OCTOBER 19 2015 BUILDING APPSa
NETAJ
HANOVER COUNTY
BUILDING PERMIT
AppLrcATrot{
rypr: RESIDENTIAL
PLEASE ANS}IER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
..proj ect Respons
ibilitlp
7E+ t5-L*tor,
,DlS- ff*
APPLICATION
Nunber
(oFfice Us.)
APPLICAI'IT'S |,IATTE:
DEVELOPER:
il,-. J^c,K:,on..DATE: 8ZTl5
PHoflE S:PRO]ECT ADDRESS:
SUBDTVISION:
3OLG C rl ,
crw UP: Z ?.+o:
CITY:
BLOCK
*:LOT
*:
PROPERTY
Oi.I{ER'S MME:
OI{NER'S ADDRESS:
AZ
CONTRACTOR:
ADORESS:
K
EMATL ADDRESS:
PRO]ECT CONTACT PERSON:
!r?. LICEIiSE
*: 1<t+
CITY:
PHONE
*:
ST I
l\a ZIPI Z8,ro)
PIIONE
#: 1tO
-54t g,c> 7.5
PHo E tr; 1 tc 5+t - ec,75
SF
7
I
7
tLif
r^lltt -r,.t.,<<
5
EXrSTrr{G CoNSTRUCTTON:
I alrenlrroru
f] Rercvarroru
[ e
er,renet.
nenarns
f] RELocATToN
NEbI COI{5TRIJCTIO{'
I ENCCT NEN RESIDENCE
O"E-,,,,* TO DGS]-II{6 RESIDEITICE
**pLEAsE cHEc( Ato AflslJER BELot{
aLL THAT
appLy ro,youR pco:tct,
ATT @R,AGE
-
SF
SUNROO4 SF
l-l e neemno-rsr qF
DESCRIPTION OF I.JORK:
f] orr canese sr
f| concrr
_ sF
P@L
_ sF
DECK
\\\\& 4LO SF
n STORAGE SHED
OTHER:vA SF
TOTAL HEATED SQ
Ao?;T ;o^ .,^l
FI. 3Lo TOTAL 5Q FT UNDER
R(NF. 1'<) TOTAL AREA SQ FT:
TOTAL PROJECT CoST (re€sr-oo
z
$ -1&. <na # oF sToRtEs 3
Is Any ELECTRICAL, pLUttBING or TTECHANICAL
Nork Being Done
to the Accessory structure?
fi yES
Eto
I
3 z-C>
If the pnoject
is a ReLocation,
is there a Natural Gas
Line on
the Curnent Site?
f]ves
I uoIs there ELectnical Powen
on this Building?
pvu' Euo
*I ounr-ex
I roururousePROPERW USE
/ OCCUPANCY
!INGLE FAMILY
ji oo
,r.. A o, r)a.. LVer,y'
DISCLAMEFU I
holEby canify hat an
hb.maljon in
'lis
4lplcalbn i6
conecr €nd s[ r,li,* udl compJy
wih he stale &ildhg cod6 and alt ohor
and
odh3nces and rsguladons. Th6 NHC De!€,opm6nr SeNic6 Csnrr will b€ noflbd of eychang€a h hoappovsd ptsn6 aad spednc€tonsoont&Dr in
brmaion. -.NOTE| Any Work perbrn€d w/O tre Appro,l[iab permiE wil be inVroLtoo of he NC SlaE Adg Code snd To SsOO,oCr"
OI.INER/CONTFECTOR: V,
\\ .-\,r,
<-[5o -^.SIGI.IATURE :
*+** ++* +** ****
******* * ** ** *(ifll Jiloi
******
***********
rs rHE pRopERw LocArED
rN
^';;;-';-iJ;"Fff?-'i-,l?FrlEXISTING IIiIPERWOUS AREAs
-SQ
FT TOfAL ACRES DISTURBED:
r5
NEI^J
rI'lPERWous AREA:
-
sQ FT E(rsr LAro DrsruRBrlrc pERt{rr: [-l yEs E l\lo
l.lATER:
SENER:
.tv-I
F
cFpuA
D coMr4uNrw
sysr$4
D pRrvATE |{ELL
! cemnel
uell
cFpuA
n CENTRAL
sEpTrc
fl eRrvare sEpTrc
E coi4r,4uNrTy sysrEM
.'. SEPIIATE PERAITS REqUIREO
FOr ELECT, trECH, pL8G, GAS EgUIp, PIEFAAS
& IISERTS ..*
pAylrE
r rilErHoD:
I casn
I criscr (pAyAsLE
ro
n*1 [rr.i *.-; 'E;;*--5r.".*r*
*:t** ***:t:t* *****:i*:t* *:t:t i!:t * ** t +* * x*;ts:*
+* it
*'t:t****,t**f *i.!ririt it:t.,*
'i
*+* ii;i t *rt rt:**rt +)** x**
zo^re, (=IE-,o,,,..*,
- € v-rn _,'Tf;:'-:l ;:iffffiffi4"9'ra$rra "."",,
.*r.r J.*. rrr,
Lt| xrr'e
datttd Rt's
ci.!,lnspeeli,on Requreo, gli}254-0nfl1
.\i,l.hi^.
ACCOU''IT
*:
(;
2arc-,%qt
NEW HANOVER COUNTY
BUILDING PERMI
APPLICA|ION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilit)/,
CITY:
BLOCK
#:
rTY:
LICENSE
#:
CITY
')
m,
APPLICATIOiI
Number
ice use)
APPLICA
T'S NAI|1E:
DEVELOPER:
PRO]ECT ADDRE
SUBDIVISIO :
DATE:
PROPERTY
O^lt{ER'S NAIIIE:
OWNER'S ADDRESS:
ADDRESS:
PHONE
#:
PHOiIE
*
LOT
*:
ST:
IP
ST:
IP
EMAIL ADDRESS:PHOI{E
f
PRO]ECT CONTACT PERSO :PHONE
#:
EXISTING CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS RE LOCATION
NE CONSTRUCTTON:ERECT NEW RESIDENCE OT
I.J.PLEASE CHECK
E'*, oo*oo,
,l U SF
DET GARAGE
AND ANSWER
BELO}/
ALL THAT APPLY TO YOUR PRO]ECT:
G
SUNROOM
5F POOL
GR E ENHOUS E
5F DECK
If the project is a Relocation,
is there a Natunal
Is thene
Electrical Power on
this Building?
rlyes
DESCRIPTIOI{ OF WORK:
rs Any ELEcrRrcaL, PLUHBTNG
or IrlEcHAiarcAL
t^lork Being Done to the Accessory structure? El yes
ne on the Current Site? [
ffi
ves
I," n\&
SF
SFPORCH
STORAGE SH
No
TOTAL HEATED
SQ FT:
Yi)
l4 TOTAL
Fr uNDER
noor: \34 I
TOTAL PROIECT COST rress rotr
: $ht-B
sQ
14* OF STORIES:
T AR
PROPERTY USE
/ OCCUPANCY:
SILE FAi\4ILY DUP LEXTOWNHOUSE
\
lI,.(
r{)
DISCLAIMER: lhereb
and ordinances and re
conUactor informalion.
S I6NAT
e NC
y
cerli6/ lhat all inttrmation in
his applicaiion is
correcl and all work will compty wilh t'|e State Buitding Code and a[ oher applicable StaE and local laws
gulalions The NHC Development Services Cenbr wiltbe notfed of any changes in
he approved ptans andlicalions or changs in
confacbror'*NOTE AnyWork Perfoffied W/O he Apprcprtar-. Permirswil be in To 00
otdNER/CowTRACTOR:
* *+ *
*** * ** * ** * * ** * * ** * *** * *(i
!'{ I Jil"J -.
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
E
d*
TOTAL ACREXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
YES
I(\
a4ES DISTURBED:
EXIST LAND DISTURBING
PERMIT:
I_I YEs NO
(FOR OFFICE USE
OITLY) REVISEO
DAIE O4l11/12
SETBACKS:
F:_ LH:_ RH:_ B:_
FLOOD: BF E+2ft=
COMMUNITY SYSTEMPRIVATE h]ELL
CENTRAL WELL
CENTRAL SEPTICPRIVATE SEPTIC
I cour.rururrv
svsreu
NT; S;PlRAIE PERI4I-TS
REqLIIED FOR
'LECI,
i'1E':,1,
P136, 545 EEUI?, PREFABS
& INSERIS *'"
pAy!4ENr rrrErHoD:
I cnsx IcxecK (payABLE
ro r,uc;
I nneucAN
ExpREss
E t.lc/vrsr l-'] orscover
* ** * ** *,* *** )k** * )** * *,t* i. ,i *,* * )**** **,t **,** **,*,t *,t *,*
** * **** **** * * * * ** * * * ** * *** *** **rr:,:** r( * r. *r. ri *
ZoNE
: oFFICER:
Aooroval:
Citv:DATE
COIITRACTOR:
'#*
n
tr
s1 2015
SF OTHER:
ADDITIOIT TO EXISTING RESIDENCE
SF
0 ,c*la47 sq n
uATERTV]FPUA
a
sEwER: EfCFPUA E
26trq?
NEW HANoVER COUNTY
BUILDING pERtitIT
/s--a
APPLIcATro
rvpr: COfIIIIERCIAL
Pt€asE at{sl.iER ALt- QUESTIONS APPIICAELE TO YOUR pROltCT
"project Responsibllity-
AP P TICAIIOI{
unb€r
(offlc. u5.)
APPLICAiI,5 MTIE I
DEVELOPER:
DATEs/r*/,{
PRO]ECT ADDRESS:
occuPAnr/BusrilEss l{AlrtE
PROPEiTY O|![{ER'S IAIllE:
OI.I ER,S ADDRESS:
COiITRACTOR:
ADDRESS:
E ATL ADORESS:
PROJECT CONTACT PEiSO :
crw:
PHO{E
*:
ztPt
zglD{
PtroNE
s: ZS(, " ZZI I
Sf
| 4. ZIP I ZJ?i/F-
sl t/y'a-zt?;
Xlt/
PHq{E
*: q
tD >-a>
-,J24<-
PIO
E,: q/A .>a > -,/t1z[:
/)-/a-
CITY:
CITY:
;f"',x*:lH,.:'fl,;,H::l'i:'"'"1"H*#**#fi li'*,sr.u:,Hff i?T;"#,*m_"
NEr{ coNsrRucrror:
! rnrcr NEH srRUcruRE
I rasr rnacx
! sxrr.r
fi urrrr
I aDD
To Exrsr srRUcruRE
ACCESSORY STRUCIURE,
If UPFIT The
Shcll Permit *:Is Elect
r*.I. IS THJS
A CHI}J6E OF OCCUPA'ICY
t,sEI
EfF Yes, hrhat vas the Prevlous Occupancy Type?
o8;ct.l{hat
/rlark
Power
on
thls Buitdtng El yes E rO
ws
I ro ...'.
rs ttlney occupancy
W"t ?r,,{arfdnt
ARCH DESIGI{ PROFESSIOI{AL
EI{6R DESIG'{ PROFESSIOI{AL
DESCRIPTION OF I,.,ORK:T2.2,
P* L33-lOLl
PH:14/-Qntl.-+raE_La__
Nc REG
*: Vlag
lC REG
*r a-ll<.a
A-L,/4r
ls fmd or beversges Fspared or sarved in ttris srrucruret filVes
fi Uo
DISCLAIMER: I hereby cettfy lhal Ell Informaton ln
lhls appll@llon ts
conecl snd
a t^ort wjllcoandv wtth the
E#,€f,!"ff"""8$-EFii.E"!?"'l*l"Jlid"l'rs'il8?ff^B"*&ffi.;"'fffi8:ffi,AYylpT,ff##"e#{ltSubjedlo FlrEs Up To $500.00"'
all olher apphcabte S.rale
Plans €nd so€cificatons
NC State Bldg Code
ani
State ButCod€ and
ol lhe
OWNER/CONTRACTOR:T.-,/'/atrou)SIGNATURE:
(Ot/.lili.d
Nota: Damottion noullc.llol! & !!be(os llmovat panr[ appllc.$ons.t! to ba
lubmitrd urtn! lho appllcaflon lonr(DHHS.1168)i/heth€r lh€ fsctttty or buttshg wrs found
tocoatrln abestos or not. Yo! ara requlrcd to
clll$a Natoisl Embsion slsndar(,s fo. Hezadous
Ar polluilds(NESHAP) n €1t)7O7-595O st tea.n tO
d.ys prior to
trd6filoffion of 6ny bdllly or buik hg. Sor Arb€nos Wbb Shei hnplAffr,v.epi.5tlr6.nc.udepi/sst enodohmp
.l ml
TOTAL PROJECT COST:z ooo BUILDING
HEIGHT: ZZ
Qt # OF
UNITS: I
TOTAL AREA SO FT :
TOTAL SQ FT UNDER ROOF:
l4ltg
7mC)m
m(,
q)
\3
6
FJ
ET
ACRES DISTURBED:-
NEW IMPERVIOUS AREA:
Exsr LAND DtsruRarruc
ntRurr
I ves
[ ruo
SQ FT EXISTING IMPERVIOUS AREA:
dE ElcoMriluNtry sysTEM
EwElr EzoNtNG usE ct AsstFtcATtoN:
LJCENIBAL SEPTIC IJ PRMA]E
SEFTE ECOMMUNITY SYSIEM
SO
FT
PRoPERTY usE: EIoFFTCE EfnesraummflueacaHnu
leouc
flmr f]oroo orxsn,
WATER:
SEWER:
CFPUA
CFPUA
-, SEPARATE PERMITS REOUIRED FOR ELECT, MECH,
Pl'!G, GAS EOUIP, PREFABS T INSERIS -
PAYMENTMETHOD:
ICnSX [lCArCxleaVeetETONHC) flaUenrceNo<rRESs EMCMSA IOSCOVEn
(FOR OFFTCE USE Ot{Ly) REVBED
o^?E.[fi2ZONE:_OF|ICER:_SETBACKS:F:_LH:_RH: B:Approval:_ City;- DATE: . FLOOD:
__ _ BFE+Zfi=Avt-
Comment PERMIT FEE:
K.
,I)-
LICETISE *:
ls The Properry Locabd ln lhe Floodptain?
fi ves
$No
SQFTPERFLR:
1?it,
#OFSTRUCTURES.. I
#0FSTOF|ES: IfOrrlOORS:T
*ruo pcenrg X
NEW HANOVER COUNTY BUILDING
APPLTCATIU'I TYPE; R ESIDENTIAL
Q 0/r- 1q8
PERmrr ;::: i. i', -'t*7.,c1
APPLICATION
Nulllber^
(offt.e Uee)
PTEASE AI{SW€F ALL QIJESTIOIIS AODLICABLE TO YOUE PRO]ICi
-Project ResPonsibiIity"
BLOCK #
PHONE *:
LOT #
zrp'3)ya I
PHON]E #:1 7t3- tr
t I
5"t ;LL zl1 :t t-"/ o I
r OATE:/t'
APP!ICAM,S NAI4E:
DEVELOPER:
PRO]ECT ADORESS:
su83rvIsl0t{;
.>.q/t
D(-
PROPERTY ONN!R,S NAITE:
OWNER,S ADDRESS:
t)t
CITY I a
ACCoUNT Sl
ST
i'?,lit/t ttc,'!,/a ( a.
CONTRACTOR
ADDRESS I
EIiIAI L ADORESS:
Is any
ltt r ,\
.rt{zt @(?r) /so oa zt-
, -t:(LICE
CITYr
NSE f:
DESCRIPTION OF UORK:
A/24. (t4t
TOTAL ACRES DISIURBED:
EXIS] LAI'IO DI5IURBING PERI'{IT:
E
PHONE #:
YE5
Ero
'.//
PRO]ECT CONTACT PERSON:
EXTSTTNG CONSTRUCTToN:
! ALTTRATTON
f, nrnovnrror
[6rlrur nter:ns
I
r.tEt,i coNslRUcTIOX,
! enrcr NEl,l R€STDENCE on
I aoorrrolt To EXIsTING RESIDENCE
.*PT€AsE CHECK AI{D ANSIiIR BELO ALL THAT APPLY 10 YOTJR PRO]ETT:
DET cARAGE sr @ eonor
-
sF
ATT 6ARA6E
-
SF
suNRoot{
_.-sF
! onrtttuotrsr
...- sF
f orcx
REl,OCA ] ION
fl eoor-
-
sr f, sronrcr SHED
-
sF
SF CTHER:SF
:|)1 1,.)
TOTAL HEATED 5Q FT:
.-- TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
-
TOTAL PR0IECT COST t'rsr totr
$/ tlt "l-S OF STORI ES:
ELECTRICAL, PLUI'I8ING or IiECHA}'JICAL Wotk Being Done to the Ac'essory St'uct:rre?
f Yes
If the proj
ect isd Relocrtion, ls there a Natural Gas Llne on the Cunrent Sjte?
fI v"s Elrro
Is thene Ele(tricaI PoNer on this Building?EfYes
n NO
PROPERIY USE / OCCUPANCY:srHcle rorrrv
fi DUP LEX
f] ror,,lrousr
,.",*t eni,r //^,s<
will i:r gaie Euildho Code at ax ohe' ,pn{cabls $ab s'd h€d l s
ts in hr approved pli..s.na s?a.l5.ariars c- dange i' conteroror
vlolar..101rhc Nc sl,aE Bldg ro 55oo c10-'
(SIGNATURE:
EXISTIITIG I''IPERVIOUS AREA:
-..-_-SQ FT
NEI.J IMPERVIOUS AREA: ---,-- SQ FT
*" SEPARATE PERIIIrS REqJIR[D FOR ELECr' I'IECHJLBG' GAs FQUIP' SermS e *t'ss :::-...
0o"".*, nrrr*l- iao.* E.r,t.* (PAYABLE ro lr"c1
flerll rcco;rr l-l mcTvrsa L-l otscovsn
r*
*** *i* *+ 't: * *tt *'.**, *, t*** t*** **li
l***l+l'***** r(** t*i**t** l** *+ * ** *jrt r!**t r** t *tir *
t** **t* t '
('oi olr!'E llsE REvrSlO 0Ar€ 0!/11/12
zoNE, /z!!!l oFF,.,^, - 1;;;',,:^:i;r:,-',,j*'.- u'
*,rr.= l5
AFprovar: = ". riL,. ,\i,.
LFJ4e+t
t oF /+?p44/3.t1?-){4s*,: LXev-z-t<- (,tl,NCiQ> $'*la<{r 11- C,&L7r
.ffi
paone
*.{"}u)y'JaJt:).,
OISCIAIMER:hereby cerlifi'l;i al nbma:it_
and ordin ances and .E!
warrn'
fi irpua
n co$4utll svsrrn
I PRrvArE wELL
f crrtrRrl wrli-
lrni*'
fr.r*o 3 cr*,*t sterrc
f] PRrvArE sEPrrc
fJ couuulrw svsrrm
NEt^l
*ruo pLAN-E X
HANOVER COUNTY BUILDING PERMIT
APPLICATIoN IypE: RESIDENTIAL
PLEASE ANSI.JER ALL OUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
d
S
BLOCK #:
SToRAGE SHED
_ 5F
SF OTHE R:SF
)o ts-7118
rYLts-L*t_g
APPLICATION
Number
(office Use)
APPLICANT,S T.IAIVIE:
DEVELOPER:
r
,ro*, or,(fu)7ni-zL7
sT tbLzrPtTwa I
'Uc ztP z'z>'ta /
QlrD/2o""=V
DATE:
E #:d
73-2(-ue.3Sqa
/
-to?J-
/t-'
PROJECT ADDRESS:
SUBDIVISION:
CITY:
PROPERTY OWNER,S t.IAFtE:s s v'ath
OWNER'S ADDRESS:
CITY:
CONTRACTOR:
ADDRESS:
S(CahslrtrcTraa C ' LICENSE #:
f] sur'rnooN
-
sFPooL
_ sF
DE CK
ACCOUNT #:
1/..ST
EIYIAIL ADDRESS:
Cz'ftt PHONE
#:
PRO]ECT CONTACT PERSON:PHONE #
EXISTING CONSTRUCTION:ALTERATION R ENOVATIONGENERAL RE PAIRS RE
LOCATION
NEI4J CONSTRUCTTOru:
! eneCr NEW RESIDENCE o" ! lOOrrrOU TO EXTSTTNG RESTDENCE
**PLEASE CHECX AI.ID AI{SWER BELOW ALL THAT APPLY TO YOUR PROJECT:
[nrr canaee
-
sF ! orr eanaoe
_ sFPoRCH
_ 5F
6RE ENHOUS E
OWNER/CONTRACTOR :
SF
TOTAL HEATED SQ FT:
_ TOTAL SQ FT UNDER ROOF:
_ TOTAL AREA
TOTAL PROIECT CoST(ressro0 : $ 4l/l .2y'/ f oF STORIES:
Is Any ELECTRICAL, PLUIqBING or MECHATIICAL tJork Being Done
to the Accessory Structure?
E Yes
If the project is a Relocation, is there a Natural Gas Line on the Current Site? [
Is thene Electrical Power
on this BuildinB?
ffv.t ffno
PROPERTY USE
/ OCCUPANCY:sTNGLE FAMTLY
I ouerex
I rowrunouse
DESCRIPTION OF I,{ORK:
,./.o"
SQ FT: _
Wn"
Yes lef No
rr.,,v/<ahle /ros<
crrl s
DISCLAIMERi I hereby certjty hal all informalionihis applicalion is
conecl and all work will comply wih he Siale A.rilding Code and all oher appticabte SraE and tocat taws
and ordinances and regulatons. Ihe NHC Development SeNices CenEr will be nolilied of aoy changes in lhe approved plans and specilicalions or change in contmc!, r
or
conuacbr inbrmalion.
"'NOTEi AnyWork Performed W/O he Appropria€ Pennilswillbe in
violalion oflhe Nc stEE BldgTo
S500.00"'-/r' a1)L L \6hC/;o/ )(2. srGNAruRE:
Ir
ut
***jr*,*+*)r:rt,r,r)r:r************(IitllJil"J**********+++:*:*,r)r,rrrr(+,rr(,i,rxx,r)*xx:r:r***,r,*,r)**,**,i,******,r+*
IS THE PROPERTY LOCATED IN A FLOOOPLAIN?
[ VES E ruO
! cor"r,lur,rrrv svsreu
I pRrvATE t,lELL
! crnrnal srerrc
I PRTvATE sEPTrc
TOTAL ACRES DISTURBED:
Exrsr LAND DrsruRBrNG ernmrr:
f] yEs E No
CENTRAL WELLWATER :
SEI4ER:CF PUA
! cour"rururrv svstrm
+I+ SEPARATE PERIIIITS REqJIRED FOR ELECT, IIECH, PLBG, GA5 EqJIP, PREFABS
& INSERTS ***
pAyMENr TiIETHOD:
ICISX flCxeCK (PaYABLE
rO rrC; Ierll lccot'Hr E mc/vrsa EorscovEn
(FOR oFFTCE USE oNLY) REVISEO oArE O4l11l12
ZoNE : _ 0F F
ICE R:SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLoOD:
_ _ BFE+2
AVN
T_
,<// €
fa
t
'fi
/i
t1
Y"\
LOT #:
tr
n
CITY:
EXISTING IMPERVIOUS AREA:
-SQ
FT
NE[^J IMPERVIOUS AREA:
-SQ
FT
a
Ar
&ot{-111b
l\NEW HANOVER COUNTY BUILDING PERMIT
APPLICAIION TYPE: RESTDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilit)/'
APPLICATION
Number
(Offlce Use)
DEVELOPER:
Able InsraI1ar ions PHoNE
#: 910 2s1-oo3B
PRO]ECT ADDRESS:
SUBDIVISION:
488
Mcouillan Dri
OUINER'S
ADDRESS: 488
Mcouillan Drive
CONTRACToR: Able lnsta11at ions
ADDRESS: 3 934
Market streer.
EMAIL ADDRESS: Abteok@omai 1. c(nn
CITY: wilroinston
ZIP: 28403
LICENSE #: 3e337
CITY: wi
lmington
LOT *:
ST :
I!_ zIP :2!.glA
sT: NC
zIP: 28403
910-251-0038
BLOCK #:
CITY: wi
lminqton
PHONE #:
PHONE #:PRO]ECT CO TACT PERSON:Frank Kearney
ATT GARAGE
-
SF
suNR00r'1 5F
tr
tr GRE ENHOUS E
SF
! orr cnnncr_ 5F
' sFBleooL! oecr
PORCH
-
SF
STORAGE SH ED74 | X32 SF
SFSF OTHER:
TOTAL HEATED
SQ FT: _ TCTA|- SQ FT l,tlDElt ROOFi
_ TOTAL I.REA SQ FT:
TOTAL PROIECT COST rress roo : $# OF STORIES:
Is Any ELECTRICAL, PLUMBING or IECHAT{ICAL Work Being Done
to the Accessory Structure?
fl Ves [ ruo
If the project
is a Relocation, is there a Natural Gas Line on the Current Site? [ Ves fi Ho
Is there Electrical Power on this Buildlng?[lv"r Ilo
PROPERry USE
/ OCCUPANCY:SINGLE FAI1ILY
! our
r-rx
! rowHrouse
DESCRIPTIoN
0F WoRK: rnstall an Fiber qlass in ground swimming pool
and ordinances and regulations, The NHC Development Services C€nEr will be notfied ofany changes in he approved plans and specificalions or changd in
contracbr or
contacbr inbmaiion. "'NOTE: Any Work Performed w/O he AppropriaE Perm its will be in Violalion of fie NC StaE To
$500.00"'
OWNER/CONTRACTOR i prank
rearnev SIGNATURE:
,t * * + * ,* + ,*
t ,* ,* ,* ,r ,t ,l * {, * + + + ,i ,* ,i + {. *+ * * * * * * ,1
*,****,*****:1,t,*,t,t,t,**,**++*++*,t,t)i,*,i)*)*+,i*,t**)t*,**,*,t,t,*,t**:i,trr
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES
SQ FT
SQ FT
ZoNE:
_ oFFICER:
E T NO
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
TOTAL ACRES DISTURBED:
EXIST LAND DI5TURBING PERI'IIT:
TI VES
[_-I ruO
WATER: jCrpUA E COMMUNTry SVSrrr.r
! PRTVATE I{ELL CENTRAT LlELL
SEI,IER:
! CFPUA
fI CENTRAL SEPTIC
fl ENTVATC SEPTIC
E COMMUNITY SYSTEM
*++ SEPAITATE PER'.IITS REqJIRED FOR ELECT, MECH, PLBG, GAS EqJIP, PREFABS
& JNSERTS **+
pAylENT METHoD:
I casl
I c,recK (PAYABLE
ro xHc)
E A]'IERrcAN ExPREss
E ,a/rrto I orscoven
++,*,*,t,t*it,t+)t**+*,**)t*:i.:i*ji.*,*,*,t,t+:i.+++,*,**,*,t)t+++*)t*,1+,t,*,**+:i.++**,*,*,t't+rr+)i)i*)**'t**']i+++++'t*'*'*'*:t']*;*++
(FOR OFFICE UsE ONLY) REVISED DATE O4l11/12
SETBACKS: F:- LH:- RH:- B:-
Approval:- clty:- DATE:- FLOOD:
;- " N
BFE+2ft=
APPLICANT'S
NAIIE: Robbie and Janeen carner DATE..
i2l33J2y2_
PROPERTY OIaINER'S
Mr'1E: Robbie and Janeen carner PHONE #:
EXTSTTNG CONSTRUCTTON:
I nlrenarrOru
[ nrruOvnrron
! crrurnnr REPAIRs
E RELocATToN
NEu..l CONSTRUCTION:
E] ERECT NEl^t RESIDENCE
O"
! AOOTTTOru TO EXISTING RESIDENCE
{'IPLEASE CHECK AND ANSI^]ER EELOW ALL THAT APpLY T0 YOUR PROIECT:
RECEIVED OCI Ol 2M5
NEI{ HAITIOVER COT NTY BUILDING
APPLTATI T TI"'8.. RESIDEIiITIAL
,(-2boq
pERi,J;
l?o'S- ]W U
PLEISE AIIS}'ER ALL qUESTIOIS IPPLICIBLE TO YUJT PRO]CCT
-ProJect ResponslbtutyP
APPTICATI(I{
Nu0ber
(offlce U'c)
APPLICAI{T' 5 MIIE :Robbie and ilaneen Garne!OA.rEz 09 /za/ 20ts
DEVELOPER:
Able rngratlarions PHO{E f: 910-251-0038
PRolECf ADoRESS: {88 t{ceuil1an DrlveCITY: nllninqroD Z!P:, 2s4o3
SUBDIVISIO{:ELOCK *: LOT *:
PR(PERW OflER'S MltE: Robb{e atrd ,raneen carner PHONE *I
Oi0{ER'S ADORESS: 4ss MceuillaD Drive CITY3Wilnincton
ST:gZIP:@
ADOf,ESS: 3934 t{arket slreeECITY: wllldnqton ST: gg ZIP:
Zgjg
E|4AIL ADDRESS:
Ableokoqmail. cqi PHONE *:
PROIECT C0{TACT PERS0ltl: FraD} KearneyP]0t{E Sr 9ro- 251- 0038
ExtsTIrG co srrucEor{:
! nlrrnarror
! neranarror
f] errurmr nrparns
E RELocATrsr
l{El{ GOr{SrRlrGTr(n
t
fl snrcr E}r RESIDET{GE
or
! mrrror ro ExrSTn{G RESrDEircE
..PLEASE CH€CT AiD STER BELd AIL TH'IT APPLY IO vqn PM]ECT:
flrrr eennae
-
sF ! orr eamoe sr Eponcx
-sF
! suHnoor
-sF
E poor
! eneeuuolse
-
sr I oecx
141 SF
! sronece SHED
-
sF
5F OIHER:SF
ToTAL HEATED SQ FT:
_ TOTAL SQ FT u{DER Rq)F:
_ TOTAT AREA
sq FT:
_
TOTAL PRoIECT
CoSfsossrorl: $
_ * OF STORIES:
Is Any ELECTRICAL, pLUIIIBI G or ltEclll ICAL tilork Eelng Done
to the Accessory Structure?
fl Ves
I Ho
If the proJect
ls a Relocationr 1s
there a ilatural 6as Llne on the Current Slte?
! Ves
ll fo
Is there Electrlcal Pouer on this Buildlng? @ ves
! no
pRopERw rrsE
/ occupAr{cy: E} srrcr-e ramrLv EI urnr-rx
! Toh[{t{ousE
oESCRIPIIO{ 0F l{oRX ! Install an Piber claas in cround arrlmrinq pool
USClAllrER lhsrlbycartly
tlatll lnbm.ion ln Ul. agplc.lon b coneq.nd d wortwu comply wlh ho Sbb golldhO Coda
snd. o'|s..pp[c.nlE SbE.nd bcd l.w.
d|d odhrEat rrd rgoulabna Tho NHC Oor€lop(nat So lce! ClEibr wU b9 notftd oflny drd{or h tle rppov€d phn3 srd eadfca&.la or ailrEd h
cor|renr ot
cofiebr tr6nnrior ''NOTE: Any Wbd( F.ftin.d ffO nre App0oFLE PrrrnlE wnl Do ln Vbb&n ot fio t{C Stlbb To
tsmoo"
(}INER/GIITRACTOR: prank t(earDey SIG ATURE:
*. rt r*r i!.r. rr' r*. *** *. * *... Jlitt,l$l I +l}:l:lt t*l * lla:l* I l,| t*i t +J t:} t tlllrta'li.:i +:itart* *a*'r'la:t't,lt
rs rHE pRopERrv LocArED r l rumorunt
f] vrs El r,o
EXISTI}G IXPERVIq,S AREA3
-SQ
FT TOTAL ACRES DISTUREED3
r{EH mpERWOt S AREA:
-SQ
FT EXrsT LAND DrsTURBtl{6 PERruT:
I VrS E rO
wrznr@arr*
d.*rNrry sysrEr,t
I nnrvare wer-r-
! cENTRAL I{ELL
SEUERT
! crpua
E cEiITiAL sEPrrc ffnnrvare serrrc
fl co,lrq,NrrY siYsrEr{
... SEPAIATE PEI'IITS TEqUINE' FOR ELECT, ItECt{, PLBG, CAS EqJIP, PTEFAAS & IISETTS 'I'
pAyiErT
[rEr]oD:
E cass
E crccx (pAyABLE
ro ltrcl
I utnrcm ooness
! ncwrsr
I orscwrn
t ttt * t i *rr itt+* tat+:i al .ll. a+ rati t+ttttltrtr *trl*tr,ra*,r at+aaaaitt tt llt ar aa l+a t+tl *r t'| a a *'l '.4
(FOi OTACE USE OlLY) iEvrso DATE o{/lrlul
zoitE I _ oFFICER:SETBAC63 F:- LH: RH:- B:-
t{
Appnoval:- CltY:- DATE:- FLoOD:
-
A
BFE+
Zftt
-s;s
CO IMcTon:
@ LICE SE *: -3-41_
NEt^l HANOVER COUNTY
Name
of Project:
(Chech oLL that applyt
Electrical
Engineering
lc z(oY
:;F,]I-JE*
CC1 tl ?t'h/
d,osaqt
Pco\
b
DEVELoPMENT SERVICES cTruteR
23O Government
Center Drive, Suite 17O i
WILIIINGToN, IIORTH CAROLINA 28rto3
TELEPHoNE (91O) 798-7308
REVISIONS
DATE SUBI'UTTED:
City:
Phone Number:qro a5-
cD33
Mechanica II ntumbing
Fire Other(explain below)
PRO]ECT APPLICATION *:
Project's Street Address:
o
ctor:
The Revisions are fon:
Contra
Email:
[F suil6ing
I zoning
Is there a Change in the Occupancy Type from
uhat is shown on the original application?
l]l vts (explain
below) l-l rc
Is there a Change or Increase in Square Footate from uhat is shown on
the original application?
I-] vrs (explain
below) IF rc
Pleose give us a b?ief but detaiLed description of yout revisions:
I
hq..nol Oft
If revisions are considered "substantial" it may requrre a new p
lication.
\re(
Prin Name
,.+***:ia:r*a*,r*:.:r******,|**'**:::i:a:r FoR oFFIcE usE 0l{LY,r**'i:r**:t**t*::*:t't.}*,r*+*:r:r*:.r.***
ATTENTIO[iI PLANS ExAfiINER: Please notify DSC if these revisions change the permit
footprint/square footage lnformation andlor cost of the project,
PLAN RE.REVIEI{ FEES ARE REQIJIRED ON THIS PRO]ECT FOR:
I aue E sr.rc E r.recx
I rr-ae
-[ zonrre
-fl rrnr l-l osc consultant:
ptoviding service excellence
for ou" titizeas ln coo?dindtlon & coLloboration $ith oLL depo"ticnts, ogencies I
jutisdictions in tie constructio, & developnent of Neu llanover
county' 09/2512012
.a''r;t'.' .^.ffi
s&Is
Tn-
).
- \ i signi@-
RECEIVED OCT 12 M$
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSI{ER ALL QUESTIONS APPLICABLE -TO
YOUR PRO]ECT
"Project Responsibility"
&ors-gqll
APPLICATION
Number
(Office U5e)
APPLICANT'S NAME
i :ri.e r,urr:r,.,DATE: r0/12l201s
DEVELOPER: Bul tdinq aer:ormance Specialisrs PHONE *: 91c 4,-o 8203
!.'ri lm r nZIP:284tt
PROPERTY OWNER'S NAIIIE:
.r.t:r i.],i:.,..:l PHONE #: .r:5::r4 !02".
ol.lI'lER'S ADDRESS:
: Lrunes pcirr CITY: wl tr.rnqtcn ST: _]!q ZIP: :81i i
ADORESS:
i25 !,icroria Dr CITY: I,Jr ini:rcrcr ST:
_llqZIP: 2e4r:l
E|.4AIL ADDRESS: skle.Qbpsqreenhomes.com PHONE f: 910 r95 13e5
PROIECT CONTACT PERSON:
uannv tqcrrcw
EXISTIT'IG CONSTRUCTION:ALTE RATION RENOVATIONGENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEt/ RESIOENCE or ADDITION TO EXISTING RESIDENCE
*,}PLEASE CHECK ANO ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
! rrr cnnacr
-
sF ! orr cnnncr sr
I concH
-sF
PROIECT ADDRESS:
3 prnes
Point CITY:
SUBDMSION: L iqure Liqht lsland
suNRooM
_sF
GR E ENHOUSE
;\
).J
qo
_or
SF
TOTAL HEATED SQ
TOTAL PROJ ECT COST tr-ess rort : $ i,r
POOL
_ SF
DE CKSF OTHER
TOTAL SQFT UNOER ROOF : .1
ST0RAGE SH ED
_ SF
SF
ToTAL AREA SQ FT: o
* OF STORI ES :
FT: 5:oo
465.00
Is Any ELECTRICAL, PLUI'.IBING or }IECHANICAL wonk Being Done to the Accessory Structune? ! Ves @ f'fo
If the project
is a Relocation, is there a Natural Gas Line on the current site? !ves !ruo
Is there Electnical Power on this Building?!Yes ENo
PROPERTY USE
/ OCCUPANCY:SINGLE FAMILYDUPLEX TOWNHOUSE
DESCRIPTIoN OF WORK:
seal attic !.r/ Clcsed CelI Fcam
DISCLATMER: therebycerri, hat a1t intrmarion in h s appricaton is conectand all work will comply wiul he Staie Building Code 6nd allother apprEable Stale and local laws
and odinances and regutarions. The NHC Developmenr Services Center will be nor,Jied ol any changes in he apprcved plans and specifications or chang€ in contracbr or
conEa. rDr inlc rm aton "'N OTE Any Work Pe rfo med W/O he App ropriab Pe rm rts w ill be in Vio lation of the N
C StaE Bldg
Ot{NER/CONTRACTOR: sr.SIGNATURE:
p To $500 00"'
** ** * * * ** + *,t* * * )t,* *tr( ** * * * )i r( * ** *** * ** * 't* i< *** * *,( 'N* * *** * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?I YEs
E to
TOTAL ACRES DISTURBED: .EXISTING IMPERVIOUS AREA: ??SQ FT
SQ FTNEhl IMPERVIoUS AREA: .EXIST LAND DISTURBING PERMIT:I lYFs I INO
CFPUACOT,IMUNITY SVSTTM
! PRIVATE I^IELL
*** )r,r1. + * *** )r+ +r. * *** *** *****(I!'lllil"]
WATER:
SEWER:
! creua
! ctHrmr sEPTrc
n PRTvATE sEPTrc
CENTRAL WELL
COI4MUNITY SYSTEM
*** sEPARATE PERlilITs REQUIRED FoR ELEcT, l.lEcH, PLBG, GAs EQUIP, PREFABS & It,JsERTS ,**
,orrrr, ,rr*oo]''
^tr;;;; tr .,,-.*
irot*., 'o nttl fto"**'cAN ExPREss
E tclvrso E 'rsco"n
*** *,*** *,*** )t+** l.l. ** *,t* * )t,t i. * *tr +,*********,*,***+*********:***)**+*)******)*x(* jt*
)****** * *** )*
*** )* '**
(FOR
OfFICE USE ONLY) REVI5ED OAIE O4l11/12
ZONE :OFFICER:
Approval:- CitY:- DATE:- FL00D:
SETBACKS: F:- LH:- RH:- B:-
BFE+zft=
-
N
Comment:
PERMIT FEE: $
BLOCK #: _ LOT #:
CONTRACTOR:
Skle ltunnrnq,/ BuiICinq Periormance Spe LICENSE *:
PHONE #: 9r0 4r0 820.1
5\iEW HI-ti'lCVEF'.
eOUN?li BUELDIN€
APPLic4TtoN Ir'Ps: |iES3DEi\.ITIAL
trotr-$ 4lD
PERr{ir?
?E"tG Z+5+
APPL!CATION
NurBber
(of-iise Use)
APPLiEAN]'5 iI!AJ4E
I
DEVELSP=R:
PIiOJESI ADDR355:
SUBDlviSrO,! I
PRgPEPJAT O!.iNER'S NAiiE
:
OI.IIIERJS AODRESS:Ll
C0i\i?Rr-\C?0R:
EI.T'\it AODRESS:
PLEAsE Ar.tsl{ER ALL qJESIIoNS APPLICABTE T0 YoUn PRolECr
"Proj ect Respons
!bi!.itli'
DnrE:
92fr(-/(
pi{oNE a:
SLOCI( "t: ! nr i!.
=plr0NE ti::-Le
CITY:
L.t
t Lct g
.ACeOUi{: i:i
i
g?: u!_(2!p t 1 kg1' 5
sf r
A!- Z!7 r
2<-lt
PHoNE
ilr 9 n -,.-
ili -tt,j 2
?HoNE r,i:
I tO-
6lci-cr:-7c
DEsrsNG CoNsrRUCiinN:
I Alrenerrou
]] neiloverroil
I ornenu nrpnrns
I RELOCATTOiI
PRolEeT Coi{?,4cr pEP.soi{:
s
NE$! CCNSiRUCTIOT.:i
Ef EREC" i'!Er^r
RES:OEi:€3
or I eOo:rrou
CCPLEASE OIEC( AND AI{SI'IEB EELOI,J ALL IHAT Ai'PLV
IO YOUR PiO'E€T:
[nrr oanaee
_ sF I orr oAnnce
_ s
fisuuaoom
-sF
fi,eoou //eE'- sp
I eneexnouse
-
se I oecr<
--_
sr
SF
SF
TOT!... SCj Fi LflDAR ROOF:
-
?0TF.L jLqEA SQ FT:
TO EX!5T!N6 RESIOENSE
r I lpoRcu qt
I smnacr siED
_
OTHEA:
T0TAL l4'?rTED 5Q i:?:
_
?GTAL PROIECT i05? ttEsr l.oU ; l,:lo.oca
i!GLE FAi"EL
ourle>: f-1 robl HousE
trs Any ELEcrRfcaL, pLUI4EING op r,lEeiiaNrcAl 'rtork Being Done
to the Accessor.y
st.uctere? Q-ves
f noIf the project
is a ReLocation,
is thers a ilatural Gas
Li.ne on
the curFent
sr.": fr*"i l i,rors thepe ElectricaL Por'rer on rhis BuiLding?
frves 3 ilo
PROPEB]Y U5E
/ OSCUPAI{C'.':
DESCRSPi:oh' 0F hloRl(r
f]t<tv'f-'l.-\*L
eJlr9
\
DISCLAI €R I heraby .enir!, i\ar alr hbrn3ror i^ L.is appri:.rion i! corccrand.n rvo.r rlrx
and otdinances and requlefon!The NHC oelElconenr SaNi:es Cennr \dlt !e .odild or.n
conuachr inbmBton- '"ilOTE: Any lvork
'ffir,01,\EADprcpriaE PemiE\,/ilt be iit
OhINEA/CONTRAC?ER:
-.,.,-,,,.- ., "..,!?l.ir! j.i*l,,==== -----
i5 TI.IE PROPERN., LOCATED
Ti.! A FLOODPLAI
?
=
Yls
zoNE:
$Y oFFrcER:
Apprrovsll- City :-E\!l- DArs:4
.mElystrh $. s6E 8lndrrg c.ae and .I oher
Ychanges h bc 6pProved plansand
VbbtionollhB NC SEE
sr6i.!a.?uir.E:
E;(jST'No I'4PERV:oU5 .lREp.;
.-50- F? T0Ti{L .i..CRES D'5TUp.BED:
::rtr
#::i s :[r:# . --T.:H #ffi'ffd-ff:,.,;
*:3 SEPIRAFE pERnlTS REo-u:nEo FoR EL!ET., r'rEclir pl.Dg, cAs EQUrpr pREr.ABs & ii{sERTs E:r
paynEui r,lEiHoD:
E cosn
l.*=cr( (pA.,,as!-;
io
iscl En:'-i u".*i -
E r.Llo-"--= r=r.o'*o
*++c':++++c+*l:9+****::**riss+:.st::rr!r*{,r+*n+:F+*;++i:ii:+,!3f+nrr++--**:!*:}:::Js*rE++*:}+,}*\r:ts
:-rj-+io
(FON OFFICE U5! C:L
5EiBACIG: F:
"r ,'l . nE\rIsEo ulrE g/t.r11./1,4-l*,-[! nxf(( s1 la(
'
oo
appticabt3 SEle Eno local
latls
or change in
[onracbtot
. u! to s500.00r-
BFE+2ft=
I\t0r nu r,r \ o'€ommeni:
't €{t
rl ruooDi
\lazt,el,
PEPJ{IT FEEr
f<
D
/5
Q+
:\
;i
NEI^I FTANOVER
COUNTY
BUILDING PERMIT
APPLI6aTIoN
rrpe: RESIDEIjTIAL
PLEASE AIISWER ALL q'ESTIOI{5 APPLICABLE TO YOUR PRO]EST
"project ResponsiblLitf,
\
*S
2os-770,
t{-2-?{3
APPLICATIOiI
Numbet.
(OFfice Use)
APPLICANT, S \!AI4E
:
DEVELOFER:
PBO]EC' ADDRgSS:
SUED:VISSON:
PROPERTY OWNER's t[Afi E;
OIINER,5 ADDRESSI
CON?RACIOR:
AIDRESS:
EI4AII !\DDREsg t
pRolEc? coNTAcI pERsot{:
-)7-l1
CITYI L \.
PHONE
{l:
{\l_ZIP I
a
1?tlp1
BLoCI( #; t
oT ri:
Pr.toNE
#:
ST: .fu- 2!P; . kQ6C]TY:
\r
nccouNi ii:
sl t (Y-zip i
2ggOli): 9((j-<r(-./qfzPHOi! E
PHoNE
{;: 9lo-Lt9-'1x
$c!5T3NG CONSiRUCiION:
I alrenar:0ru
[ ne,rrovaruoru
[ eer,reur-
nepuns D RELocATioN
NEH COTETRUCTIOIU:
ff SNCC; NEhI RESIOEI{CE
O" I EOOZTiON TO EXISTTNG RESIOE'{CE
SSPLEASE CHECK AJ{D ANSI,IER SELOUI ALL ?HAT APPLY
IO YOUR
PRO]E'TI
[nrr oamer
_ sF f] orr erRo.oe
-- sFI sur,rnooa
-sF
p.ooor- Sno _ sr
f] eneenHouse
_ sr I oecr
_ sr
TOTAL fIEATED SQ FT:
-
?OTAL
sq FT UNDER RooF:
P0RChl
STORAGE SHED
ECEI
SFSEP 23
SF
VE*I[
'?od '
EJfl
OTHER:
YoLron ol lie NC Sla
SIGI{ATURE ;
applicabla SLae a'lOhcal taws
UD To S5OOO0'-
TOTAL pROlEC? C0ST(r-essr.ou;
$ Jgrooo $.i
0F ST6RIES:
rs Any ELECTRTCAL, plt ,{BENG
or hECflANICAL
totk Being Done to the Accessony St.ucture? ffifu, ffi UOIf the pnoJect
is a ReLocation,
is there e NatuFal Gas Line on
the cur.ent
,r..1 ffir", Inofs thene Electrical poh,er on
this Buii.ding?
ffiaes E ruo
PROPERTY UsE
/ OECUP
DESCRIPI-JON OF t^loRl( r
*rrrcv: f,|xruoLE rmulv '
I ounlrx
I rounnousrs
oISCLA|$!E* I heraby cs.lity 6at alt
and odinsnces and regulafions.Tie
h6rmafo. in $ ls aDpti.a6o^ is
coroc! lnd .n rvorr
wi[
NHC oevelopment S.Nices C.nEr \,riltbE
no[6Edotan
ohrtlsi,l *r. s..t. Bui,.,hg cod..nd 3n
oher
y changes in lho appoved plansand lpecilications orchBngs
h @nrdchrorclntraclor lnbrmation.'iNOTE: Aoy
ONNER/CONTRAC?OR:
Vy'ork Per{ormed
lv,o rheADptopdaE Pennils
viltbe h
a\
e Brdo
,h
G:GSTX$E EI{PERVSoUS ,tRE?.:
_ 50- FT lo?jil ri,cRES DISTT RBED:
NR'l IJ'IPERVIoUS AREA:
_sq FT EXrsT L
$Hx;
ff,ffii E ::ru::,
x' h?#lT,H:
#,#+T#- *il =n
),, * ^
_-...._.- ..:::_t*H: or*.g REo-uinEo FoR ELEcr) rlEcH, pLE6, cAs EqUIp, PREFABS
& TNSERTS r*i -"'1WJ
pAy&tEt{t I,IETHoD: ii_J CASH + cH.ECt( (pa\.,aBLE
ro r*rc1
lsrll occourur Enrirrro-"-- 'rrrao,rER
++*8+*$++**+''**6*c:lc**ri3t+:'s**4t+,t***.r,4++*;*+n+:iii+*,c+*,it--*+,!*,:**,:,r,:.+**+,s.|**.i;;+++i:B+*r
*" ",,,"""., *" "(llieill$l ". -= ==
=. =.rs rnE pRopERn, LocA?ED xN a rioonnm$ll f, vrs
Q-go orrrru*,1-<(aoi oFFtcE usa olLY)
SETBACI(S: F
: "4L lu, (dr nn,
F'rlne\:i**..j+
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NEtl HANOVER COUNTY BUILDING
aPPLIcArIott
rY"E: RESIDET{TIAL
PLEASE ATISIIER ALL qJESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
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APPTICATIOI'I
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(oFflce use)
DATE :0
PIONE f:
CITY:o
SUBDIVISIOi: bU-€i Ffi.LD..AV€ E<-.,A(F.<,BLOCK #: _ LOT *:
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PROPERry Ohi{ER'S M',lE:
Oh ER,S AIDRESS:
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srW.uzfuzCITY:
LICE SE *:COfiTRACTOR I
ADOf,ESS:ul (t,l,(A(
\crat Lllanp, ZEAo=) sr,CTTY:
EI,IAIL ADDRESS:
PlbrE *: qlo-41 I -17o'L
PRO]ECT CONTACT PERSON:
t4444c ?2Le(+?PIP E *:qto 4t.\b0
Exrsrus coNsrRucrroN:
fl A-renarron !,neNwmron fl cerirul nrearns
fl RELocArrcN
irEr{ coi{sTRucTror{,
f} enecr E}r RESIDENCE o"
I ADorrror To ExIsTIt{G RESIDEME
}IPLEASE CHECX AID AIISI{ER BELCI{ ALL IHAT APPLY TO YOJR PROJECT;
I rrr eerace
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5F OTHER:SF
TOTAL HEATED SQ,r, l41o TOTAL SQ FT UiTDER ROOF:4 o TOTAL AREA SQ FT:
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ToTAL PRolEcT CoSTlressray t 7 Zlr4Dbb * oF sToRIEs: t
Is Any ELECTRICAL, PLullEIl{G or ECHA ICAL Wonk Belng Done to the Accessony
Structur€?
f Ves l@ no
If the project
ls a Relocatlon,
is there a Natural 6as Llne on the Current Slte?
fives
Is there Electrlcal Powen on this Building?
@v"t ll no
pRoPERw rEE
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lfr smett rar.uLv
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DESCRIPTIOI{ OF I$RN:
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D
h€AfuilG UPLL+,
DISCLAIi,GR I he.Eby cerlity tt 81 8ll inin
'lis
899lbaton is co.recr g1d all work willcomply wth h6 State BuCode d1d aI otrer app[cable Stab 'ld bc, laws
and odinanc€s d1d regulatbns. The NHC oe\€lopmeni Serviies CerEr wifl be ooifled ofany ctungos h he Aproveds and
cofirdlr inbrmalon. "'NOTE: Any Work Pe.brmed \ry13
fi6 Appropfial Pemils wll be
'n
Vohijon olth6 NC Stab Code andtJ9 To
$5m.0o'.
or,r{ER/eerfff,*erril.:
T]AI-,W L
E?SIGNATURE:
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rs rHE pRopERry LocArED m l rloopr-url
ff ves EI no
EXISTII{G IfiPERVIOUS AREA:
_SQ FT
itEU IllPERvIOlrS AREA:
_ SQ FT
TOTAL ACRES DISTURBED3
EXIST LAND DISTURBIT,IG PERITIT:
Ives [rc
DISCOVER
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(FoR oFFICE USE OrY)REVISE0 oArC 04l11l12
ZoNE:
_ oFFICER:SETBACKS: F: LH: RH: B:
Approval:_ City:_ DATE:_ FLoOD:
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*+T SEPAR]ATE PERI,IITS REQJIRED FOR
ELECT, }IECH, PLB6, GAS EQIJIP, PREFABS
& IiEERTS *T!*
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Colrm€nt:PERIiIIT FEE:
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APPLICAIT,
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DEVELOPER:
PRO]ECT AIDRESS:
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