SEPTEMBER 12 2017 BUILD APP,.i:i-.iir l.- .
,,s';NEW HANOVER COUNTY BUILDING PERMIT
AP PLI CATTON TYPE : RESTDENTIAL
PLEASE ANSWER AtT QUESIIONS APPLICABLE TO YOUR PROJECT
"Proied Responsibility'
Vo tl - ?'lL+5
Lffi
loffi.e usel
APPLICANT,S NAME: StewATt Gunn Date:8131117
PROTECI AODRESS: 7928 Champlain Drive CITY: Wilminqton ap. 28411
SUBDIVIStON: Woodlake at Bass Lake Walerside 1616. 118
PROPERTY OWNER'5 141y6; D.R. Horton qHONE fl. 910-612-7127
owNER's AoDRESSI 7483 Chipley Drive
CONTRACTOR: D.R. Horton
ctTyr Wilmin n
glDG 116grIgp s 29676
5r: NC ztP'28411ADDREsS: 7483 Chipley Drive
€MAIL ADDRESS:sdqun rhorton.com PHONE 910-612-7127
PROJECI CONTACT PERSO N. Ryan Willis p66x6 910-465-1906
I Alteration n Renovation E General Repairs
Erect New Residence : Addition to Existing Residence n Relocation
'*TPI€ASE CHECI( AND ANSWER BELOW ATL THAT APPTY TO YOUR PROJECT*T*
E Det Garage (SF)-.[y' norch (sr)230
n Storag€ Shed (SF).-
[] Deck (5F]W oth€r {sF)11
ls the proposed work changing the existing footprintf$ yes f No
Unheated:670
TOTAL PROJECT COST (Less Lot): S 208680
EXISTING CONSTRUCTION:
I
NEW CONSTRUCTION:\S
dv Att Gara8e (SF) 429
Sunroom (SF)120
U Greenhouse {SF}
ls the proposed work changing the number of bedrooms? S
ls any Electrical, Plumbing or Mechanical work being done to
lf the project is a Relo(:tion, is there a Natural Gas Une on th
ls there Electrical Power on this Building? E Ves 1p ruo
Yes D No
the Accessory Structrr" S ves E tlo
e current site? tr Yesp wo
Property ure/ Oc€upancy: E Single Family E Duptex E Townhouse
Descrip tion ot work: New Sinqle Familv Residence
DISCIAIM€R: lhereby certify that allthe info
laws and ordinances and regulations. The NH
info.mation. "'NOTE: Any work performed
rmation in this applicrtion i5 correct aod ailworl willcomply with the State Buildlng Code and allother appli.able State and locat
C oevelopment Serviaes Center will be .otified of any chang€s io the approved plans and speaifications or change in cont.edor
withoutthe appropriate pe.mitswill be in violatron of the Code and tublert to fi^es up to 55iO (8"'iNC State BldB
1)-t*Owner/contr actor: Stewan GUnn Signature:
"Licensed QuoliJier" Ptint Norne
ls the p.operty located in a floodplain?$ Yes E No
ExistlnS lmperuiousArea: _5q Ft TotalAcres Disturbedr 15
New lmpesy1qu517961 2798 Sq Ft
\d
.d
Zone: _ Officer: _ S€tbacrs (F) _ (tH) _ (RH) _ (8) _
Approval: _ Crty: _ Oate; _ Flood: (Al _ (V) _ (N) _ BFE+2ft. _
Existing Land Disturbine Permitif Y€s E No
CFPUA E Community System El Private Well El C€ntral well O Aqua
CfpUa El Community System E Private Septic E Central septic E Aqua
Comment:Permit Fee: 5 I '134. oa
cny. Wilmington ?Jp. 28411
TOTAL SQ FT UNDERROOF tfor proposed workj Aeated: 3246
f, Pool (SF)
-*--
WATER:
SEWER:
4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMTT |SSUANCE
STATEMENT OF UNDERSTANDING
Stewart 6unn am submitting an application for a residential
building permit to New Hanover county. And, as the applicant or person submitting
the application, I check the box/boxes below to acknowledge that:
A I have attached an official CFPUA receipt or document that has
acknowledged an approval of the payment made to CFPUA.
n I have attached an official proof of a Zoning sign-off from the City of
Wilmington, for this work that will be done in the City of Wilmington.
n I have attached an official proof of an approval granted by the New Hanover
County Environmental Health Department, for this work that requires an approval
from Environmental Health.
lf the application is correct and complete with the required drawings, and if
there are no corrections or revisions to plans and drawings, and if there are no
further clarifications required by New Hanover county; New Hanover Gounty
can guarantee that the building permit will be issued within 4 (four) to 7 (seven)
working days after the officia! submiftal date/time (the stamped dateltime
notation made by the Building safety Department on the application or submittal
document). I understand that the 4 (four) to 7 (seven) working days only begins
when the application is submitted prior to 4:30 pm on any workingday.
Signed in acknowledgment:
ri,ffi,.
I,
Stewart Gunn 8/31/17
Signature Printed Name
7928 Champlain DriveAddress for the proposed residential work
Date
NEW HANOVER COLINTY
DEPARTMENT OF BUILDING SAFETY
230 COVERNMENT CENTER DRIVE . SUITE I70
WILMINCTON, NORTH CAROLTNA 28403
Telephone; 910.798.7308 Fax: 910.798.781 I
lnte r ne l ; wv'v'. n hc gov. co m
RECEIVED AtE le ?I}1l
,.:;;:i:11, NETAJ HANoVER couNTy BUTLDTNG pERMrr
i: A, .l AppL/cArr(i't rypE; RESIOENTIAL
\, m!: pLEAs€
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mFii6ii6"r
Numben
(oHI.! iJr. )
APPLICAIIT,S NrU'tE : Ashr dnd Ja6i OAIEi s/29lr7OEVELOPER:
PRO]ECT ADDXESS !62r.9 Tres Toad Couri CITyi 9ll1mi5U80IyIsI0 :
zIP: 3!l_l!
PROPERTY OIO{ER's
O[ ERJs ADDRESS:!L219 Trec Toad Courr CITY:t.,t1
M},IE I .l iE
BLOCX ',6200 LoT {: loe
fli 9lo-{09-161?
ST: !q zIP: zs4rr.
PHONE
CONTSACTOR:Sun Cl!v Pool6. Inc d./b/a Able lno..ll LICENSE t:?6891
ADDRESS !914 ila r el CITY| Hrtmlnar.on ST: NC ZIp: 2E{03EMIL AI'DREssI PBotlE ri 9ro-2sr-oo!6
PRoJECT Cot{rACT pElsorl: rrara E.rlev, s.res Msnaq€.. Able rnBrrllarl.r! pHoNE *: l]!:2?l-s92}
EXrSTr c cor{slRucrror: I ATTERATTON I neroverrol !eelenrl nrcaras I RELOCATTON
NEa,r corisrRucTroN: ! rnecr NEH REsroEr{cE o" @ aootr:or ro Exlsrtl{c RESTDENCE..PIEAsE CHECI( TI{O A'.IS}IEN 8E!OW ALL T,IAT APPLY TO YOUR PRO]ECT:f]nr cenaee _ sF! suunoor,r
--
sFI cntrnxouse _ sr
! oer cauc:
@ eool :rz sr
[} oecr aoo sr
sr I roncr
-sF
f] sronroe sHED _ sr
OTHER:SF
860sf
OlSCtAlMEft ln robt..r tout.[lnbrmlUonln rhi.!p9lc&onlr comtrlsnd ,lt r'orl wul cohd, wilt O! SBA Euillang Coda and !! oth!,3P9EaU. gr,' lid b.rt E*..n6 odhln.!! ind llculatio.r. -rho NHc Dov.tog,nanl sotuto,C!.cr rvii !o no!6ed olBnlchan!.! in oto orgrovld .nO rpo.lfcirlont o, ch.noo tJi aonv!.o, orcorlcor hbors!06, -'NOTE: AnI Won p.rtornro w/O O!Ar9,oprtt6 PoflniBwill b.ln vbhlonotllto NC SEts o.nC Subloct E Ftnor U, To t5O00F'.
0W{ER/C0NTRACT0R: sun clcv poor!. inc SIO,IATURE:
.t......r.. r..'...r'....r..(3iTl$1.,l....+...r.........r...r,.
rs rHE pRopErry LocATEo rN n rrooollurt fl vrs
EXISTIiaG ItitpERVtoUS AREA i 2.rr{ SQ Ff
zoNE: OFFICER:
I NO
\
NEt4 I|'IPERVToUS AREA: s6o _Sq FT EXIST LAND DISTURBING
ToTAL ACRES oISTURBED I ,10
PERMTT: E ves [J xo
wlren: fl crpul D co ltururry svsteu f]enrvnre wrLL Ic€NTRAL wELLsnrrn: @ crcua f] c€NTRAL sEprlc I enrvrr: senrrc Ico HUNrTy sysrEn
r.! sEpa,laTE PEMITS nEQUTREO fon ETECT, llEC8, pLB6, cAs Equrp, p8€tass 8I9ERT5 ...payxEgr.ErHo,: !casx Icxecx 1rorou., io **.1 trii.ir.-;;;;;;, '-E-r;r;rfo^'' fr orr.our^ataa..rtr.r...... .. . . .. a a a . . . . a t t a a*.?.iaaa..aa.r.+ala
(foi orft(c utt drLy) iEvrsro oAra ltltr/r2
SETBATXS: F:_ rr{ _Approval:_ Clty:_ DATEI__- rLOOD: _ BFEr2ft.
--CgtElent:J.*rr rr., , 14,_ t \r/
a
PBONE S:
TOTAL HEATEO SQ FT:
-
ToTAL sQ FT UNDER RooF:
-
ToTAL AREA sQ FT:
T0TAL PROIECT C0ST(rE.rror) : $ qo.ooo.oo S OF STORIESI
li Any ELEcrRrcAt, pt-UIAtNG o. t4ECHAriIcAL t{ork BeIoB Oo^e to the Ac(essory Structurel E Ves I noIf the project ls a Relocatlon, is the.e a Natursl Gas Llne on the Current Sitel Iv"" 6 f,f,Is the.e EIect.IcaI power on this Bqllding?[Ves IHo
PRoPEnTY UsE ,/ oCCUPANCY: I S:lrcLr rnmrlv I ounex I TO NHOUST
oISCRIPTIoN 0F WoRX'
R'(?aTq"/'/5
t7- /9i7
N!mber
(office use)
NEW HANOVER COUNTY BUILDING PERMIT
AP PLI CATI O N IYPE: RESI DENTIAt
PIEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Proiect Responsibility"
APPLICANT,S NAME:mz.kt / rn/e^l6J Date I /t /.'z
pRoJECT ADDRESS: 7/? S 14.,14 Bn*..tC/y' RO CtfY: LJ Zaft!.z,,rG7$, ZIP: 2 Y / 05
suBDrvrsroN: 5 r'Az/,lc V Z e c/ eJ 74 7eJ
PROPERTY OWNER'S NA.r''E fh U c*e Y /m^rrr mA/r'eJ PHONE #j1o -t?7-gz>/
Cfi\t t)Za.nZnG^.<)ztP:2)/ ?4 )-
CONTRACTOR ,G- m <c\e-1 m lA ^/c)BtDG LICENSE fl
ST:c loontss: 7 / 7 s/17^/L aaalc ll AA CITY ztP
pndnt, 1t o' J L,/2' ? 27 L/
pHoNEr 7/u -tL/2- TzlYA..keY ,h4Ne )PROJECT CONTACT PERSON
n Sunroom (sF)
EXISTING CONSTRUCTION: I Alteration D Renovation n General Repairs
NEw CONSTRUCTIONT E Erect New Residence fl Addition to Existing Residence E Relocation
,}I.,}PLEASE CHECK AND ANSWER BELOW AL[ THAT APPLY TO YOUR PROJECT**'}
g6icarage(sr) 7/7n Att Garage (5F)_
l r Pool (SF )
tr Deck {SF)
E Porch (SF)
! other {SF)
n Storage shed (sF) _
[,] Greenhouse (SF)_
ls the proposed work changing the existing footprint? g4s D ruo
TOTAL SQ FT UNDERROOF Aor proposed work) Healedl Unheated: ? Y /
ToTAL PROJECT COST {Less Lot): S Gfol .2-)
ls the proposed work changing the number of bedrooms? D Yes El'ltrto
ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure D yes B.fr'o
lf the project is a Relocation, is there a Natural Gas Line on the current site? n Yes E 'fl-o-
ls there Electrical Power on this Buildin8? tr Yes Elfo
Property Use/ Occupancy: n Single Family ! Duplex n Townhouse
Description of Work:
€zet7 f /?.6 -F/e 0 meze L 7t4o co< DeT+</y'€A Ge,<e GE
D|SCl,alMERr I hereby.enity that allthe info
laws and ordinances and re8ulations The NH
information.' *+NOTE: any work pertormed
rmation in this application is co(ect and atl work will comply with th€ State BuildinS Code and ell other applicable State and local
c Development services center will be notifaed of any changes in the approved plans and specifications or chanBe in contractor
without the eppropriate permils willbe in violation ofthe NCState Bldg Code and subiect tofines up to 5500 m"'
.rlce Y /b4/t/€-)SignatureOwner/Contraclor: fi 7
"Licensed QuollJier" Print Nome
ls the property located in a floodplain? n ves p r'lo
fxisting lmPervious Area: -- Sq Ft
New lmpervious Areai Sq tt Existing Land Disturbing Permit: Ll Yes ! No
WATER: EZCFPUA E Community System ! Private well n Central well E Aqua
SEWER:CFPUA D Community SYstem E Private Septic I Central Septic I Aqua
t
Total Acres Disturbed
zonei-officer:--Setbacks(F)_-(tH)-(RH)-(B)-
Approvat: -- city: '- Date: _- Flood: (a) =- (v) --- {N}
-
ttt*"t=
;;n ,"", ,
Comment
/ !. '::
m,
owNER,s ADDRES5: 7/ ? S/AzatG ltantcfi AA
LOr fl: RO y'22 O 'o 02 - dr,- oor0
EMAIL ADDRESSi rT\A^tc').hzck6'/ g YA,doo ' L e/"'\
q,T(GW HANOVER COUNTY BUILDING PERMIT
AP PLI CATTO N rYPE; RESIDENTIAt
PLEASE ANSWER ALt QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility''
a o\,1
CITY wl
Applicatron
Number
(office use)
APPLICANT'S NAMEi L 1--t1
e
DateL LPROJECT ADDRESS
SUBDIVISION:
ztP
pxorrrr r: 910 ^" 61u3e u.rft-floJ
(ei*\t lhorw a\
PROPERTY OWNER'S NAME:
OWNTR,S ADDRESS:
CONTRACIOR
ADDRESS:1-l
EMAIT ADDRESS
CITY
BLDG TICENSE #
ztP
fl t15lL
PROJECT CONTACT PERSON PHONE
EXISTING CONSTRUCTION: E Alteration E/Renovation ! General Repairs
NEW CONSTRUCTION: I Erect New Residence E Addition to Existing Residence ! Relocation
I.**PLTASE CHECK AND ANSWER BEIOW AI.I- THAT APPI.Y TO YOUR PROJECTIT'
crw tutr(t^-*,tLzr, Z*1o3S'10'57,/4,puorufl, 9lJ-
cttr-Sc{o"Szaafttrt Thovn a\
V.ntt earaee (sr) 4DD E Det GaraBe (SF)
! Sunroom {sF)D Pool {sF)
D Greenhouse (sF)_! Deck (sF)
ls the proposed work changing the existing footprint? ! Ves !,^o
TOTAT SQ FT UNDERROOF Vor proposed work) Heated:4OO unheated:
TOTAT PROJECT COST (tess tot): S DDO
Yes rt"
tr Porch (SF)
I storage Shed (5F)_
! other (sF)
ls the proposed work changing the number of bedrooms?D
ork being done to the Accessory Structure 84", tr ruo
n the current site? E Yes t'no
ls any Plumbing or
lf the proiect is a Relocation, is there a Natural Gas Line o
ls there Electrical Power on this guilding? El-4es E No
ectri echani
Property Use/ Occupancy: D Single Famil plex E ownhDu
n of Work:0 '{9 i eer5 IDescriptio
7an tls e
O|SCLA|M!R: thereby certify that allthe information in this application is correct and allwork wallcomply with the Slate Building 'e and allother
laws and ordinances and re8ulationr. The NHC Development 5ervices Center will be notified of any changes in the approved plans and specifications or chante in .ontractor
information. "'NOTEi Any work performed withoul the appropriate permits will be in violataon of the NC State Bld Code and subject to fines up to S50O.o0"'
il
Signature:
Total Acres Disturbed:
(ei*VrOwner/Contractor:
"Licensed QuoIifier"
ls the property located in a floodplain? El Yes
Existing lmpervious Arear
-
Sq Ft
New lmpervious Area:O Sq Ft Existing Land Disturbing Permit: E Yes E ruo
_/WATER: V CFPUA fl community system C Private well E central well D Aqua
-,/SEWER: Ef CFPUA U Communitysystem E) Private Septic fl Central Septic tr Aqua
zone:
-
officer:
-
setbacks (F)
-
(tH)
-
(RH)
-
(B)
-Approval:
-
City:
-.
Date:
-
Flood: (A)
-
(v)
-
(N)
-
BFE+2ft=
-
*(
Permit tee: S
d)
q M:qgl
LOT fl:
NEIAj HANOVER COUNTY BUILDING PERMIT
APPLTG1TON TYPE.- RESIDET{TIAL
PTEASE ANSTIER AI.T QUESTIOITS IPPLICABLE TO YOUR PRO]ECT
?roject Res ponsi"bi.Lltf
APPLICA T'S MTE:&,lz-tu,v.rN|r
DEVELOPER:
PRO]ECT ADDRESS:
SIJBDIVISION:CtWs
BLOCK *;_LOT*:
PROPERTY O trtIER,s !.lA E:PHONE *:OUTINER'S ADDRESS:- cc_CITY:
CONTRACTOR r
ADDRESS:
EI,4AIL ADDRESS:
I suunooa _sFI onerucr.rse _ sr
! cool_ sr
I oecr _ sr
tr STORAGE SHED
OTHE R:
/7-
APPLICATION
tftDber
(Offtce Use)
PHOT{E
UP: 2* Yoz.
sT:41-c-wzZf,,a<-
ACCOUiIT *:
srt L!-czJP t?azfu)-
PHoNE *: @/.) f38.?1o,
PK,i{E *: f}8.1?ot
tza
7L
LICEIGE *:
PRO]ECT COIITACT PERSON:
octsTrr'tc co srRucrroN: I nlrenarroru [ nmovarrolr I earenau REpArRs E RELOCATTON
NEN CONSTRrcrI€N. E TNrCr EhI RESIDEITICE O. fiAOOrrro.{ TO EXISTII{G RESIDEITICE
.*PLEASE CHEC( $D ATTSHER BELO{ ALL TIUIT APPLY TO YOUR, PRCT'ECT!I nrr onnnoe SF fJ orr eanaoe sr fl eoncx _ sF
F
ToTAL HEATED SQ nz 7{o TOTAL SQ Fr UNDER ROOF:/fr{O- rorAl AREA se Fr /alg
TOTAL PROJ ECT CoSTC_essr_oO: g )8 o@
rs Ary ELEcrRrcaL, PuI.tBr G or [EcHA[rcAL Nork Being Dona to the Accessony structure? [l v"r ft ruoIf the project is a ReLocation, is there a Natural Gas Line on the Current Site? [Ves [l lto
Is thene Electnical Powen on this Building? ffV.r ffitruo
PROPERW tsE / OCCI PAilCY: EI SINGLE FAI4TLY I ocrnr-o< [ roun'uouse
DESCRIPIION OF hIORX:cce ac
D|Sq-AIIER I heBby c€iit tEtall in lris applca*]n i6 cor,Ectsnd dlvDrkv,ill complywih Ele $.6 AiBhg Oode €nd €$ otlef €pp[6blo
a,ld ordh€nc6 and €oul€tiorE Th€D3!6lopm€ntse ic6 GnEr y/ill be notfibd of any chaliea h he approy€d
conr€cbr inbftn€ton, rnNoTEt Any ho b€ in Vrohlion of &e NC SEb Code
ot{NER/CONTRACTOR:SIGI.IATURE:
*+*:r * *+ * *:i +** + + +* ** ** * **** JIHI Jf*']+*+i*****+**+*+*t++*+**++*$*+****+*+*++**++**+*+*+:a+*
I5 TIIE PROPERTY LOCATED IN A FLOODPLAIT{? I--i YES EI TO
ATSTI!,|G IJIIPERVIOiS ANTA: /39.f, Sq TT TOTAL ACRES DISTURBED:
tIEId II,IPEMIOIIS ANEA: ?SO Sg TT EGST LAID DISTI.|RBIIIIG PERflTT: EI YES
r{ArER: fi cFpuA fl co',$,luNrTy sysrEm n pRrvArE tiELL f] ceurnal well
sEhrER: lF.cFpuA I cAvrmr- sEpTrc I pRrvATE sEpTrc I conururw svsrar
ZONE € - lo orrr..*. Cru (foR olElcE usE ot!
SEIBACKS: F:'hfL nla' Pu: /o/Bi L )
approva!; -Qf- city : I Lil4 DATE:F LOOD:V BFE+2?I=
tlo
*!3 SEPA&ITE PER]{ITS tEqUtRED FOR ELECTT RECH, PLEG, GAS EgUIP, PREFAAS & TXSERTS '*
PAYHEI{T t{ETHoo! Ec*n E cxeo< (PAYABLE To Ntrc; flerul rcorur E *f** [o scoren
:***:t*** *ri********#******+i.****:t:&rti.**i.t*{.***** *****tf,*t:t:t*lfrt.Frt*ri ******:tri:i** ***t +:ht**:F:t*f*
,xfvrseD oAlE O4/11/12
N
PEru4TT FEE:z 69a\rt'vetla ah eJ *O
Prtm^c1
Cann o I
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thn Reoureo
A a<-es6orper NHC B,^,r-ri,r1 Cadz-6l ,f l"l^( +iLcf^r.
, e10-254.0it1
,^\
ComEnt:
efi hsoec
(lso s.6-i'- ffi
# oF sToRtEs3 1
,I
n,q\b)1)lNEW HANOVER COUNTY BUILDING PERMIT
APP LICATION TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUEST ONS APPL CAELE TO YOUR PRO]ECT
"Project Responsibility''
CITY
il-
APPLICANT,S NAME:Date
PROJECT ADDRESS:
SUBDlvlSloNr
ztP D
to
PROPERTY OWNER'5 NAME
OWNER,S ADDRESS:
PHONE #
CITY
PHON
BTDG TICE
ST ztP,gl
zt
CONTRACTOR
ADDRESS:CITY
EMAIT ADDRESS
Ll Sunroom (5tl
L l Greennouse (5r,
PH.NE,cQD?'5{.o-SS&1PROJECT CONTACT PERSON
EXISTING CONSTRUCTION: L- Alteration D Renovation E General Repairs
NEW CONSTRUCTION: D Erect New Residence I Additionto Existing Residence ! Relocation
,}'T*PTEASE CHECK AND ANSWER BELOW ALI. THAT APPLY TO YOUR PROJECT***
E Att Garage (5F)E Det carage (SF)--tr Porch (SF)
E Pool {sF)
! Deck (sF)
E/storaee sheo (sr ) &iD
f Other (SF)
ls the proposed work changing the existing footprint? ! Yes E No
TOTAL Sq FT UNDER ROOF Uor proposed work) Heated
rorAr pRoJEcr cosr (Less Lot)i s &3ot-, -
ls the proposed work changing the number of bedrooms? D ves y'r'lo
ls a ny Electrical, Plumbing or Mechanical work being done to the Accessory Structu re n Yes
lf the project is a Relocation, is there a Natural Gas Line on the current site? KYes ! No
ls there Electrical Power on this Building? ! Yes Gil No
d*o
taws and ordinances and regulations. The NHC Developnrent Services Center will be notf ed of any changes in the approv€d plans and specifications or chan8e n contractor
informat on. **"NOTE AnyworkperformedwithouttheappropriatepermitswillbeinvothDmnxhn\\
lai'on ot rhe NC SiaIe Sld8 Code and-suble(t lo fiaes up lo 5500 00"'
,n".u*,.f,rfu \J*tt/siOwner/Contractor:
"Licensed Quolilier"
5q Ft
ls the property located in a floodplain? ! Yes ! No
Existing lmpervious Area:
-
Sq Ft Total Acres Disturbed
New lmpervious Area:Existing Land Disturbing Permit: il Yes : No
Permit fee: S
warrn: f CFPUA E Communitysystem X Privatewell n Central well n Aqua
SEWEn: M CTPUA I Community System D Private Septic ! Centralseptic ! Aqua
,","' R-l('Tnlr., DT0a setbacks(F) A/4 (Lny ( 1nx1 ( 141 5
approvar: 0K cttvt lL ort,1l3ll7 Flood: (a)
-
(v)
-
(N) X BFE+2ft=
-Comment l,/o+ <t 1o, ^ Rott)
Crty lnsoeclion Reoureo, gI (}l54.0i $
p
*h
gE'-
a
\
unteatea, dKe
lroee..tyuse{g:clp"ncr:ylsingreramitv ! ouprextr rovVlll\t .qknQr.rD,f .l=.hfuA,
Description of wotk,
{l
:'Olcarrcrm I Pilil ltffiffi aOl}fiqo
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; COMT1ERCIAL
PI.EASE AIiSHER ATL QUESTIONS APPLICAELE ]O YOUR PROJECT
"ProJect nesponslbllity"
I9 1rn ngton
L+28*g
AFPII-cATro'r
Number
(0fftce Use)
APPLICANT'S NAttE: Jon chriatopher crolrder
DEVELOPER:
PRO] ECT : 3300 N Kerr Ave
oCCUPANT/EUSINESS tlAilE: wrighlsboro united }lethodiat church
PRoPERTY oWNER'S NAmE: wrlghtsboro united liethodlst church
DATE: 8-29-17
PHONE #:9106166599
zIP | 28405
- PHONE #: 9ro7 622583
ONNER's ADoRESSi 33oo N Kerr Ave - CITY: elllnington
CONTRACT0R: Jon chrj-stopher Crolrder LICENSE #: 52326
ADDRESS: 151 Horne Placa D!- CITY: wilnington
ElilAIL AODRESS: ccroederlene. com PHONE #:
PRO]ECT CONTACT PHONE Si
(Che(l All That Apply)
SHELL
ACCESSORY STRUCTURE I Picnic shelter
ST: Nc ZfP: 284 05
ST: Nc ZIP: 28a01
910-616-5599
EXIST CoNSTRUCTIoN: E ALTERATIoN
lf Relocatlon, ls thers a Natural Gas Llns on thg
l;a RENovArroN Tl GENERAL REpArRs n RELocArroN
drrsntsite? Q*dp no rsBLocspfifNKLERED?o_y€so-
No
NEtJ coNsrRucrroN: E EREcr NElr STRUCTURE DrAsr TRACT( E n uPrrr I ADD ro Exrsr STRUCTURE
Is Elect PoHer on thls Building O Yes D N0
*.*.* rs rHrs a clul cE oF occuPANcY usE?n YEs EL No '****IF Yes, Irhat r.ras the Prevlous occupancy Type? - wt"at ts tf,f, Neu occupancy
Ix8fir
If UPFIT - Ihe She1l Penmlt f:
DESIGIi PRoFESSIONAL: None aasociated lrith project PH:
PH:-NC RE6 II:
NC REG #:-El,l6R DESIGN PRoFESSIONAL:-
ls food or beverages preparad or served in this structure?B vesp- No ls Th6 Propsrty Locatsd ln The Floodp,aino_ ye€_
lhi6 a corroct and 6ll work a
be ofanv chanoes In lho aoorovedPermils will 5o in Violatlon of rhe
sDec.lflcatlons
BIdO Code and
OWNER/CONTRACTOR: 'ron c cro$der SIGNATURE:(Arcfi.o (Pdd a,e)
Noto: Dorndition notilha{oos & ,sbosbg r6.hoval p€rmlt opplicalloo3 ara to bo subnlt€d uslrg lt}€ oppllco on lom 5-3788) vrhalhor lho f.cility or buildlng wEs louod to
@ntlln Asbostos or nol You are roqulred to call tho Natlon€l Emisslon Stsndards tor Hazrrdous Ar Po,lut6nt6 (NESHAP) at (919)707-5950 6t l€6st 10 days pnor b lho
demolilion of any lacllity or buildino. See Asbo6tos W€b SIto: hllp/Ar/\-w.epi.stat6.nc.us/epyasb€stovohmp.htrnl
TOTAL PROJECT COST: 34,000 BUILOING HEIGHT: 14 .f OF UNITS: I
TOTAL AREA SQ FT :
TOTAL SQ FT UNDER :2640
ACRES DISTURBED: .ole EXST LANo oTSTURBTNG PERMTT? DYES oNO
NEW IMPERVIOUS AREA: 8{0 SQ FT EXISTING IMPERVIOUS ARE A: 26 t 6s4 SQ FT
pRopEFry USE: noFFrcE flnrsrnuRnnr ! rllencerur[r[ EDUcfJ APT CONDO OTHET church
SE CLASSIFICATIONWATER:
SEWER:
SYSTEM E
CFPUA
CFPUA
r-.I COMMUNITY SYSTEM E7[ WELL NZONING U
flcerurnnl seenc BFH'|vATE sEprc D-CoMMUNrry-. SEPARATE PERIIIfS FE(,IUIRID F(,R ELECT, I,IECH, PLD.J. GAS EI]UIP. PREFABS 6 II'JSERIS
N
PERMIT FEE: IComment
*DISCLAIHER: SUBMITTIN6 THIS APPLICATI ON MEANS THAT THE SUEHITTAL CHARGE IS NON-REFUNDABIE
DE5cRIPTIoNoFl'loRK:fuAddp1cn1cshe1tsr.:iL!),,i
s50r
# OF STORIES: r
, OF FLOORS: T-SO FT PER FLR:.2 540
# OF STRUCTURFZ-
PAYMENT METHOD: oCASH p. CHECX lenVnBLE TO NHC) D AMERICAN EXPRESS
(FOR OFFTCE USE ONLY)
ZONE:OFFICERI SETBACKS:
NEW
Print
HANOVER COUNTY BUILDING PERMIT
APPLICATI0N r.YPE: COMMERCIAL
PLEASE AIISN€R ALL QUESTIONS APPLICABLT ]O YOUR PROJECT
"ProJect Responsibllity"
Fi )ot+q?\u
AFF.TI.A'MN
Number
(offlce Use)
APPLICANT'S NAlilE i Jon chr:i.stopher cronder
DEVELOPER3
PROJECT AUUK EJ>: 3300 N Xeff Ave
oCCUPANT/BUSII,IESS NAiIE: wrishtsboro united ltethodist church
PROPERTY oi^INER'S NAlilE i wrlghcaboro united Methodlst church
oI,JNER'S ADDRESSi 3300 N Kerr Ave _ CITY: wirmington
CoNTRACToR: Jon christopher cror{de!- LICENSE fiI 62326
ADDRESS: 151 Borne Place Dr - CITY: I,tilnington
Eli'l,AIL ADORESS: ccrowderl Sme. com
PRoIECT CoNTACT PEhSoN: chria croreder
oATE: 8-29-r'l
LI I Y:I,Iilnington
PHoNE #: 9106 r 66 599
ZIP | 2gAos
- PHONE #: 9t01622503
sT: NC ZIP: 28405
ST: Nc ZIP: 28401
PHoNE : 910-5r6-5s99
PHONE #:
EXIST CON5TRUCTION:tr ALTERATION
(Che(t All Ihat Apply)
rA RENoVATToN l--l GENERAL REPATRS Tl RELocArroN
Eurrenr site? [ vEip No rsBLDG spfiftKLEREDD yesD-
No
NEI{
lf Relocallon, is there a Natural Gas Lin6 on tho
CONSTRUCTION:ERECT NE]^l STRUCTURE E FASI IRAC( n SHELL ! upFrr n ADD T0 Exrsr STRUCTURE
ACCESSORY STRUCTUR i Picnic ahelter
If UPFIT - The Shell Permlt #:Is Elect Power on this Building O Yes D N0
+*.++ IS TTIIS A CHAT'IGE OF OCCUPANCY USE?D YES @ NO *****
IF Yes, uhat was the Prevlous occupancy Type? _ what ls tha New occupancy
trx8fi?DESIGN PROFESSIONAL: None &ssociated with project NC REG f:
NC REG S:Etl6R DESIGN PR0FESSIoNAL :-
DESCRIPTI0N oF I'J0RK: ne-novEtE-TElrowshlp Halt d dr-r*wr#-
ts food or bovsragos propar€d or served in lhis structure?O. Yesp tlo ls Ths Proporty Located ln The Floodplaln{J Y€€_
PH
PH
Ell$!rkwill ng
chanoes ln lh6 aooroved olans andwlll bb in Vlola 6i ol theNc stat6 soedllcations
BIdO Cod6 and
dra"^" -*"r, * "df or ouitdhs wos tound to
be
contsin Asb6sros or nol You ore requlred to c6ll lha National Emisslon slsndad6 lor Ha2ardous Air Pollui.nt6 (NESHAP) st (919)707'5950 at lEasl l0 dsys prior to lhe
dsmdition of any facility or buildino. Se€ Asbostos Web Slto: hflpr^v\e'x-epl.slal6.nc.ugepyasb€stos./ahmp hlrnl
TOTAL PROJECT COST: 3a , ooo fl OF UNITS: 1
TOTAL AREA SQ FT :SQ FT PER FLR:.2540 # OF STORIES: 1
TOTAL SQ FT UNDER :2640 f oF STRUCTURES: 2 # OF FLOORS
OWNER/CONTRACTOR: ron c clot{der SleNerURE:Z
(O0dm60 (PdotName)
Nol€r Domolidon nodncauons & ssbe8los romoval p€arnll spplictl,on3 are to be Eubrnltled uslng th6 appllcauon tom
ffi'ff tt .rr," DFir"^li:jl,?rv
'1
ACRES DISTURBED: .ore EXSr LAND DTSTURBTNG PERMIT? DYES roNo
NEW IMPERVIOUS AREA: 8d0 SQ FT EXISTING IMPERVIOUS AREA: 2 6 , 654
PROPERTY USE: [Onnrcr I RESTAURANT fJ r/,lencnrur[rI EDUcf]- APrD CONDO OTHET church
SE CLASSIFICATION
SQ FI
WATER:
SEWER:E
CFPUA
CFPUA
COMMUNITY SYSTEM
CENTRAL SEPrlc f]
SYSTEM -. SEPARATE PENIIiIS REQIJIRED F(,R ELECT. I,IECH, PLOIJ, (iI$ EOUIP, PREFASS & IHSIRISp uovtseP-
ZONE:OFFICER:SETBACKS: F t.H RH B
TqA,DISCOVER
Approval:- CitY:- DATE.-
Comment
FLOOD BFE+2fI,
PERMIT FEE: I
*DISCLAI},IER: SUBNI TTING THIS APPL ICATION MEANS THAT THE SUEMITTAL CHARGE
N
IS NON. REFUNDABLE
BUILDING HEIGHT: 14.
PAYMENT METHOD: D CASH $. CHeCr leeVeBLE TO NHC) p- nUrntcnru EXPRESS
(FOR OFFICE USE ONL'
E
NEW HANOVER COUNTY BUILDING PERMIT
AP PL, CAflO N fY PE : RESIDENTIAI
PLEASE ANSWER AII QUESTIONS APPUCABI.f TO YOUR PROJECT
'Proiect Respofflbllty
CITY:
15EP l7 9r06gt1
.l
Applicat;on
Number
(office use)
J lppuclttrs wue:(l pnoltcr aDoness'
Date:
ztP
$ suaorvrsron,
s PROPERTY OWNER'S NAME:Z--r:J PHOiIE #:
CITY:
PHONE:
BLDG LICENSE #
-Et COI{TRACTOR:
ADDRESS:
OWNER S ADDRESS:ztP
CITY:sttj/-m,1A103
EMAIT ADDRESS:
E Att Garage (5F) _
D sunroom (SF)
E Greenhouse (sF)
Soetearagelsrl?r') ?E Porch (SF)
D Storage Shed (SF)
--tr Other (sF)
PROJECT CONTACT PERSON:PHONE;
EXlStlIlG CONSTRUCnONT E Alteration n Renovation ! General RepaiB
EW CONSTRUCIION: ! Erect New Residence n Addition to Existing Residence fl Relocation
...PLEASE CHECK AI{D ANSWER BEI.OW ALt IHAT APPTY TO YOUR PROJECT"I
n Pool (sF)
tr Deck (sF)
ls the proposed work changing the existing footprint? E Yes ! No
TOTATSqFT U DERROOF llor proposed wolk) Heated;
rorAl pnorEcr cosr (tess Lotl:54;jQl)!):4!)
ls the proposed work changing the number of bedrooms? D Y€s & No
ls any ElecHcal, Plumbing or Mechanlcal work being done to the Accessory Strudure iE Yes E No
lf the project is a Relocation, is there a Natural Gas Line on the current site? E YesE No
ls there Electrical Power on this Building? & Yes tr No
Property use/ Occupancy: E
Descrlptlon of Work:
n
Print Nofie
Owner/Contractor:
'Licensed QuoliJie/
Townhouse
ExlstlnS Land Dlsturblnt Permit: ! Yes E No
1
laws and ordi.ances and regulations. The NHC Development Servlces Cente. will be notifled of any change! in the approved plansand spectficattons o. change in contractor
information. "'NOTE: Any work performed without the approprlate b€ in violation ofthe NC state Bldg Code and subjed to
ls the prop€rty located in a floodplain? E Yes
Extsttng tmperYtous ar"., ,/ l0' qrt
t{ew tmp€ lousAre ", y'.Zy' X*
WATER: A CFPUA I Community System D Private Well E Centralwell ! Aqua
SEWER: A CFPUA tl Community System n Private Septic D Centralseptic f] Aqua
Zone: _ Officer: _ Setbacks (F) _ (tHl _ (RHl _ 18) _
Approval: _ Clty: _ Date: _ Flood: (A) _ (Vl _ (Nl _ BfE+zfF _
Aro
routAcr6Dlsturb€dt' e"UA
Comment:Permh Fee: S
}s-
),tt\ cll'to
t? aE*
to'
unneata: ?7/
&0r79151' a&bgNEW HANOVER COUNTY BUILDING PERMIT
AP PL|CATI ON |YPE : RESIDENTIAL
PT"EASE ANSWER ATI. QUESTIONS APPUCABI-€ TO YOUR PROJECT
'Prolcct R6ponCbllly
S!;EP l? I 114 Sfit1
Application
Number
(office use)
APPUCANrS NAME: &fQ c DT
PROJECT ADDRESS: Nrr.l tr I\nA Ro(CITY ZIP: JK
sUBDIVISION: t-rJ il-v{€rYn?f ?LOTf: Jcl I
information. "'NOTE: any work performed without the appropriate permits will be in violation of the l{C State Bldg Code and subject nes up to 55,fi).m
L G Date: q-slt
PROPERW OW EtrS NAME:
OWNEPS ADDRESS: rl tq
PHo Es: qto ,&q-q,{5
t.1tnA{2rvn?Cg Qnl CITY: tDi\rnirrfo,'\ ZIP: ,-frif6'
CONTRACTOR BLDG TICENSE f:s5
ADDRESS: ?a,r Ul,rrl.>,1\P f€PA CITY a\sr: lk zrp, ,18:/zI5
EMAIL ADDRESS:PHONE:
PROJECT CONTACT PERSON: AIAf\ GfEO\OCN Pxonr: 9lO-(( 3 -3kv' -_
O(lSn G CONSTRUCflON: tr Alteration E Renovation n General Repairs
NEW CONSTRUCTION: n Erect New Residence n Addltion to Existing Residence n Relocafion
.T'PEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT" '
tr Porch (SF)
[fstorase shed (sF] l5{-
! Greenhouse (SF)tr Deck (sF)tr other (SF)
ls the proposed work chanSing the existing footprint? ! Ves l\lo
TOTAT SQ FT UND€RROOF Vor proposed work) Heated:untreatea: 15$
TOTAT PROJECT COST (l-ess tot): S
oQ
ls the proposed work changing the number of bedrooms? D Yes E/lto
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure 3 yes g/tto
lf the project is a Relo€ation, is there a Natural Gas Line on the current site? ! Yes ffi,lo
ls there Electrical Power on this Building? n Yes Ezilo
Property Use/ Occu e.n,t; g/Slnd" f.mily ! Duplex tr Townhouse
lawsand ordinances and regulations.The NHC Development Services Centerwillbe notlffed of any changes in the approved plans and speclfications or change in contractor
Ir6cription of tirort:
c
Orner/Contractor:
"Licensed Quolifiel
6. Gap Sign.ture:
ls the property located in a floodplain? I Ves y'ffo
Exlstint lmpervious lrea: -3-9iD sq ft Total Acr€s Dlsturbed, tStl Sf
ilew lmpsyious Ar.a: l5f Sq ft Existing Land DBturbing Pelmie fl Ves E/no
UTATER: EaLFPUA n Community System fl Private Well n Centralwell I Aqua
SEWER: EZCFPUA E Community System E Private Septic E Centralseptic E Aqua
Zone: -fu!!- offrcec
-
s€tbacks (Fl
-
(tH)
-
(Rll)
-
(B)
-
C?
Approval: _ Clty: _ Date: _ Flood: (Al_M _(Nl_BFE+2ft=_
Comment Permit Fec: S
! Att Garage (SF)_
E Sunroom (sF) _
E Det Garage (SF) _
! Pool (sF) _
NEW HANOVER COUNTY BUILDING PERMIT
APPLI CATION TYP E: RESIDENTIAL
PLEASE ANSWER AtL QUESTIONS APPLICABLE TO YOUR PROJECT
"Proiect Responsibility''
ao t'?q,5E1
Applicatlon
Number
(office use)
1
AppLtCANT,s NAME: Bill Clark Homes of Wilmington, LLC oate: 0813012017
pRoJEcT ADDRES5: 2241 Lakeside Circle ctTy: Wilmington 4p. 284O1
SUBDtVtStON: Hanover Lakes LOT f: 191
OWNER'S ADDRESS;127 Racine Drive, Suite 201 ctTy. Wilmington 719. 28403
CONTRACTOR:Bill Clark Homes of Wilmington g1p6 u6gx5g s. 34586
ADDRESST 127 Racine Drive, Suite 201 clTy: Wilmington ST: NC Ztp. 28403
EMATL ADDRESs: cbain@billclarkhomes.com PHONE:910.350.1744
pROJECT CONTACT pgg59p; Courtney Bain puorur:910.350.'1744
EXISTING CONSTRUCTION: E Alteration I Renovation U General Repairs
NEw CONSTRUCTION: d/Erect New nesidence n Addition to Existing Residence n Relocation
*I.'PLEASE CHECK AND ANSWER BETOW ALL THAT APPLY TO YOUR PROJECT
E/efi earage 1sr1 6Zb E Detcarage(sF)- B'Porch
'** F- r 2-o
(sF)Lov{/(rl - t5!
L.l Sunroom (5hl ! Pool (sF)D Storage shed (sF)_
n Greenhouse (SF)tr Deck (sF)t]-ott "r
(sr)?c,ho- llr>
Description of Work: new construction of single family residence
laws and ordlnances and re8ulations. The NHC Development Services Center willbe notified ofanychanges in the approved plans and specifications orchange an contractor
information. "'NOTE: Any lvork performed without the appropriate permits wil, be in violatioh of the NC State Eldg Code and !ubject to fines up to 5500.0().'.
owner/cortractor: Courtney Bain signature:
"Licehsed Quolifie/ Ptiht Nome
ls the property located in a floodplain? E V., 6-no
Existing lmpervious Area:
-l-
Sq rt
SEWER:
(Y\,t&^Anntan
Total Acres Disturbed:o.il
New lmpervious Area:Sq Ft Existing Land Disturbing Permit: tr Yes tr/tlo
WATIR:l-rrruo E community system fl Private Well E central Well E Aqua
dtouo E Community system n Private septic E central septic E Aqua
zone;
-
officer:
-
Setbacks (F)
-
(tH)
-
(RH)
-
(B)
-Approveli
-
city:
-
Date:
-
Flood: (Al- (Vl
-
(N)
-
BFE+zft=
-Comment:*DISCLAIIiER: SUBl.tIl-rING THIS APPLICATIoN IEANS THAT SUEMITTAL CHARGE IS NON.R EFUNDABLE
Permit Fee: S {on t. oo
pROpERTy OWNER,5 NaMs; Bill Clark Homes of Wilmington, LLC pgOur r: 910.350.1744
ls the proposed work changing the existing footprint? tr yes E-6o
TOTAT SQ FT UNDERROOF lt'or proposed work) neated: I , V OZ Unheated: BO2-
ToTAt PRoJECT cosT (Less Lot): S \C6rfFAe
ls the proposed work changing the number of bedrooms? tr y", E/trto
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes EI-No
lf the project is a Relocation, is there a Natural Gas Line on the current site? 0 Ves f},l(o
ls there Electrical Poweronthis Building? E yes ts/fo
/
Property Use/ Occupancy: EI Single Family E ouplex E Townhouse
NEW HANOVER COUNTY
DEPARTMENT OF BUILDING SAFETY
230 GOVERNMENT CENTER DRIVE - SUITE 170
WILMINGTON, NORTH CAROLINA 28403
Telephone: 910.798.7308 Fax: 910.798.781 I
Intemet: www.nhcgov.com
4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE
lil
\,_\\{\,
TATEMENT F
t,, am submitting an application for a residential
building permit to New Hanover County. And, as the applicant or person submitting
the application, I check the bo:dboxes below to acknowledge that:
g I have attached an official CFPUA receipt or document that has
acknowledged an approval of the payment made to CFPUA.
*S< I have attached an official proof of azoning sign-off from the City of
Wilmington, for this work that will be done in the City of Wilmington.
1&F I have attached an official proof of an approval granted by the New Hanover
County Environmental Health Department, for this work that requires an approval
from Environmental Health.
lf the application is correct and complete with the required drawings, and if
there are no corrections or revisions to plans and drawings, and if there are no
further clarifications required by New Hanover County; New Hanover Coungr
can guarantee that the building permit wil! be issued within 4 (four) to 7 (seven)
working days after the officia! submittal date/time (the stamped date/time
notation made by the Building Safety Department on the application or submittal
document). I understand that the 4 (four) to 7 (seven) working days only begins
when the application is submitted prior to 4:30 pm on any workingday.
Signed in acknowledgment:
urtney Bain 08t3012017
Signature Printed Name
241 Lakeside Circle
Bain for Bill Clark Homes of Wilmin
Address for the proposed residential work:
Date
APPLICAIIT,S MI'iE:
DEVELOPER;
PROJECT ADDRESS:
SUEDTVISIO :
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIoN TyPE: RESIDENTIAL
PLEAsE ANS!]ER ALL QUES-JOT{S IPPL.ICABL€ TO YOUR PRO]ECTsprlrect Responsibl-Litlfl
--Js+itrrr r>,..-.APPLICAIIOTT ]' I Ii16BI,!
ltaber
(OFftcc Use)zke -
LOT *:
zrP,d-f5--I5
lef.OATE:
S CITV:
PHOflE #:
BLOCK
{-g-tr\\.e-r PHONE *:PROPERW OhNIER'S MflE: =O{,,,NER'S ADDRESS:E
COI'ITRACTORs dh;
ADORESS:
EI{AIL
+c-.
CITY:
cEilsF r.A - ACCOUiIT *:CTW: .STr
sr:-aP:Qlq Os
.EP^.r. ulas
PHOSIE *:
PHOT,IE *;111 -11(l
,r\r n
PROJECT CONTACT PERSON:-\d - G.u rt"..
ocrsTrr[G coilsTRUCEoN: I aLrenarroru fl nanrvarroru f] eanenal Reelrcs I nelocarron
NEW CO STffrcrloir: I rnecr Ehl RE5TDEICE o" ! aoorrru To Exrsrxr{c REsrrrE!rcE
nLEASE CHBCK ffA A}JSIER BELOI{ IlL TTUIT APPLY TO YOUR FR€T'ECT:
ATT GARAGE _ sF D oEr ennaae _ sF
suNRoc['4 _sF I emr_ _ sr
GREEMiO|SE _ sF [oecx _ sr
D poner
-sF
I sronaoe sHED _ sFtrO'IHER: C a".t P'Ftr SF
PRoPERw tsE / ocqpAr{cyr [l srnale FAr"ELy E
TOTAL HEATED SQ FT:
-,
TOTAL Sq FT UNDER R@F:
-
TOTAL AREA SQ FT:
-
rorAL PRoJECT coSrc""sloo , S/j58BoOO * oF sToRrEs: \rs Any ELEcrRrcALr pLunBtNG or r{EcHANrcaL work Belng oone to the Accessory st.ucture? [ ve= [l norf the project is a Relocation, is there a Natunar. Gas Line on the curnent site? flves fiuoIs there Electrical pqwen on this Building? l]'l ves firuo
'i){
h€oby c€rtt hstall hbrmaion h hi€ applcabn b co.rct
and rEgulations. The NIJC D6!€topm€nt Servic€s CgnEr y,ill be notfod ofany ctlsn!66 h th6 appov€d plan6 and
€.rd EJI vD.klliI co.nplywih he SrEb Ajbbg Code End aI o&e.
spscifc€tonE or dang€ h conEEDr or
€ppgcabJo Stala arld lo.al la#e
oontr€cbr inbrmaton. -NOTEI Any Wo* p€rfrnned Wr'O he App|DprtsE P6ant_i6 wlt b€ in VioLtion of Ere NC slaE LJp ro C5o0,9q-
(,
DISCLAII.TER I
ol{NER/coNTnAcroR: 3 v\- H.G .-., r ..-ST@.IATURE:
***+***++*****************JIH1&?+++i+**+:a*+*+*+** *+t***+**+i+**:n *+t* ++* :f *+*++** :*+**+,*
DESCRIPEON OF hIORK:
I5 THE PROPERW LOCATED IN A FLOODPLAIN? N YES
DGSTII{G IfiPERWoUS AREA:
-_
SQ FT
NBi IfiPERWCtt S AREA: _ SQ FT
approva!: 0E city: /Lr( DATE:
(z-t s\') -,
ffim
TOTAL ACRES DISTURBED:
ExrsT LArD DrsrljRBrirc psnarr: llll yes l:l Ho
REVIsEO DATE O4l1!/r2
2a BFE+2ft= _
,ur.a, (crrue f] co+lulrw sysrEm E pRrvArE I{ELL ! canrnal urer_r-
seuea: fizcreua D crlrui sEprrc E pRrvATE sEprrc I coorururw svsreM
*:' sEPLlarE PERArrs REqUIRED FoR El-€crr AECH, pLE6, 6as Equrp, PREFABS & $rsERTs .s
pAynEr{r }rErHoo: I csx I creo< (PAYABLE ro u*l E ,.,.. 0..** 'E] ***-'- Eirr""*.***** !i** *:t*f **:1.****l***#*********:t*:ts;t+*)r;i.:*:i******:htrf,rt*)r*;r,rrF*rF*rt*.i*ri:6* **** ***:r:t*;t +:i *ri.trirt.r rt:a
,*., R'(5 oFFrcER:
(foB oFEtcE usE
S ETBACKS :iih\- n, "' a,, 6/B: S,
F LOOD:
N
Comrcnt u /-/J +4 bc d PERfiTT FEE:
.C tt <- *ru-<*tnYZ- lnu :rl bz in
C,L
ly"n*
Citv Insoectron Recurrec, 91 0.254.0trlil
5i )e/rco. clav) a.r2q 4e
^L
NEW HANOVER COUNTY BUILDING PERMIT
A P PLI CATI O N TYPE; RESIDENTIAL
PLEASE ANSWER ATL QUESTIONS APPLICABLE IO YOUR PROJECT
"Proiect Responsibility"
J.'or'l-qt\>t@
Application
Nurrlber
(offic€ use)
AppLtcANT's NAMg; McKee Homes, LLC oate 9/5/'1 7
pROIECT ADDRE5S: '1629 Flushin Drive
sUBDtvtstoN: Cameron Trace
61ry' Wilmington y1p. 28411
toT #i 116
pRopERTy owNER'5 1141y9; McKee Homes, LLC
OWNER,S ADDRESS: 109 Hay St., Ste 30'1
pHoNE #r 910-475-7100,727
CoNTRACToR: GML Development
CITY: Fa eville 21p.28301
sT: NC ztP 283 01
9196 11991159 6 63970
ADDRESS: '109 Hay St., Ste 301 clTy: Fayetteville
EMAtt nDDnrss: krivera mckeehomesnc.com pHoNE: 91 0 - 47 5 -7 1 00,7 27
pRoJEcT coNTAST p6p591. Kenny Jones pHoNE: 9'1 0-475'71 00,721
EXISTING CONSTRUCTION: I Alteration E Renovation ! General Repairs
NEW CONSTRUCTION: E Erect New Residence n Addition to Existing Residence ! Relocation
*,},}PLEASE CHECK AND ANSWER BETOW ATT THAT APPTY TO YOUR PROJECT'}**
tr Att Garage (sF) 436
E Sunroom (SF)_
E Greenhouse (sF)_
E Det Garage (SF)
tr Pool (5F)
n Deck {SF)
I Porch (SF)270
n Storage Shed (SF)_
ls the proposed work changing the existing footprint? n Yes E No
TOTAT SQ FT UNDER ROOF Vor proposed work)11s7124 2225
TOTAT PROJECT COST {Less Lot)s 111,250
ls the proposed work changing the number of bedrooms? El Yes ! No
lsany Electrical, Plumbing or Mechanical work being d one to the Accessory Structu re ! Yes E No
lf the project isa Relocation, isthere a Natural Gas Line on the current site? E Yes E No
ls there Electrical Power on this Building? ! Yes i No
laws and ordinances and regulations. The NHC Development Serv ces Center w ll be notified of any chenges in the approved plans and specifications or change in contractor
information. ** tNOTEi Any work performed without the appropriete permits will be in violation of the NC state Bldg Code and subject to fines up to 5500.00.. -
ownet /Contractor: KelSey Rivera Sign"1rr".
Kelsey Rivera
Total Acres Disturbed: .21 7
Existing Land Disturbing Permiti 6 yes E tto
wATER: E CFPUA ! community System E Private well E central well E Aqua
SEWER: E CFPUA fl Community System E Private Septic E Central Septic E Aqua
zone:
-
officer;
-
Setbacks (F)
-
(l"Hl- (RHl
-
(B)
-Approval:
-
City:
-
Date:- Flood: (A)
-
(Vl
-
(N)
-
BFE+2ft=
-Comment: Permit Fee: S tX5.od
@
tr other (sF)_
unhs316d;370
Property Use/ occupancy: E Single Family E Duplex i Townhouse
Description of work: New Construction, Sinqle Family Home
"Licensed Quolifier" Pint Nome
is the property located in a floodplain? ! Yes E No
Existing lmpervious Area: _ Sq Ft
New lmpervious Area' 2,595 Sq Ft
NEW HANOVER COLINTY
DEPARTMENT OF BUILDING SAFETY
230 GOVERNMENT CENTER DRIVE - SUITE 170
WILMINGTON, NORTH CAROLINA 28403
Teleplrcne: 910.798.7308 Fu.x: 910.798.781 I
I n t e r n e t : wrrv. n ltc: go r'. c' o m
4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE
STATEMENT OF UNDERSTANDING
Kel Rivera , am submitting an application for a residential
building permit to New Hanover County. And, as the applicant or person submitting
the application, ! check the box/boxes below to acknowledge that:
I have attached an official CFPUA recei pt or document that has
acknowledged an approval of the payment made to CFPUA.
a
t,
I have attached an official proof of a Zoning sign-off from the City of
ilmington, for this work that will be done in the City of Wilmington.
tr
W
n I have attached an official proof of an approval granted by the New Hanover
County Environmental Health Department, for this work that requires an approval
from Environmental Health.
lf the application is correct and complete with the required drawings, and if
there are no corrections or revisions to plans and drawings, and if there are no
further clarifications required by New Hanover County; New Hanover County
can guarantee that the building permit will be issued within 4 (four) to 7 (seven)
working days after the official submittal date/time (the stamped date/time
notation made by the Building Safety Department on the application or submittal
document). ! understand that the 4 (four) to 7 (seven) working days only begins
when the application is submitted prior to 4:30 pm on any working-day.
Signed in acknowledgment:
Kelsey Rivera 3::IJ,1%1,Y#11:;;Kelsey Rivera 9 /5/ 17
Signature Printed Name
1629 Flushing DriveAddress for the proposed residential work
Date
i't tt ' -"'
',ffi;
NEW HANOVER COUNW BUILDING PERMIT
APPLI CATION TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Proled Responsibiliq/'
f ^J, plcn s *-G,*rahr Tlo
aolt-tutusq
Application
Number
APPLICANT'S NAME:
{offic€q r(rl
PROJECT ADDRESS:
suBDtvtstoN:
Date
CITY titlrn,nc.4vt ztP:GN
PROPERTY OWNER'S NAME:
OWNER'S ADDRESS:
CONTRACTOR:
ADDRESS:
EMAIL ADORESS:
PROJECT CONTACT PERSON
E Aft Garage (SF)_
E Sunroom (SF)
! Greenhouse (SF)
Property Use/ Occup
Description of Worki
PHONErCITY ztP
CITY
LDG ENSE #
5T ztP
E
PHON o -sssE
\"
EXISTING CONSTRUCTION: tr Alteration ! Renovation Aceneral Repairs
NEW CONSTRUCTION: fl Erect New Residence ! Addition to Existing Residence E Relocation
*I.*PI.EASE CHECK AND ANSWER BELOW ALI THAT APPLY TO YOUR PROIECT*I'}
n Det Garape ISF)
! Pool (SF)
F Deck (sF)taK
e [Yes ! No
X-*o
ls the proposed work changing the number of bedrooms? D Yes KNo
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structur
lfthe project is a Relocation, istherea Natural Gas Lineonthe current site? E Yes
ls there Electrical Power on this Buildingf prV"t I t\lo
le Fami E Duplex.n Townhousely
the appropriate pe be in violation of the NC S
Signature
Sing \(rv"r o.S \
,\\
DISCIAIMER: I hereby certifythat allthe information in this application is correct and
laws and ordinances and regulations. The NHc Development Services Cenlerwillbe n
allwork willcomply wath the State Bui ing Code and all other applicable State and local
otified ofany changes in t ns and specifications or change in contrector
04,
information. "'NOTE: Any
Owner/Contractor:
"Licensed Quolifiet"
subject to Iines
ls the property located in a floodplain? ! Yes
Existins tmpervious ar"", | 81 ,c*
ixN"
New lmpervious Area:l2&cl Sq Ft Existing Land Disturbing Permit: I Yes n No
WATER: tr CFPUA ! Community System ! Private W€llX[ Central Well ! Aqua
SEWER: fl CFPUA n Community System ! Private SepticX Central Septic D Aqua
zone:
-
oflicer:
-
setbacks (F)
-
(tH)
-
(RH)
-
(B)
-Approval:
-
City:
-
Date:
-
Floodr (A)
-
(V)
-
(N)
-
8FE+2ft=
-
Comment:Permit Fee: S
tr Porch (5F)_
! StoraBe Shed (SF) _
tr Other {SF)_
ls the proposed work changing the existing footprint? ! Yes E No
ToTAISQFTUNDER Root (fot ptoposed *or*1 x""ta, lrlln (
rorAt PRoJECT cosT (Less Lot): S bTOCp '
unt""t"a, I Of
Total Acres Disturb"a, ,\hLO-
Fq /1av
ds'RECETVED sEP 06 2017
RffiEffiF
NEW HANOVER COUNTY BUILDI'TG PERMIT
AP P L, CAION Typ E : REstOEtrrItAt
PLTAST A N5h'TR AU qUEsTbIIS APPTJCABTI TO YOU i PRO'ECr-prolc.t nt.eonjulhy,
Jor'?-1'111
/7 - ztt?
ApCqtron
loffc! ut lAFUCA T5 I'JAME:
Oale:Pf,O,,ECT ADOBTSS:314 CH E OTYi Z?:284Og
PiOPfRTY OW'.ETS At [: JONATHAN
SUBDIVEION:
€5S:
toT r:
-
PIIONE f; 9105204669
CITY: WIL
a[.oG lrcttlsE
OWNIR,s ADDRESS: 3i4 H E z]P;284,09
te)ljt CITY:(om s,NC zpEMAILADDitSS!
D Atl Garrgr (SFl .-
tr Suiraom{SFl :[f GEenhouo (SF) _
O Dct 6rr$e (sF)_
D fool lst,
B Deck {sR
Cl Por6 iSFl
/Stor.gr $,"4 1Sr1 ZgO
D Oth€r lsrl
E o
PFolEct COI.T CT pEesor.,r JOMTHAN CALHOUN pHoNE: 9105204669
EXEiltlC COllSil JCIlOtlr Cl Ah.n{on E nen6,a0on E Geo.n.el1eplfrs
iEW OOt{StfUCTp[: O €rEct €l,Y R.ddence E Addltion to E sring Re3tdeoc. El lebcalon
i..PLEASE CHECXAND A!SWEn B€lot^, A[ tHrrAPPLY TO YOUR PiOJECT"'
folAlSQ FT UIfDEi ROof Uot gtopo*tt workl He.tldi lrnhsa,teo 200IrrAl TROJACT OOSI (Lesr Lot): S4OOO
l, the proposed rort dlanging the nunbc, of bedrooms? E) ,- d*ls aDy goahl plultrg or i,i"drantc.t*o* bsiu done to ths A..sso.y Strustr,m O ro Jroif ttle p.ojed ls andocrlror,ls thlre a lrtur.lGis Line qr the cunentsite? O-ia fra"ls t rere Ehstrical pqwer oi thh Bulldlng? E yot gztao
ls ttc propor€d rort ch.ndnt ihe edsthg t€grht? O y€s |] No
PrBCrry U!./ Oacup.rcI O S,nth f.ltllly D Dupler D Tos'nho{tDelcrlptlon otWor*:
rr$ ^h.ar: I lxr.ly c€dy thrt at tlE idart|.tbn tb\ir sld o.AL,*rr rnd rrlut.tb.tr. ,Iha ,!8c Ollr&,.ftrr S.Mc.s Cin rdltb.,ptflkdhto.nnoon. ...IOTE: A11, rort po,lon d wnhoul tla arrropriate Darnlt! t ll be ln lbL
lhli lgBtatjon t cor|trt an t Ct yo.t tlll.ornpty rth tn 5t r.Cod. rd ll| oihlr .Ppaabh tne.,td k t
or ah-!r h .orr.lalor$sm.o...
Crwn€r/Con actor.:
'L/Ented Auoftlla,
IHAN
*ls the prpperty lo.ated ln. floodpl.ti? tr yrr E/o
Erlstlr8 lmp.rvloss Ar.a: _ Se Ft TotalAares Dlsrurbcd:
-_- Clty: _ Dar!:
--
Flood:(A)_lv)_l ) _ BF€+I,it _
. iaerr lmp€rvbll|. Area:t _ 5q Fr Etillt r.nd Ot.u6tr' hrrntc D y.i E tao
WA?EB: E/CffUl g Communlty System C prirdte well 0 C.entralwell g lqua t-_.6r,,1,-1 t^ |^-.E
f,sewrn, frrwa g (bmmLmtty syst.m f prtvate sepric E c€ntratseptt. A eqr{ Ui+ , ^i,rZUo/Zone; _ Omcer: __ Srtbecll (fl _ (tltl _{RHl_ (f}_
Apgroveli
Comrtlem:P.rmh Feer $\s.oo
.l
Crl'/
Ei
)or1 - q7q3
APPLICAN?S NAME:
i:iEP l7 4;35PN
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAT,ON ryPE: RESIDENTIA|
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Proied ResponsibiliV'
>.{<6.k"-4-/4
(c CITY: &l
t7- A1lD
Application
Number
{office use}
o.r,4/7/rz
PROIECT ADDRESS:
suBDtvtstoN:
CONTRACTOR
ADDRESS:
ZIP Z c)
L
PROPERTY OWNER'S NA
OWNER'S ADDRESS:2cL /"
I
?or/=-
LOT fl
PHONE #4/o 6ra Lora
cffY: (<),ztP: Z8 /€
BL LICENSE 'ClTl c<)s1.NC 1p: Z-8'{af
EMAIL ADDRESS:
E Sun
I Gre
ls the p
TOTAL
Ownei/Contractor:
"Licensed QuoliJiet"
PHONE 2/o 6 6ar4
pssp. €1O 64;62\/ePROJECT CONTACT PERSON
EXISTING CONSTRUCTION: ! Alteration D Renovation ! General Repairs
NEW CONSTRUCrION: ! Erect New Residence n Addition to Existing Residence E Relocation
I.I.*PLEASE CHECK AND ANSWER BELOW ATI. THAT APPTY TO YOUR PROJECT***
-y'-
Garage (5F)_W6"rearac" lsrl f76
room (sF)
enhouse (SF)_tr Deck (sF)
roposed work changing the existing footprint? ! yes Bdf
Description of Work:1rlrn.,-..lJ:.22.-ri/--
! Porch (SF)
SQ FT UNDER ROOF Aor proposed workl Heatedi Unheated:
lstheproposedworkchangingthenumberof bedrooms? ! Yes n No
lsanyElectrical,PlumbingorMechanicrlworkbeingdonetotheAccessoryStrudureEYesnNo
lf the pro.iect is a Relocation, is there a Natural Gas Line on the current site? n Yes tr No
ls there Electrical Poweronthis BuildinB? ! Yes ! No
Property Us€/ Occup"n.y, pdingl" F"mi[ n Duplex ! Townhouse
N0 t',\6CV,
QV$V
5Tz,z4-o k-.-
p0
./" <?
4 ./,
d subject to fines up to S5oo.oo***
fo.1:
information. *++NOTE: Any work performed without the appropr permits willbe in violation of the
laws and ordinances and regulations. The NHC Oevelopment Services Centerwillbe notified ofany changes in the approved plans and specifications or change in contractor
Signature:
NC State Blgtaode an
-4.-:-^
ls the property located in a floodplain? ! Yes E{o
Existing lmpervious Area:
-
Sq Ft Total Acres Disturbed:
New lmpervious Atea:5q Ft
CFPUA D Community System ! Private Well ! Central Well fl Aqua
CFPUA ! Community System ! Private Septic n Central Septic D Aqua
Existing Land Disturbing Permit: ! Yes X No
WATER:
SEWER:
F
T
zone:
-
ofricer:
-
setbacks (F)
-
(LH)
-
(RH)
-
(B)
-Approval:
-
City:
-
Dat€:
-
Flood: (A)
-
(V)
-
(N)
-
BFE+2ft=
-
LzaeLo
Comment:Permit Fee; S
:.-r,t),!'.'-rtliff
! Pool (SF)_! Storage Shed (SF)_
! Other (SF)_
TorAt PRoJEcr cosr (Less Lot): S \tO 0O
C
u$re\:m
,^(, (> ?ot1
d D'rrrrw HANoVER couNTy BUTLDING pERMrr
APPLICAIiON TYPE: RESIDENfiAL
PLEASE ANsWER AI"I QUESTIONS APPLICAELE TO YOUR PROIECT-Pror€d nesponsibilh/
.q17q
Applicalion
ttumber
(offrce u5e)
2gBi-iG 1? ?r29Pn
\2
APPI.ICANT'S NAMI:
PROJECT ADDRESS;CITY: W )A tN tfCN
Dat€:
N.C..9, 2r// 7.
SUBDIVISION: lhornAzy' latUfS
PRop[RTYoWNER,S,NAM* EDL,..bL} 8I2KE
OWNIR'S ADDRESS:
CONJnACTOR: OL/rtn F*lZ
ADDRESS: JL. /,','1,I D.?cm: tlPtlrlfs t/loE it/l. x:zrP..Zr(ti)
PHONT 6
LOT f
BLDG LICENSE
CITY:ztP Zt'*ft-)
EMAIL ADORESS: 82tr/./11t. ,t ) leltL;, (a,*pxo16 Itt 274
EXISnHG COI{STRUCTON: [] Alteration g/Renovation [] GeneralReparrs
NEW CON'TRUCTIOITI: [] Erect New Residence fl Addition to Existing Residence . Relocation
.T'PEASE CHECT ANO ANSWER EETOW ALL THAT APPLY TO YOUR PROJECTTT'
V An GaBge lstl ZY o tr Porch (SF)(r)
! Sunroom (Sf)_[] Storage Shed (S
[] Greenhouse (SF)
ls the proposed work changing the existing footprint? I Yes [l. No
)_
D Other {SF)
TOTAT Sq FT UNDTR ROOF Uor proposed work\ Heatedi )t Unheated:
TOTAT PROJTCI COr, ltess totl: S 73r;t0 '*
ls the proposed work chan8ing the number of bedrooms? n Yes EfNo
ls any Electrical, Plumbing or Mechanical wo,k being done to the Accessory Structure Uf Y6 I l{o
ll the project is a Relo€ation, isthere aNatural Gas Line on the current site? n Y6 [] rilo
ls there El€ctrical Power on this Building? E/Y€s I No
Property Use/ Occupancy:Single milyFa Ouplex l Townhous€
D6cription ot work;
OlSatllMER: I hereby cenify that allthe Information inthis appliratiofi ir correct and allwor* will.omply wilh lhe Slate EuildioSCod€ and ell
laws and ordinances aod regulations. The NHC Developmeni Serviceg Cenler will be notilied ot any char|ges in lhe approved plans and
inlormalion. "'ltoTt: Any worl performed without the ippropriate permits willbe in vblalion ol the NC Stal 8ld8 .nd subiecl lo tanes !,p
Owner/Contractor fi)",nrn ead Signature:
"Liceosed Quolifier" Print Nofie
ls the property located in a floodplain? n Yes E/No
Eristing lmperYious Ar€a:
-
5q Ft TotalAcres Distu.bed:
t{ew lmpervious Area: ---& Ft txlsting Land Usturbing Permlt: n Yes [f No
WATER: g/ CFPUA Il Community Svstem n Private Well D Central Well I Aqua
sEwERt D/CFPUA fl Community system D Private septic fl centralseptic . Aqua
Zone;
-
Officer:
-
Setbacks (F)
-
(tH)
-
(RH)
-
(B)
-Approval:
-
City:
-
Oate:
-
Flood: (A)
-
(V)
-
{N}
-
8rt+2ft-
-
applirable Stat€ ard 10.dl
o. ch:n8e ii contrador
5s00.m"'
Commentl Permit Fee: S
I
$,:lg - t -7
pnolEcr coNrAcr peruion: 0.u2il vlrl7 ploxc: ?lo zu lboz.7
O Det Garage (SF) _
n Pool(Sr)_
Q D*klsr\ l{?
Pf FF - t'{af
echanic
6c\1
ffi;,1tth
APPI,ICANT'S NAM!
PROIECT ADDRESS:
SUBOtVTSTON:
Xn918t
tt-ffi2
{oll(e ur€}
q W HANOVER COUNTY BUILDING PERMIT
AP P LI CAT IA N TY Pf; RESIDENTIAL
PLEASE AN5WER AI-L QUE!IIONs APPI.ICABIE TO YOUR PRO.'ECI
"Proje(t Re5ponslbllilf'
oV\
CITY wl
e N*us-IorJ
OatL
-11
AP: L
LOT
'I
PHONE H qr0^- 6163
CITY i ztP
l.0G ucEN EN 1 ilc
SI Lf,. zrp
PHONE d-52&)
?ro"o S?J"b
L
PROPERW OWN€R'5 NAMEI
OWNER'S ADDRESS:
CONTRACTOR:
ADDRESS:Z\
EMAIL ADDRESS
Description ol Work:
(e';,ttn 6n4 t
t1o fttrt -(hou M
CITY
PROJEC' CONTACT PTRSON PHONE
ExISTING CONSTRUCTTONT D Atteration D,/Renovation E Gene,al Repairs
NEw CONSTRUCTIONi D Erecr New Residence D Addition to Existing Residence 0 Relocation
U.rtt earaee (sr) 40D
C Sunroom {SF)_
f) Greenhouse (5t)_
P!EAsE CHECI( ANO ANSWER BE AI.L THAT APPI.Y TO YOuR PROJtCT. r r
E Det Gara8e {St)--D Porch (SF)
n Storage Sh
O orher (sF)
ed(F)_
ls the proposed work chanBin8 the exis ng foorprint? D Ves E}/fio
IOTA| SQ tT UNDER ROOF Uor proposed wo.l) Heated:
TOTAL PROJECI COST (t"ess tor)r S 000
U n h eated:
ls the proposed work changin8 the number of bedroonls? E ye5
15 anyd:t66lr',JPptr-ttnc o k belng done to the Accessory Structure ffi* a No
lf the project i5 a Relocation, lJ there a Natural Gas line on the current site? D yes tC- No
ls there Electrical Power on this Building? E]-4es O Ho
Property Use/ O(cupancy: D Slngte tamll plex O nhouDU
a/*.
se
*:lq"
H{d I e u
(€er9 l
DlSClAlMtRr r herEby.e.rity lhnt alt lhc tntormalton tn lhi, applicatro
lawt aod ord;nDncc! rnd regulationr.lhe Nric Ocvelopment Se,vicesi^formrlion '..NOTt: ny work perlo,m€d w,rhoul lhe app,oprial€
Owne./Contractor:. (4.1-h
'Licented Quoliliet'
.l ii corr.(l ind allworl willaomplywith tie 5late BLrilding pp
Center willbe nolified o, anychenEer ln lhe approved ptaas and r9e(ifl(nti
9ermile will be in violation ol the NC Stale Btd Code and tubiecl lo inel u to Ss00.00"'
Sigrature:B
Total Ac.es Dlsturbedi
Exlstlng Land oisturblng permit: C yes D No
E
d
zone' R. ?D otlcer,
approvat: _![_ ctty:
"4 €<Dc,oa*)(D_o
=<Dp
"<)
,&,
<it !.c:,
WATER: F4TPUA E Com.nunity System D privare Well D Cenlratwe E Aqua
sEwtR: /cf PUA D communtty syrtem E pnvate Septic E Centralseptic fl Aqua
1W setuacrrs,trt il\!r- rurt rl\A 1*r1 r.l1t 1u1 $-
V\r.,nn o",", $\1 nood: (A)- (v)
-
{N) rA Brr+2rt=
a)
Comment:
$,K oilL{.
6 JI Usc.Permit fee:
@
I Pool (5f)_
D Deck (sr)_
ls the prope y located in a floodplain? D yes
Exlstlng lmpervlous Area: __* Sq tt
New tmpervlour Are", O sq rt