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HomeMy WebLinkAboutDECEMBER 1 2015 BUILDING APPSRECEIVED I,IAR O5 ?015 NEW HANOVER COUNTY BUILDING PERMIT APPLICATTON TYPE.. COI,IMERC IAL PLEASE A SIER ALL QUESTIONS APPLICABLT TO YOUR PRO]ECT "Pnoject Responsibility'' CITY: ,lnzl CITY: LICENSE # CITY: pcz t5 (e/(a\/r-st\i APPLICATIOfl Number (office use) (o ffi APPLICANT'S DEVELOPER: DATENAIlE OCCUPANT/BUSINESS NAII1E : PROPERTY OI,INER,5 OWNER,S ADDRESS: coNrRAcroR: -fB) PHOI{E * ZTP i E z/- ADDRESs: * ST:ZTP ST: ZTP: PHONE f: PHONE #:PRO]ECT CONTACT PERSON: If UPFIT - The Shell Penmit #DI -l :*,,,!*:,, rs THIS A CHANGE OF OCCUPANCY US IF Yes, what was the Previous Occupancy pe Is Elect Power on this Euildin ,r !"rs fr what is thd N 15 PHI PH: pe? REG REG NO ***** ew Occupancy Ty NC I ves n F,o 4QnARCH DESIGN PROFESSIOML: ENGR DESIGN PROFESSIOT{AL: *: #: DESCRIPTION OF WORK: ls food or beverages prepared s sen ed in rhis sruaure? [ ves ls Ttle Property Located ln The FlooddEln? Ev". EI(o DISCLAIMER: I hereby certify lhat all informalion in this applicatron is con€ct and allwork wllcomply wrlh lho Stale Burldrng Code and all otherapplicabl€ State and local laws and ordrnances and reoulalrons. The NHC Develooment Servrces Cenler wrll be nolified ol any chanoes in lhe apploved plans and specilications or chanqe rn contraclor or contraclo, iifomation. "'NO I E Any Work Perform€d w/O the Appropriale Permrts wrll bie i,t Vlolallon ol lhe NC Slale B dg Code and Subiectio Frnes Up To $500 00"' (Olllilr) (rrrn l{a.rE) contaln Asbsto6 or not You aro rcqull6d b calllhe Natloial Embsloo SDardards lbr Hszardous Alr Po{lutarc (NESHAP} 6t (919)7075950 6t l6a9f ,0 daya palor io tro OWNERYCONTRACTOR: - SIGNATURE: d€o]olilbn of sny tacilityW€b Siite: htlpJ MM/r.epi.slat€.nc.u6/epi/asb€6to6/ahmp.htnl TOTAL PROJECT# OF UNITS: I TOTAL AREA SQ FT :# OF STORIES: / TOTAL SQ FT UNDER ROOF#OFSTRUCTURES: I#OF FLOORS: I ACRES DISTURBED:EXST LANO DrSTURsrr{C peRr\4[Z [-l VeS ! r.rO NEW IMPERVIOUS AREA:SA FT EXISTING IMPERVIOUS AREA: (FOR OFFTCE USE ONLY) ZONE:OFFICER:SETBACKS: F:-LH: RH:- B: Apprcval:- City:- DATE: FLOOD: --- BFE+2ft= AVN SO FT lrffl c{'tuA wArER: gTFPUA IICOMMUNfi SYSTEM flwELL flzONrNG USE CLAS.SIFICATION: SEWER: E:ICFPUA E CENTRAL SEPTIC LI PRTVATE SEPTIC f] COMMUNITY SYSTEM '.'SFPARATE DERI,I S RFOU NFD FOR ELECT I,IECII PLBG GASEOI]P PREFABS& NSERTS "' pRopERrY usE: EoFFrcE lnesrnunmtr Srritencaurrr-e I EDUCAPTCONDO OTHER: PAYMENT METHOD: ECASH ICUeCX lerVeeLE TO NHC) [eUenrCeru EXPRESS I UCrutSe I OtSCOVen 0 Comment PERMIT FEE: dd ^ PROJECT ADDRESS: PHONE BUILDING HEIGHT: _ SQ FT PER FLR: - EI,TAI L ADDRESS: ,/ (ch€rk al1 lhat Apply) EXIST CONSTRUCTTON: M ALTERArrOr,r ! RENOVATTON ! Cer,trmr- neelrns I RELoCATTOI{ _/, _ tf Relocaton, is therea Naturalcas Line onthe Current Site? L_l Yes LlNo lSBLDG SPRINKLEReOZ fu4laes [ltlo NEW coNsrRucrroru: ! rnecr NEw srRUcruRE ! rrsr rnacr [ ,rra. g{or f] aoo ro Exrsr srRUcruRE ACCESSORY STRUCTURE: REVISEO OATE iUII/12 Jotf-ioot7 L5-290 4 review 2 ffi NEId HANOVER COUNTY BUILDING PERMIT APPLIcATIot't IYPE; RESIDENTIAL PLEASE ANSUJER ALL QUESTIONS APPLICAELE TO YOUR PROJECT "Project Res pons ibil ity" APPLICATION Number (office Use) APPLICANT'5 NAI'IE : .' r : 1na DATE: I - -) DEVELOPER:PHONE #: PROIECT ADDRESS: .r' ., : . -, SUBDIVISION: r= l-r,,,ier\',. rr '1-.:sr L,:,.. CITY: iti lrnr nsror BLOCK #:LOT #: ll PHONE #: B4l-r5l-34r'raPROPERTY OWNER'S NAlvlE: r. Fi ir)r:r.,n OUINER'S ADDRESS: lit/l :et.le rerre B11'.1CITY: Mvrt Ie BeachST: .::_ ZIP : r ,, CONTRACTOR: l. R. H.,r.ton, InLlLICENSE #: 29i, r., CITY: Myr:t Ie Beach ACCOUNT #: ADDRESS: 4"ilr Belle Terre Bl,..l sTORAGE SH ED sT: j!_ zIP: :.,: i., SF EI{AIL ADDRESS: emia.u..l.,Gdrh.,r.-or. conPHONE #: {.r4 -?-35r-84cc PHoNE #: 811- 3 JL-1.r1,r4 EXISTING CONSTRUCTION:ALTERATION R ENOVATIONGENERAL RE PAI RSRE LOCATION NEW CONSTRUCTION:ERECT NEW RESIDENCE onADDITION TO EXISTING R ESIDENCE **PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT: PORCH 5FATT GARAGE 46' SF DET GARAGE 5F POOLSF SF OTHE R SF TOTAL HEATED SQ FT: :trr TOTAL SQ FT UNDER ROOF: ri.r48 TOTAL AREA SQ FT: 88i,a TOTAL PROJECT COST rr""" uou : $ rrr,eqt f OF SToRIES: Is Any ELECTRICAL, PLUI,IBING or I'IECHA'{fCAL l,.Jork Being Done to the Accessory Structunel T Yes n No If the pnoject is a Relocation, is thene a Natunal Gas Line on the Cunnent Site? n YesT No Is thene Electrical Power on this Building? nYes T No PROPERTY USE / OCCUPANCY: SINGLE FAA,IILY DUP L EXTOWNHOUSE DESCRIPTIoN 0F WORK: sinqle Fami1., !.eslderrial and odinances and regulalions. The NHC Development Services CenEr will be nolilied of any changes in he approled plans and speciiications or change in contractor or cont-ac&rr intormalion. ."NOTE Any Work Performed wO he Appropriate P€mits will be in Violation of the N C Slale Bldg Code and Subjecr ro Fines Up To $500 00"'^ OWNER/CONTRACTOR: rr,irrip Batderose, DR Horr,on SIG ATURE: PArceI ID # R04400-001-552-000 (Print Name)************,1:i)r)i)i***,f,*:*,t,*++++++,8**i.**,i*,!*r.1.,f***)i)r)****:i+***+,t*rt*i.**+***+******jt+jt*+*,t**** a o o U 0,ta o N IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YES EXISTING IMPERVIOUS AREA:SQ FT SQ FTNEW IMPERVIOUS AREA: ,i5! I NO TOTAL ACRES DISTURBED: , .] - Exrsr LAND DrsruRBrNG penMrr: [I yrs [Tl lro I^IATER: SEI,JER: CF PUA CF PUA COMMUNITY SYSTEMPRIVATE WELL CENTRAL WELL COMMUN ITY SYSTEI4 (FOR OFFICE UsE OI{TY) REVI5ED DATE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ CENTRAL 5E PTICPRIVATE S EPTIC i.** SEPARATE PERI4ITS REQUIRED FOR ELECT, ''IECH, PLBG, 6A5 EQUIP, PREFABS & INSERTS *** PAYMENT I,IETHOD: UCNSX ilCHECK (PAYABLE TO NHC)I BrLL AccouNr I mclvrsa I orscoven * * * * * * * * * tr * * )* * * ,t * * * * * ,t * * ,* ,t * * * ,t r( * r( i( ,N ,t * tr( tr( * * * * * * * * * ,t ,t ,* * * ,* ,* + * ,* ,* * + * * * * * * * * * * * * * * * * * ,t + + + * * * * * * ZONE: OF F ICE R: Approval:_ City:_ DATE:_ FLoOD: l_ " , BFE+2ft= zIP | 2!l]:_ ! surunooN _ sF ! ene eruHous e sF ! orcx PROJECT CONTACT PERSON: lnrrcrue l'4,rral.,:l NEW HANOVER COUNTY BUILDING PERMIT APPLTuTION TYPE.. RESIDENTIAL PLEASE ANSI.JER ALL QUE5TIONS APPLICABLE TO \OUR PROJECT ..prcject Res pons ibilit5d APP CA N Nurber (offIce Use) DATE: I t /j PK)NE *: q/o - 6 3L( w?-5-5aS1 2o t:l,). APPLICANT'S MI4E: DEVELOPER: PRO]ECT ADDRESS: SUEDIVISION: 6/ PROPERTY Oi$IER'5 MI,IE: OllNER,S ADDREss: 36 CoNTRACTOR ! ADDRESS : 2d EI'IAIL ADDRESS: /7- 5z .! 5.' CITY:STzr'r'<-77P. Z8E/2 D- Ztp LrcEnsE *: 5€78 LlACCOUT{T *: .,/Z ^/ crw:zlP:. 2 8?/ Z BLOCK *:LOT *: Pt{oNE *: zto - " 6{61 sr:!g. anlZ7?osCITY: ^/tcr,1 PROJECT COI{TACT PERSON: /?.,1) oGsTr'lG cor,tsTRucEoN: f] aLrraarroru [ NEW COi6TRUCTIO ; I enrcr NEN RESIDENCE **PLEASE CHEC( AIO A}IS}IER BELOI{ ALL THAT APPLY TO YOI,'R PRO]ECT: I oelreRal eeeares u RELOCATION TO DGSTII,IG RESIDEI,ICE PHoE#:7/"-O7-s'23? PHONE #:fuo -&)- s'z 3q SF Eruo No /v'/ RENOVATION o"6ntut nnrr cnneee _ sF ffi orr eanaee ?ou ,, E surunoo'l _sF f] eool _ srI eRerruno-rse _ sr I orcr sr npoccn / zTsF I sronaoe sHED _ sF TOTAL HEATED sQ fiz 2 ToTAL se FT UNDER ROoF: 1?1-O rorAL AREA sQ Fr, /o z v TOTAL PROJECT COST (Lesslog : g 25' o ' " # OF STORIES: / Is Any ELECTRICAL, pLUttBING or iqEcHA tcal- tlllork Being Done to the Accessory structure? If the project is a ReLocation, is thene a Naturyr.L Gas Line on the Cur,rent Site? Is there Electrical pohrer on this Building? fltves F-l ruo OTHE R I PROPERTY USE / OCCUPANCYT SINGLE FAI4ILY I ounlx I romnouse DESCRIPTION oF t,OR(: Z. - . z-R, .'7- ,t c "'' 2c-7*c4 eoe+rz.?ae(7,o '.) <u / V'+.L DISCLAUER I hsEby coait h.lallhbmadon in tlj€ appficaCoo b cor€ctand €]l$prk$il cofirplywih hs SEre Bultdlog Code and odinance snd ,Bgulalions. Th6 NHc D6\€topm6n! servic€s conbr,nil b€ nolifud ot 6ny chang€E h fi6 appovea pairs ano cont-€cbr inbnnsdon. '-NorE: Anv wod( perfr.med wo t6 Appop.ia6 pe.miG wlt b€ in vioh{on of {re Nc sata Bdg cad6 and a0 ohor arpficabl€ SEb oI{NER/CONTRACTOR. T)+.Za nal-z_v < *+**+*+****+*+++ SIGi.IATURE: ++**+** *+ + *x:* +:r * * ** ** * * * ** *(Ifll Jiloi******+:t+*:t***+****:t:t+***** IS THE PROPERTY LOCATED IN A FLOODPLAIN? T: YESI{O ocrsTIM ltrpERwous aREA: 25o. 5Q FT TOTAL ACRES DISTURBED: a- z s NEI,'J IfiPERYI TE AREA: io 27 5Q FT D<rsr LAro DTSTURBTIG peru.lrr: f-'l yes I,IATER: sEtalER: I con'lururw sysrEm n pRrvATE riELL ! ceuner_ ueu I cerurml sEprrc n pRrvATE sEprrc I co"wulrrw svsran .+3 SE},qiAIE PENJ'rITS REQUTREO FOn EL8CT, tiECHJ pL86' eAt Equrp, PREFA-E5 & $6ERTS {.* PAYI.{EMT I'IETHOD: Ecn, ncHEc( (payABLE ro urc; I erll acco;ln tr fic/vrsA I orscwen *;a* * *;** *:*****:i.* * **)t** ***:**:i***,t:ts:t***i,tt+ t(****;t*)t (foR orF:rcE usE oti ZONE:SETBACKS: F nppnoval: Oir city:.[!g!]l DATE:L F LOOD: - 1tr,r,-\B F E+2ft= {:]]2"rrr.r* ' tVin ***+t****+******ri.r*t****:t**:t***f t:t****ii,t* ,r7Tl,tl"i^r,t t- k4"r!r- RtyrsED DArE o4ltrlr2 , Nf A u]7_ p,t+'tO ' e: &5 ' N PERMIT FEE: s1qf-ru$r,r Comne4 VLt 4O(1-L4O7y.A ':n lLt vaf 'rL,Lkcq 0r ft r r,,poC i.,', lnspection Requrreo, gl0-254-0g 6 {*aL) yPuA ffcrcua I NEI^I HANOVER COUNTY BUILDING PERMIT APP L ICATION TYPE: RESIDENTIAL PLEASE ANsl,,lER ALL QUESTIoNS APPLICABLE T0 yoUR pROtECT "Project Respons ibiIity,, Mo r., le , l* 3toz tcr; Ueab APPLICATION Number (offic€ Use)#n APPLICANT'S NAfiE: DEVELOPER: DATE:to,/t ,1, PHONE #: PRO] ECT ADDRESS: SUBOIVISION: d ., sFtr ess rorl : $ elocat1On, l tA LICENSE S:,J7/7 zre'$fuJ PHONE S: sr ./U!-zrP .2 trY.'z sr./_L zni7da) PHONE #: F/tr ))) -. ttat No CITY: IC/, BLOC( PROPERTY OWNER,S NAI4E: OWNERJS ADDRESS: 5co lf.4.,1 o CITY: CONTRACTO ADDRESS: EF1AIL ADD ATT GARAGE suNRootl _5F EXISTIN6 CONSTRUCTION :A LTE RATION RENOVATIONGENERAL REPAIRS RE LOCATION NEI^l CONSTRUCTION:ERECT NEt RESTDENCE o" ! lOorrrot To EXISTING RESIDENCE *'PLEASE CHECI( AND ANSI^JER BELOII ALL THAT ApPLY T0 YOUR PROJECT: R: RESS I h A PROJECT CONTACT PERSON: CITY: /y'o r/,'t DET 6ARAGE ,oo, j?d-l,5F DECK a.'1 SF OTHER DUPLEXTOI,iNHOUSE GREENHOUSE - 5F PORCH (F STORAGE SHED SF 5F rorAl HEATED sQ fi: trt7t- rorAL sQ Fr UNDER ss)p 2 ldro3o TorAL AREA sQ FT: TOT Is A 3.t o,t/c, # OF STORIES: 2ALP T COST If the project rk Being Done to the Accessory Structure? ff"", ! here a Natural Gas Line on the Current Site? [Vesfrv"' [r,roIs there Electrical Pou/er on this Building? PROPERTY USE ,/ OCCUPANCY ' El SrNClr rlUrlv DESCRIPTION OF WORK: Bro E LECTRIC ; PLUMBIN Il EC HAN ICAL DISCLAIMER: rherebyceriit hal allintrrmalion in hrs apphcaion ls correcl and arrriorkwittcomplywih fie Sraie Buitdng Code and ordinances ard regulalions Ihe NHC Developmenl Servrces Ce.ter wrllbe noffied olanychanges in tle approved plans and and all oher apphcable Srab and tocai aws specifcations or chanqe rn conracbror coniracbr intrmaton "'NoTE Any work Pe{ormed w/o he Approp.ia€ permlls wil be m vi)tation oI rhe NC stab BtdgFines Up To $500 00"' OWNER/CoNTRACT oa: 16n77, /1/o f n,., I5 THE PROPERTY LOCATED IN O "*O"O"I [F "ts EXISTING IIIPERVIOUS AREA: _SQ FT NEhI II,IPERVIOUS AREA: -SQ FT WATER: m CF PUA SEWER: E CFPUA S IGNATUR ***;r,** * * ** * ,i,*,* * * * * *,** NO ToTAL ACRES DISTURBED: i EXIST LAND DISTURBING pERt4IT: E yEs NO *+, SEPARATE PTRItl]TS RTQUIRTD FOR ELECT, TIECH , P[BG, GAs EQJIP, PREfABS & INsERTS *i' COI4I4UNITY SYSTEM PRIVATE t,JE LLCENTRAL WELL ! celrrnar srerrc ! pRrvATE sEprrc f] cor.rr.,rur rw svsren EcHrcx (payABLE ro rurc; !menrcm rxnnrss fl uclvrsa !PAYMENT ITETHODCASH DISCOVER * * * * *r** * * * * * )k * * )** * * ,t,*,r * r** *,F,t* )*:* * * * *,*,r )*,t )t * ** ** **+ **)**,t* )i* * ** ** * ** )*** * * * * *+* * * **,t*** *** * ,*,* ZoNE: _ oFFICER: (FoR oFFtaa llSE oilLy) REVISEO DATE 04111/12 SETBAC(S: F:_ LH:_ RH:_ B:_ BFE+2ft= N Approval:_ City:_ DATE:_ FL00D: _ _ AV Comment:PERMIT FEE: $ Cr%1 LoT t: - PttONE *': 3.t )r , ) -/ 2 O V C APPLICANT'5 IIAHE: OEVELOPER: PRolfrT ADDRTSS I SUBDIVISION: R"q;-tl?xb fe , ,* 3to; APPIICATION Nunber ,o'rt, to/)tl r' 1,*,{' ,1y, NEW HANOVER COUNTY BUILDTNG PER}IIT a?pLIcarloN ryptr RESIDENTIAL 5LErst nlt.,..r ALt ouaa.:,alrs i.ppLI(rgLt To youR r.a]!aT ,'pro je<t iespons j.biL ity,, M" ,., Cl'lY.. U , PHONE { PHON€ ': PHON E zrv :,2/../-t) ELOCK sT ,LJ-zt?,2_{Y42 st l)_! zzt ift c:> *ttt, )/J -/7a,t, toT ': l -t )c./ 5F lic PROPERTY O{iIER'S AitE: OT.JNER'S AOOR€SS; CONTRACTOfr AODRES5: CITY: LrcErirsE #: )-J ,2/ 7 crrY: fr<.r,il-'7 EI{AIL A"RESs: , 4 I err eanace sr f] A,t't t 1.. PRO]ECT CONTACT PERSO :PHCIN' *: IXISTIfi6 CONSTRUCIIO''I:ALTERA]-]3NR€NOVAT:i'J G€HTIAL P'FNIFS RT L OCAT]ON tv'; xEx (oN5TRUCTION: f] eneCr NElr RESTDENCE o. ! eOotrtor To ExIsrrNG RESIDENC€ ..PIIAIE CHT(X AND A}Isi;€i BELOU AI-t TXA] APPLY TO YOUR PRO]ECTi ;[CK SF CTIi' R Dtr GARAGT =_ sr I concx -- sF omt 1 O d sF n sroRAGE sliED _-_- sF5UNRCOi,I _5F 6P ErUHoUS[ Sr AL Pr cos Fl--l TOTAL HEATED SQ nt trt7>' TOTAL 5Q Fl UNOER ROOF | /o,ci|. ToTAL AREA 5Q FT: _ ta' * Of SfOnltS: 2 Seint Done to the A...ssory St"rjr"cl flves TOT ;! ;. !3s lol, : I 10n !c k If the project e l.c at herc a Natura] Gas Line on the Cu.rcnt Site? f]yes E-ruo Is thcre Elr'(t.i(al powc. on this Buitdingtffives Irvo PROPERTY US! / OCCUPANCYT I SnreLr rArtLv[-]l oueLrx fl rourrousr OESCR IPTION OF I,JORK: l Lt (',t RI (tltcH4 _!(AL OISCLATUcR Inra:rr co^y&!r ^t!-.i.- ' c.'rit ,llr !t lit-r.:.n ir I,113 rppt lr.r * r:016r.ha ri(r4 *it.o(rty!lf, 0r! Slrrr! tr j,.-,9 Colle ntJa,ofic,ajrires Ino NxC l}!3.nmenl,satu6as 0{, rcr u]be noli,co or3.t{hanges iA lnc,,roror.d Dt r$ sr, .j "NOIE Ary Jt?,t P.rlo,rtrd rr'& |!!. ,(rfhn,,..r rtrn,t,nr jb. n V plr.iiE Sta(] onc 16.. !,rir 6r cL.n00 i (art,xrl.r trei Up Tc !1_r 0!"' PER..!IT F€[: Oi,NE R/ CONTRACTOR : NO TOTAT ACRES DI5TUtBE0: _ SI6NATUR IS THT PNOPERTY IOCATEO IN O "*O"O'*T ft "'€XISTING II{PERVIOUS ASEA: _SQ FT NEl, Ii.lPERVIOl.iS AREA! _ SQ FT r.JATrR: m creua I cofiMUNITy svsreN IPRIVATE TJELL f] cerrarl well s€wERr [f cri,r.ta f] c€NrR L sapr]c I enrvare senrrc I coMr,luNlry sysTEl,l "' 5tl'r.Rt,rl P!Rliil5 nt9i,l,iil),:.,r llrt:. ,1t.1x, plgG, 6a, t(rrtf. pAyEEirT rrErHoo: f cas" Icxrcx (payaELE ro lxcl [ *rn:cm exoress J,rclvrsA ZONE Approva]:_ Cit!: (='Zf).",,u*,SI:BACKS: F: no cloS(,,il- \tlrqn ho*t,,;l*,,s,&!o* lin<9 'Ii",-*L .r,,-* a, ?Si-H f,^ +'= t5' lP' '-?-\ oarr:\\.\L-l5rr,coo lErS$61rno lYqoCo$nent ?b<d fu't"z-A BF-t r z' I EXIST LA D OISTUn8ING FERfiIT: f] y€5 I: ..' ! orscorr* -,P NEI^J HANOVER COUNTY BUILDING APPLICATION TYPE: RESIDENTIAL dqls-// e,).7 pERmrr ?uZ t5 3"1) APPLICATION Number (of{i<e use) \1 rr1 ?c- PLEASE AT,ISWER ALL QUESTIONS APDLICABLE TO YoUR PROIECT "Project ResPonsibility'' DATE:APPLICANT'S I.AfiE : DEVELOPER: CITY: PHONE fl: 'rf 0. PRO]ECT ADDRESS: BLOCK S:LOT #: STt . : ZIP t PROPERTY OI,.JN E R' 5 NAME : CONTRACTOR: ADDRESS: LICENSE f: :,;: ', :ci -eqe ! ERECT NEW RESIDENCE OTADDITION TO EXISTING RESIDENCE **PLEASE CHECK ATID AT{sI4ER BELOW ALL THAT APPLY TO YOUR PRO]ECT: EMAIL ADDRESS: DEI GARAGE - 5F PORCH SF STORAGE SHED PHONE #: PHONT T: 5F SF YesNo I No PROJ E CT CONTACT PERSON: EXISTIN6 CONSTRUCTION:ALTERAT]ON I neruovnrror I crrurnar nsparRs E RELocArroN NEW CONSTRUCTION: ATT GARAGESF I surunoou - sF POOL :',r l GREENHOUSE 5FDECK Is thene Electrical Power on this 8ui.1ding? TOTAL HEATED 5Q FT: TOTAL SQ FT UNDER ROOF: i, TOTAL AREA 5Q FT: TOTAL PROIECT COSTtrussrott : $:,,:::r .:rl # 0F STORIES: 1s any ELECTRICAL, PLUIIBING or l'lECHrlt'IICAL Work Being Done to the Accessory Structu.e? SF SF OTHE R : I YesNo SINGLE FAT1ILY DUP LEXToLiNH0USE If the project ls a Relocation, is there a Natural Gas Line on the Cunnent Site? ! ves PROPERTY USE / OCCUPANCY: DESCRIPTIOII OF WORK: | ,' and ordin.nces !6d regur.tons Thc NHC Developmenr Satures Cencr will b€ nodfied o, any chegcs 'r tre npproved plan5 6nd speclncEtons ortbangc in conrebr or conr.cb' nkrmalon "'NOTE AnyWork Perfomed WO hsAppropriab PemrKwllb€ invdhronolthe NC Srati BdLQo.L-rttfsublecr q ries UpToSsoOo0"' OWNE R/CONTRACTOR :SIGNATURE: IS THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTING Ii'IPERVIOUS AREA: _SQ FT NEW IMPERV]OUS AREA: - SQ FT YE5 I .OI4I4I]NITY SYSTEM PRIVATE I^JE L L NO TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PER IT:YES NO l^IATER: SEl,iER: CFPUA CF PUA ZONE : _ I cenraar seerrc ! PRTvATE sEPTrc CENTRAL I,.JE L L COMMUNITY SYSTEI'4 payitENT T,IETHOO: !CASH ICH.CK (PAYASLE rO rrr) E AI4ERICAN EXPRESS,'1ClVISA0rscovER *++)***+****,1.***r(******,****,t*,t*****x*x******x*****l*+++***,*****+*****,***********xlrx+:f**++ (Fok otrr(E usa oNLY) REVrsrD oArE il4l11/12 OFFICER:SETBACKS: F: LH: RH: 8: Approval:_ City:_ DATE:_ FLOOD: _ AVN {} I BI: 15 r(! ^^(( SUBDMSION: :-i:::. - :.:i PHONE *: OI^/NER ' S ADDRESS: . .- t ': CITY: CITY: r-:- 5T: --- ZIP: -r # NEW HANOVER CCI.,lNTY BUILDTilG PERilIT APPLICATIO TYPE: RESIDEI{TIAL PLEASE AI{SHER ALL qJESTISIS APpLICAoI-€ lO yA.rR PROTECT "Project Responsibility" 2ot{' ll2zt 15-3203 APPLICATIdTI l{urnber (Offlce us.) lAPPLICA'{T'S MIiE : DEVEL@ER:Pr-toftE r: PROIECT AtxxESSt q',".J SUBDIVISIO: L^mctrt D]tth;{hy)ztPr)Kq tl P7beLoci s7 LOT *: PROPERTY OhI{ER'5 O'IER'S ADORESS: E q( (t/\ C PK)NE S:-'7?L CITY: L I CEI{5 sr:4! zrP:,.-Xcl6O stt,J-nptZ&l@ c0t{T ADDR EIlAI PROJ ESs: Ls CITY: l-'l ouplex AJr,_ \ P|'()NE T: PHOT{ E *: b EXISTIITIG CONSTRUCTION :tTERATlON R ENOVAT ION ! crHenal neearns tr RELOCAT ION coNS ION:RECT EX RESIDEXCE or I amrrron ro Exrsrorc REsrDErcE fl sur'rnoor.r - sF I enre NHo.rse - sF If the project is a Rel.ocation, Is there Electrical Power on th PooL _ sF DECK SF /." .),r,r' ,-", l') qr6l ECT COffTACT PERSfi: CHECK ANO AT{SI'ER SELO{ ALL THAT APPLY TO YOUR Pf,O]ECT: TT GARAGE t\tli-. ,, f! otr eanaee - sF POiCH SF [-l sroRree sxeo OTHER: SF SF NEhI *. PL TOTAL HEATED SQ FT: ?.\tt roTAr 5Q FT U'{DER NMT.Lil"6{TOTAL AREA 5Q FT: ToTAL PRolEcr CoSTrre."r"orr: I lt{qrff -) f or sToRrES: 7- Is Any ELECT*ICAL, PLtllBIilG or ECHAICAL rlork Being Done to the Accessony st.ucture? f] Vut f] ruo is the e a Natural Gas Line on the current Site? f]ves l-'l xo loi ng ? nves I ilouI PROPERTY UsE / OCCUPAITCY:SINGLE FAHILY DESCRIPTIO'I OF 9{ORK:'(nstvr.rr * OTSCLAIUER I hssby c.njt har al nbrmaron h hrs +pftaaon b conecr rd d rrqk ptl co.npty wi,t tte Stalo guildirq Code ,ld ohet rypac&le StaE md bcd rsws and ordhances and rlgulotbns. The NHC Cbr?k prn€ni Selvlces Csflix liil b€ nolfu of dly ct,lges n he apprDved pb.s ,td lp€cifcrlbns o{ change n .o.ttebr or conracbr nblmaton "IOTE nrl€d W/O lre Appropnaa f'ermris wrl be in Vk blio$ of lh€ NC Sl,aE gdg Code txl t Fines tlp To 3500 0G" TOhr \i Nlrpus € , den*t q \ O{I{ER/Col'ITRACTOR Anl.I4!,rr Plrlo , N,O A.-.\( -v'\SIGTIATURE: *rra*rrt,f ,r)}ar*,*t*,t*** *,;i,r,l+**,t r1***,t,11*r**ar**r,I,t,l*,* *,: r * rr ** * l,r *,at * t a * r t * tl i:* * * rr,i IS T]{E PROPERTY LO€ATEO III A FLOOOPLAIN? ExISTrirc IMPERVIdJS AREA: -SQ FT NEt', ImPmel' ,35.3 S SQ FT YE' Drc TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERT'UT: fivss Eno .11 }{ATER: SEl,lER: COMUNITY SYSTEI'1 I nnrvrre rler-r- [CENTRAL WELL 4 t fiSs''o (fo8 oFfrce us€ oi[Y) RtvlSED DATE 04111/12 SETBAC(S: F:_ LH:_ RH;_ 8:_ creul fl cENTRAL sEPT rc PRIVATE SEPTIC ccs4r.luNITY SYSTEr'l iI, SEP{TATE PEiIIIIS iCq.,IRM TOR ELICT, I{ECH, PL&C, 645 EQUIP, PIEFAES & II6ERTS T'' PAYIIEMI METHOD r n CASH Icxrcx (payABL€ ro urc; f] arerrcln txenrss il HClVrSA tr DISCOVER ,I********)r,r**)r{.***+**+rr****++**+**+lf+,it***t+,r+**)a,r*t+*t*r:t**+*****,taf*f*++**t*)a**:l+*)t*:t* Approval:_ City:_ DATE:_ FL@D: _ BFE+2ft= N tv,ll -t ll & z cf"ue- () oerc t//c //s- t{ )*;ullQe,4- ( zoNE : _ oF F rcE R: ,l-l 2ot{"ttz3ZL5-269L APPLICATION Number (office Use ) APPLICANT'S NAIIE: D. F. H,rt-ol I ncDATE: 9/11 /L5 ZIP i 28472 DEVELOPER:PHONE #: PROJECT ADDRESS: r-6aa-,/.incouver it i- SUBDMSION: wate rs icle at i{oodiake CITY: t ilrnin.Jr.rn CITY: Myrt Ie Beach LOT #: .lls PHONE #: 84 3 64 6 2 318 sT: sc zIP: 2 9519 ACCOUNT #: ST: j!_ zIP: -::jf1 PHONE #: 843 646 2378 BLOCK #: PROPERTY O,INER'S l,lAIYlE: D.R. HorrcnInc OI{I{ER'S ADDRESS: 40ll BelLe rerre Bl..-d CoNTRACTOR: D. R. Horton I nc ADORESS: 4L.ll BeLLe Terre Blvd LICENSE #: , . CITY: Myrt le Beach EIiIAIL ADDRESS: emfacundo.clrhorton.com PROJECT CONTACT PERSON: Enrii,-e !1.ir.ile: EXISTING CONSTRUCTION:ALTERATION R ENOVATIONGENERAL RE PAIRS NEW CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE ,}*PLEASE CHECK AI'/D ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT: ATT GARAGE 5;8 5FDET GARAGE - SFPORCH 1e- SUNROOMSF POO LSFSTORAGE SHED GR E ENHOUS E SFDECK SF OTHER: Pat ro 80 TOTAL HEATED SQTOTAL 5Q FT UNDER ROOF: . ,.: ToTAL AREA SQ FT: TOTAL PROIECT COST rr-ess rotr : $ i',1 Ptl()NE #: 813-6q6-2318 RELOCATlON SF 5F SF # OF STORI ES : I Li.ne on the Curnent Site? E Yes No !No FT i 2't B9 3534 255 DISCLAIMER I hereby certify hat all intotmalion in his applicaljon is conecl and all work willcomply wih he Srare Building Code and all oiher applicabte Stat and locat taws and ordinances and regulations. The NHC Development Seruices CenlDr willbe noljJied ol any changes in he approv€d plans and specifrcations orchange in contracbr or contract r inbrmaton. "'NOTE: Any Work Performed W/O he AppropriaE P6mits will be in Violarion of rhe NC Stats Bldg Code and Subjecl b Fines Up To $500 00-. Is Any ELECTRICAL, PLUIiiBING or nECHA,{ICAL llork Being Done to If the project is a Relocation, is there a NaturaL Gas the Accessory Structure?T ves [ ruo Is there Electrical Power on this auilding I l-'] ves PROPERTY UsE / OCCUPANCY:SINGLE FAMILYDUPLEX T0t,JNH0USE DESCRIPTION OF WORK: sinqle Familv F.esiciential OWNER/CONTRACTORi snrrquelqoraLes /D. F'.. tjor!on, r'c. SIGNATURE: *++++*i.****,r,r**************(i!'Illi1"]*************+*,F,F***,r*******************xxxx;*+,*,i***** rs rHE pRopERTy LocaTED rN a FLOODPLATN? n yES El ruO EXISTING IIITPERVIOUS AREA: SQ FT NEW ITIPERVIOUS AREA: 5205 l,{'lO. "o*** SEPARATE PERIi,IITS REQUIRED FOR ELECT, I'IECH, PLBG, GAs EQUIP, PREFABS & JNSERTS ,.** pAyMENr r4ETHoD: Iclsn Icnec( (eAvABLE To NHc) El BrLL Acc@Nr ! rcTvrsl I orscoven xxx+++***********,i.++++,*,*,*,*,t**x,****,t,***,t,*,***,r+,t+,*,t,t,*,*,*)*x***++*,*,*,rx,*++,*,*,*,t,**++,**,t*1.***++,i,t ZONE : OFFICER: (FOR OFFICE UsE ONLY) REVISED DATE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ Approval:_ City:_ DATE:_ FLOOD: C{fuo--N BF E+2ft= NEW HANOVER COUNTY BUILDING PERMIT aPPLICaTION rYPe; RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Proj ect Responsibility" TOTAL ACRES DISTURBED: , ].] SQ FT EXIST LAND DISTURBING PERMIT: I--.I YEs I.i.] No T{ATER: I cFpuA E coMMUNrry sysTEM E pRrvATE WELL ! cHrrnar welr SEWER: E CFPUA E CENTRAL sEPTIc ! nnTvaTT sEPTIc E CoMMUNITY sYsTEI4 ffi NEI^J HANOVER COUNTY BUILDING PERMIT APPLICAIION IYPE: RESIDENTIAL PLEISE ANSI,TER ALL QUESTIoNS APPLICABLE T0 YOUR PRo]tfT "Project ResPons ibil itf' .f-L^Ji ;,r-1 r a>eer f <tanei L -n. CITY: 2ot{-tt237L5-3248 APPLICATION Number (offi(e Use) APPLICANT'S tlA,t4E I DEVELOPER: PRO]ECT ADDRESS: SUBOIVISION:t--4,r Fa-tl BLOCK #: CH (,UI SF sTORAGE SHED zrP: -f,8plC5 LOT *: 3 PHoNE #: 5 a.{ - rsr t, sr : \LCzrP: 1 k"{ 8i3 AccOlrNT *, &1 | sr:hLLzrP: J 8!.lO I PHoNE s:lrD3-g1te PH6I{E ,: qfrri-5q tg PROPERTY O{NER'S t,N E : c[.IiIER, S ADDRESS: -f,.l.)c il. t frv( -P L^_,ilr\,1 rnK LICENSECG.ITRACTOR:D t. AIDRESS:tn CITY: Ercarl AmREsS : r.C)34 rra4nry[ar*a-hi onlouj trt i n6 c,crp. Sdtr ernqer Lo55 sF PRO]ECT COI{TACT PERSON: EXISTING CCfiSTRUCTION:ALTE RATION RE NOVAIION I crrue nrr- REPAIRS I RELocArroN NE!'J CONSTRUCTION:ERECT NEI' RESIOENCE OTAODTTION TO EXISTING RESIDENCE *{'PLEASE CHEGK AND AtlStiER BELoN ALL THAT AppLY TO YOUR PROJEcT: DET 6ARAGE - 5F prt'n suNRooH _ sF GREENHOUSE SF ntr POO L DECK SF SF SF u SF OTHE R: TOTAL HEATED SQ FT: tll!25 1OTAL sQ Fr SNDER RooF: Lzj2ll roTAL AREA Sq rr: 4lt{9 TOTAL PROIECT COST (ress ro0 : $ LoiS,.:."C f OF STORIES : J Is Aoy ELECTRfCAL, PLUIiIBING on pIECHAI.IICAL Work Belng Done to the Accessory Structure? [ If the pnoject is a Relocation, is there a Natural Gas Line on the Cunnent Site? Is thene Electrical Power on thls Buildi.ng? Q vet [fual Q v"s Q-rir/ Yes s{ PROPERW USE / OCCUPANCY:N6LE FAMILY DUP LEX TOWNHOUSE DESCRIPTIOI'I OF I.IOR( :h>rv-r q-J C^ c- DISCIAIMEFt lhereby cenity hel 'l is appticalion is coftect and att work wilt comply wi$ he Slate Buildng Code and alloflor appliceble Slab and local la$rs and ordinancas and regulaljons. The NHC Develcpmenl Seavicos CenErwlllbs notifisd ol anychangss in the app'oved plans and spscifcatlons oI change in con8&blot ir cont_acbr inbmalioo. "'NOTE: An OITINERICONTRACTOR : SEWER:PUA yWork Performed WlO he AppopriaE P€rmilswlllbe in la Q.g5zrtc.r^t *,t )k ,* ,t {.r<,t +,t* *,* * * * ir * i( * + * * + *,F *,t *,*,t t * (f0R oFFrcE usE oir ER: €TTN SETEACKS: F Codesubircr r, Fnes up To S:r'0o.00"'violatcn ol lhe NC Sl SIGNATURE: r. * ,t:. * 't,* * *,t,* )t *,k* *,1** **,t,t+*+iiiliii f{** *+x* + *,t,} **,} i( * t{( ******* * *,t *+ *,t * *1.'t+ rt*'1.**'tt*+*+ *'t 't t ** I5 THE PROPERTY LOCATED IN A FLOODPLAIN} OI YES KJa-o,2pn- EXISTII,IG IIiIPENVIOUS AREA :SQ FTTOTAL ACRES DISTUREED:.l: NEh, II4PERVIOUS AREA: --liinqp 5Q FTEXIST LAND DISTURBING PERMIT: K'JI VTS ffitr I{ATER:CFPUACOI4i4UNITY SY5TEMPRIVATE WELLCENTRAL WELL a-^,:' 5 Eo =f,(Doc:= E ; E f] cetrmr- sEprrc n pRrvArE sEprrc n comuulirw svsrstl il laat.* **+ SEPAIIATE PERI'IITS REQL,IREo FoR ELECT, MECH, PLB6, GAs EQUIP, PREFABS & INSERTS 1'*' rHoD: Ocasx Ocrrc( (pAyaBLE To NHc) 0 BrLL AccouNr 0 uczvrso Q orscovrnPAYIIENT I'!E (vo )* i( * * * * * * * * * * ** * +,t :t :a * + +* *,i* ,", N\,.,r, nu^rn tLq "* " '( 5t*ba6ffio o^',, ' 3o-'rn, r5- nni-11A' a:'l5tZONE:OFFIC approval: 0P- city: UJIUfl DAIE:LOOD: - --rlonr x c{'\AvN oqtl:nz?]\J BF F+2ft. Comment: CZc'te-C Ic1.,.PERItllT FEE r $, ... . -- -, PHONE #: tr NEW HANOVER COUNTY BUILDING PERMIT APPLI CA|ION TVPE: RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPIICABLE IO YOUR PRO]ECT "Project Responsibility" 2ott'112"3{)15-3208 APPLICATION Number (office Use) APPLICANT'S NAti,IE: DEVELOPER: North State Partners Const ruct ion LLCDATE: r n /, q ,'2 i'r 5 PRO]ECT ADDRESS: SUBDIVISION: 7801 Masonboro Sound Road CITY: !ri lminsron PHONE #: 9tc.442.'t5'14 ZIP:28409 LOT f: PHONE #: ST: E_ Zf P: :818 a BLOCK f: PROPERTY O},/NER'S NAIiIE : Oi!,NER'S ADDRESS: r8!.i Phr l -I ip and Christy Brown Masonboro sound road North State Partners ConstructionLLC LICENSE *: ]C045 o. Box 359 CITY: l,lriqht svi I Ie Beach EMAIL AIDRESS: of fice.GnorthsLatecusLombuilders. com CONTRACTOR : ADDRESS: P PHONE #: PHONE *: 974-2AA-9714 PRO]ECT CONTACT PERSON: EXISTING CONSTRUCTION: Jim Wr seman A LTE RATION R ENOVATlONGENERAL REPAI RS NEW CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE ,}PLEASE CTIECK AND ANSI.IER BELOI.I ALL THAT APPLY TO YOUR PRO]ECT: ! oer cnnnce _ sF PORCH LSF SUNROOMSFPOOLSF SIORAGE 5H ED GR E ENHOUS E SF DECK SF OTHE R: 91C-112-7571 RE LOCATION ATT GARAGE 911 SF FT | 164 5 SF SF TOTAL SQ FT UNDER ROOF: - TOTAL AREA SQ FT: :. : T0TAL PROIECT C05Ttressroo: $ -:::--# OF STORIES: : Is Any ELECTRICAL, PLUI.IBING or I'TECHANICAL Work Being Done to the Accessory Structure? [ Yes No If the pnoject is a Relocation, is thene a Natural Gas Line on the Cunrent Site? [ ves ! ruo Is there Electricat Power on this Building? EYes I No PROPERTY USE / OCCUPANCY:SINGLE FAMILY DUP t EXTOWNHOUSE DESCRIPTION OF WORK: acns:r,r.r: Single Fanll; rte:rillence DISCLAIMER: I hereby certity lhal all inbrmatron in his applicaton is con6cl and all work will cohply wih he State Auibing Code and all oher applicable Stats and local laws and ordinances and regulations The NHC Developmenl S€Nices Cenbr willbe notlied ofany changes in he approved plans and specifcations orchange in contracbror conuacbr into rmation "'NOTE Any Work Perfomed W/O he Appropriats Perm its will be in Violarion of rhe NC StaE Eldg Cod€ and Subject b Fines Up To $500.00"' OWNER/CONTRACTOR 3 ;im wr..u,o,, SIGNATURE: +***r.{.:t*r.+++++++,}++++,*,t+++*+*+**i(+++***rri(****)i)i)i)r,r)*,r,*r**+r*r*r**,i+,r,r,r,r,r)**x(*x(r(***r*+++r*++*,**** IS THE PROPERTY LOCATED IN A FLOODPLAIN? l-] ves l-l ruo TOTAL ACRES DISTURBED:EXISTING IIiTPERVIOUS AREA: NEW UiTPERVIOUS AREA: WATER: SEWER: SQ FT 5Q FT EXIST LAND DISTURBING PERIIUT: CFPUACOMMUNITY SYsTEMPRIVATE l/JELLCENTRAL I,,]E L L CF PUACENTRAL SEPTICPRIVATE SEPTIC COMMUNITY SYST EM l--'l yrsI NO *:r* SEPARATE PERI{ITS REQUIRED FOR ELECT, lrlECH, PLB6, GAS EQUIP, pREFABS & INSERTS *** payr4ENr nErHoo: flcrsn flcnec( (PAYABLE ro NHc) EA ERrcaN ExpREss I mclvrsa E orr.orr* **x**x*******+++1r+++it++++***r(r(******,t*****+**{.++**,*r(*,*,t,*)*x**+++ir*r(r(r(*1.*****++*,t**xxx,*+,t+ (FOR OFFICE USE ot{tY) REVIsED DATE O4l11l12 SETBACKS: F:_ LH:_ RH:_ B:_ Approval:_ City:_ DATE:_ ffOOD: o , N BFE+2ft= T TOTAL HEATED SQ ZoNE : _ OF F ICE R: NEI{ HAI{OVER COUNTY BUILDING PERMIT APPLTCATION IIPE ! RESIDENTIAL PLTASE ANSX'R ALL QUES]IOI5 AP'LICA8IE TO YOUR PRO]TC1 "Project Responsibif ity'' APPLICANT'S llAilE i North Scaee Partaer6 Consrlr.rcrion, LLC DEVELOPER I PROIECT ADDRESS; ?.8ql Masonboro sound Road CITY:wilIninqton PROPERTY oWNER's ltl'4E: phi'lliD anrl chiisr\/ Eraun ohlNERr S ADORESS; 7801 Masonboro sCITY:wilminq CoiITRACfOR : No!t! state partners consr-ructionLLc LICENSE *t 1oaq6 ADDRESS: p. o. Bo:( ts9 ffi ZPt{'lt2<1 1s-3208 APP L ICAT IOII Number (offi(e u5e) PHoNE #: 910.442 . 75?1 ztP: 2Sj!2 PHOiIE #i 5T 5T: S_ ZIP i 28480 Ei!AIL ADDRESS; office@norrh6t ar ecus tonbui I de.s . com PHO'IE *: 910 2oo-9r?4 pROIECT COI{TACT PERSOII: Jtm I,lrseman PH,DllE *: 910-442-rs?4 ExrsTrIG colrsTRucTroNr I ALTERATToN I nrrovarrou I ceruenar- nrearns f] RELocaTIoN NEi.i COTi5IRUCTIONTERECT NEW RE51DENCE o" ! mOtrIOX TO IXISTING RESIDET{CE .TPLEASE CXECK AID At{StrER AELo}/ ALL T}IAT APPLY TO YOUA aROICCI: ffi rrr eanae r 91:- sF ! oer crnrce sr @ roncx s:-- sF ! surnoou _sF I nool _ sr I srouer sHED _ sF flcnee rHouse - sr OE CK CITYi Wrlghtsville tseach Nc zIP: 28409 NO 5F OTHER:SF ToTAL IIEATED SQ FT: 36a5 TOTAL 5Q FT UNDER RoOF: s21r ToTAL AREA Sq FT: 52is TOTAL PRoIECT COSTrr"er:rou : $ zooooo # 0F STORIES: 2 Is Any ELICTRICALT PIIrIBII{6 or IIECHAI,IICAL Llork Being Done to the Accessory Structu.e? E YeS If the p.oject is a Relocation, is there a Natural 6as Llne on the Cunrent Site? ff ves Ilo Is there Electrical Polrer on this Bui.lding? nYes No PRoPERTY UsE / occUPAr'{CY: EI Srr,rCr-e rnmrrv f] Ouelex DESCiIpTION 0F WORI( i construc! sinqle !'amiIy Residence TOI^JNHOUS€ I .nd ordhsr.€3.nd golaion3. Thc NHC Oov.@m.n!S. i.€s Gnbr win b. notli.d ot my.ha.gos in r!€ appoved phn s and specifcaaons or cnange in con rracrr. o' cont*brinbmston'-ttlOTE:Anywot*psrrorn€dW/oteApprop.iaDPermhswllbslnVlolarionolthrNCSrtsrsFl{,qCodeandSubia.tbFif,65UpToS500.00"' d{NER/CONTRACT0R: Jim wisernan SIGIIATURE: I5 THE PROPERTY LOCATED TiI O "*"'O"I H] "" EXISTII{G II,IPERVIOJS AREA; _SQ FT tlEU IIPERVIATS AREA: _SQ FT [f 'e TOTAL ACRES OISTUREED: EXIST LAND OISTUREING PERllIT: mr:r: [l crnua f] comr,ruNrry svsrn,t I pRrvAr€ wELL SEtER: E crnua I CENTRAL sEprrc f] enrvarr srerrc rr1 scPAJtaTF PERXIiS REQIIRE' FOR EL€CT, fiEcll, ptBSj GAs EQUlp, pRErnES & IISEFl5 'r.pAy ErTr nErfioD: I casx I Gr:cx (pAyasLE To tHc; f]menrcrr exnaess I rcTvrsr n 7'ZO orrrrr*, {FOR OTTICE lrsl C,lL SETBAC(S: F: * t * *;*,*,r,r * *,1'***i. ** ** * " * * ** * *(I lti JiTi *,I )r* ** *,i ** *,i,* r(*t***** r,,r*,I,rr *ri,r* CENTRAL i.iE L L COMI4UNITY SYsTEIl ***)i,i,r**,t* ** rrf ra * REWSE0 OATI 94l11/12 DlSC0VER ZONE: Approval :_ City:_ DATE c+u re- ,Y\4X. a, Z5' BFE+2ft= i5' 'uk+Ytl, : tllll 5 rr-ooo r.i no+ frurd ')^^,:X,,1 rx: 15 ar _&Er3:_ cCaw I Conlment: CZ o0,.4S b hoc5z- Aa;&N. bAfai to/29/2at5 SUBDIVISION: 8LO(K *: _ LO? *: _ 12itt,* do rffFr-AV 206-pq' L5-3246 APPITCATIG{ l,lur$e r ((,'fl.€ ur.) NEI^J HANOVER COUNTY BUILDING PERII{IT APPLIcArTon IYPE: RESIDENTIAL PLtASt Atl5r.?tl{ Att q.,tsrlo 5 ArPrlaaStt l0 YoJr Protrrr "Project Responsibility" cITY I BLOCX *r Hornx DATEi1\t5 l5APPLICANI J S T.'AfiE : DEVELOPER:FHONE }I PRO]ECI ADDR suBDMSIOr.l:LOT *l zrp: Zf(C4-1"\ PHoNr f:1(oqSZ-1t1S sr: \E zrpEB1S\ PROPERTY OWNER'S NA'IE O}'NER, S ADDRESSi CONTRACTOR: ADORE55: PRO)ECT CO TACT PERSOI{: s CITY: Exrsrlrc col,rsrnucuoil | [ orrr'*rrofE **rorrou p *n,*o.- *rror*, f] arloarror NEI{ coNsTRucTroN, S a*ra, HEr'r REsrDEncE o" I oorrron ro ExrsTri6 REsroEr{cE ..PLIASE CttECl( AtD AllSLIR EEtOi{ Al! 18AT Appt.y tO YDUR pRO]fCTt Sr'r, emaer toO DE'T 6ARA6E - 5F LrcErsE *: 3qqCB crrY : ge[,i\\L sr:.tErp, Zltt5t accoutr n: l\e5qqr PH,NE s: qloqSz',.l r?s prrons *rQD!!Z- 15 M po*c, DbD sr."ft f] sronacr sHEo *- s. oTHER: SF E,o SF SUNROOM SFPOOtSF I eeremrousr _ sr I orcx _ sr rorAl HEATED sq fir 3Z1L rorAt sQ FT SNDER Roor r SOJL rorAl Af,EA sq Fr: _- TorAL pRolEcr cosT (rc!s ror , $ -g!9! # oF sToRrEs: 7- ls Any EIECTRICAI, PLUtIBI},]6 or I{ECHI}IICAL Hork Seihg oonc to the Ac(esso.y Str!<turel d,"Yes If the p.oject 1s a Relocation, ls therc a Natural 6as tine on the Curtent site? D Yes BtoIs there Electrical Po{er on this Building)nYes OEsCRIPTIOT{ OF I{OR(; ,_d rK sTNGLE FAr'rrLy I ouelrx I rowr,nrousr - NUrJ CM+{uchU\\ pnoPERTY USE ,/ OCCUpANCY DlSCLAl}lEh I lt.r.by clart nt,t a[ nbmllb. h t E .ppabilon 6 co.r.cr srd ar eork wll cor9ly wfi tte SBte 8irE.g c.de and sE onl€l 4prc.bt $e! lnd bi.l rei/! snd orlhrres rid elulalb,ls Ih. NBc Der€hpaEr! s€Mc.3 c.nbr rlllbe m!i.d otmy rn*r!€. h i'a st9lot€d phns dld spedtllioni o, ciaos tn csfita.br o, .onr*|', ilbm.rr, "'NOIE rAny W6k Pe.,otrpd WO 6e A0t,or.6b P.niB w b. in Vobtbn ot l,h. r,lc Srat OHNE R/CONTRACTOR ;Hornx SIGNATURE: i r.1| ***,i**r *+{r +1, }*** *i *:iiirt trr r* r r rrr r *r tr a r*rr rr. rr r r*4 t,r,r r r4rr:rtrra*a r*r1, *r, r 11i ri* I5 THE PROPERTY I-OCATED IN A TL@OPLAIN?YES F iro ACRES DISTUiBEo: ' 3AEXISTI}.IG II'IPERVIOJ5 AREA: NEId II,IPIRVIOI,5 AREA: $rbje.r lo rh.6l-E Io t50O 0q" TOTAL EXIST LAND DISTUNSI$G PERT1IT:Yt5 SQ FT SQ FI fr* il 2xs.*I'ATER I SEWER: d F crlul f] coru.{uNrry svsrem fl pRrvArE r.,ELr I crrrnar lrrLr creur fl cErrtAi stpTrc f] lnrvnrr srrnc f] co ti{r,rirry systEM ' ' srPARAtt pLRllrls STQUrRIO rOA r(1, Ht(H, plB6, GAs r.QU'p, pBErAB5 & PAY ElrT ,{ErHoo: I clsr firx:cr (payAsrE ro rxcl [arll ccanr [n /rrso (foi orfr(l t$ q{rY) rfvllaD o^tt 6./ll/l) SFTSAC(S: F; LH: RH: B: 1N5 L R'I5 '. DrscovtR 'i, r., r+ rr +r1rf,+t,lt*l tr* t, +ar**r trr a*r+ ra tr *+rr t r,| *+a*:l*t +.*t*tt +)lltr**rt *t?*+ **+*a rt,r +a r, ZONE:OFF]CER Apprcva]:_ - _ City:_ DAT[:_ FTOOD: _ AFE+Ztt= -_avlt Comlenti pEf,titIT tEf: , C{P"- EMIL ADDRESS: i0r,