APRIL 11 2016 BUILDING APPS)oti.).1 cZ
NEW HANOVER COUNTY BUTLDING PERilTT
APPLI(A|Ia rrEr RESfDENTIAL
PTEAE A'IITER ALL QUESIIOIIS APPI.ICASI€ IO YqJR PRO]ECT
'project Responslblllty"
ipPl"ICil/T ' S iUUE: J.E.EvANs coNs?eucTroN, INc
APPLTCATIO{
tluhbe.
DATE:01105/20r6
DEVELoPER: N-\
PRojECT ADO*ESS: 2009 SPI|;l.Ari:3 PI;aa
SUPEIVISI0l,li
CJTY: WlLI'IING:ON ZrP | 2a{as
PROPERW q,lER'S itAtlE: rslri I:::lr.eAN
ELOCK *:LoT *r
PHCiE ?: li,{
mllR'S ADOnESST 2009 sP:![ixER PLACE
CoNTRACTOR I J.E.E'JANS CO|'IST. INC
ADORESS: 3!! rtrlgis BP!\:- 8c CITY: @:.__ Srr g Zrp: jgLlL
Plioaa€ *:520 2168
CITY: /1:u:NcTO&..ST: NC ZJP:28,iCS
LICEllSE r: 3I i,1?
PRO'ECT COIITACT PlRSqiJ: :1]KE PH0|{E }: 199 I i-'e
EXISTTM CdI'STRUCTTAN: I ALTERATIOIiI RENOUATION I errrnnl neellns f] RELocATrc*r
$Er cotsTRu(Troft: fl rnrcr €H RESTDE cE or ADOITIO'iI TO EXISTIiIG iESIOENCE
..prE 5E CX€C|( AtD A,,ast{ER SEtOra AtI THAT ApPLY rO YOUi PtorECr !
f] nn cnnact
-
sF Q orr eaaace sr fl eoncr
-
sF
flswnoon
-sF
f| eoor- _ sr fl srorle: sHED
-
sF
I crermous:
-
sr f] oecx _ sr OTHER:SF
ToTAL HEATED 5Q iT; sa TOTAL SQ FT UltlOER ROOF: Il_ TOTAL AREA SQ FT: Na
IoTAL PRoIECT C0sTtuor-orr: t 20,000.00 * 0F STORIES:
Is Any E!ECTi!C L, Plur8lll6 or (ECtttI{ICA! {ork 8€ing Done to the accesso.y St.uctu.el [t V"t I m
If the project is a Rel.ocation, is the.e a Natural 6as Line on the Curnent Slte? [v"r Ilo
Is there Electrical Pol{er on thls Buildlng? @ves fllo
PROPEiW USE / oCCUPA'ICY r srNcLE FArlrLy I urelex I ro.ruouse
DSSCRIPTI(}I OF l{NT:
n-C S:i.JC:'JA:
REMOI]I,E EXIS?:{G XITCIII:N WlTH NH.y{ CAI}TNI]TS ANI ii;PAINT I'AII,S ANfl TAI!'
D(Ulr/lER I n-.n, cnrtt n .t i,rbm!h. n ni. pr&.e. 6 corEcr rn d ro.t $l condl iL'I nr St,E &adog Cod6 ed .l o!.r.. prkaDr€ Slai $o bcal I!'.s
E)d oiihsrclr ,!d llCllarhnt ltr. NHC o!\ltbptul}r lhl.aor C.n:r.l o..olfi.d ot ar, cn!.!.i n no atpD8d 9Ln5 'r, .pqrtcrlons q ch*9s h ca.EcDr o.
c..lr-r,lnbn.ror. "rtlolE: &y !vo.t r.rb6.o vto h! Approtilrt Ps,miE w{ r,. n \.d.lbn or fir Nc sr.3 Srca cod. $d sqrirct D Frcr l, To tff0.04r"
OdNER/Co|iTIACIOR : ."'. E. EvANs
!1'ataa r 4l tr*r*r,rN* *rt 1r*.l}* * a t
SIOTATURE :
*aa a*r rrrtl*lr**rla*r.art l*al*1**r*tia.r * r, ** r*** * r rr r4 r r,
rs n{G pnopEnry locATEo rN l rrooorurxr ff ves
EXISIIiiG IIiPERYIoUS AiEA; _SQ rT
E}, IAPENVIOUS AREA: NA 5Q FT
Elrc
TOTAL ACRES DISTURAED: XA
EXI5T LA}O DISTURBITIG PERIiIT:
PRrvarE I/ELL I ceu'rml uell
vts I tto
HATER:crnur I coinullrY svsrrn !
SEi.lEtr:creur f] CTNTRAL srprrc D pnrvarr strnc f] corrluNlry sysrEr.l
..i SEpAEqTt PErr{ITs iEQUlr€D fon EltCT, rECr{, pLBg, 615 EQUIP, pXtfAsS & tXiERrS r'1
pAynErr rFrll(x)i f| asx I cx:ot (pAyAsLE To rxcl I usn:or exrness E iclrrs. I orxovtn
a* trr r.*.4;r.r.tr rrl.aa.i;tttt:.aat*ia*rra r*r a++'l s*,*,' ):, *. ttr t!ta.r.a a1rr. a
(toi o.Frca uta orLY)iavlsto 0^rE 64/1!/12
zor're ' P-2d or rrcrn:
AoDroval: Citv
S ET B,4C
orre : U -?-1i,"FL0O0l
xsr r: *rr4 r-x:u ttl RH:N!F B: iAr
t.8rE+?ft=
?,h" annvrrn prRrrr FEE:Com€nt:il,
fily lnr*icn Pelil'oct' 9lS25l 'h1-
![..
ffii
1b#
PHO € II NA
E! TL ADDRESS: jEvA,issR2 eGMAl L. col,,
\
ffi
NEW HANOVER COU
APPLICA,TION
r(rv eurLorlrc
IYPE: C0t'lltlERCIAL
@o /63lsG
pERMrr 16-510
APPLICATION
Number
(off1.c ure)
PLEASE AISHER ALI QUESIIOIIS APPIICABLE TO YOUR PRO]ECT
"ProJect ResponsibllltY'
OCCUpANT/SUSINESS NAI'IE: .ier ]'r::": -i:pr::7
O[/NER'S ADDRESS: 115 :i.i SL CI'rY: 'd: ln:.:-!..
LICENSE *: -:2r,89
CITY: ii: lr:.9--ci ST: r*c ZIP: 2a,ialADDRESS: 2a5 P,3.ine D. silte 2,i5
EttAIL ADDRESS : de 1 oh:rui :de rs ? 5 G lraacc. :c:r PHONE #: 2'-2-2a.i 6:. al
(c6.(t alr rha! Apply)
ExIST CoNSTRUCTIoN l ALTERATION RENOVATION 6ENERAL REPAIRS RE TOCATION
lf Relocstion, is there a Natural Gas Line on the Current Site?Yes D*o IS BLDG SPRINKLERED?Yes n No
NEl,l coNsrRucTro.l: I rarcr NEr,l STRUCTURE f] usr rnacr I sner-l f] uerrr f] mo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The 5he11 Perrnit #:
ARCH DESI6I{ PROFESSIoML: L PHI
E GR DESTG pFOFESSIoML | _:.es t{c Dori.e:: pH:
NC REG *:
NC RE6 #:
DESCRIPTION OF WORK: ;cnrre.i::rq space :--!o a brererv
I
ls food or boverag€s pr€pargd or s€rved ln thls stru61ur6?I ves I lio ls The Proporty L,ocated tn ThB Roodptain? E yes I No
OISCLAIMER: I hereby c€rDfy Ihar a l ,nformar,o..n
and locallaws and ord,nanceE and raaula ons. Th€
or chano. in contactor or conlraclo iformsl,on. "'
Subiectlo Fines Uo To S500.00"'
state 8u
SIGNATURE:
€I)dniJ (P,ht N.m)
tld€: D.rnoltoar nodtlca!,on & esb€lto6 land.l 9.mll rppllcs{fis Ere to b. lubmit d l,3kp h. appilc.i{l lorm {
contaln A!b6r6 or nol You €re r€quired lo call tl€ Natonal Emtsaloi Srrnds.& to. Hezedors Air Polln€rt! (NESHAP) a1(
d€rrclidort or arr Ldlty o. tulldinq. 56€ Asb€eroa W6b Sltat fttp:1rv,1^w.rpi.stsl6 nc.Br€pyasb*loslahmp.hunt
TOTAL PROJECT COST: S12., JC!BUILDING HEIGHT: 1q :.-
TOTAL AREA SQ FT :SQ FT PER FLR
f OF FLOORS
nd all other ap plicable State
Bldg Code andSlar€
h€ fucuy o. bllldlrE wa. found lo
3l l6ssl 10 days p.i6. lo 6e
YES I NO
SO FT
sr
Viol
# OF UNITS:
# OF STORIES: -:
TOTAL SO FT UNDER ROOF: :2i.,
ACRES OISTURBED:
# OF STRUCTURES: l
EXST LAND DISTURBING PERMIT?
EXISTING IMPERVIOUS AREA:NEW IMPERVIOUS AREA SO FT
PFoPERTY usE: florrrce [nesrnunelr [raencLxrrr-e [eouc Depr n CONDO OTHEFLare,re r
WATER:
SEWER:
BCFPUA I:COMMUNTTY SYSTEM E]WELL flzoNtNc USE CI,ASS|F|CAION:
EICFPUA -CENTRAL SEPTIC E PRIVATE SEP,TIC I]COMMUNITY SYSTEM_::..::--::::.--._':-...:.,.-:.:-:
PAYMENT METHOD [casir [caecK (nAvABLE ro Nxcy [mlenrcan ExrRESS [lucrrasa f] orscoveR
(FOR OFFTCE USE ONLY)
ZONE:_OFFICER:SETBACKS: F:_LH;_ RH:_ B:
Approval:_ City:- DATE:- FLOOD:
-- -
BFE+m=
N
PERMIT FEE s \,DQO ' oo
.-'i-, C ?t ila,-1-/L:A1trF
Ft$8"
Comment
MoLF .r6Dtl .6
TinaSr e, 4fboo
APPLICANTTS NAIIE: )ei-..i co..s'.!.rct:tr:i OATE | _Z-_933:i_
DEVELOPER: PHONE +:9il-3s2-6,;5,
PROIECT ADORESS: 1i6 lcck Sr CITY: t1'r:n:ns:o:1 ZlPtzt!-a).
PROPERW olflER'S tlAfiE r la...id 5e::tic PHoNE *:
5T: NC ZIP:2,q;l--
CoI.ITRACTOR: )elchr ac.s:!...r.:rc.
PROIECT CONTACT PERSOI{! ill2e 3riss.:: PH6NE *: ra;-ai,-:-.:jl
Is Elect Power on this Buildlng E] yes f] ruo
**r** rs rtrs A cHANoE oF occuFAtlcY usrl flves Qro **.*'
IF Yes, wlat was the Pfevlous Occupancy Type, _ What ls the llew Occupancy Type?
O\INEFyCoNTRACTOR: SOtfr.I 3tr-o<.
REVISEO OATE 4,1
'12
NEW HANOVER COT'NTY BUILDTNG PERMIT
applrcafidt rvpr: RESIDENTIAL
PLtAlt ^xsiTi Al"L QL,t5 r r.Jt! AFpLI(ABtt tO yqJl I,ROIECT
"Project Responsiblllt}/,
/rtY,.ne to rte5 c,a 5 Y4 /C"-/)...-
&otb*3)tg
?8"(b goz
APPLICATIO'I
ttul'b€r
APPLICA}II' S NAXE
DEVELOPER;D,f:E:3 6PHO'IE ':PRO]ECT ADORESS:
SUEDI VI S ] OII :Ar1
PK(PERTY OgTt]ER' S P €
ELOCX f
A
"*r, ?QD sr
STORAGE SHED
E *i
st
lto-1111.8061,&;;Eb
itkzrP: rg///$t 7/0 167-8;12?
5F
5F
a C ITY:Zi
LOT r! ,
p, af,tcf
.r,
o..iER, s ADOf, E55;
COITRA(iOR:
ADOREsS:
LTCENsE
DEr GARA6E _-- sF
P@L -- sF
CITY:
u//C
CIIY:€ITAI! ADDREsS I O rtt P'IO E
PRO]'CT CO'{TACT PER'oli:ta 'r'/r
plo,iE *:d,{
EXI5TING CO STRU(rrO ; I alrrna-rrol !RENovATToH I crrerar. nrnrrns f] RELocarrori
NErJ CONSTRUCTTO , Q rnrcr t{Er{ R€srDEircE o" I aoorrron ro EXrSTrr,rG RESTDEICE
"PIEASE CXECX AND AI5!iER AELolI ALL THAT APPLY TO YOUR PTO]TCT:
Arr GARAGE 5fr2 sr
suNRoo|t
----
sF
6R [EMloUS E -..--_ sF DECI( -."-- 5F oTHER;
TOTAL HEATED SQ FT:J1 )TOTAL 5Q FT UI{oER ROOF:322{ rorAL AREA sQ rr; 3 7?{
TOTAL PROIECT COSTr',*corr : 3 ttu0 s OF STORTES: L
I 5 Any €LECTPICAL, pluflgDt6 on
'{ECBIflICAL
l,lork BeinS Oone to the a..r1ssor.y St,.u(ture? ff yes NoIf the p.oie.t is a Relocation, is there a Natural 6as LlIs there Elert-ical powe. on this Buildtng? f] y", E-rfo
ne on the Current Slte? [ ves No
PROPERTY USE / OCCUPATCY:
DESCRIPTIfl OF IOflX:
5I \(:1E FAI1ILY I cruerrx I rcur+rouse
,J^qhE;tlc
OSCLAAaER I h,.rry.!rdr,. nrt 6!
ttd l:rrno1, n |d h,!'hrr^4 Ihc
cr n!.rbritnnts^ ...NoTE:r!,,
I'ATER:
SEWER:
'' - rLor r. rr . -- s - . ala t:.. r,\r.4,.i.'. .-,<-- ....i!itr.*t, ; -.:.,r1ot4
I P..los..l WrO 6. AOpnrDri5t r\.n.E wat th ;
c
t.D Io 3500 00'..
SIGI.IATURE:or{vER/c0 TRACTOR:
rS T8E PR@ERTY LOCATEO r
EXISTI}IG TEPERVIOUS AREA;
ilEt{ II?ERVIC{,S AREA:
II A Ft@PdfrE
r-lrrr IX] vrs
SQ FT
sQ rr
TOTAL ACRES DISTUREED:
EXIsT LAttO DISTURBltrtc
tzLd>e
B:
I comuurrv svsrer I IRJVATE wErL f] cerrnrl wer-r
Ff@DZONE
F T'UA ! crrrrnrl seorrc f]pRrvATE sEprrc I coutnirrv svsrrn
uR tLECr, XECH, PLB6, GAS agJrP, PFEiAS
.'. s tPAiAr i Di{'.j-s _ii4Lrr
PAYBEI T ErHoo: 3 c*, 6c*e4 (PAyarLE ro rtr+c; flr,rrn:ari :xrnrss D *zrrso OISCOVER
CF
r***'1rr.rr*rtr**.,r..
l
r *1r a aat a,:**.rt. t *, i,*ra
(foR cr;:.-t :rsa o.t(w)
SerarCxS; F: iO LH:
. . r...,
' ' '* r i.: s.rt* *
REVttao DATI gal11/ r l
DATE:
:: J!:
Approval :---- Clty:
K'-2D oorrcrr,
rLOOD:ALt7'RH: jl_
\ i.lBFE+2ft=
Htorr
\u^-
NEW HANOVER COUNTY BUTLDING PERI4IT
AwLItATtaN ryrf r R;SIDENTTAL
?LEA5a AlsiEi alt ql€sTloats AepLtc.cBtt 10 your pAolEct
"Froject ReJponsibiltty-
ti,re, * t*tcrtxgirr
a* .$t> t -JT*BLaCX *:
.2ot b-?177
It, -?"{{2
A9'LT'ATIcii]
ttulllb€r
(Of"fi.. r,!.)
z\zzlto S3ra -
h
CE
APPLICAI?'5 T{A'4' I
DEVELOFSI:0a'!-r:
Pl&nlE *: c\\
,./ C
IOl il
z:r: Z fl t-\5 533*
?365
co$ri4cron
ADOf;Ess r
PiolEct a00nE55:
stiBollrtsls{:U^
PROFENTY &ftER'S UEt[ i a*U<<r U-. r{1{
C,*I,IER,s ADDR€sS: 4JI
qlo Z6q- 4 \i6<-l
5T:l.r( ZTP: L{1\O<-
q acco${r f:
51r !B; :rp, ;ag.48 o
Pl0{E *: qIc 5-<u- _t r-:rr r
Pt{o{r *r -n !,o Laer3B€s
2.a7
oc*db r_l 1fl $)
[5 DISIUiBED:
rt) qr.-t'''t'-
eL.f. C"{-?
I
LICEI']SE I:
CITYI
PROIECT COI{TACT PERSotll 9s-r ,^r
EXISTIIG Cotistiltcrm , S ArrERArroN I nrHovarrol Ieerrru neen:es fi RelocArror,l
TOTAT HEA'ID 5Q T?
TOTAL PRO]ECT TOST
I5 9lUtA$,6 or taHlt{ICAL !.Jork Selnt Oone to the A<(essory St.ucture }Xnlet Yes D,roIf the i5 a Relocatjon, is theae a Naturrl. &s Ljne ci the Cur.ent S ite ?L.j Yes Ll No
E14 COI{5TRL}C'rO[: f, rnrCt !lEl,{ RESIDET{CE o" I noo::toN TO EXISTritc RESIDENCE
..PtEAsl alltcx AllD ,lls!,!i 8f l"Ol, Al! THA, Aptly TO yq.,a ,ntt€CT: Kt ^ ^ _t
I rr:' ernnee
-
sF ] orr eanner sr $eoncr iS Ja -r,
f] suNnmu _sF D eool -.-. sr I sromcr sqE, *- srI cnrruorsr
-
sr $ orcr 312- 5e orHER: _ , sr
; ,,. e TorAL sQ FT uNDEn \ool: 4\? ToTAt ARIA sq Fr:zr-
tLo'tou: $ &):l*"w<, * OF STORIES:
€T'AIL
'IDDSESSI
+
Is the.e Ele.t
PioPfRw usr /SINGTE FAI,IILY
0ESCnIPTISI Of hOtrX i *a <.,risli
O!.'NE*/CO TRACTOB:TiSo- 6u-'
ricrL Po$er on\_
OCCUPaICv : Y ]
thls Butldingt qy!5 DNo
I ourlex tr T0[I
&c!-r..,,*"<lr\a5 .trx -z
o|SCLA1U€R I n.n!, c.a, !r, !t t&f.idon in
'lii
.rptt.lon b to6.t ,nd 3u ln.l wit cofloly *;a l! Suro 8!i6ioC .nd al otar qokal,. stlba.d or, in.n..3 &r, .rgvraione. The NriC DG\rlop,nei I Sr.rt.! ct.€. yit !€no{Faa ol 8ny cn&Oo! n tle .!p,!rr,
c6nrsct$ inbfi!!{on. '-il0-tE lry ylor* P..lo6€d WiO $0 aDr..ti.g Pe6& *tr bt b v,o bl,on o, ln6 Nc tf-
......,,*.r......*r,..,.",,.(:l*J:1"1
rs yH€ pRopERTy LocarEs rN a rlooorurrul f yrs &.no
ExISTIllG I|IPERVIoI S AREA: _SQ FT rOrll iC*
El'' l'itFEdvrous anEA!
-
sQ FT rxrsr IAND DrsluiBr[c p€Rxrl: ff vrs l-'] uo
[lrra: fi crrul fJ coh]vllJ rry svsrer.r I pRwarE l.lf[L f, c:lrnal uelr"
5EHER: iLj CrRA LJ CEN'IRAL SEpTIC LJ pRrvATE Srr-:c I coi,u4uN] ry sYsTEH
SIG ATURE:
. pnEraBs
E"^
,.. SfPAiATg PERNITS REqUIRED roe €tEcl, r1:cg, pt 56, 6A5 tQUIp & lilstxYs.'.
PAY'.IElII tlt]t10D:fi casn n cllE(x (PAYABL' r0 !JH()I orlr accolr
*Y r,(.rr** Irir rr ar {ra *}.r, } +r*x**ri *..*r.**ra i+art *a *l 'lr rr....1
(roa lattct uta lnl
SETBACK9T F:}c ,.n,ln' o,rb]- ,,CS ilrrD o*' e'll:/:r
*
SA c!5covER
8FE+2ft=
PENBIT TTE: 9
&
zo*r' fr-i'f orr:ce*,
Approvrl:- City
t
ttrrrnlcrt
Cornert:
;- DAT!3 ?3.1h rrcco'
fitui\nrl I n$ps*fun kqur*':,
Pl$ttf f:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION rYPe: RESIDENTIAL
PLEASE ANSWER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Res pons ibility"
&o rb- 3t19
16- 60 6
APPLICATION
Number
(office Use)
APPLICANT'S NAflE: -.:. r, ,r",r
DEVELOPER:PHONE #:
PROIECT ADDRESS: 103! Bent Blade Ln
s UBDIVISION: The averlook at Midcle soun.l
CITY: l^i I I riirl.1t on zIP i )841,7
BLOCK *: LOT #: :tr_
PROPERTY O NER'S tlAItlE: I il :icr..,cn l nc PHONE #: t4l r5l 84!a
otdNER'S ADDRESS: 401-l Belle rerre B1,.-,1
CoNTRACTOR: D R uorron Inc
CITY:rt Ie Beach
LICENSE #: / ,r r'l
CITY: Myrtle Beach
sT: j!_ zIP: 295-r9
ACCOUNT #:
ADDRESS: 4cli Bette Terre Blvd ST: j!_ zIP : :j:2
PROIECT CONTACT PERSON: t,trltraeL ilaniel:l PHONE #: 9ir.-5rl1 ,,18.1
EXISTING CONSTRUCTION:A LT E RATION R ENOVATION GENERAL RE PAIRS RE LOCAT ION
NEW CONSTRUCTION:ERECT NEW RESIDENCE oT ADDITION TO EXISTING RESIDENCE
*,*PLEASE CHECK ANO ANSWER EELOln ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 46' SF ! oer cannce
-
sF PORCH
-_SF
POOL SF STORAGE SHED
SF DECK SF OTHER: .6 r
TOTAL HEATED SQ FT::ers
TOTAL PROIECT COSTrr"""roo : $
5F
139000
SF
TOTAL SQ FT UNDER ROOF: :.-. TOTAL AREA SQ FT: .,]..-
# OF STORIES: 2
Is Any ELECTRICAL, PLUMBING or FIECHANICAL t^Jonk Being Done to the Accessory Structure?
If the pnoject is a Relocation, is thene a Natural Gas Line on the Current site
Is there Electnical Power on this Building? nYes I No
PROPERTY USE / OCCUPANCY:SINGLE FAMILY DUP LEX ! rowrunouse
y"r E
I I ves
No
I No
DESCRIPTION OF WORK: :rrri,ll! rrnrr-I uc:ii,l.: i r:rl
OWNER/CONTRACTOR: Michae L Daniels / D. Fr. H.rton rnc. SIGNATURE:
(Print Name)****r:*++++*+:+**ir*******,*,t,t*,**r.r.,t,t++,*++,t++***+++++++:i*i.,**:i:i:ir.************)t***)t)i)i+***r(*)t)t*
flvrs El ruo
TOTAL ACRES DISTURBED: ,25
NEW II..IPERVIOUS AREA: tr435 SQ FT EXIST LAND DISTURBING PERMIT:l-l vrs I NO
CF PUA COIIMUNITY SYSTET1 PRIVATE WE LL ! ce nrur wrrr
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
-SQ
FT
WATER:
SEI,JER:CF PUA CENTRAL SEPTIC PRIVATE SE PTIC COI4I4UN ITY SYSTEI"I
i.*I, SEPARATE PERMITS REQUIRED FOR ELECT, I,!ECH, PLBG, 6A5 EQIJIP, PREFABS & IIISERTS ***
pAYMENT METHOD: ICASn ICneCK (PAYABLE TO NHC)T BrLL AccouNT r.rclvrsl I orscoven
* *** r. i. {: + +1rir 1r+itl. ***r(,1.++ + *** ** * * * ** *,*,*,t *,*,*,} +,t,t + +** ** r* r* + rt x x * x * x x )k,* x,**x **** 1.1. * l. r.l. r. ***:k,t,* * r. r.,*
(fOR OFFICE UsE ONLY) SEVI5ED DAIE 94l1|l12
ZoNE: oF FICE R:SETBACKS: F:- LH:- RH:- B:-
N
I
Appnoval:_ City:_ DATE:_ FLOOD BFE+2ftF
fl ru-rr
DATE: )i26,ii5
Efi,lAIL ADDRESS: I4rdanietsGdrhorron. ccm PHoNE #: 91a-821-8556
! surunoom _ sF
! cn e eruHous r
a^d o.din ances and reg! lalion s The N H C Developmen t Se Nices Cen Er will be notified of any changes in he appro ved plan s and specifrcalions or change in con tracb r or
conracbr intormaton "'NOTE:Any Work Performed W/O he Appropriat€ Pemits willbe in Violalion of lhe NC StaE Bldg Code and Subjecl lo Fines Up To $500 00"'
RECEIVED HAROOTOS
0 uvt{ 03/1H3ru \aun-3tsS
APPLICATIOI{
llumber
ir
NEId HANOVER COUNTY BUILDING PERMIT
APPLT0AIToTI II.PEI SIGIIS / BXLLBOARDS
PI"EA5E PRIN1 CLTANTY & ANSX]ER ALL QUESTIONS
frlt;^^,,-^dPr^oJect/, ",,1;+tlht
Responslbr,llty"
(offlce ui.)
DATE I
zIP:8f,qd/
APPLICA T'S tlAttG:
DEVELOPEnf
PRO'ECT ADDf,ESS:CITVI
0ccuPANT/BrrSlt'rEss AlrE:
pnopERrv o,{NER,s NAMEI 41lio-- r*- c/,t*t -utt.*-
OL0aER'S ADoRESS:
coITRACTOfl:
ADDXESS I
FHOiIE +..
PHONE #:
- At('T /?EJ+'ctttt L.J,l,ti,$1*,-- srthc2TPt;fufr!_d
LICENSE *:
CITY :tJt Ln; n^An --s1.:n-- il:,vt Otlll
I
ElitAIL ADDRESSl PHOiIE $i
PHO E S!
ltl-17?-t
P{OJECT CONTACT PERSONt
conlraotor ln16nhi1loh. "'floTgr Ahy work Pdrlamsd WO $lc l+Froplalc Ftrmllg M1 bo h Molrtoo ol lhtr NC St !a Cods !flal Sub).01 lo Fh o! Up To 1500.00' "
OI^INER SIGNATURE:
(P.lnt Nsil5)
***r.* ***+ ** l.* ir+ + +*4 *t* +*l+++t* *** *** **** *4 *t * t*** * *,t,r**+* * **+*1+* |* t*,1I*li,l li,lr a * **ii****A
0
rs srcN(s) or on oFF pRElrsEs? ffou I orr
ond 0dJlnanc.. .fi| ngula onr, Th. Nl.lc Dovolopoant t a.vl... Contor wlll b€ nolmsd c, erry dung€! ln tha 6Dp@vad plsn. atd ap€Clloa[ona or chrngE ln pqltraolo. o.
H
PRO]ECIION
CANOPV
RCOF
OTHER
Total Number of Slgns on thi.s ProJect: I
sISl 1 tlelght:h,,slgn Dlmenslons t 3l x
sI6N 2 HeiEhE: Slrn Dlmenslons: X
SIGN 3 Helsht: Slen Dlmenslons: X
SI6N 4 Helghtr SlSh Dlnenslansl
--
X
-
TOTAL PROJECT COSTI S hN'J IS THE PROPERTY LOCATED IN
TYPE 0F SrGil(S)
zoNE: q1!:L oFFrcER
Approval.- cl.t
Comment:
ffrnresralorruc (6round) ! r,tanque e tr! srrruere l_l narr" fl
{st''-'f,
. of srsn: +h17'(
..' sEpAiarE pEFmrs REQ|TRED Fm ELEcr, EGfl, PLBG, qqgr nsrpftufi[hAggqrigS6ef3 *r;]+'urut:
FA\flEff hErHoD; El casn ftcn:cr (F^yAsLE ro Nnc) f] arrnrcm rxnness El wlvr* f] orscwer
(F6 OfFICE USE
SETBACKS: F
onre;I*LLk- rlooo:
ft1.rH, lti Ann
8E',1S80. DIIE r/
,lJrA e, dn4
X sre*:ft=
TotaL sQ. FT
Total SQ. FT. of Sltn;
Total sQ.FT. of Sign:
T6tal So. Fr. of slcnl
A FLOEPLAIil? E Yes V*
a6lL7
+tr * lt *l|rtt t* r tll *a l.* **+**+ t+ t*, *1. 'ir. * {rr. + {.,trt *** +{** 'r***4'll,t+++4* * ** a* * t* 'r..* * i rr+rr a* ri *
'l'
t*
v
0nnv,nt \g ',^ ,^rgv.u ltha, {dt-, cNnl--35sf r. ^a.pJnr,ur rre,,0-ao"-
t /a 'E9rld
lc-
TRACTOR
NV ?0: Z0 9I0e'60'rq^I
/r"-t-*
-./.
(CHECX ALL THAT APPLY)
ffenrcr I alrrn I neelrn ! euwoe f] cnmrce our
DE5CRIPTION oF UonKi Or- ,!t,t.-w 'a4<Jt,- orw.,*i ,S t{yt-..,. _-
' RECEIVED MAR24Wb
ItEI^I BAI{CVEF. COUITI'IY BU:LDEI{€ PERTI4TT
riPPtjc{lE(ru iYPs: RESIDESITIAi-
PLEA]sE AH$EN ALL QUESTIOT*S A9PLIEABLE TO YIJi PtrO]ECI
'Ppoject Respons !"bl.littP
AaW -btt 7A'+L
APPLSCAT!6[
t{unber
(Oftise Use)
DATE; -<*A(t-ltAPPLSCANT's i{AT4E:Cor..\\^-a-
DEV€LOPER:
L
P.U.oNE *:
,'a,r\r
PRO]ES': ADDRISS:
BLOC!( iE: lni i..
.:_E
/.q-
(rp -, o SsoOOCi.'
swt5EO OiTE sal11/12
PROPEP.IY OT.'NER'S i\t<'itE :
C0N?RfIC?oR:(;.,
t ',.U-\PlioNE *r
OI{NER,S ADDxESS:Ll LJ.IY:u.i .1,*.
: Co-J-
c?: 4l- a9 r ? (,4/l:.#g-..\CCOUi!! {i i
5?;.M ZlPr .J&t/
PHONE i,'; q
AgDEESS:
EI4A3L ADDRESS
PROSEC? CON?ACT IERSOI{ 3
E EsTTNG C0i\'t5iBufi!ni{:
PH0i'!E 9.:l 9 ro -/. r Q-lrz 'u.".I ALlERATroIl I nroroverroru [ arr,leur- nermns RELOCAIIOi,!D
I orr eano.ee
i7 poor- Sl2 qE
[oecr -_*- sr
I0TAL fig[rTED SQ FT: _ T0TA:- SC_ FT L1DER ROoF: _ roiAl. iuRE* sa r.r:
TOTAL pROiEL'! tOS? g.e!s ror) : $ )Srec.e S 0F STC;.5 ES :
i,!0
:.=-r{0
PEOPERTY USr / OCCtrtgIrtC.,': I Sf EF mrv 'I ouclr:t ?or,!irH0us E
rs any ELEc?RicaL, purr48lN6 op FlEct{Axrcal trork Being Done to the accessory structuru? ffi vu, EIf the project is a Relocation, is there E NatupeL 6as Line on the Current srt=: [-,".fs thepe ElectpiceL Por.re. on this aui!.ding! Qre" 3 ito
[nrr eealar
-
sF
I surunoon
-sF
f] eneeruxo.rsr
-
sr
sF EPoRcH ----sFf] srouor sHED _ sF
OTHE R:
*<i€i'!hT!..iEE:
TOi.lL I1.!1E5 DISTIJP.BED :
)DESCRIPTI0'{ OF h!0Rt(:
DliCLAtn€E I herEby cenily tlsr aI h6'|tr.don i. r,r te .ppE5l.n b s.rod a^d !n r,6ru wilr .@! y rrlh ara stol!B{ndhg C.d. lnd .! oher .pplEaUg sraE Erd toqal Ews{ld odln ces aod r€golafsos.The NHC DevElopmont *aAtuii.. CEnEr \.rin be noffod o, any ch.ne.s h ln.arproved phns rnd srecifia,ltons or aiEnge h om.acbf otcoieacbr inbrmeton. "}'IOTE: Aoy $lr0 the ADsropdaE P.mlsei br b VoEnon ot gig {C Sllr3
OhINER/CON?R/IC?ER :.l..H
*". "-...,"., Jgt+iiisEl==
!S iHE 9P.09EffiY LoCATED !i, A FLoODptAlit?
E(esrEre $lPEfrU=oUS AReh: _sq F?
EH $tPEilIEC[tS AREA: so F"Extsr LANo DSSTURBING pEBitlT: I]l vrs fi iuc
unian: fii-creua I
sErlsn; Bacrrun il
(FOq oirrca ull eJtY)
ZONE:
-
OFFICER:SEIBACKS: Fi LH
Appno\r51i- City..._ DArE._ FLOODi _
A
cof,ti{uNlw s". s'rrn E pRIVATE HELL I CrurnRl ,.r,rll
CEI{IRAL sEpTIc t rrr.,.vlrs sEpTIc E c0 ririui,liTv sr$E/r
__._-_-_ .:-j_trrilgt pERl4'.r. REo_urniD FoE ELrctr r,lEcrij pt.Dg, 6pS EqJIp, PIIEFABS g li,tsEtis *ar
'Al',TqEfli
nETHIr,3 ,J CASF: Lie{scr( (pa1,a,rE io i,lscl f,a:r_l iccoupj '
[u.7**.-!'ora.o,-,oa+ee*+t+++++!E*+*+*:I:r**'.6..'+c*ar.+**++a++++*++c;Ii+*+*+*-*+++*c*s:!=r:A+€.n{.,},re,}a;rr*=+ii+
: RH:_ B:
BFE+lft=
V11
".rl.-s 1r..,
Cosunerrt _ tlERl{ii EEEr
{
gjsDrlrgs3oi! !
NEII COT,ISTRUfi:OI'II E EREC" i'!E!{ RES:DEI{CE Or I EOOUTrOru TO EiGsTEflG P.ESIDEIIIEE
CCPLEASE OIES( AflD AflSI€R BELOU ALL T{fi iPPLV M VOUi PRO]E€?:
.r$
@,
. RETEIVED t{AR 2 4 MS
NEld FI.ANGVER CSUNIF{ BUTLDTNG PER$'ITT
APpLIcA'ilU{ iyPs: !iESI DEII! TEAL
PLEASE AflStCEi ALL qUESEoN:i AppLiCABLE TO yoUR pnolEcI
"FroJect Responsll!.!.itl,
c!14:
SLOCr f:
--
LOT *:
&DPLICANTJ 5 NAJ4E :
DEVELOPER:
PROJEGT ADDBESS;
suBDrvisSoN:
pHoNE {.i:
APPLTCATION
Nurober
(ofrlce Uso)
ui:tE r 3-aq-lt
af
PROPERTY O$NER's NAi{E I .)-P
OIINER,S ADDRESS:oao
iCCCUnl: *r
PHON!
6IiRA.GE sF I lPoRcH (E
r- Squ? cE I sroRner suro
PHOI'IE ;+:
g?,lLzip, Ak4o5
sr'gg@q7
{r: qtc ltq L]1Lq'2
P[6NE {rr 9ro /. /Q {7?O
RELOCATIOiI
l,\),\
ADDBESS r
EI,IL'IIL .T\DDRESE:
PRoSECT C0 TACT PERSoi'l:
flESTSNG CONS?RUCIItN:
[nrr eaaaae _ sF f] orr
f] suiunoo,
-
sF i=l-poo
I ar-renerroru i] nruwarroru [ ernenlr- arrnrrs I
I--l eneeuro.tsE sF I orcx
-...-
sr OTHE R
IOTAL HEATED SQ F?:
-
TETA:. sG .!? U$DER RoOF:
-
T0i5.L .q.q,E* so Fr:
?eTp.L PROXE€? COS? cals ro0 t I IL sc.,_t $ tF STC-i1IES:
Is Any ELECTIIICAL, PUrr.BtNg oF i{EC AT XCAL tort( Belng Done to the Accessor.y Struc,(ure? ffi_Ves fi nO
3+ the project is e Relocation, j.s there a itaturaL 6as Li,ne on the currerrutit fi,rl [ ruofs thepe Electrical polreF on this Bui!.dlng? iEt", E iuo
PROPEniY UsE / OCCI.JP,qNS.':
DESCR!PE0i' OF r{ORr(;
[I6LE FAiGLY 'fl ouelsx TOI,IirH0usE
IS THE PRopERTtj LoCAiED lir A E!.ooDplArir?
=
yss fto t,.{Ve.
.nd .[ o,lir arpttsaiE SttE alto tocd tawsspecihlions or dBng€ h cDntrlcbfor
(h ro S5OO.00i.'
. ruc
EiSSTTNC EI4PERVXOUF ARE:E;
ITEI.J IIqPE .xqJS ARE'.I
uaTER: EfcFPun
smsn; Efcrrun
appnoual: Ij l- oqy
cbo
-5Q
F?
s0 ;?
Tgi!,l lgREs DISTIJRBED:
EvGsr LANo DisruRBrruc riffifft vrs
sgpiqffiE pER,|:iS R EQUrneo FoR ELECT, HECHr PLEE: 6p5 EqJiP, PIEFABS &li,lsEllis r*+g/r.{,lEtt!i elEiHoD :t-I mss lf cr{Ecl( (PA..'iBLi io i.rscl f, s:r_i *ccoulli E nclv:s.o - o$cor.,ERa*t9+aar}?++s***+* g++$r.s$Fatlt***d+{,+*t+*+i+ct:tCaAStAni*+*S++C ::==:+att+,,ro*.*6GE++69a
E cor,otuurw svsrea I pRivArE erELL i] crurnar rrlt
D cnwnar- srpuc Ei pKrvATE sEprrc El cojlrl,ruruiry svsrEr4
.-1t , ^ (r@ (}'FrcE ust eLY,
a Y lll sErBAcKs: rN/A rs,JDl-r{\ o^1",abul U*r_ooo, l-
,lR' o*,/0',, /C'"*
BFE+Zft=
PERliiT EEEr
ofiiE gat,tr.tL,
A
L i{'t
r.<-<iYd}le\
C.6roni
/0'qxal
City lnspeclion Requrreo, gl O.2L4ttfrg
Aoto-iu{
Jr*ffi
coi{?R c?oR:
NEH COI{SIRUC?JON: E ERECi I!E!{ RESZOEI{CE O" f] AOOUT:OiU TO A-\EsTING TIESIDEIIJEE
CAPLEASE CIIES( ASE AflStiER BELOH ALL ?HAI NPILY M YOUR 9ROsEETI
'lJ-"')OIINEiT/CONfRAC?OR :5i6i,i4?uEE :
D
mne: (-dO oFrrcrn: