MAY 4 2016 BUILDING APPSNEW HAITOVER COt'NTY BT'ILDII{G PERIiTIT
APPLICATI I D"E.. RESIDET{TIAL
PI€ASE nxsrer ArL QUESTI(ITS APPLTCABLE TO Y{Xri pROIECT
'Project ResponsiSiliqf
APPLICAI{T'S ]{A,iE: Efy'F.€LY .ra\ik.lNg
DEVELOPER:
PRO]ECT ADDRESS:CITY:
SUBDIVISIO:BLOCK *:
PROPERTY MIERJS
MIER,S ADORESS:CITT:
COT{TRACTOR:
tl LICErrsE
ADDRESS:CTTY:
EI,IAIL ADORESS:
PRO]ECT CO TACT PERS(I{:
40r 5- 75&Lf
APPLICATIOIiI
lunber
(Offi<e t se)
DATE:5
PHO{E *:
ztP:
LOT S:
PIONE S .1to-6il'170"t
srtt![rziPz "f4ol
sr: A)Apt,J<d7t-
PH' E *:
PK'NE T:1ta-311-dit
EXrsTrr{G coflsTRucrroir: fl alrenarrou
r{Er{ cor{sTRucTrol{r ! enecr EU REsrD
I suuaoon
-
sF
I eneeunouse
-
sr
REilor'Arro I euenar neeuns
o" f, as,o111gx ro Exrsrtrrc REs
il f] ner-ocarror
IDENCEENCE
,.PLEASE CHECI( AII' AIIS}'ER BELq{ ALL THAT APPLY TO YOI'R PRO]ECT:
! arr clnaer _ sF I oer eanaar sr I eoncx _ sF
fl eoor- _ sr
I orcr _ sr
rorAL HEATED sQ Fr3 lr33o rorAL sQ Fr ur{DER noor, [33O - rorAL AREA rq rr, f300
ToTAL pRorEcr Gosra"s6Ldr r t l3DrmA-to(E5i.) * oF sroRiEs: 2. _tIs Any ELECIRIGAL, PLtfiaI G or ltECtlrU{ICAL lror* Belng DorE to the Accessory Structure? B[ Ves I ffo
If the project is a Relocation, is there a t{atgral 6as Line on the current Site? [ ves I Ho /i\
Is there Electrical Poler onlthis Buildlng? @f v"r f]no
pRopERry rrsE / occrrpAr{cy r [l srrcle ralrlr-v ! utelrx f] ron*ousr
DESCRIPTIOT'I 0F I,ORK:c
Irufilr,1164,
otf{E
DISCIATGR lneGby ceniry tld.t ht mdbn ir bis +pbaloo b
ax, odinarces ahd regulatons TIlc l*lc Oe
c!.rr-b. hbmarioo.'-l\toTE
CO TRACTOR
d m{kwil comdy wrn tle sr.!e Building code aE aa oher 4pE6bE saE rld local laurs
ol any chaE€s in he agrov€d Etrns and speobabars o. chaEE h conniEbt o{
behvbtsixloltleNcS!a' z' _
(Prlnt
a'| *:** * *:l {. *:}*,}**:t :t* :t** :t**)t,t * *,t )t:t a *
IS THE PROPERW LOCATED IN A FLOODPLAIT{?YE5
Exrsrr c [?ERvrqJs enel, il/A
NEH lr?ERvtot,s AREA: k/A
SIGI{ATURE:a-.' -'ltr]
:ta* rt:* ** *,.* * *'t* *** **t***adn :::*:t*+ a+* 1* *a:t* +
SQ FT
SQ FT
rorAr- AcREs Drsrr.RBED: LES5'l?{6}l ho
EXIST LAID DISTURBIITG PERIIITT [-l Yes
AIRE.
[rc
I{ATER:
SE}JER:
---J[[ cran ! coluulrw svstr.r I pRwArE ]IELL fl crwnnl reu
ffcrrua f] ctHrnal sEprrc E pRrvATE sEPrrc I cou.nrrv sv:ru
*.. SEP{IATE PERITITS RE(UIRED FOR ELECT, IIBCH, PLBG, GAS EqJIP, PREFAES & IIEERTS
,orrr* ,*, - tr a a* Id",ra* (payArLG ro nf,) E 1;1ERrc11{ ExPrEss E rcrvtsl ! orscortn
*:l*+ +t,l *r+:;t*ait:ltt+ '}ri* a+++ t,a:aa a*:} !|.'iat ta:it+,1.+* ttrt l' +:l:* t t*:t lt 'a:. *
'*
t a *** *:I 'r 'i |! t** ' 'rit''t'r'.* 'r:t+*':r
ZOIIE: OFFICER:
Appnoval:- CitY:- DATE:- FL0oD:
-
(foR oFFrcE t$ olLY) REVT9H) OATE O4l11/12
SETBACKS: F:- LH: RH:- B:-
BFE+2ft=
-
it
ComEnt:PERI,IIT FEE:
",@)
?,:lTilr'ir;sfrjg/
(
.<a.-i\NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE fO YOUR PRO]ECT
"Project Responsibility"
APPLICANT 's MltE: Uc-l.7-.-o-r (r)1".a-[-"i
DEVE LOPER:
zott - a? 7{
APPLICATION
Number
(Office Use)
oaTE:.f - 3- /G
rnorrcr nooness: '31? C,, tT.o, - Qd crrv:
OCCUPANT/BUSINESS tlAilE :
PROPE RTY OI'INER'S l,lAf4E: r.J. ^ z { c.-., L!,.r-t{-.-PHONE *:
CfTY: _ST:_ZIP:_ffi-i
PHONE #:
ACCOUNT *:
ST: IILZIP: ZE 3oL
ProNE #: 9vS'3zs - e:z-o
PrortrE #: q io''?zq-ca-{ I
OWNER,S ADDRESS:
CONTRACTOR:
ADDRESS:
.:\(
EIiIAIL ADDRESS:
PROJECT CONTACT PE
O )ox 26S
LICENSE *:
CITY:
(check That Apply)
EXIST CONSTRUCTION: D ALTERATION I-I RENOVATION TI GENERAL REPAIRS TI RELOCATION
tf Reloca on. isrherea Naturatcas Line on the -Cwrent Site? [vF[uo IS BLDG SPRTN-KLEneoz Ives Iuo
NEr.' CONSTRUCTTONT f] rnrCr Ell 5TRUCTURE I raSr rmCX ! SXrlr- [ Urrrr ! rcO rO EXrST STRUCTURE
ACCESSORY STRUCTURE:
Is Elect Power on this Building [l yes E rcIf UPFIT - The Shell Penmit #:
PH:ARCH DESIGT'I PROFESSIONAL :
ENGR DESIGN PROFESSIOTI.AL:
NC REG #:
NC REG f:PH:
DESCRTPTION OF h]ORK:
OWNEFYCONTRACTOR: / " - /. c
TOTAL SO FT UNDER ROOF: _
ACRES DISTURBED:
WATER: ECFPUA
SEWER: fl CFPUA
t(
SIGNATUR
EzoNtNG USE CLASS|FTCAT|ON:
ECOMMUNITY SYSTEM
Locsted ln The Roodptatnz I ves [ ruo
Slale Building Code and all orher applicable Slate
chanqes in the aooroved Dlans and soec tcattonswili6e n Violaridn ol lheNC Sbte Bldg Code and
7Z
ls food or beveragos pepared or served ln thls stnrawe? f]ves [ ruo bThe Prop€rty
DISCLAIMER: I hereby cenify lhat all information in this applicaton is correcl and allwo* willcomply with the
and local laws and ordrnances and reoulalions. The NHC DeveloDmenl Services Cenrer will be noriliad ol anv
or chanqe in contraclor or contactor i-nlormation. "'NOTE: Any Work Performed w/O the Appropriate Permils
Subjecrlo Fines Up To $500 00"'
A
(ou.lm€.)
Nol€i Demoli{on notlfcatlons & 6sbesbs refloval p€rmlt applicaloos aro to b€ subm ltted uslng lhe applicatlon lom (DHHS-3768) whether the hd ry or buttdino was iound lo
conlaln Asbestos or not You are rBquir€d !o call lho Netonel Eml$lon Slandards br Hazsdous Air Polluionts (NESHAP) st (919)707-5950 at tea3r 10 days prior b the
dernolitlon ol eny facllily or bulldlng. 56o ,sbestos Web Sh€i htQr rMw.6pi.srsle.rc.usi/epuasbestovahmp.hllnt
TOTAL PROJECT COST:BUILDING HEIGHT:
SQ FT PER FLR:
# OF UNITS:
TOTAL AREA SQ FT ;
EXST LAND DTSTURBTNG pERMtT? n yES E NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SQ FT
pRopERryusE: florrrce f]nesrnuneNr f]urnuNrrr-e [eouc leer f]conoo OTHER:
ECoMMUNTTYSYSTEM fIWELLf] CENTRAL SEPTIC LI PRIVATE SEPTIC
pAyrvrENT METHOD: [CaSn [CneCX leeVnS[E TO NHC) fieru TCCOUUT EMC/V|SA [OrSCOven
"' SEPAFATE F:RT.1I'IS R:CUiREO FOR ELEC'J, MECI'i, PLAG, GAS EOU{P, PREFAtsS &
'IJSEF-iS
"'
(FOR OFFICE USE ONLY}
ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:
Approval:_ City:- DATE: FLOOD:
- - -
BFE+2ft
REVISED DATE 4/1 1/12
Comment
(o*tadrhrt-$a;
' j ..,
,ffi'
***{'|* rs rHrs a cHANGE oF occupaNcy ustr fives I No *****
IF Yes, what was the Previous Occupancy Type? _ l/hat is the New Occupancy Type?
# OF STRUCTURES:
# OF STORIES:_
# OF FLOORS: _
J=*r,r rr., s--l-0!-l
*r
NEW HANOVER COUNTY EUILDING PERMIT
APPLIAfiaN rYPEi RESIDENTIAL
plaesE AlisHEi alr q.lEsrro 5 ArPt!(AEt€ to yq.lR pRot€ct
"Project Responsibility"
2-atb 3l{7
fi'tnq
A!PLICATIOT{
Nuiber
(off1c. Ur!)
APPLICAIIT'S IIA'.U I
DEVELOPEP
PRoIECI ADoRESS r
SUSOIVISION:
PRoPERW 01,,['lER'S Mr15 r
OId'i€R, S ADDRESS:
C0lrrIRACI0q:
OATE:
Pltot{E s;
clw | ry!F66---**l zIP '
8L0CK *
CITY:ST ZlP.NC
tj'ta.:,aisi i I
xtic EP
IL LICENSE *:
I
ADORESS:CITY:sr: El zrP:
€llAIL ADORTSS:
PROIECT CO^ITACT PERSOT'I:PHTXVE #:
EXIST]iIG COflSTRUCTION:ALTERATION I rercvarroH I celrrnnr- necrrrs i_-] RELocArro{
NEN COIJSTRUCIION:ER€CT NEW RESIDENC€ ol.ADDITIOX TO €XISTIiiG RESIOENCE
TAPLEAsE CH[C( A O ANSSER SEIOI,{ AI.L THAT APPLY TO YOJR PRO]ECTI
ATT 6ARA6T SF DET GARAGE
--
SF PORCH ', aa
I sulrnoon
--
sF
f] ererrHousr
-
sF
pooL _- sF I sronaee sHED
-
sF
SF
DECK 5F
TOTAL PROIECT COST re*s rorr : $!: i:r:i-* 0F SToRIcS: F -l
Is any EIECTRTCAL, PLur{BraG or nEc{aflrcAl tio.k Beint oore to thr accessory Structurel EI Ves I m
If the prcject is a Relocetion, is the.e a Natural 6as Line on the Current Site) E Yes I No
Is thene Electrical power on thj.s Building?EYes NO
PNOPERIY UsE ,/ OCCUPANCY;srrclE FAlrrly f] ounr-u f] ro*xouse
DES(RIPTIO'I OF I,JORX;
DISCL fi€R lhereoy cen,t ila! ai rTt:.?)!l.on 6 Drs iOrll{:ton 13 cdrecl rid il l$k wil.onrry rin rhe Sla. Surrding Crr.atlera9ari.ij)le s6€ &ld bcar les
ru ordra.cei and rc$rlaltoi3 Ina NHc D.,al4anarr s..vres c€.Fl ill b. noried o! a.t.h..rgis h $€ apDo€d rrr'is i_:
coo!-br.hrmoEn. -'llOTE Any v,/6t Peric.nr! !1l/o t'3 Apgolnat-. P6mn! Eill bc11 VbbIao o, lhe NC S,ap B|d!'t..4.
or chrnge . .r..ir.rc. or
Fhes Ur ro S5m00 "
OI,JN ER/CONlRACTOR :5IGNATURE;
(P.iit Nr*)*+rr(ar*tr**l***.r1l.t.at*rf, art{
rs rHE pRopERw LocarEo rr r rloooeraru f] ves
EXISIIIIG IIPERVIqJ5 AREI; _ sQ FI
{roR oFFrct {.r5t orl
S TSACKS: F:
DATE: .li rlooo:
t
TOTAL
.,\d]-.....'
* \',
lcles brsruRgr 8:
NEl.l IIIPERVIOUS AREAi
-SQ
FT
I,IATE R :
SEWFR i
CFPUA
CF PUA
E corrunrw svsrrr fl PRwATE I{ELL
I carrul srrnc f] en:valr seettc I
CEIIAAL LELL
CO{I'TJNITY SYSTEM
.., sipiRAT: paRrlrrs i:Qu;RIo Fon trtcT, .,1Icir, pt86, 6as EQUI?. Ppl'.dAS I rlsalrIS -.
paynEr{r rlErHG): f] crsx [ c}rrcr (paYAsL€ rc ur1 [ A,rrrrcA|r txrn:ss E ,.rurto I orscwen
,*rr * r,r t' a1r*ai l.*** *atrt*ll r, ***,:*r.rrt**rrrr** t**r,.* * *a**ta*r t*tt:l***t r*..+ t 'a* l' ali* tt1'tt'
zorr, .p;.15[ orrrc:a,^(,
'.ji-*{*,
1:- clty:\^.), L''--
flh,(., "iL(tI t.l,
xrvrsED oltE grrl11/!2
{ g'*
Y 8FE+2ft=
lt
PERfiIT FEE: I
Approva
Co nent
?Y [,),.J;,'.h,*. lu' t€7t,qc^,\l..qrrc,-tt t r:{ry nPeclan (quileo, v tl}"ll\'J)
PrlOYE r. JilE!i:.';t------l
SF OTHE R:
TOTAL HEATED SQ FI: ]'iE---I TOTAL 5Q FT UTTDER ROOF: I-iF---_I TOTAL AREA SQ FT: F?:E-----l
EXrST LAro oTSTURBTNG PERflrr: pl VeS I lO
-y
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSHER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
)Llb-7??t-
WL tb -to{(
APPLICATION
Number
(Office Use)
1r.,1/ l -tr,APPLICANT'S t,IAfiE :
DEVELOPER:
,-,a/DATE
PHONE f:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OW\,IER'S f,AlilE : ,/Zt Z,/zX -
CITYt LL)zrP:,?tr/,2
^0d 6ITY: LU. /Sr:{zIP:.1.///z
sr tL(: zrpt'7r?/Z
=/4i 2/3'7
,/q? 2 lg
CONTRACTOR:
ADDRESS:-2
,/,6/,
L)( o./c
a; d-LICENSE *:
CITY: t -
/ ai.z,.za)/C L,zz:zt PHONE f:
PHONE f:PRO]ECT CONTACT PERSON:
ExrsrrNc coNsrRucrroN: Effirnarroru pfrrnovarror.r ! cerurRar nrenrRs RE LOCATION
NE!,l coNsTRUcTIor: ! rnecr NEh, RESTDENCE or @|-[56irrOt To ExrsTrNG RESTDENCE
**PLEASE CHEC( AND AIISWER BELOI.I ALL THAT APPLY TO YOUR PRO]ECT:
!arr cnnncr _ sF ! orr canace sr E poncn
-sF
[fsuru amn 2/L sF STORAGE SHED 5F
GR E ENHOUS E SF DECK 5F OTHE R:SF
FT UNDER ROOF.. A/TOTAL AREA SQ Flt -,( / ?
ETIUIIL ADDRESS:
DESCRIPTION OF WORK:
POOL SF
ToTAL HEATED SQ FT: {/,! ToTAL SQ
TOTAL PROIECT C05T (ress ror) z $ J / t>z?u /
y structure) W7e E n
e cunrent sitel E Y* ts6
# OF STORIES:
Is Any ELECTRICAL, PLUiIBING o" ,ra**rlO, Work Being Done to the Accessor
If the project is a Relocation, is thene a Natural Gas Line on th
Is there Electrical Power on this Building? @[V"t ! m
PROPERTY USE / OCCUPANCY:SINGLE FA!1ILY DUP LEX TOWNHOUSE
2.21=<), 1)".11 /l vt 3.
" ^ "&- -Lrrnl ,ro llrrzo
DISCLAIMER: I hereby /enrty tiar att inormatnn in tris appt6mn is conec%no "tr*-ii'tt-o.pry*n n" soreTe,iiuing cooe an! u[ ott",
";p,""oe
sr","
"no
,o"",,"rr"
and ordinances and regulaiions. The NHC Oevelopment Services Center willbe noliried ofany changes in he appro\,€d plans and specifica{ons or change in conllaclor or
conrracbr informaton. "'NoTE: Any work Perlormed wo the Apprcpriare Pemits wil be in viotation oflhe NC stab Btd d subjecl io Fines up Io $500.00"'
OhINER/CONTRACTOR :7e,-- '- t,Lr.o SIGNATURE:- 7--
)i )* ** * * * * ** * * * ** * *,k * ** * )** **)* * * * )** * ** * * + * * * * * * + * * + ** ** * r* * ** * )* * )** ** )** * ** )t **** )t *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IT.IPERVIOUS AREA:
-SQ
FT
NEW IMPERVIOUS AREA:
-
SQ FT
WATER: ET.FPUA E
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:l-'1 ves
E YE5 Efm
SEWER:CF PUA ! crrurul srnrrc ! pRrvArE sEprrc E coMr"tuNrry svsrrm
,I** SEPARATE PERI{ITS REQUIRED FOR ELECT, I''IECH, PLBG, GAS EQUIP, PREFAES &
pAyllEt{r irErHoD: E casx E crecK (PAYABLE ro rxcl I anenrcA ExPREss @6/vsa, ! orscovr*
xx,kx x ,t,t **+ + +1. *+ *,** * xr(,t * x ,t,* + *,* {. *:** rt+** ** )** ** * r* **r( )t)tx(* )t * +,t * ** )t*x *1.,t+* ++,*r. + ** * * )** ** * )i ** +r* * *
(FOR OFFICE USE O{LY) REVISED DATE O4l11l12
zoNE : _ 0FFICER:
COI1IIUNITY SYSTEI4 PRIVATE h]E LL CENTRAT WE LL
SETBACKS: F:_ LH:_ RH:- B:-
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=
-
AVN
(
Coment:
a-
PERI,IIT FEE: $-
/.1
({
f
l!l
BLoCK #: LOT *: _
ptONE f: / / ///i? /Z/a 2
OIINER'S ADDRESS : /72,2 ? r . ,.1 s.: ../-L Az'
d6
^q
RECEIVED APR 18 2015
RECE|VE0 APR 08 &S
NEW HANOVER COUNTY BUTLDING PERIqIT
aPPLIIATI&I rYPE: RESfD€ITIAL
?r aASt .rrtSrEt tl-L Q!r!I:rtS (PPLI(ABL€ :O YoLri PiCJa(I
"Froject Responslbllity,,
8ot6-hZtr
?0+ \b- t\os
APPLICATIOT'I
l{u'lbe.
tr rt,
,.1:
APPLICAT{T'S Nr\trE:
DIVELoPIR: ,.: . -' .
oATE; i-i-: ;
pHcNE $:
PRO]ECT ADDRESS;
SUBDIVI5IoN: ,'. i
CIIY: .:-:: .,r.::-:
8L0CK t:LOr #:
PROPERTY OIIN!R'S NM€:
O,{N€R'S AODR€SE; . !:- r.
COIIIRACTOR:t"I(€risE r:
CITY: .'ir:: r
.. r-,i: -, _ 1
5Ir.: ZIP: ';.:'
C'IY:,,
PHON€ *:
ST:
E AII. DORESS: .,-- -:-.,. ^l.iir il PHOaIE l: r -: ::--
PRO]!CT CONTAC-T PERsON:
EXISTING CONSTRU(IlON:A: l: li\'t I0r'l I nr:rova;:ui f]crrrrrl xenuns ! RELocATIoN
EH CoNsTRUcTIoNT D entcr irsw RESIDENTE o" I morrror To ExrsTrN6 REsloENcE
"Pi.!ASE CHE(I( !r0 AISn€n gELO,l ALL TltAT ATPLY TO YOt R PROIICTI
f rrr crnacr
-
sF f oer canece ss Ironcn --sF
POOL j-r*___ SF
f crrrxHouse -- sr I orcx
:r rhe.e t1€<1.i.a! Polrer oll this Bullding?
I sroalcr sHrD _- sF
S' OTHTR SF
5LNR0ofl 5F
TorAL HEATED 5Q FT; TOIAL SQ fT t i'IDER RoOF: T0IAL AREA 5Q FT: _
ToTAL PRoJECT CoST r-.,;r .ur r t :.-.-;:_:_ f OF STORI! S: __
Is Any EIE(TBXAL, PLu sIHc or tlECxAt{ICAt h'o.i( 3eing Do.e !o the A<(.3sory Stru(trre} fl Vur l]l no
:f th. ricject is a R.,locit1on, ls tlc.t a NatJr.l Ga5 Line on the Curre.t Sitel IVes Im
ves [Hc
pRopERTy usE / occuPr,r{cy: ! srrcr-e rurr-v ! ourrex I r+I*ouse
oEscirPr:o{ 0F uonl(:
a
OlSCl lrE Pj I rt6hy..,it? :
bd c_'1.:1..d', nd n t J r'r, r ". \ric a)!..rn."! !i.n.
'-\Ol! .\ryf icrr hrr.-.J 1(,a r:.
O|4NER,/C0|,ITRACT0R : r:: r.. !r.r.,.
e. '. v!l!:..15r r,c s
SIGNATURE I
i:Cr-er'-I'--r'.i
:s rHE pRop€Rry LocAi€o rfi e rlooollene I ves !{o ,r-.\)J&\*-I
EXIST:,iG IITPERVIOUS AREA: _SQ lT TOTAL ACNES OTSTORBED:
x6l! IiIPERV]oUS AaEA: _ Sq FT EXIST LAaIO OISTURaING pERnITl
r^rrpr E crnun I corsluN:Ty svsr$r fJ pRrvATe ueLL f] cr.*inrr. xrr-r-
sExER: -j :rrua f] (ENTRAL sEprra I "t,r^tt sr:;r: fl] ccli/ui: iy sysTt,.l
PIY|Erll rratHoD:
,.', .1..'t i:i,r r,-,
f casx flct to< (pAy^BLE ro nrc; I o,trrcl', rro"rss r,rc /vi sA olSCOVtA
YES NO
(5
zoNE: &J2or
npp"oua t , --Dj!- ciry:8l!l[ ,aTE;
ir,-[.-R!. _l!L a, il'
trC.lI,.L Brs+2rr-
,?.*, furir !a-tACKS: F
;:1009
It!i.rt' rIf 14 /l l,: ]
I
PER:{IT FIE:3
rar-irq t1,}:irr k Call 910-254-0900 for
U final zoning insPection.
Ccrrent i
brl cCt',t,t)( 0\r, turllr4^rc
ZIP: .:i-:
AODRESS: :.]i. ,!i..-. rr':.:r-j ..:
,al , RECEIVED APR O 8 ?OT
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLTATIoN IYPE; RESIDENTfAL
PLEASE AITSHER ALL QUESIIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility,,
?6? \t- ttos
)0u,3?qL
APPLICATIOTI
Number
(offlce use )
io
6T
APPLICANT'S NAI,4E r i.:,::,r. !.rr:.- 1: ,:-,.:.-,1
DEVELoPER: r:.:.:ic ..tr:: .: r,,,,:r:i,,:PHOl,lE #: r '- :,1)-:7t'
SUBDIVISION: ::: '.
PRoPERTY OWNER'5 NA,4E: .1.^,. : .i:r:r. r,:ir :.:--..1
o{.,INER'S ADDRESS: -:: : :r-r -
CoNTRACToR: ?:::::r. i.o,:, c! ,i -. :.r:.:: ::
ADDRESS: .
El'tAIL ADDRESS: :r..s:irec..r:joj,r jr,1iir.n:i---:: ---
PROIECT €ONTACT PERSON: Ir..:t l.i.: :.)\)-
CITY: ;ir 11: r.r'i.:,zI P I a::::j:
BLOCK i: _ LoT c: _
PHONE f: 6:r-1lr-1:6:
CITY:
STORAGE SHED
5Tt:, ZIP:::-r ::
ST: ]1. ZIP : :lj i ::i
PHONE S: ,, a ! .i;
PHOI'IE *: r : .-1. .:,,:.
SF
SF
LICENSE S: 51:-i -'
CITY:
ExrsrrNc coNsrRucrroN: I arrennuoru f] neruovlruon GENERAL REPAIRS RELOCAT]ON
NEl^/ coNsTRUcTIoN' n Enrcr NEb/ REsroENcE o" f] noolrtoN To EXISTTNG REsIDENCE
*+PLEASE CHECX AND AT.ISH€R BELOI{ ALL THAT APPLY TO YfiJR PROJECT:
f] oer caaacr sr f] noncr
-
sFATT GARAGE
-
SF
SUNR@M
-
SF
GREENHOUSE 5F
POOL:r:SF
TOTAL HEATED 5Q FT: l] TOTAL SQ FT UNDER ROOF:
--
TOTAL AREA SQ FT: I:
TOTAL PRoIECT COST riess rorr : $ :,:,:.'. ,: * OF STORIES:
Is Any ELECTRICAL, PLUiIBING or I.IECHANICAL Work Being Done to the Accesso.y Structure?Yes No
I llo
I NO
If the project is a Relocation, is there a Natunal Gas Line on the Current Slte? nyes
Is there Electrical polrer on this Building?Yes
PROPERTY USE / OCCUPANCY:SINGLE FAI4lLY DUP LEX TOI4NHOUSE
DESCRIPTIoN OF LJORK: r: : ,, r,.,
r
DISCLAIITER lh€reby cerrrry fial a[ inbrs3r}on n hLs apphcaron 's codect and ,I por* wti comply erfi lhe Srate E!rlding Code ad arl9'}hE4p
and odinanc€s and egulsrDns The NHC Oevoloprent S€Nhes Cen€iwrllb€ notned otanychanges rn fie oppro pl..s 6rl.l-5p€ftr€ar ons or
conndtrr rnbmaton. "'NOTE'AnyWork Pedormed W/O t1e App@prlaE Pemitswrtbe in Viobtion onhe NC Sta€Up Io 55 0!
OWNER/CoNTRACTOR: : ::i. ii: :,:, .
IS THE PROPERTY LOCATED IN A FLOODPLAITT?
EXISTING IIitPERvIous AREA:
-sQ
FT
NEW IMPERVIOUS AREA: _5Q FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURAING PERIT1IT:
C€NTRAL t,.JE L L
COt4I"lUNITY SYSTE!1
pL86,6A5 EQtirP
COlirl1UNTTY SYSTEtl PRIVATE IdELL
CENTRAL SEPTIC PRIVATE SEPTIC
SEPARAT€ PERI'IIT5 REQU]RED FOR ELECI
SIGNATURE:
YES t NO
YES NO
IIATER:
SEWER:
CF PUA
CFPUA
PAYI'IENT IIETHOD:Icasu [crecx (PAYABLE ro r{Hc)
ZONE; _
MERICAN EXPRESS flc/vI5A
OFFICER:
(a0R 0F Fi( L u5a oll_Y)
SETBACKS: F:_ LH:_ RH:
BEVtStLr lAl E t 4/11/II
-
B:-
RFF+)fl = - ,,/--
-
flr
PERIiIIT FEE: t l)
Approval :- ci ty:- DATE:- FLOoD:
- -
AV
Comment:
I
PROJECT ADDRESS: '-t2i ...t:.,.' .)r
DATE: .:-,1-:4,,
I oecx _ sr orHER:
f] orscoven
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION ,YPE I RESIDENTIAL
PIEASE AiIS!{ER ALL Q{JESTIONS APPI-ICABLE TO YO['R PRO]ECT
"Project Res pons ibility''
Jetb-3qcl716-1034
APPLICATION
Number
(offtce Use)
APPLICANT'5 NAl.lE: southern Expgsule sunroom
PHONE S:
PROJECT ADDRESS: lsoa JupiLqr 8i116 Clrcle
SUBDIVISION: Por.ters Neck Planta!&n
CITYi tlifmj.nqton ZIP i 28411
LOT *: .rH6R
P HoNE S: 910-506-121s
sT: IS_ zIP: lj3gl
BLOCK S:
PROPERTY ot'lt{ER'S NAME:Russ, Garv &Celeste
ot{}lER'S ADDRESS: 1508 ilupiLer Hi11s Circle
COTITRACIOR: s9lthern Exposure Sunrooma
ADDRESS: Po Box r2oo7
LICENSE *: 58138
CITY: wllminqton
EHAIL ADDRESS: irohn@southernexD PI-€NE *:
PHONE *;
9!0-'193 -2162
PROJECT CONTACT PERSON: .Tohn IIicKey
EXISTIiTTG CoN5TRUCTION: p ArrrnlrrOru [RENOVATION GENERAL REPAIRS RE LOCATION
NEhI CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
*TPLEASE CHECX AND ANSI,'ER EELO{^I ALL THAI APPLY TO YOUR PRO]ECT:
I arr camcr
-
sF ! orr ernner
-
sF f]PORCH
-
5F
SUNRoOM 1so SF POO L SF STORAGE SHED
9lo-793"2'.162
GREENHOUS E SF 5F OTHER:
5F
TOTAL HEATED 5Q FT: rso T0TAL Sq FT UNOER R0OF: 1so TOTAL AREA SQ FTi 1so
TOTAL PROJECT COST r1""" L.oo : $ sozs
Is Any ELECTRICAL, PLUI,IBING or ltECHrdtICAL Work Being Done to the Accessory Structore? [ VeS fl ffo
If the project is a Relocation, is there a Natural Gas Line on the current Slte? [Ves [ ruo
Is there Electrical Power on this Building?
pRopERTY USE ,/ oCCUpANCy, @ StHeLe rlUrrV
DESCRIPTION OF WOR(: Enclose porch a6 qfaaa sunroom
T Ye s [-l Ho
DUPL!X TOU]NHOUSE
DISCLAIMERT lh€rabycerlify hat all inkJrmaUofl in his applicalion b corect and aE 'rr,ork willcomply wlur he Sl6te Building Code and alloh€r able Stale and local laws
ahange h conLebrorand ordinancos and rcgulalions. The NHC Developmenl S€rvkes &nb.willbe nodfed ofanychanges ln ihe ap
conlracbr bbmation. "'NOTE:Any\,Iork Pedomod w/O he Appropraab Pgmils wllbe in Viobl'|5n of lhe NC
OUINER/CONTRACTOR: .rohn xiekey SIGNATURE:
(Prlnt Naie),t t+,t,i*)t !t*+* + + *+ **** **+ **t*,+'**,* **{**,t)t *++* + +*!* !r++ ++++ ****,}** ** *,1
th To $sooo$"
)*:* )t *,t*,k*+* )t )t )t r(*** +* ** * *
15 THE PROPERTY LOCATED IN A FTOODPLAIN?
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEW II4PERVIOUS AREAI O SQ FT
YES
TOTAL ACRES DISTURBED: O
EXIST LAND DISTURBING PERI|IIT:l-l vs5 [Tl ro
n NO
Approval:- CitY:- DATE:- rLOOD:
!
Comment:
DEVELOPER:
DATEi 4/4/2ot6
CITY: r{llnrinqron ST: Jq ZIP : :!1::_
I orcx
$ OF STORIES: 1
NAIER: [l cFpuA fl coMMUNrry sYsrEM I PRrvArE wELL f] crrurnel urll
sEhIER: M CFPUA D CENTRAL SEPTIC I PR:VITT SEPTIC D COMMUNITY SYSIEM
*** SEPARATE PEEIIITS REQUIRED FOR ELECT, TECH, PLBG, GAs EQUIP, PREFABS & INSERTS T'*
oornun, nrrnoo, Dcosx E cn..x (pAyAELE ro rra; [*.*rao* ,*o*rta fl nc/vrsl ! o"to"*
**:*)* *** **** )t,t,t***,** * r(* *i,ir+ * tf ti * **i(,t,* ** **,t,t ***+ *,*)t ** i.* )t,*,t )t * {. * * d(* * )i )t* )t * r<*t *,}**t* * *** 't )i*****
(FOR OITICE UsE ONLV) REVTSEO DATE {',4l11/12
ZONE:
-OFFICER:
-
SETBACKS: F:- LH:- RH;- B:-
t's
ffi
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA| I0tl rYPE : RESIDENTIAL
PLEASE ANSI.]ER AI-L qJESTIONS APPLICABLE TO YOI,,R PiO]ECT
"Project Responsibilitf'
trJ\
CITY:Uri
P}O E *:
ZTP i
BLOCK *: LOT #: _
PI{,NE *tq//96 ess".-
s't | \! <zrp tztLtof
2.t"te-3196
11-_1lt1
APPLICATION
Number
(Offi(e Usc)
APPLICAT',T'5 ilAr'lE:
DEVELOPER:
PRO]ECT ADDRESS:
PROPERW O}[{ER'S A}TE:
O ER,S ADDRESS:/A
SUBDIVISION:
COI'ITR ACTOR
Zkltqc.,rv,\V d<,CITY:
, Po^.., 1{,^l qc^.,"\ aar..l liq ucE sE s: 1n4t? Y
ADDREss: )bzi F;Il"'eu-, e.L GIIY:Lj)F-.5-!):- sWL zrl:Zgq /l
n*rte *':010.{47-*QbO
PloriE f : qlo:S 47 -&b led
E},IAIL ADDRESS:
PROJECT COI,ITACT PERSON'I:
EXrSTr,lG co,rsrRucTroN: f] alrrnarroru [ nercvarror Ierrenll neearns I RELocATToN
NEH CONSTRUCTTOTi' ! rnecr NEll RESTDENcE o" ! aOOrrrOU TO EXrSTrl{G RESTDEilCr
'TPLEASE CHECI( AI{D ANSI{ER BELOI{ ALL TIIAT APPLY TO YOI'R PRO]ECT:
I oer ennacr
-
sFI rrr eeue e
-
sF
! surnoom
-
sF
l--l enrrrxouse sF
POO L
DECK zb1
SF
5F OTHER:SF
TOTAL HEATED SQ FT:
-
TOTAT SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
-
TOTAT PROIECT C0ST0-essror): $_ * OF SToRIES:
Is Any ELECTRICAL, PLUIIBI 6 or ECHA ICAL Work Being Done to the Accessory Structun€? E Va, dlo
If the project is a Relocation, is there a Natunal Gas Line on the Current Site? [ ves zJto
Is there Electrical Power on this Building?[v"s @no
PROPERTY UsE / OCCUPANCY:SINGLE FAT4ItY ! ourlex ! rowlnouse
DESCRIPTIOI{ OF HOR(:lc ,^. d
DISCLAiIIER: theGby cenjt hsr.an inbfnalion rn his applicalbn b corcl end allwo wilcomplywih he Stete Building Code and alloher applicable Sr.t snd loc€rta/vs
and ordin6nces and r€gutstions. The NHC Oevelopment S€Nices CenEI wil be nolifed olsny chEnges in he spprcved plafls 3n( specifcslbns or change in conrscbr or
contacbr nbinston.'"ltOTE Work Performed W/O fie Approprists Peflhitswillb€ in Viob(bn oflhe NC SlaE AEg Code and Subjecr b Fmes Up To $50000"'
OT''NER/CONTRACTOR 4."*-.- pJ*-
:***i.***+*,r* +,* ** **** *** **** *(Il'll lilt]****** **** **:i:l*:y:l:l*+*:r***'l *:r:i,| 'l ***,t,r:t***,1* )t**,** * )* *:t +
I5 THE PROPERTY LOCATED I1{ A FL@DPLAI ? EI YES EJ TTO
EXISTIIIE II'IPERVIOUS AREA:
-SQ
FT TOTAL ACREs DISTURBED:
NEw lrpERvtor;s AREA: _ SQ FT EXIST LA1{D DISTURBII{G rtnmrr, I vts l--l uo
wArER: I cFpuA E cor4t4uNrw sYsrEM I PRrvArE t"lELL ! cewRal wtt-t-
sB,rrn: \ CFPUA E CENTRAL sEPTrc I enrvnre sEPTrc E coMl'luNrrY sYsrtM
*TT SEPAIIATE PERITITS REQUIRED FOR ELECT, I4[CH, PLBG, GAS EQUIP, PREIIBS 8 INSTRTS AT'
.o*r* nrr*or, ! crsr I cxrcK ( payABLE ro rucl I o4rrrca ExpREss u r1cuvrsl I orscoven
*** * *** **** **:t+**,*:t * ** ****:t,k:f*:*:t* **:t*rt+**:|*+1. *** ***t rt** *** *'*:i*'**** *l*:t t**+:** ****:r *'l *'* * *
(FOR Ofrl(E USE O'ILY) R'\"iSEo oATE 04111/12
ZONE:
-
oFFICER:
Approval:- city:- DATE:- FLooD:
-
A
SETBACKS: F:- LH:- RH:- B:-
-
BFE+2ft=
x
IETI'.IIT FEE: i
Comment:
z,a
1
oart:\-Z*'l b
! eoncx
-
sF
I sronace sHED _ sF
SIGTIATURE:
/"i.',,,
(@)
NEW HANOVER COUNTY BUILDING PERMIT
APPLI.ATI0N TyPE I RESIDENTIAL
PLEAS€ ANS!]ER ALL QUESTIO}{S APPLICASI,E TO YOI'R PRO]ECT
"Project Responslbility''
Jo(d?q1L6-L082
APPLICATION
Number
(office Use)
DEVELOPER I PHONE #:
PROIECT ADDRESS: 13oo floodfield cr CITY: wilmin.tton zI? | JE!9L
SUBDIVISION:I BLOCK S:LOT #r 18
PRoPERTY OI^INER'S ilAl'lE: !ahe!ey, penny PHoNE *: gaa -262-s232
OIdNER.,S ADDRESS: r3oo woodfield cr CITY: Illilnrloqton sT: !s_ zIP: 2840e
coiuRAcToR:Soutrhern ExDo6ule S LICENSE S: 58138
ADDRESS: Po Box 12 oo?CITY: wilminqLon ST: E_ ZIP: 2840s
EI'IAIL ADDRESS : iohn@southelnexoosuresunrooms PIONE #, sao-'ts3 -2'] 62
PROIECT CONTACT PERSON: .rohn Hickey PHONE *i gta 't 93 2't62
ExrsrrN6 coNsTRucTroN: I alreRlrror f] nrruovnrror f] eerurnal nrrarns I RELocATToN
NELj CONSTRUCTTOru, f] rneCr NEht RESTDENCE o" I IOOITTOU TO EXTSTING RESIDENCE
**PLEASE CHECI( AND ANSWER BELOU ALL IHAT APPLY TO YOUR PROJECT:
fl arr ennacr _ sF
flsurvnoou 220 sF
I orr eanrer sr I noncn
-sF
fl eoor-
-
sr n sronace sHED
-
sF
! cRrrruHousr _ sF I oecr _ sr OTI1ER:SF
TOTAL HEATED 5Q FT: zzo TOTAL SQ FT UNDER RooF: -4q_ TOTAL AREA SQ FT: zzo
T0TAL PROIECT COSTG.*LoI) : $5 80 # OF STORIES:
Is Any ELECTRICAL, PLUI4BING or i{EcHA ICAL uJork Being Done to the Accessory Structure} [ V"s f] fo
If the pnoject is a Relocation, is there a Natural 6as Line on the Current Sitef f]Ves f] ruo
Is there Electrical Power on this Bullding?I ves flno
pRopERTy usE / occupANcyr [} srruolr rlurlv f| ouelrx I TourNHousE
DESCRIPTI0N OF l.lORK: Convert existi-nq screen borch to s
DISCLAIMER lhereby cerlili/ halag inbrmauon in lhls 6rpllcadon is corect and all $brt will comply wih tr6 Stalu Bulldlng Cod€ 6nd all oh6r appncabb Srar6 and local lEws
aM ordinarces &d rEgularbns. Tho NHC O6wlopm6nr Sorvies Ccnbr wlllbe nolifisd ofany chan0es in h6 pbosand orchange h conlrachror
Fh€s Up To $5O0.0(r".onbactor intorma[o0. "'NOTE: Any Wo* Performed wlo fle Appmpriab P€mit6 wlllba h Violark n olth6 Slab 8ld9
0l^INER/CONTRACT0R:,rohn Hickev
*,r*rrrr+,* *,r.+*,*+* + +*** *** *** * J!!Tl ffTi
rs rHE pRopERTy LocATED rN A FLooDpLAr{? n yEs
EXISTING II.TPERVIOUS AREA:
-SQ
FT
SIGNATU
+***,i* ++,1,*{,t*,t*,t*,}*:t**1.+ ++**** +*** * * * *a* * **'t,* **** *
I NO
TOTAL ACRES DISTURBED: o
NEhI II{PENVIOUS AREA: J- SQ FT EXIST LAND DI5TURBING PERI'IIT; f] VES IEI TO
urArER: E creua f] coMHUNrry svsrem I pRrvATE I{ELL I cemnrl uell
sEr.rER: m creua I CENTRAL sEprrc I enrvare srnrrc I coMMul{rw SYsrEM
*I' SEPAIIATE PERI.lITs REQUIRED FOR ELECT, }{ECHJ PI-BG' GAS EQUIP' PREFABS 8 IiISERTS I'*
payl,rEnr nErHoD: E clsr Ecxtcx (PAYAB|E ro urcl I m:nrc*r rxnnrss E lclvrsr I orscovrn
+***,td.*,t**r **t,***** ******* *** + 't '1,|****,ar(ti +*** +,i* t{(* * *,*** *,}:} l.*i. *)r***,*+ +* *i,t **** *,* + )*,t( + rt,** *
(fOR OfFICE USE ONLY) REVISED DATE O4l11/12
ZoNE: _ OF FICER:SETBACKS: F: LH: RH: B:
ApprovaL:- City:- DAIE:- FLoOD:
-
BFE+2ft=
-
AViI
PERI'IIT FEE:Comnent:
APPLICANT'S NAlvlE: .Southern Exposure sun::ootr1s OAIEI 4/a7/15
(
)otb 41q?
16-l-082
APPLICATION
Number
APPLICANT, S TIA},IE
DEVELOP€N:
{i6ulheln ExDosnre a;rn!.nmr OAT[: {/tr/r6
PHo|{E f:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI'N rYP6: R :SIDENTIAL
PlfAsE AN5t fir ALt QUESrao 5 AppLtcAgtt to y(}rR pRo]ECt
"Project Responstbll lty,'
PROIECT AODRESS: rloo Hoodt.ield cL
PROPERTY otI,lER' S NA,,l€: !4!to:1ey, ecnny
CITYr i{ilmLna:oJr ZIP | }!j!L
8L0CK e LOT l: re
PHONE fl: eir.26r 5212
CITY: xrlnringt6n __ ST: jq zlP | 2j!!2_
LICENSE Cr bulr6
CITY: r1lr,1,!!!o,,5T: N.: zlP r :ru405
SUSDIVISION:
O'rJNtirS A0DRESS: rloC !rco.lrierd c,-
COIITRACTOR:sourbc!n ExDoarrr. sD
ADORESS r po Box l7(o?
EMIL ADDRESS: j9I!9!9!! hi!:rs4Eq. u:cs.- n reqrL6 i!e!n PH}.IE f :
PI()NE f i
910-197-2162
PRO] ECI CONTACT PERSON:9ra -193 - 2162
, @ al-renlrror I nerrcvarror ! cerirnnl neearrs f] REroc^Troar
ERECT NEW RESIDENCE o" ! aOOrrroru To EXrSTrM RESTDENCI
..PLEISE C|IECX AI{D AIiSIIER BELOII ATL TIIAI APPI-Y TO YOUR PTO:IICT
EXISTIN6 CONSTRUCTIOi]
NEh CONSTRUCTION:
ATT GARAG€
-
5T I oer canlcr sr Inoncx
-s[
I nmr,
-
sr
! orrx _ sr
@ surnoou -?29--sF! carruouse
-
sr
! sroRner sFED
-
0TlrtR:
st
sf
TOTAL HEATED SQ FT: 2!o TOTAL SQ FT UNDER RooF: 31L_ ToTAL AREA 5Q FT: zrc
ToTAL PROIECT C0ST(4.1o1): $ stso * OF STORIEs: )
Ir Any ELECTRICAL, PLLr,lBIrlG o. 8EC}i.qIICAL lork t]eing Done to Lhe A(.€ssory Slructurel I Ves f] Ho
If the p.oject is a Relo(ation, 1s there a t{atirral 66s L:ne on the current site? f}v"s f] lo
:s there Elect.i(.1. Power on thj.s 8!iLdj.ngl I Yes No
PRoPgRw UsE / o(cupaflcy: IsrrucLr rar.lrrv !ureLrx f] TorJNHousE
oESCRIPTION OF HORK: conv..t €x!3t:n. rclccr Dorch !o .Lnr3o(
OtsCLA!'G R. I h.,.by .er at h.t !r
'r
bi6.lio. 5 !ii. .pek!a.. ! corlcr *d { Elr !/il .r6pt pin 6. su L olildin! C5d. ad rl orr., :r,rk.bb sl.E &d 1o..1 Lot
.ndodn16&d 69d.rd Ir. NtlC O.alopr.lS.tut.s a.nt,nlbe.oii.c o,.iy :hr!.r n fi.lsr or ctroq h@nlcb,d
@nt&blh,o.rrton "'NCTE Any!r,brr P.ih{m!d Wlc h6A2r6p6r P.mlr. wllb. r vEl.tb. ol$.b FlEsut rolSao00 "
SI6NATUR
.........(:'.Tl,l':T,1..
IS THE PROPEETY LOCATEO IN A FLOODPLAINI
EXISTJNG IIiPERVIoUS AhEA: _5Q FT
I ves r
l.
NO
TOTAL ACRTS DIsTURBED: -9_-
NE|l, r,rpERvrous AREA I g- 5Q FT Exrsr LA o 0rsruRBrN6 pERxir: ff Yrs El to
lrrER: E crrur ! col'llluNrry svsrrN fl pRrvArE uELL ! c$flarl wrlr
sEhEN: Z creua I CENTRAL sEprrc I enrvnr: serrrc ! col{1ttNrrY sYs]EM
.'' StPA'iATE PERXI]s REQUIRTD TOR TTECT, I'ECIiJ P!86' 6A5 EQUIP' PRTfASS S INSERTS T"
pAyxEl{T NErBoDr !aosn I c"ac, (PAY^B!E lo rarcl I mtucor.| trcnrss E] ra/rtto I oataoura
i'4'rli'rr'r"t'
,onr.Q '.1 orrrcen, jlui'\ r
app"or"r,-11 -city:l).ri;'' oarr' l lililL' rr-ooo,
SETBACKS: F:
--\l\-A_
1;,J]-.1-u r:-_.l,lf<
BF E* 2f t=
PERMIT FEE:
,.,tr y rirr;rcr,ttv', (t'.,I\.illul-]
irvrrrD nrrf 0!/11/r?
CoiEent
CII',JER/a0NTRACTCq: :!a r..i.j./ _
5
:
PROIECT ADDRESS: 1319 Iqitirary Crrrcft r?.oac, Suil e rill CITYi wrt:nrnqton, r.:c
APPLICANT'S NAI'IE:An.1'r Seama ns
ZIP i .,r.ttl, _.
OCCUPANT/BUSINESS NAI{E: Rise-Bi:rcuits and Donurs
PROPERTY OWNER'S NAI'IE: ,., t::.,, =: -, ., -::, . :l PHONE f : ,,. ;-- -.',
OWNER'5 ADDRESS: Iaat urtrr rrv i-:ro:f lt.:t ,sLe.20a CITY: I,irlrninston
CONTRACTOR::-:
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATIoN rYPE: COMI|IERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]TCT
"Project Responsibility"
LICENSE #:
CITY:
3otf,-qe)c
16- 908
APPLICATION
Number
(office Use)
ADDRESS:ST: _ ZIP: _
EMAIL ADDRESS:PHONE #:
PHONE #:PRO]ECT CONTACT PERSON:
NEW CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHE LL UPFIT E ADD To ExIsT sTRUcTURE
ACCESSORY STRUCTURE:
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOTIAL: Johri marasita
ENGR DESIGN PROFESSIOTIAL: ir,r( l.Delan.l
DESCRIPTION 0F WORK: New Partitions, LJew Mep Services
***** rs rHrs A cHAriGE oF occupANcy usE? f]yEs IHo *****
Is E1ect Pouer on this Buildj.ng I Yes nruo
what is the New occupancy Type?
PH:919-682-6393 NC REG f:
PH:919-871-10?0 NC RE6 #:
618 2
36841
DISCLAIMER: I hereby certjfy that all information in this application is correct and ail work will comply with the State Building Code and all olher applicable Slate
and local laws and ordinances and reoulatrons The NHC Develooment Services Cenler will be nolified ol anv chanoes in lhe aooroved olans and sDe.ifications
or change in conlraclor or conlractor riformalion. " NOTE. Any Work Performed W/O the Appropnate Permiis wrll b:e rn Vrolati6n of lhe'NC Stale Blog Code and
Sublect'io Fines Up To $500.00"'
OWNER/CONTRACTOR: SIGNATURE:(Ouallner) (P.i Name)
contain Asb€stos or not. You ar€ requk€d to csllttE Nadonal Emlssion Standards br Hazardous Air Pollutants (NESHAP) at (919)707-5950 at leasl 10 days prior to the
demolition of any fEcility or building. So€ Arb€stos Web Site: http:/ wv{.epi.state.nc.usy'epi/asbestosy'ahmp.hlrnl
ls food or beverages prepared or served in this structure?T ves I no ls The Property Located tn The Ftoodptain'l I ves [ ruo
TOTAL PROJECT COST:BUILDING HEIGHT:
TOTAL AREA SQ # OF STORIES
# OF FLOORS:
FI: 122,192 sf
ACRES DISTURBED:0 EXST LAND DISTURBING PERMIT? N YES I NO
NEW IMPERVIoUS AREA: l SQ FT EXISTING IMPERVIOUS AREA:
PROPERTY USE: lOrrtCe E nEsrnunnm MERCANTILE EDUC EAPr lCOr.roO OTHER: sus:ness
WATER: ECFPUA f]COMMUNITY SYSTEM f]WELL f]ZONING USE CLASSIFICATION
SEWER: ACFPUA -CENTRAL SEPTIC E P-RIVATE SEPTIC f]COMMUNIry SYSTEM
*'SEPARATE PERMITS REOUIRED FOR ELECT, MECH. PLBG. GAS EOUIP' PREFABS & NSERTS "'
(FOR OFFICE USE ONLY)
OFFICER: SETBACKS: F:-LH:- RH:- B:
Approval:- City:-DATE:- FLooD:
-- -BF
E+2ft=-
SQ FT
REVISED DATE 4/1IN2
ZONE:
Comment
N
PERMIT FEE: $--
DATE: 3itt/t6
DEVELOPER: LandfaLt ventures PIIONE #: (616) 315,5011
ST: NC ZIP:2ir105
Exrsr coNsrRucrroN: ! aLrERArroN tr *rilifr;!;i,i 'lii'rli'r*or- REpArRs E RELocArroN
lf Relocation, is there a Natural cas Line on the -Current SiteZ I vi-[ f.ro ts aLOc spRlN-xLgneOz I ves fl uo
If UPFIT - The Shell Permit f:
# OF UNITS:
SQ FT PER FLR:
-
TOTAL SQ FT UNDER ROOF: i6e: sr #OF STRUCTURES: _
pAyMENT METHOD: ECASH [CHeCx leevaaLE To NHC) flauentCen exPRESS E MCA/ISA n DISooVER
.i
&
Et3 B
RECEIVEDAPRlS2Ol5
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAII1N IYPE: C00iI4ERCIAL
PLEASE ANSI4ER ALL QUESTIOIIs APPTICAELE TO YOUR P8O]ECI
'ProJlct Responstblu.ty'
?oru- L(w)
Vflb
APPLICATION
Number
(office us€)
APPLICAT{T'S I{AIIE i Aqdy seamans DATE: 3/!'t/t6
DEVELOPER: Landfalt Vent.ures PHONE f: (G4E) 34s-so3r
,'lv?
-E)
+vO(:f\
4
PROJECT ADDRESS: 1r 1e M cutoff Road, suite MM CITY:Wiiminqton, NCitit
OCCUPANT/BUSII{ESS l{A}lE : Rise-Biscuirs and Donur
PROPERTY Ol',[ER'5 tlAItlE: LandfaIl venrures. LLC
ZIP | 284os
O{NER'5 ADDRESS: 10s1 Mirilarv c coff Rd, stse.2oo CITY: wrlminq!on
CONTRACTOR;sociat e6 Builders, Inc LICENSE f: so 734
ADDRESS: 6? s2 cordon Rodd CITY: wilminqr.on
ElilAIL ADORESS: mlkeaselaqe@bellsouth.net PHONE $;
PROIECT COIffACT PERSoN: Mike Aselaqe
PHONE S: 910-c22-4057
ST: Nc ZIP: 284 os
5Ti Nc ZIPi 28411
PHONE f: 910-2?9-7901
l-Y-
Exrsr cousrRucrror: f] ALrERArro* 3 *.,#ffi'EIL'il*r. nrprrns l-l RElocArror{
ll Rdocdqr. is here I Nsturalcas Line on rhe -Current Site? [ ves-! r'ro ls sroc spfiirreReor Ives
--0
v
-r=
#.,v!
1o
-i<
I No
NEt, coirsrRucrrq{: ! rnecr Ehr srRucruRE ! rrsr rnlcx f] sx:r.r- @ unrrr I ADD To Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #: Is Elect Por.rer on this Buildin8 E Yes E *O
r.,l'x* rs rHrs a cHAr{GG oF ocqrpaxcy usrr flves I m ."...
fF Yes, Hhat l,as the Prevlous Occupancy Typel
ARCH DESIGI{ PRoFESSIONAL: John !,{arasila
what is the lierl oc(upancy Type?
PH: -91:;jj?_gf:l_NC REG *: 618 z
ENGR DESIGI{ PRoFESSIOMLT Rick Copeland PH: 919-871-10?0 NC REG S: 3584r
DESCRIPTION OF l,lORK; New PartiEions, New Mep services
-tl.
<f b bod or b.y*agra prtpdd a rst !d h tlfu luuctn?I veslNo ts lhc Plopldy Locebd ln Th! EoodCrin? E ves [ruo
'v Dsclr$aEn: t hereby csnily lhal dl Int@matql rn lhjs appikauon is can€cl a{a sll urc.i Errl cornCy wlth lh€ Slato BurrdrnS Codo and dl other applrcable Stare
E a loaol latl'. lnr, ordlnanc.s and rmulstiois. The NHC Devddrrler]t Servlcss C€nr6r wrll be noriled.d anv chanogs ln rhs ao ovad o/srs and soec fcarlonsd dun06 in aonrador or corirador fotorrEdo.r. _'NOTE Arry Work Porlomed WO rh.Aff oprl6{c Pprm s wlll 6b h Vlolarfi ot rhG I.rC Srais Ahg Coda and
sirbioctlo Flnc6 up To 5@.00"'
OWIIEFUCOI.ITRACTOR:_ SIGNATURE:
NEW IMPERVIOUS AREA: o
TOTAI SQ FT UNDER ROOF: r6e2 sr # OF STRUCTURES:
ACRES DISTURBED:0
# OF FLOORS:
D(sr tAND DtsruRsrr{o peRurtt f-"lves I NO
SOFT EXISTING IMPERVIOUS AREA:
-SOFT NEVEED ITAE {1 V'2
pRopERTy usE: floFFrcE E nesreunerr luencrurnue Eeouc E rurr lcotioo oTHER egejlesE---
WATER: ECFPUA
sEwER fl CFPUA
... SEPARATE PER]\iITS REOUIRED FOR ELECT, MECH PI BG. GAS EOUIP, PREFAAS & INSERTS "
pAyMEr{T METHOO: ICASX fiereO< (PAYAET.E TO NHC) lemenCel Oeness E ucalrsl E oscoven
(FOR OFFICE USE ONLY)
ZONE:-OFFICER:
-
SETBACKS: F:-LH:-RH:-- B:
epproval: Gty:- DATE- FLOOD:--
-
BFE+2F-
AVN
- COMMUNITY SYSIEM T]WE[ EZONING USE CIISSIFICATIOT*
E enrnel sep-nc I en-vere semc 5-couuulrnv svsreu
ql, eqY\|'+.'
Cdnmgrt
(c
)\tI\\
PERMIT FEE:t s3 &ct_l
.Ct
)orb-\ht
NEI^I HANOVER COUNTY BUILDIN6 PERMIT
APPLICATION IYPE: RESIDENTIAL
PLEASE ANSU]ER AII OUESTIONS APPTICABI-E TO YOUR PRO]ECT
"Project Responsibility''
APPLICANT'S NAr,lE: souther:n Exposure surlooma
DEVELOPER I
PROIECT ADDRESS i 13t3 arockSide 6Dr CITY: I,liilminqLon
SUBDIVISION:Blookside clardens BLOC( S:
PROPTRTY ol^INER'S Nr$.tE :smith, lhthrvn B
CONTRACTOR: southern Exposure sunrooms
ADDRESS: Po Box 12oo7 CITY: wilminqton
LICENSE S; 5813I
EitAIL ADDRESS: iohn@southernexoosure 6Un!OOmS . COm
PROIECT CoNTACT PERSON: ,Iohn Hickey
APPLICATION
Number
(Offlce Use)
DATE: 4 /tt/!6
P}ONE f :
ZIP i 2a4tt
LoT #: ls
sT: Ig zIP : 3g3g:
PIloNE *: sLo-1 93-2762
PHONE f: 9Lo -252-a069
EXTSTTNG CONSTRUCTTON: ffi ar-rrRlrrOlr I neNOvarroru [ crruranr nrearns ! RELocATToN
NEW CONSTRUCTToT'I: fl enrCr NEUI RESTDENCE o" ! aOOrrroru To EXTSTTNG RESTDENCE
r+PLEASE C}IECI( AND AIiISI{ER BEIOId ALL THAT APPLY TO YOUR PRO]ECT:
I arr cauoe
-
sF I oer oeReoe _ sF
V SUNROOM rso SF SF
I ene ruouse _ sr
POO L
DECK SF
T NO
TOTAL ACRES DISTURBED: o
EXIST LAND DISTUREING PERIiIIT:I IVES ITINO
fl noncu
-
sF
I sronaer sHED _ sF
oTHER: SF
TOTAT HEATED SQ FT: rso TOTAL SQ FT UNDER R00F: 1s0 ToTAL AREA SQ FT: rso
TOTAL PROIECT COST Gess Lor) : $ rgeo * OF STORIES: 1
Is Any ELECTRICAL, Pllrt!8tNc or !.iECH NICAL Ulork Eeint Done tq the A..essory structurel f] V"r f] f'fo
If the project is a Relocation, ls there a Natural Gas Line on the current Sitet [Ves [ ruo
Is there Electrical Power on this Buildlng?r ves f] no
PROPERTY UsE / OCCUPANCY:STNGLE FAMTLv I ouclrx ! ro,,tt'irousr
DESCRIPTION OF tr,lORK: Convert existinq screen porch Lo surlroom. No chanqe to roof or foundation.
OISCLAIME R l horsby .€ r ry h ar all in bmarion in h is applk alon ls coaecl and al work will comply wih he Slale Build ing Code and dl oher appli.Bble Sble and bcrl laws
and ord inances and regu lalions The NH C De!€lopmsnl Se rvixs Cenler v,/ill be noliliBd o I any chang€s in lhe appro ved phn s and cha.g6 in 6ntEckrrol
conlrscb( i6bmauon. "'NOTE:AnyWork Performed W0 h6 Appmpriab P6mits wlllbe ln Violalion o, the NC Slale s Up To $500.
ObJNER/CONTRACTOR: .ronn ricxev SIGI.IATURE :
(Prlnt xam)*,tx,r,t****{(* rr * *,t *+*'i,**+*+ +,i t+++'t+++*****x* **** )t,},} **:t+ I * !t:r *,}* *)** +**,i*;* * *+ * **** **** *+ ** * *
IS THE PROPERW LOCATED IN A FLOODPLAIN? E YES
EXISTING IIi'IPERVIOUS AREA:
-SQ
FT
NEhl II,4PERVIOUS AnEA: j-- 5Q FT
NAIER: I cFpuA n cot4MUNrrY sYsrEH f] PRrvArE ]IELL I cenrnal nrll
sEhrER: E] cFpuA f] CENTRAL SEPTrc f| cnrvnre seerrc I cG"lt4uNrrY sYsrEM
*'* SEPARA'IE PENfiITS REQUIRED FOR ELECT,
'.IECH,
PL8G, 6A5 EqUIP, PREFABS & IiISERTS 'T*
on nu* nrrroo, fi .or* f] ar* ('AYABLE ro n*; [ *.*r.o* ,*o*,tt EI uc/vrsl I orscovrn
****+,*,t****,i;t**+***:t**+)i,r*****,t++a*****,t* **+*,t,t+,*+:l+ 'i*'jt**'trt *,"i * **'* )i *'i)** *:'* ** ** 'r)t*'i*)*****
(FOR OFFICE USE OlllY) REVISED OAIE 0tll11l12
ZONE:
-OFFICER:
SETBAC(s: F:- LH:- RH:- B:-
Approval:- CitY:- DATE:- FLoOD:
-
A
BFE+2ft=
Comment:
t{
PERMIT FEE: $
16-108 9
PHONE #i s77 -21-6 -9044
OdNER'S ADDRESS: 1313 Brook6ide Gardena pr CITY: wilminqt.on 5T: !S_ ZIP:3gll-
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; RESIDENTIAL
PL.TASE AN5I{ER ALL QUESTIOI/s APPLI(A8LE TO VOUR PRO]ECI
"Project Responsibility"
2otb-\oos
L6-L228
APPLICATION
Number
(of{i.e ule)
APPLICANTTS NAIIE: southern Ex oBuLe Sunroom DATE: 4/2s
DEVELOPER:PIONE *: 9to-793-2'162
PROJECT ADDRESS: 893? ChamDion Hi11s Dr.CIry: wilmlnqron ZIP i 2a4tr
SUBDIVISION:Glen OakE @ portrers Neck planttation BLOCK ':LOf *i 226
CONTRACTOR:Southern Exposule surrooms LICET\6E *; 5s138
ADDRESS: po 80L 1200?CITY: tlilminqLon SI: Ig_ ZIP: 28405
EMAIL ADDRESS: john@gouthernexpogureaunrooms.com PHONE S: s1_o-,1s3 -2762
PRoIECT CONTACT PERSoN: .rohn Hickev PI'IONE S: 9La-252 ao69
EXTSTTNG CoNSTRTJCTTON; ffi ar-renarrolr !RENOVATION GENERAL REPAIRS RELOCATION
NEUI CONSTRUCTTON:ERECT NEW RESIDENCE or ADDITION TO EXISTIN6 RESIDENCE
''PLEASE CHECX AiID ANSIIER BELOq' ALL THAT APPLY TO YOI'R PRO]ECT:
lrrr cnuee
-
sF ! orr ernaor
-
sF n PORCH _ SF
STORAGE SHEDPOOL _ SF
DECK SF OTHER:
ToTAL HEATED SQ FT: _ TOTAT SQ FT UNDER R00F: 186 TOTAL AREA SQ FT: 166
T0TAL PROIECT C0ST GcsB ror) : $ E'zeo # OF STORIES:
Is Any ELECTRICAL, PLfruBlllc or ||ECHAI{ICAL ficrk Bein8 Done to the Accessory Structure? [ V"t I f,fo
If the project is a Relocation, is there a NaturaL Gas LIne on the current site? flves f] Ho
fs there Electrical Pouer on this Building?
PROPERTY USE / OCCUPANCYT I Srnere rnmrlV
t ves [uo
DESCRIPTION OF IIORK: convert 6cleen Dorch to qfasd Gunroom (u dltioned
DISCLAIMER lheftby ediry hat all inb,marbn ln tis spplcation b corecl and all work will comply wih h€ Slate Buildiog Code and allotr€, spplicable SlaE and local lavi,s
snd ordinances ard r€g ulalions.The NHC Dsvglopmsnl SeNbes Ceh16r will be noliied olanychanges in te agpmved or change l'l conlrac6ror
Fines Up To $50o.0o"'conracb. inrormabn. ISNOTE: AnyWork Perlormed Wlo be Aprmpriab P6miE wnl be h Vbb on of ih€BUo
otl/NER/CONTRACTOR: John Hickey SIGNATUR
lP.tnt rhne!:t*** *,f,* ****rt({()** *+*+ +*+ *lrr. *r*t* *:rr* r} ********)t***)*********,t**r.***+* * a* ** ** )t )t *+** * *
I NO
TOTAL ACRES DIs ED: o
suNRoot4 165 sF
GREENHOUSE SF
SF
SF
DUPLEX TOIINHOUSE
IS THE PROPERTY LOCATED IN A TIOOOPUTN? I-I VCS
EXISTING IMPERVIO,S AREA:
-SQ
FT
NEU IMPERVIOUS AREA: J-- SQ FT Exrsr LAND DrsruRBrNG penurt: [-] vrs lTl uo
NArER: p creur fl coMMUNrry sYsrEM PRIVATE WE LL
SEWER: I creua f] CENTRAL sEPTrc f] enrvnrr srerrc
CENTRAL t^lE L L
COI,IMUNITY SYSTEM
**T SEPARATE PERfiITs REQUIRED FOR ETECT, I,IECH, PLB6, GAS EqUIP,
pAynENT METHODT Iclsn Iclrcx (PAYABLE ro tuc; I altnrcrlt exentss I
S & INSERT T**
r,rclvrsA f] orscovrn
,(,*,*,*:t,t*,*ri+*d(*+,*****r(****:l**,k*+*,i*,****,ri,rii(******,t+rtrt***)t***+)t*:t)******:*,8)t**,*,t*i(**********t**
ZONE: _ 0F FICER:
(foR oFFICE USE Ol,lrv) REVTSID DAIE 94/11/12
SETBACKS: F:_ LH:- RH:- B:-
PREFAB
ApprovaL:- City:- DATE:- FLOOD:
-
BFE+2ft=
AVT
corment: PERHIT FEE: $
PROPERTY OtrrNER'S NAlitE; caqlaxcan, Louise & Erol PHONE S: 91c-681-0960
Ohlt'lER r S ADDRESS: 893? chamoion Bil1s pr CITY: wilmlnqeon Sl:Ig_ZIPi 28411
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATTON IYPE.' RESIDENTIAL
PTEASE ANSIIER ALT QUTSIIONS APPLICAELE TO YCIJR PRO]ECT
"Project Responsibilitf'
}otb-7oot
16- 10 90
APPLICATION
Number
(office Use)
APPLICANT'S NAIIE:
OEVELOPER:
Southern Exposure Sunrooms
PROIECT ADDRESS: 10i ? Anchor 6 Bend $lay
SUBDIVISION: Anchor! Bend
PROPERTY OI^INER'S NAfiE; cunnl ham
OIINER,S ADDRESS: 1017 Anchors Bend wa CITY: wifmlnqton
CONTRACTOR: souLhern Exposure Sunrooms
ADDRESS: Po aox r2oo7 CITY: wllminqton
LICENSE S: 6813 8
EMAfL ADDRESS: itohn@sourhernexo
DATE: 4/t2 /16
PHONE *l
ZIP; jg3_l!
l.f7
ST: NC ZIP: 28411
ST: J!_ ZIP: :!3!:
PHONE #:
PTONE *:
914 -'t 93 -2162
PROIECT CONTACT PERSON: Jqhn Hlckey
ExrsTrNG coNsrRUcTroN: I nrrrnarroru ! nrruovnrror: f] crtrnar nrnarns fl RELocArroN
NEllJ CONSTRUCTION: fl tneCr NEU' RESIDENCE o" p lOOrrrOU TO EXISTING RESIDENCE
*I'PLEASE CHECK AND ANSWER BEL(M ALL THAT APPLY TO YOUR PROJECT:
ATT GARAGE SF I oer eaaaeE sr ! eoncn
-sF
I sumoor,r _sF I eool _ sr STORAGE SHED
-
SF
SF
910-262- AA59
6RE ENHOUS E SF I orcr 5F OTHER: screen roo( 132
TOTAL HEATED Sq FT:-- TOTAL SQ FT UNDER R00F: 132 ToTAL AREA 5Q FT: r:z
TOTAL PROIECT CoST6assroe : $8085 # OF SToRIES: 1
Is Any ELECTnICAL, PLU|I|EIN6 on IIECHAIICAL l{ork BeinE Done to the Accessory Structure? [ V"r [ ruo
If the project i.s a Relocation, is there a Natura.l Gas Line on the cunnent site? [ves I No
Is there Electrical Power on this Building? I!-|v". EUo
PROpERW USE / OCCUpANCY:SINGLE FAI4ILY DIIPLFX I01^INHOUS E
DESCRIPTION OF tloRK: build 11'x12' 6cr.een roorn on exiBt.inq concrete slab
DISCIAIMER: lherebycertily ,lal all inbrma$m ln his applicalion is codect and allwDrk willcomplywih he Srab Eullding Cods and alloher applicabl€ Stab and bcall6rrs
and ordlnances and rolula[ons. The NHC Devetopment Sevhes CenEr willbe nodfied o! anychanggs in th6 orchange in con lracr, r or
Fines th To $500.00"'contracbr inbrmalion. "'NOTE: Any Work Pe{omsd w/O th€ Approp ab Permilswillbe lnViohllon otlhs NC Bldg
Oll.lNER/CONTRACTOR:,lohn Bickey SIGNATURE:
+*+* **{ **,** *,i+)r !**** *r* *** * *f '*tl,lIT},r**xi(*,t****** **** ******,* *****,** * rI ** * )** *,* * r * * )t* **** *,*
rs rHE pRopERry LocarED rN A FLooDeLATN? f-l yEs E m
EXISTII'K IlilPERvIoUs AREA: _SQ FT TOTAL ACRES DISTURBED: o
NEt{ TMPERVTOUS AREA: j-sQ Fr EXr5T LAND DrSTURBrl,lG pen rr: l'-l vrs fl ruo
urrn, fl crrua ! coulluNrry svsrru I pRrvATE ELL fl crHrRel wtt-t-
sEr,{ER: m crnua I CENTRAL sEPTrc I rnrvlrr srrrrc I coMuurrw sysrEm
**' SEPARATE PERI1ITS REQUIRED FOR EIECT, I{ECII, PLB6, GAs EQUIP, PREFABS & IIISERT5 II*
pAvHENr r4ErHoD: f] crsn I orect1 (payABLE ro Nnc; f] x,trnrcA1 ExPREss E mclrrsr f] orscovra
***)r,**)r,r*rk)r)*,i,lll*r*********,t,t**l.t * * *:t *,t,r ,* * * * *,t ** * )t:* )t*** I'rr(rt:t*** ***,t,t * +.i *)*** *,t,* ** * * * * * 'i '**** l(r(
(FOR OfrraE U5E OIILY) REVIIED DArE 04/11/12
SETBACKS: F:_ LH:- RHi- B:-
Approval:- city:- DATE:- FLooD:
-
ZONE :OFTICER:
BFE+2ft= _
fl
comment PERMIT FEE:
CITY: hIi'lrninqLon
_ BLOCK #: _ LOT f:
PHoNE $: 336-255 4302
)o(i |lq.03Tb3iol6-L/@QpERMrr = 16-988
&
APPLICANT'S t,IA}tE :
DEVELOPER:
NEW HANOVER COUNTY BUILDING
aPPLIaITN IYP€: COIIII1ERCIAL
PLEASE AI'Is}/ER ALL QUESTIOTIS APPLICABLE TO YAJR PRO'ECT
"Project Responsibil.ity"
APPLICATION
Number
(offi.e Usc)
Hank Millei
PHONE T:
DATE:3.30.2016
PROJECT ADDRESS: 132 Racine Dri.ve UniEs 10 & 1t
oCCUPA'{T/BUSINESS tlAr,lE :D
PROPERTY 0H ER'S AltE: smiLh Creek Retail, LLc c/o LaL Pur6er & As€ociates P}(tt'lE *: 9a9.a44.2044
OIINER'5 ADDRESS: sooo Falts of N e Rd. st.e 4oo CIW: Raleiqh ST: Nc ZIP: 2?609
CONTRACTOR: rBD LICEIISE *:
CITY:5T: _ ZIP: _ADDRESS:
Ei,IAIL ADDRESS:PHON€ f:
PROIECT CONTACT PERSON: L. Malk Loudermllk. AIA (owner aqen! )
(che.k All lhat Apply )
Yes
Eu cor{sTRucrroirr I rnecr NEU STRUCTURE I rlsr rnlcx f] sxer-r- ! unrrr
ACCESSORY sTRI'CTURE:
ADD TO EXIST STRT'€TURE
If UPFIT - The 5he11 Permit #: Is Elect Power on this Building EI Yes fl wO
*r'1** rs rlrs A cHAllGE oF occuPAt{cY ustl fives flfl o '**'*
IF Yes, h'hat uas the Previous Occupancy Type?htat ls the tt€r, Occupancy Typel
AICH DESI6 PROFESSIOTUIL| L, Mark Loudermilk, ArA PH: 910.341.7600 NC REG a: 1o?7G
PH: 910.4?0.9687 Nc REG *: 12918
DESCRIPTIO|I 0F !@RK: Convert.ins a vacant 2,400 sF space into 2 s eparate 1,200 sF tenant spacea
ls food or bo\r€ragos proparod tr sfft €d ln trls anraure? f] ves fl lto ls Tte Propsty Located ln 1?r Fbo@dn? [ ves [l to
th€ Slale and
EXrST CONSTRUCTTON: E ALTERATTOT I nrrcvarrOr
lf Rglocadon, is there a Natural Gas Line on the Current Sile? LI
GENERAL neelrns I RELOCATTON
E Ho rs BLDG spRrNKLEneor f] ves flruo
e{ ot}ler applicrb{e Slate
okns and soecificatons
NC SEte Bldg Cod€ and
BUILDING HEIGH
SQ FT PER FLR:
OWNER/CONTRACTOR :r,. Hark Loudermil.k, AIA (aqenr) SIGI\IATURE:
{O(d.., (Pllrll N5b)
|,lote: Oofto0tbn noficatons i ssb.lbs rsnoval pomh apdlca{ons Elo lo bo gubmlbd usl.B tr€ appllcatlon folm (DHHS-37G8) uae$o, $e bdnty or Mldho rvs buld to
cootah Arb€otoo o. mL You are reqek€d io csll tho Naioml Einlsslon $andar& for l"lazsdous Al. Pollubnb (NESHAP) at {919)70rc950 al 10681 10 abya paloa b tlo
dorlolltofl o{ arry hdllty or bolldlrE. s€o Ast€slo3 wbb Slto: htF:/r1rn .w,epl.rat0.rc.6r0pualbe6torrhmp.hfi{
# OF UNITS: 2T: 14'TOTAL PROJECT COST: $25, OOO
TOTAL AREA SQ # OF STORIES: r
# OF FLOOBS
EXST TAND DISTURBING PERMIT?I ves [No
SQ FT EXISTING IMPERVIOUS AREA:
FT : 2,400
TOTAL SO FT UNDER ROOF:2,40
ACRES DISTURB ED: o
NEW IMPERVIOUS AREA:
# OF STRUCTURES
0 SO FT
pf,opERWUSE: EloFFtcE nnesraunem [uencarnu [eouc []mt []ootloo OTHER:
WATER: mCTPUA
SEWER:GZICFPUA
ZONE:
l-lcoMMuNrTY SYSTEM IIWELL flzoNlNc usE crAsslFEATloN:
fi crrrnru-seelc fl P-RrvATEsEPrtc EcoMMUNITYs\cTEM
-. SEPARATE PERMITS RECIJIRED FOR ELECT, MECH, PL8G, GAS EOUIP, PREFAAS & IISERTS ''
pAyt ENT METHqD: ftcesn ftcueO< lenvreLE ro ielc) flruenrc*x exrRESs E McJvlsA E osccryen
.............r
(FOR OFFICE USE ONLY) FEVI8GD DAIE.,T,,I2
OFFICER: SETBACKS: F:-LH:-RH:-B:-
Approval:- CitY:- DATE:-FLOOD:--
-
BFE+
N
Commsnt
C€tCl't
PERMIT
2tu
-
///,t)-
t=t:,$----!'""1
CITY: r,rr lminqron Z!?r 2eaol
PK)NE *: 910.341. ?6oo
EIIGR DESIGT{ PROFESSIoML! sid A. Bendahmane, PE
do,
flr
APPLICANT'S MlE: .r,:1i Y: . r'.r
PHONE *:
OATE: ,1 .lo.:ror6
DEVELOPER:
PROIECT ADORESS: l 12 Racine Dlrve Unirs tu ! 11 CITY: ,r: tnlnqr rnl
oCCUPAI'IT/BUSINESS NAflE: rBD
0l.lNER'5 ADORESS: atr0 !a:-s.r \euse p.:ce,lco CITY: R3ierch 5Tr NC ZIP: 27509
CONTRACTOR: ?8,)to)<
ADDRESS:CITY:
PHoNE r: q,t0471- )4ol
P!6NE *: 910 - 341 76r)iuark Loudermll).., A:A (cr.e! aqen:)
(Check A1l That Aooly)
EXIST CONSTRUCTION:ALTERATION N ENOVATION GENERAL REPAIRS RE LOCATION
lf Reloca on. rs lhere a Natural Gas Line on lhe Current Srle?tr Yes Elruo IS BLDG SPRINKLERED?I v"" [No
NEW CONSTRUCTION:ERECT NEl,'l SIRUCTURE FAST TRACX SHELL UPFIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
sr.:k.zrPtltl//
If UPFIT - The 5hel1 Penmit ,r:
IF Yes, what Has the Previgus occupancy Type?
ARCH DESIGN PROFESSIOiIAL: L. Mark :oudermilL
Is Efect Power on this Building El Yes E HO
What is the tlew Occupancy Typel
*.+** rs rHrs A cHANG€ oF occupaNcy ustt flves El*o .t...
PH : 91 0 . 3 4 r. . 7 G 0 0 NC REG *: 107?5
ENGR DESIGN PROFESSIoML: s1d ;. !endanrxa:re P9 PH: 9:0.470.958? Nc RE6 *: t29tg
DESCRIPTIoN 0F WoR(: Con./errinq a vacant 2,4C0 sF space i.Ec: se Darate 1 ,20c sF renanr spaaes
OISCI.AIMER:l rlfy thar all lnformatioi in rhis applicatlon ,s conect and alt work.,r.ll .omd y wrlh lhe Sl,ale Eurldtng
tions. lhe NIC Deve Services Cenrer rY I be no
ls tood or boversges p(epsrod or s€rved ln thts *ruauret I ves @ No ls The Prope{ty Locatod ln Th€ Roodpalnt I ves !No
S ubject
qc in conlraclor or contra.to
Fines Up To S500 00"'Perlormed WlO lhe Apprcuratc Pe NCS
requl:
SO FT
E Any
# OF STORIES: r
# OF FLOORS
I
OTHER:
/t,
OWNEFYCONTRACTOR
TOTAL PROJECT COST: .j25, oco
TOTAL AREA SQ FT: 2, 10s SO FT PER FLR:
TOTAL SO FT UNDER ROOF: Al:=L_#OF STRUCTURES: I
SIGNATURE
corEh arb€cros o. mt You !.o requkod b c6ll 1116 Mlonsl Eml$ton St6rd.ds lor l_ia:a.to!! AJr Po IL16nB INESHAP) ot (919)707-5950 .r l6qet 10 d6ys pflor b UE
dgl's]Eon ol any bdnty or bulldlog. Soe tub€slos v.lb Sl19: htrp:hrviy{.epl.slal€.nc.urepyo3Doslogohmp.hrnl
pRopERrY usE: flornce flnesmun nor luenceNrtu f]rouc APT
EXST LAND DISTURBING PERMIT?
EXISTING IMPERVIOUS AREA:
ves fl Ho
WATER:
SEWER;
flcoMMuNrry sYsrEM fl WELL clzoNtNc usE crAsstFlcATtoN
E CENTRAL SEPTIC LI PRIVATE SEPTIC DCOMMUNITY SYSTEM
mCFPUAE CFPUA
-' SaPARATE PERMTTS REOUrnllD FCR at r.Cl MFCr.i pL8C, C,AS EOUTP. pr?arABS & iNSEnrS _'
PAYLTENT METHOD: fiCnsn ficxecx leavaer-E ro NHc) f]auenceru exeREss rfMcMsA E otscoven
(FOR OFFTCE USE ONLY)
ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:- B:_
Approval:- City:- DATE:- FLOOD:---. BFE+2ftr
AVN
Comment PERMIT FEE: $_
F,
'-ftfa
t- C1 !
-o\7 tt\'07-rr-rf, 2 / ,.,..,/.,+t-' )) *lG'(/(L(+)
NEW HANOVER COUNTY BUILDING PERIVIIT
. 16-988
APPLICA| ION TYPE : COMII1ERCIAL
pLEA5a AflsxlR ALL QUEsTroNs AppLI(ABLr To youR pRorEcT apPlrcarroN
"Project Responsibility" ,.*i::"r:",
ZIP: 2san l
PROPERTY Otr ER'S NAIIE: Srn.j.t h Creek Rc';ai:. L:,C c,/o La: lurser & !.ssccr.r:.s PHONE T: 91,9.8q4.2014
LICENSE *:
EI4AIL AoDRESS i
PROJECT COTITACT PERSON:
BUILDING HEIGHT; 1.!.' # OF UNITS:
ACRES DISTURBED
NEW IMPERVIOUS AREA: o SQ FT
R€MSED OATE {I1/I2
NEhJ HANOVER COUNTY BUILDING PERMIT
APPLICA'fiolt rYPE; RESIDENTIAL
PLEASE ANSIIER ALt QUESTIONs APPLICABLE TO YOTJR PRO]ECT
"Project Responslblllty"
DEVELOPER:
PROIECT ADDRESS: 7?28 Champlain Dr CITY: !iilnjnqEon
SUBDIVISION: woodlake @ Lords Creek BLOC( S:
PROPERTY ot^lNERr S NAME; tsaIdwin,Paul & chrigLine
OWNERIS ADDRESS: /i'28 champlain Dr CITY:wilminqton
CONTRACTOR: soui:hern Expoe|Ie 8!t!!aoms LICENSE #: 6Br3 8
ADDRESS: Po Box 12007 CITY:Wi lmington
EMAIL ADDRESS : iolrn@southernexDosureEunroons com
it>
.Zoi b -Lloo-z
15- 10 91
APPLICATION
Number
(offl.e usc)
ZIp i 2a4\2
LOT #: 149
PHONE S: 973-6?o-9339
ST: gL zIP: 2 8412
sT: Ig_ zIP : 133!:
PHONE #: slo-'] s3-27 62
PHoNE S: 910-252-a069PROIECT CONTACT PERSON: John irickey
EXISTING CONSTRUCTION:ALTERATION RENOVATlON 6ENERAL REPAIRS RELOCATION
NEhI CONSTRUCTIOI'I: ! TNTCT NEU.I RESIDENCE O" E} ADOTTTOU TO EXISTING RESIDENCE
*I.PLEASE CHECX A}ID AXSI,IER BELOId ALI. THAT APPLY TO YOUR PRO]ECTI
f] arr eaRaee
-
sF I orr eanrcr sr f] eoaoi
-sF
suNRooM _sF POoL _ SF STORAGE SHED
-
SF
I onerruuousr _ sF I oecr
ToTAL HEATED 5Q FT: _ TOTAL SQ FT UNDER ROOF: 2oa TOTAL AREA SQ FT: 20a
T0TAL PROIECT C0STrr-ess r,or) : $l.12 00 f OF STORIES: 1
Is Any ELECTRICAL, PLUI,,IBI C or IIECIHTIICAL tlork Eeing Done to the Accessory Structure? [ V"t f] f'fo
If the project is a Relocation, is there a Natural Gas Line on the Current Site? [Ves [ ruo
Is there Electrical Power on this Building? ElVes l-l Uo
pRopERw usE / occupANcY, I srrucrr reurlv I ouer-rx I ro,,NHousE
DESCRIpTION OF I{ORK: Bui}d 17'x12' Ecreen room on exletj.nq concrete pad
DTSCLAIMER th6roby€6r1ity 0|al allinbmslbn in nis .pplicalion is cofiecl and all work willcomply wlh hs
and ordhances and regulalioos. The NHC Development Servlces Ceoter willbe nolfed olanychaoC€g h he
and ali olher applicable SlaE and locallaws
change in contacbror
5F oTHER: screen rooln 204 SF
conlracbr irformaton. '"NOTE: AnyWork Perfomed WO he Appropriab P€rmits wjll b6 h Vlolailon oi lh€ NC bjed ines Up To $500.00"'
(p.int rlarc|*+***jt* i'**!t:i**+******* **********+*+++++*****+ **)i )*,t * )t ,* )t * *:* * )* r(** *** * *r(*,t * * + ***,* *)t,*,* ***r.,*
EXISTING I}IPERVIOUS AREA: _SQ FI
NEll II4PERVIOUS AREA: o SQ FT
,t ,ftr(:t*,**,t,i(**i.*,*r,t(,|****,*,*****1.*********,i*+,t****++*,i;t*+*******+***rr**,k***********:**,*******+
rs rHE pRopERw LocArED rN A FLoorlpLArN? l-l ycs El *o
TOTAL ACRES DISTURBEO: o
EXrST LAND DTSTURBTNG Or*r1rr, 5 VeS I UO
urnrER; I crrUa ! Co!,$iUNrTy sysTEM PRIVATE I^IELL CENTRAL WEL L
sEr,,ER: m creua I CENTRAL sEprrc f] rnrvrre senrrc f] coMMUNrw sysrEM
r*. SEPAIATE PERI{rTS REQUIRED FOR ELECT, r.tEct{, ptB6, 645 EQUIp, PREFABS & IiISERTS r'*
pAyMENr HETHoo: Icmx f].r..* ( pAyaBLE To xxcl [ rulenrcrl exnness t r,rclvrsA I orscovec
ZONE: _OFFICER:
(FOn OFaICE UsE oNLY) iEVrSEo DAIE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
APPLICANT'S NAFIE: southern Exposure sunrooms DAIEI _!JJU2!1L
PHONE S:
0bINER/CONTRACT0R: .rolu Hickev SIGI\TATURE:
Approval:_ City:_ DATE:_ FLOOD: _ BFE+2ft=
-
A V I \)e-
comment: PERMIT FEE : $--C)-
l./ \oib-L(b1
NEW HANOVER COUNTY BUILDING PERIIIIT
APPLICATIOTT rYPr: C0itltlERCIAL
PLEASE AiISI{€R ALL QUESIIO S APPLICABLE TO YOJR PRO]ECT
"Project Responsibilitf'
L6-LzLO
&
APPLICAIiT'5 I.I'UIE:
APPLICATION
ttlunber
(office U5e)
DATE: 4/20/16Landmark Cornmercial, Inc.
DEVELOPER: Landy,ark Cor.'nerc]al Inc
CITY: tri lningLon, NC
PHO E S:9tc-392-'t207
PROIECT ADDRESS: 890-2 south Kerr Avenue
OCCUPANT/EUSINESS NAI4E : v.:car :
PROPERTY O{NER'S tlArlE : La.d.na ::k Coir,ir.erc:a.1 Inc
Oi{ttER'S ADDRESST s022 t.lrlqhtsvilfe Avenue
COI{TRACTOff : Landmark Ccnunercial 1nc.
ADDRESS: 5C22 ?irightsville Avenue
E AIL ADDRESS : sdavenportO landmar:kconmercial. net PfOflE #:97a-392-'7201
PIONE *: 91c-s20-0052
LICENSE S: 71391
PROJECT CONTACT PERSON:Steve Davenpo.rt
(che.t A]1 rhat Apply)
EXIST C0 STRUCTION r
lf Rdocation. is there a Natural No
NE coNsTRucrror,r: n EREcr NE!'l srRUcruRE f] rasr rnncr I snrr-r- ! uerrr f] noo ro Exrsr srRUcruRE
ACCESSORYSTRUCTURE: N/A
ALTERATTON I nrUOVArrOr I csNeml REPATRS E RELOCATTO
cas Line on the Cunenr Sire? [Yes flruo ts BLDG SPRTNKLERED? [yes t
If UPFII - The 5he11 Permit #: N/A Is Elect Power on this Building I Yes Druo
***,ii! IS THIS A CHANGE OF OCCUPANCY USE?I ves fito .*.*,
IF Yes, *rat Has the Previo{rs Occupancy Type?N/AI-ARCH DESIGI{ PROFESSIOI,IAL: Design Elemeni-s (M1ke Sai-eed)
ENGR DESIGT{ pROFESSIOML : I'icDoueL l Consui ting Eng.i neers
Hhat is the New Occupancy Type?N/A
P8: 910-509-3131 NC RE6 #: Nc-8?73
PH:9tA-214-3'741 NC RE6 *; Nc-18518
1ESCRIPTION OF I.JORK;Subdivision of exrsLing vacant space
- 1 g fuoa or bevsrag€s pepar€d tr ssved h tlds anu.rez fives r No ls The Property Located ln Tha Floodptaint I ves [l lto
t=- DtSCt-etUgR, t fro"by cerlify lhal all information in this appli:atbo is conect arld all ttork will comdy wlth the Stale 8u[din! Code and all olher applic.ble State
. J and local laws and ordinances and reeulations. The NHC 0ev6loprn€nt Services Center will b€ notmed of anv chanqes in the aoorcved glans and sDeaificatons-__7 Qr change i! conlr€c@r glggQtlactor informalon. "'NOTE: Any Work Performed w/O Ue Approprisle Permiis will6e rn Violatjo,i of the NC Stale BIdg Cod6 end+ Subiecllo Frnes Up To $500.00- . ,/
-.- OWNEFUCONTRACTOR: slephen H. Davenpoj.r, Jr. SIGNATURE: )*/-- A"/^/<.b*'
N
>r
(qd6.4 ern lr.rrl.)
!,lote Demolltor| ndttdior}6 & ssb6t6 r!.rot,al p.rmit spdhathns s6 to be arbmitad [6krg th6 spplbsdon h.m (OHHa$6t) nM!6r tt6 tadky d bljfE w6s lbr|d ro
cort8h &b€s o. not You ar! lrq*€d b cal tr. tastiord tubn Slsdads h. tl@.do8 Ah Pol&rris (|€S{AP) st (91S}Z)7{S@ d L.d l0 d.F prtu brr
donroli&n of any lhcf,ify or h dk|g. 506 AsBtoc Wob St!r: ht9r ,rrw.6pi.6tato.nc.us/€p asb6&6/ahmp.hrrnl
TOTAL PROJECT COST: s60,000.00
TOTAL AREA SA FT : _-j.]]499=-
IOTAL SQ FT UNDER R@F: 12, O OO
# OF UNITS: i in.o 2
# OF STORIES:
# OF FLOORS:
2
# OF STRUCTURES: 'r
EXST I.AND DISTURBING PERMM NYES I NO
EXISTING IMPERVIOUS AREA: N,,A
pRopERryusE: fprrae [nssreumr.n fiuencer.r-nr-e [eouc flAr'r n OTHETT
\4/ATER: @CFPUA
SEuER: @lcFPUA flcoirMrr{rY SYBTEI
2
SO FT
LlcoMMUNnYsYsrEM []WE-L
I]CENTRALSEPTE LIPRNAIE SEFTE
EZONING USE
PAYMENT METHOO EcAsH f]erecxpavesLE ro NHc)T AMERTCAN EXPRESS n MCMSA
-ohm;W
*;* d-(f'"ov'\r'
CB
r-\
1112(FOR OmCE USE
SETBACKS:
FLOOD:
or{.Yl
F:..tLlt11LH:^)le RHZONE:
Appror/a
OFFICER:
t:
coilunont N\o g(Mtuo, -f6 Ja*ipr,.,r,l '*^-n N
u$o pgpirll ttt. t,A-fr.t,,'t
IILE
Zl?: zs403
PIO E S: 9'-0-392-'1201
CITY: l!l!t!g!!!__ ST: Nc ZIP:28403
CITY: wilminqton ST: Nc ZIP: 281ca
BUILDING HEIGHT.. 2 1'
SQ FT PER FLR: h.04.
ACRES DISTURBED: l
NEW IMPERVIOUS AREA O SQFT
)-l
RECEIVED APR 19 MS
NEW HANOVER COUNTY BUILDING PERT{IT
APPLICATIUT TYPE: COi'IIIERCIAL
PL€ASE AllsLlE8 AtL QUI5TIOI{5 APPLICABTE IO YOJR PROISCI
"Pl.oject Responsibility"
APPLICA}IT,S I{A'IE; A:: SPAN BUILD:NG SYSTEMS TNC
DEVELOPER: FILl PPINI EAMILY LLLP
oCCUPANI/BUSINESS NAIIE: HoLrDAy DEL?A
PRoPERTY ofiER'S Ml.lE: FrLrpprNr ;Liil
ohll,lER' 5 ADDRESS: Po tsox losso CI'Y: -8,J.ry,1@_"g.E4g!__ ST: !L zIP: jjjj!_
LIC€iISE *: 86i 7
)
')
SolUgolCu,
#
0l)
APPLICATION
itumb€r
(Offtce Ur.)
OAIEi 4i1s/2at 5
PlOlrlE *: 9t o-?99- 9120
+ Ef.tarL aDoREss:NEILOALL. SPAN. COM
CO{TRACTOR: ALL SPAN BUII,DING sYsLEI4s I!!g
ADORESS: 1:]6 HARLEY RoAD CITYr !ir LMtNGToN
PlOt{E f: 9to-'l99-9t2o
ST: !L ZIP: l!l!a
PllOt{E f : 9ro-r99-9120
PIONE *; 9ro-7es-9120PROIECT CONTACT PERSOT{: NElL FlLrPPrNi
([he.k A]I 'lllat apply)
EXIST COI{STRUCTTO ; E ALTERATTON
lf Rolocdon, is there a Natural Gas Line on the Curr
REu)varror{ I-.l celrsml nrplrns l--1 RELocATrol
ern Site? LlYes LlNo rS BLDG SPRlNKLEpgpz l_l ves I No
NEI{ CONSTR(rcrrO{: f} rneCr rew srnucruRr !FAST TRACK SHELt fl urrrr ! noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
q
{--,
-Ja
a\)v
- If UPFIT - The Shell Permit *rs El€ct poHer on this Building El yes I uo
ri**xr JS r6rs A cHApGE oF o€cupAl{cy ustr ftves Brc .*.'-
"l.r--\r F Yes, r*rat rat the Previous O.cupao.y Type?Hhat is the }{et, Oc<upancy Typ€?
DESCRIPTION OF WORK:INSTALL INSULATION , LINER PANEL INSTALL (2) OH DOORS AND CLOSE TN A OH DOOR
ls iood or baye"ages p.epa.ad d ssvod ln ms anrcnrea f]ves [l ruo b The ftop€rty Lcted ln rhe Fto@dn? ! ves p Ho
(o(!e..) (P'h iBtt.) /t{oL: Dafiiofitoa idtc.tblls t ab.sl6 rrrord F.mh rrp{b.tr.B ..6 b ba s{'bmittd ll3lng nB .gpllcsto. h.m (DHHS-3788) rlt€$l6 *6 hdlity o. bdHtp rei hrra b
co.nrh AlOanoa d not Yqr r{E nqdrld b ca[ t L N.&id Efil*ro $r!(hn t b. thalh(. Ak PoftrtefiE (NESfi P)!t {91qm7€960 !r lc$ l0 day! Flo. DUL
daaloltlnn ol any lbdlity o( b{ildrlg. Saa AlbacG Uibb Sfta: hitp:/ir.w.,y.epl.state.nc.uyop!.sb€6tod6hmp.hinl
TOTAL PROJECT COST: r:r i!!_ BUILDiNG HEIGHT: N/A t OF UNITS: N/A
TOTAL AREA SQ FT :N/A SO FT PER FLR: NIA f OF STORIES: N/A
TOTAL SQ FT UNOER ROOF: N/ A # OF STRUCTURES: N/A # OF FLOORS N/A
ACRES DISTURBED:N/A EXsr LAND DrsruRBrNG pERMlr? n yEs fl No
NEW IMPERVIOUS AREA:SQ FT EXISIING IMPERVIOUS AREA: tir A SO FT
pRopERry usE: EpFFlcE flnesreunau fluencrumu leouc nesr [coloo onre*
aa flcoMMuNmy SYSTEM flwE_r
E] CENTRAL SEPTIC L I PRIVATE SEPTIC
CFPUA
CFPUA
2
WATER:
SEWER:
DzoNtNG usE cr ssr
ncoiltMUNrYs\sTEM
FICATON: ir?
PAYMENT METHOD flclsn fi*recK (PAYABTE ro NHc)AMERTCAN EXPRESS E MCNTSA I orSCOWn
(FOR OFFrcE USE O LY}
c7
rGVSED D TE /gi 1/12ZONE: OFFICER:SETBACKS: F:- LH:- RH:- B:Appro\ral:_ Citf_ DATE_ FLOOD: ___ BFE+tr_
AVN 4m
T
Comm€nt PERMIT FEE: $
PROIECT ADORESS: se2s MARKET STREET CfTY: wlLMrNGroN zlP:28405
I
ARCII OESIG FROFESSIO AL; PH: -U4__ t'lc RfG f : N/A
El|Gn DfSIGll PROFESSIO|aL: N/A F+l:-yl4__ t{C R€6 s:
//rZ"OWNEWCONTRACTOR: rI,l- sprN sur Lnruc svsreMs ir.:c
Dts
,a.\NEt^l HANOVER COUNTY BUILDfNG PERIYIIT
IVED APR 14 2O16 AwLIcATToN TyPE: RESIDENTIAL
PLEAS€ A}ISI{ER ALL QUESTIO'{s APPLICAELE TO YOUR PRO]ECT
"PPoject ResponsibtlitF
James Rackl-ey
9& u"-ltq,\
2o/o-or1
APPLICATIOI{
Numb€r
(offic€ use)
APPLICANT'S tA E:
DEVELOPER:
PRO]ECT AOORESS:CITy: wilmington Zap | 28403
PHONE *:
2304 Blythe Road
SUBDfVISION: clenmeade
61Ty, wilnington
pHOitE #: 9L0-512-7 433
sT: 19 zIP: 28409
PHoNE #: 9L0-s12-7 433
pHO,,lE #: 910-s12-7433
LOT #:
SF
BLOCK #:
pROpERTy Ot{ilER,S tAflE: Janes Rackley
OtNER,S ADDRESS. 4915 Northeaster Dr
CONTRACTOR:,lames Rackl.ey
ADDRESS: 4 915 Northeaster Dr
EI|IAIL ADORESS:, jim€ jinrackley.com
PROIECT CONTACT PERSON, James Rackley
LICENSE #:
CITy. wilmington
tr p neruovarron f| erneaal neearns I RELocArroNEXISTING CONSTRUCTION:ALTERATION
NEW CONSTRUCTION:ERECT NEt,'i RESIDENCE oT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND AI{SI.IER BELO,I ALI THAT APPLY TO YOUR PRO]ECTi
f]nrr eanrer
-
sF !oer canace
-
sF Etrtr
SFSUNROOM 5F
PORCH _ SF
STORAGE SHEDPOO L
SF ! orcrGR E ENHOUS E
TOTAL HEATED SQ f f ; a 100
TOTAL PROIECT COST rru"" rort : $
SF OTHER:SF
TOTAL 5Q FT UNDER ROOF: _ ToTAL AREA SQ FT: _
60000 S OF STORIES: 2
Is Any ELECTRICAL, PLUiIBING or iiECHA ICA| Work geing Done to the Accessory Structure? Q Yes
If the project is a Relocation, is thene a Natunal Gas Line on the Cuprent Site? Q
Is thene Electrical Power on this Building?)$ves Q lo
PROPERTY USE / OCCUPAITCY:sTNGLE FAr,lrLy fl oue lex I rornHouse
DESCRIPTIOT{ OF WORK: Renovation of exisrirg none - 1a1y[tt!,,N ( ,l ,"1
02'{Nt ^)
G {rut rn R tcNe il T o {ton tu-t pba rv.r
O*o
ves [ ruo
/NrFril6 {L WrtTU
DISCLAIMER: hereby cerlii/ tiar al inlbrmationinhisapplicatoniscorreclandallworkwillcompywifrheSlateBuildingCodeandall applicable StaE and local laws
and ordinances and regulalions. The NHC Development SeNices Cen€r will be notfed ofany changes in he approved plan
contacbr informaton. "1{OTE: Any Work Perfomed w/O he AppropriaE Pem its will b€ in Violation of the NC SlaE Bldg
OI.UiIER/CONTRACTOR: James Rackley SIGNATURE 3
,* ,t ,* * *,t ,t ,. * )* )* ,* 't:i it ,a * * + + * * * t * * t* * + * * * * * * * * * * * * * x * )* {. + x,* x x )* )* )* )t t *r.**,t***r(*t
IS THE PROPERW LOCATED II{ A FLOOOPLAIN? QI VCS NO
EXISTII{G IMPERVIOUS AREA:SQ FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERIiIIT:[Q vss [Q no
WA
SEWE CF PUA CENTRAL SEPTIC PRIVATE SEPTIC
sa or change in conlracbror
rc Fines Up To $50O.0O"
NEW MPERVIdJS AREA:
F PUA f| coouuurw svsrer,l I pRrvATE uELL f] crurnal wrrr
J--l ccr'&lr;N rrY svsrria
r*T SEPAIATE PERI'IITS REqJIRED FOR ELECT, IitECH, PL8G, GAS EgJlP, PREFABS & IIISERTS +**
pAy1rENr METH9D: Q casn Q +,ecK (payABLE ro urc; f,lamenrcali ExpREss (f ,c,rrrto f,l ,rscov.*
,*,t{(*+*,tr{.*)*,},}*i(l:}:a*:l*:t**)t)t*)t*:}+:1.**:}******,}***,trt*)t:}*:}:}:t***,}**++:t*:*:*,*,*,}!t)t****)t:f:t,*,*,},t,},}***,}*
(FOR OFFICE UsE OTILY) REVISED DATE 94111/12
ZONE :OF FICE R:
Citv: DATE:
SETBACKS: Ft- LH:- RH:- B:-
FLOOD: BFE+2ft=1('ADDroval.:
OAfEt 04/t2/20t6
sr: Ie zrP:2jjj1
L{c L'
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICAfiON TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
OCCUPANT/BUSINESS NAI'IE: rrue RESr Floar spa
PROPERTY OWNER'S NAr'lE: Janelle S-ack (Lease TenarlL ordner)
OWNER'S ADDRESS: 35oo r,ydford cr CITY:,r'I:1min
CONTRACTOR: rc Be Determir!LICENSE #: N,i A
ADDRESS: N/A CITY: r,r,lrmlnoton
EMAIL ADDRESS:
PRoJECT CONTACT PERSON: Mrke saieed AoR(owner Asent)msaieedGdesiqnele. com
L5-27 99
APPLICATION
Number
(offi€e Use)
APPLICANT'S NAME: Michaef saieed (aka Mitchelf)Architect of Recor:d (owner Asent) DATE: 9/25/75
DEVELOPER: Slack Enterprise, LLC (Lease Tenant Owner)
PROIECT ADDRESS: 3715 parrior way Unir.131,Fulron sra CITY: wilmingron, NC
ST: NC ZIP: 28409
ACCOUNT #:
ST: NC ZIP: _
PHONE *:
PHONE f:910 509 3131
If UPFIT - The Shel1 Permit #: Buifr 2002
***** rs rHrs A CHANGE oF occupAr{cy usel flvss I
Is Elect Pouer on this Building T Yes [ru0
ls food or beverages prepared or served in this structure? Yes No ls The Property Localed ln The Floodplain? flves No
DISCLAIMER: I hereby certify that allinformation n this application
and local laws and ordinances dnd reoulations The NHC D€veloom
or chanoe in conlraclor or conlractor iiformaton. "'NOTE. Any Wo
Subtect-to Frnes Up To $500 00"'
is correct and allwork willcomply with the State Building Code and
ent Services Center will be notilrcd of anv chanoes in the aooroved
'h Perfored w/O the Appropriale Permiis wll b'e in Vrolalron ol lhe
all other applicable State
olans and soecifications
Nc slale Bldg code and
R<q4 e,nrr= m siclded.5 qnde .jh !=u s
ARCH DESIGN PROFESSIOiIAL: Michael saieed (aka Mitchett)(AoR) PH: 910-509-3131 Nc REG #: 8?13
ENGR DESIGN PROFESSIOUAL: creq McDor.ieff PH'. 91A-2-/A-3147 NC REG #, 23933
DESCRIPTIoN 0F WORK: Alteration: within Existinq Shoppinq Center Lease Tenant space
3958 Co st Prmt
SIGNATURE:
(ousme4
Note: Demdfion nolifcalions & asboslos lemoval p€.mit spplications are lo be submitted using the applicstion fo.m whether the iacility or building was found to
contain Asb€slos or not. You are rcquked to callthe Nalional Emission S'bnderds ior Hazardous Air PollutsnB (NESHAP) at (919)7075950 at l6sst 10 days prior to the
demolition of any facility or building. S€€ Asbest6 Web Site: htpJ rww.epi.state. nc.us/epi/asb€slos/ahmp.htrnl
TOTAL PROJECT COST: es:, 9er x BUILDING HEIGHT: itxrsri,r.r # OF UNITS: Exi s i tns
TOTAL AREA SQ FT :SQ FT PER FLR: iblo {exi srnq)# OF STORIES: one
TOTAL SQ FT UNDER ROOF: E,{:s:rnq
ACRES DISTURBED: N T
WATER: ECFPUA
SEWER: Z CFPUA
NEW IMPERVIOUS AREA: N,i;SQ FT EXISTING IMPERVIOUS AREA: 49,232 SoFT
PROPERW USE: [OrrrCe lnesreunnrur MERCANTILE EDUC APT CONDO OTHER: prof / services
EXST LAND DISTURBING PERMIT? N YES I NO
EzoNtNG usE CLASS|F|CAT|ON:
E coMMUN|TY SYSTEM
E COMMUNITY SYSTEM EWELLLI CENTRAL SEPTIC LI PRIVATE SEPTIC
-'SEPARATE PERi/]ITS REOUIRED FOR ELECT, I\,,IECH. PLBG, GAS EOUIP PREFABS & INSERTS -'
PAYMENT METHOD: ECASH I CHECK (PAYABLE TO NHC) IB|LL ACCOUNT IMCA/|SA [OrSCOVen
(FOR OFFICE USE ONLY)REVISED DATE 4/11/12
Approval:_ City:_
SETBACKS: F:-LH:- RH:- B:FLOOD:_ BFE+2ft=_
AVNComment pERMIT FEE: $
I I
'/. i
.:
#:{D
ZIP i 284t2
PHONE #: 518 ?oi 6781
PIIONE #: s1a 701 6781
Exrsr coNsrRucrroN: I ALTERATToN I *rrJifiirlli '[iTJi'r*ot REpArRs f] RELocarroN
tf Retocation. is there a Natural cas Lrne on the 6irent sitez I veTfl lto lS BLDG SPRIN-KLEneOz I ves I no
NEW coNsrRucTroru: fl enecr NEIJ STRUGTURE ! rlsr TRACK E SHELL E uPFrT E ADD To ExrsT STRUCTURE
ACCESSORY STRUCTURE: N/A
IFYe5,whatwasthePreviousoccUpancyType?-whatistheNewoccupancyType?-
OWNEFyCONTRACTOR: Michae, saieecl, AOri Iowner 1!!rent
# OF STRUCTURES: one # OF FLOORS: one
ZONE:_OFFICER:_
+88 2o/b-Ves-
NEW HANOVER COUNTY BUILDING PERilTT
APPLICATIOIT NZPE: COIIIIiIE RC IAL
PLEASE ANSIIER ALL QUESTIONS APPLICABLE T0 YoUR PRoIECT
"Project Responslbillty"
)€-
"1?
I
,\APPLICATIO{
umber
(Offlce Use)
DEVELOPER:F)
will.iam Davis oorr,8-a-l (p
PK)I{E S:
PROIECT ADDRESS: 3715 parrior way unit 131
OCCUPANT/EUSII{ESS M}tE: True Rest Float Spa
PROPERTY OI{IIIER, S I.IAITE : ECCRE PHONE *:
OhNERTS ADDRESS: 5129 oleander Dri ste 103 CITY: Wilmington
LIC EI{S E +' r"'l'1\OCOI{TRACTOR
ADORESS:sdDCITY: wi lminston ST: NC ZIP:
E AIL ADDRESS: hks 6Gbi zec. rr.PHONE *: 910 7 900181
PRO]ECT COI{TACT PERSON:PHONE *:
(check All rhat Apply)
EXIST CONSTRUCTIOTT:ALTERATION W^ENOVATION tr GENERAL REPAIRS RELOCATION
lf RelocaEon, is there a Natural Gas Line on the Current Site?u Yes R",IS BLOG SPRINKLERED?[v* ffiruo
NEW CO STRUCTIO'I:ERECT STRUCTURE FAsr rRAcK I sxe r-r-[[urrrr ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE: !-/
I{EU/)-
If UPFIT - The SheU Permit *:
r*r*r Is THIS A CHA G
IF Yes, drat Bas the prevlous Occupancy Type
Is EIe€t Pouer on this Building
ARCH DESIGN PROFESSIOML:
E]IGR DESIGI{ PK)FESSIOML:
DESCRIPTIoN oF woRK:-h !J\
E oF ocqrPAr{c-Y user I vrs [t in ***.
? f:ti>^<,\\ Mrat ls the er, occu
PH
PH
59o - bcrf\NC REG f:
NC REG *:
pancy Type?
(v"' flr,,o
\ 77?r.'i/if
\cj -r^\.I.\rc,tv.", \.\e .lv, ursrr) a3?33
lB food or bevsagG pr€pd€d a 6dvBd in trta aructreZ flves
(arad) (P'h N.h.)
tlol6: D€.nollto,r ndncdorE A aa!6ur rqnoval pa.inh eppllcadorE ar€
-<
B{rilding Code and all other applicable State
olans and so€cifications
NC State Bldg Code and
YES I {l NO
to b6 s|l.nltbd llslm t|o apfllcadon roin (DHH{i-3788)tl€ hdllty o. bulldlio ws iol,d to
cont ln Asbodoo or not You ol! lrqulisd io caI tho tlrdoial Emb.ioo S.nd€fl!3 br ltaz.rdo! Air tutna.ltr (NESIiAP) at (919)7076950 .t lo6t 10 d.ys trio. b tlo
dcfirollton oa rny fadl[y o. bti*rlno. S- A3b6to6 $S Sho: htF:/ ,vtw.6pi.stat6.nc.rrs/6pU€sHG/€hmp.htnl
TOTAL PROJECT COST:' BUILDING HEIGHT: I af \# OF UNITS )a
TOTAL AREA SQ FT :SQ FT PER FLR: / (OO
TOTAL SO FT UNDER # OF STRUCTURES:
ACRES DISTI.JRBED:
NEW IMPERVIOUS AREA:
WATER:
SEWER:
EXST LAND DISTURBING PERMIT?
SO FT EXISTING IMPERVIOUS AREA SQ FT
rXcrpun r-lcoMMUNrTYsYsTEM nwEr.J- r-IZONTNGUSECIASSTF|CAT|ON:
ftcrrur flcenrnal-semc f]ffiereseerrc 5-coguuMrYsYsrEg.. SEPARATE PERT'ITS REQUIRED FOR ELECT, MECH, PLBG. GAS EOUIP. PREFABS & INSERTS *'
PAYMENTMETHOD: f]OSx IUeO<pAVAALETONHC) [eUenrCeleXnneSS @UCrUSn fiorscoven
(FOR OFFICE USE ONL,|)REVISED DAIE 1/I 1/'2
ZONE: OFFICER:SETBACKS:F: LH:-RH:-B:-Approval: City:_DATE: FLOOD:___BFE+tr_
AVN qw
CA at= | FiLTtr-
Cornrnont PERM]TFEE: $_
<ic,\
APPLICANT'S lillA"IE:
CITY: L ZIP|28403
ST: Nc ZIP:28401
tr tr
u
#OFSTORIES: I
#OFFLOORS: I
pRopERTyusE: florrrce nnesrrumm luencnrnle leouc [np,r Ecorco ornsn'Po)_r$_
DIS(.:I AIMEI
/b_vo3L1
lez#i6-tlbs
/:.
tli
!,-1.\i \.t
NEW HANOVER COUNTY BUILDING PERII1IT
APPLICATI1H IyPE; R ESIoENTIAL
pLtaSE AN5UER Ai,r qJISTIOX5 rpptl(A8Lt 1o yOUl ppO)rar
"Project Responslbility"
J4ztl:a l,^"A../,* j*
APPLICATlON
Nuober
(offi.e lse)
DATE Y/ / - / '/t,APPLIC/rNT'S NAnrE:
OEVELOPER:
PPC]iCT ACORESS:
SUBDMSIoti:
PROPE ETY OWrt-EN'S NN{E :
OlIttR'S AoDRESS:
tg,u /6.1t
PHONE T:
ZIP | :Lt\::
P,in
LoT f: _.
ir .5 . L. ' -!t J.J
ST ):lP
sr: &ztPt .!!t/
CITY
8L0CX f
f,,.(
/1. - .ft -r.,:--!- CltY
h.- Ll- I LrcENsE r: /l'tt
CITY:
CONTRACTOR:
ADDRESS:,1/. L fn - -. ,i
EI'IAIL ADiRESS ', r--< /i 'r rtc /, u.^'PIIONE fr O/, /;_'-
PRO]ECT CONIACT PERsOI,I:
LU
15 a
ical
/) "r. 1lt-t2, t-<
ite I
l/ ae NOVA T:' i!GE NIRAL F TI T.]:I)f Rrlocarror
NE|.J col,rsrRucrro : I entcr NEl.l REsTDENCE o"f'ffirrrro* To ExrsrrNc R[srDE cE
..PLEA5I CHECX AND AI/SI{ER sELOI{ ALI- THAT APPLY TO YOI,R PRO]€CT:
I r:" eaaaer
--
sF tr cr, 6opo6g sr f.l eoncu _ sF
f suunoon
-.
sF [] eoor _ sr ! rronaor sFrs _ sF
EXIS']'ItI6 CONS:FLClION:Al -i-i--l )
I cnrrruirouse sr f orcr SF OTHE R SI
ToTAL HEATED Sg or, 1L0 rorAl sQ Fr UNDER sssl. 2f-).; ToTAL aREA se rrt Li'J
T0TAL PROIECT CCS'I res,.,,r : $Npq-* OF STORIES:
Is A,'yet CrkI( at
If the;)r.oject
ls there Ele(tr
ilsIlg;r [€cHA raaL l.]ork Seing Don
Relo(ation, is thcre f Natu,]l
PoYJer on !his Buildrngt ffves
the A(..:sory 5trri. ir.e?
Linc on the CLrrrent 5
NO
vo. [-'] ruon'I n:ilCas
PRCPERTY USE / OCCUPAMY
DESCR I 'T ION OF TOR(:
51N6LE FAI'iILY DUP L TX
.8" n -- .' .', ! z-;.,2
'IorrNHousE
!.d oi.rnr-c.s aid reqularEns lh! r{hc lxrveropne l s€,rlce. (x e, sr !o rrorndr or&ycn.noes 0 trp rp,,o\rd _ror.hanga o contd.lr' o,
Y. !{,et i.r. T(, !5t' /.: "
Or*t 4't p<oWNER/CoIiIRACr0R r
t1t.-. i,
5 Ei'E R
t'lEl,l IIIPERVIoUS AREAr
--
Sq FT
IS THE PROPERTY LOCAIti' IN A FLOODPLAIN?YE5
EXISTIT}5 IfiPERVIOJS AREAI
-SQ
FT TOTAL ACR ES TUROEJ:
EXIS' LAND T]STURBING PERTlI T:I--l ves [-] ruo
c Eri -..\L ht r L
c0t4r4uNITY SY.rr',1
reun ! cof+ur'r r ry svsrin D pRIVATE t,,ttLL
ocua fl cENTRAL scnrra I cnr,.atr srcrtc
.,. SEPARA]T P[RIII]i5 REg ]t'D fOR IL€CT, $TTHJ PIEG) GAS EQUIP- PREFAES & INSI':'I': ''T
paynENT rrrHoDi E cos, D.r.c* (pAyasr-E ro ucl fl or:nrcor txenrss E] ,c/rrto Eotscor..
,*r, P-,i1,??,-,
;si -r, ar \rst (,{r)./
,..F
SITBACKS: F: , LH
\, rl! Iltu U!rt u.fl_{*tt
apr.o.rrr, city: \,.i.('- oarr,'/i;l! i FL0oD:
-
t /
RH:
([\ un Loil,r oF,!\ ,r
i 8Ft+2{t=
Ii
PERI'IIT FFE: $Ccr-.'rt
itv lnsoecXon Recutre'r, 91 0'25 4-n'\
PtroNE *t f,//,)1
SlGNATUR€ |
a
./ia
't Nez-*tbllbe
&/ blaj1NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PLEASE ANSI4TER ALL QUESTIONS APPLICABLE T0 YOUR PROJECI
"Project Res pons ibility"
APPLIC'NT'S I.IA E:
DEVELOPER:
frAzznuu d,,-l-/
PRO]ECT ADDRESS:
SUBDIVISION:
C ITY:/J.
* J^..
APPLICATION
Number
(offi(e use)
/_
DATE: ?/,6/te
BLOCK :
PHONE #:
zlq I Z*a t
LOT f:
PHONE f:s\rl- c/t-lPROPERTY OIINERJ S t,lAME :
O}JNER'S ADDRESS:
t,,t,tu'u
4 ST: _ ZIP:_CITY:
LICENSE S;,zotFCONTRACTOR:/V4r,- n-,-[,-/]; -z
ADDRESS :)LL .lot1,',t rZy'
EI,IAIL ADORESS:,* ),
CITY:SI : /t<- ZP I Lt-|f)
dd, tx,-.a.".- /PHONE f:
PTONE #:
b1/1r"',
PRO]ECT CONTACT PERSON:tZ/L
EXISTING CONSTRUCTION:ALTE RATION RENOVATION GENERAL REPAIRS RE LOCATION
ITION TO EXISTING RESIDENCE
I eonor
-sF
I / r .,.r.,,
M%NEW CONSTRUCTION:ERECT NEW RESIDENCE o
*.PLEAsE (HECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT
fl nrr eanaor _ sF
SUNROOM SF
GREENHOUSE 5F
Is Any
If the pnoject is a Relocat
Is there Electrical Power o
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WORK:
DET GARAGE
-
SF
POOL _ 5F
DECK SF OTHE R:
SINGLE FAMILY DUP LEX T0t^INHOUSE
Bttz-un Lt-auA^.t
STORAGE SHED SF
SF
TOTAL HEATED SQ FTt ?L0 TOTAL SQ FT U DER ^*5.
2foo TOTAL AREA SQ Frt 2f,0 J
TOTAL PROIECT COST rress rorr : $000 # OF STORIES: /
iIECHANICAL l.iork Being Done to the Accessory Structure?
ion, is there a NatuDal Gas Line on the Current S
n this Buildingl l3l ves l_l Ho
ite?
ves l-'l tlotr; E'-*"
TRIC LUI,IB IN
DISCLAIMER: lherebycerli, hat a11 inJormation m his applEaton is correcl and all work will comply witl ihe Slare Euilding Code and all
and ordinances and regulaiions. The NHC Developmenl Services C€nEr willbe noiifed olanychanges in he approved
contractor inbrmaton. "'NOTE:Any Work Pe(ormed WO t\e Apprcpfiale Permits willbe in Viobllon oJ me NC StaE
applicable Slab and local laws
s or change in contraclcr or
OI{NER/CONTRACTOR: ?, a /72,ta<
(P"int Ndme)**, t,t*tr**i**+t++*+,tt+*+*+*+++++t ++*i(**+*+**+++
rs rHE pRopERTy LoCATED rN a rlooonurrl fl vts
EXISTING II..IPERVIOI,S AREA:
-
5Q FT
NEW IITPERVIOUS AREA:
-SQ
FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:EYrs Eruo
SIGNATURE:
c1 to Fines Up To 5500.00"
* * r* * * )t** **** + +,t * ,t ,t* + + + *J + *,* x,t )t **,td*
WATER:
5EI{ER:
*'}* SEPARATE PERI4ITS REQUIRED FOR ELECT, T,IECH, PL8G, GAs EqJIP, PREFABS & INSERTS
pAyr.tEMT mETHoD: Ecosx E.rrcr( (PAYaBLE ro Hsc) E arenrcAN ExPREss E rrclvrsl I orscor.n
)* * * * * )t ,t * ,* ,t * + + * * * * * * ,* * )t * )i * * * ,t + + + * ,t + ,i ,* ,t t * * * r. ,1. + tr + ,f ,i * ,i )t ,i + * * * )i ,f ,f * * ,t( + + ,* + + + * ,* * * )* * * !t 't * * 't * * * '* * '* * '*
ZoNE: _ 0F FICER:
(FOR OFFICE UsE ONLY) REVIS€D DATE O4l11/12
SETBACKS: F:_ LH:- RH:- B:-
Appnovat:-City:- DATE:- FLOOD:
-
BFE+2ft=
AVN
Comment:PERMIT FEE: $
C i
tr
____/f4srpua E comMur"rrry svsrer"r f] pRrvArE wELL ! cenrur wrrr
I crcua ! crnrnar sreuc ! pRrvArE sEprrc ! communrw svsrru
fi po {ta^a 3o tb-Lto^'
tb-sa_
APPLICATICN
Nurber
(Office Use)
NEW HANOVER COUNTY BUILDING PERII/IIT
APP LI QATIoII TyPE.. RESIDENTTAL
PTEASE ANSIIER ALL QUESIIOI,IS APPLICAELE TO YOUR PROJECT
"Proje€t Responsibility"
APPLICAttfi ' S l{Ar'lE: Eric w.RaDD
DEVELOPER:P}O E *:
11? Coguina Dr CITY: wilminqton ZIP | 33!JL
BLOCK *: LOT S:
PROPERTY Ol,S.lER'S tlAl4E: Financial Housinq soluti LLC
Ot ,IER'S AIDRESS: 7413 Capstone Dr CITY:Ral e iqh sT: NC zrP: 27515
CO TRACTOR: Eric w, Rapp LICENSE #: 752 e1
ADDRESS: 5701 Brookho]1o!, Dr CITY:Raleiqh sT: Iq zIP: ::51!
EttlAI L AIDRESS : EliRcust omHome s@out 1 ook . com Pto E $: e1e-819-5?50
PROIECT CO TACT PERSON: Eric w- Rapp P)o{E S: 919-819-6?50
ExrsTrNG co sTRUcTroN: f] llr:narroN I neuovarroru ! erruenar neearns f] RELocATToN
NEW Cd{STRUCTTOT: ! enrCr Ehl RESIDENCE o" ! aOOrrrOH TO EXISTIT{G RESIDEiTCE
,},}PLEASE CHECX AI{D AI{SWER BEL()hi ALL THAT APPLY TO Y(UN PRO]ECT:
I rrr eauce _ sF fl oer ornaee sr ! eoncx _ sF
! surunoou SF E poor _ sF STORAGE SHED SF
I eRrruorsr
-
sF DECK SF OTHER:5F
ToTAL HEATED 5Q FT: 28oo TOTAL SQ FT UNDER ROoF: :ooo TOTAT AREA SQ FT: _
TOTAL PROIECT COST rress roo : $20, 000 . 00 # OF STORIES: 2
Is Any ELECTRICAL, PLultBIllG or ITECHA ICAL Work Being Done to the Accessory Structune? f] V"r [ ruo
If the project is a Relocation, is there a Natural Gas Line on the Current Site? [ves [ ruo
Is there Electrical Power on this Buildingt !ves I uo
PRoPERW usE / occupaNcY: fl srxalr rnurlv I urerex f] roUNHousE
DESCRIPTIOI{ OF HORK: Renovation of inside for resale
DISCLAIMEFU lhereby certity Aral all intorm8tion in his applicaion is conecl and allworkwi0 complywih fie State Buildlng Code and dl oher applicable Srat and local laws
and ordinaflces and regulalbns. The NHC Det/elopment Services Cenbr willte.olitted ofary changes i. he approved phns and or change in coniracbr ot
Fines Up To S5Oo.oO"contactor inbmaton- 1-NOTE: Any Work Perlormed w/O ,le AppmpriaE Permils wtlbe in Viohlron ol rhe NC Stat gdg
**** **)r **:r,i:r****** * ****** * *(I !'ll fil"i * * * * ** * ** * *:l* * *** ****:r** *** *:r*** ***,r,r
rs rHE pRopERTy LocATED rN A FLoooplArrrr? l-l yrs El rro
PRO]ECT ADDRESS:
SUBDIYISI()l{:
TOTAL ACRES DISTURBED: _
Exrsr LA,{D DrsruRBrNG o.*"rilfr v:s El r'ro
lJlrrR: ! crcua ! cor+luN1w sYsTEM PRWATE l^lELL ! crrrml we ll
! comruHrw svsrrusEwER: I crnun ! CENTRAL sEprrc I-l pnrvatr stpttc
1N1 SEPAITATE FERNITS REqJIREO FON ELECTI HEC}i' PLBG' GAS E+JIP' PREFASS & INSEftTS '+"
payltEr{r nErHoo: ! crsx PcxecK (PAYABLE to mrc) E mrenrcAt{ ExPREss E nclvrsr E orscovtn
***,i++* ++*:**,a**,t,i**,i't*:**+,| 'l***,t*:***++ *:t** +'| + *:t*,t * *,i * ***,1:*,i* **:i*++,t*:***:i**:t,l:t****,t*:t+**:*,*
ZONE: OFFICER:
(foi ofFrcE usE orLY) REVTSED DATI 94/11/12
SETBACKS: F: LH: RH: B:
Approval:- city:- DATE:- FLooD:
-
Cofiile nt :
2ft=
-
ExISTriE It{PERvIot S AREA: _SQ FT
NEId IIIPERVIqJS AREA:
-
SQ FT
*+**********
_ BFE+
PER',ITT FEE:
a
DArEi j13t14JS_
Pto E *: 919-8?o-o7oB
Oh ER/CONTRACTOR: sric w. napp SIG ATURE:
2otb-Vo*
RECEIVEDAPi2OMS *Afo PLA^ls+
NEhi HANOVER COUNTY BUILDING PERMIT
APPLIatI1tt IYPE r R ESIDENTIAL
P(tAlt irliY;!R ALL QL,as_rIO S aPPIIaABLt l0 Yoiri PROJEaI
"P.oje(t Responsibility"
CITY:
PROPERIY Ohi ER'S t{A E:?.tlle /i/Cert
OII,iER'S AoDRESS: .f ,+n\r CIT
C0NlRACT0R I q Llcsr*E r: bb4A0
CITY; N.T', -*-
€lltAIL ADDRESS:
I \a'/ / t.
APPIICATION
Numbet'
APPLICANT'S NA}1E
OEVELOPER:
PRO]ECT AODRTSS:
SUBO!VISION:
DATE:q-/1-/b
P!$NE i, -rG 7
zlP:
PHICNE f :
qt0 J'?3-7t71
5Tl ZIP:_
ADOR!SS:
PRO]ECT COI'TACT P€EsO : D U"q 4 .5-1r'\<rtL
PHOI{E #
Pi&NE *. -;qq- 3/qL,
a
lnit J(
t,tc 71p. ) 64a3
n,,t--47i5r
EXIS]:N6 CONSTRUCTIO :ALTERAlION ffi nrHovarron I eelenal neearns I RELoaArror.r
I'IEH COT,{SIRUCTION ERECT NEUJ RTSIDEI'ICE oT ADDITION IO EXI5TIiI6 RESIOEi]CE
..PI.EASE (HE(I( AIO ATS}IER EELO}I ALL THAT APPIY TO YOTJT PRO]E(T:
I orr cnnaer -_ sr I PORCH SF
SFSHED
*:)
Oo
E
TOTAL HEATED SQFIl /5CO TOTAL SQ FT UI,IDER ROOF: I,IO TOTAL AREA Sq TT:
-
TOTAL PROJECT COSTIL!*ro1r | $ qq00o f OF STORIES: /
Is Any ELECTRICAL, PLUi3ING or }IECHTfiICAL tori< 8€iot Done to the A((esrory Stru.turel (l Ves I m
If the project is a Relocationj j.s there a Natural 6as Llne on the Cu.reot sj.te? [Ves $ to
Is rhere EIe(t.ical Po,,er on this Bui.ldinp? lTlvet I-'l Ho
RI)-+ROPERTY USE / oCCUPAiICY r 5Il.lc EF
I arr crnrc; _ sF
I surnoom _ st
flcnrerua.rs:
-'-
sF
PooL .- st
DECK
s
SF OTHE R:
ouP Lrx TOWNHOUSE
IGNATURF:
L
SF
-t-.n OESCRTPTION Of WOR(:t ,.J,J
(5,
ana ,e,rl.!io.i rh€ llxc Ce*carr.rr
s.rr..tor ninrro. "'NolE. an, wo,, Pc/yfrc
OWNER/CONTAACTOR:
S+-
'9. rc.r odo all ro.k wl compiy wltl &e Srare 8u,Eo9 G)de art a* o$ci erpric6br: Srals .nd toc.[r{t
ClnCr r r br noriod ol &ly ctr:rler {, riE np9lo\ad ,b. r ..o srsal+rtrcs ot
NC SraE 859 Co6!r.es (xl To !5!0 0C '
*-h.
c6
15 TIIE PROPEf,TY LOCAT€D II] O "*",-O'*' ffi"" L t0 t;;i')
EXlS'rI G IIIPERVIOUS AREA:
--SQ
FT TOTAL ACRES DIS'IUREED
[EI., IiIPERVIOI,S AREA:
-*5Q
FT
irmr*n trt,tt i/Fff<{i,,<.,l8,t
EXIST LlxO 9ISTURBIIE ltrlrr: I DmYt5
Ddl-Z fr crr,ra I comurrrv svsrrn f] eervarr wrrL I
sEtrER: g] crpuA tr CENTRAL SFPTI'T lntvarr srerrc I :tr,:#,''ffLOO ZONE
-_ --
8FE+2+t=
.J
aa l^lATtR
zorJt R. to orFrcEn: tt-rn
Approval city:kl)l-ffl onrr
VA .r'l.l;Su , alvlst,- 0]rlt l!, tt/rl
N/A
..'SEPARA]I PtN'qIIS NfQ{'I8'O fOR ErE(T, HE(H, P!86, GAs EqJIP, PRTFASS & INSE8TS ','pAynEtr 'rrr'oD: Ll casr Ll cxrcx (parA,rr ro ur1 flo,r:nrcon exeness fl ^rclvrs,r Iorsrovr"
'ilrrrra.r.:rn.11 .*ir*r*ii**ra*r*rr++i
5fr EACkS: F:
r LOOD
'Mp .",r'=--
HK II. U
ERfiIT F€E i ,ConYnent:
rz6$ir€<{
rlrty InsOriion P*uryel, 910-25{ $ l"
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ir,t&';\i,fir l/
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8L0CX f: _ LoT f: _
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REcETvED ApR e0 mr *Ato PLaNg-g ,)bib, <lcZE
NEt^l HANOVER COUNTY BUILDING PERMIT
APPLICATIOiI rYPE,; RESIDENTIAL
PTEASE ANSUIER ALL QUESTIONS APPTICABLE TO YOUR PRO]ECT
"Project Responsibility"
CIrY: lJo
.dtle /0 a".L Ce "t
I G.
APPLICATION
Number
(offi(e use)
APPLICANT'S T,A'4E:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER'S i,IAME:
OWNER'S ADDRESS I J {+T'\T
a<e
EI'IAIL ADDRESS:n
PRO]ECT COI,ITACT PERSON:
LrcENsE #: bb400
crrY: 5.1 ol.,"r-
DATE :-/Q
PI/frNE *: J0/-
ZTP
PHONE $:qt0 ).73-7)71
ST: _ ZIP:_
s1. tuc71p.]dVa?
PHONE f:
PHONE S:
n;L-WA5
5qq- 3!!U
SF
5F
SF )oo st
C
CIT
c-
(
tlnq,/"J ,5-!. r't4rl
ALTE RATION ffi neruovarroru !GENERAL REPAIRS RE LOCATION
ERECT NEh RESIDENCE oT tr ADDITION TO EXISTING RESIDENCE
I*PLEASE C}IECK AND ANSWER BELOH ALL THAT APPLY TO YOUR PRO]ECT:
EXISTING CONSTRUCTION:
NEW CONSTRUCTION:
PROPERTY USE / OCCUP
DESCRIPTION OF WORK:
PORCH
ST SHED
TOTAL SQ FT UNDER ROOF: /
DUPLEX f] rowruHous E
L_t-
OTHE R:e 1
00 TOTAL AREA SQ FT:
-
ATT GARAGE
suNRooM _sF
GREENHOUSE
DET GARAGE
-
SF
PooL _ sF
DECK SF
SF
SF
(
_)TOTAL HEATED SQ FT:
TOTAL PROI ECT COST tress ro0 , $ 40, 0 oo # OF STORIES:
Is Any ELECTRICAL, PLUI4BING or |IECHAiIICAL Woik Being Done to the Accessory Structure? S V"t I fo
If the project is a Relocation, is thene a Natunal Gas Line on the Curnent Site? [Ves ffi ruo
Is there Electrical power on this Building?pv"r IHo
ANCY:K SINGL
odo/
EF
-.,)r9A14I i-h
DTSCLAIMER: Ihereby cedi, rhal a
and ordinances and regulations. The NHC Developmenl
conlraclor inbrmaijon'"NOTE: Any Work Performed
OWNER/CONTRACTOR :RE:
YEs E ruo
TOTAL ACRES DISTURBED:
eS,
is correcl and all work will cofiply wfi lhe Stale Building Code and all oher applicable Srale and local laws
Cenier willbe not,ied oi an y changes in lhe 6pproved plans and speci
NC Srale Bdg Code ines Up To $500.00"1w 4",
)** r** ** * *,*+ + ** * * * ** * )t** )**,*** )t * )i* * )t* )*+ * )t* * )t* )i *)t* * * )t* )* )t )* * )t *,t ,t * *** *,t * * )t* * )k*** * * ** + +
I,JAT E
rs rHE pRopERTy LocArED rN l rlooonlerrl fl
EXISTII'IG IiIPERVIO,S AREA:
-
sQ FT
NEh' III.IPERVIOUS AREA:
-
SQ FT EXIST LAND DISTURBING PERMIT:lJ Yss E Ho
REVI5ED OATE O4l11112
n: fi creun ! comluHrw svsrem ! pRrvArE wELL I crtrRal wrll
srwrn: p creur ! CENTRAL sEprrc ! cnrvarr srerrc COMIIUNIry SYSTEM
**'} SEPARATE PERIIITS REQTJIRED FOR ELECT, I4ECH, PLBG, GAS EQIIIP, PREFAES & INSERTS * 'pAyr,rENr r,rErHoDr Icrsx flcxrcK (payaBLE ro txcy ! rlenra* ,ir^rs, I r,rclvrsa I orscoven
*)t* * * **,t*,t*,*,*'** **,t* * * * *,i* * *** * * )t* *,i *,i * * )i* * )t** **,1* * )k* * )t** *,* + * +* * **,*+ * ** *:t** ** *,* * + * )i ** xx,t+
(FoR 0FFICt USE CNLY)
sETBACKS: F: LH: RHZONEOFFICER:
Approval:_ City:_ DATE:_ FLOOD: _
Conment :
-
B:-
BF E+2ft=
N
PERMIT FEE: $
w
CONTRACTOR:
ADDRESS:
BLoCK f: LOT f: _
I
No0t <,o olb-L(o71
lb-rztz
APPLICATION
umber
(office Use)
)I
ffi
NEhI HAM)VER COT,,NTY BUILDING PERI4IT
APPLIcArIott TYPE: RESIDENTIAL
PIEASE AI|S}/ER ALL QUESTIOTIS APPLICABLE TO Y)UR PRO]ECT
*Project Responsibility"
DEVELOPER:
f| orr canaor sr ! con+r
-sF
f| eoor- _ sF I sronace SHED _ sF
! oecx SF OTHER:SF
PRO]ECT ADDRESS:
SUBDIVISIO :
11 Picket Drive CITY: wi lminoton ZIP:2a412
BLOCK *:LOT S:
PROPERTY O, ER's tlA E: Financial Housinq Solutions, LLC
OhflER'S ADDRESS: ?413 capstone Dr CITY: Raleiqh sT : Ig_ zIP : ?Ill_
CO TRACTOR: Eric w. Rapp LICEiISE *: ?52e1
ADDRESS: 5?01 Brookhollow Dr CITY: Raleiqh sT: I!_ zIP: :fjla
EIiAIL ADDRESS: EwRcustornHomes@ou L l ook . com PtO E *: 919-819-G750
PROIECT CoiITACT PERSOI{: Eric w. Rapp Pto{E *: 919-Br-9-G16o
EXISTIT.IG CO STRUCTIO :ALTERATION I nruovarroH I eeurnal neearRs I Rrlocarror
t{Et.I Cd{STRUCTIOI{. ! TNECT EU RE5IDEI{CE O" f] AOOTTTOH TO EXISTING RESIDENCE
+*PLEASE CHECK AM' AI{SIdER EEL()I{ ALL THAT APPLY TO YOIJR PRO]ECT:
f] arr canaee _ sF
! sur,rnoor,r _ sF
! eneerxouse
-
sr
FT:14s0 TOTAL SQ FT UI{DER ROOF: lsoo TOTAL AREA SQ FT: _
TOTAL PROIECT CoSTcessrou : $ zo,ooo.oo # OF STORIES: 2
Is Any ELECTRICAL, PLUIIBING or IECIUI ICAL Work Belng Done to the Accessory Structurel I Ves I Ho
If the project is a Relocation, is there a Natural Gas Line on the current site? f] ves I uo
fs there Electrical Pouer on this Building?I ves I Ho
pRopERw usE / occuPAxcy: @ srucr-r rar'rrr-v ! ujelrx ! TourNHousE
DESCRfPTIOI OF }{)RK: Renovation of insi.de for resale
DISCIAIXER lherEby cenify $al ali nbrmatton in {,ris applicatbn is coflect and d work wil comply with $e Slale auibng Code a|d all other applEable Stats and locd laws
and ordinances afld regulatbns. The NHC De\€bpmenl S€rvices C€nbr willbe notfed ofany cha.rges in lhe approved fran s o, change in conlracior ot
Finss Up To $5000cf"contacbr inbrmeton. *TNOTE: Any Work Performed w/O he App.opriate Pemitswillbe in Violation olthe NC State Bdg
*,*** )r *:* *****,r** **** *** **** *(Ii'{l lil'} * * **** ** * * *** *****:r.** i,,ri.*:r.* **:i;*:r*++,r
rs rHE pRopERw LocarED r{ a rlooopurrt l-1 vrs E xo
TOTAL ACRES DISTURBED:
EN ItpERVr(rrS AREA: _SQ FT EXrST LAr$ DISTURBT G pERtirT: f] VeS I rrc
uaree,: ffi,eua ! ccn+rutrw svsreu ! pRwATE r.lELL f] crrrnal well
sEr,rER: EI4ry'uA fl crurml seerrc I pRrvArE sEprrc ! co,lmrrw svsrem
*** SEPARATE PER},1ITs RESJIRED FOR ELECT, HECH, PLBG, GAS EQUIP, PREFAES & INSERTS ***
pAylrE r rEr}l(xr: ! casx filcrecl( (pavaBLE ro mry I A}rrnr.* ,rr*.ir E nclvrso ! orscovrr,t,**:l***,t,t:1,**,*,ia***.t,t:t:i**,**'l.t,t,t,t***:r++:a***:t*:t:t:t,i**a:**:**,a,t,t**:t***:t:a*t+,***:*+:|+,t:l,t*:t,i*:tl,t:t**
(FOR OFFICE UsE OIIY) iEVISED DATE 94111112
ZoNE: OF F ICE R:SETBACKS: F:_ LH:_ RH:_ B:_
** *,* **,* ***,* *,t
APPLICAI{T'S tlAltE: Eriq E.Rapp OAfEi _112}129}5_
PH ES:
PIOI{E $: .E@
TOTAL HEATED 5Q
O {ER/COIIITRACTOR: Eric w. Rapp 516 ATURE:
EXISTIIre ITERYIoUS AREA: _ SQ FT
Approval:_ City:_ DATE: FLOOD: _ BEEr2+t= _ __c*,,"nt, o ' Jr*rr r.., $__ g_fu
2otb-qoz
?Rrb-t15
APPLICATION
Number
(office Use)
P
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSI,IER ALL QUESTIOI,IS APPTICABLE To YoUR PROIECT
"Project Responsibility"
E/*rl<-,*uot
P/v /4
PHONE *:
$
zrp,z_4_!_L
l6a-2
APPLIC'NTJ S T.IAilE :
DEVELOPER:
PRO]ECT ADDRESS:- CITY: L)'//n,,?
SUBDMSION: OLe4,t Fu r'.t. I /ce--
pRopERry ohrNER,s 114rlE: f,t>o.t*o2 B fr; n 15'ft'
OUNER,S ADDRESS: '71o ? c,/-/n/*//4 r.t 2r ClTy. /j ,' t
e$CX *, /LOT *:
ato- Zt.l -L/zt r
4-?'t P /*c./-LICENSE f:
, /./ ,ctty: a),' tq) ..)oL, <- D->.1
./,+-c>/c-
SF
SF OTHER:
PHONE #:
ST'nlizlP z v'/ /z
sr Nl::zrp FJ!_!:'7
PHONE *: ?,/a .^ ZZ-+2."/
ProNE #: 1/o '23; -q z,;'
CONTRACTOR:
ADDRESS:,/ 2-
EIIAIL ADDRESS:
PRO]ECT CONTACT PERSON:
3
4.1 l>
EXISTING CONSTRUCTION:ALTE RATIOI'I RENOVATION GENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEI,{ RESIDENCE oT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOI,J ALL THAT APPLY TO YOUR PRO]ECT:
Arr GARAGE
-
sF $ofi eaarct / c K7
suNRooM _sF ! eoor- _ sr
GR E ENHOUS E
-
SF DECK
PORCH _ SF
STORAGE SHED 5F
SF
TOTAL HEATED SQ Ff I -Z TOTAL SQ FT UNDER AOOT: 4({ TOTAL AREA SQ FTI 4/-( <:I
ToTAL PRolEcT c0sT rress ro0 , $ 2 A,.Oots # oF sToRrEs: /
rs Any ELEcrRrcaL, pltttBrilc or t4EcHrtt{rcAL work Being Done to the o.."rro"r-r**"r /t'v", I Ho
If the pnoject is a Relocation, is there a Natural Gas Line on the Current Site? [ ves p uo
Is there Electnical Power on this Building?!v"t plo
PROPERTY USE / OCCUPANCY, ! StruGrr rlmrrV DUPLEX USE
t2e *n./, ..(v.7 ,/l"z-- 2..',.r'Or+DESCRIPTION OF WORX:
and ordinances and regulations. The NHC De\€lopment Services C€nler willbe nolified olanychanges io ihe approved plans
contacbr inbrmaiion. T"NOTE: Any Work
cifications or change in contracbror
Subjecr io Fines Up fo S50O.0(r"rmed W/o ihe Appropriaie Permils willbe in Violalion oflhe NC Srare
/1D /z-/a - STGNATURE:
(***)t * )t* * )k* )* *
r5 THE PROPERTY LOCATED rN a rlOOOelartl I VeS
ExrsrrNc r4pERvrous AREI, lq 6D se FT TOTAL ACRES DISTURBED:
,2,..
* *,i * ** )t** * * * * * *,t* ***,t * )i,t + + + * * **
r'z<-OWNER/CONTRACTOR :
)** )** *,** * **)* ** * *
Mro
112-:s
WATER :
SEWER:
NEt4r IMPERVIOUS aREA: r' /f SQ FT EXIST LAND DISTURBING PERIIIT:Ives I uo
! creua ! crrurnar srerrc
COI,TI'IUNITY SYSTEI4
p. cnrvarr sr crrc
[} enrvarr wr r-r- !CENTRAL WELL
COMI4UNITY SYSTEM
CF PUA
ZoNE: _ 0F FICE R:
*'I* SEPARATE PERM]Ts REQUIRED FOR ELECT, I'IECH, PLBG, GAS EQUIP, PREFABS & INSERTS **"
pAyr{ENT rirErHoD: E clsn E c}lEcK (pAyaBLE ro ucl I mrenrcAN ExpREss E*.Urto E orscoven
,*t********,ti<,t*,t**i<,t,i(i(,f*,i+*,f*,*x;*,r:rx:*,r:xx:r;*ir:*+*,r;*x;r*xx*,*)t**)**********(********+***,f,r+*****
(fOR OFFICE IJsE ONLY) iTVISED DATE O4l11/12
SETBACKS: F: LH: RH: B:
Approval:- City:- DATE:- FL00D:
-
BFE+2ft=
-
Comment:
N
PERMIT FEE: $7.f
,/ t -,oarc: T //J ,/r 6-+
4
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