABLE TO YOUR PROJECT "Proiect Responsibilitly'' L7 -L822 Application Number (office use) AppgCANT,S 114;y16; Pulte Homes oate: 5-31-17 pRoJEcT ADDREss: 4022 Passerine Ave CITY: Wilminoton 71p. 28412 SUBDtvtSION: Del Webb Riverlights tOT s: 01074 pRopERTy oWNER,s NAME: Pulte Homes pHoNE #: 843-353-5119 OWNER,S ADDRESS:3504 Farinqdon Court CONTRACTOR: Pulte Homes sroe LtcrNsr *. 19311 ADDRESS: 3504 Faringdon Court ClW. Myrtle Beach Sr: SC Ztp: 29579 EMAtt ADDREss: Tiffany.Bowie@Pulle.com pRoJ€cT coNTAcT ptnsoH: Tiffany Bowie EXISTING CONSTRUCTION: ! Alteration n Renovation n General Repairs,/ NEW CONSTRUCTION: dErect New Residence n Additionto Existing Residence n Relocation pxorur. 843-353-51'19 p11sx5.843-353-5119 {Att Gateee tsFt o7 s ' * + u/rr.", trrr ,* Pt CHECK AND AN WE THAT APPTY TO R I Greenhouse (5F)_ fl Det Garage (SF) tr Deck (5F) Family n Duplex fl Townhouse Porch (SF)300 C Storage Shed (SF) -- Is the proposed work changing the existing footprint? n Yes U tto TOTAT SQ FT UNDERROOF (for proposed work)11g3sg6.2670 TOTAT PROTECT COST (Less Lot): S 1 75150 lstheproposedworkchangingthenumberof bedrooms? D Yes I No ls any Electrical, Plumblngor Mechanical workbeingdoneto the Accessory Structure n yes E No lf the project is a Relocation, is there a Natural 6as Line on the current site? n Yes fl No ls there Electrical Power on this Building? n Yes E No Property Descripti Use/ Occupan on of Work: D cy: Lfsingle unv[oody Way Elev LC3G with 3rd car oaraqe, 4' oaraqe exte rm ILO qaraqe storao Master Bath #2, Walk-in showers at baths 2 & 3, stud ILO flex, sunroom with screened DISO^IMER: I hereby aertify that ailthe information in this application is correct and allworl will complywith the State BulldinS code and allother applicable State and locel laws and ordlnances and retulations. The NHC Development Services Center will be notified ofanychanees in the approved plans and specificetions o. change in contractor information. "'I,JOT€: Any work performed without the appropriate permits will be in violetiofl of the NC State Bldg Code s up to $5m.@..+ owner/contractor: Tiffany D Bowie Signatur€; 'Licensed Quolilier" Print Nome ls the property located in afloodplain? fl Yes E No Existing lmpervlous Area: _ 5q Ft Total Acres Disturbed: New lmpervious Area: _Sq Ft Existlng Land Dlstnrbing Permit: E Yes E No WATER: E CFPUA E Community System D Private Well fl Central Well D Aqua SEWER: E CFPUA D Community System fl Private septic D Central Septic D Aqua zone: _ Offlcer: _ Setbacks {f} _ {tH} _ (RH} _ (B} _ Approval: _ City: _ Date: _ Flood: (A) _ (v) _ (N) _ BFE+2ft= _i1 81- Comment:Permit Fee:5 \g!>- ctw: Myrtle Beach 7,e: 29!9 tr Pool (SF) _ n orher (sF)_ gn1193196;975 porch 7Tr*{- NEW HANOVER COUNTY DEPARTMENT OF BUILDING SAFETY 230 GOVERNMENT CENTER DRIVE . SUITE I7O WILMINGTON, NORTH CAROLINA 28403 Telephone: 910.798.7308 Fax: 910.798.781 l In ter ne t : www. nhc got,. com 4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE STATEMENT OF UNDERSTANDING Tiffany Bowie (Pulte Homes), am submitting an application for a residential building permit to New Hanover County. And, as the applicant or person submitting the application, I check the box/boxes below to acknowledge that: { I n^u"attached an official CFPUA receipt or document that has ac owledged an approval of the payment made to CFPUA I have attached an official proof of a Zoning sign-off from the City of Wilmington, for this work that will be done in the City of Wilmington. n I have attached an official proof of an approval granted by the New Hanover County Environmental Health Department, for this work that requires an approval from Environmental Health. If the apptication is correct and complete with the required drawings, and if there are no corrections or revisions to plans and drawings, and if there are no further clarifications required by New Hanover County; New Hanover County can guarantee that the building permit will be issued within 4 (four) to 7 (seven) working days after the official submittal date/time (the stamped dateltime notation made by the Building Safety Department on the application or submittal document). I understand that the 4 (four) to 7 (seven) working days only begins when the application is submitted prior to 4:30 pm on any working-day. Signed in acknowledgment: Tiffany D Bowie 5-3 1-17 Signature 4022 Passerine Ave t, ftIUTI; Address for the proposed residential work: DatePrinted Name 9otT-tec\> NEW HANOVER COUNTY BUITDING PERMIT APPUCATION TYPE : RESIDEIYfl At PLEASE ANSWTR AII QUESTIONS APPUCABI.E TOYOUR PROJECT 'Prorcct Relponrlbllif L7 -L DU( *p* Apdl.auon {offcc us.} t3t APPIICAMfS AME: PROJECT ADDRESS; WJH, LLC suBDtvlstorlr Deer Crossi PROPERTY Owt{ER's ltruut: WJH LLC ir e612. 05125t2017 65y; Wllmington 21p.28409 lor#: f)c]3r esels s 3ii6-282-3606 OW ER'S ADDRESSi 3300 Battleground Ave Ste 230 q67; Greensboro 11,p. 2741O COTTRACTOR:WJH, LLC rrore ucems r' 49262 ADDRESSI 3300 BatUeground Ave Ste 230 q1y; Greensboro St: NC apr 27410 EMAIT ADDRESS: jlowery@wadejumeyhomes.com pHONE: 910-233-7544 PROJECT COIIIIACI P6X56a; sam Hodges p116xs. 910 465 275'l EXlSfll{G COt{STnUCnOlli ! Alteration C Renot dtlon E Generdl Repairs EW COI{STRUCTIO : E/erea ruew nesidence D Additlon to Exining Restdence n Rebcation ...P!EA5E!EEEXIX D AI{SWER BETOW AT! THAT APPLV TO YOUR PROJECT"' {anr,"n,e" lsil 434 E Det Garase (sF} - Morch (sF) f] sunroom (sF) n Greenhouse (st)_ tr Pool (sF) u Deck (sF) loo D storaSe shed (5F)_ tr other (sF) ls the proposed srork charylng the existlng footprlnt? E Ves I lo TOTAI SQ FT UI{DER R@f W propoxd workl I0S,5 3.S HeatedSY ako3 Unheated:53-r TOI L PROJECT COST (Less Lot):s ls the proposed wo* changinS the number of bedrooms? tr Y€! s|do ls any Electrlcal, Plumbint or Madranlcal work being done to the Accessory Structure E ycs D lllo llthe proiect is a Reloc.tion, ls there a Natu ral Gas Line on the cu rrent slte? El y€. O o ls there ElectricalPower on this Bullding? E Yla E o DltclAhrtR: I hereby coitlfy thet all the lnformatlm ln this apdlcauon ls corr€( ahd all wort wtllcomply wl.rh the st.te Butldtng Code and all other appllcable Stlte end lo€l hwa and ordln.n..5 .nd repl.dons. Th. NNc D.nrbPm€nt s.rvlc$ Center vlll be hotlfu or any dan!.r ln the .pproved planr and tpeclllcatlonr or dtan8e ln cootractor informat on, "'l{oTEi wort p.rformad wlthoqt the agero?riate p€rmtts wtll be ln vtoladon of the NC State gldg Code subject to f,n6 up to 55&.0O.r. 'Liccnted Qw lef ls the prop€rty located ln a f,oodpl.in? E Ys3 Edsdng lmper$ous Arca , P ,"r, {* Totel Affes Dlsturb€d:o, lLl t{eu lmp€rvloir3 4r"", I l-l?Sq Ft Erlrdn! L.nd Dlrturbilr3 Psrmlt: E Yas E tto WAIER: /CFPUA E communlty System E Prlvate Well E GntralWell E Aqua SeWtn: dcfpul E Community System E PrMate seprtic E C€ntral Septlc EI Aqua Zone: _ Offlc.r: _ Sctbacks lFl _ ILH) _ (RHl _ (Bl _ Approy.k _ Clty: _ D.t!: _ Foodr(Al_M_(il)_BFE+2ftl_lLlComment: Permh Fee: I Proparty UrG/ Occup.ncy: E Slndc Famlly E Duplex E Tosnhow! Descrlptlon olwork N€w Construction: Sinate Famiv Residenco I, NEW HANOVER COUNTY DEPARTMENT OF BIIILDING SAFEry 230 C,OWRNMENT CENTER DRIVE - SIJITE I7O WILMINCTON, NORTH CAROLINA 28403 Telephone: 910.798.7308 Fax: 910.798.781 I Intemet: www.nhcgov.com 4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE STATEMENT OF UNDERSTANDING am submitting an application for a residential building permit to New Hanover County. And, as the applicant or person submitting the application, I check the box/boxes below to acknowledge that: tr I have attached an official CFPUA receipt or document that has acknowledged an approval of the payment made to CFPUA. n I have attached an official proof of a Zoning sign-off from the City of Wilmington, for this work that will be done in the City of Wilmington. n lhave attached an official proofofan approval granted by the New Hanover County Environmental Health Department, for this work that requires an approval from Environmental Health. lf the application is correct and complete with the required drawings, and if there are no corrections or revisions to plans and drawings, and if there are no further clarifications required by New Hanover County; New Hanover County can guarantee that the building permit will be issued within 4 (four) to 7 (seven) working days after the official submittal date/time (the stamped date/time notation made by the Building Safety Department on the application or submittal document). I understand that the 4 (four) to 7 (seven) working days only begins when the application is submitted prior to 4:30 pm on any working{ay. Signed in acknowledgment: Jessica Lowery 05t2512017 Signature Printed Name Dtx I3t zLtu3A ze CA for WJH LLC lirr Lco Li ilmiAddress for the proposed residential work: Date n zXlo1 SUBDIVISION: CONTRACTO r) t .'-1 ) .r\ NEW HANOVER couNrY BUILDING PERMff/al )'(tL' ) t rT.tw' AppLrcATtoN rypE; RESTDENTTAL/ \ u ,,ros, oti*ri'oiiorrrt,om oorr,aorlE To youR pRoJECr ^i6-'[ff1T7 "Proieit nesponsibility" ,Jrllil:, Dr* ^:. r l,-1",.^. 3: f,LlFf$ r (.,,^*-^,Date 6'frtzAPPLICANI,S NAME: PROJ ECT ADDRESST /c r*b c CITY It.a!ztp. ;zGg/Z i a4r 9, o-3 / 3-??? I,.-L- o,-*.-^,tl) a' C ITY o L-so \.-G"^,- l- PROPERTY OWNER'S OWNER,S ADDRESS: ME:o t<* Jo.-=S z.r'< *. .t"^ i .,- [J.*. 2 PHONE # CITY: U zrP: /V t.1.-r* ADDRESS: EMAIL ADORESS:tr LI)BLDG TICENSE 1I -7;7bLl ST rrl Lzp.2 PHON E 7o-;)'J -f j^> PHoNE: ii " - 5,1 *.5'ii2PROJECT CONTACT PERSON :()\-l- I c^ .-.,! EXISTING CONSTRUCTION: E Alteration E Renovation ! General Repairs NEW CONSTRUCTION: n Erect New Residence ! Additionto Existing Residence ! Relocation *,I*PLEASE CHECK AND ANSWER BELOW ALL THAT APPTY TO YOUR PROJECT**' $ atte"raselsr') / 21 tr Det Garage (sF)VPorch (sr)trAA n Greenhouse (SF) - n Sunroom (sF) tr Deck (sF) ls the proposed work changing the existing footprint? tr ves fi ruo TOTAI SQ FT UNOERROOF Uor proposed work) Heated:2t6 6 unheated: ,/,3{C TOTAI PROJECT COST (Less Lot); S Z CC,C'. ls the proposed work changing the number of bedrooms? ! ves fl tro ls any Electrical, Plumbing or Mechanical work beinB done to the Aicessory Structure ! ves fl ruo lf the project is a Relocation, is there a Natural Gas Line on the current site? E ves ( ruo ls there Electricat Power on this Building? fl yes E trto Property use/ occupancy:flSingle Familv U Duplex E Townhousett-/ z'/o ..rzQ--Description of Work: laws and ordinances and re8ulations. The NHc Development services center will be notified of any changes in information. *'TNOTE; Any work performed without the appropriate permits will be in violation of the NC Sta the approved plans and specifications or chanBe in contractor de and subject to fines up to 5500.00"1 Ow n er/Co nt ra cto r:Jf,,/u /uo. "Licensed Quolilier" Ptint Name ls the property located in a tloodplain? tr V"r td ruo Existing lmpervious Area: O Sq Ft Sign at u re: Total Acres Disturbed: . /C New lmpervious Area:ol Sq Ft Existing Land Disturbing Permit:F Yes E No wATER: E crpua Xcorrrnity System E Private Well C central well E Aqua sE\r{ER: F CFPUA E Communitysystem ! Private septlc E centralseptic E Aqua zone: Officer: - Setbacks (F) - (LH) - (RH) - (B) -Approval: _ City: _ Date: - Flood:(A) - {v) - (N) - arr*Zlt= - b,l .Ott--Comment:Permit Fee LOT T' I n Pool (SF)_E storage Shed (sF) _ ! other (sF)_ 4/t'. i1,ffi. 2oOtc7) NEW HANOVER COUNTY BUILDING PERMIT AnUCATION TYPf,: RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICAEIE IO YOUR PROJEClrPror.ct n.3ponilblllq/ L7 -L842 Appllcrtlon llumb€r {ofri(. ll3.) PROJECT ADDRES9: " 4801 GOOOWooO WAY 61ry; WILMINGTON NC 71e. 28412 SUEDtVtStON I FOFITUNE PLACE LOT t..25 co1rnAcroRr HOBIZON HOMES OF WILMINGTON LLC 91p,6 u6gNss x, 70867 ADDRESS:P,O. BOX 3442 CITY: WILMINGTON sT; NC ztF:28406 EMAIL ADDRESS : HORIZONHOMESBILLING @GMAIL.COM PHONE:910-508-6655 pROJECT @NTACT peRSOrrtr ROBIN HACKNEY PHONE : 910-508-8655 EXlSTlltlG CO{l5TiUcrlOt{: f, Atteration = Rcnovatlon 3 Gcneral Rapairs NR , COi{STiUCTtOi,: A Ere€t NGw R6idcncc f, Addftion to Exktin3 Resldence 3 Reloclrlon aaa taa E Att 6arag. (5F) 422 Cl D.t Grrage (SF) A Porch (SF)84 E Sunroom (sn 218 3 Pool (sFl- E Grecnhousc (SFl- 3 Dect (SF)_ k th. propos.d work chantln8 tho .xl3thi footprint? I Yes E t*lo : Storate shed (sF)- ToTAtSQFr U DEneOoF (lor prcpot?d work) tlc.tad: I35Eg - Unhcetcd:506 TOTAT PROJECr COST {Less Lot}: S 280000 ls th. proposld worl ch.nglng thc numblr of bcdrooms? E Ycr E l,to hrnyELct.h.l,Phmbh3orMcchrnlolwo*bclngdonctothcAcc.ssoryStructlreEy6glilo lfth! p.oj.ct isa Rrb€.tlon, istherc. N.tural 6asLineonthecurrentslt?EycrElno lsthere Eleclricll Powcr on thlr Euildlng? E Yrr O No 3 other (sF) DiSCUrrrf: I her6bY .enify ri at rllths lnform.tbn in thb rpplkatlon b.!ncd and.ll worl will compv w[h the Statc Bolldint Codo.nd all6h.r.pdlcaue !t.t..nd loc.l hform.tion, r" IOTEI Any worl p€rfonn.d withqut the.pproprlate permb wm bs h vloLtion qf the IC St.te BldS Code ond fine' up to Ssm.@'.. own.r/@ntrrctor: E. DEANS HACKNEY JH stanrtur.: Ac.n,,d q)dw' Prlnt Na,l, lsthepropcrtylocrted h.tloodplein? tr Y.. E t{o Erl.tl{ lnrp.wlour A,.: -9-- Sq F! SEWER: E E commu System lo Appro€l:+zft_ Totsl Acrc. Dirturb.d:LESS THAN 1 N.UtmparvlousArce: 2e32 -3cpt Edrtlurrndorst{'tl"rr."tltftf{$8flh ReqUUeC, gl0-Zi4{hi,j WATEn: g CFPUA tr Communtty Syst.m E Private Wcll E C€ntralw.ll E Aqua E Privat€ s.Dtlc E centElseptlc E Aqua vt)5/.w//,^^, {/ ,rr/Z l?tA sCo City Srtbackr rbod; tA) - (V)?P.rmft 5 APPtlcANrs NAMsl HOBIZON HOMES OF WILMINGTON LLC D!t.. 5-31-17 pRopEmy owNER,s 1114166; FOBTUNE PLACE HOLDINGS LLC pHoNE fl: 910.520-6011 ow ErS ADDRESS: P.O. BOX 3442 ctTy: WILMINGTON NC 71p;28408 Prop.rty Ur/ Occuprrry: B Slnd! F.mlly tr Duphx tr Townho$. D..crtdlrn of Work SINGLE FAMILY NEW HOME CONSTRUCTION frtr ffi))arvAffiNEW HANOVER COUNTY BUILDING PERMIT . oIAa APPLTCATTON fYPE; RESIDENTIAL-\ O ' / pLtast nruswEn alr euEsTtoNs Appt-tcABLE To youR pnolEcr "Project Responsibility"t,rr ^: t a lJ",-.g l (u***^il,'.' ! l:36Ptlfi (-.r Nurnber (olfic€ ' ir1 4-f-t7APPLICANT'S NAME: PROJECT ADDRESS: --X7-6tz.*va ctloliPro-- I ITY: LJ a \ztP. 2F <l (L suBDtvtStoN: CONTRACTO $ <q\ -t-^ LOTtr: 7 3 -.1o^<z t 7 g,,:-31lr?l'IPROPERTY OWNER,S OWNER'S ADDRESS: ME:o 7 ,^l^L!rl r b t-r^ w-rr t PHONE Ii irrv' L>1..!i* B LDG LICENSE il Sf: W ztP iVL / <4 ) *"- 1J.* " A DD R ESS: EMAIL ADDRESS:L-> PROJECT CONTACT PERSON J.,.-.--L-!.r.r.\.--t"^c=2. Ltl I C ITY: O.z^-r-PHON E PHONE ,i -Zl\fu'-tLztp 2ld-j-.rs -). Zi, -()-.-f \-t L L.- EXISTING CONSTRUCTION: ! Alteration ! Renovation D General Repairs N EW CONSTRUCTION: ! Erect New Residence ! Addition to Existing Residencc D Relocation ***PLEASE CHECK AND ANSWER BELOW ALL AT APPLY TO YoUR PRo]EcT*** Xntt carace (sr)9/o fiorchlsrl 3//E Det Garage (SF) _ E S u nroom (SF)n Pool (sF) ts the proposed work changinB the number of bedrooms? ! yes ! No ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structr.rre n Yes n No lf the project is a Relocation, is there a Natural Gas Line on the current site? E Yes ! No ls there Electrical Power on this BuildinB? E ves E No _r storage 5hed (5r-) ! oth er (sF) __._LJ Greenhouse (SF)n Deck (sF) ls the proposed work changing the existing footprint? n Yes C No 2zzd unheated: 96 o Property Use/ occ uo^nrr'$Single Family E ouplex E Townhouse Zt.-- t'/- z*4-Description of Work: lawr and ordinancer and re8ulations. The NHC oevelopm€nt Services Center will be notifled of any cha n informalion. *"NOf E: Any wor Owner/Contractor: "Licensed Quoliliet" rformed without the appropriate permits wil, be in violation of the N ta LJ ut".Ont\Signature es in the approved plans and specil cations or change in contrictor to fi,res up to 5500.00'"' ls the property located in a floodplain? D v"s ff r'to Existing lmpervious Area;Sq Ft Total Acres Disturbed: New lmpervious Area:3 joG 5q Ft Existing Land Disturbing Permit: E yu, Vruo WATER: E arruoX aorrrnity System ! Private Well ! Central We I E Aqua SEWER: 4FPUA n Community system E Private septlc E central septic I Aqua zone; _ Officer: _ setbacks (F) _ (LH) _ (nH) _ (B) _ Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _ Permit Fee: SComment: l?8a- ( Date TOTAI SQ FT UNDER ROOF Uor proposed workl Healedi ToTAL PRoJECT cosT (Less Lot): S / fa e c> c t