MAY 3 2016 BUILDING APPS-/ | . i. r
-l .l t-l
NEI,'I HANOVER COUNTY BUILDING PERMIT
aPP L IcAr Iott rYPf r COllltE RCIAL
F PLIAsE ANSNER ALL QI]ESTIONS APPLICABLE TO YOI,'i PiO]E'T
"Prolect Responslbllltr'
2o(o- rc@g
16-403
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APPLICATI(r{
Nunber
AppLrcAt{T,s run:: Egs-rf
DEVELOPER:
PRO]ECT AOORESS:
occuPAr{T/BUSINESS NA[E: ftr-rr*rr-r.*-r
PROPERW O{NER'S I{,A'4E : t}.ro5Ptr\rra3r?aJ-
Oi*{ER'5 ADORESS:B scts O
PHOI,IE -i+
zaP.2t*!ci3
plo{E f:
sr:LI1 zIP:_SEYIcD
PHOiIE $:
PHoflE *: g]2j33c3oq
i
CITY; LIJ tLr{A,t \l<ro\,
*CO{TRACTOR:.,DA-LL r1cExsE
cI TY: \^ ttJ!\,t\r <I-1iGJ
;F '7':3os (
ADDRESSi v elAbD 'L CITY:e{zrn+N STi Z1?:sh
PRO]ECT CCHTA(T PERSON:
GEI{ERAL REPAIRS tr RE
ll Rolocdio'! is th€re a Nalural tr No lS BLDG SPRINKLERED?ves f]m
rrr Co srRrrcrro,l: ! en:cr tew STRUCTURE ! resr rmcr ! srru I uerrr ! aoo ro ST STRUCTUNE
ACCESSORY STRUCTURE:
EI,IAIL ADDRESS:
Poier on this Buildine
*, [,r..-.is ttie"ler OccuDaflcy Tvpe
PH,q:B' ?s3-1-fi'c Rt
\a(
\
If UPFIT - The Shell Pe.,nit *: _ fi Ele.t
*'..' rs rlrs a (xa{GE of occuearcv usrr IIE Y€s, drat ilas the Previous oc.upan.y Type?
ARCII DEsIG,t PROFES5IOI\AL: P*.<. <,.F€I>"i1
DESCRTPTION OF HORK i o.- trtty.,(_l(}! 1!
13 food or b€veag€ p.opaGd o( 66v€d h tlts slructus? f]Yes
6p; fs,-a- fft,-1
ff v.' Dm
o *: 1Sr'tk
PH &t?:Zj5a3 Nc REG *: !t?!9_
No le The Prlpcrry toc6t d fr *e n-agatn I v""No
SIGNATURE:(AtG)
a d€b6 ffiad pdhn #c.ft.t l}t b b. i..rnilbd GhC tE .l!!ddo
'o.hae Gqd.td io cd oB N6ri{€i Enid@ Sb.da.d. t .lkardoc Ar tulltart (NESMP).t (919)70r-5@ at l4r't0 &ys
r,€rrclild <, 6.ry faci[ry d bllldho. S.o &bBrG w.b slb:
SO FT
TofAL PR6JECT Cp1ST, ag-t 9eo_BUILDING HEIGHT:
SO FT PER FLR:
l(o'# OF UNTTS:
IOTAL AFEA SO FT .863q # OF STORIES
# OF FLOORS:TOTAL SO FT UNDER ROOF; _# OF STRUCTURES:
o<sT LAND orsruRBrnc eERMtr? f] yEs E No
Apgovat- City- DATE- FLOOD:
-- -
BFE+2fr=-
ACRES OISTURBED:
NEW IMPERVIOUS AREA:SOFT EXISTING IMPERVIOUS AREA:
MERCANTILE EDUC tr lrr lmlroo OTHER:
tr WELL IZONING USE CLASSIFICATION:
PRIVATE SEPNC CO IMUNTY SYSTEM
PAYMENT METHOD: DCASX flCHeCX PrveSE TO NHC) f]nUenrcmr OeneSS EMC 4SA I orSCOVen
(FOR OFFTCE USEONL'
ZOI'|E:-OFFICER;SE:rBACKS: F:-LH:- RH:- B:-//{a-
tlctr
EXIST COI{STRUCTIO|{: ! llrrmtrOt
I
EtiGR DESIGi{ PROf ESSIOT'IAI i 30thv J o+f-
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I
P-f
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f
ADDRESS: A 5
5
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ffi
APPLICANT'S NAIiIE:
DEVELOPER:
l tt\ rr.-rticr-rc.r.. e"-Slc^-ks
RECEIVED iIAR 29 2Or
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Res pons ibility"
=5{r\e CITY:t.al
!\qA
PHONE #:
zrP: 28\(\
LOT *:
pHoNE *: ?SL(-z?? -6328
ST:-ZIP: 2\{\\
PHONE #:
pHoNE #: .tr,a-ztT-698
Jol6_ jg(oy
lu-quq
APPLICATION
Number
(offi(e use)
DATE:5t ac \\b-----r------r--
PROJECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER'S NAI'iE:
OWNERJS ADORESS: JAtl
Yl\o.^;a-\.\G S*o-\<r
\N i\e.\.^-r' lNs^7 CITY:g
CONTRACTOR : /iflt'r-\L. C^-r.r n C...3.N LICENSE #:
q
\-,Ji\s . CITY:
EI,IAIL ADDRESS:
PRO]ECT CONTACT PERSON:fY\ft Ri G\\na llaks
ExIsTIilG col,lsTRUcTIoN: (! arrrnaTlor'r E
sr , l"k irp , ISI] (
W.q\.^;-Y:r
*.PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
! arr crnnce
-
sF ! orr canacr sr ffi eoncu _!|- sF
sUN R001"1 _ SF
6REENHOUS E
R ENOVATION GENERAL REPAIRS RE LOCAT]ON
NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
Poo L _ sF STORAGE SHED
-
SF
SF DECK SF OTHE R
DUPLEX TOWNHOUS E
SF
TOTAL HEATED SQ FT:d TOTAL SQ FT UNDER ROOF: 13 TOTAL AREA SQ FT: A3
TOTAL PROJECT COST tr.essr-ort : $ {tf "oto # OF STORIES: L
Is any ELECTRICAL, PLUIiTBING or I'IECHANICAL work Being Done to the Accessory Structure? [ V"t (] rt:o
If the project is a Relocation, is there a Natural Gas Line on the Cunrent Site? [ ves x] tlo
1s there Electrical Power on this Building?
PROPERTY USE / OCCUPANCY ' I SrruCrr rnmrrV
DESCRIPIION OF WORK:
.G.^.t8. {q1 O C'A
[-l ves [ ruo
!o .&\- p"nhcC (. oo^ &oo<-
IuY^r
(<< o.^^ gO t o*\r1^ *.;;I
OWNER/CONTRACTOR, t{ro.s;O.t\".o. }f AV+ SIGNATURE :u.
and ordinances and regulanons The NHC Developmenr SeNices Center willbe norilied oI any changes in lhe approved plans and spec lions or chanqe in conllaclor or
conlracbrrnbrmarion'-NOTE:AnyWorkPerfclrm€dw/OfieAppropriaEPermitswillbernViolationoflheNCSlaEBldg t !r fines Up To $500 00"'
**,** *** * * * * * * )** * * ** * ** **** *(I i'fl Jilu] * * ** * * **** *,** *:**+ **** *** * )** r(*,***,* *,*
I..]ATER: Q CFPUA E COMMUNITY SYSTEM PRIVATE t^lE L L CENTRAL l,,]E L L
srwrn: ffi cFpuA E CENTRAL sEPTrc ! enrvlre seerrc COIV1IYUNITY SYSTEI4
I5 THE PROPERTY LOCATED IN A FLOOOPLAIN?
ExrsrrNc rmpERvrous anra ' -!]-
sq rr
NEW IiIPERVIOUS ^RE* 9 SQ FI
IP, PREFABS & INSERTS **'
SETBACKS: F:- LH:- RH:- B:-
BFE+2ft=
-
YEs El ro
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT: ff YES lE r'ro
*** S€PAIIATE PERI1IIS REQUIRED FOR ELECI, !1ECH, PLBG, GAs EQU
PAYT'IENT METHOD tr CASH flarra* (payABLE To ttHc; I orltnrc*l rxnness t4c/vrsA DISCOVTR
**** *+* * * )t,t *)*** ** )** )*** *r(tr(+ +** )t * i<'>* )*'*** * *'t+ *'****!t*** )* 't **** *** )t'f ***'** * *'t't**'*'* *** * ** ** **** )* *
(FOR OFFICT USE o(,lLY) REVISED DATE 04111/12
ZONE :OFFICER:
Approval:- CitY:- DATE:- FLOOD:
-o-
Comment:
N
PERMIT FEE: $
BLOCK #:
tr
6
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIoN ryPE: COMMERCIAL MODULAR
SALES OFFICE/TRAILER
PLEASE ANS!{ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
2otLS?S?
L6-t224
APPLICATION
Number
(office Use),m
APPLICANT'S NAT1E:
DEVELOPER: : .
R. S. (Burch) Lawt.e r Jr
Wooten Corporat i on
CfTY: wr lmlnqton
PHONE f: (252)29r s165
PROIECT ADDRESS: ::., sutror Lnke Foa.i
OCCUPANT/BUSINESS NAiIE: s. T. tlJooten Corp.ratio.
CONTRACTOR: S T. laloot en Co.rporat ion LICENSE #: 2835
ADDRESS: P. c. Bcx :r08 CITY: I{ilson
EI\,IAI L ADDRESS: r, r.r1r
PROIECT CONTACT PERSON: .' -Butch) Lawter JI
(CHEC( ALL THAT APPLY)
NEI,i INSTAL LATION RE P LAC EME NT
DESCRIPTIOI{ OF tlORK: site preparation for and setup of new modufar office
ST::,ra ZIP: :rE"i
and ordinances and regulaiions. The NHC Developmenl Services Cenlerwill b€ notitiod ofany changes in the approved plans and specilications or change in contracior or
contraclor information "'NOTE: Any Work Perfomed w/O lhe Appropriat€ Permits will be in Violarion of the NC State Eldg Code and Subject to Fines Up To $500 00"'
O}'INER/CONTRACTOR: F. s. (Burch) Lawrer, Jr SIGNATURE:
rtrPH co!.rPLrANT? fl rzo ueu on T 130 MPH
IS THE PROPERTY LOCATED IN A FLOODPLAINI I Ves I No
RAI{P DETAIL INCLUDED ?!Yes E No
ves [ ruo s!
(Prlnt Name)
TOTAL PROIECT COST: $ i.000
THIRD PARTY CERTIFICATION ?ves I tlo
TOTAL SQ. FT. UNDER ROOF: i,4,.
FOUNDATION DETAIL ATTACHED?I ves I to DECK:
PORCH:
COII4MUNITY SYSTEI4
CENTRAL SEPTIC
PRIVATE WELL
PRIVATE SE PTIC
. Ft. 6B
No Sq. Ft.
N
Yes
WATER:
SEWER:
CFPUA
CFPUA
TOT AL ACRES OISTURBED: : ::
EXIST LAND DISTURBING PERMIT:YES I NO
*IT* SEPARATE PERMITS REQUIRED FOR ELECT, FIECH, PL8G, GAS EQUIP, PREFABS & INSERTS ,l!i':i
PAYMENT METHOD: ECASX CHECK (PAYABLE rO r{HC ) [ Amenrcar exeness fi,'rclvrsr I orscoven
90. OC AC
*+*)**r(**+*,t**+**)**+++*****+****1.*XX***,t++*****1'++****:*1'rt***',t******+*r**)i***r*****'*'*'(t)t*'l'r*'*
COIVIMUNITY 5Y5TEM
TOTAL SITE AREA:
(FOR OFFICE USE ONLY)
SETBACKS: F:- LH:- RH:- B:- ?tvrsEo 4/12/12
BFE+2ft=
ZONE :OFFICER:
Appnoval:- CitY:- DATE:- FLOOD: ---l-
r
I
T
Comment :PERMIT FEE:
DATE: -i4 25 2-t16
ZIP i 28 41t
PROPERTY OhINER'S NAfiE: s. r. wocten Corporarion PHONE #: 1252)291 5165
oI^,NER'S ADDRESS: p. o. Box 24oB CITY: !.,/ilson ST: J!_ ZIP:2f3:3_
PHONE #: 97 s-2tB-2a3A
PHONE #:919-218-2834
a
(
f Np PllN sx RE.ET'ED APR 1 e mr
NEW HANOVER COUNTY BUILDING PERMIT
APPLTCATIOiI r)'PE; COiti'tERCIAL
PLEAST AJ'ISWER AIt QUESTIOTS APPLICAB'-€ IO YOUR PRO]TCT
"Project Responslbllity"
|ICE SE t: _C5-::_
CITY: tlILMINSToN ST: Nc ZIP: Z!3!l
2olL"31{ L
-)
(_I
I
;]
&APPLICATIOfl
llunber
(offtcr Ui.)
DEVELOPER: :i1 C9A5TAL SERVICES
PROIECI ADORESS: 3g? N GREEN MEADows DR.lvE Lrlrr B CITY: rilLMlNGToN
OCCUPANI/BUSINESS llAllE: "r coAsrAL sERvrcEs
PROP€RTY OhNER,S t,lAIiE :DUTCH PARTNERS
Oi{{ER'9 ADoRESS: 27rs ASHToN DRrvE surrE 100
CONTRACTOR: AL L SPAN AUILD]NG SYSTEMS INC
ADORESS: 136 HARLEY ROA'
P}|(N{E *: 9ro-a21-tlsB
ZIP:2s4os
PIiONE *: s 1o -
PTONE #: 9io-799-9120
PtOtlE *; 910-799-9120
tr Yes E No
EHAIL ADDRESS: NEr Lg'ALL- SPAN. coM
PRO]ECT COI'{TAC T PERSOT{: NETLeALL- SPAN. coM
EXIST CONSTRUCTION: EI AL'ERATIO
tf Relocadon. is there a Natural Gas Line on the
(Che.k All Inat Arply)
REM}VATION D GENERAL REPAIRS n RELOCATION
Current Site?Yes No IS BLDG SPRINKLERED?
If UPFIT - The shel1 Permit $:Is Elect Pouer on this Building Ives [|Ho
.r..* rs rHrs A cxarcE oF oc€t pancy usrr f]v:s firo ....*
fF Yes, *rat tras the P.evious Occupancy Typcl t{hat is the l{er. Occupancy Type}
ARCH DESIO{ PRoFEssIOtlaL: N/a PH: N/A NC REG S: N1/A
E!i6R OESIO{ PROFESSIOi{AL : !"],A PH: N/A NC REG *: N/A
DESCRIPTION OF I^,ORX: ENLARGE EXISTING OVERHEAD DOOR
ts bod or bevrag€s p.€pd€d a ssvad tn tHs stnrauer I ves fl r.ro r nn noperty Locatod ln The Flood6am? fl ves [l Ho
OISCLAIUERi I hereby cenify $al all intormation io lhis epdication js correcl and 6ll worl will comply wiU l}le Slrte Bu
en t local Lws ,nd ordrnances and reoulations. The NHC Oevolooment Services Cenle, wlH be noliled ol anv chanoes
or chanoe rn aootrsclor oI conqador filolm€iton -'NOTE: Any WoIt Pertomred wO lhe Appropriale Permils yvill 5e in
SubFctio Fines Up To $500 00-'
rn lhe aoDrovtd olans and soecrfimbns
Vk st6i ol $eNC State Bldg Code and
ibing eode and allother applicable Slale
STGNATURE: r/a,%flLm;*a-(Odr!.., (P*r rbr.) u t //
coobh Alt aoa or not Yoi, lrr
'r(dr5.,
!o r.ll the Nalbntl Embsbo Slan&nlg fo. H@rdout Air Po{utsnB (NES}iAP) a 1919)707{950 rt ldsi '10 day! ,lb. b tt€
dorld o otriy bdcty o. hl|.Jkre. Se Aslacb6 v\r.6 S}e: ht$Jlr.ww.epl.slaE.nc.tl3t pu!3b6ldahmp.hrnt
TOTAL PROJECT COST: 6.6?5
TOTAL AREA SO FT : JI4--
TOTAI- SO FT UNDER R@F 1A
SQ FT PER FLF: N/A f Of STOBIES: N/A
# OF FLOORS: N/A# OF STRUCTURES: N/A
8.......r......................r...r-...............r...............-....
(FOfi OfFICE USE OaaLY)ZONE:_OFFICER:SETBACXS: F:-LH:- RH:- B:Approd:_Clty:_DATFT FLOOD:___BFE+k_
RSV}SED DATE {1IN2
APPLICA T'5 MT,E: DATE" -3}-}2JJ!}S-
cIrY: !l!glIgIg!__ sT: !g_ zIP::339
ritEl,t co srRtKTro{: I rnrcr NEx STRWTURE I rlsr rnacx I sxru ! urrrr ! aoo ro ExrsT sTRtrcTuRE
ACCESSORY STRUCTURE:
OWNEF/CONTRACTOR: a!,L sprN surLnrtrc svsrst{s rNc
BUILDING HEIGHT: -!l}_ # OF UNITS:
ACRES DTSTURBED: -Nt!__ EXST LAND DtSTUneTNC eeRurr f] VeS I NO
NEW IMPERVIOUS AREA: I:II SQ FT EXISTING IMPERVICUS AREA: N/A SQFT
pRopERryUSE: ZloFFtcE [nesmuRnNr nuencemue f]rouc f]eer [coroo o"rHER:_
WATER: ! CFPUA E corfiuuNnY SYSTEM n WELL AZON|NG UsE ct ASStFrcAnON: : ND
sEwER: EI CffrJA E CENTRAT SEpTrc Ll pRtvATE SEFIrc [fCOMMUN]ry S\6TEM
'''s.,-'!rrr.Jt ltrifl:Srii.r}rltii:Df,,)qtt{ai MECit rr]l(,.(;ASFOti[ r]itlABS&trtsrr.:rs..-
pAy[,ENr MErHoo: ficasx ficneo< pevaaE ro NHc) ftnuenrcm aoness f] ucnnsn florscoven
AVN
PERMTT FEE: $_l-(S_
,t Na pUAN Sx RE.ET'ED ApR 1e zgs 2otb-3%c
It!-lLo3
APPLICATION
Number
(office use)
(t ).
APPLICANT,S I.IAIIE: T1 CoASTAL SERVICES
DEVELOPER: TI CoASTAL SERVIcE S
PROIECT ADDRESS: 38? N GREEN MEADows DRrvE uNrr B
occuPANT/BUSINESS l,lAr.lE: rr coASrAL sERVr cEs
OWNER'5 ADDRESS: 271s AsHroN DRrvE surrE 100 CITY: wrr,MrNGToN
CONTRACToR: ALL spAN BUTLDTNG sysrEMs rNC LICENSE *: 853?
ADDRESS: 136 HARLEY RoAD CITY: wTLMTNGToN
EttAIL ADDRESS: NErrr@ALL spAN. coM
PROIECf CONTACT PERSON: NETL@Aj,L spAN.coM
(Che(k All lhat
NEt^l HANOVER COUNTY BUILDING PERIvIIT
aPPLICATIoN IYPEr COiIIIERCIAL
PLEASE ANSI{ER ALL OUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project ResponsibiLity"
OATE:4/i-9/2a16
P[()NE #:910-821-13s8
PIIONE #: e1o -
ST: Nc ZIP: 2 8412
ST: NC ZIP: 2840s
PTONE #: 9to 7 99 - 9t2a
PKINE #: sto-7e9-r-20
EXIST CONSTRUCTION: z ALTERATION
lf Rolocation, is there a Natural Gas Line on the
REI{OVAT ION
Current Site?tr Yes
REPAIRS RELOCATION
IS BLDG SPRINKLERED?I ves I No
apply)
GENERAL
E*o
NEr{ CONSTRUCTTON, ! rneCr NE[,J STRUCTURE ! rmr rnaCx ! Sxer-r-
ACCESSORY STRUCTURE:
UPFIT ADD TO EXIST STRUCTURE
If UPFIT - The Shell Penmit #:Is Elect Pouer on this Building E Yes E ruO
i**'i* rs rHrs A cHAl{GE oF occupAt*cy user Ives Iro *****
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGI{ PROFESSIOiAL I N/A
Hhat ts the New Occupancy Type?
NC REG #: N,/A
EI'IGR DESIGN PROFESSIOML: N/A NC REG #; N/A
DESCRIPTION OF I,TORK: ENLARGE Exrs?rNG oVERHEAD DooR
ls tood or be\rorages prepared or sen od in thls eruaure? [ ves p Ho b The Popefiy Located ln Tne Fboddah? E ves I uo
N
N
PH
PH
(at6lHb.)
Nole: Demolilion notfcatlicns & ssb€stos rsnoval pema applh€lions arB to b€ submitr.d uslno th€ spdi.stlon brm (DHHS-3768) wtr€lh€r the facjlity or buildang
DISCLAIMER: I hereby cenify that all informalion in this application is correct and all work will comply with the State Building Code and
and locallaws and ordinances and reoulations. The NHC Develooment Services center will be notifrcd ofanv chanoes in the aoDroved
or chanqe in conlractor or contraclor informalion. "'NOTE Any Wo* Perlomed w/O lhe Appropriale Permils will 6b in Violation of lhe
Subjecllo Fines Up To S500.00-
all olher applicable State
olans and sDecifications
NC State Blds Code and
OWNEF/CONTRACTOR: ar,l spAN BUTLDTNG sysrEMs rNC SIGNATURE: l/rg,
conialn A3b€tos or not You are requlrDd to call lhe f,lstionsl Embrlon Standarde for HazrrdoB Ar Pollutants (NESHAP) at (919)m7-5950 al least l0 days Flor b lh€
demolhion of sny fadllty or bullditug. S€€ Asb6tos Web Slt€: htpJ /vww. epl.st6le. nc.us/epi/asbsslos/ahmp.htrn I
TOTAL PROJECT COST: _9,_915_ BUILDING HEIG HT: N/A # OF UNITS: N/A
TOTAL AREA SQ FT :N/A SQ FT PER FLR: N/A # OF STORIES: N/A
TOTAL SQ FT UNDER ROOF: N,/A # OF STRUCTURES: N/A # OF FLOORS N/A
ACRES DISTURBED:N,/A Exsr LAND DrsruRetNc penirtt'? l-lves [ ruo
NEW IMPERVIOUS AREA: N/A SQ FT EXISTING IMPERVIOUS AREA:N/A
pRopERTyUSE: flprnCe Enesraunrulr lmencar'rrrue !eouc f|4p1 lcolloo OTHER:
fl coMMuNrw sYsrEM fl WELL zlzoNlNc usE ctAss
I:ICENTRAL SEPTIC LIPRIVATE SEPTIC flcrIt MUNlw SYSTEM
SQ FT
WATER: @CFPUA
SEWER: E CFPUA
PAYIiIENT METHOD:
ZONE: OFFICER:
Approval:- CitY:
*. SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS & INSERfS "'
FLOOD:_
AVN
BFE+2F
IFICATION: rND
flclsn flcnscK (pAyABr.E To Nnc; fiamentcmr EXPRESS I uclvtse I oscoven
Hffi,r.iffi.,..ffiffi}}'.rrr{*ffi
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
REVISED DATE 1,/1 1/I2
Commont PERMIT FEE: $loo
V -.<;;''-
'it
CITY: wrr,MrNcroN ZlPi 2B4as
PROPERTY OtdNER'S tlAilE: DUTCH PARTNERS
(-/
APPLICANTJ S t.IAfiE :
DEVELOPER :
'.) e *v€gA.u.a
no-otb*3 r.lf
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSLTER AtL QUESTIONS APPIICABLE I0 YOUR PRoIECT
"Project Responsibility"
iL-nbl
APPLICATION
Number
(office use)
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY Ol.lNER ,, 5
otalNER'S ADDRESS:
/A-h,.-E5*?
sr: ,ttzrp: t t-'( t(
r.q /Hl,\' sl ttttl-ztP I Jtr'+41
PHONE f:
DATE ;/b
PHONE *: ,e f > o (t,<0
zI.P: )Y<t ll
LOT *:
PHONE $:
PHONE *:
od)d
CITY:
(P) CL+r'-
i], lF-rV
BLOCK #:
E:
o,r)rrc< 5 5lo *l-CITY:trJ lAt^^
$st6 A Ewe**-tt^ftcENsE s:bE0{6CONTRACTOR:
ADDRESs:
ElnAIL ADDRESS:r66r o C.a)4
PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:ALTE RATION R ENOVATION GENERAL RE PAIRS RE LOCATION
NEI,J CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND Af!SI,JER BELOH ALL THAT APPLY TO YOUR PRO]ECT:
! orr cnnncr sF fl poRcH
-
sFATT GARAGE
SUNROOM
-
SF
6RE ENHOUS E
SF
SF
POOL SF
DECK
STORAGE SHED SF
SF OTHER:SF
ToTAL HEATED 5Q FT:
-
TOTAL SQ FT UNDER ROOF: ?tqcl TOTAL AREA SQ FT:
TOTAL PROIECT C0ST lress roq : $ _ # OF STORIES:
Is Any ELECTRICAL, PLUIIBfNG or ECHTTNICAL Work Being Done to the Accessory St.uctune? [ Vet I lO
If the pnoject is a Relocation,is there a Natural Gas Line on the Current Site?tr Yes Eno
Is there Electrical Power on this Buildin gr ffves [ ruo
PROPERTY USE / OCCUPANCY:SINGLE FATlILY DUPLEX TOWNHOUSE
CAltO L ,h
tE cfl.]c Ataou , pOtv f ta.U4 t t96 (''C d auec_r
correcl and alt work will comply wirl ihe slate Eurlding codeand alloher
and ordinances and regulalions The NHC Development ServEes C€nter willbe nollied ofany changes in the approled plans and specifications or change in conlracioror
conlraclor inlormaiion. "'NOTE: Any W/O lhe Appropriale Perm wilb
DESCRIPTION 0F t^loRl(:
ZONE:OFFICER:
t . l+&) ln t 6 lLl.D la LL <,)*19)A_
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:Ivrs [rc
PRIVATE WELL
(FOR OFFTCE UsE ONIY) REVISEO OATE O4l11/12
SETBACKS: F:_ LH:- RH:- B:-
OWNER/CONTRACTOR :
l,i* )i* * r** *,i* * * * * * ++** **,t+*+,******** )* * )** * )*** )* **+ * r** * r** * * * *r( )t r( * )t )** +i< +* )* )* * +* +)t** **,i* * *,i* * )t
e rn vDlalion ol lhe NC Stale BEg Code and SubJeLl io F nes Up To $500.00"
srGNAruRE: .tbfu f 6V44-s $/
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IfiIPERVIOUS AREA:
-SQ
FT
NEW IMPERVIOUS AREA:
-SQ
FT
WATER: EfCFPUA ! cor"uurrw svsrrm !
n YES El uo
sEr,r/ER: I cFpua E CENTRAL sEPrrc ! enrvarr sEPrrc E
CENTRAL WELL
COI4MUNITY SYSTEM
*** SEPARATE PERI'1ITS REQUIRED FOR ELECT, MECH, PL86, GAS EQIJIP, PREFAB'.{ INSERTS
pAymENT r.lErHoD: I casr lcnecK (PAYABLE ro lucl f] amrnrcaN ExPREss E[ ralrtto I otscor.*
* )* r* * * * * )* ,t * * * * * * * )t ,* * *, * )* )* * )* * )t r. + tr )* * )* * * * * * * * )i ,i * ,t * * + * * * * )* )t )i * * * ,* * * * )t * ,t + + i< ,* * * * )* )t * * * * + * * * )r )r '* * * * *
Appnoval:- City:- DATE:- FLOOD:
-Corrment:
BFE+2ft= _
N
PERMIT FEE: $b 1e
DISCLAIMER: rhereby cerlir rhal all intormaiion in lhis applicaiion
APPLfCANT'S Nr\t{E:
DEVELOPER:
PROJECT ADDRES
SUBDIVISION:
PROPERTY OWNFiJS NAITE I IL
OhlNERr 5 ADDRESS r
CONTiACTOR;
ADDRESS r
ET{AIL ADDRESS:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATITN TyPF,: RESIDENTIAL
PrEA9r ANSt{tR ALL QUtSrIOtts ApPrI(ABtE T0 YOUi Pioltrr
"Project Responslbility"
CITY.
glocK t:
t,!3,
fi'fildv
CITY:
LICENST #:oa
CITY; ggl \r-
2oft"3q54
16-1183
AP P tI CATTOII
Nunber
(offi.c use)
ACCOUi{T f
ST:
DATE:4
PHONE fI
zlP i D"l
LOT {:?
PHo r r: qto qSZ -1t1S
sr: xf- zrpZglt9 \
: l\ot\{(,a
lPzrP: Zo..{51
Hwus
PRO]ECT CONTACT PERSON:
EXISTTNG CONSTRUCTIONI
t qnNUU
ALTE RATION R E NOVAIION GENERAI REPAIRS I nrlocarrol
PT€ASE CHICX AND ANSI/IER BILOI.' ALL THAI APPLV TO YOUX PNO]ECT:
AlT GARAGE sF D o:r oarnor _ sF oo*., JC1 SF
PHoNE $r q lo q5 z'1 I"7\
PHOiiE #r qto c{sz 1r'lE
5F
SF
NEN coNsrRucTroNr S u*r., NEr,r RESTDENCE or f] morrloru ro ExrsTmG REsroEircE
POO L
DECK
Is Any ELECTRI€AL, PLUI'tSlilG or IIECHANICAI l,{ork Eeine
If the pnojecl is a Relo(ation, is ther€ a Natu
Is thene tlectri(a1 Power on this 8u!tdingi f]
SUNROOM SF
GREEiIHOJSE Sf
SF STORAGE SHED
sF OTHE R i
* OF STORIES: Z
Done to the A(cessol.y stru(turef D Yes
.al Gas tine on th€ cunrent Site?
ves Slo
Yes M,o
SINGLE FAMTLY I ouetrx TOIJNHOUSF
N Cw\qvu chu\
rorAl HEATED tg rr, a13 rorAr sQ Fr uNDER noor,3078 rorAl AiEA sQ Fr;
--
TOTAL PROIECT COST G"sr ro0 ; $ZSO /.r€\
ff,n.
.I
PnoPERTY USE / occUPANcY: U|.
oEscRIPTIoN or HoRx: Jf H,
DlSCLAlliER I her.by csnfiy ,l31a8
€od odlnancss and regulslbns Iia
contacbr hbm€lon. "'NOTET Any
OWNER/CONTRACTOR I
VDI€rirn ol uie NC Slats
SIGNATURE r
TOTAL ACRES DISTURBED:
EXIS'I LAiID DISTURBING PERIiIT: fl
inbrm.lloi ln tl,s rppl'caton 16 corscl snd su wo'l wlll comply wilr he sb|E auitsn9 Code sM !B otl€l ePl€8bb sat€ Bd i,ctl lac's
NHc D€valopmenl SeNjces ccnlst wrll be no!ficd olsny chanCes rn ihe spprovtd pl€n6 ahO sp€qfr.abos ot cnsEa i. conl,*bl ot
Work PertomEd w/O theApproprble Pemrilswill bein grbF.r io F lna! t p Io t50o.00"'
miHornx
+ r** 4t* **+* * **,1i 1* * * * * r* **iilliiii_il{ * r * * r, r ,t,i ,r,r. r *'i *r *, t r*,i *r*,r* * *)rt, * r** t +r * ** *a*** * t1* * 'trt
IS THE PROPERTY LOCATED IN A TTOOOPLAIN? f] YES w NO
EXISTII{G II,IPIRVIOI,S AREAI
NEI,J IiIPERVIoUS AREA:
d
N CT PUA CENTRAI SEPTIC I eRrvarr srrrrc f] ccx'lt{uNrrY sYsrEM
I.IATER I
SEWER:
creua f] cslruNrry svs'rru f] PRrvArE I^,ELL fl ctlrRt rrLt
SQ FT
SQ FT tr
. ' SIPARAII DTRT'IIS RIQI'IR}D IOR III(!, MT
pay,'rEr{T r{rrHoD: fl .orx ffi.xr.* (PAYABLI Io rlH()
(H, p IBII 6A5 IQTJIP' PRTTASS & INs
Brrt ar(out{I fl rrryrso
,i
'a
tl*,1+***** tit* *,t** * t*+,1*
YES NO
UiIS "'
DISCOV€N
REV,9tD OAlt 04/11/ 1'
BFE+2ft=
**ll* **!* 1*r J *tr t,l)t* * * a * r:l :f * *** * t+* *1* i *, *. * + +* *** * *
{lOn OIrl(I u9f olllY)
ZONE;Of FIC E R:
Approval:- , ,-clty:.- DATE:- FLooD: ---
A
SETBACKS: F: LH: RH:--- 8:-
|li
conment i PERI4IT Ftr: $1,3(,9
ERECT NEL,I RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK ANO ANSI./ER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE I55 SF
DECK SF oTHER: e2
$up
ffi
),alb-3q{e
L6-LL7 6
APPLICANT,,S NAIIlE: u,chael Dinre l:i
DEVELOPER: DR Ho rr, on rnc
PROIECT ADDRESS: 5,r5 :reeLe Lcop CITY: hii rmi n,rr.,n
SUBDIVISION: Resei../e al- iriest Ba)7 BLOCK #:
PROPERTY OIINER'S NAItlE: DR horr.ll In{:
CONTRACTOR: DR Ho rt- on rnc LICENSE #: : r.,'r..
CITY: Mt,rt le Beach
EIi|AIL ADDRESS: mLdanieIsl.drhorron..om
PROJECT CONTACT PERSON: ?: . ...i--r,l ,
EXISTING CONSTRUCTION:A LTE RATION R ENOVATION GENERAL RE PAIRS
DATE: 4/1.)/ ri,
LOT #: 4.
PHONE #: 841 351 r'l4ilil
PHONE #: 9rc Brr 8556
sT: j!- zrP: =:jj:
NEW CONSTRUCTION:
PHONE #: :'- . r,. .a ...
PHONE f: r1!-.i65-r':rca
RE LOCAT ION
TOTAL HEATED SQ
TOTAL PROIECT COST tr."" rott : $
SF
TOTAL SQ FT UNDER ROOF: :..: ., TOTAL AREA SQ FT:
# OF STORIES:
FT: 1953
1s Any ELECTRICAL, PLUMBING or I4ECHANICAL LJork Being Done to the Accessory Structure?Yes n No
If the project is a Relocation, is there a Natunal Gas Line on the current site?n Yes Eruo
Is there Electrical Power on this euildingi I ves !No
PROPERTY USE / OCCUPANCY:SINGLE FAI4I LY DUP LEX TOt^INH0USE
DESCRIPTION OF WORK: rlew resi.icnrial
OWNER/CONTRACTOR i I.r cl:aet -i...1e,:: lF ror--,.r. -ll.. SIGNATURE:
andordinancesandregulationsTheNHCDevelopmentServicesCenbrwillbenolifiedofanychangesinheapprovedplansandspecificationsorchangeincontracbror
contractcr informaljon "'NOTE:Any Work Performed W/O he Appropriale Permits willbe in Violation of he NC Stab Bldg Code and Subject tc Fines Up To $500 00"'
,* ,t )t ,t * * * * * * * r. r( 1. tr r( r( 1. * * * * r. * * * ,* * * + ,t ,t * * * * ,1 * * * * * * :i * * + :i * * * * * )t )t )t * * )t * ,t ,f ,t ,t ,t * * * * * )* )t * * * * * * * + 1. * r. ,* r. * + +
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES
EXISTING IMPERVIOUS AREA:
NO
sQ Fr TOTAL ACRES DISTURBED: .4
EXIST LAND DISTURBING PERMIT:T YES ilruo
n
NEW IMPERVIOUS AREA: :I5I. SQ FT
*,},} SEPARATE PERIiIITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
pAyMENr IETHoD: Icsn IcrrcK (PAYABLE ro NHc) E Ar,lERrcAN ExpREss E r,rclvrsl I orscovr*
r( * x * * ,* ,t ,t * ,t ,t + * * * ,* ,* + * * * * + * * 1. * * * * * )t ,* ,* * * * ,* )* * ,t ,* * * * * * * * * * * * * * * * * i( * * * 1. * * r. i. * * * r. r. * * {. * tr {. + + + * * * * * * *
(FOR OfFTCE UsE ofltY) REVTSED DArE 04111/12
ZONE:OFFICER:SETBACKS: F
Approval :_ city:_ DATE:_ FLoOD
: LH: RH
N
I
I
B
BF E+2ft=N-tzt,*
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI)N TYPE: R ESfDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE ]O YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(office Use)
ZIP: ) 84rr
CITY: -y]@.!__ sT: gzIP:@OWNER'S ADDRESS: 4049 BetLe rerre tstr.l
ADDRESS: 1J1i Belle Terre Bl,-d.
! oer cnnace sF El PoRCH L-sF
! eoor
-
sF ! sronnce sHED _ sF! surnoom _ sF
! cn r rlrnous r _ sF
WATER: I creua ! coMMUNrry svsrru ! pRrvATE hELL ! crlrrRar wrll
SEWER: E creun ! CENTRAL sEprrc ! enrvarr seerrc f] coMMUNIry sysrEr4
ffi
2aY9q{7
lb - //7q
APPLICATIOTI
Number
(office Use)
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PTEASE ANSI{ER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
APPLICANT'S t,UIiIE:PentonConslruclion LLC
CONTRACTOR:PentonConslructron LLC
ADDRESS:1 I l
DATE:4-18-2016
PHONE *:910 452 1410
ZIP i
LOT #:
PHONE #:910452-1410
Wilmrngton ST:NC ztP:zya3
LICENSE *:
Wilmrngton
PHONE #:910452-1410
PHONE #:910-520-8111
DEVELOPER:Penton Construclrcn LLC
PRO]ECT ADDRESS:CITY:
SUBDIVISION:Shrnnwood West BLOCK #:
PROPERTY OHNER'S MIitE :Penton New Homes, LLC
OWNERJS ADDRESS:6105 Oleander Dnve Su[e 201 CITY:
CITY:
Et{AIL ADDRESS:morgaanjean@grna I com
PRO]ECT COI{TACT PERSON:
ExIsTIl{G coNsTRUcTIoN: f] nrrrurrOn I nrrcvarroN I CrtrRnr nrcarns RE LOCATION
NEW CONSTRUCTION:ERECT NEU/ RESIDENCE o" ! AOOTTTOU TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSI,{ER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
434 DET GARAGE SF PORCH 176 SFATT GARAGE
SUNROOM SF ! eool _ sr ! srouce sHED _ sF
! cnr rrHous r _ sF DECK 164 SF OTHE R:166 SF
TOTAL HEATED SQ FT:2488 TOTAL 5q FT UNDER RoOF:326/TOTAL AREA SQ FT:3428
TOTAL PROJECT COST tress rou : $90.000 # OF STORIES:
Is Any ELECTRICAL, PLUIiIBING or I,IIECHA ICAL Wo.k Eeing Done to the Accessory Structure? EJ Ves I
If the project is a Relocation, is there a Natunal Gas Line on the Current Site? [ ves
No
Is there Electrical Power on this Building? EYes I No
PROPERTY USE / OCCUPANCY:SINGLE FAI4ILY DUPLEX tr TOI^INHOUSE
I No
ngl0n
organ Datema
2
DESCRIPTION OF WORK:Build Single Family residence
DISCLAIMER: hereby ced i/ thal all nbrmallon n his applicaton is conecl and all work will comply wih he Sbte Building ther applicable StaE and locallaws
and ordmances and regulations. The NHc Llevelopmeni sewices cenEr Mllbe notfed olanychanges in he approved s orcha.lge in coniracircror
conracbr rnbrmaron "'NOTE: Any work Performed wO tle AppropriaE Permits wi be in Viotaton of lne NC Siate Bldg blecr lo Frnes Up To 5500.00"'
OWNER/CONTRACTOR :Howard A Penton lll SIGNATURE:
(Print Nane)* * * * * * * ** )* *,*,** )* * *,t * +*,* *,t ++ + +*+ *,t**)t )t,t * )i** * ** rt *** *,t+ * + ++ *,*++ *++ )t,**** ** )k * )** * ** )**,* *+*,* *
IS THE PROPERTY LOCATED IN I TIOOOPIETN? J_I VES !NO
EXISTING IMPERVIOUS AREA: _5Q FT TOTAL ACRES DISTURBED:0 078
NEt, II4PERVIOUS AREA: _SQ FT EXIST LAND DISTURBING PERMIT: ITI VES f] ruO
WATER:CF PUA CoI4MUNITY SYSTEI,l PRIVATE WELL
SEV'IER:crnua ! CENTRAL sEprrc ! enrvnrr srerrc
**1 SEPARATE PERIiITS REQIJIRED FOR ELECT, IVIECH, PL8G, GAS EQUIP, PREFABS & IiISERTS '**
payrlrENT ritETHoD: ! cos'r I c'rrcK (pAyaBLE ro unc) E arenrcAN ExpREss E nclvrsl I orscoven
** ** )i** * )* *,f *t**,t,t*,1*** + ,t *,* ,* *,t * ,f *,f *,t,t t ,t *,* * *,* )i * )*** )i*)** )** )t )i * )t* )t* )i :i )i*** )** )t it r***,i)t*+ r* ii rt ,t + +* rt + +
ZoNE : _ oFFICER:
(FOR OFFICT USE q{LY) REVIsED DATE 64111112
SETBACKS: F: LH: RH: B:
! crrurnlr wr rr
I colm,runrrv svsrrm 0 l,q(o''"
Approval:_ City:_ DATE:- FLoOD:
-
BFE+2ft=
AVN
rffia^l'.
st: Nel zrp: 17E765-l
SF
W
178
Iz84o9
15d50-
PERMTT FEE:
NEW HANOVER COUNTY
PTANNING AND INSPECTIONS DEPARTM ENT
230 Government Center Dr. Suite 170
Telephone (910) 798-7308
Fax (910) 798-7060
Den nis Bordea ux
lnspections Manager
*** IMPORTANT NOTICE***
FOR COMPLETE ELECTRONIC PROJECT SUBMITTALS BY EMAIL
FOR COMPLETE ELECTRONIC PROJECT SUBMITTALS IN PERSON
lf you wish to submit your Commercial or Residential project in person on CD,
please fill out the building permit application on line, print it, scan and put it on
your CD along with the plans and Appendix B if applicable in the "pdf format" &
bring your CD to the Development Services Center, located at 230 Government
Center Drive; Su ite 170.
lf you have questions about the electronic submittal process, please call the
Development Services Center at (910) 798-7308.
Please note that we except Cash, Checks, and Credit Cards (American Express,
Discover, VISA, and MasterCard).
Thank you.
lf you wish to submit your Commercial or Residential project electronically by
email, please attach your electronic plans in the "pdf format along with your
application" before clicking the send button!
\\
*ob-b151
it"-tt88
AFPLICATICN
I'lumbe r
(office ilec )
NEI^J HANOVER COUNTY BUILDING PERMTT
APPLICATI0N ltzP€r RESIDENTIAL
0LEAst Al{s}rti Atr QU[SIIOi9 ApprI(AA[E rO yOJr ppcltci
"p.oject Respons jbllity,,
J o y t, j,',.t *!..1APPLICATIT's i.lA{E:
DtVELoPER t
'.4.
OT,.JNER,5 ADDREss,
R:
DA'[:tl />- / ,,:,'/ "
PRO]EC' AOORESS:
SUBOIVISION:
PROPEiIY OINER'5 },IAI{E :f +'i-fu, c i t,
ClTY:
Lt>PHONE *:
CIrY: l-a9 l/-!ll\ZIP i '__-
BLOCK }:LOt fi: _ _
PlOl{E , t __,
t.L ST: _ ZIP:_
COI.JTRACTO
ADORESS:
tursr6 tf 0Cd6roi *(oq-..c.rc.NsE r:ct i:,V
a Alr*-FffitJt-Jryrcrry:srdzrc,\{L(t!/
EirlAIL ADORESS: ,C S i ,{,f &:) rr I (.'(;1A+r ! - c-+PHot{e ,,
PfoSE $:
;')3>.1o '{ L)
- -,,.*t
PRO]EC'T COMT,ICT PE R5OI.I:J6l+,u Ll Pg
ExrsTrNG coNsrRucrroN: f] Arrenarron ffYA-*ororron f] cerrnal nrearns f] RELocATtoN
IEW CoNSTRUCTTOT,{: I rnrCr E]r nESrD€NCE o" ! AOOrrtOl TO EXISTTNG RESIDENC€
..P[EASE CHECX AIIO AI.}SXET 8ETI}I' ALL THAT APPLY TO YO{,R PAO]ECT:
f] lrr erRae:
-
sF I or; cntlcr sr I noncH
-
sF
[surunooll
-sF
IemL-sr f sroaaor sHED-sr
SF OTHE R:5F
TOTA! HEATED SQ FT: i) ],Z' TOTAT 5Q FT UNDER ROOF: iJT.'' TOTAL AREA SQ FT: 3T'U;
TOTAL PROIECT COSTI.*L.orr : $3t qr1 $ OF STORIES: '7
15 Any EL:CTXICAL, PLUiB${6 o. ttECtlAl,lICAL Nork Selnt Done to the A((essory Structuret I VeS fl m
If the project is a Relocation, ls there a tlatural Gas Line on the Curr€nt Site? [ves I lo
Is the.e Electr:ca1 Power on this guildinB? [tves IHo
PROPERTY USE / OCCUPA'.,I€Y:SINGLE FAMILY DUPLEX T0i,tNlt0u5E
DESCRIPTIO',I OF HOR(:*{,fA-{? tL dreer,t*{-Ic.-n,t. sr Loe'ftr{ ll^
t.
< 7 T ,, *. t \, -/Yi.rt
!1rv<,a {16 c}.i:-r c +L ctl !J l)ts.L uq-)€c.-a
Do
si+
-s)
qB\\>
LLt4 tr l.. i
olsctAlMEi: rh6reb, cenity fiar a[ r.!,!naieq m L5ij ..i,r,,.r!oo ls.i.r.rl6nd d *ortei com9ly *iln ha 51l}1e tlurtlog Codt 6id ot
ad o{di:re..6 .r! !!!urs!k is !i. \'HC Oe whinE^! 9' -.,.es cc.td wi t ei[ed ol y chenle! in tt. .9!doad !r.. ! .nd t .tfatn61 o, ctura. ,tr .dtli8.b I or
nsrllb. !i v'ob|oe ol0ii NC Sut &d! C-ode s,6 sJt-aal b Fnes !tlc S5oCt oil"'
tu6,
co.racr,r r tr:ilalon "'NOTE
OHNER/CONTRACTOR:
I5 THE PROP€RIY LOCAT
SIGNATURE:)c*.; SCV.4rr-:'J",
L,- nt 1i'.)
IIiI A fLOODPLAIN?lx t* a r irri.r* '*,ir.r', r r rr *.
ft *f.Lt{\
I
YE5
TBACkS: F ,"Vn *irD
,rt,l slo 01lt rt /rl./),
s-.c
--Y
-
^R
€XISTII'6 IHPERVI0tIS AREA:
-SQ
FT
tlEtl IIIPERVIdJS AREA:
-
SQ rT
I.IATER:
SEI.'ER:
creul I rorcluurrY svsrrn f]
fT IUA fl ceHrnll :rrrrt i
TOTAL ACRES DISTURSEO:
EXIST LA D DISTURBING PERNIT: N YCS fi HO
pRrvATE ,ELL !cerrmr.,t,.,. FLOOD ZONE
rvATE slprrc n commuNrrv svsrit'1
t.t SEPASATi PE8I.I]IJ sfQUIRtN POR II.ECT' IIICX, PLB6, GAS EqJIP, PREFAES 8 INSTRTS, -' .
oorr,", ,rrr.o, fl cos, Icrr., (P^YABLE 1o *r.1 [*r*rc* ,i".rss fl-".,':so florsco':n
r+. !,,. r !.4 +.a. +.. r a
zo*e, fu/lorruea,
approval r-QP- city
dt nr,tSi* e'3;16-
BFE+2ft-
N
PrR&II Ftt; $
r$}rn DAri rlt
s
FLOOD:
ility lnpeclion Requrcc, 91S254{li l
Ienmruursr_sr Iorcx
T
t1 tt]-
!
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIOIIS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
J r llr L'(+As
ot0.7t1
tL-ttffi
APPLICATION
Number
(offi€€ ule)
APPLICANT,S NAI'IE:
DEVELOPER:
DATE:/L
PHONE S:
PRO]ECT ADDRESS:
SUBDIVISION:
CITY: lDg lL-.*\
BLoCK S: LoT #: _
PROPERTY O[4,NER'S iIAME:f #IAr r-tt Ca(;*utt PHONE fi
ohrNER's ADDRESS: 6.3 / 3 f{,kerJ-t' Ll crr\t t{\ l)-\ ST: _ ZIP: _
I!.,s r 6 lfi--'Od feb f ,r44q1-+.(rrcrur *, I c! O{ 6CONTRACTOR:
ADDRESS:1@611v;sryL-zre ,>11'lp/
EI'4AIL ADDRESS:ld s 16 4TBc) U_A J4-5 @ 6-,,t rt-l J. - Ccl^PHONE *: 9rO a3 >oO ?c)
Jef<t L,l 4oqPRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:ALTERATION --./[!f-nrHovnrror f_-l
ZIP:
PHONE #:
GENERAL REPAIRS RE LOCATION
NEN CONSTRUCTION:! rnecr NEw RESTDENcE o" fl eoorrroru To ExrsrrNc REsTDENCE
*.TPLEASE CHECK AND ANShIER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
! orr canace sr ! eoncH
-sF
ATT GARAGE
-
5F
SUNRoOM _ 5F
GREENHOUSE SF
POO L
DE CK
SF STORAGE SHED 5F
5F OTHE R:
TOTAL HEATED SQ FTt >-74 TOTAL SQ FT UNDER p99p; sa,o TOTAL AREA 3Q fi: 3a:a
TOTAL PROIECT COSTrressrort : $t3t,qrq # OF STORIES: ?-
Is Any ELECTRICAL, PLUIiIBING or ECHTNICAL Hork Being Done to the Accessory Structure? [ V"t I lo
If the pnoject is a Relocation, is there a Natural Gas Line on the Cunnent Site? [ ves I Uo
Is there Electrical Power on this Building? @"t fino
OWNER/CONTRACTOR :
PROPERTY UsE / OCCUPANCY:SINGLE FAMILY
coniraclor in lormation'^NOTE irs will be in Violarion ollhe NC SraE Bldg Code and SubF€l b Fines Up To $500.00"
SIGNATURE :)o**-l ua e'/448 Jt
EI,o
TOTAL ACRES DISTURBED:
EXIST LAND DISTUREING PERMIT:EYrs EHo
0.*F
* ** * ** * * * *,i * + ,t,t )F*
(Priot N.ne)*,t * * * *,t* * * * * * **** *,* *,*,** ++ *** * *,t *,r** + *** * r* * ,* * ,*,t + t +***r************,i*,t,i
I5 THE PROPERTY LOCAT rN A FLooDPLATNT fl vrs
EXISTING III.IPERVIOUS AREA:
-
5Q FT
NEl"l IMPERVIOUS AREA: _SQ FT
SEWER:CF PUA ! crlrnal srerrc I pRrvarE sEprrc ! commururw svsrelr
*** SEPARATE PERI{ITS REQUIRED FOR ELECT, I'IECH, PI-BG, GAS EQUIP, PREFAB'& INSERTS
pAyt4ENr rilErHOD: E CASH ECr,eCK (PAYABLE rO lnCl I mrnrcAir EXPRE5S E["C/rrSa E OrSCOr..
+* +,* * )*,* * * * * ** * * * *)t * *,i* +,t** * )t +* *,t * ** * * )t * ** * ** )* ** )k ** * )t )t )t** +,* * *i )* * )** + + * * * )t,t,t * r*,t * )i,t * +* ** ** **
ZONE :
-
OFFICER:
(fOR OFFICE USE OI,ITY) REVISED OAIE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:-
NATER:CF PUA COT1MUNITY SYSTEM PRIVATE I,\,E LL CENTRAL WE LL
Corment:
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=
-
AVN
PERMIT FEE: $
SF
DUPLEX E
DESCRIPTION OF I^IORK:trTCre V
TOWNHOUSENe4tJ*flu.-p0 u nT l.^tc-WA- 4a-
rJ o.l LTtuc 44-- a
DISCLAIMER:herebycerrit il)at all
and ordinances aod regulations. Th€ NHC Oevelopmenl Services CenEr will b€ ^olifed of any changes in the approved phns and specificatons or change n contracbr or