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HomeMy WebLinkAboutJUNE 20 2017 BUILD APPSLon-.tu3r-S HAT|- l NEW HANOVER COUNTY BUILDING PERMIT APPLICArIOTI TYPE: RESIDENTIAL PLEASE AI{SH€R ALT QUESTIOI,{S APPLICABLE TO YOI,,R PRO]ECT "Project Responsibilit)/' APPLICATI(x{ Nutlber (Ofrice Ure) APPLICA'{T's IiIAT.IE : OEVELOPER: N/a RoberL Palke! DATE:05Jun17 PHONE *: (e1o)232- 62AA 7232 Masonboro So Rd CITY: wilminqton zw | 33!92- BLOCK f:LOT #: _ PROPERTY Ot4lNER'S NAI4E: steven Baker ol,lNER' S ADORESS: ?232 Masonboro sound Rd CITY: l,cilmi on sT : Jg- zIP: !!3!l COITRACTOR: Cape Fear sola]: svstems LICENSE #: 6s5?7 ADORESS: 901 Martin street CITY:Wi lminqton ST: NC ZIP: 28401 EI{AIL ADDRESS: supDorr@caDeFearsol arsyEtems. com PROIECT COiITACT PERSON: Robert parker PROJECT ADORESS: SUBDIVISIO{,I: EXISTING cO 5TRUCTION: I nlrenlrrou I nrtovartou f] crnrnal neenrns I RELocATToN IJEIJ COr{STRUCTTON ' I rnrCr NE]l RESIDENCE o" I aOOrrrOl To EXISTI{G RESIDENCE *'PI.EASE CHECI( AiD AI{SI{E[ BELOI{ ALL THAT APPLY 'O Yd'R PROJECT: f] rrr ernrer _ sF f| orr canrcr _ sF tr sur'rRoou _sF fl coor- _ sr GREENHoUsE _ sF [oecr _ sr f] eon+r - sF I sronrer sHED _ sF OTHER:5F ToTAL HEATED SQ FT: _ TOTAL SQ FT UI{DER R@F: _ TOTAL AREA SQ FT: _ T0TAL PROIECT COST lress r-or1 : $ :o,r:r * OF STORIES: Is Any ELECTRICAL, pLUlilEIt{G or |IECHAI{ICAL lrork Being Done to the Accessory Structure? [l V"s f] ruo If the project is a Relocatj.on, is there a Natunal Gas Line on the cunrent sitef f] yes fl Ho Is thene Electrlcal Power on thls EuiIding? PROPERTY USE / OCCUPAIICY: @ StUelr rAiULV I ves ff ruo ounrex f] rohrNHousE DESCRIPTIO{ 0F IORK: I4gta11ation of solar panels on rhe roof of Mra - Baker'6 home and ordinancos and regulslions. Tho NHC Developmont Ssrvices Centar willbe notifed ofsny chang€s h $s approved plens and sp€clflcaflons or changa h contractor or contaclor inbrmelon. TdNOTE:AnyWork Perfo.mod W/O h6 Appopaare Fbmils willb6 tn Vbtarion oflne NC State 0I{NER/C0{ITRACT0R: Roberr. parker SIO'IATURE: ,*,*,* 'r,*** * * * * ***,* *** * *** * *** *(Iltil lil'i+,t*)**j*****,** * )*****)****,t**!*)*:l+ **)* ***ii * *,t *,t,t + * t *)t ***+** rs rHE pRopERTv LoCATED rN E rlmorllrrl I vrs E no EXISTIi|G IIIPERVIdTS AREA: -SQ FT TOTAL ACRES DISTURBED: Er,r $|PERVIo{ S AREA: _SQ FT EXrST LAru) DTSTURBTNG PERMTT: E VeS fl to uaren: I crrua I co&luNrw svsrem f] pRrvArE wELL f] cetrnal well SEUER: E crrun I CENTRAL sEpTrc f] errvnrr sEpTrc E colt{J rTy sysrEr,{ **,. SEPATATE PERMITS REQUIRED FOR ELECT, I]ECH, PLBG, GAs EQUIP, PREFAES & IIISERTS *T' pAynEi[ fiErH(xrr I asx I cxec( ( pAyaBLE ro rrc; I axrnra* .rr.ri, E *mso I orscw:n*t**.t*,i,*,1,***,t*,t****i.*.|*+,**'t,*:a*+,t*,**)*)t:|**,t**:t*,t:r,r+**+**,1***,|***)***rrrr*****,a*,**,*!*,*rr,***.*,rjt ,t . afld Subiocl to Fin6s ljp To $50O0O.' BF E+2ft= t{ PERMIT FEE: $ (foi oFFr(E usr ditlY) iEvrsED DATE O4l11/r.2 SETBACKS: F:_ LH:_ Rll:_ B:_ZCI'IE: _ OFFICE R: Approval:_ City:_ DATE:_ FLOOD: _ Cmmnt:?s- PKINE *: (910) 551-3800 PH}IE $: Iqr n\ rlr-4ree PXI{E S: le].1) 232- 62aa ,<-t...r:'a 1),ff NEW HANOVER COUNTY BUILDING PERMIT APPUCA| ION TYPE,' RESIDENTIAT PEASE ANSWERATL QUESTIONS APPTJCASLE TO YOUN PROJECT "Project nlsponsiblliy Homes OTY:Wilmington 7ol1 (y3kt *7-**9# Appllc2tlon (offi.! u5c) APPUCAN?S NAMEI PRoJECT ADDRESS: suBDlvtsloN: Clearwater an Date r3 ZP LOT f: PROPENTY OWNER'S NAME:Clearwater Preserve LLC PHO Er,910-452-7175 OWNER'S ADDRESS:60 Greqory Rd oTY: Belville ztP 28451 COMnACTORT Logan Homes 9196 g6glgg g, 34408 ADORESST 60 Gregory Bd 61n. Belville 51; NC 2p; 2E451 EMAII ADDRESS: mlogar@loganhomes.com p11s 61 91M52-7175 PROJICT COI{IACT PERSON . Mary Logan p11s1g; 9'l G.152-7'175 E(|sTII{C CO STRUCflOX: O Aheration El ienovation E GeneralRepalrs Nll , CONSrRUCIION: E Er.ct New Resldence Cl Addiuon to EristlnS Residence D Rclocation ...PIEASEIHEE(tr{DAIIWER BELOW ArI THAT APPIY TO YOUR PROJECTT.. E att earage (sr) $3 O Detcarase (sF)- (ror.h ttO ?1b E sunroom (sF)tl Pool(sF)tr] Storate Shed (SR _ Et Greenhouse (sF) - El Ded (sF) - D other [SF) ls the proposed work changinSthe exlstlng footprlnt? E Yes D No TOTAL Sq FT UNDER nOOl lJot proposed wo*l Ht,|tdr TOTAI pnOrFCf CO5T (ress Lor): $ / 7-(,f @o 'tr113 unh.rirdr 1,1o1 15 the proposed work chaoging thc number of bedrooms? E vrs S no ls any Bccrricd, Plumbint or Medranlc.l wolk being done to the Accessory Structure, E v"r fr lo lftieprorecti5aR.locaton,15thereaNaturslGastlneonthecurrentsite?trYcrSfo 15 there ElectrlcalPowfi on thls Bulldlng? tr Vc {.Xo Property Use/ Occup.nsy: E Slngh Frmlly tr Dupk tr To$'nho$e Descriptlon ol wo*; SFR - new consFuciion D|SCIAIMER: I hercby cdif, that .ll the lnformrtlon h this .pplledon lr @rrlct rnd rI worl wlll compv $hh ti* stat! gulldlD8 codc .nd rll oth.r .lcltzH€ stlt€ .nd b(.l lavs !M ordh.ruer .rd r.guhtlirns. Th€ NHc Da[lopmGnt S€lvlc.s Clntcr Mll b. nolifild of .ny dEnges h rh. $provGd pbns rnd sD€dfrat''o.rr or ctrrnt. h lont6cto. ln{oin.tbn. 'r'HoTE: Any eo* p.rronied wtthout lhe epProPr'Etc p.tmh5 wfll b. h vloLttoi ol rh. C St t Elds to in* up to S5m-@'.' oa[Gr/Contracton L $Snature: "Uens€d Qt owef tuInt Na/,,e lstheprop€rtylocated lnafloodplaln? tr Yes fl No Edsdng linpervtout Area: 0 sq Ft Total A.r!s Dls&rbed, , zqtf New lmplrvious t., ?111 Sq Ft Exi ng tand Dldurblng Permhr E YeE E No WATER: Ei cfPUA E community syshm tr Private well D Gntralwell E Aqua SEWER: E ctPUA fl commuoity System E PriYate Septlc El centralseptic E Aqua zone: -- offf.2r: - S.tbacl$ (fl - (ull - (RHl - {81- $\,5qJ; Approvah - Gty: - Drtei- rbod: {A} -M - {l{l - BfEr2Its Commentl Permft Fee:+ .({RECEIVED JUti ;3 2gy f,t+b312,ii'''i"'.},,ffi on r**r', no*r, . lLl ^lo- /4"1,* PROJECT ADDRISS Date .?{2 ) CITY 2r,,;f,-':a )..-,zt":29 45/ suBDlvrsroN:LOT f: PROPERTY OWNER'S NAME +t OWNER's ADDRtSsi 2/,tV./'/an /-lV enone *, (,7 /c) .2;t( '%1) CITY:ztp: CONTRACTOR ADDRESS: EMAIL AODRESS: b ua c4 ,/t CIIY BLDG LICENSE 8 sr.,..'c ztq: ?97tr.. PHONE 72- 73./- e-??q PHONE:1/?- 71t/-.7?"? t" PRO'IECT CONTACT PERSON D" )L: )4;-/,.., EXISTING CONSIRUCTION: E Alteration ! Renovation [] GeneralRcpairs NEW CONSTRUCTION: E Erect New Re sidence Z/addit,onto Exjsttng Residence fl Relocation *T*PIEASE CHECJ( AND ANSWER BETOW ALL THAT APPLY TO YOUR PROJECT' ' i i Porch (SF) E Storage Shed {SF) _ E Other {SF) ls the proposed wort Ehanging the exisling footprint? 6(es tr tto TOTAI Sq FT UNDER RAOF lfor proposed work) Heated Unheated: TOTAL PROJECT COSI (tess lot): S J'U U, Is the proposed work changing the number of bedrooms? 3 yrt {No "1Structure D-yes trl Yes Ef-No ls any Electrkal, Prumbing or Me€hanical work being done to the Accessory lfthe project ls a Relocation, is there a Natura.!r5s Line on the currcnl site? Ir there Eleclrical Power ol this Brildi'1g? ErYCs ! No P.operty Use/ O.cup ,nn, 7/*rb r"r,iily fl Duplex E Townhouse r orac?t9Description of Work llo^c n-:/A tuA* /c/,":f Olscl IMES: I herby cenify that aI thE lnfcrmalion in ttis appli.ation ls c e.l aod allwo.k wlllcomply with the Stnte BuildinS Cod€ and.lrother apdieble Srate.:d lo€ I laws rid ord na.ces and EBJhtbnr. The l'lHC Developrenr s.Nkes C.nle. *ill be not,fied ofa ny changes in the appmred plans and speciffGtions or <hange in con!.:(to.kllo/mition. "'NOTE: Any \ rork pe.fo.med without the appropriate pe.mirs will be ln vioLar on of the Owner/Contractor:SiSnature: NC State B de codc.nd !nhi.dZz to rlnes up to 95oo.0o'r' /'-z:- 'u.enscd Quolilier" Print Nome ll the p'operty orated r'1a floodpla n? D YGs faNo Existing lrnpervious Area: _Sq Ft Total Acres Disturhed: N€w lmpcrvious Area: __Sq Ft kisting Land DisturbirB Permit: E Ye5 E No u/AT[R: E\CFPUA I Communiry System E Pri\rate Well D Centra Well ll Aqua SEwERr \CFPUA I Community Svstem E Pri\rdte Sepric El Cenrral Sepric D Aqua Zone: _ oflice.: _ setbacks (F) _ {LH) _ (RHl _ (8) _ Appro\€l:_ city: __ Oate: _ Flood: (A) _ (V) _(N)_BFE+2ft=_ Comment: permit Fee: g $ts Zd dO t:e O 1t 80 unC99029980 t6 \+J+e@ CI6ar Fo.rn Print eMait NEW HANOVER COUNTY BUILDING PERMIT AP PLI CATTON TYPE : RESIDENTIAI- PIIASE ANSWIR ATL QUESTIONS N PPUCABLETO YOUR PRO]€CT-Proiect Re+onsibilfttf 6.E1. E Att GaraBe (Sf) - E sunroom (sF) - Ll Greenhouse (SF) _ E Det Garage (SF) _ n Pool{sFl-a4"*rrrr-ptz a t ffi APPLICAI{T's MI{E: DEVELOPER: NEtd HANOVER COUNTY BUILDING PERMIT APPLI CAf IOII TPE.. R ESIDENTIAL PLEASE ANSI,IER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECI "Project Responsibility" qgastal IIome Corporation lo+ tozq| APPLICATION Number (Office Use) DATE: L r/t7) PK)NE *: 910-2oo-3344 PROIECT ADORESS: 117 Gfadbrook Drive SUBDIVISION: Brookf ield CITY: l4ilminston ZI,P i 266 28405 LOT #: sT: q zIP: :!3!a CONTRACToR: Coastal Home Corporation LICENSE #: 76s73 fij.lninqtonAIDRESS: 2o3o Eastrrood Road, ste 5 CITY: EUAIL ADORESS: dweldon@coastalhomeco.com 910-200-3344 PROIECT CONTACT PERSON: Dan wetdon Ptot{E s: PTONE *:910-200-3344 EXrSTrr,rG CONSTRUCTTON: ! alrrRnrrOru ! nrNOvarrOru ! CrUrnAr nrcarns f| RELocATToN NEhI CONSTRUCTIOI'I: I TRECT NEU RESIDEI{CE O" ! AOOTTTOT TO EXISTII{G RESIDEI{CE T.*PLEASE CHECI( AT{D AiISXER BELO}I ALL T}U[T APPLY TO YOUR PROJECT: [] arr canaor as8 sF ! oer eanlee _ sF trtr PORCH _SF STORAGE SHED - SFPOOLSF fl oecx 5F OTHER:SF TOTAL HEATED SQ Ff i 22ta TOTAL SQ FT UNDER ROOF: 2Br2 TOTAL AREA 5Q FT: 283? TOTAL PROIECT COST lress roj : $ rasooo # OF STORIES: 2 Is Any ELECTRICAL, PLUiiBII{G or t'lECtlAr{ICAL l.Jork Being Done to the Accessory Structure} [ Vet I Ho If the project is a Retocation, is there a Natural Gas Line on the Curnent Site? [ Ves I no Is there Electrical Power on this Building?[ves l--] uo PROPERTY UsE / OCCUpAiTCy t I SrNelr rallrr-V ! U.reLEx ! TowNHousE DESCRIPTIOI{ 0F [JOR(: New Home Construction DISCLAIMER: lherebyceni, hal allinbrmation h hisapplicaton is corecl and all and ordinances and regulatbns. The NHC Der/ebprnenl Services CenEr willbe not cont&lcr inbrm6tan. "1\lOTE: Any Work Pertonned w/O he AppmpriaE Perm s OlrlNE R/COiITRACTOR: Dan weldon rs rHE pRopERTy LocATED rN l rlooopurll [-] yss EXISTIiIG IMPERVIOUS AREA: -SQ FT NEt{ II,IPERVIOUS AREA: - SQ FT work willcomplywitr he State Building Code and atl orher applicabte SiaE and bcal talxsH ofary changes in lhe approved plans a,]d sp€cifcations or change il conracbr ot will be in \/jolarbn ofrhe NC SraE Bldg Code and Subject b Fnes tjp To $5OO.0f " P"----SIGNATURE:i;-<- Wu-( (prlnt ame)******,**)r***)i*,i***********i***********+*+**+*+:i+**,t*,i**r***,t**,r****)i)r**,irt+*t*:i,t *rt *,*,* ** * x )r I NO TOTAL ACRES DISTURBED: .3 EXIST LAND DISTURBING PERfi'IIT:l-l ves I NO WATER:CF PUA CO'"T4UNITY SYSIEM PRIVATE WE LL CENTRAL WELL sEriER: @ creua ! CENTRAL sEprrc f] enrvare srerrc I co]1lruNrry sysrEM iI** SEPARATE PERITITS REQJIRED FOR ELECT, IiIECH, PLBG, GAS EQIJIP, PREFABS & IiISERTS T.** PAYIi,IENT NETHOD:n CASH CHECK (PAYABLE TO r{}rc)Ar'TERICAI'I EXPRESS E nc/vrsr I orscovrnn *,*,t+,t,t++ir,t++,i++++,ti.,t,t * * *:*,* :*,t,i,a,*,| * ,* * * t,*:t,l * ,* *,t +,t + 't *,|,|*,.*,i* *,t*,t*:l * *,*,i,t *,t,r )* :. * * * * *:r )*:* )t,i ,t,i *,t +:i (foR oFFICE UsE Ot!Y) REVIsED DATE O4l11/12 SETBACKS: F:_ LH:_ RH:_ B:_ Approval:_ city:_ DATE:_ FLooD: - AVN BFE+2ft Cqment: PERi'|IT FEE: $ 0 BLOCK *: PROPERW OWNER'S tlAilE: Coastal Home corporation PTONE *: 910 200 3344 Ot{t{ER ' S ADDRESS: 2030 Eastwood Road, ste s CITY: wilminqton ST:I!_ZIP:28403 ! suunoom - sF ! enrrrHousr - sF zoNE: _ oF FrcE R: 1i,"1Uit 1? ',lt43P|1 NEW HANOVER COUNTY BUITDING PERMIT AP P L,CAT|O N TY PEr RESI DENTIAt PLEASE ANSWER AIL QUESTIONS APPTICABLE TO YOUR PRO.]ECT "Project Responsibility'' Ute C,*uLrrez- Jo rf Gn4 APPTICANT,S NAME:Date PROJECT ADDRESS SUBDIVISION: l7 \Ll L,vz o o-L Dat)tttza--t ct"t\: t,t,,, I wt -ztP PROPERTY OWNER'S NAME PHONE f 77? - 8q3,1 OWNER'S ADDRESS: I 7 )4 l-t ',a.c, oa.V fi1c-..t crw ztPv- CONTRACTOR ADDRESS: PROIECT CONTACT PERSON fuL, 0roL.,, r.-.- BLDG I-ICENS€ ff CITY i ,: I VwT : ST PHON E WzrP 78+oq EXISTING CONSTRUCTION: a Alteration f/Renovation ] General Repairs NEW CONSTRUCTION: D Erect New Residence E Addition to Existing Residence D Relocation **,I.PIEASE CHECK AND ANSWER BETOW ALI. THAT APPLY TO YOUR PRO.'ECT* * * C Greenhouse (5F)_ ! Att Garage (SF) E sunroom (5F) owner/Contractor "Licensed Quolilier" E Det Garage (5F)_ D Pool (SF) ! Deck {st) ls the proposed work changing the existing footprint? ! Yes TOTAT SQ FT UNDER ROOF lfot proposed work) Heated 3c0O unheated: Description of Wo.k: Lrte- (( ( <.-<.-Signature: (t" n\ 1''oC>TOTAT PROJEgT COST lLess Lot): S H ls the proposed work changing the numblr of bedrooms? D Yes K-trto ls any Eledrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes tr No lf the project is a Relocation, is there a Natural Gas Line on the current site? D.Yes E No ls there Electrical Power on this suilding? 6 Yes tr No x Property Use/ occupancy:p- Sinele Famiry n Duplex D Townhouse e )2A-+Q d DISCLAIMERT I hereby cerlify that a I aon in this application E corect and all work willcomply with the State B!ildrnt Code and allother applicab e 5tate and local taws and ordinances and regutations. The NHC Development Services Center will be notfied of any changes in the approved plans and specfications or change ln .ontractor informatron "'NOTE Anyworkperformedwithoulth€appropriatepermitswillbeinviolatonoftheNC EdgC and subiect to fines up lo 5500 00"' ls the property located in a floodplain? ! Yes K No Existing lmpervious Area: - Sq Ft Total Acres Disturbed Sq FtNew lmpervious Area:Existing Land Disturbing Permit: I Yes [ ] No WATER: SEWERI Zone: (Cf eua E Community SYstem [] Private Well D CentralWell E Aqua E(Craun ! Communitysystem fl PrivateSeptic fl central Septic D Aqua Officer: - Setbacks (F) -(tH) -(RH)- (S)-$?S Approval: - City:- Date:- Flood:(A) -(v)-(N)- BFE+2ft= - Comment:Permit Fee: S LOT #: ,ro*r, A12: !15 D EMAIT ADDRESS: D Porch (SF)_ D Storage Shed (SF)_ D Other (SF)_ 2ol7-t()),t 0 APPLICANT'S NAME: NEW HANOVER COUNW BUILDING PERMIT APP Ll CAT I O N rYPf; RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROIECI "Proiect Responsibility" Arlcts t't- CITY: PHONE # Application Number (office use) Date 7 ztP .b zt?//PROJECI ADDRESST SUBDIVISION: c L LOT # PROPERTY OWNER'SNAME: /h ,zrL 4zor.lE t owNER's ADDRESS, //a L- ,42 .rl c rrl ,4rr,/ 1..a1/ /to'659' r* CITY: lt /;y'121242?2b)zP2t4// CONTRACTOR ADDRESS: EMAIL ADDRESS: PROIECT CONTACT PERSON d,o n Att Garage (sF) n su nroom (sF)n Pool (sF) n Deck (sF) ls the proposed work changing the existing footprint? J Ves lTd TOTAT SQ FT UNDERROOF Aor proposed work) Heatedi TOTAL PROJECT COST (Less Lot): 5 /{,r". Property Use/ Occupancyi le Family E Duplex E Townhou Description of Work: ,-r BLDG LICENSE #6"r7 sr.49zrp, li't/17 PHONE a) PHONE -27 CITY Z- EXISTING CONSTRUCTION: n Alteration n Renovation n General Repairs N€W CONSTRUCTION: n Erect New Residence ffiOn,on ,o ,rOting Residence n Retocation ***PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECTI"}'} lDl-oet Garage (sr) -39t n Greenhouse (sF)_ ls the proposed work changing the number of bedrooms? D v", lNo ,/ ls any Electrical, Plumbingor Mechanical work being done to the Accessory Str uct u re ltrYes E No lf the project is a Relocation, is there a Natural Gas Line on the current site? D Yes frttto ls there Electrical Power on this Building? EfYes f] No e laws and ordinances and re8ulations. The NHC Development Services Center will be notifled of any changes in the approved plans and specifications or chanSe in contractor information. ***NOTET Any work performed without the appropriate permits will be in violation of the NC State SldB Code and subject to fines up to S500.00.'. Signature:Sr rh //,/ot;y-z- r{k Ae-o,,Owner/contractor: "Licensed Quolifier" P nt Nome ls the property located in a floodplain? D y., {no Existing lmpervious Area: t?-oo 5q Ft Total Acres Disturbed:f,'br, (b///Z*hc?/t New lmpervious Area:3o{Sq Ft Existing l-and Disturbing Permit: E Yes E ttto WATER:dcrpua E community System E Private Well E centralWell E Aqua W CrpUa E Community System E Private Septic E Central Septic E nquaSEWER: zone: _ officer: _ setbacks (F) _ (tH) _ (RH) - (B) -Approval: _ City:_ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _ Comment: Permit Fee: $ s ts ,-w T_T1 n Porch (sF)_ D storage Shed (sF)_ ! other (sF)_ unn""ta, SoY ?ot5-ut rq C/rrlz NEW HANOVER COUNTY BUILDING PERMIT AP P LICATIO N TY PE; RESI DENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Proiect Responsibility'' ,-'r'APPTICANT'S NAME:Date 3oG N. C6 ot1 C,a<- le crIY U, l^.-sh.-ztP. zf70 IPROJECT ADDRESS SUBDIVISION:t-oT # PROPERTY OWNER'S NAME AO*,n * (t?Or'ru<te 6a//t r.- OWNER'5 ADDRESS:s-G l, c-t"c,- l- /*r 6//*l K*ZZ-xCONTRACIOR ADDRESS:66r>t-G t/,-.(^,lt Ir*7 PHONE C Qa zq?- 3s'o/ clTYl lt /^<-, r-ztP: 7.8 fd , cfi,t: Ll t lq- gI-DG IICENSE H {zorr sr ^/c ztP: z ta oJ- EMAIL ADDRESS://..a //e-l @ /'/r / y',./ B.t/-/,n, - " -.t, PROJECT CONTACT PERSON //f.v ?zt. t - c.- PHoNE: ?'o' ?7o 'zrfu qHONE: qlo . t34,- <gA- EXISTING CONSTRUCTIONT ! Alteration ! Renovation dGeneral Repairs NEw CONSTRUCTION: f Erect New Residence ! Addition to Existing Residence n Relocation * *'i PIEASE CHECK AND ANSWER BEI.OW ALL THAT APPI-Y TO YOUR PROJECT* * * 5/ntt e arace (sF)L/tt E Det Garage (SF)B-?orch (St)/62- E Sunroom (SF)D Pool (5F) meck (sF)! Other (SF) ls the proposed work changing the existing footprint? ! Yes E.ilo TOTAL 5Q FT UNDER ROOF Aot pto d work) Heated rq3 |Unheated: TOTAT PROJECT COST (Less Lot): S uoo 9 ls the proposed work chan8ing the number of bedrooms? ! Yes Z' No ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure n Yes E No lf the project is a Relocation, isthere a Natural Gas Line on the current site? n Yes ! No ls there Electrical Power on this Building? ! Yes ! No Property Use/ occupancy: Zzsingle ramily ! Duplex ! Townhouse D Storage Shed (5t)_ ! Greenhouse (SF)_2-r, o laws and ordinances and regulatrons. The NHC Development Seruices Center will be notified of any chanSes in the approved plans and specifications or change in contracior information. 11'NOTE: Any work performed without the appropriate permits will be in violatlon of the NC State Bldg Code and srbj€ct to fines up to 5500.00"4 tra Pa-. aob.nf M1/-7 Description of Work:y'uil /.4* Ow Signature "Licensed Quolilie/' lsthepropertylocatedinafloodplain? ! Yes ! No Existing lmpervious Arear _ Sq Ft Total Acres Disturbed New lmpervious Area Sq Ft Existing Land Disturbing Permit: L-l Yes a No WATER: ! CFPUA ! Community System E PrivateWell ! Central Well ! Aqua SEWER: X CFPUA ! Community System E Private Septic I Central Septic ! Aqua zone: _ officer: _ setbacks (F) _ (LH) _ (RH) _ {B) _ Approval: _ City:_ Date:_ Floodr (A) _ (v) _ (N) BFE+2ft= _ Comment: Permit Fee: S olt- u,{lu APPLICATION Number (Office Use) PrlE W HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: COMMERCIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project ResPonsibiIity" C cnv: i lm)nahrlJ DArEt)An 2al1 PHONE S: zrP: AP'f 0 | PHoNE s: 151 ^8q /, +).1 srt Ak)zrP:)t4q ,r, f zrr,29\'Dl PhONE f: PHoNE f:n70Bq,tsts 1) APPLICANT'S NAME: DEVE LOPER: PROI ECT ADDRESS r .t OCCUPANT/BUSINESS NIU\4E : PROPERTY OWNER'5 NAI4E:rd o ar-J o 'Dta $o ONNER,S ADDRESS: ET1AIL ADDRESS: PRO] ECT CONTRACTOR: ADDRESS:^/\A{- LICENSE #: CITY: N .@tvut r a -A4/.e CONTACT PERSON: /I/T L^t o(ce a.- (ch€ck All rhat Apply) EXrSr CON5TRUCTTON: I ALTERATTON f] RtruOVarrOru ! cer'reul REPAIRS ll Relocation. is there a Nat lGas Line on the Eirent Siteu Ives I lo lS BLDG SPRIN RELOCATION KLERED? [ v"" INo NEl,'l CoNSTRUCTIOT: ! eneCr NE!,1 STRUCTURE n ACCESSORY STRUCTURE: FAsr rRAcK ! sner-r- [ uerrr ! aoo ro Exrsr srRUcruRE CITY: eft a n THIS A CHANGE IF Yes, what was the Previous Occupancy Type? ARCH DESIGN PROFESSIONAL: rs Etect Power on this Building E Yes E ruo r[r.t f]m.---- what is the New occupancy Type? OF OCCUPAT.ICY USE3 f a..- PH PH NC REG * Nq REG +ENGR DESIGN PRoFESSIoNALI d;DESCRIPTION OF hIORK:tlv f2-rtcho ls food or bsveragss prepared or served in this snraure? [ ves [l lo ls Tho Propeny Locatod ln Ths Floodplain'l I ves ftf no nancei and reoulalrons. T or conlractor i"nlormation this applicat,on rs correcl and all wo NHC DeveloDment Services CenterNOTE Any Work Perrormed WO lh all other apphcable SlateDISCLAIMER: I hereby cenify lhat all information in and local laws and ordi he and ications in contractor Code andor chanoeSubiedlo Fines Up To $500 00"' OWNER/CONTRACTOR:H-urdo L-a bocre.fla loualins) Note: Demolidon notifications & ssbestos ramoval perm it applicatons aro to be submitled using the appliedon rorm (DHHS-3768) wheth€r iacility or building was lound to conEin Asbestos or not You ar6 required to callthe National Emission Standards ror Hazsrdous Air Pollutrants (NESHAP) at (919)707-5950 st le8st 10 days prior to tho demolitlon oI6ny facilily or building. S€e Asbestos Web Silei htlpr ,vww.6pi.stat€.nc.us/epi/6sbesto6/shmp.htnl l+' rk willcomolv with the State Buildrno Code and wli be notili6d ol anv chanoes ia,ttEaoorovect e Appropnale Permrls wll de/liolalioil ol lhe stcNeruat@ 7u t:nr\orer- PROJECT COST:50aa BUILDING HEIGHT: SQ FT PER FLR: # OF UNITS: -1- # OF STORIES: d OF FLOORS: -7-AREA SQ FT SQ FT UNDER ROOF:# OF STRUCTURES: !-4 ACRES DISTURBED: NEW IMPERVIOUS AREA:SO FT (FOR OFFTCE USE ONL'ZONE: OFFICER:SETBACKS: F:_LH:_ RH:_ B:_ EXST LAND DISTURBING PERMIT? EXISTING IMPERVIOUS AREA: YES Euo SO FT pRopERry usE: floFFrcE f] nesraunaNr luenceNrru f]eouc lenr lcolroo orHER: tsl* wArER: ECFPUA fICOMMUNITY SYSTEM fl WELL fIZONING USE CLASSIFICATION: SEWER: El CFPUA E CENTRAL sEPTlc Ll PRIVATE SEPTIC Ll coMMUNlry SYSTEM ..'SEPARATE PER[4ITS REOUIRED FOR ELECT I ECH. PLBG. GAS EQUIP, PREFABS & INSEFTS "' pAwrENr METHOD: ECASH [CneCX prVnALE TO NHC) [nUenrCmr eXeRESS E MCA/rSa I OTSCOWn REVISED DATE 4/II/12 If UPFIT - The Shell Permit f: Approval:_City:_DATE:_FLOOO, o_____, _ BFE+2fl=_+eaf- comment pERMtT FEE: $__:_