APRIL 15 2016 BUILDING APPS, o,6o-B t Y
L5-923
APPLICATION
Number
(Office Use)ffi
APPLICANT, S
DEV€LOPER:
PRO]ECT ADD
NOVER COUNTY BUILDING PERMIT
APPLICATION IYPE I RESIDENTIAL
E ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ETT
"Project Res pons ibility"
NAI{E: iJi,.i,.,., D-rl els
DR Horton Inc
RESS: !::, sr eele :
DATE: 3/23/t6
PHONE #: 91-'r-821-8556
CITY: wilminqLon ZIPi:-,.
SUBDMSION: Rese r-le a:;';est
PROPERTY OWNER'S NAIIE: -r ;rcr cn -l nc
OhINER'S ADDRESS: .11.1! Lrerre r rre Bl.''d
CONTRACTOR: DR Ho rt- on lILc
ADDRESS: 4049 Belle Terre Blv CITY: M rt le Beach
ElvlAIL ADDRESS: nr.:tan i e::i Gdrho
PRO]ECT CONTACT PERSON: ,eraIai
ALT RATION
NEW CONSTRUCTION:ERECT NE RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW L THAT APPLY TO YOUR PROJECT;
ATT GARAGE J!5 5F DET GARAGE 5F PORCH 41
SUNROOM SF POOL SF STORAGE SH ED
GR E ENHOUS E SF DECK SF OTHER: 13 9
TOTAL HEATED SQ FT: t4cE TOTAL SQ FT UNDER ROOF: I.. I: TOTAL AREA SQ FT:
sT: jg zIP: :4r:
PHONE #: !rio-821-8556
PHoNE #: 91a-.165- l9 t a
SF
SF
SF
5225
TOTAL PROIECT COST lress ror; :
Is Any ELECTRICAL, PLU BING or
If the project is a Relocation
Is there Electrical Power on t
PROPERTY USE / OCCUPANCY:5
DESCRIPTION 0F WORK: rre,..r resid
DISCLAIMER: lhereby certify rhat all inirrmairon in fli
and odinances and regulations The NHC Deve opme
conlractcr intolmaton "'NOTE Any Work Performed
OWNER/CONTRACTOR i r,:rcr,aer :a
$89000
+:f:t:t +:t,i ii,i + rt + + ++* i* *** **** )r )r )r )r **,r * )** * **++ + + * * * * * * * t * * + * + *t** **
OODPLAIN ?YES T NO
SQ FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:I YES [--l r'ro
SETBACKS: F:_ LH:_ RH:_ B:_
FLOOD: BFE+2
# OF STORIES:
ICAL l,Jork Being Done to the Accessory Stnucture?!ves [ ruo
is thene a Natunal Gas Line on the Cunrent Site? [ Ves I llo
1S Building? [-] ves T No
NGLE FAMILY
nt 1al
1e1s DF. Hort,on rnc. SIGNATURE:
DUPLEX TOWNHOUSE
/O the Appropriate Pemits willbe ln Viotalion ofrhe NC Srate Btdg Code and Subjecl to Fines Up To $500 00,,,
applicalion is corecl and all work will comply with lhe Siate Building Code and all oher applicab e Slae and tocat taws
Services CenEr will be notfed of any changes in he approved plans and specirications or change in contractor or
IS THE PROPERTY LOCATED IN A F
EXISTING IMPERVIOUS AREA:
*,* * * + + + + * + + * * * * *,t * * * * i< 1( *i<r(
NEt,l IMPERVIOUS AREA: ,,,1:r
[',ATER:
SEWER:
CFPUA
CFPUA
COI4MUNI TY
CENTRAL SE
YST E IV]PRIVATE WELL CENTRAL WELL
1C
*** SEPARATE PERI'IITS R Q{JIRED FOR EIECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
PAYMENT METHOD: E CNSTT il ECX (PAYABLE TO NHC)AI.IERICAN EXPRESS tr f1c /vr5A**** *** **** ****,*)*)** *** * ***
Appnoval:_ City:_
,t ,F ,F + + ,1. * * 1. i. i. i. 1. 1. X * * * * * * + + + + + + * ,* + ,* * + ,t * * * * * * + + + + * * * * * * )k * * * * * * * * *
(FoR OFFTCE USE oNLy) REVI5ED OATE O4l11l12
N
DATE :
NEW
BLOCK #: LOT f: .,
PHoNE #: 114l--15,--84aa
CITY: Ifl!ls_lsg!}_ ST : j!_ ZIP: 2 e5re
LICENSE #: 2e676
EXISTING CONSTRUCTION: !! nenovarroru ! crruenal REparRs E RELocArroN
Z
I enrvare sEprrc E coMMUNrry sysrEM
I orscoven
ZONE : _ 0F F ICE R:
NEW H
ATT GARAGE 16I SF
TOTAL HEATED SQ
NOVER COUNTY BUILDING PERMIT
APPLIcATIott TYPE: RESIDENTIAL
E ANSI,/ER ALL QUESTIONS APPTICABLE TO YOUR PRO]ECT
"Project Responsibility"
)otb) 3Y r
L5- 924
APPLICATION
Number
(Office Use)ffi PL
APPLICANT'S NAIvIE: i:,..t. r , ,eIs
DEVELOPER: DF HorLo1.. rnc
PROIECT ADDRESS: r21 ::reete l CfTY: rii l rmi notori
SUBDIVISION: ri.eser'. e :r .'.-- ,
PROPERTY OI.INER,S I.IAI\4E: :R iI ,L rn Inc
OWNERj5 ADDRESS: - - ,..,rre Blr.'d CITY: Mv:tle Eeach
CONTRACTOR: DR Hor: cn lric LICENSE #: :r.r.
ADDRESS: .1!49 Belle Terre Blv CITY: :'1,/: I ie Eea.rn
EMAIL ADDRESS: m:{:1an r e I s t! (tr ho
PROIECT CONTACT PERSON: Par- F LZ era lC
ALT ATlON
NEI.J CONSTRUCTION:ERECT NE RESIDENCE OT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW L THAT APPLY TO YOUR PRO]ECT
DATE: :i.at/tr
ZIP I 28411
PHONE #: :.i : i l
sT: s: zIP: r !,, r'l
ST: j:_ ZIP: , ,'
PHONE #: 9t c-8 21- rr 5 t 6
PHONE #: 91c-16 5- l qLr b
5FPORCH : :,r
STORAGE SHED
SF OTHE R: 8 8
_ sF
SF
DATE: FLOOD
DET GARAGE
-
SF
POOL 5F
TOTAL PROIECT CoSTrressrorl : $
If the pnoject is a Relocation
Is thene Electnical Power on t
PROPERTY USE / OCCUPANCY:5
DESCRIPTION OF WORK: lr.,.r ,,:, 1,1 ntial
DISCLAIMER: Iherebyce ify hat all informalion in hi
and ordinances and regulalions. The NHC Developme
contaclor inlolmaton "'NOTE Any Work Pedormed
OWNER/CONTRACTOR : r.1ichae1 Da
tr< * * * * * +,t *,t * )t * r. * ** * )* )* )* )* )i )t )t )t
IS THE PROPERTY LOCATED IN A F OODPLAIN ?
EXISTING IMPERVIOUS AREA:
NEt^l IMPERVIoUS AREA: 2rt r
FT: rtea
164000
Yes No
LE FAI'1ILY DUPLEX TOWNHOUSE
/O fie AppropriaE Permits will be in Violation of the NC SlaE Bldg Code and Subrcct tc Fines Up To $500 0O'.^
iels DR Hortcn Inc SIGNATURE:
TOTAL SQ FT UNDER ROOF: 33?3 TOTAL AREA SQ
rint Nane)
n YES I
applicaton is conecl and all work willcomply wilh he Slate Euilding Code and all oher applicable State and local laws
ServicesCenterwillbenoliriedolanychangesinheapprovedplansandspecrficatonsorchangeincontractoror
Ff | 2aj s
I5 Any ELECTRICAL, PLUMBING oT ME ICAL l"iork Being Done to the Accessory Structune?I
is thene a NaturaL Gas Line on the Current Site?D Yes n No
1S Building? [ ves I No
++*+,t,*+*,t,i,r************+*+++************,*+,*++******)*)*
WATER:
SEWER:
CF PUA
CF PUA
COMMUNITY
CENTRAL SE
NO
SQ FT
SQ FT
TOTAL ACRES DISTURBED: r6
EXIST LAND DISTURBING PERMIT:YES [--l ruo
STEM
IC PRIVATE SEPTIC COMMUNITY SYSTEi\4
QUIRED FOR ELECT, MECH, PL8G, 6A5 EQUIP, PREFABS & INSERTS ***
EcK (PAYABLE TO NHC) E AMERTCAN EXPRESS I mcTvrsl I orscoven
*** SEPARATE PERI'IITS R
PAYiIENT irErHoD: f] cos, f]c
ZONE : _ 0F FICE R
(foR oFFICE USE oNtY) REVI5ED OATE O4l11/12
SETBACKS: F: LH: RH: B:
<t ** *** **+4 44 + + ++++ +++ + +i+ +,*,*,*******xxx(*****,**,*,*,*++++++*+***!t*r.*******,**********xxx*++*
Approva I :_ City:_BFE+2ft=
N
T
#/1rl?
! surunoom _ sF
I cReerurouse _ sF
PHONE #: 9tt-821-8556
BLOCK f: _ LOT S:
EXISTING CONSTRUCTION: E ! ner,rovnrroru ! cerurnnr REpArRs E RELocATToN
tr
! orcr
# OF STORI E5 :
! enrvere wELL E CENTRAL r,tELL
IING
eoth-3ly >t6-925'
APPLICATION
Number
(office use)
PLE
APPLICANT'S NAi'lE : ::,, :..i:, t::.:
DEVELOPER: DFt rior--on rnc
PROIECT ADDRESS:,a:1a -r'an.rrrr.e
SUBDIVISION: /Jdi ersirie at- i,,ooc Laie
PROPERTY OWNERTS NAME: DR hir-n Inc
OiINER'S ADDRESS: 4ir4,. Berre re re Blvd
CONTRACTOR: rr:i ll.)r t.)r, Ir:c
ADDRESS: 4049 Beile Terre Blvd
EMAIL ADDRESS: nr di:rr:,ets drhor
NEW H NOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: R ESIDENTIAL
E ANSWER ALL QUESTIONS APPLICAELE IO YOUR PRO]ECT
"Proj ect Responsibility"ffi
DATE: '1/2'3/1()
PHOl,lE #: 91a-82 1-8556
BLOCK #:
LICENSE f: :9l, r- a
SF PORCH -'
STORAGE SHED
SF oTHER: 2 30
LOT f:
PHONE #: 'r4ri i5l-t4cal
ZIP :28412
CITY:).1yrt I e B.ach ST: SC ZIP::95]9
PHONE #:
PHONE *:
910 821-8ss6
PROIECT CONTACI PERSON: :t a:rL r;:
ALTE ATION RENOVATION GENERAL RE PAIRS
**PLEASE CHECK AND ANSI,JER BELOW A
RESIDENCE o" ! aOOrrrOlr TO EXTSTTNG RESIDENCE
L THAT APPIY TO YOUR PROJECT:
NET'I CONSTRUCTION:ERECT NE
RE LOCATlON
SF
SF
SF
TOTAL SQ FT UNDER ROOF: 2833 TOTAL AREA SQ FT:
TOTAL PROIECT C0STrressrou : $
If the pnoject is a Relocation
Is there Electnical Power on t
PROPERTY UsE / OCCUPANCY:s
DESCRIPTION OF WORK: tle,n :!s1i tial
DISCLAIMER: I hereby certify hat all inbmation in his
and ordinances and regulallons The NHC D€velopmen
conracbr informaton "'NOTE AnyWork Pe omed
OWNER/CONTRACTOR: Michaer Da
129000
Services CenEr willbe noiilled olany changes in he approved plans aod specifications orchange in contracbror
/O fie AppropriaE Permits will be in Violation of lhe NC Stab Bldg Code and Subject t] Fines Up To 5500 00.''
eLs DR Horton rn.. SIGNATURE:
rint Nane)**,*+++i.+++1.1.1.1.*X***r*+r*r*+*+*+***,t,t****+*xx******+,t,t,t*********
ATT GARAGE .I ]5 SF
5UN R00t'.1 5F
GREENHOUSE SF
TOTAL HEATED 5Q
tr DET GARAGE
POOL 5F
DECK
DATE: FLOOD:
FT: r032
* * * + * * * * * * * * * * * i. i.++ *,* * * 1. * * +
r0301
I5 Any ELECTRICAL, PLUMBING oT MEC ICAL Work Being Done to the Accessory Structurel Yes n No
is euilding ? ! ves I No
LE FAMILY DUP LEX TOWNHOUSE
pljcalion is conecl and allwork willcomplywih ,te Slale Building Code and allolrer applicable Stab and tocal taws
IS THE PROPERTY LOCATED IN A F ooDPLATN? !-'] ves I
EXISTING IT1PERVIOUS AREA:
NEt^l IMPERVIoUS AREA: -1314
NO
SQ FT
SQ FT
TOTAL ACRES DISTURBED: .23
EXIST LAND DISTURBING PERMIT:I YE5 [-l r'ro
TE 14 PRIVATE WELL CENTRAL WELL
QUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
Ec( (eAvABLE ro rnc; I nlrrnrcAN ExpREss I r'rcTvrsl I orscoven
WATER :
SEWER:
CFPUA
CFPUA
COI1I.1UN I TY
CENTRAL 5E rc E pRrvATE srerrc ! coMMUNrry sysrEM
*** SEPARATE PERMITS R
PAYMENT I,IETHOD: N CASI NC
ZONE : _ OF FICER:
Approval :_ City:
(toR oFFrcE usE cr']LY) REvIsEo DATE O4l11/12
SETBACKS: F: LH: RH: B:
******++,F*******+**********,.r.*+*,*,*,t+,*,t,t,t+,*,t,r)*********+*****++*++*+*******tr<***r(*r(*******
BF E+2ft=
I
N fltaqc
CITY: l"i lminqLon
CITY: [,Jyrt-Ie Beach ST: :]C ZIP:29519
EXISTING CONSTRUCTION: E
# OF STORIES: 1
is thene a Natunal Gas Line on the Cunnent Site? [ Ves I Uo
Z
tr
.Qotb )Y a. L6-926
.ffi
ATT GARAGE 4q5 SF
suNRooM _sF
GREENHOUSE SF
NOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTTAL
E ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]EIT
"Project Responsibili.ty"
ADDRESS: 4049 BeIle Terre Bl1,d
EIIIAIL ADDRESS: ,rLr.ian i e ] 5 (_il1rho r
NEW H
APPLICATION
Number
(office use)
APPLICANTT S NA|.IE: :.::,.:... r.-:
DEVELOPER: rrR H.rr.i r ,1..
PROIECT ADDRESS: 'ai1 r,. .,,,,.,:Ct,
SUBDIVISION: ,'i,r .:sr.l! .,- l':..,1 Lake
PROPERTY OWNER'S NAITIE: l:r. :.c:-.n I nc
Otr,lNER
j S ADDRESS: ;iri,r rii le re
OAf E1 3 / 2', 1t'
ZIP i .'r,41 )
PHoNE #: 84-1-:sr.-B4ar,i
re Blvd
Y5T E T4 PRIVATE I,,]ELL
CITY:Mvrtle Beach ST: rr al ZIP: r,l!l:,1
ST: s. ZIP::95r9
LICENSE #: : :
CITY:MvrtIe Beach
PROJECT CONTACT PERSON: . ,::. 'l
ALTE ATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANS|JER BELOllJ A THAT APPLY TO YOUR PRO]ECT:
PHONE #:
PHONE #:
910-821-8556
PoRcH _!:_ sF
STORAGE SH ED SF
SF OTHER:31 SF
TOTAL HEATED SQ FT: :, r -.:TOTAL SQ FT UNDER ROOF: :,, TOTAL AREA SQ FT: 1 ,
TOTAL PROIECT COSTIL"""L"u : $
Is Any ELECTRICAL, PLUMBING or MEC ICAL Work Eeing Done to the Accessory Structure?I
If the project is a Relocation
Is thene Electrical Powen on t
is there a Natural Gas Line on the Current Site?Yes No
PROPERTY USE / OCCUPANCY:5I LE FAMILY
DESCRIPTION 0F WORK: r.:'.. ,=.,-.
OWNER/CONTRACTOR: r.ri c r..e r ua
*** * *** *+*i< **** i<*++ * ** * ** *
EXISTING II{PERVIOUS AREA:
NEI{ I}TPERVIOUS AREA: ]435
Yes tr Noil
is Euilding? EYes !No
NO
SQ FT TOTAL ACRES DISTURBEO: ,24
DUP LEX TOWNHOUSE
tial
applicalion is correct and allwork wi complywif'heStateB!ildingCodeandallorherapplicableStaEandlocallaws
,. i.i DFr I!,)r t.,:, Ir. SIGNATURE a
**1.**1.***++++*++,t,f ***++**+***,F+++* ******,k*********+***x*****
OISCLAIMER: lhereby certify hat all inft)rmation in hi
and ordinances and regulaiions The NHC Oevelopme
contsacbr nfomaton "'NOTE Any Work Perlonned
SeNices Center willbe nolifled ofany changes in t'e approved plans and specilications orchange in contractor or
/O he Apprcpriale Permits wrll be ln Violation ot the NC Staie Bldg Code and Subjecl t Fines Up To S500 00"'
IS THE PROPERTY LOCATED IN A F OODPLAIN? I-I YES !
I'IATER:
SEWER :
CF PUA
CF PUA
COMMUNITY
CENTRAL SE
CENTRAL WEtL
COI4I4UN ITY SYSTEII
*** SEPARATE PERI'IITS R
PAYMENT METHOO:flcmx D c
** * * * ** **:l<* **** **i<* * * * * ***
IC PRIVATE 5E PTIC
SETBACKS: F:_ LH:_ RH:_ B:_
DATE: FLOOD: BF E+2ft=
QUIRED FOR ELECT, I'IECH, PLBG, GAS EQUIP, PREFABS & INSERTS
EcK (PAYABLE rO NHC) E ff4ERTCAN EXPRESS I tClrrSo tr
,(*i.i.,t,t+:i*****r.*+++++++rt*****,*****+r*xxr*******r(1.i.****r(r(r.*r(*,*+++
(foR oFFIcE USE Ol'lLY) REVlsEo DATE 04111112
DISCOVER
zoNE: _ 0F FICE R:
Approval:- City
N fl ,11
DET GARAGE
-
SF
POO L _ SF
PHONE #: rr,r-821-8556
CIry: r,ialminqron
BLOCK #: LOf *i 221
EXISTING CONSTRUCTION: n ! neruovrrroru [ ceruenar REpArRs E RELocArroN
DECK
# OF STORIES:
SQ FT EXIST LAND DISTURBING PERMIT: FI YEs N NO
NEW
2o16 :D,l ^ -
ANovER couNTy BUTLDTNG pERMrr L'6-928
APPLICATIoN rvPr r R ESfDENTIAL
E ANsWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Res pons ibility"
APPLICANT'S NAI.IE: : r ,:., -.,els
DEVELOPER: DF. H.r rr. i,r, rr:c
PROIECT ADDRESS: :.;:,,a:r!u,.rct CITY: wi tmr n ron
SUBDIVISION: ritrt,: r:; r,le at- i..io Lake BLOCK #:
PROPERTY OhINER'S NAI'4E: DR ho on Inc
o[^,NER ' S ADDRESS: ,iir4'r Eelle rre B l\'d CITY: I,l! r l le Dea.rh
CONTRACTOR: --R H,,r' .r:: r,,c LICENSE #: 2e6rr,
ADORESS: 4t49 Bette Terre BL!CITY: Myrtle Beacl
EI\,IAI L ADDRESS:.lrho
PROIECT CONTACT PERSON: . ".Lson
ALT RATION
NEW CONSTRUCTION:ERECT N RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOl/lJ LL THAT APPLY TO YOI.JR PRO]ECT:
PORCH !]
!
ffi
ATT GARAGE ]'I SF
SUNROOM 234 SF
APPLICATION
Number
(office Use)
DATE: ': / 2'J / 7a
PHONE S: l1:-8:1-8556
ZIP i :.t.--
LOT f: :1.
ST: -:t- ZIP : 2 95 r- 9
ST . :_._ ZIP i :.. .t,: :
SF DE CK
STORAGE SH ED
PHONE #: l1r:,-82i-8556
SF
SF
SFGR E ENHOUS E
TOTAL HEATED SQ TOTAL 5Q
SF OTHE R:
FT UNDER ROOF: 2 41:
# OF STORIES: ITOTAL PROIECT C05T tress rotr :
Is Any ELECTRICAL, PLUI'4BING or M
If the pnoject is a Relocatio
Is thene Efectrical Power on
s
Ff : t9a'j
ICAL Work Being Done to the Accessoty Structure?Yes tr No
is thene a Natural Gas Line on the Current Site?Yes Druo
fs Buitding ? n Yes I No
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WORK: :. eL,resld
NGLE FAMILY
ntr.aI
DUP L EX TOWNHOUSE
/O he Appropriate Permits willbe n Violation of the NC State Btdg Code and Subjecl to Fines Up To $500 00..r
reLs, DF. Horton rnc. SIGNATURE:
DISCLAIMER lheebyce ly har allinformation in dr
and ordinances and regulations The NHC Developm
conlraclor inbrmaton "'NOTE Any Work Performed
OWNER/CONTRACTOR i rqrchae r Da
applicalion is conecl and all work will comply wilh he State Building Code and allofier appticabte StaE and tocat taws
t Services CenEr willbe nofiied ofany changes in he approved ptans and specifications orchange in contractcror
IS THE PROPERTY LOCATED IN A
EXISTING II{PERVIOUS AREA:
OODPLAIN? J_-I VTS !
***************r<**********
NEI^I IMPERVIOUS AREA: 289:SQ FT
Print Nane)
+ + +,t + +,* + + )t * * * *:t:i {r 1. *,} * *i.** r.,},} * *** *:}* ** * + + * *** *** ++tr<* 1.** * * * r* * + +
NO
SQ FT TOTAL ACRES DISTURBED: .
EXIST LAND DISTURBING PERMIT:T ve s I--l ruo
WATER:
SEI.JER:
CF PUA
CF PUA
COMMUNITY
CENTRAL 5E ! enrvare sEprrc E cofiMuNrry sysrEr4
YSTEM PRIVATE WELL CENTRA I^]E L L
TIC
*++ SEPARATE PERIiIITS QUIRED FOR ELECT, I'IECH, PLBG, GAs EQUIP, PREFAES & INSERTS *T*
EcK (IAvABLE ro Hrcl I mrucAN ExpREss I r.rcTvrsa tr
* + + + +,t + + + + + + +,* ,t,* ,* ,* x**,ix** *** * *,t+ *** ***x x,r x x x + * + **r.r. * * * )* **** **
(roR oFFrcE usE oNLy) REVIsEO OATE O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
FLOOD: BFE+2ft
PAYMENT ETHOD:CASH
*+ + * * * * * * i. * i< i( i< i. ,( ,( * * * * * * * **
zoNE: _ oF FrcE R:
Approval:_ City:
ilc DISCOVER
IN
I
DATE
f,dT
! oer cnRace _ sF E! eooi_sF tr
PHONE #: 84l-l5l-ri4-1,1
PHONE #: q1c-52c-7193
EXI5TING CONSTRUCTION: E ! nrruovarroru [ ceruennr REpArRs E RELocATToN
TOTAL AREA SQ FT: . ..
NEW
APPLICANT'S NAI{E: t.1i c:Lre- !a.,els
DEVELOPER: DF. Ho r'-, on ir:.
PROIECT ADDRESS: ,. 1- .ian.-:,.,,,,.
SUBDIVISION: ?iatersi.le at r,ioo Lake
PROPERTY OI^INERj 5 NAIl4E: -R h.rr
OWNER'S ADDRESS: ,1i.1!, Eerre r rre Bl vd
CONTRACTOR: DR Itcr..rr: rrc
& o tG-335A
L6-932
APPLICATION
Number
(Office Use)
NOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
E ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"ffi
DATE: :,)i .,)
PHONE #: -:- -:.-,:
CIry: lii 1ni n ton
BLOCK #:
)8 412
LOT S:
ZIP i
224
2961 6
ADORESS: 4a4i tselle Terre 81v e Beacll
EI'IAIL ADDRESS: m:.lanieIs3irho ton , com
PROIECT CoNTACT PERSON: :l r:r, .';I son
ALT TION R ENOVATTON GENERAL RE PAI RS
NEW CONSTRUCTION:ERECT NE RESIDENCE oT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOt,/L THAT APPLY TO YOUR PRO]ECT:
SF PORCH I 'r:
LICENSE #:
CITY: Yr::I ST::___ZIP::r::
PHONE #:910-821-8556
PHONE #: "l ! r,la-1193
RE LOCATTON
SFATT GARAGE 432 SF
SUNROOM 11] SF
GREENHOUSE
TOTAL HEATED 5Q
STORAGE SH ED _ 5F
SF
DET GARAGE
POOL
DECK
5F
SF SF OIHE R
TOTAL PROIECT COST rress roo :
Is Any ELECTRICAL, PLUIilEIl.lG or M
If the pnoject is a Relocation
Is there Electrical Power on t
PROPERTY USE / OCCUPANCY:s GLE FAMILY
DESCRIPTION 0F WORK: ire(' Lesii nt1al
DISCLAIMER: I hereby ce.li6/ hai all inionnation in hi
and ordinarces and regulatons The NHC Developm
corractcr intormalion "'NOTE: Any Work Perfonred
OWNER/CONTRACTOR: Michael Da
TOTAL SQ FT UNDER R00F : ,5::
# OF STORI E5 :
AI'IICAL Work Being Done to the Accessory Structure?T
is thene a Natunal Gas Line on the Curnent Site?
is auild i ng ? fi ves I No
FT: 2eBs TOTAL AREA SQ FT: 10r29
$
ves I lto
[v"t [ ruo
DUP LEX TOI^INHOUS E
/O f'e Appropr aE Pe,mits will be in Violation of the NC Srare Bldg Code and Subject b Fines Up Io 9500 00"'
1el:i :)F Horto:, rnir SIGNATURE:
)*,**,*,*,*,*,*x+++:*+++++,t+,t1.++,t+++r.r,*************:*+++r:,t**tr<***r<****
applicaton is co.recl and all work will comply wilh lhe Slale Building Code and alloher applicable SiaE and local taws
SeNices CenEr willbe notfied ofany changes in he approved plans and speciticarions orchange in contracbror
IS THE PROPERTY LOCATEO IN A F
EXISTING II'IPERVIOUS AREA :
ooDPLATN? f-'] vrs I
SQ FT
NEW IIVIPERVIOUS AREA: 311]5Q FT
NO
TOTAL ACRES DISTURBED: .:
EXIST LAND DISTURBING PERMIT:T YE5 [-] ro
WATER:
SEWER:
CF PUA
CF PUA
COI4MUNITY
CENTRAL SE
TEM PRIVATE WELL CENTRAL WELL
(roR oFFrcE usE oNrY) REVIsED DATE O4l11/12
SETBACKS: F: LH: RH: B:
PRIVATE S EPTIC COMMUNITY 5Y5T EI4
*** SEPARATE PER}IITS R
PAYnENT r.rErHoD: ! casr I c
QUIRED FOR ELECT, MECH, PLB6, 6A5 EQUIP, PREFABS & INSERTS ***
ECr( (payaBLE ro NHc) E AMERTCAN EXPRESS I r.lCTVrSl I orscoven
IC
* * * *,t*+ +* * * * * * * * * * * *,t * * * * * *f.i.i.{.**++,*r.,*+,*******)*)*)k)******r.r(*+++**;**+,*+++*******)r******+++
ZoNE : _ 0F F ICE R:
Approval :_ City:DATE:_ FL00D BF E+2ft--N S tsUJ-
PHONE #: 841-l5r- 84ri!
CITY: t,l.rrt le li--r,:], ST: .r: ZIP: 2!rl,-9
EXISTING CON5TRUCTION: E
Z
NOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
A5E ANSWER ALL QUESTIONS APPLTCABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAIIIE: Lr. Li Horr,ol 1nc
DEVELOPER:
PROIECT ADDRESS: :r . :,'.:e,e -
SUBDIVISION: li:-- i.: : ,' . . i stba
PROPERTY olrNER'5 NAIT1E : ,. :i rton, I nc
OWNER'S ADDRESS: .1i.r r r L--1]e r rre Bl .l
CONTRACTOR: D.R. Horr-.rn. Ir,.l
ADDRESS: 4C?l Bette Terre BLv
NEt^l
ElilAI L ADDRESS: nr dr n r e i,i G.1r tro
suNR00t4 SF
ffi
Jolb{}53L6-934
APPLICATION
Number
(Office Use)
DATE :3i23/1t)
PHONE #:
CITY: llr lrnrnoton ZIP I 2841
CITY:MVTt IC Beach
LOT #:
PHoNE f: ia:-:rr-d;:.1
ST: sc ZIP: 2 9 5 -'- 9
ACCOUNT #:
sT: sc zrP::95r9
914-821-8556
PHONE *: tra !65-rrfa
SF
SF
FT a .2e2
I Yes No
Yes T No
LICENSE #: , ri,ra,
CITY: Myrqle Beactr
150252
PHONE #:
PROIECT CONTACT PERSON: .'.2 eraLd
ALT RATION
NEW CONSTRUCTION:ERECT N RESIDENCE o" ! AOOrrrOru TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSI,IER BELOW LL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 11. 5F
GR E ENHOUS E
TOTAL HEATED SQ
SF DECK
DET GARAGE SF
POOL
PORCH 1!'rB SF
SF STORAGE 5H ED
SF oTHER: -- -
TOTAL ACRES DISTURBED: ,14
EXIST LAND DISTURBING PERMIT:
TOTAL SQ FT UNDER ROOF : .: ,, : i
# OF STORIES: 2
TOTAL AREA SQ
TOTAL PR0IECT COST rress rotl :
Is Any ELECTRICAL, PLUIiIBING or l'l HANICAL Wo.k Being Done to the Accessory Structure?
If the project is a Relocatio is there a Natunal Gas Line on the Curnent Site?
fs
Flt 22t t
Is there Electrical Power on t
i. * + + + + + + i.1.1. i. + i. i. * i. * * i. *,* * * * *
NEW IMPERVIOUS AREA: 234]
PROPERTY USE / OCCUPANCY:S NGLE FAMILY
DESCRIPTION OF WORK:
DUPLEX T0l^lNH0US E
Ie Fa rl Resident ial
/O lhe Apprcpriale Pelmits will be in Violation of rhe NC SlaE Bldg Code and Subjecr to Fines Up To $500.00"'
lels SIGNATURE:
DISCLAIMER: lhereby cerri, hat all inlormalion in hi
and ordrnances and regularions. The NHC Developme
conlraclor intormalion. "'NOTE Any Work Performed
OWNER/CONTRACTOR i r,: i crrae L ra
applicaton is correcl and all work will comply wih he Slale Building Code and alloher applicable Stare and local laws
t Services Center will be notried of any changes in he approved plans and specificat ons or change in con tracior or
ZONE : _ OFFICER:
Appnoval :_ City
SQ FT
5Q FT
YSTEM PRIVATE U]ELL
,)
,t,i * + *,r,* *++,* *,8* **t1. + + + + ++,t +tt i.**** *r.* * * *,r *t * i *+*+ ++ + + + +
OODPLAIN ?YE5 T NOIS THE PROPERTY LOCATED IN A F
EXISTING IMPERVIOUS AREA:
n
l-'] ves I NO
I^JAT E R :
SEHER:
CF PUA
CF PUA
COMMUNITY
CENTRAL SE TIC PRIVATE 5 EPTIC
*** SEPARATE PERII1ITS QUIRED FOR ELECT, I'IECH, PLBG, GAs EQUIP, PREFABS & INSERTS ***
ncasx E ECK (PAYABLE TO NHC)T BrLL AccouNr I r,rclvrsl I orscoven
CENTRAL WELL
COMMUNITY SYSTEM
(foR oFFICE USE oNLY) REVI5ED DAIE 04/!7/12
SETBACKS: F:_ LH:_ RH:_ B:_
FLOOD: BFE+2ft=
PAYMENT METHOD:c
i.++* 1.++ +{r + + + + + + + * d. r* ,( ,( ,( ,( ,( *r(* * * * * * * *,*,* *,* +,* + + +,t +** **** ***+ +,* * * + * * * * * + + + * * * * * * * * * * * * * * x ** x*
N
DATE
s ra4Q-
BLOCK f:
EXISTING CONSTRUCIION: E ! neruovarroru ! ceruenar REpArRs E RELocATToN
Building? l-l v"r ETI ro
ffi
NEW OVER COUNTY BUILDING
APPLICATION TYPE; RESIDENTIAL
?*ot6-3)t'l
PERMTi 16- 93 6
APPLICATION
Number
(office Use)
ASE ANSWER ATL QUESTIONS APPL]CA8LE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAIIE: Mrl t,.,t.,1 Ira iels
DEVELOPER: DR':tc:r,cri tnc
PROIECT ADDRESS: 5i, t, ir eete CITY: nr Imrnoton
SUBDIVISION: Reser-re .ri ;,iesr,
PROPERTY OWNER,S I,IAME: DR Ho ton Inc
oWNER,,S ADDRESS: 4|1'r Lrerre r rre Bl1-d c ITY: t'{\'r t le Beach
CONTRACTOR: :R Ho rr,,r I rrc
ADDRESS: 4!41 Belle 'rerre Biv CITY: My rt 1e Beach
EIIAIL ADDRESS: mt.iarie t sGdr.ho l:on, com
PRO]ECT CONTACT PERSON: P.,r,z eralc
ALT RATION R ENOVATION G ENERAL REPAIRS
NEW CONSTRUCTION:ERECT N
**PLEASE CHECI( AND ANSWER EELOW LL THAT APPLY TO YOUR PRO]ECT
DATE: .i i 25 / li)
PHONE #: 91!-821-8556
PHONE #: 9rr-rL5-r90ii
RE LOCATION
ST: ,la zIP:295,-t
sT: ji zIP: :e5r!
SF
SF
TOTAL 5Q FT UNDER ROOF: .,:;: TOTAL AREA SQ FT:
TOTAL PROIECT COST rress roo :
If the project is a Relocatio
Is there Electrical Power on
DESCRIPTION OF t^lORK: r.ie,,r resi.1
DISCLAIMER: lhereby ce(ify hat all inbrmation in Iri
and ordinances and regulations. The NHC Oevelopme
coniractcr intormadon "'NOTE Any Work Perfonned
OWNER/CONTRACTOR: rqicnaer oa
ATT GARAGE ,] 6I SF
SUN ROOM SF
GR E ENHOUS E
TOTAL HEATED SQ
ZoNE: _ OF FICE R:
Approval:_ City:
SF SF oTHER: B B
FT: t,:r!
*++* *** * * * * **++ i<i<* )F *** ****
5992
I5 Any ELECTRICAL, PLUMETNG oT ME HANICAL Wonk Being Done to the Accessory Structure?T
is thene a Natural Gas Line on the Cunnent Site?Yes n No
is Building? [ ves !No
PROPERTY USE / OCCUPANCY:5
Yes il No
NGLE FAMILY
ntial
DUP L EX TOWNHOI.JSF
applicaton is conecl and all work will comply witl he State Building Code and attoher appticabte Srab and tocat taws
I S€Nices CenEr will be nolilied ofanv chang6s in he approvod ptans and specifcations or change in conlractor or
/O he Appropriate Pelmits will be in Viotation of the NC State Btdg Code and Subjeci io Fines Up To $500 00...
iels DR Horlron Inc. SIGNATURE:
i+++,*,t,t,r**+++,r++,t*x+**,t*,t,*,t,t,l**+*,i,t+******++******j*++**)r***t*
WATER :
SEta/ER:
CF PUA
CF PUA
COMI.4UNIry
CENTRAL SE ! enrvarr sEprrc E coMMUNrry sysrEM
IS THE PROPERTY LOCAIED IN A F ooDPLATN? l--'l ves
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA: ,I81
*** SEPARATE PERfiITS R
PAYmENT nETHoD: I clsu I c
!NO
SQ FT
sQ Fr EXIST LAND DISTURBING PERMIT:YES [-''l uo
YSTEM PRIVATE WELL CENTRAL WELL
TIC
QIJIRED FOR ELECT, I'4ECHJ PLB6' 6A5 EQUIP, PREFABS & INSERTS ***
EcK (PAYABLE To NHc) E A,'rERrcAr,l ExpREss fl mcZrrto fl orscoven
(TOR OFFICE UsE ONLY) REVISED OAIE O4/T1/T2
SETBACKS: F: LH: RH: B:
*+ * * i< * * * * * * * * * * * * * * * * * * * * ******+++****1.****++*+*)*)*)*)*)**+**+*,N*XXX**++**X)*rk********,*****
DATE : F LOOD:BFE+2ft={ llqqN
!
! orr crnaee _ sF E
! nooL_ sF tr
PHONE #: 91-r-821 8556
ztP i 2!!JL
BLOCK f: LOT #: t8
PHONE #: 84 r r5r- 841!
LICENSE #: 29 a't i)
EXISTING CONSTRUCTION: I
RESIDENCE o" ! mOrrrOt TO EXISTING RESIDENCE
PORCH 129 SF
STORAGE SHED
161t00 # OF STORIES: :
TOTAL ACRES DISTURBED: .-l
! oecx
NEW OVER COUNTY BUILDING PERMIT
APPLICATTON TYPE I RESIDENTIAL
E ANSIiER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
?oito*?37616- 968
APPLICATION
Number
(o++ice Use)
PL
APPLICANT'S NAiIE: Michae t Da
DEVELOPER: tR rjl;r -.). rr,.l
PROJECT ADDRESS: s26 sLeeLe L
suN Root4 5F
DET GARAGE
-
SF
POOL SF
els
153000
_ 5F
SF
CITY: h,i lminsron
DATE: 3 ', ?,16
PHONE #: .' i'-t)' -ta\t,
ZIP i 2B4t'-
SUBDIVISION: Reserve at liest BLOCK #:LOT #: -16
PROPERTY O[{NER'S tlAIYlE: DR Ho on Inc
OUINER'S ADDRESS: 4049 Belle rre Bl1'd
CONTRACTOR: DR Hcrr,c:: f.Lc LICENSE #: 2e576
ADDRESS: 4!49 BeLfe Terre BLv CITY:MyrLle Beach sT::!_zIPi 22:12
ElilAIL ADDRESS: mtdanie 1s drh.)PHONE #:910-821-8556
PROJECT CoNTACT PERSON: Pat f_z eraLd PHoNE #: 91!r-165-1906
EXISTING CONSTRUCTION:tr ALT RATION
NEW CONSTRUCTION:ERECT N
**PLEASE CHECK AND ANSWER BELOW L THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 426 SF PORCH 1!r e SF
STORAGE SH ED
5F OTHER: I2CGR E ENHOUS E
TOTAL HEATED SQ
5F DE CK
TOTAL SQ TOTAL AREA SQ FT: - 5"
TOTAL PROIECT COST tress roo :
FT UNDER ROoF: 11!;
# OF STORIES: 2
Is Any ELECTRICAL, PLUnBING or IlE HANICAL l^iork Being Done to the Accessory Structurei !ves [ ruo
FT: 2::r
+++* *1. * ++ + * + + + 1. * + * * * * x * * * x
If the project is a Relocatio
Is there Electrical Powen on
PROPERTY USE / OCCUPANCY:
, is thene a Natural Gas Line on the curnent site? [ ves [ ruo
his auilding? [ ves T No
NGLE FAMILY
ntial
DUP L EX TOWNHOUSE
DESCRIPTION OF WORK: New resi
cont'aclor informalion "'NOTE: Any Work Pe W/O tre Appropriare Perm ts wil beinViolationof the NC Stare Bldg Code and Slbject io Fines Up Io $500 00.,r
OWNER/CONTRACTOR: Michaer D ie,..i trF. il..i c., In. SIGNATURE:
*xxx*:t:tx:t:i++++**+*tr<***********xx*+*+*++*xxxxx:l<***,*++**x***:t+,t
DISCLAIMERT I hereby ced0/ har all informar on in
and ord nances and resulaiions. The NHC Develop
applicalion is correcl and all work will comply wilh lhe State Bu d ng Code and all oher applicable State and local laws
r Services Center will be norified of any changes in he approved ptans and specilications or change in contractor or
IS THE PROPERTY LOCATED IN A LOODPLAIN? ,A VES T NO
EXISTING IMPERVIOUS AREA:SQ FT
SQ FT
TOTAL ACRES DISTURBED:
NEW IMPERVIOUS AREA: 246 EXIST LAND DISTURBING PERI'IIT:T YES firuo
COMMUNI TY YSTEM PRIVATE WE LL CENTRAL WELLCF PUA
CFPUA ! crrurRnr sr TIC
WATER:
SEl.lER:
*** SEPARATE PERMITS
PAYMENT METHOD: E CNSTT E HECK (PAYABLE TO NHC) A AMERICAN EXPRESS N
EQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
DISCOVER!lclvrsA
++++ *** * * * * * * * * * + * * * * * * * + ** * * * x x x x x * + +,t + ** * x x* x x :* :f + + + +* * * x x,k x **+ + * * * x x x j* + * * * * x ** x +*+* * *
ZoNE : _ OF FICE R:
Appnoval. :_ City:
(FOR OFFICE USE ONLY) REVISED DAIE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
BFE+2ft=
N
DATE:_ FLOOD:
#rqtl
PHONE #: 843 35r-84c"1
CITY: l,l.irr le Beac. ST: j!_ ZIP: ," 9sr 9
f] nerovarroru ! cerurnal nrearns I RELocArroN
RESIDENCE o" ! nOOrrrOru TO EXISTING RESIDENCE
! enrvare srerrc ! coMMUNrry sysrEM
\"$&o lto-3:r, /
HAirovER couNry BUTLDTNG pERMrr Pgtl& {35
APPLICATIj|I rYPt: RESIDENTIAL
!A5E ATSTEC AIL QUEsIIOIIs APPLICABTE TO YOUi F8O]T:I
"Project Res.ronsibility"
APPLICANTJ 5 NATI'IE
DEVELOPER:
PRO] ECT AODN iS5
SUBDIVISION;
PROPERiY otr$lER'S t0r'lE ;
Oq&€R,S ADDRESS:
COIiiRACTOR:
ADDRESS:
Ei,IAIL ADORESS:
tiol EcT coriTAcT PERsofi:
#
I,.]ATER: E Cf PUA
SEXER I E CFPUA
NF'/,1
f comr'rurur
fl crnrmr
PIO E #:
CITY:2IZIP I
lOf *: I
SF OTHER:
SF
SF
BLOCK 'I
Pt-rrNa
CI TY:
LICENSE *:
CITY:
PHO'iE *:
*:
ST
I
-:lATION
.,IEW CONSTRUCTION:ERECT E!r,/ RESIDENCE or AT,OTTION TO EXISTIIrc NESlOEIICE
..PLIA5E CHECK A}IO AIsI,]EI 8E ALL T'IAT APPLY TO YO{'R PRO]ECT:
iI. ATT GARA6E SF I oer ernaer sr E poncr [5?i--- l sr
SUNROOM SF POO L SF !]-NRAGE SHEO
6REENHOUS E 5F DECK
TOTAL HEATEO SQ FT:
T0TAL PROJECT C05T tessr..rr :
Is Any ELECTFICAL, PLUI{BIiIG OT
If the p.oje(t is a Relocat
Is there Ele.triaal Powen o
r. ora,.anc.s.i. r.aurarrcn5 _he NHC Ocv. 'S.c
C.d#d,a[ oT, .ppl{able SaE rd loc.l
s tr!r t,a,r_rE.s orchrnoe hconr,scbro
^1r .":d S(r,fc D F,nes rh Io 5!OO OC'.
HAritcA! l,lork 8ei.ng Dcne to the a(cessory st.u.tufe? @ ves I lo
, is there a Natural 6as Line oo the Current Site? D Ye5 llo
thi s Buildin8? E Yes I No
PROPERTY lST / OCCUPAI'ICY:S]NGLE FAIiIILY DUPLEX ! rowrHousr
oESCRrPllotl 0F l.loR(:
oISCLAIMER lhe,ebyced,tharall nbmaron f,ll Euih
corr,eb. rnbmak,r "'NoTE 4.ywor, r":'^/c
OWNER/CONTRACTOR:
IS THE PRCPERTY LOCATED It,I A F LOOOPLAIN ?YE5 I
SIGNATURE:
NO
EXISTIIIG IMPERVIOUS ARSA:
EH IfiPERVIOUS AREA:
sQ rr
SQ FT
.TO-IAL ACR€S DISTURBTO:
:XIST LAND DISTURBING PERXIT:I Y€S Eno
S\ !: !M PRIVAiE J'JELL f crrurnal wrrr
prrc f pRrvATE sEprrc fl cornurutn svsrrr
''. SEpMATE pERxI]REQOIRTO toR ELECT, |IECH, pl"S6) 6A5 tQUIP, pREFAES & IilSERTS r..
cxEcx (payAaLr ro trxc1 [u:n:cor exm:ss I r,czvrsl f orscov:rPAYfiEtIr TETHOD: f, aOtn
l['.rr.tt
Z ON E i't t c R
(roi or rrcr lJta olry) . irvtsro o rE g4l11.1,
strBAcxs: r: \L: r-r: lC *, 5 e, S'0 F F I E
Approval:_ City:oATE;) 1i't(rFLmo: _ _ V 8FE+2ft=
Corl!|le nt
N
PERTI] FEE:
'
mg
APPL ICATIS'
Nunber
(offic. use)
n. r F . :---:::: :_ 1-_ l
I
i, 7Tg :r
sT: El zrP : J::!r-
EXISTII'16 CO{STRUCTIO : i__l ! n:Hovarror ! cerrnal neer:ns f] RELocArroN
plpXg g; [.,] r :2-.66iii-_l
ToTAL 5Q FT UNDER RooF: "::!l----l ToIAL AREA SQ Fr: 137=I--.]
i OF STORIES:
(*
D LAI MER
nd oc la
inr change
ubject loS
WATER:
SEWER:
Comment
N
PERMIT FEE: $
REVISEO DATE 4N1112
NEt^l ANOVER COUNTY BUILDING PERMIT
APPLICATIaN IYPE: COMIIERCIAL
5E ANSI.JER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECI
"Project Responsibility"
2 ot b ^i363- 16-99L
APPLICATION
Number
(office Use )
APPLICANT' S NAI'IE : r!:: .r. Ai: :
E LINEN AND RENTAL COMPANY
DEVELOPER: sEAS rDE Lrl.lEr
PRO]ECT ADDRESS: 4 5.5 TECH]:.GY DRIi/E
oCCUPANT/BUSINESS NAME : sE.csI
CITY: tJr LMTNGToN
PHONE #: , .i . .,:
PROPERTY OITJNER'S NAItlE : .rRArc ATT
OhTNER'S ADDRESS: 4!r.5 TECHNO GY DP.]VE
CONTRACTOR: IlLL SPAI,] BU I1-D IN SYSTEMS ]NC
ADDRESS: 1Jb HI-RLEY DRrvE
EMAIL ADDRESS: NE I LI4ALL_ SFAN OM
PRoIECT CONTACT PERSON: r.iE r L FILIPPINI
Up T $50o 00
CITY: wI L1-1I I.]T ToN
PHONE #: qr r-l9l-4:(,rE
5T: NC ZIP: 28105
PHoNE #:91a-r99-91:-r
PHONE #: rtt r,r,) .rt.'n
LICENSE #: t 6J /-
CITY: L,] I LM]NGToN
(Che.k All Ihat Apply)
EXrST CONSTRUCTTON: E ALTE RENOVATION GENERAL REPAIRS RE LOCATION
lf Relocation. is there a Natural Gas Li on the Current Site?n Yes Erro IS BLDG SPRINKLERED?flv."No
NEW CONSTRUCTION:ERECT N STRUCTURE ! rrsr rmcr I sxer-r- !ADD TO EXIST STRUCTUREUPFIT
ACCESSORY STRUCTURE:
If UPFIT - The SheII Permit Is Elect Power on this Building !Yes Eruo
upancy Type?What is the New Occupancy Type?
ARCH DESIGN PROFESSIOiIAL: i"1AG G OUP PH: 910-342-0790 NC REG #: rClr
ENGR DESIGN PROFESSIOT,IAL: S ark En PT T '?Hi 91A-232-421 B NC REG #: 023439
DESCRIPTION OF W0RK: EIr.E.r .r!2(](] PRE-ENG]NEERED METAL BU]LDING ADDITION TO EXISTING
***** IS
IF Yes, what was the Previous Oc
rs A CHANGE oF occuPANcY user flves NO *****
this applicalion s correct and all work willcomply wllh lhe State Buildrng Code and all other applicable Slale
NHC Develooment Services Center will be nolrfied ol anv chanoes in the aDoroved olans and soec frcatrons
NOTE. Any Work Performed W/O the Appropnate Permris wrll 6e in Vrolalion of the NC Stale Eloq Code and
ls food or beverages prepared or s in this structure? [Yes No ls The Property Located ln The Floodplaina I ves fi no
hereby
nd ord n
cedily ha a nfor n
OWNERYCONTRA
(ou5 mer)
Nole: Demolilion notilications
contain fubestos or not. You
CTOR: -qrr s BUTLDTNG sYsrEr.ls rNa SIGNATURE:
it applications arE to b€ submltbd usiru the applic€tion iom (DHHS€768) whether th6 facility o. buildho was ,ound to
SO FT
& asbeslos removal
are required to c6ll National Emlssloo Standsrds br Hazardous AIr Pollutants (NESHAP) at (919)707-5950 at lesst 10 days prior to the
domolitjon of any facility or building. See Asbestos Sile: httsi/ rww.epi.slate.nc.usL/api/asb€stos/ahmp.hunl
TOTAL PROJECT COST: :5I 000 BUILDING HEIGHT: . r'# OF UNITS:
TOTAL AREA SO FT :SQ FT PER FLR: r;, irrr # OF STORIES: I
TOTAL SO FT UNDER ROOF: !: -# OF STRUCTURES: r
ACRES DISTURBED:EXST LAND DISTURBING PERMIT?r YES T.I No
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA:N/A
PROPERTY USE: lOrrrCe !n nmrr luencnulle EDUC APT CONDO OTHER: r!r., I r,,,Llil
fIZONING USE CLASSIFICATION: ruo
"' SEPARATE PERMITS R OU RED FOR ELECT I\J4ECH, PLBG. GAS EOUIP PREFABS & INSERTS "'
PAYMENT I\4ETHOD Icnsu K (PAYABLE TO NHC)AMERTCAN EXPRESS I r'lCnrrSl I orSCOven
(FOR OFFICE USE ONLY)
ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:Approval:_ City:_TE:_ FLOOD: __ _ BFE+2ft=
zcFPUA ECOMMUN
E]CFPUA ECENTRAL
SYSTEM T-'IWELL
PTIC L-.I PRIVATE SEPTIC EcoMMUN|TSYSTEM
I
T
r
!
DATE: 3,, l8, 20t5
ZIP i :ts: )':
ST: NC ZIP:28405
tr tr
# OF FLOORS: 1
$$
ir
irt ?:4t
DEV ELOP: R
NEI,! CONSTRUCTIONi
16 food or
ISCLAI
ACRES DISTURBED
WATER ACFPUA
SEW-. ER: ,Z CFPUA
Satb-Te'l
&*
HANOVER COUNTY BUILDING PERflIT
APPL ICA| IOtt |YPE: COfil'tERCIAL
AsE AltSt{EB AIL QU:(-:Ons appl IaA0tt To ydJA pao)Ear
"P.oJect Rerponsibllity,,
APPLICATIOII
Nulnber
NEW
APPLICAN1JS NAIlE: :I].,: 1,, : i:
PRoIECT AooRESS: , r). .r!.:
OCCUPA\'T,/BUsINES5 NANE :' j::, l',':-:a- .-la:al
PROPERTY O|{N!R'S NAflE: I:
OIINER'5 ADDRESS: 2'.i- :. -
COTIIRACTOR: ?hor.ds (-'..sr.ru.:
ADoRESS | :ir:t l4ii:rar
EI{AIL AD0RE55: r; :::ai"'.-,.:
1i'.. r )1.:r.!1 lrpj/)
E X:5: CONSIRUCIJCiI: AL TE i:oN Z RENOVATION l
ll Relocatron. Ls {here E Nalural Gas Li e on the CLrrrerlS[e?I
ACCESSoRY STRU"CTURI :
If UPFIT - The Shell Permit
clpi n(y Typea
AECiI DEsI6N PRoFE55Iol\iJqL; :i n
Etl6R DES16ll PRoFf55IorUt: ! /r,
DESCRIPTIofi 0F (ORK: :. .!t ::
)L -lcty
DATEi 3/24/'-e
PHONE *,
CITY: iJr:,:.r.'.:
PHON€ #;
ST
t{t.l!ta
ZlPi:a<.-i
ST:.c Z1P: : !.1r)i,
LJCENSE *: :r624
fITv: iti,inl.:rtcrl
It Yes, uhat Hat thc Previou5 O
Tlrrs A orA116r oF occupArcy user [_-1 v:s !
PHONE f:,9i.?2r:
PHOIIE f: ''19.2295
GENERAL REPAIRs RELOCATlON
No lS BLDG SPRINKLERa3?I ves !ru0
l,that l.s the atl Occupancy Typel
I en:cr x x sTRUcrurE I rasr rarcx ] sntLt ! uerrr ] loo to Errsr sTRUcTURE
Is Elect Pouer on this Buil,ding I Ye5 !ro
N( Ri6 r
NC fiEG i
'\ i\\.i ,i.r.,
&vrae es p.eparod o.
. '- a-'.- A'
in tlis svrJ.rue? L l r. *" a.*,#('i;"a;d tn Tho FloodCain?Yes :ic
-:.ttt+
r
ielLl
Up To
rhrs .PD ce:ion 's co e.l an: . wo'rd[cohpiyd]rnll,.s6l.8!rd,nocod.3.da{.,frrappr,.abresBr.
\dCOercopmenlSgv,:es:e,rc,qJ rre.or.Sec o'3.y cr,rru!3 r,hs0---)/edoEr .,..0soeofutonj\O-E nr/WoaPe/_'-.Jr'lOh.,ii-'-."r'eper-Jr*il6cn'v'otat,u ,rh€\C5
':€8d9Crder.d
OIVI.]ER/CONTRACTOR : J( "
TOTAL SO FI UNDER ROOF
ZONE: . - OiF jCER
s5
Approral:_ Crty:-._
Comment :: _
SIGNATURE: 7 D LL
(oqd!.)
Nor.: D.6ottor! Dodfc.lor6 !, .r'..1o. l'nolal apprr!d..8 ..o ro b. Irrb.nlu, rrLng ln. 6poticau.. i.tr (oH8s.3ri8) yi.r.r ,r tsdltry o. brt!&{ r.: bnd lo
co.roin albaaloa o. ioa Yo( rE .aqurEd ro .-all fiji.inl E68r]..1 siia.rd. rf rnr..*s a. pdtda.! (NESHA4 !l (919)707-5950 n i€, to d.F Fio. ! ul.
dafiollto.r ol an, tlcil4y o. &rldlno So lsb4lr
TOTAL PROJEC; COST "'
TOTAL AFEA SO Fr ' | : :
llgW IMPERVIOUS AREA: '-r
PROPERTY USE: @rrrCe lne eunerrr fr.rencnrrte f souc ]] epr lcoNoo o.rien,
EXST LAND DISTURBING PE'lMIT?
EXIS TING II,IPERVIOUS AREA:
f- /Es I NO
E COMMUN
CENIRAL
M :-wEi.L -zoNtNG usE ct^sstFlcATtoNI PRI',/ATE SEPT c ] COMMUNiTy SysTEM
PAY ENT METHoo: ICASX f ECl( (PAYAALE TO NHC) lelren,cLl rxrness :MCA/ISA Iorscown
oR cFraE usE oNLY)
SETBACKS: F:_:r_: .LH:_t-!:: RH:_- - _ B:_ . -
REVS€, Or.= r/.r ,r 2
TE:::_r.-i FLOOD: *_ ____ -,_-_ _* - BFE+?i=_
I
PRO]ECT CONTACI PERSON:
EUILDING HEiGHT: 1.' # OF UNTTS: : _-
SO F l- PER FLRi t :: , OF STORTES: :
, OF SIRUC r JRt S: I OF .LOORS: :-
Axo-376
6
ffi
APPLICATIAN TYPE; RESIDENTIAL
LEASE ANSI{ER ALI QUESTIONS APPIICABLE TO YOUR PRO]ECT
"Project Responsibility,,
J*ire
tb-
APPLICATION
Number
(office Use)
s,ii*2'?'/6
PHONE #:
ztP: Z* /.,2-
pIONE *: f ,o -z??-a az !-
APPLICANT'S NAfiE:
DEVELOPER;
PRO]ECT ADDRESS:
SUBDIVISION:
DAU CITY:e i;Jt/ .92-
PROPERTY OWNER, S },JAI'4E :
OWNER,S ADDRESS:
c f, r't,.c.
ClfY i Ltl/1-,Sr tAZzP tz*y/ U
ACCOUNT #:
st , ,V- ztp t 2-t ,4 I Z-
Pro E *: q,/o -z?F-ap/f
PHoNE r: /lo'Zlf' oc' tf
A
CITY:
NEW CON5TRUCTTOH: ! rnrCr hr REsTDENCE o" [l lOOrrroru To ExrSTrNG RESTDENCElr<
EMAIL ADDRESS:6 e
PRO]ECT CONTACT PERSON:
TERATION RENOVATION
**PLEASE CHECK AND ANSIIER BEL
GENERAL REPAIRS RELOCATION
ALL THAT APPLY TO YOUR PRO]ECT:
E oer canacr-:3fF sF n poRcH _sFp sronace saeo 91i?> sr
SF
TOTAL HEATED SQ FT:ToTAL SQ FT UNDER ROoF:'lJ o TOTAL AREA SQ FT: 77 r-o
TOTAL PROIECT COST lress roq :$ Zfl,"o,t
ATT GARAGE
-
SF
suNRooM _sF
GREENHOUSE SF
EXISTING IMPERVIOT'S AREA:
NEW IMPERVIOT'S AREA:
Is Any ELECTRICAL, PLUI'4BII.,G or
If the project is a Relocat
Is thene Electrical Powen o
IS THE PROPERTY LOCATED IN F LOODPLAIN ?YES
ECHANICAL work Being Oone to the Accessory Stru.ture?El yes
n, is there a Natural 6as Line on the Curnent Site?
this Building? l-l v"s ffi r'ro
tr
E
SF OTHER:
F: LH: RH: R.
E rro
Yes E No
PROPERTY UsE / OCCUPANCY:SINGLE FAMILY DUP LEX T0l^INH0USE
pa4e
o c /f /eJ (1ar.o
conlracbr nbmadon "'NOTE Any wori(W/O he ApprcpiaE Pemits wittbe in Violatjon of he NC StEb Btdg Code and Subrecl b Frnes up To s500 0o-
Ol4NER/CONTRACTOR:P, f-'t1c SIGNATURE:
s or change in conracloror
***)****)t**++,t **** **** **)t )t** *,**** **** *** ***,* *,r,*,r ** ** *,*
o't)
DISCLAIMER: lhereby cerrily $ai allinbmarion
and ordinances and rcgulalions The NHC Develo
t'is applicaton is corcci and attworkwiI compty wih he Srate Building Code and a oher
nl S€ruices CenEr wiltbe norfied ofany changes in te approved phns aid sp€cifrcarion
applrcable Slale and oca aws
* * **,** * )r )r *,* * )i *,* * ** * * **,r*
SQ FT
SQ FT
SETBACKS:
E*o
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERiIIT: l_l YES T-] NO
r^larER: EI CFPUA ! couuunr SYSTEM E PRIVATE WELL
n CENTRAL hIEL L
COMMUNITY sYSTEI,,lEPTIC E PRIVATE SEPTIC
*** SEPARATE PTRI1IT REQUIRED FOR ELECT, I.1ECH, PLBG, 6A5 EQUIP, PREFAES & INSERTS ***
PAYi'IENT METHoD: f] cos,cHEc( (pAyaBLE To NHc) D BrLL accrxrNT I nclvrsl I orscovre
* * * )*)*,** )r ,i *,1* **** ** )** *)*)t +* !t )* **** **** ** **** j**+)t * )* r** **** **** **** **
(FoR OFFICE UsE oNLY)REVI5ED DA'IE 64111/12
ZONE: _ OFFICER:
Approval:_ City:
Comment:
_ BFE+2ft=
N
PERMIT FEE: $
DATE:_ FLOoD
NEW HANOVER COUNTY BUILDING PERMIT
LICENSE T:( cortnlclon:
f ADDRESS:
EXISTING CONSTRUCTION: I
* OF STORIES:
DESCRIPTION OF WORK:
I eool _ sr
! oecr _
SEWER: E CFPUA E CENTRAL
3,
DEVELOPER:
EMAIL ADDRESS:
PRO
OWNEFYCO
PROPERTY USE
Comment:
N
PERMIT FEE:
PRO]ECT ADDRESS: 3310 S.o11e Rd.
oCCUPANT/BUSINESS NAME: commu
aPPLICATIoN rYPE; COMIIERCIAL
SE AiISIIER ALL QUESTIONS APPLICABLE TO YOUR PRO]TCT
"Project ResponsibllltY"
s Johnson Jr t for CfG
LLC
CITY: wilminqton
Tower Gro LLC
cat,ions Tower LLC
CITY: charlotte
NEW
PL
APPLICANTTS NAl,lE : ltexsen
communicat i
PRoPERTY OITNER'S NAME :
OWNER,S ADDRESS: 1122 o Elrn sui te
CONTRACTOR: Horne Brobhers
ADDRESS I Po Box 2os
rl shorne@ -xllc, com
]ECT CONTACT PERSON: G}Conwa
*,r * ** Is
IF Yes, what was the Previous oc
ARCH DESIGN PROFESSIONAL r Mic
la tlons
NTRACTOR: rloma Johnson
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
VER COUNTY BUILDING PERMIT
Qob)zea
16- 911
APPLICATION
Number
(office U5e)
PHONE f:
DATE :3/27/76
PHONE f: 91s-46G-5r63
ST: Nc zIP i 28277
Inc LICENSE S: 44434
CITY: Fayetteville 5T: NC ZIP | :28302
No
Exrsr coNsrRucrrolt: I alrrn I ON n R E NOV ATI ON
lf R€locstlon, is there a Natural Gas Li o n th e Cu tre nl S it e ?tr
NEh] CONSTRUCTION:ERECT NE srRUcruRE I rasr rnncx I snrr-r- ! urrrr I roo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit S
rs A CHATGE oF occuPANcY usrr Ivrs I
upancy Type?
] PlaovlnBak
t/hat ls the NeH Occupancy Type?
ENGR DESIGN PROFESSIONAL: ToweT . professionals- K. Martin PH: 919-661-5351 NC RE6 $:o'13920
DESCRIPTION OF WORK: wireless Communication6 dite work
(Check all rhat Apply)
nt
Yes
GENERAL REPATRS [-l neLocntrou
E ruo rs srDG spRrNKLeneor I v"s f]tto
PHt 5r.4-398-6250 NC RE6 #r 032804
ibeclflcatlons
Bldq Cod6 and
ls food or bovorsgos proparsd or in this struclure? [Yes I No ls Th€ Prop€ny Locatod ln The Floodplaln? ! Yes I
inform lhe Slate Bulldlng Code and all olher appllcableSlate
In lhe and
conlaln Asbeslos ot not- Yolj aro r€qukod lo c€ll Natloml Emlsslon slan6rds for Hazsrdoue Alr Polluta s (NESHAP) 3t (91
der rllbn olany lacllfiy or bull!,lng. S€g Asbgslos Slle: hltp:/ /vww.spl.slats.nc.r,s/eprasboslos/ahmp.hlml
(ausuL')
Nole: D€ttlollton arctlfc8lons & t3b€stos r6noval Eppllcatlons arolo be submltt6d uslno !h6 appllcallon ,om
TOTAL PROJECT COST:160 000
TOTAL AREA SO FT
TOTAL SQ FT UNDER ROOF:# OF STRUCTURES: N/A
C Slate
SIGNATU
bulldho w8s fouM to
10 days Flor lo lh€
# OF STORIEST N/A
# OF FLOORS:N/A
EXsr LAND DrsruRarNo penMttr Tl ves I NO
SQ FT EXISTING IMPERVIOUS AREA:SQ FT0 .86 acres
WATER: EICFPUA I
SEWER: E CFPUA fl
sYsrEM flwELLPTIC L-] PRIVATE SEPTIC
azoNtNG usE cLAs
flcoMMUNrTY SYSTEM
SIFICATION: oet -.1/ cD
REVISED DAIE 811/12
LloFFrcE LIR
COMMUN
CENTRAL
:il l,AliAll Pi:liN4lt:i I ,ltl[:ll t ()tl I t l (] i, MI (il l. PI Ilai, (;n |i L(l( lllr, ltlf l:Atls & ll.l:il tl l:i "
PAYMENT MEIHOD: ICNSU I (PAYABIE TO NHC) [nUeRtCRN EXeRESS E MCI/|SA I OTSCOVEn
(FOR OFFTCE USE ONLY)
ZONE:_oFFICER:SETBACKS: F:_LH:_ RH:_ B:
Approval:_ Clty:_:_ FLOOD: __ _ BFE+2ft=
))
ZIP i 28409
BUILDING HEIGHT: !5q--!e!el- # OF UNITS: N/A
SQ FT PER FLR: JlA_-
fllirencenrtue neouc Enpr [couoo orHER;rerecom rower
PHONE *:910-7sB-8?65
PHONE S: 91e-413-2828
Is Elect Power on this Building E Yes E lo
ffi'
ANOVER COUNTY BUILDING PERMIT
APPLICATIai{ rYP€: RESIDENTIAL
Itas€ Ar5*i ILL qJ€5TIq(5
^pPr.lcaalt
ro YoJR PRoIECT
"PrcJect Responslblllty"
Jo l"-3)OT
APPLICATIOII
Nurber
PRO]ECT ADORESS:l Ie l,oo I. l
SUEDIVISIO'{:
PROPE RTY o.0{ER'5 l{A}lE: r:, r,rr il.i
oxl ER'S AOORESS: ':/ il- i:r!:1 -
cotJT RACIORi l..r r.j t,',r.-il il,rri crs LLC
ADORESS: ,.,i n r.,.,, rr,.\ r ii:1
Ei{AIL ADORESS: ,i...: i,.:.i'
APPLICA'{T' S l{A'{E
OEVELOPER:
,) ,
zoNE: r- -/ \ orrrcrni
Orr.or, ]- ,r a,
Corn€nt:
BLOCK d:
i,:.rl Y l,']-l:Jrlr.l']n.r
CITY:
LICEIISE #: :.!')i'
5I OTHER
9:a!!r).li
LoT l: _
PHO E S: rllr-:,1 -rili"
PHOtiE t:
ST:{_ZIP:::.il
PRO]ECT CONTACI PTRsO :
EXISTII{G CO'{STRUCTIO : E AL ERATION
riEr{ conslRucTro}i, ! retcr Erf RESTDEICE o" I mOrrr TO EXISIING RESIOENCE
AtT TITAT APPLY TO YOUR PNO]ECT:
f) oer canace sr I eoncx
-
sF
! eoor.
-
sr f] sronaet sHEo
-
sF
..PI,€ASE (HECI ATO A sITTR BEI.
I oecr
ATT 6ARAGE
-
SF
suNRoofi _sF
GREENHoTJSI _ SF
TOTAL HEATEO 5Q FT:
Pl"OtlE {: ,:.'-i.i i
SF
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA 5Q FT:
-
TOTAL PROIECT COST tress r"or: :
Is Any ELECIRICAI, PLUttSlNG or
EXIsTIiIC IIIPERVIOIJS AREA:
NEI{ II.IPERVI(rus AREA:
WATER:
SEI.JER:
T OF STORIES:
|ilrlICAL Wo.k Seint oone to the Ac(eslory Structure) [ YeS a No
n, is there a Natural 6as Line on the Cu.nent Slte? [Yes
this Buildin3? li'l v"t l-'] to
PROPERTY UsE / OCCUP'$ICY:INGLE FA},111Y fl ourr-e x TOI,.JNHOUSE
O€SCRIPTIOaI OF l{OR(: i'/,,i, /a
'
OSCIA0,IER lhlroby (stty nal.I ntvmrlon r bd.crdld.l *xr s! comrl, *rn n. Sla
sid oro.ry.! rd Gg'l.tont rhG ,!HC D.r s.dE* ccnEr r{ D. ell.<J el nr, cna.{c. n h. .ctro€d d!.rrdrab. nro'n&)n '-l{OlE Anywor F .to
If the p.oject i.s a Relocati
Is there Electri.cal Po*er on
ol,,lNE R/COtlTRACTOR: ..,,,,:, .
IS IH€ PROPERTY LOCAT€O IN A
't _, "
NO
L W,o n! Arp.o9n.t P.mti *il t n VDbktn ol !h. NC Sr.E &9
c SIGI.IATURE : I
loooerarrt f] ves
IOTAL ACRES OISTURSED:
Exrsr LAi{D orSTuRBrrG pER[rr: E vrs [-"1
PRrvarE l{ELL I cetrnal well
SQ FI
SQ FI
Cf PUA COTHUNI SYSTE}1
\
crcua I cENTRAL s crrc ! pRrvATE sEprrc I cmluntrv svsren
tr CASH tr HEcx (pAyaarr ro xrrl f] nr,rnrcax ExpRrss tr
,ttgJIRtD rCi lrEtr, r.t(,1, ptBG, c.a5 r.qr1p
tror offlaf ulr ( tY)
S ETBACX 5 F:_.1!-E)rH:-&irl nH:
oaT E :_l__:r_Llt FLOOD: _ _
urt +z
nclvrsa fl orscor,.
l.J (,
ir!ts
-!:_r= u:_+g_.+r
i BFE+2ft=;-t-
PER'{IT FEE:
'
w0
a I tl-254iIW lnmecton ileourreo
NEW
OATE:
CITY| il . '-r.i r,., !.r ZIP:,'nii.
CITY: jl_ijj.t j!-!l:__ sT: jj!_ zIP: . .'i: l
PHOII E f: , -il . i
PAYNTNT NETHOO:
[] nercvrrror f] crrrnar- neenrns ! RELocATIoN
El ',
lTl no
\:
APPLICAI{T'S tlAllE: Reid & coo Bui lders
DEVELOPER:
NOVER COUNTY BUILDING PERMIT
APPLICATI I rYPE: RESIDEI{TIAL
EASE ATSI{ER ALL QUESTIOI{s APPLICAALE TO YOI,R PRO]ECT
"Project Responsi.bility"
NEW
otb l7a?
wAqD
APP L I CATTOiI
Number
(GFfi.e Use)
PRO]ECT ADDRESS:
SUBDIVISICft:
CITY: wilminston ZIP i 284a9
BLOCK S: LoT f:
ST: NC ZIP:28411
ST: NC ZJP; 28411
Pto E *: 910- 443-2a 42
Pm E #r 9ta-4 43-2A42
RENOVATION I e rre nar- necrrns I RE LOCATIONEXISTING CONSTRUCTION: f] AL RATlON
! nrr eamce _ sF
I surnoo+t
-
sF
! cnesunor,rsr
-
sF
TOTAL HEATED 5Q FT:
6l2f Greenv lle Loo Rd
PROPERW O{NER'S l,lAllE: soun E Pro er:ties ILC Michael Grimstead
oHNER'S A0DRESS: 621s Red ce Rd CITY: wilmin
CO TRACTOR: Perd ( Cook BLr.Ll rs Ll,C LICETSE #: 59ss0
ADDRESS: 6208 Red ar Rd CITY: wilmin
EMIL ADDRESS: dreidii 1
PROIECT CO'ITACT PERSO{: oonn e Reid
ilEI,I CONSTRUCTIOiI:ERECT RESIDEiICE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHEC( At{D ANSWER BELO{
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
r8000.00 $ OF STORIES:
L THAT APPLY TO YOUR PRO]ECT:
I oer canacr
-
sF
I coor-
-
sF
! oecr _ sr
PRIVATE WELL
IVATE SEPTIC
! eoncx
-
sF
f] srmaee SHED _ sF
OTHER:SF
TOTAL PROJ ECT COST rl.* roo :
I5 Any ELECTRICAL, PLUIBI G oT
If the project is a Relocatio
Is there Electrical Power on
EXISTING II'IPERVIOUS AREA:
NEW IIIPERVIOI's AREA:
,l *,* *,r** * rht,*,* *,* * *)t* *,I*,| * ***
zol,lE: _ oF FICER:
ApprovaL:_ City:
Cor ent:
HAI{fCAL Work Eeing Done to the Acces
SQ FT
SQ FT
YST
structure? [ ves [l r'ro
cunrent sitei I v"t fl r'io
sory
the, is there a Natunal 6as Line on
his Buildins? @ vet fl to
NGLE FAI{ILY I ouelrx f] rouunousr
IPTIOiI OF |{ORK: Renovate uest bath master bath and kitchen
<-Y..oui^u c-\\
DECTAIrER lhereby cenify halall intormation in and all work will comply with he
and ordinances and regulatjons. The NHC Oe t S€dices CenEr willbe noriied ofanychanges in he approEd ptans
con!&br in{oEnaton.'nNOTE: Any Work wo ho Appropriar, P6lmiEwillbs in violaiion of th6 Nc st3e
O{I{ER/CONTRACTOR 3 ronnre r.e SIGNATURE: I
,t rt '*,t,t )t * )a * * )t+*)**)trt,t*)t* )*+rt *** ***)t**t***** rt )t,t +,t*** t+++,t*++*,* +** *)**:* * *,t* +*+)t l.** *)t*
IS THE PROPERTY LOCATED II{ A r-ooopurrl [-] Yes I
es-
applicabl€ SlaE and local laws
change in contracbror
s Up To t500.ocr"
NO
TOTAL ACRES DISTURBED:
EXrST LAitD DTSTURBTI{G prnnrr: l-'l vrs I no
I crrurnal wrll
! comtunrw svsrelr
! com'rur,rrw
fl cerurml sr
hIATER:
SETER:
CFPUA
CFPUA
EM f]fl pnTIC
*I.,} SEPARATE PERI4ITS
PAYTE T iErHro: E coS* fl
EQUIRED FOR ELECT, IIECH, PL8G, GAS EqJIP, PREFASS & II{sERTS T*'
Ecx (pay BLE ro nrrl I urnrcar{ ExpREss E *l*ro I orscovrn
+:|++:t,| *,i(*+ *,1:t* *+:i*,t*,i:*,**:t*,t*,*,r,t,a*,**:i*,t,i,t+,iri+*+*,t*,t*+***,r+,t+,t*
(FOn OFFICE USE OlLY) REVTSED DAIE O4l11/12
SETBACKS: F:_ LH: RH:_ B:_
oATE:_ FLmD: _ BFE+2ft=
N
PERI.IIT FEE:
xO'x
t!,
DATE: 3-30-r6
plo E *:
PHO{E *: 9t0- 54'1-821a
PROPERTY USE / OCCUPANCY: E
r
'sp--
Fz#|G-80a
HAN',ER couNry BUTLDTNG ,.*rrP lb'3313NE
APPLICANT,S A}tE:
DEVELOPER:
OCCUPAIT/BUSINESS M}tE:
PtrOPEiTY OhINER,S IIAfiE :
OUI{Ei, S ADDRESS: i
coirTRAcToR:
E AIL ADORESS:
PROJECT COMIACT RSO'r
EXTST CO STRUCTIO{: E At TI ON tr R
Line o n c urre
APPLIcArIo rvr,E: COiITIERCIAL
PLEASE AI{SIIER ALI QUESTIOilS APPIICASLE rO YOM PRO]ECr
"proJect i€sponslbltitF
cIw:
r uk-
ctw:
LICEISE *:
ap-iiiliiori
l{umbcr
(Offic. Ur.)
ztP| ?u?lo i
*fud1lq -dylt
st t ilt ztptJ&iO I
Rre *: .igl j
NC REG *:'7 ('
D^tEt o 3 lti l;,.4t GI Qto\.2;7- 3 4 ?-1.,
7
Pnot{E ,
PHOT{E
PHOI{E
Pt{o{E
o
CIIY:
(chp A1 That arpry)
GEI{ERAL
No
ilEw srRUcruRE fl rrcr rucr I sx
sr:4f,fzrr, )S1l Itttg)9\3L1:J4^Q
lt (9 t6\ 311 - ?4!Ilo
the
rrcvlrror -[-l
msitez ffvF tr REPATRS E iEtocAIlot{ .,-ls BLDG SPRtNKLEReoz fl ves ffio
rr.r. ! urrly 5 ADD ro Exrsr srnucruRE
If UPFIT - Th€ Sh€ll Pern *:
lf Rsloc8tion, is theres Natural
NEli coNsrRucrlo : #R
ACCESSONY STRUOURE:
ARCH DESfG PBOfElSlolrlALl
El{6N OESIG PROTESSIOML:
Is Elcct Por{c is Building I ves E rc,tati
IF Y€s, h,tat ras the trcyious Occupancy TlDe I
S IHIS A CHA GE OF OCCUPAI|CY USEI
Hhat ls th€ €r
E*t
Occupancy fypel
ronth6.
Pt{
PH
7
DESCRIPTION OF UIORK:
ls food or bsversges F€parod or in this Structure?tr
G
OWNER/CONTMCTOR:
(q.nrd
Nota: Damolll,on no0ficrllom t arbedo!
contaln Albarloa or not. You lra t.qvllld to
dcnEltuon ol lny tldlry or MEhC, S.e
TOTAL PRoJECT COST: /{o BUII."DING HEIG}IT:
TOTAL AREA SQ FT :
TOTAL SO FT UNDER
SO FT PER FLR:
ROOF:f OF STRUCTU RES:
ACRES DISTURBED:d
Yes No The Property Loated ln Tho Floodplstnr I ves
EXST I.AN
SOFT EXISTING
fluencmmr-e leouc flmr Eonoo
sEPrE E ElWELL
PR|VATESEPTC tl
Siale and a
SIGNATURE:
) t.'*OFUNITS: I*orsronresF
orHER_!1[ss,hE5<--
NEW IMPERVIOUS AREA:
ADDroval: Civ:
Commert;
ls
L
hclllry or *!! tD6d !o
La-n 10 days Fior lo tha
SQ FT
EzoNtNG USE q.Ass IFICATON:
COMMUNIry SYIIEI4-. SEPARATE PERM RED FOR ELECT. MECH, Pl'aG, GAS EOUIP. PREFABS S lNSEnS.-PAn ENT METHOD: ICASX CHECI( (PAYABI,E TO ilHq EA'ERIOAN ilPREss EIMCMSA Ioscown
ZONE:_OFFICER:(FOR OFFtcE rrsE o[tY)
SEIBACKS: F LH: RH:B:
REVISED O^IE fiIII!
SYSTEM
il
FLOOD:
PERMTT FEE:3 6
PROJECT ADDRESS:
ADDiESS:
EpFFtcE
WATER:
SEWER:
fit^J Eir<
aoonESs:
Comment
fin-'tlslrori Nr i$l ,*ry;:iw
I
PFE-r..-
04tEtll^:
b
A-0fu131 3- ?ez#lc- 80a
G;
HANOVER COUI.ITY BUTLDIiTG PERilTT
ApplrcArro,t ryps: Col,ttltE iCIA L
N tJ
APPLTCM'S }{A'I':
DEVEI-OPER I
PTO]ECT ADDiESSI
OCA'PA[T,/8US JIIESs M.I{E :
PFOPETW O{t{En " tAflE:
otir,ltR, s ADDRlss | /
cot{TRAcToi t
EITAIL lDOf,Ess:
PPOJEC' CO TACT sG,{:
IF Yc6, rfirt ut3 lhc
lasE A[s$e A[r q.,€srlots lr?trctg.E Io yout ltortcr-Dror.ct R.rponr lbllltlf
CIfYr
{ Ll-C-
PtroflE *
Zl? t al|i1 I
et{/la t:htdzcq .tgt I
St'. &L Zrp I At4tO t
aPPt-tclttqr
ltulb.r
(Oftl.r t r.)
o^r* o 3lt,t lb.4t(-
t Ft, o \.2," t- 3,t7r-
sr'5f,izre, }&yl I
t tllT)t)\.4t 1- z4r-Gt| (9, a \tL1 - ?4 e.to
EXtSr COtlsTnUfiIOr{: D
lf Rolocdioo, b t|ere . Narural
Ttoil
on the
rrU COrirSInUCrIOt; fi
ACCE5SoiY 5T[UCTUiE :
srlucruir I tlst rrrrx srcu I urr17 [ 6e ;o EXI9i STRUCruII
YE5n
If UPFIT - Th€ ShC!.I Pe It E]ect Poyr
LICIIEE f:
ClWl
PHOIIE
Pl€dE
]llts I o|$el oF ocqJP$EV tE$LJ Yrs
ncy Typcl $,rt l, thr [er Occupafty typ!)
P+t
Pt{
((i.(r ^:t th.l rrly)
LJ RErovrrro .Fl soreur-
Cunent Ste? ff*-[ ruo
rrruns I rEloc{Eoir
ls ELDG SPArIx1gpEp7 [{
r on thts Br,itding E ye! I.] loffn...,,
ator otstol PrrFEs3td{nl,
EN6r ffsICN PioFESSlOa{AL !RE6 S:\bt3
XC REG
t.
DESCRIPT:O OF IPR(:
L/:
li tood or b€votrgsa FBpared or I urf rna,"or flv".h Ih. Pogrrry Locq.d rn nr Rooagnf I vo
srfr tt s8!and alt
OWNEF/CONTMCTOR:
(or.dl4 SIGNATURE:
rJdr: D.npldo. rd.,ilc.!o[ I .rErlor
codah ADanoa g naa YciJ an a|qlltd E tc{t, otdlrdl]oi ol .E bd!t, q b46h9. E tsa.1 l0 a.).
TOTAL PHOJECT COST j
rOT/rl A.FI€A SQ FT ;
TCTAL SO FT UNDER
ACRES DISTUREED:o
NEW IMPERVIOUS IfiEA:
-.Sa"AAAIE
mvuerr uenoo: ficrsH
(FOR omcE rrsE
E1BACI(S:
0{.v1 :
F:5L-
FLOOD:
7)o nC-rtaso.rvt71 cfi
B:
(
)<.,
A.
('"
.IER
16 Lir
ll r't
;.r1.{,
1'
1)
EoFFcE
V{ATER:
SEWERi
CITY:
toFUNtTsi I
l
[uencernlr
Eruo
Eoscolcn
Li)c
lat
&
NEId HAIiIOVER COUNTY BUILDING PERT4IT
aDPLx aAfrolt rYPtr RESIDENTIAL
EASf Atsr,r ALI q,lsl:oals ArPtIcatLE T0 YqJi pRo]Ect
'P!.oJect RGspon5l,bllltt/'
[olfuS)1l
tffi*
tt&b€r
(o(fi.r
'ls. )
PRO]EC' ADORESS:
SUBDIVISIO;
APPLICAII'5 UA E:
DEVELOI€N:
PROPERTY 8'{ER'S
ol EN'S ADD*EsS:
CITY:
ELOC( t.
A
c
LrcEr'ls! f:
c*vr //aa *./
LOf l: Z?
iix,677Vof
st : 4lzrc : /* ?{/
tr Ota -qo?- //32-
t OATI
Pt0atE d:
PHOI'IE
ZIP I
a-a/1
CONITEACTOR t Ote.v
,ooRESS:
€TUIL AD9RTSS;
PRoleCT CoNTACr PmSOal I
EXISTIITGC(i{SIRUCTIOII A
IEH CO..sIxrKTIOr, i f] rreCr
A;T GARAGE
-
SF
sut'rioofi _ 5F
2-plst{E
c a L PBOTE I:
rrnlr:on fi RErovArrolr I ernrear. rreuns I RErocArro,r
N RESIDEI\TE O" ffiOOTTTo|,| IO EXISTIIIG RISIOE CT
"PLEASt CHECI( AllD lrrstfn gEL ALI THAT APPLY TO YOT}R PiO]ECTI
I carrNrousr
-
sr
TOrAL SQ FT ur{DER a@.t ,w/ TOTAL AREA SQ |rz s?/.
TOTAL PROIECT COST rL..r Lorl :, lLot oo0 , oF sroRrEs: ,
aCXl},lICA! tdork g.lng Oorl€ to the Acce5sory Strurtur!? frl V"r I m15 ANY EI.ECTR:CAL, PII'IIBIIIG OT
If the project is a Relo<at , ls there a atural Gas Line on the Curnent Slte? E yes Bnothis Buj.ldint? ffi v"r fl no
PROPERTY UST / OCCUPAMY:SINGLE FAflIIY ounLtx I ro!{r],loust
DrsclA6lER r h.i!!y crrlt tr!rl n!itlton tlr stdiialon a contct .nd dl rcrl yit .. ply rih ,}c Sr,ta 8!ildr!g Coa. .in .i o!8. apDt sbL SLE &ld lo..t lsr'
.nd odr!,E4 rJ GEuhlioa. ltl. NHC r Seryk.i O!nt! *tl t oori.o o, an,ctanlaa h n€ alptulrd pr,ii,td rr€ci6c.tbn! o,cis!. h co,rs{Br o,.o.r&8, hbdnsti '-!!OIE. Any $/o.t
Ot,l,l E R/CoflTltACT0R :
P3rr.tswal to r Vbbb. orll. NC 5t t 8ld! Co4 sd Subj*r b 16., th ro ISOO 0C..
SIGMTURE:
TOTAL ACXCS BISTUiBED:
EXTST rAlD OIS7UBBTIG PE$IIT) n vrs [ rc
sxtur fl an:varr welr" f] cEurRAL wELL
err:c f| pirvarE srprrc I coxllnrw svsrrn
Rtg,,Ialc fof, €LEcr, ffcx, p186, GAS €QU1p, pxtrats & JNsrnTs r..
occ{ (payaBlE m rrr; fflrnrnrc,r anress [ ,crursn I orxar:r
€5
Eo=it,gc=I
:3(3
N)<rr
*.<3!>
t5 THt PROP€RTY LOCATED IN FrooDplAril? E yts E No fl/ it\
EIISTIIE I'iPTiVIOUS AiEA:
'{EH
INPERVIqJS AREA,
SQ FT
SQ FT
uren, ffi creua ! couutr
sEt.,ERr E, crrua I ceHrul
.T+ S'PARATT PERXII
PAYrittf rsrloo: flcrsx
rsHaD)
OFf ICES:ilh Nh- *-l-il,
-
Aro__x
,7 t:tr.r'rtt, urlt 6./lVu
t-Q-
BFE+2ft= _-
zoNE:
Appro ual; 0ll city;
R-rf,TEACXS
comlllent
ftrf"urt
DATE
LH
PERIUT FEE I t
$
I orr eruce sr D ponor
-sF
I pmr.
-
sr E sroRAGE sHED sFfr**W-t, *u*, ,1aj
-iTOTAL HEATED SQ fT:
Is there Electrlcal Pore.
oEscf,rPrroil 0f rof,{:
FLOOD:
JotUbtl
ffi
NEW
Ll
R COUNTY BUILDING PERMIT
APPLICATI$I rrPE: RESIDENTIAL
EASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROJECT
"Project Responsibilitf,
crw:
BLOCK S:
a-L'1 6
LICATION
APPLTCA T'S T.IA}'IE:
DEVELOPER i
Number
(Office Use)
DATE :
-
ztP I L?/ df-
LOT S:z'7
PRO]ECT ADORESS:
SUBDIVISION:4_
PHONE S:
PIONE *;PROPERTY O}'I{ER'S
OHNER,S ADDRESS:
E
CONTRACTOR:a OCL4a LICENSE f:
CITY:./u
f] roor-
-
sr ! sroRaer sHro
Violation olthe NC Star
SIGMTURE :
sT I aL.llzrp,t Zt ./
{tZALzrp:A!{/
*': ?/o -707-2782-
c
V
EIiIAIL ADDRESS:PHO?.I E
PRO]ECT CONTACT PERSOII;dr)<_PHONE *:
ExISTIilG CONSTRUCTION: E AL RATION ft aerovnrroru fl eerurmr- nerrrns fl RELocArroN
NEl., CONSTRUCTTOru: ! enrCr lr
**PLEASE CIIECK AI'ID ANSI{ER BELOW
RESIDENCE o" ffimorrtot To ExrsTrNG RESIDEI{CE
L THAT APPLY TO YOUR PROJECT:
! orr crnnce sr fl eoncx _sF
ADORESS:
f] err canaee
-
sF
! surnoou
-
sF
I enrrNrouse
-
sr
TOTAL HEATED 5Q FT:
TOTAL PR0IECT C0STrress roo :
Is Any ELECTRICAL, PI-UIiIBING oT
If the project is a Rel.ocati
Is there Electrical Power on
contacbr inbnnaion "'llOTE: Any Work
O}'' ER/CONTRACTOR i
EXISTIiIG IIIPERVIOI'S AREA :
I{EH II,IPERVIOT'S AREA:
r,lArER: @ crpur E coit'luNrTY
sEwER: ffi Creua I CENTRAL sE
ZoNE: _ 0F FICE R:
Approval:- City;
Comment:
,r*** *)** )*)** * ****,**r** !* *,t *!****)t* )t*,| )* )t:t+*,t**:*:t* + *:f )t rl ***+ ** **** * **)t* * * ** * *
Eno
TOTAL ACRES DISTURBED:
ExIsT LA D DTSTURBTNG pERMTT: f-l yrS l---l rc
/
! orcr 2.0 o SF OTHER:SF
TOTAL sQ FT UNDER ^*r, ,.3/ TOTAL AREA Sa fit f?/.
1lo, ooo * OF STORIES: I
HAI'IICAL Work Eeing Done to the Accessory Structure? ffi VaS ! no, is there a Natunal Gas Line on the curr€nt site? fl ves [t tohis Building? ffi ves Ino
_ sF
Etdo Code S!b Up T s500 0'
E E l'1C /VISA
,f *
NGLE FAMILY DUP L EX tr TO[^INH0USE
DESCRIPTIOII OF }.l()RK:
DISCLAIMER: lhercbycerlittlai.all infonnalion in is all will Slate BuildinO Code d
and odinan.es and legulalons. The NHC Devebpm Se Cen v ch anges plan chang6 in
0
IS THE PROPERTY LOCATED II'I A PLAI ? T.I YEs
vsrer.r ! pRrvATE wELL I crrrml well
rrc ! nrrvarr selrrc I coMMUNrw sysTEf4
**' SEPARATE PERT'IITS
PAY|.ENT ltETHoD: E clsx E
QU
ct(PA
F
ASL E
OR EL
TO
E c T
NHC
t1E H p
Al1
L BG
RICAX
GA5 E
XPRE
au I p
s s
PR fa8
E
5 &I tJs E R 1
SQ FT
SQ FT
I R E D
* *rr*,f!trt** *!**,*r** *,t )i * *,t )* *,***
c
E*!t)t*** *++*:|)i* )**
(roR oFFTCE USE oiLY)
s * **
I orscovrn
REVISED DATE O4l11/r2
)
SETBACKS: F:_ LH:_ RH:_ B:_
BFE+2ft= _DATE: FLOOD:
A
PERMIT FEE: $
N
PROPERW USE / oCCUPTTNCY: El
&;
DEVELOPER:
CONTRACTOR:
ADDRESS i
.i{AIL ADDIEsS:
TOTAL PROJECT
Appro\€l:*-
Comment
)atb3Yt
NE
APPLICANT'S irA},lE I
occuPAiiT/BusrNE55 i\lA!48:
PROPERTY OhINER'S TIAfiE:
OHNER'5 ADORTSSI
PRO]ECT CONTACI PERSON:
il+R T ION
HANOVER COUNTY BUILOING PERMIT
APPLICATIOTI rYP€; C0itlilERC IAL
prtAsc At5k6n aLL QoEsYtoiS AppLICASLa T0 yffJi Piottcl
"ProJect Reeponsr.bllity"
CITY:
crw;
LICENSE S:
CITY:
pt.,NE *t E/c_.a6.ro341
pK:,w *'ffi-iFD/6
D^le: 3/ali6
*nne *, ?lct,%)<t)* I
,<.{.. ztp t a!_KD-
la-'bt I
APPLICATION
,{ufiber
(carl(! ui.)
*, 7Y;:14!-0$e
s7 ) LezD..tElo)
PHONE
ACCOUNT
':5r : l&zrP t,, rt ffQ
Line 0n lhe Curen
NEW 5'TRUCIURE f, rasr rnlcx I arru I unrrr I Aoo ro Exrsr srRUcruRE
ite?tr Yes
GEttEsAL REPATRs l-- ngtocllro.,[f," -,i.i*!"fi ;;-#b y. EdLlTREr'rovaT 10
lf Rolocator. is there a NaluralG
Er,J CONSTsUCrrOi | [ ERa
ACCESSORY STRUCTURE:
ARO{ DESIG'J PROTESSITNAL :
EN6R DESI6ti PROFESSIOiIIL :
If UPFIT - The Shell Pe t *:
IF Yes, rfiat iras the Paevl.o!
Is Elect Po{er or tl.is Building {vrt E lo
rs Tr{rs A ctiAllcE oF occrlparcy use l I vrs fr6 .....
o(cupanay Type?
-__
hthat 19 th€ Ne$ Occupancy Typ€l
eap:tegElL Nc Rzc e: S!i4?
PH:,LL:-21!:-4!,_ Nc REc dt q I -i <
eil St6re ai Sla
or chlno. in ccrl:rcclor or coniraclo.
Subiedlo Flhe6 Jr To 3503 01"'\c Sla Slds Code and
OWNEFYCONTRACTOR:
G{ati6.1
SIGNATURE:
Noto: oomoillon nolfarloM t aibosro6 p.frn[ r9pllcatoo! atv @ io gLtnhqd !51n0 ho apgllclton hrr l{tlot t6. tn tdll9 or tulwln! rrs ioond !o
aoniah A!i€st': o. rbl You .r. rlqullla to $. N.toarl Einbrt n St lts.di b{ t?.$dol.t, Alr Polluqms r.*Es8,Ap) !1(9r 9)10r.5350 rr t ..r 10d!I5 Firb 0le
do riorlloh ol lny ftdlty o. !rrld[E. S€.Wob Slto: htpJl*l{,o9i.Gtsb.,ra.us,t6pua3b€slos/6hlnr.htnl
DESCRIPT]ON OF hOR(:
ls food p. bgverstes troporad o(
otSCLA,MEF I n€reby cenit lhar
an! loallre s snd ordinln 6s and
TOTAL AREA SO FT
TOTA-L SO TT UNDER ROOF:z)# OF STRUCTUBESi
ACRES DISTI.,iRBED:
NEW IMPERVIOUS AREA -€-;:,-SQ FT
: . -: -.i. -,t1 a!E., r.,./Fr:rl l rljLj ars FcL[. .i .:At,s 6
ln thk dru&JIB? n Yer S no e ne e.operty Locslsd In The FtoodCsln? n yes F No
BUILD!NG HEGIfT:
SO FI PER FLR:
j
T OF UN'TS:
f OF STCRIES
f OF FLOORST
3,
rTY SYSTEM IWELL EZONTNG USE CTASSTFICATION:
SEPT|C L.] PRIVATE SEPNC r] COMMUNITY SYSIEM
Exsr LAND DrsruRBrNc rrnri,rrr I y:s [t-uo
rXIST{NG IMPERVIOUS AREA'; E2--
dffi* Ilorscown
SO FT
cHEcK (pAyABtr ro Hxcl flaru nccourr
ZONE:,I} OFFICER:
AEMSEO DAt€ ru1 1.l2
N
_- P€RMIT FEE: $
a)
EXrST Cot{StRljcrro :
PRO]ECT ADDRE5S:
[uencermle Ieouc I*,r f,coroo orxe*
PAYI,IEMT METHOD: NCASH
APPLICANT,S
DEVELOPER:
PRO]ECT ADDRESS:
OhINER, S ADDRESS:
CONTRACTOR:
ADDRESS:
ETTAIL ADDRESS:
TOTAL PROJECT
Approval:_
Comment
?ot(r1518
y"-68-)
OCCUPANT/BUSINESS I.IAiIE :
PROPERTY OWNER'S t,NfiE:
EXIST CONSTRUCTION: I.I ALT
lf Relocdion, is there a Natural Gas
NEW CoNSTRUCTToNT f] rnecr
ACCESSORY STRUCTURE:
AROI DESIGN PROFESSIOI{AL:
ENGR DESIG'{ PROFESSIOML:
TOTAL AREA SO FT :
TOTAL SQ FT UNDER ROOF
HANOVER COUNTY BUILDING PERMIT
APPLI1ATIqN rYPE: COIIiI4ERCIAL
EASE ANS},IER AI-L OUESTIOIiS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibility"
CITY:
CITY:
LICENSE *:
CITY:
v PH
DATE:L6s/a
PHoNE *: 7/a-p6-o-osl t
,,r-4- ztpz2n+48-
APPLICATION
Number
(office Use)
7io34t-r6e
4up'2-t!9*
PHONE *:
ST:
ACCOUNT *:
st,:.,UtzrP':2t fi2Q
PHoNE $: 7/0-A&e241
PHONE f:
rf UPFIT - The Shell Permi *
'**rl **
IF Yes, what was the Prevlous ccupancy Type?
THrs A cHANGE oF ocolpaNcy usrr ffvrs
7 (Check aII
[E nruoverror
renr Site? [
applv)
GENERAL REPATRs fl nrLocltrn^,
6*" rs eroc spnt-ixleaeof,ffyeffNo
?b-?ri-oa?)-fp:4fl:-t 14-
NC REG S:
NC REG *:
3734?nBv-
ION
ne on the Yes
EW STRUCTURE fl rlsr rnacr fl snell I urrrr ! loo ro Exrsr srRUcruRE
dr* E ruo
PH
DESCRIPTION OF WORK:
ls food or beverages Prepared or tn this snrchrre? flves f] No b The Property Located ln The Floodflaln? [ ves f] ruo
The
OWNEFI/CONTRACTOR:
5
(o'dn€4
Nole: Domollton notlicatons t esbestos
(pnn Nan€)
pomh.pplicalons al6 lo b€ sub.nltbd uslng lh€ sppllcalior brm ,o,il-rl, *"*, * r.afflurrums *". ruuno ro
contaln A3bos!6 or not You 6ra r€qulrod to tho N.0onel Emhelon Strndards br Haz6rdoB Alr Pollulanls (NESHAP) at (919)7076950 Bt l€ast 10 days Fflor b rh6
demohlon of any redlily or bulldlng. S€o W6b Sit6: htprl,trvr.epl.state.nc.usi/6pi/asbesioyahmp.html
BUILDING HElcHT, -17saFTPERFLR:Jfr-
#OF STRUCTURES: -a
# OF UNITS:
# OF STORIES:
# OF FLOORS:
3
u
ACRES DISTURBED:--a--
NEW IMPERVIOUS AREA:SQ FT
fluencnrrru [eouc nnpr E @NDO OTHER
SYSTEM tr WELL tr ZONIN SE CLASS FICATIO NGU
SEPTIC tr PRIVATE SEPTIC tr COMMUNITY SYSTEM
". SFPASA'rE Fi:RMt CU nr:L)on Ei-f.,1 cl-i PI LJC Ails ICiJ
PAYVTENT METHOD: ICaSX CHECK (PAYAB tE TO NH c)BI LL ACCOU NT
(FOR OFFTCE USE ONLY)
ZONE:_OFFICER:SETBACKS: F:-LH:- RH: B:DATE:_ FLOOD: __ _ BFE+2ft
fiffi*.o n DISCOVER
REVISED oArE 4/ t 1tl2
NEtd
\;
PROJECT CONTACT PERSON:
WATER:
SEWER:
.,1
tll
tjl
ffi****,
Is E1ect Poh,er on this Building
}lhat is the I'l€r, occupancy Type? _
Exsr rAND DrsruRBrNG pERMtr? r-l_yEs El"-No
EXISTING IMPERVIOUS AREA: (:__ SQ FT
fir^ce
I
Jr"r,rr..,r-O-
leu#tb-8)3
__ _0 6tb-%1?
PERMITNE
APPLICANT'5 NAJVIE:
DEVELOPER:
tx
HANOVER COUNTY BUILDING
APPLTCATION TYPE: RESIDENTIAL
PLEASE ANSI{ER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
n
CITY:
BLOCK f:
e
CITY:
LICENSE #:
&APPLICATIOI'I
Number
(office Us€)
I I DATE:6 L
srlBE+v+'roft
PROPERTY OWNER,S NAT1E:
OWNER,S ADDRESS:z
CONTRACTOR:O"r n
PHONE S:
PHONE #:
zlP :
LOT T:
sr: zrp, 28 4 I I
ACCOUNT S:
ADDRESS i
ETIAIL ADD
z F CITY: U O,
STORAGE SHED
OTHER:
sr:0tr3.2 IP; _
TERATION
NEh' CONSTRUCTION:ERECT El^l RESIDENCE or ADDITION TO EXISTING RESIOENCE
*+PLEASE CHECK AND ANSI,IER BEL ALL THAT APPLY TO YOUR PRO]ECT:d PoRcH 30 sFs
PROJECT CONTACT PERSON:
EXISTIN6 CONSTRUCTION:
ATT GARAGE
-
SF
suNRooM _5F
GREENHOUSE SF
DET GARAGE
-
SF
POOL SF
RESS :
Is Any ELECTRICAL, PLUMBING or
If the project is a Relocat
Is there ELectrical Power o
J 2.r.5
DEC
PTONE S:
PHONE #:7DZ^90) -sc qt
K 4Oo sF
SF
SF
ToTAL HEATED SQ FT: a5
T0TAL PROIECT COST rress rorr :
CHTINICAL r,,Jork Being Done to the Accessory Structure? [ V", p ftfo 0/lA
NOn, is there a Natunal Gas Line on the Cunrent Site? [Yes nthis Building? [-] v"s [f to po"'- to gi-\Z-
PROPERTY U5E / OCCUPANCY:SINGLE FAI4Tt Y DUP L EX TOI.]NHOUSE
DESCRIPTION OF WORK:3
DISCLAIMERT I hereby certit rhaiallinloffiation in
and ordinances and regulatlons. The NHC Develop
is appli€al,on is conect and allwolk wittcomptywih he Srab Buitding Code and a oher a ppLrcable Stare and locattaws
enl Services Cen@r wrll be not,ied ofa,ry changes in he approved ptans and soecificarions
coniractor infrmaton. "'NOTE Any Work Perto d w/O lhe Appropfiale Pemitsw Ilbe i Srate Bldg Code and Subt€ct io F
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3.frtort'g#iJfr:
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TOTAL ACRES DISTURBED:
To $500 00"'
oI^lNER/CONTRACT0R:
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I5 THE PROPERTY LOCATED IN A F LOODPLAIN ?
EXISTING II'IPERVIOUS AREA:
NEW IMPERVIOUS AREA:
SQ FT
SQ FT
WATER:
SEWER:
CF PUA
CF PUA
SYST
PTI C
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Kentrvarr seerrc
CO[liYUNI
CENTRAL S
EXIST LAND DISTURBING PERMIT: E YES l--l no
CENTRAL h'ELL
COT1T1UNITY SYSTEM
*** SEPARATE PERI.IIIS
PAYT1EMT IiIETHOD: E CNSU E
REQUIRED FOR ELECTJ TIECH' PLB6, GAS EQUIP, PREFABS & INSTRTS +**
E CK A8 E To NHC tr B I L L ACCOU trLNT
DATE: F nn.
A
A
BFE+2ft=
11 c s/vr I orscoven
AEVISED DAIE O4l11/12
* *,* * ** * ** * * * ** * * ** * * )*,r * * *+++
SETBACKS: F:_ LH: RH: B:
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(FOR OFFICE USE OQLY)
ZoNE: _ OFFICER:
Approval :_ City:
Comment :
PERMIT FEE:
PRO]ECT ADDRESS:
! nrruovnrroru ! crruenar nrcarns I RELocArroN
TOTAL 5Q FT UNDER nOOF: 28OD TOTAL AREA sQ FT: z &oo
$ ]7Ol.oA # oF SToRIES: I
tr
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