MARCH 27 2018 BUILD APP*s.5
c\,
RnusC 5a f/6 +" 351/7 t? z7 rt
\=,a
:Q
NEW HANOVER COUNW BUILDING PERMIT
A P P L, CAT| ON Ty pE: RESTDENT,AI
PI.EASE ANSWER ALI. qU SSNONS APPI.ICABI.E TO YOUR PROJ€CI
"p.olect ResponslbUlh/,
Agpllcallon
llumbar
(ofl.! u'3)
APPLICANTS NAME: SEVENty West BUilders, lnc.zlzlJr'.-
e*PROJECfADDRESST '?l
^,.1
Date:t?fnwnr sl-CITYi aP; LA4ILSUBDlVlSlONlE:q6
PROP'fiW OWNERS NAMEI PHONE#:OWNERS AODRESS:CITY:ztPt D443
CONIFACIORT W6st Bullders, lnc.61p,6 11ggt{5g g. M820
ADDRESS:PO Box 1070 CITYr Hampstead St; NC ztp: 28443
EMAIt A0DRESS: melissa@70woslb uild6rs,com pxorurr (910) 324-4447
PROJECT CONTACr PERSON:PHONE: q
EXlsTlNc CONSfRUCTION: E Alteraflon E Renova on tr GeneratRepalrs
NEW CoNSTRUCIION; H frect New iesldence D Addttton to Exisung Restdence E R€locadon
t.' at
Eatt eamce (sr) 6lb tr Det Garase (sF)_ Xporch (sF)
-841-qqrL
tr storage shed (SF) _
Io*,e.1sry 510
TOTAL Sq Fr UNOER ROOF Aor proposed wotkl Heat€dr ZLg unr,"rt"o, ]?59 -
E Sunroom (SF) _--- tr poot(SF)-.-
D 6reenhouse (sf) _ tr Deck(st)_
lr the proposed work changlng the exlstlng footprht?X ye, tr No
Property Use/ Occupancy;5tngl8 fsmlly E Duplox E fo$rhhouse
Descrlptlon of Work:
ToIAL PRoJECI cOsI (tess t-ofl; 9..._.,2lQlO(D
15 the proposed work changing the number of bedrooms? fr yes E No
ls any Electrlcal, plumblng or Mechanlel y,rork being done to theAccessoryStructure tr yosXfo
lftheprojectka Retocltlon, is there a NaturalGasLlne on the current slte? E Ve. frruo -'--
ls there Elecklcal Power on thts Buildtnt? tr yes (ruo
OlSCtAlMas: I he.ely.ert t thatal the hfonn.tton h thttappll.allon Itcorectand all wo* wlllcomp,y with lhe5tate Bllldlng Code ,.d all other appllclbl. Slsto and tocalItw5 6r ordln rcar al|d regulitlonJ- The t'lHC Davelopment ServL€s C€nterMllba notifl€d ofrny.h!D8ei In pl. and sp.di.rt&nr o. <.,r..a! L @tlB.rorlnfom6tlon. ...NoTt. Any work pedormed Mthoutthe spproprlato ptrmlt, rvtllb6 h{oldton ol the NC to ffo.r lrp to 9500.00..r
owner/Contractor:Craiq Smllh Slgnaturer'UcensedQwlifie/ pdt t None
ls the property lo€ated In a tloodplatn? tr ves If'lo
Erlstlng lmpe.vloui Area., * b - Sqft
Now lmperuious Arcat 21"61 sqft Extdlng tand Disturblng permtt: Xyes E No
WlrfR: I CfPUA f] Communlty System E Prlvate well E centralwell E Aquo
SEWERI E Communlty System E Prlvate Septlc E Central Septlc E Aqua
lppro,ralr 0P ctty:
H)ottd
{v){N}8fE+2
e4 Fi$t o
' olllcer:Zone:
Comm€nti
TtL y }VB Si+edn'n;t\irntrlwt lO
L
6tracl'ures
9t
TotalAcr€s Dlstu(bed, -- -O.lL
RECEIVED filri 2 ir iuii Rnr,tn J 5 l4-h2 /2 r7 not?-40/l'o u'-Tant
NEW IJANOVER COUNTY BUILOING PERMIT
APPLT CAT I O N Typ E t REStDENTtAT
PI.EASE ANSWTR AIT qUESTIONS APPI.ICABI.E TO YOUR PNO'ECrnp.orect Rsspohrlbllltl/,
A!plll!Ugn
Nqmb!a
{omca ura)
APPLICANTS NAME:Soventy West Bullders, lnc.Dsts: 3/19/18PROJECTAODRgSS:
Owl{EI'SADDRESSi
CITY:zlPI )ILSUBDIYISIONT
PROPERTY OWNERT NAMEr
fl:+
PHONE#r q t0-o CITY:ztl;21AAZ
CONTRACIORI W6st lnc.
ADDRTSS: PO Box 1 070 s1P6 116glit55 X, 81926
EMAItAD0RESST mellssa@ 70w6slbulldors.com
PROJECI CONIACT PIRSON:tzr
EXIST|NC CONSIRUCITON; E Alterafion E Renova on O GeneralRepatrs
NIW CONSTRUCTION: X Erect New nesidence O Additlon to Extstlng Resldence t] Belocation
CtTy; Hampstoad St; NC apr 28443
PHONE:(910| 324.4447
PHoNe: QIO -1 -q 7
PTEASE CHECK ANO ANSWER EETOWAI.I. THAT APPI"Y TO YOUR PNOJECI',
E oet Garage (SF)_datteara6e 1sr1 5llo
n Sunroom (SFl
O Greenhouse (SI) _
lsthe proposed work chanSlnS the exlrtlng footprtnttI
TOIALSQ fl UNDfR ROOF tot ptoposed wotkl Heetedl
ToTAt PRoJECT cosr (Less tot): S 2-l4.6Ot)
D Storage shed {st} ___
Yes E No
k the proposed work changing the number of bedrooms? [Ves tr tols any Electrlc6l, plumbtnS or Mechsnlcal wort u"tng ooreG ttre alc"ssirv strr.lrtlreprolectb;Reroc;li;;;il;fi.*.reasuneon*recurre;:j;"; tr;:l'frl"'Xt"tsthore Electrical power on thts Building? o vurg r,r.
" --e"!"!.,rEr LJ t
Property Use/ Occupancyr
D€scrJptlon of Wor&:{stngte Eemfly E Duplex E Towrhouse
0lSC(AlMIRrl hereby cerli&that.l, tho Inlormolon t r thl3 appllcatlonhws,nd h cqr.ect snd sllwo* wlllnd regttatlonr_ Ihe NHC Develop lI1ent SeMceJ clnterwill be noltnod ofaayahangeilnlnformauon. r..iJOT[: Any vrork perforded vrtioutlhe app.opriat.Pumlls wil, b. tn vtot.tlo,l of lhe ltc
0wner/Contr6ctot:
complywith theSt r€8llldln8 Code .nd all oth.,applkabL state aM loa.lp,atll ,nd specljl(a[on!ot change lo aontradoato ffn.J!pto $500,00..r
olJcensed Quolifiel
ls the property locat€d ,r a ,loodplatn? tr ves I Uo
gxlrfing lmpervlous A r"., 6 sqF,
l,lev, lmporulous Arsa: 2958 5, pq
WareRr I cFpUA E Communtty System E prtvato
Gralg Smith- .. Slgnature:prlnl None
[xlstlng Land Dtrturblng pormtt!A y.s E No
;::mffi:,A{b )d_t_ptlc tr Arua
(B)14_([H)(RH)
ral sp Cil,t,lwpttio,Communlty System B prlvatg Septlc D Cent
apyouatr 0k ctty: ll,W Flood: (A)_ lvl _ (N)X BFE€ft= _
TotalAcresDlstlrbed: 0.12
Well E cent,alwell [f Aqua
Petmlt Feet S <?-
N,uureo, g
+
" rl .-/
Comntenti
fi($ Qt*osi lvlini to'b+uJ ctt *d*teS
I
4.J
Xporchlsil 23L
ffotn r6ry 5tO
O PoollsFl
D Deck (sF)_
gnhsssg6; 1258
?$\8-lS04
NEl.t HANOVER COT NTY BUILDII{G PERi'IT
APPLICAttn 7yP€; C0 IER(IAL
oLtAsE arstiSn tt! Qo[sr10i5 A?ptJ(AaIt ro mirl 0]!(t
'"rojcct Rcapod$lbl lity"
R;cA.,d B*ss
DEVEIOPE
PRO]8"
Ri s .\L
occuprxT /Suslratss r&l€ :
PROP€iTY OrlI€R'S HATTE :
orffER,5 ADOnESS:CI
. l- :.
&L8-244
lFIffiiIA.,lrdcr
(offt(t U*)
IPPLICAIT'S
'IAT€
1
to}{ltACtof,:
ADDRESS:
!,IAI L
PmtEct (orr
LICEIGE lr Tgzsr
CITY;
ProllE
*ac ,{3p\zlt.sszs
s7: r{ tOt4ttn
sT:rL ZIP
rt,/o ,z&?A
-ztt7
PHON€ 'I ?r Zr,a.S rG o
((h... rll ltlt BlriIII5T C0ttSIiuCiIOI{I AL TE RAT IOft f-'l REmvarL-ICunerd sde?r l- No ls BLoc
IOr{GINERAL RIPAITS iE LO(ATIO'i
ll Rslfi.liro, 6 ihorB a Naturrl 6a6 Llne oar tho cli . Yerf
r,lEL CSErsrrIo r dErEc55&Y 5TSt tTt RE:D rAsr rracr n rHrrr n tpFrr D loo ro €xrsl lrRt crurGT r{Er. sltu(TuRt
A(CE
Is Elrct Pa..r on tnr.s Sul}di.n8 f yes f?rfi..... rs lr{s A cHrrsr 0F o((t,r&ry t,sc?r yE' r. n .....
Itr Y.5, dl.t r.a tha D.eylol,r (kclp.rcy Tyr.t - 3!.t 13 thr tad O<<q.n(y
llti?ortro PnoFEssror L I PX
PH
-a cEG .t ,52 Znt6 r i;ffi-
Qom ror^rpncEcrcocTl6
t1(
ENCa 0€5IOt PRoF[SSIOiaAL
DtscnlFTIor{ 0, r.olx:
15 tmd o. borlragG p.eparsd o. 6awOd ln lhb 6t UClvrE?f vefi,,flo ts Th6 proporty LocsEd tn lhe Fbodphinf _ V*Q-VO
Codn r{, al oth'.or&rdr 9r.
o(anr ar'd r!coi.a!E.rlc S.al. Bldo Cod. and
OWNER/CONTRACTOR: 5n*7 - r,SIGNAIURE
I\ld Olr.d.rr firllcalr r! I aa6q rrttold r.rn0 4lr!rj.6 .{ lo n }dii!.n ttry,t..!{a.r!r, tl.rn f}t ) rrErnd ,rs lr:&y a nxt,.E di ir,rd b6l|t |rre r idt 1,o{ r. .r{t...d ! ca rtr fbo..t €rE!.o.i S|..{iar t Xarrdorri A{ r,rtrrnE (t$SllApi {919}707-5350 .' L.$ 10 rlyl Eb ro tr
If tfftT - lh€ Shlll Pernlt t:
TOIAL AREA SO FT
|OIAI. SO FT {JNOER FOOF
BUILOIIIG H€IGHT N OF UNIIS
SO FT PER FLR , OF S'ORIES
E-xsr LAr,tD otsruRgwc penurrr .l'yes J- ro
SOFI EXTSTINGIMPEFI\AOUSARFA;
OIHE'
lCATtOt\i
k
fu\Awy ACRES DISTURBEO
NTW IMPEFVIOUS AREA
pnopERry uss. EoFrrcE I nesreunerr f] uencllrrlr f] eoufl rnrf[ corioo
WATER r]CFPTJA T'ICO.{MUN|TY SYSTEM f-'] WELL n ZONTNG USE CLASSTF
,,11!E* tr "*^. tr::lT:':',]',p *l,lu *:i""
.D,
v::::11..,.
SO FT
pAyuE T METToD f cAsH f cHEcx (FAvABLE ro [Hc] f AMERIcAN ExpRESs l- ucnysn f-_ orscovEn
{FOF OFf tcg uS€ OMnZONE, OFFICER SETBAC(S: F_LH_ RH_ts _Aooroval Citv DArE FL 8FE+2n,
rEurt
Nrrcf,," I ,+OrolilHt zo"o I nr ela.lnro db5l.r, wO't
N8"r*rn"
aarl'rir.r o{ !r, boa, o. !.lk& saa Aaha&r {rr sl|. ,{e_?,r.1r..!..18 .... rreoalb.llo9ahfirr 8rr
ava{Co.nmsnt PERMIT FEE:
:NEW HAN.,ER couNry BUTTDTNG pERMrr 3ettr 77 5 C
APPLICATION TYPE: RESIDENTIAL A r--z r a H
pr-EAsE ANswER ALL euEsroNs AppLrcaBLE ro youR pRoJEcr {'e.E t 6 - qffit
"Proiect Responsibility' (office use)
APPLICANT'S NAME:Eia c-E M^L.o
CITY: \-tlL\v.^r
Date
AN
{3
PROJECT ADDRESS:
suBDrvtstoN:
Z ztP
LOT #
9lo - srZ -t4
z:e:7841L
BrD6 ucEivsE s 511+ 03
5T: _ ZIP
]
J
J
Ii
\lJ
s+
,
PROPERTY OWNER,S NAME:
-Brt
OWNER,S ADDRESS:1 t/-O
coNrRAcroR: -B(Ll Cg
ADDRESS:-7 1^c)
EMAIL AODRESS f
PHONE #:
LdCITY
ctw
Qlvrw- p119X
Bt<q6
I Erect New Residence E Addition to Existing Residence ! Relocation
GPHONE\\r.bsrz-luqPROJECT CONTACT PERSON
', EXISTING CONSTRUCTION: ! Alteration ! Renovation n General Repairs
f, *.*.o"rr*r.r,o,F .**PLEASE CHECK AND ANSWER BELOW ALL THAT APPI.Y TO YOUR PROJECT*ll *
! Porch (SF)n Att Garage (sF)E Det Garage (5F)
n sunroom (sF)n Pool (SF)
n Greenhouse (sF)_n Deck (sF)
ls the proposed work changing the existing footprint? n yes fl t'to
osed work) Healedi aoo Unheated:'Dea
n Storage Shed (SF)_
! other (sF)
TOTAL SQ FT UNDER ROOF (/oT
TOTAT PROJECT COST (Less Lot)
?,It8R I8 4;?IPBls the proposed work changing the number of bedrooms? D ves El ttto
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structu re E Yes E No
lf the project is a Relocation, is there a Natural Gas Line on the current site? E Yes B ttto
ls there Electrical Power on this Building? n Yes E No
Property Us
Description
e/ Occupancy: ft Sintle Family El Ouplex.E Townhouse
of Work: Eia€\e--( N e \,-) (3o . ' r\t \^ (-L-
tl
DISCIAIMER: I hereby certify that allthe information
laws and ordinan.es and re8ulations. The NHC Devel
information. " r NOTI: Any work performed without
Brc'ta-b
the appropriate permits will be in
/t1.-)-."bq.-
in this application is correct and all work will comply with the State BuildinB Code and allother appla€able State and local
opment Services Center willbe notified oI anychanges in the approved plans and specifications or chan8e in contrdctor
violation
Signatu
of the Nc state Bldg subject nes up to s500 00'**
re:
ts the ftoperty located in a floodplain? D vu, firtro
Existing lmpervious Area: _ Sq Ft
New lmpervious Area:Sq tt
WATER \ ctere E community System E Private well E central well I Aqua
CFP UA Community System n Private Septic D Central Septic City lnspeciron Requreo, 9l &254{5 ;SEWER:\tr Aqua
Owner/Contractor
"License4 QuoIilier"
Zgne:- S ofii."r'setbacks (F) { (r.n) *. (nx) * (s)
approuar, OP city: b)d4 oate:
lna u.fc Ol.+o
rS
Flood: (A)
--
(v)(N)v BFE+zft= _
ot'\n t/s L o Permit Fee: S
ff,c Nq
Commenti
DocY- &.
5ire 'nZ oY CorV\?-Y o C
Total Acres Disturbed: _
Existing Land Disturbing Permit: ! Yes E No
c-".( ltltu 6l-
f; aok€
NEId HANOVER COUMTY BUILDING PERIqIT Wlt-AFPLTaAI,ON,yPF.. R.ESIDENTIAL
IIEASE $SpER
^lL
grsrIoHs IPTLICTELE TO vOJn p[O]€cT
.?roject iasponriblttbp
CJryI
,-l
LAl
742
APPLICAIiIT, s
OEVEI.OPER:
P&O3ECI ADDR
susDIWsIorlt;
PIOPERIY OlNEfi,S thIEl
OI'] ER'S ADDRE5SI
CONTMCTORi
ADDBE5S I
PRoPEETY UsE / oCCUPAT{CYr
DESCFIPTION OF OORT! :
DATE:
Pltot E #,
APPL:IC'ITIOII
lI$&er
(offlc. Ur.,
H*M
sr:s[EEi@t
#'q,o47fqF.q
*'9ILfi8d?3J
BLoC|( {': - LOT rt
PHoltE *t
srr $ zrO:
ACCOUUT I'I
7
E
crY:EIIIIL IDDRESS:PISNE
ptlolrEPRotEct coNrAcT pERsoiI:
Ecsrn!6 coNsTRUCEO ( E ALTERATToN I nerouanor ! e er,reml reearns- [ nElocArroN
t{EN to sTsrrcTrol{: pfrRrcr uer,t RE5TDENCE or ff aoorrrw To EtrsTIKt fiESI0E CE
rorAl HEATED sq rr, A\t4 ,.'rorAr s0 Fr u^rDER noor:3t?33 TorAr AREA Sg rr: el0rtlQ
rorAl pRoJEcT cosrklEio0: sAtlscrD # oF sToRrEs, 1.5..
tr Aru, ELEcTf,rcAL, pt-uxalri or lrEcHAfircAL t ork BeriS Dono to-th. Acces.ory structr.) Eyer fl po
rf th€ projsct ls a Raldcatlonl is thef6 a Naturir 6'as Llne o[ the crtnrent srt:-? Efr tr N"ts there Electrlcal pQuen on thts Bufldtng? flves fJ lto ..
!tr dlPlE(l'[ rouutotsr
e hhler
oliNER/CoNTRAO0R l SIGMTU8E r
(PrTllrt x!r.)**r***t+fvtft*l*+{*t**tttt+*a+t+t+*+t+{}a*tf+**tl**a*r*+tttt*t*tl**titit*t*ara*rtttraaa*
rs rflE pRopEBTy rocATED r a nooolunl fl vrs H w
EXISTIIIG I'iIPERVIOI,S AITEA: --...:- SQ II IOTAL.ACSE3 DISTUR}EO,
r,tEr,, lrtpEnurous AREA: ,----.-sQ rr E(r6T t tE DrSTURDrltc protrr: l'..lil yEs f,J lo
w^rEn' d3Fprt I co,tmrw svsrrm ft nRrvere ruu. I crMrAA[ $IELL
s$ren: flcFpuA E cefurnru srPruc f] RRrvltr smrrc .! cc(ilt{,, rTy 5\5TA.t
*t****trtr*tr*i**
0 16 (ftuD)
i-.t r oFfrc6R
...58P!&qr!PEIIIITS nEculll& FoB eLEcT, ,t8clt, pL86, @s sQltp, piEFlrs a rtsEkTs ,.t
PAYI'lElIr IETfioDr E clsn tr ffecx (pAyaBrg ro rnq Erru. rccortn ff mlvrsl ff orscorenttlt*tr******i*****ttt**tf|raatt*&'****a*tt*trltrgtrl**t*ir*atalf*a****t*
Ofiozof,lE
App,toval ctt$-ll-W D rE t2 FLCIOD! _
L'mtcl
:Ft15 ut Nt:lO B:-A'
< BFr+2ft _
(ror ora(l ur! dlLY,
!f,
Un0nclo>eJ
)l
il^d,@ rtil. ulrTlt2
SEBi^h
cotrfiaht
a((ratt Pl*^ S.' gYdtl()s u+ +o
PERIIIT FEEI
#a
tf?a-
r+pLEAsE c,{EcK d[o als,tdn ! ott ILL rMr tppLy lo youl ptorcrrp[arr enmee tl+tP rp E on arnear ..--- sr @twat ttl sr
[surunoo,l _sF E pmu._- si- f|srouoe sHEo.- sFflerrruursr--**sr florcr sr iireRr '-sr
|a$e$5&IEiiijlSLE lrdlli$if&rug&rtiaia tr-
NEW HANOVER COUNTY EUILDING PERMIT
AP P LI CAT IO N W PE.. RESIDENTIAL
PTEASE ANSWER AtL qUESTIONS APPI.ICAELE TO YOUR PROJECT
"Prorect Responslblllty''
Arpllotlon
Nurnber
{offlce
DArrI 03 /.,'3
* 2.f(/-aS
,ro*rn.4to/6/ z -z {q3
CITY;zlP
Url-?zo7
APPLICANT,S NAMEI
PROJECT ADDRESS;tr) </l/1 )-i rL ctlY;
SUBDIVIsION: _ LoT f:
BIDG UCENSE f:
CITY ST; ZIP:
EMAIL ADDRESS:--- PHONE:
PROJECI CONTACT PERSON l/n.*a"f /-L /'l,"ll) r ,rrn, ''lloft/z-z 6"rt
CONTRACTOR:
ADDRESS:
EXISTING CONSIRUCn On: ffircratton D Renovatlon n General Repairs
NEW CONSTRUCTIONi fl Erect New Resldence n Addition to Existing Residence tr Reloca0on
rT*PIEITSE CHECI{ AND ANSWER B[lOW AI.L THAT APPTY TO YOUR PROJECIT'''
E Attcarase(sF)- 6ex rrarase lsr) c? 0,2 n porch (SF)
PROPERTY OWNER,S NAME:
OWNER'S ADDRESS:
i sunroom (5F)n Pool(SF)
tr Deck (SF)D Greenhouse (5F)_
ls the proposed work changing the nu mber of bedroomsT E Yes
ancy:e Famlly 5 Duplex ! Townhouse
ls the proposed work changing the existing footprint? n V.s 6
IOTAL Sq FT UNDER ROOF lJot proposed work) Heated:
-
Unheatedl otao
Property Use/ octup
De5crlptlon ot work:
br(
,1 co
I Storage Shed {SF) _
! Other (SF)
,,rllt-a a/l'
ls any Electrlcal, Plumbingrr Mechanical work being done to the Accessory Structure D Yes
IttheprojectisaBeD<don,isthereaNaturalra!Lineonthecurrentsite?EY€sENo
ls there Electrical Power on this Building? Mes tr tto
t{*
laws rnd ordlnances and regulatJons. The NHC Davelopme,lt Services Centerwlll b€ notmed of arY changet in the approved plans and sPec,rlcatbnt o. chaaSe In contracto.
intormatlon. 'rtNOTE: Any work performed without the appropri.te petmks lvlll be in vlolatlon
Signatu
"Llcensed Qtoltie/
owner/conlractor:-7'l1en a/14.r E^ ll/t
ol tle NC State EldB Code and sqbiect to finer up to S5m.00"'
-,-z / _ .z ./"/,", -/..1v-"* A //L-d4
A4,
:\y
New lmp
WAl€R:
SEWER:
ervlous A
{,vu
{r,ru
ls the property located in a floodplaln? n Yes
Exlstlng lmpervlous Area:
-
sq Ft TotalAcres Dlsturbed:
Exlstlng Land DlsturblnI Permlt: D Yes D No
d: (A)
-
(V)
-
(N) V BFE+
[oo( permtt Fee: S
rear
-
Sq Ft
A D Community system E Private Well E central well f] Aqua
A C Community System n Private SePt ic n centralseptic D Aqua
,on.' [,'t0 o,,,o,,
Approvall City;
0 a$l
aHr lV) tnxr N/A rar N/A
11
(Y
Comment:
/1//r'<1
oava4,J-,..J l,'lt
Ltr,tcr r Yna-1 rlof bt ^seJ a-s
TOTA! PROJECT COST (Lessrotl:5 2-/O?O
Ciii, lnsp*tion Requreo, gl 0.254.0g&l
AtUHY t-- NEW HANOVER COUNTY BUILDING PERMIT )oZaaa?w-L-AP P Ll CATIO N TYPE; RESIDENTIAt
DVgZT]tF*:C-cr-lr-nre-B--
PLEASE ANSWER ALL QUESTIONS APPLTCABLE TO YOUR PROJECT
"Project Responsibllity"wsf,rCfu,rna-Number
(office use
/-1.-., 1\r,\llir Dare; 03 /,,1?
Applicatlon
\PPLICANT,S NAME:
*7-a
ob\Af
2ROJECT ADDRESS:
SUBDIVISION:
'io 5 -fu:, li-7 S'+-ctw t -i iU,'t lt"1 .2t?
t pHoNE#; qrc /6 / z -z {4 SPROPERTY OWNER'S NAME:
OWNER'S ADDRESS;ClWr ZIP: _
CONTRACTOR:
ADDRESS:
EMAIT ADDRESS:
PROJECT CONTACT PERSON:
*Th,*n^t A fl"-/l)r
E Greenhouse (5F)-
ls the proposed work changing the existing footprint? n v., frK
ToTAt 5q FT UNDER RoOF lJor proposed workl Heatedi
rOTAL PROJECT CoST (Less Lot); S
'>.n?O
crw:
BLDG LICENSE #:
ST:ZIP I
PHONE;
qpk/?-2 6€rS
./'
EXISTING CONSTRUCTION: E/Alteration fl Renovation E ceneral Repairs
NEW CONSTRUCTION: n Erect New Residence fl Additionto Existing Residence ! Relocation
***PLEASE CHECK AND ANSWER BETOW ATT THAT APPTY TO YOUR PROJECT*'+
Setearagegrl:1!!* n porch (sF)
E sunroom (5F)
PHONE:
n Storage Shed (SF) _
D other (sF)
ls the proposed work changing the nu mber of bedrooms? E Yes h4
unheated: al 0'?
il/*ols a ny Electrical, Plumbingrr Mechanical wo rk being done to the Accessory structure I Yes
lf the project is a nep4fion, is there a Naturalgas Line on the cunent site? C Yes B No
ls there Electrical Power on this Building? d4es tr t'to
Property Use/ occsp
Description ot Work:
ancY:e Family Duplex fl Townhouse
d4 ?4 rl tr'W a hr/'
Dlscl.AlMEn: I hereby cenify that allthe lntormation In
laws and ordinances and regulations. The NHC Develop
information. *"tNoTE: Any work p€rformed without the appropriate permils will be in violatlon of the NC sta!e BlCg code
-7/;-,"/,
to fines uo to s5m./i-/(
this appllcatlon ls correct and all work will comply wlth the State Euilding Code and allother appllcable State and local
ment Services Centerwlllbe notm€d ofany chan8es in the aFproved plans and speclflcatlons or chaoge in contaactor
and sLrbrect
Owner/Contractor:1 'to /,4 eJA E* ll/r Signature:
"Licensed Quolifier" Print Nome
_/
ls the property located in a floodplaln? tr yes d/tro
Existing lmpervious Area:
-
Sq Ft Total Acres Dlsturbed:
New lmperviogs Area: _ sq Ft Existing Land Disturbing Permit: E Yes E No
,./
WATER: ffcFPUA E community system fl Private well E Central Well E Aqua
,,/
sEwER: d/cFPUA D community system E Private septic n central septic fl Aqua
Zone:
-
officer:
-
Setback (F)
-
(LH)
-
(RHl
-
(Bl
-Approval:
-
city: _-- Date:
--
Flood: (Al ..-_- (v)
-
(N) -- BFE+2ft=
-Comment:
Permit Feei S 7{'
LOT H: _
n Pool(sF) _
tr Deck (5F)
-
2tttr r97P
NEW HANOVER COUNTY BUILDING PERMIT
APPLI.ATION TYPE: COI{TiERCIAL
PIEASE ANSIJER ALL QUESTIONS APPLICASIE IO YOUR Pf,O]E(T
"Project Responsibility"
tB-@ZAPPLICATION
Nu ber
(Orftce U5e)
_oa*:941-16ApPLICAI,ITTS N/ilie: faats,truten,t SUrAnte .fiumoos flt.
=t
DEVELOPER I
PRO]ECT ADD
. PHONE ':HE55:522b S. C?L|ECE Ri,AD - suffC ll ctIYt U)/ut' 5:7ON
77tE FEUI AFE
ZlPta
OCCUPANT/SUSINESS tIAI.tE ;
PROPERTY OWNER'5 NAT1E:FEUX SCR.,PPO JR-PHOr'lE $:
oWNER'S rDDREss r .tbz OftlbLE DqNE CITY't U)ILH tNtqfON sr I lV zIP I Zg yA,
coNTRAcToR: bsrrucna Bno uOSourws / LC LrcENsE $: b fiA
'aoREsst {otL H*oxup lo* Rmo- itrt lcl - crrY I LUTLD^atu^/
EriLAIL ADDRESS r 41C!4p1rOeeorptrvclrrc bd l/rhorolu fii,ns . cun"-OFFT(PHONEpRolEcr coNTAca etasoT; 411121s Lr1ayr2,1
sI: At' ztPt z?yo?*; fus-fi!- lq2t,,CeLL _PI&NE *l ,to- 022-loqz.
(ch.(k A1) Ih.r Apply )-' EXIST CONSTRUCTION B ALTERATION RENOVATIONrlf Relocation. is there a Natural Gas Lrne on lhe urrenl Site?
ERECT NEW STRUCTURE FAST TRACK SHE LL
GENERAL REPAIRS
l-. r.ro rs BLDG s
RELOCATION
NKLEREL)1-- y".f_
UPFIT ADD TO EXIST STRUCTURE
If UPFIT - The shell Permit d:Is ELect Power on this Building F. yes r NO
*+r** rs rHrs A o1ANGE or occupai.tcy usEr f yEs l-. o *"'*
IF Yes, uhat uas the Previous o<cupancy Type?
II8firrrtr* PRoFEssroNAL: l- +
- l^lhat is the ilel, occupancy
NC REG #:
NC REG S:
# OF UNITS
# OF STORIES:
# OF FLOORS'
EXSr LAND DtsruRBtNG pERMtr? .f yes [ ruo
SO FT EXISI ING IMPERVIOUS AREA: /rr/4
.PH
ENGR DESIGN PROFESSIOIi]AL:.+ PH
TOTAL AREA SO FT SO FT PER FLR
TOTAL SO FT UNDER ROOF # OF STRUCTURES
L.!
NoteiD
asboslG or rot. You a.e requned lo cal lne Nsuon€l Emissron siandads tu Haza rdoirs a]l Potrur,anls (NESHAP) .r (9t9)707-t950 ar t€.n 10 d€ys p.rc,lo thedenroll0on olanylaciily or buildng. See Asbesros Web Slte: htpl^rww.epislate.nc.ugelr.sb€sbgahmp.hlmt
roTAL PROJECT COSr: i l-r' o BU|LDTNG HE|GHT: El /Sf I ltt .
ACRES DISTURtsED
NEW Ii'PERVIOUS AREA, N
PROPERTY USE
PAYMENT IuEl'HOD
ZONE:
rl /a
SO FT
noFFrcE S nesuunrr.rr I MERCANTILE EDUC APT CONDO OTHEI
WATER
SEWER
SYSTEM
CFPUA
CFPUA
COI\,IMUNITY SYST
CENIRAL SEPTIC
EM T-L WELL
D PRlvArE sEPrctrtr
ZONING USE CTASSIFICATION
N{MUNITY
SEPAFAIE P€'IMITS RE OI.]IHEO ICF ELECl MECH, PLBC, GAS EOUIP, PFEFASS A INSERTS
1- cnsn f-. cuecK (eAvABLE To NHc; f-,lurarcltr expREss f_ Mcl/rsl [-_ otscoven
lFoR oFFtcE usE oNLYI
OFFICER
Approval:- City: DATE- FLOOD:- BFE+2lt'-
AVNComment _ PERMIT FEE: :
No
NEW CONSTRUCIION: EACCESSORY STRUCTURE:
DESCRIPTION OF larcRK:
SIGNATURE:
NoDISCI AIMFEI
SETBACKS: F: LH RH B
ir
,a.
f
Z
::
7
]Nl ?ort->tJ (
$7 NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION rYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOL]R PRO]ECT
"Project Responsibility"
Cort*"n* Eutata'g Sot unorvs (rc,
te-azz
APPLICATION
Number
(office Use)
^oarr.: ?41-/6APPLICANT'S NAME i
DEVELOPER:PHONE *:
PRO]ECT ADD REss: 51210 S.C'L]6.€E R0AD - iutf€ lt .cIrYt UlLltttLt 67ON
OCCUPANT/BUSINESS NAI,4E :
PROPERTY OI,,,|NER'S NA[1E :
fHE FEUN }TFE
FEUX SCROPPO AR_
.7
zIP I ZO
PHONE *:
oWNER' s ADDRESS I LlbZ ORI,LE DRTVE ClrY : y11 L1q 111.16 76 19 SIt M zIP I q y29
coNTRAcToR: btgruca,e Bua uOgounp s /lC LICENSE #:b33&
ADDRESS:Z. HhsoNbpo LoP -9um lcl _ CITY I Lutlfit6m srtAE,ztPt Z8{O,
E|'4AIL ADDRESS: C lr.lm o kin e corutructr"chullJrhqjoi..,fiins. cdyl^.-ontIQPHONE *: fuo-,?gg- ?4fpno:rcr coruracr prn5of: 4aR6 L*4t tlJN lgya .PHONE #, gtO- Lz2-40c2
(Che.k All Ihat Apply)"/ EXIST CoNSTRUCTIoN: E ALTERATIoN
lf Relocation, is there a Natural Gas Line on the
RENOVATION GENERAL REPAIRS
l-- r'to tS BLDG S
RE LOCATION
Urrent Site?r Yes
NoNE CONSTRUCTION:ERECT NEh STRUCTURE FAST TRACK SHELL UPFIT
KLERED'{- yesf_
ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
Is Elect Power on this Building F. Yes r NO
*{,,r,}i. rs rHrs A CHANGE oF occupANcy usE?f yEs l-. No .-..ll
IF Yes, what was the Previous occupancy Type? _ t4lhat is the New Occupancy
IXtfi ?rrrru, PRoFEssroNAL :Iw+
If UPFIT - The Shell Permit #:
ENGR DESIGN PnOr eSStOttlL l-
DESCRIPT]ON OF WORK:<e v 5Ta'),P v
or
TOTAL AREA SQ FT SO FT PER FLR
# OF STRUCTURES
ACRES DISTURBEO. II /A
a4d local ldws and ordrnances and reguldUons The NHC Developmenl Se.vrces Cenler will be notlied ol anv chao, chanoe in co4lrdclor or ( onlrador information. "'NOTF Anv Worl Perfor med W/O lhe Approp ale Permils willSubjecilo Fines Uo ro $500.00"' ^ CAntS LDHp-KtN C/o
OWNER/CONTRACTOR: (irctar"n re Du,rD t N6 SoLutu)tts SIGNATURE:
Jio
EXST LAND DISTURBING PERM ? T YES F NO
SO FT EXISTING IMPERVIoUS AREA: //4
CONDO OIHEf
ZONING USE CLASSIFICATION
.PH
PH
NC REG #
NC REG #
Cr.Sf<vRE- f y
ls Food or beveraQes pr6pl5t.-.t,f,(&ffi{"f nJ ?pI"i"?ylltlr?af.rft H6.aaS,i e{-_
NoDISCLAIMER: I hereby cenify that all information in this application is correcl and allwork will comply with the State Building Code and all other a
b-e in Viola
qpp ans and
C Stale
pplicable State
Bldq code and
-)
t./t
contain Asbesros or noi. You are required to callthe Nalional Emission Slandards for Hazardous Air Polluianls (NESHAP)at (919)707-5950 at leasl 10 days prior io rhe
demoliion ofany facilily or building. See Asbestos Web Sile: hilp://l^Bw.epi.slale.nc.us/epi/asbestos/ahmp.html
TOTAL PROJECT COST: i I-'O O BUTLDTNG HErcHr: Sy. /91 t eL # oF uNlrs
TOTAL SQ FT UNDER ROOF:
NEW IMPERVIOUS AREA: t, /a
WATER [ACFPUA TI
SEWER, FiCFPUA EI
COMIVUNIry SYST
CENTRAL SEPTIC
T-I WELLHvnre srprrc
SYSTEI\I
SO FT
EM
MI\,4UNITY
* SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS E INSERTS
PAY[,4ENT I,IETHOD ;- cI.sH I- CHECK (PAYABLE TO NHC) T AMERICAN EXPRESS J. VCruISN [- DISCOVER
ZONE OFFICER
(FOR OFFICE USE ONLY)
SETBACKS: F:
BF E+2ft.
B
Approval:- City: DATE- FLOoD
Comment
LH RH
N
PERMIT FEE: :
# OF STORIESI
# OF FLOORS:
pRopERry USE: EoFFrcE s Rrsuunnrr f| vrncnr.rrtlel-l roucfl nerf[
)
,()16 21?S
NEW HANOVER COUNTY BUITDING PERMIT
APPL,CAfl O N |YPE : RESIDENTIAI
PTEASE ANSWER ALI. QUESIIONS APPIICABLE TO YOUR PROJECT
'Prolecl ResponslbilM
t&q+
Applicatlon
(office use)
APPtIcAN?s NAME; Blanton Buildinq, Inc.Date:3/13/18
PRO,ECI ADDRESS: 610 Rose Avenue CITY: Wilminoton ?tP 28403
suBDrvtsloN :Landfall
PROPERw OWNEIr5 NAME: Blanton Buildinq, lnc
OwNER'S ADDRESS:.P.O. Box 3122
PHoNE $:910-538-7888
CITY: Wilminqton zlP:28406
CONTRACTOR: Blanton Buildino. lnc.BtDG TICENSE #.47441
ADDRESS: P.O. Box 3122 clw: Wilminqton 5T: !Q- zlP: 28406
EMAIL ADDRESS:chris(ablantonbuildino.com PHONE: 910-538-7888
PROJECT OoI{TACT PEI6O : Chris Blanton PHoNE: 910-264-0940
EXlsnflG COI{STRUCnO :! Alteration D Renovation E GeneralRepairs
ltEW CO'{STRUCIIO'{: E Erect New Resldence ! Addition to Existing Residence fl Relocation
IlIPIf,ASE CHEC( AI{D ANSWER BETOW AtL THAT APPLYIOYOUR PRO'EC'I"
D Att GaraSe (SF) _E/Det carage (SF) 384
n Pool(SF)
tr oeck (sF)
E Storate Shed (SF)_
tr other (sF)E Greenhouse (SF)Tenace
ls the proposed work changing the existing footprint? D Yes E No
TOTAT SQ FT UI{DER ROOF tot ptoposed workl Heated:0 lJ nheatedr 384
TOTAT PROJCCT COST (tess Lot): S 30.000
ls the proposed work changing the number of bedrooms? I ,". U/"o
ls any Electrkal, Plumblng or Mechanlcal work being done to the Accessory Structure d Yes C ilo
lftheprojectisaRelocatlon,isthereaNaturalGasLineonthecurrentsite?DYesDNo
ls there Electrical Power on this BuildinS? D Yes tr o
Property Use/ OccuPancyr E slnd€ Famlly E Duplex E Townhouse
Descrlptlon ot Work:
Construcl '16' x 24' detached oaraoe. To have el I but no olumbinq HVAC
laws and ordinances and regulations. The NHc Development S€rvlces center will be notlffed of any changes lnthe approved plansand sp€clflcatlons or chan8e ln contractor
in ormation. *.rNOTEi Any;ork performed wlthout ihe approprlate permtts willbe In violatlon oI the l'ac State Bldg Code and sublecl to flnes up to $50O,O0"'
owner/Contractor:Chris Bla n Blanton Buildino. I
"Licensed Quolifier' Print Nome
lsthe property tocated ln a floodplain? 3 Yes ff no
Existlng lmpervious Area: +/.2900 Sq Ft Total Acres Disturb€d:+l- .o2
Slgnalure:
llew lmpervious Area: IL3ZOQ-- Sq Ft &lstlng Land Otsturblng Permit E Yes Eli t{o
WATES:..[] CFPUA tr Community System E Private Well fl Centralwell Ll Aqua
/Y/4sf,iv"fni,'n CFPUA tr CommunitY sYstem E Private Septic E centralseptic D Aqua
,t(4-offlcer:
--
setbecks (Fl
-
(tH)
-
(RH)
--
(B)
-Approval:
-
Crty:
--
Dater
-
Flood: (Al
-
U)
-
(N)
-
Bt'*'n= fo* r"", ,
Comment:
s h--
Lor s:?8&-E!9!!]a_
E Porch (SF)
--! Sunroom (SF) __
\.
I
!
I
r
I
!
!
{.L I Form
AppLtcAItIT's IAME| Rlano BrothErs COnstrUCflOn LLc
Prlnt
NEW HANOVER COUNTY BUITDING PERMIT
mt8-SD/a--
rQ / a ".-/O-o t I
ffi APPUCATION TYPE: RESIDENTIAI
PLENE ANSWER ATT QUESTIONS APPIICABI.E TOYOUR Ptr[FEtVED uffi o 6 201E ffiJ'PtoFct RcrpolElbllty (ofic! t.!.)
s1a,3l'lDQlaPRoJECI ADDBE s: 201 Frlday Drtv€gwr Wlmlng qr ztD:2'j411suBDtvtstoN:
PROPERW OlY ER'S flAME:Dran and Natalla McDonnell pxgxgsl9t0 7 74Ollrt|ER'S ADDiESST 2Ol Frtday Dr CITY:YVllmlngldt ztP,:
co TiACroR: Riano Brottterc Conslruc.0onllC BLDG UCEi|SE f. 77789
ADDfiESSI PO Box 900 WngmsMlle B€actl(xrY:
EMATL ADDRESS: rtanobroth€reconstnrti on@gmall.corn PHONE:9103520842
pioJEcr @irTAcr ptRsot. Julio Rlanos pr16Xg; 352 0842
EXISIIIIG CottSTIUCnO :E Altlrltion I Rcnovatlon 0 GencralReptlrc
I{EW cD Sfiucrlo0r: E Ercct New Residcnc€ E Addluon to Exlstlng Rasldsnce E Rclootion
ttt aa
E Dct Grrage (SF| /
E P@llsFl ,/
tr D.ck (sF)
Ir th! ptopos"d work chandnt the cxtstin8 footprlnt? & yes D No
TOrAL 3q FT UIIDER aOOE lilor proposed v@tkl,11p66; 400
YOTAL PROTECT COSr (Less Lot):40000
51. l,lO 71p. 28t80
tr AttCaEgrlSF) --'
O Sunroom (Sf1 .,--
tr Grernhouse (sr) ,,/ -
ls the proporcd woft ctlngin8 th€ numbrr of bedrooms? E y.r E o
13lny ELctrk l, Plumbrna or M.ch.nrc.r work b.rng done to the Acc€ssory structurc El ycr E olftheprojactls.Ralootirh,lsthrrcaNrturulGa3Llneonthecurrcntslte?EV.'Etto
lsth.rrEl!€'trlcal Powlr onthbBullding? E ycr E No
Proplrty lf,./ occuprncy: E Slryh Ftmlly E ouplor E fos$hous.
Dcscrlptlon of Woik: gflcl fralns on mondithlc dab 8 n€ly dnlng rofil end playroom addlt{on lvlth trus8 .oc{
DISCI.IIMER, I h.r6by c.rtfy ttEt.[ th! lnforn dor|lnt]il.applkldoi b corrccl lnd al iort wlll co.nply wttfi th. Stat. Bddht Cod! ri an othcr.ppl..bl. St t..nd bcallrx,! rnd ordlnancla and rogulatbns. th. NHC D€l,.lop'i .nt Sar$cos C..t!r wlll be notifad ot .ny dt.nSes spprovad phna and lpacificrdoB ol chiga h cdtractorlnfutmttton. "'XOTEI Ary ,irrrt p.rfonnad wfirlost t l..pp.op.l.t pcrmlt w lbe lnvloh onofdt..nd $bi.d to 6nG l+ ro Ssm.oo...
oim.r/contr&or:
'Llensc<l Qtollficr'
Pdn6la Fasse SlSn turG
Prlnt Ndmc
ts thr prop.rty located ln a lloodplatn? El v.r E No
Erlnint lmp.rvtour At .r 1200 Sq Ft Tot l AEr", Dktrrbcd: .o1
N.w lmp.rvlout Ar..' tl00 sq Ft E dtdq trnd Dbturblnt p.rmh: E yc: E No
WATEB: E CFPUA E Communlty Systrm E privatc well E ccntralwell E lqua
SAATEn: I CFPUA tr Communlty Systrm E Pdvatc S.ptic El Crntrllscptlc E Aqua
,dt i
-
Otflor:
-
Sltb.crt (Fl- (Ull _ lRHl _ lB) _
Approyrlr _ dty: _ Ort:- Rood: (A) _ (v) _ lill _ sFE+2ftr _-
I
@rmtntr
-
- P.rmn Fc.iS_
lor fl:
tr Porch (sF) -'l-
tr storage shcd (SFl --
E Other IsFl
Unhortrd: 0
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION ryPE., RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABT€ TO YOUR PROJECT
"ProJed Responsibilitl/'
CITY
PHONE H
CITY
5
CITY
20$-Jqqb
tffi1
Application
Number
(office use)
APPLICAN?S NAMEI
PROJECTAODRESS:
CONTRACTOR:
ADDRESS:
Date
lOT *: .7
I
{
ztP
suEDtvtstoN:
PROPERTY OWNER'S NAMEI
OWNER'S ADDRESS:
Qt0 - 4.it-Llq tb
zt?: t,
BtD6 LTCENSE #
ST: -ZlP, -
EMAIL ADDRESS:A\tS c o /T'\PHONE
PHONEPROJECT CONTACT PERSON
EXISTING CONSTRUCTION: E Alteration E Renovation ! General Repairs
/oddu,on ,o ,r,raing Residence E Relocation
***PTEASE CHECK AND ANSWER BETOW AtI. THAT APPTY TO YOUR PROJECT'}I'*
D Det Gara8e (SF)_tr Att Garage (SF)
! Sunroom (SF) _
n Greenhouse (SF)
! Pool (SF)
tr Deck (SF)
Xstoraee
shed (sr)
! Other (sF)
/ ls the proposed work changing the existing footprint? n Yes ,F *"i flR 1B : r 53Pll
TOTAT SQ FT UNDER ROOI lfor ptoposed work) Heated:
ls the proposed work changing the number of bedrooms? ! Yes
ls any Electrical, Plumbint or Mechanical work being done to the
unneetea, QM.+, {)- l l oo,
' +o+ol t(/a0 *,{+
bu,lfuX9+rfu'
'1a'r1
yl,"
Accessory Structure kJ Yes ! ttlo
lf the project is a Relocation, is there a Natural Gas Line on the current site? 3 Ves (ffo
ls there Electrical Power on this Building? tr Yes E no CO t I I b 4
Property Use/ Occup"n.y,S singl" r"mily ! Duplex! Townhouse xDescription ol Work:
information, "*NoTE: any work perlormed w the appropriate permits willbe in violation of the nd subjed to fines upto S500.m*"
ntractor:
Quolilier"
Signature:U:;#;Vrf
ls the property located in a floodplain? n ves { ffo
( Existing lmpervious lrea: ,?d SQ Ft Total Acr€s Disturbed:
Y New tmperviou s are., ?0 0 sq*Existing Land Disturbing Permit: ! ves f uo
WATER: F Cf rUa $ Community Svstem D Private well n Central Well ! Aqua
SEWER: E CFPUA &' Community System E Private Septic E CentralSeptic n Aqua
l'zon€: Officer:
-
setbacks (t)
-
(tH)
-
(RH)-(B)
-Approval:
-
City:
-
Date:
-
Flood: (A)
-
(v)
-
{N)
-
BFE+2ft=
Comment:Per.'n f""r S
)9
I
t:-\
I
NEW CONSTRUCfION: D Erect New Residence
! Porch (SF)_
/ rorAr pRorEcr cosr ltess toty:5 f )tO )dl
laws and ordanances and regulations. The NHC Oevelopment Services Centerwill be notified ofany changes in the approved plans and specifications or chanSe in contractor
2D\g-PD,)w
Application
Number
(office use)
NEW HANOVER COUNTY BUILDING PERMIT
A P PLI CATIO N TYPE. RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROIECT
"Project Responsibility"
APPLICANT,S NAME. Cape Fear Habital for Hurnanity Date: March 12,2018
4905 Cantwe I Road ClTy Wjrminsron Ztp. 28411PROJECT ADDRESSi
SUBDIVISION:LOT# R04306-008-003'000
pROpERTy OWNER,S NAME: Cape Fear Habitat for Humanity
OWNER,S ADDRESS. 20 N 41h St , Ste 200
pHONE #. 910.762.4744
CONTRACTOR: Cape Fear Habilat for Humanity BLDG LTCENSE # 46s32
ADDRESS: 20 N 4th Si., Ste 200 ClTY Wllmington sr: lL zlP 28401
EMAIL ADDRESS: Esmond@capefearhabitat-org
pROJECT CONTACT pERSON Esnond Anderson
EXISTING CONSTRUCTION: n Alteration E Renovation n General Repairs
NEW CONSTRUCTION: = ErectNew Residence E Addition to Existing Residence E Relocation
***PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT***
pHONE.910'617'713s
! Att Garage (sF)_n Det Garage (SF)_E Porch (5F)175
n other (sF)
! Sunroorn {SF)n Pool (5F)
n Deck (SF)
L.l 5torage 5hed (51-) _
n Greenhouse (SF)
Is the proposed work changing the existing footprint? ! Yes ! No
Unheated:175
TOTAL PROJECT COST (Less Lot)s 6s000
Istheproposedworkchangingthenumberof bedrooms? n Yes ! No
lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEYesnNo
lftheprojectisa Relocation, istherea Natural Gas Line on the current site? n Yes D No
lsthere Electrical Power on this Building? E Yes E No
Property Use/ occupancy: = single Family n Duplex n Townhouse
Descrip tion of WOrk: 3 bedrooms
laws and ordinances and regulations. The NHC Development Services Center wlll be notified of any changes in the approved plans and specifications or change in contractor
information. ..*NOTE: Any work performed without the appropriate permits will be in violation of the NC State Bldg Code and subje.t flnes up to 5500.00**'
owner/Contractor:
"Licensed Quolifiet"
Esrnond Anderson Signature:
ls the property located in a floodplain? ! Yes n No
Existing lmpervious Area:
-
Sq Ft Total Acres Disturbed:
New lmpervious Area:
-
sq Ft Existing Land Disturbing Permit: ! Yes E No
WATER: 4 cFPUA E Community System E Private Well E Central Well E Aqua
SEWER: n CFPUA Ll Community System ! Private Septic E/Central Septic ! Aqua
zone:
-
Officer:
-
Setbacks (F)
-
(LH)
-
(RH)
-
(B)
-Approval:
-
city:
-
Date:- Flood: (A)
-
(V)
-
(N)
-
BFE+2ft=
-
Comment:Permit Fee: S
Clry. Wilmingion Zlp. 284A1
pHONE 910-617-7139
TOTAT 5Q FT UNDER ROOF (far proposed work) Heatedr 1148
Clear Form
AppLtCANT,S NAME, cape Fear Habitat fo. Humanity
Print
NEW HANOVER COUNTY BUILDING PERMIT
AP PLICAT IO N TYPE RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROIECT
"Project Responsibility"
2ot$;qOb1req
Application
Number
(office use)
gs1g. March 12,2018
pROJECT ADDRESS: 4909 Big Gum Rd ClTy: Wlmington 7:1p.28411
SUBDIVISION:1919 R03578-007-006000
pROpERTy OWNER,5 14p16. Cape Fear Habitat for Humanity
OWNER,S ADDRESS. 20 N 4th St., Ste 200
p119117 n. 9 1 0.7 62.47 tA
ClTy. Wilmington 71p. 28401
CONTRACTOR: Cape Fear Habitat for Humanity g1p6 t_169N55 9 46532
ADDRESS: 20 N 4th St., Ste 200 ClTy. Wilmington sT: Nc ztP 28401
EMAIL ADORESS: Esmond@capefearhabitat.org pr11g1E 910.617.7139
1148 175TOTAL SQ FT UNDER ROOF lfor prcposed work) Heated:Unheated:
TOTAT PROJECT COST (Less Lot):5 65000
ls the proposed work changing the number of bedrooms? E Yes E No
lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEYesENo
lf the project is a Relocation, is there a Natural Gas Line on the current site? n Yes n No
lsthere Electrical Poweron this Building? E Yes E No
Property Use/ occupancy: = single Family ! Duplex n Townhouse
Description of Work: 3 bedrooms
laws and ordinances and regulations. The NHC Development Services Center wiL benotifiedofanychangesintheapprovedplan5andspeciflcationsorchangeincontractor
information. **'NOTE: Any work performed without the appropriate permlts wi beinviolation
owner/contractor: Esmond Anderson 5;gn31u
ofthe Nc state Bldg co to fines up to 5500.00"*
re:
"Licensed QuoIifiet"
ls the property located in a floodplain? E Yes E No
Existing lmpervious Area: _ Sq Ft TotalAcres Disturbed
New lmpervious Area:Sq Ft Existing Land Disturbing Permit: E Yes E No
WATER: tf CFPUA E community System E Private Well E central Well E Aqua
SEWER: E cFPUA tr Community System E4rivate septic E central septic E Aqua
zone:
-
Officer:
-
Setbacks (F)
-
(tH)
-
(RH)
-
(B)
-Approval:- City:- Date:- Flood: (A)
-
(V)
-
(N)
-
BFE+2ft=
-Comment: Permit Fee: S
!
ffi
pROIECT CONTACT pERSON Es..ond Anderson pp91g 910.617.7139
EXISTING CONSTRUCTION: n Alteration E Renovation n General Repairs
NEW CONSTRUCTION: = Erect New Residence E Additionto Existing Residence E Relocation
**,*PLEASE CHECK AND ANSWER BETOW ALL THAT APPTY TO YOUR PROJECT*'}'f
! AttGarage(SF)- n DetGarage(SF)_ ! Porch (SF) 175
n Sunroom (SF)_ tr Pool (SF)_ ! Storage Shed (SF)_
n Greenhouse (SF) tr Deck(SF)_ n Other{SF)_
ls the proposed work changing the existing footprint? E Yes ! No
i
ft
$)n1
NEW HANOVER COUNTY BUILDING PERMIT twR)
(offi.e use)
A P P LICAfl O N TY PE: RE5IDENTIAt
PLEASE ANSWER ALL qUESTIONS APPI-ICASLE TO YOUR PROIECT
"ProieCt Responslbllitt
APPLIGANfS NAME: F.S. LLC dba Ram Jack Date:03/05/2018
PRoJECT AooRESS: 217 BROOKWOOD AVE CITY: Wilminqton ztP 28403
SUBDIVISION: PT LTS 215/217 BROOKWO OD PARID: R04820-0'l 4-0'l 0-000 LOI I:2151217
PRopERTY owNER's NAME: SCHLESINGER, GEORGE F & MARSHA C PHONE #:40'1 868-0524
OWNER'S AoDRESS: 217 BROOKWOOD AVE Clwi Wilminoton ztP:284O3
CONTRACTOR: F.S, LLC dba Ram JacK BLDG TICENSE #:5X77A
ADDREsS:4122 Bennett Memorial Dr.. Suite 304 CtTYi Durham ST: Ne_ ap:27705
EMAIL ADDRESS: betsy@ramiackusa.com PHONEi 919-30 9-9721
PRO,ECT CONTACT PERSON: Betsy Tate PHONE: 919-309-9727
EXISTING CONSTRUCTION: D Alteration tr Renovation ! e eneral Repairs 6^-l *h'a
NEW CONSTRUCTION: E Erect New Residence E Addition to Existing Residence E Relocation
...PlEASE CHECK AND ANSWER 8EI.OW ALI. THAT APPIY TO YOUR PROJECT"'
fl Greenhouse (St)_fl Deck (sF)
ls the proposed work changing the existing footprint? D Ye
TOTAL SQ FT UNDER ROOF (for prcposed wort) H€ated
TOTAL PROTECT COST (Less [ot)57 7s0.00
Property Use/Sintle Family C Dupler E Townhouse
D Porch (SF)
tr Storate shed (SF)_
O Other (Sf)
7*"Unheated:
ls the proposed work chantin8 the number ot bedrooms? tr Yes6,No
ls a ny Electrkal, Plumblng or Mechani(al work belng done to the Accessory Structure E Yes
lf the proiect is a Relocation, is there a Natural Gas Une on the current site? tr Yes F No
ls there Elect.ical Power on this Euildin8? BYes D No
X"o
Dcscription of
lnstall pipe peirs to stabilize foundation as desiqnsd by struct
laws and ordin.ftes and r.tulations. Th€ NHC O€velopment 5€rv1.€s C€nterurillbe notilled ofanychanges in theapproved plans and sp€cifuatlorE orchange tn comGctor
information. "'NOTErAny work performed withoutthe appropriate permits will be ln violation ofthe I'lC 9r.
Owner/Contractor:Tate Sigoature:
"Licensed Quoliliet"
subje.r to fines u! to 9500.00...
ls the propeny located in a floodplain? E Yes
Eristing lmpe.vious Area: _ Sq Ft
In'
Total Acres Diiturbed:
N€w lmpervious Ar€a:Sq Ft Histint Land Dlrtu,bing Permit: D Ye5 E No
WATERT D CFPUA E Community System E Private Well E Centralwell 0 Aqua
SEWER: D CFPUA E Communjty System D Private Septic E CentralSeptic E Aqua
Zone: _ Orflcen _ Setbacts (F) _ (Llll _ (RH) _ (8) _
App.oval: _ Clty: _ Oate: _ Flood: (A) _ (V) _ (N, _ BFE+2lt= _
Comment: Permlt Fee: S
I
tr Att Garage (SF)_
E Sunroom (5F)_
O Det GaraSe (5F)_
D Pool (sF)_
FLOOD ZONE ZLtg-X1(p
.,
'ffi
APPTICANT'S NAMT
PRO,ECT AODRTSS:
NEW HANOVGR COUNTY BUII.DING PERMIT
APPLICATION fYPE: RESIDENTIAI-
PTIASE ANSWTR AII- QU€STIONS APPLICAETE TO YOUN PRO,,TCT
"Pro,ect ResponrlbllltY'lolfi(. ute)
CITY: l,), \ r.,lva1-o, ,.
pHoNE B, (q { r) {,At - 6 }61
Date
a7-ztPt 7? ?).1
,.2-l!.; q5-
BIDG t"lctNsE f
stt &t aP.,-)80) )/) ?<-,t - 17ts'
(qu\vit-oq)-5K
SUBDIVISION -ll ri)
PROPERTY OWNTR'S Narvrrr (i rr
OWNER'S ADDRTSS:
CONTRAClOR:
ADDRESS
TMAII ADORESS:
PRO,,ECT CONTACT PER5ON -/^l-) l))c.; /( o lt4 t-/
CITYI LJ , t .+, s., ft .. ZIP
I t
CITY
PHONE
PHON I
EXISTING CONSIRUCIIoNi Ll Alteration Ll Renovation Il GeneralRepalrs
NtW CONSTRUCTION ll trect New Residence lqooition to trtttlnS Resldence D Relocation
.1'PLEASI CHECK AND ANSWTR BTLOW AI.L THAT APPIY IO YOUR PRO,ECT" '
Ken earaee (sr) 2' o D D Det GaraSe (Sf) _
C Sunroom (SFl tr Pool(sF)
D Greenhouse (SF)___ tr Deck (SFl--
tr lh€ proposed work.hanginS the existing foolprint? D Yes O No
TOTAT SQ tT UNDER ROOF l[o/ ptoposcd \toll) Heatcd:6Lu , h,+2 'Unhealed: t7/-'
IOTAI PROTtCT COST (Less tot): S
Ir the proposed work chanslnB the numbet of bed.ooms? E(v"t Ll t'lo
ts any Electrlcal, Plumbln8 or Mechanical work being dooe to the Accessory StructureSYes O No
tf the project is a Rclocatlon, is there a Natu.al Gas Line on the current slte? tl YesAl No
ts rhere Electrl(al Power on thls Building? ,i{ Yes E No
property t ee/ occupancy: }(islngle ramlly D Duplex D Townhouie
Dercrlptlon ot work:
inlo,m3rion. "'NOIE: anY
Owner/Contractori
'/
w(hout lhe appropriale permlF w,llbe in
A /r/-.,^c L", <
tawr and o.dt ance! and ,aSrrlallDnr. Tt€ NllC Dawloprrnt !.Mc€s Cenle! willbe.olifhd o{.ny.hange5l,! lhe approveddanr and specili(atoor or ( ha o8e ltconlra(lor
woryentotffEd
l(obe.^/,14
violatlon o, the NC StaG 8ld8 Co& and suuecr to linet up ro 9500.m.'.
/') " /,/.?/
sreoarwet ,tli/4/'Licens?d Quolilier" Ptlnt Nome
ls lhe property located in a floodplain?
Exiitlnt lmpervlous Ar"",t!----l'Sq tt TotalAcres Dliturbed
New lmpe rvtour Arear fS gg 5q tt Exlrtlnt Land Ol5turblnt Permltr I Ye$ l-l No
WAIER: X CTPUA {l Community Syrtem E Privatewell n CentralWell n Aqua
A'*H& @@ sc'r<
SEwER: d CFPUA D g6mrBr(1ily System fl Private Septic E Centralseptic fl Aqua
zon", p:\5 officer:Kd setba.ks(rhl+la(rHl lo' {n*t l5' (at25'---.,,,,nr.)
Approvar: cky: UJILfi D"te,3'{0'lt looa, 1r1flp1],$1'-- . tll _ ererza. l\'b Q'L*"'"'mffi'ffi168F,n
-tr aft
a/t/r
0 Porch (SF)_
D Stora8e Shed (SF)_
L'l Other (Sf)-
D. r
APPLICANT'S NAME:[.L+ L. rJ^^
2sr&P1t7
Application
Number
(office use)
s/rl /
ztP: 7, ?pq
NEW HANOVER COUNTY BUILD!NG PERMIT
APPLTCATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL qUESTIONS APPLICABTE TO YOUR PROJECT
"Prolect Responsibiliv'
Date
PROJECT ADDRESS
SUBDtVTStON:
CITY: {J ', \ ,.al*fo.-.
1OT#: a 5
PROPERTY OWNER'S NAME:rl "rorro,(Q( ,\ tAo -L )83
owNER's ADDRESS' lYt3 l{e"1 A
a5
CITY: t"/ , rzwt-ta.ztP:,)i (o 9
A Lr
J
BLDG I.ICENSE 8
j,lLfq
CONTRACTOR
ADDRESS:
( A (.'>
Jrt5") c ah4^/
srt fuc ztP: al$ o 21
EMAIL ADDRESS:
PROJECT CONTACT PERSON
CITY
PHONE
PHONE
/) z,;t-/?z{
(qo\ x> - oqt
EXISTING CONSTRUCTION: ! Alteration ! Renovation E General Repairs
NtW CONSTRUCTION: fl Erect New Residence
EAtt earaee (sr) 2, o a
D Sunroom (SF)
! Greenhouse (SF)tr Deck (SF)
ls the proposed work changing the existing footprint? ! Yes ! No
TOTAL SQ FT UNDER ROOF lfor proposed work) Heated:R10
TOTAI- PROJECT COST (Less Lot): 5 ia r:
'pqlaaitio, to rrirting Residence n Relocation
***PLEASE CHECl( AND ANSWER BELOW ALt THAT APPLY TO YOUR PROJECT**I'
E Det Garage (SF)_! Porch (SF)
! Pool (SF)tr Storage Shed (SF)_
! Other (SF)
Unheated:ipTe)
ls the proposed work changin8 the number of bedrooms? ElV"t ! Itto
ls any Electrical, PlumbinS or Mechanical work being done to the Accessory Structure,k/yes tr No
lfthe project is a Relocation, istherea Natural Gas Line on the current site? n YeszEf No
ls there Electrical Power on this Building? t(Yes tr ttto
Property Use/ Occupancy: ffiingle family fl Duplex D Tovvnhouse
Desffiption ol Work:
/D4 /^ /r,/-",,-,L"-<
law5 and ordinances and re8ulations. The NHC Development Serviaes Centerwill be notified of anychanges in the approved plan5 and specifications or chanSe in cont.actor
Owner/Con
'NOTE: Any
tractor:
wot?edotmed
/(obe.-I A /"1.,"n
without lhe approprlate permits will be in violation of the NC State Bldg Code end subject to fines up to 9S00.0O"+
Signature
"Licensed Quolilier"
ls the property located in a floodplain? n Yes
Existing lmpervious 1r"",[[!l sq rt
(No
TotalAcres DisturbeOr 0. \
New lmpervious Area:0c,Sq Ft Existing Land Disturbing Permit: ! Yes E No
WATER: E CFPUA ! Community System fl Private Well ! Centralwell n Aqua
SEWER: { CFPUA [] CommunitySystem D Privateseptic E Centralseptic E Aqua
Zone: _ Officer: _ Setbacks (F) _ (tH) _ (RH) _ (8) _
Approvalr _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
Commentl Permit Fee: S
* qrr,o[,[,t r 19n^hl a.0f aol8-Jq5?
HET{ HAI{OVER COUNTY BUILDIHG PER!'IIT
,rPLtCAtZOtt TYzE: Cffi{ERCItL
PLfAsE llsljEn AtL sJ!31!Oi6 tp'$rAgLE r0 YtlE Pnolgll
dProJ!at R'3Po0ilbuty
L8-+t8'
Afnl.iffi:fx
ltuobrt
(otfl.. l,tl)
OAT!; 3 Efa*
i 910-r96-d:36
ZIP:;9112
AlpLta&qn'5 l'lAllE, ,rov!B C&i8on
O'YEIOPEI I r1!
p
xl.l&iEqtoEPRO]ECT 5636 Carql1ne
occup&rlsus:rr5l xAfi G :
PROPEIYY ttlriER , 3 llAl,tE : xc$ f"!r1c,!rsr C$uBt
qfigRr3 AD9RESS: 2f 0 crcvs:x:i.t t CarieE DrlY;
i0iffR.ACY0f, 3 *rrdeaIx Cona!.tctilrr:
EAAI L
Prolf[? l0l,lT
[xtsI cstS
It Rslocatbn,
. LlrExsr *:,16 3
PHXE *:91i-'r98-{.:3a
5T:sg 2Ili234x3
9T:xc IIf: 3?dq1
l! 9:.o-gEt- 17?':
ElYes [j
Elr.
ADOiE3!: 135 B. p1a!!!D 9tt*ot
ldaaux Pt& f ,: 91t-r6a-6?2ci xevln calasn
{f,trrl .ll 't}t! ^rPlY}RELQ'{TIOtI6EliE&Al
E*rfi El{ srsucluiE fl rsr ta*ot n sltctt n ueFn n as r0 txrsr s16j{r$nE
CfTY: Prl.riqb_-------------E5frE
HIH',#, ::l'ffJ:n"H.ffi I'fr Ff!tlo
NEPAIBS T.l
IS ELDG SPKIi,I KLERrofl-Yq!EJ-
lfu.or""e,rno*, ;3
ACCE350nY tTnucrutrE :
ri Elcct Psd.r on thls 8ul1dlflgTf UPTIY The ShcU Perirlt {:
tF V!,, rlll! uu th€ ltadou3 Occugttcy Typ'?'...r r3 THls A Ctilri6t {$ octuplx{Y llSgir1 YEs lfr lo*l;{ r' th? rr.occ!pan rY
PHiI[[fi?o*:o, Pro*sc&t Ar '..'''PH:Erei trslol{ pRorfts:ollAl
NC RE6 ?:
ilc REC ti
a, GxistL€Itra 6lailoEDESC&IPTIOII OF bORK:to rcal ax.Eranqa
tr food o, b6Ys$!8s trtspcrad or *arved ln $iE s1ru6Jre?n Ye'f,] No ts IIIB, PlDpoltf Loctbd ln]1G rhodPhhc! Ys{:!-
q /.9Je"7 SI*IIiATUR[:
Ilta: t,ltEabrl Ealtt b.,* .loeia J!..?Yai ,.rrn! ,tphjci'.r.tont.u& r, lahc
ooart.lfi rabaaE tal,ia. Yar, !r,Gq*rld te .il tt. NA&{d At Pdd*r1r (!rEC1 F}i FlfP{t.&O i|ft 13d.rr tn ,to r''
,r\rrnr.id3rb. ic,t]!&*rraado3r&rn$.i!t'
TOTALpioJEcrcsr i1*9t
-
AUILDING HEIGHT:# OF UNIT$:
# OF STORiESTOTAL AAEA SQ Fi :1l
rorar so rr uuoe nffitr
-
ACRES O]S'TUR8€D:
-
NEW IMPERVIOUS ABEA:
PROPEgTY USE]noFrrcE
SG FT PER FLR:
J OF SAUCTURES:# OF FLOORS
EXSI TAN0 $lsruRsl'.lc PEnirlT? I:YES fr N0
SO FI €XISTING III|FERVIOUS A8 EA:
ff r'*nceNrue fl Eoucn APrn CONDO OTHEkrre ric
''l
SA FT
\YATER:EU)€ F PiJA tr
L-.,1
COMMI]NiW SYSTEM
cEr.rrMLsEFllc ff
. ye.ri, Pl,B& G S EOIJF. PnEFASS I ll{SE6?S
rAY$r$T $ETHOo; fi ca$x l-t cHecx (prveslE ro NHc) fL
IFOR CIFFiC! USE Ot'rLY)
AMERT6AIJ ExPReSs m r*trvleA f,1 olscovgs
CFFICER;
r.] WELL T'L ZONING USE
ffivrresrplc SllcuxuNtw
Approwl;'.-_*
Commotlt
Chil- DATE
LH
PERMIT FEE: i ,*-
a016-Jq5?
LA---+*ENElrl HAI\IOVER COUNTY BUILDING PERttIT
APPLIQATIa IYPE: CO}iIERCIAL
PLEASE Al{St,ER ALL O,ESTloilS APPLITiILE To YCt R PRoIECT
"ProJGCt Rcsponslblllty"
AFFtIAftEr
ltuob!r
(o+flc. u.t)
APPLICAI{T' S MIrIE: Kewin caison -DATE: 3/ I /LB
DEVELOPEnT ra _PHr E *:910-?98-{33s
PROJ ECT :5636 carollna Braeh Rd.
OCCITAI{T/BI ltIilESS IIAIE: xcv Ea:lovGr cor.niy Flre Depr.rlBent
PROPERW Olr{ER'S llAtr'lE ! N4, llurov.r couEty
mlER'S ADOf,ESS, z:o oovcramcnt c.!re! Driv. . CITYI 1i16i1ga661
CO{TMCTOR : Bordeaux conglruqrion - LICEI{SE *: gzfg
ADDRESS: 13g E. 1tartln street . CITY:Rrleigh
PloflEEI,IAI L : ben. b.bold6auxconatruclion. com
ZIP i2g412
_ PtP E *:9to-?9s-{33s
5T: yg ZfP:294q3
5T:Ng ZIP I 275s1
*: frllee1-1fri1
pRol EcT c(xT : Icvin ca16on - PlDtiE *f sro -264- 6l2a
(Chlck Alt rn.t Apply)
EXrST COiETRUCTroir: f]lf Rglocrdon, k 0lel€ I Nltir8l
ALTERATTO
Gas Lin€ on tho
r-..I REIOi'ATIOI{ T-1 6E ERAL REPAIRS T-] iELOCITIOII
t/uncntSttat f}fuJ6-H" lsBLDcsdFT&KLEREDtfT-ye€J-
il9, *or*r"rro*, AACCESSOiY STRUCIURE:
ERECT IIE}I STRUCTURE E FAsr rRAcx EI sHEtt fl upFrr El * ro Exrsr srrucruRE
If UPFIT - The 5hc11 Perrlt #:Is ElGct Pd.r on thls Eulldlng E Yes E tio
....i rs rHrs A c AreE oF occuplltcy t,srtn YIs 15! xo .....
IF y3s, rh.t r.r the Pr.vloui occup.ncy Typ., - t#Ft tr thit lar occup.ncy
Ix8fi?DESI6 PRoFESSfOIAI r - PH;tIC REG *:
EI6R DESI6I{ PROFESSIOTIAL Px:- tf, nr6 *:-
oESCRIPTIOI{ oF L,ORK: .a!ffiqp rqlp to rear atrtralrce of cxisCing flrc atatloD
lE bod or bav3rs0os prBp.nd or s.wed ln tlls studure?E Ye{-l xo U ma PrDp6ny Locsbd ln The FloodpbhEf Y8fL
lll vrqk wlll Yiih UE Slrut BdldlrE Codc lnd
bo
all ollbr appllc€blc SllE
danr end sorcllcadsr!NC Slrls Bldg Codr snd
OWNEF/CONTRACTOR: *o,rir-+.i."a
TOTAL AREA SO FT :T}
ZONE: OFFICER:
BUILDING HEIGHT:
SQ FT PER FLR:
SIGNATURE:(o.dtn edtitr.'t )
codEln A.barEr or nol, Yq, alr,!quln-io a.llUa NrtlonalEmbllon Sbnd&lh hr Har{ou! AI rudail! (l..lEgl{AP) !l (rePo,.6$0 tt l-t'10 &ya pdor to tr.
dafirolibn 6(!r, La r.y or bulldllE. Sa. ArbGto. yv.b 3i.: htprl*yv'i.?lrble .nc.urlbpualtadcrahtrF.lttml
TOTAL PROJECI COST: 1{, OOO # OF UNITSI
WATER:
SEWER:
SYSTEM
MCFPUA - COMMUNITY SYSTEM T-I WELL T-l ZONING USE CLASS
EJcFpuA E CENTRAL SEPTTC fl p'RlvArE SEprc D-cbMMUNrryF SEPARAIE PERMITS REOUIREO FOR ELECT, MECH. PLBG, OAS EOIJIP, PREFABS ! INSERTS
TOTAL SQ FI UNDER ROOF # OF STRUCTURES:
ACRES DISTURBED:Exsr LAND orsruR8rNc pERMtr? riyEs If No
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA;
pRopERrY USE: EoFFrcE ! nesreuneur I MERCANTEn EDUcf-LAprfl coNoo OTHEF;116 6gpg
SQ FT
PAYMENT METHoD: E cAsH Et cnecr ea;;X5ro NHc)omAMERrcAN o@REss fL ucnrrsa I orscoven
Aooroval: Cltv: DATE FLOOD
IFICATION
SETBACKS: F: LH: RH B
BFE+2fi:
Commsnt
N
_ PERMIT FEE: I
s-
Lltli Illludaqton
# OF STORIES:
* OF TIOORS:
-