JUNE 20 2017 BUILD APPSLon-.tu3r-S
HAT|-
l
NEW HANOVER COUNTY BUILDING PERMIT
APPLICArIOTI TYPE: RESIDENTIAL
PLEASE AI{SH€R ALT QUESTIOI,{S APPLICABLE TO YOI,,R PRO]ECT
"Project Responsibilit)/'
APPLICATI(x{
Nutlber
(Ofrice Ure)
APPLICA'{T's IiIAT.IE :
OEVELOPER: N/a
RoberL Palke! DATE:05Jun17
PHONE *: (e1o)232- 62AA
7232 Masonboro So Rd CITY: wilminqton zw | 33!92-
BLOCK f:LOT #: _
PROPERTY Ot4lNER'S NAI4E: steven Baker
ol,lNER' S ADORESS: ?232 Masonboro sound Rd CITY: l,cilmi on sT : Jg- zIP: !!3!l
COITRACTOR: Cape Fear sola]: svstems LICENSE #: 6s5?7
ADORESS: 901 Martin street CITY:Wi lminqton ST: NC ZIP: 28401
EI{AIL ADDRESS: supDorr@caDeFearsol arsyEtems. com
PROIECT COiITACT PERSON: Robert parker
PROJECT ADORESS:
SUBDIVISIO{,I:
EXISTING cO 5TRUCTION: I nlrenlrrou I nrtovartou f] crnrnal neenrns I RELocATToN
IJEIJ COr{STRUCTTON ' I rnrCr NE]l RESIDENCE o" I aOOrrrOl To EXISTI{G RESIDENCE
*'PI.EASE CHECI( AiD AI{SI{E[ BELOI{ ALL THAT APPLY
'O Yd'R PROJECT:
f] rrr ernrer _ sF f| orr canrcr _ sF
tr
sur'rRoou _sF fl coor- _ sr
GREENHoUsE _ sF [oecr _ sr
f] eon+r
-
sF
I sronrer sHED _ sF
OTHER:5F
ToTAL HEATED SQ FT: _ TOTAL SQ FT UI{DER R@F: _ TOTAL AREA SQ FT: _
T0TAL PROIECT COST lress r-or1 : $ :o,r:r * OF STORIES:
Is Any ELECTRICAL, pLUlilEIt{G or |IECHAI{ICAL lrork Being Done to the Accessory Structure? [l V"s f] ruo
If the project is a Relocatj.on, is there a Natunal Gas Line on the cunrent sitef f] yes fl Ho
Is thene Electrlcal Power on thls EuiIding?
PROPERTY USE / OCCUPAIICY: @ StUelr rAiULV
I ves ff ruo
ounrex f] rohrNHousE
DESCRIPTIO{ 0F IORK: I4gta11ation of solar panels on rhe roof
of Mra - Baker'6 home
and ordinancos and regulslions. Tho NHC Developmont Ssrvices Centar willbe notifed ofsny chang€s h $s approved plens and sp€clflcaflons or changa h contractor or
contaclor inbrmelon. TdNOTE:AnyWork Perfo.mod W/O h6 Appopaare Fbmils willb6 tn Vbtarion oflne NC State
0I{NER/C0{ITRACT0R: Roberr. parker SIO'IATURE:
,*,*,* 'r,*** * * * * ***,* *** * *** * *** *(Iltil lil'i+,t*)**j*****,** * )*****)****,t**!*)*:l+ **)* ***ii * *,t *,t,t + * t *)t ***+**
rs rHE pRopERTv LoCATED rN E rlmorllrrl I vrs E no
EXISTIi|G IIIPERVIdTS AREA:
-SQ
FT TOTAL ACRES DISTURBED:
Er,r $|PERVIo{ S AREA: _SQ FT EXrST LAru) DTSTURBTNG PERMTT: E VeS fl to
uaren: I crrua I co&luNrw svsrem f] pRrvArE wELL f] cetrnal well
SEUER: E crrun I CENTRAL sEpTrc f] errvnrr sEpTrc E colt{J rTy sysrEr,{
**,. SEPATATE PERMITS REQUIRED FOR ELECT, I]ECH, PLBG, GAs EQUIP, PREFAES & IIISERTS *T'
pAynEi[ fiErH(xrr I asx I cxec( ( pAyaBLE ro rrc; I axrnra* .rr.ri, E *mso I orscw:n*t**.t*,i,*,1,***,t*,t****i.*.|*+,**'t,*:a*+,t*,**)*)t:|**,t**:t*,t:r,r+**+**,1***,|***)***rrrr*****,a*,**,*!*,*rr,***.*,rjt ,t .
afld Subiocl to Fin6s ljp To $50O0O.'
BF E+2ft=
t{
PERMIT FEE: $
(foi oFFr(E usr ditlY) iEvrsED DATE O4l11/r.2
SETBACKS: F:_ LH:_ Rll:_ B:_ZCI'IE: _ OFFICE R:
Approval:_ City:_ DATE:_ FLOOD: _
Cmmnt:?s-
PKINE *: (910) 551-3800
PH}IE $: Iqr n\ rlr-4ree
PXI{E S: le].1) 232- 62aa
,<-t...r:'a 1),ff NEW HANOVER COUNTY BUILDING PERMIT
APPUCA| ION TYPE,' RESIDENTIAT
PEASE ANSWERATL QUESTIONS APPTJCASLE TO YOUN PROJECT
"Project nlsponsiblliy
Homes
OTY:Wilmington
7ol1 (y3kt
*7-**9#
Appllc2tlon
(offi.! u5c)
APPUCAN?S NAMEI
PRoJECT ADDRESS:
suBDlvtsloN: Clearwater
an Date r3
ZP
LOT f:
PROPENTY OWNER'S NAME:Clearwater Preserve LLC PHO Er,910-452-7175
OWNER'S ADDRESS:60 Greqory Rd oTY: Belville ztP 28451
COMnACTORT Logan Homes 9196 g6glgg g, 34408
ADORESST 60 Gregory Bd 61n. Belville 51; NC 2p; 2E451
EMAII ADDRESS: mlogar@loganhomes.com p11s 61 91M52-7175
PROJICT COI{IACT PERSON . Mary Logan p11s1g; 9'l G.152-7'175
E(|sTII{C CO STRUCflOX: O Aheration El ienovation E GeneralRepalrs
Nll , CONSrRUCIION: E Er.ct New Resldence Cl Addiuon to EristlnS Residence D Rclocation
...PIEASEIHEE(tr{DAIIWER BELOW ArI THAT APPIY TO YOUR PROJECTT..
E att earage (sr) $3 O Detcarase (sF)- (ror.h ttO ?1b
E sunroom (sF)tl Pool(sF)tr] Storate Shed (SR _
Et Greenhouse (sF)
-
El Ded (sF)
-
D other [SF)
ls the proposed work changinSthe exlstlng footprlnt? E Yes D No
TOTAL Sq FT UNDER nOOl lJot proposed wo*l Ht,|tdr
TOTAI pnOrFCf CO5T (ress Lor): $ / 7-(,f @o
'tr113 unh.rirdr 1,1o1
15 the proposed work chaoging thc number of bedrooms? E vrs S no
ls any Bccrricd, Plumbint or Medranlc.l wolk being done to the Accessory Structure, E v"r fr lo
lftieprorecti5aR.locaton,15thereaNaturslGastlneonthecurrentsite?trYcrSfo
15 there ElectrlcalPowfi on thls Bulldlng? tr Vc {.Xo
Property Use/ Occup.nsy: E Slngh Frmlly tr Dupk tr To$'nho$e
Descriptlon ol wo*; SFR - new consFuciion
D|SCIAIMER: I hercby cdif, that .ll the lnformrtlon h this .pplledon lr @rrlct rnd rI worl wlll compv $hh ti* stat! gulldlD8 codc .nd rll oth.r .lcltzH€ stlt€ .nd b(.l
lavs !M ordh.ruer .rd r.guhtlirns. Th€ NHc Da[lopmGnt S€lvlc.s Clntcr Mll b. nolifild of .ny dEnges h rh. $provGd pbns rnd sD€dfrat''o.rr or ctrrnt. h lont6cto.
ln{oin.tbn. 'r'HoTE: Any eo* p.rronied wtthout lhe epProPr'Etc p.tmh5 wfll b. h vloLttoi ol rh. C St t Elds to in* up to S5m-@'.'
oa[Gr/Contracton L $Snature:
"Uens€d Qt owef tuInt Na/,,e
lstheprop€rtylocated lnafloodplaln? tr Yes fl No
Edsdng linpervtout Area: 0 sq Ft Total A.r!s Dls&rbed, , zqtf
New lmplrvious t., ?111 Sq Ft Exi ng tand Dldurblng Permhr E YeE E No
WATER: Ei cfPUA E community syshm tr Private well D Gntralwell E Aqua
SEWER: E ctPUA fl commuoity System E PriYate Septlc El centralseptic E Aqua
zone: -- offf.2r:
-
S.tbacl$ (fl
-
(ull
-
(RHl
-
{81-
$\,5qJ;
Approvah
-
Gty:
-
Drtei- rbod: {A}
-M -
{l{l
-
BfEr2Its
Commentl Permft Fee:+
.({RECEIVED JUti ;3 2gy f,t+b312,ii'''i"'.},,ffi
on r**r', no*r, . lLl ^lo- /4"1,*
PROJECT ADDRISS
Date .?{2 )
CITY 2r,,;f,-':a )..-,zt":29 45/
suBDlvrsroN:LOT f:
PROPERTY OWNER'S NAME +t
OWNER's ADDRtSsi 2/,tV./'/an /-lV
enone *, (,7 /c) .2;t( '%1)
CITY:ztp:
CONTRACTOR
ADDRESS:
EMAIL AODRESS:
b ua c4
,/t CIIY
BLDG LICENSE 8
sr.,..'c ztq: ?97tr..
PHONE 72- 73./- e-??q
PHONE:1/?- 71t/-.7?"?
t"
PRO'IECT CONTACT PERSON D" )L: )4;-/,..,
EXISTING CONSIRUCTION: E Alteration ! Renovation [] GeneralRcpairs
NEW CONSTRUCTION: E Erect New Re sidence Z/addit,onto Exjsttng Residence fl Relocation
*T*PIEASE CHECJ( AND ANSWER BETOW ALL THAT APPLY TO YOUR PROJECT' ' i
i Porch (SF)
E Storage Shed {SF) _
E Other {SF)
ls the proposed wort Ehanging the exisling footprint? 6(es tr tto
TOTAI Sq FT UNDER RAOF lfor proposed work) Heated Unheated:
TOTAL PROJECT COSI (tess lot): S J'U U,
Is the proposed work changing the number of bedrooms? 3 yrt {No
"1Structure D-yes
trl Yes Ef-No
ls any Electrkal, Prumbing or Me€hanical work being done to the Accessory
lfthe project ls a Relocation, is there a Natura.!r5s Line on the currcnl site?
Ir there Eleclrical Power ol this Brildi'1g? ErYCs ! No
P.operty Use/ O.cup ,nn, 7/*rb r"r,iily fl Duplex E Townhouse r orac?t9Description of Work
llo^c n-:/A tuA* /c/,":f
Olscl IMES: I herby cenify that aI thE lnfcrmalion in ttis appli.ation ls c e.l aod allwo.k wlllcomply with the Stnte BuildinS Cod€ and.lrother apdieble Srate.:d lo€ I
laws rid ord na.ces and EBJhtbnr. The l'lHC Developrenr s.Nkes C.nle. *ill be not,fied ofa ny changes in the appmred plans and speciffGtions or <hange in con!.:(to.kllo/mition. "'NOTE: Any \ rork pe.fo.med without the appropriate pe.mirs will be ln vioLar on of the
Owner/Contractor:SiSnature:
NC State B de codc.nd !nhi.dZz to rlnes up to 95oo.0o'r'
/'-z:-
'u.enscd Quolilier" Print Nome
ll the p'operty orated r'1a floodpla n? D YGs faNo
Existing lrnpervious Area: _Sq Ft Total Acres Disturhed:
N€w lmpcrvious Area: __Sq Ft kisting Land DisturbirB Permit: E Ye5 E No
u/AT[R: E\CFPUA I Communiry System E Pri\rate Well D Centra Well ll Aqua
SEwERr \CFPUA I Community Svstem E Pri\rdte Sepric El Cenrral Sepric D Aqua
Zone: _ oflice.: _ setbacks (F) _ {LH) _ (RHl _ (8) _
Appro\€l:_ city: __ Oate: _ Flood: (A) _ (V) _(N)_BFE+2ft=_
Comment: permit Fee: g $ts
Zd dO t:e O 1t 80 unC99029980 t6
\+J+e@
CI6ar Fo.rn Print eMait
NEW HANOVER COUNTY BUILDING PERMIT
AP PLI CATTON TYPE : RESIDENTIAI-
PIIASE ANSWIR ATL QUESTIONS N PPUCABLETO YOUR PRO]€CT-Proiect Re+onsibilfttf
6.E1.
E Att GaraBe (Sf)
-
E sunroom (sF)
-
Ll Greenhouse (SF) _
E Det Garage (SF) _
n Pool{sFl-a4"*rrrr-ptz a
t
ffi
APPLICAI{T's MI{E:
DEVELOPER:
NEtd HANOVER COUNTY BUILDING PERMIT
APPLI CAf IOII TPE.. R ESIDENTIAL
PLEASE ANSI,IER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECI
"Project Responsibility"
qgastal IIome Corporation
lo+ tozq|
APPLICATION
Number
(Office Use)
DATE: L r/t7)
PK)NE *: 910-2oo-3344
PROIECT ADORESS: 117 Gfadbrook Drive
SUBDIVISION: Brookf ield
CITY: l4ilminston ZI,P i
266
28405
LOT #:
sT: q zIP: :!3!a
CONTRACToR: Coastal Home Corporation LICENSE #: 76s73
fij.lninqtonAIDRESS: 2o3o Eastrrood Road, ste 5 CITY:
EUAIL ADORESS: dweldon@coastalhomeco.com 910-200-3344
PROIECT CONTACT PERSON: Dan wetdon
Ptot{E s:
PTONE *:910-200-3344
EXrSTrr,rG CONSTRUCTTON: ! alrrRnrrOru ! nrNOvarrOru ! CrUrnAr nrcarns f| RELocATToN
NEhI CONSTRUCTIOI'I: I TRECT NEU RESIDEI{CE O" ! AOOTTTOT TO EXISTII{G RESIDEI{CE
T.*PLEASE CHECI( AT{D AiISXER BELO}I ALL T}U[T APPLY TO YOUR PROJECT:
[] arr canaor as8 sF ! oer eanlee _ sF trtr
PORCH _SF
STORAGE SHED
-
SFPOOLSF
fl oecx 5F OTHER:SF
TOTAL HEATED SQ Ff i 22ta TOTAL SQ FT UNDER ROOF: 2Br2 TOTAL AREA 5Q FT: 283?
TOTAL PROIECT COST lress roj : $ rasooo # OF STORIES: 2
Is Any ELECTRICAL, PLUiiBII{G or t'lECtlAr{ICAL l.Jork Being Done to the Accessory Structure} [ Vet I Ho
If the project is a Retocation, is there a Natural Gas Line on the Curnent Site? [ Ves I no
Is there Electrical Power on this Building?[ves l--] uo
PROPERTY UsE / OCCUpAiTCy t I SrNelr rallrr-V ! U.reLEx ! TowNHousE
DESCRIPTIOI{ 0F [JOR(: New Home Construction
DISCLAIMER: lherebyceni, hal allinbrmation h hisapplicaton is corecl and all
and ordinances and regulatbns. The NHC Der/ebprnenl Services CenEr willbe not
cont&lcr inbrm6tan. "1\lOTE: Any Work Pertonned w/O he AppmpriaE Perm s
OlrlNE R/COiITRACTOR: Dan weldon
rs rHE pRopERTy LocATED rN l rlooopurll [-] yss
EXISTIiIG IMPERVIOUS AREA:
-SQ
FT
NEt{ II,IPERVIOUS AREA:
-
SQ FT
work willcomplywitr he State Building Code and atl orher applicabte SiaE and bcal talxsH ofary changes in lhe approved plans a,]d sp€cifcations or change il conracbr ot
will be in \/jolarbn ofrhe NC SraE Bldg Code and Subject b Fnes tjp To $5OO.0f "
P"----SIGNATURE:i;-<- Wu-(
(prlnt ame)******,**)r***)i*,i***********i***********+*+**+*+:i+**,t*,i**r***,t**,r****)i)r**,irt+*t*:i,t *rt *,*,* ** * x )r
I NO
TOTAL ACRES DISTURBED: .3
EXIST LAND DISTURBING PERfi'IIT:l-l ves I NO
WATER:CF PUA CO'"T4UNITY SYSIEM PRIVATE WE LL CENTRAL WELL
sEriER: @ creua ! CENTRAL sEprrc f] enrvare srerrc I co]1lruNrry sysrEM
iI** SEPARATE PERITITS REQJIRED FOR ELECT, IiIECH, PLBG, GAS EQIJIP, PREFABS & IiISERTS T.**
PAYIi,IENT NETHOD:n CASH CHECK (PAYABLE TO r{}rc)Ar'TERICAI'I EXPRESS E nc/vrsr I orscovrnn
*,*,t+,t,t++ir,t++,i++++,ti.,t,t * * *:*,* :*,t,i,a,*,| * ,* * * t,*:t,l * ,* *,t +,t + 't *,|,|*,.*,i* *,t*,t*:l * *,*,i,t *,t,r )* :. * * * * *:r )*:* )t,i ,t,i *,t +:i
(foR oFFICE UsE Ot!Y) REVIsED DATE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ city:_ DATE:_ FLooD:
-
AVN
BFE+2ft
Cqment: PERi'|IT FEE: $
0
BLOCK *:
PROPERW OWNER'S tlAilE: Coastal Home corporation PTONE *: 910 200 3344
Ot{t{ER ' S ADDRESS: 2030 Eastwood Road, ste s CITY: wilminqton ST:I!_ZIP:28403
! suunoom
-
sF
! enrrrHousr
-
sF
zoNE: _ oF FrcE R:
1i,"1Uit 1? ',lt43P|1
NEW HANOVER COUNTY BUITDING PERMIT
AP P L,CAT|O N TY PEr RESI DENTIAt
PLEASE ANSWER AIL QUESTIONS APPTICABLE TO YOUR PRO.]ECT
"Project Responsibility''
Ute C,*uLrrez-
Jo rf Gn4
APPTICANT,S NAME:Date
PROJECT ADDRESS
SUBDIVISION:
l7 \Ll L,vz o o-L Dat)tttza--t ct"t\: t,t,,, I wt -ztP
PROPERTY OWNER'S NAME PHONE f 77? - 8q3,1
OWNER'S ADDRESS: I 7 )4 l-t ',a.c, oa.V fi1c-..t crw ztPv-
CONTRACTOR
ADDRESS:
PROIECT CONTACT PERSON fuL, 0roL.,, r.-.-
BLDG I-ICENS€ ff
CITY i ,: I VwT : ST
PHON E
WzrP 78+oq
EXISTING CONSTRUCTION: a Alteration f/Renovation ] General Repairs
NEW CONSTRUCTION: D Erect New Residence E Addition to Existing Residence D Relocation
**,I.PIEASE CHECK AND ANSWER BETOW ALI. THAT APPLY TO YOUR PRO.'ECT* * *
C Greenhouse (5F)_
! Att Garage (SF)
E sunroom (5F)
owner/Contractor
"Licensed Quolilier"
E Det Garage (5F)_
D Pool (SF)
! Deck {st)
ls the proposed work changing the existing footprint? ! Yes
TOTAT SQ FT UNDER ROOF lfot proposed work) Heated 3c0O unheated:
Description of Wo.k:
Lrte- (( ( <.-<.-Signature:
(t"
n\ 1''oC>TOTAT PROJEgT COST lLess Lot): S H
ls the proposed work changing the numblr of bedrooms? D Yes K-trto
ls any Eledrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes tr No
lf the project is a Relocation, is there a Natural Gas Line on the current site? D.Yes E No
ls there Electrical Power on this suilding? 6 Yes tr No x
Property Use/ occupancy:p- Sinele Famiry n Duplex D Townhouse
e )2A-+Q d
DISCLAIMERT I hereby cerlify that a I aon in this application E corect and all work willcomply with the State B!ildrnt Code and allother applicab e 5tate and local
taws and ordinances and regutations. The NHC Development Services Center will be notfied of any changes in the approved plans and specfications or change ln .ontractor
informatron "'NOTE Anyworkperformedwithoulth€appropriatepermitswillbeinviolatonoftheNC EdgC and subiect to fines up lo 5500 00"'
ls the property located in a floodplain? ! Yes K No
Existing lmpervious Area:
-
Sq Ft Total Acres Disturbed
Sq FtNew lmpervious Area:Existing Land Disturbing Permit: I Yes [ ] No
WATER:
SEWERI
Zone:
(Cf eua E Community SYstem [] Private Well D CentralWell E Aqua
E(Craun ! Communitysystem fl PrivateSeptic fl central Septic D Aqua
Officer:
-
Setbacks (F)
-(tH) -(RH)-
(S)-$?S
Approval:
-
City:- Date:- Flood:(A)
-(v)-(N)-
BFE+2ft=
-
Comment:Permit Fee: S
LOT #:
,ro*r, A12: !15 D
EMAIT ADDRESS:
D Porch (SF)_
D Storage Shed (SF)_
D Other (SF)_
2ol7-t()),t 0
APPLICANT'S NAME:
NEW HANOVER COUNW BUILDING PERMIT
APP Ll CAT I O N rYPf; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROIECI
"Proiect Responsibility"
Arlcts t't-
CITY:
PHONE #
Application
Number
(office use)
Date 7
ztP .b zt?//PROJECI ADDRESST
SUBDIVISION:
c
L LOT #
PROPERTY OWNER'SNAME: /h ,zrL 4zor.lE t
owNER's ADDRESS, //a L- ,42 .rl c rrl ,4rr,/ 1..a1/
/to'659' r*
CITY: lt /;y'121242?2b)zP2t4//
CONTRACTOR
ADDRESS:
EMAIL ADDRESS:
PROIECT CONTACT PERSON d,o
n Att Garage (sF)
n su nroom (sF)n Pool (sF)
n Deck (sF)
ls the proposed work changing the existing footprint? J Ves lTd
TOTAT SQ FT UNDERROOF Aor proposed work) Heatedi
TOTAL PROJECT COST (Less Lot): 5 /{,r".
Property Use/ Occupancyi le Family E Duplex E Townhou
Description of Work:
,-r
BLDG LICENSE #6"r7
sr.49zrp, li't/17
PHONE a)
PHONE -27
CITY
Z-
EXISTING CONSTRUCTION: n Alteration n Renovation n General Repairs
N€W CONSTRUCTION: n Erect New Residence ffiOn,on ,o ,rOting Residence n Retocation
***PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECTI"}'}
lDl-oet Garage (sr) -39t
n Greenhouse (sF)_
ls the proposed work changing the number of bedrooms? D v", lNo ,/
ls any Electrical, Plumbingor Mechanical work being done to the Accessory Str uct u re ltrYes E No
lf the project is a Relocation, is there a Natural Gas Line on the current site? D Yes frttto
ls there Electrical Power on this Building? EfYes f] No
e
laws and ordinances and re8ulations. The NHC Development Services Center will be notifled of any changes in the approved plans and specifications or chanSe in contractor
information. ***NOTET Any work performed without the appropriate permits will be in violation of the NC State SldB Code and subject to fines up to S500.00.'.
Signature:Sr rh //,/ot;y-z- r{k Ae-o,,Owner/contractor:
"Licensed Quolifier" P nt Nome
ls the property located in a floodplain? D y., {no
Existing lmpervious Area: t?-oo 5q Ft Total Acres Disturbed:f,'br,
(b///Z*hc?/t
New lmpervious Area:3o{Sq Ft Existing l-and Disturbing Permit: E Yes E ttto
WATER:dcrpua E community System E Private Well E centralWell E Aqua
W CrpUa E Community System E Private Septic E Central Septic E nquaSEWER:
zone: _ officer: _ setbacks (F) _ (tH) _ (RH)
-
(B)
-Approval: _ City:_ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
Comment: Permit Fee:
$
s ts
,-w T_T1
n Porch (sF)_
D storage Shed (sF)_
! other (sF)_
unn""ta, SoY
?ot5-ut rq
C/rrlz
NEW HANOVER COUNTY BUILDING PERMIT
AP P LICATIO N TY PE; RESI DENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Proiect Responsibility''
,-'r'APPTICANT'S NAME:Date
3oG N. C6 ot1 C,a<- le crIY U, l^.-sh.-ztP. zf70 IPROJECT ADDRESS
SUBDIVISION:t-oT #
PROPERTY OWNER'S NAME AO*,n * (t?Or'ru<te 6a//t r.-
OWNER'5 ADDRESS:s-G l, c-t"c,- l-
/*r 6//*l K*ZZ-xCONTRACIOR
ADDRESS:66r>t-G t/,-.(^,lt Ir*7
PHONE C Qa zq?- 3s'o/
clTYl lt /^<-, r-ztP: 7.8 fd ,
cfi,t: Ll t lq-
gI-DG IICENSE H {zorr
sr ^/c ztP: z ta oJ-
EMAIL ADDRESS://..a //e-l @ /'/r / y',./ B.t/-/,n, - " -.t,
PROJECT CONTACT PERSON //f.v ?zt. t - c.-
PHoNE: ?'o' ?7o 'zrfu
qHONE: qlo . t34,- <gA-
EXISTING CONSTRUCTIONT ! Alteration ! Renovation dGeneral Repairs
NEw CONSTRUCTION: f Erect New Residence ! Addition to Existing Residence n Relocation
* *'i PIEASE CHECK AND ANSWER BEI.OW ALL THAT APPI-Y TO YOUR PROJECT* * *
5/ntt e arace (sF)L/tt E Det Garage (SF)B-?orch (St)/62-
E Sunroom (SF)D Pool (5F)
meck (sF)! Other (SF)
ls the proposed work changing the existing footprint? ! Yes E.ilo
TOTAL 5Q FT UNDER ROOF Aot pto d work) Heated rq3 |Unheated:
TOTAT PROJECT COST (Less Lot): S uoo 9
ls the proposed work chan8ing the number of bedrooms? ! Yes Z' No
ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure n Yes E No
lf the project is a Relocation, isthere a Natural Gas Line on the current site? n Yes ! No
ls there Electrical Power on this Building? ! Yes ! No
Property Use/ occupancy: Zzsingle ramily ! Duplex ! Townhouse
D Storage Shed (5t)_
! Greenhouse (SF)_2-r, o
laws and ordinances and regulatrons. The NHC Development Seruices Center will be notified of any chanSes in the approved plans and specifications or change in contracior
information. 11'NOTE: Any work performed without the appropriate permits will be in violatlon of the NC State Bldg Code and srbj€ct to fines up to 5500.00"4
tra Pa-. aob.nf M1/-7
Description of Work:y'uil /.4*
Ow Signature
"Licensed Quolilie/'
lsthepropertylocatedinafloodplain? ! Yes ! No
Existing lmpervious Arear _ Sq Ft Total Acres Disturbed
New lmpervious Area Sq Ft Existing Land Disturbing Permit: L-l Yes a No
WATER: ! CFPUA ! Community System E PrivateWell ! Central Well ! Aqua
SEWER: X CFPUA ! Community System E Private Septic I Central Septic ! Aqua
zone: _ officer: _ setbacks (F) _ (LH) _ (RH) _ {B) _
Approval: _ City:_ Date:_ Floodr (A) _ (v) _ (N) BFE+2ft= _
Comment: Permit Fee: S
olt- u,{lu
APPLICATION
Number
(Office Use)
PrlE W HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibiIity"
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PHONE S:
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PHoNE s: 151 ^8q /, +).1
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PhONE f:
PHoNE f:n70Bq,tsts
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APPLICANT'S NAME:
DEVE LOPER:
PROI ECT ADDRESS r .t
OCCUPANT/BUSINESS NIU\4E :
PROPERTY OWNER'5 NAI4E:rd o ar-J o 'Dta $o
ONNER,S ADDRESS:
ET1AIL ADDRESS:
PRO] ECT
CONTRACTOR:
ADDRESS:^/\A{-
LICENSE #:
CITY: N
.@tvut
r
a -A4/.e
CONTACT PERSON: /I/T L^t o(ce a.-
(ch€ck All rhat Apply)
EXrSr CON5TRUCTTON: I ALTERATTON f] RtruOVarrOru ! cer'reul REPAIRS
ll Relocation. is there a Nat lGas Line on the Eirent Siteu Ives I lo lS BLDG SPRIN
RELOCATION
KLERED? [ v"" INo
NEl,'l CoNSTRUCTIOT: ! eneCr NE!,1 STRUCTURE n
ACCESSORY STRUCTURE:
FAsr rRAcK ! sner-r- [ uerrr ! aoo ro Exrsr srRUcruRE
CITY:
eft a n
THIS A CHANGE
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIONAL:
rs Etect Power on this Building E Yes E ruo
r[r.t f]m.----
what is the New occupancy Type?
OF OCCUPAT.ICY USE3 f a..-
PH
PH
NC REG *
Nq REG +ENGR DESIGN PRoFESSIoNALI
d;DESCRIPTION OF hIORK:tlv f2-rtcho
ls food or bsveragss prepared or served in this snraure? [ ves [l lo ls Tho Propeny Locatod ln Ths Floodplain'l I ves ftf no
nancei and reoulalrons. T
or conlractor i"nlormation
this applicat,on rs correcl and all wo
NHC DeveloDment Services CenterNOTE Any Work Perrormed WO lh
all other apphcable SlateDISCLAIMER: I hereby cenify lhat all information in
and local laws and ordi he and ications
in contractor Code andor chanoeSubiedlo Fines Up To $500 00"'
OWNER/CONTRACTOR:H-urdo L-a bocre.fla
loualins)
Note: Demolidon notifications & ssbestos ramoval perm it applicatons aro to be submitled using the appliedon rorm (DHHS-3768) wheth€r iacility or building was lound to
conEin Asbestos or not You ar6 required to callthe National Emission Standards ror Hazsrdous Air Pollutrants (NESHAP) at (919)707-5950 st le8st 10 days prior to tho
demolitlon oI6ny facilily or building. S€e Asbestos Web Silei htlpr ,vww.6pi.stat€.nc.us/epi/6sbesto6/shmp.htnl
l+'
rk willcomolv with the State Buildrno Code and
wli be notili6d ol anv chanoes ia,ttEaoorovect
e Appropnale Permrls wll de/liolalioil ol lhe
stcNeruat@ 7u
t:nr\orer-
PROJECT COST:50aa BUILDING HEIGHT:
SQ FT PER FLR:
# OF UNITS: -1-
# OF STORIES:
d OF FLOORS:
-7-AREA SQ FT
SQ FT UNDER ROOF:# OF STRUCTURES: !-4
ACRES DISTURBED:
NEW IMPERVIOUS AREA:SO FT
(FOR OFFTCE USE ONL'ZONE: OFFICER:SETBACKS: F:_LH:_ RH:_ B:_
EXST LAND DISTURBING PERMIT?
EXISTING IMPERVIOUS AREA:
YES Euo
SO FT
pRopERry usE: floFFrcE f] nesraunaNr luenceNrru f]eouc lenr lcolroo orHER: tsl*
wArER: ECFPUA fICOMMUNITY SYSTEM fl WELL fIZONING USE CLASSIFICATION:
SEWER: El CFPUA E CENTRAL sEPTlc Ll PRIVATE SEPTIC Ll coMMUNlry SYSTEM
..'SEPARATE PER[4ITS REOUIRED FOR ELECT I ECH. PLBG. GAS EQUIP, PREFABS & INSEFTS "'
pAwrENr METHOD: ECASH [CneCX prVnALE TO NHC) [nUenrCmr eXeRESS E MCA/rSa I OTSCOWn
REVISED DATE 4/II/12
If UPFIT - The Shell Permit f:
Approval:_City:_DATE:_FLOOO, o_____, _ BFE+2fl=_+eaf-
comment pERMtT FEE: $__:_