HomeMy WebLinkAboutNOVEMBER 27 2015 BUILDING APPSffi
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ol J -/0131
l_5-3L3LNEI^I HANOVER COUNTY BUILDING PERMIT
APPLICAIToN T},PE I COI'!IiTE RCIA L
PlEAsE AIISWER AL! QUESTIOI,IS APPLICABLE IO YOUR PRO]ECT
"ProJert Responsiblllty"
APP L lCAT IOT.I
ilunbea
(office us e)
Appl-rcANT,s NAr{E: Tribute Construction, lnc. oATE:
DEVELOPER: Same PHoNE *r 910.251.5030
pRolEcT aDDREss: 4191 Hearthside Drivecrw: Wilminqton
occupAttT,/Bus$lE5s NA E ; sea Pines Apartments
pRopERTy oti ER,s NAtlE: sea Pines Apartments LLC Pnorr *r 910.251.5030
0{NER,s ADDRESS: 10 S. Cardinal DrlvecrrYi Wilminqtonsr'[?in@
coNrRAcToR: Tribute Constructionlnc.LICENSE s: 60001
ADDRES5: '10 S. Cardinal DrivecrTY: Wilminqtonsr: NC zIP:2840X
E ArL ADDRESs : bkaiser@tributeqo!$truQlion.Com pxorr
*: 910.251.5030
pnoHr
a: 910,599.8130PRO]ECT CONTACT PERSONi BTJAN KAiSET
((he.k
all lh.t Apply)
gXIST CONSTRUCTION i ALTE RA.TION RENOVATION
tr GENERAL REPATRSRELOCATIO!I
lf Relocation, is there a Nalu.al Gas Line on the Current Sits?
nYes
TNo lS ELDG SPRINKLERED?
flv"s [ir.ro
NEB COT{STRUCTTO : E] enrcr NEIll STRUCTURE
I rasr rnacr
f] *rrr-r-
[ ur r
I mo ro ExrsT srRucTUsE
ACCESSORY STRUCTURE:Mail Kiosk
If UPrIT
- The
Shell Permit #:Is Elect Power on this Bullding n Yes E] tuo
r*r** rs THrS
A cHAr,lGE OF OCCUpAT'1Cy UsE?
IYES flr,n .'.,'
IF Yes, r,,hat uas
tlte Prevlous occupancy Type?Lhat 1s the iJe! Occupancy Typel
ARCH D€SIGN PROFE5SIOML: COIhTAN HATTiS ATChitECfuTE
Er,rGR oEsrGN pRoFEssroML: Chris Holmei-PE
DESCRrprroN oF uoRKi construct new l\,lail Kiosk
ls tood or bev€rages p.Bpared
s served in thls slructurB?
n Yee
m No h The Propedy Located ln The Floodptaln?
ff ves
ffi NC
sll orh€r applicabl€ Slato
Dlans.nd soec ficatons'NC Siarc Aldg Code and
(or-4 C,ti rrrlt)
X!o: Oafiolfon no66rt nr t.sbsiblr renoret
,e lt.grllcadooa s b ba rub h.d nrlno fi€ 4gllc.ton brm (DHHS37,t) wllotta.
tl. hdllv or lulldtlo wa! for8ld b
aoitht!0.&so.ttotYo|lrnItEndbc.I!l.tarionslEmbdofiSl.lltrd.torHsz.rbolAFPorrteng(NeSXep)at(91l)m7.5q.r16rl0&FFb.b0t6
(brsllbo ot
!ry Hry o. bulldhr. so ab..!' tlbb slb: ht! rt'e^re
tt' std"' 5'e!'i'5sb*t's':lir-i: nh:l
TOTAL PROJECTcosr: $25,000.00 BUTLDTNG HErcHr tt-J# OF UNTS:N/A
TOTAL AREA SO FT :373 SO FT PER FLR:#OFSToRIES: 1
TOTAL SO FT UNDER ROOF: 373 # OF STRUCTURES:#OF FLOORS: 1
ACRES DISTURBED:0.009 EXST TAND DETURBING PERMTN
TXIYES
T] NO
NEW IMPERVIOUS AREA:500 SQ
FT E(ISTING IMPERVIOUS AREA:NiA SQ FI
pRopERrY usE: DOFTrcE Dnrsnunem [uencalrnls I eouc ffi err flcoNoo otHER-
WATER: mCFPUA
SEWER: MCFPUA
T]coMMUNnv sYsrEM Tl WELL flzoNlNc usE ctAsslFlcATlot+
fi c=rrn* seenc
n P-RtvArE sEmc ElcPirMUNnY s\4sTEM
-.::.-rrlrrrr' :, tr "' iu fl)ts1.rEil lr'lal)l i'.itl t,\': ra:J,ir ,r' -lrsdll '
pAyMENT MErH@:
ECnSn Dcxecx (pAyABl.E To NHC)
filUenrmr o<enEss
n Mc/ue{
[ oscown
(FOR OFFrcE USE OI{LY)
il
SETBACKS: F:
.,
} LH
Comrnont
'J
t i/-I
I
vr.l.ai
lr.
1ri) L{irr
- oA L*aot1*lr,j{(ir iiir lnspeclion hqurreo 910-?5{'09fi l
zIPr NC
pH: 910.793.3433 Nc RE6 s:
i1299-pH:lIlllzgll.jSllll0_ c REG #: 16336
QIT:NATI ItrIE.$r*loWNER/ooNTHACTOR: Brian Kaiser
", fr I_.- REvl&D lnrEan!/12
)tr
PERMIT FEE:
O--
NEbI HANOVER COUNTY BUILDING
aPPLICATIa] TYPE: RESIDENTIAL
&Lo
PLEASE ANSI,IER ALL QUESTIONS IPPLICABLE TO YOUR PRO]ECT
?roj ect BesponsibilitY'
{oa.u,4o-nes rJL,/-te.
)or5- iltclp
PERMTT
WZl, b15'l
APPLICATTON
Number
(Offr-. Ir<.1
DATE:APPLIC'NT,S I,IA}'lE:
DEVELOPER:
-
PRO]ECT ADDRESS:
43()clw:
Ao^L /,'tc '
crw:
PHONE *:
BLOCK *: LOT It:
ZIP:
SUEDIVISION
PROPERW OhNER,S
oL,lNER'S ADDRESS:
nnfiE:
CONTRACTOR:
ADDRESS:
EI,IAIL ADDRESS:
PR0IECT C0NTACT PERSOI'I:
ea
PflONE *:4"(-?
stz4?zPz atrc//'z--
ACCOUNT #:z/o E SE *:3
I
y'a'7
crw:sT: zI:Pl 2(4t2--
*t -4zt'To zs'r PHONE
PK)NE
*: ./Zr ' €o Z S/
,/
tiEt{ CoNSTRUCTTOU:
@eAecr NEhl RESIDENCE o"
! aOOrrrOU TO EXISTING RESIDENCE
EKISTTNG CONSTRUCTTOT'I:
I al-rrurrou fl nrruovarrou
I eenenal nrnarns fl RELoCATT0N
ARE YOU CONSTRUCTING:
E DET GARAGE
-5F
E DECKsr B[oeeH ,o*r*
Z" /
SF
p|6cnrrrueo PoRcfl
*A.oa -sr I roor-SF
D STORAGE SHED
l-'l enrrnxoust sF
fl errro urlnoor OTHER:SF
Is Ary ELECT.RICALT PLUtlBnlG or itECHAttlfCAL t'rork Being Done to the Accessory
Structure? gr*- fi, ,
If the project is a Relocation, is there a Natural Gas Line on the Current
Sitef
flves ffro
Is there Electrical Power on this Building?
Elv"t ffuo
PROPERW UsE
/ OCCUPANCY ' Z,-5NETE FAMILY
E DUPLEX ETOI,JNHOUSErle^l /rr"4tq4DESCRIPTION OF [{ORK:
DISCIAIMEFI I heEby cenify thd an inftrmaton h his applicaton is co.rect and all work wrllcomply wlh ihe Stlle Eulldhg Code andapp[ceble Slale and liical
and oftInanc€s snd regulal'ons. The NHC Devalopnerit SeNices Center l^)ill be nodfied o, any ch$ges in lhe approved plans andorchange in
cont'acry inbmal,on. "I{OTE: Any work Perlomed Wqthe AppEptiale Pemilsrvnlbe ln
ohrNER/coNrRAcro*, llL,z 4,//<-.<
(Print Iame)
TOTAL AREA 5Q FT:,)o'j I
EXISTING ITIPERVIOUS AREA: -JZ- SQ FT
ERVIOUS AREA:2rt SQ FT
viohlbn of the N c 9a1e Bldg
SIGNATURE I
TOTAL SQ FT UNDER ROOF:1 go
No, OF STORIES: Z-
TOTAL ACRES DISTURBED:
i
I,JATER:
SEhJER:
FPUA
F PUAC
(FOR OfFIC€ lrsE ol{LY)
zoNE:
-oFFI
Approval:
COMMUNITY SYSTE
CENTRAL SEPTIC
CER:
NEUJ
M PRIVATE I.JELLCENTRAL tIELL
COMMUNIW SYsTEM
PRIVAIE SEPTIC
SETBACKs: F: LH:- RH:- B:-
IT5 BEEJIRED FOR ELECT, I4ECH, PLBGITqGAS EqJIPJ PREFABS
& INSERTS *"7
oo*r* n*or,--
E;; - fi c*eo. (PAYABLE ro NHc)
[ aru acculm [-1 msnncano
E T so
**:}*+** *'}t} * 'i*.t!.1.,}.1* *:i )B:l,f 't*,1**:i *:t:t **:t:t *,R******+*,t *+:s:t**** !t.l*,F
*:1.* *,t**:g * *:t )i:}*:l +:t ** ** )E
*:*:t *,t **
Citv: DATE: FL00D:
-
BFE+2ft=
AVN
Coflnent
RECETVET
uiY 33 ?015
O4
E
PERI4IT FEE:
$_
ffi
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PLEASE AT,IShIER ALL QUESTIONS APPLI(ABLE TO YOUR PROJECT
"Project ResPonsibility''
r\
CTTY:
BLOC( S
''-'{l':i.?re
APPLICATIO
Number
(offtce use)
APPLICANTJS I{AHE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OI!,NER'5 l{AllE :
OrS.lER ' S ADDRESS:ITY:
CONTRACTOR:
AD0RESS: 3\q ln r.t S.t, Srlr.C a O C!TY:
E: \
PHONE f:
(zrl:&8t{.a1
rgs
Grcr
No
Liria
Pfa-o
LOT S:
pKINE *: -l!z!2:tk1:951!
sr:
Ij(zre: f-]ut1
<.,
LICENS#?1\.r-AccouNr *: 31 I
5r:\!-(:rP: i\ls{Dl
PHONE $:
PK)NE #:
!lgl:-a3Cg
L ADORESS:
PRO]ECT CONTACT PERSON:
EXISTING CO'ISTRUCTION:A LTERATION RENOVATIONGENERAL REPAI RS
I nerocarror,r
NEhr coNsTRucrrol:
! enecr NEH RESTDENCE o"
n morrroH To ExrSTrNG RESTDENCE
*TPLEASE CHEC( AHD ANSWER BELOW ALL THAT APPLY TO YOI'R PRO]ECT:
\i L-larr canqer SF
fl oer ornner
-..- sF
D PoRCH --- SF
,\J
s
I
$
-u
suNRool'l
_ SF
GREENHCIJSE
-.
SF
PooL
_ sF s E SHED
tlr
SF
SF
tr SF OTHER
L^.Jd-\ |
\
TOTAL HEATED SQ FT:.o TOTAL SQ FT UNDER ROOF:
FT AL AREA sQ rr: R(5
TOTAL PROIECT COST tless roo : $1f oo f OF STORIES: I
Is Any ELECTRICAL, p|"UMBING
or l,tECHAr,,lICAL Work Being Done to the Accessory Structure? g-V". 0
If the pro1ect
is a Retocation., is thene a Natural.6as Line on the curnent site?
ff ves
rs thepe Electnical Powen on this Building?Ov"t Gldo
PROPERW USE
/ OCCUPAiTV:SINGLE FAI4ILY
fl ouerrx
I roururousr
DESCRIPTIO{ OF lloRK:
floecr
\)s
i\\c.-* \
rab Bdg Coda and subject b Fines up To
$500.0r"
MEFI lhoreby cenafy hal all lnlt]rmatjon in
bisapplicatoo is cofiect snd all wo.k willcomplywitl hs Sttle Building Code dld all oher @pf;cabb Slab md locd la'/s
and ordhances and regulations. The NHC Developmenl Services CenEr willbe notffed ofanych6n0es in he spproved piaas and sggclficatjons or change in conracbr or
a
G
coniab. hbrmaton. '-NOTE: AnyWork Porbrm€d w/O tle AppmpriaE PeImilswillbe in
Ott$lER/COiITRACTOR :a4Zl:,:.cAA4^
Violation of the NC S
SIGNATURE:
,t
*,1'i trt*,*,*,*,r,t* ,t)t
*** * i,l/9.1nt N. e)****tiii'iiii{****+,}****,rx,*,r*,t*,1,*******,*+*r(*'i***'t+':rt('i**'}**tt't****+*
I5 THE PROPERTY LOCATED IN A FLOODPLAIN}
OI YES KfI *O
EXISTII'IG II{PERVI0US AREA I SQ FTTOTAL ACRES DISTURBED:,IC
NE!{ IHPERVICUS AREA:
R<5 SQ FT EXIST LAND DISTURBING PERiIITT YES
I0 ruo
eu
I enrvarr wer-r-
[ cENTRAL t^tELL
l-l enrvrre srerrc
I commuNrrY sYsrEM
ZONE:
-.
- 0F FICE R:
(FOR OFEI(E USE OI,ILY) REVISEO OATE O4lt1l12
SETBACKS: F:.-- LH:- RH:- B:-
Approval:- CitY:-- DATE:- rlOOD; -;-BFE+zft=
N
PERTIIT FEE:
hIATER:
SEHER :
r.** SEPARATE PERflITS REqJIRED FOR ELECT, TIECH, PLBG, GAS EqJIP' PREFABS & INSERTS *'}*
,orrrrr rrr*ol-
^4.^;; b.;r.* irototrt ro,,.) CBrLL acco{rNr
f,l r'rcl'rsr Qorscoven
*)t***lr)i.*t**:t****+'l*+i.*x:i't*d"t*t*'t**':*)t**+***{'++i<*':i'i+'}****1'++****+****'(**')t)*******'r**x't**':*+*
fl creun
I comr,lunrrv svsr
fl crrua
fl crurul secrrc
Comment:
T tr
tr
QotS-l/o 1/
r!-a?q2
APPTICATTOI
tal*r
{offl<. u*)
&
t{EW
HAI(,VER Cq'NTY BUILDIT{G PER}ITT
APPLIr]II'OII TTP' I RESIDE'{TIAL
PllASr AllsilEi Al 0u{Sllcl6 Al?LJCla!6 IO Y(lS P,tcltal
'Project R6porlslb ltlf
Fra nK e /{is
CITY:o
.z
APPLIC'U{T'S tUI'tE I
DEVEL@ER:
OATE:
(d'
PiorE f:
PNO]ECI ADORESS:
st,gD] VrS I dl :
ZIP I
-{ u.t I
Qv t
{
fr^
{.r BLOCT r:LOT *:
MOPERTY
O*IER'S llATE:
LJr r q't*of,
n.61rrr,2tgc3
PHCIE *:
:ro:offia
pnorr
*:3 Ol 1S
a 2L3/
sT: \L(ztP:?*
PrmE ,r
'lt]gii. alt/
frIER'' ADMEss:/-t,,CITY:
LICE}6E }:C0{TRACTORI
ADOfiE
55:
EIiffL AiDNESS:
PRO]ECT COIIIACT PERSOI:
PROPEITY t,SE
/
I}€sCRIPTT(I{ OF
a
o
e.l,)
EXrSTrr|6 CflStRt CTTO T
lrALTtRATrOfl _ REmVATTOaI
_ GETaERAL RCPATRS
_ RELoCATTO|
ti€ll coflSTRrrrro{!
_ IRECT llEx R[sID€ltcE or y'mrrrcr To ExrsTriE essrDEtrcE
'TPLEISE OI€C( I'I' A,.STI€R AELSI ALI NUTT APPLY TO
Y(I'i PIO]ECTI:ivrr.,n, -,.PoRcH l'xu sF
*-
trooo t*t,
-
OTHER:
ATT GAR/ME
.-- SF
* D€T GARAGT
-
SF
srrfliml
_ sF
6iEE$IO'5E 5F
5F
SF
PML
DECK
SF
SF
rorAL HEATED ,a ,rr fu
/tr rorAt sQ Fr
TOTAT PnOsEcT CGT GGs La1 r * (,$CO
ts Any ELtCIelC l, PUrlaIIf o. iECIUIIICA! Hork Seing
t {oEr RooF: / aO rorAL AnE sQ FT: /r(,
* oa SToRrEs: t
oo.re to the Accessory
st.l.i<tu.!?
/V"t * Sto
If the proJect
is a Relocattofl, is there a tlat9,:al @s l-1ne on the Curent Slte?
-
Yes y'- uo
Is ther€ Electrt(al Pouer on thts suildinS?
/ves -
to
/r,*r r*r* ruPrEx€?
TO.JT}$t,SE€)iS{t n
r?
DGaLAlrER I tsaby ..t!, l'.1 a! h&'rnalb'l h h,s h coracl n d d !.,rx,lt ao{plywit! lhe $ara Bulldmg Cod9 rxt d olr..
-ld odirrr. rld r€Ou&.rs- Th. ilHC O.\6@molS..tEs C..rbr {il b nol5., or y.fi..lec! h t ?tttEd Pl 'co.ra)ba hic.rna&rl,
',tlotE : any!\b.k Pc.bnod wro lE ,pprcp.lab Ptmit6 *lt t h
o{tl€R/CO{rRAaroR:
r-l.rlrmv].l< L
vbblon o, ra Nc srlb
sre{Annr:L.Lit,
1r |* r. rr r.
ai. r
trriat* r r*,a tlt
RHr
'*.. "."'.(llri!.l$l t.' *,.. r. *.. r.. r. i. *r..'| t *
ts n{E PRoPERTY IOCATED ri| A rlOOpUr'lr --:/ VeS
-
iD
EXISIITXi IrOEnvIqIi rREA!
-
SQ FT Totll ACRES ATSn RBEOT
-G"*
tlEa IlP.ffI(xrS An€A:
-='- SQ rT EX!,ST r.llD OfsTtnl1re PEnnrri
-
YES
-:: l0
*rra, ll qev - corrtxrry sysrEtr -
pRrvArE IIELL
-
cEt'lrRAL t'JE Ll-
str;x i /crwa cEFRa! sEPrrc
-
PRTVATE sEPTrc - colr'tNlrY sYsr Elt-u'
'!' SEPAiAT! PER}. Ts REqJIN€D FOR €I-ECI, IIECII, PLAG, 6A5 EqJIP, PEEFAES
8 ITSERTS T'T
par0iEr
i€Ttc: _ ct6H
_ olEcx (tAYlEtE
m ur) _ al€tlclx ExPfEss _ f,clvEr * DIscoYCt
*....r t. t....*..t.r *r. *Jr*rra:*rrt..ra r... ar a a:| aa
alt t* * ';aa i** rr)}
i t r al *.r.. * aa 'l tJal *4,:ata*,i a,t
zcne : rlrFl'0orrrcen,
Approval:- cltY
Noi
sETBAC(S: 5, i itt tX, $A
F
LOOD;
Brl__
troa orltac uJa o LY)
co.-le 1.a<n.l.r,ty
s,rn s'-*:S$tft
-
tFE*2ft= N'
t{
snecfi on Eeouleo I 1 tr-zil'oglt,
flrs
BqT E: tt-Zo ll
el.^f'f
t7l
knv*Y<>vl-tetil
c3-\ ,
IT
,,}Ia,cdb
lranK 6/(1s
APPLICATI(II
lL eP
(OFfice Use)
APPLICA T'S M'{E :
I'EYELOPfR:
DATE:
rll{ '
PRO]ECT AT'ORESS:
STJBDIVISI('{:z
PROPERTY O'{ER'S MIiE:Qvt<
t.r()-
PtIItE s:
o ZIP:
LOT S:
PH(I{E *:abt 18Sue/
ST:
N(ZIP:2-
,r, ,(.rt r2t'/C3
P}rxE *:1)Oj1ssfrz
pHotrtE
*:attl
\crw:(Y1 I
BLOCK *:
O} ER'S ADDRESS:
C(I{TRACTOR:
AIf,'fESS:
ca-q
GREENHOUSE
PROPERTY I,SE
/
DESCRIPTIC{ OF
rlzl CITY:
<.
LrcE[sE f:
rTY: i^, \c\
PNOJECT CO{TACT PERSOT'I:f .^6 e.l
o
(r5
EXISTIiIG C(I{STRITTIoN: YATTERATIOT{RENOVATIONGENERAL REPAIRSRELOCATION
NEH CO{STRTrcTIO : ERECT NEI{ RESIDENCE OT g] amrrron ro Exrsrrirc REsrDErcE
*TPLEASE CHECI( AiD AIISI{ER BELC{ ALL TIIAT APPLY TO Yd'R PRO]ECT!
*reP
ATT @RAGE
-
SF
su R@tt sF-
DET GARAGE
POOLSF
SF
ao TorAL AREA
sQ Fr: /2Q,
SF
SF
SF OTHER:
PORCH lao sF
STORAGE SHED
SFDECK
TOTAL HEATED
SQ FT:tu t)TOTAL SQ FT I'T{[)ER ROOF:
TOTAL PRO]ECT COSTGE"STOD ' * 1T5OO
Is Any ELECTRICAL, PLlrltlBII{G or IECHAIICAI work
If the project
is a Relocation, is there a
Is thene Electrical Power on this Buj.lding
# OF STORIES: I
Being Done to the Accessory Structure?
Natfal Gas Line on the current s
? V Yes No
/r"'
itei _
_No
Yes y' No
,/'NGLE FAI.II LYDUPLEX
€<AtsLin
[r.8CtAfER I her€by csdit hat all inbrmalbn in tlls ls con€ct a|d all york will comply wifi he Stala Buildhg code ald dl oh€rStab
dd ordinarc€s and r€gul.liirns. Tho NHC Oe\lBbpnront Serylces Cenbrwillbe nolfed ofaly danges h tro +proved pkns chang€ in
clnracbr intrrmalion.'"llOTE: AnyWork Perionned W/ofio Appropriale Pemitswillbe in \fioblbn ot trr€ NC SlaE
OiTNER/C0{TRACTOR:Fr^qk{ r-c
s SIGNATURE :
,i,|*+ {,+*:**,},r )r*,}
'} **** *** * * * * *(Iitli,l!11* * t * ** * * *" + +,* ,*
*,},t ,},},},},t +,t:1.+/I5 THE PROPERTY LOCATED IN A FL@PLAIN? t-/ YEs
-
t{O
EXISTIiT $IPERVIdTS AREA:
-
sQ FT
AREA:
-
SQ FT
TOTAL ACRES DISTURBED: JJ-
EXIST LA D DISTURBIIG
'*':
:i :i )*
* :f ,| ,t ,t ,i ,l ,|
*:| ,a ra :| ,.:a ,. ,l :4,1. :l :t ir
YES !- irclr{Er. IFRvICrrs
r.nrrn:
VqrPun -sEuER. i ltPw'v-
CCI4,.II,,iIITY SYSTEI'I
-
PRIVATE WELL
_ CENTRAL UIELL
CE]'ITRAL SEPTIC
-
PRIVATE SEPTIC
-
COfI!T',NITY SYSTEI"I
*** sEpARATE pERtitrrs REqJTRED FoR ELEcr, MECH, PLBG, GAs EgJrP, PREFABS & rNsERTs r"r'*
pAylE T [ET]XX,: _ cAsH
_ CHECI( (PAYABLE
IO il]rc) _ AIIERICII| EXPRESS
-
]lClvIsA
-
DISCoTER
++:i,i,l'i,t,i***:itt*r.t*a**:trtt:t**'i:tt)t,l{.:t:i+,}*'}t*+*t*'t+'t*:t'}'*:*:}*'t**:lr'+*)t*'}*'}'":l:t**ttl'*':}}***:t'}'l*
(FOR OFfTCE USE OIILY) REVrS€D ImE 94111/12
SETBACKS: F:- LH:- RH:- B:-
GJ(al
Approval:- CitY:- DATE:- FLOOD: -BFE+2ft=
t'l
]{EhI HAM)VER COT'ITTY BUILDII{G PERIIIIT
APPLICAiI TT,PE: RESIDENTIAL
PLEASE A"SIER ALL Qtf,STI(I{s APPLICABLI TO Y(I.N PRO]ECT
rPrcrect Respons lbtuty"
EiUIIL ATDRESS:
{,
Zo{E :
-
OFFICER:
()r(
r\ :
&
NEH }IAT{OVER
COI'NTY BUILDING PERfiTT
APPLIiArI&i
nPf; RESIDE TIAL
PLtASt AtSrJtfi Atr Qutsrrars APrl tcAatE ro Y(,4 pro)Ltr
'ProJe€t R6poflslbilitF
dots -llol(
1f -1?a?
APPLICAITO'{
tairrtb?r
, f::"tttLC. /{i s OATE;APPLICAITT ' S M'tE
O€VaL@ER I
CNTRACTOR:
ADORESS:
Pl{}{E S:
PRO] ECf ADO* ESS:
5UADrWSr0l:
moPERTY mr€8'S t{AtrE:
008{ER'S AooRESS:
(1
CIP/ j
o zrPt.
- /
/'-)' "-- l2_
Qvr{man: r,B ol 7J'- 2-h,l
sr:
\(zrr:CITY:
LICENSE *:Fii//
Iw: t!, 1 Yt'ir ."rJ":
o
LOT f: _
\)
BTOCI
':
l, {,
L\
,r5
*.r
PrarE
*; alat-.-j.5.: : ".
. .
PIJOIE T:;\)y
EITAIL ADORESS:
PBOITCT
CoafiAC] PER50 :
sut'lR@| sF
Zotl€:
l-i ,i-
ir ;0FFICER:
Approval:--- CitY:
(::
EXtSTtfiG C6|S]BUCrIOI: )<.ALIIRATIO * R$ro\r'ATroir
_ 6E!{ERAL RIPAIRS
_ RELOCAIIO
NEL COItSTR{rrIOfi:
_ ERECT UGI{ RESIEE CE or y'aOOrrtCr rO EXrSTriri RESTDCNCE
..?LEASE OIE(I ltD AttStaER AELOa Al-L TltAl A,PLY To \rolrt PIolEcT: _ ,- rfpn, -,.Arr GARAcI sF oET GARAoT sF itincr I 'r u sr
GR[!M{&JSE Sr DETK
TOTAL PRolEcI COST re.-ray,
3 1,'.:.,C)'.-,
I5 Any ELECTiICAI, PLU+iB:IG or IEC{!'{ICAL Ho.k
If the project
ls a Relo(ation, is there a
Is there Electrical Porr€r on this Euilding
pRolr[TY ts€
/
OES'RIPTIC{ OF
,/.r*r, ,orrL,
r(1
IS THE PROPERYY LOCATED III A FLEOPLAIT?
EIISTII{G IIIPERVIO0S AtrEA:
_- 5Q fr
ilfl IIiPERYIqTS ARfA:
-
sQ Fr
__ P00L
,_ sr
DUP i.-EX€€n
_ SToRAGE SI|ED
_ SF
SF
ao TOTA! AREA SQ FT: /:S,
SF CIHE R:
TOTAL HEATED SQ FT:tu TOTAI SQ TT UNDEI R@F:tl
* or sronres: I
Beint Done to the Accessory
',t'-i:,r.!l j Yes - tlo
l{atu,t"aI Gas Li.ne on the Cur.ent Site? _Yes y'* No
I '1ilves -
to
t: c-)'sL,N
YES _ tlo
IOTAL ACRES OTSTURBEO:
-e>-
I*TTN, VqT,PT.N _ CS+{WITY SYSTTII
_ PRIVAIT TELL _ CENTRAL }JTLL
SEI'ER: ;,/CTPUA CEIfIRAL SEPIIC PITIVATE SEPTTC
-
CO'{{TNIft SYs^TEH------ #
r.. sEPAiaTa PEE|TITS REQ{JIRE3 FOn ELr(T, trc8, PL8G, GAS !q-}lr. PaEFASS
& IIiSERT5
""
pAyltElr
||e-I}$Br _ cIsH _ aHECX (PAYA]LE
10 X|{.) _ AI4ERICA{ TXPSESS * rc/VISA
- 'ISCovEn..t.t!:1ta!;aai*tt a*ttataat*a'r'*r'r"tj'*'rt*"ttttrtt'rtti
EXIST LAIID DlSTUllBIl,,G PER'IIT YEStm
BF€+zft= l1
irri 9.ttc€ ust ortt)
SETBACXS: F: :i,ii
Ra.-iit c:-i o./ 11/1?
LH:.-'-. RH:.,:i.- B:.. j -
Dr,ll.:*..,..F
LOOD:
Btr
s
't' :
1t
-?[xi i lv-i'ti nclt"i,r^i
ti l:- il
*,\{z*,Qli'JLl3
a{ o.lh&..6 ,rd :?gulalirs
@nr..!]l inbrilrn
Y- r ;'u
NEW HANOVER COUNTY BUILDING
APPLICATTo TypE:
C( ICRCIAL
PE
RMIT
'i?01Fl/Cr-lL
6- 5ll{
Pl-tasE aNSTER At-I, QUESTIO},IS appLIcAELE TO youR pRoltcl
"project Responsibility"
o
AP
PLICATIOI{
unbcr
(Offtcr Ur.)
o^rE.
//r-/-r
PfioNE
*,qa,r A r2/q
APPLICAITIT'S MI'IE:
DEVELOPER:
PioPERW ot{t{ER's ilAfiE :
O{T{ER' S ADORESS:
L1crw:4,/
t Ltrt/nr/<7n <s
ZlPtL8 y,/(
OCA'PANT/EUSI ESS iIA E:
lE0 V1
A
A-d.c o/4 A PHOflE #3
CTTY:
CONTRACTOR:o/?Ef /
Pc-
ADORESS:
EIAIL ADORESS:oO G
lt t+
lc ,
PROJECI CO TACT PERSON:
LICEiISE
S: ?/
ST:
ZlPl
ST:Ar<lIp:zs-g'*Clfl:. lel LE)
a,)
ft-ck PHO
E;:
P}O E
T:
Exrsr cor{srRucrro : E ArrERArron
5 .,,Jffii'lil,"Etl'iho. REparRs
E RErocarrorr
tf Retocation, is therea NatirratGas Line on lhe current
Siter
flvilpruo rseLDGspffixiiRi}ffiv". flruo
EN coNsrnucrror{:
I enecr NEhr
srRucruRE
I sr rnncx
f] srrll
! unrrr
I aoo
i-exrsr srRUcruREACCESSORY STRUCIURE:
If UPFIT
- The
Shell Pernit #:
.11.. rs THrS
A CHAiIGE
IF Y€s, h,hat uas th€ Previous Occupancy Typ€?
Is Elect Pol,ei on
thts Buildin8 E yes E,O
r Ll YEs
lhet ls
[tm..*..
thc tal gssnp3nsy Typel _
iIC REG
*:
OF OCCUPAI{CY USE
ARCH DESIG PROFEISIO{AT:
EI{GR DE5I6I{ PNOTESSIOI,IAI:
PH:
PHI t,IC REG
#:
DESCRIPTION OF t,lOR(:
44
ts tood or beverage6 p.rpar.d or seNed ln Urts
crrnrref lvesEl Ho
b Ih€ Propony
LoSd h ne Fbodgh?
[ ves
frl ruo
DISCLAIMER: I hereby cedt lhal sll infoma{on In
6nd localla$6 and odin6rces End reoulatrcns. The
or ch€noe ln comractol or @ €clor infomation,
"'
subledlo Frnes
up To $500.00"'
wlih the Slsl€Bulldi Code and
a otherapdlcable Slateof in andwill of End
OWNEFYCONTRACTOR
(Otdlfr.d
TOTAL AREA SO FT :
-
TOTAT SO FT UNDER ROOF:
-
il -Tt -c-r<SIGNATURE:
(Pdnt .nt.)
lEclliy or buitdh! r,!s tound to
hBn 10
d.y! prlor ro
$a
# 0F sToRtEs:
# 0F FLOORS:
-
SQ
FT
ACRES DISTURBED:-
NEW IMPERVIOUS AREA:-DGT |AND DISTURBING pERMrn EyES
I xO
SQ
FT EXISTING IMPERVIOUS AREA:
pRopERTyusE; EoFFrcE flnesnumNr luencarmu Eeorrc
Etarr fhomo orue*
WATER:
SEWER:
CFPUA
CFPUA
EI
tr EcoMri{uNrTys}s-rE[EwElr ffzoN[ttGUSE0LASS|F|CAT|ON:
ECENIMLSEPTIC
IJ PRIVAIE
SEPTIC ECOMTIUN]TYS\6,IEI'
"'S€PARATE PERMITS REOUIRED FOR ELECT,MECH, PI,3G, GAS EOUIP, PREFABS E INSERT.N
PAYUENTMETHOD:
[CaSn [CneCXleaVaa[ETONHC) flamEnrcmE<TRESS EMC/VISA
Ioscwen
(FOR OFFTCE USE
ONLY) REvrsEo oarE
anfi2ZONE:_OFFIGER:_SETBACKS:F: LH:-RH:-B:
Approval:- Ctly:- DaTE:---. FLOOD:
-- -
BFE+2ft=_A V { ,' iComment. PERMIT FEE:
i . !_
,-(si ,
PROJECT ADORESS:
'7a
SQ FT PER FLR:
# OF STRUCTURES:
Zrif-r1DVJ-
NEN HAIIIOVER COUNTY BUILDING PERMIT
aPPLIaATIoN
IypE: RESIDEI\ITXAL
PLEASE ATS}'EN
ALL QUE'rION5 APPLICABLS TO YOUR PRO]ECT
'pr.oject Respons1billtf,
tr-3t49
u({rrT\,,
f APPL!CATION
Numbep
(Offi,se Use)
APPLICANT,5 iIIAI4E :
DEVELOPER:
eO\^-
PHONE +:
PROSECI ADDRESS:
SUSBIVISTOA!:
PROPER'i'I OWNER's l^fiE:
0UrllERrS ADDRESS:
CON?RAC?OR:
ADDRESS:
EI4A3L ADPRESS i
PROSEC? CONTACi PERSON:
f] surnoom
-sF
f] eRselurouse
-
sr
i-fcEi{gE itr 1t
ZI? r 2K'tc\
BLOC!( #r rnt +'
PH0NE +i:st,ffi@5
E)csrxN6 GoNSTRUCT-:oN:
I alreenrroru
I ne,voverrou
I oeuennr-
nepnrns
n RELOCAT]ON
NEIJ CONSTRUCiION:
I rarCi $!Er{ RESIOEiiCE
or I noosrioN To EXTSTING RESiDENCE
?cPLEISE CHECI( ANO ANST,IER BELOI,I ALL THAT APPLY
IO YOUR
PRO:ECII
[nrr oamec
_ sF ! oer cnReer
_- s
ONNER/CONTR,[\CTOR
*,, *,,,-" "...-,lgti*t lB-*l "" =- ="
rS ?HE PROPERT'!' LOCATED
!N A TiOOOIMSTI fi
EiGsTxr{s x}rPERvxous AREh:
_sq F?
NEIMPERVToUS AREA:
_ Sq F?
PHOi!E
PH0NE
i: Qr-64-'z??o
r I--l poncn (r
I sroaeor sHED
_ sF
DECI(
_ 5F OTHER:SF
Vol.tion o, lh. NC Slee FheE Ur lo SsOO.of..
SXGltii{TURE I
+4+FirIE;{|:is+.s+
YEs *r.ro
TOTAL P.CREs DISTURBED;
EXIST LAND DsslURBING
PERitiI:
fi YES
T= NO
IFOR OFFI'E USE C'TL
ffcoot
sr,ygllETl@o7
+,9ro-Slj.?991
d ',
\'ot
n*m oaTE
s4l11"12
y BFE+zft=_
PERtltT FEE: $
E -6-
LtL>
c)
IITAI IIEATED S0 FT:
_ ?OIAL 5Q FT UNDER
RooF:
_ ToiaL aREA
so Frr
TOTAL pROrEeT C0S?(Leitloe
; g;
Zlooo . S 0F ST$RIES:
rs tuty ELECIRICAL, PLUMBING
or FIECHT$IICAL
!,ork Bei.ng Done to the Accessony
Stfuctsre? [i1e. f nO
If the project is a ReLocation,
is there a NatuFal Gas
Line on
the cuirent
site? Eyes ENors thene Electrical poHer on this Buildingl Efes l= uo
PBoPERTY usr
/ occurencv: EI6IN6LE FAI4ILY '
I ounlrx
I touliiHousr
DESCRIPif,OSJ OF tloRl(:
olSCtAltJER I h.rEby cenily hal en hbrmrno'l i^ hlssppttrton _6 conecr lnd.tr rvo'k wirtwi!}r di. Sl!r. Bulrdrag Codc
lna lrrotrsr 69p[gjbt. g5E afld bcal hwsatd ordlnsnc8s and leOulatols-The NHC oevebDnenl Saruices CenE \,)iltbr no$fiBd ot chan0es in lho lpproved plans and specilcaton s or Change
h C0n!.acbt Otconuactor inbmaton.''NOTE:tuy lvqk p€rfomed w/O he ADprop.r.r! p€mhr v,i b. h, H*.\ R,..tl.<
MTERT
L:i'cFpuA Ll cowuurw svsren
I pRrvArE uELL
I cerrnnu welu
sEriERr
EllcrpuA E crnrrnr
srprrc
E ,*ruor,
,r0.. fr.*ru*r* ,r*u,
rt" sEplRA-E pERl.l!-
iFE;paynErr nErHoD:
u.*- d::::;'[^i,ff,.::'i,,:I'=llll ::'.#"'f;',:y;l*"fr',;;*
***'gs+*\}*++*'***$*e*,:**nrss*r!***.i+:r**\r**s*+*+*ir+++,r*+*+**i+****+,::*,r:s+*,n*,*++,+*;*s
Q'o, orrrrr .ZONE:SETBACI(S:
Fi LH
Appt ovalr- City:-fl!,!,[ orre:/t FLgoD
i
& lbose ctZ
?ou tJ lil \k
:L;)1t w,
-
lia,,>Comrrcnt:il, ?eno,r
Ci:" ln$r,Bchon Requrreo, 91 0-254491xj
'20t
DATE:
14-15
.(CCOUt\ti ai I
tr
/-:.,
{(
C]IY:
,lt--
4l
aPpr-Ict't 0,{
I
Jq
rt !l'
4J
NEl,{ HANOVER COUNTY
BUILDIN6
AppLIct:roN rvp€: R ESIDEf{T
IAL
p6pp11Pi?
15-4tzg
t:tAsl ^{:rtt Ai,t QUaSrrclrs Appll(Atla tO yqjt piOJt(T
'Project nespoosibllit/'
APPLICATT'S NA!{F:
OEVELOP'fl
PROI€CI AOORTSS
sLB0lvtsl0r,l:
pRoPEe'v orFitP,s t&llE :
oarE:
fl_
PHOltt
ri
Pto
t t: :.:. - i
ClTY:
CONlftACIOR:
o$i[F,s a00nt5s:
AOORESS:
PRO]ECI COI{TACT PERSOfl :
6pt alHoust
C TTY:5T:!ll
PIOar€
':
EXrSTtitc CO{SrruCrIon:
f alrrRATro ! nrrova;rol I eenrnar. nraatns I RELocaTioN
il6H consTRiJcTIo
:
I tnrcr xE!( REsIDEtTcE
o"
I lmrr:ou Io sxrsTrN6 iESIoETJCE
..2LEAS€ CHECX
$D ATS}IER SELOII ALI IHAT APPLY IO YOUR PIOJECi:
lr JA-i GaRAui
: , . sF :-.1 DEt
GARA,j! sr :_ por?. H l. .-.lSr
f suruamu
--si
f] pooL
_ sr I sroRAcr
sHro sF
f] oecx
_ sr oftER:'!.SF
ToTAL HEAIEo 5Q rT: i,:.ar-------r IOTAL SQ FI UI{OER
iOOf :
TOTAI- ABEA SQ rr: i,:1ll-l
TOrAL PiOIECT C05T:"-r.r, : I f OF STORIES I
ir,lny ELECISICAL, Pt-tIBII6 o{. xE(xlxICAl h,o.k R.'ing Do6e
to ir9 Ac(esro.y S:-.,-turelt ves
I no
If t.. Orole.: is a ?elloca:ion,
ir the.e a latu.al 6as Line on
the Cu.rert Sitel Iyes I
Is t..-e Elccr-:cal p.!e. on :his Building? f,ye5 I r.io
PROPERTY
UsE
/ OCCUPAMY:srncrr rrrrrv il-DUPLEX
f] ro,rmousr
DlSCnlPTi(]tl OF l|loRK:1.. )
: sc_4r,i i .
.-:, i : r. -.. ._ .
OTJNER/CONTRACTOR:
HA] ER:
[J] CF PUA
sEr{rR:
z cr PUA
SI6TT4TURE:
rs rHE pRopERTy Lo€ar€o rx l rtoooeunl f]
ExISIlrG IiPERvIot S AREA: ---SQ rT
t{EH IIiPERVIOUS AiEA: _SQ rr
I NO
rolAl ACRES
':STURBEC:
: i---l
Exlsr LArlo DrsruRBn{G
eemrr: P v:s llll rc
Y€5
I corl.txrrv
svs;ru
I pRrvATE ,rEi-L f] ctmarl wrru
f rrrrnll srrrrc
f] pRrvarE sEprrc
[j conn:Hirv svsr rr,r
.. .'.1R,,.
r rrr!:" ri:i.i!': t:q tr t - --
PAylErT xrTBoo: lclsn Icxtcr (PAyArLr rc u{c )
,p' GAs t(t.: -'.-..r,> I lr, -- ].
arrr q r(Ar,r
Expptss
f "<zrrro f ors-:,, -
,o*:, i2-15 orrr.r^,
App^ovaI:- City
!:
1
acrs: r:_lQ!
u:'\' w,
lai e: )23\
tLooo:
-
Y err*tft.
^ -" - -"--^- -
Co,:r_ent l
i-r,.r". o,te :
liSfz<
PERiIT tEE:
t
1E
BLOCX t: rOT r: :=---------l
EnaILADoRE5S:Fi;t'.q;E-:^-A;------ -]
PfiOrE
s:
i1-- :- -l
lott- (loq?
lR.15 -::,lz,j
j,q.
NEI,I HANOVER COUNTY
BUILDING PERMIT
APPLICATIa rypf
I RESIDENTfAL
pr[as! r.'{.)iEI arL Qut9ilrats ApilIcABLa To yojt pRa_]aaT
"p.oje<t Responslbllitf,
AFP::CA\T'5 l\.A}{E:
OEV€ LO'i'Fi :
9RO.lrCt AoDflF55(17Y:
Prioar€
r:
--l PHOT,JE
$:
APPLICATIOiI
lluiDer
(offl(. u!.)
DArE::--r'r--'-:r-'l
SUBDIVISIOI{BLO(X
,: LOT t
PROP€PiY O{NEfl
'S ITAT€:
(lilllE R,
S ADOR€SS
CO'{TEACTON:
AODR€55:
EITAIL ADORESSI
PRoltcr corri.c r PER50 ;
.IIY:
LICITEE ,:
=i-:lCIIY:
PHOITE $:
ST:
ZIP: =:i
Exrsrlr{G aoNsrRuc;rox:
I aLrr RAT]ot{
f] newuatror
I crrtnal REp^rRs
f Rtro(ATIOfl
N€}l CO\isrRUCrrOr{r
] rnecr flEr &EsroEilcE
or
I ADorrror
ro ExIsTrr{G REstoEtcE
..ratlsE cHEcx alto altSrtR 8Et-oJ aLL Trut ar9ry T0 y00t pRoltaT:
lJl a-r 6ARA6Esf LJ oEr
GARAGE SF
Jl PORCH
lu iSF
STORA6E SH€O
_f-l swroor
-sF
I coor
-
sr
I e nremosr
-
sr f-.,1 otcr -- s1rrER:
SF
SF
TOTAL HEATED
5Q Fi:
TOTAL PROIECT COST L-' r-ar : t Fi.': *--l
IOIAL SQ FT UiOER R@F:
--iF-..-.-- TOTAL AREA SQ Fr: ::=-J
f OF STORIES:
I! Any EIECTRI(AI, PLlltBIl'iG or |4F(NI
aICA! l,Jo.l 8e1nt oone
to the A(aesro.y Stru(turel Yes fio
If th€ project is
, Reloaatioo,
is there a tlatural 6as Llne on the Cur.e.t Sj:pr Ives P lo
Is there
Ele.t.i(al Power :r thrs Burl.dlngl
ff YesI NO
PROPER;Y
USt
/ ocCueAI(Y:
Jsr';ctr rarr,.v [ rucr-rx
f To./{HousE
DESCR IP'T IO OF hOR(
a
,'SCJrv_, i':i-. ' *r,rr:lrc j:
''rra-: :vir !': :r i+iiisi,rt{f v.raro. ol Lr. Nc
sl|L
516 ATURE:OTN E R,/ COI.I T B
AI TOR I
rs rHE pRol[Rry LocArED rn r rlooorutr? l]]] ves
txIStIrS IllPtRvlo{JS Af,EA:
_SQ FT
llEll IIPERVIOUS AREA:
_ SQ rl
i,.i. '...i"..!. t.,, r.
T NO
TOTAI. ACRES DISiUR3ED
EXIST LAI{D OISTURBING PER!]T fE_t res
[] m
HAiER:
A c.pua
f c.$$1uirt w s"srrn f] pRrvaTE !,,r€LL
f] cerrrur wrlr-
! comur i rv svs-r:aSEIiER:
cfaiA
f cEirrRAr. sEpTrc
[] euvlrr see;tc
.'. )1r,.
i r,n:_:.,:-i.:,: ::! rr':r ".4i,, Pi,B6,6ts EQ(i. pi.rr.i5 6 lx1ri.11 -'-
pAyFE{T
r{Erioo:
fl crs"
f, c"rcr (paY^B[E ro
rx; I oltnrc* txrrass f nczrrsl f] orscov:n
,fr(rox
o!:Iat rrst drtY)
s?rBAcKs: r: tdt tr,1.{.i nn
:orr. iL,s-crr:crri,
Apo.oval:_,
_- CitY:
L.i]r r'B:
BFE+2+l--
ir,.". Dorr' lr
15J,5 FLmD;....-_-t---
PERI,IIT FEE:
,
/?o_
ir-l,..-;rt-_l
PIO8E *: ll:;::iri--l
l
I
ls g&oa
Qots- lto;l
ffi
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICaTIoN
ryPr; RESIDENTIAL
PLEASE ANs}IER ALL QUEsIIONS APPLICAELE TO YOUR PROJECT
"Project Res pons
ibilit}/,
46"
APPLICATION
Number
(Offi(e Us.)
,orp.
l/-yl-/JAPPLICANT'S ilAfiE :
DEVELOPER:PHONE $:
PROJECT ADDRESS:
SUBDIVISION:
CITY:
LOT #:
,a, @, /,
BLOCK
#:
PROPERTY OWNER,S iIAIilE:
OWNER,S ADDRESS:
PHONE
S:,/a-3
,5 -./7,j I
4)
CONTRACTOR r
ADDRESS i
PLU|48I 6 or |,IECHAI{ICAL l.lork Being Done
to the Accessory
Structure? ffi V"r E
a Relocation, is there a Natural Gas Line on the current Site? ! ves F,o
CITY:Stt /lL<ZtP I
JLta //
LICENSE
t: lv
CITY: L sr:^4!zIP:
)VVt/
NO
E*o
TOTAL ACRES DISTURBED:
_
EXrST LAi{D DTSTURBTNG Or*rrr, 5 yrS l--l HO
lec
Is there Electrical Power on this Building?
[iv"r [ruo
PROPERTY USE
/ OCCUPANCY:
DESCRIPTION OF l.llORX:
sTNGLE FAMTLy
! ouelrx
fl rowr,lrouse
15 THE pRopERTy LoCATED rN n rlooonurrl
fl vrs
Exrsrrr{c rupERvrous mrn, --;!l sg rr
/3
EI"IAII- ADDRESS:{1Ov( pror'rp *,
PRO]ECT CONTACT PE
, )tt ^t vat A (5t v <.--PHONE tr:
f/d'J ?v-<*Ys,
wEXISTING CONSTRUCTION:A
LTERATIONRENOVATIONGENERAL REPAIRS RE LOCAT
ION
NEI.J CONSTRUCTION:
ffi r*rcr NEte REsTDENcE
or
!ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANsI./ER BELOW
ALL THAT APPTY TO YOUR PRO]ECT:
Arr GARAGE
-
sF I orr canncr
suNRooM
-sF
! eoor-
-
sr
tr
w
PORCH SF
stoaaer suto
)y'6 SF
SF
I oRrrruHousr
-
sF I oecx
5F OTHER:
TOTAL HEATED SQ FT:
-
TOTAL SQ FT UNDER ROOF I E,/4 ToTAL AREA SQ FT: +7A
TOTAL PROJECT COST tress rort : $# OF STORIES:
a
F
s
I5
Ift is
a
DISCLAIMER: lherebyfy hat all inbnn6tion ,n his applica[on is cofte€i and all work
willcomplywih he StaieCode and
alloher applicable SlaE
and ordinances and regLrlaiions. The NHC Developmenl S€Nices Center willbe nolilied oI any changes in ihe approved plans and specificEtions orchange in coniracbr or
coniractcr inbmaton '"NOTE Any work dormed W/O he AppropriaE Pemils willbe n Violation of the NC StaE Bldgand Subiecr b Fines Up To $500 00"'
O[,JNER/CONTRACTOR:SIGNATURE:
l)* r( )t,* ,i + *,*rt* * ** )t* *,t )t,t ,t
)i+ + **+ * * !i+,* *,t +** )**)** *++,*
*!i* * * ** )i*
**,*,t,f * !t !t )* )t
*,t )*
*,t** )i** * * *,t* * )*
*,r,r * **
NEul IMPERVIOUS AREA: *lt'5Q FT
WATER:
E CF PUA
SEWER :
f] CF PUA
COI4I'IUNITY SYST
CENTRAL sEPTIC
m
F
rm
I enrvare wer-r-
! cENTRAL tntELL
I enrvare seerrc
! coMMUNrry sysrEr4
+TT SEPARATE PERIVI]TS REQUIRED FOR ELECI, I'4ECH, PLBG, 6A5 EQUIP, PRTFABS
& INS€RIS *TI
pay ENr f,lrrHoo:
[l casn
I cxecK (PAYABLE ro trc; I anrnrcax ExpREss
E ,./rrso I orscoven
)*rt)t**rt* ** )i)*,*)t** )*+*)t,t** +* r**,t * !t,t,t *)* )k
*,t * l. + rt,l +lr * i r** )i * * *,+ +* ** * ** )*)k* r*)*** * ** * * * )**
*)t** *)t*)* * * *:*
'r '*
ZONE:
-
0F FICER:
(foR
offlct usE oNLY) RIVISEO oATE 04111/12
SETBACKS: F: LH: RH: B:
Appnoval:- CitY:- DATE:- FLooD:
-
AVII
BF E+ 2ft=
Comment:
ny ELECIRICA
PERIi'IIT FEE: $
,EftM
K
cih
, D{5-
l!-&oq
APPLICATIO'I
i&lftber
llosy
^&.d{[4Y
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI?N rvp;: i ESIDEi{TIAL
p!.F^5E r|lsr:ro ALL Q!..]t.:-:a!! APpLICA6tE r0 VoUF f30lF(T
"P.oject Respcnsibility"
LIC€NsE f: 1:'.\?
CITY: ii.:'::.'r::
LOT *i _
PtloHE f: -i: i r;:-?.i6;
DEVETOPERT:1rd
PROIECT ADDEfSS: ;,t9 t ..,-':
SUBTMSION: u. t..: : '. .. -..ELOCK *:
PRoPERTY dr.ll{ER'S Nii{E: 'r'r:
::
N]{R'5 ADDRESS:i....I :
C'TYi iirLrninqto,':
ADDRTSS:
PHal.ir f :
ST:
!l: ;iP: :-ar-ir,l
Sl: jj:_ :ri,: ;:.r j
PlOllE f: Jt:t jl: iil!
PHOl.lE f: !r. .rrr .-r;:.
EfiAII ADDRE!S:
ExrS-rrR6 corisT:uarrcN:
:l aL.nq.-.0,{ :] P:}lovriil.)ri I t,li,rli,rr ntc . ; I P'' ocaTloN
[Er4 CONsTRU(Tronr
I rrecr ttW REsTDFNaE o"
f loolrlol To ExrsTrl!6 RESIDEIcE
"PLEASE (H['K ATO AtISIi;:q 8!101,{ AL! TTiAT APPLY TO YOUR PRO]I'T:
I errruaousr:L- sr f oecx
NII
6ARAGE 5T
f, suHrcov
--
sF
irl oi; canacs sr f]eoncx
--
s.
il ooo.
-
sr D s-::' a, s-: -;
SF OTHER:sf:
TOTAL BEATED SQ FT:
i TOIAL 5Q Fr UNDER RoOF;,l i -- ToTAL AREA SQ FT: r.':
TOTAL PRoIE(T COST .'=.,or, : $ r;F" # OF STORIES:
Is Any ELECTRICAL, PLU{8I{G o. !{ECllAiiIaAL tlork 8€lng oone
to the a(.e9sory Struaturt?ves
I ro
If thc project
is a Relocation, is the.e a tlttx.al 6as line on the cu.rent sitel f vrs [!] Hc
f flc19 thc.e Ele(trica.L Poue. on this BuiLdinSi
pRopERry usE
/ occuPru{cYr
I srHcLr rnmrcv DUP LEX
I roluousr
oEscRlp1roN oF lroRl(:- .bu:
iirrrr r:
O|SCLArv:i
^-_5tr^"'" - -r-':l
nndo,t,ihr^-'j.ndle.j,',,,.1,'|.1....'..
acnt&br ri:.':!^. "ri ir
' ',.ri,alrl.r' -
I i:rtrr(i .'r!
' ':,j r
:rr ir. n rr .
SI;NATURE
r jr r::r"..
// ,7 -/OH
'
R
/ COI,JIRACTON : .
I5 T}IT
"iOPERTY
LOCA]ED IN A FLOODPLAI ?
EXISIIM IilPERvIA.lS AREA: ti_- SQ FI
NET,, ITPERVIOI,9 AREA: ,' 5Q F.I
\,
,$\
./
{ n-(
YE5
Fl@o: _
rArER;
I crpua LX cor',rux.i'v svsrrr' IPRrvrri l,lELL
f crHrnnl t+rlr
sENrR:
D crn-ra
I cEN-lr{r sEpr:a
! rarvarr r:a-tc f] (a}1xuN1-: 5}i;rl'4
.1\ r,'ili!jtrt rri,:1 ,:rt ,iia,!ltlfr fti Et!(i. r.ti|i, PtBC. 645 :ttrlii, ;rtil;l8s & Iti5a?-r: 'r.
paylfEMT,(rTrpD:
I cls, [c"rc^ (PAYAELE ro
rrcl f, ere*tcofl rx"*rss oalurto n
TOTAL A€RES OTSTURB€O: 4
EXIST LAND D]SII.JRBIIiIG PERI]'T
Ll,l: ir. RH
YES
!i"1 m
tt:icorER
r Rt!J1!) a,:: t a;/ r; I1l
oF: ;.:.i:TSACKS: F8: ",
a
,u
I
l.ri lur.!
app.oval
.o,*un.'X [ir'f f
y' sre*:ft=
l{
PERI,IIT .EE:
t,-i
N: ffir(Ji "i,iu"-
1 lrrrtr5;1..\
,- k{,!l^i,*. ?c^Q {
I'ilc,^(( lc
G,.-J fxrr
*-;-{( l'a(.
I
$
I
1f
ATPLICAIIT'S MI{E i :.:.r.,e 1.. lir..-- DATE:
l:'::.:.':',
CITY: ll:]".jg!!l__ ZIP: 2&1J,r
CO IBICToR: l,ii:' i lt::.!jtLtrLi.r:r 5 (:.:r:'il.iixq ac.
t1:-: : "r '' -' ' ::
pnOl[CT CoNTACT P[R50 : !-:i2,{:]::rll-
cih lI-&oq
AoD-llo-}/
APPLICATION
Number
(Office Use)
l NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSWER ALL q.]ESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResponsibiLity"
APPLICANT'S l{Al,4E: ceorqe F. Keenan
DEVELOPER: n/,a
PROJECT ADDRESS: 249r Greenwell crt
SUBDMSIOI{: wrndson Estates BLOCK *:
PROPERTY OflNERJ S t,IAfiE :
oUltlER,, 5 AODRESS: 2497 cr.eenlre1l crcCITY: l.Jilminqton
CONTRACTOR: Keenan Construction & Consultinq Co. LICEI'ISE *: ?1552
ADDRESS: 542 Lar,q l,eaf Acres DrCITY: r,iilminqton
PIONE #:
LOT *:
-
PIONE *: 9t o-39s-2466
ST: sr zIP: 28409
sT: Ig_ zIP: 2840s
EMAIL ADDRESS: cle
orqe,okeenancc . com
PRoJECT CONTACT PERSON: ceorqe I(eenan
EXISTIT'IG CONSTRUCTION :ALTE RATlONRENOVATION
I crruenm nrearns
!RELOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADOITION TO EXISTING RESIDENCE
r''i'PLEASE CHECK Al{D ANSIIER BELOW ALL THAT APPLY TO YOUR PRoIECT:
PHONE *:
P}ONE *:
910-395-4970
910-23r 5323
ATT GARAGE
suNRooM
_sF
GREENHOUSE 6O
SF
SF
DET GARAGE
-
5F
POOL
_ SF
DECK SF
n PoRCH
_SF
STORAGE SHED 240
OTHE R:
SF
SF
TOTAL HEATED SQ FT:
I TOTAL
5Q FT UNDER ROOF: 3OT TOTAL AREA SQ FT: TCO
T0TAL PR0IECT C05T(ressroo : $ asooo * 0F 5T0RIE5:
Is Any ELECTRICAL, PLUIIBING or iIECHANICAL work Being Done to the Accessory Structurelves
I tlo
If the project
is a Relocation, is there a Natural Gas Line on
the current site? [ves I no
fs there Electrical Power on this Building?EYes I No
PROPERTY USE
/ OCCUPANCY:SINGLE FAIVIILY
! ouerrx
! rouruHousr
DESCRIPTIOT{ OF WORK: The deEeached pool house burned doL'n and we are re-buildinq it
I
DISCLAIMER lhereby cerrry rhar allinbmation rn tis applrca[on ls coneci and allwork willcomplywit] fie State Buildinge and alloher applicable Slats and local laws
and ordinances and regularions The NHC Developmenl Services Cenlerwillbe notlied ofanychanges in t'e approved p
conrracrorinbrmalon'-NOTErAnyWorkPerlormedW/OlheApproprialEPermliswillbeinViolalionoltheNCStaE and SubjecF
00""
OWNER/CONTRACTOR:
ceorqe F. KeenanSIGNATURE
** ** *,t,* **** ***{( **** *** *** * *(Ii'Ii }i11
rs rHE pRopERTy LocArED rN a rlooocurrt fl vts
EXISTII{G IIi,IPERVIOUS AREA:
!- SQ FT
NEW IMPERVIOUS AREA: O SQ FT
WATER:
SEHER ;
)* )k
**** **** * ** )*)*** **** *** *** ** * **)t *** *,*,t * **** ** ** **
I NO
TOTAL ACRES DISTURBED: o
EXIST LAND DISTURBING PERHIT:
l-'] vrsI NO
(FOR OfFICE U5E ONLY) REVISED OATE
O4l11/12
SETBACKS: F: LH: RH: B:
BF E+2ft-
N
I creur
ffi comururw svsrna
I PRIVATE I^]E LLCENTRAL WELL
! creur
[t cerurnar srnrrc
f] pRrvArE sEprrc
I comlutrw svsrrm
*I* SEPAITATE PENI1ITS NEQUIRED fOR ELECT, I,IECH, PLB6, GAS EQUIP, PREFABS & IiISERTS ***
I casH
I crrcx (eAvABLE
ro r,rHc;
I lt,trnrcar rxnnrss
E t./vrsl E orscour*PAYMENT l'IETHODi
************************,t**********,********************)*****************t(*,f,i,i***,*i(,*****,r
ZONE:OFFICER:
Approval:- CitY:- DATE:- FLOOD
AV
comment:PERMIT FEE: $
OATEi
La/1r/2075
CITY; lilgi!g!g!_ ZtP | 284ae
RECETVE0 iloY
12 m
I{EhI HAM)VER
Cq'ilTY zuIU)TilG PERIITIT
PPLIcAfi(N TlrPE: RESIDEIITIAL
PLEASE
ATSTEi ATL QUE9TIOI{S AFPLICABLE ro YON PROJECI
Troject Responsibllttf
s
CTTY:
BLOCK
*:
CITY:
Ir.(rh\c.q lzr sI: .ltg.zlP :
U(YJJ
is -3aeq
,]CtS r/C?O
APPLICATION
Nutber
(OFflce Use)
APPLICANT'S NA}TE
DEl'ELOPER:
PRO]ECT
suBDnfisro :
PROPERW qNER'S I{AI4E:
OTEIER'S ADDRESS:32
CONfRACTOR
ADDRESS:
EiIAIL ADDRESS:
.J
DATE: //\-)1-
pt{g{E *: <l lt, . ,lrt
^,
- t
ztPrJ 8r tl?-
--\
LOT *:
PIONE
#:q to -Qtb-a75-z-
srt&zp:z K/tl
PHot{E
*: 9to -qvt- izi q
PHsnE
*.q/r: 7?t - z >t L
*/;a1L
CITY:/ rv'-
PRolEcT G(xlTAcr PERsot:
Vra i0y'S-1r
ll/)
Exrsrrr{G €o{srRUGrrot{:
fl elrrurroH
fl nerorarrox
I errenar- REpArRs
E RELOCATTOT
r{EH
Go0{irRlrcrrotr,
s eaecr r{EH REsrDEt{CE
o"
I oorrror ro ExIsrrIrG RESTDEI|GE
'IPLEASE O|ECT
I:IATT GARAGE
A[) A'{SIER BEU}I
9P-t sF
lnonor
_sF
f] sromer sHED
_ sFI sulnoom
_ sF f] roor_
_ sr
[eneeruouse_ sr I oecr
SF OTHER:SF
ALL TI{AT APPLY TO
Y(IN PIO]ECT:
I oer elnaee
-
sF
rs A(y ELEcrRtar, purtsIrtc on r|EcHAtrrcal r,ork SeinB DorE
to the accessory structul.e?
[ ves I rorf the project
is a Relocatlon,
is there a NatunaL Gas Line on
the cuprent
siter fives finors thene Electrical po{er on
this Building?
f]ves fiuo
TOTAL HEATED SQ FT:
TOTAL PROTECT COST asss r.o
: $
PROPERTV I'SE ,/ OCCI'PAD(Y:
DESCRIPTIo 0F HnKs
DlsCLAiaER lhsEby cenity O3i a! hblrnslbn
€nd ollhances a|d lEgulalbns The NHC
comracor hhmabn- -llOIE: Arry
(x.fftlER/d)ilTRACTOR:
+:.:1.+*++:i,t++++++ +++*
+:i+
mDER Rd)F:
fll Ytrorol AREA
sQ .r, 5) I Y
* OF SN)RIES:
TOTALFT
f] rowurouse
L-
E coflrctdld
d ryork wtI coflipty wlfi fle SlaE &rltstE Code dld d o0l€r ep&6bE StaE end bcal lavrs
ConEr wlll be notlEd of any chsn0es tn tla appoved pt6ns sndspecificatons or chaEe in
contracbr or
TlePe.mG wU b€ h Vb&r ottlo NC
$8b Bdg Oode
ald slrq.d b Fn€s trp To SS0O.OO-
SIS{'TTURE:
TOTAL ACRES DISNNBED:
IS IIIE PROPERTY LOCATED IIT A FLq'DPLAT ?
:itl.t:at*irt+:.:i,*tt+tata+a:B++tta:ttat**+t+:ti*arai:it*++tt:i:ts
LJ YEs
Ll ro
EXISTIIG IPEm,r(xE IREA:
_SQ Fr
llBl IPERITI(NIS InEA:
_SQ Fr EXIST UII'D DISTURBITIG PER}TIT:
fl vesi()
t,terER:
I crara
I co]rflr{rry svsrurt f,} enware uer-r-
[ cE TRAL rdELL
s&ER: ftf crrua
I cEirrRAL sEprrc
I enwere seerrc
f] co]tlulrry stETEl4
PAYMENI IIET}OD:
E clsx f]orecr (PAYABLE
m rHc)
f]AI'iERICAN EXPRESS
il HCIWSA
tr DISCOVER
*:it**** it,l,t****l**,1*******,| **l++ll**+***r.* l++t***+l*t*+*******+**+**,r***:t***+l ,t !t*:t :a:****
*'l
(FOR OFFICE IISE CTLY) RE\NSED DAIE 94/11/12
zoNE:
_oFFrcER: _ SETBAC(S: F:_ LH:_ RH:- B:-
Approval:- clty:- DATE: FLooD:
-
BFE+2fE=
avlt
COMNENT: PERITIT FEE:
,.f-'i\,,
iffi;
t
n
ICETISI
t,U(a-.i ,i, I -{-J.
i, )
NEW HANOVER COUNTY
BUILDING
APPLICA|
IaTI
npE: COTTTIIERCTAL
pERlirrr
W{ {5 ^27+2,,
APPLICATIOII
llunbel.
(Offkc lrs.)
,,1
;;)/
PL€As€ Ar'rS*Et
ALr QUESrIoIS ApplICABtE rO yOUt pf,O]ECT
"ProJcct Rcsponstbltit/,
APPLICINT, S tlA''IE;
DEVELOPER:
5u.-.?x.ltor
PXOI'IE
f
C ITY;
pH@.lE
CITY:
LICEr{St S:
?|CSS-- t1 ,1
V',;
CIIY:
o,r:* qf
zsl6
t
llo.Lzz rsBD
PRO]ECT ADDRESS:
OCCUPAI{T/8USII{EsS tlAfi E :
PROPERW Ofl ER,s iIAItE:
crme r'S mOntSS:
2D
zr? |
2*412
*t nto.4*LL18&
sT tNL zt?
t24;41L
sft auzr?t agaot
Pt{o E St
4t0.8 7.BS1
Pl€r',E
r: 1t
o.tzL.t{60
I
tY-COMIRACTO
ADDNESS:
R:
0
ETTAIL ADDRESS:
PiOJECT CO TACT
+-<r*
Extsr cor{srnucrror,
S arrrmrr* 1 ,.#i'i}l'E?Jil.^,- nernrns
f} rErocArrq{
ll R€locetion, is there s N8lural Gas Line on the Currenr
Site?
fl""t E tto tS SLDG SpRtttXf EneOf
I Ves
I lo
t Ell cot{sriucrroff:
I enrcr €]t gTRucruRE
p rasr rnlcx
fl sxrr-r-
[ urrrr
! oo ro Exrsr srRucru1[
ACCESSORY STRUCIUiE:
rf UPFIT
- The
Shell Permit *Is Elect Poxer on thls Building
! v"s I r'ro
.rr.r IS TBIS A CHANGE
oF O€CUpAll,Cy uSrl [wSIF Yes, utat was the pr€vious Occupancy Type?
_ lrhat
ls.ncy Type?
ATCH DESI@I PROFESSIq{AL:
EIIGf, DESTGN PROFESSId{AI-:
PH:
PH:
C RE6
{:
flc RE6 '
DESCRIPTION OT hORK:,\
ls tood or beverages trepared or served io
OWNER/CONTRACTOR:
(qd.i.d
RE:
NoGj DarmIlio{l not icrthnt & lsbeslos Gnov.t p..m! qptk8lioi! rr. to
b. s$l?$ncd ustoo tr rpptkrtbn fodr (tliHs.
codaid Asbatoa o. no!. Yol]
t.e reqd.ld to
c.ll $E t{atlooa,
€mbsioi stsnda.dt h. tla:.r6oor
Al Po dahts {xESHAF) d
deftDfi'tio o{ eny frct[y o. b0i!hg- Slc A3b6noa Y6 Site: lmpy,X,rt{..pi.rllte.rr.us/cpylrbe6roqi/lhmp.lnrhl
(919)70r.59s0ar
hciliy or britdho wrs
hrn to
lead 10 6rys p.ior to
tie
l.t*l
4
TOTAL AREA SQ FT
TOTAL SQ FT UNDER ROOF:
_ # OF STRUCTURES:
ACRES DISTURBED:
Exsr LAND
DtsruRgrNo peaNrll f]yES E No
NEW IMPERVIOUS AREA:--SQ TT EXISTING IMPERVIOUS AREA:SO FI
fi*.....
thd'ftcn occup
BUILDING HEIGHT
SQ FT PER FLR:
pRopERTy usE: norrEE Dnesreunarur [uencer.rnr-e
I
WATER:
SEWER:
,f.<EFPUA TICOMMUNITY SYSTEM T]WEU.
ft:reue fi cexrnel
seerc E p-RvArE sEplc
Eurc flAPr
floomo oruex!fus,lsfug
flzoNniG usE ct-AsstFtcl{TEN:
flcoMMUNtTY SYSIEM
-. SEPARA-IE PERMI'S REOUIRED EOR ELECT, MECH, PLBG, GAS EOUIP, PREFAAS 6 INSEFTS
-,
PAYMENT METHOD:
ICASH f]CxeCx lerVAAE rO NHC) flAuenrceX A<nReSsIorscovrn
(FOR OFFTCI USE ONLY)REVTS€o
DAII 4n 1/!2
ZONE:_OFFICER SETBACKS: F:_LH:_ RH:_ B:_
Approval: City:- DATE:- FLOOD:
--
_ BFE+2ft=
AvN U,UComment PERMIT FEE: $
TOTAL PROJECT COST:
' OF UNITS:
f OF STORIES:
* Or FLOORS:
-
B*o
#
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATT1N rYPE; COIIMERCIAL
pLEASE AllstEf, ALL QUEi_:ats APPttCASLt rO YOUR PRo]GCT
"Project Responsibility"
)ot>- rta;i
APP i]CATION
Number
(offlce use)
aPPLlcrrti]- '5 M,4E: Tribute Cor":l'u:lion DA'rr r 'l'1.3.20'15
DEVE LO? E R
Same PHoNE *: 910 251.5030
PBOIEi- ADDRESS: . .. ':. .; t- - te
occUPAr'lT,/EUSINESS N$ir: Sea Pines Aoadments
pptprpr! oHNERrs ll HG, sea Pines A!2arlments LLC
( i -l
col\ r frA(ToR
ADORESS:
Tdbule ConslJr.llon
cirY: Wilmington
LrcEr.rsE r: 60001
cITY: Wilminqton
nnoHe e: 910 251.5C30
sr:
Illl zrP: 2M03
sr: NC zrP: 28403
exore *r 910.!51.5C30
PHONE 8: !' '':', ill:'l
10 S, Card nal Drive
E frAr L AoDR ESS
i bkai-"rr@tributeconstruction.com
PRO-TE'T CONTACT PERSON: BT|AN KAiSET
((:
I ! A:l rn.r a!r!r)
EXIST CONSTRUCTION: i-I ALTERATION REttOVA I
l0N
fl cerranl aeparns -.l RELocArroN
i* !ruu rsetoo..qiNxr
=-.r:tf ve"
.nd ti..al l3rs an6 o.oln6ncei . reo.. ., '"c \H: Oeveloomen! os Cenrrr walbe no!fied ol ary .. oes 11 lre . ' .cveo oLns dnd soc(],,cdLio.su^ , rn' Any Wo,l
P | ,\, w'O lhe Ap!,opr'ale Pe,m'l: .. .
Itr.rl V'olr''
', rhc \C SLa'e Bldg Code and
SubJecr-lo Frnes up ro5500 '
11 Relo@tion. rs there a Nalural Cas Line,)n lhe Current Sile,\o
NEH (ONSTRUCTToN:
f rttCr r,Eli STRUCTURE
Irnsl ln,rcx
f sxrr-r-
] ucrrr
] loo ro ExrST STRUITLTRE
ACCESSORY STRU'TUR i:
If UPFIT
- Tre Shell Per0it fiIs Elect Power
on :l"is ELri.lding El Yes I llo
IF Yes, xhat *a5 the Prevlo!' Occupan.y Type?What is the Ner 0::,rpancy fype?
ARCH OESI[Ii 25.OF5S5IOIIAL:N/A NC flTG E
ENGR oESIGN PROFESSIOIIAL:
l. n
DEscRrprroN oF hoRK: See atts:hed summ
ts
tood o( beverages prepared o. se{ved in this str,rcturel
f, ves
[ ruo ls The Property Lo€ated ln The Flocdplain?
f Yes*o\
OWNEF,/CONTRACTOR:
(o,f,rlL.)
Brian Kaiser
rorAL PFOJECT
COST: $32,500.00
SIGNATJRE:
Nor6: O.ddilor iodtt6ia.5 & !sb€6r55 :6.r oval i4m h a;9lhali3ns .rB ro t r s!bnr0.d !sin! tD apy'&rton t :
m ionH5 -
117,5)
wtstr. $'s hailv o. lllali! rrs loi/ri to
conEln Aibclbr o. not Yd !r! rcqrlFd b c.tr rhc N.tlonll Embllon S-E rtt.d! lor rllzsdols Alr PolldanB I{ESBAP) .l i91 9,70, 5950 El 1.661 10
&y! ,.lor lo th€
d€Mrithl oaany bCllty orOlll5h9 So. Asactlts Wob
s]lo '_ _..--:]'a,
BU'LDING HEIGHT
SQ FT PER FLR:
r oF uNris 12
TOTAL AREA SO 7,494f OF S'I
ORIES
# OF FLOORS:TOTA- SQ r UNDER ROOF: P 2l':
ACRES OISTURSEo: N/AEXSI LAND DIST1;RBING PERM ]T YESNO
NEW lMrll:iVlOUS F F:r'.N/ASO ff EXISTING IMPFRVIOUS AREA:
2
f OF STRUCTURES| 1
pRopERTy usE: floFFrcE trnesraunen-r fuenclmLE
wAlEn ,EcrPUA E COMMUI.iI',', SYSTEM
f] WELI-
SEWER.
ECFPUA ]CtMTRA SEPTIC JPFIVATESEPTIC
SO Fi
flsouc ffiner [-]mroo orHER:-
-zoNrNG usE CLASSrFlcAroNi
E coMMUNnY SYSTEM
RE._-^r_ 0r- .lt vt2
PAYMENT METHOD:
f]CASn I CAaCr (PAYAALE TO
NHC) f,eMentCen eXeRrSS
f] t'lCrutSn0rSCo'.r; r
rrrcen:
{n'.ilzoNl
Approval:City: i- L r^ DATE
ment(v
)1
Corn PERMIT FEE:
$__
iret+tr
oHNER's ADDREssi 10 S. CarCiral Drive
r.... rs rHrs A cHAIGE oF occupAlcy usE?
[vrs f,! x, ."...
PHItIC REG f:
Arr._, - l'iDt,l
prnmrr?Et1#Bt
PLEASE ANS}./ER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
appLrcANr,s ult'r: Tribute Construction, lnc.
crrY: Wilminoton
PHoNE #: 910.251.5030
ZIP: NC
PHoNE f: 910.251.5030
sr: NC zrP: 28403
sr: 1,,19 zrP: 28403
PHoNE #: 910.251.5030
PHoNE #: 910.599.8130
DEVELOPER: SAME
pRolEcT ADDRESS: 4165 Hearthside Drive
oCcuPANr/BUsINEss NAf''lE: SeaPinesApartments
or,,NER's ADDRESS: 10 S. Cardinal Drive
Tribute Constructionlnc.
crrY: Wilmington
CONTRACTOR:
ADDRESS:
LIcENSE f: 60001
crrY: Wilminqton'10 S. Cardinal Drive
EIitArL ADDRESS: bkaiser@tributeconstruction.com
PRO]ECT CONTACT PERSON: BT|AN KA|SET
NEr,r
coNsTRucTrou:
! enecr neu srnucrunr
!FAST TRACKSHELL
! uerrr
! noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Penmit #
IF Yes, lrhat was the Previous occupancy Type?
ARCH DESIGN PRoFEssIotlAL: N/A
r**** Is TgIs A CHANGE oF occupANcy uStt Ives EnO -.---
Is Elect Power
on this Building
Ives Ero
what is the New occupancy Type?
NC REG #:
N/A
PH
PHNC REG #:
See attached summary
ls food or beverages prepared or served in
this structure?
[ ves
I no ls The Property Located ln The Floodplainz
I ves
[l lo
ENGR DESIGN PROFESSIOIIAL:
DESCRIPTION 0F 1,,/0RK:
DISCLAIMER: I hereby certfy that allrnformaton rn
and locallaws and ordinances and requlations The
or chanoe rn
cont6ctor or conlractor rilformalrcn. "'
Subtectlo Frnes lJp To
$500.00'"
lhis applicaton is
co(ect and all work will comply wrlh lhe Stale Building Code and all olher applicable State
NHC Develooment Services Center will be notrlied ol anv chanoes in rhe aoDroved olan! and soecillcelions
NOTE Any Wori Perlormed W O rhe Appropriare Permilr wrllb-e in Violalron of rhel'lc Srale Bldg Code and
...-.
(A€
for) (ftint
l{tm)
Not6: Demolltion nolifcadons & asb€oto€ rsmoval permk appllcatlons a€ lo b€ submllH u6lng lhe appllcalion iorm (DHHS-3768) whether the faclllly or bullding wa6 bund lo
contsln Asbssbs or not You aro r€qulpd b call tho Natbnal Embslon S'bndardi br H8zardous Alr Pollutanb (NESHAP) al (919)707-595,0
al le€sl l0 day6 prlor
b $6
demolilion of any iBdlrly or bullding. See A8basio6 Web Si!6: http://www. epi. stale. rc. us/epvasbesios/ahm p.
htm I
SIGNATURE:
BUILDING HEIGHT:# OF UNITS: '12
TOTAL AREA SQ FT :7,494SO FT PER FLR:
TOTAL SQ FT UNDER ROOF: 8.214 # OF STRUCTURES:
ACRES DISTURBED: N/A EXST LAND DISTURBING PERMIT?
I-I YES
N NO
NEW IMPERVIOUS ARE.,A: N/A SO FT EXISTING IMPERVIOUS AREA:
pRopERTy usE:
lorrrce Enesreuneln
luenc*trtle leouc E,qpr ECONDO OTHER:
WATER: mCFPUA
SEWER:
E CFPUA
SQ FT
flcoMMuNrry SYSTEM
flwELL EZONTNG USE CLASSIFICAIoN:
ECENTRAL SEPTIC L]PRIVATE SEPTIC f]COMMUNITY SYSTEM
PAYMENT METHOD:
lclsn lcnecK (eAvABLE
To NHc) EAMERTcAN EXeRESS
!tucnrtsa I otscoven
" SEPARATE PERMII S REQUIRED FOR ELECI \4ECH, PLBG, GAS EOL]IP, PREFABS & INSERIS ''
(FOR OFFTCE USE ONL'REVISED DAIE 4/11/12
ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B:_
Approval:- Cit},:- DATE:- FLOOD:
---
BFE+2fr=
AVN
Comment PERMIT FEE:$
NEW HANOVER COUNTY BUILDING
APPLICATI1N TYPE: COMIIERCIAL
APPLICATION
Number
(office Use)
oare:11.3.2015
PROPERTY OWNER'5 T.IAI,IE: SEA P|NES AOATTMCNTS LLC
Exrsr coNsrRucrroN:
fl ALrERArro*
5 *r,rJiiffi '[i ffr'ilL*or. neearns
! RELocArroN
It Relocation, istherea Naturalcas Lineon the -Currenr Site?
EY;ENo lS BLDG SPRIN-KLEneoz
[lves !ruo
OWNEFyCONTRACTOR: BrianKaiser
rOrAL PRoJEcr cosr: $32.500.00
# OF STORIES: 2
* Or TLOORS: ---2-
7fz t5-2a/r-rto7 t,
Pes-zq.u.NEW HAITIOVER
COUNTY BUTLDING PERII,IIT
APPLIcArI0tt
nrC: C$&IERCIAL
PIEASE
A}6IER AIL QUESTIOXS APPLICASLE TO YOTN Prc'ECI
"Project Re3ponstblllty"
APPLICAIIIT'S ltlAltt :cEp6 lvrD5
DEvELOPER I
pRolEcr ADof,Ess I 21 ,IA,J cr+^^E^j B.v0 ,J-
f lzt ClfY: \tJ t rtl4
rt C fts'J
occuPA r/BUSrilEss rArlE3 ASuAnl t/.HN.
Li-a ( o6t '/ tsfAPB uLtsn
PROPERW ol{l{ER,S IATTE
!
otflER,s ADDRESS I I zo9 Cc.vpeQ
LttE Ct]^tl 2_A
coitrRAcroR: ce.^tcDl*r YAah/,,|<?e f40@
tt ucE[sE *3
ADORESS:@CTT\Z l-4rt:z\r
be
OWNEFUCONTMCTORT ca,rctzLl^) lA0A^4 t \s.;ntil&tr SIGNATURE:
(Orlrb, (?tfttll'.)
t{ot!: Dt'roffim nodtlcatlorE I .aD.doc rdrovd p..rnl .erllc.liar. sr io Da tl.m[ad u.i], Ira rDollcliron lbrn (DfS6.3?S8)
cort h alarto5 or iot. Yo! aG rrqdrld lo cal tta t{ado.!l Etnbslon
slar.Llla
tr Haanh! At Po{l,lada (}Gstl P) r
d!|tr{tbn of dry bdtlty o. hddhe .
Slc Ast atoa WEb Sra: lnprhft!'v..d'lde,ic.rlrld,&..toa/lt tp.ffi{
TOTAL PROJECT COST:r BUll."DlNG
HEIGI{T: )<
FE€r f 0F UNTTS:
APPLICATIO{
ilurben
(Offtc. Utr)
o^r*
it/ t</b6-
)
wa dc s: 347
tlf 7
ue: zg(cJ
PK[{E
$: 1ti f2O 25
l,
sf
ttJc z[gt 2 7 609
ETIAIL ADORESS:
PROJECT CO TACT PERSd{:
Gr.t
tttt'lrf4daJ
ACCESSORY STRUCIURE:
rf UPFrT
- The
Sh€lI Pemlt *:Is Elect Poxer on
this Building E yes E no
*r..; Js rHrs A
crll 6E oF octtrpar{cy ustl
flws flio .....
fF Yes, uhat 5as th€ Prcvioljs (kcupancy TlDe?
Ltat ls th€ ta occup.n(y type?
AROI DESIGN PiOTESSIO{AL:
E GN DESI6I{ PROFESSIOI'IIL:
PH
: r,lc REG * :
PH: [C REG
*:
/rrra*rarr* oF hroR( :
b 6od orbevsra06 FBparod or sc od h l,{s lalIfiB? EYos
I Ho f fm ercpeny tood ln Ttre Eoodplatr?
flves [!ruo
vrilh tl€Code snd
PHOiIE
PK'I{E
srtgiztet ZE/,oJ*? 7g)
tl,?rrof
*,
J$ t!,-f2rat-
;ffi ltyi:x:,H,r['ft'i:l-F-:#'dF&il'l*,sr.x,"*tr1'.hTffi "*x*"
r{Ehr cor6TRucrrq{:
fl enecr ilEr srRUcruRE
! resr rmcx
! sxrrr.
! urrrr
I ADD rO Exrsr srRUcTuRE
d the
all o6e\. apPlhable
Sble
9laN End soecJrcatirfi3
NC St3te 8bg Cod€ snd
or hrbiie u/a! foirld !o
day! Fbr to
tr.
I
ACRES DISTURBED:
-
NEW IMPERVIOUS AREA:.L
D<sT IAND
DtsruRarrc renurrflves firo
SA
FT EXISTING IMPERVIOUS AREA:)-SO FT
pRopERTyusE: lorrrce flnesraumxr flmencnnnr-e
Eeorrc E]APr
EcoNoo orHEFt- cAtruNd:
wATER: [tcFPUA EICOMMUT{]TYSYSTEM EWErr EIZON|I{GTTSEqTSSF|CATTON:
sEwER:
E CFPUA
fl CEMTRAL SEPnC LIPRTVATE SEPTTC ElcotlrmuillTy S}srElt
* SEPARA'IE PERMITS REOUIRED FOf, EI"ECT. MECH. PL8G, GAS EOUIP, PREFABS E INSETE'-
PA\0,ENTMETHOo:
[lCaSx ECHeq<(pnveaEroN]rc)
flarenrcenocnrss fitucanse floscoven
m'.rr....frr.tffi
TOROFFICEUSEONLY) REvBEDoA,E.nfizZONE:-OFFICER:-SETBACKS:F:-LH:-RH: g:
Apprcval: Crty:- OATE: FLOOD:
-- -
BFE+2fi=_
AVt{
<IAR
TOTAL AREA SQ FT | ---2999-- sQ FT PER FLR:
-
TOTAL SQ FT UNDER ROOF:
-}gS}!2-
# OF STRUCTURES: I
fOFSTORTES: I#OFFLOORS: I
?)--1 r /-lc1- l>^
#
NEW HANOVER COUNTY BUILDTNG
AppL
I CATI oN
rr"F; CO|t{ERCIAL
^'o[r'l(
qb
PERMIT PYZ tZ
-?q,Zb
PLEASC AIS;te
all @Es.rl!'is
^rFLJCtat€
To yout ptcr,icT
'proj"rt R.!pohribility-
A' PLTCAT I O'I
fluobe.
(gffi<. u.. )
DAI| . r../t,,t-(.i:
ii-lvl r )')..,'..A?PLICAIT'S TU$l':
DEVELOPER:
LI
Ptlrl{E
*: .,'._,
;_ l.
Pio)ECT ADOf,ESS: .1,,^/) | ,/r\a iL- -.J 'I 2.t CrTY:ZiPt )<t , ?
PH0+iE
r: 'lrf ;:)
i 2;
(xcupAr{t/8usrNt5s iaArir: /r sl 4'-'
rn4-t LL. lO Si4,J3.ri-l5t \,34 " t
ot{tlER'S ADORESS: l2- ' 1'Pti 0? t,,F
clTY: !.,1t Ett rsr
tt\ztq|_l?J,, r
sI t glztp: ZELoJtt 7 9) S/,-
eiis-it ? lr? <l?,t1t-
co rRAcToR:
c€raznr YA?a,tttt7hF4oa, tl
ADoRESS:
Z1 JA.J alr.ttF^r E.t/0. ,Wn )21_
EIIAIL ADORESS: Ce
PEolECT CO.{TAC r P€R50 :
Calt 6,1t tl:
LICEiTSt
,:
CITY: w t._*1
Pt{oa{E
PHOIf
EX:Sr CO 5TRUCTIOf:
I ALTER.ATIO.T
A'r${Hll
It Relocabn is *ere a Nat$al Gas Line on lh€ Cui.e.r Sne?
E
GE'IERAL REPATRS
ElNo rs BLDG
s9Rrft
Rtr0caTro
KTERED?
E Ye5
E(o
Nrlr coNSTRUCrrOr'
f rrecr rEH srRuclrRE
! rrsr rrrcr
I ssErl
D UpFrr
ACCESSoRY sTRUCIURE r
I oo ro Extsr srRucrue!
rf UPFIY
- 'he Shell Perr:': *:Is Elect porcr on thls Eu::ding fl yes f nO
a cMltGE
or occ!,p^,tcy usE?
E yEs flr* .....
IF Yer, rtrt yas the Prevlo g Occupancy fype? _ ,{ti.t
is the fl€r Occupan(y Typ{
)
aRcH Dtsroi Ploftssroaut:
ETGR DTSIGJ PNOFTSSIOflAT:
Pu
PH
/orr.*rorrrn o, ,o**,
OWNER,TCONTRACTOR:
WATER: ECFPUA
SE$ER:
E CFPUA
: NC REG'
ri
I
t l')
b tood or b6rera0€i prepsrod
o soryod h tHs rructre?
fr yes I No b rh. progity torard h T€ Fooddlh? E ves
E lo
H:'glY"*;,5;1,.r*X'-:sHir.if;'e,yfffffi Hffi ttH#l$.f #ts$,"{mffi
H#ffiHdfjor cil.rn€ h drlrlds o. cof&nc1g /^rrF6:'o.1 '
sLor.ct F,rs up'Ic t!fi m'-
SIGNATURE:
IOTAL PROJECT COST: ?,::.
'.t I
C€/-t,ZPftJ
I
ir.ia Difr3l6o., rgrn(rjo/ri I &tscno3 |.io/t! ,fin! .prldus[ ... le
L rGrn d L*rt tl| .pdt
ttc. t ri iot+€.]r6al
co.tah AsD.ttd or rld Yo! a,r rrourt ra
cr! ilr Nltl(tl.l ErlErldr Sa.rdt Cr t, Harartd! AL pollr]"tr
f r€+frf; r pr e,
d6tolu1n 6r.r) tdt r,d Ddo.E S{ A3Dada.
V/*
$t mtlrdf, +itt .ir ui,hgyr!.aaa./.ayio]|l
i,c7,5ea
iiCry o :rgt *.c
l"rt ro
aad l0 oayr
,s lotr
[iE\,/ IMPERVIOUS AREA:
EXST I.AND DISTUREING PERMI]:I
E YES EI NO
SQ FI O(ISI ING IMPERVIOUS
AREA ; . , -
,,, C' rr
I
t-L'
F!\'rs:a IAT€ (1 Vl2
./
. r.l
pRopERT\/usE: f)oFFrcE flnesraunerr flNencaNnr-r
fieotrc
[err EOroo OTHER
i..i
trg$1l,qlryg1s]E[-EwELr f]zoNrNGUs€qsssrFrcrfloN:U CENTML
SEP-rc
L PRIVAIE SEPTC C COT4MUN TY
S}SIEM
-' :annF!_E Pfqv,-- aEa!. ra: t
o! aEC- y.: ar.. El.tBG.
cas €c!,lp. pFEFAES a tNSEFl
-,
PAYMEI..T UEi}ODfflcrsx f]cHecK (PAYABLE
ro NHc) EA,.{ERICAN E(PRESS ElMc-MsA florscoven
zorue: ?8 orrrceR:
Aoprwal:-_
IFOF OF9ICE USE
SElBACKS
oN\nr:l]\frx:
PERMIT FEE; 3
rns0ecltor, ROr,tutt00 \' i
(t-l i'g- 'vl
Commonl
FLOOD:
BUILDING HEtGr"'T;
.,r-,-. .,i I CF UNITS.
TOTALAFEASOTT: 7C
L',(- SO FT PER FLR:
TOIAL SQ FT UNDER ROOF:
). c
i-- #OF STRUCTURES-_#
0r rlOOnS: ---T--
TOFSTORTES: I
ACRES DISTURBED
a'\7€z t5-"^ol\--// c? g
PERr{rr
Pe S-Zq.Lb
'E lrB
NEI^I HANOVER COUNTY
BUILDfNG
APPLICATI0i{
rnf
; C$fiERCIAL
PLEASE AllSl',EA
Al[ QUESTIoIIS APPLICATLE To yotn PTOJECT
'Project Responsib1lity"
APPLICATIOiI
[umber
(offtc! Ur.)
otrEz
lJ/ /<^/2,/5-APPLICAT{T'S M E:(E^/6 lvt
o\
DEVELOPER:
PROJ ECT ADORESS:L1
,t*,.t c*^Ak^/BLv0 'Jetf lZl ClTYi \p t,rttbr C fl\')
PfiA/F- *t 3 ti
)5'4
f ?s
zt?: Z<+c3
PIIO
E *: <1
t1 5'2
?2,tt
STtIJL ZtP | 2?tc.)g
occuPAI{T/BUSI ESS NN4E?
ASLA' r-i1N. LLc (.084 " '
Si/|.,.) 3 u-.>} )
PROPERTY ON,$TER,S tA E:<€Ho"v!)Qi
EIOIL ADORESS:c PtoflE
f :
PROJECT CONTACT PERSO :<e-r,t
tltl'/+f4dLLl pHo E *: ? 17 <(<'zr A:i-
ls tood or bsvsrag€s F.Frsd or s.rv6d h rfrb einrtre?
fiVesflNo C fte eroperry
Loclbd ln Thc Roodpleh?
[ Ves
Elo
t&ztPt ZE4aJ
39)
tleaxos-
DISCLAIHER: I hereby cedty thdt all lnforma0on in
thls aFplkation ls conect ard atttio.ft ndltco,hdy lvirh the
End local leyvs 6nd odin8Ees and requlallm3. Th€ NHC D€\reloprn€nl Servlces CenEr uitll be mlin& ol env
or ch€ncE ln codraato. 9! lodrador fnformalbn.
'-NOTE: Atry Woft Perbmled WiO tle Appropi8b Pemfu
Subj€'crlo Flnes UP To
55m.m'"
all olher appllcable SEte
plaos and soedficatjons
NC Srat€ Eldg Code
sl6
ot{IIER'S ADORESS:lzo9 casq 0ar/ecrw: D-A
L€I(,t-l
Co{TRACTOR: c€n/ctzh-, Ylrb,,ut97*F4o€dt LICEI5E *:
AOORESS: z7 Jtu .*r?rp 82'n. tW
lT t2
t CITr :W
tc*lteerOtu, 31
tdiCod€ and
oi ttle
SIGNATURE:
(Odh4 lP'ht '.)tloc: Darndljoo iotfilcrliorE & isbcdo! trlnovd p€rmn
appllcatdn .lt to Da al,bnrtl.d
'rlne
0t. .pdlcrthn lbrm (oHHs-3rs8)
cornah aleno6 o lot. You !.. rGquifld ro
crll fa Nal(,EI E nlrsho
$a frt hr |bz.r6our Ak Pollutlri.r 0GSHAP) ( (91r)707
datrbtithn of .ny lbdyo o. hrldhe. S€G Asbeslc Wbb Sn€i ftlpr,ll$r,od'ltno.r1c.rra/apu.a0..roa,,/$mp.mml
TOTAL PROJECT COST: :7,>
eof BUILDING HEIGHT: 2<
FE_€i f OF UNITS:
TOTAL AREA SO Fr
i Toco SQ FT PER
FLR:-# OF STORIES:
S
OF FLOORS:TOTAL SOFT UNOER ROOF:
ICOO #OF STRUCTURES
;ff xT:rH"':x;H,:r#'"'"T*F;i:Hj"fl ;iJ&i,i*',s';.g:o*H,#lTffi "",x,"
NEr{ cot{srRucrro ,
I rnrcr ilEl', srRucruRE
fl rasr
rucx
! sxrr-r-
! urrrr
fl oo ro rxrsr srRUcruRE
ACCESSORY STRUCTURE:
SOfi EXISTING IMPERVIOUS AREA:
ACRES DISTURBED:
-
NEw IMPERVIOUS AREA:
----?@--
CFPUA
CFPUA
WATER:
SEWER:
EI
EI
r-l@MMUNnY SYTTEM
r'lwEtrfi ctxrner- serrrc
I e-nvare
serrc
Exsr LAND
DtsruRerxc esnurn
I ves
[! xo
EzoNtilc usE cusstFtctTtoN:
rlcoirMuNnY sYsrEM
or bdEh0 wls h{rld to
day! Flor to tE
I
I
SO FT
-. SEPARATE PERMITS REOUiRED FON ELECT, MECH. PLAG, GAS EOUIP, PREFABS E INSEFIS'-
PAYMENTMETHOD: [tCaSH flCnrCxleeveaETONHC) flaMenrcetO<enESS
EucJvlsA fiorscoven
(FOR OFFTCE USE Ot'lLy) nEVEEDO TE {1r/t2
ZONE:_OFFICER:
_ SETBACKS:
F:-LH: RH:_ B:npprova,L-Cityr-DATEL-FLOOD:
--BFE+2fr_
.'..'?r-
comm"r,t, A ' Jr*rn raa,
s t1 't----)-\ -
,- t ':
,
rf UPFIT
- The
shell Permit *: Is Elect poUer on
this Buildlng E yes E to
.t.*r rs r{rs A cxltct oF occupAl{cy
ustl
fiws flrs .....
IF Yes, Lfiat res th€ PFevlous Occupancy Type? _ lftrt ls th€ tta Occup.ncy Typ€t
AROI DESIG PiOFESSI0{AI: P+i:_ r{C REG
f:
F[Gn I)FSTGI{ PdTFESSIO m: pH._ !. DEr *.
t-
X orscnf pffor oF tORKi CAF€ tu g ,ko,At{ t.ttv)a:r: . <i-,:naN( cq)n *^4 Hc; o\t,,,r\ .
hsi\yr Hcpithl5
OWNEF/CONTMCTORi a€P( t
Lt-fi^J L4ZAM
tts ;4d1&Ll
-.--./
pRopERryusE: Srrrce Enrsraunnrr fluencAr,rru Eeouc f]ner Econoo orHEFCJZlLt-o!).e€
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION TYPE I RESIDENTIAL
PLEASE ANShIER ALL QUESIIONS APPLICABLE TO YOUR PROJECT
-t107P 15-3lYo
APPLICATION
Numbea
(Office Use)
a
/
I
C
wATER:
El
SfWen:
S
t
I
ffi,,PRes pons
ibility"
APPLICANT'S t,IAIilE:
DEVELOPER:
tE</-")Tlcc-f/Ob
PRO]ECT ADDRESS:
SUBOIVISION:
L7)-b Lva.zc, cr /)( s11y.
PROPERTY OI,''N E R, 5 NAIiIE:
/ 2 "-/ an
-r'
OWNER,S ADDRESS:L
Urrtr
roiqct(1.-f*--
44-DATE
PHONE #:
1-/, r, n-
BLOC( *: LoT *:
PHONE *:
?/o 6/ G
)ldrl*y';c-zn,2y2o7
ICENSE S:/5>
)
CONTRACTOR:
ADDRESS:
7 c,/w
CITY:
E|'IAIL ADDRESS:
Jet-\a/u @
0/ST:
zlPt,cJToZ
ztr (v5Lu,A'r PHONE
*:
PHONE
*:PRO]ECT CONTACT PERSON:3r?rlE Ll:7rrE/r\
ExrsrrNc coNsrRucrroN:
f] arrrnnrroru [fR-rruovnrror
! crr,rrnnr nrenrns
! RELocATToN
NEW CONSTRUCTTOru,
! rnrCr NEW RESIDENCE
o" fl nOOrrrOU TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT:
tr
trn
tr
c.t? //3Y
ATT GARAGE
-
SF
5UNR00I1
_5F
GREENHOUSE SF
DET GARAGE
-
SF
PooL
_ SF
DECK 5F
PORCH SF
STORAGE SHEO
OTHE R
SF
TOTAL HEATED
SQ FT:
-
TOTAL SQ FT UNDER ROOF:
-
ToTAL PRolEcT CoST lLess roq ,l+-900" # oF SToRIES:
TOTAL AREA
5Q FT; _
Is Any ELECTRICAL, PLUIiIBII'/G
or iIECHAT,IICAL
l{lork Eein8 Done to the Accessory Structure? D yes
If the project is a Relocation,
is thene
a Natural Gas Line on
the Current Site? [
Is there Electrical. power on
this Building? pv". ffro
PROPERTY USE
/ OCCUPANCY:.El-srrucrr ramrr-v
I ouelrx
!TOt,INHOUS E
tZ-/c
DESCRIPTI
v1,./
DISCLAIMEhereby
cedit rhar all intlrmaton in lhis applicaton is
cotrecr and a[ work w]
and r€gulalions The NHC Development S€rvices Cenler wittbe nottied ofan
complywit' lhe Slate auibinq Code and atlapplicable StaE and locallaws
y chanOes in
he approved plans and slions orchange in
contracbr or
K*o,
ves \[lruo
t./ t"4
_ BFE+2ft=
N
PERMIT FEE: $
violalion ofrhe Nc slaie Bldg cod SubUp To $500 ocr"
SIGNATURE:
* **,i * * * * * *,* *,** * ** ** *** **** *(Il'Ii fil"J * * * ** * * * ** * * *
** * * * * x,r * *
+:r* r )i
x,*,* *,r** * ** * * * * **,t* *,k ,r
* **
rs rHE pRopERTy LocATED
rN a rlooonurr?
[ ves
EXISTII'IG II,IPERVIOUS AREA:
-SQ
FT
NEW IIIPERVIflrS AREA:
_SQ FT
Ero
ExrsT LAND OTSTURBING prnMrr: [-.l vrs [--l uo
contaclcr inlormaton "'NOTE AnyWork Perlormed W/
0I{NER/C0NTRACTOR,
'* Ah a^
/O he AppropngE Pemrts wrl be ,n
/""-J--j
creun
! coi,muNrry
svsrrr"r
I pRrvArE wELL
f] crnrRal wrrL
crrul ! CENTRAL
sEprrc
I enrvarr
senrrc
! coMrrluNrry sysrEr,l
TOTAL ACRES DISTURBED:
"'* SEPARATE
PERI\lrrs REQUTRED
FoR €LE(T, t'1EcHJ ptBG, GAs EQUrp, pREFABS & rNstRTs r*+
pAylrENr
Er[oD: Ecnss EcxrcK (pAvABLE
,o
*rc;
[*rnr.^ ,*.ri, E-r.rriii -Eorr.orr*
* ,t,*
* *,t * **,* * ** )*,I ,t
* * * )*** )*,r )*
*
** )*,r * **,t** **,*,** *,i** * * * ** * * **x:i )r,i;* * * * ,*,* * *,i *** * * )**,t * * * *,t *,t ;r
* *,t * *
(FoR OFFTCE USE ONLY) REVT5ED DATE
04111/12
SETBACKS:
F:_ LH:_ RH:_ B:
Approval:_ City:_ DATE:_ FLOOD:
_o-
Comment:
1+1
ztP :
OF WORK;
ZoNE:
_ oFFICER:
#
RECEIVED }lOV
OO M6
NEW HANOVER COUNTY
BUILDING PERI4IT
APPLICATI2N TYPE
I RESIDENT IAL
nLtr.ii AIJlr.ir aLL c if<':at5 APPLI(aBLa r0 Your atolEar
"Prolct Responslbility"
( lr,
. -.rr,lc, Il C '
ts--3lYo
APPLICATIO'\]
Nunber
'ril- ,::,(9APPLTCAiIT)
5 NA{€ :
-/*.-
DEVTIOPgR:
eeOleCt
aoo ,
sUsoIVlSIo i
PROPEf,IY OUIN
PHoNE fi
ER's NA$E I j'-'7
owrER,s ADo8ES5, 7. ) ) 'Y', t
t (),
L. 2 e.c t;(
/ 2"t c--nu
ITY
L.', t t-,
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)
ztp, TY/o
j
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)couP}ONE T:
ST(*z]P 2.Y1C' 7
&:.:o, ?'d'N5
cit c, ZtrGi
tLq,
C0ttTRACT0R I
ADORESS:
O/'v
./u
ICaI,ISE ,:
CIfY:
(=
)/O z+.,
EiIAIL ADDRESS:
PH0IE si
EXISTTT.JG CON5T&UCITON,
I arrFRAriCr Q-R*,'OvrrtOr
I CrUenat neelrns RE LOC!_:ON
llEh CoNSTRUCTIOI,I
I rnrcr NEr.l
REs]]EilcE o"
I lootrlolt ro ExtsrrilG RrsroENCE
.1P!TAST (BECX ANO AIISWER EELOI.I AlI THAI APPIY IO YOUR PROJEC]
PRO]ECT COMTACT PERSO : A 7'T:W L4'' T I\
POOL
OECK
I r:; c*nacr
-
sr [J orr canrcr
-
sr
n
5UNA00!5F
0F Non(:
0rscLAru:'.. trlnelo.
.r.ukrr iitu,h.r. '*NOiE tnTworl
D'SCF:PTI
L"./
OI,JNER/CONTRACTOR:
<
Pcdorm.nwx) dre r;i.p,,FF r1.,, rr,dl
a{r^ /.^Lt
PoRCH
_ 5F
STORAGE SHT-T
ite)
ToHNIJOUSE
vl./c
SIGIYA']'URE:
GREENHOUSS
-
SF
5f
5F OTHER
SF
st
ToTAL HEATED SQ rT: _ TOTAL
5Q FT UNDER ROoF:
_ TOTAL AREA
50 tlr
rorAL PRolFcr (05r.e*.*. , S +
' ''/)(JLt o O, ,,oorr"
Is any [LtCrRrC,l!, PLU]1gItl6
or H[ctlArtICAt tJork
f.int Done
to the Ac(e55o.y
Stru(tlrel
lf the project is 3 Relocation, is the.e a tJntr.al Gas Line on
the Current s
Is th€.e €lect.ical pore. on
this Buj.ldlrE)pv"r [[ro
""r fifio ,Irt, {ruo
PROPERTY
UsT
/ OCCUPAICY:NGLE
tAmrrY
I oueLrx
I
t'
M.*o
$\I5 TBE PROPERIY LOCATED
IN A FLOODPLAIN?
EXISTING I}1P€RYIoUS AREA,
_5q FT
NEH II,IFERV:0{,S AREA: _SQ FT
Y€5
TOTAL ACRES DISTURBEO:
EXIST LAI{D DISTURBIiIG PENfi1T:
?RivaTE uiEr,L
I cerrrrat ueLL
YES
trNo
I.JAT€Rr.E creua
I cof+luNrTy svs'r:i,l
sEwERrgcFpuA
f, ceurul senrrc
f] pRrvaT€ sEprrc
I coluuHrrv svsrrr
5[PA8..rt pftr!:'ti fiiQUlrrti 108
Lt!(], !:L(]t, pt6c, Gr.S t(rr;r pNlr,1SS
I tNStRI5 ...
pAylrE
r \rrfloo: f] cls, f]c"rcx lxvlatr ro
,,rc) f A,lENICAN TXPR€ 55
I nczv:so
f orscovr*
Jt^
0r, J({ ust ciJ! r )
,erCXS,
f'-[, , ifvt(r0 oatr
0!/r:/:2(2r e'
-<,o r' 7- 14 yi,,-r,^,
app
ro, al .
---j- c i t 1
rx,J nr
iJ,ln- oerel f rlooo
-
\ BFE'2ft=
-
f*rr L"&t PERfiIT FEE:
'-
J
.o.r"dr, / ^'TlrA r lJ(
i.i,v ln$eciion *eounoa, 91
0-25d-09S;
q/o
oatt,
//az//f -
.--r+
par*i.r
e, c<12 // ) Y
tu
RECEIVED NOI, -9 2OI5
NEhI HAI{OVER COUNTY BUILDING PERMIT
APPLI CATIOI'I N?E.. RESIDENTIAL
PLEASE ANSIIER
ATL QUESTIOIIS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility''
)ur-/t??
/s-Ana
APPLICATIO
Number
(Office use)
APPLICA T'S NAI,IE:
DEVELOPER: N/A
Pat Flovd Ministries
DATE; 11- G 15
CITY: wilmrnqEon
PtOl{E *: 97a 27 9- oa23
PROJECT ADORESS:
SUBDIVISIOI.I: N/A
2407 P!ilrcess Place Dr
BLOCK *:_ LOT $:
ohilER'S ADDRESS: 2407 Princess place Dr
CONTRACTOR: Pat Floyd Ministries LICENSE S: Il:A
ADDRESS: 4231-A Princess Place Dr
CITY: wi lBington
EMAIL ADDRESS: froberts58,.qmai1. com
pRoJEcr conrAcr pERsor{: Flank Roberrs O lAn FfcinlC R::i:tt.,-'i:i
PK}NE
T:
PHONE *:
EXISTIiIG CO STRUCTION:ALTERATION
[} nrlovarrot
! errenal nrerrns RE LOCATION
NEW CONSTRUCTTOT:
! rneCr NEll RESTDENCE
o"
I mOrrrOt TO EXTSTTNG RESIDEI{CE
**PLEASE CHEC( Ar{D ANSTJER EELOW ALL THAT APPLY TO YOUR
PROIECI:
I arr cnuee
-
sF ! orr eraaor
_ sr
n PORCH SF
5UNR00!r
_SF POOL
_ SF
STORAGE SHED
-
SF
GREENHOUSE 5F
9),O 2 7
9 -0823
9ra 219 AA23
ToTAL HEATED
5Q FT: ss ToTAL 5Q FT UNDER ROOF: es ToTAL AREA SQ FT: es
bathroom will be added inEo
this new
addition
oISCLAIMER: lhereby
certjt lhal all inbrmation in his applaafon is conect and allwork willcomplywih he Slare Buitding Code and att oher apptaabte SraE and tocat
bws
afld ordinances and regulatrons. The NHC Development Services CenEr willbe notifed ol any changes in he approved plans and specifications or change in con tracto r
or
contactslr inbrmaton "ltOTErAny Work Perfu.med w/O he ApprcpriaE Permils willbe in Violslion ofrhe NC Stab Bldq Code and Subjeci r, Fines Up To g50O.OO'.
0iINER/CONTRACTOR:
o. Frank Roberrs ,rr. SIGIIATURE:
(p.int NaEe)*,ti(,t*)t*****,t*,tr*r*++++***,t,t*1.:*,t*****,1*+++*******,1)t*)i)*,t*,t***)*++*,i!t,t,a*)t)t)t)*,*)*,t+**)t,ti.jt * )i * )i,i *,* *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES t NO
EXISTIiIG IMPERVIOJS
AREA: .il, iaL 5Q FT
ITIETI IIiIPERVIOUS
AREA: I i 8J
J 5Q FT
EXIST LAND DISTURBING PERMIT:YES
Fl no
WATER:CF PUA
COI'II"IUNIry SYSTEI'1PRIVAIE WEL L
CENTRAL l^JE
L L
sEwERr
E} crcur
I cerurnal sre[c !PRIVAIE SEPTIC
f] commulrrv svsrrN
=,!:,
E
o
=
-(D
-ocI
-o
<f
l\)(rrEo.oo
EPARA
IIiIITS REOUIRED FO
PAYiIEMT I.,IETHOD
***** ***,*,t* *** * )t*** ***
ZONE :OFFICER:
Approval :_ City:-__ DATE :
! clsH
lcx:cx (eAvABLE To mr; I mrnrcar rxeness I irclvrsA El orscor.*
CH, PLBG, GAS EQUIP, PREFAES
& IflSER
,* )*,r '* ,*
* **,t* ** * *,* r! )*,*,* * * * * ,*,*
*,* * *,* ,r
+*,t,t,t * * )*)***
***,r*,*,r *,* )*,*
*at* * *
(FoR OFFTCE UsE OiL
SETBACKS: F:
Y) REWSFD
oarE o4l11/12
Nlpr LH, NIA RH:
t[lA B:d
--4
Comment:
ll-'l-lSrrooo,
PERMIT FEE:
ztP | 23192
PROPERTY
O,$|ER'5 MIiIE: M!. & Mrs. Keaton PtOilE f : -W_
CfTY: wilminqEon.
NC ST: J!_ ZIP::!3!l_
ST:N_ ZIP: 2840s
f| otcx
-
sr orHER: 3ees_________-9: sF
ToTAL PROIECT C05T rress r.oo : $ r:.sso.oo * 0F SToRIES:
Is Any ELECTRICAL, PLU BIT{6
or IIECHAr{ICAL
l.,ork Eeing Done
to the Accessory
Structure} EI Ves I Ho
If the project
is a Relocation,
is thene a Natural Gas
Line on the Cunrent Site?
[ Ves
I to
Is there Electrical Powen
on this Building?
lEIves l-l Ho
PROPERTY
USE
/ OCCUpAI'|CY t @ SrHClr ramrrv ! Ouer-rx
! T0"INHOUSE
DESCRIPTIoI{ OF hrORK: Upon rear of home, add
on 5, depth bv 19, Ienqrh ro r.ear bedroom of home. A
TOTAL ACRES DISTURSED: , 0C I
BF E+2ft=
$--1b
1
NEWHANOVER COUNTY
BUILDING PERMIT
APPLICATIOTT
IYPF; RESIDENTIAL
PTEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
L)tf- /// 0
/
l5- 36a-
APPLICATION
Number
(office Use)
APPLICANT'S t,IAilE:
DEVELOPER:
p;:h?nl/"rs"d
PTIONE
*:
PRO]ECT ADORESS:
SUBDIVISION:
CITY:
11
ZIPt
? 1. r.l O
proNE s: q/o -
97 - 7?<
5T:_ZIP:_
SI:/)1 ZtP:?&t/S/
PHONE
#:
CITY:
S: LoT #:BLOCK
R:o
+
PROPERTY OWNER'S tlAI4E:
ot4,llER'S ADDRESS:
.,
CONTRACTO
ADDRESS:
LL.
ICENSE S:
crrY ; /. 1//.)
EMIL ADDRESS:
PROPERTY USE
/ OCCUP
DESCRIPTION OF I,'IORK:
c
SF
! orr
canacr sr
! roncH
_ sF
PROJECT CONTACT PERSON:{?olp.
* Pal*..( S a.\
A]T GARAGE
! surunoom
-
sF
! cnrrnnousr
_ sF
POO
L
DE CK
SF
STORAGE SHED
q
Ero
Yes
Eno
SF
sr95F OTHE R:
TOTAL HEATED 5Q FT:
6/rorAL sQ Fr uNDER
agor: 6y' rorAL AREA
sg nt L4
TOTAL PR0IECT C0ST tr-ess rorr
3OO,a# OF STORIES:$
rs any ELEcrRrcaL, PLUllBrilG
or IECHANTCAL
|,Jork
Being Done to the Accessory
structure?
f] yes
If the project
is a Rel.ocation,
is there a Naturat Gas Line on
the Curnent Site?
f]
Is there Electrical Power on
this Building?[ver [truo
' fi srHclr rAIlI LY
tr DUP L EXTOlnNHOUSE
t€
/a
u,/oo
creua
! coruUNrry svsrrm
I eRIVATE
wELL
I crrurnnl
wrlr
creua
! CENTRAL sEprrc
! enrvarr
srerrc
I coMMUNrry sysrEM
ZONE: OFFICER:
MEhereby cen
t lhat allinbrmation in
$is applicalion is cortecl and all work will comply wih ihe Stale Building Code and aI o1llerapDticabte Siaie and localalr,s
and ordinances and reg!lalions The
cofltaclor inbrmalion.
"'NOTE Any
NHC Developmeni Services Cenler wittbe notlied ofany changes in the approved ptans and specitications orchanqe in contracbr orwo lhe Approplate Pemilswi| be m
violalion otthe NC
siaE Code and Subje ines up To
$500.00"
OWNER/CONTRACTOR :'$c SIGNATURE:
* * r,r * * * *,r * *,i * *,r * * * * * * * * * * * *(IiTl Jil"J,t* ** ** ** * * * *,t * )*** r*+* )t,*+ * * * I *,*,t**,*)*+* * * * r*r** + * )h* * + *,i* * *
rs THE pROpERry LOCATED rN I rr-OOOelArUt
fl vrs
EXISTING IMPERVIOIJS AREA:
-SQ
FT
NEW IiIPERVIoUS AREA:
_SQ FT
E*o
ExrsT LAND DTSTURBTNG
nrnurr: I ves
f] ruo
TOTAL ACRES DISTURBED:
WATER:
SEWER:
wB
*,}* SEPARATE PERI4ITS REQUIRED FOR ELECT, IIECH, PLBG, GAS EQUIP, PREFAES
& INSERTS ***
pAylrEllT r,lErHoD:
! crsn
I o.,rcK (pAyaBLE
ro rrcl flanenrcA ExpREss
E r./rrro I orscoven
,*:* )** * )t,t * *,* * ,*,*,*
* )*
*,r x *** r***+ * *** *)t)i x,t:t:t ,*
* *:* )*:N
* ,t ,*,t,t ,N,t )*
* * *,i,* :*:t :t * *,t ,t )**+****,t:*+)* * * * * :t
* *,t ,| )*,*
+,t,t
(FOR OFFICT USE OILY) REVI9ED DAIE O4l11/12
SETBACKS: F:_ LH: RH:_ B:_
Appnoval.:_ City:_ DATE:_ FLOOD:
_ BFE+2ft=
AVN
Cornment:PERIiIIT FEE: $
1 i ''.:''
'.,&;.-:-t ,t-l
DATE:
-z9
PH0NE
*{W7L!:tf/:L
EXTSTTNG CONSTRUCTTON:
Eorrr*OrrO, I nrNovnrroru
f] crnrnnr nrelrns
! RELOCATTON
NEW CONSTRUCTIOI'I:
! CNECT NEI4I
RESIDENCE
O"
ffi OOrrrOI TO EXISTII,IG RESIDENCE
T,iPLEASE CIIEC( AND ANSHER BELO},J ALL THAT APPLY TO YOUR PROJECT:
,1. ,/ tr I
NEW HANAVEn
cVdITv BUILDING PE,fr
ott -IT
rs{?lq
/trca
APPLICATIOI{
unDct
(OFft<. Ur.)
oarc,, tt
/z /ts
APPLIQAIION TvP€: COfiII4ERCIAL
PLEASE Ar'JSUER
Ar[ QUESTIOilS AppucASt-E TO YOUR pio]rcT
"proJect Responsibillty,,
APPLICANT,S M',II i
DEVEIOPER i
e/t-
d,
Uc
PROJECT ADDRESS:
So u <- CfTY:
Z.a- /) c I la.fo sa-
LLC
d ",- Liv-e,-
CITY:
^J LIcEtrsE
*3 Z
32 Lt I
ctrY:
PIONE
tr:
l ro
- <2o -',1
,, o
ZtP:
Z8 io<
PK'NE
*:
OCC1,PAI{T/BUSIilESS U|NE
:
PBOPERTY O}' ER,s iAIiE:
oN'lilER'S ADDRESS:
CONTRACTOR:
ADDNESS:
ETOIL ADDRESS:
PROJECT CONTACT PERSO :
DESCRIPTION OF IOR( :
st | !_aztqt zg ?o
I
*:(QntZ*?2/
*t glo ^264- /oog.*t 1/O -
Z€.{ - /oo
?
Exrsr corsrRucrrors
E ArrERArron
fl .r,J#iill'p??f*. nrrnns
I RErocarroN
tf Relocarion, is rhere a Naturst Gss Line on rhe curr€nr
Siter
I vilfl ruo rs suDG
spffiriiRl; 'fr
v", flllo
Eu co srRucrror{,
fl rnecr [Eh, srRucrunE
I rrcr rucx
I sxrr.r_
[ urrrr
f] ,, ,i-rrrg srRUcruREACCESSORY STRUCIURE:
PHOI{E
Pr{)t{E
Cod€
and
4r
f
If UPFIT The
shcll Permit $:Is Elect pow€r on
this Buildi ng
8<' Erc.*... IS THIS A CHA
6E Ot occupar{cy usEl
Ett
B6;...fF Y€s,rfiat bEs th€ Previous Occupancy Type? _
ARCH DESIGN PRoFESSIOTIAI:
//A
EX6N DESIGI{ PROFESSIOiIAI:
PH:...r.!-ri___ r,tc REG S:
PH:r---------ri NC REG
*:
rvt
b food or b8yeragBs FGpar€d or sen ed in Url6 anrctncZ
[Ves ls The propsrty Locaod ln Ilr Roortptain?
[ Vo
@6-M
DISCLAIMER: I heEby ce'tt rhar aJr lr{ormaUon tn
and localla,,'Js €nd odinames snd requlslDns.
Ih€
or chanae ln contraclor o! ao rsclo' iiformatDn,
';
Subjedb Fines up To
tsm.00-'
all other aDgJlcable Slate
RJ8B,3EEtrf8S:"JH.
TOTAL PROJECT COST:ooo BUILDING HEIGHT:
/ol
TOTAL AREA SO FT :
SQ FT PER FLR:
TOTAL SO FT UNDER ROOF:# OF STRUCTURES:
ACRES OISTURBED:o
NEW IMPERVIOUS AREA: O SO FT EXISTINGIMPERVIOUS AREA:
d
rfil0ar th. fsclty orbuildhO wrs tohd to
11(81 0)707-5950
d t sn 10d.ys prlor lo ltE
#OFUNITS: I
fOFSTORTES: /f OF FLOORS:
EXST I.AND DISTURBING PERMI'NEves
Eho/
SO
FT
pRopERTyusE: EoFFtcE
Enesraumrr Edncmnre
E EDUC
apr Eootoo orxen:
yaEl.83#UIEH${#THA*&F,,X$,.*trF"t,?1}x;v5ffi ,FrcAroN:
"'SEPARATE PERMITS REOUIRED FOR ELECT. MECH, P[TG, GAS EOUIP
PAYTTENTMETHOD:
flCnsx f]cnecxpevaalEro NHc)
fimen
, PREFABS e INSEFB
-'
tcAN E(PRESS Iucnnse florscoven
ZoNE:
, oFIlcER' ; .==.
roSffi'ffillt,"J- ,r,-RH: 6: RGvTsEDD^rE#rr^2
Appor6l: Ciry:_DATE: .
FLOOD: __BFE+2fr= / ,n)A v n /ii,'icommo :: PERMIT FEE:
$. / L/ ' )
'.J
oa.
(ordn d
I
h.tat
ls the ll€tJ Occuprncy fype?
.j..h
ffi
NEId HANOVER COUNTY BUILDING
aPPLIcArIott rYPE: RESIDENTIAL
]rtr-t/ 1o3 ls- a906
PERII,IIT
APPLICATIOI{
ilumber
(Offlce Use)
PLEASE AXSXER ALL OUESTIONS APPLICABLE TO YOUR PRO]ECT
'Project Responsibillty"
APPLICANT, S I\IAINIE: Jeffrey c. Richardaon
DEVELOPER: _Jeffrey c. Richardaon
PROJECT AmRESS. 521 windernere Road
ST BDMSIO
: winderEre
PROPERW
O{{ERrS t{A}tE: Jeffrey c. and Brooke S. Richardson
Ctf,{ERrS AIX)RESS. 6258 Ingleaide Drive
pKrNE *: 910-431-8777
CIry. Wilnington
BLOCK #. sEc s LOT #:
ZIp:2840s
149
Plo E *: 9L0-437-87 7 7
q11y. wilmington sT:
I zrP:281101
LICENSE *: 7 ses3
CITy. wilnington sr: 19 zrP: 2840e
P nE f3 910-431-8777
pgg E f: 910-431-8777
STORAGE SHED SF
OTHER:SF
OATET t0/t2/t5
COiITRACTOR: Harbor Ieland Conatruction, Inc.
ADDRESS: 6258 Inqleeide Drive
EfiAIL ADDRESS
: .
jef f € jef f
reycrichardsor. com
mOIECT COa{TACT pERSq{: Jeffrey c. Richardaon
ExrsTIl{G coNsrRucrroil: @ rlrrnrrror ! nruovarroH
I eeNrnar- nenarns
f] RELocArroN
NEr{ coNsTRrrcTrolr:
f] enecr NEH RESTDENCE o"
f] ADorrror To ExrsTrNG RESTDET{CE
.'PLEASE CHECK AIID AI{SI{ER BELOI ALL TII/IT APPLY TO YOUR PRO]ECT:
ATT GARAGE 517 SF
loer eamee sr [eonor 32 sF
trtr
suNRoot't
_ sF
GREEI{HOIJSE SF
pl coor. 5r2 sF
lorcx
-
sF
TOTAL PROIECT CoSTtussr-otl:
t s0,000 $ OF STORIES:
Is Any ELECTRICAL, P[J|BI]{6
or I,IEC}UT{ICAL
Work Being Done
to the Accessory Stnucture
If the projett is a Relocation,
is thene a t'latural Gas Line on the Cunrent
Is there Electnical Powen
on this Buildlng? @[ves [lruo
PROPERTY USE
/ OCCUPAT{CV: p Srrele rAr,lr r-V I U.relex
! ro.l noust
DESCRIPTISI OF HORK: Removing an interior irall to expand fallily roon
size, retrpdeL
of 2 bathrooEts,
DErcLA E& lhoreby cedify hat sll inbmatjon ln his appllcalicn is
conecl and all workwlll comply wih he Sl,ale Bullding Code and altof|er 8ppllcabte Stsb and
icci^i
fte.r
retrpdel kitchen, reflooring interior, rdof replaceDent, paintilg interio! aDd exterior.
Site ?
&h.#r O r,lo
li
and odinmces and regulatons. The NHC Dev6bpment S€Nlces CenErwlllb€ notfed of any crrtrross in ire eplo\,€d pkls aod spoclicat nsorahaoe h conlr&b. or
{?'*Pconr&br inbrmaton. '-tlOTE: Any VYbrk Porbmed w/O tlo Applopriab
Ofir|ER/COITITRACTOR. ref f rey c. Richardaon
IS THE MOPERTY LOCATED
IN A FLO@PLAIN?
Exrsrrlre rEpERvrot
s AREA. 3238 sQ FT
NEI{ IIIPERVIOI'S AREA. NON€ SQ FT
Permats
willbe in Vblalion of th€ NC
Stab Up To
$5m.0O"
*,r +:i:i:r 't ri + * + )t,t,t,t,t**,r,r
SIGNATURE:
(Prlnt fleie)
,f ,* ,* ,*
*,t,* * * * )i,r *
*,t:i:* +,t +,t,f *:t *:t:i:t *:t + ,i( ,t ,* ,t + +,t,t,* )r
* *,r *:t *,t:i t,i,t 't*'|* +,t )t
CI YES
GII'o
ToTAL ACRES DISTURBED: tfone
EXIST LAI{D DISTURBII.IG PERiIIT:
Kn vrs ICE ito
MTER!
U CFPUA
SEBER:
U cFPuA
ZoNE:
_ oFFICER:
! coruurrw sYsrEfi nPRrvArE hrELL
I crlrml seerrc
fl PRTvATE sEPrrc
tr
D
CEI'ITRAL tlJE LL
cor4f{J[rw sYsTEr,r
*** SEPARATE PER'NITS REq,IREO FOR ELECT, I{ECH, PLBG, GAS EqJIP, PREFABS
& II{SERTS {'**
pAyriE T nErloo: p crsx (f ctrscx (payABLE
ro rnc; Q urRIcAr{ ExpREss
O rclrrso f,t orscovrn
,l:t
'l 't t'l '| ** +* * * ,* !t ,t
't t,t * !*+,tt*,t )t)i*:|,t:l t *:t ta,| +* *,| +:t * !t** )t,t 'l*,*+*)i,i,i+:tt* *+*** t* ** *** *,| * !t
*,1*,t )*,t * ,t :l ,l
(FOR OFFICE USE O{LY) REVISED DATE O4l11/12
SETBACKS: F:_ LHr_ RH:_ B:_
FLOOD: BFE+2ft=
Yes
ADDnoval.:Citv:DATE:
TOTAL HEATED SQ FT; r72o TOTAL SQ FT UtttDER ROOF: 236e TOTAL AREA
5Q FT3 2:6q
Tolrltto3
ls- )e06
APPLI CATIOIII
t{unber
(offl<e Use)
(l
,i'
.,:
t:
NE[,I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSI,,IER ALL QUESTIoaIS APPLICAALE TO YqJR pRolECT
-Project Responslblllty''
APPLICANTTS
N/UIE: Jeffrey c. RLchaldson
OAJ* 10/ t2/ Ls
DEVELOPER:
.Jeff.€y C, Richardson
PROIECT ADORESST 521 eriddemer6 Road
PHO{E
f. 910-4 31-87 77
CIry: lliLmingtonzrr:
llljf
SUSDMSIO : winclemere BLOCK S. sEc
s LOT *. l{9
PROPERTY
ot{tlER,s NAlllE i .reff,rey c. and Brook€ s. Ri.char.daoo
plJoIE
t. 9 r0-431-87 7 7
ST. Nc Zfp. 28409
0,t ERrS ADDRESS: 62s8 Iogl€sLde Drive CITY, wilmington
COTITRACTOR:Harbor
rsland constnrction, rnc,LICENSE gi 75953
AoDRESS: 6258 roglo8lde Dxive CITY:wj.Imington sr:
!: zrP: 28.0e
EIAIL AmRESS: jeffQ joffr€yctLchalddor. compHoilE
#: e10-43r-8777
PROIECT CoiITACT PER5G.! !Joffrey C. Richardaon PHONE S. 910-431-87??
ATT GARAGE 617 sF lorr enuee sr proncu 32 sn
I cnrruousr
-
sF lorcx
-
sr
I sronaer SHED
-
sF
OTHER: SF
I sunnoom
-
sF POOL 512 SF
ToTAL HEATED 5Q FT: 1720 _ ToTAL 5Q FT UNDER ROOF: 236e TOTAL AREA SQ FT: 235e
TOTAL PROIECT COSTtT-essro,):
$ s0,000
f OF STORIES: 1
Is any ELECTRICiL, PLtfiAI G or ,,tSCfiANtCAL l.lork Eelng Done to the Accessory Structure
If the projett is a Relocatlor,
ls there a tlatural Gas Line on the Current Site
Is there Electrical Power, on thls Buildlngf @ves plo
pRoPERTY rEE
/ occuPANCY:
@srrcLr rnurr,v
f] ouelrx
I rouNnousr
DESCRtpTfOt{ OF WORr: Renpvtng an lnta!1or wal1 to expand farnlly roo,t
slz€, tsnodel of 2 bathrooms,
romodel
kitcben, reflooring interior, roof replac€ne[t, painting iEtorior and exterior.<cf ,".
Dl6ctllgErt r h6Gby
c.6ly har orr lnbrrn. on h nl! appli.llon b conoct snd st u/o.i wlll coinpty wifi 6o SrsrE &rttdhE Cods and a{ otror agplcabts Sleb a'td
,ni Ddlndrcfi ,nd aeru l6uons. Thr NHC oo\€lopment S6rvba3 Clnbl lrlli
contacbl lnbrnalon. rnt{OTE:Any Wo:k Per,o,med WO he Appopnab
0|,,NER/C0NTRACTOR: .Ief f ley c. R.lchaldaon
ba notfi.d ot eny cfungoa ln tle Eppro!€d ,l€nE snd spscl,ic€lone or chanOo h conur.b. or +
SIGNATURE:
*l ****r+rr1'*r***r***** r* ** *(!lli Jilol:* * *
** r *
** * *r******)*** r*r,
t*.*rr *** * *++* *1**,**
rs rHE pRoFE[Ty LocarED rN l rloooeurrr (] vrs O
EXTST '16 IMpERyIOt S AREA: 3238 SQ FT TOTAL ACRES DTSTURBED! lfone
NET'
IIIIPERVIOI'5
ARE{' NO'Io SQ Fl EXIST LAND OISTURBING PER IT: O VES
[Q Xg
lnran, p crcur
f] co$tur{rw svsr:N
f] cnrvrrr rle:-r-
[ cENTRAT. r.]E
u-
sEriER:
El crnua
f] CENTRAL sEpTrc
! nnrvrre srrflc
I co{Mur,rrry sysrEM
*** SEPARATE PERIIITS REQUIREO FOR ELEC], i1ECH, PLBG, 6A5
€qJIP, PREFABS
& INSERTS 'fIi
payr,lENT
r,rEr8oo:
o casn
o cxecx (pAvaBLE To lncl Q uenrcm
rxnnrss Q ircTvrsa Q orscoven
)l*rt*r.tllll+tt**tt**+:r+l**+***tli:ll.a***r**It**,.a*|**t1*i'll*r**+**rttt *ri ** * r!r Jrt+,t:t*1.ait*r
dtl,"
Wr Quo
Pemllswlu b3 in !,lolallon ol t'e NC
Stab Codo aid s up To
t500.00-.P"P
zoNE:
?.-\50FFIcER: (ttr
ADonoval: cltv: V{\Ltfi
'lt \o (ltfitl r,ui
(toB oTFICE US€ C|ILY) n&rsEo DAiE 0al11/12
SETBAC(S: r:;f,_ r-u,
I nn,
\ a' itr,
Atg X aFE+2rt=
-
Of,y inspectron
xquueo, 9l 0-25q-0vr)rt
DArE: lb ltl lt, FrooD:
,le
Exrsrrlc corsrRucnolrr p nlrrRlttol
I nnovlnor
I oerrnar n*lrns ! RELocATror'J
NEr,r
co srRucrrol:
f] :nrcr NEll REsrDEncE
o"
f] aoorrrot ro ExrsTmG REsrDEr,rcE
TTPLEASE CHEC( AND ANSUIER BELO.J ALL THAT APPLY TO YOUR PRO]ECT:
..trr\
(JJ RECEIVED OCT 29 206 olt
-t/10/
#.'
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICAEON TYPE; RESIDENTIAL
PLEASE ANSIJER ALL QUESITONS APPLICABLE TO YOUR PRO]tCI
"Project ResPonsibility''
{
BLOC( #:
/t-'7o" r
APPLICATIOI,l
Number
(officP Use)
PRO]ECT ADDRESS:
SIJBDIVISION:
PROPERTY OhNER'5 NAME:
ol,,lNER'S ADDRESS;
APPLICANT'S NAI'4E:
DEVELOPER:
CONTRACTOR:
ADDRESS:
LOT #:
zrP t J. 31c j
DATE:rS-
1/a-a31.-g
ll nt
li, -
CITY: L--sf :4-^_J7P;2u4la-
sr !=ztlt J.
P'z tJCITY:
c_<c o ,'Y\PHCINE #:
PHONE *:
L.L 't r
EI'IAIL ADDRESS l_/
r)G=o L t a-t r
<)
33- &^36PRO]ECT Cd{TACT PERSON
ExrsrrNc coNsTRUcrIoN:
I rrrrnlrrOru
! RenOvlrrOl1 FCerurnlr atelrns
! RELO6ATI9N
NE|ll CONSTRUCTTON,
I rnecr NEN RESTDENCE o"
f] AOOrtrOt't To ExrsTrNG RESTDENCE
*IPLEASE CHECK AiID ANSWER EELOI'J ALL THAT APPTY TO YOUR PROJECT'
ATT GARAGE
--'
SF
suNRooll
_5F
GREENHOUSE SF
DET GARAGE
--- 5F
P00L
_ 5F
DECK SF
PORCH
-
SF
STORA6E 5H ED
OTHE R:
5F
SF
TOTAL HEATED SQ FT:c)oC TorAL sQ FT uNDER xoor, l/DO rorAl AREA sQ FT: / )' )'i-
TOTAL PROIECT COST tre"srorr : $ !30.:0
Is Any EL€CTRICAL, PLLMBING or MECHATIICAL l^Jork Being Oone to the Accessory Structurei
If the pnoject is a Relocation, is ther^e a Natunal Gas Line on the Cun'ent S
rs there Electrical Power on this Euildingi
l-l v"t EIlo
pRopERTy usE ,/ occuPANcY:
fi-sllcrr rnurrv ! oucrrx
! ronruqouse
ite?
ves ffi no
[v". $[ao
oESCRIPTIoN 0F tloRK: /u t r-L\.//noo o.-JS -- o.tt ElL PtrV /io rr'- tnStr!-e
L-A
L,N r)
LD*i-- "-nLL a c r E nfL!>D Lc .9
l-y's
OI,.]NER/CONTRACTOR :
c', <-
DISCLAIMERT lherebY cariflzr attinforma(on in hrs ao9licaton is co
and o.dinaEesond regulai'ons The NHC Dewbpmehr Setuices CehEr
co.racror inlormarion.
""NOTErAnywo.k Pedomed w/o i.te Appropir
11
Go Lt,"'t
ZONE :OFFICER
nect ard all work will comply wi!") hE Siale Bulldlng Cod€ and all oher aPPlicabl€ Slal€ a.d local laws
,willb6 nori6e.lorahy changes in tle approved plans and specirica[ohs or cha.ge in
contacbr o.
aE oermrrs wrlt b€ n violarron ol Ihe Nc SBle Bldg code a. d- srrblec I llo Frnes Jp To
3500.00"'
/' (J ,/SIGNATURE: x a*4-'A --
YES
EIruoIS THE PROPERTY LOCATEO IN A FLOODPLAINI
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEtl III1PERVIoUS AREA: SQ FT
I,JATER:
SEI,,IER:
frcrora I
TOTAL ACRES DISTURBED:
EXIST LAND OTSTURBING PERI.|IT: E YES NL]
CF PUA
I celrrnar sreruc
I PRTvATE sEPrrc
f] conltulrrv svsrrirt
*** STPARATE PER ITS REQUIRED FOR ELECT, ItlECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
pavirEr{T ErHoD:
I clsr fficr,ecx (pAyAsLE
To ttttc1
[ urenrcar excnrss
[J llc/vrsl l-l orscoven
* * ** *** * * * * *** * ***,t *)** * '****,** * * * * * i.,t * ** ** ** ** *,f *
COI4T1UNIry SYSTEIVlPRIVATE l^lE LLCENTRAL I^]E L L
(FOR OFFITE USE ONLy) REVISED oaTE 04/11ll?
SETBACKS; F:- LH:- RH:- B:-
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=
-
AVN
PHONE S:
CITY:
PHoNE r: 101- )as-7
LICENSE $:
# OF STORIES: /
comment: pERMIT FEE:
,)D/t-- I
/
loL/
:{l
I
:
RECEIVE0 ocl29 ?06
NEII HANOVER COUNTY BUILDING PERMIT
APPLI:ArIatl rYPr: RESIOENTIAL
p!"Ln* nr<uai al, 11,:<-it'{<, r,tiI<!flr t io voJt tEotl'(l
"Proiect n.sPonsibility"
L+ '-) , a.-, ./) ' )o d (
AFPLICAT:TO{.I
ti,,i t:DAtr: /
PH}{E f:APPLICAii'r
's ilant
OEVELOPER'
ta
CIIT
5USOMSIoI: --J1, ^tt l"o t! tt 't/
PRO]TCT ADDR€55 t i J.zt
PR0PERIY @*IrR'S NAflE :
ot!flEr'S jrDOgESs
CONTiA(IoR:
I
BLOC( f:
pror'tE s:
crlv:
LlCEI']58 *:
,, cl-ia L..i ",
,r .{a.s--LOT fii
- . ^a
4/01- )t,{ )
../:
5f | 3"":zrP t:::il&
ADoREss:
-i::":L:--c,-
: ,'
F},1JTIL AODRESS
/,,PHTNE f :
PHON
r ,( j(
u..llj'ir.j;..ON:
f] lrrenarlon
f nrrcvrr:cl flceuenil REPAIRs
f REL
Ed]L
OCATION
{:'; (. t,"r,pf,cl€cT coaliacT PFRS
EXIS'l ING CO}ISIRUC-IIO
NEr,r cc*{srRljarro :
f saecr t:lll RESIDENCE or
I aooruol To EXTSITNG RESroEr{c'
Al APPtv TO YoUi PnolEctl
DET 6AR^6€ s?
Lf Polrctt
-
sF
poor.
**- si I sronacr 5HED
_- sf
DECK
--^'-
Sr OTlrlq:
-''_---
SF
TOTAT SO FT UiiOER ROCF: i.,:.' TOTAL AREA SQ FT: 'I
.;''
I vu" S*o
tt"t fl',,-,s flro
. $,c iC SBc B)t,
i!t. &c Li-!t&r r. ahc5
t! Tc 5500.00"
..^i5rrn .- _3r.i ": :--a
Gt Lr"'t,
Ltl5E Clllcl( A,l0 ANs!{€R gEL
ATT GARA6L
-.:;5UNR00M
-sr
6C',: r{c,ist
.- 5r
ol{ all TllI
tr
I
__.1
TOTAL H€ATED SQ F'T :
PROPERTV UST / OCCUP
DESCi Lr":0N 0F l,10R(:
a.. a'
TOTAL pRolEcT COSTr-.r-cr: $ ..,'t.l
c.'0 # oF STORIES:
Is rny EIECTRICAL, p!ul4i1l!6 or IIECX'IIIC;L tc'( Belng Co,rs tc th' A(ce5sorv Str"l;'!urt?
:f tne project
is a Relo(ation, is there a Natu'al Gas Line cn the ('r'r"r 9
Ir there El..trica] PotrPr on tnis Buildingl f ves [f no
!)lgl1rilfi!1 hlria,'r.,
J,:u . 1, r"",: iho Nkli
lr.,rloaF.i. !,.. :t: a-.'ir'II b.'o!fi6'l o'''r'k'r!a
O!NE R/ CONTRACTOR :
NO
oI5(t'. j,1
aai:(!, ir,; e3 ::,ll
pay Eilr BEInJD:
zorrr,
3* orrrcen,
Atrrc,,/al:- (itY
SIGNATURE I
IS THE PROPERTY LOCATED IN A FLOODPLAINi
EXISTING II.I,TERVIOJS AREA:
--.SQ
T.I
\ad tllP€RVIOUS AREA:
-.-SQ
FT
w; .
n:
J aIPUA
f ac,rll\:-'l svs iY tr
SE'.Ei:
E c:r'ra
=
6s1-"r.1 -';;-" f o;
[] ves ffim
T0TAL AaSES DISTURSiDT -Exrsr LAND orsruR.rNc ". il! "t'
PRrvArE r,,rtLL
fl ctrrnlt wrrr
lVA:t stillc I cc'lrtn r" svsrev
GA5 €QUIP, pFttAAs & INSESTS
*"
*(D
(D
"o
rl3C'I&r
-o'?
l ranA1i o!cM1t5 REQ!!afa aoF EIECT, {tarl, ptg6.
Sc"oc*(PAYASLI
r0 xrcl f Utn:cal :xe"rss!tc,/vI sa
I
stlDAc
orre: 1l''1 1( I
Ks: F:-I$;trr:-&PRr:-lq€!B:lia
vf EFa r
Zft=
-
-;-7(
acoflment:
,-000
PERHIT FEt:
S-.--. *tld)
r
RECEtVEi) tiSy i3 2015
o.. _
",0/l ' 1110 s'
NEt^l HANOVER COUNTY BUILDTNG PERMIT
APPLICATTAN TYPE; RESIDENTIAL
PLEASE ANSI.IER AI.L QUESTIONS APPLICABLE TO YOUR PRO]ECI
7EZ ts 4t5s
APPLICATION
Number
(offi.. rt<!)"PPoj ect Res pons
ibil it)/'
, l-or,.l.r,lon-e 5 ,JL /^tc-APPLICANT'S T,IAME:&Ao DATE;
-
DEVELOPER:PTIONE *:
PRO]ECT ADDRESS;clw:
SUBDIVISTON:BLOCK #:LOT *:
PROPERW OHNER'S IIA}IE:Zc4o {*.nt l,qu4treqAt /! /"r..PK}NE *:
OI,JNER'S ADDRESS:,/z
g-&l c a
r;ze ra,,l L7. etw :t</,'/.* ,
zrP :<.
4"t - ?oz5
sr-4lupz atr4rz-
EIi4AIL ADDRESS:
fif-scnrrruro PoRcH
Zloa -st[-'l enrpruxouse sF
COT,ITRACTOR:
ADDRESS:
cont'acior lifu malon. "1\IOTE:
OHIIER/CONTRACTOR:
./o E*:
crw:r
PRO]ECT CO'{TACT PERSON:,/e
ARE YOU CON5TRUCTIilG:
fI DET GAPAGE
-SF
E DECK
PI{ONE
PTIONE
I oeer eoncx
Jc' 5/
y'a'7
NEl,t coNsrRUCTrOr{ ,
{r rq NE}J RESTDENCE or
I aOOmOH TO EXTSTTNG RESTDENCE
EXISTTM CONSTRUCTTON:
I alTEaarrou
fl newovarror
I eerurnal nrearns fl RELoCATTON
SF
I eool- sr
D STORAGE SHED
OTHER:
I enrro uTnoor
SF
SF
Is Any ELECT.RICAL, PLUt4BIll6 or ECHTNfCAL Work Being Done to the Ac€essory Stnucture?
E r* B(J
If the project is a Relocation, is there a Natural Gas Line on the cument
sitel ffves [t/lo
Is thene Electrical Power on this Buitding?
fi v". [fo
pRoPERw usE
/ occuPAtlcY , {sr*ere rar,,lrlv
I or.Lr* p/ro*rrou*
DESCRIPTION OF WORK:.r/e^l {at^rr,lA-r,^e
DISC|A|MER I heeby cenifythat sllinbrmEton ln his applicalion is corlecl end allworkwill complywlh tE Sbte Bull(lhg Code eno appficBlle S'late and local
and ordtnances snd rcgulalons. 'Ihe NHC Developmeril SeNices Cenler will be notfiEd o, any changes in lhe epproved plans snd orchafige ia
Ary work Pertomed wlqtle Approptiato Pemlts will b.
{zL,z z,/4<
ln viol6laon oflie Nc slale BHg
SIGNATURE 3
(Print tlame)
*:**,a !t
*!* ** +* ** ** *,t* * *:l:| *:**:t 't,1.++ *+* **** *:1.*!****:l**,i:*:*:t,t*:*+***+**,F*+*+f***+:t)t,t,t***,i*+****+ t+
TOTAL PROIECT C05T c.ess r.oo: $./Zioao ,r rne Property Located in a fiooorlanl
I ves E uo
TOTAL AREA SQ FTIA-)t-7
EXrSTrNG TT4PERWoUS AREA:
--lL
Sq FT
r,rEhr $4PERVrOlJs lftEA
rdill*sQ Fr
UIATER:
SE[{ER:
Col,t'tUNI TY SYSTEMPRWATE bJELL
roTAL sQ FT UNDER efrle 'ty'C?
-. NO. OF 5TO8IES: a
TOTAL ACRES DISTURBED:,ct{
CFPUA
CF PUA
CENTRAL WELL
COI4MUNITY SYSTEI4
CENTRAL SEPTICPRIVATE SEPTIC
*.. SEPARNTE PERftITS REOUIRED FOR
ELECT. I4ECH. PLBG, GAs EOJIP. PREFABS
& INSERTS T+}
,o*rrr nm,oo, E cos* [ c*ecx lravaslr'm nxil I sru rccorm
f] nasrencrno
E rrso
+ *:* rt rt*ra
**** rt**rt r*rl
****:* * * ** rtrt,**
**a i<)F*:t **t* *:l*,1:t*:t *** * *:l**:T:t* *ra:* ***:i * *rt* * *** +*:t:t 'a+* r*
***:i **
(FOR OTFICE US€ OrrY)
zoNE:
_oFFrcER:SETBACKS: F: LH: RH: B::'aooroval: Citv: DATE: FL00D: BFE+2ft=
AVN
Comnent: pERt4IT FEEI $
II
accoutfi #:
sT: ZI:P: 2{4tz--
*. lrzt-Tzs'
*t z/zr '?o Z s/
D/r- /// 0f
?{ t t; t,tstt
APPLICATIOI{
t{.rhbe
r
RECEI,/[3ti;I,:3?of,
NEW HANOVER COUNTY BUILDING PERII{TT
APPLTCAITAN N4€.. RESIDENTIAL
PL€AsE Ar{S,lEi ALI Ql,rEsrl(Ils APP!](ASIE TO VOUR
PtO;riaI
"P.oj.qt Eesponsibiliq/'
APPLICANT'5 !&tlE i il,-. rQ4^., {r,*/a*a3 y'Z /te-
OEVELOP€R:
PRO:ECT ADDRE5sI er--..J CIIY:
SUIDIVISIO:BLoC( #i
pRoPERW OWi{ER'jS ttAqE:4.o 3,"-4
.,J e
oA'rt:
PHONE
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r:
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ACCoUhY
f
--,/r{Eu coNSTRUCTrOil:
llr ERE.T
EXISTD,IG CONSIRUCTIOX:
E
NE\4 RESIDENCE on
I ADDIT:OH rO EXIST:N€ RTSID:NCE
A I T: RATIOII
I nrrovanox
I crrreal Rerurs
I nrlocarrorr
&RE YOU COislRUClIt{c;
D ,ET
p'Scnerrro Port{
A-O{' -stfl cnieHuous; sF
D plrrc w/RooF
-
or ER:
,,
Is Any ELEC,IIAL, pLU]t Dl6 or l,tEqHAt{1Cl\L Hork 8e1ng Dom to th. a(cessory
S:.u(t!re?
[ Vu. ffio
lf the project
ts a Rel.ocatlon, is there a i,atural Ga' Lln€ on the Current 51te-?
fh; E/*
Is the.€ Electri.al Polier on this Suilding?
fJ v"s Illo
pRopERry usE
/ occuPrrr,lcY:
fi irrcr-r rnrrrv
I u-rnla 6"or*rrura
,/e^l /orrrlA"o--a
E
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f E *
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Ilorrr Fopcl
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PooL
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- sroRAcE sH€D
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SF
0E5CR!PTIoN 0F l,loRl(i
DISCIA|IIER ] hoEDy.nnit t, !1 Bl jnbrnarisn h $ rs
B9rt?nicn Is
coced a'1d .{ u/o,t x,ll .omry {ltl lte
$ae arrBhg
c!d! rnd
;rili(abl! SLF 1116 loco!
al1d oritn,|cos lnd r?$lrIcns. The NHC D.valorr.nl $e tce, C..Dr wlll
!a mdlkd o,.ny.n.ir!t h $..PpnYed Pbrs a.d
aas!_acbr h t:mo!.r "''io:l
0!,J ERl C0f,JTRAClofi
EXISTIUG II,TPERVIOUS AiEA: L) 5g FT
NEr,{ rr,lPERVt0t 5 AREA:
*IJ-z- sQ Fr
Arlwork Parlo-ed wq*t arrtorrs!€ P.f,t*i4 bn. 1*,p ,q,1/<-<
HATER:
sll,lER:
CF PUA
{FPUA
COI4'4UNITY SYSIE
TEI.ITRAL SEPTT'
to, OF STo&!!5
r ,"
TOTAL ACiEs 0I5TURBED: , <'{
h \l*h,on olln. NC 5r*r. 8Ut
SlGNATURE:
co'.
r,r.ara... rar.iar*ar*r* lr*rt.*.tartrrt,+r**ritrt*arar.*ia it 1*t *t,.r aarr i.r*.rtr*'11*:1r1J, t.
TOTAL PRoJEo c05r r*55 ror):
$ ,/ /-aia4t rs the Property Located
in a r'mooeuril
I ves E uo
rorAl AirA SQ fft &) l-i roral sQ fi ut{DEi RooF r )4L',1
(rox urErcr 5E oirY)
zof'rE : 0!.lL!L-oFFicE R
:
Approval: city
t1
:_Uluw.- oArE
SETBAC(S: F:
:
I'c\FLOOD:
PR
PRWATE I]ELL
IVATE SEFT:C
CINIPTL II€LL
cotll(JNtTY sYsTEr,l
..'SLPAPA'T&.]P€R'T]T' tTgJTP€f, FOR
ELECT, !'ECTI, PLBq].GAS EQTJIPI PN€IA8s
I IiISEflTS ''" _
payltErr
xErxoc: l-l casx l-l cx:cr lrevrere m l*lc1 Ll Brt L arcorfi LI ilsrFtoltD L-l wsl
*arr.s.ra*aa***.* t.t...a*.*ta*tl*1t..atr3*:..**.trir..
Co[)nent
V arr*ztt"
l,*,,,,,-To't3
ETUTL AODN€sS:
li
o/r- t// c b
RECEIVT- titY 10 ?c6
NEW HANovER couNTy Bt TLDTNG pERMrr'VEL17- );V;'i
appLiffiou
t'lurnber
aPPLICArIaN rY"€: RESIDENTIAL
pLt[5E !a{s{En ALI q]rsrmNs appt:(a3lE ro Yout pRol[cT
"Project nestonsibilih/'
€4Lo a-ou-,,4a*.es
/c /..,e-APPLTCAIT'S N"'IE :
DEVELOPER:
,-
PRO]ITT ADDiESS://t
SUBDIItr5!0Ei'*.. A'
PROPIiTY olrl'{Ea'5
OHNER'S AOORESS:
iIAI4E:
{.<s AbrC/rSitC
2.J R. ctry:
€OTJTR TCIOR :
ADDRESS I
ETIA,IL ADDNES5:a
/6
EC;
EXISII 6 C0i'IST?uCTI0N:
ARE YoU CotlSnUCTttG I
! brr oaaner
-sF
4b 73 /95''F-
PBCIJE *i
>o. R G'{/
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PHo|IE *:47t -
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alocK #:
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*:
CITY:sT: zt?i Z(4t:2-e,Ztr-67s'7 PHONE
PIIONE./,-..?ozs'PiO]ECT COMACT PTRSOiI;_,/
NEH CO SrRucTIoN: IZJ ERNEiJ RESTDENCE or
I AOOlnOt r0 EXISTT]IG RESTDEiICE
alTlRrrror,r
I atnovarroH
I erlrnrl aeeatns
f, rrloortox
ftftcarerro PoRcH -lac *sF
n errrt*ouss
-
sr
fl oecx
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Bforru ,r^n
Z'' !-sr E smucr sHED
-
sF
oTBER: SF
POOL
f] parro u/noor
Ir Any EIECEIaAL, pLUl'lBtJG
or {ECHAIICIL uoik BeinS Oo'1e to the A((essory Structure ' a'"t 6' ,
If the project is 8 Relocat.on, 15 theFe a Natlra! G:s tine on the cu.rert 51te?
i-|ves |3r}to
is the.e Ele.tricaf Pstrer oa this Building?
nv"t Druo
pRopERry usE
/ occu?AlEY I
ffswett r*Tltv
I o.rlex
{,r *us,
,r/e^l loUA*^dcESCRlPnoN 0F ,{oRl(:
Drs o',-Alu:R r rersby
dlit ltir r! i.!.,aiabn h tls !P9lE?!bn c concd tna d wn sil Eotrly *lt ['rG strl B!'llrhg conc and;::t.-5!e SraE
.n! toc.l
rFr tiHc o. Ebt
^.ril
sor'i.rs :!r9. ulr
& noa6.n or .n' d,rrt. h n. .rroved ,iti! ind
co;llldo, htfta,on. '_N O]E: An, I'ro.t r!e,{cin.!
4.'/(r-<SI6NATURE:
-,.----*";;",2'.||}i
I0TAL PfolEcr cosr fl.'.r to):
I /4:; t"' rs the Pror€rty Located in a itooo.ountl
f ves W'w
ot{NER/Co 'rRncroR:
rrrAl AREA
* r:t ,103 I
EXIST'IIG IIIPEi!IoU5 AREA: , 59 FT
IEV]OUS AREA:
-.,2"!3-t-* rt
a2..7rorAt sQ FI UNDEF RooF: .:,t
5 -. O
-. N0. OF SIORIES;
_:L
rorAl AcnEs
o.',iiiil-- ay'
HAiER
sEurk.ENIRAL SEPTIC PRIVATT SEPIIC
SETBACKS; r
Approval: City:---rblU,\- DAiE
Corfielt i
.,.: .1 1' ,.),,:h,!:,... ,.,'::,..,..t,..r..., . r,..,,,,r .. ,.i. .
r{Ehr luPJ
: lr/l CF
'.
l)AG
T
CENTRAL IJELL
COIHUN]TY SYsIEfi
!:.rA
cor{4uxrrY sYsr[ll PRWATT lJELI.
?rr !rpatlATE pLRxITS itEOurRFD FOq ELECT, HECll, PLBC, GAS EOJIp, pftEFA8S & INSEiTS .'"
ptyr45gT
r{ET}oD: l_l casx Ll cHEo( (pAyABr.E To NH() LJ BrLL MCoJilT Llr{.asrEnrrng L_l v:sl
rltl!**t aa. a.** * r
titt !
tF* otr:cf v5r olly)
ZoNE:
N=t-oFFI.ER:,&d.*' t4*rr,y'30'
lD3,/-
FL00D:
_ _EV
PERH]T FE!:
'
RECETVEiT Ngt/ 08 2015
NEI,J HANOVER COUNTY BUILDING PERMIT
aPPLI.ATI(N rYPE: RESIDENTIAL
PLEASE ANSI.JER ALL QI'ESTIOI'IS APPLICABLE TO YOUR PRO]ECT
?roject Responsibilit)/'
Z,,o
pEi6ii6'u
Numbe r
((ffr.. rr<.'t
&Lo ,Qpn, {ou,,4o.ne5
,rJL ,/te-.
DEVELoPER I
PRO]ECT ADDRESS:CITY:
SUBDIVTSION:
DATE: .
PHoNE *r
ztP2-
PROPERW O}II{ER' S
OI{I,IERJ S ADDREsS:
COT'ITRACTOR:
ADORESS:
EIiIAIL ADDRESS:y'a?
PR0IECT CONIACT PERSOI'I:y'e
ENSE S:ACCOUT,JT
S:
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<3
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BLOCK *:LOT *:
T.IAfiE:Zc4,o {**.t ',oat t/.a+res ,,Ja
be .PK'NE S:4?t -
?oz'
4/S 4 ,tbrlas-,.€tr.€. ilw,a:f;.srz.@ue : af{/=--
..t/o
r PHONE
PHONE
f: ./Zr'?oZS/
zr, {
5F
r{Eu coNsTRUCTrOr{ ,
{r^rrt NEli RESTDENCE or
I aOOtrrOH TO EXTSTTNG RESTDENCE
EXISTrNG COiTSTRUCTTON:
fl AtrrUrroru [ neHovauot
I eenenal REPATR5
n RELoCATTON
ARE YOU CONSTRUCIING:
E DET
@6cnreruro PoRcH
tAoa -sFf-''l enrrrlroust sF
contracbr hfo m8lion. "I!oTE:
OWNER/€ONTRACTOR:
t*** ***,tt** +* **:*:;*:* r*rit * +
TOTAL PROI ECT C05T ttess r-ot): $
(Print tl.ne)
4******y*+*
16) OP
TOTAL AREA 5Q FT:ABt
n DECK
SF
n STORAGE SHED
sr BloerH eoncx
-SF
in vol ion oflie Nc stale Bbg
SIGNATURE :
+ 't+* *
*+** *,t,t ***:l**+* i<*+ x+,! ++* +* ** +* + ** +,t:t*,|*+ * *,t**:**
rs the property Located
in a iuoooeurul
ft ves
TOTAL
sQ FT rrItlDER errjr, 234 O
No. oF
sroRrEs: Z-
TOTAL ACRES
DISTURBED:
/
6ARA6E
POOL
fl earro w/RooF
-
orHER:
Is Any ELECT.RI(aL, PLUItBIiIG
or FrECHrr
fcaL work Being Done to the Accessory
Structurel
Br* &
If the project is a Relocatlon, is there a Natural Gas Line on
the cunrent Si.tet
flves fffno
Is there Electrical Power on this 8ui1din8?
fi v"t ffifuo
pRopERTy usE
/ ocCUPAiTCY
' ffsruete rnmrr-v
! orrrr* p/rornrousE
DESCRIPTION OF WORK:A-'n^€
DlscLAtMEFt I hereby cenify h8t atr inbrm6tion in hls applicslion is conect and allworkwitr complywiin the state Bulldhg code and€pplcable slale and local laws
and odlnanc€s s.|d regulatioas. The NHC Oevelopmen! Serv'rces Center win be notfied of 6ny changes in tha spploved plans andorchange in
*T' SEPARATE PERNITS BqJTRED FOR ELECT, I4ECH, PLBG..-,GTS EQJTP, PREFABS
& INSERTS .,'
pa\fiEifi riErHoD:
E cls* [ crtcr (pAyABLE
ro
NHc)
[ orll lcculrr I msrtnono E wsl
+,t:*,*r**tt,t*,t+'t:t*,t,8*'i:a'*1.,*,t:l,r***'*!.**i:t:r****x:f*'l:t'at*,*,t+,*:ara*:*+,F*:****,t,i'*****:t***:|'t+*,.rarart,t*'t**:t*
(FOR OfFtCE USE or\llY)
zoNE:
-oFFICER:
SETBACKS: F: LH: RH: B:
Approval: City:_ DATE: FL00D:
-
BFE+zft=
AVN
Comnent: PER
IT FEE: g_
a
a
APPLICAIIT'S !,lA E:
EXTSTTNG ITaPERWOU5 mrl: --11 Sq rr
NEkr $,lPERwous oRE^t
-:2JzLi-sQ Ff
r,tArER:
EilFpuA fl cowrutrw sYsrEt!--E PRWATE WELL
sEkrER: EfcFpuA f] ceurml sEPrrc
E PRrvArE sEPrrc
I cerrnal weu
l_l coumtrurw svsrrm
2otf-///0)
RECEIYEi,'NT\/ O3 ?06
NEW HANOVER COUNTY BUILDING
APPLiCA?TON t'YPf r RESIDEN'IIAL
pERmrr PEZ lt Zltto
PTEASE AIIsI,lCF AIL q'E5UB{5 APPIICABL€ .'O YO\',R PTO]ECI
"Proj cct Responslbilitf
APPLICANT's I.IA E:&{." y's4^., {oanulon-65 /1 /.r<-.
0EVEL0PER i
PiO]ECT AOORES5;CITY:
PBONE
*:
BLOC*
*: LOT *: 1'<
APPLICAIIS{
l{uflber
SUEDIV'SION:
PROPERTY OSITi,S
OHNER'S ADDREsS:
CONTRACTOK:
ADDRESSl
(a{,ze
iz17*',
y'a'7
CITY: Ul
lirAfi::AA,,r e ,/atc pfioN[ *:4?t - 1o25
sr.4!up : a
trz//'z--
ACCOUI'IT
f :
t:ClTY:
cEtlsE *:
#
Ei!AIL ADORESS:
PRO]ECT CONTACT PEKON;
conrrcbr btmaton,'"t{olE:
OlalNER/C0NTRACIOR:
CF
PHONE
PHONE
ST: zfir 2(4t:2--
*',
-.rzt'T7s'
* 1/?r'?o zs/
-,/I'rEr.r coNsTRtcrro :
lr{ tatct t'lEH RESIDENCE or
ExIsTtM col{srxucrn:
fl rirrurroH
I ar
A9D]i:ON TO EXIST]NG RESIDIIICE
NOVATIOfi
n GENERAL REPATRS
f, nrrOCA:rcr
,/
15 Any ELECYEICAT, PUlaIllG or tiECHA ICAT work Eelng Done to the Accessory Structurel
[Ves f]'no
If the p.oject is a Rel.ocatlon, is there a t'latu.al Gas Line on the Cunrent
StG frt* E/*
Is there ElectrLcal Poirer on thls Building?
fJ v"s Im
pRopERw usE
/ occUP$CYr
v*nGjE rn,rrLv
! *orr* /ronnrou*
A,ty Worr Parlofticd w/li\. AD{tL*Drolnat P.rniBw boh
,//,11<,P
D[SCtIPIIot'l 0F HoR(:Arr, 4
IXSCLAUIER I hlrDr€nitttBllli nbt'naritn il1116 app,Ealon ls co.t cl t
i c ,ort\Njr consy *tt t€ sr.lD BdE lg
cldt 3rdtPPla.tl?
sa! t'd lordt
ilu odh.ncsi rd l.rdarilli The lll{C O.1dofi}6.t Sore:ces C.h!.r !i} !E noftud o, Brv da.$5 ii he
.lPovfil r,br ! tid
Vblaron
oltt8NC Sral6 aEr
SIGNATURE r
* r*+**+***** +.i.**********i *rrritrt *r:t*r**.a*ia**r&**
tf"
(Prlnt lllor)
**{*+r*r*r***t*******tt**}*+*.trr*a,r
TOTAT PROJECT COSI tr"ss too: $
TorAL AnEA sQ rrt
tZL!-
ExIsTIiG II,IPERW0US IREA:
'
5Q Fr
l, ) ffL>Is the Propr.ty Located In a fDoOllant?
[ Ves
IOYAL SQ FI trOER ROOF: l3 i O
iP. OF STORIES: Z-
rorAl AcREs
;;t,ii6-, -r4-
EJ rio
NEI.IrRuro,s AREA:
_ZiJ_sQ tt
MTER:
SEI,]ER:
PUA
PUA
COIAUNIry SYSTE
CENItAL SEPTIC
PRTVATE IJELL
RIVATE sEPTIC
CEIIIRAL l.lELt
CO}IMJNIT'/ SYSTEH
Ii
P
.t. SEPA?TT' P€R{:Ts REqJIRED FOR
ELE€T, hECH, PLBG, 5AS EqJIP, PPEIA8S
& 5EiT5 'ti
pAyrErr
ng
00l LJ cAsk L, (HECI (PAYA8LE
rc iflC) LJ BILL ac((I.ffr LI rnsTFRC
rD Lj rrrSa
*r**r*rr*,*t***t*JLr1a*tir.+**r*tt*r*rtr.*t*ta):irrpt*t!a,;***!a*r**:lrrra*r*r+a*rtaa*aa*at**.a***
{roc ofrrcr.Ist ottY)
zoNE:
Mt_oFFrcER:rrsacrs: r:9d.2'rx:j'* m, ra4 a,3.O I
Approval: Cit/: l^Jrt^ DATE
', !T!ea!bt h3:,ten 01n.l(l nffX
Co nent
FLOi'
V BFE+zft=
-^n-
PERHIT FEE: S
DATE:
ARE vou co,'rsrRucfrfis:
fl Dfr 6A8A6E
-sr
flgScx
-sF
worr,Po n -z:' {-
ffi.^t,*r, esxsH - 9o6
*sF fl poot
-
sF
n sroRAGE sHED
-
sE
fi enesurousr
-
sF f] earro u/RooF
-
orHER:
-
sr
/
^)u)/
RECtI'i il liSI c
3 ?0t5)ryr rrrc(
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATId!, TYPE; RESIDENTIAL
PLEASE ANSI,IER ALL QUESTIONS APPLICASLE TO YOI,R PROJETT
"Project Responsibilihf
W s-anp$
APPLICATION
Number
(Off... ll<.1
APPLICANT,S M E:
DEVELOPER:
s y'Z /-tc-.DATE: -
PRO]ECT ADDRESS:
SUBDIWSION:
PROPERW oIJNER'S tlAltE:
OI,INER'S AODRESS:
ADORESS:
EIIAIL ADDRESS:
PROIECT C0UTACT PERSOI'|:
EtlsE *: Z3 / ?S'', ,-1:f sT: ZIP: 2(4te--*:7zr-il'
f
CITY
CITY
crw:
r
PHONE *:
BLOCK *: _ LOT *:
A /atc .
zDZ4r{/Z-
PK}NE T:4"t'lozS
sr:.4!zv: atr4rz--
ACCoUMI
S:
la a/PHONE
NEli coN{STRUCTrq{ ,
{r rq NEU RESTDENCE or
I nOOrrrOt rO EXTSTTNG RESTDENCE
EXtrsTrNG coNrnucrrort
I alrrmrrou
I Rttovarron
I erntnar- neclrns
fl RELocATToN
y'e
DET GARAGE
-s,
E
_sF E PooL- sF
cor"'['luNIw SYSTEMPRWATE WELL
RIVATE SEPTICCENTRAL SEPTIC
PI0NE *: ./Zr - ?o
z s'
floerru eoRcu g/ SfDECK SF
tr SToRAGE SHED
_ SF
in \tolslion ol rhe NC State Bldg
ARE }OU CONSTRUCIII{Gg(c*rr*r, PoRcH
J
! enrsurousr
-
sF I earro uTnoor OTHER:
fs Any ELECI.RICAL, PUmBI C or tlECHlNICrlL Nork B€lng Done to the Accessory
Structure?
Br* B(
If the project
is a Relocation, ls there a Natural Gas Line on the Cument
site?
ffaes ftffo
Is there Electrical Power on this Buildin8?
E ves Eno
PRoPERTY usE
/ occt PAl{cY ,
6r*n , rnmrlv
[ *.rr* [(o**r$
,r/e^l Ao,^€
SF
DESCRIPTION OF WORK:
DTSCLAIMER lh€rcbycenit$at ell inbrmorion in !hls applicslivl is conBcl snd sllworkwil complywlo the
$3le Bulldng Code andepplicsble SlaE and local laws
and oEllnsnc?s and relolalions The NHC oevebpmenl Se,vrces CenEr wil be nolfed ol any chaflges in ihe approled pbns andor change in
cootacbr hblmalon.
"'l{oTE:
OHNER/CONTRACTOR:
(Print [.DrP)
*:r * * **rt * ***'t+ *:i ***:* +*:l * t
TOTAL PROIECT COST ttess r-or): $
TOTAL ANEA SQ FTTfB.(
EXISTING IIIPERWOUS AREA:'t/SQ FT
NEI! Ir,tPERvIqrS !REAt
iq:34 SQFT
+:* *:l*'t:***:|* *'i *:i *.t:t ** t * 'i:t:** * rhi'** *
*rt* *rt *:*++* t **+* + ***,t*:+ *++ * 't.*rt'| !**
-/{q oo.o rs the property Located
in a F'r"ooonlartr
I ves
W6'-
rorAL sQ FI tl{DER efr/c
2241
MTER:
SEUIER:
dcpua f1
pfcrnua
I P
SIGNATURE 3
E
llo. Of STORIES: A
TOTAL ACRES
DISn RBED: .2y'
CENTRAL WELI
CO},IMUNITY SYSTEM
(FoR OFFTCE USE (t{tY)
zoNE: 0FFICER:
r.. SEPAITATE PERhITS REOI'IRED FOR
ELECT. IIECH. PLBG. GAs EqJIP. PREFABS
& IIISERTS T',r
pAyriEur
isruoDs
Ecos* [ cxso< (p yABrE'ro
xrc) [ srtr.
-occortn I rasrrncrno
E*ro
+ * t,r *,. * *,r *,t * 't *:t *** * *
**,* '*:t:l *,8't't t*:t 'ha*:* il:f +* *:tt*,i*'t,l* +* +'a+:l rt
+* *,i rt
ta **:t
**'t*rt:t)i:it** r*** * *)*:r:i + +
SETEACKS: F: LH: RH: B:
ADDrovaI: Citv: DATE: FLOOD: BFE+zft=avll
Coturent: PERIiIT FEE:
7a1
&ko,QPn..
COI'ITRACTOR:
RECEI'iil llSt 03 ?0t5
r{EI'J HANOVER COUNTY BUILDING PERMIT
{PPLICATIOI iYPE, RESIDENTIAL
pLEASt Ar5l,'!r atL Qrt:!:a.:it aPPr.:aallt l0 Youi rrc:a:l
"Project Resporsibl.lity"
€aA.n-au,t t(".".cS y'Z-
2o/y t t1o8
],E? t5-3,Ir.P
APPLI CAT IOI{
l{u,t]be r
APPLTCINI,S t&HE:
DEVSLOPEi:
I
PI()NE {:
c0r.rtRACTOR:
ADDR'55;
EiUTL IDDRESS:
Cd{,t€,,/R. cy:,v
S lbz,.+tc;iitse
*'
z-/C ITY:
Btocl( ft
--c
lr*pH0{r
Lor dt
;iZ- ,-
ar 47t'1o25'
sr-422p. e
tr///'z--
zir4r{rz-
sr
tta{F:,7r^
zs / gs''E.-
y'€
CfTy: tt).5T: zIPt Zf4t2--* 7tr-FZ'-7
e t/C
P'Sltt
P}ONE*t 1/7/-?ozs'
_-/
t{Eu Co{SrRUCT!ON:
ffercc, flE\l RESID€tlaE or
f, momol To ExrsTl}16 F[s
Ex:srrrc coirsrRucrio:x,
I nlrturrol I nr*xarrol
I ee urul ttlarns
PBOJECT COI.ITACT PIRSOSI:
Ai5
I crsrt*otlst
-
sF
! errro w,/RooF
-
orHER:
in vlornrr ol $c NC Stab Br09
IDT{CE
RE
LOCrrJil,l
@ srRUcT$lG:
[] ier cmrer
-sF
E oecr
-sr
I gr' srOP€I] PORCH
wto eoaca -1fi.'5F
I rmr- sr
I sroRaee sHrD5:
^,/Ir any ELECTnICAL, tLUriE:rtG or {[CHA ICAI xorl, geing Don€
to the a((essony
St'ucttl'?' U"5, U t9- -,If the proJect
lr a Relocatloo, is there a [atural Gas Llne on the Current Slte?
LrYet Ertlo
Is th€re Electri.:l Pouer on thls Bullding?
[ v.t !to
pRopERTy USE
/ 0COJ?A!,ICY:
drr*uE rmrlv Eowlex {r***utu
OESCRIPTI0N OF lr0RK:,/z^t 4a*4qr^4
DISCU{riCn r14,!tY
c.ni/ r.1 .t .rb.'rB1l$ b
'116
rpriaa!.,! a .Fucr *r dt u,!tl(w,li aortdy w?!^
tli srab E!!ld.! codo 3nd
!;aral|le *&1' .nd loc.l lies
$c .!{lta.,l.8a $na l!'Jltalicr! Ths {xc Dr!!E}}ftc.! s,! iinr qrnlti *Ji be :ra$.d ol tny ch!n!l!. in
66 alp.c}!a Flrllrt i.i
c&$.a{t i.6ifi lron,'-xOlE
OWNER/COI{TRACTOR
*lr.*tt trrrt., rt llar:a * *a l,
TOTAL Pf,OlECT COST
rt$c Loq: $
rorAl AnEA sa Fr| fr3'{
EXISXtrc :fiPIRVIq.JS'fiEA:
'I.{
IMIRWOUS !!EA:
o so Fr
W-tqu
tlo. tF SmRIES: A
ToTAI ACR€s
DISIUiBEDi . ?y'
BF
E+2J.t.
rrl,6,.r, PbrL.as: w9rhr ,: r'tc: 3re t -'l!sr't., 1/2"e
z^/62 SI6IIATURE:
rt*.r, r*.*trtt*+*rra:rrr*r+**rlt*+*1**'l**r*r**a+ait..ta.*r***+,.a*
Ooo(' Is the Property Located in a fimorlAtxl
I ves
IoTAL SQ GT UNDEI ROoF: 24/4
ocr_
w{'
r.AIE[: I,4 CFPUA I I COAII,IITY SYST
sEHEr:
Ef cFPiJA
! crtrnAL secrrc
5
PRIVAT! SEPTIC
PRWATE I',E LL
E
CEi{TRAI I'l€Lt
cc'fiwlry tYsTEfi
... sEpAlur-,lrE&tITS llEJrRm FOR
ELa(r, nECH, PLBqTCAS Eg[P,
'RFFAES
t IHSESTS ... Epayrrfi ,'rErHtD!
Llcosr Ll cxEcx (PAYAfl:
m u€) Lt BILL Ecd.r:n Ll nasftncrrD Ll wsa
t**.r**irrtrrrla* a1*ttt*$r*it**r ta *.tt***r *ar, t**r a*..+r*t*rrtt*t,a:f*ir* rr'
r h{-L orrrcra'rrsAcxs: r:rl I lH,9.d', nn,}-JT
a, d.'litc{r
lop.or"f ,- CitY: l^l rrn DATE : lr
It F1000:
Coimert: ,,PERHIT
FETI
,
DA'I;: J
PROIECI ADORCSS t
su e0tYISIOil I
PROPEH1Y OId ER 'S
&{n€n's ADDR5s:
ACCOU,\,T *:
ll0z 90 /toil
0l^ll 0=//t cfl
E0 nov 05 20sEIV
€@
NEt^l HANOVER COUNTY BUILDING PERMIT
APPLICATI(N TYPEI RESIDENTIAL
PLEASE ANSI,IER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResponsibiliO/'
&k"{oal" Aon-e5
clw:
BLOCK *:
f 1..
.Ja /arc .PHONE
*:
€asft€CTTY:
TEZ6-Aft7_
APPLICATION
Nu ber
(Bffr.. tl<.1
APPLICAI'IT'5 IOI.IE:
DEVELOPER:
DATE:
PHONE *:
PROJECT ADDiESS:
SUBDIVISION:
PROPERW OI.'INER'S tUfiE:
O!,INER'S ADDRESS:
COTTTRACTOR:
ADDRE55:
EitAIL ADDRESS:
PRO]ECT COi{TACT PERSON:
ZIP:
z-
LOT *:
4?t -
lozs
sr't&zrrt atr4rz--
ENSE *:
CIW: .,1J.
73/15''
-
ACCOUNI *:
PHONE
sT: 7I:e : 2(41 z--
*z
Zzt-il'
P}0NE
*r ./zf ' ?o Z s/
sF D,PEN,,or*-{y'
1{
_sF
SF
y'aa r
NEI,I CON TRUCTIO N, {CNCCT NE}J RESIDENCE OT
I ADOTNOH TO EXISTING RESIDENCE
ExrsrrN6 coNsrRucuoN:
f] ALreRArrou
I nrHovrrroH
fl eelenal REPATRS
E RElocarroN
aRE you coNsrRUcrrNG:
I ber Genqer
-sF
E rga*
-
ffiscnrrrueo coxcx
*l{V *sF I PooL- sF
fl sroRAGE sHED
I eneeHrouse
-
sF I errro w/RooF
-
orHER:
fs Any E|ECIIICAL, PLultBI!16 or IIECHANICAT t{lork Being Done
to the Accessory
Structure? r r", d(
If the pnoject is a Relocation, is there a Natural Gas Line on the current
sitet ffves [t/ro
Is there Electnical Power on this Building?
frv". ffruo
pRopERw usE
/ occuPAlrlcY,
fl srruelr FAMTLY
E DUPLEX Efol,{NHousE
zt/e^l {.., " n,,n€DESCRIPTION OF t,lORK:
DlscLAlMER. therEbycenirytld s[ inbrmalion in trls applicatoh is cor.eo and all work willcomply wih the slete Eulldhg code andappllcableSlale and local laws
and ofillnBnces and rBgulations" The NHC DevelopmeDt SeNices Conlet will be nolified ot sny changes in lie approved plins and
orchangein
conuactcr lnbrmslon.'_NOTE:
OHNER/CONTRACTOR:
ln Violation o{ rie NC Srate Bldg
00.-
EXISTING IiiPERVIoUS AREA]o
t'lEhl II{PERVIOUS AREA,dgG
SIGNATURE :
t2{o
TOTAL 5Q FT UNDER ROOF: ,,r.
-. NO. OF STORIES: 7
TOTAL ACRES DISTUREED:
PRWATE WELLCENTRAL tl,ELL
COI4MUNITY SYSTEM
PRIVATE SEPTIC
(Print rlafie)
It* *+ 't
!i:*
'f +*,t:a* * *,! 't
* r!,t x
t:t*+ * *:** * **rt:|* * +:l * +:t + * *:i ***:t *** **+*:t+* * + + +t*
i* **,t* +** +***:t*+ * 'f **)a **
TOTAL PRoJECT C0ST rrrss ioo:
$ / 4s'-'ou Is the Propenty Located in a
fiooorlarrt
I ves 6
TOTAL AREA SQ FT:n36
5q FT
SQ FTOy'
hIATER:
SEtIER:
CFPUA
CF PUA
COMMUNITY SYSTE
CENTRAL SEPTIC
M
A.. SEPARAT.LPERiI]TS WUIRED FOR ELECT, I4ECH, PLBGJ-GAS EQIJIP' PREFABS
& INSERTS
"**
payrEr{T
}rEI}toD!
t! casx l-l cxecx (PAYAEIE
ro I'lHc) l-l erll rcco$n L-l msrencano
il VJSA
,*rt:rtB***
*,r*rt*!t !t't *+,t:* * r** 'l*:i+ + * * rt:t
*:r:| + a:t :t * + *:1. *,*:1.
**,x *,t 't****+ rt**** *,r+,*+ * rt*****:B*+tl,t*****,***,t*
(FOi
ofFlc€ us€ ol{tY)
zoNE:
_oFFrcER:SETBAC6: F: LH: RH: g:''Approval: city:_ DATE: FL00D:
-
BFE+zft=
AVI{
codnent: PER IT FEE: g
lr/a
,,f I-?\,
fl
&,9\\€ti,7'*n:;r-
APPLICA'{T'S MHE;
2cyf-tttoZ
g0r 9o t,r{
orn,rri}rr,rro
NoY oi 106
ljEi,l HAMIVER COUNTY BUILDING PERMIT
APPLIC TZaN n"e: RESIDENYIAL
PL!'SE ANSTER ALL qJES'i:O't! APPL:CABIE TO YOlJi PRC}E'i
"P.oject nes Pors 1bl1i!,/'
1rtrZ t:r -Zt??
APPLICATION
{uibei
<4/'"{--wlon-e
5 ,oJZ /-c-.l
PRO]EII ADDRESS;
suB0tvrsr0tl:
PROPEiTY 0l^l'lER'5
ohNER',S A00REss:clw: A/,
ta 7t4/
y'a1
e '/e
.;y'_,/ PHo E *:
CIIY:Tort:14 zrp 4t{/Z-
BLoc( r:
-
LaI *
---ft--,JC /atc .p1;;s1s
2, 4zl ' 9oz5
S\ i/a- ttp | <
#/=--UAflE I t
cor,ITFncTon:
ADDRESS:
Ei!AIL llORESs:
PRO]ECT COI.TACT P€RSON:
axeS 1.6h4172169 s,
CIIY
73/q>''E:-ACCoU|',T #:
I'IIONE
lr,oirE
SF
f,orru ourn -fy' /
sT: zlP: ?(4t-z-
*, -7zr-Vi7s'
*,t 4/'"/ -?oz5/
..
EI,I CCN'f RI'CTIO :
ff*tCl NF}J REsIDE
EXTST:i,16 coilsTiucTroN:
n ALTERATTOiI
or [-l aooluff To ExIs-rNG iEsrDEM:
REx;;Anox
I crr.rtalr nrr*ns f RELocal IoN
Af,E YOU COI,]S'TNU!IIN6:I orr crmer
-sF
E DIC(
fifscnrrNto roncr -5F i-"1 poor-SF
f, sroqacr sHED
-
sF
t{f,'_
tr 6REEXH0U5!
-
5F
f] parro l/noor
^r/k B€ing Oc4e to rhe lc(essorty Str-,rcture? LIYes Ljf No
a Natural Gas Line on the cun.ent
Sftel f[es p'fio
OTHER:SF
Is Any ELECItrt€At, PLU!lg$6 or illctlA lC'{' :'Jtr
lf the project is a Relocatlcn, ls there
I5 the.e Ele.t.ical Pouer on this Bujldingl
n Y€S
flruo
pRoplRTY UsE
I OC(UPAIaY:
Es: gle rs :rv
n njpLEx
I{f Tol.,r,rHousE
DESCRIPTION OF IIORK:
Di6CLA||/€R i h!,e!Y.6rElt lhd ,' o'mal,ln! &k aprSaro! '|l.ry!!n lnd d rrt('rllaamdrs{\ t5a Slrl3 Adght G*? ai{l
,16 .d'nli.ri !i, te8rhlla..!.S.ric.J C.r1b, edl
b. .ttt d o, ait cndlg!3 h $? ,rp6tad pltnr 8nt
:i".orr.natr htlrisnn. '-tOI€
OT,{ ER/CONTRACIOR;
TOTAL AiEA SQ FT:
EXISTTNG I'IIPEBVIOUS A{EA:
mu r'1p€*rl0u5 ARtn:
any $/o.t tldoric !r 9r. l
rpt:'aa Ee6l1s*I b.
<--L.z ./,/.//r-.a SIGITATURE :
,**r*r*i,a*rittrrta *ttrt a*!}****t*tt"t. tii.r*.rr, * i *. J*t
TOTAT pROIECT COST {,.etr LDr:
) / 45-"o" rs the Property tocated in a iuomurnl f, ve, Wn"
q 5c"T0TAL sQ FI LF{DER ROOF: ??f ;
-. l,/O , oF STORIEs : ?'
TOTAL ACRES
DISTURBED: , A4
CE}ITRAL I'ELL
c0f,l!|tfrt1TY svsTrH
Q sQ rr
d-i-6.-sq o'
hIATEi:
STliER:
W;m n
zoNf:[hl.L or rrcen,{r4
c3v;quNIW SYSlEf,l PRIVAIE I'ELL
C€NTRAL s'PTIC?RIVATE I:PIIC
'" SE'A'IIILPTRIITS RISUIREO FOR
ELECT, Mt(H, PLBGJ.GAS EQi-II?' PREFABS
& INSERTS
''"
-payx€{r
[ETxoo!
Lj clsn Ll cHFo( (payaBLE ro
!s{c) LJ BILL aacu.Jll LlrasrEncrtD LJ vrsa
s'iSacKs: r
Approval: CitY:
b ,1.,t olrf l\q F LO3) :
,23.4tu,9.1' ,.n, ,4 ,
.,-*-
: ll I
BFE+2ft=
4sfzl
COIa,6nt,
',
'nsFcl$n
*equii00' 9i0'ii4't$$
,__J6/b
DATE:
DTVELOPER;
lutr-ttl to
nremrrffiS f5 -7,f?"1
APPLTCA' ION
lluitbe r
EIEW HAM}VER COUNTY BTJILDIIJG
,PPLrtarrav r]?E-. RESIDENTIAL
,rlrsE xlsrFi Ar-L Q:as't:CNS AlPr:trBtE IO \al,tt PlojE:i
"Project Responsibiliq/'
APPLITAHT'S tIA,q€:€elu y'a4^, 5'^-,4a**s ,o/Z ,/-z-.
DEVELOPER:
'*./C ITY:PROIECT AoDRESS i
PHONE f:
up-.4c/rz-
BLo(( s: ,,.,.,."',.,",',.,'""".* Lol
*t _-:{2__
L /"tc PHOI''E
*:4"t-1
sr -4!ue , <
tr4/z---
DATE:
sUBlXWsION:
PROPETTY OhTER'5
OhITER'S AODRESSi
AttE:
{-<q tL..iC,r S-,2€ 7a^,/
1.o
CITY: U,
CO$TRACTOR:
ADDNESS:
EH,!"!L t oRESS:
PROPERTY U5€ / OC'UP
oESCRrPrrot{ 0F
"doiK:
co:rlr3c6r ntsalon. '-NOYE :
OHNER/CONTRACTOR:
,+b ,-411qptsE g.
CTTY:
ACCOUNT *:
sT: ztl': 2{4/ 2-
x: -izl ' 1o z-z s'
PROIrCT C0 lAat PERSONT4://e*
corST[gCrrNGr
[ 0rr elnac
-sF
tr
E Eo PoRcH -. ?.oo-sr f] rmr.
-
srSCRE
fl csrruouse -- sr
I rarro H/RooF
-
CTBI R:
</.-
D€trc(
---5FSTORAGE SHED
Pilil;!
P\ONE *. 4/7/ -qa Z5/
OPEX PORCH
_
SF
7t. s?
5F
-,/EX CO STRUCTrOi|:
fftaecr NEB RE5TDEIICE o"
f, loOrrrol ro Exrsrrf{G RESTDENCE
Extsttlrc cor{slnucriorr
I llrrurrol I rtlwarrol [eelrml aeratRs
f] trlounot
ts Any EtECnIa{l, PLUNBrI6 o. TIECHANICAL Uork 8ei.n8 Done to the Ac'Qssory Stru.':ijre ' A"y. il" ,
If the pnoje.'t
is a Relocation, is the'e a flat'Jral 6ss Line o!1 the Curr€nt Slte? 1-fves
$l'lo
Is there Elect.ical Powar on this Building? v"t ffruo
ar,rcY: E1TNGLE rrmrlv
! owlu 2/ror*or$
4,le-L /azr1A""^.€
DISCLAIiEA 1te.!!)cn,ttr lisr
rt hb.r.&''r h n h apfllnon it c are.l *1! a! !$tr rrt mtlly $,li
,l, st& Bt,ifih, (54? ?rc
n! rirC D*!.lotfrc^l Set j.s CraR. {i b. t!tud ot .ry.ia.o.r h Fo oo'r'!ed tgh. el6
c0t/},llJN1rY sYst€ 14PRIVAIE IdEIL
C[],iIqAL SEPTICPRIVATE SEPT]C
h v6l€.on !1lll€ NC Srale Bldg
SI6!ATURE r
!a:ar.a**rrril.t.t*l!*+*+r.****.*ttalat****rti**a'aat**4*jt***ttt.i.lt**tta*ttr***trra**t**
TOTAI mOlE€T COST Grse r,.):
$ l,Zc''' fs the Property Loc*ed in a it-ooolunl I ves AG'
rorAl AiEA Sq *z 2 u4
3 rorAl sQ FT utiDER RooF: -dgl{
EXrSrsE rfiPERVrouS AiEAr
-9-
5Q FT . tlo' OF STmrEs: z/ /
!lEl,, lr4prFvtous a EA. ;iaf 3 5Q Fr rorAl acREs
DisruREED: , t''{.
I,IATER : I/I CF PUA I I
sEhEi: Epcr PUA
X
rroi ofF:aE ujr a..v)
iore, Mf-L orrtcen,
Approval: City
CE{IRAL WELL
COT,I{,u.IITY sYsTEH
ETBAC(S: F:A r*,. 4 O' ,* a.1.q,
\/ gFr-zft:
'E. SE6:IIATf PERIIITS RECJ:8ED FOR ELECT,
'4ECH,
P186,6A5 EqJIP, PREFABS
& INSEi:S
"'
PAYflETJTT hTTtlOX: I_I ClsI LI (HEO( (PAYABLE TO iIHC) LJ BILL ACC&JIiT L] lASTfs!^iD LJ V'Sq
*.*.r.rr*.t'iirrir*tat.rti!Il*.r...
I
\A DATE: II,4 F LOOD:
AV
7r:4;r,",
(oflnent:
Q/.o
NEW HANOVER COUNTY BUILDING
APPLICATIoN rYPEr RESIDENTIAL
PLEASE AI'ISIIER ALL qUESIIONS APPLICABLE TO YOUR PRO]ECT
'Project Res pons
ibiliQ/'
* A-ow, io.o.e
S y'L /-tc-.
tf .l/
I 10
PERMTTPSZ t5 _31+a
APPLICATTON
Number
(Off:.. rt.e)
DATE:
DEVELOPER:
PRO]ECT ADDRESS'
sUBDIVISION:
PROPERTY O!,JNER,S I,U$1E:
OT.INER'S ADDREsS:
CONTRACTOR:
ADDRESS:
EI'IAIL ADDRESS:
PRO]ECT CONTACT PERSON:
cIw
CITY:k/,
.de ENSE *:
CIW: .<)
.73 /q5''-
zri.ae{rz_-
z]:Pl. 2{4t z--,171'6V'
./zr'?ozs/
_7o 5a
5F
PEONE *:
o
€as',za
y'aa
BLOCK *: _ LOT *:
5-7
.JA /atc .pKrNE
*: 4zt'1oz 5
Sr:t:!z*: a
{c//'z--
ACC0UI,IT
#:
ST:
r PHONE
S:
P}ONE *;
sF
fl oPEN PoRcH
_sF
,.
NEt{ CONSTRUCTTOIz
ffeaecr NEul RESTDENCE or
I nOOITTOH rO EXTSTTNG RESTDENCE
EXISTrNG CONSTRUC ON:
fl llrrnarroru [ nrNovruou I errurnN- REPATRS
f] RELocATToN
ARE -YOU CONSTRUCTING:
f} DET 6AR,AGE
-SF
E.DECK
ff*-rr-ir-'o*iite7"-u- n;il si-D srofra-E r
! eneenuouse
-
sF I enrro u/RooF
-
orHER:
Is Any ELECLRICAL, PLUIiIBMG or l'lECtlAtICAL work Being Done to the Accessory
St.ucture?
Br* &
If the project is a Relocation, is thene a Natural Gas Line on the current
sitet ffves fi/ro
Is there Electrical Power on this Building?
Eyes Eruo
PRoPERW uSE
/ OCCUPA',ICY.
B-STruEIE FAMILY
N DUPLEX ETITOh,NHOUSE
rt/e^l {aar1)A-*.€
DISoLAIMER lheEby cenjrythat a[ inbrmabn i^ f,ris apdicanon is cofiect and all work wiu comply witn tne
slate Bulldhg Gde andapplhEble
SlaL and tocat
aod odinances and regulations" The NHC Oevetopment Services Center \titt be noljfu ol any changes in lhs approved plans and
orchalgein
contEctor inbrmaton.'_i{OTE:
OWNER/CONTRACTOR:
h vio,aion olthe Nc stare Bldglo Fines
(Prj.nt tlaoe)
***ri rF+:i*+**** ** **** *** **** **** *** *+++ *+*++,** *****,4*+**** rB**** t*
***** **+++*+ ++:**+*+ * ** + + + + ,---
TOTAL PRol EcT C0ST recs r.oo:
$ /4>-ur; Is the Property Located in a fiooonuml
fl ves ffi
rorAL AREA sq nt -p/$ rorat sQ Fr UNDER aooe:
26{4
EXISTING II,IPERWOUS AREA: O
ilEtd IiIPERWOUS ,nEA.
EO{3
2-z
NO. OF STORIES:
TorAL AcREs
otstnGr , o(5Q FT
SQ FT
hIATER:
SEtalER:
{:;rua COMMUNITY SYSTEM
CENTRAL sEPTIC PR
PRIVATE WELL
IVATE SEPTIC
CEi{TRAL trElt
COMMUNITY 5Y5TEI4
rrs tEElJrRED FoR
ELEcr, r4EcH, pLBG-cAs EQrJrp, PREFAB:& rNsERTs .+*
pavHENr
i,lETuoD:
tl crsH I crear (payABLE
ro
NHc)
[ sru
rccoirr I rnsrencam
il *o
++****:*,r*t.:t*++:a**:l**:*:f !t***i.*:a**'r:B*+*+ +,ta*+*!t*+**:t**:i:t*:l* tt*,i:*:** *****,**:t* r**,*)**:i:a*+***** !t*
(FOR OfFTCE USE q{LY)
ZONE OFFICER:SETBACKS: F: LH: RH: B:
Approval: city: DATE: FL@D:
_ BFE+2ft=
AVN
f14
Corctent PERI.IIT
FEE: $
APPLICAUT'5 tlAItlE:
DESCRIPTION OF WORK:
SIGNATURE :
NEhI HANOVER COUNTY BUILDING
APPLICATTIN TYPE.. RESIDENTIAL
PERmIT
WL,gt-aG+
APPLICATION
Number
(off..e tl(e l
PLEASE ANSI.JER ALL OUESTIONS APPLICABLE 10 YOI',R PRO]ECT
'?roject ResPonsibi.litY'
APPLICAiIT'5 T.IAfiE:C.4k b
l-orur rio*-es //4,t
DEVELoPER I
PRO]ECT ADDRESS:crw:
PROPERW Oi{NER'S t.IA}tE:o
OI.INER'S ADDRESS:{.r.a,,tbJlasrt€CITY: U'
CONTRACTOR:/ot"41g2n5p g':
PHONE #:
ztP:
BLoCK *: _ LOT $:
.J A /atc .PHONE *:47t'?ezs
sr:4?ztP2 a
trn/rz--
DATE: .
o2-
r'o
7
ACCoUI{T
#:
ADDRESS:
EIi'IAIL AODRESS:
PRO]ECT CONTACT PERSON:
CITY:
PHONE
PH0NE
*: ./zr '?o
Zs/
St: zt9t 2{4t 2-*:2zr-frr'
70 5f
r
y'a
_./
NEtr coNsTRUCTrOn:
@taecr NEt,j RESTDENCE or
I mOtrrOn TO EXTSTING RESTDENCE
EXrsTrNG CoNSTRUCTT0N:
f] Urrnarron I nelovlrroru [ erturnal REPATRS
E RELocATToN
ARE vou coHsrRUcrrNG:
I brr enmer
-sF
EJ-E *
-
@fscnreuro potcl -;?Dd -sF fl PqoL- sF
fl sroRAGE sHED
I cnermrousr
-sF
f] narro u/R@F
-
orHER:
sr ftd-eeru eoncx
-sF
SF
Is Any ELECT.RICAL, PLuIIBI
6 or ECHANfCAL Work Being Done to the Accessory
Structure?
frr"t g(
rf the pFoject is a Relocation, j.s there a Natural Gas Line on the current Site?
ffves fffruo
!s there Ele€trical Power on this Building?
Ev". Eruo
pRopERTy usE
/ occuPAlrrcY . f,/"Ctnete FAMTLY
n oro.r* gt'or*norsE
4^t '/.uA^ADESCRIPTION OF hIORK:
Dlscl,AtMEFt lhercby certjfytlat eltiobrmetion in his applicabn is conecl and all work$llcomply wih the stale Eulldho code 6nd epplicable SlaE and locll
and ordlnances snd regulations. The NHC De\€lopmeit SeNices Cenier win be noflied ot any changes in lhe appoved plans and or
chaEe in
conlraclcl inbrmauon.'"NoTE:
OWNER/CONTRTCTOR:
tn viobtion ol the Nc srate to Fines
SIGNATURE :
(Print rlame)
*,a** rB**
+*:i* *:i:i* ***+ +t:t **:F*:l+* * *,1* *+*+ *+++******* ****,1****+* ** 'l +++++ +* ***+* +*++:a++ + **t* **
TOTAL PROI ECT C0ST tr-ess r-ott: $./Zis'cec,rs the propenty Located
in a itooonlalrul
fives W
rorAL AREA sQ trt
;A!L
EXISTING IIIPERVIOUS AREA:
I'IEhI IMPERWOUS AREA:
TOTAT SQ FT UNDER Root:
2474
-, o. OF STORIEST -"
rOTAL ACRES
DISTURBO:
o
azn SQ FT
SQ FT
,4
ATER: I4 CFPUA I I
sEr{ER:
lzf CFPUA
Ll
COMMUNITY SYSTEM
CENTRAL SEPTIC PRIVATE SEPTIC
PRWATE WELL
E
CENTRAL WELL
COMMUNITY SYSTET1
:=+ sEpaRArEpERr'rrTs IEEUrRED FOR
ELECT, i4ECH, PLBGSGAS EQrJrp' PREFABS
& TNSERTS .+'i
pAytlENr
llETHoD:
tl casx f,l cxecx (payaBLE
ro
NHc)
[ sru nccoiur I r,rasrencmo
E rrl5o
*,t*+:a:t:t **,.***,4,t ***,lr,l:B* !a**ri +**:i *:l:r:i,B* t:t ** * * ** * 't+* 't:t + t rr:t* *,t:l * Ii:*+:r'r*+ rt + *:*,* +:l:| * +,t !*
** jt,* +*** ++
SETBACKS: F:- LH: RH: B:
Approval: City: DATE: FLooD:
_ BFE+2ft=
AVN
f41
Comment
SUBDIVISION:
(foi oFF:rcE usE q{Lv)
zoNE: oFFICER:
PERIiIIT
FEE: g
,r>lf -l ll I I
I€z f5- ?,1-11
APPLICATTO
Nunber
APPLI(AI'{T'5 AflE:C4t-.,?ot.<
5-r7,p l"-^e5 y'c /ue-
D!VELOPER
;aZ.r-ta'i3r'2a;:7-4'PiO]ECT AODRESS:(ITY:
NEI,J HANOVER COUIiITY BUILDING PERMTT
APPLICATrG{ rYPE: RESIDEIITIAL
'LEAS!
A!15'l!t AlL QUES':IOi|5 AIP!:€IBLE TO YOqi PAOJ€aT
"troj€ct ResPonsjbility"
ELOCK *: _ LOT *:
lo*la /tc .PHOI,IE
#:
PHOTTE
#:
su8DlVlSr0l',:
pR0PERTY okxE&',S liAxt :
0ti,Jti!R'S A00RE55:{,a.1
CONTRACTOR:
ADDRESS I
EUATL ADONESS:y'a.?
PAOIECT co!{TrcT pERSm:
,/o73//g5'''8.-
4?t - 9o- 5
5\./LtIp 1 a
{,.y'/'z--
AtCoUllT
*r
ztpt4ffr-'=7*
sT: zaP. Z<4ra-
*, lrzr-TZ'
E $:
CITYi 4).r
I earro u,/RooF
-
orHER:
,
CITY: U,
PHONT
Pt*lnE
* z/7/'?ozs'
-,/r,lEH CO.{srRUcrroH t
fft*eo NEu RESTDE,ICE o.
fl mOrnOll To EXrsrrHG kESr
EXrsrI G CO 5lruCr-rotl:
fl uremrroH
I nruovrrrott
fietmul ne*:ns
Dar. -
i
RE
LOCATIOI.I
AE€ You COI{ST&UCTINCi
*r I
0rr 6AnA6E
-sr
C arcx
-sr
[id&u rcnftr
pscnrtr,lro PoRcH .fui(r -fl errrmroust
-
sF
sr f]poor-sr f] sronaer st{E
-srrs Any ELlctRreAL, plungttc or riEcHANrcrL lork Bei.g oor. to the ac(eslory stru(tLJr€,
3 r"2- dro- ,
If the project is a ReLocatlon, is the.e 3 t{atunal Gas Ll.ne on the Curren: 51te)
fh.t E (o
!s the.e Gle.t.i(a1 Powe!' tn this Building?
ff v"u Eto
pRopERw usE / occuPArcY:
E'irNe rr raurlv
! *o, r* B/r*rous.
5F
0f"
oESCRIPTIoi| OF xoRKi A*r,^(
DlSCSll,laA I isJr6,cr^ily i.r aI inb,"traaix h &ls a9c;caiah i! atton alrd .,1 att"{
'},ill
itF?ly sltt
!t! $r:e B1,'lgr10 ooda an6
.t4{tibla Srnj'! .^.1 !i3!
r.o ,!lnh..6 $c a$lrlbrt'fh. tltlc D3E!o!r:i.nl SsDids e.d9r sit ba io!fi.d ol tn: intnt!3 i. thr ap9o\,€d p5$ and
Invio€lo:: olU, NC
Sl.ls Bbg.,:1:7.r^ :rr.:.: -
"\ 'i:
OWNER/CONTRACTOR:
(
ro4 oFrlcE
6r cnitv)
iore, lY\{.-L orrrctn'
ApprovaL: CltY
a. y
woft Prrirdld w9tr€ a I p{@i{te
Prmil3r} !1*,2 z/,/(x SI6NATURE:
PRIVA-E I,IEILCENTRAL IdTLt
COtM.lNfiY 5Y5TET1PRIVATI sEPTIC
5ET8AC$:r,
2r,' ,n,
^4
,'1.q1
:i**r*t*zrt*,:,crrt*r*+***,i*i,i**r,l*+**.r*r**it**t{*****far+r*****at*a}r*t!**rarr*;}r.1"*t
ToTAf PRolEff CgSf
u:: urll $ /6>"* Is the pr.pertv Located
In . dlooonunrl
I ves W
TOTAL AnEA Sg n: ?o4 7 TOTAL SQ F UNDEI ROOF: .2i ? 1-
.-.'
EXIST!r6 rirpERvrcus AREA'
-:-
sQ FT .. rl0. OF SIO&IE5:
e
t{€x tnpcxwous AREA.
;&32-sQ F' TOrAL ACREs
DTSTURBED:
, a{
,...-,,
IIATER: 'i CFPUA I I
sewrn:
frirnfl f,COTI!4U}ITY SYSTE
CEiITRAL SEPTTC
:4
:=! sEPIFATT PER{ITs REOUIRED FOR
ELTCT, q€CH. PL8G, GAS
EOI,:P, PRTIN8S & INSEPTS "'
pAy GrIr ,i!T]oDr E cos* fi orsot lervmle m
nrJ I srll acco,lrr [ 'rasrrncano E *o
**a**'rai***r.*rr:t*r*ra*atrt!it.***$r****a*t*tr4r**:.4{**..4rt.*ttti:t*r*rr*a*r**rr**rr*,}**t
sCoirDe nt :
: lJrvr DAiE: lr i L0-rD:
RH
' ?rL' a+-
tit
/1)/
3-
t\
c_\- 'NEW HANOVER COUNTY
EUILDING PERMTT
APPI.-X
CATI oN TyPTI RESIDEI,,ITiAL
pLtASl-: aNs$lii ALL
Qll11lnll Appll(^Bt.[ T0 ycu4
plo]tii
'Proj ect ResponsibiJ.ity,,
,' ,rl !- -
////)
lfz \5-3aYt
AppLICi:IOil
IilJi:be n
iPPI-ICANT'S
NAnEI,roke dr<r .,ul.ic t:...i'-DATi: .ra/21lr!
DF. !i 3PER:Pl{oNe fi 9lc-1..7-782
PROIEaI
Al$XfSS: 2505 r,::Jr:. D-
SUSDMSIoN: c]e :r
^,.r.
:.
Or+iER'5 AoORESS: qJ: es',i. Ir!
CoI,JTRnCTOR: 51qri! ).:i (;o,,.ri
':ji:'r:.,. c
AoDRESST ,1-)C5
s{)uth!'..:i rnr:ilv :d Ni02
EI4AIL AnDRESS : "^^n3:i r (nr1 nr.., :
rur)r.c. con
CfTVi ili',1::i:v,r,l 21? t 2t)49 t
ELOC](
#: -p::4:;,! 12 c0I- LoT #: tiiii,:r:r, .
PhotlE *: 9lo-:l-i2-2i' :
cITY: ri]]:llogCox 5T: !g_ ZIP i 2s.14'l
sI | .:lS_ llr r
::!lj.::
IJCENSE *; 6q961
CITY: iculnpo!t-
PRoJECT CoI',JTACT pERS0I: :...,:, Y,)rk
fJ nool
__ sr
f-lorcr 51 0liER:
Si0nA6t SHl0 ro
PH&t{[ #: 88a-,4'l-(.l]ro
PHOIJ€ I : !l 0-[ri0--i3]'
5F
5t
ExtsTING cottsrRucrroiJ!
fl ALr€R^::or,r
i] aruova'rrou
I srurnar-
r;r,rrns
I lfttLoc,1::.N
NEt C0f;t'f[ucTro irntcr NEli REsrD[!rc!
or
f nor:;:or To ExrsrrNc Rrsr:Eilcr
.TPLEASE CHiCI( AIID ANSTEN 9!T
fin'. *ffio!?il- s'
f] sunncor
_ !r
l_lcnrrruuousr _ sr
OI{ ALL TIIAT APPIY TO YOUR PiTOJS(T:
i-i otr
eauer sr Proncx tcr st
DISCRI5iTC\ 0F L,lORX; \e{ !r,:',,1(',,r
i.:] Siiljle r'.rni:hanr rar' '..n:t.iir::
I NO
TOTAL ACRES OISTURi]'T]:
NEI,] Ii1PERVIOUS AREA: 6 C,6sQ FIEXIST LANO DISiURBING PTN}]'I YE5
Elro
creua
f] coqr$,l,rrrv
svsrrl il entvarr, urr-r.
I cINTRAL r.r[LL
cipuA
E cEritBAL
sEr,trc
I crrvarl srpr:c
f] ccuuutrly syslnil
una o.iirr:ccl' dtc r,!'jlido.s. rh.18c n .$l.".,rnr s,.ri.c an-lw,i15. A! lrnJ ol dl./ c'rrilnJ ) 5e:$
@r.tcr, hbrnal^-tr, '_NOiE: &y \Vrt !,er.,r!.l Y;,a ho Apa'.i:i.r tt'nlGcll!het6
!rl,{!.. o,tE ri(:
0irJNER/COI'IIRACI0R: r,ok"
rr.?,,r: SIGNATIIR|
rs rHE pRopERTy LocArED u{ .n rroooptnrltt
f] ves
TXISIING IfiPESVIOUS AREA:
_5q FT
:,-t
a
:)
(Dcq
(Do
;
(3
t\:,
}JA I
i it:
II]IER i
PAYX'I,II'4:'I:1OD:casri
"A SEPMATE
P'ff]'1;5 SEQUIREO FOR TLECI, N
Eat{, Pt8G, C S aQUIp, pRfrABS 8l .rX!rl-s .,.
cHEc( (pAy BLE ro :uc; I rlrnrcu :xcness
E I lrscovll
,orr, L-l5ooor.ro,
Aporoval:-- City
i
oari : D-ila' 151,16np
5;:ri^c(s;
:3oltu {a+
Caffy .,s1 l"^.. ;tqacc].-
zu0
PRoPEfiTY O.INER'5 NA,{E: liok'.
tiynr
TOTAL HEAT€, SQ Fi: {T3{ TOTAL 5Q TT UNOER ROOF:60..6 TOTAL AREA SQ FT:
TOTAL PROIECT
COSTp"-rd) : $
l:j!_t!_ # 0F STORIES: 2
fi:,isl,
Is A.!y ELECTS:CALr PLUXBING or llECHr'(lCAL l,lork Bci.n8 llone to thc Accesso.t
Stiuctu.rll S V"r f rc
If the project
ls a R.1ocati.on, ls thete a Natural Gas
Line on tle Current Sitel E oor fl no
Is thcre Electrical Poue. cn this Buildingl l--'l Ves Sno
PRoPERTY
usE
/ oCcUptNCY:
B s:ler-e rarrr-v [] uli,lex ! rou$tousr.
I
I
i
I
I
I
i
I
i
i
I
i
i
I
i
I
I
!
:
I
I
t
or lD 8'1rsS
///3
PEt r,s-
3rs5
CITY I
t,.q ,h..r
BLoC( #:
NEI,IJ
HANOVER COUNTY
BUILDING PERI{IT
tlPPLI
CAtIoN
IyPFr RESIDENTIAL
PLEASE AIISI.IIS ALL QUESTIOII5 APPLICAELE TO YOUN PflO)ECT
"Project R;sponslbllLty,,
LICENSE
i,: '7(3 7lcrrYr r.al
t-tr_--
APPLICAIION
Number
(offtce urc)
,oru. lofz't
unt:rr.
*: fi|.2!t<t6
ztP t zrqtz
{.t
r_"_
PHONE iI:
st z
1lQztt: ?&LtQ
*:@zre: ZE'{51
PH1NE
$: -k?.?8db
a.rr*naa,O, '[i
AD0ntSs:
EI,IAIL ADDRESS:
-suNn00H 5r
PNOPERTY UsE
/ OCCUPANCY:
DESCRIPTIoN 0F l.loRl(r
^PPLTCA
T'S NAI'IE:
DEVELOP'R:
PNO]ECI ADDNE55:
sUgOrVlSroN:
11
'!.1,
PRCPINTY OI,INEN'S NAI.IE:
OIiNERJS
ADDNESS:
3
+-
LV-
ot nQ^
),la I
v,I
[0T ,t:
(,
^Kqi-1 fITY:1.,,.i
lo t.,.1
a
IJ
, Ct/'r
Pno.l[cT coNTAcI PEn50 :
FXISTIN6 CONSTRUCTION:ALTENATlON RENOVATIOII-n crrrnai REp^rRs
f]RELOCATION
NEll C0NSTRUCTl0N:
rnECT NEIJ RESIDEflCI or
I loorrror ro ExrsTrNc REsrDaNcE
6 CIIECK ANO ANSI,'ER OELOI,I
ALL TIIAT APPLY TO YOUB FRO]ECTI
ATT GARACF
$oc\st:
,"\
DET 6ANAGE
-
SF
POOL SF
J'SFP0RC
I sronaee
s FD
_SF
5f
TOTAL HEATED 5Q TI:4 s6 ToTAL sQ Fr UNDER
Roor,t 3/19 T0rAL AREA sq
fir 74qy
TOTAL PROJECT C05T1.essr.og
: $l&c),I OF STORIES: 1,5
fs Any ELECTnICAL, Pl-Ull0ING or I,IECHANICAL
ly'ork Belng Done
td the Accessory
Structxrel
ff Vus
[ ruo
If the pnoject
ts a nelocatlon, is therc a Natural.6as Llne on
the Cument
Slte?
[Vos ff lo
Is there Electnlcal Pouer on
thls Building?
f,]V"r fl r'ro
SlIJ6tE TAi4ILY DUPLEX T0l,lNll0USE
J\r-t c-<-(
D|SCIAIMEII ltemby co/llly l}16l
ollhbm.llon h $ls rppiJaa[cn ls corr6.l.nd d]wor! t!i,tconrply
lrtu ho Sralo g ltdin0 CoCa
.nd o.dlnanc6s an{i re0uh,)ons. T16 NHC Dcwk!,nrnl Se.rkos Coro, vlllUa notrsa crr,']ycl:.n0ss
t Lhe .pprovsd plan s and
conracbr tnbrmalon. r'NOI'frAnyWcik l,eato.m€d *r0 Uro
Aprropr,a6 ra,,nks r,/it,bs h vtitnllo,l0tlho NC Stas Bldo Cod€
and 6U orh€r app.tcablo St3t0 and locaj hws
6peclfcalbns orcian0o h coI|lracbr or
OI(NER/CONTNACTOR :--i,rSr Bvrr-oec 6gaC sTGNATUiTE:
*:I:i * **+ *+**r*r* r**+ r**++ * *
+(i!t+i,ltilli+**t*+r*:t++****+* *++* +* * *:r:i.+ ** +* +*** ++*r+*,t*:i:t+ ++,!*
+:l
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING I,,IPERVIOUs
AREA: "- sQ FT
YE5 NO
5r{1I sq
ri t/1NO
:,:,::Jn ql$spfpgsqr*c q
1
$"?$d_oen I
NEl,, IUPEnVIoUS AREA:
ToTAL ACRES DIsTURBEDT
C, A{
EXIST LANO DISTURBING pERTIII: T:,] YEs
lo Flnos UpTo5500,00".
8EVt5a0
o lE 04/
r.t/ r2
I.JATER:
SEI.JER:
creu,r
I crutnal srlrrc
f]
eua
! cowLlrrw
svsrrr
!
PII
PIIlVATE I,lE L L
IVAI'E SEPTIC
! cnlrnll uelr.
*T* SEPARATE PER',I]TS REQUIRED FOR ELECTJ I.IECHPL3G,
PAYTIENT i'IETHOI)
u rAslt
I carcr lnavlore ro rulc;AIIERICAN EXPNESS
ltc/vrsA DISCOVER**t ji ++* ** a;r +*** * r r.* *+*** r i +rr **++,1*:f t ++**
rrt+***:t++* *+* +*** ** * *t **i,f:i* +*+* *
+:t,t ,!,r,.:*
*** i *:*
zoN[:.rJ orrrcrn:
#1
Approval:--_ city: bru* 9a1g
(IOi oFtrcr usE
olt
S EIBACKS: T:'15' ,.r, ,' ,,,
b.tl' a,
lil
V BFE+2ft=l,-x-
PERi'1IT FEE; g
Cornntent i
+!)6'1000i
--7 q/7
PHONE
'I: -_=.-
I enerlHousr
_ sr I orcr
--
sr orHER:
a
,A'
RECEIvE0 ocT 80 20fi
2atrl t tt v
NEW HANOVER COUNTY
BUILDING PERMIT
APPLIcatIoN ryPE I RESIDENTIAL
PLEASE ANSI.JER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility,,
/tbq+
APPLICATION
Number
(OFfice Use)
APPLICANT,S NAI4E: McAdams Ho
mes LLC
DAfE. \o / 20/ ts
DEVELOPER: McAdams Homes LLc PHONE #: 910-798-3006
PROIECT ADDRESS:
1024 Jacksons Ridqe
CITY: wilminqron ztP
i 233fL
SUBDIVISIoN: Jacksons Ridqe
PROPERW OTJNER'S NA[{E: McAdams Homes LLC
BLOCK
S: LOT #: 13
Ptlol'lE *: 910-79e-3006
ol'll\lER' S ADDRESS
i 662G-cidon Rd
CITY:
Iilminqton ST: Ig_ ZIP: j!3ll_
CONTRACToR: McAdams Homes LLC
ADDRESS: 6626 -c cordon Rd
CITY:wi.lrninqton ST: IS_ ZIP: 2 8411
Eli'IAIL ADDRESS: bianca@mcadamshomes. net/qrady@mcadams homes . net PHO
E S: e1o-?98-3ooE
PRoIECT CONTACT PERSON: Grady cordon PHO E #: 9to- 36'7 -
t223
EXTSTTNG CONSTRUCTION:
! ArreRerrOru
[ nrruovnrroru
! cerurnlr nrcarRs
! RELocATToN
NEW CONSTRUCTTOU:
I eneCr NEW RESTDENCE
onADDITION TO EXISTING RESIDENCE
*TPLEASE CHECK Al{D ANSI/ER BELOW ALL THAT
AppLy TO YOUR PROIECTI
flnrr caRrce 4o't 5F
tr
tr
DET GARAGE
POO LSF
a
tr
PORCH 200 56
STORA6E SHEDSUNROOM SF
5F
5F
SFGREENHOUSE SFOECK
SF OTHER:
TOTAL HEATED SQFT : u]o TOTAL SQ FT UNDER RoOF: zo:z TOTAL AREA SQ FT: 2077
TOTAL PROJECT COST (ress
ro0 : $ 90coo# OF STORIES: :
rs Any ELEcrRrcaL, PLUIiIETNG
or titEcHANrcAL
work Being Done
to the accessory
structure?
fl vet [ ruo
rf the pnoject
is a Relocation,
is thene a Natural Gas Line on the curnent
site? [ ves I no
Is there Electrical Powen
on this Euilding?
ves
n ruo
pRopERw usE
/ occupAr{cy:
@srnolr raNrlv Iouelex ! TowNHouSE
DESCRIPTION OF [{ORK: Erect 3br 2.s barh sinqle family home
DISCLAIMER lh€reby
cerlit hal all inbrmalion in lhis applicarion is
cofioct and att work witt compty wfh he State Buitding Code
and ordinances and regulalions, The NHC Oevelopmeot Services Cenier will be notfted ofany changes in he approved plans and
contacbr inblmalion. '_NoTE: Any work Performed
wo lhe Appropriate Permitswillbe in viotation otthe Nc state Btdg
code
Slale and local laws
OWNER/CONTRACTOR: Adam so SIGNATURE :
(print nane)
+ * + * ** * * ++ !t
** * t rt
i + '* * *,i ir * *,* +'+ * * ** * *,[ *
*,] * r * * * * + r r * r * +
+ * * * * r r *,i * + *
*,t* * * + )t
* !*
I )i * *,i * * * f x x )i +,t *,t
rs rHE pRopERw LocATED rN
l rlooonurrl
I vrs
EXISTIT'IG II4PERVIOUS AREA:
_SQ FT
NErd
IMPERVIqTS AREA: _ sQ FT
t4lATER:
I NO
TOTAL ACRES DISTURBED:
EXrsT LAND DTSTURBTNG penrlrr: l-"1 ves [ ruo
(FON OFFICE U5E
ONLY) REVISGD DATE g4l11l12
SETBACKS:
F:_ LH:_ RH:_ B:_
BF E+2ft=
N
PER
IT FEE: $
creua
fl coMMUNrry
svsteu
! pRrvArE wELL
I crrurnnr
well
sEr{ER:
El creul
! CENTRAL
sEprrc
! enrvnre
seerrc
! coMMUNrry
sysrEtl
*** SEPARATE PERmrrS REQUTRED
FoR ELECT, I{ECH, PLBG, GAs EQUrp, PREFABS
& rNsERTs *'i*
payMEr,lr rlETHoDr !CeSn ICxecK (PAYABLE
ro HHCI
I BrLL ACCOTT{T
I ucTvrsl I rrraorr*
It )i+ + +*,*,i+++
**** * *,** )*
*,* )* )*++ + +**,t +)t,*+ +,f *,i *)i *+*,t *,i+
**** +)i,i+ * + *,r,r,i,i*+ *,t ** )i+
+*,i *)i + + ,r ,r,* ,i
* )i+,t ++
OF FICE R :
Appnoval:_ City:_ DATE
: FLOOD:
Conment:
I
3)r-
LICENSE
#: 69901 ACCOUNT #:
ZONE:
_
a
RECEIVED OCT 3O iO6
ootY-tl (s
/g'2f,qq
APPLICATIO'{
Number
(OFflce Use)
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PI-EASE ANSWER ALL QUESTIONs APPLICABLE TO YOUR PRO]ECT
"Project Res pons
ibility"
APPLICANT'S NAIIE: McAdams Homes LLC
PHONE S: 910-79a-3006
PROJECT ADDRESS: 1004 Jacksons Ridse Ct
SUBDMSIO : Jacksons Ridqe BLOCK S:LOT #: 18
PROPERW o}'INER'S NAl,lE : McAdafts Home6 LLCPHoNE *: 910 ?98-3006
OL{NER'S ADDRESSi
6626-c Gordon Rd
CITY: wilminqton sT: NC
zIP: 28411
CoNTRACToR: McAdams Homes LLc LICENSE *: 6eeo?ACCOUNT *:
ADDRESS:
5525-c cordon RdCITY: wilminqton ST:
JL ZIP: :3311
El,lAIL ADDRESS: bianca@mcadamshome s . net/qrady@mcadamshomes . net PHONE #: 910-?98-3006
PROIECT CONTACT PERSON: crady cordon PHONE *: 9\a -367 -a223
EXISTING CONSTRUCTION:A LTE RATION
fl neHovrrror
I crruenal neeerns
! RELocArroN
NEW CONSTRUCTION:ERECT NEttl RESIDENCE o" ! eOOrrrOH TO EXISTING RESIDENCE
I.*PLEASE CHECK A D AI{SWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
fllarr oamce ao1 sF ! oer cenroe sr
I eoncx
L- sF
! sunnoom
-sF
! eoor-
-
sF ! sronaer sHED
_ sF
! onerruxouse
-
sr ! oecr
-
sr OTHER:SF
TOTAL HEATED SQ FT:
13so TOTAL SQ FT UNDER ROOF: 1833 TOTAL AREA
5Q FT: 1s33
TOTAL PROIECT COST luess uor; :
$ *orat S OF STORIES:1
Is Any ELECTRICAL, PLUI4BING o. I4ECHANICAL llJork Being Done to the Accessony Structure? fi V"r [ ruo
If the project is a Relocation, is thene a Natuna] 6as Line on the Current Site? fl Ves [ ruo
Is there Electnical Powen
on this Building?
ves
f] to
ouelex
I To],/NHousE
DESCRIPTIoN
0F WORK: Erect 3br 2.5 bath sinqle family home
PROPERW USE
/ OCCUPANCY:SINGLE FAMILY
I
DISCLAIMER lhercby cedjn/ hal all inbrmaton in fiis applicaton is
corect and all work witl compty wih he Srale Euitding Codele Slab and hcal laws
arE ordinances and regulatbns. The NHC Developmenl Services CenEr willbe nol,fed ofany changes in he approved ptans and
confactor inbrmaton- '_NOTE: AnyWork Pedormed w/O theAppropriale Permitswi be in Viotation
olthe NC Slaie Btdg Up To $500.0Cr"
* * * r * * * * * + * **,r * * * ** * * * ** * * *(I'*Ti Jil"]* )k
* *rt )* rt
*+ r* ++ + * *)t )i )t*
** ** + +:t * + *+ *,t ,*
* * )*
* rt+ rt+ + j* ++ +tr( )t** )t )i*
rs rHE pRopERTy LocATED rN
e rloooeurrut
I ves NO
EXISTING II,IPERVIOUS AREA :
I,IE[{ ITTPERVIOUS AREA:
SQ FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:
l-l ves
I rvo
WATER:CFPUACOI4MUNITY SYSTE14
! enrvnrr wer-r-
!CENTRAL WELL
sEr{ER:
I creun
! CENTRAL
sEpTrc
I enrvare seerrc COI'IMUNITY SYSTEM
ZONE: OF FICE R:SETBACKS:
F:_ LH:_ RH:_ B:_
BFE+2ft=
AVN
*,I* SEPARATE PERI4ITS REQUIRED FOR ELECT, I'4ECH, PLSG, GAS EQUIP, PREFABS
& INSERTS ')T*pAytlENr r4ErHoD:
!cAsx [orecK (pAyaBLE
ro ruxc1
[rrl.,- oa.*r, I r,rcTvrsn
I orscovrn
'** ** * )k* *
*+* +* )t* *,* )*,*
*** )*x
x* ** * *,t,t* *,i+* **,r * * *
+t +,r* )r
* *,* +,* +,t ** * + +* **,r* )r ++ +*,r,r)i * + *+,i x*:i + ++* +,r
(FOR OFTICE USE
OIIIY) REVISED DATE
O4l11/12
Approval:_ City:_ DATE:_ FLOOD:
_
I
Comment:
H-
DArE| _J91291f2_
DEVELOPER: McAdams Homes rrLC
CITY: wilminqton ZIPi ZzIJL
OI'INER/CONTRACTOR: adam sosne SIGNATURE:
lfl lf'
APPL1CANT'S NAiE:
oEVELOPER r
NEW HANOVER COUNTY
BUILDING PERIVIIT
A?PLICA.IIoN iypf - R ESl DENT lAL
plfAst !urr;rt ,iLL QU!5Ij0!\ ,rprlI(n!Lt :i ?CUr PRClaal
"Project Responsibility''
Lotr-tl(lG
\5-ialq
APPLICAIIOI'l
DATI: i't! Lt
PRO]€CT AODRESS:
SUBDIVISIOI'I:
' j'1 .' ''v"' 'CIYY: td \r.r,^"::<,'^. Zfrt 7?1t'::
ELocN *: _ LoT f:
PtiO|JE * i
pHc6r
*. f lo i rU :,::',: !
slt ]srzlp I Zr.',.:...i
srt
Mz*t 2!4Zz
PtfiNE rt t.J
/0 ffi*:(l i.5
oHot'lE tr:
5r
st
j
PROPfRTY O TE'5 NA]'It:
, "i1\'t-L'.
v.\ !:
RTT]'VA- -: N
',i:,-
) LICENSE f,: - ' -i-.i-)
CIrY: R: 1, ,r .'cr
ST,:,RAGE SHID
PRO]EC: COiITACT PERsot{:
EX]STI!16 CONSTR'.TION A LT I RiT:'N
f] sL,,.,nrc:.r
--
sF
I crrenar- nrraras
f] RELocrrrcN
PCRCH
r\.a\{ .
oirtiFR s ADoREssi
coflT8AC10fi:
ADORE5Si
EI',AI L ADDNISS ]
f,{ru coNsTRUcTIoN:
I rarcr !{EU RESTDENCE
o"
s mOrr:o( To ExrsTif,l6 RESTDENCE
.iPTEASE C}IICX AflD AIISWT EELOUI AI.I THT] APPLY TO YOUR PRC:ICI'
f]r=r GARA6, sr f] oET 6aR.16r
-
sr
D t Cri i:' sf
Pao-
DECK
1:i:>
TOTAT HEATED 5Q f T:c .1 TorAL sQ Fr uNDER soor : ?, i '7
, TorAL AREA 5Q rr: ' t'l
ToIAt PRolEcT CoSf(o.*ro,r:
$ ilcrr:r't s OF SToRIES: L
ts Any €LECISICAL, PLuiaIIG or I1ICHAMCA! "'3l.,( 8eing Do:! to the A((estory Stru(turel f V"s f lfo
rf the proje(t is a Relo(atian, is there a Natu.al Gas Line on the current
Sitef f] ves l] r,ro
1s
the.e Elect.ical Poler on this Buildin8?
frvu, flHo
PROPIRIY USE
/ O(CUP
DESCRIPTIOT{ OF IOR( :
mcvr'ffi slI6LE FAHIr-Y DUF I, EXI;r.lrunouse
I carrraousr sr
IS THE PROPERTY LOCA'EO IN A FLOODPLAIH?
EXISTING Ii4ptqVlOUS AREA:
---
SQ FT
ll€l{ IHPERVIoUS AR€A;
-
sQ tr
5E'JTR
orscLA|r,, : '.-
.rid o:a'.an.e5 :i.r1 1.t . . i.s
(o.x.rr,t '\b'r' r:.^ 'NCll 1:
t)r j li t,,:i.1
o ER,/CoilTRACT0R :
',
l. :
L,rir 0ra?4prorf !i;i ;).:*r1i
r :r. {Vi.r,!-.ol,rretlll Sta
r-.'r'J; \ STGNATURE:
t.llldLr cad!, J^. s
rv- r io rtnca
*I.,L i.o-J
:
YES
ffi crurl ! co4yuN:
'y 5,.-ru ] pRrvarE tr€tL
ffi crpur
f cENTRAL srtrlc J lttvatr sr"-:l
TOTAL ACNEs DIST!flAID:
Exrsr LAND DrsruRstNc or*i*
= "rt
i] cetr ,,rr r"rL r
f cor:r'lr::'i s.!"1:lt
L - 'iClVIsA LJ OISCOVCR
NO
TlP:
PAYII'NI
']!
IIIOD
I cns,
f, o,ec,t (pAyasr-t To rlltc1
[ ntra:cal rxcnrss
[.]5
rr.c a!r.ir .r,i c'r Y
Sr ": r((S: t: ) .'-- -,t: , ' ql':-- 8'
lj!J-rrooo:-
-
X
i.t-
z0N
apr)city:Nli\4-. DATE
F
T
!.ilr't)l..e "!PERi,lI.l FEE: $i\
( o,*p lo'', lfiet"i
Ir.,.,..
5F OTHER:
/:r
.i,e
,m
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE I RESIDENTIAL
PLEASE AN5ViER ALL QUEsTIOXS APPLICABIE TO YOUR PRO]ECT
"Project Responsibility"
\5-3?11
)arc- I /// ('
APPLICATION
Number
(office Use)
APPLICANT'S NAIl4E:
DEVELOPER:
DATE:tl
-t8.-tt
PHONE *:
PRO]ECT ADDRESS:t ztP t ?-44o{
PHONE f:|to 31L7V)l
sr,t
^]o.tPt
2B+)<
5 Lrcrrcr *: )zO
CrTY r
CITY:
BLOCK #:
,'v\
STORAGE SHED
LLz:p,. 28422
?/o AE -/Ltts
SUBDIVISION:ry\
(tV f\PROPERTY OITNER'S NAI'IE:
OWNER,S ADDRESS
A4 41 P. N<T S CITY:
CONTRACTO
ADDRESS:
Ei{AIL ADD
PRO]ECT C
R:
RESS:
ONTACT PERSON:
v'
rv\e
ST:
PHONE S:
PHONE #:
EXTSTTNG CONSTRUCTTON: p Ar-rrnarrOr,r
!.-.R ENOVATIONGENERAL REPAIRS RE LOCATION
NEW CONSTRUCTIOT"I:
! TNTCT NEW RESIDENCE O" ffiAOOTTTOII TO EXISTING RESIDENCE
**PLEASE CHECI( AND ANSI"IER EELOW ALL THAT APPLY TO YOUR PRoJECI:
ATT GARAGE SFDET GARAGESFPoRcH I 5F
c 0'i
conlractor informabon
"'NOTE AnyWorkPe.lormeqW/OheAppropn.€PermlswrllbernVolalionollheNCS
owNER/coNrRAcroR: -Fla'\ 5<-.,".\<-.i- srGNAruRE:
suNRooM
_sF
GREENHOUSE SF
POOL
D ECK
i,r5-
rs rHE pRopERTy LoCATED rN n rlooolurrl I ves
EXISTING II4PERVIOUS AREA:
_SQ FT
NEt^t I|'IPERVIOUS AREA:
_ SQ FT
TOTAL 5Q FT UNDER ROOF:t1 TOTAL AREA 5Q FT:
114
SF5F
SF
YES NO
SF OTHE R:
TOTAL HEATED SQ FT:
TOTAL PROIECT COSTtressrorr : $ilO, ooo
Is any ELEGTRTCAL, PLUMaTNG or FIECHAJ,IICAL Work Being Done to the Accessory
Structure? S V"t I lo
If the project
is a Relocation, is thene a Natural Gas Line on the current Site?
[ ves fi ruo
Is there Electnical. Power on this Building?fi1 v"r [ruo
PROPERTY USE
/ OCCUPANCY,
fl SrnCrr rAmlrV DUP L EXTOWNHOUS E
DESCRIPTION OF WORX:
OISCLAIMER: I hereby cerl ar all inbmatDn rn bis appllcaton is €o(ect and allwork willcomply wih t'e Slale Bu(ding Code and all oher applcable Siale and local laws
and ordin ances and reg u lalions The NH
C Developmen I S€ rvices C€n ler will be notfied oI an y changes in t'e appro ved plan s and specifrcalions or chang e in contracb r o.
I B"JI
Bro
TOTAL ACRES DISTURBED:
rare Bldq
code and 9rbiecr ro FinUp To $s00 00"'
CF PUATERWA
COI4I"1UNITY SYSTETl
EXISI LAND DISTURBING PERMIT:
PRIVATE WE
LL
I cerrnnl urrlr
SEt^tER:CF PUACFNTRAI SFPTTC
PRIVATE SEPTTCCOMIVIUNITY SYSTEI4
x
F*** SEPARATE PERIIIIS REQUIRED FOR ELE'T, I4ECH, PLBG, GAs EQIJIP, PREFABS
& INSERTS ***
pAylrEr,rr
irErHoD:
E cosr crrcx (PAYABLE
ro
nrcy
I orenrcAN ExpREss
E nclrrso E orscorr*
)***+** *,t,t** **** )**** * )* )*
** ** ***+ + )*+
**** !t,t * * ** * * )*** ***+ ++** ***,t,t* ** )*++
+*** *** *)*** **,** ++** * *
(FoR oFFIC! r.iSE
ONLY) REVTsED DATE
O4l11l12
ZONE:
_OFFICERSETBACKS: F:_ LH:_ RH:_ B:_
BFE+2ft=Approval:_ City:_ DATE:_ FLOOD:
_ _
AV N
PERtlIT FEE: $)Comment:/(
LOT *: _
# OF STORIE5: I,
n
I
da
W
NE[^I HANOVER COUNTY BUILDING
APPLICATION IYPE; RESIDENTIAL
TDir-r
tr0
,r*rrrPE V,
E: 2t Lb G
APPLICATION
Number
(Offi(e Use)
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAME:
DEVE LOPER
uni\\o
oa3 DATE:
PHONE f:
PRO]ECT ADDRESS:
SUBDIVISION:
CITY:ZIP : ') gL/.\q
LOT #:
PHONE f:1r0.6tz--t'as
BLOCK *:
PROPERTY OWNER,S NAME:
OWNER,S ADDRESS:
ST:
_ ZIP:
_
S.o* 6rpg"-5 Coc<ts.x\t"n LICENSE #:
S4,,"d-CITY:
((tt S-tL 3,sA 5( crrv,
na{.J-.-.<-...
SF
UNROOI1
l1a t,
EMAIL ADDRESS:
AT64RAGE
GR E ENHOUS ESF DECK
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
-SQ
FT
A LTE RATlON R ENOVATIONGENERAL REPAIRS RE LOCATION
PORCH
-
SF
STORAGE SH ED
OTHER:
,dd-
sr,t{\.L zrP | 2U4b I
1ro'915'-31o1
1to-r(5-73a1
SF
sr - &J ackosT- 6-2-=*,
PHONE fi
PHONE #:PROJECT CONTACT PERSON:
EXISTING CONSTRUCTION:
NEI^] coNsTRUCTIOI:
f] enTCT NET^] RESIDENCE o" [N-ooTTTOI TO EXISTING RESIDENcE
3*PLEASE CHECK AND ANSWER BELOIi ALL THAT APPLY TO YOUR PRO]ECT:
DET GARAGE
_ SF
POOL SF
5F
TOTAL HEATED SQrr: 3?D
TOTAL PROI ECT COST ,.
"* . .rr : $ l{ CD-'----1--* OF STORIES: I
Is Any ELECTRICAL, PLUmBING or I,4ECHANICAL Work Being Done to the Accessony Structune? fkf"s I ftfo
If the project is a Relocation, is there a Natural Gas Llne on the current site? [ves [ ruo
@1G aIs thene ELectnical Powen on this Bui.ldin NO
PROPERTY U5E
/ OCCUPANCY:SINGLE FATlILY DUP LEXTOWNHOUSE
DESCRIPTION OF WORK:
conlracbr inbrmalion "'NOTE:Any Work Performed W/O tle Approp.iaE Pemils wrllbe n VDlalion of the NC SiaE Bldg Code and Subjecr p To $500 00"'
OWN ER/CoNTRACTOR: I s"ll,.-- s,Cto'rY.s SIGNATURE:
(Print Name)**r()i*:i(*)*r()*r(********r(*)ir(*,**r.*****,*r,,i*,k**********+**,*******+******)t,i,t********,**,*,*,*****,*,r**
DISCLAIMER: lhereby certify hal all rnbrmatron in
his applrcalion E coneci and allwork willcomplywih Ue Stab auibinq Code and all oher applicable SlaE and local laws
and ord in
ances and regu lalions The NH C De velopmen I Se ruices C€n ler wil, be nolilied o I an y
changes in he approved plan s
and specifications or change an con tra€ b r or
YESNO
WATER:
SEWER:
TOTAL ACRES DISTURSED:
NEW I ERVTOUS AREA:
_ SQ FTEXIST LAND DISTUREING PERMIT i
[vrs I NO
PUACOIYMUNITY SYSTEIlPRIVATE HELLCENTRAL UJELL
! crrurnnr srerrc
! PRTvATE
sEprrc
! commurrrv svsrrm
Ecot, EcHEcK (pAyaBLE
ro xHc;
f] emenrca ExpREss
n rc/rrso
CFPUA
A* SEPANA-IE PERiIIIS REQUIRED FOR ELECT, TIECH, PLBG, GAS EQUIP, PR€FABS
& INSERTS ++*
PAYiIENT IlETHOD DISCOVER
*********x*******,*,f,*,F****)r**rk******************i(*{(*,F******,f**,r,f,f+*******,f,******,F*{.******
(FOR OFFICE UsE ONLY) REVISEO OATE
O4l11l12
SETBACKS: F:_ LH: RH:_-B:_ZONE:
_OFFICER
Approval:_City:_ DATE:_ FL00D:
_ _ BFE+2ft=
Comment:
N
PERMTT FEE:
pEl
CONTRACTOR:
ADDRESS:
TOTAL SQ FT UNDER NOOT: 3?d TOTAL AREA SQ FT: 3?O
L
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PTEASE At{Sl,{ER
At-L QUE5TIo}IS APPTTCABLE TO YOUR PROIECT
"Project Responsibilit!/,
2) S lo.ztzro*zzo., Et<C
PRO]ECT ADDRESS:
.209
z€kt /Lt./z€a crry:
BLOCK T:
#
S-70Y
/c:lI-(l I /
7
APPLICATION
Number
(Offi(e Usc)
APPLICIWT'S IUIflE:
DEVELOPER:
DATE: //'//-/s'
SUBDIVISION:
4ozrt 7//.2.?iE'
PROPERW OWNER's
tIAIilE: ..'A A f CAz/j
7/r2qb^2\4
c-
OT.INER ' S ADDRESS . ./7O ';/:EE..i z
24a.,Dta CtrY: ?tt
coNTRAcro* 2/')
LOT
*:
ZTP
//
ADDRESS:
EI'IAIL ADD
2o
-, 2r, <-
2214 ro bP
LrcEiEE *: t6O 7y'
CITY: /t't c
pHoNE
r:
?tz ;Zf-lt32
st
2!]-zrPt 36/o5-
srt24zp:4Ei?5'
,/lo o22/-f/?,RESS:
G
2.1/L, co/t',PloilE f:
PTIONE
S:PRO]ECT COT{TACT PERSON:fr*c- J7e
r7a-t
Exrsrrr{G coNsrRucrroN:
I nlrenarror
! RercvlrroN
! ornennl REpArRs
f] RELocArroN
NEt.l
coNsTRucTror:
fi enecr NEt,l REsrDEitcE
o"
f| nootttou To ExrsTrNG RESTDENCE
i'*PLEASE CIIECK
Al{0 At{sl.,ER 8EL0w ALL THAT APPLY TO yoUR PROIECT:
ffi rrr cnnrce 9€4 sr I oer enucr
_ sF E]poncn
3Sf,SF
SUNROOM
_ SF
,/o 97/-3/J7
POOL
_ SF
DECK
STORAGE SHEDSF
! enr eHuousr
_ sF
5F OTHER:
v"s
M tlo
ourlrx
! TourNnousE
5F
TOTAL HEATED 5Qrt:
A/77 TOrAL sQ FT UNDER ROOFT p 7oo TOTAL AREA SQ Ff :
22e
ToTAL PROIECT CoST 1r-ess rorl
: $ 2Oo, ooo "> # OF STORIES:
I /Z
Is Any ELECTRICAL, PLUl,lBIt{G
or nECHAIICAL tio.k Eeing Done
to the Accessory
Structure)
E V"t E
If the project
is a Relocation,
is there a Natural Gas Line on the Curnent
Site?
! Ves
NO
EI ,o
Is thene Electrical Power
on this Building?
PROPERTY
USE
/ OCCUPANCY ' s SrUele rerlrlv
DISCLAIMER: lhereby
cedit t)al all inbnnalion in
his applicalion is conecl and allwork willcomplywih he Srare Building Code and all ofier applicable Slar and local laws
and ordina.ices and regulalions. The NHC Developmcnl Setuices Cenle, willbe nolifed ol any changes in llle approved plans and specifcarions orchange in
conracbr or
colJgg{nb,m auon'-NoIE,
@gra/corurnncron
(€-frarze ''t
DESCRIPTION OF WORK:/ ) ra 4/ //e .n+c-
Any Work Perfomed w/O tle AppmpriaD Permits
willbe in Violatbn olrhe NC Stab Bldg t b Fines UpTo $500 0O"
SIGNATURE:
(p.int fl...)r*** * ** * *** * **tt* + * )i,* )t )i,t *,f )x*
***)t + ** * * + t * *,1* ++ + t *,it ++ * * * + ,t,t * + + ,i,i ,i ,i rt *,i )i *
t** I * * **!t * *,* **,*** r,i*
I5 THE PROP€RTY LOCATED IN A FLOODPLAIN?
EXISTII{G II1PERVIOUS ANTE: .'.d ()
O SQ TT
YEs p r'ro
TOTAL ACRES DISTURBEO:
, { O
NEw r[PERvrous aREA:
A?),f SQ FTEXIST LAND OISTURBING PERI4IT:
Fl ves l--'l rc
WATER:
! creua
[l coMMUNrry svsrrm
I pRrvarE WELLCENTRAL I^JE L L
sEr.,ER:
E crnur
I CENTRAL sEprrc
I enrvart sEprrc
I coMMUNrry sysrEM
.*' SEPARATE PERI{ITs REQUIRED FOR EIICT, TIECH, PLBG, GAS TQUIP, PREFABS & INSERTS ***
pAy[ENr r4ErHoD:
fl cosn ncxrcK (PAYABLE
ro NHc)
E AfiERrcaN ExPREss
E nclrtso D
'l *,i,t *,* * ,i,i * ,r il*,** +* *,* +* * **)t)i ***)t * * )i ,t,f,t ,i *,r *,t ,l,l * * r*,f,i r*,***,**** * )**,t* *,t*,t,|* * *,i * )*** **,t * **** *****)t
ZoNE:
_ oFFICER:
(roi oFrrcc usE 6rLY) REWSEo 0 TE 04111/12
SETBACKS: F:_ LH: RH:- B:-
DISCOVER
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=
-
AVIiI
Comment: PER fT FEE:0'
PIloNE
*: 7/O U.Z?
-5737
trtr
\l
NEt^l HANOVER COUNTY BUILDING
APPLICATION TYPE: RESIDENTIAL
2;tr-tttt 7
PERMTT
?EZ5-7+8Y
APPLICATION
Number
(Office Use)
PTEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
-Project Res pons
ibility"
-lZOo Frsut^-)DATE:q -
3(,'\5APPLICANT,S T,JAI{E:
DEVELOPER:PHONE #:
PROJECT ADDRESS:CITY: tur L-l^tal 610^,ZIP: _
PROPERTY OI,{NER, S T,N E:
Aoar.n Ba.ouosrr.,PHONE #
ot'tNER'S ADDRESS :CITY:ST:-ZIP:-
CONTRACTOR: Frsrw Bgc;-?uens Co*sr(rlirr
6!' LTCENSE S: LSLOU ACCOUNT S:
ADDRESS: 5 i-)t^-:ooD ArrE CITY: (^J \ U\rrrc16l Qsr: Lr- zrP:3J&[O(-
PHONE #: (\,o .qoc. qdSl
Hoo,P t*'
PHONE #: qro 'r{oQ. q
oCll
5F
or #:
$9)- ^s=r r
SF
SF
BLOCK #:L
sRt)\
\
EIi,IAIL ADDRESS:aa' a O./V'
PRO]ECT CONTACT PERSON:' r n.Id Fr\Etr.r
$\\)
-..-)
*TPLEASE CHECX AND ANSWER BELOb' ALL THAT APPLY TO YOUR PRO]ECT:
5UNR00M
_5F
GREENHOUS E
-
SF
EXTSTTNG CONSTRUCTTON:
! nlrenarroru
! nrtlovnrroru
[ ertlrnal neearns
! RELocATToN
NEW CON5TRUCTTO*2M '*ra' NEW RESTDENCE o.
! nOOrrrOn rO ExrSTrNG RESTDENCE
\)
Ntr
Arr GARAGE Q?H sr ! oer eanace
-
sF
POO L
DECK
SFSTORAGE SHED
SF OTHE R:
TOTAL HEATED SQ FT: \Q3 TOTAL SQ FT UNDER NOOP: ZA 53 TOTAL AREA SQ FT: Z:S9
;$orar- pRolEcr coST(ressro0 3 5 zr:68-lt' oo # oF sroRrEs: t
Is Any ELECTRICAL, PLUIiIBI G or T4ECHA ICAL Work Belng Done to the Accessory stnuctune?
[ r"' frrO
If the project is a Relocation, is there a Natural Gas Line on the current Site?
[ ves I tlo
Is there Electrical Power on this BuildinS?ff v"t Eno
pRopERry usE
/ occuPANcY,
fr sr*ou raurr-v
Iouclex ! ro]JNHousE
DESCRIPTIoN 0F IJoRK:(\Er.)
QvClro't -?+\tD rAL
and ordinances and regutatlons. The NHC Development Services Cenler willbe no$fred ofsny chanoes in he approved plans and specilicalions or change in
conlmcl,,r or
conracbr informaion.
"'NOTE: Any Work Performed W/OileAppropriab Permits will be in Violation ol lhe NC Slale Bldg Code and Subject !l Fines Up To
$500.00"'
OWNER/CONTRACTOR :- tooo hsvrru SIGNATURE
,t)t+x)***,t*,t)t+)*)**,**,**x**,trt+ii,i**)*x***,1+++*+*+**x)*x*,*,****rt+rt)t)i****,*++:t,l*,i****i'r'++'i**'*****'t'**
rs rHE pRopERry LocArED rN A FLooDpLArrur l-l ves n ruo
EXISTING IMPERVIOUS AREA:
-SQ
FT TOTAL ACRES DISTURBED:
NEt,,i IMPERVIOUS AREA: 2TS9 5q P1EXIST LAND DISTURBING PERIVIIT:
fi VES
I_'I IIO
+** SEPARATE PERMITS REQUIRED FOR ELECT, }IECH, PLBG, GAS EQIJIP, PREFABS
& INSERTS ***
pAyMENT
mErHoD:
I casr ficxecK ( pAyAB1E
ro tlcl fierlu rccallr E mclrrso E orscoven
)***r(+x)**,*)t**)t***:t+***)|::i.:i)*,t****)i+*,*,*:t:f:i,i.:r*,*+*****!t**r(,*,*)*'*)*:****)t*r*)t*)*'t't'|'t)t'l)t***)i'*)t'**)*']B*'Jt'(*
(roR oFrrcE usE oiltY) REVTSED DATE
04111/12
ZONE :
-
OF F
ICE R:SETBACKS: F:_ LH:- RH:- B:-
BFE+2ft=Appnoval :- CitY:- DATE :- F L00D: -
" N
B
306 t[ aoLoN"\I c\8-
SUBDIVISION:
worea;ffcr-rvo
I cowururw svsrrr'r
! PRIVATE hlELL
! cerurRal we ll
seuen:.-ffcreua
I cerurnal srerrc
! PRTvATE sEPTrc
! communrw svsrrt't
/us-
dt=/// 2
,l5
4r
NEW HANOVER COUNTY
BUILDINC PERMIT
APPLI.ATIoN IrPs: RESIDENTIAL
rLtAlt Arisxtt aIt QUtsrrolts apprt(atrf r0 vouR Pnollar
"Project Resporsibility"
L5-3245
APPLICATI€N
llulnber
(otll.€ Ure)
DATE i\l t3
ISAPPTICA T'S NA',{E:iirnas
DEVELOP€R:
PRO]ECT ADDRE
SUSDIVISIOT'{r
PRoPERTY ohtNERls nalrr:
StL
CITY:
PHONT
'I zaP i
lOr S: I
nL
PHONr r,1to qsz-1rlS
sr;
N0zrpZe\: \
BLOCK S:
O"NER'5 ADDRESS:
CITY:
CONTRACT
ADDRESS:
oRi
EIIAIL ADDRESS r
lrcEflsE f : .<4.loa
crrY: tse\,it\t-sr :
..lEzrp ,
Za,{5 t
Accour{T #: [\rDllt,
Pr{oilE
fr qloqsz'-ll?\
PRO]ECT CONTACT PEf,SON:
tXIsTIt'lG coNSTnUcIIol
I
I ALTE RA-TlON
f] nrrcvarron f_] e ruur nrerrns
fl RE LOCAIION
EW
CO STRUCTTOiT,
$ rrra' NEtr RESTDENCI or
D ADDITION IO EXISTING RfSIDENCE
T.PLEASE CHECI( A}IO AI{SI.IER B€LOI.' AIL IHAI APPIY TO YOUR PRO]ECTI
ffiarr unroe.
8'.lrtL sr fl orr eanaer ,, fr.**., }kk-t,
suNR0014
5f POOLst STORAGE SHEO5r
SF6RE I NHOUS TSF
fl orcxST OTHE R:
pxorr *;
tlb,gL 1!fS
Toral HEATED
sq rr: 5-7"1i rorAl sQ Fr uttDER noor,
51*14 ToTAL AREA 5Q FT:
--
ToTAt PRolEcT COST rr.stlroo ' $ 3OO\l- f OF STORIES: 2-
.ls Any ELECTiICAL, PLUllBI{G
or ltECNAlrIcAt lork Bein8 Oone to the Ac(essory stru(tu.el
I* the project is a Relocation,
is there a Natural 6as line on the fument S
Is there Electrical power on thi5 SuildinglnYes S,o
PROPERTY USE
/ OCCUP
DESCRIPTIO OF !ERX:
*q,-d
.)r K
- Ntr/J CM(lruchu\
SINGL€ FAMITY
I ouelrx
I ro*,nousr
DISCLAIMER I heEby
c8.rtt bal 3lr nbrm bn l. trls lpplicalon 16
.ot.cl a.., !t r,o'l wii compl! !{i!r
i. sble Brildol Code atr, !u
otE, lpPlcsbte St8li. .nd bcrl r 3
and ordlnsicos dld regulllloft Ttr NHc Devrlogme.t seMces c.nEr wlllbe lESlied o I any.hanges ln 6e sppoved 0iarls a.d spociic.liixrs or chaloe in
mn!u.b, or
cont..rrrr h bnnedon.
"! XOT€' Any Worl P?ilomEd WO $e ADDrorri€lc P.mxls rirl b€ ii VbLtbn o, rt! NC S16bSubl..r ro Fines i.r, 1o 1500 00"'
ite?
v", [X.ro
flv"' $ Ho
OUI'IER/CONTRACTOS:
nN Hornx SIGNATURE I
I5 THE PROPERTY LOCATEO lil A FLOODPLAI}I?
ExIsTIa{G It'tPERVIot S
lRrl, O Sq rt
NE|, II,IPERVIoI,5
AREA: SE-i] sQ rT
SETBAC(S: F: LH: RH: B:
fr NO
CFPUA(OI'hUN] TY SYslEH
I ruvarr urlL
I ctlrRAr. urLrIATEN:
SETER:crtur f] CENTRAT sEpTrc
I errva'rr
srrrrc
f] coilt'twrry sysrcm
d
H
''' 5r
PAYNTtfi I,iETHOO:
,t*rar*t*r.r,
I PffifitlS 8lQ{JrRI0 FOF frr(1, rtll(8, Pt86, 6A5 IQUTP, PRttAB5 & INStiilS ',
.osn fr1.*r.* (pAyArLE
ro rxcl
Isrr. ,rcanrr
f]rclrrso f] orscoven
* r rr1+r 1*, +*r rrt t, t,r,
'a
t *:lr* + *+ I t*** ttt + t*+:ttt)lt++t ** *, t*t ti1* *
+l,l ** *
t*l
(toi
ottt(t u9a o{v) llvr!(o oart 6al11/1?
ZO'IE:
_-OFF]CER
Apprcval:-- Clty:_--- DATE:--- FIOOD:
- - -
BfE+2ft=
AVN
corrnent r PERhTT rrE: t,.
)u
t7
,)
YEs FV rn
,oi.^o.*.. DrsruiBED:
' {Z
ExtsT LAM) DrsruRsrt* ,-*rr, ; "r,
9) otrl l2 t
NEI^J HANovER couNry BUTLDTNG pERMrr 'F'+ t>777',
APPLI CATION
Number
(Office Use )
Ltr
qT
APPLTCATION ITPE: RESIDENTIAL
PLaASE ANSTJER ALL QLESTIoNS AP?LICABLE r0 voUR PROIECI
"Project Responsibility''
APPLICANT,S NAI'IE
DEVELOPER:
OATE:
PROIECT ADDRESs T .',
PROPERTY OWNER,S NA,t.1E:
OWNER'S AODRESS:iairCs h.:Il dr
CONTRACTOR
CITY: r.-
- -:.r'--ZIP | la .',
ST:
:-- zIP: ,
Sf i
__zlP i '-
I No
PHONE S:
CITY:
L ICEN5 E #:
ADDRESS: ,.lr
' li :'::. . : - -:, . :1 i C ITY:
EMAIL ADDRESS: -..:ii r-;.r'r-i i::r: '-: ,
:r -PHONE #;
EXISTING CONSTRUCTION:ALTE RATION R ENOVATIONGENERAL REPAIRS R E L OCATlON
NEi,J CONSTRUCTI0N:ERECT NEI,J RESIDENCE oTADDITION TO EXISTING RES]DENCE
**PLEASE CHECX AND ANSI,IER BELOI/J ALL THAT APPLY TO YOUR PRO]ECT:
DET GARAGE
-
SF
POOL ir-r SF
PORCH
_ SF
5TORA6E SHED
-
5F
TOTAL HEATED SQ FT:
- TOTAL SQ FT UNDER ROOF: TOTAL AREA SQ FT
5F OTHER SF
I Ycs No
If the project
is a Relocation, is there a Natunal Gas Line on the curnent site? ! ves
ToTAL PRoJECT CoSTiressrorr :$- S 0F STORIES:
Js Any ELECTRICAL, PLUitlEIN6 or IIEIHANICAL Work Being Done to the Accessory Stnucturel
rs there Electrical Power
on this Buildlng?I YesNo
I ouerrx
! rowuuousrPROPERTY USE
/ OCCUPANCY:SINGLE FAT1ItY
DESCRIPTION OF WORK:
aod ordin6nces snd regularDns lheNHCOevelopmeotSeryicesCenrerwillbenodfEdofany.hangesnlheapprcvedplansandspecificaliofsoIchange'nco.t.cloror
co.lracbr nibm:r'on. "'NOTE:Any work Perromed W/O rhe App.opriale Pemils wdl be in Vrolalion ol the NC Slale Bdg Code and Sublecl lc Frnes Up To S500 00"'
OWNE R/CONTRACTOR :SIGNATURE
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES NO
TOTAL ACRES DISTURBE D:
EXIST LAND oISTURBING PERI'IIT:YESNO
EXISTING IMPERVIOUS AREA:
-
5Q FT
NEW IFIPERVIOUS AREA:
-
SQ FT
WATER:
SEWER:
CFPUA
CF PUA
COA4MUNITY SYSTEI4 PRIVATE l^lE L L
iF0F 0Frt({: !lL orrl LY)
SETBACKS: F
CENTRAL I-,iE L L
COi4I4UNITY SYSTEI4CENTRAL 5EPTIC
I enrvarr srprrc
f]
PAYIiIENT IIETHOD: CASH NCHCC( (PAYABLE
TO ruIC) D AIVIERICAN EXPRESSmclvrsA DISCOV€R
REVISEO DATE 64l i 1/12,/
ZONE OFFICER
Approval:- City:- DATE;- FL00D:
-
A
LH
\
I
RH:
BFE+2ft.1\
SUBDIVISION: --..;t,:.'..i. ELOCK #: LoT *: _
f] arr cannct
-
sF
fl surunoon
-
sF
I cn r aluous r
-
sr
! orcx
"..o iect Res ponsibii:t.v-"
1Dlt--t // zl
APPI-iCATIOtI
l\i\ir3e,'
it
NEW HANOVER COUNTY BUILDING PERMIT
aPPLicarroN iYPf i RESI DENTIA L
cA;a :APPLICANT'5 UA,YE i
DEVELOPER:PI.JONE:
ERO']EC ADDRESS:
s:lEDMSi0ti:
all.!:
PROPERTY C,TNER, S NAfiE
O^NER'S ADDRESs:c i;Y
2i0\E :!:
5T
[0hTRACI0R r
ADDRESS r
LICENSS r:
C] TY:
ST:_ZIPi_
E9A:L ADORESS:PHONE F:
P}]ONE.:PRO]:CT IO\TAC: PERSC:'{
iXISTING CONSTRUCT'TCi\:
.,\.li( 1
_ s-crA5: 5.r!t
_ ::.:
L-. .cr-
. s-
AL-ir11--a\.
I i.l:r'l-:c:" ]c:rtl.i,- :iE./i;is I .:.,.r:; :o'i
\Fi coris:RUCTTc|,1
] :aecr NEll REsTDFNCE
o"
I loorr;oti To Exrsrrf,lc REsTDENcE
"2LaASE aF!C< AriD A\S?{EB aElo,l AL! -lAi ApCLY:C'aoUR ?ROIECT:
si f,:
- ,., = r -. (- :,...i. ..ji ., . a,:-..-,,.::
ToTAL HEAiED SQ FT: IoTAL SQ FT Ut'iDER ROOF:
-
TOTA- AREA SQ FT:
--.::
'TCIAL PRolEcr cosi : t "2}ljl ' : OF SroRIEs:
-, . :L::li-CAi-. PLir:iBInG
-' ?EC|iA!1CA- r.: : :!:::: -:i'! .:) t ir-.:.-'v i, -..- ". E '.t . '.-
-- '-_a ,-a-:a: -: : {a-ca:i:c ! :-::_i_c; ";i'-_;.
(:J: ..:ai a. .r'i' ..-ail'.. :.lc: ]".',- E a.,
pRopERi} JSr I 0CCUpANCY: r/ S-\i-: 1,\!-,..v
res [],.1- rc
i-. r: ! l'l
OEsCRiP-TiON ]F IiORK:
CirNE R/COFIIRACT0R I
:S THE PROPERTY LOCATED III A FLOOOPLATI;?
EXISTING iI1PERVIOUS AFEA:
-SQ
F.
\Eri IiiPERVi0US AREA:
_ 5Q i-I
YE5
TO:AL ACRES DI5IURSED:
s1o#1'iiF
^ia
_N0
l; i-r. ._j :3tr,).- \, ;vs :': s ,;i_vl I
5E,tiE1. y/, ir r-., l:i!,::th'- ::?_:a i i Ji:',A-: !:r-:a
:X:ST LAND DISTURBIIi6 PERT::-i:
'::r. ;^ ,.4 -
f ,czu,so
I r:s:ovs*PAYwaill /E]!lOl: L CASHCH€Ci( (PAYABLE TO XI.iC
)i aeER;aAN ExPREss
t*l( r)
"il'JV--i_ -r_-l _
': i:.: :
1.,rr ti {i
ZIP:
-
-
eLoC( .: _ -C- -: _
NEW HANOVER COUNTY
BUILDTNG PERMIT
APPLICATION
TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABL€
IO YOUR PRO]ECT
"Project Res pons
ibil ity,,
rr4 tb/?i.;
)z l"3t'11
APPLICATION
Number
(Offi.e Use)
/.-1 f "Ltl
/U \YCl
tu
APPLICANT,S NAI'IE:
tt) / LLtoaTE:tLltL/ts-
CITY i tr ) t
am,/
prcne
*,qtz7uj tTT-5-
ztP |
"284t 2PROIECT ADDRESS:
4 3-b ,/ A/ i).an)
c7
SUBDIVISION:i-J r ) ^/ r/ lJ L /-b^-l
t BLOCK S: _ LOT S:
PROPERTY Oi{NER'S NAIitE:
h ))LL/L\r-n
t/rtz4;
ollNER'S ADDRESSt L/\ u./ A i..)
LICENSE T:
CITYi.-)lLrn/A/
PHONE f:
5f I dL- zI,P ':
)1.' '/ / /J-
PHONE
*t q /.<b1 to95-
/t)G'7
osa-c7 CITY: t-t;L rn
CONTRACTOR: ,-,1 (/A.v, ^-L/?39
ADDRESS: .t m4 AtOfnlc7 6 nat sttyc:.lp)B.l t J.
EI'IAIL ADDRESS: (2/ L O/Atn/ofYSS 90 An c, c.o,'.,.
REC
PRO]ECT CONTACT PERSON:/') / L( ./
*Ln=s PHONE
f:
EXISTIt.'G CONSTRUCTION :
NEW COI,ISTRUCTION:
E E
*'PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT:
I rrr crnacr
-
sF ! oer eraaee sr
! eoncH
_ sF
5UNR00i4
_SF! eoor-
-
sr [f sronaer
srro -3',J / sr
! cnrrruHousr
-
sF I orcr
ALTERATToN
! nercvarror
I crrurnal nenrrns
f] RELocArroN
r NEll REsTDENCE
o"
! eoorrrou ro ExrsTrNG RESTDENCE
i;j,
)()'
5*
SF OTHER:SF
TOTAL HEATED SQ FT:
? -: I
TOTAL SQ FT UNDER ROOF: ..) .,"2
TOTAT AREA SQ FT:
TOTAL PROIECT COST rr""" r-oo : $ ,2 tti,ttl .
Ott * OF
STORIES:
/
Is Any ELECTRICAL, PLUIIEING or nECHAI{ICAL Wo.k Being Done to the Accessory Structure?
[ V", frruorf the project
is a Relocation,
is there a Natunal Gas Line on the current site? [ ves Qnors thene Electnical Power on
this Buitding?
f] v"t [l r,ro
PROPERTY USE
,/ OCCUPANCY:
SINGLE FAMI LY
! oue r-rx
! rouruHousr
DESCRIPTION 0F WORK:
/1 i./,'L/
)
)//,,/b N&4)S7?/ZAGE
v5z/zr> t-.t., 74
5tOE c 1?-7- ^/ o
DISCLAIMER: lhereby certit hat all informaton in
his applicaton is conecl and all work willcomplyrvih
fle Stare Buitding Code and
a[ oher applicabte Slab and tocat taws
and ordinances and regulalions. The NHC Developmenl Seryices Cenier willb€ notitied ofany changes in he approved ptans and speciticarions or change in
conrracbror
contracbrinbmalion'-NOTErAnyworkPedormedW/OheAppropriabPemilswillbeinViolarbnotrneNCsrabBtdgCodeandSub lect b Fmes Up To $500 00t"
Ot4lNER/CONTRACTOR:
rprl^t Nar.l
* * * * * * + * * * * *** + * *,1* * * *,i *,*
ZoNE:
_OFFICER:
SIGNATURE:
(FOR OffICE USE ONLY)
a.^
,**
)t*** * i(* )*,*
*!r * * * )t*,i* * rt
**
rs rHE pRopERTy LoCATED rN a rroooplarr?
[--l yes Z rc
EXISTII'IG II'IPERVIOUS AREA:
-5Q
FT TOTAL ACRES DISTURBED:
NEt.ll II,'IPERVIOUS AREA:
_SQ FT EXIST LAI{D DISTURBING pERtilrT: E yES
SEWER:
fi crcul
! CENTRAL sEprrc
! enrvnrr
serrrc
I coMr,4uNrry sysrEM
**1 SEPARATE PTRIiIITS REQUIR€D FOR ELECT, MTCH, PLBG, GAS
EQUIP, PREFAES
& INS€RTS ***
pAy ENr ilErHoD:
! casH
I cnec( (payaBt-E
ro txcl ! anenrcAfl ExpREss
E}flrturro tr
wATER:
I craua
! co r4uNrrY sYsrEMPRIVATE t^]E
LLCENTRAL WELL
DISCOVER
* * * r*,*)k*
**,r * **** )t
* !t,t * )i:f * *** )* r*,*
* *,*,t ,*
** *
*,r* * *)k)*r* * )i,t ,t,t * )t
** * * **+ !* )i,t ,* )t )t
* )t *,*
* * *,* * *,*)**
** * * **,t*,t*
l--l r'ro
REVISED DATE O4lI1l
SETBACKS: F: LH: RH: B:
Approval:_City:_ DATE:_ FLOoD:
_ BFE+2ft=
_
AVN
Comment:PERMTT FEE: $
DEVELOPER:
i+3 RECEIVED I(G\I
i2 2015
NEtl HANOVER C(ruNTY BUILDING PERiIIT
APPLICA|I(N TYPE: RESIDENTIAL
PLEASE AI{S}IER ALL QUESTIOI,IS APPLICABLE TO YOIJR PROJ€CT
"PreJect Responsibility"
/f1
//z?
ls-22sb
APPLI CATIOI{
tlrrlber
(oFflce use)
APPLICAiII ' S l{AllE: Robbie sutton OAfEr 17 / 72 /2015
DEVELOPER:
PROJECT ADDRESS: 18c5
castle st.
SUBDMSIot'l:
mOPERTY
O$IER'S itAfiE: The vintage rdrot, Li,c
oLt'lER' S AooRESS: 316 wayne Dr.
COTTRACTOR: carolina creen Buildin LLC
ADDRESS: 1508 Marstellar st-
I-ICENSE *: ?0511
CJTY: vlifmlnqt on
PHNE
$: 9to-'169-3822
ZIP 2 2eaal
LOT f: _
PHnE f: 910-833-436s
ST: Nc ZIP:28403
ST qzIP:3qlq
(910) ?69-3822
CIW: Wilrnj.nqton
BLOCN #:
CJTY; wilnrington
EitAIL ADDRESS: Robb.ieG carolinaPKNE
*:
PHO{E *:PROIECT Co|,|TACT PERSO|{: Noel Brooks(910) {?0-7213
EXISTIT'IG CONSTRUCTION :ALTERATToN
! nercvarron
f] eelennl nearns
f] RErocATroN
ilEr.l cor{STRtrcTIot{ r
! rntcr irEH REsIDEl{cE
o"
fl morrror To ExIsTIl{G REsIDEt{cE
..PLEASE CH€CI( A'{O AI6I{ER BCI(}I ALL T}IAT APPLY TO YOI,R PRO]ECT:
I rrr canaee
_ sF ! oer eeuce sr
! eoncn
-
sF
I surnoorl
-
sF I eoor-
_ sr ! srouee sHED
_ sF
fl enrruxo.rsr
_ sr I oecr
_ sr OTHER: 240 SF
TOTAL HEATED
5Q FT3 1200 TOTAL SQ FT t M)ER RoOF 3
]q_ TOTAL AREA 5Q FT3 1400
TOTAL PRoIECT CoSTrre*r-orr:
$ rzsoo * OF STORIES:
Is Any ELECTRfC L, PL(.}TB$re or iECMr{fCAL }Jork Being Done to the Accessory
Structur€?
[ V"r I Uo
If the project
ls a Relocation,
is there a l,laturaL Gas Line on the Current Site? @Ves I tto
Is there Electrical Porrer on this BulldlnS?
[flv"= ftto
PROPERW USE
/ OCCUPAT€Y:
SINGLE FAI,IILY
f| ourlex
I ro,lurousr
DESCRIPTIOiI OF I{ORX: Vauft ceiling iD flont 12 LF of house,see attached engineerinq provided.
DISCLA;TER I h€r€by cani,y h€r a[ inbrmatbn in
'llE
applcaton b .omcr ard d mrt wi! corply wih be Slar6
&rltdhoCods
and ddh c4 ed t€gulalih.. Th. NXC D6EbprlFnt S6rviE C6nbr wit b€ noff.d ot riy.h!n€63 tn
te app.oved
con'scbr hbnnslbn. "'NOTE| Any Wo* Pororned WO tl€ Appropri.b P.rmib wll be in ybLton ol ths NC St b
OdI{ER/COilTRACTOR 3 Robbie sutton SIG ATURE:
r,r:r'r *r + *+* *
+*+' **** ** r*. *r Jllt{l,l!1"}*,|t +tr. tt rt:i,i
I 't ** 'tt** '*,t *:* :*:t:f ri
* * * )*,i,i i( ,t,t * *:t * * ,t
* *:r *:r:;tr*'i* r*
rs rHE pRopERTy LoCATED rr l rlooopun?
l-'l yrs Etr ro
EXISTII{G II'IPERIIIq,S AREA:
-SQ
FT
NEId IiIPER\rIOUS AREA:
-
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAIID DISTURBIIIG PER,IIT:
fl ves
fl no
creua
fl co ,tuNrw svsrnr
! pRrvArE wELL
crnua
f] cENTRAL sEprrc
[-l parvrre sepuc
00r-
l.lATER:
SEhIER:tl
! cerrml rru
I couuHrrv svsrer
.*' SEPARATE PERHTTS REQUIRED FOR ELECT, }IECH, PLSG, GAS EQUIP, PREFABS
& IITSERTS *''
PAYIiENT I|ETIOD I
tr CASH
tr cHECt( (PAYASLE
IO M{c)A}IERICA'{ EXPRESS
E ItclvrsA
[ ,rscor*
tr
+ +*,| +!ta *,1 * + +*+* +*t*,t*r **++ ** ***+* *|!** *****+,t* t,t*:t't:t* +**i +*+*++ ++* t* ***!t *,t,i *:i *,* **:t+**** + *
ZOt'lE:
_ OFFICER:
(FOR OFFICE USC O{,Y) BEyIS@ OArE O/r/11/12
SETBAC(S: F:_ LH: RH:_ B:_
Approval:_ Clty:_ DATE:_ FLOOD:
_ BFE+2ft=
_
AVil
,'- :.
i+3
(;-lllZ3
S*TasCo
AP'Ll CATIOI
I'lrrber
NIT.I HAIPVER CO{'NTY BTJILD]NC PERI{IT
APPLICjTm$ rr"r: RESIDEIITIAL
Pttasa t\strEP Alt ql€s1laits aPrrrar.StE ro YoJi pnolla1
"ProJect Re6ponelbi.l1ty"
CfTY: v.i:t1lxq!o::
ZtPi'taaol
sT; g zIP:3lll!l
ST: Nc ZIPr 28{01
Pfo,lE l; (9rc) i69-r822
Pl*o,ii *: {910) 4 70-;2:l
PROIECI ADORESS: i8a5 car|le 91-
suBrt vrsr ot'l :
pn@E8TY 01fi,8&
'S IiAIE: Thc Vinltrl4 :d:ou, tLc.
0ftln'5 AmRESS; ll it
"la
r! Da,
colr tA['roR r .: _i _:i, . lr:l
Albi€ss: r50l Hai.:.lIar St.
€it^f L A00RE55 : ! -.t 1,.i
eeca:'.1 i:ra -nreei..,.,r
BLocx *:
--_
LOf r: _
P$l)}.' f:91C-813-it6S
CITY: fiilninqtnx
LfaE SE li ;05::
CflY: w: I mj i9:1r1
flerrrr*arsr
-
sr f! orcx
--
st
PRO]TCT (CS,'TA{T PE&S(}IT
EXtSTnre COITSTRUCTIo| :Ar?ERATro*
[ reuvrrrott f]crrrtal rrn*ns fJ RErocATrol
IEH C(}E nTT:(It:
I rrect iEr eEsIDEf{cE o. f]oorrran To ExtSTIl{G BESTDE cE
..PLEASE CI{CCX ATD IhISTER STIO,{ ILL T.tiT AT'LY fO YOUI PRO]gC}:
f] ar e*rcr
---
sF f| orr eruer sr
I noRcx
-
sF
! suxroor
-sF
f) poot
-
sr I sroaner sHED
-
sF
OlHlB:2r0
DESCRIPTIS] OF IIOR{:r-r,q r:,..'ided.
TOIAL H€ATEO SQ lr: r?Co ToIAL SQ rr Iro€R RooF: 1.100-
ICTAL AREA SQ FT: :4Et
rOTAf P&OIECT Co5Ttr."'!t-r't:
t !?530i of STolIEs: r
ls any EI-ECTIICAL, Plrr)€t aG or rEcHlr{I(Af laork BetDg DorE to the A<.esso.y Strtctutef El V"t f} fo
If the p,'oje(t
is a Relo(atlon,
is the.* a ilatural 6ag
Line on the Curre.|t Sltel [lv"t Ilo
Is ther"e Electrical Pox€r on th!s Sulldint?Ives
f]m
PROPETTY USE
/ OICIJPANCY:srrrlE FAl{l.y
f] urrlex
f] rolwrnusc
OlsCI LER In r!6y a,itr, tDr d htstlbn h t!r.
4I&r&' 6.dsr tad .! u,6r * @tply *ri n. SEk hillln,
trn r!h6@ rx,,b!i*.b. Th. tlHc u.F&rsl &"rd cfr. ut
!. tutr.n.t tltht,,ldli rht ll{61nrt
.orr-br.brdioa. "nOlE AnyWb.t Mo,t'.d WO n ADDGritl a.n 'Ltn!!. !/irhlb. ol ir.llo Si.t
On'lltR/C9NTFACTOR : Rotlr.le sultrx sTGl{ATUNE:
0r_
(p.rm bel..ri..*,la,ti.,t 't
rs fi{r pRopERTy LocarEo rr{ e rloooaurxl
I ves
EXISTIIG IrlPERYldrS A8[r,:
-5Q
FT
llE!, IHPgnVtoUS AREI: --*5Q fT
I,IAT€R:
S EI,.J88:
zoftlE: u rrt OFFICgA:/h SETSACKST F
Approval ctty:!)-(!1-
.'.,..{./'
llj m lrl
.1. SflariAT[ P!8NI]S nlQlli[D llt ELErr, q:cfi. F;"a6, GAs EqU:P' lAtfASS &:!6[RTS "'
pAyxErr
$Erlso: E crs,r
E C,recr (PAyasrl
,o mr1
[ *elrcu eientss E] flcfrrso C o:ston*
Toral tcR*5 DrsruRB€o:
lxtsr L ro oISTURsmG PEuIT! E v:s I rre
crpul
n coallllry svsreH
f] carvrrr xer-u
f, cENTRAL |r€LL
crrua
I c€i{rn L s[prrc
f] r*rvart sertc I colllutlrY Svtre''t
irrn callcr usf oiLY)Etvllao II1a 6.,,1!/1a
-{ rn:.-.4 RH: d B:S1
FLO00:
__ ,v.,
t^"i {)A&rutr'l(**_-
Y/r
6ti+21t.
X No tx*r-{ru-a( Cf.lqi^l
r &
APPLI(AI,II'S ll*ilf: !.;tbie sutio, -.. Onff; :.1/l?/2015
DEVEIOEI: PDofrE *: ,10-? 69--1822
orrr:l!ffi
$
"m
RECETvED ltiivog 20fi
10r-t llzLl,
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATIaN
TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECI
"Project Res pons
ibility"
6 3t1s
PROPERTY OWNER,S NAI,IE:
.tAa
OWNERJS
ADDRESS I7 Oal,
CONTRACTOR:
CR.( B*'\Aers t-.
ADDRES5 i vt
PHONE
srtfu{.uez Jd4/cf
PHoNE f: 1/C-Ct)-dA1-7
PHONE
*:qo-Lt2-8)7)
*: ?t9-?0t- l?93
srr&*-r?$@
SF
SF
[vur ffi ruo
Ill,"DATE:)o/)
PHONE
#:o(,2,t
)
^)z]P :
Z/YOi
BLoCK f: LOT #:
APPLICANT'S I,IAI'IE :
DEVELOPER: |,J
PRO]ECT ADDRESS:
5UBDIVISION:
CITY:
u*
CITY:
LICENSE *:
CITY:
)b
OFFICER:
l
EMAIL ADDRESS:
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
_SQ FT
NEhl IMPERVIOUS AREA:
_SQ FT
PORCH SF
STORAGE SHED
PRO]ECT CONTACT PERSON:
ExIsTING coN'TRUcrloN:
fi*LTERATION GENERAL REPAIRS RE
LOCATION
NEId CONSTRUCTION:
! rnrcr NEw REsTDENcE
o"
! loorrror ro Exrsrr{G REsTDENcE
T*PLEASE CHECX AND ANSWER BELOI,{ ALL THAT APPLY TO YOUR PRO]ECT:
GREENHOUSE SF OTHE R:
TOTAL HEATED
5Q FT:
_ TOTAL SQ FT UNDER ROoF:
_ ToTAL AREA SQ FT:
_
TOTAL PROIECT COSTTL"*L"o
: $ 6
//b# OF STORIES:
Is Any ELECTRICAL, PLUmBING
or ECHAI'IICAL l,lork Being Done
to the Accessory
Structure)(,",NO
ATT
GARAGE SF
SUNROOIY SF
DET GARAGE
-
SF
POoL
_ SF
DECK SF
contactor rnbrmaton
"'NOTE AnyWork Performed W/O heAppropriale Permilswittbe mVotarion oitheNC S
owNER/coNrRAcroR: '?r,rlu Llt^l srGNAruRE:
1*a* ""*))**** *** *,*,* * * * )*rt,**
** * )**
** * * )r + * + + * +,* + ** * * * + ** * * +* t * ri rr rt ,t,t,t,t
*** *
If the project
is a Relocation,
is there a Natunal Gas Line on the Curnent Site?
Is there Electrical Power
on this Building?lXv", I r,ro
Strrn,, ramrlv
!PROPERTY
UsE
,/ OCCUPANCY:DUP L EXTOWNHOUSE
DESCRIPTION OF I,'/ORK i
a-
OISCLAIMER: lhereby
cerlit hat alL ,nbrmin hrs applicaton is corect and allwork willcomply wih tre Siate Buildino Code and atl oher apptrcabt€ SraE and tocat raws
and ordinances and regularions The NHC Oevelopment SeNices Cenier willbe noitied ot any chanOes in lhe approved p orchange in
coniraclor or
iale Bldgd Slb ines Up To $500 00"'
* * ,*,*
* * * ** *,*,** * *,*)**
+*** )**
** * *
WATER CF PUACOT4I,IUNITY SYSTEM
YESNO
TOTAL ACRES DISTIJRBED:
EXIST LAND DISTURBING PERMIT:YE5
fl r,ro
PRIVATE l^lE LLCENTRAL WELL
COIYIIUNITY SYSTEI4
,MB5 El^lE R
crnur
I CENTRAL sEprrc
f] eRrvnrr
sreuc
''' SIPARATE PERI1ITS REQUIRED FOR ELECTJ ITECH) PLBG' GAS EqJIP' PREFABS
& INSERIS *+*
pAyrilENr mErHoD:
I cmn
I cnecK (payABLE
ro rHc; ! A}renrcaN ExpREss
E ,c/vrso I orscovrn
* * * * *,** ** *,* *,** * * r**r* *,*)* ** *,* ,*
* * * * * * * ,r,* * *,i* * * )*,*,* * * * * *,r,r * * * * * )*i(,t** **,*r** **,r*,r* ri * *** ** * * ** * *,r*
(FOR OfFICE UsE OIiLY) REVISED DATE O4l11/12
SETBACKS: F: LH: RH: B:ZONE:
Approval:_ City:_ DATE:_ FLOoD:
_ BFE+2ft=
_
AVN
comment:PERMIT F
EE:
APPLICATION
Number
(office Use)
fl nenovarroru
u tr
u
tr
tr
(
$*#.
?oli:
illz(
REcEtvED Hiii'I9 to6
NEW HANOVER COUNTY EUTLDING PERMTT
APPLICATIOtI ryPE
I RESIoENTIAL
gLEASE i.rltsri€R
alt Qut5rl3fls ArpL!€a8Lt to yflr8 pRotE(r
"proje<t i?spon!lbility',
APPLICATIOT{
Nuabe.
APPLICAMT'S iU'4E:
DEVELOPEq:
)a/ t'
)
DlT€ : ,,
PITO
E f:o
PRO]ECT ADDRfSS:
SUEDIVISION:
clw:
/./.o.r'*t^,lLOt[,lER's
ADDSESS: r)C CT'TY:
coNlnACT0R:LB.r,\d.en :lic
BLOCX f: LoT l:
ZfP :
Zt)f o )
Pllo$lE
*:
ST:
fu I -'/(rt- Yv93tui6,74
sr t t+,( up t Jl'/c{*
,r,prn6
a. 91 gt- 6 1
s'\'2)1
PBOTE *:q,s-44-8)'))
v!
-J-)
ADoRESS I
6 AIL ADORESS:
! arr c,rmce
-
sF
I surnoor
-sF
! enre Hmus:
-
sr
ZoNE i
app.oval:City:
rs rlrE pioprnry LocA;€D rN r rlooorur*r
f] vrs
ExISTItlG IITPERVIOUS AREAr
--sQ
FT
ilEid II{PEAVIoUS AREA: ---5Q FT
LICENSE $:b
CtTY:
DECK SF OIHER:
6as
j
..... \t
^C!.
I *\Y\, irupecmn ibquirw. ?l tt'io*"wut
TOIdNHOUSE
Y BFE+2ft.
I
v(
|\^ OATE: i)
PRO]ECT CONTACT PEIION:
EXI5TII,G COiISIRUCTTONr
f;Jt rTtRAqoN
I nrrovnrton
I cer.renar- nrnarns
f] RELocATror,r
NrH coNsrRucrror,lr
I rnrcr t{Er., [EsrDENcE
o"
f] aoorrror
ro txrsrl{G RtsrDENcE
'TPIEASE CX€C,( ANo ANSLIER S€Lor,l ALL THAT APPLY I0 YOUR PROIICI:
f] otr ernacr sr
[] roncr
-sF
n pcot
-
sr E sroRAGE sHED
_ sr
SF
IOTAL HEATED SQ FT:
-*-
roTAL SQ FT UNDER
RooF:
_ ToTAL AREA SQ FT;
TOTAL PROIECT CoST:cssrai : I tf
.//bf OF sTORIES:
15 Any ELECfS'CAL, P|.U$BI{6
or nECHlr,tICAt Woak 8e1n8 oone
to the A(.essory st.u(tu,\e}
frr., fl *o
tinc on the c,:rrent
siiel D r.t ffi t"
NO
I{ the project
is a Relo.?tion,
ls there a Natura.:.
Is th€re Elcctrical. Porc. on this Buitding? XLYes
pRopEFTY usE
/ OCCUpt*rCY:
-,iyl s:ruete rrulv l_l ouclrx [_l
DESCRIPTIO''' OF I.'ORK:
OTSCLAfiER r hlleby
caftfi nr'rri,rtcdn.n llrs
$tkaion I ccrecrrnd r! uol\ $l..apl, w,r! hr st l. Buirdmg
crd! end a{ ltlar.gpacrbb 9.E o, bcd r.r3
,.4 ord.a^c$ ann regorard! ln€ XhC O. r,.,onn?nl
Scrin s C.n!. sr !. .orjlsj oa ei y.n gesij m€ sppioylo pbi6 o. .neg! n conrrcbr d
.srdbr hboa'ion "nOTE n(y $lort F.rniraerl v/Oih.ApprEpfltF F!.nir. x,l bo
n Vohran
o,lhcNCSr.i ole9 Urr io,500 0O_
OI,JNER/CON'RACTOR:SI6NATURE:
TOTAL ACRES DISTURBED:
EXIST IAXD DISTLIRBING pERit'lIIr
fl vrs
fl m
WATEB T;EJ crnur
f] co,tiutr* svsrtu
I pRrvarE !,,rELt
I cn raal urll
stwra,,El crrrul
f] CENTR.i\L SEprrc
I ra:vatr seprrc
C cofltll]Nrry sys-T lll
'.' :.t plaal t !i8frr5 Rtqrjirt, IcB [lt(T, atctl, p186, 6a5 rR[p, Phtijrlis 8, tNstRTs ...
pAy Err l,l!ftroo:
[cnss f] cxrcx (pAyABL!
ro
mr1
[ r,"re*:cor rxrntss E r,cZursl
I orscor,n
r*t*a*r. r,a *..*+**a*{* *rrr rr* +**r* ..a****r*rr*r.+..**r
FICER;$J, {5BAC(s; F:
l' ,.*o
,l r ^, ,rrl49ro 0.ll O./)r,,il'!0 r"n:
iU nn: ltl a:JI
V*f"-fqnr o^ irolrla
0*tY,Con0ent l
Y |l\cfr (qrt RA
[,-ot f-fkcfr*- t
PTRI,I]T F€E I
LttL)
PROP€nTY
ol^,ilER'5 tlAttE :
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PLTASE ANSWER AII QUESTIONs APPLI(A8TE TO YOUR PRO]EC'I
"Pnoject Responsibi1ity"
7qr-ttlf,5
lt-:2i97
APP LICATION
Numben
(0ffic e Use)
ft
APP LICANT'
OEVELOPER:
PRO]ECT AO
S NA,I,4 E :flf6-, <
r-
(.,*-).li e
./O-)o -ts-DATE:
-< /''c
CITY: 4) / <-
PHONE H:
DREss:
3a o 4o77f
suBDrvrsroNf
hto4tS Lc^*di *O
?^'.<r o
v-e 0h
LOT S:
ztp : Zlt?Ztr3-
PROPERTY OWNER'S
OI,INER,5 ADDRESS:
LICENSE T:
CITY: L.:
PHONE S:3/ )-flJ/sr,t'l!ni@oJ
ACCOUNT
$:c+. <r.
7rRR..J SAN DO
0 C_t
M
At L
U lA
E e
CITY:
BLOCK fi:
(
f
fi.CONTRACTOR:
ADDRESS:
ffi lrr canace
OF\
t,1j1g,-ztp,@o b
PHONE S:
PHONE B:2\ - f,J-J2PRO] E CT CONIACT PERSON:
EXISTING CONSTRUCTION :ALTERATION R ENOVATIONGENERAL REPAI RSRE
LOCAT ION
EMAIL ADDRESS:
Jo*-^+L*- LJ<l^c L--
NEW CONSTRUCTTOT:
[l rneCr NEW RESIDENCE o" I nOotrtOru TO EXTSTTNG RESTDENCE
Ii.PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
1- sFDET GARAGE SF
P00L
_ 5F
DECK SF
fi eoncH
STORAGE SHED
OTHE R :
7/ sF
ffi suruRooN
7/7 sr
GR EENHOUS E
PROPERTY USE
/ OCCUPANCY
DESCRIPTION OF WORX:
SF
SF
SF
TOTAL HEATEDse rt: 27
/ o TorAL sQ FT UNDER RooF i 3aoa TorAL AREA
se Fr: Saa o
TOTAL PROI ECT COST (Less
Lo,) i $ / fa, aoo
Is Any ELECTRICAL, PLUIIBING or I4ECHTNICAL l.lork Being Done to the Accessory 5tructure?
E Yes
If the project is a Relocation, is there a Natural Gas
Line on the Cunrent
Site? !
Is thene Electnical Power on this Building? EYes No
'Bll 6L EFAMILt<
No
Ye sNo
contaclor inbrmal,on "'NOTE. Any Work Perlormed WO lhe AppropftaE Pe.milswillbe in
Violalion otthe NC Sta
l/
OWNER/ CONTRACTOR: JC,TI i. 4T"4 O SIGNATURE:
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA: , / T SQ FT
NEI^J ,IPERVTOUS
mtA: ))3 t 5q p1
E 8ldo Code and SubEcr k F'nes t o To t50000"'
-YEs
E *o
TOTAL ACRES DISTURBED:
' / L
EXIST LAND DISTURBING PERMIT:
E YES NO
* *,t* * + * * +,* * * * ** + t,t * * +,t * + + + * *
WATE R :CFPUA
E COI4IV]UNI TY 5Y5TEMPRIVATE WELLCENTRAL t^lE L L
sEWEn:
fl creua
! CENTRAL sEprrc
I eRrvare srerrc COI4IIUNITY SYSTEM
rIT S€PARAIE PERT1ITS REQUIREO FOR ELECT, I,1ECH,
P186, CAS EQUIP, PRTfAB9
& INSERTS
"i
pAyr'rENT
r,rErHoD:
Ecos, E cHEcr( (pAyaBLE
ro nHcl !BrLL AccouNT Imc/vrsa DISCOVER
*+***++*,i**,i**)i,t,t+*+++,i'*+***t+***,it+,i*+**+*,i++****,i++,t*,**i**t+,tt+**++*+,i*++r*t+t,r**,i+++,t
ZONEOFFICER:
Approva 1:_ Clty:_ DATE:_ FLoOD
BFE+2ft=
$
I
DUPLEX
Comment:
N
PERI,lIT FEE
-/33/
2fi,p,/
f OF STORIES:
Z
! rowr'ruousr
andordinancesandregulalbnsTheNHCDev€lopmenlSeryicesCenElwillbenolifi€dolBnychangesinteapprovedplan3a.dspecrllcationso,chanq.incont,aclo.or
(FOR OFFI'E U5E ONLY) RFVISELI LIATE O4III/12
SETBAC(S: F: LH: RH: B:
Torr-1117 to
ffi
NEW HANOVER COUNTY BUILDING PERIVIIT
APPLICATION TYPE; R ES I DENTlAL
PLEASE ANSWIR ALL QUESTIONS APPLICABLI TO YOUR P8O]T(T
"Project ResponsibiIity"
f<,af(.,'*,4r C
It- llglo
APPLICATION
Number
(office Use )
APPLICANT'
DEVELOPER:
PRO]ECT AD
I
S NAAIE:
,€
DRESS:3 77f
suBDrvIsIoN:
Itto4 tS Lc^,.,0t i *A
?^'.<.,-Ot^e
F.
,( ctty: a)/ L
pHoNE
fl: 2?o 2 7?-
3/27
ztP
| 28 /2-ar'
PEONE fi:3i 3-Jl)/
sr,NL:ri,?6ioJ
*,Q!.uc'@6 2,
PHONE S:
PHONE S:
52s-39-J2
E
BLOCK f:LOT f:
CONTRACTOR:c-. €.,.
o
)LICENS E S 2fi9.t ACCOUNT T:
PROPERTY OWNER, S
OWNER,S ADDRESS:
ADDRESS:
EIVIAIL ADD
/,
c
CITY:
CITY: LJ
:
I
RESS:
cJt Ea -frarrc< ? GItolc. co.tn
PRO]ECT CONTACT PERSON:
-\o.-^4L*
8 poRcH
/2, sF
ffinrr cannce {z 2- sr
x sunaooy, /17 sr
GREENHOUSE SF
DET GARAGE
-
SF
PooL
_ sF
DECK SF
STORAGE SHED
5F
SFOTHE R:
TOTAL HEATED SQ FII2Z'/O TOTAL SQ FT UNDER ROOF: 3OAO TOTAL AREA SQ FII J0AA
TOTAL PROI ECT COST ttess r.ort : $/da,oa# OF STORI ES :?-
Is Any ELECTRICAL, PLUIIBIN6 or MECHANICAL wo.k Eeing Done to the A(cessory Structu.e?
[ Vur ffi lo
If the project is a Relocation, is thene
a Natunal Gas Line on
the Cunnent Site? f]Ves fi
Is there ELectrical Power on this Building?
l-l Ves x No
PROPERTY USE
,/ OCCUPANCY:
5INGLE FAMILY
ffi ouclex
! rowrHouse
DESCRIPTION OF WORK:.2Zu,t/c.t"/zx //n.,*o
and ordinances and regulatbns The NHC Developmenl Servjces Cen13, willbe noii,ied ol any chanqes in
he approvsd plans and specilEalons or chanqe i,) contraclor or
conlraclor inbrmabn "'NOTE:Anywork Per,ormed
WO he Approp,iate P€rmirs wlttbe n viotation of the NC StaE and Subpct kr Frnes Up To 1500 00"'
OWN ER/ CONTRACTOR :qoc)SIGNATURE:
(PrInt Ndne)***+,t**,f+*,lr(**+,f*1l**,1***,****it*+++++rrit+r+r++++ft+i+,ii*t***t*+**+****f,i**+****r,i****i**
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES*NO
EXISTING IIIPERVIoUS AREA: . / Z SQ FT
ToTAL ACRES oISTURBED: , / Z-
NEW II,IPERVIOUS AREA:
J3 rZ 5q s1 EXIST LAND DI5TURBING
PERMIT:
Fl vts l--.l ruo
warER:
! cFpuA
El coMr,luNrry sysrEM
E pRrvATE WELL
sEr,JER:
fl cFpuA
E CENTRAT sEprrc
I enrvare srerrc
IT' SEPARATE PTR
PAYMENT
$ETHoD: ! Clsx
I,IIT5 REQUIREO FOR ELECT, IVlECHJ
PLEG' GAs
EQUIP' PRTFAB5 & INSERTS }Ti
Iorecx (eAvABLE
ro NHc)
n BrLL AccouNT
Irc/rrso DISCOVER
NO
*t***+t*+******+*+1****t+,f***r***It1,l+4,i+*******+**t***+*,k*****1****+rr++t*+,r1+1,t,r,l+*+*l
CENTRAL WELL
COllllUNITY 5Y5TEM
(FoR oFTICE U5€ ONLY) REVISEO DATE
O4l11/r2
SETBACKS: F :_ LH :_ RH;_ B:_zoNE: 0FFICER:
Approval:_Clty:_ DATE:_ FLOOD:
_ BFE+2ft=
_
AVN') ,'))2Comment:PERI4IT FEE
I $
oatz
/O^)d -t,,t
ExrsrrNc coNsTRUcTIoN:
! arreRnrroru
! nrruovarroru !ceruenar neerrns
fl RELocATToN/
NEW CONSTRUCTIOru:fl rReCr NEW RESIDENCE o" ! nOOtrrOr TO EXISTTNG RESTDENCE
i.I.PLEASE CHECI( AND AI{SI.IER BELOW ALL THAT APPLY TO YOUR PRO]ECTI
APPLICAT{T'S t.IA}tE :ltwsnr finsiloruat I
DEVELOPER:
iS.3zqo
APPLICATIoI'I
t&mber
(Office Use)
Dare: lll
N*u REtEtYET l:$' 12 il6
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI I TYPE; RESIDENTIAL
PLEASE AI./S}JER ALL QUESTIONS APPLICAAL€ TO YOUR PRO]ECT
-Project Responsibiliq/'
r
PROJECT ADDRESS:
SUBDIVISION:t\
e
A'DRE 55:1t0 0
EIiiATL ADDRESS:
,
efl5 Our C o,n
CITY:
PIO E #:0
LOT *:
ProNE
*: $lOllqq|'Ab$
sr:'r{9irpiT],{0,
11e
0
crw:
LTCENSE #:
Crw: $li m
ACCoUNT #:
tztP
qb0 BLOCK
PROPERW O ER's MIIE:
orNER'S ADDRESS: ,1(0
nr [r,tilIi to 6n
0
t(
COI,ITRACTOR:t9 r/l fvl0n
eoe
sr,NC zrp eg40'l'
Pro E *: fqc-$uqq
P}ONE #:?10.-A56
d **.t 1o sr
! sromce sHED
_ sF
Xa
EXISTIT{G CONSTTCTTOi{:
! arrenarrOt
! neuovnrroru
! cetenal neeerns
! RELocATIor,l
NEI{ COIiISTRUCTION:
d ERECT I{EI{ RESIDETICE
or ADOITIOI{ TO EXISTING RESIDENCE
tr
**PLEASE CHECK
AilD AI{SI|ER BELOT{ ALL THAT APPLY TO YOUR PROIECT:
--Ll:l arr crorcr11
sF ! oer eanaee
_ sF
! suunoor,r
_sF ! eoor-
_ sr
! eReruuousr
_ sr I oecr
SF orurR: fL
ioho
SF
TOTAL HEATED
S9 N. )b67 TOTAT SQ FT MIDER R@F.
||Lq TOTAL AREA SA FTI q4lg
TOTAL PROIECT CoSTcessrcrl
: t le0{000 * OF STORIES: 2
Is Any ELECTRICAL, P[t llBII{G or IIEC}UUIICAI- t,ork Being Done
to the Accessory Structure?
f] V"a fi rc ,If the project
is a Relocation, is there a l{atural 6as/ Line on the curnent Site?
[ves flto
Is there Electrical Power on this Building?
f]V"r [l no
PROPERW USE
/ OCCUPANCY:SINGLE FAMILY LEX
! rowurousr
DESCRIPTIO{'I OF [,JOR(:tlsbl<'i/-e 0
DISCLAIMER lhereby ceniry fiat all ihformatbn in this applicaton as conect and all work will comply wih t|e Stare Euilding Code 6nd alloher appticabte StaE and tocat taws
and ordinances and rcgulations. The NHC Development SeMces CenEr willbe notifred
ofany chang€s in
lhe approved plans and
orchange io contracbr or
conlracbr inbrmatofl. t*.l\lOTE : AnyWork Pertormed W/O heAppropriaE PeImirswillbe in Vblatbn of lhe NC StaE Btdg
b Fhes lJp To
$500.0tr.'
or'rNER/cor{TRAcToR:fa',5 t(s SIGNATURE :
0
,**,**,*,** * *:f ,t :i + +:|:t:i,t +:i,i+ :i
't +
IS THE PROPERTY LOCATED I A
(Print xane)++:i+:t+'*:i++,*++,**x)i,*t )*,r,i*+t++:*:*:*,r***:*rr+*
rlmopurrr
Fl ves E] no
Exrsrrrr. rrieERvrol,s
*ro. 20
21 q rt,b
PER IT:
rl Yrs J+I r,ro
,*,* )B,t
*,i *,* * * ** * *** )t
**
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ueren:
S creua
! coM"ruNrry svsrrr,r
! pRrvArE rdELL
! ceHrnal werl
sEwER:
fl creul
! CENTRAL sEpTrc
I enrvlre srerrc
! coiltt NrTy sysTEM
*,I* SEPARATE PERMITS REQUIRED FOR
ELECT, IIECH, ,PL8G, GAS EQIJIP, PREFABS
& INSERTS ***
pAyrrEirr r,tETHoo:
Ecmx EcxecK (PAYABLE
ro u.lc;
fieru occanur
E rclvrsn I orscovea
*,t++ t+,* **** *,***,******* )i)*** *)t**:i+)i +)r)r+ ++++***++,*.*,**,*,*,i,*++,t****,**,*,t,** ******)i )r,* )*
*:t * + )i
**,**,**
(FOR
OffICE UsE OILY) REVISEO DAIE O4l1I./12
SETBACKS: F:_ LH:_ RH:_ B:_
TOTAL ACRES DISTURBED:
NEhI IIDERVI(US
AREA: 7q Lq SQ FTEXIST LAIO DISTURBING
ZONE:
-
OF FICE R:
Approval:_ City:_ DATE:_ FLoOD: _
Comert:
N
IlltTttiil,ttllttilfi
PERNIT
FEE:
ipu?-
PROJECT CO TACT PERSON:
tmin4
t0t
lfrr'rM
/UHO RECEIV[: NOV
13 2OS
NEhI HA]IIOVER COUNTY BUILDING PERI'IIT
r'P,PLICATImI IT?E.. RESIDENTIAL
PLEASE A'ISI{ER ALt QUESTIONS APPLICABLE TO YOT'R PRO]ECT
"Project Responslbiliqf
BLOCK
tli Conn6nPROPERTY OTINER'S M E:
qr{ER'5 ADORESS: ,110
t{en5
t,ltm n
1r0 0
0e z ls-3aj 7
2.t
r-tttztr
APPLICATIOT'I
l&mber
(OFfice Use)
APPLICAI'IT'S tlAitE:ftronr firruilorrrs5 th ildefli 0urtdrnq grnt^n,
DEVELOPER I
c J
crw:
SUBDIVISION:
^
o1 IA
DATE: l)
l9
4
r P}ONE *:0
ZIP:
LOT *:
sl
PK)NE f :
q
-9b|ll3
eeo
CITY:
LICEIsE *:
CITY:l,',it
frro*., 10
ST:t{9 zrp: fl6rlOg
ACCOUI,IT #:11e
srtNL z,I.t egq09
Plo E *: fq{-$h1q
P}ONE *:-45
6
5F
SF
bb5
EIIIAIL ADDRESS: 5
PROJECT COI{TACT PERSOil: )ioho
x 5
Xo
Exrsrrr{G coNsrrucrror{:
fl alreRarror
I ntuovarror
I crrrul nrearns
f] RELocATToN
J
NEvl coNsrRucrror'r:
I enecr NEH RESTDENcE o"
! aoorrror ro Exrsruilc RESTDENCE
*.PLEASE CHECK AT{D AI{SI{ER BELOI{ ALL THAT APPLY TO YOUR PROfECTI(or oo*u, t{1'l sr ! oer eannce
-
sF
! surnoom
-sF
E poor-
-
sr STORAGE SHED
ToTAL HEATED sQ w, 1O1O ToTAL sQ FT UIIDER RooF. 3b51 ToTAL AREA sQ FT:
ToTAL PRolEcT CoSTlr-essr-cn1 z
*lA0rO00 fi oF sToRIEs: e
Is Any ELECTRICAL, PLI'IBII{G
or IIECHAICAI- t!,ork Being Don€ to the Accessory Structure?
fl V"a I ffo
SF
)*)*,t** )t* *+ *)t*)i * +,f,F *,t
TOTAL ACRES DISTURBED:
,13
NEW IMPERVIOUS AREA:Arel SQ FTEXIST LAM) DISTURBING PERMIT:
Fl ves
fr
MTER:
SEtIER:
q
tr
creua
! coa,r,4uurry svsrer,r
! pRrvATE u,ELL
f] cerrnnl well
creua
! CENTRAL sEprrc
I enrvarr srerrc
! cott'{nrry sysrEm
*** s
PAYITEI'IT I'IIETHOD:
E PERiIITS REQUIRED FOR ELECT, IIECH, .PLBG, GAs EQUIP, PREFABS & INSERT T'*
casr Ecrecr (pAvABLE
ro Hc) MsrLL Accorrflr
E trclvrsn I orscoven
EPARAT
zo E:
_ 0F FrcER:SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLoOD:
_ , I
Conrnent: PERIi{IT
PROPERry USE
/ OCCUPAIIICY:
d SINGLE FAIVIILYLEX
I rouiurousr
oESCRIPTIoN 0F I.IORX:Nsblvile 6
and ordinances and regulations. The NHC Development SeNices Center willb€ nolifed of any changes in lhe approved plan s andorchange in contracbr or
Fines up ro $500.0tr'tconEacbr inbmalion. '"NoTE: AnyWork Performed W/O rleAppropriate Permiiswillbe in Violaiion of the NC Stae Btdgto
OflNER/CONTRACTOR:fa\5 8(s SIGNATURE :
*++:F *++ {r +,* * )i* )i*
***+:i)t* i.)t*)*
(P.int iiane)
)*,*)*,* )* )*:* *,* ,* !*:* !*:* * * * ** **
If the project
is a Relocation, is thene a Natural Ga1 Line on the Current Sitet
Ives fl ruo
rs there Electnical Power
on this Building?
l-lv"r [ruo
rs rHE pRopERw LocATED rN a rlopopurrr
J-l vrs
Exrsrrilc r,rpERvr(rus *ro' A0]5 sq rr
ffi[**
*** *** *
NO
*******r**,t**,*,i*:i,i:i,t'*,tx(*:r++:f,t,i.+**+************:*)****)t**,*,ht,*,*!t!t{.,k,}!*:t{.*.i!.'}+*+,f************t*
(FOR OFFTCE USE or'rly) REVrsEo OATE O4l11l12
irl 5,0r
'[llf,
i"".|i=-\t 7rf
PRO]ECT AIDRESS:
CONTRACTOR:
ADDRESS:
! cnrrurousr
-
sr ! oecr
-
sr orHER:
2l
t.\
CfTYi !ri1ii:r: r'..1
BLOC( $:
?afl il27
te- ts-
;ir ),
APPLICATI ON
tiurber
(offt<. U5.)
DATE: rtl11/15
PIIONE
f: 9r.0.3s0 .
r744
zIP | ?at',z
LOT t: 2
NEW HANOVER COUNTY BUILDIN6 PERItllT
A?PLICAIrUi rvPf: RESIDENTIAL
P!€AS[ AJ'ISiIEI ALI QUES'IOflS APPI.ICAAIE TO YOUB PRO]ECT
"Project Responsibility"
ffi
APPLICA{T's llAllE : Bi I I -cl er
k llomes
of wilmin.rro. IrLC
DEV€LODER:
B+}]-e]-ad. tll,.'i€r:] l,lf t4ilmingto, LLC
PRoIECT ADORESSi 451? si\.6^ Dr'.
SUB0fVfSIOtl: B€lleMea.ie
st:
PRoPERTY O {ER'S Ml'lE: 8rl.l cl-:ii llrnes of i'i1:'-:-1:)n LLC
qrntlER'S ADORESS: i27 Rac:,:e i!- suite 201 CITY: Hifr'.L-1gron
COiJTRACTOR: BLlI clark !:oles of wrlmlngtcn LLc LICE,ISE *: l{s86
ADOREsST 127 Lacine D!. suilc 201 CITY: wiLmington
EitAIL ADDRESS i r9iIl,iRiLIcta:kh ies.corn
PROI€CT CO'ITACT PERsoN: Ri.ha!d Gtll/Bill clark ti.Ees of }rilmingtos
Exrsrrr,rc cq{srRucrroN:
f] ALTERATToN
I nrruovanol
[] erxrRnl nrealns
NEW CONSTRUCTION:EREcT NEIJ RESIDEiICE or AODITION TO EXISTII{G RESIDENCE
..PIEAsE CHECK A}ID AI{s!'ER SETOI4 ALL THAT APPLY TO Yq,R PqO]TCT:
ITORAGE SH€D
5F 01 Efi: talio, 10?
PlloNE S: 9to.l5e.r,-{4
sT: NC
zlP; 2S.r33
sT: Nc zIP: 284 o3
PHOiIE *: 910 .3so .l?{4
PHoilE *: 910. 350 .
1744
l] aelocrrror
24.3i
A.IT GARAGE 129 SF
SUNROOM ST
I orr cruer sr
ff no**r)7
sr
POOL
DECK
SF
>t-
Is there Electrical Powen on this Butldtn8?
pRopElry usE
/ occupAlrcy:
I srrclr ratlrlv
I eReernousr sF
TOTAL HEATED SQ FT: 1so5
TOTAT PROIECT COST tressroo : i
ZONE:
Approval:
IOTAL SQ FT UNDER RooF: 2325
r.r.i,:is? * OF STORIES:
Yes I No
SI6I,{ATURE :
TOTAL AREA SQ FT:
Is Any EtTCTRICALJ pLU|18ING
or ||ECHA]{rCAL Hork 8e1ng Oooe to the Accesso.y Structure) fl Yes
If the project is a ReLocation, is there a Natural Gas Line on the Cur.ent Site? [
I No
YeJ I NO
I oucue x ro*rrcusr
DESCRIPTIOI{ OF tlOf,X: Net, cotsi:uc!ion of 6insle falnilv hc!'e
OtSClAhlER: I
ne.oby
cenit 6al o! h b{rn alor r
'li.
aprthalod b crr.. r
a:a Bl E.'k *il cotrplt sii So Slale &rildir€ Code
-d 3{ one. :pdtc able Star! 3t k C la,rs
md ornin.nc.i a.d EOollliontIf(,. ir)'r r'..r.;r^. SeN . leil', 5e.oi' - _',-, (fr-les r tra.li'"!F_
.o.riro. irt m
std.. "'i{OTE I any '/tbit pet ormer, r'/o tl€ Appropritl Pe,tnits an De r' vi.}hton ol te NC sra* *,9 s50c 00"'
YES I NO
.! orchar!e
t/z /
OLINER/COiITRACTOR: Richl:d :;:rr/Bc! of ;r
..,,.... -.,(I'l!$1'l-.
IS THE PROPERTY LOCATED IN A FI.OODPLAIIiI
CT PUA
pAYllgrJT
il
l(.1
5Q FT
SQ FT
PRIVAIE I{ELL
f crlirnlr lt lr-
IYES
-s-
ExISTIl.lG L'IPERVI0JS AREA: o
TIEI{ IHPERVICi,S AREA: ]096
ToTAL ACRES DISTURBED: .24
EXIST LAIIO DISTURgING PERMIT:
NA] TR:
SEUER:crcul
f] cENTRAL s€Prrc
I prrvlrr srlrrc f] co'l]uilrrY SYsrEH
... stt',1Rnrg prRrrIls cEQt-rita, fc^ ELr(T, f't[a]l ' Plat, G,s :q*:t, PRr
Errru)r
fl cos,
n ctrtcx (PAYAftE r0
uc) f] ocntcor exp*ess
titr*,a rr(tr r trt, it I s,, tt* t**a ** +i'i+**,tt *,r,1* *i'r*'a*a* if*1laa'i ******.
,< . fi (Foi orFr(L rrsE 6Lq $ ,;l-, orrrcrn, J,ht' sETBAcKs: F:1L) LH:lU RH:'/ i '|,,f,f ,.*r'0n clty:l-.('- orrE:if r ! v
111rr'- fr.7- (iq( (r-n lJt,r.,rui l}.,,r, ry ^[,.;
I acrursl
I orscovrr
a fr, t*t* ** *t r*r:r rrll
.,'' ^ !*"'olu B: *)
X BFE+2rt=
{r'y \f,6'ffiufl
37
2l
Cr tl Pe- rs-l}y).
Toh -r/r Z?
applrc(rror'r
Number
(Offlce Use)
DATE :
PHONE *: e1o
71/1r/rs
354 . t'7 44
ZIP
i 284a2
LOT #: 2
PHONE
f: 91!j!!!l1114
ST: NC
zIP: 28403
NEI^} HANOVER COUNTY BUILDING PERMIT.
APPLICATION TYPE: RESIDENTIAL
PLEASE ANS}/ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
.APPLICANT'S
tlAl,lE:
Bill -c1a'rk Homes
of wilmingron LLC
J)EVELoPER:-,s+++
etart Honres
of !,[ilmlngron LLC
PROIECT ADDRESS: 461? sikes Dr. CITY: wilminsron
SUBDMSION: . BelleMeade BLOCK #:
PROPERTY
OIJNER'S lrlAflE: B11l Clark Homes of wllmington LLC
oWNERTS ADDRESS: 127 Racine Dr. suite 201 CITY: wilmington
CONTRACToR: Bill Cl-ark Homes of wllminston
LLC LICENSE #: 34s86
ADDRESS:
12? Racine Dr. sulte 201 CITY: wifmrngton
EI\4AIL ADDRESS: rgilt@Bi11c1arkhomes. com
pRoJECT CoNTACT PERSON: nichard ci11/8111 Clark Homes of wilmington
EXISTING CONSTRUCTION:A LTERATIONRENOVAIION GENERAL RE PAIRS
NEW CONSTRUCTION:ERECT NEI{ RESIDENCE on ADDITION TO EXISTING RESIDENC E
**PLEASE CHECK AND ANSh]ER BELOW
ALL THAT APPLY TO YOUR PRO]ECT:
[Z ntt Glnle r szs DET GARAGE
POO L
DECK
PORCH 92 SF
STORAGE SHEDSUNROOM
GRE ENHOUS E
SF
SF
5F
TOTAL HEATED
SQ FT: l8os TOTAL SQ FT UNDER ROOF: z:ze TOTAL AREA 5Q FT: 2a33
TOTAL PROIECT COST lress rog : $ r::,:so # OF STORIES: r
Is Any ELECTRICAL, PLUMBING or IIIECHANfCAL
Work Being Done to the Accessory Structune?
SF oTHER: Patio:107
conlract r inbrmaiion. "'NOTE: Any Work Performed W/O he Apprcpriae Permits witt be in Viotaton ofthe NC
Siae Btdg
OI^INER/CONTRACTOR
i Brchard
citt/BCH of wilminsron SIGNATURE:
(Pr1nt Name)
r*
* rtlr * * * r* r* r*
* * * + + + + + i + + * + + * * * t,r,t * * x * *
SF
SF
* * * + + + * * * * * * * * *,* )* )* )*
* * * ** * )* ,* ,* ,* ,* ,* +
NO
5T: NC
ZIP: 28403
PHONE #: gra.350.L744
PHONE $: 910.3s0.1?44
RE LOCATION
5F
SF
YesNo
Subo $500.00"'
i( i( +,t r( * * * * * )k
* * ** )* ,t ,t
YE5I NO
REVISED DAIE O4l1U12
If the project
is a Relocation, is there a Natural Gas Line on the Current Site? ! Ves!No
Is there Electrical Power
on this Building?
[-l ves No
PROPERTY USE
/ OCCUPANCY:
SINGLE FAMI LYDUP L EX
! rowruHouse
DESCRIPTION OF WORK: New construction of single family home
and ordinances and regulalions. The NHC De!€lopment Services Center will be nolified of any changes in tre approved plans and specifrcatjons or ch
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES I
EXISTING IIVIPERVIOUS AREA:
NEW IMPERVIOTJS AREA:
WATER:
l-Z cF PUA
sEwER:
E CFPUA
TOTAL ACRES DISTURBED: .24
EXIST LAND DISTURBING PERMIT:
0
3096
5Q FT
SQ FT
COT4I,IUNITY SYSTEMPRIVATE WE LLCENTRAL WELL
! crurnnl srerrc
I PRTvATE
sEprrc COMMUNITY SYSTEM
}}* SEPAR/qTE PER,IITS REq,IRED FOR ELECT, I,IECH, PI.BG, GAS EqJIP, PREFABS & INSERTS T+*
PAYMENT IiIETHOD:CASH
EcHecx (PAYABLE
ro nnc)
E AI,TERICAN EXPRESSrlclvrsa DISCOVER
:tit:t,titi(rr*)**r'r.*)t)t)**,t*,t,**********x**rt:t,Ir*r*rt)*,*)*,*r(*,t,t,t****xxx******i.ir,*{r,*++)t)t,t,*,*,*)*,t***x**,}i.*:}:*)*
ZONE:
Approval:
OFFICER:
City:
!
T
DATE :
(FOR OFFICE UsE O LY)
SETBACKS: F:
FLOOD:
N
BF E+2ft=
LH: RH: B:
NEhI
ED llov 1? 20s
HANOVER COUNTY BUILDING
APPLICATI(N TYPE.. RESIDENTIAL
t\-tlt'%
PERmrr
T&,5.31+a
APPLICATION
Number
(offtce use)
APPLICAI{T'S NAri'lE:
BiIt c1a!k Homes of wilmingron LLC DATEr ):-/Li/Ls
DEVELOPER:
BilI Ctark Homes of witmingron LLC PHONE *: 910.3s0.1744
PROJECT AIDRESS: 3s07 Arwarer courr CITY: y.rilmj.nqron ZIPt 29412
SUBDIyISION: BelleMeade BLOCK #3 LOT *: 7
PROPERTY Oltr{ER'S Ml,lE: Bill Ctark Homes of witmington LLC
O/'INER' S ADORESS: 127 Racine Dr. suire 201 CITY: wilrninqton
PHoNE *: 910.3s0.1744
ST: Nc ZIP: 28403
COITITRACTOR: Bill C1ark Homes of wilminqton LLC LICENSE f: 34586
ADDRESS:
127 Racine Dr. suire 201 CITY: wilmj.nqton5T:
\c ZIP: ?p403
PLEASE ANSWER ALL QUESfIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility'
EIIAIL ADDRESS : rgi11@Biltclarkhomes. com
PROIECT CONTACT PERSON: Richard ci11/Bil1 Clark Homes of wilmington
EXTSTING CO{STRUCTION:
! AlrenArrOru
! ReruOVerrOn
! CenenAl neCArnS
NEh CONSTRUCTION:ERECT NEW RESTDENCE
o" ! eOOtrrOH TO EXISTING RESIDENCE
**PLEASE CHECK AtlO ANSWER BE 101,'J ALL THAT APPLY TO Y rR PROIECT:
ATT GARAGE 39?5FDET GARAGE
PoRCH 132l151 SF
fl surunoom 5FSFSTORAGE SHED
GREENHOUS E
SF
PHO{E #: e1o.3so.1?44
PHC[rlE *: 910.3s0.1744
RE LOCATION
! eool
! orcrSF OTHER: Patio:120
5F
SF
TOTAL HEATED SQ FT: zrzeTOTAL SQ FT UNDER ROOF: 2818TOTAL AREA SQ FT: 2e3B
TOTAL PROIECT COST lress rotl
: $ res,qus * OF STORIES: r wTuon
Is Any ELECTRICAL, PLUMBING or MECHAI{ICAL Work Being Done to the Accessory Structure?
If the project
is a Relocation, is there a Natural Gas Line on the Curnent Site? ! Yes No
Yes T No
Is there Electrical Power on this Building?
PROpERT USE
/ OCCUPANCV:
I SrUele ramrlV
DESCRIPTIoN 0F WORK: New construction of single family home.
DISCLAIMER I hereby certify hat all inft)rmalion in his applicaton is conect and allwork will
and ordinances and regulations. The NHC Development Services Cenier will be notfied o, an
conractor intormaton. T"NOTE:Any Work Performed W/O fre Appropriale Perm its
will be in
OWNER/CONTRACTOR:
Richard ci1l/BCH of wilmingron
complywih he Slate Building Code and alloher applicable Srab and locallaws
ychanges in the approved plans and specificalrons orchange in
contracbror
:Hlilr,"" ^"Wro ssoo oo"'
Yes T No
DUP LEXTOt^INHOUSE
rPrrnt Naner t /t./****,*r*,r**********,r**.******ti'*'iii'i'ii{***************)i****:****r****,+ll,{+*****+*****,r+**)rr*
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA: O SQ FT
NEW IMPERVIOUS AREA: 3217 SQ FT
YES!NO
YES I NO
I cor'l'rur'rrw svsreu
! pRrvATE wELL
I ceHrur- senrrc
f] PRrvArE sEPrrc
TOTAL ACRES DISTURBED: .24
EXIST LAND DISTURBING PERMIT:
! ceurnal werl
! ctx'lr.run rw svsrem
I^IATER:
E CFPUA
sEwER:
El cF PUA
ZONE: oFFICER:
Appnoval: City:
,i.** SEPARATE PERI',IITS REQUIRED FOR ELECT, I'IECH, PLBG, GAS EqJIP, PREFABS
& INSERTS ***
pAyri,rENr
METHoD:
E cos,
E crrcK (pAyABLE
ro rxc; ! o'reucAp ExpREss
! ,c/rrso ! orscoven
,*,*****,*,**,*,*,**********************,****,*,t*******,t,*,*,t***,*,**,****,*,*,t,***)*********,t******)****:l*
(FOR OFFICE USE OI'ILY) REVISED OATE A4l11/12
N
I
DATE:
SETBACKS: F:
FLOOD:
LH:RH:B
BF E+2ft=
t2\1'
SFE
tr
t r.to
Pv^]t+ )t l{- t
lB t
NEw
HAN.,ER cqJNry BUTLDTNG
,r*rrr%z t5-42+z.-'.': .-.,,:
i. ...
..
APPLTCAI{T'S M}tE:
APPLICATIOII TYPE.. RESIDEI{TIAL
PLEASE
ATSIEi ALL QU€STIOI'S APPTICAALE IO \OUR PRO]ECT
"ProJect Responsibility"
hfulis hnsfru,*,o*
APPLICATION
tlmber
(oFflcc Use)
ll rl-t1DATE:
PRO]ECT ADDRESS:
sugotvtsrd :
PROPERTY
Ott{ER'S AfiE:
OII{ER'S AIXIRESS: 4l
CITY: tltnnatbtt
BLOCK *: y'
CITY:
ltltlmryatnJJ
LrcEflsE *: NC- 5J I|-7
CITY: l,tJt lmi,^Aln t
P}ONE *;
zre : J?.lO I
PHoNE #: 4w523-Jil4
sT: ifr ztP I
Jg.lol
sr: NCzrp,
481t2-
SF
SF
CTT{TRACTOR:
ADDRESS;
PTO E *:ho -1-tttOl
PROIECT CoIJTACT PERSO{: fironlk Adrlis Plo E *: qto - 5oq-0eb1
ExIsTItG co STrucrIoN:
I rlrrRArrOr pfnrrWarror I e rueur- nrerrns
! RELOCATToT{
Ell cor{sTRucTlor:
I tnecr NEH REsIDEt{cE or
f} eoorrrot To ExIsTr G RESIDEilCE
1'PLEASE CHECI( AID AI{5IdER BELd{ AIL I}IAT APPLY IO Y(x'R PROJECII
I arr eamer
_ sF
f] sunnoon
-
sF
f] eneeuxorrsr
-
sr
! orr
eanaer sr
! eoncH
-sF
I eoor-
-
sr SToRAGE SHED
_
I orcr
_ sr orHER:
rorAL HEATED
sgw,
,l2lo rorAL sQ Fr rr{DER **r, lVtl2)Za'UTOTAL AREA SQ FT:
TOTAL PROIECT COST 6"as uorl : $leato# oF ST0RIES:
Z--
Is Any ELECTRICAL, PUI{BIIG or^ tlECHAr{fCAL
lbrk Seing Done to the Accessory
Structurel S Yes
Ero
If the project is a Relocation,
is there a Natural Gas Line on the Current Site?
Is there Electrlcal Polrer on
this Bullding? $v"t flffo
EYes
Eno
PROPERTY I,,SE
/ OCCUPAICY:
F SII'IGLE FAMILY
I u.mrx
I rouruouse
A
DESC
OF IOR(: {
J-
Z.
and
allo$er applcsble slat and bcal latrs
ciange in conaebr or
b Fioes Up To $5O0.0O*
**,t*)*** rt)tx * +:t,* t)t*,t *)t****
r
Dlsctl[/EFr I heraby c€r!ry rhat al hnmdbn h tis Qplston is
clned eid aI wori wifl co.flpty witr
and oadlifices ald legLrl3tt ns Th€ NHC Dslakprtenl S€ryi:€s Oentr i/ill be nolifed ol any cn3nges in
conlracbr inbrmalon,
'1|OTE: Any Work/O t|e AppropriaE Permiis wlll b€ in Vt lErbn orthe NC
Slar
0llNER/COIiITRACTOR:
(p.lnt it n€)*+l+ *++ + +* I +rr*)i lIrt,* * *:| )i rtlr**l.x)t**r 'i ***r +**+ !*t+,t** *,*:|** )**+* *:f * + I t
rs THE pRopERw LocarED
rr{ l rlooopunr
l]] ws E( ro
EXISTII\E ItpERvIdJS AREA:
_SQ FT
t{Etl I}TPERVIOUS AREA:
_ SQ FT
TOTAL ACRES DISTURBED:
EXIST LAIID DISTURBI G PER IT:
Ivrs Irro
uATER:
[l creua
! co]I4rr{rry
svsrex
I pRrvarE ]IELL
! crtrnn- uru
5EHER:
fifl creue
I CEi{TRAL sEprrc
I enrvarr srrrrc
I co's,flnrry s\srElt
." SEpAnaTE pEn.rITS REQUIRE FOR ELECT, ttECHj PLBG,
645 EqJIp, PnEFABS
& IISERTs '*.paynExr nErRrD:
E cAsr
E orecr (pAyaBLE
ro mr; I A,{mron
rxmrss
I nclvrsl ff orxovrn
*,t * * *,1)t *,t *:| * * *:t *:l 'l:l * *.* *:*:. * :i +:r )t
** a :t:l:t,t * t * t *'a**'i,t:t**:t't)*'*:l:r*,4:r*al:*:t**.t,t***l*****t*:t't:tt**,t**
ZONE: OFFICER:
(FOi OFFICE rrSE OsLy) REVISED DAIE O4l11/12
SETBACKS:
F: LH: RH: B:
Appnoval:_ City:_ DATE:_ FLoOD:
_
A
Coment:
BFE+2ft= / ,.
* r,rt,
r--!//()
DEVEIOPER:
LOT *:
EitAIL ADDRESS:
SIGNATURE :
NUc
ffi
CONTRACTOR:
ADDRESS:
RECEIVED NOV 12 M5
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; RE5I DENTIAL
PLEASE ANSWER ALI QUESTIONS APPLICABLE TO YOUR PRO]E(T
"Project ResponsibiIity"
lr^ 3as I
'\dr-tlBe
APPLICATION
Number
(office Use)
APPLICANTJ 5 NAI4E:/r u.^
, (
F-<./'
22?
(=*-t'lr C DATE:
pHoNE
fit 7/o 27" - g 3?
zrp:2a //)
/o-)a -u.-
,€
CITYt la,/LPRO]ECT ADDRESS:
SUBDIVISION r
l'ra.o4'f-S Lc,*d i na,
PROPERTY OWNER, S
OWNER,S ADDRESS:
E?^:<r- LIo,-.PHONE S:
3/ 3-Jl)/
st,tl(zre,?TqoJ
sr,N!np;@o b
pHoNE
r: ?o .z7f-jzgc
5:s-Js--J2
LICENS E T:7fi9'/ACCOUNT $:
BLOCK #:lor 8: /o .4
C-. €^
o,1 c
CITY:
li.
o
:
CITY: b a
EI1AIL ADDRESS:
-fa b e /2/
R/fc/1 lV/,//Z , C;9r''u?
PRO]ECT CONTACT PERSON:PHONE fl:
EXISTING CONSTRUCTION:A LTERATlON RENOVATIONGENERAL REPAIRS RE LOCAT 1ON
NEW CONSTRUCTTOru:
I rneCr NEW RESTDENCE o" ! lOOrrrOr TO EXTSTTNG RESTDENCE
*'PLEASE CHECK AND ANSWER BELOI,' ALL THAT APPLY TO YOUR PRO]ECT:
S rrr oanace 6
/.6 sr
S surunoou 27( sr 5F
SF
Jo.-^4L*^- Lr <)^(z-c
L
DET 6ARAGE
-
SF
POOL SF
$ aoncr 6{ sr
STORA6E SHED
SF OTHE R
TOTAL HEATED SQ IT: 2578 TOTAL SQ FT UNDER ROOF I 3IOO TOTAL AREA
5QfiI 3y'OO
TOTAL PROIECT CoST1Lessrorl : $ 2oo ac>a f OF STORIES: /
Is Any ELECTRICAL, PLUMBING or I4ECHTNICAL l4ork Being oone to the Accessory St.u(tu.e?
If the project
is a Relocation, is thene a Natural Gas Line on
the Current Site?
! Ves
Is thene Electnical Power on this Building?f]v"t @ruo
Ero
pRopERTy usE
/ occupANcY:
ffi srrcle rrutrv ! ouelrx
DESCRIPTION OF WORK: //€d2 //o lv I
Yes
tr No
TOI^] NHOUS E
andordinancesandregulalions.TheNHCDevelopmenlServicesCenErwillbenoUfiedolanychangesinheapprovedplansandspecilicarionso,changeinc0nrracbror
conractor inbrmalion "'NOTE:Any Work Per,ormed w/O lhe App,opriaE Permirs willbe in Violalion ofhe NC Srare Bldq Code and Subtect Io Fnes Up To $500 00"'
OWNE R/ CONTRACTOR :SIGNATURE:
(Pl^int Na****************+**+***i(++*******
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YE5 NO
EXISTING II1PERVIOUS AREA :
5ooo sQFT TOTAL ACRES DISTURBED: . 2!''
NEhr rmPERvrous AREI //e./ se Fl EXIST LAND DISTURBIN6 PERI4IT:pvrs I NO
UJATER:CFPUAIi-7
L2\]COIYMUNITY 5YsTEI1PRIVATE I^]E L LCENTRAL WELL
sEIrER:
ffi CrCUA
! CENTRAL SEPTTC
! CntVatt SrerIC COI'4I4UNITY SYSTETl
II} S€PA]lATE PERi"IITS REQUIRED FOR ELECT, IlECH) PLB6, GAS EQUIP, PREFAES & IN5ERTS *iI
payr4ENT
METHoo:
Ecrsr EcHEcK (PAYABLE
ro nsc)
E BrLL AccouNT Imclvrsr
(FOR OFFI(E UsE ONLY)
SETEACKS: F:
DISCOVER
t+*+*******,r**+,r*,*,i*,***,r***+*++*+,r**,r***,r**i***********,r,r*,**+****+****++,t********+****r*
REVISE0 0ArE 04l 11/ 12
ZONEOFFICER:
Appnova l: _ City:_ DATE:_ Ft00D
B
BF E+ 2ft=
Comment:
LH RH
N
PERtlIT FEE: $
DEVELOPER:
! cRrmrHousr
_ sF I oecx
77,1-75-
-l(tD
RECEIYED N()Y
1O A6
NEW HANOVER COUNTY BUILDING
APPLTCATI(N TYPE: RESIDENTIAL
ls-zaa?
PERIrtrr l,-,
tf , I
tl 3j
APPLICATION
i&mbe
n
(Offtce Use)
APPLICANT, S M}tE:ltuon: finuilornes lla ttens 0u,t
DEVELOPER:
c
PLEASE ANS},IER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responslbi1lqf
0ad
crw:
eoncH lf 0 ,,
STORAGE SHED
OIH E R:
DATE: ll t5
tl
r P}ON E *:0
PRO]ECT ADDRESS:0
ZIP I
3oSUBDIVISION:fl o1lA BLOCKLOT *:
PROPERW OItr,IER, S MiIE:Ntns
[,lilli Corvr6n proNE
*: gtofiAy|bll
OHTIER,S ADDRESS: 91 CITY:sr:'tto zrpl ABqo,
CONTRACTOR:tt5r/l LICENSE *:AccouNr *: 11e
ADORESS:'1t0 0 CTTY:Ut',
[r*sr I tJL z'Pt eg40'r)
EIi{AIL AIDRESS:
,5 PII)NE *: 1q4-6h1q
PROIECT COI{TACT PenSO : 5 oho Xo
Pro E *,
ng'-ag6
EXrSTrl{G COiTSTRUCTTO :
! alrrRArrOr'r
! nercVlrrON
! CrreUl neearns
! RELocATToN
J
NEr.l coirsrRucrror:
I enecr [Et.l REsTDE]icE or
! 4p1119x ro ExrsrrNc RESTDENCE
**PLEASE CHECK AIID A STER BELOI{ ALL THAT APPLY TO YOI'R PRO]ECT:
t tvl
e
n0
0
tr
tr
tr
ATT GARAGE5bsF ! orr canace
-
sF
El
suNRooM
_sF ! eoor-
_ sr
GREENHoIJsE
_ sF loecr _ sr
SF
SF
ToTAL HEATED SQ FT: ,,. .' ToTAL 5Q FT UNDER RoOF:
- ToTAL AREA SQ FT:
TOTAL PR0IECT CoST(ressro : $0 000
# OF STORIES: A
Is Any ELECTRICAL, PufiaI G or IEC]UI ICAL Uork Being Done
to the Accessory Structure?
[ V"s [l flfo
If the pnoject
is a Relocation, is thepe a Natural Gas Line on the Current Site?
[ves fl uo
Is there Electrical Power on this Building?
Ev"t Euo
PROPERTY USE
/ OCCI'PAI{CY:SINGLE FAMILY DUP
LEX
! rowrnouse
d.ti:l!_
DESCRIPTIOiI OF I{ORK:0
DISCLA|MER: therebyce(iry traa[ inbrmation in this applicanon is cofiect and alt workwill comply wlh he state BuiBing cod€ and alloher applicable slaE and local laws
and ordinances and regulations. The NHC Development SeMces CenEr will bo nolified ofany changes in the appro\€d ptsns andor change in
contraclc r or
Fines tlp To
$5o0.0cl"contebr informaton.'-NOTE: AnYWork Performed w/O he Apprcpriat Pemils will be in Violatbn of ihe NC Stats Bldg
O{NER/CONTRACTOR:d'5 t{s SIGNATURE:
*++)r **,t,t*++ *+*)**,t.i+*i.* *:i,*r.+,1,* :t,*
*,t **,*,*,*+++,i*,*+)****,*****a**,t**
tlsblvil'e
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
I ves
+*:}li+ +*** *** i.++ +
lt/ lr,ro
TOTAL ACRES DISTURBeo, '13EXISTIIIG IIPERWOUS AREA:
NET{ IPERVIqJS AREA:
1051 SQ FT
1o6t SQ FT d*
IATER:
SEtIER:
I.** SEPARATE PERI4ITS REQUIRED FOR ELECT, MECH, ,PLBG, GAs EQTJIP' PREFABS & INSERTS * i!I*
,orrr*, ,rr*-l-'
^tr ; tr.;ii* 1roror.. ,o **l M BrLL acccr,*r
E nczwsr
I orscove n
+r.:i )i
**:i )i**+ t+,*+ * **,t ** !t
+* *,k ++:f 't *)t**+** ** * )t **:1. * **.'! +:*,*,* r*,t
*r( +{':t *1' )t
* *'i*
'l'
*
'*
** + )t'} )* 't l'*:l'* * )t
* )*** +:i
(FOR OFFICE U5E OI{LY) REVIsED DATE O4l11/12
creua
! com4uNrry svsrrr'r
! PRTvATE wELL
! crlrnar uell
creun
I cENTRAL sEPTrc
I enrvlre srerrc
! coMMUNrrY sYsrEM
OFFICER:SETSACKS: F:- LH:- RH:- B:-
Approval:- CitY:- DATE:- FLooD: -BFE+2ft=
-n--
PERI4IT FEE: $
q
m
ZONE
Coflment:
7
n
Av464
lili lrlli^4tof
Exrsr LAiD DrsruRBrr{G ernnrr:
I ves
kt- vb 2ot
"tttt31NEW HAT.IOVER
COUNTY BUILDING PERMIT
APPLICATIOTT rYPE; COiIIIERCIAL
PL€ASE AIISI{ER ALL QUESTIONS APPLI(ASLE TO YOTJR PNO]€(T
"Project Responslbility"
L5-27 02
#APPLICATIOI{
t{mber
(Offi.. Utc)
APP LICAI{T , S
DEVEL@ER:
I{AI,E: Bob cassmann
PROIECT ADORESS: 116 uays Lane CITY: t4l lfltinqron
0CCUPA T/Bt SI]{ESS tlA}tE:
raco Bell
O IER'S AODRESS i 80? Brairwood Drivesuite 5 CfTY: Myrt]e Beach
CO TRACTOi: to be determined after biddinq LfCE SE l:
ADDRESS: CIry:
DATEi oe / 2t/ 2075
PtottE I:
7l?': zee tt
ST: sc ZIP:29s72
ST: ZTPI
ACCESSORY STRUCTURE i
If UPFIT
- The
Shell Permit *:rs E1€ct Porcr on thls Building E Yes E uo
..... rs rHrs A 6;11G€ oF ocq,palcy r-ser
f]ves fl* ..*.
IF Ye!, rdrat Es the Pre\riou3 Occupancy Typ€?
AiOl DESIG pROFSSSIOI{AL: Mark Gettemeyer:
Hhat is the ilcr, Occupancy Typ€?
314-247-5262 NC REG #: 12891
EN6RDESIGII PROFESSIoiIAL: wi
11lam Aikemeyer3t4-172-7782 NC REG *: 024700
DESCRIPTIOI{ OF l,iOR(: New wood frame Taco Be1l reslaurant
ts bod or b.v€ragGs p]rpsad
fi sdyrd h tHa *uauc? filves [ ruo b nc Rrcpc.ty Locabd ln The nooadafrf Dves El r.ro
Codo 6nd all oth€r epplrcable St6ts
Blds Cod. and
NT
Robert Gaasmann-M2 Architecture
Pltr ti.i.)
SIGNATURE:
PHol{E t:
PHOWE f,:
Exrsr corisrRrrcrro{:
n ALTERATT*
a.r#lllli 'frE'il*L nrruns
! RElocArror{
tf
Rolocdon, istherea Natural GasLine on the -Current Sire?
EY;ENo tS BLOC SpnTxleneor
Iv". [ruo
ilEw cq{srRrrcrrotr
[l rnrcr EH srRUcruRE
I nlsr rmcx
I sner-r-
f] urrrr
I ADo ro Exrsr srRucn RE
PH
PH
(otl{.4
tlob: D.moltlon hadfic.6,r. A ..5-ba ri dd p..hlt.pplir.ton .rr b b. r{$mlltad u.lng tra
rydh.thll torm (OHHS3768)
{tt ttcr 6.ldt o. bt ldhg wi ltrrd to
co.rt in A.b-E oa itor. Yoo .lt r.qd.d b ad {'r. N.toid EmLi,l Sridaad. ft. }Lrrdolra Ak FoluttE (l€S}t P) .t (019m7€95O
.t L..l l0 dtya Fio. E tl.
d.rDo{noo otaary l.c0iv o. hildko. S.. A.baato. W.D slt: hilp:lr.vvw.rti-strE ttc.urrp/asb6los6hmp.hnnl
TOTAL PROJECT COST; $75O. OOO
BUILDING HEIGHI# OF UNITS;
# OF STORIES: 1
:18'-8' +/-
TOTAL SO FT UNDER ROOF:2214
ACRES DISTURBED:
# OF STRUCTURES:# OF FTOORS:l
2.t2 +/-EXST LAND DISTURBING PERM]T?I ves
!r.ro
NEWIMPERVIOUS AREA: 22 . soo SQ FT EXISTING IMPERVIOUS AREA:13.950
pRopEFryusE: floFFrcE flnesmr.uur.n f]uencearnue [rurc Eerr f]coloo OTHER
SQ FT
WATER:
SEWER:
CFPUA
CFPIJA
aa E cotlutNrrv S\4STEM
EWA-L flZONll,lG tlsE CLASSIRCATION
flcENrRALsEmc EpRrvATEsEmc flcoirMuN[Tys\GrEl,
PAYTTENTMETHOD:
nC SH DOreO<eeneLETONHC)
fieurnrmxooness f]ucrvrsr Eoscorrn
(FOR
dFrCE U8E Or.rL'REVIs€DOATE 4TTN2
ZONE:_OFFICER:
Apprfral:_ Cltf-DATE- FLOOD:
-
BFE+aF--
-SEPARATE F€f*,lITS REOUIRED FOR
€LECT MECH, PLAG. GAS EOI.(P, PFEFABS A NSENTS *
N
tr+
zt-1\)
Co m€nt PERMT FEE:
tLe+-
PRoPERry O|IIIER'S tlAllE: pavid E Harner, ccrM PlOt{E t: 843-361-4433
EIiAIL ADORESS:
PRO]ECT CO{TACT PERSO :
TOTAL AREA SO FT i
22]3- SOFTPERFLR:221a
SETBACKS: F:_LH:_RH:- B:
(t
(F,
s-r ]f
6 2oF tttTr L5-3184
,;\/NEI^,I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANs]^]ER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(office Use)
DEVELOPER:
CITY: l^titmrnqton
PHoNE #: (9ra) .r-,-r-2ra8
PROIECT ADDRESS: 6s0B h,indmitr i{ay unirs A&B
OCCUPANT/BUSINESS NAHE;
r; r e,.,,
PROPERTY OWNER'S NA E : uike .i.rwin.:.i i
OWNER'S ADDRESS: 6508 lrindmiLl way
Units LrB
CONTRACTOR: stonehense Bulldrns rnc
ADDRESS: 6521 Amsterdam Way #2
CITY: wr I minoron
PHONE f: (rrL,)1,r1 i:,r,
ST:
:,. ZIP: :a-:,1
PHoNE #: (.r-t) -rr-22o8
PHONE #:
LICENSE #: !rzol
CITY: ',iitminqron
PROIECT CONTACT PERSON: .:::r::.:.r. 1.,r,.--,ii:' .r
EXIST CONSTRUCTION:
lf Relocation, is there a Nat
ALTERATToN I-l nrruovarroru
Gas Line on the Current Site? L_-l
(check A1I rhat Apply)
Yes
GENERAL REPAIRS RE LOCATION
T
No IS BLDG SPRINKLERED?
flves T No
NEI.I CON5TRUCTION:
E ERECT NEW STRUCTURE
! TNST TNICT
! SXCII
ACCESSORY STRUCTURE:
! unrrr
! aoo ro Exrsr srRUcruRE
ural
If UPFIT
- The
Shel] Permit #:
IF Yes, what was
the Previous Occupancy Type?
***** rs rHrs A cHAtiGE oF occupANcy usel flves T
Is Elect Power on thls Building E Yes E tO
l.lhat is the New Occupancy Type?
PH:ARCH DESIGN PROF E SSIOiIAL:
ENGR DESIGI{ PROFESSIOTIAL:
NC REG #:
NC RE6 #:
ls food or beverages prepared or served in this struaure?
[Ves fl lo ls The Property Located ln The Floodplain?
fl ves r No
PH:
DESCRIPTIoN 0F WORK: Cut in walkway between two units and fill in one waLt at office
owNER/CONTRACTOR: ;ennr re: Lancasr,er SIGNATURE:
TOTALPROJECTCOST: 5,!I.I , OtBUILDING HEIGHT: :],,, '# OF UNITS: r
DISCLAIMER: I hereby certify that all information in lhis application is
correcl and all work willcomply with the State Building Code and allother applicable Slate
and rocal laws and ordrnances and reoulations The NHC Develoomenl Servrces Cenler will be nolified of anv chanoes in lhe aooroved olans and soec,fi(alions
or chanqe in contraclor or conlraclor r-nformatrcn.
"'NOTE. Any Work Performed w/O lhe Appropnate Permris will b'e rn V,olalion ol lheNC Stale Bldg Code and
Sublectio Frnes Up To $500.00"'
(Ouame4 (Pdnt Nan'€)
conbln Asb6tos or not. You are roquhed to csll th6 Narionsl Emission Slandards ior Hazardous Air Pollutants (NESHAP) at (919)707-5950 6t
leasl '10 deys p.ior to tle
domolition of any facility or buildino. S€e Asbesto6 wob Site: htts:/r\tY/w.€pi.state.nc.usy'epi/asbesbJ6hmp.htrnl
ToTAL SQ FT UNoER ROOF:
_#OF STRUCTURES: r
ACRES DISTURBED EXST LAND DISTURBING PERMIT? - YES
E NO
SO FT EXISTING IMPERVIOUS AREA:
MERCANTILE EDUCAPTCONDO OTHER:
:a
NEW IMPERVIOUS AREA: !'
PROPERTY USE: @Orrtce RESTAURANT
SQ FT
wATER: ECFpUA EcoMMUNtTY SYSTEM
EWELL EZONING USE CI SSIFICATION:
SEWER: -CFPUA -CENTRAL SEPNC
E PRIVATE SEPTIC E COMMUNITY SYSTEM
*, SEPARATE PERMITS REOUIRED FOR ELECT. I\,{ECH, PLBG. GAS EOUIP' PREFABS & NSERTS
"'
PAYMENT METHOD:
ficesn ficuecr leavneLE To NHc) flAt',tentcaru EXPRESS
I urcnrtsn
I olscoven
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-
REVISED OATE 4/11/12
ZONE:OFFICER:
Approval:-City:-DATE: FLOOD:--
-
BFE+2ft=_.
'd+ FComment
N
PERMIT FEE: $
,.1-.i;-\
APPLICANT'S NAIIE: Jennlfer Lancaster DATE: 1l/09,/15
ZIP:2Eqr.)
EMAIL ADDRESS:
stonehenqebui223GbeLlsouth.net
5T: Lr'r ZIP:
:3-. .
TOTAL AREA SQ FT : : SQ FT PER FLR:
-]--# OF STORIES: L
# OF FLOORS: I
g0e 9I,10il
0lAEllU-l {b Tctrt /t3e
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIoN |YPE: COiIIiERCIAL
PLEASE AJ'{SHER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibillty"
CITY: wrr,MrNGToN
OCCUPANT/BUSINEss T,IATE : CARoLINA TREET INCoRPoRATTjD
PROPERW O T{ER,S I,TAI{E: CAROLINA TREET ]NCoRPORATED/ JoE KING, PRESIDENT PIIO E
#:
O{NER,S ADDRESS: Po Box 1017
CITY: WIIMINGTON
COi'ITRACTOR: EDGAR B KEITH LICENSE #: 17 312 s
ADORESS: PO BOX 9]8CITY: WRIGHTSVILI,E BEACH
EiIAI L ADDRESS: EKeithG IntracoastafRealty. com
/C " lzt1t1
APPLICATION
Nunber
(office Use)
9la.611 .1436
ST: NC ZIP:28402
SI: NC ZIP: 28180
PHONE
*: 91A.264.9144
ALTERATTo{ I-l nprovlrror
Gas Line on the Current Site? L_l
GEITERAL REPATRs
l-l nrlocrrrol
ENo ts arDG spiiixleReoz
Iv"r flruo
(Check
All lhat
^pply)EXIST CONSTRUCTIOT'I:
lf
Rolocation, is there a NaturalYes
NEW CONSTRUCTIOiI:EREcr r{Et.l srRUcruRE
fl rrsr rmcr
f] sxrr-r-
! uerrr
I mo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Penmit #:
fs Elect Pouer on this Building
r Yes
Ero
PH
PH
NC REG #:
NC RE6 #:
ARCH DESIGN PROFESSIO{AL:
ENGR DESIGI'I PROFESSIOI,IAL:
DESCRIPTION OF WORK: REMOVE ExISTING METAL RooE AND REPLACE
ls food or bevorage8 propar€d
d ssr\red in this srfuaure?
[ Ye"
Q ruo l" Th" P.p6rty Located ln The Floodflain?
f] ves
[l No
DISCLAIMER: I hereby certty ihal all rnformatron in
lhis application is correct and allwork willcomdy wilh the Slale Building Code and all other appticabte State
and local laws and ordinances and requiations. The NHC DeveloDmenl SeMces Cenler will be nolified of anv chanoes in the aoDroved Dlans and soecfc€trcns
or chanoe rn
conraclor or conlraclor iiformallon. "'NOTE: Any Wo Perlormed w/O the Appropriate Permits
wll 5e in Violation ol lhe NC State BIdg Code and
Subiectlo Fines UD To$500.00'-
OWNER/CONTRACTOR:EDGAR B KE ITH
TOTAL PROJECT COST; s60,000.00 BUILDING HEIGHT: 2s'
SIGNATURE:
(audh.r) (P'idrl€r.)
contaln Asb6to3 o. not You arb rcqulr€d b callthe Nalional Emb3ioi Sendad! fo. Hazardous
Ar Pollutarts (NESHAP) at (919)707-5950 Et te6st 10 d.ys Fior to the
d loa{on o{ eny fedity o. hildno. S* Asb6G W€b Slt : httpJh,vwrv.epi.siat€. nc.us/spi/Bsbeslos/ahmp.htrnl
GTOTAL AREA SO FT: 95,118
TOTAL SQ FT UNDER ROOF:2&!!!-
ACRES DISTURBED: o
Exsr LAND Drsrunarruc penurrz f-]yes T NO
SO FT
leouc fllrr [coNoo OTHER:N1AN0FACTUR 1 NG
aZONING USE CI-ASSIFICATION: Ar
E CoMMUNTTY SYSTEM
SQ FT PER FLR: 24
000
# OF STRUCTURES: 1
# OF UNITS 1
# OF STORIES; I
# OF FLOORS:1
NEwlMPERVloUSAREA:p-SQFTExlsTlNG|MPERVloUSAREA:
PROPERTY USE:
rcFFGE RESTAURANT
WATER:
sEwER: EICFPUA
-I CFPUA
trE COMMUNITY SYSTEM
CENTRAL SEPTIC
!uencnnnm
EWELL
PRMATE SEPTIC
PAYMENT METHOD
flcesx flcrec*< (eAvABLE
ro NHc) fimlenlcer.r exeness
I ucnnse
I orscoven
*. SEPAFATE PERMITS REOUIRED FOB ELECT. MECH, PL8G, GAS EOUIP PREFAES & INSEBTS
''
(FOR OFFICE USE ONLY)ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B:
Apprcval:_ Cty:_ DATE: FLOOD:
___ BFE+m=
AVN
Il)F.-
RE\IaED I)AIE ,an
1n2
/r-\
IUU
,|
ffi
APPLICANT,S NAIi,IE: EDGAR B KEITH DATE: T1116,/2015
DEVELOPER: PHONE
*:
PROIECT ADORESS:
29sl NoRrH KERR AVENUE
ZIP i 28405
PROJECT COiITACT PERSOI{: EDDIE KEITH PIOT{E #: 970.264.9444
ry
$l
\)5
VZ
***** rs rxrs A cHAr{GE oF occupar{cy
user
f]ves [ro *****
IF Yes, Bhat tias the Previous Occupancy Type? _ hlhat
ls the fl Occupancy Type?
N N/\
NEtl HANOVER COUNTY BUTLDING PERHTT
PPLICATTON TTPE: COI{IiIERCIAL
PL€ASE A}ISTER ALL qJESTIOI{S AP?LICABLE TO \d,R PRO]ECI
"ProJect Responslbillt)fl
\e,z-5-3I58
2ort ltl3a
APPLICATION
l,ltmbe n
(offtc. U5.)
$ r\'
$\
APPLICiINT' 5 tlAT.f :
DEVELOPER:
o.lr{ER's ADDRESS: 4309 Empe
CO TRACTOR r Baker Roofing co
ADDRESS: 3107 xirty Ha!,k Rd.
EIUIIL AITDIISS: ppoi
ri e rGbake rroo
fins .
coft
DATE: 11/ 13,/2015
CITY: riilmrnq--oxZIP:Nc
yvi I
Ie Plopert}es,LLC c/o Tri Properaies PHONE f: 919-2er-2358
lor Blvd, suite 110CITY: ourhatoST: Nc ZIP:2?703
LICE SE t: s812
Baker Rooflng Co
PROIECT aDDRESS:
2316 N. colteqe Rd
OCCUPAI{TIBUSINESS AltE: ;,o'vre's,,ood
PRoPERTY (,IINER's l{ArlE: DtF. Murra
MOJECT CoI{TACT PERSoiI:Patrlck Poirie!
PHO E l: 9:9- r99-?585
PflO E r:910-504-170i
EXrsT CONSTRUCTIO :
n ALTERATTOH
lf Ral@tion, i6 lhere I Natural Gas Line on the
(Check
Alt That Apply)
R
EI'ICA/AT IOI{GE
Cuffern Site?
trYes
I{ERAL REPATRS J-'l nelocarror
No ts
eloc spi xt-eneoz
I v""
ltro
IEr{ corisrRucrrfi:
I rn:cr E]. 5TRUCTURE
fl rmr rmcr
! sxrr-r-
E uprrr
! aoo ro Exrsr STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The
SheU Permlt #:Is Elect Poyer on thts BuildLng E Yes I m
*..r. Is THIS A clAr{GE 11: occup4tcy usrr
flvrs fluc *.r*.
IF Yes, rdrat ras tha Previorrs Occu9a,rcy Typel
ARGI OESI6 PNOFESSIO AI,:
t/hat is th! ltan occup.ncy Typcl
Pfl;
PH:
ir RE6 *:
tIC REG *:ENGN DESI6}I PROFESSIOML :
DESCRIPTION OF }lOR(: Re-roof {see scope aEtached)
ls food o[ b€ia.a0i€s pBpa.rd
c s{v6d h t}rE ouarru? [Yes I r.ro la ne Aope.ly Locabd lnTho Floodgainz
I ves
I lto
3ll
SIGNATURE
(6r.!.1, (eth.
fEl!)
l|de: D.mofioat nodadottr I arb-td ritorrl p..mlt .ppllcadqB tIr b to !6mltrd odlE tr +DIcatoi fo.ni (DIO€J788)
rlEtpr l,i idllty or llrlldho w!. blri, b
cutt tn Arb..b. d no! ydl .,r lrqttd b cdl th. N.torlol FrtrSdon Stris{ fo. tlEdcr Alr Pdlub , (NEsruP)
d ols)707-5050 .r l6t 10
&|' Flo. to 0b
donE on ol al|y t .{|ry o. bllldho. Sa. 4.h.6 $bb StB ntFrngww. epl.stsE. rlc Udopuasb€to€1ah mp hlnl
TOTAL PROJECT COST: $e0,284 BUILDING HEIGHf: 22
#OFUNITS: 1
TOTAL AREA SQ FT ;
@- SO FT PER FLR:
-
TOTAL SO FT UNDER R@F:
-
# OF STRUCTURES:
-PRMATE SEPTP
# OF STORIES:
f OF FLOORS:
ACRES DISTURBED:Exsr LAND DrsruRatNo eenurr
flves I uo
NEW IMPERVIOUS ARE u-SQFr E(STING IMPERVIOUS AREA:
_..-SQ FT
WELLEzoNlNG USE CI.ASSIFICATION:
fl @irMUNtrY sYsrEM
pAyt ENTMEIHOTI
f]cAS{ EO{Ecx (PAYA4-E
To Nrcl flellearcax E<nREsS
I ucansr
I otscov=n
(FOR
GFICE UgE OI{LY) REVISD I}AIE {I1/I2
ZONE: OFFICER:
-
SETBAC'KS: F: LH:- Rlt- B:-_
4pwari-ciry, 51il FLooD:---BFE+m---
AVN
Comm€nt B+r
/(D
Plot{E f :
CIW: wilminqton ST: Nc ZfP:28411
OWNER/CONTRACTOR: Patrick Poirier
EoFFrcE EnEsuunnln puencrrnte f]ecx.rc llrr [coNoo orHER-
WATER:
SEWER:
PERMIT FEE:
6--_
/^) , ,.( )''-i 'J 5 LO I'f- lt( tu
NEW HANovER
couNry BUTLDTNG pERr.rrr
?eL
S-L\ jt
APPLICa|IaN
ryp€; C0i4tttERCIAL
PL€asE aNst/ER
ALt QUESTIO S Appt-ICABlE TO YOUR PROIECT
"Pnoject Responsibility,,
mpIiEFi6u
Number
(Offlc. Ur.)
APPLICANT'5 NATitE:
DEVELOPER:
CITY:
crw:
LTCENSE *:
CITY:
oart: /O/
rS/ r <f
I
PROJECT ADDRESST
OCCUPANT/BUSII{EsS i,lA},IE :
PROPERTY OhIT{ER,S iIA}iE :
OWNER'S ADDRESS:
zt??iql't?
828- za6-qatz
PKrl{E
*: lto - Lo4 - 4o4Osr:_zv@21
P
11
('CONTRACTOR 3
ADDRESS:
E AIL ADDRESS:
PROJECT COiITACT PERSON:
PHOI{E
PH()NE
Stt /l'( z1p:
LSq 2q
o,
7h
,r37'E'
*:
;[',Ji:f IH:':[H::]iil'"'$"H,:"',tli[d,"*&{','*,:r,-*:,H,ff.i?T;H"".x,"
NErtr coitsrRucrrorrr:
! rnrcr NEll srRUcruRE
! rlsr rmcx
! sxer.r.
I urrrr
f] ADD
To
Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Permit #:
Is Elect power on
this Building E yes E r,lO
*l*** rs n{rs a cHANGE
oF occupa,cy
usel
I vrs ffiao .r.*.
IF Yes, hhat was the Previous Occupancy Type? _ [hat
is thc e* Occupancy Type? _
ARCIi DESI6|{ PRoFESSIOIIAL:
E GN DESTG PROFESSIOTIAL:
NC REG
#:
tIC REG
#:
PH
PB
DESCRIPTION OF [.,OR(:
L
*Jon
ls food or beverages pBpared or served in rrus sruauref fives
ffiNo ts Th€ propedy Locabd tn The Ftoodptah?
E yes El No
"'l:i*li:'*l#f,:v,,f"R*fl:JJy,:Iil""i."i#lx,1%"Elf,j3Af"f#J!%"Jl,H*lil"T:1flJ.1;i'&"#"f i[ilg,t#et#fiitiEffiffift'dlffior c+ranse in @ntractor or conrractor r-nformalion.
"'NOTE:Any Work ptio iO WijiirJAp]
Subjecllo Flnes Up To $500.00"'
OWNEFYCONTRACTOR:
-
SIGNATURE:
(ot.lifi.d ed N.h.)
cornsin A5baslos or n.,1. You
!r€ requlGd io c.ll1116 NatooslEmbalon s[and.r(,s tb. Hszen ou3 Ar poltusnrs (t€sxerl a ptejzot.ssso a
tan io o"y" p.io, to tt"
demothlon of any fadll, or bualdlng. Soo AsbcnG Wbb Site: hnpJ,f.w\.r.epi.s16ie.nc.us/epUaabestos/shmp.hlhl
ToTALPROJECTCoST: . 2t U
TOTAL AREA SO FT : Al lta
BUILDING HEIGHT
SQ FT PER FLR:
/1'L "# OF UNITS:
TOTAL SQ FT UNDER ROOF:
_ # OF STRUCTURES:
# OF STORIES:
# OF FLOORS:
ACRES DISTURBED:
-
NEW IMPERVIOUS AREA:
Exsr LAND otsruRarruc
eennrr
f] ves
[ ruo
SA FT EXISTING IMPERVIOUS AREA
pRopERTyusE: BFFEE flnesraunau
[uencatlle [eouc
finrr EmNoo orHe*
WATER: ECFPUA f] CoMMUNITY SYSIEM
EIWELL EZoN|NG USE CTASS|F|CAT|ON:
SEWER: ECFPUA ECENIRAL SEPTIC IZJ PRIVAIE
SEPrrc [ICOMMUNITY SYSIEM
-. SEPARATE PERMITS REOUIRED FOR ELECT, MECH. PLBG, GAS EOUIP PREFABS A INSERIS
'-
PAYMENT METHOD:
[CeSn flCuecx lnevAeE TO NHC) [aUenrCax o<eRess fiucruse
I oscoven
SO FT
(FOR OFFTCE USE ONLY) REusEDZONE:_OFFICER:_SETBACKS:F:_LH:_RH: g:
App.oval:_ City:_ DATE:_ FLOOD:
___ BFE+2fr=_
DAIE 4'1IA2
Comment
[3,
?; tr
N
PERMIT FEE: $Vc,o
PHONE
s r'L:1
NEt^l HANOVER COUNTY BUILDING
APPLICATION rYPr: COIvIIvIERCIAL
?otr-ulqc
penmrrFEZ
{S3ta{
PLEASE ANSI.JER ALL QUESTIONS APPLICABTE TO YOUR PROJECT
"Project Responsibility"
AppLrcANT,s
ruar,te: Tribute Construction, lnc.
DEVELOPER: SaMe
APPLICATION
Number
(Office Use)
Dnrr: 1'1.3.2015
PHoNE *: 910.251.5030
ZIP: NCPRolECr ADDRESS: 4167 Hearthside DrivecrrY: Wilminqton
OCCUPANT/BUsINE55 NA'4E: SEA PiNESAPATTMENTS
PROPERTY OWNER'S NAIYIE: SEA P|NES APATTMENTS LLC
ot4lNER'S ADDRESS: 10 S. Cardinal Drive
crrY: Wilminqton
CONTRACToR: Tribute Construction,
lnc. LTCENSE s:6000
crrY: Wilminqton
PHoNE
f: 910.251 ,5030
sr: NC zrP: 28403
sT: NC zrP: 28403
PHoNE $: 910.251.5030
PHoNE *: 910.599.8130
1
ADDRESS: 10 S. Cardinal Drive
EMArL aDDREss: bkaiser@tributeconstruction.com
PRO]ECT CONTACT PERSON: BT|AN KAiSeT
(Check
All That Apply)
EXIST CONSTRUCTION:
ll Relocation, is there a NaturalYes
NE!./ CONSTRUCTION:ERECT NEI./ SIRUCTUREFAST TRACKSHELL
UPFIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
ALTERATToN
I neruovarrolr
Gas Line on the Current Site? L_-l
GENERAL REPATRs
l-l nelocnrrot
n ro ts aroc spRtN-xlrneoz
fl ves
I lo
If UPFIT
- The She1l Permit #:
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGI{ PRoFEssIotlAL: N/A
***** rs rHrs A cHANGE oF occupaNcy usrr
lves Ir,o'****
Is Elect Power
on
this Bullding I yes n ruO
PH:
PH:
NC REG *:
ENGR DESIGN PROFESSIOI,IAL: N/A NC REG #
DESCRTPTTON
OF WORK: ses attaChed Summary
ls food or beverages prepaled or served in this struclure?
Eves I uo ls The Property Located ln The FloodplainZ
I v"" El to
DISCLAIMER: I hereby cerlify lhat all information in this-applicalion is co-rrecl and all work willcomp]y wilh the Slate Buildang Code and all other applicable State
and local laws and ordinances and Iegulalions. The NHC Development Services Center will be nonfi.rd of anv chanoes in th6 aooroved Dlans and i;ecifrcations.r eh^noF in .onih.lnr or .onlra.l.r info.metion. "'NOTE: Any Work Performed w/O lhe Appropriate Permrls witl 5e tn Violalioi ot lh,e 1,lC Srate Bldg Code andSubjectlo Fines Up To
5500.00'-
owNEF/CONTRACTOR: BrianKaiser
(atElrbo (Pdni N.mo)
Noto: Domolitjon notifcation6 & asbostos rqnoval pomlt applbatJons sro b b€ submhLd usino the applicadon lorm (DHHS-3768) whetler tl€ tacltity or bulldlng was bund to
conbln A5b6sb3 or not. You are,rqulrcd to call tho Natonal Embslon Standads for Hazadous Alr PolluEnE (NESHAP) at (919)707-5950 at t€alt 10
days pdo. to lh6
demolidon of any hcllity or building. See Asbo8tos Web Slb: http ,www.epi.state.flc.us/epi/asbeslos/ahmp.htmt
ToTAL PRoJEcT cosr: $32,500.00# OF UNITS: 12
TOTAL AREA SQ FT :7,494
BUILDING HEIGHT:
SQ FT PER FLR;2
TOTAL SQ FT UNDER ROOF: 8.214# OF STRUCTURES: I 2
ACRES DISTURBED:N/AExsr LAND DrsruRsrNc peR[rrrz
Tl ves
f] uo
NEw IMPERVIOUS AREA: N/ASQ FT EXISTING IMPERVIOUS AREA:
pRopERry usE: f]orrrce EResrnunnm lueRcer{I[e f]eouc
I eer lcoNoo oTHER:
WATER: ECFPUA
SEWER:
m CFPUA
# OF STORIES:
# OF FLOORS:
flcoMMuNny sysTEM
flwELL fIZON|NG USE CLASS|F|CAT|ON:
ECENTRAL SEprC Ll pRtVArE SEpTtC fICOMMUNny SYSTEM
SO FT
.'SEPARATE PERMITS REOUIRED FOR ELECT,IVECH, PLBG, GAS EOLIIP, PREFABS & INSERTS
PAYIVIENT
METHOD
[cnsx f]cxecK (eAvABLE
ro Nnc; [euenrcaN ExpREss
I rucnrrsr
I orscoven
(FOR OFFICE USE ONLY}REVISED DATE 4/1I/12ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:
Approval:_ City:_ DATE:_ FLOOD:
_ _ _ BFE+2F
AVN
v
Comment PERMIT FEE:$
l
m
What is the New
Occupancy Type?
_
: .2 ,^--------\SIGNATURE: / -
NEW HANOVER COUNTY BUILDING
APPLIcATIott rYPE: COMMERCIAL
,:trltlrll
pERMrr?{* ls -.
al}5
PLEASE ANSHER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
AppLrcaNT's r,rnl,tr: TributeConstruction, lnc.
OEVELOPER: Same PHoNE f: 910.251.5030
PRolEcT ADDRESS: 4169 Hearthside DrivecrrY: Wilminqton
occuPANT/BUsINEss NA E: Sea Pines Apartments
PROPERTY OWNER'5 NAItlE: SEA P|NES AOATTMENTS
LLC
otlNER's ADDRESS: 10 S. Cardinal Drive
crrY: Wilmington
coNTRAcToR: TributeConstructionlnc.LIcENSE f: 6000'1
ADDRESS: 10 S. Cardinal Drive
crrY: Wilminqton
sr: NC zrP: 28403
EI'IAI L ADDRESS: bl(Aitributeconstruction,com
PRO]ECT CONTACT PERSON: BTiAN KA|SET
PHONE #:
PHONE *:
Exrsr coNsrRucrroN:
E ALTERATTo,
5 *r,Jififfi'[iTJ'ilL*o. nrenrns
f] RELocArroN
tf Relocation, istherea Naturat Gas Lineon the -Current Site?
[Y;ENo tSerocSpR' xfeReoz
Elv"" [ruo
NElt,r
CONsTRucrrON:
E ERECT NEtl, srRUCruRE
! rA5r rmcr
f] srer-r-
! uerrr
ACCESSORY STRUCTURE:
ADD TO EXIST STRUCTURE
If UPFIT
- The
Shell Penmit *:
Is Elect PoHer
on this Building El yes E Ho
*,i*,r* rs rHrs A cHANGE oF occupANcy user
lvrs Iro *****
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOTIAL: N/A
What is the New
Occupancy Type?
ENGR DESIGN PROFESSIOI,IAL:
N/A PH:
NC REG S:
DEscRrprroN oF woRK: See attached summary
ls food or beverages prepared or served in this structure?
Eves
ffi uo ls The Property Located ln The FloodplainZ
! v"s
[l to
PH:
NC REG #:
DISCLAIMER: lhereby certify that all informati
and locallaws and ordrnances and reoulations.
or chanoe in contraclor or contractor iiformatro
Subjecl"to Fines up To
$500.00'-
this application is correct and all wo
NHC Develoomenl SeNres Center
NOTE: Any Work Performec, W/O lh
on in
The
OWNEF/CONTRACTOR:Brian Kaiser
(aEllr ) (Pnnt N.mo)
Nota: Demollton noticodons & asb€5b6 Fmoval p€mit applhatons aro to b€ submllbd u6lng the appllcalion furm (DHHS-3768) whother th€ hdlity or buttdtno was iound
b
contaln Asb€sbs o. nol You ar€ r€qulr€d b call the Natonal Embslon S'lend6rds for Hazardous Alr Pollut nts (NESHAP) at (919)707-5950 at to€sl 10 d6ys prtor !o the
d€molilion of 6ny faclllty or building. Soo Asbootcs Web Sib: http:l,lrww. epi.stale. nc. us/epi/asbestos,/ahmp. html
rorAl PROJECT
cosr: $32,500.00 BUTLoTNG HETGHT# OF UNITS: 12
TOTAL AREA SO FT7.494 SQ FT PER FLR:2
TOTAL SQ FT UNDER ROOF: 8,214 * OT STRUCTUNES
rk willcomply wilh lhe State Burldrnq Code and all other applicable State
wrll be nolified ol anv chanoes rn th6 aooroved olans and snecificatlons
e Appropflale Permils will
bt in Violali6n of the l.tc State Bldo Code and
SIGNATURE: , J
# OF STORIES
# OF FLOORS:2
ACRES DISTURBED:N/A
NEw IMPERVIOUS AREA: N/ASQ FT
EcoMMUNTTY SYSTEM
fl WELL
f] CENTRAL SEPTIC L] PRIVATE SEPTIC
EXST LAND DISTURBING PERMIT?
EXISTING IMPERVIOUS AREA:
[ves flruo
flzoNrNG usE cLASStFICAT|ON:
ECOMMUNTTY SYSTEM
SQ FI
WATER: mCFPUA
SEWER:
m CFPUA
PAYMENT METHoD:
[cnsn [cxecx lervmlE ro NHc) [nuenrcnru exeness
lucnrrsl f]orscoven
. SEPARATE PERI\IITS REOUIRE}
'OR
ELECT MECH. PIBG, C1AS EOUIP PREFABS & INSERTS ''
(FOR OFFICE USE ONLYJ REVISED DATE ZVI
1/12
ZONE:_OFFICER:
Approval:_ City:_ DATE:_
SETBACKS: F:_LH:_ RH:_ B:
FLOOD:_ BFE+2F_
AVN
PERMIT FEE: $Comment
/o)
APPLICATION
Number
(office Use)
oert:11.3.2015
ZIP: NC
PHoNE f: 910.251.5030
ST:
NC ZIP: 28403
910,251 ,5030
910.599,81 30
pRopERw usE: floFFrcE nnesraunmr fluencaunle
leouc flner lcoruoo orHER:
NEW HANOVER COUNTY BUILDING
APPLICATION
TYPE: COMMERCIAL
/ . i1. -( l(v 2\
PERMTT ?E?t:--ataa
APPLICATION
Number
(Office Use)
PLEASE AI'ISI.JER ALL QUESTIONS APPLICABLE fO YOUR PROJECT
"Project Responsibility"
appLrcANT,s NAr'lE: Tributeconstruction, lnc.oare:11.3.2015
DEVELOPER: SamePHoNE f: 910,251.5030
PRolEcr ADDRESS: 4171 Hearthside Drive
crrY: Wilmin0 tonZIP: NC
occupANT/BUsrNEss NAI4E: sea PinesApartments
PROPERTY OI,INER, S NAIIE: SCA P|NES APATtments LLC PHoNE
#: 910.251.5030
owNER's ADDRESS: 10 S. Cardinal Drive
crrY: WilmingtonST: NC ZIP: 28403
ADDRESS: 10 S. Cardinal Drive
SI: NC z1P; 28403
EIi,lArL ADDRESS: bkaiser@tributeconstruction.com PHoNE
*: 910.251.5030
PRO]ECT CONTACT PERSON:Brian Kaiser PHoNE #: 910.599.8130
(Check
AII-rhat App1y)
EXrST CONSTRUCTTON:
E ALTERATTOru
[ neruOVArrOru
lf Relocation, is there a Natural Gas Line on lhe Current Site? L_-l
GENERAL REPATRS
l--l nrroclrroru
Eno ts aroo
sp i xreneou
[]v"s lro
NEt^I CONSTRUCTION:ERECT NEW STRUCTURE
ACCESSORY STRUCTURE:
Yes
FAST TRACK
! sxer-r-
! unrrr
!ADD TO EXIST STRUCTURE
If UPFIT
- The
SheU Permit #:Is Elect Power
on this Building E Yes E tO
***** rs rHrs A cHANGE oF occupaNcy
uset
[ves Elro.....
IF Yes, what was
the Previous Occupancy Type?
ARCH DESIGN PROFESSIOTTAL: N/A
N/A
DISCLAIMER: I hereby cerlify that all information in
and locallaws and ordinances and requlations. The
or chanoe in conlraclor or conlractor information.
"'
Sub|ecl-lo F{nes Up To
$500.00""
this applicalion is correct and all work willcomply wrth lhe Slate Buildino Code and
NHC Develooment Services Cenle, will be notified of anv chanoes in rha aoDroved
NOTE. Any Work Performed w/O lhe Approp.iale Permrls will 6e rn
Violation of the
soecifications
Bldg Code and
What is the Ne!, Occupancy Type?
PH:
ENGR DESIGIiI PRoFESSIOiIAL r
PH:
DESCRTPTTON
OF t,,JoRK: see attaChed Summary
ls food or beverages prepared or served in this structure?
Eves El lo ls The Property Located ln The Floodplainz
I ves
El lo
allotherapplicable State
and
owNEF/CONTRACTOR: Brian Kaiser
SIGNATURE: /
{audin O (Pdnt N.nE)
Note: O,emolition notifcadons ! asbosbs r€moval permh eppllcodon6 arB b bo subml"It.d uslng th€ sppliration forn (DHHS-3788) whefer the fEcttny or butulng was fund !o
contaln Asb€€b6 or not You 6ra rcqulr€d b call the Natlon6l Embslon Standards for H6zaftlou6 AIr Pollutants (NESHAP) 6t (9tg)707-5950 at le$t 'lO deys p.ior to $e
damolilion of afly facility or bulldlng. S€o Asbestos Web Slle: htp:/ ,rww. epi. stale. nc. us/ep i/asbestos/a hm p-
htm I
TOTAL PROJECT COST: $32,500,00 BUILDING HEIGHT:# OF UNITS: 12
TOTAL AREA SQ FT7.494 SQ FT PER FLR:# OF STORIES: 2
EXST LAND DrsruRBtNG
eenlarrr
I ves
[ ruo
NEW IMPERVIOUS AREA: N/ASQ FT EXISTING IMPERVIOUS AREA:SQ FT
pRopERTy usE: EoFFrcE EResreuReHr fluencaunle leouc flner [cor,roo orHER:
WATER: mCFPUA
SEWER:
m CFPUA
ToTAL SQ FT
UNDen nOOF: 8,214
ACRES DISTURBED: N/A
#OFSTRUCTURES: 1
(FOR OFFTCE USE ONLY)
# OF FLOORS: 2
ECOMMUNITY SYSTEM
If WELL f]ZONING USE CLASSIFICATION:fi cet.trnel seerc El p-RtvATE
sEplc E-coMMUNtry sysrEM
PAYVTENT
METHOD: ECASH ICXeCX IeaVASLE TO NHC) [aUenrCAH eXeness
! rucnrrsa
! orscoven
.. SEPARATE PERMITS R€OUIRED FOR ELECT,IVECH, PLBG, GAS EOUIP. PREFABS & INSERTS
''
REVISEO DATE ,gI 1/12
ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD:
___ BFE+2fl=
AVN
Comment
coNTRAcToR: TributeConstruction, lnc.LICENSE #: 60001
crTY: Wilminoton
NC REG fi:
NC REG #:
PERMIT FEE:
$_
t
:ria
NEW HANOVER COUNTY BUILDING
aPPLIcarIoN rvPr: COMMERCIAL
--')i)'-
lllti'\
nenmrr?E{
15-glZ?
APPLICATION
Number
(office Use)
PLEASE AI'IsWER ALL OUESTIONS APPTICABLE TO YOUR PRO]ECT
"Project Responsibility"
AppLrcANT, s utr: Tribute Construction, lnc.onre:11.3.2015
DEVELOPER: SAMEPHoNE #: 910.251.5030
PRolEcT ADDRESS: 4173 Hearthside Drive
crTY: WilminqtonZIP: NC
OCCUPANT/BUSINESS NAME: Sea Pines Apartments
owNER's ADDRESS: 10 S. Cardinal DrivecrrY: WilminqtonST:
NC ZIP: 28403
coNrRAcroR: TributeConstruction, lnc.
ADDRESS: 10 S. Cardinal Drive
LIcENSE *: 60001
crrY: Wilmington
Sr: NC zrP: 28403
EIrlArL ADDRESS: bkaiser@tributeconstruction.com910.251.5030PHONE #:
PHONE *:910.599.8130
Exrsr coNsrRucrroN:
E ALrERArro*
5 *.Ji[ii6'n'-[[i'r*ol REpArRs
n RELocArroN
tf Relocation, istherea NaturalGas Line on the -Current Sire?
nY;ENo tsgrocspi xreReou Elves Ilo
NE[,] coNsTRUcTroH:
! enecr NEH STRUCTURE
! rnsr rnacx
! sxelr-
! urrrr
I noo ro Exrsr sTRucTURE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Penmit f:
IF Yesr what sras the Previous Occupancy Type?
ARCH oESIGN PROFESSIOiAL: N/A
***",* rs rHrS a CHANGE oF occupA1cy usel
!vrs E*o -..--
Is Elect Power on this Building E Yes n *O
PH:
NC REG #:
ENGR DESIGN PROFESSIOTIAL:
N/A
DE5CRIPTION OF WORK: SCE AttAChEd SUMMAry
ls food or beve.ages prepared or served in this structure?
Eves ffi f.lo ls The Property Located ln The Floodplainf
I ves
ffi no
DISCLAIMER: I hereby certify that allinformation
and locallaws and ordinances and reoulatrcns, T
or chanoe in
conuaclor or conlraclor iiformation.
Subjecllo Fines Up To
$500.00"'
in lhis application is correct and all work will comdy wrth
lhe Stale Building Code and all other applicable State
he NHC Developmenl Services Cenler will be nolfied of anv chanoes in lha aooroved olans and adecificarions"'NOTE Any Work Performed w/O lhe Appropriale Permils w l6e rn ViolatDn ol lheNC State Bldg Code and
OWNER/CONTRACTOR:Brian Kaiser SIGNATURE:
rorAL PRoJECT
CoSr: $32,500.00 BUILDING HEIGHT:
SQ FT PER FLR:
# OF UNITS: 12
TOTAL AREA SQ FT7,494 2
TOTAL SQ FT UNDER ROOr: 8.214
ACRES DISTURBED: N/A
#OFSTRUCTURES: 1
f OF STORIES:
# OF FLOORS:2
EXST LAND DTSTURBTNG pERMtT?
n yES E NO
NEw IMPERVIOUS
AREA: N/ASQ FT EXISTING IMPERVIOUS AREA:
pRopERTy usE: EoFFrcE lResreuRmrr
luencarr[e [eouc ffiner
lconoo oTHER:
mE CFPUA EcoMMUNnY SYSTEM
fIWELL flzONrNG USE CLASSTFTCATION:
ECENTRAL SEPTTC LIPR|VATE SEpTtc ECOMMUN]TY SYSTEM
SQ FT
WATER:
SEWER:CFPUA
PAYMENT METHOD:
[crsx f]cHecK (eAvABLE
ro NHc) f]AMERtcAN ExpREss
! r,lcnrrsa
I orscoven
"'SEPARATE PER[,4ITS REOUIRED FOR ELECI, [IECh, PLBG, C]AS EOUIFt, PRTFABS & INSER]"S
"'
(FOR OFFTCE USE ONL'REVISED DATE lV1Il12
ZONE:_OFFICER:SETBACKS:
F:-LH:- RH:- B:
Approval:_ City:_ DATE:_ FLOOD:
___ BFE+2ft=
AVN
Commenti PERMIT FEE:
PROPERTY OWNER'S NAIYIE: SEA P|NES APATTMENTS LLCPHoNE
f: 910.251.5030
PRO]ECT CONTACT PER5ON: BT|AN KA|SET
l{hat is the New occupancy Type?
PH:
-
NC REG #:
(atdnod (Print Nam.)
Notg: Demolllion nolifi6f,on6 E a6b€6b6 ll.noval Psrmh appllcadons aI€ to be Eubmltad uslng lho appllcatbn brn (DHHS-3768) wh€thor th6 iaclllty or bullding wa6 found
b
contaln Asbosbg or not You aro rcqulrnd b call [1o Natonal Embslon SEndar& br Hazadous Ar PollubnB (NESHAP) st (919)707-5950 at loast 10 days prior to th€
demolilion of Eny hcility or buildan0. S€e Asbe€bc Wob
Slb: hltp/,rvww.epj. stale. nc.
us/epilasbestos/a h m p. htm L
'wt) -lllrltr
NEW HAN,,ER
couNry BUTLDTNG pERMrr
?Et S ' 3l)(
aPPLICATION
rvPE: COMMERCIAL
PLEASE ANSHER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(office Use)
APpLrcANT,s NA E: Tribute Construction DAr::11.3.2015
DEVELOPER:Same
crrY: WilminqtonPRolEcr aDDREss: 4175 Hearthside Drive
oCCUPANT/BUSTNESS
NAflE: sea Pines Apartments
PROPERTY
O}INER'S i,IAI'IE: SEA P|NES APArtments LLC
ov'rNER,s ADDRESS: 10 S. Cardinal Drive
coNrRAcroR: TributeConstruction lnc
aDDREss: 10 S. Cardinal Drive
crrY: Wilminqton
PHoNE #: 910.251.5030
sr: NC zrP: 28403
sT: NC zIP: 28403
LrcENsE
#: 60001
crrY: Wilminqton
ElvlAIL ADDRESS: bkaiser@tributeconstruction.com
PRO]ECT CONTACT PERSON: BT|AN KA|SET
Is Elect Power
on
this Building I yes D ruO
****!* rs rHrs A CHANGE oF occupaNcy
usel
[ves ffiru0 *****
IF Yes, what was
the Previous Occupancy Type?
ARCH DESIGN
PRoFESSIOML; N/A
ENGR DESIGN PROFESSIOIIAL;PH:NC REG #
DESCRTPTTON
OF WORK: see attached SUmmary
ls
food or beverages Fepared or served in this structure?
fl ves
ffi No ls The Property Located tn The Floodplainz
fi ves
ffi Ho
DISCLAIMER: I hecerlify that all information in
PH:NC REG *:
and locall
S!btect-to
in
contraclor
Fines Up To
reby
ordin
or
$5
nces and reoulalions. The
conlractor i-nformation "'
00.00*.
this applicalion is correct and all work lvill comply with the
NHC Develoomenl Services Center willbe norifiad of anv
NOTE: Any Work Performed w/O lhe AporoDriate Permrtswill b-e in
ildino Code and
rn th6 aoDrove.i
Vrolation of the
plan
NC
aDecifications
Bldo Code and
State 8u
SIGNATURE: /
all other applicable State
s and
Stale
(oualili.r)(PnntNsm€)
Not6: D€mollton notificalions
I asbesios r€movalpormlt applic€lions €16lo be submitt6d uslng the applicanon form (DHHS-3768) whether the hcilily or buitding was found !o
conbin Asbestos or not You are requlred
b call he National Embsion slandad6 for Hazardous Ajr Pollutants (NEsHAp) at (919)707-s9s0 at teast
i0 days prior to the
demolitlon of any fEcility or building. See Asbestos Wob Site: hltpr/www.ept.stale.nc.ustepilasbestos/ahmp.hlmt
ACRES DISTURBED:N/A Exsr LAND
DtsruRerNc peRlrtrz
n ves
I r.ro
NEw IMPERVIOUS
AREA: N/A SO FT EXISTING IMPERVIOUS AREA:
pRopERwusE: lornce [nesraunam [uencnrnu leouc fleer lcotoo orHER:
WATER: mCFPUA
SEWER:
E CFPUA
SQ FT
EclMMUNny SYSTEM
fIWELL flzoNtNc usE CLASS|F|CAT|ON:
EGENTRAL SEpTtC
E pRtvATE SEpTtC EcoMMUNnysysTEM*'SEPARATE PERMITS REOUIRED FOtt ELECI, [,]ECH, pLBG, cAS EOLnp. ppEFABS & tNSERTS -.
pAyMEl.tr METHOD:
[CeSn fficnecx lenveaLE ro NHc) [auenrcan exeRsss
I ucnnsn
I orscoven
(FOR OFFTCE USE ONLY)ZONE:_OFFICER:SETBACKS:
F:-LH:- RH:- B:Approval:_ City:_ DAT
AVN
REVISED DATE 4/1I/12
lnc.
PHoNE
#: 910.251.5030
ZIP: NC
PHoNE #: 910.251.5030
PHoNE *: 9'10.599.8130
Exrsr coNsrRucrroN:
E ALrERArro,
5 *rr[i[i!6',i 'Ei'r'ilI-^. neenrns
[-l RELocarroN
lI Relocation,
istherea Naturatcas Line on the Eirent
sit"z !v"!-flrtro tS BLDG SPR|N-KLERED? Elves !ruo
NEW
coNsrRucrrorur
I enrcr NEW
srRucruRE
! rasr rnncx
! snell
! urrrr
! noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
rf UPFIT
- The
ShelL Permit #:
What
is the New
Occupancy Type?
OWNEFYCONTRACTOR:
-[ian
Kaiser
rorAL PRoJEcr
cosr: ,QQ2,500'00 BUILD|NG HETGHT:
-
#
oF uNrrs: 12
TOTAL AREA SQ FT: 7.494 =.,,, sQFTpERFLR:_ #oFSTOR|ES: 2rorAl se FT UNDER RooF: 8,214 #
oF srRUcruRE: *orir_oons --Z-
Comment pERMtT FEE. G
NEW HANOVER COUNTY
BUILDING
APPLICaTIoN TYPE: COMIT1ERCIAL
"lcts
--t//q
s
or*r-r-PEZ 15 -3/e
APPLICATION
Number
(office use)
PLEASE AflSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibitity"
aPPLrcANT,s NA E: Tribute Construction, lnc,
DEVELOPER: Same PHONE *: 910.251.5030
PRolEcT ADDRESS: 4177 Hearthside Drive
crrY: Wilminqton
ZIP: NC
occupANT/BUsrNEss NA,l,lE: seaPinesApartments
PROPERTY OI.INER,S NAI{E: SEA PiNeS
ApaTtments LL
ov'INER' s ADoRESS: 10 S. Cardinal Drive
crrY: Wilminqton
sr: NC zrP: 28403
coNrRAcroR: TributeConstructionlncLrcENsE
#: 60001
aDDREss: 10 S. Cardinal Drive
crrY: Wilminqton
sr: NC zrP: 28403
ErvlArL ADDRESS: bkaiser@tribUteconstruction.com
C
PRO]ECT CONTACT PERSON: BT|AN KAiSeT
PHONE #:
PHONE #:
EXIST CONSTRUCTION:
lf Relocation, is there a Natural
(Check
AII Th.t Apply)
ALTERATToN
ffi nrnovarroru
I-l crrlrnll neparns
l-l RELocATToN
cas Line on rhe Currenr
Site?
! yes I t,to tS BLDG SpRtNKLEneoz El ves
I r.io
NEv,l
coNsrRucTroru:
! rnecr NEIi',
sTRUcTuRE
! usr rnncr
I sxer-r-
! uerrr
! noo
ro ExrsT STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The
shell Permit #:
Is Elect Power
on this Building E yes E rc
ARor DEsTGN PRoFEssroNAL: N/A PH:
ENGR DESIGI{ PROFESSIOiAL: N/A PH:
DESCRIPTION OF WORK: SEE AttAChEd SUMMAry
ls food or beverages prepared or served in this *ruaure?
[ves ffi ruo ls The Propeny Located ln The Ftoodplainz
I ves
ffi ruo
NC REG #:
NC REG
#:
DISCLAIMER: I hereby cerlity thal all information in this applicalion is correcl and atl work willcomoty wlh lhe
and local laws and ordinances and requlalions, The NHC Develooment SeNrces Center will be notified of anv
or chanqe in
conlraclor or conrador inlormalion. "'NOTE. Any Work Performed
WO the Appropriate permrls
Subjecllo Fines Up To
$500.00"'
State Burlding Code and allorher applicabte SEte
changes in the approved plans and sDecificattons
will be in Violation of the NC Slate Bldg Code and
OWNEFYCONTRACTOR: BTiANKA|SET SIGNATURE:(oualno4 (P.tnr Nom6)
Not6: Domollion nolmcadons & asb€stos rsnoval pormll appllcatons al€ to b€ submltH using th6 appttcation lorm (DHHS-3768) wh6lh6r the tacility or buflding wa6 bund to
conEln A8b€8br or not You ars r€qulred
b call Ule Ns oml Embslon Standards br Hazadous Air Pottubnts (NESHAP) 6t (919)707-5950 at teast lO day6 prior b lhe
demolilion of .ny facilily or building. See Asbesbs Web Sits: hltp:/ ,vww.epi.stale. nc. us/epi/asbeslos/a hmp. htm I
rorAL pRoJEcr
cosr: $32,500.00 BUtLD|NG HE|GHT:
f oF
UNITS: 12
ToTAL AREA SQ Fr 7.494
rorAL SQ Fr uNDen noor, -LZ!L-
ACRES DISTURBED:NiA EXST LAND DISTURAINO
PEN[''[Z
TI VCS
[ ruO
NEW IMPERVIOUS AREA: N/A SQ FT EXISTING IMPERVIOUS AREA:
PROPERTY
USE:
lOrrrCe !REsTAURANT
lllencmrrte [eouc
fimr lcouoo orHER:
WATER: mCFPUA
SEWER:
m CFPUA
SQ FT
EcoMMUNrry sysTEM
EWELL EzoNtNG usE oLASS|F|CAT|ON:E CENTRAL
SEpTtC Ll PR|VATE
sEpTtC flcoMMuNtry sysTEM
pAyvtENT METHOD:
[ClSn fiCrecx lcavesLE ro NHc) lnuenlcrlr EXeRESS !ruCnrrse I orscoven
(FOR OFFICE USE
ONLY) REVISEO
DATE.{/1rI'2
"' SEPARATE PERMITS REOUIRED FOR ELECT, IVECh, PI,BG, GAS EOUIP, PREFABS & INSERTS
''
N
ZONE:_OFFICER: _ SETBACKS:
F:_LH:_ RH:_ B:Appmval:_ City:_ DATE:_ FLOOD:
___ BFE+2fr=
Comment PERMIT FEE:
l
ffi
orre:11.3.2015
PHoNE
#: 910.251.5030
9'10,251.5030
910.599.8130
***** rs rHJs A CHANcE oF occupAr{cy
uset
[ves Itto *.***
IFYe5,}rhatwa5thePrevious0CcupancyType?-t,lhati5theNewoccupancyType?-
SQ FT PER FLR:
_ f OF
STORTES: 2
f OF
STRUCTURES:
1 * OP TLOORS: ---Z-
NEW HANOVER COUNTY BUILDING PERMIT
APPLIcATIott rrPE,; COI{MERCIAL
PLEASE ANSHER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
:)tf- tilq
b
t5,-}tt1;L
APPLICATION
Number
(office Use)
APPLTGaNTT s NA E : Tribute Conskuction, lnc.
DEVE LOPER:
SamePHoNE *: 910.251.5030
PRolEcr ADDRESS: 4179 Hearthside DrivecrrY: WilminqtonZIP: NC
oCCUPANT/BUSTNESS NA|4E: Sea PinesApartments
PHoNE f: 910.251.5030
ot/NER's ADDRESS: 10 S. Cardinal Drive
crrY: Wilminqton5T: NC ZIP: 28403
coNrRAcroR: TributeConstruction lnc,LICENSE f: 60001
ADDRESS: 10 S. Cardinal DriveCITY: Wilminqton
sr: NC zrP: 28403
PRO]ECT CONTACT PERSON: BT|AN KA|SET
PHoNE r: 910,251.5030
PHoNE
f: 910,599,8130
EXrST CONSTRUCTTON:
E ALTERATTON
El RENOVATTON
tf Relocation, is there a Natural Gas Line on the Current Site? L_.1 Yes
GENERAL REPAIRS
E ruo IS BLDG SPRIN
RELOCATION
KLERED?
El v""
I r.ro
NEtr,r
coNsrRucrror:
f] enecr NEW srRucruRE
f] rrcr rmcx
fl sre r-r-
[ uerrr
! noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The She1l Permit #:
Is Elect Power
on this Building E Yes E ruo
***** Is THrS A cHl\1GE
oF oCCupANcy usrf !ves IHo -..-.
IF Yes, what tras
the Previous occupancy Typel
ARCH DESIGN PROFESSIO|,IAL: N/A
What is the New
occupancy Type?
PH
PH
NC REG #:
NC REG #:
(Che.k
AII Ihat apply)
ls food or beverages prepared or served in this structure?
Eves
I No ls The Property Located ln The Floodplainz
I ves
ffi ruo
DISCLAIMER: I hereby certit that all informalion in lhis application is correct and all work wll comply wirh the Srate Buildinq Code and
and local laws and ordinances and requlations, The NHC DeveloDment SeNices Cenler will be notified of anv chanoes in tha aoDroved
or chanoe in
conlractor or conlraclor i-nformaton. "'NOTE Any Work Performed w/O lhe Appropriale Permils wll 6h
'n
Volatioi ol lhe
Subjecllo Fines Up To $500 00"'
BUILDING HEIGHT;
SQ FT PER FLR:
allother a
plans and
NC Srate
pplicable St!te
soecifications
Bldg Code and
OWNEF/CONTRACTOR:Brian Kaiser
SIGNATURE: /
rorAl PRoJEcr
cosr: $32,500.00#
OF UNITS: 12
TOTAL AREA SQ FT7.494# OF STORIES:
# OF FLOORS:
2
TOTAL SQ FT UNDER ROOF: 8.214
#OFSTRUCTURES: 12
ACRES DISTURBED: N/A EXST LAND DISTURBING PERMIT?
EYES E NO
NEW IMPERVIOUS AREA: N/ASO FT EXISTING IMPERVIOUS AREA:
pRopERryusE: [orflce lnesreunerw
luenmm[e leouc Eepr ECONDO OTHER:
WATER: mCFPUA
SEWER:
m CFPUA
SQ FT
flc$MMUNny SYSTEM
EWELL fIZON|NG USE CLASSTFTCATION:
ECENTRAT- SEPTTC LlpRrvArE sEpTlo ECOMMUNTTY SYSTEM
PAYMENT METHoD:
flcnsn flcxecr lenvmlE To NHc) f]auenlcnN exeRESS EMc /tsA
I orscoveR
" SEPARATE PERMITS REQUIRED FOR ELEC], MECH. PLBG, GAS EOLIIP, PREFAAS S INSERIS
''
(FOR OFFICE USE ONLY)REVISED DATE {11/12
ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOO:
___ BFE+2ft=
AVN
Comment PERMIT FEE:
oarr:l!.!![!l-
PROPERTY OWNER'S NAIiTE: SEA P|NES APATTMENTS LLC
EriralL ADDRESS: bkaiser@tributeconstruction.com
ENGR DESIGN PROFESSIOIIAL: N/A
DESCRTPTTON OF WORK: see attaChed SUmmarV
(auaffbr) (Pdnl Nam€)
Not6: Demollton notificatona E asbesios rsnoval pemit appllcaton6 are lo b€ submltd uslng lh6 appllcaUon iorm (DHHS-3768) whethor the hclllty or bulldlno was bund !o
contaln Asb$tos or not You ars EqulrBd b call djs Nadonal Emb3lon S'Endanb ior Hazordous Alr PolluEnts (NESHAP) 5t (919)707-5950 at loast l0 days prlor to Ule
demolitbn ol any lbdllty or bullding. See Asbe8bs Wgb Sit6: htlp://www.epi. stare. nc. us/epi/asbeslos/a h m p htm I
NEW HANOVER COUNTY BUILDING PERM
APPLICA|I1N rvPr: COI{IiIERCIAL
PLEASE ANSI.JER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Responsibility"
-o/f-tll,t-7
r?&,1a.al,jl
APPLICATION
Number
(office Use)
APPLTCANT'S NAr'lE: TributecOnStrUCtiOn, lnc.
onrr: 1'1.3.2015
DEVE LOPER:
Same PHoNE #: 910.25'1.5030
PRolEcr ADDRESS: 4181 Hearthside Drive
crrY: WilminqtonZIP: NC
OCCUPANT/BUSINESS NAIiIE :
Sea Pines Aoartments
PROPERTY OWNER'S NAI'IE: SEA P|NES APA(MENIS LLC
ot^/NER's ADDRESS: '10 S. Cardinal Drive
crTY: Wilminqton
sr: NC zrP: 28403
coNrRAcToR: TributeConstruction lnc.LrcENsE r: 60001
ADDRESS: 10 S. Cardinal Drive
crrY: Wilminqton
sT: NC zrP: 28403
El,tAIL aDDREss : bkaiser(Otributeconstruction.com PHoNE *: 910.251,5030
PRO]ECT CONTACT PERSON: BTiAN KAiSET
PHoNE #: 910.599.8130
(Che.k
All That Apply)
EXIST CONSTRUCTION:
lf Relocation, is there a Na
ALTERATToN
I nrrcvnrron
Gas Line on the Current
Site? !turalYes
GENERAL REPAIRS
Ero rs BLDG
sPRIN
RE LOCATION
KLERED?
flvus
!No
NEr./ CONSTRUCTTOT:
! eneCr NEh/ STRUCTURE
! rasr rnaCX
I Strr-r-
ACCESSORY STRUCTURE:
! uerrr
I noo ro Exrsr srRucruRE
If UPFIT
- The Shell Penmit #:
Is Elect Power
on thi.s Bui).ding I Yes E rc
**,."*'I rs rHrs A cHANGE
oF occupaNcy usrr [ves [ruo '..--IF Yes, what was the Previous occupancy Type?
ARCH DESIGN
PROFESSIOTIAL: N/A
ENGR DESIGN
PROFESSIOTIAL: N/A
PH:
PH:
NC REG #:
NC REG #:
DESCRrprrON OF WORK: See attaChed Summary
ls food or beverages prepared or served in this structure?
Eves I lto ls The Property Located tn
The FtoodptainZ
f]ves
[l ruo
DISCLAIMERT I hereby certr lhal all information in this applicalion is
correatand allwork wittcompty wrth the SBte Bui
and local laws and ordinances and requlations. The NHC Develooment Services Cenler will be norified of anv chanaes i
or chanqe in
conracbr or conracror information. "'NOTE: Any Work Performed W/O the Appropfiate permils will 6'e inSub|edlo Frnes Up To
5500.00"-
lding Code and allother applicable SEte
n lhe approved Dlans and sDecifications
violalion of lhe NC State Bldg Code and
BUILDING HEIGHT:
SQ FT PER FLR:
OWNEFyCONTRACTOR: Brian Kaiser SIGNATURE:
(ouali64 (PdnrN.lIr)
Nots: D6molidoo notificatons & asb€stos r€rnoval Pormlt eppllcadon6 ar€ b be 6ubmhtl6d u6ln9 fto eppllcston forh (DHHS-3768) wtt€ther the iac tty
or bulldlng wa6 bund to
contaln Asbe6bs or not You 3,€ l€qulrod b c€ll Oa Natloflal Emb8lon S:tandards for Hozrdous AIr Pollutants (NESHAP) st (919)707-5950 st l€€6t .tO d6ys prior to tie
damolitjbn of any hcjllty or bulldlng. Soe Asbsghe Web
SIb: h{p/www.epi.state. nc.us/€pi/asbestos/ahmp.html
TOTAL PROJECT
COST: $32,500.00# OF
UNITS: 12
TOTAL AREA SQ FT7.494
TOTAL SQ FT UNDER ROOF: 8,214
ACRES
DISTURBED: N/A
WATER: mCFPUA
SEWER:
m CFPUA
#OFSTRUCTURES: 1
# OF STORIES:
# OF FLOORS:
2
2
EXST LAND DISTURBING PERMIT?
TI YES
-I NO
NEW IMPERVIOUS
AREA: N/A SA FT EXISTING IMPERVIOUS AREA:
pRopERTy usE:
lorrrce lnesreunem luenclNrLe
[eouc
fimr lcotoo oTHER:
SQ FT
flcoMMuNtry sysrEM
EWELL flzoNtNc usE cLAsstFtcATtoN:
LJ CENTRAL
SEpTtC L_l PR|VATE
SEpTtc fl COMMUN|TY
SysrEM
*, SEPARATE PERIt,lITS REOUIRED FOR ELECT, MECH, PLBG, C1AS EOUIP. PREFABS E INSERIS ..
PAYlltENr METHoD: flCeSn ficxecx lervmlE To NHc) [m,|enrcaru exeRess
I ucnflsa
I orscoven
(FOR OFFTCE USE ONLYJ REvlsED DArE rv /.tzZONE:_OFFICER:SETBACKS:
F:-LH:- RH:- B:Approval:_ City:_ DATE:_ FLOOD:
___ BFE+2ft=_
AVN
Commentl PERMIT FEE:
$_
PHoNE f: 910.251.5030
l,lhat is the New
occupancy Type?
,,DIJ'
NEI^I HANOVER COUNTY
BUILDING PERMIT
APPLIoaTIoN
ryPr: COMMERCIAL
PLEASE ANSI.]ER ALL OUESTIONS APPLICAELE TO YOUR PRO]ECI
"Project Responsibility"
15
3t(l?
APPLICATION
Number
(Office Use)
APPLICANT's NA,{E : Tribute Construction lnc
DEVE LOPER:Same PHoNE #: 910,251,5030
pRolEcr ADDRESS: 4'183 Hearthside DrivecrTY: Wilminqton
ZIP: NC
occupaNr/BusrNESS NAi'1E: Sea PinesApartments
PROPERTY OUNER'S NAI'IE: SEA P|NES AOArtments LLC
owNER,s ADDRESS: 10 S. Cardinal Drive
coNTRAcroR: TributeConstruction lnc.
ADDRESS: 10 S. Cardinal Drive
LIcENSE #: 60001
crrY: Wilminqton
PHoNE
#: 910.251.5030
5T: NC ZIP: 28403
sT: NC zrP: 28403
PHoNE *: 910.251.5030
PHoNE #: 910.599.8130
crrY: Wilminqton
EIi,IAIL ADDRESS: bkaiser@tributeconstruction.com
PRO]ECT CONTACT PERSON: BTiAN KAiSET
(che(k AII That Apply)
EXIST CONSTRUCTION:
E ALTERATTOT
I neruOvlrroN E GENERAL REPAIRS
lf Relocation, istherea Natural cas Line on the Currenr
Site?
EYeaENo ISBLDGSPRIN
RE LOCATION
KLERED?
[l v""
[ ruo
NEW
coNsrRucrrou:
! enecr NEt,l
srRucruRE
! rasr rmcx
! sxer-r-
f] unrrr
! mo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
SheII Penmit #:
Is Elect Power
on this Building I yes E Ho
***** rs rHrs A CHANGE oF occupANcy
usel [ves [rc *****
IF Yes, what was
the Previous Occupancy Type?
ARCH DESIGN PRoFEssIOtoLr N/A
ENGR DESIGN PROFESSIOTTAL:PH:
NC REG
#:
NC REG #:
DESCRTPTTON
OF WORK: See attaChed Summary
OWNEFYCONTRACTOR:Brian Kaiser
TOTAL PROJECT
COST: $32,5,00
PH:
ls food or beverages prepared or served in this structure?
E ves
ffi No ls The Property Located ln The Floodplainl
I ves
El lo
DISCLAIMER: I hereby certjfy thar all rnformaton rn $is_applicatron rs
correct and
a work w comply with lhe State Buildino Code and all other apphcable SLaleand local laws and ordrnances and requlalrcns. The NHc D'evelopmenr services cenrer wr be nor'66d of antcha;i;i;itrE iidr-oiej orans ana ibec,nciriini-
Subject-to Fines Up To
$500.00"':-)
SIGNATURE: / L---)
contaln Asboaba or not You are r€qult€d b aall$o Nadonal Embslon standsrds ior Hazadous Alr Po utanls (NEsHAp) at (9i9i707-s9s0 st t€a6t j0 daF prbr to th€dernoliribn ot any fEdrny or buldrng. see fubestoa web satoi hllp/,,{ww.epi. state. nc.
usrepilasbestos/a hmp. ht n r
TOTAL AREA SQ FT
: 7
,494
# OF
UNITS: '12
# OF STORIES:
# OF FLOORS:
2roTAL SQ FT UNDER
ROOr: 8.214 2
ACRES DISTURBEDN/A EXST LAND DISTURBING PERMIT?
I-I YES
N NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:
pRopERw usE: EoFFTCE lResraunmrr fluencerur[e
leouc ffieer lcoruoo orHER:
WATER: mCFPUA
SEWER:
m CFPUA
SQ FT
flcoMMuNry SysrEM EWELL f]zoNtNG USE
CLASS|F|CA1ON:
flcEr,lrRAl sEpflc E p-RtvArE
sEpnc EdoMMuHn-r sisieu
pAY|vtENT METHOD: [CASU
f]cxrcx leavesLE TO
NHC) [nuenrcnt exnness
ZONE:_OFFICER:(FOR OFFICE USE ONLY)
Approval:_- City:
SETBACKS:
F:-LH:.- RH B:
-
BFE+2ft=
", SEPARATE PERMITS REOUIRED FOR ELECI, MECH, PLBG, GAS EOUIP. PREFABS 8 INSERTS
''
N
! ucnrrsr
I orscoven
FLOOD:
PERMIT FEE:
REMSED OATE,{/11/12
oare:11.3.2015
What
is the Netd
Occupancy Type?
BUILDING HEIGHT:
_
SQ FT PER FLR:
-
# OF STRUCTURES: I
comment A v
NEW HANOVER COUNTY BUILDING
APPLICATI1N rYPs: COlvlltlERCIAL
i '1-- t
ll1?
PERmrr
YEZ:S
-3rq5
PLEASE ANS}JER ATL OUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
AppLrcANT,S NA E: Tribute conshuction, lnc.
DEVE LOPER:
SamePHoNE
#: 910.251,5030
PRolEcr ADDRESS: 4185 Heaftside DrivecrrY: WilminqtonZIP: NC
occupANT/BUsrNEss NAflE: Sea Pines Artments
PROPERTY OI4INER,S NAIi'tE: SEA PINES APATTMENTS LLC
o!'/NER, s ADDRESS: 10 S. Cardinal Drive
crrY; Wilmington
sr: NC zrP: 28403
coNrRAcroR: TributeConstructionlnc.LIcENSE #: 60001
ADDRESS: 10 S. Cardinal Drive
cITY: Wilminqton
sr: NC zIP: 28403
EITAIL ADDRESS: bkaiser@kibuteconstruction.com
PRO]ECT CONTACT PERSON: BT|AN KA|SCT
PHoNE #: 910.251.5030
PHoNE
#: 910.599.8130
(Check AI1 rhat Apply)
Yes
FAST TRACK
! sner-r-
[ urrrr
I ADD TO EXIST STRUCTURE
EXIST CONSTRUCTTON:
E ALTERATTOU
I nrruOVarrOn
tf Relocation, is there a Natural Gas Line on the Current
Sife?
[
GENERAL REpArRs
l-l nrlocnrroru
E"o ts aroo spRnr-xreneoz
[| v"r
flro
NE}'/ CONSTRUCTION:ERECT NEt'l STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Permit #:
IF Yes, what lras the Previous Occupancy Type?
ARCH DESIGN
PROFESSIOML: N/A
***** rs rHrs A cHANGE
oF occupANcy usrt
f]vrs [|No *****
Is Elect Power
on
this BuiLding I yes n ruo
What is the New
Occupancy Type?
NC REG *:
NC REG #:N/A
PH
PH
See attached summary
ls food or beverages prepared or served in this structure?
[ves I No ls The Property Located ln The FloodplainZ
! ves
[ ruo
ENGR DESIGI{ PROFESSIOML:
DESCRIPTION OF WORK:
DISCLAIMER: I
hereby cenify that all rnformauon in this applicalion rs
correct and all work wlll
comdy with the State Buildinq Code and
and local laws and ordinances and rcgulatrcns. The NHC Developmenl Services Center will be nolned of anv chanoes in rh6 aooroveri
or chanqe in
conlractor or contractor information. ""NOTE Any Work Perlormed W/O lhe Appropriate Permils wrlt de in
Violat'oi of theSubiecllo Fines Up To
5500.00"'
plans and
NC State
soeofications
Bldg Code and
allother applicable Stale
(ousrii€4
ToTAL AREA SQ FT : 7 .494
TOTAL SQ FT UNDER ROOE.JzT;I-
SIGNATURE: /
contaln Asbe6bs or nol. You 6re requlr€d
b c€ll ths Nation€l Emlsslon S:tandar& br Hazardous Air Poltutant6 (NESHAP) at (919)707-59s0 at teast lO days prior !o ft6
d€molilion of 6ny facility or bulldlng. See Asb€stos W6b
Sibi htlp://Mrrw. epi. stale. nc.
us/epj/asbesios/aim p. htm I
TOTAL PROJECT
COST: $32,500.00 BUILDING HEIGHT# OF UNITS: 12
SQ FT PER FLR:
#OFSTRUCTURES: I
#OFSTORIES: 2
# OF FLOORS: 2
ACRES DISTURBED:N/A EXST LAND DISTURBING PERMIT?
TI YES
E NO
NEW IMPERVIOUS
ARE]A: N/A So FI EXISTING IMPERVIOUS AREA
pRopERry usE: EoFFtcE lResraunarur luencarur[e
!eouc
Iaer f]coNoo oTHER:
WATER: mCFPUA
SEWER:
m CFPUA
SO FT
EcoMMUNtTy SYSTEM
flwELL flzoNtNc usE CLASS|F|CAT|ON:
L_..lCENTRAL SEpTtC Lj PR|VATE
SEpTtC
fl COMMUNny SYSTEM.. SEPARATE PERI\IITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP. PREFAES 8 INSERIS
''
pAyMENr METHoD:
flCnsx
[cxecx lenvralE ro NHc) [euenrceru EXPRESS [UCrurSe I orscoven
(FOR OFFTCE USE ONLY)ZONE:_OFFICER:SETBACKS:
F:-LH:- RH:- B:Approval:_ City:_FLOOD:
_ BFE+2.tt=
N
PERMIT FEE: $
REVISED DATE 4/I1112
/:I
ffi APPLICATION
Number
(office Use)
orrr:11.3.2015
PHoNE
f; 910.251.5030
owNEFycoNTRACTOR. BrianKaiser
comment A v
NEW HANOVER COUNTY BUILDING
APPLICATION
TYPE: COIiII4ERCIAL
PLEASE ANSI,IER AtL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
PROJECT CONTACT PERSON: BT|AN KA|SCT
(Check
All Ihat Apply)
).(()/) -ll(Jo
PERMTT
'PE+ lS 3lq6
APPLICATION
Number
(office Use)
AppLrcANT, s ume : Tribute Constructton, lnc.
DEVELOPER: SAMEPHoNE *: 910,2515030
PRolEcT ADDRESS: 4187 Hearthside DrivecITY: Wilminqton
OCCUPANT/8USINE55 NAflE :
Sea Pines Apartments
oliNER's ADDRESS: 10 S. Cardinal Drive
crrY: WilminqtonST: NC ZIP: 28403
coNrRAcToR: TributeConstruction lnc.
ADDRESS: 10 S. Cardrnal Drive
cITY: Wilminqton
sr: NC zIP: 28403
EtirAIL ADDRESS: bkaiser@tributeconstruction.com PHONE
*:
PHONE
#:
EXIST CONSTRUCTION:
lI Relocation, is there a NaturalYes
NEW CONSTRUCTIOU:
! rneCr NEW STRUCTURE
! rasr rnACX
ACCESSORY STRUCTURE:
SHELL
! uerrr
fl noo ro Exrsr srRUcruRE
ALTERATToN
[X nercvarror
Gas Line on the 6irent Site?
f]
GENERAL REPATRs
[-] nelocnrroru
E r.ro rs eroo
spiiixleneoz
I ves
[ ruo
If UPFIT
- The
Shell Permit #:
IF Yes, what was the Previous Occupancy Type?
ARCH oESIGN
PROFESSIONAL: N/A
*+*** rs rHrs a CHANGE
oF occupANcy usrt Ivrs [ruo *****
Is E1ect Power
on this Building E Yes I tO
What is the New Occupancy Type?
PH:
NC REG #
PH:ENGR DESIGN
PROFESSIOIIAL: N/A
DESCRIPTION OF WORK: SEE AttAChEd SUMMATY
ls food or beverages prepared or served in this struclure?
E ves
I No ls The Property Located ln The Floodplainf
I ves
I r.ro
DISCLAIMER: I hereby certily thal all informalion rn
lhis_applicaiion is correct and all work will comply with the Stare Building Code and att other apphcable State
and local laws and ordinances and requlalions. The NHC Developmenl Seruices Cenler will be nolifiad of anv chanoes in lh6 aoDroved Dtans and ;;ecrficalions
or chanse in contractor or conuaclor i-nformation. "'NorE Any Work Perrormed
wio ihe Appiopriare pirmi{s wrri
&: in Viltari,t{; ti,i ftd 5ratJ dloiid6Eii-6i,i:Subjecllo Fines Up To
$500.00'-
BUILDING HEIGHT
SO FT PER FLR:
OWNER/CONTRACTOR:Brian Kaiser SIGNATURE:
(ourllr.o (Pd Nama)
conteln Asb€rlo8 or nol You 016 I€qulIEd b call th€ Natbnal Embsbfl Srand,ards
br Hsza.rbus Alr Pollubnb (NESHAP) at (919)707-5950 at tes8t lO days Ftor b t|€
damoll0on of any ,acility or bulldlng. See Aabosbs Web SiE: httpr/www. epi.s!ate. oc. us/epyasbestos/ahm p.
htmt
TOTAL PRoJECT
COST: $32,0.00
f OF
UNITS: 12
NEw IMPERVIOUS
AREA: N/A
WATER: mCFPUA
SEWER:
m CFPUA
TOTAL AREA SQ FT : 7.494
TOTAL SQ FT UNDER ROOr: 8.214
#OFSTRUCTURES: I
ACRES DISTURBEDN/A EXST LAND DISTURBING PERMI? T-IYES
E NO
SQ FT EXISTING IMPERVIOUS AREA:
REVISED DATE #11/'2
SQ FT
pRopERry usE: EoFFtcE flnesreunem [uencrNr[e Ieouc
Iaer lcoNoo orHER:
EcoMMUNny sysTEM
flwELL flzoNlNc usE CLASS|F|CATION:
Ll CENTRAL sEpIC LlpRtvArE sEpTtc flcoMMUNtTy sysTEM
*, SEPARATE PERMITS REOUIRED FOR ELECT,IlIECH, PLBG, GAS EOUIP, PREFABS & INSERIS
''
pAyutENT METHOD:
[CeSn
lcxecx leevnslE To NHc) [lllenrcnru ExeRESS
! rllcnrrsn
! orscoven
(FOR OFFTCE USE ONLY)
ZONE:OFFICER:SETBACKS:
F:_LH:_ RH:_ B:Approval:_ City:_ DAT
FLOOD:_ _ BFE+2fr=
AVN
Comment
F.
'.
ffi
onre: 11.3.20'15
ZIP: NC
pRopERry owNER,s NAr'tE: sea Pines Apartments LLC pHoNE
*: 910.251.5030
LICENSE *: 60001
910.251 ,5030
910.599.8130
NC REG #:
--) _<---
# OF STORIES: 2
# Or TLOOnS: --7-
PERMIT FEE:
$_-
lt il
Wzsbtn
APPLICATION
Number
(Office Use)
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION
ryPE; COMMERCIAL
PTEASE ANSI,{ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
AppLrcaNT,
S NAtvlE : Tribute conskuctionlnc oare: 11.3.20'15
DEVELOPER: SAMC
crrY: Wilminqton
PHoNE #: 910.251.5030
zrp: NC
PtoNE #: 910.251.5030
sT: NC zrP: 28403
PHoNE
s: 910.251.5030
PHoNE
#: 910.599.8130
PRolEcT ADDRESS: 4189 Hearthside Drive
occupANT/EusrNEss NA
E: sea Pines Apartments
PROPERTY OWNER,S
NAII.IE: SEA P|NESrtments LLC
ot'lNER, s ADDRESS: 10 S. Cardinal Drive
CoNTRACTOR: TributeConstructionlnc
ADDRESS: 10 S. Cardinal Drive
crTY: Wilmington
LIcENSE
*: 60001
crrY: Wilminqton
EITIAIL ADDRESS: bkaiser@kibuteconstruction.com
PRO]ECT CONTACT PERSON: BT|AN KAiSET
(Check A11 That Apply)
Exrsr coNsrRucrroN:
fJ aLrERATrou E] nruovlrroN
I ceruenrl nrnarns
lf Relocation,
istherea Natural Gas Line on the Current Site? EYes ENo ISBLDGSPRIN
RELOCATION
KLERED?
flv"s Ir'ro
! aoo
ro Exrsr srRUcruRENEr,,r
coNsrRucrrou:
! enecr NE!{ sTRucTURE
f] resr rmcr
! sxer_r_
! urrrr
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Permit #:
Is Elect Power
on this Building ul yes [ ruo
tJhat
is the New
occupancy Type?
PH:
't**'"""I rs rHJs
a CHANGE oF occupAlcy user
Ivcs INo *****
IF Yes, what was the Previous 0ccupancy Typel
ARCH DESIGN PROFESSIOTIAL: N/A
ENGR DESIGN PROFESSIOIIAL:PH:NC REG #
DESCRTPTTON
OF WORK: see attaChed Summary
ls food or beverages prepared or served in this struaure?
[ves [llo ls The propefty Located ln The FloodplainZ
I vu,
[l lo
DISCLAIMER: I hereby certify that all rnforfiaUon in lhis applicarion is correcl and all work witl comoly with the Sbre Buitdino Code an.t
ano locat taws and ordanances and requtations. The NHC-Developmenl Services Center will be notifi;d ot any chanoes in thE aoorovedor chanse in conrractor or contractor iirormation. '-NoiE: An,Wor-ri
Feio ed Wilih;Ap;;p"ri;i;pi;llr"iJiiiiii" Viji"ffi'ol riESubjecllo Fines Up To
$500.00"'
owNER/CONTRACTOR: BrianKaiser
(oual
.l)
roTAL PROJECT
cosr: $32,500,00 BUtLD|NG HETGHT
TOTAL AREA SQ FT 7 494 SQ FT PER FLR
TOTAL SQ FT UNDER ROOF: 8.214
#OFSTRUCTURES: 1
ACRES DISTUREED:N/A
all other appljcable State
and
SIGNATURE:
f OF
UNITS: 12
#OFSTORIES: 2
#OF
FLOORS: 2
EXSr LAND DTSTURBTNG
PERMI?
n yES E NO
SQ
FT EXISTING IMPERVIOUS AREA:SQ FT
g Code and
Not6: D€molidon notlfcations & asb€sioc rE noval pemh appllcatons aI€ to b€ submltted usln0 ths appticaton torn (DHHS-3768) wheth€r the hc fty or bulldln0 was bund
b
conlaln Asb€fia or not You 316 requllgd
b call lho Nalioml Embslon standards ior Hazardous
Ar Polutants (NESHAP) st (9t9i707-5950 at t€ast 10 dsys Flo( b tle
darnollton of sny facility or building. S€e Asbeslos Web Sit6: h[p://wwvv.epj.sEte.nc.us/epi/asbestos/ahmp.hrmt
pRopERw usE:
lorrrce lnesmunmrr luencerulle !eouc
Ieer lcor.roo oTHER:
NEW IMPERVIOUS
AREA: N/A
WATER: mCFPUA
SEWER:
ffi CFPUA
EcoMMUNtry sysrEM flwELL EzoNtNG usE CLASSIF|CAT|ON:
Ll CENTRAL
SEpTtC Ll pRtvATE SEpTtC
fl coMMUNrTy SYSTEM. SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP. PREFABS & INSEH,S -'
pAyMENr METHoD: ICASX flCnecxlervmLE ro NHc) laueRrcan ExpRESs fiUcrurse
I orscoven
(FOR OFF'CE USE ONLY)REVISED OATE 4/I 1/12ZONE:_OFFICER:SETBACKS:
F:-LH:- RH:- B:Approval:_ Citli:_FLOOD:_ BFE+2ft=_
AVN
Comment:PERMIT FEE:
ST: NC ZIP: 28403
NC REG #: