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Home My WebLink AboutAPRIL 15 2016 BUILDING APPS, o,6o-B t Y L5-923 APPLICATION Number (Office Use)ffi APPLICANT, S DEV€LOPER: PRO]ECT ADD NOVER COUNTY BUILDING PERMIT APPLICATION IYPE I RESIDENTIAL E ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ETT "Project Res pons ibility" NAI{E: iJi,.i,.,., D-rl els DR Horton Inc RESS: !::, sr eele : DATE: 3/23/t6 PHONE #: 91-'r-821-8556 CITY: wilminqLon ZIPi:-,. SUBDMSION: Rese r-le a:;';est PROPERTY OWNER'S NAIIE: -r ;rcr cn -l nc OhINER'S ADDRESS: .11.1! Lrerre r rre Bl.''d CONTRACTOR: DR Ho rt- on lILc ADDRESS: 4049 Belle Terre Blv CITY: M rt le Beach ElvlAIL ADDRESS: nr.:tan i e::i Gdrho PRO]ECT CONTACT PERSON: ,eraIai ALT RATION NEW CONSTRUCTION:ERECT NE RESIDENCE or ADDITION TO EXISTING RESIDENCE **PLEASE CHECK AND ANSWER BELOW L THAT APPLY TO YOUR PROJECT; ATT GARAGE J!5 5F DET GARAGE 5F PORCH 41 SUNROOM SF POOL SF STORAGE SH ED GR E ENHOUS E SF DECK SF OTHER: 13 9 TOTAL HEATED SQ FT: t4cE TOTAL SQ FT UNDER ROOF: I.. I: TOTAL AREA SQ FT: sT: jg zIP: :4r: PHONE #: !rio-821-8556 PHoNE #: 91a-.165- l9 t a SF SF SF 5225 TOTAL PROIECT COST lress ror; : Is Any ELECTRICAL, PLU BING or If the project is a Relocation Is there Electrical Power on t PROPERTY USE / OCCUPANCY:5 DESCRIPTION 0F WORK: rre,..r resid DISCLAIMER: lhereby certify rhat all inirrmairon in fli and odinances and regulations The NHC Deve opme conlractcr intolmaton "'NOTE Any Work Performed OWNER/CONTRACTOR i r,:rcr,aer :a $89000 +:f:t:t +:t,i ii,i + rt + + ++* i* *** **** )r )r )r )r **,r * )** * **++ + + * * * * * * * t * * + * + *t** ** OODPLAIN ?YES T NO SQ FT SQ FT TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERMIT:I YES [--l r'ro SETBACKS: F:_ LH:_ RH:_ B:_ FLOOD: BFE+2 # OF STORIES: ICAL l,Jork Being Done to the Accessory Stnucture?!ves [ ruo is thene a Natunal Gas Line on the Cunrent Site? [ Ves I llo 1S Building? [-] ves T No NGLE FAMILY nt 1al 1e1s DF. Hort,on rnc. SIGNATURE: DUPLEX TOWNHOUSE /O the Appropriate Pemits willbe ln Viotalion ofrhe NC Srate Btdg Code and Subjecl to Fines Up To $500 00,,, applicalion is corecl and all work will comply with lhe Siate Building Code and all oher applicab e Slae and tocat taws Services CenEr will be notfed of any changes in he approved plans and specirications or change in contractor or IS THE PROPERTY LOCATED IN A F EXISTING IMPERVIOUS AREA: *,* * * + + + + * + + * * * * *,t * * * * i< 1( *i<r( NEt,l IMPERVIOUS AREA: ,,,1:r [',ATER: SEWER: CFPUA CFPUA COI4MUNI TY CENTRAL SE YST E IV]PRIVATE WELL CENTRAL WELL 1C *** SEPARATE PERI'IITS R Q{JIRED FOR EIECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *** PAYMENT METHOD: E CNSTT il ECX (PAYABLE TO NHC)AI.IERICAN EXPRESS tr f1c /vr5A**** *** **** ****,*)*)** *** * *** Appnoval:_ City:_ ,t ,F ,F + + ,1. * * 1. i. i. i. 1. 1. X * * * * * * + + + + + + * ,* + ,* * + ,t * * * * * * + + + + * * * * * * )k * * * * * * * * * (FoR OFFTCE USE oNLy) REVI5ED OATE O4l11l12 N DATE : NEW BLOCK #: LOT f: ., PHoNE #: 114l--15,--84aa CITY: Ifl!ls_lsg!}_ ST : j!_ ZIP: 2 e5re LICENSE #: 2e676 EXISTING CONSTRUCTION: !! nenovarroru ! crruenal REparRs E RELocArroN Z I enrvare sEprrc E coMMUNrry sysrEM I orscoven ZONE : _ 0F F ICE R: NEW H ATT GARAGE 16I SF TOTAL HEATED SQ NOVER COUNTY BUILDING PERMIT APPLIcATIott TYPE: RESIDENTIAL E ANSI,/ER ALL QUESTIONS APPTICABLE TO YOUR PRO]ECT "Project Responsibility" )otb) 3Y r L5- 924 APPLICATION Number (Office Use)ffi PL APPLICANT'S NAIvIE: i:,..t. r , ,eIs DEVELOPER: DF HorLo1.. rnc PROIECT ADDRESS: r21 ::reete l CfTY: rii l rmi notori SUBDIVISION: ri.eser'. e :r .'.-- , PROPERTY OI.INER,S I.IAI\4E: :R iI ,L rn Inc OWNERj5 ADDRESS: - - ,..,rre Blr.'d CITY: Mv:tle Eeach CONTRACTOR: DR Hor: cn lric LICENSE #: :r.r. ADDRESS: .1!49 Belle Terre Blv CITY: :'1,/: I ie Eea.rn EMAIL ADDRESS: m:{:1an r e I s t! (tr ho PROIECT CONTACT PERSON: Par- F LZ era lC ALT ATlON NEI.J CONSTRUCTION:ERECT NE RESIDENCE OT ADDITION TO EXISTING RESIDENCE **PLEASE CHECK AND ANSWER BELOW L THAT APPLY TO YOUR PRO]ECT DATE: :i.at/tr ZIP I 28411 PHONE #: :.i : i l sT: s: zIP: r !,, r'l ST: j:_ ZIP: , ,' PHONE #: 9t c-8 21- rr 5 t 6 PHONE #: 91c-16 5- l qLr b 5FPORCH : :,r STORAGE SHED SF OTHE R: 8 8 _ sF SF DATE: FLOOD DET GARAGE - SF POOL 5F TOTAL PROIECT CoSTrressrorl : $ If the pnoject is a Relocation Is thene Electnical Power on t PROPERTY USE / OCCUPANCY:5 DESCRIPTION OF WORK: lr.,.r ,,:, 1,1 ntial DISCLAIMER: Iherebyce ify hat all informalion in hi and ordinances and regulalions. The NHC Developme contaclor inlolmaton "'NOTE Any Work Pedormed OWNER/CONTRACTOR : r.1ichae1 Da tr< * * * * * +,t *,t * )t * r. * ** * )* )* )* )* )i )t )t )t IS THE PROPERTY LOCATED IN A F OODPLAIN ? EXISTING IMPERVIOUS AREA: NEt^l IMPERVIoUS AREA: 2rt r FT: rtea 164000 Yes No LE FAI'1ILY DUPLEX TOWNHOUSE /O fie AppropriaE Permits will be in Violation of the NC SlaE Bldg Code and Subrcct tc Fines Up To $500 0O'.^ iels DR Hortcn Inc SIGNATURE: TOTAL SQ FT UNDER ROOF: 33?3 TOTAL AREA SQ rint Nane) n YES I applicaton is conecl and all work willcomply wilh he Slate Euilding Code and all oher applicable State and local laws ServicesCenterwillbenoliriedolanychangesinheapprovedplansandspecrficatonsorchangeincontractoror Ff | 2aj s I5 Any ELECTRICAL, PLUMBING oT ME ICAL l"iork Being Done to the Accessory Structune?I is thene a NaturaL Gas Line on the Current Site?D Yes n No 1S Building? [ ves I No ++*+,t,*+*,t,i,r************+*+++************,*+,*++******)*)* WATER: SEWER: CF PUA CF PUA COMMUNITY CENTRAL SE NO SQ FT SQ FT TOTAL ACRES DISTURBED: r6 EXIST LAND DISTURBING PERMIT:YES [--l ruo STEM IC PRIVATE SEPTIC COMMUNITY SYSTEi\4 QUIRED FOR ELECT, MECH, PL8G, 6A5 EQUIP, PREFABS & INSERTS *** EcK (PAYABLE TO NHC) E AMERTCAN EXPRESS I mcTvrsl I orscoven *** SEPARATE PERI'IITS R PAYiIENT irErHoD: f] cos, f]c ZONE : _ 0F FICE R (foR oFFICE USE oNtY) REVI5ED OATE O4l11/12 SETBACKS: F: LH: RH: B: <t ** *** **+4 44 + + ++++ +++ + +i+ +,*,*,*******xxx(*****,**,*,*,*++++++*+***!t*r.*******,**********xxx*++* Approva I :_ City:_BFE+2ft= N T #/1rl? ! surunoom _ sF I cReerurouse _ sF PHONE #: 9tt-821-8556 BLOCK f: _ LOT S: EXISTING CONSTRUCTION: E ! ner,rovnrroru ! cerurnnr REpArRs E RELocATToN tr ! orcr # OF STORI E5 : ! enrvere wELL E CENTRAL r,tELL IING eoth-3ly >t6-925' APPLICATION Number (office use) PLE APPLICANT'S NAi'lE : ::,, :..i:, t::.: DEVELOPER: DFt rior--on rnc PROIECT ADDRESS:,a:1a -r'an.rrrr.e SUBDIVISION: /Jdi ersirie at- i,,ooc Laie PROPERTY OWNERTS NAME: DR hir-n Inc OiINER'S ADDRESS: 4ir4,. Berre re re Blvd CONTRACTOR: rr:i ll.)r t.)r, Ir:c ADDRESS: 4049 Beile Terre Blvd EMAIL ADDRESS: nr di:rr:,ets drhor NEW H NOVER COUNTY BUILDING PERMIT APPLICATION TYPE: R ESIDENTIAL E ANSWER ALL QUESTIONS APPLICAELE IO YOUR PRO]ECT "Proj ect Responsibility"ffi DATE: '1/2'3/1() PHOl,lE #: 91a-82 1-8556 BLOCK #: LICENSE f: :9l, r- a SF PORCH -' STORAGE SHED SF oTHER: 2 30 LOT f: PHONE #: 'r4ri i5l-t4cal ZIP :28412 CITY:).1yrt I e B.ach ST: SC ZIP::95]9 PHONE #: PHONE *: 910 821-8ss6 PROIECT CONTACI PERSON: :t a:rL r;: ALTE ATION RENOVATION GENERAL RE PAIRS **PLEASE CHECK AND ANSI,JER BELOW A RESIDENCE o" ! aOOrrrOlr TO EXTSTTNG RESIDENCE L THAT APPIY TO YOUR PROJECT: NET'I CONSTRUCTION:ERECT NE RE LOCATlON SF SF SF TOTAL SQ FT UNDER ROOF: 2833 TOTAL AREA SQ FT: TOTAL PROIECT C0STrressrou : $ If the pnoject is a Relocation Is there Electnical Power on t PROPERTY UsE / OCCUPANCY:s DESCRIPTION OF WORK: tle,n :!s1i tial DISCLAIMER: I hereby certify hat all inbmation in his and ordinances and regulallons The NHC D€velopmen conracbr informaton "'NOTE AnyWork Pe omed OWNER/CONTRACTOR: Michaer Da 129000 Services CenEr willbe noiilled olany changes in he approved plans aod specifications orchange in contracbror /O fie AppropriaE Permits will be in Violation of lhe NC Stab Bldg Code and Subject t] Fines Up To 5500 00.'' eLs DR Horton rn.. SIGNATURE: rint Nane)**,*+++i.+++1.1.1.1.*X***r*+r*r*+*+*+***,t,t****+*xx******+,t,t,t********* ATT GARAGE .I ]5 SF 5UN R00t'.1 5F GREENHOUSE SF TOTAL HEATED 5Q tr DET GARAGE POOL 5F DECK DATE: FLOOD: FT: r032 * * * + * * * * * * * * * * * i. i.++ *,* * * 1. * * + r0301 I5 Any ELECTRICAL, PLUMBING oT MEC ICAL Work Being Done to the Accessory Structurel Yes n No is euilding ? ! ves I No LE FAMILY DUP LEX TOWNHOUSE pljcalion is conecl and allwork willcomplywih ,te Slale Building Code and allolrer applicable Stab and tocal taws IS THE PROPERTY LOCATED IN A F ooDPLATN? !-'] ves I EXISTING IT1PERVIOUS AREA: NEt^l IMPERVIoUS AREA: -1314 NO SQ FT SQ FT TOTAL ACRES DISTURBED: .23 EXIST LAND DISTURBING PERMIT:I YE5 [-l r'ro TE 14 PRIVATE WELL CENTRAL WELL QUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *** Ec( (eAvABLE ro rnc; I nlrrnrcAN ExpREss I r'rcTvrsl I orscoven WATER : SEWER: CFPUA CFPUA COI1I.1UN I TY CENTRAL 5E rc E pRrvATE srerrc ! coMMUNrry sysrEM *** SEPARATE PERMITS R PAYMENT I,IETHOD: N CASI NC ZONE : _ OF FICER: Approval :_ City: (toR oFFrcE usE cr']LY) REvIsEo DATE O4l11/12 SETBACKS: F: LH: RH: B: ******++,F*******+**********,.r.*+*,*,*,t+,*,t,t,t+,*,t,r)*********+*****++*++*+*******tr<***r(*r(******* BF E+2ft= I N fltaqc CITY: l"i lminqLon CITY: [,Jyrt-Ie Beach ST: :]C ZIP:29519 EXISTING CONSTRUCTION: E # OF STORIES: 1 is thene a Natunal Gas Line on the Cunnent Site? [ Ves I Uo Z tr .Qotb )Y a. L6-926 .ffi ATT GARAGE 4q5 SF suNRooM _sF GREENHOUSE SF NOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTTAL E ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]EIT "Project Responsibili.ty" ADDRESS: 4049 BeIle Terre Bl1,d EIIIAIL ADDRESS: ,rLr.ian i e ] 5 (_il1rho r NEW H APPLICATION Number (office use) APPLICANTT S NA|.IE: :.::,.:... r.-: DEVELOPER: rrR H.rr.i r ,1.. PROIECT ADDRESS: 'ai1 r,. .,,,,.,:Ct, SUBDIVISION: ,'i,r .:sr.l! .,- l':..,1 Lake PROPERTY OWNER'S NAITIE: l:r. :.c:-.n I nc Otr,lNER j S ADDRESS: ;iri,r rii le re OAf E1 3 / 2', 1t' ZIP i .'r,41 ) PHoNE #: 84-1-:sr.-B4ar,i re Blvd Y5T E T4 PRIVATE I,,]ELL CITY:Mvrtle Beach ST: rr al ZIP: r,l!l:,1 ST: s. ZIP::95r9 LICENSE #: : : CITY:MvrtIe Beach PROJECT CONTACT PERSON: . ,::. 'l ALTE ATION NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE **PLEASE CHECK AND ANS|JER BELOllJ A THAT APPLY TO YOUR PRO]ECT: PHONE #: PHONE #: 910-821-8556 PoRcH _!:_ sF STORAGE SH ED SF SF OTHER:31 SF TOTAL HEATED SQ FT: :, r -.:TOTAL SQ FT UNDER ROOF: :,, TOTAL AREA SQ FT: 1 , TOTAL PROIECT COSTIL"""L"u : $ Is Any ELECTRICAL, PLUMBING or MEC ICAL Work Eeing Done to the Accessory Structure?I If the project is a Relocation Is thene Electrical Powen on t is there a Natural Gas Line on the Current Site?Yes No PROPERTY USE / OCCUPANCY:5I LE FAMILY DESCRIPTION 0F WORK: r.:'.. ,=.,-. OWNER/CONTRACTOR: r.ri c r..e r ua *** * *** *+*i< **** i<*++ * ** * ** * EXISTING II{PERVIOUS AREA: NEI{ I}TPERVIOUS AREA: ]435 Yes tr Noil is Euilding? EYes !No NO SQ FT TOTAL ACRES DISTURBEO: ,24 DUP LEX TOWNHOUSE tial applicalion is correct and allwork wi complywif'heStateB!ildingCodeandallorherapplicableStaEandlocallaws ,. i.i DFr I!,)r t.,:, Ir. SIGNATURE a **1.**1.***++++*++,t,f ***++**+***,F+++* ******,k*********+***x***** OISCLAIMER: lhereby certify hat all inft)rmation in hi and ordinances and regulaiions The NHC Oevelopme contsacbr nfomaton "'NOTE Any Work Perlonned SeNices Center willbe nolifled ofany changes in t'e approved plans and specilications orchange in contractor or /O he Apprcpriale Permits wrll be ln Violation ot the NC Staie Bldg Code and Subjecl t Fines Up To S500 00"' IS THE PROPERTY LOCATED IN A F OODPLAIN? I-I YES ! I'IATER: SEWER : CF PUA CF PUA COMMUNITY CENTRAL SE CENTRAL WEtL COI4I4UN ITY SYSTEII *** SEPARATE PERI'IITS R PAYMENT METHOO:flcmx D c ** * * * ** **:l<* **** **i<* * * * * *** IC PRIVATE 5E PTIC SETBACKS: F:_ LH:_ RH:_ B:_ DATE: FLOOD: BF E+2ft= QUIRED FOR ELECT, I'IECH, PLBG, GAS EQUIP, PREFABS & INSERTS EcK (PAYABLE rO NHC) E ff4ERTCAN EXPRESS I tClrrSo tr ,(*i.i.,t,t+:i*****r.*+++++++rt*****,*****+r*xxr*******r(1.i.****r(r(r.*r(*,*+++ (foR oFFIcE USE Ol'lLY) REVlsEo DATE 04111112 DISCOVER zoNE: _ 0F FICE R: Approval:- City N fl ,11 DET GARAGE - SF POO L _ SF PHONE #: rr,r-821-8556 CIry: r,ialminqron BLOCK #: LOf *i 221 EXISTING CONSTRUCTION: n ! neruovrrroru [ ceruenar REpArRs E RELocArroN DECK # OF STORIES: SQ FT EXIST LAND DISTURBING PERMIT: FI YEs N NO NEW 2o16 :D,l ^ - ANovER couNTy BUTLDTNG pERMrr L'6-928 APPLICATIoN rvPr r R ESfDENTIAL E ANsWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Res pons ibility" APPLICANT'S NAI.IE: : r ,:., -.,els DEVELOPER: DF. H.r rr. i,r, rr:c PROIECT ADDRESS: :.;:,,a:r!u,.rct CITY: wi tmr n ron SUBDIVISION: ritrt,: r:; r,le at- i..io Lake BLOCK #: PROPERTY OhINER'S NAI'4E: DR ho on Inc o[^,NER ' S ADDRESS: ,iir4'r Eelle rre B l\'d CITY: I,l! r l le Dea.rh CONTRACTOR: --R H,,r' .r:: r,,c LICENSE #: 2e6rr, ADORESS: 4t49 Bette Terre BL!CITY: Myrtle Beacl EI\,IAI L ADDRESS:.lrho PROIECT CONTACT PERSON: . ".Lson ALT RATION NEW CONSTRUCTION:ERECT N RESIDENCE or ADDITION TO EXISTING RESIDENCE **PLEASE CHECK AND ANSWER BELOl/lJ LL THAT APPLY TO YOI.JR PRO]ECT: PORCH !] ! ffi ATT GARAGE ]'I SF SUNROOM 234 SF APPLICATION Number (office Use) DATE: ': / 2'J / 7a PHONE S: l1:-8:1-8556 ZIP i :.t.-- LOT f: :1. ST: -:t- ZIP : 2 95 r- 9 ST . :_._ ZIP i :.. .t,: : SF DE CK STORAGE SH ED PHONE #: l1r:,-82i-8556 SF SF SFGR E ENHOUS E TOTAL HEATED SQ TOTAL 5Q SF OTHE R: FT UNDER ROOF: 2 41: # OF STORIES: ITOTAL PROIECT C05T tress rotr : Is Any ELECTRICAL, PLUI'4BING or M If the pnoject is a Relocatio Is thene Efectrical Power on s Ff : t9a'j ICAL Work Being Done to the Accessoty Structure?Yes tr No is thene a Natural Gas Line on the Current Site?Yes Druo fs Buitding ? n Yes I No PROPERTY USE / OCCUPANCY: DESCRIPTION OF WORK: :. eL,resld NGLE FAMILY ntr.aI DUP L EX TOWNHOUSE /O he Appropriate Permits willbe n Violation of the NC State Btdg Code and Subjecl to Fines Up To $500 00..r reLs, DF. Horton rnc. SIGNATURE: DISCLAIMER lheebyce ly har allinformation in dr and ordinances and regulations The NHC Developm conlraclor inbrmaton "'NOTE Any Work Performed OWNER/CONTRACTOR i rqrchae r Da applicalion is conecl and all work will comply wilh he State Building Code and allofier appticabte StaE and tocat taws t Services CenEr willbe nofiied ofany changes in he approved ptans and specifications orchange in contractcror IS THE PROPERTY LOCATED IN A EXISTING II{PERVIOUS AREA: OODPLAIN? J_-I VTS ! ***************r<********** NEI^I IMPERVIOUS AREA: 289:SQ FT Print Nane) + + +,t + +,* + + )t * * * *:t:i {r 1. *,} * *i.** r.,},} * *** *:}* ** * + + * *** *** ++tr<* 1.** * * * r* * + + NO SQ FT TOTAL ACRES DISTURBED: . EXIST LAND DISTURBING PERMIT:T ve s I--l ruo WATER: SEI.JER: CF PUA CF PUA COMMUNITY CENTRAL 5E ! enrvare sEprrc E cofiMuNrry sysrEr4 YSTEM PRIVATE WELL CENTRA I^]E L L TIC *++ SEPARATE PERIiIITS QUIRED FOR ELECT, I'IECH, PLBG, GAs EQUIP, PREFAES & INSERTS *T* EcK (IAvABLE ro Hrcl I mrucAN ExpREss I r.rcTvrsa tr * + + + +,t + + + + + + +,* ,t,* ,* ,* x**,ix** *** * *,t+ *** ***x x,r x x x + * + **r.r. * * * )* **** ** (roR oFFrcE usE oNLy) REVIsEO OATE O4l11l12 SETBACKS: F:_ LH:_ RH:_ B:_ FLOOD: BFE+2ft PAYMENT ETHOD:CASH *+ + * * * * * * i. * i< i( i< i. ,( ,( * * * * * * * ** zoNE: _ oF FrcE R: Approval:_ City: ilc DISCOVER IN I DATE f,dT ! oer cnRace _ sF E! eooi_sF tr PHONE #: 84l-l5l-ri4-1,1 PHONE #: q1c-52c-7193 EXI5TING CONSTRUCTION: E ! nrruovarroru [ ceruennr REpArRs E RELocATToN TOTAL AREA SQ FT: . .. NEW APPLICANT'S NAI{E: t.1i c:Lre- !a.,els DEVELOPER: DF. Ho r'-, on ir:. PROIECT ADDRESS: ,. 1- .ian.-:,.,,,,. SUBDIVISION: ?iatersi.le at r,ioo Lake PROPERTY OI^INERj 5 NAIl4E: -R h.rr OWNER'S ADDRESS: ,1i.1!, Eerre r rre Bl vd CONTRACTOR: DR Itcr..rr: rrc & o tG-335A L6-932 APPLICATION Number (Office Use) NOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL E ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT "Project Responsibility"ffi DATE: :,)i .,) PHONE #: -:- -:.-,: CIry: lii 1ni n ton BLOCK #: )8 412 LOT S: ZIP i 224 2961 6 ADORESS: 4a4i tselle Terre 81v e Beacll EI'IAIL ADDRESS: m:.lanieIs3irho ton , com PROIECT CoNTACT PERSON: :l r:r, .';I son ALT TION R ENOVATTON GENERAL RE PAI RS NEW CONSTRUCTION:ERECT NE RESIDENCE oT ADDITION TO EXISTING RESIDENCE **PLEASE CHECK AND ANSWER BELOt,/L THAT APPLY TO YOUR PRO]ECT: SF PORCH I 'r: LICENSE #: CITY: Yr::I ST::___ZIP::r:: PHONE #:910-821-8556 PHONE #: "l ! r,la-1193 RE LOCATTON SFATT GARAGE 432 SF SUNROOM 11] SF GREENHOUSE TOTAL HEATED 5Q STORAGE SH ED _ 5F SF DET GARAGE POOL DECK 5F SF SF OIHE R TOTAL PROIECT COST rress roo : Is Any ELECTRICAL, PLUIilEIl.lG or M If the pnoject is a Relocation Is there Electrical Power on t PROPERTY USE / OCCUPANCY:s GLE FAMILY DESCRIPTION 0F WORK: ire(' Lesii nt1al DISCLAIMER: I hereby ce.li6/ hai all inionnation in hi and ordinarces and regulatons The NHC Developm corractcr intormalion "'NOTE: Any Work Perfonred OWNER/CONTRACTOR: Michael Da TOTAL SQ FT UNDER R00F : ,5:: # OF STORI E5 : AI'IICAL Work Being Done to the Accessory Structure?T is thene a Natunal Gas Line on the Curnent Site? is auild i ng ? fi ves I No FT: 2eBs TOTAL AREA SQ FT: 10r29 $ ves I lto [v"t [ ruo DUP LEX TOI^INHOUS E /O f'e Appropr aE Pe,mits will be in Violation of the NC Srare Bldg Code and Subject b Fines Up Io 9500 00"' 1el:i :)F Horto:, rnir SIGNATURE: )*,**,*,*,*,*,*x+++:*+++++,t+,t1.++,t+++r.r,*************:*+++r:,t**tr<***r<**** applicaton is co.recl and all work will comply wilh lhe Slale Building Code and alloher applicable SiaE and local taws SeNices CenEr willbe notfied ofany changes in he approved plans and speciticarions orchange in contracbror IS THE PROPERTY LOCATEO IN A F EXISTING II'IPERVIOUS AREA : ooDPLATN? f-'] vrs I SQ FT NEW IIVIPERVIOUS AREA: 311]5Q FT NO TOTAL ACRES DISTURBED: .: EXIST LAND DISTURBING PERMIT:T YE5 [-] ro WATER: SEWER: CF PUA CF PUA COI4MUNITY CENTRAL SE TEM PRIVATE WELL CENTRAL WELL (roR oFFrcE usE oNrY) REVIsED DATE O4l11/12 SETBACKS: F: LH: RH: B: PRIVATE S EPTIC COMMUNITY 5Y5T EI4 *** SEPARATE PER}IITS R PAYnENT r.rErHoD: ! casr I c QUIRED FOR ELECT, MECH, PLB6, 6A5 EQUIP, PREFABS & INSERTS *** ECr( (payaBLE ro NHc) E AMERTCAN EXPRESS I r.lCTVrSl I orscoven IC * * * *,t*+ +* * * * * * * * * * * *,t * * * * * *f.i.i.{.**++,*r.,*+,*******)*)*)k)******r.r(*+++**;**+,*+++*******)r******+++ ZoNE : _ 0F F ICE R: Approval :_ City:DATE:_ FL00D BF E+2ft--N S tsUJ- PHONE #: 841-l5r- 84ri! CITY: t,l.rrt le li--r,:], ST: .r: ZIP: 2!rl,-9 EXISTING CON5TRUCTION: E Z NOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL A5E ANSWER ALL QUESTIONS APPLTCABLE TO YOUR PRO]ECT "Project Responsibility" APPLICANT'S NAIIIE: Lr. Li Horr,ol 1nc DEVELOPER: PROIECT ADDRESS: :r . :,'.:e,e - SUBDIVISION: li:-- i.: : ,' . . i stba PROPERTY olrNER'5 NAIT1E : ,. :i rton, I nc OWNER'S ADDRESS: .1i.r r r L--1]e r rre Bl .l CONTRACTOR: D.R. Horr-.rn. Ir,.l ADDRESS: 4C?l Bette Terre BLv NEt^l ElilAI L ADDRESS: nr dr n r e i,i G.1r tro suNR00t4 SF ffi Jolb{}53L6-934 APPLICATION Number (Office Use) DATE :3i23/1t) PHONE #: CITY: llr lrnrnoton ZIP I 2841 CITY:MVTt IC Beach LOT #: PHoNE f: ia:-:rr-d;:.1 ST: sc ZIP: 2 9 5 -'- 9 ACCOUNT #: sT: sc zrP::95r9 914-821-8556 PHONE *: tra !65-rrfa SF SF FT a .2e2 I Yes No Yes T No LICENSE #: , ri,ra, CITY: Myrqle Beactr 150252 PHONE #: PROIECT CONTACT PERSON: .'.2 eraLd ALT RATION NEW CONSTRUCTION:ERECT N RESIDENCE o" ! AOOrrrOru TO EXISTING RESIDENCE **PLEASE CHECK AND ANSI,IER BELOW LL THAT APPLY TO YOUR PRO]ECT: ATT GARAGE 11. 5F GR E ENHOUS E TOTAL HEATED SQ SF DECK DET GARAGE SF POOL PORCH 1!'rB SF SF STORAGE 5H ED SF oTHER: -- - TOTAL ACRES DISTURBED: ,14 EXIST LAND DISTURBING PERMIT: TOTAL SQ FT UNDER ROOF : .: ,, : i # OF STORIES: 2 TOTAL AREA SQ TOTAL PR0IECT COST rress rotl : Is Any ELECTRICAL, PLUIiIBING or l'l HANICAL Wo.k Being Done to the Accessory Structure? If the project is a Relocatio is there a Natunal Gas Line on the Curnent Site? fs Flt 22t t Is there Electrical Power on t i. * + + + + + + i.1.1. i. + i. i. * i. * * i. *,* * * * * NEW IMPERVIOUS AREA: 234] PROPERTY USE / OCCUPANCY:S NGLE FAMILY DESCRIPTION OF WORK: DUPLEX T0l^lNH0US E Ie Fa rl Resident ial /O lhe Apprcpriale Pelmits will be in Violation of rhe NC SlaE Bldg Code and Subjecr to Fines Up To $500.00"' lels SIGNATURE: DISCLAIMER: lhereby cerri, hat all inlormalion in hi and ordrnances and regularions. The NHC Developme conlraclor intormalion. "'NOTE Any Work Performed OWNER/CONTRACTOR i r,: i crrae L ra applicaton is correcl and all work will comply wih he Slale Building Code and alloher applicable Stare and local laws t Services Center will be notried of any changes in he approved plans and specificat ons or change in con tracior or ZONE : _ OFFICER: Appnoval :_ City SQ FT 5Q FT YSTEM PRIVATE U]ELL ,) ,t,i * + *,r,* *++,* *,8* **t1. + + + + ++,t +tt i.**** *r.* * * *,r *t * i *+*+ ++ + + + + OODPLAIN ?YE5 T NOIS THE PROPERTY LOCATED IN A F EXISTING IMPERVIOUS AREA: n l-'] ves I NO I^JAT E R : SEHER: CF PUA CF PUA COMMUNITY CENTRAL SE TIC PRIVATE 5 EPTIC *** SEPARATE PERII1ITS QUIRED FOR ELECT, I'IECH, PLBG, GAs EQUIP, PREFABS & INSERTS *** ncasx E ECK (PAYABLE TO NHC)T BrLL AccouNr I r,rclvrsl I orscoven CENTRAL WELL COMMUNITY SYSTEM (foR oFFICE USE oNLY) REVI5ED DAIE 04/!7/12 SETBACKS: F:_ LH:_ RH:_ B:_ FLOOD: BFE+2ft= PAYMENT METHOD:c i.++* 1.++ +{r + + + + + + + * d. r* ,( ,( ,( ,( ,( *r(* * * * * * * *,*,* *,* +,* + + +,t +** **** ***+ +,* * * + * * * * * + + + * * * * * * * * * * * * * * x ** x* N DATE s ra4Q- BLOCK f: EXISTING CONSTRUCIION: E ! neruovarroru ! ceruenar REpArRs E RELocATToN Building? l-l v"r ETI ro ffi NEW OVER COUNTY BUILDING APPLICATION TYPE; RESIDENTIAL ?*ot6-3)t'l PERMTi 16- 93 6 APPLICATION Number (office Use) ASE ANSWER ATL QUESTIONS APPL]CA8LE TO YOUR PRO]ECT "Project Responsibility" APPLICANT'S NAIIE: Mrl t,.,t.,1 Ira iels DEVELOPER: DR':tc:r,cri tnc PROIECT ADDRESS: 5i, t, ir eete CITY: nr Imrnoton SUBDIVISION: Reser-re .ri ;,iesr, PROPERTY OWNER,S I,IAME: DR Ho ton Inc oWNER,,S ADDRESS: 4|1'r Lrerre r rre Bl1-d c ITY: t'{\'r t le Beach CONTRACTOR: :R Ho rr,,r I rrc ADDRESS: 4!41 Belle 'rerre Biv CITY: My rt 1e Beach EIIAIL ADDRESS: mt.iarie t sGdr.ho l:on, com PRO]ECT CONTACT PERSON: P.,r,z eralc ALT RATION R ENOVATION G ENERAL REPAIRS NEW CONSTRUCTION:ERECT N **PLEASE CHECI( AND ANSWER EELOW LL THAT APPLY TO YOUR PRO]ECT DATE: .i i 25 / li) PHONE #: 91!-821-8556 PHONE #: 9rr-rL5-r90ii RE LOCATION ST: ,la zIP:295,-t sT: ji zIP: :e5r! SF SF TOTAL 5Q FT UNDER ROOF: .,:;: TOTAL AREA SQ FT: TOTAL PROIECT COST rress roo : If the project is a Relocatio Is there Electrical Power on DESCRIPTION OF t^lORK: r.ie,,r resi.1 DISCLAIMER: lhereby ce(ify hat all inbrmation in Iri and ordinances and regulations. The NHC Oevelopme coniractcr intormadon "'NOTE Any Work Perfonned OWNER/CONTRACTOR: rqicnaer oa ATT GARAGE ,] 6I SF SUN ROOM SF GR E ENHOUS E TOTAL HEATED SQ ZoNE: _ OF FICE R: Approval:_ City: SF SF oTHER: B B FT: t,:r! *++* *** * * * * **++ i<i<* )F *** **** 5992 I5 Any ELECTRICAL, PLUMETNG oT ME HANICAL Wonk Being Done to the Accessory Structure?T is thene a Natural Gas Line on the Cunnent Site?Yes n No is Building? [ ves !No PROPERTY USE / OCCUPANCY:5 Yes il No NGLE FAMILY ntial DUP L EX TOWNHOI.JSF applicaton is conecl and all work will comply witl he State Building Code and attoher appticabte Srab and tocat taws I S€Nices CenEr will be nolilied ofanv chang6s in he approvod ptans and specifcations or change in conlractor or /O he Appropriate Pelmits will be in Viotation of the NC State Btdg Code and Subjeci io Fines Up To $500 00... iels DR Horlron Inc. SIGNATURE: i+++,*,t,t,r**+++,r++,t*x+**,t*,t,*,t,t,l**+*,i,t+******++******j*++**)r***t* WATER : SEta/ER: CF PUA CF PUA COMI.4UNIry CENTRAL SE ! enrvarr sEprrc E coMMUNrry sysrEM IS THE PROPERTY LOCAIED IN A F ooDPLATN? l--'l ves EXISTING IMPERVIOUS AREA: NEW IMPERVIOUS AREA: ,I81 *** SEPARATE PERfiITS R PAYmENT nETHoD: I clsu I c !NO SQ FT sQ Fr EXIST LAND DISTURBING PERMIT:YES [-''l uo YSTEM PRIVATE WELL CENTRAL WELL TIC QIJIRED FOR ELECT, I'4ECHJ PLB6' 6A5 EQUIP, PREFABS & INSERTS *** EcK (PAYABLE To NHc) E A,'rERrcAr,l ExpREss fl mcZrrto fl orscoven (TOR OFFICE UsE ONLY) REVISED OAIE O4/T1/T2 SETBACKS: F: LH: RH: B: *+ * * i< * * * * * * * * * * * * * * * * * * * * ******+++****1.****++*+*)*)*)*)*)**+**+*,N*XXX**++**X)*rk********,***** DATE : F LOOD:BFE+2ft={ llqqN ! ! orr crnaee _ sF E ! nooL_ sF tr PHONE #: 91-r-821 8556 ztP i 2!!JL BLOCK f: LOT #: t8 PHONE #: 84 r r5r- 841! LICENSE #: 29 a't i) EXISTING CONSTRUCTION: I RESIDENCE o" ! mOrrrOt TO EXISTING RESIDENCE PORCH 129 SF STORAGE SHED 161t00 # OF STORIES: : TOTAL ACRES DISTURBED: .-l ! oecx NEW OVER COUNTY BUILDING PERMIT APPLICATTON TYPE I RESIDENTIAL E ANSIiER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" ?oito*?37616- 968 APPLICATION Number (o++ice Use) PL APPLICANT'S NAiIE: Michae t Da DEVELOPER: tR rjl;r -.). rr,.l PROJECT ADDRESS: s26 sLeeLe L suN Root4 5F DET GARAGE - SF POOL SF els 153000 _ 5F SF CITY: h,i lminsron DATE: 3 ', ?,16 PHONE #: .' i'-t)' -ta\t, ZIP i 2B4t'- SUBDIVISION: Reserve at liest BLOCK #:LOT #: -16 PROPERTY O[{NER'S tlAIYlE: DR Ho on Inc OUINER'S ADDRESS: 4049 Belle rre Bl1'd CONTRACTOR: DR Hcrr,c:: f.Lc LICENSE #: 2e576 ADDRESS: 4!49 BeLfe Terre BLv CITY:MyrLle Beach sT::!_zIPi 22:12 ElilAIL ADDRESS: mtdanie 1s drh.)PHONE #:910-821-8556 PROJECT CoNTACT PERSON: Pat f_z eraLd PHoNE #: 91!r-165-1906 EXISTING CONSTRUCTION:tr ALT RATION NEW CONSTRUCTION:ERECT N **PLEASE CHECK AND ANSWER BELOW L THAT APPLY TO YOUR PRO]ECT: ATT GARAGE 426 SF PORCH 1!r e SF STORAGE SH ED 5F OTHER: I2CGR E ENHOUS E TOTAL HEATED SQ 5F DE CK TOTAL SQ TOTAL AREA SQ FT: - 5" TOTAL PROIECT COST tress roo : FT UNDER ROoF: 11!; # OF STORIES: 2 Is Any ELECTRICAL, PLUnBING or IlE HANICAL l^iork Being Done to the Accessory Structurei !ves [ ruo FT: 2::r +++* *1. * ++ + * + + + 1. * + * * * * x * * * x If the project is a Relocatio Is there Electrical Powen on PROPERTY USE / OCCUPANCY: , is thene a Natural Gas Line on the curnent site? [ ves [ ruo his auilding? [ ves T No NGLE FAMILY ntial DUP L EX TOWNHOUSE DESCRIPTION OF WORK: New resi cont'aclor informalion "'NOTE: Any Work Pe W/O tre Appropriare Perm ts wil beinViolationof the NC Stare Bldg Code and Slbject io Fines Up Io $500 00.,r OWNER/CONTRACTOR: Michaer D ie,..i trF. il..i c., In. SIGNATURE: *xxx*:t:tx:t:i++++**+*tr<***********xx*+*+*++*xxxxx:l<***,*++**x***:t+,t DISCLAIMERT I hereby ced0/ har all informar on in and ord nances and resulaiions. The NHC Develop applicalion is correcl and all work will comply wilh lhe State Bu d ng Code and all oher applicable State and local laws r Services Center will be norified of any changes in he approved ptans and specilications or change in contractor or IS THE PROPERTY LOCATED IN A LOODPLAIN? ,A VES T NO EXISTING IMPERVIOUS AREA:SQ FT SQ FT TOTAL ACRES DISTURBED: NEW IMPERVIOUS AREA: 246 EXIST LAND DISTURBING PERI'IIT:T YES firuo COMMUNI TY YSTEM PRIVATE WE LL CENTRAL WELLCF PUA CFPUA ! crrurRnr sr TIC WATER: SEl.lER: *** SEPARATE PERMITS PAYMENT METHOD: E CNSTT E HECK (PAYABLE TO NHC) A AMERICAN EXPRESS N EQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *** DISCOVER!lclvrsA ++++ *** * * * * * * * * * + * * * * * * * + ** * * * x x x x x * + +,t + ** * x x* x x :* :f + + + +* * * x x,k x **+ + * * * x x x j* + * * * * x ** x +*+* * * ZoNE : _ OF FICE R: Appnoval. :_ City: (FOR OFFICE USE ONLY) REVISED DAIE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ BFE+2ft= N DATE:_ FLOOD: #rqtl PHONE #: 843 35r-84c"1 CITY: l,l.irr le Beac. ST: j!_ ZIP: ," 9sr 9 f] nerovarroru ! cerurnal nrearns I RELocArroN RESIDENCE o" ! nOOrrrOru TO EXISTING RESIDENCE ! enrvare srerrc ! coMMUNrry sysrEM \"$&o lto-3:r, / HAirovER couNry BUTLDTNG pERMrr Pgtl& {35 APPLICATIj|I rYPt: RESIDENTIAL !A5E ATSTEC AIL QUEsIIOIIs APPLICABTE TO YOUi F8O]T:I "Project Res.ronsibility" APPLICANTJ 5 NATI'IE DEVELOPER: PRO] ECT AODN iS5 SUBDIVISION; PROPERiY otr$lER'S t0r'lE ; Oq&€R,S ADDRESS: COIiiRACTOR: ADDRESS: Ei,IAIL ADORESS: tiol EcT coriTAcT PERsofi: # I,.]ATER: E Cf PUA SEXER I E CFPUA NF'/,1 f comr'rurur fl crnrmr PIO E #: CITY:2IZIP I lOf *: I SF OTHER: SF SF BLOCK 'I Pt-rrNa CI TY: LICENSE *: CITY: PHO'iE *: *: ST I -:lATION .,IEW CONSTRUCTION:ERECT E!r,/ RESIDENCE or AT,OTTION TO EXISTIIrc NESlOEIICE ..PLIA5E CHECK A}IO AIsI,]EI 8E ALL T'IAT APPLY TO YO{'R PRO]ECT: iI. ATT GARA6E SF I oer ernaer sr E poncr [5?i--- l sr SUNROOM SF POO L SF !]-NRAGE SHEO 6REENHOUS E 5F DECK TOTAL HEATEO SQ FT: T0TAL PROJECT C05T tessr..rr : Is Any ELECTFICAL, PLUI{BIiIG OT If the p.oje(t is a Relocat Is there Ele.triaal Powen o r. ora,.anc.s.i. r.aurarrcn5 _he NHC Ocv. 'S.c C.d#d,a[ oT, .ppl{able SaE rd loc.l s tr!r t,a,r_rE.s orchrnoe hconr,scbro ^1r .":d S(r,fc D F,nes rh Io 5!OO OC'. HAritcA! l,lork 8ei.ng Dcne to the a(cessory st.u.tufe? @ ves I lo , is there a Natural 6as Line oo the Current Site? D Ye5 llo thi s Buildin8? E Yes I No PROPERTY lST / OCCUPAI'ICY:S]NGLE FAIiIILY DUPLEX ! rowrHousr oESCRrPllotl 0F l.loR(: oISCLAIMER lhe,ebyced,tharall nbmaron f,ll Euih corr,eb. rnbmak,r "'NoTE 4.ywor, r":'^/c OWNER/CONTRACTOR: IS THE PRCPERTY LOCATED It,I A F LOOOPLAIN ?YE5 I SIGNATURE: NO EXISTIIIG IMPERVIOUS ARSA: EH IfiPERVIOUS AREA: sQ rr SQ FT .TO-IAL ACR€S DISTURBTO: :XIST LAND DISTURBING PERXIT:I Y€S Eno S\ !: !M PRIVAiE J'JELL f crrurnal wrrr prrc f pRrvATE sEprrc fl cornurutn svsrrr ''. SEpMATE pERxI]REQOIRTO toR ELECT, |IECH, pl"S6) 6A5 tQUIP, pREFAES & IilSERTS r.. cxEcx (payAaLr ro trxc1 [u:n:cor exm:ss I r,czvrsl f orscov:rPAYfiEtIr TETHOD: f, aOtn l['.rr.tt Z ON E i't t c R (roi or rrcr lJta olry) . irvtsro o rE g4l11.1, strBAcxs: r: \L: r-r: lC *, 5 e, S'0 F F I E Approval:_ City:oATE;) 1i't(rFLmo: _ _ V 8FE+2ft= Corl!|le nt N PERTI] FEE: ' mg APPL ICATIS' Nunber (offic. use) n. r F . :---:::: :_ 1-_ l I i, 7Tg :r sT: El zrP : J::!r- EXISTII'16 CO{STRUCTIO : i__l ! n:Hovarror ! cerrnal neer:ns f] RELocArroN plpXg g; [.,] r :2-.66iii-_l ToTAL 5Q FT UNDER RooF: "::!l----l ToIAL AREA SQ Fr: 137=I--.] i OF STORIES: (* D LAI MER nd oc la inr change ubject loS WATER: SEWER: Comment N PERMIT FEE: $ REVISEO DATE 4N1112 NEt^l ANOVER COUNTY BUILDING PERMIT APPLICATIaN IYPE: COMIIERCIAL 5E ANSI.JER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECI "Project Responsibility" 2 ot b ^i363- 16-99L APPLICATION Number (office Use ) APPLICANT' S NAI'IE : r!:: .r. Ai: : E LINEN AND RENTAL COMPANY DEVELOPER: sEAS rDE Lrl.lEr PRO]ECT ADDRESS: 4 5.5 TECH]:.GY DRIi/E oCCUPANT/BUSINESS NAME : sE.csI CITY: tJr LMTNGToN PHONE #: , .i . .,: PROPERTY OITJNER'S NAItlE : .rRArc ATT OhTNER'S ADDRESS: 4!r.5 TECHNO GY DP.]VE CONTRACTOR: IlLL SPAI,] BU I1-D IN SYSTEMS ]NC ADDRESS: 1Jb HI-RLEY DRrvE EMAIL ADDRESS: NE I LI4ALL_ SFAN OM PRoIECT CONTACT PERSON: r.iE r L FILIPPINI Up T $50o 00 CITY: wI L1-1I I.]T ToN PHONE #: qr r-l9l-4:(,rE 5T: NC ZIP: 28105 PHoNE #:91a-r99-91:-r PHONE #: rtt r,r,) .rt.'n LICENSE #: t 6J /- CITY: L,] I LM]NGToN (Che.k All Ihat Apply) EXrST CONSTRUCTTON: E ALTE RENOVATION GENERAL REPAIRS RE LOCATION lf Relocation. is there a Natural Gas Li on the Current Site?n Yes Erro IS BLDG SPRINKLERED?flv."No NEW CONSTRUCTION:ERECT N STRUCTURE ! rrsr rmcr I sxer-r- !ADD TO EXIST STRUCTUREUPFIT ACCESSORY STRUCTURE: If UPFIT - The SheII Permit Is Elect Power on this Building !Yes Eruo upancy Type?What is the New Occupancy Type? ARCH DESIGN PROFESSIOiIAL: i"1AG G OUP PH: 910-342-0790 NC REG #: rClr ENGR DESIGN PROFESSIOT,IAL: S ark En PT T '?Hi 91A-232-421 B NC REG #: 023439 DESCRIPTION OF W0RK: EIr.E.r .r!2(](] PRE-ENG]NEERED METAL BU]LDING ADDITION TO EXISTING ***** IS IF Yes, what was the Previous Oc rs A CHANGE oF occuPANcY user flves NO ***** this applicalion s correct and all work willcomply wllh lhe State Buildrng Code and all other applicable Slale NHC Develooment Services Center will be nolrfied ol anv chanoes in the aDoroved olans and soec frcatrons NOTE. Any Work Performed W/O the Appropnate Permris wrll 6e in Vrolalion of the NC Stale Eloq Code and ls food or beverages prepared or s in this structure? [Yes No ls The Property Located ln The Floodplaina I ves fi no hereby nd ord n cedily ha a nfor n OWNERYCONTRA (ou5 mer) Nole: Demolilion notilications contain fubestos or not. You CTOR: -qrr s BUTLDTNG sYsrEr.ls rNa SIGNATURE: it applications arE to b€ submltbd usiru the applic€tion iom (DHHS€768) whether th6 facility o. buildho was ,ound to SO FT & asbeslos removal are required to c6ll National Emlssloo Standsrds br Hazardous AIr Pollutants (NESHAP) at (919)707-5950 at lesst 10 days prior to the domolitjon of any facility or building. See Asbestos Sile: httsi/ rww.epi.slate.nc.usL/api/asb€stos/ahmp.hunl TOTAL PROJECT COST: :5I 000 BUILDING HEIGHT: . r'# OF UNITS: TOTAL AREA SO FT :SQ FT PER FLR: r;, irrr # OF STORIES: I TOTAL SO FT UNDER ROOF: !: -# OF STRUCTURES: r ACRES DISTURBED:EXST LAND DISTURBING PERMIT?r YES T.I No NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA:N/A PROPERTY USE: lOrrrCe !n nmrr luencnulle EDUC APT CONDO OTHER: r!r., I r,,,Llil fIZONING USE CLASSIFICATION: ruo "' SEPARATE PERMITS R OU RED FOR ELECT I\J4ECH, PLBG. GAS EOUIP PREFABS & INSERTS "' PAYMENT I\4ETHOD Icnsu K (PAYABLE TO NHC)AMERTCAN EXPRESS I r'lCnrrSl I orSCOven (FOR OFFICE USE ONLY) ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:Approval:_ City:_TE:_ FLOOD: __ _ BFE+2ft= zcFPUA ECOMMUN E]CFPUA ECENTRAL SYSTEM T-'IWELL PTIC L-.I PRIVATE SEPTIC EcoMMUN|TSYSTEM I T r ! DATE: 3,, l8, 20t5 ZIP i :ts: )': ST: NC ZIP:28405 tr tr # OF FLOORS: 1 $$ ir irt ?:4t DEV ELOP: R NEI,! CONSTRUCTIONi 16 food or ISCLAI ACRES DISTURBED WATER ACFPUA SEW-. ER: ,Z CFPUA Satb-Te'l &* HANOVER COUNTY BUILDING PERflIT APPL ICA| IOtt |YPE: COfil'tERCIAL AsE AltSt{EB AIL QU:(-:Ons appl IaA0tt To ydJA pao)Ear "P.oJect Rerponsibllity,, APPLICATIOII Nulnber NEW APPLICAN1JS NAIlE: :I].,: 1,, : i: PRoIECT AooRESS: , r). .r!.: OCCUPA\'T,/BUsINES5 NANE :' j::, l',':-:a- .-la:al PROPERTY O|{N!R'S NAflE: I: OIINER'5 ADDRESS: 2'.i- :. - COTIIRACTOR: ?hor.ds (-'..sr.ru.: ADoRESS | :ir:t l4ii:rar EI{AIL AD0RE55: r; :::ai"'.-,.: 1i'.. r )1.:r.!1 lrpj/) E X:5: CONSIRUCIJCiI: AL TE i:oN Z RENOVATION l ll Relocatron. Ls {here E Nalural Gas Li e on the CLrrrerlS[e?I ACCESSoRY STRU"CTURI : If UPFIT - The Shell Permit clpi n(y Typea AECiI DEsI6N PRoFE55Iol\iJqL; :i n Etl6R DES16ll PRoFf55IorUt: ! /r, DESCRIPTIofi 0F (ORK: :. .!t :: )L -lcty DATEi 3/24/'-e PHONE *, CITY: iJr:,:.r.'.: PHON€ #; ST t{t.l!ta ZlPi:a<.-i ST:.c Z1P: : !.1r)i, LJCENSE *: :r624 fITv: iti,inl.:rtcrl It Yes, uhat Hat thc Previou5 O Tlrrs A orA116r oF occupArcy user [_-1 v:s ! PHONE f:,9i.?2r: PHOIIE f: ''19.2295 GENERAL REPAIRs RELOCATlON No lS BLDG SPRINKLERa3?I ves !ru0 l,that l.s the atl Occupancy Typel I en:cr x x sTRUcrurE I rasr rarcx ] sntLt ! uerrr ] loo to Errsr sTRUcTURE Is Elect Pouer on this Buil,ding I Ye5 !ro N( Ri6 r NC fiEG i '\ i\\.i ,i.r., &vrae es p.eparod o. . '- a-'.- A' in tlis svrJ.rue? L l r. *" a.*,#('i;"a;d tn Tho FloodCain?Yes :ic -:.ttt+ r ielLl Up To rhrs .PD ce:ion 's co e.l an: . wo'rd[cohpiyd]rnll,.s6l.8!rd,nocod.3.da{.,frrappr,.abresBr. \dCOercopmenlSgv,:es:e,rc,qJ rre.or.Sec o'3.y cr,rru!3 r,hs0---)/edoEr .,..0soeofutonj\O-E nr/WoaPe/_'-.Jr'lOh.,ii-'-."r'eper-Jr*il6cn'v'otat,u ,rh€\C5 ':€8d9Crder.d OIVI.]ER/CONTRACTOR : J( " TOTAL SO FI UNDER ROOF ZONE: . - OiF jCER s5 Approral:_ Crty:-._ Comment :: _ SIGNATURE: 7 D LL (oqd!.) Nor.: D.6ottor! Dodfc.lor6 !, .r'..1o. l'nolal apprr!d..8 ..o ro b. Irrb.nlu, rrLng ln. 6poticau.. i.tr (oH8s.3ri8) yi.r.r ,r tsdltry o. brt!&{ r.: bnd lo co.roin albaaloa o. ioa Yo( rE .aqurEd ro .-all fiji.inl E68r]..1 siia.rd. rf rnr..*s a. pdtda.! (NESHA4 !l (919)707-5950 n i€, to d.F Fio. ! ul. dafiollto.r ol an, tlcil4y o. &rldlno So lsb4lr TOTAL PROJEC; COST "' TOTAL AFEA SO Fr ' | : : llgW IMPERVIOUS AREA: '-r PROPERTY USE: @rrrCe lne eunerrr fr.rencnrrte f souc ]] epr lcoNoo o.rien, EXST LAND DISTURBING PE'lMIT? EXIS TING II,IPERVIOUS AREA: f- /Es I NO E COMMUN CENIRAL M :-wEi.L -zoNtNG usE ct^sstFlcATtoNI PRI',/ATE SEPT c ] COMMUNiTy SysTEM PAY ENT METHoo: ICASX f ECl( (PAYAALE TO NHC) lelren,cLl rxrness :MCA/ISA Iorscown oR cFraE usE oNLY) SETBACKS: F:_:r_: .LH:_t-!:: RH:_- - _ B:_ . - REVS€, Or.= r/.r ,r 2 TE:::_r.-i FLOOD: *_ ____ -,_-_ _* - BFE+?i=_ I PRO]ECT CONTACI PERSON: EUILDING HEiGHT: 1.' # OF UNTTS: : _- SO F l- PER FLRi t :: , OF STORTES: : , OF SIRUC r JRt S: I OF .LOORS: :- Axo-376 6 ffi APPLICATIAN TYPE; RESIDENTIAL LEASE ANSI{ER ALI QUESTIONS APPIICABLE TO YOUR PRO]ECT "Project Responsibility,, J*ire tb- APPLICATION Number (office Use) s,ii*2'?'/6 PHONE #: ztP: Z* /.,2- pIONE *: f ,o -z??-a az !- APPLICANT'S NAfiE: DEVELOPER; PRO]ECT ADDRESS: SUBDIVISION: DAU CITY:e i;Jt/ .92- PROPERTY OWNER, S },JAI'4E : OWNER,S ADDRESS: c f, r't,.c. ClfY i Ltl/1-,Sr tAZzP tz*y/ U ACCOUNT #: st , ,V- ztp t 2-t ,4 I Z- Pro E *: q,/o -z?F-ap/f PHoNE r: /lo'Zlf' oc' tf A CITY: NEW CON5TRUCTTOH: ! rnrCr hr REsTDENCE o" [l lOOrrroru To ExrSTrNG RESTDENCElr< EMAIL ADDRESS:6 e PRO]ECT CONTACT PERSON: TERATION RENOVATION **PLEASE CHECK AND ANSIIER BEL GENERAL REPAIRS RELOCATION ALL THAT APPLY TO YOUR PRO]ECT: E oer canacr-:3fF sF n poRcH _sFp sronace saeo 91i?> sr SF TOTAL HEATED SQ FT:ToTAL SQ FT UNDER ROoF:'lJ o TOTAL AREA SQ FT: 77 r-o TOTAL PROIECT COST lress roq :$ Zfl,"o,t ATT GARAGE - SF suNRooM _sF GREENHOUSE SF EXISTING IMPERVIOT'S AREA: NEW IMPERVIOT'S AREA: Is Any ELECTRICAL, PLUI'4BII.,G or If the project is a Relocat Is thene Electrical Powen o IS THE PROPERTY LOCATED IN F LOODPLAIN ?YES ECHANICAL work Being Oone to the Accessory Stru.ture?El yes n, is there a Natural 6as Line on the Curnent Site? this Building? l-l v"s ffi r'ro tr E SF OTHER: F: LH: RH: R. E rro Yes E No PROPERTY UsE / OCCUPANCY:SINGLE FAMILY DUP LEX T0l^INH0USE pa4e o c /f /eJ (1ar.o conlracbr nbmadon "'NOTE Any wori(W/O he ApprcpiaE Pemits wittbe in Violatjon of he NC StEb Btdg Code and Subrecl b Frnes up To s500 0o- Ol4NER/CONTRACTOR:P, f-'t1c SIGNATURE: s or change in conracloror ***)****)t**++,t **** **** **)t )t** *,**** **** *** ***,* *,r,*,r ** ** *,* o't) DISCLAIMER: lhereby cerrily $ai allinbmarion and ordinances and rcgulalions The NHC Develo t'is applicaton is corcci and attworkwiI compty wih he Srate Building Code and a oher nl S€ruices CenEr wiltbe norfied ofany changes in te approved phns aid sp€cifrcarion applrcable Slale and oca aws * * **,** * )r )r *,* * )i *,* * ** * * **,r* SQ FT SQ FT SETBACKS: E*o TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERiIIT: l_l YES T-] NO r^larER: EI CFPUA ! couuunr SYSTEM E PRIVATE WELL n CENTRAL hIEL L COMMUNITY sYSTEI,,lEPTIC E PRIVATE SEPTIC *** SEPARATE PTRI1IT REQUIRED FOR ELECT, I.1ECH, PLBG, 6A5 EQUIP, PREFAES & INSERTS *** PAYi'IENT METHoD: f] cos,cHEc( (pAyaBLE To NHc) D BrLL accrxrNT I nclvrsl I orscovre * * * )*)*,** )r ,i *,1* **** ** )** *)*)t +* !t )* **** **** ** **** j**+)t * )* r** **** **** **** ** (FoR OFFICE UsE oNLY)REVI5ED DA'IE 64111/12 ZONE: _ OFFICER: Approval:_ City: Comment: _ BFE+2ft= N PERMIT FEE: $ DATE:_ FLOoD NEW HANOVER COUNTY BUILDING PERMIT LICENSE T:( cortnlclon: f ADDRESS: EXISTING CONSTRUCTION: I * OF STORIES: DESCRIPTION OF WORK: I eool _ sr ! oecr _ SEWER: E CFPUA E CENTRAL 3, DEVELOPER: EMAIL ADDRESS: PRO OWNEFYCO PROPERTY USE Comment: N PERMIT FEE: PRO]ECT ADDRESS: 3310 S.o11e Rd. oCCUPANT/BUSINESS NAME: commu aPPLICATIoN rYPE; COMIIERCIAL SE AiISIIER ALL QUESTIONS APPLICABLE TO YOUR PRO]TCT "Project ResponsibllltY" s Johnson Jr t for CfG LLC CITY: wilminqton Tower Gro LLC cat,ions Tower LLC CITY: charlotte NEW PL APPLICANTTS NAl,lE : ltexsen communicat i PRoPERTY OITNER'S NAME : OWNER,S ADDRESS: 1122 o Elrn sui te CONTRACTOR: Horne Brobhers ADDRESS I Po Box 2os rl shorne@ -xllc, com ]ECT CONTACT PERSON: G}Conwa *,r * ** Is IF Yes, what was the Previous oc ARCH DESIGN PROFESSIONAL r Mic la tlons NTRACTOR: rloma Johnson ACRES DISTURBED: NEW IMPERVIOUS AREA: VER COUNTY BUILDING PERMIT Qob)zea 16- 911 APPLICATION Number (office U5e) PHONE f: DATE :3/27/76 PHONE f: 91s-46G-5r63 ST: Nc zIP i 28277 Inc LICENSE S: 44434 CITY: Fayetteville 5T: NC ZIP | :28302 No Exrsr coNsrRucrrolt: I alrrn I ON n R E NOV ATI ON lf R€locstlon, is there a Natural Gas Li o n th e Cu tre nl S it e ?tr NEh] CONSTRUCTION:ERECT NE srRUcruRE I rasr rnncx I snrr-r- ! urrrr I roo ro Exrsr srRucruRE ACCESSORY STRUCTURE: If UPFIT - The Shell Permit S rs A CHATGE oF occuPANcY usrr Ivrs I upancy Type? ] PlaovlnBak t/hat ls the NeH Occupancy Type? ENGR DESIGN PROFESSIONAL: ToweT . professionals- K. Martin PH: 919-661-5351 NC RE6 $:o'13920 DESCRIPTION OF WORK: wireless Communication6 dite work (Check all rhat Apply) nt Yes GENERAL REPATRS [-l neLocntrou E ruo rs srDG spRrNKLeneor I v"s f]tto PHt 5r.4-398-6250 NC RE6 #r 032804 ibeclflcatlons Bldq Cod6 and ls food or bovorsgos proparsd or in this struclure? [Yes I No ls Th€ Prop€ny Locatod ln The Floodplaln? ! Yes I inform lhe Slate Bulldlng Code and all olher appllcableSlate In lhe and conlaln Asbeslos ot not- Yolj aro r€qukod lo c€ll Natloml Emlsslon slan6rds for Hazsrdoue Alr Polluta s (NESHAP) 3t (91 der rllbn olany lacllfiy or bull!,lng. S€g Asbgslos Slle: hltp:/ /vww.spl.slats.nc.r,s/eprasboslos/ahmp.hlml (ausuL') Nole: D€ttlollton arctlfc8lons & t3b€stos r6noval Eppllcatlons arolo be submltt6d uslno !h6 appllcallon ,om TOTAL PROJECT COST:160 000 TOTAL AREA SO FT TOTAL SQ FT UNDER ROOF:# OF STRUCTURES: N/A C Slate SIGNATU bulldho w8s fouM to 10 days Flor lo lh€ # OF STORIEST N/A # OF FLOORS:N/A EXsr LAND DrsruRarNo penMttr Tl ves I NO SQ FT EXISTING IMPERVIOUS AREA:SQ FT0 .86 acres WATER: EICFPUA I SEWER: E CFPUA fl sYsrEM flwELLPTIC L-] PRIVATE SEPTIC azoNtNG usE cLAs flcoMMUNrTY SYSTEM SIFICATION: oet -.1/ cD REVISED DAIE 811/12 LloFFrcE LIR COMMUN CENTRAL :il l,AliAll Pi:liN4lt:i I ,ltl[:ll t ()tl I t l (] i, MI (il l. PI Ilai, (;n |i L(l( lllr, ltlf l:Atls & ll.l:il tl l:i " PAYMENT MEIHOD: ICNSU I (PAYABIE TO NHC) [nUeRtCRN EXeRESS E MCI/|SA I OTSCOVEn (FOR OFFTCE USE ONLY) ZONE:_oFFICER:SETBACKS: F:_LH:_ RH:_ B: Approval:_ Clty:_:_ FLOOD: __ _ BFE+2ft= )) ZIP i 28409 BUILDING HEIGHT: !5q--!e!el- # OF UNITS: N/A SQ FT PER FLR: JlA_- fllirencenrtue neouc Enpr [couoo orHER;rerecom rower PHONE *:910-7sB-8?65 PHONE S: 91e-413-2828 Is Elect Power on this Building E Yes E lo ffi' ANOVER COUNTY BUILDING PERMIT APPLICATIai{ rYP€: RESIDENTIAL Itas€ Ar5*i ILL qJ€5TIq(5 ^pPr.lcaalt ro YoJR PRoIECT "PrcJect Responslblllty" Jo l"-3)OT APPLICATIOII Nurber PRO]ECT ADORESS:l Ie l,oo I. l SUEDIVISIO'{: PROPE RTY o.0{ER'5 l{A}lE: r:, r,rr il.i oxl ER'S AOORESS: ':/ il- i:r!:1 - cotJT RACIORi l..r r.j t,',r.-il il,rri crs LLC ADORESS: ,.,i n r.,.,, rr,.\ r ii:1 Ei{AIL ADORESS: ,i...: i,.:.i' APPLICA'{T' S l{A'{E OEVELOPER: ,) , zoNE: r- -/ \ orrrcrni Orr.or, ]- ,r a, Corn€nt: BLOCK d: i,:.rl Y l,']-l:Jrlr.l']n.r CITY: LICEIISE #: :.!')i' 5I OTHER 9:a!!r).li LoT l: _ PHO E S: rllr-:,1 -rili" PHOtiE t: ST:{_ZIP:::.il PRO]ECT CONTACI PTRsO : EXISTII{G CO'{STRUCTIO : E AL ERATION riEr{ conslRucTro}i, ! retcr Erf RESTDEICE o" I mOrrr TO EXISIING RESIOENCE AtT TITAT APPLY TO YOUR PNO]ECT: f) oer canace sr I eoncx - sF ! eoor. - sr f] sronaet sHEo - sF ..PI,€ASE (HECI ATO A sITTR BEI. I oecr ATT 6ARAGE - SF suNRoofi _sF GREENHoTJSI _ SF TOTAL HEATEO 5Q FT: Pl"OtlE {: ,:.'-i.i i SF TOTAL SQ FT UNDER ROOF: - TOTAL AREA 5Q FT: - TOTAL PROIECT COST tress r"or: : Is Any ELECIRICAI, PLUttSlNG or EXIsTIiIC IIIPERVIOIJS AREA: NEI{ II.IPERVI(rus AREA: WATER: SEI.JER: T OF STORIES: |ilrlICAL Wo.k Seint oone to the Ac(eslory Structure) [ YeS a No n, is there a Natural 6as Line on the Cu.nent Slte? [Yes this Buildin3? li'l v"t l-'] to PROPERTY UsE / OCCUP'$ICY:INGLE FA},111Y fl ourr-e x TOI,.JNHOUSE O€SCRIPTIOaI OF l{OR(: i'/,,i, /a ' OSCIA0,IER lhlroby (stty nal.I ntvmrlon r bd.crdld.l *xr s! comrl, *rn n. Sla sid oro.ry.! rd Gg'l.tont rhG ,!HC D.r s.dE* ccnEr r{ D. ell.<J el nr, cna.{c. n h. .ctro€d d!.rrdrab. nro'n&)n '-l{OlE Anywor F .to If the p.oject i.s a Relocati Is there Electri.cal Po*er on ol,,lNE R/COtlTRACTOR: ..,,,,:, . IS IH€ PROPERTY LOCAT€O IN A 't _, " NO L W,o n! Arp.o9n.t P.mti *il t n VDbktn ol !h. NC Sr.E &9 c SIGI.IATURE : I loooerarrt f] ves IOTAL ACRES OISTURSED: Exrsr LAi{D orSTuRBrrG pER[rr: E vrs [-"1 PRrvarE l{ELL I cetrnal well SQ FI SQ FI Cf PUA COTHUNI SYSTE}1 \ crcua I cENTRAL s crrc ! pRrvATE sEprrc I cmluntrv svsren tr CASH tr HEcx (pAyaarr ro xrrl f] nr,rnrcax ExpRrss tr ,ttgJIRtD rCi lrEtr, r.t(,1, ptBG, c.a5 r.qr1p tror offlaf ulr ( tY) S ETBACX 5 F:_.1!-E)rH:-&irl nH: oaT E :_l__:r_Llt FLOOD: _ _ urt +z nclvrsa fl orscor,. l.J (, ir!ts -!:_r= u:_+g_.+r i BFE+2ft=;-t- PER'{IT FEE: ' w0 a I tl-254iIW lnmecton ileourreo NEW OATE: CITY| il . '-r.i r,., !.r ZIP:,'nii. CITY: jl_ijj.t j!-!l:__ sT: jj!_ zIP: . .'i: l PHOII E f: , -il . i PAYNTNT NETHOO: [] nercvrrror f] crrrnar- neenrns ! RELocATIoN El ', lTl no \: APPLICAI{T'S tlAllE: Reid & coo Bui lders DEVELOPER: NOVER COUNTY BUILDING PERMIT APPLICATI I rYPE: RESIDEI{TIAL EASE ATSI{ER ALL QUESTIOI{s APPLICAALE TO YOI,R PRO]ECT "Project Responsi.bility" NEW otb l7a? wAqD APP L I CATTOiI Number (GFfi.e Use) PRO]ECT ADDRESS: SUBDIVISICft: CITY: wilminston ZIP i 284a9 BLOCK S: LoT f: ST: NC ZIP:28411 ST: NC ZJP; 28411 Pto E *: 910- 443-2a 42 Pm E #r 9ta-4 43-2A42 RENOVATION I e rre nar- necrrns I RE LOCATIONEXISTING CONSTRUCTION: f] AL RATlON ! nrr eamce _ sF I surnoo+t - sF ! cnesunor,rsr - sF TOTAL HEATED 5Q FT: 6l2f Greenv lle Loo Rd PROPERW O{NER'S l,lAllE: soun E Pro er:ties ILC Michael Grimstead oHNER'S A0DRESS: 621s Red ce Rd CITY: wilmin CO TRACTOR: Perd ( Cook BLr.Ll rs Ll,C LICETSE #: 59ss0 ADDRESS: 6208 Red ar Rd CITY: wilmin EMIL ADDRESS: dreidii 1 PROIECT CO'ITACT PERSO{: oonn e Reid ilEI,I CONSTRUCTIOiI:ERECT RESIDEiICE or ADDITION TO EXISTING RESIDENCE **PLEASE CHEC( At{D ANSWER BELO{ TOTAL SQ FT UNDER ROOF: - TOTAL AREA SQ FT: r8000.00 $ OF STORIES: L THAT APPLY TO YOUR PRO]ECT: I oer canacr - sF I coor- - sF ! oecr _ sr PRIVATE WELL IVATE SEPTIC ! eoncx - sF f] srmaee SHED _ sF OTHER:SF TOTAL PROJ ECT COST rl.* roo : I5 Any ELECTRICAL, PLUIBI G oT If the project is a Relocatio Is there Electrical Power on EXISTING II'IPERVIOUS AREA: NEW IIIPERVIOI's AREA: ,l *,* *,r** * rht,*,* *,* * *)t* *,I*,| * *** zol,lE: _ oF FICER: ApprovaL:_ City: Cor ent: HAI{fCAL Work Eeing Done to the Acces SQ FT SQ FT YST structure? [ ves [l r'ro cunrent sitei I v"t fl r'io sory the, is there a Natunal 6as Line on his Buildins? @ vet fl to NGLE FAI{ILY I ouelrx f] rouunousr IPTIOiI OF |{ORK: Renovate uest bath master bath and kitchen <-Y..oui^u c-\\ DECTAIrER lhereby cenify halall intormation in and all work will comply with he and ordinances and regulatjons. The NHC Oe t S€dices CenEr willbe noriied ofanychanges in he approEd ptans con!&br in{oEnaton.'nNOTE: Any Work wo ho Appropriar, P6lmiEwillbs in violaiion of th6 Nc st3e O{I{ER/CONTRACTOR 3 ronnre r.e SIGNATURE: I ,t rt '*,t,t )t * )a * * )t+*)**)trt,t*)t* )*+rt *** ***)t**t***** rt )t,t +,t*** t+++,t*++*,* +** *)**:* * *,t* +*+)t l.** *)t* IS THE PROPERTY LOCATED II{ A r-ooopurrl [-] Yes I es- applicabl€ SlaE and local laws change in contracbror s Up To t500.ocr" NO TOTAL ACRES DISTURBED: EXrST LAitD DTSTURBTI{G prnnrr: l-'l vrs I no I crrurnal wrll ! comtunrw svsrelr ! com'rur,rrw fl cerurml sr hIATER: SETER: CFPUA CFPUA EM f]fl pnTIC *I.,} SEPARATE PERI4ITS PAYTE T iErHro: E coS* fl EQUIRED FOR ELECT, IIECH, PL8G, GAS EqJIP, PREFASS & II{sERTS T*' Ecx (pay BLE ro nrrl I urnrcar{ ExpREss E *l*ro I orscovrn +:|++:t,| *,i(*+ *,1:t* *+:i*,t*,i:*,**:t*,t*,*,r,t,a*,**:i*,t,i,t+,iri+*+*,t*,t*+***,r+,t+,t* (FOn OFFICE USE OlLY) REVTSED DAIE O4l11/12 SETBACKS: F:_ LH: RH:_ B:_ oATE:_ FLmD: _ BFE+2ft= N PERI.IIT FEE: xO'x t!, DATE: 3-30-r6 plo E *: PHO{E *: 9t0- 54'1-821a PROPERTY USE / OCCUPANCY: E r 'sp-- Fz#|G-80a HAN',ER couNry BUTLDTNG ,.*rrP lb'3313NE APPLICANT,S A}tE: DEVELOPER: OCCUPAIT/BUSINESS M}tE: PtrOPEiTY OhINER,S IIAfiE : OUI{Ei, S ADDRESS: i coirTRAcToR: E AIL ADORESS: PROJECT COMIACT RSO'r EXTST CO STRUCTIO{: E At TI ON tr R Line o n c urre APPLIcArIo rvr,E: COiITIERCIAL PLEASE AI{SIIER ALI QUESTIOilS APPIICASLE rO YOM PRO]ECr "proJect i€sponslbltitF cIw: r uk- ctw: LICEISE *: ap-iiiliiori l{umbcr (Offic. Ur.) ztP| ?u?lo i *fud1lq -dylt st t ilt ztptJ&iO I Rre *: .igl j NC REG *:'7 (' D^tEt o 3 lti l;,.4t GI Qto\.2;7- 3 4 ?-1., 7 Pnot{E , PHOT{E PHOI{E Pt{o{E o CIIY: (chp A1 That arpry) GEI{ERAL No ilEw srRUcruRE fl rrcr rucr I sx sr:4f,fzrr, )S1l Itttg)9\3L1:J4^Q lt (9 t6\ 311 - ?4!Ilo the rrcvlrror -[-l msitez ffvF tr REPATRS E iEtocAIlot{ .,-ls BLDG SPRtNKLEReoz fl ves ffio rr.r. ! urrly 5 ADD ro Exrsr srnucruRE If UPFIT - Th€ Sh€ll Pern *: lf Rsloc8tion, is theres Natural NEli coNsrRucrlo : #R ACCESSONY STRUOURE: ARCH DESfG PBOfElSlolrlALl El{6N OESIG PROTESSIOML: Is Elcct Por{c is Building I ves E rc,tati IF Y€s, h,tat ras the trcyious Occupancy TlDe I S IHIS A CHA GE OF OCCUPAI|CY USEI Hhat ls th€ €r E*t Occupancy fypel ronth6. Pt{ PH 7 DESCRIPTION OF UIORK: ls food or bsversges F€parod or in this Structure?tr G OWNER/CONTMCTOR: (q.nrd Nota: Damolll,on no0ficrllom t arbedo! contaln Albarloa or not. You lra t.qvllld to dcnEltuon ol lny tldlry or MEhC, S.e TOTAL PRoJECT COST: /{o BUII."DING HEIG}IT: TOTAL AREA SQ FT : TOTAL SO FT UNDER SO FT PER FLR: ROOF:f OF STRUCTU RES: ACRES DISTURBED:d Yes No The Property Loated ln Tho Floodplstnr I ves EXST I.AN SOFT EXISTING fluencmmr-e leouc flmr Eonoo sEPrE E ElWELL PR|VATESEPTC tl Siale and a SIGNATURE: ) t.'*OFUNITS: I*orsronresF orHER_!1[ss,hE5<-- NEW IMPERVIOUS AREA: ADDroval: Civ: Commert; ls L hclllry or *!! tD6d !o La-n 10 days Fior lo tha SQ FT EzoNtNG USE q.Ass IFICATON: COMMUNIry SYIIEI4-. SEPARATE PERM RED FOR ELECT. MECH, Pl'aG, GAS EOUIP. PREFABS S lNSEnS.-PAn ENT METHOD: ICASX CHECI( (PAYABI,E TO ilHq EA'ERIOAN ilPREss EIMCMSA Ioscown ZONE:_OFFICER:(FOR OFFtcE rrsE o[tY) SEIBACKS: F LH: RH:B: REVISED O^IE fiIII! SYSTEM il FLOOD: PERMTT FEE:3 6 PROJECT ADDRESS: ADDiESS: EpFFtcE WATER: SEWER: fit^J Eir< aoonESs: Comment fin-'tlslrori Nr i$l ,*ry;:iw I PFE-r..- 04tEtll^: b A-0fu131 3- ?ez#lc- 80a G; HANOVER COUI.ITY BUTLDIiTG PERilTT ApplrcArro,t ryps: Col,ttltE iCIA L N tJ APPLTCM'S }{A'I': DEVEI-OPER I PTO]ECT ADDiESSI OCA'PA[T,/8US JIIESs M.I{E : PFOPETW O{t{En " tAflE: otir,ltR, s ADDRlss | / cot{TRAcToi t EITAIL lDOf,Ess: PPOJEC' CO TACT sG,{: IF Yc6, rfirt ut3 lhc lasE A[s$e A[r q.,€srlots lr?trctg.E Io yout ltortcr-Dror.ct R.rponr lbllltlf CIfYr { Ll-C- PtroflE * Zl? t al|i1 I et{/la t:htdzcq .tgt I St'. &L Zrp I At4tO t aPPt-tclttqr ltulb.r (Oftl.r t r.) o^r* o 3lt,t lb.4t(- t Ft, o \.2," t- 3,t7r- sr'5f,izre, }&yl I t tllT)t)\.4t 1- z4r-Gt| (9, a \tL1 - ?4 e.to EXtSr COtlsTnUfiIOr{: D lf Rolocdioo, b t|ere . Narural Ttoil on the rrU COrirSInUCrIOt; fi ACCE5SoiY 5T[UCTUiE : srlucruir I tlst rrrrx srcu I urr17 [ 6e ;o EXI9i STRUCruII YE5n If UPFIT - Th€ ShC!.I Pe It E]ect Poyr LICIIEE f: ClWl PHOIIE Pl€dE ]llts I o|$el oF ocqJP$EV tE$LJ Yrs ncy Typcl $,rt l, thr [er Occupafty typ!) P+t Pt{ ((i.(r ^:t th.l rrly) LJ RErovrrro .Fl soreur- Cunent Ste? ff*-[ ruo rrruns I rEloc{Eoir ls ELDG SPArIx1gpEp7 [{ r on thts Br,itding E ye! I.] loffn...,, ator otstol PrrFEs3td{nl, EN6r ffsICN PioFESSlOa{AL !RE6 S:\bt3 XC REG t. DESCRIPT:O OF IPR(: L/: li tood or b€votrgsa FBpared or I urf rna,"or flv".h Ih. Pogrrry Locq.d rn nr Rooagnf I vo srfr tt s8!and alt OWNEF/CONTMCTOR: (or.dl4 SIGNATURE: rJdr: D.npldo. rd.,ilc.!o[ I .rErlor codah ADanoa g naa YciJ an a|qlltd E tc{t, otdlrdl]oi ol .E bd!t, q b46h9. E tsa.1 l0 a.). TOTAL PHOJECT COST j rOT/rl A.FI€A SQ FT ; TCTAL SO FT UNDER ACRES DISTUREED:o NEW IMPERVIOUS IfiEA: -.Sa"AAAIE mvuerr uenoo: ficrsH (FOR omcE rrsE E1BACI(S: 0{.v1 : F:5L- FLOOD: 7)o nC-rtaso.rvt71 cfi B: ( )<., A. ('" .IER 16 Lir ll r't ;.r1.{, 1' 1) EoFFcE V{ATER: SEWERi CITY: toFUNtTsi I l [uencernlr Eruo Eoscolcn Li)c lat & NEId HAIiIOVER COUNTY BUILDING PERT4IT aDPLx aAfrolt rYPtr RESIDENTIAL EASf Atsr,r ALI q,lsl:oals ArPtIcatLE T0 YqJi pRo]Ect 'P!.oJect RGspon5l,bllltt/' [olfuS)1l tffi* tt&b€r (o(fi.r 'ls. ) PRO]EC' ADORESS: SUBDIVISIO; APPLICAII'5 UA E: DEVELOI€N: PROPERTY 8'{ER'S ol EN'S ADD*EsS: CITY: ELOC( t. A c LrcEr'ls! f: c*vr //aa *./ LOf l: Z? iix,677Vof st : 4lzrc : /* ?{/ tr Ota -qo?- //32- t OATI Pt0atE d: PHOI'IE ZIP I a-a/1 CONITEACTOR t Ote.v ,ooRESS: €TUIL AD9RTSS; PRoleCT CoNTACr PmSOal I EXISTIITGC(i{SIRUCTIOII A IEH CO..sIxrKTIOr, i f] rreCr A;T GARAGE - SF sut'rioofi _ 5F 2-plst{E c a L PBOTE I: rrnlr:on fi RErovArrolr I ernrear. rreuns I RErocArro,r N RESIDEI\TE O" ffiOOTTTo|,| IO EXISTIIIG RISIOE CT "PLEASt CHECI( AllD lrrstfn gEL ALI THAT APPLY TO YOT}R PiO]ECTI I carrNrousr - sr TOrAL SQ FT ur{DER a@.t ,w/ TOTAL AREA SQ |rz s?/. TOTAL PROIECT COST rL..r Lorl :, lLot oo0 , oF sroRrEs: , aCXl},lICA! tdork g.lng Oorl€ to the Acce5sory Strurtur!? frl V"r I m15 ANY EI.ECTR:CAL, PII'IIBIIIG OT If the project is a Relo<at , ls there a atural Gas Line on the Curnent Slte? E yes Bnothis Buj.ldint? ffi v"r fl no PROPERTY UST / OCCUPAMY:SINGLE FAflIIY ounLtx I ro!{r],loust DrsclA6lER r h.i!!y crrlt tr!rl n!itlton tlr stdiialon a contct .nd dl rcrl yit .. ply rih ,}c Sr,ta 8!ildr!g Coa. .in .i o!8. apDt sbL SLE &ld lo..t lsr' .nd odr!,E4 rJ GEuhlioa. ltl. NHC r Seryk.i O!nt! *tl t oori.o o, an,ctanlaa h n€ alptulrd pr,ii,td rr€ci6c.tbn! o,cis!. h co,rs{Br o,.o.r&8, hbdnsti '-!!OIE. Any $/o.t Ot,l,l E R/CoflTltACT0R : P3rr.tswal to r Vbbb. orll. NC 5t t 8ld! Co4 sd Subj*r b 16., th ro ISOO 0C.. SIGMTURE: TOTAL ACXCS BISTUiBED: EXTST rAlD OIS7UBBTIG PE$IIT) n vrs [ rc sxtur fl an:varr welr" f] cEurRAL wELL err:c f| pirvarE srprrc I coxllnrw svsrrn Rtg,,Ialc fof, €LEcr, ffcx, p186, GAS €QU1p, pxtrats & JNsrnTs r.. occ{ (payaBlE m rrr; fflrnrnrc,r anress [ ,crursn I orxar:r €5 Eo=it,gc=I :3(3 N)<rr *.<3!> t5 THt PROP€RTY LOCATED IN FrooDplAril? E yts E No fl/ it\ EIISTIIE I'iPTiVIOUS AiEA: '{EH INPERVIqJS AREA, SQ FT SQ FT uren, ffi creua ! couutr sEt.,ERr E, crrua I ceHrul .T+ S'PARATT PERXII PAYrittf rsrloo: flcrsx rsHaD) OFf ICES:ilh Nh- *-l-il, - Aro__x ,7 t:tr.r'rtt, urlt 6./lVu t-Q- BFE+2ft= _- zoNE: Appro ual; 0ll city; R-rf,TEACXS comlllent ftrf"urt DATE LH PERIUT FEE I t $ I orr eruce sr D ponor -sF I pmr. - sr E sroRAGE sHED sFfr**W-t, *u*, ,1aj -iTOTAL HEATED SQ fT: Is there Electrlcal Pore. oEscf,rPrroil 0f rof,{: FLOOD: JotUbtl ffi NEW Ll R COUNTY BUILDING PERMIT APPLICATI$I rrPE: RESIDENTIAL EASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROJECT "Project Responsibilitf, crw: BLOCK S: a-L'1 6 LICATION APPLTCA T'S T.IA}'IE: DEVELOPER i Number (Office Use) DATE : - ztP I L?/ df- LOT S:z'7 PRO]ECT ADORESS: SUBDIVISION:4_ PHONE S: PIONE *;PROPERTY O}'I{ER'S OHNER,S ADDRESS: E CONTRACTOR:a OCL4a LICENSE f: CITY:./u f] roor- - sr ! sroRaer sHro Violation olthe NC Star SIGMTURE : sT I aL.llzrp,t Zt ./ {tZALzrp:A!{/ *': ?/o -707-2782- c V EIiIAIL ADDRESS:PHO?.I E PRO]ECT CONTACT PERSOII;dr)<_PHONE *: ExISTIilG CONSTRUCTION: E AL RATION ft aerovnrroru fl eerurmr- nerrrns fl RELocArroN NEl., CONSTRUCTTOru: ! enrCr lr **PLEASE CIIECK AI'ID ANSI{ER BELOW RESIDENCE o" ffimorrtot To ExrsTrNG RESIDEI{CE L THAT APPLY TO YOUR PROJECT: ! orr crnnce sr fl eoncx _sF ADORESS: f] err canaee - sF ! surnoou - sF I enrrNrouse - sr TOTAL HEATED 5Q FT: TOTAL PR0IECT C0STrress roo : Is Any ELECTRICAL, PI-UIiIBING oT If the project is a Rel.ocati Is there Electrical Power on contacbr inbnnaion "'llOTE: Any Work O}'' ER/CONTRACTOR i EXISTIiIG IIIPERVIOI'S AREA : I{EH II,IPERVIOT'S AREA: r,lArER: @ crpur E coit'luNrTY sEwER: ffi Creua I CENTRAL sE ZoNE: _ 0F FICE R: Approval:- City; Comment: ,r*** *)** )*)** * ****,**r** !* *,t *!****)t* )t*,| )* )t:t+*,t**:*:t* + *:f )t rl ***+ ** **** * **)t* * * ** * * Eno TOTAL ACRES DISTURBED: ExIsT LA D DTSTURBTNG pERMTT: f-l yrS l---l rc / ! orcr 2.0 o SF OTHER:SF TOTAL sQ FT UNDER ^*r, ,.3/ TOTAL AREA Sa fit f?/. 1lo, ooo * OF STORIES: I HAI'IICAL Work Eeing Done to the Accessory Structure? ffi VaS ! no, is there a Natunal Gas Line on the curr€nt site? fl ves [t tohis Building? ffi ves Ino _ sF Etdo Code S!b Up T s500 0' E E l'1C /VISA ,f * NGLE FAMILY DUP L EX tr TO[^INH0USE DESCRIPTIOII OF }.l()RK: DISCLAIMER: lhercbycerlittlai.all infonnalion in is all will Slate BuildinO Code d and odinan.es and legulalons. The NHC Devebpm Se Cen v ch anges plan chang6 in 0 IS THE PROPERTY LOCATED II'I A PLAI ? T.I YEs vsrer.r ! pRrvATE wELL I crrrml well rrc ! nrrvarr selrrc I coMMUNrw sysTEf4 **' SEPARATE PERT'IITS PAY|.ENT ltETHoD: E clsx E QU ct(PA F ASL E OR EL TO E c T NHC t1E H p Al1 L BG RICAX GA5 E XPRE au I p s s PR fa8 E 5 &I tJs E R 1 SQ FT SQ FT I R E D * *rr*,f!trt** *!**,*r** *,t )i * *,t )* *,*** c E*!t)t*** *++*:|)i* )** (roR oFFTCE USE oiLY) s * ** I orscovrn REVISED DATE O4l11/r2 ) SETBACKS: F:_ LH:_ RH:_ B:_ BFE+2ft= _DATE: FLOOD: A PERMIT FEE: $ N PROPERW USE / oCCUPTTNCY: El &; DEVELOPER: CONTRACTOR: ADDRESS i .i{AIL ADDIEsS: TOTAL PROJECT Appro\€l:*- Comment )atb3Yt NE APPLICANT'S irA},lE I occuPAiiT/BusrNE55 i\lA!48: PROPERTY OhINER'S TIAfiE: OHNER'5 ADORTSSI PRO]ECT CONTACI PERSON: il+R T ION HANOVER COUNTY BUILOING PERMIT APPLICATIOTI rYP€; C0itlilERC IAL prtAsc At5k6n aLL QoEsYtoiS AppLICASLa T0 yffJi Piottcl "ProJect Reeponsr.bllity" CITY: crw; LICENSE S: CITY: pt.,NE *t E/c_.a6.ro341 pK:,w *'ffi-iFD/6 D^le: 3/ali6 *nne *, ?lct,%)<t)* I ,<.{.. ztp t a!_KD- la-'bt I APPLICATION ,{ufiber (carl(! ui.) *, 7Y;:14!-0$e s7 ) LezD..tElo) PHONE ACCOUNT ':5r : l&zrP t,, rt ffQ Line 0n lhe Curen NEW 5'TRUCIURE f, rasr rnlcx I arru I unrrr I Aoo ro Exrsr srRUcruRE ite?tr Yes GEttEsAL REPATRs l-- ngtocllro.,[f," -,i.i*!"fi ;;-#b y. EdLlTREr'rovaT 10 lf Rolocator. is there a NaluralG Er,J CONSTsUCrrOi | [ ERa ACCESSORY STRUCTURE: ARO{ DESIG'J PROTESSITNAL : EN6R DESI6ti PROFESSIOiIIL : If UPFIT - The Shell Pe t *: IF Yes, rfiat iras the Paevl.o! Is Elect Po{er or tl.is Building {vrt E lo rs Tr{rs A ctiAllcE oF occrlparcy use l I vrs fr6 ..... o(cupanay Type? -__ hthat 19 th€ Ne$ Occupancy Typ€l eap:tegElL Nc Rzc e: S!i4? PH:,LL:-21!:-4!,_ Nc REc dt q I -i < eil St6re ai Sla or chlno. in ccrl:rcclor or coniraclo. Subiedlo Flhe6 Jr To 3503 01"'\c Sla Slds Code and OWNEFYCONTRACTOR: G{ati6.1 SIGNATURE: Noto: oomoillon nolfarloM t aibosro6 p.frn[ r9pllcatoo! atv @ io gLtnhqd !51n0 ho apgllclton hrr l{tlot t6. tn tdll9 or tulwln! rrs ioond !o aoniah A!i€st': o. rbl You .r. rlqullla to $. N.toarl Einbrt n St lts.di b{ t?.$dol.t, Alr Polluqms r.*Es8,Ap) !1(9r 9)10r.5350 rr t ..r 10d!I5 Firb 0le do riorlloh ol lny ftdlty o. !rrld[E. S€.Wob Slto: htpJl*l{,o9i.Gtsb.,ra.us,t6pua3b€slos/6hlnr.htnl DESCRIPT]ON OF hOR(: ls food p. bgverstes troporad o( otSCLA,MEF I n€reby cenit lhar an! loallre s snd ordinln 6s and TOTAL AREA SO FT TOTA-L SO TT UNDER ROOF:z)# OF STRUCTUBESi ACRES DISTI.,iRBED: NEW IMPERVIOUS AREA -€-;:,-SQ FT : . -: -.i. -,t1 a!E., r.,./Fr:rl l rljLj ars FcL[. .i .:At,s 6 ln thk dru&JIB? n Yer S no e ne e.operty Locslsd In The FtoodCsln? n yes F No BUILD!NG HEGIfT: SO FI PER FLR: j T OF UN'TS: f OF STCRIES f OF FLOORST 3, rTY SYSTEM IWELL EZONTNG USE CTASSTFICATION: SEPT|C L.] PRIVATE SEPNC r] COMMUNITY SYSIEM Exsr LAND DrsruRBrNc rrnri,rrr I y:s [t-uo rXIST{NG IMPERVIOUS AREA'; E2-- dffi* Ilorscown SO FT cHEcK (pAyABtr ro Hxcl flaru nccourr ZONE:,I} OFFICER: AEMSEO DAt€ ru1 1.l2 N _- P€RMIT FEE: $ a) EXrST Cot{StRljcrro : PRO]ECT ADDRE5S: [uencermle Ieouc I*,r f,coroo orxe* PAYI,IEMT METHOD: NCASH APPLICANT,S DEVELOPER: PRO]ECT ADDRESS: OhINER, S ADDRESS: CONTRACTOR: ADDRESS: ETTAIL ADDRESS: TOTAL PROJECT Approval:_ Comment ?ot(r1518 y"-68-) OCCUPANT/BUSINESS I.IAiIE : PROPERTY OWNER'S t,NfiE: EXIST CONSTRUCTION: I.I ALT lf Relocdion, is there a Natural Gas NEW CoNSTRUCTToNT f] rnecr ACCESSORY STRUCTURE: AROI DESIGN PROFESSIOI{AL: ENGR DESIG'{ PROFESSIOML: TOTAL AREA SO FT : TOTAL SQ FT UNDER ROOF HANOVER COUNTY BUILDING PERMIT APPLI1ATIqN rYPE: COIIiI4ERCIAL EASE ANS},IER AI-L OUESTIOIiS APPLICABLE TO YOUR PRO]ECT "Project ResPonsibility" CITY: CITY: LICENSE *: CITY: v PH DATE:L6s/a PHoNE *: 7/a-p6-o-osl t ,,r-4- ztpz2n+48- APPLICATION Number (office Use) 7io34t-r6e 4up'2-t!9* PHONE *: ST: ACCOUNT *: st,:.,UtzrP':2t fi2Q PHoNE $: 7/0-A&e241 PHONE f: rf UPFIT - The Shell Permi * '**rl ** IF Yes, what was the Prevlous ccupancy Type? THrs A cHANGE oF ocolpaNcy usrr ffvrs 7 (Check aII [E nruoverror renr Site? [ applv) GENERAL REPATRs fl nrLocltrn^, 6*" rs eroc spnt-ixleaeof,ffyeffNo ?b-?ri-oa?)-fp:4fl:-t 14- NC REG S: NC REG *: 3734?nBv- ION ne on the Yes EW STRUCTURE fl rlsr rnacr fl snell I urrrr ! loo ro Exrsr srRUcruRE dr* E ruo PH DESCRIPTION OF WORK: ls food or beverages Prepared or tn this snrchrre? flves f] No b The Property Located ln The Floodflaln? [ ves f] ruo The OWNEFI/CONTRACTOR: 5 (o'dn€4 Nole: Domollton notlicatons t esbestos (pnn Nan€) pomh.pplicalons al6 lo b€ sub.nltbd uslng lh€ sppllcalior brm ,o,il-rl, *"*, * r.afflurrums *". ruuno ro contaln A3bos!6 or not You 6ra r€qulrod to tho N.0onel Emhelon Strndards br Haz6rdoB Alr Pollulanls (NESHAP) at (919)7076950 Bt l€ast 10 days Fflor b rh6 demohlon of any redlily or bulldlng. S€o W6b Sit6: htprl,trvr.epl.state.nc.usi/6pi/asbesioyahmp.html BUILDING HElcHT, -17saFTPERFLR:Jfr- #OF STRUCTURES: -a # OF UNITS: # OF STORIES: # OF FLOORS: 3 u ACRES DISTURBED:--a-- NEW IMPERVIOUS AREA:SQ FT fluencnrrru [eouc nnpr E @NDO OTHER SYSTEM tr WELL tr ZONIN SE CLASS FICATIO NGU SEPTIC tr PRIVATE SEPTIC tr COMMUNITY SYSTEM ". SFPASA'rE Fi:RMt CU nr:L)on Ei-f.,1 cl-i PI LJC Ails ICiJ PAYVTENT METHOD: ICaSX CHECK (PAYAB tE TO NH c)BI LL ACCOU NT (FOR OFFTCE USE ONLY) ZONE:_OFFICER:SETBACKS: F:-LH:- RH: B:DATE:_ FLOOD: __ _ BFE+2ft fiffi*.o n DISCOVER REVISED oArE 4/ t 1tl2 NEtd \; PROJECT CONTACT PERSON: WATER: SEWER: .,1 tll tjl ffi****, Is E1ect Poh,er on this Building }lhat is the I'l€r, occupancy Type? _ Exsr rAND DrsruRBrNG pERMtr? r-l_yEs El"-No EXISTING IMPERVIOUS AREA: (:__ SQ FT fir^ce I Jr"r,rr..,r-O- leu#tb-8)3 __ _0 6tb-%1? PERMITNE APPLICANT'5 NAJVIE: DEVELOPER: tx HANOVER COUNTY BUILDING APPLTCATION TYPE: RESIDENTIAL PLEASE ANSI{ER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" n CITY: BLOCK f: e CITY: LICENSE #: &APPLICATIOI'I Number (office Us€) I I DATE:6 L srlBE+v+'roft PROPERTY OWNER,S NAT1E: OWNER,S ADDRESS:z CONTRACTOR:O"r n PHONE S: PHONE #: zlP : LOT T: sr: zrp, 28 4 I I ACCOUNT S: ADDRESS i ETIAIL ADD z F CITY: U O, STORAGE SHED OTHER: sr:0tr3.2 IP; _ TERATION NEh' CONSTRUCTION:ERECT El^l RESIDENCE or ADDITION TO EXISTING RESIOENCE *+PLEASE CHECK AND ANSI,IER BEL ALL THAT APPLY TO YOUR PRO]ECT:d PoRcH 30 sFs PROJECT CONTACT PERSON: EXISTIN6 CONSTRUCTION: ATT GARAGE - SF suNRooM _5F GREENHOUSE SF DET GARAGE - SF POOL SF RESS : Is Any ELECTRICAL, PLUMBING or If the project is a Relocat Is there ELectrical Power o J 2.r.5 DEC PTONE S: PHONE #:7DZ^90) -sc qt K 4Oo sF SF SF ToTAL HEATED SQ FT: a5 T0TAL PROIECT COST rress rorr : CHTINICAL r,,Jork Being Done to the Accessory Structure? [ V", p ftfo 0/lA NOn, is there a Natunal Gas Line on the Cunrent Site? [Yes nthis Building? [-] v"s [f to po"'- to gi-\Z- PROPERTY U5E / OCCUPANCY:SINGLE FAI4Tt Y DUP L EX TOI.]NHOUSE DESCRIPTION OF WORK:3 DISCLAIMERT I hereby certit rhaiallinloffiation in and ordinances and regulatlons. The NHC Develop is appli€al,on is conect and allwolk wittcomptywih he Srab Buitding Code and a oher a ppLrcable Stare and locattaws enl Services Cen@r wrll be not,ied ofa,ry changes in he approved ptans and soecificarions coniractor infrmaton. "'NOTE Any Work Perto d w/O lhe Appropfiale Pemitsw Ilbe i Srate Bldg Code and Subt€ct io F *,*,t** * ****,i** *;* ** * * ** *,r* ** * *** ** *;r** *)k*,r 3.frtort'g#iJfr: YEs E ro TOTAL ACRES DISTURBED: To $500 00"' oI^lNER/CONTRACT0R: 'f,f,* * * *,f,****,r**,r,k** *,*** *,f I5 THE PROPERTY LOCATED IN A F LOODPLAIN ? EXISTING II'IPERVIOUS AREA: NEW IMPERVIOUS AREA: SQ FT SQ FT WATER: SEWER: CF PUA CF PUA SYST PTI C rm ffi cRrvatr we Ll Kentrvarr seerrc CO[liYUNI CENTRAL S EXIST LAND DISTURBING PERMIT: E YES l--l no CENTRAL h'ELL COT1T1UNITY SYSTEM *** SEPARATE PERI.IIIS PAYT1EMT IiIETHOD: E CNSU E REQUIRED FOR ELECTJ TIECH' PLB6, GAS EQUIP, PREFABS & INSTRTS +** E CK A8 E To NHC tr B I L L ACCOU trLNT DATE: F nn. A A BFE+2ft= 11 c s/vr I orscoven AEVISED DAIE O4l11/12 * *,* * ** * ** * * * ** * * ** * * )*,r * * *+++ SETBACKS: F:_ LH: RH: B: *,t **!i* **** )****)* (FOR OFFICE USE OQLY) ZoNE: _ OFFICER: Approval :_ City: Comment : PERMIT FEE: PRO]ECT ADDRESS: ! nrruovnrroru ! crruenar nrcarns I RELocArroN TOTAL 5Q FT UNDER nOOF: 28OD TOTAL AREA sQ FT: z &oo $ ]7Ol.oA # oF SToRIES: I tr D tr Trt , .r. a