JULY 22 2015 BUILDING APPSNEI,II
HAN,VER coUNTY BUTLDI(!
T*(5= I W\
appLrcarro* rypE..
RESTDENTTAL I
PTEASE At{Sl.rER
AIt- QUESTIO S APPLICAB|-E
rO YOUR PROIECT..project Responsibiliq/
or
5 -6to?
APP L ICATIOT{
Numbe
r
(office Use)
APPLICAI{I'S l\,lAIIlE:
DEVELOPER:
PRO]ECT ADORESS:
SUEDIVISION:
PROPERW OhIIIER' S
O NER'S ADDRE5S:
COI{TRACTOR:
AIDRESS:
EI'4AIL ADDRESS:
PROJECT COITIIACT
PERSO :
oo.aru,
z/z
/rs-
=zw,&/z-LOT
$. lo
*' y'zr-?oz</
sT: A/LzrP:
?E//z
TOTAL HEATED
SQ FT:
?2o.? ToTAL sQ FT UI{DER
*ooT:
R,{I/ ,,,HI
TOTAL PROIECT COST Gers Lor)
: $ /({Ooo - f OF
STORIES:
a
PI{oNE
ACCOUNT
#:
PTONE
*:
PTONE
$:
AREA sQ
n: =elf,t/
OF
El.l IiPERVIOUS AREA:
?/4
i_sa
i{ORK:
tst4
OFFICER:
(FOR OaFICE U5€ !n|LY)
SETBACKS:
F:_ LH: RH:_ B:
REYISED DATE O4l11,/12
BFE+2ft=
PERIiIIT FEE:
$-
"X/x;stz
DISCLAIMER I hsreby cetutr rhal
aI
Inbmelbn-in;
"
*
and odin€nces and rcluletions.The NHC Devek
connacbr inturm.ron *.r..o",*^., o-*^rjI:T-*1:"^.-9.lII yt^b" noritbd o,anychaDges in
$.
"pp.,,.0
pt"-n. inJ
"o,connacbr inbrmaron. '.'NOTE:Any work perror]p wro m approj.iae le-rm*
ir]
i"'",rI*,o" or*" *C
So.
or.r{ERlcorrRAcroa,
{(e't< tn :
//cA_ srGtAruRE:
EXISTING IIiIPERVIOI'S
AREA: A SQ FT TOTAL ACRES
DISTURBED: . 4,'E'I .I.IIU'EIIYJ,UU)
AI<EAI
" / ?
/- SQ
FT EXIST LAID DISTURBING PERIUT: I VCS d,A
wrea: d.creue
n cor,uutrw svsrem
fl pRrvarE wELL
I crurnal wrlr
sEr.tER: UfcFpuA
I crurnal
srerrc
! pRrvArE sEprrc
I corm,r*rw s"rre,
**r' SEPARATE
PERflrrs REQUTRED
FoR
ELEcr,
l'Ec,, pLBGr GAs
Eeurp,
'REFAB'
& ,tsERTs +*.pAy : r r.ETHoD:
E cas,
E cr.ecK (,A'ABLE
'o ;*i-tr;;;i ;;-;;- 'd;;;;^'"'E'"*."r*
:r rt
't 't:*:.:| * *:r' + ':i,| * * +.r:t:* + + *:*:* *:a :i *:*:* :*t *
+:t'r*+**+:ra:t:i***--**** ****
**t*,,t ++ {r,}
*,t *,r + ,i * rt,t,i,a,* +** * *,i,t,i:t*
ZONE:
Approval:
Co.ment:
_ City:_ DATE:_ FLOOD:
^\
.Z L /.vc
BLOCK
#:
l'
h
Exrsrr G consrRucrrorr:
! arre
narrou
! nercverron
! e erenal ne
errns
[ *a.o.orrii--__/
l:1,::Il'J:ll'H.:'::lJll,-::^T'f":":?::L11roExrsr,{G*',$effi oHiltrf E-ThT,PLEASE CHECK
AiID AI{S[{ER EELO}' ALL THAT APPLY TO YOT'R PRO]ECT:
EfArr GAMGE
26 o sr ! oer
clmce sr
SF
I oer
crmce ,, d**r,
JlM *!rDeoor_sr Drro*ourGlEEl,"ria-rrr**n
--= E;.**"'- * sFrrPoRcH -r z,GfF JL!-L 0 7 2015
I onrruxousr
_ sr I or.*_ sF
NErd
HA*ovER
co,Nry BUr
,rr({{rJ#; $q4+,lrf - 6q0TAp4:LZC;ITTUyTE;RESfDEi,TIAL lv'J
pLtASE al,st,tE8
Att srEsrlot{s rpptl(aatE ra \tuR pRotFc.r
ProJect Responsibility.
/'va
APFTICATI{X{
Hurnber
(Offlce Use)
A}PLICAIfT'S I&!IE:
DEVELOP:R:
PRO]ECT ADOfiESS:
SUBDIVISIOi,I:
PROPERW 0[i$teR'S
Ol*'lEf,'S ADOEISS:
EiIAIL ADDRESS.
PRolrcT c0{iIrA{
,orr, 7/z /, S-
,rr iWtZ-
LoT
s: 1-b- '*s: 4t r
-?os./
Sltrut-i;1P: bz${/Z
ExrsrrlsG coNsr&ucrrorJ,
f] alre
Rarrou
f] nr*ovaTlor
f] errrnal REPATRs
f, nrlocarrou
IIE}I COFJ5'RUCTION;
d,*,., NE&'
TE5IOENCE Or
I ADDITTOil TO
EXrsTriS RE
3-rra11fffimffi';rffiI1# ffi".
*-.affiffi72
*z !/t -?o?i
J1JL 0 7 ::i5
_sF
.IPL9TSE CHECX A}D A'BSffiR SELO,bI
ALL THAT APPLY TO
YAN PfiO]ECT:ffirr GARAGT
&6.O^.,. se f, *rr 6AEA6E
_ sF
ilsurunooll
_-sr f pooL -=-- sFf] enecunarsE
_ sF f] oecr
- ,,,, * sF
Lt!'poncx
f sronace sHeo
OT}IE
R:
ttrfDER
*oor:
*,tt( -- ,ortlt*ro ,e
*
# OF
SIORXES:
d
SF
i
Ilil .I tl
l.t.t :l.
ToTAL HTATED
SQ FT: ?Rlv * roTAL sQ FT
TOTAL PROIECT C05T{ressua)
: $ t{d_Aao *J{ u'
ffi; ;.
;:H;:;:;,iJ*:'J,'J',5;'.,:k**,,, *ului rt,,
rs Any ELECTRTC&, PLU|qBTIJG
or !'tEcHArrcA! work Being Done
to the Accessory
st.ucturel fi ves fi uorf the project
ls a Relocation,
is there a Natural Gas
line on
the current
sitel [ il t n9Is there Electrical power on
thts Buildingi f:yes [-'lno . / ,tt rr7 , ,//.
D€SCRIPII0H OF I,IORK:
*lff€fl:f #t3leqE
,tt'i*tt,++***t:ltr*****,*i]'r***r(IltifiTl'ir*,r*r***r.**r*+*r***'r***ffi*****;;*K;;
rs rHE pRopERTy LocATsD
r,r A
FlooDpurrr
n ves W6
EXrSTrttG tfirptRwqJS
mrl: __ o_ sq rr
t{Et, ${PERVI0IJS AREA:
;? / / /*sQ Fr EXIST
tAl0 DIsruRBIM prftl,rlT: fi vrs mG./
I{ATER;
El_creua I cowuurrv sysrcr{ f]enwarr ueu fJ crurnal t.lelr
sELJER:
lffcrwa I crx'rnal
sEprrc
I errva:r
s[prrc
I cor,lruufw s\srEM
-*i SIPARATf PERIIITS REqJIRE0 FoR ELECT, {ECH, pL8G, 6A5
EqUIp, PACFABS
& TNSERTS r*
*'lT.::}?j..*.q.'fL.S.?:x.l:111:.rffi .H::l:ff
:H...Hxffl...F:1':r::.
.o*r, {!)f,,
L 'FFrcr*: /yi . "IrT#;: i',',5tlL,*l- xu,!
x!e, ').tlEvrsro
DArt o't*trz
Approvat:- city:- i"rtr r. oxe :1lslr FLo0D:
-- ..,!! BFE+2ft-
,/'
TOTAL ACR€S DISTURBED:
Btocx
(o,l$!l€rrt:- 'ui,
ii!&$J$.lll&ti{*ulri*J, r t
u"**rr-r;irtl.! pERHrr FEE: $.
CONTRACTOR:
ADDf,E59:ACCOUNT
#:
cortactstr nbrmslon.
SISIIATURE;
NErAr
HArwlvER
corr*rry BUTLDTNG
!{#l' \{::-(a nu{APPLtcAtIafi
npf; RESIDELTIAL 0U\ J .Y \w I
PLEASE
Arrtst{Ei At
L g,t,EsrIfrrys AppLrcASLE
ro
1qi{ pRolr(T
.,Froject Resporrtbility-
APPLICAI,!,S
WEr /UaoEVELgpEB: DATE;
z/.,
/,t-
APPLTCAT:O'II
Nus*e.
(office Use)
PRO]ECT AOI}RESS:
SUBDIVISION:
PRSPTRYY OI.IHER.,s
OidllER'S ADDRE5S:
EI{A]L ADORESS:
PR0IECT CONIACT PIFSOlrt:
Ifiit 0F ul0$( I
EXISTI{r|G Ir{pEnWoUs
anra: -,. P..* sq rr
r{E!, r,lPeRvJo.JS
AREA:
fl {.tf se rr
LOT
#: .<?
*, {r( -(oz.'
sTt *1L71P,
4:{_{&
-ztPWtL
ACC*UIIT S:
EXISTIH6 CoNSTRUCTIOH:
I alrrmrron f nrilovat:ot
I erurnar- REpArRs
f] mlocarran
ritEl{
cotdsr*lrcrroHr
ff EREcr NEI^J
REsIDEncE op
fJ ADDrrrofl To
ExIsrrHG nEsroEilcE
'.PLEASE ctrEc( AtIo A}IstdER
sElor{ ALL THAT
Apply To yorJB
FROIE{T: /fl rrr GAfiAGE
&& _,. se f] orr cARAGE
% sF
[f portot 1-#"_srU sui{Root{
--
sr f p00L
..- sF f] sranaer silED
_ sFfJ enreuuarsE
_ sF f] orcr
,. . _ ,, orxEft: <E
IOTAL HEATED
SQ Fr: .*q?tt TorAL sQ FT U1,DER
nwr: 2f,4?TOTALAREA
SQ rt:
-Q?e?TOTAL
PR0IECT CoSTressr"cx;
: g _16iNo-# 0F STORIES:
<? ,,,.,Is Any ELECTI CALJ PlUtr{8ING
or ,{ECflTSJICAL
r.rork Bej.ng Osne
to the Accessory Stnuftups} f] V", fi Uo
rf the project
is a Relocation,
is there a Hatura] Gas
Line on
the current sitez fi il I-! r,,^rs thene
Electrical Por,{er
on
this aul}dingllJves f]Ho ; "^='-Y '',Y, fi- ,bp*opEnry usE
/ occupailcv:
f srN.LE FAHTL, eountrx ffi/rowr,nrous, +C#//f l't
'l.4 tS -* n/rre v* €xisr.uq
.**,**t*****l.x*******}****n*$iti}iT}***o***"*lF***************ffiffi;
rs nrE pRopErry LocATED
rN A FLooDpr_Ar[?
Xf yEs W6
I
tars
wArER:
fr rrruo
SENER:
ffir*o f co+rur,rrw svsretr
f] pRwATE wELL
f crlrrnal wrlrI crxra* grprrc I enlvarr srp]-rc
fr *r**rw syrrr]1
t;r SEPARATE
PEtllSTS REQUTBED FOR ELECT, t{EcH, pL8G, c&S EQUTF, pnrFABS & rNSSSTS r*
PAYnarr HEtHoD'
ff .or"
ff cxecx qoor^r..
* or.t
niiii ;#-"n;;;;_'o'"frorr.***i**tt** *,'t* +*** * )k'*
** *
*dt*** * *** t** * i!** *** a******r**** *t,** *,if,*,t* ***** *
*,t* *.*
+**x*+******** *
zo*r, flf- L oFFrcER:
{'{i(FOl OFfrcE usE 0RLY)
IETBAcKs
:, ih.z/ ra, 2 ",
li w, -** -u, lr4rt!rsi''
Deft u nt t rz
Approval:_ City:
Comment:
, .lJi!.
-srla&ffiAW;/zPHoilE
f: t/"(-fa*i
PIONT
TOTAL ACR€S
DTSTU&BED: , ,?
r{"
EXIsr u$El orsTuRsrNG pERilrr: tr]'] vss Cf ,ro
DrSClJlllER I |erab.y cedty ntat
sf.iDbrn*;;;;
illrffi,iH,*fffi tf"Y1?Xf:**i:?t*Y *,r r,o
*rui a *viiffi * r,u oep,v*o pmn s
rnd
i&d
OAff:-J+- BFE+2ft*
C\
c0r{1-rt&cTi}R;
ADDRESS:
PllOIrfE
*:
SISIATURE:
NEW
HAN,,ER couNry BUTLDTNG
llRfrl' '
t:,l-Leo.
appLrcarr(N
rr"E,'
RESTDEI{TrAL uvlJ v 'v \
PLEASE ANSI{ER ALL QUESTIOXS APPLTCABLE TO YOUR PRO]ECT
..project Responsibiliq/
g::]ry" nme.
I lo /*eas 6.t.tlo,,,es a/L /,tc
DEVELOPER:oorr,
z/z/rs-
PRO]ECT ADDRESS:
SUBDIVISION:
APPLICATION
Nunber
(Office Use)
PROPERW OI{NER'S
OhINER'S ADDRESS:
CONTRACTOR:
ADDRESS:
LICENSE
CITY:
PROJECT CONTACT
I enreuaousr
-_
sr I oecx
-
5p orHER:
ExrsrrNc coNsrRucrroN:
! alrrnnrror
I nrnovarro*
[ oeruenlr- neeerns
I Rrloca---J
NE.,J C.NSTRUCTTON: IJ:l ERECT NEtrl RESIDENCE
o" ! aoorTtot To E,ISTING RESTDEI{CE
TTPLEASE CHECI( AiID ANSWER BELOI{ ALL I}iAT APPLY TO YOI,R PRO]ECT:
fiarr camcr
C6o sr Eoer ermcr sr leoncx 34y' s,
l--l suNRooM
-sF
I eoor-
-
sr I rro*ou.irro-
TION
TOTAL HEATED
SQ
FTI
EqE'l TOTAL SQ
FT UNDER AOOT: 2f,4? TOTAL AREA SQ FT: .??4?
ToTAL PRoIECT C0ST6essr-oe
: $ /6dOoo- # oF SToRIES:
a
rs Any ELECTRT€AL, pLUr'tBrNG
or tlECHA{rcaL uork Being Done
to the accessory structure? [ ves ff uo
i: :[":":]:::"i:,i ffi::";"1;,:',:H:^:,H;:1 nfr """ on
the cu*ent '*, E:E---E ^i, ./)^' \,.
PRoPERTY
usE
/ occUPAI{cy:
fl srruelr rar,rrr-v Qrrr1r* }r**rorr, 4-Cff//t l'rt''
zw
@12-
LOf
*: {?
*, 4zr-?ezs/
srt uLzrP ? 18.//2:
accout{T
*:*.affi,Trr'rz.-*./af-?o2i
PTIONE
*:
OF WORK:t3-
* **r +**,i+*+ +,*:r*
****** * ****
*(IitflJill** ** **
rs rHE pRopERTy LoCATED
rN
l rlooorlarul I
EXISTING IMPERVIOUS
AREA: , SQ FT
NEIJ II4PERVIoT,S
AREA: E I{I sQ FT
,*
x:i !t ,t ,t
* * + 'i,t :*
a:t,*
YEs
Wfr
warca:dcnt
sEwER,: -dcFpuA
I cor.t'ruurw svsrem
I pRrvArE wELL
I ceurRel
seerrc
I pRrvATE sEprrc
{roR ofFrcE usE
ottY)
sETBACKS: F:OFFICER:
REVTSEo DAT€ 04111/12
B:
BFE+2ft=
N
PERI.IIT FEE:
X/16e.a<
A
*e
:*:i 'r:*,|+ *:r
+**,rx** + ** ** l*i**r **a* + *
TOTAL ACRES
DISTURBED: , 04
EXIST LAND OISTURBING
PER!!IT:
I..] yes I-II rc
I cerlrnar- ue ll
f] couulurw svsre r.r
*r'{' SEPARATE pERl'trrs REQUTRED FoR
ELEcr, ,EcH,
'LBG,
GAs EQUrp, ,REFAB' & JN'ERT' **.pAyrill,r lErxoD: fi cesn
ficnrc. (payABLE
. ;r.;-tr;;; ;;;#- 'Ej;.;;^'"'L:;rr."**
+'t)*'***+ '** ++ *'r*)*:t+:r:* {(*'**)*,},} )t +.r '} '}r.+,it !i+,} * *+
*+trt "*ii* ** * * * * ** * **:* *:t***,}:r,r* **,},t* +*:r+:i,, ri,}:t,t
**
ZONE:
Appnoval:
Cotflre nt :
DIscLAlMER:|hecbycedryhalaff,nbrmaUonin.h,"",,*"oono.o,,*ffi
and odir6nccs €nd lEgdatirns The NHC Del/BL!3T,*T"T C".y *x be
norfed or€iy chsnscs rn
t|e appro,eo pe_ns inJ
;conracb. inbrmaron. '.'NoTE: any
work performry wo u,"
apl.pii"- e"_,,i
"-i i"ir,,r',oo'0" o,r," nC
So,
oWNER/coNTMcTo^,
{(erc In :
/K4- sIGNATURE:
-
Citv: DATE.FLOOD:
LH: RH:
EI,4AIL ADDRESS:
*:
BLOCK
*:
! cnnnoe oF usE or
ffi occuratcv cERTrFrcATroN
PLEASE ANSWER ALL QU€STIONS APPLICABI-E TO YOUR PRO]ECT
"Project Responslbility"_
APPLICAI{T,S
DEVELOPER:
l,lAl'rE :
PRO]ECT ADDRESS:
OCCUPAIIT/BUSINESS NAr'tE
PROPERW OhIIER, S M E:
O[.',NER'S ADDRESS:
COITRACTOR:
ADDRESS:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIN TWE (Check one):
EI,IAIL ADDRESS:
zIP: NC-
+Sa_b.lal4PRO]ECT COiTTACT PERSON:
ARCH DESIG PROFESSIO{AL:
ENGR OESIGN PROFESSIOiu|L:
DESCRIPTION OF ttloRf :
PHONE
NC
*:
*:.
REG
REG
and ordinances and regulations- The NHC Oev€lopmeni S€rvices C€nierwillbe nolilied ofany changes in lhe approved pl6ns and sp€cifications or ch6nge in conlracior or
;ontraclor antofinalon. -NOTEi Any wort p€rtomed wo lhe Appropdate Permits willb€ in Violalion otlhe NC Stale Bldg Code and Subjeci lo Fines
UpTo$500.m"'
check one:
I commercial EfResidential
TOTAL PROIECT COST (t-ess
t-oo: $
-
't owNER/coilTRAcroR:
Is THE PRoPERry LoCATED IN A FL@DPLAIN?
[ ves [!, Ho
foF
T0TAr 5Q
IJNITS:
SIHAi t,lAS THE
I4,HAT 15 THE
PREVIOUS OCCI'PANCY
t{El', OCCUPANCY TYPE:
TOTAT AREA 50 FT: 14E' AREA PER FLOOR:
f OF STRUCTURES:
EUILDING HEIGHT:
# OF FLOORS:
pRopERw
use:
I oFFrcE
E RESTAUMNT
f] mrncaNrrlr
! roucnrrorual
I ner
! couoo
Iorrrn:17o,1e,r
IS FooD OR BEVERAGES TO BE PREPARED OR SERVED IN THIS STRUCTUNE } f] VES ffTO
rs rHERE A NATUML GAs LINE LocArED oN THE PRoPEITY?
E E -, Et"o
IS THERE CURRENTLY ELECTRICIW ON THE BUILDING?
Lt YES LLrNO
},,ATER:
BCFPUA ! COTN,TUUTW SYSTEM
E PRIVATE ttlELL
sEr,lER:
Ef cFpuA
I crnrul sEPrrc E;RrvArE sEPrrc
! comuuurw svsrru
ZoNE:
_ oFFICER:
+*+ SEPAMTE PER'-1ITS REQUIRED FOR ELICTJ Ii{ECH' PL86' GAs EqUIP' PREFABS
& INSEITS ***
PAYMENT IETHOD:
E *r* f] cxrcx (pAyABlE
ro
r*rc)
fi aru- rccouur finctvrse I orscovrn
*:r *,i ,i,* ,t
* !t,t * * **,**,*,t* 'i:t * ,t ,r ,l
* 't* 't 'tr
** ** )i:* * ,t,t )t:l *,* ,*:*
* 't *:t * + 'i * :i
* + *,* * x ,t,l:l,l + *,*:l * ,t:* *,f
'+ '+
*,*
I *,t++**:t:t* +
(FoR OFTTCE USE oNtY XEUTSEO 4/72/,r.2
SETBACKS: F:_ LH:_ RH:_ B:_
Approval :- City:- DATE:
BFE+2ft=
N
LotS -b,91o
APPLICATION
Number
(offl.e use)
PHoNE
$: +5)-blaL?_ sr:
Iq zre:;${03
ACCOUI'rT
$:
PTIONE *:
4g-@3
(Pr1nt tlane)
Comment:
F LOOD :
PERfitIT
FEE:
I 6b
PHONE #:
CITY:
CITY:
. t,., .,.,r, ,, m9 -arnA
Je,o.,.,o-, rn.tarnb STGNATURE:
t"
",ffir,
APPLICANT'S NAI4E:
DEVELOPER:
?gl i!_:!71t4 act; - 0q tl
NE[^J HANOVER coUNTY BUI LDING PERMIT AppLrcArroN
APPLICATION TYPE: DETfiOLITION Number
PLEASE PRINT CLEARLY & ANst,ER ALL
QUESTIoNS ti??iEE"ProJect Responsibility"
PRO]ECT ADDRESS:
SUBDIVISION:
DArE: (a I er I t<o,%effie
zrP:J8HC5
*:
?t-1.at3
.t iJCPROPERTY O}INER'S
OT.JNER'S ADDRESS:
LICENSE #:(o
CITY:sr:$_Lzre:
f tsl= tr,49-,1u3, B'l.v)
PRO]ECT CONTACT PERSON:
DESCRIPTION OF
(l.,hat Type of Bulldlng Do You t{ant To Denolish?)
and ordinanc€s and regulations. The NHC Oevelopment Services Center will b€ notified of any changes in the
approved plans and specifications or change in
contractor or
OWNER/COITITRACTOR:SIGNATURE
(PPint Name)
****f *******fn** **r**
********+*+*******+***************+*+************+:***********,t***
rs rHE pRolEcr: E'h-*rrrrrrAr / p commencrnl TOTAL ACRES DISTURBED: ,
S>
TOTAL PROIECT COSTIr-essLog: $ (51+JJ ExrsrrNc LAND DTSTURBTNG pERMrr?
ft VeS
cldo
DoEs rHrs sTRUcruRE oR BUTLDTNG
coNTArN AsBEsros?
Q ves g6
rs rHERE A NATURAL 6A5 LrNE CONNECTED TO THrS BUTLDTNG?
@{eS o ruO
rs rHERE ELEcTRTcAL potdER oN THrs BUTLDTNG?
Q ves Cl.f,
r.rATER:
ffieua ! coNmururry
sysrEr',t
tr
SEr.rER:
l-ftfeun l_lcrrurnnl sEprrc
U
PRIVATE WELL
PRTVATE SEPTIC
I COr'rmUrurTY SYSTEM
Nob: The National Emission Standards for Hazardous Air Pollutants (NESHAP) Regulations Require that you contact them at (919)707-5950 at least 10
days prior to the demolition of any facility
or building, whether the facility
or building was found to contain Asbestos or not. Demolition notifications &
asb€stos removal permit applications are to be submitted using the application form (DHHS-3768). This form can be found on the web site shown belo\i/.
Note: Obtaining a demolition permit from th€ NHC lnspections Depl. does NOT satisfy or meet the notification requirements
of the HHCU (Heallh
Hazards
Control Unit). 'Keep in mind that an asbestos survey is required by a NC accredited asbestos inspector prior to any renovation or demolition of
a facility. Please see the Asbestos Web Site htto://www.eoi,state.nc.us/eoi/asbestos/ahmo.html
PHONE
s:3lagaqsq I q
vrnC)m
mo
G
=,b9
@
F'eta
(FOR OFFICE USE OTLY)
rBAcKs: r: rJfA' iH:r-1A:'dfrd'H#,=city:l3!1.nL DArE:
N
PHONE
pAynEtuT
ilErloD: ftcasn Q crecx (IAvABLE
ro NHc) ftanenrcnr ExpREss
0 nclvrsa Q orscovrn
**{.************************,lc**,t********************'t**,t*,t,i)****1.,1.,i***'**,1****,t******,1{.,t:f*'i
,orr,
fi- l,(, oFFrcER:
Cih, lnpecliur Requrreo,
I I
0.254.0W)
PERI{IT
FEE: $.
CONTRIICTOR:
ADDRESS:
EMAIL ADDRESS:
w
APPLfCAHT'S ilAI'lE: s.J. 's construction co.
APPLTCATIOI{
l{umber
(office use)
DArE: J.,j..e/1-":-_
".#;_DEVELOPER:
PROJECT ADDRESS: 6412 Berridge Dr.
PHONE
CfYY: wirmingtonzr.Pi 294t2
SUBDIWSI(FI: g-Iqase.BLOCK #:LOT *:
PROPERTY OIftER, 5 I.IA}IE
:Joyce Bonessi PHOTIE
oh,NER'5 ADDRESS: 6t--1,?Berridqe Road
ADDRESS: 6s17 olQ, !'ost Rd
EIvIAIL ADDRESS: rrarblambGec.rr.com
CITY: wilminston
LICENSE *: 40i9e _
CL-rY: Wilmington
#:
5Tr NC ZI,P:28atz
ZIP: 28411
pl{oFrE
PTONE
*: 910-443-336s
ST: Nq.
*t
PROIECT CONIACT PERSOI'|: Barb Lar&ert
Exrsrrrrr6 corrtsrRucTrou,
n ALTERATTON
f] nr}rOVn[0il f]Crnrennl REPATRS
fl nrr-ocnrror'r
PROPERTY USE
/
DESCRIPTIOT.I OF
TOTAL ACRES DISTURBED: none
EXIST LAND DTSTURBTHG PERfirr:
[T] VtS ffi r-rO
NEhI C0N5TRUCTION:
fl rneCr l,rErd RESIDENCE or u} nUOrrrOn TO EXISTII{G RESTDENCE
**PLEASE CHECK AND Al{St{ER SEL([,{ AtL THAT A,PPLY TO YSJR PRO]ECT:
f] arr cAMGE
-
sF fl oer GARAGE sF
m PoRcH g-- sF
I sur,rnoon5F
f] nool
*- sF
f| sronaer sHED
-
sF
flenerruHousE
-
sF
I orcx
_ sF orHER:
TOTAL HEATED SQ FT:2465TOTAL SQFT UNOER ROOF:
'ZW'TOTAL AREA SQ FT:
TOTAL PROIECT COST(t-essuot);
$ rr,-ooo# OF STORfES: z
Is Any ELECTRICAL, PLU|{BING on }IECHANICAL Work Belng Done to the Accessory Structure} [l Ves t ruo
If the project
is a Relocation, is there a Natural 6as Line on the Cunrent Site?
ffi ves EI l,|o
Is there Electrical Power on this Buildingi
lTlves flrro
occupA!{cy:
[l srrucr-r FAMTLY
f] ouer-rx
f, rourruHousr
I'|ORK: Buiici scr:eened in porch rogf .gyeq 9I_i-S!fgS-_,S9n-gf9!9_-!]Cb
DISCLAIMER I hereby corUry h6t aU in{crmat}on in his appkaton is
corecl and a[ work will comply witr he State Buihing C-ode
ad dl oher applicable Stat3 and local laws
aod ordinatces and ,egulations, The NHC Development Service€ Cenler wlll be nolifed of any changes in t)e approved phos and specifrcations or change h mnlractor or
conbactor inbrmaUon. "'NOTE: Any Work Perfomed WIC Brre AppropriaE Pemits wi,l ba in Violarion of lhe NC Stale Bldg Code and Sublect b Fines Up To
$500.00"'
OI{NER/CONTMCTOR: Barbara Lanbert SIGf'IATURE:
*,i** *** ******+* * *!r+ *** **** *(IiTl,l?SJ** ** ** ***,r *r*,* 'B*******,t** ** **:t*rt******** *,i,1***** **!k* **
rs rHE pRopERTy LOCATED rN A FLOODPLATNI
ffi VeS [E] tJO
EXISTII{G II'IPERVIOLS AREA:
-
SQ FT
NEtl IIqPERVIOUS AREA:
_ 5Q FT
wATER:
[| creun
f] cor'trururrY sYSTEtl
flenrvare wru f] cerurRal ue
ul
SEhtER:
[] crnun
ft crlrrml sEpTIc
I nnrvnrr sEPTIc
f] colrmururTY sYSTEM
'+*:l qrPAAnrE
pffii{ITS n[qU5;ifi] ].rlil [LC{"!
, l4f{fi.r pi.,Btis ,;ii5 gr}"}Iti., pS[?:&85 '9 ]il{.fttY< s1"i'
pAyr{ENr
HETHoD:
fl cosn
ffi cHecr (pAyABrE
ro NHc)
fi axenrcnru ExpREss
ff ,./rrto ffi orscoven
*)F{.'F***,+****,t*t(******************'r**r(*r,(d(*i(*,l.tl.{.*.4*****t ****i(*i(*,r)***)t*****,*,t,t******{<****'t*
SF
EimiC),rn
rna
99
et
(Jt
ZONE:
-
OFFICER:
Approval:- CitY:- DATE:- FL@D:
(FOR OFFTCE USE OilLY)
SETBACKS: F: LH:
REVIsEO DATE O4|LLIL?
RH:_ B:_
?ELrs-R€s
aot5-(!UO
NEtiI HAIIIOVER COUNTY BUILDING PERFIIT
APPLICATION TYPE: RESIDENTIAL
PLEASE Al'lSi,aER ALL QUESTIoiIS APPLICABLE To YOUR PRolEcT
*Project Responsibititf'
BFE+2ft=
COilTRACTOR: B.J.'s Constructi,on Cc-
i
,
I
i
,i'i'\ !Otf- 61/j 03/14i2012ce:t7 ir33P r31icc2
''Nal/ ".Nv- mh ffi* :::H#'lffl:*if:|j::.:",Hi*:]"' \mv
\HlZ ' t .p?ojcct
R.sponrrluiqf ,"}ffJ.,
-rIlcnrs totry,
Zr,/( *uol"eE rcr7-U-/7OEVELEEN:;ili{.=l^srrlorv'ros +,tf'ffiY
,noPErrY flEr,s f,^rE:
Siclc LU
h
i tF or/;ffi;:;'fiLi ) ttl'e*$\-
PIDIE
t!
proJECr coxllcr wrsqtr. C,al(
frl.c/h(t proxE
l: zjT_Tfi
f,Er'! coETmrTto ;
! rnecr EH RESIDEI{CE
or p oorrron
ro D(rsrr[6 RESTDET{CE
EXrSrsS Co gr rcrror:
fi rlrrurror ! nsrEarror
I eeneur.
*:rorni--fr-irrocorro,
ffi#eH,'flffirsifficortrc:r hotrntst' "'fiolE: Any
trbd F.'ron'rd wto n Ale,tgrt
Frm,niiiiGffii"i'dftZliilfr'ffiffiltt *
ffi1
o,rER/@rtnffiil Co/"
*-r{*{*=; sreirflnE: 42./ -;'
r}{iaalliaaa..l*lsrttat a+triatai+aaa.at+ir.r*t||aa|}trtaatr
rorAL pnorEcr co6r .... rDq : ;-
l; ; -' ;:
.*,;r.* ::'",.*
r:':;ffiffi Hi,ll'-; -,
rorA! ArEr
se fi L/51 mrAr se Fr uf,DEr
*,F,
Zl*0
EXISTDE $9En lqrs ltEA! _ rQ Fr
rm $9Eilxl[ S rEA: _Se FI
tO. OF SfUtESs
TOTAL ACRTS
paY?trr iEIlaoD:.c
lltti|l*aariaaattiia+t*at*t*ra+taa*atataaata
(16 or?t& lat ctY)
Z(IIE: _OFFICER:sErla-cl:l
-F
r_ Lfi
:_ $t:_ I :
Approvat: clty: DArE:_rrmo, l --'=.iilrt_lyll-Cqricnt:
ats Itr
E'r#,fffl:ffi*' tr*Jr'ffI";d rPfi';,;msr ffi oeru.eono o"?
s *
I entemoost
-sF
l-'l plrro
.ur.rr, - *.:.
-;:'
Ir Any CLlCntCAt, ?tt 'itl6 or llECIll{ICIL
rffi rcln! Don
to thc ac.Gr3ory Stru3tuftl E V"s Et ilorf the pnoJsct
lr . Relocatton,
Ir there
. stsral Gai
tlne on
the curi.ent
,i;." tr fr tr *"ts th€Fe
Etcctrl(.I pos€r on
thls lulldlng? St ves
fl no
pnopErry usE
/ ocqrlrrcv:
fi srnelr rlnrlv ! uleltx I rownrouse
DEJCi lPrlor{ OF 9$t(:
UAR I 1 mlz
t,$Bff"
Ol-V h(t\(-tr1tolV
PERIr
fE! t
HH: E :ilr^ E ffiiltIir,r #*w:,:*il: E:ilffiil,h,,
tu
APPLICANT, S
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
pROpERTy OI ER,S
Mr,lE: Qt ct lut{t 77o nD
.,h EtrtArr ADDRESS:
pRoJEcT coNTAcT pERsol: ptcE W tJtT--Fd fto
OIINER,S ADORESS I IYt7 dA Ur/ nlat^/. ,L.a
CITYi Vt c*.,'t * sT t N. ztpz;t,ot
co[TRAcroR: Ftcz 1v./*,t-t.t*o
AND ANSI,/ER
NEW HANOVER COUNTY
BUILDING PERMTT
APPLICA|ION
TYPE: RESIDENTIAL
PLEASE ANSI{ER
ALT QUESTIOIIS APPI-ICABTE IO YOUR PRO]ECI
"Project Res ponsibil ity,,
l{A E: 'r(tCrc dfi/.TL,^D
clTY:. W lct' , ur*"
BLOCK f:LOT
*:
*:
LICENSE *:
crrv llt cu-if,T--sr gzfit 2-g/o 3
*:
*: fia -
L??')l {/
PHONE
PHONE
SF
SF OTHER: I4O
f| sroRrce sHro SF
SF
TOTAL SQ FT UNDER ROOF:
TOTAL AREA
5Q FT:
tKi
WATER:
SEWER:
tr
E
W(5-(t3,{
Oorf:i1?3
APPLICATION
Number
(Office Use)
DATE :
zrP. 2_21!L?
PHONE
PHONE S:
EXTSTTNG COflSTRUCTTON: @ nr-rrnArrOn
! nrNovarrot
I crrlrnll nrenrns
I RELoCATTON
NEh/ coNsTRucTroru:
! rnecr NEW RESIDENCE o" [f] aoorrrou To ExrsTrNG RE5TDENCE
I*PLEASE CHEC(
! rrr canncr
I sunnoom
_sF
f] eneerurouse
-
sF
TOTAL HEATED SQ FT:
EELOW
ALL THAT APPLY TO
sF fl orr oanace
! eooL
! oecr
YOUR PRO]ECT:
SF
leoncH z€ { sr
TOTAL PROIECT COSTtressroo
: $ Sa":' -# OF STORIES:
rs Any ELEcrRrcAL, plulilBrNc or tilEcHAt{rcAL
work Being Done
to the accessory
structure?
! v"r [ ruo
rf the pnoject
is a ReLocation,
is there a Natural Gas Line on the cunrent
site? [ ves ! No
fs there Electnical Powen
on this Building?[ves fl ruo
PROPERTY
USE
/ OCCUPANCY,
! SrnCrr rlmrrv ! ouer-rx
! TohtNHousE
DESCRIPTIOT{ OF hlOR(: F/p/J,// /,-a, A OO, r/">) 5 r-TrrLtL- /.,/ }-/y-.tL 4,s,/, <zZ*
4 t2ro/C
DISCLAIMER: lhereby c€riat hat all inbrmation in $is applicaiion is correct and allwork wittcompty wih he Sraie Building code and a[ oher apptrabte srate and tocat taws
and ordinanc€s and tegulaiions. The NHC DevelopmentSe icesC€nErwillbenodfed olanychanges in lhe approved ptansand speci,icalions orchange in
contracbror
owNER/coNTRAcToR:
R. t. tn/rlr/Fa ao SIGNATURE:
* * * !r
***,i r* +,r,i * * *
** * * * * * * ** *(IiTl Iil"J ** *** * ****
*.
15 THE pRopERTy LocATED
rN l rloooptatlr?
l_l vrs NO
ACRES DISTURBED:
Exrsr LAND
DrsruRBrNG pERr4rr; T-l ".s tEDtqyED
creua
! col,rMuNrry
svsrrm
! pRrvarE wELL
! cerurnnl urrl
creue
! cENTML
sEprrc
! cnrvare
srerrc
f) coMMUNrw sysrEM
't** SEPATATE PERI'1ITS REQUIRED FOR EL€CT, i4ECH, pLBG, GAS EQijIp, pREfABS E INSTRTS r+*
pAynENT rirErHoD:
I clsn
I orecK (PAYABLE
ro urcl ! emrnra*
.**.r, fl mclvrsl I orscovrn
* *,*,* ++* *,t,t * *,t** )i*** * ** *x** +*** *+***:t* )t)**+*,t)** )*
*,t ,t
*:t,t *rt)ht ***,f :t* t*,*,**,i*** **rt * )*,t )t :t,* )i
* ,r,i;r )*
* *
(FoR OfFrCf USE OitLY)
SETBACKS: F:LH
:_ RH:_ B:
EXISTING IfiIPERVIol,S AREA:
-
SQ FT
NEW II{PERVIoUS AREA:
_ SQ FT
TOTAL
* ,i,t,t * * )*,*
**,r )*
*,r,t * **** ** * ***V** ** **** * *
,l
JULI
I Ms
REVISE0 DATc
04lr1l12
8F
E+2ft=
t{
PER
TT FEE:
ZONE:
Approval:
OFFICER:
Comment:
City:DATE:FLOOD:
ADDRESS:
fo 3500 00"'
APPLICANT,S t.lA E:Co6k,aq
DE,ELOPER: Gs{\^
PRO]ECT ADDRESS:
NEW HANOVER COUNTY BUTLDING PERII'IIT
APPLICATIOI TYPE (check one):
E cHANGE oF usE or Efoccunmcv cERTrFrcATroN
PLIASE AIJS}JER ALL QUESTIOTIS APPLICAELE TO YO,R PRO]ECT
"ProJqct Responsibility"
knrt l'{o d
ot>.,,....
& /rr^rr
APPLICATION
Number
(Office Use)
oarc, 7l z tf t s'
PHONE
S:
ProNE *: sv( 'zat trg 19
sT:tg zrP: zql\+ctr
ACCOUNT *:
ST: ZTP,,
)rtS-b\a7
9rt
*9(&
^Lt*
CITY:
occuPAiIT/BUSINESS I'lAltE :
LA^lo /s*nPROPERTY Ol.lilER'S
O} {ER'S ADDRESS:
ADDRESS:
ETIIAIL ADDRESS:
PRO]ECT COT{TACT PERSON:
ARO{ DESIGII PROFESSIOTTAL:
E[{GR DESIG[,] PfiOFESSIOML:
CITY:
ilaltE :Cos
CITY:
LICETISE *:
;il PK)NE
PHONE
NC REG *:
NC REG #:
DESCRIPTIOITI 0F TJORK:ftr Bag-$
"..S
(Prlnt [ane)
BUILDIN6 HEIGHT:
{ ,t-^?c Co
TYPE:
iEvrsED 4/12112
oJ*nrr
rrr,
$L0-
€il 2-a?9ra
zIp; Z\ Lt ,?cI
*: \71 Lo
f:
ffihisapplicationi6con6ctandallwowllcomplywilhlh€stateBuildin9codeandsllolher6pplicablesEieandloc€llar^/s
,na omin"n"""
"na
r"grt"lions, Th6 NHC D€v€lopment S€ruices cenlerwillb€ nolified ofany changes inth€ approved plans and sp€cilications or chanoe in conlraclor or
contrac.to, intormation._-NoTE: Any Woft pertoggl-Ulo the Approprialo PemiB will be ifl vlolaiion of lhe Nc $at6 Bldg code and subiect to Fines up To
$500.00-
check one:
! co*"".i"r{ Residentiar rs rHE PRoPERw LocATED rN A FLooDPLArl,l?
[ v* ftf-
TOTAL PROJECT C05T(resstor):.
$ U 1 .r- ---.,lulAl- rrvJELl LUrr {L€ss LoI.r ! . --_-- \ l-
oy,rNER/coNTRAcr o . C'os kun k qr
r l4qJollufi'fir.r,
TOTAL AREA Sa rr:4191 AREA PER FLOOR: rorAL sQ FT UNDER R00F:
r oF srRucruREs , -f-o oF FLooRs:
-(
o o, uNrrs: ----L-
lo e arorAL AREA sa Fr:
lo 6c)
pRopERw
usE:
fl orrrce
! RESTAUMNT
! mrncmrrlr
I goucarroua-t
!mr !coruoo !orrrn: /tol..'z.S-A--
uHar r,US THE PREVIoUS OCCUPAIICY
t IHAT IS THE t'lEtd oCCUPANCY TYPE:
rs rHERE A r{aruRAL GAs LrNE LocarED oN rHE PRoPExwI
E 5s fft"
I5 THERE CURRENTLY ELECTRICIW ON THE BUILDING?
I.I YCS -!['XO\-
mrrn:fi(,peua
E comr'ruurw svsrrrl-fl PRrvArE wELL
,iiri*;frftoro
fi crurur- srerrc
I enrvarE sEPrrc
fl coutluurw svsrrm
**+ SEPAMTE PERHIIS REqUIRED FOR ELECTJ MECH' PLBG' GAS EQUIPJ PfiEFABS
& INSERTS ***
IS FooD OR BEVERAGES TO BE PREPARED OR SERVED IN THIS STRUCTUNE I I V.,_.kruO
ZONE:OF FICER:B:
Approval:_BFE+2ft=
'^'l.T-i'.'f:;-.-Hffl...-H:l::1.1'l'ff1:*$:l---E:.',-1.l::'-T---#EJi:l--H-'.'-'::[-
(TOR OTFICE USE ONLY
SETBACKS: F:-
Comment:
city:_DATE:_ FL00D:
RH:
/Qe a rs-nlfl
oorr,@l lolLs
:&a3
LAPELICAIT'S l.AflE:
DEVELOPER:
NEW HA]IIOVER COUNTY BUILDING PERI,IIT
APPLICATTOII N?E: RESIDE TIAL
PL€ASE ATSTrcR ALL QUESTIO{S APPLICAALE IO YOiIR PRO]ECT
"ProJect ResPonsibllity"
LICE}6E
PROPERW MIER'S
Ohtr{ER'S ADDRESS:
Cfi{TRACTOR:
ADORESS:
E AIL ADRESS:
PRO]ECT Cd{TA(
PK)ilE I:
ST:
7te a33-i)t3a
_ztPl ltctA
sr.,yc1tp.
A_tlr)*: g/o ^r 1i-d'a3G
,. g/o )<l.-,fA3i.
Ctfl: _L.tLz,_-
Pl{o{E
pHotE
ExIsTItrc cdasTrucTtpl:
! lr-renlrrot 'p.nerovlrron E eereul nrelrns
! RELocATIot'l
raEH CO1;STRUCTTO;{,
I rneCr E], RESIDETTCE o"
I aoorrrOr TO EXISTII{G RESIDENCE
I'PLEASE CHECI( Al{D A!|S}IER BELOT ALL THAT APPLY TO Yq,,R PRO]ECT:
llrr canaae
-
sF ! oer onaer sr
I eoncrr
-sF
I tun**lr
-sF
f] roor- - sr I srome e sHED
-
sF
[u*rrr*r.
-
tt Sorcr / f,o sr ouER:
-
sF lfu
TorAL HEATED sQfl,
14*- TorAL sQ FT ul{DER R@F' W rorAL AREA sQFt" 4W
roTAL PROIECT COST(Le*L..) : I ?aoo.oo s oF SToRIES: I
Is Any ELEGTRIGAL, PLUliBr[G or ItBCMfltGAL l.,ork B.1ng Donr to the Acccssory Structurr?
E V"t ElUo
If the project ls a Relocation, is there a Natural Gas Line on the Cu*ent Site?
$Ves I m
rs there Electrical Polrer on this Bullding?
ffiv"s f] lo
pRopERTy rrsE
/ occtPArrY,
ffisruclr ramruv
f] u:elex
DESCRIPTIOI{ OF TORK:
6-scur15* rn","oyi6iiio- I IEi h his epkaton b coflBct$d d r!,od wl comply witr ar€ sEE Buildhs codo td d ohs spplc.Db ste! rnd b..l lee
ad ordinarlcos r'd rBsutalirB Th€ l*lc Oov€bpnEnt $t"i-. C"not *ittt -tf.d ol'lv chtr0€s in to na"*a-ompd tlfi"t"T :1"hTt]1 :IY:::t
cont&br irbmaion. "'ilOIE: Any Wo.t/App.opiab FemiE wll b€ an Vbbtidn olth6 NC StaE
ot'INER/co TMcToR:SIGMTURE:
' - (prrnt
r.x)** * + ++ *** )r+
I + I I **** r** ****d+lliiiT{** *,r** **r*,}:},} * a:}a *** * * *:} :t:i * +**** *,t++ **:} ** *
t +:}* l'** 't '} **
IS T}IE PROPERTY LOCATED IfiI A FLdDPLAI I N YES
EXrSTuG DIPERVI(ITS AREA:
_ SQ FT
t{E11
rr,tpERvrous ss1s11 y'to sg rt EXIST I-AI{D DISTURBII{G PER'iIT:
F] VES I- TO
'tutrEn, dqA)A fl coa,tur'rrrv svsrrr.l
! pRrvArE L,ELL
! cerrnal wrrr
SEHER:
dcF pUA
! cHrrur- sEPTrc
E PRTVATE sEPTrc
f! ccnrurrw svsleu
... SEPARATE PETXITS REQUITEO FO€
!(ECT, hECH, PLB6, GAS Eq,IP, PiEFABS 8 ITISERIS J"
p1ynErr rE HD: E clsr E crtcx (PAY BLE m t*r; I arcnror exenrss
E tcfrrso fl orscoven
i,t:taa * a:i r*'t )t,i,t,r a* * * a+,1,|***,ta.ttaa*I:i,*,|:*:i*l:l*art,taa*a:r:t+:**,1'}.*r***+t:i,ta'tta*:lt,*,1:l:i**:t*t'|,lll****
(ror orFrcE u$ 0LY)
SETBACKS: F:
TOTAL
NO
ACRES DISTURBED:
iEvIStD DAlt O/r/11/12
LH: RH: B:ZONE:OF FICER:
Approval:- City:-BFE+2ft=
2o rs- c7
3b
APPLICAT16I
ll'trbar
(Offtce U3.)
iii'il'-ii zit's t'to3
SUBDIVISIO :BLOCK t:
-
LOT t:
,!lg
colrEnt:
DATE:_ FL@D:
Jr.rr r..,
,-a-{-
PH)I{E *:
fe . F,-t1tN
ffi
APPLICANT,S
DEI/ELOPER I
t'lEhl TIAiAVER COUNTY $UILDIilIG PEAil'tIT
APfi.IC' rIW TYPT.. RESTDENTTAL
PLFiTSE AlrSlt€* ArL $JESIIO*}S APPt.r(A8tE I0 \'e!e tA0lt(l
"ProJe(t tespsnslblllty"
*qri;-n*ot* ziPd'ai
5UBSIW5I8$r BLOCX $:LOT S:
Fgoprery
sN*n,s
&illfB's ilAl{t:
ASBSISSr
COf{TRACTOR:
A8S&ESSi
EIIAIL AOORESST
't c-h
*L
GcL Lrffllst $:
*. ,2,/g -a 3
3'&*l*
ST:-zIP:
qSclrt
s1;zrrc.31p;
dflrJ,* ,*ta -.a:,j:f,ai6
ld)
PE$lECr co$TAcr FERS&lr
*O-r"',,-,i ,(fu.t-ru.i Plsrlt t: 9fa l?,*:A'djf'
EXr$TrH6 CS*STBUCTXSU:
fl atrrnarrOr ffinEMVATTON fi eeffen* Rrp&I*s
f] nruocarroar
t*€id coslsTRucTrou:
I ERECT NEU REsrDErcE o. il arnrTlofi TO
ExfSTI]re *ESTDEiICE
r.plf,AsE cl.iffx $0 *e,tltrR BEt$* ltl Ttitr SpPlY r* Y($R Pfi0]rcr:
I arr etR fiE
-
sF il o*t GARAGE sr
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EXI5T1!6 II,IPERIIIOrS AiEA:
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2ol.5-6 13b
appr.rrlrrolr
llmber
(0ff1<. Usc)
Pr{ctrE
CI?Y;
Jr".*ll,-r*- ,,,.. .- .. .."...
TOTAL HEATED SQ F-{:
..1*@- TOTAL SQ FT
UISEI RoOF : -M* TOTAL AREA SQ n: @
nISTRIpTIOS OF !40QX:
iGCf"r*Xe rn-J ar Buibr{ Cad6 m.i I o*lar *drcDbrc str! rnc tocrl l$/s
lrrd ordlrssa€ sdm*ulalani Thc *lC Oar€{oprreot Sastrs Csa!(wllb6 fictlipd
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TOY{L ACRTS DISTURSED:
rxrs? rAr'lD BlsTuf,Br*c PERt{rT:
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f co+r*Ln:w sYsrEH
a; I ril2*.Str?f ili?E-I7-ii ilt:iliilrtlfr t.tt lil$.r"y, ttc:|1, $iifi, .$*5 $tij?i!, Bti'::4$t & ?$S[:'ll' -o"
*'fr.i:x?.'.--H,'fI..?.xT.l:l'f-.-.,r.:?..#"$11*:r1T;..H,Y.T3.,,H:l:::*-
TOTAL PROIE(T CGSTTL*,r-al : $ ?AAO,OO S OF STORIES: /
rs Any ELECT&ICAL, PLu*8I*6 or $lCfiA,{IC.At HoFk Being D6nr tc the Accessory Stru.te.a) ft Vet ffiUo
If the project
ls a Relocat).on,
is there a ltatural 6as Line on
the Current Site? Elves fl ruo
Is there Electrical pou,er on thil Building?mves flJuo
pssFERW rrsr
/ OCCI,,PANCy,
ffiSr*elE FA|{LY
f] OrjAr-rX,**,SE? lnryecti*n fi,Sunm, $l 0-2f;{-0mi
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DEVELOPER:
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATToN rypE
I RESIDENTIAL
PLEASE ANSUIER
ALL QUESTIOIIS APPTICABLE TO YOUR PRO]ECT
..project Responsibility',
APPLICATIOiI
unb€r
(Offlcc Us€)
ukbu6
PRO]ECT ADDRESS:
SUBDIVISION:
ztP: Z9a/lrzl77-'
PROPERTY
O}IiIER'5
ot,rlrlER'S TIDORESS:
COITITRACTOR:
ADDRESS:
riAr4E:
eRlC'aftkr6.
SornI CITY:
plo E
*: 1to,.nl,Lel}
ST: ZIP I
ST:
_ ZIP:
_* 1to,'171, Ze76
*:
LICENSE
f:
CITY:CPYDzE tc4^4 PIO E
PloilE
sr ffi roncx 38o sF
TOTAL HEATED SQ
FTI I6CO TOTAT SQ FT UiIDER
ToTAL PROIECT CoST rress tou
: 3 I 5(]. @ €+ s
rs anv ELEcrRrcaL, plufiSrt{G
or EcHArrcAL
work Being Done
to the Accessory stnucturer fl ves [ ruo
! eool
_ sr
! sronrcr SHED
_ sFsF I oecx OTHE
R:
AREA
DESCRIPTION OF ltlORK:
op s
tlc shnr
ftsietta.
^J6,,-tfr,
DISCIAIMER: thecbyceniry hataltinbmaUon in
his appticaton is6nd all_workx,ifl comptywih
fie Stale Building Code and altoher appkabte
St6;"rn"""tr""
:::#[:1fl':1,f1'.]ilsp'lj"T[:,T]::*:il"*T:'^"^:j:.1-:"-1"1:r:.13t1v.er,-e;"!,i""1i1i",il;;;;;:;##;;;::ffi"{#"";H":,?lcontracbr inbrmarion. 'nNorE:Anvwork Perrormed
wo heAppropriaE pem,o"ln u" r" vi"r",,ii "iii"-r.t6i;;'dffi;ft#:il;1""#lt";:;#f#jf
o{rER/coNrRAcron
: En t <_Tn r,. g} RvD errrr&l srGNAruRE :
*')t*+++**:r** )i:t*:r
**** *** *** * *(IlIiliI"]** **** ** ** *,r*+*,r,1,*r,rr,r+++,r*********/**PiI]** **** **rs rHE piopERTy LocATED
rr{
l rlooopurrl [Xl ves f] no
EXISTII{G II,IPERvIoUs
enra: 2&/78 sQ rr ToTAL AcREs DIsTURBED:
NElt rri,rpERvrous
enrn' Z?
6J sQ rr Exrsr IAND DrsruRBrNG prnnrr: l-l vrs
[-l rlo
Emc)m
rna
?lrn
CD
N?
crr
a5d
wATEn:
! creun
I coMMUNrry
svsrem
fi pRrvATE WELL
I ceNrnal
wer-l /
seNER:
ffi creua
! CENTML
sEprrc
! nnrvrre
rr.rr. I coi,4uNrw
sysTEM
Ctean(rcy,/
*** SEPARATE
PERt{rrs REQUTRED
FoR ELECT, r4EcH,
'LBG,
GAs EQUrp, ,REFABS & rNsERTs ***p^yr,lErl lrErHoD:
Icasx Icxecx (payABLE
r rr.l E*rrr;;;;;r'""tr';;il^''tr**rrr.,t
+,** **)trt'i)i)t **:t+,|*,** **+ ***Ji *+t* *)i***)*:i,t+,t* +**+ **+ *,1****,t,i +*)i:*,i* +,f *,1I
*l+,I,*rit*)i** )t*,* + *+*)t
**
(F08 oFFICE USE
OtrY)
SETBACKS: F:
x(r/e L{Zg rorAr
OF
STORIES: L
SF
sq n: 16C63
Lco+qPn1
If the project
is a Relocation,
is there a Natural
rs there Electrical power on
this Building? [lyes
Gas Line on the current site? ! yes B Nofl to
pRopERw usE
/ occupANcy
r
[l srnele raurr-v
I ouclex
fl TolJNHousE
ZONE:OFFICER:
*o
L.
Appnoval:
8FE+2ft
PERIqIT FEE:
PRolEcT coNTAcT PEnso
: OuJdcf
Exr5rrrrt6 cot{srRucrroN:
! rlrenarroH
! neruovrrroru
f} eeNeul neearns
! RELOCATTON
NEW CONSTRUCTIOru:
[I CNECT IEW RESIDENCE
O"
! AOOrrrOr TO EXISTING RESTDE CE
.APLEASE CHECI( AI{D AI{SWER
[f rrr eanne e Ccto
! sunnoom
_ sF
I cnerrurouse
_
EELOI,I
ALL TH.ITT
APPLY TO
sF ! oer eenace
YOUR PRO]ECT:
Comment;
City:_ DATE:FLOOD:
LH:- RH:
)C>
eyei\3
E
*(F.
-t-
'.1
\)q\g
a/q,q.5
:t
EMIL ADDRESS:
DATE
U/7r/72