FEBRUARY 1 2016 BUILDING APPSFron:0911212A13
13:32 #144 P.001/001
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PLEISE llrSI'ER AL! qJ€SIIOI{S APPL](ASI.E TO VOUT
'M]ECr
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"Pr.oJsct Rc5ponsibuiqf
ADPLICATI6l
It
[b.r
(Offt.r Ur.)
oAfrt q1L t 3
APPLICIIIT'S
M'&:
DEVELOPEI:
PlopErry ttsE
/ ocoJpAtrcy: ffi srteir rnnrtv[ourrex f]rolmousroESCRIPrIo oF tOrX I
h
F'lE
10.254&n
12
PnolEcr ADORESS:
grBDrv[iro :
PROPEITY OTO{ER'
5 iIAXE
:
(IIER'S ADDRESS:
co[rR
cllri:
ADOiESS:
E'IAII IDOR€SS:
PROJECI C(IITACT PETSoII:
PAYXEI{T
TOTAT ACIES DISIURBED:
EXIST LA'I'
SYSIE',I
GAS EgrrP,
acco{rxt
Ptot{E
-.---
--
LoT ar
zlPt
Us6
P}ON{E
}:
AC@t.[
t
PTO E
t3
TOTAL AREA
sq FT:
Elm
CIfYs
TOTAL PROIECI COST 1ug
4 z
{ ?CAU.a,* OF STORIES:(-r
tr Any El'"ECruC
L, PIUIBDJG
or ECIUTUC.,I! r{o.k Selrlg Done
to the Accessoryff th€ pnoject
l! a Relocatlon, 1s therea Natural Gas
Line on the Curr,entls therc
Ele€trical porer on
thls sulldins? 6lyes Ef rro
Ot{tiER/@|VIRACToR !
SIGI{ATURE:
rs lrt pRopErry rocrrED $r
l rrcoorurrl fl vrs lo
ToIAt HEATED
sa rrr (d- roTAr sQ
Fr urDER
B!STrS IrPERWUTS AiEA: _sQ Fr
tr*l DtpERIIlqTS
AREA: <n ft
(rot
ofrtq ust
ROOF :
CIIY:
crw:
SLOO(
t:
f:
.w.,il.t
/2rwa _[ couurrw svsrrn
! pRrvArE uELr
SE}ER: L<[ cFprrA
! ceurul srnrrc
f] ,*ror, ,rrrra
zo E:OFFICER:
orLY) /,r l urn4
kre t rr 8FE+2ft- I
2
),<E-,:-.4-
I
Apprcvat:-- Clty: )r..Jr L l^FL@D:
PEUIT FEE|
I
lorSSvfir$
\i'RECEIVEDIEC2gOE 7 .t-,,11-/ ) \t
l)NEW HAiII()VER COUNTY BUILDING PERilTT
APPt.ICArIo rYP€: COfiItERCIAL
PIIASE A'I5IiER ALI QTI'SIIOIIS APPLICAALE TO YOUR P'O]T'T
"Project Resporsibility''
ffi
AFPLICATIOII
l{umbea
(offrc. ur.)
APFt.IClt{I 'S llAtrlE: Frrn\ IPUis
DEVELOP FIi j
PROIECT A0ORE55: 6r-n-o I leqe Rd,, Suit.e 23
OCCUPAIIT /AjSINE 55 ilAqE : t{.1:' i:}er Fir i.-.ce
PROPERTY OdtlER'S llAl,lE: Michael l:qr!e,,
0i, ER'S ADORESS: -!16 ar!sir!|.l,n Rd
CONTRACToR: Levis r,iIdc--. rnc.
AT0RESS: Po Box 1464
€l,iAIL ADORESS: frank€ I etri sh) i ldeisinc -coll
L 4€-PFPNE *:
PHINE *: 25?-331-;206
PlDl'/E S: 910-62c-?9C2
PIO{E
#:9I0-519-s221
LICELSE ,: 35299
CITY: Ylrighrsv:Ile Beach
PROIECT Co|{TACT PERSON: !.a.k l,euis
Z Exrsr co*sr Rr..!c T rctt :aI i:: -t: ,t RENoVA-I:ONGENERAL PEPAJRSRELOCA-ICN
lf Rolocatjon, is ther€ a Nalu-al G.. Line on the Ctx.an: Sil()?
D I
No lS BLDG SPRINKLEi?:4,)t ves
fl r,to
((n..k aIl th.t Arrly)
'rJ
U
\
e
\-,,.
I
,:.J
t_\-l--1I
NEx CO 5TRUCITON:
! eneCr NEr STRUCTURE [_-] rrcr rnAcK
[ *rtr-r-
E Uprrr
f aoo ro ExrsT sTRucruRE
ACCESSORY STRUCTUiE:
If UPFIT
- Ihe SheLl Pe.nit t:Is Elect Por.er on
this Blrilding Yes NO
.rr.r ts Trrs a orallcE 0F occuPNaY usET r YES
It Yes, r,hat xas the Previous Occupan.y Typ€hhat ls the Nefl
oc(lpancy Typ€? of:ice
EIGN DESI@I PROFESSIO AL: J€DKiAS COI1SUIt::^ Enq:t2ers
oF scRIP_:ION 0F .IORI(: T,,. :' ait: sole Putr, !elucdte spr iokier. Fi!e dl6,:: , oc!o :.r .uct !!iurinq
I
ls tood
ff bd.rFogoo p.6p8ed cr 6sved In
tlgs *uauof I ves I
No 18 nle ftop€.ty f.ocatod ln Tho Ftooddoh? EYes I No
olScLetvEo
(qtn 4 {P?rr X!.i
c..Eh Arr6b d iE! Y.r, r,t ,rq6d b cdl iE N.0ird EhH. S..d..rb b Het&{. Al Polrra {IrESHAP) n 019)707{950 d L..l 10 dq Elqn6.
6r.6ti!o. ol !f/y ftcflty o. t -{4ttO Se At!€sb. Wob Sli.:
BUILDING HEIGHT
SQ FT PER FLR:
IS!.)
OWNEFYCONTRACTOR
iCTAL PROJECT COST. 33 , 500
TOTAL AREA SO FA:165
TOTAL SQ FI JNDER ROOF
-
g OF STRUCT1JRES
ACFES DISTURBED
#OFUNiiS: I
; OF :-aa .r: I
# OF Fr-
CORS: r
Exsr LANo DrsruRBtNc eenurr []'r'es I NOc
SOFi
!
aaTE,fi1rl2
IJEW IMPERVIOUS AFEA:SO FI EXISTING IMPFRVIOUS ARFA NA
pRopERTyusE: [7]oFFrc€
[nesreunervr luencru.rnlr leruc [APr I coNDo cl-4ER:
WAIER: ECFPUA
SEWER:
E CFPUA
- coMMUNrrY SYSTEM
n WELL f:IZoiSI{G usE cLASslFlcATloN:
fl celrrner- semc
[ fr-vere serrc 3 Conuurltrv svsrtu
PAY ET'fi uE rHOOi
[crsx I cx=cr (PAYAaLE To NHc] flluentcex exentss uc/vtsADrsco\':?
zorue: (S orrrcEn
ApproY€l:- CitY:
commsnt t\
N
PERMTT FEE:
$_--
DAIE:_!?:19:L!._
CITY: lithioqton ZIP:28401
cIlY: I3-II]j:: l:ll!_ ST: PA ZIP::e010
ST: Nc zfP; 28480
ARCH oESIC,tl PRoFESSIOIAL:PH:_ N( -:'; l: _
PH: 910-822-1'24
ilt ii,3 s: !!3!!!l_
#
NEW HAiIOVER COUNTY BUILDING PERI'IIT
APPLICATIOII TYPE.. C(}4I|IERCTAL
PLEASE ANS}IER ALL QUESTIONS APPTICAELE TO YOUR PRO]€CI
"Project Responsibility"
)otS-tN't
L#6*
MPLICATION
Number
(Office Use)
APPLICANT,S IIA',IE:nt Franceschel liDATE: 8/i8 /'\5
PROJECT ADORESS: ?/,;3 i{3:.}:c'- s:r.i.r
OCCUPANT/BUSINESS NA E: liess Retarl slores LI,c
PROPERTY O'$tlER'5 tlAriE :
CITY: wi tmlnqton ZIP I
2841i
Hess Retail Stores trLC PHONE*
5
330.286-3902
OtlilER'S ADDRESS: one iless Pl.d::.r CITY: woodbridqeT: J:_ zIP:!j:!r_
EIIAIL AIDRESS:
PRO]ECT CO TACT PERSON:
(Che.t
All Ih.t aprly)
EXIST CONSTRUCTIOI,I;ALTERATIOI{R E T'IOVATION6ENERAL REPAIRS
n R E LOCATION
It
Relocation, is there a NaturalGas Line on the Current Site?
nYes
il No lS BLDG SPRINrLeReot
I ves
[tto
r{E}, cor{srRucTrot:
I rnrcr NE],I srRucruRE
I rAsr rmcr
fl sxer-l
! uerrr
I mo ro Exrsr STRUCTURE
ACCESSORY STRUCTURE:
rf UPFrT
- The She]l Permit #:Is Elect Po{er on this Building
[ves nruo
.***r rs rgrs A (HAI{GE oF occupaxcy user
[ves I ip *****
fF Yes, r/fiat Has the Previous Occupancy TyPe?Hhat is the i{eu Occupancy Typel
ARCH DESIGII PROFESSIOML:Richard T, Bowen and Associa PH:216.491..9300 c REG #: r 548
E GR DESIGfl PROFESSIOML: n:!
cha ro T, Sowen and Associates Pfi: :16.,i91..9300 NC RE6 #: 1548
PTIONE #:
PHONE #:
ldingCode and all other applicable State
n lhe aM
and
OWNEFUCONTRACTOR SIGNATURE:: Vi ncentr I:'ranceschel l i
(qdift., (Prht
Ns.)
tloao: Oarroltroar ldtlcdtxts & ssbaat6 rsnoad p€firt *Ilr{oars ato 10 b. EUb.nA6d using tho
apdketo.r ,o.in (DHHS',6E) r,,iatls th6
kllt or bdldhg was tdrtld 1o
@rtsil Ast€etos 6 not. you 6rc raqtlr€d to cJt th. l,ldo.rd ffidoi Sldds.d! ,or Hlddo.ls rllr Po{!t{i! 0{ESHIP} i (919}m76SO
d Ld '10 dary6
!,iff to tL
ddnoli{o.r ot any lbdlty d btrldtlg. SoeAEbcalosW6 Sib: nlip:/fwww.eti.st.le r.'c
$rspr.lbe$os/ahnrp hi l
TOTAL PROJECT COST: s15C,003BUILDING HEIGHT:
-
# OF UNITS:
TOTAL AREA SQ FT :
TOTAL SO FT UNDER ROOF
ACRES DISTURBEO
NEW IMPERVIOUS AREA:
: ) 41n# OF STRUCTURES:
Exsr LAND DrsruRBrNG pERMrr? T-l yEs D No
SO FT EXISTING IMPERVIOUS AREA:- SQ FT(l
PROPERry USE: L-IOFFICE L-l RESTAURANT MERCANTILE
[eouc il,cPr ECONDO OTHER:
WATER: EICFPUA
SEWER:
l7I CFPUA
f] COMMUNITY SYSTEM D WELL
r] CENTRAL SEPTIC
LI PRIVATE SEPTIC
[]zoNtNG usE cLAsslFlcATloN:
fICoMMUNITY SYSTEM
pAyrrEMr MEfiOD:
[cASn ICHeCX lneVeatE To NHc) f]AUentcal exrRess I MCA/ISA
florscoven
ZONE:-OFFICER:
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH: B:
BFE+2ft=
RE]/ISED DATE 'fiTl12
Approval:- CiW:-DATE: FLOOD:--
AVN
Comment PERMIT FEE:3
DEVELOPER: r.en.i;,6ase ii.rst construcl,ion PloItE *: 33C.3863902
COI{TRACTOR: T3D LICEIEE S:
AIDRESS: CITY:
-
ST:
-
ZfP:
-
DESCRIPTION OF hORK: fntrer,o: .rl'Leratrorrs incfudrno eouipfirent, coo1er nodificarion, finlsi'res-
ts tood or b€verages prepered
n saryed in tris srtrtrrez
fi ve"
[ ruo U tt
"
Ctopety Locar€d ln The Flooddain?
f] ves
E Ho
SO FT PER FLR:
-
# OF STORIES:;-
# OF FLOORS: j--
RECEIVED JAN 26 2016
NEI,J HANOVER COUNTY BUILDING PERMIT
APPLICATIoN rYPE: CoI!4MERCIAL
PTEASE ANSI,JER ALL oUEslIoNs APPLICAELE
T0 YoUR PRolEcT
"Project Responsibility''
S(
Nry0q
APPLICANTIS NA'IE:
OEVELOPER:
APPLICATION
Number
(oFfice Use)
sp;6rol I zs/ lb
PHONE *:
PROIECT ADDRESS: 7413
Marker sEreer
occuPANT/susrNEsS l,lAf;lE:
Hess Retail Stores LlC
oWNER'S ADDRESS: one Hess Plaza
CONTRACTOR:
ADDRESS:
EMAIL ADDRESS:oYv\
PRO]ECT CONTACT PE
CITY; .9t1lftinqron ZIP
: 294t7
CIW: woodbridde ST:
lq_ ZfP: 0r095
LICENSE #: 12-1,5-4
CIry: d*1!C,r l+Or€l1 sT:
€t zIPt 738yo
PHONE #:
PHONE *: r863'l q61- S(1'7
(check
all Tnat apply)
EXIST CONSIRUCTION:r'
lF
Relocation, is
lherea Naturdl No
ilEw coNsrRucrroirr
I rnrcr NE sTRucTURE
I rasr rmcr
I srer-r-
[ urrrr
! aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
ALTERATToN
I rrruovnrrou
! cerrrennr- neelrns
! RELocATToN
Gas Line on the Cuirenr Sire?
EYes E No ts
aLoc spRtt'trcLeReor
f] v""
If UPFIT
- The
Shell Permit #:Is Elect Polrer on this Building EI Yes D *o
r*r*:r rs rHrs A cHANcE oF occupANcy user
flves
IF Yes, t.lhat r.ras the Previous o.cupancy Type?
-
l.{hat is the Neo occupancy Typei
ARCH DESIGN PRoFESSIoNAL: Richard t Bowen and Associaues pH: 216.491.9300 NC RE6 *: 1548
ENGR DESIGI| PROFESSIoML: Richard L BoeJeD and Associates PH: 21.6.491.9300 NC REG *: 1548
DESCRIPTIoN OF WOR(: Intrerior alEerations includ:nq equipmen!, cooLer modificalion, finishes
ls food or b€y€ragss p.spar€d or ssrrsd in thrs "lrrar."f EJy"" E No ls Th€ Prop€dy Locacd ln
Ths Floodplain?
f]Yes r No
that all inFormation in u)is all olher applicable SEle
The
SIGI.IATURE:
Dlans and aoecifi cations
l.JG
Stale Eldg Code and
OWNER/CONTRACTOR:
(qa!F4
Not.: D€mollion no{fcatons & asbosos ar8 b b. $.DmltEd irslqg $o Bppllcalon bm (DHt(i.3768) lrll!ft€r t|€
ftdllv or bultshg w8s tound to
cort6h A3bosto. or iol You aI! tequlrEd toNstonal Embslon St nd.rd8 for H.:edor8 Ar t isnst nts (NESHAP) st (919)707-5950 er least I0 rhy! !.lor b th!
drnolllon ot 8ry hdllry or bulldlng. See sIt€: lrtQr/ww!y.epl.sbtB.nc.uvapvgsbosE/ahmp.hunl
l TOTAL PROJECT COST:laD.ff)#OF UNITS:BUILDING HEIGHT:
SQ FT PER FLR:
l
TOTAL AFIEA SO FT :2 4'15# OF STORIES: 1
EXST LAND DISTURBING PERMII?
N YES
I NO
SOFT E(SIING IMPERVIOUS AREA:NEW IMPERVIOUS AREA:0 SQ FT
x)t
pRopERTY UtE: EOFFICE D nesraunelrr
WATER: ZTCFPUA f:ICOMMUNITYSYSTEM
sewen,
ffcreua ficerrner- semc fJ
Qa,rsncar'rnr-e I eouc
I aer [coxoo OTHER
EWELL ZONING USE CLASSIFICATION:
PRVATESEPI]CCIMMUNITY SYSTEM
.. SEPARATE PERMITS REOUIREO FOR ELECT. MECH. PLBG. GAS EOUIP. PAEFABS S INSERTS
"'
pAyMENT MEIH6D:
fiCesu floreA< leeVreu To x11C] E]AMERISAN o1pREsS fillucrvrse E oscoven
ZONE:-OFFICER:
(FOf OFFICE USE OraY)
SETBACKS: F:-LH:- RH:- B:-
Approval: CitY:
. DAIE- FLOOD:
-
BFE+2F-
AVN
REV1SED OArE {./t 1ll2
I
Comment PERMIT FEE:
$-
PROPERTy OWNER'S NAI4E: Hess Retail stores LLc PHONE *: 330-286.3902
ToTALSaFTUNDERRooF:2415 #oFSTRUCTURES:- # OF FLooRS: t
ACRES DISTURBED:.0-_
m
NEt{ HANOVER COUNTY
BUILDING PERiIIT
aPPLIC,II1N IrpE I CottllERCIAL
PttAs€ alrStER
atl Qoa9IIets lppLiii.E! E to !.a{JR
oFclEal
"P.oJect Responsibility"
,o/b-7'3
lu-ul
APPLICATIOI{
ltuDber
(oaft<. u3e)
OEVELOPER: r,t.i.
C-;:r
PROIECT
AIDREsS:
ll-rs Hrid C ITY: xj:. jj:-.-:, i
ZIP ': z",ea-'
PlOi,lE *: 910 . t46. e4,t I
5T: l:. zIP:284u1
5T; lic ZIP: 2 8.t 02
PHON! S:9]c.868.s,11
PHONE ti 91c.a6e.rit.l
OCCUPANT/BUSIIIES
5 NA!4E
: !:r..d..,--.,{ r.a.1
PROPERTV
ODIER'S ltAl,la: (:hris piitc..,. .lr-,;d.ri p!, !..lriin
ot{,'lER'S ADORESS: po r'!..}. 4.0
CO TRACIoRI ctavr 0!:
!ri
ADORESS:
:. t)./29
EIiAIL ADOf,ESS:
ibrai^:1rt
. ::
PROIECT CONTACI PERSoI{: y,:
r'.. i.- ! ::-.::"
((he.k AII 1n!r ApDly)
EXIST COTiSTRUCTION:
lf Rolocstim, is there a Na
!-s LLC
CfTY:.;ack
CITY: Fa,,.r r
-1.i t'Ic
_"ta
,
il)r\ IVJa,
+.
ALTERATION
Gas Line oo theCurrent Sile?
RENOVATION
Yes
ntr No lS ELoc SPRTNKLEReo:
I ves firuo
GEN€RAL REPAIRS RELOCATIOIi
NEW CONSTRUTTION:ERECr riEtil STRWTuRE
I rrcr rucx
I srrlr-
[ uerrr
! oo ro ExrST sTRUcTuRE
ACCESSoRY STRUCTURE: r r:!J.nLrr,d_ ,l ,. .! -^- ---ir Daiio
If UPFIT
- The
SheU pernit s:
Is Elect poper on this Eui.Lding E yes NO
C
,1)
ARCH O€5IGI{ PROFESSIOML:
EI{6R OE5I6{ PROF:SSIfiAL:
DESCRIPIION OF I{ORK:
PH
PH
TK RE6 ':
-
C Rt6 C:
\n
,
u.l
_z-
TOTAL PROJECT
COST: 15],'oI.cc BUILDING HEIGHT
TOTAL SO FT UNDER ROOF: N/A
ACRES DISTURBED:
--NEW IMPERVIOUS AREA:
OWNEF/CONTRACTOR: Pi.r:r:-.i
c. ?ri (L SIGNATURE:
e
Nolo O..ndltoo ri{ll€tffs E aaD6!c6 rrlrovd pdmn apef'crjdlr o.a io
b. 6.,t nhad tlstng tha sppdcatd, forn IDHHSd|tl,] Artcdd s rrt Yqr r. roqurcd to
cdt tr| Nsnsd &nlrajc.r glr(ddr to. H!:ndou! Ak p<rnn .nJ0TESHAP) d (Sl
s)707-5go
l>)
# OF UNITST
TOTAL AREA SO FI 1.981 SO fi PER FLR:
r;.'A # OF STORTES
, OF STRUCTURES:
N,/A # OF FLOORS:
EXST LAND DTSTURBTNG PERMTT?
E YESNO
SAfi EXISTING IMPERVIOUS AREA:
pRopERryUsE: floFFEE flnesreunarr f]xencrwrru EDUC
APT
D@NDo oTHER:
WATER: mCFPUA
SEWERj
A CFPUA
COMMUNTTY
SYSTEM T'] WELL
cEN rRAl- SEPTTC
fl C-RVare
SrertC
E zoNtNG usE ctASstFtcATroN:
tfcoMMUNrTY SYSTEM
hF lS{X OATE ,I/l
lll2
PAYMENT MEIHOO: ECASH t CHECK (PAYABLE
rO NHC) DA,{ER'CAN EXPRESS
flt$/vtsA E DISC-,OVER
zore: Ct
i' I orrrcen:
Approval:_ City:E+2tF
llDN U
I
Corr,not{
NU
L
iF
\j<
LH
\,Q
N
PERMIT FEE: $
5
APPLICAIIT'S
l|All€: Ri.|::i C. Eiir! DAIE: rt/o{/t5
PTONE *:9t0.891.5405
LIC EtlsE *; !Tlm:,D:,'l
5: c':
""r rs rHrs A ourtcE oF occuprllcy usE?
DyEs
firrc ...'.
IF Yes, *lat uas
the prevlous Oc(up.ncy Type? _ !fiat ls th; {erJ O(cr.tp.ncy Type?
b tood or bw6agE Feps,rd or sorvod h tHt structuef
I ves E} Ho b Ihc Prop€.ty L!€atod ln
lhe Floody'atn?
f] ves El xo
DEVELOPER: EsT
consrrucr ion
PROIECT ADDRESS: 721s wriqhrsvi 1
le Avenue
0CCUPANT/BUSINESS NAI'IE : crandview ADa
!tments
PROPERTY OWNER'S NA'i1E: Chr:iSBai 1e
Graadview Holdlnqs LLC
OWNER'S ADDRESS: po Box 4oo
CONTRACTOR:
Clayton Britt and sons, Inc
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIOII IYPE: COIqIiIERCIAL
PLEASE ANSWER
ALL QUESTIONS APPLICABLE IO YC[,R PRO]ECT
"Project Responsibilit}/'
CITY: Wilminqton, N
CITY:
Jacksonville, ST: Ig_ ZIP:2!.3!f_
ST:
Nc ZIP::!l!Z
?glta''lS 3
lla,bq
APPLICATIO
umber
(Office Use)
PIONE #: 91o. g91. s4oS
c zlP i 2a4a3
ADDRESS: po Box 2e
EIi'IAIL ADDRESS
: nJchaire@spaandpoolk
orld. com
PK)NE #: 910.868 8 319
PTONE *:910.8G8.s319PROIECT CONTACT PERSON: Marv Beth Haire
EXIST CONSTRUCTION:
n ALTERATION
lf
Rdocation, is there a Natural Gas Line on the
(Check
AU That App]y)
RENOVATION
Current Site?
trYes
trGENERAL REPAIRS
tr RELOCATION
No IS BLDG SPRINKLERED?
Ivestr No
NEl,ll COi{STRUCTTOT:
EI rnrCr NEr,r STRUCTURE
I resr rmCr
I sxrr-r-
! urrrr
! aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
Tnqround concrt
e swirnrninq pool with concrete patio
If UPFIT
- The
Shell Permit #:
IF Yes, utrat ras the Previous Occupancy Type?
ARCH DESIGN PROFESSIO
AL:
{.**r.' rs rHrs A cr{at{GE oF occupar{cy
user
flvrs
t&at is the Neu Occupancy Type?
PH:
NC REG #:
ENGR
DESIGN PROFESSIOTIAL:
DESCRIPTION OF I,JORK:
ls food or bey€rages preparcd o. served in
tris stucnrreZ
flves
[lruo b Tho Prop€{ty Located ln lhe Flooddain?
E ves
EI to
DISCLAIMER: I hereby cenify lhat all information in this application is
correct and allwork willcomply with the State Bu
and local laws and ordinances and requlations. The NHC Develooment Services Center will be notfied of anv chanoes
or chanqe in
confaclor or contraclor i-nlormalion. *NOTE. Any Work Pedormed W/O the fupropnate Permrls witl 6b in
Subjed lo Fines Up To $500 00..
ilding Code and all other applicable Slate
in the aooroved olans and sDecificatrons
Violat'on
oftheNC Stare Eldq Code andeOWNEF/CONTRACTOR: Ri4qrd c. Br:lt.t SIGNATURE:
(qd r) (Prld Nsn€)
Not6: D€rndlion nc{ifcato.E & a6besto6 rdnoyal p€cnit apdlcadms ara to b€ suknttred ushlg the appttcstim bnn whoth€r th6 facllily or hjlding was lound to
cortain Astlosloc or not You are roquir€d to ca{lth€ Nrtond Emlssion Slandards fo. Hazardous Air Pdlutads (NESHAP) 6t (919)707-5950 at lc6Bt '10 dals frto. to t|g
tumdltifi.a y fadlfry o. hlldlrE. Se Asb€do6 Vtbb Site: hllp:/llrn
^,/
epr slale nc. utepi/asbeslos/ahmp. hnn I
TOTAL PROJECT COST: 1s3, eoo. oo
# OF STORIES: N/A
TOTAL SQ FT UNDER ROOF: N,/A# OF STRUCTURES: N/A# OF FLOORS: N/A
ACRES DISTURBED:EXsr LAND DtsrunerNc eenutrz
I ves I NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SQ FT
PROPERTY USE: EOFFTCE E ReSreUnerur
luenCmr[e leouc nnr [coHDO OTHER:
WATER: ECFPUA
SEWER: EICFPUA
fICoMMUNrYSYSTEM flwELL
L] CENTML SEPTIC LI PRIVATE SEPTIC
flzoNrNc usE cr sslFrcATtoN:
flcoMMuNrTY SYSTEM
(FOR OFF|C€ USE ONLY)
SETBACKS: F:-LH:- RH:- B:
PAYMENT METHoD:
ficnsn fltcHrcr pnvnalE ro NHc) firuentcm exeRESs
E MoMSA
f]oscoven
-. SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS E INSERTS
"'
REVISED DA'IE 4T11112
ZONE:_OFFICER:
Approval:- Citf- DATE: FLOOD:
---
BFE+2F
AVN
Comment PERMIT FEE:
I
ffi
DATE: or/04l1sAPPLICANT'S NAr,lE: Richard C. Britt
PHONE #: 9ra.:i46.a443
LICENSE #: uNtsLpGl s2 07
CITY: Fayetteville
.F
-
,i\
V-22-1
+,/
\
C
11)
)
0/\a
DJ
')
Is Elect Poxer on this Building El yes E t.Io
PH: NC REG
#:
BUILDING HEIGHT:
JI3- # OF
UNITS: N/A
TOTAL AREA SQ FT : 5 . 983 SQFTPERFLR: N/A
Jotbnao
NEI{ HAIMVER Cfl'I{TY BUILDIITIG PERfiTT
,pPLTTATTil IyPE: RESIDEI{TIAL
PLEASE
tr{508R ALL qUESrIOtts apprtcaal.f ro yorrR pRolEcr
TFoJcct Rcs ponslbtuty,.
ir-/J'
ffi AffiAr
ltl[ber
(O+flcG t
lG)
APPLICAfiT'S !U$G
'DEVELOPER
!
PnolEcT AlonEss:
suDrvlsxo{
F
PHONE *:
-=I >BcstrcBLD6 roAp
CITY: }ri1 ZIP
,E
2640t
A
P}PNE
#:
STt
Jg ZIP: as{os
TTCEI{SE
#:
L
PR@ERTY qflER'S
*IllEN's ADDNESS:
*[ra ylc(
6fr\
CS{TRACTOR:
ffixEss:5
EfiAIL ADORESS3
ttbost
CITY:
, eom
PROIECT CC{TACT PERTSO{:
Ererr Bosrlc PISIE
#: 910-264 -8 518
EXrSTrre COilSTRUCTTOfl:
I Alremrou
ft umvarror ft ear,remr-
neraru
I RELOCATT0{
ilar oOsrn crrot{,
[l enecr EH RESTDEiEE
or
I noorrron ro E)csrrifr RESrDEI{CE
ffnonor
{l-s,f] sronaee
sHEo_ sF
+IPLEASE O{EC( AtO AIISSER BETOU
ALL I}UTI APPLY
TII YO.IR PRO]ECT:
_ ATT GARAcE _ sF f] oer ornace
_ sF
EsuHnoor
_sF Dpoor sr
f] cneruursr
_ sr f] oecr
_
-.--
s,OTHE R:SF
JlooTorAr HEATED
so
er lllb - rorAl sQ Fr urfirER
R@FtIgoD rorAL AREA
sQ
Fr:
TOTAL PROIECT 60STGalrro
I S )f.o_D_d # Ot STORfES! .!
Is Any El.ECTttlCAL, pUfiBIllG
or ECHT ICAL
r,ort Beiry Dom
to the Acff the project
ls a Relocatlonr
ls theire
a llaturaL Gas
Llne
rs there Electrlcat pomr on th15 Bultdlngt EJ ves fl no
pf,pERTv usE
/ occupAt(yr
[l srueu rru,rrlv
fiowlrx firo,rmousr
cessory Str.uctur€?
tr Yesl{o
on the Current
Sltel Yes
lf ro
D|SCLAmR I heEDy
coni,
h.t.,l hbrma{On h fit8 lpplcalon ts corl.ct snd s ,^Ork wtucomply
wifi
dr Stato Butldh! Code and sfl or|er appllclblc gt6b srd tocd hw6rnd ordhocer.nd rBgutlronl Ifia NHC OeEtqpnsnr Servicr! C.nEr wlt bs no!flod
ot!l]1 y change!
h fir ,ppro€d phos gtd 3poclrcruons ot ln conb&1or orconracbr irbinelon. -rNofer Any !vb,k Forbrmed
WD tle AppropdsD BarmlB wU
b.b s500.ocP..
t1c
\,Arl8oon ofth6 NC S:taE
SIOTIATURE:0tfi{ER,/@NTRACToR:
Brett B
aP.lnt
rr*)*rt++
I l:li * !t rir*
*{.t+ +*,rr, +*r, **
*rrtiiTiiTF**t *,1** +r***r.t | *r* r*,r(i,it {.rt*
tt(r,r$lrrrllt **'} {.*,t,* +rr,t,rrr*rrr*
I5 IHE P PENTY LOfITED
IX A FI-OOPT.AJI
}
RGSTNE DPEMEUE
AREA: O
-SQ ''rE{ rtPEn rous AnEA:
_l!l0D_ Q Fr
r rYEs Mro
urren:
[l crpuA
E coffiirrry svsreu
I pRrvATE ]rErL
I csnr*at
uru
serrn:
[t crrua
fl cErrRAr sEpTrc
I nawlr serrrc
fl ccfiffrry sysrB4
i+:;. SEpaxrTE pEr$ITs f,EglrRED FO{
tl;r::, tiIau,
!ts6, 6,t'r5 EEJI9, pnEFAgS !1 2rlsERTs r'+'\
pAltrrffi
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I csr florcx (?AYAEL!
rD
mrl fllnunrun rxerrss
E rcrvrsl florsovn
i+r*a**r*rlaaitri*taa'.*ll*a*l.attaaaa*l*a*ll.**iiia*llt***aa***tl*tlr***r**a******tttl***t{,*
(FO[ OEECE UrE O[.Y) iEyISED OaT€
roilE:OFFICER:SETBACKS: F: LH: RH:
TOTAL ACRES DNINNSED:
EXI!iT LAID
DIs NB$rc
4b
PER,'ET!
l:]YES I ITO
x
\pproval :- Clty :- DATE:-FL@O:
B:
BFE+2fb-
ouet
frlet*
6522
A cordon
Rd CITY;
-
BLoCI(
*; _ LOI S:
910-264 -
8518
PloI{E
*: 910-26{_8s18
OESCRIPTIO{
0F
Hrf,k: Erect, Ne!, giaqte Famltv Rcsi.d.ence
&0 lbnbt
is--;r'c?-.#'
lPPLIClft,S tlrtiE !
I{EIll HA'{oVER CO,'T{TY BUTLDTilG PER'{TT
IPPLTCAT,,dI
D"!: RESTDEilTIAL
PLgtSf AI{SUEi
Arr OES?IO6 APPLIITSIE M VOln PEC'ECTTr$rst R.s poostbtlltf
CTW:
ADPLTCATId{
tlder
(Offlc. l!e)
oa-r.,
{tlsrrsDEI'EL@ER:
molECT AD[gSSs
EDiltsICt!
j
PRPERW O IER'S
qfiEn,s ADmEss !
@IIITIACIOR:
ADDRESS:
Ettfit |ooRESS: b
*:
LOT
f:
zilto3eg3-
I
f: l!!-as4-gstg
ST, q Zfp
i r8{os
ST:_ rlp: _*i -910-26a-BEtg
*! 910-26a-ggtg
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Pf,O]ECI cqTTAcT PERSGI!
P}OI{E
PrpllEEXrSrsG @{srurct&rilr
I alreurroil f] ffrcvarror I GENERAL REPAIRS
tr RELOCATI&{trtfl cor{STRUCTIol, EI enecr E}' iESTDE}icE or
Elmrrot ro $cs?ar RssrDErcE.TPLEASE CHEC( AID
IlEHIf, BEI.O. AL!IHAI APPLY T{' YOM PROJECTI
, - ATT GARAGE- sF ! oer canrce
.sF @eonu
*-r,Isunaoor SF
E pool
SF
tr SIORAGE SHED
D GREEISICT.,SE SFSF
! oecr
-
SF oIHER:
-sFtoTAr TEATED
sa
n i914 TorAt sq Fr UIEER RooFr 13 Ut T0TAI AREA SQ FT!-T0TAI PR0IECT C05Trresrar
f1) ra)# 0F STof,IES!
Is fity ELFCnIcaL, pllfiSs* or flEctu
lcat hnk 8e1ry Do,E
to thc
*orro,,ffiur", 6 ,ff tfte prdject ls a Relocatl,on,
is the,t a
yrlral *, afn" on
the CuPl.errt
Sltelrs thlr'E
rie.tnrc.r po*"
* thrs Butrdlngi I-.r ves
f; no
'm*
PK,PERTY UsE
/ OCGJPAIEY:
ffi sruar*
rmulv
I ounux
I rorlurouse
OESCRIPXIq{ OF fl'RN:
DlSCl.Amk rheEby
ce ly
&c a[ htumrdo[ ,t
ht!applclron b
comfi gtd Ct ,r6rkwl[ colrDly W0t
hccrd 0r*rarc6r etdIlgulrrmr Thr NtlCOor€bprEnt State Bu,tdtoC Cod. dld s{ ot rrrEPPdcablr
&!b !'d bc€t
hw!$rvlcfi &nttr MX ba no{ittEd of rny Ehlngrt h ,rtrPpfottd p&lr l.ld gacltcrdort ot h cortlctcr orcot,ttcbr htmdon. \oTE: AoyWort Fnbmcd W,E h€
Applopdl6hnntlrwH bs lo vlolrton of
hrNC
SbE b 1500@*OIflEVCO{TIAGTOR:
rs nE
mEfftr LfiarE ril A Fl06flfif,I El ve,
ETEITM
DHIuIqS
IREI:
-{
Frtg D?ERVICE AnEA:
_.._ { FT
(FO8 oFECE USE
On4
loilE:
_ oFFTCER:
lpprgval:_ Clty
SIGIIATURE:
tll*****itl.***ti tr*t|ltt***t **ll)i*lrlip
tE\flslo DITE
OIAI./U
**t**lit*+t*tt+
BreEt Bo6E{c
**r*******..9H[&]***.***r*r**.*
TOTAT ACnES
UIitInSlD: _
Exrsr
uD orsnnaDr
effiEvs Ef m
Ha'.x: EI cFpua
E co'**rrr srs'ren
fl pRwATE *ErL
! cenrnar
rrr.lsErti:
[t crnn f] cEilrRAL
sEprr€
flEwan ,r.rri il **rrrrry
ir*
*(+ sE'afiarE pgRHrrs R€GUIFED
Fsf, Er-Ec.y, irECH, pggg, 6an
Eqirp, peEFAgg
s -ri*sEilTs ir.;$
PAYf,Ef,t
iEnmt
E* Egts.ltt-'y..I.;.;;-.fu;.** *.* Encmgr florscovn,tra+'t*rr.*t.r*tratt*a*tta**ttrslttiatti*aila+*iL*t,,ara*ar**|raaaaTaattat*a.*artt*a+*a**
SEIBAOG:
F:_ tH:_ Rlt:_ B:_
BFE+zft
VT
:_ DATE:_ FL(!D: _
A
DBt.frr -'t. I
4ar
{: ss72s
IIE
NEhJ HANOVER COUNTY BUILDING PERII,IIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSXER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilit)/'
fr;'nu'
APPLICATIO I
Number
(offi(e Use)
E33U
APPLICANT'S l,lAllE:
Bill clark Homeg of wilmington LtC
DEVELOPER:
Bill Clark Homes of wilmingron LLC
PROIECT AIDRESSa 4t44 pine Hollow Dr.
SUBDIVISIO : BelleMeade
CITY:wilmington
BLOCK $:
DATET 1-/ s
/201-5
PHoNE *: 910.3s0.1744
ZIP ? 284].2
LOT *: 2s
PHONE S: 910.350.1?44
ST: NC
ZIP: 28403
ST: Nc ZIP: 28403
Yes I No
To S5OO.OO"'
*++ *** ***,* * * * )i
* * * * * *
YES I NO
PHONE #:
PHONE #:
9l-0 ,350 ,1 744
910 .350 .1744
PROPERTY ohlNER's l,lAilE: Bill clark Homes
of wiLnj.ngton LLc
OhINER' S ADDRESS: 127 Racine Dr. suite 201 CITY: wilmington
CO'ITRACTOR: Bill clark Homes of wilmington LLc LICENSE #: 34586
ADDRESS: 127 Racine Dr. suire 201 CITY: wilminqton
EPIAIL ADDRESS : rgill@Bi1lc1arkhomes. com
PROIECT CoNTACT PERSotl: Richard cilf,/Bi]I Clark Homes
of wilmington
EXISTING CONSTRUCTION :ALTERATION R ENOVATION
f] cerueul neearns
! RELocArroN
NEt,ll CONSTRUCTION:
V ERECT NEl., RESIDENCE or ADDITION TO EXISTING RESIDENCE
tr
**PLEASE CHECK A'{D ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
fl orr canror
I eoor
I eonorATT GARAGE 499 5F
SUNROOM SF
SF
SF
SF
231 SF
! enr rnHous eSFDECK
f] sroRaee sHeo
oTHER: Patio:120
5F
SF
TOTAL HEATED SQ FT: 2703TOTAL SQ FT UNDER ROOF: 3433TOTAL AREA SQ FT: 3s53
If the project
is a Relocation,
is there a Natural Gas Line on
the Current Site? ! Yes!No
Is thene Electrical Power on this Buitding?
[-l Yes I No
PROPERW USE
/ OCCUPANCY:sTNGLE FAr"lrLy
! ounr-ex
! rouruHousr
DESCRIPTIOiI 0F I,JORK: Nev, construction of single family home.
and ordinances and regulalions. The NHC Developmenl Services CenEr will be noifed of any changes in he approved plan
contacror inbrmaton. "'NOTE:Any Work Perlomed w/O he Appropriab Permils will be in Violation of lhe NC StaE Bdg
TOTAL PROJECT COST lress t-oty
: $ rsz,azs # OF STORIES:
r w/uon
Is Any ELECTRICAL, PLUI'IBING or I'IECHAI,IICAL Work Being Done
to the Accessory Structure?
OWNER/CONTRACTOR: nichara Gi11,/BCH of wifminston SIGNATURE:
*,t,t* *** * * * * **,* * *** * + i * * *** i* * * * * * *,{. + {, + + + * * + * *,},},} *,i,i * * * * * * * + ***,},} *
I5 THE PROPERTY LOCATED IN A FLMDPLAIN?
TI YEs
EXISTING IIi.IPERVIOIJS AREA: O SQ FT
NEW IMPERVIOI,S AREA: 3846 SQ FT
hIATER :
[I CF PUA
E COMMUNITY SYSTEI4
! enrvnre r^rer-r
! cENTRAL wELL
SEI,IER:
I CFPUA
E CENTRAL SEPTIC
f] ENTVATC SEPTIC
fI COMITTJNITY SYSTEM
PARATE pERI,IITS REqJIRED FOR ELECT, t'lECH,PLBG, GAS EqJIP, PREFABS & INSERTS **i'*** SE
PAYMEI'IT METHOD:CASH
! orecr (IAvABLE To NHc)
E NERTcAN ExPREss
E r,rclvrsr DISCOVER
:i+***:!*******,t,*,i******,*)*,********,t:i**,1,t***)*)*'l;l*:t**'l'****'*'****)**'*'*']t't**)t)*)****+**)*)*******)*)t)t)t
(FOR OFFICE USE ON!Y) REVTSEO DArE s4l11/12
ZONE: OFFICER: SETBACKS: F: LH: RH: B:
!NO
F LOOD:
AVN
TOTAL ACRES DISTURBED: .24
EXIST LANO DISTURBING PERMIT:
'!, t
Approval:City:DATE :BF E+2ft=
i,$\.- .
f,i$ ,
rE s0 m]^
)otL-1LLl
lk- Llt/
APPLICA] ] O'{
Number
(off1<. Us.)
E33U
NEW HANOVER COUNTY BUILDINC PERI4IT
A?PLrcArIott rvPr: RESIDENTIAL
pllijt t :;ai at! qJ!5t:axs,at!LI(l8LE To YqJR p?t-la(T
"ProJect Responsibiltty"
CfTY: ttl$:.roron
BLoC( *:
PEOpE8TY ohltlER'S NAnf: 8111
cl..:h ric,..s
ol Rllnrr:.r.or ],Lc
o|t'{ER'S ADORESS: 1:: F:cl:c 5!. s':i:. :ti tIiY: r'.18:::n:3:
AaPLI(AXrS Mr,lE: 3:]I c:n:.lr sories of riiltlticaton l,Lc
oEVELo9ER:
8ill. clsrk 8.,..q cf H!l&ing:on i,:,c
PRglfCT ADDnESS: {l{+ i):::* xcllol, oy.
slEOlVI5:dl: 3€ll elteaile
DAT:: l/i,/2aI6
PHG{E lr 9ic.-1r!.tr41
7IP: 2ir::
LoT #: l:
PHOi!, S; r:i.l5c. r ? r..
ST:
!a ZIP:2€il-,
CC6ITRA(TO* I 3111 Cla{k Hom.r .! {ili:r!:..i:.x LLC
AOORESS i r27 P:.ine o!. sui!3 2Jl
E AIL ADDRESs I rii-11;!lllclarkliomes.con
LICE SE $i 3{586
CtTY: irilidngrc.- 5T: Bc ZIP: 28401
PBo E t: 910 . l5o.17ar
PH($ll {; !rc.35l.rri.imOIECT CCNTACT pERSOt:
Ricirr:l cill/ts:]i cl rrk "^*--'i .f x1l$i'c:or:
lxrsTrN6 coars1Ruarro :
n ALTEiATIO
I nrrwerroH
[] etNrRrl eeearns
f RELocArroN
NgT COII5Tff UCTIOI,I:ERECT ltEil RESIDENC!
or TODITiO,I TO EXIST IIt6 RES:OENC€
..PLEAsE (H!CK &TD A{S!dER 8[LO{ AIL THAT APPLY TO YCijf, PRO]T'T
B r.- 6,qf,a6g
I surnoon
q9e 5F
SF
DEI GARAGT PoRCH:rl SF
SIORAGT SHIi
5F
6R TEOHOJSE
I eoor.
ll orcx
5F
NO
DUPLEX I&TiJHOUSE
5f oTHER: Pario: !2c
5F
SF
ToTAL HEATED SQ FTr :?ol TOIAL 5Q FT UNDER ROOF: 14!3IoTAL AREA SQ rI: r!31
TOTAL pRolECT COST r'"r*:
-ar ; $ ::r,srs $ 0F STORIES: r l.rr,cr.
Is.Any EL€{TR:CIL, PtWgIriG
or IiE(HAiTICAL !,!o.k Being }o.e to the Aace9srl St.r,cture)Yes l.to
If the p.oJect
is a Relocation, is the.e a Natupal 6n5
Line on the (urr!.t sitel Eyes
Er"
T
1s there Elect.icat Poler on this 8u11di.lg?
pRopERTy IjSE
/ OCCUPTI}.EY:
fl SirClr relrtV
DESIRIPTIoiI OF N0R(: liel, co!:srruclion ot sinqle ta$ily home.
,d o.dharrs ..C .!Ct 3tions.
-rh! NllC D.
.h!.Fnl Serytel C.nr'. sI b. r.!.7*{ ,l tly .nr.Crt. ae.i: ..r'i:Lnr iird
si{-._^ ^^',
(nr!ft x.r.)
o, ,a)0. h@rrvE' o:
Fay'lb r( snor}J..
OflNEl /C0}ITRACTOR : Rlchi:.r c:Il/BcF ot r,l:
lm:'E:cn SIGNATURE:
rs rlrE pRopERTy LocArrt rN l rlooapullt I vrs I NO
€XI5TIT{6 IITPERVIOJS AREA: 3
NEUI lr{PERYIot,s AREAi 1846
sQ
sQ
TOTAL ACREs DISTURBTO: .?a
EXIST LANO DISTURBII'IG PERI'{IJ:
urrn: ffi crnur
f] cs4EUNrw sYsrEt4
f] rnrvrri 're r-r
I CENTRAI. !{!LL
SEHII:
fl crpur
f] cEilrRAL srPrrc
[] nn:vare
slFrrc csqt4t$tlTY sYtTll'1
... 5EPAIATS pERrr;S t€g.lliED Fon EIECT, l!E(H, p186, 6A5 EQ0]C, pFETABS & rl{SElTS "'
,rYt:{r xETiroo:cnSh
f] curcx lrr,vnrr-: ro rxcl flrterrclrl txcnr:s
I ClVISA
'ISCOVEt
FT
F1YES I NO
9t?E,*
?Ol'lE: F
Approval:
OfFICTR:
City:
(rci i, !:(r uar a,irv
SrT!ACKti t:
F LOOD:
3o'rr, tr:"
hati5to ta:a &rrrl:l
Rll1O's,
ZS'
f, ore.zt=
\-25'tct
|rr&t W3 ,rl n/u'n. a*fu&4
'"J-ut,J
APPLICAflT'5 MI4E :
D€VELOPER:
PRO]ECT ADORESS:
-7_-{_
I ..:
"'. ^,1rt-l crTY:
PHONE #
ZIP t,25.rr j
5I .
4a!,zlP |
-l * 4.) q
Ptofl€
{: qL>^()-clj /
PHONE
$: :/,J- x4) O34 I
2olt,-7L{
t L+- lb-Sa
APPLTC^TION
l{unbe r
(o+fice Use)
o^rEt //6//./,7leZiZi r
5F
SF
v"s
I r'ro
[-J ves
f] ruo
IC
ffi
NEW HANOVER COUNTV BUILDING PERMIT
aPPLIUTIaN rYPFr R ESI DENTIAL
PLEAst AIJSIIfF A!! QUEST]OIIS ,IPPL:CABL: IO YOUN
PRO]I(I
"Proj€ct Responsibility''
.,,
SUEOIVISION:
PFOPERTY OH?'JER'5 MT{E:
OI+{ER, S ADDR ESS:
Lt-
BIOCK *:
ls/{r
LOT I:
PrfiE
*: 7/O.f-74.r*',la
sI |
4:-zrP .2t;1:q,r.,
C ITY:
CITY:
cot{TRAcroR:6a&r,.-t 5r,.14,.7a,a ^.4-LICETISE E
ADORESS:
EIIAIL AI'DRESS:
PROJECT CONTACT PERSON:
:.)./ |.r'i Rc,./ /4-t,
J"c,,',:t-
RENOVATION 6 !\ERAL REPAIRS
I nelocarroru
NEW COflSTRUCTION:€RECT NEl" RESIDEI./CE or ADDITION TO EXISTING RESIDENCE
"PLEASE CHEC( AND AIISX!R BELOW ALL THAT APPLY TO YOUR PRO]€TT:
EXISTIT{G CO{STRUCIrO : I ALTERATION
AIT GARAGE
-
SF
suNRoort
_ sF
DET GARA6€
-
SF
POOL SF
PORCH SF
STORAGE sHED
GREENHOUSE
-
SFfECK
SF OTHE R :
TOTAL PR0l ECT C05T ,1.* r-o:r
: 3s oF SToRIES:
--/-
Is Any ELECTRICAL, PLUiISItC
or llECHAI{ICAL l,{ork Eeing oone
to the A(cesso.y
Structurel
Is there Elect.ical Powe.
on this Buildin
If the project
is a Relocation,
is the.e a Natur
E?Yes
Gas Line on the Cu.rent Site?
Ero
PROPERTY USE
/ OCCUPANCY:SINGLE FAMILY
! ouelrx
! rowHHouse
a'\t2
OESCR]PTIOI{ OF WORX:
!.
DISCLAMER. lheeby ced,lY hat.lr in3io. h nis aDplicston is
corect prI$
r rrL. Slat€ Buildin0 Code 6nd .( otE;npplbabl€
Sli)lo..d roc.l l.ws
.id odinancer 66d cgulalions Th. NHC O.\eloo.rt€nl S.ta.s C2rb,$I b..olftd otenych.n!a6i.lh. apn6/ad 9En3 3id .peci6c.lions o..tange iil
conra.r.or
conra.rir iir6m3t.n "'NOTE A.y Wort Porlohed WrO
taAnpogir.l€ peh!swillb€6VbLlionallh.NCSt DBUg Code.ndSubt.cFhes Up T, 5500 00"'
oIJNER/C0 TRACToR:SIGNATURE:
IS THE PROPERTY LOCATED IN A TLOOOPTAIil? N YES
EXISIII{G I PERVIOT S AREA:
-SQ
FT
NEt{ IIIPERVIOUS AREA;
-
SQ FT
I.IATER :
E] CF PUA
SEI.,ER: gcF PUA
TOTAL ACRES OISTUREEO:
EXrST LAND DTSTURBTNG PERHTT:
E yeS [--] rc
PRIVATE WELLCEN'iRAL I,IEL !
1+rrll*trri****ar**1+**rtr
cor,ltruNl TY s\'sTEM
* *. * r * **!t * tti trt r *.i rt. * t, t, * t" r r *. * * r *
i* * +
* r* ! * tr *
r
l\ NO
! crnrnal srcrrc
I PRrvarE sEPrIc
I cormurutrv svsrEn
trqn,a
I.T SEPATATE PERflITS R€QUIRED EOR ELECT, IIECH, PLB6, 6A5 EqJIP, PN:FAIS
& ITSERIs '+*
,'1
payr,tENT
TETHOD:
E CoS'.i
E Crrc* (PAYASLE TO ttXC;
I urrrrcAN rxrntss I tc,rvrsl f orscovrn
rltlrtr.t,ttt.rr .rt...rt.,r"r.?.r+1*t11
0ZoNE i
?OFFICER:
r-tvApproval:- CitY:- DAT!
AAq,rr"n ,Gr.o',' j''r " .rnrr:'
FLooD: V sir*z+t=
l5'r. -fgi-,r^r ;;,."EjE-I- r.a, s{l--
TOTAL HEATED SQ F1:J/!2 _ TOTAL SQ FT UNDER EOOT: )-.Q;I_ TOTAL AREA 5Q FT:
-
t
(
(ror
orrl(t u5t cri.Y) atvtsED
'art
ultttt2
sirBAcKs: r
, lO r-n, I
.r' nr,,
\O e' LS'
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALI- QUESTIONS APPTICABLE TO YOUR PRO]ECT
"Project Responsibility"
crw:
8L0CK *:
ITY:
LrcENsE *; 6-5
CITY:
0e z+ lb-SA' ) rt[--7bg '
APPLICATION
Number
(office Use)
APPLICANT, S I,UI'.lE :
DEVELOPER:
DATE
P}loNE
*:Qt
o
, t/ay'd
-c) <,t
PRO]ECT ADORESS:
SUBDIVISIO:
PROPERTY Otitr{ER'S NAIIIE :
OTfiER, S ADDRESS:
CONTRACTOR :
ADORESS:
EMIL ADDRESS:
MTER: EJ CF PUA
sEwER: trcFPUA
ZONE:
Appro
OFFICER:
val.:-
,t +,f *,tt,* *,t,|,|,*,*** *+*:i*+++*+
IS THE PROPERTY LOCATED IN A
EXISTING IITPERVIOUS AREA:
_SQ FT
NEW II,IPERVIOI,S AREA:
-
5Q FT
,t+,f ++ * **:t )i jt +,t )i
**:* rt,t:*:*
**
01a n
LOT f:
,*r*t
PHoNE
#:
?8-.{34..AJO
sf |
//ktPt 251et7
ST t,t-/iZIP | 2 X4oq
Ptlot{E
f : 7tc}.?6)-cr12 I
PHoNE
*: 9i0-24<8Al
NO
PRO]ECT CONTACT PERSON:'ffiov rKa^!o.r^
EXISTING CONSTRUCTTON:
a OL* tr RE-ar^r*\l GENERAL RE
PAIRS
fl nelocarroru
NEl, coNsTRUcTIo n,
t^rq NEU RESIDENCE or
! morrroN To EXISTING RESIDENCE
*IPLEASE CXECK At{D AI{SI{ER BELO.,
ALL THAT APPTY TO YOUR PROIECT:
! arr cannee
-
sF I oer canaee sr
! eoncH
_ sF
! surunoor'r
_ sF POO LSF
I sronnce sHED
_ sF
f] enreurouse SF
I orcr
5F OTHE R:SF
TOTAL HEATED SQNIS/73 TOTAT SQ FT UNDER noop:3/73 ToTAL AREA
sQ FT:
-
TOTAL PROIECT CoSTlresslos:
$ /6??,dD ffi, v*oIs Any ELECTRICAL, PLUmBf G or litECHAr{fCAL Work
Being oone
to the Accessory Structure?
[v"s I noIf the project
is a Relocation, is thene a Natulgil 6as Line on the Current Site?
Is there Etectrical Powen on 1}}; Briraingl fi'v"r lll ruo
pRopERry usE
/ occuPANcY r ffirrucr-r rar.lrrv
! ouerrx
! TowNHousE
DESCRIPTI0N 0F ltl0RX:
DISCLAIMER: I h6reby certily hal all alion in
his applicaton is conect
wih h€ Srate Building Code and alt oher applicable State and ocallaws
and ordinances and rsgulations. Tho NHC Oevolopment Services C€nEr will be noliied of any chang€s in fte approved plans and specillcatrons or change in contraclor or
contaclcr informalion.
"tlOTErAny Work Performsd W/O ire AppropriaE Pomils will be in Violalion ot the NC SlatsBldg Crde and Su
Fines Up To $500 00"'
Oy'lNER/CONTRACTOR :SIGNATURE:
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
PERMIT:
T] yes I-I
*'+* SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAs EqIJIP, PREFABS
& INSERTS ***
payitENT |,!ETHOD:
ICISX flCnrCX (PAYABLE
rO HXC;
I menrCAN EXPRESS
I rCTVrSl
tr
!\), REV1SID
DAlt U/tr/12
, \O nH,
\O s'AS'
f] corrururrv svsreu
I PRTvATE wELL
I crrurnau srerrc
f] PRTvATE sEPTrc
SETBACKS
rtrflffi,/*Hlm PEr,n
u.0ry1
DISCOVER
,t*,*+**i(,**+lr****1.,t+++*ir****+t*,***+,t+++*:t**+,tir**)*)t**:l*,t*,t+:t,l,t,*,*,t******+******+**,t**)i)*)*t*,t*
(FOR OFFICE USE g{rY)
FLH
DATE BFE+2ft=
Aecc4rcrt
cit
eanrc+
I -t. \ la rloooex@ fs'y.
# gnmo-5 EOD sf,
C?+"1;:)
tffi,
tr
C ''lj t.No ?LhN}4
NEW HANOVER COUNTY BUILDING PERMIT
APPLIcATIott rYPE: RESIDENTIAL
PLEASE ANSI,IER ALL QUESTIONS APPTICABTE TO YOUR PRO]6CT
"Project Responsibility''
26i L
-7bb
Pez+lbt3a
APPLICATION
Number
(Offi(e Use)
APPLICANT'S NA}IE:
DEVELOPER:
Zrra'11,,,*,DATE :
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OUI{ER'S t.IA E:
Aul b+tt*q
Ot{t{ER ' S ADDRESS:
/2rr* 6A-qs,oZ etLta
zIP: 28|/t
t'
BLoCK #: LoT *:
/?4* B^,1/ S /
/2L- tA
fLLLi: t retrCrTy|htt-a
L4jra y'l el+tlz-
CITY: L!/L rl
PHONE
#:
PHONE
*:
ST:_ZIP:_
sT : zi:p ?28 *t /
PlOliE
#: e)f, -,raA'
3L//
pvone
n.Ofi g(rb-)L't/
CONTRACTOR:
ADORESS:
/2rpett-oq l),'eL, rr^11
tr-f LICENSE *:tt / 7ql o
76 Ftl<-24 /( d7t, rtZ
EllAIL ADORESS:
/1, ^.
z,Y?'l
PRoJEcr cor{TAcr PERso* &//r lt ztutl
5UN R00t"1SF
! eoor-
_ sF
EXISTI{G CONSTRUCTTON:
f] arrenarrOt @ nercvatroru
! ceruenal neearns
! RELOCATTON
NEW CONSTRUCTIOT:
! eneCr NEW RESIDENCE o"
f] nOOtrrOH TO EXTSTING RESTDENCG
**PLEASE CHECK AND ANSWER
BELO}' ALL THAT APPLY TO YOUR PRO]ECT:
larr canree
_ sF ! oer ernacr
_ sF
E
! oR e rrnous e
_ sF DECK s F or^rx; 1! *t t+
t tt .
Ez-o
roTAL HEATED SQrTz /.5ho rOrAL SQ Fr UNDER AOOez
f'-....t_
PORCH SF
STORAGE SHED SF
SF
TOTAL AREA SQ FT: _
SrarrTOTAL PROI ECT COST lress t-oq , 5 $ rrO.--...-,-_# OF STORIES: /
ls Any ELECTRICAL, PLUIBf G or MECHA ICAL Work Being Done
to the Accessory Structure? fr V"r I frfo
If the project
is a Relocation,
is there a Naturat 6as Line on the current Site? [ ves I to
Is there Electrical Power
on this Building? ffiv"r F-l uo
PROPERTY USE
/ OCCUPANCY:ffi[srrucr-e ranrrv
!DUP LEX T E
DESCRIPTION OF WORK:mc- h 4,+Tk * Btlaarn
Ecr*z 2??ur rftL_
DISCLAIMER: lhereby certify hat all inromalion in his applicalion is
correcl and all work will
and ordinances and regulations. The NHC Development S€rvices CenEr will be nolifi€d
ofan
conlacbr inbrmalion "'NOTE Any Work Perfomed W/O
tle Appropriab Pormitswillbe in
complywitr lhe Stat6 Building Code and alloh6r appticabte Si,ab and tocat taws
y changes in
he approved pl6ns and specifcations orchange in
contracbror
owNER/coNTRAc pa 7'h rfu7 /1 o
u e*o"1
Violation ol lhe N
SI E
Code and SubjeclFines Up To
$500.00"'
(P
+* * + t:i* {<,**+,* *,t * +* +,t * +:t * * ++ * x)t )t
* *,t )t
** * * *** )t )t
** **** * * +,*,* +,i** x(* ** *,* )k*,* * * *
IS THE PROPERW LOCATED IN A FL('DPLAIN?
fr "' E NO
EXISTING II,IPERVIOUS AREA:TOTAT ACRES DISTURBED:
EXIST LAND DISTURBING pennrr: l-'l veS [ ruo
NEI'I $'IPERVIOUS AREA:
)
SQ FT
SQ FT
IorER: @ creun
I co 'luNrrY svsrer,r
I PRTVATE WELL
I cerurnal well
sEr4rER:
E creua
I CENTRAL sEPrrc
f] cnrvare seerrc
! coMMUNrrY 5YSTEM
*** SEPARATE PERfiITS REQUIRED FOR ELECT, IIECH, PLBG, GAS EqJIP, PREFABS
& INSERTS {'**
pAynEr,tr r,tErHoD:
E cls, E.xr.K (pAyABtE ro ltcy I areucAl ExPREss
E Mc/vrsr
I orscov:n
l.*+,t*****,t*ii+**)***x,tlr+)t,*,****,t,t,t+,i*,t*r.,t+*+:tr,t)ijt)*)********rt)*********)t**+*,t)***)t,***x**r**L**x**
ZoNE: --_
0F FICER:
(FOR
OfrrCE UsE Or{rY) REVTSED DATE 04111/12
SETBACKS: F:_ LH:- RH:- B:-
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=
-
AVN
y'a/ru
2ou.-7 6L
C,-
*N,, fCAi,t,
NEW HANOVER COUNTY BUILDING
APPLIcATIafi nzpf ; RES
IDENTIAL
PLfASS AI.iSIET
ALI qJSSI:NNS APPLI(ASIE To YouR PRo]ECT
"Proje(t RQsponstbilitf,
4
P€RMIT
frz+,tr3a
#APPLICA]IOII
unbe.
(Oftt.. Ur€)
APPLICAIII'S NA}{E:
OfVELOPER:
7, rrt-o t/<DAIE: //l t'c
Ptroa{E
s:
PiOllCT ADoRESS: /U * B^', i / ,/.j
SUBDIVISIOI: +Ua
O iz-LL*
,,,1"r-fctfy,: lv / z
i 2I'?; 18 a: :,-
A)*,/r/ wtJt.z*v
O,SlEi'S ADORISS: 1;1" q- $Aa',, n.
AmRESS i
BLOCX *: _ LOT fr .-.-.-......""."......-
Plor,lE
*;
{/;:./-1 *,;rCIIy, al tL "'
COITSACTOR: ,/n!t u1tt o , 9 ': Yt,-) y'"ai.--:n LICEIISE $i/'( 't t''t-
''
,
?i9' ,.i< (, .,/ :i, n4<.
ErAIL AOORESS
i iz/, vr/.r,'t lr''
CITYi
ST:
_ ZIP: _
Sll.
-
Zte:ry
PROIECT COIITACT PERsoal: 11 ,{/t u z*o1
mAne
*t ?1 qi' it tt
prfiiE tt?29 1t,6-)ta1
Exrsrruc colsrRucrror,
I ArT[RArroN @ nemvarrot Icenenal nrr,rrns
fj RrlocarroN
r{E}, coNsTRUCtroNr
f] rnrcr rEr., RESTDENCE o"
f] aoorrrol To ExrslrflG REsroEticf
..PLEAsE CHTCK AI{D AiIS|.]ER 8EL*I AIL THAT APPIY TO YOUI PROJE(T:
ATT 6ARA6E
--
Sr
I oer ernacr
-
sF
I PoRCH
_ SF
SUNROOH SF
flcne rrriouse
-
sF I oe cr SForHER: lu4 , )-1 ?.;..? sF
TOTAL HEATED SQ FT: /,5VA TOTAL SQ FT UI{DER AOOF': /' TOTAL AREA SQ FT:
TOTAT PROIECI COSI,:*. uou ' I *4a r oF SToRIES: I \fi'c'
I5 Any ELECIRICAL, PLU|18Itl6
or }1E(HATTICAL lrork Belng Done to the A(cestory Structure?
E] Yes
If the prcjeat
is a Relocation, is there a Natural Gas Llne on the Current Site?
Is there Elect.ica.I Power on this guilding? M"", l-l uo
PROPERW USE
/ OCCUPA CY:
[J s:rlcle ranrrv fioucLrx f,TOi^J
oESCRIPTION oF l,loRx :
<7*tftf{i.- l.l
, 4^'ttl* B?r' *,n€f ,zpt r;--r-,
co(trt), i.ro,- )!r4 "'t{gTE Aiy Wo.t P.rteun d wro 6e api,otr
Cro
ves
[ ruo
€/ 2 'ot'
ul-?*-
DlsqrAfr€ R t htoDy c..tt thlt !! ii
bm.ton ir !r!. eprlc.ron s comcr a{id aI wori e'n compry win tla Sial. &r'loing Codo snd d orld .rclcsbL Slrb .rx, bcsl lrws
s.d o.db.icli ,rd roOota$o
! Th. NHC DcvslopFell! SeN i.os
C.ntr *rr D3 nodiod
ol'ly ch-9$. i€ atproEd plt's.nd sO.cJSceuo.s or changr n corracnr o.
ofi'tER/co lRAcToR:?,, *.rs /'<'r t/t*on
,,E Per.:l9 wft b. . vpr.'Fn or rle N
C_SEl}lldg C..b s6 sJbi€t p Ff,or Up To l50O 00"
sroiar(ir, {,,r-*_;, y',,/t'
l,l"i^t t6n.)
App.oval:*- City:_ DATE :
llJ
I5 THE PROPERTY LOCAITD
'II
A FLOODPI.AIN}
EXISTII{G IiiPERVIOI5 AREAI
_SQ FT
NET,I I}tPERyIq,S AREA:
-
5Q FT
ZONE:
Mrrr [rc
TOTAL ACRES DISTURBEO:
EXIST LATD DISTURBIT{G PERI{IT: E YES
[] ro
MrEe:
fl creul
I cof{4urirry svsrrr.t
I pRrvATE WELL
f, cer.rrnrl well
sEUER:
m crnua
f] ctNrRAL sEprrc
D ptrvlru srnrrc
f] coiruulrry sYsram
..1 5€PA,IAIE p€R.IITS RfQ{.JlREo FoR EIECT, r''!acH,
P!AG, 6!5 EQtlIp, PREFABS
& I}{sER'S ...
f] .ot, [.r..* (payABLE
ro *xc1
[ n,,rr:cor :xrntss n hc /vIsa
I orscovin
P'lC) orrr.r^NIA
il4to'oo
PAYI4ENT IETHOO:
(roR orrr(E 09! NrY)revltL0 D^rt 04,1t,,12
5 TTEAC(S: r
v?)o-lA rrcro:
Nlra nn:
dl$ o:Q6
\./ BFE,2ft=, ;----r-Inl(vror nov( ornl
3
tll
PioFERTY oa,{r{[R'5 ilA,{t :
f] eoor-
-*
sr I sronace sHED
-
sF
N}]U
DEVELOPER:
PRO]ECT AOD
SUBDIVISION
ffi"
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATTON TYPE: RESIDENTIAL
PLEASE AIiISWER ALL QUESTIONS APPI-ICASTE TO YOUR PRO]ECT
noject Responsibility"
pe")%\Ahq
--'lfttrfrrou
Number
(offi(e Use)
D^rEt
/-/3-/b
sr:il(zrp:
2-fuoG
PHONE f:
PHONE T:t20- 3r?\
NCE
8;z're.8
SF
SF
5F
APPLICANTJS NATE:f€ot:€rr'
ePROPERTY OWNERJ 5
OWNER,S ADDRESS:
?';'8o-*' Crl f )-
CONTRACTOR
ADDRESS:
'a
e-
PHONE f:
CITY:
ZIP 2
2q
BLOCK #:LOT S:
/18
,t-353
CITY: t-r,^ c :i*/t^.sT: q.zrP:
L
RE55:
I
,(^LICENSE #:
CITY: t-.1
'7s.
o?
,-l -3
EIIAIL ADDRESS:(o*
PRO]ECT CONTACT PERSON:) o,^.. J A. ,^--rJ €l6^cA-
OI.I ALL THAT APPLY TO YOUR PRO]ECT:
(
EXISTING CONSTRUCTION:ALTE RATION R ENOVATION GENERAL REPAIRS RE LOCAT ION
NEt^i CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTIN6 RESIDE
*.PLEAsE CHECK AND ANSWER BEL
{o, oo*o,
6)"t t,DET GARAGE SF POR CH7r
STORAGE 5H EDSUNROOM
6RE ENHOUS ESF OTHER:
# OF STORIES:
Is Any ELECTRICAL, PLUIIBING or I,iECHANICAL l,,Jork Being Oone
to the Accessony
Structure?
[ Ves [ ruo
If the project is a Relocation, is thene a Natunal 6as Line on
the Current site? [ ves I llo
I
l-l ves
f-l tro
SFPOoL
_ SF
DECK SF
ToTAL HEATED SQ rr: 3 / o ? rorAL sQ Fr uNoER noor,
Qf,J-/ rOTAL AREA
Sg rr, Ll,f)'/
rorAL PRolEcr cOsrrressror) , C 23flOOs I
Is there Electrical Powen on this Building
pRopERTy usE
/ occupANcyt pl'srNclr rnmrlv DUP LEX TOI/.JNHOUSE
DESCRTPTION OF WORK:\^ <L C^){o^i(r<SiJ e^c
and ordinBnces Bnd regulallons. Th6 NHC Oevelopm€nt S€rvic€s C6ntar willbe no$lied olanychanges in the approved plans and specircatons orcha
cont'aclor inJormaton "'NOTE: Any w
OWNE R/CONTRACTOR :
l€ 8ld9
(Print Na
1",1* * **t * * ** * *** * * **,f + ** )i )t
* * * ** + + *)t * * * * * * * *,t )* + )i(,t
* *,r +* i!,t* *,*,t * * *,* *,* )** *,* *,*** *,**
otr Perlormed ll//O he ApproprialE Pemitswrll bs rn Vlolaton otlhe NC Sta
Jo.-b e!,^GA c( srGNAruRE:
rs rHE pRopERTy LocATED rN n rloooplarll
l-l vrs
NEt,, I
EXISTING IMPERVIOUS AREA:r8r,FT
OUs AREA:
5Q FT
uA
n coMMUNrry
sysrEM
f] pRrvArE wELLCENTRAL I{ELL
TOTAL ACRES DISTURBED:
, / 3
EXrST LAND Dr5ruRBrN6 penmrr: J-l yEs E No
I zot?'ooWATER:
SEI^lER:crcua
! CENTRAL sEprrc
[-l pnrvarr srprrc COI"IMUNITY SYSTEi,I
..4 SEPARATE PERI'1ITs REQUINEO FON ELECT, ilECII, PLBG, GAS EQUIP, PREFABS
& INSENTS T'"
payilEr,lr r,,rErBoo:
Icos, flcrrcK (PAYABLE
ro rxcl I Al'renrcar{ ExpREss
I rcTvrso ! orscoven
,t,i *,t,i )t
* :t )t,t * *ri ** * + * * +* )t
*+ ++ + +++ ++ * **+,t + *+* )t
*)i* )t )i )t
*)i * )t,f )*,t)i,** + * *,*,i )t
* )t* )t
**,* +,fi ,t )t,t( )t !t )t )**,t )*,t* )*,*
*
(FoR
orFI(E USE oiJLY) REVIsEO OATt O4l11/12
zoNE:
_ oFFICER:SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_City:_ DATE:_ FLOOD:
_ BFE+2ft=
AVN
Comnent:
PHONE S:
tr
PERI'IIT
FEE:
$-
RECEIVEDJANl52Ol5
NEW HANOVER COUNTY BUILDING PERMIT
APPLI.ATI)N TYPE r RESIoENTIAL
PLEASE ANSWER ALL QUESIIONS APPLICABLE TO YOUR PRO]ECT
"Proj ect Respons ibility"
2ot6-11}
lb -t5l
APPLICANT'S NAflE:f(r,.^' <
DEVELOPER:
o
(o.-ttt C
APPLICATION
Number
(office Use)
oArEt
,/o-)d - )<r-
ZIP i
B
LOT #
dt,
q-qi
f
,€
CITY:PRO]ECT ADDRESS:
SUBOIVISION:BLOCK S:
PHONE $:
PHONE #:
3
ha.a 4 'f-
\ Lu *d i *a
E I
3-333/PROPERTY OKNER, S
OV'INER, S ADDRESS:
€^:<
o
c
CITY: (J
CITY: t-O i,"- l
-<to^st:N(:rp:28q4
LICENS E #:zflg,t ACCOUNT $:*,Q! z:f,@6 6
PHONE f:
PHoNE s: 52s - 3f5 2
RE LOCAT ION
c-. €.^
I)CONTRACTOR:
ADDRESS:
ATT GARAGE
suNR00[1
!s
<r.+
PRO]ECT CONTACT PERSON:l os_.11
EXISTING CONSTRUCTION:ALTERATIONRENOVATIONGENERAL REPAIRS
NEW CONSTRUCTION:ER ECT NEti RESIDENCE or ADDITION TO EXISTING RESIDENC E
CHEC( AND ANSWER BELOI^I ALL THAT APPLY TO YOUR PRO]ECT:
DET 6ARAGE SF
o O-\4OQ SFI I sF
5F
Is there Electnical Po!./er on
thl
DESCRIPTION OF I,.JORK:
5F OTHE
R:
Yes No
DUPLEX TOI^JNH0US E
ER RooF: 3zs1 TorAL AREA
sQ Fr:
o o, ,-roIr* -/-L
POOLSF
PORCH
STORAGE SHED
F".^*/o-o/^g6 s-
SF
SF
32
))-TOTAL HEATED
5Q TT: 2)f5 TOTAL
5Q FT UND
TOTAL PROIECT C05T rr""" ror) : $ )21ooO
Is Any ELECTRICAL, PLUIIBING or I4ECHTNICAL tJonk BeinB Done
to the Accessony
Structurel f| V"t I Uo
If the project
is a Relocation, is thene a Natural Gas Line on the Cunrent Site?
n Yes NO
auilding?
l-l
PROPERTY USE
,/ OCCUPANCY:SINGLE FAI4II Y
vt€J)/
and ordinances and regulations The NHC Development Services Cenler wlll be norified orany changes in he approved plans and spec tications or
conraclor irtrrmalion "'NOTE: Any
OWNER/CONTRACTOR:
T
k Perlormed W/O rhe Approprjate Pemits wittbe in Viotation olthe NC Slate Bldg Code a
t^r<L6.,-L
,r* * * ,*,*,r * *,r * !i
**,r * ** * *** * * **
*(i!'{51i11* * **********+*+** **,* * *+* *,i* * * * ** *
*,i,t * *
0"'
YES NO
YE5
EXISTING IF1PERVIOUS AREA:
NEI^I
II4PERVfOUS AREA:
,h SQ FT
oc6 5Q FT
TOTAL ACRES DISTURBED:
,/A
ZoNE: OF F ICE R:
EXIST LAND DISTURBING PERi,4IT:
COMP1UNITY SYSTEIVI
PRIVATE I,]E L L
CENTRAL WELL
{
\Ll^U'60
+** SEPAiATE PERllrrs REQUTREo
FoR
ELEcl, t{EcH, pLBGJ GAs EQUIp, pREFABs & TNsERTS *}i
pAyrlENT
fiErHoo:
fl casn
IorecK (PAYABLE,o,rc1
!rr,_i o..or* '!mcTvrsa --j-orr.orr*
**,t+,****,**,t,r**,t,t)t,***,r*,***,*+*+*****+*****,**,t,*++*)*+,**,t,f*,i,*,t**,t+**+*,*+***+***+,t**,t**)i,i,i+***
(FoR oFFICE USa
ONLy) REVrsEo DATE
O4l1r/r2
SETBACKS:
F:_ LH:_ RH:_ B:_
B F
E+ 2ft=Approval:_ City:_ DATE:_ FLOOD:
_ _
AV'
pERtlIT FEE: gComment:
EI.4AIL AOORESS:
! cnerrurousr
_ sF ! oecr
SIGNATURE:
EI5 THE PROPERTY LOCATED
IN A FLOODPLAIN?
NArER :
f] CFPII
SEWER : ErcFPUA
I cerurRal sEprrc
n pRrvATE sEprrc
I comt,tururrv svsrem
ffi
PRO]ECT ADDRESS:
SUBDIVISION:
APPLICANT'S NAflE:f r r,.^
r<
DEVELOPER:
tr
RECEIVED JAN15 2015
NEt^J HANOVER COUNTY BUILDING PERMIT
APPLICAIION
IYPE: RESIDENTIAL
PLEASE ANS(ER ALL QUESTIONS APPLICAELE TO YOUR PRO]EC]
"Project Responsibility"
2otc--71b
tb-t5)
APPLICATION
Number
(offiEe Use)
D^rE: ./O
-) A .-
r',r'
PHONE #:
/-c:-..-
PHONE f:
PHONE S:
t2\- 3J-J2
F^.-+
P"*S
/ts? 5 t=
(=-.t4r C
i€
CITY: L-J .
zrp:'2B11r Z1{s
PROPERTY OWNER' S
OWNER,S ADDRESS:
€^:<l-(r.^.J 0.-\c
CITY: t^)
LICENSE S:it
E
BLOCK #:LOT #
PH0NE r: 3\-\>a
sr I t\llLzrp:282/oJ
7fi9 q ACCOUNT #:
/o...*,$!.zn;@o b
:
I
e-. f,^ICONTRACTOR:
ADDRESS:
crTY: Lr
ET1AIL ADORESS:a€l
l,o.-.
lL"-LJ lacLPRO]ECT CONTACT PERSON:
EXIST]NG CONSTRUCTION :A LTERATION RENOVATIONGENERAL REPAIRS RE
LOCAT ION
NEI^I CONSTRUCTION:RECT NEW RESIDENCE or ADDITION TO EXISTING RESIOENCE
*TPL CHECK AND ANSWER BELOI^/ ALL THAT APPLY ]O YOUR PRO]ECT
ATT GARAGE
suNR0011
GR E E NHOUSE
/074
SF
SF
SF
DET GARAGE
_ 5F
PooL
_ sF
DECK SF
RCH/)SF
STORAGE SHED
OTHE R:
5F
SF
rorAL HEATED sq nt 2fi6C ToTAL sQ Fr uNDER noor: 4 3 rO rorAl AREA
sQ Fr:
<B,o
TOTAL PROIECT COSTtLessrorr : $2 3aOOo # OF STORIES: /
Is Any ELECTRICAL, PLUI4BING o. ECHAI,IICAL
Work Eeing Done to the Accessory
St.ucturel I V"t ! lo
If the project
is a Relocation,
is thene a Natural- Gas Line on
the Current Site?
!vet I lto
Is thene Electnical Power on this Buildin
ctE Yes No
INGLE FAI,1lLYDUPLEX TOWNHOUSE
!\ o*
PROPERTY
USE
/ OCCUPANCY:
DESCRIPTION OF WORK:E e
,&eJ I
DISCLAIMER: lhereby certjfy tral all inhrmation in
his apptication is
correcl and alt work
wil c
and ordinances and regulations Th€ NHC Developmenr S€rvices Cenrer wiI be noitied ofany
omplywih
t'€ State Building Code and
atloher appticabte StaE and tocaltaws
changes in he approved ptans and specifrca ons or
change in convactor or
coluar lo, inb,narcn "'NOTE Any Work Pqlormed W/O Lrre Appropfiate permts wrl
owNER/coNTRAcroR: \ s.^ b e.\.-b"-
L SIGNATURE:
rare Brdq code
,*
* * * 1*,* * * ** * * ,r,* * *,* * + * * *+ * ** *,*+,r * * ,r,r ,k
rr
*,** * * ** *
*** * ***
*(iiii Nl1"J * * * * ** * ***,*,r* * r r * *
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
i)632.qSQ FT
YE5
TOTAL ACRES DISTURSED:
, /7
EXIST LAND DISTURBING
PERI4IT: E YES NO
WATER:CF PUA
COI'IMUNITY SYSTE14
PRIVATE I,./EL I
CENTRAL WELL
SEbiER inua
I crrutRlr
srcttc PRIVATE SEPTIC
f] comi'lururrv svsrrm
NEW Ui,IPERVIOUS AREA:
ZONE:
_OFFICER:
$!,-zJ'o
"
{l,1tt.oo**1 SEPARATE PERI4ITS REQUIREO FOR ELECT, I,IECH,
PL8G,
645 EQUIP, PREFAES
& INSERTS *fT
payr4ENr $ETHoD:
Icasn IcHecK (pAyaBLE
ro tncy I BrLL
AccouNT
["c/rrro f]orraorm*******+*+****,******,**,t*,r**+****+******,t+,t)***,*******+,rt**,*,*******t**,k************r****+*
(FoR oFFICE llsE
ONLY) REVISEO OAiE O4l11/12
SETBACKS:
F:_ LH:_ RH: B:
BFE+2ft=Approval:_ City:_ DATE:_ FLOOD:
_ _
AV
Comment:
N
PERIVIIT
FEE: $
{
tO
4$
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI(N rYPf i RESIDENTIAL
Pt[lst a,lsrtR alt qJtsllo{s APPLICAELE r0 Yoti PRo]Eal
"Project ResPonsibility"
2otL-tt9
r.6-r.60
APPIICATIO{
tlumbe r
(off1.€ us.)
DAT
E:t_bIUAPPLICANT'S NA,IE:Hcrnss
DEVELOPER:PHoNE *l
PTO]ECT AI'OR
SUBDTVIS
Id.I :
2 qlY
BLOC( #:
zrP: A),qO1
LOT *:
PRoPEFTY OI4,NFR'S iIA}1E:
otr,NER'S ADoRESS:
CONTRACTOR:
ADDRE SS:
EitAIL ADDRESS !
PRO)ECT COHTACT PERSOI:
rxrsrrNc corirsrRucrron
r
I
suNR@M
_ SFPOO L
fl enrrurouse
-
sF
ToTAL PRol ECT CoST
6*"ro9 : 7 Z.<>C),,d-:*:
Is Any EIECTRICAL, plul,lBltlc or 8ECHAIIICAL l4orl Sein8
If the project is a Relocation, is there a Natu
Is there Electrical Power
on ttris Building? f]
rrce*.e *: 3Llt{OB
crrv, BetiG-
* OF STORTES:
a
Done to the Aca€sso.y Stru(ture?
ral 6as l-lne on
the Current S
ves $lo
PHONE
f;tto qsz-rt1S
sr: N&zrpZg:lS\
ACCOONT }:
5T:zrPt@851
PHONE
':
o z'-1 r?\
prpnr *, Q[o 4sZ1\18
t,L
CITY:
NELI CONSTRUCTTON,
$ rara' Er{ REsrDEr,lCE o"
I eOOrrtOr rO EXTSTTNG nESTDEIICE
..PLEASE CHTCX AiID ANSflE8 BELO}I ALL THAT APPLY TO YOUN PRO]ECTI
ffi ;;;;; i&tl ;" *
ij ;;,^;;^;; -:-:- ;; *,o*., -.3sx-,,
I nrmvarroH
I GENERAL RTPAIRS
ff nrlocarror
SFSTORAGT SHEO
_5r
DEC( SF OTHER:SF
TOTAL HEATED
Sq N' 2Z*\ TOTAL SQ FT UNDER ROOF ' }]21 TOTAL AREA SQ FT:
-fl v., ff,m
iter
f] ves $ to
PROPERTY USE
/ OCCUPANCY
DECRIPTION OF UORX!
5
,$
rK- NU;J Cu^s+/uohb\
f] ouerrx
fl rowuousrSINGLE FAt'tILY
DlSCl"An/ER: I
hsr.by contly nld ss
Elqmab. h
tll. .prtalon ls conecl lnd .! $orr ,iF comply *i(h tE Sta€ Bdt .! Cod. !d !r ort.r 4Dlcrbb slee snd kE.l la s
8nd or,h.ncB ald iaguillbna Tta NHC DeEb,alent SeMc.s C€nter Bli be mt[.d ol ony <nrEes h tle aploved dar and sp.cificahns or cnr{6 i. conkrb, or
cdYsbr
hbnn.bi '-NoTE: Any lvo.l P?rlomEd
w/o h€ &roprtal€ tbmlE rill be
i. vDhtio^ ot tt. Nc stoE
Horrux
at.
xt l *r tr*tl*tt, rr rr*r* *'llr*tttr*ri r1t
oL|I{ER/CO TRACTOR r
d
fi
Suble.r !c FhesUp Tol5O00(l"
t1q,o1)
IS THE PROPERTY LOCATEO IN A FLOODPTAIN?YEStJ0
EXISTIN6 II'IPERVTOUS AREA:SQ FT
ToTAL AcRES DISTURBEDT,L1
rJEw rrlPERvro,s
anen, 4D4L sq rr EXTST LAND DISTURBIT',6
PERITITT
f]Yrs
ft NO
I.JATER:(F PUACOI4I'IUNITY SYSTEI1
fl rRrvrre
wrir
fl CTNIRAL l,lE L t
SEIER I CfPUA
f] cENTRAL
srnrrc
fl pRrvarE sEprrc
I co*u,tulrrv svsrer.t
PAY}IEI,IT
'.IETHOD:
5I PASA
II PT RI1
X.o*ffi cHscK (payABL€
ro nx.; flarrr- rccunr
RtQi,rRIO
roi H fCr, IICH, prBC, GAS rQUtp, pRtfAEs t TNStRTS
t'lc/vIsAflorscovrr
ffi
L
ZoNE:
_ oFFICfR:
{loi o}rr(t usl
o,[Y) ttvlsaD oat! orll1rl12
SETBAC(S:
F:_ LH:_ RH:_ B:_
Approval:__ City:_ DATE:_ F|-OOD:
--
BFEi2ft=
_
AVit
Comment:
ALTERATION
SIGNATURE :
PERI4IT FFF i ,-
,r]t'RECEIVED]ANO5?I'C
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSI"/ER ALL QUESTIoNS APPLICABLE TO YoUR PRoIECT
"Project Responsibility"
q6, \b -\\
La')
)ol":tsl
APPLICANT'S I,IAIIIE :
PRO]ECT ADDRESS:
SUBDIVISION:
APPLICATION
Number
(office Use)
The Pioneer Group, lncDATE:41t01116
BLOCK S:LOT f:
PROPERTY OI^JNER'S NAI4E :
PHONE *:9104433681
Oh]NERJS ADDRESS:1201
CITY:ST:NC
ZIP I 24445
CONTRACTOR:The Pioneer Group lncLICENSE #:70322
ADDRESS:PO Box 15474
CITY:
EMAIL ADDRESS:hello@th6pioneergroupnc.com91044336ET
PHONE $:9104433681
PI-ONE *:
PHONE S:
SFSIORAGE SH ED5F
S F OTHE R:SF
TOTAL HEATED
5Q FT:no added SFTOTAL 5Q FT UNDER ROOF:
-
TOTAL AREA 5Q FT:
-
# OF STORIES:
Is Any ELECTRICAL, PLUIiIBIN6 on MECHANICAL Work Being Done
to the Accessony
Structure? E Yest NO
If the project
is a Relocation,
is thene a Natural Gas Line on the Cunrent site? [ves fl uo
Is there Electnical Power on
this Building?T
ves
I to
PROPERTY USE
/ OCCUPANCY:SINGLE FAMILY DUP LEX TOII.]NHOU5 E
DESCRIPTION OF WORX:renovale kitchen and balhs w hnexslin nt will not cha
PRO]ECT CONTACT PERSON:Stephannie Covington9104433681
EXISTIN6 CONSTRUCTION:A LTE
RATIONRENOVATION
! crnennr nrcrrns
!RE LOCATION
NEI^I CONSTRUCTIOI:
! TNECT NEW RESIDENCE O"
! AOOTTTOI'I TO EXISTING RESIDENCE
,Ti.PLEASE CHECK AND ANSWER EELOW ALL THAT APPLY TO YOUR PRO]ECT:
! oer cannce sr
! eoncr
-sF
otllNER/C0NTRACTOR:SIGNATURE:
TOTAL ACRES DISTURBED:no change
ATT GARAGE
-
SF
suNR00t4
_sF
GREENHOUSE SF
POOL
DECK
DISCLAIMER: hereby cerlit lhal allinformation in his applicaton is
corecl and allworkwillcomply wih lhe Sla@ auiHing Code and alloUer appiicable StaE and tocatbws
andordinancesand.egulalions.TheNHCDevelopmeniSeruicesCenbrwillbenoliliedofanychangesnheapprovedplansandspeciticarionsorchangeincontacioror
contactor inlomafon. TnNOTE:Any Work Performed wO rhe Appropriate Permiis
willbe in Violation ofrhe NC Srate Bldg Code and Subjecl lo Fines Up To
$500.00'.'
EXISTING IiIPERVIOUS AREA:
NEW IMPERVIOUS AREA:
SQ FT
SQ FT
WATE R :CF PUACOI4T4UNITY SYsTEI,1
PRIVATE [.]ELLCENTRAL WELL
SEWER:
El creua
! CENTRAL
sEprrc
! enrvnrr srerrc
! commulrrrv svsrrm
$''tto'oo
*** SEPAITATE PERI4ITS REQUIRED FOR ELECT, I{ECH, PLBG, GAs EQUIP, PREFABS
& INSERTS *'!*
payMEr,rr r4ErHoD:
! crsr
I orecK (payABLE
ro nnc; [lar.renra* ,*r*,i, E mclrrso I orscovrn
**)t*****,***+)i,i,t!i*,|,*,***,*)**,t**)*)*,**********)N******++*******,*,***)k)*)**+********,i)t*)*,*,*)i,t,tx:t:**+{<
ExIsT LAND DTSTURBING
ernmrr: I yrS lTl ruo
(FOR OF'I€E USE OI.JIY) REVISED DATE
O4l11/12
SETBACKS:
F:_ LH:_ RH:_ B:_
BF
E+2ft=Appnoval:_ City:_ DATE:_ FLOOD:
_
A N
2
tephannie Cov ngton
zlp: Eea-Gl
DEVELOPER:
CITY:
lrtre P oneeicrluF--inc
Fra.Taorr,saoud
WmnOon-
sr :
El zrP: ITEZiE-I
TOTAL PROIECT COST
tr".. roo : $ laTpouoo --l
**** * ** **+*,r***,i** * *** ** ** *(Il'Ii lil"J * * **** **** **+ + * * * +,n,i * )r*x xiiii **+,r,r
**** ** * *,* * ,* ,*
*,r,r **** **
rs rHE pRopERry LocATED rN a rloooeurr?
fl vrs E *o
ZoNE : _ OFFICER:
Iwmhg'on
lwlmington
lno change
Comment:
$\N
Zott-782-
APPLICATION
Number
(offtce use)
ffi.,)
APPLICANT'S NAME:
DEVELOPER;
\
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PIEASE ANSI,IER ALL QUESTIONS APPLICABLI To YoUR Pno]ECT
"Project nesponsibility"
SouLhern Sxpo6ure Sunrooms
PHONE S: 9ro-7 93-2762
PROIECT ADDRESS: 4320 Prescott CECITY: WilminqtonZIP: 2s4a9
SITBDIVISION; Avenshire LOT #: 14
PROPERTY
OlrlNER'S NAfiE: BLovr4, DouqPHONE *r 910 -226 8046
ObINER'5 AoDRESS: 4320 PrescoLr ct CITY: wilminqton ST: NC
ZIP: 28409
CONTRACTOR: soulhern Exposure sunroomsLICENSE *: 58ri8
ADDRESS: Po Box 12oo?CITY: wilminqton ST: Nc ZIP: 2840s
EMAIL ADDRESS: .iohn@southernexposuresunrooms.com PHONE S: s1a 1s3 2762
PROIECT CONTACT pERSON: ,fohn Hickey PHONE *: 91o-793 2i62
ExrsrrNc coNsrRucrroir:
fl alrenarror
! neruovnrroru6ENERAL REPAIRS RELOCATION
NEhr coNsTRUCTrOr:
! rnrcr NEh, RESTDENCE o" I eOOttIOtt TO EXISTING RESIDENCE
i*PLEASE CHEC( AND ANSNER 8Elot,l ALL THAT APpLY T0 YoUR PRoIECT:
ATT GARAGE
-
SF
@ suNnoolt 2oo sF
DET CARAGE
-
5F
P00L
_ sF
PORCH
_ SF
STORAGE SHED
-
SF
GR EENHOUS ESFDECKSF OTHER i SF
ToTAL HEATED SQ FT:
2oo TOTAL SQ FT UNDER R00F:
_:o1__ TOTAL AREA SQ FT: zoo
TOTAL PROJECT €0ST1ressror1 i $* OF STORIES:5250 1
Is Any ELECTRICAL, PLUI4BING or tilECHrrttICAL Work Being Done to the Accessory structure) [ V"r f] Uo
If the project is a Relocation, is there a Natunal Gas Line on
the Current Site? [ Ves fl No
Is there Electrical Power on this Building?
PROpERTV USE
/ OCCUPANCY,
I SrrOre rlUrrV
Ives
f] to
o(chanqe in conl(acttlor
Frlnos ue ro 3soo00'r'
DUPLEXTOI^INH0USE
DESCRIPTION OF hJORK:
Convert exisLinq screenroom to sunroom
and ordloances and regulalions. The NHC Devebpmenl Setuices Cenl6, wlllbo noltfied ofanychanges in he appoved plans and specilicatkrns
conlraclor informafion. "'NOTE: Any Worft Performed W/O ho Approprialo Parmils
willbe h Vlcblion oflhe NC
OhiNER/CONTRACTOR:
;ohn nickey SIGNATURE :
(prlnt dan.)* * *r i * * ,rL,t )t + ******** **** *i!+ *i.* * *** ** * r
*** * **** *+*+i)*+,**** ** !i a + + **,** )* )** *,* * ********)****
IS THE PROPERIY LOCATED IN A FLOODPTAIN?
N YES
EXISTING IMPERVIoT
S AREA:
_SQ FT
NEW IMPERVIoUS
AREA: o SQ FT
I NO
I.'ATER:
M CFPUA
sewen:
[] crrun
TOTAL ACRES DISTURBED:
EXIST LANO DTSTURBTNG
PERMTT:
n VeS
[Tl rO
f] cowruurrv
svsrru
! pRrvATE hrELL
I crurnal welr
I crnrnll srerrc
I pRrvArE sEprrc
f] couruururrv svsrem
,,*'i SEPARATE PERI{ITS REQUIRED FOR ELECT, i4ECH} PLSGJ
6A5 EQUIPJ PREFAB5
& INSENTS *''*
pAyrirENr r,rETHoD:
I castr
Icxecx (PAYABLE
To rHc;
I amrnrcnr exnness
r,{c/vrsA
I orscovrn
,t******,t******+**** *,*****jt ******,* **** *,i,i * *+)i,t*,i*r(*******,t+;*,t**,t***,t:t*)*+**:i**** **:l* *** **)*
ZONE:
_ OF FICER
(fO8 OFFICE UsE ONLY) REVISED DATE
64111/12
SETBACKS:
F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE: F LOOD:BFE+2ft=
I
comment:
il
PERMIT FEE:
L6-L7 0
I
\
DAIEI 1/ 2a / 2ot5
BLOC( f:
(
trr6
6I"
NEr'l HANOVER
COUN]Y BUILDING PERl4.i.I
A?, LICATION ryPri RESIDENTIA!
f-t/.it tri.iEt ,\tL (ttt-:f,ril appllf,\atE Io Youft :iolE(i
(Project ResponJi.Ollity"
2dc-7{?-
15-1-70
APPLICA'IIOH
APPLICN.I,JT'S I'IAl,lE I
OEVELOPER:
aITY I i'rilhi:r r'i.ri '
Bl"oC( li: LoT {:
ZI9 | t:t,n,
_,.- .. DAfE: /, !,;:! r r
P irll€ ,.
i -.) r q-:-?-!-nj:!2__
P ilollE i]
SU8DIl]]5ION:
PROP€RTY
OmIER'S NAxE: .':ri', !u,!
Co|ii'i ,\C'iol :
ABOIESSi poClTY
?: .,:2-::3!-
l: ZIP;:3!l-
jl!- zll | "g.i:j.q!_
Oltri[R'S ADDRESS: 4]20
!!.s(3,.t ir C:T\': xr '- n S;.
llcENS[,t: af lr,srut.)\.::; Exlo$!rs
El\l.[IL AmRESS:
r:.:i::.!:l:r
I suror.ror,r
,3-9- sr ]li r:r,- -- sr
I err:rulo'rse
----- sr
I'HONE f :
ptict\lE #:PRoJ€CT CC'rilCT pERSON: tol,h t:icrey
Exrsrr{6 coNsTRUcrroNr
Llj AtT[RAi:arl
] r:tnvfl:lr Ict lnar ntearns
f] titLocAiloN
NEt, coNSlRUcTloN:
f"] rntcr Hru RlSrDEf,JcE or
ll aoa:;:olt To ExrsTrt'lc nEsrDrrl(t
..prLAsr c,r[c( Alllo Axsr]alt rllol, all TrlAr APPLY To YouS Ploltcl;
I r'r'r
cln.:rt st ] .)i; ci.,.nl .: sr
f] rcr*,
---
st
s rcRAct sHeo
.--sr
sl
:rrl
iTOTAL HEAII'D SQ F:
r :oo
Is ther€ !lectrl(.1 po',er cr this 8'Ji1di,r(?ll
TOTAL 5Q FT UNDER ROOF: I":- T!T]11 AREA 5Q FT
I I orc\ 5i t,TH;il:
ves
f] no
TOTAL PROIECT C0STl.ers,
-, : $
:111---} OF STORIES: :
ls Any alt€I&Ical, PllJ11glri6
or rtEctllrlrctt-
l'!rk lelng D6ne to ll,e n.c€rs.ry
st.u(tur!l {l Ves - m
rf the lroject is a ftclo(ation, j.5 there a llntrra-l 6!s tlnl. on thc cLrrront site? l] v"s [] r*
pRopeRry
ust
/ o.cuPrNcY:
]l srucur rluLv I ourrtx f]l roumoust
oESCRIPTIoN 0F 'JoR( | convertinq sc!.ei:oon to surrooh
rnd ord.ee.i .ii r.lolrti.nr Tr ,,
rrl t i
iller)Dnl I S, aqt Ctrl.i ir:no&ttsdolA/.n,'i.ti:rlr.rrtrn*dilrlr'q {r.,ic.lo4x
o" . NC s':t:,n , i. a rJ(\-.-
-i;'
'.1
.,1
SI6NAIURE:OlNE N/CONTNAC IOR :
*r:8...r.-r...... . ^.... -,,",".... -..
rs rh[ pRop€RTv r.ocAT€o rir l rroooeurrul
f ves E *o /
[xIsTll{G Il.lgERvIOUS Ar[i:
-
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