NOVEMBER 04 2015 BUILDING APPSq€o \r-7qs6
,(\1 Tcts--
r
NEW HANOVER COUNTY
BUILDING PERilIT
AP P L
IcAf IoIT
rvPE: COTI}{E
RCIAL
PLEASE Ai'ISXER
ALL qJESrrOi'S APP|-ICAELE TO YOUR pXOlECr
"project Responsibilit/,
CITY:
IL AJ
APPLICATION
Number
(offlc. Us.)
DATE :Z
PHONE
i:
ztP,
Zg (og
'11e-e-rrg cLL
L\L l'tl I
PHOI{E
$
r l-57
*.kzv: Ztvl/
PHO
E f: 4ta \zuoRt;-
PIONE
*: 4to t1)atrt?r{
APPUCAT{T,s MI,IE:
DEVELOPER:
PRO]ECT AODRESS:
OCCUPAI{T/BUSINESS MI'IE
:
PROPERTY OWNER'5 I{AfiIE :
OT,II{ER'S ADDRE5S:rCOT{TRACTOR:
ADDRESS r 2 o
EiIAIL ADDRESS:
lf'4t./ zz-S As.4lk ztpz ttczts
(
tt.trc
11^
crw:
LICENSE
$:
/Ll5o
f
clw:
6>1
;l:iJJl"f ITfl':uHs:lin'"',T"H'*:tij"g'-tifi {r-sr.u:,*Rl?,^Tjr#"""n,,"
NEH COr,rSrRUCrrOt{'
fl rneCr E}t srRucruRE
I resr rnlcx
! sxer-r-
[ urrrr
! -r
"o
,rrg srRucruRE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Permit
*:
1*'TI IS THJS A CHANGE
IF Y€s, uhat }ras th€ Previous Occupancy Type?
ARCH 0ESI6N PROFESSIOIIALT
EI{GR OESTG PROFESSIOML:
Vt(LLfim R+{r"
Pouer on
this Building
*, fi*.*...is t(e ttes Occupancy Type
or occueucv
usrl
I
Hhat
ilis2
Is Elect N
?
Y€s
E r'ro
fll c c.r q
PH:
PH:
NC REG
#:
NC REG
#:
DESCRIPTION OF l,llORK:
€il.e
,'sT.)r d rC
ls food or bevorages F€parad or served in this srructure?
Eye. p ruo t, n. erop"rty
DISCLAIMER: I hereby ce{ity lhat 8ll lr{ormation in lhts_app c€lion ls conecl and altuork willcomdy with the
and locallaws and ordimrEes and regulalions. The-NHc_Developrienl Servtces
Ceoterwillbe nolifl6d otanvnr rrendp in mnrracror or conrracror i-nrrtrmanon. ."ruOre: eny Worr< Ferro;ina,
fucijidAdfid,iiG?;,in;G
Subjecrlo Flnes Up To
Ssm.00"'
Locared tn The Ftoodptainf
I ves
fr ruo
Stale Buildrng Code and altolher aDolicabte StateqF,[S!s ir:']lE qppro-ved plans and !;ec.tflcationswn rE ln viotalion oflhe
Nc state Bldg code sM
OWNER/CONTRACTOR:
(Or.lii.d
,((SIGNATURE:
codain r6beslos or no! You 3re requhd to ctll the Nailorlsl Embsion
ssmerds tor ttazrftbus ar polturlnt"
( Esxlp)
, (stgiuoz.ssso a casr io orys pior ro
urdemolhlon of any bcillty or birlldhg. S€e A3bqnos Wbb Stro: httpJ,tvrwv'€pt.naG_n .us/.pyosb€no6/shmp.html
TOTAL PROJECT COST: / 51.'
OO EUILDING HEIGHT:zz_
TOTAL AREA SO FT .. 2 2.
3 SQ FT PER FLR:
TOTAL SQ FT UNDER ROOF:
-
# OF STRUCTURES
ACRES OISTURBED:^e
(FOROFFTCE USE ONL'
#OFUHITS: /
# OF
STORIES: ,/
, OF FLOORS
NEw IMPERVIOUS AREA: a)ExsT LAND DtsruRaruo esnutrr
Ivrs I No
SA
FT EXISTING IMPERVIOUS AREA:
pRopERryusE: ffirrrce lResraunerur fluencannr-e
leouc
flmr fioNoo orxen,
WATER: SCFpUA DCOMMUNIYSYSTEM
IIWELL IIZON|NG USE CLASSTFTCATON:
sEwER: El CFPUA
E CENTRAL
SEpnC E p-RtvATE
sEpac EcoMMUNtTy S\STEM
-. SEPARATE PERMITS REOUIRED FOR ETECT, MECH, PLBG GAS EOUIP, PREFABS E INSEFITS
-.
pAyMENr METHOD:
[CeSx [CneCX leeVnaE To NHC) flruenrcm e<rness flucrusl
I orscoven
SQ FT
REMSED OATE
'TII/I2ZONE:-OFFICER:- SETBACKS:
F: LH: RH: B:Appmvat: City:_DATE: FLOOD:___ BFE+2ft=
AVNComment: pERMIT FEE: $sL' {
PRO]ECT CONTACT PERSO
:
Clear Form
NEI^I HANOVER COUNTY BUILDING PERMIT
")
APPLICATIoN rYPr: COIIMERCIAL
PLEASE ANSI^IER AtL QUESTIONS APPLICABLE TO YOUR PRoIECT
"Project Responsibility"
Print
7-DtC-l6qc{ /
15-3053
APPLICATION
Number
(office Use)
TB
?vtz
APPLICANT'S tlAltE: Kane Ar.lerso.DATE: L:/28,/15
DEVELOPER: Hershey,s rce cream
CITY: tJatminqton
PHONE #:888-2qo-r9os
PROJECT ADDRESS: 3500 rietrnder oL
OCCUPANT/BUSINESS NA!4E:
uershev'.: fce CrearL
PROPERTY OWNER,S NAI'IE:
OWNER'S ADDRESS:
Centro P ropert ies
LICENSE +:
CITY: Vt; lA,,
h-.
PHONE #:
ST:
_ ZfP:_
srtw ztPt)y94
PHoNE #: q/a -
5)o'1t)2
PHONE #: eLa-a:a-:1::
CITY:
CONTRACTOR :
ADDRESS :
Ka"
146 N. t/"
d^
El,tAIL ADDRESS: Co<t9,',r lQn-a
Q Y^ lnoo. to",n
PROIECT CONTACT PERSON: (-:-: A:,ler.on
(check Al1 Ihat Apply)
EXIST CONSTRUCTION:ALTERATION R ENOVATIONGENERAL REPAIRS RE LOCATION
ll Relocation, is there a Natural Gas Line on the Current Site?Yes
Iro IS BLDG SPRINKLERED?
I v." fino
NEW CONSTRUCTTON:
E EREcr NEw srRUcrURE
! rnsr rnacx
! Sxell
! uerrr
ACCESSORY
STRUCTURE: ;uttins in pre .c.srructed kiosk on the mall floor
ADD TO EXIST STRUCTURE
If UPFIT
- The
Shell Permit #:Is Elect Power on this Building
I Yes
ilno
***** rs rHrs A CHANGE oF occupAlrcy user fives!
IF Yes, lrhat was the Previous Occupancy Type?What is the New Occupancy Type?
ARCH DESIGN PROFESSIOI,IAL:
ENGR DESIGI! PROFESSIOI,IAL :
PH
PH
NC REG #:
NC REG #:
DESCRIPTION 0F WORK: RoLllns in kiosk and hookins ro malLs power and wqte!
ls food or beverages prepared or served in this structure?
[Yes T Nols The Propsty Locat€d ln The FlooddainZ
I ves
I No
DISCLAIMER: I hereby cerlify that all information in lhrs applicalion is correct and ali work will comply wilh th6 State Building Code and all other applicable Slate
dnd tocal laws dnd ordinances and reoulalrons The
Nrlc Develooment Servrces Cenler will be notified of anv chanoos in lhe aDoroved olans and specrfications
or chanoe in contraclor or conrractor riformation. "'\OTE. Any Work Perfor.ned w/O lle Appropriale Permils will 5e in Vrola[on of lhe NC State Bldg Code and
Subtectio Fines Up To $500.00.''
OWNERYCONTRACTOR:SIGNATURE: aa 4t&.a"
TOTAL SQ FT UNDER ROOF:
ACRES DISTURBED:
Kane Ande rson
(Oualltel) (Pntn Mme)
contaln Asbestos or not. You sre requlred to csllthe Natonal Emisslon Siandads ior Hazardous Air Pollulsnts (NESHAP) at (919)707-5950 at l€ast 10 days
fior to the
domolition of any fucility or buildino. S€e Asb€€tos Web Sile: htts/ rww.epi.state.nc.usy'6pi/asb€6t06/ahmp.hlnl
TOTAL PROJECT COST: . :BUILDING HEIGHT: ,] ;::::es# OF UNITS: ,
NEW IMPERVIOUS AREA:-SQ FT EXISTING IMPERVIOUS AREA:
PROPERTY USE:
!OrrtCe RESTAURANT
flraencnrurtue Ieouc Eapr ECONDO OTHER: rc: ::elL
WATER: ECFPUA ECOMMUNITY SYSTEM
flwELL fIZONING USE CLASSIFICATIoN:
SEWER:
_CFPUA -CENTRAL SEPTIC
E P-RIVATE SEPTIC ECOMMUNITY SYSTEM
*, SEPARATE PERI\,llITS REOUIRED FOR ELECT, MECH, PLBG GAS EOU]P. PREFABS & !NSERTS ''
pAyMENT METHOD: ECASH IcxeCx leavmLE rO NHc) [nuenrCrru EXPRESS
fl t',lCnrtsn
I otscoven
EXST LAND DISTURBING PERMIT?
N YES I NOC
AV
Comment
SQ FT
ZONE OFFICER
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-
Appror"-1--City:- DATE:- FLOOD:
-- -
BFE+2ft=
REVISED DATE 4/11/12
N
PERMIT FEE: $/&)
eMail
_)6
s ZIP i 2eA.t':
TOTAL AREA SO FT :
l:t-- SQ FT PER FLR: -1,-:!-- #OFSTORIES: I
# OF STRUCTURES:
1 #OFFLOORS: i
.tu
1$$irfn A)
\\)
\
./:.
,. !\;'.. i,. ..:.
r&,,
APPLICANT'S NAME :
DEVELOPER: DoIIar T
lf 3 o8o
ILDING PERMIT
20tt- lr,,l
ra
APPLICATION
Number
NEW HANOVER COUN
APPLICATION TYPE:BILLBOARDS
PLEASE PRINT CTEARLY & ANSWER ALL QUESTIONS
"Project Responsibility"
Anchor SInc.contact
ree (DL 5957)
(offic€ Use)
DATE: tOl2T
lts
PHONE #:
PRO]ECT ADDRESS:
SUBDIVISION:
8075 Market Street
PROPERTY OWNER'S
NAlilE: Paramount DeveloDment CorDoration
OWNER'S ADDRESS: 607 Briansood Drive, Suite s
LICENSE #: 14 o0ols072 ACCOUNT f:
CITY: WilminctonzlP i 2a4tt
LOT #:
ST:
sc ZIP: 29405
PHOt'lE
$: (soo) 2r3 333r
PHONE *:841576 323t
BLOCK #:
ADDRESS
: 2200
Discher Avenue CITY: Charleston
EitAIL ADDRESS : iioswick@anchorsiqn.com
PROJECT CONTACT PERSON: lenna Ioswick -
Anchor SiInc.
(CHECK
ALL THAT APPLY)
fl rnrcr
I alrrn RE PAI RENLARGF
DESCRIPTION OF WORK: Insralll) 42" Dollar Tre inilluminated channel lellers on a
rs srcN(s) ol{ oR oFF pREri,rrsEs?
fl oru
fi orr
DISCLAIMER: I hereby cerijfy ihar all information in ihis application is correcr and allwork wittcompty wiih rhe
and ordinances a,)d regulations The NHC Development Services Cenier witt be notfied of any changes in the
coniraclor informaiion.
"'NOTEi Any Work Perlormed w/O the Appropriate Permiis will be in Violalion ol the NC
OWNER/CONTRACTOR: Ienna loswick -
Anchor Sisn Inc SIGNATURE :
(Print Nare)
TYPE OF SrGN(S)
OCI Zs
BU
ng Code and all orher applicable Slale
plans and specifications orchange
* * * * * * * * * ,*,*
* * + * * * *,r )** * * * * * *,f,i *** * * * * * * * **,* )*
* *,* ** * * )*
** ** )** * *
FREESTANDING (
GTound )
SHINGLE
Sign Dimensions
PRO] ECTION
CANOPY
ROOF
OTHER
I4ARQU E E
l^JALL
/rru, 1 Heisht:
Total Number
of Signs on this Project: I
48"Sign Dimensions:r60"258"Tota1 SQ. FT. of Sign:r37.92
Total 5Q. FT.
of Sign:
Total 5Q. FT.
of Sign:
Total 5Q. FT. of Sign:
LoCATED IN A FLoODPLAIT?
[ ves M rtro
_sIGN 2 Height
: _
_sIGN 3 Hei.ght:
SIGN 4 Height:
sign Dimensions:
_
X
x
x
XSign Dimensions:
_
TOTAL PROJECT
COST: $ 3,345 IS THE PROPERTY
rI.** SEPARATE PERIiIIT5 REQUIREO FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *T*
PAYMENT nETHoo:
I casr ffi cr.cr (PAYABLE
ro NHc) [ eru rccounr
I msrencrno VISA
* * )* )*
* * * * * )** * * * * * * * r(,t *** + + * * *,r +* * * *,* + + *,** )** * * * * * * **,t )**
** * )i )i* r(,i *{. * ++ + *r.l. ++ * *+ * * * *,** * ** * * * *
ZONE : _OFFICER:
(FOR OFfICE UsE ONLY)
SETBACKS: F: LH: RH: B:
Approval:_ city:_ BF E+2ft
SIGNS
II
Comment:
DATE :F LOOD:
N
PERMIT FEE: $
PHONE #: (84j) 361-,1433
CITY: Mwrle Beach ST: SC ZIP:29572
CoNTRACTOR: AnchorSisn, Inc.
a E
^W,
\\'ffi
APPLICAi{T'
S MIiE:
RECEIVED OCI28 2015
NEI{ HAI{OVER COUNTY BUILDING PERITT
APPLIaTI(N ryPEi SIGltS
/ BILLBOARDS
PLEASE
Pf,IXT CLEARLY I A'ISTER ALL QUESTIOIIS-ProJect Responslbtlitr
Jars Batr / Creatiee UeoD Siga3
2dr- lo'1lr-
I
t-- 3a>y
APPLICATION
Nurber
(Offic. t5c)
gg2.7o/26/20ts
DEVELOPER:
.Goril1a, LI,c
PROIECT AIXXESS: 5216 Carolina Eeach Road
OCCUPAIIT/BITS ESS
MltE: .HetroPcs trj.releas
mOpERTy qttERrS l|AfiE: John Einrich
CITY: wilDiD+orl
pHo{E *:910-392-9800
laP12a403
ptU{E : 910-392-9800
ST: Nc ZIp:28403
ST: xc ZIP: 27514
PtO E *:919-360-0437
Pto E il:919-360-0437
(H{ER,S AIX)RESS: 1508 lttilitary cutoff Road
CONTRACTOR ! Creative Neon siglE
ADORESS: 6{8 chrj-stopher Road
E
AIL ADORESS: Jharlecreative-Deon. colr
CITY: wilmington
LICEI{SE
*:
CITY: Chapel EiIl.
PROIECT COITACT PEIlSOfil: Ji.trl Harr
(CHEC( ALL TH'TT APPLY)p enecr
! ar-ren
I nrnarn
fl rnr-enee
I cnaHer our
DESCRIPTIOI{ OF IORX: Furniah aDd install oDe oev chaD.lel }etter sign as per attached dlawiD
*,t*,1:t**:r:|+*:|,t**a:|*:l **if :r
t*+ a
TYPE
OF SrGr{(S)
FREESTAI{DIlic (Ground )
SHINGLE
EE
9
rs srcu(s)
o{ G oFF mEnrsEs}
@ol (f orr
co.lt_&tor irfqmalion. *NOTE: Arly Wbrk
Mnned Wr'O Ue Appropri:ne Penn;S
wit be an Vrotstbo ot the NC
s5m.m..
otf{ER/cq{TRAcTOR
' Jaes Barr SIG AruR
(prlnt i-e)
'.,t*:l* 'ia****a,t**r:|r aa*'taa*at*:tt*'i+ra,t*+,|r+a+*'a++ritt,|:!tl
Dlmenslons: x_ Total sQ.FT.
of s18n:DiDensl.ons: X_ Total SQ.FT.
of Sign:
TOTAL PROIECT
COSr:
I {@4 rs rHE pRopERw LocArED
rN A FlqrrpLAril? O ye
SI6N
1 Helght:
SIGtl 2 Height:
SIGN 3 Height:
SIGN 4 Height:
Sign
Sign
51gn
Sign
olagnsions t Qtd t' x
oir.n.tonr,/Jr x
Total tlumber
of Signs on this PrcJect:
_
k t6'
lol
IIARqJE E
t{ALL
PRO]ECTIOt{
CAIIOPY
E R0oF
OTHER
Total SQ.FT. of Sign:
Total SQ.FT.
of Sign:
_4sx
s Qlno
... SEPARATE PER,IIITS REqJIRED
Fm ELECT, trEcH, PLBG, GAs EQI,IP, mEFABs
& JTSERTS 'T.
payf,Err
ltEnur: 0 *, Qtorro< (payasLE
ro
f,r) p rrrnror
m*rss 0 rcmse Q orsconn
a**,t !l
I t t* 'lt a,a,l
I * * rt
t:t *t a * ++t jt * *,| !a*
t I ++:t +** a:t
t,tl,l + a,|a,a** + +t a:a + |*:* *aa * a *:l,!:| + + t+ a,a,*,}
aarr,,t raa*
(foR ofFIcE rrsiE oit-y) iEvrsED DATE 3/3011.2ZONE: OFFICER:SETBACXS:
F: LH: RH; B:
Appnoval:_ City:_ DATE: FLOODs
_ BFE+2ft=
Comrent :
TJ
PER''IIT FEE:
E
'1+^
,-lar_
ilI a
Ar;
lolf- /o\o'z-t
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PLEASE ANSI{EE ALL QUESTIONS appLICABLE T0 YoUR PRoIECT
"Project Res pons
ibility''
SF
SF
L5-2693:\
ADt021 APPLICATION
Number
(offlce Use)
\
-J APPL
L\-\ DEVE'{vno:
c
-\ suBD
.\
PROP
ICANT'S NAME: H&H coNsrRucroR' sINC
LOPER:PHONE S:
ECT ADDRESS: 3311 Brushy MounLain courtCITY: wILMINGToNZIP: 2e412
fVISION: Adams Landinq BLOCK #: 3 311LOT #: 021
ERTY OWNER,S NAME: H&H CoNSTRUCToR.SINC
CoNTRACTOR: H&H coNsrRUCToR's, rNC.LICENSE $: 31s54
ESS:8209 Malkel Street, Suite CCITY: wrtr4rNcroN ST: NC ZIP: 2 8411
EIi'IAIL ADDRESS: i errvbrenninq@hhhomes . com
/ Heathermackenz ie@hhhomes . com PHONE #: 910 219 1485
PRoJECT CONTACT PERSoN: JJ Brenning PHONE #: 910-219-148s
EXISTING CONSTRUCTION:A LTERATIONRENOVATION
I erruennr nrenrns
f]RE LOCATION
NEt..l CONS'IRUCTION:
V ERECT NEW RESTDENCE oTADDITION TO EXISTING RESIDENC E
**PLEASE CHECK AND ANSITIER BELOW ALL THAT APPLY TO yoUR PROJECTi
ffiarr canace j-1-9- sFDET 6ARAGE
-
SFPORCH 1er-SF
STORAGE SHED
OATE: e/tB/2015
SUNROOMSF
P00t
_ sF
DECK 5FGR EENHOUS ESF OTHE R :
ToTAL HEATED 5Q FT:
2era TOTAL 5Q FT UNDER ROOF: .,srr TOTAL AREA SQ FT: rslo
r:r TOTAL PROJ ECT COST (ress t-oD t $ tat , ng S OF STORIES : 2.\J
\s Any ELECTRICAL, PLUMBING or I,IECHANICAL t,ork Being Done to the Accessory Structure? [ Yes r No
JIf the Droiect is a Reloc-\'.\S s tnene Electnical Power
$hnorsnrv usE
/ occuPANcv:
ati
on
on, is there a
this Building ?
SINGLE FAMILY
Natural Gas Line on the Curnent Site?YesI No
T
ves
f] ruo
ouelrx
fl rowNHousE
ESCRIPTIoN oF hloRK: srNcLE FAI'{rtY DWEILTNG
IsCLAIMER: lhereby cerllfy hatall
ordlnances and regulaiions The
!)r tnformauon.
'_NOTE: Any Work Perlcrm€d w/O h€ AppropriaF Perm lrs will be in
Vlolalion o, the NC Stae 8!dg Code and Sublecl t) Flnos L,p To $50O.0O"'
inftnmation in his @pllcaton is corecl and all work wlllcomply wih he Slate Buildhg Code aod 6ll oher applic8ble Stale and local laws
NHC Development Selvices Cenbr wlll be nodfi€d ofany changes in he Epproved plaos
dd specifrcalions or ciange ln conlreba or
q!-ER/CONTRACTOR:
JJ Brenninq
|+ +)* )*+
* * r * + * *+ + **,t +,t *+ ** ** *.****** *,1
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
E YES
EXISTING IMPERVIOUS AREA:
-5Q
FT
NEN IMPERVIOUS AREA: 2691 SQ FT
WATER:
Z] CFPUA
SEWER:
E CF PUA
zoNE
: _ 0F FICEfl :
SIGNATURE:
*,1*,* ** * 1t,*
* *,1 ,* .* :1.
)* + *:t l. + ,i
+t:t jt+ it(
*,8,4* ,t, )t* ***,*,t,** * * *
NO
TOTAL ACRES DISTURBED: 0.29
EXIST LAND DIsTURBING PERMIT:
lTl ves
l--l uo
I commuurrv svsreu
! pRrvArE uJELL
I cerurRal urll
f] cmrrnnl seerrc
I pRrvATE sEprrc
I commuurrv svsrum
*** SEPANATE PENfiIIS REqUIREO FOR ELECT, I{ECH, P186, 6A5 EqJIP, PNEFABS
& INSERTS ***
pAyfirENT
i,tErHoD: Ecasn flcxrcK (PAYABLE
ro rrcl I uenrcaN ExpREss
E Hclvrsr I orscovr*
,**
** *t* * + **,tt** i )t
*,1 d. !i
* :i:i:ir :l
++*{. t*,t *,4**,t**,* **,*,*,** * :t:t
*:t :l,t * * :i :l ,t
,l.t *
*,****,t t*r. i(*,} *,t:l|1.,!* **
'$
*,t,} ,i )t
(roR orFr(E usE &{LY) REVTSED OATE 04/11112
SETBACKS: F:_ LHi_ RH:_ B:_
ADoroval: Citv: DATE : FL00D: BFE+2ft-
AVN
T
--{b1'
PHONE S: 910-219-1485
OI{NER'S ADDRESS: 8209 Market street. suite c CITY: wilminqton 5T:
N- ZIP::3.31f-
NEW HANOVER COUNTY BUILDING PERMIT
APPLTCATI0N rYPE r RESIDENTIAL
PIEASE A{S!IEi ALL QUESTIOflS APPLICABLE TO YOJS PRO]ECT
"Project Responslbility"
APPLTCANT'5 NAME: Robuck flomes ?rianq1e, LLc
PROPERTY OI,]NER's NA1E :KH Tr:1a JC
SF OTHER:
lot;-l onl
APPLICATION
Number
(Offlce use)
0ATE | -_-.-DEVEI0PERI . Robuck Homes Trianqel, lLC
PRoIECT ADDRESS| 712 Ant1e. Lane CITY| wl]minqEon
PHoNE #: 919-875-9200
ZIP', 204a9
SUBDIVISIoN: Melton oak6 BLOCK
#:
-
fOr *: O(?
PHoNE #: 919-876-9200
O}]NER'S ADDRESS;6131 Fa11s ofRd. ste 2oo CITY: RalelchST: NC ZIP:27609
CoNTRACToR; Robuck HomBs Trianqls, LLCLICENSE
S: srosl
ADDRESSi 6131 Falls of Neuse Rd. ste 200CITY: Ralerqh 5-I :
!q ZIP: 27509
El'iAIL ADDRESS I cb i shop@robuckhones . com PHoNE
*: e1s-s76-9200
PHoNE
$: 919-0r.9 427sPRoJECT CONIACT PERSoNI C}la€e ljla
ExrsTrNG CoNSTRUCTTON;
D ALTERATIOU
fl nrruOVarrOn
I ernrnnr rrenrns
I REL0CAT]oN
NEUI CONSTRuCTTON:
I rArCr NEW RESTDENCE
o"
f] AOOTIOU IO EXISTING RESIDENCE
I.IPLEASC CHECI( AND ANSWER SEI.ON ALI, THAT APPI,Y TO YOUR PROJCCT!
ffinrr ennncr
19!- sF ! oer canrer sr
fi noncr 15r sF
I sulnoom
_sF fl rcol
_ sr I sronaer sHED
_ sF
! eneeurouse
-
sr DECK5F
ToTAL HEATED SQ FT:
2126 ToTAL sQ FT UNDER
Ro0F:319!__ TOTAL AREA SQ FTi 3ae1
TOTAL PRoIECT C0ST (tess t-or) t $ ztt.zto. * 0F SToRIES;
Is Ary ELECTRTCAL, PLuIlBIf,lG or iIECHAI,IICAL
l,lork Belng Done to the Accessory Structurcl
E yeS H lo
If the project
is a Felocation, is there a Natural 6as Line on
the current Site? [V"s flffo
Is there tlectrlcal Power on thls Buitdlng?
[Eves ff no
PROPERTY USE
/ OCCUPANCYT
fl Srrcre rnUrrv I ourrrX ! TOWITHOUST
DESCRIPTI0N 0F N0RK: neq hoNe
OISCLAIMEFI I hereby codiry
hal a I nbdnalion
h t'ls opplic.ton b corrocl ond all lvof rlll comply wih 1i€ Srate Euiiding Cod6 and a! o0|o, oldkable Slatr an{ toc€l taws
and ordlnancos End
r€gul.tlons.Tho
conlraclDr lnbrmaUon,
'-NOIEi Any
OI,JNER/CONTRACTOR:
NHC D€ vslopo snt Ssrvices Cenhr wil be no{fed of
Work Perforhod W/o rhe Approprlore Pe.mits wi I bo
il
bl€r{o
of changa In conrracba or
Fho6 up 7 s500,00...
SIGNATURE:
.r{:,r..i<+**,r. *)r * * * ** r*** ****** * *({i'{!fiT} +, r+
r,**+ i* *+r*++, *:r+*}**a**
rs rHE pRopERTy LocATED rN n rLoooeurur
f] ves El no
TOTAL ACRES DISTURBED: .1s
Exrsr LAND DrsruRBrNc crnrurr I ves
ffi ruo
WATER:
crpua
f] coMMUNrry svsrrm
I pRrvArE I{ELL
! crrurn,rr welr
sEwea: @ crnua
I CENTRAL srprrc
f] nnrvarr sretrc COMI1UNITY 5Y5TEI,1
iI'I, SEPAITATE P€RflITS REQUINED FON EIECT, IIECHJ PLBG' GAS EqUIP' PREFASS
& INSERTS *'*
pAyflENT
[ETHoDr
Hcasn EcHecx (PAYABLE To lruc;
ff n enrcnn rxeness
I acTvrsa
I orscovrn
,l****)t****+Nrr*ti)r**l.it i*r r,*+ t* A:** )i++* )t*r(t * A8& *** *******,lr*r**i(****)k**)t* **** **** )*
*)tir rr *)**
**
(roa oFftcE usE
o{rY) rEvts[D DAII gal11/12
SET8ACT: F:_-* LH: RH:_ B:_
EXI5IIN6 IIIPERVIOUS AREA: O 5Q FT
NE[,I II'IPERVIOU5 AREAI
2f3!- SO FT
ZONE:OFFJCER:
Approval:_ Clty;_ DATE i_ FLooDi
_
A
Comment i
BFEr 2ft.
N
PERMIT FEEI $
Lssl
Alorh Co ry y'/crol,
//o //*'t l./ c
i
DATE :
t)Ll r)liz.v,cd-
-J ..s iNEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
S;.-r 6
PrgtA,i.( t#'APPLICATION
Number
d r- fi'rii'3
APPLICANT'S NAITIE:
owen E. Metrs Sr
PHONE *: 9to 29i 6ee7
PRoIECT ADDRESS: 402 South 15TH street
SUBDIVISION:BLOCK #:LOT #:
ST: NC
ZIP: 28402
ST: NC
ZIP: 28402
PROPERTY Otdt{ERrS tlAfiE: owen E. Metts, sr pHOilE #:
ohlNER' S ADDRESS: P.o.Box 628
CITY: wi lmlnqton
CONTRACTOR:
ADDRESS: P. o. Box 628
D/c Ti- LICENSE #:
CITY:wi Iminqton
EII4AIL ADORESS: omerts@yahoo.com PHONE *:
PROIECT CoNTACT PERSON: owen E. Metts,
sr PHoNE S:
EXISTING CONSTRUCTION:ALTERATION R ENOVATIONGENERAL REPAI RSRE LOCAIION
NEW CONSTRUCTTOH:
! eneCr NEhr RESTDENCE
o" ! AOOrrrOru TO EXTSTTNG RESIDENCE
,}*PLEASE CHEC( AND ANSIJER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 5F
f] orr canacr sr
! aoncr
-sF
9ta 29't 699'/
SF
5F
e and Sulc Fines Up To 9500.00"'
suNRooM
_sF
GREENHOUSE SF
Poo L
_ sF
DE
CK
STORAGE SHED
SF OTHE R:
TOTAL SQ FT UNoER ROOF: 1316 TOTAL AREA SQ FT: r:re
TOTAL PRoIECT CoST 1res" L"r)
: $ :s, ooo. oo
# OF STORIES: r
Is Any ELECTRfCAL, PLUiIBIiIG
or mECHAI{ICAL Wonk
Being Done to the Accessory Structure?I ves
f] ruo
If the project
is a Relocation,
is there a Natural Gas Line on the Current Site? [ ves I llo
Is thene Electrical Powen
on this Building?I ves
I lto
PROPERTY
USE
/ OCCUPANCY:SINGLE FAIV1ILY
DUPLEX IOWNHOUSE
DESCRIPTION OF I,/ORK: General r airs to f loors cefl wa
11s
h
5
n
DISCLAIMER: I
hereby cedfy tra nbrmation in hisapplicaton is correctand a work will comply wilh tresrare Euildinga otrer app cab e SlaE and local laws
and ordinances and regulations. The NHC Developmenl Services Cenbr will be noiitied of any changes in lhe approved pspecificalions or change in
contractcror
TOTAL HEATED 5Q
connacbr inlDrmation "'NOTE A
Ot.llNER/CONTRACTOR :
FT: 11oo
furo
lHtrt
nyPerformed
w/O he Aporopriab Permits will be in Violation of the NC Stab
T NO
TOTAL ACRES DISTURBED:
r SIGNATURE :
(Print Nane)**t*****,t*,t***,t,r***)****r*)tlk****it*:****,t**,i*********r*r*r*:fr*rr*t**+*+***,t,*,r,**,t*,t***********)*)*r**
rs rHE pRopERTy LocATED rN A FLooDpLArrul
lll ves
EXISTING IMPERVIOUS AREA:
-SQ
FT
ZONE : _ 0F F ICE R:
NEtr'i IMPERVIOUS AREA:SQ FT
EXIST LAND DISTURBING PERMIT:
l--'l ves
l-l ruo
WATER:CFPUA
I coNNuurw svsrru
! pRrvATE r^rELL
! crrurnrr wrrr
sEwER: p creua
! CENTRAL sEpTrc
I enrvarr srerrc
! comuunrrv svsrem
*** SEPARATE PERIiIITS REQUIRED
FOi ELECT, I'4ECH, PLBG, GAS EQIJIP, PREFABS
& INSERTS ***
payr'rENr mErHoD:
I casx ficxecl( (payABrE
ro nxcl
I aleucar{ ExpREss
E mc/vrsr
I orscoven
*,k*******r(x******r**xr*r*+,*++********x**rhr+*,***,*****1.***r(r(,*,r,**,*)t)*)*)r****:t:t***+++:tr*r*,*++**+***
(FOR OFFICE UsE ONLY) REVISED DATE O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
BF E+2ft=Appnoval:_City:_ DATE:_ FL,OD:
_ , ,tr-rt.S_q',
'&
DEVELOPER:
CITY: wl lminqron ZIP i 214al
..: i. '...
i'ffi;
APPLICANT'S I{AI,4E:
NEW
HAI'0VER C0UNTY BUILDING
APPLICArI(N ft"E; RESIDEI{TIAL
PLEASE ArlSHEn AtL QUESTIO S ArpaICAStE TO yqJfl pRolECr
'ProJect Responslbllity''
}IICHA€L LON6
?€z t5 _ zub+
pERMrr %c)tt- I ffibq
APPLICATION
Numbsr
(otftce use)
DATE:
DEVELOPER:
PRO]ECT ADDRESS:
PTONE Si
sfulrv
zlp:
?R.lO.}CITY:
SUBDIVISIOTJ:BLOCK
*:
o
LOT {:
f
oS,lER's AOORESS | ,At\G
CONTRACTOR:
ADOf,ESS:
lllrA,\{-L Ld,!6
EMAIL ADDRESS !
CITY:
5F OTHER|
.oq qpa6j
STr_ZIPi_
5F
PRoJECT CO{rACT PERSoirr
Or.lvEQ-
LICEi,ISE [:
crrv, \nl ILM-T
7ffi s, Nlztpz 2h'lo )
PH1NE it t-)\.1- q 1 q -C.15 1
PHOhIE #:
EXTSTTNG CONsrRUCrrOr,
[[ ALTERATTON
I nSnOVnrrOr
! etlennr neearns
I RELocATToN
NEl,ll co srRucrroN:
I rnrcr NEl.l RESTDENCE o"
@Sr0rrro, To ExrsTrNG RESTDENCE
i.PLEASE CHCCX AIJD ANSUIER SELOW ALL I}IIII APPLY TO YOUR PNO]ECT:
flarr ennlce
-
sF I orr eanlce sr
I eonca
-sF
I surunoor
-
sF I poor
-
sr fif sronror sxto
-!!Q- sr
I enrruousr
-
sr ! oecx
rorAL HEATED SQ FT: o TOTAL sQ FT UiIDER ROOF: -! 6!- T0TAL AREA Sq rr' l(- 0
roTAr pRolEcT cosrrr-eserar:
$ lf00 * oF sToRrEs: I
rs Any ELECTRICaL, pLUl,lBtlIG
o. tlECHAt{IcAL work Being Done to the accessory
Strultur€l
E ves E ruo
If the project
is a Relocation, is there a l{atural Gas Line oo the current site? !v"r I rvo
Is there Electrical PoHer on this suildingl !v"t ftlr,lo
pRopEf,TY USE
,/ OCCUPANCY:
ffi Srrcle rltlrlv !ounrex
I rot,tr.lrouse
DESCRIPTIOT.I OF HORK:
40ato-.
otSCtAluER tr".b), "r,ttr,h"
arr irtrmaton rn
trraapploton is conlcr and 3l wnrlwllcomplywrh tt€ sr.ro Build.g
c.d..nd !I oher.pplhEbr€ srr5 s l 106l lrw!
ond odra.cs3.id oguLmn.. n'. NHC Orl&br.ioot SetoEes Cen8r wlllbe.oltud orsnrciergas h ta aDFo\Ea pbns
ed spBcilE tuns orchaCe ii
corlr.cr,o,
conracbr rn h rh sEo^ ''NOTE Any $br k Perlonned WIO lhe AppopritE PE(n iE wlll b. ln \|ohlion ol lie NC Sl8b BUoFines Up To 3500 otr"
lltJ*r r"****** "** r,r*****r,(*r,r
x
z0r,E:
Approval :- Clty:TE
(
DA
d t n L
a
* *,ir!* * * ** * * ** + * r* * 3
(-
=
EI
70ff,
€
E
'q
FN),crr
_l-E
rs rHE pRopERTy LocArED r a rlooontlrn?
[ vrs
EXISTIT'IC IflPERVlolJS AREA:
_SQ FT
NEh, r{PERVIoUS AREA:
-SQ
FY
snrER:
El crpua
E cor,rlluNrw svsreu
f] pRrvATE r,lELL
sEr,rER:
E crrun
! cENrnAL sEPTrc
I enrvarr srerrc
?.'16o,,rrr ,
@Ho
IOTAI ACRES DTSTURSED:
EXIST I.ANO OISTURBING PER'4IT I
! vrs
fl ruo
.r. sEpaRAIt PERT1IT5 RaQUIRED FoR €L€CTr t4E$t, PL8G, GAS [QUII!, pSIFABS & INSERTS.+t
Ecasn Ecrrcr (pAyaBLE
ro nc; flmenrcrr cxrnrss
I mc/vrsn
tr
fJ crurnal weL r
f] conrultrrv svsrelr
(FOR
oall(l rlsr orr
SETSACXS: F;
Jqp..r, B' *r,
S' ,,lf'vtJ!ooriEo4/11/rz
PAYIIENT |4EII]OO:DISCOVER
***t *+:r *r*r * 1r* t' **'t* *** r(** * *,t,t'r *** r!*.*l *'** * *ri,r..rot *:i )t 'r,t* *t:******)r** **rt*t 't ** *** t t * + *** '*,f *** **
FLOOD:-vY-BFE+2ft=
Comment i
Itq,
Y 3Loo
0
+o+L(.r"r..d-0 OJ b<
PERI{IT FEE:
to, Zoq
#*o
PROPERTY CI,ONER'5 I.IAfi E :
oNNER/coNrRAcroR:
HTCIUtEL liN6 srGMruRE:
/d-/ /(
L5-2847NEW HANOVER COUNTY BUILDING PERMIT
APPLICATTAN
TYPE; RESIDENTIAL
PLEASE ANSI,iER
ALL QUESTIONS APPLICABI-E TO YOUR PRO]ECT
"Project Responsibilit!/'
APPLICATION
Number
(Offlce Use)
APPLICANT'S
l{AIilE; Robert Pa(ker DATE: 1o-ol - 15
DEVELOPER:PHONE S:9]-a-232-6288
PROJECT AMRESS:
SUBDIVISIO :
135 Disney DriveCIW: r,ri rminston ZIP :. 2BAA9
BLOCK
S: LOT #:
PROPERTY OUNER, S I,IA},IE : John Rea
LICENSE
*: 65 571
CITY: tir
lminton
PHo'{E
*: 910-s40-s808
O,{NER'5 ADDRESS: 1Js Disney D!1ve
CoNTRACTOR: cape Fear sorar s
Vstems, LLC
ADDRESS: 901 Martin Stleet 5T: Nc ZIP: 28401
EIIIAIL ADDRESS: supporr@cape
fearsola rsyst ems . com
PROIECT CONTACT
PERS0il: Robert Parke!PHONE #: gta-232- 6288
f] arr camce
_ sF
f] surunoou
_ sF
I cnreruuous
r
_ sF
DET GARAGE
-
SF
PooL
_ SF
DECK
f] eoncrr
-
sF
I sronaee sHED
_ sF
SF OTHER:SF
trtl
TOTAL HEATED
5Q FT: _ TOTAL SQ FT UNDER ROOF:
_ TOTAL AREA SQ FT: _
$ 30, ooo
# OF STORIES: 1
r MECHAI'IICAL
tlonk Being Oone to the Accessory Structurel E yes No
tion, is there a Natural Gas Line on the Current Site?Yes
tr No
on this 8u ilding ?
E EYes No
SINGLE FAMILY
n DUP LEX
n TOWNHOUSE
oESCRIPTIoN OF l,rORK: rl,)staLlarion
of SoIar phorovoltalc Shinqles on the roof of properLy ownerrs
,/\t l
ir
:\
s
B
home
DISCLAIMER lhe@by cer{fi/ hal all infmalion i. his applicalion ls conecl6nd all workwill comply wih tle Stata Suilding Code and alt oh€r appticable StaE and tocst lawg
ard ordin ances and regulalions The NH C De v€lopmen t Se wices Cenler will be no dfed ol an y changes in
he approved plan s and specificalions or change in conlrac tt) r or
contacbr anlormaton.
"'NOTE: Any Work Perlormed
w/O he Appropriale Permirs
wltbe in Viotation of rhe NC StaE Bldg Cod€ and Sublect
b Fines Up To $SOO.OO...
OWNER/CONTRACTOR:
Robert pa r ke!sIGNATURE:
)t+,i)i******)t,t**)t************(ii'lllil"l***********,**)**r*{.,},r*:r*.N,})r,i)r)i***,r**,r,r**'***1r*)r*)r)r*****
IS THE PROPERTY LO€ATED
IN A FL@DPLAIN?
T'] YES E NO
EXISTING IITIPERVIOTJS AREASQ FT
SQ FT
TOTAL ACRES DISTURBED:
NEW
IMPERVIOUS AREA:
-
EXIST LAND DISTURBING PERI.UT:
I vrs
f] ruo
(fo8 oFFICE USE ONIY)REVTsED oATE 04l11/12
ZONE:OF FICE R:SETBACKS:
F: LH: RH: B:
wATER:
I cFpuA
f] corir,4uNrry
sysrEM npRrvArE wELL
f] cerurRal
wrll
sEwER:
fl cFpuA
tr cENTRAL
sEprrc
fl enrvare
sEprrc
E cofiMuNrry sysrEm
.t** SEPARATE PERMITS REQUIRED FOR ELECT, ItlECH, PLB6, 6A5 EQUIP, PREFABS
& INSERTS ***
pAyr4Er{r
ME*oD;
I crsx fiorecK (pAvABLE
ro nHc) ElA ERr.^ .io.ri, ! r,rcTvrsr
! orscoven*++)r,r)r*+**+tt*t+*+:f,i,i*,t***,r****.r,|)*++:i*,****:r*+++++++r)r!i,*,i**+****+++,r***!r**,|***++****i.****
N
Approval:_ City:_ DATE:_ FLOOD: _BF E+2ft=
CITY: wilminqton ST: NC ZIp:28409
PHOlrlE
*: 910-232-6288
EXTSTTNG CONSTRUCTTON:
I aLreRatrou
I Rruovlrron
I erruennl REpArRs
! RELocArroN
NEhl CoNSTRUCTION:
n ERECT NEl.' RESIDENCE
or ! eoOrrrolll To EXISTING RESTDENCE
**PLEASE CHECI( AND ANSWEi BELOW
ALL TI{AT APPLY TO YOI'R PROJECT:
. - _:'..
, d$'
APPLICANT, S I,IAIiIE :
DEVELOPER:
NEW HANOVER COUNTY BUILDING PERMI
APPLIcATIot't rYPE: RESIDENTIAL
PLEASE ANSWER ALL QIJESTIONS APPLICABI-E TO YOUR PRO]ECT
*Project Responsibility''
,.I14HAF_L LON6
?€z t5 - zbb+
&l;-/ a\a?
APPLICATION
Number
(Office Use)
DATE qlrcf
ir
PHONE #:
PRO]ECT ADORESS:
SUBDIVISION:
SF OTHER:
z;.p Q84Q.}CITY;
BLOCK T:LOT *:
PROPERTY OI^INER'5 tlAfi!E :tr 0E
n, o, .taq
qXgUb1
OT,JNER,5 ADDRESS:'1AT{G
COT,ITRACTOR:
ADDRE55:
,'1
i.AAFL LCN 6 LICENSE #:
crrv: trrl I LPt
lN 6 Ifl Nsr: l-L zIP:
)? 'lc t
rv1 pHoNE
*: L13Ll- q7.l a1)',l
PRO]ECT CONTACT PERSON:Ow v€R PTIONE *:
EXISTING CONSTRUCTION:
fi llrenarroru RENOVATIONGENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:
tr ERECT NEW RESIDENCE oT ON TO EXISTING RESIDENCE
*'PLEASE CHEC( Al'lD AI'ISHER BELOW ALL THAT APPLY TO YOUR PROIECT:
[arr canlce
-
sF I oer canace sr
! concH
-sF
! surunoor,t
-
sF
I e neeuouse
-
sF
! eoou- sr tr sronrcr sueo
l6O sF
TOTAL HEATED 5Q FT:
D rorAL sQ Fr UNDER nOOr: llco Toral aREA Sq rr, 11"
0
TOTAL PROIECT COSTtressroo : $r{c0* OF SToRIES: I
Is Any ELECTRICAL, PLUIiIBIiIG or IiIECHAi{ICAL Work Being Done to the Accessory Structu.e?
[! Ves
! ruo
If the project
is a Relocation, is there a Natural Gas Line on the cunrent
site? !ves I tlo
Is there Electrical Power on this Building?[v"t f,fl rvo
pRopERTy uSE
/ OCCUPANCY:
[l SmClr rAmrlv
I ouerrx
tr TONNHOUSE
DECK SF
)i,*+**********
DESCRIPTION OF WORX:
4
DSC MERi therEby cerrit hat att intomaton in his applicarion h conecl and allwolt willcomplywifi fie Stale Building Code 6nd 6ll oher applicable Siale and kcal laws
and ord inances and /egularions The NH
C Devebpment Services C€nt. wjll be noiified ol an y chanqes in he appro ved plan s and specifcalions or change in con tracto r
or
conracror inbmarion "1{OTE:Any Wo* Perfonned W/O he Apprcpiale PermiLs willbe in Vaohtion ofihe NC StaE BldgFines Up To
$500.ocr"
0t4lNER/CONTRACT0R:HrclU\EL l-oNo 5IGNATURE :
(p.int Nane)***,1*)t* *)t+* *,t*,* * )t,t
*
*+* + *,t * ,1.,i
* * * * l. +,1. + i. ++ ++ + +,*,* * ,+,i ,* )* )* )i )t*** +* *,*
EXISTING II'IPERVIOI',5 AREA:
-SQ
FT
NEW IMPERVIOUS AREA:
-SQ
FT
rs rHE pRopERTy LocATED rN e rroooelarl?
[ vts E *o
TOTAL ACRES DISTURBED:
EXIST LANO DISTURBING PER IT;
l-l vrs
l-l ro
uarrn,
[l creun
I coMMUNrry svsre r'r
I PRTvATE wELL
f] ce rurnnl werl
seuen:
fl creun
! CENTRAL sEprrc
! enrvnre srerrc
! coPtMUNrrY sYsrEM
*** SEPAIATE PERI,4ITs REQUIRED FOR ELECI, lllECH, PLBG, GAS EQUIP, PREFABS & INSERTS .17
pAytlEMr ETHoDT
fJ clsr I crecx (PAYABLE
ro lrc) E ar,renrcaN ExPREss
E ,c/vrsl I orscovrn
** )t* **+ *,***,| t,t*)t** **** ++*+ + *,*,* *:t * ***:l **,*+ +++* * )*,* ,*,*,1,i )i*)t*i<** )* )* )* )t,*,*,* *,* * !* )t
+,** ****,**)*)t *:t,t,l *,f
ZoNE:
_ OF FICE R
(FOR OFTIC€ UST C'ILY) REVIsED OATE O4l11/12
SETBACKS: F:- LH:- RH:- B:-
AV
comment:PERI'IIT FEE: $
-l(
CITY:
_ ST:
_ ZIP:
_
EIiIAIL ADDRESS:
Approval:- City:- DATE:- FLoOD:
-
BFE+2ft=
-
s{
1O/27 / 20l5 l5:20 lfA\
4ro)
NEhJ HANOVER COUNTY BUILDING PERMIT
APP LICATI1N TvPFr RESIDENTIAL
PlIASE AllslrtR ALL QUE5TIOIiS APPLlCrlEl E lO YoUR PROII'T
"Project ResPons1bllity"
{*tqs-to,?drlj; laa
Itr s-1*
APPLICATIOT{
Nrmbe r
(offlce uie)
,.-- -: i.].,
'ffi,"
APPL ICAIIT'S l[Ali{E i seers q.mF laDrovca€tri-s oA'rEt
J!82/3!E-
DEVILOPER:
CITY: t7:1m
PHONE *i
sT : J9_ zIP::!lg
ST:
!g_ zIP: 274:o
PRO]tCT ADDRESS: 521 Ke...\, Rd
SUE0IYISIONi
PROPERTY OtiN
ER'S t.ATE:Noros launIrllrey
OT.]NER'S ADDRESS:s2:Ke,:v Rd.CITY:
c0l'ITRACT0R:LICEI,ISE #: 47130
ADDRESS:4I23 cree:1:oinE Dr sul Le ,113,CITY:
BLOCK #:
-
LoT f:
-
Ei{AIL ADDRESS:
pRolEcT CO TAC
Cvt7612@.toi com
T P€RsON:Dan:rv Tclr:rac:rd
EXISTING COI,I5 TRU CIIOI{:
I ALTERA'TION R Er,rovATroN
I crlteenl neclles
! RELocATToN
t{Et^/ coNsrRUcTrONr
! enrcr NEH RESrDE''ICE o"
I loorrtou To ExrsTIt{G RESTDENCE
**PLEASE CHECK AiD AI'JSIIER BELO{{ ALL THIT APPLY 10 YOUR PRO]ECT I
ATT GARACE
-
5F
SUNROOI4 SF
! ur,r canacr sr
I noecH
_-sF
I sronece sHED -_- sF
5F
P@L
_ sF
DECK 5F OTHER:GREiI} "}IJS E
TOTAL }IEATED SQ FT:
--
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
i-j!L-
TOTAL PROIECT COST rr,,ss roQ : $}Srztgg
I9 Any ELECTRICAL, PLUlilBIltG 01' IIECHAIIICAL Hork EeinS I No
If the pnoject ls a Relocation, is there a
1s there Efectrical ?ovier on this Bullding?
PROPERTY UsE
/ occt PAMY:
I Slittcre ratu lv
# OF STORIES:
Done to the Accesso.y structure?
fl Yes
nal 6as Line on the curr€nt site? UYes E No
ves I tlo
DUPL:X TOWNHOUSE
Natu
I
no and cuartz counte
DESCRIPTION OF WORK: ::1!eraor renov atior-e: (i tchL-n cabinet
ilavn er-t, ?Ia
OISCIAIMER ; n.€bYc6riiYh6te Ilumaion in !1rs appt.atoh is.orectdrd a *ark$1ll
"mplv
t! h h€ sEF tlilli.q ccde .na ?lrdtsr slPlicablo sbb and to'd l 6
vr o nn ai.€:r a.a 6oul.rions tl'€ \liC De\€lopm6nts6^,c6s conErwrlb€ nobli€d o:dychsrg€sh rho aPpand srF.incat.nri or.han0s
0e*
c.ntd :-r'nbrmsion'_NOTE: A,v lYort PerLn 6d Wlo f6 Approp'3b P€rmitswl 59 nv obrcn orrheNc slaE
SIGTIATURE:
OWNE R/CONTRACTOR
--.^" r, ' '.(:'il'.llTl ..
IS THE PROPERTY LOCATEO IN A FLOODPLAIN?
EXIsIING II'IPEB\rrOUS AREA: -- SQ FT
HEU Ii'IPERVIoIE AREA:
-
SQ tT
* *rr *tr**** *r** **+ ***
YEs
Im
IOIAL ACRES OISTURBED:
EXIST LAND DISTURBII{G PERI'IIT: E YES
RtVTSEO DATt O4l11/12
8FE+2ft=
-
t{o
WATER:
S El.lER:crcul
! cerutnnr sterrc
I
creun
! colMUNrrY SYSTEM
! cnrvnrs urr-l
I
nnrvnrr srerrc
f]
CENTRAL WELL
CO,T4UNITY SYSTEM
*r* sErtRil E PtRli
PAYT,TENT llETHoo: I aot"
PEt.:J,t!P rOF.
ti.tCr, I\lE(r, pLEG. 6'XS fqUIP, PR;r'A85 &;N5'RTt re
cHEcK (payagLE ,o xr,c1
[ me*r.a!{ ExPRrss
Ll nclvrsa Llorscoutn
* * *r+ *** * *** * * ******* * * x]t:i t *++:l'********* ** * * *:* *** * * ** **** **** r'*
rt5
I
(foR oFFrcr usE otltY)
SETBACKS: F:- LH:-- Rl1:- B:-
ZONL:
-
oFFICEiI
Ap,r|'oval i- Citv: DATE: E
-@D:
-
avN
.-7
PERHIT FEE: $
ZIP | 2j'J'a9
PHO'{E #: 91o-540 _961c
PHONE *:
PHoIE *: ]I_:E]ll!-
2ol>-l"16A
.\
^(J
l0 27 L{)I5 la:?O \\Aool
1)-_-x_\ ./ r
{a': aw)la|''1obo
NEW HANOVER COUNTY EUILDING PERMIT
APPLI.ATT,| YPf r RESfOENTIAL
,la ql ,vls"rlR Ar', ().l(ll iCta iPpllaAtlf Io Yolrl PROTIfT
"P.oiect Rc. polls
lblLlt!,"fs
API'|.ICANI'S
'WTEDEV(L0ptl.t I
APPLI(AIIOT
}|l.'1ber
PRO:}ECT AODRE55:
srlBDr u 5 ro{:
:"?-l 4e--:.L-!.!-
oATf:_.lcl??,/ru:.
PHOI{E t: r 1
h +J.), :ti,r,/ iI':' !,
PHOiIE *
PROPIRTY T'h$iER'5
O{NaRJS ADORESS I
R llt:
COTTI"ACTOR:5.;: r lao.. T:ri.r/?ei:i.!:
CITV:
PHoflE l: irv'5{o q':!-
CITYr j=S"I :
Iq zlt :
:!L!9_
LICft{sE tr .rr_'!
}a ._
f:IY:ST;
I! zIP: )ZLg
!:!D F t:iloBfsS: {:2::
t:i
:,,1It ADOiE!3i I'Er- : rr:., ._.
txrsrirc cor6rRucr:Otr:
I nr-EaA':rrl Jl terov;.r0lu
] celrEqal azp'^:" C tELO'arIcN
E{{ CO Sr*UarlOr{:
[-j caecr mu R[5rr€ttc[ or l-] loolrroH To ExlsTfl{c REsrD€llcE
r.pl.last (n!(x aiD at{sr"Et tEt.cl, AL! THr'r aP9!Y lO Yaui Pto)lcTj
PROICCT Co'Il'xr PtP.:lrilr
,'. - : 6.1 RAa i
:_l] p^oje(' is e nelo(uti..,i9 tl._^ a \atu
Is there Eie(l_ri(aI ,oier on thl5 Aulld:q8)
f] rrr caaner sr
fl ooncH
_- 5F
flsumos'r -.. -.*-.sf
l] rmi
-
sr
:l 6 r:Lu'aus€
-.-
- sF I-l orrr
-.-
sE oTHER:5;
$ Of STORIES:
-
Do,ie t. th. a.cestoiy s!.!.tu.t) [ v,t, $ no
.al 6as t":ne on the cr---eni;1tel f]res f]lo
Yes
ENo
[-l s-iq.i]: s,ro s=
ro-raL HEATED 5Q rl
roTAL PRolEcr co51 "".'c ' * A3tzt9'g
l, ,{,v E!!ctR:<AL, PLUlral C or l1ltNAllICA! l'lo'k Scinl
IOTAL SQ '-' UNDLR ROOF: TOTAL AREA SQ FT: -!4L-.
a
pRoprRry usE
/ OCCUpAN.Y:
B Srs,l-: ;rou.v I ounr-:x
fj lo'ruiousr
OEsCRIPTIOT.J OT UJOR(:-.:,: t 'va:i.r i: ;<i1.ibirct retaaitl
'':.::-. i'l '' :'. sti-:..1 .!,
otctar,rEri incdaru,!1r 'atrlr
n1:rrn u. q.,,irnrcrmt t./ n e
w, t,rPttrc.'r:i4r'!: ^,t!
.- SI6NATURE
S.n lilirl.t Cca. ..: 1! o!,i .:tti.Db rsl ri F:, r&<
ic lrrr.{J,!to, cn..l.
or,ti-;r /coNTRACToR;
.rr:1! (*!
I5 IH€ P8OPIRIY LOCNTEO IN A
'LOODPLAII'I?
EXlrrIxG lllPlilvlrus a*€a
;;,"'Ei;"'""'"
5Q ii IOIAL ACRC' OiSTURSEO:
NE, rxPttlvlurs AREA:
-5Q
rr Exfsf LAN) DrsflnBnlc PEP"IIIT'
o rr*:
i: cr;,ta
I ro4.4!.\.::Y svi:ln f] pRrvAr€
rrtlL fl c:unau wrL
sEn:Rr
I-l cFFU,r
fl .tN'rRil siprrc f]'arvltl srr':c f] ctt'$4lr'lrrY sYsrrx
f--l vas
I-l m
rr' ,.)r,?;..: iaix::: qE+rtiin.cr::-l(1. {ta'|r, F!8c. nts j?Ifr tra
rAvxrrr $ttnrrr f c^r, I cxua. (PAYA!'.c
rc trc) oulcx rxprlss
'" "' .,:,rll::.-. ".,
/
" -\
r!.r o" r a5r rlr:
,*.,.(-tJ rrrr.r',, - \.(\LI2- si'r^cKS: t:N1P
r",3'.p"u,
.'.. r.va':.-ciry.-- :nrt: IL![:6 '-ooi:
--
FAtr -i tr_xs
': _'; "'
F.'"1.'i1..-H::::r"
ttrl"tn !!r'1.../rrri:
-J4Sr'*Li"1
_y:_ 6F'"*2ft. --_;;;,,. ,_TS,
-i!i.'
lnspec[on
*eftiitrr, ilu-i;u.,yu,
I o
l5- 1ot ry
'i.r,
ifl.tci
NEW HAIIOVER CUJNTY BUILDING PERI'IIT
APPLICAfi,,ll rYPEr RESIDEI|ITIAL
' bltr,r! Ari:nti aLL ((,as:!ols aaplICABtE T0 vova prolaar
:P.oject Resporstbiliq/'
APPLICA'.IT'S }TA'{f Isr.w?i,n 'Eaa1rti@ Ccrbanv T/A st.r.F-i Fi nc H.6rc
OEVELOPER:
Nava-o oevelcrie::t
CITY: rilninc.c:1
P}ON E
ST: .lic-' ZIP: ?s403
5T : I-g_ ZIP r
2g3gt
PlOl{E *: gro-irr-ee gq
PX)I{E f: elo-r32-Bs}5
RE LOCATIOT{
SUEDIVISIO:,,,,*,*- Jire Crii I
odrER'5 AIoRESS: i?14 Or i.hd.r a:(ITY:
COiIIRAIToR: sr.fcns aui ldin r C.irr:1v LICEN;E r: 31G26
ADORESS: s71o ol.a.ier D.:Ye Sui '. 20O CITY:
EttAIL ADORE5S: .:.,,.hdr
r.i?.ip!e.r f i neh.mpE .:
PRO]EIT CO'.TTACT PERSO'i:
si.1.i Nich.:son
EXrSrr G Co,,r5rruCllori:
tr aLTERATTON
I nermrrol I etxrnal neearns
I
NErrJ Coi.lsTnUCTIotl:Eitfi $f!r n€SlrEtlcE o" oorrrOr Io eXIsTIl'lG &fsIDEtlC€
DFT GARAGE SF
5F OTHER:
'.'LEASE CH;CI( A,O AXSIIN 8ELOi.] AI.L THAT APPLY TO YAJR PROJECT:
!:2
ATT GARAGE - SF PORCH
fl surnoou
-
sF I eml
-
sr S]ORAGE SHED
I en:tnost
-
sF fl orcx
SF
5F
TO'AL HEATED SQ Fr: ilil,l TOTAL SQ FT l,l{DER nOOrr |i"l
'TOTAL AREA SQ
'T:
TOTAL PROIECT COST {t.ss''-.r} : t;:q-o-a-o.- * OF STOf,IES: 1.
rs any ELEcTRrcaL, PLt tt8tr6 o. llEcHArtcAl l,lork lelnB oone to the Accessory Stru(t!rc|
n Yes
lf the project
is a Relocation, is there a Natural Gaq Line on the Cument Site?
[ Yes
Ll r{o
Is there Electrical Pover on th15 BuitdinS? EYes No
PROPERTY UsE
,/ OCCI}PA'KY:5IN6LE FAMILY
I ourlrx
I ro*nousr
No
D€SCS IPTIoX OF l,lOR(:
:ted Re6idential Constr:rction
DISCIAIUER I trer.by c6nt n, d[ lfilrfi i5n httB aPrrcatoi hcnnad trd 6ll,ortwil
arld ordh€n es
rd rEoulrrprs Th. NN (l :r.tdor.rEm sj. iva6 c6n€r *rl b€ r\otlad ot an
colt-a. .b*a&n. '-NoIE A.7'idk 'l6,io.,-"-al iV,!-:.€ Arp..p. aE eeriswlr 6€ m
c.rdy win ta St r. tuaEhE Cod. d d onlr arpr.6bL &rb rrd locrl lD!
y
cnsgsr n me +Dovod PE \s drd toF:5.dE rs o. daBe . co.r*lci ot
vDre. o, rle NC
SEr aos C.grzrrq aLld )g,. rs trp Io 35O.OO"
sIGr,rAruRE:
1& rL-.,-.<-
E;a3
>i
5,!-
ac...
d,
olftER/CO In CTOR: c:.a.i i: s.eve.3
lp-tnt *re)*!ir.ra,it,|ir.,,+'rtl*'r**a* **** tt r+ r +r rirrr**r +r+.4 tt *rttr tt. * trtiii *.
rs rxE pRopERTy LocATED rr{ l rloooeurrr
f] vrs Ej m
EXrST}i6 Il,pEf,VrOJ5 6166, i r'1 j Sq rr
uEtl II@ERWOUS AIEA I " SQ Fl
xtG,l...-""...;
TOTAL ACRES DISTURBEO:
flr_
ExrsT LArs DrsruRBrNG ernrrr:
!] vrs lTl m
Y) tfvrlrD larE 94l 11/1
:: LH: ,t. Rli I
_j:_ 8 r_5__
lr . x BFE+Zft=
tlAT€R:creur
f] coylnrtrry svsren
f] eRware uelr I crsrnal HELL
crrur
f] CENTRAL sEprrc
! earvarr
srlrrc
f] col.{l{rry sysrErl
pr8xT-rs REQUTR€O FO8 €t€CT, IGCH, Pt8G, 6 5 EgJrP, PTEFABS & ft{SERTs .'.
5EI,IER
PAYXT]\II XETB@:
E cas*,
ncHrcx (payastE 10 nrc1
f] ue nrcor
urnrss
t] rrzv:so C orscove*
r..r rr*rt.r*, *.t**.1,'i *
ti,l, rr * tr,t ** t r
*rr, tra.ai.t*tt*1**,rt t l**rt.r*:,.*ar**; rr* Jrr* Nratt*
(r0r !..ricr -sr o{L
S ETf;ACKS: F:
F LOOD
ZoNE i
at,proval:
CoaEnent
OT I I'ER:
city:fldli DArE
'1
'
itet'.ia'h011
l\ r,
N
*e:, **f/"[,]-
Sloct( *f _ ar *: .':
^ ) /.-
PROPERTY OSIIER, S MIiE I PK)iJE *:
r gots-laYs'
PERMIT
CITY: witminqron
APPLICATION
t&mbe
r
(office Use)
(\
b
BY:
L^
0a1
APPLICAIIIT, 5 IIAIiIE :
DEVELOPER:
PROJECT ADDRESS:
ATT GARAGE q51 SF
I sulnoou
_sF
! cnreunor-rsr
_ sF
! orr eauoe
-
sF
! emr-
-
sr
DECK
PORCH loo SF
I sronnee sneo SF
SF OIHER:SF
# OF STORIES:
A
DATE:
vla
ilt(
PtO E S: 91o
-794-8599
T8.l.6*'(.-
abul
NO
d*o
1n
+
IJ0 q
v
SUBDIVISION:?(ee
PROPERTY O}{NER'5 MI.IE: srevens Buil,dinq ComDanvPTONE f:
OIIIIER, S AIDRESS:
@ CITY:wilminqton5T: NC ZIP: 284 03
COI,ITRACTOR:
stevens Bui ldinq LICETSE f: 31G2G
AXTRESS: 57L0 oleander Drive Suite 2OO CITY: wilminoton ST:
!g_ ZIP: -233!a
EIi'IAIL ADDRESS: snichol son@s tevens f
inehomes . co(r PI(,NE $: e1o-?q4-8699
PRO]ECT COiITACT PERSOI{:PI() E f: 9!o-3j2-Bs1s
Exrsrrl{G coNsrrucrro :
fl elrrRnrror
! ReuovrEoN
I e eurul nenmns
! RELocArror,l
EhI CONSTRUCTIO :ERECT irEr{ RESTDEI{CE o.
! amrrrOr rO EXrSTtr€ RESTDEilCE
..T.PLEASE CHECK AND AflSWER BELO}I ALL THAT APPLY TO YOUR PRO]ECT:
rorAl HEATED sQ Fr: alar' rorAL sQ Fr ur{DER R@F.q'UUl rorAL AREA sQ Fr:
TOTAL PROIECT COST cess r-ort : $120.000
Is Any ELECTRI€AL, PLIIIBII{G or ltEC}UltlICAL l,ork Being Done to the Accessory Structune?
[ V"t fl
If the project
is a Relocation, is there a Natural Gat Line on the curnent site? EYes
rs there Electrical Power on this Building?
l-lv"t @no
rs rHE pRopERw LocarED rN l rlooopurrl
Fl ves
PROPERTY USE
/ OCCUPAT{CY:SINGLE FAI"IILY DUPLEX
I rownnouse
DESCRIPTIOI{ OF hORK: New Residential Construction
DISCLAIMER lhercby ceniry har all inbrmalioo in
lhis applicaton is conecl and all work will comply wih fle State Euilding Code and all oher applicable StaE and local laws
and ordinances and regulations, The NHC Developmenl SeNices C€nler willbe nolified ofany ch6nges in fie approved plans ands or chenge in
conracbror
confacbr inbrmaton. '-NOTE: AnyWork Performed w/O he ApprcpriaE Permitswlllbe in V-rolatbn of ine NC StaE Bdgbjeciines Up To $50O.0O"
O{1{ER/C0I{TRACTOR 3 s131q s6'.,,",,"SIGNATURE :
(Prlnt Name),r*,*,*++++++++++++,t +,*+++,*+++*'**,*****'t i.* )*,*,*:t+++***:t*++* :t)*,***** **,t **++* **)* r* rt + +i* rt,* *,t * *
I{O
ExIsrIl{G IMPERvIoUs aREA: llk)TOTAL ACRES DISTURBED: 1/3
NEt{ IIPERVIqTS AREA:
nbl EXIST LAflD DISTURBII.IG PERi4IT:
Ives Iro
creul
! co!&ruNrry svsrell
I pRrvATE wELL
! crurul wtl
creua
I CENTRAL sEprrc
f] nnrvarr
srerrc
! co lttrry sysrEM
*** SEPARATE PER}IITs REQUIRED FOR ELECT, I{ECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
SQ FT
SQ FT
IdATER:
SE!'IER:
pAymElrr
nErHoDr
E clsn EcHecK (pAvABLE
m nncl
I uearcAt{ ExpREss
tr rilc/Vr5A
E ,rscor.*
*:t,i* **)r * )*
x * *,1. *,t ,*
*,*,f ,f
+,t ,i +,*:f + + +,* +,i + :f + + + ,i *,N,* ,*
*,i. + + * ,1.
*,* rt.* ,t
t *:t +:i:i +++:t*++ii ++++ + +* * +:i +,1+*:1.:* * ++ * +
ZONE: OFFICER:
(FoR oFFICE USE OirLY) REVrSEo
oArE O4l11l12
SETBACKS: F: LH: RH: B:
Approval:_ City:_ DATE:_ FLoOD:
_ BFE+2ft=
0',qtD
!
Comment:
N
PERIiTIT FEE:
Ea *r. -_" E,E I
'1)
,al
lii
[r
NEt^l HAIIIOVER
L-.itt "' Frriit
TYPE; RESIDENTIAL
INS}/ER ALL QUESTIOI.iS APPLICABLE TO YOUR PRO]ECT
Responsibiliqf
BLOCK *: _ LOT *:
cl_ ^^ i Ni.h^] e^n
,J+at
xl l; ll1t',l
NEW HAM)VER COUNTY BUILDI].IG PERI{IIT
APPLtcarIut n/PE: RESIDENTIAL
PLEI5I AIISI,IT;I ALL QUfSTIC'I5 APPIICAAIT TO YOJR
'TO]ECI
"Project ltsponsibtlity"
ll:a
,@,
APPLICA]TON
tlanlber
(t#1.€ U3€)
AI'PLICATT,S NAT4Ti rr;..;,*'i,,i'.!i.d 4.mDa.v ?/A sr
DEVELOPER:
:l.1,aio DeveioFne..1
PRO]ECT ADORESS:CITY: r,ti 1mi nqr
t Crtl
DAIE
I j'j :: ; ?
SUBDIVISIOI.I:
PROPrnry oir'l'ltR'S tlA,ir1.ii nd c.-.A.w
o'$rER',s ADoRfss:a r'-o
cleard€r trive Sulre 200
CO TRACTON:it6reis Eu: ldirc
ADORESS i s?io cteandeY r:twe
aflY:0i'1nir.:on
BLOCK
'I
LOT *:
PXOi.t
E *:
PTENE ,i _r-i!jJ sr!i99
Zl? i 2eao9
STr
Xl ZIPt 2s403
ST:
Ig_ ZIPt 28403
LICETGE l: 31620
CITY:
€HAIL AODRISS: .n i.h6't s6.6sr F.re.qf I .el-.om.s -
molEcr co rAc-r pl8scl{:ar r,-
i Nr.h.tsor
ErrsTrG CO{STnlCrrO r
n AITERATION
I nrmvn[ol
I cenrml nrnrrns
f] ttlocarror{
NEH CONSTRUCTIO :ERECT NEH IESrOEtlCE o"
! eOOtrrOl TO EXr5Tr[6 RESTDEIKE
*.PLEASE CHE(( AIIO AXS},iER EELOII ATL
'}iAT
APPLY TO YII,,R PRO]ECT:
Pttot{E *:
P+srE f :
910-?9.1-8699
910-332-85r5
a'rT 6a&a6E -:' sr I orr camee
-
sF SF
sToRAGr SHED
_ Sr5UNR00
_-....-. - _St P@L -.- SF
flcne rxro.rsr
-
sF I orcr
-
sr OTHER:
TOTAL HEATED SQ FT:".. ., .) ;.-,'..
,IOTAL SQ FT mEER ROOF: . - ToTAL AREA SQ rT; -
TOTAL pR0lECT €O5T (ilss
rot : * Lzo ooo S OF STOiTESI
Is Any ELt(lRICAl, pLttlBInG or t(EcHrrltcl! t{o.k 8€lng Done
to the Accessory St.u(tur€)
n Yes
d*
1tz
If the project
is a Relocation, i.s there a NaturBl Gas/Line on the Cunrent Site?
flves
Is there Elect.ical Powe. on this SulldinglIves fixo
Pf,OPERW t'SE
/ OCCUPATCY :srrclE FAr,uLY
[ ruer-rx
I ro,rxrouse
llj No
DESCRIPTIoli OF t{OiX:N.u !?p< i nrnr i,-l a6rcrfl..ti.n
O{)c|-AllEft I hareoy
crdiy tid at htrmsF.r o tiir aF&3tofi € c.rr'c! and rl.orkw,t comdywt \ tre SraE Ar&r! CoOo a,O 3l 0$61 apprlcable
$aE tNo bca/ L!,3
a.,Oo.ditrrlc* d lDgvl.ridB, Th€ I'HC
D.€rr8€nl i'enrc.. C.n!r 'nt !€ ml.[e0 ol..ry c$&!Bs it ,le att*? €d plis -n o, cnal'e n conuEb, o(
c!.!rIn. hbmrion,
"1lof E: Ary wort Fhrtorf;'€C !f,rl tl6 Atp6?n8t fltmrt! Yrl b. h vb&o. ol rne NC sbt Bdg Uo To
l:ao.oc"
ONH €R/CO TRACTOR;
.r^i o stevs.s SIGNA-TURE:
ri *rir*r,*'*******,-.--,.*.-.(:fllJi1l.* t*tt t*i. * r ',.
.,' '*r,
'.
rs rHE pRopERw LocarEo rn
l rlooorurtr
I vrs
B(ISTIIJG IIgERvIOUt *ro, .r ''l , I sq rr
xE1a ltgEtwous a1E/11 ,'1
l? n rr
tlAtER:
5E!iER:
t l\lc
ToIAL AaRES DISTL,R8ED:
]li*-
Errsr LAro orsruR8rls reurr: l--'l ves
l-il rp
crrun
X co'rut{rrv svsrru
f, PRwA'IE IELL
f ceulral weu
crrua
f, cENTRAL sEprrc
I errvlrr stp-rrc
n co4i{"6ITY sYsr€fl
F,
L
;tl
<r'
rg
gl
c
F,
{(,
E,
PERttITS SEQUIREO FOR ELECT, ilECH, PLB6, 6A5 fqJIP, PREtAsS & IIJSERTS fr
,o"rr* "ar*r E as+,
E c+,rcr (PAY^!LG ro tsr1
[ urnrcrx :xr*rss
f, nclvrsl E orscovr*
ratrilraJt*+.rt **'.* **4:la*)it t** rta 1rr* 'ratit'rt'tttrlt t****'r!.."'i'rr"*a
ni r')2{
zo E:
Lil!- orrrcERi/6{1\':1"''.L,"r, JL^n-b"-'S!lEACXS r,JL, ','ZrtiL 8FE+2ft=&p"orat,-LL- clty: lutUil DArE
Co{,!tent
w135ri\. t"
.5\^"t
iagtrtcfturr
LOor:
f ERr'tII tEE:
'
FA-'-
eLi 2 7
:i
Qa6*loisY
l:'-7a3A
APPLICATION
It mber
(Offlce Use)
, 1/
oorr- lolA'lll7
NEW H R COUNTY BUILDING PERMIT
ICArIOtt IYPE : RESIDENTIAL
APPLICANT'S tIAltE:
DEVELOPER: Navao Devel
PRO]ECT AIDRESS: ?iU
t PTONE #: e'r o -?q4 -4699
CITY: wr I mrnqton
_ BLOCK *: _ LOT S:
AC?,
ztPj 284os
SUEDIVISIO :
PROPERTY Od{ER'S Ml,lE: srevens Buifdinq comDany
OI IER'S ATDRESS: 571"0
oleander Drive Suite 2oO CITY: wilminoron
CONTRACTOR:
stevens Buildinq ConDanvLICENSE *: 31526
AITITRESS:
s?10 oleander DriveCITY: wilminoton
EfilAIL ADDRESS: sni chol son@stevens f inehome s . com
BELOI{ ALL THAT APPLY TO YOUR PRO]ECT:
sF ! oer canacr
_ sF
! eoor-
_ sr
sF I oecr
PORCH o SF
STORAGE SHED
-
5F
PHONE f:
5T:
XL ZIP :2ge!l
ST:
!g_ ZIP: 2s403
PtOIrlE *: eto -7e4_869s
PK)I{E *: sr o-1rr-aqr q
3009
PROJECT COi{TACT PERSOI{:
sraci lEicholson
EXrsTrr{G coNsrRucTro[:
! alrrnorror
! nrruovnrrou
! cerenll neeuns
! RELocATToN
NEW COI,ISTRUCTION:ERECT NEI{ RESTDE CE o" ! mOrrrOt TO EXTSTT G RESTDEilCE
tr
tr
LEASE CHECK AND AI{SIIER
/
Arr GARAGE lloa---f.---
suNRooM
_ sF
GREENHdJSE
TOTAL HEATED SQ FT:1ob|TOTAL
TOTAL PROIECT COST 1r-ess rorl : $120,000
SF OTHER:SF
sQ FT u{DER RoaFz llr7t rorAL AREA sQ FT:
# OF STORIES: l
dto
If the project
is a Relocation,
is there a l{atural Gas/Line on the current site?
!ves flHo
Is there Electrical Power on this Building?Ev"r E ffo
s and
OIil{ER/CO|{TRACTOR : craiq sreven'SIG}.IATURE :
(p.int Xa'c)**,** ++,* +*++ ++ ++ +,|,1{.:f:1. + ++++:li*,}*,***d.,*)**,fi.)i)i **)r* )r
* i. * * *,* ,*
*,t,* ***,i*)* *,r**
PROPERW I'SE
/ OCCUPANCY:SIIiTLE FAI4ILY
! ruelex
f] rorrnousr
DESCRIPTIOiI 0F v{oR(: New Residential consEruction
and ordinances and,egulations. The NHC Development Services CenEr will be nolified ofany changes in the approved plan
conracbr informaribn. *"NOTE:AnyWork Perf'crmed w/O tte ApprcpriaE Permitswlllbe in Vblatbn of th€ NC SEE Bldg
EXISTI]TG IIi.IPERVIOUS AREA: -AILL-SQ FI
NEll rlpERvrous anra, ?,i l1 sc rr
hIATER:creul
! coMMUNrry svsrer'r
! pRrvATE uELL
! cerrnal welr
crcua
! cEI{TRAL
sEprrc
! enrvarr srnrrc
I coilitnrry sysrEu
,** SEPARATE PER}iITS REQUIRED FOR ELECT, I1ECH, PLBG, GAS EqJIP, PREFABS & INSERTS I**
SEWER:
EEPAYIIEI{T
'IETHOD:
tr CASH
E CHECK (PAYABT.E TO t{t{C)AI.{ERICAI{ EXPRESSIc/vrsA DISCOVER
or change in
contracbror
an€s Up To
$50o.0tr't
,l**+* ++++,*)t**
*+
ToTAL ACRES DISTURBED: 1/3
EXIST LAND DISTURBIT,IG PERITTIT:
l-l ves
fl xo
(FO8 OTFICE USE fitY) REVTsED DATE O4l11l12
SETBACKS: F: LH: RH: B:
*ri)***)*,******++,*,**,*i*,t+++*:+++*+*)t**)i*)i)*)*)t)i+)i,**)t*****i<)t)t)t)*,t )i )t*ir)t +*:t:trt )t++:t**)k**** )t)i*)i *,t )t )t
**
ZONE: OF FICER:
{,1\
lii
\\
PLEASE ANS}JER ALI- QUESTIONS APPL]CABLE TO YOUR PRO]ECT
.,' "Project Responsibility-
Is Any ELECTRICAL, PLUIIBI G or ttECHI ICAL tJork Being Oone to the Accessory Structure?
[ Yes
rs rHE pRopERw LocATED rir l rloooeurrr
fl vss EI rc
Approval:_ City:_ DATE:_ FLoOD:
-
BFE+2ft=
a v n ,rtl@Coonent: PERIIIT FEI
t0$
.r(\t6?- \5-)\\q
0olS- lolsj
APPLICATION
Number
(office use)
1o/tc/zors
.io
!E
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION
IYPE: RESIDENTIAL
PLEASE ANSWER ALL QUEsTIONS APPLICASLE TO YOUR PROJECT
"Project Respons
ibil ity"
APPLICANT,S ilAI,IE:
DEVELOPER:
DAIE
PHONE #:
PRO]ECT ADDRESS:o crrY : a/ t )L,., !v, | /'e
-t
SUEDIVI5ION
sr-oii r, '7
NAflE I
9 PHONE
CONTRACTOR:ilo ,--.,
--k ttcense *; 2- 7 2qt
ADDRESS:C ITY:
)4 rc"c L,
EMAIL ADDRESS:
PRO]ECT CONTACT PERSON:F- ).t;cf<-
NELI coNsrRucTro n,
ffiect NErr{ RESTDENCE
o"
! loorrrot To ExrsrrNc RE5TDENCE
,I.*PLEASE CHECK ANO ANSWER BELOI.' ALL THAT APPLY TO YOUR PROJECT:
LOT #:
zw:2.8_L-n 7
PROPERTY OWNER, S
OWNER,S ADDRESS:
tPo,ts,,r
?z@.uS-,n.- t Trr.'.,
Coo-t*:1/o- ZG / -/oo{sr,Mzq
srt y'{/(ztpt Z-g! 2g
PHoNE f: q(O-267-/ ooe-
PHoNE
#: ?/a ^
26tl ^ / oa
EXISTING CONSTRUCTION :A LT ERATlON RENOVATIONGENERAL REPAIRSRELOCATION
ATT GARAGE
-
5F
SUNROOM SF
I orr cnnaee sr
ffioac, 27
6 sr
STORAGE SHED
-
SF
GREENHOUSE SF
Poo L
_ sF
DECK
ToTAL HEATED SQ Ff I 22 G'.7 TOTAL SQ
ToTAL PROI ECT COST lLess r.orl | $ Z i V ooo
Is there Electrical Powen on this Building?
PROPERTY USE
/ OCCUPANCY ' ffirn,' 'Orr,'
Is Any ELECTRICAL, PLUI'IBING or mECHANICAL Work Being Done
to the Accessory Structure? ! V"r [l ruo
If the project is a Relocation, is there a Natural Gas Line on the Current Site? Eyes E
,f
** * *,* *,i*** *,i * i( * * *)i * *,f ,f
* *,f * * * * i( * * *
5F OTHE R:
i** **** **** *** **)** )**+)r,*,r,r !***,t*,t,t*** ** *,t * * * ;r
*,*,f ,r )*,f,f
**
SF
FT UNDER AOOT:
Z S
"i rorAL AREA
sQFTtZ<?Z
,O" # OF STORIES: Z
No
Yes NO
I ouer-rx
I TOWNHOUS E
OESCRIPTION OF I,JOR(:t
o'4
OISCLAIMERlhe.ebi ce i, har all int,maiion n tris applicaton is
correcl and all work willcomply wih fie Sta€ auibing Code and art oher appticabte Srats and tocal taws
andordinancesandregulaionsTheNHCDevelopmentServicesC€nlerwillbenobliedolanychanoesinrheapprovedplan specilicalons orchange in
conrra€br or
convacbr inbrmaion "'NOTE:Any Work Performed W/O tre Appropriaie Permils wrilbe in Violaiion oflhe NC Srab B dTo $500 00"'
OWNER/CONTRACTOR :
SIGNATURE:
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING II.IPERVIOUS AREA:
_SQ FT
NEN IMPERVIOUS AREA:
-SQ
FT
ffves NO
TOTAL ACRES DISTIJRBED:
EXIST LAND DISTURBING PERI{IT:YES
I--l ruo
ZONE OFFICER:
CENTRAL I,JE L L
COIYI,1UNIry SYSTEI4#ou A
i," STPARATE PER]\lITS
'{QUIRED
FOR ELECT, AlECHJ
PLBGJ GAs IQUIP' PRETABS
& INSERTS I''
pAyMEirr r4ErHoD:
Icos" flfcxrcK (payABLE
ro url I Anrrnrcax
ExpREss
E r.Zrrso I orscoven
* )*** *,* * * )*** **** * **,t *,*,t,k**)* ** *,* * )i* **** *** * *** * t** + *,*,* * )*
*,f
***,*,t* * * *)* * )*** * ** * * )t)** *i( ** r( * *;* **
(F0R OFFTCE U5E ONLY)
SETBACKS: F:
REVTSED
oATE 04l11/12
B:-
BFE+2ft=
LN
Approval:_ City:_ DATE:_ FLoOD:
_
A
Comment:
ll
RH:
PERMIT F
EE: $
lrFp
/a)a*t.< ( ocJa
J
wnrER:
! creua
I coMr',ruNrry svsrem !pRrvaTE LrELL
SEWER:
! crcua
I CENTRAL sEprrc
! nRrvarr srerrc
j+
r!1lt4a
Loc to tqtl1
NEW HANOVER COUNTY
BUILDING PERMIT
aPPLICAT
Iort rrPE : R ESIDENTIAL
PL€As' AXSI,IEA AII, QUE':!,.I5 APPLTCAB!E
IO YOJi PiC.'F'i
"P.oje.t Respons
ibi,lity"
)utr- )tl
15a
QPH, rr -2121
APPLICATlOI{
l{unber
(olfice use)
APPL ICATT'S AflE:.'l
DATE:
DEVELOP'R:
-_J
---_l crrv
CITY i
5F
Poot
_ 5F!]ORA6E
SHED SF
PRO] E€T AOOR€SS:
zI? |
SUBDIVISIOII
Fnci:1TY OtaltR, 5 t{aMf PTIONE C:
OI/INE R , S ADDRESS
CONTRACTOR:
ADOR E SS :
EIiTAI L ADORESS
5I1v: ,:
sT:l. zrP:
i
PRO.ITCT
COtflACT PERSON:
P*oN€ f: .,
EXISiltic (CTTSTRUCTiCN
f] llrrnarrol f eemvarror
f cexenrl necarns
I Rti.ocarroN
t'/Etd coNSTRUCiIOt{:
l:j rnrCr N€w RESIDENCE or l__1 lOOlrtol TO EXTSTING RESID€NCE
..PTEAs€ CHECK A'ID AN5'I!F EELOI{ ALL -iAT i',!Y TO YOUR PRO]ECT
ij oe'r ernncsr
I concr
I
@;-: caucr
Fi-:l sr
! surnoom
-
sF
! cnerlnousr
_ sF ] oecxST OTHER
/e5 I No
I oucr-rx l-J ror:uousr
SF
TOTAL HEATED 5Q FT: E n_:- IOTAI. SQ FT IJNDER ROOF:TOTAL AREA
5Q Fr: .;::-l
T0TAL PR0IECI COST,,*. r",s oF 5T0RIES:
E___:l
le any TLECTPICA!, PLUiaIl{6 ., ct(RAr{ICA! t/o.k g!;.g uone to the Accesso.y
struati."'p Ves I XO
If the pr.'?:i is a Reloc.iron, j.s tl'ere a llatural 6as Line oT the Cu.rent sj.te?
[ ves Jii lio
ls there €]ect.icai Powe. on this Euilding?
pRopERTy
usr
/ occuPrrNcY:
lj slNcle rarrlv
DESCRiPTION OF WORK:
OWNER / CONTRACTOR :SIGNATURE:
Is rH€ pRopERTy LocarEo rr{ l rlooonutr?
[ ves
EXISTING IHPERVICUS AREA:
-5Q
FT
NEtl I|IPERVIOUS AREA:
_SQ FT
l,larER: V crpua i-l covr,luN r rv s\)r
SEflER:
fi creul f CEFITRAL sEPrIc
I\0
IOTAL ACRES SISTUI?8ND
EX ISI LANO CIsIURBING PERfiIT
.r f, rnwrrr weLr-
[] cENTRAL r,,JELr
I nntv,rr€
st;,rrc ! co]rriJNrr]' sysrEH
I YES
Eruo
DrSCoVtRPAYIENT I.: --OD:
f casx
I cxtcx (payaslE
m mtl I orrnrcu
rxrness 1--- ,,c,,vrsr
LtstU-t')
OFFICER:
,;n{ lr"' r.sr .irLYl
rl!r!rr t" nr,:: r;
:0Nt
approval
:_ City:_ DAT E
F:_LL LH
-*- *4_
Y arr'zrt=;-.-\-
PER'(I-T FEE;
'
s:-:i(k5:
. -Lm,
I
BLoCK f: Lor s: -
LICENSE *: I, .-- |
PtOtiE C:
I- r ..r - - l
I
PION€
f :
I
Corrent:
,m
Loc lo
tqe*l
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIOIT
TYPE: RESIDEI{TIAL
PLEASE ANSIIER ALL QUESTIOTIS APPLICABLE TO YOI]R PRO]ECT
"Project Responsibility"
Morgan Dalema
96tt- /0Y sa
Wwts-zlz1
APPLICATTO
Number
(Office Use)
PrcNE #:
PHONE
T:
APPLICANT'S I',IAI{E :
DEVELOPER:
PRO]ECT ADDRESS:
Penton Co
Shinnwood Wesl BLOCK
f:LOT #:35
PROPERTY Ot',NER'S tlAl.lE :Penton New Homes, LLC
Ptfln'lE *:910452-1410
OWNER'S ADDRESS:6105 Oleander Dnve Suite 201
CITY:ST:NC
ZIP t
CONTRACTOR:LICENSE S:50903
ADDRESS:6105 Oleander Drve Suite 201
CITY:
EiIAIL ADDRESS:914452-141A
Penlon Construction. LLCPHONE f:91-141
6015 Pine LaLrel Onve
CITY:Wilmington
ZIP: [2Ei66-l
PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:
SUNROOM
-
SF
GREENHOUSE SF
910-520 8111
ALTERATION
! neruovarroru
! cenenal nrearas
! RELocArroN
NEt,,l CONSTRUCTION;ERECT NEW RESIDENCE
o" I mOrrrOU TO EXISTING RESTDENCE
**PLEASE CHECK AND AN5|,{ER BELo|,'J ALL THAT APPLY TO YoUR PRoIECT:
ATT GARAGE416SF
DET GARAGE
-
SF PORCH B2 SF
POOL
_ SF
DECK SF
STORAGE SHED
OTHE R :130
5F
SF
TOTAL HEATED
5Q FT:2034
TOTAL SQ FT UNDER ROOF:2662
TOTAL AREA SQ FT:
F6et---l
TOTAL PROJECT COST rress roo : $90.000
# OF STORIES:
Is Any ELECTRICAL, PLUt'tBIl{G or IiECHANICAL l,Jork Being Done to the Accessory Stnucture?
fl V"r I lO
If the project is a Relocation, is there a Natural 6as Line on the Current Site? ! Ves fl ruo
Is there Electrical Power
on this Building?nYes I No
PROPERTY USE
/ OCCUPANCY:SlNGLE FAIYILY DUP LEX TOI^]NHOUS E
DESCRIPTION OF I.'IORK:Buid SrResidence
DISCLAIMER: lhereby certify lllarall intlrmalion m trlis applicaton .s
corecrand all work will comply wih he staie Building
and odinances and regulaiions The NHC De!€lopmenr Services C€n@r willbe notfed olanychanges in he approved ptans
cont aclor inlormalon. '-NOTE:Any Work Perfomed W/O tle Appropria€ Permils wart be rn Viotation ofrhe NC StaE Bhg
OWNER/CONTRACTOR :Howar.!A Penl.n lll
(D"int Nane)* t*,t *,t* * *** * ** )i
* * *,* *,*)* * rt
* )t
* )** )*
x*rt *++ * ** ++ *+*,t * *,t *)*** **** * )** )** r*
*,*+
+*
applicable StaE and locallaws
or chanoe in
contractoror
io F-ines Up To $50O.00"'
,t * * )t
* * * )*
* )** * * *** *
*
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTII{G IMPERVIOUS AREA:
-5Q
FT
NEW IMPERVIOT,S AREA: _SQ FT
I vesI NO
TOTAL ACRES DISTURBED:0 61
EXIST LAND DISTURBING PERMIT:I YES
tm I enrvarr werr ! cENTRAL t]ELL
! enrvlrr
srnrrc ! coMMUNrry sysrEr4
l-1rc
I./ATER:
M CFPUA
SEVJER:
E CFPUA
COIYIIIUNITY SYST
CENTRAL SEPTIC
*,* SEPARATE PERI'IITS REQUIRED FOR ELECT, I.IECH, PLBG, GAS EQUIP, PRETABS & INSERTS .I**
payr,rENr
ilETHoD:
I clsr flcnecK (PAYABLE
ro
nrrl f] mrrnrcaN ExpREss
I ncTvrsl ! orscovrn
1. ,r
*,f ,f
*+ * +*,t l.* *+,**it+ **+ **,r*,r+,i+,t*i( *+*+,*l+,* *,* * x( * ** *)** )*
* )*** * ri )r )i*)* * * * rr,r
+)r*)*,*+ )*
* *)r* )i )r* )r
* *** *,*
(FOR OFFICE UsE O{LY) REVISED DATE O4l1Tl12
SETBACKS: F:_ LH:_ RH:_ B:_ZoNE:
_ OF F ICE R:
Approval:_ City:_ DATE:_ FLOOD:
_ BFE+2ft=
AVN
Corrnent:PERI{IT FEE: $
DArE : [-- ]i7t7D6]3-l
SUBDIVISION:
st: Ndl zrp: EE?63-l
SIGNATURE:
128403lWjlffisr,cn
ffi
-
NEW HANOVER
COUNW
PTANNING AND INSPECTIONS DEPARTMENT
230 Government Center Dr.
Suite 170
Telephone (91O) 798-7308
Fax (910) 798-7060
Den nis Bordea ux
lns pections Manager
***IMPORTANT NOTICE**X
FOR COMPLETE ELECTRONIC PROJECT
SUBMITTALS BY EMAI L
lf you wish to submit your Commercial
or Residential project electronically by
email, please attach your electronic plans in the "pdf format along
with your
application" before clicking the send button!
FOR COMPLETE ELECTRONIC PROJECT
SUBMITTALS IN PERSON
lf you wish
to submit your Commercial
or Residential project in person on CD,
please
fill out the building permit application on line, print it, scan and put it on
your CD along with the plans and Appendix B
if applicable in the "pdf format" &
bring your CD to the Development Services Center, located at 230 Government
Center Drive; Suite 170.
Please note
that we except Cash, Checks, and Credit Cards (American Express,
Discover, VISA,
and MasterCard).
lf you have questions about the electronlc submittal process, please call the
Development Services Center at (910) 798-7308.
Thank you.
tor li) 515:3
NEW HANOVER COUNTY BUILDING
APPLICATIoiJ nPf: R ESIDENTIAL
)ot9-loY go
PERMTT
P:- t5 _Llvl
APPLICA:IOI{
Nuob€ rPLEASE
',NsW!q ALL QIJ'!':i1XS ^PPI.:'ABL'
TO YOUR PRO]ICi
"Proj€ct ResponsibiLity"
lq,
rll tt43'
PROatqr!'oiNtS'
oh/N:n
's A00REss
DEVELOT:F
pRol€cT a00R€ss
SUBDlVISIOTI
PHONE
f : __.-__.1
BLOCK I:
l-l
r)Y !. ,
CITVI
PHONE
',_)
CONTRAiTCP:I:CEi6E {:
I sr:
ves f to
'a7-1l sT:l::; -
I
PIiONE *iE},!AIL
'ODRESS
i
,.-: 6ARA6E ]]:
I poor
-
sr
D:C(
,
Exrsrrr,rc coirsTRucrror,r:
] A-riR;1T13N
! neltOVar iol IceNteal neoarns
] D E ! ocATrol,l
iIEN CONSTRUCT;ON:
I TNTCT NET,I RESlDENCE O" L-} AOOTTTOI TO EXISTII{G RESICENCE
",IEASE CN[C( All0 AtlSl,{ER 8EL0l{ ALI THAT APpLY f0 YoUR FROIECI:
L-5F
I orr crnacr sr
I eoncx
F --.-l sr
STORA'F SHIO
i Isurnoom _sF
l_j cnr:ruroust
--.
sr SF OTHER:
5F
SF
TOTAL AREA 5Q FT:TOTAL XEATED SQ FT
:
i.T:-_I TOTAT 5Q FT UNDER ROOF:
roTAL PROTECT COSI, ....I : $ l.ril:l-_l $ 0F SToRIES::--_l
ls Any ELECIRi[At, PtunsING o. r'tEC8lnICAI- lllo.( P.-1ng f,one to 1t]e A.!et!o.y Structu.ci I
if .-1e c-.,ecr is a ReLo.aLion, is there a N.tural 6as Line on the Cur.ent sj,tel J vat E H"
Is ixrrc Electrlcal Power on this Euildlng? I YQs
oESCRrr-ICft 0F tloRx:
I No
PROPT R iV USE / OCCUPA'ICY:5 i116LE FAI,llLY
! oucrrx
fj ro*xnousr
! sclar,,:: -idrv ;!. r. !i.' .rl ,r1r,r..'r'.1"5 . -M.6._- _
--il. q.rrv,: ..- 'wrtrr.sLllcari("c/
OllJNER./CONIFACTOR:
IS THE PROP'qiY LOCATEO II'{ A ILOOOPLAIII?
ExISrtl,lG Ii'iPERVIoUS AREA:
_..- SQ FT
Ntt{ II4PERVIOUS AREA:
-5Q
FT
SI6NA:i:FE :l
I NO
TOTAL ACnES DISTURBEO:
ilf - l
EXIST LAND OISTURBING PER
IT:I YE5
l--- ro
r.tarER |
[ CFPUA
sEr,rER:
tr CF PUA
Yt5
CIN RAL WELL
COTIINiJN I I\' SY:, ' : i
iP.:1r lrnRj
corr4uNTry svsrll I pRTV^rt I,]ELL
cENTRAL srpri{ ! cnrvlrt sel.r:
paYtlENT ra';ioD
f cos,
Icrrcx (payABLE ro nxcl
f artrrcari exrnrss
f lclvrsa DISCOVER
sdttu 1t Rt?:st;r
IAI o!;:r :)
zol,l F
App.oval:_-*- City:- O,or r :
IA- tq-l-SrlmD:
- -
A. V
.o",',"n , t fuu,ni"r..) rn tO hl*rlggrrf SfrrUc*rc vt'a
lFOi CrIrt U1l (nL,
S€IBACKS: F:
D Lx,f, nx'
t a, -iPOFFICER:
__ BFE+2ft=
-
li
PERI{IT FEE:
'
, - JCANT'S N:Ar4a
: t, -
:ti, __)
ADOR E SS :
pRolECT co TACr pERso
r ffi----l ptrctr *: E]1:
NEW HANOVER COUNTY BUILDING
APPLICATIA TYPE: RESIDEI{TIAL
DET GARAGE
_ SF
POOL SF
"20/t-l aLlto
PERMrr"e 6_Llvl
APPLICATION
Number
(Office Use)
PHONE #:
PHONE S:
PLEASE ANSXER ALL QUESTIOI{S APPTICABTE TO YOTJR PRO]ECT
"Project Responsibility"
nskuction. LLCDATE :
Shinnwood WestBLOCK
*;LOT #:32
PHONE #:910-452.1410
OWNER,S AODRESS:6105 Oleander Drive Suite 201
CITY:
sr:
El zrP:
CONTRACTOR:Penlon Construction 50903
ADORESS:6105 Oleander Drve Suite 201
CITY:Wrlminglon
EIiIAIL ADDRESS:morgaanJean@gmail com 910-452 1410
APPLICANT'5 t,IAflE:
DEVELOPER:
PRO]ECT ADDRESS:
SUN ROOM
PHONE #:
6027 Pine Laurel Drive C ITY:Wlm nglon
zIP :
EEI -l
PRO]ECT CONTACT PERSON:
EXrSTrr{G COI{STRUCTTON:
I alrrnarrON
I neHOVarrOu
! eeNenal neearns
I RELocATToN
NEIaI CONSTRUCTION:ERECT NEW RESTDENCE
o"
! mOrrrOru TO EXTSTTNG RESTDENCE
I.i.PLEASE CHECK AND ANSWER BELOI,J ALL THAT APPLY TO YOUR PROJECT:
4145F 1a SF
910-520-8111
SF
PORCH
STORAGE SHED
GRE ENHOUS E
5F
! oecr
SF OTHER:92
TOTAL HEATED
5Q FT:2429
ToTAL SQ FT UNDER RoOF:2631
TOTAL PROIECT COST rress roo
: $90.000
# OF STORIES:
Is Any ELECTRICAL, PLUlilBItlG or I',IECHANICAL
Work Being Done
to the Accessony
Structure?
fi Ves I lo
If the project is a Relocation,
is thene a Natunal Gas Line on the Cunrent
Site? [ Ves fl ruo
Is there Electrical Power on this Euilding? EYes!No
PROPERTY USE
/ OCCUPANCY:sTNGLE FAMTLv
I ouelex
! ror"runousr
SF
SF
2
DESCRIPTION OF WORK:uridle FamResidence
OISCLAIMER: lhereby ceriily rlai all inb.malion in
fiis applicaton is conectand all work wjtt compty wif} tle State Building
and ordinances and regulations. The NHC Oevelopment Services C.en€r wittbe notilled ofanychanges in
he appo!€d ptan
coniractcr inbrmarion.
'"NoTE: Any work Performed
wo tle ApprcpiaE Permits
wi be in viotarion
oflj.e Nc srate a6o
OWNER/CONTRACTOR :
SIGNATURE:
**,** *,** *+,r*,r *)** **** *** *****(I!tI! lil"J ** * *** **** *)***+ ++ + +* * )*** * *,* + * *
rs rHE pRopERry LocATED rN a rloooplerrl
l--l ves
EXISTII{G IMPERVIOT's AREA:
-SQ
FT
NEhl IMPERVIoUS AREA:
_5Q FT
allapplicable
Sl.t and bcal taws
or change n conlracloror
to Frnes Up To S500.00"'
* ** **,f * *,i * * ** + + * *,t * )*
NO
TOTAL ACRES DTSTURBED:060
EXIST LAND DISTURBING PERNiIT:
JTI vrs l--'i ro
WATER:
SEt,lJER:
Md creun
! cENTRAL
sEprrc
! cnrvarr
serrrc
! coMMUNrTy
sysrEtl
creua
! corfiuNrw svsreu
! pRrvATE hrELL
! crrurnal wrrL
*** SEPARAIE PERI'{ITS REQUIRED FOR
ELECT, MECH, PLBG, GAS EQUIP, PREFABS
& INSERTS **+
pAyr4ENT rtrErHOD:
I CaSX
flCnec( (PAYABLE
rO
Hrc;
I anrnrao,
,*r*rr, I raTrrro I orscoven** **,**,*,*t,t * ***,*,* * **,t* )*
*** * **)i* )t,*,t
+*** *,i+ * )t
***,*,** )t* )t,* *,* *,t * )*,*
*** )t* )*** )t*** +* )i
*,*,* + ** j*;* **,t!t *,*
(FOR OFIICE UsE
OtiLy) (rvr5ED DATE
O4l11l12
SETBACKS:
F:_ LH: RH:_ B:
BFE+2ft=
ZoNE: _ 0F FICE R:
Approval:_ City:_ DATE:_ FLOOD:
_
AVN
I
Comnent:
/'": , '
ffi
toc
lD ,q5qb
SUBDIVISION:
lE10=52141-
l--tdn4i6i-
PROPERTY Oh'NER'S I,IAI{E :
@ arr canace
LICENSE S:
sr: ltrc l ztp: PFdTl
TOTAL AREA
5Q FT: IZ6aT-----l
p1!p]IWnilaslo'l
an Datema
NEW HANOVER COUNTY
PIAN NING AND INSPECTIONS DEPARTM ENT
230
Government Center Dr. Suite 170
Telephono (910) 798-7308
Fax (910)798-7O5O
Dennis Bordeaux
lnspections Manager
***TMPORTANT NOTICE***
FOR COMPLETE ELECTRONIC PROJECT
SUBMITTALS BY EMAIL
lf you wish
to submit your Commercial
or Residential project electronically by
email, please attach your electronic plans in the "pdf format along with your
application" before clicking the send button!
FOR COMPLETE ETECTRONIC PROJECT SUBMIITAIS IN PERSON
lf you wish
to submit your Commercial
or Residential project in person on CD,
please
fill out the building permit application on line, print it, scan and put it on
your CD along with the plans and Appendix B if applicable in
the "pdf format" &
bring your CD to the Development Services Center, located at 230 Government
Center Drive; Suite 170.
lf you have questions about the electronic submittal process, please call the
Development Services Center at (910) 798-7308.
Please note
that we except Cash, Checks, and Credit Cards (American Express,
Discover, VISA,
and MasterCard).
Thank you.
#
NEId HAI{OVER
Cfl.,NTY BUILDING PERI/IIT
aPPLIATIn| rrPE: RESIDEI{TIAL
Pt[as[ ar{st[R AtL Q{JESII&rS appLIcASLt ro yoJR pRo]tcT
"Project Responsibilitl'
APPLICATIO
Nurber
(Offtce usa)
-')
I{\tAPPLICAITT'S i'AIIE:
DEVELOPER:
PRO]ECT ADORESs:
5t 8I)M5IO{:
PIION
€ $ :
c CITY:lr'\fl ltx\ZIP: _
BLOCX $:LOT s: r'
PROPERW O iER'S.ISTIE:I l,!..r (*PlmE#:14t
OI$IER'5 ADORESS:
i\ l';ii.l fi"'t,LICEI{SE T:
CITY:
ST :-r.
!_ ZIp :..i,,. | ,,
ST:i i ZIP:.".
P@L SF
7Ciiv,t'l
El,lAIL ADOR
SS:
PRO]ECT CONTACT PERSOT{:
f] cnrrNxor.lsr
b1l PHO|E r:
Pllol,,l€ *:
-r5(
?.,,(
EXISTIt,I6 CO,ISTRUCTION :rrERArroN
fl nrrorarroru
[ eerenar nrearns
f] nelocarrol
NEtl CoiISTRUCTION:REC] ftIEI{ R€SIDENCE
or ADDITION IO EXISTIIIG RESIDET{CE
..PLEAsT CHECX AXD ArISTET BELO$ ATL THAT APPLY TO
ftalr GARAGE LI(SFDET 6ARA6E
f] suxnoo-l
-sF
Y(x'N PRO]TCT:
_sF[ffincir SF
STORAGE SHEO.sF
SFSFDECK
TOTAL HEATED
SQ FT: .. -i..-TOTAL SQ FT UiDER nOOF:
-. ,'"' rOTAL AREA SQ
Is Any ELECTRIGAL, PLtlaIrlG or IiECHATIIGAL t{o.k 8€ing oone to the Accessory Structu.el f] V"t I
If the project i.s a Relocation, i.s there a Natural Gas Line on the Current Sitei I ves
Is thene Electrical Power on this BuildinglF-l v". [-l no
SINGLE FAMI LY
l--l u.prex Tot.JNHOUSI
5F OTHER:
FT::l(
No
INo
PROPERTY USE
I OCCUP
DESCRIPTISI OF TIORK:
A'{CY:
OECLAIER I hs€lry cdily hatalnbfmdi}nn hls 4plcaldl b conEcl tttt C wo.tril comply wit| h€ Sbi. BurbnO Crdo d al on€r 4pLcablc Stab aad kcal law3
and odfi €€s aod m€ulatirnr The tfHC Dorrfopmdnt S€ ice3 CanEr wll b€ nolfu ol any chdrlgos h ll3 approlud pLh3 6od sp€€i6c66ona or cntrlge m cont abr o.
conracbrnbrm.ion."'OTE.Anylt/orlPor[onnodWOh€Appmprr.tpermits\llbelnVbhtimolaheNCSLaaede Code,:!g9.bi6cI b Fh€i UpTo tsOo.OO"'
O.ntlE R/COi'ITRACTOR :5I6HAI
r4ra a*t'ir ra aaa* aa*r*r*.ra*at.t*..ai.t*r lt*a:*tra*ll:l**a
IS THE PROPERTY LOCATED IN A FLO@PLAIi{?
EXISTII{G I}?ERVfOU5 AREA;
_ 5Q FT
Et{ II,PERVIOUS AREA:.] I' I ' SQ FT
NO
TOTAL ACRE9 DTSTURBEO:
EXIST LANO DISTUREII.IG PERiIIT:
l-'l vrs [Al r'ro
ft=
r*t*t.*tt,arr.,lr+t+l*iraa.*r.rrrrtrr
(
il YE5
WAIER:
SEtIER:
I comunrw sYsrE
f] nrrvare
wrlr f]CENTRAL I.]E L L
Approval:_ City:_ oATE:_ FL@D:
_
AV
I ceurmr. sEPrrc
I PRrvArE sEPTrc
n coflF{_}NITY SYSTEt'it
."' stPARArf: pIRlrlrs nrolIREIr roi ELfcl) Ec8, P186,
edt €qdIp, pREfiES &
!irattls "..
p^yiErr Erxxr: Eclsx f] cx:cx (payA8LE
ro $r) E AfiERrcAr ExpRrss
D r,crvrsa I orscwra
+*t,t**,.*ttrli:t,rari.r*.a***arta*,rr:trirrritit+r*r:trrt**t*t:i,|t**+++t+++*****l************+*,i
ZONE: OFFTCER:
(!oi oFrIcE u5t aLY) ifvlsEo 0AI( 64/11/12
SEIMCKS: F: LH: RH: B:
3I
BTf
0
aorr- lorlll
15-3010
DArE].
/ i ... :/
AmRESS: . i
drJ*o
@treua
NEW HANOVER COUNTY BUILDING PERf'IIT
APqLICATId! r}?E j RESIDENTIAL
PLEAsE AIISTER ALI. QUESTIO,IS APPLI€A3LE IO YOT PRO:ECI
"ProJect Responstbllity"
pRorEcr ADoREss
I Lp?b Ra c->c-l( \-.n.CITY:
SUEDIVISION:BTOCK S
PRO'ENTY
d.iNER'S M'IIE :
O/*{ER'S ADORESS:
APTLICAI{T'S I,IAfiE :
DEVILOPER:
ADMESS:
2at7- loYgKL5-2682
APPLICAII6I
tludeP
(OFAG.
l,'. )
SF
SF
.DATE:IJ
PHo E *i
zIP:
Jf*iDt
LOT I:r-l
pHtriE $: qqj-O-lL{9
sr:I..{LJTPA&jJl.
u.J
CITV:
lfla i
PRO]ECT CONTACT PERSO{:h>\
EXISTING COT,ISTRU'TIOI :ALl'ERATION
f] nelovarron
I eerrrrnni nrrrrns
I RElocarro
NEti c0t6TRr.jcTrofl:ERECT NEll RESIDET{CE
or
[ rcorrron ro ExrsrrNc REstDE cE
EltAtL Ao Ess:
foszna"nry o^bu-;rrtin8i.x,p.irSiA
o
ALL THAT APPLY TO YOUR PRO]ECTI
f-l orcx sF
s:Acco..hrr rr &q I
crw: (
rjihvrifvrft:n sr:NCzrP: JSLIO I
ttfiiE *21v,e-g1uA
pnonr
*:5]r-l-c{35.l
..PI.EASE CHECX AIID ff{SIIER EELo}I
Mhn *** (p)-l sr
I surunoon
-
sF
! oer oeneer sr
! eonor
-
sr
[roor-
-
sr n SHED
.--rro
TOTAL HEATED SQ FTI (,J'-I TOTAL SQ F' UI{DER ROOF: I2T-I? TOTAL AREA SQ FT:
RIi-/
ToTAL PRolEcT COSTTT-ecstoo:
$ 95,:>c # oF
SToRrEs:
3..
Is Any ELECTRTCAL, PLUliEr{G
or flECHAT{ICA! $ork Eeing Done to the ac(essory Structure?
0 "", Gl*-i-
If the project
is a Relocation, is there a llatunal 6as Llne on the Cunnent Sitel ftVes Q#/
rs there Electrlcal power on this Bulldlng?
trlves [$lol
PR@ERW UsE
/ OCCUPA CY:E FAI4ILY
tr trDUPLEX Tor.lilt{ous E
DISCLAtr|ER lhlllbycsnlt[1sr sI lnbnneuon ln $iB rppltcB[on is clnBcr end 6ll work rvil]
cohrly vvih h6 strg 8u[cho codo rld.ll odror sppk.bb sED End locd la rr
rna, ontr1q16e6 tnd lloul9tjons, Tho NHC OovalopmEnLSeNbrs C6nbl sillba nolllcd of6ny ctl',tges h he spFoved dens lnd spoclfrcatsom ordrtnge ln coart*bt or
DESCRTPTIfi OF HORfi:
con!&br hbm6!on. BllOTEr Any
Wort Plrbrm.d v/rc he Approprllb tuflntBwlllbo in VlobIon olure NC
Ssb Sublacl b Fln.r tip To
350o.0{r'r'
OIfi'IER/COT'JTRACTOR :5IGflATURE :
r:.,t * **a *a:tt *)aa* a***++*+*a,|a* ar. ++ + *t + +*i* a+*r v** +* ** * *
*r ra
r.,a r**,a*ar, +a+* ****a+a ta'i*araaa*
rs rHE pnopERry LocATrD rN A FLooDpLAr[?
0 yEs ffi'
EXISTIiIG T4PERVTOUS AREA:
sQ rT TOTAL ACRES DTSTUBBED: . Os
'IEI
npERvrdrs AREA:
1{b S0 FT GXIST LAi'O DISIURBTMi PER rT: @ V:S
l$ffi
mrrRr f3'f;puA fl co,urunrw svsrum
f| enrvarr ne r.r-
[ CENTRAL i.rELL
sErER! fSfFpuA ft crrurml srertc
f| pRrvArE sEprrc
f] comurrw svsrer
$.. SEPAiATE PEnnrTS REQUTREO Foi 6LECT, irECH, pLBG, GAS EqJrp, pREFABS & rtasEits ...
pAvnEirr nETHoo: Ocrcx O crecx (PAYABLE
m rrc) Qarli accqnr Q ncZwsr Q orscov:r
tt+a**t a:raa
*:t**,a*+t a***13:r*,r**+r *,r *r:tr,t*** **a* *,r:l *t ***r,** a'i*rt****t*trta:l1*:t*l|r rt*t 'lrta)t$
4atu\4_
,*r, R-3 oFFrcER: Lbrl -Ilji'i-'j:?i"bl.-,Et
n,,3.{'s,
rpprovat:-Qf- ci.ty:LJIuM D^rE:q/Nli| FLooD:
-
-- h.ra*
itvrS€o
tg-
DA'fe
*It1t12
r)
:5
€()g
xts
B
=?hJ(rr.Lea
BFE+2ft-
t/
a-
Codrent:PERfiIT FEE: $F6t
(,
CCITRACTOR:
! ene rrrurr
-
sF
^
?$5
APPLICAI{r
'S I{AHE :
DEVELOPER:
NEW HANOVER COUNTY BUILDING
APPLICATION TYPE,. RESIDENTIAL
PERMTT/d t' l0'/.11
APPLTCATION
Null]ber
(Orflc. us.)$$
PLEASE ANSWEN ALL QUESTIOII5 APPL]CAALE IO YOUR PIIOJICT
"ProJect Responsibility''
!S. L. L, C. dt)d RdrnJd(:k
PRoJECT ADDRESS: 418 sem,nes Driv,2
crry:wj )nrin9i.{)
SUBDMSIotI: -rine valley Estatc parccl R06 60 9-0 05-00 9-0 00 BLOCK #:
PROPERTY ObINER,S I,IA,IE: VJldc Buston
DATE:
PIIONE *: 9t9-309-912?
ZIP | ?841?
I
N
-o
-\
\^
Ol,lNER's ADORESS: _41B.-sefties Di
COIITRAC1OR: Ps, 1.L.c- dba RamJacv-
CITY: uriLhinqron
LfCENSE : 53)?8
ADDRESS: 412? Ren.rett Memorial Road surte f,04
CITY: n':rh.rm
EI4AIL ADDRESS:
charl iE0 rami acku sa . con.
PRoIECT CONTACT PERSOI{: Charlie Leirls
EXISTING CONSTRUCTION:ALTERATION
I neruovarroru GTTNTRAI N TPATRS
NTU CONSTRUCTION:
u ERECT NEI,I REsIDENCE oTADDITION TO EXTSTING RFSIDFNC F
..PLEAsE CIIECK AI,/D AIIST,IER I'ELOI.{ ALL TIIAT APPLV TO YOUR PRO]ECT:
ATT GARAGE
-
SFDEr G RAG€
._ 5F
fl surunoom
_ sF
LOI #, 3ec 22
PHONE #: 910-54 t-645 !
ST: NC ZIP:284I2
ST: IIC ZIP: :rf05
PHol{E $: 919-30e-e127
RI LOCATION
P00L
_ sF
PoRCH
_ sF
S TORNGE SHFO 5F
fl oneennouse
_ sF I orcr
-
sr oIllfR:SF
TOTAL HEATED 5Q FT:TOTAL 5Q FT UNDER ROOF:
-
TOTAL AREA
5Q FTI
TOTAL PROJECT COST (rosE
Lor) : $ ssso.oo $ OF 5T0RIE5:
Is nny ELECTRICAL, PLUflaI G or ,rlEcHAtlICAL Wonk
8c1ng Oone to thc Accessory Structul"c?
E Ye5T No
DISCLAIMER llreebyc€nlly hol oU hbmollon h hlr opplcntbn lF
comcl md ,ll wortwllcmdyBl6 nlc srar. ttrlkllno Code co<l
of oiler oOdlcDtc Sbr, ohd tocol tlf
iald oc,lnancas anC m!uloioflE. Tho NllC OBwtopmeot Soryics6 C*nbr wE be rcrifl€d of 4y c,hsq8 ln $e spoao\r{ Dhn! Dnd 3p cclfaDaioos or dur |9s ir 6nlr4Er. o,
If the project 1s a ReJ.ocatlon, is there a Natural cas Line on the current Slte?
[Ves fl Uo
Is thene Electrical Powen on this Bui.lding?
lTlv.s l-1 uo
PROPERTY UsE
/ OCCUPANCY:5TNGLE FArilJLy
! ourlex
f] rowruxouse
DESCRfPTIoN 0f llORK: in3ta11 hclical Diers !o slablllze foondation of chi.mney
and left rear corner
connebr bi]r/iEdoD. "'NOTE: Any Wor* P6rlonftd wllo tE ApprcprlsB PEmlrewlllte ln V ololon olDr NC Stab BIdoarp Io S500,0Cr"
oWNER/CoNTRACTOR: chsr-L1o Lawls (ascnt )SIGNATURE:
* !i(* *** * **r +++ *,--,,.-,- -. ",.,(l'*Jll#11-,* -,",*,* -,*"..
**,i<,r**ss*t! ** *
r** *a** ***. +."..
rs rHE pRopERTy LocarED rN a FLooDILATN?
El yEs I-l ruo
EXISTING ITIPERVIOUS AREA:
-..--SQ
FT TOTAL ACRES DISTURBED:
NEI,I IIiIPERlrlOUS AREA:
-
5Q FT EXJS T LAND DI5IURBIN6 NTNMTT: I VTS
I--I ruO
l,,IAttR;CI. PUACOIIHUNI'ry SYSTEM
! nnware IJELL I_j cENTRAL r,tELL
sEuJER r
f] crnrn
I crrurnar
srerrc
fl pRrvATE sEprrc
! corlrulrrw svsrelt
PER}lITs REQUIRED FOR ELECTJ MFCH' PIRG' GAs EQTIIP' PREFABS
& INSERTS ***'
pAYttENT
ltETHoD;
E CoSn ECusCK (PAYABLE
ro r,rxc;
f] arrnr.^N ExpREss I r.rc,/wsa
! orscorea
ZONE:
_ oFFICER :
(FoR OFrICE UsE orltY) REvIgEo oATE s4l11/12
SETBACKS: F:_ lH:_ RH:_ B:_
Appnovnl,:_ Clty:_ DATE:_ ILOOD:
_ BFE+2ft-
-'-_
AVN
suf
PHONE *: 9!9-309-9 t2 t
$$
& - :.;.;.--
^L:r+r.t:,',il
NEt.l
HANo'ER
couNry BUTLDTNG pERHrr
\4 ffiSS plErsr ANe,,xri
^rr Qlsirtrrrg l'?Lt(aarr ro yolm pnoJrcr
llAtr_; -P.oie.t tlespons
ibility!
ApPLfCAlal''S
t&HE: !:t, ;..I..c. ,t!,.r a.u,r:.,t;k
J ats -lo1'1 7
APP LT CAil0l,j
ilufibe.
OEVELOPEN:
PROf,e{-r ADoRESSi 4:ir s.ri.rir arive
PIIONE $:919-i0r-?::?
CTTY: :{.i 1..:':ur-(,:,
SU3DrvISIoal;
3ij:11::)6;:t -n o -r- lnt -0c0 SLOC( *: LoT $: a"c 22
O{l;aI'S ADoRtSS: t:8 :..:::r--.,, Lr:
CoTiTFAC'ICR: ?a:,
"-'...c..
i..r !:.r=-tn.L LICEIISE tt: !:::8
ADTRESS: n:2, np.nett H.r.t:al Road:ru:1.3C4 sT: Jg- zIr: !11iL
El4r.IL ADOItS S : .\.:t -,,-t : ...,
rckr s.r. c..l PHONE S: 91r-:lr-9 /2 /
pRolg{; ccirTAcT pa4s0 :
Ptlol/E lli i1'r-.ii)e-'l;: ;
!xrsTrirG cot'sTttu{?IoN:AL;€TA:ICIi
f] ntrovxrlor 6rNfnal nrPATRS
I nrloarron
Nrlr ic:.;sTRLcT]oll-'::_- rlE,/,r
'r:,_-:r_tia' o.ASOTTIOIJ TO EXTSTI:.IG RFSIDiNCT
"Pitas€ (lttc( fti, isila ullot ALL iriA, Atlt'LY
10 votR
tfl9]rcT:
A'i'; GAI{ ::::sl:
! orr
carme sr
E rorcx
-
5r
6R!iiriiouSEsr'
PCCL
gl:C(
sF f] s;ci:r.cr sr{rr
-
sF
Sl ol|ltR: SF
TOTAL HEAIED SQ FT: *_-- TOTAL 5Q FT UNtfR nt}oFi _ TOTAL .AREA 5Q ilr _
TOTIL PROIECT COSTi,c*,uor1 i $ 8s50.00 # OF 5T0RIE5:
15 ,lny ETECTR;CAI., PlUrAl^-.C o. *€C{qrlCAL r$.k 8c1ir; Oonc to th! Accca:tory Stauctu.c?
E Yc5
If ihc p.cj(^c: :5 a R€lccai:orr, ls th1.r . lintlro:l 6a, Lin( on'.1. Current
Sltc? t] Ves [: tlo
I5 tht.e EIec::i(al Por,,ur ;:i llrii 8uj.1ding: @vut [] t,r
pnop!RTY ust / occtlPANcY
stfr€r-E cj.r.:l-y
f ourLrx
] :c:r:lxousr
).)
-_1-t
i/.,
fl sur,noo:r
-5F
Dtscllll,;Ioll 0f lall{: r''.-l: ::cli:i,:l r,..r :. -'f.)-,]-ii;e a.r.l3,i ol -:.: ..." a,:d lelt.:-!'.:.::.Pr
TOIAL ACF.Es Df,sTUNOIO:
*a o.ih!.e, nnt c
tulrt... l io tll l
C Uowbrin.rr soM{! c^f ri:
rd bn e *n ol.rr} g,16id h n. .raaEa tran r t c at.riaaobr} e .r:r\r8 r. o ! 'r!rr or
..rrrDr.ir,.i. _'xoTE .'!iiw1.l c.,'.Jnar w,(] tt
^ta
.,r.,i* p.6:8 w(rt hVorslo^rflir\CSobtrdCL'nj,.edSlub*lrctrorUprc:\!1clt-
owNER/CoNTRAcToR: crxrrlo r.rr1i (r..i!) STGNATURE: Z-.%*-ZZ.---^--
(trlri iJrr)
:5 THE PRo;,tnTY LOCaI'l:e Iil r rlooonu,:rrl:
f] vts l-i lro
iXIST:l,lG fHPFR\IIOIJS ARFA: _- SQ Fl
Nrw IvP[av:oJs anta: _ sQ rI EX.IS r L ND 0lrtu,iarri6 PCRIII'I:
I--l vss
l-- ro
r,i^rLR:
I $r,ua
I co]yuNrrv
svs;rs f]l pnrvnrE NguL
SELlrR:
ll C, r,r;r
f crNTnAl
srprr( f] Pa:vltc selr:c
l_l celr*x- ueul
! cc,r'unr iv svslrl
... SEPAIATI p[rJ.lJTt f,lqJrn[D toi{ €L'CT, tq}r.H, pt16, 6as rQeIP,
pavr,r€irT
xtTHoo:
l] rns[ f]cxro< (p^yrl8lr ro rx1 l] arrarrax cxrnrss
Pntt,1us a r'rlERrs.'.
lnc,rvrs,t
f, r,r.our*
,.,,, C-i6 o,'=.r.
app"ouri r il! crt
' 'Clun..uq
1i c\ {,ir_:a ,34 }r!Y)
>.1 i\ l
y: Lt',\Ll"l1rDare :
cxS: F:NrlA iH: \-.* RH:
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APPLICAT,IT's I{AI'IE :
DEVELOPER;
NEh' HANOVER COUNTY BUILDTNG PERMIT
APPLZCAIIOI,I
IYPE.. RESIDENTIAL
PLEAsE ANS}IER
ALL qUESTIOT'S APPLICAALE TO YOUR PRO]ECT
'PrcJ ect Responsibllltf
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PRO]ECT ADDRESS;
SUBDIWSION:
PROPERTY OUIIIER' S
C[{},IER'S ADDRESS:
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ACCOUNT #:
5T7JP.
?A1/27
-6372
No
LICE!,ISE *:
ADDRESS:
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EIiIAIL ADDRESS:PHONE *:
PRO]ECT CONTACT PERSON:/il,-,4 l/,q-.,rtlE Z^y'PHONE *:
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I eeNenaL REPAIRS
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NEN CO1{STRETIO{'I.
I ENTCT EhI RESIDETTCE ON
I OOTTTOT TO EXISTI]'IG RESIDENCE
+.PLEASE CHBCI( AiD AI{stlER 6ELO{ ALI THAT APPLY TO YOUR PROIECT 3
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TOTAL HEATED 5Q FT:
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TOTAL Sq FT UNDER ROOF: ?OO TOTAL AREA
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TOTAL PR0IECT C0ST Gussloo : $7o. @o# OF STORIES:
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OTHER: SFSF
1s FEt ltt&Ell6 or t+BEttarltclt- Nork 8ein8 Done to the Accessory Structure?
If the prcject
is a Relocationr 1s there a Natuna] Gas Line on
the curr€nt Site?
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rs there Electrical Powen on
this Building?
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DESCRIPTIoN 0F tloRK:
DISCLAI{ER I h€rBby ceni9 &ar.ll hbrmarjon in his appfcabn b cor,€ct and all vDrkwill comply wih he SEE Boildhg Code and €[ orror applcablo Slila and local lar6
ard odinanc€s aM l€gulatons. The NHC De'€lopm€nrSoNic6 C€nbrwillb€ notf€d orany cfunlpE in he 3!poyed plan6and €pecifcadons or dange h conlebr or
cont_€cbr inbmalion, -NoTEr AnyworkP€,.rni6wllb€ in Vrohlion ofth. NC S6b Cod6 and Subjsct b To
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or.JNER/CONTRACTOR:L SIGNATUREs
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IS THE PROPERTY LOCATED III A FLOODPLAIN} rl YES
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OGSTING IMPERVIOI',S AREA !
NEN IfiPERWdJS AREA:
ToTAL ACRES DISTURBED:
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Approval:- city:_ Onrr: (f-5 '
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SETBACKS: F:
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Cofflent:PERI,'IIT FEE 3
CO,ITRACTOR:
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