OCTOBER 26 2015 BUILDING APPSNut
NEt^,| HANOVER COUNTY BUILDING PERMIT
APPLICA|ION IYPE: RESIDENTIAL
PLEASE ANSI/I/ER
ALT QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Responsibility"
lyt t- ,
Laazht-LC
CITY:ln,
Aors- t0t5b
APPLICATION
Numben
(office Use)
APPLICANT'5 NAI'IE:
DEVELOPER:
PRO]ECT ADDRESS:
sUBDIvIsIoN: r/uu|<lt
PROPERTY OWNER'S NAIiIE:
OI{NER,,S ADDRESS: ZZZ
Plaa- t-t-c
CITY:
LICENSE #:nobg3
oare:
/o-l
3'ts-
PHONE
*:4,O .<qRZ.]
ZIP I
?-N9t
Lor f: 3L
srl)L z]P:
Z.gttOf
sr:[9zv:
e&c
PHoNE
*: qto 9Y Zqz-
7
PHONE
#:Q1o 3Q( ztz7
r
Pn<-a-BLOCK #:
7
S'lr S<Jvt€-CONTRACTOR:
ADDRESS:
Po Bo)c 51ag
EIiIAIL ADDRESS:
i
EXISTING CONSTRUCTION:ALTE RATION RE NOVATIONGENERAL REPAIRS RE LOCATION
pRorEcr coNTAcr pERsoN: DA fD3q F E An/R^
! oer caRacr
-
sF
E.rls,at
lbl sF
**PLEASE CHECK ANO ANSHER BELOh/ ALL THAT APPLY TO YOUR PRO]ECT:
ffi arr canacr
suNRooM
_sF
GREEI.IHOUSE SF
POO L
DECK
SF
SF
,o"f-*",
[ "", fuHo
the current site?
[ i"t I to
oell,
SF OTHER:
DUPLEX TOI^]NHOUSE
-S l€-
&sF
SF
STORAGE SH ED
/s0
rorAL HEATED
sq fi, 2/913 rorAL sQ Fr uNDER noor:491/f rorAL AREA sq tzZ1?4
T0TAL PROIECT COST tLess roo : $ZI* OF STORIES: Z
Is Any ELECTRICAL, PLUIIBII{G or ITECHA ICAL l,Jo.k Being Done to the Acces
If the project is a Relocation, is there a Natural Gas Line on
rs thene Electnical Power
on this Building?
l-l vet
l-l ruo
X SINGLE FAI4ILYPROPERIY USE
/ OCCUP/NCY:
DESCRIPTION OF WORK:S
DISCLAIMER lhercbyceniry hal all inbrmailon in lhis applicaton is
co(ectand allworkwill
and ordinances and reg'rlations. The NHC Developmenl Seruices Cener wdl be notlied ofan
coniraclor nlolmaiion. "'NOTE:AnyWork Periormed W/O fle Appropfiae Permitswillbe in
complywilh he S|ale Eurlding Code and altother applEabte Staie and toca aws
y changes in the approv€d plans and specificatons orchange in
conlracbror
volaron ofrhe NC siale Bldo crde and srb€ct !) tl9es uo To s500.00..
srGNAruRE:
4""2 &*JAOI{NER/CONTRACTOR:
DAiLBq
(print Nare)
+ {. + {, + + + {. {. ,}
,f i, ,t + ,k
* * * * * )r
* r* )r )r
* ,* ,*
* * + ,} + 1. + * + + * ,t ,* ,t ,* ,t ,r
* * )r )i * )i
* )i + )t + i * + + +; -.:
*;;K;.... - - - - - - - * *
l-lves
fr ^o
TOTAL ACRES DISTURBED:,ob
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
Exrsrrr{G rMPERVrous o*ro, 0 sQ a,
NEr{ IMPERvIoUs eaea:
3,7'?lo sq rt
--1
I{ATER:
SEWER:
N
E
EXIST LAND DISTURSING PERIVUT:
l-l vrs
N NO
CF PUA
COIIIYUNITY SYSTEMPRIVATE WEL LCENTRAL WELL
creur
fl cENTRAL sEprrc
I enrvnre
srcrrc
! coNNurrw svsrrm
ZoNE : _ 0F FICE R:
*** SEPARATE PERflITS REQUIRED FOR ELECT, I4ECH, PLBG, GAS EQUIP, PREFABs
& INSERTS ***
'^Yfll.i:111';.--H-'ffl-H-?:1-l:1'i11',.]:.ii'.,-.tr.-.*:llll.:lll'.'.'-.#ly:::l-..H::::'J"
(FOR OFFI(E UsE OI\ILY) REVISED OATE
O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLoOD:
_ BFE+2ft=
AVN
Comment:
CITY:
PHONE
#:
@fienecrNEhlRE5IDENcEo"!aoorrtolToExIsTIl{GREsIDENcE
tr
PERI'IIT
FEE:
$-
lot5-totsq
NEW HAN6VER coUNTy BuTLDTNG pERMTT
4ffit67
APPLICATI1II
naTI COMMERCIAL
PLEASE AIiSKgi ALL qUESTJOI,IS APPLICASLE TO YqJR PNO]ECI
"project Responsibrlity,,
Unit 130 CrTYI
affirron
Numbet
zJPt
e7j
oi-
)c{ 'tfi- ars:rr.:-.....-,\
; Nc- zrP:
APPLICANI'S N'\fiE:
DEVELOPER:
OCCTJPAIT/BUSIiIE!S NA,{E :
PROPERTY OldNER,s iIAIiIE:
J o\,n..L
+
PHONE
-lr"
-s r,a^._^
OhI,IER'5 ADDRESSI
COI.ITRACIOR:
)-w.l
ADDRESS:
EIiIAII. AOORESS:
PRO]ECT CONTACT PENSON:
EXrST CONSTRUCTTOX:
E ALTERATTO
lf Relocslion, is tharo 0 Natursl Gas Line on lhe
NEW CONSTRUCTIotii
ACCESSORY STRUCTURE:
L4rr^r, o(;
,rNLrrr,)BJo)
prcxE *,t
_ |!Ja: i 7l- -LlScZ
PHONE
S:
-7fo=+1't'577t
PHONE
#:
ST
a
CITY:
CITY:
(Ch€(k
All Thrt
alrry)
ffi ne mvarror
l-l
burrent
site?
[vEruo rs BLoG
sPRINKTERED?Alj Yes LlNo
GEI,IERAL REPAIRS
tr RETOCAIION
! rnrcr NEta
srRUcruRE
flasr rnncx
! srrll
!UPFIT
tr ADD TO EXIST STRUCTURE
If UPrIT
- Th€
Shell Perurit f:
lF Yes, uirt $,as thc Previous occupahcy Typet
15
€Iect Powe
r*... IS THIS A CHANGE
OF O
tr YESPA{CY UsE7
l]Jhat
ls the t{&/ O.cupai(y lype?
Ycs
fr*o
l6dllg or bulldhg ws5 found
to
r on
thls Buitding
Kuo"...
ARCH D[SI6N PROFESSIONAL:
ENGR DESIGN PRoFESSIottALi
ou,
(t, ?1., @A{$c arc
*,
I q.V ir*? 3-t+7 Nc Atc
*.
7+?+
z-4419
1,1
DESCRIPT]ON OI I,/ORK I
Kti'r ov u \--
KE:N1
16 food or bEvereges prcpsred or sorved in rhis struauret filves
fi ruo h rhE properg Loobd h rhe Floodpl8ln?
B yes
$lo
StEle lng Code and all
wlll5p n
ol
lroNt
Note: D€moruon notfic€llor.! I 3sbe51os raftoval pemll ,ppllcstlons orc lo bo sulmh€d usln! ue Eppltcethn
fD'lletn Atb€ st6r or not. You ora re{utrod to cal th€ Ns(ono, Emtsston Stsndsrds {o, tirrtrdols /\Jr poltuhds
d!ftElftlDnof6ry facltiy o, b!Idi0. Ser ArDenos WeD
Slle ldp/*rw.ept5Blejc.us/c9i,,rtesos/shrp.t{m
TOTAL PROJECT COST. 71 5,,0d BU'LDING
HBGHT:-# OF UNITS:
OTAL AREA SO FT SQ FT PER FLR:
Y'r'lo'i 3oo -o#oF STRUCTURESi
.l 1335{ 10 (by! trhr to the
t
riAP)n
TOTAL SO FT UNDER ROOF:
* or
sromEs]--5-
# or rloORs; --i-
Go0
c
ACRES DISTURBED;
NEW IMPERVIOUS AREA:
OO/.1D
WATE
SEWE
,r/*
,/r
EXST LAND DISTURBiNG IERMIT?ffives
flllo
SQ
FT EXISTING IMPERVIOUS AREq,
--
SQ FT
enrv uf : f,orrrcrpnesreumr'rr
R: ACfPUA flCdMMUNlrY SYSIEM
R: QCF?UA f:lcENrReL SEPIC
E
MERCANTILE EDUC
treet ficlHoo orxen,
flwELL EZONING USE CLrASStFtcATlo N:
PFTVATESEPTIC
ECOMMUNITY SYSTEI\.1
-..itr'nr.'fr6
(FOR OFFICE USE ONLY)
PERMIT FEE: $
nEUSED M'IE 4h
l/t2
-. SEPARATE PERMITSREOUIRED FOF EIECT MECH, PL8G, GAS EOUIP, PREFASS ITNSEqIS_'
PAYUENT METHOD: IICASH EcK (eAvABLE ro Nxc; flmrenrcmr e<eness
I ucalsn E olscoven
ZONE:
P,B OFFICER:
ApproYal:_Ciry:-
Commenl
CH
-1- I
.r,ri
I l iJt/gcrUi i Keqirii e0, i i rj"i.J+-t, r r.i,.r
PROJECI AOOf,ESS;
2os-totsa
NEt{ HANovER couNTy BUTLDTNG pERr'trr -a5--28tr1
B,-.DATE :q/, /,r
APPLICATION
iturDer
(Offtc. t
r.)
aPPLrcain's [Aill:o [r.
n ,,,.
DEVELOPER:
L
PRO]ECT ADDRESS:
occuPAt{T/EusItiESs r{AttE :
PROPERTY OhITIIER,S IA}IE:
d{ En's ADOiESS:
COiITNACTOR I
ADDRESS :
+
Unit 130 CIW:
pH@.lE
*:-rci
ZtPz
eYlof-.k+-s K.{oL-^Aa-
PHONE
*: )d,/ J-j-r.
rr,
,e
ST:
NL zIP:
t',NL ztp
,LBJo
f
?fiorfi
*: clla +7G-7t,
57:
crw:
crw:
E
*:(,
a.
EI,IAIL ADDtrESS:
PROJECT CO'{TACT PERSO :
Exrsr coNsrRucrror:
f] alre
mrtor
lf Relocation, is lhere
I NaturalGas Line on lhe
NEtt, CONSTRUCTIo :
ACCESSORY STRUCIURE:
Thrt Apply)tr GEI'IERAL REPAIRS
I rrr.ocrrror
Yes
trNo ts BLDG
SpRtNKlEneorfilves [Ho
(tne(I
lItB netovlrrqr
bunenr S
e?
[
D rnecr [El,l srRrrcruRE
n FAST TRACI(
tr sxur.
n unrrr
I ADD
ro Exrsr sr6ucru6E
If UPFITThe
Shell Per0it s:
*t"t JS THJS A O{ t'rGE
IF Yes, xiat hras th€ prevlous occuprncy TlDe ?
Is Elect Pogrer
oq thls B
uilding fl ves fi uo
oF occuPAficY t sE
A?/hlhat
is the €tJ Occupancy Type?
r
fl*,
ffi .....
w:4L42)g!bslnc eee
x:
pH: 3E_Zb 32{1ilC REG
i:
AicH 0€5r@r PnoF€ssror{at:
EIIGR DESIG PROFESSIoTIIAL
:+zj<1
DESCRIPTION OF hOR(:(rpovft1lot''i!(oG(c:far:K fl NT
h bod or b3w'lges pl€psnd or.ewod h rtrts sructrer @yes
I uo u
ne rrcperry Locsred tn lle Flooddain?
E yes Eh,lo
Stale Cod6 gnd all o$erspdlcabte StEte
end sgecifications
BEs Code snd
(a.nlri.o
tlo(e: Ehrndltion nodlicdhrE &
ls!€doa rrnovsl pednlt rppllco{ons
rrt to
!. tdrin d u.tio rt lpptk!{on lbdllty o. baitshg
sls touid to
co rin Ar!a51o3 or n4. You !l! raqulrad to
c'n UE
Na{oml Ernbrion Sbndarda
ta lirtladou! Ak polhrlr,c
€l lo.d 10
d!!s Flor tO
0lo
d.rbltlo. ol .iy f.d[ty o, bdldhg. Seo
Ar!.-no6 Wbt Sne:
TOTAL PHOJECT COST:715,lucc EUILDING HEIGHT:# OF UNITS:
TOTAL AREA SQ FT :12 t)fl 0F STORTES:TOTAL SA FT UND€R ROOF:# OF FLOORS:
ACRES DISTUFBED:EXST
tAND DISTUREING PERMIT?
flves
[HoNEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVI0US AREA:SO
FT
PRoPERTY
uS!:
SrrEe ffiesTAURANT
wAlERt
A yPUn 5Od UUxTWSercu
sEwER: ECFPUA DCENTMLSEmC
fl
[Nenuxnu
neouc
fleer Dcoroo one*uwEU_
tlZONING USE QASSIFICATON:PRrvATEsEpr'rc
ECOMMUNITY SYSTEM-. SEPAP.ATE PERMrTS REOUIRED FOR
E].Efi, MECH. PL3G. GAS EOUIP, PREFAAS & INSERE -PA\n ENTMETHOD:
f]ceSx CHECK (PAYABIE TO NHC)
flrurenrat a<enrss fluousa Et orscwrn
---l
zoNE: oFFlcER: roi oFFic-E usE oNl-Y)
nppmrar:-city' ---ilfrEr-- Sffi5:'F:-LH'-RH:-BB:,
ilCommentr
A
PERMIT FEE:
n€usED DAIE
aI vt2
APPLICAId(N
naf
: COF,$IERCTAL
PL€AS€ AN5},ER
AU- QUESTIO S ApptICASLE
lO YOUR pnOl€CT
"Project iesponribilit)/,
i
SO FT PER
FLR:
9a&'i3o* ..r,
*orsrnucrunffi_
ral
\tMiDIS
NEt^, HANOVER COUNTY
APPLICATION |YPE:
PLEASE ANSTIER ATt QUESTIOI{S A
"Project Responsibility"
ATTANIA'S REL]ABLE ROOFING CO
RECEIVED OCIO6 7^'C
cot'ttilERcr
loa-bteZ
APPLICATION
Number
(Off1.e Use)
BLI TOUR P8O
PERMIT
] ECTJ+
ffi
APPLICANT'S NAI'IE:
DEVELOPER:
CITY: wr r,MrNGToN
DATE: ro.o5.2o1s
PHONE
$:1\b
DS
so
PRO]ECT ADORESS: 918 N. MACM]LLAN AVENUE
oCCUPANT/BUSINE55 NA E: uNrvERsrry pLAC E
o!'INER,,S ADDRESS: 2?20 NoRrH (]HURCH STREET
CONTRACTOR: ATI,ANTA S RELIABLE RooFING Co
ADDRESS:
4s94 WTNTERS
cHapEL RoAD
El,lAIL ADDRESS : ali6haneh'man@reliableroof
inq.bi z
CITY;GREENSBORO
ST; NC ZIP: 2r4rs
ST:
cA ZIP: 30350
PIloNE *:404-?96-0011
PHONE Sr 770-4s? oooo
LICENSE s: a4 3
CITY: ATT.ANTA
PROIECT COa'ITACT PERSON: ALTSHA NEWMAN
Exrsr colrsrRucrroN:
E ALrERArron
a *.nlilii!3ii
lf
Rolocaton, is there a Natural Gas Line on the Current Site?
E
GENERAL REPAIRS
E ruo IS BLDG SPRIN
RELOCATIOiI
xlrnrol
I ves
Itro
NEW CONSTRUCTION:
ERGcr NE!,r srRUcruRE
fl rasr rnacr
I sxrlr-
f] unrrr
! aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
Yes
If UPFIT
- The She1l Penmit
*:
IF Yes, uhat rras the Prevloirs Occupancy Type?
AR(x DESIGII PROFESSIOML: N/A
*'.'* rs rHrs
a cHAttcE oF occuparcy user
Ives [lr,to *****
Is Elect Pouer on
this Building E Yes E m
hhat ls the t{eri Occupancy Type?
PH:NC REG #
PH:NC RE6 $:ENGR DESIGN PROFESSIOML: N/A
DESCRIPTION OF WOR(: TO REMOVE
AND REPI.ACE ROOF SHINGT,ES
ls lbod q b€\,Esge F€pdBd n sslrd ln tle
*rrcure?[ve.INo f nr eropety Locabd tn lho FtodCafrf
!ves p r.ro
State Building Code and all olher applicabte Slate
chan lhe aooroved olans 6nd sDec [alr,ns
Volsrioil olrheNC Strte Bldg Code andwill
Not : D.mdLm mdtc.bll! e 6!b6b. tqno\d p..mlr lrD tO be
r.>r\-X.CC.\
iubmlid udlB llo lopgc.tonhm (DHHS-3788)
s,lEdE lhe hdlq' or bulldl|ro w.! hrnd b
con6h
Aab66 q not Yos ErE llqdaad
b adl tha
tlsloiEl
d.rEllton of .lly i.dllv or
bulbh0. See Albet6 \ r€b Sfta:
TOTAL PROJECT
COST; 13,166.67
Embsbn Sr.ndrtl hr lte.rdou! Ak Polh6r r (itEs+i P)
.i (910)m75$O n b.!{ 10
dayr prtor to rh6
# OF UNITS:
TOTAL AREA SQ FT :
SO FT PER FLR:
htFr&/ww.opl.e.b.nc.us/spt/BbBio./6hmp.htnl
BUILDING HEIGHT:
# OF STRUCTURES
ACRES DISTURBED:
-
NEW IMPERVIOUS AREA:
# OF STORIES:
# OF FLOORS:
Exsr IAND DrsruRerxo eenurrr
I ves lEl NO
SO FT EXISTING IMPERVIOUS AREA:SO FT
PROPERTY uSE: EOFFTCE lnesrxrnerr lurncerru-r [eouc fi AIr1
lcoNoo oruen
WATER:
SEWER:
pAyMENr METHOD:
lCeSx [CneCx plvletE To
Mrc] flanencet o<nnrss
! ucrvrsl
I orscoran
EE]D CoMMUNTTY
SY€TEM E WE.r I]ZONTNG USE Ct ASS|F|CAT|ON:
E]CEiITMLSEPTIC
E PRIVATE
SEPTIC
f] @MMUNITY S\€TEM
CFPUA
CFPUA
'- SEPARATE PEFlrllTS REQUIIIED FOF ELECT. MECH. PLBG. cAS EOUIP, pflEFABS 8 INSERTS -.
...d.............. ..... ......
(FOR OFFICE i}sE Oa{Ly) EVBGDo
rEaflrrzZONE:_OFFICER:SETBACKS:
F:_ LH:_ RH:_ B:
Apgoval
:_ O!,,:_ DATE_ FL@D:
_ _ _ BFE+2F-_
ZIP:20403
PROPERTY OflNER'S NAiIE: wEsrIlrNsrER
coMpANy PHONE #:
TOTAL SQ FT UNDER
ROOF:-j4!_
co,nr"nt ^ ' Jr*u,rr..,r/[D--
RECE]VED OCT(]6 ?^".
NEH IIANOVER COUNTY,
fUTL P ERMIT
APPI.ICA|IA* fI PIcol'i1E 8CL
rL! 1ir n\5ri? A-! Q{ra5r:onjAp la ic
t orS- l0tb3
ADPLICATION
I{ur,:tber
J"Project R€sponsibility"
APPLICANI'
S iIA,n€
DEYELOPER:
oATE:J.05.2ori
PIONE
I:
\
\J
ua
PROJECT
A&)RESS: ..r
1g 5
CITYr FtLMrNc:cN2l? : ze4t)j,qAli.l I L:-Lt: r.r.,Eti!E
CC(UPAIT/BUSINf
SS NA.i1E
l,.riivFR:; i
it p:;cE
C!,JNER'S ADDRESS:
,a2l licRr}i c,iJ: -; r - i::l:
ADDRESS: ,1s9.r lrtN-.ERS csA!,EL tioAL
CIT Y: crFrENsBcFo
ST:!qZIP::,.71:5
CoNTRACioR: A'rr,aNrA.s RE:,.iABL,-i_gl!:E -lg !^--9
__ LICEtiSE I:4
9t l.l
_ ST:6A ZIP: lcaEo
EflAiL AoDRESS: .rr tsi.a:ieEr.d:rc.
:i- -rL.I r
..i-.a !:! _
(cre<L
all inar A9pty)
PHOI{E B:404 -196, oc 1l
RELO'ATIOT'I
r,/tx corsIRUcrIott
I rnec: rrr,r srRUcruRE
!i:rs- TRAc(
I sxtrr-
! ucrtr
I ADO TO EXIST STRUCTURE
ACCESSORY SIRUfi-i[:
If UPFIT The
Shelt permrt
{i rs El.ect porer on
thj.s Building El yes E rO
..... rs .iHrs a cHAllGE or occlparucy rrs€l
f]vrs pm ....'
IF Yes, rhrt 'las tie pievisus O<:upanay Iypea _. _ t6nt i.s the NeB Occugancy Typel
rR(l DtSlGl\ Pf,oftSSIoNIL: - ::
;_
EXrST COHSTRUCTIOX: f_] lr.rrnAirOv ! remvarrol @ crtrtnal nrmrns
lf Rdocat oll. rs
therc. \atur6laasIi eorlheCu enl
S'te: ilves Itro tSBLDGSPRINKI.ERED?No
pll
PH
NC RE6 I
NC RE6 '
EN6l DESIG,I PRoaESSIOIAL: fl.a
DESCRIPTION 0; ',IORK: -.r pE[!iv! jN] ,t-AcE Roo!. SHTNGLES
€
W o( b6vr.sle8 FepgEd cr s€.v€{ in ihi6 snEtrie?
f v". Pl *o is Ihs prop€q toca€d h Th€ Fl@dC8h?
E yes E No
O!3CLAIMERT r \c,ebt.e':ly lhar.il'nlo-maro, In Slale Buildioq Code an6 al olher ap2hcabte SbE
orchanoe Ln conuactor or canr.3arl
Sl]b,edt F,1es
Jp:o ltoo 00'-
iLi\"r,LlL',dron rsLcr ec d.Jdl wor^ witlcoool!sththeN-( Otveloodcnl
lcl ccs CenterblllDe nottEo olsnv\ r-5 Aoy Woir Pc.c Tr o ;V/O lhc Aoo oDnate Pe.,nils
olsns andrm.i,drLnnr)l. Srare E, do Cod. and
6nC loellnws aii ord nan.e; ah.
lgw i
{ou€ikl
iiab: Dosxlllqr :E0fttiql! & e$6bs mdd tcmtlsid r@) | _:rs_\ r\Aclrrsr-.i re b !3 slDrlirld uall! ta lrdhrlhnbm (OH|S.37*) htrala. Lr. lidlv or tulldhg '!3 b6d !t
c.ct hr A!bi.6 d €t Yr] at! .lqJlrsa to
cdi L*, NErcEl Erstb. S!.rxre:s L, hEsrn@s A! Pollri.ir! OEatt P) 3l ('1E7O7€F.r t. 10 d.rG Fto. E L'E
ds@Ilon ol any tlily d bol5bg. S€s Asa..t r \1l(6b 3116: hr& r/E*'.e9t.sr!re
.. E/€ruasb6rorshmp_htr.t
TOTAL PRO.]EC;
COSi
CL))t''*=-.-",n
BUI!-DIIiG HEiGI-:T
SO FT PER FL3:
;: r'I 11
r.-r-
# OF UNITS:OTA AFEA SQ _
]-OTAL SQ FI UNDEF ROOF: 6:r. *_ S
OF SfRUCTUFIES
ACR:S DISiURBiD
zoNE:
mA^/^bFFtc.ri SETBACXS:
ApF"olEl:
urry,_F!-OOD;
EXST LAtiD DISTURBING PERMIT?
f] YES
SO F] EXIS1ING IMPERVIOUS AREA:
t,io
SO Fi
pRopEnry usE: LlcFFtcE f_la=srrunerr
fu:nclmu Eeouc Elpt flcoroo OTHER:
WATER: EICFPUA :l@MUUI'ilTY SYSTEIL
EwEtj- EZONING USE CT.ASSF|OAT|ON:
SEWER: -- CFPUA LIICENTRAL SEPrc LIPRMATE SEpTtc
! @MMUNITy S\4STE|
- s.rr.i,r.t J,i r:ri,.spr ,fllrti.r.tt:!LE(..T Nicn:,t;o.6/-.strQJtr;,,trtFABs6lNslFts.-
[cesx iorrcx pAyAaLE -,o r*Hc)
l]er,renclrr errnrss flucruse I orscoven
a
4.iiqi}1
Comm6nt
. .^ul l,
DiLd s.+
fTROPIRTY
Ot{tirR'5 flA}tt. rLs]ffi:k ...un!A,,{
r _--.-- ptfJ f tl
CITY: ATLAM.A
PRoIECT CONTACT PERSOi{r
.1!l!S f rjeIIIl___.- pHO E I: ?7c .r,..?-0000
OWNER/C C NTRACTO R ;
...iLI,.\:r|
* OF
STORIES:--
f OF FL@RS:-
l!
PERMIT FEE: $
Y\I'EW IIANOVER COU
APPLICAfIOTJ
rLE rsE ANIlrLR A!! Q{JESrl
IiECEIVED OCI O6 2OS
DTNG€ERMIT
COI'LIERCIAL
Jprs- l0
rks
APPLiCATIOIY
NLrmber
J
"Proje.t iresponsibility"
APiLICATT'
S NA''I;
DEVE LOPER:
A i !,A.ti'Irr S kii-t.j.!ii,! tiooFI]1]G ct.l
DATE: 1o . or .
?c15
PHOiJ' 6:
PRCIECi
t_-lESS: .Lrz N f1-4,it: t LL;L\. nr./Erii!
OCCUPAi]T/8USINES5 NAI{E : uNrvERs r L\ i,:acc
PRCPERTY
oi,iNER,S :{Al{E: xisrr,:N:i
(ITY: HI:,rllalc'icNZIP: 2Er Ol
LiCE|ISE #: a ea
i l
CITY: ATT,AN]A
5T: N'-' ZIPi 2'ra rs
5;
EUAIL ADORESS:
ai.:si,a)ek,a,:are:rabteroc:rxc
PROJ ECT CON:ACI P:RSCIJ:
..
.JEI{ CONSIRU'TIOl'i
{CT ESSOf, Y S; RUITL;Tt:
PHO
'
i:
Plot{E #:
i cA. ZIP: r:160
434 ?95 C0rI
?70-l5r- 0000
Exrsr coirsrRucrro*:
tr aLrERArro{ -r -r*fliilli.i
t Rolo.adon, rs rhero a N6turar Gas L,ne on lhe Curent She?
[
GENERAL REPATRs
l-l etlocarrolr
E!*o ,s eLDc sp,-]lN-xrrRrse
flves INnYes
I rnecr {Eu srRUcruRE
!rrs: rnacx SHELi UPElT
I aoo ro Exrsr srRUcruRE
If UPFI]
- The
Shell Perort *:Is El.ect Pouer on
this Building E yes f] Ho
PH:NC Rt6 f:
NC REG I:Pil
\
!-)
0':)
v\
,lRcll oESlGi PRoFtSSIOIAL
I N/rr
5N@ DESI6N PRcFtSSIOIALi :tjt/,
or cha.oe i. conlrd.rcr
Slhiar ro F.ps ..F
Io
R. h€reby
<er!l! Ihal allrnlornar:or ix i,
ls lood c. b€v*egc Fepsred cr ssved in :ts sruarrar
[ '.. 15 *o b nF pnpsiy t ,oca€d rr rrre noodpranr
f! ves
[t r,ic
1..ildlng Code andail otier a
)plicable SEresble llu
aws ana ordrnanc€s and
fr;., -.- .:. .,- ,
(i\. \y:.\ r,.-
OWNER/COI\IiRACTOR
: t'r-i:l.s-},7r\r,,rt- SIGNATU
lqsl:bn if,nrx u|16l 1--.- 11t^,_a
taob: Midt iodfidrbG &
s3t slca En6a id.nh apcUtgs re r x
iuflrit ,grc
l$.pdr,llD. b.n (Dl.iis3768)
$€t r tE HIV or
t{i6r! wo3 krd ro
.qtn&r
A!t€s6 of rpt You ec r8q&t n E c€ll't.\b!.'ta! EnlsL.l stlEarcs hr,l&srbo! Arr Poalerlts 0.{ESHAP) c! (91 8707{850 d bsn 10
dsF Ft(!o 01o
ddndlrtn E( en, bclFy o. lLillE SGe As56.'s \!eb Sn!: htt.]]l.d .?t.!t .! E us&ruesbc!6,/annp.hrnl
I'OTAL PROJECT
COST: rr.i66 6'8r-it,,91NG
HElGif
SO FT FER
FLI
# OF UNrSI
TOTAI AR.EI SO FT
* OF STORIES:
* OF FLOORS:TOTAI- SO
- JNDEc RCOF
6?li _
rcRES DISTURBED
pRoPERry usE: [oFF,cE f nesn:;;wI f,u:nuxrL:
WATER: ICFPUA '--CO MUNITY SltsIEM IWEL*WER D CFPIJA -CEhTRAL S.EPTic , INTVATE SEPNC
A@rD\,?l
# OF STRUCiL'FiES
EXST LAND DTSTURSNO eenUrn
IvrS
SQ
- EXISTING IMPERVIOUS ANEA:
[leouc
filrr [cor,roo or]rEFr__
nZONlt{G USE ct sslFcATlcro:
EcoirMr frv SYETEM
lcesri I cx=c< (pAyAsLr
ro NHc) trAMERTcAN E<pREss
E Mc/vrsA
flotscown
FLocti:
_-
{FOf OiFl= US: OI{LY)
zoNE fl1rr tYloFFlcER:
tiltjl',:F: [.ii!LH_NrgRH:_l:J{gB'.-!..ll3city: -;i fle
:,.{pl BFE+2fi=
comment-C];3-,
a.
)
GI
L..:
i-
: r!i:i::=:
oUNER's ADDRESS:
r'r2p NoRTll cii-r9c)l
sirEEr _ CITY: cREEtisBoRo
CottTfl ACIoR : jj]-Liult-!gE-!_l4Br.r p
:).F : Nc
CL _
ADDRESS: asga i{rNTEns cHAp:r. FcAr)
.r.,. ;s rHrs a cxaxct oF occLpArcy usE:
Ives Bm .....
IF Yes,
rhat ras the Previous Oc:upancy Type? _ Hhat is the tien Oc<upanay Typ€? _--
DESCRIPTION OF ,IIOR(: ,I'C, RE]'1cv. juif, REPLACL.
R,J]. sIIlIIGLEs
r$
rJ!
RECEIVED OCT O6 ?OT
NEW HANOVER
COUNTy-BUttDIfl6-..p991411
APPLrcArroN r(e t cotuenctat _rt
pLrasE arirswER
ALL eurs r
roNi.rp}Jsatl.+ra-rwf'6RolEcr
"Project Responsibility"
Aos-totrry
APP LICATION
l{umber
(Offl(e U'e)ffi
APPLICANT'S TIANE:
DEVELOPER:
ATLANTA'S RELIABLE ROOF
I NGCO
CITY: wr LMTNGToN
DATE: ro .
05.2ors
PTONE
T:
PRO]ECT ADDRESS: 904 N. MACM1LIJAN AVENUE
OCCUPANT//BUSINESS
I,IAI'IE: LINIVERSITY PLACE
OhINER,S ADDRESS: 2?20 NoRrH cHuRCH STREET
CONTRACTOR: ATTTANTA
s RELTABLE RooFrNG co
ADDRESS: 4594 r{rNTERs cHApEL RoAD
CITY: GREENSBoRo
ST: NC ZIP: 2?4
rs
LICENS€
f: 4 e413
Et'AIL ADDRESS: a 1i shanewman@rel iabler.oofinqbiz PK) E
f: 404-?96-ool1
PRO]ECT CONTACT PERSON: AI,ISHA NETiIiIAN
PHONE *: ??o-4s?- oooo
(Che.l AII lhat Apply)
EXIST COT.ISTRUCTION:ALTERATION RENOVATIONGENERAT REPAIRSRELOCATION
lf
Rdoce o{l, is
there a Nalural Gas Line on the Current Site?Yes
ENo IS BLDG SPRINKLERED?
I vu. f]r.ro
If UPFIT
- The
SheII Penmit f:
lF Yes, t,hat yas the Prevlous occupancy Type?
ARCH oESIGN PROFESSIOTIAL: N/A
DESCRIPTION OF t,lORK: To REMovE AND REPLACE RooF sr]rNcl,Es
Is Elect Por.,er
on this Building E Yes E rc
PH:
PH:
NC REG f:
NC REG #
\
}J
os
\ l
b lbod r b€treag6 p.€pd€d
d sqved ln
ttrb anfire? [ Ves T
No b The Prcpety t cabd hlho E@dCdnZ
! ves
flHo
OlSCl.AllER: I hereby cerlify lhat allinformatio.l in 0 s application is
co.red and allwork wiltcompty with the
a4d local laws end ordrn6nces and r€oulattons.
Ihe NHC oeveloomenl Servic€s Center wll be notil6d ot anv
9r change in conraclor 9r conlraclor inlormetion. '-NOTE: Any Wo,k Perfomed WO rhe Appropriate pemils
sub,ecr 1o F,nes
up ro ts00 00... R\\a<\V:.s Hqfv:SU
Stale Building Code and sllother applicable Stale
cha
will
ia lh€ approved plans and
Violalion ol lhe NC St8re s ode
OWNER/CONTRACTOR:
RF..<a" cr,,/ Qrl*t-r-,"SIGNATUR(odn.) lp'i,{M;,t [<,;16C.11Nor.: Oinolloo nodic.toru A a.b€bo rgodd Fmh apptdbr}t .rB ro bo amltd (EE $e'spdhabn
.oni*r AlbocE o. noL You .ro trqdr€d ro
cdt th. tLtonst Emb.ton SLndafita
br llazrdous A. potutant!
hon (DiHSJ88)
ri.d.r df,
hdtt or hrltl w6 hra b
(NESHAP)
.r Pl qm7595o .! Lotr 'l0 d.yr qlor b Ole
d.,ndllbn o{ .ny hc{hy or hIEhC. S€. Arb6t6 Wbb
S[.i htF,lwww.6pt.sribrc.uskpyasb€slc,/Ehmp.hl'nt
TOTAL PROJECT
COST: Ii 166
.61 BUILDING HEIGHT:# OF UNTTS:
TOTAL AREA SQ FT :
SO FT PER FLR# OF STORIES
8 OF STRUCTURES# OF FLOORS
ACRES DISTURBED:Exsr LAND
DtsruRatxc renurn
flves
SO FT EXISTING IMPERVIOUS AREA:
r NO
NEW IMPERVIOUS AREA:SQ FT
(FOF OCFTCE USE Oi{LY)REVAED DA]E 4fl 1N2ZONE:_OFFICER:SETBACI(S:
F:_LH:_ RH:BAppro\61:_ Clty._ DA
FLOOD:_ BFE+2F
PRoPERTY
usE: floFFtcE lnesrrunarr luencnnnr-e
leouc APT
@NDO OTHER
WAIER: ECFPUA
E coMMUNnY
swTEM
flwEl DZON|NG USE ctIsstFtCATtoN:
sE:wER:
E CFprrA
flcEhnMt sEprrc flpn-vere semc Ecor-lMuNnyslsrEM
-
..' SEPAqATE PERMIIS REOUIREC FOF ETECT, MECH. PL8G, CiAS EQUIP, PREFAAS & NSERTS
"'
PAYMENT
METhOD:
[CnSx flCnecl< leeveau ro xncl [euenEAN E(PRESS
! mOVrSe
E orscoran
Commont N
PERMIT FEE:
$_
PROPERTY OT{NER,S NA E: I{ESTMINSTER coMpANY PHONE
s:
ZIP i 28403
CITY: ATLANTA
ST: cA ZIP: 3ol6o
ItlEt{
coNsrRwrroN:
! rnrcr NEt.l
srRUcruRE
! rasr rnacx
I sxrr-r-
! urrrr
f] aoo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
*rrrr rS THrs A 6HA,1GE oF OCCUpANCy uSrl Ivrs I r,n -""rr
lihat ls the Icli oc(upancy Typ€t
_
El'l6R DESIGN
PROFESSIOTIAL! N,/A
TOTAL SO FT UNDER ROOF: 62oo
e
APPLICANT,S NAXE:
DEVELOPER:
9ao- Ettht
**ffi8$-
APPLICATION
Numbe
r
(Office Use )
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPT: RESIDENTIAL
PLEASE ANSKER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Res pons
ibility"
DATE :
PHONE *:
PROIECT ADDRESS: scL Bubbllnq creek Drive
CITY: t'rilmrnq:on
SUBDMSIoN: Erss Lake
al i.'.,o.lrake LOT *: B!
PHONE #: B4:i- 616- 23 - I
CITY: I"l! r t ie Eerch
ST: sc ZIP:29579
CONTRACTOR: D.Fi. Hor.t,.n. In.l LICENSE #: ,.r9r,r6ACCOUNT #:
ADDRESS: 4o?3 BeIle Terre BlvdCITY: Myrt le Beacr,
B
/71
/t5
ZIP i )r 4ra
BLOCK #:
PROPERTY Oh,NER'S NAiIE: p.R. Horron, rnc.
OWNER'S ADDRESS: 4013 BeLle rerre Bl\-d
El,lAIL ADDRESS: paBatderose!Gdrhorr,on. com PHONE #: a43-646-2318
PROIECT CONTACT PERSON: Enr:q,re l{crale.PHONE #: 8.tl-6{ri-.:31!
EXISTING CONSTRUCTION:A LTERATION R E NOVATIONGENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE
,**PLEASE CHECK AND ANSWER BELOI,I ALL THAT APPLY TO YOUR PRO]ECT:
PORCH:]5ATT GARAGE 429 SF
5UNR00t15F
GR E ENHOUS ESF
TOTAL HEATED SQ
TOTAL PROIECT COSTrressrotr : $
DET GARAGE
-
SF
POOL SF
5T:j!_ZIP:2957e
. sF
SF
SF
STORAGE SH ED
Ff: :12a,
DECK
SF OTHE R:
194 , 050
TOTAL SQ FT UNDER ROOF: rer6 TOTAL AREA SQ FT: rarr
DESCRIPTION OF WORK: Srnqle EamilT Pesl.lentLal
and ordinances and regulations The NHC DevelopmenlS€rvices CenEr willbe noffied ofany changes in h€ approved plans and spocirications orchange in
contractor or
contactcr inbrmalion
"'NOTE Any Work Performed w/O he Apprcpriab Pemits will be in Violalion of the NC Siae Bldg Code and Subjeci b Fines Up To $5OO 00"'
OWNER/CONTRACTOR:
inr rq,rel.J.,ra-ell /t,.r'.. ;:L)r:(,rr, r nc. SIGNATURE:
+ + * * * * * * * * * * * * *
t +it,*,t,**,t *,t+ ***,i xxx * j*,N:it:t,i*:l,ti(r(***+*,t*,F,F*,t*+***:t**+,*+****)k****++1.+*1.**,****
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
E YES
EXISTING IMPERVIOUS AREA: _5Q FT
NEW IIVIPERVIOUS
AREA: 2]585Q FT
EXIST LAND DISTURBING PER IT:
l-.l vEsr NO
CFPUACOMMUNITY SYSTEM
***+********)***,k**xx*,t,**,tx*,**,**x,*++,t**,*+**x++*,ix*+
NO
TOTAL ACRES DISTURBED: ,16
LB6, GAs EQUIP, PREFABS
& INSERTS ***
BrLL
AccouNT
I ruclvrsa I orscovrn
* *:* +,t * x,i* *,** + *x **
**** ** * +* * * * * * *:*,*,t* * +
I.IATER:
SEWER:
I
*** SEPARATE
PERI{ITs REQUIRED FOR ELECT, ME
PAYmEI,{T
ii!ETHOD:
Iclsr IcrecK (pAyaBLE TO NHC)
PRIVATE WELL
CENTRAL l^lE L
L
CF PUA
! cerurRal
srerrc
!PRTVATE SEPTTC
! couMururw svster,r
CH, P
ZONE: _ OFFICER:
(FOR OFFICE USE oI{LY) REVIsED DATE 94111112
SETBACKS:
F:_ LH:_ RH:_ B:_Approval: airv. _ DATE:_ FLOOD:
AV N
I
T
8FE+2ft=
":
I
s
,\
N
N\
s
\,
.h
!1
N
# OF STORIES:
Is Any ELECTRICAL, PLUi'IBING or I,IECHANICAL Work Being Done to the Accessory Structure?
fi V"s fl ruo
If the project
is a Relocation, is there a Natural Gas Line on the Current Site? [ Yes E No
Is there Electrical Power on this Building?[v"r flruo
PROPERTY USE
/ OCCUPANCV:
I STIIEIC FAMILY
E DUPLEX
E TOWNHOU5E
a
't
r't
l.
#
NEI,'J HANOVER COUNTY BUILDING PERI{IT
APPLICATIOTT
rrPEr COi'tItERCIAL
PLEAS€ Alistl]tn At! QUISIIOXS AppL:CAaL€ TO YOUR pROlECr
"project Responsibility"
9o
6 - l0t?S
*5-27*9
APPLICAUON
l{umber
(Offi(. use)
APPLICAI'IT'5 I,ANE :
D€VELOPER: THE XARI,IAPHOI{E
t: 9io 23-r re4s
oCCUPANT/BUSIa{ES5 iIAIE: ri.E xAiMi a
CITY:
rlL lNGroNZIP: 2B{01
PROPERTY OI.ITIIER,
S NAflE:
:ii]. i(nRy-l
LDIN6, LLC
CITY: MYRTLE sEAcH
plotjE *:
ST: g_ ZfP: r ei 72
5T: NC ZIP: 284oL
PKINE *: 910-2li-?e45
O,sIER's ADDRESS:
ejao LEy
COITRACTOR: KtvA coNsr
ADORESS:
22s li FRoN'r
EIIAIL ADoRESS: cr,ARr(tsH r F pARci{rrEcr-JRE . coM
CITY: wrLMrNGTolr
PRoIECT CoNIACT PERSOI{: cr-lR,( hlpp
(ChecL
All lh.t Aprly)
EXIST COIISTRUCTIO T
lf Relocdioal. is there a Natural
ALTERATToH
lZ nercvarro*
l-l ceuenal nrplrns
Gas irne on the Eirem streu
fiveTftto TSBLDGS PRIN
RELOCATION
KLERED?
[t ves
I Ho
r{Er{
coflsTRrrcTlor{,
I enrcr E$ STRITTURE
f] rasr rnlcx
fl sner-r-
[ urrrr
I m ro ExrsT sTRrrcTt R€
ACCISSORY STRUCTURE:
If UPFIT
- The
SheU Pemlt
*: 2oi5-140Is Elect Po
er on
this BuildingI Yes
Erc
AECH DESIG}I PROFESSIO.{AL:
H]PP ARC1TECTURE
& DEVELO
PC PH:910-763-
896s tlc REG
$: 6os6
ENGR DE S IGI{ PROF€SSIO AL:
18
tood or bgrerages prap€rsd or ss\rsd in trrle
sru<nrez
fl ves
[l ruo r rne F,ropsty Locat€d tn Ths Roottfleh?
[ ves I No
DESCRIPTIOIII
0F [^,ORK: rNrERioRUPFIT FO FIRSTrLOOR SPACE T'OR A.] OCCUPANCY
(ol-an {Prtr t5.,
l'{dr: Derno{loo
m ca{0r|3 & alb.stoa.anovd pannn applcadoha.r€ !o ba
$rbrnirad url4 ro rggthelloo
'oflnconah fuDedoa or oot Yql
!'o rq.rlltd b d tha ato.ril Emfaho Sbi6a{dt &. ttrzardoo. Ar pourt nE(
dafio$lbn
ot.iy baillty od bulk{rt. S.c Aab.6b. Wob Stta: hfipr rr*.opi.srrls oc ut pllssbss{og/ahmp.hrnt
TOTAL PROJECT
COST: -5ooo
TOTALAREASOFI; 26ec sF
TOTAL SQ FT UNDER ROOF:
26eo sF
ACRES DISIURBEO
BUILDING HEIGHTT .tI
Exsr
r ND DrsruRerruc
eeRurz
f] ves
fl No
FICATION: :aL
fi!dSlare
Code an.t
whdnor lh€ lacillt, or
boiuar{ w6s
burd b
.t (9tg)707-5950
{ r*!t 10 dsyr glor b lho
4t11t12
ao
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SO FI
pnop€Rry usE: florrrce nnesraumr.n [usnceNrue neouc
[err [coNoo oTHEFL AssEr.lBLy
WATER: mCFPUA
SEWER:
|7 CFPUA
App.o\.al:-.
I]coMMUNtry sysrEM
nwELL -Jzo tNG
usE cr.Asst
LJ CEhTTML
SEpTtC LJ pRtvATE SEpnC fl co[rMuNtTy sySTEM
PAYMEI{I METHOD: [C*SH(PAYABTETo
Nrtr) f]uenrcAN o<cnEss
ff Mc^/tsA
E oscown
zoNE:C,&b oFFrcER:
(FOR OFFICE USE
SETBACKS:
oflrY,
F:NIO LH
-' SEPAFATE P€Rt{lTS REaJFEO FOR
E!6CI. ti€Ctt. PLAG, cAS EOup. PREFAAS & NSrarS *,
FLOOD:
Cornm€nt
o((
DATE: 29 SEPT rs
PROIECT ADORESS: 220 N FRotff sTReE;. FIRST slooR
LICEIiISE
*: ?a?es
Pt{rt{E
*: sic-23i 1s46
r.'r. ts rHrs A crtlllc€ oF occupA
ry usrr
flvrs flro ..*."
IF Yes, what was the prevlous Occspancy Type?
_- hlrat
is the t{6, Occupancy Type?
PH: -4.9;-?29:.lf,gl_ nC RE6 *: t s5rg
SO FT PER FLR:
r52l sF#oFsrRUcruRES-_
f OF UNITS:
f OF STORIES:
I
#OF FLOORS: r
lozo8
"rcc tD 4+fta-
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; RESIDENTIAL
PLEAS€ ANSI{€R ALL QUESTIONS APPLICASLE TO YOUR PRO]ECT
"Project Respons ibil it!/'
APPLIC/TNT,S NA'4E:
DEVELOPER:
PROPERTY oIJNER'S l,lAl,lE :
0 NER'S ADDRESS: P. o.
NEt^I CONSTRUCTION:ERECT NEt^l RESIDENCE or
! morrroru To ExrsrrNc REsTDENCE
**PLEASE CHECK AND AI,ISWER BELoW ALL THAT APPLY T0 YotR PROJECTI
B/nrr cnnnce
/8y' sr ! oer crnaee
-sF
do,
,E
)cs -
torTs
APPLICATION
Number
(Office Use)
Blanton Bi 1dino.DATE !
PHONE f:
PRoIECT ADDRESS:. ll'z-?, t-la 44/.,.6._E?-z'<.2 rAIrYi l.a/, , L-y'?r. --? <.;'4-.- Z,Pi
SUBDIVISION:-f4 fZ-. -.'z- 14.2
d O e3 Lor *: 1La
,q[-2y' s-
Blantoo Buildinq, Inc PHoNE S: 910-s38-7888
Box 3722
CONTRACTOR: Bl.anEon Buildins, rnc LICENSE f: 374-81
ADDRESS: P. o. Box 1122
CITY: i.iilmlngton sT: Ig_ ZIP:
43!q
El,lAIL ADDRESS:
chri sb lant on@ec . rr. combudblanton@ao1 .
com
PROIECI CoNTACT PERSoN: chris Blanton 910-254-0940 tsud Blanton PHoNE *: 910-538-?888
EXTSTTNG CONSTRUCTTON:
! lrrrnnrrOr'r
! nrruOVlrrOu
! CrrurRnl nerlrRs RELOCATION
/ro^r, a'72' sF
! sronace sHED
_ sFSUNROOM SFPOOL5F
! cnerruxouse
_ sF ! oecx
_ sr OTHE R:SF
TOTAL HEATED 5QFrtV??A ToTAL SQ FT UNDER RooF
I Vi/'V ToTAL AREA seFI:'/1?V
T0TAL PRolEcT COSTrressr-crr , 5 ?'79 b'4 # oF ST9RIE5: -Z:-EIs Any ELECTRICAL, PLUiIEING
on i4ECHTINICAL
Wonk Being Done to the Accessory St.ucture? ! V"S [ ruo
If the project is a Retocation, is there a Natural Gas Line on the Cunrent Sj.te? [ves [ ruo
Is there Electrical Powen on
this Buildingl
PROPERTY USE
/ OCCUPANCY:
I SrruCre rnUtLv
Yes No
andordinancesandregulationsTheNHCDev€opmenlServicesCenierwillbenotfiedofanychangeslnheapprovedplansandspecifcaiionso.ctrangencontractoror
conlracicr inlbrmaton.
'i'NoTE:Any work Periormed
W/o rhe Appropria@ Permiis
witbe in Viotarion
ofrhe NC SiaE Btdg Cod6 6nd Subjecr
b Fines Up To
$500.00'.'
! oue r-ex
! rowluouse
DESCRIPTION 0F WORK: ConstrucE new
sinsle family residence
OWNER/CONTRACTOR:
cnrrs Blanron, tstanron ts1
dq r:rc SIGNATURE:2=Z-
-*:* *,lr *** *:* ** *,r x x x***
******* *(Ii'Il1311** **** **** *** ****,it<*
+** * ** r( r(
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IS THE PROPERTY TOCATED
IN A FLOODPLAIN?YES NO
TOTAL ACRES DISTURBED:,20EXISTING II'4PERVIOUS AREA:
NEW II'IPERVIOUS AREA:?Z
/oo
SQ FT
SQ FT
I,{ATER:
trPUA COI4IYUNlTY SYSTEM
PRIVATE l^lEL L
CENTRAL WELL
SEWER:CF PUA
tr CENTRAL SEPTIC
fl eRrvnre seerrc CO[1I4UNITY SYSTEIVI
tr
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pAyr,4ENr
ilETHoD:
I casn
! crecx (pAyaBLE To NHc;
! olenrcar
exrness
f] mcuvrsa
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**** ** * **x!* **,** **,* **** **** **** *
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**
zoNE
: _ oFFICER:
(FOR OFFICE USE Oi]LY)
SETBACKS:
F:_ LH
REV\S|O OAIE
04/7t/!2
Approval:_ City:_ DATE:_ FLOOD:
_-BF E+2ft=
EXIST LAND DISTURBING PERMIT:
E YE5
Euo
RH B
AVN
PERT'IIT FEE:t,Comment:
tbo9:
lHSlz_
BLOCK S:
CITY: wilminqton ST:
N_ ZIP:2jlg_
PHONE f: 910-s3B-?988
$-21L1
RECEIVED SEP28 2OI5
€ Plnu tG.Dl,.c3"u' c"^
NEW HANovEn lcoururv BUTLDTNG PERmrr/ui'?qr;
APPLICATION TYPE j RESIDENTIAL
DISCI-AltiGn, Iharabycenllylnsl6l lnbmslon h hls appllcaton ls
corccland dllltlkltlq aomplywlh lho SlBlo Sulldlng Codo
snd ordlnsrc€s and l.gulrllons. TnB NHC Dovolopmonl SoM.os C€nlBr wll, bo nodied olanychangas In ulo appmved Pbns md
APPLICATION
"s
TOTAL HEATED SQ FT:
-
TOTAL
TAL PR0IECT COST rt"ess t ou f OF STORIES:
fs Any EIECIRICAL, PLUMSIi'IG or l4E ICAL tlork B€ing Done
to the Accessory Structurel
I Yes
ENo
If the project
is a Relocation, is there a Natural Gas Line on the Current Site?
Is there Electrlcal Pouer on this Butldlng?
Eyes Euo
tr Yes
Euo
PROPERTY USE
/ OCCUPANC
B NGLE
tr DUPEX TOI,JNHOUSE
DEscRrPSr
z<--OF l,loRK:
Sble 6nd loclllaws
cianga ln aonLacbl or
.ortaclor hbrmatot,'-NOTE Perrnl1s wll be ln Vlolrlbn o,Up
ot,NER/CoNTRACT0R:
l$-,'S ar .<SIGNATURE I
,l
**:*,**,*.**,r !r*+*
******* **** JIi?lIi'""J**r,*,i(,1,i*t:* *+t **,r
rs rxE pRopERTy tocATED rr a rloooplerru? l-l vrs tf
EXISTII{G IiIPERVIOUS AREA:
-SQ
FT TOTAI ACRES DISTURBED:
NEr,{ T4PERVTOUS AREA:
-
sQ
FT EXrST LAND DTSTURBTNG PERltrT:
Fl VeS
I r\ro
vrArER:
I creua
! coMr,ruNrry svsrrm
I pRrvATE WELL
! ceHrml urll
sEr,rER
I
n creua
! CENTRAL sEprrc
D pnrvrrr srerrc
f] coHiluNrrY sYsrEM '
**' SEPARATE FERI4IIS REQUIRED FOR ELECT, I'IECH, PI-8GJ 6A5 EQIJIP' PREFABS & INSERTS *t*
payntnr flErfloD:
E coss
E cHecx (pAyABLE
ro ruc)
f] usnrcmt rxpntss
E r.rclvrsa
E orscovEn
*,1*:t,k*,li**x*++r,i+*t:t*,*,*,**)t***,*******:*****:*******'l****:1,**,t:*,****:tjt,i,**,t,**++:l* *:1.+ +++rt* *{++,t +
ZoNE
: _ OFFTCER:
(FOi OFfTCE USE OltY) flEVrsCo DATE 04ltU12
SETEAC(s: F: LH: RH: B:
Appnoval;=-Clty:_ DATE:_ FLoOD:
_ BtE+2ft=
_
Comment:
fs lD
TOTAL AREA SQ FT:
-
(
It
PERIiIIT FEE:
I