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AUGUST 23 2018 BUILDING APPSNEWV HANOVER COUNttY BUiLDiNG PERM:T ハPPI′CArrOlv TyPa RESiDENT:AL PLEASE ANSWER ALL QUEST10NS APPLiCABLE TO YOuR PRO,ECT″PrOlect RespOnsib∥lt/ Application Number (office use) Date. 7-2-'18AppltCANT,S NAME: Pulte Homes pRoJEcT ADDREss; 4020 Ruddy Duck Way crr aP:28412 LOT#:01133Su8D,V!S,ON:Del1/Vebb pROpERTy OWNER,5 1141y9; Pulte Homes PHONE#:843-353‐5119 owNER,s ADDREs5; 3504 Faringdon Court CtTy: Myrtle Beach zIP: 29579 coNTRACToR: PulteHomes 9196 L16gx5s 9. 19311 ADDREss: 3504 Faringdon Court CITY:Myrt e Beach sl sc 21,29579 EMAtr ADDRESS: Tiffaly.Dunn@Pulte.com pRoJEcT cONTAcT pensoru: Tiffany Dunn EXIST:NG CONSTRuCT:ON:[] Alteration □ Renovation □ General Repairs NEW CONSTRUC■0性イ Ered New ReJdence□Addion"E薫釧 ng Regdence□Rdocat on *摯拿PLEASE CHECκ AND ANSWER BELOW ALLTHAT ApPLV TO YOUR PRO,ECT*拿*Att Garage (5F) 539 E Det Garage (sF)Qiorchlsrl 334 n Sunroom (sF)□ Pool(sF) □Deck(SF) □Storage shed{SF) n Greenhouse (SF)_□Other(sF) PHONE: 843-353-5119 PHONE: 843-353-5119 ls the proposed work changing the existing footprint? E Yes D No TOTAL SQ FT UNDER ROOF Aor proposed work) Heated: ?037 Unheated:873 TOTAL PRoJECT coST (Less tot): 5 1 36479 lstheproposedworkchangingthenumberof bedrooms? E Yes E ruo lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEyesDNo lf the proiect is a Relocation, is th ere a Natu ral Gas Line on the current site? E yes E No ls there Electrical Power on this Building? E Yes D No Property useノ OCCupancy:52/tingleFamily []Duplex□ Townhouse Description of work: Castle Rock with and screened laws and ordinances and retulations. The NHc Development Services cenler will be notified of any changes in the approved plans and 5pecification5 or change in contractor information. +*'NOTEi Any work pedormed without the appropri.te permits will be in violation of the NC to“nes uptO SSα D 00°'“ owner/contractor Tiffany D Dunn Signature: "Licensed Quolifiet" Print None / ls the property located in a floodplain? tr Ves d ruo Existint lmpervious Area: _ Sq Ft Total Acres Disturbed: New lmpervious Area:Sq Ft Existint Land Disturbing Permit; fl Yes E t{o WATER: E CFPUA D Community System E Private Well E Central Welt E Aqua SEWER: ! CFPUA E Community System E Private Septic E Central Septic E Aqua officer:Setbacks tF)____lLH}____{RH)_____{8) Approval: _ City: _ Date: Comment: Flood::A}_____(V)____{N)BFE+2ft= Permit Fe€:9 1劉 ω NEW IIANOVER COUNTYDEPARTMENT OF BUILDING SAFETY 230 GOVERNヽ 4ENT CENTER DRIVE‐SUITE 170 WILMIINGTON,NORTH CAROLINA 28403 冗σ7`′770″′19ノ a798 7Jθ ∂ FaA・ 19ノ θ79∂7∂ノノ I″′ι,・ ″′′r141114″みCgOν θο “ 4to 7 WORK:NG DAYS TURNAROUND TIME FOR PERMiTISSUANCE STATEMENT OF UNDERSTANDING !,いffany Dunn euke Home● I am Submitting an ap●iCalon for a residen∥al bu∥ding permitto New Hanover County.And,as the applicant or person subnlitting the app∥cation,I check the boxrboxes below to acknowiedge that: I have attached an official CFPUA receipt or document that has cknowledged 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. I 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 submitta! 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: ご D Dunn 7‐2-18 Printed Name Ruddy Duck WayAddress for the proposed residential work: Date NEW HANOVER COUNTY 3UILDING PERM!T スρρι′CArrOrv rypFf RESiDENT:AL Pl^〔ASt ANSW[R ALし QUEST10NS A'PLICA3LE TO YOじ R PRO,[CT′′Prolect Responsibility″ 201gヽ 91ろ “Applicalioo Number {officc use} gx1s. 7-2-18AppgCANT,S 114149, Pulte Hornes pROJECT A,DDRESS: 4020 Ruddy Duck Way CttV:WilmitttOn¨_″.…………ZIP1 2341?_____ LOT#:01133 PHONE#:343‐353‐5119 sUgDtvrstoN: Del Webb R-iyg{gl!s.*__ pROpERTy OWNER,S NAME: Pulte Homes owNER's A0DRESST €4j&lLgggL_QgUI crry: ft4yltlggg3ch _ _... _*.**- zrp:29579 CONTRACTOR:PUlte日 oln es 3LDG LiCENSE″:19311 ADDRESS:_129■Im_cp里1 CITV: Myrtle Beach sT:SC 21p. 29579 CMA!L ADDRES,Trfttunn@Ptllte 99聟 ___PHONE:843‐353‐51'9 pRoJEcr coNrACr PERSoN : lllgly !!!!PHONE: 843‐353‐5119 EXiSTiNG CONSTRUCT:ON:[」 Alteration iコ Renovation □ General Repairs NEW CONSTRUC■mど [red NeW ReJdence□Adduonゎ E洒毀mg RoJdonco□Rdoc面 on ⅢⅢⅢPLEASE CHECK AND ANSWER BELOW ALL THAT APPLV TO YOUR PROJECTⅢ滲■ Att Carage(SF)539 ___Q.r{orch (sr)334 LJ Sunroonl(SF)______ 田 Grecnhousc(SF)___._………… f) Storage Shed (Sr) □Deck(SF)田 Other(sr) ls the proposed work changing the existing footprint? 1-l Yes [-l No TOTAL SQ FT UNDER RAOF (t'or proposed workl Heated; 2A37 Unheated:873 TOTAT PR0JECTCOST(Less Lot): S 136479 -ls the proposed work changing the number of bedrooms? E Yes Ll ruo ls any Electrlcal, Plumbing or Mechanical work being done to the Accessory Structure O yes E trto Desc■ption d Worそ Catte敗墜型L01: 鮨迎」SCeenedttrOb__1■ =二 E Det Garage (SF) .-...--- f.] Pool (sF) .___.--_ 1鸞霊鮮蛍ili鮮野IIIntSltep□ b□ё獣ソ蝙艤1向鬱讚岬ヽ一 ^一 “―…‐‐・l…^ん ‐4R I_411__^⌒“―^―T■‐一―^J_Lレ 1滲 W職 i(|∵1幸ヽ婦 information. ""NOlt: Any work performed without lhe appropriate pernrits will be in violatlon of the NC Owner/Contraglsp; TiffanY D Dunn "Licensed Quolilier" / ls the property located in a flooclplain? E yes d ruo Exlsting lmpervious Area: _*_..*_ Sq Ft New lnrpervious Area: **___* Sq Ft Signature: Pilnt Nome Total Acres Disturbed: Existing Land Disturbing Permit; O yes n ruo WATER: E CFPUA E Community Systern E Private Well E Central Well D Aqua ヽ 1｀~ ・ officeri tノ 10 Approval: *Uf-:コ F摯竪二 Flood:{A}____(V)___(N}三涎__BFE+2ft=___… I躙￢及SP11:呈 .CⅥ∥lt∵ =T_:iT::Ittβ ′IT電テЧ、ロタ田 :::よ Qlこづ Dlg setbacks til lA:'*-l officer:-lZI_9 setbacks(F)10_-(tH) lO (RH) 5 (B) f'_ 0y- city:JLYI ort",lkltfi Ftood:(A) (v)*-(Nlj(*- Comm醜撃 L響 ■レ.ぃ ′ぃ … ≦饂ぞ ―たJ“みキ極 vι 」 `L__P。前恥cS f rt- , lr.:n. .nlilr^ Qpr,:r',rr..r 0l n,11.{ nnry\ 機l総 ,910Ⅲ254"09魯l leas* rc/ bel,rocii ho,,^1c5 NEW HANOV[R COUNttY BU:LDiNG PERM:T APPこ ′CATrOlv ryPf:RESiDENT:AL PLEASE ANSWER ALt QUEST10NS APPL CABLE TO YOUR PRO,ECT `′Prolect RespOnsib∥■/御上tgr Appl cat on Numbe「 (ofFice use) 6-1-18APPUCANT'S NAME: Pulte Homes Date: pROJECT ADDRESS; 3411 Laughing Gull Terrace 6;ry. Wilmington 21P: 28412 SuBD,V!S!ON:Del Webb pRopERw owNER,s NAME: Pulte Homes LOT″:01068 PHONE": 343-353-5119 owNER,s ADDRESS: 3504 Faringdon Court CtTy: Myrtle Beach ztP. 29579 coNTRAcToR: Pulte Homes ADDREss: 3504 Faringdon Court EMAIt ADDRESS: I&nY!unn@Pulte,com pROJECT CONTAST pgx56p. Tiffany Dunn EXISTING CONSTRUCTION: tr Alteration n Renovation n General Repairs CITY: Myrlle Beach sTi SC z:P:29579 s1p6 1165x56 s. 1931 1 PHONE:843-353-5119 PHONE:843-353-5119 Townhouse and NEW CONSTRUCfIOT: !4rect New Residence E Addition to Existing Residence E Relocation ホ・・ PLEASE CHECK AND ANSWER BELOW ALLTHAT APPLV TO YOUR PRO,ECT。中*Att Garage (sF) 555 E oet Garage (sF)いにhい呻330 Sunroom (SF)□Pool{sF) □ Deck{SF} □Storage Shed(SF) Greenhouse (sF)_□Other{SF) ls the proposed work changing the existing footprint? n Yes n No TOTAT 5q FT UNDERROOF lJor prcposed workl Heated:2775 unhs6lgd; 885 TOTAT PROJECT COST (Less Lot): S 177405 lstheproposedworkchangingthenumberof bedrooms? E Yes E No ls any €lectrical, Plumbing or Mechanicalwork being done to the Accessory Structure E yes E lto lf the pro.iect is a Relocation, isthere a Natural Gas Line on the current site? E yes E No ls there Electrical Power on this Building? E Yes E No prop"w useノ OCCupanり :/sn」e Fam∥γ□Du口 ex□ Description of work: f law5 and ordinances and regulations. The NHC Development services Center will be notified of any chanSes in the approved plans and specifications or chan8e in contractor information. "'NOTI: Any work perlormed without the appropriate permits will be in violation of the NC State Eldg Code and subjert to fines up to S5OO.OO.+* owner/contractor: Tiffany D Dunn [lI驚 I種誡dm洲 ∞dpa n?T[ス Existing lmpervious Area; New lmpervious Area: WATER: □ CFPUA □ SEWER: □ CFPUA □ Zo ne:Officer; Approval: _ City: Comment: Sq Ft Sq Ft Total Acres Disturbed: Existing Land Disturbing Permit: O Yes E trto E Central Well E AquaCommunity System E Private Well Communty System □Pr"ate Sep●c□Central sep●c□Aqua ― Setbacks IF)_____{LH〕_____(RH〕_ (B〕――――― Date:Flood:{A〕______{V)_____(N)_____BFE+2ft= Permit Fee: S NEW HANOVER COUNTYDEPARTMENT OF BUILDING SAFETY 230 GOVERNMENT CENTER DRIVE‐SUITE 170 WILMINGTON,NORTH CAROLINA 28403 r.′ `′ ,/2077′19′θ79873θ ∂ ′弓αχ:9′θ7987∂ノノ r77′′′・″αi ll′ll'W77773騨 1,Cο “ 4to 7 WORKING DAYS TURNAROUND TIME FOR PERMITISSUANCE STATEMENT OF UNDERSTANDiNG l,Dunn 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 have attached an official CFPUA receipt or document that has cknowledged an approval of the payment made to CFPUA. I have attached an official proof of a Zoning sign-off from the City of City of Wilmington.Wilmington, for this work that will be done in the 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 Gounty; New Hanover County can guarantee that the building permit will be issued within 4 (four) to 7 (seven) working days after the official submitta! 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: ny D Dunn Printed Name 3411 Laughing Gull Tenace ♂ Signature Address for the proposed residential work: Date NEW HANOVER COUNTY BUILD:NG PERMIT ДρPι ′CArrOAr rypF:RES:DENT:AL PLEASE ANStA/ER ALL QUCSl10NS A,PLiCA3LE TO YOUR PRO」ECT `′Prolect ReSponsibility″ ZOlで ′イ1可0 App∥(ation Nvmber {Off,Ce usel 6‐1‐18APPuCANT'SNAME:fulle 110mes Dater PROJECT ADDRESS:341l Laughmg ctlll Te墜壁 ctrY: lltlmi!9]9n z1p; 28411 suBDtVtsloN: Del W_ebb Qygllgltp 10T″:01068 PROPERTY OWNER,S NAME: PUITE HOMES PHONE,′:343「ololll19 0ヽヽノNER′S ADDRESS:3504 Faringdon Court cryr Myrlle Beach 71p. 29579 coNTRA6T6R; Pulto Hontes BLDG Lに ENSE#:19311_____ A D D R E ss: -9 q1-Lel]Ig!.-ol-q9g! EMAIL ADDRESS:1lffany Dunn@Puite corL P RO., ECr CONTACT P ERSON : !llery-9.91 EX:STING CONSTRUCT:ON:O Alteration tt Renovation tt Goneral Ropolrs NEW CONSTRUCFiON:藤 roct New Residence EI AddiJon to E対 sting Reddenco□Relocation ***PL€ASE CHECK AND ANSIVER BELOW ALL THAT APLLY rc-]LOJ&PISIEET*N' CilV:Mytte Beach_sT:』n_コ P:11望【2___ 口Det GaragO(SF)_ 口Pool(SF}_________´ □Deck(SF) PHONE:843‐153‐51J9___～_.__ PHONE:843‐353●1lL______ ご、にh僣 F}里 ______ 日StoFage Shed(SF)_____ Att Garage (SF) 555 Existing lmpervious Area: --- Sq Ft New lmpervious Area: _---- Sq Ft i-l Sunroorn (SF) - i-r Greenhouse (SF) -"- ヨ Other isF) ls the proposed work changing the existing footprint? t-l ves il No TOTAL Sq FT UNDER RooF lt'or proposed work) Heated: ?lJ9--*-_- Unheatg6; 885 TOTAL PRO.,ECT COST (Less Lot): $177405 - --.-- ls the proposed work changing the number of bedrooms? D Yes E no ls any Electrical, plumbing or Mechanical work being done to the Accessory Structllre D yes fl No i::[lJ:[::;:],?#'lli;,lt'ffi;:f 5'if 'JH'the current s te? E "' H"fit]fl ffi.rrrffi rlrrtmmrilrlffi 階operty U史ノ0∝upaにソZ/〔in」:tT:1[LfrFttIIll P ~″署T群承m 勲鰈饉凩曲V量犠 Descript卜on of WOrk:.Tangerlv Oak with screened porch and sunroool 報｀｀い聟「瞥溜 ' 幌・・・ざ● ヤ ″・｀~MI inrorflrJtion. ".NoTE: Any wcrk performed without the appropriite permits rvi!l be in viotalion of the N!!1te Blds coqnd.sullec{ to fineJ up (o s500.00"' owner/Contraq191;Ti!!q1y-D-9ul*,,,,".,,",fJ*;[@ "Licensed Quolilier" Pint Name /U.,U lsthepropertYlocatedin a flooclplain? D ves MNo Total Acres Disturbed: Exlsting [and Disturbing Permit: fJ ves n ruo WATER:口 CFPUA□COnnnlunity System□Pr～ate Well□Central Well□Aqua 勇∬磁Itti二 :Щ 」1乱 :∬高T(=讐 ]lra u,'rs0, gl0.r5d.0r&.j Ap「o輛 04_0年」とM Dttα 上んに日oo止倒___M__N上、_日い雄=……….激丘上工乙生直 Sl‐・ ″\″気[■_|_■m_L史仁遂生……_pcrn、it Fee:S_1｀″_27_……l⑫3隻」:υcomme耐 :4■“午後/t r.is.l "t p' (9bfu)ecit $l v xcillygq NEW HANOvER COuNTY BUILDING PERMIT 4PPIIc4π aV 7ypF= RESIDENTIAL PLEASE ANSWER ALL QuE、1ェ oNS ADPLIcABLE To Y●UR PR●IECr “project Responsib■■ity" APPLICAIION tftrben (Offi.€ t se) -4Lr11& ifヽヘ _ZIP:Z`粥 *,@@v[ め ig・ ollD r6_ろ 7しヽ解つEcttE ::―・8 PHONE 十:flsur'tnoo,lI oneenHd.rse B=LO“ SF SF NATOTAL HEATED SQ FT: TOTAL PR03ECT cosT(L‐しoo : ` 日: |もも /4/形 11率キ■**キ ■*手 **ホ■**≠率**キ■ □N0 TOTAL ACRES DISTURBED: SQ FT EXIST LAD DISTURB工腱 PE馴耳: E]YES EINO :ま L琵酬翼iStt d“くarル A1/」Aι 9 10И vメ rn4、1員しC DATE: pR03ECT ADDRESS: SuBDMs■o■:PHOEE■:PROPERTY O∥∥[R'S NAHE: 01■ER'S ADDRESS: CONTRACTOR: ADDRESS: EMAIL ADDRESS: PROコ ECT cowACT PER50N: DCTSTING CO STRUCIION: I ar-reurroru [ nmovarroN I oarienar- aeel,res I RELO.ATTON rrlEhl cor{sT*ucrro r n Enrcr [Eh, RESIDE CE o" f] o,rp11a19x To Ext5TrN6 RESTDET{CE 'ヰ PLEASE CHECK AI● AISWER ALL THAT APPLY TO YOUR PROコ ECT:I arr aanaoe □Dtt GARAGE sF□取酬 sF STORACE SHED OTHER: TOTAL SQ FT UNDER R00F:TOTAL AREA SQ 3oso. -#OF Powen on this Building? l-1ves Eiruo E FAT,ELY ! ruer-o<TowulousE 工s Any ELECTRIICAL, PLUnB工 “ G or MECH隕 ″工CAL Work Being Oone to the Accessory Strl:ょ #lel塁 :Y::Jl::釉 No工f the pl・。ject is a Relocation, is there a Natural cas Line on the cur Is thene Electrical 露:鵞 7露脚 :□厳壮鋪認躙譜R認よ]響縦陽Ⅷ龍犠錮ふ層冊認剛麟哺10・l"晰h“S●●四り "Ode and副 o“「ap●lcaue Sta●and●ca靡 ^^^――‐:―‐―摯__ …●・^― ・ ― ´ ― ― °fany chanloc h tle app●ved Ⅲ,and Sped彙ヵヽ¨8 0rCh"Oh∞呻つrOr rs rHE pRopERry LocATED rN l rlooopurHl n ygs EXTSTIJ'IG II'IPERWOUS ARrA: - sQ FT NEW IMPERV■OuS AREA: NATER: Q creun ! cqlx'4uNrry svsrelr I pRrvArE hIELL I cerrmu weLl sENER: B cFpuA I CENTML sEpTrc n pnrvare seprrc E cory,auNrTy sysTEM OFFICER: PAY“ENT METHOD= □c期 :コ cHECKく ,AYABLE TO NHC)[コ Bェ LL ACCω 面 □Hcノ WSA □D工 SCOVERキ■*キ ■キ事*■■キ*キ ■*■キ■キキキ■キキキキ■■■ⅢⅢ十■*キキ■キ■キ■キ*キ *+■ホ■■キキキ■キ■キ■事事事■**■事■=ホ *キ **キ*キ ■*■キ■キ■キ■■キ■ [∫聟攣:チ ∫X" 出RIIT FEE:亀 Чぢ_7?cofinent: City:DATE:み CIいЩttChOntqulleo,9132●1′ぷ)BLOCK#: 11可 `lξ ‐′σ SICNATURE:OWNER/CONTRACTOR: ヾ RECElVED Au6 1 5 2010 NEW HANOVER COUNTY 3U:LD:NG PERM「 APPIla7raV tt RES;DEN71AL ρt出 “ ハNSWER AL Qt肥 "TWSAP,LlmB"70 VOuR mOjECT ao(?、9ヽ 78- ノ′‐213′ AppXc.!o,r [dic. ur.l 00^PPLICArS MME:Pa∝CTADDRS: SuBDIVIS10N: A心 bc/QnヴPROPに RTY OWIltrS NAME: OWNERヽ ADDRFSS: CoNTRAC70R: ADDRESS: FMAlL A●●RESS: PRO'ECT CONTACT PER,ON: DenlNc coPaRuCr10m []Altmtion □Renwation 口 6eneraI Repalr3 田昭 mmRuCr10N:□Erect腱 "Resldence 口 ″螂障m to En麟 “ Rdence□Reloo●●n・・・ PLFASE CH=α 川 ●測嘔WER BE10WALLコ薇T Applv T●YOuR PRCIECr●●● 社51571 31o‐10113■1■ □At Gar●B●(SF〕______ 口 S●nr●●7n tSF} 口 G■mh●use tSFl¨____メ驚i顎コ Deck lSFl 口 POrCh{5■ 口 St●●ge Shed iSFl E ω er(SF) 器淵冨蝋糧鯰 “"生晰"由 15RllG l=lo:2401Ir thr p.epord l,o* dtrrtlrt th. aumb.r of bcdroornr? tr Yaa tr Xo li.ny[kcucd.lb,nbhaorrardlld.alwo*bclridon!toth.AcalsoryStuctur!EY6B[o lf thc p.orGct b r i.L..o!il b th.r: r ri,,rd G|s UnG on th! annlllt.lt!? D Yar O tllo Ir th.rF Ecctlc.lPowu oll thb 8u[dln!? E V.. E] llo Proprrty U!r/ OcEuFanG$F.mlly O Duphr O Towrhour. h!.rlptlon ol Wort: 0:"Ш H訥 :lhe咤 ●7●dいい●the柿 ―Dn m th"E"1●●口むCO…1"J lrw. and odhanE.' and .agrLtbr! It. IIE D3rdoDdsn 564..t CtntE wnl bt ndtrd ol .ny .t'ra.! h thr l'r.Drtd ,.at and tpaalicdorr c dlaia. h dtnc Inforfirtlon. "'l{OTt: Atry wo.t latlb.nrad rffFUt,ra apprornia p.rmni wtl ba h lroEo.l ol tll. ttc5ht Aq coda an r$Fcl ic finat up ro 556.0... Owner/Co両 Ⅲ●5ヽ。ha K.5nik Sltnrtllrc; 'U.rnsrd Qt oifr.t'P●●,″口,F ￢彗h ttt鮨 e Bul●lr8 C●●●●"●ll o●er 8P‐bL9rい a“●●1国劇 "`い J Dl“urbinc Permに ;ピ Ves E N● ls th! proplrty lor.tld ln I ffoodpbln? n vcl_f,n" Erlrtl,U tmpaMoui Arrt: _ lq Ft Na* hparylout Ara.r _ Sq R WAT田卜静 UA口 Comm¨●SFemこ mvate wellコ Cntt W訓口ヽ":鷲 RΨ 蠣:TR:翌高T(3=」:T・ Approv●L_ct年 …………Oate;_____FI●●d:lAl____{VI_ {N〕_3FF●2ト T●tal Acres Di"urbed: “PI●lect Re●●n3ib:口 tr/Comrnent P.rrfllt Fcr: S 16(οO輌器 NEW HANOVER COUNTY BUILD:NG PERM:T APPι ′CArJOAr rypFi RESIDENTIAL PLEASE ANSヽ VER ALL QUEST10NS APPL CABLE TO YOUR PROJECT 9s8' q l{3 rぢ ―Z5これア Application Number 8/r/'rИ心、APPLiCANT′S NAME: PROJECT ADDRESS: SUBDlVIS10N:LOTキ:PROPERTY OWNER'S NAME: OWNER'S ADDRESS: "Proiect Responsibility'' CONTRACTOR: ADDRESS: EMAIL ADDRESS: PROJECT CONTACT PERSON: EXISTING CONSTRUCTION: D Alteration F Renovation D General Repairs NEW CONSTRUCTION: ! Erect New Residence ! Addition to Existing Residence ! Relocation 拿拿拿PLEASE CHECK AND ANSWER BE10W ALL THAT APPLY TO YOUR PROJECT拿。*ら Itcrrust r: S9d3 I sIた夕!R′昭 pHoNEt 116'"119 - q27 t ,*oy2. gtoi-J?-,lalf C Att Garage (SF)_ n Sunroom (SF)_ E Greenhouse (St) □ Det Garage(SF)_______ □POOl(SF) □Deck(SF) □POrCh(SF) ! Storage Shed (5F) E other (sF) ,@ ls the proposed work changing the exlsting footprint? D Yes E No TOTAL SQ FT UNDER ROOF (Jor proposed workl Heated: I O Unheated: TOTAT PROJECT COST ltess totl:5 /(r@ ts the proposed work changing the number of bedrooms? ! Yes E No F.\ | lUn 6tpq ls any Electrical, Plumbing or Mecha nical work being done to the Accessory Structur( tr y.s fi,No V lf the project is a Relocation, is there a Natural Gas Line on the current sit€? ! Yes E-No 3nU8 18 12:45PH lsthere Electrical Power on this Building? E Yes ! No Property Use/ Occupancy:ts Single Family n Duplextr Townhouse Description of Work: 豚n laws and ordinances and reSulations. The NHC oevelopment Services Center willbe notified ofany changes in the approved plans and specifications orchange in contractor informataon. "'NOTE:Any work performed without the appropriate permits will be in violation of the NC State Sldg Code-llnd subject to finea up to 95OO.OO.a. Owner/Contractor: "Licensed QuoIifiet" SiBnature: II荘厚器継iお °dpa nぉょ。 NeW!mpervious Area: Sq Ft Existing Land Oisturbing Permit: ! Yes ! No WATER:ヽ口 CFPUA□Communty System □Pr"ate Wdl□CentrJ We∥□Aqua SEWER:x CFPUA□Communky System□Pr市ate seplc□CentrJ sepuc□Aqua zone:_____――°mcer:_______Setbacks(F}_____{LH)_____(RH)______{B)_____ Approva::______City:______―Date:______―F!ood:(A)______(V)_____(N)______BFE+2ft= Comment: Total Acres Disturbe a; )P Pr"t″σme Permit FeoS 95、CD zRガ ψ/Z:P: F' Gc. Pc."' Re^=\..o{.'* ( oarr, B lr .l ltf zw:A?4lA NEW HANOVER COUNTY BUILDINC PERMI丁 lθ ′ Zυr ЛPPι ICA rrO″ rypFr COMMERCIAL PLEASE ANSWER ALL QU[ST10NS APPLICABLE TO YOUR PRO]ECT ``Project RespOnsibility" PROPERTY OWNER'S OWNER'S ADDRESS: GO緊。臨〔許詠 EMAIL ADDRESS: PRO]ECT CONTACT If upFIT ― The Shell Permit #: ′08′qlマ ¶ ApPL工 CAT10N Number (OffiCe use) #: and local laws and Note:Demo:職 on nd1lG試 :ons&asbestos rernoval pernn applicatiOns are to be submltted using the applicatlon form(DHHS‐3768)whetherthe fac∥け or building was found to ∞ntain Asbestos o「not You are required to ca∥the Na'onal Emlssion Standards for Ha2ardOus Altt Po!lutants(NESHAP)at(919)707‐59gl atleast 10 days priorto the demoinion of any fadl∥けOr building See Asbeま os Web Sne:http:/―epi State nc us/epVasbestos′ahrnp html # OF UNITS: # OF STORIES:_#OF FL00RS: SQ FT ビ年PUA□COMMUNI■:ぼ E出品駅早旨sEPttЮ日 CFPUA □CENTRAL SI Eコ ZON:NG USE CLASSiFICAT:ON: E]COMMUN:TY SYSttEM ・ ―・ ―・・・ ―‐‐一・・ ‐‐‐―・「・ =「=ヽ ^日・・ ξ ‐ 歯係 ⅣlsA□DSCOvERPAYMENT METHO眈 □CASH□CHECK PAYABLE TO NHQ□AMEttCAN EXPRES ZONE: OFttCER: Approval:_ ity:――__ ATE: FL00D: Comment (FOR OFFICE USE ONLりSLibACKS:F: RWlSED DATE 4/11/12LH: RH: B: BFE+2ft=NPERMIT FEE:$ sr:rrlc ue,fgSLL crrv, u)'.Vil,\F{\o",, -..-..- :t*S 1r.r^'4:r;\!t;PHONE#:ql。_6n‐3a路 PHoNE #: 1l)-6t6-O3O5" Exrsr coNsrRUCrroN: fl arrrnarroru tr *rilfi;'roli 'fil*ol REpArRs f] nrrocnrroru lf Relocation, is there a Natural Gas Line on the Current Sitez I ves I r.ro lS BLDG SPRINKLEREOz I ves flruo NEhJ CONSTRUCTTON: ! rnrCr NEH STRUCTURE E FAsr rRACK fl SHrr-r- ! Unrrr f] aOO TO EXrST STRUCTURE ACCESSORY STRUCTURE: ***** rs rHrs A CHANGE oF occupANcy use l Ives (* ***** was the Previous Occupancy Type? _ What is the New 0ccupancy Is Elect Power on this Building I ves W*O Type, NC RE6 NC REG ls food or beverages prepared or served in this slructureZ f,Ves ffio ls The Property Locsted ln The Floodplain?[Ves DISCLAIMER: I hereby certjfy that all information in this application is correct and all work will and local laws and ordinances and requlations. The NHC Development Services Center will b( ha tt mbrmtton h tts ap口に訓On t cσ rectand tt wσ k tt com口y」h mettde野畢:[郡MI!]鑑 :∫:書歴:鱚淵諧認λ汗りRN8♀θ瑞Ⅷ那:品船::鴇8Ri型品翻鰭配詔L嗜冊:TOTAL PROJECT COST: 丁OTAL AREA SQ F丁:丁OTAL SQ FttUNDER R00~F: ACRES DISTURBED: NEW iMPERViOUS AREA: りRN8♀θ珊Ⅷ那:品船::鴇8Ri型品器躍配詔L嗜冊ξttu:LttTtttttν :認 ξ青883開島&雛湯q:出濯踪円艶∬膠 °r ibrm訓。巨"・ NOTE:Any WOtt Pettrmed W/O he Approplde Perm〔s酬 l溌 h Ⅵdaめh d he Nc ttde ttdg Code and OWNEⅣCONTRACTORつ en、Stta ttGNATURE:延肇勁」≦珍 ≦墜二義縦朧き3ieCP,(Ou8:輛 00 P"nt Nomo) IF Ves, what ARCH DESIGN ENGR DESIGN PROFESS10NAL: PROFESS10NAL: DESCRIPT10N OF WORK: BULttNG HttGH■fF fし、LSQ Ftt PER FLR: #OF SttRUCTURES: E× ST LAND D:SttURBING PERM!T?[=ヨ YES□NO SQ FT EXIST!NG:MPERViOUS AREA: PROPERIY USE□OFFに E□RESTAURANT□MERCAN刊 LE□EDUC ttAP丁 □∞ND0 0THE町 APPLICANT'S NAME: DEVELOPER: CITY: LICENSE #: ADDRESS: PHONE #: |aDlS-q tY'l APPLICAT10N Number (OffJ(l uso) NEW HANOVER COUNTY BUILDINC PERMIT lθ ″ιυびξ ハPPιICハ FralV rypFr COMMERCIAL ptFAsE A,S,tR AI[ Q●[S11001S Apptlで A,LE 10 YOUR PRO〕|(1 “ProJect Res,onsl111lty"β多 ApptlcANT'S NA14[: DEVELOP[RI OCCuPANT/8uSINESS NA∥E: PROPFRTY OWNER'S NA∥E: OI,,NER' S ADDRr SS; 33d,,t PR03ECT ADD ZIpレ Яくン匂 [■ DATE: srf${, ttp,drS,ll* srq)<- zrP;JEqtl n:1to'6r9:?flSb r: tlo-6t6-o3rl5 NEt^r CONSTRUCTIoN: f] ACCESSORY STRUCTURE: CONIRACTOR:Oo娑 6 縫還ヽぃ詳ふへ LICε NSE I: ADDRESS: EMAIt ADDRESS: PRO〕ECT CONTACT Exrsr coNsTRUCTroN: I arrenarroH t] *tilil;tfr 'ffiil*nl REpArRs fl nrrocn*0ru lf Relocation, is there a NartrralGas [.ine on the Currenr Site? nY;n No lS Bl-DG SPRINKI.ERL1Df I ves fJNo EREcT NEt,l sTRUcTURE fl rnsr TRAcx I sHELL f unrrr f] ADD 1o EXIsT sTRUcruRE Is Elect Pouer on thls Building fl ves fr^o DESCRIPTION OT WONX: jf,, ts food or bevereges proparsd or servsd ln this st uctursf f,vo. El'lro b The Proporty Located ln The Floodplainr I ves ffno ξ翻籠鰤簿欄脚麟翻絲職鶴輻綱織嗽[襴榔蠅鰊 #製 ∬鑽蛸ハh n OWNER/CONTRACTOR: (Cヽal“●′)SIGNATUREicヽ Not●:Domolldon昴引ncatiOns 3 asboslos ro■oval pemh●pplbOon5 3`010 be subm燎 ●d usin9ぃ。apptcallon folm(DHHs‐3763)whe訥。Flhe redI檜 y OF btJllln9 wlS fOurl`lo cornah Asb●試¨or not Y●o o7●fOquFed tO Co∥ "Nollonol lmttton sand8`dS tt H828′ dOuS A17 Pdluans{hlESHAP)ot 19191707・ 5950J綺 ●ヨ10 days,i●rlo the demo∥;●ll of anyゎ 0∥ty o7 blllldい 9 See Asbeslo3 Web Sn。:httメ静″″ept State nc usノ o″asbOSt∝′ohmpl“Fnl TOTAt_PROJECT COST:BUTLOING HETGHT: tm fL*p,t # OF IjNITS: I f OFSTORIE;,_-**-] TOTAL SQ FT UNDER ROI #OF STRUCTURES:″OF FL00RS: ACRES DISTURBED:EXST LAND DtSTuRBING pERMtr? flvrs I UO SQ FT EXISTING IMPERVIOUS AREA: '■ ■ ■ :F ヽ ,|「‐―ヽ 1ょ :吉 :sξ ｀ビ面 :″isA□DSCOvERPAYMENT ME翻 0臥 □CASH□CHECK θAYABLE TO NHo□AMERCAトビヵ鶴点.ぷ蔦慾砕0lf UPFIT - lhe Shell Perilit ,: IF VoS, Wi13t ARC}1 0ESIGN [NGR OES16N was the previous PROFESS10「IAL: IS IHIS A CHANG[ Occupancy Typc′ oF occuPAlrcY usrl flves ff* ""' hlhat ls the Hew 0ccupancy lype? PROFESS10NAL: PH: Pll: N( RE6 ″:∥C RE6 1: 3106F TOTAL AREA SO FT: NEW IMPERViOuS AREA: SQ FT PER FLR: SQ FT pBopERry usE: florFtcE f]RESTAUMNT wArER: glcrevn fJCoMMUNtrysYsrEMSEWER: []CFPUA fICENTRALSEPTIC L-l Ap:)11絶笠憂lτl『動 fmencaurLE fIEDUC {*, fJcoNoo orHER: □WELL Eコ 20NING USE CLASS!FiCAT10N: PRⅣATE SEPTiC Eコ COMMUN!TY SYSTEM (FOR OFFICE USE ONLn 棘 p平 Ⅷ嵐∥巫 RH瓦姓蟄継 REVISED DATE 4/:,′12 lpMtN輛。)Commentみヽたレ′″/FL00D: Ciけれ “ dittR鶴騨l鋪 ,9i0154‐赫赫ど色 S｀1ド黎抑騨蒸島良,: pROPに RTY OMINER'S OWNER'S ADDRESS: 「ONTRACrOR: 』迪聾塑璽旦皇聖」壁塾塾茎型翌堕二⊇里_ユ騒三」塾塾塾雲Eコ _旦二」Ш=ADDRESS: 6606_Windmil■ lCav flarr tARAGE . sF f]surunoom -sF [-] ene rruxousE _ sF DEVELOPER: rho,-m',eon Reatsxallaa dbe s"'_tE-E9._gI&Eg!g-SL PHONE *: 910-?6-2-9,80 PROJECT ADD SUBDMSI0N: - BLocK s: LOT n: aol`_9i『ЧPAGE E12/03 R-aivs 00/07/2018 11:20AM 9107528188 _~巨 RVPR□ NEW HANOVER COUNTY BU工 LDING PERMIT ДPPiI“■rCtt rypFr RESIDENTIAL pLEASE ANSWER ALL QUEST10NS AP'LICABLE TO YOUR PROコ ECT “PrO〕ect RlsPonsibilityJ NAME: Ernest ttracy 1505 Stoま語託J桑逢「 ―一―一――￢平苺十一三面而詰冨話一二~pH°NE C工 TY: VVilmington #: 940‐6467165 AppLTCAT10N Number (Office use) ST:NC ZIP3 2841ク ST:セこc z=p: 28105 #: #1 910ヽ36サー0643 SF 5F EMAIL ADDRESS: Ocowerc3erVproofllcwhュ nover_com pHONE PROコ ECT CONTACT PERSON: T●=mv sneeo__ _ PHONE EXISTINC CONSTRUCTION: □ALTERAT工 ON □RENOVAT10N tt GENERAL REPAIRS □ REL6cAT10N NEW CONSTRUttT工 ON:Eコ [RECT NEW RES工 DENCE ol Eコ ADD工 T10N To EX工 STING RESIDENCE 摯●pLEASE CHECK AND AN5WER BELOW ALL THAT APPLV TO YOUR pROコ ECT: LICENSE #: `7933 CITY: Wi■mingtoロ f] orr GARAGE 'sr I poRcH --sFf eoor- -- sF fl sronner shrED □DEcK二 ____SF OT[[R: TOTAL HEATED 5Q FT: 154:?TOTAL SQ FT UNDER R00F:丁OTAL AREA SQ F丁:TOTAL PRO]「CT 90ST(L“sL●tl: 3 91000.00 1, OF STORIES: 2 1J:Any [LECTRICAL´ PLUMBING o" MECHANICAL ∥ork Being Done to the Accessory structirep[:]Ves □ No lflthel:plo」ect iS a Relocatlon, ls there a Natura■ Gas Line on the Curront SiteP □ves tt No ls ithご品 ([lectrical power on this BuildingP歴 =lVes EIコ No ＼ PROPERTY uSEノ OCCLIPANCYl図 ,INGLE FAMILY□DUPLEX□TOWNH6USE DESCRIpTION OF IORK; Structural repairs due to lightning strike to hotne. There are no changes to existing layout, Only replacemenl to floor coverings, drywall, insulation, paint. sttd onrlnetc8* ehd Ggulations. The NHC Oewlopln0nl S€ruicB8 carrter wlil Oe IolifiEd of my chsngee ln fro arrprcvsd plsn I Bnd c0ecifcalime oi chande in contscbr or∞ntac.brinわ rnooUon,'mNOTE:AnywOrk PartOrned VV′oh●ApproprIBb pertnに sw∥i be in Viol●10n Orl]●NC StBb snd s:ubject b, OmJERノ CONttRACTOR:⊇ョ三二三二型ェ狙I三二二 SIGNAttURE: 輩*十摯十攣*ホ十十十キ■+↓■3ホホ■ホホ誅ホ■*メヱ中隼ど呈T主ホホホ.ホ、.十 *''■睾++ホキホ沐*ャ ●ャ*十 ■++JI軍 Iホホ..ホ中*,十華↓+*+ネ f】ゝ*ォ.rs rHE pRopERTY LOCATED rN A Fr-Oot)pLArNl ff yES H nro EX■STING IMPERV工 OUS AREAI SQ FT NEW IMPERV10US AREA: SQ FT 鵬TER:□CFPUA□CttUNIIV SySTEM□PRIVATE WELL□CENTRAL NELL メ SEWE貢 : □CFPUA □ CCNTRAL SEPTIC □PRIVATE SEPTIC □ coMMuNITY SYSTEM "キ彙 SEPARATE PERnITS REQ“IRED FOR ELE〔T, MECH, PLBG, GAS EQU工 P, PREFAB5.& IENSEttTS 十Ⅲ'PAYMEtt METH帥 : 園cASH ttCHECK(PAVABLE Ю NHC)□川[RICAN EXPRE55 □MCノ VISA □DISCWER 十十■■*や十十■キ摯+や十■十ホホホ****中*■■摯斗十=キ十ホネ*小ネホ小*“**攣十十十■十オキホ水ホ*ホネ本オ摯ψ十攣摯摯■+キキ攣キキキ*ネネホト******十 *準 TOTAL ACRE5 DISTURBED: 'XIST LAND DISTURBING PEⅢIT:園 YES tt N0 ZONE:OFFICERl REVlSED DATE 04/■1/12 LH:二 RH:_ B: (FOR OFFICE USE mLV) SETBACKS: F: Approval: 一 City t――――____ DATE:_ FL00D:BFE+2ft= oo/07ノ 2019 11:20AM 9107528108 蝸｀1が 1:ti:1111■チtl, NEW HANOVER COUNTY BU=LDINC PERMIT Appι larrO″rYPr, RES10掟 NTIAL PLEASf即 511CR ALL SヽさγloNS AP'LIcABtt TO VttR,Ro,ECI `,『oject Responsibllitノ'a。|『、91♂Ч PAGE じ2ノ o3 R・コラυ多 AppLICAΥ =ONNullbc r (Ofrice tJ、c) ゞ ._礁 ιt AppLICANT'S NAHE: Lじ出亀激疵～″´、…――・―.――‐轟 ―‐…“____“‐“‐よ ″…… 。AT[: 0こ VELOPrR: Th。ゎo9●n_墨 ●●toration dbo Ser __p:{。NJ I:J口κと」凛雇:壼塑 `ぃと中_PRO'gcF赳力RE=S: 1605 Sl●●kl:i"o'L∝ ______二 _CIIV: Wh'μ ,1 ZIp:?6412 SUBDlVIS10Nl ―.´..・～:ル・¨__日 LOCK ●: _... _…………LOT :′1 ___ 'ROpERTY O"WER'S rlAME: ErneJ Tracy ヽ 0剛「R'S ADDRrSS: 1505Joc継 ,撼ヽむ口ac。 ~~IFttII・ … …pHoNE#:,910・いo7405_ 職｀。n ___ST:N:】21P:,841, (OM「RACIOR: Thomps,n R●■tor●t J14. 11,_。・ニリ1l LICC“SE I: `7,33 ADDRFSS: 66,`,lnd,11こ I鱗 CITY: l{i I mrn.;ton ST:ヤ IC 21':ヱ事00' EIIAIL ADDRESSI cqower0oervpr,roln,:uhanovnt. c,rr pHONe ■1 910 7`2-1130 PHONE #: 91o-367-0643PRO,ECT COFFACT PLRSONl …EXTSTTNG COilSTRUCTI0N; n ALTEnATTON f] nrr,iw,ruOt'l El crnrnnl REpArRs D neuOcarrff'l NEtlJ COIJSTRUCTIOf'I: f] ERECT TITI{ RT5IOCNCG Or f]ADOJilON TO TXI5TING RE5IOINCE TIPLEASE IHECX AID {'isItR EELOI ALT }UT APPLY IO YOUR P'{O]CCI' fla,r GARAGE .*_....-.- sr D oer cAnnGE sr [:JPoHol .....--st [surunoon -sF f] rrooL -*,- , sF f] srortnct sHED -- sF l- -l c,nre *rousr □OECκ _____5, OⅥぼR:…………………5' 10TAL HEATED SQ「T: 1547′__TOTAL SQ FT UNDER R∞r:____ ToTA:AREA SQ FT: TOTAL PBOIECT C0ST1Lerrrc4: I 9'00000*IP O「 STORICS: 7 ごApy EL〔CIRICAし ,PL昴 3ぶ G゛ ∥K的圏 `ひ t∥ “ k Beinc Done tp thc AcccssO「ッStructure′回 Ves□No Tf tholp10ject is a Re10Cation,ls thoro a Natural Cas tine o■tho Cu日,o,t Sitep□Ves tt No ls there、Eloctricol ,oWer on this BuildingP[:]Ves ENo PROPERTY uSE/OC“硼 0:国 ,Iヽ6LE「AMILY〔コ DUPLEX口 Ⅷ岨 ousE Slrucltrlal rcpnir$ due to liglltntng str ike lo horrre. t here are no clranges lo exirting layout.DESCRIPTI釧 OF uORK: birucwrtt κp和 ,wi■W翼 Orlly19plaCOmentto noOr cOverings,dttγ ′8:|,in3Ul11lon,paint` D―R IherebyCa""hl:。1い Om面い●:ロロpp・to,●●●con●c:●rd J臀 o:k“∥|●市メγ"1●い。51ab詢りlkw“● “ ●lnd“●ller“,メ cl“。S●しmdb“:1,w● tl.r oNhr]qr rrrd rggulrlien6. IIo llHC O"E]opena'lt €|ry-.r Ertrv:;l 0a rotl(d uf uy Etre0rn In hc qlr/oyod ilin! sr(, Gpcrif€sbdro or crre]Oc h rcntrcrr or 載 “ し,いもlm``m.=悔彎陶 “ 饉:“∝贅離はヽわo4●●●れ轟Pen、13“it●力,1/●・72r■ `ぃ。′摯|●卜●じ●●●rd測贈d●柳 ●ァン酬 ER/CONTRACTOR: Dav・ ● Tho■1,9■● SI°NATURE: Ⅲ…●●●●●'●●●●●,……,t``t'恭中ゝl町 2ネ拿=._..サ '● ‐●,■●●■●Ⅲ… ′ ′ ~ ヽ IS THE PROPERTY LOCATED II'I I FLOG'PLAIN? ff VES I]f T'IO EXISTING IP4PERV10じ S AREA: _SQ 「TNEW 31ERV10uS ARCA: _SQ 「THATER:□CF'm tt COttUNIIV SYSTFM□PRIVAT〔ヽEし L□CLNnAL"ELL 「 SEWER:□CrPUA□C[NTRAL 5FpTIc□PRIVATC SCPTIC□COlr、しNIW SYSTE“ PAYHE軒 ∥〔TXOD: 口CASH口〔HFCK(臥 γttLE 10 MC)□畑[RIC州 1炒 RCSS □ “ cノ VISA □D15C"[R ,●●●●ホ■夕■●●●●●,,準 II■ “ ●Ⅲ■●●●●●゛0さ `ネ ``,卜 ●●●ネ●中■0さ ●●ウ■`,|●● ``● ●●●IF i●●●●●●●●″林414カヾ■Ⅲ▼●●●ウ●●よ T01■l ACRES OISTURじ EO: FXIST tAN0 01STUR31NG PEnrur: ff vcs El ro 黒メ&f温融_虫ょ膳麟蠣ril坐 ∵世晰些¨[織 IFリピ為approval:-Q[-crtyr f LO'L- oar cDwqwl"- {nlnviov LJI{L o^17 , Nu (l'o-'1.s t., -rxie linS d*u+frrh+ ③けhtド勧駒ul∞,輔 )254・剛 Uttι /=tと _4 ta9 625 NEW HANOVER COUNTY BUILDING PERM:T APPl′CATrOrv 7γ PF′RES!DENT:AL PLEASE ANSWER ALL QUEST10NS APPLICABLE TO YOUR PROJECT″Project RespOnsib∥ity″ Application Number (office use) “ 凛aAPPL:CANT'S NAME: PRO,ECT ADDRESS: SUBDiV:SiON: PROPERTY OWNER′SOWNER′S ADDRESS: GTⅥ例さι―μこ夏 LOT#: 仕夕めノι′―う成5′ ZIP CONTRACTOR: ADDRESS: EMAIL ADDRESS: PROJECT CONTACT PERSON EX:ST:NG CONSTRUCT:ON: NEW CONSTRUCT:ON: □ E Att Garage (SF)- I Sunroom (SF) - I I breennouse [)r, _ □Alterationレ Renovation□General Repaiにs [rect New Residence E]Addition to Existing Residence □ Relocation ***PLEASE CHECK AND ANSWER BELOW ALLTHAT APPLV TO YOUR PROJECT**ホ n Det Garaee (SF)□POrCh(SF) ! Storage Shed (SF)□POOI(SF) □Deck(SF) [窯 [帽 ∥糊IIW駕 ll織:∥電:鷺訴:誕 ∬Wel縮 X当ほ鶏[:器高′ll扁11::∥詰:ユ :∥::祐群」:よ渚::ielt層温ettryttrudure Xves「No TOTAL PROJECT COST (Less Lot): S ifthe projectis a Relocauon,is there a Natural Gas une On the current s■e?□Ves tt No″/4 TOTALSQ FT UNDER R00Fび or ρrο ροSed wο rk)Heated:_ど窒L重 ≦12_______ unheated: ls there Electrical po*"r. * if,o Building? ff Ves n rrro Property Use/ occupancyt ff singte r.r:,ty ! Duplex ! Townhouse Description of Work: DISCLAIMER: I hereby certify that all the information in this application is correct and allwork will comply with the laws and ordinances and regulations. The NHC Development Services Center will be notified of any changes in the "Licensed QuaIifier"Print Nome ls the proposed work changing the existing footprint? E Yes E No ls the property located in a floodplain? E Yes F *o Existing lmpervious Area: _ Sq Ft New lmpervious Area: _ Sq Ft p otner 1sr1 “οんノ坊。″θι.and all other applicable State and local specifications or change in contractor tublecttO fines up to S500 00*** WATER:い CFPUA□Communtty System□Pnvate well□Central Well□Aqua SEWER:X CFPUA□Commun■y System□Pttvate sepuc□Central Septに □Aqua zone:_____――°fficer:_____――Setbacks(F)_____(LH)_ {RH)_____IB)_ Approval: City: _ Date: _ Flood: (A) (V) _ (N) Comment: Total Acres Disturbed: Existing Land Disturbing Permit: ! Yes ! No BLDG LICENSE#: ″ι/"sr:MLztp: 0.00BFE+2ft= Permit Fee: S PHONE`塑二重髪二2坐 information. Signature: メ NEW HANOVER COUNTY BUILDINC PERM:T APρ ι′Cハ TrO″rypFi RES:DENT:AL PtCASE ANSWER Aし t QUE5110NS APPLICA3LE TO YOUR PRO'ECT′`Prolect ReSpOnsib∥itv′′ APPLiCANT'S NAME: `「 ιムクノご PROJECI ADORTSS:笠,Vι SUBDlVlslON: -Nl.A Inr- f5 - * --.., BLDG HCENSEに Й離 L鐵上]R Z8ゆ5`ι +ムpROPERTY OWNER'S NAME: oWNER'S ADDRISSI ′9` cONIRACTOR: aoDfiE5s: //l/ EMハ :L AODRESSI □Det Garage(SF}……Ⅲ…… □,Od{SF}″′,_____ o Deck(SF)________ □POrCh(SF) □StOrage Shed(SF}__ 岡Other(SF)________ bt&spq 13″譴)σ7 Appli(atloo Numbsl (of,ic0 u!e) “ノ∫へr^た Cl.". r- ′ノしぃノュ|υム"鰊0“ “ 酬m釘酪鰍均勲 PH°N欧 EXISTING CONSIRUCTION; [J Alteration E Rcnovation L] General Repairs NEW CONSTRUCTIONi Ll f rect New Residence Cl Addition to txistln8 Residence fl Relocation ●●●PLEASE CHECK ANO ANSW【R BELOW ALLTHAT AP'LV TO YOじ R PRO,ECT・・・ [J Att Gara8e {SFl -**__** J Sunroont (Sr) -* il Greenhouie (SF) - tstheproposedworkchangingtheexistinglootprint?D Yes E No .,1 ^ ToTAt sQ FI UNDER ROot llor proposed wotkl Healed: l6 O? Unheated: IOTALPROJTCTCOST(Less Lotl:$ t?0 t 000 ls the propo:ed work changing the oumber of bedrooms? O Yes E No lsany[lgttrlca,l,PlumblnSor-MechanlcalworkbeingdonetotheAccessoryStructure[JYesEN0 lf the prolecl It a Relocotlon, ls there a Natural 6ar Line on the current tite? fl Yet o No ls there Elecirlcal Power on this Buildin8? E Ye3 0 No Owner/Contractorr "Licensed Quollfrer' is the propOrty!oCatod ln 3 fiOOdpi3in?〔] Ves 23 N0 国引 “ いp“口。 “ m工 Sq風 NoW lmpeⅣ10uS Area:ル “ レ so Ft WAIER: E CFPUA O CotnmunitYsystem fl PrivateWell E Central Well E Aqua sEwER: E crpuA o coirmunitysystem E Privateseptic.? tt"..a:s,-ft::.u,I" ci[',fnmrclion$eryrec :蔦蓋 :λ 思1藤 :tibJ呻井側山腎IMP攣 t91"3イ・勢〕 Property Use/ occupancl: B !tnst111TILD Townhouse Total Acres Dltturbedi N onc' ExlsllnB tand olsturblng Permltl tl Yei E No ffirtooo: (n)輛磁麗麓孵躍ゲy歴 :Ъ 論耐一一~ ｀通ヽ彦吼T′ ッ∩Ъ NEW HANOVER COUNTV BU!LD!NG PERM;T APPι rcArrο Ⅳ賢p■■RES:DENT!AL PL[ASE ANSWER ALL QUEST:ONS APPL:CABLE TO YOUR PROJECT″PrOlect Responsibil:tゾ ′ "`‐ 91" 16´aθ ⊂刀しム.Applicatlon Number (office use) 枕「 BLDG LiCENSE#:7717_咀 h sT:ガ`z.Pt Z6Ll OS 00 APPL:CANT′S NAME: PROJECT ADDRESS: SUBDiViS10N: PROJECT CONTACT PERSON:__」⊆≧堕等Ч卜_」髪11」壼望」亜L_____―――――――――――……………………………………‐PH°NE: EXiST:NG CONSTRUCT:ON:田 AiteratiOn tt Renovation □ General Repairs NEW CONSTRUCT:ON: E〕Erect New Residence □ Addition to Existing Residence□ Relocation CONTRACrOR: ADDRESST //// EMA:L ADDRESS: コAtt Garage{SF)_____……… 3 Sunr00m(sFl 田Greenhouse(SF}_…………… 。●●PLEASE CHECK AND ANSWER BELOW ALLTHAT APPLV TO YOUR PROjECT●●● □Det Garage(SF〕___ □ P001(SF) □POrCh(SF) 口 Deck(SF) ! Storage 5hed (SF) 図Other(sFl ls the proposed work changing the existing footprint? D Yes El No , ToTAL 5Q FT UNDER ROOF (for proposed work) Heated; 15 oO Unheated: - N lA TOTAL PROJECTCOST(Less Lot): 5 I D0 t 00O ls the proposed work changing the number of bedrooms? El Yes trl No ls any Electrica!, Plumbing or Mechanical work being done to the Accessory Structure ! Yes E No lf the project is a Relocation, is there a Natural Gas Line on the current site? D Yes D No lsthereElectrical PoweronthisBuilding? E Yes fl No Property Use/:遍 ζ Singie Townhouse iノ ιDescrlptlon of Work:0‐ Code and atl othe. applicable State and local taws and ordinances and tegulations. The NHC Development Services Center will be notified of any chantes in the apptoved plans and specifications or chante in contractor information. ...NOTE: Any work performed wlthout the appropriate permits will be in violation of the NC State Eldg Code and subject to flnes up to 9500'00'i' leni ti絡席鳥t滋 i¨htr新」。雨s潔ま結論編酬cζttλ t礁蝋 Owner/Contractor: "Licensed Quolifier" :s the property located in a fioodp:ain7 E]Ves 25 Exヽ ungimper宙 ous Area:夕 1多 sq Ft り′ル Tota! Acres Disturbed:N orc ′+ム `リー ^ lal k;lrL en tsla, I 出方bグ New lmpervious Area: Nouet SqFt Existing tand Disturbing Permat: ! Yet E No WATER: 図CFPUA□Community System □P百 Vate Weil口 Centrai Wel!□Aqua SEWER: 囲CFPUA□Communly System □P百 vate Sepuc[]Centr3:Seplc□Aqua 2one:______°fncer:_setbacks{F)…………{LH}____{RH)_____{B}_ Approva::______Citv:_Date:_F!ood:(A)_～………Ⅲ……{V)____{N〕ぃ___3FE+2ft= comment:Permlt Feer $ ,nu4auC 18-2615NEl″HANOVER COUNTY BU:LDINC PERMIT APPl′CATrO″ⅣPE■RESIDENT:AL PLEASE ANSWER ALL QUEST10NS APPLiCABLETO YOUR PRO,ECr″prOlect RospOnsibl11/ Appll“uonNomber (OfncO use) A,PL:CANT′S NAME:Cha嗅 o[Bu∥dlng G「oup PROJECr ADDRESS:3414 0yster Tabby Drlve clrY: Wlmlnston 71pt2Bg12 SUBDiViSiON:Rlver[qШ 昼 LOT#:65 PROPERTY OWNER・ SNAME:Carl Nlesner&Mollssa Norto■ _PHON=″:. OWNER'S ADDRESS:担整 CiTY:ZIP_ coMrMCfOR: Charler Buildlna Grouo B10C LiCCNSE″:A7A70 ADDRESS:108 GI:es Avenue Sulte 104 -ctw:Wilrnlnqton 51;NC 71P:28403 EMA:L ADDRES,tOnv80Chatterbuldhqoroup.∞m __ PHONE:9107692440 PRoJfcf CoNTACT pERsoNr Soan Lowiq PHoNE:9102625809 - ExlsTlNG coNsTRUcflONr D Alteratlon fl Renovatlon D General Repaks NEW CONSTRUCrI0fV: trffrect New Resldence rJ Addltlon to Exlstlng Resldence fJ Retocatlon ●・ ●PLEASECHECKANDANSWERBEtOWALLTHATAppLYTOYOURPROjECr●●● 0試 α….ア ″////8 fl AttGarase(Sfl 705 E Sunroom(SF)-- fl Greenhouse(Sf)-- 口。etCarage lSFI_____ 口 '001(SF)口 DeCk(SF)□Other(SF) ls the proposed work chanBlng the exlstlng footprlnt? D Yes tr/f'lo TOTAL SQ FT UNDER ROOF (/orp roposed workl Heated: 2701 Unheatedr J20B ToIAL PRoJECT cOsT (Less tot): $3@308-- ls the proposed work changlng the number of bedrooms? E Yes ffttto ls any ElectrlcaL PlumblnS or Mechanlcal work belng done to the Acces:ory Structure tr Yes Gfdo lftheprcJectlsaflelocallon, lstheroaNatura, Oasllneonthecurentslte? D Yes Et4'lo ls there Electrlcal Power on thls Bulldlng? [ Yes E/t'to Property Use/ occupancy, E6ln8te ramtty fl ouplex 6 Townhouse Descrlptlon of Work: Exlstlngtand D,slurblnSPermlh D Yes D No □POrCh lSF2503 □StOrage shed(5F)_ permit Feei S OISCtAIMER:: Owner/Contractot; oLlcensed Quolfle/' Vi・ヽい¨"…・``～.・口~Ⅲ'=……‐~…~………― n:Atξ :rvtes Cnter哺 ∥be no∥ned OflnYChahieslnthで ,a,proved phns and spednCat10“。r change ln controctoriaws and Ordinances and Fegulatlons,The NHC DeVelopr hお rlnatlon.“。NOTe Anywほ peFfOrmed wl“債the appЮ p由 "perm"sw∥ bl h vI●ねtb●oFぬe∥CSAc3dgcO“o“di騨(1°1澪摯Ft°`50000… SlSnature, thal all the lnformatlon tn thb applldilon h correct .nd ell workwlll comply wlth the StBte BulldlnS code ard.ll other appllcable slato and lo(al Tonva Nosselroade P/f71'Noma Exlstlng lmpervtous lreal hkr, sq rt Total Acres olsturbedr :il& lsthe property located ln a floodplaln? A ves AKo New lmpervlous Area: {!!l- sq rt WATERT q/Creut' E communltvsvttem 口P∥Vate well□CentrJ Wdl cll Aqua □P∥vate seは Ⅲ□CenrJ'Optた □.1lCilI濾鰍:肥出ア噛加鞠爛:針臨nfJ Approvalr Comment3. Datel 駆縦{罵蠍)プ ∥ NEW HANOVER COUNTY BU:LD:NG PERMiT APpllCArrOJv 7γ Ptt RESiDENT:AL PLEASEANSWERALt au目前noNs A,PLICABLE TO YOuR PROl=CT “PrOlect ReSpOnslb∥げ鍋超―の00 18-2615 &pllc.tlon Nunhar loffic6 u.e) Da":_′‐′幣APPLiCANrS NAME:Charter BJlding Group____ PROJECTADDRESS:3414 0Jsler Tabbv DFIV●ctTY: Wilmlnoton SuBDiVIS:ON:Blveljbh“LOT#:55 PRoPERTY OwNERt NAME: Cad l{lgsnorE ld€lltsa Norlo!PHONE″:OWNERIS ADDRESS:NC ZIP: CONTRACTORI Cha“or Bundin口 croup SLDG LlcENsE g:67470 . ADDRESS:108 Glles Avenue Sutte 104 aTY:WlminntOn SI辿 ≧烈R28403 _ EMA:L ADDRESS:tonvaOCharterbuldinoorouo.∞m pHONE・ 9107692440 PROIECr COは、cT PERSON:Sean kwus PHONE:9102625899 EX:S■NG CONSTRuCmON:口 Alteratlon 口 Renovation□Ceneral Repalrs N=W CONSTRuCT!0鑑 76ecNewReJdence EI AdatbntOFttsungReJdence口 Rebca∥on ●●●PLEASE CHECК ANO ANSWER BELOW ALLTHAT AppLYTo YOUR PRO,ECT●●● 口AttCarage lSF1 705 口 SunrOOm(SF〕 □Creenhouse iSF)_ 口。etCarage lsF)_____ □p∞l●呻 □DeCk(SF)口 Other(SF) lsthe propos€d wo*chanSlng the existlng footprint? tr Yes Eft{o ToTAL sQ FT UNDER ROOI Vor prcposed work) Heetedr 2701 unheated! 12Q9-- ToIAt PEoJEcr cosT (t€ss tot); S3glBq!-- ls the proposed work changinSlhe number of bedrooms? tr Yes EllNo ls any Electrlcat Plumbln8 or Mechanlcal work belng done to the Accessory Structure g ves ffio lf the project ls a nelo.atlon, ls th€Ie a Natural Gas llne on the cutrenl Jlte? D Yes Ef{o ls there lleclrlcal Power on thls BulldlnS? O Yes E^o 口 Porch lSF1603 □StOrage shed(SF)_ コR28412 Paoperty Ure/ oc€upancy: E/lngle ramlly D Dullex E Townhouse Descrlption of Work: りlSCtalMER:!that al the lnFoflnathn ln thじ opplCat10n"∞鶯C and oliwofk■ “ ∞mpけ mh the state lu"dln3 COde a“J!o山「8ppbble State a“lo口!hFomauon“`NOTE:AnvWO蔵 ||おrmed w“loutthe apprOpttte pem“Wtt bl“¨●t10●Ofthe Tonva Nessolroada Slgnat!r€; ls the property located tn a lloodplaln? I yes W{o I Exlstlng lmpervlous Area: hICr, sqFt N€w lmpervlous Areat 4l!?--sqFt S日 ″ER: :チ [:il:]∥∥||∥]]:l :|∥:|:lil111:1lIIЛ IF:qlua 2●n●____Ofnce“____Sethacks(D_ (LH)___(RH)___IB)_ ApprOVal:____C:tv:_____Date:_日 ●●d:lA)____(Vl___(N)____BFE●2ft= Owner/Contractor; 'u.ented Quolnel l.\$ rnd ordtn,ncls a nd r.gulation!. Th. NtlC Dry.lopmlnt S€Mcer Clnter elll be @dfed of .ry, dren8er ln the 3pprovad pLns and ,ee.fbrllo,15 or clEnSe ln cont.a{tor ,ふ I Noma Tot8l Acre3 Dl3turbed: <1/3 Exlstlng Land Dlsturblra Permlh E yes E No Commenti NEW HANOVER COUNTY BU工 LDING PERMIT AP′ιICArrO″ TYPε = COnMERCIAL PLEASE AllSWER ALL QUESTIONS APPLICABLE TO YOUR PRODECT ``Project RespOnsibllitゾ'l{AllE: appa Holdings LLc 6124 Carolina Beach Rd CITY: s1i lminqgqn 初 `_920ュL8-2537 AFFEI6'TA{ umber (offlcc Urc) APPLICttT'S NAME: Brian Barefoot. Bluewave Dep10yment Obo American Tower LLC _DATE: 8/7/18 DEVELOPER: Anerican Tower LLC. T―Moblle _ H°NE #:919_772-2594 PR03ECT ADDRESS: 6124 Carolina Beach Rd CITY: willnington NC ZIP:28412 0CCUPANTノ BusINESS はA∥E:Anerican Tower LLC PROPERTY OWNER'S OuNER'S ADDRESS: PHONE #: unknown ST:NC ZIP:28412 Z工 p:13790COI{TRACTOR: TSC Consrruction Lr,C - LICENSE #: 7s61e ADDRESS: 129 BrOwn Street _C工 TY: 」。hnson City EMA工 L ADDRESS: Brianeblllewavedeolovment com ADDRESS: 129 BrOwn Street LnA工 L Aυ υKヒ )D; Brianebluewavedeployment com _ PROコ ECT CONTACT PERSON: Brian Barefoot _*t gtg-zgt-tezs PHONE PHONE ⅨST∞鵬mttπ 砒□1嵐 wtte駆:離 I響選ぶ計慧:鯖 R鳳離T_Y“「_:f Relocation,is there a Natural Is EleCt 'ower on this Bu■lding 「 ― eS F 0 NN:∥coNSTRUCT10N:[コ ERECT NEW STRUCTURE[二 ]FAST TRACK Eコ SHELL Eコ UPF工 TE] ADD TO EXIST STRUCTURE ACCESSORY STRUCTURE: If upF工 T ― The Shell Permit #: IF Yes, uhat was the Previous Occupancy Type? ⅢⅢ●●● ェs THェS A CHAME OF OCCuPANCY uSE7「 VES ,F ●●・・・ _ Ihat ls the il€Y Occupancy IXE8PDESIG∥ PROFESS工 ONAL:American Tower Services #OF STORIES: #OF FL00RS: ACRES DISTURBED:EXST LAND OISTURBING PERMIT? T YES T NO SQ FT EXISTING IMPERVIOUS AREA: pRopERTy USE: loFFrcE ! nesreuRerur El r,lencnrurtle[ eoucl-lnern coNDo oTHEfceIl tower PAYMENT METHOD:「CASH F CHECK(PAYABLE TO NHC)「_AMERiCAN EXPRESS F_MCIVISA「_DISCOVER (FOR OFFiCE USE ONLY) SETBACKS:F: LH=____RH_,_ ApprovaL___………―Cny: DATE___…………FLOODi BFE+2ft= ENGR DES工 GN PROFESS10NAL:_ DESCRIPTION OF IORK: Replacing existing antennae with new antennae at the same hg.g!! u!! ro!g! ls food or beverages prepared or served in this struaure?l-, YesJ-- No ls The Property Located ln The Floodplainli- Yef - TOTAL PRO」ECT COST: 25′000 00 BUILDING HE!GHT:″OF UN:TS: TOTAL AREA SQ F「: SQ FT PER FLR: TOTALSQ F「UNDER R00F: #OF STRUCTURES: 蜘躙輻醐職部と題ザ鵬襴型鸞響彎I彎蠍鸞嚢.OWNERノ CONTRACTOR:Brian Barefoot (o(dftr) (Prid N.iE) codtain Asb.stos or not YoU ere r€qul.sd to call tha Natloml Emisrhn St ndards lbr HazrdorG Air Polluiantr (NESHAP) al (919)707-5950 3l l.asl l0 d€ys prior to thc dermlilioo of any tacilily o. building. SGa Atbostos W.b Site: htlpT/www.epi.state.nc.us/epi/asb€stoyahmp-hhl PH:919_468-0112 NC PH: NC RE6 *: p- 11'77 REG#: NEW:MPERV10US AREA: ZONE: OFFICER: SQ FT Comment PERMIT FEE:: 剥註脳 lEtti蝋理滞 Ъ 刷襖 EttC蟄鉦 CLASSIFЮ 型 __ 'ERMITS REQUIRED FOR ELECT MECH PtBG GAS EOulP PREFABS&INSERTS NEW HANOVER COUNTY BUILDiNC PERM:T APPι ′CATrOⅣ 7Pfr RESiDENT:AL PLEASE ANSWER ALL QUEST10NS APPLICABLE TO YOUR PRO」Eσ Responsibility'' “ 巧の対じOtし A⌒ σ Nt LQq'F, Application Number (of{ice use) BLDG LiCtNSE#: APPLICANrS NAME: PROJECT ADDRESS: SUBDiViSiON: PROPERTY OWNER′S NAME: OWNER'S ADDRESS: CONTRACTOR:ι麟 □ Det Carage(SF)________ □P001(SF} □Deck(SF) □POrCh(SF} L」StOrage Shed(SF)_____ □Other(SF)__________ ts the proposed work changing the existing footprint? n ves t ruo TOTAL PROJECr CO野 (tess LoO:S_2聾 ∞ "Licensed Quolifier"Print Nome TOTALSQ tt UNDER R00F ttrρ “ ρOSed wο 旅)Heated:_κ 2ヱ ___unheated:__プ狂_∥躍『:譜嵐tl:露猟lせ職■罵:需腫露篤∥:11∬Wゝ咽TNrSム No ls there Elect面 cal Power on thヽ Building?KVeS□No Property Use/ Occupancy: Description of Work: iaws and ordinances and regulations. The NHC Development Services Center wall be notified of any changes in the approved plans and ipecifications or change in contractor ∥:;t:鷲 I∫事買 Td・ tζ WTT面釧 bttIIIlttCば性 ∞ “鰹塁露 T叩 ° “ け “ ヽhe prOpetty bcb"d h 01ood口 an?□vesttNo Existing lmpervious Area: -- Sq Ft New lmpervious Area: _-- Sq Ft Total Acres Disturbed: Existing Land Disturbing Permit: I Yes [l No WAT€R: ;Lcrrua Ll CommunitySystem n Privatewell l'l CentralWell I Aqua [:] Private Septic [:l Central Septic [*l Aqua 甲並国製ぃ鋤」之同翠 ADDRESS: EMAit ADDRESS:PHONE: [刈 S■NG CONSTRU日 10N:□測teraOon□Renova●onス General Repais NEW CONSTRUCT10N: □ Erect New Residence □ Addition to Existing Residence □ Re10cation '・ =PLEASE CHECK AND ANSWER BELOW ALLTHAT APPLV TO YOUR PROJECT■+* cn\t [E(4+i)} □Att Carage(SF}______ 日Sunroom iSF) □Greenhouse(SF)_ A)- (v) - (N) X BFE+2ft; Permit fee: $ 壁撃αEC∞NTACT PERS帆 ■20τ ιttK“浸 PHoNEζ 歿翌疹 L望勢 :苗 t左 :)二:饉ど1凛〆 SuBDIVIS10N: PROPERTY OWNER′S NAME: OWNER'S ADDRESS: EMA:L ADDRESS: APPL!CANT'SNAME: PROJECT ADDRESS: CONTRACTOR: ADDRESS: NEW HANOVER COUNTY BU:LDiNG PERM:T ДρPと ′(ン QTJOJV 7PF:RES:DENT:AL PLEASE ANSWER ALL QUEST10NS APPL CABLE TO YOUR PRO,ECT “PrOlect RespOnsibi:ity′ t8-:4? Applicaiion Number (office use) PHONE:_ PROJECT CONTACT PERSON:__22比ヒ _ん笙堕に 2_____――――――PH°NE T■0´ι 〃-5ア 3ヌ E測 S刊 NG CONSTRUCT10N:□4輌 EraJOn □Renova●on□GenerJ RepJ「sNEW CONSTRUCT10N: □ Erect New Residence □ Add tion to Existing Residence □ Relocation 4拿 'PLEASE CHECK AND ANSWER BELOW ALLTHAT APPLY TO YOUR PROJECT拿 ** n Det Garaqe lSFl □POrCh(SF)! Att Garage (SF)- I Sunroom (5F)- C Greenhouse (SF) ls the proposed work changing the existing footprint? ! Yes E No TOTAT Sq FT UNDER ROOF vor proposed wor*1 teated: 4Q,s-(- unheated: rorAr pRoJEcr cost lLess Loits f?/ (o0 ts the proposed work changing the number of bedrooms? g4il *o |:][|]:[:il:∥il]lilll骨 1]∥[IIli::|:il!illllil:li薔 :よ 1皿i□POOI{SF) □Deck{SF〕 ! Storage Shed (St) A other $rl /.? f / 1品 No □ No ,OB_qls、翌櫂憂艦f LICENSE I: sr:llLztPt 1y/& ユ|PHONEII: 器il」:1胤IT:littlllttTownh。崚ねん Description of Work: laws and ordinances and regulations. The NHC Development Services Center willbe notified of any changes inthe approved plans and specilications orchange in contrador information. ...NOTE: Any work performed without the appropriate permits will be in violatlon of the NC State Bld&Code upto S500 00°・・ Owneヴ COntrador ″ス磁 ∫ stnatur。 "Licensed Quolifret" ls the property located in a floodplain? I ves Efl6- Existing lmpervious Area: _ Sq Ft New lmpervious Area: - Sq Ft TotalAcres Disturbed: Existing Land Disturbing Permit: ! Yes D No w ATERT ts6UAE community system O Private well f] centratwell f] Aqua -...-SEWER: E CFPUA n community System E Private Septic 0 Central Septic ! Aqua ofrcer_setbacks(F)__(LH)___(RH)____{B)___ Approval: - Cityr- Datel Comment: rlood: (A) _ (v) _ (N) _ BFE+2ft= Permit Fee: $ ?otl-Qng r[ -,].n;.t1 ApPli(ation N urnb L'r (0ffi{e ute} 丁~丁而I=滋郵五竺l畜憂艦f tOT#; |____………、_―……………‐―― 田"mwowMttMMB f“笙:勉 ″:″IOWNER'S ADDR〔SS:_メ乙■_cnv: ihl/k革扇INEW HANOVER COUNTY BUILDING PERMI丁 Д Pρι′CArrOⅣ ryρ ff RESiDEN丁 :AL PLEASE A卜 JSV7〔R ALt QUEST10NS APPtiCA3LE TO YOUR PROJE(I′'Proioct Rospon,it)ilit/′ PHON[`′ coNTIrAcroR - |61 rrur.r II三二‐Ii再面餓 _lWh ―――………………―PH°NE:_ PROJ〔CrT coNTACT PERSON:笏 EXISTING CONSTRUCTIOT'r: f-filG-iirion I Renovation [] General Repairs NEW CONSTRUCTION: [,] Erect New Residence f] Addition to [xisting Residence f] Relocation 三二罰PttIF) _7激′ ZIP:イ齢_[ ] Att Gar.rge (51 ] --〔I]Sun「ooαl lSF)□P001{SF}________ 口 StOr8ge ShOd{,F)___ I Greenhouse (SF) ---□Deck(SF)[] other tsrt Jr?-5"./ ----- ls the proposed work ctranging the existinB footprint? D Yes L-l No ToTAL SQ FT uNoER RooF (for proposed workl Heated: */;-L{- ..*. - Unheated: ----- rorAlpnoJEcrcosr(LcssLor): s f?, fi() - t5 the proposcd rvork changing tlre nurnber of berJroornsU gr{il *o ls ary Electrical, Plunrbing or Mechanlcal rvrlrk bt'irrg dotte to lhe Accessory Structyre ff6ln ruo i(lho r00CtiSa Robcき lon,is thorO a∥atural勢ゝune on the(u“em Jte,メ s□No -./t- ls tirrre ile(tlical Pot'rer on thls BuiltJ-irrg7 (-'fles t l lloふおよしよc…孤lFi■I□乱ie…wnhou望 ts the property located in a floodplain? [ Yes iYffo- Existing lmpervlous Area: _.. - Sq Fl :翌 ∥空三聖軍―一躍 i滋腸上舜姿z夕 .考 'y/%″笏′ル″ υCしい 'ν t″::い VVViA・ ~一 ~一 ――一 _C。`К ∠島→…■nd_経単耐h血ご_左巨k)LIム「L五五レ:1豪圧_壷焼筵グfittsOcscription ol Work: in[orm.tron. Any work perfotrned without lhe approp]rate permitg will be in violalion oI lhe IJC Slate Bld&Crie r,ld l'.t'5 u? lo 5500 00"' 'Licensed Quolilier" New lmpervious Area:Sq Ft Total Acres t)isturbed: Existing Land Disturbing Perrnit: ]l Yes 'J No WATER: 面 'UA□Community System □Pr市ate Well□Central Well□Aqua ∥贄 "c□ A∞CtthsttliOn R∝馴loo,側 )254榊〕LoJめ PHONE 2盤 ´移J多 15,野'●・・ PLEASE CHECK AND ANSWER BELOW ALtTHAT APPLV TO YOUR PROJECT・・・口 Det Gar38e(SF)____I Porch (SF) Ptint t'lame 鰍Tttfll亀謝:owner/Cottrac"r三菫憂∠__亜後Lz五_____5鼈 naれに: NEW HANOVER COUNTY BU:LD:NG PERM:T ДPpl′CATJOAl,,E=RESIDENT:AL PLEASE ANSWER ALL QUEST10NS APPLICABLE TO YOUR PRO,ECT "Project Responsibility' |。r■10 `8g /ん 4ζ ls the proposed work changing the existing footprint? ! yes ! No TOTAI, SQ FT UNDER ROOF Vot proposed work) Heated: 6 610 Unheated: roral. PRoJEcr cosr (ress Lott: S,l F4 d;Oc). <ro _/ ls the proposed work changing the number of bedrooms? D yes /No熊聾燕踊喜1鰐 :帯 1:憮漱Ъu桜藩酬。 □ No Property use/occupancv:ボ ing:e Fam∥γ□Duplex□TownhOuse *+ⅢPLEASE CHECK AND ANSWER BELOW ALLTHAT APPLY TO YOUR PROJECT。■拿 □Det Carage lSFl_□P。「Ch(SF) □P001(SF) □Deck{SF) □StOrage shed(SF) □Other(sF) Description of work: D:SCIAIMER:l hereby certify that a∥the informa●on in th`applcauOn`cOrrect and a∥work wllcOmply wth the State Bu lding cOde and al other applcab e State and ocal laws and ordinances and re8ul●tlOns The NHC Development Services Center wi∥be not ned Or any changes in the approved plans and spec Fications or change in cont「3dOrinformation. "'NOTE: Any work without the New lmpervious Area: _ Sq Ft Existing Land Disturbing permit: tr yes ! No-./WATER: EZCFPUA ! Community System E private Well E Central Well E Aqua.a SEWER: E/CFPUA E Community System ! private Septic ! Centralseptic ! Aqua lsthe propertylocatedinafloodplain? E yes ! No Existing lmpervious Area: _ Sq Ft TotalAcres Oisturbed: Omcer:_______Setbacks(F)_ (tH)_ {RH)_____(3)____ Approval: _ City: _ Date: _ Ftood: (A) _ (V) _ (N) _ BFE+2ft= Comment: APPLlCANT'S NAME: PROJECT SUBDIVIS10N: PROPERTY OWNER'S NAMB ん □Att Garage{S励_□SunrOOm(SF) □Greenhouse{SF)_ Owner/Contractor: "Licensed QuoIiIiet" OWNER'S ADDRESS: CONTRACTOR: ADDRESS: EMAIL ADDRESS: NEW CONSTRUCT:ON: □ Erect New Residence □Addition to Existing Residence□ RelocatiOn [|[||[lIIIII[[II PH° NE: )vation []General Repai「s/oo34 : ]P128ル 8o 角ONE: q、0 685 ノル4ぐフλDIつ一q9> 、3_λデレt Application Number (office use) ≠0悧日n蠍 IIle=塑墜菱笙卸い¨5け"Permit tee: S Date: S ゛ FL00D ZONE ル19■19ら NEVヴ HANOVER COUNttY BUILDING PERMI丁ハρρι′εハアノOrV 7γ ρFf RESiDENT:AL \g-r-Eb\ APPLiCANT′S NAME PROJECr ADDRISS: SUBDiViS10N: ん PROJECT CONTACr pERSON ls thc propOsed WOrk char、8ing tlle existiFヽ 8f00tprint?[]Vos□No TOTALSQ FT UNDER R00F"′ρ′Oρ ο∫θ″wO′●HeatOd:_5“〇 __unheated: TOTAL PROJECT C"¨S il齢嘔 ;Ъ uw静脚01s the prOposed work changing the number of bedF is anv Eicctrical,Plumbi:180「MOChanica:work bei 檜1:∬露鳥:1蹴『糧lit詰 :irじな□No Propeny Use/occupancy:ビくing!e Fami:Y口 Dup10x□TownhOuse D Att Gara8e (5F)- I Sunroonr (SF). 6 Greenhouse (5F) ・・・ PLEASE CHECK AND ANSW[R BELOW ALL THAT APPLY TO YOUR PROJECr・・ウ f) Det Garage (Sr) -_ 口'OrCh(SF) □P00:{SF) 日 StOrage Shed(SF}___…… □Oeck{SF) □other lsF)_______…_二 ts rhe property located in a floodplainu ( ves I ruo Existing lmpervious Areal -*_.--- 5q Ft Total Acres Disturbed: PHoNE: -9 lo 68-S -ILL(,/ l-' EXl5llNG CONSTRUCIION: fl Alteration E/Renovalion f General Repairs NEW CONSTRUCIION: D trect New Residence U Addition to Existing Residence I Relocation taws and ordindnces and regulations. The NHC Oevelopment Services Cenlet wil, be nolitied o[ any change5 in the approved plans and specifirations or chanSe rn contractor lnlorm,tfon "'NoIE:Anywolkperforrred,wilhoL'llhf approrjrtep[,mrtrwr!l berlirc'lsir(]oo(thcNCStateBld8(gonryl<ltLlatVoli, rl!rj^lo$iO.lt'O"' owner/contr aaor: (fl1fu, -{"" lw -.signature: 1!9 /'-' I∥競i:写駐器蒸∥:驚 :Ili∬1濯 |『ど1。Ftth靭価柳陶,91o254硼翁 New lmpervious Area: -__--.- 5q Ft Existing Land Disturbing Permit: f1 Ye5 LJ No ♪ゝ・ PROPERTY OWN[R′S NAME: メ生 or owNrR'sA0DRESS:_&rg - O c.r.,qL,\. CONTRACTOR: ADDRISS: *r-I * IMAlt. AfitlRIS5: I Oescriptiorr of Work: tu$-%Y5 ヽCン 3_5~創NEW HANOVER COUNTY BUILD:NG PERMIT APPl′CAT10Ar rypFi RESIDENT:AL PLEASE ANSヽ VER ALL QUEST10NS APPLICABLE TO YOUR PROJECT "Project Responsibility'' PROJECT ADDRESS: SU8D!VIS10N: PROPERTY OWNER'S NAME: OWNER'S ADDRESS: CONTRACTOR: ADDRESS:琲I… pHoNE: QtO.- bt9 138ひ EMAIL ADDRESS:ι 「 PHONE: PROJECT CONTACT PERSON:ヱ "よS Cの多 EXISTING CONSTRUCTION:F Alteration ! Renovation ! General Repairs NEW CONSTRUCTION: E Erect New Residence I Addition to Existing Residence ! Relocation *■●PLEASE CHECK AND ANSWER BELOW ALL THAT APPLV TO YOUR PROJECT*ネ拿 □ □ □ Att Garage (SF) Sunroom (SF) Greenhouse (SF) □Det Garage(SF)_ □P。。|{SF) □Deck{SF) □POrCh{SF) □StOrage Shed{SFl □Other{sF) S the pr中螂work Ch¨ng the e面 … ⅢロロY巫須 ♀e紺TOTALSQ FT UNDER R00FtrOrρ ′ορosed WO“)Heated:_ TOTAT PROJECT COST (Less Lot): S p6υ ls the proposed work changing the number of bedrooms? tr Yes X No lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructurelYeslNo lf the project is a Relocation, is there a Natu ral Gas Line on the cu rrent site? E Yes fl No lsthere Electrical Poweronthis Building? D Yes E No Property Use/ Occuoancv: (single family E Duplex fl Townhouse application Number (offlca use) Description ot DlSCtAIMER:l hereby certify that a∥the informat on in this iscorrect and alfwork will comply with the State Euilding Code and allother applicable State and local laws and ordinances and reSulations. The ilHC Develop ment Services Center willbe notified ofany changes in the approved plans and specilications orchange in contractor|"い “ 嗣ぬm oFthe NC Sta"帥 "¨ e and"興 “ 幡 "O S500∞… Owner/Contractor; "Licensed Quolifiet"ρ″nt Alame ls the property located in a floodplain? I ves{ruo Existing lmpervious Area:Sq Ft Sq Ft Community System fl Private Well n Central Well E Aqua CommunitySystem E PrivateSeptic E CentralSeptic ! Aqua Setbacks(F)_____(LH)_____{RH)______(B)_____ Approval:______City:______Date:_F:ood:(A)_____(V)____(N) Comment: 罵 :∥ p娑 ilfb sEwER: X CFPUA ! Zone: Officer: TotalAcres Disturbed: Existing l-and Disturbing Permit: D Yes ! No BFE+2ft= Permit Fee: S しばF'D APPL!CANrS NAME:JレジS`気 n,o「mo●on'=。NOTE: ひ崎 NEVげ HANOVER COUNttY BUILDING PERMiT ハPPι ′εハTrOⅣ ryPど「RESIDEN丁 :AL ρ:FASE ANSW〔R AIL QUEST10NS AP'LiCA3L〔TO YOUR PROり ECT“PrOiect RespOnsibi!itゾ ′ %ノ cnv:.U1. 23告イ1ラマ ApPlkatiot) t'ltinbct {otrice u5c)W;APPLiCANT′SNAM[ PROJECT ADDRESS: SU8DiViSiON:10T″:PROPCRIY OWNER'S NAME:1とヒニ1二 ∠._」Il≧望と二巡重認∠fl……………__―一――一一 H°NE″:OWNER'S ADDRCSS: ′′Z!P: ´′,/‐CONTRACTORl ADDRESS: EMAlL ADDRESS: PROJCCT CONTACT PERSON: ´`ζ 盈出。唯皿_一酬釧NC COttRU釧帆鳳 r面 m6縫 ∞面m E cmgJ RelDK■6NEヽ″CONSTRUCI:ON:饉 CreCt Nevy ltesidenco コAddition to Existing Residence_~Reiocation °●'ptEASE CHEC:く AND ANSWER 8=LOW ALL THAT APPLVTO YOUR PROJCCT'■・ :II Att 6ar88e{SF)_____――一ヨSun「00m tsF) ョ Groonhousc(SF)________ | ls tho propOsod work changing the cxisting Footprint? Dcscription of Workr 0,/e i ,,Y.\'er J'{ "Licensed Quatilicr"Prinl Nonte □ Det Carago(SF)______… [] P001 1SF} □Dock{SF)ぷ illel蹟 []I POrc11(SF} こ資SX 1識淋∬∬ =Ж 嵐1渤 )="“一上η Unheatcd: lsthe propOscd work changng the nun、bor of bedroolns?□Vesバ Is any Electricai,P:umbing o「Mechanica:work being dOne to the Accessory Structuro l13 Ves G7■01鸞 Ilil源 |ン鸞ざ諧董II:IIl"口 L帥 ′r'∥ユニ享[I塑:男 Fmガ厖親ツト…・ IttilCと ./ ls the property located in a floodploin? f-: Y(js yf No Existing lmperuious Area: -*- Sq Ft Approval:/Tota:Acros Disturbed: 凛 ―重零μ二曇 S― [luiklrn{i Ccde lnd .rll ollrer apphr.rbk.. Sta:o ant, lo(al rD0(i{icationr o{ ih!og(r ia(ontrJato. rs'{lfr'ii uo to 5500.00"' Permit Fee: $ ----- 漱∬夕:lflcolnaltl血ボlヽ脚はew引 [ISI罵言lb贈融・資SE“ II疑 lP:li二 :翌笙1葛 s:翼 ∵程イ{篇 :躍 1)iFn ,fpbl$ r,,"d: (A) - -*- {v) -. .- (N) -X- oFE+2ft= OISCLAIMERT I hcrtby certify th?l al! lhe inlornration in this agpli(alion is (oirt'ct aild all work tvill cotrrply with thc lase and ordinances axd rcgulttiorr. Thc NllC oevclopme,lt Servi(er Cente, |trll be oolrfied of ar)y <honucs in Comment: _. 0脚 OTC10n職覆「00,斜 0。254"99" |しい人み APPL:CANT'S NAME: PROJECT ADDRESS: NEur HANOVER COUNTY BUILDiNG PERM:T APPι ′CArrOrv 7γ P[′RES:DENT:AL PLEASE ANSWER ALL QUEST10NS APPLICABLE TO YOUR PROJECT″PrOlect RespOnsib∥ity″ %ノ "″SUBD:V:SiON:LOTイ |: PROPERTYOWNErSNAMEll⊆些・ユた。/′ ι ノここし/ PHoNE壮 OWNER'S ADDRESS: /( PROjECT CONTACT PERSON:PHONE: Application Number (office use) 鬱 ExlsTlNG coNsTRUcTlo nr 6"r^ti.G Renovation I General Repairs NEW CONSTRUCT:ON: □ Erect New Residence □Addition to Existing Residence □ Relocation ***PLEASE CHECK AND ANSWER BELOW ALLTHAT APPLY TO YOUR PRO』ECT*** n Det Garaee (SF) ls the proposed work changing the existing footprint? a yes 6 ∥淋肥胤糧|:電墜)Heateと ls the proposed work changing the number of bedrooms ? A ves ffi / ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure tr yes Edo 1鸞 I賢 lII力甜紫SttWnthecun並 ?い □恥 Sing:e Familv []Dup:ex□ TownhOuse Description of Work: ! Att Garage (SF)- I Sunroom (SF) --I Greenhouse (SF) - □POrCh(SF) □StOrage Shed(SF)□P001(SF) □Deck(SF)品er 6F)lθ O」肝 Unheated: 雄 /′彦ノ〆 "Licensed Quolifier" Print Nome ls the property located in a floodplain Z n Ves 6o Existing lmpervious Area: - Sq Ft New lmpervious Area: - Sq Ft,,/ WATER: V(CfPUa I community System SEWER: qlrruo E community system θ√″+[″し 18調L18 1:4,P韓 DISCIAIMER: I hereby certify that all the information in this application is correct and all work will comply with the Building Code and all other applicable State and local laws and ordinances and regulations. The NHC Development Services Center will be notified of any changes in specificatlo0g-gr.r,hangei{€ntractor up to s500.00*** Owner/Contractor:lg/Tota!Acres Disturbed: Approval: CitY: - Date: Comment: Existing Land Disturbing Pernlit:[コ VeS □ No □PriVate Well□Central Well□Aqua □ PriVate septic [] Central septic []Aqua {F)____(LH)____(RH〕_____{B)_Zone: - Officer:Setbacks Print Nome F!ood:(A)_ {V)一 {N)______BFE+2ft= Permit Fee: $ 卸 CiTY: C!TY: permits will be in violation of the NC ノ NEW HANOVER COUNTV BUttLDING PERMIT節 11( ι ]|`Fこ)ЛPPLICД ア10″ rypFr COMMERCIAL pL[ASE ANSWER ALL QUEST10NS AppLICABLE TO YOUR PRO]ECT “Project RespOnsibility" CITY: IS THIS A I Occupancy PHONE PHONE ApPLICANT'S DEVELOPER: PRO]ECT ADDRESS: OCCUPANT/BUSINESS PROPERTY OWNER'S OWNER'S ADDRESS: CONTRACTOR: ADDRESS: EMA工 L ADDRESS: PRO]ECT CONTACT DATE:7//9//g PHONE#:9″ ―lこ ZIP:′滲 “ フノ APPLICAT10N Number (OffiCe use) #:1靱 ^メ "′ど ST″ιZIP:′万4彙 ,ノ sT:〃CzIP:`2多ク´9#:物226'、C)三〕g2ノ #:9愧 `ユ ●ヌと1 鷲IttFttIW鷺 1懲 p鸞笏軋照焉習Y∝帥o運 ACCESSORY STRUCTURE: ″こ2 1f UPF工 T ― The Shell Permit #: Is CHANGE oF oCCUpAr,lCy USE? [yES ff* ***** Type? _ What is the New 0ccupancy Type? PROFESSIONAL ,;PH:"タージι昴∽NC REG PH: NC REG IF VeS, What ARCH DESIGN ENGR DESIGN ***** was the Previous PROFESS10NAL:よ===ヽヾ DESCRIPT10N OF ∥ORK: ls food or beverages prepared or served in this structure? [Yes 藩丁0丁凡PRttECT COSI劣多璽型生翌響耀ど輩「ぇ霧年 ― ∫∬き順L丁OTAL AREA SQ FT: /`々91冊肥冨軍ツ ν辺 ―翌翠ど言∬・ ∫∬蝋計行一｀も丁0丁 AL AREA SQ F丁 :/浄々ワO SQ FT PER FLR: /〆υO #0「S10RILS: ス UttES: ノ #OF FL00RS: ′TOTAL SQ tt UNDER R00F:″タセノ #oF SttRUC丁―……―― ― ― ビTOTAL SQ tt UNDER R00F:″タセノ #oF SttRUCttURES: ノ #OF FL00RS:. ACRES D:STURBED: EXStt LAND DISTURBING PERMIT?E NEW:MPERⅥOUS AREた Zク渉が SQ FT E測 S‐ ∬佛品駆融鮮L郵鷲|: PAYMENtt METHO欧 □CASH□CHECK PAYABLE TO NHo□ Юぱ馬.誦 ER OTど跳懸雌 L品芝こ ′螂D蕊 Approvふ : 0降 Oγ l―DATE軍コ堕 FL00臥 _______ κ BFE+2■=____A V N Commentノ 9 CrS輝舞拳赫材幾戦而ワWTh戸たね津″ ″だ久 tι J ttaィ (Check All That Apply) ls The Property Located ln The Floodplain?fiYes 6, faer ar ko^+ SC*lrr-:IL. NEl″HANOVER COUNTY BU:LD:NG PERMIT APPι ′CArrOrv,P[f RESIDEN丁 :AL PL[ASE ANSVVER ALL QUEST10NS APPLiCABLE TO YOUR PROJ[CT `′Prolect RespOnsibi!ity″ Application Number (office use) APPL:CANT′S NAME: PROJECtt ADDRESS: SUBD:V:S:ON: Date αT■ ]P NAME: グル,■五レ =メ_BLD(3L!CENSE#:」ご≦L51ζ ≦L』Elコ彊__ sr:lzrere:r2 fr(a,Q 7/b坂 `'、が Af ***PLEASE CHECK AND ANSWER BELOVV ALL THAT APPLY Relocation TO YOUR PROJECT*** n Det Garase (SF)E Porch (SF\ ta □StOrage Shed(SF)_____ □Other(sF) ls the proposed work changing the existing footprint? I Yes E{o TOTAL SQ FT UNDER ROOF (t'or proposed work\ Heated: Unheated: rorAl pRoJECr COSr (Less Lot): s / t{ 4t2.OA ls the proposed work changing the number of bedrooms? tr yes y'wo ls any Etectrical, Plumbing or Mechanical work being done to the Accessory Structure 6s I Uo lftheprojectisaRelocation,isthereaNatural GasLineonthecurrentsite? ! Yes @-No ls there Electrical Power on this Building? gfYes 3 ruo Property Use/ occupancy: dsingle Family f Duplex ! Townhouse Description of Work: information. ***NOTE: Any work performed without th€ appropriate permits will be in violation ofthe NC State Bldg Code and subject to fines up to 5500.00*** Erect ou tl o tllt<t laws and ordinances and regulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or change in contractor &越曜 ls the property located in a floodplain? D Yes d/ Existing lmpervious Area: _ Sq Ft New impeⅣbus Area: ノ子 gィ sq Ft WATER:ビ CFPUA□Commun■y System□ SEWER: 白て千PuA□Community System□ Zone:_____一 °fficer:______Setbacks(F) …CTotal Acres Disturbed: Existing Land Disturbing Permit:[コ VeS El￢Nb Private Well □ Central well □Aqua Private Septic□Central Septic □Aqua _ (LH)____{RH)_____〔B)_Sら当~LOT PROPERTY OWNER'S OWNER′S ADDRESS: CONTRACTOR: ADDRESS: EMA:L ADDRESS: □P001(SF) □Deck(SF) 2C4」じL 13 31ol F∥ Owner/Contractor: "Licensed QuoIifier" Approva::_______City:_____―Date:______―F:ood:{A)_ {V}― {N)______BFE+2ft= comment: PROJECT CONTACT PERSON: PHONE: 7′夕″′ `′ フ・ `を ,`フ ′ EXISTING CONSTRUCTION: E Alteration D Renovation D General Repairs NEW CONSTRUCTION: drutNew Residence fl Addition to Existing Residence ! □Att Garage(SF)______…_□SunrOOm(SF) □Greenhouse(SF)_____ Permit Fee: $ 1NEW HANOVER COUNTY BU工 LDINC PERMIT 4PPム I“ア■07V TypFr COMMERCIAL 'LEASE ANSttER ALL Qじ FS110NS APPLl,A3LE TO YOUR PR00ECT FFprOject ReSpOnSibllity" ρo(8″91ηl APfimrTDN Number {0fflce Use) #l 263-?3:qj _ST: p5 ZI?:zsaot AppL工 CANT'S NA“El Kery HOdges . DATE: 6tst1l DEVELOPER: Harotd K Jordan and co _PHO∥屋 #:2r.0_4388 pROJECT : 21't0 west Lake shore dr 蔦扇i覇高~~ ヽZ工 ':叫 0CCUPANT/BUSINESS NAMEi Lokes:de Reserva P∥ONEPROPERTY OWNER'S NAME:(ぅ。。d Shepherd Conttr cェ .v:Mttn。おnnl.nIE o'( an,pFくく, ^′.`′^“:、●`OllNER'S ADDRESS1 81l Manin s(!Vlmington。11`V〕●:“l:Ot r CONTRACTOR: Ilarold K Jordan and co _LICENSE #: 26431 CIIV: Apex __ADDRESS I J086 Classic Rd Sute 201 PRO]ECT CONT PHONE PHONE ENGR DESIGN PROFESS10NAL:_Fltlher Reed ρ"飾崎 (P'11)lNat4) SO FT EXiSTING IMPERViOuS AREA:NEW!MPERViOUS AREA:3547 SQ FT ST; Nc ZIP: ercls .".*: gtozgss2gg s: zgs-szs: (Cheて k All That Ap,ly) i胤』ぶ習脚ヽ翻1糧爾:llettrWよ」響層ぶ誦:ALば :錯農黒離弔 _Yギ_臓ばONSTRUCT10N: 匡I ERECT NEII STRUCIURE□FAST TRACK Eコ SHELL EII U'F工 TE] ADD TO EXISI STRUCTURE ACCESSORY STRUCTURE: . If UPFIT - The Shell Pernlit il:Is Elect Poh,er on this Building f . Yes lT NO **'{i* IS THIS A CHANGE OF OCCUPANCY USE?T YES IT. NO C(:I'*'T* IF Yes, what uas the Previous occupancy Type? oF occupANcY usE?r YES Ir. N0 c(:r'*'t* Ilt8fi ?rrrro* pRoF EssroNAL : Tise -Kiesre, Archirecrs PH:9199670158 NC RCG PH:9190217146 NC REG DESCRIPT10N OF WORK:New consln,clion eparlrnents 捻bOd O「bOVenges prepattd tt seⅣed h mも執rucω re?「YesF.Noも The PЮ peny Locattd h The Fbodpbい ?「Yes「 D19L今1嚇 P,彎γ型2露嘱1轡潔°猟1鷺幣臨朧晨欝霞蝙縄ξ皿選歯温繁Y鶴郡郷搬郷翻L避鍮朧澱躙醐鼈 1扁葡傲輔鷺縞諏鰍鍮鼈臨珈燿濯鋼鵬 ″′ン⌒ 、ク・グ OWNER/CONTRACTOR:Kd"ド Od9es でRn、:碑 i SIGNATUR匡 :…2重三 =多L′^_`^^A `Pl")lNat・)%…Z裏_(ouasfie') '""""'"'lL ro ne srbmiltod using the applicauon ro.m (Dt{HS"3768)'rdretur rh€ facilny or building was lound lo Note: tlemolitiorr noliliaalbns I asbestos removal parmit apdlatiols a| ,^ nrrcu^or --r r6ro\7n?-qo4n ar ba(t to rtrvs tritr to thoNoO:00mdmoll na■‐Hons●●―ぃ‐:u“V・ 7a p口 ∥ 1添鮮品 |ユ 1詰 ξ孟品」ξ恐 Iら 1菖轟 :氏「Pdu鯰はs●ESHAOま 01"707‐5950 a lead iO dayS“iσ O lhe contaln ASbeStos or rlol_You 81e reqtllred io o3!lhe Na , __ .__.( ^`ヽ 1 III高 1諦葛蔦′ふよふobJung beeAS"SOS tA/eb Sna日 ,,∴,″ “「 Stt ncじず,"a'い●うヽたhり～碑琳基編:胞吾=鰤蠣僣:弊 ‐・樺撫 EXST LAND DISTURBNG PERM「?_障 YES_1…NOACRES DiSIUR3ED:く 1_______――― __ _ ____―‐^・・^・ ^‐・ HEF i需驚覆画■11∞ pRopERry usE: fJoFFtcE f]RESTAURANT fluencnrurrLEn EDUCEI. APrfl coNDo or 高[l圏:[::i□::皿露Ⅸ滞Ъ露淵虫Ett Ю ‐|■||'|■1 .: ■‐ :‐ |‐|| |● :.4■ CHECK ttAYABLE TO NHC)「tFL00D_ □電見∬踊群湯酢:ドドに灯ЮN _ 去ふ:古ぶit[支 :A墨ぎ |:McllvSA F_DSCOVERFllT獣ざ澪}kLH五剛工BL_ ヽヾf・ハ(PE PAYMENT METHODi APProval: / - AppL工 cANr'S ttE: DEVELOPER: pROこ ECT ADDRESS SuBDMsloN: PROP[RTY OlrtER'S OWNER'S ADDRESS: NEW HANOVER COuNTY Buェ LDINC PERMI丁4ppEcAπaV 7PF= RESIDENT工 ALptEASE ANMER ALL QuEぅ :↓oNS AP,EcABLE tl vouR PR03ECT cProject ResponsibLlltld BLOCK#: APPLICAIION NtllDeF (Offtce Ure) CONTRACTOR: ADDRESS: EⅣ換工L ADDRESS: PR03ECT CONTACT PERSON: f]err emnce BELCll SF ユ hl0Rf(: eX SYSI-'ry:lT{1hat all iflbrmadon in hb spPf;caarn b conEctstd dlvDrkvd[ complywih dte staD &itdhg code and sr o&er€pdi:abJe srab ard local lar,,Eano oE|nan'ss ano €gul8lions Ths Ntilc De'€lopmsntsslvic€s c€nEr\xillb€ no{fied of any chsnoes h fie soolollgd otens sd slcinenans ai crra"a. i^ -"1*r,-,and oに hanぃ and 09ub10ns Tho NttC DeЮ bpment“ry c06●nbr晰 l be nolFed ofanychan9os h he appЮ ved p ans md spedta10ns Orchm9o h∞nυ “ 0子 Or∞n…0●6m●|●n、￢NoTE,Any w●螢P●mmed w/●智A"●prla●P輛｀wm be h vOEtOn or●oNCS●ゎDd9_Ode md“blectoり。st●TC“。α"" *:F*+t****++*:f.*+************(IHiJff]************+:**** ++******+ {**********K*** +**+***+** 工S THE PROPERTY LOCATED工 N A FL00DPLAIENP[コ YES E]No EXIST工 NG I14PERVIOtls AREA: sQ FT TOTAL ACRES D■STURBED: NEll IMPERVIOljS AREA:SQ FT 邸 T LAm pls岬醸 pERI耳 : □YES tt NO hArER: f| cFpuA D copn4uury sysrEM EI pRrvArE IJELL I cer,nnnl well sElrER: $ cFpuA tf cENTML sEprrc I auvarr sEprrc - ccrqvtuNrry sysrEu PⅣHEMご鳥 TPAi::iti[II口 [:::i[:IRi:″il:L:li:lボ Cビ孟 i::。ilI"'ど眺獣工鵬じ I:::vER*■**■キ■キ■■キキ■キ■キ■半■タキ■Ⅲ*中キ■十■キ■キ■キ*キ ■キキキ*キ ■キ■キ■キ■キ*■キキ=手 *キキ■キ■**キ■*キ ■キ■*率 *キ辛オ■キ■キ■キ*ホキ== OFFICER: ?rol Lo.l I ZOrlE: Approval: Comment: 〈FOR oFttCE UsE∝LY) SEIじ ACKS: F:LH: 鮒:_B: R―¨A1 04/111/2 8FE+2t=NPER∥工T FEE: 1 zの 3_917マ DATE:3~ア ~77 PHONEチ:#: ST:ZIP: pHONE概 `Z2~ι 13_-7′¶Sf DCTSTTNG coisTRUcrIoN: [l alrenarroru fl ner'ovarrou I oerueul REpArRs E RELOCATToN t{Ehr colETBrcrIO , I Snrcr !{E}r ftESrDErlEE or I aoorrrw ro EErsrlr{G RESTDENCE ++PLEASE CHEC( fiD ATSN'ER ALL THAT APPLY TO YOUR PR03ECT: l-l suNnoo,a qF ffioecr l0O sr oTHER: I eool _ sr I sronaoe sreo SF SFf] enerunruse _ sr TOTAL HEATED SQ 日:lorr eenaee sr flconor SF TOTAL SQ FT UNDER R00F: rorAl pRoJEcT cosr(Ler_oo , $ s*00_Q_ rs Any ELEcrRrcaL, pr.,l}tBrN6 or r,rEcHANrcAL work Being Done to the Accessory structurer fl ve, ffi ruo工f the project is a R9■ocatiOn, is there a Natural cas Line on the ls there Electrical Power on this Building,E:]Yes EEINo Current site? □Yes tt No PROPERTY uSE ノ DESC-ON OF ∝CtPARγ:SINCLE FAllIしY 即 PLEX # OF STOR工 ES: TOTAL AREA SQ F「:― Cityt DATE:________ FL00D: NEW HANOVER COUNTY BUILDING PER∥IT パρPι rc4丁 FO″ ryPFr COMMERCIAL pLEASE A■Sw[R ALL QUEST10NS APPLICABL[ TO Y00R PRODECT “project RespOns■bility" qg$'7t\( A… ∥umber (OffiCe use) _DATE: 01.02.■8APPLICANT'S NAME: Robert High Devel DEVE LOPER: PROPERTY ttER'S OWNER'S ADDRESS: t, LLC ZIP:,Q4n2wr.lmingtonWilmi '23403OCCuPANT/BusINESS NAME:Robert High Development` LLC NAME:聟滞翼競「生一￢罰可面蔦 F―=223 Greenville Avenue CO{TRACToR! Robert High pevelopmenr., LLC - LICEiISE *: toes.7AItrlBESS: zz: ereenville Ave C工 TV: wilmingtonenarl aooEeSB :lollrroberr _com/car。1rthighdeve■PRO]ECT I Toni u'ohnson & Carolyn hlhj.Ee PHONE 絆: 910_790-9490 PHONE Sf :;ig--ZIF:2Bao3 5T:Ns ZIP:2sas3 g. - r':910_790-9490 *: filll6'El6- 驚鳳思剛∬翼網:凛 ∥乳ettlttI響 _遍諜「L慧 ::黒黒li蜆_YesFINo 22RtlG 13 18凛 P" y:-:Tl-y:].]T.lI EREcr I'lrEW srRUcruRE ! rnsr rnacx I sHELL I upFrr E] ADD ro Exrsr srRUcruRE ACCESSORY STRUCTURE: If UPFIT ― The Shell Permit #:Is Elect Power on this Building FF es 「 N0 PROFESSIONAL: Cothran Harris ArctricecEure PH:9■0_793-3433PROFESS■oNAL LcBHF Eng■neers, PLLC PHlデ 15=写 5竃 ==面ヌ5δ DESCRIPT10N OF WORK: conversion fiom warehouse to office lF Ves, what IXEttPDESICN EttR DESICN I ●●●●サ Is THIS A CHAME OF OCCUPANCY "as the previOus occupancy rype,..arehouse uSEP F鳳 IFt[・選凛IOccupancy office . REG#:NC4290 REG お:P_0506 [珈鱚藁蓋墓運編 OWNER/CONTRACttOR:Robert M High (Prim Nare)Note:Dem●lt10n nothcabons&asbeslos removal pem1 3pplica」Ons are to be submi“ed using the appk趙 oOn fonln vr vYrEni9 lree ,vt :Tllf::T,:'j:::1U',",I1*:y^:.::,-T.X,y:r ::ilIn sr€nd?rys for Hazardous Ar polurans (NESirapr ar rsleiroz.sgso ar reasr r0 days prior ro rhederndhn Ofan′facll"Or bulung_see AsbeStos Wob SII●:hup:m epl.state.nc_us/eprasbestodanmp h酬 TOTAL PROJECT COsT: 59■′000.00 BUILDiNG HE:GHT:■9'3"#OF UN:TS:N/A #OF STORiES:2 #OF FL00RSi2 TOTAL AREA SQ FT:4560 SQ Ftt PER FLR: ACRES DiSttURBED: TOTAL SQ FT UNDER R00「7,829 _ ″OF STRUCttURES:■~~~~~~…… NEW:MPERV10uS AREA:EXST LAND ttSTuRttNG PERM「?_F YES「‐NOSQ FT EXISTlNG:MPERViOuS AREA: PROPERTY USE: EIOFFrcE E RESTAURANT fI MERCANTILEN EDUCN APT[-[ CONOO OTHEI sII[;員 : 日:F:11.[]:日馴出買どξ算諄混「己生高恥」繹せbEP■c Eゴ電L驚詔滝篤Rギ SE CLASSlttCAT10、 SQ FT ‐:●:EIVi ・●●sEPARATE PERMITS REQUlRED FOR ELECT,HECH PLSG,GAS EQUIP,PREFA3S=INSERTs PAYMENT METHOD: f CASH [- cnecr (PAYABLE To NHc) J-- aurnrcnN E;pRESS fi_ rrlcnrrsa f-_ orscoveR(FOR OFFiCE UsE ONLV) zoNe: 0.yr: r(go\oFFtcERi . . {tr I EIBACKSiFミ_LHl壌 L♂Rt、_0=基_蔦高 g芭置 ~碩ヨに亜二1西竃覆埠鶏醒正Iおこざ H‐―L口」準_nk―緊 2=Commmt麹暉卜ヽ | ~ ~~昨hwDЪ R満。dPttmT疇和 tt″ 的1甲 b Requr∞,")2∥0000 #! gtc-z9o-9+go zθ rフィ|AFFEEItrION Number (Of{ice Use) -DATE: ot.02.ig NE∥ HANOVER COUNTY BUILDING PERMIT スPPιICttTrar rypFr CO∥MERCIAL PL[ASE ANSWER ALL Qじ ESI10NS AppLICA3LE To YOtJR ,RO〕ECT “PrO]ect RespOnsibility" AppLICANT'S NAME: Robert High Development′ LLCDEVELOPER:*: glo-zgo-g+sorKUJヒ L: AIJUKtbb: 324 Creenville Ave _CITY: wilmingt9n ZIP:23403 0CCUPANT/8USINESS NAME:Robert High DeVelopment′ LLC PROPERTY OWNER'S NAME: RH」R Properties′ LLCOWNER'S ADDRESS: 223 G三呈呈壼y:lle ttx呈里望2 ・CITV: WilmingtOn PHONE #:9io-z9o-gesosr:ff?iFf,'Eff COflTRACIORI Roberr High Developmeni, LLC _ LICEIISE *: ta6qtADDRESS: 223 Greenville Ave i CIW:Wilmi5葛 ST: Nq ZIP: 2sa63EMA工 L ADDRESS:#:ぶ 790-9高絆:9■0_790-9490 rthighdeveiopment . com/carolynr.?roberthighdevelopmeni - PHOIIIE Toni iohnson & Carolyn WhiE.e PHOIIE i胤嶽:謝 :慧翼輛:凛 WttettllttI響 _層ぶ:ALざ :誌農鳳li翼翠……Y“「^No YES 「~I N● ●●●■● iS the New Occupancy PH:910_793-3433 NCPH:!fril[!l'ffi- off ice REG *:Nga29g REG #;!1fi5--NC and local laws and or chanoe in contra NEW:MPERV10US AREA:SQ FT BFE+2fti NEW CONSTRUCT10N: E:l ERECT NEW STRUCTuRE EI]FAST TRACK E] SHELL EII UPFIT巨 ] ADD TO EXIST sTRUCTuREACCESSORY STRUCTURE: If UPFIT ― The Shell Permit #:Is Elect pOwer on this Building FF、 es 「" N0 ]iEI:::sI:itpI::E:::」ll::壼il[IIl]Ii∫ ′ Hili::lI:曇 lLI:El凛i lNGR DESIGH PROFESS■ONALlcBHF Eng■neers, PLLC _ DESCRIPT10N OF WORK: conversiOn fを Om warehouse to office にわod or beverages prepared or served h h、structure?「VesF_No にThe prope●L∝ated:n The F:ood口 anttF_YttF_No t -'-1-* DISCLAIMER: I hereby certity that.all informalion.in thrs_aqplication is conect and all work will compJy with the State Building code and all other applicable Siareand local laws and ordinances and regulations. The NHC Cievelooment Services Center wiil he noiiiiFri 6r ^hv.h rh6 .^^, ,,d ^r^^- ^^/跳搬電日I習躙艶認絆中r諄嘲調lttRN8♀ど鰐ⅧЪ錦騨織%8需鷹辮説蔦面薦講磁i謙減籠麒灘醜礁蝋 OWNER/CONTRACttOR:Robert tt High SiGNATURE:(Oualrier) (plnt Name) Note:Demolitio●notiftatlons 3 asbestos reryl●val pemit appllcatlofls are tO be submitted using the applκ ぉtion fOrn(con撼 "Asbestos or not You aЮ req面 red o ca∥由e Nabond Em、sIOn sttndads for Hazaだ ous ArPdbttns(NESHAo a o19707‐5950 a baま lodaysb:rb hedemolito●of any facil∥y or building See Asbestos Web Site:hitpヵ ηww e,I state nc us/epi′asbesl137ahmp html 丁OTAL PRO」ECT COST: 591′000.00 BU:LDING HE!GHT:1913∥ #OF UNITSi N/A 18破:::鴨誂轟1載詠電亜≡=:Ъ [L7員 ]]:話頭一一―- 1群 I田憲井一一―― ACnES DISTURBEDi pRopERry usE: EIoFFtcE n RESTAURANT f] MERcANILEn EDUCI-IAprD coNoo orHE, 凝季日:F:じ貪日:熙糧鮮Ⅸ菖ざЪ 晶鮮臭EP■C□男脇慧踊WSECMSSttCA■0、 SYSTEM ~ ._sEttTEttP∥ヽ PEOり REDぶ E〔CL MECH ttBQ 3A孤けR PRF ABS 3:NS[RTS PAYMENT METHO欧「 CASH「CHECK PAYABLE TO NHCI F_AMERCAN EXPRESS F¨MC″ISAF_ (FOR OFFICE USE ONLY) ZONE:OFFiCER:SETBACKSiF: LH RH Approval:_ City:_ DATE_ Comment EXST LAND DSTuRBNG PERM「?=「YES「NO SQ FT EXIST:NGIMPERV,OUS AREA: FL00D: PERMI丁 PRO]ECT コθ 『 9′57 HANOVER COUNTY BU:LDiNG PERMIT ApplrcA7701V ttFf RES:DENT:AL PLEASE ANSWER ALL QUESr10NS APPuCABLE TO YOUR PROJECT … R‐●●耐日v APPLiCANFS NAME: PROJECr ADDRESS: SUBD:VISiON: PROPER「Y OWNERS NAME: OWNER'S ADDRESS: CONTRACTOR: ADDRESS: EMAIL ADDRESS: pRorEcrcotrrrAcrpEwn, {t/, o>h?., "*n. qru - a/y'-{al*- IXSTING @I{SnUfilON: E Alteration ! Renovation E General Repairs NEw CONSrRUCnOI: p/Erec New Residence E Addition to Existing Residence E Relocation 拿拿拿PLEASE CHECK AND ANSWER BEた OW AL THAT APPLY TO YOUR PROjECT'拿拿 E/etearree lsrt 6/2 fl Sunroom (SF) - ! Greenhouse (5F)- D Det Garage {SF) _grt,*6ry n Pool(sF)! Storage Shed (SF) W{eck (sF\ /) O ' t/ '□Other{sF) `r2 ls the proposed work changing the existing footprint? E Y6 O No TOTAL Sq FT UNDER ROOF llor proposed workl X*.a, 2 7 7)Unhe.ted: ∥11:lllillilili∥:11儒 ms,□veS X Dercrlptbn of Work: DTSC|JqiMER: t hcr.by certit tn r.ll dE info.nt tion in thb applt2tixl b conect.d .ll lrqt will co.npty wi$ th. SbG Arildiry Cod..nd rll othcr .pptieble St tc .nd loc.l infornarion. *.rflOE: Ary rvo.k Frfo.nEd without thc.pprop.iatc pcrmits will b. in yir.tbo of th€ NC St t. 8ldg Co&.nd subFct to fin s up to svn.m"' sEnrtur.: 7-Z = -ownsr/contnstoc "Licened Quolifiel lsthe property located in a floodplain? a Vas g/tu Exlstlnt lmparvlous Are!! - Sq Ft N.w tmp€rvbui A|.a! , /{ 7 / sq tt Exlstlng Llnd Olsturblng Pqrmh: D Yes ! No WATER: Mf CFPUA f] Commuoity System D Private Well E Centralwell E Aqua SEWERT UfCFPUA fl community System ! Private septic E centralseptic fl Aqua ¨r:―――――――mb・Cks(F)_ (LH)_ {RH)_____(3)_ App"val:____CIty:____Date: Tot.l Acr€5 Dirturbcd: 13‐′暉 Ч で Applk tion Nurnber {office us.) o*, ?-/{-r*-Z:P4 /pl PHoNEc. q10- /1?-Cd-yr {]ir1Y h),t^.,rt ^ zto' 2 X'drq<) sLDGLtgpnsS s. 76 i ?l srt .U( ar )(/Fa inONE: ク/ι ―慶〃―夕 ″ /多 //4″ 94午 cr PuA Fl●●d:(Al___M___{N〕BF[+狙=Comm6nt: 移多 Fo●:S ′し9600 義 HANOVER COUNIV BU:LD:NG PERMIT APParCA701V 777[=RES:DENT:AL PLEAI ANSWFR AtL QUEST10NS APPuCABLE TO YOuR PROIECT ……VAppl cation Nunber (。mce use) APpuCANrS NAME: PROJECr ADDRFOξ:SuBDIⅥS:ON: PROPERFY OWNEPS NAME: owNERsADDnEss: ?/ 6- CONTRACTOR: ADDRESS: EMAIL ADDRESS: LOT#: ′{9 slDcltssr$2s. 7(/7) PROIECr∞NrACrPERSOtt PHONE 9/′´びフ″´´″ EXSnNG CONSIRUCIIONT ! Altetation ! Renovation ! General Repairs/ NEW CONSIRUCnO : Z Erect New Residence fl Addition to Eristing Residence E Relocation 388PLEASE CHECK AND ANSWER BELOW Aは孤 T APPLV TO VOuR PROIECr●●● E Det Garage (SF)-! Porch (SF) tr Pool(sF)□Storage Shed(SF} n ofxjk lsF) l)A' q "□Other(sF) Unh.ltrd: €U フ´ダーl′ PHo E$: lto '(S q- 6o/-r □Att Garageド D― D Sunroom (SF) - D Greenhouse (5R - ls the proposed r,vort ciantirts the e)(isting footprint? D yo / No TOTALSQ「UNDER R∞F"′ρψ O"d WOrkl H●●ted: 27ζ ′ TOTAL Rα EC COSTい ■Ⅲ52 ′ tsthe proposed work changing the numbelot uearooms? I v- Jrc D6crlptbn ot Wo.f: DiSCtA MER:l hereby cert●that a∥¨hfo―tlon h thヽ 3ppl●t On t corectand a∥К濠輌lc―山wlul Ⅲ sta"BulHing∞de and ar Othef app ltabL State ond bcal laws.nd ordin.hce.nd t!8!l.frons. ft'c NHc D6rclop.Dcnt Scrvaes c.nt;r willbe notfed of.ny dEn8es in tltc apFoy.d plrns.nd sp€cif..tionr or ch.ntc in contr.ctorintma6on“`Nυ l●:Anv―pg10-d WⅢOut Ⅲ appropr■te p_`■ “ be in volatlon or●_NCヽ te B dB Codeand sublectto nnes up to SS∞∞“・ orn-rlconatao. floort8 D f)tZka- )r s6nttun: 7-Z 2= A--"Licened Quolifie/ Priot Notfie ls the property located In a floodplain? A Ya ilo Existlng lmp.rvlous Ar! : _ Sq R N.w tmp.rvlous Ar. r, 9Cl t sqn Tot l Acr.s Dasturt€d: Exlnlng tlnd Dlsturblnt Parmft: D Ves□No ]:I:l :′1[::::::IIuntySyStem □ P"Vate we∥ □ Central We∥ □ Aqua nunity System □PnVate septに □Centra!Septic□Aqua … r:smacksiF)__{LH)___(RH)___10)_ Approval: _ Oty: _ Drtc: _ Flood: (A) _ {V, _ (N) _ BFE+2ft= Commqrt: 〔鋲｀めいい 7o 9art- ＼