NOVEMBER 28 2016 BUILD APPS#:
PROJECI ADDRESS:
APPL|CAT|ONTvPf.'RESIDINTIAL .r lt,.
PltASt ANSWTR Atr OUtSIIONS APPLI(ABtt 'IO YOUR PROJT(f --t I )S b1''.*"
(otfa(e ute)"Project Responsibility"
.l.h^, Fr ; e-^t J
CITY: t),t-",;cAz-t-7 ZIP 2r/yo?
suBDlVlsloN:'Th. T:
PROPTRTY OWNTR'S NAMT J"h Fr ie..-)PHONId q/O 2 Z4 jo,q
ZP Z,qO?OWNER'S ADDRTSS:,, soe eab 2.--CITY d),1
CONTRACIOR
ADDRTSS:
4 - ia"'r.trr; -^)BTDG TICTNSI #
/so6 €b t2r;.- <_CtTt: t.t,/,o'L< /e-^' sI. -]!{:Z!P: Z* qoa'7
PHONT
PHONE
TMAII, ADDRTSS:
I An Garage (sr) _
D Sunroom (sF)
n Greenhouse (st)
-
i e..rA ) .t,
IXISTING CONSIRUCION: S Alteralion D Renovation ! General Repairs
NEw CoNSTRUCTIoN r tl trect New Residence fl Addirionto Existing Residence n Relocation
.T*PLEAST CHECK AND ANSWER BETOW ALT THAT APPLY TO YOUR PROJTCT.' *
D oel GaraBe {sF)
D Pool (SF)
D Deck (st)
! Porch (st)
D Storage Shed (sr)-
D orher (sr)
ls lhe proposed work chanBing the existing footprinl? D ves ! ruo
TOTAL sQ fT UNDTR ROOr Uor proposed wotk) Heatedl q5 Unheated
TOTAI- PROJECT COST (Less tot): S
ls the proposed work chanBin8 the number of bedrooms? D Yes,$ no
ls any Electrical, plumbing or Mechanical work being done to the Accessory Structure EI Yes E No
lrthe project is a Relocation, istherea Natural Gas Line on the current site? fl ves E] t'to
ls lhere tlectrical Power on this Building? E Y€s E No
Property Use/ Occu paocy:fi sinSle family C ouplex E Townhouse
Description ol Work:
-lo
DIsCLAIMtR: lher€by cenify lhar alllhe inlormalion in this apptrcelion rs (orrect and all work will complv with rhe 51are Buildin8 Code and all olhet apPlicabl€ Srate and loci
laws and ordinan(e3 and teSulalions The NHC oevelopmenl servicet cenler will be noti{ied ol anY (hange5 in the approved plans and sp€ciilcations or chan8e inconlraclor
00"'inrormatron "'NO'ft Any wotk petlolmed wilhour lhe apploprial€ permils wrll be in violalion ot I
Owner/Conlracto
"1rc?nsed Quolliet"
,, J^.t-- F.,- ,.1 signature
ls the property located in a lloodplain? E ves fr no
txisting lmpervious Area: .- Sq tt Total Acres Disturbed:
New lmpervious Area:Sq tt Existing Land Disturbint Permit: C ves p wo
waTER: ! CTPUA D Community SYstem E Privale well E Central well D aqua
StWtR: D CFPUA D CommunitY System K Privale Seplrc D cenlral septic f] Aqua
he)!\e Brds
,( *Y'z
Code and 5ubie-(l
., -z-
Zone Oll ice r setbacks (r)
-
(LH)
-
(RH)
-
(B)
-Approval: city: -
Date: , f lood: (A)
--
(V) (N) Brt{2ft=
Permit f eer $Comment:
?s
#zt+
O"r., ,rfl/,
IOT # ...-_- =---
PRO,,ICT CONTACT PTRSON l.
wi
APPLICANT'5 NAMT:
APPLIC AT t O N TYPE: RESIDENTIAL
PTEA5E ANSWER ATL QUESTIONS APPTICABLT TO YOUR PRO]ECT
"Proiect ResponsibilitY"
ctry
PHON I H
+ffit+l-
Aow- [l]1r&:::
1f
PRO.IECT ADDRESS:
Date o, I znlL
up IUC-zJ</03
IOT#: 43 A 1..'- I A
aP:dlo j
BI-DG LlCtNSt H: f1,Lt''t e
st .t/UCztp: Z 8? a S'
PHONT to -a-{/-qt tZ1
PHONI <lo - 27,'a7/e-
SUBDIVISION:
PROPERTY OWNTR'S NAMT
OWNTR'S ADDRT55:
e-
e-
CONTRACIOR
ADDRISS:eo CITY
TMAIT ADDRTSS
D,.t.-"' 'l t '<'l''
EXISTING cONsTRUcTloN: fl Alteration D Renovation E General Reparrs
NEW CONSTRUCTION: D trect New Residence ErAddition to txrsting Residence I Relocation
LEASE CHTC( AN ER TLOW ALt P Y TO YOUR R
E Greenhouse (Sf)
-
E Art Garage (sf)
E Sunroom {sf)n Pool (SF)
tr Deck (Sr)
ts lhe proposed work changing the existing lootprint? Lf yes BzNo
TOTAT Sq FI UNDER ROOr Uor proposed work\ Heated
TOTAT PROJECT COST (Less Lot). S )2, foo
o*+aace lsr't -TjQ Grp,,*E Porch (st)
D storage Shed (5r)-
fl olher {sr)
unheated
ts the proposed work changin8 the number oI bedrooms? D yes 6t'to
ls any Glectrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes d No
ll the proiecr rs a Relocation, is there a Natural Gas I'i,9.on the curlenl site? fl Yes Ef No
ls there tle(trical Power on this Buildrng? E Yes EI No
Property Use/ Occup
Description of Work:
ancy: Ef single tamilv
r- c,-r <.]--ut
D ouplex D
.-} (,.,r'',J- fdTownhouse ol".kzd
he inrormation in th!5 aPPtr(ation i5 (orred and all wort will comply with th€ stale Suildins tode and all other appliEable slale and lota
DlSCt lMtR: I hereby !€rrify lhal allt
laws and oldinantes and regulationt anget in lhe apProved plans and 5p€(ificatlont or chante ncontta(lor
e NC Slate BldE code and rubje(l lo f,nPs up lo 35O0 O0"''-]. 1_
The NHC Developmenl Servic€s Cenler will be nolafied oJ anY th
inlormation "'NOI[ Any perlormed wilhour lh€ apptoptiate petmilt wrll be in vrolalion of th
Owner/Contractor
"Lrcensed Q|ohlier"
Signature
{
ls the property located in a floodplain? E ves Eit"to
txisting lmpervious Area: --- Sq ft Total Acres Distutbed
New lmpervious Area Sq rr ExistinB Land Disturbing Petmit: D ves D t'to
WATER: EactPUA E Communrtv system ! Pl.vate well E central well fl Aqua
stwER: EacFpuA n community System E prtvateseptr( c CentralSeptrc n Aqua
zone:
-
Ollicer:
-
serbacks (f)
-
(tH)
-
(RH)
-
lB)
-Approval: City:
--
Date:
---
tlood: lA)
-
(V) -- (N)
-
Bf t+2lt= --
Commenl Permit tee: $
CITY:
PROJTCT CONTACT PIRSON
330
NEt^l HAhPVER COUNTY BUILDING PERI'IIT
APPLtcAfio rYPs; RESIDENTIAL
PTEASE ANSIiES ALT qJESTIOiIS APPLICASLE TO YOIJR PRO]ECT
"Project ResPonsibility"
\otb.l lblrs
Lffi8ffi.
APPLICATION
ttumbe r
(Office U5e)
APPLICANT'S NAI'18 : rimeles.l Pr.oDer:t ie$ ln.:'
DEVEI.OPER: P}€ E *:
PROIICT ADDRESS;838 Eailev llarbor Lane CI IY : wi lminqEor,
SUBDl VISION:vr 1ck BLOCK ,: LOT $: -9--
PROPERTY OIJNER,5 NAM E: Canreron Pear 3or1 PIONE S: elo -224 -8540
AODR€Ss: 1e::-i Country Lakes Rd cITY: 9;ilmrr 5T: NC ZIP: 28111
CO TRACIOR:5 trorrer!ies lnc LICENSE S;65'184
ADDRESS: P(, Box 10 24 CITY:tot1
PlOtlE S: 9lo-5,1'l-06:ll
DATE: 10 08 2 01.,
ZlPt 21.i)j
PRO]IiCT CONTACT PERSOI\I;
€XISTING CONSTRUCTIO :
F ra ley P HOiIE f: 910-54f 06.r I
ALTF.RATION RENOVATION I crne*nr- nrearns I RELocATToN
NE COISTRUCTTON: fl rnrcr NEx RESTDENCE o" ! AOOrrrOl ro ExrsrrNc RESrDEi{CE
**PL[AsE CHTCI( AI{O AI{ShICR BELOhI ALL THAT APPLY TO YOTJR PRO]ECT:
lfl arr eaRaoe l:-i-- sF
f] suruaoom
-
sF
I_l cnrrrunouse sF
DET 6ARA6E
-
SF
POOL _ sF
DECK
-
5F
! eoncH
-
sF
I sronacr sHED
-
sF
OTHE R 5F
ToTAL HEATED SQ FT: :r, TOTAL 5Q FT UI{DER RoOF:3999- TOTAL AREA 5Q FT: ggl--
IOTAL PROIECT COST 1r"ess ros : $ :aoooo 8 OF STORIES: 2
is a.y cLECTRI€AL, plutttBllc or ECHA{ICAL l4ork Being Done to the Accessory Structure? [ Y
If tlre project is a Relocation, is there a Natural 6as Line on the Current Site?
15 thcr'e E.lectrj.cal Po!",er on this Building? lfl vut I-l uo
". f! troI v". fl uo
pRopERTY USE / OCCUPANCY' ffi SrUCr-r ramrlv I ouerex IC[.JNHOUSE
DESCRIPTION OF NORK:e sio.rle FamilY Residence
OISCLAIMER: lhe,eby ce'l,ly ttal all 'nbmalion in his appkatof, 6 conec! arld
arr,.d,nirnces and regolalioos- The NHC Developmenl Se ces Ccnl* willbe n
!!,rr &r.. in trrmts[,)n "'NOTE Any Uiork Perf,rnled WIO lhe Appropriab Petm
OHNER/CONT RACTOR: Altrhony Jolnrsolt
IS THE PROPERTY LOCATED IN A FLOODPLAIN? T-"I YEs
EXISTING IIIPERVIOUS AREA:
-5Q
rT
NEt., II'IPERVIOIJS AREA:
-
SQ FT
wit.l nle Stare Buildhg Code and a[ olrer b sler. and bcal laws
otfud olanych6nqes in he approved phn! 4rd
irswitlbe in Vblatoo ollhe NC S
SIGNATURE :
laE Bldg Code To $500 00'"
NO
(Pr,nr d.e)ar:**r'rir.!)tt*********,r*,***i*r.iii-iil+'r+***++**+r*+tt+*'l*'*'r*'l:t'*'|'t++'*
I NO
TOTAL ACRES DISTURBED:
ExIsT LA[{D DISTURBING PER IT: rf YEs
WAl ER ;(FPI]4.I coimurrrv svsrrr"r [l PRTvATE I^IELL I crurnal urll
OFFICER:
lfoR oralct usE oNtY)
SETBACKs: F:- LH:- RH:
sEwER: m crpuA f] CENTRAL sEPTrc ! cnrvarr sEPrrc E coi'lr'uNrrY sYsrEM
i, 5{.PARATE PER''ITIs RTqJIRID FOR ETECT,
'4ECH,
PL8G, GAS EQUIP' PNEFAES E INSERTS *'i
oo""un n.r*r' ' -n.^;; ij.i,.i; i"o"otti io fol E *""* t*o^"' I tcl'rso E 'rsto'tn1t**1i.r*)3*i+**)*,ti!*i!,!t*r(**'i!r*'t*'f*:t**t*+**'*'l'l'*)t***trr'l'*'|*'l')t)t'li'**'*'lX"(**)t:l*']t*+*'tri*)t**']})trt)t*'i'**'t
Approva I
Comment;
. .itvr DATE: FL00D: --
-
^V
REVISfD oaIt 9rl l1'/ 12
-
B:-
BFE+2ft= _N - lotl--
PERttrr FEE: $ 1)O I I
ST: NC ZIP: 28.1 '5
t--
Lf)(
{eL
(
C
(
+pO Errv
\ NEW HANoVER coUNTY BUILDING PERMIT
APPLICATION IYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Responsibilit)/'
APPLICANT'S NAME: McK:niev tsul1dinq Corporation
DEVELOPER: ,J ,. - ., I
PROIECT ADDRESS: 6752 Rock spring Road, suite 310
OCCUPANT,/BUSINESS NAME: tsutL.. s.uw
PROPERTY OLINERTS NAME: :.layfa:.e rri, LLC
O[^INER'S ADDRESS: 128 olde poinr Loop
-7
Aolb,-t t btoc
APPLICATION
Number
(offi.e Use)
CITY: l^l i Imi lroron
PHONE #:91a-251-4344
ZIP | 2a1c5
CONTRACTOR: l:c(i::let BLrridrng ccrp.r.a.ion
ADDRESS: B0 P-, h e Ave Suite 200
EMAIL ADDRESS: bl l skGnckinleybui I ding. com
CITY: Ilamps tead
PHONE #: 9ta-264-4344
ST: NC ZIP:2844]
ST: NC ZIP: 2B403
PHONE #:910-39s-6036
PHONE #:910-39s-6036
LICENSE *: 10896
CITY: tli lminqton
PROIECT CONTACT PERSON: Bran.lon Ltsk
(che(k All That Apply)
Exrsr coNsrRucrroN: fl ALrERArror f] nrrovnr
lf Relocation, is there a Natural Gas Line on the Current Site?
ION GENERAL REPAIRS tr RELOCATION
Yes Eto IS BLDG SPRINKLERED?I ves ! lto
NEW CONSTRUCTTOTr I eneCr NEbJ STRUCTURE ! rasr rnACr f] Snrr-r
ACCESSORY STRUCTURE:
urrrr I ADD To Exrsr srRUcruRE
If UPFIT - The Shell Penmit #: 13 623s Is Elect Power on this Building I Yes Ero
**'r** rs rHrs A cHANGE oF occupaNcy usrr Ives I N0 *****
IF Yes, what u/as the Previous Occupancy Type?What is the New occupancy Type?
PH:910-793 3433 NC RE6 S: 4290
ENGR DESIGN PROFESSIONAL; David sims & Associates PH:910-?91-8016 NC REG #: 7138
DESCRIPTIoN OF I,^JORK: upfrt an existing shell Conditicn. No revious tenant occupied
OISCLAIMER: I hereby cerlify thal all informalion in this application is correct and all work wllcomply with the Slate Burldrng Code and all other applicable State
and local laws and ordrnances end reoulations. 'l he NHC DeveloDment Services Cenler wll be notified of anv chanoes rn lhe aoo'oved olans and soecrfrcalions
or cianoe n contraclor or contraclor ,ilormarron. "'NO'l t: Ary Worl Pedormed W'O lhe Appropnate Perrriis will Eb rn Vrolation of the NC Slale Bldg Code and
Sublectio F nes Up To S500.00"'
ls bod or beverages praparcd or served in this stnr{ure? [ Yes
OWNER/CONTRACTOR
I No ls Ths Pmporty Located ln The Flooddain? E Yes I No
Exsr LAND Drsrunetlc eenutrz [ves l-lruo
SA FT EXISTING IMPERVIOUS AREA SO FT
: Brandon Lrsk
(Ouarmc) (Pn N3li.)
mntaln Asb€61o6 or nol You ar6 rcqdrcd to call th! Natjoml Embsion S'tardads for Hszedous Air Pollulanb (NESHAP) et (9tg)707-5950 3t least 10 days prior b tho
domolifron of ary fadllty or bulldlno. 56 Asb6r6 Wob Sho: htFJ ir*w.epi-stats.rr.us/spyasbost!€/ahmp.hunl
BUILDING HEIGHT
SQ FT PER FLR:
TOTAL PROJECT COST: i:r! / 0 !0
TOTAL SQ FT UNDER ROOF: _ # OF STRUCTURES:
# OF STORIES:
# OF FLOORS:
TOTAL AREA SQ FT 1ic
ACRES DISTURBED: rr 'A
NEW IMPERVIOUS AREA: N/A
pRopERTy usE: EoFFrcE E nesreumN-r luencartnle leouc ! nrr flcotloo orHER'.-
WATER: ZICFPUA
SEWER: EICFPUA..SEPARA]E PERNIiTS REQUIREt,] FOR ELECT. NIECI]. PLBG GAS EOU P. PRETAtsS A INSERTS '"
pAyMENT METHSD: [CnSu ficneCr lenveelE rO NHc) fieuenrCml exeRESS E M6MSA I otscoven
(FOR OFFICE USE ONLY) RE\,ISED DATE 's1 1/12
ZONE:-OFFICER:
-
SETBACKS: F:-LH:- RH:- B:
Approval:- City: DATE: FLOOD:
---
BFE+2k
AVN
N/A
TI COMMUNITY SYSTEM -WELL EZONING USE CTASSIFICATION:
E celrrnnr- seprrc ! e-nvrre sEpnc E coMMUNITY sYSTEM
Commentl PERMIT FEE: $
D^IEt _!!422!_
ARCH DESIGN PROFESSIOTIAL: CcLhran lir:rrs A.chitec:ur:e
SIGNATURE:
-
# OF UNITS:
c*\NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIA
PLEASE ANSWER ALL QUESIIONS APPLICAELE IO YOUR PROIECT
"Proiect ResPonsibilitY"
C 'f*,h CITY
Aotk*gt
(office use)
?
Dat€APPLICANT'S NAME:
PROJECI ADDRESS:
SUBDIVISION:
PROPERTY OWNER,S NAME:
OWNER,S ADDRESS:
ADDRESST
EMAIL ADDRESS:
PROIECT CONTACT PERSON
ztP n c7
EXISTING CONSTRUCTION:Alteration
NEW CONSTRUCTION: n Erect New Res
! Renovation ! General Repairs
idence N/Addition to Exrstrng Residence I Relocation
#
PHONE #4.,3r - ra62
CITY
THAT AP TO YOUR
tr tr other (sF)
-
Unheated:
zlP: -8@
LICENSE H 66 a4
*:,4/(ztPt 2914
PHONE q 3
PHONE qiD z ?, 3403
Porch (sF)s'v6 9?-Fr
n Storage Shed (SF)_-
4
I
ln,,na
*rt
! Att Garage (SF)-
iPLEAS ECK AND WER BE
E Sunroom (SF)-'-
n Greenhouse (SF)-
n Det Garage (SF)
n Pool (SF)-.-
{r*orrrr-1e48:iL
ls the proposed work changing the existing footprint? B/ves tr t"to
TOTAL PROJECT COST (Less Lot): S
oc)
ls the proposed work changing the number of bedroo nsl D v.t /no
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Sttyte
EI Yes
&.,
D t',tolf the project is a Relocation, is there a Na
ls there Electrical Power on this Building?
tura]ras Line on the current site?
E'Yes E ttto
Property Use/ OccuPancY:e Family Duplex E Townhouse
Description of Work:
DISCLaIMER: lhereby certifY lhat alllhe information in this application is correct and all work willcomply with the State Building code 'nd all other applicable state and local
laws and ordinances and regulations. The NHC Development Services Centerwillbe notified of anv change s in the approved plans and specifications or change in contractor
information. +"NOTEr AnY work performed without the appropriate permits wil ofthe NC State Eldg code and s up to S500.00"'
/
Owner/Contracto
"Licensed QuoIiliet"
re
ls the property located in a floodplain? E Yes E no
Existing lmpervious Area:
-
sq tt Total Acres Disturbed
New lmpervious Area:Sq Ft Existing Land oisturbing Permit: E yes E t'lo
WATER: E CFPUA ! Communitv system fl. etiu'te wett fl central well E Aqua
sEwER: ! CFpUA E community system H. Private septic E central septic ! Aqua
zone:
-
officer: _=- setbacks (F)
-
(LH)
-
(RH)
-
(B)
-Approval:
-
cityr -- Date: -- Flood:(A) '- (v)
-
(N)
-
Bf E+zft=
-Comment: Permit tee: S
C ITY:
CONTRACTOR
ToTAL sQ FT UNDE RR}OF Vor proposea wor*1 neatea: /? ){
;ble.
#
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLIcATIott rYPE; COIiIMERCIAL
PLEASE AI'1sI,IER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility''
),Ottr- l I 3+O
APPLICATION
Number
(Office Use)
APPLICANT,S tlAlilE : Ldndrnark ccminer.ia:lr:..DATE: 11./ 10 / 16
DEVELOPER: Landmark ConLnercial
CITY: Iiilmington, Nc
PHONE *:91J-392-?2C1
ZTPi 2ts/.ra
OCCUPANT/BUSINESS NAlt4E: vacar:
PROPERTY Ol,lNER'S f,lArCE: Lrndnar:k comrnerci aI Inc.
Ou,ItlER'S ADDRESS: s022 elrishtsvrlle Aven.re
CONTRACTOR: La.dn.r rk commcrci al Inc-
ADDRESS: 5022 ltrichr:sviI1c A-venuc
LICENSE *: '/: ] 9]
CJTY: h'ilnrn.ILol]
PHONE #: 9\a- i9?--1201
CITY: rij lr.ilrqton ST: NC zIP:23103
ST: NC ZIP; 23403
EitAIL ADORESS: sddwenport.G tanc!r:.ar kcomrnercial - net-PHo$IE *: 97a-392--i2ai
PHONE f : 914-524-ca')?.PRO]ECT CONTACT PERSON:steve Davenport
(check a1l Ihat Apply)
ACCESSORY STRUCTT]RE:
EXIST CONSTRUCTION:
lf Relocatlon, is lhere a Natural
r,lEN coNsrRUcTIoN: I rtecr EH srRUcruRE I rasr rmcx f] sner-r- ! ucrrr fl ADD ro Exrsr srRUcruRE
lf UPFIT - The Shell Permit #:
*'.*. rs rHrs A crrAr{68 oF ocqlparicy usrr [ves [no '"-.'
IF Yes, what \,ras the Previous occupancy TlPe?Hhat is th€ tler., Occupancy Typel
NC RE6 *: NC-B ?] 3
NC REG #:ARCH DESIGN PROFESSIOI{AL: Deslqn Efernents (Mike Sa:eed)PH:910-509-3131
EII6R DESIGN PROFESSIOML: N/A PH
DESCRIPTION OF IdORK: Upfit current vacancv fo! lease tenant.
aLrERArroN l-'i neruovarror l-l erxen-ql nrpatns
cas Line on the Current Sile? L_-l Yes LlNo lS BLDG SPRIN
RELOCATION
xleneoz Ivus []ruo
ls food or bovrages p.Bpar€d or s€rved h this sfuaurez I ves I No b TlE Pop€rty Located ln The Floodptah? [ ves I No
DISCLAIMER I hcrebv cenrfv ftalall inf
and local laws and ordinances and regul
or chanoe in contractoror conlracto o
Subrodlo Frnes UP To 5500.00-'
lhrs aoolkatonis c!fiecl and allwo* willcomdv wrlh he
NHC ilevoloomont SeNicos Center wrll be notrfied of any
NO+f Any !!ork PedoYm€d wo lhe Approprialc Per-niLs
chanaes in the approved
will6e rn V olation ofihe dans and iiccfiNC Stlte Blds Cations. The
Srale Building Code and all other applicable Slale
^.t-
(DHHS€768) *t\6thor the fadliv o. buildim r.as folrld lo
HAP) ar (919)7076950 8t l€st 10 d.vs prior l,o tl8
# OF UNITS:i
Business
OWNER/CONTRACTOR::lrephenil. DavcnPci:I. Jr. SIGNATURE:
(ooaened (Pdnt N6''')
Nas: Dsrnolflr; rdddions & a3b€61Ds,snovd psmlt ap9tcatiotE a.o lo be submltM usiog ths 6pp catoh fo'm
-rer, a*t <* ". ".r V- sI6 r6qlircd !o call itl6 Mlional Emkr6lm Statdatds tor l'l@dotl3 Alr Polhra.l.s (NES
Aefnotitim ot mv tacltity or tuitdin0. SE Ast€3lG Web Sno: h$p:/ tl^/\v €pi ttete nc us'IePuasbeslos/ehmP ffnl
TOTAL PROJECT
TOTAL SO FI UNDER ROOF: 2.n, OOO #OF STRUCTURESI _----)-_
# OF STORIES
# OF FLOORS:
SQ FT PER FLR
mST: 52?. 600 BUILDING HEIGHT:
(FOR OFFICEUSE
SETBACKS:
35',
TOTAL AREA SQ FT - 2f,, aaa +- 10 010
ACRES DISTURBED
NEW IMPERVIOUS AREA:
WATER: ECFPUA
SEWER: fl CFPUA
,,.:
PAYMENT METTIOD:
N EXST LAND DISTURBING PERMIT? N YES fI NO
SA FT EXISTING IMPERVIOUS AREA:
pRopERw usE: EoFFtcE nResreunarr fluenmunue fleouc flmr f]mNoo ornen
)lc:r
T-I OOMMUNTTY SYSIEM TI WELL E]ZONING USE CT'ASSIFICATION:
ncer.rinrusemc E PR-MATE SEPTIC fl ooITMUNITY SYSTEM
:r llll'rtJl;irli:.ii:i.:.:i:i:!l.l'lf') l;iiit(;!ll ?ii::;A'::&i:lsliili*
"ra"* itor*.= ro NHc) AMERIcAN ExPRESS I r*lcrursa florscoven!cesn I
zoNE: C6 oFF
Approval: NL C
ONLY-)r:r,l\| uu:B,_N\LlcER: {W
ity:
\G
i\.:t
N
Comment ir\o gPr,*s G 6o'rtUlt Of
FLOOD
uluN o{rd. pemrtt ree:
REvlsED oatE rvl 1/12
PROJECT ADDRESS: 890 250 south Kerr Avenue
Is Elect pouer on this Building E Yes E ruo
Joilo-l 3+)
APPLTCAiIT'S NAME:Hornss DATE: I
PHO E SI 0
ZIP i
LOT $:
PHONE $: q(o qsz-tt1S
sr; li0 zrp?!S! \
zI} tZ-Q)'lsl
prore r; 9lo(sz'-l l?s
PHONE S;qto 4sZ -l nE
J#+8€
AP PLI CATIOT{
Nunber(of{r.. us€)
! v., ff,ruoiter nves $m
J.
7_.\).
ii4Fr4V
NEW HANOVER COUNTY BUILDING PERITTIT
APPLICATION TYPE; RESIDENTIAL
PLEA5E ANSlttR ALL QUt5llorl5 APPLIaABIE l0 YOUR Pnolt(I
"Project Responslbillty"
PRO]ECT ADDR
suBDrvrslol,li
PROPERTY O},INER'S UIT: St
Ohtr'IER'S AODRESS:
COITRACTOR:
ADDRESS I
PRO]ECT CONTACT PEf,SOt{I
CITY:
CfTYI
LfcEilSE ll
CITY:
ELOCK d:
1
ExrsrrNc coNsr'U.rron, Co.;;*;HE**rorr*I e rrrnal nrenrs I RE I OCAT ]ON
NEW COiETRUCTTOT{, s a*,a' r{Et{ RE5TDENCE o" I ADonlon To ExrsTIlG RESIDENCE
..PLEASE CIIEC( AIID AiISI{ER BELOI.I ALL TTIAT APPI.Y TO \'OUf, PROJICTI.;
L\IATT GARAGE \] sF I orr ennacr sr [] rorcH -:ri- sr
! roor _ sr fl srorrer sHED _sf
sr
5UNROOM
GREENHOUSE
SF
SF DE(X ST OTHER:
1,.--]
TOTAL HEATED SQ Fr: o156 'a' TOTAL SQ FT UNDER ROOF
TOTAL PROIECT COST peos ror; : $ PSOrCCC) f ot ST
Is Any ELECTRICAI, PLt ilglfiG o. hECHAIiICAL l{ork leint Done to the
If the project is a Relocation, ls there a Natural Gas Lin
ls there Electrical Powe. on thir Buildingl f]Yes H*o
r l.-,,)f. i rorAl AREA sQ FTi
-
ORIES: . -
Ac(essory Str!(ture?
e on the Current S
PROPERTY UsE / OCCUP
DESCRIPTION OF I{OTT:%s srNclr tAr'[LY I u.relrx
- \lUN CM*Dchu\
f] rowmousr
9ECLAIMERT I ne,.by Esnrt hsl s8 inbrmBlron in ,rrs spprrcoioh is .orr6d ,nd si vrort nil compty wlh rtE sbe a{i5in0 code €nd a! oh6, tpgljcable sl6E tnd bial la /3
and ordhrnces 6nd iegul6lhn& Ihe NHC fEv€bprnent S€ a€s c€nlEr *iI b€ nottEd ol eny chtllEJ l,l lhe appto\,ed plan! and or cnanga ln conlr&6l ot
corltscbl hbtnalon '"llOTE:Any wo{k P€rlo,rEd lvlo h! ApproprlaD PomiE llbeiivrotstionolLh!NCSEt Srbjocr ro Fb€B t-b To $600 0q "
OWNER/CONTRACTOf, !Horrux sIGNATURE:
"1"'.iii,il'
"'. *i** "r * ""r"
,orT o.*r, orsrunBED: 'H
ExlsT LAtu, DTsTURoTNG trnnt* ; ves ffi *
I,IATER:
SEWER:
d
N
crpul I co r,luNrry svsrrt f] rRrvarr wtlr fl ctNrRAL l,EtL
crpua n cEilrRAL sEpTrc ! rrrvnrr srnrrc fl colMt.mrw sYsrEl'1
BF E+2ft=Approval:*- ctty:-- DATE:-- ftooD:
-*
A
corfipnt : _ .
lr
PERiIT rrE r t t w+
DEVELOPEN:
EIIAIL ADDRESS r
ACC(XJNT 'I
"1 SrPARA]t PtRflllS RtgrlBrD FOR tlt(r, llt(H, Pt86' 6A5 rSJlP, PRITABS 3 INSIRlS "'
,or"rxT nrrr-, !aor, fi.*aa* (PAYABIL To r$c) fIgrlr arcqJHr [rc/vrsr I orscwrn
**t)tt** **** *trr* t**i *,1* *l *,| I ++t lt* a, tt + * *'iril*t*,* *t*l} t** i't'ltt* *****+**:l'l** trtt**1' )*:t * t+r
(tor ofrr(t u!! olrY) REVT5ED oAlt 0'l11/1r
ToNE: 0FFICER: SETBACrc: F:- LH:- RH:-- Bl_-
rs ntE ptopEnry LocArEo rN l rlooonlatrr f]
EXI5TT{G rr,rPERVrOl's aREA: 0 tO tt
IEU ITOER\TIOUS AREA| SQ FT
NEI^J HANOVER COUNTY BUILDING PERMIT
CpR043 APPLICATIoN rvPE: RESIDENTIAL
PLEASE ANSI,JER AIL QUESTIOI,IS APPLICABLE IO YOUR PRO]ECT
"Project Responsibility"
H&q CONS]TRUCTOR'S OF FAYETTEVILLE, LLC
PRoIECT ADDRESS: so5 Green Heron CITY: wrr,MrNGToN
SUBDIVISIoN: clearwater Pteserve ELOCK f: sos
PROPERTY OI4NER'S NAI'IE: H&H CONS?RUCTORS OF FAYETTEVILI,E, I,LC
OhINER.,S ADDRESS: 8209 Market sLreeL suiLe c CITY: t{i Lminqton
CONTRACTOR; H&H CONSTRUCTORS OF FAYETTEVII,LE. LLC
ADDRESS: 8209 Market sLreeL, suite c
LICENSE n: 741s8
CITY: l,,TLMINGTON
Aottn-(t)"o
-16.=3237
APPLICATION
Number
(of{ice Us€)
APPLICANT'S NAME:
DEVELOPER:
DXtEi LL/ 16 / 2016
PHONE S:
zIP: 2!3t!
o43LOT #:
sT : I!_ zIP | 2!3_ll_
sT : Ig_ zIP: 2glll
EMAfL ADDRESS: iulicaffertv@hhhomes.com/ JerryBrenninq@hhhomes.com
PRO]ECT CONTACT PERSON:ifal Brenninq
EXISTING CONsTRUCTION:ALTERATlON RENOVATION GENERAL REPAIRS RELOCATION
NEI,{ CONSTRUCTION:ERECT NEI^i RESIDENCE or ADDITION TO EXISTING RESIDENCE
*,.PLEASE CHECI( AND ANSI,IER BELOI,J ALL THAT APPLY TO YOUR PRO]ECT:
Zl eoncx -]?l-- sF
PHONE *:
PHONE #:
910-219-1485
910-219-1485
TOTAL HEATED 5Q FT: 2s3o T0TAL 5Q
TOTAL PROIECT COSTce""ra) : $ rsr,rzg
ATT GARAGE 528
suNRooM _ sF
GREENHOUSE
DET GARAGE
-
SF
PooL _ sF
DECK SF
3391FT UNDER ROOF: a€5}
o o, ,roarar, ,
SF
SF
STORAGE SHED 5F
SF
Is Any ELECTRICAL, PLUITISING or |4ECHANICAL t",ork Being Done to the Accessory Structure? [ Yes
If the project is a Relocation, j-s there a Natural Gas Line on the Current Site? [
Is there Electrical Powen on this Buildine?
pRopERTy usE / occuPANcY, [l strucLr ramrrv
DESCRIPTIoN OF WoRK: STNGLE FAI'IILY DWELLTNG
ves fi to
OTHER:
DUPLEX TOI,]NHOUSE
ToTAL AREA SQ FT: 2o?8
I NO
Yes a No
D|SCLAh{ER; Ihereby cortry har sll inbmelbn ln his apptcaUon is conecr and a[ uorkwlllcomply wih ha Slal6 BulBlng Code 8nd dlo&er applbable Slale and locd laws
and odinanc€s and regulaltons. The NHC Oev€lopmeo t S€Nic€s C-,en t6r will be nouffed of my c,r6oges lo lhe appoved plan s and specificalbns or chanoe in conracbr or
contracbr tntomaUon. "'NOTE: AnyWork Perfoamed wO Ble ApproprlaE P€rmilswlll be In Vlolallon of lhe NC Sla€ Bldg Code and SubFcl to Fines Up To $50O.0O"
Ol,l,NER/CONTRACT0R:,.i,r Blenninq SIGNATURE:tYYhu-"-Qx-
(p.int [ame)*********+++:i+*+**++i{,r,'r,*+ir,x{.*r,**{.*{,{,,*'*+,t***++***+,**++*rt*,t*
-----Tr-
* * ***,i t * ** *,t **,1r.*)+ ** if + t:N* * **
IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YEs
EXISTING II{PERVIOUS AREA:
-5Q
FT
NET,J IMPERVIOUS AREA: 29S1 SQ FT
WATER: M CTPUA
SEWER: m CFPUA
zoNE: .- 0F F ICER:
COMMUNITY SYSTEM PRIVATE IdELL
CENTRAL 5E PTIC PRIVATE SEPTIC
NO
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERI1IT:YES fI ruo
I ce xrml uell AeuA
I couttuttrv svsreu AeuA
i+* sEPARATE PERI'IITS REQJInED FoR ELEcT, ilEcH, PLBG, GAS EgJIP, PREFAES & ItlsERTs.
,or"r*r rrtrool-' D1^;; E.rr.* (payABLE ro **c; f] m,*,.4n "'*"s E 'c/u'so E orscoven
:t:|*+*tr<+)t,t,t,t+**,***t********+*****,*'t*+*,**)Ft,t,*********ir+**rt,i(,t:1.+,**+rtrt**'i'*'t+****++t**+:t***'***
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=avrf
PERMIT FEE: $ I
(FOF OFfICE UsE OtiIY) REVIsED DATE O4l1U12
SETBACKS: F:- LH:- RH:- B:-
I
r
I
Comment:
o
,.:3?,
PHoNE S: 910 219 148s
n
;j ffits-
APPLICATTON rYPf: RtSIOtNTIA!
PtTASI ANSWTR AIL OUISTIONS APPTICABTT TO YOUR PRO]TCT br#"P,oi€ct Responsibility"
Irlders Ln c. .
lott,- 11 3Y/
Date \- 3- eetbAPPLICANT,S NAMT;
PROJECI ADDRESS:
SUBDIVISION:
PROPTRTY OWNER'S NAME
OWNER,S ADDRT SS
CITY ztP:')9Ull
Carter LamheJh
toT#
PHONT fl ao --.si.
CITY ztP
CONTRACTOR
ADDRISS:
C{(_a S C ",ro.,.r*rril lZc)
t,N,(zn, J.8 li, g 1
aql)
D Storage shed (5t)-
E orher (st)
ctw
TMAIT ADDRESS
PRO,,TCT CONTACT PERSON
fl sunroom (5r)
D Greenhouse (5r) _
PHONT
-/
ExlSTlNG cONsTRUcrloN: UzAlteralion fl Renovalion D General Repairs
NEw CONSTRUCTION: D trect New Residence &y'oOdn,on,o Exisling Residen€e E Relocation
.'*PLEAST CHECI( AND ANSWER BTTOW ALI. THAT APPLY TO YOUR PRO'ECT'"
E Alr Gara8e (5t)- D Det Garage (sF) Dzlorch {Sr)
*e
D Pool {st)
D Deck (st)
ls t he pro posed work cha nging t he exisl ing lootprinl? tl ves ruo
TOTAI SQ FI UNDEAROO! Uot ptoposed work)Heated:
TOTAI PROJECT COST (Less tot): S t'o eoc
Property Use/ occupancy: /single ramily C Duplex D Townhouse
lsthe proposed work chaneanglhe number of bedrooms? E y". {E/tto ,
ls any €leclrical, Plumbing or Mechanical work beinB done to the Accessory Structure d Yes E No
l, the proiect is a Relocation, is there a Nalural Gas Line on the current slte? D Ves /llo
ls lhere tlectrical Power on this auilding? Mves E ruo
0 Unheated:
Description ol Work:
C <-5 I F ijt rr dtaJ(
laws and ordan.n(es and r€Sulalions. The NHC Developm€nt Services Centet will be noliiied ot anv chanSer in the .o, chantr in ronlraclor
s5o0.o0"'inlormaiion "'NO'tI Any worl perlorm?d wrlhoul lhe appropriate permitl w,ll be in vrolalion oi lhe NC Slale
K L
Total Acres Disturbed:
---
Owner/Contractor:
"L
'ce
nsed Quolili?r"
ls the properly located in a floodplain? S/ves E tlo
Existin8 lmperviou5 Area: .- Sq fl
New lmpervious Area Sq rt txisling Land Disturbint Petmit: D ves ! ruo
wATERi D CFPUA E communily syslem dprwatewell D Cenlral vv€ll f) Aqua
stwtR: E CFPUA fl Community Sy5t€m Vtrrivate Septtc D cenllalSeptic E Aqua
Zone: ,- Olficer: '- Selba(ks (r)
-
(tH)
-
(RH)
-
(B)
-Approval: _, Ciry: __ Date:
-
f lood: (A)
--
(V)
--
(N)
-
Bf Er2'tt=
-Comment Permil tee: S
exowS2o-^-1O4{
Signature:
rt,. G (*PuA
NEhI HANOVER COUNTY BUILDING
),oto tDqo
PE Rt'lITAPPLTanro ryeE: GOiI}IERCIAL
PtEASt AtSlrEn At[ QUTSIIO],|S ApplICASt E ro yotn prolrcr
-projcct i.sponrlbllity-
A}P Lt CATIOII
a{uobca
(Offl.c. t,'.)
DAtr: I tj /(,A?PLICAIi T'S l{A t:
DEVTLOPER:
PRO]ECT ADDNESS:2r ,L/
Lc.PlottE f :.,u?CTTY:
tpuns l-lLJ
BLDG SPRrru neneozIvee fito
Zl?.29?c7
PHONE T:
Sli /.LZlpt Z*taJ'
Slt*,Lz,'p;.rt?//
PIrc,IE ltT,,6 -t-r,c -
PtfllE lttze ..rf " - 7;JAf
tocAYtot
OCCUP&TTIBUSIIII!5 MNE :
PIOPERTY O<lEi's ilAnE :
OI,{iIf R ' S ADDRES ,)Grq<1 04 k.Si ))Z.A,
C
CITY:
ucEttsE f :
ctw:ADDiESS:,/d )l, itr:Cror+-
EITAIL ADORE ss2 AL 4ariz 4tao,l tGr<*,@
PiO]ECT COI{TACT PERSOI:
Extsr colsTiucr:or : @/rrrurror E f-rrJ,l[[fr'
ll Rebcation, b lhere s Nstur8l GEs Line on lh€ Curre site? El
lElJ cof{STRUCTtrX, I rntcr EN STRUCTURE E rAsT
ACCESSOflY STRUCruRE:
Thlt lpply)
6E'{E[AL R NE
If UPFrT - Th€ Shcll Pemit s:
Yes No lS
rRAc( El sHErr tr urrS I ADD To Exrsr slrufirnr
Is Elcct Pou€r on thts Bui]din8 El,y€s Em
OF OCq,PANCY TEE I fiws @m.'...Itrrt ls thc tlctJ Occupancy fypc?
s y6 rcG * qi'
.r.r. Js Tltls a ct{ait6E
IF Ycr, h,tat rat tht PNr.iorr Occup.ncy lDrl
aro{ oESIG Ptorttslotar.:
ETGT DESIG ?MTfSSIOML:
1-PH
PH
-/ 75lc
, --.__ [c REG 'iDESCRIPTION OF IORK:
b lood or bGr€69c. Frpe.ld or rGrrd ln thh nndrc? Eyes Ehio h TI|c Propcrry Load m nc nooapnfirEves firr
bdllv or hffhC ln. br! rob.5 rO 6y! Fbr io tll
TOTAT PROJECT CoSI: -/_4.ad_ BU|LD|NG HEtcHT: r 0r uil[s: /fglAl{?!i9.I!:..#a":t*'_b 99n!gl!ni___ rasronJiff- ._.ToTALSoFTUNDERROoF: Po" 'oFSrRUCrURES.. , __ fS;6&;'--.
=AcREsDrsruRBEs, tv/ t+ o,srry?gl11BtNcftp6pfly5s @Ho 4NEW TMPERVIOUS AREA:_ SO FT EX|SING IMPERMOUS AD$. * --.--'"- __lp
pRopERryusE: ppFrce ftnssrauner,n [NenuNrru f]eouc Eepr Ebr,oo oTHER =_
wArER: pprPU4 EPllluNryslftr[_trryEr _DzoNrNGUsEQrssnceror:SEWER: E}CFPUA f:I CEi{TRAL sEPTtc E P-RNAIE sEPIrc E_CoMUUNTTY sYsli;
" SEPAMTE PERMITS REOUIRED FOR EILECI, MECH, PI3G, GAS EOUIP. PREFABS I INSERIS..
pAylrEilr METHOD: ECaSX ICXeO< leavasu To NHc) EINTER|CAN EeRESS E]il6,usA Iosmvrn
zorue:-LoFFrcER: 4L\ "SffiE[.:"JtLux:,,rl* nx:dl*e.^rrr
Appovat:J&-crty:ld&!N--DATE:u\5\u,FLooD:- ..jfo i{-erE?i'=
RtvtsED oArE l/l1nt
C
<D
L
<)
N.:,<irr
F
comment Nr Edl.tsronl'o( Cr{A{ffi {
PERMfI FEE:3
1ffi)82
cottTRAcron :
t.r..r',-_-
//lz/t</<<z/
OFQ C2
\J$
ffi
u 6ce cf{vx \b ?Lsc-2atu-lt )?3
APPI.ITATIOf{
Nunb€r
((Xf j,(. use)
NEW HANOVER COUNTY BUILDING PERIIIIT
APPLtcATIott IYPEr COIttItERCIAL
l)rt/\sl axsotR A,L QUESTIoTiS ADpLI(A8l t ro Y(,Uff tfiol(cl
"Project R€sponsiblllty"
APPLICANT'S NAI'E: .]] ] ,1' I
CITY:
OATE: . .
PHOiIE S: r.
PHONT ':
DEVE LOPER : I
PRO]ECT ADDRESS: -
OCCUPAI{T /8US It{ E SS AIEi.t-r ,i.
PROPERTY O{TiER'5 I{AIIE
OI{{TR'S AIDRESS: :CITY: .. r'5T: "r ZIP:.:--
CONTRACTOR: .', i'|r'
ADOREsS: .ST: 'r zIP: . :
tMAI I ADDRT SS Pm0lE r:
PRO]ECT CONTACT PERSOIi: : :i . .I PHONE I:
((n <r All that Aprly)
€xIsT coxslRucrlot{;A LTE RAT I O+I REiOVATION n GEI'ERAL REPAIRS RELOCATIOIT
It Rglocalirn. is lhere a Nalural Gas Llne on the Current Sile2 tr Yes E No lS BLDG SPRINrrencDu f] vu.T No
ftEl.J CONSTRUCTIo'/:ERECT NEhI STRUCTURE FASI TRACX SHELL UPTI T ADD IO EX]ST STRUCTURT
ACCESSORY STRUCTURE:
LICENSE *:
CITY: . rii -,:l
If UPFIT - The Shell Permit f Is Elcct Poxer on this Buildlng E Yes E tO
r.... rs rxrs A orAriGE oF o€cuparcy user [vrs I
If Ye5, riat var the Prevlor.rs oc(upan(y Typr?
ARCH DESIG'{ pRoF€tSIoraAt: ir.'.iri. r ir '.;!1.PH
PH
NC RE6 $
NC RE6 IEN6R OESIGN PROF€SSIOITAI
DTSCRIPTION OF UICRK F :ll;!\r 0rr
ls tood or b6v6Egos praprgd or ssrved ln lhs srructwe? [Yes I No ls .Iha Prcp€rty Locst d ln Tha Floodplaio? flves fi No
OSCL{MER: I horoby ceoly lhol ollrnfonnoto.r In lhrs sgglEallor, ,s co.rocl o rirrort lirllcor,ldy nth t}l€a^d lo.rl l€w5 and odrra.r€cs ond rogdato.rg T\e NHC DcvaDg.nant Scrrtc6s C6nlrr wifl bo .Erifisd ot anyfi cnanoe rn conEaclor oa conlr€cior rItoflrrhor "'NOTE AnyWofi Padormad w/Oth€ Appopriirc PamihS!berrlo F,nes Up To 35OO 0o"'
Sral6 &rld.$g Coalo and altolncr apphcauo Srarochanoo. in thc approvcd Dtarr3 a'rd ilDcdicatlo,hwill bc 'n Violarloo ol lh€ NC Slar. BldO Co.,. ar d
OWNER/CONTRACT OR. r!,.\j r,t{l 'e eg<*
!h6 O.m.lto.! ndltc&or: t !.b..L. ,unovd Fmn .pdtc.dorr .rr b b. tlJt(rlilrd lnrtg ra .gdtcdin b{m (DHXS-376t) rhth.. tl. hdIV o. luidho w5.
SIGNATURE:
@ntdn Ab.tb or rrc{ Ycr 6rc nqrrtd b..( i'r. N.!o{a EnLbn SExh(l b He.ftro6 A, Potlt a!i! (NESHAP} !r (Dle)7076960.t tdt tO &y! p.ror !o rE
do"tol&xt o{ !n, hd$ry or t)l,kf'o Sfi A3bdb. Wlb S.b: nip / /w .pi-.urts r'c.u6/.Iila3borroddlrnp.hln)t
TOTAL PROJECT COST AUILDING HEIGHT: , -i OF UNITS:
TOTAL AREA SO FI . , ,SO FT PER FLR: : :. ,- , .# OF STORIES: .
TOTAL SO Fr UNDER ROOF: ..', , SOF STRUCTURES: -# OF FLOORS
EXST LAND DTSTURBTNG PERMTT? n VeS p r.rO
SO FT EXISTING IMPERVIOUS AREA:
PROPERTY USE: flOrrrce I RESTAURANT flraencarurru f] eouc Imr CONDO O'IHER;
COMMUNITY SYSTEM DWELL
PRIVATE SETTE
ACRES DISTURBED:
--
NEW IMPERVIOUS AREA:SO FT
WATER. EaCFPUASEWER: fl CFPUA
ZONE:_OFFICER:
CENTRAI- SEPTIC
flzoNrNG usE cr-AssrFrcATroN
fl coMMuNrTY SYSTEM
r't .,, . t.-.r.il
PAYMENT METHOD flusr IcxecK (pAyAaLE ro NHc) DAMERIcAN Exeness [] ucrusa I orscoven
(FOR OfFTCE USE ONLY)
SETBACKS: F LH: RH: B:
Approval:_ City:-DATE:- FLOOD:
-- -
BFE+2ff=
AVN
Comment PERMIT FEE: $8
ZIP: I ri
', i
Uhat Ir the tlcr Occupancy Type?
Ntt - lS3?3
affiZNEId HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PLEASE ANSI,IER ALL qJESIIOIS APPLICABLE TO YOI]R PRO]ECT
"ProJect Responsiblllty"
Robuck Homes Trianqfe, LLC
Homes t!ian q1e LLC
APPLICATION
Number
(office Use)
APPLICANT'S I.IAI'IE :
DEVELOPER: nouuct<PHoNE *: 919-876- 92oo
EXISTING CONSTRUCTION:ALTERATION f] nerovarrou I eewenar- Rrearns !RELOCATION
NEr.l GoNSTRUCTION: E ERECT NEh' RESIDENCE or I nOOrrrOr TO EXTSTING RESIDGNCE
*{.PLEASE CHEC( AIID AiISWER BEI"O},I ALL I}IAT APPLY TO YOUR PROJECT:
ffirrr onnner 3e8 sF I orr canacr sr E poncH 138 sF
tr suNRooill 5F POOL _ sF I sronaee sHED _ sF
SF OTHER: SFI cnrrr,rHouse _ sF f] oecr
TOTAL HEATED SQ
zo20il: 34l|2-TOTAL SQ FT UNDER ROOF z 34i2 TOTAL AREA SQ FT: 3a72
TOTAL PROJECT C0STlressrog : $243040.00 # OF STORIES:
Is Any ELECTRICAL, PLUI{BING or MECflANICAL tjork Belng Oone to the Accessory Structunei I V"t [l ruo
If the project is a Relocatlon, ls there a NatunaL Gas Llne on the Current Sitel IVes [l lo
Is thene Electrical Power ori this Building) lEl Yer l-l tlo
pRopERTV USE / OCCUPANCY t ISrrcle FAr"lr Ly n DUptEX n TO$|NHOU5E
DESCRIPTION OF WORK:ne\,, home
PROJECT ADDRESS: 5117 Laurenbridqe Lane CITY:wllmi.nqton zlP | 4loe_
SUBDMSI0N: Laurenbridqe BLoCK ! LOT S: q_
PHONE #i 9re -a't6 -9200PRoPERTY OUtr'lER'S l,lAilE: &oDuqk Hones Triansle, Ltc
CoNTRACToR: Robuck Homes Trianqle. LLc LICENSE #: s?083
ADDRESSI 6131 Fafle of Neu6e Rd. ste 2oo CITY: Raleiqh ST:N_ ZIP: 2?50 e
EitAIL ADDRESS: i norbech@robuckhqmes - com PHoNE f3 919-8?6-e2oo
PRoIECT CoNTACT PERSoN: ,ra1 Norbech inorbe 6.COm PHO"IE #: 9a9 -277 -t128
conlracbr hformadon. "'N OTE: Any Work Psrformod wo he Approprlate P€rmlrswrlb6ln Vbhlbn of lh€ NC Sl,ate &dg code sd Sublect k, Flnos Up To S'5O0.0O"
OIrlINER/CONTRAcToR I Charle6 J. Bl IV SIGNATURE:
* *** *** *,I** )r*t* ***r*** *, * * JIITI liI"] ** ** * * * *** + * * )t**r. d.*trB*r(,t )ti'*,1'+ +
IS THE PROPERTY LOCATED IN A FLOODPLAINI f] VCS E] TTO
EXISTING IIitPERVI&'S AREA: O SQ FI TOTAL ACRES DISTURBED: .43!-
Exrsr LAND DrsruRBrNG PERt'lrr: l-l ves lTl no
wArER: fl CFPUA f] coflt"luNrrY svsreu I PRTVATE h,ELL
efld ordinances and legulatloDs, The NHC D€velopment Services Cenler willb€ ootffed orany changos ln he appoved plans ard spacllicalions orchang€ ln contr&bror
*,t,1 **++,t + +* ** * **'t* {.
NEU IITIPERVICIJS AR€A: 17A SQ FT
SEr.lER: I CFPUA E CEI'ITRAL SEPTTC PRIVATE SEPTIC
ARATE PERT4ITS REQUIRED FOR ELECTJ MECHJ P
I crurnnl urrl
f| cor'rr"ruru rrv svsrrn
LBG, 6A5 EQI'IP, PREFABS
$1,s12-
& INSERIS '**
ZoNE: _ 0F FICE R:SETBACKS: F:- LH:- RH:- B:-
A'4ERICAiI EXPRESS tr lllC/vrsA I orscor.^
t *:t *t+**t +*,* )t**** **** *** * i.,t )t !i*+* *'r**:i*
sEVrSrO DArE O4l11/12
"** sEP
PAYUENT I4ETHOD:
,r*'* il ,t,* r. ,( * + i. t,t
CASH tr CHECK (
* * t+ !N * **,F ** * * **** **
PAYABLE ro runc) E
* * * *,r. *** * * +** ** )t:|*
(roR ofFrcE usE olll-Y)
N
Approval:- CitY:- DATE:- FLOOD:
-
BFE+2ft=
DATEI LLlL7 /L6
O.,JNER' S ADDRESS: 5131 Fa]fs of Neu6e Rd. ste 2oo CfTY: Raleiqh ST: NC ZIP:27609
Qott, - I lLlo+LH2UENEL{ HANOVER COUNTY BUILDING PERMIT
WGE041 APPLICATI0N rvPE: RESIDENTIAL
PLEASE ANSUER ALL QUESTIONS APPLICABLE TO YOUR PRO]TCT
"Project Responsibility"
APPLICATION
Number
(office Use)
ApPLICANT'S NA[18: H&H coNsrRucroR,s oF FAYETIEVTT]LE LLC
DEVELOPER:PHONE #:
PROIECT ADDRESS: 502e otter rail Trail CTTY: WILMINGToN zl? i 284t2
SUBDIVISION: wi 11ov7 clen BLoCK #: 602e LOT #: oa1
PRoPERTY o{^lNERr S iOME: H&H coNsrRUCroRs oF FAyErrEvrLtE, LLC PHONE S:910-219-1485
LICENSE #: 741s9
CITY: WI LMINGTON ST: Ig_ zIP: 284r1
PHONE #: 910 219 14ss
PROIECT CONTACI PERSON: ,l.r Brenninq PHoNE #: 910-219-148s
EXISTING CONSTRUCTION:ALTERATION RENOVATION GENERAL RE PAIRS RE LOCAT ION
NEI,J CONSTRUCTION:ERECT NEI,{ RESIDENCE on ADD]TION TO EXISTING RESIDENCE
**PLEASE CHECK At{D ANsl,lER EELOI^I ALL THAT APPLY TO YOUR pROIECT:
CONTRACTOR: H&H CoNs,.TRUCToRs oF FAYETTEVILIE, LLc
ADDRESS: 8209 Market sLreec, suite C
SUNROOM SF
flarr cnnaee 718 5F DET GARAGE
-
SF
POOL SF
PORCH 334 SF
STORAGE SHED SF
5FnGR E ENHOUS E SF I orcr 744 SF OTHER:
TOTAL HEATED SQ TOTAL SQ FT UNDER ROOF: 3626 TOTAL AREA SQ FT: 3141
TOTAL PROIECT COSTIlesst-0g: $ rsg,zoe # OF STORIES: 2
Is Any ELECTRICAL, PLuMBING on mECHAIIICAL l,lork Being Done to the A(cessory Structure? fl Yes No
FT : 25'ta
If the project is a Relocation, is there a Natural Gas Line on the Current Site? [ Yes I No
fs there Electrical Power on this Building?r ves firuo
PROPERTY USE / OCCUPANCY:SINGLE FAI,IILY OUP LEX T0t\,NHOUSE
DESCRIPTION OF WORK: SINGI]E FAMILY DWEI,LINc
Ol^lNER/CONTRACTOR: .rJ Brenninq SIGNATURE :
(Print Na,ne)
)i * * + t * + ,* * + + * :* + + * * ,i * * r. * * ,t l ,i i* + * * * * + *+ * * * )t*,t )* *r. *,t {: * *i it +* *,*,t * i. * rt * + + *t* ** *,1*i* *i* ** ** *:l * * * * * *
DISCLAIMER: th€roby c6dfy hal all lnbrmau,cn in hls appllcation ls correct and all work will comply wih ho Slale Bullding Code and all oher applicabl€ Slab and local laws
and odinances and regutatlons. The NHC Developmeni 56rvhss Center wall b€ ooified otany changes ln he approvod plans and sp6cllicalions or chango ln conlractcror
conracbr iobrmation. "'NOTEIAoyWork Perlormed W,0 lhe Appropriab P€rmilswillbe in Vlolalion of[€ NC St.ab adg Code and S,ubiecl o Flnes Up To $500.0S"
IS THE PROPERTY LOCATED IN A FLOODPLAINI f] VTS
EXISTING II1PERVIOUS AREA:
-SQ
FT
NEW IMPERVIOUS AREA: 3740 SQ FT
I NO
TOTAL ACRES DISTURBED: .32
EXIST LAND DISTURBING PERMIT:I YES l--l ruo
I cor,rr"runrrv sYsrEM TmUE-l
AOUA $l bpt'iATER :
SEhIER:I creun ! crrurnnr secrrc ! PRTvATE sEPTrc
,I** SEPAIIATE PERI{ITS REQI]IRED FOR ELECT, IIECH, PLBG, GAS ESJIP, PREFASS & IIISERTS '**
pAyrvlEnr ErHoDr flcasn I cHecK (pAvABLE ro NHc) t] A]'lERrcaN ExpREss E mc/utso I orscovrn
:* )r,r,r )r ** ***t t:t** *i( i. * +** *** * ***t ** * ri,i:i * * * )t,l i(,t:i * t,t + * ***,i t + )t,i*:i.* ** * **** )t,t l* **i **+* **** *'|'ti| * *
(FOn OFFTCE USr 0NrY) REVISED oATE O4l11/12
SETBAC(S: F:- LH:- RH:- B:-
CF PUA COMI\4UNITY SYSTEM PRIVATE I,]E LL CENTRAL I^]E LL
ZONE:OF FICER
Approval:- CitY:- DATE:- FL00D:
-
N
t
BF E+2ft=
rrt'\
DA'IEt Lt/ tB /20)-6
ol.tr{ER'S ADDRESS: 8209 Market street suite c CITV: wilminqton ST: !q ZIP:2!{11
EPIAIL ADDRESS : i ul icaffertv@hhhomes . coil/ Jer.ryBrenninq@hhhomes . com
n
NEI^I HANOVER COUNTY BUILDING PERMIT
ADL031 APPLICATIoN rvPEr RESIDENTIAL
PLEASE ANSI,JSR ALL oUESTIONS APPLICABLT TO YOUR PROIECT
"Project Responsibillty"
ApPLICANTTS NAME: H&H coNsrRUCroR,s oF FAYETTEVItI,E, LIJC
DEVELOPER:
2ortr- uvD-D
'16-3e3€r
APPLICATION
Number
(office Use)
DArE: _!V]!l?!lq
P HON E IT:
PROJECT ADDRESS: l2o? Yadki.n court CTTY: wILMINGToN ZIP i 284].2
BLoCK ll: 320?LOT #: 031
PRoPERTY OUJNERTS NAlvlEt H&H CONS?RUCTORS OF FAYETI'EVILLE, Ll,C
CoNTRACToR: H&H coNsrRUCroRs oF FAYEl'TEVrr,r,E, LLC LICENSE *: 74158
ADDRESS: 8209 Market sLreeL, sulte c CITY: WII,MINGTON
SUNROOM 5F POOL SF
6RE ENHOUSE SF D ECK SF OTHER:
PHONE #: 910- 219-1485
sT : IL zIP : :!31!
PIONE #: 9ro-2r9-148s
PIONE #: 910-219-r.485PROIECT C0NTACT PERSON: ,1.] Brenninq
*TpLEASE CHECK AND ANSWER BELOI, ALL THAT AppLY TO YoUR pRolECI:
Marl caRncE ero sF ! oer canrce sr I eoncH f:f-- sF
STORAGE SHED SF
5F
ToTAL HEATED 5Q FT:2e1a ToTAL sQ FT UNDER R00F: :srs TOTAL AREA SQ FT: ]2:!-
TOTAL PROIECT COST Gesslot) l $ ftz,tzs # 0F STORIES: 2
Is Any ELECTRICAL, PLullBrNG or lttEcHANIcAL wonk Being Done to the Accessory Structune? [ Yes No
If the project is a Relocation, is there a Natural Gas Line on the current Si.te? f] ves No
Is there Electrical Power on this Building?
PRoPERTY USE / OCCUPANCY, I SrruCle rnUrlV
T ves l-l to
I ouelrx I rowruxoust
DESCRIPTION OF I,IOR( I SINGT,E TAMILY DWELLING
Oll]NER/C0NTRACT0R t JJ Brennj.nq SIGNATURE:
(prlnt ame)
,* * {r !r x**,r)t* + +.} +,t r *,r,* ,* *+ +* l:1.:} +} {. ++* *)t * + **:i* i( )t,1. l. ,t {. *,}:} * * )***+ *,i,t * i + +)t,N**x,***** ir 1.,t + **** +**1( * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN? T'] YES E ruO
EXISTING IHPERVIOUS AREA:
-SQ
FT
NEI,J IMPERVIOU5 AREA: 233]- 5Q FT
TOIAT ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:YES l--l uo
and oadtoanc€s and regutatbns. The NHC D€velopmeol Services Cenlei wil be nolilied ofsny chano€s in he approved plans and specillcalions or change lo conttstcr or
contac{or intormaton. ",NOTE: AnyWork Pe ormed W/O iheApprcpriale Permitswlllbe lfiViolation of lh€ NC Stsle thg fue and Subject !, Flnos UpTo$500-00"'
WATER:CFPUA COMMUNITY 5Y5IEM PRIVATE WELL CENTRAL I.,ELL AQUA
COMMUNITY SYSTEM AQUAsEwER: Z] CFPUA n CENIRAL sEPTrc I enrvnre sEPTrc I
r*t SEPAIIATE PERI1ITS REQ{TIRED FoR ELECT, nECH, pLsG, 6A5 EQ{JIP, pREFABS & MSERIS -
pAyr1ENr !1Er1oo I E crsn E cnecK (pAyaBLE ro tlrc) E mrnrcAN ExPREss E ac/vrsr El orscovrn
*****)t+**** ++*****:ar.t**t,i,t:f:t**:!*t*t*,t,1*+:i:!*t*,t,t***:i* **'t'+ *t* 't 't 't '*,'+i'**'''** '* 'ilt *:t* * * ** '* * * '* * **
(FOR OfFICE USE OilLY) &tvrsEo oaTE 04111112
zoNE: _ oF FICE R:
BFE+2ft=
SETBAC(S: F:- LH:- RH:- B:-
Approval:- city:- DATE:- FLooD:
-
AVli
Connent:
I
I
I
PERMIT FEE:
*t bt
@
SUSDfVISION: Ada$6 Landinq
ol,JNER's ADDRESS: @ crrY: wllminqton sT: !g-zrP:28411
EitAIL ADDRESS : iulicaf f erty@hhhomes. com/ irerryBreonlnq@hhhomes. com
EXTSTTNG CONSTRUCTTON: I ArrenArrOru f] nrnOVnrrOr ! Crrennl REPATRS f] RELocATToN
NEW coNsrRucrrott: I rRecr NEhr RESTDENCE o" I motrtou ro ExrsrrNc RESTDENCE
$*
&,otlt-lt"(0L
-T6=1++L
ffi
NTW XANOVER COUNTY BI'ILDING PERIIIIT
,PPLICATI T T'?E ; RESIDEITIAL
PLEASE A'SIGR ATL QUESTIO's APPLII^BII Iq Yq,ff PR]O]ICT
'Project RasPonsibtltq/
APPLICATIOIItl(*er
(Offt<. t,rr)
APPLIQTOI'S }IAIE:/rr,Y,r*c /lrut Ga t'h / Cae/,,rr,-.
DEVELPER :
PRO]ECT AfiNESS:
suSDMSrOl:
PNOPENTY fr{ER, S
ortER, s AUTRESS:
*Fb
CITY:
CITY:
LICE'ISE
crw:
atYa/r,?to-b|?-fl"?*i&,:rp'' X74 8O
Or?t
PORCH
I sronrce
SF OTHER:
PflOaE *:
Pl5{E *:
SF
ut c oCOTITRACTOR
ADOiE SS ,
ETAIL AMTESS:
ATD
1--'l sucnmr sF
I enr
ST:zI.P I u!//
PRO]ECT C$TTACT PERSO{:P+II{E *:
EXrSTrre CO SntrcTloL:u ALTERATION n R EI{O/ATIOt{f] eerenrl neearns I RElocArrot
l{EH co6T6rrr 91t, {e*ct t{gy tEsrtxxcE o" E roorrror ro Exrsrn6 REsurGl{cE
.'p!eGr cxecx
lZ] ATT GARACE
BELfl ALL T}IAT APPLY TO YO'IR PI()]ECI:
SF ft oer eaust
-
sF
Doo.-sF
TOTAL
EiHqrsE
-
sF fl oecx
HEATED se n,#6 er;?1rFr r. ,En
PtorEcT cosrrr-eaer-ar , I ? (i Pl s
*.ffi,-ff^,{*
(FSTmIES: / /(-
SF
SF
EA SQ FT:
I v.t No
TOTAL
Is Any ELECrIICAL, Pufm or iIclUmcAL Lork Belng Irone
If the project ls a Relocatlon, ls there a tlatural
Is there Electrlcal PoBer on thls BuUdlnS?EYes
Pn<PERw usr / ocoplrrcv: fl srrele r+rrlv f]DUP L EX
to the cessory Structure?tr Yes
Gas on the current Sltel
No
E
rNCD€SCRIPTIOI OF I'ORX:
rll ,
OBct ER lh€(€by c€nit h6t at htrmaiofl in his +rlcraoo b cocrct tld d wort vril aonlply nih
')e
StaE
dd onrrdicd d Eg[ittons Th€ HcD.vclopln nl S.rvlco! Ccnbr wtl b6 mafud ol ity .fi'lg€3 h ttc
cofie.r hbtmalofl. "'llOTE: AnY Work
(nL r*roru
tE llc
,l,t:*:t * * t +:4,*t *:l,l*+**t,i)},. ****a]*** *** 4,**,r *** * t,l* t:l***,t I t
IS fiE PROPERTY LOCATED IN A F fI YES MI
applbSlo Sbl tld bcd l$vs
Io 1500.
:t:t:i,*** *,*:l tl * t )tt*,| t+ * t+i
EXISTIIE IPERVIq'S AREA:
EH D.PERVIoI'S AREA:
TOTAL ACNES DISN'RBED:
EXIST LA'D OISTUREIiIG ,#fr{,r*?
5Q FT
SQ FI
I|ATER :CF fl cor,tnrw svsre r.r f] PRrvArE I.ELL
SEHER :FPUA fl crnrnal seerrc PRIVATE SEPTIC
I cetrnal well
I co,trnrw svsrrm
'I* SEPAIUITE PEEIITS iE FOR fLECT, IIECH, PLBG, GAS EqJIP,PREFABS ! Ii6ERTS }*'
PAYXEiIT IIET}OO;u CASH CXECX (PAYAELE TO 'rf)trfRrcl,l ExpnEss n ,c/vrsa E orscovr*tr
,t+'t* +,i* +*,|l*,1*rt t*:l:**:},| **+:t*t ,t:i {tt **at ,t'r * *:},r *t tt* '} *,r * 'l+rtr l.tt*lt a'*aat i*+l f *'} t t t:} t':t'} !l'l * | *+
(toR ofFrcE usE a!Y)RT oaft o1177/l?
ZOflE:
-
oFFICER:SETBACKS: Ft- LH:- RH:- B:
BF E+2ft=
TApproval:- CltY:- DATE:- FLmO:
-
F?3
DATE:
BLOCX r:LOT S:
OH{ER/CO{TRACTOR:
l ur0
2Ot@ llrlo+
.HFZtg
APPLICATIOI
tl(rb€r
(Offt.c t i.)
AT'PLICAI{T, S ilA}tE :
DII'EL(PCR:
PNOJECT AIDNESS:
SIJsDIVISIO{:
PR)PENTY ffIER'5
M#R'S ADMESS:
NEW XAI{OVER COI.INTY BI'ILDING PERI{IT
APeLIcAtIOt nes: RESIDEIITIAL
PLEASE A,.SI*R ALL QUESTIOTS APPLICAALT TO YO"R PROJEC'T
'Project RcsPo.|slblut/
/r r,Y,rrc /lrnrt (ool Vn/C"u/)",-
CITY:
ELOCX ::
PlxxE *:
A)
V.l
DATE:
zIp:
LOT {r 7
ST
o,7!g-b'l-?:8gk?srzllLzpz2ftl20
, /(zv, Ulll
?/0 abv-977
o 7
CO TRACTOR:Ut I
ADONESS:
EITATL ADOiESS:
PRO]ECT CO{TACT PERSO :ta PHOIE f :
RE Or'ATIOI{GEI'IERAL REPAIRS n RELOCATIOITIu
I oorrrolr ro Exrsrriac REsrD€llcE
IIIE:
PO crw:
LICE'Ts E
crw:
o
o
EXTSTIre
Elt colls or
6as L
P}IXE I:
SF
C}IECX ATD A'6I'ER BELq{ ALL T}IAT APPLY TO Yq'R PNOJECI:
ATT GARAGE SF fl oer eanaae sr Wot
fl surnoor
-
sF Er*.-sF tr SToRAGE SHED _ sF
I cnre nrotrr 5F
TOTAL HEATED SQ FT:R(x,F:TOTAL AREA SQ FT:
TOTAL ffiOIECT COST 1r"<a ral : f * OF STMIES:
SF ?) S.,t-
rs Any ELECTiTCAL, PUrIIG or f'lSclurrc L B€lng Dor!€ to the Accessory structurel E Yes
If the proJect 1s a R€locatlon, ls there a llatu
Is there Electrlcal PoY€r on thls Bulldlng? !-'l
raI
Yes
the current slte? EYes Eftro
ffi-
No
PNOERTY t'6E / OCCIPA'{CY:
D€SCRIPTId{ OF I'ORX:
Oi9CLAmR I heroby cortly tlal atl robrmadol} in
dld ordh cca and lE€Ldattorr3 Ttl€ NHC
corrl*br hblrntlon. '-llotEl AnY
ffi{ER/Co}{TRACTOR:
tt*:!:t*,1*+** *:L|
I5 THE PROPERTY
EXISTIIIG IFERVICJS ATEA:
EH U,PENVIq'S AREA:
zot{E OFFICER;
ffin, r+rrr-v f]orrrrx fl
.-.I ^16.lL
is h€ Stst Buildtlg Cod6 trd C ollo 60pfcSk Sttt tld bcC lsws
,.*+*+* lrt tr)t r *,t**,;+a+*t,l**,1'tlt +'i'* att*t:l* 'i'tit+'tt**tl
i14)
II{AF it?I--l ves ro
LLJL E
A--2
PER rr: I I YEs U[]$SQ FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAIO OISTUNBI G
(FOB OFfICE UsE Orll-Y)
SETBACKS: fi- LH:- Rll:- B:-
,i. SEPAIIATE PEEIITS TEQUITED FOf, ELECT, FECH, PLBG, GAS EQPIPJ PREFABS & II6FNTS "'
,^*,., *,""tr-; i7*; i;r;; * ,.t E*.rcrx rxp1Ess E xms^ [orscwrn
l:}+'}l.t+..11*+**tttt*'l*ll+'l*'}*.t+tltlt.'lt,}****:}t:tsti+*+*tt+*i.{t{.*+***+*+lii*t**tt,l:.,t++++ta,}*+
REVISED DAT€ O/I/11/12
BF E+2ft-ApproYal:- CltY:- DATE:- FL@D:
-
A N
{7e
/
SIG ATURE:
xrrrn: fi-crnua D comnrw svsrer fl PRrvArE wELL fl celrul well *. 1 Ant),-
smn: fr6nun 3.r*r*. seerrc f] eRIVATE sEprlc I co+*nrw svsrem $ ( I 'Jtl1 -
lottr- lt
NEW HANOVER COUNTY BUILDING PERFIIT
AppLrcArr(N ryps: SIGNS / BILLBOARDS
PLEASE PRINT CLEARLY 8 ANSI4/ER ALL QUE"Project Responsibility"
A,Z Cr L
.\rC- ,
t+CITY;
OCCUPANT/BUSINESS Mr{E: A,'ea.-rt } k t-
PROPERTY OH ER'S T{AIiIE:
O}INER' S ADDRESS:e CITY:
>/
STIONS
/nt c
Number
(OFfice Use)
DArE: lo' ZL' lL
Ptlot{E #: ,lro $Js oo.r.tNCzrptlSy'ot
PHONE #4to 5Qa zast
sr:NCzre:dt*3
sT:if- zIP: d8?ts
APPLICAI{T'S t{AfiE :
DEVELOPER:
PROJECT ADDRESS:I
t(
CONTRACTOR:
ADDRESS:AO. CITY
cESE#:
So tlQaont*ttt
EI'IAIL ADDRESS:
PRO]ECT CO{TACT PERSON:
(CHECK ALL THAT APPLY)
[| rnecr fl nr-re n f] neerrn ! rruune e f] crraruee our
DESCRIPTIOI{ OF HORK:
IS SIGN(S) Or{ 0R OFF PRE ISES?
a.rrrNiaI63
DISC1LAIMER: I h€reby c€nit that all information in this
and ordinanc€s and regulalions. The NHC Dovetopment
contractor informalion. '"llOTE:
Soru Eorr
*frWY"'w;ixxapdicalion is coned and all wort witl comCy with th€ Stale Buitding Code and alt appli
Services Center will be notifed of any charEes in ihe approved ptans and s
^ltN
will b€ in Violation of lhe NC St6le
CO TRACTOR 3 SIGNATURE:
(P.int Nane)*++,ti*,t*:i++*,****+)F't ,t*,**:i+:t ,t r*++,t++,i.,*,t+**:*,*,*,*+:i,t,r+*+,i+,t * *:i:t +:i,* r* * )r )*:* *,* )* )i
wPE OF SrGN(S)
FREESTANDING (6nound)
SHINGLE E
in confador or
To $500.00"'
MARQUEE
l.lALL
si€n Dimensiont, <t/*
OF FICER:
Total umber of Signs on this project: _
$t?r?^rr"nr, .? k x Q: rotar sQ.Fr.x!,xl*
of Sign:
of Sign:
of Sign:
of Sign:
f] enorecrroruI caruoev
nu ROOF
OTHER
Tota] SQ. FT.
Total SQ. FT.
SIGN 1 HeiSht:
SIGN 2 Height:
SIGN 3 Height:
ZONE
t{Si€fi Dimensions:
SIGN 4 Height:Sign Dimensions: _ X_ Totat SQ,FT.
TOTAL PRO]ECT COST: $3,E.N IS THE PROPERTY LOCATED IN A FL(X)OPLATTT? [ VCS E rc
**' SEPARATE PERI.IITS REQI.'IREO FOR ELECT, TIECH, PL8G, 6A5 EQUIP, PREFASS & INSERTS **,}
pAyrErr EI}ro: E.*, E orrcr (pavABLE ro llrc) [ AllrnrcAl exmess E ncrrrsn f] orscorrn
:a**,***+**++:i+,t*:t,*,i*t'|t:i:t'a:t,I,t'ii++++*****t **++++**rt,**'i+*t:i:|:t:t*:t,t,Ft,t++t,tt,t,t,l*,t+**,i,tl.!*ra*+t,it
(FOR OFFICE UsE otity) REVISED DATE 3/30/12
SETBACKS: F:_ LH:_ RH:_ B:_Approval:_ City:_ DATE: FLoOD: _BFE+2ft=
OWNE
Coment :
tl
PERI'IIT FEE:
PKrt{E #: 4ro Sqarrro,
Pto E #: 2o Sr?o ooSl
TION
trtr
,$].E
W:\aLo r,o(e1trH,-29*
APPLICATION
Number
(Office Use)
\
NEW HANOVER COUNTY BUILDING PERMIT
APPLI.ATION rvPE: COMMERCIAL
PLEASE ANSINER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
APPLICANT'5 NAIIE: l{ichael saieed ArA (Arcn/P.ec) Design ELements,Inc (DeveL Agent) DATE:t7 ocT 16
DEVELOPER: DaineL Nquven (Oueen Nait Srton)PHONE #: sr!-:r6-rc73
ZIP:28472PRoIECT ADDRESS: 5611 Carotlna Beach Road - Sre E
OCCUPANT/BUSINESS NAl|lE: iueen lJail salon
PRoPERTY oWNER'S NAI'IE: IlichaeL B Da/is; Shakada, LLC (Res Asen:)
CITY: t i lnLr nqt on, l.lC
PHONE #: l - ,r )::a
+
*a!
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #:
IF Yes, rdrat was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOML: Michael saiee.l FA,
*r*** rs rHrs A cHANGE oF occupANcy usrl flves
Is Elect Power on this Building fl ves fl ruo
What is the New Occupancy Type? Business
ArA /aka Mitchell PH
PH
: j_L:j!jj=!.- Nc REG #:
: 9la 2l -3147 NC REG #:
8 713
ENGR DESIGN PROFESSIOTIAL: i,r c( 1"l.lowell (M, :.r.r,re ll Er,q'r)18518
DESCRIPTION OF WORK: rnterior Pedicure salon Renovation/ALte ration exisitnq fease tenant space
T
DISCLAIMER: I hereby cerlify that all informalion in this applica
and oca laws and ordinances and reoulations. The NHC Devel
or chanqe rn coniraclor or coltracto'riformalron. "'NOTE: Any
sublectio Fines Up To $500.00'*'
ls food or beverages prepared or served in this srructure? [Yes I No ls The Property Located ln The Floodplain?Yes I No
t on is correcl and a work will comply with the State Building Code and all other applicable State
ooment Services Center will be notified of anv chanoes in the aooroved olans and sDecificalions
Work Performed w/O the Approp ate Permris will 6e in vrolalion of lhe NC State Bldg Code and
o41 IGNATURE:
#OF UNITS: Exr sr rNG
# OF STORIES: cne t1t
contsln Asb€stos or not. You are requked to callthe Natiooal Emisslon Standards ior Hazardous Alr Pollubnts (NESHAP) at (919)707-5950 at l€sl 10 days p.lor to the
demolition of any facility or building. See Asbostos Web Site: htlp:/ alw{.epi.state.nc.us/epi/asb$los/ahmp.htrnl
OWNEF|/CONTRACTOR:
(Oulfid)
ZONE: OFFICER:
TOTAL PROJECT COST: Esr- $lrK BUILDING HEIGHT: u.,t- r l' o"
TOTAL SQ FTUNDER ROOF: Est 8,16. #OF STRUCTURES: rt)si.,eLL etdq #OFFLO
ACRES DISTURBED N !. a.:EXST LAND DISTURBING PERMIT? E YES t NO
ORS: one (1)
NEW IMPERVIOUS AREA: not Applicable SO FT EXISTING IMPERVIOUS AREA:Existnq Co SQ FT
PROPERTY USE: EOFFICE RESTAURANT MERCANTILE EDUC APT CONDO OTHER: saror,
WATER: ZCFPUA
SEWER: f7l CFPUA
-'SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS & NSERTS *'
PAYMENT METHOD: ECASH I CHECK (PAYABLE TO NHC) EBILL ACCOUNT EMC /lSA [OtSCOVen
COMMUNITY SYSTEM f] WELL I]ZONING USE CLASSIFICATION:
CENTRAL SEPTIC f] enVnre seerlc flcoMMUNlTY SYSTEM
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-REVISEO OATE 4/11/12
Approval:- City:- DATE:- FLOOD:--
-
BFE+2ft=
AVN
Comment PERMIT FEE: $qzn
OWNER,S ADDRESS: 4013 oteander pr (Req orrice) CITY: !:_!!:-ls!!!__l.8s-g_3 ST: J!_ ZIP:!!l!l_
coNrRAcroR: '-*t.nq':\p-nqe b,ldinq ALTCENSE #: s.zf AccouNr #:ADDRESS: Crrr, , t<lll.n *rt't!+re@o1
sn6y ps r>e1t Soo(|7-pn. rv_-f txone *,
pRorEcr coNrAcr pERsoN: 5r nri iku La"ca < k-r. )PH9NE #: 1lr41t'TT&
(check A11 that Apply)
EXrST CONSTRUCTTON: I ALTERATTON ! neruOVnrrOru n.1gruenAr- REPATRS E RELOCATTON
lf Relocation. is therea Naturalcas Line onthe.urrent sitez Ives f] llo ls BLDG sPRlNKLEReoz I ves [ruo
NEW CONSTRUCTION: E ERECT NEW STRUCTURE ! TNST TRACK E SHELL E UPFIT E ADD TO EXIST STRUCTURE
---+-
TOTAL AREA SQ FT:.E.e!--].]. .T.].!._ SQFTPERFLR: Est.I:S. UpJi:
L
-
^l-, ,Cous1
m'
AppLtcANT,s NAME: At A1(1.ic.o,.- Ho^*- -t<<.-.,c\io.r.
NEW HANOVER COUNTY BUILDING PERMIT
&Dt pplication
Number
00APPLICATION T YPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLlCABLE TO YOUR PRO]ECT
"Project Responsibility"
Date
(otfice use)
PROJECT ADDRESS: '153 Grsc.oe <CITY: Ul:(^'...1.^
Itu
ZlPi a Y&taoSUBDIVISION:t-oT f
PROPERTY OWNER,S NAME:
OWNER'S ADDRESS: 953
G<n< l,r < C.,,,k .-PHONE #: ? Zo - q6-1- <, jt3o611Y .l,l-;1L-ZIP: 31812B;s.-.. }l.
CONTRACTOR
ADDRE55:
Alt A-.,'....,.. lrw.. 8*^*.\'-^s
-
BtDG LICENSE #117+l
lo S+crw
EMAIT ADDRESS /\-s
PROIECT CoNTACT PERSON: A.lt (6.:..tsS
EXISTING CONSTRUCTION: [] Alteration E Renovation E General Repairs
NEw CONSTRUCTION: E Erect New Residence E, Addition to Existin8 Residence D Relocation
+*,}PI.EASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT*'i *
@ PHoNE: il.s. 351- 8S5t
PHONE l(o- 3s.t - ts s.,
! Att Garage (5F)
n sunroom {sF)
n Det Garage (SF)n Porch (SF)
X other (sF)@
FoJ;q<, f-.,...e.
! Storage shed (sF)_
I Greenhouse (SF) _
tr Pool (sF)
d Deck (sF)to.1
ls the proposed work changing the existing footprint? fl ves tr tlo
TOTAL SQ FT UNDERROOF Vor proposed work) Heatedi
TOTAL PRoJECT COST (less Lot): S 35- coo
ts the proposed work changing the number of bedrooms? f, ves E ruo
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes E No
lf the project is a Relocation, is there a Natural Gas Line on the current site? ! Yes tr ttto U/a
ls there Electrical Power on this Building? ( Yes E No
Property Use/occupancy:! single Family E DuplexE Townhouse
t{31 unheated:
Description of Work:.^ ^\-^'.lL €r-{<r, \'cl."J.8,€,-<ls.
DISCIAIMER: I hereby certify that all the information in this application is correct and all work will compiy with the state Suilding licable State and local
ervices Centerwillbe notified of anycha in the ed plans and 5pecifications orc nge in cootractor
riate permits will be in violation of NC State Bldg nd sub ct to fines up to 55
Signatu
laws and ordinances and
Owner/contra
"Licensed Quolilie
ls the property locat Yes fl No
Existing lmpervious Area:Sq Ft
New lmpervious Area:Sq Ft
WATER: E CFPUA E Community System E Private Well s
lAcres Disturbed:
ing Land Disturbing Permit: ! Yes El No
Central Well E Aqua
Tota
Exist
sewfn: ficFPUA I communitysystem fl Privateseptic E Central septic D Aqua
zone:
-
Officer:
-
setbacks (t)
-
(LH)
-
(RH)
-
(B)-
Approval:
-
City:
-
Date:
-
Flood: (A)
-
(V)
-
(N)
-
BFE+2ft=
-
a flood
ed without the appi
r-{iI'
Comment:Permit tee: S
$+10
6*lL*l(c ST: r-rc ZIP: ?Ejos.......o--
#l:AP P Ll CAT,O N TYPE; RESIDtNTIAL
PL€A5E ANSWIR AI.L QU€STIONS APPtICAEI.T TO YOUN PRO]TCI
"Proiect Responsibility"
El.^rn<A O. $i r lrS {
CITY: UJ
2or6tiW 3
ll - Lv- 16,;-t,t rzDate
PROJECI ADDRfSS 4ltt)
suEDlVlsloN oFq .r Y\lEct"\q1
PROPERTY OWNTR'S NAME 6dwqvt B
owN1t,5 a9pq555. lr, / I o
clrpa" A BCONTRACTOR
ADDRTSS:tlo l.l
TMAII. ADDRESS lo?
Sr.pxorur o ?l o LISL oo SV
t'vS
CITY
CITY
a.14)zrZt1.lz-
Bt-DG r-rctNst ,,
_sl ryL zP:z_g! lL
PHON qtu q f2- cro Yf
o"o^, t to zoz 87 IPROITCT CONTACT PTRSON -lo -Go." n..'r
tr Deck (SF)ts-orner (sr)4ooD Greenhouse (St)
-
ls the proposed work changing lhe exrsting footprinl? E Yes [lJ'No
TOTAT Sq FI UNDTR ROOr Uor proposed wotk]. Healed loo
TOTAT PROTECT COST (Less Lol)r S 39p, oo
Unheated
Property Us€/ Occupa dsingle Famil E Duplex tr Townhouseo9 Q-..,,+,Description ol Work:
DlSCtalMtn: I h€r€by cerlfY lhar all the inlormatron in lhrt appll.alionisCo[eclandallwoltwillComprywnhthe5lar€Suildingcodeandallolhe.applicableSlal€andlo(a
laus and ordinan.es and I€8ulallon5. The NHC D€v€lopm€nl Servr(€s Cenler will b€ noiilied ol anY chanSes in the approved plans and sPecrll.atrons or thange m conl'atlor
rn{ormalion. "'NO-If AnY work p€rlorm€d wilhoirl lh€ apptoprr;t€ permils wrllbe in vrolalion ol th c Slare EldS Cod€ and rubi€d to ,rnet up lo 95O0.00"'
EC*rt" I B B. tri
ls the property located rn a lloodplain? ", n tlo
txistinB lmpervious Area:
-
sq tt
c. signatu re
Total Acres Disturbed: ^ O
Owner/Contrattor
"Lrcensed Qualiliet'
New lmpervious Area Sq rt Existing Iand Disturbin8 Permit: D ves E t'lo
wATERi 6 ctPUA D communrly system E Ptivale well D C€ntral well D Aqua
stWER: /cFPUA D communitv System fl Prrvale Seplrc U Centlal Septrc f) Aqua
zon€: Oflicer: setbacks (t)
-
(tH)
-
(RH)
-
{B)
-Approval: City:
-
Daler '- rlood: tA)
-
{V) {N)
-
Btta2tt=
-
-o
Permlt tee 5
I
IXISTING CONSTRUCTION: Ll Alteration fl Renovation [B/General Repairs
Ntw coNSTRUCT|ON E Erecr New Residence E Addltion to txislin8 Residence c Relocation
'I *PLEASI CHEC( AND ANSWER BELOW AI.T THAT APPLY TO YOUR PRO.IECT.. T
U Atr GaraSe (st) _ fl Del Gara8e (sF) ! Porch {sF)--'-'-_-
U sunroom(sr)- n Pool (st)_- fl storageshed(5t)-
ts lhe proposed work changing lhe number ol tredrooms? D y.s druo
ls any flectrical, Plumbing or Mechanical work beinSdone to lhe Accessory str uctu re E Yes {B-No
ll the pro.iect is a Relocation, is there a Naturat Gas Line on the current site? D ves [l-ttto
ls there Electrical Pow€r on this Building? Myes E trto
Comment:
AP'IICMTS |{',.E:
NEW HA OVER COUNTY BUIT"DITTG PERMTT
APPUA1O fWE RESI9ENflAL
PIE^SE A!{SWTR ALL OUEsTIONS APPUCABI! TO YOUR P*OJ5CI
'ftolo.t Rsspdtsblftt'.
aDrG-tiabtr
L6,4gge
ilc,ltu
aC iJisa2_1tPnojEcr
SUBDrVrSlOfi:
Nrrt,.r- Ax?etiS
LOT f:
PHOiIE ':Qrr-qq _ r)") Ljl2
PROPERTY OWI'Cf,TS IUME:
owirfffs aDoREss:
CITY
ow:zrPl
-(:-L.IGO?
ADDRESg:
EMAIIADORE55:
CITY:
BfI}G UCE'{SE 1':
PHONEi grc-Br"z
PHONE:
fl other (sr)
ST:a? )j3-31
G ;1-(a5 , Lt €-f - t11z-l
PiOIECT CO' TACY PERgON ,t>'V p;ea.*t1')
EXfSIfXG COf{iTflTCIlOn: O Alterdtion O Renoltation Cl Gen€r.l n€pai6
taEwOO $nUCnOa{: O,E/rcc xes ncsHcnce cI Mdttlon to Exisint Residence B R€locatlon
{..Ptr 3t cHEd( ataD at{3t{ER lltow ALt THAT AFflY TO 'i
fl At16ar€e {sF) _-.".- o o.t e".q" tsn I [L'lO C Podr{s8---'-
o storage shed {sI} _sunroonl {sF)
O creenhous€ {SF)
-
ls the propeed worl chanBira the existina footprid? n Ves n Xo
toTAr sQ Fr uxD€8 Roof
tr Pod(SO-
tr Ded (sr)
--
TOIAL ?ROJECT COSI { Les5 c@.oo
PropertY u5e/G4_S€_
|-lrtot): S_/ _l )
ls the p.op6ed worl ch$Eing th€ numb{, of Hroofis? B Y.t E Lo ,?.
B any Aeculc-L PlurnbtiS or rr€atErLel worl being dofle tb th€ ArcEssory structue 6jra E Io
f the projcct b a R.loc.noo, i5 th€m a tlaturdl Gas Une (m th. current site? B ver Effio
lr tlere Electical Porv.r on this Buildins? B Vr. E llo
tlasandr trr$y El
Dcs.rlptlon otWorl:?,€
tlsCt^ltl€* r hs.hy c.nit uEt sa {E lnforrado. h thi! app8crl@ 11 .d.E<r .nd as ffir dI .epi, win dle S!.r.c.d. .dI .tl odr., appn@tl. 5tar. .nd locrl
Lu.n l Dr&tl€&d Eaubtlfia IlE Nlrc D.r.lool6tsddc a.m.r rll5c n dH oi.ntdrt r ln tbe atd edtetlonr s 6.e er 6tn ro.
a0y@tsc a€m(J nrl be in tulatirn d tlle tofiE lam 5500.m'1i
Signature:ltdttdMv Prfrrv!.E
ls the propsty located in a fioodplain? O'te- dd
E.tl|!3tr*6rldri^|re:_&Ft Tot l Lres o|nu.b.dr -= .-
i|e, lmplarba6 Aara: _ 5q ft
w^lER: El CFPUA E cofimunitysystem
sEwEk fl CFPUA tr Cofiml]nity Syst€rn
EftfiC red Dlfrnthf Pentt't O Y.. tr tao
*rn"rr 0 Ceitral well E Aoua
o(*a" *o. tr c€rtorseptic tr aqua
ZoDci
-
Ofrlccr
-
r.{b!ds (r}
-
(tH}
-
(iH)
-
(B)
-rpprml:
-
oty:
-
D.t ;- Floed: (A)
-(Y)-{l{)-
Bffr}tl-
-co.rmgrc Pet |l,t Fee: 9 T5.o o
u'n."t, ,l"l O
N{ffi )
APP LI CAT'O N TYPE.. RESIDENTIAT
PTTASI ANSWTR Ai-I, OU€STIONS APPLICASLT IO YOUR PROJECI
"Proiect Responsibility"
l'btLtffi+z
APPLICANT,S NAMT:67-'-tA.ss [.4rTo Oate Z
PROJECI ADDRESS:CHt /:ClTf . \,^/'i ur4')Lft - ZIP o
SUBDIVISION A-.,6t-t-t-,sM
PROPERTY OWNER'S NAME ,-y' B,+z^7o PHONT #?r z- 7 77oo ^23
OWNER'S ADDRTSS )t1 Zr?a- ^ 0e L-{V,.,,'/ C "ul np 23y'a7
/rf0 /-/+L BIDG IICTNST HCONTRACIOR
ADDRTSS:,7 z) 0c13 -r cr -2a-)'- v CITY sr.y<=ztP. ZS LfO )
J PHONT o.-IMAII- ADDRTSS
PROJECI CONTACT PTRSON €
txlsTlNc CONSTRUCTIoN: ! Alleralion ! Renovatlon fl General Repairs
NtW CONSTRUCTTON: fl trect New Residence Ll Addrtionto txisting Residence D Relocalion
.r*PtEASI CHECl( AND ANSWE R BEIOW ALT THAT APPLY TO YOUR PROJECT" *
oNf 7,8't>7oz-7
Ll Att Garage (sr)
n sunroom (SF)
E Greenhouse (5f)
-
D Del Gara8e (SF)-
n Pool (Sr)
D Deck (5F)
U n heated
E Y"sd ro
e to the Accessoly struclure I Yes EbNo
n the current site? D Yes bno
! Porch (sr)
6 storage Sh
D orher (sF)
ed {sr) JJ<X-+Q-
to {,Q
ls the proposed work changinB the exrstinB lootprint? ! Yes fl No
TOTAT SQ FI UNDTR ROOI (/or proposed work) Healed
rorAr PRorrcr cosr (Less Lor): 5 4 6 oo te:4+- /oXlQ
ls lhe proposed work changrng the number oI bedrooms?
ls any Electrical, Plumbing or Mechanical work being don
l, the prorect is a Relocation, is there a Nalural Gas Line o
ls there tlectrical Power on this BuildinB? fl ves Etst'to
Property Use/ Occup
Description of Work:
ancy C single ramily E Duplex E Townhouse
hws and ordrnanre3 and reBUtation5 Th€ Nnc Developmenr iervires centei wi| be noritied o, any chanBes in th€ approved plans and specif.atrons oI chtn8e ln contraclol
rnrormalron...Nolt any wort pertormed wrthour the appiopriai€ p€rmits w)llbe in violation o{ th€ Nc stale EldB cod€ and 5ubr€cl lo lines up lo t9o0 0o"'
Owner/Contra.tor
"Lrcensed Q)ahliet"
L
ls the property located rn a lloodplain? D ves d ]'to
txistinB lmpervious Area: ------ Sq fr Total Acres Distutbed:
New lmpervious Area:
-
Sq tt Existin8 Land Disturbing Permil: D Yes C t\to
WATER: b CFPUA fl Communrty SYstem E Ptivale well E Central well fl Aqua
stwtn: b tfpuA c communrlysystem E prvaleSepttc fl f€nrratseptr( [ Aqua
setbacks (t)- (tH)
-
IBH) .- lB)
-
Zone: Ollicer
Approval:
-
City:
--
Dale:
--
Flood: (A)
-
(V)
-
(N)
--
Bf t{2fr=
-Permitfee: $
---
Comment
LOT d
- -- --
CITY
9at t trL - ft./t-./ t),,a
Signature:
1{
2ot7n- //3bo:NEW HANOVER COUNTY BUILDING PERMIT
APPLI CATIO,,T N?8.. RESIDET{TIAL
PLEAsT AflSHER ATI- QU€STIO S APPLICAALE TO Yq,R PBO]ECT
'Project nesponsibilitF
PRolEcT ADDRESS: 5D4 Paz,-t4^-'a- ra(t \2.-CITY:
&APPL ICATI OT.I
Number
(OFflte Use)
zlP: -tr8'{51
SUBDIVISION:)BLOCK ';LOT *: =\ft
PROPERTY OJNERJ S TIATE :pHONE #: c.{ul3-Or.{V
oI!NER'S ADoRESS:CITY:sr:t\lLzlPt e81Pa
UJ lfra r tc\A AccouMI s: &9 ICONTRACTOR:LIC
AODRESS:CITY:sr:N!:zrP: J8.,lo I
EiIAIL ADoREss : fi)SZ cv1dnAP onbuitr{in6c-,a-p.PtoN E # : -'l rr3- tr'? &rC>
PRO]ECT CO{TACT PERSON:f->+o.-tz Sc--),^c^-*PnoNE r: ?Qq-olo a
EXISTII!'G COiISTRUCTION :ALTERATION f| nrrcvarron I GENERAL REPAIRS RELOCATIOI{
ERECT NEIJ RESIDENCE or ADDITION IO EXISTJNG RESIDENCE
'*PLEASE CHECK AND AI{s}IER BELOi{ ALL THAT APPLY TO YOUR PRO]ECT:
[arf eenaer 41o sr DEI GARAGE
-
SF RCH 13 sF
I sunnco'r
-
sF E poor-
-
sr
f]enrrnrousr
-
sF f]oecx
-
sr
STORAGE SHED,*,ffidd-It?-SF
5F
TOTAL HEATED SQ TT: 1-:t.I1* TOTAL SQ FT UNDER ROOF: AT.]|t,.> TOTAL AREA SQ FT:lL.{ t
)
I
TOTAL PROIECT COST res" ro0 : $ laDt.>o<) # OF STORIES: a -ls any ELECTRICAL, pluf{Br 6 or ltEcHAttt6rtl tJork Being Done to the Accessory structure? 0 V"u G['(i
If the project is a Relocation, is there a l{atunal 6as Line on the Current Sit"l Ov"t Gl.lCl
Is there Electrical Po er on thls Bulldingi (] v"s @m/
01H
l-H: __ RH:- B :
TOI^]NHOUSE
DESCRIPTIOI'I OF I.IORK:a
OEClqlMER lneleby cerb,is conoal ,fitl tll lvork wlE comdy wih lre s|ale Buildino cod6 and aI oh6r @pli,6ole sElg and 163l laws
snd ordinaicss and ragulations. Tne NHC D€',Blopmsfil S€rv1c65 Conbr wlll bo notned of any changos in hs applo\tc, plans and speclic?iions or chatlge in conlr&Dr or
cD.ll&t r hbrm alon. "lV OTE: Any Work Perlorned WO he ApplDprlab Pemi6wlr b€ h Vobtion of t'|e NC SEe SrbjBct lc Fbes Up lo S500.0r"
pRopERw usE / occuPANcY, f!6-rtcr-e rN'lrlv Tl oupLrx
oerNER/coNrRAcron, AnCeI a ?O>ZIX\OA srcr'lAruRE !
O aprrnt irr$r)***,t **r. *'*+*,il,t+ +,****** +L* * {*'** * +* +:},t f + ** * ** * * *!k + *,t ** **'t* ']t++ *
IS THE PROPERW LOCATED IN A TLOODPLAIN? OI YES E}/UO
Exrsrrr.rc rlrpERvrous mrl, d sq rr roral AcREs DrsruRBED: . 5*D
NEH rnpERyrot1s aREA: Hag sQ Fr Exrsr LAND DrsruRBr.rc pERlrrr: Ql vEg G|16
COiV$,1UNITY SYSTEM f, enmre wer-r- [ cENTRAL r.lELLrurER: _EhffuA
SEHER: L:fGPtA fl crrrmr- sEprrc D PRrvArE sEPTrc I commulrw svsrem
1'* SEPARATE PEI}1ITS REQUTREO FOR ELECT, I4ECH, PLBG, 6A5 Eq{JIP, PREFABS & INSERTS
oornr* nrr*ool- CI *t* 0*r* ( pAyaBLE ro rr,.1 [f trt'- o..*n, (f 'rcTvrsa fJ orscoven
*** * *:f:l ,t !i * * *r3 ** *)t* )i **+.1* ** )t)**r *:** '** +)t +*ti| *ia ** * ** *)'lt* *:t* ***t 'r* * *t*:t )9 +t** l} '*+ *+ '* 't* *'' '' *:t * **
zour: HI) -L oFFrcER:
(roR orflca usE o*LY)
SETBACKS: F:
iEwsEo oArE 0411,1/12
** **'t** *,a,t,f *,** t*** i.t*{i*'t*a++
Appnoval:
-
Cityi- DATE:
Conment :{r,{
ll r "'l F LOOD:
N
PER'4TT FEE:
AppLrcANr s rrllie,-E41-rf&tin6$rjldrnO Cfi LJrIyr inCe>aJnC,onrr : g [IJ-L-DEVELOPER: - G P}ONE *: -IT'3-B.]d]2
NE}'I CONSTRUCTTON:
BFE+2ft= _
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: R ESTDENTIAL
PLEASE ANSLltR ALL QUESTTONS APPLI(ABLE T0 YoUR PRoIECT
"Project ResponsibiLity"
?ora-/t3bo
L6-3246
APPLICATIO
Numb€r
(offi.e Use)
APPLICANTJ S NAI,IE
DEVELOPER:
PROSECT ADDRESS:
SUBDIVISION;
@
5D.4 ?ea*-ocL Attcr-crTY: L^Jit nv\in ( 7t(Sv\
BLOCX #: 6 LOT #:
anc'oatt'
PHONE #:@
zrP: -tr8{ot5cl1
PHoNE #: 4u{3-orqV
sr : l!,LzrP 3 Oilt'lJ -a
rur *: A9 I
sr:|.\-LzrP: JEt,lO I
PH${E s:-ltD3- g1(fr
PHONE #: ?Qq-oloa
l
PROPERTY oWNER'5 l,lAI'lE :
@{NER,5 ADDRESS:
CCNTRACTOR P\rrrrta+i'>
ADORESS:ln
EIiIAI L ADDRESS:
crrY: u ll^Ai^VtiE
u.J lr\ rnk
Lrc ENSY
ffi-:w.*: l-6-112 rccou
CITY:r.os4.i/\rytartt*ti onbr-i trti n6c-orp
?'r+-a, ! e SLl,.\
ALTE RATION RENOVATION GENERAL REPAIRS RE LOCATION
ERECT NEhI RESIDENCE oT ADDITION TO EXISTING RESIDENCE
'*PLEASE CHECX AND ANSWER SELO!{ ALL THAT APPLY TO YOUR PRO]ECT;
TION :
f!*rf ena.ace 4-o sF
EXISTING CO'{STRUC
NEt,i CONSTRUCTION:
OISCLAIMER I hereby cenify
and ordinances aod /egularion
conracbr hformaton. "'NoT
DET GARAGE SF p6-cir 3q3 sF
SUNROOIY STORAGE SHED
l-l ent rNHous e
5F
5F
POoL _ SF
DECX SF OTH€R:re:E SF
SF
TOTAL HEATED SQ FT: $!I1 TOTAL SQ FT UI{DER ROOF: f,UItPC TOTAL AREA
TOTAL PROIECT COST rress r-o0 : $ lcr)rJso $ OF STORIES; - 1
Is Any ELECTRICAT, PLUIIBII{G or ECHANTCAL Work Eeln8 Done to the Accessony Structure} ff Yes
PROPERTY USE / OCCUPANCY:INGLE FAIV1ILY DUP LEX TOI,JNHOUS E
DESCRIPTION OF UIORK :asl
tlon in flis appticalion is conecl and sll wo.kwill comply y/rtt tle Slale Eullding Code and dlohet appli:Sle SEA aod local laxs
sQ FT: lu4 ! I
G<{
If the project is a Relocation, is there a Natural 6as Line on the Current Site? OYes
Is thene El.ectnical Power on this Building?Klv"t K![+e-
G.rr6-
s The NFIC Develop msnt services cenE will be nolified ol any changes in he approved plans and specifcalbns or chalge io conlracbt or
E:Any Wo.k Periormed W/O tle Appropriale Permils willbe in Violalion of ihe NC SlaE Slblect b Frnes Up To$50O.0S"
O>-er'oAI) STGNATURE:
l*iii *i f* * * * * * * * * {. + + + + * * + + * )i )* * *,t * * * *,t f )* * r. )* *,t + * ** *+* * +* ri r. 'i * *'t '}*
OWNER/CONTRACTOR:
zoue, H0-l OFFICER:Q{to
,t {<,} * a,k jt **+,* + {. r.+ * + * * * *,* *,t,r *
IS THE PROPERIY LOCATED IN A FLOODPLAINT trI VEs G[/ru0
EXISTING IMPERVIOUS AREA: 6 TOTAL ACRES DISTURBED:.50
NEI|, IIi.IPERVIOUS ANEI: dA,EXIST LAND DI5TURBING PERMIT: TCJI VES IGI.I'O
liArER: fl-(Fpun l-l comururrv svsrru PRIVATE WELL CENTRAL h]ELL
SEHER:PUA I ceurnal se errc PRTvATE sEPTrc I commururrv svsrsm
*++ SEPARATE PER'IIITS REQ{JIRED FOR ELECT, I1ECH, PLBG, GAS EQUIP, PREFABS & INSERTS *'*
pAyFtENr ilErfloD; Cl cor. D cxri( (pAyABLE ro rxcy f,l BrLL Accour,/r Q nclvrsr Q orscoven
**+t*,t*)**t<,t**,**)i***,t+***+*********'t***tt+**,i*****+****i(.*8*'t*x***,t**********)t**)t*'3*'*'|****
(FOR OTFICE U5E or{tY) REVIsID DATE O4l11/12
SETBACKS: F : --- LH r- RH:- B:
Appnoval:
-
Clty:- DATE :BF E+2ft=
5Q FT
5Q FT
Comment :n
ll t1 F LooD:
N
PERMIT FEE: $t,o?b. {z)
'I>o 13nv
PRO]ECT CONTACT PERSON:
I