JULY 13 2015 BUILDING APPSPE. ty-11%,
a-ort-b531
APPLICATION
Number
(Offi.e Use)
*,', -tlilif
ffi
APPLICANT ' S
DEVELOPER:
NEW HANOVER COUNTY
BUILDING PERII,IIT
APPLICATION TYPE: RESIDENTIAL
PLEASE AI'JSI]ER
ATL QUESTIONS APPLICABLE TO YOUR PRO]ECT
..project Responsibility',
M.l.!E :
PRO]ECT ADDRESS:
SUEDTVISIOt't:
PROPERTY O}NER, S
O iIER'S ADORESS:
COi'TRACTOR:
ADDRESS:
EI'IAIL ADDRESS:
PRO]ECT COI{TACT PERSON:
PHOiIE
t-07
PtOl'lE
t:
sr{g-zrpt2.%{L
sr:llP"rp:
Dpb
fl arr eaue e
PROPERW USE
/
DESCRIPTIOI{ OF
At'lD Al{suER BEL(M
_ sF
OCCUPANCY:
NOR(:
_5F
--
sF
?*:
ZZt)
SF
lv I ouelrx
I rourruxouse
EXTSTIT{G IiTPERVIoI S AREA:
_SQ FT
NEhI II',IPERVIOUS AREA:
-
sQ FT
AoDroval: Citv: DATE:
iEvIsED DArE
04l11/12
_ B:_
-
8FE+2ft=
Jr*rr rrr,
$Z,S-
I\)r Lr.
Pt{oltE
PIloNE
ExrsrrrJc co srRucrro :
flf1LTERATToN
I nerovarrol
f] errenal nenlrns
I RELocATToN
r{Elr cor{STRucrror:
f} rnecr NEW RESTDE CE
or ftmorrror ro ExtsrrNc REsIDEticE
r'PLEASE CHECK
ALL THAf APPI.Y TO YOUR PRO]ECT:
! oer eauer sr
! eoncx
___ sFfl surunoom
-
sF
E poor-
! cnrerurousr
-
sr
! orcr OTHER:
TOTAL HEATED SQ FT:720 ToTAt SQ Fr U DER
noor: ZLO IOTAL AREA SQ FT:
TOTAT PROIECT CoSTlressroq
: $ 4okD.cl3 S OF STORIES:
! stoRace
srro SF
rs Any ELEcrRrcaL, PluilBrr'rc
or fiEcflAt'/rcAt h,ork geing Done
to the accessory structurc?
! ves I r,rorf the project
is a Rer.ocation,
is there a Naturar Gas Line on the current
sit"l Er", n rofs there Electrical Power on
this Building?[Ve, f]Uo
owtrlER/coilrRAcron,
Olg-c€?
13te#;16 src AruRE!
*:f,r,r **,* * ** * ** ** **** *** *** * *(Il'Jl Jil"J * * ** * *** * ** +
t_**:r*******,r* *,r!r**,1+r**** *****:k)i* *,r *,* *,*
rs THE pROpERTy LOCATED rN A FLOODPLATN?
Tl yEs &*
rOTAL ACRES DISTURBED:
Exrsr LAI{D DrsruRBr{G prnnrr, l-'l yEs
fJ No
*orr.,
fr aroro
fl cor,uauNrw
sysrEM
E pRrvATE wELL
ft ce rurul well
sEwER: ry cFpuA
I crurml sEprrc
fl pRrvarE sEpTrc
! couuuNrw svsrru
ZONE: OFFICER:
*'I* SEPMATE PERI'IITS REQU1RED FOR ETECT, IIECH, PLBG, GAs EQI,,IP, PREFABS
& INSERTS ++*
payfiEl{T fiETHoD:
I casn
I cr:cr (PAYABLE
ro
urcl ! mrnrcaN ExpREss D n.lrrro I orscovrn
** *:| *+*)t******* +*+* **,+
** *,t ***,1* *,1**** **+*
******* * *** ** *+
*** **+ **:l** *r*t******* **** r* *,i *)*
(roR
oFflct usE q{LY)
SETEACKS:
F: LH: RH:
Comment:
FLOOD:
contacbr infomaton.
ru,: "{i
l', ''i
:{
bt:-
ECH:'"f5
"'
',,'T-., lUgil
#,.,'''u iri
APPLTCAi'T,S
DEVELOPER:
B"ettql"ete
PROPERTY O{T{ER'5
OTT{Ei'S ADDRESS:
NA}IE:
IAIIE :
colirRAcron : C-h ne-rcFl
ADoREss:
la_kgl ?t.Ar.n s_'to
e
Exrsr cor{srRucrroN:
D ALrERArron
5 ,r#i!;'J'ii?fi'"^. neprrRs l--'l RELocArro
rt Rerocarion, is there a Naturar
cas Line on rhe
cwrent Site?
trvFfllL rs eLDG spfiixLiRi;i g v""(*"
NEN COrrlSTRUCrrON,
fi r*aar urw srnucrune
(FAsr rRAcK
! snrr.r-
! urrrr
[ *o ,o
,rry srRucruRE
ACCESSORY STRUCTURE:
dD rs-"bsq u
l5- rSolHANOVER COUNTY
BUILDING PERMIT
APPLICATIoN
mE: C0MIiIERCIAL
PL€ASI AtrlSl'ER
ALL QUgSTIOtiS ApptIc BLE TO YOUR pROltCT
"ProJect Responsibility,,
APPLICATIOI{
Number
(Offi.(c Ur. )
PRO]ECT ADDRESS:
OCCUPAI{T/BUSII{ESS
E AIL ADDRESS r
PRO]ECT COT'ITACT PERSON
CTTY:
LICENSE
fl
t-our s V'.1CTTY:
ercrr
*:SO?QO<i?tf
{
zIP:26t{0l
PHOI{E
o,@L
ST:_ ZIP:28\Ol
sr:-zrP q0ZqT
Plo E *,5AZqO1Z{1(Ii=ozqo
If UPFIT
- Th€
Shell Permit #:
rs Elect pouer on this euilding {ves E ro
.r..r Is THrS
A CHI}JGE
IF Yes, uhat i,as th€ Previous Occupancy Type ?
oF occuPArcy
usel
I ws-,$uo
t{hat
ls the ee0ccupancy rype
t
NC REG
t'IC REG
AROi DESTG PROFESSTOI{aL: N , l\, en,
ElrlGR DESIGI{ PRoFESSIoML:
DESCRIPTION OF l,llORK:
E ,ood or berrsragss F€parod or
son€d in tUs srucruct
[ve.!*o O * trpsrty Locsbd
owNER/coNTMcTon:- aRoL ?oefrt i.'rrz SIGNATURE: .
nr",
*,"ffiL.* & lsb€sror
,"iov.r p..mr-.pp'ffiQ
" f"rq.y* u.rne rh.
.rprb.rbn rbrm
,mil-"*, *YoJr\F.-o "codlln ab.nos or nd. You lrc requlEd !o clll ttr ?{rlk i.l Ehbslon sLnd.rd! for Hs:.rdorrs
Ar fro dr"e" fNesiept a €iijro7-igjo J
f;io a"y. prn, ro
tdemftion o{dry hdl,ty o. bt lldho. S.G A.b6to! Wg9F9lhrpJ i,ww.opt.nde.nc.urrQuabeno.i6hmp.hlftt
rorAlpRoJEcrcosr:b[I!L>s6'ro,ronHorr,
13'-6" #oFUNtrS: I
ToTAL AREA sQ FT: l'1lt,if = SAFTpERFLR:
ltL\A # oF
SroRtEs: I
TOTAL SO FT UNDER ROOF: I L{
Ll
c) t oF sTRr rcTt rFtFs. t r nr rr n^oc.. --l---
ACRES
DtsruRBED:
'/al A CQE ExsT LAND otsTuRarruc
eenurr flves Elflo
NEW tMpERVtOUS AAFA:
7
^bOo
sorl ExsTtNG tMpERVtOUS AREA: -N ANEw |MPERVTOUS ARf : -5 ZUoO SOfi EX|ST|NG tMpERVtoUS AREA: N A sO rr
pRopERryusE:Frrrce laesrnunarur
luencatr[e f]eouc flmr flcomo orHER_
warrn:xcrplA EcoMMUNnys\€TELf,lWEu flzoNtNcUSEC| SStFtcAfloN:
SEWER:
ICFPUA E CENIRAL
SEPTrc lrehvAIE SEPTTC ECOMMUNTTY SYSTEM
PAYTTENT MEIHOD: ECASX [CneCX paVaaE TO NHC) fiAUenrcen eeRess Iorscoven
REVISED DAIE 4/I 1N2ZONE:_OFFICER:SETBACKS:
F: LH:- RH:- B:Approval: City:_OATE:_ FLOOD:BFE+2ft=
PB:#:
ToTALAREASQFT: l{Ll,Q = serrpenrln' --I{{6- *orsronlelT-
ACRESDISTURBED: I
(FOROFFTCE USE ONLY)
tn The Ftoodptain?
[ v"'.sruo
-. SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS
! INSERIS'-
Comment PERM1T FEE:
$_
NEW HAI{OVER COUNTY BUTLDING PERII,IIT
APPLICATIa\| rYPE, CoitltERCIAL
PL€ASE ANSI{ET
ALL QUESIIO$ APPI.ICABLE TO YOUR PROJECT
"ProJect Responslbillty"
?ob
S pL, C' LrcErEE *:Avrrs.oE crw,LooisvJE--
Exrsr co{srRucrro :
E aLTERATTOil
E RErc\rATrOil
f] CE]'TERAL REPATRS
f] RErocaTIoN
tf Retocarion, is fi€re a Natural cas Line on rhe -Cr.rnenr Site?
[]vFfi ru" lS BLDG sPRtN-KLEReor
I ves
fi ruo
NEi., coirsrRucrror{,
fi, rttat NEU srRUcruRE
E *, t.oc*
f] sxrlr-
! uerrr
fl ADD ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
€cG
If UPFIT
- The 5he11 Permit #:fs Elect Por{er on this Building
r*r*' Js rHrs A cHtilGE oF occlrparicy
usrr
flws fiil6 ....t
Occupancy Type?
-
tlhat
is the ti6u 0ccupancy lype?
PH: _ l{C REG
*:
PH: tIC REG *:
ts bod or bevsragG plEp.r€d or ssv€d h 0tb !fflrtts? ElYesEl No b lhe Prcpsly Loced h Ih6 FoodpLh? El Ye
SIGNATUREJ
e*z-z -
"29
da
APPLTCANT,S
DEVELOPEN:
PRO]ECT ADDRESS:
occuPAl{T/BUSI1{E5S tlr$ilE :
PROPERW OI{IIEI's
OhINER,S ADDRESS:
CONTRACTOR:
AIroREss: gkJ) \
EIIIAI L ADORESS :
PROJECT CO TACT PERSO{'I:
PI{ONE
PHONE
APPLICATIOI{
llumbar
(offtca urc)
*'qlo-SZ0'gb\Zsr']zn 1
srkllzrr 3021f*: /
*:=Sb't 10-T2{t1)
-5o< "1Oq,
EHo
IF Yes, hrrat
ARCT{ DESI6{
ENGR DESIGI{
rras the Previous
PROFESSTO{AL:
PXOFESSIOML:
DESCRIPTION OF l,l|OR(:
(ar.llLo eidrr.t )
NoE: ffia ndilcrt,otE & !sb.no! n trovd 9.,rnI .tDllcdd!.
st io Da 3u0rrhad l,slnC fu a9D[ctrbn ib,n (l
cofiirlo Arbcst.s or not. You ar€ l6qulr!<t to
ctl tm Nanonaj Enbslon Standlrt,3 lor tl.rtdolrs Ar Polll/tlrn! (tlE
d.rnolllton of ,ny f.dllty or bulldhg. Sre Asbenos
TOTAL PROJECT COST:!E'ffi*o*a,orr' 13'-b"
sorrPenrlR, -F
#OFSTRUCTURES: ITOTAL AREA SO FT :J
TOTAL SQ FT UNDER ROOF:
- SEPAFATE PERMITS REOUIRED FOR
EIECI' MECH. PI3G. CrAS EOUIP. PREFABS 6
bdldho wG lblrd to
labr io
lie
# OF
UNITS: I
fOFSTORIES: I
Ioscwen
REI/EED OAIE
'{
Tfl2
pAyMENr METHOO:
f]casn ficxeo< lnavaeE To NHc) fiemenrcal eeness
ZONE:-OFFICER:-SEIBACKS:F:-LH: RH:-B:
epprorraf- CiIY:-DATE: FLOOD:BFE+2ft=
IC RE6 f:
#OFFLOORS: I
ACRES D|STURBED' fA nc( e Exsr LAND DISTURBING PERMIT?
EYESEIno
NEw tMpERVtoUS ARE* 31b& saFT EXISTING IMPERVIoUS AREA
-N-E
-- so rr
pRopERryusB-FoFFEE ERESTAURANT EMERCANILE EEDUC Elmr lcotoo onree,
yAEHESfTnEE$Ht$n'tpEnffisesrrctrB',",lillf#:'',ffi TFEATT.N:
(FOR OFFICE USE ONL'
C.MMENT: PERMIT FEE: $
!q.l
rl
OWNEFUCONTMCTOR:-
AVN
?e+ 6-l?to
NEW
HAN,,ER couNry BUTLDTNG pERMrr gots-. togsl
APPLTCATION
rrpE; RESIDENTIAL
PLEASE
A Shr[R AU- QUESTIONS ApPI-ICABLE TO YOUR PRO]ECT
"Project Responslbility',
APPLICATION
Number
(Cxfice Usc)
APPLTCANT'S I.UI'qE I
DEVEI.OPER:
PRO]ECT ADDRESS:
SUBOIVISIO:
PROPERTY ON{NER, S
OhINER'S ADORESS:
cotr,TRAcToR:
9lag Nelt . LrcENsE
*:
r: L.632^57b
5T: /y'<- 71p
tz"rilo
"
fllliti,;rffi crrv: \allwitrtu,^
- ..-.- sr:Nqzrp:
zt+o<
pRolEcr co racr rrnsot, Clcrg
l-.I.\J pKrNE *:
EXTST,NG CO STRUCTTON:
! alrenarro,
! neHovarron
I errenal
,roor^, 5 *r,-o.orrir-
I{EW CONSTRUCTIOI:
! TNICT NE}J RESIDENCE
O"
ffO''"'ON IO EXI'TI'{G RESIDENCE
T,PLEASE CHECN A D AI{SUER EELOW
[nrr crnace
_ sF
I surnoor.r
-sF
ALL THAT APPLY TO YOUR PRO]ECT:
! orr oanaer
f) eoor-
_ sr
sr I-l poncr <E
! sronaer sHeo
SF
structune? [ Ve, IHo
curnent site? [ v"s ! ruo
BFE+2ft=
Jr*rr
,.r, ,1{
TOTAL HEATED SQ rT: C) TOTAT SQ FT UNDER
ROOF:;l TOTAr AREA
Sqrt: lLlT
T0TAI PROIECT COST lress log
i $ S@.oc# OF STORIES:
f] eneerxousr
-
sr
@otcr lLl* sr orHER:
Is Any ELECTRfCAL, PLUiIBING
or t4ECHAr{fCA[ l,l/ork
Being Done
to the Accessory
If the project
is a ReLocation,
is there a Natural 6as Line on the
rs th€re Electrica] Power on
this Building?
l*l v"s fl r,ro
pRopERTy usE
/ occupANcy,
fl srrucr-e rar'rrLv
I oueLrx
! TowNHousE
DESCRIPTIoN 0F ttlORX:
DISCLAIMER| lherebv certilv fial ali in{rmstion in bis spplicatjon is corr€cl ahd allwor* wil]
comptywifi l,he
sur" ertuine coo"
"no
,rtot "I!!1"-]if'fr;ff}[[-d_ol1ll:1"j1"".9 :q*PP ,T:: Y: *l:,"-:n I se rvic€s
c€nEr wirrbe noririe_d
orany chans€s in he appmved prans
sni speciricafuns or crranse rn
conrracor orconlracbr inbmaton. "$IOTE:Any work Perfoflned
wo fie ApproprisE Pe'mirsvrill be.nViolarton ofrhe Na Sr"E Btdq.C"d.. i;il;.i;il;6i;ffiffifJ
OIdNER/COI{TRACTOR:SIGNATURE:: (P.int ftare),t**:t**,i:i***:rr'l******++**,i*{****+**,[*********+**t*r]**,t*,***:t**,]***:]*******r,t,],r**,],r**.**+r*
rs THE PROPERW LOCATED rN A FTOODPLAT ?
E yES [l nO
,orr*,
fr creun
! coMMUNrw
svsrer"r
I pRrvATE wELL
fl ceurnal wrrl
sEirER:
@ crrur
I cENrRAr sEprrc
! enrvarr
srrrrc
! coMMUNrry sysrH,l
(FoR
oFrICt USE oriLY)
ZoNE:
-
oFFICER:
Approvat:- City:
'i1* SEPA]RATE PERI,IITS REQUIRED FOR
EI-E(TJ MECH' E[BG' GAs EQUlP' PREFABS
& INSER.rS +T*
pAyr4Er,,r ETHoD:
Icast f] ortcx (PAYABIE
to
nrcl [f *r.rcaN ExPREss
En
/rrro I orscovrn
*,i* * ++ *:t* )t:t
*)i**:l*r|* *** ****:| *** *.t )*
*** * + ** * *:* *:| :t )t
* ***)* ****:l ** *** ***** **t+****r|,t*:i*** +**,i * x
EXISTII{G IIIPERVIOUS AREA:
-SQ
FT
EW $IPERVToUS AREA:
_ 5Q Fr
TOTAL ACRES DISTURBED:
EXIST LAID DISTURBTNG prntrr, l-'l yrs l-l uo
n&rsED D TE
0{/11/12
comment:
DATE :FLOOD:
CITY: lr'
p11s.l5*1.. I s*i---r-+_
PHoNE
*: qto- zc4-6.+d,l
_-58L- zrp:.a 3&ecl
BLOCI
S: LOT
#: --
tu
CITY:
SETBACKS: F:_ LH: RH:- B:_
id NEhI HANOVER COUNTY BUILDTNG PERMIT
APPLTCATIOII IYPE.. RESIDENTIAL
PLEASE AI{S[,]ER ALL QUESTIONS APPLICIBLE TO YOUR PRO]ECT
Respgnsibi].itlP
crw:
APPLICAI{T'S IJIIIIE:
I'EYELOPER:
PRO]ECT ADDRESS:
SUBDIWSIOiI r
PROPERTY
Oh ER's MIITE'
O}''I.|ER'
S ADORESS:
EtllAIL ADDRES9:
PRO]ECT COI.ITACT PERSON:
CITY;
lPr \:cz
LICETISE *:
crrv: U{.\ur
f]rrr cnnaee
_ sr
IYlsuNRoo4 ,3i) sF-:=
LJ GREEMTaJSE
_ sF
BGSTTT'|G coilsrRucTroit:
f] alrenarroru
[ ieruovarroru
[ oeHenaL REpArRs
E RELocArroN
EH COI{STRI.ETIO{II:
I CNTCT EhI RESIDEI{CE O" fl*"''* TO EESTI!re RESIDTI{CE
*+PL€ASE CHECI(
AID AI{STER BELO}J ALL THAT APPLY TO YOI'R PRO]ECI:
fl oer
eanaee sF
D PoRcH
-sF 2-Zc>
ToTAL HEATED
* fizZ#-oTAL Sq FT UNDER RooToTAL AREA sQ FrtZ#
TOTAL PROJ ECT COST gessuq
, t 8r*!f oF sTORIEsi
Le $2!_142_ ____=_
Is Any ELEGTRIGAL, PtlJtlBIilG or IiECHA ICAL Nork Being Done to the Accessory Structu.e? ffi"t fi no
If the project
ls a ReLocation, is thene a Natural Gas Line on the current
site? f]ves I uo
Is thepe Electrical Power on
this Building? @ves f] Ho
pRopERry usE
/ occrrpAl{cy,
fi sruor-ev EEUPLEx lror,u'*rousp
'rr6
r,\M /r4 x z-,o\ -tt->
DFC{.AUIER I h6r€by c€dit datgl hfumaton in nidspplcaton b comctsfid .lly,orkvill complyv{ib tle SlD Euildhg Oodo.rd a[ o&€r spplcsble Slilt end lo..l lsws
and odhances arrd l€gllsljotrs Ths NHC Dsr€lopm€nt Selvics CenErwillb€ notllod ofalryahanlEa h h9 apprcvsd plana d1d 6p€cifcatlon6 or charue h con!'&Dror
oon!-dobr Inbrm€ton, n'llOTEr AnyWork F.€rtumed Wy'o heab Penn ils wll b€ in Vrolalir of he N C SEb 8ldlicodo-8nd Subisrt b FinoF{JRfo {i50O0O"-
OI{NER/CONTRACTOR 3 SIGMTURE:
r+**+** **+ ***r********** **Jif* Jil? ****** **** **** *** *+t + s** * ** * *** * **** **l
IS THE PROPERTY LOCATED IN A FLOODPLAIil?
f] YES &TO
Exrsrrl{c $rpERvrous AREA:
llltL-sQ FrTOTAL ACRES DISIURBED:
NErd DTPERVToJS aREx
z?a sQ Fr E(IST LAiD DISTURBIT{G PERIIIIT:
f] YEs T-I M)
HIrER:& cFpuA
E cq{mJNrry sysrEt4
n PRIVATE WELL
I ceurmr- wrll
se$ER:P cFpuA
E CENTRAL sEPTrc
! eRrvare sEPTrc
E co $'tuNrrY sYsrEM
*'}C SEFA&ATE PE&I{ITs REqUIREO FOR ELECT, TIE<'I, PL8G, GAS EgUIP, PRSFAES & T|[9ER-TS 3':}
pAynE
r nETnoo:
E "*, Ekre.r (PAYAELE
To Hc)
E BrLL r6cd.,ilr
E ncrw"r f] orscwen
*t***** *** t,i**{.********t *****:f*rtrai{.****i.***,f* {r{.{(**** {.*+* il.tit***:r**** *i{.* *rtt *:}*t *tii***i}t*
PERIiiIT FEE:
I eool
_ sr
! oecr
_ sr
OF hIORK:
?E 7. tf - lb?\
2 otS- {05s5
APPLTCATIOI'I
lluber
(Office Us.)
*-,y,-tf ult{
BLOCK #: LOT
*:
-
pHor{E
r: € to \.-1 8
94flE
srl.L)Qu*2-<4Gl
ACCOU
T *:
ST: ZIP:
PTONE *: 1o ^wuu
PHo E *: = rt, iaZ99€
I sronaee SHED
_ sF
oTtlER:
_ SF
Co ient:
iCI60-f9z-0 t6 '0onnbou uolpodsq i '.ii)
COI\ITRACTOR:
ADORE5S:
,^r, ilt{ oFFrcER:
v
ffi
APPLTCANT'S
DEVELOPER :
PROPERTY o}JIi'ER,S
OWNER'S ADDRESS:
ToTAL HEATED SQ FT:
_ ToTAL SQ
ToTAt PROIEGT GosTcessrost
$ Ai.tD
APPLICATION
rlpE: RESIDENTIAL
PLEASE AiISIJER
ALL QUESTIOI,IS APP|-ICABTE TO yOUn pRolE(
"Project Responsibilit!/,
BLOCK *:
I eoor-
-
sr
I oecx
--
sr
PHOI{E #:
DATE:
LOT
*:
srr\L-rr,'781LL
NE}J cot{sTRUcTIOn, ryffira, *r,
pnorEcr coilTAcr pEnsoN: '\lt )NLt Fl [-r, - ,,w o,C$)_hMADbL
:l-]::::Tl:r-.':ki^,rrnnrrol !RENovarroN !eerrner_ nerarns
[ *r,o.orro*
-Gt+
\
-
REsrDEt'tCE
o"
f] eoottrot
ro ExrsrrNc REsrDElicE
Nl-eyt%d
E}1AIL ADDRESS;
PRO]ECT COiITACT
*.PLEAsE CHECX AiID ANS}'ER EELON
AI.I. THAT APPLY TO YOUR PNOJECTI
flnrr came r
_ sF
fl surunoom
-
sF
! enerlrousr
-
sr
! orr enRaer
sr F poncs <!
f| sronacr srto <E
orxrn:
PTfP.qflZ-rr'
FT UNDER
RooF:
-
ToTAL ARE;
sa FT. Ifl
# 0F SToRIES:
_
i'. i?^'lll]11'j':."1:'^'l:-::.1':'Tf i:l_':- '::1, Do:e-to
th: Accessorv
stucture?
EIv"' Q/lr"If the project
is a Relocation,
is there a Natunal. Gas Line on the current
sit.r E il g ,oIs there El€ctnical powen on
tiis Building?f]v"s l-l ruo
PRoPERTY UsE
/ occuPANcY, g(rcl, ,orr,,ounr-ex
fl ro NHousE
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
{ +,+ *r *,. * *a
r* * *,**
ri*r, f: yes [--l uo
norr^,
{rrruo I comnwrw svsre r'r
I pRrvATE I^,ELL
fl crnrur- well
SENER:
I creua
f] CENTML
sEprrc
I enrvarr
srerrc
f] coMMUNrw sysrEl
*** SEPARATE PERIYITS
'TQUIRED
FOR
EIECT) MECH, PLBG, GAs EQUIP, PREFAES
& INSERTS +T+
payr4E
r IETHoD:
I casn
ffictrc( (payaBLE
ro nrcl
! mrnrca{ ExpREss
f] narurro
I orscovrn
:i* * *.r** *+,t* **,t* +*+* *,1'+ ** *,1't*** * ** ***+ **:l* *******:r:lrr* * ** * *:r '| 'l** ***** *1*+* ** r.*** *,r ** rfr*
r(*
*)r
(FOR OTFICE UsE OI,ILY)
SETBACKS: F:_ LH:_ RH:_ B:
nEWSED DArE 04/11/t2
BFE+2ft=
t{
PTiI,UT FEE:
,_a5
?EZ
6 t+t6
NEW
HAN.,ER couNry BUTLDTNG
,r*rrrl0 ts-6sr(p
APPLICATIOII
ilumber
(Offi.e Use)
PRO]ECT ADDREsS:
SUBDIVISTON:
DESCRIPTIOI{ OF ltl0RK:
OWNER
1rs)G
gXISTIilG Il'lPERvIot S AnEA:
_5Q FT
NEI'' IMPERVTO,,S AREA:
_9Q Fr
ZoNE:
-
oFFICER:
Approval:- city:
PHOI'IE
,|:l****** *:N****,r !r*** *** ** ** *(ii'll Jiltl * * *
** * *j. ** ** )* + * *,i :r
*** ***,r:r* *:i
rs r.rE pRopERTy LocarED r{ o r.*r.ornt f/ra, f] uo
Comment:
DATE:- FLOOD:
ADDRESS:
SIGI'IATURE:
REcEIvED JUL o2 ?015
AFFI-IOry{f S Mfi,e
DBVEI,OPER:
(m.P.rJ{r/ BIEI}SSS
PHCPERTY O/UER S
O/SER S aooaess:
E},IAII, ADDRESS:
PROJECT CON'TACT
CITY: til'
LICENSE
UlTf .
(CHECK
ALT THAT APPLY)
NEW HANO\IER COUNTY BUILDING PERMIT
APPIICATLON TYP0: SIGNS
/ BILLBOARDS
f"-j
PHONff
PHONE.
ffinec'r fi:L? X'T- tr*'tlfl
I snrNcle
,,.^',\
Heisht:
*:ii, .
Height: till
Height:
#
tleight;
#
Total Nwnlcer of Signs on
I eno.rnctroun cnNopv
this Project:
1,0q.*'tfrt'i-11
JJ:
Sign Di:nensions:
Si-gn Dimensions:
Sign Dimensions;
-
X-
Sign Dimensions:
.- X*
total SQ.FT, of
lroral SQ.[.I" of
A FIOODPIATN?
Sign:
Signr
e
I v", fi[to
PIJSASE PRIM CI,EARI"Y E ANSI'XA AJ,I, QUESTIONS
"Proj
ect &sPonsi bi I i tY"
(fZ rr* l8t7
?o^tt
a#rb'-
Number
{Office U$e)
DATE: j , -{: ;:j?j "-;
*.n..,+
*,3& ?fi"tryi*
and ordinaflc€€ and rcgulatbos. Th€ NHC DevdopmeBt services centor wfll bc notifisd of any changes in tt}e apProved plans and specifica6ons or change in contacbr or
cont actor informslion. ..rNorE: Any v\rork Ferfornod wo the Appropriate permits wfll be in
Molation ot the Na state Eldg code and subiect to Fines uP To
$500'm'*
r$ srcr{(s) oN oR oFr PRBt'tlsES?
MtN florr
I iaresmwDlNc (Ground]I-l mnouee
-,L"l'oqmr
OI,INER/CONTBACT0R:
TYPE OF SIGN(S)
SIGN 1
SIGN 2
slclll 3
5161 4
totAt
[l noorELlorsrn { n k
* tli rotar sQ'Fr. or sivt ''{H - &
xT- Total sQ.ET- of sign: :irt
PROJECT COST: $IS THE PROPER?Y IOCATED IN
pAyMENr
t{ErHoD:
f] a*, U c'nc,t (PAYABIE 10 NHc)
I aluuu<xl.i HcREss
f, *orasn
il USO\ER
CcmEenL:
PERMIT BE, 9*-
PROJACT ADDRESS:
CONTRACTOR:
ADDRESS:
I'i"
sr:fut zrri${[i
sr:il.{ zrp:
li ltilif-i* ..-.
.-r'-:--:.:fr':;*' /,{1 ...tJ\l "{-t}&r
PHONF] #:
SIGI{ATURE:
fI,BG. r..rilS
EOl.]:-i?, PREI'ARS ; :l'l$IF'?S
"'
dD l.5;*51/(p*-J /FIECHI'J'r ,
I F7-:. - ^ .
,.r :rur{ nauovER couNTy BUTLDTNG pERMrr i5_ tgolI 'Y -6I- lll ;!15 i I tDDt r.r-'.,n' ''E, rd*,,Eo.r't
lNEl^l HANOVER COUNTY
BUILDING PE
{ .r c. i.r y i APPLTCATIOI|
n/pEi CO{tltrtERCfAL
I ,l I ;/ cr,rasr a sl,JER
alr ouEsrrors appucABtE To youR pnolEcr
,.. --' -proJect ResDonsibilitv,,
I -ii,r ':
tt:i.r ;i,
I \i"
[,,W;ri ^u"-"-';-i"Hi'Hxm]y*'* TJ.II$,IT
o fEt
l^ 12tlhDEVELoPER:
C-Il4eI\R - pHol{E
}:<O?qOg?Hq I
PRolEcr aDDREss: got SJfiq\ Sieffi'fl,offcrw: Wi\rnilhtON zrpj2grlOl
OCCUPAI{T/BUSINESS NAI'IE :
PROPERW O}IT{ER,S
O.II{ER'S ADDRESS:
*,9\oS?oQ0,r\2-sr:_ zlr:28\Ol
CONTRACTOR:
ADDRESS:
Ef.IAIL ADDRESS:
PROJECT CONTACT PERSOI.I:
LIcE[sE *: -(-4leG
clw: CE!.gI!-E__ sr:_ zrp282-q
PHO
E *:
P}O E
T:
Exrsr cor{srRucrro :
E aLrERArro,
3 *rnJfri!;'..i 'ET'Jil'F-^.- nrrrrns l-l RELocArroN
rRetoerion,isthereaNaturarGasLineonthebirentsi"r
[vF[!ll -tJaLDGipffirliRi;[J"*(r"
NE!,l coNsrRucrror,
f enecr uew srnucrune ffFAsr rRAcK
! sxelr-
! urrrr
! ADD
To Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
Sheu Permit S:
rs Elect pouer on this euilding (ves E ruo
'+**' rs rHrs a cHAt{GE oF occuPAI{cY usrr
I ws,,fflm .*.*.
IF Yes, hrhat vas the Pr€vlous Occupancy Type?
-
}lhat
ls the e], Occupancy
ARCH DESIGT{ PROFESSTO!,AL:
N,A. et:
ENGR DESIC PROFESSIOTIAL:
DESCRIPTION OF I,JORK:
ls food or beverages F€pared or served in rHs sruaure?
fivesfiNo b ne eroperty Loc8led ln The Floodplain?
[
demolltion of rny fadlliy or bullding. Soe Arbostos Wqb-iF!filiq,J^^,t{$,.epi.n3le.nc.us/cpuasb€51o5/6hmp.himl
^ot.?-xsal 5\?r,
"',^,^ ,r,^r.,r. l?'-lot'
Code and all other applicable State
and
OWNEF/CONTMCTOR:
(Ou.llfrr)
SIGNATURE:
Note: Oenolltjon ndlfcsllons & rsbeslos rdnoval pemh epPlirlions erc to be submlltod uslng lho appllcatlon fo(m wneth€r lhe fadny/o. onldjno was bund to
contlin Asbesros or not. You lre requlrod !o c.llth€ Nafun6l Emlsslon Slondards to( Haztrdous Ar Polll^anG (NESHAP)
d (919)707-5950 et leas 10 dsys prlor to the
ACRES DISTURBED:Exsr rAND DrsruRstt{c penMrr?
lll ves
flHo
lni*lrp=*r'ors o^Fo'.
3 zttoo--sa n ExlsrlNc lMPERVlous AREA,
-li--
sq FrNEW IMPERVIOUS AREA: -5 ZUctO SaFr EXISTING lMPERVlous AREA:-Al3-- sQ F
enoeeRwuse:Srrrce flnesreuRerur flraencmnle leouc lmr [como orHER:
yA^E[#'."UiE33$+1fl #A*&F^ffi *..,,,"nFo',no,JlitFYsEcl^ss*rcA,oN:-
-' SEPARATE PERMlrs REoUIRED FoR iECT, MECH, PLBG. GAS EoUIP PREFABS 6 lNsERrs-"' ,
pAyUtENT METIIOD:
[CeSx flCrecx lnevnau TO NHc) fleuenrcal o<rneSsrffiCrvrsa
I osCOWn
(FOR oFFICE USE oNLY) RE\,/lsEo o^rE a/rfi2
ToNF' oFFICER: SETBACKS: F:-LH:- RH:- B:
nppova[_ city: olre:- FLooD i
-.--
BFE+2ff=-
AVN
PERMIT FEE:
$-
Type ?
NC REG
*i
TOTAL PROJECT COST:
TOTAL AREA SQ FT :
TOTAL SQ fi UNDER ROOF:
BUILDING HEIGHT:''lo"tr: 13'-6''B6--
i
#OF UNITS: Irorsronrssfi-
#OF
FLOORS: I
SQ FT PER FLR:
# OF STRUCTURES:
___l__
Comment
aa
NEW HANOVER COUNTY BUILDING PERIqIT
APPLICATI0iI rYPE: C$I|i'IERCIAL
PLEASE ATISI{ER AII QUESIIOI{S APPLICAELE TO YOUR PRO]ECT
"ProJect Responslbility'
?ob
ti€}s,r'o;-
Z"
APPLICAIT,S M E:
DEVELOPER:
PRO]ECT ADORESS:
OCCUPAIT/BUSII{ESS t/u,lE
:
PROPERTY Ot{IIEf,'s
OtrlilER'S ADDRESS:
APPLICATIO{
unber
(offic. ur.)
DATE:
*:50
ztPZII\ol
*:9tO-Sa0-9b\2sr,Jr \
E AIT ADDRESS:
PRO]ECT CO'ITACT PEiSO :
Pl{or{E
PK'I{E
*:
?Ot{-aoo-3€?
(ch!.k
All lh.t Apply)
Exrsr co srRucrron:
D alrERArror
f] nerorarror
f] eenrnlr nenlrns
fl RGrocATro
It FGtocsrim, is rher€ 8 NaturalGss Line on the 6-urrenr Site? EYes-E No ts aLDG SpRIN-xLeneoz
I v"" fiHo
NEr,l co srRucrror{'
fi, rrra, ilEu STRUCTURE
ffrrsr rnacr
f] sxrlr-
[ urrrr
! aDD ro Exrsr srRUcTuRE
ACCESSORY STRUCTURE:
rf uPFrr
- The sheu Permit #: N.A fs Elect Power on thls Building
b bod or berrsra0€s Fsparod tr sorrcd in uts srrrrtre?
[Ye. ElNo b The P.pe]ty Locebd ln The Floodplsin?
E Ys;
D|scl-Att,ER: I h6r€by cartify lhal sll lr ormadon ln thls spplhaflon i3 corel gd all u/ork will codldy wih ihe
End local la',ts and ordinancei gnd re9'tlsilms. T!-6
Nlc-D€llaloPrmd Services. C.eJbr will be no,lified-ol 6nJ ,
8tfiE*tr Hrgtr+rfrffi.e..g.r lilorm8r Jn.
"'NorE: Anv
wod( Pe.iofted wo ttu Appropriats Permns
sorreenrln,-....[
# OF STRUCTURES:
EHo
IF Yes, $het
AiOI OESTGN
EI{GR IESIOI
IS IHIS A C1UIIIGE
occupancy Type?
oF ocG,PAxcY trse t
I ws ! ro .....
Ihat
is the flqr occupancy
tDelwas the Previous
PROFESSTOtlAL:
PROFESSIO AT:
PH:
PH:
l{C REG *:
C REG *:
DESCRIPTION OF I.JOR(:
Nor6i De.nolltion noUfcstlons & .sb$tos rsnoval pormll apdlcttions 6tr lo !e submltt d uCnolh€ aPdklrbn lblm
codaln ArbeSoa of nd. Yoir ar6 roqulrsd to call iia Nltloml Embslon srndlrds lbr Haaafthu! ar PollurnBa €10)707-5950 d
hrd
darDlition of tny lhdlltv or bdldh0. S€c fub€dos
TOTAL PROJECT COST:3 E"ffi"o r=,orr, 13'-lr"
bulldhg wls lourd lo
p.br ro llle
#OFUNITS: I
#OFSTORIES: t
* Or rloOnS: --T---TOTAL AREA SQ FT :
TOTAL SQ FT UNDER ROOF:
!
ACRESDISTURBED, IA R.R E
NEW IMPERVIOUS AREA:
31b@ SOFT
Exsr LAND DrsruRart.to eeRurrr
Ivep.R Ho
EXISTING IMPERVIOUS AREA: N.A, SOTT
pRopERryusE:FoFFrcE ERESTAUnNT
fiuercrun-e fieouc flnrr [coloo onen:
t<rcFPUA f-'I@MMUNIYSYSIEM f-]wELl- r-]ZONINGUSECLASSFrcATON:
ficrpua flcenrnru-seerc Elp-nvare semc S6uuurnvsrsren
WATER:
SEWER:
- SEPARATE PERMITS REOUIRED FOR ELECI, MECH. PLBG, GAS EOUIP, PREFABS t INSfrTF
''
PAYMENT MEII.OD:
f]CeSn ICXeCX leavmtE To NHC) fiamentcan o<nnessEoscuuee
RA/|SED O TE {1rn2
ZONE:OFFICER:SETBACIG: F:-LH:-RH: B:
Approval:- CitY:- DATE:- FLOOD:
-BFE+2fr
t{
(FOR OFFICE USE ONLY)
Commer*, pERMtT FEE:
$_
srz-u*Ze?b1COI'ITRACTOR:
ADDRESS:
N.A
NEhI HANOVER COUNTY BUILDING PERMIT
APPLTCAfi(N
IYPE: RESIDENTIAL
PLEASE AI{S}IER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT
"PruJ ect Res po ns
lbl I it)/'
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERW
Oh ER'S
OtI ER'S ADDRESS:
APPLICAIIT' S
DEVELOPER:
COt$RACTOR:
ADDRESS:
EIIAIL ADORESS:
PRO]ECT COTTACT
NAI.TE :P1lol{E
H'.1*'.LL) -
-
cIrY : (t-z-r-!4(:-fl4i!-!c-
Ito
r[-atr\e
(-v L
PERSON:
PloflE *: <r 1 - ZSo -l SSt
PHONE
*:
2i1 7<r-..lssl
f]surunoom
-sF
! cneenHouse
_ sF
E*ol_sF
florcx t,1U
! sronace sHro SF
Exrsrlr{G co srRucrro :
f] elrrnarron
! nercvarroru !crrurnnr REpArRs
E RELocATToN
NEt.,l cor{sTRucTroil:
Xl ERECT NEhl RESTDENGE
o"
fl aoorrrou To ExrsTrl{G REsrDEilcE
I*PLEASE CHECK A'{D AiISf,ER
!ELO}' ALL THAT APPLY TO YOUR PROJECT:
ffiarr eanacr@{l%r !DEr GARAGE sF EpoRcH ]Lsr
TOTAL HEATED
SQ FT: 31Iq
TOTAL PR0IECT COST
rr"* L"o
: $
Is Any ELECTRICAL, PLUli,lBIl{G
or ITECHA
ICAL Nork Being Done to the Accessory Structune} Q V", / ruo
If the project
is a Relocation,
is there a Natural Gas Line on the Current Sitel OVLs p fvo
Is there Electrical Power on thj.s Building? @v.r Quo
pRopERTy usE
/ occupAr{v: ffisrrucre rm,rrlv IDUpLEx E ror,lNHousE
DESCRIPTIoI{ oF HoRK:
Nc.; Co,,rStrtr Ctldv,1
DISCLAIMER: lhereby c€rlify hat all inbmatjon in t1is applbalibn is corect and aI urork willcomplywih he State Building Cod6 and alloher spplicsbb StsE snd bcsl taws
and odinances and reguletons The NHC Dev€loprEnt Ssrvi:€s Cener yrill b€ nolit*rd ofsny chenqes h h€ appmved pbns and pocificslibns or chsng€ in contBcbr or
:***+ +,r !*,r.*,i{.,**:****** *** **** *(I l'Il Jil'J * *
***r ****
IS THE PROPERW LOCATED I1{ A FLOODPLAIN?
[! VES
EXISTII\16 IIIPERVI(XTS AREA:
_ 5Q FT
NEI., ,IPERvIq,s AREA:
-
sQ FT,/
r,lATER:
! cFpuA Zcq$4uNrry sysrEil
D pRrvATE wELL
! ceurnnl we
ll
senrn:
!- cFpua
/-
CENTRAL sEprrc !-enrvare ,rrrrc p{o MrlNrw sysrEM
r*} SEPA'IATE PERMITS REQUIREO FOR ELECT, MECH, PLBG, CAs EQUIP, PREFAES & INSERTS i'*
pAyrErr r,rErHoDr
Q csn Q cxec[ (pAvABLE
ro tr) O MERrcAr{ ExpREss
Q rcrwsa Q orscwen
'i,|*:t )t* )a:t)i
** *
t*:t **:r:t rt:i+ + ** + {i*** **:* **** ***)t,t*:i*,}:i + *)t:t,t,t*rt:t +,} 'i,t,t 't:t*,t** ****:}** **t:t,i+*+ t++*:}+
ZONE:OF F ICE R:
FT UNDER
*
sF o'[HFR' ^ SF
4nOjr_R@r!ru rorAL AREA
sQ Fr:
o, sro*;
,r,t ,*
* * *,t lrl.(-* ,i
* )*,*
* *,t *,* *,*,* * r, * *** *l
Wn
TOTAL ACRES DISTURBED:
EXIST LAI{D DISTURBING PERMIT:
Qves Qrc
(FOR OFFTCE USE oiltY)
SETBACKS:
F: LH: RH: B:
REyISID mTE 04111^2
BFE+2ft=
?e z l< -Doq
acrs-tp5ua-
APPLICATION
Number
(offic€ Use)
eals; r lr 1,5
zrP 2ullL-
n. '3r1 ' z'tt'1554
sr2N( -zrP:2?AZb
Appnoval:
_ City:_ DATE :_ FLoOD:
MI.IE :
CIW: rJrl,,hr
BLOCK #:
PHO E #:
*i
clntebr inbmabn. "'l\lOTE: AnyWork Perfomod W/l) hs Appopriab P€rmits v,ill b6 in Vbhlion of th€ NC Steb BHg Code and Subirct b To
$500.0r"
OWNER/CONTRACTOR:
e€lAta a.t. Yoc.tLG-SIGMTURE :
N
cctsugp7
.. , NEW HANOVER COUNTY BUILDING
PERMIT 15-1835
d}", APPLTCATION
IYPE; RESIDENTIAL
#
pLEAsE ANST.JER
ALL QUEST'.NS AppLTcABLE
ro youR pRolEcr APPLTCATToN
APPLICANT'S
NAI4E: Elizabeth princiolta OATE: 6/Z4i1S
DEVELOPER: PHONE
*:
PRolEcT ADDRESS: 302 Holiday Hills
Dr CITY:
Wilmingion ZIp : 28409
SUBDIVISION: BLOCK
#: LoT #:
PROPERTY OWNERTS
NAtvlE: Elizabeth princiotta pHoNE
#: 9196369475
OhTNER'
S ADDRESS
: 625 Rheims
Way CITY: Wilmington ST : NC Ztp
: 28412
ffXlllllr-: no
senerarconlractor(lltaLol.l-,
P;;,-1gfiqy, o, sr: zrp:
EMAIL ADDRESS: pHONE #:
PR0IECT CONTACT PERS0N: Elizabeth Princiotta pH0NE f : 9j96369475
ExrsrrNc coNsrRucrroru:
] ALTERATToN
I rrruovarron t- l ceurnal REnATRS l-*l nrlocnrrorl
NEt.l coNsrRUCTroN:
f] rnrcr NElr REsrD[NCE or Q lonrrrox To
Exrsrrxc REsrDEl,lcE
**PLEASE CHECK AND ANSWER BELOTI
ALL THAT AppLY TO YOUR PROIECT:
[-]arr GARAGE sF E pEr cARAGE
se6 'sF I poRCH sF
f] surunoom sF I roor- sF I- I sronacE
sHEo sF
I cnrrrvHousr sF [] orcx sF orHrR: SF
59v
TOTAL HEATED SQ FT:
o TOTAL
SQ FT UNDER ROOF#gO"- ToTAL AREA
SQ FT<-.T6-
TOTAL
PR0IECT C0STrlesslotr I $.r$LrD # oF SToRTES: z
Is Any ELECTRICAL, PLUMBING or ITIECHANICAL hJork
Being Done
to the Accessory Structure?
Q Ves il flo
If the project
is a Relocation,
is there a Natural 6as Line on
the Current
Sitet Q v"u C *o
Is there Electrical Power
on this Building? KJI ves Kl No
pRopERTy usE
/ occupANcyt
ffi srrvelE FAMTLY l- I ounirx _
- rowruuouse
DESCRIPTION OF WORK:detached
garage to the back right
ol the existing home in
the srze of 14' by 28'
and ordirtances and regulations. The NHC Development ServicBs Center will be notlied oi any changes rt he approved plans and specifications or change in
conlractor or
contractor inlormation. ""NOTE: Any Work Performed
V//O he Appropriate Perr, its
will bs in Violalion o f lhe NC
Stab Bldg
Code and Sub,ect to Fines Up To $$00.00'. "
OWNER/CONTRACT0R: Elizaberh princiota. v l'SIGNATUREi n , '' L;
******,N,r*******************(il?liti*ioln****************,t *+>.x***;r{****,i<*r.**+*:r*x*******,r****
rs rHE pRopERTy L0CATED rN A TL0ODPLATN? (ll vrS r(jJl *O
EXISTING IT,IPERVIOUS AREA: 1334 SQ FT
NEW II,IPERVIOUS AREA;
1024 5Q FT
TOTAL ACRES DISTURBED: -33
EXIST LAND DISTUB8ING PER}IIT:
ZONE:
Approval:
OFFICER:
City:
fi-oR 0FllcE usE oNtY)
SETBACKS: F:
DATE: FLOOD:
ffi vrs [o.] ruo
wArER' l.yj crnua
[J coltmur.r:Ty sysrErl
[] rnrvarr
wrll f] crrurnaL HELL
sEwER;
1l crnun
f] cerurnal sEprrc
[-] nnrvarE
sEprrc l._-.-l commur.rrry sysrEM
*** sEPARATE PER'{ITs REQUIRED FOR ilLE{T, IVIECH, PLB6, 6A5 {E;TP, PREFABS
& INsIRT$ **+
pAyr4ENT
FIETHoD;
CI casH Clcxscx (PAYABLE
ro NHc)
[ mrarcar'r ExPREss
Bl r',clvrso f,l orr.orr*
* * *
* * X * r< i. *.* * * * * * * X
* d( + l. r< * * r( * 4( * * + re i. t( * * *( * * * !P
* * * * * * ,k
* * * * * r * * * * * * *:1. * * * * * * * * )i. )i(
* )k
* * * + + x
* * )t
* * )k
t *
qEVISED DATt 64!11!12
B:
BFE+2ft=
LH:RH:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
doli0s-73
15 - 1718
APPLICATION
Number
(Office Use)
APPLfCANT'S NAI"IE: Elizabeth Princiotta
DEVELOPER:
PROIECT ADDRESS
i 302 Holiday Hills Dr
SUBDIVISION:
PROPERTY OWNER'S NAME: Elizabeth Princiotta
OhINER'S ADDRESS: 625 Rheims Way
CONTRACTOR: no general contractor
ADDRESS:
EMAIL ADDRESS:
PROIECT CONTACT PERSON: Elizabeth Princiotta
DATE: 6t24t15
PHONE #:
CITY: Wilmington
BLOCK #:
CITY: Wilmington
LICENSE #:
CITY:
ZTP: 28409
#:
e1!,63q9425
NC
ZIP: 28412
LOT
PHONE
#:
ST:
ST: ZIPz
PHONE
#:
PHONE
#: 9196369475
RE LOCATION
BELO}I
SF
SF
ALL THAT APPLY TO YOUR
SF
SF
SF
3s t@9
TOTAL
SQ FT UNDER ROoF:
afo TOTAL AREA SQ FT:
structure?Qv"t Druo
sQ FT
sQ Fr
TOTAL
EXIST
NO
ACRES DISTURBED: .33
LAND DISTURBING PERMIT:
lCTl ves I6fI ruo
REVISED OATE O4/LL/L2
BFE+2ft=
ZONE:
Approval:
OF FICER:
City:
RH: B:
N
EXTSTTNG CONSTRUCTTOU:
I ALTERATTON
! n
NEW CONSTRUCTIoN:
! rneCr NEW RESTDENCE
**PLEASE CHECK AND ANSWER
I nrr GARAGE
I surunoom sF
! cnerruHouse
tr
tr
TOTAL HEATED
SQ FT: o
If the project
is a Relocation, is thene a Natunal Gas Line on the Current Site? Q Ves 0 to
Is there Electrical Powen
on this Building? F-ll ves p] *o
pRopERTy usE
/ occUpANCy:
f srrucr-e FAMTLY
! ouer-ex
! rowruHouse
DESCRIPTION
OF hIORK: I
am adding an addition to the left side of the house 16' by 32' and a detached
garage to the back right of the existing home in
the size ot 14'by 28'
and ordinances and regulations. The NHC Development Services CenEr will be notjfied
of any changes in
tre approved plans and specifications or change in
contractor or
contracticr information. ..*NOTE:AnyWork Performed
W/O freAppropriate Permitswill be in Violation of the NC State Bldg Code and Subject to Fines Up To $500.00'.-
OWNER/CONTRACTOR ! Etizabeth princiotra
(Print Name)**r.**{.**I(**jt**+****:t***************************,*****,t**,t******i(*****************{<*tr(*****
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
[J] VES
EXISTING ITIPERVIOUS AREA: 1334
NEI^J IfTIPERVIOUS AREA: 1024
hrATERr
f crnua
! coNmuurrY sYSTEM
I enrvarr wrll ! crrurnal tnlELL
sEr,tER:
f creun
I crrurnal SEPTIC
! enrvnrE SEPTIC
! cout'luruITY SYSTEM
(FOR OFFICE UsE ONLY)
SETBACKS: F:
**T, SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS **{'
A casx
D cHecx (eAvABLE
ro NHc)
Q nmenrcrN ExpREss
0 "currsn Q orscovrnPAYMENT METHOD:
t
,(X*****r<****{.r<d<r<***r(d(*X*********r(***r(****r(**r<***********Xr(***********tr(****r'*r<**r(****r'r'**
rorAL pRol Ecr cosr 1r-ess Los ! t9 qcgc# OF STORTES: 2
Is Any ELECTRICAL, PLUI4BING
on MECHANICAL Work Being Done
to the Accessory
#?trftARAGE 5e6sF
E PoRcHSF
POOL
DECK
STORAGE SHED
SFOTHER:
DATE:F LOOD :
LH:
A
PRO]ECT ADDRESS:
OCCUPANT/BUSINESS
PROPERTY Ot lilER' S
OIdNER,S ADDRESS:
APPLICANTJS NAME:
DEVELOPER:
CONTRACTOR:
ADDRESS:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIaJ rvPE: SIGNS
/ BILLBOARDS
PI,EASE PRINI CLEARLY
& ANSUIER ALL QUESTIONSject Responsibility"
CITY:
LIC ENSE f:
CITY:
PHONE #:
sf ':/o/L
ztP':Z?/
/Z
EMAIL ADDRESS:
PRO]ECT CONTACT PERSON:
PHONE
PHONE
't?/o-262-,/7oa
*:
s:
?EL
6-t?1 l
zDtS
-bs11
APPLICATIOI{
Number
(offt." lJ*)
oet:nb'ZC-r{/,.
i t/ t,''-lu.a
(CHECK
AtI- THAT APPLY)
rs srcN(s) oN oR oFPRErirsEs?
por,r
Iorr
and ordinances and regulations. The NHC Developmenr Services Cenlerwill be noified ol any changes in lhe approved plans and specrlicaiions orchange in conlracloror
! gnecr
fl trrn p nrern
fl CHANGE OUT
DESCRIPTION OF
SIGNATURE:
+ ++ *i.ir:t * )*
*ir * )t
* * *,* ,* ,l ,* ,k,t ,*
*,** '*,t,N:t )t:* + {. +:t ,t )t
* )*,t
* * )t
* ** * ,l ,1,} ,1.
't
,},t
t + +:*:r +** )t ir,* rr *,t * * *t** * * * *,t *,* *r. * {.,t rt
TYPE OF SI6N (5)
nnFREESTANDING (GTOund )
SHINGLE
MRQUEE
WALL
Signs on
PRO] ECTION
CANOPY
fl noor
[f orrrrn
SIGN 1 Height
SIGN 2 Height
SIGN 3 Height
SIGN 4 Height
Total Nunber of
sign Dimensions:
Sign Dimensions:
Sign Dimensions:
s j.gn Dimensions :
this Project:
_
,b" x ?t" Total sQ.Fr. of sign: S?,t{st B
X
x
x
Total SQ. FT. of sign:
Total SQ. FT.
of Sign:
Total SQ. FT. of Sign:
TOTAL PROJECTCOST: $ 4000.c9 IS THE PROPERTY L96ATED IN A FLq)DPLAII'1?
[ ves X] ruo
*** SEPARATE PERI.IITS REQUIRED FOR ELECT, Ii!ECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
pAyr,itEr,lT
ilET}()o:
I casx I cxecx (PAYABLE
ro r{HC)
f} rxenrcar exene ss n r,rclvrsl fl orscoven
(FOR OFFICT UsE ONLY)
SETBACKS: F:ZONE:OFFICER:LH: RH:
REVI5ED DATE ]/]O/12
B:-
BFE+2ft=Approval:
Comment :
N
PERIIUT FEE: $
_ City:_ DATE:- FLoOD:
CITY:
ST:ZIP i
S!bjecr lo To $500 00"'
PHONE *:
ztPt2B//Z