DECEMBER 21 2017 BUILD APPI
ffi
OEVELOPER;
PRO]ECT AO
SUEDIVISIO
NEi^J HANOVER COUNTY BUILDING PERMIT
APPLICATION ITPE I RESIDENTIAL
PLEASE AiISI,{ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
Project Res pons ibil ity"
Aolrl - IJEJ,Y
lffioc(
APPLICATION
Numben
(offic e Use )
APPLICANTJS NAfiE:l€ort€v-l2- /q-t z0
PI1ONE 8:/lu Y.
rr 3- 35] /
211DRESS:
I't:
r
CITY:
CrrV: t,l
BLOCK S:
t.- ).^ o -l-r.r n
z:e 28tt
LOT $:
PROPERTY OI,JNER' S
OWNER'5 ADDRESS:
E:e i PIION E #:\
c, "^-- pH9N5 g.
srtNLzrl: )R/o/;
sr.NLz:l ,2gcl{o
i-^".-+f.,.^{
.2a8 5,=
e-.:6*.(^LICENS E f:-7t o7CONTRACTOR :
ADORESS :A
EI4AIL ADDRESS:
q>
"tLc<ix C
CITY:G r* c^ I
PRO]ECT CONTACT PERSON:j o,^".J l,^ ^L)€L6^c4..
EXISTING COT"ISTRUCTION :ALTERATION R ENOVATION GENERAL REPAIRS RE LOCAT ION
NEl, CONSTRUCTION:
*.PLrasE CHECX
ffmr caru.et
A}IO AIISi{ER BTL
$r2- "
AT APPLY To YOUR PRoIECTI
DET 6ARA6E ,, dooorn 36ot
Ol., ALT T}J
st
SUNROOM SF
GR EENHOUS E SF
TOTAL PROJECT COST lress rory :
PROPERTY USE / OCCUPANCY:
OESCRIPTION OF I.JORK:
DECK
g2?o;-r.--,
_ sF
SF 0Tlt
# OF STORIES:
POOL sr0RAcE /t.{ER: i1
ED SF
SF)
TOTAL HEATED SQ FT:Qqo ToTAL 5Q FT UNDER RooF: ]6()TOTAL AREA SQ FT:c).>
Is any ELECTRICAL, PLUfiEING o. MECHANICAL Wo.k Being Done to the Accessory Structure? E yes No
Is there Electnical Power on t Buildinst l-l v"r f] no
rf the pnoject is a Relocatiolr, is thene a Natural 6as Line on the curnent site? [ ves [ ruo
SINGLE FAMILY DUP L EX
,-< t(,t
OL<
OISCLAIMER: l h€r€by ce ity h6r ar inbrmarion in h
and odio8nces and rcgulalions. Th€ NHC D€velopme
conlracbr mbmston. "'NOTE: Any WorA Psrformed
\
OHNER/CONTRACTOR : J ,i<-
ls applicaton b correctsod 6llworkwill
nt S€rvlc€s Cenler willbe no ied ol an
w/O tlo Appropriale Permilswillbe in
L J <lv-L"-c,L
comply wih rhe stare Building code and B[ o licable Slale and loca laws
ychang€s in fre approved plans and r ch-diGe j;
Violalion ol the NC Slab aldg and Subje $500 00
SIGNATURE:
**,** + * t*,r * *,t * *** *** * * ***,k+(p.int Nare)**'i*rr*irr****)t)t***,t,i****)t,i,i*,i,t**,r*******+*r+t++t.r+*)i*,ri+
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES NO
ExrsrrNc ruPERvrous o*ro. /C, -zc 7 sQFT TOTAL ACRES DISTURBED: , 7
EXIST LAND DISTURBING Penttrr ' FlNEW IMPE OUs AREA:f.)5Q FT YE5 NO
WATER:
SEWER:
c
CFPUA CENTRAL SEPTIC COI'1I1UN ITY SYSIEI'1
+.. 5[PARATI pERriIrS [tIQUIRt-0 [Ofi tLECI, nEC , pL86, 6A5 [QUIp, ptiEFA0S S rflSERt.s 4r.
payr,rEr{T l,rETHoD: ! cosn I ctrecK (PaYABLE ro NHc; I menrcAN ExpREss E ,cZurro I orscovrn
*)t)t)t,fi*,t++,t+*,1t,*****,t**)t**r(+)t**+***)t******)t+***)t*)k*****+*****;r******f,t+,***,r**+*,*,k,r.**,***,r*
COT1IIUNIry sYSTEI,1 PRIVATE WE LL fl crurRar werl
(FOR OFTICE U5E OIILY) REVISED OAIE O4l11/1]
SETBACKS: F:_ LH:_ RH:_ B:_
Appnoval:_City:_ DATE:_ FLooD:
-
BFE+2ft=
ZONE :OFFICER:
I
PERMIT FEE: $cComment:OD
':\.
t.
>,.=5\PHONE S: 7 <u- -)J J r..
! rnecr NEW RESTDENcE o" ! morrrou ro ExrsrrNc REsTDENcE
n tr TOWNHOUSE
(
E
u
n
PRIVATE SEPTICtr n
o
NEW HANOVER COUNTY BUILDING PERMIT
EcE/ypn n=n ^ _ AppLrcATroN rypE.. RESIDENTIAL' *u ULL Z lrl[f aNsl,tER aLL QUEsrloNs .LopLlcaBlE To youR pRoJEcT
)onl323?
APPLICANT'S I{AIIE !
DEVELOPER;
PROS ECT ADDRESS:
SUBDTYISION :
PROPERry Oh]NER'S !!|AME:
Ol^lNERlS ADDRESS I
kr
f /r2- Gqrt; do
"Proj ect Responsibi-Liqf
APPLTCATION
Ntmber
(oFfice Use)
DATg; 1)'>l
PHo E f: q0 ->)-g .Az:r{,/
Zf;P: 7*+c..'#: LOT *:
PHONE *:t 1? - L 3si
ST: tu.. )-*e,K-
ACCOUI,JT #:sr:-lEFi-lTLe'
G
CIry:
rr-,2
clw:
BLOCK
J c /-e
7)4/>
CONTRACTOR:
ADDRESS:
ft f L.-Vt/,,S
t--\
LICEITISE *:C[TY: L 1, I lt ^ lv'. eEMAIL ADDRESS:
NEH CONS TRI.JCTTON:
**PLEASE CHECK AIID
+<.a-i PHONE *:
PHONE *:
PRoJECT coMTAcT pERsoN3 Fe 1= r-'q+t)
ExrsT[.lG coNsTRUcEoN: E-ai-renarroru [ aelovarrolt fl oerueRal neeerns RELOCATION
! eon+r
-sF
I sronaar SHED
--
sFSF OTHER:SF
# OF STOREE5:
ERECT l,lEH RESIDENCE or I aoorrrot TO DCIST$IG RESIDENCE
A SHER BELOI.I ALL THAT APPLY TO YOUR PROJECT:ATT @RA6E --- SF
suNR00',1 .- sF
GREENHOUSE _ sF
! orr eanaee
--
sF
I-l poor- <F
DECK
IoTAL HEATED sq n: E11t ;
TOTAL PROIECT COST G€ss Loc z g W t+lttt
Is Any ELECTRICAL, PU,I,IBING or |4ECHATECAL tJork BeingIf the pnoject is a Relocation, is there a NatuIs thene Electnical porrer on this Building?
TOTAL SQ FT UNDER ROOF:TOTAL AREA SQ FTT
-_oone to the Accessory Structure? M Ve" fi lfonal Gas Line on the Current site? [V"s f,! ruo
Yes I::l No
PRoPERTY usE / ocsJpqNcy, f|-sfNole FAl4rLy E ujpLE{ n ToHt*tousE
DESCRIPTION OF NORK:
MTER: N I CFPUA
sEhlER: N CFPUA tr
f oc-t t-.-t
DLSCIAIMER I horoby codit hat a[hbrmaton in his applcadot? b co,-lrcr aid s$ vo*t$u $e &a!e &ildhg Codo shd slt ohorapplc€Us SEta sJ)d b.al lq/r!and odhances and Isgutsions The NHC Do\€lopmonl S€Mc€s ConEr will b€ notted of h tre epprov€d y'an6 encl 6pe<jficrlibns o.ai6ige h conlr€Or orconrEc!,r infrm.ton, .-NOTEI Any Wolt Pertonn€d w/O heApprop.i€€ p6rmitswltb6 ftle NG S!8b 816,9 c?do €hd qlbject E Ftne€ t, To eSOO,OO...
r** * **+ * * + + *++ x** * * ** * ** ** *(I* Jil.]+++++* **++ +**++** ++* * *++:i*++:t !r*+ *+** +++ *+** *:.++ * +** **IS THE PROPERTY LOCATED IN A FLOODPLAIN? rl YES 21DEt t7 ?:4tPt1
EXISTING Ii{PERyIoUs AREA:
--SQ
FT
NEN I}IPER!.IOUS AREA:
--SQ
FT
NO
TOTAL ACRES DISTURBED:
EGST LAND DTSTURBII'IG Prrurr: [-]i YES T-'1 NO
CENTRAL I.JELL
COI.,III,IUNITY SYST EM
.*T SEPAIATE PET'{ITS REQUIRED FOR ELECT) ,*EC}I, PLBG, GA' EQUIPJ PREFAES & IISERTS *Spayl:Mr lErHoD, U.*a E.r.,e.K ('A,ABLE * *o f],i.i *;-ii- ' [ *"*Jo--fr-rrr.orr**** **** ****:t**i.**i.*****:t *******:ts* t*:t :a*+*+:!*** **iI**t*****f* **:ts* ** **:B,t * * *:t* *+**:i*** **:trt**
zoNE: il 3 oFFrcER:
approval: OL city
' dfA- n1tt1L N1, Atf ,A u, nft*-
COI,T{UNITY SYSTEM D PRIVATE I,{ELL
CENTRAL SEPTTC I tRrvarr senrrc
(FOR OFEICE UsE OiiLr-rf
:_L![_ oare:
s CKs: F:
FLOOD:
oa\E a4/1.7/r2.
* BFE+2ft=
lt
PERI4IT FEE: $
nlevror *
a- CuP\1l- o(3 i,..nre\a\e <-re\nl
Pa. J*,.7A i r...O\..r ,,a,^o2S
e ePe-Y"^\e I^nl lsi 4Jo ry, e--
,,13 ii,^..^ r.r
Conrnent:
Crly lnpeclion Reflreo, 9l S254{90)
I
tr
D
A *t-u,r-t
of,JNER/CONTRACTO;.; Pel-c-r u-;iliqp-l,5TG1MTURE: t'/^ ^- '2;
I
6a
2J
irl t;
NEW HANOVER COUNTY BUILDING PERMI
APP L I cAT IoN rYPr: COiIIIERCIAL
PI.EASE ANSWER ALL QUESIIONS APPLICABLE TO YOUR PRO]ECI
"Project Responsibility,,
Brrtf 0rt|,
?
iHTrcl1>z,l
APPLICATIOM
APPLICAT'IT'S t.IAfiE :C.DATE :rr-lr /r 'l
Number
(office Use)
zrpt Ll(VUi
DEVE LOPER:
PRO]ECT AI)
PHONE $:
V,
OWNERJS ADDRESS:
L
ADDRESS: (, L Lt ,4
Ei,IAIL ADDRESS:
PRO]ECT CONTACT PERSON:
EXIST CONSTRUCTION:
lf Relocation, is there a Na
No
l.-J
PI cc LLL
cITY: u,/. lrL\
pHoNE *: I to 7Lq t51t
STt VL_ZIP I aJ\ t I
sttr/t-zvrl<q ll
coNrRAcroR: h-(5 ,r'.9(-)u-Wt I tw.
LICENS E
CITY:
ALTERATION
as Line on the
NEI,I CONSTRUCTION:EREcr NEt.l srRucruRE E FAsr rRAcK EACCESSORY STRUCTURE:
trtural
T-'l REi{OVATTON r-'l GENERAL REPATRS Ebdrrenr Site? ;- *i;-. *" ts Bl DG sp-RtN
RELOCATION
KLEREDI- yesf _
PHONE S:
PHONE f: gto zlrrl kf/(
UPFIT tr AOD TO EXIST STRUCTURE
(Chec& Atl Ihat Apply)
SHELL
rf uPFrr - The shett perrir4? n- ?tr|{Is Elect Pohrer on this Building f" Yes fafiO
*:r{,*{, rs rxrs a ct{aNGE oF occupar{cy usE?fl yEs {* -,---
IF Yes, rrhat was the Prevlous Occupancy Type? _ Whtt is the t{ew Occupancy
Ixefi ?DESIGN PROFESSIONAL:
ENGR DES IGN PROFESSIONAL:_
DESCRIPTION OF WORK:0r
demolilon ol any facility or bualding. S€e Web Site: htlp:/ ^/ww.epi-slate.nc.uyepi/asbeslos/ahmp.htmlL(
PH
PH
NC REG #:
NC REG #:
The Floodplain1-l Yefi_
Code and allother applicable Slate
6v
C Stale
(oua neD (Pdnr Nah€)
Nole: Demolilon notifcaiions E asbeslos re.noval permil applicalions are lo be submitted using rhe applicalion form (DHH93768) wherher rhe tacihy or building was lound ro
conlain Asbestos o. nor. You ar€ required lo calllhe Naiional Emission Standards for Hazardous A, Pollurants (NESHAP)ar (919)707-5!)50 al teasl 10 days prior ro lhe
TOTAL PROJECT COST
TOTAL AREA SQ FT :
BUILDING HEIGHT
SQ FT PER FLR:
# OF UNITS ;rt)Ec t? I ?!02PtI
SQ FT
# OF STRUCTURES;
ACRES DISTURBED
NEW IMPERVIOUS AREA
PROPER
Exsr LAND DrsruRBrNG pERMrr? f ves J- No
SQ FT EXISTING IMPERVIOUS AREA
EoFFrcE I nesreuner.rr f] uencrNrrLef[
UA
UA
COMMUNITY SYSTEM
CENTRAL SEPTIC tr RVATE SEPTIC
WELL I--'I ZONING U
g\t'or',rr'ltuutw
ED APT CONDO OTHET
SE CLASSIFICATIONWATER
SEWER
SYSTEM
ZONE: OFFICER
'#r
PAYMENT METHOD f CASH f cHEcK (PAYABLE To NHc) f, AMERTCAN EXPRESS f- rvrcn se [- DlscovER
(FOR OFFTCE USE ONLY)
SETBACKS: F:
Approval:_ Cily:- DATE- FLOOD:-
AVN
BFE+2ft,
SEPARATE PERI\,4ITS REQUIRED FOR ELECT, MECH PLBG GAS EOUIP, PREFAAS A INSERTS
LH RH B
Comment PERMIT FEE: I
,\}
UT
fr;dP
OCCUPANT/BUSINESS I,IAME :
PROPERTY O!,INER'S NA}IE :
. Yesl-,_ Ho
OWNER/CONTRACTOR:
TOTAL SO FT UNDER ROOF:
# OF STORIES:
# OF FLOORS:
lqcr
I
(
o2:,
rrl \dT13Zz$-,'+.t30
APPLICANT'S },IA}.IE :
DEVE LOPER:
R-.trq
aFFfTamiON
Number
(offi(e Use)
DA L "t
-fr.__2.fibL4v t
{'
PHONE *:oL
- PHONE S:l1o t-33 t Rt4
ST ': Vc_zlP I L*9
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION rYPE: COiIIiIERCIAL
PLEASE ANSI4IER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Responsibility,,
os \L TE:
1rPRO]ECT
OCCUPANT/BUSINESS IIAME :
PROPERTY OWNER'S NA}IE:
O[{NER, S ADDRESS:
'T
\\,
CONTRACTOR:
ADDRESS: ("..1<-
EI,IAI L ADDRESS:
PRO]ECT CONTACT PERSON:
ACCESSORY STRT,'CTI.JRE :
(-LLL
l"r rC ITY: I,I
_ LICENSE {:sfi L!
CITY: t-lr 14.\srr/ c- zrp: Ltl ll
PHONE S:
PHONE f:?T1jTqTstE
UPFIT ADD TO EXIST STRUCTURE
L L
,)O
(che.k all That Apply)ExIsT CoNSTRUCTION: E ALTERATION
lf Relocation, is there a Natural cas Line on the
f_l RENOVATION f-..l GENERAL REPAIRS T-l
birrent Site? ;- "H;- "" ,r a oc srt-*^
RELOCATIONrleneof; ves[--
No
NEI,I CONSTRUCTION:E EREcr NEhl srRUcruRE n FAST TRACK SHELL
(v\
oJ
If uPFIr - rhe shelt t""rcJP1 1 VSt{Is Elect Power on this Building f yes f.fi****r rs rHrs a CHANGE oF occupaNcy usE l f yEs ffno -.-'*-
IF Yes, what was the Previous O(cupancy Type? _ What is the NeH Occupancy
ANTH?DESIGI.I PROFESSIOTIAL :PH:NC REG #:
NC REG #:ENGR DESIGN PROFESSIONA L:-PH
ls The Property Located ln The Floodptails lood or beverages prepared or served in this structure?
NBcu,ruen, rn","uy certily lhat all inlormaiion in this application is corecl and
and local laws and ordinances and ulations Services
Subjecllo Fines Up To
fY
all other applicable Stal€
v"4-,-
allwork will comply wrlh the Sraie Burtdino Code and
Cenler willbe nolified ofanv chanoes rn rhe aoDrovedw/O the Appropriale Permils will6e in Violati6i of lheDlans and soecfficalronsNC Srak Bldg Code and
conlain Asbeslos or nol. You are required lo callthe NalonalEmission Srandards for Ha2srdous Air Pollutants (NESHAP)ar (919)707-5950 at teasi 10 days pdor lo lh€
demolilron ofany faciiily or building. See Asbestcrs Web Site: http:/ rw\^,.epi.siale,nc.uteDi/asbestos/ahmp.htmt
TOTAL PROJECT COST: C) BUILDING HEIGHT:
OWNE
# OF UNITS
TOTAL AREA SO FT : I.19 r SO FT PER FLR # OF STORIES
TOTAL SQ FT UNDER ROOF # OF STRUCTURES # OF FLOORS
ACRES DISTURBED EXST LAND DrsruRBrNG pERMrr? f. ves J- r.ro
SQ FT EXISTING IMPERVIOUS AREA
PROPERTY USE EoFFrcE f] nrsrnunelrr f]MERCANTILE EDU APT CONDO OTHEI
3,,,l n I r
I \ i) os Tr L SIGNATURE
COMMUNIIY SYSTEM
CENTRAL SEPTIC H WELL
VATE SEPTIC
T-'I ZONING US
3lt'onruuNrrv
jirf t l7 12:6 2P 11
SQ FT
WATER
SEWER
SYSTEM #,r,"aA E CLASSIFICATION
" SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLAG, GAS EOUIP, PREFAAS E INSERTS
PAYMENT METHOD f CASH f CHECK (PAYABLE To NHc) f AMERTCAN ExpREss f- n,|cnrrsn [- DrscovER
(FOR OFFICE USE ONLY)
SETBACKS: F:ZONE: OFFICER RH_ B_
BFE+2fiAooroval: Citv: DATE FLOOD
Comment
LH
N
PERMIT FEE
DEscRrPrroN oF woRK: @f
NEW IMPERVIOUS AREA:
ffiI
A.
Ntr:
1
z:
S-a k r?-D
-i
NEW HANOVER COUNTY BUILDING PERMIT
aPPLTCATIoN rYPs: COIIIIERCIAL
PLEASE ANShIER ALL QUESTIOT./S APPLICAELE TO YOUR PROJECT
"Project Responsibility"
A,.tt- [} "r{,,i
lT)zzzZ
APPLTCATION
Nunben
(office Us€)
APPLICANT'S I.IA'4E :
DEVELOPER:
-oorr, fZ-ll ft 7
PROJECT
occuPANT/BUSINESS r,rAME :
PROPERTY OWNER'S NA'IIE:
OWNER,S ADDRESS:
EI{AIL ADDR
PROJECT COI{T
RE:
S., c 5+LL
PTIONE *:
ztP I Lfqo r
_pHoNE *: q 1a f a& gSt/
SI | ,) ,-ZIP': LE1101
cAAP uuc
CONTRACTOR:
ADDRESS :
t)\.-d.
Il CITY: lpr J na
LICENSE S:Si-zz5-CITY: b)t I st yt--zn:'L*Yl I*: I 1 .1 11oS-llt t*:----gQ-!ny0.. PHONE
PHONEo(-
Exrsr coNsrRucrroN: T-.l ALrERArro* n *,,Jffi!;"i 'iiTt'il*'- REparRs r-'l RELocArroN
It Relocation, is there a Nattdl Gas Line on thebdrrent site? f- vH;-i r.ro ts eroo spHNxLeneof; vesf--
No
NEI'I CONSTRUCTION:
ACCESSORY STRUCTU
ERECT NEI,J STRUCTURE E FAsr rRAcK f] sHErL E upFrr D ADD ro Exrsr srRucruRE
2L
rf upFrr - rhe sheu pernik n ftrl<Is Elect Pol,er on this Building fi yes f N0
*r*** rs THrs A CHANGE oF occupA cy usE?f-l
IF Yes, what was the Previous Occupancy Type? _ NHt
YES
ist
TvDe?
ARTH PH
PH
NC REG #:
ruC nee *:-
ft6...-.he l{ew Occupancy
DESIGN PROFESSIOTIAL:
DESCRIPTION OF WORK:
,tl &
ENGR DESIGN PROFESSIOiIAL:_
:E 1P11
ls tood or beverages prepared or served in this sfuaure?f- Vef,_ No ls The property Located ln The Ftoodptainfl Veff
N8curuen' r n.r"ry
and locallaws and ordi
certify that
nances and
allwork willcomply with the State Building Code and allother applicable StateCenterw/O lfr
willbe no!fied ol any chanoes in the aoorovede Appropriale Permils will6e 'n V'olat'oir oflhe and
andSubjecllo
OWNE
in contractor
Fines Up To
NTRACT SIGNATURE:kh, $rthA",Ir
conlain Asbeslos or nol. You are required to calllhe NalionalEmissbo Standards for Hazardous Air Pollutants (NESHAP)al (919)707-5950 ar te6st 10 dsys prior to lh€
demolilion ol 6ny facllny or building. Seq lFbesbr Web Sile: hllpr\^r^,w epr. slare nc. usJepi/asbesioyahmD. hlml
rorAl pRoJECr cosr: 61 Q BUTLDTNG HETGHT 1( # oF UNrrS:
TOTAL AREA SO FT lR..i?l- so Fr PER FLR # OF STORIES
# OF FLOORSTOTAL SO FT UNDER ROOF:# OF STRUCTURES
ACRES DISTURBED EXST LAND DrsruRBrNG pERMrr? f ves f- No
SO FT EXISTING IMPERVIOUS AREA
PROPERTY USE trOFFICE RESTAURANT MERCANTILE EDUC APT CONDO OTHEI
SQ FT
{F,UA
UA
r-] ZONING U
3?ouuuurw
SE CLASSIFICATION
.. SEPARATE PERIMITS REOUIRED FOR ELECT, MECH, PLBG GAS EOUIP, PBEFABS 8 INSERTS
PAYMENT METHOD f oASH f cHEcK (eAvABLE To NHc) f AMERIcAN EXPREss l-- t'lcnrtsa l- DtscovER
ZONE: OFFICER
(FOR OFFICE USE ONLY)
SETBACKS: F:LH RH B
Approval:_ City:- DATE- FLOOD:-l---v r'f
BFE+2ft.
Comment PERMIT FEE: I
NEW IMPERVIOUS AREA:
WATER:
SEWER:
SYSTEM
T''I COMMUNITY SYSTEM T-'I WELL
flceHrnrl seerc fl FRlvArE sEprc
a
rr
z:
5r,t-e ltD
Iotl t{SzztNEW HANOVER COUNTY BUILDING PERIIIIT
aPPLICATIoN rYPr: CO TTERCIAL
PTEASE ANSI.'ER ALT QUESTIONS APPTICABLI TO YOUR PROJECI
"Project Responsibility,,
lt
AFFfTEITI6.N
I'lumber
(offi(e us€)
APPLICANT'S I.IAI'IE :
DEVE LOPER:
f),,fr 0,tt.,c_, DATE :rr/r/r1
OCv r.l e
PHONE I:
PRO]ECT
OCCUPAT{T/BUSINESS t{A E: 6"a]a G,-,.
PRoPERTY OIINER'S N,lntE:(L""1*-PIu-LLL
OWNER, S ADDRESS:
ztP I t-tV A:i
-pHoNE f: qlo ,llq t51t
SI: VCzIPt 1_t-tl I I
ST t/t-zlr:lxq ll
PHONE ':P}()NE $:4tt Zlr'l tf/(
E LOCATION
fa
CITY:t t, I r-.,
CONTRACTOR:
ADDRESS :
A-0-.LIGENSE s: .Sr? ZJ-rTY: hlTt t,,^-C
uL)1 .4
Ei'IAI L ADDRESS:
PRO]ECT CONTACT PERSON:
ALTERATION
s Line on the
c
ISJ
(Ch€ck All Ihat Apply)
EXIST CONS
It Relocation,
No
TRUCTION
is there a N
:E
atural
T-l REitovATror'r T-'l
bJrrent sitez [j *J GENERAL REPAIRS
l-. L r,lo rs BLDG s ERPRINKlenro'{l; vesf-i
NEId CONSTRUCTION:ERECT NEt.l sTRUcruRE nFAsr TRAC( f] sHELr E upFrr E AoD ro ExrsT STRETURE
ACCESSORY STRUCTURE:
*,i*'* rs THrs a C}IANGE oF occupat{cy usErf yEs
IF Yes, |rhat lras the Previous Occupancy Type? _ t{hat is {*..,-.the l{eu Occupancy
IXtfi tortr* PRoFEssro*AL :
If UPFIT - The Shell Pe
ENGR DESIGN PROFESSIONA L:-
DESCRIPTION OF I.JORK:
Is Elect Pouer on this Building fi Yes f4o
it)Ec l7 12rEIPf,t
PH:NC REG #:
t'tc REG f:-PH:
0{t/6
The Floodplain{-F YefL
Code and all olher applicable State
and
# OF STORIES
f OF FLOORS
EXST LANo DrsruRBrNG pERMrr? f ves J- r.ro
SO FT
SE CLASSIFICATION
(Aua[fir.) (Pnnr N€re)
Noie: Demolition nolifcations & asbestos removel permil applications are to be submited using rhe applic€tion lom (DHHS-3768) wheiher $e lacitiiy or buitding was lound to
contaio Asbeslos or nol. You are required lo call lhe Nalional Emisslon Slandards lor Hazardous Air Pollutants {NESHAP) ar (919)707-5950 ar teast 10 days prior ro ih€
demolhlon ol any facilny or building. See AsEstos Web Site: hrFlltrww.epr.state.nc.uyepi./asbestos/ahmp hlmtr\TOTAL PROJECT COST: IJ BUII.DING HEIGHT: I / f OF UNITS:
TOTAL AREA SQ FT , \ iiA
TOTAL SO FT UNDER ROOF
SQ FT PER FLR
# OF STRUCTURES
SQ FT EXISTING IMPERVIOUS AREA
Sornce !RESTAURANT MERCANTILE EDUC APT CONDO OTHETPROPERry USE:
*oren rrndrpsrwrn Fizfp
SYSTEM V
UA
UA
T-'I COMMUNITY SYSTEM T-'! WELL T''I ZONING U
flcerurnar- sEprc fl Fnlvare srprrc 3?or,,tuururw... SEPARATE PERMIlS REOUIRED FOR ELECT, MECH PLBG GAS EOUIP, PBEFABS E INSEB'IS
PAYMENT t\.4ETHOD f CASH f cHEcK (PAYABLE To NHc) f AMERTCAN EXPRESS J- r.acrursa [- DrscovER
ZONE
(FOR OFFTCE USE ONLY)
SETBACKS: F:
Aooroval: Citv: DATE FLOOD: BFE+2ft, f'- -r -;,."",T HC V\ru ^ ' PE"r,, ,rS55 +---
vesf-r. tto
OWNER/CONTRACTOR:SIGNATURE:
ACRES DISTURBED,
NEW IMPERVIOUS AREA:
OFFICER:LHRHB
'ffi
APPLICANTJS NA'IE:
NE[^J HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PLEASE AI{SWER ALL QUESIIONS APPLICABLE IO YOUR PRO]ECT
Pnoject Res pons ibility"
?on- lzz
APPLICATION
Numben
(office use)
(^€qt€v'72. -t.a-1,1DATE:
NE #:7DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER' S
OWNER'S ADDRESS:
I
CITY:
CITY: Lr
CITY:.-cr- r ( ,C6.--
ptjo
4,'71p;-)fi12q') >:/rI-\
t20- 3 J*3
r J --3 771
,l
> t/t 1.,
PtiONE $:lr3-35]
sr:NLztp,'>R?b/
ST:k,Enp,2-2<rcb
E:e
)_
LICENS E #:oCOTITRACTOR:
ADORESS:
ae-,(^
L., (;7
EMAIL ADDRESS:
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WORK;
C)G PHONE #:
PHONE #:PRO]ECT CONTACT PERSON:J o,^o. J 4,.^^ t-.-lzl,-6^cA'.
EXTSTTNG COT,TSTRUCTTON: ! arrr nnrrOru R ENOVATION GENERAL REPAIRS R E LOCAT ION
NEW CONSTRUCTION:RECT NEW RESIDENCE or ADDITION TO EXISTING RES IDENCE
. 'Pr-rasE cHECx
@at e awet5G
8ELOI.' ATL THIT APPLY TO YOUR PRO]ECT:sF ffi, oo*oo, sr ffeo
ANO ANSI,JER
SUNROOM SF
GREENHOUS E SF
TOTAL HEATED SQ Fr, )33A
TOTAL PROIECT COST lre.sroq : $ 2
ncn / c'
fl sronacr sH ro
F^" ^+ l?,sF I f1, s i=
POOL
)o, *o o
c{
_ sF 5f
DECK 5t:
TOTAL 5Q FT UNDER R00F:3q A TOTAL AREA SQ FT:
SF oTHER: //f
Is Any ELECTRICAL, PLUiIBING o. MECHAT{ICAI Wo.k Seing Done to the Accessory Stru€tu.e? E yes NoIf the project is a Relocation, is thene a Natural. Gas Line on the Curnent Site? [ ves [ ruo
Is there Electrical Power on thi Buildins? l-l vut f] uo
# OF STORIES:
-Eta >-;ffi
/eg.'o/s,a<SINGLE FAMILY
ca.^
DUP L EX
0\Q )
TOWNHOUSE ll*:1
DISCLAIMER: lhor€by c€rtit hsl all inbrmstlon in his applicadon is coflecr and all work wiltcomply wih lre Srats Buitding Code and alt oher appticsbtc Stare and tocat tawsmd ordinEncos 6nd rogulatlons. Tho NHC Dovelopmenl Servlcss Center will b€ noilied ol any changes in he approved p ans and specconuacbr hfo maton. "'NOTE: Any worr
ot.lNER/CONTRACTOR :J:':1
W/O he Appropriate Permitswiltbe an Viotarion ofrhe NC Slale Bldo Code $500 00 "
* * **,f * ** **,r,**** * * *** **
NO
-r <)..-6"-.L-SIGNATURE:
,r *,*,i ,r ,i r.,l * ++,r* ** *** * * * * * * * * *(Ii'll fil"J * * * * * * * * * * r+ r( * * *,i ,r r
rs rHE pRopERTy LocArED rN a rloooplarrul l-l yes Ddz_1 _ rjEXISTING IIiTPERVIOTJS 1361; Z, ?=.. i 5Q FT TOTAL AcR
NEI4I IMPERvIoUs nnea: iIJ d sQ rr ExIsT LAN
drroro
-{rrouo
ES DISTURBED: 7
D DISTURBING PERIiIIT: E YEs
TER:WA
OFFICER
SEI,JER:
.'+ SEPARATI pER[1IT5 RIQUIR[D Fon ILECI, flECI, pr-86, 645 IOUIp, pfl[FAoS St ]NSERTS ".pAyrlEr,rr t4ETHoD: ! cos, ! crecK (PAYABLE ro rutc1 [ arenrco* ,ro^i$ f] ,cTrrsa ! rrs.orr^+**++,t++***+++++*,t++**++)t+,*,*****,f)t*,t)t*********,r**r,f*,*,*,t************,r,********+******,r***+
(FoA oFrICl USE oNLY) REVISEO oATE O4lttltl
ZONE :SETBACKS: F:_ LH:-- RH:_ B:_
Appnoval:_City:_ DATE:_ FL00D: _ _ =- BFE+
AVIJ
!a)
6)<3 '.r- CC<
Conxnent:
3k-
BLOCK #: _ LoT *:
f| couulrw svsrem ! pRrvATE wELL ! ceurnar well
! cerurnal seerrc ! pRrvATE sEprrc ! comlrururw svsrrm
PERIVIIT FEE: $-
Ao)+lvzvc
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION ITPE: RESIDENTIAL
PL€ASE AI'ISI{ER ALT QUESIIONS APPLICABLE TO YOUR PRO]ETT
roject Res pons ibility"
APPLICATION
Number
(Office Use)t>-/tt-tlAPPLICANT'S NAflE:C€,w-t€v'
DEVELOPER:
PRO]ECT ADORESS:
SUBDIVISION:
e
DA
PHONE S:
CTTY:<^
PI]ONE T:ri3-S5]PROPERTY OI..INER' S
OWNER'5 ADDRESS:
E I
,I
)_CITY: Ui e ).^ c "far^.srtNLzrPt )Rqo/;
CONTRACTOR e-
ADDRESS:
,(^LICENSE fi
CITY: LJ ..sr,ffire'2'9+tG
/o3 t-
Co r-r
^75-oz
2
EMAIL ADDRESS:PHONE $:
J .,.^.-J A,^ ^t-o €1....-6 c-c4'.PHONE S:{2 0- 3 J*}\
EXISTING CONSTRUCTION:ALTE RATION R ENOVATION 6ENERAL REPAIRS RE LOCAT ION
NEW CONSTRUCTTOI: ffeAeCt NEW RESTDENCE o" f] aOOrrrOru TO EXTSTTNG RESTDENCE 4,.-L^.
t\
IIPIEASE CHECK
{o* oo*o,GtAND ANSHER EELOW ALL THAT APPLY TO YOUR PRO]ECT:
SF DET GARAGE SF )i)SFPORCH
STORAGE SH EDsuNRoor'1 _ sF
GREENHOUSE 5F
P00L _ sF
DECK SF OTHE R:
SF
SF
9r!9
RIES: /
TOTAL AREA 5Q FT:Jr raTOTAL HEATED SQ FT OTAL 5Q FT UNDER ROOF:
TOTAL PRO]ECT COST f6r,D.... s oF sro
Is Any ELECTRICAL, PLUIIBING on I,4ECHANICAL Work Being Done to the Accessory Structure? [ VeS I f'fo
If the project is a Relocation, is there a Natural Gas Line on the Cunnent Site? [ ves [ ruo
Is there Electrical Power on th Building? I-lv"t Fl Ho
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WOR(:
SINGLE FATlILYEr"-t DUPLEX TOWNHOUSJ-s ?1a CC
DISCIAIMER: lhsebycertily hsl al inlcrmalbn in his applicadon is corracl6nd all work will comply wih he Slate Eurlding Code and alloher applicab e Slat!. and local raws
and ordinances snd r€gulatk1ns. Th€ NHC D€velopment Servicss Cenler willbe nolifled ol Bny chang€s in Ure approv€d plans and
conEacbr inbrmaton. "'NOTE:Any w1Perlormed w/O he Appropriate Permits will be in Violation ol rhe NC SlaE aEg
" -, L-: -- \.-to..AOI.INER/CONTRACTOR :SIGNATURE:
(P.jnr Nam€)
+ r,i * r f rt * * *+ i'* * i * * r * *. I r + * +'r.,i. " t + * *, ** t * )** *,f + * + * +,i + * * + i(* * **** ***,f * *,f ,r*,i*,r*i + **
I5 THE PROPERTY LOCATED I
EXISTING IMPERVIOUS AREA:
E NON A F LOODPLAIN?YE58z(t SQ FT ToTAL ACRES DISTURBED: I
Rvlous AREA: >a';G sQ Fr EXIST LAND DISTURBING PERI1IT:I-l ves [*-l ruo
lr(
NEl,]
WATER:PUA COI"1}4UNI TY SYSTE I,1 PRIVATE WE LL CENTRAL WELL
SEWER:CFPUA I crHrnal seerrc ! PRTvATE sEPrrc COMIIUNITY SYST EI4
i,+ SEPARATE PERI'1IT5 REQUIRED FOR ELECT, I']ECTI, PLB6, GAS EQUIP, PREFABS & INSERTS I"
pAy6ENr ETHoo: E .os, E c*i.K (eAvABLE ro Hxcy ! +renrcAN ExpREss E ,c/urso f] rrscour^
,*x*)****)*,1*+,t*)t*+***)t+'*)t*)t*r')t)t)t'*'*+*****'*+**)t'f*+)***)t)t)t't't*rk*r*x()tt)t+'*****)t*****'*)i*+'I**)k)**'t'k**
(FOR OFFICE UsE ONLY) REVISED DATT O4l11/12
ZONE:
-
oFFICER:
Appnoval:- CitY:- DATE:- FLooD:
-
BFE+2+
I \L-
<a->do
<lx cl
Cofiment:PERMIT FEE: $
fi=4@b
BLoCK f: _ LoT #:
ZIP:
-
PRO]ECT CONTACT PERSON:
I
SETBACKS: F:- LH:- RH:- B:-
NEW HANOVER COUNW BUILDING PERMIT
APP U CAT IO N TYPE: RESIDENTIAL
PIEA5E ANSWER ALL QUESTIONS APPLICABLE TOYOUR PRO',ECT
'rProJect R.3ponrlblllt!/'
a0)TnLvv
L7 - 40L2
Applkadon
Numba.
(office ur.)#u
APPLICANT'S NAME:Y G Eg( ) Co l/rqrn c-fi ovt Date tl/to It+
PRO,,ECT ADDRESS:
sua vrsloN:
PROPERTY OWNER'S NAME:
OWNEN'S ADDRESS:
v
5 se.,on
Du
L
crTY: '.^J tl y{1 zrP:-ZbLtO4,-
LOT fll
PHONE S:qto).,2 >r*l*
CITY:q) (r,zvABL| 0o
B|.DGLrcENsEr: 11941
CITY sT: NC ztP: dB4ll 0
PHONE: At rt t 2t t, t'tll
COIVIRACTOR:
ADDRESS:
c*=e.n
EMAIT ADDRESS:
PROJECT CONTACT PERSON:
D sunroom (SF) _
E Greenhouse (sFl
fTP T-'T< 1A f
EXI$lt{O CONSTRUCrION: n Alteratlon E Renovatlon D GeneralRepalrs
NEW CONSrRUCIIOII: Mrect ttew Resldence E Addltlon to Exlstlng Residence D Relocation
..iPLEASE CHECK AI{D AN fL THAT APPLY TO YOUR PROJECT..'
{mearagelsrl 73b DDetcarage(sF}- trporch(sF}
PHonE: 4ta 747l*7
D Stor.ge Shed (Sf)_
tr other (sr)
E Pool(SF)
U r"f*"&r,-:lg-
ls the proposed work chanting the exlstlnS footprlnt? tr yes El No
TOTAT PROJECI cosr (less Lot): S ,. OA . O (1O
I
ls the proposed work changing the n umber of bedrooms? E Ves El No
lsanyElectrlcrl,PlumblnSorMechsnlcrlworkbeingdonetotheAccessorystructureEyegENo
lf the projectlsa Reloc.tlon, lstherea Natural Gas LIne on the current sit€? E ycs E ruo
ls there Electrlcal Power on thls Bulldlng? El Y.3 El lto
Proparty Usc/ Occuprncy:I slnsle ramily trt pr.p-t-l-Descrlptlon of Work:
plax E Townhousc:hrtt {tawt,l lnouw 6unA*f,or,'c,n9\
laws and otdlnancls and reSulatlor6. The l{Hc oewlopmcnt scrrlccs Ccnt€r wlllbe notlllod ot sny changas ln the spproved plana 6nd speclflaatloN or chlngoln contreclor
inform.tion.'r'rlOTEr Any worl pe.formed 'rlthout tte rpproprl.t!will be in violation ofthe NC State ehd lubJ€ct to iner up to S5'0Om'.'
Own.rfcorltr!ctor I
'Llcensed Quollflet'
ls the property located ln a floodplaln? B Y.j
Ed3tln8 lmp.rulout 4,'".' O Sq ft
Naw lmparvlout Araa:8q0 Sq Ft
WATER:ffiruo E community System tr Private
SlSnaturo:
TotrlAcros Dlrturbe a, . 0 |
Gdrtlnt l'lnd Dbturblng P.rmlt fia, E Uo
well E Central Well E Aqua
septlc E Centralseptlc E Aqua
r.+rt}f (nn Y tal*
: (A)
-
(v)
-
1t; X rrr+2ru-
F{."
SEWE
Zono:
er {wva, o
P-io('B), ,,
Communlty System E Prlvate
Approval Clty:
Af1o s€tb.ck (FJ lf (
ll]yt wg.,l?lilt1ao,a
Comma
Cilrr lncnenthn 0eournn 0ln.?6,
Permft Fec: S
YI
ToTALsq FT UNDER RooF lJot ptoposed workl Ueated: 24O I Unhae$.\ 3 4U
I
Ca
i,s.
'rE
NEW HANOVER COUNTY
DEPARTMENT OF BL'ILDING SAFETY
230 GOVERNMENT CENTER DRI\/E . STJITE I 70
WILMINGTON, NORTH CAROLINA 2ti40]'['elephone: 910.798.7308 t;ax: 910.798.781 |
I n I e rne t : vtl u . nh cgot'. ct nt
4TO7 WORKING DAYS TUHNAHOUND TII\IE IFAST TRACK:,FOR NEW SINGLE FAMILY FESIDEIJ'-iA--- "'-"1
STATEMENT OF UNDERSTANDTNG
)i'" t'l t {-, am submitting an applicaii,ln for a new residential
construction building permit to New Hanover County. And, as ttre applicant or person
submitting the application, I check the box/boxes below to acknowledge that:
D-- I have attached an official CFPUA document that has
acknowledged an approval of the payment made to CFPUA
Q.-- I have attached an official proof of a Zoning sign-off frorn the City of
Wilmington, for this work that will be done in the City of Wilrnington.
'tl l-have attached an official proof of an approval grantecl by the New Hanover
Coirn$ Environmental Health Department, for this work thiat requires an approval
liom En\ironmental Health.
lf the application is correct and complete with the required rlrawings, and if
there are no corrections or revisions to plans and drawings, and if there are no
further clarifications required by New Hanover County; Nevv Hanover County
can guarantee that the building permit will be issued within 4 (four) to 7 (seven)
working days after the official submittal date/time (the stampred date/time
notation made by the Building Safety Department on the application or submittal
document). I understand that the 4 (four) to 7 (seven) working days only begins
when the application is submitted prior to 4:30 pm on arry working-day.
Signed in acknowledgment:
/^
(ls
lr,lit')(L r l" /(
Signature
1I r:.r IAddress for the proposed residential work:>sll It
Date
T
I,
Printed Name