JANUARY 20 2017 BUILD PERMITSAPPLICANT' S
DEVELOPER:
PRO]ECT AOO
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APPLICATION
Number
(offic e Use)
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NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|IOI TYPE j R ESIDENTIAL
PLEASE ANSII]ER ALT QUESIIONS APPTICABLE TO YOUR PRO]ECT
"Pnoject Responsibility"
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PHONE #:
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PROPERTY OI,JNER' 5
OWNER,5 ADDRESS:
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PHONE T:
PHONE T:\ ,1 \ - J \_'tU \-,'2
CITY:
LICENSE #:
C ITY:
BLOCK *:
E:3-313/
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()7figL/ACCOUNT S:
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CONTRACTOR:
ADDRESS :
EMAIL ADDRESS I L-'
NEI.I CONSTRUCTION:RECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
ure ) ^
PRO] E CT CONTACT PERSON:o*-^/Lo.*LJ<tc-c L-
EXISTING CONSTRUCTION :A LTERATION R ENOVATlON GENERAL REPAIRS RE LOCAT ION
..PL9SE CHECK AND ANSWER
l2fan eaatr.;t \ J(o
E,.-l P-,-cL-L/''{ S FBELOW ALL THAT APPLY TO YOUR PRO]ECTI
SF LJ DET GARAGE
-
SF PORCH lj-2 SF
POoL _ SF
DECK SF
STORAGE SHED
OTHE R:
TOTAL HEATED SQ FT:?o \ 7 rorar-5Q FT
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF I.IORK:
/orAL
AREA sQ FT:"fLl7
SF
ToTAL PRolEcT cosT(LessLoo, $ 2J. 'O.-to------------='
UNDER ROOF:
f 0F 5TO
SlNGLE FAMILY DUP L EX
\r^ e L
7L{
l-l rowr'rsouse-\
SF
( c,.^ c
RIES:
Is Any ELECTRICAL, PLUI'4BING ol. II1ECHANICAL work Being Done to the Accessory Stnucture? ! V"s I Ho
If the pnoject is a Relocation, is there a Natural Gas Line on the Cunrent Site? [ ves [ ruo
Is there Electri.cal Powen on th s Buildingt I-l Yes No
oISCLAIMER: lhercby cerlit hal allinbrmation in his applcadon is correci and allwork willcomply wih he Srare Building Code aod all oher applicable StaE and local laws
and ordinances ard reg!lalbns The NHC Oevelopmenl Services CenEr willbe notifud olany ch6nges in fie approved plans and sp€cific6tions or
conlractor inbrmadon "'NOTET Any Pertormed W/O he Appropriate Pennils willbe in Violarion ofrhe NC SraE Bldg Code and fo Ss00
OWNER/CONTRACTOR:\L).*6o.[^ sIcNAr
+**, * * +,r * + r( * * * +* * * * * * * *. * * Jlltt liTl * * **. * * * ** * * * * * *tlI5 THE PROPERTY LOCATED IN A FLOODPLAIN?YES
EXISTING II'IP ERVIOUS AREA:/t3), r/)FT TOTAL ACRES DISTURBED:
FT EXIST LAND DISTURBIN6 PERIiUT:YES NO
(FOR OFFTCC USE Ot{tY) REVISGo DATE 94111/12
SETBACKS: F: LH: RH:- B:-
*,t,t +*,* 't + * * ,(,t * *,t t,** rt +,t+,t,*
)
NEh] Ii4PERVIOUS AREA:r
I.JATE R :
SEWER:@crcua ! cenrnal sEprrc E pRrvArE sEprrc COMMUNITY SYSTEM
iTl SEPA]RATE PTRI1ITS REQUIREO FOR ELECT, TlECHJ PL86' GAs EQUIP' PREFABS & INSERTS *I*
pAylitENT TETHoD: Ecosn Ec"acr( (pAyaBLE ro rxc; ! lrLL accou r !"c/rtso Iorscorln
*+*,****)***'t*,t*+*+**,*******++*,t,tr(*,f**+tr(*)t,t,*,t't,t)**++*,***,t+,t,t*,i***1i***+****i****)tt**+**+***,*
CF PUA CO|\4MUNITY SYSTE14 PRIVATE WELL CENTRAL l"lELL
Appnoval:- City:- DATE:- FLOOD:
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Comment:
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PERMIT FEE: $raaSCIr
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zoNE: _ OF FICER:
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PROIECT AODRESS r
SUBDIVISION:
PROPERTY OI,INER' S
OI'INER'5 ADDRESS:
R:i^ e-:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIoN lypg: RESIDENTIAL
PTEASE AIISI,IER ALI QUESTIONS APPLICABLE TO YOUR P8O]ECT
roject Respons ibll ity"
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APPLICATION
Number
(office u5e)
APPLICANT'S TIAI,IE:l€rt-r'en
DEVELOPER:
DATE:l-t2 7
OL -€^ a \ CITY:
PHONE $:lJa.,1p.2dtt)11s BELOCK fr
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\CITY: Lr st: [(.zrr:
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ADDRESS :
EMAIL ADD
)CITY:
R ss:
E CHECK AiID AI{SI{ER BILOW AI.L THAT APPLY TO YOUR PRO]ECT:
PHONE T:
PHONE B:{20- 3r*?{PRO]ECT CONTACT PERSON:jo,^o J 1...-ta8 l.-6^c4.-
EXISTING CONSTRUCTION:ALTE RATION R ENOVATION GENERAL REPAIRS RE LOCATION
NEW CONsTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
ATT GARAGE
suNR00r'1
GREENHOUSE
5lA I sr !PoRcH )2 o SF
STORAGE SHED
f.;-l (&or.(,-
5FDET GARAGE
-
SF
PooL _ sF
DECK SF OTHER:
SF
SFSF
)qo7TOTAL HEATEO SQ FT:rorAl sQ Fr UNDER noor: JGt'j rorAL AREA sq er: 56c, ]
T0TAL PROIECT COSTlLessrog : $(r - f OF STORIES: "/3a
OlsCLAn ER lhotsby coruty h6l6l inbrmstbn h flls appllcston b corrocl and sll rvort wlll comply w jh ho Stat€ Euitding Code and aI oher apptic6Dt€ Stiare and bca aws
and otdlnanco! and rogulsllon!. Th€ NHC D€velopmonl Sorvlcas Cenbr t{lll b€ notfisd oI any changos ln he spproved plans snd spocitacaions or change in conracb r or
conbacbr lnbrmadon. "'NOTE:AnyWork Perrormed W/O hoAppropriatB P€rmils wiltbs in Vjota on of
,. G.- . L- srGNA
rhs NC Srab Bldg Code.-'--
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
0t.lNER/C0NTRACTOR :
'r *,i:r ***. +r*,r*,1* **** * ** * * *r *(Il'll liltl * *. " "
* *, * * r )r* )r+a+,i i,r
rs THE pROpERTy LOCATED rN A FLOODPLATNI n yEs affi
TURE: --
,* )i,t,* * * )t *,*,* * * + * + l,l * I )*,*,t *,t,t * * *,t )t * * *
TOTAL ACRES DI5TURBED: , / {
EXIST LAND DISTURBING PERI{IT:l-l Yes Fl ro
BFE+2ft=
It
PERIiIIT FEE: S
7zr7 SQ FT
SQ FT4/iLt
WATER :
SEI.IER:CF PUA f] cerrnal sEPrrc fl PRIVATE S EPIIC COMMUNIry SYSTEM
CF PUA COMI.IUNIry SYSTEM PRIVATE WELL CENTRAL I^]E L L
ZONE: _ 0F F ICER:
Approva]:- City:_ DATE :_ FLooD
I+1 SEPARAIE PENfiITS REQUINEO FOR ELECT, IIIECII, PLB6, 6A5 EQUIP, PREFABS & INSERTS +"
pAyrEr{r llETHoo: !casn !ctrecK (payABLE ro Hxcl flarrnrcAN ExpREss ! ncTrrso Irrscorr*,*,i*****t)t)t**,t+ti++,i,t,i,i+*,t++,i++**+t,it*,t*)t**)***,t++i++++,t,t*,t)*,*,**)i,t*J**+*,*++,t)t*,t)t*+,t*t,t,t*)t***
(f08 oFFICE Ust oNrY) &rvrsEo DArE o4l11/12
SETBACKS: F: LH: RH: B:
Corment :
d
Is Any EI-ECTRICAL, PLUIIBING or ECHAT{ICAL Work Belng Done to the Accessory Structure? [ Vur [ ruo
If the project is a Relocation, is there a Natural 6as Line on the Cunrent site? ! ves [ ruo
fs there Electrical Poh,er on this Euilding? [-'] ves l-l ruo,/
PROPERTY USE / OCCUpAr,tCy , @ SWCtt rnmrrv ! ouerrx ! lowNHousE
DES6RIpTION oF 1ORK: tl , r. 1 .,,' -. \(< .U ..-* : l,.r
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NEW HAM)VER COT,INTY BUTLDIiT PERMIT
APPLIcATIott TyPE; C0ISiER€IAL
PTEAS€ AISXER ALt oUEsfrO S APPLICAELE rO YOUR PROIECT
'Irroject ResponsibilittP
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APPLICATIONI
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(Officc t se)ffi
APPLICAf,T'S A'IE:
DEVELOPER:
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DATE: l1- iL-tL.
PRO]ECT ADORESS:zIP: 3 E+b\
P+o E *: q \O 3',3Csr:AczrP:,e<+8
ACCOIiIT *:
ST:\lf ZIP: : e qO /89
occuPANT/Bt slilEss AIIE :
PROPERTY O IER's AI'!E:_ Serc' l"v^\iSt Pf b t-'t'e:
R's AtDREss: GSof Te,ichFr€i crTY:oht E
cor L€S\\E LICEiEE I:
ADORESS:CITY:
EMATL ADDRESS:
PRO]ECT CO'ITACT PERSO :
EXTST TRITTIO{:f| rr-reurror I (che<k AII lllat Aeely )
6El{ERAL REPATRS trlf RCoc.lftn,ls a l.latural G€s Line on the Curent Ste Yes tr tJo lS BLDG SPRI
l{El',ERECT ]IEI', sTftt,cnnE E FAs K E SHELL [] wrrr I
ACCESSORY 5TRUCTURE:
If UPFIT - The Shell Permlt #:
PH:i{c Rs6
:-Ol
P}O E *:
.4'.'* rs rHrs A cHAnEE oF occupArf,y usE? MyEs f|rc *'."
IF Y6s, r{hrt [r the Previour occuprncy Type] llroArr cr\ (,ih LEs *rrt it ttre lfry occup.ncy Type ^ ilenl{h Clgbl (ruM I k pr re r*rc'n
TIONflvo flruo
TO EXIST 5TRUCTURE
DEscRrPrrq{ oF r&RK: &0[M,0t'ce<s,,nle erit a',rl Dar\l c- hc^.J'oo
lr lbod c brrrgr F+ rd a .if,d h tr tuctrz [v"t /f,fo b Iho Proprty tocdrd h Thr Hoo$dn? [ ves [l(o
the State allother State
will obns andNC Stat€B Code and
RE:(o.L..)
ilots: DG.noIlon m{n..tirns t !sb..r rsnovrt p..mit apCa.tirE rrD b bo eDmitld tr. lpplicaton bflr rtl.tll€r tlo 6d[qr or bdldhg.c.raih Aafr or not Ycs .rt t.qjlld to !.[ nl. I\tt .d Emldc.t &id.r* b. tb...doB /riI pcl(tlt (IC8tlAP).tOle)7O7{95O t h.l lO nF Fh. b td.molilion ol.ny ihoi ty or bulldirE. S.e As66t W.b Sibi
BUILDING HEIGHT:TOTAL PROJECT COST:6 ^troo0 # OF UNITS:
TOTALAREA SQ FT :. Nno,.,-t r-r 5c.c,SQ FT PER FLR:f OF STORIES:
TOTAL SQ FT UNDER RdOF:I OF STRUCTURES:# OF FLOORS:
-
ACRES DISTURBED:
-
NEW IMPERVIOUS AREA
EXST I.AND OISTURBING PERMIT? NYES fI NO
SO FT EXSTING IMPERVIOUS P,REA
PRopERryusE trlomce EnesrruR$n [uencA.rnle f]eouc f]APr flooroo OTHER
ry41E! EclF{rA rlcoMrln{nysyErEM EIwEr EzoMNGrrsEcN.AsstFlcAnoMsElitER E cFpl.lA E CEI,{IRAL sEmC EfriVere eeF nc f]6mru{ny sysTEtr
PAYITENTEn{oO ficas{ f]oro<(p yABEro]+tc) [auaccouur tlrcMs [uscoran_rarl.raa_raraalaa a t aaaiaa aa
(Fm oFECEITEE (ItrY'
ZONE OFFICER SETBAO(& F: _LH:_Rlt_ B_
Apprond:oqf-DATE-FL@t)-_BFE+tr
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SQ FT
Cqnm€nt
A
PERMITFEE
FET/IED DAIE,fi1n2
P+otlE ,: I tt I S.tU- ot?,1
ilrni
Is Elect Por€r on this Bullding D yes fl no
ARCH DESIGN PROFESSIOML:
EI{GR DESIGI PROFESSTOML:
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