NOVEMBER 2 2016 BUILDING APPS{$i .4.
[tfuI
€nv H
CONTRACTO
ADDRESS:
tOL,L,+
'ffi,
APPLICATION
Number
(office use)
oarc: ?//f/zer6
, 9/a-:t77.-rrZtl
NEhI HANOVER COUNTY BUILDING PERMIT
APPLI1ATI(N rYPf ; RESIDENTIAL
PLEASE ANSI,{ER ATL QTJESTIONS APPTICABLE 1O YOUR PRO]ECT
"Project Responsibility"
APPLICANTJS tIANiE:Sosn'^ kllito^
OEVELOPER:
LPRO]ECT ADDRESS:
SUBDIVISION:k ,"^.rooJ €, k fL
PROPERTY otlNER'S tlAfiE:{a,l
OWNER,S ADDRESS:t
R:
LL
#"_
PHONE #
LOT f:
zlP I
8/
z)Llo(
PHONE #:glo-(fi -Un
st //c zrp: zg4s,!
sr t/c zrp t ?(4 I
PHONE S:
P}ONE f :9to-k6t-/+7f
Q
CITY:
CITY:
LTCENSE f:
CITY: Le
BLOCX #:
wH,rrt
EMAIL ADDRESS:
GREENHOUS E
Iarr oanaer t-?f DET GARAGE
-
SF
POOL SF
DECX SF
c itc r',o , <-a?-1
PROJECT CONTACI PERSON:,) aron (oi /1)0,".
EXISTING CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAI RS RELOCATION
NEN coNsrRucrrou: [lrnrcr NEt,,l RESTDENCE o" f] AOOrrrOl ro ExrsrrNc RESTDENCE
**PLEASE CHECK Ai]D ANSI.JTR EELOI{ ALL THAT APPLY TO YOUR PRO]ECT
5F
5F
5F
trtl STORAGE SHED
-
SF
tg{PORCH 5F
OTHE R 5F
TOTAL HEATED 5Q FT:l15y rorAr sQ Fr uNDER soor: l(53 rorAL AREA sa q: lt59
TOTAL PROIECT COST lre* r"rl : $lU,ooo * OF STORIES:1-
Is any ELECTRICAL, PLUIiBING or IIECHAIIIICAL work Eeing Done to the Accessory Structure? [ V"t fil lfo
If the project is a Relocation, is there a Natunal Gas Line on the current site? [ves EI, tlo
Is there Electrical Powen on this Building?[v"t Fruo
PROPERTY USE / OCCUP
DESCRIPTION OF !'IORK:
SINGLE FAMILY DUPLEX I rourunousrANCY:
,- (esr len l.,u 4 qo or)
DtscLAtMERr thereby cerliry tlar aI antrmalon in his applEalion is corect and allwort willcomplywit t|e state Building code and allotler applicabl€ slaE and bcal laws
and ordnances and regutatons The NHC Deveropmenr Services C€nErwillbe notfred olany changes h lle approved pbns and specifcalions orciange in conlracloror
conractcr inlcrmabon.'-NOTE: Any Work Perfomed W/O rhe Apprcpiial€ Pemitswillbe in Vlolation orlhe NC SlaE Bldg Code and Subjecl lo Fin Io $s00 00"'
OWNER/CONTRACTOR:Suon Ro{l;to^SIGNATURE:
* * * * * * *. * * *(Iiifl }il!] *., r * * * * * * * +. * r *,i * *,i * *.
rs rHE pRopERry LocArEo rN a rloooeurul ! ves l]l uo
* *,t * * * *** * * * * *,* **,*,t** *** * *,t
EXISTII'IG IHPERVIOJS AREA: _SQ FT
NEW IMPERVIOUS AREA; _SQ FT
ToTAL ACRES DISTURBED: _
EXIST LAND DISTURBTNG O'*N"-' 5 "'l-l no
wnrrn, p creua
srwen: ! crrun
COI'IMUNITY 5YSTEI"1 PRIVATE WEL L CENTRAL !iELL
! crnrml srerrc NcnrvATE sEprrc $.,cotu'tunrrv svsrtm
*** SEPAIIATT PERI4ITS REQUIRED FOR ELECT, f'1ECH, PLBG, GAs EQUIP, PREFABS 8 INSERTS *T*
payBENT iTIETHOD: ECaSX ECneCK (PAYABLE rO UC1 [ AnenrCAN EXPRESS E raZrrrO I OTSCOVT*
,****,t*+,f**r,i r** r* * )r *,1 * * * ** * **)r r* **;f *** * ,*,*,r ,t * *,t ;I * * t * ** * **,r,*** *,1* *'i r*,r **,f,r,** * rt *,t* r *,t,r * **;i,t*
(foR otrrct lrsc o[Y) iEVIstD DATE 04lt1/12
SETBACKS: F: LH: RH: B:ZONE:OFFICER:
Appnoval :_ City:_ DATE:_ FLoOD: _ _ _BFE+2fAVN
Comment:PERMIT FEE: $
*
aaQ
I sur'rnoom
&
\'lir
lrl
AP P Ll CATTO N TYPE i RESIDENTIAL
PtEASE ANSWIR AIL OUES]IONS APPtICAEtT TO YOUR PROJECT hau-l0tiob E
zrp 2 t/
LDG r-rcrNsE fi: 70:z tr
g.,t/f zlF:2W/
PHONE
! Storage Shed (sF)-
{otner tsr)
O-
HnE,
"Pt o)
4/1/
ect Responsibility"
SUBDIVISION:
PROPTRTY OWNTR'S NAME:
OWNER'S ADDRISS:
APPLICANT'S NAMT:
PROJ€CT ADDRESS:
CONTRACTOR
ADDRESS:
./-C CITY
CITY
CITY
Date. /o
zt
PHONI #/7/-7172"
PRO'lTCT CONTACT PERSON PHONT
TMAIT ADDRESS
Property Use/ Occup
Description ol Work:
l*r" ,+/#r*r,
I Sunroom (SF)_
E Greenhouse (sF)_
E Pool (SF)
E Deck (St)
ls the proposed work changing the existing footprint? E Yes fJ No
TOTAI Sq FI UNDER ROOF (/or proposed workl Healedl -/-JA 6Ec Unheated:
TOTAT PROJECT COST (Less tot)s b5.ua--
ls the proposed work chan8in8 the number of bedrooms? D yes Vlo
ls any Electrical, Plumbing or Mechanical work beinB done lo the Accessory Structure tl Yes
lf the proiect is a Relocation, is there a Natural Gas l-ine on the current site? E Yes f| No
ls there Electrical Power on this Building? ( ves E Irto
E'sin gle F ilv fl ou lex Townhouse
--
E,,*"
tl\ ,
kal'ts
an
laws and ordinances and r€Eulalion5. The NHC Developmenl Servrces Cenrei will be nolrried ol any (hanges in lhe approved planr .nd t cirrcaliong or chanBe rn ronlra(lor
rnrormarion. "'NOTt: Any work per{ormed wilhorrt the permils wrll be in violarion of the NC Slale BldB C ofines up to 5500.00"'
Owner/Contractor:
"Lrcensed Quolilp,"
ls the property located an a lloodplain? $ V", tr no
txisting rmpervious ar.., /bhB sqn
Signature:
Total Acres Disturbed: O
New lmpervious Area: _ Sq Ft Existing Land Disturbing permit: D Ves.hit'to
WATERT E CFPUA E Communiry Sysrem (private wel fl Central Welt E Aqua
STWER: ( CFPUA n CommunrtySysrem E prrvate Septrc D Central Septrc U Aqua
Zone: _ Officer; _ Serbacks (F) _ (tH) _ (RH) _ (B) _
Approval: -__ Ciry: _ Dare: _ flood: (A) _ (V) __ {N) _ Bf t{2ti= _
Comment Permit Fee: 5 *tr
,;;i
:,1
i.
4tz ->>Y-ta(7
EXISTING CONSTRUCTION: E Alteration (Renovation E General Repairs
NEW CONSTRUCTION: D Erect New Residence I Additionto Existing Residence n Relocataon
' '*PLEASE CHECl( AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT*T '
U Atr Garage (St)_ fl Det Garage (sF) E Porch (SF)_
f7w
APPLICANT'S NAME:
NEW HANOVER COUNTY BUILDING PIKMI I
APPLICATION T YPf.. RESIDENTIAL
PTEASE ANSWER ALL QUESTIONS APPLICASLE TO YOUR PRO]TCT
"Project Responsibility"
\CA /\N, \e
.-J
Application
Numberlu'y
.L@^3r}1> \ Date dc+.2v >orh
ztP
LOT H:
PHoNE#,9/o \oq -O3
zrP:2
BI-DG LICENSE H
sr:lt'"Ea? 29 qo /
PHONE: 3ID qO 9 -o=:
.-fol - o33 G
n Storage shed (St)-
E other (SF)€D4-f
//-'J"; /$t
PROJECT ADDRESS
SUBDIVISION:e.-\-o
ec o r clTY
CITY
PROPERTY OWNER'S NAME:
OWNER'S ADDRESS
ADDRESS: ;3
EMAII. ADDRTSS
Cl
9.qr (+r CITY
n^Qa-
PROJTCT CONTACT PERSON
EXISTING CONSTRUCTION: E Alteration n Re
NEW CONSTRUCTION: I Erect New Residence
PHONE
novat io n eneral Repairs
Addition to Existing Residence E Relocation
E AND ANS t OW ALL T YOUR PROJE
E Det Garage (st)E Porch (SF)
erd.I
1r *PLEAS
E Att Garage (SF)-
! Sunroom (5F)_
E Greenhouse (SF)
-
ls the proposed work changinB the existing footprint? ! Yes Ll No
ToTAL Sq FT UNDER ROOE Aor proposed workl Healedl (,sb 5
ToTAL PROJECT COST (Less Lot): 5 It oo
Unheated
ls the proposed work changing the number of bedrooms? E Yes
ls any flectrical, Plumbing or Mechanical work being done to the
l, the project is a Relocation, is there a Natul6l Gas Iine on the cu
rs there tlectrical Power on this Building? fi Yes E NoI
Property Use/ occup"n.y,{ single Family E Duplex E Townhouse
{,.
(ccessorv structure E Yes D ltto '- * a- t a-l < t cla:l -
rrent site? tr Y", ,Vno
Description of Work:
DTSCLATMER: I hereby certify rhar all rhe rnformation in this application is correct and all work will comply with the Stat€ Building Code and a
laws and ordinances and regulations The NHC Development services Cenrer will be nolified of any chanees in the approved plans and specif
rnlormation "'NOTE: Any work rtormed without the appropriate permitt will be in violation of the NC Slate Bldg Code and subiect to fin
/la
llother applicable State and local
ications or chan8e in contractor
es up to S5o0.o0"*
Owner/Contractor:
"Licensed QuoIilier"
ls the property located in a floodplain? ! V"s jfitro
ExistinB lmpervious Area:Sq Ft
New lmpervious Area:Sq Ft
Signature:
Total Acres Disturbed:
Existing Land Disturbing Permit: I yes E No
WATER: Uf CFPUA D Communrty System E Private Well E Central Well D Aqua
SEWER: dcFPUA E Communrty System fl Private Septic D Central Septic E Aqua
zone: _ Officer: _ Setbacks (F) _ {tH) _ (RH) _ (B) _
Approval: _ City: _ Date: _ Ftood: (A) _ (V) _ (N) BFE+2ft=
.&,'Eg'
/-
I
rY\
CONTRACTOR:
I
D Pool (SF)-
D Deck (sF)--
Comment: permit Fee: S
--
ffi
NEW HANOVER COUN I Y t]UILDING PTKIMI I
APPLICATION TYPEJ RESIDENTIAL
Pt Lr.St /rNSVJtlt At.L QUtSIIONS Al'P t l( ABt i I() YOtlE PROJT( I
"Prolecl RetPonsibitity"
2ollp rDb*)
'i".r \e ,]\| ,.. ro; 5- (r;", Dat€c.);,t 2t )otl.
1)l{, -'--APPLICANT,5 NAME
PROJ ECT ADDRTS5:
t.l \-O,(lri.i-\\ a),_
suBolvlsloN: .---.:,. - J.i' .ll .- =,.r,-l'-r.\.t:'. ---
---
PHON€ flr:--i -i -)',) ,'i
Ll
.1pRoprRry owNER'S *orr, -( J iJ!):!:::--- .ir'.i- : r c,'-----
owNrR'sADDRrss: -aa()-ii-j:j.. --"-i:--l-L:l .- :.'
CONTBACTOR fC\e-o,-e-a..- i-.rl(l=
AoDREss - r rf-r.C!TY
crrv - -1-),ry-1,--;11
BtDG LlcENSt li.
\ zlP
-VI-r.-lP r-l '.ST
.lt D!z
tMAll" ADDRESS: ir-r. !,! . '.! q<-:
n tl Garagc {St)
I I Sunroonr (5F)--
I I Greenlrouse (5t )
-
-. -
L ,9S). ( !-li I. PHoNE
p R o r r cr co NrAcr p,
^ro,
j:J g!I!-'1-
- & I-{-{\r..,\f ol \i;.-io3 - o3'J (., <
tXISTING CONSTFUCTIONT I i Altelittroo
NEw CoNSTRUCTION L I Ire(t l'].!v Rosrdcncc
. . . PLTASE CHTCX A
PHONE
il tlenovation L eneral Rcparr!
nddition to trislfl rB Residerrcc [ ] Relocalron
Np ANSWTR B€Lotry.allJli4t4P-!tY TO YOUR Pnollcr" '
I I t)el 6ara8e {Sf }
-.,
'i Unheated: -
i ) Porclr (5F)
I I Pool(5F)
Il Oeck ISF)
I J S(orage Shed {sr) --...rl. :.-,...
{ I Other tsr)
-
*.2-=")-..',
l5 lhc proposod worL (harrBroB the cxrstrnB loolprlnt? U Yes I l
IOTAL SQ tT UNDTR R OOf llot pttryosed worli) Heated:
-'.-i
No
. , j-).r/ 1" x ,19
ToTAt PROJTCT COSI ltess totl 5--- it
"l
;-- ,
rr ttrc proposed work (ltarr8rnB lhe numb('r ol bedroonls) O Yes/MNo
ls ;rny tleclrlcal, Plumbin8 or Me.hanical worl bernB done to the fccessoty Strutture E Yes E No
lf !tre proie(t r5 a Relo.ution, i, ,r,",u " iar,lpr i"' tlno on tr'o t'"enl stteT E ves ffruo
l5 rh.re He(lric,rl Powa' onthrs B'r'ld'nB?/F Ycs Ll No
I a4 < t cl'-'l '
il:ilI.'j:l1,'i:I'^'d;E-"'dTS;frLf rTiiiif;,,l"Tiit6'a:*-horlor rs D-o,l-0r-.,nrf{Ded)-
DlScLAtMtF: I h€r.bY ..rlrlv lhal !ll lhc rnlorh?trorr I ri' iFIl(alro
Iir,r .nd ordn.nros nDd rcuurrl'(,ns Ih. NHC Dcvtlop'1t'l 5c'vr(cs
,'J!'r,,'lrur, "'llOrt .y'ao,lr.'lormcdwrlioutlh.rpprol'rLrlts
/1
owne,/conrrocror: lJ A1 i"' -il, ll
' ,,, ,.re,t a,,ot,1n,.. /tttr uont
lwo,l wrrl(onlJrly w(h lhc Sl.le 0urkirnE ( ode n o all olhtr npphc)blc 51'le rDd Io('l
,fied ol any (ha E!l rn ll'. aPproltd pla.r and lp'crl(rlDn! or (han8' rn (onlrJtlo'
vrolillon ol rhc u( tlale oldt (odc nn.l ,ubl(t lo nr'P\ up lo 550o 0!"'
,a^-1 ,-r/ ,y' i
sisnaturc: .. 7Zl'Zz ;'+ -r/V1
qu 4/'
l: lhe properly lctcaled rn a {loodplarn2 E Ye9
Ixistint lmpervious Areal ,- Sq ft
New lmpervious AIea: .- Sq tt
Tolal Acres Olsturbed -
Erlstint tand DisturbinS Pcrnritl fl Yct Ll No
F No
WATER: /Ctl'(lA fl (ornnrun1ySYst(11r O l'rrvatcwcll D Cc lr'lwell C qua
srwtnr /crpLr,r D corr)rrrtrnr(y Systcrrt D Prrv'rlt'5eptrc LJ ('rrtrsl 5r,pl1c D Aciua
1,""i, U/.i.', *' ?* s"tun.r, tr.) J[ r,rr v[tr 1nx1 5' - 141 1!] r'n,rrmu'vr &tBxr'
approvar, [9 .,,, Vd\.* oate \O\lL\kroou ra] . (v) - (N) f - Brt'2rt= - '
commenr.Urr.Sl toir,Lr,'l t\r-,* t\rrttmunl &<,3lcrS PiAA{,'lfi ExcteD fi'\AxtMltrrtPc,nit tee I
Y\eWtK i(Es(RrcTruJ(
\'lly ltlspe0liOrr ke0t|ieo v I il'2
I?eq
"
r RE^I€J Ts
c4'U) .' ,
-Kls#+e3
ztP
LOT ll: --I
\c
,$b.-
,A'
a
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSI'ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
LICENSE #:
CITY:
?,I6-(or?1
L6-27 36
APPLICATION
Number
(office Use)
APPLICANT'S NAITIE: chrls schearer R 1V AICh ltEC EUTE cschearertir4architecture. com DATE: 9 /22 /15
DEVELOPER:PHONE #:
PROJECT ADDRESS: .t50 sourh colteoe srreer
OCCUPANT/BUSINESS NAt'lE: Wendy,s Resrauranr
PROPERTY OWNER'S NAME: New south Prppelt j-Js qf Cf emson, LLC.
OWNER,S ADDR 515 Bentbrook Lane CITY: ct emson
CONTRACTOR TBD
ADDRE
EMAIL
ss:ST: _ ZIP: _
ss:PHONE #:
PHONE #:PRO]ECT CONTACT PERSON:
(ch€ck all That Apply)
EXrST CONSTRUCTTON: ! ALTERATTON I nelrOVlrrOlr
lf Relocation. is there a Natural Gas Line on the Current Site? Ll
GENERAL
Euo IS BLDG SPRINKLERED?[v". filro
REPAIRS RE LOCATION
Yes
NEN CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHEL L UPFIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - Ihe Shell Permit #:
ENGR DESIGN PROFESSIOIIAL:
DESCRIPTION 0F WORK: renovation and modernization of existi
Is Elect Power on this Building flves Eruo
PH: 7o4.5BB.7soo Nc REG #: 6239
PH:NC REG #:
nq Wendyrs Restaurant
ls food or beverages prepared or served in rhis structure? Eves I Uo ls The Property Located ln The Floodplain? [ Yes I No
DISCLAIMER: I hereby cerlify that all inlormation in this appllcation as correct and all work wllcomply with lhe State Euilding Code and all other applicable State
and local laws and ordrnances a rd reqularions The NHC Development Services Cenler will be nolified ol any chanoes in the aooroved olans and sdecilicatronsor chanoc in conlrachr or .nnlraclo. infdrmation. "'NoTE: Any work Performed wo lhe Appropriale Permits wrll b1 in vrolalion of the Nc state Bldg code andSubjectlo Fines Up To $500.00"'
OWNER/CONTRACTOR:SIGNATURE:(aualE€r) (Pdnt N3m3)
contaln Asb€slos or not. You are r€quired to callthe Nadonal Emisslon Standards for Hazerdous Alr Pollutanb (NESHAP) at (919)707-5950 at te$t 10 dsys prior to th6
demoliton of any facility or buildino. S€€ Asbastos Web Sito: htF:/r1ruw.epi.state.nc.usr'epi/asb€sto€y'ahmp.htsnt
TOTAL PROJECT COST: g7oo, ooo BUILDING HEIGHT:
TOTALAREASQFT: ,.250
TOTAL SQ FT UNDER ROOF: 3.2s0
ACRES DISTURBED:N/A
NEW IMPERVIOUS AREA: N/a
SQ FT PER FLR: 3.2s0
#OF STRUCTURES: r
EXST LAND DISTURBING PERMIT? N YES Ei NO
SQ FT EXISTING IMPERVIOUS AREA:Existino SQ FT
PROPERTY USE: f]OFF|CE RESTAURANT lr/lencnnrLe leouc lner lcOuoo OrHER:
WATER: ECFPUA COMMUNITY SYSTEM WELL E ZONING USE CLASSIFICAT|ON: RB
SEWER: E CFPUA CENTRAL SEPTIC PRIVATE SEPTIC COMMUNITY SYSTEM
"'SEPARATE PERIVITS REOUIRED FOR ELECT, IVECH. PLBG GAS EOUIP PREFABS & INSERTS ''
PAYMENT METHOD tr CASH tr CHECK (PAYABLE TO NHC)AMERICAN EXPRESS MCA/ISA DItrtrtr
(rs
SCOVER
ha
(FOR OFFTCE USE ONLY)
SETBACKS: F:LH:RH:B:Approval:_ City:_ DATE: FLOOD:
-
BFE+2ft=
ZONE:_OFFICER:
NCommentPERMIT FEE: $
6&f .
cory'
CITY: witminqron ZIP: 2gao3
PHONE f: a64-'t Lo - 92ol
ST: sc ZIP:296x,
***** rs rHrs a 6HANGE oF occupaircy usE? EyEs fim *****
IF Yes, what was the Previous occupancy Type? _
ARCH DESIGN PROFESSIOI,IAL: Michael Joseph Remesi
What is the New Occupancy Type?
# OF UNITS:
# OF STORIES: r
# OF FLOORS: 1
REVISED DATE 4/11/12
ilsl'n,"\gt
NEW HANOVER COUNTY BUILDING PERfVIIT
APPLICATI1N IYPE; COIIMERCIAL
PLEASE A|]SU|ES ALL QUEST1ONS APPTICABLE T0 yOUR PRO:I[(]
"Project ResPonsibilitY"
ZolQ- tooTq
APPLICATION
Number
(office use)
APPLICANT'S NA'.1E;
DEVELOPER:
DATE:
PHoNE i* t
PROIECT ADDRESS; l 50 ColLeqe .Rd SouLb
OCCUPANT/BUsINESS NAME: Hend:., s ReslrsLrrant
CITY: !ril ininqLon ZrPt-
PRoPIRTY Ol,lNER'S NAI4E:
5T:rr ZIP: 2-i,1a1
OI^INER's AoDRESS;
CONTRACTOR: venLure constructr.on co
ADDRESS: {A Teltace way
EttAIL ADDRESS: wend)'movenEureconscruct i c::1 com
PROIECT CoNTACT PERsoN: wendv Mull
8040 Artolrridq e tsl.vd CI TY: char.lot-Le
LICENSE f: 6 93.1
CITY: G):eeDribo]:c)
,*PHONE s: 31a 85,r - 19i 6
PHONE $: lJ 6'- lis;r -.i 944
{Ch((k AII .h8t aPPIY)
EXIST CoNSTRUC TION: n ALTERATION RENOVATION GENERAL REPAIRS RELOCATION
lf Relocalion, is there a Natural Gas Lino on the Curren( Site?n Yes E rro rs BLDG sPRlNKl, EnL:D'l [v"" I
st,, CoNSTRUCTTONT fl ERECT NEhl STRUCTURE I rnsr rnlcx SHE LL UPFII f] mo ro Exrsr srRUcruRE
If UPFIT - Ihe sheLl Permit 'i:
Is Elect Polrer on this Building n Yes il*o
.,.r*i rs rHrs a cHANcE oF occupAtcy usrr ffivrs n*o --""
IF Yes, what lras the Previous Occupancy Type?lljhat is the New occuPancy TYPe?
ARCH DESIGN PROFESSIONAL:
EIJ6R DESIGN PROFESSIONAL:
PH:
PH:
NC REG #:
NC REG E:
DESCRIPIION OF hORl(:
ls food or beyer€ges propared or served ln this sruauro? flves [ruo ls The Prope,ty Located In Tho Floodplainf Iv"" [] ruo
DISCLAIMER: I ,rereby cGrllty tnal all inlormcl,on rn I'rrs appllcal'or is ccrl.rcl aod.all wo'k.'.Jlll comDlv v/r'h the
I*ifriffrUlq{$,fit*",'L
r'o'N8i-.b"^';i"'r,:;'s:,il$::e,13:rsls"'r."Jsl""0""i''r'r'
Sta:e Buit, no Code ;-d dlr ( r'p rpp .cablc 51.r"'
i rrar,ocs rn rl'i rou o fJ olu_s aro s;\- jir lro"s
*ril l t n \-o'ar.;- 1l 'e l\ ' +la'- rrla_ C')Ll\' a,!l
OWNEFYCONTRACTOR:Ildv l.4ul1 SIGNATURE:
(Ou!im., (Pnnr Noi6)
Nole:Demol(onndlfcailons&asbestosl€.novaIp€dnltapptlcallonsalelo&slbm[ter,Usingih6sppllcalon'orhlDHHs'3768)j'helhoj'l
-Jri L*o* , na.
"otl
ale requlred lo call th; Nartonai emtsston sandards lor Hazardous Alr Po'lultrns {NESHAP) al (91e)707-5950
i-.ii'", "i ""y
AU,,w * Dullding. S€e Asb69o$ W€b Sfter hllP:/ 'w\rv
epi'slate'nc us/epl/asbeslos/ahmp'hhl
at ban 10 days p.io.lolte
SO FT
TOTAL PROJECT COST: --"..- BUILDING HEIGHT # OF UNITS
TOTAL AREA SO FT
ToTAL SO FT UNDER ROOF:
-
f OF STRUCTURES:
ACRES DISTURBED Exsr LAND DlsTURatNc peR[.ltrr f-l vrs f] uo
NEW IMPERVIOUS AREA SO FT EXISTING IMPERVIOUS AREA:
WATER: ECFPUA
SEWER: I CFPUA
ZONE:----oFFICER:
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
REVISED DATE 4I11/12
Approval:- CitY:-- DATE:-FLOOD:
--
--
BFE+2ft=
AVN
PERMIT FEE: $
# OF STORIES:
# OF FLOORS:
NCOMMUNITY SYSTEM f-l WELL I]ZONING USE CLASSIFICATION
f; cerurroqr seprtc fl PRvATE sEPTlc f]coMMuNlry SYSTEM
-' sEPAB/.lE PErir\rlls tlS|lull-{Fl1r_r,rr !LErr r'1LL)r. Pi BG. GAS EOLrlir PAEFAIIS &lNS!:ills "'
pAVltENr METHpD: ffcasH #rr"n (ror*LE ro NHc) ffieuentcnn exeRESS f] Mc^/lsA I otscovrn
Comment
: i. '.)
: iEt U -l
.,. ii,,ol .'l
'. . lll 'all'r;tJd'i;l.r :;
caroljna ResLdularL droup {welldv's ResLaLlrdr:L PHONE #: ic4-94i-r!io9
ST: !!_ ZIP: 2s27-1
SQ FT PER FLR:
--.---
pRopERry usE: [oFFtcE f]nesreuRrrur [urnCelrtre [eouc [eer [coHoo oTHER:
\']s'
#
APPL ICANT' S
DEVELOPER:
PRO]ECT ADD
SUBDIVISION
Tprt-?o}a
I L'20n
APPLICATION
Number
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL ITTOBILE HOME
PTEASI PRII]T CLEARLY & AI]5I,iER ALL QUE5TIONS"Project Responsibility,,
ztP t .:)-5'1/ ?
LOT *:
PH}NE a: /7/ 4 -c-'7 F.r
i
NAME:
RESS;
PROPEfiTY OI.INER'S NAIiIE:
CITY:
5
farY I
c o
OI,JNER'S ADDRESS:
CONTRACIOR; EI
EF1AIL ADDRESs:
PRolEcT CONTACT PERSoN: l)F,/.1/.1 /a k cnA-5a. /-
DESCRIPTION 0F II,ORX:a /l
/) tL sf | 1z ztP | 38d /7
LrcENsE sr 2) t-t 2-ACCOUNT S:
t),3!u..SI I n, (:ZfP | .\b'-/ ? '/
PHONE f:
PHoNE $; ?L/ -al ./-&?b6
?
_l-,t)Y<ll) J) \f * t.. t Z.E:
ADDRESS: ,4 ?U n <'D;a, Di\ i CllY t /.c.' t
(CHECK ALL THAT APPTY)
rNsrALL NEW MoBTLE HoME [fx-rocnrroru oF usED ,,roBrLE HoflE
)F)l
De.iorft.i S@r.t C.nt' 'rl !. tur.6 or ,y .h.no!r . ,r! .rr&€d d... ..a rr.c,iioo-5 ! (h..e. ,n .Mlris d .otusE .iotulon -.NOr€ A.r w.d p.no,4! wO r* Arr.orn.L em 6yrL !. '. v'obro^ or hc NC Sldc srds C.dr a^d Subrcct ro rn.B up To ttoC0n--(-- '
Pt./'oWNER/CONTRACTOa: lI <, F tf)Dpa f STcNATURE:
(prinr Nahe)
)i ** * 'r * * * * *)* + * * * * * * + * * * '*
)t )i * * 1* * ** I * r* ** r* t * t * * ** *,t
rs rHE pRopERTy LocArED rN a rloooruut I v
PROPERTY UsE/OCCUPANCY; ffiSTOTHCT / oTHER?
ES o
HUD LASEL: d 4x'7//
YEAR I4ADE &-s WIDTH:
I,4AI,JUFACTUR ER :6Pt1-rya e
LENGTH: O f_....1+-
SERTAL f:
COLOR:
s
HURRICANE ZONE:2E3 sMoKE DETEcToRT Es Ll N0 GARAGE: Ll vrs [l_r0 sF1Y
)
RE!15E0 !/ 12l 12
DECK: E YEs 0 sF PORCHT E YES _5F
CE
IC
I lYEsl INo
TOTAL PRolEcT CoSTlressroq: $ {{t f '"t roraL AcREs DrsruRBEo:
Exrsr LAND orsrung rNc-pER-;;;I
I/JATER:
SEWER r
r pun l-l
r eua l_J
COI'1I,1UNITY SYSTEM
CENTRAI SEPTIC
PRIVATE l,]Ett
PR]VATE SEPTc
NTRAL I^/E L L
CoMUNITY SYSTET'1
-., :i:P,:11r..;i: li:tl'r't( ll.,;tit||'l ri.il tll(r, \t\-r1, Irirf . i:r,s t(,rirr, r..:t.i.,.a: rt t.|:.!:,,. ..
pay ENT nETilOD: ICrSx f] CxeCx lrAVaOle ro mrc; I arll rccourr I r,rcTvrsr florscoven
(roi orrr(r u* 0{t Y)
ZONE: _oFFICER: _ SETBACKS: F:_LH: RH: B:Approval:_City;_DATE:_ FLOOD: _ BFt+2ft_ _AVN
Comment:
(offi.e U5e)
oorr, l/t//l'PtlOtlE S:
-*
BLOCK #:
P€RMIT FEE; $.-