AUGUST 19 2015 BUILDING APPSRECEIVEDAUO1S2OI5
NElil HANOVER COUNTY BUILDING PERHIT
APPLI#-xst IYPF: R€SIDEilTIAL
pLEAsr AllslJtl{ ALI {utsTrcit'Is APP{.IChlltI lil YouR rRortcl
APPLICAiIT'S
DEVfLOPER:
"ProJect lesPonsibility"
Chris Baker (NC Solar Now, lnc.)
crw: Wl,'nglgl
BLOCK *:
pROffRTy Ot#.ttRrS gAIrlE: George and Vaishali Escaravage
Ot{NE&,s ADDRESS: 92 Pelican Point Road
5T:
[! 7lP; 2"8409
coi.lr1Acro*, NC
Solar Now, lnc.Lrc[NlE
'1.
69583
PRO]€{T AOO*ESS:
SUBDI\'15IOfit:
92 Pelican Point Road
io(s-&EBt'
Uonwr(pY-t -CL*----t--J-t-applrca?fot
l*unber
(Of$tet Ur*)
pg1g1 08/13/15
PlfotiiE s: eJe-993-99S-
ZIP: 28449
LOT #:
Pl{or,tE s;910-547-7576
ADoRtrss: 340'l-101 Atlantic Ave g11y; Raleigh
ACCOUNT *i
-_---_- sT:NC 21p; 27603
EMAIL AIORTSS
: fgnlltngQ1g:glarnoy,cj?m.P$S{E f:919-833-9096
pxwr $; 91*9PP;pq99-
SF
SF
p80lEc1 coNrAcr pEnS0s,t;
Kgilsqp"Kg
EXI5TII{6
C$\ISTRUCTI'*,'/]ALTERATIOI,I fIINOVATIOI.'
*. GI}IEfiAL REP/IIRS
* ]TELOCATION
T'IEl,{ COIISTRUCTIOi,I:
_ ERECT ilEI{ RESID€NCE Or
* ADOITION TO EXISTING TESIDEi,ICE
T.PLEAST CHECX A'{O A'{SI{ER BEIOT.I
ALL THAT APPLY
TO YOUR PROJECT:
* ATT GARAGE
_ SF _ DrT GARAGF 5r _ POR(H
__._, .SF
* suil,Rool4
_ sr * FOot
_ sF * sroflA6F sl{go
*"".**--
GRE€llH0iJSt 5f 0f CHSF g"IHER. Solar PV Array
TOTAL HTATE0 5Q T0TAL 5Q FT UNDER ROOF:TOTAL AREA
5Q n: H
TOTAL pROIECT COST{Lcs$1-er; ; $ 17'655
Is Any ELICT*I{AL, PLu}ltsfilq
or' I{ECHAIICAL t{$rt
If the project
is a Re.Locatiort, is ther* a
f OF STORIES: 3
Is there flectrj.cal Power on this Buildittg?
l/ u*,
occuPANCY:
ffi ,rru.* r.Al4ILY
t1oRK: lnstallation of a residential
Being oone
ilatural
to th6 a(cessory structurel [f] v*t
6as Lins on the Cuffent
S:tel Ye$
_No
Uo
il0
PROPERW USE
I
DESCRIPTIOIII OF
* DUPLEX
* TOIdHHOUSE
roof-mounted solar pv array
ohJr'JERlcor.fTxAcroR : 4*.*q* €,*M*!-Ni**_* srffiAruRE :
(Prtnt l{eBe! i./*{.*t+*rt*t!(:}r}r*i,a*t**t*****{it****,a*,**x**,ta+**i***********l*rrr****************,t***})ti.t(****
IS THE pfiOPfRTY LOCATED IH A FLOODPLAIfiI?
_ YEs _ l.r0
EXTSTITffi II-IPERYIOI,S ABEA:
-
SQ TI TOTAL ACNTS DISTURBED:
NEl{ rilPEfiUtrO.rS AR*A: 5Q rT EXIST Lfi|'lD CIISTURBII-IG
PERfllT: yES fitO
HATffi:
-
CFPUA
* COIiT{UflTTY SYSTEI'1
* PRIVATE
h'TLL * CEHTIIAI WEL L
S€HER:
* CTPUA
* CEI.,TfiAL SEPTIC
* PRIVATE SEPTIC
_- Ctr4fIlUNITY SYSTTI'1
r** SEPA*ATE pEAilITS REQUI*E0 FOR
fLfCT, I4ECH, pLB6, 6As €QUIP, pREFABS & I|{S[ATS r*r
pAyIrtT
ilETlioo: * CASH
_ CHECX (PAYASLE TO
NIE) * BILL Accfl.Slr _ fic/vlsA _ DISCryIR
**f**{.},1.*,ti.ri.*rti,r***)t****r**)i$**************'}*:}**:t***1.**************r**}***f*t*******r**t
{t0fi orrJcr usr ftLY}
SETEACKS: Fl_ LH:_ RH:-. B:
n[vrst0 oafE 64/1r/u
ZOftlE:OFFICER:
Approval:-City;_ OATE:_ FL@D:BFE+2ft=
-------
N
I
NEr^r
HANoVER couNry pH:?tIG pERMrr
/i )1.;z-aPPLIcarIo rvPr; COMi1ERCIAL
-
APPLICATION
Nufiber
(Office Use)
NAI4E: WTLMINGToN cELLUL-qp- TELE?uct.E ccr,:?.q:iy, A NOfTI{ cARoLj\"A coRpoRA DATE: 0?2820rs
PHONE #:
PRoIECT ADDRESS: qti RALETGH S?REET CITY: rir],t":rNcTo-\- ZIP:
OCCUPANT/8UsINESS NAII,IE: PINNACL0 TowERs lNC
PROPERTY OWNER,S NAI'IE: PINNACi,E ToI,IERS
:N. PHONE
OWNERJs ADDRESS: CITY:
coNTRAcroR:
t|.;g /l
'k+oe.^ C;.^,^,.arlo4,
J4(- LrcEilsE s: -7307E AccouNT r:
sr: rllLzrP:36Jt/
ARCH DESIGN PROF€SsIOi]AL i
ENGR DESIGN PROFESS]O AL:
DESCRIPIION OF WORK: REMOVEIADD 3 NiiIiN.A,S t] TaE
E:IS IIAD CE^*TER
ls food or beyerages prepared or se ed io lhis srrucrure?
[Yes fl No ls Th6 Proporty Locasd ln The Floodplain?
[ ves
I llo
Code and all other applicable S1ale
roved pl3.s and sneciicalionsnlthr NC Shr. Alrl. aoaP^n.l
olyNER/coNTRACToR: {tr, 5-t D t-i;,h lu..,r. 51GNATUF
(o.ornoo ,"';;;t-
Noto: D€molldon mtlica olls & 6sb€3!os .eanoval pemlt appllca{ons a re 10 b€ submlt od
lslnq tio opotlc8lion lorm
conltln Asbostos or nol You.reroquked to
c€lllho NatlomlEmtssion S!8nd8ds lor H€z6rdous
Ar Polldants (NESHAP) al(919)707-5S50 at Iessr i0 days p.ior lo tne
domoliibn ol.ny Ldilty or bullding. Se€ Asbeslos Web Sile: h|lprtu1 ,,.,?.epl.sGle.nc.us/etl/asb€sroyahhp-hirnl
TOTAL PROJECT COST: .5, oco
PLEAS€ ANsUER ALL QUESTIONS A?PLICABLE IO YOUR PiO]ECI
"Project Besponsibility"
/ot5 -7qAA
zt? |
DEVELOPER:
*l
STr
CITY ' l-c C 0-n ^t,t
EI'IAIL ADORESS: LATREI,L , ANDtrRSo}T.oFAULI..\ERA:\D!.CI]Ti:]F. . ..I] PHONE f: ]],880?2659
PROIECT CoNTACT PERS0N: LATRELL ANDERS0-.*./ lAtil( r rosrrk PHONE f; f_193!Z?.9:2_
(che.i
Alt r^at apoty)
ExrsT coNsrRUcTroN:
E ALTERATTOT
fl neNOvrrroru nlSNeuL neearns
I RELocATToN
I Retocaijon. .s thFre a Narurat cas Lrne on tte 6;rent Slsr f]ves INo ts aL oc spRlNrte nror
f] vos
Ilo
NEt,l CONSTRUCTTON,
I eneCr NEW
srRUCruRE
f] raSr rnrCx
f srerr
I unrrr
I aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
3 ANTENNA ' s
If UPFIT
- The Shell Pe.mit #:Is Elect Polrer on this Bullding n Yes n ruo
oF occuPANcY use
I Ivrs [] rc .'--t
(hat is the Ne!,
o(cupan.y Typei
**i*r I5 THIS A CHANGE
IF Yes, uhat r.ras
the Previous occupancy Type?
PH:
PH:
NC REG si
NC RE6 *:
wh€lhsr lhe Lcllity or building was louni to
BUILDING HEIGI-IT:
SO FT PER FL R:
# OF UNITS:
IOTAL AREA SO FT :
TOIAL SO FT UNDER ROOF:
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
# OF STRUCTURES:
# OF STORIES:
# OF FLOORS:
EXST LAND DTSTURa|NO prni,lrrZ r"1yrS
I NO
SO FT EXISTING IMPERVIOUS AREA:SQ FT
PRoPERTY
usE:
florrcr [nesrnunerlr [ttencatwte
[eouc []mr [cotoo orHER: r slacon]trNr c,q
(FOR OFFTCE USE Or.tLY)
SETBACKS: F:OFFICER:
RH: B:
Approval:_ City:_DATE: FLOOD:
Commant
BFE+2ft=
N
PERMIT FEE: $
WATER: ECFPUA flcoMMUNlTY SYSTEM
flwELL flzoNtNc USE ctASSlFtcATtoN:
SEWER: [A CFPUA
ff CENTML SEPTIC LJ PRVATE
SEPTIC ECOMMUNITY SYSTEM
". S€PAPII€ PERMITS BEQUIRED F()tr LI.ET I. vE'-iq, J!t]G. GAS EQUIP P]iET
AIjS & lIlSEqiS "'
PAYMENT METHOD:
[CeSn ICXECK (pAyABt"E TO NHC] BTLLACCOUNT nMC /tSA [OrSCOVen
ZONE:LH:
REVISIO DATE /ulr12
\
S
"i.ri\
Qr
q
$
\x,c
o!
BJ{
APPLICATIOTT
ryPE: RESIDENTIAL
PLEASE ANSWER ALI- QUESTIONS APPIICABLE TO YOUR PRO]ECT
"Project Responsibility"
rwr, 8..,ra. .I',r1.(
l-Jry,L".
NEI^I HANoVER
coUNTY BUILDING
PERMIT
1S-.ZO8L
APPL ICANT ' S
DEVELOPER:
PRO]ECT ADORESS:
SUBDIVISION:BLOCK
APPLICATION
Numben
(office Use)
X1z't
PHON E
PROPERTY OI.INER'S
OhINER, S ADORESS:
MI'IE:PHONE3ro tJ(.
1
CONTRACTOR:
ADDRESS:
EIiIAIL ADORESS:
PRO]ECT CONTACT PERSON:
LIC ENS E
crrv' lrjr\ rr ,.G - fit!Lzp:Ztqol
PK)NE
r: tO41zg gtCq'
prpNE $: (r.,Ll ?Zy y1Zt\
EXTSTTNG CONSTRUCTTON:
ffi alrennrrON
! RrNovarror !ceruennl nrearns
! RELOCATTON
NEW coNsrRucrrol,
! enecr NEt,l REsTDENcE
or
fl aoorrroru To ExrsrrNc RESTDENcE
**PLEASE CHECK AND ANSWER BELOt,l,
ALL T}IAT APPLY TO YOUR PRO]ECT:
larr ennaoe
_ sF ! orr canacr
sr
f] eoncr
-sF
! sulnoor.r
_ sF
! eoor-SF
! sronrce sxeo
! cRrrHrous r SF
! orcr
SF OTHE R:
5F
5F
f,rrl
C?m
mE
C,qr.:
O
C,t'
B:
I F
E+2ft =
N
Tots-:)sjy
LOT *:
q.$
TOTAL HEATED
SQ FT:TOTAT SQ FT UNDER aooT
z 4b ToTAL AREA
sQ FT:
T0TAL PROIECT C0ST rress rou
t $ I Z.ooO
# OF STORIES: I
rs Any ELEcrRrcaL, PLUltBrl{G
or fi'tEcHArucAL work Being Done
to the Accessory
structure?.[l yes E! No
rf the project
is a Relocation.,
is there a Natural Gas
Line on the cunnent
site? [ ves Ri ruo
Is there Electrical Power
on this Buildingi lElves [ruo
PROPERTY USE
/ OCCUPANCY:
DESCRIPTION
6P 116X1; C;,',
and ord in ances and regu lalions The N HC De velopme ni s€ rvices C€n@r will be nolried of any changes in the appro!€d plan s
and specilicatons or change in contracto r
or
v\ SIGNATURE:' i'// / t r:--^
(p.int Narc) I*,i*,t:i+**,***+,***:*r++++**:**:**a***+***,1**+++**,**++,1*)i,*:t*)i:**:*++*+*!t,t***+,t:l,i)irt****)i***+***:i+++
rs rHE pRopERTy LocarED
rN r rlooorurrul
I vrs EI *
EXISTIT,IG IIIIPERVIOI,S AREA:
-
SQ FT
NEW IMPERVIOUS AREA:
_5Q FT
TOTAL ACRES DISTURBED:
EXrST LAND DTSTURETNG
nrnmrr: I vrs I uo
MrEn: El-crpua
! comulrw svsrem
! pRrvArE t"rELL
! ceurnal
wru
sExER: KcFpuA I crNrnal
srerrc
I pRrvArE sEprrc 3- c*rurrw srsrH
ZONE:
*** SEPARATE PEMITS REQUIRED FOR ELECT, I4ECH, PL8G, GAS EQT'IP, PREFABS
& INSERTS ***
pAyr,rEirr ErHoD:
I cas'r
I cre cx (pAyaBLE
,o nrcy
ft -rnra* ,*ar* E r.rrrio -
E orr.orr*
':*
+,t * *** * ++ + +*,r )t:i +,* *,i* * *,**)* *:t*)t * )t )i
* )r:r+,|,r*+ *,f *:r ,t,r ,r
* )* )i:i + +*,r **+ *+,t,t* )r+*:f+*,**+,t,* )*)r*,t*)*+ +,r )* )*
+,t
(FOR
ofFIcE UsE OiLY)
SETBACKS: F:
REVISED oATE
04l11l12
Approval:
OFFICER:
STNGLE FAr"lrLy
! ouelrx
I rowruHousr
Conment:
Citv: DATF.FLOOD:
LH:RH:
PERIVIIT
FEE: g
D^rE,:, +l zS
lt{
7
zIP: Z3 rlul
OWNER/CONTRACTOR :
PEZ
6.NVZ
NEW HANOVER COUNTY BUTLDING PERIVIIT
eot5_ 111 a
APPLTCATION
TPE.. RESIDENTIAL
PLEASI ailsl{€R
atl Qu€srroNs apptrcaBlE
ro youR
pRolEcr Appl-IcATION
'?roject
R€sponsibility', .- l_l"b""(offi(c U5G)ili:ffi11,'"2;* ,.,o,e, 2he11g-
rroirirloones plio,rE *:
Z,ijTi o.
s
: e
llgTlr *':l:,
*r,
lo,'
*u;;;r*
oouI{ER's
Au)iEss, ir,*rrr.ffi), "
co rnAcroi:
g!il 4,u6. Paywa1.s LLe LrcErEE
*: >5Wbff^iitt;rffir*,,,J@= sr
t / L
7p 1 J
t'1 I
/
plot{E
s: ?..D_)2r-.- z < v,
PROJ€CT cOffIACT PEiSOt{:
67€r'e \,.tt--. n/ -:= 'r -
EXIST,,,G COI'TRUCTION:
! alrrRarrol I nrrovarroru
[ cetrnal nenarns
f] *rro.orri,
rtlGhr
co sr*Ucrror:
E rnecr NElr RESTDE.,.E
or
I o,orrror ro Exrsrr{G REStoE]icE
*,PLEASE CHTCI( AI{D Ai'SMI BELOI
ArL AT APPI.Y TO YOUR PTOJECTI
rorAt HEATED
sQ Frt /t5'{) TorAr sQ FT SNDER
R@F,: //
6Al
t{Ehl IttPERvIot s aREA:
_ sQFT
L
sr
Irorcx iEy
I
SF
I sroRrce sxto SF
lc)
flarr eeuee
_ sF
fl surunoor'r
-
sF
f] enrerxousr
-
sr
I orr caneee
! eoor-
I orcx
sF oIHERtF.;glur qe//'Zrb
sF
TOTAT AREA SQ FT:
rs any ELECTRTCAT-, pLUnBr{G or tt.c'Anrca! .uork Being Done
to the accessory structurr? [ ves [ ruo
rf the project
is a Rerocation,
is there a Natural Gas
Line on
the current
,rr, tr v"s I no
Is there Electrical power on
this Building?[Ves [ruo
PRoPERW usE
/ occuPAtrtcy
r
[l Srrcle rar,rrr-v
I oueLrx
I Towr{HoUsE
DESCRTPTIOI{ OF hIORX:
3l::f #il:'i""f:[,i"rd?i1'JriJHtilJ,i:,"st*:u#,7
TOTAL PROIECT GoSTsessrorl
: g /0O,OOgr- # OF STORIES:I
conrracbr inbrmsrion. "'r'lorE:Anv worr perro'm€d wo-he ApprcprrsE pem*;i,;;l;'v#;;;;";"*"3";i;;';trM*1::.:?1,
orrrtER/cor{rRAcroa' 51eN
b*r/ n/n r;^;;i;;:."'jm)
*****+******************** JilrII JiTJ****, ********r*+. *****:r+,r:l**
*t*+ *** ** * * * * *
* *
** * * *rs rHE pRopERw rocATED
r{
I rlooorurtt I vrs ffilrro
EXISTI G IiTPEBVIOUS
AREA:
_SQ FT TOTAL ACRES OTSTURBED:
,,,,JE;; E;;;-,, -"*",*,,,, ;:::';.JilT:::
ptrnrr'
n ves
r-r ro
SEIJER:
k} cFpuA LJ CENTRAT
sEpTIc l_l cntvarr srerrc
ft colrMuNrTy sysTE[
1*., SEpA]RATE pER,,4ITs REQUIRED FoR ELECT, I{ECH, PLBG, GAs EQUIP, PRTFAT. & INsIRTs **TpayrlEuT irETHoD:
E.o* E.*r.J {flyarrE . ,r.i- tr'-*rcaN ExpREss Enirrio
. "
E rr.orr*,r+*r.*:ritr,r*r****.***+*i***r*+********..,r*r*****i_********r*********r*rrr*******+*.i*."***
(roi otrrcE
tst oi!Y)
SETBAC(S: F:ZONE:OFFICER:
Approval:
LH: RH:
iEVISED DATI 0al11/12
B:
BFE+2ft=
FEF: (
fl
PtfirrComment:
_ City:_ DATE:_ FLOOD:
PLEASE AiJSI'I€R
ALt QUESTTo S ApptICABt-g TO YOUR PRoJECT
PEZ I
S_t1(C
c0t5- 171q
n: /,V)-S-
tJo
Eno
. NEW HANOVER COUNTY BUTLDING PERHTT
f;6. AppLrcaTlott rypE: RESIDENTIAL
trffi' pLEAsE ArJsl,r€R
^Lr QUEsrro s apprrcaBls
ro youR
pRoJEcr AppLtcaTIOqE .?roject Rcsponsibitity- .- l_:rb""
suBolvrslo :
-=-........-
-'"' ;=:-l ''-t-'''- zrP:
)72c3
B
tocx r
: .-=_ l.0T. # :
Applrc,-s rw*, 5YO/€ Dr.,rlzr,l/At/+t/ .S(t^/G
Pftspeer"s2'f"")'),^ /..-.--
DE,EL.PER:
Ctl ..aarcr,. ,ZDCr/ i
f, ort ',
n* :3)t o, r-r:=arF.9 17,
ffi::ry^H:IiTi,, * 2rnz,---u,,^. drt Jt,n.,c\/ \ i\R ClIy
| /,/ tL4y' t 4fG_r..4. - *r@f/
co r*Acroi: S-c,/+il
,tft{O_ ?!?gfu/?ics .LGrn, ni,,@'".
ADDnEss:
Jr( 5, ,u rr-r
c{ s i n -.....--aa:-''
- - -
-T"|I,,,lffi*2t-.i^1 :: : sr:4Lue1 277 ( 1
pRorEcr cotrAcr pE'lso,l-,
17?(/a \r-lt-'c ",/PHh|E
r.
Exrsrrirc co srRucrro
:
f] nrrenarror
I nerovarrou
! eerirnal
*rror*, 5 *r,o.orrli
I{EI4.| CO STRUCTIOTT: ETNtCT NEW RESIDENCE Or
I morrror ro ExrsrrNc RESTDE cEA'PLEASE C'IECK AND AiISHEN EELO}'
ALL THAI APPI.Y
rO YOUR PRO]ECT:
Elrrr eanace 3) {' sr ! orr
eanaee - ,, lron.r l/ ulsurnoou
-sF
E t*r---], - a rro*onG-" sF
fl cneeurouse
_ sr I orcx
-
56 Gi^,
iirip-o, Efe,
ToTAL HEATED
sa n: ff ) ToTAL sQ FT UNDER
aooT,
* ToTAt AREA 5Q
ToTAL PROIECT CosTqressroq
| | /0(1,A00 " -- f OF
SToRIES:
/
rs any tlEcrRrcar-, plu'nBr,.c or nEcHr,{rcal work Being Done
to the accessory structure) [ v", IIf the project
is a Relocation,
is there a Natural Gas
Line on
the Current
,r; I r",rs thene
El€ctrical Power
on
this Building?
f] Ves
f]lo
pRopERw usE
/ occupANcy, $;rry1e .Fryrly fl ounr-rx
! ror,rNHousE
DESCUPIIOI{ OF IORX:CC^lSrRdC>/c ^/Le,v r 6z
:'3:r'=;.,',..;i,.E,!ii6t6iiEirn!uon'nh""o,,""
::1*rlr*li:ix*:11;"Hi.*:1"31:1li[1qt",,ilfftifl:",j[:,#1,Ttr"iilTff]",:]J"Jngcoa.*-,*,riGii.G;iiiifficonracb, hbnh.rion. "1{OTE:Any work pertonncd WrO.
tre eppropriac Penn,o
"ri i"j"rr"i",f!*"
"r*",tC Sna
orilEn/@irmcr
oa, Srf lC b.t ri J -
i,
rt ;;;;i:'W
rs rHE pnopEnry rocATED
r{ a
rlooorurul
I ves El rio
EXISIIIS IiIPERVIoUS AREA:
_ SQ FT TOTAT ACRES DISTURBED:
NEl, IiTPERVIOUS AREA:
_ SQFT
, ,,*',;;;;E -,,,;-.,*""r",*,,^,, ;::';:,-:il':::: "r','rr' fl ves
r-r rc
sEl,rER:
$ crnua
fl cENTML sEprrc
I rnrvarr ,rorra g- aorruNrry sysrEl
*.r 5EPARATE PERIIITS REQUIRED FOR E|-ECT, |.1ECH, PLBG, GAS
EQUIP, pREtAB5
g 1155p1g ***payrlErr rErHoDr
I crsn flcxrcr (pAyaEr.E
. ""i tr -*rca ExpnEss
fJ*^rio, "
E orr.orr** *+ * ***'r****+** r*,r* **r ****:r*** *r*
*r** **** *
**+:r*i-*** **.. * ** ***.; - -;.':.'.'_r;:_ **
*H *
** * *
ZONE:OF FICER:
Approval:
(roi orncE usE
,ttY)
SETBAC(S: F:
LH: RH: D.
ItwsED OAT! o4l11/12
BFE+2ft=
t{
PtUrt rrr ' <
Comment:
_ City:_ DATE:_ FLOOD:
2ot5'7++L
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATIOI,I IYPE; RESIDENTIAL
PTEASE ANSIIER ALI QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
AppLrcANrs nane,'
Sf&lLE { 4. lERp. t rrl & , Sr . oarc,
DEVELOPER: PHONE #:
PRO]ECT ADDRESS:C ITY:
SUBDIVISIoN: CA PE
PROPERTY OWNERJS t,lAME:
OIINER'S ADDRESS , {,fOd
?i? t5!\qq
APPLICATION
Numben
(o+fice Use)
ztP | 2614/4
PHoNE *: 7a441,?-12??
sr
da zrP | 2tr*/2-
.Mr---
ProNE *: .7o44yo -$*2>.
PHONE #:
st: AP:
l
,
9
CITY:
LICENSE
CITY:
EMIL ADDRESS:
PRO]ECT CONTACT
ExrsrrNc coNsrRucrroN:
! nrrrnnrroru
fl nrr'rovarror,r
! crnrnnr RerarRs ffis16sa116,
NEW CONSTRUCTTON:
! tnrCr NEW RESTDENCE
o"
! aOOrrrOru TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSI,IER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
I arr eanacr
sF ! orr onnnctsr !eoncu
-sF
PERSON:
! sur'raoor'r SF
! cne rruxouse SF
! eoor-
! oecr
SF
ffsro oe, SHED
-./:lL!LsFoTHER: SFSF
P
TOTAL HEATED SQ FT:- TOTAL SQ FT UNDER AOOT:
/LO TOTAL AREA SQ FTI //,.1)
TOTAI PRO] FCT fOST ,r *. r n, : * J JUU3?oo# OF STORIES:
Is Any ELECTRICAL, PLUI4BING or IIECHAiIICAL Work Being Done
to the Accessory Structure?
[ VeS ffiO15AltyELEII^IIALwul'^ocll'BAlle55uly|JIE)|I4llu
If the project
is a Relocation,
is there a Natural Gas Line on the Current Site? fl Ves
ffno
Is thene Electrical Power
on this Building?[v"t @]fl-o
Fines Up To
$500.00"'
*
ZONE :
Appnoval:
OFFICER:
pRopERry usE
/ occupANcy,
! srNcle ramrlv
! ounrrx
I TohtNHousE
!i oEscRrprroN oF woRK:
S-or-r r. z- S
h oi .
and ordinances and regulations. The NHC Developmenl SeNices Center willbe notiJied ofany changes m $e approved pl6os and specilications or change in
contractor or
conlracicr inlormaton.
'-NOTE:Any Wqk ?erformed w/O the AppropriaE Permiiswillbe in Violation ofthe NC SlaE
owNER/coNrRAcr o^,
,/,/*- /rr^^--U SIGNATuRE: ., (print amel
I,i,i*+*,*++,*+*'*+**+,**+***************,lll********+++r*++,*++++++,*)**+*++,t++*+**!r+*)r**)r**
rs rHE pRopERTy LocATED rN o ,.*ro.orrl'@frru E ruo
EXISTING IMPERVIOUS AREA:
_SQ FT
NEh/ IMPERVIOUS AREA:
_ SQ FT
EXIST LAND DISTURBING PERTIIT:
I VCS
[ ruO
wATER:
! creun
! comrvluNrw svsrrm
! pRrvArE wELL
! crlrRal wrll Aq"n
sEuER:
f| crnun
! cENTML
sEprrc
! enrvnrr
srerrc
ffi coMMUNrry svsrrr"r "
*,i,I. SEPARATE PER'.1IT5 REQUIRED FOR ELECT, IIECH, PLBG, GAS EqJIP, PREFABS
& INSERTS *'i'I
pAynE T r,rETHoo:
ficosr lcrecK (payABrE
ro rinc;
! rurenrcA ExpREss
E nclvrso E otscoven
,t+*+ + +,i **,**,tx,l* )r
*)*)r *rt+
*,*+*,t*,*,* )i* )*
*)r)i)i * )r
*:r
*+:t*,t* * )r*)*)i * *r** + *+ *,i )r
+,*,t*+,t***,r+)*:i:** rt + *,t,t *,r )i+ +r*
(foR 0rFrcE usE 0tLY)
SETBAC(S: F:
REVISTD DATE
04l11/12
LH: RH: B:
TOTAL ACRES DISTURBED:
B F E+2ft=
N
PERIiIIT
FEE: $Corment :
Citv: DATE:FLOOD:
BLOCK f: _ LOT #:
Cf?Un
l no
Stoa-w-ut-w
?Wtffi'Jo6++n
I{E}I HAT{OVER
C(UNTY BUILDING PERilTT
PPLIcArIqt r-i"E: RESfDETTLAL
PLEASE
lXSlGi ALt- Qt ESTIOE AppLTCAaLE
m yIIJR PROIECT
?t ore<t Rcspons
lbllitf
APPLICATTOI{
llr er
(Offic. rrrc)
*ril.*r,, *0r,., $twms 6no
DEVELOPER:
PROJECT
SUBDIUISIO{ :
PR@ERTY ER'S
(tr{ER' 5 ADDRESS:
COI{TRACTOR:
AU)RE55:
EiI,EL ADT'REsS:
PROJECT CO TACT PERSO[{:
fo,tn
PK' E *:
DATE:
LJoT
*:
PIO E
.'PLEAsE CIGCX
AD AMR BEL(T
[]arr eanrer { 1'l sr
ALL IIIAT APPLY
D
! orr camee
vqn Pf,O]ECT:
tt firo*o, 40 ,,
If the project
is a
Is there Electrlcal
Relocation,
is
PoHer
on this nF?
PROPERTY
t'sE
/
DESCNIPTIC{ OF
OCCTJPAI.ICY:
l(rRt(:
Z)NE: _ oFFICER:
Approval:_ City:
ConmeIlt:
IJUL ?
I 20t5
Sa€ ad locat
Up To
'SOOOC*
trt fr *o
BFE+2ff=
N
Exrlirtrs ootsr[rcrD :
! ar-remrron
! nerovlrror
fl cexenar-
arearns
I RELOCATTOT{
XEI
G(Il5II[TrIfl, ff '*' E{ RESII'ErcE O,.
! ADrrrU TO EXISTIIE RESTDE]ICE
flsur'rnoor
_sF
I eoor-
_ sr
E srouae
flcneanuse
I orcr OTHE R:
rorAl HEATEIT
se rr: 1,010 roraL sQ Fr lroER
ei;(,r.\Tb'l rorAl AREA
* rrr Sbb'l
f OF STOf,IES 3
^
TUIAL PROJECT GOSTaresr-oo
z
t |.20fi00
rs ArD/ ELECTRTCaL, purBrre or iEcH,rrrcAl
ror* Being DorE
to the Accessory
structure? El yesEno
there
a atural 6as/ Line on the
Building?
I I yes !J_lxo
SITGLE
FMILY
ruelex
f] rormousr
{.+ {.'t +!.'i +*,..'},r.}i.+
******* **** *El*l,l??} * * **** ****,r*,* *t:r.,r,i*+ *:r*r.,*++
rs n{E pRopERry t-ocarED
rr{
I rLmpurxl F'l ves fi m
Exrsrrrre ri?Exnrqrs
*o. ZabS sQ Fr ,orf
**., oor*eeo, ,/g
B{ npEnrrorrs
*tat 2frb5 q n EE5T LAID DrsruRBrr{G
,ffi, -g
mren: $ crrua
I co
d rry svsrell
fl pRrvArE r.lELL
I crrrRal well
sEl{ER:
[t cFprA
f] cErrrRAL
sEprrc
I rnrvare
rar.,a g- co,l r^rry srsrErrr
*** SEPAMTE PERrttrrs REQUTRED
FoR
ELEcr, IrEcH, ILBG, GAs EQUrp, PREFABS
& rNsERTs **:|pAyrErr
,E,*D3 E *o, E] ",..o llAyrBrE . "*l E ri*
;-#-' tr ;;;'''-'E;rr*,..*,a*'t,t*'r*+:r,r
'. * rt 't,|.1,r+ **,* *,*:rt +** * *+{.t**:* f :r.r+
**,r*
+*iiir,tt+* * *t* *{,,r
+t*{.+
*,}if +,t* **,r* +**+:r:ir+,a,t
(FON OFFICE I'SE OTLY)
SETBACK5
: F: LH :
REVISEo oArE 04111/12
B:
DATE :F LOOD:
RH:
PERI{IT FEE: $
CITYs
LICE]6E
*:ACCOII{T
*l
Pio E
*:
Pror{E *:,l$,n414.'dL7q
-.'@CITY:ST:
DISCLAtrCR I
tEEb,
cadt tla d b coiect and
dl u,o*wil comdy wilh t|e Slale Bu dhgard
co.rfEcbr hbmaton.
OIflER/q) TRACTOR:SIGMITURE:
PEZ 6-)D1+
mU NEtd HAIrtovER courrrry B,TLDTNG pERfirr
20tf --l. 7 A
Z
{ii & \;\ ^pplrcArrar(
rrpE.. RESToEHTIAL
Ei dffi$ /:1 FLEAsE Anst{ER
ALL QuEsrrorrrs AppLrcrBLE
ro youR
pRorECT APPLrcATr0t
\Sgr' 'ProJect Responsibility' ,#H"r:.,
Pf,IFERTY qaXERrS I{AtiE: xcxee uones
r,r,c p}ffi{E #: _gl_Q_4?5_7100
I;,ffi
collTRtcroRt LrcEtgE
*: 63e?oADTXESS; CfTy; r,ayettevitre STI xc ZIp: ig30rEI{AIL
ADDRESST
trHONE
#: gro_{7s_rreo _
PROIECT COHTACT pERSOil: pHoilE
*! 919_34e_38r.5
Dcsrrlffi coilslsucrroN: flnlrrRarroH
f] nmuwarroru
I cerurn* REpArRs
fl nrlocarror*
l{EU
coHsrfiUCTroil:
ffi enrcr ilEht REsTDEItcE
or flaoorrroil To
Exrsrrpc RESTDEil6E
f] suunooN SF
sF f] oer GARAcE
sF EJPoRCH
-212 5p
f] enrrruucx.rsE
--
sF
fleoor
I orcr
SF
fl sroneoe SHED
_ sF
TorAL HEATED
sQ FT:
3zsl TorAL sQ FT UHDER
R00F:
t7z4 TorAL AREA
se
TOTAL PROJECT C06Tluoelor1
: g reegeo # OF STORIES: e
rs Any ELECTRTCAL, PLUiEU{6
or trtEGlAilrcAL
hlork Being Done
to the Accessory stnuctur€}
El y", E r,ro
rf the proJect
is a Rerocation,
is there a Natural. Gas
Line on
the current
ttf t tl;
"E
,ofs there
Electrical powen on this Buildingl |JVes Efo
OFclfiflER Ihereby certiFy
hEt all lnlbrrnation in
f,i" u
##LTn':*[t:f*'ffi,'ff tf*-Bffit::X"=:*,y**f::l;r.-."il",,Lr* tpr*d,pbns ercr rp.cineetions oicharue
h
conr*brorcont&brinr'metibn''-t{orE:Anvttorkturrbrnre<rwotreApprupriJp..*,e"irlLt'vi#;".i;T#K;J#ffi#:,.]fffiil."j,"ff:;HXHjj
O{NER,/@I{TRACTOR:
Hillia,' F.
Bvnum _ SfGIr#tTgRE: \rvilliamBynum
=ElE:ilg|-e-%il
**'3*
*** **'l* t*tt* *'t***+* **** JIHI,ISJ*:F ***
***:r**** **** ***:l *!r,* **,i *,r*** *,r*,i *+rF*
***
******** *,irs rHE pRopERTy rocATED
rN A
FlooDpurur
I vrs EI rra
yurrER: EJ crrun
I cor.uuHrry sysrEr,r ftnnrvnre well
ft cerurnal
well
'EHER:
[l creua
f] cr*rnar- sEprrc
I enrrnr,
,rrrr. 5a*rr*rr" rrrrrn
*** $Ep'&nATE pEHjitrTs ftEQUIRE! Fa& ELECTT fiEC,'{, PLBG, 6frs EW!.p, pRgFAss & E&trsE&Ts ***pAynEilr ilErHoor
trry EI.rr.* (prv6s1s
;;;-tr*r r* ErpREss E,rcrwso fJorscoren'r*** *+:;*** * *
***t*** **+ *'l' ** **** '*ti *
*+'t* *,t,t*,t !t!t* *** *i** ****,*!** ***:t****:;,Fri,r *r(!x **rt* rr*** ++:F*
*,f
ZONE:OF FICER;
Approval:
BEL(}I ALL TflAT APPLY
M YfiJR PROJECT:
**PLEASE CHECK
A}IO AI{SHER
EJarr 6ARA6E s54
PROPERTY USE
/
DE5CRIPTIOil OF
fl sinor-r FArrLy
f, ouelex ftro,,rrurouse
5FOTHER:SF
FT:4v24
ial
EXTSTfTS IJ{PERVIOLS AREA:
-- SQ FT
ItlEtd
IHPERWCIJS AREA: _ SQ FT
TOTAT ACRES DISTURBED:
EXIST LAID DISTUNEIT{G
(FOR OFFICE UsE OitLY)
SETBACKS:
F:- LH:- RH:
PERHTT:
I-1 yes [f rp
REVISED DATE
e4!1U72
B:_
_ BFE+2ft=
il
PERIiIIT FEE: $
Comntent:
city; , DATE:_ FLooo:
v
NEW HANOVER COUNTY BUILDING PERMIT DEz ts -a ta
APPLICATI(N
N?E.. RESIDEI{TIAL
PLEASE ANSIIER AIL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibiligf
LOT *:
act717??
APPL
I CATIOI{
l{umber
(Office Use)
APPLICANT'S
DEVELOPER;
PROJECT AIDRESS:
SI'BDIVISIO :
PROPERTY OH{ER'S
OH{ER'S ATDRESS:
CITY:
LIC ENS E*i
*t q/o-qq?a1lq
sr: rl.LzrP t
t?c///
srtMLzrPi r,?q[<
*t ?/o-27q-6715
*, ?_/_e=22j:tr2_A5
CONTRACTOR:
ATDRESS:
PRO]ECT CO.ITACT
CITY:
PltoitE
PtoitE
! surunoom
I eRrm+ouse SF
! sroue r snro
OTHER:
SF
5F
g/.
ExIsrrM coNsrRucrlo :
I nrrralrroH
I nrrcvlrrot
! errennr nrearns
! RELocATToN
Ell coNsTRt cTIoI{,
I enrcr Eu RESIDENCE
o"
! mOrrrOl TO EXISTING RESIDET{CE
**PLEASE C}IECI(
f| arr camcr
AND AJ{SI{ER BELO}I
ALL THAT APPLY TO YO,R PRO]ECT:
sF I orr
caRaee sr f,noncH tCd sr
f| coor-
_ sr
! oecr
_ sr
TOTAL HEATED
TOTAL PRO]ECT COST 6ess rorl : $
Is Any ELECTRICAL, PLIIIBI G
or rECHA{ICAL Work Being Done to the Accessory Structure?
[ V"r ! ruo
5Q FT : /,
21/ 9 TOTAT
5Q FT UNDER AooT Z I, J ? 9 TOTAL AREA
SA N: /5O g
# OF SToRIES: L
If the project
is a Relocation,
is there a Natural Gas Line on the Cunrent
Sitef I Ves I Uo
Is there ElectricaL Power
on this Building? l--'l ves
l-'l Ho
PROPERTY IJSE
/ OCClrpAitCy,
I Srruclr rat v
[ rueltx
! ror.runousr
DESCRIPTIOiI OF WORK:
and ordinances
*d regulalions. The NHC Developn€nt Seruices Centsr wil be nolifred ol any cnanoes in
fie appm\€d plans and sp€cifcations or change in
coniracbr or
ohlNER/COI'ITRACToR:SIGNATURE :
** )** *++ *,r +,r *)k*)*
**** *** **** JiltIlJ*J****** **** *:r+
*,r,r * ** * *,r * * ** * ** * ** * * * * **
*l*]7IIlI
IS THE PROPERW LOCATED
IttI A FLOODPLAI
I N YES 5 ruO
tr.
F{]-
HATER:
! creua
f] cot.|t'luNrTy
svsrem
I pRrvarE htELL
sEwER:
f] crrua I CENTML
sEprrc
I enrvnrr srerrc
*** SEeaRATE pERllrrs REQUTRED
FoR ELEcr, l.lEcH, pLBGr cns
r*yp, eREFABs
& rNsERTs ***
pAy Err r.rErHoD:
! cast
f, orrcx (payABLE
,o rurc
I I an.*r. #;;r, E[i.A,tso -E ,rs.o***+** *,k)*
**** )*
* *,t
+*** )t**
***)*,r****** +,t****** +*** ***,t*,** *+:**,t* * *** **+** **+*,**,*,*i**
**l* ** **
**
(FOR OFFTCE
tSt (lltv)
SETBACKS:
F: I.H: RH:
YES
RtvlstD DATI 04l11l12
EXISTING II.IPERVIOUS
AREA: (J sQ FT
NEl4,
nipERvrolrs
aREA: /, <O g sQ FT
TOTAL ACRES
EXIST LAITD
ntr
ZONE:OF FICER:
Approval:
B:.._
sFt+zrt=
rEt:$,
Comnent :
_ City:_ DATE:_ FLOOD:
PERI/IIT
EiIAIL ADORESS:
PTONE
zrP:,??4//
0 $ 2Ci5
NEI^J HANOVER
COUNTY BUILDING PERMIT
APPLICATION TYPE
: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
APPLICANT'S
NAI{E: Clancy & Theys
Constfuction Company
DEVELOPER;
Live oak Bank
PROJECT ADDRESS:
1757 riburon Drive
CITY: wilmingron
OCCUPANT/BUSINESS
NAME:
r,rve oak Bank
PROPERTY OWNER'S NAME:
OhINER,S ADDRESS: 11 4I
CITY: wilmj-ngton
CONTRACTOR! CIancy & Theys Construction CompanyLICENSE
#: 2011
ADDRESS! Po Box 4189
CITY: wilminsron
EMAIL ADDRESSI chlpovermanGclancytheys. com
Llve Oak Bank
Tiburon Drive
PROJECT CONTACT PERSON: chip overman
PHONE
PHONE
(Check
AII That Apply)
Exrsr coNsrRucrron:
! ALTERATToN
! neruovarroru
! eerrrrnaL REpArRs
ll nelocarroru
lf Relocation, is there a Natural Gas Line on the ilrent Site?
fl Y"f
fl rrro tS BLDG spfiilxlenrD?
fl ves
[ ruo
NEW
coNsrRucrroN:
n EREcr NEt^r srRUcruRE
E FAsr rRAcK
I snrr-r-
! unrrr
I aoo ro Exrsr srRUcruRE
Outdoor cooking, dlnlng. and
entertainment facitity
JC|S-.11q1
1s-1360
APPLICATION
Number
(Office Use)
DATE: 05/1Bi1s
PHONE
#: (910) 790-s867
ZTP:.
284a3
PHONE f: (910) 790-586
ST: Nc ZlPi 28406
ST: NC
ZIP: 28406
*: 9L0-392-5220
*z 910-52A-7590
ACCESSORY STRUCTURE:
If UPFIT
- The She1l
Permit #: 2ot4-rgo8Is Elect Power on
this Building ffi Ves E tO
***** IS THIS
A CHANGE
IF Yes, what was
the Previous Occupancy Type?
ARCH DESIGN PROFESSIOML:
LS3P Daniel Adams
ENGR DESIGN
PROFESSIOML: idoods
EngineerinqJ Don Woods
DESCRIPTION
OF WORK:
oF occuPANcY
usE?
flvrs
What is
' fl No *****
the New
Occupancy Type?
910-790-9901 NC REG
910-343-8007 NC REG
PH:
PH:
ACRES
DISTURBED: < 1
NEW IMPERVIOUS AREA: I roo
ls food or beverages prepared or served in this structure?
ffi Yes
I to ls The Propfiy Located ln
The Floodflain?
l-l ves
El ruo
DISCIAIMER: I
hereby certify that
all information in this_application is co_rrect
and all work will comply with the State
Building Code and all other
applicable Slateand local laws and ordinances
and regulations. The NHC_Development Services Center will be notified of any chanqes in th6 aooroved
otins ano i6eiif,ccti6ild-or chanoe in contraclor or contractor ihformation. ---NOTE: Any Work Performed
WlO the Rppropriare eermi{s
wiitiiefiViiitatiSfiot'tffitri6 56iiidfaiif6Oii
ihitSubject'to Fines Up To
$500.00--- /1 .'f ;"" ''"'" ,ueuvree.(v,,,,Eov'/,vervv.vu
f lt vl
OWNER/CONTRACTQFI; chlp
overman SIGNATUR1' llf;f'1"*-'--*-'"
(Qualmer) (printName)
Note: Demolilion notilications &
asbestos removal pemit applications are to be submitted using the application
formwhether the
facility or building was found
to
contain Asbestos or not. You are required to call the National
Emission Standards
br Hazardous
Air PollutanB (NESHAP) at (919)707-Sg5O at l€ast .lO days prior to the
demolition of any facility or building. See Asbestos Web
Sile: http:rl,ww.epi.state.nc.us/epi/asbestos/ahmp.html
TOTAL PROJECT
COST: $400, 000BUILDING
HEIGHT: 12
'-0 "
SQ FT PER
FLR: 3750
# OF UNITS: z
TOTALAREASQFT: 37so# OF STORIES:
#OF FLOORS:TOTALSQFTUNDERROOF:
11OO #OFSTRUCTURES: Z
EXST LAND DTSTURBTNG pERMtT? fl VeS
il *O
SQ FT EXISTING IMPERVIOUS
AREA: 1 7
B, 04 O
PRoPERTYUSE: EloFFcE ERESTAURANT
luencnrulLE EEDUc
f]Apr flcoruoo orHER:
ry4lEl' ZCFPUA EcoruuuttlrysYsrEM
f]wELL EzoNtNGUSECLASS|F|CAIoN:sEWER: EICFPUA ECENTRALSEPIC
f] e-nvere
sEplc a6rrluur.rtrysysrEM*- SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *-
PAYMENTMETHoD:
ficnsn flcHrcx(PAYABLEToNHc) flnuenrcnNExeRESS
ffiucnnsn f]orscovent*******************************************************************i*********r*****+*****************
(FOR OFFTCE USE ONLY)ZONE:_OFFICER:SETBACKS:
F:_LH:_ RH:_ B:Approval:_ City:_DATE:_ FLooD:_
- -BFE+2EN
PERMIT FEE: $
SQ FT
Commentr
REVISED DATE
4/11/12
15-1 685
NEW HANovEi ,:,?'II -?Y*"llf PERMTT
20ts 1tr o
PLEASE ANSWER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
NAITTE: COASTAL TRADITIONS DES]GN + BUILD, INC
DEVELOPER:
PRO]ECT ADDRESS: I9O3 MASONS BLUFF COURT CIW:
SUBDIVISION: MASONS BLUFE
wrLMrNGroN ZIP: zeqtt
BLOCK #:LOT #: 8
APPLICATION
Number
(office Use)
DATEi 6/22/15
PHONE #:
PHONE #: 970-620-231 6
PROPERTY OWNER,S MIT1E: W]LLIAM AND JENNTFER LOPATKA
OI{NER,S ADDRESS: 1505 CRoWs LAND]NG C]RCLE
CONTRACTOR: COASTAL TRADITIONS DESIGN + BUILD
CITY: WILMINGTON
LICENSE *z 1322L
CITY: CAROLINA BEACH
ST: Nc ZIPi 284t1
5T: r,rc ZTPi 28428
#: 91rl-386-3109
#: 847-366-1338
ADDRESS: Po BoX 1495
EMAIL ADDRESS: PoZIoMBKA@AMERITECH.NET PHONE
PHONE
PROIECT CONTACT PERSON: r,.{rKE pozroMBKA
lsurunoom _sF
I cnerruHousE
_ sF
TOTAL AREA SQ FT: 3se4
EXTSTTNG CONSTRUCTTOT:
I ALTERATTON
! nrruOVArrOru
! CeUrnnl REPATRS
! nrlOCnrrOru
NEW CONSTRUCTTON:
@ eneCr NEht RESTDENCE or E AOOTTTON TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
flarr GARAGE 6?8 sF
! orr GARAGEsF E]PoRcH 708 sF
! orcr
TOTAL HEATED
SQ FT:
343r TOTAL
SQ FT UNDER
TOTAL PROIECT CoST(ressloo I $ qos,
ooo #
! sronncE sHED
SF OTHER:
ROOF: qerr
OF STORIES: 2
SF
SF
Is Any ELECTRICAL, PLUfVIBING or mECHANICAL Work Being Done to the Accessory
Structure?
fl Ves il ruo
TOTAL ACRES DISTURBED:
I/12
If the project
is a Relocation, is thene a Natunal Gas Line on
Is there Electrical Powen on this Building? [-1 Yes ffi ruo
the Current Site?
f] ves il *o
PROPERTY USE
/ OCCUPANCY:
I STIVCI-E FAMILY
f] OUEICX
E TOWruHOUSE
DESCRIPTION
OF WORK: CONSTRUCTION OE NEW
SINGLE trAMILY HOME
and ordinances and regulations. The NHC Development Services Cenbr will be notified
of any changes in he approved plans and specifications or change in contractor or
contracbr information. ..'NOTE: Any
Work Performed W/O tre Appropriate Permits
will be in Violation of the NC State Bldg Code and Sub.lect tic Fines Up To $500.00'..
O[dNER/CONTRACTOR: MrKE pozroMBKA SIGNATURE:
***************************(I!'Illil"J*********,r*****x*x{.x********x******x*******x**x**r(**x
IS THE PROPERTY LOCATED
IN A FLOODPLAIN}
J-I VES
EXISTING IilPERVIOUS
AREA: SQ FT
NEW
IMPERVIOUS
AREA:
5,78s SQ FT
EXIST LAND DISTURBING
PERMIT:
fI VCS
[T] ruO
wATERt
I creun
! cor'rmururry
sysrEM @ enrvarr
wrll f] crrrrrnaL wELL
sEUiER:
@ creun
! crrurnnl
sEprrc
I enrvnrE
sEprrc
I commurrrrry sysrEM
*** SEPARATE PERMTTS REQUIRED FOR
ELECT, MECH,
PLBG, GAS
EQUIP, PREFABS
& INSERTS ***'
PAYMENT
r4ErHoD:
E casn
ff cnrcx (eAvABLE
ro NHc)
fl nmenrca,
,rr*ri, il ,.zrrii -
n DrscovER******'(***************x**************x******************x***********xxx**************xr(*
ZONE:OF F]CE R :
! eoor-
(FOR OFFICE USE ONLY)
SETBACKS: F:
SF
NO
REVISED OATE
O4/LT/L2
Appnoval:
City: DATE:F
LOOD :
LH:RH:B:
BFE+2ft=
&
APPLlCANT'S
DEVELOPER:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICArIO'I TYP6.. COI{MERCIAL
PLEASE AIISI{ER
ALL QUESTIOI{S APPLICABLE TO YGJR PRO]ECT
"ProJect Responslbillty"
NAIIE: Cline Desiqn Associ.ates. Anne Bradley
t'lA[rlE:
PharpoinE 3Dl
PHONE *:
,Ol< -
18a3
L5-2L23
APPLICATIOiI
Number
(office Us€)
DATE:0?.31.201s
ZIP:214as
#: 919-782-5552
5T: NC ZIP:27604
ST:
_ ZIP: _
919-833-5413
PROIECT ADDRESS: 1001
MlliEarv c.J-- of: Road
Suite agd CITY:wi
lminqton
0ccuPAI{T/BUSTNESS
PROPERTY O{IIER' SNAI{E: Palm
Park Holdinqs- LLg
OdtilER' S ADDRESS: 1?oB Trawick RoadCITY: Ra1elqh,
CONTMCTOR:
AI'ORESS:
TBD
LICENsE S:
CITY:
EIiIAIL ADDRESS:
PRO]ECT CO TACTPERSON:
enne aradley
PHONE
PHONE
*:
PHO{E
*:
Exrsr coNsrRucrroN: E} ALTERATToN
n *rilifilfi'till?lil*, REpArRs
[l Rsr-ocarror
lf Rolocatlon, is
there a Nalurat Gas Line on rhe Current Sitef flves [ ruo tS BLDG SpRtNKLEnED?
fl ves
INo
NEll
coNsrRucrrot:
[ :necr NE]J srRUcruRE
! rasr rRAcK
f] SHELL
n upFrr
! ADD ro Exrsr srRtjcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell
(qr8
k) (Prrifl'r.)
Permit
#: UosureIs Elect Power on
this Building El yes E *o
***{* Is THIS A CHAIGE OF O€CuPANCY USE?
EYES fito *****
IF YesJ hhat was
the P.evious Occupancy Type?
ljiat is the New
occupancy Typet
ARCH DESIGN PKTFESSIOiIAL;
Michael
T. Mesnard pH: 919-333,6413 NC REG *: 9350
Ei6R DE5fGN PROFES5IoML:
Chris
Avcock pH: 919-871-1070 NC REG *: 36238
DESCRIPTION OF l^lORK:
Incerior AlLeraticn, new walls dcor€, relcaLica
cf -iqht6 and mech. devices
ls food or b€v€rag6s pr6parod or servod in this s*ruaure?
flves fl llo ls The Prop€rty Locatsd tn
The Floodptaina
f] ves
[l No
OWNER/CONTMCTOR: c- Anne Bradrey SIGNA
TOTAL AREA SQ FT: 70,883 SOFTPERFLR:
23.ooo #oF SToRIES: 3
TOTAL SQ FT UNDER ROOF:&
613 f OF STRUCTURES:
r_ rOfftOORS:
l-^T=TACRES DISTURBED: 5, jo7 ,--. ,
EXST LAND DISTURBING PERMIT?
T.]YES EJNo
ttota: Domoildon nodficalions & asbe3tos ronoval p€mit apdhadons arc to be
or.trnitted u$ng lhe appllcation brm (DHHS.3768) who0ler th€ faciliry ot
conirh fub€sbs or not. You srG requirod !c call tho Natlon6l Embsiofl Sbndr.ds for
}lszardqts Ar Polhtants (NESHAP) at (919)107-5950 6t least 10 &ys prbr to Sro
domolitiofl Ot rny hc ity or blildno. Se. Asbostor Wob Sit6: hflpr//www-epi.srale.nc. us/epi/asbestoslahntc nlmt
TOTAL PROJECT
COST:
$2Oo,OOo BUILDING HEIGHT:
:3j.:.9j- f oFUNITS: AiIA
TOTAL AREA SQ FT : 70 , 883# OF STORIES:
:
# OF FLOORS: 3
NEW IMPERVIOUS AREA: r.{1aSQ FT EXISTING IMPERVIOUS AREA:
pRopERWUSE: ffprrrce lnesrnun*rr f]uencnrurLe
[eouc
[aer f]coruoo orrrn,ylIT, mgryuA [coMMuNlrysysrEM
EWELL nzoNtNGUSEct_AsstFtcAIoN:sEwER: UJCFPUA
n CENTML SEpTtC
E p-RtvATE SEpTtC UCOMMUNTTY SYSTEM*' SEPART\TF: PERi4riS
iiaoui'ieJ iOR Et
PAyrvrENT
METHOD: flcASH f]CHeCx lerveelE To NHC)
ExpREss fluc^/lse fioscovea
(FOR OFFTCE USE ONLY)
13^11^" oT]-"-=*'-_-====-SETBACKS:F: LH:-RH:-B:Approval:_ City:_DATE:_ fIOOD:
__ _ BFE+III
OISCLAIMER: I he.€by cer{ty thal all intormariqr in this Epplication is
conecr
ed atl u^ork wifi compty wth rhe Stare Buitdrng Code and aI other applrcabte
slate
aDd bcal laws and oadinarEes
atd teoulsBons. The NHC Oev€l,oorrlenl S€rvk;es Canler will be rdlfied ot anv char[o6 in dla aDoroved otans and ;;€c{flca on3
or chalt.le rn conlraclo{ or conltaclor ini.}Ilnol on. "'NOTE: Any Work Porbrmed w/O he Appopriato Permrls w{ll & in Vidstion of the NC Slale Bldg Code anOSubjecrio Fines Up To
$500.00"' - - - -,a;_--'
^ t,
EOT, M€CH. Pr lJCi OAS E(.lritil
SO FT
N
PERMIT FEE: $
Comment
REVTSEO
oAIE &1 1/12
NEt^IHANOVER COUNTY BUILDINGI IIEW nt{lIlJYEr\ rLlJLtllI I rJl.rrr-LrJ
dh APPLICATIAN TYPE; RESIDENT
## PLEASE ANswER ALL QUEsrroNs APPLr€ABLE ro'
tl$ "Project ResponsibilitY'
ApplrcAnrs ilAnE
Acnl*tion-Bur-rlrli ne
tf, t i[,
DEVELOPER: O
APPLICATIAN TYPE; RESIDENTIAL
ANSWER ALL QUESTIONS APPLI€ABLE TO YOUR
pRolECr ADoRESS:
t{ll__i{rtnnn €f l(f,E.t l(d, crrY:
SUBDIVISIS.I:
PROPERTY Off,IER'S
OdIIIER'S AODRESS:
PERMIT
PRO]E(T
JOIS-,rtrS91s- 2054
APPLICATION
Number
(office Use)
nrrincfu6 ae.DArE:
ilarls6 PHoNE *: IlpSillf-tb!}
zrP;q;BqOSELat-3
*2qlg -drt.?.r-oqat
sr:
bl(zrpelgl-Ot
ACcouNr *: &9 I
sr:N-Lzrp:J&lO t
PHoNE *:Jt-p3-
K1t*
,)
PHONE
EITIAIL ADORESS :
f"rW, Cv1A@ onkx-.-itrti
n6crlrrP.
pRolEcT cortrAcr pERSoN: pHCxttE
*r 9-q3-d338
RENovATToN
flerrvrnnl REaATRS
I nrlocarron
or flADDrrroN To ExrsrrNc REsTDENcE
EXTSTTNG CONSTRUCTTOru:
p ALTERATTON
tl
NEri, coNsrRUCTroN: p|-rnecr NEbj RESTDENCE
{'*pLEASE CHECK AND ANSTJER BELOW
ALL THAT APPLY TO YOUR PROIECT:
[ffir GARAGE 3o-l sr
@rpdn+rl8Ul sr
SUNROCI\4
-
SF
f] noor-
-
sF[.l sronacE sHED sF
f] enrrruHousE
-
sF
floecx SForHEf;1-agq-tt q!=,,.fl
rad1.#nr#f#.'IrorAL HEATED SQ FT:si55-Q rOrAL SQ FT UNDER ROOF:
T0TAL PROIECT CoSTlmssmtl ! $ qmrDDC s oF SToRIES:
J-
Is Any ELECTRICAL, PLUfIIEING on IIECHAIIICAL Work Being Done to the Accessory Structure?
fi Ves g{
If the project is a Relocation, is there a Natural Gas Line on the Cunnent
Site? flV", f!|Jr/
rs thene Electrical Power
on this Building?
ffi ves G4l6/
pRopERry usE
/ occupANcy,
[ld"erE FAMTLv Uouer-rx f]rownHousr
DESCRIPTIOTI QF hIORK:
FK
ceniry hat all inbrmation in flis work will comply wih he Stale Building Code and all ofier applicable StaE
ild locd la,vs
and ordinarces afld regulations. The NHC Development Services CenEr lvill be notjtied
of any changes in he approved plans and specifications ot
change in contracbr or
contracbr inbrm8fon. '*NOTE: AnyWork Perbrmed
w/O he AppropriaD Permitswill be in Violalion of lhe NC S'€ESublect b Fines Up To
$5C().0S"
ohrlIER/coNrRAcroR,
AfW,Lg. ?gpn^&f\ srGNAruRE :
(J (pnlnt r,lame)******t*****t** ***********d*****+******:t**********ji**t************t***+*f'f*****)r*,i)t***{****++******jt*,f********,i**}*******
rs THE pROpERTy LOCATED
rN A FLpODPLATN?
ffi VrS ffi1zo
EXISTING IMPERVIOUS AREA:
NEhI II,IPERVIOUS AREA:
***r** **,t * *** **** **** ***)3 *,8
sQ FT
?sQ rr
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
,41
nenm:r'
6g4rs ICI uo
lrrArER:
ffcreua f] coNmururry
sysrEm
f] nnrvarE wELL
f] crrurnnl NELL hrrrd [q)iy:f Yy^,
sEwER:
[,<frua
f] crrurnnl
srprrc
n enrvarE sEprrc
I commururry sys'iEr,r uatb-rrr'", W
Comment
*** SEpARATE PERr{rrS REQL,rR[0
roR ELECT, iilECHr pLB6, GAS rQurp, pREFABS & TNSERTS ***
PAYrElIr
mErHoo: Qcasn f,lcnrcr (eAvABLE
ro NHc)
f,lrrri Acco{rur fJmclvrsa ftDrscovER'r*****'t*******,t******,&****'t*****x**t*****,t*****,t**)r************,*llit+**s***r****,1***'t***
r\ ^^
zor,rr: ( A0 oFFrcER
, ?tc,ry) ,"IfHi:*,,': ?:"3o' #,';i'
l*,-, *16&;;7,i1*,:St,t)Approvat:- citv:rrdlLW\ oaw,lf zc,f
fi FLooD:
-
*--2J;W *i.=
VN
FEE: $
CONTRACTOR:
ATDRESS:
ffi
PRO]ECT COI{TACT PERSONI PHO{E
ExrsrrNc coi{sTRucrroN:
f] alrrnrrrou
f} neNovarroN
f} e rrurul nrenrns
! RELocArroN7
NEI/{ CONSTRUCTION:
P[TNTCT NEt{ RE5IDENCE O"
! AOOTTTOru TO EXISTING RESIDENCE
L rHAr APPLY TJr,Yd-R'r--nDr€CT ;
E}otr oenatir l\qa ) sr [}rdncx -
o
. st\.---::;.
I eooL --1{ [ sronaer sHED
-
sF
[lorcx
-
sF oTHERL-- - sF
TOTAL PROIECT COST (r-ess
to0
Is Any ELECTRICAL, PLUIIISING or ECHANICAL llork
If the project is a Relocation, is there a
PROPERTY USE
/
DESCRTPTTON qF
PRO]ECT AMRESS:
SUBDIVISION:
PROPERTY O(.I'{ER'S tlAltE :
G{IIER'S ADDRESS:
u.Jilr\4
COI'ITRACTOR:
ADDRESS:
Efirlll ADDRES5 :
l..(>s4 nnaf''@ onLr--i trtin6c.^-rp.
!.PLEASE CHECK AND AI{SWER BETOW AL
frtr ernaer
-
sF
Dtr GREENHOUS E
suNR00 1
TOTAL HEATED SQFT UNDER ROOF:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAIION TYPF.. RESIDENTIAL
PLEASE A}'ISIIER ALL QU€s'IOI{S APPLICABLE TO YOUR PRO]E(T
"Proj€<t Responsibilitf'
"ts,-205a
zlcls-!8qo
APPLICATION
Number
(offlce Use)
pxonr
*,9ll2:3.lila!,qec
AccouNr *t &9 I
PHONE
sr; 5!Qrn:.r84O5-
srll{.LzrP:38qo t
{t1to3-91(e
*: 9r-,t5-d33f,
SF
SF
Belng
Natura
lW iorirgi(ia-iqFT:'!
) * or sroRrEs:
J*
Done
to the Accessory structure?
0 t", Gl6-
nal Gas Line on the current site? f,t ves Gl*6-
rs thene Electrical Powen
on this Building? CI v"r G+ra-
fi<fielr rar'rrlvoucLex
f| rowmuousr
canify trai allhbrmaton in ihls work will comply wih he Stela Euilding Code ana, a! oil6r Bpplicabb SEb ard local la'9s
aod odinarces a.d €gulaUons. The NHC Developfient Solvicos Cenler wlll b6 nodlied ot any chaogas i6 he appoved dans and Epeclficalions or charge in conlrecbr or
conrebr inbrm6ion.
'-llOTE: AnyWork Perfomed W/O he Appropriae Psrmits wlll ba io Vlolation of rhe NC S,6€Sublect b Flnes Up To
tstx).o0"
ofi,l,rER/coNrRAcroR I ArKz
le ?q"e.-Y\c-n srGNAruRE :
O {P.tht ri,D.)*ra**:* +,. +*:t+ **'I* ** * * * **
t* + + ar * + * *+ + + * * * * * * + * r, * * * * * * * * * * *,| * r* )r
*r,**+a**+,i.t++f**+***+*:****++****t*+++)r****+'a**t*++**t*++**,I*****t+*
rs rHE pnopERry LocArED rN A FLpoopLArrr
['I yss &do
P tq rr rorAL ACRE'
DrsruRBED: ,4-l
NEr{ rrirpERvrous AREA:
-NeqasQ Fr Exrsr LAND DTSTURBTNG pERf4rT:
(Il{Es () rc
r,rArER:
EfcFpuA f] cor+runrrv svsrem
I pRrvArE wELL
! crrurner we lr- furrx{ !reJ;yyr'4f-,
sEtlER:
ltrdpuA
f] cr'rram seerrc
I pRrvArE sEprrc
n co r"luNrry sysrsM Y*Ls1tt\L\
{L(ly.+" SEPARATE PEMITS REqJIREO FOR
ELECI, I.IECH, PLBG, 6A5 EQ{JIP, PREFABS 8 ITISERTS ..'
pAyrlE
r itErHoo:
0 casn
0 crrc( ( pAyaBrE ro nxcl Q rrti 0..0,,n, f,l r.rclvrso f,l orscwrn
Corment FEE: $
AppL:cAr{T,s narc iHcnfatiDr:Sur.rluCrnC-rf, t^-tilr:vriAc&>a.a_ncoare ,
l
CIIY:
OCCUPANCY :
l,loRK :
u
iii I
t%- ear.eldza/ur'ea
l, o"\ -+1gl&:S:.b. au4ua ?Cr5 7trld
NEt^t HANovER CoUNTV
Bur@ruE pERrrtrr
APPLICA|T(N fvpE; COi|TIE
RCrA L
PLEASE Aflsl{ER
AU, QUESTIOI{S Appt-ICA8L€ TO YOUR prOlECr
APPLTCAIT,S MTIE:
DEVELOPER:
PNOJECT ADDRESS:
OCCUPANT/EUSI ESS
PBOPERW O}It{Ei,s
OT ER'S ADDRESS:
COiITRACTOR:
ADDRESS:
EitAIL ADORESS:
PROJECT CO TACT PERSOT{:
ACCESSORY STRUCTURE:
APPLICAIIOI{
t{uiocr
(Offtc! Utr)
P}ONE
*:
crw:5T: ZIP:
LICEISE
*:
clw:. Ll-.lr'y1 . sr,f(zre,j'v{:f
PKr E
8: --71c -ct,tl
PK,NE
r: 2LZ - t\\-Ll
;11',JJ:::ly:1"':x:,H::l'i:'i:li"H":"',#[g'-ll6l;l-,1r,*'.,-tr^[:i?Tr#ves ffio
NEt.l cor,rsrRucrrorit
I enrcr NEw
srRucruRE
ft rrcr rrecr
f] sxer.r.
! urrrr
! ADD
ro Exrsr srRUcruRE
If UPFIT
- The
Shell Permit
s:Is Elect pouer on
thts euilding ffves E,lO
IF Y€3, XIEI
ATOI DESIOI
EI{GR I'ESIG'I
rras the Pr€yious
PROFESSIO{AT:
IS IHIS A CHA GE
Occupancy TtOel
oF occuPA[cY
usel
fiws ffio ..*..
hlhat
is th€ ]Ifl Occupancy TYpe?
I'IC REG #:
PROFESSIOML:
DESCRIPTION OF hDRK:
b bod or bovsrrgGs
Ft e]!d or r.n ed
h frs !rudlr.? Eye" QHo t nc frcpaty Locabd tn The Ftoodptah?
E yes Mo
DISCLAIMER: I hercby cett, thsl sll lrformation tn
Bnd locsllaws and ordin€rces aM.eouletlons- Th€
or chanoe ln contractor Or conlractor
iiformallon,
"'
ls
corecl and att ri,ort will comdy wilh lhe Slate Bu
enl Servlces Center will be notrfl6d of snv cleno..t Perfor{hed
WO the Appoprbte perm(s wi &-inor chanoe in contractor Or co raclor
iiiormatlon.
Subjectlo Flrler UpTo $5m.00"' I
OWNER/CONTMCTOR:
(qrlbl,SIGNATURE:
TOTAL PROJECT COST:
TOrAL AREA SQ FT:lL SQ FT PER FLR:
TOTAL SQ FI UNDER ROOF: I flrz r# OF STRUCTURES:
co.t h 4b.56 or iot. Yot/
rl! r.qulcd !o c.llth. NstldElEtnbston srm&rd! ft. H.Da"L * no t,ts pesiipl;-ffii#;&,:Lffi"flffi:rtt#
d.nEmon of dly bdl[y or hXldhC. S.a Arbasto6 Wbb Slia: mpr/$.w{.ap{.rrto.nc.ut apr.a!.ttoa/alBrp.tttml
BUILDING
HEIGHT: , OF UNTTS:
# OF STORIES:
# 0F TLOORS:
-
ACRESDTSTURBED:
-_ ExsrrAlD?tsruRaNonrnramflves fifnoNEW IMPERVIOUS AREA: -.-- sQ FT EXISTING IMPERVIoUS
AREA, -
_
,- 5q FTpRopERryusE: EIoFFGE
finesraunerr ft[uencemle flrouc
f]eer flmruoo orxen
yA,H:ffi #i,iEP$[1tT[ffi*H,Fffi.=","EBf;]f^r,iffi ''***", SEPAMTE PERMITS REOUIRED FOR ELECI, MECH, PL8G, GAS EOUIP, PREFABS
T INSETM.*
PAYIIENTMETHoD:
flcnsn traYq.l"*tEroNHc] fieusnrcero<rREss EMc/vrsA ftorscoven
(FOR OFFICE t,,SE ONLY)ZONE: OFFICER: eFre^r-rc. E, REVEED
oAIE./!fi2
i"-"-1,
-',1fi.-,.
-6a_ SETBACKS:F:
LH:_RH: g:Apprc\.al: City:_DATE: FLOOD:BFE+2f
commenlAvt-pERMtT FEE: $.
c\
PHOIE
*:
ZIP I
oorr'
A,
ll-r'i
IiC REG
#:PH:
Nt5- +E+3
ffi"
APPLICANT'5
DEVELOPER:
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATTON TYPE: RESIDENTIAL
PLEASE AI{SWER ALL qUESTIONS APPLICABLE TO YOUR PRO]ECT
"Pnoject Responsibility,,
NAIIE:
Barrv & Leslie ll4les
APPLICATION
Number
(officc Use)
DAIEt
i/n/as
PRO]ECT ADDRESS:
SUBDIVISION:
511 Blad1ey Creek
Poi.[t Road
CITY: wilminqEon
PTONE
$:
zIP | 233!L
LOT #:
PHONE
*: e70 279 -628s
sT: IS_ zlp :
29393_
BLOCK
*:
PROPERTY OhINER'S NAI'IE:
Barrv & Leslie Hales
OT.INER'S ADDRESS:
CfTY: wi.Lrninqton
CITY:L\,,t !-lt-
PI.IONE
tLYlue??A:t
PHONE *: e1o 443 -1899
ALL THAT APPLY TO YOUR PRO]ECT:
ua SF
SF
TOTAL ACRES DISTURBED:
EXrsT LAND DTSTURBTNG penirrr: I-l yEs m NO
OFFICER:
(FOR OFfICE USE oNtY)
SETBACKS:
F:_ LH:
SEVrSEo DAIE 04111112
B:
BFE+2ft=
N
PERI{IT FEE: $
EXISTING coNsTRUcrroN:
! alrrnrrroru
f] ReHovrrroru
[ eeNrnal REPATRS
n RELocArroN
NEW CON5TRUCTTOru:
f] eneCr NEhr RESTDENCE o" trl morrrOt TO EXTSTTNG RESTDENCE
I oer oanaer 12oo sF EJ PoRcH 3oo sF
SF
f] sronnce snro
42 SF OTHE R:
TOTAL HEATED
SQ FT:
rzoo T0TAL 5Q FT UNDER ROOF:
lsoo TOTAL AREA SQ FT: r.s{2
TOTAL PROIECT C0ST 1r-ess r-ory
: $ re :ooo # 0F STORIES: 2
Is Any ELECTRICAL, PLUIiIBIi',G or mECHANICAL trork Eeing Done
to the Accessony
Structure?
B VeS
[ ruo
If the project
is a Relocation.,
is there a Natural Gas Line on the Current Site?
[Ves I fo
Is thene Electrical Power on
this Building? pves l-l Ho
pRopERry usE
/ occupANcy: E} srNele FAMTLY
f] DUPLEX
n ToWNHOUSE
DESCRIPTIoN
0F t'loRK: construction of detached qaraqe with 2nd
floor sroraqe
and ordlnances and f60ulalbns, The NHc Developmont seNices c€nw wlllbe notfed ofsny changes in lt|e apprcv€d plsns and specittcations_crahanoo In con&rcbf ot
contactor inbrmaton- '.NOTE: Any Work Perfomed w/O he Approprlato PemtG wittbe in VblBlton ot the NC StaE Etdg Co{te aM
owNER/coNTRAcToR:
8..., ,.1u"
L4IEZ D\(/I( SIGNATURE:
r*,r'r,r*'r***+ +* *,r * ** * *** *** * r(il'Il JiFJ * * * *
** **** *
*,r + + r,r ,r
*,r * *:r. r. )r*:**:r,r*,r
IS TI{E PROPERTY LOCATED IN A FLOODPLAIN?
[ YES EI ruO
EXISTING IHPERVIOUS AREA:
_SQ FT
NEW IMPERVIoUS
AREA: _SQ FT
r,rArER:
fl cFpua
E coMr4uNrry
sysrEM
f] pRrvATE WELL
I cetrnal
wrll
SEHER:
I cFpuA
I CENTML sEprrc
f] enrvare
sEprrc
n coi4MUNrTy sysTEM
**T. SEPARATE PERIIII'S- REQUIRED FOR ELECT, I,IECH,
PL8G, CAS
EQt'IP, PREFAES
& INSERTS *'i
pAy E r lrErHooi
I cnsx Ecxec( (payABLE
ro r{Hc) EaflE;rcm rxpnris ll""iii' -nDrscovER
*,t)t*,t,r*+:t,*,.*,t*:t,t,i,**,t*,r,|,rt,*ri**+'r,t,t,**t*:i'i:t*,t*:a,i*,t:*)*+:r'r***,i:a**t*:t,i***:t*,t*,i*,t,i++:t,t,r+**,1,i*,t
:f .*
ZONE:
Approval:
*PLEASE CHECK
I err eanaer
I surnooN
_ sF
I eneeuHouse SF
AND ANSWER BELOI,J
_ 5F
POO
L
DECK
Corrnent:
_ City:_DATE:- FLOOD:
RH:
APPLICANT'S tlA'IE:
DEVELOPER: /{,(,
--Arrn n-
k,'3 oorr,
{/r
NEh, HAI'IOVER COUNTY BUILDING PERMIT
APPLICATIN
N?8.. RESIDENTIAL
PLEAS€ ANSLIER
ALL QUESIIOIIS APPLICABLE TO yot R PROIECT
"Project Responsibiligf
BLOCK
*:
e7t5-"trfl
?tzl;-e6t
APPLICATIO
t{umber
(Otfice Use)
PtloNE
#: q/A- .27q-'
ztp
3(4/t
LOT *:
PRO]ECT ADDRESS
SUBDIVISIOI{ 3
PROPERTY OXI'IER, S
Ott['lER'S ADDRESS:
CONTRACTOR:
ADDRESS:
EIiIAIL ADORESS:
PRO]ECT CO TACT PERSON:
Pll)t{E
Pt{)itE
sr :
A),CzrP:
ely I
srtAtrkrPt 4tg2s* ?to-2?9-67(S
*,1!o:12g:_62(5
SF
SFSF
SF
l-l sronaer
srro
OTHE R:
EXrSTrr\tG COr{STRUCTTON:
I arrrnarrou
f] nrHovlrror
! eerurnar neearns
! RELOCATTOT{
EhI CONSTRUCTIOI{.
f CNTCT NE}I RESIDENCE Ot"
I AMrrrOH TO EXISTIiIG RESIDEI{CE
..PLEASE CHECX
! rrr crmcr
sF ! oer eanace
sr
f, eoncN I 5o sr
! surunoom SF
I cne rurouse SF
DESCRIPTION OF hIORK:
*-T::S-l"r^y,*::p15LTc,*:bpTnrservi:escenbrwirbenor.fedofanychan;esinre "ep.;|r.in";;;;;;";;;.;;;;;";';";;lcooracior
htlrmaibn "'NoTE: Anv work Perform€d
wo lhe
AppmpriaE Permils wifi be in viotation ot lhe Nc staE aEgcode and s]rbjeci
b Fines up To
ssoo.oo.-
otrl{ER/co[r&Acr
oa: Brian k,lao STGNATURE:
+,r* * * **
**** ** + * *** * *** ** ** *([iTi
Jifd * ** ** *
*** * * * * *** * ****** *+*** +'t+****:tit:t*
******* **** *([iti
Jif]i * ** ** *
*** * * * * *** *
*******;r* ***.****+,r
***:r****(* ****
**
IS THE PROPERTY LOCATED
IN A FLOODPLAINI
N YES NO
EXISTING II{PERVIOiJS AREA:
NET I!@ERVI(US AREA:
ZONE :OF FICER:
Approval:
AI{D AI{SI{ER BELOIJ
ALL THAT APPLY TO YOURPRO]ECT:
I eoor-
I oecr
EXrsT LArD DrSruRBrr{G pER}rrT:
r] vss
! rr
uATER:
l-l craua
! com4uNrry
svsrru
! pRrvArE r"rELL
f] crrurnnr werr
sEllER:
f| creua
I cEr.trRAL
sEprrc fiqnrvarr trorr. I cotrMuNrry sysTEM
*** SEPARATE
PEMrrs REQUTRED
FoR EtEcr, IirEcH, pL8G, GAs
EQurp, PREFABS
& rNsERTs ***
pAyirEr,rr
nErHoD:
!.os, !.rr.r( (pAyaBLE
,o n*y [-.*r. ,rr*ri, -ij
".rrrro"'- E orr.orr***+ + +**
*****+)***+)t* **r*)***:i***)t +** **+* **+* **+* ** * * )ts** +* )ts:t
** * * )t* * *,t )t
* * + * )*
*** ***)t
**** **** *:*
(FOR OFFICE U5€ Ol!Y)
SETBACKS: F:
REVIsEO DAIE O4l11/12
B:
o
l+5sg_
SQ FT
SQ FT
TOTAL ACRES DISTURBED:
BFE+2ft=
N
PERI'UT FEE: $
Conment:
_ City:_ DATE :F
LOOO
:
LH: RH:
CITY:
LICEi6E S:
CITY:
PloifE
#: l!@%:Jot/
rorAL HEATED
SQ n: 1r 2,.1
I roTAr sQ FT UNDER
R@F:
l, ??g rorAl AREA
sQ Frt \ 5Og
TOTAL PROIECT COST Gess Lo,)
: $ q<lODd9o# OF STORIES:
Is Any ELECTRICAL,
PLtltBIt{G
or fiECHA!{ICAL Hock Being Done
to the Accessory
If the project is a Relocation,
is thene a Natural Gas Li.ne
on the
rs there ElectricaL power on
this Building? l--.l yes l--l uo
PROPERTY rrSE
/ OCCUpAt{Cy
r
! srnele
rarl[v
I ouelrx
! rownHouse