NOVEMBER 03 2015 BUILDING APPSNEW HANOVER COUNTY
BUILDING PERMIT
APPLICAE0N
rypE; COIIi,IERCIAL
PLEASE
ANsITR
AIL QUESTIONS APPLICAELE TO YOUR PRO]ECI
"project Responsibilltf
Street
CIry: wi1miagtoo
FirE
Fruit Minis tri es
tDlr'tolbY
L5-27 68
APPLICATION
Number
(offic! Use)
APPLICANT'5 NAI'IE
DEVELOPER: n/a
: Sanco Builders CorD.
PHONE
#: 910 79L - 119 6
PRO]ECT ADDRESS: 2?50 ZIP
| 28472
OCCUPANT/BUSINESS NAlilE :
PROPERTY OI^INERjS NAfiE:
ohlNER',S ADDRESS: 2?s0 vance
stree
t
LICENSE
#: 34520
5T:
Nc ZIP: 2g4oG
CONTRACTOR: Sanco Builder6 Corp
ADDRESS: po Box 3167
CITY: wi on
EfilAIL ADDRESS: 6ancohome6 @sancohome
PRoJECT CONTACT
PERSOII:
rerry Kennon PHONE
#: 910-616-314 1
(ch€ck
Atl That Apply)
R E I'IOVATION
n GENERAL REPAIRS RELOCATION
Current Site?
nYss
il No IS BLDG SPRINKLERED?
flv""No
EXrST CONSTRUCTTO
; m ATTERATION
lf Relocation, is there a Natural Gas Line on the
NEld coNsrRucrrolt:
I enrcr NEw
srRUcruRE
I rasr rnecr
I sHelr-
f] uerrr
I aoo
ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Permit #:
Is Elect Polrer on this BuildingIYes E ruo
***:r* rs rHrs A CHaNGE
oF occupat{cy
ustr ffives
fito *****
IF Yes, what rras
the previous Occupancy
Type!
Busj.neEs ifiat
is tfre-Net Occupancy Type
? R-1
NC REG
#: 4290
NC REG
#; ?13 8
DESCRIPTION OF WORK:
Convertlnq
exiBtinq she11 sapc
e to flvinq 6Dace
contaln
d6mdltlon of any fadlity
oi
TOTAL AREA SQ FT :576 SQ FT PER FLR:N/A
TOTAL SO FT UNDER ROOF: s?6# OF STRUCTURES: 1
ACRES DISTUFBED:
be
of
SIGNATURE:
fsdllty or lolldhg was tound to
loasl 10 d6ys Ftor to th6
EXST LAND DISTURBING
PERMI?
NYES I NO
w,ith the SrateBulldlng Code andall olher apdlcable SEte
Dlans and soedflcatlons
NC Slale BldS Code and
OWN OR:.0.0^,-
0
NEW IMPERVIOUS AREA: N/A SQ
FT EXISTING IMPERVIOUS AREA: N/A Se FT
pRopERTy USE:
[orrrcr f]nesmunnrr
luencmrlr fleouc
f] ner [coHoo orHER:
nesiaential
WATER: I]CFPUA
SEWER: @ CFPUA
." SEPARATE PERMITS REOUIREO FOR ELECT, IVECH. PLBG. GAS EQUIP, PREFAES 8 INSERTS
''
pAyMEl,rr METHOD: ICI"SH [CneCX lenVea[E TO
NHC) fieUrnruw o<cRESs
E MCMSA
I OSCOWn
EcoMMUNn'y sysrEM n WELL IIZON|NG USE CtASStFtCA.noN:
L-J CENTRAL
SEPTIC L-I PRIVAIE
SEPTIC fJCOMMUNTTY SYSTEM
((rrdh..)
PHONE
*: .t04- 3os- 4692
CITY:
wilminqron STI
Nc ZIp: 28412
PHONE
*: 910-791-1196
ng
ARCH DESICil,l PROFESSIoNAL:
Cothxan
Harri6
Archi.recture pH: 910-?93_3431
ENGR DESIGN PROFESSIoMLT
David sims &
Associares pX:
sro-tti_so;-
ls tood or bwersg€s Propared or seryed
h tHs srudure?
n Yes
[l ruo u The eroperty Locatsd ln Ths Floodptaln?
[ ves
P lo
TOTAL PROJECT
COST: $3o, oooBUILDING HEIGHT:
N/A f OFUNITS: N/A
# OF STORIES: 1
# oF FLOORs: i-
t.....irh ..rr.ffirir.rffiffir
(FOROFRCE
USEONLY) REVISED DATE ,I/|.|a2ZONE:_OFFICER:_ SETBACKS: F:_LH:_ RH:_ B:Approval: CiIy:_DATE_FLOOD:___BFE+2F_
AVNCommert pERMIT FEE:
$_
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION rvPe: RESIDENTIAL
PLEASE ANSHER ALL QUESIIONS APPLICAELE TO YOUR PRO]ECT
"Project Res pons
ibility"
APPLICANT'S NAl,lE: F.rbrcL Home.i Trianqie, LLC
DEVELOPER: Robuck Homes TrlanqeI LLC
PROIECT ADDRESS: r1: A::r:ler Lane
Zotr/o3qL5-2985
APPLICATION
Number
(office Use)
PHONE #: 919-8r6-92cLr
CITY: wr lmlnoton zIP | 233:r!_
SUBDIVfSfON: !4e 1i.,rr oak,i BLOCK #:LOT #: ]1_
PROPERTY OI'INER'S tlAI{E: Robuck Homes rriarasle, LLC
OWNER'S ADDRESS: 61lL Falts of r,Jeuse Rd. sre 200 CITY: Ralejqh
CONTRACTOR: Robuck Homes Trlang.le, LLC LICENSE #: 5 /-r8:
PHoNE #: 919 - 816 92a1.
sT: -ll!- zIP ::fj!l_
ADDRESS: 6111 LalLs of l.Jeuse kd. Ste 2!r!CITY: Ra le lqir sT: .]:l!- zIP:
:fl!j!
EIIIAIL ADDRESS: .br:;tro!Gr.,bLckI.,ones .on PHoflE #: 9i!-Br6-92i0
PROIECT CONTACT PERSON: iil--ase E-a:r,PHONE #: !19-819-.:1275
EXTSTTNG CONSTRUCTTON:
! Ar-rrnnrrOn
!R ENOVATIONGENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEI{ RESIDENCE oTADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOT^, ALL THAT APPLY TO YOUR PROIECT:
ATT GARAGE r,r. 5FPORCH 151 SF
SUN ROOMSFSTORAGE SHEDSF
GR E ENHOUS ESFDECK
SF OTHE R:
3491TOTAL HEATED
5Q FT:
., , ToTAL 5Q FT UNDER ROOF: i,,.: TOTAL AREA SQ FT:
TOTAL PROIECT COST rress roo : $ :rq,:ro. # OF STORIES: 2
Is Any ELECTRICAL, PLUMBING
or MECHAT'IICAL
hjork Being Done to the Accessory Structure?
il Yes
E No
If the project
is a Relocation, is thene a Natunal Gas Line on the Current Site? [ Ves T No
Is there Electnical Pourer on this Building?T
PROPERTY
UsE
/ OCCUPANCY:SINGLE FAI"1I LY
ves [ ruo
DUPLEX
E rohrNHousE
DESCRIPTION
0F WOR(: ::e r!r'e
and ordinances and regulations. The NHC Development Services Cenbr will be nolilied ofany changes in he approved plans and specifcations or change in
contracbr or
cont'acbr informalion.
"'NOTE: Any Work Performed W/O he AppropriaE Permits will be in Violation ol lhe NC StaE Eldg Code and Subject b Fines Up To
$500.00"'
OWNER/CONTRACTOR i ;ai I'roruecn SIGNATURE:
(Print Nai'e)********tr(******1.1.*+1.1.+++1.r.**+1.r.*1.,*,*+j*+,t,t+,t,ir++,t+++*++++1.++++,f*++++,f**+++*+*++***+tr<+r<***r(r<
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA: C 5Q FT
NEW IT1PERVIOUS AREA: :328 5Q FT
CF PUA
l-'] ves
E ruo
TOTAL ACRES DISTURBED: ,15
EXIST LAND DISTURBING PERMIT:
l-l yes
r NO
WATER :
S El^lE R :CF PUA
! cour'runrrv sysrEM
E pRtvATE vtELL
! crrurnnr wrrr
! crrurnal sEprrc
E pRrvATE sEprrc
! communlrv svsreu
*** SEPARATE PERI'IITS REQUIRED FOR ELECT, MECH, PLBG, CAs EQUIP, PREFABS & INSERTS **'*
PAYIIENT I'IETHOD:
E CISI E CTICCK (PAYABLE TO NHC)
E ff4ERICAN EXPRESS
I T'TCIVTSA
I OTSCOVCN
*x*x******,*+****x**r(r<1.i(+1ri.,a+++*,k,k,****,t,t,**++{.i.*trr+*{.++**)*r****)k,*,***+*+*++**++****+****r.***r(
ZoNE:
_ oFFICER:
(fOR OFFICE USE OIILY) REVISED DA]E O4l11/12
SETBACKS: F: LH: RH: B:
Approval:- City:- OATE:- rrooD: --f,-
" N
BFE+2ft=
DATE:
! orr eennce
-
sF
E
!eoor_sF tr
SF
lo[tUa?v.g- b
NEW HANOVER COUNTY
BUILDING PERMIT
aP?Llcafidt
rypr: COiIiIERCIAL
PLEASE A SllER Atr QUISIIOX5 ApP!ICAA!€ TO yC{Jl pRO)tCT
"Project Responslbillty"
L5-2993
APPLICATIOX
l{umber
(Oft!<a tt6e)
APPLICATIIT ' S llAllE: ,.L.8ishop CooBrrucrion Co.
OEVE LOPER r
W.L, Eiahop Constt
uclion Co,
ClfY: Hilnir!too Nc
PT6NE tr:
ZIP:2s,ror
ST; sc ZIP:291?0
5f : Nc ZIP: 2?2?B
PI€NE
tr 919-730- r 99?
PtoilE *:919-730-1997
PROIECT ADORESS:
t91o Kenr
si
OCCUPAIIT/BUSINESS tlAtlE
: ?ine !{orner cable
PROPERfY oHilER'S
MltE: ?irne warner Cable
qd{ER'S ADORESSi
33{7 p}atr splingd Rd
CITY: tlest colunbi&
CO TRACTOR; w.L. Biahop
consrruction co.
AOORESS: 2211
leah Dr
LICE SE Si 5{47i
CfTY: Hi
l.l,sborouqh
€ AIL ADORESS: lriLl ie{wlbis hop, com
PROIECT Coi{TACI PERSOII: $i.I}i.e Bish
EXIST CONSTRUCTION:
lf
R6aocddr. is the.e a Natural Yes
El.J CONSTRUCTIoI\,:
EREcr r{8r.,
srRUcruRE
f] rrcr rnacx
f] sxe r-l
I urrrr
f] oo ro Exrsl srRUcruRE
ACCESSORY 5TRUCTURE:
(ch.rr All
aLrERATror{ [--'l netovarron
cas Lrne on lhe
ffirern Sne"
D
GEUERAL REPATRs
l-l nrloclrrtr,t
El*o ,s sl-DG
spi KLEq66z
I ves Elr.ro
1l
\,
.+-
k$UJ\u
st
sg
5-
DPF+,l
I'i
.J
0\
If UPFIT
- Ihe
thell permit ,:
'...r rs Tltrs A ct{atlcE
IF Yes, rdtat
ras th€ Previous Occupancy fype ?
ARCH
0ESI6H Pf,OFESSIOa{AL
: Saqsrsaith
€l{GR OESIGI{ PROFESSIO|AL: Baas, Ni.xofl.
Kenredy Irc
DESCRIPTIOII OF hDR(: seitchinq station Buj.Idin
Is Ele€t pot{er on
this Suilding I yes [ rc
oF (rarpar{cY usrr
! vrs ! m
".'.
tilhat
ir the Neir Occupancy Type?
P+l
i 919-821-55{7 tac REG t: 4ss7
Pfl: 919-851-{42?tlc REG ,i 16762
q
ls
food or
bev{ao€E prwod s Ia,€d h t* soucunau
f]v". fllruo u nc eroperty
t cat d
h Ttrs Ftoo6.nz[v", [tHo
a{ olior rpplkablo State
olans artd 3ffi6catons
NC
St6t?8h Code and
SIGNATURE:
ltot.: Oal?lolLotr .tdic.lbn6 a arb..b{ rtno\rll p.rfilt.pgl}lrlbna
rlt b bc.ub.ntbd
'.Blrlg
!r apCk Son frrn (O}HS.!76!} wtt.rt..
rl.
co.rl*l Aa!.3ba or rld, Ydr at! ttqrktd b cal $a lbtbn l Etn]arb.
$.ndad! b Ba..rdou. Ak Pokrl.r{r (ll€SHAP} d (91t)7Or€S5O d t-cl t0 dayr
d.n!o{io., ol.'ry bdlty
s DdUi!. S- ATDGB $r.6
lib: nbrrvs,w.sg.rtd! nc
utrlss!.ltodrh.np ntrlrt
PROJ€CT COST:
f OF UNITSi 1
AREA SOFT: 5999
Exsr I-AND orsruRsuc penum l-l ves I NO
NEw IMPERMOUS AREA: 50,115 se Fr
SAFT EXISTING IMPERVIOUS AREA: 521?5 SQ FT
(FOfi OfFtCE US€ OltLY)
ZONE OFFICER:SETBACKS: F:-LH:- RH:- B:
Apprc\d:- CIty:- DATE:- FLOOD:
- -
BFE+2ft=
SQ FT
pRopERryusE: fpFFrcE f]nesuunavv
[uencrrnle
[ewc flsr f]corco OTHEFLausiness
WAIER: ECFPUA fl COi/ulUNnY SYSTEM
fl WELL DzoNlNG usE cLAsslFEATloN:
sEwER:
! CFPUA
fl CENTML SEmC Ll PRrv rE SEPTTC flCOrrMUNrrv SYSTEM
PAYMEI{T METHoO:
f]CSX I cuEc( (pAyABrE To r*rc1 fieneercex o<rREss
flucrusa I orscown
Cornm6nt
C\F,r"cr{rl7,
N
PERMIT FEE: $
tEvrSEo 6,ATE a,/1r/12
#
DATE:1-26-20Is
PK)NE
,: l -803-s 1.8-697 5
a TOTAL SQ FT UNDER ROOF: 5999
'OF
STRUCTURES: 1
OISCIAIMERi
OWNEFyCONTRACTOR: rii
tlrari L Bishop
BUILOING HEIGHT.. 25
SO FT PER FLR: 6eee# OF STOFIIES: 1
# OF FLOORS: t
ACRES DISTURBED 8662 sQ Ft
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAIION TYPE: RESIDENTIAL
PLEASE ANSI,IER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility''
PooL
_ sF
DECK SF
! sronaee sHeo SF
SF
hktwt7(' Ls-26L6
APPLICATION
Number
(office Use)
APPLICANT'S NAI4E:
DEVELOPER:
D . R Hot:r,on, In^ DATE:
PTION
E #:
4i9i75
PROIECT ADDRESS: 1s20 rrniberfieLd ctCITY: wllrrrngtor,
SUBDIVISION: overlook At Mrddle sound
PROPERTY OIINER'S NAITIE: p.R. Horron, rnc.PHONE #: 843
64! 2:r..r
OWNER'S ADDRESS: 4!73 BelLe rerre Br..'.i
CONTRACTOR: D.R. Hori,onInc LICENSE #: 2e.rt ACCOUNT #:
ADDRESS: 4c73 Bette Terre BlvdCITY: Myrtle Be ach
sT: :rc zIP: 2 95r !r
EIitAIL ADDRESS : pCBaLde rose !acirho rt on .
com PIIONE *: 843 64a 23tB
PROIECT CoNTACT PERSON: rLill1,j Bald.roie PHoNE #: 813-646-2318
EXTSTTNG CONSTRUCTTON:
! arrennrrOru
!R E NOVATIONGENERAL RE PAIRS RE LOCAT ION
NEW CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER SELOW ALL THAT APPLY TO YOUR PROJECT:
ATT GARAGE 429 SF
! oer cnnnce
_ sFPoRCH 1r 5
SF
SUN ROOI,1
GR E ENHOUS E
TOTAL HEATED 5Q
5F
SF
FT: 3126
s inq.Ie Famlfy Res ident ia I
OTHER:
TOTAL SQ FT UNDER ROOF: 3TE5 TOTAL AREA SQ FT: i.,8.9
TOTAL PROIECT COST 1r""" rotl : $ rgr,:e:# OF STORIES: 2
Is Any ELECTRICAL, PLUI.'|BII'IG or MECHAT{ICAL Work Being Done to the Accessory Structure?ves
[ ruo
If the pnoject
is a Relocation, is thene a Naturat Gas Line on the cunrent site? [ ves I No
Is there Electrical Power on this Building?
l-l ves I No
PROPERTY USE
/ OCCUPANCY:5TNGLE FAMTLY
! ouerrx
! rowruuouse
DESCRIPTION OF WORX:
and ordinances and regulations. The NHC Oevelopment S€ rvices C€nEr will be noliied of any changes in he approved plans and specifcalions or change in contracbr or
contsactcr inf\rrmaton "'NOTE Any Work Performed WO he Appropriae Permils will be n Violaiion of the NC Stat Bldg Code and Subject b Fines Up To $500 00"'
OWNER/CONTRACTOR i ln r i q,.re ttcr;r1esD.P.Horton, Inc. SIGNATURE:
(P.int Nane),r)i**r(1.****1.1.1.*,t++++itt+it++***xx****,t,*,*,t,a+,t+++++++++++*:t*+xx****r.*****r.r.***tr<*{.+++,1+*,1+:B+{.*
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
-SQ
FT
NO
TOTAL ACRES DISTURBED: .4-.
il YES
WATER :
SEhIER:
NEI/', IIT1PERVIOUS AREA: 34995Q FTEXIST LAND DISTURBING PERMIT:
fi Yes
[i] ruo
cFpuA
E coMrrluNrry sysrEM
n pRrvArE WELL
! cerurur wrrr
CFPUA
fI CENTRAL SEPTIC
! enTvaTT sEPTIc
E CoMMUNITY SYSTEI,I
'*'** SEPARATE PERI'IITS REQUIRED FoR ELECT, |4ECH, PLBG, GAs EQIJIP, PREFABS & INSERTS ***
PAYIvIENT iIETHODi
ficlsn flcHrcK (eAvABLE
ro NHc) EBrLL AccouNr nclvrsr fl orscovrn
ZoNE : _ OF F ICE R:SETBACKS: F:_ LH:_ RH:_ B:_
,*,********1.*i.+**+++i.itlrt+****)i,i*r.r.r.**,*+i.*,1++**+,*,i******)i**********,1.**1.1.i.*1r+1.,**r.1.+++++++x**
(FOR OFFICE UsE ONLY) REVISED DATE O4l11/12
I
I
AnDnoval: Citv: DATE: FLoOD: BFE+2ft=
AVN
,.,..
'ffi
ZIP i )a4rt
BLOCK #: LOTf: :r-
CITY: Mvrtle Beach ST: sc ZIP: 2951!
-/ptra
),o ts- lo\ t+
NEhI
HAITIOVER
COUNTY
BUTLDING PERilIT
APPLICA|I(N ryPE: RESIDEIiITIAL
PtEASt ANSlltR ALL Q{JEsTIOfiS AppLICAEtt TO YOJR pROlrCT
"Project Responsibility"
1s-300 9
ffi APP
LI CATIOI{
Nunbe
r
(Office Use)
I
APPLICA'{T'S
tIA}tE: {
DEVELOPER:
PROJECT ADDRESS:-
SUBOIVISIS{:
O|$IER'S ADDRESS :
COITRACIOR :
ADDRESS:
tt/
TOTAL HEATED
5Q FT:.
1,,'n 'h,,'i 1(*oArE': /. {,'..
PHO{E
*:
CITY:121t..
BLOCr(
ZtP:.|LiIt I
l.)
t
P}|oltE*:'.r'.;,..},:.'..'-/
CITY: t-. '',
LICEXSI
ST J,. ztp.! .' ,
5r ../.1
ZIPi.' ; '
Hr.vri,!I.4
7
crrvrd
rr1 PtoirE #:)1q-/r
PRolEcT C$ITACT PERSq{:
Q.-..rt t-t'e [ <-PIOtE
*: "it- ;ti t j i t
SF
EXISTIiTC CO STRUCTTOI:
I EltenartoN ! ne rrrcvarror'r
f] eerrnrr- nenarns
I RELocArrot
NEl.l CoNSTRUCTION:RECT NEl.l RESIDENCE
or ADOITIOTI TO EXISTIiIG RESIDEI{CE
.'PL€AsI C}IECI( AI{D ANSI'IER 8EL*' AIL IHAT APPLY TO YOI'R PRO][CT:
f,|arr**oe 'it\'t sF fl oer camer sr fiilo{cN .] l,: sr
fl sunnoo.r
-sF
POO L
5FSTORAGE SHED
5F
GR E ENHOUS E5F
! oecx
SF OTHER
' ki't.2 ,,L t)TOTAL SQ FT UI'IDER ROOF:
TOTAL PROIECT COSTrr."Lorr : $' , .
Is Any ELECTRICAL, PLtllSIllG o. TECHATUCAL
work Eeing Don€ to the Accessory Structure? [ V"t f] f*fo
If the project is a Relocation, is there a Natural Gas Li.ne on the Current Sitei f] ves f] to
ls there Electnlcal Power
on this Euilding?Yes
[-l uo
OHNE R/CONTRACTOR :5IGNATURE:
r,l t* tt * *r * * *:r**,t*rtr,l'*a t*
*,I rt
a* +* * * a t
a-.
PROPERW USE
./ OCCUPAI.ICY:
DESCRIPTIOI'I OF UORK:
LJ SINGIE F
(rtt:!U4t
rmrrv [--l ouprex l-'l rmux:\U-' -&i,#r^TX"
DECTA$,aER r horeby eeot har s, iobrmalio.r {1
hls appr.abn is corEct ld d lrori wil cornply vrih he Si.lr BurEtrtg Codo 'ld al oher appicabrE Sbb snd bcal lsws
anO ordhancos a.d r€guratons The NHC Developfienr S€rvrc€s C6nbr w,l D€ nolfod ot ary chrBes h h€ +prol/ad phns d lp€ciicatons or chatqe n contrn:br o.
conracbr ntrnna!@ "'XOTE: Any lrto{r P€.iomed WD he AppropriaE PGrmi|s
wllbe in Vbbtirn of dle NC Stab Bldg Code -}d b Fioes Up To t50O 0e"
{-L'".l,uYl
]*. *.** * ** *
*** *r
*t
IS THE PROPERTY LOCATED IN A FLOODPLAITT
I_] VCS O
n co*ruNrrv svsrrm
I PRTvATE r,r€LL
fl crxrnll secrrc
I PRrvArE sEPrrc
TOTAL ACRES DISTURBED: - i
EXIST LAND DISTURBING PERI''IIT:
[-] vr
s l-l r.r,o
l--l crrurnnl wrll
[--] corm-rurrv svsrem
*,r * * r r( *, *,* * r,i,r ** *, i * * t * *,t * *,*,i r *,* * r
EXISTING II,IPERVICXJS AREA:
t{Etl I}iPERVIOITS AREA:
WATER :
SENER:
SQ FT
5Q FT
't !tp^rara ra$.:15 RtQulREo FoR tl6ar, i{tai!, P186, 6&9 €QUrp, PREaABS
& lfiSrtT5 '""
pAy;aErr
iErloo: I cs, f] crrcx (PAYAsLE
ro ,or
) l-1 lllenrcat{ ExPREss
fl ,crrrso I orscoven
+r+,t++l,t++++t+'t**+tf*l*+++*****i****f**t***********1t*+*+++.r+r**t+*+lftt*++**+,r*,t:a****,i,it
(FOn
Orfr(E ust (rllY)
ZONE :OFFICER:s ETEAC(S:F:_ LH:_ RH:_ B:_
: BFE+zft=
Approval:- City:- DATE:- F LoOD
;1
.4
Itt ,/
LOT
':
PROPERTY
Ol rlER'S
l{Altt:i
Lf '. /$' y
ElllAIL ADORESS;
TOTAL AREA
5Q Fr: ;
lj
Wctw^
[l{reur
-l+7{
#
NEtl HAMTVER
CqrrTY BUILDING pERfrtIT
A2?LICATIdI rypf
I RESIDEIIITIAL
PLEASE Ar{S{atR
a{.1 gjtsTto s AppllraatL ,o yoJR pRolrar
..pnoject Responsibilltr,
'1*w,APPLICATIO
t Der
(Offlca Use)
Lt,,^
-/.4<APPLICANT'S tIAitE:
DEV€LOPER:PHOTTE
*:
PRO]ECT ADDI€Ss:
SUBOIVISI(}I:
', -;..CTTY;
zIPtll-'/,. -,
BLocK *: -_ t_or {;
PIO E *: ':ir.
SII,ZIP I
,'r./ t y1p,
,-{',t:t:
PROPERTY
O'{ER'S
ffi{tR,s A00RES5:
E
tl\
.tl r/
),,t Fr
)1/
CITY:
CO TRACTOR:
ADDRESS:
/,I
I
LICE
crw:
E T:
EIIAIL ADORESS:
PRO]ECT COITTACT PERSO'I:
.l
e k*l
rt->-1
PllO{rlE }:
SF
SF
f] sronnee sxeo
OTHER:
SF
SF
FT UlilDER nOOF: li ',TOTAL AREA SQ FT: '
?,{-iJZ
EXrSTtN6 CO STRUCTTOia:TERATION
f! n erovnr ror'r
tr GENERAL REPAIRS RELOCATIO
n
NEU COT{STRUCTIO :
RECT NEI{ RESIOEI'ICE
or
I loorrrolr ro Exrsrrir6 REsTDENcE
1'PLE CXECK ANO AIISIIER BELOI' ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE
f! oer cauce
_ sF CH SF{,-1 \ sF
n sur{Roofi
_5F
GREEi.IHqJS€ SF
PooL
DECK
roral sQ
TOTAL PROI ECT COST l-..' ror, : 5 I
'l
i ' t '. '* OF STORIES: ,:
Is Any ELECTRICAL, PLttEIItG o" f:CXffff,f. Hork Seing Done to the Accessory
Structurel I Vu, I f,fo
IOTAL HEATED SQ
PROPERW USE
/ OCCUP
OESCRIPTIOi OF TOR(:
FT: .:
ANCY :
,J
If the project
is a Relocation, i.s there a
Is there €lectni€al. Pouer on th!' Building?
cas Line on the current Sitef I ves f] m
flrc
Natur
Yes
OUPL EX
slNGl.E FAt4ltY
. /:.
[-'l rormousr7ktipl
OtSCtlmER I
he.ebyce&t hal at hb'mr*rn - ni! Apacatoo !r coir.r r!<l r|ort nr c.mgry wi'l ts Sbia B.sEdE Co{tc *d al ond nppac* SitE a.ld rt .l law3
a.'d odhance* 'ld
rGgulalbns. Th. tiHC O.rlbprlsnt sewi:e5 c.nbr wil bG rlollbd oi rty ch,|got n hc ry.oved p&.ls atd lo..rictbns d chtrg€ n conl,'er,t or
conta(br htrnnalol. "'xol€Pe.miB ia be m vloblir\ ol fi€ NC StaE gdg Farlei l.)p Toa5oo.00"
b"dtJlfl
rs rHE pRopERTy LocATED rN A FLoooPLATN? n YEs
EXISTII{G I}IPERVIOUS AREA: -..:
sQ FT
t{Et{ rtiPERvro{Js 4pg1, -r1I': 9Q FT
Elfr
TorAL AcREs DrsruiBED: - -) )
EXIST LAM) OTSTURBII{G PERfitT : fi YES [-,I NP
OIS{ER/COiITRACTOR:SIGMTURE :
It,t*rr,|a*ai**tr**r*+r**r*+illliiirilr**r.*.**+***r*r**...r.*:rt*l.:rt+*,rt,***raat**+,rr.,l***ilt
$ATER :
SEHER :
I coruurrw svsrer
I PRrvArE I,ELL
I ceurnal uelr
I ceNrmr- srerrc
I pRrvATE sEPrrc
I comururw svsrem
SETBACTS: F: LH: RH: 8:-z0 E:
_ oFFICER:
.'. SEPARA'! PERxIls RIQIIR€D FoR rlt(l, ,l€(H' gLBG, 6A9 rgJIP, pnEFABs
8 tt{sERTs..'
"or.r* ,rr*, - fi .*, I crrcr (payaBLE
ro rury fluenrcar{ ExpREss
E rrrrrso f] orscorrr
i tt I + tt tit**:ll{ *ttl rtl lttt ttt*tt* tt* * t*t r
**l* *1+ *rtr I + r +.+ t.* I,.+ a ar rta* t'i t a++ + I t :t,r
*r *a . *
{foi ofarcE usr oa{LY} ifvlsEo D Ir 84/11/12
Approval:- City:- DATE:- FLOoD:
-
" l-
BFE+2ft=
lff%
!,t OATE: t : /.
v,1
))
i
n;^
ffcreua
&
NEt4l HANOVER COUNTY BUILDING PERMIT
MPLICATIoiI rvPf: RESIDENTIAL
PI€AST ANSITN ALL OU€STISIS APPLICASTT IO YOT'R PRO]TCT
-Project Responsibility''
,2oE= la-ilal15-3006
APPLICATIOT{
llu ber
(Office Use )
t,t.DATE:APPLICAflT'S MIIE :
DEVELOPER:
PROJECT ADOR
E55:
suEorvrSIott:
t^.
lc\,,I
.\
BL0€( t:
ploa{ E s:
LOT #:
PHONE #:
zi:P: ".:,,.,1 '
L:'1
/'
CITY:
PROPERTY OII{ER'S tlA E:
fittER,,S AmREss: ' i.t
)^zc
CITY: Jsrr:J zrlt
) :a
LICE SE f:
$\
FF: : ,.
lt,
)4
ADDRE
EttAI L
ss:
s
TOIAL HEATED 5Q
CITY: . . ,
5T:1.ZtP | '
PRO]ECT COI,ITACT PERSO :
I surinoon
-
sF
I cnreruxorsr
-
sF
C L PHO+{E r; /.t : 1,'1-; '.. t I
EXISTII{G COT,ISTRUCTION :ALT ERATION
NEI.] CO SIRUCTION:
tr}inrcr tru RESTDEIcE or
R E I{OVATIONGENERAL REPAIRS
I nerocarror
n AODITIOI{ TO EXIsTT 6 RESIDETTCE
..PLE CHECK AI{D AII'}'[R AELOId ALL THAT APPLY TO YCIJR PRO]ECT:
ATT GARAGE
Ll'/5 sF
fl oer eanace
-
sF PORCH
STORAGE SHED
<c
POOL
fl oecr5F OTHER:
SF5F
SF
rorAl sQ Fr urlDER RmF: ql 3; rorAl aREA sQ rr:Ql .!l-
TOTAL PROIECT COSTtLe..Lnr : $ i,., '# OF STORIES:
Is Any ELECIRICAL, PLUIIAIL6 or HECHATUCAL }lork Being Done to the Accessory Stnucturel
fl
If the project
is a Relocation, is there a Natural- 6as Line on the Current Site?
rs thene €lectrical Pouer on thi.s Building?
Elris ff ruo
/',
Yes Nou Yes
D*o
PNOPERTY USE
/ OCCUPA'{Y:
DESCRIPTION OF H(NK:
ff5gucr-r. rru.rrr-v
[ ruerrx -[-l r
( tfr1';lwtt ll
2.. ve--,
O|SCLA|,aER I
hereby c€riit hst at intrrma*rn m hi3 epraabn is conscr a.!d a$ wort wi! corhply wit he Stals &riHing Code and ol otler applrcdts Stab and locd l s
afl., orOhanc6s s.( regutarbns. The NHC D.volopmerlr Sorvi('€s Centsr wil be notiad ofany
ch g€s
6
te ap{roye.l plsns
dld speafcalrffi or chmge 6 conlracbr or
wrl be i' vlobtoo of rhc NC
St . Blds code-g8"S.rft1t, Fires Up To
35O0.01Y".ontacerr tr'bnnat n "'NoTE.
o{irER/cot{TRAcToR
Aty.\llork Per{orned WD he Agpropn
I t;'... I L,,ItYYt SIGI{ATUREi -.-'
.irr)}.r*t!rr:t*+*tr*t***trrl*'*******l**la+*t+***)it*,i'rt*atta:l***tat*'ttt*tl**il:*a*aa*a*tar+***
IS THE PROPERTV LOCATED IN A FLOOOPLAIN?
EXISTII,I TTTPERVIOT,S AREA:
-SQ
FT
NEI,ll I'TPERVIOUS AREA:5Q FT
n
fl co+rururrv svsrrr.r
f] pRrvArE TJELL
I ceNrnal seerrc
f] PRrvArE sEPrrc
YES
El no
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERIIIT:
["-l vts f-",l rc
tIATER:
SEI.JER:
I cemrnal well
ZoNE : _ OF F ICER:
r,. sEpanAt[ ptRt4lTS RtqJIR€$ FOR
TLECI, nE{}i, p186, 645 EQ!'!F. pSEFASS & 1}66*rS ..'
pay E r ,,Er]€o: Ecmn Ecurcr (PAYA8IE ro rt*) n ArERrcAx gxPftEss
ff ncrvrsl E orscom
* * *+ + *r +* r)r + **+ ***+ *** r.*** * * ** r*:t * + f* ** *** *** *t* *+* + ***t * ** ** * * *** * + *** *+* *** * * ** * * **,1+
*
(aoi oPfIcE usE o{LY) REvlSto oAIf 04111/12
COiIIIUNITY SYST EM
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:
-
c j.ty:- DATE:- FLooD: - , N
BFE+2ft=
L1 (
-/qvl-
i i" i
,)
(COI,ITRACTOR:!7-
Plol,lE r:
I-fcr pur
fl4iuo
1otE l)Lttbt'/ 15j3007
&
NEII, HANOVER COUNTY
BUILDING PERMIT
APPLICATToN
TvpE: RESIDENTIAL
PLEASE
$TS|ER
ATI QUESTIOiIS APPLICABLE TO YOUR PROJTTI
"Project Responsibilit/,
APPLICATI(,{
urber
(Office U5e)
APPLICAI{T'S tlnxE :
DEVELOPER:
I\{1{yfi r wL oare: y'/".1/t
PRO]ECT ADOR ESS:
SUBDMSIO : i
CITY:
BLOCK
f
Pl.lOl,lE
l:
LOT ':
PHCft
E $;
ST:
' . ZIP: .. ,. i ,.
ST: . ZfP:
_
P}rcES
PROPERW
O ER'S IUITTE:
O'{ER'S ADORESS: \.
1
.:{
CITY
COiTRACTORi
ADDRESS:
1.;. I
iL IC EI'IS E
CITY:
E(AIL ADORESS:
PROI ECT COa'ITACT PERSOIII:
ATT GARAGE
FT:
f'-r I \PiOl'lE #:
EXISTI{G COaSTRUCTTOT{:
f] alrrnArrOru
[ nrrcvlrroru
! eerenar- neearns
I RELocATToN
.-
r{En
co srRucTron,
f}'6rcr NEH REsIDETacE
o"
f] amrrror To ExrsTrNG REsrDEr{cE
..PLE CHECK AiIO AI{S[{ER EELOH ALL THAT APPLY TO Yd]R PRO]ECI:
Li11* sr
SUNROOi''1SFPOOL
_ SF
fl cneenxcn-rsr
-
sF I oe cr
-
sF
Eledncs L't
L sr
I sronaer SHED
-
sF
OTHER: SF
Tot..lNHOUSE
t/.'.tl
I orr eauer
-
sF
TOTAL HEATED 5QTOTAL 5QFT UNDER ROOF: .:TOTAL AREA
5Q FT:
TOTAL PROJECT COST lress ror) : $ , # OF STORIES: ::-
Is Any ELECTRICAL, PLt ttal 6 o. liECltA{ICAL tlork Being Done to the Accessony Structure?
n Yes
If the project
is a Relocation,
is there a Natural Gas Line on the Current Sltei I
n No
Yes
Euo
fs there Electrical PovJer on thisildingl
fiv"r IHo
PROPERTY USE
,/ OCCUPANCY;N6LE FAr.rrLY [-'l ouplrx
;lvvt-1
t\2.-- VDESCRIPTIOT'I OF I{ORX;(t
and orc,rrace3 erd regulatohs The NHC Oe\€bprn€nt Seftae. Csnb. wil bo ooafbd of arv chtlg€sin he egrovsd pl*ls
,ld sp€cifc6lbns or chaEe n contr'a.br or
conr6cb. hbrmaton "'OTE:AnyWo.*Pertorm€dWfOlt€APPtopriacF\.nnltsvYllbeinVbblihollhenCStaEBdgCode! D Fin€s l+ I9 $500.00"'
0.|{ER/CO TRACTOR:lon li s,v't SIGNATURE:
IS THE PROPERW LO€AT€D IN A FLOOOPLAIN?
T-'] YES NO
EXISTIIiIG II'IPERVIOJS AXEA:
-
SQ FT TOTAL ACRES OISTURBED;
Et't rri'lPEOUS AREA: :1 . ; 5Q FTEXIST LAND DIsTURBII.IG PERI'IIT:
l-l vrs
fl rc
tlAT€R :CF PUA COt.lIt'UN I TY SYSTEMPRIVATE t,,JE L L
I crltRal we ll
SEhER:CFPUA
I cexrnel seerrc
I PRTvATE sEPTrc CO-IMUN ITY SYSTEM
!'* 5€paRArr PtRltlrs Ef*JlnED lon €L€cr, $telr. pL8G, 6et t$Jrp, ir&E B
pavlrErff
]tETroo:
I crsx
ft crrcx (PAYABLE
ro mrcl
fl olrucAt{ ExPREss
tr
s & lf{sa it t5 rrr
riclvrrA
f| orscwrn
itr*ttltt*****lt***jl*********jl*****'lt*,t'&*1*'l*+***********t*+,r+**N+**:***ft+,t*'}***!t+*+*+i*
* r.,*,* * * * lt**)t * t * * * **, *a* **:l !t,*
tt* * *a rl
ZONE:
_ oFFICER:
*t* a*r.* *,lr * *,t * **t,l i.
(FOi OafICt rJ9t oiLY)
SETBACKS: F:_ LH:_ RH:_ 8:_
nEvIS!0 0aTa s4l 11/ 1?
Approval.:- City:- DATE:- FLOOD: - x
BFE+2ft=
,4ryr-
tr
NEW I{ANOVER COUNTY
BUILDING PERP'IT
APPLI.AfiON rrPr; COtIfitERCIAL
PLEAST
'JtSl,/ER
AL! QUESIIoIS 4TPLICASLE rO yOUq pRotECr
"ProJect Responsibility''
ApPLfCA)lTrS ?{Ai'lE: .loiatne. l{)bexts frr Go.c:e line:qvl -^C }sr Car.!
DEVELOPEi: Socore Iner-.qy. !,La
PROIECT ADOtrESS:
4?ii Ne', C€nrre .l
#
)o\I -1\5f
APPLlCATION
Number
(Offlce Use)
DAIE:11./21:l!rs
OCCUpAI{i/BUSINESS l{Al4E : :*rqer ::r
CITY: wi
iniinqron
PH0a',8
f; i",r, 8e:.clta
ZIP : 2641..
PllfflE *: i612) lo4 :312
ST: nnr zIPi r:.{ i ,l
5I: !g_ ZfP: 284,r5
PHONE
#: {9lo) ?91-1]12
PROPERTY
OINEH'S liAtlE:
r:i.!qei crr.r
&,,,{ER'S ADDRESS:
,rr s 6.
COI{TRACTOR: camD corrs
!!Lrct 1o11, Illc
ADORESS:
3it Judqe5
Rd, sulte Lz
aITY: Mrnn.aool
LICENSE;; : j251
CITY: wi lnrnato.
El'lAI L ADORESS: i rct:
PROIECT CO|{TACT PEBSON:
;o:'::tha:, a,:rer,: :;
Pl{O E f: :7lll B9'i-.11i
((he.k {il lhat Apply)
EXISI CONS'&UCT10$:ALTERATTO'V
f]
Gas Line on the Cur
RENOVATION
I'I ETTER,qI REPAIRS N RELOTATIOI,i I
,"4
sn",
fivFflruo rs BLDc
spfiiKLEREDu
fl ves f]ruoIt Robcalion, is lhere a Nalural
l,lEl.j co sTRUcIIo :
EREcr IEh, STRTJCTURE
f] rasr taacr
I sxrr-r-
f] ulrrr ffi ADO
To Exrsr sTRffTURE
AC(ESSORY STRUCT{rRE;
l.poof.cp E.rtar ar.
If UPFIT
- The
Shell Perm.Lt #;
IF Yesr rdlat t,as
the P.evious O.crpancy Type}
Is Elect P{ry€r on
this Buildin8 El Yes D m
**r,',* r5 THIS
A CHATiG! OF OCCUpAiJCy
UsE?
f]y€S a,\io i***+
Utrat is the Neu Occupancy Typ?
AncH DE516t'l pnOFrSSrOtStL
EN6R DESI&T PROFESSIO}IAL
",'
)
!Ja2:,t'75
(Electri ca l Encr
1a'to51c
DESCRIPTIOII OF IORX: RcorioD
scl.ar arra
piJ
NC RE6 #:
NC
i€6 +:
OWNEH:ICONTRACTOR:
toudrr)
SIGNATURE:
Norc: Oomolirion noritcaUoos
&.6besios removat Oemit am & be slbnirEd using tte appl@lDq
icl6 {Dor Duilding *as iound ro
con6l, Asbesbs or rioL You 6rs "EqL,red ro call r.p EmEsion SBndards for H8zardo$ Ajr Pollsl6nls (NESflAp) sr {919)5'r-.1
dout<rftton of ary b.rlhy or tuflding. S€e Albeslos WeD
TOTAL PROJECT
COST: a jrr,t,8Bs
TOTAL AREASQ FT: r?.r,Irio SO FT PeR FLR: :!?i. -i5:)# OF STORIES: I
(St.uci-uxai ;rtqineer: ,.r.,ii.:,i '...r:.
ls food or bevragias pepared or sorvad in this structuret
I ves
fi ruo ls Tha Pmporty t-ocatod tn Tho Flo@ain?
f] yes No
slrr. EurloCode and alt otieramllc6bt€ Slale
TOTAL SQ FT UNDER ROOF:
--
ACRES DISTURBED: o
PRoPERTYU$E:
fprrlcE flnrsrnuRar,,n fliurRcaNrrlE
!vlE!: tlcFpr,A flcoMMuNtry sysrEM
I WELL
SEWER;
E CFPUA ECENTRAL SEPTIC
L] PRIVATE SEPTIC
# OF STRUCTURES# OF FIOORS:
i
EXsr LANo DtsruRBtNG PERMIT?
ff yES ElNo
NEW IMPEFiVIOUS
AREA:
0 SQ FT EX|ST|NG tMpERVtOUS AREA:
flrouc [nrr COI'iDO OTHen:
flzoNtNG usE
clAsstFtcATtort
flcoMMUNrY SYSTEM
SQ FT
PAYMEI.JT I|'EIHOD:
flcnsn f]cnecK (rAvABLE
ro NHc) nAMERtcAN EXeRESS Elirc/vtsA n Drscov€n
(FOA OFFTCE US€ ON!Y)REV]SED DATE ,1,I
1''2
ZONE:--OFFIC€R:SEIBACKS: F:_LH:_ RH: B:Approval:_ City:__ DATE: FLoOD:
_ __ __ BFE+2ftr___
AVN
Comment
wdl
ix
BUILDING HEIGHT: ;? # OF LrNlTSr
\
PERMIT FEE:
$_
[o
,flf
NEhJ HANOVER COUNTY BUILDING PERMIT
APPLICATION
IYPE: RESIDENTIAL
PLEASE ANSI{ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Respons
ibil ity"
ls- 3ooQ
lotr -1o9s8
APPLICATION
Number
(office Use)
DArE:to-30-t5APPLICANT,S NAI'IE:
OEVELOPER:PHONE #:
PROJECT ADDRESS:
SUBDIVISION:
CITY:
BLOCK #:
PORCH
-
SF
STORAGE SH ED
ST ztP ..
PHONE f:
4lo q1-53
zre: lgl_Lt
(o,\ef tSfu6-
Sl,,,t
^"?
t
PROPERTY
O[^]NER'S A
CONTRACTO
ADDRESS:
EMAIL ADD
OWNER,S NAI"IE:
DDRESS:{
R:
RESS:
ELECTRICA
rf thepisaRe
CITY:
LICENSE #:
9o-$\qro8tPHONE S:
5T:
iLue,Abyu
PHONE #:
*4--?o t-
M!14,17
3{
PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:A LTE RATION X[ae uovrrror,r
I GENERAL REPAIRS
! nerocarron
NEW CONSTRUCTION IERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
*i.PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
DET GARAGE
-
5F
POOL
_ SF
DECK SF OTHE R:
SF
SF
j-oo osQ Fr UNDER nOOr:?oeD TOTAL AREA SQ FT: lgD
TOTAL PROJECT COSTtLessrorr : $# OF STORIES: I
TOTAL
\bK
location,
Is there Electrical Power on this Buj.lding?
ffiv"t I-l ruo
I5
DUP LEXTOlnNHOUSE
DESCRIPTION OF WORK:
R: lhe.eby cerriry hala lrnbrmn $is applicadon is corecl and all work willcomply wih he Staie Buildlng Code and all
pRopERTy usE
/ occuPANcY,
ffisrlrcrr rnmrrv
d ordinances and regularions The NHC Oevelopmenr SeNices C,enler wil be noD,ied olanychanges in t'e approved pLans and
DI
.onta.ur .t rmauon NOTE An, llor\ fe'lo med W O me aoo oo, dle PF mrls * 'oe rl Volal
ot4tNER/coNrRAcro*,
RrL..! N
-CL,"^ srGNAruRE:
e Bldg
(Print Nane**** * *,* ,*
*,r,* ** * * ,f
* ,*,* ,*
t,* * * ,f,l ,t
t,t* * ,t,t
*
l-l vrs E to
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERI"IIT I
WATER:
5EWER:
dd crcul ! coMMUNrry svsrrm
I pRrvATE wELLCENTRAL WELL
CF PUACENTRAL SEPTIC
! enrvnrr srerrc
! coMryuNrry sysrEr.l
'1' SEPARATE PERi'1ITS REQUIRED FOR ELECT, I,1ECH, PLBG, 645 EQUIP, PREFAES & INSERTS *TI
payMENT
r{ErHoD:
Icasx [crr.r( (pAyAsLE
ro rurc;
I menrcAN ExPREss
n m.rurto
! orscoven
***:t***,t)i,t*i(*i(+)**,*,*,*,*,***,**,**)*****,(,i,i,t,t*r(*,i*,t,tr()t**,tr.r.i.l.++tr+++**,**+*+++++)**+*,**+,**,*)*)*,**)*i*
(FOR OFFICE UsE O'ILY) REVISED OATE O4l11/12
or chanqe in conrac&lr or
S!ro $s00 00.''
YESNO
SETBACKS: F: LH: RH: B:
I5 THE PROPERTY LOCATEO IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
_SQ FT
NEW IITPERVIOUS AREA:
_SQ FT
ZONE:OFFICER:
Appnoval:_ City:_ DATE:_ FLooD:
_ BFE+2ft=
AVN
PLUMBING
Comment:PERMIT FEE
I $
! nrr cnnnce
-
sF
! surunoom
-sF
I cnr rruHous r
-
sr
LOT #:
CITY:
TOTAL HEATED SQ FT:
I4ECHA IIcAL l,,Jo.k Being Done to the Accessory Structure?
S V"a [ ruo
is there a Natural Gas Line on the cunrent site? [ ves [ ruo
IY a
?yz l5-logt(
aor;;lg.|aq
Nunlf,er
NEW HANOVER COUNTY
BUILDING PERMIT
APPIICATIoN TYPE; ZONING
( gnincorpo rated Areas
of County)
P]-EASE
PBINT CI,EARIY E ANSWER Al,L OOESTIONS
" Pr oj
ect FEsponsi bi lity"
J
(Offrce Use)
APPLI OAIIT S MIIE
DE\E],OPER:
l
VER i->CITY: \il,ijL^llNJ q 7
PHONE #
oilnp:2t4i2
t{
,*1,
rJ
q C DATE :lc LO
PROJECT
SUBDlVIsroN: -fl.lL'a,APe
ADDRESS:C
\{ N.L\--LICENSE
#:
tor
+: CP.i
7,rP I
BIOCK #L)
PRCPERIY O/UER S NA"E:
qfiER S ADDRESS:
iilL
E}4AIL ADDRESS:
B.l'U
5c
v PHONE #:9o) z
/NEToN sr |
/l/t zTP
I
zl ql
zo
e CITY: Ii4l IL
So6fSY H N\-^-
PHONE #
PH.NE
+: %o - Tlq-SSltPROJECT CONTACT PER-ON:
on wonr, to'1
2l sin,1-1
!n
on
New Installation eplacement Other
r{.5
b
ARCH DESIGN PROFESSIONAL:
ENGR DESIGN PROEESSIOM,L:
DESCRfP_t
]S THE PROPERTY LOCAT
15 YOUR PROJECT:
PH
NC REG #
NC REG +?ij
rN
A FL..DPTATN:
I v"" d*"
ACCESSORY STRUCTURE (Mu3r be teBs than 12leet
a dimensions)
! consrnucrroN rnarr,En
OMAL
I
sArES r-or l-'l orsrn,SEAS
and ordinances and regulations The NHC Development services Centerwillbe notmed of any changes intheapproved plansand specifications or chaoge rn contractor or
contracior info.rnaton. -'NoTE:Any vlbrk Pedonned
wo the Appopriate Pennib wil b€ in viotation of the NC slate Btdg
code and
subject b F,n* up To gsoo.oon,
TOIAI PROJECT COST(L$S Lor):
9 Z?00 'O tuHI J,.OT{NER/CO}.ITRACTOR:
c
BU]LDING HEIGHT:
TOTA], SQ [T UNDER
WATER:
SEWER:
ZONE:
_ OFFICER:
Approval
:_ City
FOOR: I
NUMBER OF STRUCTURES: I
SIGNATLRE:
(trlR oFFTCE USE
ON!y) REVISED4/I2|I2
SETBACKS:
F: LH: ]
RH ''- R'-
PRoPERTY
use,
ffisr oellrrar,
tr BUS]NESS EDUC
COI,T4UNITY SYSTEMPRTVATE h,ELL
CEPUA
CENTRAL SEPTICPRIVATE SEPTIC
ZONING USE C].ASSIEICATION :
! cowuwrrv svsreu
pERMjrs FEo,TRED EoR
ErECr, ME.H,
'LBG,
GAs Eeurp,
'REFAB'
e ,r/"*r. .**
PAYMENT
MsrHoD: E] *" I caecr< (eAIABLE
ro 1111c)
[ arnenr
C+r geneSa S rO
, ,o I u SOonn
: DATF: FrratD: BFE+2ft=
N
PERMIT FEE: $
6ct
l+
Vt
Conment :
0
CONTRACTOR:
ADDRESS :
IS YOUR
PROJECT;
I Conmercial n Residentiat tr
NUMBER
OF STORIES: I
;:]fi;:[.fi*ffi-]t
4
E*r ncoum !orHrn,
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE I RESIDENTIAL
PLEASE ANSUIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibility''
LD6-)octt4
APPLICATION
Number
(Office Use)
APPLICANT'S NAIqE: charLer Buildinq Group
DEVELOPER:PHONE *:
PRO]ECT ADDRESS:8312 Fazio Drive CITY: wilmlnqton zrP'; 253)L
SUBDIVISION:Porters Neck Plantation BLOCK *:LOT #: 28
PROPERTY OWNER,S T,IAIi!E:
O.JNER,5 ADDRESS:
Daniel & Lorraine Mathus
CITY:ST: zIP I
CONTRACTOR: charter Buildinq croup LICENSE f: 5767e ACCOUNT *:
ADDRESS: 108 Gi ].Cs Avenue Unit 104CITY:wi IminqEon sT: I9_ zIP: 28403
EltlAIL ADDRESS: tonva@charterbu i 1d inqqroup . com PHONE #: 9aa-i69 244a
PRO]ECT CONTACT PERSON:Sean Lewis PHONE *: 910 262-5A99
ExrsrrNc coNsrRucrroN:
! nrrrRarrou
f| nercvlrroru
! erruenar nrenrns
!
NEW CONSTRUCTION:ERECT NEW RESTDENCE o"
! aOOrrrol ro ExrsrrNc RESTDENCE
'*'*PLEASE CHECK AND ANSHER BELOT'J ALL THAT APPLY T0 YOUR PROIECT:
RELOCATION
! otr clnnce sr
I eoncu 36s sF
! rool
-
sr ! sronace sHED
-
sF
SF
@ arr crnne r glt-- sF
! surnoom
-
sF
! cneetltrouse
-
sr
TOTAL HEATED SQ FTi 216'7 TOTAL 5Q FT UNDER ROOF: 36a? TOTAL AREA SQ FT: :eq:
TOTAL PROIECT COST tress rou : $322380
Is Any ELESTRICAL, pLUBBING
or ttEcHr$ucAL work Being Done to the Accessory st.ucture?
[ Ves fl lo
rf the pnoject
is a Relocation, is thene a Natunal Gas Line on the cunrent site? [ves fi ruo
rs there Electnical Powen on this Building?[v"t [l no
pRopERTY USE
/ OCCUPANCY,
I Srltclr rnmrrv
I ouelrx TOT.INHOUSE
hed qaraqeNew sinqle Family dwellinq with attac
and ordinances and regu taion s The NH C De,"€bpmen I Se rvices Cen br will be nolified of an y changes in $ e appro ved plan s and specilications or chang e in con tractc r or
contracror inbrmalion THNOTE nnltswilLbe in violation ofthe NC SlaE Up To
$500.00"'
OWNER/CONTRACTOR SIGNATURE:
(P.int Nare)** * * * *,r * +** i! * +,t * ,t,t + *** * ** )t,t,t,t,l ** {. !t** )* )t,t * * rt* + + *** * '*,*)t )* r* rt,t ,k
* r! i! * * +)*++,* *
Anv workPerfomed
' Hof[v: CharLei Eu
IS THE PROPERTY LOCATED IN A FLOODPLAIN? ]f YES
EXISTIiG ImPERvIolrS AREA:
-SQ
FT
)* )t,t i( tr<i( i( i( *1r** )*)t** *r(
I NO
TOTAL ACRES DISTURBED: <1/3
NE}I IMPERVIOUS AREA: 49?4 SQ FT EXIST LAND DISTURBING PERMIT: E VTS @ rc
hTATER:
@ crcua
I cor4MuNrry svsrrm
! PRTVATE I^IELL
! crNrml well
SEWER:
Zl creun
! CENTRAL sEPTrc
I enrvare srerrc
! coMMUNrrY sYsrEl4
*** SEPAIATE PERiIITS REQUIRED FOR ELECT, I,IECH, PLBG, GAs EQUIP, PREFABS & INSERTS ***
pAyr4ENr
irETHoD:
flcasH ficrrcx (PAYABLE
To uHc;
flartl rccotm E rclvrsn I orscoven
** i(+ +,t* * *,t
t ,t,t,i )i )*** * * )t )t
*,t,t,t ,t * r( *,1* )* )*)**,*,******,*,* *,*,* ,t )*
* * * *** * ** *,t,t,t * **,f *i<+ r(,t,t *++*+ *+++ +)*** +*
ZONE: 0F FICER:
(fOR OfFICE USE
OI{LY) REVISEO DATE
O4l11l12
SETBACKS: F: LH: RH: B:
Appnoval:_ City:_ DATE:_ FL0O0:
_ BFE+2ft=
_AVN
Comment;PERiIIT FEE:
--L .\
-&. i-dtr
.aE
oArEt J91]:l29Jz
PHONE f: 7a3 117-1.64
DESCRIPTION OF I'IORK:
fl oecr sF orHER:
# OF STORIES: 2
a'{E:19"8
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ATISHER ALL QUESTIONS APPLICAgI.E TO YOUR PROJECT
"ProJect ResPonsiblllty"
APPLICATION
Number
(Offl.e Use)
*5
O
4
U)
l
fl
APPLICANT,S NAfiE:Chalter Buildtnq Group DATE:10/13/201s
DEVELOPER:PHONE #:
PROJECT ADDRESS:I312 Fazio D!ive CITY: tli lminqton
SUBDIVISION:Porters Neck Plantation BLOCK *: LOT *: 2B
PROPERTY ollNER's NAfiE:Daniel & Loffai-ne Mathus
OIdNER, S ADDRESS:CITY:sT: ZIP|
CONTRACTOR:charter BuiIdlnq G!oup LICENSE*t 61519
ADDRESS:108 cilee Ave, Unit 104 CITY:!IilminqLonST:-ZIP:?l:jllg
EitAIL ADDRESS: ton
vaGcha!terbuildlnqqroup. com PHoNE S: 910-'169-2440
PRO]ECT CONTACT PERSON:Sean l,elris PHONE *| 910-262-5899
ExrsTrNG coNsTRUcrroN:
I altenarroru
[ nenovarroru
[ eeruenal Rrearns
f] RELocATIoN
NEt, CoNSTRUCTIoN !ERECT NEt,'l RESIDENCE O"
E AOOTTTOU TO EXISTING RESIDENCE
*..PLEASE CHECK AND ANS'IER EELO}' ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE s11 sF ! orr eanaer
-
sFPoRCH:jL_sF
flsurunoon
-sF
n Poor-
-
sF
I sronaee sHED
-
sF
f] cRrrruHousr
-
sr ! oecr
-
sF orHER:SF
TOTAL HEATED SQ FT3 276? TOTAL SQ FT UNDER ROOF:3!3L- TOTAL AREA SQ FTr 3547
TOTAL PROJECT CosT(resslor) | $ 323!14_ # 0F SToRIES:
Is Any ELE6TRICAL, pLUttlBIN6 on HECHANI6AL tlork Belng Done to the Accessory structure?
[ V"t [l f'fo
If the pro1ect
is a Relocatlon, is there a Natunal Gas Llne on the Cunnent Slte? [Ves [f] Uo
Is there Electrical Powen on this Bullding?
[ v". fi ruo
PROPERTY UsE
/ OCCUPANCY:sTNGLE FAHTLv
I ouer-ex
fl rownuouse
Nev Sinqle r'anlly dnelllnq with attached gara
V)q
I
r4
0)
il)?
*
DESCRIPTION OF I{ORK I
DECLqMER: I heroby cerdfy fiat oll lnbm6tion tn thls rppllca{on ls corEct snd s[ wotkwlllcomply \Ytlh te Sl6to Bultdlng Code
and odlnanc€r and roguladons. Tho NHC tl6y€lopm6nt S€ hor C€nb. \4ill ba ooill€d of any changos ln he opproved plsns 8nd
cont6cb. tnbrms{on.:..NOTE: AnyWoik Ftrlom6d vv/O he Approprlab Permlls wfllbe ln Vlobtion oflho NC SIEIE Bdg Codo
and a[ ofi€r Eppllcable Siab and loc6l l6vrs
Gpsclllcsthre or chaago in contaclo r o I
.nd Subjoct b Flnes Up To$500.0f"
OHNER/CONTRACTOR:sIGNATURE:
r**,r****,|f,,r tr*:r.,*
n* ** *** * ** * Jlltl. Jll"]** **** ****:r++ i'l:r**,t*,! **+*{.*:t * *+* +t+{.*** * * i.'r i.d.** t{. ** **
rs rHE pRopERTy LocATED rN a FLooDpLArul
E ves fl Ho
EXISTING IMPERVIOUS AREA'
-SQ
FT TOTAL ACRES DISTURBED:
NEI{ II,IPERVIOJS AREA:
-5Q
FT EXI5T LAND DISTURBING PERiIIT:
fr VCS
Ef ruO
mrenr
I creul
I corotuNrry svsrrr.r
I pRrvATE wELL
! crrurnal well
SEI^IER:creua
fl cENTRAL sEprrc
fl eRrvnrr sEprrc
D coMMUNrrY sysrEr'l
.TI SEPAITATE PEMITS REQIJIREO FOR ELECT, I4ECH, PLB6, 6A5 EqJIP, PREFABS & INSERTS '**
pAyrirENT HETHoD!
E cesr EcnrcK (pAyAsLE
ro rnc;
I arrnrcAr,l ExpREss
E nc^rsl E orscoven
**i**** +*t***+**:!tt**:*'1.+lit,r+***rft*t+,f*tr.* *t*,I *** f {.** t+*+ +a*,}*t4 * * *t,},f !** * +* * t** t*** *,1+ * **
(FOR oFFrcE USE oNLY) REVrSro DATE 04111/12
ZoNE:
_ OF
FICER:
Approval:_ Cityr_ DATE:_ FL00D:
_ BFE+2ft=
tq
N
+)
zzPt
MJ-
PHoNE #3 103-1't7 -7560
SETBACKS: F:_ LH:_ RH:_ B:_
?ots *lma;
RECETV[]
!ii o; 2915
NEW HANOVER COUNTY BUILDING PERfIIIT
APP LI CAf IAN TTPF.. R ESIDENTIAL
,tEASE AI!SI1EF ALL g,IESTIOIIS APPLICAEIE-TC YOt]i PRO]T(T
"Project R€sponsibility"
L-c.I.,u-^r^
\ - 2V15
APPLICATIO
umb€ r
(Offlce Use)
APPLICANT'S
'{A',1E:DEVELOPER I
6arhnQ DATE:
ot{
PHONE
#:
PRO]ECT ADDRESS:
SUBDIVISIOiI:
CITY:
LICEI.ISE f:
l--.'-
CITY : l.r-rr
\rnrxr,tnr.
ACCOUNT
f:
zIP::(Hfiq
E *|1)2.33A:1-&?3
sr: Ue.lrP:-f,PqlA
sr: ULZIP: .i&{/1
crw:
BLOCK *
PRoPERTY OI,JNER'S IIAHE:
O,JNER,5 AOORESS i
COI'ITRACTOR:
AD9FESS:J
EI'.'lAIL ADORESS:
suNRoott
_5F
6REENHOI,5E SF
PooL
_ sF
pxalr-
*: ?lo -:aY- ?F?3
PIONE
*:
PRoIECT CONTACT PERSS.I i
EXISIIN6 CCFISTRUCTIOI.J :
I arrrnnrror $4rrororror I eerenar arearns
I RELocarror,r
NEW CONSTRUCTIOT\J,
! enrcr NE!{ RESIDENCE
o"
I mOrrrOr TO EXISTING RESTDCNCE
E CHECK AI.IO AT,{SWER BELOII ALL TIIAT APPLY TO YOUR PROJECT:
ATT GARAGE
-
SFDEI GARAGE
-
5F
I noncx
-
sF
I sroancr SHED
_ sF
I orcx
SF OTHER SF
TOTAT HEATED SQ FT:TOTAT
5Q FT UNoER R00F:
_ ToTAL AREA SQ FT:
_
TOTAL PROIECT €0ST uess rort : $.
d!)f OF STORIES:
Is Any EL€CTRTCAL, PIU B$lG or irECHAt{IaAL }Jol^k Bei.ng Doieto th! Accesso.y
structu.el
E V"r ff
6as Line on the Current Stte? Eyes
EHo
PROPERTY USE
/ OCCUPANCY:SINGLE FAI'II LY
I ourrrx
I rowrHouse
IoN 0F r,loR(:
p.
DISCLAII'IER lne6bycsn,fy hstal inbnnsljon in
lls appkaion ls
coveo( r/vil comply *in t! Slar€ Auibr.! Code Eld rr oner €pptcabt€ Sr6b a,rd locd l6{,s
a d ordin'lc.B llld lnlulrlbns. Tn! NH c Dev€bpdcnl S€ rvi.as crnDr wil b€ .olfed ol ar y
6an9€s in
ts tilr.ls m0 specrnirtons o. charige h conracDr ot
conr6cbr inbflnaioi. "toTEi Any\,york parformed w/!9 tre Apprcprlaa Ftrmj6 wdl be ln Volrli}n of rhe NCode Brd Sdblocr b aines
w"
is there a Natu/P61
s Building?
Ul Yes
Now€If the iroject is a Relocation,
Is there Electrical Pglrer on
OI NER/CONTRACTOR:SIGI'IATURE}
{r.1nt Nara)
* a r. l r r rra a *r tt r r r r * * *,r. r t :, + r+ * ** I *r rr rr r r :r
rr*, rr ** :r
rs rHE pRopERTy Lo€ArED rN a rr-oooeurnt
I vrs il ruo
EXISTIM II{PERWOUS AREA:.- SQ FTTOTAL ACRES DISTURSED:
NEI{VIoUS AREA;
_SQ FT
EXIST LAND DISTURBITIG PERITIT:
ll'] ves
ll! xo
FPUA
f] comuurrrv
svsrrr'r
f| pRrvArE wELL
I crnrml wrllI,IATER;
sEllER:crrua
f] CENTRAL sEprrc
I onrvlrr srnrrc
I co,uuNrry sysrEn
+T* SEPARATE PERTIITS REqJIREO FON ELECT, I{ECH, PLBG, GAs €QUXP, PREFABS
A I SERTS *"
pAyriEr,rr
|tETHq):
Icasn f] cxec* (payaBLE To ruc;
Iaru rcco:rr I r,rclv:sr I orscovrn
'r)al 'I* * **a * * r** t* r,* * t)* a(* )r
* t **t*itMr* aa t,:* * r r * i, r *
r *
i r !i:i * ** * + ttr*** * * + r,t jr lt
(FCn oFFiC! USt O,rLY) RaVISEO aA,[ 0./1111:
r *
i **,l * *l r * r* **1* +* r r l *
SETBACKs: F:_ LH:_ RH:_ B:_Zo{E: oFFICER:
Appcoval:_ City:_ DATE
l_ FLmD:
_
A
BFT
H'1S
/l- ,,::...
tr",su '
I
!
l
LoT #: _
4ao
RtcErvEc
ffr 07 201i
NEh' HANOVER COUNTY BUILDING PERI{IT
APPLICATI0
IyP€i RESIDENTIAL
p!€AsE A
5tgi rLt q.lqsTroris lrptrcaRLE t0 Youi PiolEcr
"ProJEct Respon5ibllity"
CITYI
BLoCK fi
CITY:
LICENSI | |
CITY,
&,et(-loooy
l\--tns^
APPLICATION
lul$ea
(offl.. us€)
PRO]ICT AODRESS:
SUBDIvISI0I,I r
PROPERTY O{ ER'S AIAI{E;
Ot{ttER/ 5 aDoRESSr
APPLICAIT'S TIA,4E I
OEVELOPER:
c0$rnacT0R:
ADDRESS I
PHON! *:
OATE I
otJ-
ZIP
E
*,I/a.:jikix|j
sT:
ll-zlP:rlPdlA
rxrsrlirG coflsTRUCTI0 :
n ALTTRATTOru Q4tmvouoru [ eeneuL nelerns
f, REr.ocATl(B,l
r'iEH corisTrt (lto :
! enecr url|J R€sIDrNcE
o"
flmorror To ExrsTIt{G REsrDtNcE
..PrtasE cflEc( Ailo AllShEq 8EL0!J arL Tliar Apply Io youR DRoJECT:
ffirr oonace
-
sF ! oer crrnce 5.
! ron+i
-
sF
I surunoot
_sF I rocr-
_ sF f] srorAcE sHED
_ sF
€&AIL ADORcSS I
I eaeeurousr -.- sr I oecr
--
sr
ls Arry €l€CT
:r trc irol Natrrzd] 6as tlne on the au-rent Slte? Evet
MJ v"'
fI ruo
w€
ACCOUMT #:
sT: fl_zrP I
a&lA
PHOXE +,
pxorr *:
?o :az- ?,t93
sr
*1t *r *
tr 'f * *,l ]l)tr* r*r* **
e(t 1s a Relocation,
i5 there a
15 there EleCtrical PorerBuildinSl
OTHES:
ToTAL HEATED
sg'r,4oa TorAt sQ Fr uNoER RooFr T9TAL AREA sQ Fr: _
ToTAL PRoJECT CoST rL.s r"q t S,9r?,SA.a * oF sToRrES;
_
iICArr pLUllS]}{6 o. xEaHealItAL
*ork 8etn8 Do4e
to the Accessoj"y
strJctu.et I V"s I No
PROPERTY USE
/ OCCUPA'{CY:
E Ffu1ILY,UPL5X
n TOI.JNHOUS E
0F l|JoR( i
DISCLA$EFI t hi,Bb, rr dli h.l sx l'lorn ! tln lo hi!
arpl..i!. s co*ora *'r .o.rrl) q:f i,, Sug Suldli{ Code
rlC ', on€r
ertc.lt S6E rx, bd td.,d qtdinrlc.r
dl c!ql.lbn!.Ih. NHC Oo{elcr.n irs.Drs!C.n5 r1lb.lonr€dolr,cnr'g€lot.prri 5
'16
3,&-nc.!bna o. .i 3T. h co.v!.rr
.'cotrcu lnbDot n.
'-I0:a Ary !'\,brk
Porfr,:ird w&
r! Arrp,orr.t Farntr!eir 5! r yh$rcn ot rh. N
C!.e
!i. Srbj.d b F.nds
5.ra_
ot,litER/co TRActoR:SI6iIA]UR
.*,r +i+r*,r + i'i. **...r,-" -
" ' J::f: ,l:1"J, r
*.. r . '. ,(
r r*,** *rr,*r,+.
rs rr€ pRopERTy LocATED rN a ruoooeurll
fl vss E uo
ToTAL ACRES oISTURBEDI=
ET Lfio DIsTUiErr€ pERfirr: ff ves
I m
on 1rts
Ml SIIGL
Ek IlrERVIooS AREA;
_ Sq FT EXISJz
warERt grtFNA I c$ncntrw svsrr,,
E pc]vA'E HgLr
sE|,rER:
Ef cFpuA
E crtnRA{
srnrrc
I pRrvarE sE:Trc
r1-f
{D
E{}
CINTRAL
',{ELLf] co,ulrurirr svsrrn
r.. SIPARATE
PAYIIEiIT HEIHoo: E CASH
rf] urcx (pAyaBLr
ro ruc; flartr rccaru
[ rczv:sa E orrcovr^
PERIITS R€q,IRED FoR
Et€CTr ECI, pI86, GAS rgJlp, PREFABS
& I SERTS +.r
". P"\:.-....... r i. + *+, t. r,.*.r r* *rr *t r** **,ri,,.{ * *f *,*,r r** i 1t,r,.r
lrcq orFr(t
!s! 6LY)
,*0, mff,(t?,0,.,r: Nitl ,.u,
)r\
ls n,r
rsiA e:4i11g4
- \/ gFE*zrt.
rD orra
s{/!P\.)(t!STTBACK.S
Approval i_ Cityt_oATE:i0,Z-l*LooD
- No, exf ansio,o -to b', tcligfola^^+.sYt
i
I
i
i
I
I
l
l
I
I
I
I
l
I
I
I
LoT Si _
PRoIECT CoI{IACT PER5C[.] |
tXrSTItiG IttpERWOUS AREAT.-- Sq FT
i
IL-.
f!
/ut]c 2o tgl oloo
ls-?rrtl
APPLICATION
Number
(office Use)
tuttr
Lo
.)
74
s i+1,DAIE: 3- Z 7t )-
PHONE *?.lo ?9/- tx
ZIP ,
zht/
APPLICANT,S NAI'1E:
DEVELOPER: Ao
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OhJNER,S NAME:
OiIJNER'S ADDRESS:
coNTRAcToR; /2O
(
c
c
PHONE *:q/0'ryo'rJtl
ctrY t k)i Lnud F,zt sr t fu[Lzw t Z
fu l /
tl
ADDRESS:CITY i
EI"IAI L ADDRESS: 'Tim ,)* Ftt e em * Q 4 ot. , C,- i
sr:^Gzrp; zrya(-
PHONE *:
PH9NE r:
fr'ryo'fit(PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:RENOVATIONGENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:
WeaECT NEN *SIEENEFa TADDITION TO EXISTING RESIDENCE
**PLEASE CHECX AND ANSWER BELOI4 ALL THAT APPLY TO YOUR PRO]ECT:
SF
tr
A LTERATION
Shr
ATT GARAGE
GREENHOUSE
SF
DET GARAcE NIA sF
poot Nl A sF
PORCHSF
TOTAL HEATED 5Q FT:
Hh+ TOTAL SQ FT UNDER ROOF: IZX(Q TOTAL AREA 5Q fi: IZ>/(b
ToTAL PRolEcT cosTrLessrorr t $ trlfL,{l # oF sToRrEs:
t
SFDECK
x l*SF
PLUI4BTNG or 14ECHANIcAL tnonk Being Done to the Accessory Structure? [f-V"t [ ruo
is a Relocation, is thene a Natural Gas Line on the current site? ! ves [fl6-
Is there Etectnical Por,rer on this Bu j.lding? ElT e-E-
E ruo
DUPLEX TOWNHOUSE
Is Any
If the pr
PROPERTY USE
/ OCCUPANCY:
DESCRIPTIoN OF I^IORK:
SINGLFAIqILY
z
and ordinances and reguralions The NHC Developmenr Seryices C€nter wllbe noflied ofany chanqes in lhe approved plans and specificalons or change in
conlrac()r or
conracbr rnt'rmat€n "'NOTE:Any Wo.k Performed WO ltre Appropnate Perm ls willbe in volation ollhe NC Stab Bldg Code and Subpc I i. Frnes Up To S500 00"'
OWNER/CONTRACTOR :SIGNATURE:
qF-rs rHE pRopERTy LoCATED rN a rloooernrltt
ffivts
coMiyuNrry svsrem
! pRrvATE t,lELL
! crrurRnr werl
CENTRAL sEprrc
f] enrvarr
srerrc
! coMMUNrry sysrEry
(!)* i( * )i,t * ***)t( ** * * * * * **** *** * * * i( i( ,*,t
* * * {(* *i( * *,t*,* ** *,k ** ** * *
NO
EXISTING I[lPERVIOUS AREA:SQ FTTOTAL ACRES DISTURBED:
NEW II4PERVIOUS AREAr
_SQ FT EXIST LAND DISTURBING PERMIT:YESNO
I^JATER:
SEl,.lER:
CF
CF PUA
ZoNE:
_OFFICER:
**, SEPARATE PERIIIIS REQUIRED FOR ELECTJ I'IECH' PTBG) GAS EqJIP' PREFABS
& INSERIS **i
PAYT1ENT METHOD:
E COSIT
ECHTCK (PAYABLE
TO ruHC;
I MATATCAN EXPRESS [ "2'''O
DISCOVE R
********.r***************************'f;**********'r.f***************************************
(TOR OFFICE USE ONI Y) REVISED DAIT O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ city:_ DATE:_ FLooD:
- -
AV
comment:
BFE+2ft=
,
PER[1IT FEE: $
LECTRlCA
a-
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSl,,lER ALL QUESTIONS APPLICABLE T0 YOUR PRoIECT
"Project Res pon s ibility"
CITY:
Lt: t l*tqtka
BLOCK f : s.A,t
O LOT #: -_:_
LICENSE f:
LtrLur.,\6f-
fl surunoor'r
! sronncr sHED ,
L Y, (o sF
5F OTHE R:-t-
NEhJ HANOVER COUNTY
BUILDING PERT4IT
APPL lcarlclt rYPE; RESIDENTfAL
PLt-.aa arirshER aLL ?.r45T1015 tPpLIC^B!! it youR piotECr
"Project Respons
i.biIl.ty''
aoLs- lo 117
)c, t
APPLICAT]OiI
llumber
l,--
';il
i4X.l{l tr,
APPLICAMT'S It'f1F I
DEVELO2ER:
v:e r0
iL' aor
:r'r.:rnv ci lli:m.iic:a... I
PRoIECI ADDRESs: !211, :.:irrox$ PrirL pl,\crl
Dl\IEi '-Lt1;.1'...
PHoNE
s: r r-?95;
CITYi l.lilrnino:.::ZtP : ? e,i l1
5UB0IV1SIoN: Lr." r' rLl 8L0CX l: .;
LOT *:
PHoNE st lr; -ai,PROPERTY OH'TER'S NAx€:--..41
ol.iN;R'5 ADDRTSS: -:',: )... v.".c.:..: :'cinr ?i i.:CITV: r;::r::::,r::sT:
!q 21P: 28,i05
CON'EAaToRt vie l'.r.':-r).:ioo c(i'.iny of liiimir-',rr
ADoiE55: 8262 !,1-rj.k()t
sr::e4',-. ste lo6
EI4AIL ADDRFsS: .. ' .. --: s: ...:.: i-:-l:i:.i,l.crn
SUNTOOH SF
! ene;ura;se
_ s. I oecx
-
sr
Is there Electrical Po{e. on this 6uilding}
f] srcucr sHrr
_ sF
oTrf9:9F
ves
I lo
ll(ENsE *:
CITY: ai
Inii.ton s'I : jg_ zIP:
l3l_l:
PHol'lf #:,19-t:9-;561
PRoIECT CoNTACI PtqSON: ;l.n,r Neiq:1:-:-PHoNE
#: 2!?-r,i26
EXISTIiJ6 COI.ISiRUCT:ON:A i,TERATION
[_l nrmvarrol
I carinrl aenarns
I R€LocATroN
NEX COtStRU(TrOr{:
f rnrCr rElr RtsIoENCg
o"
I AOOtlrOr TO EX!51rN6 n€5ISTNCE
..PLEA5[ CHEC( At€ ANSIIfR ETLOII AII T}IAT APPLY TO YOUR PRO]ECT:
f, r'rr eamee
--
sF I oer caarce sr
I eonoi
-
sF
L_l PooL
_ sF
TOTAL HEATED SQ FT:
3?s ToTAL SQ FT UNDER R00F: .,r: TOTAL AREA 5Q FT: r?i,
ToTAL PR0IECT C0sT,ro*r.cu : $ :oooo * 0F STORIES:
Is Any ELE(TRICAL, PLUtrSIttG r^ HECllAtlltAL ric.k 8elng Done to the A(cessory
Stru(turel
If the p.oject
is a Relocation, i.s there a Natural Gas Line on the Cu.rent Sitel f]Yes I I,io
Ye9No
pnopEery usE
/ occuPAtcY: @ srnerr rlmrrv
f ounr-ex f,-rauNHousE
oEsc8 rp't-r0 0F t40RK:ii. ;i: " ra: r'.r:i. ..r ;i' : :,a!e.,
o6a^Ir68 r halby c.rd,, !1ar
a, 6
b,rnalo^ . n rr
l'riEalor 'i .cir?.1 and .i wr' r
wl complt *,$ ho sl.rc Bu,ld,ng calo and .r oh., a9!r.s!b sLE ard
bc., tes
3.ld..d5&d.r rd 'lgJbrionr lt4 NHC Oe4,ccFe.: S.r{'.!. C!.u' ^ri !! nottol ol &ycn!.g.t. i. ,rorov.d rla.! !.j sorcil|c.l!ns
o.cf..r...ofiabr or
..-.!ct,, nbrErro^. '-t!O':E An" lvo.r P€/c*r d !v,O ,l€ patori,:r! pe.annr *i i ,r. iD v6hr'o.! or re NC
SaD ElJg Code
an! &arct !r r!! r ,Jp t o S5O0
0O'..
OWNE R/ C0NTRACTOR : 6leqn Nei,tr:bour SIGNATURE:
I
rs rHE pRopERTy LoCATED rN l rlooolrur: I ves
ExI5TlT6 II4P[RlacUs AREA:
-5Q
FT
tlEl., I|PERVIOUS AR€A|
_ SQ FT
WAIER:
A CFPUA
SEuER r
Z] CFPUA
zorr:
2 2O orrrcen
TOTAL ACREs O:STURBFD:
EXIST LAND OISTURBIIIG pe nr'arr
I T-j YE5
fiNo
;-&
I NO
PAYXiiI Pt;:loo:CASH
'ir or.rcE
lrr *l!l
I coru'run:n svsrsn
I FRrvaTE
llEr-L
I cenrnal well
I cexrrnl srnrrt
! PRTvATE
sEprrc
f] ccvx.n:rv svs; t,r
'T' SEPARATT PEi;IJIS REQUIRiD FOR EIECT, I.IECX,
P186, 6A5EqJIp, pnEFABS & INSFRTS
'.'f] crecx lmvaarr ro urc1
[ o:*:car,
exerrss
f aclvrsl I orscorr"
5tr3,\cKS: F
,_\M
-.-a cAtt it t.
:11:.
Lx:Nlfina: ,l e:!t{3
Aooroval: Citv: DATE:
I
i................
it., I TConment:N
tt2 S FL(ND BFE+2ft=
Tirhm
&r
APPLICANT, S
OEVELOPER:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICaTI1N rYPf; RESIDENTIAL
PLEASE AN5K!N ILL QITSTICITS A9PLICABLE
'C
YOUR PRO]ECI
"Project Responsibility"
9015 -
It:- Jo) I
APPLICATION
Number
(osqt
NAI4E: ,io ccnst: uc! ioil a.-:..,,r c: tir:rj. r, r:, :,i
PHONE tr
DATE: r a, -.-a.. r
:
vie ac..s: r'..:c:rc::::1:-..:r1' .; ), i 1i:1:.:.)': i::'j
PRO]ECT ADDRESS:2216 Masons ljoinE Place
SUBDIVISION:Landfa l l
PRoPERlY OIINER'5 I'lAf4 E:Pe'-er lavres
oWIYER'S ADDRESS: :li :6 Yas
ons ioin! ?laceCITY:
coltTRACTOR: vle ccrlaiiruction Ccmpanv oI r,{i
l minqror LICENSE f: 62880
ADDRESS: B262 i"larket slree!, s!e 106CIIY: wtr:l ni n.llon
EftAI L ADDRESS : ..,
r!,rc:rs: iJc'- r(,::..:)r:,:rar i .''- :i
PRO]ECT CONTACT PERSON:Glerin lierqhbour
PHON€ $: :1r-75,c
ST : j{_ zIP I jjjf:_
sT :
3!_ zlp; 28411
P}ONE B:
PHONE {:
r: l r- -'
29',1 -',7 t26
EXTSTTHG CON5TRUCTTON,
I ALr€RArrON
I nrNoVarron GENENAL REPAIRS RE LOCATION
NEW CONSTRUCTIoN,
I enecr NE{ REsIDENCE o.
I lOOrrtON TO EXrsTrNG RESIDENCE
iIPLEASI CHEC( ANO AIISI{ER EELOW ALL THAT APPLY TO YOUR PROJE'T:
ATT GAR,AGE
-
5F
suNRoor'l
_ st
GREENHOUSE 5F
DTT GARAGE
-
SF
PooL
_ sF
DECK 5F
PORCH
-
SF
STORAGE SI]TD
OTHE R :
SF
SF
TOTAL HEATED SQ FT:
,, TOTAL SQ FT UNDER ROOF: TOTAL AREA SQ FT: I.
TOTAL PROIECT CoSTrressrcrt:
$ -...01'-. fl OF STORIES:
l
Is Any ELE(TRICAL, PLUliBttlG or ll€CllAtlICAL l,lork Being oone to the A.(esso.y Stnucture?ves
I lo
No
Ir there Electrical Power on this BuildinS?!ves
flto
pRopERTy usE
/ occuPANcY:
E] srNcre raurrv
f] oueLex
! TculNHousE
If the project
is a Relocation, is there a Natural Gas Line on the Current
Sitet Eyes
DESCRIPTION 0F WOnK: No scruci:ural sc:k - r.eE raler ileaie:., rd,i:1ets an,l tcL,s
and oldm i,nces rdd r€9!lalio.s Tha NHC Delelopme.l S€tuices Canc, u{ be notll€d ol any changes r. ,'e appro!€d plans
afti srocrtustons 3' chsnge m
canl,acbr o'
clnta.l]r6bmalon'-NoTEAnyWorrPerlonnedlvrorheAppropratsP€mrrs*l,beirvobloncl$cNcslaeBld!codeaidsubject|cFrros!pT0350c00!.
OWNE R/CONTRACTOR :
Glein Ne i.rhborr SIGNATURE:
rs rHE pRopERTy LocArED
rN a rloooeurll f] ves
EXISTINC IiIPERVIoU5 AREA: _SQ rT
NEH IiqPERVIOUS AREA:
-
SQ FI
T NO
wrrrn,pcreua
I cor&luNrry
svsren
f] pRrvarE rrrLL
I crrurnar werl
sEwER:
E creun
f] CENTRAL sEprrc
I cnrvaru
stertc
! com^luNrry sysrEH
T'T SEPARATE
PER}lIIs REQUIREO FOR ELECT, fiE(II, PL8G, GAS EqJIP, PREFABS
& INSERTs
'*'pAynENr ErHoDr EI casH
ECsrcx (payaBLE
ro Hnc;
I aienrcon
eienrs, I rclrrsa I orscorr*
r * * r *+* r
*r r r r r. *
(roR 0ta!cE r.rlr o!L Y)
SETBACKS: F:_
FLOOO:
ravlgaD
lalt gni 1l / l2
Zol,lE: oFFICER B
BFE+2ft=App.oval:_ City:_ DATE
Coraient:
I
-
THRH
ft
PERMIT FEE: $
CITY: j.LL9-L!ggLg__ zIP I J123jJ_
BLoCK S: LoT S: _
T0TAL ACRES
0ISIURBE0:
_
ExISr LAND DTSTURBTNG pERtrrT: L__l yES I I
rc
RECEIVED oCI26 2015
NEW HANOVER COUNTY BUILDING PERMIT
APPLIcATIott ryPE; SIGI{S
/ BILLBOARDS
PLEASE PRIIr CLEAiIY & At{staER ALL QUESTIo}|S
ect
ibili
?ot5- /03?Q
ir%z}
APPLICATIOT{
l,lumber
(Offlc€ Us.)tr
ICATT'S IUI'IE:
LOPER:
,ott io-
ECT ADDRESS:
,NT,/BUSINESS IIA',IE
:
RTY Oq ER's tIAfiE:
RJS ADDRCSS:
ESs:
EttAL ADDRESS I
ECT CO TACT PERSO :
K\
ch vral:€rr,r
PHONE S:
PHONE
ztP I 3
i
CTTY:
LICEiEE
*:
CIry:
(CHECK ALL THAT APPLY)
CTALTER REP R
IARQUE E
}JALL
Sign Dimensions:
sign Dimensions;
Slgn Dimensions:
FS
PHO E :1
PHOI{E *0-?F.z-
lbD
n
rjtq-E+o-?as t*,Sczr*jgy'gj'
sr'NLar-9412-
U
I
EENLARGcl.tAN6
I5(s) ori oRF PRErrsEs?
ffim fiorr
I hereby ce.tt ttll .I hto rn5to.r in this +pll:atix1 is conEcr
rd 6I wort wit @Tdy wiu, tE SLiE Adldng
€nd r.lirl"lidrs. nf, NHC D€t dcpmcrn Saies Cater vrlt t Dotif€d !a any dElEs in th. +p.dediifrmalim. *NOTEj tE Am.op.iale PenniE wll t in Molldoo ol fle NC
Sate
ryP
DES
ON OF !ORK:
1 Height:
2 Height:
3 Height:
4 Height:
d4g. il d't-ador or
Fln6 uP To
ssm.@..
/CONTRACTOR:SIGNATURE :
,t*rta *,r ***:** * ** *,4,t*,f:t ** *:t *,t +,*,t* t *** * + *,,t:* *,1* t ++,* ta,t:*** t:t:t,a* *:;******)t*,t*** *+*a*:|*rt t:*
oF srcN(s)
FREESTANDING (Ground)
SHIIiI6L E
PRO]ECTION
CAI,IOPY
Total Number
of
Sign Dlmenslons:
ROOF
OTHER Cn't
Slgns on
this Project,1 a
3'4,,* 13'(l
Total SQ.FT,
of Slgn:5
5
SI
x_x___ _,_
x
Total SQ.FT.
of Slgn:
Total SQ.Ff.
of Sign: _Total SQ.FT.
of Slgn:
-.-
SI
PROJECT
CosT: 3 3E@, OO Is THE PRoPERT LoCATED
IN
a rloooeulI} fi ves B Io
*.' SEPARATE
PERIITS REQUIRED FOR ELECT, IIEG}I, PLB6, CAS
EQUIP, PREFABS
& ITSERTS 'T'ltErxD: E c** E! orrcx (payaBLG To
trrc) fl a*nrcer
erness E *mro I orscorrn
,tt*a ** * *3** * *'r * a,*rt*
***+ *,.*,* *:**,1:| *
*:t,t***a a t *,l,t r * * a rt rt
*,i *
*:t *:l *:*:* *,t t,3a
*,:,| t,t:| a,i,l,al a,r a,*r ra,i
(foi oFFtcc usE
*,")
,l:|JtSETBAC(S: F LH
,t(RH
F LOOO :
u0nut)1.
NI hAr rli
app
al:_ Ctty: br
tr"- DATE:
eiliri ltt$Uaotion rfuOum,
_ tEvIsE oAt\
,l*t12
*r,nl
V BFE+2ft=
_
fffiffiM/ar-
C]TY:
E
oFFrcER:
43
DEVE
cotJlR
r6l\
OTA
lBl
/r4yzq
APPLICAIION
Number
2,1 :-.,I
,irr\...l'Yt
in rj4"s
APPLICANT'S IIAI.IE:
RECEIVED OCT 27 2OI5
NEId FIANOVER COUNTY BUILDING PERMIT
aPPLICATIqN rvPE: SIGNS
/ BILLBOARDS
(Offlce Use)PLEASE PRINT CLEARLY & P}ISNER ALL QUTSTIONS
,,_.,.
_.,"l"oj:.. lespo.nsibility''&""6r,pS
DEVELoPER: ^ ,l ^tt -
lll
frrr,l-1rl DATE
oCCUPiNI/BUSI ESS NAME:
PHONE *:
cable Slate and local laws
d.ianae in cmlcstor or
ecl lo Fines Up To
$500.00"'
zwQ5;|-1;5.,
/'l l*:!'l I
sT: {L,ZIP:
sr.NLrr#841L
*, g1g gifiy't
I
PHONE S
t0-3s2-rbCI
PROPERTY OUNER'5
OI{IiIER' S ADDRESS
TflE
l'111
CONTRACTOR:
ADDRESS:
EI{AI L ADDRESS:
r(\
ch
ERECI
DESCRIPTIoN OF I,JORK:
t*JrrrhJqq ui
&nLlnqFD -
(CHECK
ALL THAT APPLY)
i
#'T- .1
tl'Titt,,' l1f-i: '
I "*:'
:'l
) ,
, r .'fY .
':-:, I .t"j,i. '_1 ";, i ii- ,,1 ,.. r; -, i . t., r-6,..;, .,
I5 5r6N(S) ON
0R oFF PREMTSES?
DISCLAIMER: I herebry celoty lhat all inlormalio, in this applicatjon is conect and all vork $/i!l
comdy wilh the SEte
and oftlinances andregllaliqs. The NHC Dsvetopmenl SeNic€s C€nter wiu be noiifed ofanychanqes in the
cornractor inlormation. "'NOTE: Any Wo
wo rhe
Appop arePemiE wjll be in violation oi r,re Nc
ii
:+:**** !*
*.* * *:*,* *
*** * )* )*
* *,r *,f
***:t ***,*.t)**
TYPE OF SIGN(S)
l-l ,r
l.".iLii d SIGNATURE
fl cno:rcrroru
[. ] caropv
r.1ol.,lN E
R/COI{TRACTOR :
'i:"l rnt esrlruorNe (Ground)
LI surrucrE
* *,t** * !*+ *
'*
++** ***:* + *,+** + * +,t,* * )t,t* * *,*:* ****,*,t *,*,*,t
MRQUEE
UII ROOF
OTHERL
:a-{'(:sret r Height
\rli .sign Dimensions:
-
1 x-,.t. " ,oar, sQ.FT, of signt --/.),?-
tlk") srcn 2 Heilftt e_+Aj sign Dimensions:
_Vq" x LL'-G" rotal sQ.Fr.
of sien: 91 * WA{,Z\
f1 r,:
. slctrl 3 Height: ',. '
.. sign Dimensions: 'i' _ x _.
I Total SQ.FT. of sign: -'51-q: )'i r - 5I6N 4
Height: _ Sign Dimensions:
__ _ X Total SQ. FT.
of Sign:
__ ,:", *
TOTAL pROIECT COST:
$Q0r@0_-9r IS THE pROpERTy LOCATED rN I rlOOOnUtH?
[ Ves B ruo
*
Tota1 Number
of Signs on this Project: '
**' SEPARATE PERi4ITS REQUIRED FOR ELECY, HECH, PLBG, 6A5 EQUIP, PREFABS
& INSERTS :IIt'
pAyrir€Nr rlErHoD
r F .*, S( a,rcx (pAyAsLE To Nlrc) [ mnucan
exnness {]] uc/vrsl DISCOVER
^ (5,1.;:
zore :
_!(. oFFrcER:
Appnoval:--"-* City:
!t,i***)t***** !***:| * *** li ** * * * *,*,t:i * ** ** ** ** * )*,***
*,** *
(foR oFTICE U5E
, SETBACKS; F
.1,:l2.i, a r r-ooo,
-T-1-
* ** *,t * **** ** * * *:* * *
ONLY) .: io ' rs: r.4 RH
** *** * *,***,** *,t*+* ****t*
, icvlsED.ioArt3/30/12
;. -/\ B'. /"
BFE+2ft=
$Comnent:
DATE
r,i7
* qr**ibr *ryrm, ? j
&!T{*&S1""'lar-
PHONE
PRO]ECT CONTA€T PERSO'I:
CITY:
LICE SE f:
t
r26
zor5 Qol5-/o3r
NE,, HAN',ER
couNry BUTLDTNG pERMrr lf- wY
APPLIcarIott rYPf,; SI6t{5
/ BILLBoARDS *L'#J"'*
@
APPLICAflT'S TIATIE:
DEVELoPER i
PLEASI pRIlfi CLEAnty
& AISTTER ALL QUESTTONS
ect sponsibility''
(offIc€ U5.)
lo4q{DATE
PTbNE
S:
PRO]ECT AODRESS:
OCCUPANT/EUSINESS NAI'IE :
E
CONTRACTOR:
ADDRESS:
E'|IAIL ADDRESS:( otrv\
PRO]ECT CO TACT PERSON:
R\
chnaSrr"r
zlP I
o3
PHONE S o-3
taol
5__ st :
t{-zrr :
PROPERTY Ot{,lER'S
O{'{ER'S ADDRESS:
DISCIAIMER: I her€by
c.rtry that 6ll
snd
o.diEnc.s r^d re€uldbns. Th€
dta{r6 inlmat orr_ -NOIE: Any
$+aresrANorHc (Ground)
f srrlele
crw:
LICETJSE S:
CIry:
fit
1'n
(CHECK ALL THAT APPLY)
R
CT LTE R
REPA]R ELARGE
. crw:
l/'
FS ,r.Ncrrr?-&4lL
PHOI{E #:1
PHONE #
l0-7-rbo
I'IARQUEE
t.IALL
Slgns on
t
) t -1ltJd x--x
x
I rno:ecrrot
f l onocv
his ProJect: Ar
ls'
E OUI
t_rll ROOF
OTHER
PER'iIIT FEE: $
n .-*o.
hiiff,.l'e,1,$ll'-
a)
Total Number of
Sign Dimensions:
Slgn Dlmenslons;
Sign Dimensions:
Sign Dimensions:
L-l cIDESTRIPTION gIORK:
rs srcN(s)
o{
fi oFF lnrnrsesr S or OFF
inlorm€t
6 ih this applixtion is coret and aI wort
l|i comdy \{iih $. Sr€te
NHC De1/dopms*
5crvi6 Crnter w{t be noiifEd oa any .ieges in rho
Wdk P.rtormed
wO he Pemits wil be in Viol.ti6 of the NC
Ot^INER/CONTRACTOR :SI6NATUR
* '! * *
*,t* * + **,+
*,i**,**.* 'l ** * *
**,t + +++:t,* r* + *:* * ***+,t *,t*l} * *,1:l * rt
*.*:t *,a * *
IYPE OF SrGN(S)
Up To
55@.00*
*t,1, r*
** * *,* *,* * +,*,i,*,t +*.1
At
SIGN
1 Height:
SIGN
2 Height:
SIGN
3 Height;
Sr6N
4 Height:
fir
-:
Sign
SETBACKS: F:
l,.l Lt
l iE\rlsa) oArt ,/:16112: r't nH: '4r s:_ r+
Total SQ.FT.
of Sign:
1,So
Total SQ.FT.
of
Total SQ,FT,
of
, --*BFE+2ft=
Slgn: _
rorAL PRoJECT
co*, t34000,ODrs rHE pRopERry LocaTED
rN A FLoq)pLArx
t I ves tr No
r'. SEPARATE pERHITS REQUIRED FoR ELECT, IIIECH, PLEGj GAs EQUIP, PRGFABS
8 IIISERTS i.*
pa'r4|Er{r }lETHoD:
f] *, ffi orecx (payralE To
,.rc) [ arenrcan
exnnrss
[ rcrwsl ! orscorn
:*
*,1,1 :l * * !*,i * * r:l *,l,a,t * * * a !*
* *,1*,* +,1* *,* * *
** * * ** *,1*,*
**rt * * * rt***,i *,t:t:t + *:f:.* a* *r,t:l* *,,.**:l,* * + *,*,+:|,1t,t *,1
X_ Total SQ.FT.
of Sign:
--
(Fof, orFI(E USE
OtLy)zoNE:
CB oFFrcER:
Approval: _ City
Conlrl€nt :
F LOOD :
'^/'lMl z
:*-la!ur-DATE ; I
eiir lnspeclion Requrteo, 9] S254'09SJ
ll
RECEIVED AUO 2 31015
'4I&
ffiE4'>
2otsJasEo
,^,,.-.\'..j--.rL{ dJ
APPLICATION
Number
NEW HANOVER EOUNTY BUILDING PERFTIT
appLrcarrott rvPE; SIGNS / BILLEOARDS
PIEAS€ PRIi.I CLEARLY 8 A}|SIER ALT QUESTIOXS
"Project Re sibillty"
(oFflce Use)
DATE:
PHOtiE #:
APPLICAflT'S iIAfiE I
PROJECT ADORESS
OCCUPANT/BUSIiIESS IIAT"IE :
r
ar, *.';. ef.
C ITY:
CITY:
LICEi,ISE f:
CITY:,t
L J!
li,lntt7lcn ztPrkl5
*#tE * ?/a -7(r 44i
S't I
NLztP I
jylli
sll NLzrPt
2Z2l
Ptlo,iE *t ,ti -4:t-oi?
)
mo+tE * Xl-4q-dt3)
PRoPERTY ollllER'S llAl'4E :
otlNER'S ADoRESS:
l//
CO.ITRACTOR:
ADORESS:
eL"r-
Q.r
PRO]ECT Coi.ITACT PERSOI,I:
Jl-EITAIL ADORESS:
OESCRIPTION OF I.IORK I
ERECT
trarrrn
I
(CHECK
ALL IHAT APPLY)
neearn
f, e ruune eCHAXEGJT
rs srcr(s) 0N oR oFF pRErirsEs? Sl otr (f orr
ASG i{ER: I herely ce.rt 6ar alt intormaton in liis applic€rion is cs.recr s.d all *ork wirl co.n8 lrin lhe SElc Blrlding Code and all o!t'€r appl c.Ue SGle.na lEi r6ts
and ordiEnces 6nd rcgulalo.r. Th€ NHC DevsioFnent Setuices Cent€rvllh6 nodfied ofany changes in ihe app,oved plarls
at sPecii.aEons cr chan!€ i. conrr.dor or
conracto. inlomalon. 'llOTEr Any work Perfoirned WO Ii6 App.opce Pemis sil Oe ln vlolaoon ol $e NC
S6le Bldgto Fi.es Up To
S500.m"'
OI./NER/CO TRACTOR:
Jr^ l/rrnr SIGNATIJRE:
r* *** *** 1*:l**** * * *** *t! **** * * **t**ii r*
TYPE OF SICN(S)
E
FREESTANDIN6 (6.ound)
SHT 6LE
I1ARQUE E
l^]ALL
PRO]ECTION
CTNOPY
ROOF
OTHER
Total Number of Signs on this Project: --.,1
d,olxl,rot
SETBACKS:
f
F
LOOD:
oaltv), 4 ta.
,;l na
--;- ---
, REVrSEDrDrra
l,'!o/ 12
i ,-* Bi t4
__\, t Ft+
PERIIIT FEE:
', l( r,1 p( t<d.-
SIGN 1 Height:
SIGN 2 Height:
SIGN 3 Height
Approval:- City: lt-;Lrl DATE
Commenti
sign Dimensions: ?'.J" x / ?'l"
Sign Dinensions: x
_
Sign Dinensions: X
_
rotal SQ.Fr. ot stgn: 16, SF
Total SQ.FT.
of Sign:
_
TotaL SQ.FT.
of Sign
lo'.,
M*,rA
5I6N 4 Height: Sign oinensions: X_ Total SQ.FT.
of Sign:
_
TOTAL PROJECT
COfiI
$ ,/Z],'9 IS THE PROPERTY LOCAIED IN A rLO@ILIII? fi VES E ruO
" sEP/r8,{ir 9;&:).!js :a?oJIIttt iul al :,tt. ::a! . :.:.:j i:1. riij!, r. :..;.::,, - .:i:a.t-.: i.:.
pAyrE
r nETloo: Q casH fitcxecx lrrvlole ro
uc1 [ nxenrc.u
urnrss O rcr-.1 e orscov:r
,ttt***t*****r**t *
zone: C5 spslgs*.
i,l, t1** Reqnreo, 9l
0'2i4-mfi ,
OEVELOPER i
2otf- tgBo'g-av aJ
RECEIVEDAU6232ofi
&
CO$ITRACTORi
ADORESS :
NE!'l HANOVER COUNTY BUILDING PERHIT
APPLIcArIott rypE r SIGNS
/ BILLBOARDS
PLEASE
PsIlrT C|-EAR|-Y
i Altst,rn ALL QUESTIOXS
"ProJect Responsibi1ltf'
APPL]CATIO'{
Iumber
(Office Use)
DATE :,.}{
DEVELOPER:
PRO]ECT AODRESS:
OCCUPANT/BUSINESS tIA E:
PROPERTY
ot.' ERJS MIitE:
OiSIER'S ADoRESS:
,//
/CITY:
CITY;
LICENS€
*:
crw:
r
r Pfoa{E *:
ZIP:3d'<tc<
ProriE
r: fua-21<-4461
sI. d32ztP: 2tqoi
SIt N(-ZTPt
J)<)g
PIO E *: f)9 -?{r-ol?)
L JS
E AtL ADDRESS:
PRO]ECT COTITACT PERSON:iJJ-prot{E
*:
,rr-t,-of??
ERECT
(CHECK ALL THAT APPLY)
f]l-rrn !nrerrn
fl eHuner CIIANGo(JT
DESCRIPTIOiI OF LloRK:
rs sr6r(s) on oR oFF px€rirsEs?
[t oH Qorr
and o.a$na'lces and .egllations. Ihe NHC DevgloFnenl Services Cen&r yril t6 notified ol eny chanoes in the appro\,€d plsns snd rpecifaatjons f ct}ang€ in
contrador or
clntraclcr iniodnarion. "'|{OTE: Any Wor* Perfoc'ned w/O nie Approprtale Permi6 wIl be in Violar'oo of S|6 NC
$are Bdg Code and tubiecl p
To$5m.00*'
0${Ea/C0NTRACTOR :Jiralh
(Prl.t N.rE)
)a::
**:*|a*a***:*:* 1*:*:* t,t *:l ******)i+t+*++*+****t,l:r 1a*:i***a:j **
TYPE
OF srCN(S)
* 'i:l *t,| ** ***:t 't *,] r|
**+tt*a+**,t
Total 5Q. FT,
of sig
n,36
sr
Total SQ. FT.
of Sign:
rotal SQ.FT.
of Sign:
Total SQ.FT.
of Sign:
FREESTANDING (Ground)
SHI}IGLE
E
PRO]ECTIOI{
CA',IOPY
ROOF
OTHER
Total Number
of Signs on
this aroject: /
i4ARQUEE
I,JAL L
srGN
L Heieht
| 19 lh
sIGN 2 Hei;ht: 'ffi^
SIGN 3 H€ight:
SIGN 4 Height:
Sign Dimensi.ons:ol 1/:
Sign Dimensions: _
Sign Di.nensions: _
Sign Dimensions:
_
x
x
X
x
/?'
TOTAL PROJECT COSr't
$ 3620,'9 rs rHE pRopERry LocArED
rN A F
LOOPLATT
r f,i ves E! to
r*' SEpARATE
PtRlirrs IEQUTNED FoR ELEcr, t(EcH! pr-gcJ 6As EQUrp, pREraBs 8. rllsEfiTs rr.
pAl'riEm EnoD: 0 .** BJ cr:cr (payAsLE
ro
.ur) [ *rrrax ex*ess 0 rrrwsr f,t orscwrn
*+ +a **
tt,i *,a*,
+*t*,itt:r:,***** * l*t**a:!*** t:a,i* !****:trar.a,**,t+**++r!*+* a )t* r * *:a *t,**:a*l * )t + + a *)t*+ + *
(foR oaF]c€ t|sE Oatly) tEwsED alAr€
t/30/12ZoNE:
_ OFFICER: _ SETEACKS:
F:_ LH: RH: B:
Comment:PERiTT FEE:
APPLICAT,IT'
S T,IAI.IE :
SIGNAIURE:
$Jas-
Ga\r-}qot
Jo5-lansIrlEhl HANOVER COUNTY
BUILDfNG PER!4IT
APPLTCATI I TYPE: RESIDETIITIAL
P|-EA5E A SIGR ALL QIESrIo{S AppLICAAtE TO yOLn PROIECT
"Project Responsibility"
APPLICATION
Number
(Office Use)
oaru
l(t:/375-6,wrd
iilnAPPLICA'{T'S TUUIE :
OEVELOPER:PHC{E
*:
PRolEcr ADDRESS:
_ 160\ 11TU
SItsDIVISION:
MOPERTY O'{iEN'S M}tE:lr(t
OM{ER'S AIDRESS:
crw:
LICEiEE *:
CITY:
ZIP:
CO|TRACTOR:
ADMESS:
BLOCX S:
_ LOT #:
PHO{E
#:.14y' 770
stztt/c ttpt&.L
ACCOT 'ar #:*',1@@
PH0{E
$: S/i-VL$?22
PHq{E #: ?/ 392-877LPRO]ECT Co.{TACT PERSO.I:
I arr eanaee
_ sF
f] surunoor,r
-sF
! eneeuHorse
_ sr
TOTAL HEATED SQ FT:
TOTAL PROIECT COST Gess td) :
Is Any ELECTRICAL, PLttrlBB{G
or
*1tu
&,
EXrSTrr{c cq{sTrucTroN:
! alrenarroN
I ntrwarror @ e errner- neearns
fl RELoCATrO.,|
NEr.t consrRrrcTrur:
f] enecr EH REsrDEr{cE
o"
! eoorrror
ro Exrsrrr{G RESTDENcE
'T,PLEASE CHECX AI{D A'IS}IER BELOT ALL THAT APPLY TO YOUR PRO]ECT:
I orr
eanner sr leoncr
-sF
f] eoor-
_ sr I sronaee sHED
_ sF
I oecr
SF OTHER:SF
I'lork Being Done
to the Accessony Structur.€?
[ Ves fi Uo
A, &/6,,/
rorAl se FT uNDER emr '/CC ToTAL AREA
sq n: ?00
l|ruY'o# oF SToRIES:
c/-
rf the project
is a Relocation,
is there a Naturar Gas
Line on
the curnent stte? f] ves fJ ilo
Is there Electrlcal Pc&,,er
on this Building?
F[Ves f] fo
PROPERW USE
/ OCCI PAI{CY:
X,SINGLE FAI.ULY
. fl wer-rx
!Tor"lNt{ou5E
DESCRIPTIOIiI OF UORK:
/
DlSCl.AltaE R I he.eby ceaity a[ hbrmsrbn in
Opbaton b c!.racl ad d vrorl wi! co.rdy witl he State
fuldilo Code &d sl ot|e sPplcabb SbE &td locat tsvrs
al(l ordhances al(l eouladons. The NHC DeEbpr€nl SeNbes C6nEr wi[ b€ notfied ol y chalge5 h t|e ep|or€dd dla.loe
h
c.ntacbr hbrmaton. '_!{OTE: Any
OTilER/COilTRACTOR:
Work Perbfiled W/o tle AppEprlaE Pemtb wit be
h Vbbton ot tne NC Stats
SIGTTATURE
*++**** :t*+:ts*)trt*
****t't* *:t*rt(Prlnt *a.e)*,t *:t:t +*:i,t,* t:a:.
ti*t:t*:a,t +,i:**,*t ***:l+ *:tr*+ * )*:t
**,t,t t *,t* )***t +t
rs rHE pRopERw LocATED
r{ A FrooopLArnl
Q ves E rc
EXISTIT{G II4PERYIOUS AREA:
-SQ
FT T0TAL AcREs DISTURBED:
NElr Ir,lPERvIqrS AREA:
_sQ FT EXIST LAiD DISTURBITS pERtIT: lI yeS E rW
lrrATER:
f] crput
E com.ruNrry
svsrru
f] pRrvArE HELL
I cenrnal wrll
SEHER:
f] crruA
I CENTRAT
sEprrc
fl enrvare
srerrc
I cori]Uilrry sysrEr4
r.. SEPAI/ITE PERTTTS REQTIIRE' FOR
ELECI, IIECH, PLBG, GAS EqUIP, PREFABS
& IIISGRTS ++'
pAylrErr
riErKD:
fi cesx
I cr,rcK (paya8rE
ro,,r,c)
[ ar,.i
o..ori -
Er.frr.o-
-
Eor..*.**rt*:a,t't* *:t't'**'t** a**,t**,r +,t** *rtri* **)* a + t a,t
t *:t:t* ra
t tt:att:t***a**,t*a i*:t t a ta:t,t,l )* + +*,*,tta)t
***a**)t)a,t*
(FoR oFFIC€ USE
OllY) REVISED oAIt S4lU/12
ZoNE:
_ 0F FICER:
sE BAcKs:
F:_ LH: RH:_ B:_
#'zs
(
EfiAIL ADORESS:
APPLICAiIT'S IU$TE:
DEVELOPEI!
PRorEcr aDoiEss:
_ L60\ lX
Ilt5XS
6,wnd c/rth
P+lOiIE *r
ZIP:
BLOCK f:LOT $:
,r*, o,
341] 70
*ltEitp@l
ACCOUtfi f:srrl@i@
?ttottE *: !1/-!f Zf 7 ?z
nnNE
* ?4
1t2't7?!
st.EDI VISIOI.I ;
PROPERTY OHTER's MJ9IE:lr{ r
OHNER'5 AI'DRE.SS:
NE}I HANOVER COUNTY BUILDING PERI4IT
APPLrcATIott nPE: RESIOEIITIAL
pL€asE AIStEfi Al.t QI,lSTIoflS APPLICAEI"E TO Yotn PRo]ECT
EProject Responslbillty"
*o}?rr,!?("
APPLICATION
Nunber
(offl(e t s.)
El ro
Yes
Ll l'to
CITY:
COIITRACTfi:
ADDRESS I
LTCENSE *:
crw;
PROJECT COI{TACT PERSOI'I:
Exrsrris c$rsrRucrrout
I ALT€RATroN
I nerwarror @eerenm nenlrns
f] RElocarrot
!rEr{ co srRucrror{:
fl rnrcr NEu, REsTDElrcE or
I amrrror ro Exrsrr 6 RESTDENSE
.TPLEASE CIIECK &tr' AIIg}IER BELIf,{ ALL IHAT !gPLY
'O
YOUi 9RO:ECT:
E"AIL ADORESS:
k,
lrrr cauce sF
flsurunoon _sF
I cneeruHousr
_ sr
EXISTING II'IPERYIfl,S AREA:
-SQ
FT
NEI,J IfiPERWOUS ,
ANEA i
-
SQ FT
! orr eruoe sr
! eonor
-sF
I eoor-
_ sr ! sronaee sHro
_ sF
SF
I orcr
_ sr orHER:
TOTAL HEATED 5Q FT:TorAL sQ FT u|rDER R@F:
f o0 TorAL AREA
sQ FT:
?ao
TOTAL PROJECT COST pose r-oo : $//, or'o' # oF sroRrES:
&
Is Any ELECTRICAL, PLttlBI}lG
or Work Bring Oone to the Accessory
Structurcl E yes
If the project
is a Relocatlon, ls there a llatural 6as LIn€ on
the Cunnent
Slte?
fl
Is thene Electnlcal Por.rer
on thls Building?
fives I to
PROPERTY UsE
/ occ@A CY; EiSIl,lGLE FAI{ILY
.-.I ouer-o<TOI,INHOUSE
DESCRIPTION OF I{ORK:
/
otsctA|HEfl IherebyconryaFp{calon ls cc.recl
srd 6ll \
ort tlrll camply wlh t! Slr'lo
&r dno Coat€
snd s!
otl.r6pphcrbb SrrE ard loc€t
trys
a,d odlnancos and €lulE onB Tic
conEeDr lnbmsbo. ''NOTE: Any
o$ ER/CoIJTRACTOR:
NliC O.lebprEnr Servi:es C€nEr tilf Do nour€d ol
ary chag63 tn he +poy€d
A,SIGI'IATURE
*l +,a l:* * ++at** t*:!+*+ +)i* *raaa**rrat* *+,i+*aa
t+****tat+ll*+** * *1*
*** t * *,*,***t
**** * *
wori Prrbrmed wo he App,or.rab Pcrm tE w{t bo h r/bhlon ot fi6 N
c srlh
rs rHE pnopERry LocATED
rlr
a rlooorurul
fl ves
E m
TOTAL ACRES DISTURBED:
EXrST LAtu) DTSTU*BTNG pERXrTs fl vrs I lo
MTEn:
I crrua
I com.rwrry svsrrn
f] pRrvATE HELL
! crnrRat wrr_r.
sEltrR:
E cFpuA
E cEI{TRAL
sEprrc
f} entvlre seerrc
! coFrwr{rry sysrEm
..T. SEPAR/ITE PEi,ITTS REqUIRED FOft
ELE(T, ;!cTI, PLB6, 6Is Eq,IP, PREFAES
& IIISERTS ++.
pAyFErr lrErRoDr
I crsn
fl c,recx (pava'LE
rc nncl
I rrli
*.o"i '
tr ici**- -ii o*.*"*****'r***** *)**ta*at:t*,t ri.t* **+:lra* a +**** a+ +rt t r **Ji*aa*****++r +*rart*t*a** ***
**tt *-**+tt
*** *+
z'NE: \Ai.$rr oFFrcEx;
{i[A "Llil'..r] ?iL ".S- nn:
v e*_
nEvls@ oar! 84/11/u
*NoB.fts:r* ?1,4 Zor&v
efi,1
lnspeclion Requrreo, gl 0.2S{.0g1}J
Szs
D^r* /0'/3'7J'
f,ECHT ICA
&
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE r RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAEIE TO YOUR PRO]ECT
"Project Respons
ibil ity"
ttl*aK O,,leno^is
Uot ia Qo/5-.lost3
6 - 50\L
APP
LICATION
Number
(office Use)
APPLICANTJ
S i,IAI,IE :
oArE:. I D-2
7-tb
zrP
289 ll
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
z
PRoPERTY owNER's NAME:
AAA 5fitlA
BLOCK #:LoT f: tZ-
IPHONE f:
PHONE
S:-=v>V
CITY r
I
ONNER,S ADDRESS:
CONTRACTOR:r)
J' tc,
ADDRESS:t-c-e-
futt<--
@*,
ucens:. *,7/ 77 i AccouNr s
ZIP
l{"pr
0skad sr2
iLzrP I zt<J93
PHoNE #:
4lo ,aqr- zzl o
proNE s:
Qto 6Za a{D-
EtIAIL ADDRESS:
PRO]ECT CONTACT PERSON:M**K (.lv,n+s
EXISTIN6 CONSTRUCTION:ALTE RATION
! n rr':ovnrroru
!GENERAL REPAIRS RE LOCAIION
NEI^l CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE
*'PLEASE CHECK AND ANSI,'IER BELoW ALL THAT APPLY TO YoUR PROIECT:
[nrr cnmcr
-
sF ! oer caaner
-
tr E PORCH
_ SF
STORAGE SHED
suNR00t4
_sF
GREENHOUSE 5F
PooL
_ sF
DECK 5F4er-SF
SFOTHE R :
TOTAL HEATED SQ FT:
-
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA
5Q FT:
-
roTAL PROIECT C05T 1r".s r.r1 : $ F6r 4zy'. m # OF sTORTES:
Is Any ELECTRICAL, PLUI4BING or IiIECHAI,IICAL l,Jork
Being Done
to the Ac.essory Structune?
[ V"t -fiffioIf the project
is a Relocation, is there a Natural Gas Line on the current site? [ v"r ,[l.toIs thene Electrical Power on
this Building?
l-l v"r.fflro
PROPERTY USE
/ OCCUPANCY:
.fi smett rrmrr-v
! ouerrx
! Toi,JNHousE
DESCRIPTION OF WORK:
and ordinances and reg u la tion s Th e NH C De velopmen t Se rvices Ce n Er will be nolilied of an y changes in Ue appro ved plan s and speciticarions o r
chan
conlractor rnbrmaton "1,,lOTE AnyWork Performed
WO lheAppro ate Pemilswillbe ln Violalion orlhe NC Slale Subjecr ro F
s Up To $500 00"'
OWNER/CONTRACTOR:SIGNATURE:
**** * *,* ,*,*;*
* *,* *,* ,r
* * * *** *
*** *(i!'{l li\"J * * **** **** *** *,*,*,* +,*,i i( + } ,, r ,* x ,*,*;* + * ***,*,*,i* *,r )r,* * *,*+ * *+1.x *
rs rHE pRopERTy LocATED rN n rloooelarr?.ff
vrs I-l rc
EXTSTTNG TMPERVTOU5 Anea:
il /r1 SQ rr ToTAL ACRES DTSTUREED:
NEll ruPERvrous o ro, 7VT ti * Exrsr LAND DrsruRBrNG
I
WATER:CFPUA
! commururrv
svsrerv
f inrvarr
well
!
ZONE:
_OFFICER:
sEtJER:
E creua
! CENTRAL
sEprrc
frea:.xt se errc
! coMMUNrry sysrEM
*** SEPARATE PERI.4ITS REQUIRED FOR ELECT, I.1ECH, PLB6, GAs EQUIPJ PREFABS
& INSERTS ***
pAyirEMT METHOD:
I CaSn
fiCxeC( (payABLE
ro nHcl
I erlr accouNr
'
I mcTvrsr [orscovrn
* * * * * '*,* **** * * ** * * )r* * * )*
**,i)t *** * ** * * **,*,i,*+* *,* )*,t
**)* )**
** * * * * * **,r * * * * *;* * * *;*,* * * * * * * * ,*,t:f,* ,*
*
****
(FOR OFFI(E UsE oNLY) fl.VIsED oATE
o4l11/12
CENTRAL WELL
SETBACKS:
F:_ LH:_ RH:_ B:
BFE+2ft=
N
PERI'lIT:
l-l Yes
d*
Approval:_ City:_ DATE:_ FLOOD:
_ _
Comment:PERMIT FEE; $
CITY:
frr
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION
TYPE; RESIDENTIAL
PLEASE ANSI,{ER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT
"Project Res pons
ibil ity"
ts
t€'trl\\
Qals-lt37o
APPLICANT'S I{A'\4E:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
e 1
6DATE
PHONE
S:
BLOCK
*:
ztP 1(i
qa-?fu,{u5PHONE
S:
5T:
PHONE
S:
PROPERTY OWNER,S NAflE:
OWNER,S ADDRESS:,tn Ot crTy: \
CITY:
r^n1
sr,Y(.in-ffi
l-
EMAIL ADDRESS:
CONTRACTOR:
ADDRESS:
WATER :
SEWER:
tr
B
NL zrp,
'1(
kt
l:h
EXISTIN6 CONSTRUCTION:A LT E RATIO NR ENOVATIONGENERAL REPAIRS
NE14 CONSTRUCTION:ERECT NEr^/ RESIDENCE
o" p lOOrrrOn TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW
ALL THAT APPLY TO YOUR PROJECT
! arr caRace
-
sr [J orr crnace
3€# ttLfrlc i'-l!+
PoRCH
_5F
STORAGE SHED5UNR00|4
_SF
GREENHOUSE SF
POOL
_ SF
DECK 5F
PROJECT CONTACT PERSON:
TOTAL HEATED SQ FT:
TOTAL PROI ECT COST tr ess r.ort : $
Is Any E LECTRICAL
DESCRIPTION OF I,IIORK:!
(,\
RE LOCATION
SF
OTHER:SF
TOTAL SQ FT UNDER RoOF:
_ TOTAL AREA SQ FT:
# OF STORIES:
PLUIIBING
o. mECHA^JICAL l,^Jonk Being Done
to the Accessory Structure? [l V"r I NO
If the project
is a Relocation,
is there a Natunal Gas Line on the Current
site? ! ves ELruo
Is thene Electrical Powen
on this Buildj.ng?
lrl y"t [--l ruo
PROPERTY USE
/ OCCUPANCY.
flSTUCTE TAMILY
cl
DUP L
EX TOWNHOUSE'n71'ifl
DISCLAIMER: lhereby cer!ly fial al inbrmhrs app,icaton is
correct and allwork willcomply wifi he Stal€ Buirding Code and a ofier appticabte Srac and locat taws
andordmancesandregulalonsTheNHCDevelopmentServicesCenErwillbenotfredofanychangesinheapprov€dplansandspecrfcarionsorchangernconlraclo.or
conracbr '.brmaton "'NOTE AnyWorkPedomed W/O heAppropriate Permitsw,llbe in Violation oirhe NC SlaE Bld
oWNER/CONTRACTOR: (-ortt ( urh< SIGTIATURE:
* !r
* ,*
*,* * ,*,*,*
* * *,** * *** *** *** /*ti!Ti lil"J * * *** * ** ** * *,r,F,*,*,r,r
*,i* *x:i r,r;*;*,* *,*
g Codn€s Up To $500 00"'
NO
4
***,r** *** * ** * * **** * *
BF E+ 2ft=
N
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING II4PERVIOUS AREA:
_SQ FT
NEW II{PERVIOUS AREA:
_5Q FT
YEs E *o
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
PERI,IIT: E YES
CENTRAL I/l/E LL
CO]YTlUNITY SYSTEI'1
CF PUACO]YIYUNITY 5YSTE14PRIVATE I^JE
LL
ZoNE: oFFICER:
Approval:_ City:_ DATE:_ FLoOD
CFPUACENTRAL SEPTTC
PRIVATE SEPTTC
*I' SEPARATE PTRT1IIS REQUIRED FOR
ILECT, }1ECH, PIBG, GAs EQUIP, PREFABS
& INSERTS i**
payritENr r4ErHoD:
I cosH
I curcK (payAsLE To NHc)
E AxERrcaN ExpREss
E "c/rrro ! o.r.orr.
*,i**,t* r( *+ * * *,r* * * * ** * ** + +* * +*** * * )t
* ** * )t
*,* * ** ** **,i * *,**,t *,t* *** * *,*
**,t* * **+ )i !t * * * r** )*
* * * * * * *rt**
(TOR OFFICE USI OIILY) REVISED DATE O4l11/'I2
SETBACKS: F:_ LH:_ RH:_ B:_
Comment:PERMIT FEE:
Ir
APPLICATION
Number
(office Use)
.u CITY:G
LOT S:
(,
LICENSE f:
l/.
PIoNE *: qft ifO-K,$
rvr,n
Cib
r 1;_
r
APPLTCAT{T,s rwr: fg;pp
aots-losb8
Y
2015'-'iIEh HCOUNTY BUILDTNG PERMIT
CATI(N TYPE
: RESIDEI,,ITIAL
T QUESTIOflS APPLICABLE TO YOI,R PRO]ECT
"Project Responsibili.t!/'
LLl=rA ptccTo r-u
,D'-ru
APPLICATIOI{
l&nnber
(offlce Use)
D^rEt
/) /Zc /Zr.,t
DEVELOPER: D fetz: n,-O p,fa,, o 7-.t?tfiiE *tq .,
- )qZ- /ca Z5
PROIECT ADDRESS z
.?qc,/ t t,,
t+/A 1v u-
*!
SUBDIyISIO{: Pzq..,, t)€-oJ C.e
PROPERTY ox,ltlE['S NAI4Et
F*rr-+ fe-Li P*l
(}TIER,S ADORESS:
ADDRESS:
E ATL ADDRESS:
CITY i t-,,
/t-.n1A)L
BLOCK #:t_oT *:
PHONE #:
CITY i L,l ,,
, .,.4 .,1,,
a
/o,1r Sf :
^)LZIP:
Lfur'/
ACCOU T *:
CITY:
/ , u- !.1/L 7o^-, Sl
iU_zrp I Z.F4o
3
PHor'fE *: ?t."{t 2-itz-.a
P}o E *: ?t" - 7,/> -t 6 Z,o
nn SFSF PORCH
STORAGE SHEDSF
A./L ZTP:2tqt t
EXTSTIIiG CO{STRUCTTON:
! lr-reUrrOn
I-./REiovATroN pdenrnar- REpArRs
E RErocATrot{
r{Er{ coNsrRucrrorr
f] enecr NEr.t REsrDEr{cE o"
! aoorrrou ro Exrsrr{G REsTDE cE
'IPLEAsE CHECX AI'ID ANs}IER BELOT'I
ALL THAT APPLY TO YOUR PROJECT:
I rrr eraree
_ sF
SUNROOMSF
! orr craaee
I coor-
_ sr
I eneerHols:
-
sr DECK
5F OTHER:SF
ToTAL HEATED SQ FT:
_ TOTAL SQ FT UNDER ROOF:
_ ToTAL AREA
5Q FT: _
TOTAL PROIECT COST t-ess roO : $G-?L(
-# OF STORIES:
DISCLAIIGR lhsobycertify hal aI itbrmalon in tlis appkaton b conecl aIrd al work
wil comply wiri $e SlaE aliEing Cod€ and at oher appticsbte St6e and to.d tars
td odi'lces and EgulaliOns. The NHC De'/elopmenl S€rvices CenEl wiI be noafied
ot6ny changes in lte apprDved pbns and specifcatbns or chaue h conl€cbr or
conracbr hbrnalbo- '_NOTE:anyWork Per{ormed
w/O he ApproprbE Permits willbe in
Violaton of fte NC StaE Blrg Code and Subiecr b Fines Up To
t500.0C',
PR@ERTY USE
/ OCCI'PANCY:STNGLE FAr.tILy
I OUelrX
I rOlnnouse
DESCRIPTIO{ oF hroRx: C ztt,rt. ^.rz ?nO-lt fos,l t V-
c,,uKi vo 7{/a47,/EkPttc.
SIGNA
(p.int r{a e)*,t***,**,t,t++ **++)i+*)t*** ****,I1.,t!t *,f t,a**,t **)** :r*****+ t**:t*,I** ***** *,*** *,1r. )**:r*
*
IS THE PROPERW LOCATED II{ A FLq)DPLAII{?
EXISTITG IIIPERVIOIJS AREA:
_SQ FT
NEI{ IIIPERVIOUS AREA:
_SQ FT
E YE5
E]no
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBIiIG PERIiIIT:
flves [ rc
sEr'tER:
E crcua
I CENTRAL
SEpTIc
I enrvnrt sEpTIc
fl co.rr.rjNlry SysTEr.!
{,** SEPARATE PER}IITS REQUIRED FOR ELECT, IIECH, PLBG, GAS EgJIp, PREFABS
& IITjSERTS *r,*
payHE.{r
rEr}roo:
I casx
I cxecK (payaBLE
ro rrc; I aru
lccorr E ".1*ro I orscovrn
**,t***:t **** **** )t,:,*,i * * * rr !t * * ,t,t *,* * *,f !t*** )t
* r*
+,t,t rt
* )t,t* ****,t*)****,*+** )t:t*,**,t *:t * + + * + * {.:t )a+**,}*!a*:i*
(FOR oFFICE US€ Otry) SEVISED OAIE O4l1U12
WATER:CFPUA
CO[XtUNIry SYSTEM
PRIVATE WELL
! crrurnal werl
ZO'{E
: _ OFFICER:SETBACKS:
F:_ LH:_ RH:_ B:_
N
I
ia
CoflIltent:
coNTRAcToR:Ift-tF /6+.t t
t-7o,\- LrcENsE
*:
PRoJECT cOlTAcT PERs@t:
+€-FC /y'*,,n/.-U6,\r
OII{|ER/COiITRACTO
R: -\qt+ ,!t/r-o, ,o'.^,
Is Any ELECTRICAL, PLUf'IBING or IECHAIIICAL work Being Done to the Accessory Structure?
[ V"r fll-ruo
If the project
is a Relocation, is there a Natunal Gas Line on the Cunrent Sitef I ves fffo
Is there Electrical Power on this Building?
ffVet [ ruo
Approval:_ City:_ OATE: FLOOD: BFE+2ft=
_
ia
fii:
RECEIVED OCT
26 2OS
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSI"]ER
ALL QUEST]ONS APPLICABLE
IO YOUR PiC]ECT
"Project Res po ns i
bil it)r',
&olf- loYo3
\s-%u_
APPLTCATI(N
Numb€r
(offi.e use)
APPLICANT'S ilAt4E
: rhe
Earlov Gr:oup, Inc DATE:0 a3eots
DEVELOPER:
PROJECT ADORESS:
t6ts Aza, ea
CITY: witmi
PHONE S:
ZIP:29403
ercllr-
*,, (aa) vtt - 4133
ST: NC ZIP | 2s403
ST
SUBDIVISION:ELOCK
$: LOT $:
PRoPERTY ol.JN
ER,
S ttA,4E: Anous 1d
OW ER'S ADDRESS:
t6ts Azr]ea i)
CONTRACTOR:
The
Fa!1ow GrouD. I
AODRESS: pc 3ox s17
CITY: wllmj.nqton
LICENSE
#: 468s9
CITY:'vlridhrswi
EITAIL ADDREsS;inl@farlowqrouD PHO E #:
PHOI,{E
#:
Jg_ ZIP
i 28a 80
910-509-1900
PROIECT CONTACT PERSON:
Jin, Fr:tow
EXI5TING CON5TRUCTION;
ff ALTERATION
ffi NITOVArIOI
I CTITCII NTMTNS
f] RELOCATIOII
NEI,] CONSTRUCTION:ERECT NEW RESTOENCE
o"
I lOOtrror
ro ExrsTrNG RESTDENCE
*'PL€ASE CHECK AI{D AN5hIER BELO}.I
ALL THAT APPLY
IO YOUR
PRO]ECI:
DET GARAGE
--
5F
9la-41\-4 t':3
PORCH
--STORAGE SHID
5F
suNRoor,r
_sF
GREENHOUSE
__ 5F
POOL
_ SF
DECK
5F OIHER:
SF
5F
TOTAL HEATED
5Q FT: .- TOTAL SQ FI UNDER ROOF:
-_
TOTAL AREA SQ FT:
TOTAL PROJECT C0STrressrotr; $# OF STORIES:
L
Is Any ELECTRTCAL, PLUI'I8ING
or i,|ECHA,./ICAL
t-lork Belng Done
to the A.cessory
Str,lturefS
If the project
is a Relocatj.on,
is there a Natural Gas
Line on the Current Site?
Is the.e Electrical power on
this Buitdinglffves l*l ruo
PROPERTY
usE
/ occupANcy:
fi srler_r raurlv I ouerrx
f] TffiNHoUsE
YesNc
n Yes jno e//*
DlSCLAtl,tE Fr r hereby c€r tity t) al an
and ordinancesand requlalio4! The
@htacbr nbmado. ."NQIE any
inbrrn,j{,orr r 0,$
arar6;ron 6 coriecl.nd au \,vo.k wlltcompty wllh 6e staE fuildrnq co.,e ard
atoh€r arplicabrg Stab and tocalars
NllC DelfhOmenl 3)to,1-es C€ner wiI be noafed o f
any chatges in
6€ appmv€d Di.rs a.d sD€cifiaaiioN orchangs l. coit€cbror
-E$N5R/CONTRACTOR:
IS THE PROPERTY LOCA'IED
TN A FL@OPLAIN?
EXISTIM IMPERVIoUS AREA:
_-SQ Fr
NEIJ IMPERVIOUS AREA:
_ SQ FT
HATER: EJ CFPUA
SEl.lER:
E cFPUA
ZONE:
(,..r1r rtcDeT
JJ: . 1x Ap:Motato. 6t lne NC
9a
SIGIIAIURE:
H:fiH:
r rr ain.s Up To A5O0.0O'..
*,1* i,* *)* *)i * **** ** r* **r* r *
YEs
ffi Ho
IOTAL ACRES
DISTURBED:
6
EXIST LAND
DISTURBII.{6
PEP.fiIT: T-J YrS
I-] rc
! comr'runrrv
svsrrm
I cnrvrrr wrrL
ff] cerrmr-
srerrc
I enrvarr
srerrc
I
CENIRAL WELL
COIII.4UNIry SYSI EIV1
2-t( orrr.r*,i,< S:
k
REVISEo
oAIa g4lr1l1?
?to
Approval;
City:
,
_/-) (roe .rilcE Lst oNry)
_. ...1t")
SETBACKs:
r: Jr l
eeqffirert*&f*15 2ft=
fl arr canacr
_ sF
DEscRrprror{ oF vtoP.(,
kitpwql€- l{nry'\€ &.-Tazi.>A>; N,r,^1 toftp" r€7< / BqTrls
'.&
RECEIvED ocr 19 2015
NE!,J HANOVER COUNTY BUILDING PERMIT
aPPLltafia* rrPe; RESIDENTIAL
Pr f/1ll aN:!i8 Al'littTlor"rs APtLlcarrl.t :i YouR trlill(T
'P.oJect Responsibilttf'
Jdr-lo\6X
--":"'t/ (l
APPLICATlOII
Number
(of{i.. ure)
APPLICAN''5 I'IA'i1E
o€VELOPER: cr::.
CITY: iir. -:- r
: -- ',1
PSOl'lE S: !r l---.:-ri.ri l
PRO:]ECT ADDR
SUEOIVIsIO:BLOCK #:
-
toT fl:
-
ffiEB'S ADDRESST ,,, ,'CITY: rr L: ir " .'
COirTlACTOi,: C.:.: I r.,n ..'i':-:i i,-::.-,LICENsE S: -'.1I rs
NEH COTSTRUCTION:EREaT El,t RESIDENCE or ADDITIOI{ TO EXISTING RESIDENCE
I'PLEASE CHECX AI{O AIISXTN EELO+I ALL THAT APPLY TO YOUR P8O]E(T
f] rrr eanncr
-
sF
I sur'rnoou
-sr
I enrrHno.-rse
-
sr
<Y . ?tD.
ADDRf3S: ?.o. 3cx : l:-1 CITY: shel:-"14
EXAIL ADDRESS: rr i 1.? -'.PIIONE $i irr-ri!-?rrI
PRol:t-r. colliACT P!R50N: -', -^:, ';a
EXISTT{G COi,rSlRUClrON:
f] al TFRATToN R TNCVAT:ON: r,t.
r.lL Fr.lIRs RE LOCAI lCN
D:T GARAGE
-
SF
POOL :ijt) SF
oEc( sF
PORCH
-
SF
STCRAGE SHTD
5T;
:t- ZIP: 28451
5F
sfOTHER
TOTAL HEATED SQ FT;
---
ToTAL SQ FT Ui{DER ROOF:
-
TOTAL AREA SQ FT:
-
TOTAL PIOIECT COSTII-'.I"" : $ :5,!11.. $ oF SToRIES:
Is Any ELEcTRrcaL, PLt grfl6 or llccHA|lrcal lfork Belng oo're
to the A"ess'-y stru'tJie?
If th€ proje<t is a Relocation, is there a Natunal 6as Line on the Current S
I
vcs [ ruo
ite?
E Yet I No
Is there Ele(t.ica1 Power oi] this BuildinSl EY€s t,to
PRO9ERTY USE
,/ OCCUPANCY:.(]IJGLE FAIlILY 5UP. a!:-'.t'j-is:
DISCRIPTIoI 0F tiloR(: i:..'.:: i- r 1:{' x l'l'
I
trISAJ1UER lhr:rb! c.':'ar Fi: l
:r,3.jhr..c.! ir rrliiridirl rhr
.ni''cbr :. b- iton. " l.lo-lE i.
OM{ER/CONTRACTOR:
!'o nr r- '' ltr
SlGNATUR
500 cr"'
,1.
s
;d
E
'{ :
c
t\, .
r'I
q
attf^t^,
rs rHE plopERTy Lo(ATEo rN l rrooorutl? [ ves t m€xo1
EXISTIIK II.IFERVIOUS AREA:
-SQ
FT
t{Ew Il4PERvIot s AREAi .rr _5Q FT
TOTAL ACRES DI S'UR8EO :
ExIST IAND oI5TURBING PEsfiIr: f]Yt5
I-l ro
I'IAIER:
S€l,lER:
crrun
I cord,ruNlry svsrrrl
I pRrvaTt r,iE,-LCTI, i iAL WELL
c F pr.lAair.r'tRAL sEPri(
I enrvrra
srrrrc
! co,tMUN rr-y sysrErr
.", r.i.i;i,tir: ?t;t,:..:: ,a;..t:tia r,_i ti aa-, *11.1.:.i.ir.:. al. : i,r:. ::.r:':i: &..,:.tt.1r.,'
paylrElrT r4€THoD:
I.osn ff cHr.r (P.1vaBrE ro
nncl I orrorcor
rxcntss I nclrtsl fi orscovrn
s: i Elct( s
kl::' r D,1rt ii,ill I )/ l2
ZONE:
AL';/r vvar. \" ___-_,City: t.! I'j.! \ DATE:
iLkrlis rLooo
&l\ atleiurxnts'ic'i'u.-i 4 ?cL\ t-n,;s,\
l,'"c':
oF f
tcFr: {.i.. '.
Y5
DATt ,
_l-il::ti--L1
ZIP I
pROPIRTY O,'Jt{EitS Ml|lE; --l :' ' 'lr:ll PHoNE f' r:rr-:::-:l']l
PHO{E t: r:"- r -,ll:
...,,...:::,:
-..\.--..,,..). .
RECETVED
ocr 19 2015
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSI,JER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Respons ibil itY'
.?ot
ls
rli,t?
APPLICATION
Number
(office Use)
DEVELOPER:
Carolina Creatlons Landscape, Inc.PHONE #: 9i0 155 ii,ll l
PRO]ECT ADDRESS:
SUBDIVISION:
317 Gregory Road
cITY: rrifmingron ZTP i _
BLOCK #:LOT f:
PHoNE #: 9Ia- 399- 6324PROPERTY OHNER'S NAl.lE: Clarence ColweII
OIJNER'S ADDRESS: 317 Gregory Rcad
sT:Iq_zIP:_
CONTRACTOR:Carolina Creations Landscape, Inc.LICENSE #: r31c5
ADDRESS: P.a. Bax 2321
CITY: Shal.Iotte ST: i'c ZIP: 284 59
EMAIL ADDRESS: i wal kerG
caro I inac reat ion s . bi z PHONE #: s1o-7s5-6411
PRoJECT CONTACT PERSON: Jason l^ralker PHONE #: 9ro l5: 6411
EXTSTTNG CONSTRUCTTON:
f] ArrennrrON
I neruOVnrrOlr
! C$rrnnl neenrns
! RELocATToN
NEW CONSTRUCTION:
E ERECT NEW RESIDENCE OT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
!arr ennace
-
sF tr DET GARAGESF
! eoncu
-sF
! surunoou
_sF POoL 3405F STORAGE SH ED
CITY: Wi lmington
SF
SFGR EENHOUS ESFDECKSF OTHER:
TOTAL HEATED SQ FT:
-
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
-
TOTAL PRoIECT COSTrr"."rotr : $ :.,cr..oc # OF SToRIES:
Is Any ELECTRICAL, PLUI,IBING on HECHANICAL Work Being Done
to the Accessory Structune?
fi V"t [ ruo
If the project
is a Rel.ocatj.on, is thene a Natural Gas Line on the Curnent Site? [ ves fl tlo
Is there Electrical Powen on this Building?
l-l v"s lt] ruo
PROPERTY USE
/ OCCUPANCY:SINGLE FAMILY
! ouerex
! rowruuousr
DESCRIPTION OF UORK:Installinq a 14' x 30' fiber:qIass pooI. Honeowner
to insta.If 640sf of
concrete poof deck and pool cg4e jCq!]!qq fencing.
DISCLAIMEF[ lhereby ce ry ltlal all intormation in his applicaton is conect and allwork willcomply wih fie State Building
and ordinances and regulalions. The NHC Development Services Center will be notfied ol any changes in he approved plan
Name)
r applcable State and locallaws
0.00'-conlacbr inlt'rmalion.
"'NOTE: Any Work Perior,ned W/O
he Appropriate Pemits will be in Violalion of ule NC StateCo
OWNER/CONTRACTOR : Jason',^raLker SIGNATUR
(
P. int
,( * r( * t * * ** * * * * * * * * * * * * * * * ** **** **+ +++* * + * )*
* + + + + + +,t,t *,t * *r.
WATER :
SEWER:
rs rHE pRopERTy LocarED rN A FLooDpLArrrrr
l] l ves
EXISTING II{PERVIOUS AREA:
-SQ
FT
NEW IITIPERVIOUS
AREA: 640SQ FT
T NO
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:
l-l ves
l-l ruo
! cerurnar werr
l-l comr4uNrw svsrer4
creua
I commuNrry svsreN
fl pRrvArE wELL
creua
f| cENTRAL sEprrc
! enrvnre seeruc
ZONE: OF F ICE R:
r'
*** SEPARATE PERI'.lITs REQUIRED FOR ELECI, ItlECH, PL86) GAS EQIJIP, PREFABS & INSERTS ***
pAynEr,rr METHoD:
E cast E.nec( (PAYABLE
ro nxcl
I ar.renrcAN
ExpREss
f] mcTvrsn
I orscorr*
:t + +:t + + + rr i. i. r. **** ** +* ** + + +,i r. ++ + r. **+ * * ** * *** **** + ** **+i. r.,t * 'i. r.,t * * * * * + + + + + +,t * * )*
+,** + + ** * r. ** * *,**
(FOR OFFICE UsE ONLY) REVIsEO OATE O4l11/12
SETBACKS: F: LH: RH: B:
Approval:_ Clty:_ DATE:_ FLOoD: _ ,N
BF E+2ft
\
Ll
APPLICANT'S NAlvlE: ,lason lralker DATE: 10/19,/2015
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATI6i
rype; RESIDENTIAL
PTEASE ANSWEff
ALL QU€ST:o 5 APPLIOAELE TO YOUS PRO]ECT
"project Responsibility',
APPLICAI.fi,S M,4E :
DEVELO9ER:
I n-t
*tt (r-
&or r- tojb I
wz s-}qqq
APPLICATIO{
Nui6en
(Offlc! Use)
; l\l..^ S
CITY: &,t (lt
BLOCK
zrP I
Zftlet
Sr: Z\Pl
accotlr{T
t:
sr
flGliir
PltG!,lE
*: qr -SE
f}\g
PHOtlf
#: <i,d -tlt-i369
DAT€: /O
z-9(zo,i
016fiE's
PRO]ECT AODRESS;
SUBDlVISION:
PROPERIY
09[{ER'S M}IE:
O!'I{ER'S ADDRESS:CITY:
CfiTRACTOR:
ADDRESs:
al46*o-t -ar{ruc{ion L{'C LICENSE
':rlrq <
-,-rr- 3Qh q.CITY:(Jr
EI'IAIL ADDRESS:
PRO]ECT CONTACT PERSON:
C S
#r---LOT*:_
txlsTlt'lc co'lSTRUcTIo :
! alreRarroN RT'{OVATION
flt-rne*lr Rrearns
I RElocarroN
NEt,l CO STRUCTTON,
I enrCt NE,.l RESIDENCE
or I mOrrrot
ro Ex:sTrNG RESIDET,|CE
.'9|"EASE CHEC( At{o AIISHER BELOTJ ALL THAI APPLY
T0 YOUR pROIECT:
ATT GAPAGE
flsurnoon
-sF
6REENHOUS E
PROPERTY
USE
/ OCCUP
OESCRIPTION OF WOR(:
! oei canacr
! coor-
_ sr
f] oecx
_ sr
I eor+r
-
sF
I sronaer sHEo
--
sF
OTHER I
SF
SF
5F
TOTAL HEATED SQ FT:
-
TOTAL sQ FT UNDER ROoF:
-
ToTAL AREA
sQ FI:
TOTAL PROIECT COST 6eas r-09 : $S
0f STORIES: 'Zt>c-{->'?:'
15 any ELEcTRrcaL, pLln{BrNG o. t{Ecl{a}JtcAr !,lork Being Done to the Accesso,'y structune)
E v", 216If the pnoJect
ls a Rel.ocation,
is there a iratural Gas Line on
the current site? [ves IlroIs thene Electrical Power
on th j s Building?
EF-", E rvo
AMY:INGLE FAI4
rr-v
I ourlex
I Tolilti HOUS E
otSClAn ER rh€Dbyc€nily tlar all
er o{uinalces ad Bguladona The
conlacor inbflhsIon, "'XOTEr AoY
UIATEI:
SEI''EB:
lnbrmation ln his sppraahn !5
cdlecl snd al *orkwillcongty win
te Sti!€ Buildmo
fue ano ,t oheralolicall€ StaE a.d bc, t&s
NHC Oe,rebpm€nl Ssrrces CenEr ail, be noifed ol r.iy ch&ges jn fie ?9lova6 plens md speciic€rions o{ aia.gc in
conr*br or
Worl Pe,lormed WIJ
'le
Atprogaa€ Pemlls wttl De tn Vlotsron ot lrre NC
Si!€$500 00'"
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