DECEMBER 15 2015 BUILDING APPSlot'J I ozs
L
+3-2955r"
ffi
NE!'l HAM)VER COUNry BUILDING pERilIT
APPLICATIofi|
rrPE; COlllitERCIAL
PLEASE AAS}ER
AIL QUESIIOIA APPIICAALE TO YOUR P8O]ECT
-project Responsibiu.tF
APPLICATI()
unb€r
(Offlce Use)
AppLICAiffrS llAr.lE: Donna Ray lritchelL, RI.A DAIE:
$j_!_{l!
DEVELoPER:.n/a
PROIECT AIXTRESS: 922
fiarket street
oCCUPAT{I/BUSINESS
ilAfiE: renPle
of rElael
pROpERTy otittER,S i|AflE: Tearple
of Israel
CITy: wilnington
pHOilE *:910-610-3412
ZIP:28401
pHOllE
*, 910-762-0000
o{{NER'S ADDRESS: saeeCITY: ST: ztp:
CO{TRACTOR: North State cardeos LICE SE *. Nc 04?4
ADORESS. 1701: Us Eighlray 17 Nolth CITY: Hampstead STI Nc ZIp: 2844 3
El,lAIL AIDRESS: rEtthew€
northstategardels . conl PHOitE
*: 910-270-4702
pROIECT Coi{TACI pERSoit. BryaD Padgett pfiolE trr 910-279-2s6,1
((na(k All I Applv)
ALTERATION
tr R EI{OVATION,I
GENERAL REPAIRSRELO{ATIOtI
Natural Gas Line on the Current Site?
ctY6s
trNo IS BLDG SPRINKLERED?Yes
CINo
! enscr EN srRt cruRE
I asr rucr
! sne r-r-
fl uerrr
I ADo
ro Exrsr srRrrcruRE
EXIST CONSTRUCTION:
lf Fuocalioo, is
theie a
t{En
co[sTRt,cTIsl:
ACCESSOIY STRUCTURE:
if UPFIT
- The shell Permit a:
Is Elect PoBer
on this Building O yes O tO
.*r,r rs rxrs A clut {GE oF occupixcy
us:r Qves
E * :.'..IF Yes, *rat sas
the Previous occupancy Type?
tftat
ls the tl€r, Occupancy Type?
ARCH DESIo'J PROFESSIdIIAL: Donna Ray
uitchell, Rr.A
pH:
910-610-3{42 NC REG S. {{0
PH: TIC REG *:ENGR DESIG'I PBOFESSIO.{AL :
DESCRIPTION
Of l.lORK: crade leveL deck fo! neqr galdeB area
ls bod or bEv€rqs p.€pamd
6 ssr€d ln t & str,Etrg?
[ v"" Bl ruo b TE propqty t rc*d tn The Rooaflein?
Q ves
B uo
all olher apdicabb
$ae
olans J^d so€cifcatons
NC StaG Bldg Cod€ aM
OWNERyCONTRACTOR. Donna Ray sitchelt.PiA SIGT,IATURE:(q.-r, (nfft,lar.)
N.a6: D6.naa&.r
narikdq6 a
Gb6€ rtno\,l| Famlt Ep9Hqlr d!b b. 36.tJttsd udr{
$. apdic&6t h.m (DHtls\irr68) r,tE
E d E GE r8s fuJrl(, E
c(rl!8h Aab6a or Ir4. You
tE .Eql.ed b cdl rh. Ndand E ntd Sglded.lb. H@rd.r! A. PolutIB (XESI{AP, !t (CtO7r{SO Ert6,O d.!p f.tato t
ddio6do.' oa dry lb.l5r o. hrittlgr S.. A!6e rireb gts: h1ts/ww\s.€pi.s@. rlc.us,/€fussb€srE/ahmp.lr,Jnl
TOTAL AREA SQ FT :l.500sF# OF STORIES:
# OF FLOORS:
ACRES DISTUREED:2500 sa D(sr IAND Dtsrunawo penurp Fr)lyEs
D No
ilEw IMPERVTOUS
AjiEA ncne
SqFT EXSTING IMPERVIOUS AREA:SQ FT
PRoP€RTY usE:
fprrrce Enesnuurr [uenc.ervnr-e
[eouc f]err [coNoo orHERAcriv.iry cent,
WATER:
SEWER
ITICFPIJA -COMMUNTTYSYSTEM IIWELL
Ecrpur f]celnnll semc flR-nvrre ser-nc
rNG r.rs=
ctAsstFrcATroN:
@MMUNTTY SYSIEM
-. SEPARAIT PERMITS REOL]'I:] FOP ELECT, MECH. PLBG, GAS EOUIP PQEFABS S INSER'iS -'
eAvMENT
MErHou Ocesn Dcneq< pAyABlE ro Nxc) puenrcalr e<enEss Eluc/vlsA Q orscoven
(FOR OfFICE USE Or{_Y}REVISED DATE 4T1 1N2
ZONE: , - r OFFICER:SETBACKS: F:RH:_--B:
ADDrovsl:_ City:- DATE: - FLoOD:
-- -
BFE+2fF-
AVN..
r-: a r.
. 1..'.-- i -.' ,,.
TOTAL PROJECT
COST:
.5]2,600 BUILDII{G HETGHT: rr
/2..
' oF UNTTS:
SO FT PER FLR:
-
# OF STRUCTURES:TOTAL SQ FT UNDER ROOF:
-
L[Tt L
Lk ?ecr
NEW HANOVER COUNTY BUILDING PERMIT
aPPLIcarIoN rYPEr COMMERCIAL
PLEASE AliSl,lER AIL QUESTIoiIS APPLICABLE T0 YoUR PRoJECT
"Project Responsiblllty"
Zctr.
t(bLlb
15-3408
APPLICATION
Number
(offlce Use)
APPLICANT'5 NAI'IE:Branch Communi-caLions oA"lE: 12/4/20:15
DEVELOPER:BranchicaEi
CITYT t,lilmlnqton
PHoNE f:918-261-187s
ZIP
| 284]1
PHONE *r 9to-Gt9-7215
ST: Nc ZIP: 2 8411
PHONE f:770-831-9801
PHoNE #:4o4-44a-so2o
PROJECT ADDRESS:
6516 Murrayvil.Le Road
OCCUPANT/BUSINESS NAIiIE I eranch Towers, LLC
PROPERTY OWNER,,S NAI'IE:Anqela W. steele Life Est
OWNER
'S ADDRESS: 5515 Muirayville Road
CONTRACTOR: Lucky Horaee cabin, LLc
ADDRESS: 5105 McKinley stleet
CITY:wilminqton
LICENSE #: 6181s
EMAIL ADDRESS: ab]alock@inf inltyconst!uction. ne t
PRO]ECT CONTACT PERSON:Anthony Blalock
ACCESSORY STRUCTURE:
NEW CONSTRUCTTON:
I enrcr NE]J STRUCTURE
IrlSr rnnCr
! sxrr-r-
! uerrr
I loo ro Exrsr srRUcruRE
rf UPFrT
- The shell Permit #: rs Elect Power on this Bullding
***** rs rgrs a cHANGE oF occupAt{cy user
fives I trc *t*"
[}ves EHo
IF Yes, what was the Previous Occupancy TypeltJhat ls the I'lew occupancy Type?
ARC}IDE5I6N PROFESSIONAL; RoberL E. Beacom, P.E.PHt'712-25a-669o NC RE6 S: 03 8204
DESIGN PROFESSIoNAL: samuaf?. Curtis, P.E.PN| 4os-7s3-1167 NC REG #:044521
DESCRIPTION 0F WORK: Construction of a 150-fooE monopine Ee l econununicat ions tot er and compor.rnd
ls food or bevorages propared or servod ln tnis structuro?
f]Y"" I uo b tt, eropetty Locatsd ln Tho Floodplain?
[ ves!No
all olher appllcable Stal€
plans and
NC State
(atho&
or bulldlng was found to
contaln AsteBlos or not. You alE roqllred to call the
Nslbml Embdon Saflar& lb,r Hszsrdous Ar Polutanls (NESH P) al (9lS)707_5950 6l loast '10 day8 p.lol lo fre
doltpl on of any hcllhy ot birlldlng. Sog ABbostos Wob 3n€: hltp:/,\M v.epl.9lElo.nc.ua/€puesbostodahmp.hlml
TOTAL PROJECT COST: 9250, ooo. oo BUILDING HEIGHT:1so feet # OF UNITS:
EXrST CONSTRUCTTON:
n ALTERATTON
lf Relocatlon, is there a Natural Gas Line on th€
(check
au rhat apply)
RENOVATIONGENERAL R€PAIRS
n RELOCATION
tr No lS BIDG SPRINxlenrot
I v"s NoCurrant Site?
trYes
n
IFICATION: R- 1s
,$J
TOTAL AREA SO FT :
J.4,-!5.9.9.9.25.9-- SQ FT PER FLR# OF STORIES:
# OF FLOORS:TOTAL SQ FT UNDER RoOF:
-
# OF STRUCTURES: 1
ACRES DISTURBED:
-Q-.L4-112--EXsr LAND orsruRstNc penirtrr l-J ves I NO
NEW IMPERVIOUS AREA:5. O79.5046 SQFT EXISTINGIMPERVIOUSAREA: 14,841.8414S SQFT
pRopERrYUsE: floFFlcE lnesmuneNr [uencrunle lrouc lanr f]C0NDO OTHER:nrr
WATER:
[f CFPUA
SEWER:
f: CFPUA
TICOMMUN|TY SYSTEM
TIWELL aZONING USE CLASS
frcenrnru secrrc flP-RtvArE sEPTlc flcoMMuNlw SYSTEM
,.. SEPARATE PERMJTS REQUIRED FOR ETECT, I\'E(]H, PLBG, GAS EOUIP. PREFABS & INSERTS
''
pAyvtENT MEfiOD:
lCnsu flcHecr lmveeE To NHC) flel/|entcnN o<eness
I tilcnasr
Iotscoven
.#..i+.r-.ffiffdffi.t,ffif.ff1ffi|ffi.rr.ff.r.ffrrrrr.ffitffiri,9.h.rt.rrn$r*
(FOROFFICE
USEONLY) REVTSED DA'IE 4'l11l12
ZONE:-OFFICER:
.-.- SETBACKS: F:-LH;- RH:- B:
npprou4- City: OAfe FLOOD:
-- -
BFE+2ff---
AVN
lr'Z
Comm€ntl PERMIT FEE:
.:. i 1..
i,ffi)
CITY| Eollvwood ST: FL ZIP: 3302I
S2
- OWNEFUCONTRACTOR: Branch communications
(a!6tid)
t)
tJ NEW HANOVER COUNTY BUILDING
APPLICATION TYPE: RESIDENTIAL
"?d'- \a{8
PERMIT ?EZ5-3//+
APPLICATION
Number
(office Use )
PLEASE ANSI,/ER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility''
APPLICAT{T,S NAfiE:
DEVELOPER:
ilA<
PRO]ECT ADDR
SUBDIVISION:
ess:
z8{ (o(at(t LAYTB
Dp ctT1':
Lb?f/lZlAt€
DATE :
L
PHONE
f:
r,,/L t'7 n./(ZIP:2
ELOCK #:LOT #:
PROPERW OWNER, S NA''IE:(pK 9l^totil
OfiER,S ADORESS:
2 s"( sr',
'1'.7 -
6(yg .-
razlP | +RqaS
PHONE
#:
CONTRACTOR:
ADORESS:
EIIIAIL ADDRESS:
t LICENSE f:
CITY:t,lt,.l)Zill sT 2 l./Z
zP
PHONE
#:-6
ves I tlo
,2-g6
oao
PRO]ECT CONTACT PERSON:c PHoNE
*:
) ? l- b)o
-/EXTSTTNG CONSTRUCTTON:
ffrLrenarrOl !RENOVATION
! crruenal neearas
! RELocATIoN
NEh, CONSTRUCTTON:
! rnecr NEW RESrDEtr,lCE o"
! aOOtrtOtl ro ExrSTrNG RESTDEiICE
|*PLEASE CHECK ANo ANS|IER BELOII ALL TH/IT APPLY TO YOt R PROJECTT
[arr canncr
-
sF ! oer cnnaoe sF
n poRcH
-sF
suNRooM
_ sF
GREENHOUSE SF
SF
! srouce sxeoPOO LSF
[oecr _ sr orHER: 79o
Ct'r{|) sF
TOTAL HEATED SQ TT:
+&# TOTAL SQ FT UNDER ROOF:
%-,-ffi,.,,,
TOTAL PROIECT CoSTrressrou , t a1,)l{.oo # OF STORIES: -z-
Is Any ELECTRICAL, PLUI.ISIiIG or I'IECHANICAL work Being Done to the Accessory Structure?
60C,
)+&
If the project j.s a Relocati
Is there Electrical Power on
on, is thene a
s Bulld ing ?
PROPERTY USE
/ OCCUPANCY:SINGLE FAIlILY
! ouelrx
! rowruxoust
Natu7l Gas Line on the Cunrent
Site? [ V"s I lo
ffv"t l-'l to
1a
I k{ Az€ A1DJ
3er A-d>l 9
AiN A,>>,-A
{nDESCRIPTION OF WORK
^.../!rltl,,tJot4ot)
6 ooT9
tD9 l.ogiPervi - IqSA-LL C(AQS l^oQ
tlu€5 S
DISCLAIMERi thsreby certify hal all inblrnetion in
his applicalion is
conecl and all work willcomply wih he Stale auiding Code
and ordinances and regulations. The NHC Development S€ruices C€ntsr wiil b€ notli6d of any chang€s in he approved plans
conractor inbmaton. "'NOTE AnyWork Performed W/O he Appropriab Permits will b€ in violation ot the NC Slale
OWNER/CONTRACTOR :
s(t SIGNATURE:
(Print Nare)
* )r
* * ,*
*,* ,t
* * )t ,f * * + ,* + t * * ir + * ,t
* ,t
*++,t ++t ir )t
applicable StaE and local laws
s or change in contra€Lror
bjecr
b Fines Up To $500 00"'
,**x*)*x*,*,r,***** +,1,t ** * * )t
* **,t,t* *,t,t
I5 THE PROPERTY LOCATED IN A FLO@PLAIN?
[ VTS
EXISTING I PERVIOUS AREA:SQ FT
5Q FT
TOTAL ACRES DISTURBED:
A
EXIST LAND DISTURBING PERIITIT:
l-l vrs
I-l ruo
d"o
NEI^/ERVIOI.,,S AREA:
UATER :
SEbIER:
F PUA
CF PUA
ZONE: OF FICE R:SETBACKS: F:_ LH:_ RH:_ B:_
Approva]:- City:- DATE:- FLOOD:
-
" _ ttr-ri+.
%-
*** 5EPARATE pERttrrs REQUTREo FoR ELEcr, MECH, pLBG, GAs EqJrp, eaer*s
/ rNsERTs *'**
pAyttEr{T
rirErHoD:
[ .lsr, [ $i.c( (pAYABLE
ro mrcl
I c.lenrcAN ExPREss
wn nrto fl orscovrn
+*++*r.+****,t+*++**)t,i*,*,t,t,t,f*+rt,r,***,t*,t**'t++,1.,*,t*********,t,t++,*,*+++***ir+*********r(*)****,****,*,*
(fOR OFFICE USE ONLY) REVISED OATE O4l11l12
f] courururrv svsrem
! pRrvATE wELt
! crtrRnl wrlr
! crrurnal srerrc
I pRrvArE sEprrc
! cotrtlururrv svsrem
IItP
\t"\o/
?llb1(
PEZ5-3/+
APPLICATIOI{
Nunbea
(Oft1ce Use)
ffi
APPLICA T'5 ilA'{E :
DEVELOPER:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI0N rYPg: RESIDENTIAL
PTEAST AIISI{TR ALT QUEST]OtIs APPLICAETE TO YOUR PRO]ECT
"Project Responsibility"
r4l<r r4eezt{/
zt/L t-/tr,/1
DATE i
L
PIONE
*:
pRorEcr ADoREss: ,t
Fli., .ze/.ptr. LAilB
Dp. crfi].
suBDlvrsro{: *befilZlA9t
PRoPERIY fi ER,s tIAfiE:
J
NEtr €/^IUil
BLOCX
S: LoT f:
PHO
E }:
6(fs1'11 -
o${ER j S AmRESS;
co{TRActoR: toJg(Rtzfi y9 Qxu', t*.,g
/CITY:r^-,//.rl.J.<ST :
UaztP | /Z- R. qq
st:tJZzrp1(d
PHoilE
s: 2? I - 6odo
pltoN E # :l. ro
LICENSE $:
ADORESS:J CITY:
EltAIL ADDRESS:
PRO]ECT CO'ffACT PERSOi'I:
il,aer ille.ctgl
RENOVATIONGENERAL REPAIRS
I Re locarror
PoRCH
_ SF
STORAGE SHED
)3)o
NEI.I CONSTRUCTIOX:
I TNTCT NET RESIDENCE O"
f] MOITTOW TO EXISTIiIG NE5IDE CE
..PLEAS€ CHECK A'\P ATiSHER
BELO{ ALI T}UIT APPLY TO Y(ruR PRO]ECT:
ATT GARAGE 5F
SUNROOH
_ 5F
I eneerunouse
-
sF DE CK
If the project i.s a Relocation,
Is thene Electrical Poker on
PROPERTY USE
/ OCCUPA CY;SINGLE FAMILY DUP LEX
60o
rorar seir ur{DER RooF;
%--rorAL AREA sq n, fr_
is there a Natupl Gas Line on
the current Site? f]ves
is Bullding?
ffv". l-l lo
fl to
DET GARAGE
-
SF
POOL 5F 5F
SF
TOTAL HEATED SQ FT:
,,TOTAL PROIECT COST rress roo :
) q)1{.go # oF sroRrEs:
15 Any ELECTRICAL, PLuIIBIUC or nEc
..,.7
}o fCAL work Being Done to the Accessor
L
y Structure ]
E*oYes
SF OIHER:
TO!'NHOUSE
72 p
: pg Ae{ AOD?dr4 I Btftl P*a {n)
iB{DESCRIPTIoN OF tloRK
/ltlr/ t/ot
4ot) 4 ooT9
rD9 l.coiPe
r^li ' t *,9Cn t-L c a A
{ts( /-.0
OISCLAIMERT lherebyc€ltlty ttai all inbnnalion l^ tris appkaton rs co.rect and afl work willcomplywih tle Stat6 Butrdrng Coae and
a.d odinances a.d €gulatons. The NHC De\6loprn€nl S€*ices Cenbr willbo noifed otanycheigos ir he app.oved plans
conra.br inbrmaton "'NOTE AnYWork Pe.tomed W,0 ,le AppopnaE P€mits will b€ in Violalron of the NC SbE
O^lilER/CONTRACTOR:e.-Ld SIGNATURE:
appkablo Slat and local taws
s orcharlCe n cont.ebr o,
bpcl rc Fi6es Up To
3500.00"
t!i+f itt+r!t*,1****ili*,4:lt*,i,|++*****+t**t*t**tt*+*:l***'t** *,: * * r r * * *. r * i(,a**r****,|*a+ra**t*
IS THE PROPERTY LOCATED IN A FLOOOPLAIN?
EXISTIiT I,.PERVIGJS AREA:
-
SQ FT
ZS,IE:
-
0F FICER:
NO
TOTAT ACRES DISTURBEO:
A
tf YES
NEW ERVIOL,S AREA:
-
SQ FTExrsT LAND DTSTURBTNG rrnnrr: f] vrS
I-l rc
HATER :FPUA
I comrumrw sysrEu
n eRIVATE TJELL
f] crrurRal well
SEI.IER:creua
f] cENTRAL sEPrIc
I nnrvnre sEPTrc
! collmurtlrw sYsrEM
'** SEPAIIATE PER}IITS REQIJIRED FOR ELECT, ECH, PLBG, GAs EqJIP, PREFABSy' IiISERTS *T'
oornr* ,**r, E clsx
E cr:c( (pAyaBLE ro Wcl
f] urucar{ ExpREss
w1c1$a ! orscovrn
,t,t***,t+**+*+{'*':|'*++***')}**t*rt***)l':}*)t+*rt****)t******+**r'*'h:*t)r'******r+**t********'t*t'}*++**t
lfoR orFlcE usE otllY) ilvlslD 0A1€ 04i11r12
SETBACKS: F:- LH:- RH:- B:-
Arproval:- city:- DATE:- FL@D:
-
BFEt2ft=
-
A v , S.{to
t ,//
EXrSTrtG C0.{STRUCTTOI{:
f,/ar-rrnarrol I
s-3^b3
JotSllb_flC
i+1
werumf,w
4,r3.
4r
NEWr8M HANOVER Cq,NTY BUILDING PERIIIIT
APPLICATI(N TYPE: RESIDENTIAL
PLEASE A'{S}IER ALL QUESTIOS APPLICABLE TO Y(x,,R PRO]ECT
cPrcJect Responsiblltt/
K5 Eu;..t Z2
0APPLICAtrTT'S tIAltE:
OEVEL@ER:
APPLICATIOI{
Nunb€r
(Offl.ce us.)
DATEi
tr)tLltS-
Plg{E
*:
PROJECT ADORESS.
t 7 L-1 /)a/\)ea /)R CITY
BLOCK S
LOT
*!
ZI'P:-jlea'zs-
PHct{E *! ltu zLz yu?8
sr:b!zIP34i!]I}
SUBDIWSIO{3
PR0PERTY OHTER'S iUI'IE :
Oi{ER'S ADDRESS. t'727
r-1. t
tv1 'nZA,eA OA CITY ? L,i;
CO{TRACTOR: F<,!s;-asJ
Qg LICEilSE *: Q 77.',
AIDRESS: y'o k* tDc)CITY 3,NNA sr: Ni zrp: <k.lc r
E rEL AIDRESS: 'r-
n1t ,+,-\ e A,r$!>.>r^(' z)<_Ziya^PHO E *3 q6 izc
&.itr
PROJECT Coi,ITACT PERSO :e f rrDfrAs (!D ' CC /v\PHI{E *: 9tC SZO :r::P
ExrsrrilG (I sTrucrroN!
f] rlrenartor
! nruorarror
I cercnr nrrarns
I RELocATror{
l{Er Cq{SrRlrcTIor:
[l enecr r{EI REsrDEr{cE
or
I mrrror To ExrsTr
6 REsrDErrE
..PLEASE CHECT AlI' ATIS ER BELOI ALL IHAT APPLY rc YO'R PRO]ECT:
I rrr ernaer
-
sF fl oer crnace
-
sF
El,o^r, &1 5F
! surnoor,l
-sF
I cnerlHouse
-
sr
E poot-
-
sr
floecr
-
sF
! sronncr sHED
-
sF
OIHER: SF
TOTAL HEATED SQFT: 2'l+ 9TOTAL SQ FT UilDER nOOr:
3i-)-'l TOTAL AREA SQ FT:
}|-[
IATER:
EI CFPUA
sElrER:
E cFPrA
OISCtA}IIER l h€Eby certfy hat all inlrmalbn in
his apptrcalbn b corcctsd al vJotk wll comply wltl h. Stat Bulldlngat otrar apdb$b Stab ald lod hN!
drd onllnances and lEguladoni Th€ NHC Ooy€bp,ndrt Solvlces Conbr wil be nolfied ofsly c+larger ln ho epProlad or
chrE€ in contr*br or
contebr hbm6lon. '1{OTE| Any Wo.k P birled w/O Ir€ APproPrlaE PemlE wtlbe h \rEbtlon of tDcNCSt b b Fhes Up To
t500.0{f"
MER/COI{TRACTOR:SIGITATURE:
+!. 't:t,t,t,t 'f a:f + * 'i*:l *:t' * a *,1:l:tjt**a,i******,****,i,t,t +*+*:r**+,i***at,i:lt,l+:rt:r*,tt:i,i** at,lt t,lrt,.*t** +'}
r5 n{E pf,oPEnw rocATED r1{ a FLqD?LAril?
[ Ves I rc
Exrsrrrr rinEmnqrs AnEA!
la:?L
liEH I}tP ERI'IOI,,S AREA:
3 5'Db
5Q FT
sQ rT
I cowrurrw svsren
I PRTVATE I{ELL
I crr'nmr- stnrrc
fl PRrvaTE sEPrrc
TOTAL ACRES DISIURBED:
-Exrsr LAn DrsnRBr G rat
ffi vts
E m
I cerrnar llru
I co,utnrw svsrem
pAy;Er{r
nEr}oD:
! clsn
fi cxeot (PAvABLE
ro rx1
f] uenrca;1 rxrntss
n rcmso
I orscorn
t*+,ttttt:ttt,r*,t,|.**t+:t**t,r,t+t+*i.**{,ttt,t+*1,}it{.4*+t,l.t**+tt+tt*tl+{'t+ti+lt{',lt'}'}*'r**r'*,.'r'r*:r
(FOR OFFICE USE OlLY) nEvrsED DATE Oill11/12
ZoNE:
-
oF FICER:SETBACKS: F:- LH:- RH:- B:-
4$ t
,?lr\
TOTAL PROTECT COSTGet"r-or):
$ 3oo,ucO il OF STOfiIES: i
Is Any ELECTRIGAL, PLlriBIIlG or tlEGlUlrlICAt hlork Belnt Done to the Accessory Structure?
! Ves
[ rc
If the pnoject
ls a Relocatlon, i.s thene a Natunal Gas Line on the current Site?
f] ves Ilo
rs thene Electrlcal Power on this Bullding?
!ves f]no
PRoPERTY
rrsE
/ occuPAI{cY,
[l sruer-e rmrLv
fl wnr-sx
! rotlM']ousE
DESCRIPTIOiI OF HORX: JtX xl Ke-..,, Rei. de^t,'*,, r\+..ra <- C+"ts:z{ gzil s r..l
C
i+1
rwrwm rtr
r.s.(fr
NEI.I
TT NI'
HATTIOVER COUT{TY
BUILDING PERIIIIT
aPPLI(,Tlo|J
raE: RESIDEIITIAL
PLEASE rXsrf( ALt grtSrI&{S rptllclglE To yol8 molEcr
"ProJrct Responsiblliqf
aors-l)6 t7
t5 -3lro3
APPLICATT(,{
tlulib€r
(Ottl<. u3.)
APPLICANT'S I.IAIiE:
OEVELOPER,
/)a ! /rri5
?ROJ ECT A'ORESS:, )L1 ALA)<,.J
SUBOIVISIO:rl. \\
,)i CITY:la).
*: LOT *:
zIP: <E:U}z{BLOC(
PROPERTY
MISR'S ilAIE:
mlER's ADDTESS ? /72 7 AZat-Aoe
COIIRACTOi
ADDiE5S:
/Y1 '
CITY: a4irL!rrl. ,.
i.ta.
LICEIaSE $: <. 7
7i, \
C!TY: (i N NA Uc\^-,
ne$ * 2!!:t7hj.3h!lz
sr:ts!; zl?:zJ?e0t
sr: Ni zrP r <t'lcl
Foxl.:,,-a -J (:', c>
ic .,i;- /e e
plolEcl corTAcr pEnso{:
* T fktFiAS
fu {.-,*,-t;y.Co:
€4L Ptt E t:9tu
lzu ,t:,2
Exrsrrlrc cox5TRuc[m:
I llremrrw I nrmrar:o*
[ o:wnlr REparns
- RElocarrol
,tEt coa{sr}trltoNl,
fr rn:cr lt&J BESIDE lct o.
I rmrrrot to ExtsYIrE REslD:l{cE
''PLEASE CIECI( lr5 &ErGn lftOl ALL r lT ADPLY m YUI PblEcT: -11(r
fl rrr emrsr
-
sF I oer ermce sr ElPoRcH # I tr
f] sunnor
--sF
f] poot
-
sr fl sromcr sH€D
-
sF
ff enrruro.rsr
-
sr f] oecx
-
sP orHEi:sr:
TOTAL ]TEATED SQ rr: :.'l+9 TOIAL SQ FI UiIDER ROOF: 1r-r.-] TOTAL AREA SQ F?: 5r l-'.
ToTAL PROIE{T c(sTru..r.o,,' aoc L<L * oF $To*IE5! I
15 Any Ef,Ecltr(lf, Pllrlstxi o. rao{IucAr lsrk 8e1nt DotE to the A{cessol.v structurc?
[ V"s fl Xo
If the pro1€ct
Ir a Relocatton, is there a !,tatural 6as Llne on the Cur.ent Sttet
I Ves
[ *o
Is there Electric.l Poter on thls Butldlngt
flYes Dt,to
propERTy lrsE
/ ocojpaficY:
ffi srnclr raxrr-v
f] nipLEx
E rof{lot,sE
DESCnIP?IC Of Hxx:
*lER/c0,lTRAcT0B r
.atr ra. *rai aalli
.r..1p-t l*.- ,\a/,1r-
OSlc[lLER I tr.Eby.r.tt trl d hh.m.!oa h ni! aD9&st .t
I cotlcl Ild J wl *lt cotnplv at$
h 56& &ndh,d o5!r
*dlcrtL Sl.t lld t'cJ l i
dd oi,h&s! dd Llulrtisrth. t{lic CavrioFn rl s.r!E t C.nt tfl b..ot,i.d ot an, chogc! - t. tPPs€d orctrtg.lrr co.irrt or
e.r..I'h$aalo.. '-NOTE tuy wo.t Priorry!.d w,o tr Agpotrirt Peitl! in b. n vbblb. of l,t€ t,tc sr.Eb Fh! th ro 350qOC-
SI6lUlTI'f,E:
Is 'l* pmERTY LoGlrrD rtr A Floocfl^ril n YGS
El ro
DCSTrIE ,tp;iwqrs AnEA:
&itj* sQ rr rorAl lcREs DrsnnsEo:
I{ET
IXPEiYIq,S IEA{3 A
T'..' SQ FT EXTST LA'ID DISI1JRSIiE
'ERXT:
[*-l
lilrER:
ffi cFpuA
n csfiutirrY SYsrEB
E PRrvArE [{ELL
ft ctlrarl xrll
sn*En:
I cr{a D CENTRAL sEPrr!
[ enrvrrr seeuc
I cc4,{,'{try sYsrEl't
pay*E tT itsrHoo!
[ . sn @ cl{EOt (PAYIuLE rO $t) n
^ltEnrc^tl
r)(Pslss
f] rcmsa f] ors'c'v*n
..iaaa*,1:t:i*a*,llallt*ta**aa,3a*+*.latt*attal*t,ttl**'l*,tlrri*"lt*':tri"*ll|li{**"*t*ttll'l'|lr'
zore,
t-t5 wrrcen,
(FOi Olar(E L5t o[Y). ,*-.,ilv!s o rt s4l!1/u
srr8Acxs: r:3J u: r;_ RH.:'.('' 8.1-,)
l'',}!,..ri*'''.li,.1,..
YES
Em
nud Lorrn{l1 LUi
fl t9ta
g,:(El /tJtL)t\-
mrcE*:
EllrUl AITiESS: )- /'t1' . l's (',' C-,,';',>a'..,<lr: . c cv^ PIU{E *: jlE-i3!g;jl-
.Q015 -l lt'66
NEld HAI\OVER COUNIY BUILDTNG PER,,III
aPPLlcartdt
IyPr; C0IUIERCIAL
Pl.fASE
'irs$ii
al.L QlJ[srlo{s a"pl1ca8l€ To voun pnoJEfi
4projrct Responsibititr,
L5,3 3 45
APPI"ICATIOiI
llmibel'
(offi(e u3e)
APPLICANT'S IIAI4E:!'t ;t a ?r.-1lr ,r{IRit,l'fia;IATE: 11./"-/'r /lL
CI TY:
rM:N',r,,,
PHONE f: ?04-5to-9584
ZIP:2a{03
PfiONE f: N/A
ST: NJ ZIP: o?4?o
5T: ZIPi
PHONE #;
PHONE : 919 578 -1r.25
PROIECT ADDRESS:
49t2 i a^ir!::n
::lvs UNIT 800
OCCUpANT/BUSINa55 NAHE l Ts:i-r z!:.r u1
r:r..:,rs
PBOPERTY OI,.'I\ER'S !!AME: TRU 2OI5 R': I 1,I,C
O,,i ER'S ADTRESS: ',;lK]lciiI
CoNTRACT0R: :.;r
ADDRESS:
EIJ,IAIL ADORT55:
CITY: r,fAYiir
LICENSE *:
CITY:
PRO]ECT COi]TACT PERSON: ;:IINY
^DAIIS
(Ct.r A1) tha rloly)
EXIST aONSTRUCTION TALTERATIOt{RENOVATION GENERAI. R'PAIR5 RELOCA IION
Site?'/es
t,1o IS BLDC Sri't:,;, f-'.1 ,r
I ves
fl ruo
I rlsr rmcr
I snrr-r.
I urrrr
f] am ro Exrsr srRrrTURE
It
Rslocdon, is th6r'e a Natural Gss Line on
lhe Cu{enrt
NE.,r COITSTRUCTTOT,I;
fl rnrCr NE$r STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The 5he11 Penrit *:Is ELect Poxer on this Buildlng Yes
I'roI
"*},' IS IHIS A CHANGE OF OCCUPANCY U5!?YE9:
IF Yes, rihat lras the Prevlous occupancy Type !iJhat is rhe Ner Occuparry Type? _
ARCH DESTGN PROFESSIO AL: ci.F:sToP!E" I'I. .SF:PH:
oo3-403-85s3 N( REG *: !3s!11
ENGR DEsI6i,t PRoF! ssIo,iAL r rli,i:irs:rl,;if ri r{
^ rsi:PH: .lc1-40:-8959 NC RE6 *: 0:r5111
DESCRIPTIoII O,: tr,OR(: 13) locll.rP fi{n}IliAs Er-:_-.:' - r.i-t_Ll,
:tc::.:f . E9_.::
l ::l:l': cj]:_
ls food or beysragas preparsd or ssv€d ln t {s salduret
[v.s S]uo k Th? Property Lrcatad ln Tho Floodplaln?
[ ves
[lruo
Siale
(odtr) 0*, tlrtq
NoE Ori'.olon l!.dncllbra & !.* Gtnovd pd.mlt appibsloll' a.e to bo s'afitld o.kg tE .rrffion ttm
cofibh A.o.doa or mr You ets ftqrkrd b 6! rls tlaional E,nb.lon SttttMs tr i{trr&!s i& Polllrad. (NESliAq
d.|tEfiorof y
dy s bdd&'tg. Sa A6bc$6 1iv6b
liila t r?-r,1fw. r'i! seer. n:. 'teir't.l:€L57iii6r' h:':
OWNEFUCONTRACTOR:
TOTAL PROJECT COST: ftsDBUILDING HEIGI'{T: N./A
TOTAL AREA 3Q FT :N/ASA FTPER FLR: N /),
TOTAL SO Fl UNDER ROOF:
!l3-- t OFSTRUCTURES: N/.
ACRES DISIURBED:
..1
SIGNATURE
s buildl& wa6 b(,nd b
l.as! t0 d6y6 Flc. r, d're
8 OIl UNITS:N/A
* OF STOBIES: N/A
r OF FLOORS:N/A
EXST IAND DISTURBING PERMIT?
T']YES I NO
SQ FT EiXISTING liViP-RVIOUS AREA:SQ FI
REl/rStD DA'rE (1 1t1?
BFE+r&.
0
pRopERry usE:
rforrlcE f]nrsmtrneNr firaen*mn-e n EoUc
X epr
il CONDO OTHER:
WATER: -CFPtlA n COMMIhIITY SYSTEM
tl WELL
SEWER:
[f cFPl,JA
f] CENIRAI sEFrlC LJ PRIVATE sEmc
il ZONING U$E CLqSSIFIGATION: RB
Ll coi'i$4 UN|TY SYSIEM
NEW IMPERVIOUSAFIEAi (r
ZONEiOFFICER:
&proval:
tFoR oFFtcE lJsE or'll$ ! ,":ffiffiffi;;-4-LH: .,l- RR r,t' B:
"/
-*;
pAylrgirT MErHoo:
[fcrcN f]ctrecx (PAYABIE ro ]e1g) flruamr*N erenEss
ff Mc/vls,A
fi orscown
a*rrffi.r.r,d....rr.*
Comment
FLOOD:
_--AV
PERMn FEE:
$-
\\
$(/RECEIVED I.J O
ii 2015
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIoN rYPr: RESIDENTIAL
PLEASE ANSI,iER ALL QUESIIONs APPLICABLE TO YOUR PRO]ECT
"Project Respons ibi.l
ity"
J alsJ/ lobT
rS 43t8
APPLICATION
Number
(office use)
,ffi,
APPLICANT'S NA,{E:
ean Blue Pools a.Ildas of NC
OAJEi 12/02/!5
DEVELoPER: ocean Blue pools and spas of Nc
CITY: WilminqEon
PHONE #:9107993022
ST: Nc ZIP: 28412
ST: NC ZIP: 2840:l
PRO]ECT ADDRESS:
SUBDIVISION:
647 Sea Castle Court
PRoPERTY ohlNER'S l,lAIIE: 'lhomas Alrles
BLOCX f: _ LoT #: _
PllOl'lE
S: elo 538-21e4
OINERTS ADDRESS: 547 sea CasEIe courr
CO TRACTOR:
Kevir] Dunne
ADDRESS:
3o cowil Awenue
CITY: wilminqton
LICENSE
#: 73760
CITY: Eilqins!on
Et/tAIL ADDRESS; oceanbllsand6
I eoor qo: sr ! sronaer sHED
_ sF
PIICNE *t 9107993022
PRoIECT CONIACT PERSON: Pauline Dunne PHoNE #: 9107993022
EXISTTT.IG CONSTRUCTTOTT
fi ALTERATTON
I nrruOVnrrOru
! em,rrnnl aeenrns
! RELocATToN
NEr{ CONSTRUCTTON,
I enrCr NEW RE5IDENCE
o"
I mOrrrOr TO EXTSTTNG RESIOENCE
'"PLEASE CHECK AND A'{SNER BCLOti ALL THAT APPLY T0 YOUR PROIECT:
! lrr elnaer
-
sF ! orr canaee sr
I eoacN
-
sF
5UNR00t4SF
GRE ENHOUS ESFDECK 609
SF OTHE R:
DUP
LEX TOlnNHOUSE
SF
TOTAL HEATED SQ FT:
-
TOTAL 5Q FT UNDER ROOF:
-
TOTAL AREA SQ FT:
TOTAL PROJECT COST G-" L"r) : $ Eo,rrr # 0F STORIES:
Is Any ELGCTRICAL, Pt-UflBING or fiECHANICAL work Being Done to the Accessory Structurel
I V"r I lfo
If the project
is a Relocation, is there a Natural Gas Line on the current Site? [ves fl ruo
Is thene Electrical Power on
this Buildine?
PROPERTY
USE
/ OCCUPANCY;
f] SrnCl: r*rrlV
ves
f] ruo
DESCRIPTIO OF WORK: In ground Swimmllg pool with 609 sq.f!. of concreLe deckinq/pool code na1.
drain6/Dool code door alarms/poo1 code $ooden pliva cy fence
and ordinances and tEgulaiions. The NH C D6vcbpmonr Se rvices C€n E wjll be nolified of an y changes in he approved plan s end specifcations or change n contract' r o.
€nrrebr inbmaton. r-NOTE: eay work P€.tom.d w/O rheApprcprisE PermiBwillbe in vblalion olrne NC stae BEg Code and SubFcr b Fines up To
S500.0O"
Oh,NER/CONTRACTOR:
Pautine DunneSIGNATURE:
rs rHE pRopERTy LocATED rN a rlooorurr? [ ves
EXISTING IIiIPERVIO{'S AREA: gZ]_- SQ FT
NEW IMPERVIOUS AREA: 3632 SQ FT
I NO
TOTAL ACRES DISTURBED:
EXIST LAND OISTURAING PERIiIIT: E VTS
I T'TO
uren:
I creul
I coplMUN]TY svsrrm
I PRwATE I^IELL
fl ctrurRnr utLr
sEl{ER:
M creua
! CENTRAL sEPTrc
I earvnrr seerrc
! corlMuNrrY SYSTEM
*** SEPA*ATE PERtilTs R€QI.JIRED roR ELECTJ MEC|I, pLBG, GAS EqJIPT pFEFABS S I sERTs **r
oo"nr* ,.rr-, f] aosH
E a.** (PAYABLE ro t'txc;
I Attrnrcmt txrnrss
E uczursr
I orscoven
***)t *** * ** *,*,*,t* r*
*)** *,x,1.:t * * ir**** ***** ** ****:*'r***L* **** **** *** )kr'*'***** *'t*'**** ***'i**'t+**** **
(FOR OFFICE llSE d'lLY) REVISED DATE o4l11/12
S ETBAC(S: F:_ LH:B
ll
ZONE;
-
OFFICER:
Approval:- CitY:- DATE:- FLoOD:
-
A
I
Comnent:
RH
PERI'IIT FEE:
a
ZIP t 2841t
r-a.5-
a,o/5- il UAq
i5 - 3L67\
APPLICATION
Number
(office Use)
CEIVED NOvAffn5HAN9VER coUNTy BUILDING PERMIT
Co. LL CAPPLICANT,S NAIiIE:
DEVELOPER:
PROJECI ADOR ESS:
CONTRACTOR :
o OATE://-23-tt
PHoNE
#: 2AZ -
//qt
C ztP,3f4O1
PHONE
#:lLs-3ssz
sr tlt.:zrP, 2tr?a7
PHONE
#:aLz- t
t9l
CITY:
SUBDIVISION:
PROPERTY OSINERJ S T,IAII'IE:
Sq C i SPC,'""T CqTN CV
OT,'NER'S AODRESS:611y, b'l/A-
<,
ADDRESS:
oST: ZIP i
ErirArL ADDRESS:
dsn e' b i )fn-r< bqill iAe f;tJ.,,,,Dl'ay 4Uo rt1\ prONE
#: ZL Z -/ I q t
LTCENSE T:
CITY:
71s6
3
PROJECT CONTACT PERSOI,I:Don
EXTSTTNG CONSTRUCTTON : [flnrrrnarrOn ENOVATION
[fzc enenar- nrcnrns
! RELocArroN
NEr.l
coNsrRucrror:
! rnecr NEhl RESTDENCE o"
n aoorrroru To ExrsrrNc RESTDENCE
'I*PLEASE CHECK AND AiISWER BELOII ALL THAT APPLY TO YOUR PROIECT:
ATT GARAGE SF
! oer crRece sr
! eoncr
-
sF
5UN R0014SFSTORAGE SH ED
5F
GR E ENHOUS ESF DECK5F OTHER:
! eoor-
-
sF
TOTAL HEATED SQ FT:
_ TOTAL SQ FT UNDER ROOF:
_ TOTAL AREA SQ FT:
ToTAL PRoJECT cosTrresslo0 , I 6{toO f oF SToRrEs:
Is Any ELECTRICAL, PLU}{BII{G or l,tECttA ICAL l,/ork Being Done to the Accessory
Structure? [ V"t f] fVo
If the project
is a Relocation, is thene a Natunal Gas Line on the current site? [ ves I lo
Is there Electrical Power
on this Building?
fr'ves flno
5IN6LE FAMILY
tr DUPLEX.€e
450
PROPERTY USE
/ OCCUPANCY:
DESCRIPTIOiI oF woRK:
rt?q
rec
Zeaou.{,i.n D+ /'/tlr,l/ o..c e,t/ Ekj
and ordinances and regulations. The NHC Development Servicos CenEr will be notli6d ofany changes in t'e appoved plans
conlract)r intormaiion ""NoTE AnyWork Performed W/O fie Appropriate P€mrts willbe in violation oltheNC siai€ Bldgo$00"'
OWNER/CONTRACTOR :SIGNATURE:
CFUA COMMUNITY 5Y5TEI4 PRIVATE WELL CENTRAL WELLWATER :
SEt{ER:
I cerurnnr srerrc
! PRTvATE sEPTrc
! cotrt'tururrv svsrtuCF PUA
ZONE :OFFICER:SETBACKS: F:- LH:- RH:- B:-
,*** SEPARATE PERII4ITS REQUIRED FoR ELECT, itEcH, PLBG, cAs EQUIP, PREFABS & INSERTS ***
,o"rr* ,arroo, E ao51..
E arraK ('AvABLE rO lxCl
I ar,renrcAN ExpREss
El-nctvtsa E orscorr*
,k ,* r. + * r( * + * * + + ,t * * * ,* r. * * ,t tr + t * r( r( ,tr
+ * * r( * ,*
* * * ,* + + ,*
* ,* ,t {. * + * )* )*
* * * * * ,}
* * t * * )k )t
* + * * )t
* * * * * r( * '* tr"* '* * l' * )*
* trr {"t 't
(FOR OFFICE USE ONLY) REVISEO DATE O4l11l12
N
Appnoval:- CitY:- DATE:- FLooD:
;-
APPLICATION IYPE; RESIDENTIAL
PLEASE AI]SWER ALL QUESTIONS APPTICABLE TO YOUR PRO]ECT
"Project Responsibility"
BLOCK #: LOT *:
! rowmnousr
+,lr**j**x**+*,++ir*************(lltNllil"]***********r.*r()r*,r+*+*++*******,k++,t*****,t****)tr(*)i*++++
rs rHE pRopERTy LocArED rN A FLooopLArN? f-l vrs BG
EXISTING II4PERVIOUS AREA:
-
SQ FT TOTAL ACRES DISTURBED:
NEw IITIPERVIoTJS AREA:
-
SQ FT EXIST LAND DISTURBING PERIIIIT:
rl YCS
I-..I NO
BF E+2ft=HilI
#
RECEI\/i- NOv
2$Eill,i HANOVER COUNTy BUILDING pERMIT.\ n,.1 ,i2 ' 5 7vL'APPLrcArI.,l |YPE r R ESIDENTIAL
PIEASE AAsXTF ALT QUEI':iNS .i}F ICIAL€ TO YOUN PqO]€CT
"Prcj ect Fespons ibility"
) ot5-'ltUA?
APPLICATIOI'I
i{urnber
APPLICAIiT'5 tlAl,lE:
DEV€LOPER:
PRO]ECT ADDRT S5
SUBDIVISlO{:
ln-- rr(o l-LC
P CITY
C-q,'
/,r't CITY: ,)
PHOtiE f:
LOT #:
-
*ane *, lL 9-d 33 z
r;[l-rc. ai9:.tf
tr4
e ir
ztc.Qf,lj' j
PROPTR:Y OI.[{ER'5 iUUIE:
8L0CX f:
o{,itiEF
'S ADDRESS:
CONTRACIOR:
AIORESS:
EflNlL ADON:S5:
+-) .-, -LICENSE *: /'! .J b
)
CITY:ST:_ ZIP: _
5F
?
't a6^
)on
PHOTiE
fl: .- 6 4 : )l:1 1
-1 / 1-,t
PHO E H: -r1 o ) IPRoIECT Cot{lAC I i'! RSS.I:
] IA:' GARAGE SF
5UNRO0I1
_ sa
! cn::,rHousr
__- sF
OEI 6ARAGE
-
SF
POO L
oE{ (
:, 0
PORCH
_ Sr
st
f sroucr s,'',.r0
rut,t: 4
/1 :,'-,' 't, '
TOTAL HEA].ED 5Q FT:
--
TOTAT SQ FT UNDER ROOF:
*- TOTAL AREA
5Q FT:
roTAL PRolEcr coslrre.srorr , g 4f t c' * oF sToRIEs;
Is Any ELE(TRICAL, PLU aI 6 or HECHATiJICA! wo.k Beint Done to the Accelsory Stru.ture?
If the project
is a Relo(ation, is there a Natunal 6as Line on the Cu.rent s
Is the.e Ele.trj.car Power i- this BuildinBlE]f,.t l]lo
FRCFERTY UsE
/ OCCUPANCY: ,:-:
S I116LE FAMILY
DESCRIPT;ON OF WOR(:Alltro[l-,
oupr.rx
E ro,rNnousE
l' tn+ire ,'r.rtf /
ves
[m
f vet I r'lo
Q:rha r-q
ite?
f)
2-
";71
{ ,rJ Jt,tr'et. r.:A 4.a .
rn. id'.an(e! r^41D0( | ' s The ira^Lor^
-rSr_ --. 4r"' r,n6.illel.,.ii'i :les 1:r.ir,l,v"r'-'_
.o.r*r)r!.b6.M. "'NOfE Aiy W.r. p^n --.! VJ,O ne A..:.: rE e.G'ls*r|h6
'n
liolalion o trl'NCSta. stbo oo"
Ol4lNER./CoNTRACTOR :
t
-. .'..... -(:"'l'. ;'.11
""" "''
rs rHE pRopERTy LocaTED rN I rlooocllrttl
I v:s
EXISTII{G IT4PERVIo{JS AREA; =-- 5Q FT
war€R I
E CFPUA
S[H!F:
ljl (-:r'lA
't' <.)AJIATE
PEAF]Ii RE QiJI R
PATnE{r rr doe: f ao"n Dcnucx
"""":"""
zoNEi Lli:.iL.i1
-t
lpproval: /)ra' cit)': DAT
1/./1 SIGNA'I'URE:
TOTAL
..\..r.'...l
NO 1\
I
ACRES DISTURBED:
NEW IiIPERVIOU5 AREA:
_ sQ Fr EXIST LA D OISTURBING PERlrlT: f: yeS [--l m
f] coruurtw svsru
I PRTvATE tlEl-L
f crlrnal *tl-i
i--l cerrnal 55pi:c
I PRIVI-rE SEPria
! co*lr'tuti I -'-' sii-ir't
E0 !ot ELECT, t4tCH, pL8G, 6A5 !?llrp, pREFAES & rNSEIr;S *+
frorou., ,o ntcl Imrrrcm exraess
[f #;vrsa f orscovrn
r!,l *tt+ l. ' ri * r *
' . '- r i ir i*rr) k:.rliiL r) : 'lj !l li
,!:lrACKS: F: -'.. Lr'-- RH:: ' 8: .-
E: . i- FLooo 8FE+2ft=
L L\- (
)!lot
_ oAllt
//- 23'ls
L
Exrsrr\t6 coNSrRUcrror:
[l nr ,e.orro* 3-j ie-l,ovarroru !G?re nAL RtclrRs
] ne r-ocarror'j
NEW CONSTRTTCTTOi/,
] enECr NEH RESTDENCE o" I nOOrrlOru TO EXrSTrN6 RESTDE]ICE
..PLEAS€ CHFCX AND ANSITER AELOT{ ALL TRAT APP.Y ]O YOUR PRO]ECT:
L
I
RECEI\r:l Nov 4lEW: HANOVER COUNTy BUILDING pERllrT
^ ,/1 z'1tP], - 1^,1\L)lr -t-'-
J dt ltbA?
APPLICAIIO'{
Nuober
(oftf<a u:r)
APPLICATIA N"E: RESIDENTIAL
PttasE AMrEi ALt- QUESTTO{s ^pP!rCA8!E
rO YOUS PrOJ€CT
"Project Responsibillt!/'
CD. LLC
c I'l'Y :
hut /t-4B
oar:e
//-23-/5
Ptlf,,|/-E *; 742 -
l/?l
zlp.Q{!-t,JPRO]ECT ADORESS
suB0IvrSr0n:
oiriER,s ADDRESS:
A (ir -l; .;Ta.'-;
APPLICA}.IT'5 T,IATE
I
OEVELOPER:
CONTNACTOR:
A9DR€SS:
Ei{AI! ADDRESS:
If the proj
c(-
ELOC( #: _ LOT S: _
pRopERry
o ER,s nA,{E:
Sqs i€p<DJ e
Le-1ii 3 q pwne *.4Ls-4332
crw- 5i;; s,fiii;4fro?
-1/?-, f -LICETEE t: /7., O)
CITY:
f_6..ar<b
PORCH
--
SF
SI: _ ?IP: _
SF
,/ st..
-
?
cq
?b@rE
* ZLZ-/lgl
PRO]ECT CO'ITA'T PERSO
I }ON
EXrSr$6 C0NSyRUCTTON:
E iiTERArlOr ffi'n't--nwnrroll p'6e rueraL nrna,rns
I R€LocATroN
NEI.I COI.IITRUCTJON,
f CNCCT NE!,i RESIOENCE O"
fi MOTTTOI TO EXISTINC RESIDINCE
'ipLEASE CHtc( AND ailSwER BSLo|., ALL THAT iPPLY I0 YoUR PROIECT:
T
Ai-r sARAGE
-
sF ! oer cmace
.--- sF
suNRooM
-
sr f] eoor
-
sr
f] sronacr sHto
T 6R€ENHOUSESF
n 0€c K€{SF OTH' R:
TOTAL HEATED SQ FT:TOTAL 5Q FT UND€R ROOF:TOTAL AREA 5Q FT:
TOTAL PROTECT COSlrrossroo ' r 6fc1o s oF sToRrEs;
i5 any E|€CTRICIL, PLUiaING o. llECHllr,lICAt l.lork Being Done to the a.ceslory structur"' f] Ves f, ruo
ect is a Relocation, ls there a Natu.al 6as Line on the Current Sitel fi v"t f, lo
Is there Ele.t.ical Por,rer
on this Building)Yes
lo
DUPLEX
I rouuriousr
DESCRIPTIoT'I OF WORK:
Z-erto, " *,'<> ,ro I ,1-rlr /1,-sce szl--€&Lra-
olsct^|uea lh.Bby ct,,r,t ial.t i.Enii!:on i.
t . aptftain 6.D,:rcr ,ld alt *o-tsji complT*rlt to shrt &,.di.g co!.:.d ar ools, &riicable tlai rd ocar t.ws
ec o.d6uc6 ,nd,awlrinns Th.NHC )"€loo.E.r S.tu€lr C.n*,il t nottad olaiycn.ngo. h !r. apo.owd rbir 9ra rpe.,.rr.rrr.s q
.oiiftbrInb6.r4. "NOTE Any Wo.l p.,inFsd w/O tle ,i:.t. ab Pamrtsw'llb€6Violrtonojlh. NC StrE Sldg
OWNER,/COI'ITRA'TOR :SIGNATURE:
.rrii,rlrrir,.".r""
!t
L:J NO' .
, W'"2lr'o * '
I
TOTAL ACRES DISTURETO:
EXIST LAND OISTURBINC PERI,IIT:
l--'] ve
s f-l Ho
r{Ar€R r
f;CFUACOI.|IiUNITY SYSTEH PRIVATE I..IE I.
t CEI\T RAL I.JELI
5EHER:Ci PUA
I cmrrnar
srerrc
I PRIVATE SEPTI'
f] cofit'tu;.r r:v svs:a.l
... T'IARATE PERfiITS REqjIREO FOR
EL€(T, IIE{II, P186, CAS iQU'P, PR!FA65
& INSERIS
"'
Dcrsx f]cxecx (paya6lE To nrry
I lr.rrnrco,r exnnrss
B "?rvrse f
EXISTIiIG II1PERVIOUS AREA:
_SQ F't
NEt{ IIIPERVToUS AFEAI
_ SQ Fr
gAYMEMI IEiHOD:orsrarvrR
i
Zot!E I0rFICER:1tu)
T
provAp
r
r.? 1.._ -. l.rlt r{tY)
SLIEACKS: F
FLOOD:
'j,\ lri ,:-lj.*r, 'lu 1^*l t'
ntvllic
r!:i ']r rr ::
>-LiLt,
ci.tv:h:( !-r-- oaw: ttl)l ll(
i
iA I^, ,:l'r" D* L 5
BF E+2ft=
{
B
#vto
-\)
-/1-ttC)tPHO
E S: -r1 o )t tt
pRopERTy usE
/ occuPAMY:
frilr Nctt rar.lrrv
I
A
rs rHE pRopERTy LocATED rN a rlooollarrl f] ves
)of;tl{a1lq_
NElr HANovER
couNry BUTLDTNG pERrrtrr FPEU|S -3oU
APPLICAiIT'S NAfiE:
DEVELOPER:
PROJECT AODRESS:
occuPA T/BusIr{EsS iut E:
PROPERTY OhINER'5 MIiIE :
OI,I ER,S ADDRESS:
CONTRACTOR:?
ADDRESS:
Ei,IAIL ADORESS:
APPLICATIo
rypr; C0IIIIERCIAL
PLEASE ANSIER ALI. QUESTIOiIS APPI-ICAILE TO YOUR PRO]ECT
"project Responsibility-
G
crw:
CITY:
LICEISE *:
crw:sr .;ryL.zIP: zYtl1'l--
PH0{E
*: 241 bgsl
ProNE
$: 70tl t a>1
APPLTCATIO
Nu ber
(office us.)
oarc: LO'2
l.r>
ZtP:2E
PHONE
*:
PHO
E S:
ST:
1ql'+t+8
r,L ztpt Zby
o;
b-1
EXIST COiISTRUCTTO : fl ALTERATTON RE
NERAr
REpArRs
f] nrr_ocrrrotNo lS BLDG SpRtNKLEneOZ
I ves flruoIt Relocation, is there
I Natural Gas Llne on the -urrent Site? [Yes
NEt't coNsTRucTIoN,
fl rnecr Et,, sTRucTuRE
I rrsr rnncx
I snell
I urrrr
f] ADD
To Exrsr 5TRUCTURE
ACCESSORY STRUCTURE:
***** JS THIS A CHANGE
IF Yes, uiat ras th€ Previous Occupancy Yype?
oF
occuP*cy usel
Arr,
ffi
fs Elect Pouer on this Building
6", tr ro
PROJECT COTACT PERSOII3
(Ch.(k
All
]OVATION GE
rhat Apply)
If UPFIT
- The
Shell Permit *:
ARCH DESIGN PROFESSIO'IALi
EI{GR DESTGI,I PROFESSIOML :
PH:
PH:
NC REG
{:
NC REG *:
DESCRIPTIOT.I OF l.lORK:
alo"Ac
ts litl€ Properry Locabd ln The Floodptain?
E yes
6;
State Code and all olher applicabte Sate
plans and soeclfi catiorls
NC Stare Bldg Code andthe
OWNEFUCONTRACTOR:v, (a^SIGNATURE:
(Ou.lh.4
Not.: Oe,nolltion no{fcatioB t lsb€5os rcfto\.al permn eppttca{ons 6te to be
sutmtllod l,stng lh. eppltcstton torm
@dein Asb€stos or not. You 8re reqolrcd to call tE Na on6l Emlsslon slsnderds for Hszardous
Ar poltutants(NESHAP) !t (919)r07.Sg5o erdelblfion ot any hdlhy or bd6hg.
TOTAL PROJECT COST:
See Asb€stos Web Strs: hflpr/V,s/w.€pt.staie.nc.utopyssbosrod6hmp.hlmt
BUILDING HEIGHT:
SQ FT PER FLR:
t4'# OF UNITS:
TOTAL AREA SO FT :
# OF STORIES:
# OF FLOORS:
ftdhy or fuilding s.a. to0nd
to
lee$ 10drys Ftor to the
REVISED DATE (/11/I2
TOTAL SQ FT UNDER ROOF: # OF
STRUCTURES: I
ACRES DISTURBEO: O Exsr LAND
DtsruRanro eenlrtrr lll'lves frlruo
EXISTING IMPERVIOUS
AREA: O Se FT
Vfreua a1
ZlcFPu^
-
coMMUNny SYSTEM E] WEI EZONTNG USE Ct.AsstFtcATtoN:
CENTRAL SEpTtC LIPR|VATE SEPTE EICpMMUNITY SySIEM
"'SEPARATE PERMITS REOUTREO FOR ELECT, MECt"l, PLBG, GAS EOUtp, PREFABS A TNSERTS
-. _./,-
PAYMENTMETHOD:
flCeSx [CxeCxleevAe[EroNHc) flruenrcmo<eness pfcruse florscoven
NEW IMPERVIOUS AREA:o SQ FT
PROPERTY USE:
ffi,*,laesraunnrur luencaNrlr fleouc
f]mr flcouoo orxeR,
WATER:
SEWER:
(FOR OFFTCE USE ONLY)
ZONE:-OFFICER:SETBACKS:
F:-LH: RH: B:Apprc\Is|: Ctty:-
Comment
DATE:_ FLOOD:
__ _ BFE+2fr=_
-i/V),l,c.P!- e, L
i).tlt
,tv\5
ill
t arr,l,
xs
N
PERMIT FEE:00
ls food or beveragss F€parad or sorvsd in ttris
srruauret flvesf;l-uo
that
is the iler Occupancy Type? _
9t)<1 rot4-
aots-ltbla
tt- 3377
ffi
APPLICANT'S NAfiE :
DEVELOPER:
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATTON IYPE: RESIDENTIAL
PLEASE ANSI,]ER
ALL QUEST]ONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilitf'
APPLICATION
Number
(o{fi(e Us€ )
OATE;
i--/-=BlanLon
Building, Inc
PHONE *:
PRO] ECT AODRESS I I I'*T at.r.-?ti a4z:7-.|.? I+CI7Y | 1+-
/ L /-'ZIP I*tq
'z-Eza7
SUBDIVISION:---'. 4 fzt r..z L<-rl.ia,4z-BLOCK #: _ LoT #:
PROPERTY OWNER'S T,JAIIE :
Otl]NERJS ADDRESS: P, o,
Blanton
Building, Inc
CITY: Illi lminqton ST : .Ng_ zIP
:393!!_
sT:
I!_ ZIP :
l-gllg
SF
SF
Bax 3122
C0NTRACT0R r
ADDRESS: P
Blanton
Buildins, Inc LICENSE
#: 314 tsi
CIIY: L'illminstonO. Box 312 2
EI4AI L ADDRESS:
chrisblantol1@ec.
rr. com
PRoJECT CONTACT PERSON: chris Blanr.on 910 264-094
0 Bud Blanton PHONE
S: 910-53s-7888
EXTSTING CONSTRUCTTON:
I nr-renarroru
!RENOVATION
! cerurnal nennras
I RE LOCATION
budblanton@ao1 .
com
NEt^l CoNSTRUCTION:
/rrrr", NEW RE'TDEN.E
or
!ADDITION TO EXISTING RESIDENCE
,**PLEASE CHECK AND AIiISWER BELOW ALL THAT APPLY TO YOUR PROJECT:
ls(ar eaarce qctl sF
tr DET GARAGE
! surunoou
_ sF
I cae enrouse
__ sF
,, (oo r, Z'bz-- 57
POOL 5FSTORAGE SHEO
! oecr
TOTAL HEATED sQ FT I .? i
?q ToTAL 5Q FT UNDER AooT '
ZI
€'Z 7 ToTAL AREA
sQ FT
I -z € -2. 7
TOTAL PROIECT COST (ress
rct)
: $7.'/4 ao c'# 0F
SToRIES: '-Z--
1s any ELEcrRrcAL, PLU|IBTNG
on lvlEcHAtircaL
work Bei.ng Done
to the Accessory structure? [ ves I lo
If the project is a Relocatj.on,
is there a Natunal
Is thene ELectrical Power on this Building?l-lyes
GasLine on
the cunrent site?
[ves I r'ro
No
PROPERTY USE
/ OCCUPANCY:
SINGLE FAIVIILY DUP LEX
! rowrunousr
DESCRIPTION 0F lt]ORK:
&!!!ruct ne$/ sinqre famity residence
SF OTHE R:
DISCLAIMERi lherebycerlr rharal nbrmation n lhLs
apptica[on rs correc
6nd ordinancesand regualons TheNllC DevetopmentServcesCen€rwiLl
corlracror nlormauon. "'NOTE Any Work Performed
w/O lhe Appropr ate
OWNE R/CONTRACTOR:
ctLrrs BlanLon. B.Lanion
t and ail
lbo not
B 1dq
wJ oe,n Voratrol
ofre \c staE 8to9
co!, and s_
rrrc SIGNATURE: 44-
workwillcompiywil,h Lhe
State Building Code and a oher appticabte Slale and tocat laws
,iedolanychangesntheapprovedptansandspecillcatonsorchangencontractoror
(pnint Name)+,i** *)i**** * )t)*++ + * !i,t )k
)i )t )*
*+*,t,i,***xx ******** xxx* **,t,**** +*** +:t+ ***,f )i*+:* x
* + * xx )i
** )t* *,* * r( ** r.)l( x*
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
@*YES
EXISTING II'4PERVIOUS AREA:o SQ FT
TorAL AcREs
DrsruRBED: o ''1
bjecr
o Fines Up To $500 00"'
NEI{ I RVIOUS AREA: *7 I O6
'O "
ll]ATER:F PUACOI4IVIUNITY SYSTEIV]
ZONE :OF FICE R:
EXIST LAND
DISTURBIN6 PERMIT:
vEs
PRIVATE i,iELLCENTRAL WELL
wd
SEt,.JER:crnun
I cENTRAL
sEprrc
I nxrvarr
seprrc
E coMMUNrry sysrEM
payrvrENT
rlrETHoDr
I cnsn
I cnrcx (PAYABLE To
rutc1 f]el,renrcat exnnrss
! mcTvrsa
I orscovrn
r**** )k r( r( )k*)t*,f* ** *)*r* * ** * x**)* **+)i
*** **** **,** * *+ +,i** **** * )k**
**** ++,t*)i(x(r( **** ** * ** ** *(* )* + ++++,F*
(FoR 0fFICE USE oNLY)
SETBACKS: F:
REVISED
DAIE O4l11/12
LH:B
Approval:_ City:_ DATE:_ FL00D:
_
A
Comment:
N
PERMIT
FEE: $
RH:
PHoNE *r 910-s38-7888
PHONE
f:910-s38-7888
#
NEW HANOVER COUNTY BUILDING
APPLICATION IYPE: R ESI DENTIAL
Ju t-1b73
pERMrr ?El 15-)\3L
APPLICATION'
Nurbe.
(offic€ Use)
p!€asE altsxES ALL gJEsrilris ltt|rcaalE T0 YoIJR PRoIECT
"Proj ect Responslbll itt''
APPLIC'$[,S ilAXE:
DEVELOPER:
Fr-:rnl & Ki.m Czun-..'!sk
i DATE i r:/121r!
PRO]:CT ADORESS:2305 Oc:r:r Ri.l
fVISIOiI: Lanif -! 11
PROPERTY Oll{ER'S M}1E: Fra:rk &rnr Czur' _::ki
oti/'lEC'S ADDRESSi 23CS C.ean RiCoe P]
CITY: wilminqrc..
PH(flE #: 91c-239 i567
sT: NC ZIP: 264 05
*: 4++- n+++-a+€
PHOiIE f; 910-239-9;57
BLOC( *i 09 LoT *: c5-RD
PHOIIE *l 910- 239 9s6,
aITY:l{ilmin.i::
i-0.-
.l --1:
ADBESS : ::+}-+=ri*+r.-ae!."-.*-FJ "*f +.,' Pr{o{E
d8,{o s
sT:
I!_ zIP: 3:l1Z -F".J. C
t_LICENSE S:
iCITY:(?,
EI1AIL ADDRESS: f.ankreirs
Frank ar Kim czuln7nski
EXISTIhG COT,ISTRIJCIION :ALTERATToN
I nercvarror
f crttnal r:rrtns
I ner-ocrrrotr
NE* COT{5IRUCTIOI{:ERECT I'lEl{ RESIDENCE or AU)TTIOI{ TO EXISTIN6 RiSlDEIiC:
..PLEAsT CHEC( AlD AITSI'ER BELOT ALL TFA'T APPLY IO YOi,R PROJECT:
I arr cnmer
-
sF I oer camet sr
I poncx
-
sF
5UNRoOI4 7co 5F SF
SF
f ontetra-rst
-
sF DECK
tr pmr-
'=.-- sr STCRAGE SHED
5F OTHEi: r'ir.eplace
TOTAL HEATED SQ FT: 7OO TOTAL SQ FT UNDER ROOf:
]i9-_- TOTAL AREA 5Q FT: ].JC
-TOTAL PRoIECT COST .*s icr) : I rsooc.oc* OF STORIES: :
Is any ELECTRICAL, PLUflBIHG or ltEcllaflIcAL work Seirg oone to the ac(essory St.l]<tu.ei Yesc
If the proje.t
is a ReLo.ation, is there a flatunaf sas tine on the furrert Site?
ll run
Is there Electrical Power on thj.s Building?Ives
f] tto
pRopERry usE
/ OCCUPAI,ICY: 7 Srruelr rlurtv f wnlex
I T0l.ll'ltlOJSE
th rlaiural fireplace.
t
oEscRrprl0 0F t{oRK:f,nclo:rc exi6tinq seeoed in lana i wi uindow-c aearjnq/AC
insula!ion i[ atiic Most rcrk tc bc compl.:,:d b
v 5:iieoijner excepl f 1::_iaa
CE T
RAL I,,IE LL
coMr,{uN]-i'sYsrEu
8Ft+2ft=
f4
0(
l,llATER:
xJ CFPUA
SEIiER: EaFPUA
f, cor+rwrw svsrem
f] eRrvart well
I
[-] cerrrual srrrrc
! pelu'a-: srprtc
f]
PAYIIENT r: HOO:ui)LovER
1,r,
-,- u
6r.(4,'t*n !
I crrrx lrauuut to *r";I altxl(an !xPnr:> f *rrrto
(rcR
oF.I(t rist o{Y) .vrjt[r 0A1L 0./11/1:
S:-iBA(KS: F:- LH: RH:- B::--zoNE: j -' CrFICSR:
Approval: ,
- L:ly:- DAti:.--.- tlooo:
-,t tli)'r
molEcr cot'llAcr 2ERsotl:
and o(inances a,6 regutal!(is. 1116 NHC 0.6ricpoenrs€ rrs cznbr wid t[ r
:l!ie.1 ot an y cnaflges n a€ appfo!€o !l6n s ?trd speciltsl,ons q ch.nge n enrab I o.
co, reEr'nbmdior "'\O-E A.yWo.kT-..--4W,otEApp,opr'.hF^'-'!swrlben\rolatonoltDNCS1h8r,i+. ri' ^drf r'Fre\ rpre5r ,dO":.\-1,' \ li \
OIINE R/COiiTRACTOR:
I tj! e--{-r!-l?!!t::I1- SIGIATURE:
-:,/-- i W i ..". tt-- -f4 -.d-
., -". -..*,n'ilj:1"]-. ---
* ,"-.,.f-,. -..;-..;..," - -,i. . , 1"--. --- l.
IsTHEmopERTYLocATED1NarrooopuurrlEvrsErroli(
EXISTTTTG IHPERVICI'S AREA:
-5Q
TT TOTAL ACRES DISTURBED:
TIEW IiIPERWOJS AREA;
-
SQ FT EXISI LA D DISTURBING PERI.IIT: f--..] YCS
I--] tTO
NEhI HANOVER COUNTY BUILDING
APPLICATION IyPE: RESIDENTIAL
^4_ar> -
tt?ls
pERf,rrr ?EZ
l5ib3L
APPLICATIOI{
Nunber
(offire Use)
PLEASE ANSI{ER ALL QUESTIOI{S APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S
MlilE: Frank & Kim qzuBry4ski
OEVELOPER:
PHol{E #: 9ta 239- 9s67
mOJECT ADORESS: 23os ocean Rldqe Pl
SUBDIYISI0t{: Landfal l
PROPERTY Olfr{ER's MtlE: Frank & Kim czuprtmski
o}INER'S ADORESS: 23os ocean Ridqe p1
C(}'ITRACTOR:Fn
CITY: wilminqron ztP | 23!92
O6 -RDBLOCK S: oe
CITY: wilmington
LOT *:
PHONE #: -9-19-23.9 - g se T_
5T: NC
zIP: 284os
LICENSE #:d8,l<:q
ST:
I!_ zIP: aa*riz 'ADDRESS:
l a lcrrv:
Ei'IAIL ADDRESS:
fralkaei rs4@yal.oo. com PHO
E *: 9r+,39+.{..i€€
EXrSTrirG COiTSTRUCTTON:
I AlrenarrOr
I neruoverrou
f] eruenar- neearns
! RELocArroN
NEW
CO STRUCTIOT{:
tr ERECT NEI,I RESIDETICE or
tr ADDITIOI{ TO EXISTING RESIDENCE
.*PLEAsE CHECK AI{D AIiSI{ER BELOI{ ALL THAT APPLY TO YOIJR PRO]ECT:
! arr canace
_ sF
tr DET GARAGESF
tr PORCH
-
SFa SUNROOM 7OO
SF
! eoor-
-
sF I sronner sxro SF
SF
! cnrenxousr
_ sF ! orcr
5F oTHER:
Eqeisrase
TOTAL HEATED SQFT: 7ooTOTAL SQ FT U,{DER ROOF: 7oo TOTAL AREA SQ FT: ?oo
TOTAL PROIECT COST lress rog : $ raooo.oo # OF STORIES:
Is Any ELECTRICAL, PLUI,IBII{G
or iTECHA
ICAL tlork Being Done
to the Accessory Structure?
fl VeS
fl ruo
If the project
is a Retocation, is thene a Natural Gas Line on the Current Site?
[Ves [ruo
Is there Electrical Power
on this Building?
ves
f] ruo
PROPERW USE
/ OCCUPANCY:
srNcLE FAMTLv
I ouer-rx
! rowuuouse
DESCRIPTIO{ 0F tioRK: E4clsEc rliElins cr q lq44l llitlr tqa!!r3l fireplace, wlndo\t,6, heatinq/Ac
ElecErical, and insulation j.n attic. Most irork to be completed by homeowner except fireplace
and ordinances and rogulalions. The NHC Developrnont Seruices Cenbr willbe notfiod of6ny changes in he approved plans
dld speciicalions or change
conracbr informaton.
"l{OTE: Any work Perfonned w/O ile App@priab Permits willb€ in Vblatbn of lhe NC StaE SuFines Up To
OWNER/CONTRACTOR:Frank & Kin Czu ski SIGNATURE :
lPrlnt Iane)
*,t )*,|,t* * ,f:t * *,t * *:t **t* a {.1. ***t r* ** * *+ **:t+,1+:t,t,t,* *,1,t !t:} tl)t++
+:}tt*!t,t )***
****:i 'a:t
tt:t :i + *
I5 THE PROPERTY LOCATED IN A FLq'OPLAIN?
EXISTII{G II{PERYIOUS AREA:
-SQ
FT
NEt{ II.,IPERVIOUS AREA:
-
SQ FT
ZONE:
-
oFFICER:
Appnoval:- CitY
YE5 I NO
TOTAL ACRES DISTURBEO:
EXIST LAND DISTURBING PERHIT:
N YES
fIrc
RED FOR ELECT, MECH, PLBG, GAs EqJIP,PREFABS & INSERTS ***
(PAYABLE TO I{HC)!A'.IERICAI{ EXPRESS
tr riclvrsA
tr DISCOVER
,t* rt:f dol ,* :t ,*
***:i(* )t**,4)t:t:t * )t,i
+** )*
**** i.*)t*:i'1.
REVI5ED DATE O4l11/12
tl
MTER:
fi cFPUA
n cor+luNrrY svsrer'r
I PRTvATE wELL
! celrul well
SEHER:
xcFPUA I ceurnal srerrc
**t SEPARATE PERI1ITS REQUI
PAYirEr{T r,lETKD:
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*
(FOR OFFICE USC OI{LY)
SETBACKS: F:- LH: RH:- B:-
avll
I
. DATE: FL@D BFE+2ft=f
L2
tr,
l:ltrl
Y
DArEt_!lJL
PROIECT CoNTACT PERSoN: Frank or Kim czuprynski. Pto{E
*: s1-o-239-956'7
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APPLTCA'ST'S T&Ti!: B
f o1S -lltott
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ADoR€Ss: S3cc Ca- " i,t(rzzh
ETATL ADORESS;
p-i^ fla17
rk LICEI'E #:
APPL
ICATIOII
l{ufiter
(O#1c. ur.)
DAr* l)t5
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*: t)t 8i7 tc551
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E
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PHINE
*: i2 8.fl z tztsei
NEW HANOVER COUiITY BUILDING PERI{TT
APPLZCATI(N
Iy"E; RESIDEI{TIAL
prEAsE atsnfi At! QU€Srtffs ApplJc4aLE TO yUrR piOlECr
"Proj ect Respons
ibillt}f
enA
DEVELOPER:
PRO]ECT ADDiESS;
- s08Drvrsror:
Aa-l
dr. r's C ldr
rc<.k b/e
t CfTY: *
i.-l;
NAfiE:
3ott
SLOCX
l: . . LOT
*: _
PROPERJY qfiER'5
o{NtR, s At}0tEssiCrc li w.CITY:
(
dry: - '/
*i"
PRO]ECT
COflIACI PERS{' : HA"12
Cic.rll
ATT GAR.A6E
-
SF
ExrsrrNc corsTRucrroN:
f] ALTERATTON
I nrHmrror f] eeNr** nffcns I RELOCATT0!
EH CoNSTRUCTION:
E rnrCr EH RESIDEmE
o" 8l mrton To ExrsrrNc REsIDrr{cE
t'pLEAsE cHEcl( Al,lO ANSI,,ER 8EL0U ALL THAr APPLY To YoUR PROIE(T:
! surnooi
_ sF
i] en rrurousr
_ sr
PROPERTY USE
/ OCCUP
DESCRIPTIO''I OF }IORX ;
rono.r 3 *9 rt
s-roRAGE si.tE)
_ sF
OTHER;SF
a,{
c,,<a I y'e,n -
TOTAT HEATED SQ FI:ToTAL
se Fr uNDER noor: 3?9 TorAL aREA sQ Fr: 34I
TOTAL PR0IEC'f
COST&$ro
: $5 c(:
* OF STORIES: I
rs Any ELt(TlICll-, PLWar
6 q. |lrcfirNlcAl $ork Belng Oone
to the Acce35ory
structuret pf VeS I lS.
If the p"cject
is a Relocatlon,
is there a t{atural 6as Line on ttre Current
Sltel f,ves ffiruo
Is there Electrj.cal Pouen on this Eutldingl Blyes lI ro
,INCY:
[f srrer-e ramr.v
I rrurlrx
I ro.,NlrorlsE
;t.l;^e/Jzr;r,
zJ Scrcz,tta4 fL
dver z 4,'o
5 Ct4J&.i it;-)aJ II€tr
OlSCr.{ilER I !:.nby
erlt h 3r .t ht m rlim h
6i.ir
':\r4!cl .nd dl wori
*it ind al 06!r ar'f'r.ihro Sr.b ;i!d lc..t t&5
.nd oi6ra.c.s a.d .?gul.lions Th.
tl{C oov"bomant s6da.. Ce,at u_!
!. Effed or &y chsgs! in !]! .pp,o1/c{, pLns d..d 8.cifi.atbns o. dlrrg. ir con!...., o.
cont.cb! hb66don, '-NOTE: Anywor F..iom.d \rYo
n AppBpr;a!
P.mis eri be i^ vrcbti.n or tne NC
SBb Bu3 Cooi
rld n bj!.! t, Fne3 U? To
S5oo.0o..
0l,Jt'i tR /C0l'lTR.ACT0R ;,r,
t Clarh sI6{ATURE:..#-a*=-<-*--..
!*., r r,*.*a* *r xr , '"" ",.,.,-"J:!'ll*19*"*'*'* *,*.**g**'* i*,*r ri j *-i!rr*8tr*r *rr:rr.rar+r+*:
rs TH€ pRopERw L(rArrD
rfl a rlooopuru
F-l y:s fi *o
EXISTTNG I[pEnVrOt s IRCA:
_sQ Fr TOTAL AanES DrgrURBEo:
NEl,l fiP€RVI0US AREA:
-
Sq FI OCIST LAND DTSTURBMG PERXIT: E V:s I-"1 ap
narfr:
fi creur
f] co$.luNrrY svsrer
I PRTVATE ]IEtL -
semr:
fi crpuA
f] cENTRAL srPlrc
f] enrvnre
srrrrc
..* SEPAnAIE pERflITs RTqJIREo
Fol ELECI, l'{ECHr PLBG, GAS EqUIP, PREFABS
& It'lsER-Is t.t
PAYIEI'II P!TH00:
fi clsx
f] catcx (payallE ro ur; flantnror exnness
B "currro fl orscour.
CENTRAL WELL
COI'IHUN T'iY SYSTEI4
(roa orr:rcE us€ a
tY) 3EvI5& oArl
i{/:r/u
..SETSACKS:
r:.h' lx, tu nn:
i5 g,
j]5
>.r-
zoNE: 'ra l) oFFrcER:
approval:- clty:- ulrr: iZ 6"15 rlmD:
-
l
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x"
Urru{ttV alfrroirnoic rrr&-15
I orr eanler
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I orcr
-
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fvr r J.,Ili
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t5)otr-llo17
15'-&L?
PRO]ECT ADDRESS:ot')
- SIJBDIVISI(}{:^e9
APPLICATIot{
Number
(Office Use)
oArE: l)7t5
P}O E
*:
CITY: tv
BLOCK
*: LOT #:
ZIP:
) ,qe 1
PHI|E
*: 3)8 3l 7 to s o
CffY: e/ST:,rcZrP':7E9c.l
NEW HANOVER COUNTY BUILDING PERII,IIT
MPLICATIN TYPE.. RESIDEI{TIAL
PTEAST AI{sT'ER ALL QUESTIOI{S APPLICABTE TO YOUR PRO]ECT
"Project Responsibilitf'
fiarrt s Clarh
r-L
PROPERTY O'{ER'S tIAfi E :
Od{ER, S AIDRESS:
f, coumcront Ben
APPLICAI{T'5 MI.IE:
DEVELoPER: tu
Ben
rcc k va
ei*)a lJc,rr ts
ark
. Cre
ADITRESS: 5
1Cc, 2a-"it q lrzt
E
AIL AD0RESS: h lrtlark
rk LICETISE *:
CITY:ST. kL Ztpi
>t+o 7
PI{ONE
*:
I
wr/
6
7 ta5O
PRO]ECT CONTACT PERSO{3 IJ
A,,I )
Ciark
DESCRIPTIO{ OF !(lRl(:4del Screcneii
PlDt'lE
s: 428/7 /asc)
Exr.sTrNG
co sTRUcTroN:
l-l alrenauoru
[ neruovnuot
I ernenar- neenrts
! RELocATIoN
[E]r corsTRucTror{t
! enecr El{ REsIDEitcE o"
fi 4g,o1110fl TO EXTSTING RE5IDE cE
..1PLEA5E O{ECN AIIO A'IsUER BELOI ALL I}IAT APPLY TO YOI,R PRO]ECT:
[arr eeneee
-
sF ! orr cenrcr rr flronc, 3+l t,
I surnori
_ sFPooL
_ sF STORAGE SHED SF
SF[]cneruHousr SF
I orcr
SF OTHER:
TOTAL HEATED
SQ FT:roTAL sQ
Fr UNDER R}OF: 3*4 T9TAL aREA
se
tt 544
TOTAL PROIECT COSTressrorr: $3 5ao S OF STORIES: i
Is Any ELECTRtrGIL, PLT
BIIG
or IECHA
ICAI tlork Eeing Done to the Accessory Structure?
[fV"s [ ruo
If the project
is a Relocation,
is there a Natural Gas Line on the Current S:.te?
flves ffiXo
Is thene Electrical Pouer on this Building? filv"r I-''l to
MOPERTY I,,SE
/ OCCUPA CY:
fi sruelr rar,ulv
I DUpLEx
D ro{MrousE
v.
r z.y ;5.1.etJzr,t.
t;,A
) ct,.J l;
x* i **rr rlii **+ *+*+ j+*+,a+:i+ *r<*
5laAJr';'(3;t;-
ltt e'i,r{ct tCa I/e.n .
D(}CLA ER lhe€byc6nit har a!
hbmadon h ttis applicarbn is
conecl d all irork
wilvrifi he sEb 3lildirg Cod€
a.d att oher agpbable
ad odh |ces a.d legulatuns The NHC Devebpmenl Servi.€s Center *,! be iotted of anych*lges h
'le
approved pbns
Itd specircat ons or clErg€ h conr-.cbr o,
contacbr inbmelbn. "1,|OTE: Any Wom Perto.med wO tE Appropriab PelmiE wil b€ h \rrobri.n ofhe NC SbE Bldg Coo6 6.!d Subrecr
b Firos up To S5OO 00'..
Ot {ER/CottTRACrcAz
6ei.,ta,.i.,
l}crris Clarh STG ATURE:
***,r *:i+ +*+,|
r*rr+ * *** *******.(l!tll s1"]***. ** *** r *** +++* +*,c* r*':
rs rHE pRopERry LocArEo
rr{ A FLq)DpLAr{?
F-l ves [t xo
EXISTfNG
I!?ERWouS AREA:
-
SQ FT
TOTAL ACRES DISTT}RBED:
e
*!** SEPA'IATE PERI'ITS iEQUIRED FOR ELECT, iIECH, PLBG, GAS EQUIP, PREFABS
& I]6ERT5 *+t
paynEr{T
nErHoD:
E clsx
E crrcK (PAYABLE
ro mrl I anertcAx ExPREss
El ,rcrrrrro El orscoven
,t,*** ++:i rt:a,t+,t**,| +,8++,1** *,t+:i +*++ )t ,*
* ,l ,*,*
* *,|*,i*x*+ * **,t*:l:t:*x*ri,a,[*ri**,]******)t* )*** *r++ ** i.**** *r *
ZONE :OF FICER :
(EOfl OTFICE USE otrLY) RtVrsEO OA-rE
O4l11/12
SETBACKS: F: LH: RH: B:
N
Approval:- city:- DATE:- FLoOD:
-
A
8F E+
2ft=
NEU IFERVI(ITS AREA:
-
sQ FT EXIST LAI{D DISTURBING
PERi|IT: E ves I no
MTER:
[t cFpuA
E cortluNrw sysrEr'4
[ pRrvATE
hlrtl -! crHrnal rtelr
senen: @ cFpuA
D CENTRAL sEPTrc
! nnrvare sEPTrc
- co{tlt Nrw sYsrEM