MARCH 8 2016 BUILDING APPSRECEIVED I.IAR O7 2016, NEW
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APPLICANT, S i,IAIiIE :
DEVELOPER:
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HANOVER COUNTY BUILDING PERMIT
APPLTCATION IYPE; RESIDENTIAL
PLEASE ANSI,IER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Responsibility"
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APPLICATION
Number
(office use)
,s ' ,lsDAT E
PHONE f:
PRO]ECT ADDRESS:
SUBDIVISION:
CITY;z7P ,2 ?vti;
LOT #:
sr't pEzw: AEy'o3
ACCOUNT S;
ST | /AZZP I J ?c/,o {
PHoNE r: ?ru - as r,--*<.a;t
PHoNE #: 4/o .2)k- R{oo
'E* .r tt, //<BLOC( S:
PROPERTY OWNER'S iAME;
Ol^tNER'5 ADDRESS: 3, /E
CONTRACTOR:
ADDRESS:
n-.,a A r7 crrY:
LICENSE #r
CITY:
EflAIL ADDRESS:
PRO]ECT CONTACT PERSON;A//< /,./j-
EXISTING CONSTRUCTION: f_.l At TERATION dr*r*lL. nrenrns f]RENOVAT ON
NEW CON5TRUCTIOT'I: I tArCr NEW RESIOENCE o" ! aOOttroru To EXISTING RESIDENCE
,}i.PLEASE CHEC( AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
! orr crnacr sr ! eoncu
-sF
suNRooM _sF P00L _ sF
DECK
ATT GARAGE SF
6R EENHOUS E SF
STORAGE SHED SF
5F
ToTAL HEATED SQ FT: _ TOTAL SQ FT UNDER RoOF: _ ToTAL AREA sQ FT:
TOTAL PROIECT COST1r*.r"ry : $.<o /<# OF STORIES:
Is Any ELECTRICAL, PLUI,4BING o. HECHANICAL Work Being Done to the Accessory Stru(ture? lW, ffi
If the project is a Relocation, is there a Natunal 6as Line on the current Slte? !ves [ ruo
Is there Electrical Power on t is Buitding? f] ves f] r,ro
PROPERTY USE / OCCUPANCY:S LE FAT]ILY DUP L EX TOIiNHOUSE
DESCRIPTION OF WORK:3'-f'(.
DIS Iity rh at inlonnalion in his applicaton is corect and allwork willcomplywith he Slare Building Code and alroher applicabte SbE and tocal raws
lalions The NHC De\,€lopmenl S€rvices Cenler willbe noiifed oJanychanges in he approved plans and specilcarions orchange ir conlracto.or
coniractor informalion "'NOTE AnyWorkPerformedW/OOeAppropriaiePermitswillbeinViorationoftheNCSlaEAEgCodeandSubieclloFrne To $500 00'
or^rNER/coNrRAcron: 1t,/f a..^ f y'll ,Z.t SIGNATURE:\';i;;;- 'Trl r I * l,l r + { + { { + + + t + 1 t +l ll +*,1*l + ++ + { ++ + 1*t t t I
SF OTHE R:
tr(,t * ** * {.** * )t** *,** * ** )k*** * **** *)k* *** * * * '* *,r* ** *,F
rs rHE pRopERry LocATED rN n r rooonurrul fl ves AG
EXISTING IMPERVIOUS AREA:SQ FT TOTAL ACRES DISTURBED:
NEI^I IIIIPERVIOUS AREA: _SQ FT EXIST LAND DISTURBING PERMIT:l-] ves l--] ruo
WATER :
SEI,'JER:ff creun ! cerrnal srerrc I pRrvArE sEprrc ! coullurrrv svsrem
L]CFPUA COI1J\,]UNI TY SYSTE I.,]PRIVATE WELL CFNTRAL WEL L
*** SEPARATE PER]UITS REQUIRED FOR ELECTJ TIECH' PLBGJ GAS EQU1PJ PRTFAES & INSERTS **}
pAyflENr rlErHoDr Eclsn EcHecK (PAYABLE ro nHcl fl erlr accourr Inclvrsl Iorscovrn
**r** * ** **** ** ** *,** + )*** * ** * * *** ** *,r* ** **** **** *** * * * r. *,*** ***,k * r( )** * ** **)**,**:r * *,*;r ,r * ** **** **
(FoR oFfIaE lJsE qtLY) R€VISED DAiE 94111/12
SETBACKS: F: LH: RH: 8:ZONE: OFFICER
Approval:_ City:_ DATE:_ FL0OD: _ BFE+2ft= _avir
Comment: pERtilIT FEE: $_
PHONE $:
RE LOCATION
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NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSI.]ER ALL QUEST]ONS APPLICABLE TO YOUR PRO]ECT
"Project Responsi.bility"
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T6-GDV
APPLICATION
Number
(office Use)
APPLICANT,,S NAlrlE: lolrr:L :lorer ir.ranqLe, L,:DATE: 2./tb/!t)
DEVELOPER: Rolruck Ilome: Triangte, LLC
ZlPi -s/..,
LOT #: a,'4
919-Bl6-9200
sT: NC zIP: 2l6 il9
CITY: lii I n, i r It (,I]
SUBDIVISION: i,-..rreri,rrli(.
PROPERTY OWNERJS NAHE: :.-, -: .. - :,-.: ::r, rl., l: PHONE #:
ohlNER'S ADDRESS: 61.11 Falis of tleuse Rri. ste 2a0 CITY: Raler.lh
CONTRACTOR: R.rbuck Hone:r Trl etrlller L!4
ADDRESS: 6131 Falls of lleuse Rd. Ste 200 CITY: na -.-::.1:,
Eti'IAIL ADORESS : j nortre.hi_ robu.khcn es . .cl
PROJECT CONTACT PERSON: ,-.1i I'lorbe.h - ir.rbe.rhGri,.buckhcrne.i. com
EXISTING CONSTRUCTION:A LTE RATIO N R ENOVATION GENERAL RE PAI RS
NEW CONSTRUCTION:ERECT NEW RESIDENCE oT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSI,'JER BELOW ALL THAT APPLY TO YOUR PROJECT:
PHONE #: , , i ,,t .: ,.
PHONE #: :j'- 1-; - . - -'-:.
RE LOCAT ION
sT: .]I_ zIP: :]:a
5F
ATT GARAGE 5'4 SF
suNRooM _ sF
GREENHOUSE SF
POOL _ SF
DECK
DET GARAGE
-
5F PORCH ' SF
STORAGE SHED
SF
TOTAL SQ FT UNDER ROOF: J]S1 TOTAL AREA SQ FT:
No
DUP LEX TOl^]NHOUSE
SF OTHE R:
TOTAL PROIECT CoSTtressroo : $ :',s. er,,r f OF STORIES:
Is Any ELECTRICAL, PLUMBING or i4ECHANICAL l^lork Eeing Done to the Accessory Structure? [ YeS
If the pnoject is a Relocation, is there a Natunat Gas Line on the cunnent site? [ ves !No
Is there Electrical Power on this Building?ves [ ruo
PROPERTY USE / OCCUPANCY:SINGLE FAMILY
and ordin ances and reg u latjons The N H C De velopmen t Se rvices Cen ter will be noliri€d of an y changes in he appro ved plan s and speciicalio ns or chang e in con Vacto r or
confacbr information "'NOTE Any Work Pedomed W/O rhe Appropriare Permits will be in Violalion of the NC SlaE Bldq Code and Subjecl io Fines Up To $500 00"'
O[dNER/CONTRACTOR i il-,aries J. Br.i,op li.
(Print Name
* x ** *+ * + + 1. *,* +,1. + + + + 1.,* + + il * * *,* * *,t,t,*,*,*
NEI^J IMPERVIOUS AREA: .:. .:
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES !
EXISTING III1PERVIOUS AREA :SQ FT
SQ FT
+,t *,* )*,* :t + * + {. j* x x x * r( * * + * + * + + * + ++* * * + * + * * )t( * * * * + * + + + + + * * *,*
NO
TOTAL ACRES DISTURBED : :.: , ,.
EXIST LAND DISTURBING PERI{IT:YES !NOE
(FOR OFFICE USE ON[Y) REVIsED DAIE O4lT1l12
SETBACKS: F:_ LH:_ RH:_ B:-
SIGNATURE:
)
WATER:
SEl,JER:
CFPUA COMMUNITY SYSTEM PRIVATE h]E LL CENTRAL WELL
CFPUA fl cenrnnl sEprrc E pRrvATE sEprrc COMMUNITY SYSTEi\4
*** SEPARATE PERI1ITS REQUIRED FOR ELECT, IIECH, PLBG, 6A5 EQUIP, PREFABS & INSERTS ***
PAYI4ENT I'IETHOD: I CISIT I CITEC( (PAYABLE TO NHC) E AMERICAN EXPRESS U T'TCIVTSI I OTSCOVE*
+*+************+***+,*****r(**r()i**+,*,*,**rt*)t***rt***,**xr(*i.*++*+xxrtx*****r(*+*,t****+*****r(,*+,*++
ZONE: OF FICE R:
Appnoval:- City:- DATE:- F L00D:
rtua
T
I
:,1
BEE+s 2
PROIECT ADDRESS' ' : = . ' ., -,::
BLOCK #:
LICENSE #: 5 ,- : t:
TOTAL HEATED SQ FT: ital
DESCRIPTION OF t'iORK:
NEW HANOVER COUNTY BUTLDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
d ot6-l?]t16-s08
APPLICATION
Number
(office Use)
APPLICANT'S NA}iE:
DEVELOPER: N"A
Hudson Buildinq Group DATE: )/r)i16
PROIECT ADDRESS: 1602 Physicians Drive suites 101&102
OCCUPANT/BUSINESS NAME: r.r::.cc,:prec
PROPERTY OWNER'S NAME: :'l e I I I'o L.- . I 1l
OWNER'S ADDRESS: 16c2 t,h-vslcians Dr ste 101 CITY: Irl lmington
CONTRACTOR: IIucLS cn Br:loin9 Groip LICENSE #: ;, -: l
ADDRESS: Fil iox liiS CITY: !{i lmington
E[{AIL ADDRESS : benS},ud:io:,b..: i -rl-r glt r oirp,:on:
PROIECT CONTACT PERSON: rieli Hu.i.',.Ir
(Che.k Al1 Ihat Apply)
EXIST CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS
lf Relocation, is there a NaturalGas Line on the Current Site?Yes Iuo
RE LOCATION
IS BLDG SPRINKLERED?I v". f]no
UPFIT ADD TO EXIST STRUCTURE
CITY: wilmington
PHONE #:
ZIP:224.
PHONE #: )ta-2.a-,ia1"
PHONE #: ) Ii-2;8- 4 6'. )
PHoNE *: irlC-256 C02l
NEW CONSTRUCTION:ERECT NEW STRUCTURE ! rasr rnncx I sxrr-r- !
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #
IF Yes, lrhat hras the Previous Occupancy Type?
ARCH DESIGN PROFESSIOTIAL: Kot Ho:,:tetler
*'*,*,** rs rHrs A 6HANGE oF occupA lcy usrt flvrs fiNo *****
Is Elect Power on this Building !Yes ilruo
PH:91C-612-4361 NC REG #: 52510
ENGR DESIGN PRoFESSIOIIAL: l:'rD ,v.'11 a, .r:, -rr ii .1 PH:910-270-3747 NC REG #: 23933
f E-IeCLGHVAC systems and c.Losure of doorvray j ornrng sujtes 101/ 10:DESCRIPIION OF WORK: separat-ion o
ls food or beverages prepared or served in this structure? [ ves fl lto ls The Property Locatod ln The Floodplainz I ves [l no
DISCLAIMER: I hereby certjfy that all informali
and locallaws and ordinances and reouldlions.
or chanoe rn conlractor or contractor riformatio
Subtectio Fines Up To $500.00"'
on in this applicatron is correct and all work willcomply with the State Building Code and allothe. applicable State
The N.lC DeveloDmenl Services Center will be nolified of anv chanoes in lhe aDoroved olans and sDecilicalions
n. "'\OTE: Any Work Performed w/O the Approoflale Penniis will & in Violalion of lhe NC Slate BIdg Code and
.//'//'
am E Hudson SIGNATURE: ,! , *t - / )./vL,L*-- -OWN ERYCONTRACTOR: "(Oualr€.) (Pdnl Natrb)
c.ntaln Asb€stos or not. You sre requirod to callthe Nadonal Emisslon S'tandards for Hazanlous Alr Pollulsnb (NESHAP) et (919)707-59:0 at lerst 10 days Prior to th€
d€molition of any fiacility or building. S€€ Asbestos Web Sit€: http:/ f,ww.epi.stat6.nc uropi/asb€sto6/ahmp ht nl
TOTAL PROJECT COST: ;, ., rrl
# OF STRUCTURES: -
ACRES DISTU RBED:EXST LAND DISTURBING PERMIT? T"I YES I NO
NEW IMPERVIOUS AREA: :SQ FT EXISTING IMPERVIOUS AREA:SA FT
pRopERTY USE: EOFFICE ! nesrAUneltr MERCANTILE EOUC APT ECONDO OTHER:
WATER: ACFPUA
SEWER: E CFPUA
TICOMMUNITY SYSTEM -WELL f]ZONING USE CTASSIFICATION:
fr cerurnnl seerc E P-RIvATE sEPTtc flcoMMUNlw SYSTEM
-'SEPARATE PERMITS REOUIRED FOR ELECT. MECH, PLBG. GAS EOUIP' PREFABS & NSERTS *'
PAYMENT METHOD:ficesn flcuecx leev.naLE To NHc) finlaentceu EXPRESS I rt,tcnrtsa I otscoven
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-
REVISED DATE 4/11/12
ZONE:OFFICER:
Approval:-
Comment
City:- DATE:- FLOOD:
--
-AVN
PE
BFE+2ft=_
RMIT FEE:400
sT: 19_ zIP:llllll_
sT: lj!_ zIP : :r!:::
what is the New Occupancy Type? _
BUILDING HEIGHT: ' rL # OF UNITS:
# OF STORIES: r
# OF FLOORS: T
TOTAL AREA SO FT : I]A SQ FT PER FLR: see p-Lan
Q orto-1945
15-508
itr
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NEW HANOVER COUNTY BUILDING PERMIT
APPLTCAfiOTT IYPE ; COITTI'IE RC IA L
PLEASE A,iSIJER ALT QUESIIOIIs NPPLI(ABTE IO YOIN PRO]ECT
"Project Responslbility"
APPLICAT1OII
NuDber
APPLICANT,S ilAr,lE: Hudson suilding croup oafE. 2/22/\6
0EVELoPER: NA PHONE S:
PRoIECT ADoRESS: 1602 PhyElclans Drlve Suires IOl['102 CITY: l,r:lhrng!on
OCCUPANI/BUSINE55 l{A,4E ; Unoccupied
PRoPERTY otlt{ER'S ilAltE I P}ONE f:
O{tlER'S ADDRESS: 1602 Physicians Dr sle Lo!CITY I
CoNTRACToB: Hudson Bul l ding Group
Z'LP i 2e 40
LICEIEE $: 61191
CITYr {i I![lngton
5T: nc ZIP:28ic.
5T: NC zIP:28409ADDRESS: PO Box ??98
PRO]ECT CONTACT PERSON: Ben Hudson PIIONE f:910-228-4632
((h.cr AII:hrt Aroly)
EXrSr CONSTRUCTTON; D ALTEnArro I nerOVarrOr ! crrenal neearns
lf Rolocatim, is there a Natural Gss Line on the Current Sile? flves [l lo lS BLDG S PRIN<LERED?f, ve"tr No
RELOCATIOI'J
NET.I CONSTRTJCTION:ERECT NEW STRUCTURE FAsr rRAcK f] srrr-l I unrrr I mo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPfIT - The Shell Permit f NO
..r.. rs l{rs A cHAr{6E or occurarcv usrl f ws t
lF Yes, rhat ras the Prevloo! Occup.ncy lyPe?
ARCH 0€S1@l PROFESSIoflAL ! xol'HoEtetlet
Ifiat Is the er.r O(cupan(y Type?
ENGR DESIGiI PROFESSIOML HcDouell con6ult inq PH: L1!:::&fllf_ Nc RtG i 2l9ll
OESCRIPTION 0F l40RX seD.ratlon of 3l ect&iivAc s vscems:nd cLosure of doorrav i oi:llnq suires 101/ 10 3
I
ton is corccr and sllwort wiilcorndywlh lhs Slals Building Codo and 3ll orhe, 3pplicaue Sldrc
:s Elect Pore. on this Suilding I
PH:910-512-4364 NC R€6 S: 525?c
ls tood o. beveregeo prega;gd q. sqvEd h tih sq&lrl I vu. [ ruo b Tho Propqty Located h Tho Flooddsln? E] '/es No
o{SCUql|IER: I haretly cen,y rhal all 'dorrnaton n
and local '!ws ano oro.nanes and requlato,ls. Tlo
d ciarEe ln co.racror or conL'ado. l.forma on. "'srqtcrlo Frncs uP To t5O0.O)"'
NHC DeveLcryncnr Servrc€s
NOTE' Any Wora Peito.mcd
OWNEFYCONTRACTOR :w 1l I ram B Hudson
TOTAL PROJECT COST: s12. ooo
TOTAI AREA SO FT SO FT PER FLR:
Cenrcr nll b€ mrlfiad ol anv (,ranoes nr h€ aoo'oved
'fl/O rhe ADqoor'ale oernnls w'll de rn vrdal'on ollht NC Slat€Bldg Code ano
# OF STORIES: ,
f OF FLOORS;=-
(o16., P'1,r& )
Nqc D.ltt&h. fidddo.tt s !.b.do. lrlpval Flrnr.09ltsdb.l! rt b bt
'uD
lld l't! 0l.
'Pd&dldr
brm (DBXs'37eE) wheir'r $o trllly or ldldh9 wd bund io
coddnAs!.cio.orrctYorrtl.Ilqllndtoc.ltUrNarldlslEnr.bo$r*bftLl,tEattortA!Polur,(NESIIADr(9197r€S0ail&d10drylpriort6o'e
dsrdibl olw luy s tuldne . Se. Aibe lY.! 9L: lt9:fvr*r.!91,&.tE lr/.d/!sD66/.hmp 14.n,
TOTAT SQ FT UNOER ROOF: !L-
ACRES DISTURBED:
# OF STRUCTURES| 1
NEW IMPERVIOUS AREA O SO FI EXISTING IMPERVIOUS AREA SQ FI
pRopERry usE EloFFrcE Enesraunmn fluencarnu Eeouc n apr flmroo orHER-
w lER: EACFPUA
SEWER; EICFPUA
Exsr LAND DtsruRBtNo eenmrn f ves NO
TI@MMUNmY S\€IEM TIWELL EZoNING t sE ctAsslFlcATloN:
fl enrnet- serrc ! i-mre semc flcoMMUNnYSYSTEM
-sLp^ii:--_:.t-:_1r.')r.jrtiEDFop€lEcr.M!cH.I,LOG.6aSLuJrr|'IEFARSTIN'::',i
PAYMENT METH@: lCrSn lcxecx (PAYAELE TO NHC)AMERTcAN ExpRESs f'] ucrvrse D orscovEn
(FOR OFFTCE USE ONL\4p.rirl ur:B: \,' -
REVSED trlIE !11/t2
zoNE: ll i--:OFFICER:t,Lii,SETBACKS:
FLOOD:Apprwal: ll L Cit),:U.tj\-
ulrs
BFE+2ft=--
I 'r5
a
I
CommBnt 'it(
C;ly lnpecticir Requreo, 91 02544iii
\,,,
EI{AIL ,ODRESS: ben(rhudsonbu i.l. d rnqqrouo . com ptONE $:910-228-46,2
BUILDING HEIGHT: jssgEt- f OF UNITS: '.
J.*rn rrr,, l-l-Q !-
#,o
4r-
NEhI HANOVER COUNTY BUILDING PERMIT
aPPlrarran rrpE: RESIOENTIAL
PL'A5I AIII5TIR ATT qJISTIO{S APPII(A8L€ TO YOUf,
'NO]'(I"ProJect Responsibiltty"
iol6-tW6
L6-52L
APP LICATIOTI
Nunber
(ofI1c. use)
APPLICANT'S }JAfiE:Hw,cs
DIVELOPER:
PRoPERTY ol.iNER's NAl4a:
CI,HER'S ADDRESS:
CONTNACTOR:
ADDNESS:
EIOIT AODRESS:
LrcEirsE r: .<+]ozcrrv: BC[,i\U-
OetE Z lD
PHOTE TI 0
zl.P:'C.?*\
LOT {,
pxoxr tr 1(O .rSZ-f t']S
ST &zrp"elSj
ACCOJNT I:
5Ti z1?:@!51
PHOTIE
':
o sz'-l r?\
PHoirE r: qtD qSZ "1I'lE
SF
SF
PRO]ECT ADOR
SUBDMSIONT
CITY:,.)ct1
BLOC( ':tL
CITY:
PRO]ECT Cd{IACI PETSo|I:
Exrsrrtlc coNsrRucrror r f]ALTERATION I Reuovnrron f] orrenll ntearns I RELo(arroN
NEI.J CONsTRUCTION' $ '*"' NEII RESTDENCE ON I OOTITOI TO EXI5TING RESIOEIICE
r?PLEASE CHtCt( AID ArrS!{ER BEL(X ALL rHAT Appt,y TO I(}UR PROJECT:
lN.ort **n, :-11 sr f] orr ernaer
-
sF
I surnoor.r __ sF f] rool _ sr
f] enrsmrousr
-
sr I oecx _ sr
Mfr STORAGI SHED
eoncr -.,$Q\- sr
OTHE R:
TOTAL HEATED Sq TT: 11J:"D ToTAL sQ FT UIIDER nooT, .32\D ToTAL AREA sQ FT:
-
ToTAL PROIECT COST 1r*rroq : $ Z:UrCi>;
Is Ary ELECTRICAL, PIUllBIt.lG or ]IEC]iANICAL l{orl Being
If the project ls a Relocatlon, ls there a Natu
Is there ELectrical Po,/er on this Building? f|
PROPENTY UsE / OCCIJPANCY
DESCf,IPTI0{ OF tloll(; 5
,_d
rK - NU^ CMqvuchb\
I cxlrlrx f] romnousrSITIGLE FAI1ITY
DSCLAIUEk I he..bt .!nlt bsr s[ htr,I.tuh h t s .pp[cat:m ts .o.i.d and d worl yi! corplt wlll tl€ SEIE BrEn! Cod. .nd sl otru Fplc€'ls SsE .nd b.d E{g
and odha.ic€s and tegultllorrs ln! NHC Dawbphrnl Se Mce! O.nEr wltr be m!i.d ol liy cnDn!€s ln fie approld p,s.s a.d $lcitc.tioo6 o! 6r!a ln contEcbr o,
.onr6cror iobmalon. 'nlrolE I Any wo.r PedomGd wio t le &p(o9r,6E PetmtB wilt b. tn vDbr_ron ot th. Nc sisb SlbF.r b rha. LrD To 1500.00 -
OI.INER/CONTRACTOR :Horvrl{SIGNATURE:
*t +,1+*l *****+ a* * +* t **, *r I t *lrralai*rr**r*
* OF STORIES: L
Done to the Accessory structu.e, fl "", ff, uo
ral 6as t-ine on the (urient siif 3 [r E t"
ves $to
HATER:
SETER:
I5 THE PROPERTY LOCATED IN A FI.OOOPLAIN?
EXISTI 6 I PERYICIT',S AREA: U SQ FT
NE}I IITPERVIOT's AREA: ..1 ,1 IL Sq FI
rt*rrr*;tt**tt+*rtit,r*trt*,trr*i+ra *1*,i**ttt*
YEs l\lm
,ori. o.*a, DrsruRBED: , \a
fr NO
(fot oarraa usr o{rY) itvl,Eo D ra 04/tr/r,
SETSAC(S: F: LH: RH: B;
BFt +2ft=
ti
d
N
crpul D cou.ruNrry svstm I pRrvArE WELL f] crrurarL lrrr
creur ! CENTRAL sEprrc I nnrvlrr smrrc f] co'lrttur,lrly sysrEril
ln SIPARAIt PtRllIlS RIQ{IIRFO rOR rlt(r, l1f(ti, PLBG, 645 aQUtP, l,R[tA85 I IN5tRTs "'
payr,tElrr [ErHoD: Icasr flf,]o,rcx {pAy sLE ro mrcl Iarll rcont E nclvrso lorscovrn
* +*)ii** * **a rt*t t*,ri t t*,a a +r r**, *** r*tt * t,tJ, r** a****** +!trt * +*!i t+* * t*t,t rr* *rr l a*r*t*,| **rt,i4 *t
ZONE: _ OFFICER:
Appr$val:_ Clty:_ DATE:_ FLOOD: _
A
comrcnt:PER I] TTE:
'Ylz
rL"\
DTY
EXIST LAIO DISIURBIT'G PERET: fI YES
ffi
NEtd HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(office Use)
APPLICANT'S NAME :cape Feai Maintenance, fnc
DEVELOPER:
PRoIECT ADDREsS: 2oo5 s 16rh srreeL
OCCUPANT/BUSINESS NAIT1E: cy-press Pointe Rehab Fac ilitv
PROPERTY oWNER'S NAIiIE: southern llealth care Ma.a
PHONE #:
CITY: wi lminqron
OITINER'S ADDRESS: 2o05 s 16rh srreer
CONTRACTOR: cape Fear Maintenanc e, Inc.
ADDRESS; 14os 39rh srreet
EITtAIL ADDRESS: peter@cape f earma inte ance . com
CITY: wi lmincton ST: NC zIP: 28401
ST: NC ZIP: 28403
PHONE #: 9ta-232 3\63
PK)NE #: 91a-232 3163
LICENSE #: 3s162
CITY: wi lminqton
PROIECT CONTACT PERSON: Peter o'Brien
If UPFIT - The SheU Permit f:
IF Yes, Lrhat was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOT,IAL:
ENGR DESIGN PRoFESSIoiIAL: RoberL A. Dudek
DESCRIPTION 0F WORK: Remove steel column in 10
rs Elect Power on this Building E Yes E rc
**i!** IS THIS A CHANGE OF OCCUPANCY USE? EYES I NO ****{.
What is the Ne!, 0ccupancy Type?
PH:NC REG #:
PH: 910-752-1s1s NC REG #:13242
ls food or beyerages prepared or sen ed ln ttrf sruaurcz I ves I no b The Prope y Locsted ln The Ftoodplain? E Yes I No
install steel beam header
llding and all other applicable State
nlrns and sDecificationsNc Srare Bldg code and
DISCIAIMER: I hereby cenify lhal all rnformation in this application is correcl and all work will comply with the State Bu
and local laws and ordlnanLes and reoulatrons. The NHC Develoomenl Servrces Cenle, wll be notrfied of any chdnqes
or chdnqe in conlractor or coniractor riformdlion. "'NOT E: Any Work Performed W O lhe Appropridle Petmtls wll 6e tn
Subieclio Fines Up To 5500 00"'
OWNER/CONTRACTOR:Peter F. O'Brien SIGNATURE:
{aualii64
Not6: Demolition noticatons & asbestos removal pemh applicatons are to be submitl6d uslng the appllca[on bnn (DHHS-3768) whether lhe facllity or bulldlng fuund to
cootaln Asbesbs or not You are lequir€d b call tll€ Natlonal Emlsrlon SlBrldaftls br lleza.dous Alr Pollutantl (NESHAP) et (919)707{950 at l€qst 10 &ys p.br b fi6
demolitbn of any hclllty or buildlng. S€o fubastos Wob Sho: hnpJh/ww.epl.state.nc.uJepi/asbe6tosi/ahmp.htnl
TOTAL PROJECT COST: s?500. oo 1
# OF STORIES: r
ACRES DISTURBED:!EXST LAND DISTURBING PERMIT? - YES E NO
NEW IMPERVIOUS AREA: O SQ FT O(STING IMPERVIOUS AREA:SO FT
pRopERTy usE: EoFFrcE EnesrnunnNr f]uencamru EDUC APT @NDO OTHER:Rehab ce:rter
pAyMENr METHoD: lcesn f]cxecx lervreLE ro NHc) flauenrcrul o<cREss E McNlsA E otscoven
WATER: @CFPUA
SEWER: fl GFPUA
ZONE:
"'SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS S INSERTS "'
(FOR OFFTCE USE
flcoMMUNrTY SYSTEM E wE[r
E CENTRAL SEPTIC LI PRIVATE SEPTIC
EzoNrNG usE crAssrFrcATroN:
fl ooMMUNTTY SYSTEM
ONLY)r: XuSETBACKS
Approval:
qT. I
ftr urt L. o(Lh o^J L
FLOOD:
OATE /Ul 1/'12
N
PERMIT FEE:
lc - t{ot
Jolr,-11 aq
DATE | _!2!!i_
ZIP': 29aal
PHONE *: 9tc '163 - 62'/t
Exrsr coNsrRr.rcrroN: E ALrERArro* a *rrJiiffi -fi^l'Jil'r*ot
nenlrns ! RELocArroN
tf Relocation. istherea Natural cas line on the -Current sitez IvF[ruo tserocspii xrrqgg2 Elves INo
NEH CONSTRUCTTOU: I eneCr NEr{ STRUCTURE ! rmr rnlcr ! sx:r-r- [ uerrr I noo ro ExrsT srRucruRE
ACCESSORY STRUCTURE:
BUILDING HEIGHTI J!_ # OF UNITS:
TOTAL AREA SQ FT : 2-3-9-sE--l-e!by- SQ FT PER FLR: 3 0 0 0 0
ToTAL SQ FT UNDER ROOF: 3 0 0 a o # OF STRUCTURES: ]- # OF FLOORS:-1--
I
#
NEl.l, HANOVER COUNTY BUILDING PERMXT
APPLIcATtofi rypsr C@{I'RCIAL
tLEAiE Alts!,1!l ALI QiJ!!TIO$ AaPUCAalt rc yolrt pBOl€CI
'P.6J€!t Relpdnslbultif
&otb-1130
16" |(,-\3q
APP!ICATIOII
l{{8bea
({rfr.. Us.)
*rr. 'j ) t,rt
p1s1p s1 ,/to -j\lZf ?/
APPLTCAXT'S lrAIIE,ar4 d /4
OEVELOPER:
PmIECT AoORESST /
oCq,PrrrT/BUSIIESS [A]tE :
ptopERTY ot ER'5 IUXE:tJ
oilfitER,s ttDREsS:c
CoNTRICToRT J 4 ,'t n.n",
AOORE5S:1"" .t1
tyrAf L AD0RESSI
CTfYt U). i
L 1.-
zw )d /C/
f(
ft*^/ 3L 3{_4."/( prrw *- /0J -,/
CXTY:t-z L 5T TIP| -
P!(}1',8 , r
PIP E *!
LICEiTSE
':cffit l<./1 L
ACCOIT{' r:
t1 /.J ( sr: ztp, )<'.,a/. <-/-
PRoIECT CotfiACT PElSoit: 7.t l< a .a. /7e rtz--
E,,sr co6r.ucrrs,: fl mr:unor n.rJiHrfr,'E?,lii*. nrmns fl neroarrox
r HJoGdoi, b hero s t{sturEt cias Lirr6 on th6 crr.renr sr"t fives I xo rs eLm Spiii]CgREor f] vo eti"
rB,, coi6TRlrcrro{i I rnrcr x*r sTs,rcl(nr f] rlsr mcr ll strr"r. f, wrrr f ADo ro Fxrsr stnr]cluru
ACCES5o*y STXlrCn RE|
If UPFIr - The 5he11 peflldt t:is Elect go.er on thts Br,lldhg n yes NC
.ttt' rs tx:s A Glrrrcc 0F occr*luxv crr frvts [m .--
lF Yat, ,rrt t r dr. P.cvlou3 Occuprn y Iyp., *r* tr $e re OGcupfrcy Typc? _
ARCH Of 5I6iI PKTF ESSIOML :
Ealli D!3i6il pRoFEsstoftal :
pti:
PH:
NC REG }:
NC REG *:
CESCRIPTISV OF LORX:
DISCI.AIUER
slbhdi.
owll
y'L2' ,*2c.,,,
ls lbod or boy*rls Fs.r.d s.s\rd h rx! *udr.r llvcs I r,,ro b rb Propity toca.d h rh. Hooddrn? Iyes fiNo
Bl, odror orrriaablo Srsc
TOIAI- PROJECI COST:,t/u EUILDING HEIGHT:
TOTAL ARFA SO FT:_...**.- SO FT pr8 FLR:
TOTAL SQ FT UN DER fiOOF:-
'
OF STRUCTURES:
ACRES OISTURBED:
NEW IMPEfrVIOUS AREfu
(FOR SFIC€ UAE
SETBAC(&
Dhm dld ic.dc!t$!\C St b Eh' celE ind
SIGNATURE:a 17 4{ /\Hen,
I OF Ur{Ts:
, oF sToRt6t:
r or rtoOnS: --- .-l*l]
E€I LA D DISTURBING PERT,IM E YES f] NO
SO FI EX'STING IMPERVIOUS AREA SO FI
llo!.t Clit.alrl tnst .!68 &.5!-t reoll p{.$l!!prb.tb.. r.i n!..rt nbd l*hq nrsgth.nonbo (Dr!.t6.3r6s) tr}.lBr n }clt}!,{. t{.{drE,!,turE b*n|lo A.b..ix crmt y.{ dr ttqr.rd b r.{ rr rbirlld Emh.L,' &r...rr b. Hr:..d.a * rr*,.,*r 6esierl a pi"i"r*ooii r"jo-_i
",1
i-rid.rrdt t o, rn, taL?, .r bl]r*aa. 8.. ,.!-!. w.b Abr , -r -i.^i. ,r .,.' .y.
pRoFERTyuse. DsncE Enrsrrunon f]mcrr,nus [eu.c [^Pr fJcoloo orx:e
Ittr! E9T!l Il co injMry sysrEu E\r/ErL EzoN0,iG LJ8E ct.Aa$HcAlortrsErlER fl cFpLr -cENTRAL sEpnc E pFlvArE 6Emc 36mLnnr srcrrn
PAYIIENT ilETHoo: [-]CAEH norEO<(pAyAELEro r!lc) [B[r^c@Utfr nMollmA [ascoan
HXreutdgnd6a5i}FrrE& qAr: rnln2
8fF+k
Corffnait
FLOO&
f.fi lnpecLron Requreq, 91 02$t $,:{
&*nr.*s*-l-Q0_
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSIJER ALL QUESTIONS APPLICABLE TO YoUR PROIECT
"Project Responsibility''
wz t6-s6a
c6tb11!t
APPLICATION
Number
(offl.e Use)
APPLICANT'S t.lAI'4E :
DEVELOPER:
John F. Chaney DATE| 02/25/2016
PHONE S:910-612-8166
PROIECT ADDRESS: 2212 tlaverlY Dr.CITY: wi lmington ZIP i 28443
PROPERTY OWNER,S NAIIE:l"Jj-Iliam & Susan Biqgs PHONE #:970-333-4664
CONTRACTOR: Joh;r F. Chaney Construction, INC LICENSE #: 45909
ADDRESS: Po Box 12s1
E!'IAIL ADDRESS: i c4 6 90 9@ yahoo . com
PRO]ECT CONTACT PERSON: John E. chaney PHoNE S: 9tA-612-8766
EXTSTTNG CONSTRUCTTON: ! Alre nArrOl RENOVATION GENERAL REPAIRS ! nerocarroru
NEW coNsrRucrrol: I tnecr NEll REsTDENcE o" ! aoorrrolt ro ExrsrrNc REsTDENCE
**PLEASE CHECX AND ANSWER SELOW ALL THAT APPLY TO YOUR PRO]ECT;
larr crnnee
-
sF ! oer canace sF DpoRcH
-sF
fl surunoor,r
-
sF I eoor-
-
sF STORAGE SHED SF
SF! eneruuouse
-
sF ! orcr 5F OTHER:
TOTAL HEATED SQ n, 3,058 rorAL sQ Fr UNDER RooFt3tTeq rorAL AREA Sq rrr f,Kl(._
TOTAL PROIECT C0ST(u"ssr-ou z $ /&,UO # OF STORIES: ,.
Is Any ELECTRICAL, PLUMBING or ECHANICAL !.lork Being Done to the Accessory Structure? fl V"t I ftfo
If the pnoject is a Relocation, is there a Natural Gas Line on the cunrent Site? [ ves [ ruo
Is there Electnical Powen on this Building?I ves I tlo
PROPERW USE / OCCUPANCY:SINGLE FAMILY ! ouer-rx ! ror"rrunousr
DESCRIPTIoN 0F V'IoRK: Upgrade kj.tchen bathrooms and interior of all existing rooms also relocate
laundry room from downstairs to upstairs. Replace most windows and doors
DISCLAIMEFt lhereby ce fy hal allinbrmation in hisapplicaton is conectand all work will comply wih fie Slale Building Code and allolher applicable Stat and locallaws
and ordinances and regulations. The NHC Developmenl Services Cenler will be noli,ied of any changes in he ch6nge in conlractcror
conracbr inbmalion. '"NOTE: Any Work Perlonned W/O he Appropriaie Permits will be in Violation ol lhe NC es Up To
owNER/coNrRAcroR: 5oHhl F ct{n"rer.,t SIGNATURE:
(p.int N;ne) (
*,*,t+,t*ir*,t+)trt***,i {,,t****,t,t *****+++,t +,i. '*,i * {. t *{.frr+xx*'t * r * d(,* x * )* r( * r(
IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YES Fno
TOTAL ACRES DISTURBED:dEXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:EXIST LAND DISTURBING PERIiIIT:fl ves l-l ruo
! cerurnal wrll
! commultrw svsrem
hlArER: EkFPUA
sE!,lER: E[ cFPUA
NA.,.$bza
xx*xx*d()*)*,*d()*)*
REVTsED OATE 04l11l12
BFE+2npprovar:-@- city[)[ff\ oare
SQ FT
SQ FT
! cor,rrrururrv svsrer'r ! pRrvATE r^rELL
I cerurul serrrc ! PRrvarE sEPTrc
(FOR OFFICE USE ONLY)
*** SEPARATE PERI4I]S REQIJIRED FOR ELECT, I.4ECH, PLBG, GAS EQI'IP, PREFABS & INSERTS ***
pAyr,tEt{r r,lErHoD: ! crsx I crrcK (PAYABLE ro rurc1 [ mrrucAN ExpREss Eiaafrrro I orscorrn
+**rt,t:|{.**r.,t,}+****,},t*,t*****,t)i**)******+*)i)r+:t{.+:**i.t::i:tr+:t:t,t+r*:frirt*r***:**rt***'t****,**,},t,***,})t**l{r*
ZONE :*tt oFFrcER:SETBACKS: F
F LOOD :
lk tvr{erro. ulorE Frt' ptans on q
N/A Ln,rVn an,:!A a:
,/rtnaK
Oty lnpection Reryfieo, g r&254{fS
SUBDMSION: Glen Mead ELOCK #: LOT S: _
OWNER'S ADDRESST 22L2 wavetly Dr. CITY: lll}I!!Ig!9l- ST: NC ZIP:28403
CITY: .E!gE.i-llgEg_ sr: NC zIP: 28480
PHONE *:9ro-612-8166
:\
NEW HANOVER COUNTY BUILDING PERI.,IIT
APPLICATION TYPE.. COI'IIIIERCIAL
PLEASE ANSXER ALL QUESTIONS APPL]CABLE TO YOUR PRO]ECI
'Project Responsibility"
q)l,,^:fq,-
APPLICATION
1{umber
(office Use)
oorr, zllltb
PHC/NE *:q!eJA3:zu?
Ptrot{E s: Aq-Zod
APPLICANT'S NA}IE:
DEVELOPER:{
PRO]ECT ADDRESS:tlU-{CITY:lLtlt
OCCUPANT/BUSINESS NAIIE: A'L+IEY [J<6tI QIbt.
pRopERw oHNER's NAr,rE: N@Jil/dolil cA49n ltbcc [eme,Jmzl)
or.rN€R,s ADDRESS | 65 twl gowl t w.w U&gulM.rt riv ulttu66al
CONTRACTOR:(16 o,tafltflal , tk .LrcENsE *: 77202
C,
PHONE *:
ztP:?,O4lZ
lto zrl'42e1
ptoNE s: 1q €(A'7
sr t^lc zrP,: A4(z
ADDRESS: za @la)ffr qz+w CIw: ldt ut@-st tk- zrP:l*lz
EMAIL ADDRESs:,CdA
PROIECT CONTACT PERSON: d
((heck Arl That Apply)
owNER/coNrRA croRt c&kAfi( @ (to 2 SIGNATURE:
TOTAL PROJ BUILDING HEIGHT lq'+"# OF UNITS:
TOTAL AREA SQ FT PER FLR: @
TOTAL SQ FT UNDERR@F: @ # OF STRUCTURES: I
ACRES DISTURBED 0,1-5AcB
NEw IMPERVIOUS AREA: n?A ,F SO FT SQ FT
REVISED DATE 4/1
'/12
EXIST CONSTRUCTION:
lf Relocation, is there a Natural Yes
NEr.r coNsrRucrrcN, ffi enrcr NEH srRUcruRE I rasr rmcr ! sxrr-r- ! uerrr
ACCESSORY STRUCTURE:
ADD TO EXIST STRUCTURE
If UPFIT - The Shell Permit #:Is Elect Pouer on this Building I Yes E *o
ri*.*,* rs rHrs A cHAr{GE oF occupa{cy usrr flvrs El* *.-.
IF Yes, h,fiat was the Prevlous Occupancy Type?What ls the l{eu Occupancy Type?tfirLtl;Y
,t&tlarorJ I ltlc-o8 - 717 - Aahc arc * : o?12o5ARCH OESIGI{ PROFESSIOI{AL:
EN6R DESIG PROFESSIOIIAL:c REG *t O1-b 1ql
xioe,gc,w.y*/tbtutiw
ls food or beverages p.epared or se{ved in this srudure? [ves ffi ruo b The Propedy Located ln The Floodplain? [ Yes ffi ruo
Code and allother applicable Stale
and
ALTERATToT{ I-l nrmvarrou
Gas Line on the Current Site? l_l
6ENERAL REPATRs l-l nelocauolr
Er,ro ts arDG spRrNxLeneor [1v"" flno
PH
PH
(qdhr,) (PidNrie)
Nde: Ddndlton ndflcatdls & asb6sb6 rdnoud pe.n[ apdbatidE ,e b b6 srbrnlued ldrE tF apdisdql fo.m (DHH$3768) ,rflotr€. tE 6aliy d hil&rg was iqild io
contsln Asbesto6 or rtol. Yo(l are r€quirod to call the Nafmd Emtssim Slardards ft. H@rdous Alr Fdlutants (NESIIAP) at (9197!7-5960 st l66t '10 ddys Fdo. to tle
ddndldoo of any faajllt'tr or bdldim. Se€ Asbestc Ufub Site: ht!p:/i*rw.epi siale.nc us/eprlasbeslotahmp.hlrnl
cthe Code and
II# OF STORIES
# OF FLOORS:
EXsr LAND DrsruRaruc eenurrz Ives [ ruo
EXISTING IMPERVIOUS AREA; (E *
pRopERry usE: florrrce laesraunnrr luencArtrrr-e f] eouc ! eer @NDO OTHER: U1UIY
WATER:
SEWER:
dF
CFPUA fl COMMUNTTY SYSTEM f]WELL EZONING USE CLASSIFICATION:
cFpuA flcENTRAL SEPIC LIPRMATE SEPTIC fl COfirlMUNnY SYSTEM
PAYMENT METHOD flcasx flcnecK pAyABr.E ro NHc) EAMERIcAN E<eREss flmcrurse E orscoven
(FOR OFFTCE USE ONLY)
ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:
Approvd:- Citf- DATE: FLOOD:
---
BFE+tr
AVN
Comm€nt PERMIT FEE: $
,.-r<r"--\
:.
ffi
DEscRrprroN oF tJoRK: E?@f qwbL UTtLfl-( WWJ6.
I
NEW HANOVER COUNTY BUTLDTNG PERMIT
APPLIAT ION rrPr: COttlttlERCIAL
PLEASE ANSI,IER ALt QUESTIOI{S APPLICABI€ TO YOUR PRO]€CT
"ProJect Responsibllity,,
;f,JGi?41
/b .St2 O
APPLICATION
Number
(Of{ice Ule)
ApPLICAIIT'5 l{All€: Kevin caigon D,Jt; 2/23/LE
DEVELOPER: New Hanover counr.y
PROIECT ADDREsS; 3oo2 us Hlqhway 421 N CITY: wilm ZIP i 2a4o\
OCCUPAT'IT/BUSINESS NAIIE: Nnc Rec yclinq Office/co Office
PRoPERTY oWNER'S tlA.t{E: New }ran r County PM)NE S: (ero)79B-4338
OWIIER'S ADDRESS: 230 Gov t cenEer Dr s125A CITY: wilmlngron ST: NC ZIP:2B4ol
C0NT8ACTOR: sonoco Recycti.no LICET'ISE #:NA
ADoRESS: ioo2 us H qhway 421 N CITY: l.rilminqtson ST: NC ZIP; 28401
lf,lA1L ADDRESS I brian. sh PIO E f; (919)44r-3452
PROIECT CoNTACT PERSON: Brian she PHONE s: (919)44r-r462
Exrsr coNsrRucrror,r: E ALrERArror n *#iHilii E?!'iI*. REparRs l-l RELocATToN
ll Relocstion. is rhere a Naturat Gas Line on lhe ffirenl Sire? [vF[ N. tS BLoc SpfiiiKlEReoz I ves I uo
NEti CoNSTRUCTTON: f] eneCr NElt STRUCTURE ! rlSr rnacx ! slelr- ! unrrr ! ADD ro Exrsr srRUcruRE
ACCESSORY STRUCIURE:
If UPFIT - The Shell Permit *:Is Elect Polrer on this Building I Yes E nro
ARCH DESIGI'] PROFESSION,/IL :
ET'I6R OES]G,J PROFESSIOML :
PH:NC REG f:
NC REG #:PH:
DESCRIPTIoN 0F WORKI Addinq i.nt.erior wal"l 6 Eo creace 3 offices in exiEtinq offi
ls iood or b€verages prepated or se.ved in lhis snrcrureu I ves [t No b The Propsty Locstsd tn The Flooddain? ff ves I No
DISCLAIMER: I hereby certfy lnal sllrnformaton in
and lo.allaws and ordrnances and reOulAtioos. fhe
or chanoe In conlGctor or contractor information ".Subjectlo F'nes Up To 9500.00"'
rhis applEarron |s co(ect and attwork wittcomdy with the Sl,ate Buildrnq Code andNHC OeveloDrrenl SeNic€s Centerwillb€ notjtrid ot anv chanoes in rh; aoDrovedNOTF Any Work Pertoflned WO the Appropfiale Permils wr & in Viotarlrn ot he
3ll other applicabls St3te
Dlans end qm.ifi.2lr.h<
trc srare Eidqt: and
!OWNEFYCONTRACTOR: xevin cais SIGNATURE:
.'SEPAHNTE P€RIIITS REQUIREO TOR ELECI MECH. PLBG, GAS EOUIP. PREFABS 8INSERTS
conbh Arb6los or mt Yo! orr rBqulrid b ca! tho Nadoo.l Emhsloo Sran&rd! ibr t{azsr(lou! Ar Pofubn8 (NESHAP) st (919)m7-s950 sr tossi iO dsys prtor io th€
d€moli on ol 3ny hc|ity o. b!!dln€. S€€ Asbesto6 W.b She: hip://w!riy/.epl.stsre. nc.ustepUasbestovahmp.htrt
WATER: mCFPUA
SEWER: IICFPUA
EcoMMUNTTy S\4SIEM DWELL EZONTNG USE CT SSIFICATION:
LJ CENTRAL SEPTIC III PRIVATE SEPTIC f] COMMUNITY SYSTEM
BUILDING HEIcHT: r5rt # OF UNITS: 1
# OF STORIES: r
# OF FLOORS:
ACRES DISIURBED EXST LAND DISTURBING PERMIT? T'IYES E}NO
NEW IMPERVIOUS AREA:SOFT EXISTING IMPERVIOUS AREA:SQ FT
PRopERry usE: MloFFtcE [nesraunanr f]usncanrle fieouc [mr f]cor.roo orHER:
PAYMENT METHOD: f]CeSX ICAECK (pAyABr€ TO NHC) ftellenrcm o<eREss n McA/tsA I orscown
(FOR OFRCE USE ONLY)ZONE:_OFFICER:_ SEIBACKS: F:_LH:_ RH:_ B:Approvd:_City:_DATr: FLOOD:___BFE+2F
N
REVISED DATE 4./I 1/12
PHOI'IE f : (9t o) 79s-4338
,.,'1.* rs rrrs a o{lrNct or occupAlcy us[r nyEs fim **r**
If Yes, h,hat uas the prevlous oc(upancy Type?
--
What is the eu Occupancy Typel _
TOTAL PROJECT COST: ss, 000. oo
TOTAI AREA SQ FT : 3OO SQFTPERFLR:
TOTAL SO FT UNDER RoOF; _ # OF STRUCTURES;--
commont pERMrr FEE: g--
N Jottr-\1;4
PEU l,u-rl7c
APPLICATION
Number
(office use)tu
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSIJER AIT QUESTIONS APPLICAETE TO YOUR PRO]ECT
"Project Responsibility,,
LAPPLICANT'S NA'4E:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
,7:P*ere DATE: L [-l ttp
zrp ?*fl
L
PHONE #:
CITY:
OI^INER'5 ADDRESS:
CONTRACTOR:LICENS s
ADDRESS:CITY;
EMAIL ADDRESS:
PRO]ECT CONTACT PERSON:l*-(44 l1;;rsi-
POOL _ SF
Ltl^
BLOCK #: LoT #:
-
PHo{E $: fuo 54-1 t"4ro
')
NATER: D CFPUA
srwrn: ! creun
f| comr.rururrv svsrr
! celrmL secrrc
m .[l
6o*
PRIVATE WE LL
IVATE SEPTIC
STORAGE SHED
I cerrRnl wrll
I coNr"rururw svsrnr
sr'!Ae-up,742€, -*' 4ro 8<.€)l
#,q(r)-88343-r-?
AT ION
PHON E
PHONE
RELOCExISTII'lG CoNSTRUCTION:Bro,rr*orro* fl neruovrrror I ceuenal nrnrrns !
riEl.] coNsTRUcTIoru, ! rnrcr NEll RESIDENCE o" ! aoorrrolr To EXISTING RESIDENCE
*,}PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
! rrr cnnncr
-
sF I oer cauar _ sF n
D
PORCH SF
! surunoom _ sF
! cnrrrHousr
-
sr f] orcr
-
sr OTHER:
SF
5F
TOTAL HEATED SA TT: 3fi# TOTAL 5Q FT UNDER ROOF :
-
TOTAL AREA 5Q FT:
-
TOTAL PROIECT COST lress roq i $28,8 5b.o<># OF STORIES: I
Is Any ELECTRICAL, PLUI4EING or IiIECHAI'IICAL Work Being Done to the Accessor.y Structure? ! Vet ! f,fo
If the project is a Relocation, is there a Natural Gas Line on the Current Site? !Ves ! llo
Is thene Electrical Power on this Building?[Yes Ero
PROPERW USE / OCCUPANqY:I srrcr-r raurrv !DUP L EX tr TOWNHOUSE
DESCRIPTION OF WORK:
/€
DISCLAIMER I hereby cerli, hat all inbm slion in his applicalion is cone€i and all workwillcomply wirh rh€ State Code and allo&er ap able State and locallaws
and odinances and regulalions The NHC Developmenl Services C€nb, willbe nolilied ofany changes in lhe approved plans and speciricstions or change in coniracbr or
conrracbr nbrmarion '-NOTE:Any Wo,k Performed w/O he ApprcpriaE Permts will be in Viola oi of the NC Slie lo $500 00"'
OhINER/CONTRACTOR:SIGi,IATURE:')z-t
)* * *,* +)*** *** *,r,*:r x-*.,*...*- - *(,?lT! liT]** **** ** * * * * *,r+ + *,r!r,r*,*** j*,*,* **,*,** ***,*,*)**,**,** *,r !i:r + * x* **
rs rHE pRopERTy LoCATED rN o r,*rraor*l f*."r, E rvo
EXISTIT,IG II4PERVIOI,S AREA:
-SQ
FT TOTAL ACRES DISTURBED:
NEI'I II'IPERVIOUS AREA:
-
SQ FT EXIST LAND DTSTURBING EENMTT: f] VTS [--l ruO
A,i+ SEPARATE PERIIITS REQUIRED FOR EIECT, I,IECH, PLBG, GAS EQUIP, PREfABS & INSERTS --"
pAyrlENr nETHoD: Ecasx n o,rcK (payaBLE ro uc1 [ ar,renrcNr ExpREss fJ ,a/rrro I orscovrn
***,r,t**,t**,* *)* )** ** )t* * **,**,*,*,* ** )*:i * )t ,l * !t:t *,* )*,t )t,* * )*,t *,*,** )**,*,**)* * ** i(,*,t ** *,t* *** *,** *,t)*** ** '** **,trr + *
ZoNE :
-
oFFICER:
(FOR OFFICE UsI OIiLY) REVISED OATE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
BF E+2ft=annnoval: Citv: DATE: F L00D:
A N
Comment: PERmIT FEE:It0
PROPERTY OT{ER, S t,IAfiE:
#
APPLICA'{T'S M}tE :
DEVELOPER:
PRO]ECT ADOR
SUBDIVISIONi:
NEW HANOVER COUITITY BUILDING PERMIT
APPLICAfiA rYPE; RESIDETITIAL
pLFASE AXSTER ALt QUEStto.ts APPLICASLE TO YOUR pRolt(r
"Project Responsibititf'
n l+'t<-tn
aol(trtl5\
16-30s
APP L I CATIO'{
umber
(Offlce Use)
z/t ItuDATE:
Pt(}all E s ..
BLOCX LOT #:
CITY:
CITY:
SF OTHE R:
zte :Zt\fu)
I
OfiER' S AMRESS :
&
ri'qpHoNE t:o
-)st :l-_!_ztP I
ST:tp; ." '- i']]i
PHOIIE *:
P}(I|E *: ' ') /1>z/" i t'-1 c)
WJr-
L)
l
LIC E T:724't
PRO]ECT COI{TACT PERSOfi :
EXtSrr G CS{srRUCrrOtl: I alffnarrm I nrruorrlrror'r Ieerrnar- nenrrns f] RErocArroN
NE|,1 CONSTRUCTION:RECT NEli RESIDENCE or I aoorrron ro Exrsrrrtrc REsrDErircE
I'PL E CHECX AIIO ANSI{ER BELOTI ALL THAT APPLY TO YOT'R PRO]ECT:
ADDRESS:
EI,IAIL ADDRTSS:
ATT GARAGE )31
SUNROOM SF
tr GRIENHOUSE
PROPERTY USE / OCCUPAIICY:
CITY:
sF I oer crnrcr
-
sF
f] eoor-
-
sF
sF fl orcx
PORCH fI st
f] sronaee sHED
-
sF
5F
TOTAL HEATED 5Q rr,ltsS'7 IOTAI sQ FT UI{DER ROOF:4L{}TOTAL AREA 5Q FT:
TOTAL PROIECT COST iress r-or1 : $
Is Any EL€CTRICAT, PLLTiEII{G or I'iECHATCAL I'lork Being Done to the Acce5lory Structure? f] V.s fl f,fo
If the project is a Relo(ation, is there a Natural Gas Line on the current site? [ ves fl uo
Is there Electrical Pohrer on this Building?tl Yes
l-l srlcre ram
V,cnsht'1
vfl
^h,
l-'l no -/-ex pi'*nnousl
4iJ,n+ra\' lt'la L
It DUP t
DESCRIPTIOI{ OF I{ORK:
D|SCLAI| ER r hereby cemt trar sl inbmarion n l)rs aCplcslon rs con cr fid al wort l comply wih he $ate BriUrR Codc drd aa oher ryptc rt e StaF and locol laii
ed odt'tarces aod .sgul.lions Ihe NHC Devebpmenr S€lvte5 CenE wrl i€ .ot[ed ot 'l, ch'lgles h lhe apgov€d pl6os {d sp€otcatoht or.hdlg. iit c]o.rtr'&t i o,
conrscbr i.bsaron "'XOTE Any wo.i PsrrodEd wro tle ApprspriaD Feim'ts rll b€ n viobton o! th. tlc SlsE Eldo S,rt*icl b Fms Lr9 To 35OO OO"'
SIGTIATURE:
(Prr.t t{..e)i**.a+a all. raa+*rt,l.**.1.**.*rt.tt',tt*.t+r+*tr.*.t
IS THE PROPERTY LOCATED IN A FLOOOPLAINI YES
EXISTII{G II,IPERVIOUS AREA;
-SQ
FT TOTAL ACRES OISTURBED:
NEW IMP IOUS AREA:SQ FI EXI'T LATD DISTUNBI G PER II: TI VgS I--l ruO
n ...Jr-,r-.t..r!rr**rr******,r++..,r++*.r**t
IZIrc
f] cor"nuurrv svsreu f] pRrvArE wELL f] crrrnar- wrll
I crrurnal srnrrc I pRrvArE s€prrc fl comrunrw svsrrn
WATER:c
SE ER:F PUA
""! 56FAR^ rI pa't1]ls lttcd,iR{$ !{}n Et.({;, :ltlil, ,rlas, 6A5 lisil!:: Pl{tfa85 & 1$5rr8r5 r"
paynEr.r rErloo: I osx ! cntcx (PAYABI-E lo l}f,) f] A'le nrcm expnrss ff ,alvrsl E orscovtn
!*,*+****r*,I*,lt)tt,t**a*'l******,G,t1****a*ll,t*t****+ii|*rt*lt***ttr,t*!r*a*t,tlt'l*ttt***t*rlrrri'*r
(aol oFFICE r.rst ftLY)
zoNt :OFFICER:SETBACKS:
approva] :_ City:_ DATE:_ F LOOD
F,. LH: RH: B:
: BF E +2ft=
!vN
ComEnt: PERI.IIT FEE:
I
PROPERTY Ot{t{ER'S f'lAfi E :
L/> I
t,
,)
COI'lTRACTOk
lr,ttl Wt {-z-
L.Gaff * OF STORIES: 'i
ohr{ERlcor{rRAcron, }',..\ \I,,r.{.SCft
iiolt,- tq:Y
L5 -30s
#
NEI.J HANOVER COUNTY BUILDING PERMIT
APPLIATIOT rypFr RESIoENTIAL
PtEAS€ Atls*tr AtL gtE9tlotis AlptICABLE TO YOUF oE9tlfr
"p.oJect Responsibillty,,
Itt(-
APPLTCATIor'I
t{u{rber
(offtc€ Us€)
t-lrt t'\DATE ZAPPLICAXTJ 5 iIA'IE :
DEVELO'ER:
PRO]ECT ADOR
st,aoIVrsrofl:
PROP€RTY OIR
Prolrr * t t/)
E
ER'E
O,I?,JER'S AoORESS:
r{
ADORESS:
EIOIL ADORESS:N
PRO]ECT CO TACT PERSOTI:
CITY:
LIC
CITY
r, 7l-''l'i ?
rMr..tu firlir sr::_t zi-.. *l_,
5F
SF
CITY:
BLOCK LOT T:
PHTINE f:';/ '1t'/ .'-t i
1
t'\(
EtTS E
: 1.-, Ir)7------=----J',*f ,,
l.)PHot'1E 4r '.l// '' ( " 'l
EXISTIT6 CONSTRUCTION:ALTERATION I ceNrnrl neenrns I RELocATToN
NEI.I CONSTRUCTION:RECT NEtl RESf0ENCE or I morrror ro Exrsrlr,rc REsTDENCE
E CHECX AIIO A}IS|ER BELfi ALL THAT APPLY TO YO{'R PRO]ECT
AIT 6ARA6E .,1-1 I st l__l orr crRacr _ sF POiI CH I
. ,raE S,::f] surnool
-
sF
flenteuorsr _ sF
POOL
DEC(
SF
5F OTHER
TorAL HEATED sq rr, llr i I rorAL sQ Fr uNoER RooF:4qJ TOTAL AREA SQ FT;qLl)
TOTAL PROIECT COST :-..rr, : $
-1S OF STORIES: 1
rs Any E|-ECTRTCAL, PLt iarfiG or |{ICHATTCAL nonk Seing Oone to the A(<e5sory StructiJre? f} VeS I lro
If the project is a Relocation, is there a Natu.al 6as Line on the cr.rrrent Site? f| ves I Ho
ts there El.ectrlcal Polver on this Building? l--"'lv"t [-] uo
PRoPERTY USE / OCCUPA'{CY:
DESCRIPTIoa'I OF LOR( r
l-l srrucrr ranrlv l-l
V,,'D:;'tnt + ftk1.0t-'JDUP L EX
ri ! yy .i,
4*
NC Shr Abc Cod._]rn Sd*Er rt ti.s (b 'o 9500 m"
--REt-7-Oi.INER/CONTRACTOR :SIGNATU
rs rH€ pRopERTy LocATED rN a rrmonrarr? fl vrs
EXISTI 6 II'IPERVIOJS AREA;
-SQ
FT
:,iEi.l I Xi,OUS AREA:
-5Q
FT
IIATER:
5EI.'ER:reur I cENTRAL sEprlc I nnlvarr srarrc
f] comuHrrv svsrru f] pRrvArE h,€LrC
IOTAL ACRES OISTURBED:
EXrST LAIIO DTSTURETNG pER,rrl r El VrS l--l m
I ctltnal well
I corru.r r rv svsr rN
pAyHEriT ttrErHOD: ICoS" f CrrCX (pAyAsLE To NHC)fl urrrclrl e xrne ss
, , :... ,
[ "c/ursr I orscovrn
zorr: jff, orrrce n
Approval:_ City:_ DAT E
lroe i,Flat utt grL
SETAAC(S; F:*.r, \F RH:*e,lt-,'.I' ]:.
'r,tl:]
_-+
PERiIIT FIE;
,/ ll'"i1.ECrrur r (e(li.rr, cr/
Co,Inne nt
Z.3,IG FLOOO;
I
I
]I
COiITRACTOR.i
v-
dolb-nlt
ttlEtJ HANOVER COUNTY BUILDING PERHIT
APPLICAEo rrpr: RESIDENTIAL
PtEAst ,lNltti ALr QUr5rJC(s AppLICAE|-I TO YOUS pRO]tCr
.,proJect Respons 1billty,,
1-5-306
APPLICI!{T'S iIAXE:
DEVELOPER:
PRO]ECI ADDR
suEoIwsr0a{:
t/L.
l,r
POOL _ SF
i.DATE:
PHOTJE *:
CITY:
ELOCK
CITY
5T OTHER:
zlP:
I
LOT S:
PHOiIE t: r''
ST r(:l_ ZIP:
PROPERTY O}AER' 5
O$IEft'S ADORESS:
€:Y
ADDRESS:
€IATL ADOiESS:r+1
LICETISE }:724't
CITY:t
_:
l
STORAGE SHED
eH0tJi
PlrcNf *: ' 2'-: :
5F
PRO]ECT COTITACT P€RSOiI :
Exrsrr|* csrsrrucuoN: f] aLTERATToN f| nrtwrrroru f| erxrnar- nroarns I RErocArroN
NEW CONSTRUCIlON:&ECT N El{ RESIDEIICE or f] rcorrron ro Exrsrr G BEsrD€[cE
..prliAsE cHEcx arD ,rrlSUER aELOr ALL TI|AT APPLY TO Yorrs PROIECT:
ffirr crucr *,jl- tr ! oer eaucr
-
sF n
I suxnom
-
sr 5r
SF! en:ru.rruse _ sr f] orcx
roraL I{EATED sq rr, lirl1 roral sQ FT rriEER RooF:rorAL aREA Sq rr: i 'iLi,]
IOTAL PROIECT COST n*r.r : t -lig!_-* OF STOR IEs: ---:L-
15 any ELECTRfCA!, PLLrl€l}l6 or ltECHAraIClL taork 8e1ng Done to the A.(es3o.y St.uctu.e) [ V.t I
If the project is a Relocation, ls the.e a Natural Gas Llne on the Cur.ent sitel f] Yes
Is there Electnical powe. on this Bul]dinglflves l-l m
lio
EP
PR@ERTY I,,SE / O(CUP
DESCRIPTIO{ OF I.KNT:
arrcv: E srrc
/1 r,nstnr
DLII LEXr r ro,urv flJ LJz,. )
' ']!rsL
..:,rrT.r.^^-..
OI.INER/CONTRACTOR:SIGNATURE:
.,...,.....':..T:jtl.r i....*r*... *1y
rs rHE pRopEnry LocATEo rti a rroooctrtxl I vrs EI m
ExISrfilG IiPERvId,rS An€A:
-SQ
Fr TOIAL ACRES DfSTURBto:
NEW II'IP IOl5 AREA: _ 5Q FT EXTST IAND DISTURBING P€RNIT:
f] cor.tlunrrv svsren I pRrvArE wELL I crrrnat relt
f) crrrml srcrrc I pRrvArE sEprrc f] co+rnrw svsrex
YES tio
I,{ATER:
sEXER:
a
PAYIEIT T1ETIIOD:I clsr, I cxrcx (pAvaal€ ro tt*ry f]orrnrcax exmrss tr n(/vr5A flo*corrn
zorE: .flla[. oFFrcER
App.oYal.:_ cit y:_ DATE ,?-3'le-'Flooo:-
" -_4-
PERI{IT FEE:5Codrent r
,/ lll$OCll0ti i{equleo, v r U.Z5{-Ugth
A
APPLICATIO{
l{umb€ !.
i
\
t ,u
pwsttt
t-l
V
+{o/b-lq5t
16-30 6
APPLICAJTT'S t{A'{E:
DEVELOPER:
ITIEW HAITIOVER COTJNTY BUILDING PERI,IIT
pPLICAfian rypE: RESfDE TIAL
ptEASt Allsrr€R aLL qJtSTIols appllca8rt To youR pRolecT
"proJect Rerponsibltlty-
APPLTCATIOI{
urber
(otfic. U5.)
'1
v n a J-1,1<-z/t /tr,
t*;Zg.lt47-
PRO]ECI AOORE
SUSDIVISIO'{:
Oh'IER'5 ADOR ESS I
&
l'1
CITY:
CITY:
LI EB
CITY:
5F OTHE R:
DATE :
PI6NE f :
BLOCX LOr t:
pHoilE s:
ST: ZIP I
5T;ZIP *
PlottE s:
Pt'roNE *:
5F
ADDRE 55 :
!!IAIL ADDRESS:
PNOPERTY USE / O{CUP
DESCRIPTIO{ OF $ONl(:
TZLlq e,
PROJECT COT{TA[' PERSO'{:
EXISTING CO STRUCTION:aLrERArroN fl nmorarrou I eruenar- reearns f] R E LocAr ror,r
I'IEll/ COIISTRUCTION:RECT NEtl R€SIDENCE or u ADOITIOI{ TO EXI5TIi6 RESIDEN(E
..elriasE cHEct( ara) a,.st ER BELO. ALL TH|T Apply TO yOrR pm]ECT: ,/pt'arr conoce ^) i i sr I orr oaucr t, @o*.n SF
I su*noon
-sr
I enrruarsr _ sr
f] eoou _ sr f] srornsr sHEo _ sr
I oecx
TOTAL HEATED 5Q FT;TOTAL 5Q FT UI\DER ROOF :
qL)J TOTAL AREA SQ FT:
I ves Dto
If the project is a Relocation, is there a Natural Gas Line on the curnent Site? [ Ye5 f] No
Is there Electrical Power on thi.s Eutldi.ng? I*l ves [-l Ho
TOrAL PROTECT COSI n-cs' Lar : t d$&- * OF STORIES: t
ls Any ELECTRICAL, PLII'EXIG or iSCHt IICAL taork SeinB Done to the A(cessory St.lcture?
rcrv: f-'l srncLr FArrLy I--l urprsxl,.Irn-ti [Js,-.r- \lci,\ cM*"Ylcl,rte
DECLAIIER lh..!by cDnify Aar a! i.h(mabn n nr. apglcato.r 13 conlcl tld { wott trll c.nEty rfi tE Srrb &rildirs Cod. rtd d oner +pt&t SLar d k.d l*i
a.rl odlrrlce3 dld regldlLrls- The taHC Deyebprl.nr S€ Dtrs C.nE. ril D. r'ofi.d o, any citq€3 n tlg +r.o\!d pbr5 ..td .peci6crbn3 or chrEe f, co.rrr&br o.
,ir.trcr,, ntrmiab. ".I{OTE
Od ER/COI{TRACTOR
Any l.lort F r&llrd WiO tlo &plo9.rF Ps'mtr wal bo i1
rrul I cENTRAL sEPTrc PRTVATE SEPTIC
Vobao. ot r!. ric SlrB frg Cad€ 'ld 99i.qj rc FrBs Up To 35OO oar"
SIG AnnE : =>;''1'(r.int r....).,r*i....a*rirrrarf .*.aar..aaaa*!raa.*a..ra+aa*a
YESflI5 THE PROPEBTY LOCATED IN A TLSOPLAIT{I
EXISTIT6 MPERVIqTS AiEA:
-SQ
FT
NEl,l IltP ,IREA :
-
SQ FI
I{ATE R :
5Eb{ER:
! comruurrv svsrru ! PRTvATE wELLC
IOTAL ACRES DISTURBEo r
€XISf LAND DISTUIBING PERI'II:[-l vss f*] r.ro
f] cerrul ue ll
l-'l coaalrrrv svsrex
pAyriEnr rrrlroD: I CoS* [a*aa* (PAYABLE rO *r; I A,rr*rco, txn*tss E nalrrto Iorscoue*
r**ri,rr*t+**,**r**$rrrr{+**}***r**.+***++**+.144.ir*lr+.*t.rt8t,trt***tt*+
ZOl,lE: OF FICE R:
(foi ofFtc€ lr5r Grty) {tvlsaD DArE o4l11/12
SETBAC(S: F:_ LH: RH:_ B:_
Aooroval: Citv; DATE: FLoOD: BFE+2ft=
AVr{
Co.!Ent: PERnfT fEE: t
lqu-(t,
PROPERTY ot!{ER'S: tlAr'lE :
CONTRACTOR:
.Nf,r Wt {-r-
}t
..#]tr_sJ.ir-
)Qol(o1qsb
16-307
#
APPLICAITT'S iIA'4E:
DEVELOPER:
NEII HAI{OVER COUNTY BUILDING PERI.iIT
APPLIaTIGI TyPE: RESIDEHTIAL
PL€ASI ANSI'IEI ALI qJESTI06]S AppLICABtt TO YOUR pROl[CT
"project Responsibilitt',
)41<-
APPLICATIO'T
llumbe l.
(Offt(. Us€)
{t\
CIry:
LI E *i
CITY:
DaTE: /
PHONI f:
LOT S:
PHONE
';
ztp 2'64rJ3
).
PROJECT ADDRE
SUBDTVISIO:
PROPERTY df{ER'
OU ER'S AIX)RESS:
r&
nooness:
EI,IAIL ADORESS:
rli
SLOCK
r'dr'7Z'lq
ST: _ ZfP
ST
PrpflE f :
Plor'rE #:PRO]ECT CONTACT PERSON:
EXISTING Cg{STRUCTTON:ALTERATToN fl nemurrron fl eeHenru- renerns I RELocArror,r
NEW CO STRUCTION:RECT NEt{ RESIDENCI or n ADDITION TO EXISTIiK RESIDEI{CE
E CHECK AI.D AiIS}'EN BILd' ALL TI{Ai APPLY TO YON. PRO]ECTI
)31 s, I orr eeuer
-
sF hATT GARAGE PORCH 5F
I suxnoon
-
sF
5F fl oecx _ sF
POOL _ SF f] sronaer sHro
OTHER:
5r
6R EENHOUS E SF
IOTAL HEATED SQ FT:TOTAL Sq FT UNDER ROOF:qLlT TOTAL AREA 5Q FT:qLle
TOTAL PROJECT COST tr,ess rort : f U+IflC- * OF STORIES: ,
15 Any ELECTRICAL, PLTHBII{G or IIECHATUCAL work B€lng Oone to the Accessory Structure? [ Ves I ffo
If the project is a Relo.etion, is there a Natunal 6as Line on the Current Sitef f] ves I uo
Is there Electrical Pouer on this Building? l-l v"t I r.ro
PROPERW UsF ,/NGI F F arrrv l-'l uphlu;-tt,,'r1i fut ,lr-r*y*r<-
I FX
OESCRIPIIOII OF
OI.INE R/CONTRACTOR :SIGTIATURE:
;r*
DECtlhiER I h€.sby ce.tify nar aI i.bdrirb.l h 'll. arptcsaon l3.onecr 5d Ea wort st cornply iflt tE Slrls &ritdag Codc a.d aI oh€r aprr,c$le SlaD trd bcal la..s
iyx, odinance3 6nd regul6!6ni The NHC Oe\ebpm€nl Servto. CenBt *il bo noffad ol ttY cnaqps n lrd Qprovcd plan3 ad Secifcalitns ot chanoe tn .t'n!r&br o.
col,lr.i]rrr int'rmaloo. '.1iOTE: Any Work Po.brhod Wiq tle AppBp.i6E Pomil3 wat b€ in Vbl!!(xl ot tl€ NC Sta! Bdg tue std SuDpcl b Fi6e5 Up To t5OO-00""
EXISTIIIG IIIPERVTCIJS AREA:
-SQ
FT TOTAL ACRES DISTURBEO:
NEt' lt4P t(,ljs AREA: _5Q Ff Exrsr LAID DrsruRErNG etnr:r: f] vrs I-.l ro
I,IATER i t ! com'rururw sysrEil f] pRrvArE IIELL
ft ceHrnar sEprrc fl pRrvArE sEprrc
fl ce xraal wrll
I conr.rt.trw svsrrr
{FOR OfFICE U5t C,'rLy) SEVISEO DAr! O4l11/12
SETMCKS: F: LH: RH: B:
SEVJER:F PUA
zol'lE:
-
oF FrcE R:
pAyrEirr r4ErHoD: f| cos, I c*ecx (paYABLE ro nx; I urr*rc^ exrntss [ *.r*ro E orr.orr"
l}t*+*tt'**i**tt**t++1r+*r.+{+4+t+at+ia+r*:!+:lrrril,rrtrtat
I
I
l
'!.1
1,.\
/b
?c-
\l-'-\ )pan .l
Approval:- City:- OATE:- FL6D:
-
BFE+Zft=A v *
,rrr r{k-,co6r€nt: PERIiIT I
Qotb-tlsb
)
NEI.I HANOVER COUNTY BUILDING PERHTT
APPLICATIo rypE I RESIDENTIAL
PLIAST
^lrsl]aR
atl 0l€sTIois apptlaA8lt To y(i]8 tRoltal
..project Responsibillt/,
15-307
APPLICAT{T'S iT^'iE :
OEVEL@ER:
PROPERTY USE / OCCUP
OESCRIPTIO*I OF I.]OR(:
APPLI CATI OiI
I{unber
(otfi.. us.)
oAtE: / /2 l/la
PHONE *:,l
PRO]ECT ADDRT
su80I vI S I 0.{ :
PRoPERTY g*l{ER'E:
OI'NER'S ADOTESS:
l
C]TY:zrrt Z3)!l -3
l u rttr
['
C ITY:
PHONE #:
51 .!..! 7lP:
_ LICENSE f
A00RESS r
EPI.AJL ADORESS:.\l
PRO]ECT CONTACT PERSON:
r),on{ I
r,l 1
OII AI.L THAT APPIY TO YOTJR PRO)ECT:
DET GARA6E _ SF
PHONE
pHoNE fi 1'' ?',. ' t::.
5F
EXTSTIt6 CONSTRUCTION:I nercvrrror I eerirnrr- nrnrrns ! RELocArroN
NEII COI,ISTROCIION:RECT NEU RESTDENCE oT ! oorrror ro Exrsrrtrc REsrDEncE
..PLrasE CBE(X alo ArErER BEL
4-J
Lyl aTT GARAGE *' ) / sF
St ilRoot _5F
GREENHOJSE SF
POOL _ 5F
! oecx _ sr
ST0RAGE SHED _ Sr
TOTAL HEATED SQ FT:lir'^ l TOTAL SQ FT UNDER ROOF:4qJ TOTAL AREA 5Q FT: iri:l
ToTAL PRoIECT CoST r, * r"u : $ (:::rLfi._f OF STORI ES )
Is Any ELECTRICAL, PLt ltBrt{6 or }1ECHAr{ICAL tlork Eelng Done to the A(cessory Structure? [ Ves I lo
If the project ls a Relocatlon, is th..e a Nalural Gas Line on the Cu..ent Sitef I ves f] Ho
Is there ELectrical Poi.,er on this Building? l--'l v"s [--l Ho
arcv: f-l srmi)ri''h,r
oi.lNER/CONTRACToR:SlGNATURE:
+ l)t t./
OTIIER:
1,1f 16rr.. ,
I T FAMTI Y tr Di,;)
"1^,
ti5F
OECLANaE& I hreby c..!t rr.l .l dbmadon h nle T!tc!.n lr .orlcr ,xt d ro.t sr !!6d, wrn l[ Stal6 &Jildi{ Crne trd , on€r illpi-*t! Sl,D td l)cr, lar
$d odfmor ord r.9,!rb6r Trr. ll.rtc Osvrbp.mot Sbryiq ConE wi, bo .ottu ol I ct$.rgos h n. AprDvd Phn! dd spociftiilont o.cihg! m conr.cbto,
cbnr&br inbmrbn. '..NOTE.lny Wo,t ftihn-d lirro tlo Apr6F!.b tum'!! wal l,! n Vbt ron oi lho NC Sr.s gdq cod! rtd S{birl t Fiss Up lo :4to0.00"'
(Prt.t ti.x)
rs rHE pRopERTy Lo(ATED rN l rlooocurur f] ves
EXI5TI'IG IIPERVIOUS AREA:
-5Q
FT
NIW II{P r(xrs AREA: _SQ Fr
I,JATER:
fJ0
5EWER:F PI'A
.-- ::... :,.; r:r --: rI-,ij-:ri .,t: :_.,
par.r{€Mr i:THoD: I CoS" I CXICX (PAYAELE ]O xl{c)
ToTAL ACRES OISTURBED: .-
ExrST LA,ID DISTURBTN6 PER,,irr: f]
--+
,,
I ue nrcon rxo*ss n or*to f] orscor.*
.r-_1....r... r... ri!.rirr..J* fur rPC- cri$i,.)v" C ?laY\2dr'Yl . - ': ll rlv:ti, -,rl t 04/1!7!:r, [, Lr, * r*' *l- ,, {-
YES NO
c fl carulrw svsren f| pRrvAT€ I.IELL CENTRAL WELL
f| ctrralr seerrc ! pRrvArE sEprrc I co*,r-rNrw Svsrrn
ZONE: tvl FL OF F ICE R:
Approval:_ City:_ OATE
Co Elent:
5ET6AC(S:
BFE+2ft:
PERHTT FEE I ,
' lliSpeLlM, (,e{{rire0, i r U...r*.r jvr rl
Z-3- lr,FLCOtr:
t.!I
.-t
gtocx.r/ Lor r: 4
t
l-+nrrv1 ( / r 72qqe
CITY:
"l otb-n58
NEW HANOVER COI'NTY BUILDING PERMIT
aPPLIC,IIoN ryPE: RESIDENTIAL
PI,IASI AXSI{ER AI,L QUISIIoiIS APPLICASI r TO YqJR PRO]T(T
"Project Responslbif lty,
L6-308
APP L ICATI OIT
iturbe r
APPTICAT'S IAHE:
DEVELOPER:
(-t-
. ,:.-
-Oorr, Z /2 Itu
P}€NE r:'
PRO]€CT AOORE
SUBDIVISIOI{:
PROPERTY OTIIEi'5
O'.IER'S AIDRESS:
CITY:
BLOCX
:(
fITY:
z.tPz2-l:tlt4.J-LOT $:
E $r , ll'/'PHONJ-: I
LICE}I5E f:/.- t '''
slv ztP i
51 : j;= 2Ic: -.
';
*1 . "
PHOI,JE S:
AOORESS:
EITAIL ADORESs:
PRolEcr co{rAcr pEeso.: P/r! I l&
COT.ITRACTOR:
PROPERIY USE ,/
DESCRTPTION OF T.IORI:
cIw;,lr
PHON E
,/
EXISTI'.IG COISTRUCTION:ALTERATION f] nerovrrroH f] crxenau neclrns I RELocarrol
NEI,J COITSTNUCTION:flECT NEU RESID€NCE o.ADDITIO}I TO IXISTTN6 RESIDEN(E
"ELIiASE CH€CX AT$ AIS}IER BELOI{ ALL
'}IAT
APPLY TO YOUR PRO]ICT:
ftirr cnnrcr .' i'7 sr f| otr crcacr
-
sF 3_,,;..itaIl
su'tRoor _ 5F I sroarcr sH€o
-
sF
! creruxa:sr
-
sr I orcx
-
sr orHER:SF
ToTAL HEATED Sq TT: ILi ? TOTAL SQ FT UNDER ROOF:roTAL AREA SQ FT: l i(l,l
POOL _ SF
TOTAL PROIECI CoSrn*r-or: 9:!,l{!- * OF STORIGS: ]
I5 Any ELECTRfCIL, PLt tsrL6 or IIECXINICA! luork B€lnB Done to the ac.elsory St.u.tuie? f] Vot I n"
If the project is a Relocation, is the.e a flatural 6as Line on the current site? [ves I61o
rs there Fle(t.ical poHer on thi.s Bujldingl flv.t f-]NO
- r-1.LJ SINGLE F LY T t{jpLEx
rA
O€CL.AIIER I ru.t r..nly $.t It hbrmtrhn b lB +r,Loron t.6t!.r yrd .l wo.t hl
r€ Elii!.,..r d 69d.bm rtE xlic O.ilo9tul S.sa.. C.nrt tra !. lslt.n d a
a.rdb. irr,m.b. '- OTE Anr Wdt a.rbriEd w€ lr A.poxltl P.d,B tI b. a
c.mply win t strra aui6rE c.i,r d'd d olE, {rlrLrbL sitE ,la t 4t ls,3
ydu!.rnt -r.otrd glrtt t'd $.cin tb.3 or.n $.'nco.rLEbro.
vbb. ol t irc SD Bd0 cod. rd 9ri..r i) FE. Ub Io !5oO 0{r"
sre{ATURE: 4---'o{NER/Coa{TB.ACTOR:\,
rs rHE pRopERry LocAyED rN A FLooopLAr ? f] yEs d *
EXISTIM II.IPERVIOIJS AREA:
--SQ
FT TOTAL ACRES DISTURBED:
EXTST IAND DISTUIBTNG P€RTiIIxEL llrPttvlorrs
*rr", *O -
,.*r*, ff*o 5-
CO'+IU}IITY 5Y5I EM f] enmrr arrl f] cerirRal we ll
fl coornr rv svsrrm
,.' : .. :
payxEr,{T n€r8oo: I cos, Ir"ec* (PAYABLE ro *rr; Ioterrcon :xo*ess f] ,a/utto
zoNE: T\AE L oT FICER
'L?J:-I ?l-A *,*-,", )t r,_g"""'o,alt '{/rl'r1
AREA:
-
SQ FT
- ".: .. '::, - - _PRIVAT E SEPTIC
YFS [-l rvo
Appr^oval :_ Clty :_ OATE :V BFt*2ft=
P€8fiTT f€E:
'tl
Cor,ment:(
>"1'iu FLOOO:
nspecfion Hequfea g I0.15q.090
I
Ll
"?otb-l1f&
APPLICATId{
t{rmber
(Offi.! ui.)
,/t /tr,
NEW HAT{OVER COTJNTY BUILDING PERI{TT
APPLICAfi(* rypt,: R€Sf DE'{TIAL
Pr€ASt A,{StEf atl QUtsTIoflS AppLICAaLt TO YOJR pROrrCT
"Proje(t Responslbillt/,
APPLICATI'S iItItE:
DEVELOPER:
{1 c tr/\h,t<-DATE:
P}ONE $:
P}()l{€ *;
PHO E T;
zte,: ztq t{}.-l
-
PRO]ECT ADDRE
SUEDIVISIO:
O}fiER'S AMRESS:CITY:
LIC f r:
CTTY:
LL II{IT APPLY TO YdN PRO'ECT:
f] oer erue:
-
sF
f] roor-
-
sr
f] oecx
-
sF
5I:': ZIP:
5T ZIP 1
CITY:
BTOCK
,(
!,
.\L 7-c/
Fl"n S 7ZL{q e
ADORESS:
EIIAIL ADO
PRO]ECT C
RFSS:
O TACT PERSON:
f| sur,rnoolr
-
sF
n GR E ENHOUSE 5F
TOTAL HEATEO 5Q FT:
tt)/
..PL,rirsE cHEcx ^x, ar6r€n BEL(I l
ffiorr camc .. i 7 sr
Plo r #;
PORCH
f] sronace sHED
-
sF
OTHER: SF
TOTAT 5Q FT UNDER ROOF:
(1t)J TOTAL AREA SQ FT:
'Y
sF
'l
ToTAL pROIECT CoSr teg r-ar : f:d$IXL- * OF STOf,IES: ;
Is Any €LECTRICAI, PL!HaII6 or t'tBCllAllICA! llo.k B€ing oone to the Ac(essory St.ucture? [ V*t [ ru"
If the p.oje€t is , Relocation, is there a Natural Gas Line on the current Sitef I ves I No
ts there Ele(trical Poler on this Bullding? f-'lves fl xo
PROPERTY USE / 6CTP
DESCRrprrO,r of l{oftK:
n SI}6LE FAHII,Y u IJ('P L FX E
oEic,tltcft I h...by cenit hat d nb.mrbn a 116 apptraoo rs coEct *d aa rrofi mt co.n ay wlh tlc strb arr5-tg code trd d oh6r 4lacrba s!.b ,td locd r ..
ard odinrtces !.d ,Eguaaibni The NriC O.llbtxtEnr Sarytsar Cq.br ril be iotLd ol 'ly chrEE3 h ,l! 4groEd pBls i.d specilt lbns or cba.|g. n cmtEbr d
conrrbr intomlaon "' O.rE Any Wo.l PG.lonr'.d WrO lto Apprcp.tab Fa.mits xI b. h vbbion ol ths NC S|!i Adg Cod. d bFn s \.b To !5OO.OO.-'
OS[{ER/CONTRACIOR:SIGNAIURE:
-\
*ar*+r*...,r*!.**"rr..r.",,.,.-tllIlliT].r**.***"*.*4ri,l++rr:r*.r{:r'r.,.!.r*r*r'.'r
rs THE pRopERw LocarED r a rlooopLArnt l-'l vss Mra
EXTSTIIaG IJiPERVIATS AREA:
-SQ
FT TOTAL ACiES DISTURBED:
NEl,, IllP otrs AtrEA: _ SQ Fr Exrs, LAIO DtsrurBr 6 PERxrr: r] vrs l--l no
[{ATER r
SEHER:
I coru.rururrv svsrer f] pRwATE r,JELtt f] crrrul xrll
[*'l ccnrurrrv svsrerr PUA f] CENTRAL sEPrrc PRIVATE SEPTIC
pAyrqErr iErHoD: I cos* Dcxecx (PAYABLE ro r,x1 f] ortrrcu epnrss n *a/urso I orscorrr
****r*a!rra,laa**a**.rl*r1*r***taata*r'r,tt***i*a+talti+**.lt'tira*tat**t*'*t:ltairitatl*l*'r*!tt'|tt
zoNE: 0F FICER:
Iroi offlct ust ot!y) Rtvl5to oarE 04111112
9ETBACKS: F: LH: iH: B:
Approval:- City:- OATE:- FLoOO:
-
8FE+2ft=
Cssent:
N
P€R'IIT FEE:
'
.l
16-308
.11 I
PftoPERTY 0r ER't::{AfiE:
t.
LOT ':lrl
Exrsrlrc ccnsrRu€rlor: I ar-rr*arror f] nrro/Arror f] oexrnnr- ne rAlns fl RELocATToN
_ -,/Er cor{sTRLlcTlofl, pfrnecr llEr{ REsIDEiTcE o. f} morrror To ExIsTIirG REsIDEiacE
l
Qulh-ltlfl
r_6-309
ffi
APPLICANT'S I.IAI'IE:
DSVEL@6R:
PRO]ECT AI'OR
sUA0r\rrsro{ :
NEtl HAMIVER COUNTY BUILDING pERtlIT
APPLIcArIo rypfi RESIDENTIAL
9t€ast Ar{s$ri alL lrrfSrto s Appltciait ro yot fi ppo]fcl
.,project Respon!lbiLtty'"
APPL I CATIOI{
llulber
(oIft.. ur.)')
CI]Y:
9F OTHER:
PHONE S:
BLOCK
-
LOT ':
oorr, 2 /i /tr-.
zrP t2:'t:U:;
sr+-r-zieffi
srz!*zv?_i:i{-
PROPERTY OTIER'5
ufiER,S A0oIESS:
CONTRACT
rcoer ss :
lLr.
pIBNE f: / t- '
EITAI L ADDRESS
PflO]ECT CO{IACT PERSOII
LIC E S:7?-'lc
C ITY:.1
PHg.lE f,:
PHOt'rE $:
',: ' -: -: a)t
I
Exrsr$E coflsrRucrrori: f] ALTERATToN I rrrcVarror.r f] erNenal nrlalns
-2
NEll coNsrRucTror , {*t..J NELI RESTDENCE o" I amrloH To Exr5TrN6 REs IDENCE
CHECX AIO ANSIER BELO{ ALL ]XAT APPI.Y TO Yol.JR PQO)ECT:
ATT GARAGE OTl GARAGE SF P'RCH
fl surnoon
-
sr
I cnrrwo-rse _ sr
I rol
-
sr ! sronace sHED _ sr
I orcx
rorAL HEATED sq rr, l{.r 1 j TOTAL SQ FI UNOER ROOF:roraL AREA se FT: I l.l.i
I
l?r 7 sr V1 ,,
s;
TOTAL PROIECT CoSTnanr.oo: $ q.{.rfflC_S OF STORIES:.)
Ii Any ELECIRICAL, PLt aEIt{6 or IEaH IICA r,Jork Betnt Done to the Accesso.y St.u(ture? [ Ves I m
If the project is a R€locrtion, is thene a Natural 6as Li.ne on the Cur.e.t Sitel fl ves f] lro
Polrer on this Buitding? EYesls there Electnical
PROPERTY USE / OCCIJP
DE9CIIPTIOI OF I'OR|(;
, l-'l srrcr/f.rr,lt vE
l-rr...
A,\CY E FAHIL Dt,P L:X
-,\,1
DSCIATER rh.r*y arlrt h.r.l.bm{o6. r!3 *ra.!rr.r. cffr rd d wr rl.drgry,li ir sLrs &rldr{ cod. dd d oti 4raEd,. slrD *Y, b.:r r r
c{ ontae.} od oOdsrlrB Th. i{HC Oersbgtu.r S.Fir3 C.ntr rl. b. ,rort d ol ,\r.\rl'ea b tB .ao.ord tL.i nd !pccif.!*E! or.h!x,o . co.tffb. o.
Ot,mER/CONTRACTOR :SIGNATURE:
(r.rnt r.k
IS THE PR@ERTY LOCATEO IT A FLMOPLATN?
€XISTIIJG IIIPERVIoi S aREA: _SQ Fr
NEW II'IP OUS AnEA: _ SQ FT
.ldATER :(:":. 'l.. ,. S,. : l tr PRIVATE iELI
YES NO
TOTAL ACRES DTSTUREED:
EXIST LAND OISTUFSTN6 PER'.ITT:I-l vss f-l
I ceurall *e ll
! co,otn rw svsrar Prn ! ce r'rrRAr. srerrc !
pay'lErtrr nErHoo: Icosr Icrrcx (payaalE ro r.rr I I elrnrcer.r rxeetss !ra7*s"
'LH:;';?,i.,, lr ,*,3f u,-+Lzo*e, FAF [, orrrcra
'loprgval: C i:y: DATE _y". :+lJt
PERI'III FEE i tColtEent i
:/2f,'!!trtao
,
,r lnspecllon Requreo, 9.}0'254'09(I
I
.l
, i l.+ri.
+\I r. f t
tr
5 Qat -lltY
16-30 9
APPL I CA' IOTI
Nurrber
(Offl.. Use)#
AppLICAttt,5 i,tAtl€ :
DEVELOPER:
PRO]ECI ATEf,
suaDIvIsr6t:
t-
NEI{ HAITOVER COt'HTY BUILDTNG PERMIT
APPLICATIo rypf : RESIDET{TIAL
plt^st atIsHtR ALt qJ€SMftS AppLICAELt TO yotrR pRoltct
"Project Responslbillty,,
hd<-DATE: J t
CI IY:
CITY:
LI E I:
CIIY:
TZLIq
BLOC(
PtlofiE *:-)E q -tstJ
ZIP I
LOT #;
PHOfiE S:sr7"s-.zr-ffi:
PROPE RTY O {ER'
ol', ER'S ADORESS:
1
r'dr
AODRESS:
EIIA'L ADORESS:
Is there Ele. trica I
PROPERTY I.ISE / OCCI}P
DESCRTpTIO{ OF taO*X:
rt
ST:
PHO'IE f;
PtloNE *: ' / 'i":;1! '- ':'t. : lPROIECT COiITACT pEi50(:
EXISTrIG CO{STRU€TrO :I nrr,ro,rlrror I oelrnar- neeerns I BELocArroNA L IERATION
NEW COi'ISTRUCTIO|.I:RECT NEt, RESIDET{CE or f] nmrrron ro Exrsrrr{G RESTDEN€€
E CHECX
ATT GARAGE PORCH SF
I surnoor.r
-sF
POOL _ SF I sronacr sHED
-
sr
GREENHOIJSE fl orcx SF OTHER:5F
TOTAL HEATED 5Q FT:TOTAL 5Q FT U OER BOOF:TOTAL AREA 5Q FT:qLla
TOTAL PROIECT COSr fl-c*s rorr : i t{+5)L_
15 Arry ELECTRICAL, PLtFtsIIF or ltKH.AraICA! t{ork Being Done to the Accesso.y Structurel I Ver I lf"
If the pnoject is a Relocation, is there a Natural Gas Line on the Current sitet f]ves I no
Alo ATEHCi BTLGI ALL IXAT APPLY TO YAN PTOJICT !. ) .--)
.:.21_ sF LJ oET GARAGE _ sF
on this Buildingr l-l ves f*l ruoPouer
AIICY:SINGLE FAI,II LY DTJPI FX E
DECLATi,ER lh3raby.6nit trsr El irbm€tan s n'3 +plc6ton rr corr"cl !.ld 3a *orr wrl cornply wl'l trc Srals &,liUiB Cod. d al otlEr ,9pNc&b SUE ad t'cd rai'.s
dnd od&ra.res l.td .agulrtbns Th. NHC Osi.bp.n .l sbn.tcu (:enbr wif b. ,roltu of 't, cn!n!E. h ic q!rcv€d Dhns a.d sl)ecii.aldE o. chage ,n co.r!.o.tr. or
.!or.ct" mbma&n "'I{OTE Any wdl ForlofiEd w/O tle Apporriiub P6mhs wabr b vbLlo.r olth. NC SrEt &9
e{ ER/COI'ITRACTOR :SIGI{ATURE:
(P.lnt x.r.). t r a * * r r * a r + r* . a a * r *.. a !r.,t 'r', t + t ar. *. * * + r a aa r a ar a at. a
rs rHE pRopERry LocArED r a rloooprlrx? l--l ves
ExISfIIiG ltf ERvIorS AIEA: _ SQ FT
I r, Frres UD Io !5OO 00"'
.*'ttrt,l,: lr r* a,l*., r l* r. *i.'a... rti* it
NO
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBI G P€RfiIIi l--l Yrs l-l r,ro
I crxrnal urll
I comr,nw svsr*
NTW IF'IP
TIATER:C
s$.t€R :r PUA
AREA: _SQ FT
I ccrrurrw svsren I PRwATE r.rELL
l--l cerurRt serrrc f) pRrvATE sEprrc
payrEr{T n€r}oo: I cos* [ cxrcx (p^yaBLE ro r}r1 [ Arre nI(Ar{ ExpREss fl *r-to I orscovr.
4rt+..4rarrtr irl.rr arr,ilrti+r
zotlE:
-
oF FrcE R
(FOi Offlct ust o,tY) REylsto 0AIE oalll/lt
9ETBAC(S: F: LH: RH: 8:
approval:_ City:_ DATE:_ FLoOD; _ 8FE+2ft=
AVN
Cdrent: PERnfT FEE: i
I
Yf, t il W.*r-
* OF STORIES: -,
tSrY\
("d o tb ll(00
NEtl HANOVER COUNTY BUILDING pERt4rT
APPLICATTo TYpE: RESIDENTIAL
Pl.EASt AI{STEB ALt" OJtglI0rrS AppLlGUtf IO y(xJR fnoltal
"P.oJect Responsibif tty',
r.5 -310
APP L I C.ATIOi
Nu ber
(offt.€ Urc)
APPIICA TIS l.lAXE:
OEVELOPER: _
PROI€CT A00fl
suaDrl/lsloat:
I v.D^rE / /2 t,,..
CITY:
C]TY:
P}ONE T:
LOT *i
PHONE S: //'l
zy 4j:!J_.t(.:BLOCI(
O&]ER'S ADRESS:
oonrssi
ATT CARAGf 5F
I surnoom
-
sE
I cnrtuoust _ sF
I
sT: .r il zlp:
.:T
i,l
SI OTHE R:
CITY:
€I,IAIL ADORESS:
PRO]€CI CONTA(T PERSO'{:
E CIIECX ATA Al.s;tl€R BETOI ALI THAf APPLY TO YOTJR PRO]TCI:
t^l
PHONE
PilouE *:
€XISTI},/G CO'iSTRUCTION:aLTERATToN I nexonrror E ce,leRar ntearns f] RE[ocATro.i
NEW (ONSTRUCfION:RECT NeH RESIDEI,iCE o.I aoornon ro Exrsrruc REsrDExcE
D oer crucr
Iemr-sr
I orcx
d*r, 'f, ,,
! sroaaer sHED
-
sr
ToTAL HEATED sq rr: lli i i
IOTAL PROIECT COSTte.L"q : I i./
PROPERW USE /occuPArcY: E srrcr
ro*x : {!OnS/,t.tl
E F AIII LY tr DI]T L
ai
TOTAL SQ FT UNOER ROOF:
,'l
TOTAT AREA 5Q FT: -t, r
f, OF STORIES:
15 any tL€cTRIcAL, PLrr a {G o. n€<llalllcAl hbl.k f.in8. Donc to the ac(eslo.y Structu.e? fl Vns ! lfo
If the paoject .is a Relocation, is the.e a tlatur.l 6.s Line on the cui.ent Sitel E ves ! lo
ls the.e Electrical Power on thls auilding?[ves flro _,,
ex f1.f-forrlnuse
DESCRIPTIOfl OF \0t
I , .. ._ ,.. tjn T! !r.f ' ,...
0titJEl,/CONTRACTOR;SIGNATURE:
(0.1.r r.{)
1S TNE PROPEBTY LOCATEO IN A ILooOPLAINI rI YEs
EXISTII{G InPtRvIOJS AR€A:
-Sq
FT
NEt l ll'lP OJS AREA:
--5Q
rI EXIST I AND DTSTURATR6 PER}ITT:YES T-l No
! cor+rurrw sYsrt[ n PRwATE I{ELL
f] crrrur secrrc I PRrvAr: sEPrrc
IOTAL ACRES OISTURAED:
I crxrncr rrll
I co.runrw svsr er'r
HATER:C
SEI.JER:FPUA
..'
pay{Er{r xllHoo: !cosn flo,rc* (payaBLE ro nirc1 [orrnrccr exnrrss I nclvrs,, I lISCOv!i.
zo./E: -UE(z oFFrcER:
'LT;:-i:::'*
...., *a*, - ,, Ir""ttou
&trr Ls/:'/rl
--r(
PER,IIT
Aop.ova]:_ City;_ DATE ;BFF+2ft =
FEfCofln€ ht :
Z44b rrcx.,o,
Lr', lnsoeclior' Requtreo, 9l
I
sr,.fI:n]
I
II
PROPE RTY OQFIER'S. IIJ\I4E:
LICEXSE i;
tlt
t
W::,J/{-
r\, r,
"2ol?llbo
APPLIC,IIIT'S tlA E:
DEVEL@ER : _
NEI{ HANOVER COI']{TY BUILDING PER}IIT
APPLIcArrqt rypE: RESIDET{TIAL
pl€ast AISI{ER ArL qJESTIOiS AppLtCAalE TO yct.'fl pRoltfi
"ProJect Respo.rsibtuty"
J.t<-
16-310
APPLICA'IOiI
t{unbe.
(Ctfft(e U5.)
DATE :z/t /tuv
A*
CITY:
CITY;
LIC 72qn e
PI,ONE S:
BLOCr(_ LOT *:
PHOflE S:
")E (l-tsd
PROJECT ADDRE to,5
suaDlvtsrdt:
Oto{ER, S AIDRESS:
CO TRACTOR:r&
,\,1
?IP: :
ZIP:
t
1 5T:l:L-
/di E
ADDRE'5:
€IIAIL ADORE9S:
PROJECT COITTACT PERSO'I:
EXISTII{G Co.{STRUCTION :A LTE RAI ION
NEI.J CO{.ISTRUCTIO :
€ CHECX
P'IONE S:
I rrrcr,rrrrox f] eereul nenarns I RElocarrol
ST:IP tbl
Et{ RESrD€NCE or ! mOrrrOl To EXrSTI{G RESTDENCE
AIP AiI't{€R AELOTI ALL TH&T APPIY TO YolJR PRO]ECT:
. sF Ll DET 6ARAGF _ 5F vATT GARAGE SF
f] sunnoom
-
sF I eoor-
-
sr
SF
f| sromce sHro
OTHER:
sr
T 6R EENHOUSE 5F fl oecx SF
IOTAL HEATED SQ FT:TOTAL SQ FT UiDER ROOF: 'i i.:TOTAL AREA SQ FT:
TOTAL PROIECT CO6T {Lc", ta) : 3 (1{1IOC__ * OF STOiIES :
]s Any ILECTRICIL, PU,FBITE or iICHAT{ICAL xqrk BeinS oone to the Accessory Structure} [ Ves I f\fo
If the project is a Relocation, is there a t{atural Gas Line on the cur.ent site? f} ves I Ho
Is there Electrical Por.er on this Euilding)nv"t l-l uo
PROPERTY USE / OCCUP NGI F FAMILY f] txror-rx €
OESCRIPTIO{ OF tloRl(:
rrv: fl sr(nnsn
0t,NER/CONTRACTOR :SI6I'IATURE:
].*r.*.**.r.t
rs rHE pR@ERty LocarEo r{ A Flfix}plAr{t l--'l vrs
€XISTTIG I|PERVIqJS Af,EA: _5Q FT
N€lr, Il'lP ous AnEA: _SQ rT EXIST LAND OISTUSBITTG PERTTIT:l--l ves [-l NO
IATER:f] coruurrrv svsrex I pRrvATE hrELL
fl crurnar- srrrrc f] pRrvArE sEprrc
DE)CtAnGft I h.Gby clrtt ,l.r at ,lbltnalb.r n als ?tiEES.r E conlcl trd d wo.k Ell co.npay wfi
'lc
SlaE Erilrr[ Code rld aa oaH appaclbb Sr.E 'td t c!, ra'it
!d odh&|ce3 r( lDgutalinr. Tha NHC O!\,!log.rxol Salva't'3 Cana. r,rl !. noiH ol my .htt9ar h tE *ptolad pbrr rd .p€cificrtbns o. chr{e h cmt &Dr d
ronlxt. inbrm5lon. "'tlOTE Any Wdi P.rlonn€d lYrc h6 Apgopn.b Folmltrw{be h Yobtoo 01lh0 NC Stdl gdg Code rld Srrbiecr D Fr1e3 LF ro t50O.00"'
....*r r.*. i r a *.4.. a r:1....., r. r.. !r r. r.*. *.dn
c
SE ERi F PUA
TOTAL ACRES OISTURBED:
fl cerrnal we r-l
I ccmtnrw svsrex
pAyr,r€rfi [ETHoo: f].os* [crrcx (PAYABLE ro }r) [ orenrcul rxcnrss I rclrrso f] orscovrr
. + * * * * ir . i * . * r , ' i i + a a . t r r r * t + * * * * + + * i .r I * L + I it t + i i r + a + I i rr * a * , a L , + , * . * * r , , ,
8tVl'€O D M.t/ltll2
:
(roi ofrlct utt ot!Y)
SETBACXS: F: LH: RH :BZONE:OF F ICE R:
Approval:_ City:_ OATE:_ FLOOO: _8Ft+2fti
AV
PERfiTT FEE:
'
Co.rment:
,(\
I /-1
PROPERIY * ER, S] {A}TE:
f^l
{rl
CITY:.:.
r I
?z-PHO T {:
tl:.zAtVY'r
,r((
ffi
APPLICANT,S T.IAIIIE :
DEVELOPER:
(€z- \5- u5l
&otb-lqb(
.)
1-
i SZ.l Pa
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TPE: RESIDENTIAL
PLEASE ANSWER ALL QUESIIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
L<-DATE
lL"v\
PHONE #:N..1to 2:1q 35)
ZIP I
s
PRO]ECT ADDRESS:
SUBDIVISION:
Ota? t?O CITY;
r.-17ND €ftuc-BLOCK #:t2-
/v o9<,1 ptoNE #,4ro
LOT *:78
PRoPERTY OWNER's NrlfiE:
OWNER,S ADORESS:
erre-{i,- € ii4!'1o
CONTRACTOR:OIQ T--ttr- t.t {zto-rLICENSE S:
CITY:
i(cr CITY;sr t ls_zrp tzt '1 o \
sr: t!5 zrP: ztt -/ o tuADDRE SS:PD 6,>.( jf,o4
ETIAIL ADDRESS i O1d F<'er qq e 1/." a; I PI'ONE *:
PHONE *:
5'tD )-'71 )S3Y
fto tzt 3s38PRO]ECT CONTACT PERSO :
EXISTII{6 CONSTRUCTION:ALTERATION tr R ENOVATlON ! crrurnal R:elrns !RE LOCATION
NEW CONSTRUCTION:ERECT NEt^, RESIDENCE or I noorrror ro ExrsrrNc REsTDENcE
,}*PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT
fl arr camce 2/sF ! orr ennacr sr fl concH 9'r
SF
suNRooM _sF
GRE ENHOUSE
-
SF
TOTAL HEATED SQ FT:
POOL _ SF
DECK SF
77{ToTAL SQ FT UNDER R00F
STORAGE SHED
-
SF
TOTAL PROIECT COSTtressLorr : $?5Kq
Is Any ELECTRICAL, PIUIIBING or ilECHrN
1f the project is a Relo(ation, i
Is there Electnical Power on this
ICAI- I^/ork Being Done to the Accessory Stru(ture?Yes NoI
s there a
Building?
Natun as Line on the cunrent site? [ves f] to
Yes nro
pRopERTy usE / OCCUPANCY, EJSrnCrr rlmrlv ! ounlex TOWNHOUSE
3DESCRIPTION OF WORK:r,,tlt^0 Nti^J fia-t5€
DISCLAIMER: lheteby cerii, hal all inbrmation in his applicalion is conect and allwork willcomplywit he Stare Buitding Code and altofier appticabte SraE and tocai laws
and ordrnances and regulations.Ihe NHC De!€lopment Services C€nbr will be nolified ol any changes in ihe apprcved ptans and specifEEiions or chan
conirac br in t' rm aion "11OTE : Any Work Perlormed w/O he Appropriab Pem ats will be rn Violaibn ot the N C StaE Btdg Code and Su b
OWNER/CONTRACTOR:SIGNATURE:fi4--'l4n---t-
b Fries Up To $500 00"'
)t )*,t ,*,* * * * * * ****)r,r)** * *,r * * ,*,t *
- / &t{",*l(I)r)i)r)i,*r * * **)* rr* '** **** *** #,r,* * ,i*:r { *,} * * *,**
I5 IHE PROPERTY LOCATED IN A FLOODPLAIN?YES NO
r /i-Y sQ FT TOTAL ACRES DISTURBED:EXISTING IMPERVIOT's AREA:
NEW II'IPERVIOUS AREA:la 5d.,6 SQ FT EXIST LAND DISTURBING PERMIT:
wArER: ! creur I co MUNrTy svsrrm ! pRrvArE WELL I crrurnrr well
sEhrER: I creul I CENTRAL sEprrc I cnrvare srcrrc I coMMUNrry sysrEr4
*** STPARATE PERI,1IT5 RTQUIRED FOR ELTCTJ
'"IECHJ
PLBGJ GAs EQUIP' PRETABS & INSTR]S '*"payr.tENr METHoDT I crsn flcxrc( (pAyaBLE ro urc I fi mrrnrcar ExpREss E ralrrro I orscovrn
,* * * )* ** * ** !*,t *,* )* * ** )** )r )* )t !**)*)*,* '* )*)t,t,l * * :f,t * ,* *** )t* *,* *+*,t)t)*)* )*)*)** * * *,t* !* ,f * ,*,* )* *** *,*)*,t,t** * )* +:*:* ,r,* * * **
YES NO
(FoR ofrtcE USE or,try) iEVISEO DATE O4l11/12
SETBACXS: F:_ LH:_ RH:_ B:_ZONE:OFFICER:
Approval:_ City:_ DATE:_ FLOOD: _ _
AV
comment:
appLicluoH
Number
(offic€ use)
T=FF n^ o'a
^.i t
# oF STORIES: J-
BFE+2ft=l*Irr.'rQm
JatGtTbl
(sL \5- u5lZr-\r\' \
APPLICTTNT'S tlii,l€:
OEVEI.OPEE:
ap-ilicar:on
tfulrber
{orfi!. u5.)ffi
NEW HANOVER COUNTY BUILDING PERMIT
App lICArrOrt ry"E: RESID€NTIAL
P',EAsE AtSi;R att Qua5-:,!i5 arplICAELE rO r,l!t ,nolt(T
'Project Res ponsibil.ity"
t-c-a:_\,
BLOCK ':
/\^ , r,< t':
2,.
PHOtt€ *
PtoNt *:
PRO:'CT AODNESSi
SUBDIVISTO:
:)CITY I
LOT *:
PROPERTY ol^fiEA'S MliE i
OWNEA'S ADCREsS]
('a-t "'i.+P & n.,c \'.)
CONTRACT0R I Al4 "' .,,2',> ,1_../ C/->
4 tr>
fr o t-7t !': i3'
sr:11- zrp:2-.t l_; l
1,. i
ADDTESS: l' .: ., ..r. ,-"\'..'.LICtlrsE,
CITY:SI: /Lr,' ZIp: ).\--/ t: L:
PHONE
'
ltr ".'il !5 ii€TIAII ADDRESS:'j'i. .
pRolEcr coarrAcr pEf,so : lj''"t'i tt1 -:' ' i :
EXISTIiIG CONSTEUCTION:ALTERATION
NEH CONSTnuCrIo : D 6nrCr xE!,, RESrD
..pLEASr CHE(X AiJD Ar,Jst ER BSLO!' ALt" IHAT Apply TO \.Ot R pROlECrl
f] rrrovrrton n eercnar nrrarns [ ltE,-ocAiroN
EllcE or D ADDTTToN To Exrslrt{G REsrDErc€
c ^..
SFsi
PIONE *:
r' .; i:
L] ATT GARAGE I Z-I
I swnoom
--
sF
D€T GARAGE
-
5F
POOL
-.
sF 6E sHlD *--* 5F
PORCH
SIi)RA
f] ea:alrouse
-
sr fl oecx _ sr criER:
ToTAI HEAIED 5Q FI: /l t :'-) TOTAT SQ FT uNDER ROOF
6
TOTAL AREA SQ Fl: __^..
T0TAL PROIECT COST resr torr : $S OF STORIES: -I-
to the A(cessory Stru.ture? [ Ves I Uo
Line on the Current Site? f yes
NO
lJo
2'' sI
Is Any ELECTiICAL, pl"UllSI e or ilECltAl.lICAL Work Ssing Done
If the project is a Relocation, is the.e a 0atura-l-
ls there Flectrica.i poke" on this Er,rilding? Elvs5
PROPERW U5€ / OCCUPAI,'CY:
DESCRIPIIO OF I.{ORX:
Sl TJ6LE FAI.IItY ! a:elex I ro,lrrouse
L:u{lL-ri'i
DlSCt AtlVt€R I he.rby .. it trst el 'rt h..@ r &ii ,ppgcaDon E .rmit aar, ,li y?rk { ,ea cd,..i.cr 8nd regurl,j6ns lne tho Os€roricnr $r.rer Ce,b, wi! b€..!t dot.^ccnlact'..rrfab.. '_NoTE Any work ne&h., wo be Aoo,opr,.r: r,.F ssilb.r.
OWNER/CONTRACTOR:
cortr?{it t'e Statc Buitdin!
ycta:ccs q l^a arpDve! plS.
Vol9..lon ol$o NC S,ab 8rd!
S IGMTUiE: /,
6!{a{d r orns, lcFt.cru. S1r!h r i: rjiri t&.,!
rtcl b, rn.s 1l; rr s5otr9,':.,-L- 1-.
NO
o1sc0vIR
:'..t
Itl'j iJ -.. ", -..,. - -."
l
"*r*l**rrrr*r,*"llr.t**r-*
35' tivtrary vctl
rs rHE pRopERTy LocarED ll l rlooorurx; f] vts
EXISTIAE Ir{PERvIOt S AREA: i 5q sy
NElr $rpERvrous AREA; i/ .] i3 sQ rr
NO
TOTAL ACR's OISTURE€0,
Exrsr LAr,lD DrslJRBr G ornrai, f: ,r,
unr:* r I cepua n corlurrw svstsu I ra:vare tei-l ! car:lnal we rr
5€&ER:crrur f] cEI./TRAL sEpTrc f] rnrvur srrr:c x coHr'ruN:lY 5YST!i,1
r" gIPARAIE P'Iii1II5 R[QUI{I[0 roR Eltcl, ,r;cH, fl-86: 6iS rqJIf, pBtt1r,.:0 jtr<!
payaBrE To 1rc1 [ errrtcal exnrrss E nalurro/ .t.,..*-.(k),, "-zb{E: n-,/L
PAYI,{EXT XETHOO:f crsx I c"rcx 1
5E-TSACKS: F.
npproval: 0[ * city; UJ-i{a DArr:fi F LOOO :
.*.* * r r**r **r * r a*.. a * '*
-
!r&y')! Irr.':rt:
IT FEE
CcErlent;
Cityinfectl:n utffi,*0,
ffi
RECEIVED FE 25 Mft
NEW HANOVER COUNTY BUILDING PERMIT
aPPLrcArIqt rvpE: RESIDENTIAL
pLEASE ANSI/ER At-[ q,ESTI0 5 ApptICABt-E TO y(UR PRO]ECT
"Project Responsibility,,
Qotb-nb3
)t .-- -'1 -'7,'(''i-1 /
APPLICATION
Nunber
(Offi.e Us€)
-,/DNE: 2-z 5 '/ OAPPLICANT'S f,lAf.tE:
DEVELOPER:
(-
PHONE *:
BLoCK *:
-_
LOT f:
zrp: ztld ttsB--'
,1 {1 (
PROJECT ADDRESS:
SUSDIVISION:r r\.t
PROPERW Oh'NER, S iIA'.IE:
rL CITY:
fl ,4te-,
OttlNER'S ADDRESS:CITY:
(2t LrcErsE r: 5t'lLf
PHONE }:
ST: _ ZfP: _
sr;\pzw: Alpi
PHOt'lE $: g lO Lb tl ?5't tr
Pt0ilE *: \
ts L(}COiITRACTOR:
ADDRESS:CITY:
EfiUTL ADDRESS:. (l r'v\
PROJECT CONTACT PERSOiI:R o-e-(Do tfcc
(,
Exrsr ,t6 coNsrRucrroN: f] alrrnarrot ! neNovarroH !eeNenal neearns I RELOcarroN
----,/
NEN coNsrRucrroN: Ig:J EREcr NEW RESTDENCE o" I aoorrror ro ExrsrrNc RESTDEI{CE
*I.PLEAsE CHECK AI{D A}ISWER EELO}' ALL THAT APPI.Y TO YOUR PROJECT:(arr crnaee Lq( sr I orr ennacr _ sF !I suHnoom _sF ! eoor- _ sr tr
po^c, 3f3 s,
SToRAGE SHED _ sF! cnrrruousr
-
sr ! orcx
TOTAL HEATED SQ t,Z41L ToTAL sQ FT
TOTAL PRoIECT C05T 1r-ess rog : $2_l.c o
UNDER ROOF: 1fzD TOTAL AREA Sq NZ LI/O
f OF sTORIES: 2 , t
SF OTHER:SF
0
rs anv ELEcrRrcaL, PLuitBr{G or titEcHAucAL work Being Done to the Accessory structu.e? [fv", I norf the project is a Relocation, is there a Naturar Gas Line on the current site? ! ves ffruoIs there Electrical Power on this Buitding?[Ves [[Ho
{rr*u*ouelex ! ToliNHousE
6f{L
PROPERW UsE / OCCUPT{ICY:
DESCRIPTION OF WORX:rEcT ramrlv I
Ntt^J
RAC
DISCLAIITER lhercby certit tlalall
and odinsnces and regulsrions The
connacbr inbnnalion. t'l\lOTE: Any
inbrmalion in his application b corect and allwork willcomptywih he Srale Buitding
olified ofanychanges in tt€ approved ptan
Code and all oter appticabte SlaE and loca aws
s and specificarions or chan
and Su
NHC Developmenl S€ryices CenterwiI be n
Work Perlormed W/O he atswillbe in Violarion ofrhe NC SraE
SIGiIATURE :B,Ut
priaE Penn
O{NE e (_
(Print N.oe):i **:* r:l* *)i*,** ** *** {, * ** *,1+ * *,***
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
,l,t,t+
'f )trt **,t* )t***:r***:*:t ** **+ +** * *,|:l **,t* **:i* **)t)t **
YEs Erc
IOTAL ACRES DISIURsTo: Z 1
EXIST LAND DISIURBING ,,**r, E ,r, d*
CENTRAL WELL
COMI4UNITY SYSTEI,I
REVISED DAIE O4l11/12
E
EXISTIT'IG II,IPERVIOI'S AREA :SQ FT
NEW IIIPERVIOUS AREA:SQ FT
mrrn, I creua ! coMMUNrry sysrEm nrvare well I
sewrn: ! crcua I CENTRAT sEprrc eRrvare seerrc !
|flw
a1[o'
**+ SEPARATE PERITITS REQUIRED FOR ELECT, }1ECH, PLBGJ GAs EQUIP, PRETABS & ]NSERTS ***
pAynErr r,rErHoD: ! crsr Icxrc( (pAyaBLE ro *r.r El-.*r; ;;;r;, 'E'r.rrrr^"''
E .r.orr*
')t*'i'* ':**)**:f* * )t!trt****)* '*** )r* ** * *** * !t:t )******** )t*** *,** *t)** ** )t* *,t,r *)t)* ** *)t * **** ****** * )*,r * )t *+** )*+
(FoR ofFrcE usE OiLY)
zollE: _ oFFICER:SETBAC(S: F:_ LH:_ RH:_ B:_Approval:_ City:_ DATE:_ FLOOD: _ _AV
Comment:
-
BFE+2ft=
Jr*nrr rrr, $-b(P1
w{\%w s\t\rt'Q otb*il ttf
/4,$?
&
NEW H VER COUNTY BUILDING PERf'1IT
APPLICATTA TTPF: RESIDET'ITIAL
AIIS*TR ALL QIJfSIION! APPIICAATE IO YOiJR PRO]ECI
"Project Re5ponsibility"
APP LICAIIT}N
Itumbe r
(otflae ule)
N{)). nuild€r
PiOllCT AffnESSr : i..' :
SUBDIvlsIotl: i.;ure ti hL i
PROPERTY OIIINER'S l&fi E :
Or,lER'S AD0RESS: : :...r -l: ;
C0{TRACTOi: :riA BLrldor s
ADDRESST i,:r'?:,.1
EltlIL ADDiESS: rcai,:.: Liers
PRO]ECT CONT acT PERSoI'I: se;
DA'E: )i 211\ a
PIONE *: grrr nir :at
r: ll
BLOC( $:LOT S:
hi
CITY: :i: - :l
LICELSE #: ,: -r r.
CITY: ii i l:rti ir:il iJr.
I orr ennacr sr D poncx
-
sF
APPLICAi.IT'S IiIAI{E I
DEVELOPEi:
ATT GARAGE
-
5F
SU'IROOII SF
EXTSTIiIG II@ERVIO.,s ANEA:
N€W IfiPERVIC{'5 AR€A:
ZIP: : 3.1 r i
PlOliE #: 9i.r siri: lee,
ST: !g_ zIP: _
PllOtlE S: i.-: .;.t I ',;a
PtO E tr: 9lo -143 166.r
ALT ATION R ENOVATION fl cerenal eeerras f]RE LOCATION
illx cor{sTRucTro , f, rnecl n RESIDENCE oT ADOITIOTI TO EXISTITIG RESIDENCE
"pLEASE CH€CX AllO AllSl,J€N gELOt/L THAT APPLY TO YOUR PRO]ECT
PooL
fl enrruousr
-
sr fl orcx
5F SF
SF
STORAGE SHED
SF OTHER:
TOTAL HEATEO SQ FT:
TOTAL PRO]ECT COST 75, CO0 f0Fs
13 Any ELECTRICAL, PLUTEITIG OT TE CAt xork Being oone to the Accessory Stnucture? D Yes r No
TOTAL SQ FT UTIDER ROO
SQ FI
5Q FT
F :rz.F- . TOTAL AREA SO
,o83, 9/
-eoAt,
Ff : *2ee_ ->
lf the project is a Relocatio
Is there Electrical Pfier on
PROPERTY UsE / OCCUP
DESCRIPTION Or HORX r
dirl
OlSCtn*r€R: lner€!r.€niryhalan ltbm]a0on m I
is Buildingi ves flro
llrv, I s TJGLE FAHILY DUPLEX IO,{NIIOU5 E
and otd{ranc.s d Dlulrl',ns Tne N,'lc o€veb
/O rjre App{oprraB P€mitswrll b€ in Volalon ol rhe NC
oon renovalion and I 2 baqh
arptrcaton is conect ,nd 6l wor k sil aompry wrli he Sir
r lieturces Cenl'r wil De notflod o1 aly char'ords m t'€ ap,
plcdc slBs and local l:r!v.
r ahange dr conract, or
in.s Up ro $500 0(r"contacto. dlDnnalon. "'NoTE: An/ worl
OtflER/CO{TRACTOR: - i:. racr
IS THE PROPERTY LOCATED IN A OODPLAINI
CFPUA COry"1UNIry YSTEM PRIVATE I,,]ELL
seiren: I creur f] cEt{TRAt S 1C
YEs I no
TOTAL ACRES OISTURAED:
ExrsT LA D DrsTunBr G pERxrr: fl Yes l-fl m
CENIRAL I.IE L L
PRIVATE SEPIIC fl commrw svsrrn
ldAiER :
PAYflENI hEl}to': D CAST D
ataa*i*r,
z0!r: _ of r:cER r
Aooroval: Ci tv
r** i *+ a+* l +* r* *, ** * *,i it+r + i r4* *)i * *t! i **,t)tt 1l* 1** i.r ri t,r**,t ** + i i,i
I
A5 t0,
€c( (PAYAaLE T0 NHC )n AITTRICA'I FXPRFSS I orscovrr
?
llClvISA
tt* t ** l*t * tl**14* r *a* *!r*l} r(:|**,t*** r.,i ***t)t** t,i *a* *
(aoR otfr({ rrSE filY) REVjSIO O4r[ bnl]l/rl
DATE: FLOOD: BFF+2ft =
I
Cofi'rent:
N
PER IT FEI | $
is there a l{atural Gas Line on the Current Sitel fives fi lo
5T: I!- ZIP: 2!1r:
SIGNATURE:
fXf,STlilG CO SIRUCTION; n
E
SETBACXS: F:_ LH:-_ RH:- B:-
ffi
APPLICANT, S I{A'IIE:
DEVELOPER :
afu*nbr/1,{f/
APPLICATIOI{
ttrnber
(offlce Use)
NEhI HA]'IOVER COUNTY BUILDTNG PERilTT
APPLIqTIOII TYPE.. RESIDET'ITIAL
PLEASE AIS|ER ALL QUESTIo S ApptICAEt-E rO y)UR PROIECT
-Project Responsibility"
NCA Builders Inc
PROIECT AIXTRESS: 207 Beach Road Nolth
SUBDMSIO{: Fiqure Eiqht r salnd
CITY: wi-Lminqron
_ BLOCK #: _ LOT #:
PtO E #: 9ta-443-166'?
ztP i 4!]L
CITY: wilminqton ST: NC ZIP: 2 8411
sT: Ig_ zIP: _
PK)NE #: 91-o 443 -1667
PIO E #: 910-443 -1G67
O ,IER'S ADORESS: 20? Beach Road North
CONTRACTOR: NCA Bui.lders rnc
Ei!AIL ADDRESS: ncabuilders@ec. rr. com
LfCEtEE *: 7sTrs
CITY: I,li lminqton
PROIECT CONTACT PERSON: sean McDonouqh
ExrsTrt{G corsTRucTrot,l: ! nlrenarroH El ReNovnrroN I crrrnar REpArRs f] RELocArror,r
NEW CONSTRUCTIOH: ! rneCr NEhr RESTDEI{CE or ! 49,91116X TO EXISTING RESIDET(E
,}*PLEASE CHECK At{D AI{SI{ER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
f] arr eanace
-
sF truf] sur'rnoor.r 5F
fl cnrrruo.rsr _ sr DECl(
TOTAL HEATED SQ FT: a2oo
TOTAL PROIECT COST (Les! Lor) : $ zs,ooo
oET GARAGE _ SF
PmL _ SF
n poncx
-
sF
I sroucr sHED _ sF
SF OTHER:5F
TOTAL SQ FT UNDER ROOF: 42oo TOTAL AREA SQ FT: a200
Is Any ELECTRTCAL, PLIIIBI G or llECHA ICAL Iork Being Done to the Accessory Structur.e? f] Yes I No
If the project is a Relocation, is there a l{atural Gas Line on the Current Site? f] Ves No
Is thene Electrical Po er on this Building?a ves fluo
PROPERTY USE / OCCUPATCY: @ SrUCle FAlrlLy E DUpLEx I TOUNHOUSE
Master BedrooEr renovation and 1/2 bath, no additi on space added,all- interior
I
DESCRIPTIOiI OF HOR(:
wo!k
OISCLAIMER: lhereby cerrli/ hat all inftrmallon in t|is appltcaton is corecr and a work wil comptywih fie Stare
and ordin6nces and regulations. The NHC Devehpmenl Soavices C€nEr wil be notfed otaoy cha.rges in fie
conlracbr inbrmaton. 'nNOTE: Any Work Perfomed w/O tle ApproprisE penn s wiltbe in yotarion of th€ NC
O}II{ER/CONTRACTOR: sean Mc Donouqh 5I6I{4
+ *++ *,* *,*,r* + ** ** **** *** *** * *(Ii'li NiT] * * * ***
Slat and locel laws
plans or change in contractlror
Up To $500.0Cr"
)*)a,i+*,i,*:t,r:t,iit:i*rt,*,*,rji,t+*rt**++t,i,i,**,r,tr**,*,r**,|jlrt,t***
YEs E r{o
TOTAL ACRES DISTURBED: n/a
EXTST LAI{O DISTURBING PCNUTT: I-'] YES Irl NO
AEVTSED oATE 94l11112
:_ RH:_ B:_
BFE+2ft=
IS THE PROPERTY LOCATED IN A FL@DPLAIN?
EXISTIiIG III1PERVIOIJS AREA: n/a
NEW I!,IPERVIOtJS AREA: n/a
5Q FT
SQ FT
larER: ! cFpuA E coiruNrry sysrEM f] pRrvArE UELL ! cewml urll
sEreR: I cFpua E cEitrRAL sEprrc I nnrvarr sEprrc E co.uJlrry sysrEm
*** SEPARATE PERI'lrrs REQIJTRED FoR ELEcr, irEcH, PLBG, GAs Eg.,rp, PREFABS & rflsERTs s*+payltEir ErloD: I casa l_-,'l o,ecK (pAyasLE ro NHc) E AIE;I.* .rr*ri, -g
"irr;i n DrscovER*,t** * )t,* *+*+***,t + *,t * :i *,* ,( *,i rt ,i *,*,i ,t * * :i + * )t +*,t,* t:t *,t :f:i,i( *,* *:i )t*****,t*,t*,*,r****)t,*,t,*:i,t,***r.,,+*,i,*,t*r. )r:i
zoa{E: _ oFFICER:
(FO8 oFFTCE USE Ot!Y)
SETBACKS: F: LHApproval:_ City:_ DATE:_ FL@D:
Cmrent:
RE:
I
PERIiIIT FEE: $
DATE| 2/24/76
PROPERW OhINER'S t{Al.lE: p"* PtlOl'lE f: e17 835-3995
ADORESS: 827 Bayshore Drive
# OF STORIES: 2
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PTIASI ANSI{EN AII QUESTIONS APPLICASLE TO YOUR PRO]ECT
"Project Responsibllity"
SF
&o/b- lct|Q
L6-569
appr-Iinri6'ru
Number
(offlce use)
SF
SF
PooL _ sF
I
APPLICANT,S NAIT1E: H&H CoNSTRUCTOR,S OF FAYETTEVII,I,E, I,LC,
DEVELOPER:PHONE S:
PRO]ECT ADDRESS : 111? Adams Landinq Drj.ve CITY: wILMINGToN ZIP i 28412
SUBDIVISION: Adams Lardinq BLoCK S: 1117 LOI *:o23
PROPERTY Oh]NER,S NAI'IE: H&H CONST RUCTORS OF FAYE?TEVILI,E, I,LC
o[{NER,S ADDRESS: 820e Market street suibe c CITY: wilminqton sT: g zIP:2!3ll_
CONTRACTOR: H&H coNSTRUcroRS oF FAYETTEVTLLE, LLC
ADDRESS: 8209 Mar.ket streeL, suite c
LICENSE f: ?41s8
CITY: l,lrLMrN€ToN sT : !!_ zIP : :!L.l]
PHONE #: 910-219 - 14Bs
EXISTING CONSTRUCTION:ALTE RATION R ENOVATION GENERAL REPAIRS RE LOCAT ION
NEN CONSTRUCTION:ERECT NEI^J RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECI( AND ANSWER BELOII ALL THAT APPLY T0 YOUR PROIECTT
flarr enRner 4os sF I orr olnnce sr [l roncu E2 sF
STORAGE SHEDSUNROOF1
GREENHOUSE 5F DE CK 5F OTHE R:
TOTAL HEATED SQ FT: 2378 TOTAL SQ FT UNDER R00F: 2e?5 TOTAL AREA SQ FT: rgze
T0TAL PROIECT C0ST(resslor) : $ r:e,zr: # 0F ST0RIES: 2
Is Any ELECTRICAL, PLUIISING o. mECHANICAL hlork Eelng Done to the Accessory structure? n Yes I No
If the project is a Relocation, is there a Natural Gas Line on the Current site? D Yes T No
Is there Electrical Power on this Building)ves [ ruo
PROPERTY UsE / OCCUPANCY:SINGLE FAMILY f] ouerrx f] rcnurunouse
DESCRIPTION OF I/]ORK:SINGLE FAMILY DWEI,LING
0t!rNER/CONTRACTOR : rrJ' s!qnni.t SIGNATURE:aae,*--
r+ +,r *** *+*+** 'r* *"***** r****(iitflliTl ,* +,*+++,t+* )* *)***)t *,t * *,t,* it ri + *r(* +++** *,* )* * *** *)i*)* )t )*,t r. +++* + +
and ordinances and regutaiions. Tha NHC Devetopme'|t Services Cener willbe nolilied ofany chang€s in lie approved plans and specl,icalons or change io conlrdcbr o.
conractor inbrmston. "'NOTE: Any Work Perlorm€d w/O he Appropriate Permlls willb€ in Vk,lallon ot lhe NC Slab aldg Code aod Sobjecl b Fines Up To $5m.00"'
wa
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING II4PERVIOUS AREA:
-SQ
FT
NEtl IMPERVIOUS AREA: 2548 5Q FT
ZoNE: _ 0F FICER:
YES NO
ToTAL ACRES DISTURBED: 0.15
EXIST LAND DISTURBING PERI4IT:I YE5 [*l Ho
(Fofi oFrr(E u5E oNLY) xtvrsEo o^TE 04111/12
SETBACKS: F: LH: RH: B:
N
PERMIT FEE: $
n
WAIER: I CFPUA E COT1MUNITY SYSTE!I PRIVAIE I{ELL CENTRAL HE LL
S EI,JE R :cFpua E CENTRAL SEPTTC I enrVArr Seerrc COMMUNITY SYSTEIY
*** SEPARATE PERIIITS REQUIRED FOR EIECT, IIECH, PL8G, 6A5 Eq,JIP, PRETABS & INSENTS
pAymE r rlrErHoDr D cnss f] orrc* ('AyABLE ro Hc) n artrERrcAN ExpREss E r,rclvrsa I rrscoven
**x**** r* *,* * ,| )r * * ,r ri * r( ,*,1.,* !.riii+ )t,t * i )N,t )t *'t*,t **+* ****,4*'* r.'|** rt*:*,1.*** ****t*** *******,tr(x,*d.**,t **,** +*
ADDroval: Citv: DATE: FLOoD: BFE+2ft=
I
Comment i
,,:
-.: '
;: .:,...,
[&.j
ADLO23
OAfEi 02/23 /2oL6
PHONE *: 910-219-148s
EtilAIL ADDRESS: Heatshe rllqq(eDz ie@hhhome s . com/ JelryBlenninq@bhhomes. com
pRolEcT coNTAcr PERSoN: .r.r srenninq PHoNE f: e10-219-148s
' REcEtvrD FEB 2 E ms ?.otb- no 8
' '
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|IoN rYPe: RESIDENTIAL
PLEASE ANSIIEfl ALL QIJESTIONS APPLICASLE TO YOUR PRO]ECT
"Project Responsibilitf'
CITY:
BLOCK S:
APPLICATION
Number
(office use)
APPLICANT'S NAIIIE:tl4
DEVELOPER:5h
PRO]ECT ADDRESS:
SUBDIVISION:
W5 Plut uvc
OWNER'S ADDRESS:CITY:
CONTRACTOR:
PIONE f :
DATE:2-25-/(o
ZIP 1.a)iLOT *:
NSE S:
sr| NLzpl
sr:ML zrp:
5
&LICE
CITY:zkADDRESS:
rl mo RESS:
0
PTIONE #:
PHONE #:pfurrct corucr pe nsor:
fror oo*oo, 49b s,! oer canrcr _ sF
suN Rootvl 5F Poot _ sF
po*c, L)O sr
STORAGE SHED SF
GREENHOUSE SF E DECK tFO sF orHER:SF
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WORK:
TOTAL HEATED SQ FT:z,bl1 rorAL sQ Fr uNDER nOOrt 3r3o1 TOTAL AREA tq rrr'3rl+9
TOTAL PROIECT C05T rress rorr i $x-/,0&# OF STORIES: 2
Is Any ELECTRICAL, PLUIIBING or T1ECHANICAL Work Being Done to the Accessory Structure? [ V"r I
If the project is a Retocation, is there a Natural Gas Line on the Curnent Site? [ Ves
Is there Electrical Power on this Building? l-'] v"r l-'l lo
E^o
F SI NG E FAII,IILY DUP L EX TOWNHOUS
DISCLAIMER: I hereby cenify hal all inbrmalion in this applicaton s co.rect and all work willcomply wih f)e State B!ildrng Code and att other applicabte Stab and tocat
ad ordinances and regulations. The NHC oevelopmenl SeNices C2nler wittbe nottied otanychanges in he appro,"€d
No
contractJr rnbnnaton, thNOTE: Any Work Performed W/O ihe Appropriae Pemils wit be n Viotatlon ofthe NC
OWNER/CONTRACTOR :DfrW? /pqa/*SI6NATURE :
(print Nane)*!i(+r( ri(,t r( *!tr(t )k* )t* *)t)** )***,**)*,t )* )*,* * ,t * * **,t*,t *** )*r** * **,* *,r**,t**)t ** )* **,* **,r* *,t* )*
WATER:
SEWER:
IS THE PROPERTY LOCATED IN A FLOODPLAIN?E YE5 m NO
EXISTING IMPERVIOUS AREA:
-SQ
FT TOTAL ACRES DISTURBED:
NEh] IMPERVIOT'S AREA:
-
5Q FI EXIST LAND DISTURBING PERMIT: I-'1 VTS I-I rc
creur ! comr,luNrry svsrem ! pRrvArE t,tELL
creun ! cENTRAL sEprrc I cnrvlrr seerrc
ZONE: _ OFFTCER:
CENTRAL WELL
COI'IMUNITY SYSTEM
*** SEPARATE PERIilrrs REQUTRED FoR ELEcr, ttEcH, PLBG, GAs EQUrpr PREFABS & rNsERTs 'I**pAylrE r fiErHoo: ! casr, I crrrcK (PAYABLE to nrcl [ *r*ra* ,**ri, -E
,.rrrro
"-
E ,rrarrr***)t* *)*+ **** *+*!t * * )*,* *** )t*** *)k)***,t* )** )*+ ***,* **)i* * )*,t * *)*+ *)t** +,t* )*,* * ** *+**)*+*,t*,* +*)i+ * )tx+ *)t*t +)t
(FOR OFFICE UsE OrirLy) REVTSED OArE O4l11/12
SETBACKS: F:_ LH: RH:_ B:_Approval:_ City r_ DATE: FLOOD:_ BF E+2ft
N
PERI{IT FEE: $
Code
Coment :1
?€zrtu-5b
PROPERTY OHNER'5 I,IA}1E:Pr-roNE f:
EXTSTTNG CONSTRUCTTON: ! nrrrnnrrON ! nrruOVlrrOru fl errrnlr neearns I RELocATToN
NEll coNSTRUCTrOr, fi enrCr NEh' RESTDENCE o" ! mOrrrOr rO EXTSTTNG RESTDENCE
*,}PLEASE CHECK AND ANSI,JER BELOI,{ ALL THAT APPLY TO YOUR PROJECT:
ffi
APPLICANTJ S iIA}1E :
DEVELOPER:
REeHY€u1ffi*$l!f,-
NEW HANOVER COUNTY BUILDING
AwLIcATIott rYPE: RESIDE TIAL
Qo/h-Wa
RECEtvED JAN 2Z Z0[
PLEASE ANSIiER ALL q]ESTIOITS APPLICABLE TO YOUR PRO]ECT
"ProJect Responslbility''
PERflIT PEz trr-/-o1
APPLICATIOT{
Number
(offlce Use)
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OiINER'S tlAl'lE :
O{NER'S ADDRESS:1800 Eastwood rd un t 128 CITY:ST zTP I 29403
DATE:
P}ONE *:
CITY:
Lionsgale BLOCK #:LOT f:
Henry and Christina Lyons PHOl,lE f :910 256 7211
CONTRACTOR:
AIDR E 55 :C ITY:
LTCENSE #:65033
910,279-9823
PROJECT CO TACT PERSO :Pete weppler
EXISTING CO STRUCTION:ALTERATION f] nenovnrroru [ crrenrl neenrrs f]RELOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIOENCE
**PLEASE CHECK AND AIISWER SELOT{ ALL THAT APPLY TO YOUR PROJECT:
ATT GARAGE
-
SF ! orr erucr sr ! roncr
-
sF
160 SF SF STORAGE SHED 5F
I cneelrouse _ sF
POO L
DECK SF OTHER:SF
ToTAL HEATED SQ FT: _ ToTAL SQ FT UNDER RoOF:160
TOTAL PROIECT COST rress Lot) : $18 000
910 279 9A23
# OF STORIES:
Is Any ELECTRICAL, PLUIIBING or lilECHAt{ICAL l,Jork Being Done to the Accessory Structur.e?I v"r [ ruo
If the project is a Relocation, is there a Natunal Gas Line on the Current Site? [Ves T No
Is there Electrical Power on this Building?I ves ! to
PROPERTY USE / OCCUPAT{CY: ! SrruCre rmrlV ! ouerrx IOI^'NHOUS E
Coflvert deck to sunroom /
OISCLAIMERT lhereby cerit tlal all inbimaiion in his applicalion ,s conecl and all workwillcomply wih tle Sral€ Soilding Code and attoher appticabie StaD and bcat taws
and ordinances and regulatons. The NHC Development Services Cenbr willbe nolifed ofanychanges in tle appro!€d plans and speciications o, change in contractcr or
conracbr inttrmaiion '"NOTE:AnyWork Perbm€d w/O he Appropriats Pemitswitlbe in Viotation of rhe NC Stab 8td Code and Su To 5500 0(r"
OWNER/CONTRACTOR:SIGNATURE:
* r * *,**,r,r,r * + r. +,i,i,*** *
" ' * * ** * *(ii'll lil"J * *
rS THE PROPERTY LOCATED IN A FLOODPLATN?
EXISTIT{G IiIPERVIoUS AREA: _SQ FT
NEtl IMPERVIoUS AREA: _SQ FT
n vrs No t.ttlr\
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:YES Efrc €
1
,*****)t,r,t *** ** )t )* r*,*,*,* ,*,t * * ,*,t )****,* ***
CFPUA COI4MUNITY SYslEM ! nnrvare r^ier-r- [ CENTRAL r.rELLh]ATE R :
SEWER:crnua ! cENTRAL sEprrc ! enrvarr srerrc fl cot4Mt Nrry sysrEM
*'' SEPAIIATE PERI{ITS REQUIRED FOR EI.ECT, I,IECH, PL8G, GAS EqJIP,
PAy E T HETIOD: [OSn I Crec[ (PAYABLE rO rincl I arirrrrcAr{ ExpREss I lrc/vrsA I orscovrn
c,o
4
<D-o
=(Do
PREFABS & II{SERTS *'I
,*,t***)t* * *,*,* + *** * * )*,t,1)* * ***)x,*,*** ** )**)*+,t,f,t****++*** *++**)i)i)t )*+* ****,*+,f * *,t***)t,* )t*++,|* )t* + +,I,* **
(roR oFFICE UsE OI{LY)REVTSEO OAIE 04/71/12
ZOUT: TY\F.L oFFICER:t\SETBACKS:r: rl/n r-n: rl/n nx: r.l/r s: r/n
approvar: ht- citydAUqN/L oarerllLl lrb h(L[ BFE+2rt=
\5{5 N
PERiUT FEE: g
-Ct
c>
N:'(rr
<5-oI
r build &
I
comnent: P?{-(.5
F LOOD :
&
zrp: EEriSl
l---1i7f;n6-
lWrrr*qt,cn11800 Eastwood rd unit 128
ETIAIL ADDRESS:
51 ; lii-l 21p ; 12 6E-l
PTONE #:
PtoNE S:
p surunoom
ToTAL AREA SQ FT: l'16'ri------.l
oESCRIPTIOiI OF trlORK:
I!tr4119ion
lWilmanglon
PRO]ECT ADDRESS:L-1 '..i F v'. r-r,r
(E? \(,-1146
?ptt - lrrs
APPLICATION
Nutnber
(olftc. us.)
)
ffi
NEW HANOVER COUNTY BUILDING PERMTT
APPLICATIO nAf : RESIDENTIAL
PlEAsE ANSIIEi ALI. QUESTIOII! APPLI(^8LE TO YOUN PRO]ECI
'projcct Responsibility,,
\ju, \ AAPPLICA',IT'S T'AAE:
DEVELOP'[:
!L L
CITY:
DaT€; 2- t
PHONE T:
ZI'P | ? c)-1. E\
.ri
SUB0rVISI0r'l:wr,-*- J i 1^
PROPERTY O$J ER'S
ON{NER' S ADDXESSI
NA',IE:
LOT *i
--PHONE f:
5T: _ ZIP: _
ST: ZIP I
PHONE H:
PIiONE *: '1li L:-r,'1 rl5 !Fr"'^\\
ANCY I SINGLE F AI'1I L DIJP L EX ]OI,INHOUS E
,\a+-ns 9ax
CITY: kl
BLOCX E:
-t
ADDRESS:
E'IAIL ADDRESS:\,,r(a(
Cc LICENSE S:
CITY:
L'r.1
'r'r1i
^
€xISTtNG COaTISTRUCTIoN :D ALTERATICN REhOVATI ]N 6ENERAL REPAIRS R€LOCATION
PRO]ECT COI-ITACT PERSOII :
I lrr crnnct
-
sF
I suuoor,r
-
sF
I cnreuroust
-
sr
! oer camc: sr [ronc
D poor _ sr I sroa
I orcx _ sr orHER:
H
--sF
AGE SHED
-
,!Et, coNsTRUCTIOt!: I rneCr NEW RESIoEt'Cr o" Imotrtor To EXISTlritc RESToENCE
..PLEAsE CHECK AND AIISHEf, SELO}I ALL TXAT APPLY TO YoUR PRo]ECII
5t
5F')-..r' / " (_rorAl HEATEo sqn:aiiii rorAL sQ Fr UNDER asas,3LcL' ToTAL AREA sQ FT: _
TOTAT PROJECT C0ST Lersr.orl : t ??i:.COf * OF STORIES: 'L
15 Any ELECT CA!, Pl,U,,l8: G or ,rtECHll,lICAL Work Setng Done to the Accessocy St.u(tunel I V", Br'toIf the project is a ieLocation, is there a t{atural Gas Line on thc Currert Site) [ ves [-no15 there Elect.ic:l Po$ler on this Building? Z-""t E nro
PROPERTY USE ,/ OCCUP
DESCRIPTION OF I.IORX:
0ISCLAI'GRi lha.by c.nt ndrr h6.n.uon n itr appr.lton ir.omcr.rd a[ xld *it
,"ld o.d.M(.5.nd r.!u,rtr.rs lhc NHco.vltoldent s.IvlclscenBs! !. norn€d ot.nco.racbrrbhE!o. .-NoTE.AnywlrtP./bmodwo'lcAptropri.b pomiteiltbon viohbn olrho Nc sllE aBq coc. a.6 gnrpi!! [
cchtryYrit t'e $.re tluirdslg C.d. -d aI oteQppt.lblc SuB rnd bcd tflsy.h.ngerf, 6c aptorca t,ar! rrd sre. ricab..! o, cr,:
O{N ERlCONTRACTOR:\\,5.-IT E*
(r0r arr:.f t $ o;l r)
SETEACKS
SI6I'IATURE:
15 TxE pRopERTy LocarED rrr a rlooonurrl I YEs La ib
EXISTI 6 UPERVIOT'S AREAi ^/ /4- 5Q FT TOTAL ACRES DISTURBED: ./JOIO
N€W IiIPEiVIC{i5 AREA: /v 5Q FT
.'ilIffiJ','Sf nw6n
... sEeT]E PERTIJI,FEQ!]8E0 FOn Eltcr, r.1€cH, pr86, GAS fQulp, pR!aAs! & Jxpay,Er\rT iETr(,o: LJ cAsH LiJ CHECX ( PAYASLE tO nxc; f, Arr:ercat exrnrss I nclrrrar.. ri. r..i+* r.!a.
9l&2i4tl..,,
MTER: EJ CFPUA
5EWER: L] cFPUA
zoNE: g-16 oFrrcE
fl ccrruNrrv svsrem I pl]varE brELL
I cemml senrrc f] pRrvArE sEprrc
EXIST LAI{O DISIURIII1G PERI.UT Y€S d*
n
,,Nlf-Lr,, i.tl,IsrD orrt 0.. tjlr]
-urFApprova):_ Cj ty: DAI E:
-gq1*,gg1a,-, l-+
his .
DISCOVER
BF E+ 2ft =
Conoent:
3),)'lbrr-ooo
IERflIT FEE: $
\
CONTRACToR i
tu
APPLICANT,S I.IA,'IE :
DEVELOPER:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PI-EASE ANSWER ALL QUESTIOIIS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
gu \\tL L
81 sE? \[-'lo 6
,?ntu -rq,{3
APPLICATION
Number
(Office Use)
PRO]ECT ADDRESS:
c
tAl r aJ wzz'r.. A hi^
PHONE *:
N
onre : 2- i l\,
LOT S:
zrlt ZUe3
SUBDIVISION:lLa SLOCK #r
PROPERTY OhINER, S I'IAIi|E :
OWNER,S ADORESS:
CONTRACTOR:
lM,a*-<,'o S L.UA
Co
CITY: UJ
LICENSE #:
CITY:
-l 2l't {
Wn
ST: _ZIP:_
PHONE #:
ADDRE5S:
EI.4AIL ADDRESS:w lt(Cc'
PRO]ECT CONTACT PERSON:Pu^it 0()
ST: ZIP I
PHONE f:
PK)NE *: 1t C ficr r l) ]
EXISTING CONSTRUCTION:tr ALTERATION RENOVATlON GENERAL REPAIRS tr RE LOCATION
NEN CONSTRUCTTOru: ! rnrCr NEW RESIDENCE o" I aOOITION TO EXTSTING RE5TDENCE
I.*PLEASE CHEC( AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
[nrr canacr _ sF ! orr cnnrcr sr !eoncH
--sF
5UNR00M _SF I sronnce SHED _ sF
! onrrruHouse _ sr fl orcr _ sr OTHER;10o SF
71Pt:
rorAL HEATED San: Ziilw rorAr sQ Fr UNDER \sspl3Loo TorAL AREA sQ Fr: _
TOTAL PROIECT COST(ressrou ' I Z? rr, IJOQ f OF STORIES: 'L
Is Any ELECTRICAL, PLUI,!BIi{G or IiIECHAIUCAL Work Being Done to the Accessory Structune? [ V", ffruoIf the project is a Relocation, is there a Natural Gas Line on the Current Site? ! ves Q/noIs there Electnical Power on this Building? ffives I to
PROPERW USE / OCCUPANCY:SINGLE FAIYIL ! ounlex ! rouruxousr
DESCRIPTION OF WORK:a)r!
POOL _ SF
c!
andordinancesandregulationsTh€NHCDevelopme.lS€wicesC€nlerwillbeaotfredofanychangesinrheapprovedptanssnd
conracbr in b rmaton '_1,.I OTE Any Work Performed W/O he App ropriaE Pem ils will be in Vio lation o f the N C Sralp Bldg Code
specifcalbns orchange in
and Subjecr-UFines Up To 00"'
Ot^INER/CONTRACT0R:\\.5w .ols SIGTIATURE:
,r* *, *,* *,*,r,**,r r,r* *** * - * * ****.(IiT! lil"],t*,t + ** * ** * * * * ** * **,*+* ** !t,t,t ** )* *,t ***,*,***,t,t* *,r* * *** * * * *
rs rHE pRopERTy LocATED rN l rLooopuru? l-'] vrs NO
EXISTIiE II,'IPERVIOITS lAte: ,, /.a- SQ pt TOTAL ACRES DISTURBED; .,1./O^-
NEtl II'TPERVIOUS AREA: A,EXIST LAND DISTURBING PERMIT; T-I YES 6*
SEWER:
ZONE: _ OFFICER:
l\lATE R Zd CFPUA
CFPUA
fl coulrururrv svsrrm ! pRrvArE T,JELL ! cerurnrr t,.te ll
f] crrurnar srnrrc I pRrvArE sEprrc f] commuurrv svsrru
.*. srpBIE PER...rf:TREQUIRED FOR ELECT) MECH, PLBG, GAS EQUrp, ,REFABS & TNSTRTS **"
pAylrElrT r,rErHoD: l_l crsx ljJcxrc( (payaBLE ro nrc1 [ arrnrcar{ ExpREss fl n./urro ! orscovrn
+ *,t )* )* )*,* *!t)t)i )t*,t)i,t**r* !* * x,*r*,r * *** * *)**,**)t**+** )i:* + )t :t * )* +*)i)* *,1** *)** *** )t***+ r**.t )* rt)*******)*** * *,r,* )* )r
(Foi oFFrcE usE oNLv) REWSEO DATE O4l1U12
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_City:_ DATE:_ FLOOD: _ BFE+2ft=
N
IComment:
PERmTT FEE: g
\
CI TY;
SQ FT
NEId HANOVER COUNTY BUILDING
APPLICA| ION TYPE: CCIIMERCIAL
R"lb- lqtr
pERMrr ?E+ tb -G lo
APPLICATION
Number
(office Use)
PLEASE ANSUJER ATT QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'5 NAl,lE: John Johnson
DEVE LOPER:
CITY: wilminqton
oCCUPAI{T/BUSINESS NAt'lE: Laraoa t a Mexican Taqueria
PROPERTY OTJNER'S NAIiIE: Leo Pr erties - Col l.eqe Road Investments
ObiNER'S ADDRESS: 2600 Fairview Road CfTY: Ralel h
CONTRACTOR: wilmino Eon Awni Inc
PHONE #: 9ao iee-2782
ST: NC ZIP: 27608
LICENSE *:
CITY: wi tminotonADDRESS: 104 6 s. Kerr ST: NC ZIP: 28a03
EMAIL ADDRESS: info@\,ilminor PHONE S: 97a-19e-2ia2
PROIECT COI{TACT PERSON: John ,fohnso:r PHONE f: ero-520-3050
(Check All That Apply)
EXIST CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS RELOCATION
lf Relocation. is there a Natural cas Line on the Current Site?r Eruo IS BLDG SPRINKLERED?flv". flruoYes
NEhl coNsrRucrroNr I rnecr NE]r srRUcruRE fl rasr rnlcr ! sner-r- [ uerrr ! mo ro Exrsr srRucruRE
ACCESSORY STRUCTURE: 1 new sEarionary welded frame awnin q with re movable fabric cover
If UPFIT - The Shell Penmit *:
IF Yes, irhat was the Previous Occupancy Type?
ARCH DESIGiI PROFESSIOiIAL :
***** rs rHrs A cHAxGE oF occupalcy user lvrs Inn """-.
Is Etect Power on this Bullding E yes E to
What is the Ner./ Occupancy Typel
PH:
ENGR OESIGN PROFESSIONAL:PH:
DESCRIPTION OF WORK: 1 new st.ationary welded frame awni nq wit h removable fabric cover
ls food or bevsages prepsred or so.ved in this sruaurez five" I uo b The Prope.ty Locatod tn The Floodplain?Eyes I No
NC REG *:
NC REG *:
DISCIAIMER: I hereoy certfy lnat ailintormation
and locallaws and ordrrances and reoulattons. '
or chanqe in conlraclor or conlractor i-nrormalron,
Subjecllo Frnes l.lp To $500.00"'
in thrs applcat,on is correcl and atl work wlt comdy with the Stale Burtdioo Code and
he Ntlo Developmenr SerMces Cenler witl be norrllad or anv chanoes rn th; aoorove.j-"N(J I L: Any Work Pertormed WO the Appoprate Permtls wlt bie in Vrolalton ot the
all olher applicable State
olans and soecillcatrons
NC Srale Bldg Code and
conlain Ast6slos or not. You are roquked to csll the Natlonal Embsion Slsndards fd Ha2srdous Ar Pottda s (NESHAP) st (919)707-5950 at tessl.10days piorto Uledondito.r of any fadlity o. buitdtno. S€e Asbesic W€b Sho: tnpJ rrtx.€pi.stst6.nc.us/ed/asb€stG/ahmp.htnt
OWNEFYCONTRACTOR: .rou, .rohnson
(ojErds)
TOTAL PROJECT COST: S12602. o0
TOTAL AREA SQ FT :
SIGNATURE:
BUILDING HEIGHT:
SQ FT PER FLR:
# OF UNITS:
# OF STRUCTURES:
EXsr LAND DtsruRsrNc penirrrr f-l ves flr.ro
SQ FT EXISTING IMPERVIOUS AREA:
OTHER
504
TOTAL SQ FT UNDER ROOF: _
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
ZONE:OFFICER:
Approval: C,lZ City:lt)t(m
SQ FT
pRopERry usE: EoFFlcE @nesreunenr luencerrle neouc f]APr lmNooyl]j!, EgilyA flcoMMuNmysysrEM -WELL EzoNtNGUsEcrAsstFrcAnoN:sEwER: EIcFpuA - CENTML sEprrc ! p-RtvArE sEpTlc E-coMMUNrrraysE;"'
*""""
." SEPARATE PEHJ!!ITS REQUIREO FOR ELEC], IECH PLI]G GAS E(,IUIP. PRETABS & iNSERTS -'pAy ENT METHOD: ICASX flCnecx leeveelE To NHC) fieuentcet exeness I ucrvrsa I orscoven
(FOR OFFICE USE
SETBACKS:
FLOOD:
ONLY)r:l/t-LH:
REVISED DAIE {' I/I2
PERMIT FEE:
NComment
DA
Oly lnpe+lron Requneo, gl Uzi4.ff y
0
. .a.:
- l :..'
'&,,
OATEi 2/t't /76
PROJECT ADDRESS: b-o S. Co-ieqe Road 4+,ZIP:28403
PHoNE f: iD4 962-a466
# OF STORIES:
# Or FLOORS:
-
q€ z 16-52 8
L\do 16 - l?qo
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE.. RESIDENTIAL
PITASE AllsllEfi ALl. QrJt.slIoxs AppllcastE T0 youi pRolE(T
"proJect Respofl sibillty,,
APPI.ICATION
Number
(ofli.! Use)
APPLICANT'S NAME: DEtrirs ECI{}r,F{)I oATE: ?-18-16
OEV€tOPER:
PnoJECT AoDRESS: ?1ct EASr CREEKS E,GE CITYr flr ZIP:2s409
BLOC( fr LOT s: 10
PHoNE f: ?57-406-oo5r
CIIY| !]lllf,ILGjLoN ST: Nc Zlp:2s4oe
LICENSE *: et:to
CITY: EAti,PsrEAD ST: Nc zIP:284ar
SUBDIVTSION:ol. }I?
PROPERTY OI{flER,s T{AIIE: R:ICX & KRIS ?Y EOLLAX
OaSIERTS ADDRESS i ,1oi EA CREE(S E]GE F.D
ADoRESS: 1s2r s urcr l{.1Y 1? NOR,TX
fflAIL ADDRESS: if.KH R I]TCONSIRUCT oNr,l AIIOO. COiI
PROJECT CONIACI i}EIISOili: DENN]S E D:,'
EXISTTTTIG Co,tlsTRucrroru: ! rr-rrnarroil I Rrlrovnrroru f] cetenll neearns fJ
PHoNE *r 910-6r?-1340
iELOCATTON
NErd coilsTiucTroN I I unrcr NE1,l RESIOENCE o" fi aOOttro[ To ExrsTrrlc RESTDENCE
'I'PI"EASE CHE'K AI\D ANSh]ER BEL
[arr eanace .- sr
f] sunnoou -*-- sF
fl enre uouse ___ sr
O}' ALL T}IAI APPLY TO YOUR PRO]E'I,
I oer canace --* sF I noncr eso 5p
I sronace sHEo _
OTHER:
SF
SF
TOTAL HEATED 5Q TT: o ToIAt sQ FT TNoER RooF: 250 ToTAt AREA SQ FT: +go
TOIAL PROIECT COST1ressla; : $ zJ-. sor,# OF SToRIES: I
POOL SF
lyJ ubcK :lq_ SF
rs A,ry clEcrRlcaL, pLU,4Br0G oF fiEcxarrcAL t{ork Belng Done to the ac(essory structurel fi v", I r.rorf the ppoject ls a Relocation, is there a Natural Gas Line on the cu*ent stte? Ev", E N"Is there Electri.(at powef on this Buj.ldlng? [lv"s f]No
PROPENTY UsE / OCCI]PAIICY:
DESCiIPTIOII OF UoRi(: AoDr
srNcrE FAnrLy I ouelex I ra,rltrousr
N6 AIDIAI 6F TO ltxr INrj DDCk D ,ADD TNG T\cov,lRED S EEN PORCH
lON FROI. TI]F tiAslER BE i!.
DISCL $IER lh.{obyc€r[l. ilaI inbr.na fi n Grj 4Dot€s!.. ts couoca.d o.din.m.r ard.sollators rie NdC Oewtopmoil s.rvtcrs Conlar w,lcorrscbr hlo,hr{s. ..,NOIErAryv&rk pe.hm.d \&[) r!. Arproprisle
t and rll mr k wilt conrply $/ih ho st l,. Buitdti 0 Codelbi no!n6C olsnycha4go! ii th6 rpprovod ph|ls ahd
ad riloh€r applaabl. Shl! €nd locatturs
0!"
*+1***1rr*r***i
OtrtNER/CONTRACIoR I o
viobdon o{rhe NC stals
SI6NATURE :
tr
CENIRAL I.IELL
COHI'4UNITY SYSTEM
IS EC ::'ii.'r)tis:'t'
** r+ ** {a*++{* *\r*****,** *r!t***ir+*rs fiE pRopERTy LocATro rN r rlooort,rrrul fl vrs il *o
EXTSTING IIiPERVIOUS AREA: N,/A 5Q FT TOTAL ACRES DISTUREEO:
tiiEt{ $lPERVlolrS AREA: N/n 5Q FI rXIST LAND DISTUBSING PERITIT:
unrER: fl c*ul f] coruutir" svsre u f] pRrvATr ,.JELI
srrcn: fl cseur I CENTRAL sEprrc f] cnrvare sterrc
PAYIIIIIT NETHOO:
**** *'r rr.{, *,r *.r +{?+, * *** * *** *(li'Il *1'J
+* *i(,r+,t +a<,t ** 4 *r r+r
qui6
'.* SEPITRA'E plRilITS RE qrrRED FOB ELECI, I'ECX, FLEC) cAs E QUI!, PRIFABS & L,lseRTS 1irfi casH E cHEc( (PAyABre ro HHc; f] mrnrcan r XPRESS
zolre; P.20orrrcrnr
n r.1clvIsA I o:scovr*
B F E+2ft=
*+4*y** * + I *,t** :r,N+*.,}** *r(*tr******)*,ri**1 *r,!*,r*t,f ++*,*i,r:r*
{fort oFticr $a Ollly)
App.oval:_- City i_oare:?-Z'lb rtooo lL'
SETBACKSI F:,ft^n, * u ,-*-&yS,l<-So5/z'r'rr'Nr4 lr3E frclim:r'o$)b vove-
ti
PERIIIT FEE:
Coorment:
wa"*{r'' ',i\,afl tJL r-l
elfllrr.tpoCmn 91s254+'r:
Pllof,lE S: {e1o) 61?-1140
CONIRACTOR ! EcriH.rR .Jr co[sTRucr r oi{ s8:iv lcEs
PHoNI #t 9ro-61?- 1340
I
U
#
RECEIVED JAN 13 206
NEhI HANOVER COt'NTY BUILDING PERMIT
APPLICATIfi{ |YPE; RESIDE TIAL
PLEASE ANSHEN ATL QUSTIO{I5 APPLICABLE TO YOTJR PRO]ETT
'Project ResPonsibilitY"
l),..; l't
0(b-llqa
z lt,- n7
APPLICAHT, S iIAIlE :
OEVELOPER:
PRO]ECT ADORESS:clfYt t/ ' 1.-
BLOCK #:LOT *:
PHOiIE S:
sr . t--zal < ,t "r
srit:zaPi.--.t tt-
'*151xt *: 7t.: .708 - ;38o
PlloNE *: 7'1i' :j
P}ONE #:
71'(zr;P: -i 5 +.t 13?z{-SUBDIVISIOT,J:
CCNTRACTOR: l.
11,,.:..^b -.,.,-,.+
?,,t.*B,-,.nn ,,.1r- c;-t>- - I '1 tPRoPERTY OWNER'5 HAt'lE :
o!,lNtR'5 ADDRE55:()-,) lr ".-11"rr t tt ('. CITY:
, (_,oa{i++. i_ L:,; LrcEilsE #:-,, .. t .,. /
PRO]ECT COI,]TACT PERSOIi:
ADDRESS: ', i :r
E'\iAIL ADDRESS:
PROPERTY USE / OCCUP
DESCRIPTIOI{ OF UoRN:
. ,i t)Ct !a/ Jn+ u I L\
cIrY I l'J .'
't'r
G q- 3.>7.:'
ExIsTrr{G cO sTRucrlot{: ffio..a*otto* [ atnwarrom I etutnar REPAIRs n RELocATIoN
NEr{ CON5TRUCTTON, I enecr lrEr.r RESTDEi|CE o7ff-orrr* To FXTSTTNG RESTOE CE
'+PLEASE CHGCX ArlD AIISUEN BELOTT AI.L TI|AT APPLY fO Yq;N PNO:TCT:
Arr GARAGE
-
sF f| orr canact sF E PORCH
-sF
suNRoo ASS sF D poor-
-
sr I srouer 5HED
-
sF
GREENHousE
-
sF f] orcr SF OTHER:SF
TOTAL HEATED SQ FT:;TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
-
ToTAL PRolEcT coST 1rea" rur ; t 311 '\i ."' * oF SToRrEs: 4-
Ts any ElEcrircal, plt HBrtG on FTEcHAlrrcaL r.,ork Being DorE to the accessory structu.el ffiv"t fl ru" -
If the proje.t is a Rel.ocatron, is there a Nptyral 6as Line on the Current Site? ft Ves flXo
rs there Electrica.l Power on this Suilding?fiv"t Ino
ANCY: Lxl SIIIGLE
'- -'4L''/,' /
FAI'IILY D DUPLEX
,it r,,. *o
f) rormousr
5 ,.< * r o,',n' .-
OISCLAiI,ER I hetebY cqlrt !1at at! ntormalion ln !]is applicater 6 cor€cl a,ld dt worl siI comply ri0) tle SraE Building Code afld aI olhe. applic&1e Saq and t'er la,es
.nd onllna.ces and reguratbns. The NHC Dswlogne.t serutces l}'er wu be nodt'd ole
contmbr inbrmalion. '"NOTE: AnY woi( Perbmed wro he Appropdale Pe,mils wrll t e h
OHNER/CONTRACTOR:l.r.-<..t(
r.,. * * r *r*a r,l * * * -, - -.,,. - ".'IlTlIil"J *' *' ** -. *** -
IS THE PNOPERry LOCATED Ii' A FLOOT'PLAIN? N YEs
ZONE: OFFICER:
t ^J ilo
*,i **!t*,* j****** * *,!* tt+ + +** **** *** * **
EXISTING II'IPERVIOJS AREA: -=-5Q FT TOTAL ACRES DISTUREED;trNEW I}IPERVIOTJS AREA:SQ FT
WATER:
SEWER:
E
Ld CFPUA E CENTRAL SEPTTC I e*rVArr srerrc
cFpuA fl cot4uNlw sYsrEM f] PRrvArE L{ELL I cttrul uttlr
COI1HUNlTY SYSTEM
EXIST LAIO OISTURBING PERI'IIIT: E YES NO
(,or oFrrca rrsE oxLY) REyISEA OArt O4l11/i2
sETBAC(s: F:- LH:- RH:- B:-
-.. saparrATE pEEj\ilT5 {EQTjIRED FOA:LECT. r4EC}{I PLB6. GAS EWI2- pREFABS & ltSEFTs rn*
pAy6Er{T rET}oD: I cos, I cnrcx ( PAYASLE To llrc1 [ mrnrccr exrness El r'rc,'vrsl f] ,rtcoot*
,(,ir(r*!r+*****i!r:*,*a**,r,ttt*)i,*ti(*,t*1f,,**rt,t,*ii:***,t*:r****+**ii*lr****'t*****lt*ri**ii'l****
APPLICATIo|i
tlmber
(OFfice Use)
oare: l"i - l(,
n t.
qp/gAsoo.o$'
SIGNATURE:L\11--^/-
/
ADnrov:l: aitv: DATE: FLOOD; BFE+2ft=
c- -
'_--
-
^ ' J**rrr, r7<---!J----r--
{otb- nql
ffi
APPLICA T'S A E:
DEVELOPER:
NEiJ HAIIIOVER COUNTY BUILDING PERI4IT
APPLICAII(N IYPE: RESIDEITTITIAL
PLEASI A'{SI{ER ALL qJESTIONS APPIICAELI TO YOUR PRO]ECT
"PPoJect Responslblllt}P
, erJ
APPL I CATIOT{
Number
(Offi.. Usa)
Dlr.e Z-22'l L
PHO'{E #:a/.t - L/z/t 6?.9 f
PROJECT ADDRESS:OO\
SUu)IVISIOI.I:
OT{ER'S ADORESS:
CIW: L'./zwt*Yo'
CITY: a\rJ . \^
LrcENsE #: /L6f
CITY:
PHO E #:lzls -/l/Zt
stt lsztP. zSqos-
sI:plz:iD:Z!l$-
PltotE *t q/)4./3-aZ.; /
Pr€flE #r 9to't-/\Saz 7
oi
COI{TRACTOR
ADDRESS:1.,
uLETUIL ADORESS:( c.tt-J
PROJECT CONTACT PERSO{:Gtc {e,-4
EXISTTNG Cq{STRUCTTON: ! llrrnlrrOl fl netovlrrou ! cetenll neenrns I RELoCATION
irEw cot{sTRUcTIor: I enrcr NEt.l REsIDEitcE o" Elaoorrrol To EXISTING RESIDENCE
I.PLEASE C'IECI( AT{D ANSI{ER BELOI{ ALL THAT APPLY TO YqJR PRO]ECT:
fl arr ernaoe
! surnoor'r _ sF
sF ! oer onnrer _ sF
POO L SF
! noncH
-
sF
! sronaor sHED _ sF
6R EENHOUSE SF ! oecx SF OTHER:.ck SF
TOTAL HEATED SQ FT. _ TOTAL SQ FT rn{DER ROOr: 3o2. TOTAL AREA SQ FT: 1,1,
IOTAL PROIECT COST 1r""" rar : $jl, br S. ,v # OF STORIES:
Is Any ELECTRT€AL, PLUttBIt{G or IIECHA{ICAL Nork Belng Oone to the Accessory Stru€ture? S Ves I lo
If the project is a ReLocation, is there a Natunal Gas Line on the Current Site? lVes fi ruo
Is there Electrlcal Power on thls Bullding? pves l-'l uo
pRopERw usE / occupar{cy: I srrele rrurlv I ouer-ex fl TowNHousE
DESCRIPTIC'I OF WORK:
DISCLAIME R I hsoby csnify fiat aI intomaton ih his applcatoh h corscl drd d work wll complywi}l hs Sbr€ Buitdahg Cod. and a|l ohsr app,cabb StaE and t cd taws
and ordin s. The NH C Developmen t S€ rvices Cen ter wit be nofii€d of ,r y dranges in he Aproved phns dl ifcadons or change if| cont-ator or
w/O he AppropriaE Pe.miLs willbe in Vioblbn ot $e NC Srab Fines Up To $500.00"'
SIGTIATURE:
**** )i ti * **t+ + ,t,| * )*)*** rt** +***,* *)** + **,ti** ** ** ** !t* *** * * ** +f** ****,! *,t,l* *** * ******* * +****
rs rHE pRopERw LocATED rN r rlooonurrl fl vrs
EXISTI]{G IITPERITTq,S AREA:
-SQ
FT
IrtEt{ [rpERvrqrs AREA: _ sQ FT
Elno
EXrST LAI{O DTSTURB {G penUrr: l--l vrs I r,ro
MTER: I creun ! corfirJ rry svsrem ! pRrvArE r.tELL I ceHrul ue ll
sEt{ER: p crcua f] CENTRAL sEpTrc I rnrvrre seerrc ! cofi[iJNrTy sysTEM
TOTAL ACRES DISTURBED:
*** SEPARA'E pERttrrs. REgJTRED FoR ELEcr, ttEcH, pLBG, GAs EgJrp, pREFASS & rNsERTs .rr
pAY E r rirErlor,: lcsx I crrcr (pA'ABLE ro **y [*r.r.* ,rr.ris tr-rin rri -
tr DrscovEl
'la*)* 'i:l*jt,*,r**,*****,**.1,1*,1:*:*:a******,a*,|'l***,t******:i* 'ta,r* **a,**** **,1:t,t,***,*,t+,*****,r*:**,a*,r*+:*,1**
(FoR oFFtcE usE o{ty) iEwsED oArE 6al11/12
ZoNE: _ OF FICER:
Approval:_ City:_ DATE:_ FLoOD: _ BFE+2ft=
N
Coonent :PERI{IT FEE:
PROPERW Ot {ER'S [A}tE: R,rJ.(..; rn r+.Ji-" 4a-
BLOCX #: LOT *: _
SETBACKS: F:_ LH:_ RH:_ B:_