HomeMy WebLinkAboutNOVEMBER 17 2017 BUILDING APPS}on \oqil
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NEW HANOVER COUNTY BUILDING PERMIT
APP LICATION TYPE; RESIDENTIAL
PLEASE ANSW€R ALL QUESTIONS APPIICABLE TO YOUR PRO]ECI"Proiect Responsibilih/,
APPIICANT'S NAME:S cts.t l-c r"(d Date: ?,t'J i ?
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PROJECT AODRESSi
5UB0tVrSrON:
PROPENTY OWNER'S NAMEI
OWNER'S ADDRESS:
.Sy1srtK"r, ll.a.<dlt
dr1 Shnmrou<DC crrv: talr lm iaatlua ztP-T-TOT fl
PHONE #-5 3.agt (!l(l A CITY
CONTRACTOR
AOORES5:
Qol,-t a I.l/ L..LL!L
crrY
BI.OG TICENSC ;
5l:ztP
EMAIL ADDRESS
PRO]ECT CONTACT PERSON .li i€, l.'( r r <r
PHONE
PHONE rC - 5"t - 22..Et
o 5u^
/EXISTING CONSTRUCTION: g Alreration : Renovalion: GeneralRepairs
NEW CONSTRUCTION: - €rect New Residence :l Addition to Existing Resid€nce ! Relocation
+..PIEASE CHSCK AND ANSWER BETOW AI.I THAT APPLY TO YOUR PROJ€CT'*'
: Att Garage (5F)_
: Sunroom (5F) __
: Greenhouse (SF) __
E oet Garage 15F)_I Porch (SF)
! other (sF)
ls the proposed work changing the existin8 footprint? O Ves tr/tto
TOTAT 5Q FT UNoER ROOF Vor prcposed wo.k) Heated: -lij Unheated
TOTAI- PROTECT CO$ (Less t"or):5 ) tf.i-,, co
fl;i"
ls the proposed work changing lhe number of bedrooms? O yes t)-fro
ls any Electrical, Plumbing or Mech3nicalwork being done to the Accessory Structure /yes tr No
lftheproJectisaRelocation,isthereaNaturalGasLineonthecurrentsite? j yes 1y{o
ls there Electrical Power on this Building? U4es f Uo
- Pool(SF)
: oecl (SF)
le Fa Du rf Townhou
Sctsut,-., f,{a,r-cl,(.r-
.((hw'
*D(a
Property Use/ Occup
Description ot Work:
a
olS(lalMER: i hercby(erlifo that illlie i.tormalion in lh s appliceiion ii core.i and.llworl will.omply v.'ilt ahe Srate BuirdinS Code and.I orh€r
l.w! and o.din.ncer a.d r?8!lations. The NHC Developmenr Serv,ces Center willbe ootiied ol anycn:nger in rhe approved plaisi.d rpeciticario.!
plicable Sl e a.d local
inlomation. "'NOIt Any wort pedormed wiihout lhe.ppropfi.te permit! willbe In viotalion ofrhe NCSt3re Bld8
ap
r'I
ItOwner/Contractor:Signature:
-Licensed Quolifief P.int Nome
Is the properry locatcd in a floodplarn? E Yes J'No
Existing lmpervious Area; __ Sq Ft Total Acres Dlsturbed
New lmpervlour Area: _ Sq Ft ExlstlnS Land Distu.blng Permiti : Yei - No
WATER: CFPUA 0 Community System ; Prlvare Well E Centralwell 0 Aqua
SEWER; L\ CFPUA |] Community System il Private Septic n Centralseptic I Aqua
zon", - R / 1 oricer: DI(o setbacts (r) /&
1r.x I ll' teal /o' rs) 2Z
aep,o""r, -Q L d\, lt-lv| ,n S/fif4 Frood: (A)
-
tv)
-
(n) ,-\ B;E+2rr=
-Comment:."..."..-r'r Permit Fee: S
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NEW HANOVER COUNW BUITDING PERMIT
APPLICAT,ON TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESNONS APPLICABLE TO YOUR PROIEgr
"Prorect Responslbllityr
^ot1-
Applicatlon
Number
{office use)
o"t ,l l / b,/ l-7
a* z*+dl
LoT <3
APPLICANTS NAME:
PROJECT ADDRESS:CITY
susDtvtstoN:<Fl r1-W /r---u F<
PROPERTY OWNER'S NAME:PHO E f:
OWNER'S ADDRESS:CITY:
CONTRACTOR I
ADDRESS:+CITYr
EMAIT ADDRESS;
PROJECT CONTACT PERSON.qt-tvt*ftTD:<nn/-xl
EXISTING CONSTRUCTION: n Alteration E Renovation D General Repairs
NEW CONSTRUCTION: lP/rect New Residence E Addition to Exlsting Residence D Relocation
[] sunroom (SF)
-
D Greenhouse (sF)
n Det Garage (SF)_
tr Pool (5F)
n Deck (sF)
ZlPr
BLDG LICENSE S:3r+bsr,\!LaP.28+o3
PHoNE: ,l 14-ozo. 19botrt4to.-2641+.f
PHoNE:41e1.94, %b
(SF)<82
Storage Shed (SF)
-*
w{te","e"rsrt *gl
ffir$F(
l+obF
{tuo
lZoP*rre)ls the proposed work changlng the existlng footprint? E Yes E No
TOTAT sQ FT UNDERROOF llot proposea worrl rcaud:2t1al I Unhertad:
ToTAt PRoJECTcoSr Less totl:5 Zl47OO
ls the proposed work changing the number of bedrooms? E yes E/no
ls any Electrlc.l, Plumblng or Mechanlcal work being done to the Accessory Structure E yes
lf the project is a fielocatlon, is there a Natural Gas Line on the current site? E Ves ts4o
ls there Elecrical Power on this Buildlng? El Yes ts/t{o
Property Use/ Occupancy:Slngle Family E Duplex E Townhouse
Descrlptlon of Work:
DISCIAIMERi I hereby certlfy that all th€ lnformation ln thbapplletloo ls corecl and all work will comply whh theState Butldin8 Code and altother appltcable Srate and local
laws end ordinances and rcSulatjons. The t{Hc DevElopment Servkes c€nter willbe notifled of any change! in th€ app.oved phns and spec(icattons or chang€ in contractorinformation. "'NOTE: anywork p.tform.d wlthout the appropriate permlts wlll be in vlolation of the NC Stale Bldt Code and subiact to fincs up to $50O.0O.,.
Owner/Conlracto r:ot -tvlk
"Licensed Quolnel P nt Nome
ls the property located in a floodplaln? d"
Exlstlng lmporvious arca; d sqrr
A-il Slgnature:
M1*y. BFE: lE.1'N" tEMk ?Loab Mffi: 372olo21aaT
Total Acres Dtsturb a* O.aE
New lmp€rulousAr""r 3144 I sq* Erdsdnt tand otsturbtn8 permlt a vnWl
wA:iERt &PUA El Communlty System E private well El Central well E Aqua
sEwEnr EzfFpUA E community system E private septtc E centratseptic E Aqua d f OAIzone:- offcer:
-
s€tbacks (F)
-
(rH)
-
(RH)
-
lut
-
S I I U l-t 'J
Approval: _ City: _ Date: _ Flood: {Al _ (Vl _ (N) _ BFE+2ft= _
comment: Permit Fee: $
)o+(
I
t;
}ott'- l)4r,
L1-2 6 12
AppUcANT,s NAME; Pulte Homes
Application
Number
(office use)
oate: 10-30-17
pRoJEcr aDDREss: 3640 Old Sand Mine Drive CtTy: Wilmington vp. 28412
SUgDtVtStON: Del Webb Riverlights
pRopERTy owNER,s NAME: Pulte Homes pHoNE e. 843-353-51 19
owNER,s ADDRESS: 3504 Fari don Court
CoNTRACT9R: Pulte Homes
CtTy; Myrlle Beach 71p. 29579
s196 Ugpil5g s. 1931 1
EMATL ADDRESS: Tiffany.Dunn@Pulte.com pHoNEr 84$353-5119
PROIECT CONTACT PERSON Tiffany Dunn pxOrur: 843-353-51 1 9
EXISTING CONSTRUCTION; n Alteration n Renovation ! General Repairs
,/
NEW CONSTRUCTION: I!/Erect New Residence D Addition to Existing Residence n Relocation
ffin 6313gs 15p1 433
150 n storage shed (sF) _
n Greenhouse (sF)! Deck (SF)n other (SF)
ls the proposed work chan8ing the existin8 footprint? ! Yes n No
TOTAL SQ FT UNDERROOF lfo( proposed workl Xeated: 1505 Unheated:505
TOTAI PROJECT COST {Less Lot): S 96915
lstheproposedworkchangingthenumberof bedrooms? D Yes E No
ls any Electrical, Plumblng or Mechanical work being done to the Accessory Structure D Y€s D No
lf theprojectisa Relocation, isthere a Natural Gas Line on the current site? f] Yes D No
ls there Electrical Power on this Building? E Yes E No
./
Property Us€/ Occupancy: dsingle family E Duplex El Townhouse
Descript ion of Work: Steel Creek Elevation LClA with sunroom
laws and ordinances and regulations. The NHC Developmenl Servlces Center wallbe notified of any changes in the approved plans and specifiGtlons orchanSe ln contractor
lnformatlon. "'NoTE: Any work performed without the appropriate pelmlts wlll be in violation of the NC State Bldg Code and subject to ttnes up to 5500.00..'
T PLY TO RPR
E Det Garage (5F)_Porch (5F)72
lof Sunroom (SF)
4-fu&Dutx,W /\
Existing lmpervious Area: _ Sq Ft TotalAcres Disturbed:
New lmpervious Area;Sq Ft Existint land Disturbing Permit: n Yes E No
WATER: Cl CFPUA fl Community System E Private well C Central Well E Aqua
SEWER: E CFPUA fl Community System E Private Septic E Central Septic fl Aqua
zon€; _ officer: _ Setbacks (F) _ (tH) _ (RHl _ (B, _
Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft=
Comment:
Owner/contractor: Tifiany D Dunn 5;gn31u1s
'Licensed Quolifrer" Ptint Ndme
ls the property located in a floodplain? EI Yes 0 Llo
$
Q 0 Pnrr
\q7-
Permit Fee: S
NEW HANOVER COUNTY BUITDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAEL€ TO YOUR PROJECT
"Proiect Responsibility"
tOT f: 01107
ADDRESS: 3504 Fadngdon Court gry, Myrtle Beach ST: SC Ztp. 29579
n Pool (SF)_
NEW HANOVER COUNTY
DEPARTMENT OF BUILDING SAFETY
230 GOVERNMENT CENTER DRIVE . SUITE I70
WILMINGTON. NORTH CAROLINA 28403
Telephone: 910.798.7308 Fax: 910.798.781 I
Inlernel : www.nhcgov.com
4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMIT ISSUANCE
STATEMENT OF UNDERSTANDING
Tiffany 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, I check the box/boxes below to acknowledge that:
d I have aftached an official CFPUA recei pt or document that has
a knowledged an approval of the payment made to CFPUA.
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,
I 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). I understand that the 4 (four) to 7 (seven) working days only begins
when the aDDlication is ubmitted orior to 4:30 pm on any workingday.
Signed in acknowledgment:
Tiffany D Dunn lo-bo-t1
Signature Printed Name
3640 Old Sand Mine Drive
t,
Address for the proposed residential work:
Date
,!u$1 NEW HANOVER COUNTY BUILDING PERMIT
APPL|CAT|ON TYPE RESIDENTIAL
PLEASE ANSWER ATL QUESTIONS APPLICABLE TO YOUR PROJECT
"Proied Responsibilitl/'
S*,'r,JsoJ
&6q--2tot
Application
Number
,, /,ffi?APPI.ICANT'S NAME:t{1€S
PROJECT ADDRESS:
suBDtvtstoN:
PROPERfi OWNER'S NAME:{ inr*s
OWNER'S ADDRESS:
\a\\\/)
CITY ztPlt '/LOT f:
pHoNEr: ?l O 5<r
Clt (: tlh l-
BLDG LICENSE #i
ST:
apZkga?
JACONTRACTOR
ADDRESS:ztP
EMAIL AODRESS:PHONE
PROJECT CONTACT PERSON +bY S ^Js PHON E
EXISTING CONSTRUCTION: tr Alteration ! Renovation ! General Repairs
NEWCONSTRUCTION:EErectNewResidence!AdditiontoExistingResidenceERelocation
*T.*PLEASE CHECK AND ANSWER BEI-OW ALL THAT APPLY TO YOUR PROJECT**'
orA
?ro S'11 31Vs-
! Att Garage (sF)
I sunroom (sF) _
[] Greenhouse (SF)
6;;;;, F-lC
n Pool (SF)
! Deck (SF)
Unheated:
ls the proposed work changing the existing footprint? ! Yes ! No
TOTAT PROJECT COST (Less Lot): S il.ls the proposed work changing the num ber of bedrooms? E Yes
Owner/Contractor:+\.
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Stru
lf the project is a Relocation, is there a Natural Gas Lingrn the current site? E
ls there Electrical Power on this Building? E Yes EfNo
d-nrvr*=rarils
its wrllbl
4^/Signature:
ENo
in violation of te BldS Code and 5u to fines up to 5500.00"'
,rur" /Ot
Yes p4!o
Property Use/ Occupancy: E Single Family E E Townhouse p oDes(ription of work:4
o
laws and ordinances and reSulations. The NHC Development Services Center will be notified ofany a in the approved plans and specifications or change in contractor
information. "'NOTE: Any work performed without the appropriate perm
"Licensed Quolifier" tuint Ndne
ls the property located in a tloodplain? O ,* K al
Existing lmpervious Area:Sq Ft Total Acres Disturbed:
New lmpervious Area:Sq Ft Existing Land Disturbing Permit:
WATER: XCFPUA E Community System E Private Well E Central Well E Aqua
SEWER: tr CFPUA E Community System B Private Septic E Central Septic E Aqua
zone: _ Officer: _ Setbacks (F) _ (tH) _ (RH) _ (Bl _
Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE
Comment:
'32- lf- (o-tc-rlo r,l /
IDISCLAII4ER: SUBT4ITTING THIS CATION I"IEANS THAT THE SUBMITTAL CHARGE 15 NON-REFUNDAELE
Permit Fee: S
t
CITY:
E Porch (SF)_
! storage shed (sF) _
! Other (SF)_
TOTAL Sq FT UNDER ROOF Vor proposed work) Heated: _S7a
s2
=_2
N o r4,o
6- 'LooLtc
..+,m Print
NEW HANOVER COUNTY BUILDING PERMIT
AP P LICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABIE TO YOUR PROJECT
"Project Responsibilitl/'(office use)
APPLICANT'S NAME:
PROIECT ADDRESS:'l'l r
SUBDIVISION:
PROPERTY OWNER'S NAME: 1fl \+
OWNER'S ADDRESS: rl
AafDN
CONTRACTOR
ADDRESS:d,
<l
crw: ( ^-l;l-i,.\o \-c,
Date CEocTktlte?ut<.\ ztP,olo, q
\<PHONE #
CITY:
PHONE
3
BLDG TICENSE f
e
zrp Rptl4
+
CITY
EMATL ADDRE55: /7),1, 97at dy @ QuT tfi K.
lh;Tr I
PHONE /4+fr7ffi 7PROJECI CONTACT PERSON
EXISTING CONSTRUCTION: n Alteration E Renovation ! General Repairs
NEW CONSTRUCTIONT n Erect New Residence E Additionto Existing Residence ! Relocation
,***PI-EASE CHECK AND ANSWER BETOW Att THAT APPLY TO YOUR PROJECT*'*
|.l Det Garase lSFl
q storase shed (sFl 381tr Pool (5F)
n Deck (SF)
ls the proposed work changing the existing footprint? ! Yes qJ No
ToTAL SQ FT UNDER ROOF lJor proposed work) Heated:
ToTAL PROJECT COS r ltess tot)' S 69911
ls the proposed work changing the number of bedrooms? [] Yes E No
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure n Yes X No
lf the project is a Relocation, istherea Natural Gas Line on the current site? D YesF No
ls there Electrical Power on this Buildinc? D Yes B No
Property Use/ Occupancy: X Single Family ! Duplex D Townhouse la Y)'1
,qf10u t7 I l:028fl
Description of work:
Owner/contractor: /7/a'ifi<n Sfaa&-t Signature:nii$^"
ls the property located in a floodplain? ! Yes E No
Existing tmpervious arear SAS? sqrt Total Acres Disturbe d, 2b L\ A
New lmpervious Are "t Zit\ sq Ft Existing l-and Disturbing Permit: fl Yes Etr No
WATER: l{ CFPUA E Community System E Private Well E Central Well ! Aqua
SEWER: d CFPUA E Community System E Private Septic n Centralseptic ! Aqua
zone, R-\5 officer:- setbacks(FlE? ($6i7 Bil ll @4i
Approval: _ City: _ Date:_ Flood: (A) _ (v) _ (N) _ BFE+2ft= _
Commentt Permit Fee:$
lews end ordinances and regulations. The NHC Development Services C€nter will be notified of any changes in the approved plans and specifications or €hange in contractor
information. ..'NOTE: Any work performed without the appropriate permits will be in violation of the NC State Bldg Cod€ and subject to fines up to S500.001"
7s-
)a1 'lLn+@Clear Form
n Att Garage (5F)_
! Sunroom (SF)_
E Greenhouse (5F)
! Porch (SF)_
! Other (SF) _
vnn"atea, 4?'l
QuiLDtnt u,er,c( 54<tl lCtT FrOn l-oues fiatc Ttnprc*.ttetZ Bor.KycrD oCqome
"Licensed Quolilier"
NEW HANOVER COUNTY BUILDING PERMIT
APPLI1ATToN TYPE: RESIDENTIAL
PLEASE ANSWTR ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NA E:
DEVELOPER: .i, A
CITY: wi lminqr,on
ST BDIVISION: Ais-.BLOCK *:
PROPERTY OWNER'S NAflE: -u Ann Gerrrv ar.1/or 1(.1'"harina l.ih-te Uiil--rL,rl
O[^,NER'S ADDRESS: 9i1 gozeman noatl CITY:wilriinqton
CONTRACTOR: :;ii-, r'.. t.'es:ie:.::.:,LICENSE #: ,- I t -:.1
ADORESS: iili IvJiiitar'r curoff Road, Srrir. 191 CITY: wi lmingt o n
EIfiIL ADDRESS: ,/i t t i;irrLiowathmevorouo. com
PRO]ECT CONTACT PERSON:William GwaLhmev
EXISTING CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAI RS
NEW CONSTRUCTION:ERECT NEl,.l RESIDENCE or ADDITION TO EXISTING RESIDENCE
*tPLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROIECTi
')ol l>ilb
APPLICATION
Number
(o+fice Use)
ri: I I ram cv/a:hmey DATE: .9 12
PHONE #: . -. ,'| .).
ZIP:28412
LOT f: _
PHONE #: t'16-2a9-5'148
ST: l.lc ZIP:284r2
ST : l.l!_ ZIP : 2 81. 5
ATT GARAGE
-
5F
suN Root"l SF
GR E ENHOUS E SF
DET GARAGE 5F
POOL 2Ci SF
DECK
PHONE #: !11 or9 8rr r
RE LOCAT ION
SFPORCH
STORAGE 5H ED
SF OTHE R
SF
SF
TOTAL HEATED SQ FT: He. TOTAL SQ FT UNDER ROOF: :;e ToTAL
TOTAL PROIECT COST ir-ess roo : $ :s,,-r,ro # OF STORIES:
Is Any ELECTRICAL, PLUmBING or mECHANICAL l.Jork Being Done to the Accessory Structure?
AREA SQ FT: :i;.
I Yes EruoIf the pnoject is a Relocation, is thene a Natural Gas Line on the Cunnent Site? E Yes No
Is there Electnical Power on thj.s Building?!ves I uo
PROPERTY USE / OCCUPANCY:SINGLE FAI4I LY DUP LEX TotINHOUSE
DESCRIPTION OF WORK: InstaLf new 20'x1C' inqrouncl fiberqLass pool in place of existinq a;rove
I
ground ooo f
and ordinances and regulations. Tho NHC Development SeNices CenEr will be nolified ol any changes in lhe apprcved plans and specifcarions or change in contracbr or
conracElr inbrma[on "'NOTE:Any Wo* Perfomed W/O he Appropriate Permits willbe in Violation ofthe NC Stats Bldg Code and Subjecr tc Fines lJp To $500 00"'_/"vOIdNER/CONTRACTOR: rii I ram Gxar.,i:Le
:i + * +:r,r+ irir++ ir ir r r * * * * *** **** *(i!'Il Jil"J
SIGNATURE:
+++r(+r(r(+*r(************** *** ****+++**+++1.1.r.1.,f ,****++***
IS THE PROPERTY LOCATED IN A FLOODPLAIN}YES
EXISTING ITIPERVIOUS AREA: 2OI SQ FT
SQ FTNEW IIVIPERVIOUS AREA: 2ii
NO
TOTAL ACRES DISTURBED: <l
EXIST LAND DISTURBING PERMIT:l-'] ves lEl riro
E
UJATER:
SEt/ER:
CFPUA COI'1MUNI TY SYSTE14 PRIVATE WELL CENTRAL WELL
CFPUA CENTRAL SE PTIC PRIVATE SEPTIC ! cor,ruuru rrv svsre r,r
*** SEPARATE PERMITS REQUIRED FOR ELECT, TIECH, PLBG, GAS EQIJIP, PREFABS & INSERTS T'**
pAyMENr ErHoD: Ecos, E.rrcK (eAvABLE To NHc) ff Ar,tERrcAN ExpREss fi mclvrsa I orscover
+++*{.{r+{.:}**r****,r,*,*+*+********it,tr+*rr**i.+rrrrrrr.,t,*i.******r.*****,*****x**+++**++++****,*x***+++++
(FOR OFFICE USE C'{LY) REVISEO DATE O4l11/12
ZoNE : _ oFFICER
Approval :_ Cit
:
-
sETBAcKs: F:_ LH:_ RH:- B:- a<-I\ -/
N
!
.a
ffi
PROIECT ADDRESS: 9a1 Bcze:nac R.ad
PHONE #: 917-, 99-229a
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|ION IYPE; RESIDENTIAL
PLEASE ANSI.JER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAfiE :
DEVELOPER: : .
PROIECT ADDRESS: !a1 BJzenan F.oac CfTY: !ii tminsr:cn
SUBDIVISION : i. r.i -.BLOCK #:
O[^INER,,S ADDRESS: 9!1 Bozeman Road
. vru96*_
Ao)+-tLilS
APPLICATION
Number
(Office U'e)
DATE: a9 t:
PHONE #: rr: a,:i drr!
ZIP i :',1--
CONTRACTOR: liw.,r l:rNey ie:iider,i-ii1l croup, L]-C
ADDRESS: 1111 Mllrtary cutoff Road, Surte 191
EI4AIL ADDRESS :,.r i I I i amLG swarhmeysroup . com
ST: lizIP: 284r2
LICENSE *: rlll4
CITY: -ELI]]]jL@.!__ ST: NC ZIP: 2840s
PHONE #: 910_r99_2295
CITY: t\'1ln.rnst.n
PROJECT CONTACT PERSON: trilliam Gwa:hmey PHONE #: 91.n-br9 850a
EXISTING CONSTRUCTION:A LTERATION R ENOVATION GENERAL REPAI RS RE LOCAT ION
NEW CONSTRUCTION:ERECT NEW RESIDENCE oT ADDITION TO EXISTING RESIDENC E
**PLEASE CI.IECK AND ANSI,]ER EELOW ALL THAT APPLY TO YOUR PRO]ECT:
DET GARAGE SF PORCH 36 SF
POOL SF STORAGE SH ED
DECK 1r 6 5F OTHER:
SF
SF
TOTAL HEATED 5Q FT: --,i2i TOTAL SQ
TOTAL PROJECT C0ST lress rory : $ :lo,ooo
FT UNDER ROOF: i,,r:i ToTAL AREA SQ FT: :,rr.i
# OF STORIES: I
Is Any ELECTRICAL, PLUMBING or IyIECHANICAL Work Being Done to the Accessory Structure?T Yes No
If the pnoject is a Relocation, is there a Natunat Gas Line on the Current Site? [ ves !No
Is there ELectrical Power on this Building?!ve s l-l no
PROPERTY USE / OCCUPANCY:SINGLE FAI4I LY DUP L EX TOI/.]NHOUSE
DESCRIPTION OF WORK:PenovaL-on of exisrinq residence krIchen , f ivlnq room,
addition of master suir-e. SepeLqte pool E,ermit apl-.1iecl !or
and ordinances and rsgulaijons. The NHC Oevelopment Services CenEr will b€ notried of any changes in he approved plans and specifcarions or change in contracbr or
conlraclcr informalion "'NOTE Any Work Perfomed w/O he Appropriab Permils will be in Violalion of ihe N C Slat Bldg Code and Subjecl b Fines Up To 9500 00"'
OWNER/CONTRACTOR: h,itiam Gi!.athne7
+,* + ji,r + r + r r,r +,r x x * * * * * * * * * * * *(I!'il Jil"] * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
SIGNATURE:
,t ,t ,| ,t ,t tr( + tr( ,t + ,t ,t ,t ,t ,t ,t * ,t * * ,t ,t * ,i * * * * * * 1. * i. * t * * r. r( * * * * * * * * * * ,* ,*
f-l ves I NO
EXISTING II{PERVIOUS AREA: 1,58I 5Q FT TOTAL ACRES DISTURBED: <]
NEW IIT1PERVIOUS AREA: 2,2-.' SQ FT EXIST LAND DISTURBING PERI'IIT:l-l ves lTl ruo
ZONE : _OFFICER:
$5qt-*** SEPARATE PERTIITS REQUIRED FOR ELECT, MECH, PLBG, 6A5 EQIJIP, PREFAES & INSERTS i'i'I'
paymEiir MErHoDr E cAsx E cHEcK (PAYABLE ro runc1 [ mrenrcaN ExpREss I mc/vrsn ! orscoven
* * * * * * * * * ,* * ,* {. ,t ,* ,* ,t ,* ,t ,* 1 ,* ,* * * + ,* ,* ,* ,* + ,* ,r + ,* * + * + + * * + + + + + * + * 1. * * * ,t * * r. ,r ,r r( x ,r ,}
Appnoval:_ City:_ DATE:_ FLOOD: l_ , N BFE+2ft=
_----a i:...
ffi
LOT *: _
PROPERTY OWNER'S NAI'IE: Lu Ann L':entr.\, a:rd/.r Kal:jar in.r ,.r l jte Uf f Lena:l PHONE #: :11p 2.a')-at1;,
! lrr cannor _ sF
! surnoom _sF
! cn e enuous r _ sF Z
!,IATER: ! creun ! coMMUNrry svsrrm I pRrvATE t^/ELL ! crnrRar wrrr
SEWER: E creun ! CENTRAL sEprrc I enrvare seerrc ! coMMUNrry sysrEr4
(FOR OFFICE USE ONI.Y) REVISED DAIE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
ffi
APPLICANT'S NAfiE:
NEhJ HANOVER COUNTY BUILDING
APPLIcAfioN IyPE: RESIDENTIAL
?on1z)23
PERMTTffiL l+-3tsl3
APPLICATION
Number
(office Use)
DArEt ( l- t tt -/ 7, :'r3-_f3.1 / '
PLEASE ANSIi{ER ALt QUESIIoiIS APPLICABTI T0 YoUR PRo]ECT
"Project Respons ibil. ity"
(1<,<f t'fu C(.',*
DEVELOPER:
PROPERTY OWNER' S
OI.INER'S ADDRESS:
€.
g^'.<r O<^e
d
TY
c
CITY:
LTCENSE f:
CITY: LJ
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sr,tlLzw'29Vo3
z*: )2 c1 1)2Lt )
2" .- 3s=J 2
h"*Q
1A( SA
eS=Jeuc(-
F.PHONE S
PRO]ECT ADORESS:
SUBDIVISION:BLOCK #:LOT #:
E:PHONE $:\t3/ 3-3
e-. ?,\
f:7fi9./accot NT #:CONTRACTOR:
ADDRE SS:
*rPty)a€ cHEcK
ffnt eaaaet
WATER:
SEWER :
o *,Vzn@ob
EMAIL ADDRESS:
PRO]ECT CONTACT PERSON:1L"LJ<
f h-
lc-r L--
PHONE fi:
PHONE *:5
ANO ANSWER BELOI,J ALL THAT APPLY TO YOUR PRO]ECT:
SF PORCH
STORAGE SHED
\ 74
,,/ 6
f'n'^f
SF
SF
SF
suNRooM _5F
GREENHOUSE SF
roTAL HEATED sq rr:71 oQ
TOTAL PROI ECT COST lress r-or) : $
rorAl sQ Fr UNDER *oor, L(tt rorAL AREA sQ FT:
2fa,uo o # oF sroRrEs: /
DET GARAGE SF
POoL _ SF
DECK SF OIHE R:
TOI^JNHOUS E
,_Is Any ELECTRICAL, PLUmBING or I'IECHAIICAL uJo.k Being Done to the Accessony Structure?Yes No
If the project is a Relocation, is thene a Natunal Gas Line on the curnent site? [ves ! ruo
Is there Electrical Powen on this Building? l-l v"r l--l ruo
PROPERTY USE / OCCUPANCY:INGLE FAI4ILYd,
DESCRIPTION OF I.IORK:E,".
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES
EXISTING II]PERVIOUS AREA:/()SQ FT
SQ FT
DUPLEX
h <- --:
OISCLAIMER: lhereby cerlit that all inbrmalion in his applicaiion is conecr and allwort willcomply wirh he State Buitding Code and a[ oher appticab
andordinancesandregulationsTheNHCDevelopmentSe.vicesCenErwillb€nol,liedoianychangesinheapprovedptansa
contactcr anbrmalion "'NOTE: Any
5
rk Perlormed W/O tle Approp ale Permits will be inViolation oflhe NC SlaE Bldq
u.-".^l Lo,--Lc* ,\-l**,SIGNATURE:
..+'**,***+*+****************(ilTlNil"]*r***r***********
o $500
* * * *** * * * * * * * * * * ++ * * ** *,t
c
3
)
)
NO
TOTAL ACRES DISTURBED:
PAYI1ENT 14ETHOD
**1,i***t**r******,***,*,*+*,t+,t,t,t,t*,k*****)t,*,N********,*,*,***+,***++**1**,t,*++**+t***1******,t,t****,*
NEW Ii,IPERVIOUS AREA
CFPUA COI'IMUNITY SYSTE14 PRIVATE WELL CENTRAL l,,lELL
CF PUA ! cerurRnl srcrrc f] pRrvArE sEprrc ! cor,uururrv svsrrN
**' SEPA'IATE PTRIIIITS REQUIRED FOR ELEC], IIIECH, PLBG, GAS EQUIP, PREFABS & INSERTS *I+
Icos, !cuecK (payABLE ro nxcl Iarlr rccourr I r,rclvrsr Iorscovrn
(FOR OFfICE USE onLy) SEVrSEO OATE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_ZONE: _OFFICER:
Approval:_ City:_ DATE:_ FLOOD: _ _ BFE+2ft=
and 9rbpc
Comment:PERtIIT FEE: $et tL+-
OWNER/CONTRACTOR:
EXTSTTNG CONSTRUCTTON; E nrrrRArrOt I nrruov,lrron I cetenlr nrearns ! RELocArroN
NEW CONSTRUCTIOru: ffirnrCr NEW RESIDENCE o" I lOOrrrOru TO EXTSTTNG RESTDENCE
ttz[8
--rz(o
E
Exrsr LAND DrsruRBrNG pERt'ur: T-l yrs l--.l lo
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