DECEMBER 14 2015 BUILDING APPSNEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PLEASE ANSHER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S l{A}lE: F.obuc},- Homes TriangLe, LLc
Q.otr 1679;
15-3188
APPLICATION
Number
(office Use)
&,
DEVELOPER: Robuck HonLes TrrangIe, LLC PHoNE #: )
-9-'dt t-.-92ra
PROIECT ADDRESS: r15 AntIer Drive
SUBDIVISION: :.:-: .::: , i::
CITY: I\,ilmiriqton ZIP
| 2B4a 9
LOT #: - ',1
PROPERTY OhINER'S i.IAI4E :
OL,INER'S ADDRESS: .: 1 :
Robuck Homes Trianagfe/ LLCPHONE *: 919 8r6 92lr'l
Falls of Neuse Rd. ste 200 CITY: RaleiqhST: NC zIP:27609
CONTRACTOR: Robuck Homes Trlangfe, LLCLICENSE f: 5IC8J
ADORESS: 6131 FalLs of Neuse Rd. sre 200CITY: !3 re rq.,ST: ::] ZIP: ::. ,
EIII,AIL ADDRESS: inorbech!rolruckhome:j.com PHoNE #: 919-8r6-9200
PROJECT COI{TACT PERSOI{: clase Elanr
- celamGrobuckhomes. c:n,PHONE f: 919-819-{2?5
EXISTING CONSTRUCTION:ALTERATION R ENOVATIONGENERAL REPAI RSRE LOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE
,I.I.PLEASE CHECX AND ANSWER BE LOI,/ ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 45] SFPORCH i1l SFDET GARAGE
-
SF
POOL 5FSTORAGE SH ED
SFDECKSF OTHER:
SF
SF
TOTAL HEATED SQTOTAL SQ FT UNDER ROOF: .:. TOTAL AREA SQ FT: -:.
TOTAL PROIECT COST rress rotr : $ 3r8,sio. # OF STORIES:
Is Any ELECTRICAL, PLUIIBI?{G or mECHANICAL llJork Being Done to the Accessory structure? [ Yes T No
FT:30s4
If the project
is a Relocation, is there a Natural Gas Line on the Current Site? E Yes I NO
Is there Electrical Power on this Building?I ves
I lto
PROPERTY
USE
/ OCCUPANCY:SINGLE FAI4ILY DUP LEX TOWNHOIJSF
DESCRIPTION OF I./ORK: :.eri L.r,Le
DISCLAIMER: lheebyce ify
halall inbmatron in lhis applicaijon is
and odinances and regulalons The NHC Development Services Cen
contacror iniormalion
"'NOTE:Any Work Performed W/O he Approl
conectand all work will comply wih he Stats Building Code and alloher applicable StaE and locallaws
tr willb€ nolified ofany chang€s in he apprcved plans and specifcations or change in conlracbr or
priaE Psmilswillbe in Violalion otth6 NC Stab Bldg Code and SublecAb Finss Up To 5500.00"'
Eu,4..,-.. sTG ATURE: (;-'-'- /l t;/-
n
o}{NER/CONTRACfOn:--:-;i-ror..q C \1,\sF
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA: ' SQ FT
NEt4l IMPERVIOUS AREA: :SQ FT
NO
TOTAL ACRES DISTURBED: -,]:
EXIST LAND DISTURBING O'*I,4''. !_-I YES
ril NO
PRIVATE WE LLCENTRAL WELL
DISCOVER
BF E+2ft=
****1.*1.**tr(+,r,**tr(+1.++1.+**:i++**++++jl,t*x,*{.++:flot+{r+**)t)t:f+***)t)****)t)t*****)*,**+:}**+:f:1.:tl.+:t:tif+***it
YES
WATER :
SEt,ER:
CFPUA
CFPUA
! crrurnnr sEPTrc
E PRTvATE sEPTrc COMMUNITY SYST EM
**I* SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS **T
payitENr ErHoD: Ecasn EcrrrcK (payaBLE
ro NHc)
E axERrcAr{ ExPREss
I r,rclvrsn
E
ZONE : _ oF F
IcE R:
(FOR OFFICE UsE ONLY) REVISED
DAIE 94111/12
SETBACKS: F: LH: RH: B:
COMMUNITY SYSTEM
*********)***)***,t,*1.***+,t,t,t1r+++*+t++,t**+++****++*****************************+***,***+*,***+
Approval:_ City:_ DATE:_ FLOOD:
N
I
6LDR
DATE:
.- - -,
BLOC( #:
! surunoou
-
sF
! eneeruxous e
NEW HANOVER COUNTY BUILDING PERMIT
ED pig 0 g
m[ APPLICa|I(N rvPE: COI{MERCIAL
PLEASE ANSI.]ER ALL QUESTIONS APPLICABLE TO YOT]R PRO]ECT
"Project Responsibility"
DEVELOPER:
verizon wirele6s
PROIECT ADORESS:
G;32 Netherlands DrCITY: wilminqron
OCCUPANT/BUSINESS NAIiIE :
PROPERTY OI'INER'S fiAfiE: Tefepectrum lnc.
oblNER'S ADDRESS: p.o. Box 2s4eCITY: Addison
CONTRACTOR: Betacom rnc.LICENSE #: 71eo s
ADDRESS: 9331 E. Fowler AveCITY: Thonotosassa
EI'IAI L ADDRESS:
PROJECT CONTACT PERSON: Susan sullivan-Eqan Real-ty services
(Check
A1l Ihat Apply)
EXIST CONSTRUCTIOI'I:ALTERATION
tr RENOVATION
Z GENERAL REPAIRS
No lS BLDG SPRIN
RELOCATION
KLERED?
flves I r'rolf Relocatlon, is there a Natural Gas Line on the Currert
NEW CONSTRUCTIOI'I:
f] TNICT NE}I STRUCTURE
ACCESSORY STRUCTURE:
Site?
trYes
tr
! rasr rRAcK
f] sHELt
f] upFrr
E ADD ro Exrsr srRUcruRE
Jol5*l/klY
6_lqq
APPLICATIOI{
Number
(O+fice Use)
PHoI{E $: 704-s1o-8c10
PHONE f:
ST: irx ZfP: 7soo1
ST: FL ZfP: 33s92
PHONE *:
If UPFIT
- The She1l Penmit #:
Is Elect Pouer on this Euilding E Yes E ruO
****r. rs rHrs A cH/lt{6E oF (rccupAr{cy usE?
EyEs I lo *****
IF Yes, what was the PrevLous Occupancy Type?what is the Neu occupancy Type?
ARCH DE516[I PROFESSIOTIAL:PH:NC REG #:
ENGR DESIGN PROFESSIOTIAL: Kimlev HornPH: 77o-a25-o744 NC REG *: F-0102
DESCRIPTION OF WORK: Addinq/Replacins Antennas. No chanse t.o tower heiqht or existinq qround space
DISCLAIMER: I hereby cenjfy lhat all information in this application is corect and all work will comdy with the State Building Code and all other applicable State
and local laws and ordinances and requlalions. The NHC Develo9ment Services Center will be notified of anv chanoes in the aooroved Dlans and smcificatons
or change in
conlraclor or contractor i-nfomation. "*NOTE:Any Work Performed W/O lhe Appropriate Permrls willSe in Violatidn
oflheNC State Bldg Code and
Subjectlo Fines Up To
$500.00-'
# OF STORIES:
# OF FLOORS:
OWNER/CONTRACTOR: susan su1 1 ivan- Eqan Realty SIGNATURE: Susan Sullivan
ffiHffi *'
(OCil€.] (PI Nair)
Nole: D€molldon notificadon6 & asbesbs rdnoval p€mh applicadons aro !o bo submltbd usino f6 applicatio{r form (DHHS-3768) whgther the lLdcllily or buildlng was
fond to
contain A6bostos or not You ara roquirod to call lhe Nadonal Emhslon Stardard6 fur Hazardorrs Air Pollutant6 (NESHAP)
d (919)707-595O at loa6t 10
daye or !o lhe
dernolition of any hcility oa buildlng. S€e AsbsstG \iJab Sito: htF:/ rrvraJ.efi.stat6.nc.us/efi./asbostos/ahmp.hunl
TOTAL PROJECT
COST: 25 , OOO . OOBUILDING HEIGHT:
SQ FT PER FLR:
# OF UNITS:
TOTAL AREA SQ FT :
ls food or b€veragos preparsd
d s€.\r€d h tt s strUctwe?
f]Yes T
No ls Th6 Prop€rty Locdsd ln Tho Floodplaln?
[ ves No
TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:
ACRES DISTURBED:
EXSr LAND DTSTURBTNG pERMrr? E yES f] NO
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA:SQ FT
WATER: E]CFPUA
SEWER:
E CFPUA
ICoMMUNTTYSYSTEM [IWELL EZONTNGUSECIASS|F|CAT|ON:
ECENTRAL SEPTTC LIPRTVATE sEpnc fICOMMUN|T SYSTEM
-'SEPARATE PERMITS REOUIRED FOR ELECT, IVJECH, PLBG, GAS EQUIP, PREFABS & INSERTS *'
PAYMET{T METHoD: EcAsH flcnecxleevnaLEro NHc) f]auenrcm exeREss EMc /tsA Elorscoven
(FOR OFFTCE USE OI{LY)REVISED DATE 1J11l12
ZONEOFFICER:SETBACKS: F:_LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD:
__ _ BFE+2F
I
,G.i
lti
4
APPLICANT',S t{Ar4E: OATEi}9122J2!}3_
ZIP: zeo+s
PHONE *: s'7a-266-s893
pRopERryusE: fiornce Enesreunnrr
luencarnu leouc f]aer lcotoo orHER.q_
A v " .r.*$_l_0_0_Cbffinent PERM|T
lots- yt
sl
,c f i.r^
46
d;*
NEW HANOVER COUNTY BUILDING PERMTT
AppLlctr: ot Iyoa R€5IDENriAt
"P-a:.at le; ).J 1: i l1!y".\
, )r!?((:* --_.., l,(__
t9)t ! ci. !
Ioll
APPI,ICAITI' 5 llAiE
Ci_W{-OPt( i
PRoi€(r Aof,Frss:al '
5US0rV:SiOt{:
orrr,/f i--.-,t(
_-- -- __ 7Ir:
5L0CX n; -*-*. LOI s: __
PHOi,lE t:!,'.;-PROPTRTY O{ ER'S AI'E i
c{.sia 8 ,s l:o8;s5 ClTY:
corflRAoo? |
ADOR€SS:.)
i-iI(f,rst r: _]=:11_(:rr l\ r',.,.,,. li. r:
5Tr lL ZIP:
5r :,q r:, : -'aj:li i,
*r
!,,raIL A00itss : _& .t++!r'::-li,;-..!...;n,dtariy\r;:.,..
Exlsrrx6 acnsT|Ua.irorj
L]{r i1r.':3r. I',"r.v^itc,t [6ir"t',.t rtr,' [] cr,o:r,rot
t{€r cousr?L(roli:
I rrrc: lrlt pa!;:]tirct or L- lcn:,.',t' To
ixi--:\6 J-il;:ir'c€
..p![Ata r,ifc{ alro ats',rag 3ELot, llL ]HAI &'PLY r0 YOUi ptal:taT-
I r.r- croncr sr I oi- 6IRAGE s;
f |cac"
---
s;
f] surnoo"r
.-*- 9r i- eocl -.--.... .*,..- t, [* s'oR;a..
'' if --.*.* s;
]cre rrr:,.,:r s, I fa:'; -- - - 1r -- t? :
' tn ' s:
I0TAL $tiTED 5Q tT: -^-.-*...-, TCI
t sQ f r UN06g RiroF: - .:"/*- T,:AL AREA SQ FT:
-.-*TOTAL 3cOl€CT CCSL". .,. : $ ;gj=,,r r O, 5:0iM r ___:j.
:r lr! a:ta:rltA1, PL(rr{8lll{ or nE(H!ritC!'- ,c_k L.}ig 3.te !o txc A(.{1!o.} -(1:,r:r.P?
[ fer, f m
lf :he p.oje.t i! a Re1o.3ti.!1. i5 th€.e r Nrtural 6a9
lrne cn t\e Cu..ent
Sile) f ves f, m
t, the.e Ele(!ric.l, Pokcr
on ir,ls gu:idirglIvp5 [11
peotEnr] usE
/ o(:'-ira!ay: ] ":'rel: ra": ' I:!p'-tx ] -".:,r".c,!E
"ri',i:{\ ot l,{oR(
i,rr-L,vr,.ti
--i --' -..r. .iril\. .
-
a:( ,. ,. .1,
CoxTRACroE: I -\ pi,'. (- ', ,\
ylrir. _ _OXN€ R,/
t2- \r {,-rj
:s THr encrERry rocarrr rN r riooorrnrrl
llf vrs l] ,o
EXlSTIric irPlf,V:olrj lRgA: _-*- 5Q FT
ll8, IlrPEiVl{i,S llBln: _ Sq :i
;cl,tL aaR,-.5 Ji5 r.rFBtt:
tf:!l LArl, Dltrl 'l:1NG r,iltfilI:Y€5
II
^o
hlrlR:
I (Fpua I cr*.ulll:v sv 't': ]1 ti:rr-: riLr -- cat.'tr- 'r', -
lEr€n; l-1 r.111q i-;:t,'i11 ',r'-:: I:::u;li SE.-:a --,::"r.r':-.. i. -.."
,lynglT ,r:no, f cr:r, l]l crtcx (!^yaBLt r0
r,c) l] r*:orcqr
rrpness
l] xrvlsr l] arsco*,
Att.o"al:-
-t
a:!t.- 0._':t .-' iLoai)
L 'r:- -.1,(: '::,c(5
N. *gqq6,m':Ic,/$yn".'1
Wr
PTiON€
':
{
rS--i140
QdrilbqNEW HANOVER COUNTY BUILDING PERMIT
APPLI.ATIaT TYPE; RESIDENTIAL
PLEASE ANSWER AIL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICATIOI{
Number
(Office Use)
DArE: ,/
& l-.1<APPLICA T'S t,N E:
DEVELOPER:
PIONE #:
PRO]ECT ADDRESS:
SUBDIVISIO{:
f LCITY:
ZfP: _
\oy
BLOCK #:
q
LOT f:
PHONE
#:PROPERTY OUNER, S T.IA,'IE
:
Olr{ER'S ADDRESS:
COIiTRACTOR:
ADORESS:
EI'IAIL ADDRESS:
PROJECT CONTACT PERSON:
\CITY:
LICENSE f:
N/n
CITY:
sr {\)(-., zrp:
sr:AL- zrP:
>9W3
rI
P}ONE
#:
PHol'IE *:
EXISTING CONSTRUCTION:
NEW CONSTRUCTION:
tr ERECT NEW RESIDENCE oT
R ENOVATION
I oeruenar nrcarns
fl RELocArroN
tr ADDITION TO EXISTING RESIDENCE
PORCH
_ SF
STORAGE SHED
p,(renarroru
p
! nrr caRace
-
sF
tr DET CARAGE
_ SF
POOL SF
tr
SUNROOMSF
I enrrmnouse
_ sF I orcx
_ sr OTHER:
*,.PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT:
TOTAL HEATED 5Q FT:DER
RooF: .l{C ToTAL AREA
sQ FT:
_
# oF sroRrEs: -2fu^e)
Uoo
SF
SF
TOTAL PR0IECT COST rress roo : $
RIPTION OF ORK:
e
TOTAL SQ FT UN
Q,.',too
Is Any ELECTRICAL, PLUI'iBII{G or IIECHAI,IICAL Work Being Done
to the Accessory Stnucture?
[ V"t [ ruo
If the project
is a Relocation, is thene a NaturaL Gas Line on the Current Site? [ Ves [ ruo
Is there Electrical Power
on this Building?
f-l v"t [ruo
pRopERTy usE
/ occuPANcY,
! stuert rnNtlv
! oue r-rx
fl rowruHouse
t\\-f;t\C
DISCLAIMER: hereby cerl
t d-Lala
aton is
conecl and all work will comply witr tts State Building Code and att oher appticabte Slale and tocat taws
proved plans and spec fcations orch
Siare
00"'
*,** * *t +* *+,t,t * )t
and ordin ances and rcoulalions ThB N H C Developmsnt S€ Nices Cen ler will be notfied of an y changes in he ap
contacbr inbrmation "'NOTE Any Work Perfomod w/O
tleluEopriab Pormits will be in Violaiion ofihe N C
OI.INER/CONTRACTON:
4\PCt..( \AVK^.- SIGNATURE
(r-"a l.,"*) .
i. + + + + ,i + x. ,* )i :t + )r ,r
* * :i + * )k + + + + * + + )i )i ,i * rt + ,f * * * + :t :i + + + * ,i * ,| ,t * * ,* + ,r ,r
* * * * *
rs rHE pRopERTy LoCATED rN A FLooDILATN?
fl ves
EXISTI]iIG IiIPERVIOTJS AREA :
NEW II4PERVIOUS AREA:
drc
TOTAL ACRES DISTURBED:
ExIsT LAND DISTURBING prnrtrr: l-''l vrs fl rc
SQ FT
5Q FT
},IATER: ETCFPUA
sEwER:
Ef CFPUA
! crrurnar srerrc
fl PRrvArE sEPrrc
f] comNururrv svsrem
I enrvare wrrl
!CENTRAL WELL
COI.IMUNITY SYSTEItl
*** SEPARATE PERI'IITS REQUIRED FOR ELECT, I{ECH, PLBG, 6A5 EQIJIP, PREFAES
& JNSERTS ***
pAy Er,rT rirETHoD:
fl csx I cnecx (PAYABLE
ro uc; [ *renrcAN ExpREss
fl m.lvrso
I orscovrn
******{r:}*,i,t**)******,*)*+*)*,*)r**,t,t,t,*+*,*,t*)t,t*,t)*)r)*****+***:r)r**)*,r**+*)******,r,******:i*+**,**,**,*,*,*)*
(FOR OFFICE USE ONIY) SEVISED DATE O4l11l12
ZONE:
_ OF FICE R:SETBACKS:
F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD:
_ BFE+2ft=
AVN E=TT
,\f\ - -
\-\ .t
",ffi.,
..1,l-
1-{o-uYr-qo1e
Qolt-l/ bZl
r(- 1i{c
NEW HANOVER COUNTY
BUILDING PERI1IT
APPLICqTTaN
TYPa: RESI DEill IAL
r rr59 r-..."4r
1:. 1.:<1:^\(:Fr: :a1,.a': !a.!r p.-.'.r
___"Project Xesporribilitf'
1
I ,rriu . .APPLTCAIT',s nfict : 1'-\ng-"-
oEv€LoPt8;
9RO]ECT ADO
h a9pLICAlJOl'l
tluhbea
(0{ri<e !s€)
onrr. I3. -l ,:,(
PHONE
Fi
Rfss:
suEDJV:si0r,r:
PNOPERW O$JER'S NAIE:
onrER,s aoDREssi
lLo \- a
CONTRA(TOfi I
ADOR ESS
PRoIECT
C iTACT PFA50{: r;-! :
t .1. ' r ,^ ,..[16c, g11Y'
C1'lYi
r-lctftsE r:
CiTY
*lt
zr?:
k,;-,PHONE #
EXISTITG'ONSTSUC'iJOI :
5UtiRCO4
5T I JL, ZtP:
5r :AL zrp:
>g({ <
Qtn.t'\','i
pHom€
f:
PltoNt g:{Y
\ rr
r...;
/AL::;urrot E ostc',,arrct Ice1,,t:rar aerirts I q€LocaTr0r{
Ntl{ codsTRucTlot{:
I rxrct NElr REsIoEME or
f aoo:rtorr To
ExIsrr 6 RrstoENcE
..PLEAgE C'{EC( A'ID AI{SI{ER SELOTI AI"L THAT APPLY TO YOUN PRO]E''I:
I rr: cna,rct
_ sF
L sroRAcr
C'i€R r A
TOIAL HEATED 5Q i1: _ IOIAL 5Q FT UND€R RCOF:
_:1_*_ TCIAL AREA SQ FT:
__
TOTA! pRolfCT Cost,"... ",, , S (,:',i s Of sroilEsr .' .: -..
i5 Aiy aL[(IR]CAL, PtuIrrig o. ]lt(llAl{t(Ar No.k Being Oone to the A((€!5ory
Strr(terel I Ve: f, Ho
If the p.oje(t is a Relo.Jtisn,
is there a Nrtu.aj Gas
tine on the Cu..ent
Site) f] V"s [ rc
Ir there Ele(t.1cal po!,rer on ibis Esiidirglf:""r f]lo
PROPIR1Y uSE
/ o(CUpANcy:
[] ltvCrr rr,:.r f ruritx f -1+JHoLSr
sr
I orr clnaer
_ 5r
f eool
_- sr
f_l oe
cx
__ sr
f rorcr
: sr
..al 5;
5i6R EEIiHCiJs E5r
oEsrRlPrION 0F r{oRK:I z^'\ \ .\ ( \\ l\r, :
:i"\
&'a o,c.rnr:a. Jnj,et( rr..^1 J.,F. r; r!.,n!.Jr.,r-
p(
Oi./t{ERlCOtTTRACIOn : al
),e
ZofiE: _E__LJ0FrICrBi
itrlii {rfr)
SICIiATURE
s:"i.,,(Ks: i
t}li l( rlooo:
_.-
.LL'
YE5
ti0
x Br t+2ft"
Is rHE pRopERw Locargo r{ a rlooopurrl
n yrs
EXISIIM II'P€NV:OUS ARE^:
-_
5Q F]
NII{ IIIPERYIoUS nREA: _ 5q FT
l.lArERr
I rrnur ] cou\uNrry svsrr..r
! Fn!vA-r:
rdalL
] crrral,- r,rr..
sEllER: l-.--l t"ruq I arri l:iAL
1ip-ti il pr:vat,t 5€P1!a l-: ;r.!/'LN'-r 5:':-ru
..' slpAR.qtr pexxlls AEQuIle0 rci [LtcI, r'lEcH, p136, 6As €QUIP, pR€fA8S & 1ir5a8t5.r*
paynrflT
rrrHoD:
f, cosl
f] cxrcx (paYABLE
ro
rrcl f *:n:cm exon:ss
[ ".lrrro I rrscov:*
'io
TOTAL ACREs DIS;URBS':
EXIST LANO
DISTTJiEIN6 }tRMIT:
App.oval:
-
crty j-- D,l:i
.$
Ns !,!S\S'on
*a g6$l^t
7t
ELOCX r:
\}.4--
D \{{-&nHrusy
i{4atj
APPL I CATIOT{
Nunber
(O+fice Use)
;r .. .
NEW HANOVER COUNTY
BUILDING PERI{IT
APPLICATIan TYPE.. RESIDENTTAL
PIEAST ANSI{tR
AIT QUFSTION5 APPLICABLF TO YOUR PRO]FCT
..project Responsibility''
ffi
APPLICAI{T,S A E: Fs
LLC dbaack
DEVELOPER:
PRO]ECT ATX)*ESS:224
Drive
SI^BDIWSId{: The Cape
Pll(I{E
*: e1s
CITY: wilminqron ZIP: 28412
BLOCK
*:LOT
*: 130
CITY: wilminqron ST: NC
ZIp: 2841.2
|-ICEIISE
*: s3?7s ACCO,{T
*:
CITY:ST: NC
ZIP: 27?05
PROPERTY qd{ER,s tlA
E: Viinia Beu H
o[I{ER'
S AIDRESS: 9224 sedqelev
COITRACTOfl: Fs
Ltc
AITDRESS: 4122 Benne
tt Memori
lRd
Ramck
E ATL ADDRESS:denise@ra(nT ackusa. com
PROIECT COITACT PERsdrt:
se sykes
Plrc E f: 919-309-972'l
EXTSTT{G
co srRucrro
:
! arrrnarron
I nrrcvlrror [l crrenar nrnarns
I RELOCATTON
NEI{ COI{'TRIrcTIO
, ! CNrCr NEH RESIDEI{CE
Or
! EOOTTTOI TO EXISTI'{G RESIDEI{CE
iTPLEASE CHECX
Ar
' AiSTER BEL6I ALL I}IAT APPLY TO YOTN PROJECT;I arr eenaer
_ sF ! oer camer
I-l suNnocr.r <E
! eRermrousr
_ sr
Is Any ELECTRICAL, pur{BI G or IiEC}UUfCAL
t{ork Being
If the project
is a Relocation,
is there a Natu
sr I-l poncx qE
I sronler sHED
_ sF
SF OTHER:5F
TOTAT HEATED
Se FT: _ TOTAL
Se FT UNDER ROOF:
_ TOTAL AREA
Se FT:
TOTAL PROIECT CoSTlressrog
: g z:soo.oo # OF STORIES:
Done
to the Accessory Structure?
[ Ves f] f,fo
ral Gas Line on
the Current
site? [ ves I Ho
ves
l-l roIs ther€ ElectricaL poh,er on
this BuildinglI
mopERw usE
/ occupAr{cy,
[l sruclr rAflrLv
! wer-rx
! r0{NH]usE
DESCRTPTIOI OF
H,RK: Helic
alD].ers uere
installed to thefront Dotch aod
waI.l in .ltrne2077
wiLh a
t Permit e
ired due
to on-New
vork includas helical
OSC1AIXER lttcBby co.lity hsr a inbrmation in hisaDplbaton is corrsct snd sttwort wi[ clmptywih i|€ StstsEuilding Code and
dt oh6r sppticsble
Slsb atd bcrl tswsand
odinences
dd lBgul€tk ns The NHC DevetoprEnt S€Nic6s C€hbr will b6
notfi.d o,
&r t side.
or chang€ h contr&tcr or
Fines
th To
$50O.0{r.'
co.tebr irbm6{on_ '-llOtTE: Any Wo.k
Fs.fcm.d WrO
t€ Appropriab pemlts wilt b€
0II{ER/COIIRACTOR:
pe4ise svkes
ey changes h
te spprovBd pt6ns atd 6pecif..lbns
h \rrobt'on of tl'e NC
Stab Edg Cod€
s'd S$j€,ct
b
SIGIUITURE
: a4 *e-
:|* ** **'r + * *:*:r:r l.* ** ** *** **** *91'l! rl?1"1t,t *:* *:*,* t*:t * * it:f +:l**:**)t**:** * ri,t ,l
* ri
*:* *,i* L:* * * +*,t * *** *,* rt*,t *,krs r{E pRopERTv LocarED
rN
a rlooopurrl
l-l yrs El xo
EXISTT
6 IIPERVIC,S AREA:
-sQ
FT ToTAL AcREs DISTURBED:
l{El{ IiIPERVIot
S AREA:
_ Se FT EXrST LAND DrSTURBrr,tc pERnrT: f-l ves l-.1 nO
TATER:
SEUER:
CF Pt,A
CF PIJA
I comrunrw
svsrer
f] pRrvArE wELL
I crrrml wrrr
I crHrmr
srrrrc
I pRrvATE sEprrc
f] coulrurrw svsrru
r.. SEPARATE
P€Btrrs REQUTREO FoR
ELEcr, ilEcH, PLBG,
Gls EQUrp, PREFABS
& rr6ERrs .r.
pay,'rEir
rErHD:
I c*r,
f] cnro< (pAyaErE
rr, *rl f] srLi
ffc(Ir.r ' tr *-*- - E1rr.*..rtrt
if:l *:a +:*** * * r*,* ** * + + t* *rt*.* **:t:t t*,4:t * ** a* J,l.i* *i rr**++,*i!*a(*******rtti,i*!r,i*+,*:trr*t..i** )r*,**a*a:t+:a
(FOR OFFI'E IJSE OILY) REVISEO OATE O4l11,/12
SETBACKS:
F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD:
_;_
N
BF
E+
DATE: a2/2/as
PIO E *: e1o-231-oGBs
PtlOtlE
#: 919-308-G48?
fl coor
_ sr
! oecr
_
ZONE:
_ OF FICER:
x fvc pL{Ns
'6
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSI./ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECI
"Project Responsibility"
Jots- Ivx,
?ELts-3437
APPLICATION
Number
(office Use)
APPLICANT, S NAI'IE :
DEVELOPER:
DATE :
?
PHONE #:
PRO]ECT ADORESS:
SUBDIVISION:
2OO la t/E 6P435 a'-7'CITY: h).' Z.a'2,)l4 fa,<)ztPt
zt4a5
PHONE
#:?to.2?z
-zt/a
srt.^k-zrPt
zg/At
NO
TOTAL ACRES DISTURBED:
REVTSED DATE 04l11/12
PROPERTY OTJNER,, S
OltlNER'S ADDRESS:o
NAITI E :
c.7- CITY: h),-zt 4,.naira,4_)
CONTRACTOR:
ADORESS:
?,za ,1. u I ?-
LICENSE #:
CIT': lJt'/z*r,,,draJ sr: Pc-zr.P
i Zg_Zo5
PHONE #:
PHo E #: ?/o 2V7-2//a
SF
! sronnee sH eo SF
SFSF OTHE R:
pRolEcr c(xrAcr pERsor{: -ZAc /t tzv h )i tc, >-
EXISTIN6 CONSTRUCTION:ALTE RATION pl neruovarror
! ceuenar nrcnrns
!RE LOCATION
NEU CONSTRUCTTON:
n ERECI NEr.l RESTDENCE o" ! AOOrtrOru TO EXTSTING RESIDENCE
**PLEASE CHECI( AND ANSWER BELO,{ ALL THAT APPLY TO YOUR PRO]ECT:
! oer eannee sr
! eoncn
-
sFATT GARAGE
-
SF
suNRooM
_5F
GREENHOUSE SF
POOL
! oecr
rorAL HEATED SQ Frt1fiye- TOrAL SQ Fr UNDER aoor: ?fro TOTAL AREA SQ FT:
TOTAL PROIECT COSTtressrott : $/5 cfr.@# OF STORIES:
Is Any ELECTRICAL, PLUlilBItlG or MEGHA ICAL work Being oone to the accessory Stnucture? frl V"t I ftfo
If the project i.s a Relocation, is there a Natural Gas Line on the current site? [ ves [ ruo
Is thene Electrical Power on this Building? @v"t [ ruo
pRopERry usE
/ occuPANcY,
flfsrrucrr rnmrlv
! ouertx TOWNHOUSE
DESCRIPTION OF WORK:A/,,4
lrzioe
0)oRK
DISCLAIMERT lherebycehar att infomalion in hrs applicaton is
co(ect and all work willcomply wiih he Slate Bu ldlng Code and all otrer applicable State and local laws Ol" t
and odinances and regutations. The NHC Oevelopm€nr SeNicos Cenbr wrllbe nolifed ofany changss in he approved plans and sp€cificatjons or change in conlracbr or
contaclor rntornalion ^^'NOTE Any Work are Permits willbe in Violation ofihe NC Slate Bldg Code and Subieci lct Fines Up To $500 00"'
O[,JNER/CONTRACTOR :Z,*ruo.KJiK?xSI6NATURE :
,<* * + + +r. * ** i. + +,t *,* x
*1.1.* * )i *r i. x*)i***:****)*****)tx,*+*+++*+x***x**,t,t{.i<**r(***r<r<1.*,t,i{.*++:}+
IS THE PROPERTY LOCATED IN A FLOOOPLAIN?
EXISTING IIIIPERVIOUS AREA:
-
SQ FT
NEIJ IMPERVIoUS AREA:
_ sQ FT EXIST LAND DISTURBING PERITIT:
l-l Yrs
l-l ruo
@.,
@.,,eun
! cENTRAL sEprrc
! enrvnrr seerrc
! coMlYUNrrY sYsrEl4
I cowururrv svsrem
! PRIVATE wELLUA CENTRAL WELL
/.
P
TERWA
EIIEs R
YES
(FOR 0F EIaE U5E oi,lLY)
SETBACKS: F
n E
*** SEPARATE PERI'IITS REQTJIRED FOR ELECT, I'IECH, PLBG, GAS EQUIP, PREFABS
& IiISERTS r'*'i
pAyirENr r,rErHoD:
I cnsl ficnecx (eAvABLE
ro Hxc;
[ +renrcAN ExPREss
E ra/rtto I orscoven
,****,t1.*****i.+*,**,*,**)t+*++**)***)*i<*+****)t,*i!,*,*)t,i***,*,****************r*x'***{:l"t't+***,r+x*****,r+r'
ZONE :OFFICER:
Attr Nh nurqlPLH
8F E+2ft=
N
Appnoval:- CitY:- DATE:- FLOOD: -
B
d{ oo-
BLOCK f: LOT #:
-
Ei,UUL ADDRESS:
Taku)l rco*@- wauqz. c.m
Oa
N
/'-NEI,J HANOVER COUNTY BUILDING
APPLICA|TON TYPE.. R ESIDENTIAL
Iulrt tb%
prnr'lrr?EZ
153$1
APPTICATIOI{
t{ui6er
(off1.e use)
,q /",
PLt)'.3E AIISIER ATL Qi,]:Si:ONS APPI1CABLE TO YOUR PROJ€CT
"Prcject Responslbillty"
APPLICAiIT' 5 f{rU4E :
OEVELOP€R;
CIW; lt., z.,Dz,))d 7?,<)
cr* CIIYI A); /,,'4.',,1/?'L,
DATE
PHOI{E #:
zIP: Z l4€5
LOI f:
PTNONE f 17ro.??z .
zt
gl t
^*:,.ztP
|
2f44s
sf I
L!.zrP I
zzz"5
PHol,IE # I
PHONE
#:?/o 7/2.2//c
PRO]ECT AODRESS
sUBoIVIsIoNr BLoc( *:
2rk; 1o!/t /i.?42) (1'
PROPERTY OM.IER'S I,IAfi E :
O*NER,S AODRESS:
E
ai.)
CONlRACTOR:
ADORESS:?nr, 1 L,,2,!19 a z''
LICENSE *:
CITY: /-'// Zz/,','6, n J
EttAIL ADDRESS:
;i
PRO]ECI COTITACT PERSON:
SUNRoOH
_ sF
6R E EMro(rSE
_ 5F
Exrsrrilc coNsrRucuor'
x ALTERATToN pl neruovlrroN
I cenennl nerarns
I RrlocArio'r
NEB COI{STRUCTTON'
fl rnecr flEt{ RESroEt{E o"
D ADOrrrol To ExrsT]ilc RESTDEN<E
,.PLEAsE CHECK AI{D AIiS}TEi SELOT{ ALI THAT APPLY IO YOUR PRO]ECTI
[arr crue:
-
sF ! orr clnaoe
-
sF
I PORCH SF
5TORAGE SHEOPooL
_ sF
DECK
_ sFOTHER:
sf
SF
TOTAL HEATED sQ F t',:
17(C TOrAL SQ FT UNDER ROOF: .* TOTAL AREA Sa fi : ?0c
TOTAL PiolEcT cosT (Le3s
Lor) | $ /5,,
QIirlA S OF STORTES:
Is Any SLECTRICAL, PLt BaItiG o. IIECHAi'I:CAL i'brk Belog Done to the Accessory Structu.e? &V"t f] no
1+ the project
is a Relocation, :s there a Naturat 6as Line on the currenil Slte?
[ v"t I lo
Is there Elect.ical Powe. on thls Buildlngl plves IHo
pRopERry usE
/ occuPAiKY:
E srrucr-r raurrv
fl oueLrx T0l.lMiOUSE
'/b 2rzz, " mDESCRIPTION OF IiORl(:,*r/..',2r -t.,zz:-
//..1P 6/.ai,ec,, .,/6 4",rd, //r.rr,Z/,
/.aa .,z
//.'tZ/oE
IDaRK
a d
odanaoclr tnd ,lgtrlrboasi Tl\a NH C DeErrprpnt &db€r Cenci ri{ be
^olfrd
o, any ciangos h
ta appovBd 9lets and sp€cifta'ions o. .htue i r
clrl ra.b. o,
OISCI-AIMERI lh6'ebvhsl a! nbrmaion in
t|i6 applrcaiin ls
co@ct rnil aI wort l/vill cnmply rih h6 sr.rl6 Euildin9 coilo and d onw 6pp&able su! drd locd
liiri oiL/,
.ontacbr 6bda!o. "'NOTE Anywork\rY/O t.Appop,isE Pemits w.ll b6:n Vbladon o,nt6 NCSr5E Blra Code &d Sdbtecr b Fhes uD ro 5500 Oq"
Z**lL)i..,r5IO{AIURE :ol,{NER/C0IiTRACTOR:
r5 THE PROPERTY LOCATED rt{ I rlooOeur r f, ves
EXI5T!I{G IIIPERVIOUS AREAr --SQ FI
* r1* t,r t *tt + ,r,.
t a 1t *,t t* * t*tt,*!.* t* 1,la*,ar,3'*r '*:tr* r
t i*+*1rt+**r*r**rrlt,r
NO
TOTAL ACRES DISTUREEO:
NEW IMPERVTOTTS AREAi
-sq
rT ExIsT LAND DISTURBTI{G PERnrr:
n VrS
fi rO
warrnr
fficreue I cnwwrrv svsrrm
f IRIVATE !]ELL
f, crnrul we ll
sewen,
fifcrnua f] crnra*l seprrc
I PRTvAT€ sEPTIC
I co+lt'turu;rv svsrru
TA' S'PARATE PEN'IIIS REQT'IRE' FON ELECTI iIETH' PLBG' GAS TQUIP' PBTFABS
T INSERT5 *'T
PAYiIEMT
'{ETHOD:
E cosr,
ff cxtcr (payaBLE ro tarcl flanrnrcm r*nrss f] t.lvr*f] orscoven
i* arrrlrra*t,ri.** **** * i***** l** * *** **** ** ** t,t*t *** ttl I
****t* '* *ri *a** * ***+*:*,**.* * **i a* * *, *
(fon orFI(E rJtEil{rY)aavlsao DITE aallr,,12
ZONE:OF F]CER:
Approval:- city:- DATE
lln*'aior rn'c
SETBACKS: F
N,fr ur:i4] nir:i\r.S e; r"ig
P'ie
:\Z1t'!5 plooo:
vY-
ortly.
3FE+:+t-
!i
ffi
c0,.,^1
7€z
s-1i38
RECEIVED NOV25 2OI5&ot,lhb7NE[^I HANOVER COUNTY BUILDING PERMIT
aPPLICATId't TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(office use)
PRO]ECT ADDRESS:
43? suior Rd
SUBDIVISION: ocean Forest Lakes
OhINER'S ADDRESS:
437 superior Rd
CONTRACToR: christopher Alan chadwick
ADDRESS: ?
518 Erie cr
EI'IAIL ADDRESS: cac o4 o2@ner zero. ner
CITY: Wl lmlnqton ZIP :,
'79
284t2
CITY: wi lmlnqton
BLOCK f: 4ooLOT #:
ST: NC ZIP: 28412
ST:
l!_ ZIP : 2!.3_lZ
LICENSE f: s3s12
CITY: wi lminqcon
PROIECT CoNTACT PERSON: Chrls Chadwrck
EXISTING CONSTRUCTION:
! alrrnnrrOru
[ nrUOVnrrOH
! CerutRnr Rrenrns RELOCATION
NEh CONSTRUCTTOU:
! rnrCr NELI RESTDENCE
o" I nOOrrrOt TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWER BELOII ALL THAT APPLY T0 YoUR PRoIECT:
DET GARAGE
POOL
240 sr
! eoncH
-sF
ATT GARAGE
-
SF
suNRoopr
_sF
GREENHOUSE 5F
SFSF
5F
STORAGE SH ED
D ECKSF OTHER:
TOTAL HEATED SQ FT:
o TOTAL SQ FT UNDER RoOF: 2a0 ToTAL AREA
5Q FT: zeo
TOTAL PR0IECT COST lress ro0 : $ zsoo.oo # OF STORIES:
Is Any ELECTRICAL, PLUI,IBII{G or IIECHAI{ICAL
Work Being Done
to the Accesso.y
Structu.el
! Ves @ Ho
If the project
is a Relocation, is there a Natunal Gas Line on the Cunrent
Site?
[Ves I No
Is there Electrical Power on this Building?[ves I No
PROPERTY USE
/ OCCUPANCY:SINGLE FAI4ILY DUPLEX
! rowruHousr
DESCRIPTIoN 0F WORK: Detached 12x20 storaqe Buildlnq
and ordrnances and regulaiions. The NHC Developmenl Services Cenier willbe noiified of any changes in ihe appro!€d pLans an
coniraclor rnbrmalion. '-NOTE:Any Work Performed w/O he AppropriaE Permitswill be in Violatbn ol ihe NC StaE BIdg SU
$500 00'-
0t lNER/CoNTRACTOR :
** * * *** *,t** ** ** * ** * *** *1. )t:*
l"SI6NATURE:
*)t ** )** )**
** )*** )** )**
*** * * *,* *,* * ,r,* )i,r,r *,** )t
* )t
* )t*
** )**** **)** r*
*
I5 THE PROPERTY LOCATED IN A FLOODPTAIN?
E YES
EXISTING IMPERVIOUS
AREA: 28OO
NO
SQ FI TOTAL ACRES DISTURBED: O
EXIST LAND DISTURBING PERMIT:YES
lErcNE[,J IMPERVIOUS AREA:
l!3!_- SQ Fr
WATER:CF PUA
COMMUNIry SYSTEJV]PRIVATE WE LL
sEr,JER:
f] crcua
! CENTRAL sEprrc
I enrvnrr sEprrc
f]
CENTRAL WELL
COMI1UNIry SYSTEI4
i*' SEPARATE PERI'IITS REQUIRED FOR ELECT, I,IECH, PLBG, GAS EQUIP, PREFABS
& INSERTS **'
pAyilENr r,lErHoD:
E crsx
E crrcK (PAYABLE
ro NHc)
E AflERTcAN ExpREss EI ,cTvrsr I orscovrn
*,*)*)*,*,*,*r**r**)**,***+**,*r*+*)*****rtr*)*)**,**,t**+*+*)**,t )t*)k)t**t )k**)kr(*)t)t)t*)*)i)t*)*rt)**r**+*++,i,****,t*1.,k,k,t,t
ZONE:
_ 0F F
ICE R:
(FOR OF'ICE UsE OI{LY) REVIsED DATE
O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
Appnoval:_ City:_ DATE:- FLoOD:
-
BFE+2ft=
-
Comment :
N
PERMIT FEE: $1t
j
ffi
APPLICANT'S
llAilE: chrisLopher Alan chadwick DATE:
_llllll2!l:_DEVELOPER: PHONE #; sao-352 7il.t
PROPERTY OWNER'S tlAIilE: Robeit A. widenhouse PHONE #: 910 233 8834
PHONE #: 9ta-3s2 iltj
PHONE #: 9to 3s2 't'tt]
a
L€Z \5- 5I?\
JoPht6q
AppLrcATroN' I
Ilmb€n
(Offi.e Use)
NEW HANOVER COUNTY
BUILDING PERMIT
APPLZaTION TYPE.. RESIDENTIAL
PLEASE ANS}JER
ALL Q]JESTION5 APPLTCASLE TO }OUR PROJECT
..pEject Res pons
ibilitlp
APPLICATIT'S MI,IE :
DEVELOPER:
.'
PRO]ECT ADDRESS:
SUBDIVISION :.d
PROPERTY
Of{ER'S t.lltME:
olrlNER'S ADDRESS:
CONTRACTOR:
l+
ADDRESS:
EMTL ADDRES5 :
ntr
ATT @MGE -.- SF
suNRoo4
_ sF
GREENHOJSE
--
sF
I
LICE SE *i _ ACCOUT,IT
*:
CITY: LJ
DATE:ll-cf-/5-
PHOIIE
#:
o--1'Ll+
ZI:Pl
LoT
*: I tB
PHONE
#:o-LL$-121+
sr:
^rc_zrP:zqa
o /
to,-r ST:
!)g ZIP: L?+o /
U
P
crw
aqr{
CITY:
BLOC(
#
[-.
PHONE
#:
PRoJEcr coNTAcr nrRsorur
Rv s
s< I
I r-JoU, r.re f{o.,-rqr{. pHoNE *: g112--}zg:J2-l+
DGSTTNG Cof'rsrRucrroN:
I ar-rrRarrolr
I neruovarrou
I eeruenar_
neearns
fi RELocArroN
EN COfiSTRTETIOftt,
I tnrcr Ehl REsIDEtrcE
or
I aoorrrw To DG5TING RESIDET{CE
**PLEASE CHE.C( ATO Afls}IER BELOTI
ALL T}I'IT APPLY TO YOI,R PRO]ECT:
I orr oaaaoe sr
I eoncH
_-- sF
E ffi:- ",, ?,#T:.#h. ,-",-,,'J
TOTAL HEATED SQ
FT:
l60o TOTAL
Sq FT UNDER ROOF:
-
TOTAL AREA SQ FT3
I bOQ
TOTAL PRoJECT C05T 6assr_os I g lopoo # oF sToRIEs ! a
rs Any ELECTRTCAL, purABIl{G 0r r.rEcflaNrcAL
work Being Done
to the Accesso.y
strqcture? [ ve. [l uoIf the pnoject
is a Relocation,
is there a Natunal Gas Line on the Current Site?
[Ves [l Uo
Is thene
Electnica] poh,er on thj.s Building?
[Ves ffiruo
PRoPERW UsE
/ sccuP4Ncy,
I sruole rnnrr_v
! uter_ex
I roururouse
DESCRIPTfON OF UOR(:
r. I
o. .r-f . l^' ,or--e
DISCLAIMER I helEby
c€nit hatatl hbflfiator, h tt
and odinanc€s and
€gutadons The NHC Dowlopm€
oont@b. inbrl113ton. '-NOTEI Any Work perf]nn€d
i6 applcalioo i6 car,lcrand
sllvp.kvjl complywih he SEE Buildhg Oodo aod dt
etlor applcable SEb sfld lo€J
nt S6rvic€s Can€r witl be
nodfud of any ctrango6
h tte arpro v€d plan6
&d Ep€cincatons or chengB it con!-aOr
W/O $6 AppopriaE PerniiBwll bs in Vrolaton of t,le NC S 6b l+ To
ol{NER/CONIRACTOR:a PC
o.,rorq(sl6ltATune:
4
*i*******+****r*********** JIiTi*+ + *** ***+ + t+ * *+*:B*** *:*+ * ** + +** i: x+***** !t***
rs rHE pRopERw LocATED
rN a rlooopurHl
l-l yes
El uo
ToTAL ACRES DISTURBED:
3I+AcrEXISTING $IPERWOUS AREA:Ir-
NEhI IJiIP
ER\fiOUS AREA:
-
e
E(IST LAI{D DISIURBI}'IG
PERIIIT:
I-] VES J-]1 ruO
SQ FT
SQ FT
TTATER:
I creue
I coux,4uNrry
svsrem
f] pRrvATE wELL
I ceurntr_
well
SEHER:
fi crnua
I CENTML
sEpTrc
! enrvare
seprrc
E co{vruNrw sysTEM
.S' SEIATATE PEA,uTS REQUIRED FOR ELEC?, AECH,
PL8G, GAS EQUIP, PREFAES
& IUSERT5 ,*}
pAyr4Er{r
r.E*ioD: fi casr
fi.reiK ('A'ABLE
ro *r,"1
["r., *.*,il- '--.;;-- D;rr"*r****:l !i)i* *:t* ***:i:*+******x*****;t:!t** *:t*iht+:****** **:a:!:tr!*raf :t*,i** *
*:t * r*
t rt
+:f ***:ii*+
t**:t **:t* rt,t .t rt:*:t
,*r'R'\b oFFrcER:
(roR oFEtcE usE oraLY)
eppnovar:
DIL city:(,{)lLIV\ onre:
15 rr-ooo,
Conrnent:
atrY^. 6z1'stt\n citJ
S EIBACKS :r:30' u:--[Q' nri:
lD'et25'
l"nrY BFE+2ft=
-
Ofi-PERJ'IIT
FEE: 9
re- mos+
Veveft\o{ed+c.o.
8EVISED OATE
Atl11/12
&cc_eE.'
*
A
l
rY\OEt be pil.recl PYLOr.l-o$lrr
Aor
L t*)
ffi
APPI.:CA'{T'S IIA}TE:
DEVILOPER:
aolr *llbl(
ls-s3s ?
APPLI('TIO'I
Nunb€r
(Of{l<. Ur.)
NEW HANOVER COUNTY BUILDING PERMIT
APPL I cAr I dt rYPs: R ESIDENTIAL
PLtASt AitrEn AtL Qr.l:slIGns AP9LICAS!a rO YOUI PRoIE(i
"ProJect Responslblllty"
AD r v;,t-s rtrr
f.N !.1avrca.- Co.,
t*^,-{ cr<.
PHOI{E
':PRO]ECT ADORESS:
5U80MSI0 :
z.o+o +^-*-r?r<o !J D 'c . CITY;
ZIP: ZBto (
PR@ERTY O'I;R'S M}tT:D- tL,r u1\rCLn .r
BLOCX *: _ LoT f: _
P[o{E
r: I o -5 Za '97cc)
g}ftER'5 AOoRESS: Zc t+m ilrLllnralo -91 1 si
t 71p 2LB+a 1
<t
9116; t2-1 r!,
Cr*COITRACTOR:
AIX'IE SS:
tl
EIiAIL ADORESS: (tcV - i!
^J
borE € q-l'oo . .- ",rtRr'-L A..r{,.,
f] surunoom
_ sF [ rcor-
_ sr
flenrrxxorsr
-
sF E orcx 8a sr
I.ICENSE I:
CITY: lJto"*r*t fc'-
,r,4f!ur'j1.€Il>
PBOaIE S
nane
t, ltC - toz z-'s165PRO]ECT CO'ITACT P€RSo.I:
EXrSTrr6 Co.TSTRUCTTO : $| rlrenarrON
I nrlwrrror ! crrenal nrnnrRs
I RELocarror,/
EH CoISTiUCTIO ,
f) :neCr flEt{ RESIOEilC:
o.
I AOOrrrOl TO ExrsrtilC R:STDEICE
..PLCAST CHECI( AIO A},ISI€8 BELOT' AIT IXA] APPIY TO YOJf, PRO]E€T:
! lrr eauee
_ sFDEI GARAGE
-
SF
! eoncH
-
sF
! sroraer sHED
_ sF
oTHER: SF
TOTAL HEAIED SQ FT:
\Z.O TOTAL SQ FT UNDER ROOF:
.ZL TOTAL AREA SQ FT:
TOTAL PROIECT COST
rr*"uoo : $Z9.oao
Is AnyitECH IlCAL work Being Done to th€ Ac(essory
Structur€l @ V"r I Ho
If the proJe(t
ls a Relocatlon,1s
there a tlitural Gas Ltne on the cun.ent
site? [ ves f] to
Is there El.ectric:L
PROPERTY USE
/ OCCUP
DESCSIPTIOII OT PORX:
Power on this 8ullding7
E YeS
E*o
AICY :
tr SINGLE FAIII LYDUPLEXT09INHOUSE
Dtr
,rr*a z
PevrTanr 4E- ' F/EaJoar
*DD ) r,/0 1) €L*-
t--t t ,t/ 6 Lt<o ,,r'*'t/rc,Py'^42
t,L*
,; 7 wl. ,,J.+u-
t>D
DtsctataEFt rh.6by.6nt n.r .r hb.rnrroo h n,5
+plcan. . co.ncr 'ld ar ro.r sr corncy *,n n. sb! BoiLnc c.d.
rd d otEr .gpt -h soi md bc.r ln,s
sdd ordin!6c.6 ..d l3gdalonr Th. NHC D6wloplrlc^t S.tui.r5 Ca.br *i[ b. Etfr.d ol ey cht '9.r n tG 399.or{{ prtnG
5d 6paottttE.! o, ct'mgi n conlr.cn, o,
co.t*rc, .bm.bn "'tlOTE Any wo.t PGrbtr!.d Wrc h! ADplopnti Psm,B *,1
b. n V65lim ol tt€ kC
Sbr Bdo Codo
tld
O,JlilR/C@ITRACTOR :
7,"*l..rl,o
{P.ht nr..
r t 1. a a* r r+* + * 1'r r +a * * l1*r!t* ar tt, * r a
rs rHE pRogERTY LOCATEO rN A FLOOPLATI,
f] YES
:XISTIiE IIPERW(XTS AnEA;
-
SQ FT
IET I,,IPEIVIOI,S AREA:
-
SQ FT
fuftf :
$
SEEER:
[]
/._*k/; 4-rr ro l5oo 0f"
5IOIATURE:
i* t *
r. +
+.r **r rar r rrrr ++r'a **'r***i
S-rc
TOTAL ACRES DISTURBED I
ExIsT LAIID DISTURsIN6 PERI{IT: I vrs f] rio
CFPUA
N COIOIUNITY SYSTTI
E PRIVATE I,IELI CENTRAL WE LL
CFPUA
D CEi'ITRAL SEPTICPRIVATE SEPTIC CO.{iIUN I TY SYSTEH
..T SEPAIIATE PERTIITS NEqJIRIO FOR ELTCT, iECH, PLBG, GAS Eq.'I9I PRTFABS 8' IIGERTS I'
,orrra "rrr*, D a** E arra* (PAYA3LE to ,rx; I ue nrcu e rrr:ss E *r"to I orscov'*
"*'*".."""' "*'^";';;'i;; '[4il;:'s&s16frFs.,,
zoilE,
La oFFrcERi €xll "'j,T;l':,.:: I*iJX..-'g'S''*' .H'5',';x{
oro"orlil-l-K_ city:i^JILW) oArE:l:..tLl, t5Flooo: -' -
-
L.!,-X BFE+2rt=
-t1,141{ Sa*b ^cY^i.
a v I
i-"*,
III
D
S OF STORI:S:
l;-sss g
&o1s-/lb9l'- APPLICATION
Number
(offlce Ure)
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIOT TYPE: RESIDENTIAL
PLEASE ANSI./ER ALI- QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICAT{T'S I{AI'le : D \/-,<-q-S
iFraN
{*r,*p
{,tr..{ or-<
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISIOI'I:
zo+o t\ ft2]219o rl oa" CITY:W,L/\/r,i 6 I
PROPERTY Ohtr{ER'S I,IA E:De L[r,s r1\ uC
Ofr,rNER' S ADDRESS I UD
+O \3op Dt-CITY:,unrDe
CO TRACTOR:
ADORE SS :
DATE: t2 -3 -r!'
P}IONE *:
ZIP: Zg.to I
PHONE
#:f o -5
Z3 -??of
51; ,ri C 71p ' ZBq+ I
. LICENSE #:
CITY: N
ti.,'*n"; l"',,-sr:!@zre:
ru>-7c,-C5l,y\PHONE
#:
rl LAa)
EIiIAIL ADDRESS:
tr
- h! Da,ta
R-,-k- A."-PH6NE
#: 4ta' toZ z''31A5
EXTSTTNG CONSTRUCTTON:
$] lrrenarrOru
[ neruOVnrrOU !OerurnAr neelrns ! RELOCATTON
NEU CONSTRUCTIOI.I:
f] INCCT NE}I RESIDENCE O"
! AOOTTTOru TO EXISTII{G RESIDENCE
*,TPLEASE CHEC( AND AIiISI{ER BELOT{ ALL TH.'IT APPLY TO YOUR PROJECT:
ATT GARAGE
-
SF
! orr cannce
_ sF
suNRoot4
_ sF
GREENHOUSE SF
POO L
DECK8o 5F OTHER:
PORCH
_ SF
STORAGE SHED
TOI,JNH0US E
SF
SF
f,eVTannr Laq".44
Eln F/ad-"4 qJ'tut
*DD 'x/o D e:ck-
SF
TOTAL HEATED SQFI
i \?-Lo TOTAL SQ FT UNDER ROOF: 12/rp TOTAL AREA SQ FT:
TOTAL PR0IECT C0STrressrorr : $Z9 p6a
# OF STORIES:
MECHANfCAL Work Being Done to the Accessory
Structure? S V"r I No
E rroIf the project
is a Relocation, is there a Natural Gas Line on the Current Site?
fl v"'
Is there Electrical Power on this Building?
Mves l-l ruo
pRopERry usE
/ occupAricy r
s srrucle rnr.rrlv
! DUPLEX
E
DESCRIPTION OF WORX:€Uc t l// tp DN-,l<J+t,Z ae Z- ttt/. ',,/*tt-9
c,
conlaclor inforna6on. "'NOTE: Any work Performed W/O f'e Approprlate
tztt ,/ 6 Laao ,rz
Ot,llNER/CONTRACTOR :
7,*,4*</,o
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IiIPERVIOUS AREA:
-
SQ FT
NEt/ It'tPERVIflTS AREA:
_ SQ FT
I.IATER:
EI CFPUA
sEwER:
El cFPUA
Zt.*
Pormitswillbe in Violation ofthe
SIGNATU
trl k- -
/+DD
DISCLAIMER: lherebyce ir har all inbrmation in his applic.ton is
conect and allwork willcomply wih lhe Slate Building Code and allotrer applicable StaE and local laws
and ordin ances and rsg ulations The N H
C Developm€n t S€Nices Cen E. will b6 notfiod ol an y changss in t'e appro ved pbn s and speclfcations or change in con t-actc r
or
NC
Stab Bldg Code and Subtect k, Fines lJo To $500 00"'a1 .
RE: ,K-* A- -'6-'
,* ,t
* * + :t + 1. ,i ,t
* + * + + :t + * ,i
* ,* ,*
* * i* + rtr + * * )t
* * + + ,I ,1
* + + * + + + + + + ,1 )i + + + * * * + + + + + t :i + + )t
* * + rt
* )t )t
* * * + :*
* ,i ,t + + l + rt :f * *il FruoYES
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERIiIIT:
l-l vts fl No
cor.lMuNrry sYsTEM
n PRIVATE WELL
I CrrurnAl weur
CENTRAL SEprrC
! enrvrre sEPTrc
fl coMMUNrrY SYsrEM
*** SEPARATE PERI4ITS REQUIRED FOR ELECT, IiIECH, PLB6, GAS EQUIP, PREFABS
& INSERTS ***
pAyrirENT
METHoD:
[.osx Icrrcr (pAvABLE
ro trcl I anenrcAN ExpREss
I r,rcTvrsa
I orscoven
*++**,**1.*)t+rrr.****r.,t,*+,t*+*****++)*{.)***,*+++****)t)t**,t*{.*****,},1*,1+**+*'**rt+'t**x*****)*xx:*)**'*:**)*
ZoNE:
-
0F FICE R:
(foR ofFrcE ust oNtY) REVTSED oATE 04111/12
SETBACKS: F: LH: RH: B:
ING
Approval:- City:- DATE:- FLooD:
-
BFE+2ft=
-
AVN
Ci+\
't- .-
,- -
..
i. :.
'.,
ffi
BLOC( *: LOT #:
PROJECT Co]'ITACT PERSoN:
Is Any
; ots-llt \3
Ls-3369
#
NEhI HANOVER COUNTY BUILDING PER}IIT
APPLIurlott IYPE; RESIDENTIAL
PIEASE ANSWER ALL QUESTIONS APPLICABLE TO YOJR PROJECT
"ProJect Responsibility"
?oLe..i?wh.
crrY:
illd^.,h.,
APPLICATION
Number
(Office Use)
APPLICANT'S ItIA}tE:
DEvELoPERt
N/A
oartt ll-)o -l{
PHO{rlE
#: 110
r)r- 6rFr
PRO]ECT ADDRESS:
SUBDIVISIO{:
\do"\
zrp;114&\
BLOCK y':
PROPERTY O[llER'S t.IAfiE :Gl\e:
ftIT,IER' S ADDRESS:
COiITRACTOR: L6'Fear Sotr.-S
aooness: L{
CITY: \r,'
LICENSE #:6)
PHo E *: ,?lo_Ii}-ug)
sTt M- zrp2 1196(l
sr, tlu 1a1p, )-X401
P!(, E *: q/0-)Jr-Gi
PI0NE
#: ql0-au^()rJ
n Yes
fl uo
\-,n
"Ji LLL
EttAIL A0ORESS:
i,
DESCRIPTION OF UOf,K
I
CITY:
QerrJ'ie/r\ S
0) n,*l^ .>F.c cF
/
ExrsrrNc coNsrRUcTroN:
fl nlrenarroru
[ Reruovarroru
[ eerurnar- nrnarns
I RELocATToN
NEhr cor{srRucrroN:
f] EREcr NEH REsTDENcE
or
I morrror ro Exrsrrirc RESTDENcE
**PLEASE CHECI(
A]{D AI{S[{ER BELO{
ALL THAT APPLY TO YOI,R PRO]ECT:
PRO]ECT COOITACT PERSON:'l\.,t e"l Pa.tte-
f] nrr ennace
-_
sF
f] surunooN
_sF
! cRerrnous e
_ sF
I orr eanaee
_ sF
I eoor-
-
sF
fl orcr
SF OTHE R:SF
TOTAL HEATED
SQ FT: --- TOTAL SQ FT U,rtDER ROOF:
_ TOTAL AREA SQ FT: _
TOTAL PROIECT COST 1r-ess rotl : $,.30
00u
# OF STORIES:
Is Any ELECTRICAL, pLUttBIllG or !4ECH/[{ICAL
Work Being Done to the Accessony
Structure?
Sl'V"r I No
If the project
is a Relocation,
is there a Natural Gas Line on the Current Site?
rs thene Electrical power on this Buildingi
Flv"r l*'l ruo
pRopERw usE
/ occupANcv:
fifsrruele rnmrlv DUP LEX
n TOLJNHOUSE
6\T
+(o
Ltl5f"r",'5 l,o n o-
OISCIAnaER I her€by cordfy fial all inbmalion in alis @plicatbn is conect and an work wil comply wlh
fie SEte Euitding Cod€ and a{ oher spp{bsbts Stsb and toc€l laws
drd ordinances gnd Bgulalions. Th€ NHC Dev€bpmenl Servhes Cenbr wil be notfiod of6ny chsiges in tle appaovod plans and sgocifcations orchange in conlracbror
contractor inbrmaton. "'NOTE: Any k P€domed WIO
he Approp.iaE Permilswillbe inViolElion
ofihe NC S
SIGNATURE :
bjecs Up To
$500.00"'
Ol.llilER/CONTRACTOR:o
,l
* * *,t *,i i * rtr
r( !.+*+ * ** *:+
*:i + + + t * *** ** * * *)*)t*,t** 'ir**,r,1* i(,*x** * + i(:t +,tri(,*,t )r )t ,* ,*
t,B :*,t,a * *,t *,t*** ***+ * )*,r ,r ,t +
I5 THE PROPERTY LOCATED
IT{ A FLMOPLAIil?
N YES
EXISTII,IG II{PERVIo{rS AREA:
--5Q
FT
NEli II.IPERVICUS AREA:
__ SQ FT
fI uo
MTER:
I crcua
f] coru'runrrv
sysrEm
n pRrvarE wELL
fl crurnal welr
sEtrlER:
f] cFPUA
D CENTRAL
sEpTrc
I enrvarr sEprrc
E cof4r{JNrw sysrEf4
lare Bd
(^(
iii SEPARATT p€RMIT5 nEQ{JIRED
rOR ELEeT, !'lICH, pLS6, GAs EQUIp, pSEFASS & ItiSERTS **'
pAyrEirr rirETHoo:
I clsx ficxect< (pAvABL€ To r{Hc)
E Ar..rEnraon ,*"arra E ralrrro ! orscoven
*,r )it *:|* *:t+ )i 't'i,t,a**i* +,i* ******+,t ++rt * ,t,t i.
*,t,ti:t *1.* + + +,it*t +,a*,t ** t tt+,i:t* *+:t,** * *,* ,r
t*** !irt++:t:i:|:i **
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERI'IIT:
fl ves
[ ruo
(FOR OFFICE USE OTILY) REVISED OATE
O{/1U12
SETBACKS:
F:_ LH:_ RH:_ B:_ZONE:OF FICE R :
N
Approval:_ City:_ DATE:_ FLOOD:
A_
BFE+2ft=#7t
LOT *:
E poncn
-
sF
fl sronaee sHED
_ sF