APRIL 6 2016 BUILDING APPS#
APPLICANT'S NAI4E:
DEVELOPER:
WATER:
CONTRACTOR :
ADDRESS:
EIIIAIL ADDRESS:
TOTAL AREA SO FT :
ACRES DISTURBED:
SEWER
tltl
PAYMENT MEfiOD:
Commont N\cr-rVn N.t vtl CL.F
LH RH B:
REVISEO DAIE {11112
NEW
PLE
PROIECT AODRESS: rtci Milrrar
OCCUPANT/BUSINESS NAME : l: :
PROPERTY OI.INER'5 NA E:
o!{NER's eoDREsS: I 0(.r
PROJECT CONTACT PERSON:
,r*+*,i IS T
IF Yes, grhat rras the Previ.ous Occ pancy Type?
ARCH DESIGN PROFESSIONAL; \"a'.raz:h r'.lan
ENGR DESIGN pROFESSIOIIAL ! ah.ist her. A cock
DESCRIPTION OF TJORK: ?he sco
NOVER COUNTY BUILDING PERMTT
A\PLI.ATIaN TyPE.. COHI{ERCIAL
E AI{SI.]ER ALL QUESTIONS APPLICABLE TO YOJR PRO]ECT
"Project Responslbility"
Aotu )4q+
APPLICATION
I'lumber
(offi(e Use)
DATE:
PHONE #:
CITY: r.rllminqio:1
)vt PHONE $:
5T:l!( zre:106fi5CITY:
LICENSE *:
crrv: flyr
sfl?qu
rltp ST:ztp :
ves fitlo
EXIST STRUCTURE
PHONE S:
PHONE *:
(Che<t Al1 Ih.t Apply)
EXrST CONSTRUCTTON: n ALTERA ot'/nerovarror l--l
ent Site? LlYes I
NERAL REPATRs f] ner-ocrr
No IS BLDG SPRINKLERED?
ION
I
GE
tf Rdocddr. is lhere a Natural Gas Line the Curr
NEr,r CoNSTRUCTTON: n ERECT NE srRUcruRE I rasr rnrcx I srrr-r- f] urrrr I mo ro
ACCESSORY STRUCTURE:
If UPFIT - The Shel} Permi.t #:Is Elect Poh,eP on this Building I Yes fl *o
rs A cHANGE oF occuPAr{cY user [ves I
l,Jhat is the New Occupancy Type ? Business
PH
PH
104 9c8-i544
: 919 8f1-1C70
NC REG s: 12784
NC REG #; 3 6218
No
of r,/crak is an interior r:enovation of a 4532 s ft office s
ls iood or bevtragos prep6r€d u s$v6d frg euudud flve"No l5 Th6 Propsty Locat€d ln Ths Floodflain? [ Yes I
(odd
l.10(6: Odriolltoo rEdllcdo.ra t rab6io6 rsrovC
contEkr ArtGl66 or rEt You era llqullEd b cdl th.
denbllt{or ot .rry tud$g 6 h-ddl.U. 56 Asb6b.Sb: htQJ flrrw.d-st6b.nc.q./€puasb6siosi/6hmp.ht^nl
TOTAL PROJECT COST:BUILOING HEIGHT: I '; . :
SQ FT PER FLR: -1,69C
# OF STRUCTURES:
# OF UNITS:
TOTAL SQ FT UNDER ROOF:
Exsr r-ANo DrsrunarNe eeRurr f]ves I r.ro
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS ARFA:
.J
SQ FT
PRoPERTYUSE: srrrCe fl mrr [usnanrnle [eouc f]l.rr [oNoo
CFPUA ntl COMM n EwEtL flzoNrNc usE CLASSIFTCATTON:
PRwATE SEPTTC ECOTTMUNTTYSYSTEM
OTHER:
CFPUA CE NTRAL
*.SEPARATE PERMIIS RE IRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS E INSERTS "'
ZONE:_OFFICER:
Eca.sH I (pAyABrEToNHcl flnuenrcax ooness f]ucrusa Ioscoven
(FOR OFFTCE USE ONLY)
SETBACKS: F:-
FLOOD:Apprcval:_ City:_ DA
I
ZIP::8405
sanetme:Q.,/z|Q
icaLlle Slale
# OF STORIES: 3
#OF FL@RS:
-
N 99
NEI^l HANOVER COUNTY BUILDING PERMTT
APPLICAIIaII rYPE r R ESIDENTIAL
EASE AI|STER ALL q,,T5TI0'6 APPII(A8LI TO YOUE PiO]€II
"Proje.t Res ibility"
l' .Liit
)oru 3o,/7
APP I- I CATION
Hunbea
(Offt.. r.rsc )#
APPLICAII'S t.IAfiE:
DEVELOPER:
n Arr GAM6E _ sF
l-l surnooa sF
I cneruouse
-
sr
TOTAL HEAT€D 5Q FT:
TOTAL PROJECT COSTttusc toq
L.
,./.-4'*12-
I 3 I o ca a.r, is th
n poor.
-
sp
n otcx _ sp
TOT L sQ
ELOCK S:LOT *
Ph,N€ $:
/ ;i'. 'a.*
: -:t';( )'t
fl sronace sHro 5F
sf
NO tltikz
TOTA L AC R E S OISTURE€O
(
to
Q,t,;1,-'t:l;n
lLa
OAT
PHO E *:
PRO]EC] AD()RESS:
SUB0IVISIOfll
PROPERTY OIIIER,S
outitEn's AD0RE55
CITY ztq /-7
, /t.cL
CITY:
R:
:/.L
RE55:r'L
L Pato € *:PRoIECT CO TACT PERSOII
EXISII}6 CONSTRUCTION renarror ! RENovATToN I erntnar- nen*ns I RELocATToN
IONTRACTO
ADORE55:
E'{ATL ADD
/'=-
anv,{tecrwgat
tlre pfolect
LICT
CITY:
N5E
/./",/L
rrEr,, cor6liucTroN: f] eatcr NEtl RESTDE CE o. flOOrrrOl TO EXTsTTNG RESTDEII(c
..PLEASE CHEC( ANO ATSXER
'E
Alt TTIAI APPTY TO YOUi PRO]€CT:
! oer eenaer sr I concx
--
sF
oTHERi
FT UNDER R@F I 4T- TOTAL AREA 5Q FI;
-
B OF SToRIES:
-_
Conrnent;
Ptur48 ING ,r*{ii&.(-_
ere r Natural 6as Line on the curreIf
Is there ELectrical PoHer
PNOPERTY USE / OCCUPAI{CY:
DESCRIPTIOTI OF I{ORX:
thi5 Building? Elves f] tlo
irHele roulv I ouelrx I rowwousr
DZONE
NilC De!?
OWN E R / CONT RAC TOR :t-.
I5 THE PROPESIY IOCATEO Iti LOOOP N ;LAI
his spp{cricn a co@.t .nl .! ,orr $l c!frpry *rh hs 3€!6 6uij,n0 Code .,ld aa olh..
F,e s Lb To 5500 0o "
DISCIAIMER lhieoy c.rrt nEr el
sd dd{u)cts.nd ,clulal.is fha
conu&rri hbrnrtt(,l "'NOTE An,
UATEN: T-J CFPUA
sEBER. MCFPUA
zorr:({l orrrcrn:
eppnoval.:--![- clty
'c;:;E i4A{ /2
1)
EXIST LAIID DISTURBI 6 PERAIT:l*-l vrs f--l rio
fl co*l svsrsr I PRwarE wELL I crlrnal wrul
fl crrrnlr.seerrc I pRrvATE sE]Trc f, cor,urulr-r-v svsreu
sQ rr
sQ Fr
.=
={:}<!6a5nacIrr. sapaRAtt PE Rf4 s REqJIR€o FoR EtECr,].1ECH, p!86J 645 EQUIP' pREFASS & rNSEtts.:'
PAYIIEMI I1[T8OD:fl crs"ciE( (pAyaBLr ro mrcl f]r:ll rccorNr flrrTvrsl [orscovrr
. **, *.*r*ri irr* art * ai,|
\U +-#
Agcout{T
Pt0 E
$lork Being oone to the Ac(essory struatul.af
EXISIIII TTPEiVIOUS ANEA;
NEW I{PERVIOUS AiEA:
BIEr2ft./ln /
SIGNATURE:
&-ourca la crllpq
FEE:'-{t-
NEW ANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
EASE ANsWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
J 1|.o ec t R e 5 5 b 1 I L ty
I
CITY:
tu
PRO] ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER,S NAI'IE:
OI^INERJ 5 ADDRESS
APPLICANT'S I,IAII1E :
DEVELOPER:
CONTRACTOR:
ADDRESS:
PHONE f
DAT
BLOCK *: _ LOT S:
PK)NE #:
ST:ZIP i,t&x ACCOUNT #
a
ztp
ST zIP i
7
rVzztr
C ITY:L .tL
'/LICENSE f
CTTY I ILi /L L
EI'4AIL ADDRESS:Lr L
DET GARAGE _ SF
PooL _ 5F
PHONE f 410 E/2-t/zsoz-:
PRO]ECT CONTACT PERSON:IL
EXISTING CONSTRUCTION:AL ERATION
NElal CONSTRUcTIoN:ERECT N ht RESIDENCE o" I AOOrtrOlt TO EXISTING RESIOENCE
**PLEASE CHECK AND ANSkER BELOl,,l LL THAT APPLY TO YOUR PRO]ECT
p$NE *,/)/D -sZ)-dao
TOTAL HEATED SQ FT:
T OTA L p RO l E c T
TOTAL 5Q FT UNDER ROOF:
SF OTHE
# OF STORIES:
s IGNATURE :
ATT GARAGE
-
SF
suNRooM _sF
GREENHOUSE 5F
Anv ELEC| RI"dA
the prolect
! orcr
PORCH 5F
STORAGE SHED SF
SF
TOTAL AREA SQ FT: _
ry TE flv,,5 L L U t4 I IN G T T]
I f 1 S a R I o c a t I
Is there Electrical Power on his Building? [7lv"r f-l r'ro
Work Be I n8 D o ne t o t h e Ac a e s s o S |.uc t u Not
is there a Natunal Gas Line on the Current Site?Yes E^o
INGLE FAIYILY DUPL EX TOh'NHOUS E
OISCLAIMERT hereby cer!t r'al all iniormarion in rs apprE ation is corecl and all wolk will comp ly witr he St re &ritding Code and a[ ofier appt
and o.drnances aid regulalions The NHC Oe!€lo Cen anges rn he appro\€d
conEacic. intrrmatjon "'NOTE: Any w/o lation olthe NC Stab Bld Frnes Up To $500 00"'
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WORK:
I5 THE PROPERTY LOCATEO IN A
EXISTING ]MPERVIOUS AREA:
OWNE R/CONTRACTOR:
** **,f *,* * )r,f,r *;*,f,* * *
NEW II.4PERVIOUS AREA:
COIIIIUNI
SEWER: Ef cFPUA f] curnal s
*** SEPARATE PER[1ITS
PAYiIENT METHOD: E CasTT
ZONE: _ OFFICER:
Appr oval:_ City:
Comment:
DATE:_ FLoOD: _
A
* **** *** *** )* * * * + ** ** * *
B F E+ 2ft=
N
PERIlIT FEE: $
rr )*,* )i *it ** **,* )**r*** *flr* l-l uoF LOODPLAIN ?
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERI4IT: E YES l--l ruo
svsrem I pRrvATE r^tELL ! crrurnar wrLl
errc ! pRrvArE sEprrc ! comlrururrv svsrem
REQUIRED FOR ELECT, ItlECH, PLBGJ GAs EQUIP' PREFABS & INSERTS ***
cHEcK (payABLE ro urc; Iarlt accourr I ncTvrsl I orscoven
(FOR OFFICE USE q{LY) REVISED DATE 64111112
SETBACKS: F:_ LH:_ RH:_ B:_
SQ FT
SQ FT
x)r** * ** **** *,k** * * ** * ,f,r ** *** * ,* ,*,* * *+ ** ***)* ** ** *** ** )i* **** *** *** *)t*** **** )*)** ** * *;*;f** *)i x,* )r*
Jottr Sovl Itu#
APPLICATION
Number
(office use)
! Rrrcvarroru [ crnrnal nrenrns ! RELocArroN
COST ircss roq :
wnrrn, (crruo !
1<
NEW
RECEIVEDl\,|ARlS?O1O
ANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
EASE ANsWER ALL QUESTIONs APPLICAELE TO YOUR PRO]ECT
&ottz lo],/
tu
APPLICANT'5 t,IAI,lE:
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
APPLICATION
TOP l e c t R e 5 p o n 5 1 b 1 I ].t Number
Offi(e Use).-)
oatt/-,,11,v
pHoNe *,(j t1 L/
)3 aa{
(,..,
PRoPERTY oI^JNERJ S NAME :
CONTRACTOR:
AODRESS:
EIiIAIL ADDRESS:
ZoNE : _ oFFICER:
Approval:_ City
Comment:
o
CI TY:
B ll LI
t
E #:
CITY:
willbe in Violarion ol lhe NC
SIGNATU
LOT #:
zwQr-to1
r1o)Jb-:-1fi1
sf ,t uL_ztPta l1o I
SF
SF
TOTAL AREA SQ FT:
[I,*o
PHONE
ACCOUNT #:
sr tAU ztP | {t9tl 1
PHONE f '1e:-!:t1-:-3$Y
,ro,,rs pT-Url' n '43
CITY:
BLOCK #:
e
PRO]ECT CONTACT PERS
EXISTING CONSTRUCTION :AL ERATION RENOVATION ENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT N t^I RESIOENCE O" ffiOOTTTOII TO EXISTING RESIDENCE
**pL€ASE CHECK AND ANShIER BELOI^I LL THAT APPLY TO YOUR PRO]ECT:
! orr clnlcr sr E ponor
-sF
ATT GARAGE
-
SF
suNRoorl _sF
GREENHOUSE 5F
confacor /nrorm.uon "'NOrc)*,;p
ot,JNER/coNTRAcroR l-) r
T0TAL PR0JECT COST (1... L"r) :
ff the project is a Relocati
1s there Electrical Power on
PROPERTY USE / OCCUP
PooL
-
sF pironace suro
DECK SF OTHER:
t,
TorAL sQ FT UNDER RooF: 6l(€
l5o) # oF sroRrEs:
aD'
Is Any ELECTRICAL, PLUI,4BING or 1,4 CH/NICAL Work Being Done to the A.cessory StnuctLlre? $4"t f] fVo
, is thene a Natural Gas Line on the Current Site? nyes
his Bui.lding? ffi"s [-l ruo
INGLE FAMILY DUPLEX NHOUSE E ( Oc..-r I I- l2-D SCRI ION OF WORK:
DSC IMER: I hereby cerrit t'al alr inbmaraon in rs applicalion is corect and allworkwiltcomply wih tre State Euitdiflg Code and aI oher appticabte SraE and tocal taws
and ordinances and rcgulatons The NHC Develop t Seryices CenErwllbe notfred ofany€hanges in be apprcved and specifcaiions or change in conlEc to r or
W/O Ure
e-
ToS 00"'
'r+* + * * * * * * * * ** * * ** *,* ** )k* *
I5 THE PROPERTY LOCATED IN A
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
WATER :
SEl^]ER:
LOODPLAIN ?YES
SQ FT
SQ FT EXIST LAND DISTURBING PERF1IT:E]YES NO
COI,lI,1UNI sYsTEtrl PRIVATE I4E LL CENTRAL h]ELL
CENTRAL S PTIC PRIVATE SEPTIC COIV1MUNITY SYSTE14
*** 5EPARATE PIRlV1ITS REQUIRED FOR ELECI, I1ECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
PAYIVIENT METHOD:tr EcK (payaBLE ro runc1 [BrLL Accot NT E ,./rrto trCASH DISCOVER
* * * *,r *,r ,r,*,f,r ***,* *** )* )*** * **,r)*)*x +** **,** ****,1*,r* * *)* * * ,i,* ,r,r * * * * *,*** ** *** **;** *** *** *,k* *rr ***1+;f
(FoR 0aFtcE ust oNtY)REVISED DArE 04l11/12
DATE:_ F LOOD
-
BFE+2ft=
N
PERMIT FEE: $
II
dr<rruo Z
dcrpun E
ot'INER'S ADDRESS:
TOTAL HEATED SQ FT:
TOTAL ACRES DISTURBED:
E
SETBACKS: F:_ LH:_ RH:_ B:_
llr l". I
i rx, n(
l.r.g.s
#
APPLICAT'IT'5 }lAfiE i
DEVELOPER I
N Et^l
R ECT
onsibili
Va
CITY i
RECEIVEDI{ARIS?Nfi
HANOVER COUNTY BUILDING PER'qTT
APPLICATION TYP€: RESIDENTIAL
!EAS[ Arsfti ArL q]EsrICnS AppLI(ABLt rO yOJi piott(,
t Re5 F
w)ffis-
)otu- 3o7y
APPLICATIOII
llunber
e a
)(/'')
DATzy'
PriottE * rS(!.
i:lv
PRO]ECT AOORESS:
SUBOIVISIO{:
PROPEsIY O,JI.IER, S MI'IE:
O.INER'5 AOOREsS:
CONTRACTOR:
ADDRESS:
E AIL ADORESS:
PRoIE CT COa'JTACT PE
EXISTIIi6 CONSTRUCIIO}I:
ilEt{ CO STRUCTIOiI: n E
..PI-EASE CHICX AI{D AITSITER BT
I rrr canrce
-
sF
n surnoou _ 5F
i eneenrousr
-
sr
TOTAL HEATED 5Q FT:
T0TAL PR0JECT COST tro"'ro'r
I9 ANY ELECTRICAL, PLI.{'ISIXG Ol.
rf the project is a Relocat
Is there Elect r icaf Power
PBOPERTY USE /0ccuP
0 CRIP roft 0F HoRK
o
A ll LI
l.)
PooL _ 5F
DECK SF
o
prcrr rfito) C,1 - ltiq
5T: l/! ZIP:l I'/o /
sr: ell zIP
*i1i0 1tl t-\r5 I
ACCOUNT '
Pr{o E
I E
zlP
ELOC( S:
0
p-l:
rrnlrrot I r,e rovar:on I ENERAL REPAIRS RE LOCATION
€ll, RESrD€BC€ or ffiOO:r:Ol TO EXT5TIIG RESIOE (E
AI"L TTA' APPI.Y TO YUJR PRO]ECT:
I oer cenrer sr f] non+r
-
sF
o*03 U4t' t\?3
E foJ..yr ?ittL
[}trcr,rer sxEo __q!U_ si
OTHER:5F
TOTAL 5Q FT UI.IO€8 ROOF: 3L+ TOTAT ARCA 'q O'. 9Q
$ ,5O) f oF sToRrEs: -_-
ECtIAnICAt t/ork Eeing Done to th€ a.(essor.y Stru(ture? [f4et I Ho
on, is there a Natura] 6as Lin€ on the cuff€nt site) f]ve: [,lo
thi5 Buildingt @fYe: f] uo
SItiGLE fAI"IILY I oucr-ex I
015c ER r nlery..,r'th.r.a,t Drrq n'! 99rta!o4 r !.r4q.d ar wl r,! co.lrry wih ae $a1e 8!ibn9 Qrdo fid !r otld ap9&.nE s1sb .nd kxj, to,t
-d olFlnc.r..d rgu.tio.t Ih€ N,]C D.6e.l S.ra.r C.nE, srr o..oliei olsycn.n!.s td q€if.!!.n5 o' chr{o n .o. r&r i o,
''N OTE rrlb. h Vobts otol NC IoS co.
ot/N E R CONTRAC TOR SIGNA
*oooer.atrl f] vrs
/.
15 THE PROPERTY LOCATED IT{
EXISTING IHPERVIOTJS AftEA:
NEI{ II4PERVIOI,S AREA:
_-j
}JATER: I\4TFPUA I ICOifiUNI
sEhrER: g crnur I ctrvrnal
.-. SEPARATE PT RIII
PlYHrilT rfIHoo: E cosx
ElIro
TOTAL ACREs DISTURBE',
Exrsr LAIE, DrsruRBure oi;*r, 63 YES NO
svsrer.r fl pRrvAT€ !iELL f] crNrarl well
rerrc I pRrvATE sEp]rc f] co+rurlrv svsrrn
REQUTTTD FO8 ELECT, l|lEclt, PLAG, 6&5 EQUrp, PRIFAaS 8INSE8r5 ...
cxEcx (pAyAsLE ro urc; [a:rr *ca.rn f)rclvrsr fiorscovrn
sQ rr
sQ fr
ct lJ5l
&a
.t.'rr r..*. r...+.' +q_r:* rr,ri, + r a.{I(rrumrtn-r l/ur,tlrfA
r-r,5' *r, AlA. r, 7(,zor,rE : 8:3* oFFrcER:
approvat:;({*- city
s sCX
G I 000
gk R' acldlhon N
PElfilT t€l; $
lo *dts-
n0(
Coaxnent
DA T E
&o*'q luupt.
frily lnryection Requneo, 9 l 0-254rJu l,l
LOT A:
EFE'2ft=
CITY:
TK
t
tu
APPLICANT'S I.IAI\4E:
DEVELOPER:
PRO]ECT ADDRESS:
SUEDIVISION:
COI'ITRACTOR;
ADDRESS:
NEt^l H VER COUNTY BUILDING PERMIT
APPLICATI,N TYPE: RESIDENTIAL
E ANSI,JER ALL QUESTIONS APPIICAETE TO YOUR PROJECI
"Project Responsibility''
,6q{4 q
CITY:
BLOCK #:
zvL Ln-
CITY:
F-JY TZv NSE *:
CITY:
ZotU ^ ?o t3
Pt > rv-qq
APPLICATION
Number
(Office Use)
ao(t
ZQ\03
LOT S: _
ST: _ ZIP:_
. a,t 1ST: ZlPr L-e 1L )
PL
rd
PHONE #/rY
PROPERTY OM\,IER'5 NAI{E:
OWNER,S ADORESS:
PRO]ECT COMTACT
EXISTING CONSTRUCTION :tr ALT RATION
NEW CONSTRUCTION:ERECT N RESIDENcE or D
{JL/Z La.4t L7 t.l
! nerovrrroru ./ctne*o, neearns ! RELocATToN ot{t
PK)NE *:
PHONE S:
'I.i'PLEASE CHECK AND ANSI,IIER BELOW L THAT APPLY TO YOUR PRO]ECT:
DET 6ARAGE
! rool
-
sr
! oecx
-
sr
TOTAL HEATED SQ FT:O TOTAL SQ FT UNDER ROOF:
TOTAL PROJECT C05T tress t-oo :
Is Any ELECTRICAL, PLUiIBING or lil
Z(Y)|,.o # OF STORIES:
If the project is a Relocatio
Is there Electrical Power on
ADDITION TO EXISTING RESIDENCE
SF PORCH IO 1)
SF
lo TOTAL AREA 5Q FT:io?
-)
CAL lrork Being Done to the Accessory Stnucture) E Yes
is there a Natural Gas,Line on the Curnent Site? ! ves
is Building? E v", druo
No
OTI"IER:
STORAGE SHED SF
SF
NO
,t,t,t ,i,i,t * ,* )* )* * *,*
PROPERTY USE / OCCUP'NCY:
DESCRIPTION OF WORK:
NGLE FAMILY DUP L EX TOt^]NHOUSE
?
OISCLAIMERT h certit hat allinbrmation in h applica6on is conecl and allwork willcomplywih he State Building Code and all o
i Seryices C€nterwillbe notlled ofanychanges in $e approved plan
s
and ordinsnces and regulations. The NHC
conracbr inbmalion'"NOTE:AnyWorkPerfo WO lhe AppropiaE Pemils willbe in Violation of Ihe NC Siab Bldg
OWNER/CONTRACTOR:r, i2 srcruatuRE :
or change in coniracbror
Fines Up To $500.0O"
* * * * * * * * ** * * t * * **
IS THE PROPERTY LOCATED IN A looopurr? I-l vrs
*,t * rt,i,l ,f,t,t,t ,t * )t )*,* ** * * * * * ,* )*,* *,1 * *,f
EXISTIM II4P
EWI
c
ERVIfl'S AREA:
ERVIOT,,S AREA:
NO
ToTAL ACRES DISTURBED: _
EXrST LAND DTSTURBTNG "arrr-, 5 VeS I r,ro
YSTEM
rrc E pnrvarr seerrc I coMMUNrry sYsrEM '
SQ FT
SQ FTN
WATER:
SEUIER:
pul E coMr,aur,rrrv
eua ! cerurRll srCF
*** SEPARATE PERfitITS
PAYIiIE T NETHOD: E CIS' E
QU
CK
ZONE: _ oFFICER:
Approval:- City:
cooment:
R E
ABL E TO NHC tr AJiIE R I CAN XPR E s s I SA tr DISCOVERE
* * )*,* ,* *,t,t,t,t,t ,i * * *,**** **+ )*)****,* * *,1,1 )t * * i( )* * *,I ,*,*,1)t *,t,t )t,t + * **** * ** *)** *,* ,*,*,t )** *,* *)t )i ,t,t,t * ri( * )* )* *)**)***
(FoR oFFTCE USE qirLY)RE\,a5ED DATE 04l 11/ 12
5 I D F OR E L E CT t'1EC H P L BG GAS P R t AB s &I NS E R TS
SETBACKS: F:_ LH:- RH:- B:-
DATE:- FLOOD:
-
BFE+2ft=
-
\J
)
inl
N
PERTIIT FEE:
! nrr canroe
-
sF
I surnoom
-
sF
! cnrrrurouse
-
sr
ZIP:
PIONE T:
1
ETIAIL ADORESS:
D pnrvarr wrr-r- ! cENTRAL wELL
ES,, I PJ tr
NEt^,
APPLICANT'S MIiIE : rer,.Ho kin
DEVELOPER:
PROIECT ADDRESS: 225 MendenhaL Dr
SUBDMSION: Mendenha] l
PROPERTY q{l{ER'5 MllE : rerr H kins
Ofi{ER'S ADORESS: 22s Mendenhal Dr
CO TRACTOR: Edward Minneman
ADDRESS: 2506 Flint Dr
EXISTIiIG II{PERVIOUS AREA:
t{EU IITPERVIOUS AREA:
RECEIVE0 mT 22 20s
VER COUNTY BUILDING PERMIT
APPLICATIO TYPE: RESIDENTIAL
ANSI{ER ALL OUESTIOi]5 APPLICABLE TO YOUR PROJECT
"Project Responsibility''
?o$a073
b4''17
APPLICATIO{
I'tumbe r
(Office Use)
EMAIL ADDRESS: ed3minnemanG 1. com
PR0IECT CONTACT PERSON: Edward Minneman
* * *,* *** *** * * * +:t ++ +,t )k* )* )**** *
IS THE PROPERTY LOCATED IN A F r-mrr fl ves
000
CAL work Being Done to the Ac€essory Structuret I V"r fl No
******,f +***** ***,* +!** *)**++***)*)t**,tt+)t)*)i******t *+,*,****:i**,|****
DATE: 3-21- 16
BLOCK #: LOT *:
-
PtlOl{E *: 443-7 89-12 48
CITY: Wi lminqton ST: NC ZIP: 28411
LICENSE #:
CITY: l,0ilminqton ST: NC ZIP: 28401
! crlrRal well
! commururw svsrem
EXrSrU{G CO STRUCTTON: f] ar-re TION RENOVATION ! crrurnar neearRs I RELocATToN
NEW CONSTRUCTION:ERECT l{Etl RESTDENCE o" ! mOrrrOU To ExrsTrNG RESIDENCE
**PLEASE CHECK AI{D AtlSl.rER SELOII THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE SF DEr GARAGE sF fl poRcH _ sFtrtrGREENHOUSE
SF POOL _ SF SToRAGE SHED _ SFSUNROOM
SF ! orcr SF OTHER:SF
TOTAL HEATED SQ FT: 61 TOTAL SQ FT UNDER R(X)F: 61 TOTAL AREA SQ FT: 61
TOTAL PROJECT COST rr-ess rol 3 $
Is Any ELECTRICAL, PLUttBIt{G or EC
# OF STORIES: 1
No
throom Re lacin old cabinets fi).tures floorin shower and toi 1et
with new.
il
If the project is a Relocation,is there a Natural Gas Line on the Current Site? E yes
Is there Electrical Power on t s Buildi ng ?!Yes l--'l r'ro
SI LE FAMILY ! ouerrx I rowrunouse
DESCRIPTION OF [{ORK: Renovate B
DISCLAIMER lhereby csnify tlal allinbrmatjon in tris
and ordira.lces snd Egirlalions. The NHC Developmen Centsr witr be noified ol aly changes in tle +pmEd ptsns and specificalibns or change in cont-acbr or
arion is corEctand all workwifl complywih he stale Buitding code and s[ oherappticabt€ sraE and toca ars
contscbr inbrmaton. '- OTE:AnyWork Performed tle AppropriaE Permitswillb€ in Vbtation of|}le NC SlaE AUg Code afi SubFct t, Fines th To 9500.00.-
OWNER/COi'ITRACTOR i sdward r,1r nn SIGNATURE :
I coruuurw s
! cerurml sre
TEM PRIVATE WELL!.IATER:
SEI{ER:
CFPUA
CFPUA rc l-l PRrvarE sEprrc
ZONE:OF FICER:
SQ FT
sQ Fr
DATE: FLOOD:
A
*"* 5EPARATE PERIiIITS R
PAYriE r itE*toD: E casx Ec
IREO FOR ELECT, fitECHJ PLBG' GAs EqJIP, PREFABS & IiISERTS **TI
(PAYABLE TO I{HC) EA ERICAN EXPRESS E Itc/vIsA I orscov.*)i,t + + + + * * +,* + + + * * * !t* + *,i + ** *+ ri ++*,t +:F++*x***:i,t,t*+***,8,t:t++:i.++*,f ** jt j***,t+ri,i,r,t:i,i**++:*****$++ jr )r*
(FoR OFIICE USE OltY) REVISED DATE o4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
ApDroval.: Citv:
N
8F E+2ft=
sk
PHONE *:91A-264-1a92
CITY: Wilminston ZIP:. 28477
PlOilE *: 9to-264-i 092
PHONE #: 910-264-'7 a92
E
PRoPERW use / occupltrtcv r EI
Eno
TOTAL ACRES DISTURBED:
Exlsr LAi{D DT5TURBTNG penflrr: l-] yEs E No
RECEIVEDt.lAR2SMT
HANOVER COUNTY BUILDING PERIIIIT
APPLICATIOII N'PE.. RESIDENTIAL
PLIASE AJ{SI,IER ALL QI]ESIIOIIS APPLICABI-E TO YOI.R PRO]ECT
"ProJect Responsibiliq/'
Qov"4o}f
b-q9NEtl
APPLICAiIT' S ilAl"lE: FS I.I . dba RamJack
fl arr eemor
-
sF
I surnooN
-sF
! cnrrlHousr
-
sr
TOTAL HEATED SQ FT:
)
E
APPLICATIOI{
l{umber
(oFftce use)
oamz 3/zz/ /l
DEVELOPER:PtmNE f : gtglds-Y)t
PROIECT ADDRESS: ?26 Everet s Creek Drive CITY: igll"mington
ster Point/EC 3 PARrD R03713-004 -024-000
PROPERTY OI{NER'S l,lAr'lE: Dan
OIINER'S ADDRESS i .126 Evere s Creek Drive
CONTRACTOR: Es, l,.L'c. dba arnJack LICENSE *: 5 J]7E
AIERESS: 4122 Bennett Memor a1 Road suite 304 c ITY: Durham 5T:I9_ZIP:2r705
EIIIAIL ADDRESS: charfieG ran]ckusa. com PH0{E *:919-3a9-9i2i
PROIECT CONTACT PERSO : ch Iie Lerris PHO E {: 979-349-9121
TERATToN I nrrwnrrox cENERAL REPATRs ! nerocarror
NEW CONSTRUCTTOT: [ :neCr
*,}PLEASE CHECI( ATD ANSI{ER 8E
EH RESTDENCE o" I mOrrrOl rO EXTSTTNG RESTDENCE
ALL THAT APPLY TO YOTJR PRO]ECT:
! oer oemer sr ! roncr
-sF
I eool
-
sr I sronaee sHED
-
sF
! oecx 5F OTHE R:SF
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
-
TOTAL PROIECT COST iress rot
Is Any ELCCTRIGAL, PLtltBItG or
If the project is a Relocat
Is there Electrical Pouer o
6800. oo # OF STORIES:
HAIICAL Hork Being Done to the Accessory Structure?
SQ FT
SQ FT
svsrru ! PRTvATE wELL
f
! ves E No
on, is there a Natural- 6as Line on the cunrent Site? EYes ENo
this Building?T v"t flro
PROPERTY USE / OCCUPAiICY:srNoLE FAr{r LY ! ouelex ! ronxu.rsr
DESCRIPTIO{ OF }'IORX: rnstal tion of heLica-L iers to stabilize foundation
DISCLAIMER Iherebyceniry ttal all htmaton hls appllcaton ls corcct snd allll,orkwifl comply wltl he SiEb Auibing Code and alloher appncabb StaE 'd locallaws
and ordinancessnd lBgulatbns. The NHC I SeNices Cenbrwil be nolifed ofany chBnges In ha apprDvod plans and sp€clftarions or chsnge in contlcbr or
contactir lnfomslion- "-l,lOTE: Any Work w/O hs Apprcpriats P6mi6 wll b€ in \rEbrion ot $€ NC StE Sldg b FInes Up To $500.00"'
OWNER/CONTRACTOR: clartre l,ewis S]GNATURE:
* a* +r +* * ** ** **** **** ** *++* + *++* +t* +a* *+rt+**,*****,* *,i,1*,t*,** * *** **
rlmopurrl l-l vrs I m
* * )t *,**,1 * r()t,* + ***,r *r* * ** *
IS THE PROPERTY LOCATED IN
EXISTIIG IIiPERWOUS AREA;
Et.I IiIPERVIOI,,,S AREA:
}.IATER ; E CFPUA
SEI.,ER I E CFPUA
TOTAL ACRES DISTURBED:
EXIST LAI{D DTSTURBING PERIIIIT:l-''l vrs l-'l r'ro
I ceHrml well
f] cor.rr'l,ur rw svsrrn
I orscorr*
f] coruurr
! crnrmr eerrc ! PRTvATE sEprrc
1+1 SEPARATE PER'NI REQUIRED FOR ELECT, ilECH, PLBG, GAS EQUIP, PREFABS & I'{SERTS ***
I cor"cHEcx (nAvABLE ro nnc; I er,renrcAr{ ExpREss E nclrrsoPAYIiIENT fiETHOD:
,B:f *,i *** {( * *,} ,},} * * ****,i**rt * * )titi,i *)i i:i*,it + )t,i )t ,*,t,*,| *** ****,*r.*+,it+*t,t***** *,*:i * rr r* )r ++rt* *,t** ****,**
(FOR OFTTCE UsE oNLY)RE!'ISED DATE O4l11/ 12
Zo{E: _ OF FICER:
Approval:_ City:
Co lent:
SETBACKS: F:_ LH: RH:_ B:_
DATE:_ FLoOD: _ _ BFE+2ft=
PENflIT FEE: $
EXISTIIIIG CONSTRUCTIO : n
SUBDIVISIOI{:
zIP: 3glll-
BLOCK #: LOT *; 23
PIIONE *: 910-319 9is6
cIrY: .!4lg:!E!__ sr: g zIP:4
w RECEIVEO [i:23 20fi
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|IoN TpT I RESIDENTIAL
LIAsE ANSTER ALt QUESTIOI{S APPLICABIE TO YOUR PROJ€CT
"Project Responsibilit)/,
APPLICAI'JTJ S t.JAflE :AL{..)
?ot u -JoBo
y,+{(
aiir-iia--rror
Number
(office Use)
,ffi
EXISTIIIG IMPERVIOT'S AREA:
NEW IT1PERVIOUS AREA:
D l-(Jt..4 C AJ 14L-TTON
DATE i -z=-lL
PIONE #:z.
tr H
OEVELOPER:+
PRO]ECT ADDRESS:
SUBDIVISIol{:
PROPERTY ONNER,S i,IAFlE :
OWNER,S ADDRESS: V Z
CONTRACTOR:/r.,
ADDRESS: il5-
fl arr cemcr
-
sF
! surnoom _ sF
GREENHOUS E
TOTAL PROIECT COST lress loq i
Is Any ELECTRICAL, PLUiIBING or
If the proj€ct is a Relocati
Is there Electrical Powen on
CITY:
CITY:tD; I
* oF sToRIEsi I
ne to the Accessory Structure
BLOCK *: _ f-Of *,
zIPt _33!oj
')
u>l \
lo,"t
CHANI CAL l,o T k Be I ng Do
i I r.r .l
ST:X= ZIP: Z Ztlr 3
EI,IAIL ADDRESS:
sT:tq ZIP i _z-7.il(ptoNE #:o -:' z 1)
PRO]ECT CONTACT PERSOiI:<)PtfiNE *t qlo Sz,l
EXISTING CONSTRUCTION:!a ERATION g RENovATToN ! crrrnll nrnuns I RELocATToN
r,lEh coNsrRUcTroH: ! rnrcr t.] RESIDENCE o" ! aoorrroru TO EXISTING RESIDENCE
..P[EA5E CHECK AI{D AI{s}IER BE ALL THAT APPLY TO YOUR PRO]ECT:
D oer
! eoor-
I oecx
TOTAL HEATED SQ rrz Z3 T0TAL SQ FT UNDER noor: 'L3i>D
TOTAL AREA sQ FT:
-
$
WI NiTPLt.-rTo<)LTCENSE S:ACCOUNT *:
CITY:
J/14
cARAGE _ sr f| eoncn sF
_ sF I s-ronace sHED _ sF
SF
7
5F OTHER:
e s N o
PROPERW USE / OCCUPANCY: P
DESCRIPTION OF h'ORK:
e<
DISCLAIMER: lhercby cenit halallinbrmalion jn
and ordinances 3nd r€g!lalions The NHC Oe
cohnacbr inbmalion. 'iilOTE:Any Work Pe
()t{NER/CONTRACTOR:
***rt )t:t * *,f*)t*)*** * )B*:f )**** *
I5 THE PROPERTY LOCATED IN A F LOODPLAIN?
is epplEaton is conect end a[ woriwrttcompty*ih he Slete Bu,td,ng
ni S€rvrces C€ntr wiI b€ nottled otsnychanges.n he approveo ptan
W/O he AppropfisE pemrts witbe r V|obr;n o, rh€ NC SlaE Atdg
Code
Code
this Buitding? ffi v"s f] to
STNGLE FAMTLv I ounr-ex I rowr,rnouse
SIGI.IATURE:
SQ FT
SQ FT
tr e s B No
and el oherapptbable SEt snd toc.!taws
s9€cifcations orchange jn coniracbr or
and Subiecr b Fines LrD To tsoo.Or..
n l s t h e re a N a t u T a 1 s L I n e o n t h e c u TN e nt 5 1 t e
**:*****rf )t**:t)***,t:*:t* **,t*+* * )*,t** * * )* *:** * *****)t** * ** *,t:*E]v:s Elno
TOTAL ACRES DISTURBED:
-
Exrsr LAND DrsruRBr{c ,r**ifft yrs l-l r,ro
l.,ArER; El CFPUA
SENER: E CFPUA
I cor.uuur
I cenrnal
em I enrvare wrLr_ [ CENTRAL NELL
! nnrverr senrrc I coMMUNrry sysTEl,l
RED FoR ELECT, trtECH, ptBG, GAS EQUIp, PREFABS
**. SEPARATE PERI.IIT
ZONE: _ oFFICER:
ADonoval: Citv:
corment:
SYST
PTIC
REqUI
NS ER TS
PAYMEl{T }IETHOD:S cos,CH E ct(PAY ABL E TO NHC tr BI L AC c0u NT tr ,,tc /VISA tr D 5 COVERLI**:t* *** ** ** ** **:|:t** *** *)t
{FOi oFrtcE UsE q{rY)
SE]BACKs: F: LH
RtvIsE0 oatE 04/11/12
_ BFE+2ft=
I,J
PERII'IIT FEE; $
RH
&I
B:
DATE:_ FLOOD: _
A
tda--
PI0NE #: ltt> trtz srt,<
l3,oc<>-_-
APPLICANT'S NAXE :
DEVELOPER:
I.IATER: XI CFPUA
sEr{ER: EI CFPUA
RECEIVE
NEI,{
! corulururrv
! crurnlr sr
taAR 14 2016 $0U ? I Uvl 6l1g3lu
NOVER COUNTY BUILDING PERMIT
APPLICATIOI TYPE: RESIDENTIAL
E ANSI,JER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECI
"Project Responsibilitf'
oo
CI TY:
forL-3o8)
1(nt%'
APPLI CATION
Number
(office Use)
PROJECT ADDRESS:
SUBDIVISION:
T.IPLEASE CHECK AND ANSWER BELObI
If the project is a Relocation
Is there Electrical Powen on t
PRoPERT UsE / occuPAl'lcY: Xl s NGLE FAI4ILY
is there a Natural Gas Line on the Current Site? [ ves I to
is Buitdins? l-l v"t l--'l ruo
o
BLOCK #:
PHONE *:
Llz Lor r:
ztP:. filQf
2Ll
PROPERTY Ot'rNER'S tlAtttE :e PHONE *:
oI',NER'S ADDRESS:CITY:ST: _ ZIP:_
CONTRACTOR:LICENSE #: l9)2-5
ADORESS:5 CITY:v; )lP
EIi'IAI L ADORESS:
PROIECT CONTACT PERSol,l:
EXTSTING CONSTRUCTION: E AL rroru ! RENovATToN ! cenrnrr- ntearns ! RELocArroN
NEW CONSTRUCTTOU: ! enrcr le RESTDENCE o" ! aOorrrol ro EXTSTING RESTDEI{CE
L THAT APPLY TO YOUR PRO]ECT:
! oer eanrer sr ! eoncx
-
sF
DECK 5F OTHE R :SF
E
TOTAL HEATED SQ FT:TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA 5Q fi: ,q3
TOTAL PROIECT COST tress roo : $5z,tz)# OF STORIES:
Is Any ELECTRICAL, PLUI,IBING OT I,I cAL work Being Done to the Accessory Structure? ffi V"t I Ho
DUP LEX TOlnNHOUSE
DESCRIPTION OF }'IORK:
DltlCLAlMEFt lherebycenjrytlalall infcmaiion in tr applicalion is corecl and all workwillcomply wit! he Slale Building Code and all oher applacable Stats ard local laws
Services Cenbr will b€ noiifed ot any chsnges in he 6ppro\,ed plans and specifcaiions orchange in coniractcr orsnd ordinances and regutalions. Tho NHC Oevslopm
contacbrinbrmaiion.'*'NOTE:AnyWork P€rfomed /O tleAppropriats P6mitswillbs in Violation oflhe NC Slab Bdg code and subiect b Finss Up To $500.00"""
OIdNER/CONTRACTOR :Lh SI6NATURE :-5--.1,-!
*** x x* **+* ** ** * ,t *,t *+* +*,t+ ir+,** **,r,t +* +*N,*+ +,4+* rt,i* )i* )** **:r,* *,f ** *** *,t * +,** ** * * *,i1. i. *,* * *,t * * *,t **
IS THE PROPERTY LOCATED IN A OODP LAIN ?YES
FT
FT
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
'?t sQ
sQ
TOTAL ACRES OISTURBED:
NO
EXIST LAND DISTURBING PERMIT:l-l Yrs l-l uo
n trI
E M tr P R IVA T E W E L L
tr PR IVAT E s E P T I c tr
c E NT RA L W E
c O14TlUN ITY S Y5 T ET,1
LL /nspsc tA @n o,e254
YS T
T I c I I
T** SEPARATE PER}tITS
PAYTEIT IiIETHOD: E COS'T E
,o r, LZO oFFrcER:
Approval :- CitY:
qJIRED FOR ELECT, I,IECH, PLBG, GAS EQUIP, PREFABS & INSE
Ecl< (eAvABLE ro nrrcy flanenrcal{ ExpREss I l,rclvrsl
(roR ofFrcE usE oitL
SETBACKS: F:
E R T s
D DISCOVER
* ** )* * )t + +*** ***,1** * * *,**,t*)t*,&* * )*,* *,* ** )r,* *,* )* *,1** **,t ** )t* **,* *,*+,lr ** * * )t '**r. ***i. *,* ,( ,t *,** *,*tol ** ** **
. REUTSEO DArE 04/11/72"!o ",\O' nn, lO's, lO
,3 - W-lbrrooo,
coment:
DAT E
f
Y err*zft=
siru.ruHF,Httj d
s.p0
-Yl
i;
ffi
! nrr cannce
-
sF
! sur.rnoorv
-sF
! cn e truHous r
-
sF
toot;!!j-sr ! sronrce sHED
-
sF
o^re l/t4lL_
sr.A/Lztp: zzt1f
PHOiTE f: 9loqto -1757
PHoNE s: qfig:lb:laii-
TERA
CIo-J t(?r3b
lu-132
APPLICATION
Number
(Offtce Use)
alq lrv
ANOVER COUNTY BUILDING PERMIT
APPLICATIOTI TYPE: RESIDENTIAL
E A}./SWER ALL QUESTIONS APPTICABLE TO YO{'R PRO]ECT
-Project Responstbiltty"
APPLICANT'S NAITIE: rodd PLoch
DEVELOPER: n/a
PROIECT ADDRESS: s tsa berr
DATE :
ZIP i 2847r
ST,IBDIVISION: Fi ure Ei ht Is nd LOT tr: L_
PROPERTY OI{NER, S NAfilE: Robin ran i ch PHONE S:
OIINER,S ADDRESS: 535 WeSI En Ave #3B CITY: New York ST: NY ZIP: 1002a
CONTRACTOR: KiN Post Desi n&Construction LICENSE S: s2s54
ADDRESS: 4a22 YarkeL st. suit 203 CITY: l"{rlmln ton 5T:qzIP::gl!l
EIII,AIL ADDRESS: Kin osttoddLa ai1 . com
PROIECT CoNTACT PERSoN: sta:]Pea rs on PIIONE f: 910-409-6663
AL RATION RENOVATION fl cer'rennr- necnrns I RELocATToN
NEW CONSTRUCTION:ERECT N RESTDENCE o" ! mOrrrOr TO EXTSTTNG RESIDENCE
,1.'PLEASE CHEC( AND ANSI,JER BELOH LL THAT APPLY TO YOUR PROJECT:
ATT GARAGE O SF PORCH 2007 SF
CI TY:i,iilminoton
! surunoom o sF a/
GREENHOUSE O SF
TOTAL HEATED SQ
DET GARAGE L_ SF
POOL ffl_ SF
DECK 194 B SF
STORAGE SHED 361 SF
SF
FT i 't 65i
OTHE R :
TOTAL SQ FT UNDER ROOF: 3318 TOTAL AREA 5Q FT: 109?5
2,9oo,ooo # 0F SToRIES: 5 sptir
HANICAL l,Jork Being Done to the Accesso.y Structure) [ Ves [ ruo
, is there a Natural Gas Line on the current Sitel IVes I No
his Building? l--'lv"t f] r.ro
DESCRIPTION OF WoRK: ccns:ru.SIN 1e famiL home with detached ara
OISCLAIMER: lherebycenily hatall inbmation in
k
PROPERTY USE / OCCUPANCY:rNGLE FAr4rLy ! ouelrx fl rowrlrouse
*yt* *** {r** l* + r i* r * * +* *r!r,* ** ** *,***,** * )*,* * * * * * *,r * )* * * ** )** * * *)*
IS THE PROPERTY LOCATED IN A t-oooplarrl I-'l vrs E ruo
EXISTING IMPERVIOUS AREA:
NEl4l IMPERVIOUS AREA:
D 5sTOTAL ACRES DISTURBED:
TOTAL PROIECT COST lress ro9 :
Is Any ELECTRICAL, PLUIISING or M
If the project is a Relocatio
Is there Electrical Power on
ZONE: _ OFFICER:
Approval :_ City:
Co0ment:
SQ FT
SQ FT
e with uest suite above
,* *****,** *:* *** *** *,** ** *,* * * * *
REVISEO oAIE 04l11/12
is applica6on is conecr a.d all work will comply wih he Sirate Building Code and att oher appticabte SraE and bcaltai/s
nl Seruices Centsr will be norified ofany changes in he apprcved plans and specifications orchange in conrr&br orand ordinances and rcgulatons. The NHC De\elo
contacbr inbmaton. "'NOTE:Any Work Pe W/O heAppopriab Psmitswillbs in Vblaiion of rhe NC SiaE Bkj Code and Sub,ect t) Fines Up To S500.00"'
OI,'INER/CONTRACTOR : roaa ptoc SIGNATURE:od,,\
EXIST LAND DISTURBING PERMIT:l-l Yrs l-{l r'ro
COIIP]UN I TY SYSTEM PRIVATE hIE LL CENTRAL WELL
SEWER: E CreUn ! CENTRAL S TIC PRIVATE SEPTIC ! cour.tulrrrv svsreu
*** SEPARATE PERI4ITS EQUIRED FOR ELECT, I4ECH, PL8G, GAs EQUIP, PREFABS & INSERTS **+
I
* ** * ,*,r ,( ,* * ,* * ,*,* *,* * * ** rt** * **** * **,* +,i***** )t,t* *,*,*** ** * )t * ,* * ,t ,t,* ,* *+ * ***** *,*+ )* * ** * *,** *** * ,* *,*,* *,r
PAYI,IENT IiIETHOO: I CNSX cK (PAYABLE ro llxc; ! arrnrcAil ExpREss E r,rclvrsn E otscoren
(FOR OFFICE USE OI'ILY)
SETBACKS: F:_ LH:_ RH:_ B:_L/t s,v.r-)BF E+2ft=
N
PER'i.IIT FEE: $
DATE :_ FLoOD
SY
..m,
NEW
PHOl,l E *: 910 aL6-lLrl
BLOCK S:
PHONE *:910-616-1173
EXISTIiIG CONSTRUCTION: E
warrn, ! creua @
nEsEtreo urt 21?rllw
ffi
APPLICAT'IT'S l,UfiE:
OEVELOPER:
PROPERW OWNER,S NAI4E:
O NER'5 ADORESS:
5
-Tt
avt",.a l.o &
S
lo
"?
oth-3to t
APPLICATIG{
Number
(Of{ice Use)
DarEt2.,'Zl-lb
PHONE #: qtr )'bllo'313f
ZIP: UC
pr|or{E #: qlo - Gl-? 49f 6
ST:ft( ZIP€rfYt C)
*,\)A
PROJECT ADDRESS:
suEDrvrsro:
COi'ITRACIOR:
ADDRESS;
WATER:
SEWER:
CITY: LJI L
L I c E
CITY
S
HANOVER COUNTY BUILDING PERMIT
APPLICATION Ty,E: RESIDENTIAL
PLIAsE ANSIIIR ALL QIJESTIOIiS APPLICABLE TO YOUR PROJECT
-proJect Responsibilit!/,
11\1)
CfTYr
810€K *: LOT f:
.5ovr
EI{AIL ADDRESS:
PROJECT CONTACT PERSON:
EXISTII{G COi'ISTRUCTION: n A
NEW CONSTRUCTTOru: ! enrCr
I'*PLEASE CHECX AND AI{SWER BELO
I arr oamcr _ sF
! surnoom _ sF
fl eneerrouse _ sr
Is Any
If the project is a Relocati
fs thene Electrical Pow€r on
NsE s: YQ 166s11v1casllc L"a,1rr sr g z IP -1yrlz g
LLq-
lc P HON E *
TFRATION RENOVATION ! errrner- neearns fl RELocArroN
EW RESTDENCE o" I aoorrror To ExrsTrNG RESTDENCE N ri
ALL THAT APPLY TO YOUR PRO]€CT:
PHONE #:Q ro*L,(L-.<S 3f
caRAGE _ sr ! concx sF
_ sF ! srouer sHED _ sF N/ i4
! orr
! cooL
! orcx SF OTHER:
TOTAL HEATED 5Q Ff ,I I?.5 TOTAL SQ FT UNDER RooF:
-
ToTAL AREA SQ FT: _
TOTAL PROIECT C05T (Less Log :$ e-7. 3 \\ae # OF STORIES: I
eing Done to the Accessory Structure ? p{i g ,"
Naturr^L Gas Line on the Curnent Site? l-1 v.. I-l
^,^EZzv"r EI No L-J rtr LJ rru
T CH,WICAL WorK B
n, is thene a
this Building ?
PROPERTY USE / OCCUPANCY;SINGLE FAMILY ! oun r-rx T0l^INH0USEtr
OESCRIPTION OF hlORKr
s{s e4 eort9.-'.^JA lnSrtIns lnll
t s{.atl';y
D nIMERr lhereby c€nilyftsr att intomation in is applicaton is c 3nd all work wittcompty llih be State Buitd able SraE snd tocsllaws aA blraingBnd ordinances Bnd rcgulalions The NHC O€ve nl SeNices Cenbr wil be notfEd ofanychEnges in he 6pprov€d plans and specificetions orchange in cohlracbr orconr'aclor inlormaton.'"ilOTE: Any Work Perto Permirswittbe an Viot.tion olrhe NC Stab Bldg and Su o $500 otr"Code
OWNER/CONTRACTOR: -To::--fL,o rvr A SIGNATURE :
+,i * * *** *,[ * * **** + * ** * + ,t :*,r *)r *
b
IS THE PROPERTY I.OCATED IN A FLOODPLAIN? N YES
)***)t* ** ** ****+)t *:t+ *:t)** *)*
EXISTING IITPERVIO{'S AREA:
NE},I $iP ERVTOI,IS AREA:
I cor'ruurr
NO
SQ FT
SQ FT
SETBACKS: F:- L
**** **)t ***+ **,t* !i* ** *)t
PRTF
l,rclvlsa
ilsERTS ***
I orscoven******* **,* )* ** *,t+ * * *)t** **
irylst0 oaTa o4l1rl12
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING pERitIT: n ye s I-I ruo
pAYi{EirT ETHOD: I CASB
REQUIRED FOR ELECT, IIECH, PLB6, GAs TQUIP,
cHEc( (pAyaBLE ro wc1 fierlr- lccoru
f| cerurRrl s
'*. SEPARATE PERI.IITS
*)*'t**** **:t* x!*** +***,*** *,t*)t)t* * )*** )**** **:t+*)**r.+*)t ** *,i** )r*,t)*)t *:t*,**
svsrer,,l ! pRrvaTE WELL ! cerurml wellprrc lJ pRrvArE sEpTrc I cor.nruNtw svsrrr.t
ZONE: _ 0F FICER:
Approval:_ City:
Comment:
H: RH: a.
LECTRICA LUIiIBING
li on
DATE:_ FLOOD: _
A _ BFE+2ft= [_]L
Jr*rr, ,r,, t-l!t
(foR oFFICE USE q{LY)
tr+6urr,:-.-'
VT cFPU^
LlJrtSlti6
REgtl\l
,ffi
HArcVER COUNTY EUILDING PERMIT
APPL TCAI' O'I N/PE J RESIOENTIAL
PLtrsE A[StEi Al,! QUtSrIols Arp!t(^8!E TO yOUr prcrEcr
"proj.ct f,rsponsililit/
ItTYr
llocx *:
Jotb^3lollkxl
APPI ICATIOT{
lluEber
(crfi(? ur! )
g0 $AR 21
N
th "'L"J"\t v40
APPTTCAIiT'5 MI'IE:
DEVEL@ER I
PRO]ECT ADDRESS:
SUBOIVISIO:
co riACroR:
ADORESS:
,, o"r(r,iliii,
If the proje(t i
oeftr 5-z(- lb
PHoNE gt lil - UrlL
zlr I ,Ll-C
f
PROPERTY {IO'IER'S'IIXE :
fiI,lER'5 ADORT55:
EHAIL ADORESS:
PRO]ECT COi'TAC1 PIRSO :
I rrr clrnee ._.- s
5UNROOM sa
fl en:rr*orse -_-
r0TAr l{EATEo Sq
T0TAI PR0IECT COST tt-csr
Ll-c IfCf'lsE |: N A
CIYY:C,is { \<
Aa
SIO{AIURE:
-lqs RH
9116 5 g, '1to - 6t-?.1((6
5T r tI: zlp {, ?.{l (,
ACCO(,I{T *:rJA
sTr\lg Ztp r;Lt r/?g
PIoIE *:
ProttE t: q l(\ -.. ) <-
.,.,
CIIY:
l-',o,,a- 7
r.,tL- <
€xrsTtN6 (oalsrFucTro&:ALTTiATION Er,rovarrori I eereaar neaarns I RELocATTcN
rEH co sTRUcTIo : n ;[r t'rEx REsroErcr o" flootrrol ro EXISTI{G iESroENcE r.r G
..PLEASE CHE(X AI{' ATS!{ER ALI T}IAT A9PIY IO YTUR PRO]EC':
D orr crnacr sr ! nonor
--
sF
LJ pooL _ sr L_] s.roRAGE sHED .--- sF
I orcr -.-..-- sr orHER: (,
aT: t2-o TOT L sQ F U,'ID€ROOFA1R T 0 TA L AR EA sQ F T
e5 Em
111 tz
I J-\ 3\\ae s oF stoirEs: I
,lSCllA,rlCA },ork Selng oone to the A(cesgory Stru.tu.el
3 a ieloc
I5 there El.ectrical Power
ion, 1s there a atuPcas Line on the Cument Sitel !Ves Iton this Bullding? Tyes flnoo
PiOPERTY UsE / OCCUPAIICY :SINGLE FAMILY I ourlex f] rolrrousr
DESCRIPTION OF I+OR{I {ia : {*ti, ir
{.,,,I " r.ic0ER rnoeDy ccnit$.r a! in66e a.d .!l ilort wil .onply yit lrr sraL 8! ! g .bL Sr.'t..d bcr ra*s tta,nd o,!m!m.r aE ,!9!jbrnn6.ln NrC b. nolTBd or.ny ch.i0.3 h ne !rp,!vad ptlnr rnd 96cift..bn{ o. ctlngo h rorlt actct c,conlrc bi hbnnstbr- "'lYQlE r Any won Parlniu wI bc h vbbtnn o{ lna t! c srai 8ld!t500.oc-
t\ ', \^O fnOI,IN E R/CONTRACTOR :
..r a *rr***. +1** ***t 1f
IS TIIE PROPERTY LOCATEO
....... r.. r4.r...r.r...*rr.rrrr*.
a FLoooPLArx? L_l yEs Ll i.o
.r.1ir.r*rrirtt***r*r
roTAL ACRES DISTURBEO:
EXIST LAlo DISIURSIT lr*rrr, 3 vrs I ro
EXISTIMi TOERVIOUS Af,EA:
EX IIlP€RVIOJS AREI:
R -/ j-orrrce*'
SQ FT
5Q Fr
RtQOTRED FoR trECT, nEOt, tL8G, 6LS IQUI
cHEo( (PAYABT"€ ro ur; f,r:ll xca:nr
5 E T8A c KS -Sr!1'
I{AIER I ILTCFJ4,A LI C 'ry sysrEM ! lrrvlre neru I crmul well
senrrc I pR]vATE sEprrc I counnlrv svsrru-.r'5EWER: IlT C F PUA LJ CENT
.r. SEPAIA-it PE p, PRt
K/VI5A f orscovrrPAY,1(I',T TETHOO,.fi crsx
rr*.r*r *rrr ara*+1*** r**.... t! 4.:..* *r* t ar * *lr*r.r r:i * i *r *rr( r a. r.r*ar rtr *.ra.*r, r.r r r..t a*
I(a ,5[v)
ZONE:
Approvsl:- CitY:
I4Fa,
(_{J.Itr
ft
lt
Plirl1 FEE: t ,-.1 D
F E 2
Comlert:
tr
DATE !z3)b F t00D
r
City lnspeclron Rqurrea, 9l&251 S ll
s
li
a
8El
i
>)o t b'Sto{
APP LICANT, S NAflE :
NEW
(1€,af (.,,*,1r C
tb - rqi
APPLICATION
Number
(offi(e Use)
DATE :-i3-zt-tG
t2
\^Ih.{!
ffi
HANOVER COUNTY BUILDING PERMIT
APPLI CATI1N I"YPE ; RESIDENTIAL
EAST ANSI,ITR ALL QUESTIONS APPLI'ABLE TO YOUR PRO]ECT
"Project Respon s ibility"
DEVELOPER:
PRO]ECT ADDRESS:
SUEDIVISION:
F ,€
I
l
CI
TITY:
1<
PHONE #
ZIP i
LOT $:
PROPERTY OWNER ' S
OWNER,S ADDRESS:
e l.<,- l-(u.^.PHONE S:
ST ,N-e
-f3.}
ZtP :2
IE
CONTRACTOR:c-. f^
ADDRESS:
ZoNE: _ 0FFICER:
Approval:_ City:
Comment:
CITY:
:+LICENS E S:zfig tr ACCOUNT S:
/o
(
f
PRO]ECT CONTACT PERSON:
EXISTING CONsTRUCTION:
NEW coNsrRucrro r't, ffiatct
EXISTING IMPERVIOUS AREA:
NEIIJ IMPERVIOUS AREA:
l,.lATER:
SEWER:
,ouo d*
{Lo,* Ll<)^(z-L
PooL _ sF
DECK SF
{,N!-zw,@o b
PHONE f:
PHONE S:5 2\ -. 3fJ 2
,)"- "_a_() c)
*+P E CHECK AND ANsI,]ER BEL
GREENHOUSE SF
TOTAL PROIECT C05T (tess ror) i
Is Any ELECTRICAL, PLUI4BING oT
If the project is a Relocati
1s thene Electrical Powen on
tr
C)c^-.^-
OTHER
ERATION
I^J RESIDENCE oT ADDITION TO EXISTING RES IDENCE
ATT GARA6E 6)
ALL THAT APPLY TO YOUR PRO]ECT:
! oer caRlce _ sF
SF
tr"1,
SF
'l
RCH
-?t i
STORAGE SHED
sl=
SF
SF
ToTAL HEATED sa FT: 3IO TOTAL SQ FT UNDER ROOF:
chaoges in he approved plan
iolalion ofthe NC State Bldq
SIGNA
TOTAL ACRES DISTURBED:
TOTAL AREA 5Q FT:L/
REVI5ED OAIE O4lT1l12
L/tt /
$
CHrrr,lICAL l,Jork Being Done to the Accesso.y Structure? ! Ves fl f,fo
n, is there a Natural Gas Line on the Cunrent Site? E yes No
this Buildin Yes No
INGLE FAMI LY DUP L EX T0l^INHOUSEPROPERTY USE ,/ OCCUPANCY:
DESCRIPTION OF WORK:
DISCLAIMER: lhereby certit tar all informarion in
and ordinances and regulations The NHC Develop
conuaclor inbrrnauon "'NOTE Anv w\\
OWNE R/CONTRACTOR: J ,,k
G-*.
is applicaion is correctand all work will comply wih he Stare &rildmo Code and attohe. apphcabte Sta
ent Services Cenler willbe notlied o,any
:)"/er.c
Su 00"'
,** *,* * * + *,t + *,* *** *,t * *,*,** ** * *
l?
* * * * )* * *,f * * * * * ** * ** * * *,f * + *
I5 THE PROPERTY LOCATED IN A
l*** r***,t** * ** ** * ** *,r* +.
F LOODPLAIN?YE5
3 31,t
2
SQ FT
SQ FT
UNI SYST E iq PRIVATE WELL CENTRAL WELL
CFPUA CENTRAL S PTIC PRIVATE SEPTIC COItl[lUNITY SYSTEM
}i+ SEPARATE PERIllTS REQUIREO FOR ELECT, I1ECH, PLB6, GAS EQUIP, PREFAES & INSERTS *+T
PAYI1ENT METHOO: E CIS'HECK (payABLE ro rrrxc I I BrLL accouN] [ nc.rvrso !orscoven*,i * * * * * *,* * * * * +,t )t * 1* * * t,* * *t++*,t*****,*,*,i**1****,i***,f**r+,t********t*******,r*+,r****+*rr,t1**
(F0R 0FFICE UsE or{LY)
SETBACKS: F:_ LH:_ RH
FLOOD:
B:_
B F E+ 2ft=DATE
P-
EI1AIL ADDRESS:
BLOCK S:
! Rrruovrrrou fl crrurnnr- necaras ! RELocArroN
tr
! surnoom
SF
E
{
EXIST LAND DISTUREING PERMIT: T-l vTs I--l Io
N
PERIiIIT FEE:
d7e
'.&.,
APPLTCANT'S i,IAI{E:
NEt^J ANOVER COUNTY BUILDING PERMIT
APPLICATI0i| rYPEr RESIDENTIAL
ASE ANSI{ER ALt QUESTIONS APPTICABLE TO YOUR PROJECT
-Project Responsibility"
lLn ' X1l
APPLTCATTON
l,lumber
office
J.5
DEVELOPER:
PRO]ECT ADDRESS:CITY:
SUBDIVISION:BLOCK S:
PROPERTY OI,JNER'5 i,IAI4E :
OdNER,s ADDRESS' 3d&
P Szaaa
o RT CITY;
corrRAcroR: €4nntr'Ll5 J ,/ Ao,tt, 1JC r-rcrrsr *, /521s
t Ro b,'1 Co nr r rncro as -Zt/c DATE: 3 >/t-t 6
ADDRESS: (-c
EMAIL ADDRESS:
PROPERry USE / OCCUPANCY:
DESCRIPTION OF ,,rORK: R
DET GARAGE
s NGLE FAMILY
/z F
P *
** **** **+ ******** **
PIONE S:
PIONE S:3r'o L2
-,4a//-SF
Z 7 Bet Srt=nunJ
UJA
nPamb
PHONE S:
slrl\lC21e7L?
CITY: U/t /r-, /fltl\yupt Llgo+
PRoIECT CO{TACT PERSoN: C,:ke.l:t"rch
ExrsrrNc cousrnucrrol r f] alr RATION RENOVATION ! crrenrr neearns !RELOCATION
NEt.l CONSTRUCTTOT: fl rneCr r
.'PLEASE CHECI( AND AllSt,ER BELoU L THAT APPLY TO YOUR PRO]ECT
RE5TDENCE olx-rrrro' TO ExrSTrirG RESTDENCE
S ,$ro*.,
LI STORAGPOOL5F E SHED SF
5 F OTHE R:
TOTAL HEATED 5Q FT:TOTAL 5Q FT UNDER ROOF:
l2I O--rorAL AREA se fit 5 iZ.
TOTAL PROJECT COST tLess rort :l?,fdo S OF STORIES:
I5 Any ELECTRICAL, PLUI4BING OT E ICAL work Being Done to the Accessory Structu.e? E[V"s I no
If the project is a Relocation
Is there Electrical Power on t
E^ois thene a Natunal Gas Line on the Current Site? Eyes
is Building? [v", f] ruo
DUP tr
l/1/
NHO U5 E,f*
h
TqrJ
Sez *tTnc CD L I oF Ska
DISCLAIMER: lhereby cerl, lhar allinionnaiion in h
and odinances and regulatons The NHC Developme
contacb. inbmalion "'NOTE AnyWo.k Perlomed
and all work wilr comply wih fie Sbie Eualding and all oher appliceble StaE and local laws
Seryices CenEr willbe nodfed orany changes in he approled pbns and specifrcarions or change in coniractor or
/o C S iaE Bldg Code and Subjecr b Fanes
OtilN E R/CONTRACTO ltnR
,*,* !i* * ** ri***,t * * *,t)t* * **,* *,*,r i* *
L /rt 7
* * * * r ,| * * * * * * t t * ,t )t * )t * )t * )t )t * ,t ,t )t )t * * :* * * +
WATER:
S EI"'E R :
tr'E CF PUA
CFPUA
! corr,nuHrw s
! cenrml see
IS THE PROPERTY LOCATED IN A F purrr l--l vrs 0E[ ro
EXISTII'IG rl'lPERVfOUS AREA:
NEW II,IPERVIOUS AREA:
TOTAL ACRES DISTURBED:
Exrsr LANo DrsruRBrNG pERitrr: f] yrs I-'l ro
! crrurml urr-r-
f] cour,rurrrv svsrrm
SQ FT
SQ FT
TE14 PRIVATE WELL
IC PRIVATE SEPTIC
*** SEPAIIATE PERI4ITS R IRED FOR ELECT, I,1ECH, PLBG, GAs EQUIP, PREFABS & INSERTS *'}'i
PAYIiIEI{T HETHOD: I CISTT !C cr( (pAyaBLE ro mrc; [ rulenrcaN ExpREss ! "cTvrso E orscoven
* * ,*,*,*,i,* ,* * ** )* )* **+* *,t *:t *:f:l * )t,i * *** **)t **)t,i* * l( t !t ,i )t,t ****,**** )*,i,* * ,| *
(TOR OFFICE UsE ONLY) BEVIsED OAIE O4l11/12
ZoNE: _ OFFTCERi
Approval :_ City:_
Comment:
SETBACKS: F:_ LH:_ RH:_ B:_
DATE:_ FLOoD: _ BFE+2ft= _av
PERMIT FEE:
'
! arr clnncr
-
sF
! surnoou _ sF
I oRreruHousr
-
sr
/a' :- : '.
! orcx
SIGI.IATURE:
)orb-10+
LOT S: _
.,.. . ;..1,
, ' .i. '..
,m,
APPLICANT, S
DEVELOPER:
PRO]ECT ADD
SUBDIVISION
PL]
NAi1E: robuck Home
NEW H
SF DECK
.?"1q-palL
APPLICATION
Number
(Office Use)
NOVER COUNTY BUILDING PERMIT
APPLICA|ION TYPE: RESIDENTIAL
E ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Trlan t..-
Robuck Homes Trian le, LLC
RESS: 5at2 Laurenb rd e Drive CITY: wi lmino r on
: Lau renbr id BLOCK f:
PROPERTY OWNER'S NAME: , .:Homes Trian le LLC
O[4,NER'S ADDRESS: r-,- ..:,: ,Neuse Rd. Ste 200 CITY:Rale i qh
CONTRACTOR: Robuck Homes Tria Le, LLC LICENSE #: r:a:
ADDRESS: 5111 Fatls of Neuse Ste 200
norbechG robuc
PRoIECT CONTACT PERSON: ;"1 i.l rbech -no rbe ch robuckhomes . com
ALT ATION
NEW CONSTRUCTION:ERECT NE RESIDENCE oT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSHER BELOW A L THAT APPLY TO YOUR PRO]ECT:
LLC DATE: 3/t5/t6
PHONE f: 919-876-92cc
ZTP :
LOT *:
sT:jj!_zIP:2r6a,e
ST: IC ZIP: :i6,i9
PORCH 151
PHONE #: 9t 9 8r 6- !r2 o o
PIIONE *: 919-:7r-r 128
5FATT GARAGE 398 SF
SUNROOM SF
DET GARAGE
-
SF
POOL 5F
TOTAL PRol ECT COST rr-""" roo : $
Is Any ELECTRICAL, PLUMBING or M
If the project is a Relocation
Is thene Electrical Power on t
TOTAL
ANICAL Work Being Done to the Accessory Structune? [ Yes
is thene a Natural Gas Line on the Cunnent Site? [
OODPLAIN? I-I VTS !NO
SQ FT
SQ FI
TOTAL ACRES DISTURBED: -: 8:
STORAGE SH ED
SF OTHE R:
(F08 OFFTCE UsE ONtY)
SETBACKS: F: LH: RH
SQ FT UNDER ROOF: 34e1 TOTAL AREA SQ FT: 3ael
# OF STORIES: 2
_ sF
SFGREENHOUSE
TOTAL HEATED SQ Ff ? 2326
244,3',70.0
No
Yes No
PROPERTY USE / OCCUPANCY:
ZONE: OF F ICE R:
IS THE PROPERTY LOCATED IN A F
EXISTING IFIPERVIOUS AREA:
NEW IHPERVIOUS AREA:
**** + *+ * * * * * * + * + + *,t ,( )t * * )i *,*
X**+ *** X*++ **XX,*,*+* )t)*)k )*r*,** *
hIATE R :
SEWER:
CF PUA
CF PUA
COI4i4UN I TY
CENTRAL SE
is Building?Yes [a ruo
5 NGLE FAI!,IILY DUPLEX TOWNHOUSE
application is conecr and all wo* will comply wih he state Euitding code and altoher appticabte staE and toca aws
SIGNATURE:
DESCRIPTION OF WORK: ne* L:o:LL:
OWNER/CONTRACTOR :
DISCLAIMER: lherebycertiry hai all inft,rmation in hi
and ordinances and regulations The NHC Developme
contracilr inbrmation "'NOTE AnyWork Perlormed
seruices cenEr willbe noliried of any changes in he approved plans and specifcarions or change rn conraclor or
/O he App.opriaE Permrts willbe in Violatjon ofthe NC StaE Btdg Code and Sublect b Fines Up To $5OO 00.,.
IV
*******t,it+++****+**rt,t*******+******+***+++****+*****)ir,t,r,r,r,r,r
EXIST LAND DISTURBING PERMIT:YES NO
TEI,1 PRIVATE I,']ELL CENTRAL hELL
IC
QUIRED FOR ELECT, IvlECH, PLBG, GAS EQUIP, PREFABS & INsERTS ***
EcK (payABLE To NHC) E AIERrCAN EXPRESS I mclvrsa I orscovee
fl E
* *,* SEPARATE PERIiIITS R
PAYMENT METHoD; f] casx E
,( * + + ,t * r( r( * + + ,* * ,( :t * ,a ,k ,t * * * * * * * + ;* * * * :* + ,* * * :* + * * * * * * * * ,* * * + jt * * * * ,* :* :* )* *
REVISED DATE O4l11/12
Approval : Citv:
N
I
I
DATE :FLOOD:BFE+2ft=
EIT1AI L ADDRESS:
PTONE *: !111 !r6-tzria
CITY: aaleiq:l
EXISTING CONSTRUCTION: E ! ner'rovnrroru ! crnrnar REeATRS E RElocarroN
tr
E
! nnrvarr sEprrc E coMMUNrry sysrEr4
__ltq
c-1t
IJt^
ffi
NEt^J HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
LEASE ANSWER ALI QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Respons ibility"
)otb 3n2
lb -9 3
APPLICATION
Number
(0ffice Us€)
r'lr C oor, 3*) 11b,,f((o'-APPLICANT'S NAflE:
"<,/^€DEVELOPER:P
CITY:
PHONE }:
PRO]ECT ADORESS:
SUBDIVISION:
PROPERTY Ol,,lNER ' 5
OWNERJS ADDRESS:
1s l! o,,.
6>L ztP ': ) u.-Lt /2-BLOCK $:
?
E EHONP
LOT S:
s
*Io,\c
CITY:T {(2ztP
ATT GARAGE 6) ct SF
SU N ROOI"1 SF
GRE ENHOUS E SF
TOTAL HEATED SQ FT:
NEW II.IPERVIOUS AREA: I
CONTRACTOR;e-. €.^
ADDRESS:
EI1AIL ADORESS:
ZoNE : _ 0FFICER:
Approval:_ City
Comment:
EJ
.,. - | .... G.
?)
DET GARAGE
-
SF
P00L _ sF
DECK SF
1L"LJ <\ ^(C.
l<
al ^: +;.LICENSE #:7fir./ACCOUNT S:
CITY: t:sr,$!-;P,@i b
SF
5F
PRO]ECT CONTACT PERSON;
EXISTING CONSTRUCTION:
rcua [![ conr,rurr rv
PHONE #:
PHONE #;2s-3 2
PORCH 7/)sr '"'^15.63r.
t-
I .( c..^.
I
STORAGE SHED
<>\-
AL ERATION RENOVATION 6ENERAL REPAIRS RE LOCATlON
NEW CONSTRUCTION:ERECT W RESIDENCE or ADDITION TO EXIsTING RESIDENCE
**PL E CHECK AND ANSHER BEI-OW ALL THAT APPLY TO YOUR PRO]ECT:
TOTAL PROI ECT COST1Le.'r.q :
If the project j.s a Relocati
Is thene E-tectrica.L ro*"" on
PROPERTY U5E ,/ OCCUPANCY:
DESCRIPTION OF WORK:
cont acbr inbmauon "'NOTE:Any Work
ot,tNER/coNTRACTOR:
OTHER:
INGLE FAMILY DUP L EX TOI^]NHOUS E
3 rorAL sQ Fr UNDER aoor: 43tt7 rorAL AREA sa fi: 4392
2 )Orc'too fl oF SToRrEs: ,/
n, is there a Natural. Gas Line on the Cunrent Sitet I Ves [ ruo
his Building? l-l v.t l*l no
Is Any ELECIRICAL, PLUlilEING or 14 CHTINICAL Work Being Oone to the Accesso.y Structurel I Ves I no
complywirh he State Buildirg Code and attofier appticabte State and tocat taws
chang
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YE5
/(s, c,,t €"\<
DISCLAIMER: I hereby cerlit rhal all rnlo.marion in
and ordinances and requlations The NHC D€velop
is applicalion is correct and allworkwiil
nt Services CenEr willbe no[6ed ol an
WO lhe Appropriale Permits willbe in
ychanges in he app.oved plans and
violarion ofihe NC slaE Eldg code
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I5 THE PROPERTY LOCATED IN A LOODPLAIN?
EXlSTING IIVlPERVIOUS lntl: 3 SQ FT
NO
TOTAL ACRES DISTURSED:
)
t.]ATER:
SEWER:! cenrnnr s PTIC PRIVATE SEPTIC COI'IPIUNITY SYSTEM
SYST E 11 PRIVATE I,]E L L CENTRAL I,JE L L
CF PUA
.*1. SEPARATE PERTIITS
PAYflENT ITIETHOD: E COS' E HEcK (payABLE ro ruxc; I BrLL accouNT I r,rclvrso Iorscovrn
EQUIREO FOR ELECT, T,IECH, PLBG, 6A5 EQUIP, PREFABS & INSERTS **1
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(FOR OFFICE I]sE ONLY) REVISED OATE O4l11/12
-
B:-
_ BFE+2ft
N
PERFlIT FEEr $
SETBACKS: F:_ LH:_ RH:
DATE: FLOOD:
AV Lt(
sQ FT ExrST LAND DTSTURBTNG pER rT: E yrs l--.l no
-Wrc*t
SIGNATURE:
NEId ER COUNTY BUILDING PERMIT
lTz \6 -78?
6tbtb- 3 n s
APPLICATION
Number
(office use)
PI
APPLICA T,S I,IAIIIE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION{:
PROPERTY OT{{ER, S tIAf{E:5
OTfiER,S ATDRESS:L
CONTRACTOR:
ADDRESS:
EitAIL ADDRESS:
PROIECT CfiTACT PERSOI,I:
EXISTII{G CO STRUCIION:
SUNROOM SF
TOTAL PROJECT COST rr-""" roo : $Srlzs'
PtfJ/NE * :'2!iLflL:!L2-.)
ClTl i (.,.- /z-.1a, ,t\,a ,,'c /\,)ne :'2*'/Lq
BLOCX *:
PlonE s: Q7;- L7>" 3 st 7
ClfYi (.\rtr--,21 , .,vZ 7o r...,st: t4zw: ) {i7? I
LICENSE *:ACCOUNT #:
srz&zrPl.2€4i3CITY:
ALT TION RENOVAIION GENERAL REPAIRS
PORCH _ SF
STORAGE SHED
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plofiE r: t?/,r - ryZ-/lZ_-)
f] nrlocerron
SF
SF
NEH CO STRUCTION:ERECT RESTDENCE o" p|-noorrror To ExIsTItG RESTDENGE
"PLEASE CHECK AI{D A'{STER BELOII L THAT APPLY TO YOT'R PROJECT:
! orr canace
-
sF
! eoor-
-
sr
! arr canaee
-
sF
GREENHOIJSE SF @6iecx OTHER:
TOTAL HEATED 5Q FT:6 TOTAL SQ
'nG sF
4-
Fr UNDER ROOFz 6 TOrAL AREA Sg et J7 Q
EFo
Yes pftt6-
Is Any ELECTRICAL, PLU!'IBING or lil ICAL Work Being Done to the Accessory Structure? E YeS
If the project is a Relocation is there a Natunal Gas Line on the Cunrent Site?
is Buitding? ffv* flno
tr
Is there Electrical Powen on
PROPERIY USE / OCCUPANCY:NGLE FAMILY I ouer-rx TCIT NHOUSE
Pza.gs"DESCRTPTION OF WORK:
'td odhacas ad Egulalions. The NHC Oe
conk&t!. hbmafon.'1{OTE: Anywork Pertormed ,O tle Apprcpraab Permils will be h Viorrron ol th€ NC Sbb B&g
Ot'INER/CONTRACTOR:ft+>F rLTo SIGNA
* ** *,.* * ** *,r. * i.* **r,{,
DISCIAI/GR lheebycertit tar aI inbrmarion in tl
I5 THE PROPERW LOCATED IN A F OOOPLAIN? N
appicaton 6 conecl and al work wil comply with lie Stare Building Code and at 01116r applicabb Ststs ald tocat tsvrs
Servic?s Cenbr wit be noafe<l ol6ny cnrlges h ]€ approwd pbns and speciftalbos o. draEe h contracbr or
,'
b Fhes L,p To l50o.m-
**,!,t**,i**++++
YES
EXISTITIG IiTPERVIOUS AREA:
ET I'OERVIOUS AREA:
TOTAL ACRES DISTURBED I
EXIST LA D DISTURBII{G PERIIT: N VTS [ rc
YSTEM RIVATE WELL CENTRAL WELL
IC PRIVATE SEPTIC COIII{JNITY SYSTEM
SQ FT
sQ rT
t,larER: fl CFPUA
sEt{ER: f] CFPUA
f] conrururw
! cerurnnr se
*' * SEPARATE PER''IITS
PA$4EraT flEr}l(xr: E cos, E c( (PAYAoLE ro mrc1 [ aru accorrr
IRED FOR ELECT, fiECH, pt-8c, GAs EgJIp, PREFAES & TITSERTS r.**
[rcrwsa I orscowa
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(FOA OFFICE US€ o LY)REVISED DATE e4l11/12
ZONE: _ OF FICER:
Approval:_ City:
Co Ent:
DATE:_ FL@D: _ BFE+2ft=
PERfiIT FEE:
NFU
APPLI.ATION TYPE: RESIDENTIAL
AiISI/ER ATT QUESTIOI'|S APPLICABLE IO YOUR PRO]ECT
"Project Responsibilit}/'
oarr:3 ltt l, L
LOT *:
SETBACKS: F:_ LH:_ RH:_ B:_
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