OCTOBER 26 2016 BUILDING APPSED sI0{sn
)orL-- lOoBS- tLffi_Bz-
IIEVY nANtJVEll l\,vlr I t DUlLlJl3r(l rEnlvrl I
APPLICAIK' N TY PE' RESTDENTIAI
PLEAST ANSWER ALI. OUESTIONS APPLICABLE TO YOUR PNOJEST
"PrcJect nesponslbllity"(otfice use)
PPLICANT,S NAMEI Elizabeth Ponley Dat€.10-3-16
ROJ€CT ADDRESS:2614 Willow St ctw:Wilmington 7p;28405
LOI f:uEDtvrsroN:
ROPERTY OWNER'S NAME:Elizabeth Penley PHON ss.910-6197817
gg1y, Wilminglon ztP 28/'05
)WNER,S ADDRESS . 2614 Willow St
:ONTRACIOR:El;z"kfh Pe"te
\DDRES9i 0w
ToTAt sQ FT UNDER RooF tfor proposed workl Heatcd. 1100
ToTAt PROJECI COST (Less Lot): S 9,000
Property Use/ Octupancy:E Slngle Famlly Duplex E Townhouse
LICENSE #:
CITY Wil,ra;sr;.]!!zlP:
'HO*P
rJo 5
-vtq --].:MAIL ADDRESS:at . (o tt'l
EXlSflNG CONSTRUCTIOITI: tr Alteration E Renovation E General Repairs
NEW col{sTRUCTION: E Erect New Residence E Addition to Existing Residence D Relocation
*..PLEASE CHECK AND ANSWE ...
! AttGarage (sF)- fl DetGarage(sF)- D Porch (SF)
! Sunroom (5F)-tr Pool (SF)D Storage shed (sF)
-
C Greenhouse (sFl-D Deck (SF)
-
D other (sF)
ls the proposed work changing the existlng footprint? E Yes E No 7x/Z ?r4Unheated:
--
ls the proposed work chanting the number of bedrooms? E Yes E l'lo
lsanyElectrlcal,PlumbintorMlchanicalworkbeingdonetotheAccessoryStructureEY€sDf{o
lf theprojectisa Relocation, isthere a Natural Gas Line on the current site? E Ycs E No
lsthere Electrical Power on this Building? E Yes E No
would like to remove th€wall botweon the kitchen and den. I am also planning
oescrlption of work:While updating mv kitchen I
on adding laundry room off of the kitchen bY Putting walls up in an existing bedmom. The room will still be a bedroom.
Dl3CtAlM€R: I herebv certify that all thr information ln thi! applic.tlon ls correct and 'llwork wlllcomply with lie Stat€ guilding Code and alloth.r applicable St3te and local
laws and ordlnances and reSulationr. The NHC Development S€Mces Center willbe notlfied of any chantes in iie apProved Plans and specifications ot chanSe ln contractor
lntormation. "'NoTE: Any work perform€d wlthout the appropriate permltswlllbe ln violauon o' lhe subied
_9.
to up to S500 00r"Bldt code and
(t;t ?enle Signatule:eOwnet/Contractor:
"Llcensed Quowel Print Nome
ls the property located in a floodplain? D Yes El No
Existing lmperulous Area:
-
Sq Ft Total AG'es Dlsturbed: --
New lmpervlous Ar€a:
-
sq ft Edstlng Land Disturblng PermiE EI Yes E No
WATER: E CFPUA , community system E Private Well E Gntral Well E Aqua
SEWER: El CFPUA fl community System E Private s€ptic E central septic E Aqua
zone:
-
offfcer:
-
setbacks (r|
-
(LHl
-
(RHl
-
(Bl
-_
Approval:
-
city:
-
Date:- Flood: (A)
-
M
-
(N)
-
BFE+2ft=
-Comment: Permi
pRoJEcr coNTAcr psx56x. Elizabolh Penley p11611g. 910-619-7817
Er{Eo sI0{st
I\.EVY NAII(JVETT LL'UN I I DVILI'IIII' TENIVII I
AP P U CAflO N TYPE: RESIOENTIAL
PEASE ANsWER AUOUESTIONS APPIJCAB{I TO YOUI PRO]ECI
'Pror€at ierponrlbllhf
?otl'too{
tL##L-
$
Appucr T,S AME: Ellzaboth Ponley o.r.. 10-3.16
PROJECTADDRTSS: 2614 Willow St s1y, Wilmington 21p;28405
SUBDlVlSlONi I"OT fl:
PROP€RTY owNEi,s NAME: Elizabeth Penley eg6pg s; 91S6197817
OWNER'S ADDREJS 2614 Will)!v St cliY;Wilminglon sp; 28405
COi,{TRACTORI
A'DRESS:
BtD6 LtCEl{Sl #:
sr:alPt
-
ctw;
rI,1AILAODRESS:PHONEi
PROJEC'I CONIAcT p!Rsor{: Elizabsth Ponley PHONs. 910-6197817
EXI'rINGCONSTnUCTION:0 Altetltlon ..'i Renovation,:l Gen€ralRepairs
NEW coNsTRucTlON: Tl €rect New Residence :: addition to txisting Reridence E] flelo.ation
...PTEASE CHECX ANO ANSW€T BELOW AII THAT APPI.Y TO YOUR PRO'ECI'"
i, Att Garage (st)-__- n Detcarage{5t)- : Porh {sFl
i Pcc' (5F)'-- Sunroom {5F)
l- Greenhouse ISF) _ tr Deck (sfl-
15 the proposed wor* changin8 the eristlng footpri ?I: Yes 13 No
ToIAL 5Q FT UNDTR Root Aot grcposed workl Hg6166;1100 Unh eated
rcTAt PROJECT COST (Less Lotlr S9,000
ls the proposed work changi'r€ tI€ number ol bedrooms? O Yei B No
lsanyElcctrlcal,PlurnbingorM$hanlcalworkbelngdo.etotheAccersoryStruqtureEY$ENo
lftheprojectisanelocation,isthereaNaturalGasLiaeonthecurrentsite?DYesGlo
lsthere El€cflcal Power or this Euilding? E Yr! E 6
ancy: E slngle Frlnlly E Duplex fl Townhoure
While updalng my kitchen I would like to remove
ir Stor.ge Shed {sF}-
; orher (sF)--
the wall bBtv/Bor the kilchen and den. I am also planningProperly Us€/ Oc{up
Descrlptlor of Wsrlr
on adding laundry rocm ofl of the kitchsn by puttjng wallg !! lll ar e{stil!b6droo,n. th6 room will still be a bedroom.
ttws.M onjti.fr., and.eSuhrbnr. ThexHC Or',{logmen! SeM.ci Centar willb. nogtcd ot rr cbangag in lic arprov.d plans and sttalfrrlloi6 or ah.oae ln.lntn(tor
l.l.in'irlon. '.'NOIf a.y wo* p.dohed wltholt rh€ aFtrcrnlat? De4lBvrlllb.ln vbhtlon ot th.Bld6 Cod€.nd !p ro 5500.00"'
LIL a ?enle Signature:
S[W€R: El CFPUA D commlnity system E]
Zone
*dr',
<).
ls the piopet''ty located in a floodplaih? n ves G trto t[ i]r'
Existing lmpervlosJ Are?r
-
Sq Ft fotal AC'!! olttlrbed:
New lrnperYious Alea:5q Ft Eristlng land Dlsturbing Permit 3 Yes D No
WAT€RI 3 CFPUA 0 Cornmunitv syaleth n Privatewell fl centralwell n Aqua
Owne r/Co ntrnctor:
"l-teds.d Qudlifiei
Approv?lr ( i\1,ctY:_ (v)
-
(N)X 8Fa12ft.
Permil te€:,
81lQ om.",, €-f(]\ s",u".rc
?rivateSeptic E CentralSeptic D Aqua
rUli rr.rrl,lh r.rrtJft rErd,.lA
\L a{@(Comment:
Date:FlocC
Cify insr-leclffi $3,rsr1, I 1 12i a.$ :'..)
2cttq- lot{(r?
ADDRESS: 512 9 olearlder Dl.s te 201
NEhI HANOVER COUNTY BUILDING PERI4IT
APPLIQA|I(N rYPE; COtillilERCIAL
PIEAS€ ANS9IIR ALL OUESTIOTIS APPLICAELT TO Yfl,R PRO]ECT
oProject Responslbilit/
LICETGE s: 2gJ_
CITY: !Li.1!rl!q!aa
-18444e-:
ffi
APPLICAT{T'S iIA},IE:
APPLICATION
Number
(offtce Use)
Brandon Catle , RJTR Architecta
OCCUPAiIT/BUSINE55 tAfiE: EleqeDr Barclay we6r Aparrnenr6
PROPERW OLINER,S }IA,4E: C]( Ga1 Palk Wilmin on tLClrv
ohlNER'S ADDRESS: 301 S Collece stleer sre 2soo CITY:Charlotte
CONTRACTOR: Hx Jordan & co. rnc
DATE:__e!_gg_
PHONE f:
ST: NC ZIP: 28202
5T: NC ZIP: 2s4 03
Ei|AIL ADDRESS: aboqer@hki consrrucLion. com
PROIECT CONTACT PERSON: Andy Boqe!
(che(k All That Apply)
EXIST CO STRUCTION:tr ALTERATION n RENOVATION GENERAL REPAIRS
No lS BLDG SPRIN
RELOCATION
KLERED? [ vr" I l,rolf Rolocedon, is lhere a Natural Gas Line on the Cunent Site?tr Yes tr
NE!'l coNsrRucrro , I rnrcr NEhl srRUcruRE I rasr rmcr f] snru f] urrrr ! aoo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
If UPFIT - The 5he11 Permit *:
IF Yes, hhat ras th€ Pnevious Occupancy Type?
ARCH DESIGI{ PNOFESSIO,IAL: Daniel F. Jov
.*aar rs rHrs a o cE oF occupAricy usrr flvrs I
Is Elect Por.er on this Building I Yes Ero
PH: 770 661-1492 flC REG *: 106?0
PNi 4o4 262-0a00 tlc REG *: 23014
DESCRIPTION OF I.,ORK: Bui.ldins T].?e 1
ls {bod or b€voragG pr€pdBd or son €d in lhis slnrcarcz [lve" I tlo u ne eropety Locatsd ln The Floodplain? E Yes r No
Nole: DrIndld@ nodncsddrs 6 6BbEt B rsnovd ponnlt srCbadq! Er! b b€ a.6.nlld dno the apdirsn(l ft.In (DHHN76E) rd|€$q dE Hllty s h.dldhg rat lqrd to
corlaln fubdc or rd, Ydr ar! rcqdGd to callrh6 NBtdEl E nHoo Sladafilr fq Heddq.s Aft Pouut ls (NESiAP) a (919)107€950 st lct 10 &yr fik lo 0!s
dorid[hn d Iw lEdlily oa b.lluhro. Se Asbdc l\bb Slts: ht9rrrr*\ ,.od.$Er6.nc-ur/opuosb€slos/shrnp.hlr I
DISCLAI}TER: I hereby cerlity thal 6ll inhmalion ln his spplEaton is clnecl ad all $/ork will comdy vrilh lhe
ond locallBws and ordin€nces and leoulations. The NHC DeveloDment SeMces Centerryillbe notifald of anvor ctrange m conlractor or contraclor iilonhation. -NOTE Any Worl Perfo(med WO the Appropriate PermiliSubiedlo Fines Up To $500.00*
-@MMUNTTY SYSIEM NWELL IAZONING USE CLASSIFICATION:
ficenrnar- sernc I en-vere seerrc A-couuulrw snsrcu
Slale Code 8nd 8ll ou|er applhable Slate
$/ill of lheolans and sDecif cationsNC StBle Bldg Code and
OWNER/CONTRACTOR:lard+.,lcqer rtrP),+zrtr/C'SIGNATURE:
(a'dmd')
TOTAL PROJECT CoST: 2,202, 5e?.48 BUILDING HEIGHT: 48.# OF UNITS: .30
TOTAL AREA SQ fi :3'.7 9'72 SQ Ff PER FLR: 12716 # OF STORIES: :
ToTAL SQ FT UNDER ROOF: 3?s?2 # OF STRUCTURES: r
ACRES DISTURBED:see ci.vi1 Exsr LAND DrsrunstNo eenurrrfives f] Ho
NEW IMPERMOUS AREA: see Civil SO FT E(ISTING IMPERVIOUS AREA see clvil SO FT
pRopERryusE: floFFrcE EnesraumNr luencer,nrLe lrouc @rcr [coxoo OTHER:
WATER: EICFPUAsEwER: EICFPUA
R2
-. SEPARATE PERMITS REOUIREO FOR ELECT. MECH, PL6G, GAS EOUIP, PREFAAS & NSERTS "'
pAyMEirr MErHoo: ftcAsx flcuecx pevrsE To NHc) fleuenrcAn oeRESs E Mc/vlsA I orscoven
ZONE:OFFICER:
(FOR OfFICE UgE OitrY)
SETBACKS: F:- LH:- RH:- B:-81,/t6ED O TE {r1llr2
Appro\ral:-Citf-DATE: FLOOD:---BFE+tr
Commont
N
PERMIT FEE: $
2-\
DEVELOPER: cK Gallerv park Hilminqron LLC PIO E *: ?04 342-9ooo
PRoIECT ADORESS: 1342 ETJEMEMT r{Ay - BLpc G CITY: .wiltninqron ZIP: zaav
PHoNE *: 910 25G-4388
PTOHE *: 910 797 -43 89
Oret is the ild Occupancy Type?
ENGR DESIGN PROFESSfO{AL: Brad ElLinwood
# OF FLOORS: 3
l
l.Olle-l
APPLICATION
Number
(office Use)
-1n.244r
O{ULNEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; COMMERCIAL
PLEASE ANSWER ALT QUEST]ONS APPTICASLE TO YOUR PROJECT
"Project Responsibility"
APPLICANTT S NAME: Brandon caEledse RJTR Architects DATE: 6 1 2 016
DEVELOPER: CK Galferv Park Wilminston LLC PHONE *:1a4 142 -9oaa
PRoIECT ADDRESS: 13s1 ElemenE way - bldq 5 CITY: !.lilminqEon
OCCUPANT/BUSINESS NAI'IE: El.ement Barclay l,lesE Apartments
PROPERTY OWNER,S NAME:cK Gallery Park wi.lminqEon LLc PHONE *:
OWNER'S ADDRESS: 301 s colLeqe street ste 28oo CITY: charloEte ST: NC ZIP: 28202
CONTRACTOR: HK Jordan & co, rnc LICENSE #: 26431
ADORESS: 5129 oleander Dr suite 201 CITY: wilminoron sT: NC ZIPi 28403
PRO]ECT CONTACT PERSON:Andy Boger PHONE f: 9to 791-43a9
ACCE5SORY STRUCTURE:
If UPFIT - The Shell Permit *:Is Elect Power on this Building I Yes Ero
ARCH DESIGN PROFESSIONAT I Danie,I F, Joy PHt '7'70 667-1492 NC REG #: 10670
ENGR DESIGN PRoFESSIoNAL: Brad El l i.nwood PH: 404 262-0800 NC RE6 *:23014
DESCRIPTION OF WORK: Buildi
NEW IMPERVIOUS AR
ls lood or berrofages proparod r sdvad in this sfrlrctlro?I
ACRES DISTURBEO:
ves [ ruo b The Propolty Locatod ln The Floodplain? [ ves T No
lk willcomdy with lhe slate Buildi Code and all other applicable Slale
oDroved Dlans and soecrllca!6n ol the NC State BIdg Code
iom (DHHSi76a) wh6ltror lhe lecllity of bulldlng was hund lo
(NESHAP) ar (919)707-5950 or l6€st ',10 dBys p.lor to th€
#OFUN ITS: 3 o
# OF STORIES: :
# OF FLOORS:1
See C ivi 1 SO FT
APT E @NDO OTHER
ICATION: R 2
e1
or chanoe in contraclorSublecllo Frnes Up To
nances and reoulatrons. The
or contractor i-nformalron, "'s500.00-'
ihis applicatron is correcr and allwo
NHC Develooment Services Center
NOTE. Any Wo* Perlormed WO lhsllbe notiliad ol anv chanqe
e Appropriate Permrls wrll 6e
DISCLAIMER: I hereby ceniry that aL infornalion ln
and local laws and ordi
OWNEF/CONTRACTOR:t'r.tr*"s**IafU )h,r"rrro SIGNATURE:(AEJifi..) enmN.amo)
iloto: Llomollton nollllcstlons & 6sb66to6 rgnoval pomlt appllc€tkhs alE to ba submuod uslno lho eppllca{on
contsln Asb€€los or not. You ar6 rcqulrcd to call lh€ llstlor€l Embslon $andad6 io. Hazardou8 Alr Polluanll
doftDlltlcn of any fucillty or bulldlng. S€€ Asb65to3 Web Snt: htip:/ ,$xw.€pl.slate.r|c.uvepuasb€3@/shmp.ltml
TOTAL PROJECT COST: 2 ,2O2 ,59'1 .45 BUILDING HEIGHT: 4 8
EA: see clvil
EXST LAND DISTURBING PERMIT?r YES ENO
SA FT D(ISTING IMPERVIOUS AREA:
pRopERTY USE: EOFFICE EnesrnUmrr luencemtr-e Eeouc
WATER: E CFPUA
sEwER: EICFPUA
TICOMMUNITY SYSTEM TI WELL ZZONING USE CTASSIF
fr cenrnru-seerc fIPRIvATEsEPTlc EcoMMUNITYSYSTEM
[.',"JY-.",V n*{ e,}
D:- ' J BFE+ft
-, SEPARATE PERI\,4ITS REQUIRED FOR ELECT. MECH, PLBG, GAS EOUI?, PBEFAES & INSERTS *'
pAyMENT METH9D: ficesn lcneCx leeuslE TO NHc) flamenrcm oaRESS E McMsA EotscOwn
(FOR OFFICE
SETBAC
FLOO
REMSED DAIE {1I/12
ZONE
[( 0,i-r N
PERMIT FEE: $ti
,.1 \L)l.)Comm n r€c .rll(p(
.lry lnspectiOn kequireo 9i u-25q.u,
/::i;':\
I
ffi
ZIP i 28412
EIIAIL ADDRESS: aboqerohkiconstnrcEion.com PHONE *: 910 256-4388
Exrsr coNsrRucrroN: E ALrERArro, I *r*Jifrillil'[['il*r. nrearns ! RELocArroN
tf Relocarion, islherea Naturalcas Line on the -Current Site? Ey;ENo tsaroc spiiixreneor Iv"s Iuo
NEW CONSTRUCTTOH: I enecr NE]' STRUCTURE ! rasr rnlCr I snrr-r- ! uerrr ! aoo ro ExrsT sTRUcTuRE
,,**** rs rHrs A cHANGE oF occupArircy user !ves Ir,n'--'.
IF Yes, what was the Previous Occupancy Type?
-
l./hat is the New occupancy Type ?
-\
( cu)
TOTAL AREA SQ FT I .!92- SQ fi PER FLR: -P35-
TOTAL SQ FT UNDER ROOF: 3?e?2 # OF STRUCTURES: l--
')0b, l?L[(t I
--4n21+1-
,m,
NEW HANOVER COUNTY BUILDING PERMTT
APPLICATI(N rYPE: COltllilERC IAL
PLEASE AI{SI{ER ALL QUESTIOI{S APPLICABLE TO YOIJR PRO]ECT
'ProJect Responsibility"
APPLICATION
Number
(offj.ce Use)
APPLICANT'S l{A}lE: Brandon catledqe, RrrTR Archireccs
OEVELOPER: CR Gallery palk flilninqron LLC
PROJECT ADDRESS: 134? Blelnenr way CITY: wil
OCCUPAITIT/8USII{ESS l,lAfiE: Elemenr Barclay wesr Aparrmenta
PROPERry OI'INER'S tJArnE: cK callerv p rk wj-Inli.nqt.on LLC
olrNER'S ADDRESS: 301 s colteoe s eeE Ste 28oo CfTY: charlotEe
COTITRACTOR: HK arordan & co, rnc
ADDRESS: s12e oI
ZIP i 21at2
PHONE f:
5T: Nc ZIP: 28202
CfW: wilninqron SI: NC ZIP: 28403
PK)NE $: ?04 342,9 ooo
Dr Suice 201
Ett{AIL ADDRESS : aboqer@hkiconElruction. com
PROIECT CONTACT PERSON: Andy Bocer
PK)NE S: 9Lo 25c -4 3 BB
PHoNE f:910 ?9?-4389
Exrsr coNsrRucrroN: fl alrERArroil E rrrJifr;l$i 'iit?'il*o. REpArRs fl RErocarror{
It Relocation, h rhere a Nsrural Gas Line on the -Cunent Site? [v"T[ruo ts aLDC SpffifLgneo? [ves IHo
NE![ coNsrRucrroil: fl enecr NEu srRlrcruRE ! rAsr rmcr ! sxer-r ! ucrrr fl aoo ro Exrsr srRUcruRE
ACCESSORY STRT,CTURE:
If UPFIT - The 5he11 Penmit #:
IF Yes, hfiat lIas the Previous Occupancy T)pel
ARCH OESIGT{ PnOFESSIOML: Daniel F- Jov
r.r.. rs rHrs a cHAr{GE oF ocoJpaflcy usrt flws I
Is Elect Por.er on this Building El yes E nO
Hhrt is the Nry Occupancy Type?
PHi't7o 66L-1492 NC REG #: 106?0
Nc REG #: 23014El{6R DESIGI{ pROFESSIOIIAL; Brad Ellinwood
DESCRIPTION OF WORK:Buildinq 2
ls bod or b€vrrsg6 preparEd or s€rved h fis stsrr(tn€? E Ye. I tlo u n" eropety Locatod ln lhs Floodplah? [ ves I No
IhE SEIE BUilding Code and Ell olher Epplicable $ale
the olarls and secjfi cstionsNC Srare BIdg Code andol the
OWNEF/CONTRACTOR:xra..-*$t''t Z4qnrtutr SIGNATURE:(od .4
Not6: Ddndlioh nodicatdB & s5tBl(t6 Enovsl psrmt apdbaddE sre to bo lr,b(nltod dno tE spp[.e!m krn (DHHS-Cr68) wt|o$ld nr HIry d hJl&tg wss hrid to
.omain A5!6a16 oa not You 8lE rsqdGd to cdl lhe Nsdoial E nbdo.r S!8nddds lb. H@rdolJ6 Ar PolluGnb (NESHAP) !t (Slg)?{I/-sgn d bsd 10 dsl|s Flfi to fie
dBrndldoo ol any fldllty or hlldk{. S.o AlbdG Wrb Slta httsrlw*w.€d.s.rst6.nc.ud6puBsbos1o6/shmp.htnl
TOTAL PROJECT COST: 2.34s,5?2. oe
TOTAL AREA SO FT I .22s!2--
TOTAL SO FI UNDER ROOF: 3 9542
BUILDING HEIGHT: aB'
SQ FT PER FLR: 132aa
# OF STRUCTURES
# OF UNTTS: ?7
# OF STORIES: 3
ACRES DISTURBED: see civil EXST LAND DISTUNAIHC PCRUTZ IEIYES E NO
NEW IMPERVIOUS AREA: see civil SQFT EXISTING IMPERVIOUS AREA: see civil
pRopERTyusE: lorrrce [nesreunax-r fiuencaunue leouc nepr E@NDO OTHER
SO FT
'" SEFAF"T, i tERfr' TS RSOirlREIl aOli EL FCl, f,,1ECB. PIBG. GAS EOtllP. Pillf ABS 6 l\-<Ef{i5 "'
PAYMENTMETH@: flcasx f]cxecxpaveaEroNHc) finuearceteeRESS EMc/vtsA Elorscown
(FOR OFFTCE USE OraLY)ZONE:_OFFICER:_ SETBACKS: F:_LH:_ RH:_ B:
Apprc\ral:_ Citf-DA'IE: FLOOD:
--
BFE+tr
FE\ 6€D DA1E lnfi2
Comment
N
PERMIT FEE: $3t)
LICENSE S: 26431
DATE: 5-r 2orE
PH: 404 262-o8oo
# OF FLOORS: 3
WATER: ICFPUA [IGPMMUNrIY sYSTElil f]wElr flZONING USE Cl.ASSlFlCATloN: R 2
sEwER: El- CFPUA TICEMTRAT SEPT|C E p-RrvATE SEpnC flE)i,tMuNry SY€TEM
l.Otu - lo+5u
16-2440
\)
NEhI HANOVER COUNTY BUILDING PERT{IT
APPLICATToN IYPE; COiIiiERCIAL
PLEASI AIISI.?ER ATL QUESTIOI,IS APPLICAsLE TO YA,'R PROJECT
"Project Responsibllity"\-i\
APP LICATION
I{umber
(OFfice Usr)
APPLICANT'S iIAI'IE:Blandon Cat.ledqe , R,ITR nrchitect6
DEVELOPER: c( Gallery park wj.lmiuqton LLC
PROJECT ADDRESS: 133s Elehenr vtar/- buildi nq3 CITY: wiI
OCCUPANT/BUSINESS f,lAlilE: Elemenr Barclay wesr A rLmentB
PROPERTY OTJNER'S t{AliE: cK GaLlerv park wilninoron LLC
Otll{ER'S ADDRESS: lo1 s colleqe sureer sce 2goo CITY: chartotre
CoNTRACTOR: HK Jorda. & co, Inc LICEt6E *: 26431
ADDRESS: 5129 oLeander Dr sui te 201 CfTY: $ilndnqton
EI'IAIL ADDRESS : aboqer@hkiconErrucrion. com
PRO]ECT CONTACT PERSOI{:Andv BooeI
DATE: E 1-2 016
on
Pll()l,lE f: ?04 342-9ooo
ZIP: 2e4:.2
Plol'rE s:
sT: Ig_ zIP:39!!2_
ST: !g- ZIP: 28403
Pto E f: 910 2s6-{3BB
PHONE *: 910 ?9?-4389
Exrsr cor{srRucrroN: E ALrERArron 3 .r,Jiliil'J'[][1)r*or- nerarns ! RElocArror{
tf R€aocation, is rher€ a NaturatGas Line on rhe cunenr sile? [ves [ruo ts emc spntHxleneof f] v.s f]ruo
NEt{ coNsrRucrrou: E} enrcr EH srRUcruRE f] rasr rarcx fl sxelr- f] uerrr I aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Penmit *:
IF Yes, uhat ras the Prevlous Occupancy Type?
ARCH D€SIGII PROFESSIOiAL: Daniel F. .,oy
.r'r. rs rHrs a otal{GE oF occuparicy usr; flves I
Is Elect Poxer on this Building !Yes Erc
I&at is the eu Occupanqy Type?
77o 66L-7492 NC REG S: 10670PH
PHETIGR DESIGN PROFESSIOTIAL:BradE11 inuood 404 262-0A00 ilc REG *: 23014
DESCRIPTIoN 0F t,ORK:Buildi-nq I\.De 1
b bod or b€verage prBpsrEd or serysd h thla atuale? filYer flruo f nre f,ope,ty Locatad ln The Roodgetn? [ ves r No
with the Stare Euild He and 6ll oher app|c€ble State
olans and soecif cationsNC Slste BIdg Code andlhe
O!'VN EFI,/CONTRACTOR:l-"*-.-..Jo6al ),*.rlt/tf SIGNATURE:
lOralltl.d
Nato: Ddndlton nodica{(IB a 8&atc tano/sl p€rmlt Epdlcadqts s{! to bo qDntded dn! t}s spdlcslm tdm (DHH93r66) *tEtrd tE lhduty d bildhg sa6 furd !o
cornah Astadc d ool Y or€ rqulrd to call tlE Nrto.d Eft.{dl Sbidrrds lq H@rdo! A, tuhltdlb (N€SHAP) ar (01$m7-5SO d 106110 drys Fl6to tE
ddidlddl d ahy tadllty or Aibkr0. So Asbsl6 Wbb gta lrFJ r/u.w.ed.6rd6.nc.udspu6b€aro6rahmp.htrnl
# OF UNITS: 3 o
# OF STORIES: 3
TOTAL SO FT UNDER R@F: 3J9?2 # OF STRUCTURES: r # OF FLOORS:3
ACRES DISTURBED:see ci wil EXST LAND DISTURBING PERMI? M YES E NO
NEW IMPERVIOUS ARE!u see civil SQ FT EXISTING IMPERMOUS AREA: see civil
pRopERryusE: fprrrce f]nesrrumr.n fluencnrnr-e flsouc Ianr [coHoo OTHER:
SO FT
WATER:
SEWER:
CFPUA
CFPUA
Ea EG0MMUNmYSYSTEM flwErr-f] CENTML SEPTIC L-] PRIVATE SEPTIC
mZONING USE CLASSIFICATION: R -2
f]coMMUNrTYS\6TEM.. SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG. GAS EOUIP, PREFABS & INSERTS "'
pA\rrrENr METHOD: [Csu fictreCx paveeE To NHc) fiemenrcen oGREss E McMsA florscovrn
(FOR OFFTCE t SE ONLY)FEVEGD DATE
"IlTI2ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:
Approval:-cit!,:-DATE: FLooD:---BFE+2F
AVN
'
comment PERMIT FEE:
7
TOTAL PROJECT COST: 2,202,597.48 BUILDING HEIGHT:19]-
TOTAL AREA SO FT: 379'12 SQFTPER FLR: IZTTE
l,Qte u, CWo+ ,7a ?e\r., ltrf+c
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLI(ABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAI4E: Brandon Catledqe, RaITR ArchitecLs
DEVELOPER: cK Gallery park witminqton LLC
- 1€-?f36-
ffi APPLICATION
Number
(office Use)
PROIECT ADoRESS: 1115 .lement l4ay - Bullding 2
OCCUPANT/BUSINESS NAME: EfemenE Barclay west Apartment.s
PROPERTY OWNER'S NAME: cK Gallery Park wiLminqEon LLc
OU/NER'S ADORESS: 301 S CoIleqe sEree! ste 28oo CITY: charloLte
CONTRACToR: HK Jordan & Co, lnc
ADDRESS: 5129 oleander D! suite 201 CITY: wi tminqron
LICENSE *: 26431
EMAIL ADDRESS: aboqer@hki construction. com
PRO]ECT CONTACT PERSON:Andy Boqer
PHONE S:'to4 342 9ooo
PHONE $:
ST: NC ZIP: 28403
PHONE f: 910 2s6 4388
PHONE S: 91a '79'/ -43a9
If UPFIT - The Shell Permit #:Is Elect Power on this Building I Yes E lro
ARCH DESIGN PROFESSIONAL: DanieI F. Joy
ENGR OESIGN PROFESSIONAL; Brad E]]inwood
PHi JJ!_!qJ:]g_ NC REG #: :ry.!._
PH| 404 262-0800 NC REG #: 23014
DESCRIPTION OF WORK: BUi]diN
ls food or bevorages propared o. so.v€d in this sEucfiIs?ves I uo b The Property Locat8d ln The Floodplain? [ Yes I No
2
DISCLAIMER: I hereby cenit thal all information in this application is conecl and all work will comply with the State Bu
and local laws and ordinances and reoulatons. The NHC Develoomenl Services Cenre, ll be nolifred ol any chanqes
or chanqe rn contractor or contraclor r-nformairon, "'NOTE: Any Work Perlormed w/O lhe Appropriate Permits will be,n
Sublectlo Fines up To S500.00"'
all olher applicable Stale
olans and soeoficalrons'NC Slate Bldg Code and
ild ng Code and
in lhe approvedthe
OWNERYCONTRACTOR: *r.* -fu )*tt zr- SIGNATURE:
(AJolifi€.)
contstn Asb€stos or not. You ar€ rcqutr€d to cattuo l.btional Embdo Slondads fur Hazadous Ar trolhitants (NEStl P) at (919)m76S50 at lest 'l0lbys pio. b lho
donDlltlon of any frdllty or bulldhC. 5€6 Asbgslo! Wgb Slb: htpjt$/ww.opl.$ere.nc.ucropua3be€G,rahmp.mml
TOTAL PROJECT COST'. 2, 34s, 61 2. ae BUILDING HEIGHT: a8'# OF UNITS: 27
TOTAL AREA SQ FT 39542 # OF STORIES: 3
TOTAL SQ FT UNDER ROOF: 3esa2 #OFSTRUCTURES:1 # OF FLOORS:I
ACRES DISTURB EXST LAND DISTURBING PERMIT?I vrs IuoED: see clvi l
NEW IMPERVIOUS AREA:see Civil SO FT EXISTING IMPERVIOUS AREA:
PROPERTY USE: EOFFTCE E nESmUnem MERcANTTLE [eouc Epr E
WATER: ECFPUA
SEWER: m CFPUA
see Civil SQ FT
@NDO OTHER
ICATION: R 2
-, SEPARATE PERMITS REOUIBED FOR ELECT, MECH, PLBG. GAS EQUIP, PREFABS & INSERTS "'
-CIMMUNITY SYSTEM -WELL EZONING USE CLASSIF
fr cerurnet- seRrrc f] envare sePTtc fl coMMUNITY sYsrEM
"JY..* f, ^,Y ,L-,)( BFE+2fr
f /o^t Jr*u,rr=.,1+C
pAyMENT METHOD: lc*Stt EcHeCX (pavealE rO NHc) leuentceN aeneSS I ucruse I otscovrn
REVISED DATE 4/'I 1/12
R:{^\
(FOR OFFTCE USE
ETBACKS
FLOOD:
iv rilSg0ClrO0 ReqU(e0, Y tu2l.'''Jr
I
Ccu)
il ut A 00 [it''t to T[u p
DATE: 6-1-2016
CITY: wilminqron ZIP.' 28412
ST: Nc ZIP: 28202
(Check A1l Ihat Apply)
EXrST CONSTRUCTTON: E ALTERATTOIT J-l nercVlrrOr l-l Cerenal nrnarns ! RELocArroN
tf Rolocation. istherea Narural cas Line on the -Current Site? f]v"?[ruo ts aloc spiiirreneoz Iv"" !lo
NEl.t coNsTRUCrror: @ enrcr NEw STRUCTURE ! rasr rnacr I snrr-r- [ uerrr I noo ro ExrsT STRUCTURE
ACCESSORY STRUCTURE:
*r.**r' rs rHrs a clrANGE oF occupar,{cy user !ves flNo'****IF Yes, what was the Previous Oc(upancy Type?
-
l,/hat ls the New Occupancy Type?
-
SQ FT PER FLR: -p233--
I
ai,
t\
z+*-
ttoto
NEt^l HANOVER COUNTY BUILDING PERilIT
APPLICA|ION IYPE.. RESIDENTIAL MOBILE HOI4E
PI-EASE PRINT CTEARLY & ANSI.IER ALI- QUESTIONS"Project ResponsibiLity"
i4o"ald Alexanrlu ilwiz zela.r*c^
l*t
do sEpYz '"ii:wC{Pt-
RECEIV
APPLICATION
Number
(office use)
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY Ol'lilER'S NAIiIE :
OHNER,S ADDRESS:
APPLICAI{T'S NAITE:
DEVELOPER:
CONTRACTOR:
ADDRESS:
ELOCK *:
LICEN5E *: A /42
C ITY:
Fpnore *t
zrp: 231106-
LOf *t 12-
PHoNE #f 4 l,o - o?4 - b?oo
DATE "/q2z ctry].i\r
P U.
clw: _ST:_ZIP:_
EFTAIL ADDRESS:PHONE
sr.yy(1w, a8lO2
pRorEcr coNrAcr prnsox: A l.E.lt?ilL)ep tQ.,t't z-
(CHECK ALL THAT APPLY)
! rrusrall NEte MoBTLE HoME ffielocarroru oF usED MoBTLE HoME
DESCRIPTION OF [^,ORK:c t11 -Sr Z-s-
(prlnt Name)
,t )**,* *,****,*,*+,* +*+*,t,r,t !t,t ,t * * )t *,t,t )t )*)t** )t* * )t** *** )* *,* ,*,r ,t * + +**,*,t **,t*
PK,irE *: q2- 431-Sa5'A
L-/
wll b€ in viol.rion or nle NC Sraro Bldg Code ad Subjocr lo Fares Up To J!00.00*.-F- I ^olrNER/coNrRAcron, . ) r r= il\ , i-i i2 l4.H-f srGnAruRE :
,r )**,* + * ***,t )i**,t,i(*+ * **,t * *,t *
I5 THE PROPERTY LOCATED IN A F ooDPLATN? [ v"r [-w-
SIDENCE / OTHER?
HUD LABEL: Aq L/rTq T1ANUFACTURER:/4/ qi?SERIAL f:
COLOR:
zfrEile_ba3
ru6
I^IIDTH:LENGTH:,1V
E s sMoKE DErEcroR:
SF PORCH: E YEs NO
ves [ ruo cARAGE: E YEs
SF l"
xunnrcare/our ' !
DECK: EYES E NO tu%a
Trr-"..r-d $
YEAR }{ADE:
TOTAL PROJECT COS
2 SF
TOTAL ACRES DISTURBED:
Exrsr LAND DTSTURBTNG pERfirr: l-l VeS @f-nO
PRTvATE wELL ! cenrnal well
PRIVATE SEPT]C COMMUNITY SYSTEM
*{.I. SEPARATE PERIIITS REQUIRED FOR ELECT, IilECH, PLBG, GAS EQUIP, PRETAES & INSERTS **'
pAyri'|Err
'i4ErHoo: ....tr*::....5.:::::.:::::::.::::..1.....=.:::::::.:::::::....5'-:[:.,,,,,: orscovER
(FoR OaFraE USr orLY)
ZoNE: _ OF FICE R:SETBACKS: F:_ LH:_ RH:_ B:_
WATER: Z,FPUA N
SEhIER: ZJ CFPUA E
COMMUNITY SYSTEM
CENTRAL SEPTIC
Approval:_City:_DATE:_ FLOOD:
-
BFE+2ft=
N
Comment:PERMIT FEE: $7gu..^)
PROPERTY U5E/OCCUPANCY:
\arc @q,ro
NEI,I HANOVER COUNTY BUILDING PERMIT
APPLIcarr(N rYPE: CotlitERCIAL
PLEAS€ ANST€R ALL QUESTIOIIS APPLICAELE TO YOUR PRO]ECI
"ProJect Responsibllity"
n€-.243€!
APPLICATION
Number
(OFfl<e Use)
APPLICAIIT'S llAriE: Blandon Catledqe. R.rTR Architect.s DATE: 5-r-2or.G
DEVELOPER: CK GalIery park v,tilminqron r,LC PIONE S:'to4 342-gooo
PRoJECT ADDRESS: 131s Elenent way - Building 2
occuPAt{T/BUsrNESS r,lAr'tE :Element Barclav weBt A !tmevlt E
PROPERTY OWNER'S ilAfiE: CK Gallerv Palk Hilminor LI,C PHOTIE S:
otll{ERrs ADDRESS: 301 s colleqe sr.reer. sre 28oo CIW: chart orEe STI !!_ ZIP: 2 B2o2
C0 TRACToR: HK Jordan &LICET{sE *: 26431
ADDRESS: 5129 olealrder Dr suile 2oI
E AIL ADDRESS: aboqer@hki construcrion. com
CITY: wilniLqrqrl ST: Nc ZIP: 28403
PHONE f: 9ro 2sG-4 3 88
If UPFIT - The She11 Penmit *:Is Ele€t PoHer on this Building I Yes Eruo
ARCH DESIGN PROFESSIOIIAL:Dani e1 F- Jov
Exrsr consrRucrroN: fl ALrERArro tr *,rJffii!;"i '83?';l*o. nrnuns I RELocarror{
lf Rolocauon, is there I NaturatGas Line on the -Cunent Site? f]vFflruo rs aLoo spR' xlenioz Iv"" [Ho
NEu coirsTRucTrofl, [l enrcr E], srRucTURE I rasr rucr I sxer-r- f] urrrr f] oo ro Exrsr 5TRUCTURE
ACCESSORY STRUCTURE:
PH
PH
| .3,j,-55!:1322-,: 404 262-0800
ilc R€G *: 106?0
llc REG *: 23 014EiIGR DESIGN PROFESSIO'IAL:Brad Ellinwood
DESCRIPTION OF t,lORK: Buildinq Tyre 2
lB bod or bov€rag€s prtp€ €d or sqv€d h thls *ua,re? [Yes I no ls fm eoperty Located ln The Roodplain? f] ves fl ruo
with the SEle and all olher Bpplicable SbtebeandsoecifcaUons
Bldg Code and
OWNER/CONTRACTOR:,n** E//r/Ll,ratr/r{SIGNATURE:
(oudnq,)(Prlit NsrE)
Nd€: O€tndhJon ndllEaldls t 8sb6l6 tgrloval pdrnh apClca{drs arE b b6 arbn,nad uJrE uE 6pdlca{d| lt rn (DHHS-3768) ! ilotlo th. f8dllty q hil&B vros iord to
cdrbln Ar6&s o. iot You de rEqulEd b cdl tho Nsd(d E,Ilhdql Srrded! lq H@rddn A,lr Polhrtdlt6 (NESHAP) E( (91S)707-5350 sr ler l0 rrdF Etd to tro
domdldql oa arry fadltty d hddlno. Sc AsbedG !!6 St6: mFJ d,r*.od.Etste.nc,ud€pussb€stos/shmp.mml
TOTAL PROJECT COST: 2, 345, 6?2. 09 BUILDING HEIGHT:48 '# OF UNITS:
TOTAL SO Fr UNDER ROOF: 3 es42 # OF STRUCTURES:
ACRES DISTURBED: see civi.l EXST I-AND DISTURBING PERMIT?r ves flHo
NEW TMPERVIOUS AREA: see civit.SO FT EXISTING IMPERVIOUS AREA see Civil
pRopERTyusE: florHce Enesrnunerqr fiuencnxru [eouc [nrr lcoxoo OTHERi
CFPUA
CFPUA
SO FT
WATER:
SEWER:
il@
E coMMUNny S\6TEM fl WEL EIZONTNG USE CLASSTFTCATTON:fl CENTRAL sEprrc fl pRrvArE sEprc f:lcoMMuNlry sysrEM
R-2
"'SEPARATE PERMITS REO|]IREO FOR ELECl, MECH, PL8G, GAS EOUIP, PREFABS S INSERIS -'
PAYMENT METHOD: flCesx [CneCX pAYretE ro NHc) f]luentcrN oeness I ucnnst I oscoven
(FOR OFFICE t SE ONLY) E/!8CD UrE {n1n2
ZONE:-OFFICER:-SEIBACKS:F:-LH:-RH: B:
Approval:- Clt),:- DATE- FLOOD:
-
BFE+2n:--
AVN
Commont PERMIT FEE: $-
CfW: wilminqt.on ZIP: zeatz
PRoIECT CoI'ITACT PERSoN: Andv Boqer PHoNE S: s1o ?92-43s9
t1... rs rHrs A o.tt iGE oF ocorplttcy usrr flvrs Iro *....
IFYes,dlatIasth€PreviousocCupancyType'-Ihatisthee},occupancyType?-
27
TOTAL AREA SO FT :328A2- SQFTPERFLR: 132aa #OFSTORIES:3
1 # OF FLOORS: _3-
\\
RECEIVEDOCIls2016
t\r0 | lc*^----
NEW HANOVER COUNTY BUIIDING PERMIT
APPLICAII1II rYPEr RESIDENTIAL
PLEIsE ANSI{EB ATL QIJEsTIO'Is AIPLICAELE TO YOI]R PRO]ETT
rProject Responsibility'
lolb- t05)1
APPLICATI(hI
q,tber
(Offlce Us€)
DEVELOPER: !Ecf.:6d Re of Nev I]ancvet PHoNE #: 910-?52-81s0
ZIP! 2s403PRO:ECT AI'ORESS:
SUBDIVISION:
141 S Caidinal Dr CITY: ririlniEoton
PRoFERTY (ta,{ER'S iJAHE: .reg,::p Rich
otlNER's ADORESS: r41 E cardlIla! p! CITyI I{il.i nqton
ADDRESS.€06 wi drnill wa CITY: I\'al i.-qrroa
E|IAIL ADDRESS: cqower@se.vDro
BLOCK f: LOT *:
5T: NC ZIP: ,8,1t 3
sT I ll!_ zIP : :l3j:
PlOl{E #: ero"?62,s160
9tc-.357-0641pROIECT CoNTACT PERSOiJ: romctr' sEeed _ PtlOl{E *l
EXrSTIi{G COISTRUCTION; I ALTERATToN f, nemvlrroru fl cetrner- nrnnrns I REL0CATIoN
NEw CONSTRUCTTONT I rneCr NEIJ RESTDEHCE o" ! loorrrou ro EXTSTING RESIDEICE
TiPLEASE (}IECK A O II'{SUJER EILOI{ AII THAT APPLY TO YOIh PiO]ECTI
ATT GARAGE SF DET GARAGE 5F PoRCH i SF
STORAGE SHED
-
I sunnoom _ sF ! eoou ,t. sr st
SFGREENHOUSE 5F DE CI(5F OTHER:
DESCRIPTfoI{ OF I,IORN: structulaL reoilrE tq home due to homeo'r11el nreck:nq car :nto houae. ahls erill
TOTAL HEATED SQ FT; zoaq ToTAL sQ FT UNDER R00F: _ ToTAL AREA 5Q FT: _
TOTAL PROIECT COST Gessr-or) i $ a.s,rc.oc g OF STORiES: 1
T5 Any ELECTRIC.AL, PLt llBIllG ol' |EIIIANICAL tlork Being Don€ Ia the Accessory Structurel I Vet f] Ho
Tf the f)roje(t i\ a Relocation, is there a Natural Gas Line on the Current site? n Ves Inors there Electrical Powen on this Bulldtngr lllves fifo
PROpERTY UsE / occupA}.cy: E srlrcle ramrrv ! ouer:x ! ToulNHousE
noc charqe Ehe curfeDt 1ay.,ui oi _ihp .o:nE. Ihere'uill be frRrilnq e:1l l:rie k eorL lacluded ln sc6pE
DIEGLA ER l neEby cenr,y hsr r! hbnnrton ln ttisEpplrcdbn b c6hEcr 6ad at y6rk vrl oompty wit| hs gEle Burrdbq codc.rd el 0681 6pplclhte gl4e sn{ toEJt 5€.d o(,rdEd.cs $nd lctiulEtions, TI€ NNC D€vslopmelt ser,ces CEnEr v/ittb6 notifiEd ot6nychEhq$ fi ttc aopmv€d ptsn.3pRlncsilon$ or cnang6 in 6nr*bror
cono-ekr nftmE(M. r'1!OTE: A.y wo,k ,m€d W/O heApprop-rac PemiEwittb. h MotErbn orule NC Srtt EUg To SsCO.00"'
OUNER/COMTRACTOR:SIGNATURE :
++++ +r*;i++r, r*+*,r, jr** ***..**.g?Tl{ifi***,r++**+*++}x)ii*
rs rHE pnopERTy LocATEo rt't l rrcoonluxr fi vrs H no
ExrsrrNG IIIPER\,IoUS AREA:
--sQ
FT TOTAL ACRES DTSTURBEo:
NE}I IDTPERVT(ru5 AREA;
-SQ
FT EXI5T UINO OISTURBII{G PERI.IT: M YEs
MrER; E cFpuA E coMpruNrry svsrem I pRwATE !,|ELL I ceurnal urrl
s[hJER: E cppun f] CENTRAL sEpTrc E pnrvlre senrrc f] co+lMUNrTy sysrErrl
fi r,n
.i. IEPAITATE PEN(ITS REQUIRED FOR ELECT, IIECH, PLBG, GAS EqJIP, PREFABS & I}EERTs II1'
pAyirE[, irETHoD: Icasn flcrecx ( payaBLE To urc1 f,lmrerrcar exrxess I r.rc,rrrsa Eorsroto"
,fi:l.f+ + (,t /i fr)i,r *,1,r+*+** +i* 3r***i,i**** tr.*r.1tr**+*1****li'l****a.++++**t,ililir,,ti* *x**!+**+ +*+ **+* * *
(FOR orrrcc usE oNtY)
SETBAC(5: F: LH: RH
+rt * r:++* *a+,t rf i{,l.rli i.+ +**
RE\,aISEr' DirE O4lL1712ts:_20NE:OF F1'FR :
Appnovalr_ City l_ DATC'- FLoODi _
A
cofirnent:O
e,7 filss
_ BFEl2ft=
PERHIT 'FEE: I
APPLICAUIT5 NAlvlE i :oiiJ]v sneed ._ _ DATE: trgL:.9L?-glg-
PHONE f: 9:0-a9l !€r:
CoNTRACIoRi ThoRpEon Reelaraticr: dla Ee!..rpro Ir.l LICENSE ri 67rX3
AP P Ll CAT lO N rYPf ; RESIDE NTIAt
PTTASE ANSWtR ALL QUtSTIONS APPTICABT€ TO YOUR PROJ
"Proiect Responsibility"
CITY
Ak^
)(tt qU05
APPLICANT'5 NAMI
PROJECI ADDRESS:
SUBDIVISION:
fcr Date
ztP
ori
PROPTRTY OWNTR'S NAMT
OWNER,S ADDRESS:1,*tL
CONTRACIOR
ADDRESS:
€ ruL a,oo,.=o-{\l CITY
BLDG LICINST #
TMAIT ADDRTSS:o^L PHONT: q1o ".f 2 9(tL
EXISTING CONSTRUCTION: tl Alteratron I Renovation d6neral nepairs
NtW CONSIRUCTION. ! trect New Residence ! Addition to txisting Residence fi Relocation
.**PLEAST CHECI( AND ANSWER BETOW AI,I. THAT APPI.Y TO YOUR PRO.ITCT'T'
I Sunroom {SF)
E A Garage (SF) _I Del Garage {SF)
D Pool {5t)
f-l Deck {SF)
! Porch (SF)
D olher {sr)
fl Storage shed (sf)_
n Greenhouse (st) _
ls the proposed work changing the exrsting tootprint? ! Yes D No
TOTAL SQ n UNDTR ROOF (ror proposed workl Healedi Unheated:
TOTAT PROJTCT COST (Less l-ot): S
Property Use/ Occup
Description ol Work:"n y,6 le Fa
l,lco
ls the proposed work changing the number oI bedrooms? D yes El'irzo
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes ZI-No
l{ the pro.iecl is a Relocation, is there a NaturalGas tine on the curr€nl site? E yes Dd6
ls there tlectrical Powe, on lhis Building? d-ves E ro
ilv fl Dl;. j tru plex nhou
DISCLAIMtR: I her€by cen't in lhrs app[(ation i5 correct and allworl will.omply with the Stare BuildinS Code and allolher applicable Slal€ and lota
law5 and ordinances and r€gulation5 HC Devel cift(ationr o, .han8e in (oniractoi
rnrormation "'NOTt Any work
nt Services Cenlei willbe nolilied ol.ny.hanget in the approved p
pproptlale perlFis wrllbe rn vrolalron ol lhe NC Sl.le-gdFttd€ en
Er:., < ).-,,+oSa- -7--
bi€cr lo ln€s up io 55OO.O0"'
Owne r/Cont raclor:
"Licensed Quolilrcr"
ls the property located in a iloodplain? d, O *o
Signature:
Ixisting lmpervious Area Sq Fr Total A.res Disturbed:
New lmpervious Area:Sq Ft txisting Land Disturbing Permit: D yes E tlo
waTER: E CFPUA ! community System fl Prvate weil E central well fl Aqua
StWtR: D CFPUA D Communitysyslem fl P vateSeplrc C Central Septrc C Aqua
Zone:
- -
Ollicer
-
Setbacks (f)
-
(tH)
-
(RH)
-
(B)
-Approval:
--
City:
-
Date:
-
tlood: (A)
-
(V)
--
(N) -- Bf t{2lt=
-Commenl
( ro Nrcz,ro) (0/56)
Permit tee: $
drl
,1 m;i
, tolzolt e
exorr r 4 to jS 2_36J L
C|TY: _ ZIP: _
5T:
-
ZIP
pxor'rr E1a jjl-E! r<-
RECEIVED OCT 21 20S
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSIIER AI-I- QUESTIONS APPLICASLE TO YOUR PRO]ECT
btb-tas)C
PRO]ECT AODRESS:
SUBDIVISION:
(i\
i;l
Project Res pons ibility"
APPLICATION
Number
(office Use)
oarc: /o-).C-/GAPPLICANT'S tlAI'lE:l€q-t?v-
DEVELOPER:
I
PHONE S:
PROPERTY OI{NER'S
OI.INER'S ADDRESS :?:.,3o-r 1.rl Jr
.€]-
R €-i -cr-,(^a
BLOCK 8:LOT *:
P}iONE T:ri3-353 /
CITY: L>r.* ).^ o J-c,,,.,.sr: tlJCzrp:
zrp 2Eq)n
' >'--/) )
srll'l zrPtrytaG
t20- 31-?d
t- r.^o,.-l- P-;'cl-
-lztt 9 r=
€S,'
O
CONTRACTO
ADDRESS :
LICENSE f:^z,rto 2
LO
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WORK:
ON ALL THAT APPLY TO YOUR PRO]ECT:
t4 2 cit (e.".-El'tAI L ADDRESS:PHONE T:
PRO]CCT CONTACT PERSON:j.',^o.JA-^L: el.-6^c/..PHONE d:
EXISTING CONSTRUCTION:A LTE RATION R ENOVATION GENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
*rPLE4jiE CHECK AilD ANSWER BEL
ffit eaaaet S-,} 3 sr /tt -l
SFPORCH
DUP L EXc\TOI^INHOUS E
SUNROOM SF STORAGE SH ED SF
SFGR E ENHOUS E SF OTHER:
TOTAL HEATEO SQ FT:/7r(ToTAL 5Q FT UNDER R00F:8oo TorAL AREA se Frt 7o<>oa,
TOTAL PROIECT COST tress rou : $# OF STORIES:
Is Any ELECTRICAL, PLUI1BII{G or I,IIECHANICAL Work Being Done to the Accessory Structure} [ V"t [ ruo
If the project is a Relocation, is thene a Natuna] Gas Line on the Current Site? f] ves I lto
Is there El.ectrical Power on this Buildin g I I-'] ves l-l ro
DET GARAGE
-
5F
PooL _ sF
OECK SF
2l\-,to-t,----------'-a-
INGLE FAIlILY
t<t.J €u,
OlSCLAli,lER: lhsrsby c6rlity hat all intormslbn in his Bpplaal,on is cor6cl and all work willcomply wih h€ Stat€ Building Code and all oher applicable Slal€ and local laws
and ordlnancss and rggulatlons. Th6 NHC O€vslopm€nt Seryicss Ceni€r willbs noliliad olanychanges in he Epprov€d plans and o. change rn conlraclor or
contaclicr inbmslion. "'NOTE: Any W/O fie Appropriaia P€mils willb€ in Violarion o, th€ NC Stab Bldg Cod
OWNER/CONTRACTOR :
(P.lnt Nane)Itt,il+ll++++++*)t)*)*r'*,t*'t***,t*,t****)t)t*,it)it**rt**!r***,tt)t*,t
IS THE PROPERTY LOCATED IN A FLOODPLAIN?E YE5qf)
-'5":1I ..t*-(c.-l--SIGNATURE:
00'
*,** )i * * * * )t * * )t * t(,t,t I )t *,f *,t )t,t
TOTAL ACRES DISTUREED:
EXIST LAND DISTURBING PERIUT:l-l ves I-l ruo
EXISTING IMPERVIOUS AREA:
NET.I IMPERVIOUS AREA:7b df SQ FT
SQ FT
.*T SEPARATE PERIiiIIS REQTJIREO FOR ELECT, II€CTI, P186, 6A5 EQUIP, PNEFABS & INSERTS "'
payilEt{T r,rETHoD: !casn IctrecK (PAYAELE ro Hrc; ! arenrcAN ExPREss E rclrato Errtaorr*,t++++,*,**ir)t*)t,t++*,t*)i)t,i*,***,t,t)t*****a,tt,t****,i,i,t*++,i++r.t,*++l.,l.t,t,l*,i*,**,t**)i*,t***,*,*,t*,*,*,t**,**,*,**
ZONE: _ OF FICE R:
(foR oFFrcE u5E oirLY) RCVISEo oATE 04l1rl12
SETBACKS: F:_ LH:_ RH:_ B:_
WATER:
SEWER:CFPUA I crrurnal sEPrrc E! comrurrw svsrrr"r f] enrvare wrrr !
PRIVATE SEPTIC COMI1UN IIY SYSTEM
CF PUA CENTRAL l,JE LL
Coment :
No ilHcare,cftuu %l5O
Approval:- city:- DATE:- FL00D:
-
BFEr2ft=
-
N
PERI'IIT FEE: $
bc-^- L,"'€;
Subls
ta{(r,P
CI TY:
?ub'loqqgrNEt^l HANOVER COUNTY .e-r*tRe5rDErvl-rBUILDING PERMIT lUlc\APPLTCATION TYPE:
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsiblIitY"
t'.
#$
ffitr-a'.
APPLICATION
Number
(offi.. Use)
gf3DATE:o/tb
APPLICAT'IT, S I.IAI.IE :PHONE *:
DEVELOPER;crw:l"J,
PRO]ECT ADDRESS:
PHONE #:{ro-t{t-rrl
PROPERTY O'INER,S NAfiE :
CITY:STi
-zlPi-
COITTRACTOR:<^I'.1 ,v\ LICENSE #:)7
Dc CITY:
AOORESS::J cj..^t{\r , r,L
EIIAIL ADDRESS:PHO$'E *:
PRO]ECT CO TACT PERSOi'I:
che(k aU That APPIY)
EXIST CONSTRUCTION:u ALTERATION D R Et.IOVAT ION GENERAL REPAIRS RELOCATION
Line on the Currenl Site?nYes E Ho IS BLDG SPRIN xleReor fl ves [ruo
lf R6locdon. is there a NatuqGas
[l tnecr fl rmr rmcx I surr-r- [ uerrr f] aoo ro Exrsr srRUcruRE
l'lEtl CONSTRUCTIO :NEW STRUCTURE
6claI
/
rrt<..i (
Cr
FE1'SED DATE IIi'I2
(FOR OFFIoE us€ oNLY)
SETBACKS: F:--LH:--RH:-Bi-
ZONE:OFFICER;FLOOD:-.BFE+zi:--
NAtl o\ral:citr-DATE:-
PERMIT FEE:*
m
otd ER' 5 AD{tRE5S:
ACCESSORY STRUCTURE:
If uPFIT - The sheLl Permit s:
**.** I5 THIS A O{AI{6E OF OCCTJP'NCY
IF Yes, dtat uas the Previqus occupancy Type?
(lro
n
Is Elect Pouer on this Building n Yes
ZTP..
ACCOU$T #:
sr 't lt!!: ztP.
ARCH OESIGN PROFESSIOML I
OccupancY TYPeI
PH:NC REG #:
PH:NC REG ":
user [vrs ffrr!ftat is the Ne$
EI{GR DESIGII ia .++
DESCRIPTION OF NOR(:
(qd!iod
EINo
r1lIl
SQ FT PER FLR:
# OF STRUCTURESi
# OF UNITS:
# OF STORIES: .-..-
# OF FLOORS: -
fJNo
ACRES DISTURBEO"
-
NEW IMPERVIOUS AREA sQFl
t EoFflcE nneslauneln Euencmrue [ewc ilex [coltoo orHER--
flcHeo<(PaYesE ro Nrc)flatueccouur LlMc rsA f]otscown
WATER:
SEWER:
", SEPF.RATI
ITI(
PAYT ENT METHoD: flclsH
:i ffi \,
t:-
APPLICATION fYPE: RESIDENTIAL
PLTAST ANSWER AI,T QUIsIIONS APPLICABTE TO YOUR PRO]ECT
"Proiect Responsibility"
W#Row I C.hyk'" Not it.1
?t,.5'
APPLICANT'S NAMT
PROJECI ADDRtSSI
suEDrvlsroN:
4 05 ULlruil At.crrY: v itrt ztP ?s?t I
l\ av J Ar ,c LOT #
-TPROPERTY OWNER'S NAME
OWNER'S ADDRTSS:
Aon , CAa e,, tvb?+^PHONT f qD lrl'7i Jt,
'lOC Ull**l O,'crw: Vy';1,-.zp ?E'/tl
CONTRACTOR (. vl IJ2,'{ krvi:r,BLDG I-ICINSI 'ADDRtSSi tDE Lul( Ctrclc C ITY V;/a s:,tc z]P, uzrl I
TMAIT ADDRTSS L)t Ploutde IR@ Not lv14il .Cc'^
thrl,t Pi*d,
PHONT qto fla qljz
PHONE qp S^l) ztlrB
I
tXlSTlNG CONSTRUCTION: [X Alteration E Renovation D General Repairs
Ntw CONSTRUCTION: [ ] Erect New Residence ! Addition to Existing Residence ! Relocalion
***PLEAST CHECI( AND ANSWER BETOW ALI. THAT APPI.Y TO YOUR PROJTCTi"
PROJECT CONTACT PERSON
I Afl GaraBe (sr)fl Det Garage {5F)
D Pool (St)
f) Deck (Sr)
ls lhe proposed work chan8in8 the existin8 lootprint? E Ves Ef t'to
TOTAT Sq fT UNDER ROOF Uor proposed workl Heatedl i10 {r. unheated
TOTAT PROJECT COST (Less tot)r S 2.2,00o
ancy: d single ramily C Dup Townhouselex D
I *<t5
I Greenhouse (SF) _
D Porch (sF)
D storage shed (st)-
fl orher (sF)
ls ihe proposed work changing the number of bedrooms? D yes druo
ls any Electrical, Plumbing or Mechanical work bein8 done to the Accessory Structure dYes O No
lrthe ploiect isa Relocation, is there a Natural Gas l-ine on the current site? E Yes EfNo
ls lhere tlectrical Power on this auilding? dves f) no
Property LJse/ Occup
Description ol Work:RtllnLr l(.; r C,t L,t S Stouc i-1411 faplttte I
DISCIAIMtR: I he.eby (enify lhat all the inrormatron in thrs appication as corecl and atlwork witt romply w(h the slarE Building Code and all olh€r applicable Siele and loca
laws and ordinanres and reSulalaons The Nttc Development S€rvk€s Cenrer wrll be nolilaed ol any change pproved planr and !pecdr.alDnl or change in lonlraclot
lo Owner/c
'Ltcensed QuohJiet" Prnt Nome
ls the property located in a floodplain? tr v", /no
Existing lmpervious Area: _ Sq ft
"'NOTt Any worl pprlo,med wrthoul th€ dpp-rop,,ale permn! wrll be In
ont,actor: Iiorn ro No e;H
violarion of the llC S Eldg Cod€ and subte lo 55@ 00"'
Signaturei
TotalAcres Disturbed
Existing Land Disturbing Permit: 0 yes D trto
Prvate Well ! Central well D Aqua
New lmpervious Area:Sq tt
WATER: E CFPUA ! Communily System \
StwER: ! CTPUA D Communitv System E Pflvate Septrc E Central Septic n Aqua
Zone: _-_ Olficer: _- Serbacks (t) __ {tH} _ {RH) _ {B) _
Approval: - _ city: ., ,__ _,. Date: ,-__ tlood: (A) _ (V) _ (N) _ BrErzlt= _
Comment: Permit tee: $
"y:rffi
I sunroom (St)_
\J,,,t
(-,
&
APPLICANT,S t,IAfiE:
OEVELOPER:
NEW HANOVER COUNTY BUILDING
APPLICATION TYPE: RESIDENTIAL
or*rrr?otseI65t6
APPLICATION
Number
(office use)
t:
PLEAsE ANSI,IER AII- Q{JESTIONS APPTICABI.E TO YOUR PRO]ECT
"Proje€t Responsibility"
CITY:
BLOCK *:
CITY:
LICENSE #:
CITY:
POOL SF I sronacr SHED
-
sF
! orcx
DATE:
PHONE #:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OI"IN E R' 5 I.IAI4E i
O$INER'S ADDRESS:
CONTRACTOR:
ADDRESS :
suNRooM _sF
GREENHOUSE 5F
PTONE *:
ST
910:5r54e!-6',
' [gzre,l*{o1
ST ilC zrp: &89a j
PHONE S:
PTIONE #:qlo-s]Slds
ZIP I
BFE+2ft=
-
EIIAIL ADDRESS:
PRO]ECT CONTACT PERSON:
EXTSTTNG CONSTRUCTTON: EDaL rrnarrol E R E NOVATION I ctnraal Rrenrns !RE LOCATION
NEW CONSTRUCTION:ERECT NEL\I RESIDENCE or ADDITION TO EXISTING RESIOENCE
*'PLEASE CHECI( AND ANSHER BELOI"J ALL THAT APPLY TO YOUR PROIECT:
B &Q 6 tt ! orr canaae sr ! eoncH
-
sFATT GARAGE
5F
rorAL HEATED sq rr, \too sf rorAt sQ Fr UNDER RooF:3tt r, Sf ,oro. AREA sQ Fr:
-
TOTAL PRolEcT C0Srrressior) , * 3. OcfCl o" # oF SToRIES: 1"
Is Any ELECTRICAL, PLUIiIBING or UECHANICAL Work Being
If the pnoject is a Relocation, is there a Natu
Is there ElectricaL Powen on this Building? El
Done to the A(cessory Structure? [ v"t [flo
ral Gas Line on the current site? [ ves fir\ov"t I Ho
716
Violaton ol lhe NC S
SIGNATURE:
ss00.0(r-
5F OTHER:
PROPERTY USE / OCCUPANCY:SINGLE FAN4I LY tr DUPLEX f] rol.muousr
DESCRIPTION OF I,JORK:
//o L /b
DISCLAIMER: lhereby certit tla! all infomation in ttis apPlicato n is conecl and allworkwil cohply witr he State Building Code and all otEr 6ppl'cabh Sta
and ordinances and regulations The NHC Dev€bpmenl Services CenEr willbe notfied ol any chanles h he approYed plaos aad specafcalions orchange in
Code and Sucontactor inllrmalion "'NOTE:Any Work Perfomed W/O lhe Appropriale Permilswillbe in
(Prrnt NaFe)!t**)t+*****,i,t*)t,l****r.,1.,1.****i*+*+*+*'l*llr++***********'i**'**'*'*** **** *t !t**** ** * * ,r,*,t rt ,i,*
rs rHE pRopERTy LocarED rN r rloooeurul ! ves E[uo/
EXISTII.IG IMPERVI(ruS AREA:
-SQ
FT TOTAL ACRES DISTURBED:
NEhl rMPERVrOlrS AREA:
-sQ
FT Exrsr LAND DTSTURBTNG nenmrr: I ves ! ro
HATER : E[ CF PUA
,rrr* ip.toro
rm I cnrvarr wrur I cENTRAL t^tELL
I lnrvlrr srprrc I--l coMMUNrrY sYsrEMtr
COMMUNIIY SYST
CENTRAL SEPTIC
+*l SEPAIAII PERI4ITS RTQUIRED FoR ELECT, mEcH, PL8G, 6As EQUIP, PREFABS 8 It,lsERTs *
oo"r.* ,rr,.orl'' ^tr.;;; tr;;r;* ir^"it.t ,o ,".1 [ *,*"o" t*o*"' f] ntl"to E "sto"'**** *,*,i ,i * + * )i****)t,*,*,t,**,i,**t * **'t *** it'** * !r )* *:t ****;i** ** *i * )** '1"* r* * **'t **')* * 't ** ** 't 'l * 't 'l ** *'t * * * 'r** * *
(ros oFFIcE llSE ONLY) REVTSID OATE 04l11/I2
ZONE:OFFICER
Approval:- CitY:- DATE:- FLOOD:
-
A
SETBACKS: F:- LH:- RH;- B:-
N
comment:PERMIT FEE: $
\)
LOT i:
-
.lll
OWNER/CONTRACTO*,@
.$'#i APPLICATION T YPfr RESIDENTIAL
PIEASE ANSWER ALI- QUESTION5 APPLICAETE TO YOUR PBOJECT
"Proi€ct Responsibility"
CITY
Date
ZIP: Z
LOf h: b
PHONE f a{3)856 -I8?6
2otu"t
tueb'>
APPLICANT'S NAMT: D
^lPROJECT ADD
SUBDIVISION:
PROPIRTY OWNER'S NAME L"4ril, q-. d
OWNER'S ADDRESS: /OO Dl(
6";!bCONTRACTOR
ADDRISS:b7o alw^rA Aai9)
aP781UA
RES o e
^l
(
CITY
BLDG LICINSE #
o h,o1-
r:NY ztef)-CITY
,i/c PHON ( 1ro
s P,28'lIItuIMAIL ADDRESS; l ]tL 0il -{@ao l. co'r ir)
PROJTCI CONTACT PTRSON fi,tt-1,,.a-
EXISTING CONSTRUCTION: Ll Alteration E Renovation [,] General Repairs
NEW CONSTRUCTION d
o
pnor'rr C?to)b52-0 360
Erect New Residence fl A
Gorlaqr-.*.prrast cxttx ero A
ddition to txisting Residence E Relocation
NSWER BELOW ALI, THAT APPI,Y TO YOUR PROJTCT'}.
D Alt Gara8e (SF)
E sunroom (st)
doet carage (SF)C Porch (sF)
D stora8e shed (st)-
L l other (sF)fl Greenhouse (5F) _n Deck (sF)
ls the proposed work chan8in8 the existin8 footprint? [ Ves ffNo
TOTAT Sq FT UNDER ROOF Vot proposed work) Healed
ToTAL PROJECI cosT (Less l-ot): S I I , OaO
ts the proposed work changing the number oI bedrooms? E y", druo ./
ls any Electrical, Plumbing or Mechanical work being done to the Accessory structure Cl Yes E[ No
lf the project is a Relocation, is there a Natural Gas Line on the current site? E Yes E No IVf,
ls there Electrical Power on this BuildinS? E ves dllo
Msingle ramily lex U Townho
a-zn_ rwt2
Property Use/ Occup
Description ol Work:
bt
fl oup Ysea
D
DISCLAIMtR: lhereby cenrfy rhal allthe inform arion in lhis apptication ,s corr€cr and all work witlcomply with the Stale BuildinB Code and all olher applicable 5la1e an
rll be nolitied ol any (hanges in ihe approved plans and tp€crfrcalion! oI change in conlraclorlaws and ordinances and reBt laiionr The NHC Developmenl Service5 Center w
rnrormation "'NOTE: Any woik performed wiihour lh€ appropriale permitt will be in h€toS
/D 4 x/er..5<?^/Owner/Contractor
"Lrcensed QuoliJrcr"
Zone
Signature:
dg Code and 5ublerl
ls the property located in a floodplain? f) ves Mtt'to
Existing lmpervious Area:
-
Sq t, ,otal Acres Disturbed:
New lmpervious Area 5q tt Existing Land Disturbing Permit: E Yes D r'lo
waTEn: S CFPUA E community SYStem E Private Well fl central well ! Aqua
stwEn: ( CFPUA E community System I Private Septic E central Sepric ! Aqua
setbacks (r) -- (LH)
-
(RH)- (B)
-
orficer
Approval:
-
city:
-
Date:
-
tlood: (A)
-
(V)
-
(N)
--
Bf E+2ft=
-
Permit tee: S
-7<.,to
E Pool (SF)
-
unr'."t"a, 6PO ,6'${.
(,rit a^r ti l"^^- G^th,t&. (t^/wdb 6 *- a- (^a--
!r.-l €"'/<l
@nt)
,i-," J^-Cir*hl-
L"^;92-lae /ir'\^$*
Y"^ry , &J t ovqj*Y +n- P'tc"<x '
i
ili Iil
!:t
*xnewrs,*,^n'J:'f,lll?Ilff;,l.::1o*'Jl'i:,^",,"btC -1ofclfi,..,-
W 71W"Project Responsibilily"
LtcT/z,tztl {-DateAPPLICANT'S NAMT
PROJECI ADDRE5S:
SUBDIVISION:
L CITY: L-/,,r'C ltP o\
'Ta TOT i
PROPTRTY OWNTR'S NAME
owNER'sADDRrss Lt>o a;,; T;,lf.PHON T 'At-<CITY zrP
1.O q-/
NT€eS ^-lar,s BLDG TICTNS€ 'I
lE tqtCONTRACIOR
ADDR T5S
EMAII- ADDRESS: u e n ferscnr'\,7 cc-ct / epl A c
Dv L f/or
/'c.CtTy : Lv'7t .<-s.,tZLzp LF'r,f
f" aAPHONT7)o 8
/er'<U"nJ 2,/>PHONE Q/7//3 7
txlsTlNG CONSTRUCTION: [l Alteralion I Renovallon ,E-General Reparrs
NEW CONSTRUCTIONT D trecl New Residence ! Addition to t)(isting Resadence ! Relocation
. T TPLEAST CHECI( AN tLow Atr T APPLY TO
PROJECT CONTACT PTRSON
I Sunroom (sf]
Property Use/ Occup
Description ot Work:
I Atl Gara8e (SF)_E Det Garage (sf)
n Pool (st)
fl Porch (sF)
E storage shed (sf)-
E o'ther (sF)
ls lhe proposed work changing the exasting footprint? [-] Yes D No
TOTAT Sq fT UNDTR ROOF t/or proposed wotk\ Heal.ed Unheated:
TOTAI, PROJECT COST (Less Lot): 5 l01C
ls the proposed work chan8in8 the number oI bedrooms? E Yes D ruo j(
ls any Eleclrical. Plumbing or Mechanicalwork being done to the Accessory Structure E Yes E No
llrhe proiecr isa Relocation, is therea Natural Gas line on the currenl site? f) yes E Irto
ls there tlectrical Power on this Building? E Yes O No
fl Greenhouse (sr) _fl Deck {St)
ancy: E
+
Single Fa mily.
f r-l
E Duplex D Townhouse
ifa/;bc
+-e
laws and o,drnanres and r€Sulalion! The NHC D€velopmenl Services Cenrei wrll be nolilied ol any chan8es in rhe a proved pla
rnrormaton "'NOTI Any worl perl
O-nerlContrartor, gS+8.^
app,oprial€ p€
l/n^*r.
will b€ in
/r-)
n5 and 3pe( l!alrort or chanSe n (onlratlol
'"uYry*t'**"'ormed wilhorrl th€h€ I'JC Stale
"Licensed QuohJjet"
ls the property located in a floodplain? fl Yes E No
txisting lmp€rvious Ar€a 5q Ft Total Acres Disturbed:
New lmpervious Area Sq Ft Existing Land oisturbin8 Permit: D yes I tlo
WATERT P ctPUA fl Communily system D Private Weil E central Well E Aqua
-JstwtR: E CFPUA fl communitysystem n PrivateSeplrc fl cenlral Septr( E Aqua
Zone: _ _ Olficer: __ Setbacks (t) _ {tH) _ (RH) _ {B) _
Approval: _ -_ City: _ Date: _ flood: (A) _ (v)
-
(N)
-
BfEr2tl=
-
Signature:
d
C
Permit f ee: 5
,/^lL-4tu
k
L
Commenl:
),510- to{o\
), *l'b ?LAN\ s,ff*
^,ffi lili 1?l IJ, l^1,1,::l:,*,:',ni, -",,,
"Proj€.t Rerponribilily"t1L-c u,APPLICANT'S NAMt: --
PRorEcr AotRtssi - ,LIZQ -'"
Tge K, z1W
ru/v/a,;;;i.11r.r1 -tt i/ c,t,r./-I Date
clTY: L't ru'L___
toT #'
pRoPtRTY owNf R's N artft'- --'-/PHON€ II
TY:oWNtn'S ADDR[ss: --, ;. 12
CO NTRACTOR
1,o
)c.,l
i' c e.> ( t:i 7. -, 1 2,; L 774,.t-
-IE)-;.-.--J,
_-1_,L:----- -
ZIP:
AODRT SS: ----
it. /: t ., ,7 i6L / L,..-.
tMAltADDRtss: - r t e ,,lo.1:'c.,.'t': l-c-*.,...| , v:r
CIT\. t',L/z:-
BIDG uctlst,i :!g- Jl-?-
-. . s1 ..4-,1:: ztP. J.-!2Y-\ .,-
)-2-oJkt:o--*
(/'u11.'1 _
PHONI
PROJICT COI/TACT PERSOIIT . -- 5-e/.Q Ut nJo,PHONT
l-
"Yd-t<
tXlsTlN6 CoNSIRUcTION: L l Alteralion l l Rcrrov.rlion fll" General ReParrs
trtw CONSIRUCIION [:] trr(l llew Reriden(c llAddilionloIxislrns.Residcn(e {l Relo(atton
-IHA APPIY TO VOUR P
-2__,
t cHtcx AN
L l Del Garage (sf)_
l-l Pool (sr) ____.___-,-
il Greenhoule l5r)-,--,-,- l.l Deck (SF).-.-
ts lhe pr.rposrd vvorli chanBing the exrllrng loolprirrl? [-] Yes Ll No
I I n GaraBe l5l l___--
[ .] Srrnroom {sI)
--
-
Properly Ure/ occupancy: D Srngle tamlly, D
Deecrlplion ol worr: J. i/". ) -!:-1.
O Po(h (Sr)
--**-[-] sloraee Shed lstl---
l-l olhl,, (sr)
TOTA! SQ fI UNDIR ROOr (]to, proposcd wort) Xeated:Unhrated
TOIAT PRO,,[CT COST (1e55 lol) 5 / (ia
15 lhe propo5ed worl chanBins lhc number ol bedrooms? D Yes D No
ts anv Electrlral, Plumbing or Mechani(alwort being done lo the A(.essorystructule O ves 0 t'to
tl rhe projecl is a Relo(atlon, i! lhere a llatu,al 6a5 tit]e on lhe (urrent sile? El Ye5 0 No
15 lhere [leclllcal Power on tlrit Building? E ves O t'to
Dupler D Townhouse
t-'i.,^,r.
r.Sutrlion, llre Ull( OeveloOmtnl Srrvtre! (enlcr w'll b! noldied ol..y !h!
DltCLAi[rtn: I h!( t]y (e
lrBr a.d o,d,')nrtr r.d
rhlormalron "'|JOll ^
owner/Contrattorl
"ti(?.scd Quohlt.t'
^t $orl p(rlo'mrd w,rhour rhc .rprop,rat? 9(rmnt v,rll b. 'n L|olsnon oI lhr
4? oA1 : __l' _ 11' ? 1: a. . " ; :_t_ signaru, e: _
?r Nomt ,
46ct rn rh( aPprov?d ol:r,r and lpG('l..lonl or (hdn8. 'n(o,lr.(lorc srarr ry1cooe rno rugttt|tf rnei/ll., to ltoo @"'
,/: t .. (' l', (
' /'" 7-'
It lh! propetly lo(i,teaj rn a lloodplJrl? O Yes n No
lxiriinB lnrperviou! Arca: ,,, . . _ _ Sq ft lolal Aares Oisturbed
ilew lmperviout Areai _. -- 5q tl t)(istinB Land OislurbinS Permil: D Yce E No
WATER [,] atPut D (onrnrunrr,, Systr'rr [i) l'r'vnlcwrrl E] (('olrrl r'/ell fl Aqr,.
5lwl R I (trlr L tc,i,r',unrrv5,'srr,,, Il l'J,?dlr S(pr,( IJ (r.,,r,::r.rrr ll,r.c.,r"
t
" ^ ", I'l f . 4 Ll,??,!'&f ^- r, "ffi ;,',f"U r,',, 1 o1 [.. I * "1 N [ * I g \1'
npprovat; gts ciry: IA\qA our", lollolllLrloo6 1o, (v) 1*fotl€y u1r.r,'=
.o.^",,'.Ilo ErPA.rSrdloExrstrle 6o<?0trrr. NoCrtqilOe D[tlSE,.^t,r- Pc,m,r,c.'.5
kBl.rr t{tus1 $6 DrsPos€o ut rr A.r APko.J6D $'rE.
f,,.|Ll'
i.lil,r !lretllll $:1':r€t, 9ll.2ll l!: i
I
SUBDIVISIONI - :i]--L.. !.'/,
NEhI HANOVER COUNTY BUILDING PERI'IIT
APPLICArIOII N?E.' RESIDE'{TIAL
PLEASE ANsI.IER ALL qJESTIOTIS APPI"ICABLE TO YO.IR PROJECT
'Project ResPonsibiut/'
;zol6-lcEoz
L6-2L54
APPLICATIotT
Nunbcr
(offi.e use)
I-AUREL COMPANIES LLC
PRO]ECT ADDRESS:832 CUPOLA DRIVE CI TY:WII,MING:ON ZIP | 24409
SUODIVISION:TIDAL !iATK BLOCK *: LoT #: 3f-
PROPERTY (}fiER'S I'lAlllE:DAVI D & KAREN SUMMERFIELD PflOt{E fr
832 COPO],A DRIVE
ccrt{TRAcToR:LAUREL COMPANIES LLC LICET{SE *: 74369
ADDRE55:1121 MILITARY COTOFF RD C.328 CITY:WILMiNGTON ST: Nc ZIP: 2840s
E,ITAIL ADDRESS: T l IVO IAURE]]COMPAN I TJS . COM Plo E *: 910 632 3?65
PROIECT COIIACT PERSq{: rrM BARKER PK,IIE *:9to - L32-76:
APPLICA T'S I{A E:
DEVEL@ER:
E11Srr6 colsrRucrro : I alreeruoH I nrlnvlr:or fl e ete nar- neearns I RELocATTON
NE}.I CONSTRUCTIO :ERECT EI{ RESTDE},ICE or I mOrrron To ExrSTrtG RESTDENCE
*I.PLEASE CH€CK AiO A}ISI,{ER SELO{ ALL THAT APPLY TO YOI'R PRO]ECT:
offiet _ r:ljzt /J3_
I arr c,ruer 5c1 sr
f]surnm'r --j-srf] eneemuouse o sr
I oer ermer --9- sF
fl poor-Jl- sr
I oecx I 19 sr
I noncx 136 sr
OTHER:
fl srouer sie 7 ri sr
rorAl HEATED sQ Frt ?O7t)rorAl sQ Fr uNDER noor: $lJ. rorAl AREA sQ Fr;
-
TOTAL PROI ECT COST tr-u* r."o : $ZQ*.ooo # oF sroRrEs:rl-t^-Z
SF
rs Any ELEcrRrcAL, pLurBrIrG or iEctolircAl ttork Being oone to the Accesso.y structurcl I v"t I uo
If the project ls a Relocation, is ther-e a Natural Gas Line on the current site? flves f]xo
Is there Electrical Porer on tt,is auilaing? EIv", dno
PROPERry UsE / OCCUPAICY:sTNGLE FArlrLy f] ouer-rx I rolru*cuse
DESCRIPTIOI{ OF HORK:Ca*t 3-T CA a-t .iFR
DlscLAtrtJER I h€€Dy c6ni|y &.r ell inbnrstion h iris sppftatun b conscl ,rd d work win cofidy wih tte state BiiHhg cod6
81d o('inarces dd legulanonl lhe NHc Developmont servbes Conbr wil b€ notfied ot a|y cialgeg in
'}s 4pro',,ed pb|r ald
conract r inb.mston. ...l\toTE: Any wort Psrfomed wo lho ApprDyi.E Pormits wlrl bo in volaton of (.o Nc sEb Bldg cod6
E|d Et oh€r spptcabb SlaE and bcd lers
gpecificafo*s or chang€ i] crntlcbr or
*,*,i ***,t+*rr{, *+,},t l(,}
or.rNER/CoI,ITRACTOR: rrMorHY R BARKER SIG {ATURE :
(Prht IraE)***,tr*rtt**t*1.{.}**ti.*t *,i**,tli}},a*i ***{. **t,tt*+**ar a 't *:t :1.:1.:r t ,lr * ira***+*'}:r:}
IS THE PfiOPERW LOCATED IN A FTOOOPLAIN? E YES $xo
EXISTING TfiPERVIOT'5 AREA:5Q FT
SQ FTNE}I I'{PERVIOJS AREA:?i
WATER:
SEHER:
EJ crpua I ccmuirw svsrtm I PRrvArE I{ELL
ffi creul I crurnnl seerrc I PRrvArE sEPTlc
TOTAL ACRES DISTT'RBED:
EXIST LAND DISTURBIITG
. 13+
PERIIIT:ffivrs -no
I ceHrnal uell
f] couuururw svsreu
****!t,r,***:l*:t+{.,*!**:1.,}*,tt:t**:a*!t 't! 't +,*+i***:l:f :1.,t:li*****tt'i:t't:*+,t:t,}:t*+*+*:f * *:t '* 't it + *:l' * l(:t ri:i *:* *:t 't * '' * t'*
(FOi OFFTCE Ust O rY) rEwsEo DATE g4l11/12
Z0 E:
-
oFFICER:SETMCKS: F: LH:- RH:- B:-
Approval:- city:- DATE:- FLOOD:
-
BFE+2ft=
AVll
r** s
PAY'tEIT EIHD:
EPARATE PERiITS REQUIRED FOR ELECT, ll€C!*, pLB6, GAS EqJIp, pREFABS & IHSERTS i*'
f] ** E.r.o (payABLE ro rurcl I orlearor, exmess I rlczvrso f] orscover
conment i PERT4IT FEE: ,GZ,*
OI'{ER'S ADDRESS i .rw. !'lrr,MrNGToN ST: NC ZIP:28409
PIX) E *: 910 632 3f6s
a
.;.:.:.,...
"'/'
f. ','-'
'i''ffi,''
NEW HANOVER COUNTY BUITDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PI,CASE ANSWER ALL QUESNONS APPLICASLE TO YOUR PROJECI
'Prorect n3spomlb[th/
)orL-toStSL6-284r.'
Appllcatlon
(ofllcr use)
AprucAr{1"s AME, ForeverHome Building Company, LLC
PROJECT ADDR€SS:Baldwin Park Drive
Date. 1&S.16
ow. Wilmington ztP.28411
59 g9,gy1g9p, Anchors Bend 13.1 s 174
pROpERW Owr{ER,5 tr14tr;6, ForeverHome Building Company, LLC
owNER S ADoRESS. 302 J Suite 180
PHONE fl. 91G821€398
c|Ty. Raleigh ztP.27605
CO TRACTOR: RH Mcclure Builders of SBl, LLC BLDG LTCENSE f. 71404
4ppqg55, 302 Jefferson Street, Suite 180 oTy. Raleigh sr. NC aP. 27605
-8398EMArt ADDRESS: lynctt6r@foreverhomellc.com p119Xs.91G82'l
O(|!iTING COI{STRUCflONI ! Alteration E Renovation D General Repairs
t[EW @NSTnUCTION: E Erect New Residence f] Addition to Existing Residence n Rebcation
...PIEASE(EECIIILD ANSWER BELOW AII THAT APPTY IO YO "
E att Garage 1Sr1 531 tr Det Garage (SF) _ E porch (sF)118
E Sunroom(SF)_ D Pool (SF)_
- Greenhouse (SF) tr Deck (SF) _
ls the proposed work chaBing the existing ,ootprint? ! Yes E No
E Storage Shed (SF) _
unheated: 200
TOTAT PROJECr CO$ (Less Lot): S 275,000.00
ls the proposed work chanSing the number of bedrooms? E Yes E lto
lsanyElectrlcal,PlumblntorMechanlcalworkbeingdonetotheAccessoryStructureEyesENo
lftheproiectisaRelocatlon,isthereaNaturalGasLineonthecurrentsite?EyesEt{o
ls there Electrical Poweron this Bulldint? E Vec El to
E other (sF)Sdeen Porch 280
Property t,s€/
Oes(,lpdon of
occupancy: E Slnde Famlly E Duphx El Townho$ewo.k N6w singl€ famlly resid€ntial constructbn
DISO MEn: I hereby cenify that all the lnformatlon In this appll.adon ls corr€d and all work wt[ comply wtth the State Euildtnt Code and .ll other applt€bte state and to6l
la*s and ordlnances and regulatlons. The IHC Dcveloprnent Services Center wlll be nouied of any oa chahge ln contrador
lfiformatlon....NOT€: Any wo* pe.tormed wtthout the appropriate p€rmits wtllbe tnvloladon
Otvner/Contractor:
'Licensed Quollfief
Rob€rl W. Jordan
Pint Nome
ls the property located in a floodplain? E Yes E o
Exlsdrry lmpefllous Art . 1 1 251 Sq ft Total Acres Dlsturbed:
,{ew lmpervlous Area:3152 Sq Ft Exlstnt Land Dkturblnt Permlt: E Yes E lto
WATER: E CFPUA E Community System E Prtuate well E Central well fl Aqua
SEWER: El CFPUA O Community System E Priyate Septic E Centralseptic E Aqua
Zon€: _ Officon _ Sabacks (rl _ (tH) _ (RH) _ (Bl _
App?o6l: _ Clty: _ Date: _ Floodl (d _ (v} _ (N) _ BFE+2ft= _
Comment Permh Fe€:
subjed to flnea
$),(o1'*
PROJECI CONTACT pERSoN. Robert Jordan pHo,{E. 9iG2793403
TOTATSQ Ff U DEAtrt@lF Vor pto4sed workl tteated:3197
br/l,j fi1c*"e^
RECEIVED OCT 1
tobr/r,
,nj,$-^ ^^T 1
eCItI ?01[
b'lW
t+e"
APPLICATION
Number
(cffi.e use)
)
NEhJ HANOVER COUNTY BUILDING PERMIT
APPLICATT1N TYPE: COMI4ERCIAL
PLEASE AJ{SI,JER ALL QLIESTIONS APPLTCABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLTCANT' S IIAI{E: 101 MoBlL: TY L:,C DAIEi iA / t'7 /201e
CITY:',IL.{:NG:oN
PHONE #: 97C.332.1184
$
(
Nr
\
PRO]ECT ADDRESS: i34 CINE}Lq DRl:,E
OCCU PANT/BUSINESS I{AHE: 1:IL!:IN.G1C:: PREP SCIOOL
PROPERTy owNER'S llAl4E: ii.r.yNE G:_r.NCElr
OdNER' S ADDRESS : Ii;,Yr'::5 4 :2 3YAHC0, c3:'.{
CONTRACTOR: TC1 MCBILITY, I],C
ADDRESS: 522i CIE}IADER DRIVE
ST: zIP:
LICENSE f: I,/A
CITY: ii -IMINGTON ST: Nc ZfP: 281C3
PHONE S:9:C.35!.2r55
CITY:
PHONE #: 9'-t .3-:2. !' tA:'
EMAIL ADDRESS : I,KE-LYOlO1MOBILITY- CC:.4
PROSECT CONTACT PERSON::EIGI: X::IY
lf Relocation, is there a Natural Gas Une on the Cunem Site?uYes I
,)-
NERAL REPAIRS I I RELOCATIONNo ts arDG spilixLeneoz I v"t
GE
(check Al1 Thlt
EXIST CONSTRU€TION:ALTERATION RENOVATION
No
NEH CONSTRUCTION:ERECT NEII STRUCTURE FAsr rRAcK ! sner-l ! ucrrr ! loo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE: \,ERTI.}.L P:ATTCI': :fE]
I
If UPFIT - The Shell Permit #:Is Elect Pouler on this Buildlng I Yes nuo
*i.rii.:r rs rHrs A crANcE oF occupaNcy use: [vrs I
IF Yes, uJhat r.ras the Previous occupancy Type?What is the New oc<upancy TYPe?
ARCfI DESIGN PROFESSIONAL:
ENGR DES]GN PROFESSIONAL:
PH:
Pr"i:
NC REG #:
NC RE6 *:
DESCRIPTION OF I,ORK: I\STA::,ATICN C: A].1 3CMPI]ANT
ls food or beverages prapar€d s served in fris SruaueZ I Ves I No ls The Prop€rty Located In The Floodplain? fl Yes I NO
olsctAIMER: I hereby certit that a rnformarion in this apilicaion is coEecl snd atl work\^,ill comdy wlh fie stale Buildi19 crde 3nd all other aPpl,c+le_sl1e
and loc€ a\Ms and ord]nance3 and regulations, The NHC Developmenl SeNlces Cenlerwillbe nolif€d of 6nY chanqe3 in lhe aoproved plans and s6eollcehons
or ctrBnoe rr conrraclor or conrractor ,niomarr;n. ;aii6iellir'v-Wo{FJ,ioiiiii ivloiirJAp-p-rop'iite Parmds \diide ir Molatioi of the Nc state Bldg code anc
Subjecrio Flnes Up To $50O.C0'"
OWNER/CONTRACTOR:
-
SIGI\LATURE:
TOTA.L PROJECT COST; 21e 6 5
# OF STORIES; 1
(aE!!or) (ah N.m)
cpntain Asb6sbs o. mL you €re rrqrtEd !o cdltho Narionai Enir.doi Stadaida lb.ltr2rn orJS Ar Fb0utonts (NESHAF) at (919)7075950 sl lcssr 10 &ys palor ro $c
d.rdldcl of sny ,adlly o. bdl&t!- Seo AsbGGG Wcb gt6: h[D#f,nw.6CsEte.rE u3/oprebosEdahmpitnl
TOTAL SQ FT UNDER ROOF: J4_-_# OF STRLJCTURES; --
ACRES DISTURBED:
# OF FLOORS
E(sr LAND DrsruRetNe Rrnurrr Ives T NO
NEW IMPERMOUS AREA:-SQ FT E(|STING IMPERVIOUS AREA:
pRopERry usE: nOmCe EnesraunA}fr [ueRcerunu EDUc EAPT E@NDO OTHER:
WATER: EICFPUA IICOMMUNITSYSTEM fIWELL _EzoNlNGusEclA,sslFlcATloN:sEwER: Ef CFPUA fr cemnru- srelc I e-nvare sePnc f] ooMMUNITY SYSTEM
'" s:PiF,ir: r::jr TS iiaQ! i.=D ioi a!:a: ,iE3H P-:G ais =CJl' P?:F;lS .i nSEn:S ',_
PAYMENT METHoD: flCnsn flcrecx< lenusLE To NHc) flaueRlcAl ereness I ucnrrse I otscoven
(FOR OFFICE T'SE ONLY} REVISED DAIE 4fI1/12
ZONE:-OFFICER:-.- SETBACKS: F:-LH:- RH:- B:
Approval:- CitY:- DATE:FLOOD:
---
BFE+2ff---
AVN
PERMTT FEE: $-
SQ FT
Comment
DEVELOPER:
zlP i2eLaz
PHoNE $: 246 -3:4.3: -t
BUILD|NG HETGHT: 123" #OF UNITS:
TOTAL AREA sO FI : jI!-- SQ FT PER FLR:
-
1 ffo*,e{l"brfr
ta'a .1i-'i nw t,-]Q;27
i' ,: -(+rv t
APPLICATIOI
l{r]mbe.
Ja
?0 I
NEW HANOVER COUNTY BUILDTNG PERMTT
APPLICA|IoN rypE: COIi ERCIAL
FLEASE AI\sI'ER tIL Q!'5I,:ON5 APP:]CA8LE :O VOUR PP']'q'
"project iesponsibility,,
DEVELOPER:PHONE #:9lc-i32,{184
Ztp i 22..t3PROJECT ADDP.TSS:
OCCUPA|Ir /BUSINESS t\tAllE : .iir L!:I\ c: :\ ?--.:: s:::cal
PROPERTY Orl;iB'S f,lll'l: : r:.ilr:: ::i.t::a::
O,.INER" A99R[SS: !i.iyr:r53 :?Ay.4:lco, cg$
AoDRES5: 5.?:: c:-lrl}.:la DR::,,i
C:TY: i1'::.::.-ia:a:l
CITY:
RELOC-AT-TON
ST: ZIF:
I
LICEflSf +: :i.'.:
CITY: ii::.yJncToll ST: Nc ffP: ?aaa:
PHoNE $: 9i).33?,1le,iPROSECT CONTACT PEiSOIJ: ]EI:Ii K;:,]-Y
EX]5T CONSTRUCT]OI:RENOVATION
ACCESSORY STRU('URE : .'::.:::;L ?:.:.::3:i.: :ii:
\o lS BLDG 9oi? N(LERal'I ves \o
GENERAL REPAIRS
]i Re,ocatoo, is 'Jere ;l Natural G3s Une cn lh€ ar:re4l Site?
NEtJ CoNSTRUIT:Cll f teecr re,,u srRUcruRE ! rlsr rmcx I suell tr upr:r ! loo ro Exrsr sriucruR€
t
If UPI:IT - 'ihe Shell Pernit *r Is Elect Polre. .n this Building Il ,o
--ar.:s THIS A cllN6e oF oc(Up4,,,{cy usE}
IF Yes, L,trnt r,as the Previous Oc<upan.y Type?
^rcq D€slcll PRoFES5I3I{AL :
Uhat is the Ne, occurancy lype? _-__
?li. NC R€6 f,:
P!,i: I,I( REG ,:ENGR DE5I5N PROF'5510!iAL:
)ESCRIPT- IC:i oi l'.OPi(: I:::::::-t::::: --: .\1,::iY?::n):!
ls ,ood or beve-ages p.etarcd q seled in tt'ls $ucfJg? D Ygs :uo ls The P.operty Lo.d6d ln The Flooddain? f] Yes I
OWNEFYCONTRACTOR:SIGI..IATURE:
TOTA! PROJECT COST: 21945 BUILDING HSGHT: 12: "#OF UI.] TS: :
TOTALAR=ASO FT : SX5
TO.AL SQ FT UNDER ROOF: JI:_-- # OF S:RUCTURES s oF FLOCRS'":_
E(ST LAND DTSTURBiNC e=nttlrrr fl VeS NO
tic
]r,loc.:rB:eidcrdr.:r1c:arE:c.tJIairo"s :ra NHC Oe.JelopD.ni sErcc8 cenle, uill o3 nor6.d ol any cr.l1aes in lic !3E o..d Dra^! rnd soeoifEak^gorcr;_i:r:cc_.J;).r'ir.:.:.a--.-.'-a _N:-S Ar) .;r( . D.-fli r,J,O hc a3.rrp-r?,rc- rs witl& r,1 \.ola Di )'$o t{C Sr!':t 3,49 C.da JdS,r.(-::. F ^?s -r'r !: - a. "
(06rr.4 P!hr{&Bi
cor6in As!.s6. c. rtal Yo'r ar. !!q'i.rd b call dro lbdo'd gnh36 S!'ld!dr ib. Ho:rdo(! A. Fo0utr.!r! (NE:Idrr4 ar (319)?07-5550 ot l.&rr r 0 dalr F1o. !o $.
dcndl$o, 613.y t!i!t/ tl ldlchr s4 r.s.*a 'rla! 9b: hd!:llr$!e.s,Jlt4t6.rE!3 DlrrlG!6rf4/!lht.]h!.nl
ACRES DISTURS:D:
--
NEVr' IMPEEVIOUS AREA
WATER: l--;CrFUA
SEWER: [: CF'IUA
PAYMEf.jT lv{E-IHCD:
2sNEOlf4 ONFICER:
ONL\1
r: ti/A r-x:
I r , REl SED OA,E 6in2
nH$.l&.e:-r],l&
I
pRopERwuse Jornce f]nes'reuaervr I I,IFRCANNLE rouc f lar [coxoo orHER._
SO ;-T EX'ST'NG IMP;3VIOUSAREA
--soFr
.i:-:. !r-., ,:..-,:.-our:,.:orii;a_.j_, ,_:,1: ans::.1r.:: :.4]:.,::.-:.
I
lcoMMUNmYsYstEM :IWELL EZONTNG OSE CLASSFICATIO|t _l cer'nnru- surnc f] F.vare seF rrc 3*cor.luurn svsrcu
f]casH fjcnrcx (aAvABLE ro Nr.1c) flmrenrcen exrness ucgse f] oscovxR
dro)Ir I
i:9R Gf I.ICE US:
SETBACKS:
!',$ltl'n BFE+2n=_-
t\-)
:
app.*E-citt tuooD:
APPLICATTT's NAI4E: :C-- !::3:1::", l,:: DATE: :: ,:t.,2a:(
PHONE i: :C6.3:9.:;^i
CoNTRACTOR: :ci r.;c3rr.::Y, !:c
EIAIL aotRESS: !1!.:-:i-.icl!:o:ri.r'!r-car pHO E f;9:t.j:.1.:-:j
SQF PER FLR: _ *OFSToRIES::
J.*ort or' r*Ja()---
Dair.. 10111t2016
ffi
AppllcaNr,s NAME: sean McDonough/NCA builders inc
pRoJEcr ADDRGss, 625 Bayshore Drive 61ry. Wilmington 71e.28411
SUBDIVtStoN: Bayshore estates LOT #
pRopERw owNER's NAME: Samel Clary pHoNE #: 910-232-4901
owNER,s ADDREss: 7617 Lost Tree drive 611y. wilmington 71p. 28411
CONTRACTOR: NCA Builders lnc BLDG uCENSE $. 75715
ADDREss: 827 Bayshore drive 6g1y. Wilmington 51. NC 71p. 284'1 1
GMAIt AoDRESS: ncabuilders@ec.rr.com PHONE
pROJECT CONTACT pgX5g11. Sean McDonough pHsN6.9'10-443-1667
EXISTING COI{STRUCTION: tr Alteration [] Renovation I General Repairs
NEW CONSTRUCTION: E Erect New Residence D Addition to Existing Residence n Relocation
*X.'PLEASE CHECK AND ANSWER ALt THAT APPTY TO YOUR PROJECT"T
E Att Garage (5F)1520 E Det Garage (SF) N/A
E Sunroom (SF)N/A n Pool (SF)N/A
fl Greenhouse (5F) N/A n Deck (SF)NiA
ls the proposed work changing the existing footprint? n Yes [] No
TOTAT SQ FT UNDERROOF Aor Noposed work\1qs71s6, 2272 g16""1"6. '1520
TOTAT PROJECT COST (Less Lot): S 175,000
lstheproposedworkchangingthenumberof bedrooms? E Yes E No
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes E No
lfthe project is a Relocation, istherea Natural Gas Line on the current site? E Yes E No
lsthere Electrical Power on this Bu ilding? ! Yes E No
Property Use/ Occupancy: E Single Family D Duplex E Townhouse
Descriptio n of Work: Build new sinqle family home
E Porch (SF)440
I Storage Shed (SF) N/A
n other (sF)N/A
DISCtAIMtR: I hereby certify that all the information in this application is correct and all work will comply
laws and ordinances and regulations. The NHC Development Services Center will be notified of any changes i
Buildins Code a her applicable State and local
ificat ange in contractor
0or. +information. "'NOTE: Any work performed wathout the appropriate permits will be in violation of the NC ld8 Code a b
Owner/contractor: Sean McDonough Signature:
"Licensed Quoliliet"
lsthepropertylocated inafloodplain? E Yes E No
Existing lmpervious Area: 0 Sq Ft Total Acres Disturbed: .25
New lmpqrv;sus 4193; 3,712 Sq Ft ExistinB Land Disturbing Permit: E Yes E No
WATER: D CFPUA E Community System E Private Well D Central Well D Aqua
SEWER: E CFPUA tr Community System E Private Septic E Central Septic E Aqua
Zone: _ fficer: _ Sctbacks (Fl _ (tH) _ (RHl _ (Bl _
Approval: _ City: _ Oate: _ Flood: {A}_ (V} _ (N} _ BFE+2ft= _
Comment:Permit Fee: S It crl-,
RECEIVED OCT 1 1 2016 zux\,<-ieF\)-r NEwHAT\itiVEE-tbufuTr--aurrDrNGpERMrr * +
, ci\p \ A ppltcAfloNrypE; RES|DENT';,
'""" '?olt- ,(#
"Proiect Responsib:riy' W 7 \ 5- )11 '+ (orrice use)