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NEW HANOVER COUNTY
BUILDING PERMIT
APPLICAl ION TYPE: RESI DENTI AL
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"Project Responsibility"
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NPPLICATION
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NEh CONSIRUCTION:
Z *tCT NEI'I RESIDENCE O" SOOO:"ON TO EXIsTING NESIDSI'ICE
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APPLICATION
Number
NEW HANOVER COUNTY
BUILDTNG PERMIT
APPLICATION
TYPF; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Respons
ibil it)/'
1/z,r-rt -z- ffuy'
.-+.,
A;-t
CI TY:
APPLICANT'S NAIIE:
DEVELOPER:
W
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY
O},INER'5 NAIiIE :
OI^]NER, S ADDRE5S:
l^,,I I
,':"?)<, f,,-,.
,a-7 -?9 o?>PHONE f
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BLOCK *: l-OT f:
Pr-roNE
t:
CONTRACTOR:
ADDRESS:42,
6q,vaz-.- (-.,,- p I t--z
,r&rrr274o=
PHONE #:
PHONE #:
4/p.iKz-(ryaq,0'36-7 -o9e
(offic Use)
DATE:
ST:_ZIP:_
SF
LICENSE f:
c:rv.,(4',1o,
CITY:
/kr
EMAIL ADORESS:
ln bt L
?ry<.'^* 6,+!,,;'vv r et rvl
EXISTING CONSTRUCTION:ATTERATION
RENovATToN
! ceruenlr nrear*s
fl RELocATToN
NEI^l CONSTRUCTION:
ff eaect NEW REsTDENcE
o"
$orrrrro* To ExrsrrNc RESTDENCE
**PLEASE CHECX AND ANSWER EELOW ALL THAT APPLY TO YOUR PRO]ECT:
ATT 6ARA6E
-
5F
suNRoot"1
_ sF
! cReeruuousr
-
sF
rorAL HEATED ,q rr,74/<f roral sQ Fr uND
rorAL pRoJEcr cosrrressLoo , $ 21rl@
fftD.t O /t
contaco' ,.brnaton " NOTE any wolbrPerlo med w'g rgApp op.,are Pe,nir. w,ll be In
v'oEnon oJ
owNER/coNrRAcroR: l(or-lcr/ p2+r,,n*,
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(Print Name)
* ** * *,r * *,** * ** *,f *** * * * * ** * * l.** * *** *,1
OTHER:SF
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TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:YES
l--l ruo
EA AOOT, 7I4 TOTAL AREA SO FT:
o o, ,to*rrrl-l
DET GARAGE
-
SF
Poo L
_ sF
DECK SF
PoRCH
_ 5F
STORAGE SHED
Is Any ELECTRICAL, PLUI4BING
or |4ECHAr{ICAL ltork Being oone
to the Accessory Structure}
! V"s [ ruo
If the pnoject
is a Relocation, is there a Natunal Gas Line on the Current Site?
[ ves I to
Is thene Electnical Power on this Building?[v"s ! r,ro
PROPERTY USE
/ OCCUPANCY:sTNGLE FAMTLY
! ouer-ex
!TOI/,J N HO US E
DESCRIPTION OF WORK:2 6n u,.
+fz foo-,,
-flr
DISCLAIMER: lhereby certit hal all informatlon ifl his apphcalion ls conecr and all wo.k
wlllcomplywrh h€ Sraie Burldmg Crdeall oher appiicable SlaE and local laws
and odinances and regulatons. The NHC Development Services Center wiU be noffed of any changes in fie approilicalions or change in contracror or
lhe N
)** * *'r *
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** * )i* * * * * ,f,*
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rs rHE pRopERTy LocarED rN a rlooonurr?
[ ves
EXISTING IMPERVIOUS AREA:
_SQ FT
NEt^, ItitPERvIouS AREAi
_5Q FT
Wlffn:
fu
SfWen:
B
CF PUA COI',1I'1UN I TY SYST E [,1PRIVATE WELLCENTRAL WELL
crpun
E cENTRAL sEprrc
! nnrvare seerrc
! coll,tururrv svsrrm
"-' SIPARATE PIRI]ITS REQUIRED FOR ELT€T, IIECH, PLBG, GAs Eq]lP, PREFABS & INSTRTS
'"'
paynENr r4ETHoDr
E.ot, E ctrecK (PAYABLE
ro uc) D ar,lrnrcaN ExPREss
E "c/vrso I orscovrn
* )*** ** * **,t * ****,**** * * )*
* * ,i,i
** * *,t +* + *,* + * * *,* * *,t*,t**,*,*:*,* *** * ** * * )** *,* *,** ** *,i *)t * * +* * ***,i * *** * +
ZoNE:
_ OFFICER
(FOR OFFICE UsE ONLY) REVISEO OATE O4l11l12
SETBACKS: F:- LH:- RH:- B:-
0
approval:- City:- DATE:- FLOoD:
-
BFE+2ft=
-
AV
Comment:
tbB
91
1rr
E Bldg
,-t
N
PERMIT FEE:
PRO]ECT CONTACT PERSON:
J
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tu
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION
TYpE; RESIDENTIAL
PLEASE ANs}/ER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Res pons
ibil it)/,
.s?AaY
dd5- | l'lb7
APPLICATION
Nunber
(Office Use)
APPLTCAT'IT'S t,IAfiE; .
DEVELOPER:
,Orr, ll/tz/tr
PHONE
*: 1{c 2.
PRO]ECT ADORESS:
SUBDIVISION:
c crw:
PROPERTY OWNER'S iTAI4E:
OI,JNER, S ADDRESS:
coNrRAcroR: eJ--.t LLll
CITY: t\)
LICE SE #:/"?4 36
CITY: 1..
BLOCX
f: LoT #:
PHONE
f:
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ADDRESS: t ti- t
ET,IAIL ADDRESS:
ATT GARAGE
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:ll PHONE
S:
PHONE
f:
sT:!: zlp:
_81;-
Ito'tc,t-i.tl'/
PRO]ECT COI,ITACT PERSON:c<j
tL/
EXTSTTNG CONSTRUCTTON:
! ArreRnrron
! Reruovnrrot
! cer,realr-
nrearns
! RELOCATTON
NEW CONSTRUCTTOT:
f] eneCr NEW RESIDENCE
o" ffaOorrrou To EXISTING RESIDENCE
*.PLEASE CHECK ANO AflsWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
\to -Ze t .
JZlf
5F
N
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! sronace sHED
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fl cnrarHousr
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E LECTRICALPLU}IBING OT I'IECHANICAL I,.JOrK
the ec
t is a Relocation,
is there a
SF
DET GARAGE
-
SF
POOL
_ sF
SF OTHE
R:
TOTAL HEATED SQ FT:
_ TOTAL SQ FT UNDER nOOr: 3.Js TOTAr AREA
Se FT: .Ji6
TAL PRO]C05T rress Lorr
; $ i L, oc,;TO
Is
fi
Is there Electnical Power
on this Building
PR.PERTY USE
/ ..CUPANCY,
/rrr.r' 'Orr,-,
# OF STORIES: 1-
Being Done
to the Accessory
structunel
8"", E
Natgrat Gas
Line on
the current Site? [ yes
I
fl ves
[-l ruo
I ounlex
E rowrnousr
Y,"
DESCRIPTION OF hIOR(:
L^o "r<L-
.o/
oISCLAIMER: lnereby
cerlit h.l all inbnnaton in his applicaton is coneci and 6ttwork wil
and ordinances snd reoulalions. Tne NHC Oevelopment Seruices Center willb€ nottied ofan
conlracbrinbmaiion'-NOTErAnyWorkPerfomedW/OheAppropriaePemiiswittbean
or{NER/coNrRACrOR: tz/- ",1 /ltt
Exrsrrr{G r,rPERvrous AREA:
i,l Lo 5Q FT
5Q FTl,lEW IMPERVIOUS AREA: i,q,n
complywih he State Building Code and
altoher appticabte Stab snd tocallaws
y changes in
he approved plans and speciticllions or chan
vlolarion olrhe Nc sraE
SIGNATURE:
Eldg Code
andglrbiect
r,
<,-(_ {To $500 0n"
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*** * **, * * * { *,}
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*
rs rHE pRopERry LocArED rN A FLooDPLATN?
f] yEs d*
SEWER:FPUACENTRAL SEPTIC PR
TOTAL ACRES DISTURBED:
. OC^1/
EXIST LAND DISTURBING PERMIT:
TI VCS
I--I rc
(FOR OFFICT UsE ONLY) RTVISED DAIE O4l11/12
SETBAC(S: F: LH: RH: B:
WATER:FPUA
tr COMI,IUNITY SYSTEI4PRTvATE
t^tELL
! celrrnal wrrr
rvATE sEprrc
! cor.rr'rururw
svsrml
tr
**+ SEPARATE PERI'IITS REQUIRED FOR ETECTJ I4TCHJ PLBG' GAS EO]IP) PREFABS
& INSERTS ***
pAyrirENr mETHoD:
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f] c*rrc( (PAYABLE
ro wc; I mrnrcaN ExpREss
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ZoNE:
_ 0FFICER:
Approva 1
Comment:
AV
BFE+2ft=
Til.,,'t--Kl
ZIP
i rA lq 2
po t5 -{tltl
NEli, FIAISVER coUNTY BUILDING pERi,trT?€? t"i-13,p'
APPL'CATIOII
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PLfASE
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a( QUESi!$IS A?ptIASrE TO v0t, ,rorfcr
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d:
occur{r/rusntss ir }*:S rrtt
PAO]ECT AODRESS:
proPEiTY Oa{t{!I's ltArt :
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ADORESS:
EITAIL A'OXEs!:
PloJfcr car{tA(T P[is('r:)'.
Exrsr co.,,riucrror{,
ffiuxurror tr r*Jii;'r!X
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If UPFIT - Th€
sh.ll Pernrlt
*: t5 Elcct polr.. on
thl.s Building Eyes [m,'... rs rxrs
^
orllrcs oF ocanucv us:r
flws EI. .*..
lf Yes, ,rtt rnt tht Pi.vlo{t occsprnry T)/P.l rft.t 15 thr lilr Occup.n(y fype?
AiCH DESI@{ PnoFESSlOiIlt
E}J6R D!5I6'{ P*OFEJ5I'iIAI.:
:- ilC REG
T:
:
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b fgod or bero.r0€t pr.rod or sgwsd h
lik structr!?
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led tn
T}|3 Ftodrhh? E y.E No
vOSCLI|MEF: I fl.llty clttthal6ll ld,o.T*don
h
snO local Lw! 8nO 6dinate3 Bid r?9{rEt(h5, T}lo
or ch!r!€ h co.illdca (, tott a6d rtto.rralo.r.
"'
S(o,cdlo Flltt Up ro l5,lo m'-
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PH
PH
ffiffiffi";ffi;SWffiffiffffi,M;J'"
d.ndl!. o( ny tcly or hlltlE. 8! AtD..b.
ft! sr.: tnp-,ffi.ar!-rEEac&..tdimltsn
TO}AL FROJECTCGT: I,IO,'OO BUILDI},IC HEIGHT
-
f S UIiIITS:
TOTAT TSEA.SO.FI: 'idq tF SaF
PERFLR: ", r
e srnnre.i-
rorA! so FruNo€F Aa* 2nco r or
srnucrunff_ ;
G;id;i!, ---
OI/YIIIEFUCONTRACTOR ;
rcRES DISTUREED:-
NfW IMPERVIOUS AREA:--
gST LAND DISTURgf'lc
ltRrrf.n
soFT E(STlNc tMpERvtous AFEA:
Eiws Io
s0 Fl
pnopEF y rrsE:
fprFc-E f]nesmuner,n flxencnxrll.€ [EDuc
flmr &noo crNe*
wArER: -cFPUA Qg$tNryeprt[ trlF]. _EfzonncusEqJrssFcarloN,
.-
sEwER: ICFPIJA ECENTRAL SEPIIC LjPRIVAIE SEPrc DCOUMUNITY SYSIEM*st" RArE pEFUm FEOU|aE roi €LECi,UECH. pL3O, cAS cOUtP, FiSAAS: tNSEaB-
pAy EIT UETH@:
ICISX flOreO< {pAy SrE rO
NrC) fi*renrcalr o(Pass
I uovsr n oacoran
ZOxe: I R:n\8t1&ED
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h G?nlru^. ho[l{ or"i-u]
Y
Commsnt
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SIGNATURE: .?--,---.-"*.__
;^A
NEW HANOVER COUNTY BUILDING
APPLICAITO nPE: COiI}IERCrAL
gots-1111 |
PERr'{rr
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t5-2:3a].
PLEAST ANSTER
AtL QUESIIONS ApPLICAB|-E TO YOUR pROlECt
-projcct Responsibllity-
APPLICATIOT{
l{uob€r
(Offtc. lr!G)
APPLICAIT'S MfiE:
Utr,r,,(L
Jr/*kDATE
DEVELOPER:
PiOJECT ADDRESS:CTTY:
P}ONE
*:
PHOI{E
}:
zt? i
OCGJPAI{T/BUSI]{855 M}lE :
s f.,)
/r-21-t
PROPEiTY o{.[{ER'S iAtlE l
o{llER', s aDonESs:
COI{TRACTOR:/1r-7
ADDiESS:0
E AIL ADORESS:
PBOJECT COIIITACT PEiSoN: JataL
L
ctw:
LICEIEE
*:
clw:
sr
t'.Lztpr ,T)C1 Z
ST: ZTP,,
*z
?d 3r-* (r
Exrsr corsrRucrror{: ErfrrERArror
5 *rnJfrill'n"fi?llil*o, nrrerns
I RErocarroN
tf Retocarion, is theres Nsturstcss Line
onrhe currenr
Siter
[vF[to rserDGspffiriERi;;ffiv"" firu.
NEp coNsrRucrror{:
! rnecr rEN srRUcruRE
I rrcr rmcx
I sxrr_r.
! u*rr ! ,, a ,rrr, srRUcruRE
ACCESSORY STiUCIURE:
If UPFTT
- Th€
sh€Il Permit
*:
*T'1' IS THIS A CHANGE
fF Y€s, l,hat lras the Prcvlous Occupancy Type?
PXOI{E
P}O E
T:
Is Elect Power on this BuildinS E yes El ruo
I
I vrs
Im .....
t{hat
ls the t{ey Occupar€y fype?
OF OCCUPI,{CY USE
ARCII DESTG PROFESSIO{AT:
EI{GR DESIGI{ PROTESSIOML:
DESCRIPTION OF I.IOR(:9Ee Lr/L
h food or bevers$s pepared or seled ln thls shEture?Yes
No ls
lhe Propedy Locsbd In TI|€ Floodptotn?
E yes
/(tOIVNEFUCONTRACTOR:A,*zn
{
trNo
DISCLAIMERT I hercby cedfylhal all lnformation tn
and locallaws snd oft,in€rces End
reoulallons. The
or chanoe in @ntractor gr (Dnr6clo' liloftalDn,
"'
subiedlo Flnes up To $sCo.00"'
$aiinF;#,]ffi id:aHhT;ffi
0i#i#ffiIfilF"ffi ,Hfl dHff ffi ft 'dgffi
lo
ACRES 0ISTURBED:
-
NEW IMPERVIOUS AREA: So FT
(FOR OFFTCE USE ONLY)
ryy!? ?!I!BING pssMm flygs
I Ho
EXISTING IMPERVIOUS AREfoSQ
FT
pRopEFryusE: BFFlcE flnesmumnr fluencamu fleouc
flarr fhoroo orree
WATER: F-'ICFPUA T-] COMMUN]TY
SYSTEM
EWEIT EIZONING USE CLNSIFICATON:
sewei,
fi creur
ff ctxrnru-seerc Elph'rvere serrr g6nuuxnvsrrEil
f SEPARATE PERMTTS REOUIRED FOR ET.ECT, MECH, PLBG. GAS EOUIP, PREFABS
t INSERIS *
pAwENruErHoD: flcasx flcreo<pavraEroNHC] flauenrcax a0nEss [fMc,vrsA
ftoscown
ZONE:_OF|ICER:_ SETBACKS:
F:_LH: RH: g:
Approval: Crty:-DATE: . FLOOD:
__ _ BFE+2fr=
RFVISED DAIE 1/1iN2
t{
0
ACommont PERM1T FEE:
0
TOTALAREASO FT: 9OO,T
TOTAL SO FT UNDERROOF: lnoc
SQ FT PER FLR:
# OF STRUCTURES:
f 0F ut{tTs:
f 0F sToRtEs:
* 0r TIOORS:
-
TOTAL PROJECT COST:
.,i.;>,,w Ar?Ltctttoflttdrr
{ofat.! ur.}
,Qors- llqll
NEhl HAruovER couNTy
BurLDrNc pERfirrT,il? t5-;:;,r:-
APPLJCtffdl
trtlr CmIERCIAL
rt€ 3! lllltr
^rl
qr:stto6
lt?lrrrlt m tqri pno)tar
-troJr<t Rlironrlbl.llty"
,
/r,
l,ar*tcr{r's N
I!
orv:toPEx!
a/,,DITE,
tioStcl a00REs5:r'7;.:9lfd.: t ", l',.' ,! /
c{CIII/t )L,tit
pforE 3:
2!?t qra .
PKX{g
l!*,Q@z
Sl: _ ZI?I _
wo.E
.t qD ,3t -18t,1
ocoJ rrl&Jsl)r$-5 N ,1l:
li,t <lY -7
Pastrrr oalilrlt
ot*.ll's looRtssr
lo}lt:
CTTY:
LtcEt.st a:
crw:
E,llf L AtOiEsS I
Pl6tcr cii*fiacr Pttsor r?tc*{!
}r
{('t<r rl.l It t rra:r,
Exrst co*nTBucTt nr
flfirlEurrol
f nE}O./ATICfi
D GCII!RAT RE'ATiS
I nr
r.orrrrorv
ti R?bc lo,r, b $cre n Nslural G83 Lin! on th. Cun€rll
sii.?
I trNo rs SLDG
spRrN&€REDr
I vcs
flrro
Mt{ cot6Tiuc?1ql:
D tiEcr ltEt sr*ucnnr
I rrsr nrrx
I snerr"
f] ur17
[ ,!, ,0 rxrs, 5nw?uia
accltsoBY Stlucnnt:
rf uprfr - the
shlll P€rnlt
*: Is Elc.t pou.r oo
thls Bulldlng I ves I ro..... r! rxrs e txlrcE or oca,alrv t,rrt
I vrs E]. ..-.
If Yas, lrlrt !t! tlta llqddrr Occuplnay trp.? ll'!:t 1s th; &r, Oc<ufa,r<y Tyrr? --ar$ 0€JIql PrO rE5st0iil
l:
Ei( Da't6ti PfiofE sldl^l:
Pfi:
-
tl( ru6 t
9s:
_ lC etc
I
D[scr]firai:oF]taw;
Eb tbod or b.tt..!or Flrrr.d or rr|!d h d{.
nnttrd D y€.It Tlr. Prog€rty tocaad h t" aoo6f.frf I Vu
Io
$Srat B\iidr. aad. 6ndcty$. i ri D.rD...rnr
l. . vdarirr o, ,r
OmEXreMIiigfOR l.ltti Ati*trati S|GNATLnE:
{C..-" Itd r-t
^CRES
DISTUR8ED:
--
NEW IMPEM/OUS ARE'';
a-
r5li D-Efrt! idtrc.ocr t 8Eo. rrn1.yl,atnr.tpt
l'r &.
b!..r&llary urr€ !'r ifd..d.. t rl Gl+(t.r?ta),itu [r
fd] c &t6l! x.r
br! lo
o.l.trlrao c id.
Yor. rqr.d o a.M tllhnal E.narb
&ret br rltrlht.* mrrrr. ncgiur.'{*idnyr.r,sr.tlc ar.
^.b.d!.
trg
3.:rft!a',;;;,;;;;;r;iii*- *''ototq,*co r ..' tD'}T
PEblt
rolfi. PROJGCT @AI '
I /,' "' ', SUII.oIi'G HEIGHT:
--
, OF
U rTS:
TOTA! l4! 605if : ,."r, tr SO FT PERFLRi_ r 0r
SYOf,tES:-
rOTAr SO FT l.rNDER R(,oF:
2.@_- r OF
STRTrTURES:
-
*
* fr.6OiS, --
E|GT LAxo DISTURB|NC
tnunr l] veS
Enoso FT Exrsll|'Ic IIPERV|OUS AIt]t SO FT
pnopEFry usE:
srncr finesT,uRA,rr f]uencrxru.e Deo,r.r
f]pr [como orxer
wAtER EcFPtte
If COmrtlrrnY SYsIEr,l
DwEu Ezo Nat
UsEqrss,r*r,Ord -_=-.
SE}'IER:
I CFA.,IA
E CE'flRAI.
SEPNC LJ PRIVAIE
SEPTIC DCOUMI'r{TIY 3YSGX
*stFrIAtEFEFIrTS aE{urEED FCr €LgCt. raEO{.pt
c,c s
EO]F.rriEialg L€Ei\ -p^ytc r *tETrOO: DCASH
EO{Eq( (pAy^rE rO
$rC} EArrERrcAx EeR6s ftr*uvru Doscovq
i
I
FOn latta'ru:
ZONE:
x lo",,C!&,'\{ Ftll.^
* t*-irrnr;t Lro(ii o"tt f,
Co$manl
drrr5 -11113 15 -32,3b
APPLICATION
Number
NEW HANOVER COUNTY BUILDING PERMIT
APPLI cArIOtt TYPE: RESIDENTIAL
PIEASE PRII{T CLEARI-Y & ANSWER ALL QUESTIONS
"Project ResponsibiU.ty''
APPLICANT'S N'UiIE:
DEVELOPER:
4a€5r€e BA,CI+6L-I-
PRO]ECT AIDRESS:
ffi
Onrr: I
ts rr
(Ctffice Use)
ztP ,:
LOT #: _
PHONE S
BLOCK SSUBDIVISION:
LrNO
Aght+tL,Utu\
PHONE f:
sr.:lLlizrPtZ945
ACCOUNT *:
sr:tCzrP: "44PHONE f:
PHor,rE s: qto 633 +31 1
PROPERTY OTJNER'S
O}JT{ER, S ADORESS:
(,
3
CITY:
LICEI,ISE *:
CITY:
COiITRACTOR:
ADDRESS:P€
EII'IAIL ADDRESS:
PROJECT COI'ITACT PERSON:CHarse ahL$66
NEW CONSTRUCTION:RE CT
EXISTIttc CONSTRUCTION
ENEr^t RESIDENCE or
! aOOr
ALTERATToN @gerororro*
TO EXISTING RES
GENERAL REPAIRS
E
RE LOCATION
TION IDENC
lf the project is a Relocation, is there a Natural Gas Line on the Current Sitel
f] ves f] Ho
Is there Electrical Power on this Building?
[ ves [ rc
ACCESSORY STRUCTURE:DET GARAGE
-
SFDECK
_ sF
I oerr eoncH
_ sF
tr
D GREENHOUSE
SCREENED PORCHSFPOO L 5FSTORAGE SHED 5F
SFOTHER:SF
Is Any ELECTRICAL,PLUI4BING or I'IECHANICAL Work Being Done to the Accessory Structure?
I ves
! r,ro
PROPERTY USE
/ OCCUPANCY:
firr*o,r rorr,,DUP LEX
I rownxousr
DERIPTION OF AJ:)Vl+f,uN,,U C
DISCI.AIMER: lhereby cenify hatall inbrm rn his applicatior is cordcl and allcomply wrh he Statealloher applicable Slrle and local laws
OIIINER/CONTRACTOR :SIGNATURE:
(Pri.t Nane)
**)*t,t+* )i it )t* * ,t,t,* * )*** * *,|*+r* r*
* )t** * )** ++ )*,*
*,* * * ,I,! )i(
* * )t* *)t't+ i( 't *:* lr** )tr!t *l + ** * ,l.
** I *, * *********** * *
ted in a rLooonutu?
! v"t Zl ruo
TOTAL 5Q FT UNDER ROOF:
-
TOTAL ACRES DISTURBED:
rorAL PRolEcT CoSr(ressroo:
$4{bO
.,
andodinances and regulanons The NHC Oevelopmenl Servces C€nbr willbe nolilied or
conract r
inbmalion. "'NOTE:Any worl Perlomed w/o he Appropriale Permitswillbe
aoychanges in he appmved plans and specificaUons orchange in coniracbror
in Violaton oflhe NC Siab Bldg Code and Subjecl b Fines Up To
$500.00"'
a---/ 2 Q<^t
Is the Property Loca
rorAL sQ rrr t96 No. oF sroRrEs:
EXISTING IMPERVIOUS AREA:
-SQ
FT
I{EW IiIPERVIOUS AREA:
-SQ
FT
I
fr
hIATER:
SEWER:
CFPUA
CFPUA
COMI4UNITY SYSTEM
CENTRAL SEPTIC
PRTvATE wELL
I crHrnar wrrl
PRIVATE SEPTIC
f] coruuurrv svsrru
,o"** ",',i51^*^ff:ll;" E':;::-'?:^;$:J '"'1i,"'ijii'llii;|i"^biiii;li-'" I **
,* )**+
*+* )t,| *,* * * i. ,* ,1*
**,i** r')i'i* +'t** +*'t ** 'B+ 'i*** 't )i )t 't r**'t * 't'** )t '| !* '* * )** )t* * * )t*!t* )t*+* ** * '***'i * )t** * )*** * *
(FOR OFFICE UsE ONLY)
ZONE:-OFFICER:SETBACKS:F:-LH:-RH:-B:-
Appnoval:-- City,- oATE:- FLoOD:
-
BFE+2ft=
avN
Comrent:
PER,'IIT FEE:
crw:
tr tr
tr
m
CONTRACTOR:
ADDRESS:
?o,s-trV:yl5-3aa1
APPLICATION
Number
NEW HANOVER COUNTY BUILDING PERMIT
APPL ICATION IYPE: RESIDENTIAL
PLEASE PRINT CLEARLY & ANSWER ALL QUESTIONS
"Project Responsibj.lity"
BAC\+6tf DATE:
(office use)
g
ZIP I
APPLICANT,S NAI'IE:
DEVELOPER:
oH€51-g&11
3PRO]ECT ADDRESS:
SUBDIVISION:
CITY:
PHONE #
BLOCK S: _ LOT #:
\ st u-lw1r
c\71z6^] srt
Lgrrp I
PHONE *:
ACCOUNT #:sr:!gzrP:2*A
PHONE S:
PHoNE #:
1to€33 e311
OPEN PORCH SF
€E-PRoPERTY ol,JN E R' S NAflE:
OWNER,S ADDRESS:CITY:
€er u:tt D3 LICE
CITY:
Ifthc project is I Relocalion. is thcrc a Natural Cas Linc on thc Current Sitcl !YesNo
ls thc!c Elcctrical Powcr on this Buildingi
I Yes No
p*
ETIAILADDRESS: CTTE-SZTCE,A.cl+6LT @ql4klL,cDv,,\
Ctlarae<.*(t*qLT
ACCESSORY STRUCTURE:DET GARAGE SF
PROPERTY USE
/ OCCUPANCY:
DECK
_ 5F
SCREENED PORCH
-
5F
GR EENHOUS E
-
SFOTHE R
Is Any ELECTRICAL, PLUiIBING or I'IECHIGIICAL Work Eeing Done to the Accessory Structu'e,YeS
nro
jf",ro,, rnmrrv
! ouerex
PooL
_ sFSTORAGE SHED
-
SF
SF
TOWNHOUSE
ychanqes n he approved plans and
Violaron ofrhe NC Slale Bldg Code
,rn"oru*r'4/^d
DESCRIPTI
OISCLAIMER: lhereby cerlit hat al! inlomation in tris applicaton ls corect an
and ordinances and regulalions The NHC De velopmen I Se Nices Cenier
"r'illbe
noljfied ofan
connaclor inirmaion"NOTE:AnyWork Perlormed W/O tre Appropriate Permitswillbe in
ON OF WORK:2t5<
4.1 ^TOTAL SQ Frt L/!-) NO. 0F 5TORrES:
EXISTING IMPERVIoUS AREA:
-SQ
FT
NEh, II,]PERVIOUS AREA:
-SQ
FT
ft
he State Building Code and allot)el applicable Slale and local laws
specificalions or change in con tracior or
and Sublecr ro Fi.es up To $500 00"'
^J
TOTAL SQ FT UNDER ROOF:
-
TOTAL ACRES DISTURBED:
7 &zr'(
(P.int Name)
i(:*;****,t***r(*******)k****)t*********)**,*******+tr(*******,**,*******,*+)*************,***
TOTAL PROIECT COST(LessLor):
$' /3.{AO rs the Propentv Located in a FL6SDPLATN?
-.-r--
Yes
El.*.
WATER:
SEWER:
CF PUA
CF PUA
CENTRAL I^]E L L
COIT]MUNITY SYSTET'I
... SI PARALl--.PID'II IS T.uL
PAYMENI METHOD: LI CIS' U
)**+ + **r( * ***,t+ * * t( *1' * * r' * 'ir *** *
(FOR OFFICE U5E ONLY)
ZONE:
-
OFFICER: SETBACKS: F:-LH:-.RH:-B
Approval:-CitY:- DATE:- FLOOD:
-
...7 ..'...r
ltdln roR tr-, +t Cd, ''L rr- ^' r0r'l '. ': Fr^[!-r'. l\:lR "
;;- [^;;;., r.'t*l ' Errr.'o..*r, E *r'.***o E "to*)t*)i+)**)t++,********)i*******'********)******++'****'**********'*'f***
BF E+2ft=
.-
PERMIT FEE:
Nu{-
s:
PRO]ECT CONTACT PERSON:
NEW CONSTRUCTTON:
f] ERECT NEW RESTDENCI.or! AOOrrrOll ro ExrsrrNG RESTDENcE
EXTSTTNG COHSrnucr:O-lt,
! nrrenarrolt frqruovarroru ! crrurnal nrearns
I RELocATIoN
tr
untr
I
n
owNER/coNrRAcron,l *{r>rEP B/{c+t€m-
[-l coMI,auNrrv svsrem
I enrvnre wrrl !
fj cer,rrnn'- srerrc
! cRrvart srcrrc
!
Comment:
i
Jrys:111?NEw HANovER couNTY BUTLDTNG peRt.trr
APPLICATION TYPE: RESIDENTIAL
PTEASE PRINT CLEARTY & ANSI{ER ALL QU€STIONS
"Project Responsibility''
L 13NC*6LT-
l;- 3 r:o
APPLICATION
Number
(crfice Use)
olre: \\\3\ tt
ZIP :
ffi
er\
PHOi,IE f :
I
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER, S t,IAI.tE :
P
crw:\-lvl
4 trrE{)
BLOCK f:
PHOiI E
LoT s: _
s: qlo Zb t!-1O3rr.Efr@
)
Oi.OIER, S ADORESS:
1a tYlftsD iBgot-\\a\'\taETz\rJCITY:
LICENSE S:
or a ACCOUNT S:
sr:tczrP:
e-?A
PHONE *:
PHoNE *:
tto 633 (31 -?
CONTRACTOR:
ADDRESS:CITY:
EI,IAIL ADDRESS:@L,?nwt
PRO]ECT CO TACT PERSOI,I:C*arse 4AC 6LT
NEW CONSTRUCTION:
EXISTIiIG COI{STRUCTION
Ifthe project is a Relocation,
Is there Electrical Power on
ACCESSORY STRUCTURE:
Is
ERECT NEhr RESIDENCI or
r
I arrrnnrroru ffiqr
ADDITION TO EXISTING RES
ru0ru [ GENERAL REPATRS
Current Site?
[ v"s [ ruo
IDENC E
RELOCATIONNOVA
is there a Natural Gas Line on the
this Building?
[ v"t ! tlo
DET GARAGESF
tr DECKSF OPEN PORCH
SF l-l sronacr ssro SF
DUPLEX TOI,,INHOUSE
5F
SCREENED PORCH
-
SF POO L
GREENHousE
-
sr I orltn, ...---sF
Any ELECTRICAL, PLUIBI G or ]IECHAI{ICAL l'Jork Being Done to the Accessory Structure? E Yes
pRopERw usE
/ occuPANcY,
flrrro,, ramrrv
!
No
SCRIPTION OF
n)
C[,JNER/CONTRACTOR :
(Print Nane)
****,t,t*,|l*,*+:i,!***,*+i|ir****++xIt:t,|,*+*+*+*)t,t***+X,t*)****)t,l+,t***,****)t*++'**)**r'*'*'t*****'**r****:***
DISCLAIMER thereby certfy tlata[ inbmation an his applicalion is conec
andordioances and regulaiions The NHC Developmenl Services czner will
contacu int maton. "'NOTE:Anywork F'erfonned w/o he Appmpriale
t and all work will comply wih t)e
be notlied olany chanqes in he
Pennals willbe in violaLon olfie
SraE Building Code and all oher applicable Slat and local laws
appmved plans and specifrcatons orchange in.onrebror
NC Sbre Btdg Code and Subiecl io Fines UpTo $500.00"'
SIGNATURE:'7 T><-J
TOTAL PROIECT COST trsss roo: $
TOTAL 5Q FT:()
ExrsrrNc rMpERvrous AREA:
-
sq rr l{t\C-fle< r'/O\Ue
Eul rtpERvrous AREA:
-sQ
Fr .$ tt:8,9CO
Is the Property Located in a FLooDPLAIN?
B Yes L^no
NO. OF 5TORrES: I TOTAL SQ FT U DER ROOF:35o
TOTAL ACRES DISTURBED:
-
4
D[
I{ATER:
SEI'IER:
CFPUA
CFPUA
CENTRAL WEL
COMMUNITY SYSTEM
00D:
n
FLOODZONE
oFfIcE USE O TY)
E: R
-AO oF FrcER:
Coflme nt :
(fon
z0N
App
,o*,* n,'*i51^^^ff:ili.' H':ff:-'?i^;HiJ,i lili,"''H-l;'-1L:J;"^h-Jfi'i-*" H "'*
* ** )* )t,t + ** )t,t
*,i*,1*!B* '* 'f ** 'i 'r:t '* * 't** '| )t* '** )t 1' *'*** '*:t 't '* * )t 't * '*)i* ** )t:*
* 't* * )t
* l* *** )t*)** '** '* ** ** t*)r * **)** * *
rovat:.,Q1!citv:
TVrh sErBAcK
\ r\\u'n oarr :!-!!!-1..i! rr
s: rg,@-r-H,t.]/A *r,A)Ae,NA' 5iradod X err*ztt
oFEE:
?as+ 616-\rY\P}Owfn 0nkl\h L{$rV- c\cneia
eirl lnspechon Requtrco' 91 0'254'09f1
nj
C
APPLICANT'S NAIitE:
DEVELOPER:
+.,)
tr
tr
trtr
comr4uNrrY svsrem
fl PRTvATE t"tELL
CENTRAL sEPTrc
! enrvare sterrc
Cikffi r,re*g:r
ntr
U
>otf-nqg
HANOVER COUNTY BUTLDTNG PERMIT
APPLICATION IIZPF: RESIDENTIAL
PIEASE ANS!€n ALI QUESTIO'{S ApptI(ABtE TO YOUR pRO)tCI
"Project Resporsibility,,
PRO]ECT AOORESS:
SUEDIVISION:
PROPERTY OUNER'S
MIttE:
u,'r
OH'IER'5 ADDRESS:
NEW
{\V
APPLICA'JT'S t,lAIIE:
DEVEI.OPER:
CONTRACTOR
ADDRESS:
PHONE
T:
BLOCK
PORCH
--
SF
STORAGE SHED
&-ro*r-Lqt|Xz=St-La
5Tl_ZIP:_
E3 Accot T t: tna/UI
sr,
U(z{p..Q?(ll
naw *:(Q0Ltl-S??O
PHalr.
t,fu[tE!3j)!l/
APPTICATION
Number
(Offi.e Ure)
onrr,
ll-29 - 15
zrP:29qll
Eruo
llo
LICENSE
'CITY: h)Ot
th
lr,
DET GARAGE
-
5F
POO|- sF
ffi
CITY:
CITY:
"h
ENAIL ADORESS:
PRO]ECT CONTACT PERSOI.I:
! arr cauor
_ sF
f] surunoor.r
_ sF
I cnrrHrousr
-
sF
Y'
IL
EXIsTING CONSTRUCTION:
E ALTERATION
RElovarroN
fl crrrnal nrearns
fl RELocATIoN
NEW CONSTRUCTION,
I rneCr NE], RESIDENCE
o"
lx *orrro* To ExrsTING RESIO€NCE
..PLEASE CHECX AT'IO A'{ST{ER.8ELOT{
ALL THAr APPLY TO YOUR
PRO]E(T:
5F
I orcx
ISF OTHER;
at 5F(officc)
TOTAL HEATED
Sq TT,
BA,I TOTAL
5Q FT UNDER NOOT,
flAI TOTAL AREA 5Q FT:
TOTA! PRO]ECT COST rr-ess roq , $ 15,ooo f oF STORTES: 3
Is Any ELECTRICAT-, PLU,48ING
or
'4ECXANICAL
trork 8eiflg Oone
to the Accessory Stru(ture?
d:,",If the project is a Relocati
Is there Electrical Power on
al Gas Line on the Cunrent
Sitel E yes
"r f-l to
on
, is the.e a Natg/
his Building? Ely
PROPERTY
UsE
/ OCCUP
DESCRIPTION OF WOR(:
ANCY:
f] ouer-rx
,(
SE
{(
DBCUqlf,lER: lher?D, c€.tly ,l€l ai inbmarkrn n lnis.pp0calon is correcr anO a so,t wrh
complywrt| rne SlateCode and at otler apOttcabb SraE and tocar,aw\
ald odinarce5 !d regutauor's -fhe NBC Oevehpmenl SeNaes Cenre. wi! be noDtied ot any changes i^ he
3500 00".c@|,*rcr inbmabn "a.lOTE: A.y Wort Perfo,med w/O lhe
Appropriar pemats wit, tte m Viotatlon ot lhe NC s
OWNER/CONTRACTOR :SIGNATURE:
(P.int r,lane )** r * t *:l at *:t *+* *,t * 't + * + * + 'r + + a* * * * * * * * * r * * **,t r ** r * * ** *,t
t* *,I
*:tt ** r ** * * * *,r,
t* * *r t * + r i * r
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
YEs
fl ruo
TOTAL ACRES DISTURBED:EXISTING IIIPERVIOUS AREA:
I.IEW IIiIPERVIOUS AREA:
LII IB-NIA-
/ .o*rrrr" ,rrr.,
SQ FT
5Q FT
. 108
EXIST LANO DISTURBTN6 PERI{IT:YE5
fl ruo
WATER:
E CFPUA
sEr.rER:
E CFPUA
ZONE : _ oFFICER:
PRIVATE WE
LL
f] crrrnal srnrrc PRIVATE SEPTIC
CENTRAL WELL
COI,I''T,,NITY SYSTEM
.-'+ 5EpARAIT- pERTITS ntQr_'rRri rt.)ri
r.l.Ic.r, ]1tc]1, pLli6,6As tqi)rp. i,R
A85
$ i tl!rRt5 .
PAYI4ENT
'IETHOO:
D cos, E.recx (eAvABLE
ro nrcl Iarll accu.'xrBClVI5A
f] orscoven
(foi orfrrr u'r o{rY) f,rvtsr! 0116 onlrr/t)
SETBACKS: F:_ LH:_ Rfl:_ B:_
Approval:_ City:_ DATE:- FLoOD:
-
BFE+2ft=
-
AV
coirDent:
N
PERMIT FEE:
'
LOT a:
--
/{'j\rl
A^"" g.frrr't f"".
D
8at
SINGLE FAI\4ILY
I
ffi
NEW HANOVER COUNTY
BUILDTNG PERMIT
APPLICATIo,'I TypE
I RESIDENTIAL
PLEASE
ANSll€i ALt QUESTIoI{S Applr(agLt TO yOUfl piOltCT
"Project Responsibility"
P}ONE S:
l ot'-/llya
lg3'a tj
APPLICATION
Number
(office u5€ )
d/r* .nr"
/
itel [-.1 ves
flto
PROJECT ADORESS:
PROPERTY OWNER'5 MII,IE:
OWNER'S ADDRESS:
APPLICA'JT'S I.IA',IE :
DEVELOPER:
COT.IT RACTOR
ADDRESS;
BLOCX *:
'nl
L)
STORAGE SHED
P}ONE ':5T
(aac\At,-rqru
,y'Cue ,4,7)lJ
zrp
)f'/ / /
PTIONE S q
r0tll'€47o
5F
0
CITY:
CITY:
,i
o" (o LIC Ei.ISE S:
83 Accouirr *: beJl, L
h)sr llfifr,eF4l!
NEw
coNsTRUcTroN,
[-enecr NE], RE5TDENCE
o"!*orrror ro ExrsrrN6 REsrD€NcE
.TPLEASE CHECX ANO A'{ST{ER.8ELOI{ AI-L TIIAI APPLY TO YOI,R PRO]ECT:
EXISTING COT,TsTIUCTIOI:
(
EttAIL ADORESS:Y
PRO]ECT CONTACT PERSOTI:
ATT 6ARA6E
! surnoom
_ sF
PROPERTY UsE
/ OCCUP
OESCRIPTIOT{ OF WORX:
EXISTIiIG I PERVIOUS AREA:
I,IEI.I IMPERVIOUS AREA:
,non o,p!fu!3.ii2g_
OTHER:5Rn tr (o
taundyv
ffice , cxerclse
(r,
DET 6ARA6E SF5F
POO
L5F
l-l oecx
_ sr)GR E ENHOUS E
5F
rorAL HEATED
Sq rr, 580 rorAl sQ Fr uNDER noor, 580 rorAl aREA
sQ Fr: 580
roTA! PROIECT COSTTL.s"ro,r ., $ 15.000 T OF 5TORIE5: E
Is Any ELECTnICAL, P|-UI,|8ING or IiIECHANICAL
Woik Seing oone to the Accessory St.ucture?
If the project
is a Relocati
Is there Electrical Power on
ofl,is the.e a NatXaI 6as Line on
the Cu.rent S
is Building?
IZ v"r l-'l Ho
ANCY:
SIN6tE FAIlILY
(
r
DISCI IMER: lh€€byce.nry lhal a rnbrmario. in
Ois applaaion !scorreclanO arlwo,l wrll
complywib ire Sbre 8ui
a^d odio ces rxl e0ulauons The NHC Oelelopmedr Setuaes C2nbr w'U be nollied ol any cheges i^ he approvcd
Gontrbi iibEalion ""NOTE:Any Wo.k Pedorm€d w/O the App.opriac Pemis will be n Violaron ol lhe NC Stale
OWNE R/CONTRACTOR:SIGNATURE:
(print Nah.)
+ * rr r ra. r *:| *.* r * * * *,* + * a,r r, r i* t. * * * r,
* *,i t r
t
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES
f] r,ro
! ouetrx TOWNHOUSE
and a, oller apprrcabb
slaE and rocarra{s
o 1500 00"'
*,lt *,1 * *t,rr * )i)i* t i * l r l * t *r:rri * * * !t
r
*,i*,i 'i * *
'rt
* rr * i
nrvl9to
0ltc 6./ r 1/ 1)
115 t3
NIA
SQ FT
5Q FT
TOIAL ACRES DISTURBED:. I03
EXrST LAND DrsrURgrNG re8mrr; I vts l--'l ro
r^rArER:
I crcun
[[ comlluNrry sysrEM
I earvnrr wrr-r-
f] cENTRAL wELL
sEwER:
D crrua
f] CENTRAL sEPrrc Xl pnrvarr stprrc
f] coMr{rNrrY sYsrEM/
.'t 5EpAkAlr- P[Rlrrrs H[(r'JIRtD l:oti ll.Ec'1, ]1tclJ, pLljc. 6n: tq,lP. r'xry'us
s rlJsri:'l:) '-
pAyr.lE T |ETHOD:
EClsx EcxecK (payABLE ro rxc; [arr. rcco.rtr fin lutso f]orscowr
*... i r,. r trr a a it,a r
{foR ofFI(E utr orLY)
SETBAC(S; F:B
ZONE :OFFICER:
Appnoval:- CitY:- DATE :-- ftooD BFE+2ft=
t{
PERl4fT FEE: $
Colrment:
LH RH
'(z
s$
Jam<"
A.f ,r,s (nnsfrno*'on
(o.rTnq. oorr,
ll-2g-15
I eonor
-sr
SUBOIVISION:LOT f: _
CITY:
ALTERATIoN
fl nrruovarroru
[ crrutrnr- REeATRS
I RELocATIoT'l
tr
L
APPLICA'{T'S tIA}tE:
4^r,l.tt@R:
PRO)ECT ADORE
\(\
&
NEW HANOVER COUNTY BUILDING PERMIT
APPLI cAT,oN TYPI: RESIDENTIAL
PtErsE arsrEr
alt Qutsrlqls appttcAEL€ r0 youn pio)r(r
. "Projlct Rcsponsiblllty"
lats- /rYrY
w7-t(-]aa?
APPLICATIOi
l{t,nber
(Ofrlc. Ur.)
,orr, (Pfzog
Phr{E #:qto=-nru6Z lrzt-olll
/rL ztp
| 2.8/ctC ITY;
SUBDIVISION:Fv^ti,{b P BLOCX t:LOT Si _
*: elo
"tjl-Ztt 1/
sr, ttnr,fu)
srtLLzTP
a!!97
PIO E *:
tf,nt[
i': qlO
"rL+'|lot
5F
PROPERTY O+T.IER ' 5
OHN€R'5 AOORESS:
I
c<t I
,LY{ Lo,
COi{TRACT0R i
ADDf,ESS:
LICEIsE
':CITY:
b{i
5F OTHER;
EiIAIL ADDNESS:
ke
hdee-'itp
PRoIECT (ONTACT PERSO'I;
tr'e
EXtSTrl,rG CO|{STRUCTTOI|
E ATTERATTON
I nrrWarrOr
! etren* neealRs
! RErocArrchl
t{EH COT|STRUCTTO :
E rnrO E}J RESTDE CE o" f}mOttrOr rc aXtSTrMi IESTDEICE
..PLEASE CflECr( Alto lr6vEn SELO{
Au, t}tAl IPPIY I0 l.Om InOJECI:
larr ernner
-
sE I orr eaeret sr
! eonor /5! sF
f] surnoo'r
-st
I roor.
-
sr STORAGE SHED
-
SF
E ongrrfiousr
-
sr I orcr
TOTAL IIEATED SQ FT: O TOIAT SQ FT UIIDER rcOTI "# TOTAL AREA SQ N: /9i
IOTAL PROIECT COST tress Lort : $ 75,OOO f OF STORIES: I
15 Any
tE *tn o" lttcHlt{tcaL york Being DonG to the Ac<essory stru(turcl @ ves f} rc
If the project
is a Relocation,
ls there a Natural 6as Llne on the Current Site?
rlVes fiAo ^4aI ts tnere Ele(trical PoHer on this rr*+dirrt? p ves
rfxo fi ..l( tcrrA uJl l&ic t,' 1f e
pRopERTy usE
i/ ocG,PAlry:
[f srrer-r ratrr.v
I urlrx I ro,r*oust
DESCRIPTIOI OF I.'ORX:
fu k e:..e S;le
OBCLATTEfI Ilf,Eby.cnjiy n3' rl hbftoaon . ,ri. .cAr.rh. b llrict lld d *ort
dt cooply wrn t $rb a'rEiig Cod. ,l. d onlr .od..ob Strt
,{, bc.l t
rt
rnd orlnance. aia iegubrbfis Ina NHC Oalabprnenr Sa lvrc! C€nl. !$l !c nolfco ol rny ciaE?t h
!t. aopov?6 pltn 3 ,rd a{,ed&!lDnr d cirnoe n
conri.br or
conrac b. 5bfln.t6n '-I!OTEr
Ufi{ER/CONTRACIOR
Anv \ryod PcrlorFrd Y/ro |h. AE rr.r P.nn'!r
ra ne. Vo
,
P&t*Ald*#*'-...-t
DrD.
ofh! NC Sr.E B0g Coa. rld $OFct D Fitar rh To !500 0C-
I6iIATURE ;Bcb A
Snaen
Si/!IaI4r? (;Fr:<r-t
rrr..r r r.. r rrri a
r*i lt.l. r*... * t... ir...rir!...iir.trt tr...t. 'i** t** ** +**..
rs rHE ,RopEirY LocarED rr{ A Fl(xxrPtarfll
El YEs
EXISTIIS I|PERVIOUS AREA:
-SQ
FT
[€r IroERvtoUS aREA:
-
SQ FT
,ar.r, Pf crrur
D co ltutlITY 5Y5TEX
tr
,ln
sErER:
M cFPua
PRIVAT€ TIETLC€IITRAL }'ELL sWlntt
,tgqui)CENTF}L SEPTIC
fl eervare s:crrc
D
NO
TOTAL ACRES oISTURBEDI
EXIST LAIO DISTURBI'{C PER}iIT:
l-l vts
' ,,1;i4I" SEPAEA'I E PERItITs NIQUIREO FOR EIECT, I1tCH, P186,GAS EQOIP, PRE'ABs
t INSERTS
"'
PAYI.EXI ITETHOD:
tr casx
I crccx lervaalt m errl
tr IITERICAI €XPRESS
E r,crrrso
! orscorrn
(rof, orrica u'E orLY)$vlsto oar( a./11/r2
zu.rr'
Q$orrrcea'
Apprcval:- CitY;
SETEAC(5:r'3O..ra_RH:l-H
DArE:IL3l5 TLOOD:A6\2.s'
lO srlt
-
sre+rlt= \
9 .5 '
x -t?, ^PEirrrr FEE: I l'\
Yl
ood 3.o "'.-< .
l-ro.-...o-- qPftx,r'r
+2
CTNI
Coo ent:
No lor\on oba{i
tr COMITJNITY SYST€H
CITY:
L((\
t(-3aa?
tols-l/YsY
APPLICATION
Number
(Offi€e Use)ffi
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION
IPEI RESIDENTIAL
PLEA5E ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
\ "Project Respons
ibility,,
il
APPLICANT'S I{A'4E:
4na.le(l-@En'D^rE,t
4/EfLrE
PHONE 8:qto=frF6t lsz/-o,oj
crw:
,ttc- zrp
| 23qo
,
BLOCK $:LOT
*: _
ProNE s: slo
:agkzaat/cfiY; w sr ' ,!<-zlp t jTi'c 3
lla,"tu*e.r
LICENSE S:
CTTY:
dt,ll"-,i, i-sr;&zr1| zgwT
PROJECT ADDRESS
SUBDIVISION:EftYN;Nb P
PROPERTY OWNER,S t,iAI'IE :
cctl
,LYo?ut
OWNER,S ADDRESS, {t'lo EBft')
CONTRACTOR:
ADDRESS:
EMAIL ADDRESS:
tr
Is Any
DESCRIPTION OF I^,ORK:
DET GARAGE
PooL
_ sF
DECK SF
A?.tn
PHONE
f:
[l(}NE
f: 4/o
-52+ -02PRO]ECT CONTACT PERSON:
Exrsrrirc coNsTRUcTroN: p alrenarroru
[ nrruovarroru
[ crlrnar neelrns
! RELoCATION
NEI4J CONSTRUCTIOH:
I TNECT NE}l RESIDENCE
O"
! IOOTTTOI TO EXI5TING RESIDENCE
I.*PLEASE CHECK AND ANSWER BELOI,I ALL THAT APPLY TO YOUR PRO]ECT:
tr
tr
sr
fl eoncrr I55' sF
! sronacr sHED
_ sF
c
Ae-
2eJec{'
5i&o
ATT GARAGE
-
SF
suNR00t1
_sF
GREENHOUSE SF
ot*,i&-
TOTAL HEATED SQ FT: O TOTAL SQ FT UNDER RQOF: 15{ TOTAL AREA
5Q N: 155
TOTAL PROI ECT COST lress rorl : $ 1{, ODO
t[arnrrrc
or IIECHTINICAL
Work Eeing oon
OTHER:SF
OF STORIES: I
e
to the Accessory
structure? p[ves ! ruo
If the pnoject
is a Relocation, is there a Natunal Gas Line on the Curnent Site?
! ves @No {1A
? tr thu"" Electrical Power
on
this B{#i++iarB ?
@v"s
I no
ft a,J( qarcl,
w;il tan ,,'
rrt
pRopERry usE
/ occuPANcY' ffsrruer-e FAMTLY
fl DUpLEx
n rowNHousE
ke ket s;4e
DISCLAIMER: lhereby
cerli, hat all inform.lion in
his applicalon is conecl snd all work willcomplywilll the State Building Code and all oher appticabte Srab and toc6t taws
and od in ances and leo u lations The NH C Developmen I Se rvices C€n ler will be notlied of an y cnanoes in he approved plan s and specificarions or change in con rracb r
or
.onlracbr inbrmaton. "'NOTE:
Ot,lNER/CONTRACTOR
A-y Wor( oerformed W/O
t'e ApgrtprialF Pem,ts w,llbe ,,r
Volator ol lhe NC Sta.PalpiAld^. srcr,rAruRE:P,lx A Sr,wneR
re Bldq code and subiecr b Fines up To $500.00,'.
,*,*,* * )t,r * * *,t,f * ,*
*5,c tia(qt e s,i.+-n' +rtt,t+,***,r*:xrr**r**)**++r***i***.rr****r********r(*!tt*********+'**,1**r'***.
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTII.IG II'iPERVIOUS AREA:
-
SQ FT
NElll II4PERVIOUS AREA:
-SQ
FT
YEs
El uo
TOTAL ACRES DISTURBED:
_
Exrsr LAND DrsruRBrNG ernr,rrr'
a yEs E No
tl
WATER:
SEI,JER:
fl *eua
! conmuurrv sysrEM
I PRrvArE IIELL
f] ctHrnal wrrl
fl croro
f] crrrul sEprrc
E PRTvATE sEPrrc
I comuutlrw svsrem
Apprcval:- CitY:- DATE:- FLOOD: -
**i S€PARATE PERIIITS REQUIRED FOR ELECT, I1ECH, PLBG, GAS EQIJIP, PREFABS & lNSERTS.***
,o"rr* ,rrgoo,
-
E cm,
n cnrcK (payABLE ro urc;
I arrnrcA1 ExpREss
E 1rczursl
I ors.orr.
* *)** *)t* )t** )t
+,*,f*,**:r**)t:t * i.,i * * )t,t )t*** **)t)* *** *,t *,*,t )*:t:t
** ** )**
*'| *** *)**:l:l*+)* rt)t
* *
*)*+:l:t*)t *:t:t )t
**'** r* r*
(FOR OFFTCE UsE OIILY) tEVrsEo oaTE 04111/12
ZoNE:
-oFFICER:
SETBACKS: F:- LH:- RH:- B:-
BFE+2ft=
N
PERMIT FEE:
$-
ECTRICA
(87-
Comment:
L(a
TOTAL
TOTAI
Is Any
If the
Is the
*il
S;ii:f,iYhNEId HANOVER COUNTY
BUILDING PERM]T
AFPLICATION
Typg: RESIDENTIAL
PLEASE
AI,I5\IT
AIL (}JTSIIOIIS APPLICABLT TO YOUR PROJE|T
..project Responsibil j.ty',
her{APPLICANT'S I'IAI.iE
c
*'r.t
derffi:a
PRO]ECT ADDRE
SUBDIVISION: f
PROPERTY OI,JNER'5
tIA E:
or.,r,i!R,5 ADDiESS:
rt
5i
CITY
CITY
LIC
CITY.
^ITcNATURE:
aloct( s
cd
APPLICIlION
I'lu0be
r
(orfi(r1i!)
Darr: l/ztE
"t#tE at 1/o,-791
- ao tl
zrpt
&L*1'09
LOT
f:
PI() E fi
5T I
4( ZrP: z(r.loi
E
E,
COiTIRACTOR:
ADDR.SS I
Ens€
t:
5T: zlP I
?toNE
*: q/0 -
54 -oLo )
PRO]ECT (OI.ITACT PERSOI{:P!&NE
tt l/c -
EXTSIIT',G COXSTRUCTTON:
D ALTERATIOT
I nenova.rrou f]6ENERAL
REparRs
! neloclrrot
NEr,r
colsTRUCTroN: @-rne cr n.r
tJ*il&
o"
I aoorrror
ro Exrsrrt6 nEsrDErircE
..PL€ASI CHECX AIIO Afis}rER BEI.OX
ALr THIT APPTY TO YOUR PTO]ECTtr
EiiAIL ADDRESS:
tr
AT] GARAGE
-
SF
sur'rRoofi
_sF
GREENHOUSE
-
SF
i?',t iLtt
HEATED
5Q FT:
PRO]ECT COST I
fl oer eaaaer
-_- sF
! eooL
_ sr
fl orcx
-.-_- sr
FT UNDER ROOF
TOFST
or IEaHltlICAt t/ork Being Oone
to the
l- i poncu <E
I sronaee sHEo
--
sF
orHER: rA.)of
Ps&-op dbsF{el
, {& ..+68rorrL
AREA
sQ
Fr:
ORIE5: /
Ac(essory struc!Lrel lyl ves fl lto
Vplaho. clthe NC Srac
8l!9
@ +ts
prolect is a Relocation,
is th€re a Natural 6a5 Lin
e on
the Current Site?
n Yes
I ro y'/n
re Electrical power on
this euildingt pf'ves f]Ho
PROPENW USE
/ OCCUPAI,ICY :
Pt'strcrr mrrlv
! ounrrx .I ra,lrrouse
DISCR]PTIO OF I'ORK:
Cur*el'ArA4'
k k*bt\-
otscL MEa 3l workw ..omo y*rrl lhe srate 8 code and .r, o'loi !!'pt'c sbE
slat.id bd t;.and o'd:n.rc.s rnd egu ralbn3 Tle NH C
OeBtopnen r
S.dic.s
C!.c,edri.d orB.t ch6nges h he spron.4d s..c
ferss or ch!n!
/1
(P.rit rr.r€)+.r* *
i r r * * r
*+rv*r *r * *:.,1+* ii*r *r + i*
co.vr.br i^t!r!lon .-NoTE. anrwbrk Perro
1:
Z/,*I o S5O0 0r)"
* + ,r
r* i!
ti'i r * * * ** +*
** * * *
*,i * * * * *,* *
*' ** *,r
*1***r f *
** **,rr r*
r5 THE PROPERTY LO<ATED
II{ A FLooOPLAITI?
EXISTII'IG II{PEnVIoUS AREA:
_5Q FT
t{Ell IfiPERVIOJS AREAr
_ SQ FT
EXIST LAiID DISTURBT G PERTIT:
n Y€S
Eno
r,J^rER:
EfcFpua fl coaHurrn svsrrr"r
f]PRIVATE WELL
f..l centml we r-r-
sEr.rER r
[J crcua
f, crnrur srnrtc
I PRIVATE SEPTIC
fi counrurtn svsres
.' f*,r rrrrr*rrri._ rnsBec|lcn [equr*o, $] 0-2S4-0gS
FLOOD ZONE
'.' sfPMATE pERr4rTS REQUTR[0 FCn ILlCI, r.1LCti, p186, GAS EQUIp, pRElAES 8 rN56nTS,,'
,aynEirr
,,l:rloo: f,crsr flcr:c* (payaBLE To "".y [-,.r,* ,ir..i, i nirurii -Errr.or*
";I;:-::?,\F*5**{",_. qtyls(0 ortf o./1r/:2
n
rlt"!. $ ryr-.,-.
- ,rurr.= f q. S [*e\,Approva
+\rL
P€FIItle.
\NlL,t
ITf\
+?r
Comment:
\hnrh,
OATE :F
LOOD:
d.,
FEE:^r_
/^o({ ^{llf \rd:l\ 6ry'\Hffi*.*ffir$n
OI.'NER/CONTRACTOR:
,*r'Q!$orrr.,^,
,-(1\5-3
^fi
A DIJ'lll(to
#
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPT; RESIDENTIAL
PLEASE
ANSIIEi ALL QUESIIONS APPIICASIT IO VOUR PRO]ECT
"Project Respons j.bil ity"
n.,
APPTICATIOI{
Numb€a
(of+i.(e1,se)
DA1E: tfil z.n6APPLICANT'5 I{AI'IE:C
h'ci
*r.{.fa{ormt;e
CEPRO]ECT ADORE
suEDMSIOt'l:
e("t
>J
CITY:
CITY:
L
CITY:
SF OTHER:
= fle m^,,'nLt,' c
ICEIISE ':
ELOC( *:
STORAGE 5HED
Plo E fi: 1/o.1jl -za6/
zrPt
ffiL'U'it
ES
r | $f zv I zbtto 3
PROPERTY O,JfiER, S
OUt'lER'S ADOREsS:
CONTRACTOR:
ADORESS:
NAI'i E :HONp
t,
c
ST:_ZfP:_
PROIECT CONTACT PERSOI'I:
EXISrrilG COr{SrRUCTrOil:
I Alrrnarrot I nrnovarror
I 6ENERAL REPAIRS
NGN cor{srRucrror:
[t-rnrcr *r,, **;tS o"
I aoorrrou
ro rxrsrrNc iEsrDENcE
..PLEAs€ CHEC( All0 AllSt{ER BELoiJ ALL THAT APPI-Y TO YOUR PRoI€CT:
SF
I roncr
-
sF
EI\{AIL ADDRESS T
f] rrr car.acr
-
sF
I surnoon
-
sF
I cnerrunous e
-
sr
ToTAL PRoIECT COST {
a.(), c44^/.
-z;(e
DET GARAGE
PooL
_ sF
D ECK
ptONE
r: q/C .,524 -cz_( J
PKIiE {: 'l/ C -rz1'-oltJ
SF
ilaf?sltts *sr{t"b
TOTAI HEATED 5Q FT:O rorAL sQ FT UNDER ROOF:' 9681srAL AREA
sa nt @"1[8
t0oo f OF STORIES:
{-t'tor I'IECH,{IICAL Work Eeing oone to the Accesgory St.u(tu.el("., E NOI5 any
rf t
Is t
PROP
DE.5C
h*
I ves
I ro r{lt}
complywfi $e Sl6G Blilding Co6e and alr o1hc, appLcablc Stac and bcalla*s
ychanges
fi he approved plans and sp€c,fralioos o.cha.ge n coonacicr or
OISCLAIMER
snd ordmsoces and regulillons Ihe NtiC Devotcpmenl Ser,'lc€s Cencr w
conracb, nbr.ration "'NOTE
OdNER/CONTRACTOR
h€ project
is a Relocation,
is there a Natunal Gas Line on the Current Site?
here Electnical Pow€r on this Building?
f?fv"t f| ro
ERTY UsE
/ OCCUPAMY;
n SINGLE FATI LY DUPL EX T0^INH0USE
RIPTIOI'I O' WORK:LOIX.!"O
axt ->ble h-h-
,,ny WoB perlomed w/O !'te App,opr'ar! pei!ils *'llb€ d
, Rab"i Rd Si,rn^ur^o
VEhtEn ol rhe ltC SlaE Eloo Cooe and SuDecr rr F
^Jrq{AruRE:
A"/^tAl*-
Io 5500 ocf"
PRIVATE I.JE L LCENlRAL I.]E L t
(aoi oFFt(E U!€ OlrY) Rtws'o oArt 0trl1t/12
SETBACKS: F:- LH:- RH:- B:-
IS THE PROPERTY TOCATED It'I A FLOODPLAII'I?
EXISTIiIG IUPERVIOUS AREA:
-SQ
FT
NE}'J r PIRVIoLS AREA:
-
SQ rT
wArER:
ErcTPUA I cor'rnuHrrv svsrrm
I
YE5
EIno
TOTAL ACRES DISTUREED:
EXIST LAIID DISTUREITIG PERITIT:vEs
n r,,o
sElJcR:
[f CFPUA
ff CENTML sEPrrc
f] rnrvnre strrrc
I coMMUNrrY sYsTEM
... stPAfiATE PtRlllTs RtQUIfiED toR ILtcI, Htc}t, pl-BG, GAs tqljIp, PREf^Bs 8 lNsERTs
".
oor*r", ,ur*',' -E .^;; n.ri.* (PAYABLE To **) D *""* "o*"t E ttl'rso fl orsto"*
*tr*i+*r.**rra**1**t****r**.r*)}l'***)r**rrr.,l*!t*jllt*****+r*1rt*)rr*'t't'********r(**l'**t
ZONE OFFICER:
Appnoval:_-- CitY:- DATE:-- FL@D:
-
A
BFE+2ft=
_
LTCTRICAL, PLUI1B
comment:
l{
PERI,IIT FEE:
I
LOT ,i _
RE
tOCATlON
tr tr
.$\<,'3za? ^
.to/s- lHYb
APPLICANT,S NAI'IE:
*n{,}darrm:Q
PRO]ECT ADDRES
SUBDIVISIO:E
PROPERTY OWNER,S I,IAIi!E :
OWNER,S ADDRESS:
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION TYPE
I RESIDENTIAL
PLEASE ANSWER
ALL QUESTIONS APPLICASLE TO YOUR PRO]ECT
"Project Responsibility"
rl ,rtft!
crw:
BLOCK #:
CITY:
PtfiNE
*t '7/o'
PHONE
f:
tlrq ,wr,rnLe I c
ENSE S:
! eoncH
-
sF
STORAGE SHED
-
SF
OTHE
R:
l&lEst 4--fisr{t"b
To $500 00"
ffi APPLICATION
Number
(offire
ii,,se)
DATE: I
I
E
c 6
e
LOT S:
ztP | #Lt1'0t
sr I
d:zrP I z8+o 3
CONTRACTOR:
ADDRESS:
EMAIL ADDRESS:
EXISTING COiISTRUCTION;ALTERATION
suNR00f,lSF
! eReenxouse
-
sr
p-
LIC
CITY:
ST: ZIP i
('caJ
. aoqp.PHONE
f: q/0 -
54.cz-o,
PHONE
*: 1/O -tztt -4Lej
trRENOVATION
f] ne locarroN
NEr,r coNsrRucrrou:
ffrnrcr *r,
?{&it$* o"
! noorrrol ro ExrsrrNc REsTDENcE
*,PLEASE CHECK At'lD ANSWER BELOW
ALL THAT APPI-Y TO YoUR PRoIECT:
! lrr ennacr
_ sF
D OET GARAGE
-
SF
PooL
_ SF
DECK 5F
TOTAL
TOTAL
Is any
PRO]ECT COST o# OF STORIES:
^.{ttor MECHTI/ICAL
Work Eeing Done to the Accessory Stru€ture?
{v",
!No
If the project
is a Relocation,
is there a Natunal Gas Line on the Curnent Site?
Is there Electrical Power on this Building? [fv". I no
! v"r I r'ro rVlA
PROPERTY USE
/ OCCUPANCY:SINGLE FAI4ILY TOINNHOUSE
hle l^bDISCRIPTION OF WORK:a,uw!
h*
D SCLAIMER: I
and regulatons. The NHC Developmenl Services Centerwinolilied of any changes in lhe apprcved plans and specilicaiions or change in
contracbror
all work willcomply wih rhe Srale Building Code and alto$er aprticabte Srab snd toca|aws
HEATED SQFT:O rorAL sQ Fr UNDER nooF:
:#968roral AREA
sQ fit @+tg
,,".-.*r, g dlfDpg
ny
Worr Perfomed W/O he Appro
ftob"rt rtry{
pr.aE pemils wrllbe rn
Volal'on ol lhe NC SlaF EldO Code and Srb|ecr b F
Sinn^ur^o n irGnAruRE : /L/rr$ Aa-
IS THE PROPERTY LOCAIED IN A FLOODPLAIN?
EXISTII'IG IIiIPERVIOUS AREA:
-
SQ FT
NEW IMPERVIO,S AREA:
-5Q
FT
contactlr inbrmaton '-NOTE A
Ol,JNER/CONTRACTOR:
(P.rrl Nane)r*)t,t:t,|**,*,****)t,t,r!t*,***,t,r**)t,*****++*+,t*,t**+*+****+**+'*++*+,***)*,**,1,t)r******)*,***,*,***********,i*n YES
EI,uo
TOTAL ACRES DISTURBED r
EXIST LAND DISTURBING PERMIT:
l-l vrs
[-] m
I,ATER:
Ef cFpuA
! coroururw svsrrr"r
fl PRrvArE WELL
I crrurnnl wrll
sEwER:
fficreun ! CENTRAL sEPrrc
I enrvrrr serrrc
f] coMMUNrw sYsrEr4
*I1 S€PARA'TE PTRI{ITS REQUIRED FOR EL€CTJ I4ECTI' PLBG' GAS EQUIP' PREFAES
& INSERIS AT*
pAy6Erfi ETH9D:
E aos*
[artaK (PAYABLE ro lxc; I alrrnrcar{ ExPREss
I rclvrso I orscovt.
:*
* * * *)t* * * *,1 ,l
*,1* ,t * *:t +i.+ r** r*
r.t *++ * r* )i
***t* *:* r*:** *)* )t* )*
**,t,* *+rN*:*rt* '*)*)i:t)t*)t)**)t* )** 'i+ *:|)i)t*)*x)r **** )x*
ZONE:
-
0FFICER:
(FOR oFFrCf UsE oNrY) REVrSto DA-r[ 04111/12
SETBACKS: F:_ LH:- RH:- B:-
Appnoval:- City:- DATE:- FLOOD:
-
BFE+2ft=
-
AVN
LECTRICAL, PLUI'I
Comment:
PERI'IIT FEE:
PRO]ECT CONTACT PERSON:
tr tr DUP LEX
GENERAL REPAIRS
(
Jotl-11tr,L5-27 L3
reviewNEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTlONs APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
LICENSE #:
CITY: I'Iy r r Le Bedcir
2
APPLICATION
Number
(office Use)
APPL I CANT, S NAJU1E :DATE: q ! 15
DEVELOPER:PHONE #:
PROJECT ADDRESS: 1s:18 rimberrield :t
PROPERTY O[^INER'S NAltlE: p R Ltorton, rric.
Ol,'rNER'S ADDRESS: 40rl seLle 'terre Bl1'd
CITY:rt le Beach
sT: sc zIP: 29s r9
CONTRACTOR: D. R. lio rr, on; ncaccouNT #:
ADDRESS: 40lJ BelIe Terre Blr,.1
ST: sc ZIP:29519
Eli,lAIL ADDRESS: iaBa L.ieroseclrhorlon. com PHONE #: 841 646-2318
PROIECT CONTACT PERSON: ., , . ,:: :PHONE #:843-616-2 318
EXISTING CONSTRUCTION:ALTERATION R ENOVATIONGENERAL RE PA] RSRE LOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE o" ! aOOrrrOru TO EXISTING RESIDENCE
*,*PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
DET GARAGE SFPORCH 211 SFATT GARAGE I95 SF
SUNROOM SFPOOL
_ SFSTORAGE 5H EDSF
SFGR E ENHOUS ESFDECK
SF OTHE R:
TOTAL HEATED SQTOTAL SQ FT UNDER ROOF: a::r TOTAL AREA SQ FT: 1J, ij,re
TOTAL PR0IECT C0STrressroo : $ r;s,,.1
Is Any ELECTRICAL, PLUMBII'IG
or MECHANICAL Work Being Done to the Accessory Stnucture?I Yes No
Ff
i 2'1e2
If the project
is a Relocation, is there a Natunal Gas Line on the Curnent Site? f]Ves
Is there Electrical Power
on this Building?
[-'] v"t ffiruo
!No
PROPERTY
USE
/ OCCUPANCY:SINGLE FAMILY DUP LEX TOWNHOUSE
DESCRIPTION OF IIORK: ::::!-e !r:rrl.' :.eirc.l: Lr1
and ordinances and regulatjons. The NHC Development Services Centsr willbe noliriod
ofany changes in
he approved plans and specrfcalions or change in coniractcror
contacbr inbrma[on. "'NOTE:AnyWork Pe ormed W/O fre Appropriale Permitswillbe in Violation ofthe NC StaE Bldg Code and Subject to Fines L]p To S500 00"'
owN E R/ CoNTRACToR: ,: ,:
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
rl YES
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEW IMPERVIOUS AREA: 2:ro1SQ FT
CFPUACOI4MUNIry sYsTEM
: i :: on.l, SIGNATURE:
T NO
TOTAL ACRES DISTURBED: ..
EXIST LAND DISTURBING PER IT: N VES
ITI ruO
PRIVATE WELLCENTRAL I,.]E L L
que Morale s,
****,k***{.+1.1.i.i.+*r(*XX**+1.1.++++++*++r(**,k*,t*+,t++++++++++1.,1+**+******+*+*****)k***r<l.r(*r.**r(,t*,t
WATER:
SEt^lER:creun
! CENTRAL sEprrc
l-l eRrvlrr seerrc COMMUNTTY SYSTEM
*** SEPARATE PERMITS REQUIREO FOR ELECT, MECH, PLBG, GAS EQUIP, PREFAES & INSERTS ***
PAYIiIENT I4ETHOD:
fI CISX
I CTICCX (PAYABLE TO NHC)I BrLL AccouNr
I r,rcuvrsr
I orscovrn
,* + * *,(r.+ ++ * *,*,t+ + *,*r.+ +* )t
*,t + + ** )*)t,t+,i +,*,** *t,t,a:i*** * *+ ++** ***)* *** *** * r.,* * + ++ + x,i * x **,t,* + '* 't '*
't*** *'*
(roR oFFICE USE Ol{tY) REvrsED DATE 04111112
ZONE SETBACKS: F: LH: RH: B:-
N
Appnoval:- CitY:- DATE:- FLoOD:BFE+2f.t=+lrlr
ffi
CITY: h,i
lmincEon ZIP: :i4r l
SUBDMSfON: l.,e:,r.,k -q*- 1,1i.1 ile s.ur:i BLOCK #: LOT *: -.:
PHONE #: R4 I i,a r,-.i: l rl
# 0F STORI ES
: .,
OFFICER:
Qols-lttol
NEW HANovER
couNTy BUTLDTNG penpirr
APPLICATION
TYPE: R ESTDENTIAL
17L3
APPLICA
Numbe
(Office Use)
PLEASE ANSI,{ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'5 l,lAf.lE: D.
ii. lr.rrr-c:,I r':c
DATE: I 9 15
DEVELOPER:PHONE *:
PROIECT ADDRESS: 1):b rriii-.er:1ei,i irr
CITY: i"iilminoton ZIP i 284t7
SUBDIVISION: rlverl.r.rrr
Ar l.1i.l(1i. rtornrj BLOCK #:LOT *: 35
CONTRACTOR: D.
R. irort-on1nc LICENSE #: 2e6,r6 ACCOUNT #:
CITY:Mvrl Ie Be achST:
!!_ zIP:
::jI
EIAIL ADDRESS: pcBaLderoseGdrhorton. comPHONE
#: a4 3- 64 6-2318
PROIECT CONTACT pERSON: FhLll,p tsaLderose PHONE
S: 813-616-2318
EXTSTTNG CONSTRUCTTON:
! nlrennrrOlr
! nrruOVArrOr,r
! CrrurRar neearns RE LOCATlON
NEW CONSTRUCTION:ERECT NEl.,l RESIDENCE oTADDITIOI'I TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT:
ATT GARAGE ]14 SF
f] oer cnnace
-
sFPORCH:{r 5P
SUNROOMSFPOOL SF
tr STORAGE SH EDSF
tr GR E ENHOUS E
SFDECK
SF OTHER:SF
TOTAL HEATED SQTOTAL 5Q FT UNDER ROOF: 41s? TOTAL AREA 5Q FT: r,,80e
TOTAL PROIECT COST rr-ess rou : $ r"L,tt.t # OF STORIES:
Is Any ELECTRfCAL, PLUITIBING
or f'IECHA,{ICAL Work Being Done
to the Accessory Structure?
fl V"r [ ruo
If the project
is a Relocation, is there a NaturaL Gas Line on the Cunrent Site? [ Ves [l ruo
Is there Electrj.cal Power on this euitding? [ves T No
PROPERTY
UsE
/ OCCUPANCY:sINGLE FAMILY DUPLEXTOI'NHOUSE
DESCRIPTION OF t'lOR(: sjnsle Famlly F.esi.iential
* +* {r + + + + * *:t ** ** ** ** **,t *i.1r* + * 1r,a ,. + + +
FT:. 2i 3e
and ord in ances and reg! lalion s The NH C Oe velopmen t Se rvices Cen Er will be notfied of an y changes in he approved plan s and specincations or chang e in co n tractc r o r
conra.br inbrmaiion. "'NOTET Any Work Performed W/O
he AppropriaE Permits will be in Violalion of the NC Siat Bldg Code and Sublecl t] Fines Up To
$500.00"'
)
IS THE PROPERTY LOCATED IN A FLOODPLAIUI
I-'I VES
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
* + * + * *,i,i i * i if
* + + :t + :t
* + * )*
* r*
* + * * * * + * * * * i. * l. + + * i. i. * * * + +,* r. * i. *
T NO
2941
SQ FT
SQ FT
TOTAL ACRES DISTI.TRBED: . 4 il
EXIST LAND DISTURBING PERMIT:
[-] ves
ITI ruo
(FOR OFFICE U5E ONLY) REVIsED DATE O4l11/12
SETBACKS: F:- LH:- RH:- B:-
COI'IMUNITY SYSTEM PRIVATE WELL
CENTRAL WELLWATER :
SEl.lER:
CF PUA
CFPUA
! crrurRar srerrc
! pRrvATE sEprrc
! coNruurrv svsrru
*** SEPARATE PERI.IITS REQUIRED FOR ELECT, I'IIECH, PL8G, 6A5 EQIJIPJ PREFABS & INSERTS ***
PAYI,IENT IiIETHOD:
E CNSTT
E CHECK (PAYAELE TO NHC)T BrLL accounr
E r'tc/vrsr I orscovrn
****rr+*i(1.1.r.1.111r++i(,*r.,t++**r(*r(+,i+*****t*+,t**)i)*,*,*,t*,i+*+******r'*++trr++++********)**)**'*'*'*,r'*'*'*'*'*'*
ZoNE :
-
oF FICE R:
Approval.:- city:- DATE:- FLoOD:
-
AVN
BF E+ft
h-l1-
PROPERW oUINER'S tlAfiE: p.R. Horron, Inc. PHONE
#: 843-646-2!18
otlNER'S ADDRESS: 4073 Belle rerre 81..'d. CfTY: Mvrrle
Beach ST:j!_ZIP:@
ADDRESS: 40ll Bette Terre Etvd
OWNER/CONTRACTOR:
Er,rirre t.1,i:-Ll'.s D.t.j.,:t.r, 1r,. SIGNATURE: