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APRIL 26 2016 BUILDING APPS/.\ tatNll uo$ 3 6-+- \q,J 1*)t? -\ CEIVED li{AR 16 iu;i HAIIPYE R COUNW BUr L DTflG P E RIIXTtwalcrt ol IttE:csstERCIA| PIIASI Vz rL-tsf &.otb -leq's ,rP{rc l!0[irtcr (of?f& Ur.,,Slzkore rGk l[ qErm l'?l&lna rD tlta ?wrGGt ttsp!'3$lutf ?l0rEct r[olE(t @{IAC[ rctS0x: EIST CoflsflrtDl: IfBdoclinl b 0|€ r! lbtrrt IJEI{ h r+,nrrt - 1te sh.lt * pPLrGrxT,t rflt: DCVELO?E,I: PIO'ECI ADDTEI; occuPrflY/Err5rrEs rrrE3 PMPEiTY ffiI'9 IIiC:eqxrs rmrsssr]ia OOT'TACION! aDOiESS! EXTjIL TDOiESS: crtr; e.Q Ou r.) a't€ af >tC LICREE ':CT?Y: -.-_ fs Eltct POI{CF ot C3 ?s7 ol ZI?:d7 pfiors stt-frzmz 27A Zt: Butlding tr Ye s Efu DA?E PIOIE *: at d..t BJ I 2 ttrls$YIS I oulrcc OF ocojPfitr usE I tr YES tr Tocc0gancyr}fe t altl{ DE5tEr Pl0FCtgDiBt! E J6k 0E E PtOFE5s,to tL: DESCRIP'Io'{ OF l{on(: bbd or !3,trT.. Ftpandor --r--, lftrt Ir tt.tlan orcrpnEy DDci DlsCUirERr loE3land .llr6fyolt ol ChrrrElgrdfD mb,f'laflrr.&rtd..ts cq,r*r^rbc rd. Yrrrt 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 ECf?rr^ EcFP{r Approt4__ FEE;0 !F Y?6, raEt B5 tia FIk nEparf,s 'GII ST rI|.NE flmsr trrcrfr snrt Iup6ppe T0 arsr $armE 5'/zc/ trc iEO a: llc iEC *: 4.if4 I ttl ac,r la"r aLt Bmcorm EREEl Gls A v ta TB/IEDATTE(lUE O4/2112016 14:O7 ti te?-+ tbina )-o lto* 3Q3^ APPLICATION NuDbe. #oc)6 P.oo1/oo1 .-:.' ii t t1 i: !.\' NOVER COUNTY BUILDING PERIIIIT APPLrcAtran rypE.. RESIDENTIAL E Ar!'rJtB aLL QlJtSTIOr{s ApprrcA&LE to yooa pSolE(T "Pnoject Responsibilit}/, PRO]ECT AODRESS: sumrvlsl0r{: PR,OPERTY O {ER'S IIA',IE: oa,JNER'S ADORESs: APPLICAIIT'S IiA}1E DEVEL@ER : COIIRACTOR: ADDRE 55 : a OATE: t/V /6 CXTY:) !t)/2- SLOCK S: _ LOT S: tD/)5 I /t y' /tattrtr/,}()NE f:(? /o ) 5 J f/t e5 lio d'4 /t 2ECITY: LICEI{SE ':CITY: l/ ST:. ZIP:r - ,,./v-r z71f/ Ztsrt!zw:2 o y )- r t,tc L: l) i s Itt l> l'f , 1 fEts,AIL AODRESS: PRO]ECT CO{TACT PERSOTI : EXISTIIG CO{STRUCTIO : NEU CONSTiUCTION, I entCr I ..PLEAsE CITECX AIO A}ISIIER BELdd ATT GARAGE - SF suNRoolr _ sF GREEN}IOiJSE SF & TOTAL HEATED SQ FT: TOTAL PROIECT COST lrcss r-oq : Is Any TLECTRICAL, PLUTBING o. l{ If the project is a Relocatio Is the.e Electri.cal Power on PROPERTY I'SE / OCCI.PA CY: DESCRIPIION OF UORX: P O E t: Pt€fi E S: ALT Arror.r I REtovarroN I cenenar Rrearns I RELocATToN RESIDET{CE o" sQOOrrror TO ExIsTI[6 RESIDENCE L T]IAT APPLY IO YOTN Pao]ECTI ! oer crnnee sr I roncn -- sF f] cool _ sr I sronace sHED _ sF //tp17s 1..y't rrt oecx /b x / l,, (n llL- [-/'ttt .fi SF OTHER i SF Z( tr2L( rorAL se FT rtr{DER RooF::-zy=I_ ToTAL AREA sQ FT:--Ar- HIIIICIL llork Being Done to the Acc?ssory Structurel f]Yes 2 tT'.s r , is there a Natural 6as Line cn the Current Site? [ his Building? f] v"rfl$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: PROPERW O{i{ER'5 MfiE: G a ottlNER'5 ADDRESS: CONTRACTOR: ADDRESS: ,APLEASE CHECK At{D AiISWER BET f] arr eanaoe _ sF fl surunoor.r - sF I cnerHxouse _ sr *T* SEPARAIE PERMIT R E qUI R CITY ALL THAT APPTY TO YOI,R PRO]ECT: ! orr canacr f] eoor- _ sr w{E ENSE S: _ qg66g11y z LUta zt ., ns rad 2At *, 7Aq 79,/ ot3. sT;a!l!ztp:28// / f 'Jl/:L ZIP ,: Z I t/ .//./-7q /-033 6 / -79/-a3S 4 tr s Eto z I P PI{ONE 70 ,u EI4AIL ADDRESS:Co PHONE *: 7a PRO]ECT COI'ITACT PERSON:rz PHONE $t ?A EXISTING CONSTRUCTION:TERArror,r ffnrruovlrrol I ceHenrr_ ne enrns I RELocATToN NEW CONSTRUCTTOru: I rnrCr t,,t REsTDENcE or [ffi-orrror ro ExrsrrNc RESTDENcE I orcx TOTAL HEATED SQ FT:roTAL sQ FT UNDER noor: t65 TorAL AREA SQ FT: _ToTAL PRoIECT C05T lress L"e :$4ooo f OF 5TORIES: I Is Any ELECTRICAL, PLUrilEIi,G or If the project is a Rel.ocat fs th€re Electnical Power o s tr No Won k Be I nB Do ne t o t h e A.c e sorv s t TUC t re n I s t he TE a Na U T a I s L t n €on t h c u T n e nt s 1 t e sr I-l poncg cE LI STORAGE SHED - SF @/r" e h L 5 B I 1 d I ng ?u N o PROPERTY UsE / OCCUPANCY:INGTE FAMILY n OUP LEX I rownxousr DESCRIPTION OF I,,ORK: 0ISCLAIMER: lherebycedily $ar all infomstion i lhis epplcaton is comci snd sllworkwifcom plywih he Sbte BuiHing Code and sllotrer applicable SEt snd bcs lawsand ordinances and rc!ul.lions The NHC Oe nl Service! CenCr wittb€ norjfied ofany ch anges in he appbv€d ptsis and specifications or change jn contr6cbrorcontraclor inbrmaton "1lOTE Any Work P€W/O he Approprisls Pemirswiltbe in Violarion olrh€ NC Stab Btd and Subjecr b Fines Up To 00-' otJNER/CoNTRACToR:SIGNATURE: ***)* *** * ****)*** **)t+ *** **)t+ ** )t*** ** )t** *)* ** *:*** *)t)** * * **** rrooopurrul l-'l vrs W *:i* :*+*,i**,tt**,i **)r* ** EXISTING IIT1PERVIOUS AREA : NE}'' IiIPERVIOUS AREA : mrenr I crcur fl cour',runr sewee: ful'reua ! cetrnal SYST PTIC Exrsr LArlo DrsruRBr{G oE*"-n vrs l-l ro SQ FT SQ FT EM PRTvATE wELL I ceHrnnl welr_ rvATE sEprrc I commururw svsttr,lEp* ED FOR pREFABJ & ffiprro E L E c T E CH P L B6 GAS E QU P I ERTS *** florscovrn itvlstD oaTE O4l11/12 BFE+2ft= PAY ENT T4ETHOD: ! clSn CH E cx PAY ABL E TO NHC tr B I L L AC COUNT ZoNE: _ 0FFICER: Approval:_ City: Corfient: SETBACKS: F:_ LH:RH: a. ** * * )t ** * *** * * *,i * * *)t ** * * * (roR 0rFrcE UsE q{rY) NS DATE:_ FLOOD: _ A PERIiUT FEE: LOT #: TOTAL ACRES DI5TURBED: O _ sF ouea: l€n lqom zzd sr IS THE PROPERW LOCATED IN :CHAi]II ,5_