AUGUST 21 2017 BUILD APPSB
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NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; COIIIIIE RC IAL
PLEASE ANs!{ER ALL QUESI]ONS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibiIity"
ru
PHONE S:
r4.ac^ /lz,t r CITY:It7ltL
NAME:T .t^l 1(louJ PHONE
A+I aaLt 5+CITY:lr'La
LICENSE *:$07 I oaao*, *i
-
?lppr-tclrrouL Number
(offi€e use)
DATE:tt/t74/
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APPLICANT, S TIA E:
DEVELOPER:
PRO]ECT ADDRESS:
PROPERW o|^INER'S
OIINER'5 ADDRESS:
OCCUPANT/8USINEss tIA E:
CONTRACTOR:Oo.uiJ Nc-+la v.t
ADDRESS:?,o.&t75 .L CITY: \^r ( I
EMAIL ADDRESS:o tt du lL.a b ,,r P, t PHONE *:
PHONE *:
PROJECT CONTACT PERSON:D"'lr lI ^n i
check A1l That APPIY)
ALTERATION fi ENOVATION GENERAL REPAIRS tr RELOCATIONtrREXIST CONSTRUCTION:
lf Relocation, is there a Natural Gas Line on the Current
NEW CONSTRUCTToN' ! enrcr I{Et{ STRUCTURE
Site?Yes E uo rs BLDG sPRIN KLERED? ff Yes il No
I rrcr rmcr f] sxrr-r- [ uerrr f] rco ro Exrsr srRUcruRE
Is Elect Power on this Building {r"' E rcIf UPFIT - The Shell Permit f:
IF Yes, wfiat was the Previous occupancy Type?
***** rs rHrs A CHANGE oF occuPAtlcY ustr flvrs ftm *****
t,Jhat is the Ne!, occupancy TYPe?
ARCH DESIGN PROFESSIOI'IAL:
EN6R DESIGN PROFESSIOT'IAL :
DESCRIPTION OF WORK:lro rrl lJ;,.
ls food or beverages prep6r€d or se.ved in ttris *uctrre? [ Ves ffio b Tt]e Property Located ln The Floodflain? [ Ves
lding Code and allolher apPlicable State
olans and sdeollcations
NC Stare Bldq Code and
COMMUNITY SYSTEM trWELL ZONING USE CLASSIFICATION:
CENTRAL sEPnC n PRIVATE SEPTTC fIooMMUNITYSYSTEM
ffo="*(PAYABI,E TO NHC)il BItI ACCOUNT
l tL
D tsOR ELEC]" MECH, PiBG, CAS EOUIP' OREFABS 8' INS':R1'S "'
,".\lUn-.R-loLS rc nrc *, ?434p|*iiozila-7q7 Nc REG *: Vi6tf
Etlw*
EMc /rsA fiotscown
Note: Domollton notifi cadons & asb€stos r€fioYal pemh appllcatons aro!o b€ submltt€d uslno iho sppllcllion form (DHHS-3768)iho faclllty or bulldlng was bund lo
contain Asbeglos or not You sre r€qulr6d lo celltho Netonel Emsslon stand8rds 6r Hazsrdous Alr PolluGnts (NESHAP) at (9 19)707-5950 at leost 10 days prior lo $e
demolition of any fEcillty or bullding So€ Asbosto6 Wob Sil€: ht$# ww.Bpl.star6.nc .us/epUssbestos/ahmP.httnl
# OF UNITS:3
/t TOTAL PROJECT COST C0 k BUILDING HEIGHT:q7
sO FT pER FLR. 2?" ( # OF STORIES
TOTAL Se Fr UNDER ROOF' #.idr #OF STRUCTURES:# OF FLOORS
@
ACRES DISTURBED EXST LAND DISTURBING PERMIT?
NEW IMPERVIOUS AREA:SO FT EXTSTING IMPERVIOUS AREA:SQ FT
PRoPERTYUSE: florrrce EnesnuuHr f,r'ilencnmrLe leouc lnrr [coNoo OTHER
WATER:
SEWER:
/_MCFPUA I I
ETCFPUA LJ
PAYMENT METHoD: flclslt
ZONE:
SEPARAIE ITR
l.
(FOR OFFICE USE
SETBACKS:I rrooo:
?i{*,X REVISED DATE {11/12BrX
BFE+2ft=
\
N
PERMIT
Approval
t)/\.1" 0r-,t
Citv lnspeclion Reouneo, 91 $254'0t l'l
ACCESSORY STRUCTURE:
J
Vt)Na+t-."n'
Clear Form print eMail
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION rypE; COI4I|IERCIAL
PLEASE ANSWER AL! QUESTIONS APPLICABTE TO YqJR PRO]ECI
"Project Responsibitity',
APPLICANT'S tlAIvlE:
DEVELOPER:
Dru;t No.+l .nJ
PRO]ECT ADUKE55 ?-Uh ?ctn cz\ < 5l; t-, ., .oo "Im,,qi-,
(r
a--
2o n-n&T
APETIEITIoN
Number
(office Use)
.oare, fl/1(1rz
PHONE #:
CITY:t .l/yl;rrrl€
LICENSE #:frc,t
CITY:
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-pHoNE s: |lptr2o-7t5Lst I llL zIP Uetu
sTt lJCzIP,: ?Bq6L
. PHONE *:A
CI IY:
OCCUPANT/BUSINESS NAII{E :
PROPERTY OWNER'S I,IAI{E:
OI/JNER'S ADDRESS:I,J
CONTRACTOR:^tfr/ADDRESS:
t
EftIAI L ADDRESS:
PRO]ECT CONTACT PE
EXIsT CONSTRUCTION:
lf Relocation, is there a N ra
\.r t l*rr'..,g/-on
(Che(k all Thar Apply)
RENOVATION
PHONE S;.1
trPRIN
RELOCATIOiI
KTERED'4-_ yesf_
ALTERATION
Gas Line on the urrent Site?r ES
GENERAL REPAIRS
l-_ r,lo ls BLDG s
,, '1 o--o
No
NEW CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHE LL uPFrTn ADD TO EXrST STRUCTUREACCESSORY STRUCTURE:
t.,
If UPFIT - The SheLl permi.t *:Is Elect Powen on tnls euitaing 1zlves T
usE?f YEs l-. No ----'
_ Hhat is the ire! Occupancy
pa, Ag-j41"1$Jruc nec *2
PH:NC RE6 S
***,!' IS THIS A CHANGE OF OCCUPANCYIF Yes, what was the previous Occupancy Type?
IXBfi lo..re, pRoFEssroNAL:.Blq;/ C"-t rtch
EN6R DESIGN PROFE SSIONAL:-
NO
SQ FT
DESCRIPTION OF WORK
ls food or beverages prepa
OWNER/CONTRACTOR
la t,
NoDISCLAIMER:1 hereby cerlify that a,l inlormation in State Building Code and allolher applicable State
Sublectio
aws and ordinances and r6aulatrons. Trn conlraclor or cohlraclor r-nrormenonFines Uo To S500.00"'
th,s_applcar ol rs co ecl and altwork wtll cohply wth the
N39.q"ili",&T,ii:"w;sf,,i8:Iyl$",J,?.:,,"J""J."J]t wrll ble rh
plans and sEec,,lcatrNC Stare Blds Code
red or served in this struclure?f yes/No ls The property Located ln The Floodptainf_ y
D..l-'C Na+U^J stcrunrune
i!
(A!dlfs)
Nore:Demoliion noifica
conialn Asb€stos or not.
demolitlon ol any faclity
TOTAL PROJECT
lions E asbestos removalpermI app|catrons areto b€ submrtted using the applcaion lorm (DHHS3768)whether1he facihty orburldrng waslolnd loYou are lequired ro callthe Narronal Emission Srandards for Haz.rdious Air Pdtlrads (NESHAP) at (919)707-59506tleasi 10 days pno. to lheor b! lding. See Asb€stos Web Site:
COST )o V,
TOTAL AREA SQ FT : '7 fco
TOTAL SQ FT I]NDER ROOF
ACRES DISTURBED, A/ /A
NEW IIMPERVIOUS AREA
ZON E D OFFIC R:
Approval City !-- DATE
Comment L[r0rr
# OF STRUCTURES
EXST LAND DISTURBING PERMIT? -r YE
SO FT EXISTING IMPERVIOUS AREA: .I L]
EDUC API CONDO OTHEI
SE CLASSIFICATION
pROpERry usE: frOrrrce ! nes unaNr (rr.lenCanr[sl-1
"-t\
f-AMENLY)\ /
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http/ f,ww-epi.nate.n
BUILDING HEIG
SQ FT PER FLR
SETBACKS
FLOOD
# OF STORIES
# OF FLOORS:
HT u7 # OF UNITS
s fz(oz(
WATER: Nfc
SEWER: Ffc
SYSTEM
PAYMENT I\,4ET
FPUA Tl COMMUNITY SYSTEM T.1 WELL T-'] ZONING UFpuA E CENTRAL sEpnc D pHlvArE sEplc 3?orr,truurwR[/rrr
/c
.. SEPARATI P'EAUIRED FOR ELECT, MECN, PL8G. GAS EOUIP PREFABS & INsERTS
HoD: f- CASH HECK (PAYABLE TO NHC)RtcAN EXeRESS l-_ r,,rcnrtsn l-- orscoven
(FOR OFFICE USE O
LH RH "4BFE+2ft, I
^*r- ,u'.. -[,N
BIIITTAL CHARGE IS NON. REFUNDAB tE
t PE
*015C LAIME : SUBMITTING THIS APPL CATION I1EANS THAT IHE
City lnspeclron Requreo, 91 0'254'l;r
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APPLICANT,S IIAfiE :Nru,o y'
APPLICATION
Number
(offi(e u5e)
PHONE S:
CITY: Yr7i trtin ilp.A6+ol
PHONE S:Irc- 62o- 7t
'LCITY:ILAI sIt L!LzaP|-g)!9c)
LICENSE S:{0 01 I accorHr *,
CITY: t^) |)t,4 t-tl{ ) ca
PHONE f:
PHONE *:
7-o7 ?
Is Elect Pouer on this Building Yes E Ho
ves [m *****
is the Neu Occupancy TYPe?
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATI)N IYPE; COMI4ERCIAL
PLEASE ANSIiIER ALL OUESTIONS APPLICABLE TO YOUR PROIECT
"Project ResPonsibiIity"
S
DEVELOPER:N A
PRO]ECT ADDRESS:
OCCUPANT/BUsINEsS NAflE :
PROPERTY OT'INER,S NAflE :'Ti an Ldr 'sScotJ
l)l
OWNERJS ADDRESS:{7
CONTRACTOR
ADDRESS:
EII/IAIL ADDRESS:
EXIST CONS
lf Relocation,
fb.,rtb,;
1
PROJECT CONTACT PERSON:b*v,
/
-'
(check A)l rtat APPIY)
TRucrroN: fl o,-rr*rro* ! neudvarron ! 4urnn- Rtprrns l-l RELocArroN
is rhere a Naturar Ga" r-in" on tr," crrrlittn'el1' trtFtr *"" - ,i ttoc spil xleReoz I v"t Ir'lo
NEr,t coNsrRUCrroN: E ERECT NEt'.l srRucruRE f] rsr rucr I sxrr-r- ! uerrr I aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shelt Permit #:
***'r* rs rHrs A cHANGE oF occunotcv user fl
IF Yes, what was the Pr
ARCH DESIGN PROFESSIONA
ENGR DESIGN PROFESSIOM
DESCRIPTION OF WORK:
evious OccuPancy Type?trJhat
ls food or beverages p(epared or served in this strudure?Iv".No ls The
in this
E
qro-3q7-1c65
1J:Vlo ,?J7
Nc REG fl: 1q Zq
Nc RE6 s: i7.ii{tgL:r+,g ori(Cod (, cq PH:
PH:v(1 (.T
siPAnAlL i rfrtllr
'J
(FOR OFFICE USE
SETBACKS:
FLOOD:
Localed ln The r No
OWNER/CONTRACTOR:
(ouerii64
Nole: Oemoliton no(fi@ions & asb€slos rernoY6l pplicaions 3ro !o bo subrnlttod usln0 the applicat 0n form (DHHS-3768) lrhethar the fEdllty or bulldlng was found to
CUIRED ':OF
ELEC]', MECi'i' PLAG. GAS EOUIP PiIEFAtsS & INSERTS "'
ldino Code and all olher applicable Slale
n rh; aooroved Dlans and sDeclficanonsviolailoil ol theNc Stale Bldg Code and
fitrlctvtse n DISCOVER
conlaln Asbestos or not You are requlr€d ro call $e Natonal Emlsslon Sbndards fcr Hszsrdous All PolluGnts (NESHAP) et (919)707J950 et le€s1 10 dsys Flor to ihe
demolhlon of any facillty or building So€ A3b€sto6 Web Sitei hll9Jl\r,ww.6Pt.sk|la.nc .ud€puasb€6toYshmP.htnl , # OF UNITS:3
TOTAL PROJECT COST BUILDING HEIGHT:
TOTAL AREA SO FT: 7 (OO SQ FT PER FLR:# OF STORIES
TOTAL SQ FT UNDER ROOF:OF STRUCTURES:# OF FLOORS:
ACRES DISTURBED:EXST LAND DrsruRBtNG eenutrz Ives NO
NEW IMPERVIOUS fi EXISTING IMPERVIOUS AREI\: Z4+Q) sOFr
PROPERTY rcE DRESTAURANT
WATER:COMMUN trWELL f:lzoNlN G USE CLASSIFICATION:
-
trECENTRAL
ITY SYSTEMtr PRIVATE sEPnC ECoMMUNIY SYSTEM
SEWER:CFPUA
PAYIVIET.IT METHOD: IASH
OFF
CHECK (PAYABLE TO nncl fletu ec.couur
HY,-r, f *",of'
55 1A
P)/trJ&Dft NT
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[eouc [eer f]cotloo orHER--
REVISED DATE /u11h2
N
U
IA,LLL
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATI1N TYPE: COiI!4ERCIAL
PLEASE AllSli{ER ALL QUESTIONS APPLICABLE TO YOUR PROIECT
"Project ResPonsibility"
oot,-ra4111r 5 llAItlE :Dar tJl ^l ^J
WB
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20ftEtn
t;'&,APPLICATION
Number
(office use)
a*1.q PHONE S:
A\cz
OCCUPANI/BUSINESS I'IAI'IE :/k
DEVELOPER:
PRO]ECT ADDRESS:
PROPER W OIdNER, S t,IAflE:
OI.INER, S ADDRESS:
CITY:ZTPI ZBC(O I
PHONE *:lo-6?ctTtSL
st t ![ztt:LUJ.,lov/
CONTRACTOR:0"'lil AJa-t ha^ (
CITY:
LICENSE *:
r,"./ r l.ar
{807t AccouNr *:
ST
PM)NE #:
PHONE #:
tNLztPtz?lszqL0-Y43 47'.t2ff t)
(r"' fl*o
ADDRESS:P.oAo ?(q CITY:
(-
PROJECT CONTACT PERSON:Da,tL N a-,i-t.qn I
/. ((heck aIl
EXIST CONSTRUCTTON: gALTERATTON E RENOVATTON
lf Relocation, is there a Natural Gas Line on the Current Site? Ll
NEr.r coNsrRUCTrON, fl rnecr NEll srRucruRE fl FAsr
rhat Apply )
GENERAL REPAIRS n RELOCATION
Yes tr No IS BLDG SPRIN KLERED? E YES tr No
TRACK SHELL fI UPFIT n ADD TO EXIST STRUCTUREtr
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #:
:r**{.* IS TH
ENGR DESI6I,I PROFESSIOI{AL :
DESCRIPTION OF I^JORK:
Is Elect Power on this Building
PAr,rcY usE? fivrs Im *****
tJhat is the Nex OccuPancy TYPe
IS A CHANGE OF OCCU
?IF Yes, what was the Prevlous occupancy Type?
PH:tu q fobj-rc *ro o,
ARCI{ DESTGN PROFESSIOT'IAL:lo.ir C,oolric
PH:
la 8c;lJ
COMMUNITYSYSTEM tl WELL
SEWER:CENTMLSEPTrc N PRIVATE sEPflC IICoMMUNITYSYSTEM
EotscownPAVVTENT METHOD: flclsn Efctrecx (pevpelE ro NHc)n B|LL ACEOUMT EMC/VISA
NC REG #:
7t(7LlT-t8lg
ls iood or beverages prepared d s€rved ln thls s nraure? fl ves pl uo ls The Property Located ln Tte Floodplain? [ ves ffio
FT
PROPERTY USE:ffirr,". Enesrnunruw fftuencelrtle [eouc lnrr [conoo orHER--
flzoNrNG usE cLAsslFlcATloN:WATER:
ZONE:
/-TACFPUA I I
EICFPUA LI
'lE I L:Rrrll] S rnEOUlllED FOar EI-ECI , MECri. Pi_LlG GAS EOUIF pnEFAtsS & INStR'|S "'
(FOR OFFICE USE
SETBACKS:FLOOD:-
"J.?L.r,, d *",
u11t12
PERMIT FEE: $h
wcI
Comment
k
rL DiL },J
eiil hpeclrc,n Requrreo 9l t1254.0y ji
D^rE,3ltL/n-
Ei,IAIL ADDRESS:
(Oualtller)
EI*o
I I
an-8((
n')b75NEW HANOVER COUNTY BUILDING PERMIT
AP P LICATIO N TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Proiect Responsibility''
I4BUE I7 I i0iPt,
AppLtcANT,s NAME: Bill Clark Homes of Wilmington, LLC ss1s. 08114120'17
pROJECT ADDRESS: 2212 Lakeside Ctcle 91ry. Wilmington 1p. 28401
SUBDIV1StON: Hanover Lakes
owNER,S ADDRESS: 127 Racine Drive, Suite 201 CITY: Yr'itqrngton a1p. 28403
CONTRACTOR: Bill Clark Homes of Wilmington, LLC BrDG UCENSE #. 34586
ADDRESS: 127 Racine Drive, Suite 201 61ry. Wilmington Sr: NC 2tp.28403
EMATL ADDRESS: cbain@billclarkhomes.com
pROJECT CONTACT pgq96N. Courtney Bain
EXISTING CONSTRUCTION: ! Alteration ! Renovation D General Repairs
-/NEW CONSTRUCTION: tr Erect New Residence ! Addition to Existang Residence ! Relocation
***PLEASE CHECK AN ER BELOW AtI. THAT APPTY TO PR
pnorur.910.350.1744
p11sxs 910.350.1744
E -
f,,, o.r* - 4€
{sr) towvrd- \2O{Nt earace lsrl S=t E Det Garage (sF)_
! Greenhouse (sF)tr Deck (sF)
Porch
n Storage Shed (SF)_
Efother (SF)Pa}ls- iZC>
Unheated:
ls the proposed work changing the number of bedrooms? E Ves E/no
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure E yes E/No
lf the project is a Relocation, as there a Natural Gas Line on the current site? D yes Effio
ls there Electrical Power on this Building? E Yes Efio
Property Use/ Occupancy: Efsingle ramily E Duplex E Townhouse
Description of work: new construction of sinqle family residence
laws and ordinances and regulations. The NHC Development Services Center willbe notified ofany chanSes in the approved plans and specifications or change in contractor
information. '+*NOTE: Any worl performed without the appropriate permits will be in violation of the NC State Bldg Code and subject to fin€s up to 5500.00"'
owner/contractor: Courtney Bain Signature:
"Licensed Quolifier" Print Nome
-/ls the property located in a floodplain I E Yes EfNo
Existing lmpervious Area:Sq Ft TotalAcres Disturbed:oLl
New lmpervious Ar ..,21?lZ sen Existing Land Disturbing Permit: tr v", E{o
WATER: E{FPUA E Community System E Private Well E central Well E Aqua
sEw€R: E/CFPUA E community system E Private septic E centralseptic U Aqua
zone: _ Officer:
-
Setbacks (F)
-
(tH)
-
(RH)
-
(Bl
-Approval:
-
City:
-
Date:
-
Flood: (A)
-
(v)
-
(Nl
-
BFE+2ft=
-
Comment:*DISCLAI},IER: SUBI4ITTING THIS APPLICATION IVIEANS THAT THE SUEI\4ITTAL CHARGE IS NON-REFUNDABLE
V-H
s Br(F
C
Permit Fee: S +e
J
ffi Application
(offic€ use)
1s16. 205
pROpERTy OWNER,5 payg; Bill Clark Homes of Wilmington, LLC pUOrue *: 910.350.1744
n Sunroom (SF)_tr Pool (sF)_
ls the proposed work changing the existing footprint? I Ves d/r.ro
ToTAL SQ FT UNDER ROOF llor proposed wort) geatea, ll153
TOTAL PRoJEcT CoST ([ess Lot): S lG,-@ -]---
NEW HANOVER COUNTY BUITDING PERMIT
AP PLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ATT QUESTIONS APPLICABLE TO YOUR PROJECT
?roiect Responsibiliy
a 4Uoz-'
l1- eat{to
Application
Number
(office use)
81ruA'p1-ICANT,S NAME. Stevens Fine Homes
PROJECT ADDRESS:
suBDtvtstoN: Tralee Place
Date:
t ^flL ctw: Mlmi::gton Zlp: 28409
LOT S: 2
,RO,ER'' OWNER,S NAME. Stevens Fine Homes
owNER,s ADDRESS. 57ro Oleander Drive Suite zoo
pHoNE #. 910-794-8699
crY Wilmington al 284.03
coNTRAcToR: Stevens Building Company 9196 u66tilgg 6. $1626
ADDRE55: szro OleaniGiDiveSffie zoo CIW: WilrrinEton sr: NC ztp,284o3
EMATL ADDRESS: snicholson@stevensfinehomes.com PHONE:
pRoJEcT coNTAcT pERsoN. Staci Nicholson
EXISTING CONSTRUCTION: ! Alteration D Renovation E General Repairs
NEW CONSTRUCTION: E Erect New Residence n Addition to Existing Residence ! Relocation
lJ Att Garage (SF)5fi
pHONE. 910-332-85$
*PTEASE CHECK AND ANSWER BETOW AlI THAT APPTY TO YOUR PROJECT**TItr Det Garage (SF)_ E Porch (SF)t20
n Storage Shed (SF)_-tr Pool (sF)
E Greenhouse (sF)! Deck (SF)
ls the proposed work changing the existing footprint? ! Yes d t,to
Unheated:5bk
TOTAT PROJECT COST (Less Lot): 5 120,OOO
lsthe proposed work changing the number ofbedrooms? E Yes El No
lsanyElect cal, Plumbing or Mechanicalwork being done to the Accessory Structure E Yes E o
lf the project isa Relocation, isthere a Natural Gas Line on the current site? E Yes E! tilo
lsthere Electrical Power on this Bu ilding? E Yes El o
tr clther (sF)_
Property
Descripti
Use/ occupancy: E grEle Family tr Duplex tr Townhouse
on of work New residential single family home.
laws and ordinances and reSulations. The NHC Development Services Center will be notified ofany changes in the approved plans and specifications or change in contraclor
information. "'NOTE: Any work performed without the appropriate permits willbe in violation ofthe NC Stete and subject to fines up to Ss(E.OO.+.
cl\fr,l C( h\llutnoOwner/Contractor:
"Licensed Quolifret''
Signature:
lsthe propertylocated inafloodplain? tr Yes d m
Existing tmpewious N"", b05b nFt Total Acres Dinurbed:
,lt
New lmpervious Area;h0 (,Sq Ft €xisting Land Disturbing Permit tr ves d Xo
WATER: E CFPUA fl Community System E Private Well E Central Well dlqua
sEWER: d CFPUA tr community system D Private septic E central septic E Aqua
zone:
-
offcer:
-
setbacks (F)
-
(tH)
-
(RHl
-
(Bl
-Approval:
-
Cfi:
-
Date:
-
Flood: {A}
-
(V}
-
(N)
-
BFE+zlt=
-Comment:
CeeoA
Permit Fee: S $
-)
n Sunroom {SF)_
ToTAt sQ FT UNDE RRooF lfor proposed worfl *atea: 2 5 b0
;t-r'
PROJECT ADDRESS:
SUBDIVISION:
RECEIVEDAUGlO2OIT
NEW HANOVER COUNTY BUILDING PERM!T. APPLICATTON TYPE: RESIDENTIAL
,,,, PLEASIANSW€RALLQUESIIONSAPPLICASLETOYOUR PRO]ECT!*. "Proiect Responsibility"
.8qoD
t1:_ALt1
loffice use)
APPLICAN?S NAMEI Date: 8 - /c, -/ 7
ctlY: ttlt /z,ti^^ Le,-ZIP: 2t4o{?roi o
PROPERTY OWNER'S NAMEI €/*l/"./ + 4,/;xDorr
owNER's ADDRESS: 2-/1 )l /614 'y'r-a/ . t/,'/*<,'** ltu..
PHONE #
CITY )e,, l,aa ztp zttrof
CONTRACTOR b
ADDRESS:
EMAIL ADDRESS: -dL fa Q 'ttLatt , rora-rr
PROJECI CONTAcI PERSON
-7-
BLDG TIC'NST #-*t14-
sI 2LztP:_1EgZ2-CITY
PHO
EXISTING CONSTRUCTION: E- Alterarion L Renovatron [, General Repairs/
NEW CONSTRUCIION: L-l Erect New Residence C Additionto Existing Re5idence n Relocation
" *PIEASE CHECK AND ANSWER BELOW Att THAT APPIY TO YOUR PROJECT'':
n Att GaraBe (St)E Det Garage (SF)_,l Porch (SF)
llSunroomiSF)-Lj Pool {sF)L_l Storage Shed (SF)--
n Other {SF}---! Greenhouse (sF)
--
n Deck (sF)---
ls the proposed work chan8ing the existing footprint? !j Yes ,J,f No
.fu,o. trru,/TOTAL SQ FT UNDER nOOt lJot ptoposed work) Heated:Unheated:
TOIAL PROJECT COST (tess tot): 5
ls the proposed work .han8in8 the number of bedrooms? n Yes JtrNo
ls any Electrical, Plurnbing or Mechanical work being done to the A.cessory Structure Ll Yes iB No
lf the project is a Relocation, is there a Natural Gas Line on the current site? f l Yes E No
lsthere Electrical Pqwer on this Building? je Yes LJ No
Property Use/ Occupancy; F Single family fi Duplex [-l Tow u
ySystem n Private5eptic i,l CentralSeptic :l Aqua
e! in the app.oved plans and specifiaations orahanSo in conl.aclor
up to 5500 00"'
Description ot Work
DISCLATMER: I hereby ce(i, rhal atlthe inlormerlo. in fis application is correct and all wo,k willcompV with the State BuijdinS Code and all olhor appl'cable stale and locrl
L
lawsand ordinrncesand r€Sotation3.The NHC Developmenl Serviaeg Ccnlet willbe nolilled ofanvchanS
nrform ,on. "'NOIt Any per{ormed without thc appropraar. permit, will be in violalion ol !he Nc Sta
/Signature
ls the property located in a floodplain? n Yes f No
Existing tmpervlous A rca: 4 /a so rt iotal Acr€s Disturbed , *-ltr**--
New lmpervious Area:Sq Ft Existing Land Disturbing Pe.rnit: I Yes P No
Owner/Cont.actor:
"Licensed Qualifier"
5 EWE
Zone
WATER: g!'crpuA fl community system fj private well ft central well t'j Aquf.ii, ln(rrcr'linn Dn"r 'ir3.ri 0]n.?(l f1':
e, d/crpua Ct:-7lt,il setbacks (F) d.l*{rnl Q1g-1nHl Skt rrr0h
Co ie54
AoDroval: Citv: Date
comment: )UO - e )!40 t{4rP
(Ll'!Svq<'
tIQ'linooa: (r)_. (v) _ (N)_BFE+2ft=,"b.rl o
-t'7
_L-_,t
,L*I (fr,-Permit Fee: $
6D
!,k
{tro7tn- zttg-PHONT
0
4)
APPLICANT'S NAME:
- yv31
ll:rg b
?ot1
Date
PROPERTY OWNER'S NAME:h
OWNER'S ADDRESS:
NEW HANOVER COUNTY BUITDING PERMIT
APPUCAn'ON TYPE. RESIDENTIAT
PLEASE ANSWER ALT QUESTIONS APPLICASLE TO YOUR PROJECT
"Project Responsiblllt/
CITYi
PHONE #:
CITY:
a Application
Number
{office use)
o/to/tz
ztP 2?4O IPRO.IECT ADDRESS:
suBotvlstoN:
CONTRACTOR:
ADDRESS:
7 yo
a*er?oY
BLDG LICENSE f: tYC) 1,lq ts i?,J l'h-rh 9r CITY: trz\ I a-Sft C ZtP 2*ll )
EMAIT ADDRESS:
PROJECT CONTACT PERSON ttl.h L,,nJ
EXISTING CONSTRUCTION: n Alteration [] Renovation ! General Repairs
NEWCONSTRUCTIO:nErectNewResidence!AdditiontoExistingResidenceERelocation
."PLEASE CHECK AI{D ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT*T '
! Attcarage(SF)_ E Detcarage (SF)_ ! Porch (5F)
LJ 5unroom lsF)tr Pool (SF)
PHoNE: (et.) 42o -Z a,/22
PHoljlE: (q/.) 42o -44/e
! Storage Shed (SF) _
d o,n", (tt)tzootF (Clza'
")
n Greenhouse (sF)! Deck (SF)
ls the proposed work changinS the existing footprint? n Ves dUo
TOTAI" SQ FT UNDER ROOE (Jor proposed work) Heated:Unheated:
TOTAT PROIECT COST (Less Lot): 5 4r.oo'
ls the proposed work changing the number of bedrooms? E Yes D tto
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure /Y", tr tto
lftheprojectisaRelocatlon,isthereaNaturrGasLineonthecurrentsite?EYesENo
ls there Electrical Power on this Buildin8? EI Yes E tto
-/
Property Use/ occupancl: d Single ramily E Duplex E Townhouse
Description of work:'er
laws and ordinances and regt/lations. The NHC Development Services Centerwill be notified of any changes in the approved plans and sp€aifications or chanSe in €ontractor
information. "TNOTE: Anywork performed without the appropriate p€rmits willbe in ofthe up to $sm.m*"
(
Owner/Contractor:
"Licensed Quolifie/'
{\A r.-\^- I 0--.J
violation
Signature:
lsthe property located in a floodplain? E ves E No
Existing lmpervious Neat lt sqFt Total Acres Disturbed:
New lmpervious Arear ,.4* SqFt Existing Land Dlsturbing Permlt: E Yes E No
WATER: /CFPUA E community system E Private Well U centralwell E Aqua
Sfwen: /crpun E community system E Private septic E centralseptic D Aqua
Zone:
-
O{ficer:
-
Setbacks (F}
-
{LHl
-
{RH}
-
(B}
-Approval:
-
Crty:
-
Dater
-
Flood: (A)
-(V) -
(il)
-
BFE+2ft=
-Comment:*DISCLAIME R: SUB ITTING THIS APPLICATION I4EA}IS THAT THE SUBHITTAL C}TARGE S NON-REFUNOABLE
Permit Fee: S
LOT F:
-
APPLICANT'S NAME:
?or1'88til
I }ls'i9
Application
Number
(office use)
77
NEW HANOVER COUNTY BUITDING PERMIT
APPLI CATI ON TYP E : RESIDEI{TlAt
PLEASE ANSWER ALt QUE5TIONS APPLICABLE TO YOUR PROJECT
'Project Responsibilit/
CITY:
ilpLo"
S u+
t Date rl p ltt
Zp;: tltc 7PROIECT ADDRESS;
suBDtvtstoN:
PRoPERTY owNER' rro*r, Elur^rl, Zolrf PHONE #:7 t)67
OWNER'S ADDRESSI CITY: t)tL ztpt 2Y.lo t'
CONTRACTOR
ADDRESS:
f ^." l,v- ttvl.nut ( ^-'b BLDG LICENSE f : l7Z >9
crw slt 1YC zlPl ,9./t )
EMAIL ADDRESS: n antl ,:- ..-^^t& c-...^,u- 5 .L,P..r*t-PHoNe (.to ) 1?o -GZ/o
PROJECT CONTACT PERSONI PHONE d-l/o
EXISTING COIIISTRUCTIONT E Alteration n Renovation E General Repairs
NEWCONSTRUCTION:IErectNewResidence!AdditiontoExistingResidence!Relocation
...PLEASE CHECI( AND ANSWER BEI.OW ALL THAT APPLY TO YOUR PROJECTT}*
! Att Garage (5t)E Det Garage (5F)_tr Porch (5F) _
! sunroom l5l-)tr Pool (SF)
! Greenhouse (SF)! Deck (sF)
ls the proposed work changing the existing footprint? n Yes E No
TOTAL PROJECI COST (Less Lot): S 37, ooo '
Familvtr D Townhouse
n storage Shed (sF) _
Erlother (sF)toa, (('./7t ')
Unheated;
ls the proposed work cha nging the n u mber of bedrooms? E Yes E No ./
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure Ei Yes E No
lfthe project isa Relocation, istherea Natu ra I Gas Line on the current site? E] Yes E t{o
ls there Electrical Power on this Building? d Yes [1 lo
Property use/ Occu p.nq'd SingL
Description of work:
laws and ordinances and regulations. The NHC Development Services Centerwillbe notified ofany changes in the approved plans and sp€cifications orchange in contrador
information. "'NOTE: Any work performed without the appropriate permits will be in violetion of the Nc stete up to Ssm.m'r'
Owner/Contractor:tl,lt.Lacl bttxl Signature:
'Licensed Quolifier" Print Nome
ls the property located in a floodplain? d ves E tto
Existlng lmpervious Area: .r/,t Sq Ft Total Acres Disturbed:
New lmpervious Are a: tll sqFt Eristing Land Disturbin8 Petmit: E Yes E No
WATER: dcFPUA D community system E Private well E central Well E Aqua
sEwER: /CFPUA D community system E Private septic E centralseptic D Aqua
Zone:
-
Offfcer:
-
s€tback (F)
-
(tHl
-
{RHl
-
(B}
-Approval:
-
Ctty:
-
Date:
-
Flood: (A)
-
(v)
-
(N)
-
BFE+2ft=
-Comment:*OISCLAII.IER: SU8I,1ITTIN6 THIS APPLICATION .THAT THE TTAL CHARGE S NOfl.REF
Permit Fee: S
LOT f:
TOTAT 5Q fi UNDERROOE (Jor proposed work) Heated: _
?or1 -88tr?
fl-7k CC
Application
(office use)
NEW HANOVER COUNTY BUITDING PERM]T
APPLI CATION TYPE : RESIDENTIAL
PLEASE ANSWER ALt QUESTIONS APPLICABLE TO YOUR PROIECT
"Proiect Responsibilif
ctw:
PHONE #:
CITY:
APPLICANT'S NAME:Date
PROJCCT ADDRESS:
suBDrvtsto :
CONTRACTOR:
ADDRESS:
ztP 2y?a?
PROPERTY OWNER'S NAME:
OWNER'S ADDRESS:
o - 19/o
ZIP )W
BLDG tlcE sE f: ff(>1
?a-4/
CITY:g:.y'C i; 2/'//)
t,u 9 Jt-ia . ,y-l'PHINE: 1, b) t'l ? O -Ct/^ / .^EMAILADDRESS: ,-rlt
PROJECT CONTACT PERSON:PHONE
EXISTING CONSTRUCTION: n Alteration fl Renovation ! General Repairs
NEW COi{STRUCTION: n Erect New Residence ! Addition to Existing Residence I Relocation
*..PLEASE cHEcK AND ANSWER8ELoWAILTHATAP **.
! Attcarage(SF)_ O Detcarage(SF)_ ! Porch (SF)
n sunroom (5F)tr Pool (5F)n Storage 5h
n other (sF)
ed lsF)
irqv (1-f r>or)n Greenhouse (5F)tr Deck (SF)
ls the proposed work changing the existing footprint? n Yes n No
Property Use/ Occupan Single Fam E Dupler El Townhouse
TOTAL SQ FT UNDERROOF lfor proposed work) Heated:
TOTAL PROJECT COST (Less rot): S €/0? '
ls the proposed work changing the number ofbedrooms? E Yes E No ,/
Is any Electrical, Plumbing or Mechanical work being done to the Accessory structure Zl Yes E o
lftheprojectisaRelocation,isthereaNaturrrcasLineonthecurrentsite?EYesEt{o
ls there Electrical Power on this Building? d Yes E No
Unheated:
a*.t 6 y''VDescription of work:
laws and odinances and regulations. The l{HC Development Sedices Centerwillbe notafied ofanychanSes in the approved plans and or chanSe in contractor
information. T"NOTE: Any work performed without the appropriate permits will be in violation of the NC Stat€ 8ldg subj p to S5m.m"'
owner/contractor
"Licensed Quolifie/
Existing lmpervious Area:
New lmperyious Area:
Signature:
ls the property located in a floodplain?#s E No
Sq Ft
5q Ft
TotalAcres Disturbed:
ExistinS Land Disturbing Permlt: E Yes E No
-/wAfERt {TPUA E community System fl Private Well E Central Well E Aqua
sEwER: /CFPUA E community system fl Private septic E central septic D Aqua
zon€:
-
Officer:
-
s€tbacks (0
-
(tHl
-
{RHl
-
(8)
-Approval:
-
clty:
-
Date:
-
Floodr (Al
-(v) -(N) -
BFE+2ft=
-Comment:
* DI SC LAII,IE SUBI|IITTING IHIS AP LICATION THAT THE 5U AL C}IARGE ITOI.{-REFUNOAB LE
Permit Fee: S
LOT s:
-
?ot'l-?
$"
APPLICANT'S NAME:,'o
NEW HANOVER COUNTY BUITDING PERMIT
AP PLtCAfl ON TYPE: RESIDENTIAI
PLEASE ANSWER ALL QUESTIONS APPUCABLE TO YOUR PROJECT
"Proiect Responsibilihf
ctw
Date t/t"717
zlP V7?Oy'
r-oT f :
PHONE s: qro - q?o' laYo
Cffr: /.A Lh ZIP: 2 t?ot '
BLDG LTCENSE #: S"C ) I
ST "&-ztP: )94/l
C,
Application
Number
{office use)
b,/
PROJECT ADDRESS;
sust)rvrsroN:
PROPERW OWNER'S NAME:
OWNER'S ADDRESS:
Clllt: tcz/*
EMAIt ADDRESS: 2 -..;/.^a ,^..,'tt tu2 L,t^<Lt ,ri I c,Ltv , ,r,l PHoItEilL ...,)
E Greenhouse (SF)! Deck (sF)
ls the proposed work changing the existing footprint? n Yes ! No
TOTAT Sq FT UNDER ROOF (for proposed work) Heated:Unheated:
CONTRACTOR
ADDRESS:
rorAt PRoJECT co st (Less totl: $ (4, 0@ 't
ls the proposed work changing the number of bed rooms? E Yes fl No ,r.
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure EI Yes E o
lftheprojectisaRelocation,isthereaNaturalcasLineonthecurrentsite?EYesEto
lsthere Electrical Power on this Building? EI-Ves fl trto
{*r*
a o
PROJECT CONTACT PERSON :PHONE
EXISTING CONSTRUCrIOI{: ! Alteration ! Renovation [] General Repairs
NEW COiISTRUCTION: E Erect New Residence ! Addition to Existing Residence [] Relocation
.'IPLEASE CHECK AND ANSWER 8EI.OW Al.I THAT APPLY TO YOUR PROJECT*'*
tr Att Garage (5F)_ El Det carage (SF) _ fl porch (SF)
E Sunroom (sF)n Pool (SF)
-///a
D Storage Shed (SF)_
n other (sF)oo )/
Property Use/ Occupa ly E Duphxn T
Description of Work:6 a/,/cq/
laws and ordinances and regulations. The NHC Development Seruices Centerwillbe notified of any Ehanges in the approved plans and specifications o. chanSe in contrador
oo/iz 7tt-
information.'*rNOTErAnywork performed without the appropri.te permit5 willbe in violaiion::'^'y"ry up to S50O.00"'
Owner/Contractor:
'Licensed Quolifie/'
New lmpervious Area:
ls the property located in a floodplain? 4., O no
Existing lmpervious area: ,y'f/f $Ft TotalAcres Disturb€d:
////t
Signatu
Sq Ft Existing Land Disturbing Permit: E Yes ! No
E Community System E Private Well E Centralwell E Aqua
E Community System E Private Septic E Centralseptic E Aqua
WATER:
SEWER:
/"rruo
L*uo
zone: _ offfcer: _ s€tback (F)
-
(tHl
-
(RH)
-
(8)
-Approval: _ city: _ Date: _ Flood: {A} _ (v} _ (N)
-
BFE+2ft=
-Comment: Pelmh Fee: S,DISCLAII'IER: SUBI'IITTING THIS APPLICATIOTI llEAt{S THAT THE SUBIIITTAL CHARGE IS IIoN-REFUNDABLE
.- ai \ ', ::..i' r'-'. .
ffi I
NEW HANOVER COUNTY BUITDING PERMIT
APPLI CATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROIECI
"Proiect Responsibilit/
CITY:
Date:
zt?.. 2/40?
LOT f
,HONE s; Q1g -\lo- 7 91P
CIw: hZL ZIP )tqal
ELDG tlCEr{SE #: 57l )?
CITY ltl-SI': tlt ztP 2/?/L
PHONE:o
n Storage Shed (SF)_
[] other (sF)t77L (ct/ 2u )
Unheated:
')ol1'tEst'l
p,,lsq 3
Application
Number
(office use)
APPTICANTS NAME:
PROJECT ADDRESS:
suBDrvtstoN:
CONTRACTOR
ADDRESS:
PROPERTY OWNER'S NAME:
OWNER'S ADDRESS:
PROJECT CONTACT PERSON PHONE:
EXISTING CONSTRUCIIO : n Alteration I Renovation D General Repairs
NEW CONSTRUCflON: ! Erect New Residence D Addition to Existing Residence ! Relocation
,T **PLEASE CHECK AND ANSWER BELOW Al.I THAT APPLY TO YOUR PROJECT**T
tr Att Garage (5F)_ E Det Garage (SF)_ ! Porch (SF)
n Sunroom (SF) _n Pool (SF)
)
EMAIL ADDR€SS:
il,t" 4
! Greenhouse (sF)tr Deck (SF)
ls the proposed work changing the existing footprint? n Yes No
E Dup E Townhouse
TOTAT SQ FI UITDERROOF (Jor proposed work) Heated:
ToTAt PROJECT CO Sr lLess Lotl: $-- ,!f4!!!-a
ls the proposed work changing the number of bedrooms? E Yes E trto -r.ls any Electrical, Plumblng or Mechanical work being done to the Accessory Structure f, Yes E No
lftheprojectisaRelocation,isthereaNatura]€asLineonthecurrentsite?EYesENo
lsthere Electrical Power on this Building? 6Yes E ttto
Property use/ occu p"n"l'/slngt s"-
Description of Work;
laws and ordinances and regulations. The NHC Development Services Centerwlllbe notified ofanychanges in the approved plans and or change in contrador
information. *'*NOTE: Any work performed withoutthe appropriate permits willbe in violation ofthe NC State Bldg lptogsoo.oo.**
Owner/Contractor:
"Licensed Quoliliel
Signature:
P nt Ndme
ls the property located in a floodplain? {y"t E Uo
Existing tmpervious areat y'y't [rt
New tmp€rvious Are ",t 214 ,on-/
WATER: E/CFPUA E Community System E Private Well E Central Well E AquaJSEWER: zI CFPUA tr Community System E Private Septic D Centralseptic E Aqua
TotalAcres Disturbed:
Existing Land Dist{rbing Permit: E Yes EI No
Zone Officer: _ setbacks (F) _ {LH} _ (RHl _ {Bl _
Approval: _ City: _ Date: _ Flood: (A) _ (Vl _ (N) _ BFE+2ft= _
Comment:i DI SCLAII.IER: SUBiIITTING THIS APPL]CATION }1EAN5 THAT THE SUEI.IITTAL CHARGE IS NCI'I-REFUNOABLE
Permit Fee: S
/z-i. .-\
'ffi)'
?otl -ZtYb
r-t-zSQ{NEW HANOVER COUNTY BUIIDING PERMIT
APPLI C.AT,ON TYPE : RESIDENTIAI
PLEAS€ ANSWER ATt QUESTIONS APPLICABLE TO YOUR PROJECT
'Project ResponslbilM
Application
Number
(office use)
APPLICANTS NAME:Date:
PROJECT ADDRESS:
suBDtvtsloN:
CITY:
PROPERW OWNER'5 NAME:PHONE #:
OWNER'S ADDRESS:Clw: L)rLr^ZIP ) ?4Of/
COIITRACTOR: l-.-lrt,lr/-.2* An,t t hc.BLDG LICEI{SE #: SYC )?
ADDRESS:ctw i-sr ,tc
EMAIL ADDRESS: a -nl,a- o-t^tiott c--<t,r-zh,- I .L..tt , n*PHON E:
PROJECT CONTACT PERSON:PHONE:
EXISTING CONSTRUCTION: E Alteration n Renovation ! General Repairs
NEW CONSTRUCnON: n Erect New Residence n Addition to Existing Residence ! Relocation
*** *a*
! Attcarage (SF)_ O DetcaraSe (SF)_ D Porch (SF)
! Sunroom (sF)tr Pool (SF)n Storage Shed (SF)
f) Greenhouse (SF)n Oeck (SF)g-atn r$rl tt* <c (L/,ap'P,v)
ls the proposed work changing the existing footprint? a V", 6o
TOTAT SQ FT UNDER ROOF (Jor proposed work) Heated:
TOTAT PROIECT COST (Less Lot): S V!rooo -
ztP 294O?
ztP 294/ L
b
70 c /c>
Unheated:
ls the proposed work changing the number of bedrooms? E Yes E t{o
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure
lf the project is a R€loc:tion, is there a tr Yes E No
dv", n no
Naturgl.Gas Line on the current site?
g? 6Yes 0 ttols there Electrical Power on
Property Use/
tn
Family D Du E Townhouse
this 8$ld
4,"
Description of Work:
DISCtAIMER: lherebycertify that allthe information in this application is correct ahd all work will comply with the state guilding Code and allother applkabte State and local
laws and ordinan(es and reSulations. The NHC tlevelopment s€rvices Centerwillb€ notjfied ofanychanges in the approved plans and specificitions or chanSe in contractor
information. "'NOTE: Any work performed withoutthe appropriate fu willbe in violation of the Nc State BldS code and subject to fines u
owner/contrador:
"Licensed Quolifie(
Signature:
ls the property located in a floodplain?
Print Nome
&oano
Gxisting lmpervious ar..t ,//rf sqn Total Acres Disturbed:
a
lrlew lmpervious Ar "", .,.,/* SqFt Existing Land Disturbing Permit: E Yes E tto
-r/ --WATER: ZI qrPUA tr community system E Private Well E central well E Aqua
SEWER: i CFPUA tr Community System E Private Septic E Centralseptic D Aqua
Zone: _ Officer: _ Setbacks (f) _ (tHl _ (RHl _ (B) _
Approval: _ Clty: _ Date: _ Flood: (A) _ (Vl _ {N) _ BFE+2ft= _
Comment:*DISCLAIMER: sUBllITTIilG THIS APPLICATIoN xEAilS THAT THE SUBI.4ITTAL CMRGE IS iioI'{-REFUNDABLE
Permit Fee: S
{*"}," ._,
ffi,
tOT #: _
a
z:
7
NEW HANOVER COUNTY BUILDING
aPPLICAT ION IYPE; COIiIHERCIAL
PERMIT ?at1-SE6tl
IT TWtr'
(offi<e Ule)
PLIASE ANSNER ALI- QUISTTONS APPI'ICABII rO YOUR pRolt(r
"Project ResPonsibilitY"
Prr
APPLICANTJS NA}iE:
DEVELOPER:
PRO]ECT ADDRESS:
OCCUPANT/BUSINESS NAfiE :
DATE:_-
CONTRACTOR:
ADDRESS: \S S. G,...-r S*.
LICENSE S:
CITY:
(Che(t Al) rhat Apply)
PHoNE s: \or\o\ttqxn
r-\ZIP: f8\\ \
PHONE S:
sT: ZIP I
sr:Ns ZrP: )$\\a-
PHONE #:\r -\\\+\ks
pHoNE r: \\}ttr- ssrs\
CTTY:
L
PROPERTY OUITER'S i,IAME :
OHNER, S ADDRESS:CITY:
E AIL ADDRESS:
PRO]ECT CONTACT PERSON:
EXIST CONSTRUCTION:
lf Rglocation, is there a Natural
NE},I COI,ISTRUCTION: E ERECT NEU STRUCTURE ! TIST TMCX I SXTT-T. f}uerrr I ADD To Exrsr STRUcTURE
ALTERATToN [--l neuovarroH l-l celrml REPATRS
Gas L ine on the Eilenl Site? Ev". E ruo lS BLDG S
l-l nrlocarron
PRTNKLERED? l-lYes l-l No
di", E Horf UPFrT - The shell Permit fl:
,l* r** Is T
lF Yes, ['hat was the Previous Occ
Is Elect Pouer on this Building
)
ANCY usE? [ves [frc ""'
hlhat is the Nex Occupancy TYPe?
PH:
PH:
NC RE6 f
NC REG {
I no ts Th" P.opofiy Locatod ln Th€ Flooddain?Er* E
approyedtion ol lhe
al otller apphcable Slate
olans and SDecfrca$onsNC Slate Bldg Code and
HIS A C}IAN6E OF OCCUP
upancy TlDe?
AR€H DESIGI{ PROFESSIOTIAL:
ENGR OESIGN PROFESSIONAL:
ls tood or b6vora03s prepared or served in thls struclwe?Yes
co ain Agbostos or rlot You arc riquirod to aall th€ Netional Enb6lon standsds fol Hszlrdou6 Ajf Pollut nts (N
demolirionorsnyhciliryorbulldlng.S€eAtbestosW.bSile:htrprr*trv.epl-$sre.rrc'usJepUssb€sto6'ahmphunl
Code and
OWNER/CONTRACTOR:SIGNATURE:
(ocri.,) (Pfr r|.rlt.)
Note: Demoliton rDlificstibns E asbestos rcmoval pormn applcelions aro to t'€ submitDd $l€ applicslion lorm (D 76E) whethor O16 tacilily or buildirg was lound to
.t (919)707-5950 al lra6t '10 days FioI lo tE
BUILDING HEIGHT:
SQ FT PER FLR:
, OF UNITS:
# OF STORIES:
g OF FLOORS:# OF STRUCTURES:
ACRES DISTURBED Exsr LAND DrsruRetno peRutrr [-'l ves f] r'ro
NEW IMPERVIOUS AREA:
--
SO FT EXISTING IMPERVIOUS AREA:
-
SO FT
pRopERTy usE: EoFFlc'E [nesreunNr [uencmtrtle leouc APT CONDO OTHER:
WATER: PT-CFPUA TI
sewen: ffcreue fi CoMMUNTTYSYSTEM fIWELL
CENTRAL SEPTIC LI PRIVATE SEPTIC
f}ZONING USE CTASSIFICATION:
COMMUNIry SYSTEM
SEPARATEPERlvllTSREOUIREDtORELECI,MECH PtBG GASEOUIP,PREFAASaINSERIS"'
PAYMENT METHOD:
ZONE:OFFICER
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-REYISED OATE 4/]1/12
Approval:- City:- DATE:- FLOOD:
- - -
BFE+21I=
AVN
f]crsx ficHecx leavmLE ro NHc) [ araentcaN o<eness fiucrutsa E olscoven
Comment PERMIT FEE: $. .-
DESCRIPTION OF I.'OR(:
ACCESSORY STRUCTURE:
rorAL PROJECT COSr: \>,S\.D-
TOTAL AREA SQ Fr '__fr3f.c-\)--TOTAL SO FT UNDER ROOF:
-
ao\.'=v(lot*rL
t? '8{o)
tl,euls
Application
Number
(offrce u5e)
Q-t\-t-t
zlP
ffi No plan5 *tu.,. \r
ffi'NEW HANOVER COUNW BUILDING PERMIT
AP PLI CATI ON ryPEi RESI DENTIAt
PL€A5E ANSWER ALt QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Proiect Responsibility"
APPLICANT,S NAME:Date
PROJECT ADDRES
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(CITY
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CITY
CITY
PHONE
PHONE
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PROPERTY OWNER,S NAME:Oq"r. J A!,/!l/\",,&
u?_c ztP s-OWNER,S ADDRESS:
CONT
AODRESS
EMAIL ADDRESS:
PROJECT CONTACT PERSON
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ExtsTtNG coNsTRUcTloN: n Alteration Q./enovation n General neoairs !f"\3)rgaQa "tt'tA " .--
NEW CONSTRUCTION: n Erect New Residence fl Addition to Existing Residence I Relocation
r*.PIEASE CHECK AND ANSWER BELOW ALL THAT APPTY TO YOUR PROJECT*T*
tr Sunroom (SF)
! Greenhouse (5F)
D Att Garage (SF)-trl Det Garaee {sF)
tr Pool (sF)
tr Deck (SF)
D Porch (5F)
! Storage Shed (SF)-
[] Other (SF)
L-: No
ls the proposed work chan8ing the existinB footprint? ! Yes
ls the proposed work changing the number of bedrooms? E Yes
ls any Electrical, Plumbing or Mechanical work being done to the A
lf the project is a Relocation, is there a Naturallras Line on the curr
ls there Electflcal Power on this Building? U/Yes D No
/
Property Use/ Occupancy: N/single Family E Duplex E Townhouse
g.r(
.r( .,.ccessorv Structure SfYes
ent sitei Ey'es E No
Descriptio
( ^O \)".- C-U:e . r.J,
DtSCtA|MERi I hereby certify that all the information in thi5 application is correct and all work will comply with the State Building Code and all other applicable State and local
laws and o.dinances and r€Bulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or chanBe in contractor
rhe
Sign a
n ofthe NC State BldE C
"Licensed euotifie/*aaX f,,, [\C\{
ls the property located in a floodplain? E Yes !,ifo
ExistinB lmpervious Area:Sq Ft Total Acres Disturbed:
New lmpervious Area: _ sq Ft Existing Land Disturbing Permit: D Yes n No
-/WATER: N,,tFPUA fl Communrty System f Private Well tr Central Well I Aqua
SEWER:FPUA E CommunitySystem E PrivateSeptic I Central Septi€ n Aqua
Zone: _ Officer: _ Setbacks (F) _ ltH) _ (RH) _ {B) _
Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
Comment: Permit Fee s
rc Unheated:TOTAL SQ FI UNDERROOT Uot pro\posed worl) He-qled:
rorAL PRoJEcr cosr (l-ess l-ot): 5 1D , OOO - 7