FEBRUARY 26 2016 BUILDING APPS?o
4r
NEI^I HANOVER COUNTY BUILDING PERMIT
aPPLICATIoN rvpE I RESIDENTIAL
PIEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility',
Jar(c,c H;n"Rtty
STL N.l(cn 5*CITY:
NAIiI E :
r2-
JE? 16 -144r
')-Clt(, lkS:X
APPLICATION
Number
(office Use)
APPLICANT'S i,IAI4E :
DEVELOPER;
,oru' A -?-\ h
PRO]ECT ADDRESS:
SUBDIVISTON:
PROPERTY O!{NER, S
OI4]NER, S ADDRESS:
I
5F OTHER lt<o
PHoNE $: ,Ol2791]7tl
sr: llLzIPt Z$H^I
sr: tr)l: zrP: Z9AIZ
PHONE #:
PHoNE #: qbqToqq7o,
RELOCATION
No
c
CONTRACTOR;
ADDRESS: 'ZO
EIiIAIL ADDRESS:
Wlffn, K
SeWen: fl
LICENSE *r
CTTY:
C
PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:
Lu..
[f arre narrou !RENOVATION ! cerrnal neearns I
NEW CONSTRUCTIOT: I rnrCr NEhr RESIDENCE o" I AOOTTTOH TO EXISTING RESIDENCE
**PLEASE CTIECK AND ANSI.JER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
I oer ennnoe sr ! eoncH
-sF
P00L _ 5F
DECK
STORAGE SHED SF
SF
Yes No
oldNER/CONTRACTOR: J"6[t /.l,rrf7,SIGNATURE:
* * ** *r( * * * *,r *,** * r,*** * * * **** *tli''Il Ji6** *
TOTAL HEAIED SQ FT:l/.fo rorAL sQ Fr UNDER RooFt lLql rorAl aREA sq *, /(8o
TOTAL PROIECT COST (r.ess Lort : $ - br**- # OF STORIES: L
Is Any ELECTRICAL, PLUIiIBING or lilECHr\NICAL Work Eeing Done to the Accessory Structune?
If the project is a Relocation, is there a Natural Gas Line on the Current Site? [ ves
Is there Electrical Power on this Buitding?Efy"r l*l uo
PROPERW USE / OCCUPANCY sTNGLE FAMTLy l--] ouer-ex ! rowr,rxousr
DESCRIPTION OF WORK:
DLSCTAIMER:hereby cedify haisll inbrmaiion in his applicauon is correcl and allwork will complywih he Slarc Euilding Code and att orher applicabte Srale and iocal I
and ordinances and regulations. Tne NHC Developmenl Services Cenler willbe nolified otany changes in tle approved plans and specificalions oi change in contraclor or
conrracur intormalon. 'nNOTEiAny Work Perlofined W/O he Approprialc Permilswillbe in Vblarion of the NC Stae BIdg Code and Sub
ATT GARAGE
-
SF
SUNROOM _SF
GREENHOUSE SF
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IITPERVIOUS AREA:
-SQ
FT
NEW IMPERVIOUS AREA:
-5Q
FT
*** ** ** )**)k ** ** **** * ** ** * )*+*r( * **** * ** *I vrs .K*o
0 00"'
NO
BFE+2ft= _
1*'SEPARATE PERIT]ITS REQUIREO FOR ELECT, I.IECH, PLBG, GAS EQUIP, PRtF'{3S & II]5I'
paymENT EErHoDr E casr, f]cxrcK (PAYABLE ro ruc; I anrnrcAN ExpREss I r./rrro DTSCOVER
Ris r,'
rr,*** ** *** )** *** )***** *** *,i *+ )*r*** * ** !**!*ri,* **rt *,* * * **,t ** *)* x)*,*x)F** * ** * * )*)t***+* * * * * )r** * ** + * ** * * *
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:
CFPUA
CFPUA
n coMryuNrrv svsrrm I pRrvATE r^rELL I celrrRnr wrll
CENTRAL SEPTIC I cnrvnrr seerrc ! coMMUNrry sysrE[1
^-- a\r;-
zorve: R'3 oFFrcER:
(FoR oatrcF usE oNLy) RLVrSED oajt o4/lt/12
sErBAcKs : r , ,QirA Lr , N,{-l nn,$$ a,$13
Approval:- city:_ Oaf ea-8-\t- FLOoD: _
ComEent:nvq
nv\
Jr*rrr r.r' r 4Do-
lti ( {YvK-
PHoNE #i qb q1oqqiq
zI'P : Zt1tt
LOT *: _
c*eul\ tJo co t-
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI I TYPE; RESIDENTIAL
PLEASE ANSI'ER ALL QUESTIONS APPTICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAIiIE: :.t:::,::. -:,r:el:
DEVELOPER: DR uorron rnc
futto. ltdo(*T5=rrze
APPLICATION
Number
(office Use)
DATE: : B ]6
PHONE #: ,1, !.: r baail
PROIECT ADDRESS: s-1 ,- :lLeele Lccp
SUBDMSIO : Reser,/e .rt- :'iest- Eal
CITY: I,li lmi nstorl zIP | 4!)L
CITY: M./ rr Le Beach
PHONE #: 843-l5r-840c
sT: jj_ zrP: ::jj
PROPERTY OWNER'5 NAlvlE: :r ,i ,,:-r:: rr l
OIINER'S ADDRESS: 1r'r49 Bette Terre 3l'''d
CONTRACTOR: DR Hcrtcn rnc
ADORESS: 4149 BeLfe Terre Blvd
EI4AIL ADDRESS: mcdaniels,4drh.rrton.com
LfCENSE f: 2 9i, i a
CITY: Myrt Ie Beach
PHONE #:
PHONE #:
910 821-8556
PROIECT CONTACT PERSON: par, Fi--zqerrlc
EXTSTTNG CONSTRUCTTON: ! Ar-renArrOru !R ENOVATION tr GENERAL REPAI RS tr
NEN CONSTRUCTION:ERECT NEll RESIDENCE or ADDITION TO EXISTING RESIDENCE
*,}PLEASE CI,IECK AND ANSWER BE LOt,/ ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE . .' SF DET GARAGE
-
SF
910-465-1906
suNRooi\4 _ 5F
GREENHOUSE SF
! eoor
! oecx
_ sF
PORCH 5] SF
STORAGE SH ED
RE LOCAT ION
5F
TOTAL HEATED SQ
TOTAL PROIECT COST (ress lou i $
FT: lr33 TOTAL SQ FT UNDER ROOF: :.1.: TOTAL AREA 5Q FT: '.',I
109000
Is Any ELECTRICAL, PLUIBING or I'IECHA ICAL Work Being Done to the Accessory Structure?Yes tr No
If the pnoject is a Relocation, is thene a Natural Gas Line on the Cunrent Site? E Yes
Is there Electnical Powen on this Building? [v"r [ruo
PROPERTY USE / OCCUPANCY:STNGLE FAMTLy ! oUelex f] rowruuouse
DESCRIPTI0N OF WORK: llew residenti.rl
OWNER/CONTRACTOR i r,l:chae.L Dani--Is DR Horrcn inc. SIGNATURE:
(Print Nane)++**{.i}{<{<**r.1ri*++r.**,lil.++*t(iof,}*,t*)*)k,i++:N+x,tx:f:}+*++*++i.*r,**,}xr(**x**r(i(***:})*******)k***r.r<*****r(*
IS THE PROPERTY LOCATED IN A FLOODPLAIN} E YES !NO
EXISTING IMPERVIOUS AREA:SQ FT
SQ FT
TOTAL ACRES DISTURBED: , L3
NEW IMPERVIOUS AREA: :' .EXIST LAND DISTURBING PERMIT:!YES NO
il*o
and ordinances and regulalions. The NHC Developmonl Services C€nEr willbe noliried ofany changes in t'e approved plans and specificalions or change in contractcro.
contaclor informaton. "'NOTE: Any Work Performed W/O tre AppropriaE Permils will be in Violation ol lhe NC StaE Bldg Crde and Subject tc Fines Up To $500.00"'
$l,o?1
*** SEPARATE PERTiIITS REQUIRED FOR ELECT, MECH, PLBG, GAs Eq,UIP, PREFABS & INSERTS *:*:*
payr,rENr r,rETHoD: E cmn E crrcK (pAyABLE ro ruucy I nr,rrnrcaN ExpREss E r.rclvrsn I orscoven
****r(r(*************+,***r({.,t+*i.{.+i.i.rr,t++tt1.+*+++++++,*rtx+++,*xxx**r*r**************r(*)ir*r(*****)*)k
zoNE : _ 0F FICE R:
(FOR OFFICE USE ONIY) REVISED DATE O4l11/12
SETBACKS: F: LH: RH: B:
Approval:_ City:_ DATE:_ FLoOD: - , ,
BFE+2ft=
I
BLOCK #: LOT #:
ST:-ZIP:..1
SF oTHER: !il_ sF
# OF STORIES: 1
WATER: I creua ! coMMUNrry svsrrr,r ! pRrvArE l^lELL ! crrurnnl well
sEr'lER: E creun I CENTRAL sEprrc f] enrvarr sEprrc E cor4MuNrry sysrEM
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
}.ottr ^lrqb2,
APPLICATION
Number
(office Use)
APPLICANT'S NAME:
DEVELOPER:
Cape Lear Habitat fer Humanity
PHONE #: ero-6'r7-7r-ls
PRO]ECT ADDRESS:
SUBDIVISION:
15 51 Liverpool St CITY: !ri lminqton
BLOCK #:LOT #:
PROPERTY OhNER'S NAI{E: Cape Fear Habicat for Humanity PHoNE #: 914 61r 'r119
OI'INER '5 ADDRESS: 20 N 4rh sr suire 200 CITY: !^li lminqton ST: NC ZIP: 28401
CONTRACTOR: Cape Fear Habitat for Humanity LICENSE #: 45s32
ADDRESS: 2c N 4rh sr suire 2oo CITY: wi 1r.in.,ton
EIIIAIL ADDRESS: e smond@cape fe arhabi r ar . orq
PROIECT CONTACT PERSON: Esmond Anderson PHONE #: 9ro-617'/139
EXISTING CONSTRUCTION:ALTE RATION RENOVATION GENERAL REPAIRS RELOCATION
NEl,l CoNSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BE LOI,,I ALL THAT APPLY TO YOUR PROIECT:
DET GARAGE
-
5F
PooL _ 5F
DECK 5F
PORCH SF
STORAGE SHED
-
SF
5FOTHE R:
TOTAL HEATED 5Q FT: r:oe TOTAL SQ FT UNDER ROOF: 1as6 TOTAL AREA 5Q FT: r+ss
TOTAL PR0IECT COST tress Lort : $65 ,4 0o #0F ST0RIES: i
Is Any ELECTRICAL, PLUiIBING on IiIECHANICAL Wonk Being Done to the Accessory Stnucture? ! Ver ! ruo
If the pnoject is a Relocation, is there a Natural Gas Line on the Current Site? [ Ves [ ruo
Is there Electrical Power on this Building? l-l y"t l-"1 tlo
PROPERTY USE / OCCUPANCY:SINGLE FAI4ILY DUP L EX TOWNHOUSE
DESCRIPTION 0F WORI(: .1 Bedroom Srnqle Familv
and ordinances and regulations. The NHC Development Services Cenier will be noiifed of anychanqes in he approved plans and specifcations or change n conlracbr or
conlractcr inlormaton. anNOTE:AnyWork Perionned WO he Appropriate Permltswillbe in Violation olthe NC Srare Bldg Code and Sl/bjecr rc Fines Up To $500.00."
OWNER/CONTRACTOR i esmond ANderson
../....
SIGNATURE ::';,'// ;FF
(orinr Natre)**+++**+***a*************+*********************r(*i<***************+**********t*+*+**++***
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?YES In No al4ri-Itt,ltb
EXISTING IMPERVIOUS AREA:
NEW IIIPERVIOUS AREA:
SQ FT
5Q FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:l-l Yrs l-l r'ro
WATE R :CF PUA COI4I4UNIry SYSTEI4 PRIVATE WELL CENTRAL U]E LL
sEt"rER: I cFpuA E CENTRAL sEpTrc ! enrvnre srcrrc COI4MUNITY SYSTE14 *osl
*** SEPARATE PERMITS REQUIRED FOR ELECT, },IECH, PLBG, GAS EQIJIP, PREFABS & INSERTS *,I*
pAy ENr IrErHoD: IcasH [cHrcK (PAYABLE ro nHc; flmenrao* ,*o*ri, E uc/vrsa I orscoven**** ** * **+* * *** *+** *** ** ** * *** ** * **** ** ** * *** +** **** ** *+ +** *x* x,t+** *r( ** ***,** ** *** x * *** * x
,orr, fl -.4 oFFrcER:
'f,//t-
SEIBAC
usE or,rLt.- / ( t YLuTvQ n^- Rt,hLLr-J'#r{h4+{ob,rr,r,
Ks: F: J5'tH:-:L -RH: l' B: /5'
LooD:
- -Zong(
BFE+2ft=
t
approval: fiL city:iDlLI\DATE:ot
rtlUt/ tvtI LI L $correntDt rtC I tdbaalt I/U'L lr /u'uYY{Als- PERMTT FEE:
,---:ir..-.\
DATEt __]JfZ]S_
ZIP i 284a7
ST: J!_ zIP: :g!!
PHONE #: 9ta 617 r139
I nrr cnnacr _ sF
I surunoom _ sF
I cnr rruHous r _ sF
PERMIT
NF HEDniE a1
SF
5F
L6- 445
APPLICATl([{
Number
(offi<e use)
hb:3
NEW HANOVER COUNTY BUILDING
APPLICATION TYPE; RESIDENTIAL
&PLEASE ANSI{ER ALI- QUESTIONS APPLICABLE TO YOUR PRO]ECI
"Project ResPonsibilitf'
aPPLrcANr s nanr iE4rtfat;x .gr utzlio! LS,U-)drlli
C-r-ri
DEVELOPER:PHONE
PRO]ECT ADDRESS:IrStl9 v,/'11€tt* ( ;fd e ClTY:zrp: QX99S
SUBDIVISION:BLOC( {:r-or *, ?l
PROPERTY OI..INER'S NATIE I PHoNE #: qq?-D-lq(a
OHiIER,S ADDRESS:CITY:sr:l'!(-zreQPlQL
CONTRACTOR:b kJiln^rnRto,fl
ENSE S:AccoUNr *, A.1 |LIC
ADDRESS:CITY:sr:N-LzrP:3E4,lO t
EIIIAI L AODRESS : firsU fv\enqo onbujtr{in8Lfl(P.PHoNE *:-l(l)3-91tfr
S PHONE #:qq3 -o33?PROJECT CONTACT PERSON:
EXISTING CONSTRUCTION:ALTE RATION RENOVATION GENERAL REPAIRS T RE LOCATlON
NEh COiISTRUCTION:ERECT NEIJ RESIDENCE or ADDITION TO EXISTING RESIDENCE
*T.PLEASE CH€CK ANO AIISW€R BELOKI ALL THAT APPLY TO YOUR PRO]ECT:
Qto ncs 5-.l I SF
tt
pt'rr canoer 35S sr
suNR@M _ sF
GREENHOUSE SF
EXI5TII6 TfiPERVIOUS AREA:
NEh' IMPERVIOUS AREA:
DET GARAGE
-.--
5F
P@L
--
SF
DECK
STORAGE S
SF OTHER:
TOTAL ACREs DISTURBED i .t.l
TOrAL HEATED sQ Fr: 3*l L,l T6TAL sQ FT UNDER ROOF: q152 T9TAL AREA SQ FT: !)lD
TOTAL PROIECT COST (ress r-ou : $ c{Sn s:O S OF STORIES : A
Is Any ELECTRTCAL, pLUnBrNG on t'tEcHANIcAL riork Being Done to the Accessony Structure? ff v.t
If the project Is a Relocation, is there a Natural Gas Line on the curnent site? (f
rs there Electrical Powen on this Building? Ql v"t @|16-
pRopERTy usE / occuPArircv: ffir,lcr-e raMrrv [-l ouplex TOI,,INH0USE
BF E+2ft=
sd
ves Q*c/
DESCRIPTION OF I.,IORK :
LAIME lhala inbrmarion in his apptCadon h corecl and all work wilt comply wilh fle Stale Building Code and dlotrer spplrcable StaE and ktcal la$s
and ordinances dld regulations The NHC Developm€nt servbes c2ntsr willbe nolified ol any chaflges in he apprcved plans and specificatjons or chattge h conracl}rot
cont&br hbrmaion "'NOTE:An
OhINER/CONTRACTOR:
y Work PerJofiod W0 fle AppopriaE PermiG wlllbe in Viobfpn of lhe NC Slab Subieci b Fines Up To 9500.00"'
** )k*,* L'k )t 'l * * * )t )t )t * 't** )t** * * '* 'l x'i*;i**i****r.*r.**,tri+*)t*+*+****r.,i.**,t**r*,t{.+*,t***t()t*rtrt**,i***'**)t,*+
IS THE PROPERTY LOCATEO IN A FLOODPLAIN? trI VEs
Ary-14 Q.6ennan
'TGNATURE:
G46
sQ Fr
SQ FT EXIST LAND DISTURBING PERMIT:KTlves 9.6
MTER :
SEHER :F PUA I-l crntRal srprtc
! cor'uururrv svsreu I pRrvATE hrELL
PRIVATE SE PTIC COI.,II"IUN ITY SYST EI.1
CF PUA CENTRAL WELL
*.* SEPARATE PERIiIITS REQIJIRED FOR €LECT, MECH, PLS6, CAs EQUIP, PREFAES & IiISERTS **1
pal.lrENr r,rErHoD r f,l cnsn flcr:cK (payABLE ro ruxc1 [BrLL AccoUNr I mclvrsr I orscoven
*r*****,r.'*)ttt***rt***,t,*,t*,t*+,*r.,lx***lt*)t,*,i***,t,ix.,k****,t+ri*,(**r.*+L+***,**+rr*x**,t**,**t***'i*'a'l,f,t,*t
(FOR OFFI(E USE ONLY) REVISED OATE E4l1Il12
ZONE:OFFICER:SETBACKS: F: LH: RH: B:
Approval:_ City:__ DATE:_ FLOOD: _ v ,
Comment:PERI,UT FEE: $
-eTta
J
-tP-<311
lctb-lrdtl
L6-492
&
NEtl HAITOVER COT NTY BUILDING PERIIIT
APPLTCAfiO TYPE: RESIDFIITIAL
pl[ast axsxER At t. gj€srl0ts appLIcASt! To youR pRo]t(T
"Project Responslbtltt)l"
APPLICATIOTI
Iurber
(Offl(e U5e)
APPLICAffiTS t{Al'lt: ,;:: r:, , .. .i::,t -:,DATC :
DEVELOPER:PHOa.lE * i
SUBDIVISIOI{
PROPERTY C{!{ER'S lollE : :. ,. . :: : :.
o{t{ER's ADof,Ess i 'i.:. r' . :.'
COI'ITtACTOR: ,iirr:):itllr Ii.iilrrrI J li.
€ltAIL AIDRESS: m.'11-vG ha rd i sonbul 1d r nq. con
CITY: !{ !.Ls!!rg r.rt ZIP : :r,i:':
BLoCK *: LOT r; -
PK'NE f : -
LICEI6E *: ra /9rr
CITY: Airgr-.:.::. rl -. ilee! r_.
C ITY:5T: ZIP: -,.'
Yes !No
PRO] ECT CfiTACT P€RSO{: ': \ . : ' ,. '. '
ST: ].- ZIP: :r !'i -l
PHOI{E
':
,
PHOaI€ S: -.; . --.'. .''
f] n r*ovrroH fl cruenm nrnarns I RELocArroN
EIKE OT I AIDITIOII TO EXISTI G RESIDENC€
ExISTIt'lG CO STRUC'IOII:ATTERATION
NEI CO{STRUCTIOIi:ERECT T{EI{ RESID
..PLEASE CHTCX A}O A}ISHEN AELO{ AIL IHAT APPLY TO YOJR PRO]ECT:
Arr GARAGE ":i sr I otr clnee:
-
sF PORCH -t-l- SF
I sunnoor
-
sF
I ctrelnroust
-
sF
fI poor-
-
sF
f] orcr
-
sF
f] sronner sHEo
-
sF
OTHER:SF
TOTAL HEATED SQ FT:2SI.' TOTAL SQ FT UI\DER R@F: .qII TOTAL AREA 5Q FT: "'
TOTAL PROIECT COST l.ass torr : t .:.,:. * OF SfORIES:
Is Ahy EL€CTRICAL, pLOiAITE or itECtiA tCA! Ho.k 8€ing Done to th€ Ac.esso.y Stru(ture? E YeS
If the project is a Relocation, is there a Natural Gas Line on the current Site? f]
Is there El.ectrical Power on this Building?f]v"t IE'l Ho
E*o
PROPEiTY USE / OCCUPAI{CY:SI NGI E FAI,II LY f] ruele x I ro^r*rouse
OESCRIPIIOI{ OF HORX:
OBCtArcR I heraby crrrty hal ,l hb.mlbo n lli. +pEsloo E .oll'cl 'ld n wo.r wlr cor$y wrn |he Sitb Bu'EiR C.i{,. ,nd ?a oh€r apparDb SlaE a{, b.al lais
dtd ordda.c€s ild .slulab.s Trlo NHC D.',rlop.na{rt S€ryae3 C.nbr *il b€ noti.d ot r}y chdt9o3 h n€ 4pto\.!d p{tt5 ttd 3peci6cabns or ch r9e n conlr&br ot
con!6cbr iohrma&n "'?{oTEiAry wo.k P€rbrm€d wro he Appropflab PElmils ral b€ n vbt to. ol tho Nc stoD Bldg SlbF.l b FrEs 1,.,p ro 3500 0O"'
OI{NER/CONTRA(TOR:..:,.5IC'I'IATUR
(Pr1nt *rc)**t* ita a* r a *l} +* t*** ta t ,r,l )ia *.aa* ta* air. a aa a **a ri +a ** r*,i*,1+ t *a r* + a *at* f ,l** a.l *.t. r ra i,l,ttt+ t i
IS THE PROPERTY LOCATED IN A TLOOOPLAIN? J-] VtS
ExISTItTtG fitPERvIOUS AnEAr _5Q FT
l{El,l I|{PfnVIOUS AREA: ja::_ SQ Fr
EIrc
I{ATER:
SEHER;
CFPUA
CFPUA
fl cowururrv svsre
I cerrnal seerrc
fil PRIVAIE WELL
I earvarr srlrtc
TOTAI, ACNES DI STURBED:
EXIST LAND DISTURBIIIG PERIIIT:fi v:s I-'l no
fl cexrnal rell
f] co+urrrv svsrrn
... sEpA'qArE pERriIrS *EqJ!RED FOA ttacT, ,.IECB, PL8G, 6A5 tQUrP, PieaAES & tNStRrS.l.n CASH flcxecr (PAYA8LE ro ,*E ) E
ZONE : _ OFFICER:
(foi oF.Icr usr oirv) t€vtsto oarE 04111/1,
SETBAC(s: F:_ LH: RH:_ B:_
&lENICAN EXPRTSS n nc/vIsA [ ,rscore.PAYTTENI IiETHOO:
*****+lrll****+**t***ri*$r**i*t*ir*t,r*'r+**t*r*,1*,ir***+'a*t,l*,*,rr*i*rt**r*****t**r*t*t**i'r**
7Corment ;PERI{IT FEE:
.">
PROIECT ADORESSI :: l; ' ,:,':.:. iril
Approval:_ City:_ DATE:_ FLOOO; _ BFE+2ft-
{,0'
4$
NEW HANOVER COUNTY BUTLDING PERI'I
APPLZcArIatl ryPt: RESIDENTIAL
PLa.ii Ailslrat A!L Quatr:clr! AppLICAatE to youF pR!:,;aat
"Pro ject Respon5ibil. j.ty"
&ott, .lbuo
rttr ]:IVED FEi - 9 1s
APPLICATIOTI
Nufibel.
DEVELOPER:
PRO]ECT ADORESS:
APPLICTTNT'S MttE:
SUBDIVISIOTI:
DATE:
Pltol,lt B:
-
LoT f: i;5---]BLOCK S:
pPoPERf v or,ralEBr s N,/vtE :
OHNER,S ADORESS:
COTiTRACTOR:
ct- /:
LICENSE S:
CITY;
5T: . ZIP i
No
ST:
EPAIL i.SDRESS:PHONE *:
PRO)€CT CONTACT PERSON:PHONT S:
EXtSTlr6 CONSTRUCi T0N:At i.rtlu R€NOVA i ] .N ..'i:. AL REPAIRS R E LO'ATION
ADDR E SS
I surnoom _ sF - pooL _ sp
SF OTHER:
usr ---l
NEH CONSTRUCTIOH: Z rntCr EH RESIO€NCE or n ADO]TION TO EXISTING RESIDEIICE
..PLEASE CHECX ANO A'ISIEC 3ILCEI ALL THAT APPLY TO YOUR PBO]E'T:
ATI GARAGE :ii-----l SF DET 6ARA6E SF poncH {r--] sr
ST0RAGE Sr+tl
; -_:: (
SF
SF6REENHCIJS E
TOTAL HEATED 5Q FT:TOTAL 5Q FI UNDER ROOF:TOTAL AREA SQ FI: il:l---.l
TOTAL PROIECT COsT,.*'Lo,' : t
ts Any tLtctt{ltAL, pru glNG oa tltcttA tcAL 9{oak Beirg ooie tc the Acccssory 5t.u<tu.ei !Ycs llo
If the project is a Relocation, is thefe a Natural Gas Line on the Current Sitel fl Yes I
1s lhere Electrical Pou/er on thi.s Suildingl EYes I
PROPERTY US€ / OCCUPANCY sIfiGLE FAr.rrLy f ourrrx f, ror,unouse
DESCRIF:IOI,I OF I,IORK:
O SCLAIMER: f.,i:/.e'r,,rta:!l ,,b'aiar.. r firs.tl _:'., :,..: q',nri.lr.aoc
r.!.'.'.3r.es a.a'enJ.r r.s. ln \rtc,r.ri r:_ . !-.--, cr',l tr^^.I?c i rait.-
OWNER/CONIRACTOR:SI6NATURE:
; ,, ll,' i r\-:l ]],
iPrinr q.ft\1
IIS TIiE PROPERTY LO(ATED IN A FLOODPLAIi'I
EXISTIIIG II.IPERVIoUS Af,EA:
--Sq
FT
NEI,I IMPFRVI0US AREA:
-
-
sQ F-1-
t{0
ACRE. :..I:tti-:
CEIITRAI. HELL
coMruNIrY SYsrtit
.e-
YE5
'!0TAt
EXIST LAllo DISTURBING PERIIIT I YES NO
l./!TtR:CF PUA L I corfiuNrry svs'rir fl pRrvATE
',ELLSEliER:crnua f, CENTRAL sEprrc I enrvare srrrrc E
'.r \i:t.iqrlTr PTRqITS t.)lIFf0 lae tttil, EiH, ptBG
PAYX€TT HEIHOO:
OF FI:' N
cAl iqlIP. PF-.'.ns & '1,,' _' ."
cesx Dcrrcr lnavaar-e ro rxcl Irr r ** *at*r. ** * * ****1*a aar* * t.r r * *.*
A}1ERIC.AT IXPRFss tr irclvIsA I orscorrn
,-..t+*a1**,rr.
-')''-':=-'''-
ZOIE: fr- ! i StTBACKS: F:LH:
F LOC ]:
RH:g-8:
|l
PERr!IT i Ll
Approval ; 0( city: ir, riJ'11 oa'r.:4t1i jtt
!-
Co,nne nd,
IJIi1
, $t,,ts_o's
I
I
\.'edy irrpectrm Recuryeo, 9i&251-$1f
al
il$
&
APPLICANT'S IIAJiIE:
Joto -(utts
,n::rvroriH4l-
APP LI CAT I OI{
Number
(Office Use)
NEW HANOVER COUNTY BUILDING PERM
APPLICATIOTT TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESIIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Penlon Conslructron
DEVELOPER:Penton Construclion. LLC P}ONE S:914452-141r]
PRO]ECT ADDRESS:CITY:ZIP: l2aaoe
-.l
SUBDIVISION:BLOCK #:LOT #:
PROPERTY OWNERJS tllA E:Penlon New Homes LLC PHONE f:910-452-1410
OWNER,S ADDRESS:6T 05 O eander Dr ve Su te 201 CITY:ST:NC ZTP
CONTRACTOR:Penlon Construction. LLC LICENSE S:50903
ADDRESS:6105 Oleander Drive Suite 201 CITY:Wrlmrnglon
I com PHONE f:910-4521410
PRO]ECT CONIACT PERSON:an Dalema PHONE T:910 5 T1T
EXTSTTNG CONSTRUCTIOT{: I alrennrrOr ! nrNOVlrrOt ! CrtrRar nrearns RE LOCAT ION
NEW CONSTRUCTION:ERECT NEr{ RESIDENCE o" ! aOOrrtOr TO EXISTIT{G RESTDENCE
**PLEASE CHECK AND ANSWER AELOlll ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 434 sF I oer cnnnce _ sF PORCH SF
! sunnoom _ sF fl eoor- _ sr STORAGE SHED _ SF
fl cne rlHousr _ sF DECK 164 5F OTHE R:166 SF
TOTAL HEATED SQ FT:2488 TOTAL SQ FT UNDER ROOF:3264 TOTAL AREA 5Q FT:3428
TOTAL PROIECT COSTtressrou : $90 000 # OF STORIES:
Is Any ELECTRICAL, PLUIIBING or T4ECHANICAL Wo.k Being Done to the Accessony Structure? fi Ves I lo
If the pnoject is a Relocation, is there a Natural Gas Line on the Cunrent Site? [ Ves fi ruo
Is there Electnical Power on this Building?EYes I No
PROPERTY UsE / OCCUPANCY:SINGLE FAT4ILY DUPLEX TOWNHOUSE
2
DESCRIPTIOI{ OF !'IORK:a Residence
DISCLAIMER: lherebycenify trat allinformarion in t1is applicalion is conectand attworkwiI comptywitl fle State Bur]ding
and ordnances and reg!lalions. The NHC Devetopment Services Ceni€r wi be notfred oI any chanqes in the approved
contacor rnio.maton. "'NOTE:Any Work Performed W/O he AppropriaE pelmits wi| be in Violatjon of the NC Slale Btd
olllNER/CONTRACT0R :Howard A Penton lll SIGNATURE:
(p.int Nane)
+ + + + * * * * )* * )r * ** * *r * * ** * * ** * **** ** * *,1 * *,* t,* + * *** *,* * ** *,t * )i )i * ,t,i ,i * * * *,i *
rs rHE pRopERTy LocarED rN a rLooopurr? l-l vrs
EXISTING IMPERVIOUS AREA: _5Q FT
NEW rrlPERVroUS AREA: _ SQ FT
WATER:
SEWER:crnua ! cENTRAL sEprrc ! nnrvarr seerrc ! comNururrv svsreu
CFPUA COI4MUNITY SYSTEM PRIVAIE l^lE L L CENTRAL WELL
er applicable Slale and local laws
or change in conlracioror
ct to F nes Up To $500.00"'
* ** ** )* * * *,r,* )*,t * *,t *,* * *
*}* SEPARAIE PERI1ITS RESJIRED FOR ELECT, I.IECH, PLBG, GAs EQUIP, PREFABS & INSERTS ***
pAyrlENr ETHoD: Iclsr IcnrcK (PAYABLE ro 1rc) flmenraot,l ,**rr, I raTrrro I orscovrn
* )*** *+* * **,* *+ *,t *,i* )t * )t* ***)* * )***,** * *)*rt* *,|. * )t * )** +,** * **,*+ ** * )k r* )t,* *,t* )t* r*** **** +* )t * ,*,* ,* ,f +:i x:i;* )*,t * *
I NO
TOTAL ACRES DISTURBED:0 078
EXIST LAND DISTURBING PERMIT:I YES l-l ruo
(foR orFrcE usE OtiLy) REVISEO OAT€ O4l11l12
SETSACKS: F:_ LH: RH:_ B:_ZONE: _ OF FICE R:
Approval:_ City:_ DATE: FLOOD:
a_BFE+2ft=
N
PERMIT FEE: $
Comment:
DArE : [- o2TGZriiE -l
sr: lr'rc I zrp : [iEI65-]
EI4AIL ADORESS:
ry
158
lWrmlngtorl @-
lt76
Tctt tttbt
16-40 9
&
t--t)
NEtrl HAI,IOVER COUNTY BUILDING PER{IT
APPLIcatIqt n"f : Co'4f4ERCIAL
PLEASE ANSI.'ER ALL QUESTIOI{S APPLICA'L€ TO YOUR PRO]ECI
"ProJeat Responsibilit)f
APPLICATIO
ufiben
(Offlce Use)
APP LIOAI{T ' S
DEVE LOPER:
l{A!lE: irasper Newman DATEi 2 -71-2015
PloitE #:
PROIECT ADDRESS: 3340 JaeckLe Drive suite 104 CIW: wltmi.nqton ZIP:28403
oCCUPAI{T/zuSINESS MI'IE :rtnenL of
PROPERW OI$ER,S I{A}IE:ration PiOflE #: ?63-s1t 1
(ll{ER'S ADORESS: 32oS Randall pkwy slof CITY: !filrninqton ST: nc ZIP: 2s403
C0 TRACTOR: Neman Broe.LrcEt{sE *: ?1912
ADDRESS: 102 o1d EaErwood Rd 82 CITY: wil lj-nston ST: NC ZIP: 284 03
E AIL ADDRESS: jrre@ PI(,NE *: s2 3 -s81?
PRO]ECT CONTACT PERSOI,I:ifasDer Nelr'Inen PlOt{E s: s2 o - 8128
If UPFIT - The SheU Permit #:Is Elect PoHer on this Buildin8 E Yes I ttO
ARCI{ DESI6I{ pnOFESSIOML: Goodrich Architecture NC REG *: 74 34
PH:
DESCRIPTIOT'I 0F I,JORK: add and fil] ia walIs LabeleC 'A' & '8", lelocaEe entrance door
Exlsr co{srRu€rro : E ALrEnArrox [ *.Jiffili],'EE'ii*^r- nenrrns fl RELocArroN
tf Rolocdion, isherea Naturalcas Lineonrhe unem sire? EY;-ENo ts er-ocspiiirlrneoz [tves Iuo
rElr corsrRucrror{: I rnrcr rEN srnrrcrunE I rasr rnlcr I sner-l I urrrr ! ruo ro Exrsr srRucruRE
ACCESSORY STRI.KTURE:
b food or b6vr€0er prqpagd or ssv€d ln lhh *uttro? [ve" fl uo u rrr. eropelty Locaaod ln The Froo@arrz I v"" fl Ho
Stale &Ildlno Codo and allother applicauo StBtewilh $e
or lhe
and 60scificstrons
Blds Code and
OV\NEFYCONTRACTOR: i aeper ne!,man SIGNATURE:
(00Ir0 Frht lrlrt)
iloio D.rndlt(,r rrdn addlr & &B ranoval pfinh tpdhEdqtg te b bo lubn ad lrlno hc apdlaaUdr b.rn s,h.tE tE tudlhy q hllifig r.!a lhrrd b
cqtrh A.bfr d rld. Yfl 'r lrQilrd b c.ll trc N.ndd Embdfi Srlrndrds tu Htaad.rl6 Ar Pdluffi (NESHAP)
d.nolron diry fidty or U-4dry. 64 Albodo! ltb SE haFrirrvrr.sC.stde.lE u!/rruasb.lto€i6hfiRh&rl
(91 S)707.5S0 6t l.d 10 d8y8 Ft6 lo 0l.
TOTAL PROJECT COST: s25, ooo
TOTAL AREA SO FT :2965 sf SQ FT PER FLR:I OF STORIES: 2ta _912
rOTAL SO FT UNDER ROOF: 37. sa3 # OF STRUCTURES:, OF FLOORS:
ACRES DISTURBED:na Exsr rrND Drsrunetxo eenurzf]ves t NO
NEW IMPERVIOUS AREA:SQFT O(STING IMPERVIOUS AREA:na SO FT
pAylrENT METHoo: flCeSt frcxec*< leevaalE ro NHc) fiaxenrcan egREss E] MsvtsA florscown
.ff*ffirhffi.$
{FOR OFFICE UsE o}ILY) nEl,EED DATE.flIlrzSETBACKS:F:_LH:_RH: B:Approval:- citr- DATe- FLooD:
-- -
BFE+2F
AVN
^' SEP/,i.?l\]E I tft\,lr is l{LU !lli:l;i llri I IEC:. ),!.(l,r r)-j--.aiA--Fa,ill_.liPEfqBS,.qtiii:nt:t..
_(F,c?
Comrnort PERMIT FEE:
q0D
llt(
***'t rs rlrs A cHAnGE oF occt paticy usrr fivts [ ilo .*...
IFYe5,},ratHasthePlevlou5ocCupancyType?-lhat1stheNeIoCcupancyTypet-
Pfl: 34 3 - 1065
ETGN DESIO{ PROFESSIOiAL :TC REG *:
BUILOING HEIGHT: :: T.- # OF UNITS: 1
pRopEnryusE: @ornce [nrsrArJRA]r [Nenmmr-e f]eouc flrrr [ooroo orxen
WATERtacfpr,JA flcorrMuNnysysTEM f]wE.r EzoNtNGUSECt-ASStFtCATtOit
SEvttER: flcFPUA ECENIRALSEPIIC LIPRMATESEPIIC ECOMII${ITYSySTEIiI
ZONE: OFFICER:
L-Aea cneur\c-Izoe\
NEId HANOVER COUNTY BUITDING PERMIT
APPLTCAIION IYT,EI COflIiIE RCIAL
PTEASI A SHEI AI.L QUESTIOI|S APPLICABLE TO YOt,R PIO]E(I
"ProjBct ResponsibilitlP
clTv;
cIrY: Wilrnington srr NC zlPtlB4gl
Bll olher 6ppHcable SEle
danr and itsdffoadons
NC srato Bldg @€Bnd
fa. ty orblrl(lnO vra ! lo0n l io
3l Et lerl 10 d6y3 ,alor to ll1€
Exsr LAND DrsruRBrno eenlttrr I vrs ffi No
SQ FT
AP PLICATIOII
ilumb€r
(offic€ Ure)
onre: 02-08-2016
PHor,rE f ; pl!ll![!l!Q
C
)d(-o- llabl
zrPtJ8493
APPLICTII{Tr S tlr\il[ :
DEVELOPER:ert
PRO]ECT ADDRESS I
OCCUP'\NTIBUSIiIESS NJITIE :Robert H Develooment. LLC
PROPERIY CB{IIER,S MfiE:
o!,ftER,S ADDRESS| 223
ACRES DISTURBED:
-
NEW IMPERVIOUS AREA;
prowr *: (2191229_280
nville Avenue
comRACToR I Robert Hish Develonment. LLC LIqENSE *t 70647 Accot NT $ |
ADDRESS:223 G il e Avenue CITY:Wilminsto sI:Ng zIPi.2&[03
EfiIAIL ADDRESS:PHoNE *:1919)190i490
euowE nz lpfQ)44jJ322
((h.ct AlI rhat rpPrr)
EXIST COf{SrRUCtrOl'll I atrrmrron I nrrouar ION tr GENERAL REPAIRS RE LOCATTO
If Rolocallon, b thers a Natulsl Gg$ Lloe on tho Cunont Site?tr Yes tr No lS BLDG SPRINKLERED?[v"" frruo
NEll c9t{sTnucrrolr [ :nrcr NEt, sriUcIURE I rasr rnlCr ! slrll I unrrr ffi ADD To Exlsr sTRucniRE
rf UPFIT - The shell Permlt #;rs Elect PoHor on thls Bulldlng m Yes E Ho
**.+ rs ruts a cHrtl6E oF occuparcv usrr flws ffi r.to ,,..t
IF Yes, uhat lras ths Prevlous Occupancy Typel tr'hat 15 ths tl€r, Oc(upan(y T,ype?
-
DESCRIPIION OF I.IORK:
ls food or bov€ragos pr€p6red or 8€rv6d ln thls srruclure? ElYes m No b the ftop€rly Locat€d lo The Floodplaln?[ve" ffi t'to
Code end
ACCESSoRY STRUCTURE I
PRO] ECT CONTACT PERSOI.I:
OWNEFYCONTRACTOR:SIGNATURE;
(Ara!ht)
ilole: Deirdllrofl nodllca a{ir t eBb66tos romo.rsl pefinltaplficAlora t elo be s{6o1x.d ushro Ulo spplk! on form
corxah AsbosiGr or not Yod 6re roqilred lo c6l lh6 l'16{o.Ll E nEdoi €l!nd8rd! ftr Htardo0! FJa Fo,tdaob
dsmolFon ol sny khy o, fun&!. S.c Atba.toc 14leb Sle( ltlpr&"wlpl.3bte.nclsropyo.bedolhhmF-hld
ToTAL PROJECT COST: S170.500.00 BUILDING HEIOHT:20'4"
TOTAL AREA SQ FT:62 SF SO FT PER FLR:625 SF
TOTAL SO FT UNDER ROOF: -]25ST-- # OF STRUCTU RES: 1
ARC}I DESIGII PIOFESSIo{AL!
ENGR DESIG.I PBOFESSIONAL!
Cothran Haffis Architectlre PH: (9f0) 793-3433 Nc nee *r NC 4290
-CBIJT Endineeis. PLLC PH: (910) 791-4000 rc nEG #: -P:Q50li-
SOFI EXISTINGIMPERVIOUSARE'U
pRopER'rY usE: ffiornce [nesrnuneNr Euencnnr[e Leouc Eapr I CONOO OTHER
WATER; MCFPUA
SEWER: EI CFPUA
". SEPAAAIE PEfIIITS REQIJINEO FOg B.ECT, [!Efi. PL8G, G{S EOUE PAEFABS 8 T\SEA6 *'
pAyMENr MErHoo: ECeSn ffcxecr (PAYABIE ro NHc) fiatueccouNr EIMC^/ISA I otscoven
nCoMMUNITYSYSTEM f'IWELL EZONING UsE CLASSIFICATIoN:
-
fi ceHrnel srenc fl e-RMATE sEprc E-coMMUNry sysrEM
{FOR OFFTCE UgE Ol&Y}ZONE:-OFFIGER:- SErBACKS: F:-LH: RH: B:
Approvall_ City:- DATEi-= FLOOD:
-
BFE+2ft=
N
PERMIT FEE:
nEusEo 9ATE {/11/12
+:6=39C.
floF uNtrs: -IIl4--*or sroa(es, 1
lOr nOORS: J--
_lqtrr.(W
NEt,.l HANOVER COUNTY BUILDING PERMIT
APPLICATZo|| rrr;r CO .!)ERCIAL
PLiASi AAEtat AL. QlEsrlolll ,rlICAlLE lO YO{A PRoIE(T
"P.oJ6ct Rs5)onsibllity"
-)-6--34+
TPPIICATI0|I
tlufit.r
(otfl.. ur.)
oere:02-08-2016APPL!CA$I,5 IIA}IE:
tch.lr ^rr
-n,t .r9lr)
EXrST co slRucrrdlr I elttnnrroH r- RErovaTE! EgrlrML f ,,l,lt
-,.-tr
nELocArroN
I nJ.ttoo,.
'rr*u "
X"r tGoe tlne on ttro C-unonlsite? EYG-EN. ts BLD0 sFR-lNKlEtlED? ! v"" Iro
r,/EH collsrrucrroN: [ :n:cr lsx s;rucrure ! rasr rmcr ff slrll n uperr E tDD To €xrsr srnucruR€
ACCESSOiY STRU(IURE:
DEVELoPER: Robcrtllish Eflotr r: j2j!I2!:2j8
PiorECl ADDRESST 223 (;r crTY: Wilmirstoo. NC zlP | 2!l!!r7
OCCUPA{T/sUsItlSss axt: Rob€rt Ui8:n Dev€loPment. LLC
PiOPERIY d,J[ER'5 I,JAIIE :pHotit n: 9.1!iz9!_214c
OWNER,S AOORESS:crTY; lvilmlngton srr NC zrP;jlll4lE
(OMTNACTORI Robert H ieh l)cveloDmi:1t,LI cErisE r: 70647 ACCOiJNI I:
aDDREss: 223 Cr ville Avcnuc CtIYr Wilmilletor s7:Ne ?IP, 2&[01
EfiAIL lDORrSsr Ro PnotrE r: ]gl!Iz9!lLl90
PHo{E r: -ll1q)443:7f22pRolEcr co,irAgr PEBsotJ:
If UpFIy - Thc Shelt perrlt *:Is EIe.t Po$er cn thls 8ul1dihg fl ves I xo
rt rtrts a ctoll6E oF o((Lprrry r,sti flvrs E * "t"
Ir Yca, Liit rra! th. Prevtoui o<clpanty TyPQ)
----
lfilt 15 the llo' oc(upan(y .lypel
--
ric rt6 ,,r NC.i290i( RLG {: -Pill1Qli-
DESCRIPTIO.I Ot tloiK: [xpansion ofoflice building
k lood or bovnEgsc pr€p.r.d o. r€.vod ln tlrr st r.rtu'oZ f]V"r ffi lto b The ftopeny Lo.atsd h Ih. FloodDlsh?E"o! ENo
O$. o.d o'l o,}!,.polrrd sllio
sodo.d drE r6d E .nintd.
l3/l oi ubIC Sr!:B BldJ Cd. !,,.1
OWNEF|/CONTFACTOR:-ts bql}lJ#h-- SIGNA;URE
ARTH OISTG'T PBOTT'5IOTAL:
Ellci o€sr(ll pSoatSsIolla'-:
$ro: D."dr; nidt!!o! t.!&.slat rs.t6l 6a.rnn drdf.diorE da ro ba ntdlu(d BtE ltn .Dpik nff ,qn ,.d nr .. Idsr{ w! t ldl^, lo
srr5 arb.rat d ioL Yei d.d4rJJld l. ..1 Lt. l"...rJdt l Elihd6r erdro k. Hrndqr. Ar Pol'r,ait .1(9 ri l..n to d6n Flor lo rl
irtrd.roo ol rt 6.1t, d b(dr{. 5..l$..r0.ltrca sFc l9r/r$r!9r!5, rc'l!.tvEbtnq/thnPlll4l
roTAL pRoJEcT GosT: S170.500.00 Bt,ttDlNG HETGHT:io 4',OF UNITS:NIA
TOTAL AJIEA SO FT 625 SF SQ FT P€R FI,8:625 Sr ,OFSTORIESi I
lOT,tL SO FTUlorn nOOF: 625 SIr # OF STRUCTURES: I , OF FLOCRS:
pRopERTyUsE: XloFFrcE lREsrAunerr luencmrrr lrouc Irer f]conoc orxen:
SEWER
TXICFPUA T-]COMMUNTTY SYSTEM T.]WELL DzONING USE CIASSIFCAnoN:fficrru fi*HrarL sEmc Dp-av^rEsrerrc 6-couuurrw svsrer.r
-. rtP FltE Ptill[9 REQrlFfs F6 A.ECT. r.EO{. Prea C4S EOUtp, PRE.,1I6 a NstH r s -
PAYMEITT r.rErfloo: flceSx f]cxecx pnvmu To NHg EB|TLACCDUTT fir,rct,rse florscovrn,-r,,-r.--.rl--ire.--
' (;OA oFFICE USE lr(Yl REv sEo oarE .
'
rll,zoNE:!' . c' 1.166p; '-r:.---,1' srrgAcK!, i' i Lx:.+ RH:-_::-_ a: -Appowh Clly:-_ DATE: ' - FLOOO: _ _ _-_i_ 8FE+?fi=_AVN
comment .ir',,.i,, .., i:i,l .,... -i " i. - ', ...2- . ^
: ;.: .., penutr FEa: $__
I
I
l
I
I
I
AcREs DrsruRBED:
--
ExsT LAND DISTURBINo nentlinr [] ves S]lc
NEW IMPERMOUS AREI': SQ FT E(STING IMPERMOUA AFE r
-
Sa FI
I
I
RECEIVED JAN 18 2015
NEhI HANOVER COUNTY BUILDING PERMIT
AppLIcArro n"F: RESIDENTIAL
PLEASE AatSllER ALL qJESIIOilS AppLIcaEtE To youR pRolEcT
.project Responsibluty-
)otb-ta1o
t b- t8l
APPLICATION
I{ulnber
APPLICAI'IT' S I{AAIE ;B1u Pools NC
DEVELOPER: ocean Btue PoolE and spa sofNC
OATE i 01/ 1s /16
PIONE *: 91079e3022PROIECT ADDRESS I 1712 !.i e1d VieU Rd CITY: wil
PROPERTY O^NER,S IUUqE: Daniet Mussete hite
ZIP i 2a4lt
PHO,{E *; 91023208 59
CITY: wilminoron
LICEI,ISE f: 73760
CITY: wilninqton ST: NC ZIp: 2s403
@v PtO E *; e 101993022
PllOl\lE #: e1o?993022
POOL
DECK
40? sF ! srouee sreo sF
505 SF OTHER:
SUBDIVTSIOI{:BLOCK *: _ LOT *:
-_
OIf{ER'5 AODRESS: 1?12 Field View Rd
CO{TRACTOR: Kevi Dunne
AIX'RESs: 3 0 covil A
EitAIL ADDRESS: oce fueDoolr
PRO]ECT COi'ITACT PERSON:11ne Dunn
EXTSTTNG CO
'TRUCTTOT'I:
[l ALTERATTON ! nrrovarroru [ errurnnl neparns f] RELOCATTOfl
NEW COI{STRUCTIOiI, I rnecr Et.l RESIDET{CE or I A[)orrrolr To ExrsTrr{G RESIDEi{CE
"PLEASE CHECX AID AT{StGi BELd{ ALI.'IIIAT APPLY TO YOUR PRO]ECT:
fl an eamer _ sF ! orr eauoe sr fl eonor
-5F
SUNROOM _sF
GREEM{OUSE
-
SF SF
TOTAL HEATED sQ FT:
-
ToTAL 5Q FT UNDER RooF:
-
ToTAL AREA sQ FT:
TOTAL PROJECT COSTG*sroo ; g a:.+oo.oo * OF STORIES:
Is Any E|-ECTRICAL, pLUfiBI{G or HEC|{AI{ICAI Hork Being
If the project is a Relocation, is there a Natu
Done to the accessory structure? [ V", I f,fo
ral Gas Line on the current site? fives [ ruo
ves firuoIs there Electrical power on this Building?I
PRopERry usE / occupAflcv: I srrverr rru.lrlv fl ouelex fl rolxHousr
DESCRIPTION OF WOR|(: rn qround sw 1 lir1tsh apDrox 505 sq ft- of pa deckinq/D oof code main1 code doo r alarms/exlstinq oo1 code fence
DlSCLAlltlER the.eby cenit ha! a[ inbmation i. his n is cotred and 5t q/ort wi, comply wib no Sbte &ji Hi.s Code and att otler +praable State ad tocat tawssd ordinanc€s.id Egutatons, Th6 NHC Deldopment C€ner sii be notfod oteychatoes an t1e phrs ad specifcarrons or chage ii co.lracrlr orcontacttr inbmatoo .'.i|OTE: Aryworkper,omed wO Ae ApproDriab P€mits wlt bo in
**** {** *. **+*,r*!x. **.***** JIit}Jll"J**
I5 THE PROPERTY LOCATED I'{ A FL@DPLAIT,I?
EXISTTI{G Ii'|PERVIOI S AREA: 282s SQ FT
NEW IIiIPERVIOJS AREA: 3433 SQ FT
olrlNER/CONTRACT0R:
ZONE; _ OFFTCER:
Approval:-. City
***,i !*,*1* *,t*,*r*,t* *)**!** ** !*****a.*,**r:a**)*;* *,r!**,r *,*,r,* **,**,r
L_l yEs [!-l rc
AEg Code a.d Subiecr t) Fhes Up To $500.0Cr-
TOTAL ACRES OISTURSED:
EXIST LAJ{D DISTURBING PERI4IT: ff ves [ ruo
\rohlion olthc NC StaE
SIGITATURE I
MrEn: P creua I cor{4uNrry svsrru ! pRrvArE $IELL fl crrurul rul
sEwER: m creul I CENTRAL sEpTrc I enrvnrr ,rorra fr'aorrrNrw sysTEH
*** SEPANATE PTB :T5
'IEQUI'TED
SOR ELEC,, iIECHJLBG} 6A5 TqJIPI PNETABS & ]I$rRTS ***pAyr.rEr{r rirErxoD: I cosH Ecrecx (pAyasLE ro ;r.t-tr;;r; ;;;;, ^'f;.z,,ii'''frrr.or.*
)t 't'** '*r*'* '***{t 'i*'** '} ****,}***** ******* **************ii],r**,r,***r(*,**)****** **** *** **!** !*,*,*,r,** *,r,**
(FOR OTFTCE IJSE O|LY)
SETEACKS: F: L
:-- DATE:_ FLOOD: _
H: RH: E.
BFE+2ft=VN
REVISED OArt 94lr1l12
/)Codrent:
PERfiIT FEE: $
ffi
N I]L
APPLICANT'5 NAI'IE:
DEVELOPER:
le * tb3tr
)oiblU'/'lNEt^l HANOVER COUNTY BUILDING PERMIT
APPLICATIOT'I TYPE: RESIDENTIAL
PLEAsE ANSIiIER ALL QTJESTIONS APPLICABLE TO YOUR PROIECT
"Project Responsibility"
J-'alr', &oAon it<tt P.,ots
APPLICATION
Number
(office Use)
DArEt ) -8-/ L
PHONE S:
PROJECT ADDRESS:
SUBDIVISION:
aco {o !^i E Ncs
PROPERTY O}'INER, S T,A E :uce- G-rl
OWNE R, S ADoREsst 7D 9 C raa,s ,4)ts/ <
./. CITY:ztP '.
LOT f:
PH'NE *: 31 2-<o*o
Sf ;.U-c. ZIP 2777<
-,
ACCOUNT f:
ST:p:2.-EroL
PIIONE f: dS/-2/S'q
PHONE f: J{)-J/{q
BLOCK #:
G-
i-1'o A"... /V
LICENSE #:
CITY: C);
CITY:
coNrRAcToR: ---f'/= m ?or'b
ADDRESS: ,<o > o/rit 3 /-
EIIAIL ADDRESS:/1
PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION :
o A a,^-
ALTE RATION R ENOVATION GENERAL REPAIRS RE LOCAT ION
NEW CONSTRUCTION:! tn:cr NEW REsTDENcE o" I noorrron ro ExrsrrNc REsTDENCE
I.'*PLEASE CHECK AND ANSWER EELOH ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE
-
SF DET GARAGE
suNRooM _ sF POO L
f] cRerrxousr
-
sF flotcx
4l{ sF
5F
Loz
u6
PORCH _ 5F
STORAGE SHED
SF OTHE R
SF
5F
TOTAL HEATED SQ FT: , TOTAL 5Q FT UNDER NOOT: 6 TOTAL AREA Sq fi, -141
TorAt/PsolEcllc0Srrre""ror; r $)72ooco o oF sToRIEs:
,, onr(,ratara)/ PLUIilBrilG or I4ECHANICAL t{onk Being Done to the Accessory Structure? ff'Yes
If the \ gft/i s a Relocation, is there a Natunal Gas Fe on the Curnent Site? [
Is there Electrical Power on this Building?f]ves EHo
No
Yes
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WORK:
SINGLE FAI"lILYtll tc *C k) t rl+r>1t P.o(
DUP LEX TOWNHOUSE
DISCLAIMERT thereby cerlily hal allrnformalion in lhis applicalion is correcl and a work will comply wih ltre Slate Building Codeand attoher app icable Slate and tocaltaws
aod odinancss and regulalions The NHC Developmeni Services Center wlllbe rolifiedofanycharges in he apprcved specificalrons or change in contracbr or
coniracbr rnlormal,on. "'NOTE Anywork Perlomed W/O lheApproprate Permils willbe in Vlolaljon olthe NC State
OWNER/CONTRACTOR :J5A^ riloho n SIGNATURE:
r(*r,x,*r,r**:,r**-,---,-.-.*-(Ii'llliTJ**.*.******,
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
ExrsrrNc llr,tpERvrdJs aREA: _sQ FT
NEW IflPERVIOUS AREA:
-
SQ FT
TOTAL ACRES DISTURBED:
ExISr LAND DISTURBING penmrr: l--l yes l*l rc
CENTRAL WELL
COIV]MUNITY SYSTEM
o $s00 00"'
*****,r *** ** 1* **** **** **
BFE+2ft=
nd Srbr
n ffi*******YE5
WATER:
SEWER:
creun fl coMMUNrry svsrru ! pRrvATE NELL
crnua f] CENTRAL sEprrc l-l pnrvarr srprrc
."! sFp,xRAlt ptp$I]5 REQUl8to FOR fl,8c1, tlECHr ptEG. 6A5 tQUIp. pREFABS 8 lISfRiS i"
pAyitEHr iiETHoD: E clsx Ecxec( (payABLE ro rrc; flsru rcco.llr I uc/vrsr I orscoven
,r)r*,* )* )t )t :* * +,f ,t +,* ri +,r:t )* **,i,t**+ *+** **)r *)i )* )i *,t*t )t rt,t,t,l * * ** x)t,t +,*t,t*+ *,t,t )k*)r* )r)r* )r )r ,r )*+ *,r :r )r :r )i )i )r )*)*rt+ *)k
(FoR oFFICE Ust ot{ry) itvrsED DAIE O4l11/12
ZONE:OFFICER:
Approval: _ City:_ DATE:_ FL00D
N
Comment :PERMIT FEE: $7'.r
SETBACKS: F:_ LH:_ RH:_ B:_
IJ T?L
',|
ffi
"/NEhI HANOVER COUNTY BUILDING PERMIT
APPLIGATI(N IYPE: RESIDEI{TIAL
PLEASE A}'ISi./ER ALL QTJESTIOIIS APPLICABLE TO YOUR PRO]ECT
"ProJect Responsibility''
rv\rl- ?"uer
le . tf iC-yy
)ot( -lL\'l
APPLICATIO
l{un{re r
(Office use)
APPLICANT'S IIA'.IE:
DEVELOPER:Ptoa{E #
orre: &-/ - 'tr0u
PROJECT AODRESS:
sUBDIvIsIOt{: E 4 BSo
PROPERTY OI{NER, S iIA}1E: /h \.,tonn-,L,lln
(I,INER'S ADDRESS:
ZIP:
r-Or *: XOA
Plo E #: gtzsnJagt
srt l.(.zrPt ,lE+/l. CITY:
LICENSE #:'1t10
CITY:
DUPL X TOt'lNH0USE
. CIry:
BLOCK #:
EIiIAIL ADDRESS:
PRO]ECT CONTACT PERSOiI:
EXISTItlG CONSTRUCTION:ALTERAT]ON RENOVATION GENERAL REPAIRS RE LOCATION
iIEW CONSTRUCTIOI{: ERECT NE}' RESIDENCE OT v AODTTION TO EXISTING RESIDENCE
I*PLEASE CHECK AND ANSI,JER BELO}J ALL T}iAT APPLY TO YOI'R PRO]ECT:
ATT GARAGE SF DEf GARAGE SF PORCH SF
COiITRACTOR:
ADORESS:
DESCRIPTIO{ OF WORK:
Pr{)t{E
P}IONE
sT:41.!. zIP: 8Pf* qD 46-/o3aq
*, Q/o-4o1 b??1
SF
SF
SUNROOM
GR E ENHOUSE SF DE CK SF
TOTAL HEATED SQ FT:
-
TOTAL SQ FT UNDER ROOF:
-
rorAL AREA sQ rrz 41(/
TOTAL PROIECT COST tr"". rori :$.a)tr;Lv # OF STORIES:
Is Any PLUI4BIIG ol" iIECHAI{ICAL Work Being oone to the Accessory St.ucture?f "".NO
If the project is a Relocation, is there a Natural Gas Line on the Current Site? Yes x No
Is there Electrical Power on this Building? Yes {No
SF {ecrl..<--7b sr
-
STORAGE SHED
OTHER:
PROPERTY USE / OCCUPANCY, jrrrcL'
'orra'9t\
OISCLAIMER I hereby certfy hatall
ald ordinarces and regulatjirns. The
cont*br intomaton. '"NOTE: Any
inbrmadon in his applicadon is corect a|d all work willcornply witl tle StaE BuiHing Code and all otler applicabts StaE ad locd laws
NHC Oa,,€bpmenr S€rvices CenE will b6 notlted or dty chag€s in he approved plars aE specifcarbns or change n conrabr or
work Perlormed w/O tle Appop'raE Permrrs wrll b€ rn Volaron ol he NC Star5 Alddj*dqatn$t-EHilEiicrt p.IqSsOo 00"'
{Y\o.ts'?"+*cr srGr{AruRE: l'llL\-A1g0tlNER/CONTRACT0R :
(Print [ane)
*,a * *,1t,t,** * * * ,t,l !*,t*+* +l+ ++++ + *,* + +***a )t )t ,. )* *:* *:l l. * t** +:* *)*****:l*:* *+* )i:llla
I5 TI{E PROPERW LOCATED IN A FLOODPLAIT{?
EXISTING IiIPERVIq,S AREA:
-
SQ FT
NEt{ r}rPERVIorrS AREA: _ SQ FT
YEs V r.o-r
TOTAL ACRES DISTURBED: -
EXIST LAND DISTUREI G PER}IIT:
El.t {PRIVATE l.lELL _ CENTRAL WELL
V PRIVATE SEPTIC COI.IIII',NITY SYSTEI..I-F
,it + +,i ** *,t* +,*
YE5 NO
I'IATER: _ CFPUA _ COWUNITY SYST
SETER: CFPUA CENTRAL SEPTIC
*.* SEPAIIATE PER}TITs REqI'IRED FOR ELECT, I'IECH, PLBG, 6A5 EqJIP, PREFABS & II{sERTS ,r**
PAYiEiIT itET}m: _ CiSH _ CHECK (PAYABLE IO l{l() _ AIIERICAX EXpRESS _ lrclWSA _ DISC(WER
*,**,**,t,t*,*,t,**,*,1,r*)*,t*,.*:tr.,r*,!**+++:*,*+'t:t'|*)t,t*,1,t:|,**,t :|,t:t:*,i++rt:i+,t:t,**,t:rt+,|:a,t*,art*:t,***:*+,t+,l +:**+,*,t,*
ZoNE: _ OF F ICE R:
(FOi OFFTCE U5E Ot{ty) REyrsED DArC O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD: _
Coinent:
BFE+2ft=
N
PERI4IT FEE: $
'79,"o
2qb-trrzr>
NEW HANOVER COUNTY BUILDING PERIIIIT
APPLICATId,I rypfr COI4flERCIAL
PLlAsE AISHEn AtL QUESTIoI{5 AppLICAaLE TO yOJi PRO][(T
tProject ResponsibilltlP
L5 -493
ffi APPI-ICATTOH
Number
ATPLICAI{T's llME: A1 sdi.alds OArE; o2/r6/20t6
OEVELOPER:PHOI,IE $:
PRoIECT ADoRISS: t2ot, 120l L2Ar, l2g1 Rankj.n 5:reet CITY;6i1r ZIP: ?s401
PROPERTY G ,IER'S l{AliE: willm:rnr,rn !to,l rana Aurhorisy
O{i{Ei'S ADORESS: ls24 sourh 16rh St! ee!.CITY: rrrnrr:oton ST: Nc ZIP:284ol
CONTRACTOn: central Buil de!-s, Inc.IICEISE *l 3680
ADDRESS: F. o. Box 16?9 CITY: Rockv ttoun! 5T: Nc ZfP: 27g!2
EHAIT ADDRESS: alocentra lbuil.ders . con
PROIECT CoIITACT PERSON! A1 ldt ards
Plo{E *
PHONE }
252-442 - 6041
252-442 AOA'.?
(aheck al1 rnrt
^pply)EXrsT COilSrRUCTrOrir f] ALTERATTOi'
lf Rslocallon. is d,rcre I NaturalGas Line on th e Cuffent Site?D Yes nGENERAL REPAIRS
No lS BLDG SPRIN
RELOCATION
xrenrot I ves I No
REIIOVAT ION a
tlElil cotlsrRucrrot{: I erecr flE 5TRUCTURE f] rrsr rnrcx f] srrr-r. fJ uerrr f] noo to Exrsr srRucrui€
ACCESSORY SI*UCTURE:
If UPFTT - The ShelL Pe.nit f
ARCH DEsIGX PROFESSIOiIAL:
ENGR DESIGX PROFESSIOI|IAL:
PHi HC REG S
NC REC *PH:
DESCRIPTIoN OF l.JORl(: ReDair lialer Danaql'Ca\rs.d by plunb. leak ir ii,/4 Unj.ls (S atlached schcd. )
19 food or boyersges p(op6rgd o. B€rv6d ln this gructwe?
SIGNATURE:
dsfto8lm d any t clt o. b!!d]ng. So. Ai!.!lo. [r6b Sn : htrpr/r.,/r.epr. rt.t .nc.lsispi/asb.rios./.hmp.hmt
TOTAL PROJECT COST; i12(BUILDING HEIGH'I
I ves [ ruo r nre eroporty Locared h lho RooQhin? f] '/es a No
cod€and all
Fr-., CrhlilE,
Lbi.: Drndllol! rotlc.rblE E ss!frlar runoi,il ,.fidlt .ldhritonr sre ro !. sua.n
conbh lrb.tt)! o. nol, you sr6 ftq,tad !o cal t r N8(d|sl Emia6i6 Sts.d.d. lor
It€d l5hg 0l. .pr!Nrt$ b.rn (DHBS-3768) f,tofisr tt€ hdll' l, buildhg ll!! bund b
d..rrd6u! AL Polld.rt! (NESHAP) il (919)707-5950 al b.'l l0 dry3 Flor lo !1o
D$T LAND orsTURBrNc Renurr:Ives NO
f OF UNITS: L
IACRES DISTURBED
NEYI'
'MPERVIOUS
AREA;-SQ FI E(ISTING IMPERVIOT,IS AREA:
PRoPERTY usE: DoFFtcE lnrsmunarr f]uenmmre flrouc pr [coxoo orHee
co{\rMUNnY sysTEM f:] WE_L E}ZON|NG IJSE CT.ASS|FtrATpN:
CENTRALSEPTIC LITRIVATE SEPIC E@MMI NITY SYSTEM
PAYUE.TT METHOD; f]CeSX [CUeCr (pAyAB[E TO N]rC) filumrcar exeness fi ucrusl n oscown
SQ TT
wAaER ACFPUA
SEWER: m CFPUA
ZONE:
Approval:
(FOR OFFICE USE
SETtsACKS:
cr{t,r: Nlf, l*
ComfiEnt
E:FLOOD:
Cfi tnqxrnon Requreo,9lS2544f 3)
oCCUPA[{TrI8{J51NESS HAltl!: wiIm. Hou6. Auth./Ra:lki:,1 place Teriace, LLc
PIIONE *i 910,141, --, i.o
Is EI€ct Pofler on thls Bullding n yes E Ho
r".. rs rus a (IAJTGE oF occupAncv usE? fivrs fi no .,*.
IF Yes, riat cai the Pr€vlous oc(upancy Iyp€? _ {hat ls the Ne& Occupafty Type? _
OWNEFyCONTRACTOR: .aitr:,1 Buir.rir,i r:1. .
TOTALAREASQFI: z.as6 SO FT PER FLR: .LozB _ -. fOFSTORIES:2
TOTAL SO FTUNDER ROOF: z.os6 f OF STRUCTURES: r.o2s *Or ROORS: l-
PERMIT FEE: g_**-
n{
a.')LL-,O I (i2- 1 1rr7 ttL6-493
APPLICATION
Numben
(Office U5e)
:
&
APPLICANT'S NAI.IE;
DEVELOPER:
NEW HANOVER COUNTY BUTLDING PERMIT
APPLICA|I@I TyPE: C(FII|IERC IAL
PTEASE ANSI{ER AIL QU€STIO}IS APPLICABTE TO YOUR PRO]ECT
"Project Responsibility"
Ai ECwards
PROIECT ADDRESS: 1201, 1203, 1205, 1207 Rankr'n stlee! CITY:!ti1!rinqaon
(MItlERrS ADDRESS: 1524 solrth 16th sLr.ee.CITY: wi ininq-.cn
COiITRACTOR: cenL La - 9urrde!s,Inc.LICEI{SE #: 3560
ADDRESS: p. o. Box 15?e CITY: R.ckv llou:l:
PRO]ECT CONTACT PERSON:Ai Edwards
PHONE f:
oafEt a2/16/20a6
ST: NC ZIP: 28401
ST: NC ZIP: 27802
PIENE f:2s2-442 aa4'7
Exrsr cor,rsrRucrroN: I ALrERArro* 3 *t,JfrIrli,''EE-iL*t nrerrns f] RELocArrcir
It Rotocarion, is ther€ a Naturatcas Line on the birent srte? EY;f]No IS BLDG SPRTKLERED? E Yes ElNo
rlEH CO|{STRUCTTON: E ERECT IEW STRUCTURE ! rmr rnaCr ! SXrr-r- f] Urrrr I mO rO EXrST STRTTCTURE
ACCESSORY STRUCTURE I
If UPFIT - The shell Penmit #;
IF Yes, what was the Prevlous Occupancy Type?
**r'* rs rHrs a cHAr{GE oF occupAr{cy user fives a
t/tat ls the Neu Occupancy Type?
fs Elect Power on this Building I ves E tto
ARCH DESIGiI PROFESSIOiIAL ;
El'lGR DESIG},I PRoFESSIOi,AL:
PH
PH
DESCRIPTION OF i^JORK: Repair waLer Damaqe ca,Jsed by P'|umb. ieak io 3/4 UniEe (see at.ached sched.)
ls bod or beverages prepsred or ssrvsd kr this structure?I ves [ ruo b rho proporty Locatod tn The Floodflatn? flves [l ruo
all other appltcrble St€teOlSC1.AlirER: I hereby cerlify lhat all information in
and loaal lews and odmances and reodalEns. The
d chano€ In c!fllraclor or contrac-tor iifotmalion "'
Subjedlo Fines Up To $500 00'-
aod sDecrlicalloos
Bhg Code and
J
OWNER/CONTRACTOR: centrat Buiiders, rn.i. SIGNATURE:
(oEsl64
TOTAL PROJECT COST: : :i K
TOTALAREASQFT: 1.0b,
concaln Arb6sto! or oot. You aae roqukod to call ti. N6tlonal Emlsslm Sland.rd! lor Hazadous Alr PollulanE (NESHAP) 3t (91S)707-5950 8t laesi 10 d6y! trior to 0to
domdltlon ot any
'Ecill9
or buMln!. S€o A6baslos W6b Slto: hitpr,\rxM.epl.slal...rc.$,/epl/asb€alo6/ahmp.html
SQ FT PER FLR: _1aL
#OF STRUCTURES: 1, 02s
# OF STORIES: 2
TOTAL SO FT UNDER ROOF # OF FLOORS:
ACRES DISTURBED:o(sr I-AND DrsruRBtNG pERMtT? E yES El NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:
PROPERry USE: f]OFFTCE ! nesrnUnen-r flurncarrre Deouc Enpr n @NDO OTHER:
aa EcoMMUNry sysTEM fI WELL [IZON|NG USE CTASS|F|CATION:E CENTRAL SEPTIC L] PRMATE SEPTE ECOMMUNITY SYSTEM
WATER:
SEWER:
CFPUA
CFPUA
PAYMENT METHOD:ficesu [cnecK(pAyABLEro NHc) f]AMERtcAN ExpRESs fl uovrsa E oscoven
(FOR OFFEE USE ONLY) FE}/IsEDOAIE 1'I".t2ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ Bi_AppIoyal:_ City:__ DAT
AVN
PERMIT FEE:
2. A56
SO FT
'lla-
,\(2
Comm€nt
ZIP:2Bao1
OCCUPAflT/SJSII{ESS NAIIE: wi1m, Hous. Auth./Rankin Place Terra.e, LLc
PROPERW 0I ER'S NAlrlE: PTONE f: et0-347-770o
EMAIL ADDRESS: al@cent ra lbulIde rs . com PTONE f: 252-442-8047
z-
flc RE6 *:
NC RE6 #:
BUILDING HEIGHTI 2.2:__ # OF UNITS: 4
RECEIVED FEB 1S 2OS
NEI,{ HANOVER COUI{TY BUILDING PERIIIT
,i,r1111111111r,,,,,, appucalrtii.,,:llpr: RESIDEl{tlAit-]
Pl,rAst allsuER Atr QuE5TrS,tS appl I(a8Lt l.o yoljR pRoit(T
.pr-oject Responslbiliqf
IAPPLICAI{I,S lrA]tE: JOS t...
DEVEL(FER:
PROI ECT.rr ADDnESS :
PROPERfY rldlilER, S
qS.ER'S ADDR.ESS:
l{!l{E: 'lll,73
lr,/L
CITY:
[rcE!6E *:
CITY:
DEr GARA6f:
-_
sr flnlcx
pxotr *: {10-
sI I l/LztP tztrcl/ /)
pHot{r: *
APPTICA
zrP:2Wrt
l{L[ber
(off!.! Use)
oart:J'/ ?-/ /t
Q12:144s3{
s
SHED
*: . r:.
t-
COI'TTRAC'OR :
ADD*ESS:
5
unfI
ffir,,{9!,$ss:
pRorEciillclwracr PE
EXIST1!aG :(otsTRUcTIO :
HEhl cot'ISTRUcTIoN:
ATT GAfiAGE .- lirr
sulq$,t..,..-....... l|t::lllttlt.
GREq&.,mtJSE _ :.,sftlrri,
AI.TERATION ENO\,ATION flerHrnar rerarns f] nr
f] eneo rEr{ f,EsrDErcE o" l-l aoorrror ro ocrsrrro REsroErrE yc r'/r-.'PLEASE q&Cl( ATD AXSI€R 8EL*{ ALL T}IAT APPLY TO YOTN PRO]ECT:
D
TOTAL HEATEg flrr:- hAf ToTAL 5Q Fr UT{OER nOOr:ff{* TOTAL AREA SQ Fr:
-
rt. {{39 * OF STORIES: /
Is any fiacHAICrL lrork structure I n llo
Ift Pl, i'
Bui
SIT.IGLE FAT4ILY hn n
'Frstt('{l6rply*& ite BriltnS €sdel St6b ed hl ,a*s
md otdhqlcalll'ld rc$'l*joia the NH
Up To lf,0o.qr
IS THE PROPERTY LOCATEO ri A FLq'oPLArrr fl vrs
EXTS'IIIE IIPEN'IU'S ATEA:TOTAL ACRES DISTUf,SED:
BVId,5 sQ rT
u r5Y5Trfi
E]u
rrr SEP ARA,TE p€R{rIs REQUIRED FOR EL'C:T, [ECH, FL8G, GAs EqUIP, PREFASS &ri$rt15
PAY}TE'{'trgtHOD:Qcrx fl cxro< (PAYABLE ro tff)SEATCAX TX?RESS o rTlYISA f,torsconn
'a:i**,rr.:a,*t,rri.a*ti1*t**t,it*aail+rr*i**t+++**trarl**t******rrr)r*a:a
t)cc4r ac*
PLIJ BItI6
*,*a * *a'<:l"tt't
OATE I
lrsE otr
.RH r
:. r[vlsB) EIt
,lrEL0Cl(
2otL-lL9l
/b: {,:itl?,
sr:k/.7-lpt Jd/2cn,il--0ftZ-si?
:'7t0-u4-sii:i.,
SUmIWSi[ot|:
TATEN:
sEflER::{FPUA
CITY:
P}IO E
TOTAL PROIECT COSTtt"*ial: $
DESCRIP'IC{oF t{oR(:
o${E*la0lifBAcron:
SF
Exrsr LAto olsr{nBr c prmrr: lf'I! yrs [fTl m
.,ililiriailiriilirir., SF
curent srtgiiii$ ves EFo"
SI6XATU&Er:
I
l.'tin !i
f,t,
6B
NEI^J HANOVER COUNTY BUILDING
aPPLICATIaN rYPe: RESIDENTIAL
flrfiam
pERMrr htv2lt l(
APPLICATION
Numben
(office Use)
PLEASE ANSI,IER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANTJS NAIiIE:
DEVELOPER;
Blanton Buildinq, Inc DA'IE:2.
PHONE S:
PROJ ECT ADDR
SUBDIVISION:
EsS:
PROPERTY OI,JNERJS NAI1E :
OI}JNERJS ADDRESS: P, o.
o Z-<>/Z- Zaf1'.-a"
ELOCK #: 6 LOT f:
zfit zgt/qe'.Z.t)CITY: t-4--/L_.4.7
B lanton Buildioq, Inc
C ITY:Wilmr.nqLon ST: I9_ ZIP: 28406
ST: NC ZIP: 28406
Box 3122
CONTRACTOR:BlanLon Buildinq,:nc
ADDRESS: P. o. Box 3122 CITY:I'{ i lminq Lon
EI'IAI L ADDRESS: chrisbl anton@ec. rr. com budblan ton@aoI. com
* I.P LE
ATT
PHONE #:
PHONE *:
910-538-7888
PRoIECT CONTACT pERSoN: Chri.s Blanron 910-264-0940 Bud Blancon
EXISTING CONSTRU(:TIONI ALTE RATION I aeruovnrror I c:rueul neearns ! RELocArroN
NEW CONSTRUCTTOru, y'eneCr NEW RESTDENCE o" fl roUrrrOH TO EXTSTTNG RESTDENCE
910-538-7888
SUNROOT4 SF P00L _ SF I sroucr SHED
-
sF
CHECK AI.IO ANSI{ER BELOi4 ALL THAT APPLY TO YOUR PROJECT:
eewee 5'V'/ 5p ! orr crnace
-
sF
! oneeruuousr __ sF ! oecr _ sr OTHE R:SF
TorAL HEATED seFTt 7?72* TorAL sQ FT UNDER xss7.70-77 TorAL AREA seFrt L/07;=
TOTAL PR0JECT C0ST lress rcr; : $o A Of,)# OF STORIES: I Pt-"'f /,/2 L" G
Is Any ELECTRICAL, PLUIVIBING on t'lECHru'IICAL Work Belng Done to the Accessony Structure? [ Ves I f,fo
If the project is a Relocatj.on, is thene a Natunal Gas Line on the Cunrent Site? [ Ves I xo
Is there Electnical Poh/en on this Building?[ves Iuo
PROPERTY uSE / occUPANcY: I srrucle rrrvrlv I oucr-ex I rowNHousE
DESCRIPTIoN 0F WORK: Conqtruct new sinqle famity resj.den
and ordinances and rogulalions. The NHC Osvelopmenl Services Cenl€rwillbe notfed oiany changes in the approvBd plans and specillcaiions orch€nge in contracbror
co nlractor in fo rm aton '"NOTE Any work Perfo rmed wO lhe Appropriate Perm ils will be in Vio t6 rion of ih e N C Srare B dg Cod€ snd Su blec t lc, F ine s Up To $5OO.OO. "
OlrlNER/CONTRACTOR: cirris Blanron. Btanron tsl dq rnc STGNATURE: ,'*=- 4ft*-**
,**,*,* n,r.,*,ri+ x!r !r,i(:r + *, ** *** *** * Ji'.'I i *'91ti * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
I^JATER:FPUA
SE ER:
i(x* F *,:rr ** y* i +)r ! x* * ** **.** x + x, <^.++r:*xiri**r**
YEs EI ro
EXISTING IMPERVIOUS AREA: A SQ FT TOTAL ACRES
""U*"O,
. /
NEl,,r II'TPERVIoUS mta: 6f? I sg p1 EXIST LAND DISTURBING PgNUrr: I--l VES
[] coi,lmur,irrv svsrrm ! pRrvArE wELL I cenrRnl well
d*o
creur [] CENTRAL sEprrc I enrvare seerrc ! coMMUNrTy sysrEry
lirll)/liiAlli l,{:til4.il:i lil:()UIiii:t) ir0ti i:J i:(:i
PAYT1ENT iI4ETHOD:CASH
,( * )ioF * *r( )* r( + + )* *)t* * )* *:t +* * *+ * * * *,ir( **,t * *
'Lr:(ii. ri.i(i, i:; / , .i
,
j r. i i j r i , , ,,iii:i:/!1lr: lr, r:L\l..ti,til:;
CHECK (PAYABLE TO NHC)tr AIERICAN EXPRESS n r,rczvrsa I orscovEn** *:t** * *,k* )*:t * )i*
(FOR OFFICE UsE ONLY)
)*** *,t + **x +x*****,l<**,r:t r**,r **** x*,rx **,k* x+
SETBACKS: F:_ LH:_ RH:_ B:_
REVISED OAIE €4l11/12
zoNE : _ oFFICER:
Appnoval:_ City:-- OATE:_ FLOOD: _ BFE+2ft=
NComment:
PERMIT FEE: $
PHoNE S: 910-s38-7888
LICENSE *: 374-81
d*, t-/6 sr
tr
,i'
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; RESI DENTIAL
PLEASE AI.ISHER AL! Qi,IESTION5 APPL:.A8LE TO YCUF ,Fo]Eci
"Project Responsi.bil1ty"
r€#t6,{ta
)r ttu -lbq(
APPLICATION
Number
(offic€ Use)
APPLICANT'S llAllE | :-.i:ir. :.:,.1,..-:
DEVELOPER:PHONE #:
PRO]ECT ADDNESS c ?--<, A ,Z P a,'rt ','+CITY: P3-./ 1., -1t-)zLP I zg t'ai
SUBDIVISION:/J 4 .1.22 aLocK *: € toi *1, 'z<,
PHONE *r 9l )-5:E--86aPROPERTY OWNER,S NAI1E
Ot,llNERJ5 ADDRESS: i,.,
: - i:.::i- :-:- i-:.!
tscx ': L22
ADOITION TO EXISTIN6 RESIDENC€
PORCF z'16 5:
PHONE *: e 1:, 5:5 - ?e 9 s
PHoNE 6: ?:- i.a-a::
RELOCATlCN
SF
SF
sT: j!_ zIP: :64i,a
STi ):a ZIP: ::=-a
I'uo
DET GARAGE SF
P00r _ 5F
DECK SF
C]TY:
j-sl
ADDRESS: P. l. ts.x:,122 c ITY: ri:: r ir.::1ci:r
EtlAIt AODRESS: .j.-::::3i-1:.::::iE': r. :ri
PRoIECT CONTACT PERSON: a:::. r1i:.:--i. 9-.-::;-ae.ia s',:d ts,anLorl
EXISTING CONSTRUCTION A r- TE RATI0N R E:{OVATION 6EiIE RAL REPA]RS
COi{TRACTOR I Blant-or': 3u:.111:r, :::.. LICENSE *l
NEl,J CONSTRUCTION:-,{vJ entcr NEUJ REsTDENcE or Ll
..PLE E CHECK ANO ANShER BELOI,I ALI" THAT APPLY IO YOUR PRO]ECI
AlT GARA6E 5'v{ sr
surJRooll __ 5F
GR E ENHOUSE
STORAGE SHED
>f
Is there Electrical powe. on thls BuiLdingl
PROPERTY USE / OCCUPANCY: fl S-NCle rarlriv I ouelrx I ro,,lruxouse
OTH€R:
TOTAL HEATED 5Q Frt v z.7z - TOTAL 5Q FT UNDER XggF, t /o'77 TorAL AREA 5Q FT: c/o'.-/-
r OF STORIES; I pt--..t' F )'t t'.: tT0TAL PROIECT CoST(.-s,_:,. : $
rs any ELEcrRrcaL, PLUH8TNG o. ilEcHAIrcAL r./o'.k Bein8 oone to the Accessory structu.eT ! vet ! r.ro
/)6 ot.,
If the pnoject is a Relocation, is ther€ a tJat{,ra] Gas Line on the Cunrent Sitel Dyes
DESCRIPTION 0F WoqK: :c.-,s::r.: .er sr:,r-. :a:
oISCLA|MER l5el.b, ce,! t r.ar s,ii.ro.raton r !-,s
ana o.dinarces a.d €q! ati..: -ie \HC Dev€iniFeil
30.raco. !i5,,r!tcr ...NOTE AiTt\.,c.( pe,ro med \.\
aprcaDon 6.oaecr ano E[ wor( HI aor pty w!'!h he s,€!e gulding cooe ano a]iolner BppraaDle srae and ocai taw6
servEes ceil.r wriroe ro0fBa ot Eiy cne.!.s L. ue appo\ea ,rrrr.nj 5p€of:carrns o. cn6no6 r .on[aclor o.,rC lte ADpoor,ab Perm,ts wrlLb€ r V.otEl or ol ue NC Srare 3 ca Cod6 and S,iFi.r 16 ",."" "i ro SiOO OC..
li' STGNATURE:
'''-2-'
OtlNER/CONTRACTOR i .:.-.::: ;-...ro::. E-
,,- - -- ",-, "(:'.'I;.::;"; ^,
IS THE PROPERTY LOCATEO IN A FLOOOPLAIN?
EXISTII\E ITIPERVToUS AREA: O sg rT
NEtti I|vIPERVIOUS AREL 6f/I 5q p1
,,,IATER:T PUA
SEHER:CFOUA
PAYA]ENT fiETHODI
YEs E[ro ekm 2119/16
( FOR I'i:ICT U$ OXLY]
ToIAL ACRES DISTURBEO: 7
EXrST LAi{D DISTUnBING pERltlr: f] yEs d*o
{] colr,,rur'rrrv svsrerr fl pRrvATE rrELL ! cslrRal uerl
[] cerurnar- s:er:c fl pRrvarE sEprrc I coullur:rrv svsrrr,r
C A5H (HECK (pAyaBLE ro ucl InrrnrcAN ExpREss
x x i* * * * *** * r* rx * **i *** * * ** * u*, *r!* ,l r t irx
liClVI5A DISCOVER
zoNE: R-20 oFFrcEa: EK[\4 SETEACK5: r; * Lr: *
RH
Approval: OK city:WlL[/ oate.21j9t16 ,LooD,
-
,** **'r i*ii *:I** ***,* **** **
AE!i5au Dr:E 04/!r/12
B: *
Zone X ere*:rt= _
conment: *P€[0 ans a roved bILandfa lan review. tMist not e*ceed PERIqIT FEE I s
the average roof height of 35'. Call 254-0900 for final zoning inspection
DAIEt ?.//l//(
Z=l*---
9Dtb-t70)ffi6
APPLICANT' S T,IAT'IE :
DEVELOPER:
{R.
NEW HANOVER COUNTY BUILDING PERMIT
APP LICATION ryPE: COMIT1ERCIAL
PLEASE ANSWER ALL QUE5TIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility,,
aaO C-oNsffucy'aal G*nrtY
APPLICATION
Number
(office Use)
DATE /-11-1oL
PHONE #:
PROIECT ADDRESS: 3G18 Norrh Hiqhway 421
OCCUPANT/BUSINESS l,lAI,lE : wasre rndusrries
PROPERTY OWNER'S NAME: WASTE INdUsTTiES LLC
OWNER's ADDRESS: 3301 Benson Drive
CITY:Wilminqton
, Suite 601 CITY: Ral eiqh
ADDRESS: 151 Flower House to op CITY: rrou tman
EMAIL ADDRESS: i im@irt eona rdconstrucCion. con
PRoIECT CONTACT PERSoN: Brian Polinq
(check AU rhat Apply)
l-l cerueml Repnrns l-l RELocArroNvuifl r.ro rs eLoc spRtN-xreneor I ves [ ruo
EXIST CONSTRUCTION:V ALTERATION RENOVATIONtr
Natural Gas Line on the Current Site?I
ERECT NEr^r STRUCTURE I rasr tmcx ! sner-r- ! unrrr ! ADD TO Exrsr sTRUcruRE
ACCESSORY STRUCTURE: NoNE: srabs onl.y
lf Relocatlon, is there a
NEW CONSTRUCTION:
If UPFIT - The Shell Permit #:Is Elect Power on this Building E yes E no
ARCH DESIGN PROFESSTOI,IAL :
ENGR DESIGN PROFESSIOI,IAL;
PH:
PH:NC REG #:
DESCRIPTIoN 0F WoRK: Add Critc esuipment and fr.reti-nq to the site {No Buildinq work)
ls food or b€v€rages prEpar€d oa s€n ed in Uris stnrdure? flyes I No h The Propsty Located ln The Floodptah? [ ves No
OISCIAIMER: I herebv certitu lhat allinformation in
and local laws and ordinance! and requlations. The
or chanqe in contraclor ot contrador iiformation,'-Subjecllo F,nes Up To $500.00.-
this^application is conecl and all u/ork will comply wirh the state Building code and a other applicabte state
N8?.s"^LileTf,li:r'#Hffifi,98"il3l,T#lj8'"J#jl"tf,,,rs8iJ1,[i"fSf,"?,f"*A5Al".Sf?;8ffi:l"j;".
OWNEFYCONTRACTOR:13p 0. Po L*VG SIGNATURE:6(q'.trk) (Prh N!{rE)
Nota: Dsrndlton nodfcadoN & esbesbs aarnovsl pemh EpdhaUons elo b bo submliad 6lng th€ sppllcadon brm (DHHS3768) whetl€r rh€hdllty or bulldlng was hund tocontaln Asbestos or nol You Ers EqulrEd b call ttl6 Nslional Emis€ion StEnd6rds h. Hszsrdous AIr PolluEnE (NESHA4 sr (91 9)707-5950 8t t6sst 10 days p.lo. b fr€dEmolldon of arry fEdllty or Asbesbs W6b SiE:httpr^rv{wspl.st8E.nc.us/spVssbestDs/shmp.hunl
TOTAL PROJECT CO drJ,q)
TOTAL AREA SO FT :
BUILDING HEIGHT:
SQ FT PER FLR:
# OF FLOORS:TOTAL SQ FT UNDER ROOF: _ # OF STRUCTURES:
ACRES D'STURBED:O.t2+/-
NEW IMPERVIOUS AREA: s,230+./-
E<sT I-AND DtsrunarHe penrrtrz Fves [ ruo
SO FT D(ISTING IMPERVIOUS AREA:2 't 5
-' SEPARATE PER|\4lTS REOU,RED FOR ELECT, MECH, pLgG, GAS EOUIP; PREFABS A TNSERTS -.
SQ FT
pRopERryusE: florrrce lnesrnunerr [uencnunle [eouc f]ner lcoHoo OTHER:
WATER: ECFPUA
SEVI/ER: ICFPUA
Eg9MMUNnysysTEM EWELL flzoNtNc USE ctlsstFtcATtoN:E CENTRAL sEprrc fl nFvarr sEpmc ff E6MMuNrrv srersii-" ' -"' ---------:-
N
I
PERMIT FEE:
oAlE 1111112
ZIP : 2}4at
PHONE f: e1e-32s-iooo
5T: NC ZIP: 2?609
ST: NC ZIP: 281G6
PHONE *: 'to4 -s2a-'t 6sa
PHONE #: 't o4 -622 -too3
CONTRACTOR: ir.R. Leonard consrrucrion company LICENSE #: 53238 q ACCOUNT #:
rF yes, what *, .n" ,""JilJ,':.:X;:":rtS::oF occuPANcY usEiF[t.F-::;;;"".,
rype?
-
NC REG *:
# OF UNITS:
# OF STORIES:
ftmmont A v
,
NEW HANOVER COUNTY BUILDING PERMTT
APPLTCAEo IYPEI COI'IIIERCIAL
PL'ASE ANSWEB AIt QUESTIONS APPIICABIE TO YOUR PROJTCT
"Project Responslbility,,
;o(D - l?og
l(e
APPLICATION
iiumber
(offi.€ use)
APPLI€ANT'S T,IA}iE:OATE, 2/t5/16
DEVELOPER: Nge x L
Sonoco R Ii
Pl,lONE #: 9to-798-4338
ZZp,t 2B4ot
PHONE f;
ST
910-798-4338
: NC ZIP: 28401
PRoJECT ADDRESS: 3 oo2 HWY 421 CITY; l,li1
OCCUPANT,/BUSINESS NAttE : Envi mental Mana
PROPERTY otrlNER,S MilE: reu a er Countv
OI.JNER'5 AODRESS: 230 rnment Center Dr st25A CITY: wiLminqron
CoNTRACTOR: sEephen l,opment
ADDRESS: s26 Hufo Harris Rd CITY: sDrina HoDe
EmAIL ADDRESS: st hensi LeaieveloDments
PROIECT CONTACT PERSoN: Brian shea
Exrsr coNsrRucrroir: El ALrERArror n .r,,Ji[i!iii 'i'i^|fil*.
lf Relction, is rhere a Nalurat Gas Line on the Eirent Sitef [ve?[ ruo
RE PAI RS n RELOCATION
IS BLDG SPRINKLERED?r ves flno
NEI co srRucrroN: I rnrcr NEul srRUcruRE I rnsr rucr f] snelr- [ ulrrr f] noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The SheU pe.mlt f:Is Elect PoHer on this Building El yes E tto
*,i*1* rs rtrs A CHANGE oF occupar{cy usE? ff yEs r
fF Yes, Lfiat nas the Previous occupancy TlOe?
ARCII DESI6N PRoFESSToIALI
hrhat is the l{ei, Occupancy lype?
ENGR DESIGTI PROFESSIOML: w,D. Jones PH: 9lo-s23-s361 Nc REG #: o2sg52
DESCRIPTIoN OF !{oRK: currinq enlnq i.n existj.nq wa]1 Der enqinee red fans
b iood or beversges prepsted q ssved ln ttds *r.rctre? flves fl No b Ths F,r@e{ty tocatad h Th6 Flmdplsin? E ves fi Ho
OISCLAIMER: I h6reby certfy Uat alt informaUon rn th,s apptEarion rs cor rect 6nd afl work wil comDlv with rh6ano,oca[aws and o.dtnan(es and regutstions, The NHc oeveloDment setuices ce.rer wilt bE nodt;d ot,hvor cnanoe rr conracror or.ontra.ror inrorhari^n "'NoTE.Anywort Perlormed wo rhe ADorotnate pi;iG
Subj€ct1o Frne! Uo To $500 00-'
State Euilding Code and attolher sppticabte State
chanqes in the approved plans and so€cilicaronswll lie in Volation ol lhe NC Srate SldO Code and
OWNEF/CONTRACTOR:
WATER: mCFPUA
SEWER: E CFPUA
Kevi!r Caison SIGNATURE:(Or,3,nsd el,|l N.rr'.)
Nol6: Domolllon oticttoni I ssbests ornovsl pemh eppltcaUons aro io be sobmltod u3l ,! tho agpllcaten tom (DHHS-3768) wieth6r rhe tscfiry orcontaln fub€sbs or not You sro r€qutr6d !o call &6 Nartcnsl Emb3lon S-bndr(b loa Haz3rdous Ar Pollutanrs (NESHAP) .t (919)7075950 d te'sr 10d.lDollrhn ot .ny fEcBny o. tdtdtno. Seo Asbesb3 W.b
IOTAL PROJECT COST; sto, a2a. oo
Stto: htrp:/ rww.epl.stal€.nc.uYepi/asbestos/ahmp. hlmt
BUILDING HEIGHT:# OF UNITS: 1
TOTAL AREA SO FT :10.000 SQ FT PER FLR: :o. ooo # OF STORIES; 1
TOTAL SO FI UNDER ROOF: 3o.ooo #OFSTRUCTURES:# OF FLOORS: 1
ACRES DISTURBED: o EXST LAND DISTURBING PERMIT? NYES I NO
NEW IMPERVIOUS AREA: o SOFT EXBTING IMPERVIOUS AFEA:SQ FT
50 ft
30.000
PROPERTY usE: [oFFtcE lnrsreunem [urncemr-e fieouc fimr Econoo OTHER: re"""t
E coirMuNtry sysrEM E wErL IIZON|NG USE CLASS|F|CAT|ON:
LICENTRAL SEPTIC III PRIVATE SEPIC I]COMMUNITY SYSTEM
PAYMENT METHOO:ficnsn ficxecK (eAvABL-E ro NHc) [euenrcaru exrREss E Mc^nsA f] orscoven
^. SEPARATE PERMIIS HEQI]lNlO FOR tLECT, MEC|I, PLBO, GAS EQUIP, PRETAAS & NSTFTS
N
zoNE:_oFFrcER, (tT;f[x3lEoJ-*rr,_
"*, B: REI/,SEDD TE.'r'l12
Approvat:_ ctty:_ DATE: FLooD _ _-_----!3".EiF.__
Commsnt
LICENSE *: NA
ST: NC ZIP: 27882
PHONE i:
PIIONE t: 910-4ss-6903
PH: Nc REG #:
, (-:3
PERMIT FEE: g*"."--..-
WGEO15
APPLICANI'S NAI.4E:
DEVELOPER:
CoNTRACTOR: ii&!i coNsrRUCToRs oF FAYETTEVTLLE, Ltc
ADDRESST B2og-Marker street, suiLe c
! suunoor'r
-sF
I eooL
-
sF
! enreurouse
-
sr I oecr
-
sF
NEt^l HANOVER COUNTY BUILDING PERMIT
APPLICATIAN TYPE.. RESIDENTIAL
PLEASI AI{SI.JER ALL QUESTIOI{S APPTICA8TE IO YOUR PRO]ECI
"Project Responsibillty''
PrrL_-t3r
APPLICATION
Number
(0ff1ce use)
H&H CONSTRUCITOR I S, INC.
PHONE S:
pROIECT ADDRESS: 60?4 wi11ow clen Drive CITY:','rrLMrNGTON ZIP i 2B$-2
SUBDIVISIoN; willow Glet! Estates BLOC( tr: 5o?4 LOT #: o1s
OI^INER'S ADORESS: 8209 Market street suite c CITY: wilminqton ST: NC ZIP: 28417
LICENSE fl: 74158
CITY: WlI,MINGTON sT:N_ zIP: 2 8411
EFIAIL ADDRESS : HearherMacKenzie@htlhomes. com/JerryBrenni.nq@hhhomes , com PIONE #: 910-219-1"485
PR0JECT C0NTACT PERSON: J.r Brenninq PtOtrlE #: e1o 21e 14Bs
EXTSTTNG CoNSTRUCTToN: I alrenarrou I nrNovnr:0ru [ ernenar nrenrns f] RELocArroN
NEW CONSTRUCTION:ERECT NE!'l RESIDENCE or ADDITION TO EXISTING RESIDENCE
,.*PLEASE CHECK AND ANSI,JER glLOiI ALL THAT APPLY TO YOUR PROJECT:
fflarr eanner s33 sF DET GARAGE SF PORCH L_SF
l-l sronner sH eo
OTHER:
SF
SF
TOTAL HEATED SQ FT:2498 TOTAL SQ FT UNDER R00F: 3221 TOTAL AREA SQ FT: zsor
TOTAL PROIECT COST 6ess roq : $$14s, 867 * OF STORIES: 2
Is Any ELECTRICAL, PLUIiBING or II{ECHANICAL l^lork 8e1ng Done to the Accessory Structure} E y"t EI ruo
If the project ls a Relocation, is there a Natural Gas Line on the cunnent Site? [ ves [l llo
rs there Electrical Power on this Buildtng? l-il ves Ilto
PROPERTY USE / OCCUPANCY:STNGLE FAr{rrv ! OUer-eX I TOUH|OUSE
DESCRIPTION OF WORK: SINGLE FAMlI,Y DWEI,I,IN6
and ordhEnces flrd rcguladons The NHC De!,elopment SeNbes Cenler will be no{fud ol Bny changes in he approved pbos and specilicotions or change 1n conllscl}r or
conf&ba lnbrmatlon. 'r'NOTE: Any Work Per{ormed W/O he Appropriab Pormltswillbe h Vlohlbn of he NC Siale Bldg Code €nd Subject b Fln6s ljp To $500.00"
O!{NER/C0NTRACTOR: J,r Brennj.nq
(Prlnt r{ame)*:i )i:* *** t)t** **** tt'l* *t* **:t *:l ** +:Br.* rrrt+*:*,* !t,* *. *,* ,t ,t ,t ,* ,* *t,t **,*:t *** *x
rs THE pROpERTy LOCATED rN A FLOODPLAINI I VrS I NO
EXISTING IMPERVIOUS AREA:SQ FT TOTAL ACRES OIST
SIGNATURE: a,44<
-
* t t*:F * ,t ,t,t * * ** ***hi** ** * * **
URBED:0.42
EXIST LAND DISTURBING PERMIT:I ves f) rvo
SEWER: f] crcua fl Grurnal seerrc f|PRTVATE SEprrc I COr.rmururrv sysrEM (-ao!iA.-*>$1,43 / ry
*** SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
pAyMENr METH'D: I casn ficrecK (,A'ABLE ro rHcl flamrnrcAN ExpREss E r,rclvrso I orscovrn)**********)t****:i,ia,**x**,1,t,***,******)t*)i(,t,**,*+*:t*,|)**,t*:i)t,t*+**t)t,l;|;i***+*,t*,*)i*****)i,******+***)t
(FoR OFFIC€ US€ OI{LY) REVISED DATE g4l11l12
NEhi IMPERVIoUS AREA: 3235 SQ FT
WATER :CF PUA COI44UNITY SYSTEI'1 PRIVATE t^]ELL CENTRAI h]ELL
ZoNE: _OF FICE R :SETBACKS: F:_ LH:_ RH:_ B:_
N
Appnoval:_ City:_ DATE:_ FLoOD: _
AV
BF E+2ft=
OATEi 01/ 1,8 / zor5
PROPERTY OdNER,S NAI,IE: H&H CoNSTRUCToRS oF EAYETTEVILTE, LLC PHONE #: 910 219 I"485
APPLICATION
Number
(Office Use)
AppLICANT'S NAIIIE: tir chaeI DanieI:l
i\
DEVELOPER: DF. :jc r i or. Inc
CITY: t{i 1mi nqr on
PHONE #: l1!-8:r-8556
ZIPi:r'PROIECT ADDRESS: :,:'j sr:eele L.,op
SUBDMSION: Fieser te ;1'. ;1-est Bay BLOCK #:
OiINER'S ADDRESS: 4i149 Belle rerre BL1.l
CONTRACTOR: DR iloi i or: InC
ADDRESS: 4!49 Belle Terre Blvd
ElllAIL AIDRESS: mr.tanie tsLadrho:ron com
LICENSE #: 296r,
CITY: l.1r.r- l. Eea.h
LOT *: rr
PHONE #: B4 i 351-840c
sT: !:_ zIP: : e: I e
PHONE #:
PHONE #:
910-821-8556
PROIECT CONTACT PERSON: Pat Fi,z.1err,.l
ATT GARAGE 155 SF DET GARAGE SF PORCH LSF
! surunoou 5F POOL SF STORAGE SHED
910-165-1906
DECK SF oTHER: 92
5F
SF! cn e eruuous e _ sF
TOTAL HEATED 5Q FT: t6ss
TOTAL PROIECT C05T rress roo : $
TOTAL 5Q FT UNDER ROOF: 221r TOTAL AREA 5Q FT: ;.-ae
# OF STORIES: I
Is Any ELECTRICAL, PLUIIBING or I,IECHANICAL tionk Being Done to the Accessory Structure? fi Ves [ ruo
If the project is a Refocation, is there a NaturaL Gas Line on the Current Site? [ ves I uo
Is there Electrical Power on this Euilding? [ves !No
PROPERTY USE / OCCUPANCY:SINGLE FAMILY DUPLEX TOWNHOUS E
DESCRIPTION 0F WORK: rJe,r :esiden:ia1
(Print Name)
,k ,r * * * * * * * * * r( r. * * 1. + ,r ,t + + + + 1. 1. 1. 1. + + i. i. * i. * ,t ,* i. r. r. r. * r. + i 1. 1. 1. 1. + + + + + ,t ,* + + + + * * * * i( * * * * tr( r( * tr( * * * * * * * * * * * )r * * * *n NOIS THE PROPERTY LOCATED IN A FLOODPLAIN?YES I
EXISTING IMPERVIOUS AREA:SQ FT
SQ FT
TOTAL ACRES DISTURBED: ]5
NEW IMPERVIOUS AREA: 2854 EXIST LAND DISTURBING PERMIT:YES I-l ro
andordinancesandregulationsTheNHCDevelopmentServicesCenlerwillbenoliliedofanychangesinheapprovedpansandspecincationsorchangeinconlracloror
conracior informaton. "'NOTE: Any Work Perfomed W/O the AppropriaE Pemits will be in Violation of the NC StaE Bldg Code and Subject lo Fines Up To $500 00""
X t,oo Los
*** SEPARATE PERI.{ITS REQUIRED FOR ELECT, F1ECH, PLBG, CAS EQUIP, PREFABS & INSERTS T.**
pAynENr r.rErHoD: !casu Icxrc( (payABLE ro NHc; [ *reucaN ExpREss I r,rcTvrsl f] orr.orr*
*)k)*)k*****+*++*+**,i**+*++++****{.1.r.*i(**r(********rr*r*rh*rr,*+++*********r*r*****++*****,*x:i*,*,*,**++
ZONE : _ OFFICER
(FOR OfFI€E USE oNLY) REVI'EO OATE O4/!1/r2
SETBACKS: F: LH: RH: B:
N
T
Appnoval:_ City:_ DATE:_ FLoOD: .BF E+ 2ft =
&aru1]tr.L6df4tNEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSI.JER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
DATE: . . !.
PROPERTY OWNER'S NAI'4E: DR rrcrtcn lnc
CITY: -lLy.E!.lS_!SsSI__ ST: j!- ZIP: 2 e 5r e
EXTSTTNG CONSTRUCTTON: fl nrrenarrOU ! neruoVerror ! ceruenar necrrns ! RELocATToN
NEhr CoNSTRUCTTON: E ERECT NEW RESTDENCE o" I aOOrrrOru TO EXTSTTNG RESTDENCE
I.,IPLEASE CHECK AND ANSWER EELOI{ ALL THAT APPLY TO YOUR PRO]ECT:
OWNER/CONTRACTOR: Mrchaet paniet:j tp Horton rn.. SIGNATURE:
wATER: I creun ! coMMUNrry svsrru ! pRrvATE wELL ! crnrRnr werl
sEwER: @ creun ! CENTRAL sEprrc ! enrvarr sEprrc E coMMUNrry sysrEM
$ilt
#
RE'
NEW HAIiIOVER COI,NTY BUILDITTIG PERIITIT
APPLICAndt rYPEi nESIDENTIAL
pt-EAsE Ar9a€l Aa[ q.rEsfroas aptllcaSLt ro Youe ,fio]Ecr
'Project Res Po.r s tbU tt!,e'
PHCB{E #
CITY:
BLoc( *:
90tb t?l+
-. FrB -9 a6
APPLICANT'S l{A'48:
DEVELOPER:
PRO]ECT ADORESS
SUSDIVISIO:
PROPERTY qFIER'S i&I,IE :
or$ER, s ADoREss: @l 611Y1
COMTRACTOR:
ADDR ESS:201 CiTY:
919 452 1r10
LOT ':
LICE SE *:509C3
sF ! orr ernace
--
sF PORCH
I sronacr sBEo
-
sF
82 5F
200:TOTAL AREA SQ FT:2$r
PH6{E F 910452-1410
Sr : Ifr-l zip : 1166:-
ST:NC Ea!.lJ
9'.C-.r52,141CElttrIL iD0RE55 r
PRofECT COMTACT PER50 r
EXTSTTTS COi{STRUCTTOI: f] ALTTRATTON REiIOVAT;ON ! ornrnnl REPATRs E RELocArrcFl
NEId CONSTRUCTIOI:ERECT t{EX RESrDEi{CE o" I morrrol ro Exrsrrll6 REsroENcE
..PLEAsE CHECT( AXD AIISXER BELOW ALL THAT APPLY TO YqJR PRO]ECT:
i30 ST
PK E f:
PIKtr{E *:9rG520311.
ATT 6ARAGE
E suunoon
-
sF fl Pooi
-
sr
1
f- cneersous€ sF DEC K SF ONIE R:
TOTAL HEATED SQ FT:IOTAT SQ FT UM)ER ROOF;
* OF STORIES:
Is there Electrical Porer on this suj.lding?EYes I No
PROPERTY t,sE / OCCUPAT(Y:STNGLE TAHTLY ! OUel:x E ro.n+ousr
DESCRIPTIOT OF IORX:
Is Any ELECtf,ItAL, p1(.figlttlc o. ;IE6HA1ICAL l.rork Being Done to the Ac(e55ory Structurel fr Ves I fo
If the p.oject ls . Relocatlon, is th€re a Natu.a1 Gas Llne on the Current Site? [ v"' fr lo
L:
0t1Lflre
t
2
OISCIAIMER herebyc".rtlhal tlli.lofrattn F lhrse9dt5br 6 conecrad d'6rk llcooplvwln!te Staie e{,d,ng CoC}ad a[ o5e,:opeOrs slae.no lo.a r.*s
&O crdirdres.nd requ :3r'on! T'lp NB C Oewrogtrlnt Se o€r C€nEr til b€ no! iec of €i'y chx'{cr h &€ agproved Pr*rs fid sps.lfc.tons o. chcnge ,. co.lr-br or
cfiracbr 6h.Mton ".NOTE' A.y \\brr P..fOdEd wo t€ ApClopri.E PerniE wiil !' dr v' l*'n Nc slaE 8b9 Dode !16 s.qecJ b Fmes L! ro s5€c.0f"
or.lNE R /CoI{TRACTOR : IIEG,C; €;6;r;-- --l SIGMTURE :
aPru: {its\
++ r.. rr* * dr,i i. *,1
IS THC PROPERTY LOCATED II./ A FLOODPLAIX?tr YES €-u'tlNO
€XISTI'IG t!,9ERvIC[rS AnEA:
-
5Q FT rOTAL ACRES DI STURBED:c !6r
NEI,I IIIIPERVIOIJS AREA:
-SQ
FT
MTER:
SEl,JtR:
CfPUA
CFPt'A
E conr.rnr-rv sysrErl f] pRrvArE i,ELL E cE TRAL I'IELL
I ctxrnar sEprrc D pRrvATE sEprrc ! cotrutrw wsrtu
.:t 5IPAIIA-IT PiRI.lIfs R'QUIRF' ICR EL€CT, {TC, PLB6, GAS EQI.]IP, PREFABS & II'JSFRTS :1'
pAyriEr{T rET}m: E .^s, Elc*tc* (,A'ABLE ro rrl I u:nrca* t*ress [ ,./rrs^ f] orscorrt
*.Lr aa,rr*!:****ta*r,at{.,t,rt,}t lttti!**t *arr *a**)*tr***t)ta. J*tr**'r**lt**r|l**rtti
ZONE: i '-' oFFICER:Y-i]1 SETBACKS
lpproval:;i!;- city:\r-lll r \ DATE
Cosment
et * ta,_;L RH;J_ B: +-
:
- -
/"'t'r".X art*ztt=to))
--\D \lqt',lrt
PERiIIT TEE: $t8 Ll@
I
t)
City irryechc,n Recuneo 9iit25449$
**48
APPLICATIOT
ill"rtbe.
(office ur. )
DaTE : f .B'oa2--6-G--I
ZIP: FE&-- l
lE1 -l
roTAL PRolEct cosl l"dr tolr : $ =:fi-----l
lZ83- -l
EXIST LAID DISTUNEIIIG FERhtT: fl YEs D O
rsw
ffi
APPLICANT'5 I,IAIIE :
RE''
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATIo1I rYPf: RESIDE TIAL
PI-EASE ANSI{ER ALL QUESTIOI{S APPI-ICAETE TO YOUR PRO]ECT
"Project Responsibility''
)ottr- tTt+
-- FrB -g 2[6
DEVELOPER:
PRO]ECT ADDRESS:
SUEDIVISION:Shinnwood Wesl BLOCK f:
PROPERry OH{ER'S i{AI''IE :Penton New Homes. LLC
OWNER'S ADDRESS;6105 Oleander Drive Suite 201
Penlon Construction, LLC
ton PHONE #:910-452-141A
2011 Liftle Palm Way CITY:Wlmington
CONTRACTOR:Penton Construction LLC
ADDRESS:6105 Oleander Orive Surte 201
LOT f:61
PTONE #:910-452-1410
CITY:Wilmington ST:NC ZTP ..
LICENSE #:50903
Wilmington
PHONE #:910-452-1410
PHONE #:910-520-8111
CITY:
EMIL ADDRESS:moagaanjean@gmar com
PRO]ECT CONTACT PERSON:Morgan Dalema
EXTSTTNG CONSTRUCTTON: ! nrrrnarrON ! nrrcvarrOn ! GrHrnaL nrcntns RE LOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE o" ! eOOrrrOr TO EXISTTNG RESIDENCE
**PLEASE CHECX AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 416 5F DET GARAGE
-
5F PORCH SF
PooL _ 5F SToRAGE 5H ED _ 5F
I oecr SF OTHE R:5F
TOTAL HEATED SQ FT:2033 TOTAL SQ FT UNDER ROOF:2661 TOTAL AREA SQ FT:2661
TOTAL PROIECT COSTtLessrar : $90,000 # OF STORIES:
Is Any ELECTRICAL, PLUIIBING o. IECHAT{ICAL !.Jork BeinB Done to the Accessor.y St.ucture? [ VeS [ ruo
5UNR00!1 _SF
GREENHOUSE SF
If the project is a Relocation, is there a Natural Gas Line on the Cunrent Site? n yes
Is thene Electrical Power on thi.s Building? J-"1 ves IEI ruo
PROPERTY USE / OCCUPAT'ICY:sTNGLE FAMTLv I ouer-ex ! roluHouse
No
2
I
DESCRIPTION OF I',ORK:Build Sr Resrdence
DISCLAIMER: lhereby cenily hal all inlomaiion n his applicaiion is conect and allwork will comply wiil he Sbre Burtding
and ordinances and regulations. The NHC Development Servlces Cenler witl be notned of any changes in ll)e approved ptans
conlractor inlormaton. "'NOTE:Any Work Perfomed W/O ihe AppropriaE Permits wittbe in Viotation ot the NC Staie Btdg
owNE R/C0NTRACT0R :Howard A Penton lll SIGNATURE:
(prrnr \dre ),r ** + + *+ *,t+,t * **)t *x )i* **,* * )i * * t*)tN ++ + **** * *x x x++,t *,t*,** ** * )t* * x,t + ,t +,t ** *
all applicable StaE and locat laws
or change in contractoror
lo Fines up To s500.00'"
+ *,* * * * X,* *,** * + * + * * *
rs rHE pRopERTy LocarED rN a plooopllrul J--l ves I NO
EXISTIT'IG IMPERVIOUS AREA: _SQ FT TOTAL ACRES DISTURBED:0 061
NEW II4PERVIOUS AREA:
-
SQ FT EXIST LAND DISTURBING PERI{IT:!YES nNo
SEU'JER:creun ! cENTRAL sEprrc ! errvnre seerrc ! cor,ruuHrrv svsrrm
'** SEPARATE PERI.IITS REQTJIRED FOR ELECT, iIECH, PL8G,6A5 EQUIP, PREFABS & IiiSERTS }**
pAy El{r rErHoo: I cAsx I cnec( (PAYABLE ro rrcl ftarrnrcAN ExpREss ! r.lclvrsa fl orscovrn
'i *** r*+ + +*** **)i * )i* )****,*,t*)* )t )* *,*,t *+* )***,*,**+***** * *+ *,tx* *ri*+ *,t* )*,* * ,* ,*,t * )* * +t+,* )t* )* + i(,t ,t,t **,* *** x*
(FOR oFFTCE USE Oi{LY)
SETBACKS: F:_ LH:_ RH:_ B
l,lAT E R :CF PUA COWUNIry 5YSTEM PRIVATE WE LL CENTRAL I'E LL
ZONE:OF FICE R:
Approval:_ City:_ DATE:_ FLOOD: _
Corme nt : a
REVISTD DAIE 94l11l12
B F Er2ft =
N
PERIqIT FEE:
APPLTCATIOI{
Number
(Office Use)
DATE: [--676Erfre
_l
zrP: liEi?idl
st: Fdl zrp: f2Elo5l
tr
lrE+o)
t13i l
(
lorto- 1+l?
tffiNEW HANOVER COUNTY BUILDING PERMIT
APPLTC^TIN TyPEj RESIDENTIAL
PLEASE ArrSlt[R ALt QUESTIONS AppLr(ABLE TO YOIJR pRO]fCT
"ProJect Responsib11ity,,
APPLICANT,,S llAilE: sout.heln ExDosure .s
DEVELOPER;
PROIECT ADDRESS: 42G riLteisr r,ane
DATE :
APPLICATION
tlumbe r
(Of+ice Use)
3 2016
PHONE #: 91o-293-2',162
SUBDIVTSION;autica-l creen @ The CaN
PROPERTY olrlNER,S NAJTE: younq, Ga.ry E carh
CfTY: t{ilmlnqron
BLOC( fl: LOT S:
zLP I Jgt)J-
23
PHONE t: 91o -7 91-o't06
ol.ll'lER r S ADDRESS: 426 riLteisc Lane
CONTRACTOR: souLhern Exposure Sunrooms
ADDRESS: po Box 12oo?CITY: wilminqton
LICENSE S: 6813I
ST: IL ZfP: 284 osADDRESS: po
EMAIL ADDRESS: i ohn@sour hernexoosure6irnroom6 PHoNE f: 9to -.t93 -2-t52
pROJECT CONTACT PERSON: ,lobn Hlckev PHONE *: 970-'193 -2't 62
ExrsrrNc coNsrRucrroN: ! alrennrroru ! nrruovnrron f| eeuenar n*rrRs f] RELocArroN
NEU CONSTRUCTTOru: I enrcr NEht RESTDENCE o" I mOrrroru To ExrsTIN6 RESTDENCE
*,.PLEASE CHECI( AND AIISHEN SELO!' ALL THAT APPLY fO YOUR PRO]ECT:
[arr eanace _ sF I oer camer sr ! eon cH _ sF
RAGE SHED
-
Screen room 135
I suNnoou _sF f] eoor
-
sr I sroI creeuuousr _ sr I orcr _ sr orHER:
SF
SF
ToTAI HEATED 5Q FT: _ ToTAL Sq FT UNDER RoOF: 13s TOTAL AREA SQ FT: 13s
TOTAL PR0IECT COST 6es:roq : g gs:z # OF STORIES:
rs Any ELEcrRrcAL, pLUttBIl,lG or EclrafircAl t,Jork Being Done to the Accessory structure] [ ves fi uorf the project is a Relocation, is there a Naturar. Gas Line on the current site? f] ves [ ruoIs thene Electrical power on this BuildinB? lElv"s llJ ruo
pRopERry usE / occupAilcy: [] srrcle rrurlv fl ouclex I TddNHousE
DESCRIPTION OF IIORK: Build 5x2? exrension ro s creen porch
DISCLAIMER: lh66bycerlaty hatatt inbm. on h lh is apptrcaton is coroct snd 6l lvork ev t comp,y wih h6 Strre Sulldlno Code a{ld s oher appltcdh Stato snd bcat tawsand ordhenc€s s.d rggola ons. Th6 NHC DeveloprEnt Seruicss C€nlerwt,lbe nodnod oran
.onlracrlr hbmauon. 1,NOTE: Any !!brk p€rbmed WO ho Approprtab pom its wil bo ln
O1dNER/CONTRACTOR:,rohn Hlckey
y changes ln he appro\,ed ptans and spec lcauons or change h conlracbror
Vlolalion ofthe NC Steb
SIGNATURE :
BUg Code €nd Subject b Fhes l& To $50O0A..
,* )* )t )t * ** **** ** ** *"** *** ** * * *(ilTi Jilt** **** *n********* j(,******rfi***,******,r**,r:*+**,ti:ir;t *****x**
rs rHE pRopERTy LoCATED rN a rlooopurru? I]l ves I NO
EXISTING II{PERVIOUS AREA: r4os SQ FT TOTAL ACRES DISTURBED: . OO3
NEh,l IIIPERVIOUS AREA: I s43 SQ FT EXIST LAND DTSTURBTNG pERMTT: I vrS ffi rc
r.rrATER: [l creul I coMMurirly svsrer,r I pRrvArE WELL I crrurral welr-
sEhrER: Zl crnua I CEHTRAL sEprrc f] enrvrre seerrc I coMHUNrry sysrEM
**'r SEPARATI PERilrrs REQUTRED FoR Elrcr, I'tEcH, pLBG, cAs EQUrp, PREFABS & rNsERTs **t
pAyHErr nErnoD, f] cnsr Icnrc( (pAyaBLE ro,,*1 f]o".*r;;;;;;, -Eiirrro"'- p rrr.orr*:a*'t'i*f '**+r.)* )**r.t**r** *** * )*:t,t*,*** *+,* *****,t** * * 't,t )t,t* t+***,1,i**,t***,t,i+,*,**t***:t,i******i.** ******
(foR oFFrcE use o !y) REyrsEo rrArr s4l11/12
ZOt'lE: _ OF FICER:SETBACKS: F:_ LHr RH:B:
Approval:_ City:_ DATE:_ FLOOD: _ .-AV
Coflsnent:
_ BFE+
N
PERI4IT FEE:00
zft=
CITY: wllminqton ST: IL ZIp: 2s412