HomeMy WebLinkAboutAPRIL 26 2016 BUILDING APPS/.\
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DESCRIP'Io'{ OF l{on(:
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DlsCUirERr
loE3land
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ol ChrrrElgrdfD
mb,f'laflrr.&rtd..ts
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d.nE b.rdat ytrilis h&tE,
TOTAL PROJBT
,'
TOTAL AREA SO FT
TOTAI SO FT TJT{DER ROOF:
ACRES D TURBED
I,'EIIY IHPERVIOUS TRE&
PEOPERTYITEE: trbFFEE
WAIER
SEWEE
-EP'RAIE
P YilENrlGIUoo: flcrsx
zofile-oFHCER
OIlltlEFtlOOtlTMtrtORrFrrd
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EcFP{r
Approt4__
FEE;0
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TB/IEDATTE(lUE
O4/2112016 14:O7
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APPLICATION
NuDbe.
#oc)6 P.oo1/oo1
.-:.'
ii t t1 i: !.\'
NOVER COUNTY BUILDING PERIIIIT
APPLrcAtran rypE.. RESIDENTIAL
E Ar!'rJtB aLL QlJtSTIOr{s ApprrcA&LE to yooa pSolE(T
"Pnoject Responsibilit}/,
PRO]ECT AODRESS:
sumrvlsl0r{:
PR,OPERTY O {ER'S IIA',IE:
oa,JNER'S ADORESs:
APPLICAIIT'S IiA}1E
DEVEL@ER :
COIIRACTOR:
ADDRE 55 :
a OATE:
t/V /6
CXTY:) !t)/2-
SLOCK S: _ LOT S:
tD/)5 I /t y' /tattrtr/,}()NE f:(? /o ) 5 J
f/t
e5 lio
d'4 /t 2ECITY:
LICEI{SE ':CITY: l/
ST:. ZIP:r - ,,./v-r z71f/ Ztsrt!zw:2 o y )-
r
t,tc L: l) i s Itt l> l'f ,
1 fEts,AIL AODRESS:
PRO]ECT CO{TACT PERSOTI :
EXISTIIG CO{STRUCTIO :
NEU CONSTiUCTION, I entCr I
..PLEAsE CITECX AIO A}ISIIER BELdd
ATT GARAGE
-
SF
suNRoolr _ sF
GREEN}IOiJSE SF
&
TOTAL HEATED SQ FT:
TOTAL PROIECT COST lrcss r-oq :
Is Any TLECTRICAL, PLUTBING o. l{
If the project is a Relocatio
Is the.e Electri.cal Power on
PROPERTY I'SE / OCCI.PA CY:
DESCRIPIION OF UORX:
P O E t:
Pt€fi E S:
ALT Arror.r I REtovarroN I cenenar Rrearns I RELocATToN
RESIDET{CE o" sQOOrrror TO ExIsTI[6 RESIDENCE
L T]IAT APPLY IO YOTN Pao]ECTI
! oer crnnee sr I roncn
--
sF
f] cool _ sr I sronace sHED _ sF
//tp17s 1..y't rrt
oecx /b x / l,,
(n llL-
[-/'ttt
.fi SF OTHER i SF Z( tr2L(
rorAL se FT rtr{DER RooF::-zy=I_ ToTAL AREA sQ FT:--Ar-
HIIIICIL llork Being Done to the Acc?ssory Structurel f]Yes
2 tT'.s r
, is there a Natural 6as Line cn the Current Site? [
his Building? f] v"rfl$o
LE
':A}I]
LY ! oueLrx I rolrrnousr
U /L A L
DISCLAIU€R lh6ebycstjl! t,rr allht.nalon i.arpkaion 6 co@cl and .! work wil comCyw,n hc St.l. &r,ktirq C.6d) ahd dl oh.r applcabte Sllt and loc.t tais
,rd o.dhrn..s ard regU.uoos Ih@ NHC I S.NE.s C.oEr ullbc noti{Ed ol$y.h-ges in h6.pproEd s and spec'lotirrs d ch@!e ir c.rt*roror
@nr&b.'alon.!on.'-NOTE A!
otlNER/CO TRACTOR:
b. ,. V.larjcn olrh.l{C
. SIGI.IATURE :
r. i r.....i r r*. i 4*. + +r t r., r * i r I r, * +
0.00"'
rS THE PROPERTY LO'ATEO IN A loooe urrt I ves F(i/o
TOTAL ACRES DISTUREEO:
EXIST LlNO DISTURBT G PERHIT: E YES N8
EXTSTITG IiIPERYIOUS AREA:
NEH II.IPERVIO,,S AREA:
SQ FI
SQ FT
svsreu I pRrvArE NELL f] cerurnar- uielr
rrrc I pRrvarE sEpTrc f] corruNi;v svsrm
NATER:FPUA COt,lllUNI ry
5E!lEn CF PUA fl crHrur- s
... !EpaRATE pt'rMtTs nIQUIirD FCR €Lt(t,
^rECr{,
pL8!i, 6A_t iQUIp, iitFiBS
PAYHEII ]rEn€o: E clsx E]ECx (aAvABLE ro rrc; ! elenrori :xenrss [ ".rrrl f] ors.orr*
z*r' lfiF-L
X*il,
" ".I$;irfi i,fi ' u 4fi'ldf " " " " "
(foa orFl(E tsE 6rty) t --,ctvlsEo o^TE 6altl/ll
sErBAcKs: ,,il1A o, 5' RH:jL-" B: i5'
Itoltl Zc,wX
"€f;/h't'r:tb;iL, .':i'niie':ti,'r" i:tt?!i' c2'
#t)
OFFICIi
Dak,iis
/1t ,rl;b ,6/_rh
cj=.13
'rff r
zrq i
) t s'c-T. t} $ oF sToRrEs:
NEh,I R COUNTY BUILDING PERII,IIT
APPLICATIA1 rYPE; RESIDENTIAL
E AtilslltR ALL gJEsTlOl'lS APPLICABLE TO YOUR PROIECT
"Project Responsibility''
UH
Wab)aa
&olb-3bse
APPLI CATIO'I
unber
APPLICANT'S iIAIlE i
DEVELOPER:
(t
Plto.t *
DATE:
zN
LOT *:
tt)\fr""ztf/ L
srt/tz.o :2dy )L
(Offire Use)
/6
zrp I zI t//L
J3
1l>
PRO]ECT ADORESS:
SUBDIVISIO:
PROPERTY Ot {ER'S tIAfiE:
o{r'lER,s AmRESS:
CONTRACTOR:/7 t t1 /)S
I CITY:
CITY:
LICEiISE S:
crw:
BLOC( f:
t,r
0 /7 n5r
SQ FT
SQ FT
1r[/ ltatrrtr/ prg{E tr: ty to ) t ltr-r/tz
ADDRESS:oco L B 7 lrt D CT I
7 s-
U/L A
EiIAIL ATDRESS:00
PRO]ECT COITACT PERSOI:fttDns wt rrt PHO E f:
Exrsrrr{G corisrnucrror: I ar nlrror ! REM)vATroN ! eruenlr nrrlrns I nrroclr
NEW COiTSTR[rcTrOr, D rntCr r
*TPLEASE CHECK AIID AI{SI{ER BELOTT
RESTDE CE o"'E,emrrror To ExrsTr G REsrDEr{cE
L T]IAT APPLY TO YOUN PROJECT:
! orr crnece sr ! noncn
-
sF
Pllol{ E t;?/t
! sronlcr SHED _ sF
( y t,r J .4-st -
rorr ' lTlr
t"
! lrr elmcr _ sF
I surno*
-
sF
I enreuouse
-
sr
PROPERTY USE / OCCI,PA CY:
DESCRIPTIOI{ OF UORK:
f] poor-
-
sr
EloecxMu*,lL OTHER:
LE FAI'ULY I ouer-ex ! ro.ruirouse
21, (SF z(tr
TOTAL HEATED SQ FT:IOTAL SQ FT UTDER ROOF:
-!=T
TOTAL AREA 5Q FT:-rt lf
ToTAL PRoIECT CoSlressr-oo :) t f aV, {n f oF STORIES:
Is Any ELECTRICAL, PLUIGIIS or
If the pnoject is a Relocat ,isth
his Bui
No
Is thene Electrical Polrer on
lbrk Being Oone to the Ac(essory Structure? E V"r-EI-{o
ere a Natural Gas Line on the current sit"l E("rts
raingt l-''lves'FNo
a
OISCIAIIER I hercby ce.ufy ttat all r]lormadoh in is appli.alio. is corecl and aU iiork wil comdywih he State tuildhg Cod,a and d oher applicabl€ Stab and local lads
ad odir'ance. ad rcgulatons The NHC aychang6s !,t h6 appmvEd plaqs a.d sp€c,f@lbns orchange h cont*br
h vorarron of t'€ Nc sr.(gryrYe a.d subpcr
'o
Fhes
"" I. "20 y'
sTG ATURE: / h //11 tr,., /1/ ' h,/Ar1h
J--'l Yrs
,t,f ,t,t,l' + + r! :* * r:i *il*
h(l rb
/-
coht3cbr nbmalion.'_NOTE: An lt
oL'INER/CONTRACTOR:
*,r*+ iri* r,**,| + rr +;; **,r ++,ta*+t+t*+t*trr*,***t
I5 THE PROPERTY LOCATED II{ A FL@DPLAIiI?
EXISTIiIG IIIP CRYIOTJS AREA:
ET{ IITPERVIdJS AREA:
TOTAL ACRES DISTURBED:
EXIST LATD DISIURBII{G PTRTTIT: [_.l VTS I..I TTO
svsrer.r ! PRTvATE NE LL CENTRAL I"]E LL
enrrc ! pRrvATE sEPTrc E colt, JNrw sYsrEM
REqJIRED FOR ELECT, iTECH, PLBG, 6A5 EqIIP, PRIFABS & INSERTS 'tT
cxEcx (pAy BrE ro urc) E prrnrcar ExpREss E,rcr-to E orscovtn
*,*:*,t*+)t***:**+,*****:**)t*)t:t!t:****:|x.,*++*l+,lt*1.1.:l***,t+,1,1+***,*!a:t*'!*'*+*
IATER
SELIER
FPUA
CFPUA
! cor.+rurur
I ceNrnal
*1r* SEpaRATE PEfrr'lIT
PAYliEiII nETr(D: E CnS'
,k,*:l******,** *)***,1***,*,i***
ZONE:OF FICER:
(FOR OffrC€ UgE OrrY) Ravlsf,D D TE 0./11/12
SETBACKS: F:- LH:- RH:- t,- .h|^Y5
c:(l
ffi'r
l,llcHA lrca
REcr,r\.,!:l i.i'q 1 20i0
E e?b'3b')t
VER COUNTY BUILDING PERMIT /c-luf
APPLICANTT S l',lAflE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDNIISION:
PROPERTY OI,{NERJ S MUiIE:
OhNER'S ADDRESS:
@NTRACTOR:
ADDRESS:
EI4IUL ADDREss,
[l nrr emeer 411 sr
f] surnoor,r _sF! eneemrouse _ sr
Is there Electrical power on
PROPERry USE / OCCUPATTCY: pl
aPPuIcArIoN rypEi RESIDENTIAL
allsllER aLL qJESTTo S appucAELE TO YOIJR PROIECT
'ProJect Responsibility-
CITY
BLOCK *:
o
UCEN5E *:
CITY:,
qoig!.saqq
:tLzrr:284€-
APPfICATTON
Number
COFtlce t se)
ZIP:
PTONE *;
PHONE *:
ACCOUI.IT *:
ST:
oerc. 3l3tIrv
Lor'#: (t It
ST
! orr am.aoe _ sF
I eoor-
-
sr
I oecx _ sr
P}ONE *:
P}ONE *:
--J rnn
llJPoRo{ / " sF
I sroucr sHeo _ sF
I
PRO]ECT CO{TACT PERSC :
EctsTIIre coitsTRumoN: I AL
NEt I coNsTRUcEoru: [l rnecr REsrDEtcE or fl oorrroN To Exrsms REsrDEl,rcE
**PLEASE CHECT AIID AI{sI€R BELdd TI{AT APPLY TO 'YDUR PRO]ECT:
c q
OTHE R:SF
TOTAL HEATED SQ FT:1b roTAL se Fr ltr\DER nrrrr, A5Ol rorAl- AREA q n, A 5Ol
TOTAL PROIECT COSTGess r.d) : g r2O.dT'-l 4# 0F STORIES: o(
lrork Being Done to the Accessory StructurE? [ V"s ffi XoIf the projest is a Relocation is there a tlatural. 6as. Lj.ne on the current site? flves [t uos Building? Ll yes !!l no
NGLE AJ\4I LY tr DUP LD(n TOWNHO EFUS
DESCRIPTION OF llJoR(:h
DECLAIMER I heEby ceniry h ar an hbrnstbn h fr appfadfon b co.rBct ad aI w!* ril cornply wfii he Stee Cod6 ad an ohe. appncebb Stats and beland ordharces ard rBgulabns fte NHC SewlcEs C€rlE wiu b€ notf6d ofany EtaEes in he
tuildhg
conf€cEr hbmEion. dt'IOIE: Any V\rod( perfomed qproved
Pefinlb wll be h \rDlsdon of th6 NC IJP To $5o0.Oo.-r
olllNER/COIITRACToR:SIGNA'
***++***++**++***)t*:t*x
Rec
15 THE PROPERTY LOCATED IN A F P LATN?
,i+**++** *,f ++*+*+++***++:F:!**+++*+**+++**t+,*,*,r+**+* **I r YEs LYI ro
TOTAL ACRES DISTURBED: 'lS
E)CTST LAND DISTUREIIIIG PERfirr, E VES FI
EXISTING IiIPERVIOUS AREA:
NEltl DIPERIiEoUS AREA:
IiIATER: EI CFPUA
srwrR: I creur
SQ FT
SQ FT NO
I cor*lunrrv I enrvarr wrr-l I cElrrRAL wELL
I cerrnnal s ! euvere seerrc ! cor{MuNrry sysrEM
RED FOR ELECT, I4ECH, PLBG, GAS EQUIP, PREFABS & INSERTS +**C+* SEPARATE PERHTTS
PAYMENT I.IETHOD: E .*, E Ecx (pAyABLE m uHcl fl err-r- acconr E r.r*ro I orscovrn
,f **+,lr*,*++++++***++***+:i.i*,i +++**f++***r*'it+**++:f+,t+i.*+++***+++*,t**++,t**++++,t:|,r+***+***
(FoR OfFTCE UsE O,rLY)nE!I5ED DATE BL4l11/12
ZONE: _ oFFICER:
Appnoval:_ City:
conment:
SETBACKS: F:_ LH: RH:_ B:_
BFE+2ft=
N
Subiect !]Cod6
DATE: FLOOD:
AV
PERI'IIT FEE:lt).j
NEI^I
f! nerwarron ! oeneml neemns ! RELocArro
Is ffry ELECTRICAL, PUIAI}{G or
0
NFT
{i.t
loot
)
atq/
sv2
4
DEVELOPER:
PRO]ECT ADDR
CONTRACTOR:
ADDRESS:
EI|IIAIL ADDRESS:
ARCH DES
DESCRIPTIO
D ISCLAIM ER
and local
SLI
demolilion of
TOTAL
Appro\ral:-
chanqe
bject to
Comment PERMIT FEE:
J or b-3b\s
NEt^,1
PLE
APPLICANT,S I,IA}'IE:
ESS: ,--
OCCUPANT/BUSINESS I,IAfiE :
PROPERTY OHNER's T.IA E:LL
o
'pnolrct courlct pEnsol:
APPLICATIoN IYPE: CO]I{I4ERCIAL
E Al.lSl,{ER ALL QUESTIoNS APPLICABLE T0 YOUR PROIECT
"Project Responsibility"
APPLICATION
Number
(0ffice use)
o^ril z/)Jl/L
nlott *:?to-ioir-t?co
ER COUNTY BUILDING PERMIT PE ?\(o-q13
.s
CITY:
TILL
LLtt Lk t Lt L::t-.. L,ZI'P | )5. ,/ t )-
o.!e<4 (,
c b ot-o PHONE *:?r'd-7 19-
L t 9e
(Ch€ck AU That APPIY)
h'r' - 6a;a h-o*t
C ITY:5L srtlLztPt:!5!d
LICENSE *:
CITY:ST:
-
ZIP:
-
TION RENOVATION
lf Relocalion, is there a Natural Gas Li on the Current Site?
NEt.l CONSTRUCTTON: ! enrcr srRUcruRE fl rasr rnacr ! surr-r- @uv'lr ffaoo rc Exrsr srRucruRE
ACCESSORY STRUCTURE:
Exrsr coNsrRucr tol, dALtE
*:l ***
IF Yes, h'hat was the Pnevious
Bl l--l crrrnr nrparns l-l RELocATToN
"-. [ ruo rs eloo spRrNxr-Eneoz I v"" p[ro
Is Elect Power on this Building {r"' flruo
rHrs A cHANGE oF occupANcy urr, {rr, fi o *****
upancy Type | &Ap P What is the Neu Occupancy Type ? P€tr 4u24 ,1,/7-
arcl;:7/0. )b/. 37lJ-.xc rce *:IGN PROFESSIoiIAL: afl :r4 441 2
ENGR DESIGIiI PROFESSION.AL :
N OF qICIRK: ,(CJ
PTTONE #:
P}ONE f :
,74J-!/,:_19_!_b. Nc REG *:
t f
q/o-o?-?E(o O
tho lecllhy or bildlng was ,ound to
at l€ast 10 days prior b the
SQ FT
DISCOVER
6,ls fiood or be\r€r-agos Fepared or In thls s{ructure?". [ ruo b rhe prope.ty Located tn The Flooogatn? fi ves ffruo
I hereby cerl,Iy
and ordinances T
in this application is correcl and all work wllcomply wilh lhe Slate Bu
he NHC Develoomenl Servrces Cenler will be nolified of anv chanqes
"'NOTE: Any Work Perlormed W,O lhe Appropriale Permits willSe in
ilding Code and all other a
in the approYed Dlans and
Violation ol lheNC State
pplicable State
specifications
Bldg Code and
th at a inlorm
nd
conlra clor nlra
U p T o $500.00"
rma
/c,+! j..JaNTRACTOR:SIGNATUR
(au'msr)
Note: Demollton notlicatons & Esb€stos
(Fri |lgrm)
pomh sppllc6iions aro to be submltd uslng tho lppllcalion
contaln Asbeslos or not You 6rE mquirEd lo call Naton€lEmlsslon Sbndards br Hszsrdous Air PolluenB (NESHAP)at (91
6fly hdlity bullding.See Web Sho: htip:h^/ww,epl.st8ts.nc.usi/ePy8sbestos/ahmp.hlrni
PROJ ECT OST BUILDING HEIGHT:/oE'# OF UNITS: /
TOTAL AREA SQ FT :,3o SQ FT PER FLR:53oo # OF STORIES:
# OF FLOORS:TOTAL SQ FT UNDER ROOF:3 O #OF STRUCTURES:
ACRES DISTURBED:Exsr LAND DTSTURBTNG PERMTT? EYES ElNo
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:
PROPERTY USE: EOFFICE lurncemru leouc nAPr ncoNDo OTHER
wAtER: V\6TFPUA a
SEWER: ETCFPUA LI
COMM SYSTEM WELL
SEPTIC tr PRIVATE sEmc il
.".SEPARATI Ft RI.'I OU Rt:,,OIi Ei-EC 'I Cri PiI'G s OUrr'[(Vt
PAYMENT METHOD: flcesn CHECK (PAYAB LE TO NHC)
ZONE:-OFFICER:
EzoNrNG USE CLASS FICATIO N:
COMMU N ITY SYSTEM
.t
(FOR OFFICE USE ONLY) REvlsED DArE /fi 1/r2
SETBACKS:F:-LH:-RH: B:
"-qar.p",
B(crvrse trBttACCOUNT
DATE:-FLOOD:--BFE+2fF-
N
\S+
t(+s
rc}
Jt.J
oBs
;-.1
,.\
ffi,'
OWNER, S ADDRESS:
If UPFIT - The Shell Permit
RECETVED APR 26 2010 >otG1b18
APPLICATION
Number
(office Use)
NEW
*r.,iri Is
IF Yes, rhat ,as the Previous Oc
NOVER COUNTY BUILDING PERMIT
APPLI.ATIoN rYPf: COIIMERCIAL
ANSIIER ALL QUESIIONs APPLICAsLE T0 YOUR PROIECT
"Project Responsibility"
pan(y Type l.Jhat is the Neu O.cupancy Type
ffi
APPLICANT'S NAI'iE: rimele:ts Pr
DEVE LOPER:PHONE *:
PROIECI ADDRESS: s62o Ii B ach Rd CITY: r{i tmi ZIP: 2841:
OCCUPANT/BUSItIESS l,lAilE i Irt d11 Eresh Mex Gri 11
PROPERIY OINER'5 NAHE: Lucas PHONE S:
OIINER'S ADDRESS:')rr2o C,rrolirr d CITY: wi lminqlon STi NC ZIP: 28.112
CONTRACTOR: rimelcss Prc I:T C LICENSE #: 55?84
ADDREsS: Po tsor 174 CITY: l{i lnri.nqLcr ST: N. ZIP: 284 r:
El,tAI L ADORESS: t Lnrc:ess PHOI{E #: 910-s47-064r
PRoIECT CoNTACT PERSON: vrc F PHONE f:910-54r-0641
(Che.k Arl rhat Apply)
ALTERA ION a RENOVATION 6ENERAL REPAI R5 RE LOCATION
!f Relocatior, is there a Natural Gas Lrne n the Current Site?r Yes f]r.ro IS BLDG SPRINKLERED?Ives I No
NEI.] CONSTRUCTION:ERECT NE STRUCTURE FAsr rRAcK I sxell I unrrr f] mo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Penmit #Is El.ect Power on this Building Yes E^o
I5 A CHANGE OF OCCUPANCY USE?ves Ino *.'.*
? BarI'-
97C-169-4461
: 910-791-8016
I Rettuarant
52599
1t227
app[cable State
ARCH DESI6N PROFESSIOiIAL: OO
ENGR DESIGN PRoFESSIONAL: Lavld ins and Associales
PH
PH
NC RE6 *:
NC RE6 *:
DESCRIPIIoN OF l.,lORK: rur:n cYi i t. in ace inlo reEtaurant
ls lood or beveraggs prepSred or servBd this structure?T ves I lo b The Proporty Located ln The Floodplain? [ Yes I
D]CLAI ERI thls apficarion is corre{l and all work willcomdy wilh lhe Slale Bu
NHC Develooment Scrvrccs Center wllbe notrie{, ol anv clanoes
NOtE Any WorL Perrormed w/O U,e ApUoprale Pe'mrls wll Se rn
SI 500.00
OWNERYCONTRA
(aJdi6'r)
Mt6: Demo$on notiicatlo.lg
contain Aso€stos or nol, You
CTOR:
TOTAL AREA SQ FT
TOTAL SQ FT UNDER ROOF
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
PROPERTY USE; [OrrrCe I
J Jolulson SIGNATURE:
Bldg Code a,d
No
SQ FT
d
tullding was lound lo
$
arionalEmisslor Srand3rds lor HazardousAjr Polhnads (NESiAP) sl (919)707-5950 al
Sk6: hupJ^vww.rpi.nate.nc.us/epuasbeslos/ai,np-hlml
sppllcaum3 a,e lo be sub.nltlod !slr{ uo apdlcsud forrn
domollion of Bny laclllly or tulldlng. See Asbotlo3
TOTAL PROJECT COST: 22oooo. o
WATER:
SEWER;
nE COMMUN
CENTRAL
SYSTEM fIWELL
PTIC LI PRIVATE SEPTIC
MCFPUA
MCFPUA
BUILDING HEIGHT; 18 # OF UNITS
SO FT PER FLR: s146 f OF STORIES:
# OF FLOORS:# OF STRUCTURES
EXST LAND DrsruRetNc prnirrr'? n ves I Ho
SO FT EXISTING IMPERVIOUS AREA:
EzoNtNG usE cLAssrFrcATtoN:
E COMMUNITY SYSTEM
PAYMENT METHOD: ICNSI I EcK (pAyABrE ro Nncl f]aueatceN ExPREss I ucnrtsa E otscoven
ZONE:_OFFICER:
Approval:_ Citf-
(FOR OFFTCE USE ONLY}
SETBACKS: F:-LH:- RH:- B:
REVISEO DATE 4! 1I12
FLOOD:
-- -
BFE+2ff=
AVN
t
t
Comment
DATE: 4-26-16
EXIsT CONSTRUCTION: E tr
fluencerurru neouc nepr lcouoo orHER;
PERMIT FEE: $-
CO TRACTOR:
ADDRESS :
WATER:
SEWER:
c",#,
)t
-ttr-&q la
N
PERMIT FEE: $
NEW ER COUNTY BUTLDTNG PERMIT
p€? lL- $1
&DIVSte;a
APPLICATION
I{umber
(offlce Use)
PLEAS
aPPLICATION TYPE: €OtlltlERCIAL
ANSLIER ALL QUESTIONS APPLICABLE TO YO{JR PRO]ECT
"ProJect Responsiblllt)/'
;ZA",L L't rout{D^rt 3lt6[tc
PHONE s: 4 ro l'76'l- 3E?Z
ZIP: Zr"c./
PHONE #:
STi i.ZIPt Zivol
911 y'c 7y9.1 Z-s ?ot
PIIO E #: 4P ?Lf- ss4
PHOI{E *:1r. Zt s - lVfl
ADD TO EXIST STRUCTURE
all other applicable State
and
C
REVISED DATE {J11/'I2
loo
APPLICANT'S TIANE:
DEVELOPER:
e4bLw4
PROIECT ADDRESS: l1,o t re r crw:l)lL*1tt tt'>^./
occupaNT/BUsrNEss NAr.tE :d 6oeen4Ei d€sa 6 ct-,'rL
PROPERTY Otfi{ER'S NAiIE: Llt
OlrlNERr 5 ADDRESS:<-I
,ttot,*q 6tea^t (.,.11t-orltd
fite',/zknz
ElifAI L ADDRESS: P" t4'.
PRO]ECT CONTACT PERSON:
EXrST Coi{STRUCTTO{: @ ALTERAT
:}*
IF Yes, what Has the Prev
ARCH DESIGN PROFESSIOTTAL:
EI{GR DESIGN PROFESSIOTIAL:
OWNEF|/CONTRACTOR:
(O{d166.)
TOTAL SO FT UNOER ROOF:
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
PROPERTYUSE: flornce
CFPUA
ntl CENTRAL
SYSTEMCOMM
Approval:--!&- City: \,U t Q Yl
cr|l: e)t-nt"t <r)
LICE SE #: NLCL - zo i-+t
CIry: 3t..-',"o7t*7
tq. s. a
o.tt ron) ct AAe(er
(che(k all rhat Apply)
I nrrovarror n3gurnnl REPATRS
Current Site? lll Yes LlNo lS BLDG Sp RIN
RELOCATION
KLERED? flv"" flr'roIt Rolocation, is there a Natural Gas Line the
NE!,/ COI{STRUCTIOiI:ERECT NEII srRUcruRE I rlsr rnacx ! sxer-l ! urrrr I
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #:Is Elect Pouer on this Building Yes Euo
*r.* Is T A cHAr{GE oF occupar{cy user fives ffi o *****
ious Oc
NC REG #:
NC REG #:
this application is cor.ect and all work will comdy with the State Building Code and
NHC DeveloDment Services Cenlerwllbe notified ot anv chanoes rn tha aooroved
NOTE: Any Work Performed w/O lhe Appropriale Permiis will 6a in Violaridn ol the
aaecificalions
BIdg Code and
PH
PH
DESCRIPTION OF trtrRKt />€ ttb t0 tt CUrC,-f /tol+T7o , Pe&Jka r't DEaxEn Ziz€<r E..,c E as Pt uztg2
ls food or b€rreagG pr€pa.€d q ssv€d u*s srucnrer [l ves I to b The ftop€.ty Locared tn The Flooddain? E ves [ ruo
Not6: D€mollfon notifcatons I asb6to6 r€anoval
contajn Asb€6bo or not You arE €quiird b call th6 Emissioi Sran&rd6 tor llazsddrs Air Pollutant3 (NESHAP) at (91S)m7-5950 at l€osl 10 dsys Fior to th€
demolitiofl o{ any f8dlity or bolldino. See Asb€stc Slts: httpr/wyvyv.ed slat6.nc.us/€pi/asbesros/ahmp html
TOTAL PROJECT COST: -/BIJILDING HEIGHT:
SO FT PER FLR:
# OF UNITS:
TOTAL AREA SQ FT :
SIGNATURE:
eft ra r.)
applhatlorl3 ar€ to bo $rbrnitsd uslng fl6 applicadoo foarn (DHHS3768) !,yhetr€I tlc Iacllity or bolldlng wss fuund to
# OF STRUCTURES:
f OF STORIES:
# OF FLOORS:
EXST LAND DISTURBING PERMIT? E YES E NO
SQ FT EXISTING IMPERVIOUS AREA:SO FT
---Jfluenarnr-e f]eouc Epr Emroo
tr EWELL EZONTT'rG USE C]-ASSIFTCATTON:
pRrvArE sEPTrc fl @rrrMUNlrY SYSTEM
OTHER:
(FOR OFFTCE USE ONLY)
SETBACKS: F:* t-tt
SEPARATE PERMITS R IRED FOR ELECT, MECH. PLAG, GAS EOUIP, PREFABS & INSERTS
PAYMENTMETHOO: EICNSH I (PAYABLETO NHC) EAMERTCAN D(PRESS I uCrursa ! otsCOVen
zoNe'CaJ ffiS]rrcen'
t^1 ,/.<ii\
Type? _ hlhat is the t{e Occupancy Type? _
cr)
ffi
OEVE LOPER:
CONTRACTOR:
Appm\,,dl:
Comm€nt
i-
FLOOD:
LH
th
&ole-3bst
NOVER COUNTY BUILDING PERMTT
APPLICATIoN rYPf: ColtlflE RCIAL
L5-l-073
Tribute C struction
Same
PRO]ECT ADORESS: 190 rt
OCCUPAI,ITIEUSINESs I{AHE: Sea ines A
PROPEnTY OHNIR'S N/r,'lE: Sea ines A
OI'INER,S ADORE5S: ,10 S, CaTdin Drive
n ule Constructio lnc
ADDRESS; 10 S. Cardinal Drive
EtiAIl- ADDRESS: bkais nslruction.com
PRO]ECT CONTACT PERSON: B Kaiser
ALL QUEsTIOIIs APFII(A8LE IO YOUR PRO]TCI
"Project ResponsibLtity''
lnc.
cITY: Wilminoton
rtrnents
dments LLC
crrY: Wilminoton
LICE SE *: 60001
crrY: Wilmin ton
DATE: 4.8.2016
PHoNE #: 910.251.5030
zrP | 28412
srr NC zrP: 28403
sr: NC zIP I 28403
PrcHt r: 910.251.5030
Ptole r; 910.599.8130
APPLICATION
Number
(clr..t All rhlt Apply)
EXISr CO STRUCTION: E ALIE ION RENOVATION GENERAL REPAIRS :RE LOCATION
lf Relocatlon rs there a Naiural Gss L on lhe Currer{ Srte?Yes tr No IS BLDG SPRINKLEREO?[v"" ffixo
{Er co[sT[ucTloN: ffi enrcr n t,l srRUcruRE I rasr rnacx I sxerr- [ urrrr I mo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit I ves E*oIs Elect PoBe. on this 3uilding
Hrs a cHANG€ oF occupAlrcy use I f,ves ffi rc .-,t"
ARCH DES:GN PROFESSIOITAL:
€NGR DESIGN PROFESSIOaIALi
IF Yes, rhat tllas the Previoug l,lhat is the fler Occupancy ryp€? SlOrAge
px: 793-3433 Nc R€6 s: 4390
DESCRIPTION OF I.JORK: CONS tnews e buildin
ls tood or b€verages p.epared oa in tNs stnxlirrs? f]Yss E] ruo b The Property Located ln Tho Flooddanl f] ves E] r.io
DISCLAIMER:l hereby catuty Ihar
andlocal a*s and ordinancos and
lh'r Bp9'rats r! co,red 8nd 3l *orh ,,llcoiCy .r\ rl-e Slrte Buid.no Code 6nd arl orrer EDpt..ac.e Slare
N!9lPevelopmeo! Servrces Cerlcr w ll o€ noll'c{ ol ofy oanqcs rn lha aoorored Diaf! dro soeattrcanonsNOTf An) Wo Pedo.,red w,O rhe Apporrare p".-rswrl bie.n Vdahon ol lheNC Srare Eloc Cco€ and
coM
CEI.TRAL
orchrno! in conkacror or conradd
Slqecrlo F,nes up To t500 m"'
OWNEFYCONTRACTOR:
(or&4
Bri Kaiser
l.9plt !o.. rr b !. .u!hE d l.t! U..99L.doi b.m (DHHSnftO rn O.r t Etrr o. biJldrlc wst tr,ld to
3b: nllD1r..tr .pl $.8.Elsolbl$.lr.rinhp nrnr
BUILDING HEIcHT: 14'-6'
Not r O.holhb. mlidlbN t sb<t
aonbh ara'.r$a o. not Yoir .o roqu@d b orl ta.lon r E-mLlon 5r.ll(b16 h. H.I, {o€ ar Po0u6itt (NEsh P) r (919)707"5950 !! b.n 10 d.yi p.h, b rj.
&trD]]lbn ol .n, bclty or b!&k'g. &.
TOTAL PROJECT COST:, OF UNITS:
TOTAL AREA SQ FT SOFTPERFLR:400
TOTAL SQ FT UNDER ROOF
ACRES DISTURBED: N/A
fl OF STRUCTURES: 1
NEW IMPERVIOUS AREAI SO FT
E(ST t ND DTSTURBTNG PERMI? E YES
EXISTING IMPERVIOUS AREAi
NO
PROPERTY USE: SOnrrCe [n RAr{r DMERCATffLE nEDUc Epr EcoHoo orxe*
SO FT
WATER: MCFPUA
SEWERj m CFPUA
SYSTEM DWELLmc L] PRIVATE SEmIC
nzoNrNG usE cLAsstFtGqIoN:
tlcoMMUNnY SYSTEM
PAY[.!ENT METHOO [fcAsH cK (PAYABLE ro NHC) lArERtcAN p(PREss fl MCA/ISA fl orsCoveR
FOR otrFlcE l.lsE,one,Mr-n(irf,Jn or{,Y), ,t'-+k_31 B,-J.-
OAJE
c
SEIBACKS:RH
BFE +2fr=
t.liLv-
Tt-
NEW
Pnotre *: 910.251.5030
NC RE6 fr _
APPLICA T'S NA'4E:
tr
srcr.rATURE: r /i/</
,OFSTORIES:1
I Or TLOOnS: ==1-
I
J.*,r..., r--..,1 ! 9-
nchanqe
blect toS
ACRES
Comment PERMIT FEE: $(uc
NEt^l
,o lb-3a\-7
ER COUNTY BUILDING pERMrr 16-1073
APPLICANT'S NAME: TTibUtE CON ruction
DEVELOPER: Same
PRorEcT ADDRESS: 1907 Braxton ou rt
OCCUPANT/BUSINESS NAXE: SEA Pi ES rtments
PROPERTY OWNER'S NAI'IE: SEA Pi ES rtments LLC
ot,lNER's ADDREss: 10 S. Cardinal
coNrRAcToR: TributeConshuction nc
ADDRESS: '10 S. Cardinal Drive
EI'1AI L ADDRESS: bKA|SET tribut structron.com
PRO]ECT CONTACT PERSON: BTiAN Karse r
APPLICATIoN rvPr: COMMERCIAL
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsi.bility"
lnc.
crrY: Wilminqton
crrY: Wilminqton
LIcENSE *: 60001crrY: Wilminoton
PLE ANSI,JE R
APPLICATION
Numben
(office Use)
oare:4.8.2016
PHoNE #: 910.251.5030
ZIP 28412
PHoNE f: 910.251.5030
sT: NC zrP: 28403
PHoNE #: 910.251 .5030
PHoNE #: 910.599.8130
(check all That Apply)
lf Relocation, is there a Natural Gas Line the Current Site?Yes
NEt^/ CONSTRUCTION:ERECT N STRUCTURE FAST TRACK SHELL UPFIT
ACCESSORY STRUCTURE:
ALTERAT ON RENOVATION
If UPFIT - The shell Penmlt #
****'* IS T
IF Yes, what was the Previous Oc€
ARCH DESIGN PROF ESSIOT,IAL:
ENGR DESIGN PRoFESSIOI'IAL:
DESCR]PTION OF WORK: CONShU new stora buildi
ls food or beverages prepared or served
DISCLAIMER: I hereby certify that all information
tr GENERAL REPAIRS RE LOCATIONtrNo IS BLDG SPRINKLERED?! v""No
ADD TO EXIST STRUCTURE
Is Elect Power on this Building n Yes I to
rs A cHANcE oF occupANcy user [ves ffi o *****
pancy Typ€ ?what is the New occupancy lype? StOfage
n Harri Pn: 793-3433 nc nec *: 4390
ord
U p T
OWNER/CONTRACTOR . Brian tser
this srructure? Y". ffi lto ts The Property Located ln The Floodplaina I ves ffi uo
thrs applicatron is correct and al work will comply w th the State Building Code and all olher applicabie Slate
NFIC Develoomenl Servrces Cenier will be nolifled of any chanqes in lhe approved plans and specillLdliors
\OTE:Any Wo'k Pedo'med w/O ile Appropnate Permrts willbe rn Vro'alron oftleNC Stale Eldg Code and
d
lL---,/SIGNATURE:
(Oualfll€r)
Not6: Demoliton nolifrcadons & asbeslos romoval
(Prlnt Nsnrc)
agplicalioN sre b be submittad using th6 application ioin (DHHS-3768) whother the hcility or building was found to
contsin Asb€stos or not. You are required to callth€alional Embsion Standerds lor Hazardous Ajr Pollutants (NESHAP) at (919)707-5950 at least 10 days prior to the
denDlilion ofanyfacility or building. See Asbestos Site: httpJ rrww.6pi.stale. nc.us/gpi/asbestos/ahmp.html
BUILDINGHEIGHT: 14'-6"TOTAL PROJECT COST # OF UNITS: 1
TOTAL AREA SO FT SQ FT PER FLR: 400
TOTAL SQ FT UNDER ROOF:400 #OF STRUCTURES: 1
DISTL.,RBED: N/A EXST LAND DISTURBING PERMIT? [NYES N NO
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA:SQ FT
PROPERTY USE: EOFFICE AURANT
SYSTEM
MERCANTLE leouc fleer f]CONDO OTHER:R
WATER: mcFPUA flcoMMUN WELL zoN NG US E LAS S FICAT o N
SEWER: TX-l CFPUA E CENTRAL s
'" SEPARATE PERMITS R IRED FOR ELECT. MECH PLAG GAS EOUIP. PREFABS & INSERTS "'
tc tr P R IVATE E PT IC coM U N ITY SYSTE
PAYMENT METHOO: [Cnsn I cK (PAYABLE TO NHC) IAMERICAN EXPRESS I t"lCnrtSe I otscoven
ZONE:_OFFICER
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-
Approval:- CitY:- D _ FLooD:
---
BFE+2ft=
AVN
X
#
trExIsT CONSTRUCTIoN: f]
ST: NC ZIP: 28403
tr
PH: NC REG #:
# OF STORIES: 1
* Or TLOORS: --l-
REVISED DATE 4/11/'t2
SUBDIVISroNr hJ
PROPERTY OWNER'S I,IAfi E ;
OI{NER'S ADDRESS:
CONTRACTO R
AD DR E 5S q
EMAI L ADD R ES 5
PROfECT CONTACT PERSON:
..PLEAsE CHECI( AIID ANSI,JER BELOU AL
' ,4en aaatar
'-' t SutrtRooM -
GREENHOUSE
roTAL HEATED sQ Fr: /3/5
TOTAL PROIECT COST 1r* t-orl : $
Is Any ELECTRICAL, PLUHBING or d
If the pnoject is a Relocation,
Is there Electrical Pouer on th
EXISTING CONSTRUCTION: - ALTER
NEt{ coNsTRUcTIoN, ,/'u*r* ,a,u
PRoPERTY USE / oCCUPANCI:
DESCRIPTION OF VIORW IJAT)
4 tt/ore x sjRlet
OISCLAIMER: I lereby cellily thal ou in{ormslon in his
lnd odinancesond Ggulatons The NtiC
<ontaco, nblmol,on- "'NoT€. Arry rvofi
:**!i + * rs*a**** +t: i**n:!*tl
IS THE PROPERTY LOCATED IN A F
EXISTING IITPERVIOUS AREA:
NEH ImPERWOUS AREA 3
I{ATER:
SELTJER:l creua _. CENTRAL sE
/ctpur com,luNrrY s
PAYITIEI{T I{ET'IOD:
*ta*r*:***:!**i*:*:*1!*:*:*
ZONE: _... ,_
Approval:
corment r
OFFICER:
city:
NEIII
clear Form Prina Emaii
ER COUNTY BUILDING PERMIT
APPLTCATION TYPE: RESIDENTIAL
AiIst{ER ALL QUESTIOI{S APPLICABLE -|o \OUR PRO]ECI
"Project Responsibilit/'
aJ:/.n
BLOCK *r
fur;t (i4t'?€z tb-l tk)
ba
PL
4;/4<
4/k .(/,/L'crw,cL €d_ y',lcors
APPLICATION
Numben(*t:: 1r) r.t 1 a t '/.. Fl ,: i,/t t{zi- ?; zit/e
{e3{ttArl doo
_ q3{)
A
o
SF
SF
zrpt ae-{/Z--
LoT *r ./ ./-
PHoNE #: {Zt4oZ>' ^srf -ztP! ?g-{ay
DATE
/€ /4://a<
^81 R\. crrY
I -_---
' Nil+.--
/7/.//c<^l
PHONE iil
A c COUl\ITLIcENSE
SF
SF
oll
Ceo drled of nr
**' .{3-8?. s
*t:l&.
r_
?,rl/l tla<
TIOru RENOVATTON
-- ,eerugRel RepntnS : ReLOCn-rtOru
- Z&r.,gpu7ty'a/e
SEre Bunding Code
plans speci,iEalions
/",(*n oc'
rt-"r?4
//aa J 2.*
ESIDENCE or ADDITION TO EXISTING RESIDENCE
THAT APPLY TO YOUR PRO]ECT:
DET GARAGE SF
-iy'eoxcn ./o( .ro
POOL
DECK
-,.. STORAGE SHED
OTHER:
SF
SF
rorAL sQ Fr uNDER RooF: .1!t{-t.- rorAl AREA sQ rr: /65//
?1r@.e - * oF sroRrEs: t
ICAL l.Jork Being Dooe to the Accessory Structunel I Yes
is there a Natural Gas Line on the Current site?
s Building? , Yes
No
Yes --,-fl o
No
/roro*ror., 0ro-:/ 6't' 6)al|SI LE FAI4ILY DUPLEX
/1 JC {/€r&*
4 {r'.4 zt,4/et4*t <ilf4+5 fP /Z
N
S I A6NTU RE
*r:r:r ***!:!x * rr! r:!*ls *.* **t **::xrx nt *=8 x*:* *)ax:x*ra;x
gill rion of c Srale Bdq Code ond Srhiecl o Fioes Up To S50U00'
#nrc/4/;//<
LATN? l/ YES i NO
sQ FT TOTAL ACRES DISTURBED:to 3
-/nt/4 / So FT EXIST LAND DISTURBTN6 PERMIT:
TEIN PRIVATE IlELL CENTRAL I.JE L L
IC COI'1I4UNIry SYSTEI.I
NO
r CASH i ct( (PAYABLE tO tAC; l--,altt nccouur lrclwsa DISCOVER
i***r**arr**x**a*****tr**:.l*tti*t******tt**r****t**r<*****r=:
REVI5Eo oATE e.l1tl12
B:
BFE+2ft=
Tq
DATE:
(FOR OFFICT US€ 6lLY)
SETBACKS: F:
FLOOD:
LH RH
ti
PER fT FEE: $
ADDRESS l
SF
tr;
#.B
ST:CITY;ztP' 2{4O?
1n L'2szs'PHONE f:
PHONE *!
Ot,lJNERICONTRACTOR:
PRJVATE SEPTIC
F(
)o tb-3b6o
?(a tb"ttk)Pnnt
NOVER COUNTY BUILDING
APPLICATTON TTPE: RESIDENTIAL
r-F ':-
ApPl ICANT'5 rEilE :
DEVELOPER:
mb]Ec' ADDRESS:
SUBDMSIoN: l"l
'1 .
.
"A--:R:I a::'::a ){3
"{z
f/u,te
r.J c
APPLICATTON
Nulrlber
(o++i.. ul") /
: l. '144)i- 7e ";-7let A {{/ ?-
''. / /-{7r4cz>
ztv,2f,-{Af
:_rp, 2i4af
t77 I ' 2tz3'
Alltllti ALL QqESllOrlS APPLTCAOLE iO \1gJR PRCIa!-:
"Proj ect Responsibility'
/,r/;/L<
Cfl't
fr/{rf B/,/ L. cr..,, o-,.i/,^a- €clo y'4 <n s ELocK * |
Dr-l
PHoNE +r
Loi s
PHONE $
P!:'TE f:
REL0C;.-::.1
Yes i\io
Yes .-flo
PROPER'IY OWNER'5 TIANE I
OIiNER'S ADDRESs:q3{a)
J€ r4://*/
"lrl Rx.u;/;PHONE S:
f/a/rett rtt:/Lc LICENSE tl
CITY:
{Sgzs-Accoutr o,
5 ,5
EI.1AI L A00 R ES s d
PFO]€CT CONTACT PERSON:
EXISTi"IGC0NS'IRUC'rI0N: ALI . - rl\
NEII CONSTRUCTION, /,*,N *
.:PLEASE CHEC( A[.! AITSI'IEE BELOI'
zz'lrr onmet - sF
SUNROOM SF
GF:'NHOUSE SF
IoIAL HEATED sQ FI: /3/>
TOTAL PROIECT COS-I rt'r't.or) ;
d rl : : r.i,! ,F.r': ^1s i u N-'C
eo'r' rc!, 6hri .uon. " NOI€. Any pJo.t ger
OI,.JNER/CONTRACTOR:
Se\':?l | ./ "aVA - aEiITRAL S
@ iie.c54ar.4,.r/er'
'te n't://a*,
R l: .'r ". )N GENENAL ?iPAiRS
FESIDEIiC: o. ADDTTION TO EXi5,I-:IJ6 RESIDENCE
15 Any ELTITRICAL, PLU}NET|{G OI 11
Ii the project j.s a Relocatio
is there Elect.ical P.!e. on
ac zhr(- x S)Rre /
OISCL I ER Tr,e.ebycr.x4'i,or n{ ht,frldo. !r
4,5 //f/
PROPERTY UsE / OCCUP
DESCRIPTIoN 0F i,loRKr
ANCI:
lA.^)*
SF
llork Bein'l Oone to the Aa.prs.., Structure? '
, is --he.e a NBtuTal. 6as Line on the Cu..ent Site?
5 )c
',4o*cn /a {
{,4 c
L T}iAT APPLY IO YOUR PRO]ECT:
.
-
DE-I 6ARA6E . . .. SF
PC3. - S:
oEc( sF
. SioRAGE Sl.i;f
oTiER:
SF
SF
rcTAL sQ Fr uNDER xwr: /({i - TorAL AREA sq n: /65//
?J*" - * oF sroRrEs: r
hi.s Building? Yes :- No
N6LE FAi4ILY OUPLEX ,/ro.urncu**ru-:/ K.,;t)"t?
SJ.
3!
)zt <,4":/1*<zlCft,n/,
00'/y'n Z..*-l
IS THE PROPERTY LOCATED IN A
EXISTING II'IPERVIOUS AREA: -
" nroft15'fjLt,, ltEt'
TorAL AcnEs orsrunda, t o
E(IST LAND DISTURETIE PER$IT:
NC
5NA TU R E
ECX (PAYAELE TO NHC) .-. BILL ACCoUNT
Sr'e Sldq Codc sd Sdhrecr b Fnc. Ue To S5O0
, -#ntnail/<
LOODPLAIN?
o sQ Fr
y'tvrs
NE f{PERYIOIJ5 AREA:{/ sq rr
ttLTri.; //ci:?ra coni,luNrrY SYSTEfI
?i|a
_ PRTVATE I.IEL L - CEIJTNAL $JELL
PRIVATE SEPI:C CONII{UNI']-!' SYST'I,1
. .. vEs NC
PAYMENT TTHOO: ,- CAsfl ,
0r "- tl i
(ror orrlat us€ crtY)
S E i8AC|(S: F:
FLOOD ZONE
, *. otscoven
a, YL
Bre+zrt= l\ I
-73,1
I nclrrsr
eavl!ai oLi,la e./rl/12
zouc, ll i -ln1
Approval: CV-
*rn * Rrr,)F
city:lr[f DA-:rt*',{E 9'
Plrnr:tci:rv-iihcir,oCoir:rert
* 6it-,n"t-s 1x'&n i*p1ci pLB- t. :I
i{'
I
\,\
ititl
lt'-: lr'ri>
APP S NAI'IE
DEVELOPER 3
PRO]ECT ADDRESS:
SUBDIVISIONT l"l
PROPERTY OWNER'5 NAfiE:
otlNERrS ADDRESS:
CONTRACTO R
e
EMAI L ADD R E5 s
PRO]ECT CONTACT PERSON:
EXIsTING CONSTRUCTION:
NEH coNsTRUcTIOtl, /tntcr r,t
=SPLEASE C}IECI( A'IID ANSIdER
f nrr eamer e4{'' t suNRooM . _sF
GREENHOUSE
7"/t/,le E:Le,rel0(
rrerebycerLf hol oll hbmaio
TOTAL PROI ECT COST 1r-..s r-oq : $
Is AfIy ELECTRICAL, PLU&IBT'IG OT
If the project is a Reloqation
Is there ELectrical Polrer on
PROPERW USE / OCCUP
DESCQIPTTON OF WOR|(:
D ISCLAI M ER:
and oidinams ,rld .egulatons fheNHC tle
cont.cir, nlormoDon. "'NOTE. Arlyr,lrott
OI,{NER/CONTRACTOR:
IS THE PROPERTY LOCATED IN A F
EXISTMG IIIPERVIOUS AREA: -
NEul IIiIPERWOUS O rO li
wateat /crew colvtl{uNrTY
SEhIER: ,,/CFPUA
PAYIIENT IIETHOD:
zoNE: -._ __
Approval:
Corment:
OFFICER:
city:
Glear Form Print
NEtj{ER COUNTY BUILDING PERMIT
rz:/L<
4"/k 4t'rd',w.
@- €Urb r't,O,rs
ffZ \lo^t7O
eot64b61
APPLTCATION
Nunber
(oefj.cc use)
'flJA?9eJZ3{tte5/ r,J ao
_ Q3{
o
_s
^l
at.'/,n
PHONE ]T:
DAIE
#
arp; A{{/Z
?
P/n
BLOCK *f LOT *t 7.
/---.- pHoNE #: 4Zt 'lo zs
U):l+. - sr: zrvt 2f,-{O
- Bi+
/v/.'//ea
</e
*, {3-13.-5j *ccouvr
<P: l*' sr
{ PHoNE r:
di4a9
- 2szs-
L1 CE NS E
POOL
DECK
CITY
SF
SFSF
/3ts
A
31trt7/
e/?r/l //e<
DET 6ARAGE {,,- lponca /o
, sronrce sneo
OTHER:
I
al-
P HON E s
TION - RENOVATION .- GENERAL REPAIRS ,_' RELOCATION
RESIDENCE or , ADDITION TO EXISTING RESIDENEE
THAT APPLY TO YOTJR PRO]ECT:BELOU
SF
SF
5F
rorAL se Fr UNDER RooF; 1€s--/.- rorAL AREA sQ w: / 6stl
? 1r@e - # oF sroRrEs: t
f.Jork Being Done to the Accessory Structure? :-- Ves ' No
is there a Natural Gas Line on the current Site? yes '-.)fi6-
s Building? : Yes - No
t/rotur*utANc| r
/eut
LE FAI,ELY DUPLEX
LAIN? ]
SQ FT
,.--/// YES i NO
TOTAL ACRES DISTURBED:
5 aAdcflct\/;it /'6 /24,/ n"4^/Afte"f /" ,(e.rol< /arz
nect ad Dt worl B.i[ @mplyBrh lte SFle Bulding Code €'|(t a! oher +pthabls StDe ond bral |ri,s ?t*SeNices CenEr be ooifed ot any ch.nges in he 4ptoved plans snd specificabns or change in cDnuacor o,
00"'-Zt^/<'.Pemits rrill t e n Vbbrion of the NC SlaE
SIGNATURE :
:sr**rri*r**x**!.**rt!*tx*r**:r.a*xr*:=**::xx::*=r.asx:!s.*
o 1O
/_-. sQ Fr EXIST LAND DISTURBING PERIiIIT:
CENTRAL IC :-_ PRIVATE SEPTIC COI'1I4UNIry SYSTEI.I
:i:t-::.i i :ti::::---t -.,
I ilclu[sA i DIScovER
*r(**x:::* * sxx * *t* *:*=r:tl *:ai* *a:*** ****::=:*r** *x*: *x t* =**: **
NO
, CaSn
- :::::l :'.:. ::-.: : :l:--.. -;i-:1- ;-r- :-'::,1:
ECK (PAYABLE TO NHE) BILL ACCOI,NT
REVr$D DiTE e4l11/12
BFE+zft=
LH; RH:
DATE:
(FOR OFFICE USE (IrLV)
SETBACKS: F:
-. __ FLOOD:
J.*-rr.,r13q
-.-3I1]-.--:
APPLICATTO TYPE: RESIDENTIAL
it|st{ER ALL QU€STIOHS APPLICAALE IO YO,R PiO]ECT
'Proj ect Respons ibj.U.ty"
:(l
CITY:
SF
ADDRESS:
TOTAL HEATED SQ FTi
{rt-:/ 6a^4)"t7
-,\
-_ ENMTC h'ELL ,---'CENTRAL I{ELL
tcA
OODP
i.
i:f
-t ,'
i,
APPLICA]^TT'S NA-I-18 :
0EVELoPER r
PRO]ECT ADDRESS:
SUEoIVISrON, lrJ
2
1-:I
PROPERTY OI.JNER'S NAfiE I
OIINER 'S ADDR ESS:
CONTRACTOR:
AODRESS:
ETIAIL AODRE
q
PRO]ECT CONTACT PERSON:
EXIsTIN6 CON5TRUCTfON,
NE!.J coNsrRucrloN: <ER
,.PLEASE CHEC( I'\D ANsAE4
y' arr onuer eA {
suNRoor,t _ sr
GR EENHOUSE
PROPER'I-Y UsE / OCCUPANCY:
DE<.QTPTTON OF \JARKt ,,/Lu)
*44 r 5:,p
.,"("
EXISTING I|'IPERVIoUS AREA r _ ..
NF.i lltlPERVfOUS aP(eet ,/6,
I,,ATFR I ZCFPUA COTII4UNIIY
SEIIER:,,/CFPLIA .. CEI,ITRAL S
iorAL HEA]ED se Fr:. /3/5
TOTAL PROIEC-| CoSTlrsLor) :
Ts Any ELECIRICAL, PLlrl,lB:N6 or !r
If the prrject is a Relocation
Is the.e Electrical Pot{e. on t
!s
PAYI}E[T NETIOD
c s:'JI
.nd odnnn.4 sd 'egdtron.. Tis NhC
,_ :. rLiir'_', : ir''"'P.'
.^."',CC:)R:
IS THE PROPERTY LOCATED IiI A F
zcliE:
Aprrcval: a:t
C-- ..nt i
)otb 4A6d)
C':-- - -.Print : ,il
NO\JER COUNTY BUILDING PERMIT
AwLIcaTfa rYPE! RESIDENTIAL
iII3.{EA AL! QUESIIOiI5 APPLICAOL€ TO }!UR PRO]ECT
"Project Responslbility''
/4;/4<
A/k.(/'!L'c,wt
O,_ C.to fi<nS
/€ ,a/://4
"a Ra.,r.1,/;;.-
APPLICATTON
Nurnber
'/.t^
,. -,, DATE
PHONE +:
.4/7//1.4/, - ?o zs'?. e{{/ Z-
LOI S: 7
pnorc o, 47/ -?oL51sr: 11?,2tr{oy
(2 \6-\t-rD
Yes t!o
ves ---{6
4
flerrc{t ^Ju)c
Q3{
o 7
n r?/:/(a{. ,tcwse
A':
KL0cB
..ll,,
CITY:
/6a954,t-r./. y'e
r?://e4
*, {32?5.-^ccouirr *:
-r^, "
t; '. .. .-... . t., ;:t, -]f 4Of
f- " .
-_
_ piorlr *, zt7 I - ?c LS'
CASH
o
CODPLAII'I?
4 sQ rr
sQ
4e Pl.ioi:E #:
ATION ,. RENOVAT:ON .. SEi{ERAL REPAIRS - RELOCATION
REST,ENCE oT ADDITION TO EXISTING NESIDEI{CE
AELOU
SF
L THAT APPLY TO YOUR PRO]ECT:--- orr onneet sF
POOL _ SF
DEC( 5i
{,,' y' po*ca
.SICRA€:
OTHER:
/o
5F
ro-rAL sQ Fr UNDER aOor, /-€ q1 . roTAL AREA sQ Fi: /65"/
42.*c - * oF sroRrEs: I
SF
$
ANTCAL uc.k BeinE Oone to the A(ce'scry str[cture? .
is there E Netu.al 6as Line cn the current S:.tE?
,4 .4 /:*\
is Blilding? Yes . No
,zZt///,,<,tAttt y'u t/<
LE FAl.uLY oup,-ex ,z/ro,nltHorrr
I /4 JC{/'.e1-\- -*a
$",-:/ !t^t;a1
a
s500 0c'."^)C'
/'/;"A
Ir,/atrria6 olln. NC Srr'.
SICflATURE:
/ \es ' t- -rof-,.11u2 l.=:; '* i;r., ,t.,,,{ ttr'j
TOTAL ACRES DISYURBED: .- ., O 3 ,,,
EXIST LAND DISTURBINc PERYIT: ./yes
No
TEIt PRTVATE IVELL . - CENTRAL I.JELL ELOOD ZONEI: PRIVAiE SiPIIC COIII4UNITY SYS
EcK (PAYABLE To NHc) ..arLL Accoul\l1 rc/'rTsA Dr5COVtli
I (?0n otr:at u5t ortY)
SETEAC(S: F:
Fl,':1:a u]! e./t l/ 12+RH:B
Dt-: r FLCCD;E i: =1i: =
it cr/urtr:turr^.'>
d pt-rrr"l
PERIV1IT FEE: 5 13qt1
litV lnspectron Reourreo 9r 0-25d-0.
Ltl
NEW H OVER COUNTY BUILDING
APPLICATION IYPF I RESIDENTIAL
P LEAS AIISWER ALL QUESTIONS APPLICABTE TO YOUR PRO]EC]
Project Respons ibil ity"
)a16'%78
PERMTT ?EZ tt -ll52-
APPLICATION
Number
(office use)
DEVELOPER:
PRO]ECT ADD
SUBDIVISION
APPLICANT,S N/II{E:l€ nt-r DATE :lr-i;-t G
RE55:CI TY:c <+
PHONE $:lc )rt
PROPERTY
OI,{NER' 5 A
CONTRACTO
ADDRESS:
OWNERJ S
ODRE55:
E
7sF
I
h ZIP i
BLOCK f:LOT S:)
PHONE f:t/3-35]/
CITY: Lri t^, ).^ c *-c,r^.sr : MCzrp :
LICENSE f: /-7S-tO ?*,tlluciV)'/t, /,'CITY:
\
R:(.e /3*L
)-t
L J 7,,(oEI4AIL ADDRESS:
PRO]ECT CONTACT PERSON:J.tJ€.-.6^
CHECK AI'ID ANSI4ER EELOH ALL AT APPLY TO YOUR PRO]ECT:
k
PHONE S:
PHONE *:t2a- 3 \*?\
ALTE RA ION RENOVATION GENERAL RE PAIRS RE LOCAT ION
NEW CONSTRUCTION:ERECT NEW SIDENCE or ADDITION TO EXISTING RESIOENCE
Fr:o^.'l Pr"rL-_z>BSi'DEr GARAGE ,, {ro r, 3G1 ,,
POoL _ SF
DE CK
SUNROOM 5F
GRE ENHOUSE SF
If the pnoject is a Relocation,
Is there Electrical Power on thi
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WORK:
STORAGE SHED
5F OTHER:
illbe n Vlolation ofthe NC StaE
SlGNATURE:
ATT GARAGE
and ordinances and regulaiions. The
conEaclor informatjon "'NOTE Any
OI4NER/CONTRACTOR :
SF
SF
TOTAL HEATED SQ FTI )qO(I 3cn ? rorAL AREA s
TOTAL PR0IECT COST tr""" rort : $
I5 Any ELECTRICAL, PLUfiBING oT Ii!EC
# OF STORIES:
Q FT: Y, r):l
>c)
ICAL Wo.k Being Done to the Accessory Structure? [ Ves [ ruo
s there a Natural Gas Line on the Curnent Site? ! V"r [ ruo
Buildins? f] ves Iuo
I E FAMILY DUP L EX TOI.]NHOUS E
{c"
5i y e<I
OISCLAIMER: lhereby certit u'at all inbrmalion in tris ap aton is corre€r and allworkwrllcomply wih he State Building
NHC Oov€ropm6nt €s Cenlsr willbs noijlied olany changes in he approved pbns
6 Apprcpriale Permils
CL
licable Slale and local laws
y)45o00o'-,---
LJ L
IS THE PROPERTY LOCATED IN A FL plarrur l-l ves
c
EXISTING II4PERVIOUS AREA:TOT ACRES DISTURBED: /,
* )t *,t * l! + + + ,*,* ,l )i,t )t *,t* * *,f ,f ,| ,f ,i( ,* ,i! ,i,i
\ (,<
,t,i,t *,t * *,|)t *,f * ,i,*,t * ,t * ,l,i *,i ***iii** * )*,k * *,t *,*,* * ,*,t ,i )i )t )i* *,i *
BF E+2ft=
N
I
l
NEW IMP VIOUS AREA:L
SQ FT
SQ FT
WATER:
SEWER:
COMMUNIry S ET1 PRIVATE I.JE LL CENTRAL lnELL
reun ! cENTRAL sE PTr l-l pnrvlrr srerrc ! coMMUNrry sysrEm
RED FOR ELECT, I.1EC}I, PL86, 6A5 EQUIP, PREFABS & INSENTS *+'
(eAvABLE To lrsc) E arrnrcaN ExpREss I r,rclvrsa I orscor.n
,*,*:i,i )t,t ,t ,t ,t * * )t i(* )i )t 'i * * )t,f * )t )t,t + ,t,f, )t )k* )t )t )k * )t* )i* )i )t * *;*,***,* +,* *,* )i,t,t * **
'*A SEPARATE PERI4ITS RE
PAYI,IENT IIIETHOD: I COS' !C"
CF
,** *,t )t * * +,*+,t,t )i* )*,t )i,i * * * *,t,t *,1x *,*
EXIST LAND DISTURBING prnmrr r l-l yrs [-l uo
(FOR OFTICE USE ONLY) REVIS€D DATE O4l11/12
SETBACKS: F: LH: RH: B:ZONE: _ oFFICER:
Appnoval:- City
Comnent :
TE:_ FLOOD: _
A
e
\,.-\F) ^l
PERMIT FEE: $6oo
ffi
II
-t
l/-
EXISTING CONSTRUCTION: E
tr
ToTAL SQ FT UNDER R00F:
L
&0il,-futtpSyuala 3NEt^l
APPLICANTTS NAI'IE: ca e Fear
DEVELOPER:
NOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; R ESIDENTIAL
E ANslNER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Res ponsibil ity"
APPLICATION
Number
(office use)
itaE for Humanit
DET GARAGE
POOL SF
DATE :
PHONE #: eta .it -it39
201 N 11th S
PROPERTY OWNER'S NAI,IE; CA ar Habitat for Humanit
OhNERJS ADDRESS: 20 N 4th St uite 200 CITY: wi lminqton 5T: fq ZIP: 28401
CONTRACTORi .a Fear Habitat for Humanit LICENSE *: 46s32
ADDRESS: 20 N 4Lh sr sulre 20 CITY: l,Ji lming.on ST: ,3L ZIP: 281.1.1
EI4AIL ADDRESS: esmond@ca efea habiEaE . or PHONE f:gaa 5al 1a39
PROIECT CoNTACT PERSoN: Esmo Anderson PHONE #: 910 61? ?139
ALT RATlON R ENOVATION GENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NE RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECX AND ANSINER BELOI{L THAT APPLY TO YOUR PRO]ECT:
PRO]ECT ADDRESS:
SUBDIVISION:
ATT GARAGE
-
SF
SUNROOII 5F
SF PORCH
-
SF
SToRAGE SHED _ SF
GR E ENHOUS E
TOTAL HEATED SQ
SF SF OTHER:
FLoOD: _
.AV
SF
TOTAL PROIECT COST ttess roo :6a,cOt.al
Is Any ELECTRICAL, PLUI,4BING or lv1 HTNICAL tlork Being Done to the Accessory structure? E Ver E
FT: 1308 TOTAL SQ FT UNDER R00F: rass
# OF STORIES: 1
NGLE FA[,1ILY DUP LEX IONNHOUSE
DESCRIPTIoN 0F ITJORK: 1 Bed:sin
conrracror informalion. "'NOTET Any Work Performe wo lhe Appropriale Perm ts will be ln violarion oflhe NC stale Bldg code a Subtectio Fines Up To $500.00"'
ot{NER/CONTRACTOR: ssmond AN SIGNATURE: . ,
DISCLAIMER: herebycenry har al inlormalion n
and ordinances and regu alons. The NHC D€velop
s appllcailon is conectand all work wlll comply wit) he Stale Building Code and allolirer applicable StaE and locallaws
nl Servces Cenier willbe noiilied ofanychanges in ihe approved plans and specifcations or change in contractoror
If the pnoject is a Relocati
Is there Efectrical Powen on
SEIr'lER:CF PUA
**: SEPARATE PERIi,IITS
PAYMENT IIETHOD: E COS' E
* ** {< **tr( tr< *,* * ** ** * * ** *** ***
ZONE:R- !i oFFrcER:
, is there a Natural Gas Line on the Current Site? [ ves
his Building? l-l Y"t l-l ruo
wU-r'/-
SQ FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERTIIT:
No
No
YE5 I--l ruo
*********** ******** **t ***
I5 THE PROPERTY LOCATED IN A
EXISTING IMPERVIOUS AREA:
NEU,I IMPERVIOUS AREA:
*++++*r*+*+++++++++*+++ii.++*++**+++**+***,ix*x****i(************
LOODP LAIN ?YES I
urArER: I creua !COIYMUNITY sYsT E tr1 PRIVATE WE LL CENTRAL U]E LL
COI4I4UN ITY SYSTEI4! crrurnnr s TIC ! cRrvarr srcrrc !
EQUIREO FOR ELECT, IIIECH, PLBG, GAs EQUIP, PREFABS & INSERTS 1
HECK (payaBLE ro lruc) E arrnrcAr{ ExpREss E uclvrsl I rrscorr*
i)
==o
<Da)
6-=rc(DI)c
!p
;
lpproval :--Ots- city:
** ** ** * ** ** * *+* *++* *,**
(FOR OFFICE USE ON
SETBACKS: F
,. -. tftii{iirH.0txp}- - - - * * * * * *' * *
'ht',' ,-n' ltt.5' -r'il- ,,.15i'u"'o
oo"
Zarcf, BFE+2rt=
o
N)(,l
a4/77/72 !
N
Comment:
oarr,Ll/15/rto
PERMIT FEE: $s,3
!=
CITY: wilminqton ZIP: 2a4aa
BLOC( S: _ LOT S:
PHONE S: 910 * 617 7139
EXISTING CONSTRUCTION: E
! oe cr
TOTAL AREA SQ FT: Iq
PRoPERTY USE / OCCuPANCY: Z]
HI
Comment:0oA l<qsed a
s E BA CKS: F
FLOOD:
/bL PERI'IIT FEE: $7r
\2
-h NEW
lav 9t
Qolb3(,qb
11"-?21
APPLICATIOI{
I{umber
,\'E[f,"
ANOVER COUNTY BUILDING PERMIT
aPPLIcATIan ry"s: RESf DENTIAL
EASE ANSI{ER ALL QUESTIONS APPTICASLE TO YOUR PRO]ECT
"Project Responsibility,,
APPLICAiIT'S M}tE;
DEVELOPER:
,
^r,
u-)
*t*t-
DATE
PHOt'lE S:
PRO]ECT ADDRESS:
SUBDIVISION:
Alr
CONTRACTOR:Lpt /L
ADDRESS:
EiIAIL ADDRESS:
PROPERTY Otll{ER,,5
OIdiIER,S ADDRESS:
f] nrr ernaee
-
sF
I surnoom
-
sF
f] eneerxousr
-
sr
TOTAL HEATED SQ FT:
TOTAL PR0IECT COST1r-ess r-os :
Is Any ELECTRICAI, PLU'IBI G or
If the project is a Relocatio
Is thene Electrical Power on
OUNER/CONTRACTOR:
ztP o {
BLOCK *:LOT *;
P}ONE *:
CITY:A*ttCatryrzUl sr,ftznt
lc*1rs srSl:et o{
crw I
CoLA U/4
EXISTIT'16 CONSTRUCTION:noL RATION I neruovnrror ! eereral neearns f] RErocArroN
NElr CoNsTRUcTIOu: fl rnrCr I
,}PLEAsE CXECX AiID ANSI.'ER BELOW
t4l RESTOENCE o" ! loorrtolr To ExrsTrNG RESIDEiICE
6
.1
*,
LICE SE *:
crrvt N
Atl E RICAN E s s
PlotiE *:
Plo lE *:
sg
LL THAT APPLY TO YOI'R PRO]ECT:
sorr eonner 4bo ,,
I eool
-
sr
! eoncn _ sF
! sronaer sHED _ sF
DECK
-
SF OTHER:
ilc ,/VISA tr ISCOV ER
SF
able Stab .nd
00'-
D
ED T
rorAt sQ Fr U DER ^*r, 4bfr ToTAL AREA SQ FT: _4olL # OF STORIES: /
CAL work Being Done to the accessory structurt? B Ves ! lo, is there a Natural Gas Line on the Curr€nt site? [ves I tohis Building? [ves $uo
hou
PROPERTY USE / OCCUPANCY:tr NGLE FAMTLv ! ourlex I rownxousr
DESCRIPTIOT{ OF tlOR(:
OISCLAIMER: lhercby cedily hat€lliobmslion in applicaton b coreclsnd allworkwill clmptywih he Stile Buitding Code and
and odin6nces and egulaions.The NHC Develop r S€rvices Cenbr wittbe noflted of.nychEnges jn the apprcved ptans srd
conlrscbr inbmston.'-NOTE: AnyWork Approprirts Permi6wiltbe in Viotation ofthe NC SlsE
(P
SIGNATURE:
** + *,t,r,** *,t **,* ++** * *:t !t ,t:r:a ,f )r * ** *+)r *:r:i,* * 'r '* * * *,*,| *,t+++.lr**:r*+ *+*
I5 THE PROPERTY LOCATED II{ A loooeurnt I vrs B rc *tvt
TOTAL ACRCS DISTUREED:
C).=
=Eg
f,
E
=
-8
=?l\:)<rr.L
*a
EXISTI G II'IPERVIOT'S AREA:
E}'I TIPERVIqJS AREA:
I,IATER:
SEWER :N
CFPUA
CFPUA I crlrml s
I comNururw
SQ FT
SQ FI
vsrrm I pRrvArE wELL f] crrurul well
rrc f] enrvare srnrrc I coMMUNrry sysrrm
EXI5T LAI{D DISTURBING PENTTTIT: I VES [_I rO
PAYi4ENT IIETHOD:EJ crsn E H E c((PAYAB LE TO IrIHC )tr
**+ SEPANATE PERI'IITS QU I R E D FOR t €CT c H P EEMEtBGGA5EauIPPR B s E I NS E R I s
EXPR U
,orr(-v (tl N)
OF FICE R:
approval:-@- city:DAT Edor(-
,f*)t* *+* *'t** *****,t*+ )t** ***)t ** *+ + * 'tr* ** * ** * *r.,v, frry*d
,LLL,i.^t/.
.#ifri)a...r::.,
^r,N/ft ,,13.75'
0u
bMA BFE+2ft=
PRO]ECT CONTACT PERSON:
a
'a
APPLIC'NT'S i,IAIIiE:
DEVELOPER:
DATE :"t I 't /t,.
PHoNE r: qlt\'><L'8289
"tral{o-
lalq
l6toell
APPL I CATION
Number
(office Use)
ztP't ?6Vll_tl_
SF
SF
U
NEt^l HANOVER COUNTY BUILDING PERMIT
APPLICATI I IYPE: RESIDENTIAL
LEASE ANST,JER ALt QU€SIIO S AppLrCAELt TO YOUR PROIECT
"Project Responsibility"
CITY:
BLOCK #;
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OI,JNER'5 iIAME:
Oh,NER'S ADDRESS:
CONTRACTOR:
ADDRESS:
EIitAIL ADDRESS:
PRO]ECT CONTACT PERSON:
*** SEPARATE PERI{ITS
PAYmEiIT I'IETHoD: I cosr.
ZONE: _ 0F FICER:
Appnoval :_ City
Corment :
t cil o *r i\ rn^i rg*ov' {. N:zrPtZrq I I
LOT #:
PHONE #:
QcL sr:l!9 zw7-6t-/3o
PHONE f:
PHONE #:Qlt)" Z3t- -7o-t
5F
SUN ROOI"1 SF
GR E ENHOUS E SF
TOTAL PROIECT COST rress rorr :
Is Any ELECTRICAI-, PLUIiIBING or
If the project is a Relocati
Is there Electrical Power on
OWNE R/CONTRACTOR :
NEN CONSrRUCrrOH rffenrCr
*,I'PLEASE CHECK AND ANSWER 8ELg'or oo*u, 157 sr
EXISTING IIi.IPERVIOUS AREA:
NEtal IMPERVIOIJS AREA:
IX crpua L_.1 cor'l uNr
IX CFPUA I ICENTRAT'/'
DET GARAGE
-
SF
PooL _ 5F
DECK SF
CITY:
LICENSE f:
CITY: t , rl
OTHE R:
iolallon ofihe NC Sia
SIGNATURE:
)t* *,***+ *)t* )* )*
(
o+Q-
ERATION
W RESIDENCE or ADDITION TO EXISTING RESIDENCE
ALL THAT APPLY TO YOUR PRO]ECT
L
PORCH
STORAGE SH ED
4rto
TOTAL HEATED SQ FT:5 rorAL sQ FT ,NDER R@F.383q rorAL AREA sQ Fr:
$ 3Ll , 3Zo * oF sroRrEs
HANICAL Work Being Done to the Accessor.y Structure? ft V"r [l No
,t )t,t *,t** * * )** * * )** ***+ * !t,t *,i *,* * + ** ** t * r* * * * * ** !r
:L-
qad Subjecl to F To 5500.00"'
,*,*,*** * *)**,*,i * + ***,*,t** * * +* )* * +
, is there a Natura] Gas Line on the Curnent Site? [ ves Erothis Building? ! v"s I Ho
PROPERTY USE ,/ OCCUPAI,ICY:MT]J INGLE FAI'1ILY DUP LEX TOWNHOUSE
DESCRIPTION OF I^JOR(:
DISCLAIMER: lherebycerl, lllat all inlormarion n
and ordinances and regulations. The NHC Develop
is applicaton is correctand allworkwil complywirr ihe state Buitding code ano altother apptEabE staE and tocat taws
nl services cenier willbe notlied ofany changes in the approved plans and specificalions or chanqe in coniracbr or
conlraclor mlormalon. "'NoTE:Any Work Pe
o 'a'2r
IS THE PROPERTY LOCATED IN A rlooorrrrH? [ vrs Ero
SQ FT
5Q FT
TOTAL ACRES DISTURBED:
EXrST LAND DTSTURBING pERMTT: I VrS I r,n
PRTvATE wELL I cerurnnl welrTERl^JA SYSTE [1
SEWER:PTIC I eRrvarr srrrrc I coMMUNrry sysrEM
REQUIRED FOR ELECT, ilECH, PLSG, GAS EQUIP, PREFABS & ITISERTS ***
cHEc( (nAvABLE ro ucy I arenrcAN ExpREss I r,rcTvrsn I orscoven
(FOR OFFICE U5E OIILY) REVISED DATE O4lT1l12
SETBACKS: F:_ LH:_ RH:_ B:_
****,k,f*,8)k*********+*******,r)F*****,i**,k**+,t*r***,t***+*****,F*,t****
DATE: FLOoD:
AV
(-
r 1)t (v\,\1
,rl
EXISTING CONSTRUCTION: !! nrrcvarroH ! errurnal necnrns ! RELocArroN
BF E+2ft=
J,.*r ,rr, rlw-
ADDRE'S:
Commedl
FLOODT
A
IERMTT FEE:Do
fe" #tb:7 tl
Jatb-37e3NE
ACcESSoiY SInuCIUtE !
rf UPFrT - fte shcll Peml
aaaaa
lr Yr3, dltt rra tlE Prwloff
r,to{ DCgldr PtOFlS9t rt:
Elicl 0E lGx PlorE Sl0 AL s
DESCRIPTTO OF TORI(:
OWNEF/COMRACTOR:
e.r.d
tlrot : ornDlldoi ndf.lthtl t a$!nc
codah Adan6 oa trc. Yu, tl! raq*ta b can
d.idlioa of any bdry q b{dfig.
TOTAL PROJECT COSTT
TOTAT AREA SO FT:
TOTAT SO FT UNDER ROOF:
ACRES DISTURBED:
NEvtr IMPERVIOUS AREA:
PRoPERTYUSe Srnct EI
WATER: I-'ICFPUA I-l
SEWER: EhFPt,A rf
HAIiIOVER COUT.IW BUILDITiIG PERilITtPPlrcatrqt r-t.r; COItERCfAt
PIEASC AXSTGi Au. QuE5ltor6 arp(IcttlE ro youn prcrtcr
"Pt oJ act Rcrpont tbi li rf
APPLICAIIT, S }U T:
DEVELOPER!
PIOJECT ADORESS:
OCCUPAIIIT/BUSIIiESS M}18 :
ProPEtw otdt{Ei,S t{A,tc:5
or{r{ER' s ADoiEsS aa/
Cd,TNASIPR
ETAIL ADOiESS !
PiOJECT CdfiACI PERSO'{:
Exrsr coiErru([il: fl Ar
4 (HI
cIw
Ehct Pouar on thl B ui d n8 tr Yes
,4zz 2Fz
PIOE'
APPLICAITOII
ullbar
(otttcc tr.)
ZlPt;?dr///
DATE:
CITY!
. ll fulo(,ilifli. b-$ere a Nstural Ga6//r1/14/-€lL/( -J/' "^ltE t i:oiE iuc+refi:lll] EiEcr
s I
uptn cy TYD!I lih.t l5 thc xa Occuplnry IYPC I
PH
PH ltc REG *
s
ln
I tnmACHAiIGEOFocct PAilcY E tr YES wU5I
t'p.
E lbod or ba ngcrFrFttd or nr*r'rutnf pv.,ffi b Th. pro,iry btd h TIr HoodC.h?flver @m-rhd rll ln xdh tne Stih Codc lnd all dher lmltrotc Sft
S"iB,igrffiffi,sl
rtdll0r tc0ly or !q'l*rg r.tt buBb01r)r0r.5$O n b.rl 10 dAt Fb b frI
s
s
s FLOORS:
- SEARA]E
pAyltEtirrltETHoo: fJcesx fJ (PAYABIE To Nrcl flrxenrcln ocnes flucnnsr Eorscom
,ZONE: OFFICER:
(FOROFF|oE UsE olnu
Approral: CtyL SEIBACI(S :F: LI+_RHL gi iatEDD^lE(tu!
x
8FE+2ft=
/U l./o
tr RETOT'ATIOI{
STRUCII.,RE !rsr ADD TO EXTST SNUCNNE
w{
LICEiEE I:
clw:
REPAIRS
*3
es LL-(->
-oArP
PHO E
?ltf{E
@6
iIC REG I:
fluencruunu ftotrcflrer Ebilm
@io 7EXtS'
NEt^l
APPLICA|'IT, s NAI'IE: charter 1d
DEVELOPER:
PROJECT ADDRE SS: 8124 tlade
Eorest Cr:eek
ANOVER COUNTY BUILDING PERMIT
APPLI1ATION TYPE j RESIDENTIAL
EASE AJTSWER ATI QUESTIOiIS
'PPLICASLE
TO YOUR PRO]ECT
"ProJect Responsiblllty"
Grou
ct CITY: wilrnington
D^rEt __!!JJ/JS_
PHONE fi:
zrP" 2!3))_
BLOCK f; LOT *: ll-
PHONE #:
sT: ZIP I
I No
)otG -37cT
L 6-1080
APPLICATION
Number
(Offlcc Use)
PROPERTY OWNER,S
OWIER,S ADDRESS:
NAHE; Jlm l,ei Pielce
CI TY:
CONTRACTO R: charter Buildi Gro LICENSE S: 6767 9
ADDRESS:108 Gl.Les Awe, su-l 104 CITY: wilmlngLon ST: Nc ZIP:28403
EIiIAIL ADDRESS: ron charte ildi PHONE #: 9a0t 692440
PROJECT CONTACT PERSON:S LE9I1S
ExrsrrNc corsrnucrroH: f] n ERATION ! nerovar:oru ! cerenar Rrerrns !RELOCATION
NEI,I CONSTRUCTION:ERECT EI,,I RESIDENCE OT ADDITION TO EXISTING RESIDENCE
i*PLEASE CHECK AND AI{SWER BE ALL THAT APPLY TO YOUR PRO]ECT:
I oer canaee
-
st PoRcH lLsFAII GARAGE I]I- 5F
! surnoou
-
sF D poor-
-
sr I sronace sHED
-
sF
! oecr SF OTHER:SF
TOTAL HEATED SQ FT i 2256 TOTAL SQ FT UNDER ROOF: 3256 TOTAL AREA SQ FT: 3256
TOTAL PROIECT COST tres.tou :
Is Any ELECTRICAL, PLUl4BItl6 or
tB 2?3s80 # 0F SToRIES: 1
EcHtNIcAL l.lork Being Done to the Accessory structure? L-i Yes
If the project is a Relocatl
Is there Electnlcal Power on
, is there a Natural Gas Llne on the curnent slte? ffives I No
thls Building? nYes I No
PROPERTY UsE / OCCUPANCY:SINGLE FA}IILY DUPLEX f] roaruuousr
DESCRI PTIoN oF t{oRK: New s le FamiL dwellin with attached ara
DIscIAll,tE ft I hsroby c..[ fy h at all ln brmauoo appficaton ls conEctsnd all rvork Y/ill comply er b he Sta16 Bulldhg Codo and dlolrE sppncsbls Slab ahd local Itws
and odhsnc€s snd r.gulslbns. The NHC D6 SoNIc€s Csnbr wll bo notfi€d olany chonoes ln ha app6\€d pLns 8nd or charg€ ln contscbr or
contebr hbrmaton. "'NOTE: AnyWork WrO tts Appopdsb P6mlE wll bs ln Mob0on of lhe NC Sltb and Flne Up To S500.00"'
OWNER/CONTRACTOR I *rarter Gr SI6NATURE :
***+ *,t+,1.+** +,i,. + **r.,t *,t,1. +,**,i*)t****,***+,i,l:tr* :i+,t*,1.*,t,t**,*++++ :t*+)t+*,1.,1,t)t** *** * *:t* ** ** *,**,*,*,t
NOIS THE PROPERTY LOCATED IN FLOODPLAIN? T-I YES !
EXISTING ITIPERVIOUS AREA:sq FT
SQ FTNEI,I II4PERVIOUS AREA: 39
TOTAL ACRES DISTURBED:
-
Exrsr LAND DrsruRBrNG ,r*rrr, -3 ves [El m
a/n corr,lluNr
fl ceHrnnl
tIAIER:
SEUIER:
CF PUA
CFPUA eerrc I PRTvATE sEPTrc
svsrem I PRTvATE wELL
t/
i+I SEPARATE PERI'IIT
PAY ETfi irETHoD: I crsr
ZONE: _ 0F FICER:
Approval :_ ci.ty:
Corment:
f] crrrnal wsr-r-
! corltultrw svsrem
REQUIREO FOR ELECT, IIECH, PLB6, GAS EQUIP, PREFABS & INSERTS '**
cHEcx (pAyABLE ro t*r) E arenrcair ExpREss E r.rclvrsa I orscovrn
(roi oFfrcE usE olilY) REVrsEo DATt 04/11112
SETMCKS: F: LH: RH: BI
DATE:_ FL@D: _ _ BFE+2ft= _
*+**++,r*r.** +*,i+ *,i** * * * ,*,i +*1.*+l.l.,t:t,t,t**++,i**:r,i'f,t * * l * )t,t* t,i* * * +* *trr!t*,t:i + +* +t,l *{.+{. * Jt * * * +,1.+,+ )t
N
PERMIT FEE:1.1"17
l
SUEDIVISION:
PHoNE S: 910262s899
! enreHnouse
-
sr
NEW ANOVER COUNTY BUILDING PERMIT
APPLI0ATIo,II TYPE; RESIDENTIAL
E ANSHER ALL QUESTIONS APPLICABLE TO YOUI PROJECT
"ProJect Responslbtltty''
) o tb-3tob
APPLICATION
Number
(offico Use)
APPLICANT'5 l,lAilE : charter Bu din DArE : _jLjLl:!li_
DEVELOPER:PHoNE fi:9Lo'/692440
PROJECT ADDRESS 3 8111 wade H ton Ct.
SUBDIVISION:E.orest- Creek BLOCK *:LoT #, 37
PROPERTY ONNER,S NAIiIE: Ed',a &Ancherlco PHOI'IE #,
OWNER,S ADDRESS:CITY:ST: _ ZIP:-
CONTRACTOR: charter Buildi n ro LICENSE *3 67 6'7 9
ADDRESS: 108 Giles Avenue sui 104 CITY:Wilmlnq!on sTr_zIP:28403
EIOIL ADDRESS: ton charter ldi o . com PHONE #r 9107 692440
PROJECT CONTACT PERSON:Sean PHoNE *: 9102625899
EXISTING CONSTRUCTION: fI AL RATION RENOVATION ! erruenal neearns f]RELOCATION
NEl,l CONSTRUCTION:ERECT N RESTDENCE or ! aOOrrrOU TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWER BELOi,T L THAT APPLY TO YOUR PRO]ECT:
f] orr eanaoe
-
sF PORCH s00 SF
f] poor-
-
sn I sronaee SHED
-
sF
fl oecr SF OTHERI SF
ATT GARAGE g:g- SF
suNR00f'1 _sF
GREENHOUSE SF
and odlnancos 6nd egulatjons.The NHC
contscbr lnlonndton. "'NgfE: Any Work wO h6Appropriab Permlts\,/nlbs lo Vlohtion of lha NC St€te
Ol^lN ER/CONTRACTOR: charter B ldin SIGNATURE:
TOTAL HEATED SQ FI i 2044 TOTAL Sq FT UNDER ROOF: :gTq TOTAL AREA SQ FT: 3974
TOTAL PROJECT COST (lsss tot) i
Is Any ELECTRICAL, PLUi1BING or lil cAL l,lork Belng Done to the Accessory structure? [ V"t [l Uo
If the project ls a Relocat , is there a Natural Gas Llne on the cunnent slte? flves ffiruo
his Bulldingt I ves firuo
NGLE FAMILY I ouelrx I rowrunousr
DESCRIPTION OF W0RKI New sin famil driellin with aLtached
DISCLAIMER: I hsreby cerdry halalllnbrmadon In sppfica[on ls cor€cland allworkwlll complywl6 tl. Stala golldlng Code Bnd all other applhable Stab and l0c3llaws
t Sewlces Centsr willbs no{ll6d of€ny changes in he epproved plans sod Epeciffcalions or
s500.00"'
ln
6nd Subj6ct
ht
LOODPLAIN?
5Q FT
SQ FT
rm f] enrvare wru
f| eRrvare selrrc
I ves E]rc
TOTAL ACRES DISTURBED I <1/3
*****r( **,t rJ +,t* + + +,t( {r,}:i()F*** ***r.*)*)t*!t**:*i(,***+**:t ***ii'**)**:i*:i+ tt*+t+* *+***,a*,! ****:1.*
I5 THE PROPERTY LOCATED IN A
EXISTING IMPERVIOUS AREA:
NEW IMPERVTOUS AREA: 4521
CFPUA cot4ttluNrw
EXIST LAND DISTURBING PERI,UT:flves IHo
tr,ATER:
SEl^lER:CFPUA I ceurRal s TIC
t*+ SEPAIIATE PERI1ITS
PAYI,IENI fiETHOO: E CISX E HEcK (pAyAsLE ro r.rncy I r,renrcAN ExpREss
EQIJIRED FOR ELECT, I,1ECH, PLBG, GAs EqJIP, PREFABS & INSERTS ***
f! r,rcTvrse
I cemn+ well
! comuuHrw svsrar
)t*****)r+,I+**,i*+:i't *:f +*****,f 4t ii.{. * ** * * * i* **f * ttt+t+****!F****++ +*+t* +,i++ r.+********* ri+i* )t:}
(FOR OFTTCE USt oIrY)firwsEo oaTE o4l11/12
I orscoven
2ft=
ZoNE: _ oFFICER:
Approval :_ Clty:
SETBACKS: F: LH: RH: B:
DATE:_ FLoOD: _
A
BFE+
fl tlw
16-10 96
CITY: !ilnl!g!g!__ ztP: 2847L
# OF STORIES: 2
Is there Electrical Power on
PRoPERW UsE / OCCUPA cYr E
2atb-31c
L6-84
APPLICATION
Number
(office Use)
7
8NEW
PL
APPLICANT'5 NArilE: - .r r s roN
DEVELOPER: r,, r\
PROIECT ADDRESS: r1 rr .i .1 .:rR.I-r-D DRlVE
ATT GARAGE SF
suNR00f4 5F
GR E ENHOUS E SF
OVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
SE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
DATE :03,16 16
PHONE #:
ztP | 23t!2_
SUBDMSION: i{;; I:l.rl: t lAaa :E BLOCK #:
PROPERTY OhINER, S NAIIE: I]!i]i]i CATHERII,.]E PATTERSOL]PHoNE #: :,1 1-3 9: - sl s -r
OIINER'S ADDRESS: 4:r4.1 .r.R.llAD DR]VE
CONTRACTOR: PcRCH aroNVER:r i oN
ADDRESS: 6321 MARKET STREET CITY: WI LMI NGToN sT: r.lc zIP: 284a5
Efi,IAI L ADDRESS:orchconversio mai L com PHONE #:9ta 111-3363
PROIECT CONTACT PERSON: .:: er:Brit',PHONE #: :ll- ---:..:,
ALT RATION R ENOVATION GENERAL REPAI RS RE LOCATION
NEt'l CONSTRUCTION:ERECT NE RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW L THAT APPLY TO YOUR PRO]ECT:
CITY: r,,i r LMr NGToN
DET GARAGE
-
SF PORCH SF
TOTAL HEATED SQ TOTAL SQFT: .
PooL _ sF
DECK
STORAGE SHED
FT UNDER ROOF: 12r
# OF STORIES: 1
DUP LEX TOI,,]NHOUSE
NO
SF 0THER: screenroom 120 SF
SF
TOTAL PROIECT COST (ress rot) i
Is Any ELECTRICAL, PLUMBING or lvlE HTNICAL l^lork Being Done to the Accessory Structunei [l ves [ ruo
is there a Natunal Gas Line on the Cunrent Site?n Yes E No
i.s Bu i1d ing ?T ve s I-"1 ruo
If the project is a Relocatio
Is there Electrical Power on
PROPERTY USE ,/ OCCUPANCY:
15, r-aa
s NGLE FAMI LY
-)Mart in
YSTE 14
TIC
DESCRIPTION OF I./ORK: .' ,: t. f ineered screenroom built on new CONCRETE SLAB
DISCLAIMERT I hereby cerl Iy hat all inlormal on in t
FORMER PAT IO
applicalion is correcl and all work will comply wih he State Building Code and alloiher appticabte Stab and tocal aws
t Se rvices Cen er will be nolified of an y changes in he appro ved plan s and specitica rions or change in contrac to r orand ordinances and regulalions The NHC Developm
conuacior inlormaton. "'NOTE Any Work Performed /O ille Appropriare Permits will be in Violation oi the NC Srate Bldg Code and Subject to Fines Up To $500 00.',
OWNER/CONTRACTOR: e SIGNATURE:ent
* *,* * + * * * **+ *+** * * * i< * *,t,t,t r( ***********rt*r*+rt++++*++*******)t)tr*r**+*++*+****:i+*+++,*,t*r<*r.*x:*++
IS THE PROPERTY LOCATED IN A ooDPLATN? l-'] vrs I
EXISTING It'lPERVIOUS AREA: l!{6 SQ FT
SQ FTNEW IMPERVIOUS AREA: !
CF PUA
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT: N YES T NO
PRIVATE WE LL CENTRAL U,IE L L
PRIVATE SEPTIC ! commurutrv svstem
(FOR OFFICE USE ONTY) REVI5ED DATE 94l1|l12
SETBACKS: F:_ LH:_ RH:_ B:_
WATER:
SEI.JER:CFPUA
! comNunrrv
! ceurnal sr
*** SEPARATE PERfiITS
PAYMENT I'iETHOD: E CASTT E ECK (PAYABLE TO NHC) N AfiERICAN EXPRESS N
QUIRED FOR ELECT, MECH, PL8G, GAs EQUIP, PREFABS & INSERTS ***
l'1ClVISA il DISCOVER
* *** *+* ** * * * * * * * * ** * ** *,t,* *x x x + + + +,* + *,t * * * ****,t** xx** **** * * * * * * + + *x * *+** *** * * ** * * * x * +** **
ZONE: _ oFFICER:
Approval : _ City:
N
DATE:_. FL00D:
LOT #: ':
CITY: Jf!!lL!]g_ Sr: l:l!- zIP::@-
LICENSE #: N/A
EXISTING CONSTRUCTION: E
Z
TOTAL AREA SQ FT: ,
"'.'S&f-
NEW OVER COUNTY BUILDING PERMIT
APPLICA|ION TYPE: RESIDENTIAL
ASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Jor641aE
16-8s0
APPLICATION
Number
(office Use)
PL
APPLICANT'S NAIiIE: .,:. .. r.
DEVELOPER: N ,{
SION
YSTEM PRIVATE I^]E L L
DATE:0 3,' 17, 16
PHONE #:
PROIECT ADDRESS: .r a ir:, r'r d te rrace CITY: IiILMINGToN
SUBDIVISION: . :,:rb r':',1 e he i L:h4 !Q ohnson farms BLOCK #:
PROPERTY OWNER'S l,lAIilE: :r.,rr l (r:rm Bradford OakIe
Ot4lNER'S ADDRESS: 46Ie'rrhrre!.re d terrace
CoNTRACToR: P.TRCH ccNVER:r l oN
ADDRESS: .8-- v^PrLr sTLcL I CITY: I,'I LMI NGTON
Ei4AIL ADDRESS:orchconversio ai1. com
PROIECT CONTACT PERSoN: .', , ,Brit"
ALT RATION RENOVATlON GENERAL RE PAIRS
NEW CONSTRUCTION:ERECT NE
I.*PLEASE CHECK AND ANSI,{ER BE LOt,{L THAT APPLY TO YOUR PRO]ECT:
ZTP :
)22
2A472
LOT S:
PHONE #: t. 't: '.:8a
ST: r:ar zIP: :!i-.:
PHONE #:910-111-3363
PHONE #: 91c-il7-33b3
RE LOCATION
TOTAL HEATED SQ
ZoNE : _ OFFICER:
Approval : _ City
ATT GARAGE
-
SF
SUNROOM T38 SF
GREENHOUSE SF
DET GARAGE SF
POOL SF
DECK
PORCH _ SF
STORAGE 5H ED 5F
SF
TOTAL SQ FT UNDER ROOF: i '1s
f OF STORIES: r
TOTAL AREA SQ
15,89'j
ICAL Work Being Done to the Accessory Stnucture?!Yes n No
is there a Natural Gas Line on the Current Site?Yes No
is Bui Id ing ?!Yes F-'l ruo
s NGLE FAMTLY DUP LEX TOWNHOUS E
5F OTHER:
FT:1iB
+ + *+ + *,t 1. *,* *,*,* * * * ++ * * * * )* * * *
FT: :38
TOTAL PROJECT COST tress rou :
Is Any ELECTRICAL, PLUI,IBING or m
If the project is a Relocatio
Is there Electrical Power on
PROPERTY USE / OCCUPANCY:
DESCRIPTIoN OF WORK: !1,. l, ,e -1 exi st in
OWNER/CONTRACTOR: I
DISCLAIMER: lhereby ce iry hal all intormation in tr
and ordinances and regulations. The NHC Developme
co nEac t)r info rm alion "'NOTE AnyWork Pe omed
applicaton is conecl and all work will comply wih h€ Slale Building Code and all oher applicable Star and local laws
I SeNices CenEr willbe notlied olanychanges in lhe approved plans aod specifcations orchange in contactcror
orch \rith sunroom walls and windorrs
/O he Appropriate Pennitswillbe in Violation ofthe NC Siab Bldg Code and Subject to Fines Up To S5O0 00'.'
Martin SIGNATURE:
Print Nam€)*:t:trt:tr*rr)r**)***:t+:t+*1.+1.*1'1.i.**+*,r,r,r*,f,r,r,r*****++,t********x*jt*+**jt
I5 THE PROPERTY LOCATED IN A ooDPLATN? [ ves
EXISTING IMPERVIoUS AREA: , -5 SQ FT
5Q FTNEW IMPERVIOUS AREA: fr
TOTAL ACRES DISTURBED: j_
EXrST LAND DTSTURBTNG Or*rrrr 5 yes lIlto
WATER:
SEWER:
CF PUA
CF PUA
COT1I4UN I TY
CENTRAL SE
CENTRAL I^/E L L
COMMUNITY SYSTE[1TICPRIVATE SEPTIC
I** SEPARATE PER}IITS
PAYIENT ETBOD: E CASIT E ECK (PAYABLE TO NHC)
QUIRED FOR ELECT, MECH, PLBG, 645 EQUIP, PREFABS & INSERTS *i'*
I menrcm rxeness E rqclvrsa il DISCOVER
* * + * * * * * ** * **+* r. * * * )k )t ,( ,( ,( * *x*+,t+++++*+,t***xx**+,t,t,t*,k*,i)F*xx**+*+,****x**+,k****************
(FOR OFFICE U5E Orl LY)REVI5E0 0AT€ O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
N
I
DATE: FLOOD
CITY: jl!l::ll!.gf!l!_ ST: Ig_ ZIP: 28412
LICENSE #: N/A
EXISTING CONSTRUCTION: E
RESTDENCE o" ! mOrrrOU TO EXTSTTNG RESTDENCE
Z
E NO
BFE+2ft=,Tr-g
&
APPLICANT'S IIA''IE:
DEVELOPER:
NE
&olbj.7/o
ttt-g{ IHANOVER COUNTY BUILDING
APPLICATION |YPE: RESIDENTIAL
LIC
PERMIT
PI.EASE ANSI/ER Att QUESTIONS APPLICAELE TO YOUR PRO]ECT
"project Responsibility',
CITY:
I LocK f
CIIY | 4./
APPLICATION
Number
(Of+ice Use)
DArE: 3l I
PHONE #70? 7E/ 03?6PROJECT ADORESS:
SUBDIVISIOiI:
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