FEBRUARY 3 2016 BUILDING APPS&
o
)o rs -szb b
APPLICATION
Number
(office Use)
APPLICANT' 5
DEVELOPER:
DATE :(<-
PHONE f:
PRO]ECT ADDRESS:
/ / I Sn,.t?A-/v t* ctrY I
zfft2e4o I
OWNERJS ADDRESS:
Ao
OCCUPANT/BUsINE55 NA'i1E ;
PROPERTY OWNER'S NAME:
d,
PHONE S:
4/o
-2"o-lz\l
ST pt2E+o3
ACCOUNT S:
fi.>,..*,gg@<r3
{zl CITY:
ICENSE S:
CITY:
LJr
EIIIAIL ADDRESS:<--a,PHONE
#; q lO -'Z-o o --I
?_'t t
PROJECT CONTACT PERSON:PHONE *:
NEl,'l CONSTRUCTI0N:ERECT NEW STRUCTUREFAST TRACKSHELLUPFITADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE;
t-Z
oo-/z?/
*r*** Is THIS A CHANGE
IF Yes, what was the Previous Occupancy Type?
oF occuPANcY user
f] vrs
What is tffi* "....
he\ew Occupancy Type?
ARCH DESIGN PROFESSIONAL
ENGR DESIGN PROFESSIONAL
NC REG #
NC RE6 #
DESCRIPTION OF WORK:
ls food or beverages prepared or sewed in this sruaure?
[ ves fi ruols The Propeny Located tn The Ftoodptain?
[ v"r ffino
rk
willcomply wilh lhe Slale Building Code and all olher applicable Siare
wrllbe notifred ol anv chanoes rn the aooroved olans ano sm.rfrcatrons
e Approprrate Permrls wilt tie In Violarron ot the \C Srare Blog Code and
DISCLAIMERi I hereby ce lfy thal all information in lhis applica
Develand local lavYs and ordinances aalions. The NHC
tion is correcl and allwo
ent Seruices Cenler
rmation. "'NOTE:Any rk Performed
WO thor chanqe
SubjeclloFines Up To s500.00"'
OWNEFUCONTRACTOR:frz,ler,cl< fk deu=on-- srcNAruRE
contsin Asbestos or nol- You are fequirsd to csll the Naijonal 10 days prior !o lhe
demolltion of any lEcility or buildiS6e Asbestos web Site:
d0Je
TOTAL AREA SO FT# OF STORIES
# OF FLOORS:TOTAL SQ FT UNDER ROOF/2C9/ # OF STRUCTURES
ACRES DISTURBED EXST LAND DrsruRarNc pentulrrz
[-l ves
I ro
NEW IMPERVIOUS AREA:-SQ FT EXISTING IMPERVIOUS AREA
pRopERTy USE:
lOrrrce lnesreunmtr luencnurtle leouc APTCONDO OTHER:
Emission Standards tor
hllpl vww.epl.stale nc.
BUILDING HEIGH
SO FT PER FLR:
llt€ett(NESHAP) at (919)707-5950 ar least
. q"!f, , rn$peclr,t{ t,(oqull.,e,
# OF UNITS:
91s254{901
SO FT
WATER:
SEWER:
COMMUNITY SYSTEM
-WELL EZONING USE CLASSIFICATION
cENTRAL sEplc D p-RtvATE
sEprtc ndoMMUNtrY sYSTEM
PAYIVIENT METHOD
ficesH f]cxecK (eAvABLE
To Nxc; fletu nccouNT DMc /lsA
I otscovenffr*
(FOR OFFICE USE REVISED DATE,UIl/12
zoNE:
[rl\y OFFICER:SETBACKS:
Approval:- CitY tLt. DATE:r(rlooo:
ONLYI r
"il"iJ .r, J RH:
,J B:-/
BFE+2fr=_
)-). J; rr
I trl <.iv I
(Commentt t).P PERMIT FEE: $
NEtd HANOVER COUNTY BUILDING PERMIT
APPLICATIoN rYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICASLE TO YOUR PRO]ECT
"Project Responsibility"
CONTRACTOR:
ADDRESS:
Exrsr coNsrRucrroN:
f] ALrERArro,
5 *r*liiii'# 'ffi|*o, neenrns
I RElocarroN
tf Relocation is rhere a \arural Gas Lrne on lhe Currenl Srle? l_.lllfes L_l No lS BLDG SPRlNKLEpgpe l_-l ves fifto
If UPFIT
- The SheU Permit #: On-?^lq'7 rs Elect Power on
this euilding fi/ves E ruo
PH:
PH:
TOTAL PROJECT COST:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION
|YPE: COMMERCIAL
PLEASE ANSWER ATI QUESTIONS APPLICABLE TO YOUR PRO]ECT
\5-
551t
JorS - / rd((
APPLICATION
Number
ffi n " Prriect Responsibility,,
f rtR+zro tu C -u-7o,r,
tlo .n
ae J.-^,qAPPLICANT,S NAI'IE:
DEVELOPER:
(Office Use)
omt /Z Z/5-
PHONE
S:
PROIECT ADDRESS: /
PROPERTY OWNER'S NAIiIE:
OU{NER'S ADORESS I
5 CITY:./h ZIP I
OCCUPANT/BUSINESS NAI'IE :
EIZD
l-e
tel4
q. dAC?ao cl
CITY:
LICENSE S:
C ITY:
PHONE *:
oa ,t) (asr: l,h.pt
ACCOTJNT #:
qlo
-3Ez-7t//
a
CONTRACTOR;/
ADDRESS:
EI'IAIL ADORESS:
A t/ ?-
PROJECT CONTACT PERSON:
fA I'C
C,C
(-e
(aheck
All Ihat Apply)
SI,IL z]'P:21
-z 3APHONE
S:
PHONE *:0lo
-z"n'?30
ADD TO EXIST STRUCTURE
Exrsr coNsrRucrroN:
E ArrERArroN
E RENovArroH
! erlrnel REpArRs
Tl RELocarroN
rf
Retocation, istherea NaturarCas Line on rhe
dirent Site?
EyeTENo tS BLDC SpfiiKt eRfo?
[ves f]ruo
NEI^, CONSTRUCTIoN:
I enecr NEW srRUcruRE
! rasr rnrcr
! sner-r-
fr uerrr
!
./
ACCESSORY STRUCTURE:
If UPFITThe Shell Permit #:
ZOZO Is Elect Power on thj.s Building E yes
i.**r,'. rs llrs A CHANGE
oF occupANcy usE?
EyEs
[rc ***** FS'I46tlsH
IF Yes, t{hat h,as the Previous occupancy Type?l,,Jhat is the Ner,/
occupancy Type?
PH
PH
NC REG #:
NC REG #:
n?€fl No wo(K(6<n(To ESTA 6Lr sH 0( uhv<1 1\?E
ls tood or beverages prepared or served in this struaure?
[Yes I tlo ts The Property Located ln The Floodptain?
[ yes ffi
lding Code and all other appllcable
nt
lheStale B
and
OWNEFUCONTRACTOR:
(A!a irEr)
Note: Demolition noullcations & asb€slos rernovalpemn applicalions areto be submined usino the application torm {DHHS"3768) wherher the facitity or buitdingw6s
@ntaln Asbe$os or nci. You ere required to call tho National Emisslon Sl,.nderds for Hazsrdous Aj. Potluianrs {NESHAP) al (919)707-5950 at tea$ 10 days prio.lo lhe
dernohion ol any hcjlity or building- See Asbestos Web Sito: hllpJ rwlv.epi.nate.nc.us/€pr6sbe$os/ahmp.hht
TOTAL PROJECT COST: BUILDING HEIGHT; # OF UNITS: \
TOTAL AREA SQ FT\boo SQ FT PER FLR# OF
STORIES
E,ro
TY
ls
ARCH DESIGN PROFESSIOiIAL:
ENGR DESIGN PROFESSIONAL:
DESCRIPTION OF U]ORK:
TOTAL SQ FT UNDER ROOF:
_ # OF STRUCTURES
ACRES DISTURBED:
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:
\# OF FLOORS
SO FT
pRopERryUSE: ffiorrrce flResreunerur
luencarrue
leouc [aer lconoo oflren' Srttly'FSS
WATER:
SEWER:
rfr
E
CFPUA
CFPUA
COMMUNITY SYSTE
CENTRAL SEPTIC
EZONING USE CLASSIFICATION:
flcoMMUNrry SYSTEM
M T-I WELL
LI PRIVATE SEPTIC
PAYMENT METHOD
ficasn flcnecK (eAvABLE
ro NHc) EBILL AccouNr EMcA/rsA florscoven
.'SEPARATE PERMITS REOI,]IRED FOR ELECT.I\,4ECH PLBG GAS EOUIP PREFABS A iNSERTS *'
(FOR OFFTCE USE ONLY)
ZONE:OFFICER:
AVN
Comment PERMIT FEE:
$_
4tlozz-
EXsr LAND DtsruRaruc pEnurrz
l-lvrs [ ruo
REVTSED
OArE 4/11/12
SETBACKS: F:-LH:- RH:- B:
NEt^/ HANOVER COUNTY BUILDING
APPLIATTON TYPE.. RESIDENTIAL
,),,.-,tLz-y\t _>
PERMIT
IL-\1r
APPLICArION
t.ltber
(Office Use)
APPLICAI{T,5 MlrlE:
DEVELOPER;
PRO]ECT ADDRESS:
SUBDIWSION:
OOJNER'S ADDRE5S:
PLEASE ANSIdER
ALL QUESTIONS APPLICABLE TO ]OUR PROfECT
rpmject Responsibil,ltJp
T,A,t Ll.;b
crw:
DATE:
PI0fiE
*. t-tll'1 -
17)?
l-/-
CfTY: W
Lrcgnse
*: 'Jxa3 ACCOUI,IT *:
CITY STI
LOT *:
ZWl.
.ryjc 3
Slr DLzIPt ? ?2)01
BLOC( #:
PROPERry O NER,S MITIE:
otld L"L
CONIXACTOR:
ADDRE55:
ocA
LLer
EIiIAIL ADDRESS:
PROIECT CONTACT pERSoN: 'T)Ad
L
OA
tA:ztPl
LtL) 3
z/901
37tr
L e,L
PHo E
*:
PHONE #:,1
)tt13-3)
EXISTII{G CONSTRUCTION:ALTERATIoN
fl neruovarrou
I eerueur nenares
I RELocATToN
iIEttI CONSTRI.'CTION:ERECT NEhl RESIDEiTCE
o"
I aoorrrw To ExIsTIr,lc RESTDE cE
*IPLEASE CHBCK
A}D ATiS{ER BELOII ALL TIIAT APPLY TO YOUR PROJECT:
l-l arr c,qnncr Llb sF
I surunoou
_sFI enreuro:se
_ sr
f] orr
c*naee sr
f] non+i 3
L sr
f] coor-
_ sr I sronaor sHeo
_ sF! oecr
IUJ
SF OTHER:SF
TOTAL HEATED SQ FT:
tlq,-l TorAL sQ FT UNDER
noor: i3{L rorAL AREA sQ Fr3
31L
TOTAL PROIECT COST (rass r-oo : $ (0 m# OF STORTES:
Is Any ELECTRICAL, PLUIIBXNG
or I4ECHTT
ICAL Work
Being Done to the Accesso.y
Structure? E yes Norf the pnoject
is a Relocation)
is there a Natural Gas Line on
the current site? fivesIs there Electnical pouren on this Building?
I-1V". Il\lo
PRoPERw
rrsE
/ occrrpANcy
,
{rr*r, rer,ulv
! a;alrx
I ror,r.uouse
DESCRIPTION
OF NOR(:
P*\ ', t{a rn
e-
Euo
DISCIAIMER I h€lEby
c€ni, h3t all h b.madon in 6i6applcatorl i6 corlBct and all vprk 'ril comply wiir he SEle Boild
hg Cbde and dj ofi6rappficablo Stab and to.al ta*cand ordinancesand regulatons. Th6 NHC Ds'/6topmen! S6rvic€s C6n br will be notfed of €ny chEng66
h h6 app rc
ved ptan6 and6p€cifc€tons or ctrange in
oonfacbr orooni-&6r infrmaton. .-NOTErAny Work porbnnedWrO
fi€ App@p.ia6 P€.mi6wII b€ in Vrolatim of
he NC
Seb Adg Cod€
ONNER/CONTRACTOR:
EXISTI}IG IfiPERVIOI,IS
AREA: D
NEh' UIPERWOI,JS AREA:
o
MTER:
SEI{ER:
CFPUA
E
PUA
ZONE:
cor,x\,lrJNrw
svsreN
I pRivATE riELL
CENTRAI SEPTTC
I en:Vare senrrc
STGI{ATURE:
ToTAL AcREs DISTURBED: 7 | ^r.e-D(IST LAI{) DTSN,RBII{G
PERI'IIT:
N YEs NO
! cenrnnl wer-l
I cotuuurw svsra.t
"t l\lr,^,, n r,\ <\el&t?rl| BEvrsEo DAIE
o4l1r./u
3ol u,-.!o' N+ lo\ B:2<t
*nl,d Lu[a.
-'.?fl":
*** +*** +* + ++*+ *** **** * ** ** *(iiTiJil9] * + +*** **** *+**+*r*+** *** $ * *:r +*** *+** ** + )*
***,r++ * **+
*:r*
I5 THE PROPERW LOCATED
IN A FLOODPLAIN?
N YES dW
SQ FT
5Q FT
./'+s3 sE;'ijt?ATE prpicrs REqUTRED
FoR ELEcr, r{Ec}r, aLEG,
cls EQUrp, pazads a $1sERTs s&'
pAynEMT
rlEmoD: ! casn
f] crrecr (IAvABLE
ro nrcl flerur. *"** 'fl^rn * fl orscor:n
*** **:t*:l***** il('l.*t*******:i:t:i:i*** ****+*i.***:f *:i:t *:t:i *:t:!**+rt* ii*i:**:tr * {r;i*:t,!:**:t:t:t ,t
** * +*;tii**:r* n*
0-t,t oFFrcER:ZA (roR orFI(E usE o{lL
Z--/ SETBACKS: F:
Appnoval:- city: L-rrrn DArE: llAll( FLooD:
U BFEr2ft=
_AVrA
Corrnent:PERIIIT FEE: 9
PnoNE
*: 1qj- 3?)t
/1-
'.L )-
X Ns o ?.0*! Y fr-i -
9S910-254-0lion R
spec
("
DATE :
n
ffi
APPLICANT'S I.IAIi1E :
DEVELOPER:
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICA|ION IYPE I RESIDENTIAL
PLEASE ANSHER ALL QUESTIONS APPLICASIE TO YOUR PRO]ECT
"Project Responsibility"n19ct {, so,\
PEZ (to-Zl0
APPLICATION
ilumber
(offic€ use)
oi.
,l
PHONE *:
PRO]ECT ADDRESS:
SUBDIVISION;
PROPERTY OWNER'S N'II'IE :
OWNER'S ADDRESS;
+S"r{.,#;^
o)CITY:
G((a
CITY:
ZIP
BLOCK
*: LOT #: _
PHONE #:
ST;_ZIP:_
ST:
_ ZIP:
_
CONTRACTOR:
ADDRESS:
EIiIAIL ADDRESS:
PRO]ECT CONTACT PERSON:
Is Any
LICENSE *:
CITY:
of
a I { 1,1o,\
PHONE
*:
PHONE S:G
o.):(G
EXISTING CONSTRUCTION :A LTE RATIONRENOVATION GENERAL REPAIRS RE LOCATION
NEt.l corsrRucrror,
! rnecr NEW REsTDENCE
o"
! morrror ro ExrsrrNc REsTDENcE
*I.PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT:
! rrr eanaer
_ sF I orr canacr sr
! eoncH
-.
sF
suNRoolr
_ sFPOoL
_ sF
DECK
STORAGE SHED
-
SF
GREENHOUSE
-
SF
SF OTHER:SF
TOTAL PROCTCOST tress rort
: $# OF STORIES:
r i4ECHAi'IICAL
Work Being Done
to the Accessory Stnucture?No
rf th
IS th
d1e .J
e paoject
is a
ene E1€ctricaL
a Nat u ry|).
gl ffives
! v"r ! rvoRelocation, is there
Power on this Buildin
Line on
the Current Site?
No
6as
PROPERTY USE
/ OCCUPANCY:
SINGLE FAMl LYDUP L
EX T0ii'l N HOUS E
DESCRIPTION OF WORK:K+
a
l"4ce<5
plicalion is
cofiecl and allworkwrll
NHC Development S€rvices CenGr willbe norilied ol an
EXISTIITIG IMPERVIOUS AREA:
_SQ FT
NEN IMPERVIoUS AREA:
_SQ FT
complywit he State Building Code 6nd atloher appticabte
Stab and toca aws
y changes in he approved plans
a.d specificalions or change in conrracbr or
O
C
,*
* *,** * ** * * **,*,*** *,r,i** * * r** * *
*a
DISCLAIMER: lh€reby
cerrl, tlat all
and ordinances and regulalions. The
conracbr inlormaion'-NOTE: Any
0tJNER/CONTRACTOR:
":""2r2"y:::wor:f oned w 10
he
lJ ^.), z
Appropria@ Permilswillbe in
Violation ofihe N
C *, ,, ^^ SIGNATUR
*** * ** **** *(IlT!Jil1**
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
',,:ffii,;
DATE:
S
I
I
j
)D)=
TOTAL ACRES DTURBED:
EXIST LAND DISTURBING PERMIT: E YES NO
WArrn:E
sr*r*\q
CF PUA COIIMUNITY SYSTEI4PRIVATE WE LLCENTRAL WELL
CFPUA CENTRAL SEPTIC
f] enrvnre
srnrrc
! coMrvruNrry sysrEM
'** SEPAITAIE PERI1ITS REQUIRED FOR ELECT, [4ECH, PLBG, GAS EQUIP, PREFABS
& INSER']S +*'
pAyitENr nGTHoD:
Ecas, E crrcr( (PAYABLE
ro
mcl flar,rrnrcAlt ExPREss
E r.lrrso I orscoven
)*,* )** *)t)* !t*** )*,t
* * ** )i* +,*,*,**** *)t)t* *,t+ * +**)* +)** )*i*+i*
******)t )*)*r** )i** )t)**
**+*,* **)** *)tt***)t **** )*)**)*
**
\( oFFrcER:N..t5
r(t ust ofirY)
- , Rrws,\/ .)Z rL -]l
ACKS : F :
__I_ LH :___l!_ RH :..J4_ B:11_tl
[3Fr-ooo:
- -
V BFE+2ft=
A v lr /\
PERfiTT FEE: $
ZONE :
rpprovaL:-l)f- city
\;tur--
\ro{t\r OA
LECTRICALLU}lBING
c*r"nt,16(rl'*L
TB
ED DATE 64111/12
',, )
TOTAL HEATED
SQ FT:- TOTAL SQ FT UNDER RqrF:
-
TOTAL AREA
Se FTt L/3O
*{o
*&ikr -Ylu -
fucl 'g,rnii '
alrcacl"t < ri Sh ^r A
NEW
HANovEn
cbuurv aurlbrNe
APPLICATI
J N?E.. RESIDEI{TIAL
PLEASE AI{S}iER ALI- QI'ESTIO S APPTICABL€ TO YOI'R PRO]ECT
'?roject Responsibilitf
?otb -?'t3
pERMrr
pEZ l,v _
25
APPLICATION
Number
(Offi.e Use)
I
ffi
APPLICANT'S NAfiE :
D€ bra l]essrf
atJ D tlasf rt
PK)NE S:
P
HONE
DATE
PRO]ECT ADDiESS:
suBorvrstolir :
CITY:
LICETISE
*:
BLOCK
T:
zlr.,
25?6f
tOT
*: 243L e
PROPERTY OMJER's AllE:6ce lD f E,+,rr
Ac51<
ot{t'lER',s aDoREss:CITY:
COiITRACTOR: .-fC
AI.D AE
sstr
* lro s993cz6
srZN<zrpt
AB4o{
ADDRESS:
EiIUIII. ADDRESS;
ST: ZI.P:.
Pto E #: 1tp 3?9 3 62-e,
Pto E f: Ll
/2 -7
/a6o l2_PROJECT COI{TACT PERSON: -11 Ncsg<
Exrsrr.l6 co srRucrro :
I arreurroN
! nruovartoN
f] crrienar-
nrearns
! RELOCATTON
NEI.' COIISTRUCTIOT:
! TNTCT NEW RESIDEiICE
O" @ZIOOrrrOr TO EXISTII{G RESIDEI{CE
"PLEASE CHEC( A'S AI'S}'ER EELOI{
ALL THAT APPLY TO YOUR PRO]ECTI
f|arr eanrer
_ sF
I orr eanner sr
f] eoncx
Is Any ELrCTnICAL,
PtlrltBlltc
or itECtUWtCAL
t{ork Being Done
ff the project
is a Refocation,
is there a Natural
fs there Electrical Power on
this Building?
l-lves
pRopERTy usE
/ occupAr{cy,
[4rtcr-r remrlv
I ounlex
I T0,,, HoUSE
SF
STORAGE SHED SF
SF OTHER: CAR
A 5F
to theaccessory structure?
[ v"r p/no
e on
the current site? lv", @1oGas Li
o
SUNROOM
GREENHOUS E
-
SF
DESCRTPTIOIT OF hIORX:
SF
U POOL SF
DECl(
TOTAL HEATED
5Q FT:
-
ToTAT 5Q FT UI{DER
R@F.
3Ub ToTAL AREA
sQ Ff ,I 36 C)
TOTAL PROIECT COST 1r."s r-os : g \ZCX>"- f OF STORIES:
DlscLAriiER thereby ceriily hai et iflbmeuon
h tis epptbatun b co@ct *d dty,orkwi! comply wih he sra6 Buitdhg code
and ordanances and rogularbos. Th€
NHc Developmenr seruices cenEr wii b€ noificd ofany changes in !1e
sppoved pran! snd
aDd all
oher appkabl€ Stab a'td locat
ta*s
specifcatbns o. change in conrdcb I
or
and
subjecr
tp To
1500.0(I"
t-r\
It* *'3*****+,t** **)t***,f ,***
D:
NEI{ IIiPERVIOTJS AREA:
-sQ
FT ExIsT LAI{D
DISIURBII{G prrurrr' I-.l ves
[--l rc
wArER:
fJ creun
! col$luurry svsrer,l
! pRwarE I.,ELL
fl ceurnal t.te ll
sEliER:
I cFPur
f] cE],rrRAL sEprrc
I enivare
scnrrc
I coMfirJNrry sysrEM
*1* SEPATATE PER'IIIS REQUIRED FOR ELECT, I4ECH,
P186, GAS IQUIP, PREFABS
& JNSERTS *+I
payitE
r nETHoD:
fJ asx E ctecx (payaBt-E
ro rirrl ! uerrcA ExmEss
fl *trro ! orscoven
:*
* * a ita*:*,t,* it
t *** a**+:i***:t*:t * t'tra:*:i:t *:t:*:3,* *tt * !t
* +* ri***t * 't:*t,* t *++ **+ *+++*
+*:**+,tt****t*,t**lr***
zorir,
[!orrr
approval: il[.n
cornment: NJ)
CER:T\
C.b - Ll-rr1
(foi ofrrcE usE or{t-Y)
ETBACKS; F: LH: RH
s]EVrsEo
DAiE 04l11/12
BfE+2ft=
_
0rr(tr-( filAo )( f,rn.rt{o
F LOOD:
(.0.
city: \-\ ,Lh- DArE:
Cun^
-it8
I
PERIIITtL[.Tr
o^uFA,r
J l^li A'it I r FEE:
DEVELOPER r
CITY;
O!'NER/COiITRACTOR:
rs rHE pRopERTy LocATED
rN l rlooorlur? f] ves
EXISTIiIG IIIPERVIOTJS AREA:
-SQ
FT
.1
,
,,)I)
ar)l
.)
I
.)
:>)
)))
NO
TOTAL ACRES
ffi
APPLICANT's NAIIE:((,<
RECFtvED tAit15 2015
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION TTPF: RESIDENTIAL
PLEASE ANS!{ER
ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Respons ibility"
,Q obart
l(t- t59
ATT GAR,AGE
.€
E€^'.<U uu-.
CITY;
ac
CITY:
APPLICATION
Number
(office Use)
D^rEt
/O^2 A-^)e-
A
Llq
28,q t
.li c
BLOCK f:
z{1
PROJECT ADDRESS i
SUBDIVISION:
PROPERTY OL^,NER' S
oI/'/NER'S ADDRESS :
.>
.!
PHONE
S:
PHONE #:I
-3f3
sr: llllzrP :2
!q ACCOUNT S:<-, €.^
(:COIITRACTOR:
ADDRESS:
LTCENSE $:
CITY: Lr
Ei4AIL ADDRESS:"\
**PIEASE CHECK AND ANSWER BELoi^,
ALL THAT APPLY T0 YoUR PRoIEC.I:
.- /rl
ffio^c, 36{. s'
*,l Zzrp,@o b
PHONE $:
PHONE *:
52s-.35-J2
t a
PRO]ECT CONTACT PERSON:o-.-^4-n L^)l^< (^
EXISTING CONSTRUCTION :A
LTERATION RENOVATIONGENERAL REPAIRS RE
LOCAT ION
NEW CONSTRUCTION;ERECT NEI^/ RESIDENCE
or
I noorrror
ro ExrsrrNc REsTDENCE
=iE-q?DET GARAGE
-
SF
POOL SFSF
PROPERTY USE
/ OCCUPANCY:
OESCRIPTION OF WORK:
s! l-l oe cx+r?
-
sQ Fr: +ffi-rorAL
SF
f] sronncr sHED
_ sF
OTHER: 5F
DUPLEX TOId NHOUS E
: ]denc
e
5UNR00f1
GR EENHOUSE
2
TOTAL H EATED
sQ FT UNDER R00F:OTAL AREA
5Q FT:
TOTAL PROIECT COST tress rort : $-21{,ooo# OF STORIES:,Z
Is Any ELECTRICAL, PLUIIBING
or I{ECHrrtlICAL Wonk Being Done to the Accessory Structu.e?
! V"r ! ruo
If the project
is a Relocation,
is thene a Natural Gas Line on the Current Site? fl ves ! ruo
Is there Electnical Power on
this BuildingrIves I No
SINGLE FAT1ILY
J(
and odinances and regulalions. The NHC Oevelopment Services CenEr will be notlied of any changes in he approved plans and specifEations or c
co nrracror in tt rm ation.
"'N OTE Any Wo rk Perfomed W/O rhe Ap propria re Perm ils will be in Vio lation of the N C State Eldg Code
00"'
owNER/coNrRAcroR:
\.^^ t .).-6c.. l-.SIGNATURE:
YES
ExrsrrNc rmpenvrous anEn' /z{.4 sQFT,//TOTAT ACREs DISTUREED:
EXIST LAND DISTURBINGPERMIT:
f-l vrs [--l ruo
! eRrvarr we rl
tr CENTRAL WELL
NO
SETBACKS: F:- LH:- RH:- B:-
*+ * *,i * * ** * *,* * ** + ,t,t *,* ** * 't** * * * * * * *11****** * *** *******tr
QFT
** ** * + ** *,** * * *,t * * **,** * *
NEI,J IMP ERVI
wnrrn,
! cr eul
OUS AREA:
O]YMU
sewen:
@{f/cua fl cerrnal seerrc
fl pRrvArE sEprrc
! collmutrrv svsrrm
r** SEPARATE PERI4ITS REQUIREO FOR ELECT, MECHJ
PLBG' GAS EQUIP' PRTFABS & INSERTS ***
PAYI,IENT €rHoo:
Icasx IcrrcK (PAYABLE
ro ruHc;
f]arll accottr Emc/vrsr florscoven
**+{(***,*****,r*+*r**,**,}*,t+)t***t't**,****1.'*1.+**,t,*,}+*l***t+,t**r**,*,************,**,t,}***rt**+**,}**,*
(FOR OFfICC UsE ONLY) REVIsED OAIE O4l11/12
zoNE:
_ OF FICE R:
Approval:-City:- DATE:- FLOoD:
-
BFE+2ft=
AVI.I
ho
Comment:PERMIT FEE: $6
ZIP I
LOT S;
I
OEVELOPER:
tr
r..*'/-fus=,/,t-
--tz*l 1=
I
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
RECEIVED IAN15
M[
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RE5IDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO.]ECI
"Project Responsibility"
{€, <t"(.r,*','/; c
)aLbffi7
lu- t51
ffi
APP LI CANT'S
DEVELOPER:
PRO] E CT ADD
CONTRACTOR:
ADDRESS:
NAT,I E :
APPLICATION
Number
(office use)
o^rE:
./O') A
-te-
F-
r,€PHONE S:
RESS:d2
sUBDIVrsroN:
hl.a* lS Lc^*d,*A
€^" <
'z-
D(^
.J
< CITY:
BLOCK S:LOT #:
PHONE #:
CITY: \^)\
,--l<l"^str[Lztp,2Tqrr3
z:,l:
2?uy'474
PROPERTY OWNER, S
OWNERJ5 ADDRESS:
f)3i 3-J
o
or\
{i.<-. €.^)LICENSE S 7{?g L/ACCOTJNT *:
EI'1AIL ADDRESS:
SUNROOI,ISF
GRE ENHOUS E
PROPERTY USE
/ OCCUPANCY:
DESCRIPTION OF WORK:
CITY: (l
.-al \
J
o-p.,{L** L.l <)^(r-c
/-
*,ffzri'@6 6
PHONE f:
PHONE 8:
52s-39-J2
t
EXISTING CONSTRUCTION :ALTERATION R ENOVATION6ENERAL REPAIRS RE
LOCAT ION
NEI^] CONSTRUCTION:ERECT NEl.] RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSIIER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
AIT GARAGE
S12 sr 3/r1 sr
p..**furrjx
>^'8, FDET 6ARA6E
_ SF
POOL
_ SF
DECK SF
POR CH
STORAGE SHED
SF
SF
SF
TOTAL HEATED SQ FT:).tlo7 rorAL sQ Fr uNDER *oor' 316o3 rorAL AREA sq rr: Sdo?
T0IAL PROIECT COSTtLe*r.rl : $2ldooo # oF sroRr Es :
SINGLE FA14ILY
J
OTHER:
DUP L EX TOI,^] NHOU S E
> idenc
e
Is Any ELECTRICAL, PLUiIBING or lvlECHAlllCAL l,,Jork Being Done to the Accesso.y
Structurel
E V"t E
If the project
is a Relocation,
is thene a Natural 6as Line on
the cunrent Site? [ ves
Is there Electnical Power
on thi.s Bui.ldin
crE Yes No
No
No
andordinancesandrequlationsTheNHCDevelopmefliServicesCenerwillbenorjfiedofanychangesinheapprovedplansand
conlraclor inbrmaljon "'NOTE: Any Work Pe ormed W/O lheAppropriale Permllswillbe in Violalon oflhe NC StaE Bldg Code
OWNER/CONTRACTOR :
\.* c".).-6',l-..SIGNATURE:
(P.i.t Nane)++*+*i********+t+t+++*+*+++++*+**+++*****tr*!****r*+
NO
EXIST LAND DISTURBING PE RI4IT:
00 00"'
WATE R :
SEWER:
CFPUAI'lJVlUNITY SYSTETlPRIVATE l^lE L LC ENTRAL I/,]E L L
PUACENTRAL SEPTICPRIVATE SEPTIC
I commulrttv svsrrlr
.i* SEPARATE PIRA,IITS REQUIRED FOR ELECT, IqECH,
PL86, CAS EQUIP, PREFABS & INSERTS *}T
tr CASH
Iorecx (eAvABLE
ro HHc;
Iarrr accourur
tr[1ClVrSA
tr OISCOVER
* + ** * * * * * * * * * * *,* * * * ** * *
YESNO
BFE+2ft=tApproval:- City:- DATE:- FLooD:
-
A
Comment:
h,o
N
PERMIT FEE: $
I
PRO]ECT CONTACT PERSON:
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
TI YES
ExrsrrNc ,.rpERvrous ps, t6 izi,b sq rr
NE[,] ftPERVTOUS nnrlr 7 z zl, Q SQ rr
TOTAL ACRES DISTURBED:
, / /
PAYIIENT METHOD:
***t**+*++***tr*,t,t+*,i(,t,i)t*,t****,f++****1.'*+***,*********+,k**,t,t**,i*+*,t,t*t+*,k*,*,t*,********+*****
(FOR OFFICE USE ONLY) REVISEO OAIE O4l11/12
ZONE: _OFFICER: SETBACKS: F:- LH:- RH:- B:-
NEhI
D JAN 20 2OT
HANOVER COUNTY BUILDING PERMIT
APPLICAITON TYPE.. RESIDENTIAL
PLEASE ANShIER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibllity"
Solb-8'i,8'wz lb-lro
APPLICATION
Number
(office use)
APPLICANT'S ilAlt'lE:
Bill clark Homes of wi.lmingron
LLc DATE: a/a5/2or6
DEVELOPER:
Bill Clark Homes of wilmj.ngron LLC PHO{E #: 910.3s0.1744
PROIECT ADDRESS: 5oo8 Appomattox Dr. CITY: wilminqton ZIP i 28409
SUBDMSION: . covinston BLOCK #:LOT #: 1
PROPERW Ot{t{ER'S tlA}tE: Bilt clark Homes of wilmington LLc PHONE #: 910.350.1744
OI,UNER'S ADDRESS: 12? Racine Dr. suite 201
CITY: wilminston ST: NC ZIP:28403
CONTRACTOR: Bill clark Hornes of wj.lminqton LLC LICENSE *: 34s86
ADDRESS: 127 Racine Dr. suite 201 CITY: wilminqton ST: NC
ZIP: 28403
EITIAIL AIDRESS: rgil1@BilIclarkhomes. com
PRoIECT CoUTACT PERsoI{: Richard ci.11/Bi.11 clark Homes of wilmington
EXTSTU{G CONSTRUCTTON:
! arrrnrrrOr
I nruovarroN
! eeneRal neRarns
NEr.r CoNSTRUCTION:
E ERECT NEI,J RESTDENCE o" ! AOOTTTOH TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND A'{SWER BELOW ALL THAT APPLY TO YOTJR PROJECT:
lZlrr canaer ass sF
I sunnoom sF
! enrerunoursr sF
! orcr
TOTAL HEATED SQ FT: 1757 TOTAL SQ FT UNDER ROOF: 2s4sTOTAL AREA 5Q FT: zrrz
TOTAL PROIECT COST lress rog : $ rze,sss # OF STORIES: 1
Is Any ELECTRICAL, PLUIiBING or ii!ECB/NICAL Wonk Being Done
to the Accessory Structure?
If the project
is a Relocation, is thene a Natural Gas Line on the Current Site? !Ves I No
PHONE #: 910.350.1744
PHo{'|E *: e10.3s0.1744
R E LOCAT ION
DET GARAGE
POOL SF
PORCH 11sl167 SF
STORAGE SHED
SF OTHER: patj.o- 172
Is thene Electrical Power on this Building?
PROPERry USE
/ OCCUPANCY:
E SINGLE FAMILY
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
I-I YES
! oucr-ex
! rowrHouse
DESCRIPTION 0F WORK: New construction of single family home.
and ordinances and regulalions. The NHC Developmenl SeNices Center will be nolifed of any changes in ule approved plans andorchange in
convaclor or
conracbr inlormarion. '_NOTE: Any Work Performed w/O he AppropriaE Perm ils will be in viohlion of lhe NC SlaE Eldg FrrUp To
$500.00"'
OWNER/CONTRACTOR: Richard citl/BCH of wilmington SIGNATURE:
+ + * * * * * * r.:l
I * * )r
* * * * * * * * + * * * li* * * * * * +,1* * * * ** * * * + * * * * * ** *,* **+,r:r * **,t,t )t
* * *,1*** * * * * * * * * **
Yes I No
SF
5F
Yes!No
YES I NO
NO
EXISTING IIIPERVIOUS AREA: O SQ FT TOTAL ACRES DISTURBED: .22
NEW II'IPERVIOUS AREA: 3324 SQ FT EXIST LAND DISTURBING PERIIIIT:
t,.lArER:
El cFpuA
E cotlr.luNlrY svsrrr'r
! PRTVATE hJELL
I cenrnnr well
sEhlER:
I CFPUA
E CENTRAL sEPTrc
! enrvare sEPTrc
f] coMMUNrw sYsrEM
*T* SEPARATE PERI4ITS REqJIRED FOR ELECT, I4ECH, PLBG, 6A5 EqUIP, PREFABS & INSERTS **'}
payr,lE
r r,tETHoD:
!clsx Icrecx (PAYABLE ro NHc) l-l MERTcA'{ ExPREss
E uc/rrso
fl orscoven
,}++*,ijt*)***+*****,t**i.,*,},}+)*,**,t+*****i(*,*,t*****+*********:*)*,},t**)t)i**+******,i *,* *,t*** * *** * ***,t*
(fOR OFFICE UsE ONLY)
SETBACKS: F:
REVISEO DATE O4l1U12
ZONE :
Approval:
OF FICE R:
City:
N
DATE:F LOOD:
LH:RH
BFE.t
fr tt=t
SFE
B:
?otL- E1q
NEI'I HANOVER COUNTY BUILDING PERMIT
APPLICA| ION TYPE: RESIDENTIAL
PLEASE AT{sIJER ALL QUESTIO'IS APPIICAEL! TO YCTJR PRO]ECT
"Project Responslbility"
ffi
APPLICATION
Numb€ r
(Office Use)
APPLICANT'S l,lAllE: c-req MooreDATE: 01-2B-15
DEVELOPER:PHONE *:
PROJECT ADDRESS: 418 windmere Rd
CITY: wirningcon ZI? i 2a4os
SUBDMSION: windmere BLOCK #:LOT S: 118
PROPERTY O|i,NER'S MltE: Ryan and Kaien Hipp PHONE
#: 9\o 6as
-2224
Clt4lI{ER ,,
S ADDRESS: 418 windmere Rd
CITY:Wilminqton ST: NC ZIP: 2840s
CoI,ITRACTOR: EG3 construction LICENSE #: 5s1se
ADORESS: 122 Riverqare LnCITY: eri lminqton ST: Ig_ ZIP: j33la
EII{AIL ADDRESS: gmdzrm@hotmail .
com PHotlE
#: e7o 622-ts;5
PROIECT CONTACT PERSOIiI: Greq Moore PHONE *: 9to 522-\966
EXI5TING coNsrRucrro :
! elrrnnrroru
! neuovatrolr
f| ernrner nrenrns
! RELoCATTON
NEr{ CONSTRUCTION:
E ERECT NEW RESTDET{CE o"
I AOOrrrOru TO EXrSTIriG RESTDENCE
**PLEAsE CHECK A'{D ANSI{ER BELOI ALL THAT APPLY TO Y ,lR PROJECT:
fl arr enmcr
-
sFDET GARAGE
-
SF
P00L 4s0 5F
! concH
-
sF
SUNROOMSFSTORAGE SHED5F
SF
! cne ruxouse
-
sF DECK
SF OTHER:
TOTAL PROJECT CoSTlLessrory:
$ +z,roo # OF STORIES:
Is Any ELECTRICAL, PLUtlEIl{G or IIECHANfCAL
l,lonk Being Done
to the Accessory Structure?!ves
[ ruo
If the project
ls a Relocation, is there a Natural Gas Line on the Current Site? [ VesNo
Is thene ELectnical Power
on this Building?
[-l ves I No
PROPERTY USE
/ OCCUPAMY:sTNGLE FAMTLv
fl ouelex
! rowurousr
DESCRIPTION OF HORK:Install inqround swimminq pool fiberqlass styl e
and ondhanc€s and regolaliont The NHC De\€bpment Seavices CenEr wrllbo notfed ol any chaog€s h lh€ approv€d pi s
and specafcaiions or chanoe in conlrac u r or
contracbr inbrmalion. "tlOTE:Any Work Perfomed W/O he ApprcpriaE Pemilswillbe in Vblatbn of e NC StaE Eklg Code and Suble(r b Fines Up To
i500.00"'
OWt{ER/CONTRACT0R i Greq r,rooreSIGNATURE:
+ ,l
,t,t
*:i* *,t*,t *r** *+* * * * * 'r**i( t* * * *
*:t **** )t
*t r. )t )t )* )t
* * * * * * * *i.* )t
*** ** l. )t)**,t)t )**
** *** * *** *** *,t*,t + *
'(.
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
tl X ruo6'r-rvrYES
EXISTING IMPERVIOUS AREA: ]4OO
5Q FT
5Q FT
TOTAL ACRES DISTURBED:
NEUJ TMPERVIOUS AREA: 402OEXIST LAND DISTURBING PERIIIT:
I vrs
I-l r'rc
hIATER:
E CFPUA
SEWER:
E CFPUA
COI'1I',IUNI TY SYSTE I.1
I enrvare wELt
E cENTRAL wELL
! ceHrnar- sEprrc
f] pRrvarE sEprrc
I com,rururrv svsrer
-<.
a
C
9
<T-3.
5o
.C
iI,l 5EPARATE PERIIITS REQI]IRED FOR ELECT, IIECH, PLBG, GAS EQUIP, PREFABS & INSERTS '}'}*
payr,rEr{r
r4ErHoD:
fl csr I cxec( (
nAvABLE ro lncI I
* i** * * )t )* + ** * * )tt *
***,i + * ** t* +,|*,t * * + )*
** * * *** r(+*:t rt
** * rt
ar{ERrcaN ExPREss
E xclvrsl tr
,*
* x
* * * )t
* *,t * * *r** * ** )t
* **,f )* )t
* )t
* i.
t* *
DISCOVER
?er Plans RavIsED OATE 04l11/12
c
|.(t
cR- tS oFFrcER:t+crr,, N/A 1x,fl,{/ nrr:
AO' g: 65'
FOR OFEI(E UsE O'IIY)
5ETBACKS:
FI OOD:
ZONE :
Approval::UJIurn orre ' tlagf tb 7 or,.o-l erErzrtCity
I
-No polro.' of gol cr6wrprrrcrr+
sr an^(M p"iLo/drc?r-r.l
tUe}bsPn-*ro'r,tffi'6
TOTAL HEATED SQ FT:
_ TOTAL SQ FT UNDER ROOF:
_ TOTAL AREA 5Q FT:
_
Qa\6- 4'ot
rPEZ tta
LfrNEhJ HANOVER COUNTY BUTLDING PERMI
APPLICATIOI{ TYPE..
RESIDEI{|TIAL
pLease arsurf aLL QuEsrror{s AppLrcaBLE To yooR pRoJEcr
-PnoJect Responsibilitlf
APPLICATION
Nunber
(office Use)
APPLICA T'S TUUIIE
:
DEVEL(PER:
DATE :
:r'
PHoiIE
#:
PRO]ECT ADDRESS:
sttsDIvrsro{:
CITY:
BLOCX
*i
5E #:3
C ZIP i
PHC'IE S:622-
/l/a
st.1folzw
st.v/,1pwt2fu4
PH E
r: *"t?pD,f
pH E #: fft_s.t1{
PROPERTY (H{ER'S N'I}IE:
(* ER,S A
'RESs:
/.
CONTRACTOR:
AIDRESS:
EIIIAIL ADORESS:
ATT GARAGE
5F
I surunoor SF
PROPERTY IJSE
/ OCCIIP
DESCRIPTIOI{ OF tdORX:
C-a
! oer eaneee
I eoor
_ sF
PORCH SF
STORAGE SHED
CITY:
LICE
CITY:
MO]ECT C(trTTACT PERSOI'I:
EXrSTrirc co{sTRucTro :
I alrenarrot
fl nrrcvnrroH GENERAL REPAIRS
! neloorrolu
r{Eht
cor{srRucrrol:
f] rnecr Er{ REsrDEt{cE
o"
fl 4Do111oit
ro Exrsrrl{G REsrDEr{CE
.TPLEASE CHECK AI{D At{ShlER BELOTI
ALL TH/IT APPLY TO YOUR mOJECT:
SF
! onrrrnousr
_ sF I oecr
SF OTHER:
SF
SF
ANCY:SINGLFA}iI LY
tr TOldNt-0usE
o,
DISCLAIIIER I hereby ceri,t tal a[ hbrmatirn in
his Adbaton ts
conBcr ad at vrort w
and ordinances
axl regulaions The NHC Dsv€bgmenl Services Centsr wil be notfed
otal
cont'a)br inbrmalon. 'rI{OTE: Any Work
ffiflned WIO fie AppropriaE
Pemilsw{lb€ in
comply wilr he Sta!€ Buibing Code
ad al ofter apdicabb StaE ad tocat taws
y
chaEes h fie 4,F,roved phrs a|d S6cificariorls or chaEe in conr-abr or
Vxilalkn ottheNC SiaE Bdgand Sub,€ct
b Fines Up Io $5O0.Or"
OII{ER/CO TRACTOR 3
SIG ATT'RE :
**** ******* *:.rt*
******* t,l t,**:*tt*******+ jt,t,t**********:r.t,a,t*,*****,trll.,t*t+*****,t++***
rs rHE pRopERTy LocATED
rN A FL@DpLArrt
l--'l ves
EXISTI'{G IIiIPERVIOT,S AREA
:
NEN II,IPE
RVT(I'5 AREA:
E rro
TOTAL ACRES DISTURBED:
Exrsr LAND DrsruRBrl{G penurr: l] yes l-l Ho
SQ FT
SQ FT
uaren:
fr crnua
I comtuNrry
svsrrr.l
f] pRrvArE l.lELL
f] crurnar wrll
sEuER:
ffi creua
I CENTRAL
sEprrc
! enrvlrr
srerrc
! ccl4ru rw sysrErr4
*** SEPARATE PERMITS REqJIRED FOR ELECT, MECH, PLBG, GAS EQ|''IP, PREFAES
& INSERTS ***
paynE
r ErHoo:
lcsx ! cxecK (PAYABLE
ro
nrrl I anenrca{ ExpREss
E,crurro ft orscoven
***)t ***:t*** ***r* **** *** *** * **** )***
***:t,l**:* **** *** **** **** +*,*,*,t* ***,*,* **** * **,*,*,t*
***+ *
+*,r,r*
(FoR 0FFI(E USE d{LY)REVISED oATE 64111112
ZONE: OFFICER:SETBACKS:
F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLmD: _
N
BFE+2ft=
LOT *:
DUPLEX
TOTAL HEATED
SQ FT:
-
TOTAL SQ FT U DER
RooF: ToTAL AREA SQ FT:
-
ToTAL pRolEcT CosTc"",roo . $ ?Z/ll,qt # oF sToRrEs:
f-
Is Any ELECTRICAL, PLUIIBII{G
or ECHA
ICAL Uork Being Done
to the Accessory Structune? [ Ves I frfo
rf the pnoject
ls a Rerocation,
is thene a Natural Gas Line on the current
site? f! ves IroIs there Electrical Povrer
on this Building?
llyes l-l uo
t-4otr,ru\)n'l 9\
It!
Pt-?7q4,/ I
APPLI CATI OII
l{umber
(offl(a U5.)
/qr6
)
#
NEhI HANOVER COUNTY
BUILDING PERHIT
APPLICATIo|!
n"f ; RESIDENTIAL
ptrasg .x..t+i ALr, QIJEsrrors AppLrcrsL: To i,rjr pRoJEcr
"project Responsibility"
APPLICAIiT'5 tIA E:
OEVELOPER:
DATE:
PH${E
':9RO]ECT AODRESS:
S[tsDIIIISIOI,I:
CITY:
i- _L i Y:
LICENSE *:.
C}UP L
EXTSINIIOUSE
BLOCX
S: Lo-r *:
,o, o,
,r,-rrruPqoPgR'rY
olalER'5 tilarrE
(Mi8R'S ADORESS:
AI$CY:
sf .r'!!:zrP |
;4.4C4
sr'4*a-p,2/*4CITY:
TTAIL ADORESS:
f suurmr
-sF
I coor-
-
sr
! crre morsr
_ Jr f oEc(.
___ sr
COiTRACTOR
ADDR E SS :
ToTAL HEATED SQ FT:
--
ToTAL 50
rorAl PROJECT
COSrn*ro,) , l-$zulra!
PR@ERIY USE
,/ OCCUP
DESCRIPTIO{ OF I{ORK:
erlr}ie
*; 9?r-2_O2f
,roft o. 77r-1a ]{_
SToRAGE SHED
__SF
,SF
ToTAL AREA SQ FI
: _
__
1
mo-rECT cm{TAcT pERSoa{ :
EXISiII{G COISTRUCTTON:AL'TFAA-I]CN R E NOV/'.-I0 N
! errennu nrplrns
E RELocA'rroN
r{EH COa{STRUCTIOI,
! rArCr HEW
EESIDENCE or f ADD111OY TO EXISTTi{G RESTDE {CE
..PLEAsE CHECX AI@ A'ISI,{€R SELO{ AIL THAT APPLY TO IG{'R PTtO]ECT:
fi r,-t
**u,
-
sF ! cr- ernae
e sr
I eoncr
--
sF
FT Ui{DER RoOF:
.--
* OF STORIES:
15 A,ty ELEC'TRICAL, PlUIaI}lG
o. TECHAIICA! wonk
8e1nt Done
to the A(cessory Structure? E yes No
If the pro-rect
ls a Relocation, is there a Natural. 6as Line on the Cunnent
Site? f ves I lo
Is thene Electrj.cal Power
on this Building>
l-ly.r l-1 ro
OI6CIAIUER lrEdby:ddt t,dl aI i.bsnG,i i. nrr@okalo. 's.cieirrd !a wort$llccidywin n. Sl.rn Bork,iO Code
',|d
d ot|€r arrttrt Sralr
d to.Jta,i
..d otdiiviE ta rEg ldtns,
fh., HC D..+ito.tr.nr satoL3s C€ner rd n€ nollt d ot ey dl'r9s6 h n. ,pr.Ed alas a{ sonfierionr d LrlrE€ h crr,-D, o,c..:.irr i.bhaio.-'n OrE &y
OI*IER/CU,ITRACTOR :
'5wd lt ,,
SIG ATURE:
(f
+,** att j*t**r aar rt
i Yi vrs I
Op
ToTAL ACRES DISTURBED I
EXIST LAND DISTURBIIJG
MrER:
fl crrua
I co.lrlulrrrY sYsrF[PRIVATT WELL
CFPUACENTRAL
SFPIIC
I enrvarr seprrc
n
CINTRAL I.iEIL
COT1I,lJltITY sYsIEM
IS THE PROPERTY LOC,I'TED ItI A FL@DPLA]N?
EXISI Il{G IMPERVIOJS AREA:
_ Sq Fr
Et{ IHPERW(X,s AREA: _ SQ FT
SEl.tER
i
, r i *
*tr 1r. { r r J.r:t t r raa!t,a
(Foi orFrcr u5r orlY)
NO
rr
,2-l
)ia FLOOD:
dlR Lxi
AE15
SI. ]
HATKS: F:
*RH:
8FF ' 2+t=
s
io/t/S
k
p^yrEiaT
rErH@: E *" l-l C*ao, (payaBtE To nrlcl I or."ralr rxoness f a.7rrr^
I orrc*.n
zo*: -f,f orr.rn:
Approval
r_ City
tt*.*.. *.4 r *r. *.*i r..)* /zzr Lft?rnn oGO
O,oV e,'il INEVTSED r1_a,F
phn
s{/ tr/t)
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.-y ''*'l''
_ r*;my
srHcle^rlt,rrrv l-l/l - I
2o lt"-105
rr-t38r{{
,1,6i
NEt4, HANOVER CoUr,JTy BUILDIT{G pERI{IT
Applrcttrm rypsr CO0{ERCfAL
Ptrrst A'rsrti
llr QuEsTIoiS ArptICIIIE m yoir proracl
^,PLTCAUT,5
}{^T,E:
DEvtLOPEt r
PTOJ'CT A,OD8I55I
OCCUPAI{I/BUSI| TlS IArtE
:
PROPETTY O{iITR'5 IIAX€:
ect itspoflrj.billq/,
CITY:
o^r* /-). /(
t '//t - )q -2. 't, t
APP L
ICAIIO'I
flunbr.
(of.t.. ur.)
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it> Hc. t
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: 99: 7
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IDDRES5
i
EltAI L ADpnEsS I
PRO]ECT CO{IACT PIisOi:D
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t/
nUCnO*, fu
is lhere! Nrlursl G.s Lins
onlie Cu.red Sie? D
AtTfRAtIOlt
E IE}{)vATIOI{
IS BLDG
..,'(r"At
zof'lE:_!12-om
((lt(t elltla'e": Y)
{Z i GEiIERTT
Yes LlNo sPRtN&ERED?
EJ yls Eilo
EXISi COTJS IEPAINS
I re
rcrnolIt Rdccrtion.
t{Erd cofisTRucrrol:
n€i€cl EI{ sTnucTuir
rrcr rucr E srclr.
I uPrtr D oo To
rxrsl srE{Jgrl*t.
ACCES5ORY sTNUCrutrE:
-. S€PAAA'E P€F'NrS EEOJIRE'' FOF ErEgr. UECH. PL!G. GAS
E(MP, PFEF
pAy Et'fi lrErroD: DcAsx EorEcx (pAyABtE To
NHc) fleuenrc$r
a3s a rNse\
-
wness flncr*sr D osco,rEn
roE cFrlc€ t,sE
SETBACIG
ApprDvsl:FLOOD:
0Commor{l
R:
{XptV6O,"
olrYJ
F:-Nlg
tERMfT FEE; $
CItYI
CTTY:
b food or beyGrloG3
F"rrrud or rorvBd
h rtt
lrldr.f lvof,tlo
k
rs1
\t-ls8
2olu-g o3NEhl HANoVER COUNW BUTLDING pERilIT
applrcA7'ldt ry"€: CSIIIERGfAL
ptEAsE Ar{srER
atr QuEstrors lPpttcISLE tO yout prolEcl
APPLICANT's I{A I:
DEVELOPER:
PROJ
ECT AOONESS:
ocqrPAr{T/EuslxEss xotu" k)t
PioPERW OUtt E['5 lAfiE:
OTI{ERJ S ADORESS:
CONTRACTOR:
AI'DRESS I
EilAIL ADORESS:
PnOJECT COIJTACT PERSOI{:
fF YGs, rtst na3 thr
ATO{ DESIGT' PIoFESSIOTIAI.:
EX6i DESIG'{ PROFES5IO|JAI.:
DESCRIPTIOI,' OF IOR(:
')ta -9* -r rr,
AlLztlt 2*yr7,
"ProJect Rcsponslbili
tf'
AL
CITYI
tl.)
CIIY:
LICEilSE
f:
ctw:
o^rE; /-2o ic
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7./
APPLICAITOII
ilunbm
(0fi1c. tr.)
zlP z .2ty t <
Prot{E
t
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ST:
PHOI{E
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sT3
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t{EI Cor{sTRUCrrd{:
I rnrcr Ettl srRUcruRE
! rasr
rucr
I sxur
I uaqT
ACCESSORY STRUCIUiE
!
tEtocAIIot
rc-eneorIves Stofl oo ro Exrsr
sr rnRE
s Building
(l ves E uo
Is Elect
*... IS rHIS A
CX 6E OF OCCUPA
Cy
tsEl
tr
lntodraton ln
thls
Porycr on
tht
*, (*..
is tht t{ar Oc
Prcylo0s occuplncy TIOG? -tlt.t cuprncy lypc?
_,__ ttlc REG
f:
PH:
P vtl,u+t1\4'(,J0
Mez*
o8 (tBG
St8t!Code 8nd
b lbod or brllerrgC3 ppalrd or 8€r\,€d ln Urts
rr,rct"ef EV"sEho b th€Prop.rry
Led h
no Eoodse,?Eves{lro
rcved
of
tE
8ll olher spplcable Sbb
ft"iE:E;ffil3s:"JH,
- SPARAIE PEFTTrTS REOUIRED FOR ETECT. TIECH, Pt3G. GAS EOUIP
pAyilEinMETHOO: ECASH
florro<pavlotEro l{Hcl Elamen
. rRE BS
t lilSBIE b
tcArit EXPRESS
fluovrsl floscoven
GOR OmCE t,sE ONIY)
REVEED DAIE (/l
fiIZONE:OFFICER:SETBACKS: F: _LH:_RHr B:Approrrll:-CitY:-DATE. .FLOOD:BFE+2ft=
A N
Commo] :- PERM]T FEE:
IOO'<to
If UPFIT
- The 5h.11
Pernit *:
(O,.[lt.4
Ltc(
r 0lt-
?.,
ac?
r* i6-;s;y
Lfr
;x;:rtr::'
APPLITANT'S t.IAilE :
'€VELOPER:
APPI.ICATIOII
?isnber'
NEW HANOVER COUNTY
BUILDING PERHIT
aPPLICAt:r,t
ryPt: RESIDENTIAL
4EiSa Ar5rF! ALL QU!STIO'i5 Arpllit9.t lC yaur pRorl(r
"P.oJeat Rerponi
tbi Iity,,
. _ cIrY:
. . __. Etocx
)ATE
i ,
PHoN! t r
PRO]ICT AODRESS:
B: .or r,suloIvIsIori:
PROPI RTY qr'IER'5 l,lA,.lE:
oLt;l:,s a0oF. Ess:
EXrS.lIlrc cotisTRucrlcN:
f] ALTERATION
! r:lwar:oft I
NE! ConsrRUCTror:
f enrcr net REsIDENCT
o.Z/r*rrron
'.pttAst criEcx ArJo Ansrai EfLcH ALt- IkAT
arply t0 ycun
p8ol[cl
D ^t- coalcs ,r I D€r Gr.r1!€
_- - _ s
ff sL;nnoor
_*_sF D pmL
---_
sr
6EI:RA! Rt pAIRs I serxrrtcli
TO
EXI5iIIIG RESIOINCE
r
i- poqcn <F
-- 5T0RA6E ShEo
_- "]/-:*-_ tF
0T'1El:
CITY I
csirrAcroR: L? Efid/ 47. a
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crtY: !u.,.1.".AO'RE55:
€IIIAI L AODRESsI
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^,/
Sli'..-ZIP.- ' -
st rt? up r*) '1C
-_*-___ pHoNg il
PHOI'IE
8: /' -
CREENHOUSF
DESCRIPTIO
Of I{OR(:
SF
5I
TOTAL HEATEO
sQ FTI ]oTAI 5Q FT UIJDER
RooF:
;7a - ToTAL AREA sQ FT: /I
Is A.y
Elt(ii:aAl, pLUfia:IG
or EaflA,lICAl ,r.)r-k B
lf ths p.oject is a Rolo(.t1on,
is the.a
!
Is there E1ect.i.a.I Porre,.
on
tti5 Euilding?_./
PRoPERTY usa
/ OCCUPAlrcY: jaf 5;r....-a FAfiILy
Oooe
to the A((eslcry Stru-- -e, I Ves ..^- No
.;I caj tlne !. lhe Currei)t Sjre?
i- .: 74-
Y€s .__ No
erng
,!tt!
] oulLrx
] lor*rnousr
oBculiER rns.tr.!rL! na.r 6!,islr^. i r.rrl.!t..6 i r:.:jr&n,r *arr,t c!.!ty. r' -': :'fle ':- -. a , : ] .,: r. .:, .. -i.1. -. L. r., ,,.d cl$fr :.3'!' r!tu10.r!'ir.eN"itO.\!b.^ ert S.rt,(.s j.nt, *,J....ti!, jt.ry(r..
i6n!al,,rb,.fid. --fioTE
^n/\/i.,rter'!:,6rrro roAnrrnr,rrbj ;,r:f;,t5*l1i(
.rohbi.tirafl
c . .',.,.| .
rs rHr pRopERTy LocAT€D
l/ l rLooopurlr
f-
€XISTIIC IqpeRVIOUS
Aa€a: ____ SQ FI
S I6NA'TI]:
t:!;;114 rtwo
Yt5
ICT(:. ACREs T:STUREEO:
0,iNER,/C0NIRAC I0R :
:ciiE
App.reil.:*- C:ty
. <,1_.<//
ll€l,tl IIPERVIOUS
AR[A:
-.-. --
SQ r: IXIST LAliO DISTUEE]N6 pERtyIT_-/
NArtp:'JfcFpu^ _J iq+rurur'y S"StrJl
l] pnrvr-:
,a:rt I cr:,i"*i
rell
sr"rrRi ,.rzl (FpuA
fl rrlra,rl seerrc 1".] pRtvar! sEFlrc
J corm;,,;-, sysrrrr
,.- Yts
t80
oo,,,n,
,,,*0,
' "t' .:;.
l:;;. ,*,o,,J , n,., 'r*,.,.,, ,,,",DISCOVEi
--:r.rni $ t:.:-ss f rc,rrrso
&-lc 0,,,,r.,sr rcxs: F:}1i-lLri::_9',-1 I
slE+2fi.
Cgfimenl:
,:t4
PERlllIT
TIEI
'
PROIECT CONTACT PEi(J'r:
ffi
NEhJ HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE I RESIDENTIAL
PLEASE ANS}/ER ALL QUESTIOI.IS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility',
Wr#tt"-)oY
?o16 -qo1
APPLICATION
Number
(Office us€)
PHn,E
*':72,PROPERTY
OW'.IER'5 N/IIiIE :
OWNER'S ADDRESS:
EIVIAIL ADDRESS:
CITY:/:.,,/autz2-'
?
sf
,L?zrP,t25,://._3
*@zw@!p'j
7J44y*4
737
'n
CONTRACTOR:
ADDRESS:
/z/z/va€/ /t/" A
u LICENSE
*:
CITY:
PRO]ECT CONTACT PERSON:
ExrsrrNc coNsrRucrroN:
! arrrnlrroru
! nelrovnrror
fl errenlr nrearns
!RELOCAIION
NEr{ coNsrRucrror'r,
I rnrcr NEW RE'TDEN.E
o" {ooorrro* To ExrsrrNc RE'TDENCE
**PLEASE CHECX AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT:
PHONE
*:
PHONE tr:
DET GARAGE
-
5F
POoL
_ SF
DECK SF
l-l ponor sF
irro^oo, *77* ---i?
OTHER:
SF
SF
ATT GARAGE
suNRoot"l
_ sF
GREENHOUSE
SF
SF
/d x#
TOTAL HEATED SQ FT: .L, TOTAL
5Q FT UNDER R@F
I M ToTAL AREA
5Q FT:pb.e
TOTAL PROIECT COST lress Lor)
: $ - '. -'-- # OF STORIES:
Is Any ELECTRICAL, PLUMBING
o. iIECHAI'IICAL t,ork Being Done
to the Accessory
Strurture? [ yes
If the project is a Relocation, is there a Natural Gas Line on the Cunrent Site? [
Is thene Electrical. Power
on this Building? [ v"s @f6
PROPERTY USE
/ OCCUPANCY ,
ffi.*Or' 'o*rNDESCRIPTION OF WORK: >".TF.I) J /5/)
l-l ouplex l-l rowruuouse
*r,tt irUsrutt nllhR hi7
ilD 4/md//
{ro
ves
@6
/)x &DEtu' 1lD - g/;/z4nll
and odinances and regulalons The NH
C Developmen I Se rvbes C€n Er will be nolified ol an y changes in he approved ptan s and
contacbr mbrmalion. '"NOTE:Any Wo.k Perfomed W/O he Appropriab Pemiis willbe m Violation of ihe NC Sraledg 500 00"'
Ot\,NER/CONTRACTOR:
*++i +* + *+, r ++,**.-. "-.. -.--(Ii'IlJi1',1)t,t
** * )* )*,***,*)**,t** * ** ** )*** r*,*,* r*,t * ** *)t ** )* )*** * )i* * )*** )*,*
rs rHE pRopERry LocATED rN l rlooollarll I vrs EI rc
EXISTIIIG IIiIPERVIOI,S AREA:
-SQ
FT TOTAL ACRES DISTUREED:
NEt^l IMPERVToUS AREA:
-sQ
FT ExIsT LAND DISTURBTNG
PERMIT: E yEs NO
,orr^, ,uo
l-l comlrururr v svsr
SEltlER: llZJ CFPUA
Ll CENTRAL SEPTIC
EMPRIVATE WELL
! crrurnar wrrr
! comuururrv svsrem
**1 SEPAIATE PERITITS REQUIRED FOR ELECT, !1ECHJ PLBG' GAs Eq-,IP' PREfABS
& INSERTS ii"
pAyFlE T r,tErHoD:
Ecasx Ecrec( (PAYABLE
ro mrcl
f] anrnrcAN ExpREss
E "c/vrsa ! orscovrr
*,t* *** * *,i,t )* )t)t+***** *,*)*
*,*+* *,*,* )a )*** * )*)t* * ++)*,**)t*,t)t* **rt* )*)t)** )*** )*)**
**,*+ + **i** +** *,**+,*)t)**
**** * *
(FOR OFFTaE Usr
oNLY) iEvrsED DAIE O4l11/12
SETBACKS: F: LH: RH: B:
PRIVATE SEPTIC
ZONE:OFFICER:
ApprovaL:_ City:_ DATE:_ FLoOD:
_ BFE+2ft=
_
AVN
comment:PERMIT FEE: $
/,
AppLrcANr,s r,rAfiE: /il/o/-/?,
/ 4. Zlxl25.^ y' ad*1-,././-zz. ./.,t..
DEVELOPER: PHONE
S:9a)';xi2.-*72.)
eao*ct aoo
SUBDMSION: BLOCK
*: _ LOT
#;
SIGNATURE:
ct$..l
do,
6r
NEhI HANOVER COUNTY BUILDING PERMIT
APPLTQATI(N ryPE.. COOITERCIAL
PLEASE ATS}'ER ALL QI.IESTIOXS APPLICABLE TO YOT,,R PRO]ECT
'?roject Responsibllity''
Wz+ lb-lb'l
2otb-9o6
APPLICATION
l{umber
(oFftce Use)
APPLICANT'S i.IAITE:Hunt-Prlce lnc
PHONE
#: T
9t-1434
DATE:1-21-2016
ZIP i 284a2
DEVELOPER:
CITY: wilmington/ nc
OCCUPANT/BUSINESS t,IA}tE : N
ew Hanove! Hea]th Neti{ork Construction Servic
Pto E #: 343-7ooo
oIINER'S ADORESS: 2131 s. llrh st CITY: wilm.ingtonSTi nc ZIP | 284a2
CO TRACTOR: Hunt-Price rnc LICENSE #: 436s7
ADDRESS: 118
sebrell Ave
CITY: wi]]rtilqton
EIIAIL ADDRESS: huntpriceGec. rrrqg4 PHONE f: 9ta-191-1434
PROIECT CO{TACT PERSO : wes Price PHONE #: 97c-262-3472
(chect
All That App]y)
EXrST COi{STRUCTTCXTI :ALTERATION
n RENOVATIOttI
n GEI{ERAL REPAIRSRELOCATICN
n
lf Rolocalidl, is there a Natural Gas Line on
the Current Site?
uYes I
No IS BLDG SPRINKLERED?I ves
! ruo
r{E}r cq{sTnrrcTror:
! rnrcr EI srRlJcTlrRE
I rrsr rnacx
! s+rrr-r.
I uerrr
I ArD To ExrsT sTRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Penmit #:
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIO AL:
*..r* Is THrs A CHAIIKE OF OCCUPAI{CY US:r [VeS T
Is Elect Polrer on this Building T Yes
n*o
tftat is the t{ry Occupancy Type?
PH:
PH:
NC REG *:
NC REG #:Ei6R DESIGI{ PROFESSIOTIAL :
DESCRIPTION OF I.IORK:
OWNEF/CONTRACTOR:
artitlonar:t of exisitn Plans and Print Room
into oew office
ls ftod tr bet eags pr€pa.€d
6 s€w€d h
tts *rnref ! ves I Nob Tho Prop{ty Locabd ln The Fofldn? !Yes
all other
l1",lro
N
OISCLAIMER: I hereby ceni, $al all
'nformalion
in this applbalion is csrEt ard all urork willcomCy wilh lhe Slale Building Codo and
and local laws and odinan@s and rcoulalio.rs. The NHC Devdoollr6ol Servi:as Cenler will b€ notif€d of anv clEnoes in the
aoooved
or cfianqe in cd(ractor or contractor i-nformation. -NOTE: Any Wort Perlonnei w/O ltle Appropnate Permfis will
fr in Violation of the
Subiecllo F'nes Up To
$50o.00"'
TOTAL SO FT UNDER ROOF:
-
# OF STRUCTURES:
ACRES DISTURBED:
o{ans and aoecifi cations
NC state Bldg code and
SIGNATURE:d-2.^.
Exsr LAND DrsrunatNe esnutrz
f] ves
fl NO
Hunt-Price Inc
(tu{t.) (Prlnt
t{{n )
€ontatn Asb6abl. oi not You aro Equkrd to caI t|€ taotoml Embslon $anddds tor l.hzedoue Alr Polkrtanb (NESHAP) at (919)7076950 at l6t l0 doy8 prlor !o fio
domdlloi of srry fadfrtty o. b.rlt&E. Seo Asb6b6 W€b Stb:
TOTAL PROJECT COST: 1500.00 BUILDING HEIGHT:# OF UNITS:
TOTAL AREA SQ FT SQ FT PER FLR:
-
# OF STORIES
# OF FLOORS:
: 37I
0=so r{6
4Da)
NEW IMPERVIOUS AREA:- SQ FT EXISTING IMPERVIOUS AREA
pRopERryusE: fiprRce lnesrrunem [uercnrnue leouc lasr lco|\|oo orxen:
WATER: @CFPUA
SBA/ER: UICFPUA
r-'l coMMUNnY SYSTEM
- WELL EzoNlNG usE ctA,sslHcAnoN
ficeurnelseerrc flfr-vlresEPnc flcotiMUNIrYSYSrEM
PAYMENT trETllOO:
ficnsx a crEo((pAyABLEro xxcl lemeRlcAN ExPREss
f]uovrsn !otscoven
zoNe: CB OFFICER:
(FOR OFFTCE USEoNL'tl
r:Nl ft ta:--T---nnN-a-a,ElA-
REMSED DATE {"'1 'I.I12
I\J
ApEoval City1 I l\L(-n{-BFE+Zft=
N
ICornmont
SETBACKS:
PERMIT FEE:
PROIECT ADDRESS:
&A'a :, '7+1
\t,
PROPERTY O&,|NER'S tiAltE: NevJ Hanover HeaIth Netr./ork
ST: nc ZIP: 28a03
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
EO JN22 ifi pLEAsE ANsuER ALL QUEsrroNs AppLTcABLE ro youR pRorECr
'Project Responsibility"
)?g:fi2
APPLICATION
Number
(offlce Use)
PHONE *: 910.350.1244
PHoNE #: 910.3s0.1?44
RELOCATION
APPLICANT'S tlAIitE:
BirI clark Homes of wilmington
LLc DATE:
t/L5/20r5
DEVELOPER:
Bill ctark Homes of wilmingron LLC PHOiIE #: 910.3s0.1744
PROIECT ADDRESS: 797 tiberry Landing way CITY: witmington ZIP: 28409
SUBDIYISION: covinqton BLOCK f:LOT #: 36
PROPERTY OidNER'S iIAME: Bill clark Homes of wirmington LLC
oulNER'S ADORESS: 12? Racine Dr. suite 201 CITY: wilnington
PHONE #: 910.3s0.1744
ST: NC
ZIP: 28403
C0 TRACTOR: Bilt clark Homes of wilmington LLC LICENSE #: 34586
A,DDRESS: 127 Racine Dr. suite 201 CITY: wilminqton ST: Nc ZIP: 28403
EtiOIL ADORESS : rgi11@Bitlclarkhomes. com
PROIECT CONTACT PERSON: Richard cil1/Bi11 Clark Homes of wilminqton
EXISTING CONSTRUCTION:ALTERATION
! nrlovr.rron
! cet'tenrl neerrns
NEl.tl CONSTRUCTION:ERECT NEr{ RESTDENCE o" ! lOOttrOru TO EXTSTING RESIDENCE
*+PLEASE CHECK ANo AI{SWER BELOtrl ALL THAT APPLY TO YOt R pROJECT:
Inrr ennaee
! oer cannce
I eoor
! orcx
sr
I eoncr 3sl11s sF
! sronece snro
OTHE R: Patlo:172
suNR00tl
! cReeruuousr
rs rHE pRopERTy LocATED rN A FLooDpLArlD
l-l vrs
EXISTING IMPERVIOI,S AREA: O 5Q FT
NEhl IMPERVIoT S AREA: 31.41 SQ FT
49s SF
SF
SF
5FSF
SF
SQ FT: zsee
!No
YesT No
YES T NO
TOTAL HEATED SQ FT:
1767 TOTAL SQ FT UNDER ROOF: 2412 TOTAL AREA
TOTAL PROIECT COST sess rog t $ ne
,eqs * OF STORIES: r
Is Any ELECTRICAL, PLUMBING or MECHA TICAI- Work Being Done to the Accessor y Structure?
! Yes
If the project
is a Relocation, is there a NaturaL Gas Line on the Current Site? fl
***,* )t
* * *** *,*,*,t,t,***,*+
Is there Electricat Power on this Building?
l-l Yes T No
PROPERW USE
/ OCCUPAI{CY:SINGLE FAI4ILY
! oun r-e
x ! ro^rHrousr
DESCRIPTION OF WORK: New construction of single family home
conracbr informalion.
'*NOTE: Any Work Performed w/O tle Appropriale Pem ils will be in Viohtion of lhe NC
Slab Bdg SUTo $500.00"'
OWNER/CONTRACTOR: Richard cilL/BcH of wilmingLon SIGNATURE:
{Prlnt Name),*,*,*,*,i.*************+,**,*********+,*,*,*,*r.*'**,r*,****)t*,*)*'*'l'1,t,*,1**********
and ordinances and regulations The NHC Developmenl Services CenEr willbe nolified of any changes in he approved plans and specificalions or change in conlracbr or
SF
I NO
TOTAL ACRES DISTURBED: .15
EXIST LAND DISTURBING PERI{IT:
sEwER:
E cFpuA
E CENTRAL sEPTrc
! enrvert sEPTrc
E cot'lMuNrrY sYsrEM
cFpuA
E coMMUNrry sYsrEM
E PRTVATE uIELL
fl cerurnfl well
d1
{aIdATER :
il I
+** SEPARATE PERI.IITS
PAYHE T fitETHOD:
E CAS*
E
REqJIREO FOR ELECT, I.IECH, PLBG, GAS EqJIP, PRETABS & INSERTS ***
cHEcK (eAvABLE ro r,mc1
! arearcAN ExpREss
E rqclvrsl ! orscover
****+******+*)t*****,******,******ii******+,t*****,**,*,*:***)t)***:t********'t**it**)t***:t*********)t)*)*
(FOR OFFICE U5E ONLY) REVISED DATE
O4l11/12
ZONE: OFFICER: SETBACKS: F: LH: RH: B:
BF E+2ft=Approval: CitY: DATE : FL00D:
A v N
RECEIVED NO|/ O5 M6
NEW HANOVER COUNTY BUILDING
APPLICATION TYPE: COlllllE RC IAL
70\b- qv\
PERMTT'PEZ
[5 *3tig
APPLICATION
Numbe r
(Office Use)
PLEASE ANSI,{ER ALT QUESTIONS APPTICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANTTS NA{E. Parker Construction Group, LLC.DATE: rt/2/15
DEVELoPER: .Parker Construction Group, LLC.
PROJECT ADDRESS: 7242 wrightsville Avenue
OCCUPANT/BUSINESS IIAME: Parker Group
ZIp i 2e403
pROpERTy OIJNER,S NAI'IE: US Life Saving Service, LLC.PHoNE
#: 910-367-8?39
odNERrS ADDRESS: Po Box 1612CITY. wrightsville Beach
CONTRACTOR: Parker Construction Group, LLC LICENSE #: 6s883
ADDRESS: PO Box 925 CJTY. wriqhtsville Beach
EMAIL ADDRESS: robert€parkerconstructiongroup.com PHONE #:919-771-8531
PROIECT CONTACT PERSON: Robert Jarman pH6NE #:919-771-8531
(check A11 That Apply)
EXIST CONSTRUCTION:RENOVATIONGENERAL REPAIRS
tr RELOCATION
lf Relocatlon, is there a Natural
ALTERATION
Gas Line on the Current Site?
0Yes
No IS BLDG SPRINKLERED?
f,1v""CINo
NEW CONSTRUCTIOiI:EREcr NEr.l
srRUcruRE
f] rasr rRAcK
E SHELL
fl upFrr
E AoD
To Exrsr STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The SheII Permit
*:Is Elect Power on
this Building @ Yes O nO
*r,'','r* rs rHrs A CHANGE oF ocCUpANcy UsE?
ClyEs Q m *****
IF Yes, what was the Previous Occupancy Type?hlhat is the New
Occupancy Type?
ARCH DESIGN PROFESSIONAL: Kot Hostetler Architects, PLLC
E GR DESIGN PROFESSIOi,|AL: wood Engineeriing
pH:
910-612-4364 NC REG #:
pH. 910-343-8007 tC nrc
*:
52570
19475
contrin Asb€stos or nol You arr Equkad to call th€ Nalioo8l Emission Sbndards for Hazadous Air Polluta s (NESHAP) el (9'19)707-5950 6t ls6st 10dsys p.ior to fr€
domolidoi of arry facility or bullding. S€€ Asb6to6 Wob Sit6: http:/ M/wr.efr.sbte-nc.us/€pr/asb*tos/ehmp-html
DESCRIPTION OF WORK: Construct Parker Building
ls food or beverag€s prepsr€d or served in this slnEiur€?
Oves p lto ls The Property Located ln The Floodplain?
Q ves
Q ruo
all olher applicable State
olans and soecrfrcatrons
NC Srare Bldg Code and
oWNER/CONTRACTOR. Robert Jarman SIGNATURE:
(AJdill€.)
TOTAL PROJECT COST. s00,000 BU|LD|NG HElcHT. aB'-B 3/a'# OF UNITS: 2
TOTAL AREA SOFT. s,s68 SO FI pER FLR. 1,856# OF STORIES: 3
# OF FLOORS: 3TOTAL SO FT UNDER 5,568#OFSTRUCTURES:1
ACRESDTSTURBED. .203 Exsr LAND DrsruRBrNG PERMI?
o yES cl NO
NEW IMPERVIOUS AREA: 6,52e SQ FT EXISTING IMPERVIOUS AREi\' 6, s05 SQ FT
PROPERTY USE:tcE
lnesraunaHr
luenmlrrrle !EDUC
leer flcoxoo OTHER:
NING USE CTASSIFICATION:
COMMUNITY SYSTEM
WATER:
SEWER:
PAYIIENT METHOD
Qcasn Qcnecx leevmlE ro NHc) Qeuenrcaru ExeRESS
Q ucnrtse
I otscoven
PHONE *:9t0-256-4229
CITy: wilmingron
ST: Nc ZIp: 28480
5T: 11 ZIP:28480
T,CFPUA T-'] COMMUNTTY SYSTEM T-]WELLfi creua
l] ceurnal semc E p-RvArE sEprrc
(FOR OFFTCE USE ONLY) REVTSED DATE 4/11/12
ZONE:-OFFICER:
-
SETBACKS: F:-LH:- RH:- B:
Approval:- City:- DATE: FLOOD:--- BFE+2F-
AVN
gomment PERMIT FEE:
$_
I
RECEIVED NO!. O5 ?C6
NEW HANOVER COUNTY
BUILD]NG
APP L I CAr I cN rYPE : COI'llilERCIAL
?o\lo-q?\
pERmf T t, '1-:t yt- _7,,._rrvf.
ffi P...',.-,8 .{Sht8
alt Qu:.r-:3 5 rppt :(a8LE ro ycuit r.:,,rrir
"Pioject Responsibi1ity"
CfTY: xilnington
pHONE
*. er0-255-i:29
zJp::li4o:
Plio\E
*:
ST
910-367-8;19
rrc
[p;iilsc
PHO.iE
PHONE
ST
:n. ZIp: 26.180
9to-l7l-8rJl
g:
s-rr-exr --
[v". Qvo
APPLICA-iJN
Nunber
(offi.. us.)
DATE: ttll/t:
-- <i'.2
EIIAIL AODRESS:-\crtQparkt r-.:.t r:uccionqroup. com
pROl€CT CON'|ACT pERSOt.
F.54rt Ja,'i.n
are.k All i .:' \pr:tl
!XI5i CONSTRU'TION:ALTERATIOI.IRE\OVATiON 6ENERAL
R€Pr,ItS
li Roloca on. ls there a Nalural c2s '-lne on th- Current S(e?t_.J
DEVELoPER: .Par;er Consr :r::lion Ci.rp, LLC .
pRolECT ADDRESS: ,242 liri:ihtsvilie Avenuc
o€CUPANT/EU5INE5S NA!!E: Parker Gr. -p
PROPIRTY O{ ER,5 tlA}1E: us Li.fe s::ving
,s:.,i:e, Ll,.:
Oflt\ER,5 ADDRESS: Po Bo:{ l6L2
CONTRACTOR: ..r.ker C..::l.ruciion Crcup, ;,Lc
A0DRE55: PO ecx 9l5
AppLICAHT,S NAli rdr;.cr I - iL.L ). .:-ro. ::.c.
If UPit r - i\e shell Permit r:
DISCRIPT-i)N Of t^0:tKi co.slruct garl.r auildins
,568
ZONE:
Arproval:_ City:
CITY: xr: i::svi l -e Beach
LICET{SE t: 6s483
aJTy: ii)
:ghtsvrll- e.:ch
Yes
RE T O(.XTTON
No IS BLDG SPRINK t,IJ:^]
NEh/ COrlSlRUCrrOr,r , f eneCr N€Li STRUCTURE
!rlSr rnaCX
ACCESSORY STRUCTURE:
SH!L L
I uor:r
f aor
ro rxrsr srRUaruRE
Is Elect Power on -f!"is Building Oi yes Cro
A cHAlrcE oF (rcupA Cy use i fiv:s Q m .'...
IF Yes, whrt ras the Previdrs Oc<uparcy Type?l,Jhat is thc Nex Ocaupancy Type?
AnCH 0[516 Fq0FESSIOM!: (o! Hcrretlsr Architec:s, :rt.LC pH.
9i0-6:2,4364 NC RE6 {
EI6R OESIGN PROTTSSIO{AL: riar:l Ensineering p;, 910-3{3-€0:,? NC t!,j I
lE food or boverages p.eparcd o. se.r'ed in this structure?
OISCLAIUEF I
he.ebyce,l',. lhat
a"...r_.'tron,n'n : -.;rj:axon,s
aod locat trtr: anc oro^or ,_: and re.t.ri,:r,trrs Th! nr ._ :-ev€lci,.'
J'CnAnOe r
CJnlroi:q q r Art .. '
Suqe(llo Frn€s JP Ic: ' i"'
OWNER/CONTRACTOR: sobert Jar:'.rn SIGNATUR::
(Odrdl rF'fi Naa)
Nola: Dcfiolllon ftdtlcalang E db6tc rdnoY6l pdmlt stCt€loa'' 3t!b b. .ubfillld 6110 ln6
ippl,6tio. ..ofl (OHHS-3768) \rtl€tn3r rt6 f.cirjty o.
croiain A$o*os or nol. Yo! 6E l!(rrii.d !o crrt
t Nalion:iErl&lioo Sr,i,tar1s [, turldour ArPdttants (NESHAP) 6t (919)707-5m d b€st 10
TOTAL pROJECT COS: 5 3 t, o o:BUILT'\c HEtcHT: tt -s i/t# OF UN|TS, .
TorAL AREA
sc FT 5
fl+" Qlruo ts ihe Prop€rry Locetod tn Tns Ftoodptsin?
Ol res
fl lro
c9 red 3n.jJl worh M'.
ccml, ,,lh lne J r: Bur
c'ng Code ond. or1, .,Jpt,c.b! SH:r' S... '-. uene, w, be ndr,eo
ol.,rv .es
t.li;Jii-.:!ed )a,rs irrrrt si)eot,al'onr,vrorheApp'c:'' .pF-n,15. +,"lrolat. lhe\C..larc Bldq Codc aq1
TOTALSO FT UNDER ROOF. 5.568
SQ FT PER FLR. , } , 856
f OF STRUCTURES I
# OF STORIES: 3
# OF FLOORS:
I
ACRES DISTI,]RBED..2C3 Exsr LAND DlsruRarHc
eenurr: fif, ves
SC FT EXISTING IMPERVIOIJS AREA. 6,505
\o
NEW IMPTAVIOLJS ARLA' 6,529
pRopERry u$E:
TpFFrcE
lnesreunrrr luencamru [eouc lerr ncoruoo OTI--ER
PAYMENT lvlETiJOO;
f,lcesx Qcueo< (eAvABLE ro NHc) fimreatcer exearss Qiucnnsr D otscoven
'2
_15_
,nr9.9
N
PERMIT FEE:
$_
/ r\jle
&*Ntt4
a
ili)r,.1ment
&.0;x\on,aJ o\41. 0i\ dbSFtYn
WATER
JTCtrPIJA ICOMMUNI-Y SYSTEI'I -WELL EZONING USE CLASSIFICANON,
sewen p] croua
f] cer,ru- seerrc
I eh-vre
srrrtc f:]a6MMUNlrY sYS-EM
)
tC+5
ffi
)
I
rL+ lb tu3
2ol 1NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION TYPE.. RESTDENTIAL
PLEASE ANSWER ALL QUESTIOIIS APPLICABLE TO YOUR PRO]ECI
"Project Responsibillt}f
APPLICATIO
Number
(Office Use)
APPLICAT{T,,S NAIIIE: I
s:,r r:' -,{ I
evDATE: 't
/':2 / 1, ia
DEVELOPER:
PIONE
: 9ta -291 .1159
PROIECT ADORESS: ri, :-:.rr' . ll:
SUBDIVISION: Lo:
r i.ria,' ^.rre.i
PROPERW Olll[{ER'S NAI4E: E.b a::.t Merre iJheat.ley
Clll{ER'S ADDRESS: :20 :jnh:.tr
tj
ADDRESS: !9r-: :t,-,:-e.s C:urc:r Rd
EIIAIL ADDRESS: Es i:on il Draoonfl,r
in
CIry: Wilminoton ST: NC ZIp:23405
CITY:W.j-fm:.ngton
ST:gZIP::E,|.,
CITY: W i imrnq',oc ZIP
i 2
3t,
i5
BLOCK #:LOT *:
PtpIrlE S: 1
-a.s24.1-1X
PHONE #:910.29'7.1459
5F
provements . com
PROIECT CO TACT PERSOI{: lsL.:r 3rrc.(-ei Plol'lE #: 91C.291 .1459
EXISTING CONSTRUCTION:A LTE R ATION R ENOVAT ION
I cerurnll neenrRs RE
TOCATION
NEW CONSTRUCTION:ERECT NEt{ RESIDENCE oTADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANShIER
BELd{ ALL THAT APPLY TO YOI,,R PRO]ECTi
! nrr cnnace
_ sF
f] sulrnoor"r
_ sF
fl cnrer'rrrouse
_ sF
! oer crneer sF
! poRcH
SF
5F
TOTAL HEATED SQ
POO
I
I oecx
SF
5TORAGE SHED
SF OTHER
TOTAL SQ FT UNDER ROOF: 16OC TOTAL AREA
5Q FT:
TOTAL PROIECT COST lress r-o9
: $ 29,o0o.oc f OF STORIES:
Is Any ELECTRICAL, PLUl.lBIl{G
or IITECHA
ICAI l,,ork Being Done
to the Accessory
Structure}I Yes
n No
FT:15c0
If the pnoject
is a Relocation,
is there a Natural Gas Line on
the Cunnent
Site? [ Ves r No
Is there ElectnicaL Power on this Buildlng?I ves
f] No
PROPERTY USE
/ OCCUPAT{CY:
5TNGLE FAMTLY
! OUnlrx
! rOWrunOUsr
DESCRIpTIO{ OF lrcRK; ReDIace kir,cre. cabi.e'-s Changes
door ways, Repface wlndows,
Install
OISCLAIMER: lhercby csrtify hat a[ inbrmation in ttis applicalion is conecl and all work willcomply wih h6 Slats Building Codo and dl oher epplicabb Stats and locd lav\rs
and otdlnances ard regulalions Th€ NHc D6lElopm8nl
Se icesC€nErwillbo nolifud ofanychang€s in
he approved plans and specifcalions or change in
contractrror
conn br inbrmaton. '-tlOTE: Ahy Work Psrbrmed w/O he Appropriale P€nnits will bs ln Vblatbn of lh6 NC
Stab Bldg Code and Subj€ct b Fin€s Up To S500.00.',
Ol{NER/CONTRACTOR
: tisto.l q!t!I,1e!SIGNATURE:
firepl-ace, repLace
floor cover in
(P.int un€)t * r( * * * * r( ,f * * * * * * )i )t
* )t ,f ,t )t
* * )k
* * * * * * * + ,*
* + :i( i*
* * ,l ,t ,i ,f ,t ,t * )t )t :t
* )t )* :i * :t + + :* + ,t ;t ;B )t
* * * + * * * *
t *
t tr ,f + * ,t
* * * * * * ji(
*
IS THE PROPERTY LOCATED IN A FL(XDPLAIil?
T] YES
EXISTII'IG I}TPERYIOUS AREA:
-5Q
FT
NEW II{PERVIOUS AREA:
5Q FT
COtlI'lUNIry SYSTEMPRIVATE WELL
I NO
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERIJUT:
l YE5
[--l ro
WATER :
SElllER:
CF PUA
CF PUA
f] cerurnal seerrc
u PRIVATE SEPTIC
CENTRAL LlE
LL
COI'IMUNITY SYSTEM
(FOR OFFICE USE OI,ILY) REVISED DATE
O4l11/12
SETBACKS: F:- LH:- RH:- B:-
PAYMENT IETHOD:MC/VISA
I orscoven
+*,**++**+******)**,***,t*,*)t*,t,1,t,***r(,f,*,**,***i(*,t,t,*,t*,t*****,t,t,t*,***,*,******,1)*****,t******)t*,*****+*
ZONE: OF F ICE R:
AoDroval: Citv: DATE: FLoOD: BFE+2ft=
AVN
CONTRACTOR: l: :- ir r,. .
LICENSE $: 6s03r
*** SEPARATE PERMITS REgJIRED FOR ELECT, T1E(645 EOUITIEFABS & INSERTS *+T
!crsr florrcx (eAvABLE
ro ilHc
) E ArqERrcAN ExpREss
ci+1
2dL-q29
lez*. lb'bi
APPLICATIOTI
Nunber
(otflce Usc)
NEW HANOVER COUNTY
BUILDIN6 PERfVIIT
APPLICA,TToii lrp6; R ES I DENTIAL
,'!!is! r'r(.,:; r'.1 0..:.:i:,.1 .1ia!t(rt,tL :|| a !:._ ' I
"Project Res pons
ibil ity,,
APPLICATYT'S NAttE: li!!!f,1 En ^Kl$t_DEVELOPER;
PRO]ECT ADOR
SUsDIVISION:
CITY:
t i lrit,,cla,l
BLO(r *:
ZIp | 78qot
LO'T
*:
PP{)NE a. qrc.{14 mo
CIrY: yLEg44EE__ Sr I
lLzrp | L8tEE
LICENSE
s: 65035
5T: 6(_ zlo :
lF4b'.(
PHOIE #: ql0.rfl.1{S1'
PH0NE f: qLA.agT.lq'gq
C::OCATION
DATE:t/r)/tb
PHOIJ
E fi: lrc.if,1.IS?
ES5:
a4l (
!
PROpERTY dAtlER'S NAIE:
&t {.r'i H"rDe ldt
zoi ie y
OoiER'S a00RESS: 33q-S&t|a Dr
COI-{TRACToR: 6<lc;r 8rtv.!zv
ADDRESS: iq7< <t-.ohrr< r Qi.CITY:
E|tAIL ADORESS
: Er'1eAaDm$nf,|rjifqgvfn?r*<,.1dn
PRO]F'T CONTACT PERSON
EXISIING CO STRUCTION:(: IIIER AL REPAIRS
NEW COI{S TRTJC T
I OI']
! rnrcr NE,i REsTDENcE
o. f],nootttou ro ExrsrrNG REsTDENCE
.TPLEAS€ CHECX ATIO ANs{'ER SELOU ALL T|,AI APPLY IO YOUi PROJECT
AIr GARAGE
_ 5t
SUNROOM 5T
I c:' cnaacr sr lec.cri
_s'
: :,lL...r,i:- i..;rl
I cnrrlxoLrse
_ sF I orcx
PROPIRTY USE
/ OCCUPAi(Y:S
iIJ6LE FA14ILY DUP L EX rC,.lNH0USE
oESCRIPTIoal OF !^ORx:
tc
t
OI,{NER/CONTRACIOR : pqs n BriaKtF,SI6NATURE:
5;
SFsF o]-H!p:
I
If the proje(t is a Relocation, is the.e a Natural 6as Line or the Cunrent
site? ff yes
Is there EIe{tr.ical Power on this Building?
TOIAL HEAIED SQ FT:1(@ TOIAL 5Q FT UiID€R ROOF:
I(d,' TOTAL AREA SQ FT:
-
T0TAL PROIECT C05T tr u.. r.o:r
| $ A,eo.0O * 0F STORIES:
Is Any ELECTRICIL, P|UHB1116
o. llECHl
lCAl lao.k Eeing oone to the Ac(crsor) 5rru.iur.Et
I No
I No
Yes
. .,t(.-: r.rr'. ..., _ -,1,\(. 1... ...,rLr*a,:_-j.ai,t.-, jr:rj! - ,ri,,L:i.. ;i)i,.
qL,<\
15 THE PROPERTY LOCATED IN A fLOOOPLAIT{?
EXISTING IIIPERWoIIS AREA:
_ 5Q FT
I{E}, IIIIPERVIqJS AREA:
-SQ
FT
NO
TOTAL ACRES DIS'IURBFD:
EXr5T LAND OTSTURBTNG pERHrr: f veS
I--l ruO
t{c/vrsa
YES
CASH
tru(|rEcx (PAYAELE -1'0 Nlr)A'IiRICAN EXPfiESS
I
?--\5 o,,,,,^
-a'r \)f; i.! f. r).rr n; t1,.,
::lEI
App.oval:_ City:_ DAT:
_ 5E 18ACK5 :
,Z-l -\t rLooo
t,NIF LH' NtFnn,
-r\ar,-NiF
___{ BrF{2{t.
No chonqd r.11'd lf, r innr
r,{arER:
fi creua
f coHAUNrry svsrrr IpR]vATr r.lErL
f] crrrnal wrr.l
sErlrER:
E] crpul
I CEI:RAL sEpr]c
I rnrvlrr secrrc
I co+,rHt]Nrry sysrEM
t ll0,oo
I orscovenPAYTEIT IT']OO:
NEI^I HANOVER COUNTY BUILDING PERMIT
aPPLIcATIott rYPE: RESIDENTIAL
PLEASE ANsI.]ER ALL QUESTIONS APPLI(A8LE TO YOI]R PRO]ECT
"Project R€sponsibility''
APPLICANT,S IIAI.4E:
DEVELOPER:
PRoIECT ADORESS: :e1,1 :eeF creei rr:.CITY: i,l:. i r1i:-tgf,.n
MaEca ilarbour Yaeht Ciub
Ot{l{ER ' 5 ArDRESS i 1a-|
z. 8ch st!ee!CITY:char:ciie
CONTRACTOR:Jordan Buil-, Hcr.es iba .jordan's coq4g LICENSE *: 1!90 5
ADORESS:
-:-: : --i'-.d: :r.s.:-.:: :-'.4
CITY: --.la.i
EtilAIL ADDRESS : A::neL:,;crda.1Bur. -!tiicr:es. :crr,
suNRoor.4
_ sF STORAGE SHED
#
Clear FormPrint
2okq3D
L6-L48
APPLICATION
Number
(Ctffice Uie)
DATE: -.:).-t.
ZIP i 2s1ii
BLOCK *:tnT ii. _
PHONE *:
sT: ria
zIP: :3 2.:
ACCOUNT f:
ST:gZIP:3gg
P}€NE *: etc .161 .-t6-16
SF
PRO]ECT CONTACT PERSON:
ExrsrrNc coitsrRucrroN:
f] alrenarroN
I nexovarron
I ceteral aeearns RE L OCAT ION
NEN coNSTRUCTI0N rERECT NEr^l
RESIDENCE o" I aOOrrrOr,r TO EXrSTrilG RESTDENCE
*.PLEASE CHEC( AND ANS1^1ER BELOi ALL THAT APPLY T0 YOUR pRolECT:
ATT GARAGE 561 SF
f] orr canaee sr
I nonor ?a6 sF
f] oneernorse
-
sF
PooL
_3:_ sF
DECK 724
SF OTHER: lio'. Tub 4 35F
TOTAL
SQ FT UNDER ROOF : -ljj:- TOTAL AREA 5Q FT : I s gT
TOTAL PROIECT COST tu"" iorr : $ ee',.ei2., * OF STORIES:
Is Any ELECTRICAL, PLUMBIT{G or IIECHTNICAL Hork Eeing Done to the Accessory Structure?
E Yes I No
FT : 31.r l
If the pnoject
is a Relocation, is there a Natural 6as Line on the current Site?
f] ves fl No
Is there Electnical Power on this Bullding?
nYes I No
PROPERTY USE
/ OCCUPANCY:SIN6LE FAI4ILY DUPLEX
! ronlrousr
DESCRIPTION OF I{ORK:New Cons! ruc! io:-
D|SCLAII/ER: lhereby cerrrty thar atl rnbrmarion n hrs applcalion is cotr€ct arld al worl lvrll comply w.{, ire Slate BuiEin0 Coda and dl ofiet applicebb StaE and locd laws
and ordin6nces and reoulatlons, The NHC Dev€lopmenl S€rvEes Cenler willbe notfed ofany chan0€s jn tho approved plans and specil5catlons or changs in
conlra€trr ot
conract,. inbrmaiion. ,.'NOTE. Any Work Perlom€d vllo he Appropnars Perrnils will be in Viol6lion
oilhe NC Slale Bldg Code ahd SubJecl b Fines lJp To
$500.00"
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I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
rl YES
EXISTIT,IG II'IPERVIOUS AREA:
-
SQ FT
NEU rtrtpERvrqrs AREA:
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WATER:CFPUA COI'lI4UN I TY SYSTEM PRIVATE I^]E L L
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TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:
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fl cerrnnr wrrr
I coulluxrw svsrrN
$ 2o3?'oosEr.JER:
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E CENTRAL sEPTrc
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1** SEPARATE PTRMITS REqUIRED FO* TLECT, I4ECH, PLBG}
645 EEJIP, PNEFAsS & IIISERTS ***
PAYMENT I'lETHOD;
trI cosx I CHECK (PAYABLE TO NI{)81LL ACCOUNT
fl mc/vrsr
tr 0r5c0vER
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(aoi oFFrcr usE qiLY) R6vISt0 oaT[ 94/11/12
SETBACXS: F: LH: RH: 8:
Appnoval:- city:- DATE:- FLoOD:
-
BFE+2ft=
AVN
L Emtil
SUBDIVISIOIi:
PRopERTY Ohtr{ERrS NA}.iE: P}IONE S: 1c4.se6. .1-146
PHONE *: gtrr .859. ios2
TOTAL HEATED SQ
OIINER/CONTRACTOR : Cjess Bel] SIGNATURE:
ZoNE:
_ oFFICER: