JULY 21 2015 BUILDING APPSeai b8.18
15-1707NEt4l
HAN0VER COUNTY BUILDING PERHIT
APPLTCATION
TyPEj RESIDENTIAL
PICASF AX$ifR ATL qJESTIONS APPLICAELE TO YOUR PRO]ECT
"PrcJect Responslbl1lty,,
PI{ONE
lloc( ,: 5 LoT f:
APPLICAIION
Nu*er
(Offtcc UsoJ
OATC; 6tt21!:ot2_
tr:9to-{5s-i605
APPLfCANTTS IdAME! x.n coffer Jf
DEVELOPER: .cl.tnr cov. LIlc
pfiOlECT ADDRESS. 520{
chdocllorsellL. Dr
SUBDMSION: Nautl.oc} oreent
O,#.IER'S ADDRESS:
CoiITRACToR r
ADDRESS:
EtrtAIL ADDRESS: .hetrJ!€seoofooDstruotlon,od
PROIECT CoIiTACT pERSOilt Ko! coff€r rr
tIcEiEE
#l 482{6 ACCoUNT
t:
CITY:
zrP| 23!A_
PHONE fr 910-458-5505
STi lrc ZIP: 28{28
5T: Nc ZIP:334aL
PTONE
t:910-{58-5605
ptOilE f: 910-833-406s
PROPERIY OH{ER'S NAI,IE 3
CITY:
rs Any ELEcrircAL, PltttiBll{o or tilEc}$rilrcAl
ilonk Belng Done to the Accessory structure? Bt ves f,t no
If the prcJect
is a Relocatlon,
ls there a Natunal Gas Llne on the Current
Site?
[Ves p Ho
Is there
Electrlcal Power on
thls Bulldlng?
ffiv"t p[Ho
PR0PERIy usE
/ occupANcyr psrrcr-e rAHIry [DUprEx EToHilHousE
DESCRIPTI0T{ Of HORK: 6ingl€ Fmlly Horc @ 8Lab.
DISCLAfiEn:
lh.FbyErdty
h.tr{ lnbm.&r h bl. eplb.{6n bcnected sI wkwlfiondywl& h. sB B(ildhg Codosd a{ ote aphobto
sbb and kt h6
tnd odhs6 .nd
rcgubtbni Ths NHC D.Ebp@nl
S.ilh6 Oanb wiff br m$fl.d ol & t cherg.6 h he appewd pbtrs
ad sp6lfl60om
d cheg.rh
6nkbr o,mnhb, Inbmllbn. "'HOIE: Any Wdk p.rrdrEd WO [b Appftpdsb FodX. r0l b6
h vlobthn of h6
Ic staf aiag Codo ario 6u bh.,.b Flaqrffir&o.oe-
ExrsTr{G co{sTRucrrorrr
Illrenrrrol flnrrc,uarrot fleruenrl REpArRs
E RELocATToN
NEII' COI{STRUCTI$I'
BI TNTCT NE}I RESIDEI{CE O"
fIMrrrOlll TO EXIsrIilC RESIDENCE
TOTAL PROIECT C0STtr-sr-oo : $ $160,000
# OF ST0RIES:
L
OIT,IER/C0i'ITRACmR: Ko coffer &SIGNATURE:
+*t + tt* **t* *i* + ** t, * ****ta lt!'Il JiSi* **r
"*
* * a * *++*r
lr ** r +*+*+r.+
*+rr* ****ir *a*****. **r.i+
IS THE pROpERIy TOCATED rN
A FrOoDprArN?
o yEs Ic,I uo
EXISTII'IG II'IPERVIO{,S
AREA:
_SQ FT
NEI{ I|'iPEIVICUS ARCAi
_ SQ FI
* ++* t*i t*t+ +t+t**aa ta* a* a a*tt*tlr*lir la i* *+i + tt+ iii* i*** *r* ****
(fm offrcE usr trrY)BEUS BIE 04/1t/12
zoNE:
_oEFICERi _ SETBACKS: F:
Approval:_ clty:_ DATE :_ FLOOD:
LHI RH: B:
BFE+2ft=
_vI
TOTAL ACRES DISTI.RBED:
Exrsr LAND DrsrunBritc pERMrrr CII yEs K)l No
MrEr:
I cFpuA
E co$,tnrry sysr€r4 EpRrvATr l.lELL
I cetrnrl uell
srum: !crpua EcENTnlL sEpTrc penrvare sEprrc ncofir{.nrrry sysrEu
*r. SEPAIATE PERlilItS REQUIRED FOR ELECT, ltECH, pt!6, cAS EqUIp, PREFABS
& IiISEiTS .#
pAynEnr
lt€rr@r Qcsri ftcurcx (IAvAELE
ro NHc) OBrLL l..*ni -Qncrvrsr
ftorscorer
A
..PLEASE CHE(K
A'D AIIC{ET BEL(iI ALL THAI APPTY TO YOUR
PROJECT!
'/^
D
Blnrr crnnee
3Ls- sF I orr canaae sr
EponcJS0__ sr
f]swrocu
-sF
I poor-
-
sr f] sronner sHED
_ sF
flcneemousr- sr Err.* _ sr A o;rHER:
_ sF
IJGREETTHOUSE_ sr lJDrcK _ sF
.\ oirH,ER:.,- SF
rorAL HEATED
SQ Fr; rsrr rOrAL SQ Fr
UNDERffiySS rorAl AREA SQ FT:
CITY: fllLnlnstoD
? ez ls- I SLL|
,#
APPLXCAT{T,S t#lITIE:
NEhI
HAilO''* CO.'iITY BUILDINC PERFIIT
trplraTroil rypE: RESIDEiITIAL
PI.EASE AIISTIER
AI.L OUESTI0E APPLICABTE TO
YOM PRO]ECT
TroJect Resporistbif
ttyp
Jor s-tudsa
i{Ser
(sfftce Usr)
DEVELOPER:
PRO]ECT ADTRESS:
SUBDTVTSIOT:
PR0PERTY Oh[rtERrS
OhhIER'S ADOf,ESS:
CITY: wilm
_ LOT
#:
ZTP: ze+ozD8_
PIONE
*: e1o-264-8s18
.bu 5T: g Zl;pi 2i4os
5T:
_ Zfp: _
pRolEcr
.*ro.r
pKltrrE #: ,l@.gglg__
PIONE
#: 9to_264_Bs18
Exrsrr{tx6 co{tlsrRucrrout
n ALTERATToN
I nruovarrou flcrurnnu REpArRs
I nelocarroru
, LICENSE
f;
CTTY:
NEhl
coNsrRUCTroN:
[l enrcr ttEt^t RESTDENCE
or f]aoorrron To Exrsrrnc RESTDEN.E**PLEASE cHEcK AND Attsr{ER BELoi.r
ALL THAT
AppLy To youR pRoJECT:
E]rrr GAMGE _b )l rr fl orr GARAGE
_ - sF
I poRcH ,
f_fr_r,f] surunoom
-sF
[] roor
-
* ; ,ro*ou,
ir, _ ,,I cneeuxousE
_ sF I ora*
_ sF orHER: <F
ft?aoc00n33
tr2..
CITY: Wilm
-
s
5725
TOTAL HEATED SQ
FT:
IU*- TOTAL SQ FT UITIDER
RooF:
C}AT roTAr AREA SQ FT:
TOTAL PRO]ECT Co5T6-essLa1 :$.
lrvJLLr LvJr tl.sssLor) , l.Dc lv \,,. _ _ # oF sToRrES: z
rs Any ELEcrRrcAL, PurllBrt{G
or ,rrEonwrcrl Hork Belns D,one to rho trarac.^-..,T-Lursr*r or ,'Ecruwrcrl Hork Belng Done
to the Accessory structur€r fl ves fl ,oo
I: :[":":]:::"r"::::.::'::':i.:'-:::::_'-l*.:,1 g,,.,r-in" on
the current
*r, n"?'h,,Is there Electrlcal
pRopERw USE
/ OCCUpArrrcy:
[f sruer-e FAMTLY
f] ourlex flrowunouse
DESCRIPTION OF lrfi)RK:
OhINER/CONTRACT0R, 5IGNATURE:
To
$500.0$..
,,;:TI;:ffiffiffi-ililiffiL{ff--ffiil---***{.**{.*.:N.***+**i.*,r***********r
EXISTfilG SPERIIIOUi
AREAI sa ET
rorAl AcREs DxsruRBEDr Z ho
IttEhI
rilPERvrflls AREA: --5t*Db-sQ FT Exrsr LAITTD
DrsruRBrr{.
.ffiffi r., El ,rc
r'{nrER:
EI cpun
fl coomururw
svsrru ftpRwArE r.rELL
ft crurnnr-
ulrllsEr{ERr
[l creua
f] cemnal sEprrc
ft nnrvare sEprrc
-.*;;l*rr*
r'i::'tr rt':p&Riir[ Pirnfirrs fisQurkEu Fili+
Ft-E{T, i4EC;i, tri-f;{iJ $$s Eq:J:xp, FftE14{ss 8, ii,JSEfiT$,:,,:,,,,pAYI{Ein
rErH}D! flcrsx f,]cxrcr to1'-qt15 * il;-mi,.*r** ExpREss
ft ucrvrsr ff orscovrn*tr**'B*****'l***il'**{'t****tr:r*{'**it*rt*********r,*,r**Ir*t**t***i**:r*
***i}***:t*****:*t:r****,i*****
ZONE: _ OFFICER:
this Bulldtng?
fJ ves
flr,ro
f,EWSED DATE
o..t,-,,lr2
ffiL=
il
PERiIIT FEE: $
Comnent:*
(FOR OFFI(E usE OittY)
elaT
CONTRACTOR:
ADDRESS:
conracbr inbrmaton,
SETBACKS: F:
A
NEhI HANOVER COUNTY
BUILDING PERMIT
APPLIqATION
rypE: COMMERCIAL
PLEASE ANSWER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Kevin Landrv
aos*bg(J)
J
L4 -L9 92
APPLICATION
Number
(Office Use)
DATE. e/e/20]-4
#z
to+.set.lzzs
ZIpz 2o412
PHONE
#: 91o. s2o. s7Bo
ST: ZIP.
APPLTCANT,S NAME:
DEVELOPER:
PRO]ECT ADDRESS: 101
N. Third ST.
OCCUPANT/BUSINESS NAME:
egcr eank
CITY: -Witmj_nqton
PROPERTY OWNER'S
OhINER,S ADDRESS:
NAME:
erian Eckel_
CITY:
CONTRACTOR:
Barnhill- Conrracrinq
Company LICENSE
#i 3a94 ACCOUNT
#:
ADDRESS:
222 princess StreetCITY: Wilminqron
EMAIL ADDRESS:
rbailey@Iirrl_eonline.com
ST:
Nc ZIPi 2g4at
f:
PROJECT CONTACT PERSON: Rebecca
Bailey
PHONE
PHONE
Exrsr coNsrRUCrroN:
fl rurrnnrrou m *ttlifrIriil'EEII*L REpArRs
I nerocnrlo, "" t
'
lf Relocation,isthereaNaturalGasLineontheCurrentSite?
EY;ENo tSBLDGSpRtNKLEREozff ves
Iuo
NEhl
coNsrRUCrroN:
! enecr NEuJ
srRUcruRE
E FAsr rRAcK
f] sner-l
f] uerrr
f] noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
SheII Penmit #: 1-4-Bsz Is Elect Power
on this Building f] ves E ruo
*'**** IS THIS A CHANGE OF
IF Yes, what was
the Previous Occupancy Type?
ARCH DESIGN PROFESSIONAL:
ENGR DESIGN PROFESSIONAL:
Nancy
Everhart
DESCRIPTION OF ['JORK: ppfit for a new BB&T branch bank.
ls food or beverages prepared or
served in this structurez
fives
ffi uo b The Property
Located ln The Floodplain?
flyes El ruo
DISCLAIMER: I hereby
certify that all information in this^application is correct and all work will comply with the State Building Code and all other applicable State
and local laws and ordinances and regulations. The NHq_DevelopmenlSgrvices Centerwill be notifleo of any chanqes in th6 approved plans and bbecificationsand local laws and ordinances and regulations. The NfC Development Services
Centerwill be notifleo of anv chanqes in th6 aoproved olans and sbecificationsor chanoe in contractor or contractor i-nformation. -'.NOTE: Any Work Performed W/O the Appropriate Permits will 0'e in viotati6ri
otihe'f.te StEie aiO-g
Cooe anoSubjectlo Fines Up To $500.00--.
OWNEFYCONTRACTORT Heather Hamby
SIGNATURE:
(Qualifier) (Print Name)
Note: Demolltion notilications & asbestos rernoval permit applications are to be submitted using the
application form (DHHS-3768) whether the facility orwas found to
contain Asbestos or not. You are required to
call the National Emission Standards for Hazardous Air Pollutants (NESHAP) at (919)707-5950 at least 1O
days prior to the
demolilion of any facility or building. See Asbestos Web Site: http:/
^ ^,\rr.epi.state.nc.us/epi/asbestos/ahmp.html
TOTAL PROJECT
COST: 200,
ooo BUILDING HEIGHT:
exisrinq 74' #
OF UNITS:
TOTAL AREA SQ FT
: :, zrr SQ FT PER FLR:# OF STORIES:
r
TOTAL SQ FT UNDER ROOF:
3,21-:.q # OF STRUCTURES:
#OFFLOORS:
existinq 5
ACRES DISTURBED: n/a
NEW IMPERVIOUS
AREA:
n/a
EXSr LAND DTSTURBTNG pERMtr? [VeS El*O
PRoPERTYUSE: EoFFtcE ERESTAURANT
f]uencanrlE EEDUc
f]eer [coruoo orHER:eank
WATER: ffiCFPUA f]CoMMUNITYSYSTEM
EWELL fIZONINGUSECLASS|F|CAT|oN:
sEWER: ECFPUA ffCENTRALSEpTtC
fJenVnreSEpTtC ncoMMUNtwsysTEM
*'SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS & INSERTS *"
pAyMENr',=',:.o:..H.::::*F.*T.=i:i:.::::.r.:.1.:ii."J.*tr.*rj,.:::.::..::l_.F.*:.::*El*.r,..o**
SQ FT EXISTING IMPERVIOUS AREA:
n/a
(FOR OFFTCE
USE ONLY)
ZONE:_OFFICER:SETBACKS:
F:- LH:- RH:- B:Approval:_
City:_DATE:_ FLOOD:
_ BFE+2ft=
AVN
PERMIT
FEE:$
occuPANcY
usE? ff,YEs
ENo
What is the Neu,
*****
Occupancy Type?
PH:
704.s61.3430 NC
PH: NC
REG
#: 59s3
REG #:
SQ FT
REVISED DATE 4N1112
*z toa-set-tzqz
9o 5<19 Er\g
Comment:
NEI^I
HANOVER COUNTY
BUILDING PERMIT
APPLICATI0N
rypE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"project Responsibility,,
3ct5-68o..,|
L4-27q t
APPLICATION
Number
(Office Use)
DATEi t1-/24/20i.4
PHONE
f: e]-e.474.2505
Zlpi 28472
APPLICANT'5 NAME: Rurh Roqers
DEVELOPER:
PROIECT ADDRESS: 101 N.
Third St.
CITY: wil_mi-nqton
OCCUPANT/BUSINESS NAME:
eecr eank
PROPERTY OWNER'S
OWNER,S ADDRESS:
NAME:
erian Eckel PHONE
f:
5T:
910.520.8780
-
ZTP..-CITY:
CONTRACTOR:
Barnhill Contractinq CompanvLICENSE
#i 3794 ACCOUNT
#:
ADDRESS:
222 prlncess Street Cf TY: w:-lminston 5T: NC ZIPi 2l4ol
#:910-s99-8291EMAIL ADDRESS:
iwhitley@barnhillcontractinq. cqm PHONE
PROIECT CONTACT PERSON:
Rurh Roqers PHONE
#: e'J,e.4i4.2505
If UPFIT
- The Shell Permit
#: t4-e52Is Elect Power on
this Building I Ves E] ruO
***** rS THIS A CHANGE
OF occupANcy UsE?
EyEs flNO *****
was
the Previous Occupancy
Type?
_ What
is the New Occupancy Type?
Exrsr coNsrRUCrroN:
fl nrrrnnrroru
E *rilifrIJii 'tiT?'ilL*oL REpArRs
! nerocrrroru
lf Relocation,isthereaNaturalGasLineontheCurrentSitez flves [ruo TSBLDGSPRTNKLERED?Elves f,ruo
NEt^l
coNsrRUCTroN:
f] enecr NEhr
srRUcruRE
n FAsr rRAcK
! ster-r-
[ unrrr
f noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
IF Yes, what
ARCH DESIGN
ENGR DESIGN
PROFESSIONAL:
WILL HARRISON
PHi
9794742559 NC REG
PH: NC REG
#:
#i
11895
PROFESSIONAL:
DESCRIPTION
0F tdORK:
UpfiL for new BB&T
bank administ.rative
office spaces.
ACRES DISTURBED: n/ a
NEW IMPERVIOUS AREA:
n/a
EXST LAND DTSTURBTNG
PERMIT?
[VeS ElnrO
SQ
FT EXISTING IMPERVIOUS
AREA: n/a
ls
food or beverages prepared or served in this structureZ
flves [ ruo ls The Property Located ln The Floodptain?
[ ves
fl No
DISCLAIMER: I hereby
certify that all informatiojr. in
this application is
correct and all work will comp-ly with the State Building Code
and ail other appticable Stateand local laws and ordinances and requlations. The NHC
Development Services
Centerwill be notifi6o of any changesin th5
approveo olans and lbecificationsor chanoe in contractor or contractor iiformation. ."NoTE: Any
Work pertormea Wioine Appropriiie pirmits
'jvttiiidin Vi]tatTjfrbl inE
1i6'StEilidlir"g"i6le anoSubject'io Fines Up To $500.00.'-
demolition of any facility or
building. See Asbestos Web Site: http:/
l A,\,r/.epi.slate.nc.us/epi/asbestos/ahmp.html
TorAL PROJECT
coST: I
t< BUILDING HEIGHT:
exisrinq
74' #
oF UNtrs:
ToTALAREASQFT:
24.128 (upFrr) seFTpER FLR
:-:-,ttz/tz,tga #oFSToRIES: z
TOTALSQFTUNDERROOF:
24,:-2a #OFSTRUCTURES:1 #OFFLOORS:.*i"ti"o s
OWNEF/CONTRACTORT
Darras
C. Anderson
(Print Name)
Note: Demolition notifications & asbestos removal permii applications are to be
submitted using the
application form (DHHS-3768) whether the
facility orwas found to
contain Asbestos or not. You are required to
call the National Emission Standards
for Hazardous
Air Pollutants (NESHAP) at (919)707-5950 at least '10 days pri;r to the
PROPERTusE: EoFFtcE f]RESTAURANT
ltuencarurlE EEDUc
fleer [cor.roo orHER:eank
PAYMENTMETHoD:
ficnsn flcnecr(eAvABLEro NHc) [aru-AccouNT Bucrurse florscoven
(FOR OFFICE USE ONLY)
wATER: mCFPUA IICoMMUNITYSYSTEM
flwELL EzoNtNGUSECLASS|F|CAT|oN:
SEWER: ZICFPUA fICENTRALSEPTIC
! e-nveE SEpTtC [covrr'aur.rtrySYSTEM
*T SEPAMTE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *'
ZONE:_OFFICER:SETBACKS:
F:-LH:- RH:- B:Approval:_ City:_ DATE:_ FLOOD: BFE+2ft=
AVN
SQ FT
REVISED DATE 4/11/12
Comment:PERMIT
FEE:$
ile . E4 as8
Jo(s *8b1
NEW HANOVER COUNTY BUILDING PERI TT
APPLTA|TON NPE.. RESTDENTIAL
pLEAsE aNsrJEr
arr QuEsrrors apprrcABrE
ro your
pRolEcr lffiii-or
.?roject Responsibilltt/, t{umb€r
(Offlcc UJ.)
mrr-rcllirrS rrne : lI7,.rz e <- C.ro-f S sa1p1
7/_/,:
Pxo{E
r: ?tc,^
?i4-toagPROTECT ADDiESSt
2A7 /1.--, --.t P-^. ffi '',"'" "' trv^ "()1'su8Drvrsr(x: 5r^,, . W -' "
' :X<iJ;,g-Ll,tlgr--- zrP':
Zsv 07
PROPERW OSTER,S MIIE:
LOT
*;
CtfYt / Lr: l-.:brl-,1 *r@Q
EXISTn{G C0N{STRUCIToN:
I alrenarron ENovarroN
! cerenal nrnerns
fl RErocarroN
NEr.' CO|{STIUCTrO
:
! rnecr r{Et,l RESTDENCE
or
fl morrroi ro Exrsrt c REsIDE]ict
I'PLEASE CHECX A'{O AI'Sh'ER BEI.(M ALL T}IAT APPLY TO YOUR PRO]ECT:I arr eame r
_ sF fl orr ernee
r sr
! roncx
____ sFfl suunoor'r
_ sF E pooL sr [ ,ro*onilo- -
sFE onrtrxousE
-
sr I orcx - 5p Grca,
tr qt," .-lD s,
c'.1<< < - L1ly,:,
c_rorAL HEATED
sQ Fr: O roTAr sQ
Fr ut{DER
RooF;
ljt ,*iiiiro ,C
TOTAT PROIECT COST (ress r-o0
: | )Z.oco,o0 n 0F STgRIES: /
PROPERW USE
/
DESCnIPTIOI{ OF
OCCUPAT,ICY:
r'loRl(:
il;n
CO',TRACTOR:
ADORESS :
E
'TIL
ADDRESS;
PROJECT C0|,|TACT PERSO :
EXISTII{G II,IPERVIO( S ,IREA: _SQ FT
r{Ew
r,rpERvr(us AREA:
O sQ FT
Frl. ?32-
11i?"t111.."..1,:.r,1:1T-::.lr_.rT1.:r"* r::* ool. to the Accessory
stucturr? flves @-16-LJ rru
l::[.:":]:::"i:.i:::::'::":;,:'":i:::-:.'l*':]Gas rin€ on the cu*ent 'il, tr ves @+a-rs there Electrical power on
.ir, ,rrrornr,
fl#-fr *./- - o r-E irJ l-
@6nete ramrLv
I oucLrx
! ro&rNHousE
Dlscl.Al*lER:lh€EbyGefulyh.|0lmbmeUoninh'."pp,.."tonh"o*","nffi
and ordnances and regutDlons rhe NHc ocveropmenr seryices
ccrE,wiIbc
n""*" -*"*-I:T I Stare Buitons cooc
66 "1oft[[ffifrffiandordnancesandregulDlonsTheNHcocvetopmenrseryicesccrbrwi[b€notn"a.r"",.iJ"'"'-!v..'!!Penwi!wvr60trroDrtaooli..blesl.Eandlocsrh
conracl, inbrnsrjon. r-NorE:A.ry wort p€rlomeo wro ,'e ADDmDrisE p.h,,. _,,." ,-;.,-.!i"^ Ll".8rpto-v€d
phnstnd r!€cifrcsrbns oi ctrange rn
conr*cor orconlaclrr inbnnrton. riNoTE:Any work p€rloined wO ,'e Apprcpriec pemir
"ix;l;'v-;;iion or$" Nc St t
SIG ATURE:
******+**r* *****:i4* **** **
TOTAL ACRES
DISTURBED:
O
Exrsr rAr{D
DrsruRor{c pEnnrr: l-l vss
E rc
rEvIStD DATf 0al11/12
LH: RH: o.
walee:W{rwa
sEuER;-ffiPU^
E commuurw svsrem
I pRrvArE r,{ErL
! cellrul wrllfl crmnnl srerrc
f] pRrvArE sEprrc
! comnrrurw svsrr,,
ir* SEPA'IaTE pER'lrrs REQUTRE' FoR ELE.T, r4Ecl{, ,LEG, GAs
EQurp, ,REFABS
&.r(*ar< ..apAyrENr itETHoD:
Icasx Icrecx lpAyaBrE
'o;i-tr;;r; ffi;;r'"'L?f,;lii*"Eorr.orr.**** ***
******** r*** *+,.
*arr r*** *+********+ *:r***** **** *:r *
*+** *** -
-*. -.ii.l-.-l* *r*?**** **
ZONE:OTFICER:
Approval:
(foi ofFrct usE oi.lLY)
SETBAC(S: F:
fl
PTTTIIT
BFE+2ft=
FEF:
I
r* *r *** *** *
***, *. ** * ** *** * *(!ltll,llltJ * *.******* *** *.
**
rs rHE pRopEnw rocArED
,{ A FL@DpLArr?
fl ,ri-'ffi-----
comme nt :
Citv:
DATE:- FTOOD:
B
OltlNER/C0t{TRACT0R:
$s00
00-
Plo[E
*: 9/o.-
26tt /oog.
Plo E ,: qt, ^ z/rq - /ooa.
9stE'Qs6?
Pez+ 1+t)31
APPLICATI(}I
t{urber
((rflc. U3.)
oorr, -? I ll,S
proxE s: qrcr{-Sf-fi1S
zrp:
ZS{ol
[oT *: BO
r.rcEttsE {: .a4,{ots accorr r {: tt bqbcrrv:
Be.\.,i\\L sT : -&zrP: Zetl5l
prsirE s:
alg!L54_!fs
pronr r: 9.N cl!Z-:l-!fS
Exrsrr c coa{srnuctrol:
f] llturrol I nrmvarroH
f] eeunal aeearns
! RErocATroN
El, coflSTRucTroa{,
fi r*ra, [E]r REsIDEttlcG or
I oorrrot To Er(rslr 6 RE5IDEICG
..PLEASE CHTCI( AiD AiISI{ER 8ELOI.' AI-L TXII APPLY TO YOUN PNO]ECT:
ffior, **u, SLL rr Eorr ermer ,, Seorcx 140 tt
flsurnoom _sF I eoor-
_ sr I sronaer slED
_ sFflcnrrnlorsr- sr florcx _ sr .]1rj.-ffi 1varstoon 3E
Zb\\ rorar- sQ Fr rr{DER **r,ffiffi rorAl AREA sa
rrtlvv..zTOTAL HEATED SQ FT: ,O\l
ToTAL PRolEcT CoSr
rr^ r-ar
:
t 3Ca)rc f OF STOXIE5; ?
rs Any ELGcTRIGAL, PlttiBtlc or ,ao*T-ro* Being D,one ao an" o.."..o"IIIr"., I r., ff, Ho
If the project
ls a Relocation,
ls there a Natural 6as l-ine on
the Current Site?
[JV"s SHors there Electrical Porer on this Buildingl
! V"r $ffo
DECLAII|ER lhocOy
c.dlt hll il ht mnbh h hlr tpplcsrol! 6 cor.Gd.nd
i wort*tl corpt! wi,l tE SEr! Bdtsh! Cod..nd !t onl!, {pb.bt€ Srrl. !ftr b..r ri,r
.onr.cb, hbrmano., '_NoTE IAny wo(i fhrloftrd
wo $. Ao otrbb P.llii6 wil D!
ii vbbtion o, u. Nc s].a 86$bFcl b Fh.. lD To
1500.0q"
qd ERl@ TRACTOR, LOqNN HOTNX SIGI{ATURE:
- o.r"a -.*)
. r.* rrt * a i r. t*.* a r. r r.r *t * rda
ira*i+*r. *ar. ra
i;..* rr r,:
rs rHE pRopERry LocarEo
rir l rlmorurrt
I ves ffi r"
EXI
TI G I}?ERVI(US
AiEA: O SQ FT TOTAL AGRES
DISTUREED: ,3? ..
lEl rpERvr(us
mrr,
5lB7 so rr ExrsT LAro Drsrunlrrc pERiirr: fl vrs fr no
mrrn:
$ creur
f] ctrfiuNrry svsrrr
f] pRrvArE l,ELr
I ctlrRar wrLt
snrn: fi creua
! cEMrRAl-
sEprrc
I enrva're serrrc
f] coi$(rirry sysrEtt
". sfPAnAtt pERrlI15 RIQUTRID FOR flt(r, ttt(H, ptBG, 6A5 rojlp, pRtfASs
t lt{stRTS .,r
payt.tEr{r
rET+r(p:
! clsn
[! ctrcx (pAyalLE
ro rtc1
[ eur lccurr D rrrursa I orscove r
at}!!**a*l ***r+rt t**t *11*l +* r**t a'fi 'r*1* *i ia*!t*1a:tl1la* ***t**tttt,t**** *t*rt** i+r++ai+*,t*|laa,
ZONE:
Approval:
i'-- f- *t1rE
-" ' rtr *:
j.,i. Z 6 lijr3
APPLICANT ' S
DEVELOPER:
PERSO'{:
OCCUPANCY:sTNGLE FAr.lrLy
! ounlex
I rowrnousr
BoRX:
APPLI cAT lo,J IYPE ; RESIDENTIAL
Aalsl,lti atL Qt tsTtolts APrLIaaBt! To Youi PnoJtrI
"Project Responsibility"
BLoC( 8:
R COUNTY
BUILDING PERMIT
(loi offt(a ut! ollv)
SETBAC(s:
F:_ LH: RH:_ B:
PERI.I]T
P
I]ON E
tfvt5tD oatt
6{/1rlrl
Hrnos
PRoIEC'r
SUBDIVISIoti:
PROPERTY
O^,ltER ' S
OWNER'S NA E:
ADDRESS I
CONTRACTOR:
ADDRESS:
EIIAIL AODRESS;
PRO]ECT CONIACT
PR@EiTY USE
/
DESCRIPTIOI{ OF
r,1(o qsz-1t'lS
sr:
N zrp?gll \
'ir rr ** *r* 'l *t * i* r* ttt'l***,311
OF FICE R:
BFE+2ft=
Cotfient:
Clty:_ DATI:_ F|-OOD:
,rrr
,
Itll
&15
(EL
* LD82 I
\t- 18'u
APPLICATION
Number
r@
APPLTCANT'S Her'rr:
Bc.rJ,^.-\t-\snc \Aoi,r oarc 1-/6'/3
DEVELOPER: . PHONE
f:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL MOBILE HOME
PLEASE PRINT CLEARLY & ANSWER ALL QUESTIONS
"Project Responsibility"
CITY:
CITY: )-<-lo_^d
PROJECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER,S
OWNER,S ADDRESS:
sr:tvc zrPt lxgf)
PHONE f::::l:.1'::ili., PH.NE f:
I
(CHECK
ALL THAT APPLY)
fl rusrall NEW MoBTLE HoME firrororroN oF usED MoBTLE HoME
DESCRIPTION OF [ORK:
n "\oc-q\Lo\^ .lt rns\:.\.e- $ovrn< 1 )<A l{C
will be in Violation ol the NC State Bldg Code and Subiect to Fines Up To
$500.00"'
OWNER/CONTRACTOR SIGNATURET
\erint ttame; \
***r()t**************,1.****,t***********************,f,1.****rl.*,f,i**********1(****,f***,t**,t**'*****
Is rHE PRoPERTY LoCATED IN A FLooDPLAIN?
[ ves El1G
pRopERTy usE/occuPANcY:
I RESTDENCE
/ OTHER?
r*o .oeer t@Lfifiilo.rr*r*,
YEAR MADE: ..C\9(, WIDTH: AL
{lce'h'^'* : sERTAL#:
LENGTH: LI4 COLOR:
HURRTCANE z}ne:ffidza3 SMOKE DETECToR:
ffveS E no GARAGE:
I vrS
wO
DEcK:
I ves
f] No
-
sF poRCH:
I vrs
E *o
-
sF
TOTAL PROIECT COSTIt-essr-o0: $
-./wATER:
flcreva
! comruunrry sysrEM
f] enrvare
wrll f] crnrnnl well
sEWER:
I creua
I cerurnal
sEprrc fil-enrvnre sEprrc
I colrmururry sysrEM
*** SEPARATE PERMITS REQUIRED FoR ELECT, mECH, PLBG, GAS EQUrp, PREFABS
& INSERTS ***
nAYMENT METHoD:
I casx I cnecx (nAvABLE To NHc) [ amrnrcaru
ExpREss
E mclvrsn I orscovrn
**+*******************************++******************+**+*****************++**t*rr***** REVISEO
4/12/72
ZONE:
OFFICER:
(FOR OFFICE USE ONLY)
SETBACKS: F :
Approval:BF
E+2ft=
N
PERMIT
FEE: $
ExIsT LAND DISTURBING PERMIT:
l-l yes Jl-l t'to
LH: RH: B:
SF
TOTAL ACRES DISTURBED:
ST:
AI- zI,Pt
28.1/Z
LrcENsE *, OOA'lg/n
Comment:
City:_ DATE:_ FL00D:
zlpz 7X.lOi
I
ffi
APPLICANT'S NAIIE;
NEW HA]'IOVER COUNTY BUILDING PERMIT
APPLI.ATIoN TYPE: FACILITY LICENSING
PLEASE PRITIT CLEARLY & ANSI.IER ALL QUESTIONS
"Project Responsibllity''
o. l:t . , rnc.
105-A Bryan Road
CITY: wllminqton
BLOCK
S:
t,lAME:
CITY:
LICENSE
CTTY:
PRO]ECT CONTACTPERSON:
Deborah prince
)05 - LsT 7
APPLICATION
Number
Gir;Usej
r::,,,:&
zIP:3991!_
LOT
*:
*:
5T:ZTP..
sr,/JLnt.)-/-4tZ-
PHONE #:
PHoNE #: 9a9- jss-'ts't'l
DEVELOPER:PHONE
PROJECT AODRESS:
SUBDIVISION:
PROPERTY O$INERJS
Ot{ ER'S ADDRESS:
CONTRAC]OR:
ADDRESS:
EI4AIL ADDRESS:
! aour-r
cenr
! oor.,
.o^r-rrrt'ffiir'ir#ffi?-';1," ;1 crr.o cane
cerren
[l ere
DESCRIPTIoN OF NORK: ABC
rnsDecriors
and ordlnsncss snd ragulalions. The NHC Devoloplnsnl SeNices C6nt6r
wll be notified ofsny chrngos h lhe epprovod plns snd sp€ciffcsllons oa change ln cohtrsctor or
,1,1.)i,l
* + + *,1* !*
***:* )*,*,| * +:i ir rr
*,r,*,* )t
* + +,**,* * + +*,t+ ++ *,t,i,* + jr,t:f )i,t,t +)*:** *,*
+,r* jr :t + *
+*** *+,*:| + **,* *+ *,i *,t,t*:t:*
TOTAL
# OF PERSONS UNDER CARE: n/a AGE RAI'GE OF PERSONS UNDER CARE:
n/a
rs CARE
To BE pRovrDED or{ A 24 HR
aasrs+ffves
ftro
IF NO, WHAT ARE THE HOI,RS PER
DAY? _
I^JHAT
IS THE TYPE/CLASSIFTCATIOI{ SPECIFIED BY THE STATE LICENSING AGENCY I,JHICH YOU ARE APPLYING?
rs rHE pRopERTy LocArED
rN A FLooDpLArry?
E ves
druo
rs ELECTRTcAL polrER oN rHE BUTLDTNG?
S v"r[ ruo
rs A MTURAL GAs LrNE oN THE pRopERryr[ v"t [lHo
TOTAL 5QFT:
PLEASE ATTACH A COPY OFTHE APPLICATION
& F LOOR PLAN YOU ARE SUBMITTING TO THE STATE *I
mrrn: E cFpuA
E c$4MUNrTy
svsreu
! pRrvATE WELL
sewen: @ cFpuA
! CENTML
sEprrc I rnware
serrrc ! co.4riluNrTy sysTErrt
ZoNE:
_OFFICER:
Approval:_ City:
Comment
l
payMENT !lE,{oD:
E cAsH ! orecx (pAyABrE
m ilHc) ! arenrcau rxpress
E mc/vrsa
f] orscovrn
t,|rt +,* 't:l:i:i +a * * +,1t j|,1,* *,1,1,* + *:|,i +'l*rt,*.i
'*
+ 'i *:*,t,t,| +,t r*:t
*'tt:t++:*:*t't 't:* +*+:f + 't * + +,1r*:t,t,l,*,t + +,t,i*,t1*:f '*,*+,t* *
(FOR
OfrI(E tSE orLY)
SETBACKS: F
:_ LH:_ RH:_ B :
BF E+2ft=
N
PERUIT FEE: $
'** SEPARATE PERI'IITS REQUIRED FOR ELECT, MECH, PLBG, GAs EQUIP, PREFABS
& INSERTS xI
REVISt0 4/12l12
(Prlnt xalre)
-
DATE:- FLOOD:
.5.
lo Finoup To
S5fl).00"'
,fr.;owNER/coNTRAcToe:tlftJOAAA
\>./fu/t/tp- srcNAruRE:
"\t?'./
)
ffi
APPLICANT, S
DEVELOPER:
aPPLICATIoN TYPE: DEMOLITION
PLEASE PRINT CLEARLY & ANSIIER ALL QUE5T1ON5
"Project Responsibility"
*:
47 - Xr(- /1J1
*;NLzrPt278<-V
LICENS E
clry, R
ACCOUNT #:
PRO]ECT CONTACT PERS
DESCRIPTION OF WORK:
(trhat Iype
of Building 0o Yoo lant To Demolish?)
and ordinances and r€gulalions. The NHC Developmenl Services Centerwillbe nolified of any changos rn the approved plans and spec licalons or change rn
conrractor or
conlracior information. "'NOTET Any Work Perfomed w/O lhe Appropriale Permris wll be rn Vrolalion of the NC Siale Bldg Codeand S!brecl to Frnes Uo To
S50000"'
a--- -0i4 sreupiru*e:
(Print Nam€)
)t
* * * * )t,*
* * *,* )** )*
* *,* )* )* )* )** * )*
* * * * *:k )t )i
* )k* )t*,t )t)t* * )t
* )* )*
* *:** * )k
* *)t )* X( * * )t )k
* )* )** *+ + )i
*,t *,t * )* )t
* *,* *,* *,** )t i* )t,*
r5 THE PROIECT: finrSrOrrurrar /
E coMlrrncrarrorAL AcREs DI5TuRBED:
.2€ NQL
TOTAL PROIECT C05T tr""" rorl: $EXTSTTNG LAND DTSTURBING PERMTT?
[ vrS I nO
DOES THrS STRUCTURE OR BUTLDTNG CONrarN AsEEsrOSl
[zS I r.rO
I5 THERE A NATURAL GAS LrNE CONNECTED rO rHrS BUILDINet
lVrS ffi
IS THERE ELECTRICAL POI^IER ON THIS BUILDII.IG?
3 "TS
g'T(i
t,lArER:
! cFpua
n coMMUNrry sysrEla
f] pRrvATE wErL
sEwER:
I cFpuA
E cENTRAL sEprrc I earvnrr sEprrc
f] coMMUNrry sysrEr4
Nol6: The National Emission Standards for Hazardous Air Pollutants (NESHAP) Regulations Require that you contacl lhem at (919)707-5950 at teast 'l O
days prior to lhe demolition of any facility or building, whelher the facilily or building was found to contain Asbestos or nol Demolition notifications 8
asbestos removal permil applications are to be submitted using the applicalion form (DHHS-3768). This form can be found on the web site shown below.
Nole: Oblaining a demolilion permit from the NHC lnspeclrons Dept does NOT satisfy or meet the notification requirements of the HHCI] (Heallh
Hazards Conkol Unil) 'Keep in mind that an asbestos survey is required by a NC accrediled asbestos inspector prior to any renovation or demolilion of
a facility Please see the Asbestos Web Site htto:rrwww cr]l stale nc.us/eo/asbcsloslahrno htrnl
payrvrENT
rilETHoD:
flcasn I cxecx (payABLE To NHc) flerll lccourur I masrracano I vrsa
:*,1r*,t* + +,t,*r*+ +,t + +,t** ** **r*
+***+ * +,t+ * )t )t )t )t )t )*)**)*
** )* )t )t )i )**)* )*
* +)**+,t * * + )t )t )*)t** * * )*r*t r* )t** * * )* )* )*
*
*+ )** )t )*
(FOB OFTICE USE ONLY)
SETBACKS:
F:_ LH:_ RH:_ B:
F LOOD:BF E +2ft =
ZONE :
Approval:
OFFICER:
N
PERI,]IT
FEE: $
rez(5-llqo
NEr^r HAN',ER couNry BUTLDTNG pERMrr dotS -b88 )
APPLICATION
Number
to+rr* u*l
NAI,IE :
- .--(1,t,tr<- . - i t fia{cL)b, DC DA"tEt
7-b-/<Ltzz /rrtffr \ t tetttrrr$iJnNpHoNE *.:qtb/2ig_:eA)i
PRO]ECT ADDRESS:
SUBDIVISION:
pRopERw owNER,s NAmE:
//4+lttutzl4<v'5, uc etone
o!INER's ADDRESSt,,c/
f*tr tX-Li t V-elU
N J1t't /4 crt\ | Glf tltV/LL?
CONTRACTOR:
ADDnEss:
/O
Ell]tlllL ADDRESS:
Comment:
City:DATE :
BLOCK
#:
*,\ztt;2/{57
PHoNE *:
trfilt - qttl -(,Zf- (&1
M-\aD/s- 1rY f 1
NEW
HAN.,ER couNTy BUTLDTNG pERMrr ?Ez t5'/s7{
AppLTCAfIO
mE; RESIDENTIAL
Pl"EAsE at{sh,ER
aLL QUEsrroNs ApprrcaBt-E To youR
pRolEcr APPLICATIOI{
"Project
Rcsponsibilit)/' _ Number
(Offi.e U5.)
-/_ DAIE: // iq,/,,1
PK}{E
f: / ,/
ffi
APPLTCANT'S
DEVELODER:
PRO]ECT ADDRESS:crw:
SUBDIVISIOfl:
:_BLOCK
f:LOT S:
O.,ltlER'S AoDRESS:
-
-CITv:_
Sr,]l4-'a
ffi::ll'^#Hl;:
- r"'i",ir-t3t1
ZrP
t Z,Bid <
E *t, 6'7 q'<3
sr:&zrp:Z6905--
PIIOIIE
PHONE
CONTRACTOR:
AODRESS:
EITAIL ADDRESS:
PROJECT COI{TACT PERSON:
*:
r:
_sF
ispgra
**** *** * ** *,1*** **:t* *** ****
IS THE PROPERW I.OCATED
IN A FLOODPTAII{?
EXISTIIG IiIPERVIoI S AREA:
_SQ FT
*'******* ***:**** *:r,***** *** ***r
- t,t'
-
i4;+
"' + +
" + +'* *
+r** *** ** * * *
** * * * * * **
tlEtl IH%RvIOlrS AREA:
_ SQ FT EXIST
I 'r-
./ _ >v r
r ExIsT LA D DISTURBIT{G
o,Urr, E yrS l-..1 rO
were:QSr6oa
n cor'rnuurw svsreu IpRrvATE !{ELr
ft crrurul wrll
sENER,t
ZcFpu^ ! crrrRnl seerrc
I pRrvATE sEprrc
I aorrrrrr, ,rrrr,
r" SEPARATE
PERI4IIS REQUIRED
rOR Et-ECr, rirECH, PLBG, GAS
rQUIp, PREFABS & INstBTs {,,payrirENr nErHoD:
I casx
I cxrcJ
llaya8r.E . ,*i- tr'-r*car{ ExpREss E n.rrrii -[rr.orER
*** *
***:|******* +,r**:i*:r *'r** **** *l* 'r:r,* * ****
***+**ii*** ** * ** ** **-;_ _;,_'J_';;_**l***** **
TOTAL ACRES DIsTURBED:
(foR otrlcE USE Otit.Y)
SETBAC(S:
F:_ LH: RH: R,
REVISED DATE
O4lI1l12
BFE+2ft=
fEF:
t
il
PTi[IT
ato-76'2-8i1D
Exrsrr,rc c.r{sr*UCrr0N:
fl alrenarror Ege*ovorroru
! eerenal neearns
f] RErocATroN
l{Etl COI{STnUCTIOT:
fl eneCf NE},, RESIDEI{CG
o. I mOfrOl To EXISIING RESIDEilCE
E poor-
I cnrenrousr
_ sr
I orcx
sr
I concr
-___
sF
I sronree SHED
_ sF
5F OTHER:5F
rorAL HEATED Sgrr,
{f0 Torar sQ
Fr uilDER
eoor:5{O T.TAL AREA
SQnz
,15D
TOTAL PROIECT C0STlrexuq
: $ SP@,aO O
O, ,16*rrr, _l_
PROPERW USE
/OCCUPANCY:
rarlrlv
I ouclrx
OFHOR(;
( \- .Y,r
ZONE:
_ OF FICER:
Approval:_ City:
Comment:
*.PLEASE CHECK AiID AiISWER EELOW
flarr ermce
_ sF
f] suunoou
_ sF
ALL THAT APPLY TO YOUR
! oer eaRaer
PNO]ECT:
-
DATE:FLOOD:
rs Any ELECTRTCAL, ptU[BrI{G or n.c*Ar{rcal work Being Done
to the Accessory structure, I v", E ruo
rf the project
is a R€rocation,
is there a Naturar Gas
Line on
the curnent
,i;l I r., [J ,ors there El€ctrical power on
this Building? Elves fl Ho
SIG'TIATURE I
Toti-tbtf I
NEW HANOVER COUNTY BUILDING PERIT'IIT
crw:
PTONE I:
ST:
APPLICATION TYPE ('hech one):
fl cxarce oF usE or [fofcuemcv cERrrFrcArroN
AV
)L pnorrcr co rAcr PERsoN:7\\
ARO{ DESIG PROFESSIOML:
ENGR OESIGi{ PROFESSIOML:
APPLICATION
Number
(Office Use)
APPLICANT'S
OEVELOPER:
M}tE:
PRO]ECT ADDRESS:
OCCUPAI'IT/BUS INESS NA'iIE :
oarc:-LKJE*; 110- 7fS'33fr
PROPERW OI{IIER'S
O}[{ER, S ADDRESS:
CONTRACTOR:
ADDRESS:
EIiIAIL ADDRESS:
LICEISE f:
cIrY: ),. l;T-ACCOI t{T $:
ST: ZIP:
PlOIrlE S:
Pro E r q/0-Zq5.tTro
NC REG #:
MflE:
DEscRrprroN oF hpRK3 'ke-.rd Qsper/ *{t
' r
n orr
i]E iGn, f n"r"ly
""njty
rhr! a inrormaton in rhis applicarion i6 con@t and 6ll woft will comply with ihs Stato Building Codo 3nd all olhel appli€ble Siate and local hws
""a
orai**""
"na
r"grf"t;ns. Th6 NHC Oevetopmonl S€wices Center wll be noiilied ol any chang€s in !h€ approvod plans and specilications or chanoe in conlractor or
"onlraao.
tnto-"rion.;'NoTE: Any Work pertomed
wo the Appropdale Permats vrillbe in violalaon ol lhe Nc slate Bldg cod6 and subjecl to Fines u9 Toi500.m"'
PH:
PH:NC REG
':
check one:
I Commercial
{aesidential
TOTAL PROIECT COST (Less
Lor):
$ O
'otrNER/cot{TRA s1s7, /b rAJ,r Lz
ZL'4
rs rHE pRopERw LoCATED rN a FLooDILATN?
[ v"r ffruo
foF
TOTAL SQ FT UNOER ROOF:
UNITS:
TOTAL AREA SQ FT:
# OF STRUCTURES:
BUILOING HEIGHT:
(Prtrt tla e)
AREA PER FLOOR:
# OF FLOORS:
! aer
amc)tr
mcf
C
a\9
B:_
BFE+2ft=
PLEASE AiISWER ALL QUESIIoI{S APPLICABLE IO YoUR PROIECT
pRopERw
usE:
! orrrce
f| REsrauMNT
! urncmrrlr
I roucarrorual
I coroo
! orHen:
IS F@D OR BEVERAGES TO BE PREPARED OR SERVED IN THIS STRUCTUNTI
I VCS
fI UO
rs rHERE A NATUML GAs LrNE LocarED oN rxr enorerwl
I
IS THERE CURRENTLY ELECTRICIW ON THE BUITDING?
LI YES
Yes
fl t'to
Eno
wArER:
n crrua
! coilt4utlrw svsrer'l
! PRrvArE [4,ELL
ii*i*' E creua
I cENTML sEprrc
f] enrvnrr srprrc
E co rluNrw sYsrEM
ZONE:
Approval:_
N
pAyl4Er{r
ilE1}oo: flcmx I crrcx (PAYABTE TO lC) [erU rccour'n I ncTvrsl I orscov4
+ **,r* + {.,i * !t'} *:} :t ,l rt *,+ + * rt
* *,1* * *:l '} *:t:},1,t * *,1,t,},r * *:*:} * )t
't *:t *,i
'}
* ** * *:l* * *+* 't *'l it
*'t++*.} * * 'l * ,t:t:}:} *,} 't,* 'i:l,l
OFFICER:
(FoR
OfFr(t usE oNlY
SETBACKS: F:_ LH:_ RH:
T*+ SEPARATE PERhITS REQUIRED FOR ELECT, IilECH, PL8G, 6A5 EQUIP, PRIFABS
& INSEBTS ***
REyISED 4/12l12
UHAT UAS THE PREVIOUS OCCUPAIICY
ltltlAT IS THE Etl OCCUPA CY TYPE:
TYPE:
Comment:
City:_OATE: F
LOOD:
PERIiIIT FEE:
i
APPLICANT's tlAI,lE:HcrY\oJ
DEVTTOPER:
PRO]ECT
SUBDIVISIOT{:
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATIoN |YPE: RESIDENTIAL
PLtASt
Al{sl{ti ALt QUTSIIO{I5 APPTICASII T0 YOUn pROltrI
"Prcject Responsibility"
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APPLICATIO{
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PROPERTY
Ct,l{ER'S
CONTRACTOR:
ADDRESS:
EfiIAIL ADDRESS:
PRO]ECT COiITACT PERSq{:
OI{NER'S Nl},lE:
ADDRESS:
I,JORX:
PR@ERTY USE
/
DESCRIPTIO'I OF
TOTAL ACRES DISTURSED:
EXIST
LAiD OISTURBII,/G
JUL 06 20t5
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EXISTIT{G COi{STRUCITOI:
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! RELocATToN
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o" f}OOrrtOr TO
EII5TIi{6 nESIDEitCE
..PLEASE CHECX A}IO Ai'SI'ER 8ELOT.'
AlL THAI APPI.Y IO YOUN PRO]ECT:
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TOfAL PROJECT COST6a.tos 1
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Is Any ELECTRIcAI, Pl-t
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or ttEotlltcll lorl Belng Oone to the
O.."r,ro.iIIIu"., [,", ff, no
If the project
is a Relocatlon,
is there a Natural Gas t-ine on the Current Site?
[V"s $XoIs there Electrical Poxer on this Buildlngl
flV"r $no
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DATE:
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APP I.I CAT I(,I
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NEW HANOVER COUNTY
BUILDING PERI|IIT
APPLlcAfloit
ryps: RESIDENTIAL
PLtAst Ar{sttR AU, Qt tslr()ils AppLI(Attt TO yu/i pROltaI
"Project Responsibility"
BLoC(
tr
DATE:
to*, n, qKiqlETi1S
PRO]ECT
susDIvIsIot,t:
PROPERTY OXNERJS N,otE:
Orn{ER'S AOoRESS T
If the project is a Relocatlon, is there a Natlral Gas tine
APPLICANI'S
DEYELOPER:
Hcrvrcs
Is there Electrical Power on this Building?
[ V.r Sto
PiOPERTY USE
/ OCCUPAI{CY:sTNGLE FAMTLY
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!
DESCRIPTIO OF I{ORX:
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JUL OI
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OFFICER:
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SETSAC(S: F:ZONE:
App.oval:
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COI,ITRACTOR I
ADDRESS:
EitAII- ADDRESS:
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PRO]ECT COI{TACT PERSO :PHONE
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..,IEASE CHECX AiD AIISI{Efl BELOI.I ALL THAT APPTY TO YOUR PNO]ECT:
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EXISTIN6 IIPERVIqJS
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IS IHE PROPERTY LOCATED
til A FL(X'OPTAI ?
E YES M '"ToTAL ACRES DISTURBED; , 3Z _ J
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Is Any EIECIRI€AL,
Pt-Uitt G on ttEclorUCAL
t{ork Beint Done to the Ac(essory stru(tu.et D yes
coEme nt :
-=-
clty:_ DATE:F
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