JULY 24 2017 BUILDING APPS,o+ fitus
l{=tu,8ANEW HANOVER COUNTY BUITDING PERMIT
APPLICATION TYPE RESIDENTIAL
PL€ASI ANSWTR ALI- QUTSTIONS APPLICABLE TO YOUR PROIECI
"Project Responsibilitl/'
;IJUL Ii 9:S8I1N
Application
Number
(office use)
APPLTcANT's NAMr. E q,qon/'B*usr"!, (oe?Date o/zo/zo*,-
pROJECT ADDRESS: bC b tA.Olrs Ctc€L t*rl€CITY Nurllt?,Irb,/ ,LJL 21p. zbtdi"'58rit1
suBDrvrstor{: L,Jtt/924 f ,a.Et e*#LOT #:
4to
s
PROPERTY OWNER',S Neut:77*t .'m/k0.4 t0^! s7e4A
OryNER,S ADDRE5S: 6ob zecu' aaz.e/- lAz-{
PHONE #:z3z-5b?3
CtTy; tJulut17fu,l/q ztP 7dl@
CONTRACTOR: B qorn l 6uuat*, /o2P ELDG LICENST #l"oV 3l
ADDRESS: 311{ €at nS tktt Io, lo,4a CtTy: l,JU*t S1:IJL_zrP: ZUY/ /
EMAIL ADDRESS: Ul f ,b.<r+oa @ i.lotttt,ldL , ('o*<PHoNE: t)p-'/?o.51j?
,ro*r, kl q g) Bu'z- :11 t 6pRorEcr coNrAcr p 2756111. 5o ai (a4o
EXISTING CONSTRUCTIONT tr Alteration f) Renovation ! General Repairs
NEW CONSTRUCTION: n Erect New Residence a Addition to Existing Residence I Relocation
*..PLEASE CHECK AND ANSWER BELOW ALT THAT APPTY TO YOUR PROJECT***
! Att Garage (SF)_n Det Garaee ISF)n Porch (SF)l?o
! Sunroom (SF)2,?-4 tr Pool {sF)D storage shed (sF)_
E Gre€nhouse (SF)n Deck (sF)X Other (SF)bia*3 clot*s
ls the proposed work changing the existing footprint? D Yes D No
ToTAL sq FT UNDER ROOF (Jor woposed work) Heated:4sl9+ unheated: lalo ':r
TOTA| PROJECT COST (Less Lot)s 75om.s
ls the proposed work chanBing the number of bedrooms? 0 Yes ! I"lo
lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructure!YesnNo
lfthe project is a Relocation, istherea Natural Gas Line on the current site? ! Yes ! No
ls there Electrical Power on this Building? i Yes ! No
Property Use/ Occupancy: a Single tamily D Duplex ! Townhouse
Description of Work:/lut, h"tt E4flr C/ar€h r'on J
,rc.l, o, gnm St /e<ro*t.,
laws and ordinances and reSulations.The NHC Development Services Center will be notified ol any changes in the approved plans and specifications or change in contraclor
information. "'NOTE: Any wor performed without the appropriete permitswillbe in violation NC Bldg Code and rubjectto fines up to 5500
&xt/Contractor:Bu*nr$nt
ofthe
ute:7,*t*7to
"Licensed Quolifier" irlLBUa-r'o4
0o.**
ls the property located in a floodplain? ! Yes 0 No
Existing lmpervious Area,tl*
4*New lmpervious Area:Sq Ft
TotalAcresOistuibed: 0
3?:&prolL
oLcpf,,
Sq Ft
WATER: I CF)UA a Community System D Private Well fl Central Well n Aqua
sEwER: E/FPUA ! Community system fl private Septic I central Septic D Aqua
Zone:
--
Officer: _ Setbacks (F) _ (tH) _ (RH) _ (B) _
Existing Land Disturbing Permit: D Yes 0 *$h D
$"izrI(}--Approval: _ City: _ Date: _ flood: (A) _ (V) _ (N) _ BtE+2ft= _
sComment:Permlt AL LL.
f,i:''"u
rJffiri
NEW HANOVER COUNTY BUILD'NG PERMIT
APPLI CAT I ON TYPE,' RESIDENTIAT
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROIECT
"Project Responsibility''
CITY i tq2 ;-<s.
LOT #
aol+ l? 3t
t.t 6(@
Application
Number
(oflice u5e)
NAME:
1 1.1 Date tlAPPLICANT,S NAME:
PROJECT ADDRESS:zt
SUBDIVISION:
CITY,il,'l
?77a'
oN)"ro(?tPROPERW OWNER'S
OWNER,S ADDRESS:i+J ztP
.*r 5l/ 74 7,t ztt BTDG I-ICENSE #
ST:
CONTRACTOR
ADDRESS:CITY ztP
EMAIL ADDRESS:
PROJECT CONTACT PERSON '-i-zt /.(PHONE
ExlsTlNG CoNsTRUcTloN: n Alteration ! Renovation E General Repairs
NEW CONSTRUCTTON: n Erect New Residence E Addition to Existing Residence ! Relocation
E KANDA ELOW ALL T PPLY TO YOUR PR
D Att GaraBe (sF)-
E Greenhouse (sF)---
aa.4 PHON
Unheated:2Z)
:L
E ii* earace(sr) -z-gec*qrrtn Porch (sF)
! Sunroom {sF)n Pool (SF)
tr Deck (sF)
ls the proposed work changing the existing footprint? d yes n ruo
TOTAL Sq FT UNDERROOT Uor proposed work) Healediat)
TOTAT PROJECT COST (Less Lot): S o
! Storage Shed (sF)-
n other (sF)
lsthe proposed work changing the number of bedrooms? E Yes fr
ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure
lf theprojectisa Relocation, istherea Natural Gas Lin-9,sfthe currentsite? E Yes
ls there Electrical Power on this Building? E Yes dtrto
Property Use/ Occupancy: EI-single F mily !plex D TowlLouse
E }esr{*o d<';,,
D
Description of Work:40 ;;,
laws and ordinances and regulations. The NHC Development 5ervices Center will be notified oI any changes in the approved plans and specifications or change in contractor
information. .. "NOTE: Any work performed without the appropriate permits will be in violation of the NC State Eldg Code nd subject to fines up to $500.00*"
sig nrtur",hlflrantgOwner/Contractor:
"Licensed Quolilier"
/r/l ,5t
ls the property located in a floodplain? E Yes
Existing lmpervious Area:
-
Sq Ft
New lmpervious Area:2.90 Sq tt
TotalAcres Disturbed:
Existing Land Disturbing Permit: D )4t A No 1:k {ot.'
d*o
5
I
tr
WATER: E CF.PUA tr community system fl Private well Efcentral well E Aqua/.
SEWER: EacFPUA E Communitv System E Private Septic fl Central septic E Aqua
Zone:
-
Officer:
-
S€tbacks (F)
-
(LH)
-
(RH)- (Bl
-
'fr)L
Approval:
-
City:
-
Date:
-
Flood: (A)
-
(V)
-
(N)
-
BFE+2ft=
-
Comment:Permit Fee: 5
,lffi
RECEIVED JUN2T 2017 /)...r
NEW HAN.'ER couNry eurl;rNe pERMrr ;dl+ 1*l'1
APP Ll CATION TY PEi RESIDENTIAL
PLEASE ANSWER ALt QUESTIONS APPL]CABLE TO YOUR PRO]ECT
"Project ResPonsibilitY"
CITY
CITY
CITY
-l Pool (SF)
: Deck (SF)
Unheated, /?2
exowe: !3Q _442-1s17
il DateAPPLICANT,S NAME
PROIECT ADDRE5!:ltp 3
LOT #SU BDIVI5IO N
PROPERTY OWNER'S NAME
OWNER,S ADDRES5 tq /b
ADDRESS
EMAIL ADDRESS:
EXISTING CONSTRUCTION: E Alteration E Renovation ! General Repairs
ALDG LICENSE #
ztp.Af,&3
u/A
sr.l[zte
PH E 9/b *tfi-q2
M Ptto[t,34 - 4so- lss 7
NEW CONSTRUCTION: - Erect New Re
,!*,PLEASE
sidence Y Additton to ExistinB Residence D Relocation
CHECK AND ANSWER BELOW ALL THAT APPTY TO YOUR PROJECT*I''
trl Det Garase {SF){PorchlsFl /?2i l Att Garage (SF) __-
i- Srrnroom (SF)
[: Gre€nhouse (SF)---
an
tr Stora8e Shed (SF)-
ls the proposed work changing the existing footprint? D Yes D No
p nt,l,e ce/ 0 s ) mi(ttr n lol e:l'rT,l2*
__ Signature:
{orn", $rl /20
ding code and allothe. applicable State and local
plans and specificatrons o, chanSc in contractor
nd subject to fines up to 5500.00"'
TOTAL SQ FT UNDER ROOF \for propased work) Heated:12.0
ToTAL PROJECT COST (Less Lot): Sal,ooo
ls the proposed work changing the number of bedrooms? t'l Yes
ls any Electrical, Plumbing or Mechanical work being done to the A
Property Use/ Occup
Description ol Workr
SinBle F iLY Duplex
b,
'6 /'
ccessory Structure y'Ye5 tl No
li the proiect is a Relocation, is there a Natur9,6'as Lrne on the current site? l: Yes D No
t, rhore Ftecrflcal Power on thrs BuildrnB? trZ'Yes :J No
)"n r.T se oPx:sf
l,rIt
DtSCrAtME(: I hereby certify that B rhe intornration ln th s application is correct ancl .ll work will complY rith the slate Buil
ldws rnd ordinances and regutations. The NHC Developnient ServicesCente. willbe notified ofany.hanges in the approved
infcrmirtion. *"NOT[: Any work performed without rhe appropriate permits w llb€ rn violation of the NC State aldg Code a
C\irner/Contractor:
"Licensed QuoIifier"
ls the property loca -(ted in a floodplain? il Yes
Existing rmpervious A ru., /424 tqft TotalAcres Disturbed:
New lrnpervious Area:Sq Ft Existing l-and Disturbing Permit: f l Yes [] No
WAIER: m CFPUA [] Community System [f Pr]vatewell ! Central Well D Aqua
SEW,R: ft CrPUA tJ CommunitySystem D Prlvate Septic D Central Septic ! Aqua
zone: __ oflicer:
-
setbacks (F) --- (tH)
-
(Rll)
-
(B)
-Approval:
-
City;
-
Date:
-
Flood: (A)
-
(v)
-
(N)
-
SFE+2ft=
-
$+D b
Comment:Permit Fee: S
' r*4tr
CONTRACTOR:
PROJECT CONTACT PERSON
john slayru-. Q hsh.uh^-(t^s*/0 tT- ?,/ tcl
l?iul 17 rrt4t
i
ffi,
PROJECT ADDRESS:
SUBDIVISION:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PIEASE ANSWER ALL QUESTIONS APPTICABLE TO YOUR PROJECT
"Proied Responsibility''
tvvtil"a,.,,rAPPTICANT'S NAME:Ult" ttt
CfiY: \l r\ h-nP,-XYL-Gi
trti- @)-Yrr/
Date
ztP
BTDG LICENSE #
*tA
sr: Ui.ztP 2trY
frY.l'6a2'v55r
PROPERTY OWNER'S NAME
OWNER,S ADDRESSI
CONTRACTOR
ADDRESS:L1
g!-f .4 PHONE T(;CITY
4*(vta w.,.,-t
CITY: t4/:
EMAIL ADDRESS:PHON E
PROJECT CONTACT PERSON JA /ttaJ,lhrwl PHONE
EXISTING CONSTRUCTION: f Alteration C
NEw CONSTRUCTION: E Erect New Residence I Addition to Existing Residence E Relocation
***PLEASE CHECK AND ANSWER BELOW ALT THAT APPLY IO YOUR PROJECT* **
E Att Garage (SF)E Det Garage (SF)n Porch (SF)
E Sunroom (SF)
--
Renovation I General Repairs
tr Pool (SF)
! Deck (sF)
D Storage Shed (SF)_
! Greenhouse (SF)_! Other (SF)
ls the proposed work changing the existing footprint? [
TOTAL SQ FT UNDER ROOF llor proposed work) Heated
TOTAL PROIECT COST lLess Lot): S 71,, (OO
lstheproposedworkchangingthenumberof bedroorns? tr ves ( trto
ls any Electri.al, Plumbing or Mechanicalwork being done to the Accessory Structure D Yes
lf the proiect isaRelocation, isthere a Natural Gas Lineonthe currentsite? tr Yes F No
ls there Electrical Power on this BuildinC? )Q Yes E No
Property Use/ Occupancy: ( ingle Family I Duplex n Townhouse
ves X! tlo. L,OD
f*"
Description of Work:o I I I.ls^ -....:^,
)
I
information. **'NOTE:Any work performed without the appropriate permits willbe nviolationoftheNCStateBld Code and subject to flnes up to $500.00+*'
laws and ordinances and regulations. The NHC Development Services Center wlll be notlfied of any changes in the approved plans and speclficatlons or change in contractor
Lo
*-TV,4 Vt rc!.-(Tv Pv\q ir_ 2-\-T--7
TotalAcres Disturbed:
Existing Land DisturbinS Permit: E Yes I No
Owner/Contractor:la\^^,.- (wtlLlnr*'Signaturei
"Licensed Quolilier" nr;lt Nr."
lsthepropertylocatedin afloodplain? E Yes tr No
Existing lmpervious Area: _ Sq Ft $b /uq.rd,\
L,New lmpervious Area Sq Ft
WATER: Z/CFPUA -] Community System n Private Well E Centralwell E Aqua
./SEWER: E/CtPUA ! Community System E PrivateSeptic E Central septic n Aqua
zone: _ officer: _ setbacks (f)
-
(LH)
-
(RH)
-
{B)-
Approval:_ city:_ Date:- Flood: (A)
-(V)-(N)
BFE+2ft=
-
$ss z.-
_ -+<-g..i +,+.-
Comment:Permit Fee: S
tJnheated:
1ot** l4*:,
-?rrT-;af-+q*
Number
(offce us€)
Date '7/r./r
Qo\Tsl'L/t6Y
u9 NEW HANOVER COUNW BUILDING PERMIT
AP P LICATI O N TYP E : RESI DENTIAL
PI,EASE ANSWER ALL QUESTIONS APPTICABLE TO YOUB PROJECT
"Project Responsibilitl/'
0,
CITY U)rn,rU,L..ZlPl
APPLICANT,S NAME:
PROPERTY OWNER'S NAME:
OWNER'SADDRESS: I
PROJECT ADDRESS:
suBDtvtsroN:
CONTRACTOR:
ADDRESS:
rr-8r,
of<O PHONE f
CITY:ztP:
enera( Anln^ir.BIDG TICENSE #
j/{f1
. <oh
L CITYc(r/.L ,:o?
TMAIL ADDRESS:
PROJECT CONTACI PERSON 5a;",^ C,L^
PHONE o
PHONE:Jh)2qt -o7 3t
EXISTING CONSTRUCTION: n Alteration X Renovation n General Repairs
NEW CONSTRUCTION: f] Erect New Residence n Addition to Existing Residence ! Relocation
**i.PTEASE CHTCK AND ANSWER BEI,OW AI-L THAT APPTY TO YOUR PROJECT'*
n Att Garage ISF)_tr Porch (SF)
! Sunroom (SF)I Storage Shed (SF) _
E Gr€enhouse (5F)
ls the property located in a floodplain? ! Yes
Existing lmpervious Area: _ Sq Ft
New lmpervious Area:Sq tt
! Other (SF)
TotalAcres Disturbed:
ltqtr -' -]$'&rrif
ls the proposed work changing the existing footprint? ! YesXJ No
TOTAT SQ FT UNDER ROOF (for proposed work) Heated:\ la sqt unheated:
TOTAT PROJECT COST (Less Lot): S *sk
ls the proposed work changing the number of bedrooms? 3 ves ( No
ls any Electrical, Plumbing or Mechanicat work being done to the Accessory Structure E Yes D No
lf the project is a Relocation, is there a Natu?l Gas Line on the current site? n Yes E No
ls there Electrical Power on this Build ing? X5 Yes tr No
Property Use/ occupancy: (single family fl DuplexD Townhouse
"Licensed Quotifiel fr,ObZ.f fr,.,, ",t a ila.4
.E*o o
De n of work:
f\J vcrute-e-i-
DISCLAIMER: lhereby cenifythat allthe information in this application is correct and allwork willcomply with the State Building Code and allother applicabl€State nd local
lews and ordinances and regulations. The NHC Development Services Center will be notified of any changes in the epproved plans and speciflcations or ahange in contractor
information. *"NOTE: any the ap iate permits willbe in violation of the NC up to 5500.00'*'
owne/Contractor:ature:
Uff n: ff CTPUA ! Community System f] Private Well E Central Well n Aqua
SEWERTAg CFPUA D Community System ! Private Septic f] CentralSeptic ! Aqua
Zone: _ Offic€r: _ Setbacks (F) _ (tH) _ (RH) _ (B) _
Approval: _ City: _ Date:_ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
Comment: Permit
f-
$?t25
+l0-$33 l.La-
wf
Fee: S ibF
D Det Garage (SF) _
n Pool(sF)_
n Deck (SF)_
I
Existing Land DisturbinS Permit: D Yes ! No
NEW HANOVER COUNTY BUIIDING PERMIT
APPLI CATI ON TYPE : RESIDENTIAt
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO.'ECT
"Proiect Responsibility''
CITY
PHONE #
CITY
CITY
CONTRACTOR
ADDRESS:
EMAIL ADDRESS
PROJECT CONTACT PERSON t
D Sunroom (SF)
E Greenhouse (
tr Pool {sF)
sF)n Deck
ls the proposed work changing the exlsting footprint? E
TOTAT SQ FT UNDER ROOF Vor prcposed workl Heatedi
TOTAT PROTECT COST (Less Lot)s /,tu)
rstheproposedworn.n.n*,n*,n",f
-*-**ms?Eyes
ztP
BLDG I.IC {r
ST ztP \MOl
PHONE hfi-\2o- |ot
,rorr,9l0 -520'il71
! Storage Shed (SF)_
tr other (sF)
Z
,oil-TN
6- t3
Applcation
APPI.ICANT'S NAME:Date
PROJECT ADDRESS:
SUBDIVISION:
PROPERry OWNER'S NAME:
OWNER,S ADDRESS:
zr,2R40l
LOT #
0 C,'*//Ol
/
EXISTING CONSTRUCTION: tr Alteration n Renovation E General Repairs
NEW CONSTRUCTION: I Erect New Residence C Additionto Existing Residence f] Relocation
*** **a
d au.e.,.c.lsr) ZO | kOt E Det Garase (sF) tr Porch (sF)
Yes o
Unheated:4D)sa,-
{.,
/*.ls any Electrical, Plumbing or Mechanicalwork being drne to the Accessory Structure E,Yes
lf t he project is a Relocation, is there a Natu ral Gas liy'e on the current site? E] Yes E/No
ls there Electrical Power on this Building? E Yes d No
Property Use/ occu pano1, /single ramlt fl Duplex.E Townh se
Descri n of work:r
laws and ordinances and regulations. The NHC Development Services Center will be notified of any chan8es in the approved plans and specification5 or cha in contractor
information "'NOTE:Any work performed without the appropriate permits will be in violation of the NC S Eldg nd sub pto55
Owner/Contractor:
"License/ QuoIifier"
ls the {roperty I
Existing tmperv
ocated in a floodplain
ious Area:Sq tt
d*"
Signatu
TotalAcres Disturbed:
New lmpervious Area: _ Sq Ft Existing Land Disturbing Permit: E Yes E ruo
*orr*, .k CFPUA E Community System I Private Well E Central Well D Aqua
SEWER: ts.CFPUA E Community System E Private Septic E Central Septic D Aqua
zone: _ Officer: _ Setbacks (F) _ (l,H) _ (RHl _ (Bl _
Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft=
Comment:
$ts-
Permit Fee: S
/::
fl
I
Yes
&o)? 7*."T
APPLICANT'S NAME:
'-f-JO)
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAT I ON ryPf, RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICASLE TO YOUR PROJECT
"Proiect Responsibility''
CITY
Number
1office use)
oate:7'/3-/ 7
ztP
ztP
BLDG LTCENSE #: 7b ? 7I
PROJECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER,S NAME:
OWNER'S ADDRESS: 2 /
CONTRACTOR -/Aorrror fi/.t LLe
t PHONE #
ctw
ADDRESSi
EMAIL ADDRESS
7 k7
'T' L 74,nas
Cav4 ka/c st,&ztP:2X/4
PHC,NE: q/o - b/6- 35 3'
PHONE:q12 '6 /b' 35 3,
CITY
PROJECT CONTACT PERSON
D Att Garage (SF)_
n Sunroom (SF)-
D Greenhouse (sF) _
E Det Garage (sF)
tr Pool (5F)
n Deck (sF)
n Porch {sF)
n storage Shed (sF)_
E-ttIer (sF)
ls the proposed work changing the existing footprint? dd A to
TOTAL sq FT UNDERROOF Vor proposed work) Heated:
TOTAL PROJECT COST (Less Lot): S
a-
Unheated:
7
ls the
ls any
lf the
ging the number of bedrooms? tr ves ffi-
r Mechanical work being done to the Accessory Structure Yes ! No
on, is there a Natural tne on the current site? D ves tr4(6-
ls there Electrical Power on this Bui ?fl esENo
Property Use/ Occupancy:Single Family E Duplex E Townhouse
Description of Work:
n
pr SA
aL
1lc
lectrica Plumbing
Iaw5 and ordinances and regulations. The NHC Development Services Center will be notafied of any changes in the approved plans and specifications or €hange in conlractor
informataon "'NOTE:Any work performed without the appropriate permits will be in violation of the NC State BldB Code subject to fines up to s500.00.r.
Owner/Contractor:-f;L '1tr"*.:
Signature:
Total Acres Disturbed:
Existing Land Disturbing Permit: C Yes E No
Existing lmpervio
New lmpervi ea: _ Sq Ft \1€
Y\&
Sq Ft
s
WATER:
SEWER:
PUA ! Community System E Private Well E Central Well E Aqua
cFPUA ! Communitysystem E Privateseptic E Central Septic E Aqua
zone: _ Officeri _ Setbacks (F) _ (tH) _ (RH) _ (B) _
Approvar:- city:- Date:- Frood: (A)-(v)-(N)-BFE+2ft=- $to ftl-q-
Comment:Permit Fee: S
Lrnln.
/-t
(4
\ffi
lalrr'_
EXISTING CONSTRUCTION: ! Alteration El-Renovation E General Repairs
NEw CONSTRUCTION: ! Erect New Residence n Additionto Existing Residence E Relocation
***PLEASE CHECK AND ANSWER BELOW AI.I. THATAPPI-Y TO YOUR PROJECTII*
"Licensed Quolifier" Print Nome
ls the property located in a floodplain? a v", g4--
..---_.._
(6-')o{
..---
IVEW NAIUL'VEK LUUI\I I Y tsUILUINI, PIHMIT/-I:*- APPLICATIONTYPE.RESTDENTTALa-'
PLEASE ANSWER ALL qUESTIONS APPLICABLE TO YOUR PROJECT
"Proiect Responsibilit/,
Zlz//,-r,2.,.
)ol\
I i lu\4 9P T1
lit Numbet
(office uie)
APPLICANT'S NAME
PROJECT ADDRESS
SUBDIVISION:
/Z o"Z/" c CITY
Date /7
.J /l/. L Ap: z ,/ f/a f
/-- t,.,.tr f *t
OWNER'SADDRESS: /2. u 4g,.-)c/,PHONE d
CITY: 14 h-.,ztP:ZuL!
CONTRACTOR: /// /'BLDG LlcENsE #: I'Z ctY z7
Clfl: h/, /.rr,..tLn- ST: 4 :ap: Z,! idf
PHONE: /q/- Lzt-(, -J'.YJ 3
PHONE &rr l ??6 ' z/Y,f
//.-.r
ADDREss: e( oy - {lJr.,Jm, //l1l1 7
EMAIL ADDRESS:
PROJECT CONTACT PERSON
//,- r , /.//*
,-./'z't t /2D,.-r
I Sunroom (SF)
n Greenhouse {SF)_E Deck (SF)
ls the proposed work changing the existing footprint?E yes ! No
I Storage Shed (SF)_
TOTAL 5Q FT UNDER ROOF tfor proposed work\ Heated:z(o t Unheated:t/r
TOTAI PROJECI COST {Less Lot): S
ls the proposed work changing the number of bedrooms? ! Ves I no
lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureFyesENo
lf the project is a Relocation, is there a Natural Gas Line on the current site? E yes E trto
ls there Electrical Power on this Building? E yes D No
e/ Occupancy: E single Family
)a
Property Us
Description
Duplex n Townhouse
of Work: / t *c/J, h-,,V Zo,/. e* tlr,u t ,/., utc
DlSCl,AlMtR: I hereby certify that allthe information in this application is correct
laws and ordina^cer and regulations. The XHC Devetopment Servicer Center wilt
information. "'NOTE:Any work performed wirhout the appropriete permits wil
and allwork willcompiy with rhe State Euildin8 Code and a[ other applicable State and locat
be notified of any chan8es in the approved plan5 and specifications or chan8e in conlractor
I be in violation of the NC st.te 8td8 Code Ilnes up to 5500.00"'
,1.
doru P'w[Le.tOwner/Contractor:Signature:
'Licensed Quoliier" ptiht Nome
ls the property located in a floodplain? E yes E ruo
Existing lmpervious Area: _ Sq Ft TotalA€res Disturbed:
New lmpervious Area:5q Ft Existing Land Disturbing permit: D yes I No
WATER: /CFPUA E Community System fl private Welt E CentralWe n aqua
SEWER: E4FPUA O Community System E private Septic E Central Septic E Aqua
Zonei
--
Officer: _ Setbacks (F) _ (rH) _ (RH) _ (B) _
Approval: _ City: _ Date: _ flood: (A)_ (V) _ (N) _ BFE+2ft:
XIS {* g
*'[3r,,031-
$32 c)
+)a
Comment:Permit Fee:5
pRopERTy owNER's NAM1 5n:u.: '3.2o,,-t
LOT T:
EXISTING CONSTRUCTION: C Alteration E Renovation ! General Repairs
NEW CONSTRUCTION: I Erect New Residence !. Addition to Existing Residence I Relocation
***PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECTA'}*
E AttcaraS,e(sF)- D Detcarage(sF) E porch (sF)_
tr Pool (sF)--
EL other (sF) z 6 o
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