AUGUST 21 2015 BUILDING APPSm
APPLICANT'S
DEVELOPER:
PROIECT ADDRESS: Go3 EasEwood Road
OCCUPANT/BUSINESS llAfiE :
PRoPERTY Ol,lNER' S
OI.INER'5 ADDRESS:
CONTRACTOR:
ADDRESS:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION
rype: COttllttERCIAL
PLEASE ANSWER
ALL QUESTIONs APPLICASLE TO YOUR PRO]ECT
"Project Responsibility"
i|AllE: Stephen Frazer, Aqent for Verizon Wiieless
Vz t5 -tltb
)ors-61?8
APPLICATION
Number
(offlce ur€)
DATE:5/1sl201s
S:5?02555891
*i 919i49692't
ST: NC ZIP: 27sr8
NAIIE: American Tower
Corporacion PHONE
3500 Reqencv
Pkkv. STE I0o CITY: Carv
To Be Det.ermi$ed
CITY: r,litmrngton ZIP'i 2a4a3
ZIP i
LICEI{SE f:
CITY:
EIIAIL ADoRESS r
5T:
#:
PRO]ECT CONTACT PERSON:
PHONE
PHONE
Exrsr cor{srRucrroN:
E ALTERATT,N g -rrlifi!6ii 'tiT'r1i'r*o. nerrrns
! RELocArroN
lf Relocation, is rhere a Naruratcas Line on rhe -Current Site?
[veTIr'ro tSSUDGSpi xLeneOz
IVes f]tto
NEI.J CONSTRUCTTON,
I enrCr NEtl, STRUCTURE
I rlSr TUCX
E Snrr-r-
f] unrrr
I mo ro Exrsr srRucTURE
ACCESSORY STRUCTURE:
#:
If UPFIT
- The
Shell Permit *i Is Elect Power on
this Building E Yes E ,O
oF occuPANcY
usel
fivrs Im -----
Hhat is the Neu Occupancy Type?
NC RE6 #:
NC REG fl
t***r I5 THIS A CHA'{GE
uras the Previous occupancy Type?
lF Yes, Bhat
ARCH O€SIGN
ENGR DESIGN
PROFESSlOl{AL:
PROFESSIOMI:
PH:
PH:
DESCRIPTIoN 0F !,JoRK:
ls lood or beverages prepared or served in this str.Elure? EYes
ElNo h The Propedy Located ln The Floodplainz
I ves
[ltlo
Dtsct^tME R' I hereby cemfy lhat a ntormation in th:s application is conect and all work will com dy wlh lhe slale Euilding code a n
d all other app icable siate
.n.r lmal ,aws and ord,nances ano rml ar,ons I he NHC DeveloDment Serv ces Center will be notifed o, anv chanoes in lhe aoorovet Dlans and soeoficatro.s
or chanqe . co.t.acto. or co:Ir actor rilo ranor "'NOTE Ary WorI Pedor ned w/C lhe Appr
op'iale Per mils wll 5e i V'oldlron
o'IheNC SIdr€ Eloq Codeand
aJa ecrlo F,-es Lp I o
55cr0.0^" Steohen W Frazer i,:.I:j;i::;,i::...
OWNEFUCONTRACTOR: stephen Frazer, Aqent. ror vzw SIGNATURE: fl:i':i7l'g-
(ODlif.0 {Pn N.n.)
conrain Asbesos or oor. Yo{ ere rsquir€d ro
callih6 NauonalEmission slandards for Hazafdous Arr Poldanrs (NESHAP) at (919)707-5950 at le8sli0 da}s Fjor to
ue
denblition ot 3ny faol'ly or building. See Asbeslos Wob Srle: hltpJ,kww.epi.srale.na.us/epi/.sb€slos/ahmp.hhl
TOTAL PROJECT COST: 2s0oo BUILDING HEIGHT:f9!_-
TOTAL AREA SQ FT : SQ FT PER FLR:
-
# OF STRUCTURES:
f OF UNITS:
(}
=}
TOTAL SQ FT UNDER ROOF:
ACRES DISTI.JRBED:
# OF STORIES:
f OF FLOORS:
NEw ll,4PERV|OUS AREAi
t\)
C)a
zorue
Rl3 orrrcr
Approval:_ City:
N
PERMIT FEE: $
Exsr LAND DrsruRarNc peni,4trr l-lves
[ ruo
SO FT EXISTING IMPERVIOUS AREA:
pRoPERTYUSE; EOFFTCE lReSraUmrur [l,encnNrtle [eouc leer E]cot'too oruen,
WATER: ECFPUA flcoMMUNlTY SYSTEM
fIWELL nzoNlNG USE CLAsSlFlcATloN:
sEwER: -CFPUA I CerurnAl Seertc E P-R|VATE sEPTlc ECOMMUNITY SYSTEM
-. STPAR TT PFRM]TS REqUIIiEO FOR EI I-T]T I'i(CH PLIJG, GAS EQUIP, ?R'T/\65 & INSEIi IS -'
pAyMENT METHOD:
[Cmn [CXecK (PAYABLE TO NHCI fiaurnrclH eXenrss
I lacaltse
E otscoven
:oR oFFtcE usE oNLr REVTSED DATE 1V1l/12
SETBACKS: t, i/t+a: 4/taa't t
/ca' 4 ?21-'
<[Fuooo:
- - -arerzvZer*'K
4.,
'arql
StuT n
zl a77ro/z ,
E
NEtl HAI'IOVER COUNTY
BUILDING PERMIT
AppLratto rypE: RESIDET{TIAL
ptEAsE atSrER ALL quEsTroNas appLICADlE
iD tluR pRof,ECI
"Ptlrect ResponstbtUtJf
ffi:Iffi,t *t'
oArE3
s-lg-rs-DEVELOPER:
PRO]ECT ADORESS:
SIEDIVISIOT{:
PROPERTY q IER'S MIIIE:
t^cohnsiOilllEi'S ADDRESS:
@{TRACIORs
ADORESS:
LICEIGE
*:
IS THE PBOPERTY LOCATEo
I1{
A FL@DPI.A:II{}
E ves EI ro
EEsrIrtG
I PERWCRE
ma, - "16?rr
ritEN
mPER\nous
orro,
l6rT-sqF,r
TOTAL ACRES DI5TURBED:
PIfiE #:
Blrcl(
,: " tOT
*:
Pr0rE
*3
9rczzl ?t{
ST:
_ ap:_
CITY:
FTATL ADDRESS:Pto E
*:
PROJECT CO IACT PERSO :rKrJELr ror{rAcr
'E*,ON.
. ELclttte C-
) i,14'r,lD p}O E *: <ltOZZS4ttc/
ECrSnr{G @NS'TRUC,'OI:
I aLrearrroH
fl nanvarrorir
I e elreur_ neearns
I RELOCATTON
s+Dn
sr:lSfrEIo.!
E* CO
ST*UC,'{X.:
n tnecr
'n{
RESXITETrcE
o" p ruorrrur ro Exrsrn* RESTDE*CE
..PLEAsE CHBC( ATD
AIISIEi BELOI{
ILL TTAT APPLY TO YOI'R
PRO:'T<T: . V'
[err amner
_ sF $ orr
emrce b..7 ] sr *
flsuunoo
-sF
E pmr -G*. I sronaee
*D ,,[enranore_rr .., L.___
]rr' orHER:
- sF
TOTAL HEATED SQ FT:
, .
. ToTAL SQ FT UIIIDER
RooF: ToTAL AREA 5Q FT:
roTAL pRolEcT cosTG6Lo0
, S.?D qOO- # oF
STORIES: i
rs Any ELEcrRrcaL, purt'r8r G
or t{EcruNrcal r,rork Being Done
to the Accessory
structure?
fr ves
fl uorf the p.oject
is a Relocation, i.s thene
a Naturar Gas
Line on
the currcnt
sit"l Ey"" E HoIs there Electrlcal powen on
this Bu!.Iding?
ffiVes
f] ruo
pnopERTy usE
/ ocqrFAircy: $srne u FAMILY
n rupLEt [-'l ro*,1+use
DEscRrpEor{ oF
roRl(:
DtrlALV+E E Gfy&AC6, _u
::"91*i1tlE.p.H"_tpy:*g e,q,r_x
""tr,1 ;;y;;;; ; ;;,,* E ; ;#;"ffi?fficont$la ht.rnaaixl' '.WOTEI fuy t
'rort Parbn dWD Pa.nlE wll D. h \ilo$o.r of 0l. NC
StD Ade
S&istD ToSsoqo{l-
OHNER/CONTRACTOR:C
Exlsr
t ro rsnfiBDE pEsilrr: [-]ll Ws
E rp
r,lArER:
El crnrn
E cqr[JNrry sysTBr
E pRrvArE UELL
I cannat- uer-l
sEl,rER:
EI cppua
E CENTRAL
sEprtc
fl luvnre serrrc
I mtnf,Jr{Iw sysrB4
r.. sEptraTC pEsruni REquItE
F(t ELECT,
'lEcfl,
pLrG, GtS
Eqrrp, PREFIBS
& ItSEirs r_pay'r:r.r Mo, Ecasx
Is66* 1r r.r..
. ;*itrr; ;;-'tr-;;*tr"";**.*
?62- \t" Iqx
t
tos-a3qS
APPLICATTON
Uier
(offtGc t
s.)
STGT{ATURE
!
ffu^.nr.,,r\ ea1u,* a-iEYEiE} OA?E
XAtl,:3J' u,$_RH: I(r' .B:a5,Appnovar
:_ city11).[Sfl- oarc 11 lail
6&45[_ BFE+2ft=
A fut r.r, ,comnert:ul \t1,1 ,.l r1000<<Ant<mtralrr(,.wr I..,1 .
LT s t'of :r,fu , g' r+ rnuc{
nrt ei,eq.C
3O7" oi "€air i.L"fE"tl, \J /'r
J:;f,{.t^} lY" 98 lnpecti,cn kqrreo, 9l &254.fffl1lv ,lh{- Q.-t1* prnqi'll
"gffiYfltl}
CIry:
*: \--
RECtIVtD JUtz4 t0t5
/1 ^cr"r ra- tQ{ II LL '-_/
E}J HATPVTR C(X'NTY BUILDTilG
APPLICiIZGT TYPE (dcc* ot*):
c -..\j
I
-q* k?Ject
tcsponrlbtlitf
,orr, ?le{1,<
PISITE !:
occular/BrsrllESS llAr€ :
?MPEETY frIER,S IIITE:
oW{ER'S Amfft: $BcllE ST l
_ llP;-".."-
coilrnAfrod: ,1c-{l t o.o\q./LlcE$rSt fr
-
ACCot[{r $;
lDo*Esg1
ETTAIL ADOf,ESS:
PFoIECT cofiArT PEB$Glr
5 . .il Lfi
*\r.,Plo*E 3: qt, 233 I LoB
t:
nrscnlrrrnir 0F xnx, .
- L3 X t
tf ?l:''Y ;..yf to{-,,,,f
'{ trl" 'V
ffi06rtixrhitr*raiztbotr"onaata*tno,f trgoompy*itb*rSt !.s.ildhl0ortr$drloalt(.rd$.u.&<rctsiur
aril, or6r3lc- rd t?!rbE. r|!. NHc os'dofn$l Srnricar Canrr
csilrd hhnnr{,ql *llolL&q Worr ti. &prordri? Fannii'
Chcck 0nc:
f Cornercfa)"
$nesioenti
TOTAT PROIICI C6Tttrcr
r"i(r
Zo0(!rt rt !td.)
* OF SIf,IKWRIS:
EUILOIXG HEI6HT:
fFLOODZoNE
;; "il; .y{rrtt" ElEcrnrcrw o{ THE BUTLDnG?
E ""t I ro- (
wxrtat
#wa f] ccnrurw s6rE,4-t PRrvArE I{EIL ?fi \f,
sr!{ERr
ffi ffrul
I cE]ITMt sEP[c
[l enrvare sEprrc [-J coaaa.mrw
co+rrr.rrw srsrrlp pRrvArE
rdtrl Yfi.\trnrrrntl
cElITMt SEPrIC
[ ] pnrVAre SEprrc
[J co]a'.{.n{rw sYTTEit I
Yi
\\r(rrrnrl ({rr,-1.5,
fl tn$ecry Reqlrec, 9t0-2i4+JgtB
r.. SEpAMTE PERIITS RE$JIRED rOR ELECT, l',tEcl{} PiBG, GAS EQt IP, PREFAES
E IfilSEBTS r"
plrlt5rr
itrnm: fiolsn flono< (PAYEL€
ro
trl() ftrru actlxlrrr
f]xmsr florsmg
ta
PERfi? FEE: 3.
AEEA PTN FLOOR:
-
' oF FL0ORS; s W
rOTAL 5Q FT l.sr0[R
*0]:
uriITS:
propEtrv usE:
[l oFrrcE
f] nrsrarurr
I renclrmlr
I rurar:out"
f] apr E cooo fJouen:
${AT HT' I}IE FRfVI&'S OCCIPAI&Y TY?T:
lrnT Ilt Tl{E }tEtJ 0ccuPAl€Y TWE!
rs rooo oR BGvERtcEs To BE PREPARED 0R sEivED Ilt TIIIS 5T1UCTWE1
fJ ves
fi ro
rs IHERE A MnnAL GAs LrllE LocATED otil rHE
PioPEiwt
tr Igt ft*o
ii 1'fi€
tA. i'-r .til
PLt^58 Atrsl#n ALt qrrsTIOrS IPPIIEASLC Y! Ytrrr PnorEfi
pt; -1191
^l'^J I lppttcrlrottldcr
(oPft$ lrr.)
Crrm€nt
JlT"ffii$fili{ffi'*NO-
t{s trH,retrir.t l,m
\r,(t'\ -f,
"i
)
APplrc&r's
OBfft00Ef,r
,
PTO]ECT
'DO
LU{H[ l
ZIP:_
IS THE PROPETTY LEATED IX A FTOOOPLAI}I?
IIGfitWSE:
0ot5-flqr
t$
0\ts
6#o
d\
\q-
APPLICA T,S MI4E:
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
CO TRACTOR:
ADDRESS:
PROPERW OIINER,S MI{E:
O},INER, S ADDRESS:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|IAN TYPE: RESIDENTIAL
PLEASE ANSWER AI.I" QUESTIOI,IS APPIICAELE TO YOUR PRO]ECT
APP L I CATIOI{
Number
(Offlce Use)
DATE: F- D- /
'I-, qr-o >ll q " e4zw:@1{
'724 z6V
*, g to ?7
)* tr/
*:
1y't
'en\ e r{-
EIi'IAIL ADDRESS:
PROJECT CONTACT
ExrsTr G coNsTRUcTroN:
! nlrennrroru
! ReNovarroH ffcrruenar- n:earns
! RELocArroN
NEW COI{STRUCTTOru:
! en:Cr E},r RESTDENCE or
ffinrcn TO EXrSTr[6 RESTDENCE
ANO AIISWER EELOW ALL THAT APPLY TO YOUR PRO]ECT:
-
sF ! oer canace sr
! concH
--sF
l-l poor sF
-B{*@- ',
I.''PLEASE CHEC(
f) nrr crnacr
! surunoom
-sF
! cRerHrousr
_ sF
TOTAT HEATED 5Q FT:
TOTAL PROIECT COST 1r-ess ro9 : $
! sronacr suro
OTHE R :
FT UNDER ROOF:
* OF STORIES:
TOTAT AREA
SQ FT:6d4
- TOTAL SQtk
ls any
GtfC-irfri., PLUIIBING or lilECtlAr{ICAL Work Seing Done to the Accessory Structure
DISCLAIMER: lheebyca ity fiel3llinbrnalion in his epplicaton is corecl €nd ellwork willcomply wih he State Building Code
and ordinances and cgulalions. The NHC Oevelopmenl Seruices Cene, willbe notfed olanychanges in tle approved pl€ns
EXrSTrt{G lirPERVrCn S AREA:
-SQ
FT
NEW II'IPERVIOUS AREA:SQ FT
ZONE:OF FICE R :
TOTAL ACRES DISTURBED:
EXIST LA]{) DISTURBI]{G
. t{ rsi(ercez
ves
I no
-..;;::;-
PERiiIT: E
,EriJil". -...--site?
! ves
fiffi
BFE+
MrER:NcFpuA
! commururw svsrem
f] pRrvATE wELL
! crrrnal wrll
sEr.rER:
RcFpuA ! crmnal seerrc
! pRrvATE sEprrc
I coumuNrrv svsrrr.r
r*' SEPATATE PERI4ITS REQUIRED FOR ELECI, I.IECH, PLBG, GAs EQUIP, PREFABS
8 INSERTS ***
pAyrilEl{T
ilETHoD:
flclsx ficxecK (PAYABLE
ro Hxcl
I nnenrcAN ExpREss
I r,rcTvrsl
I orscoven
)i*:|++*)i * *:i,l *,t:|* )t*)i:i**)i,**,t*,t**,t !N
*:N *++*****,t*'*,i **:+:t *,t:l )* )t)t * ***:t*)**:t)i**,1*** *,1:i***)t i*,| )* )*
r.:i* +*
(FOi OFFICE UsE OttY) REVISED OAIE O4l11/12
SETBACKS: F: LH: RH: B:
Approval:- city:
Comrent:
N
PERIIUT FEE:
2ft=
,:E
PK)NE s: <4ne--sr,-ffi-&voS
srz!!Z:! t
3's
PHOl{E
PTDI{E
_sF
5F
If the project
is a Relocation, is there a Natugl Gas Line on the Curnent
rs there Electrical Power on thit Building?
l-9-v"r l]'i to
pRopERry usE
/ occuPAr{cY ,
fi*r, rer,lrr-v - ! ourr-ey
fl ro},,NHoIsE
DATE:_ FLOoD:
Respons
ibility"
"'NOTE:Any Work Performe9 y/O he AppropiaE"lrmE w'llbi ,i vlolsnon ol rhe NC SLrb Bldg
rs rHE pRopERTy LocarED
rN a rlooorurrt fl vts
(kztrl - ft-trrsp- *Z
At 5 - Z
?+
f
RECEIVTD AUO 1O ?015
NEt^l HANOVIR COUNTY BUI LDING PERi4IT
APPLICATI0N TYPE;
SIGNS
/ BILLBOAROS
PROIECT ADORESS:
& l1 E.&a;-hrl=.rr: fd;>CITY :
'..j
lL.t*t I
bI (s
?tr
d J'J (-
OCCUPAI'IT/BUSII{E5S NAIitE: y-,6 r-ei"l,5rr.3F.
pnOpERTy OWNER, S 1146g 3 f-l on-oa rl €Ec>Di cr<, Ltl iv -*"Q.E:z>,c.e.PH'NE #: {tU -fo
tl 4lQ'-}
ctfl t
Ltt&t t /trt I UJA 8, f*-t *
sr:Siir:ffi[-Bo
sr:Nc71p,273 3 5
*,{.191fu93[B g8
*:1lr>-G,t" i888
LISENSE *:34 53rp
Lw:51r..h6-Nc-
reils;l ?3
pLEASE PRINT CLEARLY 8 ANSl.l[R AtL QUESIIONS
"ProJect Responslbility"
APPLICANT'S NANT,
DEVETOPER: fal:r.l
6-Lr: 'T\et)0 *.?...,PHONE f!
APPLICATION
Number
ro*i*-1i6
DA'rE,:LlCI -
Z!:**
o5
EIITAIL ADDRESS:rs'I-r
&p*?*Zz @r&),tL,&{t- * C-4, f\4
PRO]ECT CONTACTFEf;SOH : -E> c, trl ^*r--e'*]-E53D iiJ<---l
(CHECK
ALL THAT APPLY)
EREcr
flar-rrn f] neearn
fl euance Ecxauar our
PHONE
PHONE
,rr, * rr;l:;------****'*****tl:tl:liTl---.********************i*i(+*a**r***y**+'r++**********t' /-,r :
[f rne
rsrnruDrNG (Ground)
[ manque
r ftenorecrroru
f]noor '**llrr.,.
E snrruclr Ll war-r f] caruonv l-Jorxrn
.a ,r.,^r, Ltn,riry
,
-. 1 t *;/.- 1
Total Number of Slgns on this Pnoject:
-
-:{:rri."o 1)
\'ol'{
srGN l Height
r^lO' sign Dimens ionr, /O'6,1 , e6 - rotal sQ.Fr. of uru^J'T1&
i,i*,rreiInt:wsi!noimens,on,,@-x3T-Tota1sQ'FT.ofsiin,7T
DESCRIFTION OF tLp./-,,,
"5TFcJ(-rc 6(}
rs srcrr(s) oil oR oFF pREr,usEsl
f] oo,r ,Eforr
SIGN 3 Height; Sign Dimensions:
_ x_ Total SQ.FT. of Sign:
SIGN 4 Height: Sign Dimensions:
_ X_ Total SQ.FT. of Si.gn:
rorAl pRoJEcr casr,
*L?M i, ,r, pRopERry LocArED rN A FLooDpLATNI
f] ves d *"
Slty ln*eclion kqx*o, 91
S.2${.ffifi1
BFE+2ft=
conment: i,jrr,uBo,{*,t - /i'\.;:'l lltxr" iL
pAyfiElrr
ilEruoo:
il cesx
I cxrcx (pAvABLE To NHC) Xlmrnrcan ExpnEss
n r.rurro I orscovrx
****r*****************,t *,t1t{.********f****+i*+*****1'*****r****)i.)t *!i.i(**+*+*********+++*****+
(J ^ -r1zolrr : K4 - 0FFICER: , ", .l.7 REVIS€D ?aTE Bl30l12
: lt 8: tA*
11,-
dot Lhc - (M l}?,.,r,rcr:
b*io,a>- &", ril^r l;,t,
A
D-&at$s11y;,si1 ,q;
f.A,iiCc*r,J,
FEE:
$-
j
fi&
rs
and
ordinances aod reoshtions. Tho NHC Developmcnt Sclices Ceile. will bo notitied o, ady charges in the app,roved plsns and spocrlacalions o. change in
conlrsdor or
cstrictor iniormatiofl .
Aooroval: Citv:
RECEIV EDAUG 10 2015
NEW HANOVER
APPLICATION
W? rs-ettl
fl ,',t]I-,tY',1?lloo^^1,'*'5q;-1ryffi
ry-
#
CO TRACTOR:
ADDRESS:
(office U'e)
PLEASE PRINT CLEARLY 8 ANs!{ER ALL QUESTIONS
"Project Responsibillty"
APPLICANT'S NrU,tE:.)O€2-
DEVELOPER: T)ol.,A !-O TLD N AR-, PHO E *:
PROJECT ADDRESS:
3 ll E.4S;--r^vo"2D {"i)CITY: H t\-Hrr^t6--rosJ N(-
OCCUPANT/BUSINESS NAiIE: l^rO. t^c-l).rLr 5 e-
PROPERTY
OJNER,S i1A E: (-16n-oari eEoDic{<Ltl 4u z- cat>l>icl< -pl,NE s: 9to-otq 4t9{
or.lNER,s ADDRESS : P o e,otr GZ O CITY': t ,Q1/,/r-|JhA-Z g*,t+sr:tJc- zrP:efll
F
oorr.A'1n-Zot 5
LICENSE #:
EITAIL ADDRESS: TOT,-EOPER"Z 2
@G)AAII_. C-EM
ST: ZIP I
nrore * :
Q1q.1!15;lQ.p8
PHONE f:PROIECT COI{TACT PenSOl t
(CHECX
ALL THAT APPLY)
rs srcN(s) oN oR oFF pREr,rrsEs?
E oru
Aorr
and ordinances and regulations. The NHC Dsvelopment Seryices Centerwillbe notified
ofany changes in ihe approved plans and speciticalions o. change in contractor or
cont.acior intormalion. "'NOTET Any Wo.k Perlormed WO the Appropriale Perm rs will be n Violation ol lhe NC Siale EldrCode and Subleci to Fhes Up To $500 00"'
or.rNER/coNrRAcro*. -Doxrr.r- -'i-.J-Eooe?.-, srGNAruRE: XltzZ<a;ZaZ--rO.^--
(print NaiE)
* *,* t,t * +,t * +,t,t,i * 'i +,i * )t,t,|,*,* !t !t,l ** !t,*,*+t*,f+* * *,t ** )t:*:t * )* )*,*:*
* *,t,*,f,i * 't + +,1,t + + + + + I +++ti, ++*++t+++++,t,t+,*
DESCRIPTION
/Liv
4'4,,
J
rorAL pRorEcr cosrt
$/jZL-@ i, ,r, o*orr*ry LoCATED rN A FLooDpLArrul
I ves d*"'---7
*** SEPARATE PERMITS REQUJRED FOR ELECT, I4ECH, PLBG,6A5 EQUIP, PREFASS &
pAyrirErr
Emoo:
E csr I orrcx lervmlr ro r*rc) FArreRrcar{ ExpREss
Clly lr$ection Regureo, 9l S254.090)
INSERTS
,t )t
*:i *)i )t
*,i *ri* *,*
i,i++ i(*,*,f)t**,i** )*)i)i)*** *,i+++++* )t
*:t,* )t )t )t )t )i )t)t)i**ri * )tltlili *
*++++ *+,|+* *,t *,f,i * ,* )t
* * )t + **)i
O - ,./ -Z- (FoF oFFI(E us' otll"Y)
| ,1,,Jr $j,r^ I ! REVISFo
FIt 3/30/12
zoNE:
_L1D_ oFFrcER: , -. i') I SETBACKS: r: IO',
tn: r.l RH: "{ A:
)rfApproval:-City: L)\Lo\ g41E: (lral,<- FLOoD:
_ V BFE+2ft=
_Appnoval:-city: Ljitl\ onrr: {lulr< FLooD:
_ V BFE+2ft=
.o.,,"n.,,3,r",1r* ^,'*-T-,-,,,rt*r"|. *T m rrr,
-
It- doz Lrc
fA,x.tl,J- l,*k,e.,>- te
Gll )Z,;,laD
rfu.r i,t,D
E nclvrsa E orscoven
crw:
-zre@o;
TYPE
OF SIGN(S)
SIGN 1 Height:
SIGN 2 Height:
[f rRrrsmruorrc (Ground) ! runqure ! cno:ecrror ! noor
! srrrcle ! url ! caroev l_l orHrn
Total Number of Signs on this Project : _
sign Dimensions: /OZ f
x/ozn * 36' rotal sQ.r-r.i;,-, --of Sign:
sign Dimensions:
/A'6" x ,2/ ' Total sQ.FT. of sign:
SIGN 3 Height: Sign Dimensions: X_ Total sQ.FT. of Sign:
SIGN 4 Height: Sign Dimensions: X_ Total SQ.FT. of Sign:
"-
"
-"'
ffi
APPLICAI{T'
DEVELOPER:
PROJECT AD
RECEIVED AUG
11 ?06
NEhI HANOVER COUNTY BUILDING PERI,IIT
APPLI6ATI0tI rYPs; SIGNS
/ BILLBOARDS
PLEASE
PRINT CLEARLY & ANSI{ER ALL QUESTIONS
LICENSE
CTTY:
ENLAR6ECHANGE OUT
trnS?
APPLICATION
?ot5-Sq53- (oFfice use)
I
i
S }IAI.IE:
OCCUPAT{T/BI'SINESS IJA}IE
:
PROPENTY Oh'ITER,S ilAilE:
OhINER,S ADDRESS:
CONTRACTOR:
ADDRESS:
EMIL ADDRESS:
PROIECT C0I'ITACT PERSONs
DESCRTPTTON 0F I{ORK:
pHoNE
*'3rp-jlS!.lsnt;
PHONE #: q l*, i".{
S,},
llDt)
**********:t ****
and ordinsncos €nd reguHions, Th6 NHC Development Sorvlcss C€nl€r will b6 notmod
d any ch8ngffi ln tho approv€d plans and spocmcalions tr changa in
conlractor or
$INER/CONTRACTOR:
rs srcN(s) oir oR brr pnefrsrsr I o*
fl orr
ff snruele
:t*rl.:irt*******+***d.*tl.l.*:1.********rl.****{.***t}{.**,1**:t****t *********
wPE 0F Sr6N(s)
fl rnrestaNDrNc (Ground)
Z0NE:
_ OFFICER:
Approva}:_ City:_ DATE:_ FL0OD:
Corment:
REWSED OATE 3/39/12
B:-
BFE+2ft=
il
PERI,IIT
FEE: $
*FroJect Responslbl.llty"5
't
[l manoure l-.l pno:Ecrroru I.l noorp
nnri Ei co*orr I otrrn
Total Number
of Slgns on
thls ProJect: p
srGN
1 Helght: st#,jt sign Dlmensions:
,,,\i,r" x F?,3'l Total sQ.FT.
of Slgn:
srGN 2
Helght: lL{.
AS' slgn Dlmenslons: ld, &S"x tJ,f,15'" Total sQ.FT.
of stgn:
sIGN3Height:SignDimens1ons:-x-Tota1SQ.FT.ofSign:
SIGN4He1ght:-S1gnDimens1ons:-x-Tota1sQ.FT.of5ign:
TorAL pRolEcr cosr: $ isOD.ffi rs rHE pRopERry LSSATED rN A FLg6DpLATN?
D yes Hno
**r( SEPAIIATE PERltrrS RESJTRED
roR ELECT, fitECH, pL36r 6A5
fQurp, PREFABS & IilSEftTS **r
PAYIIENT IIIETHOD:
*****r.*****:i*********l.{.*rt**r.**********,}******t,t*******t *********,t***,t**r.*************,t**
il .*, f] cxecr (FAvABLE
ro
rHc) [ nnrnrcru.r ExpREss
ff r,rclvrsa ftorscovrn
(FoR oFFICE USE oNLY)
SETBACKS:
F:- LH: RH:
EREcr
flalrrn n
#:
sr:L$f zrp
l&
NEW HAIIISVER COT.I&TY BUILDTNG PERtrTTIT
APPLTCATIAN rYPf
; RESIDETITIAI-
PLEASE ${STER ALL QUESTI.OfiS APPLICABTE TO YOIJR PRO]ICI
"ProJect Responstbilitf
CITY I
PliollI
Z.IP: Z|YO3
LOr *:
PtoilE
*: *4:ff! th"
ST t lui., W.F: .zr,l:(!!
st: M
ztPrfl
*i q,0
rfi-Z7cb
D
ft*FP{,I{&IST'5 I{AfiE:
DgvEr@[R:
MO]ECT ADO*ESS:
SIAOIVISf0i.I:
-PROPERW OTSIER'5
OIfiET'S AODRESS:
COSIY&A{TOB:
ADORESS:
Lf {/a
#*,lx*f.et.-
L{v6
LICETISE
CITY:
8IAIL ATPRESS:
PRO]ECT CS{TACT
PISilE
pmilE
*, ,.qp:{/13-2.?2-
.rpLtAS[ c]tEc(
Ilrr cARAGE
AfiD ATSUSR BELfl
_5F
rx[$T$rc coflsTRUCTr8f{,
ffirrr*orro* ft nemrvnrron
I cenrnlr- REPATRS
[ *rr-ocnrroru
XEg CCEtTsTRrcTIOT'r:
f} ERECT iTEU RESIDE}ICE
Or f}AOOITIOiI TO TXISTIiT RESIOEI{CE
ALL T}IAT APPLY trO YOUR Pf,O]ECT:
fl orr GABAcE sF
fl PoRcH
-
sF
flsu*noom
-sF
f] enrrrHrusE
-
sF
fI*l-sF[J sronnee sHEo
,. -
sF
floucx SF grHER: F,lvuL.. 44t
-ll! t,
Olgcl-At f R I
horBby csr{ty
net rd inbmr'don fr n* oppfc*on is cofrct and all wort wif cornply wrfi ,}t St6ta Brildhg
TorAL HEATED sQ FT: TorAL sQ rr ullDER RooF;
.?J"t TorAL AREA sQ rr: H
Tortl pRolEcT co5T{r-orcro,r , * , ff$, # oF sTonrts, ..-? -
fs Any ELECTTIC L, PuISOInC
or IiICMilICAI l{ork 8e1ng l}orc
to the Accessory Structure}
fl Veu
ffi Uo
If the proJect 1s a Relocation, is there a lllatural Gas Line ol*thF Current Sltel ftYes f] Xo
rs ther€ E'Iectrical_::::".1_':l::']:1T'.31::
o:
:1_"'F*tunPssr,rso, 9rb254ffi
PROPSXTY USE
/ O(Ctpnt{rr: ffS:ilGLE FAllrLY
f,[xJpLEx
I I To]dn[{ousE
;^- '* r^i,[)t'7, i; Eh])"-[.,o.I *'/d *1"/''u{o-'{!'&.
a.d ordhficit drd ragula0onr. The NHC
Oa'r'rbpm€nt
Sargctr Conlr nil bo rrolflod ot ahy changat h lh6 6pp.owd
(t rtacDr hbrmatoo. "ilOTE: Any WodqPGr{ormod tlrio nr ApprogrtsB FGn$tB wi,l bc in
Vbbtbn ol &s t{C Stabortacrcr hbrmatiro. '-?|OIE. Any $lorlqPerforms<, W
or*{ER/coltlrRAcr0R,
{4."llouul SIG.IATUTE:
(PFlnt
ilrre)'
I * ** t* * *** f
**** **,* * {' i} rt
* r I * 't* * * *. r *
t i * rr* * ** * 'ti * * + }* t * **** r}* *
t * * ** * ** * * *
* *
**,} t 'i * * * * * * {' * * * {r
rs rHE pR(pERTy LOCATEo rr{ A FLO0DPLATil?
r-l yEs 6r"
EXISTf}* II0ERWO}S AREA:
_ 5Q FT
rEH $mERvrfit AREA:
* P, . rq rtPEftrrr: Il'1 vss
[J uo
*rexzf,.crau I cormuHrry
sysrcn
f] nnrvarr
welu
f] crHrnal wrul
SEIER:
fi*ana f] cexrmr-
sEprIC
f] rnrv*re scprrc
f] comxrry sysrEu
i.r SEPAiaTE ptru,ilTs ftfqjIRfo FoR EI.ECT,
]ttCH, PLB6,
6As rqutr, perFr,AS & TrrtR*s atr
plylrrxr
rErxx,: [J cnsx
fi cxecx (rAvABLE
ro '$r] flurrnrax ExpREss f,J rcrors^ florsrorm
,.**lt'ltl+*{*tr|t'*tlrt*l***l**:r*t **lti "rrilf *!irtit*f**rt**+ t+t+'tt}{,** +t+ f r
*t *+ irrit**+ *!nri*+}*t*
rnr)m
mc)
F
cl
o
a& o$er
edt St rB rd locd tgyvr
Q(in
cantscbr or
Up To
S5{X}.0r"
TOTAL ACRES DISTURBEO:
EXIST LAflD OIgTUREII'IG
?flSaffitq
%ts:An;
AFPLICATTOfi
ilualber
(Offlc! Use)
8l Plr i..+-l--*
I
,.ol f"
REVISfD OArt
A4ltul?
zwE:
frX oFFrcER:
(ron orrrcE usr
o{rY) I
,' ;';;;;-;, ','rl LH: ,+ RH:
Approval:- ctty: Ljlurt FLOOD:
-r+ BFE+2rt=
$u' rfl-t'
ADDRESS:
-Et
APPLICANT,S NAME:
DEVELOPER:
RECEIVED JUL 2420fi
NEI^, HANOVER COUNTY BUILDING PERMIT
PLEASE
APPLICATION TYPE
: RESIDENTIAL
AIiSi.]ER AL,L QUESTIONS APPLICABLE IO YOUR PRO]ECT
"Project Responsibility"
,:-.r r E:-_.. -*.-
CITY:
BLOCK #:
CITY: i. - i
.!.:ri .)
PHONE #:';l .- r'':-':''"
PRO]ECT ADDRESS:
SUBDIVISION:
ZIPr ,.--- l.
PROPERTY O[^/NER'5
Oh]NER'S ADDRESS:
CONTRACTOR I :,,:: :
NAME ;
LOT f:
5f ; .r,l ZIp:
ST: ,' ZIP:., '
LI CENS E
CITY I 1;,ir
#: '-. . :: i.
ElvtAIL ADDRESS:,j
ExrsrrNc coNsrRucrroru,
f] ALTERATION
@ nrnovnrror,r
I crnennr REPATRS
f nrlOCArrOru
NEr{ CONSTRUCTION,
I eneCr NEW RESIDENCE or InOOrrrON TO EXISTING RESIDENCE
+*PI FASE CHTCK AND ANST^]ER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
fl ri r GARAGEsF f] oer GARAGE
f] sut'irioou
-
sF
[Z poor ' .
I--lcnrer,rnousr
PHONE #:
PHONE #:
SQ FT UNDER ROOF:
sF IPoRCH
-sF
[-l sronacr sHED
-
sF
0THER: 5F
TOTAL AREA 5Q
TOt^JNHOUS E
SF
f] oecr<
TOTAL
5F
TOTAL HEATED SQ FT:FT:
-',
T0TAL PROl ECT C0ST 1L.ess t-rrt i $ ,".';:'rl ' a
'.:
# OF STORIES:
I: Any ELECTRICAI,, PLUI|IBING o| MECHANICAL l,Jork Being Done to the Accessory Structure?
lr] VeS [_l
Ti- the project is a Relocation, is thene a Natural Gas Line on the Cunnent Site? f Yes
ls there Electri cal Po,,ver on this Building?
lTlves f] ruo
PROPERTY USE
/ OCCUPANCY:
@ SINGLE I.AFIILY I OUNI-TX
T]
DESCRII)TION OF t^JORK:i'- i ,l
No
E*o
OL^JNER/CONTRACTOR : .,
4..r!,:i d + * i+ *4 x * x
* x * +
a r,k)i
r*-- *i,!-ll;'['j11* aa*.a,*1+:i.:ir*i:F*** *+)i,*rk,x+*ix ***+ * +Kv r,r * j.*+y 1,i f r rtr i:,<*
rs rHE pRopERTy L0CATED
IN A FLOODPLATN?
[ VrS E ruO
EXISTING IMPERVIOUS AREA: SQ FT
SQ FT PERMTT:
l-_l vrs I rl r,ro
srGNAruRE , fl ,bag*;
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
NEI{ IHPERVIOUS AREA:
I{ATER:
I crrua
I conmurvrry sysrEm
f] eRrvnre urul fl crrurnnl wrul
sEWER:
@ crrun
I crrvrnnl sEplrc
f] enrvarr sEprrc
f] coNr,,ururry sysrErl
"' ' ::ij ,,irr.
i .)Li,r -.5 ,: ;U-1:l- rOR
r-i:CT, I'lECi:- ri86, (;A5 EQUiF, PI.EiA3S
& Ii'iSrl'iS '"'
pAymENT METHoD:
fcesii flcrrcx (eAvABLE
r0 NHc) [nmrnrceru ExpREss
E Nclvrsn Irrscour*
ZONE:
roP o: tIcE UsE or'1LY)
SETBACKS: F: LH:
N€VI5E|} DATE 04
B:
loLs--TdT
/s'-"1/3
APPL
ICATION
Numbe r
(offlce Use )
Comme n t :
OFFTCFR:RH:
PERMIT
FEE: $
Lxii::-IPHQNE #: rl ir::r '::::
t, .
PROIECT C0NTACT PERS0N: l'tIrt -.r:.-:
206-Hsu
APFLICATION
Number
(o*f," u*)
DATE: QZ/09/15*:_
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIqN rYPEr DEHOLITI0N
PL€AS€ PRIilT CLEARLY
& ANSI{ER ALt QUESTIOfiS
"ProJect Responslblltty"
APPLICANT' S NAitlE : Harold K. Jqrdaoil-!0q-hg.
DEVELOPER: New Hanover County Schools
PR0IECT ADDRESS: 4306Shlpyard BoulevardCrfY: Wlmlngtql ZfP: 28403
SUBDIVISION:BLOCK S:
Hoosard HS_BageIall Pressbox a.nd Qoncesglon 9Jaqd .
".- PHONE
CITY:
, LT(ENSE *t .&131__*
CITY: Wlmlnqlon
LOT
$;
sT: NC ZIP! Sgjga*
PROPER"TY OWNER'S IIA$E:
OWNER'S AOORESS:
CONTRACT0R: Harold K. Jordan & Co. lnc.
AoDRESS: q129 gtqander Dr.lve Sulte 201
_ r_ ",,. _.,."
*
EHAI L I 0IR ESS : lzabrlskle@hkjeort$1elelisn, com PHoNE $: 910-25q:4as8_
PR0IECT C0NTACT PERSON: JohnZabriskie PHOilE $:
DESCBIpTI0N 0F W0RK : demollsh_€xlslm b!$_e!all-tqld-s!0!e$!hn-cle!E
(urhst Iype of &.,Udtns Do You l{rni Io Dercltshl)
OISCLATMER: I he(oby cor$ry fial alt
ln orma$on ln lhls spdholion ls
co{re( srd sll lvorl \,,lll comdy wlh tho Stateand sll other apdkabl€ Srato and locsl laws
snd ordinarEo$ and rcgulau+ns. f,rs ilHC Devslcpilsnt Servlcec C€nl6r\eill bo tloufied ot any changos lrt
lho6nd
sp€olicatlorc ot chango lo conlracbr
ol
cont edor tntcfmruon. "'NOTEI Any Work Perlarmed w/O th6 App.{prlaL PormiB
*ill be ln Vrolalion of th* NC
OhINER/CONTRACTOR: JOhN ZAbTISKIE SIGNATURE :
(Prlnt tt.Ge)
*:t +**** t ***!t* **** +* *+* *** ***,t *** *** ** + ********* ******:i***,* *
rs rHE pRolECT:
fJ nrsroexrrAL
/ Elcoxl4ERcrAl
TOTAL PR0IECT C0ST ir-ess toq: $ Eo0o EXTSTTNG LANo DTSTURBTNG PERl,lrrl
f] VeS
il ruO
DOE5 rHrS STRUCTURE OR BUTLDTN6 CONrArl' AsEEsrOs?
f VrS E] UO
rs rHERE A NATURAL 6A5 LINE CONNECTED TO
THrS BUTLDTNG?
fi VeS EI ruO
rs rHERE ELECTRTCAL POWER ON
THrS BUTLDTNG?
ffi VeS
E ruO
Note: TheNarional EmksionStandardsforHazardousAlrPollulants(NESHAP)RegulauonsRequlrelhatyoucontactthemat(919)707-5950atleasi10
dsys prlor to
lho dsmolition
of any {acilily
or bulldlng, whsther ths facllity or buildlng wBs found to contaln Asbostos or nol, Donrolition fiotiltcations &
asbestos rentovsl permit applicattons are to be subniltted using tho spplicallon fornr (OHl
13-3768), Thls lorm
can bo found
otlhs web slte shourn belon
Nots: Obtaining a demolition permil from
lhe NHC lnspoclions Dept. doos NOT satisfy or m6et tho nollficalion requiremenls of lhe l'lllCU (Haalth
Hazards Conkol UnlQ, 'Keep in rnhd thal an asbcstos survoy is required by a NC gccrodilod asb€stos inspsctor pdor to any
renovatlon or demolitlon o{
a factlity, Pleasa sae the Asbestos Wob Sita htt8:/,\rwur,eoi,stale.n-c",ttSlepyffbo,tls$LeI!0*!0!
'^':.'::.::xi...-I.':::...H:::::.:':':::.::.T:].*H:::::::.'::i::...5:::::...?:"'0"*
ond sublecr ro FiG up To s500.00"'
***:t *
*** ** l. * ***** *:t * *l *** *
TOTAL ACRES DISTURBED: .OO2
BFE+2ft*
I
CD
,\lG'
.r\ - .
ZoNE: r-lt L- ( orr:ceR
'
appror[Iil--clty:
.2- (f0R OFfICE USE olllrY) t ,--F) , SETBAcKS : F: k1 L* yt RH: ^ i,&r B:-IILA DAlt-r3ir rr-oco, -AVT-
Lcc*r,oA
lI\,L?'1 b,{PERTIIT FEE; $
?e?'r--Qt5t
NEhr HANovER couNry BUTLDTNc Frnmrr en 17JprffAPPLICATIIN rYPE: RESIDENTIAL LU l rooorr.orro*
PROPERTY
OIdNER'S MItlE: ,Bi1l clark Homes
of wilmington LLC
O^rl{ER'S ADDRESS: 127 Racine Dr. suite 201 CITY: wilminston
LICENSE #: 34585
CfTY: wilmington
PROIECT CONTACT PERSON: Richard ci11/8i11 clark Homesof Wilmington
g
Ir
OTH
TOTAL HEATED SQ FTz 2LsBTOTAL SQ FT UNDER ROOF: zeesTOTAL AREA SQ FT: 2aos
TOTAL PROIECT COST Gesst-ot) I $ 11e3oo
# OF STORIES: 2
Is Any ELECTRICAL, PLUMBING
on IiIECHAI.IICAL Work Bei.ng Done
to the Accessory Struc
If the project
is a Relocation, is there a Natunal Gas Line on
Is thene Electrical Powen
on this Building?
n yes El ruo
pRopERTy usE
/ occupANCy:
I silrelr FAMTLY
! ounlrx
t]Auo 0 5 2015
DESCRIPTION OF hIORK: New const.ruction of single family home.
DISCLAIMER lhereby certify hat all information in his application is coneci and all work will comply wih he State Code and
and ordinances and regulations The NHC Development Services Cenler will be notified oI any changes in tre
contaclor infurmalion.
'*NOTE: Any Work Performed W/O he Appropriate Permits will be in Violation of the NC StaE Bldg
OIdNER/CONTRACTOR:
Richard cirr/BCH of wilminsron SIGNATURE:
(Print Name)******************* ******* ******* *********************** *****************************
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
N VCS
APPLICANT'S MIt'lE: ,BiII Clark Homes of Wilmington LLC
DEVELOPER:
Bill Clark Homes of Witmington LLC
PROIECT ADDRESS: 6098 chancellorsville Dr.
SUBDMSION: covinqton
CONTRACTOR: Bill Clark Homes of wilmington LLC
ADDRESS: 127 Racine Dr. suite 201
EMAIL ADDRESS: . rgi1l@Bi1lclarkhomes. com
PLEASE ANSWER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
CITY: wilmington
BLOCK #:
Number
(Offlce Use)
DATE: s/4/Ls
PHONE *: gro .3so.1,744
zIP'.2840e
LOT #: 23
PHOTIE *: 9l-o .3so . 1744
ST: Nc ZTPI 28403
ST: ttc ZIPi 28403
PHONE #: e1o .3so.t744
PHONE #: er-0.3s0.1744
I arr GAMGE 3eB PoRCH a2e
STORAGE SHED
IER: Patio: 120
SF
tr
tr
SFSF
SFSF
TOTAL
EXIST
{.I*'* SEPARATE PERI'IITS REQUIRED FOR ELECT, T.!ECH,
PLBG, GAS Eq,lIP, PREFABS & INSERTS '*{'*r
PAYMENT
IriErHoD:
1] crcx
E cxecx (IAvABLE
ro NHc)
! aurnrcrur ExpREss
E rlcrursl florscoven****************************************************************************************
MrER:
I creun
! commulury
sysrEM
f] enrvnrr
wrll ! crrurnnl wELL
OFFICER:
sEhrER:
I crnue
fl cenrnnL
sEprrc
I enrvarE
sEprrc
! coNmuHrry sysrEm
ZONE:
Approval:
(FOR 0FFTCE USE oNLY)
SETBACKS: F:
EXTSTTNG CONSTRUCTTON:
fl ALTERATTON
! nrruOVarrOn
! Crrurnal REPATRS
! nelOClrrOru
NEhr CoNSTRUCTTON:
EI enrCr NE]^t RESTDENCE
or
! nOOrrrON TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWER
SUNROOM
GREENHOUSE
EXISTING IMPERVIOT'S
AREA: O
NEhI IMPERVTfl,S AREA: 2286
BETOW ALL THAT APPLY TO YOUR
sF ! orr GARAGE
I eoor-
I oecr
sQ FT
sQ FT
PRO]ECT:
SF
SF
SF
tune? n Yes-
iGE.[H
NO
ACRES DISTURBED: .19
LAND DISTURBING PERMIT:
n ves
lE no
REVISED OATE O4|LL|Lz
Slate and local laws
in
contractor or
To
$500.00"'
City:DATE:F LOOD:
LH:RH: B:
BFE+2ft=
lfl-
RECETvED AUG ro m6 QeZ {J - a l-l (
NEW HAN.,ER couNry BUTLDTNG pERMrr
ADt7fl^?tl)
ffi
APPLICANT,S I,IAT'IE:
DEVELOPER:
APPLICATI1N IYPE: DEMOLITION
PI.EASE PRINT CTEARLY & ANSI{ER ALL QUESTIONS
"Project Responsibility"
Number
6rri*--[6
-e/rr/6
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY
O}JNER, S
LOT #:
#:
ztP,2-641L
srt
Nl.ztPtZ04O
srti\)L;zrPt LUIL
OWNER,S NAIiIE:
ADDRESS:
PHONE
PHONE
CITY:
LICENSE *:
cITY: tr)CONTRACTOR:
ADDRESS:
EMAIL ADDRESS:
PRO]ECT CONTACT PERSON:
*i
#:
1to.L?2-lsbb
DEscRrprroN oF rtroRK:
*u, a^t
t fl-or^,-..-+
k ,bt-
Gact lv
(what Type of Building Do You uant To Demoush?)
and ordinances and regulations. The NHC Oevelopne S€rvices Cenler will be nolified ol any changes in lhe approved plans and specilicalions or change in contraclor or
coniracior inlormalion. '_NOTE: Any Work Perlormed WO lhe Appropriate Permits will be in Vlolaiion ofthe NC Slaie Bidg
\de and Subjecl io Fines Up To $500.00"'
OI{NER/CONTRACTOR:Cr,.Idor.gc C*aao,r"&,SIGNATURE:
(Print Nane)
*r:**:*,****,i*:t**)t***)i:**)i***)r****,t**,t*+*+1.,*,*,r**,t****+**:*:l:i+,1*)i)i )i*)i
rs THE PROJECT:
I RrSrOrrurrAl
I fi ao*rr*aro, rorAL acREs DrsruRBED:
ToTAL PROIECT CoST (ress
ro0:
$ LOtu +Sr EXI5TING LAND DISTURBING PERI,IIT? d vrS E Ho
DoEs rHrs srRUcruRE oR BUTLoTNG coNrArN AsBEsrosl
I ves fi no
rs IHERE A NATUML GAs LrNE coNNEcrED ro rHrs BUrLDrNel pvrs Im
rs IHERE ELECTRTcAL pot^tER oN rHrs BUTLDTNG? fvrs [ ruo
lJ.
WATER:
Ll creua
l! coMMUNrry svsrrr,r
! pRrvArE WELL
;;;;;; -;;;;; E.i',*^i'',',i.- E '*i,^,i i,,i,. d coMMUNrry sysrEM
Nole: The Nalional Emission Slandards for Hazardous Air Pollutants (NESHAP) Regulations Require that you contact them at (9'!
9)707-5950 al least 10
days prior to lhe demolition of any facility or building, whether the facility or building was found to contain Asbestos or not. Demolition notifications &
asbestos removal permil applications are lo be submined lsing lhe application form (DHHS-3768). This form can be found on the
web site shown below.
Nole: Obtaining a demolition permit from the NHC lnspections Dept. does NOT satisfy or meet the notification requirements of the HHCTJ (Heahh
Hazards Conirol Unit). "Keep in mind lhal an asbestos survey is required by a NC accredited asbestos inspeclor prior to any renovation or demolition of
a facility. Please see lhe Asbestos Web Sile httpr/www.epi.state.nc.us/eoi/asbeslos/ahmp.hlml
pAyrlENr
fiEnoD! f]casx I ctrecx (PAYABLE
ro NHc) flanenrcm exeaess
E nclvrsr I orscoven
***,*r* **rt**)*)*)**r* )* )* )***i*+,t +**+*)******,t*+,t,t,t*,*)**,***)*******r***)* )*
* * * )*
** )t )t
* * )*,* )* r* + )*)*
*,t )t
** * )t*
** )*
*
ZONE:OFFICER:
Approval:_City:
)t
+*,t *** )t* * ** )t )t
*,i
(FOR OFfICE UsE oNtY)
SETBACKS: F:_ LH:
_ RH:
FLOOD:
B:
BF
E+2ft=
N
PERMIT FEE: $Comment:
DATE:
BLOCK *:
QE2 i5 -
)t1o
ffi
APPLICA'{T'S tUI E:
DEVELOPER:
NEI{ HANOVER COIJNTY
BUILDING PER!4IT
APPLICATI(N IYPE: RESIDEI{TIAL
PI.EASE A'IS}IER ALL QIIESTIOI{S APPLICAEI.E TO YqJR PRO]ECT
-ProJect Responsibllit)fl
Darren Fontaine
L07 Robert E- Lee DrivePROJECT AIDRESS:
SUBOIVISIq{:
CIW: wilminqton
BLOCK S:
PROPERTY Ol, tlER'S AltlE: simon Brackburni
CITYS wilmington
: 910-231-9326
ST:gZIP:ry
ST: Nc ZIPr 28411
:.9]@
*: 219:i!3:3lll-
(} ER'S AIDRESS: 107 Robert E- Lee Drive
CO{TRACTOR: lionetown Bandman LLc
ADDRESS: 213 Land J,ine Drive
EIiAIL AIDRESS: d. fontai.ne eyahoo. corr
LICEiISE
':CITY: wilminqton
PROJECT COI{TACT PERSo|{: Darren Eontaine
PKI{E
PHC E
SF
! sronnee sHED
_ sF
SF
m\t-lq6 \
APPLICATI(,I{
u ber
(offlcc U3e)
DATE: 8,/ 10
/2 01s
PHo E *: 910-616-8714
ZIP | 28472
LOT *:
PIICT{E
EXISTING cd{sTRUcTIoI{:
fl rlrenarron
fl nercvrrroru
! crNenrl nrerrns
! RELocATToN
r{E}r coltSTRUcTIo{t
I tnrcr Er{ REsTDE}rcE
o. @ mrrror To ExrsTrr{G REsroEr{cE
*.PLEASE CHECT AlI' A||SI{ER 8ELfl
I arr eamee
_ sF
! sur,rnoor.l
_sF
! cnrruor.rse
-
sr
! oer eamorsr
! eoncr
-sF
! eoor-
ALL THAT APPLY TO YOUR PRO]ECT:
I oecr
.14 sr orHER:
TOTAL HEATED SQ FT:
O TOTAL SQ FT U]{DER ROOF : O TOTAL AREA SQ FT: g-
TOTAL PROIECT COST rro. rar
: I :ooo S OF STORIES:
Is Any ELECTRIGAL, PLt
tlBIIG or IECHAflICAL tlork Belng Done to the Accessory Structure? [ V"t [l ruo
If the project
ls a Relocatlon, 1s there a Natunal Gas Llne on the Current Sftef IVes I Ho
Is there Electnical Power on this Building? [ves [ruo
pRopERw usE
/ occrjpAr{cv: @ srnolr rmrr-v
I ouer-rx
f] roi.tNHousE
DESCRIPTIo{ OF HORX: Build 8'x20'front deck, 18"
hiqh, free standins
OlGCLtgER I h€roby
c.nily $a(al anbrmadon h tli6 appacalon 15 cor6ct ard d wor* wll comply rvih ft6 5la!6 &rlldhg Codo ard
d oner applcdl6 SCab and bcd ln s
and ordinrrca tld rcgdatona The NHC D.vrbpln€r|t S€rviccs Clnbr wil be notf6d of ,ry cherg66 h hc eprovod d*|s
com&br inbtm.lorl "I{OTE:Any Wort Perfomed W0 llo &E opriab P6rmat6wflb€ in Vrobtiofl of Ul€ NC
StabFines Up To
i50O.06"
flI{ER/COI{TRA€TOR: oarren Fontaine SIGT{ATURE
(prlnt ir.n€)* **'t:|* I ** **+'},*'i*** * *** a+** a+* * ++* + *** ***r, t{,*+ *+*:}*,t'}:}t*,t * ** !*,ti.
**,r*:r,} *+* ++ + +*,} *:t*,t:r *:} a *,x *
rs rHE pRopERw LocArED r l rroorurll
I ves rc
EXISTI]S II?ERVIq,S AREA:
-SQ
FT TSTAL ACRES DISTUREED:
ETf ITIIPERVIOT,S
ANEA:
-
SQ FT
EXIST LA,{D OTSTURBTNG pER
IT: n VeS
I ro
MTER:
[l crrua
! colr4uNrry
svsreu
I pRrvarE r.lELL
I crrrRar- uell
sExER:
\ crrua
! CENTML
sEpTrc
I enrvare
senrrc
I coa,lt[JNrTy sysrEr,r
*I* SEPAIIATE PERI{ITS REQUIRED FOR
ELECT,
'{ECH,
PL8G, GAS EqJIP, PREFABS
& INSERTS ***
p ynEm
rETHoi
! osx E{Ircx (p yaBLE
ro
ur1 [ ltlrrrcar{ ExptEss
E ncmsl ! orsco,ER
!a!l'ai|ll},l 'ta* i a'a:la
ttt ,l
tt.t 'lrt,tt *\*r:r* +:*++ a:t*t **t:r i++ i,t |l + *a*t + ri+
t 'l 'l t +a:trt,t,t a*,a:t
i:t:} :l ,l
** tjl taa+ at/
A , t t, t./ , t L,l (For oFFrcE lrs€ clLD REyrsEo DATE o{/11ll
zore:
K-l!r orFrcER:
>[tsfp: sErBAcKs:
r:
iliA r_n:ro' nn:p] s:15'
Approval:_ City:DATE:9- IQjS
=
Eo
=
-IsIbPN)<rr
-h.
E,/ BFE+2ft=7s
ComEnt:
FL@D:
PER"IIT
FEE:
'
ez
NEW HANOVER COUNTY BUILDING PERITTIT
aPPLICATI T nzPE: SIGNS
/ BILLBOARDS
PLEASE PRINT CLEARLY & ANSTER ALL QU€STIONs
"Project Responsibllity''
IISE Perni.t So]ut ions
l{unber
(offi.€ use)
APPLICANT'S MIIE :
DEVELOPER: None PHONE
PROJECT ADDRESS: 5701 oleander Dr.
OCCUPANT/BUSINESS t{AfiE: Hess
- speedway Conversion
CITY: wl lminston
PROPERW
OINER,S tIAitE :
O,{NER' S ADDRESS: s446
williams Propertiea
University PkwyCITY: winston salem
PTONE #:
ST:NC
ZIP i 2itos
CONTRACTOR: Allen Industries INC
ADDRESS: 6434 Burnt Poplar Rd
EiIAIL ADDRESS: HsEpemitsolutionsGvahoo.con
LICENSE *:
CIW: q4_ ST:NC ZIP: 2740e
PKI{E
f: sro-ss].-1322
PROJECT CONTACT PERSON: Heather Enolish PHONE #:336-312-
(CHECX
ALL THAT APPLY)::'i-r't -'t
DESCRIPTIq{ OF
I rneesrnNorruG (Ground )! surrucre
TOTAL PROIECT COST:
$1s,000.00 IS THE pROpERTy LOCATED rN A FLq)DpLArt?
[ ves EI ruo
.,* SEPARATE PERXITS REQUIRED FOR ELECT, iiECH, PLBG, GAS EQUIP, PREFABS
& II{SERTS ***
PAYIiIENT IiETHOD:
I casr ficxrcx (pAyABrE
ro
Hc) [ arenrcm rxrness E r.rclvrsr
I orscovrn
REVISED DATE ]/30112
e:
N/n
BFE+2ft=
! enecr
I ar-ren
! neearn
I eruunee @
on site over to
OISCLAIMER: I hereby c6ni'y thar
all irformation in rhis
apdicaton is
corect ald all work will comdy wittl the Sta@ Building
CodLr[
ancl ordinances and regulalidE. Th€ NHC Developanent S€rvices Ceoter will b6 hdified of ary c+Eng€s in the approved dar6 and specjfcatbos q charEe in contractor or
contracror informarion.
"'iOTE: Any Wo.k Performed w/O lhe App.op.iare Permits will be in Vrolarion of tl|e NC State B* Code ard
Otllt{ER/CONTRACTOR 3
SIGI{ATURE :
DATEi '7 /2,1 / 2a15
! enor rcrroru
I caruoev
Total l{umber of Signs on this Project:
fae
Total SQ. FT.
of
Total SQ. FT. of
Tota1 sQ.FT. of
Tota1 SQ.FT,
of
N
PERfiIT FEE: I
#:
_
zIP..2B4A3
rs srcN(s) oN oR oFF pRE!.rrsEs?
[ oru
[ orr
tteather S. Enqlish (Aqent)
(P.int Name)
+t:i:t * +* *r.**x. r.:i * *+
t** )i+ +:t ,t rt
+ii rt:iii:i,t )ir
+ ++it +tr.:t* +,**,trt*+ +it +t+t + ii
t {. +,t {. +t:tir( +}+,t,**,*,r,*** **,*,r*** *
t,t
TYPE OF SrCN(S)
MRQUEE
lOLL
SIGN 1 Height: Sign Dimensions:
ry_ X 6' 1"
.L- SIGN 2 Height:
ll' 0"_ Sign Dimensions:
Lg.:__ X
B, 6 't/8"
ffi srcu r xeilnt:
,r' "' sign Dimensions:
3!:- x
!!:g-9" srct,t + ueiltrt: ,, sign Di.mension s:
ry_x 2' 10,
.or, .O1[.' .!or. r.. *, BIe--J, l'{+ff,:,- :
N,[ L [n!h-
a p p"
o,Ii-,
-
ci tv'
ffi rnSrre'"1 / .li! t I i Looo,
ffi:SI'$.:tl$
fo.or.ta-rs#)/.
SLgn: lz.ts VV
Sign:
tt.se F.'r.* v
u
SiEn : 21-:3_-3_Cao o piu
sign: e
.rq ra5J ft()opo-
6-pdicable State arn bcrl laws
citv:t/,J\tfn DArE:"1 / 3(\ ll t
Comment
Cfiy lnpection kourreo. 9l&254{g0l
p]-{^
Vo6-ntbj
Q(,2 15-
2art
NEW HANOVER COUNTY
BUILDING PERMIT
APPLIATIoN TYPE I RESIDENTIAL
PLtASt AN5HLi ALL QU[STIOllS APPTIaAELt T0 YOUf, PRolt(r
"Project Respons j.bility"
Hrno
BLOC( C:
CITY:
PRO]ECT CO+fiACT PERS${:
Exrsrrric coNsrnuclro
:
f] rlrrurrol fl nemvrrron
f] eerrnar nrearns
! RELocArroN
IEW CoitsTRucTror{, $ r*ra, ]{E]r RESTDENCE or
I aoorrrol To ExrsTrt{G REsrDEt{c!
.IPL€AsE CHICI( AiID ATISI{ER
B€IO{ AtL TH T ApPtv To Youn PRoJECII
firrr eamer Lttfu sr
r-or s: lZ3
APPLICATI(}{
ur$er
(Ot{lc{ U3.)
PRO]ECT
SUBDIVISIOTI:
APPLICANT'S
DEVELOPER:
PROPERTY
orriiER ' S
OUNERJS
'J,r}lE:ADDRESS:
COI{TRACTOR:
ADD8E55:
EIIAIL ADDRESS:
! surnoor.r
! e nrenrrusr
TOTAL HEATED
lrceur r, 14{cB Acccr r
crrv, Bs\viE- sr
PHOI{E
{:
SQ FTI
2SS1 roTAL sQ FT rirDER noor: 3175 roTAL aREA sQ FTi
Torar pRolEcr cosT rLe. L.o
: * 3 0ofoo* OF STOnIES:
Q
Any ELECTRICA!, PLUnBIttG
or ltECHtllICAt-
t,lork Being Done to the A((essony Stru(ture? E
the project ls a Relocation,
ls there a Natu.al 6as tine on the Current Site?
Is
fi
I5
sF I oecx
there Electrical Po{e. on
this Buildine) [-'] v". [Ylo--?.
! orr eluor
! eor-
_ sr
occuPrNcY:srt{GLE
FAlrrLy
I or.reltx
! roru+ousrPROPERTY
USE
/
DE5CRIPTI()}{ OFl,ORx:
DECtAn/Ek l
n.,.by
c€(t blt .t ntirmllton h lii .ppltc.Di 6 con d .nd d rc{k ytr! coripty *t!l rE Slrr! Bdtd.g Cod. .rd
tnd odlrirces
d llrulrtld|.. In! NHC Del"lopmnt S.rvtcla OanEr UI bc m|i|td ot 'l! chr[€s trr tr. .ppo\.d pt ns
d
.o,rt&Dl hbmatdi. '"IOIE : Ahy
Wb.l PartomEd WrO
!l. AoFoprilt rbr,{B wS D. in Vbt tron ot lh. NC Sr.t
rs rHE pRopERry rocarEo rx
^
r';r;'r'^;lJil'-iij;
,or'oi oa*a, DrsruRBED: . Ll
-_ .r
Exlsr LAID oISTURSIIG pERiur: Ll vrs I N ro
*rr*, $ crpur
fl co{iruNr
Ty svsrrr
! pRrvArE r{Er-r
f} crxran lrr r
srxrn: fi crpua
fl cEirrML
sEplrc
fl lnrvl.rr
srrrrc
fl coF l.ttrry sysrEn
.., SrPARArt pEfi}lr]s
^tQtrIRFO
FOR
trtrr, Hf(H, pt86, 645 rgJlp, pRtraES & INSIRTS .t'
paynErr r4E[roo:
[ .as[ [f,] .xrcx (PAYAELE
ro l}rc1
f] rrlr- ,..*, '
E xryrsa I orscovrr
t'tri l' a '!* a a r * ttta lt,r * t*,l *{
tt ta*t ai*,t**tt }t ar t
*1* *l+ r+at t+a
ir*itra *t*t* **rl* a*l*r+ra+lt '}a*t*t
(lor ofFr(t utE drY)
SETMCKS: F:
LH: RH:
l.vr$o D ra aal1!/1,
B:_zoNt:
Appnoval:
OFFICE R:
BFE+2ft=
PERfiII TEE:
'
DATE:
*, lto qsz-1t'lS
sr: l$zrp?9$ \
zrPt@Jd51qloqsz'-1 t?s
ProilE ,: q$
qlrzlJls
s, Snor.* Abt rt
I sronrer sHED
-
sF
oTHER: SF
vu, f,, no
rlldc#l'r
diloo ln
conLrbr or
UDIot500.O0"
OT'II{ER/COI{TRACTfi. LU4RN HOTNX 516 ATURE:
-
w (Prlnt x.E). * r. r.t *. r.r1.r.....,.. rr **.-. rr
rrai*r r rrr rrr rr r r,+*t r * rrra r.a *,r r... r r
r
EXI5T!i|G II9ERVI0JS
Anel' D sq
rr
tlEr{
rroERvr(us
mu: H339 sQ rr
corment i
-=-
Clty:-- DAT[:F
[ooD:
f,.1irii<ts
PtloCfr
?**'1 TeiI- 1 q6L
15-L604
&
HEW HAhIOVER COUNTY
BUILDING PERflTT
APPLICATIO(f rYPE: CS{}'IERCIAL
PLEAST AIISI.JER
ALL QUESTIONS APPLICABLE
TO YOUN PRO]ECT
"Project Responsibllitf'
APPTICATIOI{
Nunber
(office use)
DATE:06-04-2015APPLICAIIT'5 NAIIE: jrey Kenninscon
DEYELOPER: Forehand properr.ies IJLC
CITY: wilminqron
PllOl{E *: zsz-945-a62s
ZfP: zaatl
PHONEr: -2g::gg.ag--
ST: NC ?I'Pi 2s47t
ST: rrlc ZIP: zte+z
*i 2521-,356-29i.2
*i 252-2o7 -3"?4tWtrF
FfiOIECT ADORESS: 7222
Earker sr
OCCUPAilT/EUSINESS
NAilIE:
narker
t7 Marine
"pfttlpERTY ol{NER'5 tllltilE:
Brian For:ehand
SdllER'S ADDRESS;
z?22
rr{alket sr.
COiITRACTOf,: Harrellsville Meral works, Inc.
ADI,RESS: po Box 3gs
EI{AIL AITDRESS : hmwconeembaromail - com
CITY: wilminqron
LICEI{sE S: 31,s49
CITY:
Harrellsvil-le
PHOI{E
PHONE
Exrsr cs{srRUCTroN:
I nlrenarroN m REt{0t/ATro}r
fleenrn* REpArRs
[] nemcarror
lfFcocaion,ishereaNatwalGasLineonthecunentSire?
f]vi-[r,r.. tsBLDGseiiixr-enepfilvesIuo
r{Er.r
coilsrRuCrrcru:
flenrcr ilE}r
srRucruRE
flFAsr rRAcxfJ SHELL
n upFfiWAN ro Exrsr srRUcruRE
ACCESSORY STRI'CTURE:
DISCLA.iIER: I hereby certify rhat
ail inlomariojlin rnrs apptrcarion is correcl ard ail.rivork wiil
comdy wth
tIE Sfate Buitdrng Code and ai other apdicabte Srateand-lGallaws and ordrnances
aM rqgulations. The NHC Develoonrent Soruices Cintei wiil t" norm6
Et#ffi"m;1i#?g#ffie,.*t*i,ijn.'jii'icjierxnlltr&kFe.ilffi;wii5'iil'iffi;b1,,I"dpg,?1il.1li,'ffiJt['?f4"'#ftfS$#8ffiT-8i["#.
If UPFIT
- The
SheII Permit #:
Is Elect Pouer
on this Building I Ves fi HO
.r"f, rs rHrs A cl{ANGE
oF oCCUpAtrtCy uSE? EI yEs ["] ilo *r'**
IF Yes, r'rhat hras the previous Occuparcy Type?
.pcrLery ldrat is the Ne$
Occupancy
Typei boat-..-dea!e
ARCII
DESIGiI PROFESSIo0IAL:
Mark
crenell PH:
910-2li-1061 NC REG #: ?466
EilGN OESIGN PROFESSIOML:!,rc RE6 #:
DESCRIPTION OF IIORK: demolish parc of exigcinq
bUildinq &replace wit.h
Ealler section Dtus renovace
b tuod or benragre prepaed or serrred
h ttis snnrctre?
f] v""
[l r.ro b The property Located tn
The Flo@tsh?
E yes EI No
PRO]ECT CO$TTACT PERSO*I:
# OF ETRUCTURES;
#OFSTORIES: r.
#OFFLOORS: l
EXST LAND DTSTURBTNG
PERMIT?nYES flNOSQFT EXISTINGIMPERVIOUSAREA:
pRopERryusE: floFFtcE InEsrnunnrr fJuencnxrrLE [JEDUC
flnsr f]coxoo orHER
|jIS, t]lleun DcoMMUNnysysrEM
8]WELL flzoNrsUSECLASStFffiATtoN:sEwER flcFpuA fJcerrnru- sEpTlc
fi rn-wlreseerc fJ6r9ruutnvsysrEM-..r:!.r.{i,"::. ,..,._.i,.ji:.: ir..:i!!.irl.r:.li: :r a lri:a...r, i, . I r,.:,llr:.it:!ra: al i.l.ilt:_::,,i
PAYMENTMETHoo:
flcnsx flcxecxlenvmleroNHc) EruarnlcnNEXpREss
ffitrucmse fiorscoven
lffi
(FOROFFTCE USEOM_Y)REV!$EO OA1E #1rl12ZONE:--OFFICER:SETBACKS:
F:_ LH:_ RH:_ B:_Appro/al: CiIp_DATE:_FLOOD:_ BFE+&
(fti{Ne}
I'lotd Dstroli[oil nolrncat ons & sbdos rtnoyd permt aprffcatids are to bs st Omoad
u6et tha
+dlcat fi O.r tOff ffS-SftJffi ;{ffi;rt w's fornd to
ciltlsin A30e5lo3
s nd- Ydi eE reqt8r€d
to cafl rhe t{atmd Emkior Stadar& tur lhza.dqls lS Poltrart6 Ogstlfq a €r9ircZ-Sg60 d tessil 10
days p,lor to
urcdorrdioo d 6ry bclfry c ht{dirg- see A8Mr lrv* gro: ir(pJrr,sur\ ,-elt.sratc.nc.uyerrasiocos/ahmp.hunt
TOTALPROJECTCOST 3,Og,O.Oo.OO
BUILDINGHEIGHT:22 #oFUNITS:
TOTALAREA SQ FT I
SQ FT PEH FLR:
IOTAL SQ FT UNDER ROOF:
ACBES
DISTURBED:-
NEW IMPEFTVIOUS AREA:SO FT
I
Cornmert
AV
PERMIT FEE: $.
((heck AIl Ihat
lors11b+
APPLICATION
Number
(office Use)
DATE: a/3t15
PHONE
#: 9104716178
APPLICANT' S t.lAI'iE: Frankie Williams
DEVELOPER: na
PROIECT AIDRESS: 314 Silva Terra Dr
SUBDMSIoN: Silva Lake
PRoPERTY otl,INER'S t,|AlilE
: Hammonds
oWNER' S ADDRESS: 3'14 Silva Terra Dr
CONTRACTOR: Frank Williams Building Company
ADDRESS: 225 Simmons Drive
EIiAIL ADDRESS: frankiewiltiams@tive.com
PROJECT CONTACT PERSON: Frankie Williams
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSI./ER ALL QUESIIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
CITY: Wilmington
BLOCK *:
CITY: Wilmington
LICENSE *: 69395
CITY: Wilmington
ZIP
i 28
LOT #:
PHONE #:
ST:
9104716178
NC ZIP:
ST: nc zIP: 28411
PHoNE
#: 910-471-6178
PHONE
S: 9104716178
! arr caanee
! eooL
! oecr
PRO]ECT:
SF
SF
SF
SF
SF
SF
AREA SQ FT:
trn
SUNROOM
GREENHOUS E
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
TOTAL HEATED SQ FT:
246 TOTAL SQ FT UNDER ROOF:
TOTAL PROIECT COST lress r-oo
: $ 5o,ooo # OF STORIES: l
Is Any ELECTRICAL, PLUIIIBING
or MECHANICAL l.Jork Being Done
to the Accessory
If the pnoject
is a Relocation,
is there a Natunal Gas Line on the
SF
l-l sroRace ss ro
OTHER: 2465F
TOTAL
structure?
! v"r [ruo
cunrent
site?
! v"r [ ruo
-H1. +i.***,t,*,r** *,r,r** **********ititit+*it it ++ *,1
5Q FT
SQ FT
TOTAL
EXIST
NO
ACRES DISTURBED: <1 acre
LAND DISTURBING PERMIT:
l--l ves
[ rc
REVISED DATE O4l11l12
BFE+2ft=
ZONE :
Approval:
OFFICER:
City:
RH: B:
N
ExrSrrNG CoNSTRUCTToN:
! nrrrnnrroru
! neruovnrroru
! Crrurnal REPATRS
E RELocArroN
NEr,r CoNSTRUCTION:
E ERECT NEW RESTDENCE o" @ aOOtrrOru TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWERBELOW ALL THAT APPLY TO YOUR
sF ! orr canncr
! eoncu
IIATER:
I cFpuA
E coMMUNrry
svsrem
! pRrvArE wELL
fl cerurRnl well
SEI,IER:
I CFPUA
E CENTRAL
SEPTIC
! enTvaTT
sEPTIc
E CoMMUNITY sYsTEM
*** SEPARATE PERI'4ITS REQUIRED FOR ELECT, FIECH, PL8G, GAs Eq,,IP, PREFABS & INSERTS *I*'T
PAYI4ENT fItETHoD:
! cIsIT
! cIecK (PAYABLE
To NHc)
E AflERIcAN ExPREss
E rrclvrsn ! orscovrn
,*****+**+++**t**++++++++,t,t,t+*+*rt***jtjt++*++**++,i*r.i.,t++,a*+**+++****++*+*+*1.i(r.r.r.r.1.r.*1.1.1.1.*,*,t
(FOR OFFICE USE ON LY)
SETBACKS: F:
Is there Electrical Power on this Building? lEl v"t l-l ruo
PROPERTY USE
/ OCCUPANCV:
I STruCIT FAMILY
E DUPLEX
E TOWNHOUSE
DESCRIPTION OF IIORK: expand back of house to make area wheelchair accessible
and ordinances and regulations. The NHC Developmenl SeNices Cenbr will be nolified of any changes in he approv€d plans and speciications or change in
contracbr or
contacbr inturmalion. "'NOTE: Any Work Perfomed W/O fie Approprial6 Pemits will be in Violation of lhe NC Stale Bldg Code and Subjecl b Fines Up To $500 00'*
OWNER/CONTRACTOR : Frankie W tiams
x x x x x x x:r.x:r.x x:i:r.+
*** * * * * * * * * *(l!'Nl lil"J * * * * * * * * * * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
I-I YES
srGNAruRE3 Frankie Williams
DATE :F
LOOD:
LH:
.,-'-i.tt',
.
,,ffi,
2orfrlo
NEId HANOVER
COUNTY BUILDING PERMIT
APPLICATION TYPE
: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
! Porch Conversiori
Wilmi ton
BLOCK
#:
15
-2L3L
APPLICATION
Number
(Office Use)
DATE: B-04-1 s
PROIECT ADDRESS: 7s0s euArt, woops
RoAp CITY:
SUBDMSION: cARRTNGToN wooDs PH1
PROPERTY OWNER'S
OI.JNER,S ADDRESS:
MITIE: JEFF & KENDRA GRoVE
7505 QUAIL WOODS ROAD
CITY: v,lilmington
CONTRACTOR! Porch Conver LICENSE f: n/a > 3oK
ADDRESS: 6821 Marker
streerCITY: wilminston
EMAIL ADDRESS! porchconversion@gmaiL. com
PROIECT CONTACT PERSON:
John Kmerz
PHONE
PHONE #:
ZIPI 2841L
LOT #: 30
#: 301-491-3304
ST: ZIP2 28417
ST: rvc
ZIPi 28401
PHONE #: eto-'tii-3363
PHONE *2 910-111-3363
SF EPoRCH
-SF
! sronncE sHED
lsurunoom
_sF
! eoor SF
f]cne eruHousr SF
fl orcx
SF
SF
TOTAL ACRES
DISTURBED: O.cO6
EXIST LAND DISTURBING
PERMIT: I_.1 yTs IEl no
SFOTHER:255
TOTAL HEATED
SQ FT:
TOTAL SQ FT UNDER ROOF: :ss TOTAL AREA
SQ FT: :ss
TOTAL PROIECT CoST(ressr-oq ! $ rg, roo # OF STORIES: I
Is Any ELECTRICAL, PLUilBING
or MECHAITIICAL
Work Being Done
to the Accessory
Structure?
[l Ves fl ruo
If the project
is a Relocation,
is there a Natunal Gas Line on the Cunnent
Site? [ v"r E ,o
rs there Electrical Power
on
this Building? [E] y"r fl *o
pRopERTy usE
/ occupANcy: @ srruclE FAMTLY
! ouer-rx
! rowruHousr
DESCRIPTION
OF WORK: poRCH coNVERSToN To coNSTRUCT
oN A NEW
coNCRETE SLAB,
A 255 sF scREENRooM
ENGINEERED
ALUMINUM WALL SYSTEM WITH ADJUSTABLE SCREEN PANELS AND ENGINEERED ROOF SYSTEM
and ordinances and regulations. The NHC Development Services CenEr will be nolified of any changes in
lhe approved plans and specifications or change in
contracbr or
contactrr inbrmation.
"*NOTE: Any Work Performed W/O
he AppropriaE Pemits will be in Violation of the NC StaE Bldg Code and Subject b Fines Up To $500.00,..
OWNER/CONTRACTORi Jeremy Marrin SIGNATURE:
(Print Name)***********************+********xx*********,********,F*****************************,t *,F,k***
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
J-'I VTS
EXISTING IIYIPERVIOUS
AREA: 2625 SQ FT
NEW IilPERVIOUS
AREA:
255 . SQ FT
EI *o
hrATERr
I crnun
! coNmururry
sysrEm
! enrvnre
wrll ! cerurnal wELL
SEWER:
I crnun
! crrurnal
sEprrc
f] enrvnrE
sEprrc
! coul'rulrrry sysrEM
ZONE:
OFFICER:
(FOR OFFICE UsE ONLY)
SETBACKS: F:
*** SEPARATE PERMITS REQUIRED FOR ELECT, MECH,
PLBG, GAS EQUIP, PREFABS
& INSERTS 'F**
PAYMENT IrtErHoD:
I cmx
E cxecr (nAvABLE
ro NHc) ftru,renrcaN ExpREss
El mczvrsn
I orscoven********************************r(r(,*****{.***********************x******************,t*****
REVISED OATE O4/LL/Lz
BFE+2ft=
ExrsrrNc coNsrRucrrorv: @ ALTERATToN
! nrruovarroru
! cer'rennL REPATRS
! nrlocarroru
NEl't CoNSTRUCTTON:
! enrcr NEW RESTDENCE or
E aoorrroN To ExrsTrNG RESTDENCE
*,I.PLEASE CHECK
! nrr GARAGE
AND ANSWER BELOW
-SF
ALL THAT APPLY TO
E oer GARAGE
YOUR PRO]ECT:
Appnoval:
City:_ DATE:FLOOD:
LH:
RH: B:
NA
ao(s- -7q1
I15- 2223
NEW HANOVER COUNTY BUILDING PERMIT
APPLTCATTON TYPE
: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Proj ect Responsibility"
Michelle Kistner
APPLICATION
Number
(office Use)
DATE: ei9/2at5APPLICANT'
S NAItlE :
DEVELOPER 2 n/ a
PROIECT ADDRESS: 715 Rosemont A./e
SUBDIVISION: Rosemont
CITY: wilminqton
PHONE #: 2uo-9qu-tr-,q5
ZTPi 284a3
1lMBLOCK #:LOT #:
PROPERTY OWNER'S
OWNER'S ADDRESS:
MIvIE: Michelle Kisrner PHONE #:20 6- 9 48-10 45
ST: q ZIPi 2803
ST: ttc ZIP : :8113
PHONE #: gto-atg-ttaq
PHONE #i 9t0-61.9-1104
715 Rosemont
CITY: wilminqton
CONTRACTOR: Awe outdoors, rnc
ADDRESS: 12919 us Hwv 17
EMAIL ADDRESS: aweoutdoorsGqmait. com
LICENSE f:
CITY: Hampstead
PROIECT CONTACT PERSON! FarneII shinsleton
SF
I sronncE sHED 240 sF
SF
EXTSTTNG CONSTRUCTTON:
! ALTERATTON
f] neruOVArrOru
! CeruenAr- REPATRS
! nrlOCnrrOr,r
NEW CONSTRUCTTONT
! rneCr NEW RESTDENCE or I AOOTTTON TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWER BELOW
lnrr GARAGE
_ sF
lsurunoom _sF
! orr GARAGEsF EPoRcH
-sF
! eoor-
ALL THAT APPLY TO YOUR PROJECT:
I cneeruHousr SF
! orcr
SF OTHER:
TOTAL HEATED SQ FTi
n/a TOTAL
SQ FT UNDER ROOF: 240 TOTAL AREA SQ FTz zqo
TOTAL PROIECT COSTlresst-og ! $ sooo # OF STORIES: I
Is Any ELECTRICAL, PLUMBING
or ITIECHAITIICAL Work Being Done to the Accessony Structure?
[ V"t E ruo
If the pnoject
is a Relocation, is there a Natural Gas Line on the Cunnent Site? [ V"t E *o
Is thene Electnical Power
on this Building?
fi y"t E ro
pRopERry usE
/ occupANcy: @ srruclE FAMTLY
f] ouer-rx
f] rowruHousr
DESCRIPTION OF hIORK: placins storase shed on pre-existins foundation
and ordinances and regulations. The NHC Development Services Center will be notfied of any changes in he approved plans and specifications or change in contractor or
contactcr inficrmation. ...NOTE:AnyWork Performed W/O
he Appropriate Permitswill be in Violation of the NC State Bldg Code and Subject to Fines Up To $500.00'--
OWNER/CONTRACTOR
: Michette KisrrnerSIGNATURE:
(Print Name)*************************,t*,t********XXXX********X*******************X**i<****************
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
T-''I VES
EXISTING IilPERVIOUS
AREA: _ SQ FT
NEt^l
IIVIPERVIOUS AREA :
sQ FT
wATERT
I CreUn
I COnrurur,rrry
sysrEM
! enrvarr
wrll I crrurnal wELL
sEWER:
I crnun
I cerurnnl
sEprrc
! enrvarE
sEprrc E] courqurrrrry sysrEM
*** SEPARATE PERmTTS REQUTRED FOR
ELECT, mECH,
PLBG, GAS EQUrp, PREFABS
& TNSERTS :***
PAYmENT
METHoD:
I casn
f] cnecx (nAvABLE
ro NHc)
[ amenrcaN
ExpREss EI mczvrsa
I orscoven***********************************xr(*****x****************x****r.**************x*{.**r<r<*r.
ZONE:OF FICE R :
TOTAL
EXIST
NO
ACRES
DISTURBED: n/a
LAND DISTURBING
PERMIT:
I].I yEs JTI ruo
(FOR OFFICE USE ONLY)
SETBACKS: F:
REVISED
OAIE O4/L7/L2
Approval:
Citv: DATE:F
LOOD :
LH:RH:
_ B:
BFE+2ft=
1tr -?-1t5ANEI^I HANOVER COUNTY BUILDING PERII,IIT 4I, ALAg
APPLICATTON TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility''
APPLICANT,,S NAlulE: scerLlnq Custom construction 11c
DEVELOPER:
srerlinq custom construction LLc PHONE #: 9102311844
PROJECT ADDRESS: 96 Beach Road south
CITY: witminqron ZIP| 29j]]_
SUBDMSION: Fiqure 8 rsland BLoCK #: 4
EII'IAIL ADDRESS
: sterl inqcustomconst ruction(,!qmai 1 .
com
PROIECT CONTACT PERSON: .leremy Bishop-nerribe! manaqer
EXTSTTNG CONSTRUCTTON:
! rrrrnarrOru
! nrruOvarroru
! certrenal REPATRS
E RELocATToN
NEW CONSTRUCTION:
E ERECT NEI,{ RESIDENCE O"
! MOTTTOru TO EXISTING RESIDENCE
GR E ENHOUS ESF OTHE R:
*+PLEASE CHECK AI{D ANSWER BELO{ ALL THAT APPLY TO YOUR PRO]ECT:
lnrr cnRaee 1346 sF
! oer oanacesF EPoRcH
-sF
SUNROOM
I roor-
! orcr
SF
fl sronaee sueo
tr
tr
Is Any ELECTRICAL, PLU BING
or I,IECHA ICAL l^,ork Being Done to the Accessory Structurei I Ves I ftfo
the project
is a Relocation,
is there a Natural Gas Line on the Current Site?
[Ves Ino
there Electrical Power on this Buildingl
ff Ves
Ilo
PROPERTY USE
/ OCCUPANCV:
E] STruCTT FAMILY
E DUPLEX
E TOWNHOUSE
DESCRIPTION OF }|ORK: Erect a new sinsle family residence
DISCLAIMER: lh€reby cerlir hal all infDmation in
his applicalion is
corocl and all work willcomply wif fe Slate Building Code and all oher applicable Stab and local laws
and ordinances and regulalions Tho NHC Developmsnl SeNices Cenbr willbe notf6d ofanychangss in h6 approv6d plans and specifications orchange in
con!^acbr or
contacbr inbmalion "'NOTE:Any Work Performed W/O he AppropriaE Pemits willbe in Violation ofthe NC State Bldg Cods and Subject b Fin6s Up To
$500.00"'
OWNER/CONTRACTOR:
srertinq cusrom consrrucEionlrc SIGNATURE: 4</ -
**,***)i**++:t+++,t************(Ii'IlJil"]************)r*****++++++x++++*+++{,{i{(*)r***jrjrjrr+rrrji*r*
rs rHE pRopERry LocArED
rN A FLOODPLATN?
El yEs f] *O
EXISTING IMPERVIoT
S AREA:
_SQ
NEW IIiTPERVIOUS
AREA: 7548 SQ
FT
FT
lJArER:
! cFpuA
E coMr.luNrry
sysrEM
E pRrvArE WELL
! crrurnar werr
sEwER:
fl cFpuA
E CENTRAL
sEprrc @ entvnrr sEprrc
E coMr4uNrry svsrEM
ZONE :
OFFICER:
**,l. SEPAIIATE PERI,IITS REQUIRED FOR ELECT, I4ECH,
PLBG, GAS EQiJIP, PREFAES
& INSERTS ***
PAYMENT I,IETHoD:
E casrr EcHEc( (PAYABLE
To I{Hc
) E A,IERICAI{
ExPREss
E r.rc7vrsI I orscovrn
++*t****)i*rr++,t,*****+++*,t,*,t,t*,i,i,t+**,t)t)i)*,i+++,*,*)r*+++,*,*****+++++++)t*,***++++,*,*,**)i++)rr()k)i)r+++,i(,t
(FOR OFFICE USE C',ILY)
SETBACKS: F:
APPLICATIOII
Number
(offtce Use)
DATEi a/4/2ots
PROPERW OWNER'S NAIllE: Kenneth Budd
Oi'INER'S ADDRESS: Po Box 11186
CONTRACTOR: stertinq Custom Construction ltc
ADDRESS: Po Box 1118 6
LICENSE f: 6a7 2O
CITY: wl lmi-nqton
CITY: wi lminqton
LOT f: j31_
*iw
sT: NC
zIP: 28404
sT:
I!_ zIP: 2!3!3_
Sz 910231-1a44
PHON E
PHONE
PTONE*: 9to23t).844
SFSF
SFSF
TOTAL HEATED SQ FT:
46se TOTAL SQ
TOTAL PROIECT COST rress rou : $ r, rzs, ooo
FT UNDER ROOF: B77o TOTAL AREA SQ FT: ezzo
f OF STORIES: 2
If
IS
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
renmrr:
I YEs
ENo
REVI5ED DATE O4l11l12
Approval:
City:_ DATE :
FLOOD:
LH: RH: B:
BF E+2ft=
r_ iz€e:l4{q
/ ..- _.,,, /, ,i.. NEW HANOVER COUNTY
BUILDING PERMIT AppLrcarroN
A :l aPPLrcarrot rvPE: DEItloLrrroN Number
,ffi.. ' "'^".T'J'i:'.T'i:foll'Jilrti.;*""* (orri* u*)
ooriiirr,, *^r, oa...,
?u.zsa
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
PROPERW OtlI{ER'S
oltlNER'S ADDRESS:
'/.+A/.
EfitAIL ADDRESS:
PROJECT CONTACT PERSON:
v-r-Fr *.' '-,
LOT
CONTRACTOR:
ADDRESS:
*z --St T.CZIP |
2tAO/
r'Zrl -< {r'tl-ztPt
2M,,-r. t PHINE *: *a -42'nn'
PHONE #:
DEscRrprror{ oF }oRK:
&\, ,rn- ,f ,/o. . *ti, Zi, , '
(ulaat Typ€ of Euilding Do You Uant To Demolishl)
DISCLAIMER: I hsreby cortit thar allinformaiion in this application is conel and all worl will comdy wjth lhe Slale guilding Code and alloiher applicabl€ Slate and locallaws
and ordinanc6s 6nd regulalions. Th6 NHC D6velopm6nl Seruic€s Centerwillbe nol(i6d ofanychanges in the approved plans and sp€cilicalions or change in contractor or
conlraclor informarion.
"'NOTE: Any Work Perfomed WO th6 Appropdalo Pemats will be in Violation ol lh6 NC Stal6 Bldg Code and Subj€cr lo Fines Up To
$500.00"'
ot,NER/coNTRAcT on% STGNATURE :
(print Na e)
* rt ,t {.:} ,r )* ,* ,*
* )* ,*,t:N:i:t +:t+:i++)* + )i* )* )t ,l )t*)t* )t
*,t,} rt )t:* r*
*,1:f )i
+**)r ***'} * 't '}
* )t,l
rs rHE pRolEcr:
[l nesroeNrrar
/
n coPuaencraL
TOTAL PROIECT COST (t-ess
loD:
$ an '
--Exrsrrlc LAND DrsruRBrlc pERJ.rrr?
[ vrs fi uo
DoEs rHrs srRUcruRE oR BUTLDTNG coNTArN AsBEsrost
I ves ffiHo
rs THERE ELECTRTCAL por{ER oN rHrs BUTLDTNG?
ffves [t uo C,t//n&e0ronpequ,4
llArER:
fl crnua
! coMMUNrw svsrem
I pRrvArE wELL
- "^-.,^,,:*."._.:*",
910-254W
sEr.JER: p creur
fl CENTRAL sEprrc ! enrvrre seerrc
! coMMUNrry sysrEM
Note: The National Emission Standards for Hazardous Air Pollutants (NESHAP) Regulations Require that you contact them at (919)707-5950 at least 10
days prior to the demolilion oi any facility or building, whether the facility or building was found to conlain Asbestos or not. Demolilion notifications &
asbestos removal permit applicaiions are to be submitted using lhe application form (DHHS-3768). This form can be found on the web site shown below.
Noter Obtaining a demolition permit rrom the NHC lnspections Dept. does NOT satisry or meet the notification requirements of the HHCU (Health
Hazards Control Unit). 'Keep in mind that an asbestos survey is required by a NC accredited asbestos inspector prior to any renovation or demolition of
a facility. Please see the Asbestos Web Site httoJ/www.eoi-state.nc.us/eorasbestos/ahmp.html
pay ENT ilEnoD: flcAsx I cxecx (PAYABLE
ro
ru{c) flarll accoum I uclvrsl I orscoven
,, .L
TOTAL ACRES DISTURBED:
rs rHERE A NATUML GAs LrNE coNNEcrED To rHrs BUrLDrNcl
I vrs ffi Ho
Approval:
Comnent :
BF E+2ft =
PERMIT
kwr".o fk,,,fl.
FEE: $
zoNr: -plorrrcrn:
t
ffi
AFPLTCAilT,S IO}IE:
oEVELopEn:
4rrT..Tphiury - -.., -.,- - - PI0NE l: (etel 521-5e{7
plOlEGT 11DRESST zssr
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!'llrttrnqton ZIP:28403
@ilTRtf,TOt; ,Gl9bat rElk lnd.rorer L.L.c. *- LIC$rSf t; lt43--.- ACO'jt{L' ---;:-:::=
ADORESS: 620. q,qlt-.tu,FttlLee Rd, CITY:
.ryg ST: GA ZIP: JO553
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/c-ry:
AP?LICArIOil
tlnb.r
(offlcr Urr)
oATE: s/5175
llAltEi Caoc Eoar r$bllc Uti}ltv AuthoritY , .- pllollE t: (910)33'-6?39
zrs cqvernnrnt cencg-or. . CfTYI tlrmlnqton . STIJLZIP:3g1SL
AvN
PEFfi,lIT FEE: $--
ApgDYek-
fi
Clly lnpeclittn Requreo, 91$254{9ff1
irn
owNER/co|ffRAcroR
APPLICANT,S MIvIE:
DEVELOPER:
NEI^I
HANOVER COUNTY BUILDING PERMIT
APPLICATTON TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Cape Fear Habitat for Humanity fnc
PROJECT ADDRESS:
SUBDIVISION:
I (lZ Za.lc *l Sl CITY: wilminqton
BLOCK #:
PROPERW Oh'NER'S
OhINER'S ADDRESS:
MME: Cape Fear Habitat for Humanit.y Inc
20 N 4th St Suite 200
CITY: wilmington
CONTRACTOR: Cape Fear Habitat for Humanity Inc LICENSE #: 46532
ADDRESS: 20 N 4rh
sr suire 2oo
CITY: wilmi4qlan
PHONE #i 9Lo-61-7-7t39
ZTP:
EMAIL ADDRESS: esmond@capefearhabitat.orq
PHONE #:
LOT #:
9LO-677
-7L39
ST: ZIP: za+ot
ST: ivc ZIPi W
#: gto-etl -ttl9
#:9Lo-6L7-7L39
PHONE
PHONE
PROIECT CONTACT PERSON: Esmond Anderson
_5F
SF
/q6
iE SHED
SF
POOL
DECKSF
stnucture?
fl v"t E *o
current Site?
[ v"r E ruo
&os1q17
/r'ax)r
APPLICATION
Number
(Office Use)
DATE:
EXTSTTNG CON5TRUCTTOru:
! ALTERATTON
I nrruOVArrOru
! Cerurnal REPATRS
! nrlOCArrOU
NEW CONSTRUCTToN:
! eneCr NEW RESIDENCE on
! mOrrrON TO EXISTING RESTDENCE
**PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
f] arr GARAGE
_ sF ! orr GARAGE
ffioacn
f] sronac
OTHE R:
! surrrnoou
_ sF
f] cnrrruHousE
_ sF
u
tr
TOTAL HEATED sQ FT: ll{2 TOTAL SQ FT UNDER ROOF:
/2a? TOTAL AREA
TOTAL PROI ECT COST lress rot)
: $ Gs, ooo . oo# OF STORIES:
Is Any ELECTRICAL, PLUMBING on MECHANICAL hlork Being Done to the Accessory
If the project
is a Relocation, is there a NatunaL Gas Li.ne on the
Is there Electnical Powen on this Buildingi
l]l y"t Ef ruo
PRoPERTY UsE
/ 0CCUPANCY:
I srr,relr FAMILY
f] ounr-rx
E rowruHousr
DESCRIPTION
0F talORK:
3 B-/ Eoo,n -ff
and ordinances and regulations. The NHC Development Services Cenler will be notlied of any changes in the approved plans and specifications or change in
contractor or
contractor information. ..'NOTE: Any Work Performed W/O the Appropriate Permits
will be in Violation of the NC State Bldg Code andto Fines Up To
$500.00"'.
OWNER/CONTRACTOR: Esmond Anderson cFHFHSIGNATURE:
***.*****r<******************(ii'Il#il"i************:t r<****{<*,r(**********,t *r<**>r*.*t **r<**********
rs rHE pRopERTy LoCATED
rN A FLOODPLATN?
[ VrS 6*O
ExI5TINGIMPERVIoUsAREA:-sQFTT0TALAcREsDISTURBED:
NEI^J IMPERVIOUS
AREA: SQ FT EXIST LAND DISTURBINGPERMTT:
l=-l vrs
l]l r'ro
wArER:
I creua
! commururry sysrEM
I enrvnrr
wrll ! cerurnnl wrll
sEl,rrER:
I creua
I crrurnal sEprrc
f] enrvarr sEprrc
f] coNuururry sysrEM
,I** SEPARATE PERIqITS REQUIRED FOR ELECT, IIIECH, PLBG, GAS EQUIP, PREFABS
& INSERTS ***
PAYMENT METHoD: Etr casn
E cnrcx (pAvABLE
ro NHc)
[ menrcaru ExpREss
E ,c/vrsn I orscovrn
SF
SF
sQ Fr: /27?
g
=<JtEc,o
pI
=(Do
;-
Pt\t(rt5.
E
zoNt: Q-3 oFFrcER:
€Yrtg , sETBACKS
: r: 6 LH,
5' RH:5' a: 15'
Approval:
il- city:NlLh^ onrr
Comment
NEI{ HAM)VER COt,NTY BUILDI]TG PERIIiIT
,PPLICAIIfiI N?E.. RESIDENTIAL
PLEASE ATIg'ER AfL QUESTIO'S APPLICIALE TO Y(lN PRO]ECI
'Proj.ct Rcsponsibtllt)fl
AliE: Masonboro Hofires, Inc.
PROIECT ADDRESS: 922 Rollinq Hi11s coveCfTY: wilminqron
SUBDIWSIOT{: valley Hills BLOCK
':
APPLICAI{T'S
DEVELEER:
m
PROPERTY OItr{ER' 5
q,fiER'S AITORESS:
COi{TRACTOR: Maaonboro Homes, rnc.
ADDRESS:
3512 whisperinq Pines ct-
E AfL AIDRESS: masonboro-homes@yahoo-cosr
LOT *:
ZIP | 2saoe
t2
llAiE: wilbur L. arrd cathy Jotmston
922 RoIIinq HiIIs coveCITY: rilulinqton
LICEIEE *: ?0670
cIrY: jiilslgtg_
*: -!-ry.?.9.9-ST:qZIP:.@
sT:IS_zIP:.@
*'l:glg9g3!-
*. Jsl!)w
Pltot{ E
PROIECT COI{TACT PERSO : steve Rosser
PTg{E
PTg{E
TOTAL SQ FT TffIER ROOF:
SF
! sronaer sneo,sF
SF
5F OTHER:
TOTAL AREA SQ
-r.\/FT.. Zb @
sF
E PoRc}r
-sF
f OF STORIES:TOTAL PROJECT C05T aess rro : t jj49-.q9_
f] csn I crrcr (pAyAaLE
ro
r.r) E ArERrcAr. ExpREss
E nclvrsr ! orscove*
C)-?5
tr<ta
:a
=
IbPI\)<rr-E
t
-SQ
FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAXD OISITNBITrePERiIT:
I-I YES
E ilO
lrArER:
@ cFpuA
n coir,rr{rry sysrEx
fl pRrvArE xErL
E cE[rRAL r{ELL
SEER:
[l cFpua
f] CENTML sEprrc
I rnrvarr sEprrc
E co,rrr{rry sysrEtl
PAYiEi{T iEIHOI':
*****)t*****
Pez-l.9-etee.I /,\
Job- frlt
APPLTCATIOiI
ur*cr
(offlc. t s.)
DATE: 8-4-1s
PtoflE #:
EXrsTrirG coflsTRu€rro :
I arrenrrroN
! nercvarroN flcnrrnar neearns
f] RE LocATroN
itEt{ col{srRucrro t
! enecr E}t REsrDEt{cE o"
I noorrron ro Exrsrrtre REsrDEt{cE
Is Any ELEGTRICaL, PLuiaI G or iECHAtatCAL raork Being DorE to the Accessory Structuri? [l Vut I m
If the pnoject
is a Relocation, is there a Natural. 6as Line on the cunrent site? lves [ruo
rs there Electrical Porer on this Building?
[lv"s l_lno
pRopERTy rrsE
/ occlJpAflcy r @ srlrcle rmr
r-y
E u.rer-rx
I To]r*prrsE
DESCRIPTIC OF I'IORK; Add attached aullroom to existinq sinqle-fami.ly dwellinq
D€Cl ltlER: lher€by cortly t,latal hbnathn h tis +pftabn b cirEtr|d IYrqtw c{r|dy uit te SE tuibilg Cods z|d J oftor appft$b Stab and locd larrs
and odharc€t and r€gulabGr Th€ NHC Dev€@n€trt Sorvacs Cearba sl be l|otftd ol.rydlarg66 h tr6 eproy€d phns and 6p€cifuaton6 or change hi contracbr or
0hIiIER/CONTRACT0R ! steptren w. RosserSIGMTURE:
(Print
l-€)+*)*:t:*:i,*:*:**:ir.:i:l*:l*r.**t:l*:3t*:***tt:tt:l:l,l*,lat:|+tat,l**
rs rHE pRopERw LocArED r r rroopunl I-.l vrs I ro
EXISTDrc IiPERVIO'S AREA:
EH I]iPERVIOTS AREA:
**PLEASE CHECX AT'D AIISIIER
I arr oanaee
E surunmm 256 sF
I cneeuro-rse
-
sr
TOTAL HEATED SQ FT:
BELfl ALL T}IAT APPLY TO
sF I oer aanem
f] poor-
florcx
YOT'R PRO]ECT:
corme nt :PERIiIT FEE:
'
APPLICANT'S I,IA]I1E I
DEVELOPER: N/A
NEW HANOVER COUNTY BUILDING PERIyIIT
APPLtCATIott
rrPEr COrilr'IERCIAL
PLEASE ATiSllEi ALt QiJ'S;:3I]S APPLTCABLE TO YOUi PAO]ECI
"Project Responsibility"
Caee Fear ,.laintenance l:':..
PROJECT AIDRESS:
2-r c.,.r--.-. ^",li"= p' .1 l?<'CITY: 'rtilminqton
oCCUPANI/BUSIIjESS NAHE:
Nlco. iil{Ay clinic
PHONE *:
?ez \t-)3b\
APP L ICAT IOI{
tlumber
(ofrlcc use)
DATE: s/11/r5
ZIP: 284 ca
,: 910-?98-4i3s
5T: q zIP: 28403
ST: Na ZIP: 23{03
fl 9]o-232-3r63
S:910-232-3183
PROPERTY Ot"ll.lER' S
ON}IERJ 5 ADORESS:
NA}1E:
lcu Sanove: co!:r!v
?30 eov.rr:::msni Ceri:e: Dr.CITY: ni tmlno.o!1
CONTRACTOR: c;Ee !e.r rtra
ir.:e:rance
, tnc.LICETJSE S: 3s152
CITY:
a:lni.-a',:,AOoRESS: 1{ os lSrh SereeL
EftAII ADDRESS: oet er@caDe i earmainternn.e . com
PROIECT CoNTACT PERSoN: FE:er o,r:::erl
PHONE
PHONE
Exrsr coNsrRucrroN:
Z ALTERATToN
3 *.nJfrill'rt 'fiEtil*r REpArRs
I RELocArroN
tl
Rolocdon. is lhere a Narurar
cas Une on the
Cu.rert Sire? L_l /ps L_jNo lS BLDG SPRINKLERED?
El Yes LJ No
Er,r coflsrRucrroN:
f, rnrcr Nst,l srRUcruRE
I rasr rercx
f] sHErL f-:] upFrr
A aDo ro Exrsr srRUcluRE
ACCESSORY STNUCTURE:
Is Elect Power on this Buj.lding E Yes D to
If UPFIT
- The She1l Penmit s:
''"IT IS THIS A CHANGE
eras the Previous O(cupaflcy fypel
oF ocn PANCY
user
flves fl r.o
Itlat 1s the Net.Oc<upancy Type?
IF Yes, uhat
ARCH DESIGI./
ENCR DES16II
PROF€SSIONAL:
PROFESSIOTUL:
NC REG *: _
NC REG #:
N/i PH:
PH:
DEscRrprroN oF woRK: erecri6n cr pe:riEion ,,.1rr &
*".r-!J I A.EL/Mlll]LSk_--.-'7-_
btood oa bev€r'E€s Drepaed c se.ved h rrrs *uauref
flvesBNo bThe Prope{ry Locaed ln Tlrc Floodpaln?
f ves
fiNo
DTSCLATMEF: I hereDv ccri.y har slt rrrrrmaton rn hrs applcsr,or is
.oiicd and all {o.k will comdy wrlh he St le Buildlno Code 6n d arl ohel appl'(jblc Sla le
ana tmrtu:ws ana orJn:n.e! ind.erui.rlons. Thc NHC Dcveloomerr Sc 'rcci CenErwill bc noufi6d ol cny charq€3ln the spgroved plans and spcc,ficruons
6i inili" io;vanor, ,
; -r,iri:, .,rir.nor ...NorE. Ani r!o.r p.n1.d ed wO rhs
^pp,..rirrnffi:il:;'ffi.J[;
Flred Frrrr&r)
N.(E: Dcrnolflon r.ficrt nt & as!€58 rsnoral !€mn appli:lors n! b b. r{b&nxd usiry r,l. Brgllca!.rn to..r (C}HHS-rr6a}
$t t r IE hd1ly o. hlf.rf x/€. nud b
.odeh ArD..r o. id. Yo(J ar! Itqltlld b crl h! Nr{dlll E ntssbn Saidards br lhzrdoos Atr PolrlJbnl, INESIAP) al €19)Ir595O d l€ai r0 d.r! ,.b. b t
d.r.tdoll ol ary
fufy ot bu0dhg. S€o Asb3slc! Wcb Slt!: hnP,rwv,t -3P1.!bb.oc'Lts/€pu&.3b6,.hrP'hirnl
TOTAL PROJECT COST: ?,6r0.c0 BUILDING HEIGHT: x Jr # OF UNITS: I -.-------
TOTAL AREA SO FT :SO FT PER FLR:# OF STORIES:
r
TOTAL SO FT UNDER ROOF:
-_
f OF STRUCTURES: # OF FLOORS:
-1---
ACRES DISTURBED:EXST LAND DIST1JBBING PERMI?
ff YES
EI NO
NEW IMPERVIOUS ARE,A'SO FT E(ISTING IMPEFVIOUS AREA:SO FT
pFopERry usEr @FFlcE I nesreumrr
[uencarnu I eouc
[AFr llcoHoo omrc
WATER: m oFPUA
fl coMMUNnY slslEf, - wE-L flzoNlNc UsE ctASSlFlcATloN:
sEwER
ffi CFPUA
fr cerrmt sen'rrc
! c-nvlre semc f] coMMUNmY sYsrEM
_'. s.::iFATa e.ar,nrs F:cli,:Eo Fofi ELECT, r.'tca, PL8G, GAS EGlllP. PFEiAaS E iNSaE_S _'
pAy ENT MSTHOD:
ficesH fiorecx FAyAstE ro NHc] firurnrcat a<rnEss
E McrvlsA
E o6Coven
lFoR OFFICE t}SE ONL\0 t ' I I
SEIBACKS: F: A LH: * RH II\- B:
/t
l'( rtooo, -----ll-BFE+2ft=
Commeot PERMIT FEE: $
FEVISED OATE {T'I'I2
Zo(--1111
zoNE: R3 OFFICER:
AppmYal:-_--
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSNER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
fat
5c"r..rs (.lrdAPPLICAIT,S MIIIE:
DEVELOPER:PHONE
PROPERW OI{NER, S
OI,INER,5 ADDRESS:
PRO]ECT
SUBDIVISIOT'I:
CONTRACTOR:
ADDRESS:
EfiIAIL ADDRESS:
PROPERW USE
/
DESCRIPTION OF
LICENSE*:
CITY:
*, 9t0^ -mS- r.c-71
sr:N- zrP:pttLi\a
ST:NL ZIP:,6qD
*:
Qv:-s,ld-r{il.e5PHONE
PRO]ECT CONTACT PERSOT'I:
EXISTI]'IG CONSTRUCTION:
NEW CONSTRUCTTOUT
! eneCr NEW RESTDENCE o" ! mOrrrOl rO EXTSTTNG RESTDENCE
'*PLEASE CHECK AND ANSIIER BELoW ALL THAT APPLY TO YoUR PRoIECT:
f] arr eannce sF f| orr ennaersr
! eoncr
-sF
f] surunoou
-
sF
I eoor
_! sronace sHro
OTHE R:5F
! cnrrrHousr SF
! orcr
TOTAL HEATED 5Q FT:TOTAL SQ FT UNDER NOOT:
dI$ TOTAL AREA SQ FT:
ToTAL PRoIECT COSTlressroq : g f].1SOY# OF STORIES:
Is Any ELECTRICAL, PLUIiIBING or filECHr{,lICAL l.iork Seing Done to the Accessory Structure?
[ Ves
[ ruo
rf the project
is a Relocation, is there a Natunal Gas Line on the curnent
sitel Ives [ ruo
Is there Electnical Power on this Building?[v"t [ruo
L
DTSCLATMER: lherEbyce(iry fiat all inlbnnation in his applicaton is
coffect and all wo& will comply wih he Sble Building Code and ail oher applicabb$iab and local laws
and ordnances and regulatons. The NHC Oevelopmenl SeNices CenEr wifl be notfred oI any chaages ia he 6ppro!€d phns and specrtcatons
o,grfge in
conl,acto, or
contraclor inttrmaron. 'hNOTE'Any Work Pe rlo
nned )y/O tle Appropr€te Pemits will be in Violarion ol the NC SlaE Brdg CodeJEd9rbFcr 94fes Up Io $500 00"
OWNER/CONTMCTON: JC^tStS 5IGMTURE:
. Z^--,=
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
E YEs E *O
EXISTTNG II4PERVIOUS AREA:
-SQ
FT
NEtll IIiTPERVIOUS AREA:
-SQ
FT
TOTAL ACRES DISTURBED:
EXrST LAND DTSTURETNG eenUrr: I yEs E NO
REVTSE0 DArE 04l11/12
BFE+2
__,/
r,rArER:
EJ qFpuA
E coMMUNrry svsrru
f] PRTVATE l^lELL
! crnrnal wrll
SE}JER:
dcFpuA fl ctrurnnl sEprrc
E pRrvATE sEprrc
f] colYuururrv svsrrm
*** SEPAIATE PERII4ITS REQUIRED FOR ELECT, I.IECH, PLBG, GAs EQUIP, PREFABS & INSERTS ***
PAYIiIEI.IT IETHOD: ! CISX I CTTTCK (PAYABLE TO NHC)
E AflERICA EXPRESS
E NCI'TSO ! OTSCOVTN
***+ )*)** )* )i )t )t )t,i + * ,* )*,*
* )* )* )*
**** *i(,t+,lr**:t**)t**)******)*irir*)t)t**+,8***,* *)t* * * )t
* * r*,*
** ** )* )*,*r*,**+** ***+ +i!
(fOR OFFICE USE ONLY)
SETBACKS: F: LH: RH: B:ZONE:OFFICER:
aonnoval: Citv: DATE:
t{
PERI'IIT FEE:
@&r;'17aPtrzts-2t+5
APPLICATION
Number
(office Use)
DATE;
PHoNE *: tto=SlO:q?kS
ALTERATToN
! nrruovlrron
! eeuennl nrnnrns
! RELocATToN
5F
SF
,
/rrro,.. ,*rrrv
fl ouerex
f] rouruHouse
Comment:
FLOOD:
BLOCK *: J LOT *:
*'f-
:
ffi
APPLICANT
NEt^l HANOVER COUNTY BUILDING PERUIT
APPLTCATIaN rYPE; R ESIDENTIAL
PLEAsE ANSHER ALI QUESIIONS APPLI(AgLI IO YOUS PRO]ECT
"Project Responsibility"
lr
,
s NA\rr : -JGl\n"ts \-O r (r
PRO]ECT AODR
SUBDlVISION I
PROPERTY OWNER, S
ONNER,S ADORESS I
DEVELOP6R:
CONTRACTOR:
ADDRESS:
BLOCK *:
LrcE'{sE *:
El,4AIl- ADORESS r
PRO]ECT CONTACT
EXISTIIJ6 CONSTN
PROPERTY USE
/
OESCRIPTION OF
PH0t'ir
r:6lrl-Sld'qlQl
*,
t\c:5)-o-qlkt
NEW CoNSTRUCTToN,
I enecr NEw REsroENcE o. f] aoorrrou To ExIsTrNc REsroENCE
*.PLEASE CHEC( AND ANSI.]ER BTLON ALL THAT APPLY TO YOUR PRO]ECT:
I arr canlcr
-
sF
I oer crnaee
f] eoor
-
sr
sr
I eoncr
-sF
I surnoou SF
f] sronrer sHeo
I enrewouse
-
sr
fl orcr SF OTHER:
TOTAL HEATED 5Q FT:TOTAL 5Q FT UNDER NOOT' dS(\ TOTAL AREA sQ FT:
ToTAL PRoIECT C05T rr-ess uo, : f rlll0I# OF STORIES:
Is Any ELECTRICAL, PL|I4BING or l.rECHAlllCAL work B€ing Done to thQ Ac.esso.y Structu.e?
[ Ves I f,fo
If the project j.s a Relocation, is there a Natu.al Gas Line on the Curnent
Sitei IVes I llo
Is there Electrical Power on this BuildinglIves Iilo
PERSON:
OCCUPANCY:
WORK:
ALTERATToN
I nrnovarroru
[ cer'rrnau ncearRs
f] RELocArroN
FAMI LY
I ouer-ex
I ro^r.rHouse
st
SF
-I
ffi,r'r0.,
rutzl \
DTSCUIMER: r herehy
.enit h €t all inbrm.liof, in his aprrtalo. is cor€c I
ard all wort will conply wiur h6 SEIB Bu,ld inE Cod e and ar o sre, appr{
abqsce r.d rocst taws
and ordinances and mgulalbns The NHC O€velopmenl Serv€es Center wi,lbe notfEd ol any cnr0gos an
h! sPprov€d oEns and spcciic.ltns or qt.a'ge rn
conn€cbr or
conusrro.nbnral,. "^OTE an/wo,iPe,t medx,O u,eA,,prcr,'ale Dem'rsrrlbe.Vloblonolrhe NC S.€l] Bhg Cod_sj d_tJbFct
gy')rtsv, to slno
Of -
ll-',/
oI,NER/CONTMCTOR T Jf-ftntS L-9..1 SIGNATURE : /'- ./a----.
***********,***,r************li!T:NiTJ***.**r******r *"*********.d{** +**i ***,*** 1',.** **** **
rs rHE pRopERTy LocATED
rN a rroooelarll I vrs E *o
EXISTING IT1PERVIOUS
NEI.J IMPERVIOUS
*-'-
HATER: l./l cpPua I I
5EWER : E] CT PUA LJ
AREA:
AREA:
SQ FT TOTAL ACRES DISTURBED:
SQ FT
EXI5T LAND DISTUREING PERIITIT:
rl YrS
I-I r.rO
con,luNrry svsrru
fl pRrvATE r^lELL
I cenrnnl
wrll
c;NTRAL sEprrc
I enrvarr
srcnc
I coMMUNrry sysrE!1
.+* SEPARATE P€RM]]S flEQUIREO FOR
€LECT, I.,IECH,
PLB6, GAS EQUIP, PREFABS
&
I SERTS **'
payrENT
nrrxoD: Icasx ff cHrcx (pAyaBLE
ro
Mrc;
I urrrcan
rxrnrss E r,/urro I orscovrn
,r**r****r******* *)rx* *
*** ******* ** *
1*,tr,r *(+ + I *
*,i *,r ** *
ir**,f *
(roR ofFtct ulE
oity) Rtvlsto ,atE o4lrrl12
SETEACKS:
F: LH: RH: B:ZONE:
Approval:
OFF]CER:
t/
PERMIT
W*s17rx
PETts*2tV5
APPLICATION
Numbe r
(office use)
OATE,
4,
LOT *:
PHONE
Comment:
_ City:_DATE:_ FLOoD:
",''Ftm
PH]NE }:
?sz' \
f -VV$L
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIOI{ TYPE: RESIDENTIAL
PLEASE ANS!{ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
PHONE
#: _
eOt--1983
APPLICATION
Number
(Office Use)
8-t>-)>'-
[zw,23cico
-"ff*r;'bY1
Pr{orrE o, "?
I
3-z?=?l -sr:
N( zrp:
)BqN't
LICENS.E #:, '?
t {-O
2
CrTY: t^ lt rnF ST:
#:PHONE
PRolEcT coNTAcT PERSoN:
.\. '^- (-: < ) ^ k ,^
c L:. PHoNE
#:5lo'-
ExrsrrNc coNsrRucrrou:
! ALTERATToN
! nrruovarroru
fle eHrnar- REPATRS
f] nelocarroru
NEhr
coNsrRUCTroN:
Wq NEhr RESTDENCE or
! aoorrroN To ExrsrrNc REsTDENcE
*,TPLEAST,<I.IECK AilD AT{ST.IER BELOW ALt THAT APPLY TO YOUR
PRO]ECT: -/ffi GAMGE Y 36 sr n orr GARAGE sr
@S{r, / f} sr
r^t",([A^c k 1ty sF
I surunoor'r
_sF ! eoor-
_ sF ! sronncr sHro
flenreruHousE _ sF ! oecr
_ sF orHER:
AREA
SQ FT:-t/
Is Any ELECTRICAL, PLUI,IBING
or fitECHAtUCAL Wonk Being Done
to the Accessory Structure?
[ Ves E ruo
If the project
is a Relocation, is there a Natural Gas Line on the Current
Site?
[ V"r E ruo
Is thene Electrical Power
on this Building?
l-l v"r E ruo
6,, FAMILY
SF
SF
3:32
28.rorAl HEATED 5Q Fr: 2'C7 rorAl sQ Fr UNDER RooF: '2;E't ( rorAL
TorAL PRolEcr
aorr,,-*@o., o
o, ,rou-rr./
PROPERW
USE
/ OCCUPAI{CY:
DESCRIPTION
OF }rloRK:
! ouelrx
tr
l€.-s (.t^,f€c
DISCLAIMER: lherebyceniryhatall inbrmation in lhisapplication isconectand all workwillcomplywih the State Euilding
Codeand all otherapplicable StaE and local laws
(Print Nane)i(****,t*,t,*******,t**:t*,i)t**{.*****i.*********!i********,i***)***
rs rHE pRopERTy LocATED rN A FLooDILATN?
fl ves fl no
Exrsrrirc rrrrpERvrous ae]f,lrcl fF),\sQ Fr rorAL AcREs DrsruRBED: ,
//
NEI.I IT|IPERVIOUS AREA:
/ Aq2.\SQ
FT EXIST LAND DISTURBING PERilIT: E
-t/tffrygx E cor'uunrry sysrEm
I enrvnrr
wrll ! cerurnnl wrll
(FOR
OFFrC€ USE or{LY)
SETBACKS: F:- LH:- RH:
YEs
3-l rc
REVISED DATE O4/17/T2
B:_
MTER:
Wr:ly E cor'uunrry sysrEm
I enrvnrr
wrll ! cerurnnl wrll
sEr.rER ,
ffieua ! crurnal sEprrc
! enrvarr
sEprrc
f] coNnuHrry sysrEm
*** SEPARATE PE$ITTs REQUIRED FOR
ELECT, MECH, PLBG, GAS EQt'IP, PREFABS & INSERTS ***
*'l-T.i:'*1'i....H.'11.E.'fffl.l:1"#1i.r.IfJ..tr...il:ll'll.:H1'.'...H.1YJ.'*'I*..F.:*':::"*
ZONE:
_ OFFICER:
Approval:_ City:_ DATE
:_ FL0OD:
Colrment:
BFE+2ft=
,ce^ I{r_ 1r}-: U ,r ^
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
PROPERTYol{l{ER' s
OWNER,S
CONTRAC I (o*.
t.
ADDRESS:
EftBIL ADDRESS:
and ordinances and regulations. The NHC Developmeni Services CenEr will be nolified of any changes in the approved plans and specifcations or
change in
contracbr or
contracbr inbrmaton. '-NOTE: Any W?rk Performed w/O the
AppropriaE Permits
will be in Violation of the NC State Bldg Code agdsubryr 9Jes.raf5-SBO.OO"'
OuINER/CONTRACTOR:
J".,.- t-^;e.*b.-,L. SIGNATURE,
:/-=Z?' - :" S
Jr*rr, ,r.,
,-13(g1
.$*
W
CITY:
,^^lI
t,9Pill- t'lo
{Nv F - r'ro
Ut .YEg flblilrn.
CPrGt Yes
I
ffi
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSI4IER ALL QUESIIOiIS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibility''
APPLICANT' S
DEVELOPER:
OCCUPANT/BUSI'IESS
PROPERTY Ol,llNER'5
OI,JNERJ S ADDRESS:
PROIECT AD0RE55: 3s6 colleqe Rd
unit 39A
NAI4E: Burkes ouEIet f 231
NAME: Bealls Outlet Stores, lnc
ER Beall Center.700 13th Av CITY:Bradenton
BU|LD|NG HE|GHT. 1
Slorv
SQ FT PER FLR:
-
# OF STRUCTURES:
PHONE f: 94'1- 744-4323
ST: FL ZIP:
ST:
I!_ zIP: 32254
g1 9A4-287-2333
PROJECT CONTACT PERSON: Ken witlhoj.te PHoNE $: 863 sse-526s
(che.t AI1 Ihat APPIY)
EXrSr COT{STRUCTTON:
! aLrERArrOl @ n:rovartol ! cenrnlt nrllrns ! REtocArrgN
I Retocation. is there a Naturat cas Line on the
Eirent Site?
EY"i-E]m lS BLDG SPRINKLEReOZ
[l ves
I t'to
CONTRACTOR: ,rohn R. w:11iams, Jr LICENSE *: 68194
ADDRESS: s 215 Hiqhwav AveCITY: Jacksonville
Ei'4AIL ADDRESS: kenw@williamsrowe. com
NEW CONSTRUCTTON;
! enecr
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit s:
..*,r Is THIS A CHAIIGE
rE Yes, rhat Has the Prevlous occupancy Type?
Sofarelli & Associates Architects, lnc.
PH: 727-530-3535
OF hoRX: Renovation of
ls lood or boverEgos pr€p8red or served in this sruaure?
[ves fi No ls The Property
NEt,t srRUcruRE
! rlsr rnacr
! snrtr-
! ulrrr
I mo ro Exrsr srRUcruRE
Is Elect Power on this Building E Yes Eto
oF occuPAr,rcY us:l
Ivrs Eno .-."'
Llhat ls the Nelll Oc.upancy TYPe?
ARCH DESIGN I
ENGR DESIGN I
OESCRIPTION
DISCLAIMER: I
heteuv cernlv lhal all ,nrormauon in rh's applrcalion rs
co €cl and-all work willcomplv wiu' lhe
aD; tocal laEi and ord;nances and .equlallons. The NHC Developmenl Semces Cenlel wllbe nolrir€d ot anv 'ii'I.riiiiiJii'c.jiiiisiiii bi t-ti,ir,a-iioii"nt-,innii,ii..
ji Nijii eni -Woii Fcrtu,md wio ihe approprare Pcr mils
Subrccrlo Fines Up To SS00 00"'
NC R€G #:
NC REG #:
OWNER/CONTRACTOR: tiilliams & Rowe companv, rnc. SIGNA
(a]!eltrs) (Pdft N6@)
NolerOemoltlion noficatons E ssbostos rsnovslpermll sppllcsllons a@ to besubmliad uslng l)€
co sh A3be3lo! or nol. You src raquL6<l lo call lhe Nadoial Emlsslon Sbndards for Ha.rdou! Alr
d6molltio. of 6ny laclllly or bullding. 506 Asb6€to5 Wcb SI.e:
rorAL PRoJEcr cosr: -j$Jfq--
TOTAL AREA SQ FT : 22 544
TOTAL SO FT UNDER ROOF:
JA!I]L-
hs l"cliV
at (919)707-5350 Et dsy6 Fior @ flo
4
ACRES DISTURBED:Exsr LAND DrsruRatxc eenutrz
I ves
[l Ho it{c
[,sP,ETNEW IMPERVIOUS AREA SQFT EXISTING IMPERVIOUS AREA:
pRopERTy usE: DOFFICE Enesraunam @llencnunu Eeouc EAPT Ecotloo orHER:
wArER: UICFPUA EooMMUNIWSYSTEM IWELL trzoNlNqt]qF9_Y9slFlcArloN:
sEwER: EoFPUA E ceNtRll seprlc E P-RMATE sEPTlc
fl coMMUNlrY sYsrEM
pAyruENT METHoD:
flclsn I cxsCx lelveerE To NHc) fltlltentceru exeness IucrutSr I otscoven
ZONE:OFFICER:
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- Bi
#oFUNrrs: 1 RECEIyED
I3::l33iT --+--rrro u 2ors
REVISEOD TE iVtlllz
Tors - 111r
15-1976
APPLICATION
Number
(office usc)
I{AME: williams & Rowe compan\,, Inc. DAIETgLD,!39}:-
PTONE tr: _
CITY: wrlminqton, Nc ZIP':284 a3
Approval:- Clty:-DATE:- FLOOD:
---
BFE+2n=-A v N )-Ar >< @
PenMlr FEE:
$J+]99-I
df^
NEId HANOVER COUNTY BUILDING PERMIT
APPLI?ATI}N rvPE; RESIDENTIAL I'iOBILE HOME
PLEASE PRINT CLEARLY & ANSLIER ALL QUESTIONS
"ProJect ResPonsibllit)/'
&.otsrqq^
/Q?3r
/TPPLICATIOT{
Number
@,
CANT'S HaHE: e-I"!S-3j-i]l!g
*; \;,.> Zt Z-Zttl
TY OI$ER,S NAHE:
,S ADDRESS:
TOR: East Coast Mobile Homes sales & Servicr LICENSE $l 2152
CITY: Richlands: 427 Kinston HwY --' '
,IL ADORESS:
ECT CONTACT PERSON; Bruce A' Kubeck
(CHECK ALL THAT APPLY)
[l rrusrltu NEW tvloBrLE HoME
f] ne locauoN oF usED MoBILE HoME
sr:lJ;zrP: J{4u7
sT: NC
zlPi 28514
PHO{E *: ero-324-561,1
PHoNE S: 9Lo,:262-2LLr
tmobj-IehomesGYahoo -
L.VL.PHOI{E
IITY LU iL irt tto
IPTION OF hnRK: RelocaLe 4l!4--9S!mobife home on existi lot with oved
1eark.
I hdGbry c6ily fiar dl tdqmdlm tn t{s eFtka!6 ir cdc.r rd dl Et y(l
lmpt wilh lh. slste Billdng c{d€ nd dl o'}Er Epeliclblc gs:+E
'.T ,T::1 :::Y- }
Ssvc Cds wtl bo n aiii.d d ey chail96 in th6 arorov'd
dffi ild Gpeificatlfis q chd{o in coradd ( @tradd Hmdi6 wro tlE l{'tr(p.ie!
b. io Mdti6 o{ oE uc s* Bdg c.d. snd sl]tifrt lo FiE! UP To
3500'00"'
COI{TRACT0R: Bruce A. Kubeck SIGNATURE:
(Print Name)
***++******'t****++******tl****'l:***+**'*******'*d'****+*++****+*'t+***'***'***'l***********'+*****
THE PRoPERTY LoCATED rN A FLooDpLAIN?
[ ves
El *o
RTY U5E/OCCUPANCY:
fl nrSroeNCE
/ OTHER?
LABEL: 4W{gL I"IANUFACTURER:Clayton SERIAL #:
COLOR:
pHC0ztl+g
AR MADE| 2015 WIDTH:
rAr{E Zor{E:
J rA z
n : sH(xE DETEcToRiF yEs
f] No 6ARAGE:
I ves E] *o -,- sF
PRorEcr cosr(uess-ut:
$ 30'000'00 J:Ili t[,T 3Iltrti;6hE-Rm;r,
I vrs
qffi:Tiifl
: fltcreul I cor',nrunrTY sYsTEM
I enrvlru tltut-
n ctHrRau wrll irHC
,
E;;;;; E;;il;r'"riii'' E ffi;i' imi,.-CcollrvruNrrY sYsrEM 6ti[
SEPARATE PERiIITS REQUIRED FOR ELECT, llECHr PLBG, GAS EQUIP, PREFABS & INSERTS r*"
LEN6TH:
1 Z Ge-e
/
I'IETHO:
D cnsn fl cuecx (IAYABLE ro NHc) fJ auenrcan ExPREss
I nclvrsl ! orscovrn
.ririrr..*rr.r.tii.*...r.tatt...ia.**a..**.rrrrai*.arrr...ittt**r.**ar'*1.+++*artrt+rt'r REVISED 4/12/12
OFFICER:
(roi oFflcE usE ol{LY)
SETBACKS: F:B:
ffi211.=
N
PERI{IT FEE: $
Citv: DATE: FLOOD:
LH:RH:
DATE:
-
PHoilE S: etg-262-2L1L
ADDRESS:
ldilminoton zlP:.:'29*t'1
BLOCK #: LOT S: ZLi
(-Jf,\
Lott-'7ffiA
/r)ut
TCPPLICATIS{
l{uIbcr
tEiii6
DATE:
-
!'9rc-262-:II1
ztP:Zl*t\
r.or *, -el]--
x;
\Yt ci Z 7'r//
sr1!J&:vto: XqU.l
5T: Nc - ZIP: 2e57'l
S:9iu-124-56r1
B: .o!0-?5:-2'- l:
NEW HANOVER COUNTY BUILDIHG PERI'IIT
APPLI?T,TI*N IrPE: RESIDENTIAL HOBILE HOI{E
PIEA5E NAIil'T CL€AEIY 8 ATTSLIER ALt QUEg'-Iilis
-ProJect ResPonstbllttf
pLICAIIT'5tlffif; rr';;"A i'-==:i --- --ffi
VELOPERT gru,r. A. l*rl'!!j
OIECT AD0RE55: 'i.,
i 1l;gt-rr-zrr
irrrr*, Ctlr-ii-;,rrf i'u**f J:alE-- BLoc(r:
#
Rry GsiEf,'s HAfiE:
6ie€-rhu*lt+.i vi'! '4-6-L--r LL':1' --- : 1*.",-- Pnfr{r
,s AoopEssr Ol' lE(,r
lti?D/\ (ITY: '@
TRACTSR: Ejsir Co,15t Bobile Hcn:{:g sa}.es 6 5':':':i'ct LICEIISE $: 3:g--
s5: l--:. r,,i""ton rir', - (ITY: RicAi'ands
oHau,lFpHcc.lE
Il- ADORESS: iast i:.a:lilab:iehcrrip';("':roo - ccn
OIECT COIITACT PERSOtll Bruce A' Kubeci Pl{Ot{E
(CHECX ALL THAT AFpLY)
f, rNsrlu Nrd FoBTLE HoHE
[--i rtiocr*loN ot usED l'oBrLE HoF'!€
SCRIPTICr{ OF hOR|(: iltslocdLe ar':i] se:'r.l -
r F& .* e n &6r-is h
ar
B d, f .f d 4 J # * rf r -F rL sd *lrd.c'.* rd r dL orl "]}.a-*-T:::-.t*5
ER/COTITRACTOR:i1r"-r I. f': ck
{9'tot "l}nt\
.1 . r n i 1 t * * i * t a
l i t " "l
i r ' ! r t ta i t r t t t * l ' t t t t r -? ' r ' ++l l a l t r "" i + ' t t "
t ' r i ' :*t * "* * ' t"r l r
5 THE PROPE.ITY Lo(ATED IH A FLo*spLAIHt
f ves
[i] r'o
ROPERTY UsE/OCCUPAI{CV:
f$ RES]O€NCT / OT'i]ERI
LABEL:
H,ti:ill-- - HANUFAcTUFLR:
'jiavton- :
l1A{.,t. , -'- lirir, I
fu- LEN6IH: 1 ':-
SERTAL *: o l-l t {z+1tq
Coi0R: --QE|,-{-
5F
ICAN€ ZurE:
f rE ztr:
-sFcx:
I I YEs
trj No
OIAL PROIECT COST rLf56 Lo., : $ :0, ooo -q,c
srco(E oETEcrOn,
EI YEs
il N0 6ARAGE:
I ves
ffi xo
PoRcH:IvrsBuo-sr
TOTAL ACRTS DISWRBTO:
kXlST LAIID DI5TURBIHG PERMTT: I i YEs
Jl pRtvlrE uEut
Li cENTRAL l'JE'L
I entu^re sEprIc
f] corxin:TY svirEn
FOR ELECT, xtCH, pLBG, Cn.-( EEruIp, PRETABS I II{SERTS
't'
.TER:
EI!E R
,t
-RECEIYEDL-.X0f to
tw
Irrltc
ItrsP
ol?t
7 *pur fl comYn:NrrY sYS-EH:7l rppua ctriTRAL sEPTj(
". 5gTNRATE PER$I'S REQIJIRED
ilrrE,r: f csx 51 cxe cr (,A'ABLE ro ,*tc) [ arcnxal ExPREss
E r*rrrso tr "scout'
on,,
Lrnf- ;.;.;, --**.-.;.iir*f"'tr*,ffir,#,,: -en.",.,.. g- cltvtgfflly>- oa;t. t ltfll5 FLooD:
*-_:- -
orrnent tltqjj*dh 0,'o*hq#tt4ck6 +
,r-,Fu{
*| 20' b'#il##+F Ee ,
t-'?OO
Crty lnspectnn fuqureo, 9.l0'254{9m
u)'- .
colf(\NEW
HANOVER COUNTY
BUILDING PERMIT
APPLICATI0N
ryPE; RESfDENTIAL
PLTASE ANSWEB
ALL QI}ESTlONs APPLICABLE TO YOUR PRO]ECT
"Proj ect Responsibilitt''
APPLICANT'5 }rlAME
1 ?rcst,'.qc Pooi.s
c1 r;i-mina:o;r fr.c
DEVELOPER: Pr-.'o1,igu ?rols of A*I'.ingL./n Ir-c
PR0IECT ADDRESS: 64r4 Be!ridse Dr
ffi
SUBDIVI5TON:
CITY:.1ilnirEior.
PHONE
#:
5Tl
:u41-
tY.i,, ZIP : 3 8',
:-
V;jrlm:nqton .. ZIP:
BLOCK
S: tOT
r:
PROPERTY
Oi.INER'S NAI1E :
OL{NER'5 O39P655 I 6iC'
i:.ichrrd and GiseIa l/ignrr"l
'ie:rirtoe J:
CoNTRACTOR: P.esIi.qe )orls oF I,li]'nil cLor: Tr c LICENSE #: 5.579
C
ITY i -!!li{r:i}q t,o,,l-
EMAIL AO0RE55: p:
estl geoo<.Jsnf qj.t:ningto:r3qnai-1 .cnn
PROIECT C0NTACT PERSOill 9Fq+q jr.opr,*1" _ .. PHONE
*r 910?3:ir?5 __ .
ExrsrrNc coNsTRucTrorur
fl nlrrRnrroru
f] nerovnrroru
fl eervrnal REpArRs
f] nrlocar:0ru
NEI,J C0NSTRUCTION:
fl rnrCr NEhr RESIDENCT
or flADDTTTON TO EXTSTINC RESIDEIICE
r;:'#'.:ffi::_1T:"- ^'t',;;J.*-:*'-"*':r
freoncu
_sF r,%*f
f] surunoom
-sF
E psol .,i J(. sr fl sronaee SHED
-
sF Y t-'fu
fienrrruHousE
-
sF f] otcr
-*--
sF orHER:
-
sF lM lOri
TOTAL HEATED
5Q FT:TOTAL SQ rT UNDER R0OF:
TOTAL AREA
5Q FT:
TOTAL PROIECT COSTIr-esr-ory
: $
Llqq# OF STORTES:
stnucture?
ffi ves f] *o
current site?
f] ves E no
ed ordrnsccs sd .cgutat6ns. The NHC DevclopmFnl ScMces Cenle, will b6 no!fied of anychanles rn t,e qpprrel pfans
ua
ied ofdrnsccs sd acgulalbns. I he NHU I levclopmFnl bcrurces Cenle, \!lll bB noltled of any changes n tre approvel Plahs ed sptrificadorls or ChanEe ln cohtract3r
ol
conir cl:r rni:malon.
"'NOfE: Ary Wo(k Petlontrorl W/O he Agfropria!. Permits
will be in Vnrlation
ol0rdC srare lprug cpd\and subJeql llo Fines U0 To 3500.00."
OWNER/COHTMCTOR:
_ ;):.SIGNATORE;
rs rHE pRopERTy LoCATED rN A FLoODPLATT{?
n yES [qI NO
EXISTIf{G IfiPERWOUS ARtAr _ SQ FT
NEH IfiPERVIOUS AREA: --.-_.-SQ FT
wArER:
fl crnul
fJ coHmunrw
sysrEr'l flenrvnru wru I crurnnl werl
sEt"tER:
fl creua
f] crrurnal sEprrc
fl nnrvnrr
sEprrc
I corntmur'lrry sysrEr4
'^'l'l.x'.1'.?.-..?.'l':-.?.Tfl.::11'l:-]:-111,-.gil'ilyi-:l:il'i---"H-lyJ.':l--..?:-':::"*
Is Any ELECTRICAL, pLUr'ltsING
or MECHANICAL t,lork Being Done to the Accessory
If the project is a Relocati.on,
is thene a Natural Gas
Llne on the
f s thene Electrical Poh,er on
this Building?
n Ves
l?I ruo
pRopERry usE
/ occupANcy:
[l STNGLE FAMTLY
I ounlrx f]rOr^rruxOusr
DESCRIPTI0N 0F hJORNi l.r:sLrll-rl,ion or in,r:-or;ilq r:
-ber-gjass poo:.
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBINGFERHTT:
[*-l ves
l-.l xo
REYISIO DATI
{pNE: 4qu 0F FICE
NB=++frs
Wz \f *?blL
&d;r?qb
APPLICATION
Number
(offlce Use)
DATI: 9/3'?0-5
PHONE
*i
{t0R orFrcE u5[
No$rul"
$17
AODRESS: :-0r s. ccllege :{d
\
B:
BFE+2ft=
?€2 \t-nq\
?o$Se't
DATE:
zre:?Qit I
sr:)-LzvV'tr-f7-
'r,p/Grr,;l-3\\ 1
EIIAIL ADDRESS; J PHONE
*:
zr
PRolEcr coNrAcr pensou: (\ ).4.^-e \ lAe- pHoNE
*:E"ri
a{sz-sg_8\
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION
rYPE; DEIiIOLITION
PLEASE PR]NT CLEARLY
& ANSIIER ALL QUESTIONS
"Project Responsibility"
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNERJS
OWNER,S ADDRESS:
CONTRACTOR:
ADDRESS:
DESCRIPTION OF UIOR(:
",
\om
*:
PHONE
*:
crw:
LICENSE
CITY:
(khat lype
of Euildlng Do You l{ant To DenDllst?)
DISCLAIMER: lhereby cerlrly lhal alllnlormalion in lhls appllcalion is correct and allwo* willcomply with rhe Stale Euitding Code snd aI
and ordinances and regulalions. The NHC
Developoe Services Cerferwillbe Dolified ol any changes in the approved
conlrscior in ormarion.
'"NOTE: Any Work Performed WO the Appropriate Permits wilt be in Viotation ol rhe NC Srare
or change in
conlraclor or
Fines Up To
$500.00"'
fl ves
I uo
'in \ r,
ot,NER/coNrRAcToR : {A,<rc-\ L4 SIGNATURE :
(Pritrt tlane )
(FOR OFFICE UsE ONLY)
SETBACKS: F:_LH:_RH:
F
LOOD:
B:
BFE+2ft=
PERMIT
FEE: $
*,* *:i,r **:i,t ** * * )r,f, )r,r )r****)r)i:r*+*:*:* *)4************ r(
* :*:* ,r
* * )t + )t
+,*,ht,+ )t,t,* )t** * )**:r * )t* * )* )*,i )r )i )i
*)r)r:*+*!t*
rs rHE pRolEcT:
I Resrorrurral 7
B[cor,I.1encur- roml icn:s DrsruRBED:
TOTAT PROIECT COST(LessLor):
SflCW.Oo EXISTING 1AND DISTURBING PERMIT?
DoEs rHrs srRUcruRE oR BUTLDTNG
coNrArN AsBEsro
st ftv* $ro
rs rHERE A NATURAL 6As Lr{E coNNEcrED To rHrs BUrLDrNel
fi'vrs ! to
Is rHERE
Ey:crRIc L PoltER oN rHIs BUILDING? [zfves I no
mrrn,
fl greur ! coMMUNrw
svsrrr'r
I pRrvATE wELL
srurn, Bfcreua I cerrul
srerrc I enrvarr
srcrrc
I cour.,luNrry sysrEM
Note: The National Emission Stanc,ards for Hazardous Air Pollutants (NESHAP) Regutations Require that you contact them at (919)707-59SO ai teast 10
days p or to the demolition of any facility or buildino, whelher the facility or buildino was found to contain Asbestos or not. Demolition notilications E
asbeslos removal permil spplications are to be submitted using the applicalion form (DHHS-3768). This form can be founcl on the web site shown below.
Notei Obtaining a demolition permit lrom the NHC lnspections Dept. does NOT satisfy or meet the notitication requiremenls of the HHCU (Heallh
Hazards Control Unit). 'Keep in mind lhal an asbesios survey is required by a NC accrediled asbestos inspector prior lo any renovation or demolition of
a tacilily. Please see the Asbestos W9b Site htto:/A^/ww.eoi.state.nc.us/eoj/asbestos/ahmo.htmt
,/
paytlE
r Emoo: p[crsn fl orecr (payABLE TO r{HC) flarenrcm rxrnrss I mcTvrsl
I orscoven
:*,i
r +,t,t,* **r*rt'**,r,*)i)*)r**)*:r:***.t,i:r*:*:*+*,t,t*:*,t:t:t**,|*,**,t)r+++:it***,t,i,t)t***,1)r)**:**)r,* )i
*.t,* * *,i,i,i,i x x
*,1,r,* *
ZONE :
Approval:
OFFICER:
Comment:
City :_ DATE:
LOT #:
CITY:
WL 15-"3rJ
NEr^, HAN',ER couNry BUTLDTNG pERMrr Q oi s-7 Tqb
APPLICATIOTT rYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
APPLICANT, S iIAIVIE :
DEVELOPER:
APPLICATION
Number
(office Use)_itI li\ l)5---t--i-[rt,
PHONE
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERW OtrlNER'S MItlE:
PRO]ECT CONTACT
V
PHONE
PHONE
PHONE
ST:
zIP: ZL{ q
0i
LOT #:
tlq - ?68-ssoq
sr:[}!
upzW?
fi':';ffit61
(}
*:
fi:qlq- t(3-5s0q
flenrrruHousE
-
sF
I orcr
sF
fl PoRcH
-
sF
fl sronaer sHED
_ sF*r*, PArio
[@sy Joo 54.T7.
EXTSTTNG CONSTRUCTTOT,
fIALTERATTON $nrUOVnrrOH f]err'rrnAU REPATRS
I neUOCarrON
NEr^t CoNSTRUCTTON:
I enrCr NEhr RESTDENCE or f]AOOrrrON TO EXISTTNG RESTDENCE
{..}PLEASE CHECK AND ANSWER BELOW ALL THAT APPTY TO YOUR PRO]ECT:
I rrr GAMGE
-
sF f] orr GARAGE
flsurunoom
-sr
fl PooL
-
sF
rorAL HEATED sQ Fr:
ltlq rorAL sQ FT uNDER RooF: ll\D rorAL AREA
sQ rrz 717Y"
rs there Electrical Power on this Building?
[ ves EJ ,'ro
pRopERTy usE
/ occuPANcv:fisrNGLE FAMTLY flOUnUs vp
EX I t r3osr66^ [l€a1oe,4tl #;|,;,or,boJ
TOTAL PROIECT COST(le".t-ot) ! $ Zl, /5tt. " '# OF
STORIES:
.Z
Is Any ELECTRICAL, PtUlt'tBING or i4ECHAI{ICAL t,,ork Being Done
to the Accessory
Structure? [ Ves EI No
If the project
is a Relocation, is there a Natural Gas Line on the current Site? fl ves E
'vo
DESCRIPTION OF hIORK:
L/P 6/?.Aot; -fntsC L a-.,'oM L/ p 6 &ADE To UrLrLeu
I
0cE. O<YwAt- t,
and ordinances and regulations. The,xT:":^::l:,:y':1"j*i:l1l{P,:L::'^'lITIpi:-':d"*T:T-d T.":I:1'i:i::1.h:19"1!:9iI.::::' Fi,o'i-, a, c.contractor inbrmaton. "l,lOTE: AnyPerformedPergits will be in Violation of the NC Stats Bldg Code and Subiecr tc F
-aA
$s0q0cr*
w-
SIGNATURE:
***,**,I* *:********
' (Print Name)** ******** *** ***l* *
* ** * * * *,* * * *
*,r * * * * * * * * * * * * *
* * *
* * * x
* * * * * *,t x
* * * * * * *flvrs E*o ,l
ToTAL AcREs DIsTURBE,, I,,I/A
IS THE PROPERTYIN A FLOODPLAIN?
EXISTI]iIG If'IPERVIOUS AREA:
-SQ
FT
NE!'l IIIPERVIOUS AREA: SQ FT
EXIST LAND DISTURBING
PERIVIIT:
I-] VrS E rO
wATER:( creua
I coNmurrrrw
sysrEm
Ienrvnrr wru
! crrurnal
well
sEWER:
S crnun
I cerurnal
sEprrc
f] enrvarr sEprrc
E corqmuNrry sysrEm
*** SEPAIIATE PERMITS REQUIRED FOR
ELECT, IIiIECH, PLBG, GAS EQUIP, PREFABS
& JNSERTS :T**
pAyuENT ilETHoD:
Ecrsn Elcxecx (nAvABLE To r,rHc) ffielrenrcm ExpREss
f] r.tclvrsa florscovrn
*tt*:t **{.:i'i** *'r* * **** *** **,t * ***rt *** **** **:fi:i******* **** x*rt,* ***,t** * **** *!t*,i,t,f :*:i * ** *,t*!t **x*:**
(FoR 0FFTCE USE
0r{LY)
ZONE:
_ OFFICER: SETBACKS:
F:_ LH:_ RH:_ B:
Approval :_ City :_ DATE :_ F
L00D :
Comment:
SF
o o tr Br+Th fl oo a4s
REVISED
oATE s4/tL/12
BFE+2ft=
N
PERIiIIT FEE:
()1{NER,S ADDRESS:
LICENSE #:
Responsibility"
DATE:
coNTRACToR,
' "J'
ADDRESS:
EMAIL ADDRESS:
CITY:, (0
L0')NEW HAT{OVER COUNTY BUILDTNG PERITT
APPLTCA|
I(N |YEE.. REIiIDENTIAL
PLSAE AII5TER
ALt q'E9IIOIE APPLI(A!!g TO
E',8 PM)TCT
'praJect icsponrlbuiqf
BLOCX *:
-
Lor *:
A)lon-.
lsl J
Pl(,t{€
P}T'I{E
St?
aDI5- 3000 -
?e L \5'?5o
t
APPLICATIO'{
I{umber
(Offtcc Us!)
oarp: B-13 - I5
iffi-r *, grolEflE3o
zrP z XJC4bj
PII|IE *: zltO' 79r- 2"lD'
sriLLafl.2B35B
*: 1to -
L77.0b7o
1,.'Ato .Ltz -bo9a
f] cremousr
-
sr I orcr
SF OTHERi
TOTAL HEATED SQ FT,TOTAL SQ FI UIDER ROOF;
a
MTAL AREA SQ FT:
TOTAL PROIECT C0STthncro{ | $7M-* OF STORIES:
rs Any ELeCTRICAL, plt IlBu{G or l(Ecru IGAL Hork 8elng oone to the Accesso.y structurc} /"" 6 ,o
If the project
ls a Relocation, is theFe e t{atural 6as Lifle on the current site?
flves fl ro
rs there El€ctrlcal PoweF on thls Suildln3l
Fllves
fJ uo
J.l
APP LICAIIT'5
D€VE LOPER:
PRO]ECT ADoRESS:
SUBDIVISIO i
PROPEITY (II{ER,S
(I'ltGRrS AIDRESS:
CONTRACIOR:
TDDRESS:
EtitArL ,ooiEss:
PRO]ECT CO TACT PERSOI{:
trElt consrlucrtq{t
! rntcr E}r REsTDEITcE
o"
I s,9171s61 To Exrsrrrc REsrDEr{cE
ITPIIAgE CIGC( AI{o l srlti IEIOT' ATL IHAT APPI.Y TO YOUR
'IO]ICT:ff err eeneee
-
sF O7t, ao^oee sr
fl noncx
-
sF
I sumool
-st
[| root ,(l] sr D sronaee 5HED
-- st
rmrrlv
! owlqx
I rolruouse
r.
of 6 ne
lG'rjL a *srou
6aim,*l PA stt,s'0"-P
., VLls^o-ol ba,rqoo
EXrSTrirG c., snucrron:
I ATTERATToN
I nrrwarror
I erneur- nrnarRs
f] REL0CATTON
PR@ERTY I'SE / OCcl,P$JcY:
DESCRTPTTC{ OF I{ORX:
DECtAtfEft tn.,rhycedt niralllntums&n ln tlls.pllbslon b colrsc! €nd ,Jlwolkwill comply wit, tro Sht' au ding Cod€
lnd sl ohor.poli!&b SLb md bc6t htiv6
.nd ordt !oc.or.rd ,!!ul!tonr. Th6 NHC O.volopmnt So ic€t Clnbrvillb€ mdbd of any chsn€€t h
t€ tpprovsi Pbn6snd spoclicr&ns or
chag. ln conrEcDr or
cotlt cbr inbfirsJon, ,'.NOTE: Any Wort PsrlbnEd w/O rto App,opisb P6,fillr wll,t€ h Violtljon ol lie NC
Sq! Ad! Codo ond Subl€ct b F!n.s Up ro t5O0,0C"
(m{E1/coinRAcroa. tti"llor) boia e.SIGMTURE
(P.t* iatn )rI*I..*rt*+*.t}*r***++ *r,* * ***'rli +ia,itl'l**r*** * r
** ***ri*t* l. *** *. * r** ri
*.1*r*i*lfa ****:l*lr r * a'l *rr*,.*
rs E piopERry LocarEo rlr a FL@oPLAr ?
El YEs
I ro
ToTAL-ACf,ES DISIUiSEDI
HATEn:
[f crpu
fl comtuNrrY svsrrm
I rRtvrrr rer'r
f] cEITML ]'lEtL
ssrrn:
fr crnua
I CENTML sEPrrc
f] rnrvrrr serrrc
f] co' uNrrY sYsrEM
t+. SEPIRAIE PEm!IT5 REQUIRED EoR ELTCTJ llEcH, PI"BG, GAs EQUIPJ PRIFAE5
& INsri-rs **.'
oo"*r, ,rr,-i-"-El*t* E.r* (PAYABLE
ro tuc;
I uunror exmtss
! rcl'rso ! o:scovrn
*ltr.*ttttt*tt******ri{.+*tttttiili*rt*t*{r,t,}t*,*tldrri******r.r}:ti**********,r,r*i(*'rtr:r*rrr***r1:..n,rrr*!}'r
zoNE:
-
orFrcE R:
Approval:- cltY:-.- DATE:- Ft@o:
ExIiltrtr Il{PEn IdrS An$:
-5Q
FT
I€lt rilPEniwous aREA;
-5Q
FT
(rci orFtcE tsE q{tY)
SEYBACrS: F:- [H: RH:- B:
ExtrST LAI{O DISIURBIIG PEnfirrr I VrS
I r{o
iEvtsE! DAIE e/t/1vu
BFE+2ft"
corfllent i
r ---4 -,---
PEEirr FEE: J /)
9 XQR€E -Nil
Prilc# /',a Pt;(Ns
P€ZIS 2DvS
l
do
W
APPLICANT'S
DEVELOPER:
PROJECT ADDRESS: 2131. s. 17th streer
OCCUPANT/BUSINESSMllE: ttew lanover Regional Medica.l- Cente!
PROPERTY ohII{ER'S
OI{I'IER' S ADDRESS:
CoNTRACTOR : Hunt-Pri.ce rnc
ADDRESS: 118 sebrell Ave
EIIAIL ADDRESS: huntpriceGec.
rr. com
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATTOIT rYPE: COittiER€IAL
PLEAS€ ANSI{ER ALL QUESTIOTIS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility'
l{AfiE: Bunt-Price Inc
CITY: wilnioqton, Nc
2ol>-Zu't
APPLICATION
l{umber
(offlce use)
llff 3 l-30-2015
PHO
E *: 91,0-'/97-'t434
ZtP.284a3
l{A}lE: ttew Hanover Reqj"onal
Medical Center
CITY: witnington
LICE SE *: 4365't
CITY: wi.Im.rngton
PIIO E *: 343-?000
ST: NC ZIP:28402213 L S. L7rh St.
ST: Nc ZIP: 28403
PRoIECT COI{TACT PERSOT{: wes Price
PHO E #:91,0-79t-'7434
PHOI{E
f:262-34r2
(Check
A1] That Apply)
IF Yes, what
ARCH DESIGI{
E GR OESIG]T PROFESSIOUIL:
PH:
PH:
C State Bldq Code and
Hunt-Price Inc SIGNATURE:
BUILDING HEIGHT: . 5' :
SQ FT PER FLR:
-
# OF STRUCTURES:
(qrdnd (Pth N{n.)
tloto: D.lndilidr n rificado.B e .rb6to. rrnoval po.mil rpdlcdorE ar. to b. sl&niu.d qdng
tr.pdic.lion turm (DHH3-376E)
rndlr Ul. lbciliv q hilcrg uG ro(rd !o
.oiEih Arb.d. d riol. Ydr..or!qlr.d to c.lltE tl€dorEl Enbdon
$-d.d.6. Ha€a.dou. Ar rolum (NESHAP)
n (919)707-5950
d lsr 10
dry. frl6 io tl.
d..rElldo.! of iry lhdfy 6 blldno. S.. ,6b-!0. Wbb Slb:
TOTAL PROJECT COST: 78, o0o. o0
TOTAL AREA SQ FT :
-
TOTAL SQ FT UNDER ROOF:
_
ACRES DISTURBED: o
NEW IMPERVIOUS AREA
# OF UNITS:
SQ FT EXISTING IMPERVIOUS AREA:SQ FT
f OF STORIES:
# OF FLOORS:
Exsr LAND Drsrunsrxo penirffz Tl ves
f] rc
pRopERWUSE: EIoFFTCE Enesraunerrr
luencernu leouc nnrr EcoNoo orxe*
WATER::ZSCFPUA EICOMMUNrYSYSTEM EWELL f:IZONTNGUSECIASS|FICAION:
SEvt/ER: PCFPUA fICENTMLSEPTIC LIPRIVATESEPTIC DCOMMUNITYSYSTEM
pAyrirENrMErhroo: lcesn leecxleaveauroNncl [aueRrcANB(PRESS f]mcrvrse [orscoven
(FOR OFFTCE USE ONLY)
Exrsr cor{srRucTroN:
! ALTERATToT{
! nerovarror
[l ceremr- neelrns
! RELocATToN
lf Relocatixr, isiherea Naturalcas Line on the Current Siteu
flves !uo ls BLDG spRlNxfsneoz
Iv"" !uo
NEr{ coNsrRucTror:
! rnecr E}r srRUcruRE
! rmr rnncx
I srer-r
! urrrr
! ArD To ExrsT STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell
uas the Prevlous
PROFESSIOtlAL:
oF occuPAr{cY usel
[ves [ro
Hhat is the €ir
NC REG *:
NC REG *:
Is Elect Pouer on this Building E Yes n rc
Occupancy Type?
DESCRIPTION OF WORK: Repair or replace stress fractured brick and cMU in extelior walls of buildj.nq
ls food c bev*age trBpdad a srrtd in u*r *rnre? lves I xo b The Propqty
l-oced h Txe Floodfldn?
flYes [lruo
DISCIAIMER: I hereby cedify lhat all irformalion in
lhis-aprllcaliorl is correcl dd dl work will comdy wilh th6 Staie Building Code and all ottier applicable Srate
and local laws
ard o.dinarrces and r@ulations The NHC Develoornern SeMces Center w l LE nolifted of anv chanoes in the aooroved dans and soecifications
or ciang€ h co.rt aclor or -conEaclor i-ntormation. -'NOTE Any Work Performed w/O the Approrpriate Permils will
& rn Vrclalion ot the NC State Bldg Code an(or cianoe in co.ruacior
Subledlo Fines Uo To
or cianoe in co.ruacior or contraclor
Subjecrlo Fines Up To $500.00..
OWNEF/CONTMCTOR:
Permit #:
IS THIS
A CHANGE
Occupancy Type?
zoue,Ll Q l- .lorrrcen'
REVISED
DAIE {11N2
BFE+M=
Jr*u,r rr.'
tfR€g-
&ot ;- 8oo a
L5-2075{: ,\.
/ .
./ .i ':\,
!:; Jr 'r.'i
:: tiflL lr'lt.: Ku )-;i:i di.l$? jrl''.". El $f ,lllt, \' IXlldle{ .' ,'\,.nr39;./'.r-i,,_>'
APPLICANT'S MIIIE: to
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
('Project Responsibility"
& GrooLLC
l-81-3 Azalea Drive
APPLICATION
Number
(office Use)
. DATE:, 7
/1.5/L5
*i 9t0-619-46L0DEVELOPER:PHONE
PRO]ECT ADDRESS:
SUBDIVISION:
CIry: wilminqton
ZIP: 28a03
BLOCK #:LOT f:
PROPERTY OWNER'S NAME: nay Decker ancl Muffy Boylan PHONE*:
OIINER'5 ADDRESS: I8.1.3 Aza]ea Dri.ve
CITY: Wifmington ST: NC ZlPz28a03
CONTRACTOR: llonque &
Groove 1,1,C
LICENSE #i 54432
ADDRESS: 6331. ol-eander Drive
CITY; t{.ilminqLon 5T: NC ZIP: gW
EMAIL ADDRESS:
rnarkGtonque-and-qroove.com PHONE f: 910-679-4610
PR0IECT CONTACT PERSON: Bil-.1, de Bruin PHONE
f: 910-264-3251
EXTSTTNG CONSTRUCTTOU,
f] ALTERATTON
I nrNOVnruOru
f eeruenal REPATRS
f, nelOcnrrOru
NEW CONSTRUCTION:
E] eneCr NEW RESIDENCT or
f] ADDTTTON TO EXTSTING RESTDENCE
+*PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
I nrr GARAGE
-
sF f orr GARAGEsF
I PoRcH
-sF
f]sunnooN SF
E poor
-
sF
I oecr
_ sF
I sronnee sHro
OTHER:
SF
SF
TOTAL AREA SQ FT: zqsqa
I enrrHHousE
-
sF
TOTAL HEATED SQ FT: 3638 TOTAL SQ FT
TOTAL PROIECT CoST(uesst-oq : $ 700000
UNDER ROOF: qZOg
# 0F STORIES: z
Is Any ELECTRICAL, PLUi4BING or
'IECHANfCAL
Wonk Being Done to the Accessony
Structune?
ffi Ves f] no
If the project
is a Relocationr is there a Natural Gas Line on the Current Site? ffi Ves il f'fo
rs there Electrical Power
on this Building?
[Ilves il rtro
pRopERTy usE
/ occuPANcY:
E] STNGLE FAMTLY
f oUnr-rx
! rowruHousr
DESCRIPTION OF WORK:Erect New SingIe FamiIy Ilome
and ordinances and regulations. The NHC Devebpmenl Services Center will be nolified ofanychanges in he agproved plans and specilications
orchange in
contracbror
conrracror inbrma$on.
"'NOTE:Any Work Perfomed W/O fie Appropriate Permils will be in Violation of the NC
SraE Bldg Code aqi Sqect-to.*Fines Up To $500.00"'
.,/. "1 .-
OWNER/CONTRACT0R: Mark Batson SIGNATURE!
--.
l,;/.4.-I-i-:::::=*"--
(Print Name)
,, # il;*, ffiffi,; ffiiH..Hiil.***.*.C1l,ff#ffii6blLfr@*;-ui*p*a*gf
ExIsTINGIMPERvIoUsAREA:-sQFTToTALAcRE5DIsTURBED:.l5
NEW IMPERVIOUS AREA: 6,344 SQ FT EXIST LAND DISTURBI]'IG PERIi!IT:
FT VTS
ffi ruO
wATER:
[] creur
f] cour'runrry sysrEM
f] enrvnrr well
I crrurnnl weul
sEWER:
B creua
f] crrurnal sEPTrc
I enrvarc sEPTrc
I commururrY sYsrEM
*A* SEPAIIATE PERJ{ITS REQIJIRED FOR ELECT, ]T!ECH, PLBG, GAS EQUIP, PREFABS & TNSER"! *}*
*1T-*111',;.--H-?:1..?.'ff-'l-l:t'l'-'.'.x-ITJ..E-*fl:11'#.:Xi'=.'-'..-.?-Y.',-',:l.-.H:-':::*'
,o*r, [}!foFFrcER:
Appnoval:- City: [r-,il n DATE:- FLOOD:
(FoR oFFrcE usE oNLy) '{1 ldrrr.nr fuWc* REVT'ED oArE a4/1L/72
sErBAcKs: rr'3a\ LH,
l(r aa: t{t a,25t
, -+
BFE+2ft=
PERrrlrr,rr,
, la 67Comment:
eDrvt0+
ti i{-sii
APPLICATIOTI
t{tmbcr
(offlcr tBe)
OATE:_,01
/2al14
Pllot{f s: {2i-85{ -4.15i
ZfP,2s4ol
PHO!{Ef: i2J-664.4i52
ST: 'rx ZIP: .rr roa
srlyc.zrPt
e!95*.:4ta v74*4%lrr Qto -stt-clqc1c1
P#OffE
PHOI{E
DESCRIPTION Ot t&Rl(
: NEI{
Const Ceparete tJaEe !'ranc, Liqh: ouaac Fra?aino
l. melal
rorst, concreEe
bbodrberleagrepr?orsdrsdradhlristtraro?fiverf]uo bThoftwqtytocudlnThe@tnzflves [t No
OWNER/COIITRACTOR: ttr r:cn Pure
I SIGNATURE:
fAtil x.sr
t$oc
hndldl rl(lncild€
l6.d6trtlqrd FntI r9gltdqr.rltolo rfila!.d r*r9 ir#c-arhm(B.llls.tilt tr.0ua. hcrwo, h4.,leEhrrirro
coatdr A$a!!or o. io. Ys
ar rE(r.d b cf Ur NAbld
Erllrar girr,|nb k t{.zdoE A& FofrE {r (NESnAtt 6i (lr47ut.5$ A t
rr t0 dl,r Fra b h.doitd!' o, rt, bduty d UdLttrg Scr AEb-Ed
$$ 8rG ,tE nrr,.d d.r..E.urrdrffi.fruD$nt
TOTAL
PROJECTCOST:**
r5[o+f- EUILDSIG HEIGHT: sa.-s* rOF
tfitTg: ez cueE:rooms
TOTATAREASQFT;
s?3ee SOFTPERFLRJlricL- f oFSToR|ES:,1 _
TOTAL SQ FT UNOER ROOF:
]J9?5 f OF
STRU TURES:
'
T
OF FLOORS:
I*-
ACRES USruRBED: o..t t EXST
l.dilD DISTURB|NGpERMTmff yES flXo
NfiW IMPERVIOUS AREA:SQ FT EXISTT}TG
]MPERMGJS AREA -ul!I-I SQ FT
pRopEnryusE: lorrrce f]nesreumr.n fJuencar*'rur fieouc
[]rr flmxoo orHERIs.e]___
oF occrrrffiY u*l fl Yrs filro '."..
l{hat ir the ttfl Occuprncy
PH:
?04,112-
t6I1
PH:7?0.i09.4{;''
, Iype? B . l':HaI el ]
NC RE6 rt: 5889
Nc RtG
i: 38?61
caI)wATER: mCFPtA fJcoirMUt{IrYsYTSTEM
E]r,vB.r DZA}$EUSEq-AS{IFICATION:
SEWER: EICFPLIA IJC€ITRAIS€PTIC LIPRVATE SPTIC EJCo{anUilnYsYSTEM
p nGMr MEr;,'fil$ ^H6*;J. ["^;[ *l;fi ' fi ;i,:ffi''$;;* ft orseovrn
zate'C'-B r) spslc*rn. ('r-'::.
Approval:- Citf*J"-,u-
Commrnl
APPLICANT'S llAllE: l{rlmiuqlon HoLe} CrouD. LLC H1r€n pate}
0€VELOPER:
!iiImr!:qLcp
ilorel crouD. LLC
PROIECI ADOf,ESS: 225 crace Srreer
NEttrl
HAM)VER COUNTY
BUILDING PERI'IIT
APPLICITI(N ryPf
: COf{IERCIAL
PrtAst A16l.Er Atr Qr.f SrICto Ap$t
IGELt I0 y(xn m0lttI
"ProJect leeporuibility"
CfIY: trlmrnaron
O(CUPAXT/EUSI||tSS tlOfiE: i1a!idal, lnn Expreas & sutics
PROPERTY OIJI'IENI5
G{N[R'5 AODR€SS:
|lAllE: wr)mlnqton
liolei ororrD. LLc
{:l Brodd Stree!
CfTY: charranooqa
COI\fiRACTOR:
LICESSE 8:
ADO*E55:CITY:
EltAIL ADOf,ESS:
PRO]ECT CdIIACT
if UPFIT - rhe Shell Permit fl:
Is EIe<t Fomr on thls Sulldlng [J ves flrc
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..'.. IS II|IS A CIOIGC
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th€ Prerrtous O<cr.qleacy Typ€?
AICH mSI('&l PROFESSI0ML :
ENGI O€SICIJ PROTESSIOJ{AL :
TrroLlry tl. 3e,ilrlirt
sreDhen
J. Haddid
CilY lfls[r"i;ti,,, :ie;ilreo, 9l ]254'09U1
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APPLICATION
t'lumber
(offtce Us€
)
APPLICANT'S TIAXE: DATE:--lggIg
DEVELOPER:PHONE #: 910-6;,.0-3:163
CIIY: wi.lminqton Zl? | 28403
NEW HANOVER COUNTY BUILDING PERPIIT t5-2230
APPLICATION TYPE: RESIDENTIAL
PLEASE ANS(ER ALL QUESIIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
PRO]ECT ADDRESS:
SUBDIVISION:
223? Acacia Drive
BLOCK #:
PROPERTY OWNER,S NAI{E:
OWIIER'5 ADDRESS: 223?
scott and courtney BulreIl
LOT *:
*:
&l!l:5i!-
ST:
S- ZIP: 284 o3
ST: NC ZIP;28411
*:2]!:33!:238-
$t
W33:-
PHONE
CONTRACTOR: ATD Conslructi on
ADDRESS: 2900 Middle sound Loop Road
CITY: Idilminqton
LICENSE #: 1-454e
cIrY: jL,.l.!:}.L_
PRoIECT CONTACT PERSON: Rudy corxbroskr
EnAIL ADDRESS: Rudv0atdbuildlnq. con
EXrsrrNG coNsrRUcTroN:
I alreaarioru
[ nrlovartoru
f] err':rnar nrnarns
I RELocATToN
NEW CONSTRUCTTON,
fl errCr NEll RESTDENCE o" E} mOrrrOru To ExrsTrNG RESTDENCE
* PLEASE CHECK AND ANSI,IER BELOI.I ALL THAT APPLY TO YOUR PROJECTI
[ rrr canner
]L- sF
I suruRoor,r
-
sF
I cnreuouse
-
sr
f| oer eruer sr
! eoncH SF
PHONE
PHONE
Is Any ELECTRICAL, PLUI'{BING or |4ECHAIIICAL l"Jonk Bejng oone
If the project
is a Relocation, is there a Natural
Is there Electrical Powen on this Buitding?[ves
SF
I sronlce suro SF
SF OTHER:3r.u" Door r4i SF
to the accessory Structure)
$ ves [ ruo
Gas Line on the current site? Eives I to
ilno
fl eoor-
! oecr
ToTAL HEATED SQ FT:
.L_ ToTAL sQFT UNDER ROOF: ]{88 TOTAL AREA SQ FT: 1488
TOTAL PROJECT COST (Less
tor) : $ ts,croo # OF SToRIES:
pRopERw usE
/ occuprrNcy: @ srnclr ramrlv
I ouelex
I Toh,NHousE
DESCRIPTION OF I{ORK: Addinq 30'-8"x 2{'-2" allached saraqe tJi-lh bonus room drLd bath room abovc.
Plans attached- A1, A2
OTSCLATMER: I nercby cedit har att infomalion in his applic6ion is conecr and dl work wil comply wit) he State tualding Code and an ohar applac&le SiaE d local lsws
and ordinancss anrt €gutarjons. The NHC Devetopmenr SeryicBs C6nbr willb6 norified of any changes in he approved plans and specifcatons orchange in conracbr or
conracbr inrormaton. '_I{OTE: Any Wo Pertomed WO he Appropriab PermiE wU be in Viohton of be NC
Slab Eldg Code and $rbiecl !o Fines UpTo$500.00"'
OhINER/CONTRACTOR: Rudv Donbroski SIGNATURE:
,, ;:_ ilil;.mf ; ::..,##*; A f U.
__.,..*
cr.vJrry6etur&*j,r60, .
$i
rituW
EXISTING IMPERVIOUS AREA: r9s0 SQ FT
NEW IiIPERVIOt S AREA: ?44 _SQ FT
TOTAL ACRES DISTURBED:
!.:-I-
ExrsT LAiID DTSTuRBTNG PERllrT: I v55 lTl m
WATER:
El creua
fl coMMuNrry svsrer',r
! PRTVATE I{ELL
I cerrnal wtrr
srwen:
I creun
I CENTRAL sEprrc
f] enrvlrr seerrc
I co tYUNrrY sYsrEM
*}' SEPARATE PERfiITS RTQIJIRED FOR ELECT, I4ECH, PLBG, GAS EqJIP, PREFABS
& INSERIS '*'
pAyrEr.rr r,lErHoD:
IcAss ncnecx (PAYABLE
ro Hxc;
I A}tearcm rxrness
E uc/vrsr I rrscor.t
r.)t**)t**i(****;*x:t*****,**r({(*,*r(**,*******:*****r***x,t*x,**:*******,}****,*r***x***xr*x*x**,1,t****i.**
(FOR OFFICI U5E
'A sErBAcKs:
oNLY) Ir: DA,r, utr *r,zoruE
' !2-i( orrrctn:
Approval:
Comnent:
city:jAtL DArE :_rtllA_ FLooD:
fltf/,rtiu$ REVrstD D^rt a4t7\172
16," s. J()'Ir,.,r,,'cn-Y
"rr*r-1.=
.
-il- L]T^
PERfirr FEE:
s ll U
.',..,
ffi'
NEW HANOVER Cfl.lNTY BUTLDINC PERMIT
APPLTCATION IYPE; RESTDENTIAL
PTEASE ANSI,ER ALL QU[STlOttS APPLICABLE TO YOUi PBo]ECT
"Proj ect Responsibilltt''
NEt{ CO|{STTCTrOH;
f] enrCr NEhr RESIDENCE or
[l ADDTTTON TO EXrsrrNG RE5TDENCE
EXTSTTNG CONSTRUCTTOT'r:
fJ ALTERATTON
[J nertbvarrOrV flOrrVrnnr- REPAIRS
I nrr-OClrrOr,t
ARE yOU CONSTRUCTTNG:
fJOrr GARAGE
-sF
flscneeueD PoRcH
_ sF
fl pool_fJ orcr
-sF
floper'r PoRcH
-sF
sF
I sronear SHED
-
sF
sq FT
sq FT
NO. OF STORIES:
TOTAL ACRES DISTURBED:
MTE[:
[l creun
! cor,lurururry sysrEry,E pBrvArE wELL
I ceurnnl wrr-l
SEI{ER:
l[J creue [_l crrurnal sEpTrc
I I pnrvare sEprrc l_l cour,rurvrry sysrEm
*,1,1,!'*r:1.*****,f**,f*,*ri'i**'***+***t*'t*+*'x:i+ll(*;l(***:t*****.r.****************'f***+****************
qCIls-80t1
15- 2L39
APPLICATIfi,I
Number
(office ure)
*pptreg.lrs ruu,te: lvick ealding nnt*,
tr,r1u
DEVELOPER:PHONE
S:
PRolEcT ADDRESS: 6721 Faleon Pointe Roarl cIrY: @ ztef$lLl
SUBOIVISION:BLOC( *: _ LOT f:
pRopERTv o,Jr'tER's i&ile; walker & Allison Abney pH0ilE
*r910-$5f7.!-!
ohrNER'S
ADDRESS:
A72l,Ealeon Pointe Floacl crrv: Wilmington , .,,.. ST:AlcZI:p:28411
SSNTRASTOR, Balding Brothers, LLC LrcENsE *, fjjjj- AccotE{T *: N/A
T?v. wi I m'i nci- nn cr. NCzro , 284A2
6686s
ADDRESS: PO
Bq5 r-!47cITY: Wilminqtq4 sr; -Szrpr ..z-?tl
EfiAfr ADDRESST nick@Baldingbrothers . com PH0NE
#: 910-25L-272L
PRO]ECT COIIITACT PERSOil:Nick Balding pHoNE
#: gLA-25L-272L
I enrer'rxwsE
-
sF fJ narro w/RooForHER:
Attached Carport sr
Is Aoy ELECTRI€ALT PLUHBING on f4EcHAilIcAL Wonk Bein8 Done to the Accessory Stnpcturel f]Ves fl ,o
rf the project
is a Relocation,
is there a Natunal Gas Line on the Current sitel fl vJi fJ No
Is there Electr:ical Poryer on
this Building?
ffi Ver f]Ho
pRoPERTy USE
/ OCCUpANCYT
ffiSrruele FAMTLY
IOUpr-rX ITOWNHOUST
DEscnrprxor oF r.toRK: Kitchen Rgnovation and addition,of attg.qhed carport
(rnlnt Iame) ,,. ../
** ++ **+**rt***rl* *** ** ** *:I* * **** *** *,1**** ** *** * +* *
*+** *t **,t*,i *:f +
+**i(.**)ti(* ***** **
**** *** *.il.*
TOTAL PROIECT C0ST(t.essr.ou:
$ 1-L9,.000
, Is the Pnoperty Located in a FLooDpLAINI
fives [Jro
TOTAL AREA 5Q FT:TOTAL SQ FT UTSER R0OF:
EXISTTNG L,IPERVIOUS AREA :"
}lEl., L,IPERVICIrS AREA:
ZotrlE:
_oFFrcER:SETBACKS; F:- LH:RH:. a.
BFE+2ft=Appr.oval: City: - DATE
:_ FL00D:
CormentlpJh,r:r
rrr,
IJJC*-
conlracDr ln6rmalbn.
Ot,NER/C0IITRACTOR: