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HomeMy WebLinkAboutAPRIL 18 2016 BUILDING APPSDEVELOPER: PROJECT ADDRESS: PROPERTY OI,JNER,S OWNER,S ADDRESS: CONTRACTOR: ADDRESS: OWN E D tscLAl MER a nd loca laws SU chan qe in b Comment PERMIT FEE: ErvED riARd ER COUNTY BUILDING PERMIT APPLICAr IOTI IYPE; COIIIMERCIAL ASE AIISI,{ER ALI- QUESTIONS APPLICABLE TO YOUfl PRO]ECT "Project ResPonsibility" L eqb-Vt'\0 /6 -9 30 APPLICATION Number zrP: ).W)( 1(,1\\-&)q sr.t lyzrP | >b1t'6 rz DATE: (off 1l all olher applicable Stale B C and ice Use ) /rIAPPLICANT'S tnfiE: OCCUPANT/BUSINESS tlAl'lE : ,,Aerkl PHONE #: CITY: s PHONE *: CITY: LICENSE #;l"1rt 2-l AccouNT *: pH )7 0 (,t < 63/) NC REG *: (. ) v CITY: CAg RLEfT€StINCztPtZqZ)1 PHoNE #: lo4 -5'73-?-fiC PRO]ECT CONTACT PERSON:r-.lPt .?)t-L _r PHONE #:1nl-i..kt ch€ck All That APPIY) EXrST CONSTRUCTTON: f] ALTE 6 RENOVATION tr GENERAL REPAIRS No lS BLDG SPRIN RELOCATION KLERED? f] ves [Nolf Relocation. is there a Natural Gas on the Current Site?tr Yes tr NEI,J CONSTRUCTION: E ERECT r,f srRucruRE ! rnsr rnacr ! sxer-r. puern f] aoo ro Exrsr srRUcruRE ACCESSORY STRUCTURE: L\ If UPFIT - The Shel1 Penmit # THIS A CHANGE OF O PIt"usel ffives f] in ***** cupancy Type?what is the I'lelr occupancy Type? ARCH OESIGN PROFESSIOTIAL : ENGR DESIGN PROFESSIOML: A n PH. -7 ) o c63 S3/ Arc nea *:6)J1a-3,i6i DESCRIPTION OF hJORK: ls food or beverages ProPared or tn tnis sruaure? S ves ff no ls The Property Located ln The Floodplain?ffi v". Iuo i,.\;l^ ,r Elect Por.rer on this Buirding frr", E ruo t,i *.t* IF Yes, what was the Previous I hereby certily and ordinances b that and in The lhis applicalion rs correcr and all work willcomply with lhe Stale Building Code and NHC iivelooment Services Cenler wll be notmed of anv chanoes in lhe approved NOTE: Any WorI Performed WO lhe Appropnale Permils will be in Violalion of the olans and NC Starec10r ines U p T ACRES OISTURBED NEW IMPERVIOUS AREA: PROPERTY USE: EOFFIGE or contracto $500.00-' or bulldlng was found to contain Asb€slos or not You are required to call N6donalEmlsslon SEndar& br Hazardous Alr Pollutants (N at(919)707-5950 et least 10&ys Flor lo lhe demolition of sny fadllty or bulldlng 56€web She: hg/.Jww.€pi .hl,'nl R/CO NT RACTO R )f SIGNATURE: (Ot,3lifier) Note: Demollton notlicatons & esb€slos (Plr Mms) p€mll eppllcalions sro to tr€ submltied uslng the appllcalon iorm TOTAL PROJECT COST:i1s J BUILOING TOTAL AREA SQ FT :SQ FT PER FLR: TOTAL SQ FT UNDER ROOF:# OF STRUCTURES: # OF STORIES # OF FLOORS: Exsr LAND Drsrunarnc penurrz l-']ves f[ uo SO FT EXISTING IMPERVIOUS AREA: nalr luencnrnLE nEDUc Eepr Econoo onren' SO FT WATER: EICFPUA SEWER: E CFPUA ZONE: OFFICER: Approval:_ City:- trE SEPTIC SYSTEMtr tr \ flzoNrNc usE CLASSTFTCAT|ON ECOMMUNITY SYSTEM WELL PRIVATE SEPTIC ". SEPARA]E FTRII I]EOUIRED FOR EI.ECT, MECIi. Pi AG, GAS €OUIP. PREFABS & INSLF€' PAYTViEiIT METHOD: fr CeSn EcK(pAyABr.ETo Nncy f]atuaccouur fiucrvrsr florscoven (FOR OFFTCE USE ONLY)REVISED DATE {1 1/12 SETBACKS: F:_LH:_ RH:_ B:_ FLOOD:- BFE+2ftr N I r,t DEIIAIL ADDRESS: u /'7 I t lLc<rz^- --.t # OF UNITS: ii!ii \,1 7 DEVELOPER: ol{l{ER',s COIJTRACTOR AI'DNESS: +cR ilEW PAYITENr rrl i UJS o^J C Aotto - ZLze N l,l HANOVER COUNTY BUILDING PERI{IT ., 1't1 APP LI'ATTo,I rYr,g; COi4}IERCTAL PLEASE ANS}/ER AL! QUESTIOXS APPIITASLE rD YOUN PiO)ECr "proJect Responsibilit/ STc or.rJ€ /-L<oare 3-7-2 "/6 APPLTCANT,S iIA''II: Ua PNO]ECT ADDRESS:s+. oCCUPANT/BUSIiIESS tUU'lE :ES --L a a- PiOPEiTY OWT{ER,5 flAfiIE:o hn, CITY: 4\ 5 e_L2._ 6,nb"fs ria crrY: ttcEtrsE *: 6 3 CITY:al 4vl tr J ,7 (cte al Thrt ag?\y R tr FAST TRAC Ib r--> APP LICATION unbcn (Offlc. Ur.) PHONE *I s/.? 3\sl ZIP: 2 I E Plo E *: ?rc'fff-\\4/ srl NL ztpt2eY// sr.P.!ztpz 2rg8 P80t{E PHONE Ei.IAIL ADDRESS NEhl CONSTRUCIIo : D ACCESSORY STRUSIURE i tf UPFrI - The Shell Pe IF Yes, Hfiat Yas the DESI6N PROTESSIOT{AL: iIGR DESIGN PROFESSIOIIAL: (Ortffid Dlmolfiion notmrdlolE I $beltor I ADDRESS: Y T3O Re ? eq ] t-<.I:Fr EXISTCOISIiUCTIO:DAL TION u R E r0t{I{oVAT lf Rolocation, is there a Nalural Line 0n the c urent Site tr l-''l ermml Yes l_lNo EPATRS fl eErccarro BLDG sPANK15q5p7 [vofrruo STRUCTUREl,Ot\lAr a e U nA K ,e. fs E lect Polre i on th I 5 B ul 1 d I n8 *: *nrcs:l2 ,ts/ EXISTfi STRUCIURE -ldan eto(Jq ER NE ht A tn ln 4i f-'] sxell -/44 cl !ve' ? flnoIHISCHAIIIGEOFOCCUPAICYU'E I tr0ccupancyTyP€l{hat Occup an cy rYpe IC REG * NC REG * N tsfr*o is tfre 6r PH PH )"|,t c .*-ce Uu*l i.-rtl 4 c e a+4 t e ln Asbeslo6 or nG. Yos rra lBet ltDd to PROJECT 0 AREA SQ FT :6 SQ FT UNDER ROOF: ES DISTURBED:.o23 IMPERVIOUS AREA: / 3e tr METHOD: ECASH (PAYABIE TO NHC) fleu:nrcat ernes fluovrse fforscwen NE:-OFFICER:(FOR OFF1CE U6E ONLY) SETBACKS: F a*.lsED DAIE all t/u FLOOD: :-LH: RH._._ g. BFE+2ft= to A A PERM]I C Yi\Ex V f+Y tli+C Fi/.( .y F I t,A FEE $__ ADD TO lPRolEgr cotrrAcr PtRs(Bt: brr.*rrtrot OF l,llORK: bJ: ls"ns ) PSOPEFIYUSE: EOFFICE vterenr frcrpue SEWER: ACFPUA DING lia! cos r -ttl (/\ \ -ts -.t-f,\ -qs 6-+ \ a\) ? I+o gotb'33o'/ 1_6 - 858NEt,l ANOVER COUNTY BUILDING PERMIT APPLICATION TYPE; R ESIDENTIAL ffi AshI !ia APPLICATION Number (Offi(e Use) EAS€ AI']SWER AtL QUESiIONS APPLICAELE TO YOUR PROIECT "Project Res ponsibll ity,, APPLICANTJS TIAI1E : Ashl Ha DEVELOPER: N PRO]ECT ADDRESS i 60?3rd SUBDIVTSION: DATE: 03 .18 . t 6 PllOllE *: e1o. 76t .6osl CITY: Rr lminqton Doc H lrd CO{TRACTOR: TBD a ADDRESS: EHAfL ADDRESS: ashl isle chi teccu PROPERTY OIJNER'5 IIAIiIE I O,INER'S AODRESS: 5o? s PRO]ECT CONfACT PERSOII EXISTII{G CONSTRUCTION : BLOCK *: ?5 LICENSE *: CITY: SF OTHER: 419 * ', ** *,I *,I * + I ** **r *, *+* t+* a )tli *,* LOT #: l PHOl,lE *: e19. 512 ?6?7 PHONE 4: 910. ?83.6051 srfuue ,8-y /> PHOiIE *: 910. 761 .6 051 NEt{ CONSTRUCTION' I entCr n REsTDENCE o" @ lOOrttOtr To Exlsrrr{c REsIDENCE ,,iPLEASE CHECI( ANO ANSI.]ER BELOhJ LI THAT APPLY ]O YOUF PRO]€CT ATT GARAGE SF I sunnoom _ sF I eoor _ sr 6RE ENHOUS E SF DECK I5 ANY ELECTRICAL, PLUI|BING O' M If the project is a Relocatio Is there Ele(trical Powen on AL DESCRIPTION OF I,IORK:! ion | +, * *,1't I jr** * * ** **** + r* ri, ** narrolr ! RENovar:oN I cerueRau nreatns RE LOCATION DET GARA6E 5F @eoncrr se sF I sronaee sHED _ st IOTAL HEATED 5Q FT:1841 TOTAL SQ FT UNDER ROOF::].]I- TOTAL PR0IECT COST lress roq : SF TOTAL AREA SQ FT: _ osooo # 0F STORIES: HAIfCAL l,lonk Being Done to the Accessory St.ucture?T ves f to , is there a Natural Gas Line on the current sitei E yes NoI his EuiIdi.ng?I /es NO NGLE FAI4ILY f 419 hsated ! oueLex I TOI,iNHOUSE incl ud i ner bathroohs and ki, DISCIAIMEft I herebyce.rit hataI inbmarion in h applicadon is conectand atl wo:k wilt compty w lrr f|e Srare Bu and ordhences a.d regurations Th€ NHc oevetop rSewices Cenl.r vll b6 nolned otanycha.gcs in he app.ovelrirbr int,.m.tion "NOTE: Any Worr Pe w/o fie Approp.iaE Permilswil be i,r vrorstion ot lhe Nc st E OI.INER/CONTRACTOR:De c-SIGNATURE: )r,I * **r r { * ++ +* r, + +*+ ' are feeE Eo rea i nEer ior renvcaEion ildiig Code and arroher ppicable SbE and locallaws orchange in conracbror Fnes up To t5o0 00... F**ri(**+***+r DPLAIN?YES I NO SQ FT IOTAL ACRES DTSTURBED: .01 I{EI,J ITIPERVIO{'S AREA: 4?8 sQ FI Exrsr LAND DTSTURBING pERr{rT: ff yEs WATER:CF PUA COMMUNITY vsrrm I pRrvATE r4rELL I cerurnnl wrll rrc I enrvnre seorrc f] commuNrry sysrEr"lSEWER@ creua fl cerrnnr se .,4 SEPANATE IERI]I !S EQUIRTD FOR ET€CT, I,IECH, PLB6, GAs EQUIP, PREFAAS & INSERTS **' PAYr'rE T iiETHOD: ECAS,,**.* ** * *,* * * *,I ' *,&***,* ** tr Ecx (payAsLE ro runc; f] anrnrcal ExpR€ss E rcrvrsa I5 TIIE PROPERTY LOCATED IN A EXISTING II|IPERVIoT,S AREA: 1o! zore ' li- 1 oFFrcER; Approval:-. City: Comment: r NO f, orscov:n**,i*,r * ** * * **i{ **** i(r * **** ** **,*** +* * * * ar **a*)f,*:f*****+t (FOR 0FiICE USE O{tY) SETBACXS:r: Nig rH :8,,f, /{ RH onre '2 I i. ll, rr_ooo, REVI5€o DArr 64111/12 er.5t,fre: 5' t - BFE+2ft= Jr*"r, ,rr, $ ttooI((t"fl CITY: wilminqEon ST:JLZIp;28401 PROPERTY USE / OCCUPANCY: M ,(r cr'\ Q \.-\ rJ\\ s: SE+R[ #, S npprrcnl,r,s 6 oEvEtoPERl (- o-\ \ = c)<n s +J TJ $ = a Comment l 0lG -136b rt-9 il If UPFIT - Thp shell Ponmit ANOVER COUNTY BUTLDING PERMIT APPLICATIoN TYPE; COIIME RCIAL st AN5H6R ALL QlasltoHs AppLTa BLE l0 y0U8 pnolECr "Project Responslbility" upancy Type I l{hat ls the New occupancy Type? NEW APPLICATION Number Nrlflt i - thomas Johnson fo DATE: 7/21/'16 conrmunicati ons PRoIECT ADDRESST 3310 S. Coll e Road CITYi 'nilmindLon ztPt 28412 OCCUPANT/EUSINESS NAHEi PROPERTY Ol,lNER'S NAI1E I cofti PHONE S: 9i9-466-s161 oHNER'S ADDRESS I tr2z CITY: cl,ariocre 5T: NC ZIp: 232?',/ CONTRACTOR: Holne B: ADDREsS: ip gox zos CITY: lavet tevi r le 5Ti NC Z:P: 28t02 E|4AIl" A00RESS : ch.rleshorn.o PROJECT CONTACT PERSON I (check ^Ii rh.r Apply) AI" T ER ION f R NOV T I ON tr G ENE L R E RS RE LOCATION l, Relocstlon. is lhero 6 NaluralGas Lin rh rl S16 tr tr Nc iS B DG SPRINKLERED?fl vus i'l rv" S. NEIJ coNsrRucrroNr I eaecr H ACCESSORY STRUCTUR[: srRucruRE f] rasr rnlcx ! srelL f] urrrr fl eoo ro Exrsr srRUcruRE Is Elect Power on thls Euildin8 E Ycs E to Hrs a CHANGE oF occupArJcy us:l !vrs E ro '*'.. ls food or bgv€rsgos prepared or ln lhls st ucturo? flYes I no b Tho Proporty Locsrod tn Th€ noodplsintIves [ ruo 3 Coo6 und arr o Er appr,cabrc OWNER/CONTRACTOR:SIGNATU r'." Is lF Yes, vhat rvas the Previous O aRCH DESIGN PRoFESSIOTtAt r EN68 DESIGII PROFESSIOIIAL I t4 PH:614-398-625c NClE6, PH;919-661-6151 NC REG * !,8 DESCRIPfION OF WORK; W TOTAL AREA SO FT TOTAL SQ FI UNDER ROOF: N ACRES DISTURBED: NEW l!,,tPERViOUS AREA WATER: ECFPUA SEWER: D CFPUA Exsr LANo DrsruRBrnc eeRr,tnrflves T NO SQ FT EXISTING IMPERVIOUS AREA Tovr€r and sire eo.k cl28o4 a1392A FICATION: o&crl No{.: omllton n {nc. orr I .3!.srol apgrl.8don! d. ro b. .ubmtn€o $h0 rh. sMrc.rron roim (oHH tonrlin Aslolror o, nol. Yoo .ro reqlrgd lo cln I MUoml Er 3rron Slln!8rd3 ro. tulldol)r aI PoJt!1a.r6 (NEsriA4 !l (91 !,6r'olltlon or .ny l6.l[y o. bu0dh9 soa Arb.!lo3 Slt6: hupr!,e/v.otl,slhr..n..uyeprosbcarornhmp.l r!t TOTAL PROJECT COST 160 0c0 PRoPERT usEi florflcs f]n nunenr [uencnnrtue Ieouc Incr f,conoo orHER:.rereeom .ro** flrl COMMUN CENTRAL SYSTEM EWELL ZzoNtNG usE CLASSIPTIC LJPRIVATE SEPTIC I]COMMUNITY SYSTEM t!rftFrrr(]r, LLrf, , r/r:1lr t[rai .^:;!()r,r! PAY TEMT METHoD: Scnsn ff EcK (eAvABLE To NHc) EAMERTcAN ExpREss ElMc^nsA f] otscoven Approvsl:_ City: ,o*.,0n r- r( t?),".^,(FOR OFF'CE USE ONLY) SETBACKS: F: *TE:!i-ti-luFLooD:_ Ptrur.Tfrg.rtri I r-n: * ni; J e: {f, ,+.:i!4s:f ) Lr.r BFE+2fr= L,PE RMIT FEE EXIST CONSTRUCIION: n PHONE $; LICENSE f: 4{il{ PHoNE { I _2fg-l!!-jl!!__ PlioilE S: 9r9-4ll-2028 BUILDING HEIGHTi 1so, row€! #OFUNITS: N/^ SQ FT PER FLRr x/r, # OF STORTES: N/A fl OF SIRUCTURES: r;rr r OF FuOOnS: -wn- ANOVER COT'NTY EUILDING PERMIT APPLTAUOII TYPE I RESIDENTIAL EASE AX9{ET ALL QUESTIOi/5 APPI,ICASIE TO YOI,R PRO]ECT "Prcject R€sPorsibll1ty" j,ott,ZZtr l APPLI CA' I OI{ tlllllber (offl.. ui.) Re.r d E Coo Bu i l de!s LLC PiO]ECT ADDRESS:512'l Greenv 11€ Loo Iid APPLI CANT' 5 I{AIIE I DEV€LOPER: SUS'IVISIO: PROPERTY OI{E NEW CITY:H i Lmi nq ton R'5 llAr'tE: Joun EC e Pro erties LLC Michael Grimstead O./ilER' S ADDR ESS: 6215 Red ce ar Rd CITY:wiLminq!on ST: xa ZIP:2811l co'lrRAcroR : Reid 6 Cook Buil ers LLC ADOR ESS: 6208 Red Cedar Rd CITY:W.ilrrnqtcT ST: NC ZIP: 28411 Plo E t:910-443-2042EI0IL ADoRESS: dreidiiicec. r PRO]ECI COI{TACT PERS O{: oonn e Re i.l ExISTrl{G Co sTRu€rro : E At ERATION REiiovATroN ! crritnrr- nernrns f] RELocATToN ELOC( r: LOT f: - ! oer cnnrcr sr ! eonor -sF I eool - sr I sronlee sHED - sF na 'k.. sS.F [-l orcx sF OTHER:SF TOTAL SQ FT UI{OER ROOF: - TOTAL AREA SQ FT: - r{Ekr coirsTRucTroa{, I excr RESTDENCE o" ! mO:rrol lo ExIsTrItG RESIOEI{CE .'PLEAsE CIEC( A"lD ANSI{ER sEl"Otl AtL THAT APPLY TO YU,'R PROJECT: I-T arr clamt sF I sur.rnoc*a - sF I enemtna.rsr - sF TOTAL HEATED SQ FT: TOTAL PR0IECT COST ttos:rou : Is Any EL€CTRICAL, PLUIIAI 6 or If the project is a Relo.ati Is there Electrical Power on R -l(o,,,,r^ 8€ing oone to the accesso.y stru(ture? [ v"t @ l" Natural 6as Llne on the current slte? flves @lo r [i'l ves [Ho fl urclrx ! rotr+rouse maste! baih and kitchen PRO9IITY UsE / OCCUPA CY:INGLE FAI'IILY .'. sEptRlTE Pt$tITS i8000.00 ICAL ll]ork , is there a his Building DESCRIPTIOI OF I{OR(:ues! bath < r/"\ooi'{' OEC|ATMER: lh6,ebyco,rr'y f'alall,nisrnalbnh dld al wo willcompiy wit hn dE odin'lc6 'td llgdstolli rh! NHC Do Sodars C.nt, w{ b€ notfEd ol'l, cha €ca h n. apr.owd plan! c@iacb, nt'naroh'-NOTE: Ary wo,r W/o tt! &9.o9ri.b P.dlt v b. h vbbtoo ol tE NC Sab &g Ol.,l'lE R/CONTRACTOR: oo&rle Iic SIGI'IATURE; I cs- applEable SlaE and locd latrs chmg€ ln conracbr or s lrp To t500.00"' LOOOPLAITI?YES I NO SETBACKS: F rt 11?-lb) rtooo:T*-8F E+ 2ft= . * ar * ra l}rtr **J 'l t IS THE PROPERTY LOCATEO II{ A tl EXISTIiIG IIPERVIO,s AREA: NE* IIIPERVIOJS AREA: SQ FT SQ FT TOTAL ACRES OISTUREEO: EXIST LAT{D DISTURBIN6 PERIiIIT:I-'l vrs J-'] no UTTEN: sET{ER: CFPUA CF PUA I cemaal s f] comrurr svsrer f] pRrvArE I,ELL I crmnlr- rcr-r- rrrc I pRrvArE sEprrc f] ccnruxrrv svsrmr ,t€gJIRtD tOR tL€Cr, |ECH, '18G, GAs EgJ:p, PRE'ABS & I|EtRTS '..*'lT.iLT,'....9 HEcr (pAyaBLE ro *r) E enenrc^r. ExpREss ! rcTvrsl florscovsn,*rt r* t t!r)} *a *'r *r*a * rr,f *r a ***r. *r* ra*r** t )a !,1a r *trar*r i l,l*a* r, r,r (FOR oFrt(a lr5l orlY) REVISED o Ta o./tl/12 -di$r.r'-die nx: r'r4 a: !/,gZONE : Approval :_ Clty: PERfiTI F€E: -nta Comnent:t)o {z ry lnspeclion Reouneo 9l DAT8: 3 -30- 16 PKTIE T: ZIP i 26409 PH(XIE [: 910-54?-82]8 LICEIsE *: PHOiIE f : t:0-4{l-204r.' * OF STORIES: tet o1 { ["$-S::tffi l- n appr- \FLoeve $ pRol t. suaD &)*'.\-\ pRop e) Ns q<\ €- s\a -__.:s. xes\.) :. q1g NEhI Qat(o-?D1l I RE::)VE0 u:- zs 206 ANOVER COUNTY BUILDING PERMTT APPLICATZON TYPF: RESIDENTIAL tL - q<?- APPLICATIOT.] Number EASt AXtrtR ALL qJC!'inris A2plICAEL€ TO yotln pROUt(I "Project Responsl.bility,, I CAIIT ' S N/lltE: P.'rre!stluct lon GrouP. LLc. LoPER: llA lCT ADORESSI L6{5 count MSIO . colncry (:ub ERTY O{,{ER' S NAIIE: Jenn 61,{ill Purvis O{,INER,S ADORaSS I I64s count COXTRACTOR: Pa!ker ConsLrucE BLocK f: _ LoT {. 26R PHONE fi. 910_332-1955 DArE: lIl1l9 PI{oNE S:9I0-256-.1229 cITY. w! Lmi rgron ZJp,28{03 on Group, LLC sT. NC 2rP.28,101CITy. $il.nlr.rt.n ADDRESS. ?o aox 925 CITV. vrr:ghesvir le Beach EXTIL ADDRESS: .rober'QParke PRolEcr coNracr PERso ' Rob ons t ruc!rongrouP. com '- Jarrnan pHoNE B: r10-256-i229 pHONE S, 9i9-77I-8511 :: )tl R ENOVI " - )N G ENERAL RIPAIRS RELOC/. ItN NEl.t coiisiRUaTIoN ERECT RES]DEI{CE o" f]aOoIrrOr To ExrsrrNc RE5IDENCE ..e:EASE CHiaX ANO AllStiER EELOt ALL TIIAI A?PLY iO YOTJR PfiO]ICT: ATT GARAG€ 820 *_ SF 5UNRoOX _ SF f cniruHousr _ sr TcrAL HEATED sQ FT: 6'7]5 cET 6aRA6E _._ sF I sroRAGE srr:: 0lriR PoRct 7or sF If the prcject is a Relocati Is there Electrical Power on O.IiIER/CONTRACToR : Robert Je I5 THE PROPERTY LOCATED IN A T0TAL PR0IECT C05T rr oss.ol : Is Any ELECTRICAL. PLUllSIllc or lt EXISTING IlilPERvIoUS AREA: NEl.l IMP IRVIOUS AREA: -J },ATER: VI CFiUA SEWER: lfl CFPUA I eool _ sr E] DECx ?83 ,-- sF 5F IoIAL SQ FT UN0ER RoOF: t2{2 TOTAL AREA SQ FT: i,s00,000 S OF STORIES: 2 __ HATJICAL l"lo.k Being Oone to the Accessory StrL,cture) Q V"t Ql Uo , is there a Natura: Gas Line on the Cu..ent site) [ ves f,! to his BuiLdingl f,) vut Q Ho -_ PROPI RTY USE,/ OCCUP'O,ICY:INGTI TAMILY OUPLEX TOUJNHOU5E D€SCRIPTION OF tdORK, consEru Pr:...,is Res!dence OTSCLAIT;F licco, cc1ry $!t a,l ,i,omalDn ,n irnr odn fts and requ 3ro,'r Tn{ NHC Oev.ro .n.!rt'.6bd.lon "'uOlE /..y v,,od Pca6,r l,V/O ht App6pn.t P.T riwI t id V(irxeotrhc NC S ii1.r -rr.n i..".:r.n0 rr, {rt f r..r.iyw 6 n'e Sii,u gukog Code.nd ail oher .r.,^rar4 Sroll: aad l,rr rrw! . | ..,, .r , r'- (rjn ler w,lr 50 nouh.d o dr, .-r^ gcs ,n rrc rpororcd ,Brs nnd sroc,ra.rco CO,\l,r{Uf. I - J ;i'! l CENTRAL 5 IIC PRIVATE 5€FT:i 'ru C E I;']'N AL i.]ELL COj.XI!NITY 5YSTEItl cl.'. SIGNATURE: sQ r: PRIV/.:' hELL looorrlrnl [] ves (f, rro sq Fr T5T,1L ACRES DISTUREED I EXIST I"AND DISTURBTNG pERflIT: 0 yEs lf)r rc *"1'll.: : :Yi... .?.'l'i r^ :'" ':' fri(T, ..i [, ;, i.: Gi! ^,,:r], . ,li.ij1 f. Iti.-:,i ... HEcx (payAer: ro ruc; Q n^rearcari rxrarss Q ,czurso Q o:scovrn (.oi oFrr(r x1r fllY)rvt5lrr tan J6.,11.1., SrraAcxs: F: :!- LH:- - kH, | , s.-':, ',*r, R-/jorrr.r.. Approval :_ City: rtl I - r,rn,. PERYIT FE€ I ,7)a/m tL Coolnent i DATL i)ity tnspection Requrreo g'lS254.05 LICENSE S, 65883 ST. NC 7Ip. 28180 EXIST ING COiJ5-RUC']'I ]N: ( DEVELOPER Approvat Commsnt =_-* FLOOD: PERMIT FEE: $ F€VIS€D OAIE (11/t2 ea tv\'llt APPI.ICATTON Nulnber NEW ANOVER COUNTY BUILDING PERTVIIT APPLICATIoN rypr I COMIT1ERCIAL ASI ANsHlR ALL QUESTIOT{S ApptICASLE rO youR pRo]EcT "pnoject Responsibili.t/,', @'' APPLICAIIT' S NAME: st on PRO]ECT ADDRESS:7a Hcr:5 OCCUPANT/BUsINEsS iAfl E : PROPERTY OWNERJS NAIIE: New ,: Ccunt./ OWNER'S ADDRESS:410 Ca.cli CO TRACTOR: sccne-ionL ADDRESS: rts-5 irr$ EI.IAIL AODRESS:eniifer NEW CONSTRUCTION:€RECT tI srRucruRE I rlsr nrcx I sxer-r f] uerrr ACCESSOSY STRUCTURE: If UPFIT - The 5he11 penmit PROIECT CONTACT PERSOii: i..e t Hoar EXIST CONSTRUCTTO : D ALTE 1(hcc( Allrron f] RENovArroN ,l Rolocatiofl, is there a NaturalGas Lin on the Currenr Sne" f] ARCH DE5I6N PROFESSIOIAL: ENGR OESIGN PROFESSIOAAI : 0ESCRIPTIoI,I OF l,{oRK: lnsr PRINKLEREI]?I ves firuo I aoo ro Exrsr srRUcruRE Is Elect Powei on this Buildin8 I Yes nno DAIEi JitL/2 ,J 1t: PHONE S: CITY: ./riioriqt.r ZIP::aI,., CITY: ;,;: ,: r r:.,..ST::i; ZIP:23i:2 5T: Nc zIPi 2e4 o.l LICENSE t: 28i3t CITY: wl i rnl rrtlecn Yes GENERAL REPAIRS Euo ts BLDc s l,Jhat is the Ne Occupancy Type? PtOl'lE # I 7e PIONE *: _.i;t-:,.i1 R€LOCATION IF Ye5, what uas the previous Oc Hrs a cHArcE oF occupaxcy user flves I upancy Type? PH PH NC RTG *: NC REG 6: al i caI ceil io s.Acid lnet.l]--r.l(is & s ls tood or beversges propared or served this slructure?ves I to ls The property Located ln The Ftoodptain? flyes SIGNATURE: !No fti:Eqfjlfrif{Sf#d,Lq";$ffi[{Ji};t#{}ilfo'#flffi#]iHf, hffi.T#jffi $tr D{-l -3768)bu ldingor rloi. Yoo rre r€outrsd to c6I tl€Em6siofi Slondalds (NES (91 9)117 -595C 0dsmolltion oI ary Ldlity or butlding_ ss€ Arbe6b.Silo IOTAL PROJECT COST: .r o 000. o0 IOTAL AREA SO FT OWNEFi/CONTRACTOR: l {O.dra,) tJaie: Oemolitoo r$fllcaions & sgbosba rurnovd TOTAL SQ FT UNDER ROOF ACRES DISTURBED NEW IMPERVIOUS AREA: PAYMENT MEIHOD: flcest ficx EXST IAND DISIURBING PERMIT? SO FT EX|STTNG tMpERVtOUS AREAI eRr [coxoo orxe* PRIVATE tf zoN|NG USE CLASS tFtcAIO NtPT]C COMMUNIry SYST€M lFOR OFFICE USE O rY) SETBACKS: F:_LH: {eAvABLE To NHc} flnuenrcex exeRess I rr,tcnrrsn I olscovrn :a YES I NO SO FIPROPERTY USE: fprrrce D nnrr luencnnnLE EEDUC nnrlCOMMUNIry CENTRAL SE C TEMn WELL ZONE:_OFFICER: :.- Ctty:-.-DA RH: Fr' BFE+2ft= N I ]:r PIONE 8: 2 s{,1124 OISCLAIMER: BUILDING HEIGHT: 20 , , OF UNTTS: : ?lI^3.Il.R.r, .r.."" oo, sron,esl:_-._- # OF STRUCTURES: 1 r Or flOOnS i...-- WATER: DCFPUA SEWER: E CFPUA et5 "2 olbjl ll \ NEW APPLICAI'IT, S NAME: Ston OEVELOPER: PROIECT ADDRESS: 287i worrh OCCUPANT/BUSINESS l,lAME: ,r. c School PROPERry OHNERTS NAME: New ols OWNER'5 AOoRESS: 64to caroti CONTRACT0R i S!one -MonE ADDRESS:1 5-5 Hinton Averue EMAIL ADDRESS:ennife PRoIECT €oNTACT PERSON: Robe P,uno..) S ANOVER COUNTY BUILDING PERMIT APPLICATIoN rrpr; COMMERCIAL E ANSU]ER AI! OUESTIONS APPLICAELE TO YOUR PRO]ECI "Project Responsibility,, JD L-q/( APPLICATION Number (office Use) CITY:ui lxrinqron PHONE S: 254 4324 CITY: wi Lrlnqro'r ST: NC ZIp: 20412 LICENSE *: 2st3o CITY: Wltrn1nqron ST: NC ZIP | 2B4ol EXrST CONSTRUCTIOT: f] alrrn ION RENOVATION GENERAL REPAIRS ll Reloc€tion, is there a Natural Gas Lan on th e Current Sile?Yes ENo LDG ((heck All Ihat Apply) PHONE #: s2!-16s3 RELOCATION rreneozIv"" !ruo ! mo ro Exrsr srRUcruRE PIIONE f:7e9,lele insulaLion i. r ISB SHELL SP RIN UPFITNEt^, CONSTRUCTToN, ! eneCr ru ACCESSORY STRUCTURE: STRUCTURE FAST TRACK If UPFIT - The She1l permit ARCH DES]GN PROFESSIONAL: ENGR DESIGN PROFESSIONAL: DESCRIPTIoN 0F WoRK: rnsralt Is Elect Power on this Building I Yes flro**r.* Is IF Yes, what vas the previous Oc rs a cHANGE oF occupANcy usrt Iv:supancy Type? N0 ***** 11in Eetal sLuds & what is the New Occupancy Type? PH PH NC REG #: NC REG #: ls food oI beverages prepared or served this structure?I OWNER/CONTRACTOR: nor".r In thrs applrcation rs coreci and afl w6rr. wilt mmpty wirh lhe Siate Burtd,ng Code ard a orher apptrcsbte Shlee.139.?iLJ"*T,tt.s,"JfESg,?3:;JIffJ,";ftr""J8ll["*i,,.r;lt*[,iJi,""r,"*tr,Htjti.id]","J"i Ves [ ruo ls The property Located tn The Ftoodptain? Eyes SIGNATURE: ew acouslical cF Mont I No I ilted ng the p (D HH S -3768 faciuty ,nstdor not YoU 6re reOulrsd to call the E Haz NES 91 9 741 -5950 0 {Ouallt}o, Notq Demollton notffcstons & asbest@ rernoval TOTAL PROJECT COSI: 40 demollrion of ony fEclttty or bultdhg. See Asb€sros htlp:/i^,v/w. epl.stste. nc,us/eoi/asbsslos/B BUILDING HEIGHT: 2o , S lhe 000.00 TOTAL AREA SQ FT TOTAL SQ FT UNDER ROOF: ACRES DISTURBED: SQ FT PER FLR: n. # OF STRUCTURES: r # OF UNITS # OF STORIES: I # OF FLOORS:I a citu: Exsr LAND DtsruRarNc prRr,,,tttu f--lyes SO FI EXISTING IMPERVIOUS AREA: Iuencmrrru eouc lnRr [coNoo orHen, [ _trryElL f]zoNrNG usE cLASSrFtcArroN LJ PRMATE SEPIC EcoMMUNtry SYSTEM I NONEW IMPERVIOUS AREA: PROPERTY USE: florrrce I WATER: ECFPUA SEWER: E CFPUA COMMUNIry ZONE:_OFFtCER: Approval: SO FI CENTRAL C *. _SEFjARA iL p{:Rt\rirS R[. PAYMENT METHOD; flCnsx fficx cK (eAvABLE To NHcl flluenrceru exeness I r,lcrrrse I orscoven IRUD IOR ELE(:T, Mi:Cii, PLEG, GAS EOI/IF- PRLTARS & IIiSFRTs (FOR OFFICE USE ONLY) SETBACKS B BF E +2ft= N REVISED OATE 4/1 1N2 T Comment DA F L o o D F LH F H PERMIT FEE: $treEr \\ OATEi 3 /2t/2076 PHONE #: ZIP i 2a4o\ D EVE IOPER AODRESS: L.]SCLA 5!! Comn ,.- : Cfly tnpeefion Requrreo, gl&2S4$: HANOVER COUNTY BUILDING PERMIT APPLICATToN rypE I COMMERCIAL EASr ANS'iaR nrL Ol'FrrI.!5 ^,p!t(^s!a r0 yulR pRol[(r "D.oJect Resp.nsibitity,, Jo I lr- 311? APPLICATION NEW APPLICANT'S NANE: occuPANr/EUSrNiSS Mt4E PROPERTY OliJliER '5 NAIIIE: sr,^' C0','.:.a-._'l: J: -- - :,-:.. - ! -t u EI'IAIL AODRESS: PRO]ECT CONIACI PER53\: ],i.. on the rlurfent Srrc') PHONE S STiti _ ZJP: lstI j l:"!_ r1i_-r r PHONE fr: 2s( -{ ,;rt CITY; x_! LICENSE tr : a 1l.j CITY: wr:r:,: n<:torr PHON€ S l Lrc(\ Arl lr ^prty)€xrsT corisTFUCrroN: f] ltren T ION l RENOVATION GENERAL REPAIRS It Relocs$on. is there a Natij.r::la.!s Li ZT f*o rs ILDG RELOCATION xr=agpr f, y"" NEW CONSrRUCrrot! i l"--.] :etcr ru ACCESSORY STRUCTURE: STRUCTLTRE ! rA5r rarcx ] snrtt I SPRIN UPFIT I aoo ro Exrsr srRUcruRE If UPFIT - The shell perhit r.... IS IF Yes, uhat,ns the f.crious o ARCH OE'IGI{ PSOFESSIOIiAL : ENGR 0ES16!l Pi0FE5SIOi{At I Nols De ddon mr'ncouons a ssn{!@ re.Dovar Is Elect power on this sr_ildrng E yes I tio Hrs A :HAIGE oF occupaticy ustr f,vrs Uhat ii th€ New Occupancy Type) N0 .!rr. OESCRIPTION OF I,ICRK: I llr OWNER/CONTRACTOR: n"r,e: ls food or bevq aoes p,opa.ed or serv6 in thls slrucluro? E] /es E {o ls The Propery Locatad ln The F,oodDtaln? D yes E Nu !!s iid o.a ron.rs 3.d ri F.(: o S: .rt (:.,n, , .1il rrhc, .i. 1,., rn,St..,,;;i. ii"q*i:,:l :i8i,,,i" SIGNATURE iohr-t S ,1768)noti Ar!.n06 or not you .,? :si,r,od to cll ESh/1.!9)1t1 -595!demorton ot .., t ct,t! , buidhg. Sse asDr.toi s TITAL PROJECT COST: TOTAL ARE Se FT i ro BUILDING tsEIGHT SO Fl'FER FLRI 40 l,!0n.0 flOFUNITS:: # OF STORTES: rTOTAL SQ '- JNDER ROC,:#OFSiItUCTURES. r A OF FLOORS: ACRES OISTUREEO:EXSr LAJ,JD DtSTIIRBtNG pE.iiv T? SC FT EX STTNG tMp{:tiVtOUS AREA: NEW IMF:':/IOUS AI?Eq PROPERTY USE: [orrr;r [ae nenr []r,.reneal.rrru leouc lacr [couoo Y:S NOI SO F'I oTHi ilWATER: -CFPUASEWERT - CFPUA PAYMENT MErlloD: [cnsr f]CH (PAYABLE TO NHC)f]ar.lenrcax exrness fl ucnnsa I orsco,",:n l-l C!MMUNI cEN-rR,1L M -WELLX P-FlvArE sEprrc SYSTE zONE: rl:l!t:oFtri CER: (FOR OI' CE USEON!Y) S!-:].\CKS: F: l_H:-. FLOODApp.ovd:__- City a.H: AV\ 3 tsF Ei2n=-_.- l PERMIT FTE, $ OAIt i )i2ti2,:1t-. PRoIECI A00RESS I oi,l:i€F, s aD0REss. tH'..----- t( n[6 , Pri: --._- ric REG c PIONE ;: rei--,it, f,ru" _EzoNtNG usE cr sstFtcATtoNj COMMUNITY SYSITM sEvrsEf, D^rE ,:/t 1n 2 # *Nr fL REcEIVEd APR 4nr 05 20i )+-d 016-3'1ao oo , +1-lGtt4r\-'- APPLICATION Nunber NE APPLICA,I{T,5 *r,C Vr DEVELOPER: PRO)[ C I AOORESS SUBDMSI0N I PROPERw Ottt{ER, S ttlr,lE, -. OHNER'S AOORESS: COI''TRACTCR: ADORESS: I HANOVER COUNTY BUILDING PERMIT APPLICATIOI'I IYPE; R ESI DENTIAL PLIASI ANSWER A!L QUESI]O'I5 APPLICAS!g rO YOI]i PRO]!(T "p.oject Responsibility,, CITY: BLoC( f CITYI LICEI,ISE *: !\3c( CITY: l:' .\ r- SF OTHER: DATE: Oq /,o< /\ L zrP:Iq .1 o.1 r) C .\ \: \ ST it\1.: ZIP:).r " hq sr:\:I: zrp :{6 .U)gEMII ADORESS: y PLrcNE f r1\,., 1-, PHONE 8: or LTFRATToN fi nrruovarroH I cenrnal nrpnras I RrLocATror.r NEh/ RESIDENCE o" I nootrrolt ro EXISTI|{G RTSIDENCE AI-L THAT APPLY TO YOUR PRO]ECT: I orr canace --..- sF ! coot --_ sr DECK <c PRO]ECT COI.ITACT PTRSON; EXISTING CONSTRUCTION; NEW CO STRUCTIONT tr EREC tP[EASE CHECX AND ANSH€R 8E to .\ r:. \ ATI G,ARA6E - S SUNROOM SF PoRCH -- 5r ST''RA6E SHED -- SF! cnernnouse _ sr TOTAL PROIECT COST ,. . ror, Is Any ELE(TRICA|-, P|-UIISIHG o If the !^cject i.s a Reloca Is there El.ectricaL power DESCRIPTION OF I4OR(: OtSCtA It[i rFi,ary.. Jt iial6u rri. r :] , IOTAL SQ FT UNDER ROOF, IsD TOTAL,AREA SQ TT; i'J] ral Gas Line on the Current Sitel ! yes EI No ves [Ho sf .1:)r**rr(a1*+'rfr .."**..*rV EI r*o TOTAL ACRES OISTURBEO: EXIST LAND OISTLIR PERM]I ET I:iG hw,,* : g \ :) $t)L) .CQ r oF 5TSRIES: ItEcHAnrcar work Being oone to the accessory st.u(tu.el E ves [ rc j. o., is there a n this Buildin8) NatU PROPERTY U5€ ,/ OCCUPAMY:SI116LE;A?.IILY DUPLEX itO i 5 E f: -- .:l rat a:-5U:l .nc o'rjusNes 3nd,.a._t3,4.. _r, rlria ats conlebi "5 fl]uon .'-Nc-t in,worr OWNER,/COiiTRACTOR; IS THE PROPERTY LOCATED IN EXISTING II'IPERVIOUS AREA: I,IEW ISPERVIOUS AREA: I,IAIEF: E] CFPUA sEr,,lER I E cF PUA zol{E: K,l > oFFrcER: App.oval:_ Ci ty: F LOODPLAIN?E YES SQ FT SQ FT cof,r\ur,tI CENTAAL LJ PRrvarr sEprrc Ll LJ PRIV,ATT HE LL L-,]5 VSTi '4 CEIiTI]AL S a IEACKS: F _ .- f ll:_ri_ FH| I-_i FLOOD Y€S : ".-i..COI\4I4UN'i TY SYSTEM (rofi arr.it |\t o!rY)Rlvl!tu uatE oal 1t / l, FEr,* ...5EPARIiT F E RI1I REq,IRIO FOR ELEC'r, XECH, PI.BG, 6A5 [QUIP i PIt ir.8s 8 INSERTSPAYI'tEtr[ xEIliOO: I CASX clrEcx (payABlE ro lrcl I aatarcan exna:55 LJ xclvrsa U DI5COvtS 4t0254.h B: ii lP _ X sFEr2ft Co.|Inent :Ii q-?'ib PERMTT FFE, ( C,")-'J PnOUe *:1il ', ' - -',srr Ptror'lE I :'1\lj I'f::-Ll(J5 .'\ TOTAL HEATFD SQ FT: r:'lL_l sre{AruRE:q!=...:>Y(=-..,=?-\\t'- l aPPLiCn'ir's r{a,llE rc !, . DEVELOPER .Sq.ir( ti {E Ploli(ra00RE55 - , SUSDIVISION: .:- - - .. . PIoPE RIY Ori ER,S Ml'1E Ol.li r: S ADDRESS: ir'\ \:: cot'rTRA(-ia: ADOR; SS: ?, EnAIL ACToRES5: r, _. PRO] E CT CONTA': PIDS''{: OWNER/COIiTRACTOR: : tr r-- conocr _ sI sumoom _ :; I ICR€INHOJSE ( TOTAL HE,.T:.' SQ FTI _,. 1 TOTAL PROJ ECT COS- Is Any €tl:-at(al, PLU!8I(G o If the )ject is a Rr.lc(a Is there E lec t.t ca I pone. EXISr:16 COXSTRUCTIOT,J T a NEH COI{5:RLJi'I ION i f ERr' ..iLEA5E CHEC( Afto :ii-(iEr !5 PROPI r r , 5: / t::r_: OE;CR'I' ' ] )N OF NORK: IS THE PRO"i:i LOCI .i IN PAYTET{r | !--oo: i] cos, €X IS-:'16 IIIPER\ ]'I.JS AREA: NEI,J :Ti: ' i.,/IOUS ARE.I : irArER: f: crcue *_-] cor,rurrl 5tl-li il : . CF Pl.lA CEri- " ..1 .'. s I ol8r-- FtE{I ZONE: - OF;l(Ep: Aoc_'ral aii.. Cci.ent I 3t olo-71d0 - }J|J,,J .l Ldn \ APR 0 5 ?016 n- . -i-!- tl .. lrJi't+- / tt L \z- HANOVER COUNTY BUILDING PERMIT aPPLICI::,jt lyp€; R ESI I,EI(iLiL P-t,.{!t ^rr5rt3 /.-r Q!!9r!ori' apptr(r8Lr r! y9r/R ,ti.rjla- ''proj ect Rerpons ibiLity,, APPLIIATION Number ..1-r pHoN€ I I q. \.. - DATE: r\i ,' . i ,i, I zir: j: i :,1 __ sr:'ii i,-. :1!l_i: ' :*\" - ---- BLoC( s ,--_ C. c:-,: PdOttt t: 1r l ,'' - - -. : - r. \1. . r'-. frr . ,'" . r \1r-. q,. \ Ar -:lAT tori , - R€Novirlox L_l 6EriERA! R6PAIRS P11O E t rq \,' i -,\..rqri.. Pgqlg g;crrr- i'$ -t1'\, :.') -l Rt r o(aT IoN lr€i,] RES:IENCE o. ! noc:::.tr,i ro ExIs-:,,tG RtsiDENcE LL 'IHAT APPl.Y iO YCUR PRC]''T: Ll! aARAGt sF l--..1 eoncH -- sr _-l PooL _ _* DECK L.l :-.'RA6t SHED O'rHER: l<i, SF sr TOTAL SQ FT UttDER ROOF: i.-) I6TAL ARIA Sg r,;, i,,l_: t i i- -.\.a,'-,. ai.' f oF sTci:rs: HtCTiAIICA( ,c.i scinB lone !o th€ i(..sso,,/ Sr-r.r<ru.et [] ves [_.,] toior, i n t h:5 s there a Naturnl 6as Line cn the Cu.rent Site? [f ves [ ruoE-ilcir-gl I r", f- rro \lrcY: L-:. l-: ;.':-r ,:t, r :.r' , L..r,^ :r\r:, r '';.: -'iJL 5I6NATURE :'i -.- '-.ry. -.--.Y\ FLoooPLATN? L yEs L..l No SQ FI SQ FI T0TAL ACRES OIsTURBE0 | *. .X:JT LAND OIi'i R8I{G PFDt.:'L_i YEs L.l No s a!ll &l C L (x I '14 o 5 '-- | r':--ril- a;, ,-,; g Ha 0I5C0v! a ,.-! i;.'i ,,': l '{. c4v) ! .at(s: F: , r :ri .Li FLooD _j 8r E- 2 fr. c i+1 *ru-RE 0 Lanr * dmnoszon "!7, ztlG)oil &o tb -3'l&o APPLICATION Number (office Use) CEIVE NEW ANOVER COUNTY BUILDING PERMIT APPLICATION IYPE: RESIDENTIAL LEASE AiISS/ER ALL QUESTIONS APPLICABLE TO YOUR PROJECT "Project Responsibility" APPLICINT'S NA'4E: DEVELOPER: SUBDIVISION: PROPERw 6rPgP'5 x111g, --\ ". OWNER's ADDRESS:q\S CONTRACTOR: c\--..-<- CITY: BLOCK #: CITY: L.J.\ c*, --\.,* oare: O1 ,/os ,/\ [pnoNe *:1ro-I-\.r-q\so ZIP:IA.{ 01 ProNE f:a\0-l\8 il.a< ST:tdc zIP:).qq hq sr:!s zrr:$\Q[ PtoNE #:\):A]5:S3S)O PIloNE s:\\\_tE:[gU RELOCATION o LICE'ISE #: q:(C ADDRESS: R,Q CITY: EIiIAIL ADDRESS: ,*+ +tr( ++,i *,t** )*,* )** * * )* *,*r** r*,* ** )i* * *)* * * r* * ,*,* * * *i(,ir( )i )t * )*)** ZONE: _ 0F FICE R: Approval:_ City: Conme nt : \ PRO]ECT CONTACT PERSON: EXISTING CONSTRUCTION: Y \L aTT 6ARA6E _ 5F suNRooM _ sF GREENHOUSE SF P00L _ sF DECK SF ERATION S neHovarron I eeruenal neenrns ! NEW CONSTRUCTION:ERECT EW RESIDENCE or ADDITION TO EXISTING RESIDENCE {.*PLEASE CHECK AND ANSI,{ER BEL ALL THAT APPLY TO YOUR PRO]ECT: ! orr cannce _ sF PoRCH _ 5F STORAGE SHED OTHE R: SF 5F TOTAL 5Q FT UNDER ROOF: I<D ToTAL AREA sq TT, 150TOTAL HEATED SQ FT: T0TAL PR0l ECT C05T ir-e's rorr i Is Any ELECTRICAL, PLUI4BING oT If the pnoject is a Rel-ocatj- Is thene Electrical Pou/er on PROPERTY UsE / OCCUPANCY:tr SINGLE FAMILY DESCRIPTION OF WORK: $ HAtucAL work Being Done to the Accessory structune? [t Ves I lo , is there a Natural Gas Line on the Cunrent Site? [ ves @ lto this Building? ffi ves f] ruo DUPLEX T0l^J SE \o' DISCLAIMER: l hereby ce ly lhal all rnbrmatlon in and o.dinances and regulations. The NHC Develop is applaaton is correct and dl work witt compty wih tte Srae Auiting Code and a[ oher appkabte Siate and locrt taws I s€rvices cenier willbe notlled ofanychanges in the approved ptans and specirrcalions orchange in conracbror coniraclor inbrmalon. "'NOTE:Any Work Perfor w/O he AppropriaE Pemils wittbe in Viotalion ofthe NC SraE Btdg Code and Subject b Fines Up To $SOO.0C" ot{NER/CONTRACT0R :SI6NATURE : ] *+,++,t *{.,t******* **++ +,t* +*** ******,*+t+****)**+++*+*****)*+,t*,t**)t)** I SETBACKS: F:_ LH:_ RH:_ B:_ DATE: FLoOD: RFF+rfr= AVN IS THE PROPERTY LOCATED IN A rloooplarrr I--'l yes EI uo EXISTING IMPERVIOUS AREA: NEI^J IMPERVIOUS AREA: WATER: X CFPUA SEI.IER: X CFPUA SQ FT SQ FT TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERT1IT:I_l vrs I-l ruo * *:N ,* )*+,t +*,i,* x*x+ *+*,*,** x xxx* *+**,*** x**:*++** *x,*r* *,t* **,** *,**x,*x*,t,*+ (FOA OFFICE UsE q!LY) REVI5ED DATE O4l11l12 c011[1uNI SYSTEM PRIVATE WE LL ! crrurnal uerr ! c rrurnal PTIC PRIVATE SEPTIC COi4MUNIIY SYSTEI"] *** SEPARATE PERI.II REQUIRED FOR ELECT, Ii,IECH, PLBG, GAs EQUIP, PREFABS & INSERTS *** PAYI1ENTI{ETHOD: E.o''CHECK (PAYABLE TO NHC)At'IERICAN EXPRESS tr 14clvIsA I orscoventr PERMIT FEE: $ @ LOT *: PRO]ECT ADDRESS: \2.0 I S $oo .o(l # oF sroRrES: I