AUGUST 3 2015 BUILDING APPSPROPERTY Ohf,{ER,S
OhNER,S ADDIESS:
EHAIL ADDBESS:
Pf,O]ECT CS'TACT PEiSOiI:
EXISTIIG IliPtBVI0LJS AREA:
-
NElil IIIPERVIAT5 AREA:
LICET.ISE
CITY:
TOTAT ACRES DISTURBED:
TXIST LATD DI5TURBTilG
PT€il8
!.QOvvt
6bls Stats
rnd local
,es
Pr cioope i0
mnlr3rh.ot
dt in?, Ui) To
'S0O.OO-
i_+ry'** r*111sr| **+ii
r*r* ***+
**
Lotf-'lnca
apprrffi'n
ilunber
(offJce Urs)
ZIP:
2y!!t_ ,... LoT
*l
Pl(cl'tE
#:
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sr: A,I(zrp:
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ilililft ves
fJ r*o
APPLTCAiIT'S |{AfiE:
DEVETOPER:
PRO]ECT AII)RESS:
Pf. ls-r?'r.I
NEW HANOVER COUNTY
EUILDING PERIYIIT
ApplrcArrail npf
I RESIDENTIAL
PLEASf Alrsti'tr
Att REsIIONs AppttCABtE TO YOUR pRolECT
"project Responsibility',
I \vr rr(r vrc,I .+
- '1r:,rSh ll"nOrrrf"S onfi: ,?-.?1-/{
PH0I{E
*: 7t*- u
tt, - lz:;CTTY:
su8DrvI5rofl:
PH0tlE
EXISTI}'6 COf{STRUCTIOT.J
:
Pft0PEiW USE
/ 0CCUPA!,ICY:
DESCRIPTION OF },O*(:
conlrrbr inlormadon.
'-NOTE: Any Work PBrtormed WrO fi€ Arpropris* pe*iB wilt be in Vrolation
olttre NC Ststs Bldg
fi-rennr:on ffifr'ovarro*
n GENERAL
REpArRs
I r*ocarrorut\Ii LJ vLrtLnH! nrrnro l*f R[
llEhl cols?RUCTToN:
ffigt.trw Rrsmrrucr
or
f, ADDirrcil To
Fxrsrrrc REsrDEr{cE
'JPLEASE cT{EcI( AiD
*,**}i.* ALL II{AT APPLY
ro YoLIB PRo]ErT:
f] arr GARAcE
_- sF t orr
GARAcE sr
f eongr
_* sF
f]suwnoou _sF il noor
_ sF g3 ,ro*uo,
,*ro sF
6iJ
;; ;-;;,:il ru.,M{'usE,rr
rfr$s*#l,'*n #**x*** g?#'#gd-ffi*
f exruwrousE
-*
sF f oecx
_ sF orHER:
*__-r;
TOTAL HEATED SQ FT: *tZdO TOTAL SQ
FT UNDER ROOF:TOTAL AREA 5Q FT:
TOIAL.PROIECT (OSTrlesslor)
I $ /3" 3y5 fi oF STORIES: _ ..[_.,*
rs Any ELEcnrcAL, ptultBrllc or ltEcHrrhr€a! I.iork Being Done
to the accessony
structurs, gd I roIf the project
is a Relocation,
is there a Natura
ret^4., ( t{r\rt.--..q.;[J-l(nt !4€UJ,
etvLlr9 *ffi
DISCIIIMEft lhorcby cenily fisl sl inbmstion in
fiis dpriksron te
cbrect ond
allumrtwi[ cimptywit trr gr"t" auifuin'f
-ocfi]
snd ordinsnces snd relulrlbns' Thc
NHc Developft€ol setuhes
crnEr $i,l be nctlted ol eny chanies in he Bpproved plrn. .rf.x."t*,
ohrilER/coilTRACT0R:
5f.k.._ll[*..,o: sr6ilA
r * * * * + * *'r + * *. * *
** ** :*
* *,3
*. - JIltIl JiT] * + * * * *
*. * r r r
r * * * *
*.fi
ts THE P[oPEnTY tocATrO
ri, A rL@DprAIN?
[l yEs d*
sQ FT
SQ FT
*r"
rdArER:
Wctyua f couiluNrw sysrEM
flRuvare l,l:u.
sEtlER:
ffireua I crrurrnl sEprrc
I enrvrrr sEprIc
I crrvrnnl uru
f ccr.uuxrw svsrrrr
11r SEPARAIE PERI,iI-TS REQUIRED FOR
EIECI, l4tCH, P186, GAS EQuIp, nnrrgs g-r+,ff,,.ii ...
pAyriEirT
nETH0D:
f casx
flm..* (pAy^sLE To !{?rc)
[arcnrcrr rrr*rs Eil;r;^ f,Jorscov**r*+*****t****'i*r*****'**att**'il:lata*****+**i***++***'t**+****r*r**rlrl***at11k*******rf,r*ta*r
,o*r, ,0..t{oFFr(ER:
Approval :--* CitY:,
C0f{Tf,AC?oR: '"r,1*urer,-.
,
-i'?.r.r{a tt-C
Cordtr€nt 3
DATE:
Pfll4IT FrP r t
tl
FEcErvErr rul 20 206 ?62 l5 lq5{
NEW HANOVER COUNTY
BUILDTNG PERMI,r.
DE<YhENrrA, :T 7otC1'L11
PRO] ECT
PROPERTY OI.{NER'S NA E
:
OWNER,S ADDRESS:
CONTRACTOR:
ADDRESS:
APPLI.aTIoN TYPE: RESfDENTfAL
PLEASE ANSWER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilit)d'
BLOCK
#
LICENSE
CITY
APPLICATIOiI
Number
APPLICAT{T'S NAIitE:
DEVELOPER:
EIitAIL ADDRESS:
PRO]ECT CONTACT PHONE
tr
tr GR E ENHOUS E
TOTAL HEATED SQ FT:
TOTAL PROIECT COST rress roo
SHED SF
sF ! oecr
_ sF orHER:SF
rs Any ELEcrRrcAL, PLuttBrNG
or MEcHAlrcaL
work Being Done
to the Accessory
structure?
lv"t ffi \rf the pnoject
is a Rerocation,
is there a Natural
G:1line on the current site? [ ves fl No
n\&Is there Electrical Powen
on this Building?
f-l V"t flruo
occUPANcY:
l:l sI E ,FAMTLY ! oun
lex TOWNHOUSE
** * * * * * *+** +*** **** ** * ** * * *(iitl! lle * *;?* * *+* * *** *** *ri* *+ * ** ** *
rs THE pRopERry LoCATED rN A FLooDPLATN?
l--'l yEs vro iA
EXISTING IMPERWOUS
AREA: V SQ FT ToTAL ACRES DISTURBED
NEl,l rMpERvrdrs
o ro,
9413-
t[ ,r Exrsr LAND DrsruRBrNG
wArER.:
VcFpua ! comnururw
sysrEm
fl pRrvArE htELL
I ce rurnal
wrrr
sEwER:
EfcFpua I cerurRnl seerrc
f] pRrvArE sEprrc
l-l conNururrv svsrer,r
*** 5;pARAiE P!Rl.!ITS REttll:D FCR
::_:aT) l,1ECN, p1ts6, GAS !QtJip, pREFAES & Jl,SElrS +rr
PAY!,tEt r ITETHoD;
E casn EcxecK (payaBLE
ro
mrcl
I auenrcAN ExpREss
I r.rcTvrsr
l-l orscovrn
,*
*** ***,t**:*:k:*:* * *:* * *:** * **,1.* **** * * il.
* *,*,*,* *,* * * ** * *** *** * ** ** *:f * *** * * * ** ***:* *,* *
t*** ****,t *** **
(FOfl OFFICE UsE CI'ILY) REVISEO DATE O4l11l12
SETBACKS:
F: LH: RH: B:
u
'@'a\\c
PERMTT:
l-l ves [t-no
ZONE:
OFFICER:
Citv:
#
PHONE
EXISTING CO STRUCTTON:
[l llrrRnrroru
[ neruovlrroru
! eeruenal nrelrns
I RELoCATION
,-
_z
NEll CoNSTRUCTION: ETERECT NEW RESTDENCE
or ! mOrrrOU TO EXISTING RESIDENCE
**PLEASE CHEC( AllD ANSi/ER BELoul
ALL THAT APPLY TO YOIR PROIECT:
{o, uo*oo,
?W5 sr ! oer eannce
-
r,
ffo*r, \Jh ,,
5UNROOr,l
sF ! eool
_ sr l-l sronncr
VM rorAL sQ Fr ,NDER
RooFt?ftdo rorAl AREA
,a r-r1l)D
# OF STORTES: p
PROPERW USE
/
DESCRIPTION OFWORK:
and ordinances and regulations. The NHC Development Seruicss Cencr will be nolifed ofany changes in
he approved plans aodor change in
contracbror
confractor informaton '*NOTE Any Work Perfomed W/O he Appropriate permits wi be in Viotalion of the NC
SIGNA
ADDnoval:DATE:F LOOD:BF E+2ft=
SUBDIVISION:
. crw:
Looil(1
NEW HANOVER COUNTY
BUILDING PERMIT
aPPLIcATIott
rypE: RESfDENTIAL
PLEASE AI.]SI,]ER
ALT QUESTIONS APPLICABLE
IO YOUR PRO]ECT
"Project Responsibility,,
Totr:-r43(€z t5-11{t
APPLICATION
Number
((rflce Use)
.r,at't_.Tr\/.*/ ,. Y,\
ffi/
APPLICANT' S
DEVELOPER:
PRO]ECT ADD
SUBDIVISION
.*PLEASE CHECK
I err eanoer
BLOCK
#;
DATET
7 Za t,--*t ntb 4.'3 z?3;
zIP
I
Zt/Ll
LOT *:
ploNE
*: nb,.ii7 DGfi
sr: N< zrP : Ze,{ (
\
J
Q\l:JU
r
+0
,d\tOxo./\JJ
@
ExlsTrrlc coNsTRUcTIoN:
ffi-rlrcnnrrot
! nrruovarroru
fl crNennr neearRs
f]
NEI^' CONSTRUCTIOT:
I rnecr NE!,J RESIDENCE
o"
! mottron ro ExrsTrNG RESIDENCE
! sunnoor'r
-
sF
trn
5F
I sroRncr sHro 5F! enerluouse SF
SF OTHER:
4dD 5F
T0TAr .HEATED SQ FT:ToTAL SQ FT UlrlDER R00F :TOTAL AREA SQ FT:
TOTAT PROIECT C0ST1r""srory
: S 580O S OF STORIES:
rs Any ELEcrRrcAL,
PluilBritc
or EcHAilrcal tJork Being Done
to the accessory structure?
B v"s I norf the project
is a Relocation,
is there a NaturaL Gas Line on the curnent
site? [ves $toIs there ElectricaL power on
this Building? [lves I r,ro
ALL THAT APPI.Y TO YO,,R
PRO]ECT:
! oer eanace
sr
I eoncx
_sF
PROPERTY
UsE
/ OCCUPAI{CY,
fl SrtCr-r
rolrr-v I ouelrx
! TowNHoUsE
DESCRrprrOli
oF rtloRK:
v tTo,tt&J a.<t. euu*al*mr-ut
DlscLAlMERr lh€rebyce i, tlal all inlbrmalion in lhis applicalion is
coneci and stt work wjltcompty
wih lhe state Buibing code and aI otE, appticabte srale and tocatlaxsand ordlnances and €gulauons. The NHC Delelopmenl seruices
cenbr wittbe notted otanychan;es in h"
"pp,""*
pr"-""""1 ap"Jiaru"rr[i
cotuacbr hbrmaton. "'NoTE: any
worl Perfomed
wo li€ ApprcpriaE Pemits
wi be iniiohtion of lhe Nc staE Blrg code and
suoeo
orrleiu"pli
ii;.#:;
omen/tffiiircroR:
€5IGNATURE:
** ***,i* * * '*,t,t:i* + ******* **** *(I
it{ i }i11] **
****
******* **** **** **{*!* )* )**** * *:r* +:}*,} +,r )r )r )i )r + *:r*,r*+*
rs rHE pRopERry LocArED
rN a rrooopurr?
lXlyes El rc
EXTSTING 4PERVIOIJS
AREA: cQ FT
NEt^,
II4PERVIOUS AREA :
SQ FT
EXIST LAr\D DISTURBTNG
PERMIT:
E yrS [-1 rc
warER:
ffi creua
! co!1r4uNrw
svsren
f] pRrvATE t"lELr
ft cenrnal werl
sEhrER:
[! creun
! CENTRAL
sEprrc
! enrvrrr srerrc
I comMUNrTy sysrEr4
ZONE :
OFFlCER:
(FOR OFFICE UST OTILY)
SETBACKS:
F:_ LH:_ RH:
Approval:
*** SEPARATE
PERl4rrs REQUTRED FoR
ELEcr, tlEcH, PLBG, GAs EQUrp, PREFABS
& rNsERTs ***
pAyitENT
nErHoD:
I crsx
I cxec( (PAYABLE
ro nrcl
f! rr.i acccuuT
-
fi..zrrio
-
[-rrr.orr.r****)*****:t*)t*,t*++**:*)**)*.**,***)*i**++,**,*)*,t**r()*,i**,r*)*+:i+rt)t,t*,**)t*****l*********,***,i+,t*rr,r**+*)**
REVISED DATE
B:_
BF E+2ft=
PROPERry O}'NER'S I\IAME:
OI{NER,
S ADDRESS:
COI.ITRACTOR:
ADDRESS r
EI4AIL ADDRESS:
PROJECT CONTACT PERSON:
CITY:
LICENS E
CITY:
(n'c-r*J
ANO AIiISWER BELO}J
_ sF
P00L
_
DE
CK
TOTAL ACRES DISTURBED:
N
PERMIT
FEE: $
ZA-"s-
PIONE
#: qlO44<-ZZt<
Comment :
_ City:_ OATE:_ FLOOD:
..rq UtY-12sc ?€z
$-unqq
(,0"
NEW HANOVER COUNTY BUILDING PERI{TT
APPLICATIoN TypE: RESIDENTIAL
PLEASt AirsuER Ar-L Qu€srrot{s apptrcaBLE To youp
pRolEcr AppLIcATIol{
"Project
Responsibilit!/, l'lumber
(Office U5e)
ffi:l$H,t
*
D^rE:
Z -a.. ^t
s
PRO]ECT ADDRESS:
SUBDIVISIO:
PROPETTY O'llrlER'S ilAllE :
oulen,s loonEss:20
coitTRAcTon:
ADDRESS:
EiIAIL ADDRESS r
PRO]ECT COirIACT PERSO :
EXISTIIIIG C0 STRUCTION:
*IPLEASE CHECX AND AI{SWEN BELO[,ll
ALL THAT APPLY TO YOUR PRO]ECT:fl rrr ernace
_ sF I orr eanre
r sr
f] roncxJr l_J rurLn _ (a
[__J suruRoor'r
_ sF f] eool
_ sr ! sronrcr
,r*-- -
r{Ew cor{srRucrror:
fl rnecr Et.l RESTDET,TCE
o"
! eoorrror ro Exrsrrl,lc RESIDEICE
DESCRIPTION OF h'OR(:
SIGI{ATURE:
ALTERATToN
I nruovarroru
! eerennl neearns
I RErocATroN
:t*************
SQ FTTOTAL ACRES DTSTURBED:
DlscLAlMER:lherebyceni'hata[inbmstonirhl5epplk6tonisco[€GIsnd",;ffi
and odmsnces erd resur'rjons. rhe NHc Deveropmenr
serv.es c.€hrer wir h. n"""., ","^..-,^-!:T:::-"]1:ll''lli9:::* ", ot".
*JJiffiliiii;Ti]and ordmsnces erd regutrrjons. The NHC Devetopment Sery|ces CehEr wil bc
nrn"J
",
"",
*J,
" - "!va'l!lwlvriawvsdnoBlroihe,aDDlE.bteSr.tssndtocstI
convacr, inbrmrron. rnNorE:Any worr perromco wo rhe ADoroDrtsE pem,,. - "" ," ,,",-,'::t^':.-11",:1:-ved6elan
s-ano ie€otcs tions o' chanse-in conrac b r
orcontract r inbrm6tioh. "'NOIE:Any Work Pertomcd
wfo rhe ApproprtaE perm,t
"irr
i"ln'v-iorlrion of,m nC
Suc SubFcl
t)$500.00.'
E,, rnPERvrous AREA:
-
sQ FT Exrsr LAND
DrsruRBr{G
.tit L yes [--l Ho
wxea:{. }reua I cour.lururw svsrem
! pRrvATE !{ELL
! cenrul we ll
SENER:
fl crnua
fl cENTML
sEprrc
I enrvarr
,rorra g- coMMUNrw sysrEil
i.* SEPARATE pERt4rr,XEQUIREO FOR
Et-tCr, r,lfcH, pLBG, GAS EqUIp, pREFABS I TNSTRTS .l'
pAyuEirr IETHoD:
! cos,r flcxrcr( (payaBr.G
a *.1 fi- -r^rcair ExpREss E n.^rio" ''
D rrr.orr.
'*** *
*** ***+:t'|** ++:l+ '+** ***:i +**:| * ** ****+*** **** ***,**r** *** *
*** *** ***** ***r*********** * *,|* *:*
IS THE PROPERTY LOCATED
IN
EXISTII{C II.IPERVIOUS AREA :
ZONE:
_ oFFICER:
Approval:_ City:
(for orfrcE usr o{tY)
SETBACKS: F:
LH: RH: r.
RtyrsED oaTC
0./11/12
BFE+2ft=
fl
PTiTIT
zrP:2
8'4o 1
--- LoT S:7t4-vAT-- *b)q
_PHOilE s: atq -')a5_,7t5 tsrtu!:zrpt 29?d3
PI{ONE
s:
T0TAL HEATED
sQ FT:
-
TorAt sQ FT UNDER
RooF:
_ roTAL AREA
so
FT: *c)
TOTAT PROJECT C0STlresslor1
: $ l5/oocr-oo # OF
STORIES:
I aucrK-fift4
rs any ELECT*,CAT, prrfiBrltc or trrEcHA{rcAL
,,ork geing Done
to the Accessory Structure? [ ves [f-roIf the project
is a Relocation,
is thene
a NaturaL Gas L
rs there El€ctricar oor." on".irr'r,ira;";. |iryfr
Ei:""
on
the curnent site?
[ves
Iro
pRopERw usE
/ occupaNcy,
ffircl, ,orr,, firurl.rlD r**ror*
(Print N.m)* **
*i* * ** * **** +:r*r
*r*:, *:t 4 * * *
^
r.;;;;r -E*
rr,'"66-.-:|*****
*+***
Comm€nt:
DATE:- FLOOD:
FEF: (
LICCT{SE
S:
Zorc-:zt)Pez rr-ljs3
cfVl
APPLICAIT'5
DEVEI.OPER:
CO{TRACTOR:
ADDRESS:
NEW HANOVER COUNTY BUTLDING PERII,IIT
APPLICA|TOTI TTPE.. RESIDENTIAL
PLEASE
A SttER
ALr qJESTI0ftS apptlcABt-E TO yOUi PROIECT APPLICATION
l{umber
(Offi.e U5e)
iJAIiIE;
PRO]ECT ADDRESS:
SUBDIVISIOi':
PROPERTY
O}tr{ER,S II'OIE
:
O{NERJs ADDIESS:
DATE I
PHOt{E
LoT
#l
PHONE
CTTY:
'tL/
NEN COI{STRUCTIOT:
! rNICr NEW RESIDENCE
O"
I EOOTTTOI TO EXISTING RESIDEiICT
I'PLEASE CHECX At{D AltlSh,ER
sr
I roncx
__ sF
f] sronace srro
SFOTHER:
ToTAL HEATED SQ FT:
@AICX, ToraL sQ
Fr UNDER
RooFt@>/OU ToTAr
TOTAL PROJECT CoSTlressroq
, $Mrf * OF
STORIES: I
rs any
tlEcrf,rcAL, PturBr{c
or EcHArrcAr
wort
oeffione ao
,n" o.."r.o"rT ", 5If the project
is a Rel.ocation,
is there a Natural Gas Line on
the Currenl
5j[>
BELOII
ALL THAT APPTY TO YOURsF ! orr ennaerf| arr ermor
f| surunoor.r
_ sF
! noor 5FI enrrrxouse
-
sr
! orcx
PROPERW UsE
/
DESCRIPTIO OF
PRO]ECT:
SF
SF
Is there Electrical Power
on ltis Building?
Tves f] to
OCCUPANCY:
SINGLE FAMILY
I oueLex
f]
l.lonK:
".44,,r
(roi oFfIcE usr qllLY)
SETBACKS: F:
AREA SQ FT:
To
$500.0r,.
iEVrStD DATI
04l11/r2
ves
{no!v"s fi rvo
ra:!:+)t*5
LH: RH: D.
-
DATE:BFE+2ft=
FEE: t
n
PTNXII
Responsibility,
,./ zrPi
_z-y101
o, )77, ;6;3
sI ty'L- ztp
I Z { c/O/ f
LICENSE
CITY:
EfiAIL ADDRESS I r CClt-.-Pll0l,lE
PROJECT COtfiACT PEiSON:
\--nr,LO
%
v3s,&np?fi*:'L)O{Cu[
uarER:
Q creua
! coMMUNrry
svsrru
I pRrvATE wELL
! crrurul
wrll
iENER': VCFpua ! crurRal
srerrc
! pRrvArE sEprrc
[ .orrrrrr" srsrr,,
rr* 5EpA,tATE pERt4rrs REQUTRED
FoR ELECT,
ilEcH, .LBG, GAs EQU,p, pREtABs & rNsrRrs **,r
pAyrirE
r ErHoD:
!crsr [.cxrcK (payaBLE
* *.1 EJ*i*r;;;;;, 'E;;;il''trrrr.or,,
******:|**:t**:i****'|**********+***:r:r**************'*********:r**********r,*r*********
***
**
ZONE:
_ oFFICER:
Approval:_ City:
Comment:
FLOOD:
OhINER/CONTRACTOR:
rs rHE pRopERry LocarED
rN
a rtooorurr?
[ vrs EI rc ./EXISTII{G II.IPERVIOI'S ANEA: . t,/ SQ FT TOTAL ACRES D:^SIURBED: .4
r{Ehl IT,IPER,IOUS AREA:
,/ SQ FT ExIsT IAND DI'TURBTNG ,ilrr, L yrS I--, ro
SIGNATURE I
Fe, ts-lqs 7
APPLICANT'
S MIIIE
: ronque &
NEhJ HANOVER COUNTY BUTLDING PERMIT
'llSls'4zx
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility''
Groove Ll-C
APPLICATION
Number
(Offi.e Use)
oATE: t
/21/15
DEVELOPER:
CITY: W r lmrnq
ton
PHONE
#:910-6?9-4610
ZIP:28111
LOT #: 10
PHONE #:
PROJECT ADDRESS: 7300
Artifact Court
SUBDMSION: Reslster P]ace astates BLOCK #:
PROPERW OT{NER'S NAltE:
O}.INER, S ADDRESS:
Mike Brodeur and Denise Evans
CITY:
5T: ZIP i
CONTRACTOR: Tonsue & Groove LLc
ADDRESS: 6331 Cleander Drive
El,lAIL ADDRESS
: ma r kG tongue-and- groove. com
LICENSE #: s4432
PRoIECT CoNTACT PERSON: Bill deBruln
CITY: wi,l-niogton ST: NC ZIP: 28403
PHoNE
#:910-G?9-4610
PHONE #: 9la-264 -3251
Al,lD AI{SIIER
9'7 A
ExrsTrNG co srRucrroN:
I alrenarrou
! nrruovnrroru
! ceNenal neenrns
! RELocArroN
NErd CoNSTRUCTIOU:
I enrCr NEU' RESIDENCE
o" ! mOrrtOU TO EXISTING RESTDENCE
*i.PLEAsE CHECKBELOW
ALL THAT APPLY TO YOURPRO]ECT:
tr
tr
I arr caRace
sF ! orr cnnacr
sr @ eoncu jrc, sF
S UN ROOMSF
I eoor- 6sc sF
! sroanee sneo
GR E ENHOUS E
5F
! oecr
SF OTHER:
TOTAL HEATED SQ FT: 1,204 TOTAL SQ FT UNDERROOF: 5684
TOTAL PROIECT COST rress rorr : $ :so,ooo
# OF STORIES: 2
Is Any ELECTRICAL, PLUltBIttlG on i1ECHAI{ICAL l.lork Being Done
If the project is a Relocation, is there a Natural
Is thene Electnical Powen
on this Building?
!ves lil ruo
pRopERTy usE
/ occupANcv:
I srruclr raNrLv
! ouer-ex
! To]JNHousE
lilfllllilil lr tlrffii
and ordrnances and regulations. The NHC Developmeni Services CenEr will be notfred of any changes rn he approved plans and specifications or change in contacbr or
contacbr inbrmaion. T,NOTE:Any Work Performed W/O he AppropriaE Pemi6 will be in Volaton ol he NC StaE Bdg Code and Subject b Fines Up To
0500.00-'
*+*)*)i)i)i:}++*****************(I!,ll}i1"J**********+++*x)i*lt,t+++++*-ffi
rs rHE pRopERTy LocArED rN
A FLooDpLArHl
l--'l ves E rvo
EXISTING IMPERVIOUS AREA: O
SQ FT
SQ FTNEW IMPERVIOUS AREA: 4184.28
TOTAL ACRES DISTURBED: .09 6
EXrST LAND DTSTURBTNG PER rr: E VrS @ HO
uArER:
ffi .roro d.o*uNrry sysrEm
! enrvrre wer-r-
fl cENTRAL wELL
/rrt; *A-,"W-
sEwER:
@ creun
I CENTRAL sEPTrc
! enrvnre srerrc
! col4MUNrrY sYsrEM
**t SEPARATE PERl,4ITs REQt,IRED FoR ELEcT, l4EcH, PL86, GAs EQIJIP, PREFABS & INSERTS ***
,o"rr* ,rrrool- E] .o* E.*** (pAyABLE ro n*1 [ *.*r.ori ExpREss
E r,rclvrsr
I orscoven
x,F,*,*:t+* ** + + ++*,* * + rF* )r+
r.:.x* * * + + )t )i )t,*,* + ++:1.* **,*+'l'+ +:i:l' *'td'+ ++{':t *'*'J* 't* i(:i't '** '* {' )*
'l'
)ir
'(
)i i( * '* *'r '**"1' *'l*'} +*
(FOR 0FFICE USE ONLY)
SETBACKS: F:
to the Accessory
Gas Line on the
SF
SF
TOTAL AREA SQFT: s684
structure?
[ V"t [ruo
current site?
[ ves fl r'ro
ZONE:OFFICER:
REVT5EO OArE 04l11l12
Appnoval :_ City:DATE:FLOOD:
LH: RH: B:
B F E+2ft=
,o1t'-12_1ta
FF^F,,rn ntzo WZ t5 _tq51
NEt^l HANOVER COUNTY BUILDTNG PERMIT
APPLICaTIoN rYPE: RESf DENTIAL
PLEASE ANSIIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
BLOCK
LICENSE
CITY
&,
APPLICANT'S NA}IE:
DEVELOPER:
tr
tr
APPLICATION
Number
(Office Use)
oerc.flfi)fi_
PROJECT ADORESS:
SUBDIVISION:
PROPERTY
ohr{ER ' 5
O|INER' S
ADDRESS:
CONTRACTOR:
ADDRESS:
EIi,IAIL ADDRESS:
PROJECT CONTACT
PHONE
PHONE
trnSF
SF POOL
DECK
5F
l-l sroRace sneo
OTHER:
5F
SF5F
ToTAL HEATED 'q,,, \4?(.0 ToTAL sQ FT UNDER aoor:fib\ ToTAL AREA
sa n:E%I
ToTAL PRolEcT CoSTIr-essr-otl , $ffiffi--OA# OF STORIES:
A
Is Any ELECTRICAL, PLUIIBING or I,IECHA
fCAL LJork Being Done to the Accessory
Structure?
lV"t ffi \rf the project
is a Relocation, is there a Natunal
Gjtlj.ne on the cunrent site? fl ves I No
n\&
Is there Electrical Power on
thj.s Building?
n y"t [7l ruo
and ordinances and regulations. The NHC Development SeNices Cent-.r will be nolifed of any changes in lhe approved plans and
contactorinlolmadon'*NOTE:AnyWorkPerformedW/OheAppropriatePelmitswillbeinViolalionoftheNC
OWNER/CONTRACTOR:SIGNA
(Print N.me) J
* **r. ** * * i. r(+ +++1. jl.* * * ** * r. )t )* r( r.** * *,t i( ***+ **** +* 1.+ * * * * ** * ** ** + * + ++*
Is THE PRoPERTY LOCATED IN A AOODPLAIUT [..I YES ffiO
AREA:
anEl: \
coMMUNrry svsra,r
! pRrvarE wELL
! crrurnal well
cENTRAL sEprrc
! cnrvarr srerrc
! comtvluNrrY sYsrEM
3*+ SEPARATE PERI'1ITS RlQUIRED FCR ELECT, r'lECH, pLBG, GAS:QUi.D, PREFABS
& INSERTS **i
pAyMEilr METHSD:
E crc*
E cnrcK (eAvABLE ro NHcl
! ArqerrcAN ExPREss
E uclvrso I orscore*
*+*****tt*r.,t{.*r.{<{.*****i(******,ir.{.*+i.**,**,*++**********.*:*:**;*,t****,***,******,.i.*,*r.tr.,.******r.,1.*
OFFICER:
citv:
(FOR OFFICE UsE ON LY)
SETBACKS: F:
or change in
contraclcror
EXISTING I}TPERYIOUS
NEW I}IPERVIOUS
I,,ATER: I\, CFPUA I I
*//
sEr.iER:
EfcFPUA n
SQ FT
5Q FT
ZONE :
EXTSTTNG CO STRUCTTON:
l-l arrennrtOru
[ neruovarroru
! cerueul neerrns
I RELOCATTON,-
NEw coNsTRUcTI ox: (en*t NErrl RESIDENCE o" ! noorrrot To ExrsTrNG RESTDENCE
*i'PLEASE CHECK AND ANSI.,|ER BEL&I ALL THAT APPLY TO YOUR PROJECT:
SUNROOM
GR E ENHOUSE
TOWNHOUSE
WA,l0ac-
PERMIT:
I lYEs lJ'No
REVISED DATE 04l11/12
TOTAL ACRES DISTURBED
EXIST LAND DISTURBING
Aoonoval:DATE:FLOOD:
LH:RH: B:
BF E+2ft=
PRoPERTY UsE
/ occUPANc v, ds
l!RECElr.,,:^ I'rr 20 20lt
APPLICA T'S NAIltE
:
DEVELOPER:
APPLICATIO{
Number
(office use )
D,*E,fuilrL
PRO]ECT ADORESS:
SUBDIVISION:
PROPERTY
Oi'l ER'S NAI!,IE
:
OtrlNER'S ADORESS:
CONTRACTOR:
ADDRESS:
EIiIAI L AIDRESS :
PRO]ECT CONTACT
GR E ENHOUS E
trnSF
SF
2oVq-Laq"
PCz-t5-tq5t
NEW HANOVER COUNTY BUTLDTNG PERMIT
APPLI.ATIoIII
TyPE: RESTDENTIAL
PLEASE ANSI^IER
ALL QUESTIONS APPLICABLE TO yoUR pROtECT
"Project Responsibilit)d,
LICENSE
CITY
PHONE
#:
PHONE
EXTSTTNG CONSTRUCTTON:
l-l nrreRarrOU
! nrruovlrrou
! eeruenar nrearns
! RELocaTION
NEI.I CONSTRUCTI OU:
{E*ECT NEW RESIDENCE
O"
I NOOTTTOII
TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSIIER BELO9I
ALL THAT APPLY TO YOUR PROJECT:
{o, no oo,7QV t ! oer ernnee
-,,
6o*r, 47 ,,
SUNROOMPOOL
DECK
tr
tr
5F
fl sronacr sneo 5F
5F OTHE R :5F
rorAl HEATED
,a rrrJ'H-,4 rorAL sQ Fr uNDER **r,,974-l rorAL AREA
,r rrr9144
rorAl pRolEcr cosrlressr-ory
, $ {lll0,C6 # oF
sroRrEs:
,a
PROPERTY UsE
/
DESCRIPTIOITI OF
Is Any ELECTRfCAL, PLUMBIiIG or MECHAITICAL
Work Being Done to the Accessory Structure?
flV"t ffi
ff the project
is a ReLocation, is there a Natural
GltLine on the Current Site? f] V"r [ ruo
n\&
rs there
Electrical Power on this BuiLding?
[-l v"r fl r'ro
and ordinances and regulalions. The NHC Development Services Cen@r willbe noiified ofany changes in fie approved plans andor change in
contlacloror
contaciorinformaton'*NOTE:AnyWorkPerfomedW/OlheAppropriatePelmilswillbeinviolationoflheNC
SIGNA
(Print Name) J+****t*******t *{<++++i.r.****************i<*+:t+****++*************
rs rHE pRopERTy LoCATED rN A FLooDpLArrur
l-l ves
SQ FT
SQ FT
ceurnnr seerrc
!PRIVATE SEPTIC
trtr
COMMUNITY SYSTEI4PRIVATE h]E LL
*t* S;pARATE PERItlITS REQ-UIIED FCR
E-iCT, l4ECil, P1ts6, GAs :QUi?, ?REFABS
& INSERTS .i'**
pAyMENr
IrrErHoD:
f! cmn
f| crecK (pAYABLE ro ltttc;
I menrcAl ExPREss
E rcl"so l-l o'sco"*
**r(*+********r.tr **i(*,t*)****++x***r.**,t*******************,t****++******:**i.******:****:L:k******
ZONE :
EXISTING IIqPERWOUS- AREA :
NEhI I}'IPERVIq,5 AREA :
TotlNH0USE
,
t\
ac_TOTAL ACRES DISTURBED:
EXIST LAND DISTURBINGPERMIT:
3res ffi
WATER: IL,TCFPUA I I
SEI"IER:
ETCFPUA E
CENTRAL I^lE L L
COMMUN ITY SYSTEII
OFFICER:
Citv:
(EOR OFFICE USE ONLY)
SETBACKS: F: LH:
REVIsED OATE O4l11/12
RH: B:
Aooroval:DATE:FLOOD:BF E+2ft=
trtr-,!E-.'
APPLICAT{T' S
DEVELOPER
:
o.*,,{i5E-
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OlrlNER' S
oWtlER'S ADDRESS:
PRO]ECT CONTACT
tr
tr
rorAl HEATED
tq rr,&CYW rorAL sQ Fr
rorAL PRorEcr coSrlr-essr-oe , frAAAZ.fi
SUNROOM
6R E ENHOUSE SF
I sronaer sHeo
OTHER:
SF
UNDER
#
O
,\0 ac-
PERII.IIT:
N YES
hIATER: IL/'CFPUA I I
SEI{ER: ETCFPUA E
COIIMUNIry SYSTEM PRIVATE WE LL
cerurnal srerrc
I PRIVATE SEPTIC
trtr
CENTRAL WELL
COMMUN ITY SYSTEII
ZONE:OF FICER:
Citv:
(FOR OFFICE UsE O!TY)
SETBACKS: F:
REVISED OATE O4l1.1/12
B:_
BF E+ 2ft=
.^^--
Lotfsl'%z-I RECETVEI tut 20 201t '
NEI^I
HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE..
RESIDENTIAL
PLEASE ANSIi ER ALL QUESTIONS APPLICABLE TO YOUR PROTECT
"Project Responsibilitld'
LICENS E
CITY
PHONE
f
PHONE
#
P'Z:Y
APPLICATIOI{
Number
#
PHONE
ExrsTrNG
co sTRUcTroN:
l-l nrrrnartoru
[ neruovarrou
f] eeruenar
nrenrns
! RELocArroN_./
NEH CONSTRUCTION: ETERECT NEW RESTDENCE o" ! mOrrrOru TO EXISTTNG RESIDENCE
*TPLEASE CHECK AND ANSTIER BELOW ALL THAT APPLY TO YOUR PROJECT:
{or- uo*oo,
1f15 t ! oer eannce
-
r.
ffo*r, -72 sr
SF
! eoor
_ sF
SF
I oecr
**r.&5\? rorAl AREA
sa rr:&5[}.
OF STORTES:
Is Any ELECTRICAL, PLuiitBING
or MECHAIIIICAL
Work Being Done to the Accessory
structure?
[ Vat ffi 1ff the project
is a Relocation,
is there a Natural
Gasline on the current Site? [ ves I f'f.
n\&
Is there Electrical Powen
on this Building?
l-l V"t ff r'ro
PROPERTY
UsE
/
DESCRIPTION OF
and ordinances and regulalions. The NHC Development Services Center will be noljfed of any chanqes in t'e approved plans andorchango in
contracloror
conracior informalion '*NOTE AnyWork Perfomed W/O he Appropriate Permits willbe in Violalion of the NC
ER/coNrRAcroRt
Vn()?. l'\.)llrfil\ - \(' srerarun$(
(P.int Name) J*****i<1.++*{.*r.{.*****i.**,*{.**++++++*+**************++**{<*+1r***+**
rs rHE pRopERTy LocATED rN A FL@DpLArnr
f-'] ves ffi
ExrsrrNc r'pER\fious o*ao,
O ,Q ,t rorAL acREs DrsruRBED:
NEI,I IIIPERVIoUS O*CO,
i7F5_,q TT EXIST LAND DISTURBING
*** SEPARATE PERI'IITS REQUIR:D FCR ETECT, flECir, PL3G, GAS EQUI?, PREFABS & INSERTS **+
pAyMENr
[ErHoD:
E cmn
E cttcK (PAYABLE ro r,trc
I f] arenrcA ExPREss
E nclvrsr E orscorr*
:*:L:L:r
*** **** * * ** **** r.*+ **{.* *** )*
**,i. {.tr(** *+,t* *** * *+* ** ** * *** **+ *** * **'t* * * ** *** **"* ** ** * *** 't*
IOWNHOUSE
Aoonoval:DATE:F LOOD :
LH:RH:
ADDRESS:
EMATL ADDRESS:
7o tr-t3o%
RECEIVED JUL 2O Mfi
NEt^r HAN,,ER
couNrY ,rr.;;; ,r.(i? l5-lqAo
APP LI cATIoN TyPE.. R ESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResponsibilitY'
BLOCK #
CONTRACTOR:LICENSE
ADDRESS:CITY
{
EtilAIL AIDRESS:
lYll yyruVllY ff \ltrl!.'//f'flI'€r- ( fl)fY\ PHoI{E fl
PHONE#
LOT
ST:
SF
SF
APPLICATION
Number
(office Use)
APPLICANT'S
DEVELOPER:
4olr
PHONE
PRO] ECT
PROPERTY O|^INER' S
O[^INER'S ADDRESS:
SUNROOM
GRE ENHOUS E
PROIECT CONTACT PERSOI'I:
.frff I t l{ affi\ PtrcNE #
ExrsTrNG co{sTRUcTIoN:
l-l rlrrnnrroru
! nenovrrroru
! cervenfu nrcrrns
! RELocATToN.z-
NEhr CoNSTRUCTTON: MERECT NEW RESTDENCE o" l-l AOOTTTOU TO EXTSTTNG RESIDENCE
**PLEASE CHECK Ar{D ANSWER BELOT/ ALL THAT APPLY TO YOUR PROIECT;
fii* oo*on. 31b t ! orr aanaee ,r
6o*r^ 4V t
tr
tr
tr
trSF
SFPOOL
DECK
SF
l-l sronner sH ro
OTHER:SF
ToTAL HEATED sQ FI7W,4 ToTAL sQ FT UNDER **,,31.44
rorAL pRorEcr cosr,.."".",, ,
$€Ulfo=--Ok o o, ,ro*rrr, 92
rorAL AREA ,q rr,P144
Is Any ELECTRICAL, PLU BfNG
on MECHATUCAL Work Being Done to the Accessory
Structure?
lV", ffi
If the project
is a Relocation, is there a Natunal Gas-Line on the Current Site? [ v", I f'fon\&
Is thene Electrical Power on this Building? l--'l v"r FI ruo
PROPERW UsE
/
DESCRIPTIOiI OF
an d ordin ances and regutations The N H C De velopmen I Services Cen Er will be notned of any changes an he approved plan
s and or change in contractc'r or
contracbr informaton. **NOTE: AnyWork Performed W/O he Appropriale Pelmits willbe in violalion ofthe NCTo
rs rHE pRopERTy LocArED rN A FLooDPLATHT l-'l ves V*
EXISTING I PERVIOUS AREA:sQ
sQ
*** SEpARATE pERtvlITS REQITIRED FOR
ELE{Tr MECP, pLBG, 6A5 EQUIP. pREFABS & INSERr! *r^
,orrrr, ,rrror]-
^
tr .^i, tr .i,i; 1roro"r. ,o *r.) E or..rcAN ExpREss
E n./rrso l]''l otscove *
,t,t** * * * ***,* *** )*,lr*+ * *** **,** 't** 't *** )t*** *** * * '|** *** * **'l **** *** ** *:l'*** * ** ** *** **)r*:*:i'l'* * *** **
ZONE :
O{NER/CONTRACTOR:
NEhI IMPERWOUS
hIATER:
MC'PUA L.I
SEI''IER: LUTCFPUA L-.]
ER/coNrRAcroR,
MLlde t?,JIk0A5 \f '
* * + + + + + )i i( * + + * *,* * * * * * + * + )*,*,t i( *,t,t + * * * *,* {:,* r.,* * * * * *
cor\ir\,1uNrry svsrer,r
I pRrvATE uIELL
CENTRAL sEPTrc
! enrvlrt seerrc
(FOR OFFICE UsE OI{ LY)
SETBACKS: F:
CENTRAL WELL
COMMUNITY SYSTEM
REVIsED DATE O4l11/12
d*TOWNHOUSE
SIGNA
** * * *** ** i<* **** * * * * * *
TorAL AcREs DrsruRBED: ,\4 AC-
EXIST LAND DISTURBING Oa*"rt,-5 ,rt -{*
trn
AREA:
FT
FT
OF FICER :
Citv:ADDroval:DATE:FLOOD:
LH:RH:B:
BF E+2ft=
SUBDIVISlON:
RECETVED JUL 20 2015
hya'%l
NEW HANOVER COUNTY BUILDING PERMIT?vt-
1t-,rO
PROJECT
SUBDIVISION:
PROPERTY OhINER'S NAIIE:
O{NER,S ADDRESS:
CONTRACTOR:
ADORESS:
EIIAIL ADDRESS:
PRO]ECT CONTACT
APPLICATIOi| TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
LICENS E
CITY
APPLICATIOTT
Number
'.{P,:,
APPLICANT'S
DEVELOPER:
oo,,#JE
BLOCK
PHONE
#:
PHOT{ E
PHE
PHOt'lE
*
#
GR E ENHOUSE
trnSF
5F SF
SF
EXTSTING COi{STRUCTTON:
n nrrrnArrou
fl nruovnrroru
[ cerueur neelrns
! RELocATIoN
NE,., coNsrRucrror,r:
ffnecr NEW RE'TDEN.E
o"
! noorrroru To ExrsrrNc RESTDENCE
tr
tr
rorAL HEATED
sqrr.Y595 rorAl,sQ FI ,NDER RooFQU!!-- rorAl AREA
re rr*CeH4
rorAl pRolEcr cosrlresslorl , $(f'flfl\.U # oF
sroRrES:
&
*I.PLEASE CHECK AIID ANSWER BELOid ALL THAT APPLY TO YOUR PRO]ECT:g(r, uo*oo.
Ao? t ! oer cnnnee ,,
ffo*r, 6T, ,,
SUNROOMPOOL
DE
CK
LYE ouer.ex
!TOWNHOUSE
Is Any ELECTRfCAL, PLUMBING or FIECHAI{ICAL
Work Being Done
to the Accessory Structure?
lV"t ffi |If the project
is a Relocation,
is there a Natunat Gas-Line on the Current Site? f| Ves [ ru"
n\&
Is there Electni.cal Power on this Building?
l-l y"r FI ruo
andordinancesandregulationsTheNHCDevelopmentServicesCenErwillbenotliedofanychangesinfleapprovedplansand
convactor informalion. "*NOTE: Any Work Performed W/O
he Apprcpr ale Pelmits will be in Violation of the NC
OWNER/CONTRACTOR:SIGNA
x*** ++* *:********+ * *+* "+*,* *(iiillliTl*.i?.*********++1p+* ****x*
rs rHE pRopERTy LocArED rN A FLooDpLArur
[--j ves @*o I
ExrsrrNc r,pERvrous o*ro,
. C, ,Q ,, TorAL AcREs DrsruRBED:
NEr{ r}rpERvrous *.o, I(f'4 n sq tr Exrsr LAND DrsruRBrNG
WATER:
ffctpun ! cor,T"ruurrY sYsrEM
! enrvnrr well
sEwERt
VcFpun I cerurRnl srerrc
! PRTVATE sEPrrc
**+ 5apARAtE pERt4tTS REQUIRED FoR E1-ECT, r4ECii, pL3G, GAs EQUIP, pR:FABS & INSERTS +*t
pAyMENT
!.tETHoD:
! cls, I c,rrcK (PAYABLE ro unc;
I r,renrcAN ExPREss
E rclvrsa l-''l orscoven
*r.+**r.r!+*)*,.,.{.:t****i.tl.**+,***********{.****i.***i(***********l.******,t****x****1.***********{"1"*
ZONE :
PROPERW UsE
/
DESCRIPT]ON OF
OFFICER:
citv:
(FOR oFFICE USE q!tY)
SETBACKS: F:
sF l-l sronaer sHeo
SF OTHER:
orchange ifi
contracbror
LH : RH:
REVISED DAI€ O4l1U12
B:_
BF E+2ft=
trtr
PERMTT : l-l ves El'-r'ro
CENTRAL WELL
COMMUNITY SYSTEI4
Aooroval:DATE:F LOOD:
NEWHANOVER COI'NTY BUILDING PER!'IIT
/fPLtCAtIdt rYPEr RESIDET{TIAL
pLGrsE ailsLER AIL q.,Gsrro{s APPLICI'LE ro YoJr ?lolEct
?t'oject Ras Pons ibtligf
'Lotf:-l-3.'
L5-L964
IPPLICATIolI
ltrEr
(Offt(. t.c)
*:
Iry__J
sr: liidl zrp :
EEll-l
COI{TRACTOR :
ADDRCSS:
ETIIAIL ADDRESS:
[--] pml sF
I orcr F-*------1 sr OTHE R:
*ArER: p creur
ft co.t'ttlrlrrY svsren
I PRrvArE IIELL
-f]
crlrnal wtt-t-
,rnr*, g-
ar* [ CENTML seerrc
! PRTVATE SEPrrc
fl comm'rurw svsrrn
... SEPAI/ITE PER ITs REquIREo FoR ELECT, ttEcHJLqi, clS E$,IP, PiCFABS t Il{sERTs..
,^r"ro r*l-'^tr-d b;;;;;;|.;;;t fr"tt"'t t*'*Est
E ncrvrsr Eorscoren
+tt lltti **l'i t*at| r*"***t *taa *****"*ii'itl ll*tta*t!irtt {r***it'l**'l|t**tl'itt* ltt{tt* ilt*i'ill ***r!irt
Errsrrts rt{PERW(trS nnel:
EsQ rr
IEx DEmnqrs ARE :
-lsQ
FT
(FOR O'FICE UsE OILY}
zor'rt : _ 0F FrcERi SETBAC(S: F:
Approval:- CitY:- DATE i- FLooD:
itvlSED D rE Oal1l/ll
LH:- RH:- 8i-
BFE+2ft=
It
PER}IIT FEE:
ffi,r*,*, ^ffi
DEVELOPER:
PRoIECT ADDRESS 3
staollllsro{:
PROPERTY GIiIER'S
O}I{ER'S ADDRESS:
! arr eauor l--------l sr
I surnoou
-_
sF
I cnerrxotrse
-
sr
I orr eauet sr [lnoncx EElsr
I sronace sHro SF
SF
Ptot{E t:
PRorEcr coiarAcr pERSo{: Pto E T:
Exrsrn6 @r{srRuctrol{!
El elrrnntou
fl ReNovaruol
f} ceneuL ntemns
I RELocATtotl
t{Gta co{srRljcrr(x{,
f] tntcr rEra RESTDEiICE or
I roorrtol ro Exrsrrllc REStDEttcE
A'PLSASE OIECf, AIID A,{SHTR AELOI{ ALL TIIAT APPLY TO'I{IN PRO]ECTI
TOTAL HEATED Sq FT;
T--------l TOTAL SQ FT UNDER ROOF : f--------1 TOTAL AREA SQ FT : l5&o-1
rs Any ELEcTRrcaL, purlt6rllc or rEcflrNtCAL t'lork Being oone to the Accessory stiucture?
f] V"t fl to
If the pro1ect is a Relocation, is there a Natural Gas Line on the Current Slte?
filVes Ifo
Is there Electrical Pol,er on this Building? lllYes I lNo
pRopERTY tSE
/ OCCUPAT{CY: p sruer-e ramrr-v
[ ruelex
f] rohlN]lousE
DESCRIPTIOTI OF l'lORK3
.nd c_wortwil corptywil t}o stair Brilding codo r|d * otr€r
+plc.bb sltb sd lr.d lan.
sdodh',c..'.d,"eur.don6rrentrcoerroementilrvico_-.-_e *;y'^*rytq:1:Y-9tr-l3.fT-Yi::*ffif"c5f*ffi:y
*rT[Hlffj{.ffi,;:rT;;ffi;;" i,.
^pprcpriab
fbmirs w.r be h vorsdo. of th€ Nc sisb Bds cod€ ad s,bi{'c1b Fih6s up ro $soo.oo"
OI'INER/COfiTRACIOR:SIGNATURE :
+ r,r,r:r,| r. *.+,t tlr *,i a***r*******9!1!litl* * **'t* *r** 'i*)':!*rt* l':* ** * * * ** 'i **:* tt +)t'r 't
!')i:r
t:*:t* 't+*i* *:i* * t*
IS THE PROPERTY LOCATED III A FL@OPLAI ?
EI YEs EI TTO
EXIST LAID DISTURBI'{G PENTrT t T''1 YEs N XO
:@ zrPr
EEE;I
I
Coment !
zol,r- 13t2-
NEhI HANbVER COUNTY
BUILDING PERMIT 15-187 9
&PPETC{TI0N
IY?E RESfDENTIAL
FIEASE
Alt$TR
lr,1 qJtSr$[S ApptIoSrE TO yoUR
pno]Ecl
('Plojoct kesponslbtltBd,
APpIIOUWTS ll'$tE t
DEYELopER!
PROJECT ADORESS
SUEDIWSION!
PBOPENW OI.NEA's
O,[Enrs A0DIESSI
coilrtAcToB,
ADDRESS
I
.-oeraz 1l1l$
PtwtE
*t
.lt?.ZtdL _2lj:.,Lqlrl
LoT
*r 6l
APPTTCATION
Nurfrsn
(offIcc Utr)
PHONE
f!srr$.zIPr!!!!
ACCoU T $!
sr!Jgzrp! 28v5a
BLOCK
*:
C'TYI
LICEIEE
*t
crrYr
EIIIAII. ADDRISS;
PSolEcI CoMAcT PEE5otrtr PB$IE #:
o(rsTrm co sTfiuclloNr fintremtrou fJneruovnuoN
f]carnar. REpArns.
n nElocArroN
Nlt tousTRlrcrrofl: M/rnucr NIH REstoENcE
or
I noorrroru To EgsTIflc fiEsrDENcE
flenen$otrsE ,
".. , . sr floecr . sr ornen,
_ sr
"ppAse cltEc( otD ,utsxlt plto', f,lr rtAT AppLy
ro your ptoltiqr:
@nrr cennor
1,7 sr I orr
cnRrcr sr dpon.H \$1_r,
EsuHnocu
_sr lrool_sr : D sronaairHro_."."."--"-__sr
ToTAL HE/ITED
sg* lt87Z ToTAL sQ
Fr UN0ER
noo* 21114
. TorAL AREA sa
rr: jr151,,I4lf
ToTAL
PRorEcI cosT(66.[o0
t
$?LOlg! # 0F
sTonrEsr \
rs Any EIECTRICALT PLUIBI o or fltCHAflICIL tior.k BoIhS oono
to the Atcas6ory Structurot
[f/yg" E NoIf tho proJect
ls s Roldcatton, is thate a Natural Bas LtnE on tho c.lfr€nt
sit"l EJV* E/lroIs there Electrlcal pqlrer on thts Butldlng?
Elyas ElNo
PRoPERIY UsE
/ ocCUPnqCYr
[ounlex .Vr***t
DESCRIPTTON
OF OtrK:
oftcl,{ Efirboo,rictlnd ci ynlku& c0olrlrFlh
tp5!b Sdt lad r[ orprrppbaHo 8!b ..ld lo€l lanB
ad ordharooc rJ,ld roldr{om lho
enbtNl lo ioir.d btloycltmlli h to .rrFyd d,arr.rd 6p.dftlte.€ ordE|{r h aontebror
oonlbob.lnbrm!fui telpprcpd.l, P..rnlbrlllt h Vol6!.o or&e NO 8!b 8UC. Cqdo cnd
S,tldt b Floor t+ IoSioo,OC
'
OHNEft/COilTRACIOR:
IS TlT PROPERTY LOCiTED IIII A FLOODPI.AIilI
E YEs
EXISTT G IIIPERVIoUS
AhtAr
, *
SQ FT
NEt{ IiHPEnurous
anrnr 39St sg rr
ToIAL. AcBEs DIsTUIBED: o,of
Efisr LAitD
Drsruf,orflc psRilrrr r.:l yrs E[ no
Mrrnr dcFpuA
I corrwrrw sysTrti
fl pfirvArc r,tEu '
f] crrvrnnr udriqr rlu1ly, ji^,. -
st!,Enf Efctpl,A
E cuhrw slP?rc
fl PRIVATT
sPTIc
.[ couuurw Tmt
r-vlfll/teqiiieij,
eta$i,;ririr.* SSrAIlTt, 9E[rUI3 SlgrIRED fOR tLECI,.tlEctt, PLBO, oA3 sgrtFj PRTF BS
&
rlltills 1.r,
pAy,lrtn
fiErfio,r E irsx E,neir (pAyaBLE
ro nrrcl
Boni rccln - fi rcTwsl fi urscocn
,*., Drf orrurs,t *a 's,xel
npo"orll-o*r,. it*. rn rrrJtl,r.
(toi o;Ea! ust o.tly)
'.naslo
DNc elnlu
sdt8AcRsr ft3lL ur t4 nHr 5,{i er.-!t{t
V 6le+zft"-ri7\-ru000|
com6ntr.".
_ . . , ....... ... PERUIT FErt
PHoNE
*t
*rvo Pl'aru5 Jt
NEId HA}.IOVER COUNTY BUILDING PERIIIT
APPLrcArroN
rvpe: RESIDENTIAL
PLEASE AI{SI{ER ALL qJEST]q{S APPLICAELE
TO YOUR PRO]ECT
'ProJect Responstbllitlt
Charlie Connor
L'7 |
Qots
T3t5
APPLICATIOII
I{unber
(offlcc Usc)
DATE:7/L5/20i5APPLICAIiT'S MIIE:
DEVEL(PER:
PROJECT ADDRESS:
SUBDIVTSI$.I:
llrincess St
CITY: viilmington
LICEI{SE S: 7}319
CITY: llil.mingLon
PHOOIE
ZIP:28105
STi lrc ZIP:28405
ST: NC ZIP: 38401
Pll0t{E
*: 9}o-7??-es39
PllO{E
*: 9}0-7-i7-9539
CITY: wilmi
BLOCK *: LOT *:
PH$E
S: 503-730-44qlPRryERTY OI,IER'S ilAI,IE :Patrick Tester Donna Launey
OldaER'S ADDRESS: 1?11 Prince
CO{TRACTOR: R:i'r:-::*a1k Construction LLC
El,lAIL ADDRESS:
char.Lie0riverwalkconstructioD. com
[] nrr 6AM6E
-
sF
I surunmm
-sF
PROIECT
CffiTACT PERSsl: Charlie Connor
ExrsT$lG cotisTRu(rrox:
f] alrenarton E] nrnovaruoru f]oeNsnar- REPAIRS
f] nelocarron
FlEr.i
co{srRucrroil:
f] rnecr NEht RESTDENCE or f ADOTTT${ TO EXrSrrilG RESTOEilCE
'tPLEASE CHE(X At{O AIIISIIER BELOH ALL THAT APPLY TO YqrR pROrEcT:
f enrennousr SF
fl orcx SF OTHER:
ToTAL HEATED SQ FT: 'roo rOTAL SQ FTT'I@ER ROOF:
TOTAL PROIECT COSTtr"sLory i $ sl,000S OF STORIES: 2
Is Any ELECTRICAL, pLUilBAG or IIiECHAI{ICAL llork Being Done to the Accessory
If the pnoject
is a Relocation, is there a Natural 6as Line on the
rs there El-ectrlcal. Power on thts Bulldingl Fl ves fl *o
I orr
cARAGE sr
f noncir
-
sF
I aool
-
sF f sronnee sHED
-
sF
TOTAL AREA
5Q FT:
SF
structu.e?
fl ves
fl no
current Sitei
I ves f] No
liir lnspection kqurreo, ql 0-154.0fti
pRopERTy rrsE
/ occuParcv:
I sr]l€LE FAHTLY
fl runr-rX flrAlxxousr
DESCRfPTfofl OF IdORX: ReJ.ocate powder room, renove 2
walls in klEchen,install ki.tchen cabinet.s.
OISCL ilIER lheaby certty d.lal aI inbmadon h tris apptcaliih !s corect and 6! mrk willcomplywift A. S'.al.: B{rild;fig Code md all oher aPplic*)le SliE md l@l laws
8nd ordinilces 8nd re€ulauons. -f tre NHC Dawlop.nant S€ruic6 C€n br wil bs notlod ct any chsng6 in tho dpFrowd phn s aod spacilkations o, change in
mlt&lor or
cfit*br lnfomaton. "'NOTE- AnyWork
ParfMod w/O Orc Apprcpflato Psmlls *il| hd h \4olalroh of tho NC Srd&, B&Jg Cado and Subloct b Fln6s Up 10 S500.0O"
OI*{ER/COIITRACTOR : charr!e connor.STGNATURE:
{ ** * *** * **,i
*'r*r* rir * * ** * * ** JIiTI }i!''}** **r,i** **
****,r** * *'r r *
** tr *,t * *,} r *
t*+ * + ** **** **** **{' * **
rs rlrE pRoPErrY LoCATED Ill A FLOOOPLATilI
n YES
r-l rc
EXISTIT IlPERvICl,rS ,IREA:
-
SQ FT
NEtl I|IiPERWoUS AREA:
_ SQ rT PERriur:
[-l ves
l-] rio
I{ATER!
[l crrua
n comuxrrY sYslEH
I enrvarc ueu
I cextnal ue ul
sEHERi \creua I ceurnau sEPTTC
I pnrvare sEPTIc
f] colttrulrw sYsTEtl
I+' SEi,ARAii PERIIITS ETqJIRED FOR ELECT, tItECH, PLBG, GAS Eq'IP, PREFABS & TfiiSFRTS TTT
pAylrErw
;ErHoo:
[ .os,
ft cecx (rAvABLE
ro r{}rc)
f l-.renrcan ExpREss
E trrrrso I orscovm
+** * *** ** *ii( * * * * * * t
** ** **** *r. ** *,t* **** l. * ** **** *** * *
l***'t* **:l* ****+ *,| *** t*'k* '* *** **** ** ** **
l' ft,)..\ r' -., (Foc 0FFr(E ust oxLY) I ,, ; i REwsEo DATE 04111/12
\ I ^{ t'r' " '
ZOr.rE:
14- l-OFFrCe*,
4'4 SETMCKS: r, rlt ls:
t nn:
i',{ s:-*
oro.orll.-city: i.,c.* ,oprllillt{ FLooD:
-+
BFE+2rt=
1'\d ?(N*Q' Pta,l
t *,r * C'a '\'
';\
TOTAL ACRES DISTURBEO:
EXIST LAND OISTURBIilG
AIDRESS: 3-0 .- .i,r,: li :
{\ \*\\r\
\-/ ,,i1::\-,;t j '\
i ,i
APPLICAI'IT'5 M!{E:
NElil HANOVER COUNTY BUILDING PERItUT
APPLICATTOTI IYPEJ RESIDENTIAL
PLEASE ANSI.I€R ALL QUESTIONs APPLICABLE IO YOUR PRO]ECT
"Project ResPonsibllitY"
BLOCK
DEVELOPER:
PRO]ECT ADDRE
SUBOIVI5ION:
PROPERTY
ol$tER's
Oh,NER,5 MfiE:
ADDRESS;
CONTRACTOR:
ADDRESS:
f] surunooN
*-.--sF
f] anrrnxousE
.- sF
PROPERTY USE ,/
DESCRIPTION OF
ExrsrrilG coNsrRucrror,
ft ar-re n'arroru
ffi*rorro, f erurnal REPATRS
f] ne
locarron
NEI,I coNsTRUCTIoN:
T InECT N€W RESIOENCE or I ADDIIION TO EXISTII'IG RESIDENCE
"PLEASE CHECI( AND ANSI.IER EELON ALL THAT APPLY TO YOUR PROIECT:
f] arr GAMGE
-.-_ sF tr orr cARAGE
t] poncx -- sF
fl nooL
f] sronaer sxro SF
SF
[-l oecr sF orHER:
ToTAL HEATED SQ FT; ISAO
* ToTAL sQ FT UNDER noor:i&oo- ToTAL AREA sQ w, l.?.?9-
TOTAL PROIECT C0STrr.essr-or) t $
J4-OP.N # 0F STORITSt
J ./
Is Any ELECTRICAL, PLUI,|BING
or IiECHAT,IICAL Work Being Done
to the Accessory Stnucturel
ffiVes il No
If the project i.s a Relocati.on, is there a Natugal Gas Li.ne on the Current Site?
fl ves E'*o
Is there Electrical Power on this Buildingl
ffves E Ho
l*41 srnclr FAmTLY
I ounlex
il rowruxouse
t1L
DlSCtAfuERr lli*lr*, corii {y !ha1 afi
c€y-zlzt/-+)--. lv" 4. yt+tu,{tvr6 *f a r/*r }t.wry' ."
in
$rs Bppticatoil ,i",/,.'.,",," ill wu{kwll;oinplrwrttr {re Stale Building Code and sll other applkable Srale 8nd locd laws
and ordinances and te0ulaions. TheS;ervic€s Cgnigr wiofanychassBs in tle approvsd tps.i(icallons o. clrano .4766{lracbr ot
contrack)t ir)bmaton. "'NOTE: tuty the
Or{NER/CONTRACT0R:
(-l (Print Nn6e)
*'* *x *A** *it* * *** * r** * **
}{f, {. ***,i **t ** * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
ACRES DISTURBED:
LAND DISTURBIt'lG
fl cemrnal wrll
f] cor,tmumw sYSTEm
-SF
SF
PIpNE * : 110--..il7*a ?$*
PERilrT:
[-'1 Yrs
* r$o
EXISTING IilPERVIOUS AREA: -.-..- SQ FT TOTAL
NEl,.l II,}PERVIOIJS AREA;
--
SQ FT EXIST
T,JATER:
E qrpul
I coumuNrw sYsrEl't
f] nnrvare wru
- /
:ENTRAL sEPTrc
I enrvare sEPTrcSEhJER:
fuf'crnua [-l (
+$i SEPARATE pfRr,lITS REqJIR[0 FOR ELECT, l,tECH, PLBG, GAS EQIJIP, PREFABS & INSIRTS +'*
pAvr{ENr
nrrrorl"'"n"r;;;
m;; i;oro*r-ro *.; flo*rnrcox ,*r*.tt fl tc/rrso ilrtscou.*
***********+*****f*t**********i**:}******,it*************t*******t$****-+*****+*i*t**f***+l
zor'rr: Ml:L oFFrcER: *3 -. - ir 1f ,a,Approval:-- citv:--:uitfl- DATE; tl-e -1/n
|qz- ,5-li(,9
z-olt-13^t
APPLICATION
Number
(offi<e Use)
sr:HCuP.e,g./A)
*z qiO-.?"1-J9{8
zw;fufu'h3
slz/)Azrp'Jfrfllo
PRO]ECT CONTACT PERSON:
will be rn
Viohroo ol rhe NC
$ab 969,aoce atld q,4,efl !o
I nes
qfo S7
SIGNATURE ,.fu-*L=:-X'F- -----:r----------7-
*
* * * * * *'* * * * :rr {< *,i r * * * ffi * +
: I::y-:X -. *
:.*
* * * *
6 *.* * :
Comnent:
EIIIAIL ADDRESS:
CITY:
LICENSE
CITY:
PHONE f;
.,$/'1
,bv\-, :
. :'.|
'ffir
APPLICANT'S NAME:
DEVELOPER:
LOT
#:
f] suNnoom
_ sF
f] eneeruHousE
_ sF
TOTAL HEATED ]
TOTAL PRO]ECT
! orr GARAGE
_ sF
fl eooL
_ sF
I oecr
_ sF SF
SQ FT: oeoTOTAL SQ FT
COST1r-essrotl
: $ 9o,ooo.oo
NEW
HANovER
couNry BUTLDTNG pERMrr aO t5:7 3, 5
APPLICATTON
TYPE; RESIDENTIAL
PLEASE ANSWER ALL QI'ESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
stone-Montqomerv Construction DATEi 7/20/20:15
PHONE
f:
PROIECT ADDRESS:
s218 Marina Ctub DriveCITY: wilminqton ZIP
i 28409
4sec1SUBDIVISION:
ranqle oaks BLOCK
f:
PROPERTY OWNER'S
NAII1E:
John
and Susan Mccee PK)NE
#:
OWNER'5
ADDRESS: 5218 Marina CIub Drive CITY: wilminqton ST: nc ZIPa 2|4oe
CONTRACTOR:
Stone-UenEgemery Construction LICENSE
#: 28130
ADDRESS:
11s-5 Hinton Avenue
CfTY: wil-mj-nqton ST: uc Zlpi 2g403
EI{AIL ADDRESS:
iennifer@sronemonrqomery.com PHONE
#: 799_3939
PROIECT CONTACT
PERSON:
Roberr
Monrqomerv pHONE
f: s2o_16s3
ExrsrrNc coNsrRucrroru:
! ALTERATToN
I nrruovarroru flcrne nar- REeATRS
f] ne
t-ocarroru
NEW
coNsrRUCTroN:
! enecr NEW RESTDENCE
or
f] aoorrroN To ExrsrrNc REsTDENcE
**PLEASE CHECK AND ANSWER BELOW
ALL THAT APPLY TO YOUR PROJECT:
flarr GAMGE SF
I eoncn
-sF
f] sronaer sHED
_ sF
OTHE
R:
UNDER
ROOF:
6so TOTAL AREA
SQ
FT: eso
# 0F STORIES: z
rs Any ELECTRICAL, PLUMBING
on MECHANICAL
l^lork
Being Done
to the Accessory Structure? fl Ves E *oIf the pnoject
is a Relocation,
is thene
a Natunal Gas Line on
the cunrent
site? fl ves E ruo
rs there
Electnical power on
this Building? JTI ves il *o
PROPERTY USE
/ OCCUpANCy:
E] Srr'rcr-e FAMTLY
! Ounlex
f] rowruuousr
DESCRIPTION OF WORK: Remodel
.*i"rit
and ordinances and regulations.
The NHC Development S€rvices Center will be nolified ofany changes in the approved plans€nd specifications or
change in contractlr or
contracter inbrmaton. "'NOTE: Any Work Performed W/O lhe AppropriaE Permirs will be in Viotarion
of the NC Srate
OWNER/CONTRACTOR:
Roberr
Monrqomery SIGNATURE:
(Print Name) \-
{.*********x****xx*x***x***t'*****,r************:t******,t,i********,t*******,f***
rs THE pROpERTy TOCATED
rN
A FLOODPLATN?
[l VeS il rO
EXISTING IMPERVIOUS
AREA:
_SQ FT
NEI^,|
IMPERVIOUS
AREA: SQ FT
TOTAL ACRES
DISTURBED: O
ExIsT LAND DI5TURBTNG pERMrr: [--l ves [Tl no
wATER:
[] crnua
! cor,rmururry
sysrEM
I enrvnrr
wrll I cerurnnl well
sEt'tER:
E] creua
I crmrnar-
sEprrc
I enrvare
sEprrc
f] commuNrry sysrEM
*** SEPARATE PERI,IITS REQIJIRED FOR
ELECT, I4ECH,
PLBG, GAS
EQtJIP, PREFABS
& JNSERTS ***
*'lT.i:ll1',i...H-'l'I-.H.Tffl.l:l'l'.'f.r.ii:,..Hfl*1'll.:xi'.'.'...H.yJJ:l....Qli:::"*
ZONE:OF FICER:
(FoR oFFTCE UsE
ot'rly) REVISED DATE g4/L7/72
SETBACKS:
F:_ LH:_ RH:_ B:_
Appnoval:_ City:_ DATE :FLOOD: BFE+2ft=
N
PERMIT FEE: $
?gt- \t- \qTf
ap-illcari6-r'r
Number
(Office Use)
Comment:
APPLICANT, S
DEVE LOPER :
PRO]ECT ADDRESS:
SUBDIVISTON:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESTDENTIAL
PLEASE ANSl^/ER
ALL QUESTI0NS APPLICABLE 10 YOUR PR0IE(T
"Project Responsibility"
t
BLOCK
.rrv' tdi(aaln
lrn sr: NC zrp:
28,lll
sF f] orr GARAGE
I eoor- --- sF
(FOR
0frI(t u5t oNt Y)
5ETBACKS: F:
sF
fl PoRCH
..- sF
p sronace IHED
lbsb
OTHE R:
TOTAL AREA SQ FT:
APPLICATION
Number
(Office Use )
z:e ?3(tl
PHONE
f:
PHoNE
*:
ila'l't3 tt*o
SF
SF
lller apt)l(:able Slate and local law
or
cltange irl cotrlractor or
Io 5500
00"'
PROPERTY OWNER'S
OWNER,S ADDRESS:
CONTRACTOR:
ADDRESS:
EMATL ADDRESS:
PRO]ECT CONTAC
, LICENSE *: S6gL1
crrv:
hll(-i,,y.lon sr:
d(, ztpt
2-8{l{l
' _ PHoNE
s: qb b^b 7.l5zl
ExrsrrNc coNsrRucrroru,
f] ALTERATToN
f neruovnrroru
[ crruenar REnATRS
I nelocarroru
NEW
coNsrRucrroNr
! enecr NEW REsTDENCE
or
p aoorrroN To ExrsrrNc RE5TDEN6E
**PLEASE CHECK AND ANSWER
BELOW
ALL THAT APPLY
TO YOUR PRO]ECT:
I arr GARAGE
I survnooN
f cnerruHousE
_ sF
florcx
--
sF
OWNER/CONTRACTOR' 5.*., } 5t^{ SIGNATURE:
TOTAL HEATED SQ
TOTAL SQ FT UNDER ROOF:
DISCLAIMER: lheteby cerlify thal all inf.)rnlaiion in Ihrs
epphcalion is
corect an(l all w{rk wilt contply with lltp Strte glildrng r'.rx
and
otritnaltces and requlalions
Ihe NHC
OeveloFrnenl Servrces Center will he
nolilled of any chanqos rn
tlre approved nlans arionlrinrtot irrfolmaton "'NOTE Any\,fyorkPerfornre{lW/otheAoDroprialePernrlswill berrviolalron"t,n"rrc's,r"illrr
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
l_l VTS
EXISTING IMPERVIOUS
AREA:
-
SQ FT
N*o
TOTAL ACRES DISTURBE
O. Ih Aq-
ExIsT LAND DTSTURBTNG pERMrT, [-l yrs l-l ruo
NEW
IIVIPERVIOUS
AREA: _ SQ FT
ZONE :
OF FICE R:
wArER:
f] creua
I couruururry
sysrEM fforroru ^rl f] cerurnar wrr-l
sEWER:
I crnua
f] cerurnal
sEprrc pl6nivnre sEprrc
! coNNur,rrry sysrEM
pAyMENr METHoD:
I casu
I-l crrcr (pAvABLE
ro NHc)
[ aNenrcaru
ExpRESS
f] ,c/rrsa I-l orscovgnt** ******** **+* '{:* +.{.1'*+
**r* * **** *+ * **.** ** +*
*{:** **+ ****: **,+* +*+ rj
i:
+.{.*++ *-*+ *1: *x* +**J<
*+** **+:k_t*
R[VIStD DA',tt 04l11
B:
Approval:
Comment:
BFE+2f
N
PERMIT
FEE: $
tt=w
WL \t- t8\}
Lott-lgb
1;
coNrAcT PERSoN:
{or^oS Shaz
City:_ DATE :F LOOD:
LH:- RH:
LOT #:
DATE:
PHONE
S:
TOTAL PR0l
ECT COST rr ,:ss
L,rr)
i $ 1,9, ooO. 'o
# OF
STORIES: /
86 7.,-\54q1t
hu--Ta{\
APPLICATION
I'lumber
(office Usc)
n, q lD-46s-2372*,ffi,za4cn
*:p.z:,:fi!p1
1ro c)1-ot4L
PRO]ECT:
-
sF Deoncx
Jfi1 t,
sF I sronaee' SHED
_
NEW HANOVER COUNTY
BUILDING PERMTT
APPLICATIoN
TyPE: RESIDENTIAL
PLTASE AI.iSUER
ALt- QUESTIOT{S AppIICAEtE TO YOUR PROIECT
..project Responsibility',
H)-f /o,.s).,u,1;,^ oorr.
CITY:
APPLICANT,S MIIIE:
DEVELOPER:
PRO]ECT AODRESS:
SUBDIVISION:
CONTRACTOR:
PROPERTY OU'NER,5
O}''NER,5 ADDRESS:
NAI4 E :PHolttE
CITY:
LICENSE
*:
SF OTHER:
SF
SF
TOTAL
TOTAL
rs Any ELEcrRrcAL, PLUnBrilG
or irEcHA
rcal tjork Being Done
to the Accessory
structure?
| v", flGrf the project
is a Relocation,
is there a Natural Gas Line on the current site? nyes El-iltIs there Electrical Power
on
this Building?
flv"r f] to
UNDER
ROOF:
, 1 TOTAL
AREA 'q'.,, ff6
# OF STORIES:
TOTAL SQ FT
YEs Wno
TOTAL ACRES DISTURBED:
(foR 0FFrcE usE oNLY)REWSED DATE 04l11/12
BFE+2ft=
_
nu
PER
IT FEE: $
ADDRESS:CITY:
EMIL ADDRESS:P}ONE
*:
PRO]ECT COTTACT PERSON:
EXISTING CO|TTSTRUCTION:
! lr-rrnarror,r
!rror f] GENERAL
REpArRs
I Rer-ocarroru
NE[,l CONSTRUCTIOU:
! rnecr NEW RESIDENCE
o" ffirorrron To ExIsTrNG RESIDEiICE
I,IPLEASE CHECK AI{D ANSWER
EELOI{
ALL THAT APPLY TO YOUR
I nrr cnnrcr
sF ! oer eanaee
I sunnoom SF
PROPERW UsE
/
DESCRIPTIoI,I 0F
OCCUPANCY:
WORK:
OISCLAIMER: lhercby cenit hal all inbrmaliofl in tlis applicaton is corecr and all work witl compty wih ihe Slare Buitdi.g Code and a[ ofier applicabte SraE and tocat taws
and ordinances and regulaiions. The NHC Development Services C€nler will be notlied olany changes in rhe approved pt6ns an, specitications orchange in conlracbr or
iab PeTils \lvillbe in Viotarion
ofihe NC Stab Btdg Cor6 and grbjeii b Fines Up To
$500.00,"
SIGMTURE:
,*,| )i )i )h** i+ rt*ri *)t:t + +,t,t *** *,i,t )i
* ***,* *:i * *)** * )t,f )t )t
*)t** *)*
rs rHE pRopERTy LoCATED
rN a
rloooeurrl I
EXISTII'IG II,'IPERVIOUS AREA
:SQ FT
NEhl IIiIPERVIdJS AREA:
-SQ
FT
EXIST LAND DISTUREII{G PERfiTT:
T-] YTS
E T,lo
ht tERt
4clpu| [ coMt'tutrrv
svsrru
f] PRIVATE WELL
sE,,lER,:
dcFpuA I ceruranl srerrc
! pRrvATE sEprrc
CENTRAL WELL
COMI4UNITY SYSTEH
*T* SEPARATE PERIIIITS REQUIREO FOR ELECT, I1ECH, PLSG, GAS EqJIP, PRETABS
& INSERT5 **'
pAyr,rEMT
lrETHoo:
I cmx
I orrcx (payABLE
ro nrrc1
[ orenrcAN ExpREss
[ "crurso E orscovrn
't,r * +,r:* *,*rt )i,l *:i. rr+:t,i )i,t
*+* +* +*)t*+* +)i)i**** *l,t* *:l,i,i )i** +:i**,*:**)i )i
* )i :t:*
* *+ **r* +r*)r*)r,r:r*)i)r***+ )r )i,* * ,t
*
zoNE:
-
oFFICER:
Approval:- city:
! cnr rruuous e
-
sr
HEATED SQ FT:
PROJ
ECT COST tr-ess r-oo : $
fl poor-
! oecx
Comment:
DATE:FLOOD:
PtOl'lE
*:
?{;c \l -gZa
NEI^J HANOVER COUNTY
BUILDING pERrrUT
A9?LTCATIoN
ryrf
; RESIDENTfAL
PLETS€
AtrStEi ALt qrESTI0 S ApplICAtLf TO yOUi PROIE(I
"Project Rerpon3lbility.
f\vT, -
)ot1'1711
APPI.ICATION
Nunber
(Ofri(. Usr )
I I t I lt\DAIE :
PHONI*i
ztP: l)7t r i4v I
L Ptol{t
PHONT
rxrsrr'G co*srRucrro[:
I arrE*rror{
[t rrrcvrrton E crrraal nrearns
f] RELO.ATT,N
rJE CO SrRUCrrOfl,
f] rnecr N€}, RESTDEflCE
or fllootrtoH ,o EXTSTTTG RESTDEiTCE
.1PL[AsE C*IICI( AiID AI]sUER BILOB
A!' THAT
APPIY TO YOtlI P'O]ECI:
suEDrvISro:
PROPTRTY O.T,,E8,5 MITE
I
ot{NER'S ADoRESS:
C&'rTRACTon:
ADORESS:
EttAIL ADDRESS T
I nrr ermcr
_ sF
f] suwnoou
-
sF
f] enrrrrousr -.- sr
LICTNSE
{:
CITY;
I ourlrx
(foi orrlcI ult oial)
SET8AC(S:
t:_
--- LOT
d:
Ptffi,lE
{: 'J / ? - L.'ttt /: ;L -
sf
IxLzI?|.Ly
-lt)f
Srt N(71p2 ?8,tg7
'^L
$:
TOTAL HTATED
TOTAL PRO]ECT
! oer er*ae
r sr
! roncn
___ SrI-l poor qE
I sroucs sxro
OTHER:I orcx
sA rT, l4$?ToTAt sQ FT UNDER
I@F.I I Ii ,.C ToTAL AREA sQ
FTi lrj 5-U
COST(te:rtog:
t l/5.kt'# OF
STORIES: \
--
/ OCCUPAN€Y:
I SrNclr rlmrlv
Is Any ELSCTRICAI, ptufitftlc or ],ECl{ptICAt
tork Being Done
to the a(cessory Stru(t!rc) f} Ves I toIf the prejp6l
is a Relocatjon,
is th€re a Natural Gas
Line on
the Current S:ter [-] il F-] ,^Is there tle(trjcal pourer on
this Building?fiv"s filo
H !J r-,| !u
PROPERrY UsI
OTSCRIPTION
TO,Jl,lH0USE
1F !OXX:
.l s- rlal -; ;
-,DlscLAltERln€Eoyc6lt,,n!|.li.bIrtr6U6n,ilr!p,,.in-o.o*.'*o
:::*'fftT:":*:'.'-i:ll T:.TI":,T"::3:T,:X:""":::1":'"Tt::"i:1:1r:1;+. T
":.i;:;",;;;;; il"ilH'":tr#;":f:"r:.T:.;*'.n6 od',snc€srnd
'"au
lrbne nerrrcoeveropncir#reic"-;;;;";;;#,';ffi;;i: #j[;J,jilIH*.T1""::::::?^:j-.i: *"
*"
conrrcr,, mbmsri.,,.
"'nolE r^''v wort perromcd w,o eApp'oprr.r p€mtia wm b€ iiviob;i orrie Na
s"..';; "*';il;:JUfl,"H",:;ilf#ff.1 l
OhI'IER/CONTMCI0R: / [ irl
r., ri '1']'':' SIGTIATURE:
rS rHE PiOpERTY LoCATED
IN A rtOODpLArir?
Tl yES E rO
LEC
TOTAL ACRES DISTURBCD:
ExIsT LAi,lD
oIsrU[8I]rG ptmrr, l-l yrs l--'l uo
trrarER: N cFpuA
n couuurw svsrru
I pRrvArE ]JELL
I crrrul well
srwrn,
\ creua
f] cENTML
sEprrc
f] errvar: seerrc
f] co4r,ur{rry sysr&
r,. SEPMITI PERMITS i€QUTRED FoR
rlt(l, urCH, prB6, €rS tqjlp, pR€[ArS I fttsrR.rs ,r.
pAyflri{r nErxoD:
ficrsx Scxrc* (payAsrc
ro urc1
! urrrcm rxnrrss
Era*iii -Eorr.or$
*. ar *r*r*x r *tra t..tt ll
r*
*t,ri'rta 'l * ** r****.r**rjl i1**,rrr:r *rri *r*, ** a
t *.* *t.t, r. *ra. *t.*.r.,I l
EXlsT$,lG rfiPEnvrous AREA:
_ SQ FT
Et' $iPIRVIfiJS AREA:
_ SQ FT
zoNE;
_ ottIcER:
approval:- ci tY:-
raqstt tart 6411r112
LH : RH: h.
-
BFE+2{I=
t
?twrt
rrr, <
'i/ 'i- tr:l, o
;,t ;-
Connent:
DATE: F [OOD:
IPPLICA}''T'S N'OIE:
DEVELOPEN;
PNO]ECT ADORESS:
PRolECr Coi,ITACT P[RSO|V: