APRIL 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:
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ZONE: _ 0F FICE R:
Approval:_ City:
Conme nt :
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PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:
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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
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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 : ]
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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
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(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:
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I S $oo .o(l # oF sroRrES: I