MAY 5 2016 BUILDING APPSi---
NEW HANOVER COUNTY BUILDING
APPLICATIAN IYPE; RESIDENTIAL
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PL€ASF ArlSr{Ei ALL QUESIIOiIS ap -I(aatt To yooR ptotEcr
"ProJect R€sponslblllty,,
APPLICATIOI{
fumbcr
\,'ts| / /:..,/vi(LtAPPLICT$IT'S t&NE:
DEVELOPER:
PRO]ECT AOORESS:
SUB0IvISIOl,ll
PROPERTY O.INER' 5
OT{'IER,5 ADDRESS i
ClTY:
PIO E *:
Zl? | _
BLOCK *:LOT T:
;t+t (Pr{of{E ,: ilc J 11 -c'.' t'] i
CITY I slt/l!z\Pt-
LICEIGE f:
crry: iJ.l'.,"i .-.t.:{17 t!'..,., sf ,tV-,zrp. }i.t-i,i
PIDNE r r a/,/)) 3i'
ptlov. *./i[; L,/(, j-, i,.;,
CO TRACTOR I
ADDRTSS:
t .iLt ,,1U\ L.,,)
€ttAIL AoDRESS r
PROJECT CO'{TACT PERSON:L -tf^rt-.to;
EXISTING COHSTRUC]IO:ALTERATI0,'l REi/ovATroN E eelraal nrearns ! RELocarroN
iEl.l coiSTRUcTIoN: ! eeecr NEhr RESIDENCE o" B irnOtrrOn TO ExrSTt[G RESIoEICE
"PIEASE CHECX A O AI.iSI{TR BELO9i ALL TtlAT APPLY TO YOUR PRO]ECT:
I arr ernacr _ sF
I suuaoou
-
sF
-/z .- .7,\i)
LIrPORCH l-.' SFDET GARAGE
-
5F
i, ', ,- ..it 7
I cRret*to-rse _ sr ! oecx _ sr OTHER:5t
ToTAL HEATED Sq FT: _ ToTAL SQ FT UNoER R00F: _ ToTAL AREA SQ FT: _
TOTAL PROIECT COSTnes,Lar : I ,l', , t..i t OF STORIES: /
Is AnyGllCfRI€4!/ PLtf,lSlIG or l,lECHA{lCAl t{ork 8€int DorE to the A.cessory Stru(turel Yes Ero
If the project is a Relocation, i.s there a
Is the.e Electrical Porer on this Buildi,nS?
PBOPERTY IJSE ./ OCCUPITIIEY:
OESCRIPTION OF woRl( i 1:--':
sINGLE FA TLY ! ouer-rx
6:s Line on the cunrent site? E Yes
Eno
ST0RA6€ SHED _ SF
I roumrcuse
,,';/ 1l '1L1 r).)r:..'/',
PooL _ sF
Natur
Ye5
llo
: )u '' r.;-./ -., ,''l ://) ,
olsct^rrER r nerob, ceni ']ar or int[risrDn fl ,lt8 a9prc.!e 1' cona.l , c \...1e,r conqy wr'l rr sBE E\rrjag cod. aro con!, arrrraue suE a'ld r,1.;!r 'rrs6.d o.dxr'lc!3 ,.d r.{ulrlons Tne tlric oe\r€bo/ranl sarvre. c, nbt si o€ nonfad oi ary cn'rq€s n lre spro 'rcd
{)€
='oIo=rcaC
E
.o:
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?
or cha\ce a aontaaor o,
rhesthro35000O"corr&b, sborin "'NOTE:4rr rao.r Perlornnd w]o ho Alt,or{iar f4@irr wlll !6 6 \roqron oi rhe N C S1.b
l.: I' IL i',c,OWNER/COIiIRACIOR:SIGTIATURE:
*.ii*.irr*tr*t
IS THE PROP€RTY LOCATEO IN A FL@OPLAIN? E YES E[ O OTN\
EXISTL'I6 IhPTRVIOJS AREA:
-SQ
FT
xE{ T PEAVIoITS AREAi _- SQ FT
TOTAL ACiES OISTUREED:
EXIST LAND DISTURSIN6 PERHII fl ves I no
xaTER: frl crpua i--i corrluNrry sysrE
SEHER: EfcF PUA fl cerrnnr- srnrrc
rt. sTPAJIATE P€fiI.IIs REq'IREO TON €IECT, NECfl, PL8G, GAs IqJIP, PNTTAIS & IIISERTS ''
rayn€ T lrETHoD: Dcs* Ecr.c* (PAYADIS ro ttrcl ftAltearcm txnltss E rc/vrsr I orsco,rn
tr rlt i*rt t,| t1* *. i* *rtt tt * *rt**a rtl.J**t* t1" t ir* +'+'{ )'
m I cnrvare urri n CENTRAL r,lELL
PR]VATE STPTIC col'lt'llJN I TY SYSTE14
(fox oFrrar usE drl(sr.roU)
zoHr: € .,?ar or rucrr;
Apprcvat:;0Jt- city
5 TBACKS: F:"ilL,-r,rll* *r&L '{&-?oel(_
iEvtsao DAII 6./rt/r.r
BFE+2ft=
--PER}IIT TEE: ',dCon$ent I
tUlUtr DAT E v ib rtmo,
irry inryeciion Recurroo, 9l (l2c4"0)','l
RECEIVED APR O1?OS
DATE:
-
W
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATIOTT TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECI
"Project Responsibi.lity"
- )os /,, / /arnus
2orL<qqfl
RECEIVED APR 01ilfi
IGUAAPPLICATION
Number
(Office Use)
APPLICANT'5 T,IAIiIE:
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
PROPERTY OI,NER'S t,lAME :
OWNER'5 ADDRESS:
coNrRAcroR: '7li,,ta
ADDRESS:
EIiIAIL ADDRESS:
T:J
**PLEASE CHECK AND ANShIER BELOI,I ALL THAT APPLY TO YOUR PRO]ECT:
PHONE #:
CITY:ZIP i _
PIIONE #:
CITY:sti//LztP|_
LICENSE f:
cIrY: (+l+r.i'"< C^sile ttl vr( ST: VL z]Pt 2{qf,'|
ProNE #: q10 Llb - 35-3;-
PHoNE #: q/0 l/b- 353,
U .4(
OTHE R:
Natur as Line on t
ORCH SF
STORAGE SHED SF
SF
he cunnent site? [ v"t fiffi
e31 -qn b
?A> ALREI+D{
Ex157
/,'C
L
PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:ALTE RATION ! nrruovnrror GENERAL REPAIRS RE LOCATION
NEN CONSTRUCTION:ERECT NEt{ RESIDENCE or AODITION TO EXISTING RESIDENCE
"1) >ATT GARAGE
suNRooM _sF
GRE ENHOUSE
DET GARAGE
-
SF
PooL _ sF
DECK SF
SF
SF
ToTAL HEATED SQ FT: _ ToTAL 5Q FT UNDER R00F: _ ToTAL AREA SQ FT: _
T0TAL PROIECT COST tr""" rorr : $# OF STORIES:
PLUI4SING or FIECHAiIICAL l.Jork Being Done to the Accessory Structure?Yes Eruo
b t00
If the project is a Relocation, is there a
Is there Electrical Power on this Building?
Is Any
DESCRIPTION OF WORK:
Yes Eruo
PROPERTY USE / OCCUPANCY:SINGLE FA[,1ILY DUPLEX T0l,.l N H0 US E
usl t'r/'
L\
DISCLAIMERi lhereby rhat all inbrmation in his applicaton is correct and all work will comply witl he Srate Building Code and all otter appli.able Slate and local laws
and ordinances and regulatofis. The NHC De\,elopment S€rvices C€nEr will be nolified ofany changes in the approved p
contraclor rn fo rmatio n. "'N OTE: Any Work Perlormed W/O t'e App ropriaE Pe rm its w il be in Vlo larion ol rhe N C Slate
orchange in coniracloror
Fines Up To $500.00"'_t
OWNER/CONTRACTON, II.\ L Th. *e >
(print Name),t,i * * *** * * *,r,**,ti( * * ** *** *,i* * * *,t * *+* +*** *,i*,r ** + * +*,t * * **,r* *,* * ** * ** ** * * * * *,t* *,t* * *** * ** +,** )** *,*
SIGNATURE
El rvo
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:l-'l ves [-'1 ruo
IS THE PROPERTY LOCATED IN A FLOODPLAIN? EI YES
EXISTING IfiIPERVIOUS AREA:
-SQ
FT
NEIJ IMPERVIOUS AREA:
-
SQ FT
CF ! corulunrw svsrrr'r ! pRrvArE wELL fl crnrRnl wrll
creua ! cENTRAL sEPTrc ! enrvarr senrrc ! cor4muNrry sysrEM
*** SEPARATE PERI4ITS REQIJIRED FOR ELECT, I{ECH, PLBG, GAS EQUIP, PREFABS & II.ISERTS }41
pAynEl,lT |ETHOD: E CASH E CreCK (PAYABLE rO nnCl I amrnrcAN EXPRESS E 'ClrrSo E OrSCOrt*
***,**)*)*)*x()tr(*)tr(i.,******,*,*{.1.*++i i* ++,t +*++ 1.**,* *,*** +*+ {<++ *,*,*xx( *,t,1.,t**,*+ +{.,*:*r*** r*** **** )*** )t +* * * * *
ZoNE: oFFICER:
(FOR OFFICE USE OI{LY) REVISED OATE O4l11l12
SETBACKS: F: LH: RH: B:
Approval:- City:- DATE:- FLoOD:
-
BFE+2ft=
-
AVI'I
Corment : PERI4IT FEE: $-
LECTRICA
/l
DATE:
BLOCK f: LOT *: _/t t7// +,,
,?
:t
n
WATER:
SEWER:
#
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAITON |YPE.: RESIDENTIAL
PITASE AIIsI,{ER AIL 6JE5IIO'I5 APPLICABLE TO YOUR PiO]E(T
"Project Responsibll1ty"
7stt-Uoq(
t5 -LLg2
APPTICATION
Nurbe.
(offtc. Usel
APPLICA T'S l\lAl1€: Jor:: ,tallard, J,-OATE: nric,ia,
PllOilE gi 91c-441-e:61
PROIECT ADDRESS: ?ca E sric -A!-1.19 r:
SUBOMSI0NT ?reybrooke SLOCX s: _9SS!_I:g_ LOT t: L
DlNlilE I: 9I0'792-9225
CITY: li: Lmi xiron zIP:2a4c9
PROPERTY OWNER'S NA'IE:
Ol,ll{ER'S ADORESS: 2oe E
iohr & AEn Mallald
sand Hil
CONTRACTOR: John lva 1lard, .jr
AmRESS: 2oe E. sand HilI6 Dr
TIAIL ADoRESS I i otu)ma L l ardei senhc.Jlhon.s . com
CITY: wlimtnclton ST: Nc ZIP: 284c9
5T : !S_ zIP : ::93!!CITY: tltlminq!on
PIO E *:
PloflE t:
910-4a.1-al6l
PROIECT CoIIIACT pERSO : Johi vallard
€xISTrirG coNsrRu(rrox: n ALiERArroru [ nrHovarrot 6EN€RAL REPAIR5 AELOCATlOI.J
NEI COI|5TRUCTTOT{: ! tneCr E}{ RESTOET{CE o" @ aOOrrtOl TO EXTSTTNG RESTOERCE
.TPLIAST CHICX ANO ATSIIES BELOII ALL THAT APPIY TO YOUN PROJTCT:
! poacs
-
sr
! sroanc: SHED
-
sF
OTHER: Sf
910-44t-8161
DET GARAGt
I eoor _ sr
5F
@ orcx 5l:5F
TOTAL HEATED 5Q FT: N,/A TOTAL 5Q FT UNDER R00F: n TOTAL AREA Sq FT:
TOTAL PROIECT C05Trtccrr.*) I $ :soo B oF STORfES: N/A
Is Any tIECTRICAI, PLttlBI{G or IIECHINICAL l,lo.k Eeing Done to the Accessory Strlcturct D YeS NO
rf the project is a Relocation, is there a Natural 6as Llne on the Current Sitel E Yes t No
rs there tlectrical Powe. on this Bui.IdingtEYe5 I NO
pRopERTy usE / ocoPANcYr I srncr-r ranrLv ! ouer-ex ! To.^,NHousE
DESCRIPTIOTI OF l.lORX: Add 16'x32' oa-qraale codpogitc de.I o:f ba.k rorcn
OBCtAIf,R I hreDy @d, nd.l mb.m.rixr h l1i3 49Ec'o. ! coGr rd d d't ril.ompltwr6 tu Sr.r. &:rdrlg Cod. r'd s{ oisr ap{.* SEb -C bcrr l&.
rln odn 'rte3 ara ,!9!l.tbn! Th6 NH C O.wlopricn t S. pk.e C!nt. sl 5. n ra.,J or ..y ct,g.i o $. 4p6Ed pLn! .oC sp..iftrtjo.3 or .,\d!. h @.rr br d
.o6tercr h btha!.n "'NOTE. An r \'vort P.rk nbd WrO hr Arpopr'.i Pc6.!6 rll b. h \rElari:d ol lhe fi C Sl1r Brdg Cod! dld S.bl.cl b Fi..r trp To t500 C n"'
oHril E R/CoNTRACTOR: .rohn ya.t I arc, Jr SI6I,IATURE:
(zrinr \.,.)...r *!.i a*r* r...1
rs rHE pRopERTy LocATrD rN l rLooollarrz f-- vrs
EXISTING IIIiPERVIOJS AREA: N/A 5Q FT
NEI{ Il,lPtRvloUS AREA: N/r SQ FT
IJATER: Z] crpua D comMuNrry svsrru f] pRrvATE r.rElr f] ceNrnrl wer-l
sEr.,ER: El crnur ! CENTRqL sEpTrc ! enrvarr serrrc I coMr{.rNrry sysTEr'1
..I qFPANATE PIRIIIT5 REqJIf,E! FOR ELICT, IIECX, PLB6, 645 EQUIP, PsEFABS & INSTR'! T"
PAYTITNT METHOD:fl asn E cx:cx (PAYABTE ro NHC)Ar,ltRrcafl ExpREss E rclrrso ! orscovenI
t
TOTAL
EXIST LA}ID DISTURBII.J6 PER'.IIT:YE5 t€I
.irth.'....""".
No \l ',
oaar\ ora-""ao, uro
Z0l'1E: ^.-lJ oFFICER
App.ovaI:_ Cit
(F0i ortt(f usa ollY) 1
SETSACKS: F
/ . _ tzvtsro rart etttt
iL' g:./','
_---_-_rL 8F€+2ft= _
tl
PER'I]T FEE I
'
-t^ [i * ,r,4
y: l.i ,(r-- Oare )') /FLOCO
Qr"i A[o ftr '{i(,1 U Jcmrcnt:f iiruf; lfrtff ilf
RH
DFVSI @FR.
LICEiISE s: N/A
! lrr ernaet _ sF
f] sunnoox
-sF
! cneexxo-rse _ sr
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESIIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
ATT GARAGE
-
SF
SUNROOI4 SF
! oer onnnce sF E PoRcH
-
sF
)olL-Uc*/fL6.LL92
APPLICATION
Number
(office Use)
APPLICANT'S NAiIE: .rohn Mrt I rr..l JI DATE: 4/2i)/76
DEVELOPER: 1. :,PHONE #: tra-143-8363
PRO]ECT ADDRESS: :']09 E, Sand Hi]]s Dr CITY: hrr lrr l nqton ZIP i ) a4 a)9
SUBDIVISfON: rre,,'Lrooke BLOCK #: secr 1-B LOT #: 30
PROPERTY Ol'rNER'S tlAIrlE: Jchn r Ann MaLta.d PHONE #: :-'. ... :.)2.
OWNER'S ADDRESS: :09 E. sand Hills Dl CITY: ,^irimrrrilr.rn ST: NC ZIP: 284c9
CONTRACTOR: iohn l.ldI t:rrd Jr LICENSE #: N,A
ADDRESS: 21, E. sand Hitts Dr CITY: tiilminqton ST: r.r ZIP: .- :
EIIAIL ADDRESS: rohnmattardLGrsenhourhomes..om PHONE #:910 443-8363
PROIECT CONTACT PERSON: -r.rl,r MaLlard .If PHONE #: 91a-{,r:i-8163
EXISTING CONSTRUCTION:ALTERATION R ENOVATION G ENERAL REPAIRS RE LOCAT ION
NEW CONSTRUCTION:ERECT NEW RESIDENCE oT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK ANo ANSWER BELOIJ ALL THAT APPLY T0 YOUR PROIECT:
POOL SF STORAGE 5H ED SF
SF
T No
TOTAL HEATED 5Q FT:
DECK 5:2
\/A
DESCRIPTION OF WORK: LdlLLt'x3:' cn qra.te ccmp.rsite deck off ba.k pcr:.h
TOTAL PROIECT COST rress rou : $ 3s0o # OF STORIES:
Is Any ELECTRICAL, PLUIiIBING or ITIECHA ICAL Work Being Done to the Accessor.y Structure? E Yes
If the pnoject is a Relocation, is there a Natunal Gas
I
Line on the Cunrent Site? E Yes
No
I No
Is thene Electrical Power on this Building? l- Yes
PROPERTY UsE / OCCUPANCY:SINGLE FAMILY DUP LEX TOI^INHOLJSF
and ordinances and regulations The NHC Developmenl Services CenEr willbe notjlied of any changes in he apprcved plans and specifications or change in contracroro.
cont-acbr inbrmaton. a"NOTE: Any Work Performed W/O tre Apprcpriate Pelmits will be in Violation of lhe NC Stat Bldg Code and Subjecl to Fines Up To $500 00"'
OWNER/CONTRACTOR: -ror,n n"r r..a
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES
EXISTING IIVIPERVIOUS AREA: N/A SQ FT
SQ FTNEW IMPERVIOUS AREA: ,r,,'.
CFPUA COI4MUNITY SYSTEM PRIVATE I,JE L L
SIGNATURE:
NO
TOTAL ACRES DISTURBED: N p
EXIST LAND DISTURBING PERMIT:I-,l ves I NO
(P.int Name)* * t * * * * * :t * * * x( * * * * * * * )k ,* )t )t )i )t )t * * * * * * )t )t * )* * ,t * * * * + + ,* ,* :i + + + ,i ,* * * + rr + * * * * * * * * * * )t )t rt + + + * * * * * * * * * * * * * *il
WATER :
SEWER:cFpuA E CENTRAL sEprrc [-l pnrvnre seprrc
CENTRAL WELL
COMMUNITY SYSTEII Ar(ao
*** SEPARATE PERJiIITS REQUIRED FOR ELECT, IilECH, PLB6, 6A5 EQUIP, PREFABS & INSERTS **i'
PAYMENT IiIETHOD: I CNSTT ICXCCK (PAYASLE TO NHC)T ArilERrcAN ExpREss U "alrrso I orscoven
**********{.{<xx*ir++*****r.*****)k*xxr(x*****r.,t*******+,*,t****++xxx*xxxx*****r.1.{<****,t+*+++*xxx
(FOR OFFIC€ UsE OtiIY) REVISED DATE O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:- city:_ DATE:- pfooD: --l-
" N BFE+2ft=
I
! cnrrruHouse _ sF Z 5F OTHER:
TOTAL SQ FT UNDER ROOF: ri/A TOTAL AREA SQ FT: _
ZoNE : _ 0F FICER :
n(-/,
-SP ffi
RECEIVED uAY 02 ?$t l.J D
NEW HANOVER COUNTY BUILDING
APPLI.ATI)N TYPE: COriIMERCIAL
:)o 16-e o(o ?
PERr,rrr l'*- tb>>-
APPLICATION
Number
(off1.e Use)
PLEASE ANsIUER AIt QUE5TIOI'I5 APPLICAALE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANI'S ilAIrlE: Food rion 40909 & Planet Filness
PROIECT AOoRESS: 6404 carolina Beach Road CITY: llr 1 xrLqron
OCCUPANT/BUSINESS NAME: Food Lion {0909 & Planet FiEness
PROPERTY oWNER's llAlilE: :aliber Masonboro, LLc c/o Franklin streeE Manaqe PHoNE
oWNER'S ADDRESS: 60c N 'dpsrsh.r.r tslwd. suite Eoc CfTY: TamFa
CONIRACTOR: Guy Roolinq Inc LIC€NSE #: 5r-i3o
ADDRESS: 201 Jones Road CITY: sparc;rnbur.l
EMAIL ADDRESS: meqhanidqryroof i ns. com
*:
ST:ZIP:lt5ot
PRoIECT CoNTACT PERSON: Me<rhan Irnqwell
5T: !q ZIP: 2erol
EXIST CONSTRUCTION:
lf Relocation s thcre a Natural
NE{,J CoI{STRUCTION
ALTERATToN I nrrovarroru [
Gas Lrne on the d-urrent Sirer E ye!-NERAL REPATRs l-l nelocatroruNo lS Bl DG SPRINKLERToz ! v". fllro
(Che.r AlI ftat Apply)
6E
I
! enrcr NEW srRUcruRE ! rasr rnacr ! sxrrr-UPFIT ADD TO EXISI STRUCTURE
Il UPFIT - the Shell Perm-Lt ['
IF Yesj what was the Previous Occupancy Type?
Is Elect Power on this Buildj.ng I ves nruo
I.,!hat is the New Occupancy Type?
NC REG *
NC R€6 #
*,*** rs rHrs A cHANGE oF occupalcy usr: flvrs Ino --.--
ARCH DTSIGN PROFESSIOIUL:
ENGR DESIGN PROFESSIOML:
cul/remove existino EPDM: reDloce wel/domooed ISO: inslc,rr 60 nril while TPO roof svslem mechonjcollv ollochedDESCRIPTION OF WORK:
ls food or bev€rages preparad or strved in thls *uaureZ Ives I No ls Ths Property Located ln The Ftoodgain? [ ves I no
DISCLAIMER: lhereby c€rtfy lhai allinlormation an rhis applicalion iscorrecr and allwork willcomply wrth rhe Srare Building Code and alt olher appticable Siate'r,I lo, dl | , s and o,d,nanccs and requlal'ons. 'Ihe NHC DeveloDnenl Serv.rFs Center will De noUfied ul arv chanoes rn lha aooroved olals and sDecrfrcaijonsor ihin'! rn'."nrra.ror or conlrdclor 'nro,malron "'NOrE AnyWd'LD{:iornrcdWOrh.Appropidrcp.,,,iswillb;i^Vrnlanonof the\CStareEldgCodeandSrbjecrio Fin.rs Up To $500 00"'
OWNEFYCONTRACTOR: ;:,..r,
IOTAL PROJECT COST: Sr5,?00.00 BUILDING HETGHT
ACRES DISTURBED
NEW Ii,lPERVIOUS AREA:
PROPE
WATER
SIGNATURE: r:L -. -t:. - -V \4r'.---
Exsr LAND DrsruRarNc eennrrrz I ves f] r.ro
SO fi EXISTING IMPERVIOUS AREA:SO FT
!Gu
,"'".o",",,oo.,Tffl"o",s&asb6slosr€rnovslperm,",o,3HfT],o*",o,rteo*tngr,."pprr"a.n.*.o*,ffi
contaln Asb€sto! or not YoU are rcqulrod to call lho Natlonal EmBslon Slandards hr HazrfttoG Ar Potturanrr {NESHAP) .r (919)7075950 at tclrr 10 days Fior rc rie
demolition ofany,acllity or buildlng. S€€ Asbesios Wab Slt!: hll0./\dw epr.slElo n..urep!6str€slost.'nr inr,]
noFFrcE [nesreunalr [uenalllr !eouc f]mr f]corloo orHER:.erai r /qym
E coMMUNrTy SYSTEM IWELL EzoNtNG usE cLAsstFtcATtoN:fIcENTRALsEplc ! eEivere seplc flE6MMUNtw sysrEMSEWER
PAYMENT METHOD: ICNSN [CHCCK (PAYABLE TO NHC) EAMERICAN EXPRESS a ucnnsr I orscoveR
(FOR OFFTCE USE ONLY)
SETBACKS: F:
REVISEO DATE l./11/12ZONE:_OFFICER LH RH:_ B:Approval:_ City:_ DATE:FLOOD: __ _ BFE+2G
N
CD ;rt
Comment
Iu=
PERltr'llT FEE:
OATEi ./2/2o16
DEVELoPER: PHOI{E S: (elor 45? .1192
ZIP i 2s,r 1:
PHoNE $ ; _G!L.l__:f!l::a
PHONE #: r8E4 ) 5?8-4se4
n
ACCESSORY STRUCTURE:
PH:
PH
# OF UNITS:
TOTAL AREA SQ FT : _L3-l_q-!_ SO FT PER FLR: _ # OF STORTES:_
TOTAL SQ FT UNDER ROOF: _ # OF STRUCTURES: _ # OF FLOORS:_
C r+\
ffi
ONNER'S ADDRESS:
CONTRACTOR:Penton Conslruction LLC
ADDRESS:105 der Dflve S 1
LOT #:52
PHONE #:910452-1410
Wilmington ST:
LICENSE #:50903
Wilmington
14-l
(ez+ /.p-/l'//
2olc' 'l b7o
APPLICATION
Number
(office Use)
P}ONE #:
PIONE *:
NEt^,| HANOVER COUNTY BUILDING PERMIT
APPLI CATIOiI TYPE: RESIDEITITIAL
PTEASE ANSWER ALL QUESTIOI,IS APPTICASTE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANTJ S I,IAflE :
DEVELOPER:
SUBDIVISION:Shinnwood West BLOCK *:
PROPERTY OI,$IER'S tlAI,IE :Penton New Homes LLC
6105 Oleander Drive Suite 201 CITY:
Penlon ConstructDn. LLC DATE:a4toat2016
Penlon Conslruction LLC PHONE *:914452 A1A
ITY:Wilminglon
CITY:
Ei,IAIL ADDRESS:morgaanlean@gma I com
Morgan Oatema
EXISTING CONSTRUCTION:A LTERATION RENOVAIION GENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE oT tr ADDITIOI'I TO EXISTING RESIDENCE
*I.PLEASE CHECK At{D ANSWER BELOI,J ALI THAT APPLY TO YOUR PRO]ECT:
! rrr caRacr _ sF fl oer cnnnce _ sF PORCH SF
TOTAL HEATED SQ FT:1715
TOTAL PROIECT COST tLess rotr : $90.000
STORAGE SHED
OTHER:
TOTAL SQ FT UNDER ROOF:1910
910,520,811 1
5F
SF
SUNRoOI"1 _ SF
GREENHOUSE SF
PooL _ sF
DECK SF
f OF STORIES:
Is Any ELECTRICAL, PLUi'IBING or I.IECHAiIICAL l.Jo.k Being Done to the Accessony Structure? [ Ves [ ruo
If the project is a Relocation, is there a Natunal Gas Line on the Cunrent Site? E Yes T No
Is thene Electrical Power on this Building?EYes I No
PROPERTY USE / OCCUPAI{CY:SINGLE FAI.IILY DUP LEX TOt^JNHOUSE
1
DESCRIPTION OF WORK:Build Single Famiy Residence
DISCLAIMER: lhereby cerilfy rlai all inbrmalon in ulis appiicaion is coneci and all work will comply wih he State Building r applicable Stale and local laws
and ordinances and regulaiions. The NHC Oevelopmenl Services Cenier will be nolified ol any changes in lhe approved or.hanoe in.onir&toror
conractor inbrmaton. "'NOTE: Any Work Perfomed W/O fie AppropriaE Permits will be in Violaton ofthe NC Sta@ Bld io Fines Up To $50O.00"'
Oh]NE R/CONTRACTOR :
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEW II'IPERVIOUS AREA:
-
SQ FT
D N{rr.T .I[ SIGNATURE:
1. )t **)tx.*)t)*)t,i** * ** )t * )t)il )t*)** *** )t* )t * )*n ves El rio
TOTAL ACRES DISTURBED:
T5 s,
L.lnr^tn r.l A
)t l. + *,* *,* * r(* * * ** )* ,f *,t,f *,t,i(,t,t*,*,t*)t*,t *,* *,*,* * ,*,* * *,**,* * *oo
0 044
EXIST LAND DISTURBING PERMIT:I YES Erc
creun I co!1l4uNrw svsrer'r ! pRrvATE r"rELL CENTRAL WELLI"]ATER:
SEI,IER:creua ! cENTRAL sEprrc ! enrvlre senruc ! cc*lr'nJNrry sysrEM
**' SEPARATE PERI1ITS REQIJIRED FOR ELECT, I{ECH, PLBG, 6A5 EQUIP, PREFABS & Il'lsERTs '*i
pAyrirE T r,rETHoD: Icsn flcnecK (PAYABLE ro nrrcI ! ar.reucaN ExpREss E rclrrso I orscovra
)t )i )t* )** * **+* +*++ +*)t* ** )* )i )t* )* **)i* )*** *******)* **** ** )t )i*)t* ** )** * ** ++* + *,* *,* ,t ,* +,* + +* +*++ +il.+* *,*** **
(FOR OFFICE USC q{LY) REVISED DATE O4l11/12
SETBACKS: F:_ LH: RH:_ B:_zoNE: OF FICE R:
Approval:-City:- DATE:- FLoOD:
-
BFE+2ft=
AVN
Corment:
PRO]ECT ADDRESS:zIP : EMd!
Fdlzrp:Etri3-l
sr: Ndl zrp: EEIiSl
PRO]ECT CONTACT PERSON:
tr
TOTAL AREA 5Q FT: ltglo--__l
F5
PERMIT FEE:
-1,
\"&-ru o Plo rr:3 leztlto-lryo
otb-YnqRECEIVEDAPROs2Ol5
,rrEx HAr[ovEn ccn flTy suILpIr{G pERt4I
,?PLIi TIdt rPrr ifSIDll{TIAL
Prtls€ j,r$ci atl qJ:$rtoa,s ,pF{I{A8rr 1r youi molt{r
'Prar!(t n*rponrtbtl tty*
a< Rocl Bulldr!! LI.c
581{ AnDe Dri,ra
Pr6aE t: _Ctfy: xil&lngton ZfF
SLO(X rr l-0I .r; _
PNOPENTY O*TE*'S lllA'(E :
ss{gR,s Amlss:58I* Ann. Orlv*31, xc 1191 1qqel
CO{TRACTOR :1yg6g5g p. 6 0108
&ooftE !5:2a09 xlddlG aou!,d lsop Rord CIay. l*l.lr}lngton
T
APPL
l{{
(,ole
APPIICAI{T'3 IIAIIE;
XVlt0fli r
PRO]ECT AOOiFIS:
DArf r
SUBDII$51o:
!T: K ZIP
*: Y'ii-re:-0t'L)lll^lt {$otfBt: J.tp i.ray 1 I be l l to Ilt }'. tro t pMt{t
PRO]ECT C(}ITA'' PERS$I:Jieir 6pi.voy ptfr[ t: *ta-xt - blLS
Grrsrrls co.srfii,crrol.: f]alrenrrrm flrenovarror Bcrurnlr- nrol:ns f] nEl0car:ari
t{H. ctxTnrTlfi{, I rnrcr l{€H RESrDEr(f o" I roorrlor ro $I5T]t$6 RE xorr{ct
t.tlrrst (x{lc( re rrffr $l{r llt ttut lppry ro tq't ptg]tcy:
nr]r nun
arT 6ARt6t .- 5r
s{,{*Ooir _ Sr
6REF'&qJ5E 5f
ocr f*8rGE _ sr
pmt _ 5roEcr 5f
u
L*l sT0*Aet slrto _ $r
5r
OIHE R :5F
TOTAL NEATEO 5Q fT: ej-o*-.-- TOTAL SQ FT lrrDGf; RSF: 1oo rOTAL AREA * el: )93
TOIAL PROltff COST **s r.q{} : t i3.000'00 s Or $Tontrgsr :
I* A.y GlIclff(ar, pumllt ol. rEoua (tL rorL letry DorE to th. t(<.rsor.y 9trr,(turu) fi ves 8t no
ft the proJa(t Ir a talocat:onr lr ther* a ilatural e*, Llne on thc Cur.*nt Stte? [ Ves fIr thrr€ tlectrlcal Porytr or this Sulldlngl Slvur $x"
Fxpr*?f ure / 0cor*rry, ffisrnela fArcrv [mnlrr f]raaruxwre
DlSIprI(Il Of l,0lf I C.nlrrl r€p.lrrr tnrtrlL ail, tidt[g, sxisltor doort r ]!nds$a, r,.*,.!)o6 ]enct
Iltsrlor ltrtttll. Bar llosrlot. hlt ha! ,ilblnrlr. pelet
rsa avl o
''\ :,ri
OiiNEI{/C0ITTRACIOR: \l(,\aii.Rl :
. ... ti r.,ri...r,.rrrr......r..(!l?1,lY,irrr... ...r... rr .'..,r. rr.. ..... r. r t', .....
rs ril! Fn0perry Loc{rro r,{ e rrs&plAril} [J y63 ffi rc
EIISIITE lr9EfnfiqE ti€A r _SQ rT roIAL ACRTS DISTuilEo:
X6}l IT,SGlnCflE &EA,
-5Q
rt ;XItt LArlo OIrfirA&I C p*kluTr fil YI. C
r*rEn:[t cFnA fJ{oltrflIry sysr;r npnlvrrr },€Lt ff crrrul *rll
smn: pl cFpuA f: (s mAr. stprrc I c*tverr siprrc f-] es!$.srlry sysrss
-.. -,.r.?,.. . :.t-.:' - ... ._
?aylrff? lrrnw; E clcx O c*ro( (pry*e.G ro H{6 } Cl a,i6nree& rxmt , Q rcrvr*r Q orrro
trrtt*tt!rtilttalttarratlraatraararaa.at...tat.at.t.rrrrnrt.rta*tr.tarraratrtr..xrt.trar.
2 srt
&
pl0{E t: 9 r0-sze '5t'1t>
.J
\V-1
h.{.!
IPPIIC,ATT'S NA}IE
CIEVE LOP€n r
PRO]ECT AOORE's:
5U80M5ro.t:
MO]ECI (O{IACI PERsOI
axI gT 116 f o{srRt(Tlot :
PROP€R]Y U/JNEB'S TTA'iE :
8r{ER ' S ADO,IESS: ta:a
AIORESS: :'lte l:dd ! s
El{AJL ADOR€SS: ; sr: re;
! suxnoo,
-
s
TOTAT HEAITO 5Q FT:
r0TA! PROIECI COST ,
I5 rny €1,€c T II(AL, plt.t81
I',!n ^--ia-: r. J i.:
IEB co{sTntrrlo.; f]
:
a --'-- --i
IS - -
k-,tu fl/orr:$-0gz f lb:)tUo
&otb$-t4RECEIVEIJAPROS?015
Etl HANOVER COT NTY BUILDING
APPLrCATIUI rrPf ; RESIDENTIAL
9rii.qi i.\\i{ r r.l qt<': ^ :.. - :r:. . !', v.\ r
"proJect ResDon! 1b1l ity,,
nr:: ! 9 :1:l<r ! !l.a
PE RMI T
DAI T
PBOat r:
' ', t,a ' ' -,:,
'' ' -"1 _'PHOIIE S: 'l
sT lll'ZIP ;\'i, '
z1pi.,r" ":n'r.- ''5T
Proli€ !:
Pl0rt ai
<FT il i--rqaH _ !:
:11.:1,61 Sllt;1 _ 5i
!i
TOTAL SQ rT U OER ROO|.: ti:
-
TOTAL AREA 5Q FI: i1-
r 0r 510RIE5: :
or itt{dlrltcAt !.ioi'} 8{irB l)i.€ !o rt! nl(t!!rr.i !trrn;!li,e) [ t", O
Jtto., la the.{ J [Jtu.Jl l-iJg l"lrp i^ '!'F Corri'.r q!1., f) '.,
l{Lr
ihj5 Suildins) @ v"t (f, ';,,
fwrr-srs. I lec<!r
.":5 '
'' rt '.i
txartooonlux?ffives
| -_-SQ tT
:_5QFT
:-. 5,:-i r i-:r:varr .-r, i,
rt-Q c"rc* iro"or.r ro rr, Q r,,re ntc^lr Ermrs! f,l rcivrs. Q ors..
2
r.tlf ltlpeClon REUtreo v trJ.2J4JI
R
q-7.i l{e g1p41ersn ci'tai1c1.['ffis
LoT tr:
I
1
I
"P roject Respons ibility"
8-a(+s
&otb-lotl
16 -t>.t
APPLICATION
Number
(office Use)
oarc:Q'a-)--11APPLICANT'S NAI4E:
DEVELOPER:PHONE f:
PRO]ECT ADDRESS:
SUBDIVISION:
CITY:
2" lvt()A ? r
CITY:
tc'"t ni-:>i-L/IBLOCK f:LOT #:
PH.NE *: lp- )q 9 -sz
sT: ^,C zrP :>vLt tl
tlPROPERTY O$'NER'S I.IAME:
OWNER'S ADDRESS:
CONTRACTOR:
ADDRESS:
EiTJAIL ADDRESS : )^ a r
2
.() -\(
t,Jiwlo;s
+( r-,;^1.,\u"lr-'S \ <r, ,".*rr ,
^rC +'5tt2'
o*rt(
EXISTING CONSTRUCTION:A LTERATION RENOVATION GENERAL REPAIRS RE LOCAT ION
**PLEASE CHECK AND ANSHER BELOLl ALL THAT APPLY TO YoUR PRoJECT:
f] concn
-
sF
PRorEcr courAcr PERsoN: ilt rt K 11
LICET{sE *:
ctrv, y'nSAZTIZurr sr//C z:p,&tl
'1PHONE f:
PHONE #:5 Y z -81c'\
R"-'e.",1
OTH
STORAGE SHED
,^' R" -R,lo-E.
SF
5F
there a Natural Gas L-ire on the Current Site? E Yes
uildinB? E v"t El(o ?
ATT GARAGE
-
SF
suNRooM _ sF
GREENHOUSE SF
DEI GARAGE
-
5F
PooL _ sF
DECK SF
TOTAL HEATED SQ FT:
-
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA 5Q FT:/s /3
# OF STORI ES :
Is Any ELECTRICAL, PLUfiEfl{G on }IECHA,{ICAL tJo.k Being Done to the Accessory St.uctu.e? E Yes No
If the project is a Relocation,
Is there Electrical Power on thi
o
PROPERTY USE / OCCUPAiICY:
DESCRIPTION OF I.IOR(:
1S
SINGLE FAI'1ILY TOI^iNH0USE
I (=e ,-.^: t-.^ [\v(tt*l6JQ S
I[ i^'a k*)6_l,!1
MER: i hereby cerlit lh at allinJormation m $is applicaton ls correct and all work will comply wih the Stale Building Code and a orher applrcable Slale and locallaws
and ordinances and rcgulatklns. The NHC Developmenl Services Center willbe notied ol anychanges in he approved plans and specilicatDns or change in conlracbror
n lt"\c *!z'I ttv^t C", S
cont actcr inbrma!on. "'NOTE:
oI.\lN E R/ CONISACTOi
,t+ +* ** * ** )**,k r**
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
-5Q
FT
NEW IMPERVIOUS AREA:
-
SQ FT
AnyWork Perto,med w/O tleApproflraE Permllswrllbe, lDe r< 4 /J*rV
tU1 ..+
in Violalion olthe NC Stat9 Bldg ines up To $500.00"'
SI6NATURE :
(Print Nane)* * * * rt * *,* * * *,* )k)i,* * * + * *,[ ** ** ** *1.* )t:t I )t )i* )t* * *)t )t )t,t * + *,] ,t,* * ,*,+ i.,l * * ,*,] ,* *+* )*,**)** **** * )*
ft vrs fl uo
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERI'IIT:Ives Iuo
CF PUA COi'1MUNIry SYSTE14 PRIVATE WELL CENTRAL WELLWATER:
SEWER:! creua ! crnrnal srerrc ! pRrvATE sEprrc f] comttururw svsrem
*** SEPARATE PERA1ITS REQUIRED FOR ELECT, I4ECH, PI-BG, GAS EQUIP, PRCFABS & INSERTS
payr,4ENr rlErHoD: EI cnsn E cxecK (payABLE ro Hxcl ftene nrcAN ExpREss E ,alrrto I rrscoven
****+**)**t(****)**,!t()t)t*)t,i*++*,****)k**)******)t*r(,t*)trt*)i***,I*,*****)t1.+,t*+*+,1.,N,*1.+,**********+++**+
ZONE:
-
OFFICER:
(FOR OFFICE USE ONIY) REVISED OATE O4l11/12
SETBACKS: F:- LH:- RH:- B:-
BF E+2ft=Approval:_ City:_ DATE:- FLOoD: -
N
coEment: PERmrr FEE: $1t
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSIIER ALL QUESTIONS APPLICAETE TO YOUR PRO]ECT
k
NErd coNsTRucTroru: ! enecr NEt.l RESIDENCE o" I aoorrroru To ExrsTrNG RESTDENCE
roTAL PRolEcr CoSTrressro,), t i/,ClL)
ouerrx !
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; RESIDENTIAL
PLEASE ANSI{ER ALL QUESTIONS APPTICAELE 10 YOUR PRO]ECT
ject Res pons ibility"
,<5 CITY:
BLOCK S:
$L rc-tT7e
&atb-Yaw
APPLICATION
Number
(Office Use)*x-LAPPLICANTJS NA E:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
CONTRACTOR:
ADDRESS:
PROPERTY OWNER'S MI'lE:
OWIER'S ADDRESS:
*wN
S+CITY:t\,h,\ LICENS
CITY.'/(*). na.
DATE :
PHONE #:z>7
ztP :
$t -Ij,qLP,: zELol
sr.9<4Pt2?7{
PHONE T:
I 72
OTHE R:
EIiIAIL ADDRESS:
PRO]ECT CONTACT PERSON:
PHONE *: qrc '2zL9Z6c)
PH'NE #:;;#qla
,r I
I
A LTERATI B{enovarror fl crreRal Rrcaras
NEl.J CONSTRUCTION:ERECT NEt,ll RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSI,{ER BELOW ALL THAT APPLY T0 YoUR PROIECT:
PORCH SF
STORA6E SHED
RE LOCATION
SF
SF
ATT GARAGE
suNRooM _ sF
GREENHOUSE
DET GARAGE
-
SF
POOL _ SF
DECK SF
t0dTOTAL HEATED SQ FT:
cxr)
sQti FT UNDER ROOF: I rorAL AREA sq rr: L&OTOTAL
T0TAL PROIECT COST rress rorr : $f OF STORIES:L
PROPERTY USE / OCCUPANCY:.SINGLE FA[lILY T0l^INH0USE L qtJDESCRIPTION OF WORK:EO
it'wk{'on
SF
SF
Is Any ELECTRICAL, PLUIIBII{G or I,IECHTINICAL Work Being Done to the Accessory Structu.e? fiffi [ m
If the pnoject is a Relocation, is thene a Natural Gas Line on the Curnent Site? pffes fl lo
Is there Electrical Power on this Building? d6t Elno
DISCLAIME R: I he re by cenily $ al all rnlor
and ordinances and rcgulalions. The N
conlraclor nf3rmaiion. "'NOTE: Any
OWNER/CONTRAC
n is correci and all work will comply witl fle Slate Building all olher applicable Slaie and local laws
C€nier willbe notned olany changes in tre appro!€d
s500 00-
rs rHE pRopERTy LocarED rN n rlooorlarul f] vrs AAo
EXISTING ITIPERVIOUS AREA: _SQ FT
NEI,J IMPERVIOUS AREA:
-SQ
FT
Permiiswlllbe in Violarion ollhe NC StaE
SIGNATUR
,* r* *,** r*,**,**,*r*r* * * * * ** )** * ** ** )t * ** * * )t** * * * * ** )* )t *** * **** *,*
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:EYrs Eruo
)*,* ,r * *,r* * *** ** ** ***,*,* *,* ** * +
WATER:
SETJER:
Bg'uofl rrcua ! cerurnal srerrc fl rnrvarr srcrrc !
COMMUNITY SYSTEI!PRIVATE WE LL CENTRAL WELL
COMIIUNITY SYSTEIl
(FOR OFFICE USE OTILY) REVISED DATE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
*** SEPARAIE PERI'IITS REQI'IRED FOR ELECT, I'(ECH, PLBG, GAs EQUIP, PREFABS & INSERTS ***
PAYfiENT IIETHOD;tr CASH Icrrcx (payABLE ro rncl [ ot'cnrclN ExpREss E nclvrsn I orscoven
*{(,t*,i**+*********,******,**)**)**)t*********)t*****)*,t***)t,t*,t**!t,t)t*!t*tr(+++,}*)*+,t***,t+++******,**,}i
ZONE: _ oFFICER:
ADDrovaI: Citv: DATE: FL00D: BFE+2ft=
AVN
r^lmo^f .PERMIT FEE: $
lt
il t'
LOT #:
EXISTING CONSTRUCTIoN: fl
/tr DUP L EX tr
.Qolb- \018
[:o il .. r'l'1l.:'" t ?€7 t?-twg
c$NEh' HANOVER COUNTY BUILDIN6 PERMIT
aPPLICATI1N rYPE: R E5IoENT IAL
pttast ;n5litt aLr QrJttTiJfi5 appLI(4BLt 'r. voui ptoltct
"P.oject Respon5ibj.lity"
APPLICATIOfl
Nuilbea
tj cI rY
l,{a LtcENsE li
(1TYi
t-/-) l/oAIEt | '. lV
PdoNE it qfi'r'>< ,.b?
UP:Ts*;l
LOI l:
PBONE $:
slt _Lg.tp I Zetol
,[{,,APP LI CA''IT ' S NA''IE
DEVELOPER:
PRO]ECT ADORESS:
SUBDIVIS]ON:
CONIRACTO
ADDRESs I
Ei1AIL ADO
ELOCK t:
PRoptiTY 0t4N6k's M!.1€
OI*.IER ' 5 ADDRESS LL4? l!L".r< s a:j
iao I't
t\A t/R:
RESS r
)
\11 :< ?r?: f'/ 1t:
?$NE rt *:'?-1?'/61)
pmrr *, eo *-t?7i.
RT LOCATION
PRO]ECT COMTACT PERSON:P-.,,- *,iislTi_
Exrsrr{6 coNsrRucrron: I rLrena-r:ori lB.grruovarrofi 6ENERAL RIPAIRS
NEr,/ C0N5TRUC'r',l5N [J rntcr NEll RE5ToENCE o" ]oorrror ro ExrsTrNG REsroEncE
..pt€asg ctEcx arJD ANSwEi BEIo{ atr T6Al APPr-Y r0 yotJR pRolEcI:
ATi GARAGE *.-- SF
f] eooL _ sr
iii T GARAGE __ SF PoRCH _ 5F
I suHroon
-
sF
GREfIII-iOUSE
TOTAI HEATED SQ FI;
TOTAL PRO]ECT COST.
STORAGE SHTD st
sf
Is Any ELI(TRICAL, PLUIIBII{G or IIEGHANICAI lrork Seing Done !o the A((esro.y Stru(turel flffi [ Ho
If the p.oject is a Relocation, is thc.e a Natural Gas Line on the Curr!"nt Sitel ftes fl Uo
Is there Ele.t-ical Powe. on this sui.lding? Elf* Elo
-,/.,pRoPERty (,sE / oC(UPANCY: fi31ru;Lr ranrrY D Ourrrx f]
ua TOTAL Sq FI UNDTR ROOF:
5 f OF STORIES:
T0t^iNHousf
rorAl ARIA sq rr: l(Ci1'
DES'RIPT]ON OF I.]ORX:.t ,/._ I
L
Dlscllttl€R r noreDy cenry inri r{ !r
la//
rrwr conply,'t !F StaE BL,ldh?
,/r-.. t,,t arJ
tu orortcr5 ad .?0Drn'r". rtr
co.r&b..bnrsrl]6 "'ilOTE Art
O9'NER/CONTRAT]'
Aoproval,:
convnentr* ir,., i,r
016n y ch&{..6 t:o lrarv&O
oe r v.q!,.n !)l !,D Nc sl,P B
rs rHE pnopERTy LoCATED rfl l rroooeurxr I ves
EXISTI|iG IIIPERVIoUS AfirA: -.--_SQ FI
liEl,l IfiPERVIBUS AREA| S0 FT
TOTAI ACRES DISTUREFD:
EXIST LAND DISTUPSING PERhIT l-l ves T-l No
I r..,i\iltt t.,..E6\\
{!!
\jCity:,t.-. ol
tlll
SIGNATUN
nc(s: F:--L L
FL0O0:
--_
, l/ rtvlSfo tjTl 04/ilrl)Irt
X err. zrt.
Jr*il,,r' , qIO
traTER:rZI.g:-PUA
SEWER: UI cr PUA
i-] comurrrv svs;:r, I nrrvart wrlL f CENTRAL hlILL
cot'ti{uti I -iY sYsT Er1f] cerlrnar seerrc I pRrvarE sEprl(
... stpASara p€$r]Ts i:?.JT?F! foi €tEC.r, {E(Hr prBG, CAs EQIIp, pnE'ASS t IriS€8Is ""*':ir,:L1?i....?.'i::."F.'].':i.i:1".1'li.l:"i:..l.F.xilT.:l:i.-x..g,TL,i:1....8:.':::,"
850,,,.,,a,".\ D LH: A RH:
,f ;-(r t,-
r*i.l\i;t.-,A | --t -/\l A't rtitll ,r ' r\/* I;-,cH'r,.rry Inseclon Reculre0 y rri-25qr)
CITYI
f oecx _ sr orHER:
NEtl| HANOVER COUNTY BUILDING
APPLICATION TYPE: COMME RCIAL
'?,, t(.'q C,3'l
PERMTT 16-1007
APPLICATION
Number
(office Use)V\
PLEASE ANSI,]ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAIT1E: .r--:rr ter i,,rncas:er DATE : -.1 ,l l 1a
DEVE LOPER :
CITY: tr,i Lnrr ng rcn
PHONE #:
ZIP:_
PHONE #: 91c/!rr-2268
PHONE #:
PROIECT ADDRESS: tF i) .e:.r : ree sri r. ti l
OCCUPANT/BUSINESS NAME: Li t, .ur-
PROPERTY OWNER'S NAME: Pel,rir::.e .. /e - r'e.s
OWNER.,S ADDRESS: -i6a9 Pea.rhtree CITY: wrlmrngt on
CONTRACTOR: 5r-.r.,L.irrc Br: l.li rrq lr,.LICENSE #: !'-.:!I
ADDRESS: 6. i ,' ,\ :CfTY: ,rl lningr on
Eti,lAIL ADDRESS : s t onehensebu i22 3Gbel I south. neL
PROIECT CONTACT PERSON: Jennifer LliIr.r.rsLer
PHONE *: I i a,':91 .r a,l9
If UPFIT The SheII Penmlt #Is Elect Power on this Building E Yes E *o
ARCH DESIGN PROFESSIOTAL:
ENGR DESIGN PROFESSIOi,IAL:
PH
PH
NC REG #:
NC REG f:
DESCRIPTION OF WORK: Hair and nail salon
ls food or beverages prepared or served in this structure? [ves fl no ls The Property Located ln The Floodplain? [ ves T No
DISCLAIMER: I hereby certjfy that all information in this application is correct and all work will comdy wilh the State Bualding Code and all other applicable State
and local laws and ordinances and reoulations The NHC Develooment Services Center will be nolified of anv chanoes in the aooroved olans and soecrlications
or change in contraclor or contraclor iiformatron. "'r\lOTE. Any Wo'k Performed wO the Appropflate Permris will b'e in Vrolalr6n of the NC Slale Bldg Code and
Sublecl-to Frnes Up To $500.00"'
OWNER/CONTRACTOR: Jennifer Lancaster SIGNATURE:(auameD (Pdnt Name)
cootain Asb€stos or not. You are requled to call the Nalional Emlssloo standsrds for Hazardous A. Pollutants (NESHAP) al (919)707-595,0 at le45t 10 days p.ior to the
demoliton of any facility or building. S€e Asbestoe Web Sile: htlp:/ ,vww.efi.state.nc.u-r/epi/asb€oto6,/ahmp.honl
TOTAL PROJECT COST: .:4 e E;
TOTAL AREA SO
BUILDING HEIGHT: : q
FT:1391
# OF UNITS: a
# OF STORIES: 2SQ FT PER FLR:
TOTAL SO FT UNDER ROOF:# OF STRUCTURES: 1 # OF FLOO RS: :
ACRES DISTURBED EXST LAND DISTURBING PERMIT? N YES T NO
NEW IMPERVIOUS AREA: !.SO FT EXISTING IMPERVIOUS AREA:
PROPERTY USE: lOrrrCe ! neSreUnnNr MERCANTILE EDUC lner !CONDO OTHER: ,,:::::: ;
WATER: ZCFPUA
SEWER: fZ CFPUA
*'SEPARATE PERI\,IITS REOUIRED FOR ELECT. MECH. PLBG, GAS EOUIP, PREFABS & NSERTS *'
ZONE:_OFFICER:
(FOR OFFICE USE ONLN
SETBACKS: F:-LH:- RH:- B:
REVISED DATE 4/11/12
Approval:- City:- DATE:- FLooD:--
-BFE+2ft=-
AVN
SQ FT
ff CoMMUNTTY SYSTEM fl WELL f_IZONTNG USE CLASSIFICATION:
E CENTRAL SEPTIC LI PRIVATE SEPTIC ECOMMUNITY SYSTEM
PAYMENT N,lETHOD:ficnsn flcxecr leaveeLE To NHc) flru',tentceru ExPREss I t'lcrurse I otscoven
Comment PERMIT FEE:?c
sT: l!!_ zIP:_
ST: ila ZIP::r1a5
IFYes,what*..**"Ji]J,,;.:x;:":,.i#$oFoccUPANcYUsE;'F::'.'F"-::;:;;"".,Type?-
Exrsr coNsrRucrroN: ! ALTERATToN E *riliF'*li 'fi^l'r'i'r*ot nrenrns ! RELocArroN
lf Relocation. is there a Natural cas Line on the Current sitef I ves fl lo lS BLDG SPRlNKLEnfoz I ves I no
NEW coNsrRucrroN: n EREcr NEt,,l srRucruRE ! rnsr rnncx I srrr-r- [ uerrr ! aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATIa1 rYPE: RESIDENTIAL
PLEASE ANSI,IER ALI QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
b-qc8s
?EZ lb.to Ls
-tL.., \,..J) DArE:
APPLICATIOI{
Number
(Office use)
riq Iru
"r' 0l
APPLICANT'5 tlAI'lE :t(
DEVELOPER: \ A
LL-"tv\ c
PHONE *:
PROJECT ADDRESS: qi-t (.'!t>C t1,\i;i i)(Z CITY:ii(\.J
BLOC( *: <aLf i LOT #:
zIP: Zbq i Ito
5T:
-
zIP: Z+t\ \
SUBDIVISIOiI: ir"A.-{< (i.'rl€ J': l,f\ f\
PROPERTY O[{NER'S M}tE: 9 (' ,.1 r\r r Ca1 ,-\ &LL1 ;-r\i
o'lNERrs ADDRESS: j5:l-3ia) L:L'\ ';L i\:
C ITY:
CITY:
ACCOUNT *:
5T: ,!_L ZIP: zt'1 t L
PHONE #:
CONTRACTOR:
ADDRESS:
at--
EIiIAIL ADDRESS: i)*-i A /a- i 1i-'..\tt,,r.iF. (r:Wz\PIloNE *: itc - jr-I - t 'l -ti
PROIECT COiITACT PERsoil: i A\.1O u(JLrts-.r PHoNE #: 1l\---av1- \3
EXISTING CONSTRUCTION:ALTERATION RENOVATION ! ceruennr nrenrns !RELOCATION
NEW CONSTRUCTTON, ! rnrCr NEhJ RESTDENCE or ADDITION TO EXISTING RESIDENCE
*I.PLEAsE CHECK ANO ANSI,JER BELOW ALL THAT APPLY TO YOUR PRO]ECT
ATT GARAGE
-
SF
SUNROOTI SF
DET GARAGE
-
SF
POOL 5F
PORCH _ 5F
STORAGE SHED 5F
! enrrrHous e _ sr DECK
TOTAL HEATED 5Q FT:- TOTAL sQ FT UNDER ROOF:
-
TOTAL AREA SQ rr: -l -19
\ TOTAL PROJECT COST rress r-orr : $ 3'l .;:Zt # OF STORIES: I\$|._---r---' Is Any ELECTRICAL, PLUiIBING o. I,IECHANICAL tJork Being Done to the Accessory Structure? E ta, NKJ
If the project is a Relocation, is thene a Natural Gas Line on the Cunrent Site? [V"t ffi
rs there Electnical Pohien on this Building?[v"t Bl-ruo
PROPERTY USE / OCCUPANCYT g-arca'
'Orr,'DEscRrPrroN oF hroRK: 'e*;a, ,\ '-=w\J
DISCLAIMER: lh€6by certify hai all lnbmatjon in bis applicaion is corcci and allworkwillcomply wih he Sraie Building Code and alloher applicable SiaE and local laws
and ordinances and reOU lalions. The NH C De lelopmen I Se rvices Cen cr will be notfed of an y changes in tre approved plan s and specifcalions or change in contacb r or
SF OTHER: {SF
Dc( v-t,{1,>
DUP LEX TOI,INHOUSEy',rc\ t- tTry'
contractcr inbrmalion "'NOTE: Any Work Pertormed w/O ule Appropriate Permils willbe in Violarion ofthe NC Stab Bldg Code and Subjecl lo Fines Up To $500.00"
Ot^INER/CONTRACTOR:SrG!\,|ATURE: tH\l,\ i,._Zr r.K,
(P+*++ *+* **** ++++ * j*** *** * *,****
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTIiIG II'IIPERVIU'S AREA: iW 4- 5q 61
NEh/ IMPERVI(US AREA: &-F- SQ FT
CFPUA COMMUNITY SYSTET1
,*+* * *+ * * * i(* ++ ** {rr.t + * )t )t )*** )r * + r*,* * )&)t* ** *,r *,} * * )t *)t,}*** **
ves V*
TOTAL ACRES DISTURBED: ."'.-, A:
EXIST LAND DISTUREING PERMIT:l-l Yrs s6
fi r*ruoru weL-r- !IIATER:
SEWER:! crcur ! crrurnnl sEprrc E pRrvArE sEprrc fl corlllutrrrv svsrru
*I,* SEPAIIATE PER''IITS REQUIREO FOR ELECT, I{ECH, PLBG, GAS EQUIP, PREFABS & INSERTS *I*
payritEMT r.rETHoD: E crsn EcrrcK (PAYAELE ro rHc; Ierll lccoutr ! r,rclvrsa I orscovrn
++++ +,*,* *,* * * r(*{.x.{.+*+ ++,t *+r.*+*,t* ***,*,*,** *,*** *******,*,*** *,*)**r.*)t,tr(tr( **,t*r( **i(* ******* ** )****** **
(FOR OFFICE UsE ONLY) iEVI5ED DAT€ O4l11/12
ZoNE: _ 0FFICER:
CENTRAL WELL
SETBACKS: F:- LH:- RH:- B:-
Approval:- City:- DATE:- FLoOD:
-
BFE+2ft=
AVN
Comment: PERMIT FEE:1(
6h
6$
I
LICENSE #: .1'\S I I
,/')1 (Iqlez arlt?
oil"fg0 RECEIVED APR 11 2tt
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICArI I TYPE; RESIDE TIAL
PLEASE A StlER Arr QUEStTOtiS APPtTCA8L€ TO YOIJS PROIECT
"Project Responsibility"
APPLICAI{T,S tUItE: DATE:
DEVELPER: PHXE t:
APPLICATION
tauitber
(Offi(e Usc)
4/a/a6
PRoIECT ADDRESS: 45.12 Lord Elkin CITY: Pitminqton ZIP i 281a5
ST,BDIWSIO : LT 109 SEC 4 CHURCHILL EST ELOCI( T: LOT T:
-
PROPERW o! ER'S }lA E: corvina, LLC PIIIIE f: s991441
ST: nc ZIP: 2840sO,{ER'S ADORESS; 115s Arborecum Dr CITY: wi lmj.nqton
CoffTRACTOR: Corvi.a. LLc [fCEt6E *l
AIDRESS: 1i6s Arboretum Dr.CITY:wtlminoton ST: nc ZIP: 28405
EMIL ADORESS: kevin- hommes@odysseyf ire - com Ptlol{E t: 9105991441
PROIECT COI{IACT PER5o|{ i kevin hor,mes PlOllE *: s99144r
EXrSTrr{G CO{Smt CTIO : I llrealrror I Rerwlrror ! errrnal nrenrns ! RELocATr0{
itEr.l cot{sTRUcTIoa{, ! rnrcr IEH RESIDET{CE o" ! amrrrot To EXISTI G REsIDEt{cE
i*PLEASE CHECX At{D At{S}lER BELO,/ ALL THAT APPLY TO YOUR PRoIECT:
! lrr eanaer _ sF tr DET GARAGE
POO L 5F5F
nq interior ea116,
(Please aee addilional scope of rrork attachment for full 6coDe of work)
sr ! eoncx
-sF
I sronnce sHED
-
sF
! erremrouse _ sr I orcx SF OTHER:SF
T0TAI HEATED SQ FT: 1a18 TOTAT 5Q FT lilDER ROOF: q TOTAL AREA SQ FT: _
TOTAL PROIECT €OST tr-o.. r-orr : I -Z!.9.99_ # OF STORIES :
Is Any ELECTRICAL, PLUI{8I 6 or ltECH.AlltCAr t,Jork Bei.n8 Done to the Accessory Structur€} [l Ves I lo
If the project is a Relocation, is there a Natural 6as Line on the Current Site? !ves [l o
Is there Electrical Power on this Building?ves llo
PROPERTY USE ,/ OCCTTPAT|CY i @ SrnClr rnUrlv ! ruer-rX ! TO{iltOuSE
DESCRIPTIq{ OF lfi(: Eenovation of InEerior finj.6he6, lemoval of non Load beari
I
DISCLAI.ER: I heEby cerlit n al all . brmaion ir h is appkalon is co.rccl ard aa woft ll,iI
and o.dina..es..d Egulalbns. The NHC D.vcbpmen|Se ac€s C.nk willb€ notf€d olan
contacbr iibraton. "'NOTE Any Worl P€rklm€d W/O be ApprogrisE P€rni6 wltl be ,l
comply unh ne Sl3c Eurldng @de ard d oher appk8bb Stab rnd tocd ta./s
y ch.ngcs 'n lh. .pprctad dans ,!d +gcilicalons or cha.gc in contracb, o.
Vohron ol th6 NC SrBb
SIG ATURE: "
Bldg Code 1o S50o 00""
REVISIo OATa 04l11/12
6&
[:*q
O{.,llE R/CONTRACToR: K.vrn A. llonmes corvlna, LLC
(P.tnt iai..)r ,lr+ *+r I * +.,r 1+* + r r * r r r a a ** a* * r * *,a a+r* ***)t **r r *** **** *!i ** )i* * *a* +**** 'l***:lrlri *r*r * a * * ir*** r)t
rs rHE pRopERw L(TATED rli a rlmrurrl ! vrs
EXISTIIS IIIPERVI(US AIEA: _SQ FT
r{EX Ir,pEnVIqJS AREA: _ SQ FT
Er.o
lurEn: I crcua ! co..rr,4uNrry svsrEl,l ! pRrvATE r.lELL I crtrnal well N o w€L\-
semn: f] crnua ! CENTRAL sEprrc ! rnrvarr srerrc f] coriruNrry sysrErtr ,>€* 1.lL
i,' SEPAIaTE ptRttlTs REqIIRED FOR ELICT, tlECH, pLB6, 6A5 tgJlp, pREIABS & INStRIS ..r
*y.T.l*l?;....E.'*1".F.':::1.::1'f...'.1:."tr*1.tr,-*I:ll':-::n:"'....E.y"x....8::::l*
TOTAL ACRES DISTURBEO|
TXIST LAND DISTURBING PERI,II]:l-] vrs l-'] rc
ZOt'lE: _OFFICER:
(For orrl(E usE cifl y)
SETBACKS: F _ LH:_ RH:_ B:_
Approval:_City:_ DATE:_ FLoOD: _ _AV
Coo|llent:
-
BtE+2ft=
t{
PER}IIT FEE: $0)
! suHnoon
ffi
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSI"JER ALL QUESIIONS APPLICABLE T0 YoUR PRolECl
"Project Responsibility"
Jr+th;c r)o'rtorq
J o r0-Yp6t
PEZt6.tf1,q
APPLICATION
Number
(office Use)
APPLICANT'5 i,IAI4E:
DEVELOPER: AI
oare,4- 4B-/L
CITY:
PHONE #:
C ZTP LPRO]ECT ADDRESS:o
SUBDIVISION: A,/1.BLOC( f
PRoPERTY OWNERTS NrrfiE:
OT'JNER'S ADDRESS:CITY:
LICENSE $:
CITY:
)t sz )
pHoNE *: gro'3se'h5o
sr;AlLzrP: ?Et/L
*(c-ztp,2a3)z-
PHoNE f: 4io-285- Zlq r
PHoNE *: qto Dtsl zzzv
CONTRACTOR:
ADDRESS:
E AIL ADDRESS:
PRO]ECT CONTACT PERSON:.€z*^t/i )a,n e \
ExrsrrNG coNsrRucrrorrr; &,-rr*orro, E 7 \-
RENovATToN M crruenar nrpnrRs
NEhl CONSTRUCTIOru: I enrCr NEW RESIDENCE o" ! aOOrrrOt TO EXISTING RESIDENCE
*'TPLEASE CHECK AND ANSWER BELo|.J ALL THAT APPLY T0 YOUR PROIECT:
ATT GARAGE
-
SF ! oer canace sr ! eoncr
-sF
SUNROOM
-SF
GREENHOUSE 5F
STORAGE SHED
RE LOCATION
POOL _ SF
D ECK SF OTHER:
5F
SF
TOTAL HEATED SQ FT:il0q TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
-
TOTAL PROIECT COSTttessLort : ${2,113':# OF STORIES: r'
Is Any ELECTRICAL, PLUI,4BING or iiECHTTNICAL Wonk Being Done to the Accessory St"ucture? [l/Yes
If the project is a Relocation, is there a Natural Gas Line on the Cunrent Site? !
Is there Electrical Powen on this Building? pfV"t I uo
PROPERTY UsE / OCCUPANCY:SINGLE FAMILY DUP LEX TOWNHOUSE
No
Yes [*o
t-7 t
coniraclor nlormaton "{OTE Any Work riale Permrlswillbe in Violation olrhe NC StaE Bldq
DESCRIPTION OF WOR(:
OWNER/CONTRACTOR:
ZONE: _ 0FFICER:
{rott/frffi^oru r,
J J
A.4--t 44c
and odinanc€s and regulalions The NHC Developmenl Seryaces Cenier willbe no0fred ofany changes in the apprcved plans and specificarions or chanqe in conrac!cr or
d Sub nes Up To S500 00"'
* *,k * * * * * * *,* * * ** * ,i,*,* * * *,*)t**)** * ** * ** )r )t ** * **** **,i,i,i*r< ** * **,*,** *** )* *** *** f * *
rs rHE pRopERTy LoCATED rN a rloooatart? [ ves d ro
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
SQ FT
SQ FT
TOTAL ACRES DISTURBED:
wArER: dcrpuA I coluururrv svsrem f] PRrvarE t,tELL ! cenrnnr wrll
5EWER: Ef CFPUA ! crrurmr srerrc I enrvare srerrc ! coMf4uNrry sysrEr4
*+, SEPARATE PER}IITS REQUIRED FOR ELECT, I4ECH, PI.BG, GAS EQUIP, PRTFABS/8 INSt
pAyr,fENr ETHoD: E cm,r n crrcK (PAYABLE ro HHc; I menrcAN ExPREss V^cnrto
R'ts i1'
D ISCOVE R
* * ** * *,* * *,t*,f,***,** * * )* * * ,t,t *,r ,t * )*,* *,** * )*** * )t)t*,t* *)* *** *,t i(,t ,* * )* )t )* *,* *i( * * )*,I * * **** *** * * * * *,i** ** * + + *
EXIST LAND DISTURBING PERI'4IT;YE5 f-l ruo
(FOR OFFICE USE ONLY) REVISEO DA]E 64111/12
SETBACKS: F:_ LH:- RH:- B:-
BFE+2ft= _Approval:- CitY:- DATE:- FL00D:
-
AVN
Comment: PERiIIT FEE :
LOT #:
'J-/L
ffi
NEW HANOVER COUNTY BUILDING
APPLICATLON TYPE I RESIDENTIAL
20'L-LtO?'{
PERMTT Pg+ u@-lgq
APPLICATION
Number
APPLICANT'S llAfiE :ev1
DEVELOPER: t!IA-
PLEASE AI'IS'IER ALL QUE5TIOIiI5 APPLICABLT TO YOUR PRQJTCI
"Prcject Responsibillty"
I,L b
PRO]ECT ADDRESS: 'LI ., ?4,lJ T7 ,( ? a I A.T
C'tA t-U I -( V c---f .3 DATE : a os'
PHO E #:
zrPt Z!!tt
BLocK *: 1Ec1)!!!jl L$ *; Zl
PHoNE *: 44'o- l"lV-
sTtA*zlpt U t:")7'1-
CITY: ,i ll-trl. tre?-fc P sr: Ilg zrP | 'L'b 4 a ?
,10
td,W-f-=-WrZ-
lto'<43 3194
CITY: lr'-lt t-l, l'.{b.(aA
susDIvIsIoN: btroae6 b l9v4P
pROpERTy Ot^tNER, S llA|rlE: Y<t-€V wy--tc.toA CTTLDC'Nfz,t;-p-C"
otlNER'S ADDRESS: Llt4a Uc-v,t rtt/ l-!\ t LL/ lq. CITYT A1t-9-,.]-rA-
CONTRACTOR: Dt+n'tv JAlnvs \ gt,lr',1r44'1 LICENSE #: 3*+tS
ADDRESS: b0b ovp VAj c.tl f-+z
EIIAIL ADDRESSf D ) f+1.,1U5 ('r ,atLt./lt{e)-rttJlrt tv>E-E- , .av1 "l1c Ylt-lo
PRO]ECT CONTACT PERSOI:
EXISTII,IG CONSTRUCTTON:
bfi<.s--4.$Y:+Do..l.l j+-",PHONE *:
PHONE #:
A LTERATION R E NOVATION ! ceuenal REpArRs E RELocATToN,
r{Er.r coilsTRucTroN, @ rnrcr r|E!l/ REsrDEircE o" ! aoolltol,r To ExrsTI[G RESIDEilCE
.*PLEASE CHEC( AIO ANSIiER BELOTJ ALL IHAT APPLY TO YOUR PROJECT:
f rrr crmce ? 57. sr
[surnoou tJ lA' sF
RAGE }.I a- sF
o o sF
| | 2-D sF orHER:
fl noacr
I sronnce sHro N /A- srdDET GA
POOL
S i tr' sF
! cnremorse N i A- sr fl oe cr SF
TOTAL HEATED SQ FTt 5?4fi_ rOtat SQ FT UNDER Xssp 7 lo,2l4 TOTAL AREA SQ Fft lZ, Lgrl
-
TOTAL PROIECT CoST luess roq : $ Z,ca,.or.o # OF STORIES: 4
Is Any ELECTRICAL, PLUllSIl,lG or iIECHA'.IICAL t/ork Eeing Dohe to the Acc€ssory Structure) [ VeS I lo
If the pnoject is a Relocati.on, is there a Natural Gas Line on the Current Site? [ves [ruoIs thene Electrical Power on this Building?f]V"r l-'l ruo
',|
PRoPERTY UsE / OCCUpAr.rCy: El SrruCle rnr'rrlV f] Or.lplrx E TolJMouSE
DESCRIPTION OF WORK: t-i t--W SlNjf,L,e- f,7+r-^ t Uq LEsteVl-lC € Wl bp-tvEw*.l , b-l frLD W *1x-t
At" P ,'L'-L/
OISCt-AlyERr h€raDycert, t,arallinbrmadon in fiis applicaton iscodectand all so
ad o.dinancesand rogulalons The NHC O€Elop.narrS€ryices CenEr wlil bs notfisd
conracD',nbmalon "'NorE Any wor<erl.ii*{o tr6Aop,op .aB P€mrEwJl
OI,,NER/CONTRAcToR :
rlwlllcomply wrt no SEr€ B!ildn9 Code ad all oh€r applic.bro Stab 6rrd hcll lara
ot an y charg€s in fis appro ved plan s anc sp€crtoadons o. cturp e n con racb r or
b€ rn VDbton ottl€ NC SEE Blds Code a.d Srbi€cl b Fines L,b To S500.0O"
srG.,rAruRE: D,!,.J:qr*ls 4 G
-.rl,
5o2*
+,r *,r * *,i,*iI ** **,1* *.... -.,..,- JIlt*il"J - . ., -./,*. -... * + + r * r * *r* * * * * **** ** r*** * ** *,i*,* i* *r
rs rHE pRopERTy LocarED rir a rlooo-rlarrl fr vrs E "o ,l
Exrsrrr{G rMpERvrous aner: iilltz \lja tt ,, ,o o.*r, DrsruRBED: O , )-l q
NE IMpERVIOUS AREA: Art) L, a SQ FT EXrST LAND DISTURBING PERMIT: r] yES
-/hrArER; I creur p[ corlur'rrry sysTEr4 E parvnrr wer-L- f] cENTRAL l,JELL
d*o
sErrER: f] creua ! CENTRAL sEprrc @ nnrvare seprrc E co04t4uNrTy sysrEM
*'* SEpARAT€ P€n!IIS REQUIRED rcR ELECT, ilECH, pLBG, CAS EQUIP, pREFABS & II{SERTS *'*
'^y-'l]-l:'.1':.'-..,.8.'i::-.F.'l'.'I.1:i"11'i.l:.1T"'-"tr-*lllllll-:l:l'-:---*tr-lYJ-'-'l---E:,':::*'
ZoNE: _ oFFICER:
(FoR oftr(E usc oILy) nEvrsEo oaTt 04/11/12
SETBACKS: F:_ LH:_ RH:_ B:_
Ap pnoval :_ City :_ DATE:_ FLOOD: _ BFE+2ft= _
AVN
Coment:PERIliIIT FEE:(