NOVEMBER 16 2016 BUILD APPS,fli\w Y;
:i ffi
APPLICAT,ON T YPf: RESIDENTIAI
PTTA5E ANSWIR AI.I QUTSTIONS APPLICASI.T TO YOUR PROJ€CT
"Proie.t Responsibilily"
CITY
^ --+o="ffima-o
.lotto - ( togg*,
o"n, ))APPLICANT'S NAMI:
PROJECI ADDRESS:ztP
SUBDIVISION:#
€,,4to ;01-E{7rPROPTRTY OWNTR'S NAME
OWNER'S ADDRESS:e Cr^CITY
PHON Eh
PHON t
ztP _
CONTRACTOR
ADDRTSS:
tMAlt ADDRtSSI
PROJTCT CONTACT PTRSON O.9orr &\,^..
Ll Att Gara8e (sF)_
E Sunroom (SF)
I Greenhouse (Sf)_fl Deck (sr )
ls the proposed work changing the existing footprint? E Y€s D No
TOTAI Sq FT UNDtRROOF Uor proposed wori() H€ated:
TOTAI, PROjICI COST {Les5 tot): S
BI,DG LlCtNSt #
n cr)STr_- ZIPCITY o
it .1 -(
a.A P HONT
.'TPLEASI CHECX AND ANSWTR BTLOW ALI. THAT APPTY TO YOUR PROJECI"'
D Det Gara8e (SF)! Porch (5F)
[] Pool {sr)
q0-dq7-.?)
EXISTING GONSTRUCTIoN: [l Alleration D Renovation ! General Repairs
NEW CONSTRUCTION: I trect New Residen(e (AOa,rion to [xrstrng Residence f] Relocation
E storage shed (st)_
E orher (sr)
Unheated:^U
ls the proposed work chan8ing the number of bedrooms? tr v"t! r.ro
ls any €lectrical, PlumbinBor MechaniEal work being done tolheAccessory Structure E Yes
ll the project is a Relocation, is there a Narurgt Gas line on the current site? E Ves fl no
l5 there eclrtcal Power on lhis Buildrng? X Yes El No
x*
,"nar(Property Use/ Occu Famil y E Duplex Townhouse
Description ol Work:
/
DlSClalMtR: lhereby rerrrty thal all lhe anlormanon an rhi5 apphlation 15 rorrecr worl wrllcomply w(h the5lare a in8 Code and ellolher appl.ableslalt and lora
lawr and ordinanres and ,€gulalionl The NHC Developmenl Servi(er Cenl€r will be norili€d ot any chanS€s in th€ approv€d plan5 and spe. i.aliont or cha68e in tonlractor
Any work p€rlormed withoul rhe appropriate p€rmits wrll be in vrolarion ol rhe Nt stale Sldg code and rubi€cl ro fines up lo S5O0.00"'
(
rntormarron "'NOTI
Owner/Contradot
"LEensed Quolliei'
arh Signature:
Total Acr€s Disturbed:
F-a _/ ,1 _/
ls the properly located in a lloodplain? fl Yes
Eristing tmpervious ar"r' \ 5D) 5o r,
New lmpervious Area
D
3
ol
___ ._ Sq rt txisting Land Distuibing Permil: D v., Vroo
X No
a
WATE R
stwtR
CFPUA D Communily System fl Private weil fl Central well fl Aqua
crPUA fl Community System fl Privale Septrc fl central Septi( D Aqua
zohe: -_ _ Officer: Serbacks (r) _ (tH) _ (RH) __ lB) __
Approval: - CilV: __ Date: __ tlood: (A) _ {V) _ (N) __ Bf E12lt=
Comment: Permit tee: I
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AP P LI CAT'O N TYPE .. RESIDENTIAL
PI.TA5T ANSWTR ALL OUTST!ONS APPLICABLI TO YOUR PROJECT
"Proiect Rcsponsibility"
&rotto -IL D15I
t,i U5 l,n (.,t0,,,,t-e Date: rl t_APPLICANT'S NAMT
PROJECI ADDRESS:tti.c'vei..lc'CITY *t, trtl, r,a iarr ztP 2.9,i n'!
SUBDTVISION:
I
LOT #
PHON T f ? to"zt,; triqs
owNER's ADDRtss t /r,L,g
h,I -,t TS foi*l,,r,s Bt DG UCtNSt #
CITY |uarl,*, Et,J ST: Jre ZIP: 4l1U
PHoNt 2t ; t'J
CONTRACIOR
ADDRT 55
TMAII. ADDRISS
E Sunroom (5F)
Property Use/ Occup
Description of Work:
:l Ea ,,,, t. t.a. t2o'1 tJ
PROJTCI CONIACT PTRSON l*1,--nl;,'l.,*l PHONT't
EXISTING CONSTRUCIION: [] Alleralion D Renovation I General Repairs
NEw coNsTRUcTloN: I trecl New Residence fl nadirion to txislang Residence n Relocation
."PLEASt CHECK AND ANSWER BTTOW ALI. THAT APPLY TO YOUR PROJECT'*'}
[] Afl Garage (SF) _fl Del GaraBe (sF)
D Pool (St)
E Deck (5r)
fl Porch (SF)
d Srorage Shed (sr \ 1-q b <9 ii
fl other (sr)[] Greenhouse (sf)
TOTAL SQ fT UNDERROOE Uat proposed work) Heated llio
TOTAI PRO.IICT COST (Less Lot): $tS lz-
ancY:Single tamily fl ouplex E Townhouse
d.J,
Unheated
ls the proposed work chan8in8 the number oI bedroomsl D yesX ruo
ls any Eleclrical, Plumbing or Mechanical work being done to the Accessory Structure I Yes D No
l, fhe project is a Relocation, is there a Natural Gas Line on the current site? D Ves P lfo
ls lhere tlectrical Power on this Building? El ves E) Ho
l:w5 and ordin.nrei and reSulalion5. The NHC D€velopmenl Servic€
inlormation "'NOIt Anywork perlormed withoul the approptial
! Cenl€r will be oolified o, eny chan8€t in the approved plan! and spe(aritalDns or 'hanBe in tontratlor
e permilr will be in violalion ot lhe NC Siate BldS Code and tub,e.t 1o lines Lrp to 55O0'00"'
Owner/Contractori
"Llcensed Qoohliet
,lt t Signature
ls the property located in a floodplain? f] ves [i no
txisting lmp€rvious Area: __- Sq tt
New lmpervious Atea: --_-- Sq ft Existing Land Disturbing Petmit: n Yes D No
WATER: ELctPUA n communilysystem fl Prrvatewell D central well fl Aqua
STWER: H-CFPUA C communitysyslem E Prtvate Seplrc E Central septrc E Aqua
zon€: ollicer:
-
serbacks (f)
-
(LH)
-
(RH)
-
tB)
-
Tolal Acres Disturbed
Approvalr --- - City: ,-- Dale:
- -
tloodr(A)
-
{v) -- (N}
-- Bf Er2lr=
- ---
Permit tee: 5 75-
PROPTRTY OWNTR'S NAME:It:l,u L,l)t,'tt.B
ctTY_____zrP
ir
ls the proposed work chanBinB the exisrinB lootplint? [J veszQ trto
I
)Cttr ltc.15
A?PLlCAflO N TYPE; Rt ! IOE NrrAL
Irt ,|'!t ,Nst(ri ,L ( otJ[ sl rotJS aPrl i(r8t[ 'lc yot]R tF(rJ.:
"n.- je(l B.ironribility"
A?P|I<A: ,i! t i..: __.
,8OJf'_ I D)Ft Ss '11.
suSDtvlsroN
C- ' i'^i:1 | t.i
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- i*rlz.l ."r B""i- s't ,'- zto Zt.ta!
-. tholrf- . :it.t L::.;:!::!:
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ior o
PRO'f.IYOWiJtR'5tr-Al!1t - -,),, l-,i)) 1.,
owN': s aDoRts! ,:.1 . '
PHOHT,
clrY
'lOIAt PROit:- -: ;I lL€ss ioi) S--L\-{
iX'_ \6COl' ;U:_r''N Allrraror, I Rfl,o!atr()i I I Ci:.ri,llr.riirr!
'rrWtOl{!IFUtllON . f :'r,l{:w1,.. rcr. ',' L,ld,r,on to Lrrsrrnt Reridcn(e i Retocatrcn
.,. i.r.tA!!(!l,i ct.a!g{r!!!t!!.9! low Au,Iiia.lrpriy 1o yguR pioJti; ...
L ^lr G.iage(Srl i, DeIC'atege(St)-. f Por(hlsrl_,
(r',..co,srl : rpool(sli - i.i Sr. -- Snkollr,
Grttnhcrrr : i- ' -k '-,1 r Olrrr! l\r j
. ,hr p,opolr.iB'.r[ (hanli , ih(.',!l ^.,oolprrn], Ycl '.1 No
TC]A! 50 Jl\:.'. ROOf i' - :: .'-,,. aat^\ Xezrea. -- L'l12-- -- Unt,i.ated:
', rlr! o'orcreo r;orl ah?n^ -i'-" orjrirl , j! bec,,oom9; D Ves t ffo
r.rtEie.tri.al,tt,-.'.a:rM€chanicalq.'r.b!rnE.J-'.lolhcA(r.550ry5tr!(t.re 1/vts -wo
il tha i)'ojurl i1, Relr_:'lon, r! lh€.e a Nalural r t' l rn€ cn th€ (urrenl silt? - Yer,ff No
rl i lerr- llecrri(i,lPc , rnt' 8ur''f'p,\ E Yer No
Propell,/ u1P/ O(.,,.:,
Det.'rption ol Work'
S.-,,- r. .,,y ^ Dupter Townh-,,re
".r! r. ^n!vo.l, '| -!,jerr'-..rrhtro9ne...ripI'-',*lrl,.!'olrli6!lth"H(t1.rrhrrrfia.n!"rdru5).rjror',.\rt,1!!tccoar"'
Ownr./Coi1,. !tor Slir u{c
;.{-,t; r... lloi .n,";, i l y.rs ,0 t,ro
trrlting lnp€r!'o!. Are! -_ 50 ,1 lolal A(ti: r)istutbto:
:{?iv lxlrjug ou: irea Sq tr [!,(l,ng Land Orslulbin8 t'r'.'tl
!\t -!j. i..^.,i!,ri\:,.r, _ ,',.,i, i/r L:J i.qru
rt rvt* ? r" r ",,,
_- i i.r.r( !€f,1,. -l i€:1 ;: 1r;,1 : ,.'.:-.
,0..1-irr u,, . t.{rii s€!!...krrr)}J/Air", 5'l*n, -5'rs) r)'ll'.,.,.,iitt;rr
r'.lsgK a,r.zt,.
',: ,
1-r-1.\ r-r :'
aeercvar i ( ci'v.Ui ti.-l.1 i oaeilf 41lt erooa ter . lv]
."--, *-fr,;l {iL tiJrc,nrl',)i}4J dL,{S pj{'lcf ni(Ulrr'rut11..
:11t9-l\il- \ X.-uo.t ,-,.> (ir. t:i'{iL,:-
, ttY t,l(!::LPe,r-,, rft 5
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NEW HANOVER COUNTY BUILDING PERI'IIT
APPLICATIoN rypE I DEMOLITION
PLEASE PRINT CIEARTY & AITSWER ALL QUESTIONS"Project Responsibility,,ffi
APP L ICATI
Number
APPLICANT'S NAME:il"rK Clc,ur"rt l>
(Office Use)
DATE :o-5t^ )L
DEVELOPER:CL PtoNE *1lD zoo -r'
ztP: ?S ?/ /
PHONE *: ?tO - 700 - ays v
SI: \l{.zIP- Zt?a-
ACCOUNT }:
st I AyJtP I z
PROIECT ADDRESS I
SUBDIVISION: 7o
CITY:13 rtec.K'BLOCK #
PROPERTY OWNER's NAME:
OWNER'5 ADDRESS: 145 a / TY/. ( Pr,
CONTRACIOR: C/
NDRESS: // Ctrc /c
CITY:
LICENSE #:
CITY:
EI4AIL ADDRESS: I la utn tt r lfle an @ btll utl' nof PHONE ,: a111 l2o ?d.t- l:/o ".* pHoNE : 4,a /zz qclcPRO]ECT CONTACT PERSON:
DISCLAIMER: lhereby certty thai alt informalion in lhis appl
and ordinances and regutatrons
coniraclor inlorrnalion'.'NOTE:
ot,lNER/CONTRACTOR:
* * * * * * * * )k * * * * ** * )** * * * * * * *,* *
_,1IS THE PRO]ECT:.ZJ REsIDENTlAL /
(l,rhal Iype of Buildint Oo yo! lanr ro Oehotisht)
Ealion is correct and a| work wil compty wiih the Slate Burtdrng Code and ailorher apprcabte Slale and loca a$sThe NHC Oevelopm€nt Servrc€s Center wj be nol ied olanv changes in the approved ptans and specfications orchange in coniraclor orAny Work Pedormed WO lhe Appropriale permiis wit be in Violalion ol lhe NC Slale B es Up To 5500.00"'
SI6NATURE:
,***)t**,********:t*x,r+******,**********************,r*****,tt**
COMMERCIAL TOTAL ACRES DISTURBED:
TOTAL PROIECT C0STlressroq: $ ,{tt . tA EXISTING LAND DISTURBING PERMIT? fl VeS ft nO
DOES rHrS STRUCTURE OR BUTLDTNG CONTATN A5BESTOS? il yEs U No
rs THERE A NATURAL GAS LrNE CONNECTED TO THIS BUrLDrNel I vrs F m
IS THERE ELECTRICAL POWER ON TH]S BUILDING? E YES F*o
WATER:
SEWER:
CFPUA
CFPUA
COMMUNITY SYSTEM
CENTRAL SE PTIC
PRIVATE I,JET L
PRIVATE SEPTIC n COMIYUNITY SYSTEM
Note: The National Ernission Standards for Hazardous Air pollutants (N
days prior lo Ihe demoiilion of any facitity or building, whether fie faci
ESHAP) Regulalions Require thal you conlact them al (919)707-5950 at teasr 10lily or building was lound to conlain Asbestos or nol Demolilion notficalions &asbeslos removal permil applications are to be submined using the applicalion form (DHHS-3768). this form can be found on lhe web sjte shown belowNole: Oblaining a demotition permil from lhe NHC lnspeclions Depld oes NOT satisty or meel the nolitlcalion requiremenls of the HHCU (HeallhHazards Conlrol Unit) 'Keep in mind lhal an asbestos survey is required by a NC accredrted asbeslos inspeclor prjor to any renovation or demo lillon ofa facilily Please see lhe
PAYIi'iENT T]ETHOD:
****,t)i**+)t)t
Asbestos Web Sile hllpi//www p hlrnl
OFFICER:SETBACKS:
cas, p cuec* (payaBLE To NHc) flerr,l accouu f] unsrencano I vrsa
******)******,t****,i*****,t+)t***:t)***,i*****)****************+***************
(FoR 0FrI(t usE oNLY)
Appnoval :_ City:_ DATE :_ FLOOD
F: LH: RH: R.
BF E+2ft=
N
ZONE
Comment:PERTIIT FEE: $7=-
LOT e'
-
DESCRIPTToN OF ratORK: -7. tt . z</ - .4, , /,, +_
Aow- \i to I
NEt^l HANOVER COUNTY BUILDING pERMfT
aPPLICATToN rrpEr DEMOLITION
PIEASE PRIIIT CTEARTY 8 ANSIIER ALL OUESIIONs..proj€ct Responsibility,,
L)
ffi
APPLICATION
Number
APPLICANT'S NAT1E:cl"raoa*s
(offi.€ use)
DAIE lO-7 /-/aDEVELOPER;LC
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER'5 NAiIE:LL
OWNER'S ADDRESS;3
coirTRAcroR: cle 1^/gr.t3 +
CITY:
CITY:
ICENSE S:
BLOCK *:
PHONE S:
ztP Z-$///
PHoNE $: ?/l Zao - 7y,t?_
St I n?L zlP tzt./to
ACCOUNT S:
5T:zLP I Zlq( 2
PHoNt i: qD LZo ?atra'
PrcNE t:1)D_1.2_e:U.d
T.DDAESSt tt7- C rc./t t> it,.<CITY:
E AIL ADDRESS: tll,v,tls Ma,,CLD P,3.ll*nl,h,4ef
PROIECT CONTACT PERSON t/*rl(c lepr"n)s
DESCRIPTION OF I'IORK: 'Tn lvm.Fro,',,t 5 ,c-.
(Ihat Type of Euitdint Oo you uant To Denolish?)
DISCLAI'IER: t ner€by cgrrry lhal alr inrormatjon in this appticstion is correl and altwork wj comply wilh lhe $ate Burlding Code and alt oltrer app rcabte Slale and localtaws6nd odjna.ces and regurolions. The NHC Oeveropmenl Servrcos Center wil be noririsd oJ os in ihe approved plans and speciricalions or chang€ n cont raclor orcont.aclor intormalioo. .,'NOTE: Any wort pedormed w/O rh6 Apprcpriale permits wi be of, ollhe NC Slale Btdg
'nes Up To 3500 00"'
OU]NER/CONTRACTOR:SI6NATURE:
,i)r**********+***)********,t***x,r,i*+)t,*t**,t***,|*********l*,*,***,i**********,**r**********,f******
rs rHE pRolEcr:,[frrsrorHrral / E] colurRcrnr rorAL acREs DrsruRBED:
TOTAL PROIECT C05T (LessLor): $ /,7ooo on ExrsTrNG LAND DrsrURBrNG pERnrT? ff ves p no
DOES THrS STRUCTURE 0R BUTLDTNG CONTATN asBEsToSt flVeS fl NO
I5 THERE A NATURAL GAS LINE CONNECTED TO THIS BUILDINOI I Vrs / ro
I5 THERE Et ECTRICAT POWER ON rHrS BUTLDTNG? flVts / no
I,JAT E R :
SEWER:
CFPUA
CFPUA
COI,IMUNITY SYSTEI,I
CENTRAL SEPTIC
PRIVATE !,JELL
PRIVATT SEPTIC COIV]MUNITY SYSTEi\,1
PAYiIEt,IT IlETHOD:
+,tt,i + +* * + ,* * ,i,t ,l * *,a,f )t** * * + * * ** )x r* * *,* ** * * *,1**,** * * +*,t * * *,* * **,N,* * +* * ** * * * * * * * ** * r*,k* * * * * )r * ** * * * *
ZONE :OFFICER:
(FOn OFFICE l.JsE otrY)
SETBACKS: F:_ LH;_ RH:_B:.-
_JLl cAsH l/ cutcx (PAYABLE To NHc)BILL ACCOUNT I nasrencrno I vrsr
Appnoval:_City:_ DATE:_ FLOOD: _ BFE+2ft=
ft
Comment PERI'1IT FEE: $
-.
LoT {:
Nota: The National Emission standards for Hazardous Air Pollulanb (NESHAP) Regutelions Require that you contact lhem st (919)707-59s0 at teast lodays prior Io lhe demolition of any tacilrty or building, whelher the facility or building was tound to conlain Asbeslos or not Demot(ton nolificalions &asbeslos removal permit applications are lo be submilled using lhe applicalion form (DHHS-3768) This form can be tound on lhe web srte shov/n betow.Noler Oblaining a demolition permit trom lhe NHC lnspeclions Dept. does NoT salisty or meet the notifrcation requiremenE o, lhe HHCU (HealhHazards conlrol unil) 'Keep in mind lhal sn asbestos survey is reqrrired by a NC accredited asbestos inspecior prior to any renovation or demolilion of
a facil,ly Please see the Asbeslos Web S e lrllo ,,vJ.1,w cOt !!Atc Ic us/eDt,asbcsloarahtnn ltrfl
tli
i:,ffi
, APPLTCATION rYPf: RESIDENTIAL
N- L,t\ r ^ ^ - , PtEASf ANSWIR al-L QUESIIONS aPPtlCABtt 10 YOUR PROJTCIA ((,.{\LlZ t \LL ]t.r ,,proiecr Responsibitity,,
f;. ,+n o
- APplratlonJrtu *)odm*,
Dat€lclIt)lAPPLICANT'S NAMT
PROJECI ADDRESS:7OD{CITY zlP zi?t L
SUBDIVISION
e*?-ts *na A,,-,c l<o-Ir-nPROPIRTY OWNTR'S NAMf]
oWNER's ADDRESs: 76 C-h x.".,*rA Dr-
B/ *c.k
PHONT f Bog 30?- )1Yo
clTY: tit
BLD LtctNst fi
ctw Lt1 * @z|P.?fYe ?
PHONT: 'l o s-t/?)t
PHONE il .- L3 S'(2. I
YOUR PROJ
LOT #
TMAIT ADDRESS o/c /?ltZ. oo
PROJfCT CONTACI PIRSON 6
ExlsTlNG CONSTRUCTIoN: ! Alteration fl Renovation I General Repairs
NEw CONSTRUCTION: Ll Erect New Residence fl addltion to t*irting Residence E Relocalion
E An Garage (5f)-
! sunroom (st)
R row ALr. T
D Det Gara8e (sF)
I Pool (sF)
tr Deck {SF)
F Porch (sF)2(oCHECl( AN P
E Greenhouse lst)
-
ls the proposed work chan8in8 the exisrrn8 lootprint? E
TOTAL SQ FI UNDTR ROO! Uot ptoposed work) Heated:
TOTAT PROItCT COST (Less Lot): S I o,t)
Yes E No
l*oo unheated: 4o O
ls the proposed work chaneinS, the number ol bedrooms? D ves fl lo
ls a ny fleclrical, plu mbing or Mechanical work being d one to the Accesso rv Str uctu re ,l$ Yes D tto
lllheproiect is a Relocation, is there a Natural Gas Line on the current site? E ves ! no
ls there Electrical Power on this Buildin8? El ves E t'lo
"n.y' ff
I:YProp€rty Use/ Occup
Description ol work:
Single Family E
24 Sote-c
Duplex E Townhousen for.tt
D|SCLAlMtRr I hereby !ertity ltrar a rhe rnlormarion in lhis apptrcalion rs (orre(r and alt work wrll comply with lhe Siale BuildinS code and all other applicable Slatt and loci
lavrs and ordinances and IeBUlationt The Nllc Oevelopmen15e'vicescenle'willbenolili€dolanychanSesintheapprovedplan!and5p€Cficationsor(hanSeinconllaclol
h'ormarlon, ... Nolt AnY woII perlolmed without the appropriate pe'mil5 wi|l be i. vlotalion of the Nc sral and subJecl io ines up to S5OO O0"'
f?*/<_,J.SitnatureOwner/Contractor
''lrensed QuoliJiet"
ls the property located rn a lloodplain? D ves ffruo
[xistinB lmpervious arca: ]lOO sqFt Total AGr€s Disturbed:
New lmpervious Area: _,?(o Sq ft txistinB Land Disturbing Permit: D Yes E No
wAIERt .dcfPUA f] communrty System E Prrvale well D Central weil D Aqua
stwtR: 6cFPUA D communiry system C P vate sepli. fl centralsepti< D lqua
zone: ollicer: setbacks (f)
-
(tH)
-
(RH)
-
lB) --
--+-
Approvali City: -- Daler
--
f lood: (a)
-
(v)
-
(N)
--
Bf t{2lt=
p",-ir r"", t i s-Commenl:
CONTRACTOR
ADDRTSS:
te 2tu_<7
fl storage Shed (sf)-
E orher {sr)--
N$U'&r
AppucAfloNrypriREstDENflAL ?CnG.ll0
PtEA5E ANSWTR AtL QUESTIONS APPtICAETt TO YOUR PRO]IC'I
"Proi€ct ResPonsibilitY"
AtAI I apPrrarronWL
APPLICANT'S NAMI
PROjECI ADDRESS:
CI{89 REE\JTs'
suEDlVlSloN:
PROPERTY OWNER'S NAMT CUAO Ree{rs
OWNTR'S ADDRTSS
CONTRACTOR
ADDRISS:
TMAIT ADDRISS
PROJTCT CONTACT PTRSON
CITY
Date
tor#qL
PHON t fl qn -27q ^tq77
ClrY: W I {^,fft)^ue 234//
B UCtNSt rl
PHONT
CHA l.LsF\lF5
.'lPLEAST CHECI( AND ANSWTR BTIOW AIt THAT APPLY TO YOUR PRO.,ECTI ' 1
D Det Gara8e (SF)M/Porch (sr)zbj aF
t1fllne' Z*4ll
ExlsTlNG CoNSTRUCION: L l Alleration /genouation fl General Reparrs
NEW CONSTRUCTTON U trecl New Residence oo"ion rot xisting Residence ! Relocation
E A1t GaraBe (SF)
-
! Sunroom (sF)
E Greenhouse (Sf)
-
tr Deck (Sr)
ls the proposed work changing the exrsting footprinl? n Yes D No
TOTAT SQ tT UNDTR ROOr Uor ptoposed workl. Heated
E storage shed (st)-
Unheated: 2BO 6F
ToTAr PRoJECT cosl (Less tol): S 6 , 5U) , Oo
-
,
ts lhe proposed work changing the numbel of bedroomsr D Yes druo ./
ls any flectrical, plumbing or Mechanical work being done to lhe Accessoly Sttucture f)-Yes [!I No
lrthe proj€ct isa Relocation, isthere a Nalural Gas Line-on the current site? E Yes E}-No
ls lhere tlectrical Power on this Buildingf tr ves Ef|o
Property Use/ occupancy:ingle Family tr Duplex E Townhouse
Description ol Worl:t)-
DISClalMtR: lhe.eby (enrly lhar all the anlormalron in this apptrcalion B (orrecr and allwort wrll comply with rh€ stal€ BuildinS code and all olh€t applicabl€ Srat? and lo'al
laws and ordinances and ,e8ulalion5. The NHC D€velopmenl 5ervices Cenrer wallb€ nolafaed ol anY.hanges in the approved Plans and sp€c rcatlons or chanE€ inconllatlor
"'NOTI Any work perlormed wilhoul th€ appropnal€ p€rmits willbe in violation of lhe N d8 Code a cl to frne! up to S5o0 O0"'
Ct{A D N Ue5 SiBnatutOwner/Contractor
''Lrcensed Quoliliet"
Is the property located in a floodplain? D v., {no
Existing lmpervious 4r"", i'iUB sq Ft Total Acres Disturbed
New lmpervious Ar"", 7 B D sq rt txisting Land Disturbing Permi
WAT€R: dcf PUA n communitv Svstem E Ptrvate well fl Central well E Aqua
stWER: EacFPUA E Communrty Syslem E PrrvateSeplrc D cent'al Septic E Aqua
zone:
--
Ollicer: .- serbacks (t)
-
(l-H)
-
(RH)
-
(B)
-Approval: City: '-- Date:
-
rlood: (A)
-
(V) ' - (N)
-
B
-/r: O Yes 6No
f ti 2lt= _
Permit f ee: $
tt ltL
zpl 2h4t I
fl Pool (5F)_
PHoNE -q r0- 27q - lq77
D olher (sf)-----
NEhI HANOVER COUI{TY BUILDTNG PERI,IIT
APPLICAIIaN TYPE: DEIOLITIOI{
PL€ASE PRrlt' CrtARtY & A SIIER Att QUISTIO|{5
'Pr.Ject ResponsibiLitlf
L-U
CTTY:.L-m tN fTo
APPLICA T'S I{AiIE:
DEVELOPER:
PRO]ECT ATDRESS:
slaorvrslot{:LA
PROIECT CO$|TACT PERSON: Fno t., 1-€ ta,-t
ffi
'/[rtr{ucarf,{ /1,,,,- ltder, I t tJ
(Offtc. Us6)
*rr, ?/ry'qu*
ZIP I
a-ovJ rvq ila eilrS BLOCK *:LOT *:
PROPERTY OI IER'S M'4E:Peu, f arn LAL. fr Low.J PHoirE *: lto-3gr-t/dJ
o$lllER'S ADDRESS: IKUL (Ltarurr J*. CrIr. Wtum.NkYl)sl:. i/ caIPt z*YO f
CO TMCTOR:
ADOfiESS:
?n z, .- lerv<LICEIISE *:ACCOWT *:
c,rvt /)hl'ttX/r,ftN Sttt,c.T]/I:M
EIIAIL ADDRESS:PloilE t: q7* 4ly4h./
PK) E *r 9n'kl-?+,"/
_r/
O.u )J
DESCRIPTIO OF hIORK:o
te/v/-ebra t4La<* S*tzvc r/21
>tur lura,//
(lhat Type of Aulldini tlo You lant To D llsh?)
snd ordinancss and r6g'rlaiion6. Ths NHC Osvelopm€nt Servic€s C€nEr will ba notifr€d of any changes in the approved sp€cifcalions or changs in c€nracbr or
conractor infonnaljon. -NOTET Any Wolk Psrfom€d W/O t1€ Appropriab Psrmib will b€ in Vlolalion of he NC SEls to Fin€6 Up To Sf,oo,m.-
OhNER/COT{TRACTOR:Pno, r Le uu SIGT,IATURE :
(Print tl-e)** ************* r ** * *:* )* * *:t:t:t ++ + +* * ++ *,1+:*:| ji **+++**+t*+++t+ *+1** * +,r:t ++ t:F*:t * * *** * *,*:i,*,* ** * ** *
rs rHE pRoJEcT: fi Resroeurrll / [ comencral TOTAL ACREs DISIUREED:
TOTAL PROIECT COST ruess roo: $&ooo EXrSTrr{G LAI{D DTSTURBTLG PERlrrr? fl VeS fr nO
DOES THIS STRUCTURE OR BUILDIT{G CO|{TAI ASBESTOSi I VeS fr HO
Is rHERE A NATUML GAs Lrr{E cqa{EcrED To THrs BUrLDrsl I ves f,/no
IS THERE ELECTRICAL POTER C.I THIS BUI LOII,IG? flVCS [ruO
trD
IATER:
SEh'ER:
C FPUA
CFPUA
tru Cq,flt,,NITY SYSTEM
CENIRAL SEPTIC
Dtr PRIVATE WELL
PRTvATE sEPTrc I couulrrrv svsrem
Nob: The Nstional Emission Standards for H€zardous Air PollutanB (NESHAP) Reguhlbns Reqoire lh6t you contact them at (919)707-5950 st least 1O
daye ffior to the demoliton of any facilily or building, vrhoth€r h6 tucility or building ',vas bund ro contain Asb€sbe or not. Domolition nolifications &
asbestos rcmoval permit applications aro to be submittcd t6in0 lh6 applie.lbn 6Im (DHHS-3768), Thi$ lorm can b€ bund on d|e w6b sit6 shown b€low,
Not6: Obiaaning a demolilion permit trom he NtlC lnspocliom Dept does NOT sa[sry or meer rhe notfcaton r€quirsm€nts of th6 HHCU (He6hh
Hozards Conttol UniD. *Ke6p in mind th€t an asb€sto€ srrrvoy h r€quired by a Ne acd6ditod asb€stos insp€eto. p{ior to any rmovation or denolitioo of
a Jbcility. Phas€ se tho ABb6t6 W6b Sit6
PAY ET{T HEIHCD:I casr I cxecr (pAyaBLE ro rfic) flartr- rccoua [ rc/vrsr ! orscoven
+ +***,** *,*****,**,*:i:r * + + +,t*,t *** *,t *,t + * + * +,t,t* + *,1*,i *t:i:f * * *j* +:i * + * * **+*+ +** + l+:t + * +:t*,t,t * *,t *,r* * )t * *
HDDzdlE :OFFICER:fr
Approval:Clty: [\li Il MTE
Co nent
oFFrcE usE qflLY)
r<s: F:f)lfi LH:N\l[\
L@O:
,, r.\lP
ereizrt=
( FoR
RH:
F
N
Irofur Cu[ ffrryrvn-r q Zr
Crry inspeciion Requreo, 91 G254{}ri
PERHIT FEE: 3
,@,
NE[^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSIIER ALL QUESTIONS APPLICASLE TO YOUR PROJECT
"Project Responsibility''
lorL" .- ll I t 0
LG--**Fl
APPLICATIO'I
Number
(offlce Use)
APPLICANT'5 lIAilE: charter Buildins Group DATE: 77/3/t5
DEVELOPER:PHONE f: 910-'169-2440
PRoJECT ADDRESS: 3322 Dovecote Avenue
SUBDIVISION : Andrews Reach ELOCK S: LOT *: ]!-
PHONE #:PROPERW OdNER,S I.IA}iE :
ot['lER'S ADDRESS:
Thomas & Jaime Gossin
CITY:ST: _ ZIP:_
CONTRACTOR: charter Bui Id1ng Group LICENSE f: 6'7 6'7 9
ADDRESS: 108 Glles Avenue CITY:wilmington sT : I9_ ZIP: :!L!E
EIIAIL ADDRESS: tonva8charte rbui ldinqqroup. com PHOiIE *: 97a-'/ 69-244a
PRO]ECT CONTACT PERSON:Sean Lewis
EXTSTTNG CO 5TRUCTTOil: I alrenrrrol I nelovarrori ! celtenar- neearns ! RELocATToN
NEt^, CONSTRUCTION:t/ERECT irElr RESTDENCE o" I eOOrnOr TO EXISTTNG RESIDENCE
**PLEASE CHECK AND ANSI{ER BELO{ ALL THAT APPLY TO YOI'R PRO]ECT:
ATT GARAGE g- sF ! orr ennlcr
-
sF PORCH 4_SF
! surunoor'l
-sF
f] eoor-
-
sr STORAGE SHED 5F
GRE ENHOUS E SF DE CK SF OTHER:SF
TOTAL HEATED SQ FT: 2993 TOTAL SQ FT UNDER ROOF: g]:- TOTAL AREA SQ FT: 4039
TOTAL PRoIECT COST (ress r-oo z $ 42'1200 # OF STORIES:
Is Any ELECTRICAL, PLUIIBING on IIECHAI,IICAL Work Being Done to the Accessory Structure? E Yes
If the project is a Relocation, ls there a Natural Gas Line on the current Slte? ElYes T No
Is there Electrical Pow€r on this BuildlnglEYes I No
PROPERTY USE / OCCUPA'.ICY:SIN6LE FAI,IILY ! ouerrx I rolluxouse
DESCRIPTIoiI OF IIORK: New sing1e FamiIy Dwellinq with attached qaraqe.
DNSCLA|ITER th6r6byc€rrit trar alllnbmaton in his apptcarion b con€cl and s[ wo* wlllcomply wlh hs Stal€ Blllldlng Code and allohor applicablo Stat fd l']cd |s! s
and odlnanc€E snd roguladons. Ths NHC D€!€lopmenl Sarylc€s C€nbI wlllb€ noillsd ol any chahgas in 1r€ appmvsd plans ad orchangs in conlracbror
contacbr inbmadon. "'llOTE:AnyWork Psrfom€d w/O he Appropdab Pemits wlllbe in Vlolallon oflhe NC Stab To S500.00"'
OWNER/COiITRACTOR: charter Buildlng Group SIGNATURE:
(Prlnt Nade)*:r *:*,|,r* r**** *,r !* )* ***{, +++ ++++ {.} * ++,1 {, *'t*r, ****,t+** ++* +*:}+ +*** *,i,t *,*,* * +++ t ** + ri it,r r* +* **,*,r )* ** * * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YES
EXISTING II4PERVIO,,S AREA:
-SQ
FT
NEW IMPERVIOUS AREA: g4L- SQ FT
Elruo
crnun ! coruuNrw svsreN ! pRrvArE wELL ! cetrrnal well
creul f] cENTRAL sEprrc ! enrvme sEprrc ! coMMUNrw sYsrEtl
*** SEPAIATE PER'IITS REqJIRED FOR ELECT, }.IECH, PLBG, GAS EqJIP, PREFABS & II{SERTS I*'
pAynENr nErHoD: ficsn flcxecr (pAyaBLE ro rxcl f] menrcrur exeness E] rclvlsr I orscorr*
,i{..1.,} )*++ +:t * * ,*,t,* )* !. * r. * ,* + i. )*:}*:1.*,}** *,*,} r.,+ * rt * )t:t +:1.:i * +:* * * *,t * * ,* *,* )* r(*{. *:t:t * +t*,t * * *,t *,** ***,k +:t 't * +:a+:i *ir
ZoNE: _ oFF ICER:
(FOR OFFTCE USE OflLY) REVrSEo DAlt 64111/12
SETBACKS: F:_ LH:_ RH:- B:-
I No
l,lATER:
SEWER:
ToTAL ACRES DISTURBED: <1.l
EXIST LAND DISTURBING PER IT:[-l vEs lI] uo
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=
-colfient:
N
PERfiIT FEE: $]'L'--
CITY: wi Iminql 01 ZIP: 28409
PHONE #: 9ra-262-5899
NEW HANOVER COUNTY BUILDING PERMIT
ADL014 APPLICATI0N rvPE: RESIDENTIAL
PIEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"ProJect Respons ibil ity"
&aa -nlt1-ffi15.€)
APPLICATION
Number
(offi.e Use)
APPLICANT'S NAltlE: H&H coNsrRUCToR ' s oF FAYETTEVTLLB LLC
DEVELOPER:PHONE #:
PROIECT ADDRESS: 1115 Adams Landins Drive CITY: t4I LMINGToN
SUBDIVISION: Adams Landinq BLOCK #: 1115 LOT #: 014
PROPERTY OWNER,S NAIIE: H&II CoNsTRUcToRs oF FAyETTEVILLa LLC PHONE S: 910-219-148s
OUJNER'S ADDRESS: 8209 Market street suite c CITY: wi lminqton ST: Nc ZIP: 28411
CONTRACTOR: i{&H coNsTRUCToRs oF FAyETTEVIILE, LITC
ADDRESS: 8209 Market street. suite C
LICENSE *: 741s8
CITY: WILMINGTON sT : Ig_ zIP : !!3f!
EmAfL ADDRESS: i ul icaf ferty@hhhomes , com/ JerryBrenninq@hhhomes. com PHONE #: e1o-21e-:r 4Bs
PROIECT CONTACT PERSON: JJ Bxenninq PHONE #: 910-2r.9-148s
EXISTING CONSTRUCTION:ALTE RATION RENOVATION GENERAL RE PAIRS RE LOCAT ION
NEW CONSTRUCTTON: m ERECT NEW RESTDENCE o" I aOOrrrOn rO EXTSTTNG RESTDENCE
**PLEASE CHECK AND AiISUjER BELO^I ALL THAT APPLY TO YOUR PROIECT:
I arr elnner 425 5F DET GARAGE
-.
SF
P00 L _ sF
DECK SF
PoRCH :23_ SF
STORAGE SHEDSUNROOMSF
PROPERTY USE / OCCUPANCY:SlNGLE FAMILY
SF
SFGR E ENHOUS E SF OTHE R:
TOTAL HEATED SQ F"l i 2452 TOTAL SQ FT UNDER ROOF: 3o5e TOTAL AREA SQ FT: rgzg
TOTAL PROIECT COSTlressroq: $ rao,ag:
Is Any ELECTRICAL, PLUMBIT{G or I4ECHAiIICAL tlonk Being Done to the Accessory Structure? fl Yes
If the project is a Relocation, ls there a Natural 6as Line on the curnent Site? f|
T No
Yes No
Is there Electrical Power on this Bul]ding?I ves [No
ouelrx I TowNHousE
DESCRIPTION OF NORK: SINGLE FAMILY DWELLING
DISCI-AIMER: lh6r€by certlry hal all inb.ma on in hls applrcation is conect and allwork willcomply$/lh he Slale auildlng Code and all 00161 4plicable Slab md locd laws
and ordinances and rogulations. The NHC D6\6lopmenl SeNices C6nbr v!,lllb€ noli,bd olanychanges ln ho appoved plans and speclflcadons orchange h conl.acbtor
conlactff informalon. .l.NOTE: Any Woak Portormed w/O he Appropriab Permllswlll be ln Vlolalion ot the NC Stale Adg Code and Subl€cl tc Flnes Up To $500.m'^'
OWNER/CONTRACTOR: rr Brennlns SIGNATURE:
(Print Na e)
)* r. )r * * * * )r** * )* * * + + ++ * + + * + +* r, {* +,} * + * *,},t * ****,| *,*'! * *:t ** + * * *,* i( !*** *t** ***i( )t +,*,t* *,t *** * tr<** * + ** **
I5 THE PROPERTY LOCATED IN A FLOODPLAIN? T-] YES
EXISTING II'IPERVIOUS AREA:
-SQ
FT
NEI,J IMPERVIOUS AREA: 2518 5Q FT
bIATER: m CFPUA
sewen: I creua
zoNE : ,- OF FICE R:
Approvat:- city
COTII'4UNIW 5Y5TET1 PRIVATE I4E LL
I NO
TOTAL ACRES DISTURBED: .15
EXIST IAND DISTURBING PERIIIT:T vrs [--] ruo
CENTRAL I,{E L L AQUA
COMMUNITY sYsTEM AQUAfl crrurnnr sEprrc fl pRrvArE sEPrlc f]
ri+* SEPARATE PERI.IITS REqUIRTD FOR ELECT, t.tECH, PLEGJ GAs EQUTP' PREFABS & INSERTS *'*
oorrr6 nrrrool- tr; E.r** (pAyABLE ro rr.l [*r*r.o* ,*o*ttt f] 11c/vrsl E orscoven
*,*r.**i*)**********,t +,ttri *)l** t +*,1**+*N'ti**+i*1.**it****it:i*+tl**)t*,**,*+*+**'i:B:B:i'f 't * ri 't * 't * '* * :l * :* * + *
(FOR OFFTCE Ust C${tY) REVTSED DAIE 94111112
sETBAcKs: F:- LH:- RH:- tt- 11. bbL+
i- DATE:- FLOOD:
-
BFE+2ft=
AVN
I
1
DATEz J-r/ o8 / 2076
ZIP i 284L2
S OF STORIES: 2
NErir HA*ovER corr*ry BrrrLDrilG ,r*rr*Olh - tl I zY
APPLrcAflT's xarc, S{c/la
DEVELOPER:
PRO]ECT
SUEDIVISIOiI:
PROPENTY OMIER's
olnrER'S ADo*ESS 3
ADDRESS:
EI'i'IIL ADDRESS:a
APPLTANfl TTPE.. RESIDEflEAL
PLEASE Aa{9{ER ALt- QUESUOTE AppltcaalE TO YOUR FiOJ8CI
"project Resportbilitld
e{OATE:
PTIG{E *:qtoit-Vfit,
ztp:28{t1
170
*,?ro -V?t'2zttsr@
ffi APPLICATIOI{
llutrber
(offt(e lBc)
(crw:
u
CITY:
LICEI{SE *:
CITY:
BLOCI( #: LOT S:
PlotrlEOr
o
st:hlC z:l,2.8$oLo.1iit!!--z-z,cpRorEcT tOf,fACT Prrsor: v/clDr 37e-o fl
sr flnoecx _sF
LJ STORAGE SHED SF
PHol{E
PfloiE $: ?to"1nt'rr',
SF
EXISTIT{G COTSTRUCTrOH: I alrrurroH I ne warron I crurnll neplrns E RE[ocATrol
r{El{ consrmrcrror: [f rnecr Er RESTDENCE o, I noorrron ro Exrsrrirc REsrDEr{cE.IPLEA!iE CIIECtr AD I 5LIET BEL(II AI.L II{AT APPLY TO Yd,R PNOJECT Ifl err elraee _ sF D DET GARAGEnSUNR@MtrGREENHOUSE
pTRoPERTY USE / OCCtp
DESCR IPIIOI{ OF I(XI(:s c*Fnt th(
T.TAL HEATED sc TT: )\X -sQ FT uIDER nooT: ?oAY ToTAL AREA n ,,, M{
rs Any ElEcrnrcal, pr,lriBrt. or BE:ru*rcat ,ork 8er.r,, Done to the Accessory structurEr I ves f] r*orf the proJect is a Rerocatlon, 1s there a iratupar 6as, Li.ne on the current srtl IlvE'-b r,r.fs there Electrica] power on thls BulldLng? Flyes l-l no
SF fl poor- _ sr
5F tr DECK SF OIHER:
AI\lcY:[l srruelr rar.ulv f| urr-ex I rowmousr
OSCLAIIIER I hereby c6rt y 0lEt aI tnbrmdlrn tsr ,lis sppllcalbn ts correct ild e, wort rlll cornply s,i,h 0te Sr s Auldhg Cod6 end dt o0l.r appbeablo Sbe sod k!€t lAwsafld ofilhanc8 6td €guLlbns The NHC Devalopmont Solvlcas Centsr \ffil bs noillsat ofary ch$ges ln the approved plans snd or change ln confacbr orconlracbr inbrmalibn..'1{OTE: Any Work Perbflred W/O treAppoprl6b Perntts wf,l boh Vlobdon orlho NC $aE Bld0 b Fhes Up To 5500.00..ohINER/CO,{TRACTOR:SIG}'UITURE:
r ** r *,.:* + *:F* ** *,. **** ******* *9lTl,l$l*" **a**"** ar+,!r:t. rr*r r*r,rr + t,* * *,i ++ * *:t+ t)*:t+ r* d. t,a *tIS THE PROPERTY LOCATED IIT A FL@OPLA:IIT?YES BlrroE
EXISTI'IG I PERI,IOUS AnEA:FT TOTAL ACRES DISTURBED:
NEH II.IPERVIOT'S AREA:FT €xrsr LAiD DTSTLnBTNG PERIUT: [*'l ves l'-'l ruo
(foR oFFr€f usE ot -Y)
zoNE: _ oFFrcER:SETBACKS: F:_ LH: Rfl:_ B:Approval:_ City:_ DATE:_ FLOOD: _
co.u'ert, A v
AFE+2ft-
t({1{sa4tht sa
uarEl: E crrue fl coN+trrrtlrTy svsrrm ft pRrvATE I{ELL f] crrrnal uerl
sEr{ER: [l crrua I cExrML sEprrc I enrvaru srrrrc g- cor,rn^ar" *rrn
pAvrE*r ,E,td): Easx florc,. (pAyaBLE ro rn*1 fto,erran .*"ri, n rclvrsr E orscown*'l'+ * 'i !* 't:| l* 'a 'l ** * + i tt* rt:i * *:t:rtr.,t * + *,t * * *,t** r.:a rart:rr* *,i:r,*:. *rt,a*,*,a:a rt:t,r,r r*:tl jr *,t,t* *,*,i*:l r* * * +* )t * *,r:i * *,i + * *
IEVISED DAIE O'I11l12
N
PER}IIT FEE:
1c(lq
naor.
APPLICAI{T' S M}tE:
DEVELOPER:
PROJECT ADORESS :
0ccuPA[r/BUSIt{ESS M E:
PrcPERTY OT'IER'S MIiE:
OhNER'5 ADORESS:
CoUTRACIOR: dll
ADORESS:
\otv - iltz+
NEhI HATOVER COUNTY BUILDIITG PERIIIT
&PLICATIa IypE: SIGNS / BILLBOARDS
PLEASE pRIfi CLEARLY & AI5E8 AU- QUESTIOTS'Pnoject Respdlsibi]iqf
CITY:
LICATIOI{
l{-aben
(offic. t,!€)
rlirE:01001 ta
ZIPI
P}ONE *:
P1ONE *:
CITY r Ntt-il|.le,fi)ra ST
LIcEusE *: 980?I accourn *:
cITy! t^rl lNb70
fuatofrz-.,.gl9zw:ZA4o1
srqLzw:U4cL
nane *: To iI< o747
nme *zfuLJtfi_sa4l
OC
EITAIL ADORESS: DAU eeuo afb P- cartl
(cH
enrcr I elreR
ALt THAT APPLY)
nrearn fl erullne e I curuce o.rr
o
ECK
tr
DES CRIPTTOiI OF hDRK:
nJ7'r-/C,r- //.z4-7t
rs srcl{(s) or oR oFF pREnrsEs ? fiot'l [orr
PECLAIIER: I hqeDy €.r!, tt tat
and ordirarass and reguLtffE. Th€cfit8cbr info.m.dm. -NOlEi Ary Up 1o gsoo.m-
idt rnalrn h &sapplLadcl b.o.r* ax, a! x..t lit comry udn tE SBE &r*rrB Code..xtrt orr, lrglic.tte gD rd 16..t b,6N.lc SgrviE C€nBr wll bE rpffed of any .t1*€6 in U€ ape.Dved ad spocilicar,ffi d clEnge in c.rfi-.crr or
iE wi{ be in Vlol€ton of ,l€ NC st!r.
OKNER/CO TRACTOR:c SIGNATURE:
:raa:tt**t+ttaa+titaa+:***a:tt*+ta:|**+r:::t+:ia:aa:t**ra*a:tt+ta,Fa,r**rra*!a*+*"*
TYPE OF SI6N(S)
Dtr MARQIJEE
UALL
fl mo:ecnol
ffcllrcev
R@F
O'IHER &
Tota] Nurber of Signs on this Project: _
srGN 1 Height: ,' sign Dinensions: A,' , -dj Totar SQ.FT. oF
.of
.of
.of
stgn: /OsF
sign: _
Slgn: _
|i|1,-r,a
r*,,a1
SIGN 2'tleight: Sign Diflensions: X_ Total
SIGN 3 Height: Sj.gn Dinensions: _ x_ TotaL
SIGN 4 Hejght: Sign Dimensions: _X_ Total
sq. FT
sQ. rr
SQ.FT sign:
TOTAL PROJECT COSr. $2ooo rS THE pROpERTy LOCATED rN a rlmoeUnr? [vet No
'r3 S€PARAIE ,EIl(ITs REQUIRED Fel ELTCT, F.IECH, pLg6, 6/15 EgJIrr peEFAaS a IslsERTs **'
PAnEt{T nEI}tOO:tr cesH E cxecx (pevrsu ro ut) Esru- rcoqn E xlvrsr I orscornn
**:r:|*,* * +t*** *:r+:.r:t* ++*:r* * *t +***a:r ** +:3*,8***:**,* t:l:l +* *+ 'l,l:! *.a* 't:*,* * +*,8:** **a ++**** *r a ***t..***.:eD -
zcl.$: dPa 67rrrr 'approvaL:- C5.ty: A>-rP DATE /o F LOOD:
c*tt /v\(t-\'r (A/\1e!{ 4lZf+ qA !71!r/1a'fu pE&trr FEE:
( FOr otFr(E r.s€
SETBACKS: F
cLY) tEwsE +rE 3/n/12
, n/* u, rrfuevr/\t/Ae, nfff
AVI
Citv lnsoection Recu;te{, 91 0-254-9\::
*
tt
PRorEcr corfiAcr peF6{,/. DArtE N*zn*il9
trD
FREESTAI{DII\E (6rOUNd )
SHINGLE
It r<-
@v,ffi#
NEW HANOVER COUNW BUILDING PERIIIT lr,II^ -^II 12,i,Applrcarrott ry"e: co[ilERCrAL -\-/r \!/ t t I ,./ \-/
pr.tast atJsLtr ar,r. Qu.srroi* appr.r( rL€ .,o your pro)Ecr dffiluor
7
tt;
ti1
APPLICANT,g M II d :11<.-
"Project iesporslbillty-llullbcr
(Oftlc. tr.)
DafE: ?- 11^ lL
DEVELOPER:
PiOJECT ADDRESS:TY
P}() E ':
PIO E ':
ztPt?:(.llz
occuPAIT/BUSIIESS M]rE :C.fL t-
PROPERTY O&TIEi,S iA"IE T q
OMfiR'S ADDRESS:
ACRES DISruRBED:-
NEW IMPERVIOUS AREA:-SQ FT
WAIER:
SEWER:
DGT L ND DISTURBING PqpyrnflyEg Elnoo
r{e
CITY!
CO TRACTOR:t-LICE}TSE T:
ADDRESS:c CITY:,<o L1l slt <ZDETUTL ADDRESS:Pro E t:
?lot{E r:
?/o-LPROJECT Co'fiAcT PEiSol: V2 .
(Ch.(t Al! Tn.r rPrly)
EXrST COI|5TRUCTIOil3 E] ArrEi TrOU I n
tf Relocltion, is ther€ s Nstursl G8s Line on the Cun€rn S e? El
EiOVATION
Yes
tr GET{ERAI
Nol
REPAIRS ES BLDG SPRIN KLERED? E yes ENo
rErocArIOt
EH CONSTRUCTIdI:tr EiECT t{EU 5TRUCTURE I rrcr rrlcx I sxrlr urrly ! ADD ro Exrsr s?rucnnEu
accEssOfY STiUCTiE:
If UPFIT - The sh.ll Pernit s: Is Elcct po),€r on this Buildin8 g yes EI rc
[ ]o .....
thc llclt O33yp166y 1yr.t-W.B
___ tc REG {:
___ NC REG t.
sr| ruqtpt.aYqrs
'..r. Js r Is A clta[GE oF OCOrpr Cy lrsEl Efr Y.r, uiat v.s tlt! Prt\.iorrs occuprncy tWcl lleqp<-a 5 mtt
Atot oEjrot PtoFEssto{Atr t4'+n'Y
YE5
ls
PH:
ET6N DESIG PTOFESSIO AT:Pll:
DESCRIPTION OF NRK:
ls tood o, bevertges Ptrpa'ed or ren/ed h fHs sltrdre?Yes No b Ih. prop€rry Locrad h It6 Foodphh?Ey6 E ilo
all
bdlly or rrs blnd to
b.st l0 d.y! Fbr ro dt
I
TOTAT AREA SO FT :Sq FT PER FLR:r s sroRtEs:
TOTAT SO FT UNDER ROOF:{ OF STRUCTURES:d 0f FLOOnS:
D(STlt{G IMPERVIOUS AREA
pRopEFryusE: BFFEE ElnEsrnuuur ftuencunu f]eouc Elepr Emroo orxen,
EICFPUA ECOMI|UNIrYSY|S'IELEWET EZoNhtGtSEqlSStFtCATtoN:
FcFpuA ffcrNrMLsEPTrC LIPRTVATESEPTIC ElCOriMUNrySyStE[
" SEPARA'IE PERMTTS NEOUIRED FOR E.ECT. MECH. Pt3G, GAS EOI',IP, PREFABS I I},lsEBS -
pAyuENTuETHOD: [lCaSn ECteO<eevralEroNHc) fluenrcarocREssDMc,vrsA ftOrSCovenhD.ff..ftffiir.'ri....irffi
(FOROFFTCE IJSE ONty) REvEEDo^tE oruu
SQ FT
ZONE:-OFFICER:- SETBACKS: F: LH:-RH: B:
Appmvst:- City: DATE: ' FLOOD,------BFE+2II=
Comment: PERMIT FEE:
.rilc
# OF UNIIS:cos-
,*klk
(m,P
)otbtlt 3D.,
AP P LI CAT IO N TY PE.. RESI DENTIAT
PTEASE ANSWEN ALI OUESTIONS APPIICAEtE TO YOUR PROIECI
"Proiect R€rponslbllltf
ODD UNN LL
l6-sztr
Appliztion ' '
umbn
(ofti.r uit)
glsol p
APPUCANT'5 NAME:Oate
41o23 sER€N ITY o tNf CITY DtLNtNbroN. I'l ( ztp, ZBqo?PROJECT AODNE5S:
sUBOlVlSlONr IOT d
PROPERTY OWNER'S NAMT:Joeo*rt Suemr
OWNER'S ADDRESS:/ 83L letuon*l /,f PHONE 9r q - 6?B- ?o/8
c ztP: 2 751 7CITY
COI{TRACTOR Lup^t Lauo3cap,,,t e Saerr, rn s BI-DG LICENSE #CL: o'1 i L€lL
ADDRESS:oo
EMAII, ADDRESS:
c ctrtt u)lLlyl ti6ToN sr:Nt zte, Z8c/tl
l.PHONE: Ito-68G-923
?AO E: 30 t/- 6zo- e5b8PROJECT COIVTACT P€RSON:lllunteo Varrrs
EXISTING GONSTBUCTION: D Aheration ! Renovation E GeneralRepairs
NEWCONSTRUCTIOI{: D trect NewResidence F AdditiontoExistingResidence D Relocalion
...Ptf,ASE CHECK AND A SWER BETOW AIl. THAT APPLY TO YOUR PROJECT..'
E Att Garage (sF)- D oer Garage lsF)- ts Porch (sf)q35
! Sunroom (sF)-D Pool lss)
D Greenhouse (st)E Deck (st)4tc
ls the proposed work changin8 the existinS footprint? E Yes E No
TOTAL Sq FT UNDERROOF Aor proposed work\ llealedl o
TOTAT PRoTECT COST (tess tot): S Do, oo
Propcrty Use/ Occupancy; E Sintle Famlly Duplcx E Townhou3etr
lsthe proposed work changinSthe number ot bedrooms? D Yes El tto
lsanyElectrlcal,PlumbingorMechanicatworkbeingdonetotheAcc€ssorystruc-tureEYesENo
lrtheprojectisa Relocation, is there a Natulal 6as Lineon the current sit€? E Yes B lto
ts there tlectrical Po\fler onthis Building? Bl ves El no
Unheated:o
! storage shed (5F)--
e
ao.r,."rtn 175: '137( P.gfAr^J e R dA LL )
( tu4LK rJAv )
Descrlptlon of Work:L ON uAt R€-tAt$tNG whcL
beu a PtM:r BeO 5 tt ReNk oF 7Ra?EerV.
DECIAIMER: I herabry cGlt y lh.l allthe lntormation ln thi5 applicallon i5 cor,ecl .nd.llwork willcomply wlthlhe uildlq Code rnd 3llothar a ppllcable sl.t. .nd local
laus ahd ordinrncel and te8uiations. Tha NHC Oavclopmerl Servkes CenlEr will b€ notifled of tny chrnBeg clfuetion!in colrador
irfonnallon. "'NOTE: arry worl p.,tormed whhot l the approP.i.t€ petmils will b€ in violalion ol $€ NC lrnas
Owne/Comrador:D foDD C,tAJAJ ALL Signature:
"Lkensed Quolifiel Ptint Nome
ts the prop€ny located in a floodplain? EI Yes D Ho
Extsting tmpervious ar"r, !,1Lb sqn
N€w lmpervigus Ar.., 4.9)'3 sqft txlstlng lrnd Dirturbing Petmit: D yes E ttto
wlrrn: dcrpul dco.-rnitv system E Plivate well E centralwell E Aqua
szw*,: &crpue O communitv svslem /Private septic E central septic O Aqua
Zone:
-
otflcen _- serbacks (r)
-
(tH)
-
{RH)
-
(B) --
Approval:
-
Cltyi -- Date:
-
ilood: (Al
-
(V) -- (N)
-
BrE+2ft= _-.-_ -l C-
comment: __ permh Feei $ _ _/ -__
fotal Acres Dlslurbed:
-