NOVEMBER 05 2015 BUILDING APPS#
NEt^l HANOVER COUNTY BUILDING PERMIT
APPLI.ATI1N rYPE r COIIMERCIAL
PLEASE ANSIIER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
LolS
twt6
APP LICATION
Number
(office use)
APPLICANT'5 NAT1E:
DEVELOPER:
DATE :
PHONE #:
PRO]ECT ADDRESS:
OCCUPANT/BUSINESS NAME :
OWNER'5 ADDRESS:
CITY:
E #:
i)
zlr:-).,t1
lf
PHONE *:
STzw:1A1 '16
ACCOUNT f:2,'1d1(l.q-
sI :
-'ztt
:
lJ<ztl0 c7
PHoNE *: .?lct J-att /L,,?il
PHoNE f : c//A .4,\O /L,?A
e+
CIT
CITY:
CONTRACT
ADDRESS:
EIVIAIL AD
CENS
i'-OR:
DRESS:
PRO]ECT CONTACT PERSON:
(check
AIl rhat Apply)
EXIST CONSTRUCTION:ALTE RATIONRENOVATIONGENERAL REPAIRS RE LOCATION
lf Relocation, is there a Natural Gas Line on the Current Site? [Yes
il',lo IS BLDG SPRINKLERED?
flves [ro
NEW CONSTRUCTION:ERECT NEW STRUCTUREFAST TRACKSHELLUPFII ADD
TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Permit #
Is Elect Power on
this Building E Yes [ ,O
PH:
PH:
NC REG #
NC REG #
ARCH DESIGN PROFESSIONAL:
ENGR oESIGN PRoFESSIoNAL r
DESCRIPTIoN 0F l^loRK
or chanoe in contlaclor or
Subleclio Frnes Up To S5
OWNER/CONTRA
(ou8r,fo4
Nolei Oemoliton nolif catlons
WATER:
SEWER:
ls food or beverages prepared or served in this struaurez
flves I No ls The Property Located ln The Floodplain?
ffv". [ruo
DISCLAIMER: I hereby cenify rhat all nforrnalion
ncei and regqlalrons T
rontractorlnlormatron.
in
this applicalron rs
correct and allwo
he NHC Develooment Services Cenrer"'NOTF'Anv Work Perlormcd WO lh
and all other applicable Slate
and local laws and ordinaved olans znd soe.rfic
lhe'Nc srare Bldg code and
00.00"'
CTOR
E asbestos removal permil spplications are to be submined using the 6ppllcalion form (DHHS-F,*""*""**o"roru*n*""a"
conEin Asb€slos or nor. You are requirod to
callfte Natjonal Emisslon Standards for Heuardous Alr Pollulants (NESHAP) al (919)707-5950 st le8st 10 days prior !o rhe
d6moliuon ofany lBclllty or bullding. Se€ Asbestos Web Slle: http:/riliww.epi.siale.nc.urepi/ssbeslos/ahmp.hlml
ToTAL PRoJECT cos:|.
)1 111 ()BUILDING HEIGHT
SO FT PER FLR:
# OF UNITS
TOTAL AREA SQ FT
TOTAL SO FT UNDER ROOF:
----5- # OF STRUCTURES
ACRES DISTURBED Exsr LAND DrsruRBrNG pERMrrz
I ves
f] ruo
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA
PROPERTY USE: IOFFICE RESTAURANTMERCANTILEEDUCAPT
CONDO OTHER
# OF STORIES
# OF FLOORS:
SO FT
4CFPUA
CFPUA
COMMUNITY SYSTEM
DWELL I]ZONING USE CLASSIFICATION
CENTRAL SEPTTC
Ll PRTVATE SEPTIC fICOMMUNIT SYSTEM
pAyNtENT METHOD:
ICASX ICHeCX lenVmLE TO NHC) IA|U-ACCOUUT MCA/ISA [OtSCOVen
ZONE:OFFICER
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-
Approval:- City:-DATE:- FLOOD:--
-
BFE+2ft=
AVN
REVISED DATE lU1l/12
PROPERTY 01,'JNER'S NAI{E:
****,r rS THrS A CHANGE OF OCCUpANcy user
Ivrs il*o -----
IF Yes, what was the Previous occupancy Type?
_ l4hat is the New
occupancy Type?
SIGNATURE:
Comment PERMIT FEE:
$-
2oLt- tottS ?q€e \t-7q86\B.b
-,i<-\/t,
ffirl
NEtrJ HANOVER COUNW BUILDfNG PERMIT
CITY:AJ
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e, qto <2-/ro)t{
APPI.ICITIOi/
ltunber
(Offl(. ur!)
t o,/ z z/t.:APPI,'CAflT'S NA,{T:
DEVELOPER;
cotfiR cToR :
ADDSESS:2
OATE
PRO]ECT AODRESS:
OCCUPAI{T/BUSIIIESS NA.i1E
;
PROPERTY OI.JNER,5 I{ATE:
OYIIER'S ADDRESS:
c/
'r
{
5>
ctrY:
n^<6h LICEISE f: /Ll9b
C]TY:c
E'.IAIL ADDREsS:
PiolECT CONTACT PtRSol.ll
Exrsr colsrnucTror,
fi arrrnrrrox
&'#il;-ir' 'n?r,ii-* nrpuns
l-l RElocrrrol
lfRelocslion,,s Ur6res Nat[ralCas Li.r.: on rheturrenl She?
["* !ruo fS BLDO SpR-iiXfgREDl Eres Ero
NE$ CONSTRUCTTOT'|;
! eReCr rueW STFUCTURE
fl rrur rnacx
! snrlr.
! unrrr [ ,o
"o
arrr, STRUCTTJiE
ACCCSS0RY STRUCTURE r
IF Ycs, Liat $ds the P.evi
ARCI llEsfetl PRoTESSIoiIAt!
tI
l//hat
If UPFIT
- The ShelL P€rrit $:
Is Elect
d rC
fi,"
EzoNlt,lc t sE cLASStF|CAT|ON:
EmMMUNTTY SYSTEU
Pou+ on this suilding Hyes E*o
vrs [tno ...'.
ls tfie ler Occupa'l(y Type?
pH: t{c REG
s:
--
Ph: - [c REG
f: _
.T IS THIS A CHA}/6E OT OCaJPAT{CV USC
ous Occupan(y Type I
(LLAn,\
El'lGR DE5I6I/ PRoFESSIoiIAL :
a_
DESCRIPTICN 0F l,loR(: I€
mF
&.e
, 1l ,>t
ts f@d orbryEr8oes pDper€d or c€rved tn
thls *uaurer flvesPlto ts
TtE propslly Locsbd ln Ihc Ftoodphli?Ey6s
OWNEFYCONTRACTOR*rD/ntil tttc-! i o n
DISCLAIMER: I herebt cedtfy lt€r
d l,
lo'n,suo,r
and locElLawE 6nd odinancEs Bnd reoulslion8- T
o, chsnoc ln con:? dor c r
c!d.E clor liru maum.
SlWIo Fines Up To 95{.10 00-'
ilr'lsBpp calcn s
crnecl sFd
at.sod st, @ndy B,lth th€ SLste
Bdtdtnd a-a! m,
:s.ix6i.u"d!ffif, $*flm ils"iJ{,x,&193%"#it.*i,,ei }gi"ff
#;allclhor atplt .ble Sbt
D!n! End !o€dfi.ltldts
NC SrEte B dC Code snd
No!.: Olrolhibn n oon.dbll' ! isb.sros ,tinovi! Fmi .pllkliloru olc !o bo iubfitlrd urh! or rppidlon tun (oHHs,r68) l.riuler ue ,.dtiy ol linEhr w6 burd roco.irin A. b.stoi o' ,1or. You.ro /oqurBd ro
c.I u1o NsuDn€t Emisstor Srandads 16r hr4dous Nr pDltu.nt! (rlESHApl
I trrSjTOT.sEEo . t"""t i o
;;;;, i" ,,r"d.rutdon ot tiy Lcllty or !u ldlt. Soa Aibanoi Won
Src: nnp:/,t^ /ri,,€pl.n.E,nc,ur/apynrtonos/ahmp.htmt
WATER:
SEWER:
CFPUA
CFPUA
ECoMMUNTTYSYSTEM E]WEr.r
E]CENTRAL SEPTIC [-J PRIVAIE SEPTIC
TOTALPRoJECT COST: t.11)O C)BU,LDING HElcHTr
ZZ-f 0F
UNTTS: /
TOTAL AREA SO ET. > t.2 SQ FT PER FLR# 0F STORIES: ,,/
TOIAT SO FT UNDEF ROOF:
_ { OF STRUCTURES:
s0F FLOORS:
ACRES DISTURBED:.e2 Exsr LAND DrsruRBlNG pERMtr? EyEs ENo
so
Fr EXIST|NG tMpERVtOUS AREA_SQ FTNEW tMPERVlous Aeex C)
PROPERTY USEI
ffirrrce flnesmumm fluenaruri-e fleouc flmr flcoruoo orxrn,
.'SEPAFATE PERMiTS SEOUIRED FOl E-LECT MECEII6C GAS FCI]IP. PBEFANS T INSEHTS
"
PAYMENT rrErHoD;
flcasu ficxrcr (PAYAS|.E To NHc) EJAMERTCAN O(PRESS
E MCMSA
I OTSCOWR
(FOR OFFTCEUSE OfllY) r
Ks: F: LH:l-eHt'LBtt+,,-- o------T-}}r**ro=
FEV SEO DATE (l 1/12
ZONE:OFFICER:
ADoroval:
SETBAC
DATE
ftil lnspecllon tlequlrco, 9l0-254"
bor
Commen PERMTT FEE: S 4a>.LD
APPLIcArIoit rypEr Cof.l[tERCfAL
PLEAsE
AIISITi ALL QUES'TIO 5 APPLICAOLE'rO YOIJi PRO]ECT
'project Rerponslblllty,,
srcneruet'
frV&.6,2-/gf-.,
NEhI
HANOVER COUNTY BUILDING PER
MPLICATI1it rYPE; RESIDENTIAL
PLEASE AilSl^lER
ALL qUESTIoNS APPLICABLE T0 YoUR PRoIECI
"ProJlct Responsibility"
lotr-1oqqj
MIil r?fft
APPLICATIO
ttumber
(OFfice Use)
,orr, tolZ'll6APPLICAT{T'S l{A}lE: stevens Buildino ComDanv ?/A stevens Flne Homes
DEVELOPER:Navao Develt
PROJECT ADDRESS:0 c
CITY: wifminoron
eCSUBDIVISION:
PR0PERTY O$NER'S t{AfiE: srevens Buildino comDanv
Oh ER'S ADORESS:
BLoCK *: _ LOT *:
PIONE S:
PIONE S: s:-o
-'ts4-a6ss
ZIP 2.
2a4os
t3b
ST :
Iq ZIP : jg3!i-
ST: NC ZIP: 2Bao3
PIO E *: 910-?94 -8699
PIIONE *: 91!-332-Bs1s
ive slri ic 2no
CITY: wilminqron
COI{TRACTOR:
st.evens Buildinq comDanv
A)DRESS: s71o
oleande! Dri.ve
suite 2oo
El,lAIL ADORESS: snichol son@s ! evens f j-nehomes .
com
LICEIISE S: 31G2 6
CITY: wi lminoton
PROIECT COMrACT PERSOI{:
sraci- Ni-c}roLeoL
EXISTII{G CONSTRUCTION:
I lr-rrnnrrOt
!REI'IOVATION
! crlennl REPATRs
f] RELocArroN
EH COI6TRUCTIOT{:
I*PLEASE CHECI( A}I'
ERECT r{E}r RESTDEiTCE
o"
! ADOTUO TO EXISTII{G RESTDEi|CE
ATT GARAGE
EELOI{ ALL THAT A,PPLY TO Y(UR PROJECT:
SF LJ DET GARAGE
-
SFPORCH IO 5F
tr suilRooM
_ sF
! nool
-
sr ! sronacr SHED
-
sF
! enreruousr
_ sF ! oecx
SF OTHER:SF
TOTAL HEATED SQ FT:lotl TOTAL 5QFT lrl{DER amrz 1b0 TOTAL AREA SQ FT:9b01
TOTAL PROIECT COST lress ra1 : $120 , 000fi OF STORIES: e.
ar{yER
(oa
Is Any ELECTRICAL, PLIBIBIIIG or IECHAIICAI. t/ork Being Done to the Accessory Structure?
E Yes
If the project
is a Relocation, is there a l{atural Gas/ Line on the Current Site?
[
rs there Electrical Power
on this Building?Ev"r Eno
L-I Ho
Yes l_4 No
PROPERTY USE
/ OCCUPAIICY:SINGLE FAI'1ILY
! urer-ex
E roururrcuse
DESCRIPTION OF hIORK:New Residential Construction
and odinanc€sand regulalions- The NHC Oe!€l5pflEnl SeMc€s CenErwiI be noiif€d ofanychdlg€s in fie 4pro\€d plan
contrzEbr inturmaton. '-NoTE: Afly work Perfomed wo tte AppopriaE Permitswillbe in violation oflhe Nc staE Bldg
orchamoe in
cootracbr or
OIdNER/COITITRACTOR:
craio srevens SIGNATURE :
(prtnt ita e)
!*:t,*,*
**)i )t*,**,****++ +:* + +:l rt
r.:ir. r.,f +,1 ,t
*:t +{.+*+:i)*r*:t ***)*)*i.**)*,1.)t+{:+**)t*)*)t*)t,**
IS THE PROPERTY LOCATED IiI A FLOOOPTAIN?
E YEs EI TTO
Exrsrr c u4PERvr(us *ror 3{ l1
SLIs Up To S5OO.0O"
,*
+**+*)t** ***)t
**
5Q FT
SQ FT
TOTAL ACRESoISTURBED: r /3
IOTER:
SET{ER:
NEt{ Irf ERvIous ente }414 EXIST LAOD DI5TURBIIG PERiIIT:
I-] Yg5
EI ilo
creun
! comvruNrry svsreu
! pRrvATE wELL
! crmRm well
creua
! cENTRAL sEprrc
f] enrvare sEPTrc
! coMtrtuNrrY sYsrEM
*** SEPARATE PERII4ITS REQUIRED FOR ELECT, IIIECH, PLBG, GAs EqUIP, PREFABS & INSERTS
pAy6E1rr
nErHoD:
E casn
E qrecK (pAyABLE
ro nncl
I orenrcAl{ ExPREss
E rc7vrsr E o.sco**
,*:*,t+
*++,*+,t * *'*,i't++iii( {. )*,*
l.,t )t + +:i:t i.,1. *,} +{r++++*)i * * )t,t ,t,l,a +:1.:t * ,*
*,t,1+:t * +*+ 't i'*)t* '*:lr++:t'* '* *
'} '} ri:t 't:l * 't+ '*:} ++
ZONE: OF FICER:
(FOR OFFICE USE OI!Y) REVISED DAIE O4l11l12
SETBACKS: F:- LH:- RH:- B:-
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=
AVII
cofinerrt: PERltrr FEE:
Ifr@Oil
(
HANOVER COUNTY. APPLICAfi(N TYPE :
PLEASE ANSWER ALt
. lProj
7ol*A(/e?lr-zoz(BUILDING PERMIT
RESIDENTIAL
QUESTIOT{S APPLICABLE TO YOUR PRO]ECT
ect Responsibiliqd
NEW
CCT 27
c E'i nF ll-maA
APPLICATIOI{
ltumber
(OFfice Use)
,orr, tolZll(APPLICAI.IT, S T,IAllE :
stewens Brrildino comoanv T/A st
DEVELOPER:NavaI PtPt{E f: eto -.7e4-a6se
PRO]ECT ADDRESS:
SUEDIVISIOT'I:
PROPERTY Of,lER'S MltE: srevens Buirdino comoanv
O,{NER'S ADoREss:
@ CITY:wi lminoton
CONTRACTOR:
st.evens Bui ldinq LICENSE *: 31626
ADDRESS: 5?10 oleander Drive suite 200 CITY:wi lminoton
^
PK)I{E *:
ST:
!g_ ZIP: 28403
ST:
E_ ZIP:
233q
PIONE *: ero ''t e4'a69e
PTONE *: 910-332-8s1s
E AIL ADORESS: snichol son@st evens f i nehomes . com
PROIECT COI,ITACT PERSOI{:
Staci Nicholson
Exrsrrr{G coNsrRUcTroN:
! alrrnnrror
! nruovarrofl
! crNrur nrearns
fl RELocATToN
Et.l COT'ISTRUCTION:ERECT t{El{ RESTDE CE o" ! amrrrOt TO EXTSTTNG RESTDE]i|CE
,.*PLEAsE CHECK AID AI{SWER BELOI' ALL IIIAT APPLY TO Yo(,R PRO]ECT:
Arr GA&AGE
I\1 se ! oer cauce
-
sF
I eoor-
-
sr
ro*c, loo sr
STORAGE SHED SF
I sur'rnoonr SF
! cnrrruHousr
_ sF ! oecr
5F OTHER:5F
TOTAL HEATED SQ TT: EIAA TOTAL SQFT UI{DER R@FIAbVrorAL AREA sC rr, dbul
TOTAL PROIECT COST 6ess rorl i $120. 000# OF STORIES:4o\
Is Any ELECTRICAL, PLUi,IBING or IECH,,$IICAL t.,ork Eeing Done to the Accessory Structure?
[ Yes
d*o
If the project
is a Relocatlon,
is there a aturaL Gas,rLine on the current site?
[ves fluo
Is there Electnical Power
on this Buitding?[v"t f,ffo
EXISTII{G IIIPERVIOT'S AREA:
ETJ IPERVIOTE AREA:t1
PROPERW USE
/ OCCUPA CY:snrGLE FArruLy
! ruerex
! rolnttouse
DESCRIPTIoi{ 0F trlORK:
New Res idential
DISCLAI ER thereby ceniry tld attinbmaion in this appkaron is
corecl fid dlworkwill comply witl he State &ri6i1g Code and alloher applicable SlaE and krcal lalvs
and ordinances and regutations. The NHC Development Services Center willbe notifed ofeny chang€s ln
f,e approved plans andor change in
contracbror
contacbr inbrmatbn. "'NOTE:Any Work Fbrlorm€d WO fie Apprcpriats Permitswillbe in VbHbn ol tre NC StaE Bdg SUbiect Llp To $50O.0Cr-
ol'lr{ E R/CONTRACTOR:
craio srevens SIGI.IATURE :
(p.int ame)
**,*rt )t)i* *,t* !* +,i! + + +*** *** **,!+ +** + *** *,** )*
* * *,* ,t,*
*,t,i +,* :i l. )t )*
*,*,* ,t
+++*++*+)t*+ +**,t *****+,t+ +*
rs rHE pRopERw LocArED rir l rlooorurrl
f] ves I NO
1$l TOTAL ACRES DISTURBED
EXIST LAI\D DISTURBIT.G PERMIT:
l-1 ves
EI ro
SQ FT
SQ FT
N
(FOR OfFTCE USE q![Y)REVISED DATE O4l11l12
OF FlCE R:SETBACKS: F: LH: RH: B:-
Approval:- CitY:- DATE:- FLmD: - ,
BFE+2ft=
ZONE:
Cmnent:PERMIT FEE:
-T{:7-
crw: gi=nilslgE--
_ BLoCK f: _ LOT #:'\\t*
[{ATER:
I creur
! c@ltluNrry svsrem
! PRWATE UELL
I crtrnal well
sEwER:
@ creua
I CENTRAL sEPTrc
! enrvere seerrc
I co l'llrNrry sYsrEM
'** SEPARATE PER}IITS REQUIRED FOR ELECT, IiIECH, PLBG, GA5 EQUIP, PREFABS & INSERTS ***
,o"rrr, ,arr*, E cos,r
E crrc1 (PAYABLE
m gr1 f] oreucar{ ExPREss
E nclvrsn E o'sco**
,k,t,l.+ )t
tt *,*,t:1. +:* )t* * *.t,t *)*+*:t*,t ++:i* *****:t+ t,*** !t,t:t'i * ** 'i + +:t * '** 't + + ri:i*:t * * 'l '* '* *+ * + * 'i'! +:f ,. 't:k 't
rt r*
*
'*
r"* '**
@
NEhr HANovEn
iErflfv f,hf#{fe+rERMrr
ls:1tYtAPPLIaTao rypE; RESIDENTIAL
PLEASE AN'I,JER
ALL QUES'I-IOi{S APPLICABLE TO \OUR PROJECT
rProj ect Res pons
ibitlt)f- tnber
/orlHl (r,*"'u'"',
APPLTCATION
DATE:
APPLICANT,S
NAI{E: h/e./.,{-
DEVELOPER;=
PRO]ECT ADDRESS;
SUBDIWSION:
Ptlo{'lE
#:
22.-.frPt A trVA
BLO
CK #: LoT *:
PHONET
! orr erneoe
I eool_ sr
I orcr
-_
sr
#:-_-sr: z:pt 3)3€3
/L crry:
PROPERW O}JNER'
OhII'IER'
S ADDRESS
S MI,[E:
CTTY:Z
c.:q$R CTOR: L),'tz;z,.t,t/..<-,/aol e?-LICEI{SE
*:ADDRESS:
/
)>y'..)A ,'r,-<- /)d--CTTY:
EMAIL ADDRESS:Zra
A/,).t^.u can^
/y <-
I-l sur,tnoo,a <F
! oneeunotse
_ sr
c0sT
Is ELE
sr
f| eoacH
-
sF
I sronaoe sHED
_ sF
OTHER:SF
Lng oone
to the Accessory Structune?
as Line on
the Current Site?Eruo
Ezuo
sr:-fiQlgwf
n,/
a)>/
Qr2
t'7 4. u, ,
j4-5.,2,+7<- 5* f
ACCOUT'IT #:
av/a-
PROJECT CONTACT pERSoNr
PHONE #:
PHOiIE
*;
DCTSTTNG
cor{sTRucEo
:
I alrenarroru fiftfivarrou gdrw, neearrc
f] RELocArroN
NEhl coriSTRrJCTrO{rr:
I rntcr Eh, RESTDEttcE
or
I oorTlw ro Exrsrrr{c REsrDEt{cE
**PLEASE CTIECK
AI@ AflsTER BELOTI
ALL THAT APPLY TO YOI'R PROJECT!
flarr eanee
r SF
rOTAL HEATED 5QFft /7 5u TOTAL SQ
FT UNDER
RwF
I 2 zf2 ToTAL AREA
sQ FT:
TOTAL PRO LoO : $&i.p# OF STORTES:f
P
If the pno
ect
i e
locat n,
s there a
Building?
Natur
Is thene
ElectricaL power on th
PROPERW USE
/ OCCUPANCY:
DESCRIPTTON OF NOR(:
n't
*+* *
+** * + + * ** + * x * n* * ** ** n* *(Ii*l fin*oi *+* +*,! * +**
rs rHE pRopERry LocATED
rN
a rlooopuut
[-l yes
EXISTIITTG IfiPERWOUS AREA: --- SQ FT
NEhJ IiI4P
srr{GLE
FAiqrLy
! ouer-ex
I rouunouse
'tU ny--o t'ul4% /47 w <ryJ->
es
G.+ *<-
lr.ara 4+7.<zaai-/o- n-
DISCI.AIMER I y cerdry hat all iibrmaton in
'ti6
applca&n cofiect and all v,ork vitl comply
wih tte SblE Buitdhg Godo and a$ oho. appfcable Slab €nd lo.al
la qand odhanc€s and Fguladons
Ihs NHC DelBkpm€nt S€rvic€s CenEr will b6 no[fiiad of any cf1eng6.s
h h6 spp
rot€d pt5n6 and Ep€cific€lions
orchangs in conteDr orcont_acl inormadon, ."NOTEi p.ny Wo* perbrm€d w/O heApprcpria8 P€ImiEwllbs in Vrotadon ofh€NC S6t|Bldg
O.d€To S5OOo0'-
ONNER/CONTRACTOR:
/l*/b,r-,'.t SIGIMTURE 3 44----"-'
AREA:
_ SQ FT
E(rST LAT{) DISTURBII{G
PER]r{IT;
I-I YrS
Jf llo
f] col!'auNrry sysrEm
n pRrvATE wELL
I cemnnl
uell
fl cerurnal
sEprrc
E pRrvATE sEprrc
I co,lruunrw svsrav
+4* SEPA]?ATE PEE1,ITT5 R
EqUIRED FOR ELECTJ I.{ECHJ PLBG, GAS EqUXP, PRrF4-6s
& TNSERTS *a'
BILL
accqJ["r
I r,rcTvrsa
I orxoren
** rtii:t* **!t *
*:t;F *
* *.i *:F
* * :i
*:* * * *:t
**rt:i **:!:i * *
PAYI4EMT I,lETHOD:
Dcsn
E cHEcK (PAvABLE
ro
rnc) [f
zo.*,:,
LtD oFFrcER:
Zr-</,tt')
T,IATER:
SEt^lERs CFPUA
Approval
:_ city._U.LLA_DATE: lr)
*****f *
*:*t
*,***:i**:!* ri*f l.ir:i:F***r.;t+***+:i i.*rt+***rt ***rt*
(foi oFFrcE usE o LY)
s
*********** *+++ *++ )*++*
t**+:t:t*)t**
TOTAL ACRES DISTURBEDT
REVIsEO OAIE 6Z1111112
I Ft
4ir u; tv,ar' M
,q)+
FLOOD:
t'-
PERfiTT
B F
E+2ft=
'r2< <
ECHAI,IICAL
No.
Comnent:
Cliy lnpecfion @uneo, 91S2$4{90,
FEE:
/
w<K
/O L/o O'c/2 //lt /2.-r? F/22r.+t- -4.,2>q- n'T St ' n ua't-
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; COIIIMERCfAL
PLEASE ANSWER ALT QUESTIONS APPLICAELE TO YOUR PROJECT
"Project Responsibility"
LICENSE #:
CITY:
GENERAL REPAIRS
I-I RELOCAT
Eruo rs BLDG sPiI KLERED?
ves
[ ruo
Trlr-A1L
L5-2902
APPLICATION
Number
(office use)
APPLICANT,S NAME: ENCoMpASS DDCLLC JOHN F STEWARTAIA
DATE: e/7a/75
PROIECT ADDRESS:
136 s. COLLEGE RD
SPACE 10 CITY: WILMINGToN ZIP i 284a3
OCCUPANT/BUSINESS NAME:
crc s cupcAKEs (rN uNrvERsrry CENTRE)
PROPERTY OI.JNER,S NAI4E: EASTERN CARoLINA CoMM REAL EsT (NICK SILIVANCH)PHONE #: 9ta-399-46a2
OI{NER'S ADDRESS: 5129 oLEANpER pR, sTE 103 CITY:WILMINGTON 5T: NC ZIP: 2840]
CONTRACTOR: (TBD)
ADDRESS:
PRO]ECT CONTACT PERSON: JoSHUA GEDNEY, ENcoMPAss DDC
(check A1I That App]y)
EXrST CONSTRUCTION:
! ALTERATTON
lf Relocation, is
there a Natural Gas Line on the Cur
RENOVATION
rent Site? [Yes
ST:
_ ZIP: _
PHONE *:5a2-333-8402
ION
I
NEt., coNsrRucrror:
! enecr NEvi srRUcruRE
! rnsr rnacr
! sner-r-
! uerrr
! aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The SheII Permit #:
Is Elect Power on this Building n Yes
I NO
*r!**r rs rHrs A cHAr{GE oF occupANcy user
fivrs I
IF Yes, h,hat was the Previous Occupancy Typel What is the New Occupancy Type?
ARCH DESIGN PROFESSIOT,IAL:
JoHN F STEWARTPH:
so2-992
510s NC REG #: 13034
ENGR DESIGN PROFESSIOML:
ERIK B KNUDSEN
PH: 9L3-262-1-'7'72 Nc REG #: 041591
DESCRIPTION oF l,.,loRK: TNTERToR RENovATToN FoR
GrG s cupcAKEs As TENANT rN Exrsr. sHopprNc crR
ls food or beverages prepared or served in this srnr,aure? p ves
I l.lo ls The Property Located ln The Floodplaine
I ves I No
State Building Code and all other applcable Slate
chanqes in lha approved
will be in Violation
oflhe
OWNER/CONTRACTOR:
(aU3fibd
SIGNATU
Note: Demolilion nolifi
cstioos& asbestos rsnoval p6mit applbations 6.e to be submitted using the applicsdon brm (DHHS-3768) shether the facility or buildirg was foond to
conteln Asbestos or not. You ars requlrcd to csll tle Nadonal Emisslon Standads ior Hazsrdous Air Pollutants (NESHAP) at (9'19)707-5950 at t6ast 10 days fior to the
demolition of any facility or building. See Asb€sto€ Web Site: http:/ ,vww.epi.state.nc.uyepi/asbeslo6/ahmp.hlrnl
TOTAL PROJECT COST: BUILDING HEIGHT: vARrEs #OFUN|TS:
TOTAL SO FT UNDER ROOF:#OF STRUCTURES:
r
DISCLAIMER: I hereby
certfy lhat all rnformalion in this applicat on is correct and all work will comply wath the
and local laws and ordirances and reoulalrons The NHC Develoomenl Servtces Center will be nottlied ol anv
or chanqe in conlraclor or contractor
hlormalion. "NO-E:Any Work Performed
w/O the Appropnate Permiis
Subjeclio Fines Up To $500 00"'
n CoMMUNTTY SYSTEM
n WELL EZONTNG USE CTASS|F|CAT|ON:
fICENTRAL SEPTTC
Ll PRTVATE
SEpTtC E COMMUNtry SYSTEM
ACRES DISTURBED: r,' /A Exsr LAND DrsrunarNc peRurrr
n yesI NO
NEW IMPERVIOUS AREA: N/ASQ FT EXISTING IMPERVIOUS AREA:
PROPERW USE: [OrrrCe RESTAURANT MERCANTILEEDUC
EAPr lcoNoo OTHER:B (BUs rNEss )
WATER: ECFPUA
SEWER:
E CFPUA
SQ FT
-, SEPARATE PERMITS REOU RED FOR ELECT MECH PLBG GAS EOUIP, PREFABS & INSERTS'"
PAYMENT MErH.oD.: .=::::.-=.:5::g.y::"1:-::?-tr*y:::::::'i:::..tr--::.:l:1 r orscoven
(FOR OFFICE USE
ONLY) REVISED DATE 4/11/12
ZONE:_OFFICER: _SETBACKS:
F:_LH:_ RH:_ B:
Code and
Comment
:/
DEVELOPER: BKZ GRoUp (MARTNA LEE)
,9410 FoxcRovE CT, RALETcH NC(9193591307) PHONE *: 5a2-992-5aas
EIiAI L ADDRESS: PHONE s:
TOTALAREASQFT:1,150 (TENANT) SQ FT PER
FLR: 1, 150# OF STORIES:
r
# OF FLOORS: 1
Approval:_ City:_ DATE:_ FLOOD:___ BFE+2ft=
AVN
PERMIT FEE:
$_
tkB
NEW HANOVER COUNTY
BUILDING PERTIIT
/>->9o2
APPLICaTIoN
rypE: C0|4}iERCIAL
PL€ASE ANSI.'ER
AI-I. QUESTIOiJS APPLICABTE TO YOUR PROJECT
"ProJ€ct Responsibilitlp
APPLTCANT,S NAI'II:C-,MT/C\<
,s TQ.ut cTzO*t /A-,(--
fur-rc:-/'z
AP P L
ICATIOII
u ber
(Offt<. U5.)
tv14er a
DATE
DEVELOPER:
PROJECT ADDRESS:
occupAr{T/Busr ESS ir,A}rE:(4dcj
pRopERw ohlNER,s iAltE: Flsiq"t Cl/14q ^.,/4O**a..a z,p(
OUI'IER'S ADDRESS:(0
rY: h) / clV
PHONE
#:
ZIP':2ffo7
PHo E *: QtDHg y c,oz
st: *tzv@3
PHOI{E
PHONE
*,L9vtZFYID
*t?/o A/o5/'7,/
*:
COITRACTOR:
ADDRESS:
a\,1 Qat uJ/i,oa4lrop E *:,Gtr(1
tDt
CITY: /..U
EiIAIL ADDRESS:w
Exrsr coNsrRucrro :
E aLrERArroN
6:.rffiffi E??'il*o. nrerrns
f| RElocArror{
rt
Retocation, E there s Narurar
cas Line on the cunenr
siter
! vi-[ No rs SLDG
spfiiixLERi;i ffiv". flruo
NEt{ co srRucrrof{,
I rnrcr NE]l srRUcruRE
! rasr rnecx
I sxrlr-flqrrrr I aoo
ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Permit
f:
*r*.. rs THrs A cHAt'GE
ff Yes, lrhat was the Previous Occupancy Ttpe?
rs Elect power on
this Buildin8 E yes E Ho
I
Ives (tm .***.
What
is the a Occupancy Typet
OF OCCUPAiICY USE
ARCH OESIGN PROFESSIOi'AT:
Eil6R DESIGT'I PROFESSTOML:
E4-l r< &r.-/D<.':r \
qalScaQQ29oS trc REG
*: 13o9*
PH:NC REG
#: Zlv I
tr
DESCRIPTION OF WORK:frLtYT a'i74:'T,r-,-
b food or bevoragos F€parod or sery€d tn rhis
strucruet fivss
I Nq
Stale Building Code and
a otherappllc€ble StEte
in rha and soeclflcations
Bldg Code and
OWNEF|/CONTRACTOR:
(qrdilh4
t.r
IZL.SIGNATURE;
Not€: o€mollton noffcallons E lsb€stos Grnovel pedntt sppliastiohs
el. to be
sutmllLd lAhC Sl€ Epdlca on fonn (OHHS.,68)wte$€r th€ tacltty or hJfldhg
wls tound
tocontaln
fubestos or nol. Yo! rre requkod to c6llUe Nsuonsl Embslon Stndsrds to(Haz.rdols Ar Polll,erns ( ESHAP) A (919)707-5950 Et lesn 10 deys D.ior to
h6demolilion of any fdcillty or buildhg.
TOTAL PROJECT COST:
TOTAL AREA SQ FT :
TOTAL SO FT UNDER ROOF:
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
Commenl
S€e Arbesos W6b She: mplto/wry.€pt.gle.nc.ugepUa,Destos,/ahmp.mmt
ooo BUILDING 1qg16y7. t /44 1
SQFTPERFLR: 1
# OF STRUCTURES:
SO FT
f OF UNITS
# OF STORIES:
# OF FLOORS:
PROPERTY USE: EOFFTCE [nesraUnerr
WATER:
IIGPUA DCOMMUNTTYSYSTEM
SEWER: @CFPUA E]CENTRALSEPTrc
E
Exsr tAND otsruRarnc ceRurr f]ves Flrc
EXISTING IMPERVTOUS
AREA:_ SO FT
fluencaHnu
leouc
fleer ficotoo orxen,
EIWELL IIZON|NG USECL sstFrcAnoN:
PRTVATE
SEPTTC IICOMMUN|TY S\ETEM
". SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PL8G. GAS EOUIP, PREFABS & INSERTS
-.PAYMENTMETHoD:Ecy-tr1*:5:j:X5-T:-X?gHH-T'-.:.E].Y3Tf toscoven
(FOR OFFTCE USE ONLY)REVISED DATE
'/I
IN2ZONE:_OFFICER: _ SETBACKS:
F:_LH:RH:B:Approval:_ City: OATE: . FLOOD:BFE+2ft=
N
L? cv-
PERMIT FEE:%a-
PROJECT COI'ITACT PERSO
:
LICENSDO
ts The properry Locabd tn The Floodptain?
fi yes Qleo
v
OVER COUNTY BUILDING PERMIT
aPPLIcAtIoN rypf: R
ESIDE TIAL
arlt![R rr!t quESrIo,ls arpiICAeLt TO you8 pRu.rtcr
"p.oje.t ResponsibiIity,,
Jots*lo 5 3b
!n({qr}
APPLICAIIOfl
NuEber
(ofri(e Ur.)APPLICAI{I'5 iIA/VIT:
SUEDIVISION
NEW HAN
I
oEvELoPrR: _S_E
PRO]ECT ADD& ESS:
CITY:
PROPERTY O{iIi[N'S NAflE:
OISCLAIM€R -
O,/ilER,/ CONT RAC TOR
nar
srrrrc !
(-'
r16ni.. pehiis*,
bot+{.*,,,.. ***
*-.. *.r "(i!Tll: "l
;_.."
---
SQ
FI
PL
ER,err: - ves ]ru0
to(d_
SIGNATURE.
IS TII8 PSOPERTY TOCATED II,i A FLOODpLAI|T)
EXISTING IA1P F
RVIOUS AREA
i
YE5
Er"
roral acnEs otsruRBED:
__L/4EXIsI LAIID DISTUREIII6 D
NEI/J IT]PIRVIOUS AREI
--_- _ sQ FT
wrrrn, S crpur E cor,*r
SE4ER: E CFPUA -CENT
urrtrv svsr*, ! cnlvl
PRIVAIE SEPTIC
TE l,./ELi
PAytEm fitrllo0 E *r,D.r..x 1
urcl f,ICA,! EXpiEss L-'4C/vtsA E orr.or.o
CIIITRAt [ELI
ccl4llul{
IIY sYSTEit
I(ERjrh
fityi h,i(^- DAr
PAYAELE TO
rr r0r Li
i l
A,IER
Cn5 teL,l p i i.fABs I t\5rRI:
20JJf
i(-1.,1,.
tl8a0(s, i j__r[
(ron
or,.(r usr cr v)
FIOOD
- r
rr. r
r*r rr, *
r+rr.r
[Hi ),:livr!ro t{rf !4r r
!,/i-ll
L',k.tr N,r 8FF.):+y(,(,r,),',
nspecmr foq,lreo
PERN1II FIE:
Commenl
t,t-
,-S
tc
Ei
I&ols-lossb
PEZ\S -24L*
APPLICATION
Number
(office Use)
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAfION
IYPE: R ESIDENTIAL
PLEASE ANSI,IER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECI
"Project Respons ibility"
APPLICANT'S NAHE:
1'-i+
t?.tt, tt-,,Qth
DEVELOPER:
to
fit
PRO]ECT ADDRESS:
SUBDIVISION:
r5
CITY:
BLOCK
*:LOT *:
HONE S:4t,t-s+z-9ctt
sI:N,tz|Pt L8+of
PROPERTY OWNER'S NAJ'4E:
OWNER,S ADDRESS: 2rr(B 2 ,l1-,t ,ft ;r rr-,i CITY:
CONTRACTOR:
ADDRESS:
C-V6- LrcENsE f:
,:hJ
Ei!.AIL ADDRESS: evt
Lt+f ait5-@ t+rsT
t"rAt t-, t a ru.
PROJECT CONTACT PERSON:
eu.n)
\ t^tLltl..ila-
EXISTING CONSTRUCTION:
ffi Ar,rrnArrOrrr
!
CITY:L,t Lfv ^J 6 f]cI-.!
stt],/6w:2-??0f
PHON
E T:
E #:
gta-s+)-906(
9to -54)-9o6(
PHON
RENOVATIONGENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE
or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSI,UER BELOW
ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE
-
SF
suNRooM
_sF
GREENHOUSE
-
SF
DET GARAGE
-
SF
POOL
_ SF
PoRCH
_ SF
STORAGE SHED
-
5F
DECK
5F OTHE R: Ib6 sr (xtra.r.,t,-)
TorAL HEATED se Fr: loo TorAL sQ FT UNDER RooF:0o TOTAL AREA SQ Ff: //oo
rorAL PRoJEcr CoSrrLessLorr : $ Sooo.or(pef-t) oF sroRrES:
Is Any ELECTRICAL, PLUIiIBIiIG
or IiIECHAI.IICAL
Work
Being Done to the Accesso
ry st.ucturel El ves
! ruo
If the project
is a Relocation,
is there a Natural
Is there Electrical Power on
this BuiLding? EIyes
pRopERTy usE
/ occupANcy,
[l srrucle rlmrlv ! ouel
DESCRIPTION OF WORK:fio
C,.t t V
DISCLAIMER: lhereby cerl
t hat ail rnplrcaUon rs conecl and allwork wlllcomplywih lhe State Building Code and aU
oher appticabte State and locat
ZONE:
_OFFICER:
GasLi
No
EX
ne on the cunrent
site? [ v"s ! No l-r,/A
*No {YVclwric^4,*
TOt,lNHOUSE
2_
TO(L
andodinancesandreguationsTheNFCOevelopmenlServrcesCent€rwillbenotliedotanychangesinlheapprovedplansandspecifcationsorchaigeiicontracbror
conlraclor nbrmation ""NOTE Anywork Performed
WO be Appropriate Permirswillbe inViolation oftheNC State Bldg Code and Subjectb Fines UpTo
$50000'.'
OWNER/CONTRACTOR:
CIx-u.r bJUl, U{SI6NATURE:
(p.inr Natre)********,*****)i*)t*r(*****r(**)**+**********)tt**+*rr+*i!+**,*******,*****,t******,******irr(*X(*)*)k*,**
IS TIIE PROPERTY LOCATED IN A FLOODPLAIN?YES
Eno
EXISTING II4PERVIoUS AREA:
_SQ FTTOTAL ACRES DISTURBED:
N/,4
NEW IT1PERVIOUS AREA:
_ SQ FTEXIST LAND DISTURBING PERMIT: E YES
Ero
wATER: M crpun I-I COMMUNITY sYsIEI4PRIVATE I,.JELLCENTRAL
'JELL
sEWER:
Elcrcur I CENTRAL sEprrc
f] enrvare srerrc
I comr4uNrry sysrEM
*+, 5EPARATE PERI"IITS REQUIRED FOR ELECTJ I4ECH' PL86' GAS EQUIP' PREFAES 8 IN5€RTS I*I
PAYIiIENT i4ETHOD:
E COS'T
EC'ECK (PAYABLE
TO "*C; I ATTNTCAN EXPRE55
E 'CI"SO S OTSCOVTN
* * * * * ** * * ** * * )*
* ,*;r * )r
* * * **,** * ,*,*
*,i** * ** *,* ** * * * *,* **,* ** )**,t
*,t* * **,t* * )t r*
* * r*
** * * * ** * * ** * * ** * * * * * *
(FOR OIFICE USE O.JLY) REVISEO DATE 64111/12
SETBACKS: F:_ LH:_ RH:_ B:_
Appr oval:_ City:_ DATE:_ FLOOD:
_ BFE+2ft=
_
Comment : PER|IIT FEE:
*K
DATE:
PHONE S:
zLP .,
tr
tr
N
(
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PIEASE AI'ISIER ALT QUEsTIO S APPIICABIE TO YOUR PRO]ECT
"Project Responsibility"
lt- 3003
Qnlt-loaai
APP LICATION
Number
(office Use)
APPLICANT'S NAi'lE: aquariar Poo1s, Inc.(Marsha Mu11er)
DEVELOPER: ucadams P]()NE *: 910-799-3006
PRO]ECT ADDRESS:
ll 3fi CITY: wi
lminqton ztP,l
OCCUPANT/BUSINESS l,lAIltE : BeIle Meade sEation Apartments
PROPERTY OWNER'S l,lAl4E: McAdams Homes, Ltc PHONE *: 910-798-3006
oWNER'S ADDRESS:
6626 cordon Road Unit c CITY: i4ilminqron ST:Jg_ zIP:Z93lf_
COI'ITRACTOR: Mu11er contractors.rnc . dbaAquar ianPoor LICENSE *'. 21842
ADDRESS: p.
o. Box 1905CITY: rrmo 5T: sc ZIP: 2 9063
EIiIAIL ADDRESS: marsha@asuari.anpool s . comPHONE f: aa3 -132 -3636
IF Yes, uhat uas the Prevlous occupan.y Type?
ARO{ DESIGN PROFESSIOIIAL:
**rr* Is THI5 A otANGE oF occupANcy usrr f]ves !t'19 *****
fs Elect Power on this Bullding Yes Eruo
PH:NC REG #:
EIiGR DESIGN PROFESSIOiIAL: David L. MeniusPH:
910-815-0775 NC REG #: 355?7
DESCRIPTIoN OF l4roRK:
Installtion of swimninq pool aE BelfeMeade station Apts for use by EenanEs
ls bod or beverages prepsr€d or served ln lhis *ruaureZ
I ves
I No b The Prop€fiy Located ln The Floodpaln?
[ ves I No
DISCIAIMEF: I hereby cerlify lhar ailinlormatron in
and locallaws and ordrnanc€s and reoulations. The
or chanoe in contactor or conlractor fnlormation.
"'
Subiedlo Fines Up To
S500.00-'
this applicaUon is correct and allwork willcomply wirh lhe Stale Buildinq Code and all olier applicable Slate
NHC Develooment Services Cenrer willbe notified ot anv chanoes in the aooroved Dlans and soecifcations
NOTE:Any Work Performea wio the Appropdate Permrls wlllb_e n violatr6i oflhefJC State Bldg Code and
OWNER/CONTRACTOR:p Mrt l
ler
{oEIlts4
TOTAL PROJECT COST: S105,000.00 BUILDING HEIGHT:
TOTAL AREA SQ FT :
SIGNATURET--
Noto: Domolldon nodicatloos & asb€sbs lEnovrl Domll eppllcaion! el€ b b6 submhbd usl'lo ths appllcatlon forn (DHHS-3768) whod|er rhe frclllry or bulldlm was bund b
€ont h Asbe3bs or mt You 3rB r€qulrEd to call rho Natbnal Emtsslon StEnd.ftL br llazalthlls Alr Po ua s (NESHAP) Er (919)707S9SO al l6asr 10
dsys p.tor to nr€
d€rEfibn of Eny hdllty or bulldlno. S€e Asb€sE Web ShE: htF:/tw.sd.sah.ncus/6drasb€sG/ahrip.ttnl
ACRES DISTURBEO:
Exsr LAND DrsruRsr.lc peRirtr?
nves
I uo
NEW IMPERVIOUS AREA:SO FTE(ISTING IMPERVIOUS AREA:SO FT
pRopERryusE: floFFtcE [nesreumx"r
f]uenumru leouc !ec-r f]cor.roo OTHER:poor
CFPUA
CFPUASEWER:
aa fl @MMUNITY S\nSTEM E WEI DZONTNG USE C|ASS|F|CAT|ON:
LI CENTRAL
SEPTIC LIPRIVATE SEMC I]COMMUNITYSYSTEM
", SEPARATE PERMITS REOUIRED FOR ELECT. MECH. PLBG,GAS EOUIP, PREFAAS E INSERTS -'
PAYUEMT METHoo:
lcasn flcnecx pevesu ro Nxcl [nuentcAN D@REss
! uovrsa
I orscoven
(FOR OFFTCE USE O LY)REVISED OATE rgl
Vl2ZONE:_OFFICER:SETBACKS:
F:_LH: RH:_ B:Apgovd:_ Crty:_ DATE:_ FLOOD:
__ _ BFE+28_
1812 1
WATER:
!
Comment
J.*r,r*'s---1fl)-
et.'. ,
'iffi,DArEt
J92:129)L
PRoIECT CoNTACT PERS0N: t'tarsha r.tuller Ext 114 PHoNE f: 803-732-3636
If UPFIT
- The 5he11 Permit #:
l,lhat ls the New
occupancy Type?
(Check
All Ihat APPIY)
EXrST CONSTRUCTTON:
E ALTERATTOT'I
l-l nrruOVArrOr
l-l CeHrUl neearns
! RELocATToN
r Retocadon, is rhere a Naturat cas Line on the E-urrent Site?
!vF[ No ts groc
spi xleneoz
! ves
I t'to
NEr{ CONSTRUCTTOTT
@ rnrCr NEU' STRUCTURE
f] rnsr rnACr
I SHell
I uerrr
f] aOO ro ExrsT STRUCTURE
ACCESSORY STRUCTURE:
# OF UNITS:
SQ FT PER FLR:
-
TOTAL SQ FT UNDER ROOF:
-
# OF STRUCTURES:
# OF STORIES:_
# OF FLOORS:
-
N D
0lans 4'tllc(e),M{ots-f oc3\
rV
N L{Q
ffi
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE I RESIDENTIAL
PLEASE ANslIER ALL QUESTIONS APPLICABLE IO YOUS PRO]ECT
"Project Res pons
ibility"
APPLICAT]ON
Numbe r
(office Use)
APPLICANT, S NAME :
DEVELOPER i
F(DATE:t0126"15-
PHONE f:
PROJECT ADDR
SUBDIVISION:
PROPERTY OWNER'S
NAI'IE: hJ
ESs:z
/-zc LICENSE S:
crrY: t,rJr I
Zrp, 2 3
LOT S:
ST: ZIP I
ST
CITY:
BLOCK #:
PHONE #:
OI^JNER ) S AODRESS:
a v-tiN.-
CITY:
CONTRACTO
ADDRESS:
R:t L-l-t-
A
##Mrrr,?&os
ET1AIL ADDRESS:
PRO]ECT CONTACT
loc,la,
ne PHONE S:
PHONE #:
a)y'YWt I, (ornQ.
PERSON :?*.> i"-, t t _T
EXTSTTNG CONSTRUCTTON:
/lrrrnnrrOru !R ENOVATIONGENERAL REPAIRS RE LO'ATTON
NEW CONSTRUCTIOH:
! tnrCr NEhJ RESIDENCE
o" ! aOOrrrOlt TO EXISTING RESIDENCE
**PLEAsE CHEC( AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT:
POOL
_ SFSTORAGE SHED
-
SF
?ra j/'z -4ao
5F
Yes No
f 5(
ATT GARAGE
-
SF
suNRootvl
_ sF
f] orr crnacr sr
! eoncH
-sF
GREENHOUSE 5F DECK
Is there Electrical Power
on
this Building?
pRoPERTY USE
/ OCCUPANCY,
ISrruCrr ramrLv
DESCRIPTOF WORI(:n
G>'\t i+
DISCLAIMER: lhereby
and ordrnances and regulations Th
contacl]]r mt,rmaton "'NOTE A
OI{NER/CONTRACTOR:
Qves flruo
DUPLEX
lo jj G
TOI,.]NHOUSE
-y'e
5F OTHE R:
t ,\ r\ .
TOTAL HEATED SQ FT: _ ToTAL SQ FT UNDER RoOF: l'- TOTAL AREA SQ FT: _
T0TAL PROIECT COSTrressrorr : $2nk# OF STORIES: I
Is Any ELECTRICAL, PLUI'IBING
or FIECHAIIICAL Work
Being Done
to the Accessory Structure? [
If the project is a Relocation, is there a Natunal Gas Line on
the Current Site?Yes
n rro
f@f
EXIST LAND DISTURBING PERIIIT:
CENTRAL I.JE L L
RH:- B
Sublecr
b Fines Up To $500 00"'
YES NO
RrvrSED DATt 04l11l12
BF E+ 2ft=
a
all informallon in hrs applicatjon iscorreciand all workwitl
€ NHC Developmenl Se ices Center lll/illbe nott5ed
ofan
ny Work Perlormed W/O t.1e Appropriate P€mirswitlbe nr
complywrh the StaE auildng Code and aiioher appticable SlaE and to€a aws
y changes rn ihe app.oved plans and specifications orchanqe in conracloro.
/?on *-, 6 ns,,'z,t,,rz4
Vnlatioi ofrhe NC S
SIGNATURE:
(Drinl Nare)*+++*++d*****,1********,t *+*,t*********r.i.**********+*)t***,t*,*,****,t**,**,f*******,*,t******,r**+ri
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
EXISTING II4PERVIOUS AREAr
_5Q FT
NEW
IMPERVIOUS AREA:
-SQ
FT
WATER: ETCFPUA E COI4IYUNITY SYSTE14
PRIVATE I^JELL
ZONEOFFlCER:
Approval;_ City:_ DATE:_ F
IOOD
YEs
d*o
TOTAL ACRE5
DISTI.,RBED: O
SEWER:FPUA
! cnrrmr senrrc
! pRrvArE sEprrc
f] comtvurrrv svsrem
*,, SEPARAIE PERI'l]TS REQUIRED FOR ELTCTJ A]ECH'
PTEG' GAs EQUIP, PR!FA8S
& INSTRTS *i.
pAynENT
irErHoo:
fl casH
I cnrcK (pAyaBrE
ro rurc;
I menraon
,*r*rr, ! mc/rrro I orscovea
*,*,r;f,*******+*,r*)i,t*,t)t**,*,**,f,****,r)i*******+,f)t,i+)****+,*,****,f)t,r*******,**)i**,**,*****;r,*)*+**x*rx;**
(FOR OFFTCE |JSE otlLY)
SETBACKS: F:
N
PERMIT
FEE: $Comment:
LH
tr
-tLt' 'i;r;':i-
// __ _--
i,o -{01'1tttl1
0*
k
L,rL{
M#*J
,t QolS-/o s),0
,t^ts-_
Jag
T
APPLICATIOf,J
Number
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLIC/.rIoN rvper SI6NS
/ BILLBO RDS
Pl:ASF
PBiii: alFAAtY E An!,jiR ALL OUE!iiDNS
"Pnoject Responsibility''
?-0
I ro)Nt
o
ffi
Dr rr)c ':'r lar:r:a!nAPPLICANT'S NAI4E
OEVELOPER:PHoNE f: 84 ?rtl r;oo!
PRO] ECTI ADDRESS
I
r(rrA Souih 'Ieqe Rrd.i a-- J CITY: wrfminqto:1
PHONE *: 843-76- -6oii9
Cfw: wil-'-::r:-:r ST:
Nc zIP:2e4c5
occuPANl/BUsrNEss AhE:
I
)RoPERTY OTINER'S NAfiE:
Sherrln t{:lLi'-_
:MAIL ADFn:!!: b,-s,--.r.--..:.,. --:. .^F
:li.i RA(TCR:
i & (t.i-- g.:r:':e, LLC LICEiISE #;
,IDDRESS:
lo Bcx g3Ga t-/:.kE Co
,L
ST:
sc ZfP: u g,re
r
,. 4.1 r-761-6 _1',.-
o,
*--a*r-
(CHECX ALL THAT APPLY)
I rrrcr f] rLrrn
I nroarn
f rruncr
fi cmrcr our
'l: __ a-'': i _' , :.: I ll :' , :: ",,, irll. ..r, ).1.r. r,r,:, rl
,-
sctl r
-Nit^,-Yl-Watu.x^
IS SIGN(S) ON OR OFF PRE}IISES?I(
L),.,i1!?/C^' ': -:
rvpe od sroru(s)
iiGuqTt,pF:
PRO] E --. ON
-' caNopy
Total Number of Si8ns on this Project: _=
Tota] 5Q- ii
Total SQ. rT
of sign: 6
ROCF
cT! rrn
-
-:ll
- rll
S I6N
1
2
3
4
tleight: : ,5, Slen
i]eight; _ Sign
Hei ght
Dimenslcns: X -Z!:.L7.-3L-
Di-ensior<: X
_
Di-ensions: X
_
DiEensions: X
_
of Sign: _
of Sign:
_
of Sj.gn:
_
2.:!4
Heiqht:
-
S j.gn
IOTAL PRoIECT COST: $ 1ooo.00 15 THE PROPERIY LOCATED iN n rLooonLalru?
[ Yes I No
pAy|tErJT
fiErHm:
I cas* X crrcr (pavngre
ro nic) [ urnrc$r rxnnrss
n nczwso
I orscoven
, . Rfwsep DA\E al3o/72
, 1.jr''- o,i' 1ft
JrJ_ F.
E+:"t=
_
,Jrrr' rrr'
rJrs-rI
J
lnspeclion Reoureo ql 0.25d.t 190''
CAT9:'.0/29/aQ)-5
J.otr-lol( 3
.a...,, . ; ._.,,
...&.,
NEW HANOVER COUNTY BUILDING
AP?LICATTON
rvpE: pLUtTtBING
PERMIT
PLEASE ANSIIER AI-T QU€STIONS APPLICABLE TO YOUR PRO]ECT
"P?oject Responsibility,,
(o nzru
CITY:
PHOiIE
f :
CITY:
JOURI'IE
APPLICATION
Number
(Offic. Us€)
OCCUPANT/BUSINESS MfiE:
PROPERTY OWNER'S i,IAItE :
OIINER'S ADDRESS:
APPLICAiIT'S lIAiIE:
PROJECT ADDRESS:
EIIAIL ADDRESS:
FAX S:
DATE:
ZIP i
ST:
_ ZIP: _
{.t
tr,t-
ztprL{z!
,/o-d24-a)?
a i1.q-ur2
PLUMBING CONTRACTOR:
t'rC STATE LICET{SE f :
ADDRESS:
ICEISE St
CITY:9a ST
PHONE
*:
/t 6ror-'nPROJECT CONTACT PERSON:PHONE
#:
DTSCLAIMER: I hereby cenit thal atl tnformalion in rhts apptication is
corecr and a[ wort
wiIcorndy wiih the Sr6te Buttdln{ CodeBnd sttoihe, aand ordinances and regulations. The NHC Oevelopmern Seryices Cent€rwiltbe ootiried
ol6ny changes in
lhe Bpproved pl€ns and specilicalio,ls
coolraclor informalion, -NOTEi Any Work Performed
w/O the or lhe NC srare
OWNER/CONTRACTOR:
/,SIGNATURE:
IS THE PROPERTY LOCATED
IN A FL@DPLAIN?
I ves ,f,l HoNOTE: I the plumbing system(s) you are permitting serves onty a small ponion and not the entire building, put the square footage of lhe smallarea itserves. The square footage is not required it you are chanOing out
I single @mponent ol s system.
IF BLDG PRO]ECT
- PER TT NUMBER:
NOTE| lf you have the Projecl Permh Number you nol fill out the Owners N
pplicabie S-rale
and tocet taws
or chang€ in
coniractor ot
Fines Up To $500.00".
rs Food Prepared
in this alOCl
ffies ! ruo
ame, Address or Phone Number.
IS YOUR PRO]ECT:RESIDENTIAL lxouse, Duptex or Tomhome
)OR ECO MERCIAL (Alrorhe,coniruclion)
New Const ruct ion
n Addition
Alteration E Exi
sting Bui.lding
llgIEt Residential is de{ined as I single-famity detached horie, a duplex or up to a maximum of(6) ar6ched Townhouses
only! Commercial projects
are defined as AperlmenG, Condos, Offices snd other Businesses.
IF COMI{ERCIAL, h,HAT I5 THC OCCUPANCY
WPE:
I-l Assemb
! ractory/lndustrial ! Hazardous
I rnstlluttonat
1y
Mercant
i le
Business
E! stonage
doinO. pteEse use the space below in (Details) to better describe your scope ol work
, please enter the totral number of fixtures you Ere inr16rfing o, p"pf""inq in th" brildini
fl MH
Connection
fl septic rie-in
EducationaL
Res
i.d€nt ia
I
I waten service
E Eackflow pneventer
Please CHECK below next to the description of work that you are
including all work which requires a plumbing permit. lf applicable
Etr
Install New Plumbing System
Plumbing System Replacement
I Ctrg Out1r1 Component
of p].bg
Syst f] S"rer ! sackflow preventer (City Req)
fl aoalalter Existing
system ! Grease
rnterceptor I other (see detai.ls below)! Urltipr"por. Resid Sprinklen System
I { rct"t Number
of Fj.xtures
Instatled in Building
SPECIFIC
DETAILS:
'1' SEPARATE PERllrrs REQUTREo FOR
ELEcr, tlEcH, PLBG, GAs EQUrp, pRtFABs & rNsERTs ***
pAyri,tENr
fiErHoo:
I casx fl crecx (pAyArLE
ro r{Nc) [ anenrcaru
,roro,
-
Einlrriro fiorscoven*:r*i )t *)* ******'*:k**,**'l ** * * *
*:t * )t,f
** * * * 't *,t:i* *,1,r *
** * *** 'lt+,|***:i**:i* ****t**+r!** *** *,r+**r r* )i*,r *
RtvlsE0 05/oll12
P€RI,IIT FEE:
DComment:
(toi oratct usE ot Y)
PLCASE GIVE DETAILS
tl{ SECTION BELOI{
TOTAL SQ FT OF BUILDING:
RECETVED NOV 0 3 2015 Uf"._, 1t i-AI.r ., !2ot5 -lotl?
NEW
HAN''ER couNry BUrLDrrrrG pERMrr ?Lz t';-\x7
fr'
APPLICATIa
rr,tE: RESIDEtiTfAL
.LErllt AtlStEr
aL! Q('r51IOr6 Arp!:C^aLE .rc !0u[ ,n9]fCI APPL
ICATIO{
l'luribar
(o+fl(r u!! )
PROPER'Y O'.]NER'S
O'+,]ER,s ADORESSI
APPLICAI{T'S
OEVELOPTR:
PRO]ECT ADD
SUBOIYJSIO}/
CONIFACTO
ADDRE55 |
E''IAI L ADO
pRolEcT c
zrP
sr y'l1l zrt
7
5F
NA,'{E
R:ss:
t*
roject Responsibili.ty,
CITYI
€_
c
SIGNATURE:
DNTE:
Ptto E $:
BLOaX
9: _ tOT
al
PHO
t f:
7t+y
z-
=Btz:Vooo
}.lAflE :
i
REs5:
6RTE'iHOUSE
c.nt&b' 6t'" rlrr. "'NOTE
pHoN[ f
/--ONTACT PER5CIIj Ptorir #
EXIS:rINe Coi{stRuCrr0NALTERAl:CN RENOVATION GEI{€R^L RaparRs
! rer,oclrrolr
l'lEl.J CO STRUCTIoN:€RECT
NEli RESIDENCE
or
I morrtor To ExIsTIr,lc REsIoEt{cE
T.PLTAII CTi!CX AND ATs}IER BELOI,' ALI" II{AT TPPTY
IO YOUR
PNO]E(T:
ATt GAPA6E
_ SF I I DET GARAGF <r I I
PORCH (E
sT0RA6r SHED
-_-
sF
o
I sunnoom
-sr
I eoor.
--
sr
sf
f, orcx
..._- sr orHER:
sN6LT T 0UPLEXTO I.JHOUSE
t
Csrt.q0b. iottnc ot
..l .hr.rr! r. !,r{
Di,:r,ea
TOTAL IIEATED 5Q FT: _ /ToTAL SQ FT UNDER ROOF: TOTAL AREA sQ FI: _
rorAr pRolEcr c05T Ler-a1
, S q(t€La s oF sroRrEs:
.-
t5 Any EIECIRICAL, PLUllSIllG
o. |i!C8A!/ICAL
No.k Belnt Oon€
to the A(cesso.y Stru<tur€l fi Ves f Uo
If the project is . Relocation,
i5 the.e a Natu.al Gas Line on
the Cu.rent Sitet Ives I to
Is there €Ie.trical Powe.
on this Building?rzfes f]Ho
PROPERTV USE
/ OCCUPANCY
OESCRIPTI(N OF HORK:
rt.< Al
DlscL ltER rrcrarc. ,tyn.tr. r.b,.3rbr:i +is },n5aa!.n 5.crd.:rrj *i,!n$itLJnrrr*rll h. sore &rE6' coac.ia ?! .r.r ani
.!d. sl.E !.id bc.,r.!]el|i. o.dfc..fe r^or+lqr3rf,fi ihQ
Ntlc !E!!r.rf.ir
io lsoi,
00 '
0tllri ER/coNTRAcT0R:
Aooroval; Citv:
(p.lnt
15 I}IE PROPTRTY TOCATEO
tII A FLOOOPLAI!?
EXI5TIIIG I P€nVl(xrS AREA!
_Se FT
tlEl,{ IIIPERVIOJS AnEA:
__ 5q FT
tArERtyl CFPUA
sErER:
I cFPUA
ZONE
E vss El'm
lr rr aa J, r,. r+.*at r,I,
ifr:5ao ritt o!/ t: /::
ToTAL ACRES OISTURBEDT
TXIST LAtrD DIsrrJRBrr,rG pERl,trri ff yEs NO
cor.fiuN:rv
svs'lrr I pRIvarE r,rELL
f] c;urml xe
rl
cElrqAL
sEprrc
I natv,rrr s*rrc -p,cot lr.lxr]y systEl
IP, rnirABS
t tlsrnt5 ...... SEPANATT PERXITS
RIQUIqIO TOR
TLEC], HECX, PLBC,
6!5 EQU
pAy Er{T IITHCD: lJ CaSl l-J Crecx (pAyAaLs yo ,ltrc1 [a:ll accar,,rr
Irc,.vrsa Io scoven
[-k-b,r,.,"' GD Nle Ln,5$ nx,
lina,Ni9
(toi 0rr:t; ust qir!)
SITBACKS: F
oarE,
lt- L'i.( r i-ooo,"+Eia.2ft
PERJ.II:
FIIColt)anent:
,or'
'n,inspeciion hurreo, 9
L ]CENS E
CITY:
VNo rrLANg L 2a(t- lotll
Ws-no7
#
APPLICANTJ 5 IIAfiE;
DEVELOPER:
NEW HANOVER COUNTY
BUILDING PERMIT
aPPLIcarroN
rypr: RESIDENTIAL
PTEASE ANS}IER
ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Ptoject Respons
ibility''
L_
CITY:
BLOCK #: _ LOT
*:
PIONE
S:
CI
sry'l1)zre:
LICENSE
fl{Qtt<ACCOUNT
f:
-CITY:ST
ZIP i
7
APPLICATION
Nunber
(Office Use)
PRO]ECT AOORESS:
SUBDIVISION:
PROPERTY OltlNER,S T.IAI{E :
O{NER'S ADORESS:
COI'ITRACTOR:
ADDRESS:
EIi'IAIL ADDR€SS:
PROPERTY USE
/ OCCUPANCY
DESCRIPTION OF WORK:
e_
DATE:
PHONE
#:
ZIP
******* +)t*rt )t )k
*)t **)** *,*
N
1"o
z
=Slz.FVoao
Plot'lE
*
PHOtilE
r- g/>-+QoPROJECT CONTACT PERSON:
EXISTIM CONSTRUCTION:A LTERATION
I nrruovarron GEIIERAL REpArRs
! nrlocarron
TO EXIsTING RESIDENCE
SF
5F
hr< aU
/--
NEW CONSTRUCTIOT:
! enrCr NEW RESTDENCE
o" fl morrtot
r*PLEA5E CHECK Al',0 Ailsl.,ER BELol,l
Al-l- THAT APPIY TO YOUR PROIECT:
! arr crnlce
_ sF ! o:r cannce sr
! non+r
_ sF
I surnoou
_sF I eool
_ sr STORAGE SHED
I cnrrruHousr
_ sF
DECK SF OTHER
ToTAL HEATED SQ FT: _. ,TgOa SQ FT UNDER ROOF
: _ TOTAL AREA SQ FT: _
TOTAL PRolEcr CO5T1ressrorl
, t l{r{tfl # oF sroRrEs:
rs any ELEcrRrcAL, pLUr.rBrNG
or ttEcHnNrcAL l.Jork
Being Done
to the accessory structure?
f] ves I torf the project
is a Relocation,
is thene
a Natural Gas Lj.ne on
the current site? [ ves I uors thene Electrical powen on this BuildinC?.E ?es
ll'l No
,.4 NGLE FAI4]LY
! ouerEx TOWNHOUSE
DISCLAIMER: lhereby cedity $at.ll inb in
his spplicaton is conect and a[ workwil comptywilh
he Srate Buitding Code and
altoher appticable Slab and
'ocat
tawsand ordjn.nces and reOUlalions. The NHC DeCenter
willbe nodfied
olsnychanoes in
fi€ apDroved
cont'elor inhrmebon rllOTE' An/oi of lhe Nc sraE To $500 00"'
OI,JNER/CONTRACTOR:SIGNATURE :
** * *,**+,i**,r * **)*lP.int,*+* ** )r )**** 4. ** *liJ** **** **** * * *,k,* )r )* )*:* +,r * )r
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
ExrsrrNc rrtpERvrous AREA:
_sQ FT
NEI{ IIIPERVIOI.TS AREA:
_SQ FT
I ves
d,a
TOTAL ACRES DISTURBED: _
EXI5T LAND DISTURBTNG
or*ttr,--5 y:s f-l rc
REVISED
oatE o4l11/12
_ RH:_ B:_
BFE+2ft=
warce;-d creua
I cor,r,lururw svsrer"r
I pRrvArE wELL
I cerrnal
wrll
SEWER:
f] crnua
I CENTRAL
sEprrc
f] enrvare
,rrrr. .paorruNrry sysTEM
'r '*'t SEPAIIATE
PERt'trrs REqUTRED
FoR ELEcT, r,rEcH, pL86, GAs EQUrp, ,REFABS & rNsERT' .**pAylrErr r4ErHoDr
I cnsn
I cxrc( (payABLE
,o
*r.l-tr ,i,-i i.i-* - ' I nii*ro'*ij"rrr.ou..)i* )t
* *)** * * ** )* )t '** *)t)t* 'i )t )* )*
** )* )t )t )t )* )*+ * *)t+* * *)**
*!*)***,t* **+* )t * *:*
***+)t)t )t+
)k**t*+* )** *
+**+ rk***
***,* *)t
(roR oFTICE UsE OtLY)
ZoNE:
_ 0FFICER:SETBACKS:
F:_ LH
Approval:_ Citv: DATE: F I rlrlr1.
A
Corment:
'-,
,
PERMIT FEE: $
U1 .i , p:;4 n.t
'_,
i e olS _+oel?
pERMrr ?a+ t'. ,:vt
NEW HANOVER COUNTY
BUILDING
APPLICATIoN Typr
I R ESIDEI\ITIAL
fr.FI"!t TIJSIER
ALi QL'''IOIS APPL!(ABL' :O YCUi PRO]!(T
Ject Responsibility"
APPLIC!.-JON
l{umler
Aau
aL
sr
lt'l[ ztv
:
PRO]T'' ADOR ESS:
SU8DI\'iS:o.I:
PACPE t'Y OhTiEi'5 AI"IE:
q.NER,S ADOREsS:
APPLICAI'IT,5 MTE;
O€VILOPER:
L-
Ptlic!':sN6LE FAHIL
CI]Y
1_
DUPLIXTOyINH0USE
::IJ'7AL I{EtL
PHON€ S
-5Baoo
zaP,'j1-,
BLOCk ;r _ LOT *:
PHSNE
*:
cor.-: : -
ADOR E -( S
EI.IAIL ADORESS
PRoIECT CoI{TACT PEF5o',r r
EXrSrr€ ao sTRUa"loN:ALTERA:: lN I arrovatrolr 6ENERAL REPAILS
LrcEr,rsE
i: ft;s accolrrr
cnvt
lllLfu__ sr/ll zra
?ptfirE i,op -E72-{ro,
,n,, oi4
/a- 5/)44o
a:
lr--
RE,-OCATIOIJ
NEH COT{5TRUCTION:.
]rneCr iiEh' RESIDENCE
o" ] mOlrtOH ro EXisrtNc REsrDEr,tcE
..PTEAST CHIC( AND AiISKTi BELdN ALL T}IAT APPI.Y TO YOUR PRO]ECI:
f rrr c,rnaer s, D oET 6aRA6E sr
I concn
--sFsUNROott
_ Sr
6R'F:THOUSE SF
] orcx
E pooL
-
sr D sroRAcF SHED
5F OTHER
ST
5t
IOTAL HEAiED 5Q FT:
-
,TOTAL 5Q TI UNDER RO0F:
-
ToTAt AREA
sQ FT:
ToTAL PRc)EcT C05- .tss-o,: , S 4(,6Ln { oF STORIES:
rs any ELaarFriCAL, Pt-UrtoIr+G
o. nE(+tatyICAL !ro.t Bei',ts Oole
to the A(cessory St.u(tr./.et ! Ves - lto
I+ the p.oject
is a nelocation,
is there a Natuial Gas Line on
the Cu.rent Site? D yes
1s the.e Electri(al Power
on this Buflding?E es fJto
pRoPrRTv usE
/ oc(u
OESCRIPTION OF HORI(
h.< zll
fro
sar aa...
DSaL ll:H '/-rtc€rlr.r '' s6i: .:..)3. .r-,a!wrr($ii r*nrrsra?!_i."a :.cc a.i i, -
..a odfa^.r< ..d e!Lra14ir Ti. NHC
D.€r-rr.l r
Ca-r. e,: b. sorE. ot !-r .f.ri.! n
n. sr,! <.6^C
5:e. i' -. a cia-conr..D, rr'- :'-_'1Clt
Ol,,Jli i R
/ COI'irRlCToR :SIGNATURE:
,.t.
IS THT PROPERTY IOCl.-F- N A FLOODPLATN?
f YE5
V|o
EXIS]lflc IxPTiVIOUS AREA! _5Q FTTOTAL ACRES OISTUSBTC:
ll€l{ MPERvIous aREA:
_ sQ FT Exfsy LAIID DI5T-TFBING pERttIT: E vrs f rc
wre ;-frcotsa
E cor,r'!,Jr:-'.
svsrer
! pRrvarE ltEr,r.
sEtjER:
f CrnUa
] CErirnlL
5r}iIC
... StPAAATE PERfiITS R t_QIJT
PAYntMr r rrlr, f cost Iarrax
I ouvari secrrc _[ccr,",.lrrry sysTEfi
(ED fOR ELECT,
'4tCH,
pL8G, 645 EQUtpr ;(rFA85 &
: i.-RT5
rrrilEtr:rirf si/ r:i
I ri- 2ft
(PAYAaLE
ro xr<1 [aril accouxr
L r{c/vrsa I orscovrn
.ai cr..,-rla rrr.,r
approval:-- Cj ty:-- oare,)t-1.15 riooo
Nilo Ln:Nrtf, RH: |!tie
I
,!!Q
X
0PERYII
FIT 9
j"0q0'
Corrne nt, O'/'
ll
5a-:,atxs: F
NEW HANOVER COUNTY
BUILDING
APPLICATION
TyPE: COI{MERCIAL
l5- 3oc" t
pERMrr i ols_l0S
DEVELOPER:
PLEASE ANSI.JER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(Offlce Use)
APPLICANT'S NAri,lE: YMC.A
of Wifminqton, lnc.DATE :
PROJECT ADDRESS: 2-r1C llarker SrreeL
OCCUPANT/BUSINESS NAflE:
Witminqron Fami 1y YMCA
PHONE #:
PHONE #: 91A
-251-9622
ST: NC ZIP:28403
st:DLzrP:28*7
PHONE #: ?/a -2{) -
*2-
PHONE
#: ?/a 'za 1' 74 z7t ZZ8,
PROPERTY OWNER'S
NAI{E: YMCA
cf witninsron,rnc.
OWNER'S ADDRESS:
2710
Market
streer CITY: wi lmrnqton
CONTRACTOR:
ADDRESS:
Dr4cG*s LICENSE
#:
2',t/o I CIrY: lu,l
a/.u D6
flr^-
EIVIAIL ADDRESS:
PROJECT CONTACT PER
7r-a lL
Exrsr coNsrRucrroN:
! ALTERATToN
tr *rJifi;:;li
lf Rolocation, is there a Natural Gas Line on the Current
Site?
E
applv)
GENERAL
REpArRs
l-l neloclrroru
E r.ro rs
eloc spRtN-xreneou
I ves
I uo
That
r'
Yes
NEi,I coNsTRucrroru:
! rnecr NEhl
srRUcruRE
! rlsr rnacr
! sner-r-
! uerrr
! ADD
To Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Permit #:
Is E1ect Power
on
this Building T YesEruo
:f**:r.* Is THIS A CHANGE
IF Yes, what was the previous Occupancy Type?
ARCH DESIGN PROFESSIOT.IAL:PH:NC REG #
ENGR DESIGN PROFESSIOTIAL:
John R. Andrew
DESCRIPTIoN OF WORK: Repairs
ro 4 lane poo
I area and adiacent wa11
ls fuod or bevEag€s prcpar€d or
s€n€d ln
this shraure?
fives
[ ruo h The property Locatad ln The Floodplain?
[ ves
[ ruo
DISCLAIMER: I hereby certify lhat all rntormalion rn
this application rs
correct and att work wilt comolv wilh theano.rocat taws ano ordtnances and regulalions. The NHC Development Services Center wlll be norin6a "t "nuor cnanoe In
contracror or conrracr.r 'nforfation. "'NorF Any wor( pertormed wo rhe Approp.iite eenni{sSubiect to Frnes Up To
$500.00"'
Slate Bui
cha
will
a
and allother applicable State
I'tc sra
nd soecifications
le Bldg Code andn
OWNEFYCONTRACTOR:Richar:d
L. Jones(YMCA CEO)SIGNATU
(O|r.llfloD(P.i.n Nsme)
Not€: D€mollton mdfcst ons & ssb€sbG rcrnovsl pomlt apgllcato.rs srs
b b€ subanit d lrslno th€ eppllcadon
iofln (DHHS-3768)
whot|er or hrlldlng was fuund
bcontaln Asb€Bhd or mt You alD Equir€d to call th€Nadonsl Embsloo
St'ndads foa Hszardo{rs Air pollutgnb(NESHAA at(919)10 days p.ior
b thedemolldon ol Erry
fudllty or bulHlng. S€€ Asb€sEs
TOTAL PROJECT
COST: $s0, ooo
TOTAL AREA SQ FT : 3
ht$/rlvfir.€d.sbte.nc.us/6pUasbosb6/shmp. hrm
BUILDING HEIGHT: 2
s feet (esr.
Web Sf!b:
SQ FT PER FLR:
TOTAL SQ FT UNDER ROOF:000# OF STRUCTURES:
300
# OF UNITS:
# OF STORIES: 2
# OF FLOORS:60.
SO FTEXISTING IMPERVIOUS AREA:
.....-SQFT
pRopERTy UsE:
[orrrce
! nesmunarvr lusnournle E eouc
! eet lcoNoo orHER: necreatron
WATER: ECFPUA
SEWER:
E CFPUA
ACRES DISTURBED:
--
NEW IMPERVIOUS AREA:
"'SEPARATE PERMITS REOUIRED FOR ELECT IVECH PLB
PAYMENTMETHOD: EcAsH fleecxpnvnalETo NHC)
EXST LAND DISTURBING PERMIT?
N YES
E NO
ECOMMUNI'" SYSTEM
DWELL I]ZONING USE CI.ASSIFICATION:tlcENrRArsEpfl cEp-RtvATEsEpfl
cE-corfi ijitilivsreu o&
I
G GAS EOUIP PREFABS & INSERTS *,
lnuenrcaNexeRESs EMc lsA Ioscoven
ZONE:_OFFtCER:
App.oval
:-crty:_DA
(FOR OFFTCE USE ONLY)
SETBACKS:
F: LH
RH: B:
REVTSED OATE
4.t1/t2
-
BFE+2ft=Avr--Comment
FLOOD:
-,r.<ii\
I
ffi
CITY:
witminqron Zlp..2l4a3
oF occuPANcY
user
Ives flro *****
What
is the Neu Occupancy Type?
PH: 910-202-5555 NC RE6
#: 4631
PERMITFEE:$_rcO_
#
NEt^l HANOVER COUNTY BUILDING PERMIT
APPL |CA|ION II'PE: COMT1ERCIAL
PLTAsE A}ISt"Ilq AL! QUTSTIONS APPLIT'BLT TO YOUS P8O]E'T
"Project ResponsibilitY'
}ol5-los l1
l5- 3oc" t
APPLICATION
ilunber
(off1.e Use)
APPLICANT'S I'IAI4E
DEVELOP€R I
PRO]ECT ADDRTSS:''- r.:,,: l'ra'CIIY: 7;,
t- rgr.n
OCCUPAIIT/BUSINESS NAME: r.:,
: : ::
PROPTRTY Ol.luER'S ilAflE: Y!,i. :,i ril:.rcr-r ,::,:
o|.J^IER'S
ADoRtSS: i":. l.dr,. - .'
PHONE {: 9:o-:3r-r{,:2
CITY: iir -::.: nc:c::ST: Nc ZIP: jgllf_
51rLt( 71P E"tr3
PH0NE *" 'z'1' '-:-t
' '''
PHO E #: i'a' ia/.'lz z2r
Z/'i'
LXCE SE f:
s7n1 L-;t6l;1fi7*-
PROIECT co TACY PEnSOil': :'.:/.:'
ADDRESS:
EIIAIL ADORESS:
EXIST COI'ISTEUCTION:
lf R€docadoo, is:here a Nalural
NFW CONSTRUCTION:
ACCESSORY S"TRUCTURE:
aLTERArror!
[nerovlrrol
Gas Line on the Current Srte? [
(Chr.l
All 'rh.t arply)
Yes
6ENERA!. REPAI*S
Xro rs BLDc spPI\ KLi
R E LOC AT I Ot'I
neot
f] ves I
EREcr NEr{ srRUcruRE
I rasr rmcx
f, surll
I urrrr ADD IO EXIST STRUCTURE
If I,PFIT
- The
SheU Pennrit #:
IF Yerr N/hat l{as
the previous occupancy Typel
Is Elect Power
on this Building YesEHoI
,'*r. rs rxls a cHANce oF occupAlrcy
us:r
fivrs
lJhat
i5 the Ner, Oacupan<y Type)
ARCH
D[S'GN PROFESSIOiUTL:PH
E[6n DEsIGN pRo'ESSIOiIAL: --..]. il. ;rr:r*
OESCRIPITON 0f UrORK: :..a::s ':.) :i Lnre: r-i llren 8.ii,ti:a.t)..i ---l
?Ht ,l))-2ii.-al'.'. NC REG t: tnll
ls food o( bevE8gjes preparsd or ssvsd h th& stutJctuld
I v"" E} ruo b The P.ep€rty tocated ln The Rooddain?
n Yes t No
DISCLAIITER: I he'iby
co't! lhst allrnformal o. in
liis applicaron ,s co|'ect aod allwork *rll complt sln rh5 Srat Su.ldirgCode and alr o$er spplcabt6 Std€
and16illaws 6nd a'dinanrcr arlo rooulalo.rs Ine NHC
Oev.l.r-€ S.a'c6 Centerw,llbe r'oifieo otanv cr'.anoes n'_e'aDo.ov€d otans and sD.cificarionr
or(h3oo€ m
clolractor o, ..o.r ailor 'hlori.rr.. "!O_f A.r l/rt Pe,umed !V,O lhe Apprrpnarc Pem;G wilt do h \r:iJr;- ot lhs ).lC Slats Bktg Codc and
Sub-ect]o F,rft Up 1o S5ilc 00 "
f?t Gd (Prht
x.tD)
,faa* O6tnd{o.l rdtctib.r' t -b6l(..gno{C p.rrilt arolldo,E ri b !. aamfr.d u.kE th..pr,56{on brm (0tll$-3768) wlrrtEr f! bdrlt c. fie r! hr.6 b
.o.lait Art..E or.E! Yqr &e,tqrJrd b cdl tlt Nstlqrl E nLlon Sb.isr& hr !{s.B!6ss Ak Poit rdr (iIESHAP) sr (9r91?C7-59S0 rt lGst I() fy. Fb b tr
(blnolltlon oa
r'lt hdly q hrldng. S€.
|.!6Ea tr/lD Sfa: liE-,rrrta ep1 !a!B rr :$/epL,r3h6srBrah6r
nnr
OWNEFI/CONTRACTOR: air, :,:.i :. ......:!:j (:):.i f;.'t S|GNATURE: _. - ....
" '. ',
TOTALPROJECT
COST ;.r),
i BUILDING HEIGHT: :. iaei r.:i
TOTALAREASQFT::-1t
"SO FT PER FLR:
TOTAL SQ FT UNDER ROOF: - ..l
ACRES DISTURBED:
6 OF STRUCTURES;
Exsr LAND
DrsruearNe peRt tr?
T]yes NO
NEW IMPERVIOUS
AREA:--SQ FT EX|ST|NG tMpERVtOUS AREA:
PROPERTY
US€: IOFFTCE DneSnUnAtr luencar+rrr-e
[eouc AP'I'
CONDO O-rHER ie.) lear i.ci
SO trT
u/ATER: @CFPUA
SEIIGR: plCFPtA
I-] COIIMUNITY SY1STEM TI WELL
ficevrner- senrrc
!i vlre seerrc
DzoNrNG usE ct AsstFEAnoN
nmrMUNnYSYSTEM
PAYMENT METHOD
f,usx f]cxecx (pAyABt-E
ro NHc) fleuenrmN exrnEss
f: irc /ts^
n orscoven
zoxe:O/J- Zorrrcrn;
(FOff OFFTCE USE
o|tLY)oalT: 411n2
,d,A.
City:ti h trA
SETBACKS: F
5
rLooo:
P€RMIT FEE: $
Appoval: OlL
6r\,sto
to(l
DATE;-
ZIP: :.1i ii
co TRACI0R:
NC R€6 *i _
# OF UNITS:
# OF STOFIES: :i
# OF FLOORS:
Itr
4r
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIaN rrPf; Coa'ttlE RCIAL
PLEAS€ ANS*IE ALL QUESTIONs APPLI'!8LE IO YOUR PRO]ECT
"Project Respon5ibility"
2ot )'f ostT
l(- ioG \
l-/
APPLICATION
Nunber
(offi(e Ure )
CITY: ,,;- I - '.1E.,:.ZIP::,i{,l
PRoPtRIY OWNER'S NA|IE: YvJ. i,,: iirl:r:i,-. .::,.
o'.JNER'S ADDRtS5:
i :a llirr.i L ,.1.
HONE #: .,-,.r -.'11 : t - /
SI: l;C ZIP:.-,:.i' i
51r 1-'7 712 2:\'t. 7
P
CITY: ,: -r,r o:o.:
CONTRACToR:
_, -
ADEnESS
I t '
L ICENS E * r
CITY: 1.,,a.;iLafll^
EIIAI L ADDRESS:.i P,.i]OtlE 4t ?... - ' .'
qHO],tE
*: .,'n:.ia
/ tt :) , IPROIEC.I CONTACT PERSON: . f :.
EXISl CONSTRUaTI0 :
lf Rolo€ation, is th.!'e a Natural
ALTtRATTo t-l ntltovarrol
Gas Line on rhe
Cirrenr Snez
f
((l{,r< All Ihat Apply)
GENERAI RE PA] &;RELOCATION
No lS BLDG
SF:I\KLa.:D?
I ves I No
NFw COI(S'rRUC T
roar : I enrCr NEt{ STRUCTURE
ACCESSORY STRUCTURE I
F'.ST TRACXSHELL
I uerrr
I am ro Exrsr srRUcruRE
If UPrIT
- The
Shell Pe.r': f:
'+'.i rs rHrs a cHAl.rGE
oF occupltcy usel Ives I
IF Yes,
lhat !,/as
the ,revious occupancy fype? _ _-_
_ hhat
is the fteH Occupancy Type?
_
ARCH
DISIGN PROFESSIoML: PH: NC itE6 *:
ENGR DE516N pRoTESSTo AL: --. I
: :i. .:-::i:,..;
llESCllIl--)N r,: I,ORK: :.,-i::, .l
,s food of bevB.ag,€6 propar€d
r sgv6d in lhi€
"f.'rauof I Yes I
No ls Thc Proporty LocaEd ln The Floody'ain?
[ YesNo
DISCIAIMER lhcmry cenl ha! 6U rnl'j.r,.t 4n in tijs-apptica0on is
conect and ! wo.k wlt compty wrth lh. Stale Burtdirlq Code and. oiher appticable $areand rlr'^ a-r nnJ. : d,1tl,equr-,..,. .eNdC DFva,.a-enr Se^/,ces C€nte, wttb€ notr,aO ol arv $anoes n t5;'aDorDred otans and ibecrtlcar,onsor.r"r,erconlracbrC",',1{.rrn,_. 'i r""'ia'i r
' , ,''1 + o.r. -ed W,O the Apfxop.ale Pelh is will dr i- \,
.- ;:otrhpNcS.a,eSfuOCo<l^ana
S,rr',. 'o fr-- .r S. .
OWNEFT/CONTPACTOR nT' : -
SIGNATURE:pr-r,1 (P'lll
N.n)
Noi.: Domdlb.r.&dnca$.r!
t 8b..b lrtlovC p..rn[ lrplh.don
ft b b. lnm[bd trkrg
tp .Egcsdoo lb{m (DH]E-3-r8E)
vh.'l r
n frdrt 6 bdLllg 16 rar'd
b
(Dda'n
Art .6. o. rE! Yos r'! ltqul,8d ro ca, tra Nslblal
E ts3lo. sartad! for H4lnhrs Ar PoerE r 06sii^P] a (919)707
ssso
!t r6t 10 diyr Fb b u.
domliton oa.Il, bdLy d
!old!f. S€o
Ar!68 tt'.! Snb: nrrJrrh rpt rla.6
r us/.rt/a\rrr!6,.hnF !,rn!
TOTAL PROJECT
COST: 5:i,: BUILDING HEIGHT::5 ic.r {e.i. *OFUNITS:
T OF STORIES: :
.ESEXSI LAND DISTURBiNG PERMIT?
EXISTING IMPERVIOUS AREA:
NO
SO ETNEW IMPERVIOUS AFiFAi SO FT
PROPERTY
USE:
flOrrrCeDnesreumr*r
lusncmrru rouc
I arr [mnoo
LJZONTNG USE Cr-ASSrFr
OTHER:.e.:r..ari.:n
CATION: , ,
[] coMMUNnr SYSTEM
w-'- !,/11/,!,2
l/
I
ZONE:
,.r!s to
n PERMIT FEE: $OO
APpLICANT'5 llAllE: :l:...j: ^: li:-i::r.;i.-l1, ::.j. DATE:_.__
DEVELoPER: PHONE s: _
PRoIECT ADDRFSS: " I' :{,': .:':.
OCCUpANI/,TBUSINESS
NAHE: rirt::. .-. :.':1.. l'
Is E1ect polrer on this EuildihB E] Yes E ,ro
m:3)t -2i!-."' NC REG tr I;:j:
TOTAL AREA SO FT ),:r:" SQFTPERFLR:
TOTAL SQ FI UNOER ROOF: -: :: #OF STRUCTURES:# OF FLOORS:
ACRES DISTURBED:
_
wAl-ER ECFPUA
f] CoMMUNITY SY1STEM T-.]WELL
sEwFR
A cFpuA
I crr.nnel
ssnrc [ ] pR-MATE sEpTtc
PAYMENT METHOD; F-CASN fIOTECK (PAYABI.E TO
NHC) NAMERICAN O(PRESS
C MCNISA
fI OISCOVTN
SETBACKS:
pols-)o s ll
f -)enlRECEIVEDOCT2s2Ol5
NEW HANOVER COUNTY
BUILDING PERMIT
AP P L IC aT I0 nzpEr Co{iltilERCIAl
PLIAST
AN5"R AII. QUISITO$ APPLI(A8L€ TO YOUi PNO]€CI
"projcct Responrlbillty,,
APPLICAIJT,S AXI I
OEVELOPER:
'Do'ztb.o,/r''
APPLICATIOT{
l,luftbe.
(offrc. Ur.)
,*/,2/tsr't -('
DATE
PHONE f:
PRO]ECT ADORESSI
vk.lY t
<6,1 Crry:at'
I^1,'1 0
^)
zrPt ZCL)
//
OCCUPAIJT,/BUSIIIE55 t,/ATE ;
PtrOPERTY OI.'NEI,S MIiIE:
O1,lNE R'S ADORESST f(" 9/,r.: U
COI'ITRACTOR:'t
ADDRESS:0
ETI TL ADORESS:
PRO]gCT COTTACT PERSO',II
'7 rvt c1.t' c-1
CITYr
4 zc LL<
I
ClfYi ,//L
ptmt
*9/e')/z zl 7(*.[fri@or
sr : A,tCz.p,z*'q
/t
PHoNE
4i z? t /) rr'ztt.-4 t I
PHoNE
*: r?/a La.1c z
,5-
Exrs' coNsrRuc'ror,
$ ar.rennrror E rr,Jifiil;li 'Eifi'r*^. nrrarns
! RErocArr!ry
Rotocaton, is rhere6 N6t/ralGBs Line on thecurrenl Sire? [JYes l_J No tS BLDG SPRTNKLEREDf ffiVe" fllto
IEH co'sr*ucrrol:
I rnecr Hrw srRucrunE
f]rrsr rnlcx
I sr:r.r
I unrrr
! fi,D To
rxrsr srRUcTUiE
ACCISSoRY STRUCTUnE I
Pou€r on
thls Building E yes E llO
vts l '1ru0
.,,..
t5 thb tlgr Oc.up.ncy Type?
-@
P* Ztc //:
24 L / lc R.c
ut
/ *i)
PHt:iL1)7!//
9.,tL c REG Bt zt .<d
If UPFIT
- The Shell Pernit S: Is Elect
'.,.. ,s THrs A CXAIGE OF OCCUmICV USe?
[l
IF Y€s, shat uai the Previous o.cupancy Typ€l
_ lfiat
AiCH DESI6N PROTESSIC''JAI :
Et/68 O€SIGN PROFISSIOiIAL:
,KItLttl,lr
F)l\v, r>
ACRES DISTURBED:-
NEW IMPERVIOUS AREA:-SQ FT
Nors: Olmollt on .oofiallotu t ttb.stoi rtnoval potmll appllctlhtu tro lo Da
3ltntad usln! rh!
.rplt.s{on l(fm {DHH3 3760} yrlloar tia
codsln tub.nos or not. Yo! .r! r.qurrs! lo
clll qr N8ion l Enrlsllon S1.nd.rdr lor 11€2..6!6
Al Polr![nr. (N€SHAP) n {stejlOz.sgso a
d€rn ftlon ol.ny Ldliy or t Bhg. Sso Albrsor Wab Sh€: hnpr/$,1r.,v.6pr.n!re.nc.uy€ry.!b.ato6/ahrnp.hrht
hcll[y or boitdh! qrrs
loo to
Ir.5r I0 dats ,io, to tha
rorAL PRoJEcr cos1.
,/,:7Co BUILDING HEIGHT:
Z=z# OF
UN|TST
/
TOTfu AREA SQ FT 5? a-t)SQ Fr PER
FtR; /# 0F
STORTES:
/
TOTAL SO FT UNDER ROOF:
_ , OF
STRUCTURES; # OFFLOORST
EXST LAND DISTURBING PER
EXISTING IMPERVIOUS AREA:
al ollrr apdlc;b,e SlaG
Dlans Bnd soecirlcalo^r
NC Sl6rP Eldq Code ard
Mtr?EYEs E No
SQ FT
3!EUl E 8:il+iXt
HIL&
ff *,E "'c trB'Mo';ljxfi
ysE cLrss
rrcmo
r' --_--_-
'. SEPAMTE PEAMIlS BEOL'IRED rOR EIECT,MECH, PL8G. GAS EOUIF, PR€FA8S E INSERIS
-.
rHoD: EcAsH flcnecx leaveau ro Nncl flauearceN ExpREss Iucrulse Iorscoven...-*-**.-
zoxe:-fiff-orrtcen:
(FOR OFFTCE
SETBAC
['&i{9IM,',#
pRopERTyusE: DoFFtcE finesrauuur puenceNrrc fieouc
flnnr f]mNOo Orxen,
WATER:
SEWER:
F
PAYMENT ME
Approval:_
Comment
PERMIT FEE: S
l,e{urc
ap
6h
C,l,1l
oo
0n,9t0.15d.0t&;
SEVISEo
0 II {lvt2
LICEISE $:
OTSCRIpTION Or vfinx: ,(/fa- c,-,,t,ii, i.t., <ta, t ft, ,tt,
t.v ,t < t-ru.,\-
ls lood or beversgss p.Bprrod or sorved io this sltucture? LlYes
LlNo ls The Property Locstod ln'llre Floodptaintflyes
Illo
!,,
NEW HANOVER COUNTY
BUILDING
APPLICATIo rvpE: COlrliilE
RCIA L
<8 .crw:
f -7qn1
DATE
,B/L2//s
z7?:
49 /./L
t,
CtTYi J[/Lrn r r )/,t
LICENSE *:lu q
crw:
PERHTT
gols-los t/
PLEASE Ar'lSr,lER
atl QUESTIOIs AppLICABt
E TO YOUX pRO]Ecr
'ProJect Responsibility,,
APPLICAIT'T'S iTAI{E :
ATDtotbr^O'L,
DEVELOPER:
PROJECT ADDRESS:
PHONE
#:
OCCUPAT'IT/EUSINESS t,IA E:
PROPERW O NER'S AME:
k zc t-L<Cn
O}'INER,5 ADDRESS:,,.)
4-
ptane
*9/c 26L zi l(*ft-i-r*-, 0{
*i/'/Qw,z*-q/r
PHONE
*: € rb r.Z-o o;<15..
PHO
E
*: (l/n<-Z-eoz iS-
CONTRACTOR:
ADDRESS:
.^.1t'vl
E AIL ADDRESS:
PROJECT CONTACT PERSON:
.r.
;f"'JJ:::lHI"':x:#,::rnxl#.::,H;"fl jiE#-sr.*:,H-[iTj,HvesrNo
ilEr{ coNsrRucrror{:
! enecr ilEhr
srRUcluRE
fl msr rnacr
f] sxelr_
! unrrr
f] ., ,o
,*r1 srRUcruRE
ACCESSORY STRUCIURE:
If UPFIT
- The
Shell Permit
*:
1**I' JS THIS A CHA{GE OF OC
IF Yes, uhat Has
th€ Preyious Occupancy T)pel
ARCH DESIGN PRoFESSIOIIALT
ENGR DESIG PROFESSId{AI-;
A ulil.t)r
IsE
CUPAiICY U5
lect pouer on
this Buitding E yes E ro
rr
flws S o.***.
lltat Ls the ltler Oc(upancy Type?-k
PH
PH
f,to 7/24L/ nc REG
*t 4
7/r74t 9oiL Nc REG
r:'7r <
e-
2
all olher appllcabte State
Plans and sdecificatiorls
NC State Bldg Code and
Note: Demofidm notifc.llona & rstEsios r.rnoval FEmtt appllcdtons sre to be
subftflbd ushg th€ sppllcsUon tofrfl (DHHs.tr 6$ wh.dEr rh.
.onl€ln Asbestos or not. You a.e requl.rd !o cef $e Naion3l Em6.ion S1€ndards tor Hsz.rdour
& Fo
da s (NeSiUpf
aiiieijoil-&T
demoltion of any ftdllty or buirdrn!. see Asb€itos whb sr€r hrpr/i#!,v.opr.sh!9.nc.us/epyalbestoci/ahrhp.html
(ourlifi.4
,rt - -ToTAL PROJECT COSI: ,67CTZZ)BUILDING HEIGHT:22_
TOTAL AREA SQ FT: 57 <-O SQ FT PER FLR:
TOTAL SO FT UNDER ROOF
:_ # OF STRUCTURES;
ACRES DISTURBED:
-
NEW IMPERVIOUS AREA:SQ FT
EXS-r
IAND DTSTURATNC psniitrT? I::lyes
fl uo
EXISTING IMPERVIOUS AREA
# OF UNITS:
#0FSTOR|ES:
/
# OF FLOORS:
tacllny or hJaldlng was found
lo
leasi
l0 deys prior to the
SO FT
PROPERry USE: EOFFICE ElResraunerur pnencelrr-e EDUC
ner flcoloo OTHER:
WATER:
SEWER:
F
CFPUA
trE COMMUNITY SYSTEM
CENTML SEPTIC
PR|VATEsEpTtc
flEf wErr EJzoNtNG USE ClAssrFtcATroN:
COMMUNIry S\GTEMCFPUA
tr,, SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS 8 INSERTS *.
PAYMENT METHOD:
ICnSU flOrecxpevlalE ro NHC) fleUrnrcnr,r o<eREss E MCn/tsAIorscoven
(FOR OFFTCE USE ONLY)ZONE:_OFFICER:_ SEIBACKS: F
RE\/EED DAIE
fifi2LH: RH: E.Appo\rel: City: DATE: FLOOD:
-
BFE+2ft=
Comment:
N
PERMIT FEE: $t0
mpridii6r
Nunber
(offtc. Us!)
DESCRIPTION OF I{ORK:
1/'k,^ e.x,tl i-"t <a..-, .l'.- ^,,n.n-, **-
ls food or beverages prcpared or served in this srruaure?
f]ver
I uo tr ttre prop"nry Locaoo
tnn" noodploin?
E yes EtNo
NEr{ HAM),ER couNrft8fi'JfBffff $ffi{rt
pa
APPLICATT(N n/PE: COiI,'IE RC IAL
PLEASE Ar{St ER ALL QUESTTOXS APPLTCAELE TO YoUR pROllCT
"Project ResponslbilitF lV
t5- l o;t o
/S- 3osfi
do,
4tq
APPLICATIOil
Number
(OFfice Use)
APPLICANT'S llAllE: Hunt-Price Inc DATE:10-28-2015
DEVELOPER:PHOl,lE #: 97a-1 9r-'t 434
CITY: wi lminqton ZIP | 2e4a)
OCCUPA T/BUSINESS t{A}tE 3 New Hanover Reqional Medical center 1).uo,< tz F tA- /,.Q'1s Rartr*-
PROPERTY Ot{iIER' S l\lAr{E: New Hanover Reqional Medical center PHOi{E *: 343-7000
ollNER'S ADDRESS: 2131 s. llrh srCITY: wi lmington
CONTRACTOR: Hunt-Price rnc LICENSE #: 436s7
ADDRESS: 118 sebrell Ave
CITY: wi lminqton
E}IAIL ADDRESS: huntpriceGec. rr. comPHO
E #: 910-791-7434
PROJECT COIiITACT PERSOiI: wes Piice PHO E S:9ra-262'3412
If UPFIT
- The she1l Permit *:
:..*:i** rs rHrs A cHAr{GE oF occupAxcy usrr
lvrs I
Is Elect PoHer on this Building
I YesEruo
NC RE6 #:
NC REG #:
ARCH DESIGN PROFESSIOiUTL:
EI{GR DESIGI{ PROFESSIOiIAL:
PH
PH
DESCRIPTION OF l.lORK: replace ceiling, paltitions , ceraftic tile, and sink vanj.ty
ls food or b€\,ragE prspdsd q ssvsd h U$ *r.rtre? lves T
No b The Prropdty
l-ocabd ln Tho FbodCain?
E Yes I No
DlSCLAlMm: I hereby cenify that all info.malion in this applirifl is corr€ct and all tvo.* will corndy wilh f|e Stale Bu ding Code and all otfEr applicable State
and local laws and ordinances and requlations. The NHC Oeveloo.ner Services C€nler will b€ notifi€d of anv chanoes in tha aoDroved Dlans and a.iecificatjons
or chanoe in
csrt!_etor or contractor i-nformation. -NOTE Any WoIk Perfonn€d w/O llE Appropriate Pemils will E in Vi{ratioi of lhe NC Slate Bldg Code and
Subieclio Fines Up To
$500.00..
OWNEFYCONTRACTOR:Wes PriceSIGNATURE: la,'<.-,
J7* -(oudlLr) (P rrN!It|.)
coitoin As5€8ba o. mt You 6is roqulrEd b cdl lhe tlaliorlal E nb.lon
$6 ffi br lh.ado.E Ar Pdlut nts (NES}IAP) at (919)707.5S50 €t test 10 day! rdor to t|o
d€riolEoo of eny ibcfllty or bljldim. S€€
A.b6b. Wbb Slto:
TOTAL PROJECT
COST: t2,ooo.oo BUILDING HEIGHT:
SQ FT PER FLR:
# OF UNITS:
TOTAL AREA SQ
f OF STORIES:
# OF FLOORS:
J TOTAL SQ FT UNDER ROOF:
-
# OF STRUCTURES:
=,
dt NEW IMPERVIOUS AREA:
ACRES DISTURBED:
Exsr I-AND DlsrunarNc peRM[z l_l ves
f] Ho
SQ FT EXISTING IMPERVIOUS AREA:SQ FT
..:'pnopenwusE: floFFtcE Enesreunrurr
luencnrnr-e
leouc
[aer lcotloo orHER: r . - .
FT: 120
-::wArER: AICFPUA fICoMMUNIYSYSTEM
EWELL flzONtNGUsEcrASStFtcATlON:5 sEWER: E:ICFPUA ECENTMLSEPflC fIPRwATESEPT|C ECOMMUNTTYS\4STEM
6
QpavuerrmenroD: flcAsH Ecxeo<eevreEroNHc) lnmenmrexnness
ftucrusr f]oscoven'q @.............................................-.........r..
(FOR OFFTCE
USE
SETBACKS:
ONL\C
F:IVA LH
B'l]t--
N
BFE+2ft=
l/
o
FLOOD:
A
CLI\PERMIT
REMSED DAIE {1 V12
I-c/
PROJECT ADDRESS: 2131 S. 17Ih SL
ST: NC ZIP:28402
ST: NC ZIP: 28403
(check Al1 Ih.t Apply)
Exrsr co{sTRlrcTroil:
I ALTERATT0{ @ nerorrrrol ! eereml neeuns
I RELocATroir
ll
RelocaiiIl. is there a NaturalGas Line on ttre Cunent
Siteu
[ves flruo tS arDG spRlNxLeneou
[lv"r [ruo
NEr{ CO{STRrrcTrOr:
! eneCr r{Er STRUCTURE
I rrcr rmCr
I Snrr-r.
! Unrrr
! aDD ro Exrsr srRUcruRE
ACCESSORY STRUCTURE: Improvements to existing mens restroom
IFYes,xhat}rasthePreviousoccupanCyType?-lfiatistheNetoccupanGyTyp€?-
ffi
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI$I TYPE: RESIDENTIAL
PLEASE AIISIJER ALL qJESTIOI{5 APPLICABLE TO YOUR PRO]ECT
-Project Responsibilit]/'
ol-d school Rebuilders, LLc
CITY. wilmington
BLOCK #:
CITy. wilmington
COi{TRACTOR: old school Rebuilders, LLc LJCENSE #. 59393
ADORESS: 2110 Metts Avenue CITy. wilmington
EIIAIL ADDRESS: cjcT€mac.com
r,S-lotaY
if tus:L
APPLICATIOI{
Number
(Office Use)
APPLICANT'S IU$IE:
DEVELOPER:
DATE: 10/ ts / 1s
mOJECT ADORESS. 340 Azalea Dlive
SUBDMSIOTI: Land's End
mOpERTy Ctd{ER,S |{AfiE: Janus, Laurie and Lal'laskin. Todd
U{NER,S ADDRESS. 340 Azalea Drive
suNRoot'l
_ sF
GREEIIHOUSE SF
tr
POoL
_ SF
DECK SF
! sroneee sHeo
OTHER:
PHO
E #:
ZI.p. 2Aao9
LOT #:
p11111gE
*: 541. s17.8483
sr: Ie zrP: 2jjjl
sr: 19 zrP: 28403
PHq'{E f: 91022I6531
pHO E #: 970224653t
/!\/a2
PROIECT COi{TACT PERSO\I. christopher yelmal
EXISTIiIG CO{STRUCTION :ALTE RATION
n nerovarror Ierurnal neearns
! RELocATToN
NEri CoI{sTRrcTIo,r:
I enecr EN REsrDEr{cE
o" 17 aoorrrol To ExrsTrt{G RESIDET{CE
*,.PLEASE CHECK AiIO AIISh'ER BELO{ ALL THAT APPLY TO YOI,R PRO]ECT:
larr ernaer
-
sF l-l oer canaer
_ sF pORCH 300 SF
SF
5F
TOTAL HEATED
SQ FT:
_ TOTAL SQ FT UNDER ROOF'
_
TOTAL PROIECT COST lress roe . $ 2t,7e2 * OF STORIES: 1
TOTAL AREA SQ FT3 3oo
Is Any ELECTRICAL, PLUIBITrc or iIECHA
ICAL Wonk Eeing Done
to the
If the project
is a Relocation,
is there a Natural Gas Li
Is there Electrical Power
on this Building?QV"r @ro
pRopERw usE
/ occupA cv: psrruelr rar'rr r-v
! ouelrx
! rolwrouse
DESCRIPTIOiI OF HoRK: Construct 300 s.f. screeD porch
at back
of existi
OCI Z s zors
O(SO.AER lhereby
cenit fiat 6ll intmatjon in his 4,flkaton b conect and dt work yril
and ordinances and regulatjons, The NHC De\€bpment Services Cenbrwil be notfied of an
contebr inbrmalon_ '_I{OTE: Any Work Perbrmed w/O tre AppropriaC pemals wil be in
OiSIER/CO{TRACTOR
3 christopher Yermar SICiIIATURE :
+ + ***** )t+
I + *,r** ++ *r,*** *+++
a*** *+* al,t,*:t,i:t*,t,t,t *,r +* *,t* *:* + +:t **,t *:t:t,t** ** ***:t *,a* **** *+,t* ** **:t*
I5 THE PROPERTY LOCATED
II{ A FLO@PLAITTT
Q VES
EXISTII{G II,IPERVIq,S AREA:
-
sQ FT
NEU r pERVroJs AREA. 3oo sQ FT
@ rc f-se.--
Exrsr LAI|D DISTURBTNG pERrur: ICI ves lfTl r,ro
CgfiUNIry SYSTEI.lPRIVATE WELLCENTRAL WE LLl'lATER:
SEHER:
CFPUA
CF
PUA
! cenrur srerrc
f] pRrvArE sEprrc
I coum.wrw svsrrn
I.{.* SEPARATE PER'III5 REq,IRED FOR ELECT, IIECH, PLBG, GAS EQUIP, PREFABS
& II{SERTS T+*
PAYi,iEI{T
}IETHq):
Ocosx
0 CHECK (PAYABLE TO r{t{C)
0 AIIERICAI{ EXPRESS
IIC,/vISAQt orscwen
ct)*++* *,r:t t,i ,t ,t :i :! :t
* *,i*:i + {(*,*,*:f ji jt***:}*:* * )t,t:t
**** **** *+*
No
Sit
comply wi{'r fie StaE Bui5ing Code and atl oher
y changes in the appro\.ed plans and specificatons orin
@ntracbr or
Vblalbn of the NC StaE BlCo Code ald Subje\ct
b Fines To
0G-
TOTAL ACRES DISTURBED:
Accessory StnuFtq:e
ne on
the Cunlent.Qm
)*+ + +,* + :l :*:t * * *:t :i ,+
*)* ** j* j*:**
rn>ef b^ar-lEvr sED DA'F tur
Aoorcval. :aitv:
*"(l o -arr c r. ar
'irrr''o.1
,*:*
*:t + * * t :*:t,t ,t
** ,r
*,*,. SfttiuntL
,il/A '-r,JO *
Z-orv-{
#trR-
(foR oFFtcE USE O\t
ZONE:OFFICER:
€-r-rn SETEACKS: F
TE)g t12F
LMO:
H,
[0' e: &5'
D BFE+Zfl=/urbLt,'r€4 *?t1"dr--
i060-r9z-0r6'ooJtnb€U uolicodsq
Lri
t
NEI,'J HANOVER COUNTY
BUILDING PERMIT
APP LrcA'I ON
IYPE., RESIDENTIAL
P{.EASE
AII5IIE* At]. qJESIIOIJS APPTTCASLE TO YOUR PNO]ECI
"Project Responsibllity,,
0o/rlo;o1
l5- 3o{
APPLICAIION
Number
(0
rfl(e u5e)
ox* pl^f rtAPPLICANI'S NAI,IE:
fi"'ll.r I
LlL-
CITY I
Ptnttg
*: trz-ltiEi
21P t ZltllL
LOT #;IE
PBONE
ttt wz"&o(
ST: [lC ZIp,: 2.8Ytl
PROJECT ADDN FsS:
SUBDIVISION: -llt Fti(*
C.
PROPERTY OI,JNER'S NAI.IE:
OIINER'S A0DRESS: tltr1 O
corurnacron, -Jiistt
ADDRESS: Iirl uJq
EI4AIL AODRESS:
ATT GARAGE
PROPERry USE
/ OCCUPANCY:
DESCIl]pTIoN 0F troR(:
LICENS
CITYi
bt*'Js"o.)
I 6
BLOCK
Ii
1{511
ITY:
J E 1t:
PNO]ECT CONTACT PTRSON:
aa Pttour *, 792'7,894
EXISTTNG CoNSTRUCTToTJ:
fl alrrnnrrOru
[nm,rovnrroii-[cENERAL
REpArns
I nerocarrolr
NEI.' CONSTI]UCTION:ERECT
NEll RESIDENCE or
I aoorrrolr
ro ExrsTrNG REsTDENCE
ASE CIIECI(AND ANSIIER 8Etoll
ILL TIIAT APpLY
T0 YoUR pRolECTr
fu sr I orr caariel
-
sF gdoncn tlltr
sr
fit JlczrP | ?tqll
PH9NE ,1.; '-/trL.tuL
f] sronace sHED
.- sF
O}HER:
TOTAL HEATED SQ FT:1.x87 TorAL sQ FT UNDER
RooF:
3r4.b$ ToTAL AREA
se Fr t!51, t{4f,1,
ToTAL PROIECT Co5T(ressloi) z
I /-3tOoa ,l oF STSRIES;
fi
Is Any ELECTnICAT, PLUflBING or ,.lEC lNrcAt ltork Being Done to the Accessory
Structure,
I Ves
f] no
If the project i.s a Relocation, is there a
fs there ELectnicaL Power on
this Buildingi
I srrclr rarlrlv
Nat u
ral 6as Li
Yes
f-l No
ne on
the cument
site?
[ vcs I lro
l,{
lro
DUPLEX'T^n TOI{NHOUSE
DISCI Ii ER: I hereby c€ lt ri at
at hbonstbr h rlls srplcstun ls conecl and dt y?&k wflt
and ordin;na€a ard rogulalbos. Tho NilC Develcpmen I S€&tce s CeIiEr $il] ba ncit€d ofar
conlacbr lnbrmafon. _'NOTE:Anylvork pedorrne., t#O trs Apnrog,tab perrilits viI bs
h
complyt?lh rm Stalo 8utli,no Cod€
$d at oh6r appltcabto St€lr 6nd locollatvs
ychantas ln 0)€ epp{oved p;dns and sp6cltba ons
ofchanooh cnn[acbr or
Vlolarhn
ol$s NC Srar.
lid and subjacl lo Ftn€s up io J500.00".
SIGNAIIJRE:
,!***t*:t)t +,a:r
** ** +++* **.+
*!*t *+:l+* +*+ $ +***++* ** t * j**,r:f ,t,t
YES
fl ro
ToTAL ACRES
DISTURBEo:
0,Og
sQ
FT ExrsT |-AND DTSTURBTNG
lennrT; f] yrs NO
ot4JNER/coNTRAcToR:
arrs?
B",l[rr trl*
**+**+*+++**+
**************(if
ll,l'i'il**
IS THE PROPERTY LOCATED
IN A FLOOOPTAINT
EXIST]N6 $IPERVIOUS AREA: .-- SQ
FI
I,,ATER:
SEI,IER:
NEI{ TT|PERVIOUS AREA:5
I comtururw
svsrrm
I cnrvlrr wrlr.
f] cENTRAL r{ELt_I cetrnar
srnrrc
f] pttrv,srE srprrc
I cour"rutrw svstrr,r
,+, SEPA^ATE PE,q,I.IITS REQUIRED FOR EI.ECT, I,IECH, PLBG, 6A5 EQUIP, PREFAES
& JNSERTS II*
payr.t€Nr dETHoo:
I cnsr
I crecx (payABrE To
,ur) f] o^.rr*,
,r;;;, -E;;rr"o'"'- g rrr.orrn'r****** '**'t1',l**:l+*:l)3:r****:***+* *
t,r * 't + ji;l *:*:f + * * jt:i* )r
**++,it *jl *t:r*+* **,trtt )rt I +,r*+,t, ** *,*:i:t,t* *,1,*,.nzowt'Wl1 orrrcn,
Approval:-- Clty
Coflment:
(foR oFFICE UsE OIt
ScTBACKS: F:,-U!L OATE:
ri Ftooo:
'b- rr's.s' 0,,' i-t{a:54.,1
REVISaO OATE
o4ltl/12
'....' l rolJE,:r,tlul I
n0(jtr:rw, / r
U.
r.yr.e 7 gr,
DEVELOPER:
I surncom
_sF I eoor
_ sr
l] eRernrnousr
_ sr ! orcr -*.- sr
!*"
Cooun
p=-trput,
V BFE+2ft=
Hrrr,rjqgS
'?)(51011tl
PRoIECT ADDnESS
i 2
SUBDIVISI0N I
PRoPERTY 0l!).1[RrS NAIIE r
Ol,lN[[r
5 ADDRESs: l16
CONTNACTON:r{,
ADDRESS: (
5UNR00I1
.-'_
--_ Sr:
GNEENHOUSE
--
5F
NEl,iJ HANOVER COUNTY
BUILDING PERMIT
APPLICATION
IYPEI R EsIDENTTAL
PLEASE AllSuEt
AtL QUESTIOXS APPIIC^8LE TO YOUR PRO]ECT
rProject Responsibility,,
15 - 3o*{
APPLTCATIOII
Number
(0ff1.e Ure)
APPLICANTJS I.JAfiE;
l,sst,,ldo
ClTY:
BLoC( r,
crrY; - U{a..rq t$
DATE
r lO L\
PtioNE *r
zrp I g3&
LoT
#: 1"1
prnye
*: /,56-111i
sIt LLzrPt ?.kttc6
sT: Nc-
zIP: Aq:{
PltoNE $t -fN? -230{,
RELOCATION
SF
di.r.
al(:
ld
-,..1LICENSE ll: l), llcrry: l.rl.]-.-'._..-
l^'
ixrsrrr,rc coNsTRUcrroN:
! lLrrn,rrrorl
I nrrovr,rror.! errenal
nrlnrns
!
NEI.' CONSTRUCTION:ERECT NEll RESIDEIVCE or ADDIIION TO EXISTING RESIDENCE
}*PL[ASE CIIEC( ANO ANSI{TR BILOI,I
ALL TIIAT APPLY TO YOUR PRO]ECT;
ATT 6ANA6E
{^^l<tv SF LJ DET GARAGE
_ SF PORCH a15 sr
P00L
_ sF
DECK ---
f] sronacr sHEo
_ sF
5F OTHER:
T0IAL HEATED sQFtzZ,Sc* TorAL sQ FT UNDER aoor,3,L?l roTAt AREA sq rrz & 315t1 lW
TOTAL PROIECT CO5T (LBssLor)
: $ Na,eoo
'l OF
STORIES: 1,,
Is Any ELECTRICAI, PLUl,lBIilG or IIECIIANICAL l,,ork Eelng Done to the Accessory
Structurel fi Ves I lo
If the pnoject
is a Relocation, is there a tlatural Gas t.ine on
the current
Sitel IVes ff to
Is there Electrical Power on thls gullding? ff Yes l,Jo
PROPERTY UsE
,/ OCCUPANCY:
DESCRTPTIoN OF l,,oRK:
SIN6LE FAI,IILY
g',1,1
,/
DUPLEX
!.vr.
TOI,]NHOU5 E
DISCLAIMERi Iherebyconlly fial rll
nnd
ordhan.Er and regulruons.
Th.
conrracbr or trnnadon. "'NOTE: An,l
O14NER/CONTRACTOR:5l-{da (;.i
il,r\ DATI: \d
hb.maUon h l,\ls atpllcalicn ls co,recl and aI N6{k Mllcomp,yrrltji
hs Srale
Bd,h'n! CoJs alrt alrog?r 6p! cabte St6t6 and toca] laws
NilC Oor€lopmaol Se tul.e s Csnlsa
wlll& ,odfed ot.nycirangss l0 Uo approlerj pbts alC $scirrcarnns or ch.nito ln conracloror
Appropda'o Pe,mllsy/il b6 h Vblatton ot rlrts NC Stahr 0d r io fnriis up To
t500.0(f''
****,r** **:f * r
1* *
+** * *** * * * *
Jll'Ii,l,l'il
rs rHE pRopERTy rocATED rN A FLooDprArN?
f] yEs
EXISTING II.IP IRVIOUS AREA:
NEI.I II,IPERVIOUS ANEA:,lrq
SQ FT
SQ FT
SIGNAIUIT :
**********+*+ **+t
t*** +** x*t**t++ ++*
*+** 1*
NO
ToTAt AcREs p151ggsgg. o.oB
EXIST LAND DISTURBING PER}IIT:
YEs L-llr No
i,, TER:
SEI.JER I
f colr,rururw
svsrrm
I pRrvATE l,JElt
f]
I crtrnal secrrc
I Rnrvnre
srrrrc
I
0rfIcEn:ZONE:
Approval:-.-- City:
CFPUA
CFPUA
CENTRAL t.lELL
COI,1T1UN
ITY SYSTEI.I
*** SEPARATi PERI,)ITs REQIJIREO FOR ELECT, I.IECH, PLB6, 645 EQUIP, PRETABS
& INSERIS TJ*
pAy ENT nErHoDr
I clsu
f] orecr (PAYABLE
ro
Hrc;
l] o,,rnrcaN
,xorers fJ rclrrsr fl orscovun** *:,t* 'l * * *+:, *,1*+ * * *** t *r**** * i+*,c * **,t * ** * ++* *:t + ++ *+ * **:t +++ +*.t *+*** ** 4
* * *:f :i
t;t,t ,f :t, + * *)tt **
_1,.2.z)(toR orttaE 05E oltL
SETBACKS: F:
Yl [6vX' Ls,lk- w:5.1 a:g.r1
! orerzrtA v l7Y
Au{
Comment:
t< qLOOD:
PERI'IIT FEE: $
tsto lAfa 04/ 1Ll 12
DEVEL0PI:lt:
El.lAIL ADDR!55 r
PROJECT CONTACT PIRSO :-lt - -- /
PHONE tl:, i0t l\ot2
tr
RECEIVED OCI2S 2OI5QolS-
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION
IYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIOI,IS APPLICABLE IO YOUR PRO]ECT
"Project Res pons
ibil ity"
/1<' <Y"
f.r.*t+t e
D1q g
drl3
ffi
CONTRACTO
ADDRESS:
EMAIL AOO
APPLICATION
Number
(offic e use)
APPLICANTJ
5 NAI1E:
t-
PROIECT ADDRESS:
6 o
SUBDIVISION:
E
C-r €^
PROPERTY OI^'NER, S
OWNERJS ADDRESS:
(^'. < y. l-(a.^e
DATo
-)a-
.€PHONE #:
TY: U)/4-ztP;
Af,l/2/-<-
0,\
C ITY:
LICENSE S:
CTTY:
BLOCK #:
r*e
LOT S:
PHONE S:
3i 3-J3)/
sr,NLzrp,28qo3
5F
SF
:ACCOUNT
*:
1o-..v,S!zrp'@o b
R:
RESS:
frd tL . cc,rut
?/a -277- 3/3?
Lo <\^(a-<
L
PHONE S:
PHONE
S:
52\ - 3''J2
GENERAL REPAI RS
! nr locnrroru
ERECT NEW RESfDENCE
or ADDITION TO EXISTIN6 RESIDENCE
**PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
trArr GARAGE 4{C sr
suNRooM
_sF
GREENHOUSE SF
! oe r cnuce sr
fi eon+i ,f 12- sr
No
El ,o
Is there Electrical Power on this Building?
PROpERTY USE
/ OCCUPANCY'
ffi SrUCrr rlNrrv
Iv"t ffiruo
conlraclor in lo rmalo. "'NOTE AnyWork rcp.iare P€rmits wlllbe in Vlolation of the NC Slate 8td
r chanqe rn
contraclor or
ines Up To $500.00"'
fo=^+L.,-PROIECT CONTACT PERSON r
EXISTING CONSTRUCTION :A LIERATION R ENOVATION
NEl.^l CONSTRUCTION:
E
POOL
DECK
SF
STORAGE SHED
TOTAL HEATED SQ FT:TOTAL
5Q FT UNDER ROOFI3
FOy' TOTAL AREA
SQ FT: ,?!E'OO
ToTAL PRol ECT CoST rress roo : $ 2a6/ oo.)# OF
STORIES: /
Is Any ELECTRICAL, PLUI4BING or T1ECHANICAL work Being Done to the Accessory Structure?
E V"t E
If the project is a Relocation,
is there a Natural Gas
Line on the Curnent
Site? [ Ves
2ioc
SF OTHER
DESCRIPTION OF I.]ORK:
,2cto
/ve
and o.dinances and requlations The NHC De
willbe notilled of any changes in
he approved plans and
-O,OWNER/CONTRACTOR:
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
EXISTING ITIPERVIOUS AREAI /2 fAT 9Q F7
NEW
rMPERVrous AREAT
lF*? se FT
y' SIGNATURE:
+*+***+*+***+++ii*+.rt*+++)t++*****+,i****,*****,t******,***,i*******
Kruo
TOTAL ACRES
DISTURBED:
, Z 6
EXIST LAND DISTURBING
PERMIT: F y65
,f,f
**,* * * * + *,r * * * * *,**,f *,** * ** *
YES
NO
ZONE:OFFICER:
(FoR OFFTCE UsE
Or{Ly) REVISED OAIE O4l11/12
SETBAC(S:
F:_ LH:_ RH:_ B:
BFE+2ft=Approval;_ City:_ DATE:_ FLOOD:
_
AVN
PERMIT
FEE: $
CL,;.
Comment;
DEVELOPER:
7flt q
t''i t
DUPLEX
! rowruuousr
wATER:
! creul
[f cot4tluNrry
svsrrm
! pRrvATE wELL
! cerurRar
well
sEwen: ffi creua
fl cENTRAL
sEprrc
I cnrvarr seerrc
I coMMUNrry sysrEM
r1* SEPAIIATE PERl4rTs REQUTRED
FoR
ELEcr, t1ECH, pLBG, GAS EQUrp, pREFABs & rNsERTs *ri
pAyflENT rilErHOO:
! CaSr.,
! crrcK (payABLE
ro Nrcl
! rr,, oaa** ' [ ,arurro
- '-
fr-orr.orr**']r********1'ki**,****,1,*,**,t+****,t*********,**,*,*,r,r******,t,*****t*******+)t,t***+,t*,**,t***+****t**
(<'<t f.r-.r'tr C
2[s-lottr
\
\^
3oqr
ffi
APPLICATION
Number
(office Use)
o^rEt
./O'2 O .-
ra-NAflE:APPLICANT'S
OEVELOPER:
PRO]ECT ADD
CONTRACTO
ADDRESS :
EI.IAIL ADD
'-<./'
,€
CITY I
PHONE S:
RE55:(,c.-.6-a^
suBDrvrsroN: l'l^.o * f S Lc.r*d i xa
*'.<r
up;28tt24,/6-r ABLOCK f:
PROPERTY OWNER, S
OI^INER,5 ADDRESS:
E
e
CTTY:
^l f ;.LICENS E $
CITY: tr
PHONE S:
3/ 3-3f)/
sr:N(zrp:2}qaJo
R:C-r fi
{q3
SF
)ACCOUNT #:
t o
srt-ztir@6' 6
\pRorEcr coNTAcr pERsoN:
Jo= a" -lLo,- LJ<\^(r-c
f-
RESS:
*9t
*TPL E CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT
ATT GARAGE
suNRooi!.1
GRE ENHOUS E
Is Any ELECTRICAL, PLU
If the project is a
Is thene Elect nica l
PROPERTY USE
/ OCCUP
DESCRIPTION OF WORK:
DET GARAGE
-
SF
PooL
_ sF
DECK SF
PORCH
) Ll7
STORAGE SHEO
ls--
3JJ2
rr.: (*'rL- Ll ( c
l=
SF
SF
No
Yes No
PHONE *:
PHONE S:
SF
SF
5F
OTHE R:
rorAL HEATED sq,r 2l?.o 'rorrL sq Fr uNDER
^oor.
2?o( / rorAL AREA rq rr, )9o(
rorAl pRorEcr.orr,,"llf g
2agooo o or rrouu,74.
mBING or MECHANICAL l.Jork
Being Done to the Accesso.y Structure?
D Yes
Relocation,
is thene a Natural Gas Line on the Current Site? !
Pol,/er
on this Buildingt fl YesNo
ANCY:SINGLE FAMILYDUPLEX
e
c'f- n
<.:(<T
T NHOUS E
O \) (,,\-
Lo*
DISCI-AIMER: lhereby cenit hat all inttrmation in his applicafon is correcl and allwork willcomply wih he Srate Suilding Code and atl oher appticabte StaE and locat taws
and ordjnances and .egulalions The NHC Developmenl Services Cenler willbe nolilied otany changes in fie approved plans and speci
conlractor ant'rmation.
"'NOTE AnyWork Perlormed W/O iheApprcpriaie Permirs wittbe inViolalion of the NC S
I
otlNER/coNrRAcroR:
.\. ^t-Ct I '- 6
ac A srGNAruRE:
la€ Bldq Cod
(p.int Nan€*t*++ * * +* * + i+** lt*+*++**++ ++++,t+*)*)*,t
** * * * * *,r *** * t * * *
EXISTING II,IPERVIOUS AREA:FT
NEI' IMPE
**,* * * *,* *)** * + 1* * * ,*,t * * *r *
*
B
TOTAL ACRES DISTURBED:
EXIST LAND DI5TURBING
PERMIT: E YES
WATER:
SEWER:
crcua
! cENTRAL
sEprrc
! earvnrr
serrrc
! cof,lr,ruNrry sysTEr4
c
AREA:FT
SETBACKS:
F:_ LH:_ RH
i*1 SEPARATE PERIlrrs REQUTRED
FoR
ELEcr, l'tEcH, PLBG, GAs EQUrp, pREFABS & rNsERTs *li
pAyiqENr rilETHoo:
I casr
I cHecK (PAYABLE
ro rurc;
! rr.,-
oaaor*
-
fl"c/vrro
--[-rrraour*
******,*)r*+****,*)*******,t*,r****+)t**,***,i**+)i**,*,***,t*****,****,*)*******r*********i(**,t*,*,ix****,t
(FoR oFFICE
!5E
ONLY) REvt5ED OArE O4l11/12
ZONE:OFFICER:
Approval:_ City:_ DATE:_ FLOOD BFE+2ft=
a- c-
Up Io $500
Comment:Jrrrrr
rrr'
,ltEE---r--7-
RECEIVED OCT28 2OI5
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|ION IYPE; R ESIDENTIAL
PLEASE AIISWER ALL QUESIIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
LOT S:
(7fi,3,-r
ExrsTrNG coNsTRUcTroN:
Fl arreRarror
! neuovlrroru
! c$rennl nrelrns
! RELocATToN,/-
NEW CONSTRUCTTOT'J:
[] rnrCr NEW RESTDENCE
o"
! lOOrrrOru TO EXTSTTNG RESTDENCE
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
I vrs
1!47,bro6ilcrt,;_-a--.
COMMUNITY SYSTEI4
tr PRIVATE WELL
CENTRAL l/.]ELL
NO
E
o , . RECE|VED0CT2Sm6(Llc (&,ttbZ€_
NEW HANOVER COUNTY BUILDING PERMIT
APPLI.AIIoN TyPE j RESIDENTIAL
PLEASE ANSI{ER
ALL QUESIIONS APPTICABLE TO YOUR PRO]ECT
"Project Res pons
ibility"
Jbt;-loYe
)(s 3o
APPLICATION
Nu mbe r
(office Use)
dt,
rts
APPLICANT'S NA}'IE:
DEVELOPER:
(1<' <1"(.r*)./i c OATE:
,/o-o
-)a-
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER, S
OI4NER,
S ADDRESS I
-<r
,€
f_(
Uuu'.J
c
CITY:
^i +;.LICENS E f
PHONE S:r
CITY: 6..Sf€
1AL./t1 < ZIP I
(or *
3
sr:N(up:2bqo3
ct21
PHONE f:
PHONE
$:
52".- jJ-J2
f-ro-+ /"rcL.. tr( St
5F
5F
I\-1E:€^'.<
o
CONTRACTOR:e-. €.^
ADDRESS:
z{19,t ACCOUNT f:
y'o-..
*,fl!1i@61sCITY:
:
(
EXISTING CONSTRUCTION:LT E RATION R ENOVATIONGENERAL REPAIRS RE
LOCAT ION
NEI^l CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING R ES IDENCE
E CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARA6E
?q J sr/q SF
5F
DET GARAGE
-
5F
PooL
_ sF
DECK SF
PORCH
STORAGE SHEDSUNROO[,1
GR E ENHOUS ESFOTHER:
TOTAL HEATED SQ FT:)).>TOTAL SQ FT UNDER ROOF: ??O IToTAL AREA sQ FT: 2?O /
TOTAL PROIECT COSTtL",.roo : $ 2 e,2# OF STORI ES :-t
Is Any ELECTRICAL, PLUfiSING or MECH/NICAL Work
Being oone to the Accesso.y St.ucture?
Ev"r E No
If the project
is a Relocation, is there a Natural Gas Line on
the Cunnent Site?
[ ves ! ruo
Is thene Electnical Power on
this Buildin
erE Yes No
PROPERTY USE
/ OCCUPANCY:SINGLE FAI41rv ! ouerrx
! rowuHousr
DESCRIPTION OF WORK:EbeL+ s,\s.*5(-t L/\--l.
andordinancesandrsg!laiions.Th€NHCDevelopmentSeryicesCenl€rwrllbenorliedofanychangesinheapprovedplansandspecif€a
conlracior inbrmaton "'NOTE Any
OWNER/CONTRACTOR:
\
rk Perlormed W/O rhe App.opriare Permits wirrbe in Vbtarion ot rhe NC State 8td9Code a
o
r- L_.s z(r-.L srGNAru
o 5500
,i* 1* ***,t*,* * ** *,i* + * ** *,* ,r
*,f*,t **
* * r * + * * + * * r * * * i * * * * ** * * * * *(f iTl I9"*"1, * * * * * * * * * * * * * * *,
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YE5
EXISTING IiIPERVIOUS AREP
NEW Il'lPERVIOUS AREA:
7
8,to,i SQ FT
TOTAL ACRES DISTURB ED:
CF PUACOMMUNITY SYSTEI4PRIVATE WELL
CENTRAL WELL
F
ttQ37, l.so rr EXIST LAND DISTURBING PERIIIT:YES NO
WATER:
SEWER:cua
! cerurRaL
seerrc
I pRrvATE sEprrc
! commururrv svsrem
*** SEPARATE PERI{ITS REQUIR€D FOR ELECT, IIECH, PL8G, CAS EQUIP, PREFAES
& INSERTS I}}
payMENT FlErHoD:
!casn I oiec( (payABLE
ro *rc1 [er.i accouNT
-[mcTvrsa
Iorraor*'***'r*+***'**'**)t)*,t*****,i*,******+t+********+,*+*f*,*,i,****,*,***)t***,t**,*,t,******,*+**,t***********
(FOR OFFICE UsE O{LY) REVTSEO OATE
O4lr1l]7
zoNE
: OFFICER:SETBACKS:
F:_ LH:_ RH:_ B:_
I F E+2ft=
N
Appnoval:_ City:_ DATE:_ FLOOD
Comment:
PERT1IT
FEE: $
BLOCK *:
PHONE S:
Ei4AIL ADDRESS:
pRolEcr coNrAcr psRsoN, -\o-.- rt+Lo, * LJ €) ^( r- (
,-
tr
(
J otslo jdE
r.s-31L3NEW HANOVER COUNTY
BUILDING PERHTT
APPLICAIIoT|
rypE: SIGNS
/ BILLBOARDS
PL€ASE PRIIIT CLEARLY
& AIIS;I{ER
ALL QUESTIONS
Ject Responsibilit)/,
CITY:
APPLICATI
l,lumber
ON
CANT's tlArrlE ;
crw' [J1lfv'|1
PHONE
$:
5T:
LICE!'ISE
*:
-sPps
(Offr.ce Use)
oor,'ll-4-l
PHONE
$:
ZIP t
IP:
t,NLrri?f4l.
PHOt'lE #:
pxour
*9lo- 3s2-4-t
D
LOPER:
ECT ADDRESS:
IZoc ATT/BUSINESS T{AI'IE :
otiN
ERTY
O6IER'S AfiE 3
R's AD0RESS:5
i20
S
S
ESS :
L ADDRE
scw.(opa
ECT CONTACT PERSO :(\ ch Cenc{ile*r
c
I
tL
C,
P
CITY:
(CHECI( ALL THAT APPTY)
REPAI
i_i NLARGE
ndo
RECT AL ER
DE
RIPTION OF tdORK I
r'
FREESTANDING
(Ground)
SHIN6 L E
PROIECT COST: g
**** *
+rt):*,t+!t** )*,1:r
..__- OFFICER:
al:-..-.-- Ci.ty:_
E OUT
cat e Slate and tocat IawE
ot chanoe in contr6ctor ot
inas Up To
l50O.0O-
l:jT
l
I5(5) ON OR
OFF PRE ISES?
or fi orr Wr
I heroby
cfiify thar att informatiofl in this apptication is
conet
ix, a[ work wicomCy with lhe Staie
*s(f.J.{rs
33/
JCrtJNd,
and .egriations. The NHC Devstop.nent Servic€s Ceflr€r
w l b€ notified of
i.{omalio.r- *NOTEi Any
Wo* petormed w/O theP€rmiE will be in
Violston ot rhe Nc
R/CONTRACTOR :
e SI6NATURE
*,i** *,*.t****+ ***+,t**,i **,*,r**,*,t*,i,t:l**,*** !t,t:i,trt*,**+*a*****,*+,t**** * **:|** )**** + * * *,i*rt
TVP
oF srGN(s)
iMRouEE
Mg.i ROOF
OTHER
l l eno:ecrroru
I I caruopv
SIG
sI
SI
SI
Total Nunber
of Slgns on
this proJect: _
l Helshtfrtol
w*rr^ Dimensions: w.* lqts,,r"*o.rr. of srgn:2 H.eLcht:b,q4!*# sisn Dimensions,
E*r i SZi,, i;;;i il:;i: ; ;i:,,3 Heisht: Cdrg)|4 sisn Dinenslons
| - lz-tt x -491i ,;;;i fi.;;. ; ;;;r,4 Height: __ t sign Dimenslons: __-. _ - X
____ Total SQ,FT.
of Sign:
rs rHE pRopERTy LocATED
rN A FtooopLArn?
f ves E ,o
r'tr SEPARATE pERr'trrs REQTJTRED
FoR
ELEcr,
'oEcH, 'LBG,
6as EQUT.J ,REFABS & ,nsERTs ,**
yr'rEr{r
riEr{d): E clsx ffi crecr (payABLE
ro
u.rc) f] umrol rxenrss C *lrarro
(.D
*+*,rrt,*+*,ri* ****,r+ *:* *,r iril + * t * * *:* *,t**:*,i**,t***,t *
*,|***,t:r:t***,t:*:t****:r,i+**** *,t
(aoR ofFIcE USE OattY)
REVIS€D LqTE 3/30112
B:SETBACKS:
F:=- LH:_
BFE*2ft=
App
FLOOD:
RH:
PER
IT FEE:
'
r
L __-.1
DATE :
ftrP
-'1 r
f orscov*
&0lS-)o
L5-3L14
AP P L ICAIIOti
l.lunber
NEW HANOVER COUNTY
BUILDING PER},IIT
APPLI€ArIo rypE; SfG S
I BILLBOARDS
PIEAsE pRItfi Clt^aty & ,}lsrfR aLL QOESTIO|{Se(t Respon
1b11ity',
CITY:
DatnC(
aq f\f
o*, o9 ta)3) -r,4ab
(offl(e Use)
,S NATE :
0LOPER:
PROECT AODRTSS:
ocAfiT/BU5INESS N/I'IE:
DATE:
ZIP.,
5T(ZIP:
RTY GSIRJS
, S AIDRESS:r
L
CITY:
,1 ,_ LrcrlsE s:
.SPFS
CITY:5T
pHct€ f:
,NLrro?f,4l
4::Wslr.44t
t0-1-tbE€T CONTACT PFRSON;(r ch c,ti€vv1
k RECTALT
i-l nepa
(CHECK ALL THAT APPLY)u R -_r ENLARGECHAIIG€ OUT
TPTIOTI OF
1S(s) ofl oR oFF PRE rsEs?
f$ on [f, orr
I herety
c.ftty nd Eli in{(mcixl in
ois .pplb.rb. i6
co.r€ct rd atr
\No.t {ii .dndy idth th€
St ra
ad r.gddon.. lhe NHC
Odd.p.n.{i S€wic.s
C.rrr ui! be ioaif.d c{ aoy chee.s in lho
ido.msnon _'llOTE: Ary Wort Pcr'lnrn.d w/O ine Aloroori.rs
6}!br,,r!{u
nt
To tsOO 0O-'
o$'lel SI6NATURE
a* * !r,t * t:i** a *+,|,** * r'l * 't*:a:*t. a a
*
+*:l r a * *.i a tt
'a
a:**t a,i a * *:trt * ** t* *t +* * * *a***:!i * * rttlIa a *,1***
oF srGH(s)
cowmcron,(1il
f] rnrtsranorrc (Ground)
fl srrnele
1 Helght:
2 Height:
3 Height: .. .
4 Height
TTARQUEE i--]PROJECTI0N
i.l caruopv
&n k fo.L
ROOF
OTHER
Tqtal [urrber
of Signs on
t
siEn Dtncnsrons, 3A!t *
Sign Di[ensj.ons: X
(d r'
Total 5Q. FI.
of Sign:
-la/
Total 5Q.FT.
of Stgn: _Total SQ.FT.
of Sign: --.
ir(hls Project:
SI
SI
1(
s:
Sign Di.ltrenslons:
.-_ _-_- X
Sign Dimensions
X_ ._ Total Se.FT.
of Sign:
TOTPROJECT
COST:
i 0O.
a)rs rHE pRopERTy tocATED
rN
a FLmDpLArr?
f, ves E *o
i.r sEpaRArE PERXITS REQUTRED FOR ELECT, lt€cH, pLaG, c^s EQU:p, PTEFAAS
& Ii{SERTS ..r
yr.Er.r
hEn{6r [-] csfi $! cxecx (pavaslE ro
]r.c) fi A}re nrcAx
exenrss fi i'{/vrsr fi orscovm
3r*''|'tt:r*t**+****,.* **s*:ii,l*{+**+a*** !r !r,}* t:}
****atraar,t*i 'rr*,.:t..** a:t
******l*}+,irtaar**r*ar(s
OFFTCER:-.,,24
-- i4l-J
FOfi
OFFI(€
ust o{tY) .
ETBACKS:
F: I*LH: ?.,4
, twIsEO,DlTE
'/tt6/1t
*- s,.
]+zoN
app
BFE+2ft=
4.i
c
aI:
city: l.-:r.:^.DATE: i l
t FLOOO
RH
FFRHTT FE!:
,nc
colflRAcToR:
Ar,c(I5s:
',<.
\clu"pri
I
-r+
RECEIVEDI{0vc21015
NEW HANOVER COUNIY BUILDING PERHIT
appLraarrary
ryr€; RESIOENTIAL
rrrllf- rr(rrn lrL gr..--.\s appi!ai:t
I :o :^
ri :..^-FaT
"ProjF.t Respcr(i brl
ity''
Jot: -lalVU
t:'-'t't'c
APPLIC,lIION
Nurnber
APPLJCANT'S
Nilr{t: il
OEVEt0P:P: i...,r:i,Ftlollg
1: :t i--(:e?
)"r
_ CITY; lr_trr:.or
ilPRO]ECT AOOR'ss:
SUBDIVISIO:
0ATr: ,-: ,
:, .s
IIP: ? 114 a,-i
4 t lt:.I .r r1erif liil l.i D'
PfloP€lTV 0!,N[3jS NA]ta: .t
ok'I{Fn,S
loDRESs:,r62.r r.:r-:.,..
f.i1 i:il L.
CONTRACToR
i (:vi,r !..,:!.
8LOf,(
s: .-_ LOT tr:
_ ptlo,,rE
t:
LIC€Ns€
f: I I ?rr,)
ST: -,_.. ZIP
IDDRESS
! la.
_..=--' CITY:
El{IIL r{DoRES5: ... .. -..e;.
PRoIECT TONTACT
PiiSON: :t... ;:.::. 1
I ^, ' 6onoo,
.-- _ sr f n;-
cau.c; si
f uncx
._ __ pHOf{! S; ..r!:.:,:ir.a,
--sF
Exrsrrr'16
coNs;iucrroii: El alrrnATrolr fl] aemva-irou f];rrrtnar necarns
l] RtLC.:irr,ri
NEH CON5TBUCIIo
:
f] rnect lrew REgtDEitc€
o"
I oo:rrol To
€xr5Til6 g€srDErlc€
'TPLIASE CHEC( llrlo Ar.lS!,,[R AELO!{
AlL TXAT
Apply TO yfi]q PROIE(T:
,-- PHOiIE
SI: N: zlp: :r-:4
:'j
{: r, l 3l9 j? 10:t l
st
SQ FI: **-_
fl ro
ves I to
suNBoor,r
_sr
ff cre iarousr
_,. sr
Z pool
t,o * sr
fi orcx
rrs sr
i-l sronacr srco
OTH!R
i
TOTT1L
tlEATeo SQ FT: __'-- TOTAL SQ Fi UNOER
&OOF: rOTAL AREA
TOTAL PROIECT
€CST,i3- c,) : $ __--- , oF STORIES:
Is there f:e(tr:.rl Poiie. orl
thjs Building?
13 Any EIICTRICA!, pt.urBING or aECH$lrCAL uio.k
faif,fl
I* the prcje.t is ! Re.location, is therc a ilatu
I
the A(ceslory st.ucrure?
f] yes
Linc on i:he cur.ent s.ite?
n
l{o
ral
Yes
to
Gi5
pRoPERTY USE
./ Oc€Upatry:
I Srmt.e rA}trLv
I OUnreXTC'jJ{IOtJS€
DESCRIPTIO}i OF l,lloiK:
,ir:riirr'roo I crd.. d.,.- r
)sclr|vEq ri.,n..--!
'"''"''ri"ht
{i6r
IS ThE PROPTR IY LOCATED
IN A FLOODPTAIN?
I YES FI*€XISTING IrrpERur&rs aR6A: :,r:rir sQ ,T roril .rCnes DI5TURBT0:
NET II'IPERVIOUS
,$fA: ,1::f
-
sQ TI ExIsT LAiIo olsTURaINc
erc..?f '(B,lJ t,Jj,..31, ]]: \lici
!D.ter, hti,r"',i .. ftOtt 4,,yW r
OHIIER/CO fRACTOR: pa,, i
[ar€H:
E crnua
l] coxHuBrry sysr
s€xrn:
I cFpuA f--l C8]TIRAL
sat-ita
PAyp(m
{ET,r<)o:
I c,rs, ficlec* 1eo
.*r, (Z-\5o,,r,,.u
irL,i :
d, r..r,"a.-.i1 S.ryi.,:: :.^tr.e.,
rh r1I !-t !ai0
a. rrl)r)6r..r i,Dirlril t o 6 vliire o,!]rr r.a s.^ts llrr, aod,,!l slDpc
! rn.s 1,i) t.sailo0o..
slG,IATURE:
I rnrvnrr
ttLL f] :rrrul i.rrr!
,_bLIAr-n,
iO' an:
IO a,_[.
,#
Pnlvarr stprrc E ccnr.r:r;r, sysrru
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C-ITY: l,ritb,i:;q'. oi
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APPLICATION
Numbe.
(office Use)
&
CONTRACTOR:
ADDRESS: 3o
RECEIVEDNOVO22Ol5
NEW HANOVER COUNTY
BUILDING PERMIT
APPLIATI@,I TYPE: RESIDEIIITIAL
PLIASE ANS1iIER
ALL qJE5IIONS APPLICAELI rO YOUR p8O]ECT
-project Responsibility,,
APPLICANT,S
ttAtiE: ocean Btue
Pools and Soas of NC
DEVELOPER: oceanBlue pDATE: t!/\/\sols and SDa
6ofNC PHONE
fr eto?993 c22PRO]ECTADDRESS: 4
621 tonq l ea1.
Hills Dr CITY: w:i.lminqton
SUBDIVISTON:
PROPERIY O NER'S
OHNER'S ADDRESSI
ZIP
i 2\4ao-
|JAllE; .roln & valrie Rem
inqton PHoNE
#: 910 ls2 434 34621 LonqleafHills DrCITY: lrilrlinqEon ST:
_ ZIP:_
Kevin Dunne LICENSE
*: 73760
Covi 1 Avenue CIIY: wilminqron ST:gZIP:2841]1El'iAIL ADDRESS: ocean5 821@ona
r1 . com PHOI'IE
*: 91a:9g3022
PROIECT CoNTA€T PERSON: paulrr.Ie Dunn PHONE
#: 9aa1993022
EXISTIN6 CONSTRUCTION:aLTERATToN
f] nrrovanor I crrurnnr neenrns
f] RELocATToN
NEr,{
COr,lsTRUcrroNr
! eRrcr NEW RESTDENCE
o"
f} aDDrrroN TO
EXI'TING RESIDE CE**PL€ASE CHTCK AND ANSI.JER BELOW
ALL ]HAT APPLY TO YOUR PRO]ECT:
Arr GARAGE
_ sF ! orr canaer
_ s,
I
suNRooFl
_5F E PooL
s1o sF
PORCH
_5F
STORAGE SHED
-
SFf-l enetnnousr sF DECK
665 sF oTHER:5F
TOTAL HEATED
5Q FT:
-.-IOTAL PROIECT COST lress rorl : g
Is Any EI"ECTRICAL, pLUfiBING or I|E€HANICAL Work Being
If the project ls a Relocation, is there a Natu
TOTAL SQ FT UNDER ROOF: -- TOTAL AREA SQ FT:
S OF STORIES:
Done
to the Ac.essory Structure? [ Ve. f] ruo
ral Gas
Lioe on
the Curnent
Sitet Ives I to
ves
ff toIs there
Electrical powen on this Building?I
pRopERry usE ,/ occupANcy:
fl srr,rcrr
rrmrrv I ouerrx
f] TOITINHOUSE
DESCRIPITON
OF ORX; ri ground Swifiunipool with 6556q.
ft. of con
crete deckir.ro
f code 01 code cy fetr
DISCLAIMER:
ihelebycentt halalr inb.malon 6 &rsEaton is
co,rect snd a{ work wiltcomply wih tt€ Sraro BuiElno Codo and a[
ots, appticabte SraE and locat rawsand o.dinances and.sguta!on6. The NHC Devetopnsnt S€ryices C€ntsrwi be noiitied of any chaogss in
$e appmved pl6ns and specifications
o.ch.ncontacbr iniomarbn ...NOIE: Any Work perto.med wO he Appropriale Pemilswil bein Lrb Akg Cod6 and SuOiect
t, Fi.6s Up Io 550000',.
ohNER/CONTRACTOR
I paur:re Dr.uTne SI@.IATURE :
**,r*
****,,!***** *.-. -..,*..* *'!itl
lil"]..
IS IHE PROPER'Y LOCATED
IN A FLOODPLAIN?
EXISTTNG IiIPERVIOUS AREA:
25e0 SQ FT
NEI^I
IMPERVIOUS AREA:
,I3,1 sQ FTEXI5T LAND DTSTURBTNG pER
rr: f] yrs l--"1 uo
,t* !*
* * )r*,t )*** * *,tjr * r,* * *+* *a:r,**,r**,t*** *,r* i!
*,r,i * x r(,r
*** * **
[_-] yEs I I r\o
TOTAL ACRES DISTURBED:
I,JATER:
E CFPUA
SEWER:
a CFPUA
ZoNE: _ OFFfCER:
L_J CO|4MUN]
ry svslrr,r ! pRrvAlE tiJErr
f] cetrall seerrc f, pRrvArE sEprrc
CENTRAL lilELL
COIVIqUNTTY SYSTEM
'** s€pARATr pffii.lTs AaQUiftEt)
rofi ILEC', flECH, pL6S, 64S
tQulp, pRETABS 8 :rsERrS r*]pAyn.
r rErloD: E cnsn f3 *,.cx_rrror.i ,o
,..i''ff*ilri* ,ro*rr, I ncTvrsr
I orscovrn'!i
!r*'i 'r**** '** *''***!*rx '*****,r***,1* **************r**i-******;;r***** *** *i. ** x*
*** * r *r,r,r,*,r
+*r***
(FoR
o.rrrE usn o!LY)
REttsED DAIE g4/77/11
Approval:_ City:_ DAIE:_ FLOOD:
:-_- LH:_ RH:
_ R._SETBACKS: F
--".- BFE+2ft-
Comment:
PERIrT FEE: g
5