JUNE 30 2016 BUILDING APPSTown of Qarolina Beach reviewing
buildino element of
nroiectYl 5-326 bz+lb-l'tta
APPLICATION
Number
(office Use)
DATE: 1- 19 - 16APPLICANT'S NAME:
DEVELOPER: ra PHONE #:
PROJECT ADDRESS: 409 Carolina Beach Avenue South CITY: Carolina Beach ZIP:
OCCUPANT/BUSINESS NAIitE: sANps rv condominiums
PRoPERTY O[{NER'S M}'lE: sANDs rv condominiums PI'ONE #: 910-4s8-8881
OI.INER'S ADDRESS: 1029 Lake park Boulevard N. CITY: carolina Beach ST: NC ZIP:28428
CONTRACTOR: McKinley Buildinq corporation LICENSE #: 30896
24424
ADDRESS: 380? Peachtree Avenue, sulte 200 CITY: lt+g!!g!g!
EMAIL ADDRESS: pavery@mckint eybui 1d inq . com or iearle@mckinlevbuildinq.com PHONE
PROIECT CONTACT PERSON: Jonathan Earle, Proiect Manaqer PHONE
5T: NC zIP:3!j!1
*: -9f!:!!!:!!I-*: 910-39s-5036
(Check AII That Apply)
EXrST CONSTRUCTTON: E ALTERATTON E RENOVATTOru [ CrUenal
lf Roloca0on, is there a Natural Gas Line on the Current Sitez Ives [ruo
nrparns l-l RELocATToN
lS BLDG SPRINKI rnroz I ves Ino
NEW CONSTRUCTTON: E ERECT NEr^r STRUCTURE ! rAsr rnaCX ! Snrr-r- ! uerrr ! aoo ro Exrsr STRUCTURE
ACCESSORY STRUCTURE:
dqb-tq\n
For PM&E Review
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICaTIoN IYPE: COMI4ERCIAL
PLEASE ANS ER ALL QUESTIONs APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
walter Pete Avery
If UPFIT - The SheII Penmit f:rs Elect Power on this Building E Yes EI Ho
oF occuPANcY usrr fives [rc ...-.
t/hat is the Neu Occupancy Type?
PROFESSIONAL:
PROFESSIOl'lAL:
DESCRIPTIoN 0F WORK: Reconstruction 12 unit condo proiect destloved bv fire in Dec 2014
ts food or bwsagos prep€Ied or sqvsd tn thls *nrawe? [ Yes [ ruo b Th€ Propsty Located ln The Roo<tflaln? [lves [ ruo
OWNEF/CONTRACTOR: watter pete averv/McKinlev gldq SIGNATURE:
(qr[ti, (Pi,tNri.)
Not6: Demollion notlreions & .sb€slos rErnoyal p€rmh applhadons ar6 to b6 submltH uslno tl€ .ppllcatlon furm (OHHS3768) wholher th€ IEdllt or bulldlng was
contaln Albesbs or mt You sro rcqut@at to ca th6 Na{oml Emlsalon standsds for Ha2ardoB Air Pollut nts (NESHAP) al (919)7076950 at l4et 10 day3 p.br ro t|o
domollbn of any fadlly or bulldlng. S€e Asb6los Wob Sh6: htts/wvrtr.oplltab.nc.u5/6PuoEbaaros/ehmP.htnl
TOTAL PROJECT COST: $1, 5OO, OOO BUILDING HEIGHT: .!2.!:--
TOTAL AREA SQ FT : l2-Q5Lsa!pr.i.a!- SQ FT PER FLR: 3 2 0 s # OF STORIES: 3
# OF FLOORS:l--TOTAL SQ FT UNDER ROOF: gers # OF STRUCTURES: z
ACRES DISTURBED: -.--.-.-j--
NEW IMPERVIOUS AREA: xaae
EXST IAND DISTURBING PERMIT? ETYES E NO
SA FT D(ISTING IMPERVIOUS AREA:<.26
pRopERry usE: lorRce EnesmuneNr luencrullrc leouc E epT Ecotloo orHER:
WATER: ECFPUA fl COII|MUN|TY SYSTEM f] WELL _EzoNlNG USE CI-ASSIFICATION:
sEwER: - cFpuA ficervrnru- seerE I PR-IVATE sEmc E coMMUNnY sYsrEM
.. SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ''
pAyMENT METHOD: flCesn flCuecx leevaelE TO NHc) [nuentCeN o<rREss E MCMSA ! otscown
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:-RH:- B:
Approyal:- city:-DATE: FLooD:
---
BFE+2F
AVN
Water, Sewer by
ZONE:
:r**** Is THIS A CHANGE
was the Previous Occupancy Type?IF Yes, what
ARCH DESIGN
ENGR DESIGN
winstead wilkinson-Car1 winstead PHi 9]-9-832-2878 NC REG *: s74o
Burke pesisn Group-Ben Burke PH: 2)2:JJ):J2J3- NC REG #: 22o3a
# OF UNITS: 12
so Ff
own
OFFICER:
REVISED DATE 4'11112
Comment PERMIT FEE: $-
DISCLAIMER: I
and local laws a
orchanoe in cor
Subtecljo Frnes
I' pat6-b$l
)
5 ,f*"i\ NEW HANovER couNTy BUTLDTNG pERMrr t6-1810_e /y 4! '(.\T f( ffi )4 ,.,^,,1:;:iTlfl,lfi:;,:,::::,'L'"T:,-,,,., ,pp'rc,rror'r
I'lumberS \\HHZ "Proiect Responslbtrity'' (orrice usc)
\ APPLICAUT'S I{Ai{E: sourhern Exposure sunrooms DAiE2 _Sl}!13!}S_
^l DEVELoPER I PHONE T+:
\t. JaPROfECT ADDRESS: 72s Lj.berr.v Landtnq way CITY: r{ilminqEon Ztpr 2a4os
:r -r SUBDMSION: covlnqron BLoc( #: LoT r: l1_\P -.s*---{
\PROPERTY OIINER,S l.lA}lE: setz. chrlBropher & Laula PHONE *: sL6-244-s163
,.- ., OidNER'S ADDRESS: ?2s Liberty r,andtno way CITY: -t!lfgi!@__ ST: Ig_ ZIp: 2s4oe\\f
CoNTRACTOR: southern Expo6ule surr.oomg LICENSE *: 68138
-
f aoonrss: ,o
-"o*
,-o, crry: wtrmlnqton srr NC zrp: 2a4os
S I EiIAIL ADDRESS: . i ohn@aouthelnexpoBuresunloom6. com PIONE $l gao-1g3-2,162
\, .,/u\ -\ PnOJECT CONTACT PERSON: .robn Hickev ptONE *: sto-262-a069
!-i ExrsrrNc corrlsrRucrroN: ! elrsRarrou ! neruovarron I celrnal nermns ! RELocATToN
\) f) uru cousrRucrroNr I rnrcr Ehl REsTDE]trcE o" [} noorrroru To ExrsrrNc RESTDENcE
(- *.PLEASE CHECN At{D Al{StdER BELOI, ALL THAT AppLY TO lt UR pRolECT:
?) [ arr ernnee
-
sF fl orr erneoe sr f] eoncr _ sF'; I suunoon
-sF
I eool
-
sr I sronae e SHED
-
sF-. t-t
l_l cneeuxouse _ sf ! oecf _ sf oTHER: screenroom 2os sFo-t-' roTAL HEATED SQ FT: _ TOTAL SQ FT UI\DER ROOF: L TOTAL AREA Sq FT: 2oe
R TOTAL PRoIECT GoST pcs" r-a1 : $ rsrrz # OF STORIES:
Cq ,t Any ELECTRICAI, PLt litBMG or MECHAI,IICAL liork Belng Done to the Accessory Structure) [ Ves f] ruo
l_S ff the project is a Relocation, is there a NatuFal 6as Line on the current site? [ ves f] ruo
fii Is thene Electnical Pou,er on thls Building? Jilv"t l-l uo
oJ rnolenrv usE / occupAircv: I srrcle rmrlv I ouelex I rohlNHousE
DESCRIPTIOT'I OF hORKt Build LLxL9 extenBion Eo open Dorch and encloge as scleen room.-$
"lq-/DISCIAIUER- lhorebyc€rury hat all hbmalion ln hls app{calion is corect and al work willcomply wih h€ Slare &rildlng Cod. and 6llolhor
and odlnanc66 and r€gublions. The NHC D€\,alopm6nt S€Nices Ccnbrwillbe notfud olanychanges h h6 appmvtd plans and
contacbr inbrmaljon. r"NOTE i Any Work Pedorm€d WO he Appropriale Pemits will b6 h Vrohrion ot rhe NC qt fi.BB_d Cqdo
OIdNER/CONTRACTOR:,rohn Hickey SIGNATURE:
(Prlnt lrane),**,**+,*,t++***!*rt,t***{,**+****,ti*t,r.r,***,**,}**a***********)t,t,******
IS THE PROPERTY LOCATED IN A FTOODPLAIN? N VES
EXISTING II4PERVIOUS AREA: 3032 SQ FT
NEW II4PERVIOUS AREA: I:-- SQ FI
ACR E5
LAND DISTURBING PERIiIIT; rl VIS I_I IiO
REVISEO DATE O4l11/12
RH: B:
StaE and local laws
Flnes ToS50O00"'
(ro8 offrcE u5E oNLY)
SETBACKS: F: LH:
Approval :- city:-
ZONE:OF FIC E R:
BF E+ 2ft=
Eno
TOTAL
EXIST
MTER: p crnul ! co t4uNrw svsreu I pRrvATE t,rELL f] crurnal wrll
srwen: fi creun fl cENTML sEprrc I enrvare seerrc I coMuuNrry sysrEM
.** SEPAEATE PERI'IITS REQUIRED FOR ELECT, I{ECHJ PLB6' 6A5 EQUIP' PREFABS & INSERTS TIT
pAy[ENT [ErHoD: E cmn E orrcx (pAyaBLE To trtrc1 f] menrcm exnntss EJ uclvrsl ! orscoven
***.t*:t+********,t:t,t:t{.,f:trt,t:r{r+:t:t**,t*,}rr:r*,},*,i,*,}*rr++,trt't:**t+,t*,**rt,tjt*,**:t**,t****,t*,****,}*,t***:*r,*ri*
Comment:
DATE:- F LOOD:
Jr*nrr rrr, ,tS--
.002
Jol(o-G9A
16 - L677NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSUTR ALL QUESTIOIIS APPL]CAELE IO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(0ffice Use )
DAIE: ;.'t lr':l:cAPPLICANT'S NA/'4E : l"i:+ p oieLt c,uL)
DEVELOPER; nilf,iir'c,r"c Ir".* Pl-iONE $: ie',..r13304l-*-_l
PROIECT ADDRESS: 122.1 coi:n.-rv Club:tcad grrv: m zlp: :,!41.
LOT #:SUBDIVISIOil' BLOCK f:
ali:e€c(.oHCNE $: ?1 rl43il':'---l
crrv' lyv1ffi sr : IE Zrp : ::i{r-,
CoNTiACT0R: TICENSE s; Fosz,- *-__lADDRESS: CITy: lwrrrqr;-**l 51 ; FEl 71p; inacdl
EHAIL ADDRaSS: pHoNE #: E@91_--__-.
PRoIECT COtj?Acr PERsON: piONE *: FeiS:6{ _]
ExrsrrNc coNsTRucrrolr; [-l alrrnnrroru [] nrNovnrloru f oeruennr- REpArRs f ari-ocarroru
NEIiJ COT,ISTRUCTIO}{I I ENCCT NEii RESIDEf{CE or E] ADDITIoI,I To EXISIING RESIDEI{€E
irPl.EASE CHECK AND ANSWER BELOW AtL THAT;IPPLY TO YOUR PROIECT:
f nrr GARAcE __ sF
fl surunoom _ sF
I cnrrruHousE
-_-
sF
TOTAL HEATED SQ FT:
I orr GARAGE sr I eon*r g-- sF
I eooL
--
sF f] sronacr sHED --- sF
f, oecx 5F OTHE R:SF
TOTAL SQ rT UNDER R00F:TOTAL AREA 5Q FT:
T0TAL PROIECT COSTir cssilrr: $ ltEic5l)c. -l # OF STORIES: [:------__l
Is any ELICIRICAI, PLUriElNc on Y,ECHAIIIICAL tdonk Being Done to the Accessony St.ucture: I Ves & no
If the project is a Relocation, j.s there a Natural 6as Line on the Curnent Site) | ves E *o
Is thene Electrical Powen o. thts Building? T Ves l--l lro
PROPERTY usl / OCCUPANCY: fi SINGTE FAr,lILy f oUnLrx f, rOwruxOUSr
DESCRIPTION OF WORK: ren:odc-L (::<.isainc )^.oq,* a:J adci s!clacrc rrld carucrt- a:-ea.rlo:rg ri:r'i r,c::c;t.r.j
conuacbr tn,crtnaLon "'NOTE:Any',vcrk Perlcrmed W/O he App'opria'e Pemits wili be io Vbiaroi otrhe NC Slatc tsld? Code anC Subjecl t' Fines Ut) T3 S500 0""
OWNER/CONTMCT0R: 5I6NATURE: *_..._ ._---
++ + r +++ *r + i +* *f ++ +, .. * * * * * *(I!Tl lll"i* * * * ** ** ** + r* rx i I * * *r * r+ ** + r{i+ * + rr* +* * i +'} i* * r i** x * i
rs THE pRopERl.y LocArrD rN A FLOOOPLAIN? [: yES 5 ruo
EXTSTTNG TMPERVTOUS lnrn: [--*-----lSq rr
NE[^J IIIPERVIoUS AREA, EE,.IlE-t-G?l sQ rr
TOTAL ACRES DISTURBED: mAlanre--l
EXIST LAND DISTURBING PERITT: :_ YES iF IIO
t^tArER: fl creua f] con"runrry sysrEm I rnrvaiE t^lEr"L f, c*rIRAL ,.ltLL
sEHER: fl crnun f] crrurnal sEp'lrc i-] nnrvnre sE)rrc f] coununrry sysrEl4
},T SEPAR!.]. PFOMTTS REQt':":O FOR ELt,- MECii, P136, GAS EQ.'::' PREFABS & IN5T^-,-."
pAyr,,rENT rrEruoD: I cosH [] cxrcx (pAyAsLE T0 NHc) p] nr;nrcm EXpRESS J ,c/rrso I orscc,rre
**f*f+**+i++*+***t*+.*+******+*rxrr*ii*++{+*+*r+*+***+ir**i***i++i}++*i+i4+*tr+*i++*r+}{
Rtv:sr9 uArt 01/rL!:t
ttH:;l*,.- B:<..*-:
Approval:_ City:--_ DAlE'.':,-. ,.- . .i FLOCD:Y BFE r2ft=
^\,Vll
. --\' (io,. urrl(i .:sh ox:v)
ao,',r, (-i5 oFFrcER:\ li-\ '- sETBACKS: r:r,j; LH: r'j,!e
\= _.
-. , F+_
coinment: il -.\. ., i - ,:.;-i. c,X!,tjj;;, pERr4rr FEE: g.
PROPERTY Ot,lNER'5 NAivrE : I
OWNER ' S ADDAESS i -:t)-4 t-'c'.rL: r..r,, Ci:iL. f.lii.i
E-tl(p-(r"Z Va
NEW HANOVER COUNTY BUILDING PERMIT L6-L677
APPLICATION
Number
(office Use)
DATE: 5/2i /2016
DEVELOPER: PHoNE #: lEi6Z+s-568t-l
PROIECT ADDRESSi L224 Country club Road CITY: ZIP2 28403
SUBDIVISION: BLOCK #: _ LOT #:
PROPERTY OWNER'S NAIvIE: Lindsay and Grayson Cheeck pHoNE s3 l5'i5453681 I
OWNER'S ADDRESS: 1224 Country Club Road Cffy: ffi ST: Jrrrc I zlp 2 28403
CONTRACTOR: LICENSE #: WADDRESS: crry: ffi ST:lEl 71p2'Eil[tfr
EMAIL ADDRESS: PHONE *: lg1oZ556E1--l
PROIECT CONTACT PERSON: PHONE #: l5i6+a-eg68i I
! arr GARAGE
SUNROOMtrn
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
_5F
SF
TOTAL AREA SQ FT:
ExrsrrNc coNSTRUcrrou: I ALTERATToN I neNovarrou ! cerurnar- REPATRS I nrlocarroru
NEW coNsTRUCTroN: ! rnrcr NEW RESTDENCE or E noorrroN To ExrsrrNc RESTDENCE
**PLEASE CHECK AND ANSWER
E oEr GARAGE sF E PoRcH 861 5p
GR E ENHOUS E SF OTHER:
TOTAL HEATED SQ FT:TOTAL SQ FT UNDER ROOF:
TOTAL PR0IECT COSTIr-essroq ! $ h8-5^0-o-o-o-o-l # OF STORIES: E-l
SF ! eooL _ sF f] sronacE sHED
! orcr
Is Any ELECTRfCAL, PLUI'IBING or IvIECHANICAL Work Being Done to the Accessory Structure? [ Ves E ruo
If the pnoject is a Relocation, is there a Natunal Gas Line on the Cunnent Site? fi V"t E *o
Is there Electrical Power on this Building? Fl ves E to
PROPERTY USE / OCCUPANCY, I SrruClE FAMTLY ! OUeirX ! TOWTHOUSE
DESCRIPTION OF hIORK: remodel e{islins home and add storaqe and carport area along with porches
and ordinances and regulations. The NHC Development Services Center will be notfied of any changes in he approved plans and specifications or change in contractcr or
conracbr information. --.NOTE: Any Work Performed W/O he Appropriate Permits will be in Violation of the NC State Bldg Code and Subiect t) Fines Up To $500.00-..
OWNER/CONTRACTOR: SIGNATURE:
*,r. * * * * * * * x * * * r( * * * * * * * * * * * * *(i!'Il li1"] * * * * * * * * * * x * * x * * * + * * )r. * * * * + * +:* * * * * * * i. * * * * i< * * * r(:r * 'r:* * * * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN? ffi VCS
NEW IMPERVIOUS AREA: [ncrAse-,5-fflSQ FT
ffiruo
hrATERr I creun ! coNlruurry sysrEM ! enrvarr wrll ! cer,rrnnl wELL
sEwER: I creun ! crrurnnl sEprrc f] enrvnrE sEprrc E comNururry sysrEM
*,I.,I. SEPARATE PERJvIITS REQUIRED FOR ELECT, IqECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
PAYMENT r,tETHoD: I cnsx I cxrcr (PAYABLE ro NHc) fi amenrclN ExpREss E ncZvrsa I orscoven
**>1.*r.{<***r(**{<***r<rc,t(r(1.*r(,F:k,F,|<*X***r<********r<***r<*****r(XX***,|.**r.****:k****{<***{<****r(**1.*****
TOTAL ACRES DISTURBED: 1"."t-a"se I
EXrST LAND DTSTURBTNG pERmrr: l'-l yeS lT'l ruO
ZONE: OFFICER:
BE LOW
SF
SF
ALL THAT APPLY TO YOUR PROJECT:
(F0R 0FFTCE UsE Or!LY)
SETBACKS: F: LH:
REVISED OATE O4/TT/T2
RH:_ B:_
Appnoval:- City:DATE:F LOOD :BFE+2ft=
APPLICANT'S NAlvlE:
Lft* !
PROIICT CoNTACT PERSON: (4:l{!rt __ pHolir o. ..lQt-t{t {!i
ExTsTING coNsrRucrrou' fl nrriRAiIJN ffineruovr,r:cru f]cenrnal REeATRS f nrlocarron
Nfr^l coNsrRucrrot{: l*l ERECr NFt,l *rurogia, o" i-l *onrrroN To Exrsrrr\rc REsr}ENcE
EPLEASE CHECK AND ANSI.TER EELOIJ ALL THAY Appty TO YOUR pRolrtr:
\]
I r,rr GAftAcr
-***
sF tr *rr GARAcE
n sunnoorn ___ sF f] ro:i _ sr
flenrerrucusE __* sF [_J orcx -..--- 5r
TOTAL HEATED 5Q F'I :TOTAL SQ FT r.'NDER rO0F:
TOTAL PROIECT COSTrr.rsic:/ , I /4, {t't,--r--_
sr Ipon*r
-sF
I sronacr srirr
OTIIE R :
(t
5F
TOTAL AREA SQ rr:
f, OF STORIES:
Is Arry fLE(TRIcAl., Plljl{.slll6 (:r'liEcHAlr,r.(aL Hork BeinE Done to the Accessory Structr,,,et f ves E foIf the pnoiect is a Relocat::r,, is there a ttat_ural Gas Line on the Current Site? f iss FroIs there Electnical pouren on thjs Bujldingt frt", flro
pRopERTy usE / occupANar, fi srf{6lE FAMILY I ounirx I ro,,Nxousr
DEscRrprroN 0F woRK: _ F({{"&f".t, kttt € tntVCz_
Jctb- U75l
RECEIVED JUN t z Z0S RECEIyED JUN 1r ?01f %" lt - \10[
,A NEW |-|ANOVER COUNTY BUILDING pERtulIT
,(- . df, AppLrcATroN rypE: RESIDENTIAL
\/ - *Ti pltAst Ar,isuiE Att o{Jrsrtu*s Apelrcagrr i. youR r,R(}lr(r APPLIcATIot'l
HE ..pro ject Respons ibil iry,, lilumben
(Offi(c Use)
ApplrcAr{r,s *n r , .-((E{J rt:-WOlij_ ..- DA'E: b//t//bDEVELoPER, s:l nvt tz Sliltut,,.=, .t i. *_
--.--lHofr; -.-_:
pRolEcr ADsREss; Jto q .ittt,",r Lralzflt cr .rrr, -Jo[f,-- .- z]p: --SUB0IVISI0N: .*BLOCK#:_LOrf:---_
pRopERry o!rNE:_s n,et,Wl4€u)'l5n{tt* . pHo$rE r: *--*__oltlNER's ADDRESS: --* 5J.tjJ!i- cITy:
-** - ,.-_--* sr:
-
zrp:* -
cof{rRAcroe: _5lt;L?l (wij{-, tio LrcrNsE *: &4__AoDREss: {re,r q{"t6$zg{t**:!..-&-**_ crry: *Jd.aflL-.-.------*..- sT: -- rtr,{'/ff
EtlAIL ADDRESST Ct1t26 d <+te?t_9ttltv6:_(c"n< - pHoNE fl:
OISCLAIMER: lht.nlv(r.r'.ryrral alirrk-rit,.-nJU.rsi,::,:;r1,r,.,5(orrectandall worlrvrt Ca-.:,r,,?il! SeStr,l,ri;,,*,.ld 8ll 6lher:i:ii!.Cab t -qf1v. xiC ki,,al ill1s.d rrariin.:{:s &n6 te!vialc.: I he l';rja i)..,.,lii1:,.nt Si.r,,rati (rrter win tf oCt!!.a o! arir al;-,..Jes ui ||,t i,i.ir.)/f(.,r,ri{lorirtrrfiALor""ll(}i'[ AniSiOllr),,rr..i],rd\rr,jotteFl;,:r.1;.iol8tI.,,,.ts(tltbclnVOIa!0^OlllleNCSIAA
owNER/coilrRACTax c /+rel s_ffi+itLil{ -" s*6NArr.rRE
+... +r . r '.4 r*.. *+r +,. r r,. r.(i:':': j'j1''l,, i r r . .. ..,..,, *,t\., **,
Is rHE pRopERry LocArED rN A FLooDprArN? l--l yFs M ruo\\\
,o{oa oa* rr'iDrsruRBED :EXISTIIJC IfiPERVIoUS AREA: *__._- SQ FT
NEt, II{PERVIO{S AREA:
---.
5Q FT
'"" :n1 or Crr^?tn.'r cor, . ,: .rl
Subrcct k: I rnes trg I o 51,00 ij0"'
EXIST LAND DISTURBING PERI,IIT: ,T_I VTS fJ TUO
wArER: fi aonro l*l conrr,;,.i',y svs-Er4 J na:..,nre wrrl f*] ci:;,n;.1 r,iELr-
sEwER: ! ;rnua I cENTnlrl sitr'r]a [-J nnlvarr sEpr:c I cor,trl;rry svl-.:.1"4.
... :i;,A,iATf pERMI.r! RtQuIr,rt(, fCR ErtcT, r.ECH. 1arBG. uAS LQUlr,, pt{tIAtls ti Jf,.srRr:...*':,':1.::'.11',.'..,.?.'f:".?.'::1,:::ll1'i.l:.:i:,-,F.::1:'::.:::i::...T,:..,.:::,..8:l:::,'-
a
i:ity lnryection ftewnea gl tr-i54.0\.ii^
!:__ crrY: Nun ,rr?t'/oj
lr^ffiat-
Nib?5+
APPLICATION
Number
(office use)
utrp,/ta
f:
ST:ZIP i
ST; _
#.,
PH.NE s: 1il-Wfq
AND ANSWER BELOW ALL THAT APPLY ]O YOUR PRoIECT i
sr I oer cenree SF
JUN TZ 20fi RECEIVED JUNI? ?O1T
NEI,{ HANOVER COUNTY BUILDING PERMIT
^T
RECEIVED
ffi
APPLICANT' S
DEVELOPER:
g:.APPLICATION TYPE; RESIDENTIAL
PTEASE ANSHER ALL OUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
PRO]ECT ADDRESS:
SUBDIVISION:
3/ o 5 ut9n7 Lv6 Ri71 C-7' crrY:.
PROPERTY ONNER ' S
OI.'NER, S ADDRESS:
CONTRACTOR:
ADDRESS:
SF
5FSF
LJ PORCH
-
SF
! sronlcr sHto
OTHER:
TOTAT AREA SQ FT:
stru(ture? [ v", ffno
current site ? E'v"r p r,ro
an d ordin ances and regul6lbns The NH C Oe velopmen i Se rvices Cenler wlil be notfied of an y changes in rhe or change n conlracloror
conuacbr inbrmsion "1,|OTE: Any Wori Perlom€d W/O tl€ AppropriaE Permirs will be in Vio larion ol lhe NC
oriNER/coNrRAcron cfttl s frtzl'tcn)( srGNAruRE
,r ***:r* * * i(+*,***,*,* *** ** * **** *(I i'Ii Jil"J * * * *** ** ** * *r ** ** ** ** *** *k ** * **** *,r,* * * *;t ** * *,*)t* )t +,i
rs rHE pRopERry LocArED rN r rloooeurru? f| vrs F ro
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
alloll)er applicable Slale and locallaws
Subiecl lo Fines Up To $500.00"'
PER rr: f-l vts l-*l Ho
EXISTING ImPERVIOUS AREA: _SQ FT
NEt4, IMPERVIOT S AREA: _5Q FT
OFF]CER:
(FOR OFIICE USE ONLY)
SETBACKS: F:
REVISED DATE O4l11/12
B:-
BF E+2ft=
N
PERMIT FEE: $
,rrr*u o, E-
ETIAIL ADDRESS:Ckrzu; A <fru? rz</ n lNG ( oaA PrfiNE
PROIECT COr'rrACT PERSON: ci+Z.tl
ExrsrrNc coNsrRucrroN: I nlrrnarroN p neuovarroru f] crrlrur nrenrns f] RELocArroN
NEUtr CONSTRUCTIOT: I rnrCr NEh' RESIDENCE o" ! AOOTnO TO EXISTING RESIDENCE
rorAL PRorEcr cosrlessr.q , s lil 0M,.--.r---
I eoor-SF
! orcr
TOTAL SQ FT UNDER ROOF:
# OF STORIES:
Is Any ELECTRICAL, PLUI'IBING or iiECHrlNlCAL Wonk Being Done to the Accessory
If the project is a Relocation, is thene a Nat-ural Gas Line on the
Is there Electnical Power on this Buildinet Kl v", I--l lro
pRoPERry usE / occuPANcyr S ,rro,, rrmrrv I ouelrx [-l rowNHousE
DEscRrprroN oF woRx: l?t?l L kTrL/ q\ryM,
OISCLAIMER: lhercby cerlit hal all intomatron in tris appli.aton is conecl and allwork willcomplywirh he Slale
wrrrR; p crnun ! coMMUNrry svsrer.l ! pRrvArE WELL ! crnrul wrlr
sEWER:
FcFpuA ! crrurnnr srnrrc f] pRrvArE sEprrc ! corlnunrrv svsrrm
**{ STPAJRAII PERI,IITS REQUIREO fOR EI-ECTj IlECH., ftBG, GAS EQUIP, PRETABS 8 IN5ER,I5 I
pAyr4ENT r4ETHoDr E CoSn E Crrc( (PAYABLE ro rHc; fi mrnrcail ExPREss U nclrrso I orscovrn
,*****,t**,***r(*,***,**;**:i*:i)iiir,t+**'**,r+t,r+***,*****y'***r************)*********,t****rr*,t,*,*****'N*
ZONE:
ApprovaL:
*T.PLEASE CHECI(
I lrr canacr
I surlnoom
-
sF
! cnernnous e
-
sr
TOTAL HEATED 5Q FT:
Comment:
City:DATE :FLOOD:
LH:RH:
BLOCX #: _ LOT *:
ab-6a58
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY
OWNER' S
OUNER, S N,l}tE :
ADDRESS:
PHONE *:
P HONE
CONTRACTOR:
ADDRESS:
EIIIAIL ADDRESS:
PRO]ECT CONTACT
NEhI CONSTRUCTION:
**PLEASE CHTCX AND
I rrr onnor
! surunoom SF
! enrmrHous e SF
TOTAL HEATED SQ FT:
I-l stonacr sreo
iir,*' &14(=r,7;;SF
TOTAL AREA
SF
sF 3ll
5Q FT:TOTAL SQ FT UNDER RoOF:
TOTAL PROJECT COST 1r-ess Loq , $lbm,,>
PROPERTY UsE /
DESCRIPTION OF
# OF STORIES:
rs any ELEcrRrcAL, PLuilSrl{G or ttEcHA{rcal I'Jork Being Done to the Accessory structure? [ v"r ! rorf the project is a Relocation, is there a Natural Gas Line on the curr€nt site? [ves I roIs there Electrical por"/er on this Building?l--lyes l-l to
occuPAr,rcY: Q(rte ,r ro,lrlv tr f] rouruHouse
WORK:
*,@ni@1
sr:lpue :1$flZ
*,(3.!eLSU:-Zg7 f
*: _
EXrSTrr{G CONSTRUCTTON: ! llrrnarroN ffirtovarroru f} orNenll nrnrrns ! RETOCATTON
! rnrcr NEt,t REsTDENCE o" I morrror ro ExrsrrNc REsTDE cE
ANSWER SELoI, ALt THAT APPLY T0 YOUR PROIECT:
sF ! orr cnucr sr ! eonor
-sF
! eool
! orcx
_ sF
and ordinances and rcgulations. The NHC Developmeni Services Cenb.willbe noriiied otany changes in rhe approved plans and specifrcaiions or change m ronl6crc, or
SIGNATURE:
(p.int raD.i'*** * *'I * + * * )r ** * * * *,t* * * * * *** * * I * * * * * * * * * *** * t * + r * *,r,i *y* *It,t)t*t)t*,|:I*)t,t,t*,t*)*)***********l***************+t***,i*r/******,1***,8*******)****,t***********,**
rs rHE pRopERry LocarED rN A FLooDprArN? fl yEs v no
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERHTT: E vrs [-l rc
EXISTII'IG IIiPERVIOUS AREA: _SQ FT
NEh, IMPERVIqTS AREA: _SQ FT
ZONE:OFFICER:
urrn, ! creua I coHMUNrry svsrrm f] pRrvArE wELL ! crrurnal wrll
sEwER: I creua ! CENTML sEprrc f] rnrvrrr srrrrc fl coMMUNrry sysrEM
*** SEPAJtAlE PERIIITS RTQUIRED FOR ELECT, MECH, PI-BG, GAs EQUIP, PRETAES 8 INSERIS ...
'^"1.'ll.i:'-1':;...8.'i#.F-'x'.I.1:111'.':*]:,-i1'*,..-Hl,-ll'll,-:I:i'.'.'...-?.1'/.'.':1.,-..?:i::'J'-
(FoR OFFr(E UsE ONLY)
sET8AC(S: F; LH: RH: B:
Approval:- city:
FEVISED DAIE O4l11/12
BFE+2ft=
N
PERMIT FEE: $Comment;
DATE:F LOOD:
CITY:
LICENSE *:
Pennils willbe in Vblarbn olthe NC Stab BtCo Code
OlllNER/CONTMCTOR:
.,\1 @re$vq
"r.t RECEIVED JUN 2 o ?o1o ,!o\ta - taub
, NEId HANOVER COUNTY BUILDING PERMIT I-./
r{:: APPLICATION rYPE: RESIDENTIAL
.!M pLEAsE ANswER ALL QUEsrro s appLrcABLE ro youR pRolEcr APPLTCATToN
-rl lli ' Numbe r
Ults "Project Responsibility" (offic€ use)
orr.r.o*,, ,*r, A^rln,^,n- 6roS -'fnW oarc, (n-2O- lQ
DEVELOPER:
PHONE
COI'ITRACTOR:
ADDRESS:
fl eoor-
I orcx
SF
SFSF
SF
the Accessory
Line on the
No
stnucture? [| V"r n
current site ? fl Yes
No
)n" N/R
contaclor inb,maUon '*'l,lOTE Any Work
OWNER/CONTRACTOR:
EXISTII{G IMPERVIOUS AREA: _SQ FT
NEW ItrpERvrous AREA: _sQ FT
ZONE:OFIICER:
iEvlsED DATf 04/11/12
RH: B:
BF E+2ft=Approval ;_ City:_ DATE :
N
PERMIT FEE: $
PHONE
PRIJE:T ADD /
SUBDIVISIOI: BLOCK f:
-
LOT *:
PROPERTY Ob'NER,5
OI.]NER, S ADDRESS:
r)r
LrcENsE *:. {ptn<{0oCITY: I ' \,1 vt a- sT tNLL;.11p | )ftO5
(dz**, 7lo2-4 Q'iS
PRO]ECT CONTACT PERSON:
ExrsTrNG coNsTRUcTroN: I alrrurron K nrNovnrror,r f] orruenal Rerlrns I RELocATToN
NEW CONSTRUCTION: I rnrCr NEW RESIDENCE o" ! mOtrrOn TO EXISTING RESIOENCE
*'PLEAST CHECX AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
[arr crmcr
-
sF I orr oanace sr !eoncH
-sF
fl sunnoom SF
n cnrrrurousr SF
STORIES:
TOTAL HEATED SPN, /bOO TOTAT SQ FT UNDER NOOT: |AO'O TOTAL AREA SQ FT:
rorAl PRoJEcr cosrlr-essroe , * A8r075,N # oF
Is Any ELECTRICAL, PLUI'{BING or mECHTNICAL tJork Being Done to
If the project is a Relocation, is there a Natural Gas
Is there Electrical Power on this Building?ffiv". I
PROPERTY USE / OCCUP
DESCRIPTION OF WORK:
DISCLAIMER: thercby cert, bar allintcrmarion in his and allwork will complywilh r'e Slale Building Code an
and ordinances and reaulations The NHC willbe no6iied ofany changes in ihe approved plans al
SIGNATURE:
'- (Prinl irane),t*******,r+)*,*,1)t,*i*,1***,i**rtrr*********rt**+l{**+!*r++!t*vt)r++trt**)t**rr,*,rr()r*rr*****,t,t***,****)*,***,t**
IS THE PROPERTY LOCATED IN A FLOODPLAIN? fI YES XI IUO
mrrn, ffi crnun ! col4r4uNrry svsrem I pRrvATE WELL ! cerurnlr wtlr
5EWER: E crcua I CENTRAL sEprrc I enrvlrr srerrc I coMr4uNrry sysrEM
-*** SEPAITA]E PERT1ITS REQUIR€D FOR EL€CT) IIECH, PLBC, GAS EQUIP, PREFABS 8 IN5ERTS '"
pAyilEirr ilETHoD: E cos, .rr.K (pAyaBLE ro rxc; I arerrcAN ExpREss f] ,clrrso I orscov.*
)r * * * i(** * ***,**** r**,ti,t * * ** !r* *,r )*,* * * * * **,r * !r* * ** !r* ** * * * ,*,* ,r )r,* * ,* *,* *** * *** * *** * * ** * ** r* * * ** * * ** * *
(F0R 0FftaE usE oNtY)
SETBACKS: F: LH:
oi rhe NC Stare Bldg
TOTAL ACRES DISTURBED:
EXrST LAND DTSTURBTNG ernt'llrr, I yrS l*-l rc
Je 1'Lfl sronacr sHro
Comment:
FLOOD:
EMIL ADDRESS;