NOVEMBER 3 2017 BUILDING APPS?,ot't- l(bry
i{++i,g
0a CITY:
Application
Number
{office use)
App1tcAN1,s AME; Stevens B
PROJECf ADDRESS: 15 q.
Date: lolztln
71p; 28409
5UBDIVISION:Maple Ridge at Bay LOT*: 2
pRopERTy owI{ER,g pa;y6; Stevens Building Company
OWNER,S ADDRETS; 5710 Oleander Drive Suite 200
pxorur *. 91G794-8699
6ry; Wilmingrton 4p;284Q3
CONTRACTOR: Stevens Building Company rap6 g6gtvs5 s. 31626
ADDRESS: 5710 Oleander Drive Suite 200 CITY:Wilmingrton sr: NC ap:28/.03
EMAII. ADDRESS:snicholson@stevensfi nehomes.com
n Sunroom (SF)n Pool(SF)
n Deck (SF)n Greenhouse (sF)
ls the proposed work changing the existing footprint? tr Yes d No
TOTAT SQ FT UI{DERROOF (Jor propo*d work} H,eat d:l11o unheated: 4ol
TOTAL PROJECT COSI (Less Lot): 5 120,000
Prop€rty usel Ocapancy: E silEle Famih El Dupler tl Tosmhous€
Description of work New sinqle family construc-tiofl
pxotr: 910-794-8699
EXEn G COIISTRUCTIO : E Aheration E Renovation fl General Repairs
t{EW @NSIBlrcTtOfl: d Erect New Residence n Addition to Existing Residence D Relocation
. **.PLEASE CHECX AI{D A SWER BELOW AUT ***
d ett o"oe" (sfl t{ b0 tr oet Garase (sF)
-
d porch (sF)+t
E Storage Shed (SFl --
! (Xher {SFl
ls the proposed work changing the number of bedrooms? tr Ves d Uo
ls any Electrical, Plumbint or Medtankal work being done to the Accessory Structure E yes d o
lftheproiectisaRelocation,isthereaNaturalGasYeonthecurentsite?trVesdrc
ls there Electrical Power on this Building? E Ves EI tto
2l0cT l7 3r26Pt1
DISCIAIMER: I hereby cenit that allt|e information in this applkation is conect and all work will comply with the stat€ Buildint C-ode and all otlEr applicable Stdte and toc.tlaws and ordinances and retulations. The I'IHC oevelopment Services Center will be notified of any Ehan8es in the a plana and specifications or dEnge in contractorinformation. *"NOTE: Any work performed without the appopriate permits willbe in violation of the NC State Code and subject to to SS{0.00.r*
O*,ner/Con6actor: MichaelCraig Stevens Signat,re:
"Licensed Quolifiel Pdnt Nome
ls the property located in a floodplain? tr Ves /fo
Existing tmpervious *""' tl1 9'l sq rt Total Acres Disturbed: 1/3
New lmpervio usArea: 11fil sqft
Weffnr d CFPUA tr Community System E Private Well E CentralWell E Aqua
SETUER: E CFPUA tr Community System E Private Septic E Centralseptic E Aqua
Zone: _ Officer: _ Setbacl6 (R _ (tHl _ (RHl _ (Bl _
Apprtral: _ City: _ Date: _ Flood: {Al _M _(tIl_BFE+2ft=_
comment: permitree:g (r Dq9. 0O
J
NEW HANOVER COUNTY BUITDING PERMIT
APPUQTDN TYPE : RESIDEIUfl At
PLEASE ANSWER AI.t QUESTIONS APPLICABTE TO YOUR PROJECT
"Proiect Responsibilttf
pROJECT CO11TACT pgX5g ;Staci Nbholson pHgX6;91G.332-8515
Edsdng Land olshrrblng Permit tr yes d No
ffi
NEW HANOVER COUNTY BUITDING PERMIT
A P P Lt CAT I ON TY PEr RESIDENTIAL
F!tASE ANSIVER ALL QUESTIONS APeLICAB!E TO YOUR PR0JECT"Proie.t Respons,bility"
eo(T -|Od-1
r{PiLtcANT',S NA[aE: PUlte HOrneS 96ss. 10-25-17'^ ^:aa. I : :: i. I ../CtTy: Wilmin 71p ?34't2
SuBDlvlsloN: Del V!ebb Rrverlighls LOT fi: 01 130
coNTRAcToRr Pulte Homes 9196 U66x56 s 19311- 'is:ctry. l"4yrtle Beach ST: SC zlp 29579
.;: aa :ss:uite.conl
*PLEASE CHECK AND ANSWER BELOW AI.I- THAT APPLY TO YO r..'
PHONE: 843-353-5',]19
pROJECT CONTACT pss5611; Titfan Dunn
EXISTING CONSTRUCTION: I Alterrtion ,-- Renovation :-- General Repairs
NEw CONSTRUcIIoN 12lErect New Residence ,:l Addition to ExistinE Residence .l Relocat
PHoNE.843-353-5119
7 Att Garsge (sF) 406
ron
R PROJECT'*'
E oet Garage (sF)_{Porch lsr)395
tr Pool (SF)
tr Deck (SF)
I sunroom (sF)_
(,rcennouse i5F)
E Storage shed (SF)_
. cther {sF)
ls the propo:ed work changinS i:r.r existine footprint? : Yes E No
TOTAL SQ FT UNDER ROOF Var praposeC vratkJ Heated: 2094 unheated: 801
ow^et /Contractor: Tirfary D Dunn Signature:
'Licensei euolifie( Prni Ntme
lsthepropenylocatedinafloodplain? tr Yes E No
Existing lroperv;ous Areal _ Sq Ft TotalAcres Dlsturbedt
New lmpervious Area: __ 5q it Exlstlng !a d Dlsturblng permlt: E yes D No
WATERT D CFPUA E Communitysystem E Private Well fl CentralWell D Aqua
SEWTR: D tFPL{A E Community System E private Septic E Centralseptic E Aqua
zon", 2--7-!-Jm'.",,5(c setracrs(r)-f-(rHl X (RH) Y (B) *
apprwat: - .()lL cityr lLl{o"t , tbf1$f !'l rnoa: (A)
-
(v)
-
{N} x BFE+2ft=
-
a_ nentl
i:ity lnspecficrn Requrreo, 91 0-254.{ii5
Permit Fee: S
pROpERTy OWNER,5 NAME: Pulte Hon:es pxOlrE *: 843-353-51.j9owNER'sADDREss:gsooru,,ng!!g,ffi w,uy,rt"t""-In------li.I76E;g
TOTAI PROIECT COST {Less Lot): $ 137598
lstheproposedwcrkchang'ngthenumberofbed.ooms? E Yes E Nq
ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure E Yes E No
lftheproj-.ctisaRelocation,isthereal.laturalGasLineonthecurrentsite?!YesDNo
ls there Electrical Power on th is Buildin8? E Yes I No
,/
Property Use/ occupcncy: d single Family E Duplex E Townhouse
Description of Work @ned porch and bedroom ILO glq3lgge storaqe , _
)u
,l
NEW HANOVER COUNTY BUILDING PERMIT
APP LICATION TYPE: RESIDENTIAL
PLEAsE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility''
Jorr- (\&or(
Appll.ation
Number
(office usel
AppLtcANT,s NAMEr Pulte Homes Oate: 10-25-17
E-.
pRoJEcT ADDREss: 4015 Ruddy Duck Way ow: Wilmington 71p 28412
SuBDlVtstoN: Del Webb Riverlights tOT *: 01 130
pRopERTy owN€R,s NAME: Pulte Homes pHoNE#: 843-353-5119
OWNER,S ADDRESS : 3504 Farinodon Court ctw: Myrtle Beach y1p. ?9579
CONTRA6T6R: Pulte Homes glorc U6gNg6 s- 1 93 1 1
ADDREss: 3504 Faringdon Court Cry: Myrtle Beach Sl: SC Zrp: 29579
EMAtr ADDRESS: Tiffany.Dunn@Pulte.com
pROJECT CONTACT ppp561. Tiffany Dunn
EXISTING CONSTRUCTION: n Alteration n Renovation D General Repairs
EW COt{STRUCTlOtrt: \ElErect New Residence E Addition to Existing Residence X Relocation
I.**PI.EASE CHECK AN D ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT* ' T
pHoNE: 843-353-5119
pxorur: 843-353-51 19
tr Det Garage {SF){Porch lsr)395
n Pool (sF)
n Deck (SF)
I Storage Shed (SF]_
/att ear"e" (sr)406
n sunroom (sF)_
I Greenhouse (SF)_
TOTAL PROJECT COST (Less Lot): 5 137598
law5 and ordinancer and regulations. The NHC Oevelopment Serviaes Center will be notified of any changes in the approved plans and sp€rificrtions or chanSe in contractorinformation.'..NOTIiAnyworkperformedwithouttheappropriatepermitswillbeinviolationoftheNC Code a bje.t to fines up to 5500.00...
Owner/Contractor: Tiffany D Dunn Signature:
"Licensed Quolilier" Print Nome
ls the property located in a floodplain? D yes E ruo
Existing lmpervious Area:Sq rt TotalAcres Disturbedi
New lmpervious Area:Sq Ft Existing tand Disturbing Permit: D Yes E No
WATTR: E CFPUA n Community System E Private Welt E Central Well n Aqua
SEWER: 6 CFPUA E Community System D Private Septic D Centralseptic E Aqua
Zone: _ Officer: _ Setbacks (Fl _ {tH} _ (RH} _ (B} _
Approval: _ City: _ Date: _ Flood: (A) _ (Vl _ (N)_ BFE+2ft= _
PermitFee:s l-aqq.OoComment:l
tr other {sF)_
ls the proposed work changing the existing footprint? n Yes ! No
TOTAT Sq FT U'{DERROOF tfot proposed workl Heated: 2094 Unheated: 801
lstheproposedworkchangingthenumberof bedrooms? E Yes E No
IsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEyesENo
lf the pro.iect is a R€location, istherea Natural Gas Line on the current site? E yes n t{o
ls there Electrical Power on this Building? E Yes E No./-aProperty Use/ Occupancy: M Single Family E Ouplex E Townhouse
Description of work: Martin Ray Elevation LC2G with screened porch and bedroom ILO of garaqe storaqe
I,
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
I nt er ne t : u,ww. nhc gov. co m
4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT TSSUANCE
STATEMENT OF NDERSTANDING
Tiffa Dunn (Pulte Homes , 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:
tl I have attached an official CFPUA receipt or document that has
acknowledged an approval of the payment made to CFPUA.
I have ched 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.
! 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 wlll be issued within 4 (four) to 7 (seven)
working days after the official submittal 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:
Tiffany D Dunn 10-25-17
Signature Printed Name
4015 Ruddy Duck WayAddress for the proposed residential work:
Date
t1
.
APPTICANT'S NAM '' JO SL*
NEW HANOVER COUNW BUILDING PERM!T
APPLICATION TYPE: RESIDENTIAT
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project ResponsibiliV'
Elkwolr/^
^
o(I- r\@Vbt&I
Application
Number
(olfice use)
Datel /0'n-eD/7
PROJECT ADDRESS:
SUBDIVISION:
An ,4 *;Tn ICITY a4 ztP: 29./0{
LOT *I:
PROPERTY OWNER'S NAME:L
OWNER's ADDRESS 2 l/
PHONE f /7 szal
Cll\: L,*t ,+1t t.-q I o L-<zrP: Z|'tG
hu C\ICONTRACTOR
ADDRESS:
EMAILADDRESS: C 5
a,!^ ells )v+rlh
BLDG UCENSE S:
ST trl-zl;, Z0lf,t-'
PHONE:
PHONE:?ro 311 3871
clTY: hJ
,r4
PROJECT CONTACT PERSON
EXISTING CONSTRUCTION: [] Alteration ! Renovation ! General Repairs
NEW COITISTRUCTION: [] Erect New Residence E Addition to Existing Residence [] Relocation
.*IPIEAsE CHECK AND ANSWER BETOW AIT THAT APPTY TO YOUR PRO'ECT''i
n Att Garage (SF)_D Porch (sF)
[] sunroom (5F)Il Pool (sF)
[J Greenhouse (5t)-I Deck (5F)
TOTAT PROJECT COST (Less Lot): S 00
ls the proposed work changing the number of bedrooms t A yes {xo
ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure L4 Yes Ll No
lf the project is a Relocation, istherea Natural Gas Line on the current site? n Ye9 D No
lsthere Electrical Power on this Buildingl E{yes n No
Prop€rty Use/
Description oI
Occupa ncy: {slngle ternily E Duplex E Townhouse / n -t I/1?ar- /a-n tfl1Ttks 6ara iZ Lnoa(,lv 5,/,+b
{*ru",.r.lsil ljt-
l'.l0cT 17 1!! l rPH
ril ,tl
-
information. "'NOTE: Any work performed without the appropriate permits will be in violetion of the NC
rapplicable State and local
tions or chahge in contractol
eends nes up to s5@.00.+.
:rty nsoecilon Requreo, 9 I $254.0i:t
-
)-a c-
DISCLAIMER: I hereby certify that all the information jn this application is corred and all work will comply with the ildang Code
laws and ordinances and regulat;ons. The NHC Development Services Center will be notified of any.hanSes in t ap d plans
a"sl^v* E/L*,7LOwner/Contractor:
"Licensed Qudlilier'
ls the property located in a floodplain? D Yes E No
Existint lmpervious ar.., 57L sqrt
New lmpervious Area:trSL Sq Ft
WATER: n CFPUA n community System
SEWER: D CFPUA n Community system
zon ,Q'\O Officer:
npproval: -.128- city;
Commenti €
Total Acres Disturbed: O
Existing Land Disturbing Permit; ! Yes n No
n Private Well n Central Well 0 Aqua
E Private S€ptic D Central Septic C Aqua t
Signature:
rH, f {RH} + (B} #
_ (vl {N} X BFE+2ft=TLru l* 6trqctrrr€
*DISCLAlMER:Btrll
\<la
AL CHARG I - REFUNDABLE
Permit F€€i $
D Storage Shed (Sf) _
n other (sF)_
ls the proposed work changing the existing footprint? E Yes n No
TOTAI SQ FT UNDER ROOF Uor proposed workl Hezledi _unheated: 4 72
5',\$\aa? n)q5NEW HANOVER COUNW BUILDING PERMIT
APPLICATION TYPE RESIDENTIAI
PI-EASE ANSWTR ATt QU€STIONS APPTICAETE TO YOUR PRO]ECI
"Proiect Responsibilitl/'
e
Application
usel
APPI.ICAN?S NAME:A Date
PROJECT ADDRESS:
suEDtvrsroN:
ctw
PROPERTY OWNER'5 NAME;
OWNER'S ADORESSI -J
CONTRACTOR LLL
ADDRTSS:CITY
EMAII- ADDRESS:
n Greenhouse (SF)! Deck (sF)
ls the proposed work changing the existing footprint? I V"l\ no
Unheated:
TOTAT PROJECT COST (Less Lot): S o
zt
LOT #
o fsl-Se 8PHONEfl
Cfn, t-r)
PHO E
EIDG LICENSE f
zt
srf{C zre,8(/a
EXISTING CONSTRUCTION: fl Alteration E Renovatioi'\ General Repairs
NEW CONSTRUCTION: n Erect New Residence ! Addition to Existing Residence D Relocation
,} *PLEASE CHECK AND ANSWER BELOW AI.I. THAT APPTY TO YOUR PRO.IECTII**
D Att Garage (5F)_D Det Garage (SF)_tr Porch (SF)
! Sunroom (SF)! Pool (5F)fl Storage Shed (SF)_
\ o,n",1rr1 cnTpr*
ls the proposed work changing the number of bedrooms?
ls any Electrical, Plumbing or Mechanicalwork being done
lf the project is a Relocation, is there a Natural Gas Line on
lsthere Electrical Power on th is Build ing? Ll Ye)ts No\
Property Use/ Occupancylg Single Family D Duplex E
{
- Yes lq No \\totheAccessoryStructure N Yes D No
thecurrentsite? ! Yes fl No
Townhouse
?50cI l? I i r?38t1
Descriptlon of Wort:
c
lawsand ordinances and reSuletions. The NHC Development Services Center willbe notified of anychanges in lhe approved ptans and sp
information. "'NOTE: Any work the permitswillbe in violation ofthe NC Stare Bldg Code and rubje 00
Owner/Contractor:
"Licensed Quolifiet"
0 Signatur€:
ls the property located in a floodplain? n Yes ! No
Existing lmpervious Area: _ Sq Ft TotalAcres Dlsturbed:
New lmpervious Area Sq Ft Existing Land Disturbing Permit: ! Yes E No
w{lEFx F 7PUA ! Community System ! private welt f] central well f] Aqua
SEW€R: Z(CFPUA ! Community System n private Septic E Centrat Septic E Aqua
Zone: _ Officer: _ Setbacks (f ) _ (LH) _ (RHl _ (B) _
Approval: _ City: _ Date: _ tlood: (A) _ (V) _ (N) _ BFt+2ft= _
Comment:Permit Fee: S
o
pRorrcrcoNrAcrpr*ro^'A\OUb ,ro*, 9[o- sSJ- 7793
TOTAL 5q FT UNDER ROOI Uot proposed wort) teatea: /JOO
,50ftv Ecl1-DqS
NEW HANOVER COUNTY BUILDING PERMIT
APP LICA|,ON rYP E; RESIDENTIAL
PI.IAST ANSWIR AII QUISTIONS APPTICABTT TO YOUR PffOJECT
"Prolect Responsibillty"
L C ITY
0ate
It
/
roT f
L PHONE
i,n,l^)
CITY
__ ._.. Plto
o-L/e
I
3
L(f-BLD6 itc€
s
NSE I', -rAC zrpJtf/d.
l1ql:^<J 7793
EXISTING CONSTRUCTION: i-l A teralion D nenovatio)ts GeneralRepairs
tlEW CONSIRUCTIONT [-] trccl New R€riden.e f] Addition to txistinS Residence E Relocation
PlroNr
Atl Garate (5F)_
S!n,oom (Sf )___
tr Porch {SF)
O Storage Shed {SF) ..-
I Greenhouse (Sf )___
tr oihiron l" OItrAny wort p.
\ o,n*rrrt Qlnpcr*
thc proposed work chanBinB lhe exasting footprintf 6 V\
the proposed work chanting lhe nunrbe/ of bedroom5? [l
any Eleclrical, Plumbin8 or Mechani(al work beinE done lo
the proicct i5 a Relocalion, is there a Natural Ga5 Line on th
there Electrical Power on this Building? D ye)E lo
U Deck lSf)
No
OTAt 5Q FT UN0tR ROOI Uot ptoposed wotk)
OTAt PROJICT COSI itess Lot)9/
Yes b No \the A(ces5ory Strurture D Yer ll No
ecurrentJite? tr Yes tl No
Owner/Contrarto
'Ire^sed Quolitet"
2i0l]I l7 I l:23Hn
allworkwlromglywilhrh€5r.\€Suildioecodc.ndrllorhcra,rnrr( blc5l.teandlo(a
olrtred ol a.y.hante5ln lhe approved plin5 a.d 5pecri(.rrod1or
reIe Dir5 *illbe i^ violalto^ ol lhe NC tt.le ElugCode and ru
Signatt rei
Toral Acrcr Dtstu.brd:
ErlstlnB land Disturbin8 P€rmiti [r Yes [-l No
Comnrunity System []PrivateWrl[] Centr:lWell al Aqua
e
rhc prope(y localed in a lloodplain? tl Yer L No
xlstinS lmperviouJ Area: -__- ___ Sq tt
ew lmpcrvious Area: _ Sq ft
ty Syslen) [] Pri te 5c
orr^. yl yruo 1
'*r^, 'r( r,ouo ,,.
tficer 'a),:::,:,&tic
(N
Setba.ks (f)(LH)
loodi IA)I t t +2ft=stsPermli Fee: 5
f
Ct
AL
ox{r
'a4..
(v)
\.ily rnq)euiion riequiieo, ,r ut:taq-l,,, .j
",.' ',..
ffii;
,fi
fr
ApPLtcANT's NAMt:
PROJICT CONTACT PERSON
...PtIAsf CHECX ANO ANSWTR EELOW AIL TIIAT APPTY TO YOUR PROJTCT'i '
O Det Garate (Sf)_
n Pool (SF) _
xeateo, /ICOO unheated:
-
m'
NEW HANOVER COUNTY BUILDING PERMIT
AP PLICA| I O N ryPE RESIDENTIAL
PTEASt ANSWER AtL QUtsrol.tSApPLrCA0tt 10 YOUfi PROTtCI
"P.oject Responsibllitf'
pl+ lcsk(
APPLICANf'5 NAMT:,,|..a,.!-
L/4Ll,;
Da C)_s28.!PRO'TCT ADDRESSI
SUBDlVlsloNl
PROPTRTY OWNTR'S NAMEI
owNta's ADDREss: -?flD
C ITY
ptoNEu:q/o 27/ 65V/
zP r-tA/z,a
ltP
t"or fi
)-?f Js'j*
--r+
tt.t *-<CITY
( -38o
z-Z-1
/-y' oa- .>
"roe uunse 0,5'2 / o f,
sT: zpzt{o6)3 s-3t2
CONTRACTOR
ADDR€SS cl
EMAJL ADDRESS:
PROJTCT CONTACI PERSON
5 therc Hectricdl Power on
perty U5c/ Occupan(yi
CIIY
@
PHONI
PHONI
ExlsTlNG CONSTRUCTION: [:] Alteralion 64{ouolon $.G6-uat nepairs
NtW CONSIRUCTION: {-r [rect New Residence ll Addition to ExistinS Residence n Relocation
..PtTA5I CHTCI( AND ANSWER BETOW ATLTHAT APPTY TO YOUR PRO.'ECTIT'1-(^f))o'9/D oet Garage (SF) _0 Porch ISF) - ,
E Storate Shed
//lsr
;[-lU su^room(s[) (lPool
i, o,o"nno'r",rrt o De(k
I'ls the prooosed wor\ chanBing the existint lootprint? [.] Yet
IIOTAL SQ FT UNOTR ROO! Aor ptoposed work) Heat€di
lorrr pRotrcr cosr lte'. Lotl:5 ?000C Po
-7
Un heale d
l5 lhe proposed work changin8 the number of bedroonrs? D Yes
s any ge.trlcal, Plumblnt or Meahanl(al work
I the project is a Relocatlon, is thcre a Natural
be ae lo the Accessory Structure ll Yes O No
(sF)
(sF)
Line on the current site? O Yes LJ No
DNo
t-] Other (SFl
7/b
:-r-rLl :,r II:-l7Rl1
rh ie gdfdin
Vfrndot
P,1 e5
!(LAlMtf, hereL,y (crlily that .l thf [ornrilion in th]r apdr(at|()n it
eSulalons. Thc NtlC lJevc opment Se,vir€t C€nle. willb. norin.d ol any change! in lhe app,oved pla.s and s,,ccit.rlion&/!.nd ordtrrrn..! and .
Jro.mirion "'NOTET ,
Qwner/Cont.actorl
lLrceosed Ouohlet"
SEWtRI
8.lO lrlcer
o<
wirhour lhE approor arc p
htef Lcc
€rnrils \vr De in ! orarion ol thr NC 5rrt
Signalure
Total Acre5 Dlsturbcd: .
tx lstlnE L.nd Dliturblng
llCentralWell []Aq
and ruhle.l ro liner up l
Permit: i.YesllNo
amily [:] Dupler C Iownhouse k..rPt E+rtts /cr Lr.k,4
for Oan8e in contr.(lor
o 9500 00"'
li the properry locared in a lloodplain? fl Yei
lExistinS lmpervious Areai Sq fl
Sq rt
ritl r f n:
*{
F PI]A TcuAii lrivite
u/,
fl Community System E P.ivate Weil
Com munity System O
Setba.ks (F)
Date
zpne
lood
fec: 5Commen t
cit
i-4 Z?-/4
utre0, yt[2c4-t,)..,
l{t atr ca.age {sr)
orhci ap9lrcabl! 51ale d k{a!
I
gFt+2ft:
.. " 'i,'- "r-;s!:NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPN RESIDENTIAL
PIEASE ANSWER AtL QUESTIONS APPLICABLE TO YOUR PROJTCT
"Proiect Responsibilitl/'
!ct1- losrt
Applicataon
(office use)
o"r,1o/z{lZ
CtT]t: 1L)lZ--t+\ztPEEE,-APPUCAN?S NAME:l- 7a:- z'
PROJECT ADDRESS:
suEDtvtstoN:
PROPERTY OWNER'S NAME:
OWNTR'S ADDRESS:
CONTRACTORi
ADDRESS:o
EMAII- ADDRESS:
PRO,IECT CONTACT PERSON
tr Att Garage (S
D Sunroom (SF)
F)
Description of W
Llzl-ta
€
2.of -.\
cttiy,: /414.2-ztp.28/a/,
sLoa ucersro,S2 / o f
st:-aP'Z{ob) ?f 3 -riF
1--z_e_pHoNEi. ?/o 2 7/ 65V/
,42
CITY
PHONE
PHoNE: 27f ,t'jt
ExrsTlNG coNsTRUcTloN: D Alteration Kovation fl-Gii a"p"irc
NEW CONSTRUCTION: n Erect New Residence I Addition to Existing Residence E Relocation
I'IPLEASE CHTCK AND ANSWER BELOW ALt THAT APPTY TO YOUR PRO.,ECT'**
D Det Garage (SF)_/// sr
! Greenhouse (SF)! Deck {SF)
! Porch (SF)
! Storage Shed (SF)_
! Other {SF)
TOTAI Sq FT UNDER ROOF Vor proposed work) Heated:7 Unheated
TOTAT PROJECT COST (Less Lot): S /oooa.c,e
ls the proposed work changing th€ n u mber of bedrooms? n Yes
ls any Electrical, Plumbing or Mechanicalwork bei ne to the Accessory Structure E Yes ! No
lf the project is a Relocation, is there a Natural Lineonthecurrentsite? n Yes n No
7/o
z5r:rcI 1l I l:12fft{
ls there Electrical Power on thisrrlra-ing?/
Property Use/ Occupancy: U Single fam
esnNo
ily ! Duplex! Townhouse ,il 6+ttts /ci ld-.t
ots4
L and subiect lo fines upto S50O.00"'
rc3
DISCIAIMIR: I hereby cenitthat allthe information in this application is correct and allwork willcomply whh the State Buildin8 Code and allother app,icable State and local
laws and ordinances and regulations. The NHC Development SeNices Cenler willbe notified ofany changes in the approved plans and specifications or change in contraalor
"NOTE: Any work perform€d wirhoul rhe appropriale permits will be 14
ntracto': 0// 6'"t-t-'t-zOwner/Co
violation of the NC
Signature:
'Licensed Quolilier" Ptint Nome
-/.ls the property located in a floodplain? ! Yes Ezl(6
txisting lmpervious Area: _ Sq Ft TotalAcres Disturbed:
llew lmpe
WATER:
SEWER:
rvtous Sq Ft Existing l-and Disturbing Permit: ! Yes n No
FP D Community System ! Private Well D Central Well f] Aqua
FPUA ! Community System D Private Septic D Central Septic n Aqua
Zone: _ Officer: _ Setbacks (F) _ (tH) _ (RH) _ (B) _HoApproval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BtE+2ft= _
.r-
Comment Permit Fee: S
LOT #:
ls the proposed work changing the existing footprint? fl Yes
! Pool (SF)_
a
)ot+ ilurtNEW HANOVER COUNTY BUITDING PERMIT
APPLTCATION TYPE: RESIDENTIAI
PI-EASE ANSWER ALT QUESTIONS APPLICEBLE TO YOUR PROJECT
"Prorect ResponsibiliV'
CITY
APPI.ICANT'S NAME:
PROJECT ADDRESS:
5
Application
(office use)
Date
ztP 7*{2/
LOT #
PHoNE * zl tU 7 ( <7/i qvr'iluiryfon zrp7€t@l
A
SUBDIVISION:
PROPERTY OWNER'S NAME:
OWNER,S ADDRESS:t'CITY
CONTRACTORI /llark l caft ELDG I.ICENSE #
aooerss, k?tfr etwa))i*- D7E CITY ST ztP ng+27
EMAII- ADDRESS:PHONE: .l 1/.' L A0 +^L5
/
EXISTING CONSTRUCTION: []/ Alteration n Renovation n General Repairs
NEW CONSTRUCTION: E Erect New Residence ! Addition to Existlng Residence ! Relocation
*+*PL€ASE CHECK AND ANSWER BELOW AI.I THAT APPLY TO YOUR PROJECT': T
PROJECT CONTACT PERSON
tr Det Garage (SF)_
! Sunroom (SF)
! Greenhouse (5F)! Deck (SF)
ls the proposed work changing the existing footprint? ! Yes No
TOTAT PROJECT COST {Less Lot)s'35@
/Yla/!- 9zr+
ls the proposed work changing the number of bedrooms? E
ls any Electrical, Plumbing or Mechanicalwork being done to
lf the project is a Relocation, is there a Natural Gas Line on th
lsthere Electrical Power on this Buildingl ElZVes ! trto
PHoNEt 1fu! ,/c 7.0 4za5
n Porch (5F)
n storage Shed (SF)_
v",h ./
the Accessory Structrre E-Yes El/(o
e current site? tr Yes ff]rlo
250CT t7 i:t8rProperty Use/ Occupancy:e Family E Duplex E Townhouse
Description of Work:a-^{er 0
laws and ordinances and regulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or chan8e in contractorinformation. "'NOTE: Any work pe rformed without the a pp ropriate permits willbe in violation oft es up to 9500.004x'
Owner/Contractor
"Licensed Quolifier"
Signature:
ls the property located in a floodplain? E/V", tr rrro
Existinglmpervious er.., / ( 1 )
New lmpervious Area: O
TotalAcres Disturbe a, O
Existing Land Disturbing permit: EI yes No
Sq Ft
Sq Ft
WAIERT {CFPUA E Community System E private Well E Centrat Well E Aqua
SEWER: trCFPUA E Community System E private Septic E Central Septic E Aqua
Zone: _ Officer:
--
Setbacks (F) _ (rH) _ (RH) _ (B) _
Approval: _ City: _ Date: _ Ftood: (A) _ (V) _ (N)_ BFE+2ft=
Comment:*DISCLAII.IER :sUB TTING THIS A LICATION MEA IHAT THE SUBI.IITTA L CHARGE IS NON.REFUNDAELE
Permit Fee:s
D-75 - t7
,. - )., .r,'4"', ,
,
D Att Garage (SF)_
! Pool (SF)_
! other (sF)_
TOTAI, SQ FI UNDER ROOF Vor proposed workl Heated: O Unheated: C)
15'--
,,'ffi
L$"\APPIICANT's AME:
PROittl ADDRESS: -
SUBDIVISION:
NEW HANOVER COUNTY BUILDING PERMIT
APPL t UTIO N TYPE: RESIOENTTA[
PLEAst ANSWEF ALi QUTSTIONSAPPI.ICASLt TO YOUR PROJTO
"Proiect neeponslbility"
P0...-2o yrI A
r14?o?
9il l)tozy
v ztp
rK i_oT ,r
PROPERW OWTiER'S NAME:
OWNTR'S ADDi]iSS
8*8,,,l/nPallkt*,r C a .3
b
I r..o l-Lu LIC€NSE
s't
6'
zt?
'4 L,-FL
// z".lr 1
/)w
CII Y
;
EMAII. ADDF'S:
J Att Garage {SF) __
O Sunroor {St)
tr D€t Gara8e (sf)_
l
r a}1-r-r i!lt3NE
jcot _ _-r: ^-...on R._ ,,)n c..^cta..---.,
f Erea new nesidence E Addition to Existin8 Residence :- Relocation
.,.P1€ASE CH€CK AND AN5WIR 8EI.OW atl TH/iT AilpLy-iO !,-Oi.Jn pROircT*.'
Qple 101@
0 Pool(Sr)_
tl Deck (sF)__
: S'. sh€c --
i oth€r,jf
l.thc propo.erlv/or[(hangirrg thenumberof bedroon:s? E Yes E No
lsanyElectrkal,PlumblngorMechanicalwc.lbe;^gdoretotheAc.essoryStrur.lu'eEyesENo
ll tha ,roject is a Reloaadon, is there a Natural Gat [ine on the (urrent site? E yes n No
ls there Electrical Power on this Building? O Yes E No
Property Use/ Ocrupancy: 3 Slngle famlly / Oupter 5 Townhous€
Des.riptlon of Worl:
frlS
O' .rer/Contr;ctci:
taw!anc .: :^-*.-,.:1 r...--_ The r,!. n..,,.t^-__-apphcable Srar.andlocar
.r:lr-r:8ei....t:1o,
!:, , r
15the?r.pe"lvlo.alcdinafloodplair, D Yes E No
Et;stint lmperyio ul Aree: __ 5q Ft
New i'npf-Jious Area: -.. _ Sq Fr Eristing l.and Dist!rbin8 Permitr C] yes ir lic
Wntti Q[irrpl - Co.nnr(,nirv Syste.n E privare We O Cenr,E,WeI - Aqua
siwtR: b. Crti-rA E Cc*,!'iunity Syster El private Scctic ! Cer.,t.alSeotic C aqua
zone:- '--'- Olrrcer i\1o_ setbacks lFl _i!: (LH)ir(RH) ;i 61 Z-1
approvar: -]![ ciry: ]{"?LyL oate: lcflj/.J Hooa: (A) _ (v)_ (r) /._e
C. _. -. -..:.,,. .. ... .: .'
Totz;Acres^ ' l ,
"il, ini..ran;aa lt^r,,,r4r. ain.lli fr
i
i
I
i
i
I
I
$
-t ztP
Lr^(-Ltvvu
1-r --:
pRorEcT coNTAar pERsoH i (o4frel
l
l
Unheated:
lsl'" a.o:rr:C r,i4 -h"rt;.8 t1.,, ryi<ting.cotorin!) - ves - No
YO:AL SQ FI UNDER R @l t.r- r..ar.,C w^r, *"rr"O,
-]-
$ !
roTAr, PRoJrcT cosr (re5. Lot): S- 5?, OOO-
all?.-- tlbLvNEW HANOVER COUNW BU!tD!NG PERMIT
APPLTCATION TYPE: RESIDENTIAt
PT€ASE ANSWER AI.I- QUESTIONS APPTICASLT TO YOUR PROJ€CT
"Prorect Responslbilitl/'
\-z/oq"*- 6i'rurr-t/
PROJECT ADDRESS:
suBDtvtstoN:
2oZ'r,vi-: \t^/\'[ A CITY
r{c
Appli(,tion
Number
"d
use)
PROPERTY OWNER'S NAME
OWN€R'S ADDRESS:
CONTRACTOR
ADDRESS:
APPI.ICA NT'S NAME:
Description of Work:
Date 0
ztP
L /-/€*aro, i,"7 oicr6h,
crw
LLL B
CITY
PHONE
t(>1a).PHONE
I.'.*PLEASE CHECK AND ANSWER BEI.OW ALL THAT APPLY TO YOUR PROJECTI* '
El Det Garage (SF)_
n Pool(SF)
! Deck {SF)
ztP
t-tcENsE s
ST:
$138
ztP
EMAII. ADDRESS:
PROJECT CONTACT P€RSON 4 to z 6'7 c'g4
EXISTING CONSTRUCIION: ! Alteration fl Renovation E General Repairs
NEW CONSTRUCTION: I Erect New Residence n Addition to Existing Residence E Relocation
! Greenhouse (SF)
ls the proposed work changing the existing footprint? E
TOTAT SQ FT UNDER ROOF lfor prcposed work) Heated:
rorAr. pRoJEcT cosr (less r-ot): g-$ X , OtjO"
ls the proposed work changing the number of bedrooms?
ls any Electrlcal, Plumbing or Mechanical work being don
lf the project is a Relorrtion, is there a Natural Gas Line o
lsthere Electrical Power on this Building? E Yes E lto
Yes n No-+Bq Unheated:/& ErFL
o ve, tr ro a8'/ t"'l P 1
e to the Accessory Structure E Yes E No ---
nthecurrentsite? E Yes E No 221 0
Property Use/ Occupancy: E Single Family I ouplex E Townhouse
!{.I(,,evL
DISCLAIMER: I h€reby certify that all the information in this a
laws and ordinances and regirlations, The NHC Development
T_
Owner/Contractor:
"Li.ensed Quolifier"
work willcomply with the State BuildinS Code a allother apphcable State and local
Center willbe notified of any changes in the roved pla pecifications or change in contractor
ubjectto fines up to S500.0O.'.
Signature:
information. '..NOTE: Any work pedorm ppropriate permits willbe in violataon of the NC State
ls the property located in a floodplain? E Ves D t'to
Existing lmpervious Area: _ Sq Ft
New lmpervious Area:Sq Ft Existing land Disturbint permit: E yes E ruo
WATER: qLCFPUA E Community System El private Well E Central Welt E Aqua
SEWER: F.CFPUA E Community System El private Septic E Central Septic E Aqua
Zone: _ Officer: _ Setbacks (F) _ (LH) _ (RH)_ (B)_
Approval: _ Cityr _ Date: _ Ftood: (A)_ (V) _ (N) .-- BFE+2ft= _
Comment:;oiltiiiliin Perm ,,,"",$q4e
ffi
LOT #:
D Att Garage (sF) _
! Sunroom (SF)_
!, Porch (sF) /AO
n Stora8e Shed (SF) _
! Other (sF)_
Total Acres Disturbed:
a'ta
,/-\a
)5\? Ilb6bNEW HANOVER COUNTY BUITDING PERMIT
APPUATDN TYPE RESIDENTIAT
PTEASE ANSWER ALt QUTSTIONS APPLICABLE TO YOUR PROJECT
"Prolect R€sponsibility"
Poo.,-t ,r-i/
TL h'll€"aro, 1,"
41,,CANT'S NAME:Oate -70
PROIECT ADDRESS:
suEDtvtsroN:
2oZ -bivi-:
1ow ru 51 IYIEI'- crrv zlP
t-oT f
PROPERTY OWNER'S NAME:
OWNER,S AODRESSI
CONTRACTOR:
ADDRESS:
7 o5cro
ztP:
B
clw:
EMAII. ADDRESS:PHONE
PROJECT CONTACT PERSON PHONE
D Att Garage (5F) _n, Porch (sF)loo
! Sunroom (sF)I Stora8e Shed (SF)_
D Greenhouse (SF)tr other (st)
LLE
work willcomply with the State Buildang Code a
ces Center wallbe notified of any chang€s in the roved plan spec
tofi
4toz6 1 09@
I.ICENSE S:
5T:
46:138
ZlPl
Unheated:
ls the proposed work changin8 the number of bedrooms? E Ves E t'to
lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEYesDNo
Itthe project isa Relocation, istherea Natural Gas Line on the current site? E Yes E No
ls there Electracal Power on this Bu ilding? E Yes D tto
Prop€rty Use/ Occupancy: E Single tamity / ouplex E Townhouse
t
DISCLAIMER: I hereby cenit thatallthe information in this a
laws and ordinanc€s and regulations, The NHC Development
221 0
allother applicable State and local
iracations or change in contractor
nes up lo S5m.O0"'
I
Inlormation "'NOTt:Any work pertormed withoul the app'opflale permitr wrttb€ 'n
o,,n rlcont.aor, l.of<-f 6t?r\v)rwf
violalion of the NC State
Signature:
'Licensed Quotifret' - Printi, rrrr J-I
lsthepropertylocatedinafloodplain? D Yes E No
Existing lmpervious Area: _ Sq tt
New lmpervious Area Sq tt Existing land Disturbing Permit: E Yes E No
WATER: qLCFPUA E Community System E Private Well E Central Well D Aqua
SEWER: F. CFPUA E Community System E Private Septic E Central Septic El Aqua
Zone: _ Officer: _ Setbacks (F) _ (LH) _ (RH) _ (B) _
Approval: _ City: _ Date: _ tlood: (A) _ (V) _ (N) _ BFE+2ft= _
e-_j+br-
ctw:
E Det Garage (SF)_
tr Pool (SF)_
C Deck (SF)_
EXISTING CONSTRUCTION: D Alteration ! Renovation ! General Repairs
l.
NEW CONSTRUCTION: E Erect New Residence ! Addition to Existing Residence E Relocation
r*.PLEASE CHECK AND ANSWER BELOW ALI. THAT APPLY TO YOUR PROJECTT**
ls the proposed work changing the existinB footprint? E Yes I No
ToTAtsq FT UNDER RooF (Jot proposed.or*1 x""t"a' l{56
rorAr. PRorEcT cosT (r.ess r.ot1: g-J $ t 0,C'O"
lK ErFg
-78L/ z"Jrl
Total Acres Disturbed:
Comment:.DISCTAIME Permit Fee: S _
, | '-,.
,r ''ffi.)
t (\-i- appttclttys rulru:,Poo.,-,ac
NEW HANOVER COUNW BUITDING PERMIT
APPLIcAftAN TYPE : RESIDENTIAL
PtrASf A\-.1'/:A At[ QUESTIONS APPI|CABLE IO yol]F PACItCI
"Proiect R€sponrlblllty''
t','
k))Itaoa
PRO.'ECT A]ORE55:
sugDrvrsroN:
Dete t
LOi !
lL€*d*rr, 1,,l
-15 7 o.jcroinaptRr{0wr,iER's NAMt
OWNIR'S AODRESS:
CONTRiCTOR:
ADDRESS:
ctl_/zlP
ucrNsE
s1:
1693?_LLE
CITY
EMAIL ADDRES5:PHONT
PH0l,ia 4tolc j 09@
EXISIING CONSTRUCTION: D Alteration D RenDvation E Ge^eral Repairs
I Erca flew Residence E Addition to Existing Resideoce E Retocation
TO YOUR PROTtc-i...
- Att Ga..qe {SF)tr Oet Gar4e {St) __ _
O Sunroom (SF) _ tr
D Greenhouse (SF) __ tr
ls the proD.leC wo.f changing thc eriating foolp.ir:ri :
TOTAT 5Q FI UNDER ROOF (t/or otoposed wotkl Healed
lorAr pRo.rrcT cosr (r ess tot): 5 -J I , 0O A-
ls the proposed work.hanginS the nu.nber of bedrooms? E Yes E No
ls.n/ llectrical, PlumblnS or Mechanicalwork beingdone to the Ac.essory Structur€ fl Yes El No
Itthe proiect is a Rclocallon, is there a NaturalGas Line on the current site? Cl Yes El No
lith€re Eectr;cal Polver onthis Buildin8? 0 Yes E No
Property Use/ Oc.upancyl O SinSte family I Ouptex D Townhouie
Pool(St)
Deck l5F)
Yes : Noi1t(o
/cl)
. S:cGee Shed iSFl _
- oth.: lsF)
-
I -
'e brFL
Ll 2".17 S
22',1 o
Dej(ripllon of Work: _
Total
^,cres
Dist.rrbed:
: ,, ' ..".,. ..,r,!.. Iirrr i $c+ w:'l . c-ilr wirh lhe Sl.t. BoildrngCod€
Center wrllbe n.iiucrol any cl3"a.: ii !h.
Flo..ir,on "'NOTI:Any work !e{cmed *nhou . r 1.-.:--11r ^-.^ r.. rti be tn rj^!:,i^r oi.r" !C S.:,1
Owner/Ccitraator: _.Signatur.:,Li.e,..ra o1,.r.:..- ,.. .. 1....
lsthe..--.....-.-.,nalOOd.'_1? - YeS NO
Exisli.E lmp€1iou, Ar.r: .__ 5q Ft
New lhpcrvious Area: _ . , ___ Sq Ft Existint Land Dinurbing Perrnit: f Ye5 I No
wAirr $-Crrue O CoF",munity Sysre- 5 Pravar€ well E) Gntr?! Well El Aqua
Sfivrx f Clliia E Ccn r.ru.;ty Swi!nr a P.i!;teseptic E) Cenrralseplic El Aqua
zoner -r' 'l omcer J'-i G serbacks(r)fu lLnl iD 1nr1 iul 1a1f
apprcvat: ,i-:l- ., crry: -ltlf* o"t", 51251; I11oo3. (a)
-
{v} -- (H1 ;i . arr*zrr"
arlotlL r.il(ad. trate and Id.l,'.ai 4.. 1 6..re rn (onv.dor
{ .,r,r f 5OO@"'
2'9
: ,,'.rl-rv
cz.-"t 33 / o
6iv *.:h-r-e
,ry lnspecrh?n He0u[t4 v' .7 lia;',, 1
a5
./1.,\
lYLLqqlq
(- net,, L""f#t
7l?
PRor€cT coNrAcr PtR son, *QOtk*i
Eqt tt)xw 2-Fa
r___L-
turl-l l(tZ;
NEW HANOVER COUNW BUILDING PERMIT
APPLICATION ryPEr RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Projed Responsibility"
,flrr frcra 1Q7n/rttlzr6- / oa/ &,,r*.&D yl Date
Application
Number
(office use)
APPTICANT'S NAME:
PROJECT ADDRESS:749 q+1<a€ iy
suBDrvrsroN: a4'"fr2(
PROPERTY OWNER'S NAME:CHx+* 0/rci-trt.*tf
owNER',S ADDRESS, ,2 f a3S/fi"E a7
PHONE #(trs ?to-,qrro
CITY Nita,,tZroJ i,Z@z
0
CITY tUtrJ
/O'29- rr
zlP 2lr/2
CONTRACTOR
ADDRESSI
?n E:b r?z*r7zt6
70
Description of Work:
A€r- a
4a f ,2a ctrv, l^ttt ",JZn"t
SIDG LICENSE A ,,//+
sr:/\- zto; 28(r?2", o8z3(rd ,rr-orr'
/cL
EMAII. ADDRESS:SE /4 PHONE: '7 b
PROJECT CONTACT PERSON PHONE
EXISTING CONSTRUCTION: tr Alteration 'EF-Renovation D General Repairs
NEW CONSTRUCTION: n Erect New Residence n Addition to Existing Residence E Relocation
+'*PTEASE CHECI( AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT**T
! Att Garage (SF)_tr Det Garage (SF)_D Porch (SF)
E Sunroom (SF)
! Greenhouse (SF)! Deck (SF)23/
ls the proposed work changing the existing footprint? E-Yes D No
tt 1+
D Storage Shed (SF)_
D other (sF)
TOTAT SQ FT UNDER ROOF lfor proposed work) Heated:
rorAt PROJECTCos t lress totl, 5 .3, ? 00 -L
lsthe proposed work changing the n u mber of bedrooms? E Yes.El-No
ls any Electrical, Plumbirg or Mechanical work being done to the Accessory Structure E Yes kNo
lfthe project is a Relocation, is there a Natural Gas Line on the current site? tr yes B trlo
ls there Electrical Power on this Building? E Yes E No
Property Use/ Occupancy; EKsingle Family E Duplex E Townhouse AeLi< 2.€3u,co A t2'x t?.i'
2B@T t7 9 r 846f1
R6-noy'v'oLD?1- t2-' r /6'
laws and ordinan.es and regulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or chang€ in contractorinformation. *"NOTE: Any work performed without the appropriate permits will be in viotation of the NC ss00.00r..
oqnerlconvac.on &E{ E'44>t( /A.*;rO Jx-signature
"Licensed Quolilier" Print Ndme
lsthe property located in afloodplain? D Yes El trto
Existing lmpervious Area: _ Sq Ft Total Acres Oisturbed:
New lmpervious Area:Sq Ft Existing Land Oisturbing Permit: D yes E No
WATER: \ CFPUA E Community System D private Well C Central We E Aqua\
SEWER: \ CFPUA E Community System E private Septic E Central Septic E Aqua\
zone: _ Officer: _ Setbacks (F) _ (tH)_ (RH) _ (B) _
Approval: _ City: _ Date:_ Ftood: (A) _ (V) _ (N) _ BFE+2ft=
Comment:*DISCLA]I4ER : sUB TIING THIS AP LICATION ME THAT THE 5U ITTAL CHARGE IS NON.REFUNDABLE
Permit Fee: S
LOT #:
! Pool (SF)_
Unheated:
K NEt^l l'lAN0vER C0UNTY BUILDING pERl't
APPcIcl/.rIoN IYPrr RESIDENIIAL
lrE sE AN$]EA AtL qlt[ST]olls r]plrc^[tE T0 YouR P8o]Err
"ProJ ect Responsibillt/
CITY:
BLoC|( il:
CITY I
LIC€I'|5E S:
CITY:
! orr eaneer sF f]Ponclt
--,sFP@LSFI sronacr slrED
-
IT
:
t3
aol+ nbzt
APPLICATIOI,I
tlrrnbcn
(otfl.e Ur.)
APPLIC NT'5 tl^itl:
DfVELOPER:
DATE:
PIIO E f,;
ztp
LOT T;
plot:tE #r
sr: M zfP:
ACcoUtlT $r
5T: _ ZrP:
-
pRolEcT ADonEss:
SUBDIVISTOIT:
PNOPENry OI,JNER'5
O{dNEn'S,1DDnE55:
c0NTlrAcT0n:
ADDRISS:
t
pRolEcr coMTAcT pERS0N:
Exrsrrrc coNsTRUcEou, I aLrrlntrot: I nelovmol f] e eruenau ne oruns. I RELocATToN
r,l€ld coNsrRucrroN: E rRtcr NEl,, RESTDENCE or ffatortrox To Fr(rsntlc REsTDEtJcE
r.pLEAsE f,lEcx aro ausudt oEloll ALL TIiAT AppLv To YouR PRorEcTr
nr,l\11 aDDnEss:
ATT GAM6T 5F
suNRoo\
--sl'cREmI]dJsE .-.---.'-.SF
PROPENTY USE / OC
DESCRIPTIOII OF I,JORKI
f] orcr _ sr onlER;
pitoue *:9t0.:?r-QoqV
proNe t:Ql0:38ffl
SF
5F
ror^L HE^rEo sQ rr:-:?5!i-1- rorAL sQ FT UNDER noort3li1 ror L ABEA sq rr, J35Ag,
ToTAL PRolEcT COST[asLoo : $
--_
tl OF STOIIIES: I
Is Any ELECTRICALT PLUIIBI G or IIECBAIICAL Nol.k 8oln8 Dono to thc Acces,ory St.ucture? El Y
If the project ls a Reld'cation, is there a Natural 6as Line on the cdnrent Si.te?
Is the.e Electrical PQl.ren on thls Euildingl f,fVes f]Ho
fl Ho
Yes f! No
SINGLE FAI4I LY rruplex . fJ rowriouss
Y
Dts ctAUlEF: I hotlby co.l, n lon l,} lh argldlon b co.nd.nd.[ vDrt lolnplrMh t|e sul, Sdtdhg godr ltxl .I o$.r lp9L.tto stlr .nd bcJ la{t
snd ordhanc6s.nd I30ulslbnt.rolop,'le4l Se&b6 canb.$illbo .lolf.d otc)y4eo66 h to 6ppoy.d d.n6 ard er.cl6.9!qn6 q da.1!o h c.n!IEbro.
cont&b. lnt marm.''NOTE|lnY P.rt m6dMo Io Aporo, ah P&mlbwllba ln Uoladdn ol6. Nc skrl,Md sib)..| !, Floo. th To nsooof "
OIiNEN/CONTRACTOR:SIGNATURE:
+ i * + *l r * r r *r{r? *, *** * **.* t*(ifil{iii *l+***t+tl t*t +*+t+*++*{.++*i+tl* t*tt +1t **r*}tli s+tl l+
IS TIIE PBOPERTY LOCATED III A FTOODPLAII]?YES l13
EXI5TIIIG II'IIERVIOUS AIIEA:
-Sq
FT TOTAL ACBES DISTURBED;
NEr,i rrpEnwous ARE r
-
sQ FT ExrsT LAIE DrsrunBrl,lc pEnnrr: llll ves
N^rER: L,l ffr'Ue vj ry sysrEr.i I nnrverr lrrr.l f] ca.nftnl ueur
sEuEn: D CFPU CEI.ITRAL 5EPIIC f] nnrvnrr sEprrc n co4luNrr/ sysrrr,l
*.. srlrrrTE,PE$rrTs aEquln[o FoR ELECI, lr[ct, pLB6, GAs Equrp, pnEF)3s a r(sElls '-i
payr,rErrr tlETlooi Elga.rr E.ne.x (pAyaBLE ro nrcy f] orrL lrcorrr f] tc/wsl florscovretrr r*t: rr**t*rt1*r{t*t******}****t+1t+***t+*r*t+,}*:t*altr* + *1*+t + r tt f+'}tl {tt *t**tt*lrtl' t!*
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PERiIII FEE,
'
PERMf{AorT- 1
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PTEASE ANSINER AIL QUESTION5 TPPLTCABLE IO YOUR PRO]ECT
"Pmj ect Responsibi-lJtlp
APPLTCATION
Nunben
(offl.e Us€)
APPLICANT'S tJA E:
DEVELOPER:
DATE:
Pttol'tE #:i,t\.riftPRO]ECT ADDRESS:
SUBDIYIS]ON:
CI TY:zap
LoT *rBLOCI( *;
PROPERTY OI'NERJ S T,UI'IIE:
O,{NER'5 ADDRESS t
CONTRACTOR:
ADDRE5S:
PHONE #:
CITYi
LlCEllS E #:
CTTY:
sr: [f,zrc:
ACCOUI,IT }:
5T:ZIP:
E]IIAIL ADDRESS:puorue *:9to-3?r-qoq
PRO]ECT COMTACT PERSON:PHONE #:
DGSTTNG coNsrRUCEoN: I alrenarroru [ neruovnnoru ! erruenrl REPAJRS. E RELOCATTON
NEI^I COI\ISTRTTTION. I TNTCT NELI RESIDENCE Or ffAIOTTON TO E}ESIIN6 RESIDENCE
r.pLEAsE cHEcK AID l sulER BELo]l ALL THAT Apply To youR pRoJEcr:
! orr arnnee sF D poRcH _--sF
+
13
5F STORAGE 5HED 5F
5F OTHER:
TorAL HEATED sq rrr ?hfu 4 ToTAL SQ FT UNDER R00F3 Sato rorAL AREA so rr, J35aA
ToTAL PROIECT C05T rr.ssro0 : $_ # 0F STORTES I I
Is Any ELECTRfCAL, PIIrHBINC or HECHANICAL l,iork BeiilE Done to the Accessony St.uctu.€? ff, Ver I lo
ff the project is a Reldcation., is there a Natural G'as Line on the Ctipnent Site? Elyes
POO L
DECK
hIATER:
sESIER:tr creue fi coauurry sysr
ctPUA l)[ CENTRAL sEPTrc
q*;t
tr'" +oJsF-
Airtl h o".-PROPERTY UsE /OCCUPANCY:pf srrrcle rar.ulv I ouerex f] touuiousr
{
Dlsc{.ANEA; lh6l6by conit }la compJy wih t|s SirE Bulldhg Codo and a oiprappEcsblo Stsb rd bcatlare
snd odhancas Bnd rEgubDbhs. T br wil b€ no dfsd ofan y chanos6 ln h6 appovBd p]an 6 and 6p€ctfcaton6 or r'lango h conr&br or
cont?cbr ln 6rmBlim, '-NOTE Any Wo* P€rbm€d lv/o he ApprEprlaa P€,Tlb wfl b€ In Molation of h6 N C up To A5oO0C-
ONNER/CONTRACTOR:SIGNATURE
*** +r*+ ++ + *+*+* * * ** ** * *** * *(i?{l {i1?++*++*+*+****+++*+** * ** *+*!ti **t ***t *++ t*t+*i*+ t+** **
15 THE PROPERW LOCITED IN A FLOODPLAIN?
EXTSTTNG TMPERVIOUS AREA:
-5Q
FT
NEI{ IIIPERUIoUS AREA: _SQ FT
YES NO
TOTAL ACRE5 DISTURBED:
EXIST LAI1E DTSTURBII'IG PERHTT: T:.I YEs NO
Et1 PRIVATE I{ELL ! canhnl well! enrvlre srlrrc f] cd,4MuNrry sysTEM
(Foff oFFrcE usE onLY)
ZONE: _ OFFICER:SETBACKS: F:_ [H
i:! sEp!l?.aTE, pE$tITs REQUTRED FOR ELECT,.AECH. pL86, GA5 EQUIp; pREFtSs & rtJsEtTs ***
pAynE,rr nErHoD, E.cn E*ir.r ('A'ABLE ro ir.l nri.i ;;d-'Ei;;;*ij;r;"rr-***+*****+***+*+**l************l}****t********f***:x+******+rtt+t***,t*.i(i********:ti*i*****:l*
:- 8H:_ B:--
.- --- BFE+2vil
tEwsto o{le n4hr/12
Approval:_ city:_ DATE:_ FLooD: _-
Coffient: A
PERI{Ir FEE: S
NEt^l HANOVER COUNTY BUILDING
APPLa(ATIoN TyPE.. R ESIDENTIAL
! arr oanaee _ sF
I sur,tnocrtl
-sF
I enrrruHorsr ..-..-....-..: .sr
Is there Electnical Power on thj.s Building? f,]ves f]ruo
DESCRIPTTON OF IiORK:
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