FEBRUARY 2 2018 BUILDING APPS-1 '\1 a\Y-d )f
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TY PE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROIECT
"Project Responsibility''
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CITY
D ate \- 29-tt,APPLICANT'S NAME:
PROJECT AODRESS:3c ct-(:vk,.2 1L
LOI S tilIPz
SUBDIVISION:
PROPERTY OWNER'S NAME:
OWNER,S ADDRESS:C'
IC
-So- 1.-.- L.-o-^,,/ ! >PHONE #'ri l CITY: \-:
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LLCONTRACTO
ADDRESS:, D,.>.
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BTDG I-ICENSE f
clTY: L t
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1\,Czrp,28'/oG5).,^=J=fEEMAIL ADDRESS:
PROJECT CONTACT PERSON .^*L-. .--,, t^.e )* 6*.- /---..PHONE lru-S2o^ff)
EXISTING CONSTRUCTION: ! Alteration n Renovation E General Repairs
NEW CONSTRUCTIO[TI: E {6t llew Residence n Addition to Existing Residence ! Relocation
*,*PI.EASE CHECK AND ANSWER BELOW AI.t THAT APPLY TO YOUR PROJECT'i**
Att Garage {SF)A.t6
n sunroom (sF)
E Det carage (SF)_
tr Poo (SF)
tr Deck (SF)
A-{otch (SF)2)G
E Storage shed (SF)_
E1'6ther (sF),/ (- (-)
L l Greennouse {5rl
ls the proposed work changing the existing footprint? n Yes J No
TOTAL SQ FT UNDER ROOF lfor proposed work) Heated:211"o ?9.ifltl t8 t Er l0it'1
TOTAL PROJECT COST (Less Lot): S
lstheproposedworkchangingthenumberof bedrooms? E Yes D No
ls a ny Electrica l, Plumbin8 or Mechanical work being done to the Accessory Structure L- Yes f No
lf the project is a Relocation, isthere a Natural Gas Line on the current site? ! Yes E No
ls there Electrical Power on this Building?trYesaNo
Property Use/ Oc€upan€y Single Family E Duplex [] Townhouse
c Oc>(2
-aJ
Description of Work:
[-t < ct u, <.-:S).^o\r -Fa...^; ( .z 1/ eS: J eu- C?
DISCLAIMER: i hereby c€rt fy that all the information in thls application s correct and
laws and ordinances and regulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or change in contractor
ryallwork w ll comply wrth the Srate Burldrng Codp a1d all other appl(able Srarc ard lo(dl
Informat,on. "'NOTE. Anv vyork performed without the appropriate permits will be in vrolation of the NC State Eldg Code and subject to fines up to 5500.0O'r'\ /r \ / t
owner/contractor: JJn c. +Ll(, c.\ \--J € , --L)e.< L -signssure.
"Licensed Quolifier"
ls the property located in a floodplain? n Yes
Existing lmpervious A r.., I 7 fa ,oft /Total Ac.es Disturbed
,{
New lmpe rvious area: jL) I {Sq Ft ExistingLandDisturbingPermit: I Yes _ No
WATERT {CFPUA D Community System D Private We f] Central Well D Aqua
SEWERT EaCFPUA ! Community System f] Private Septic E Centratseptic f] Aqua
Zone: _ Officer: _ Setbacks (F) _ (tH) _ (RH) _ (B) _
Approval: _ City: _ Oate: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
Comment:5Permit Fee:
I
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d{
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ffi a[ QUESTI$5 TPPIICAATE rO Y(l]n PROICCT
'PrcJect Respo.|si,bllltld
RECEIVE&,FEE 01 201&,^
NEW HANOVER COUNTY BUILDING PERMIT
APPLIcatIot TYPE: COISIERCIAL
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APPLTcATiA
Nulber
APPLICAI{T'S llrlllE: racobs relecomun icat ion /\, - s tu lqeoo/T -rob r: e
OEVELOPER:
PRO]ECT ' Greenfield Late - 1806 Bulnette Blvd.
O(CUPATIT/BUSIXESS llA]lE i t-t obile t8s Esirfield sr clra!resron,
PROPERTY OtllER'5 WE: s.."oo ro,.."
otalER'S ADonESS: 644? shi.nroocl Road CITY: qi1ri.n1o.
ElIAIL
PRO]ECT CONT : ctrris schroeaer
If UPFIT - fhe Sh.lI Perdit *
DATE:1/Ii/2018
- PHOI{E *: iC2-B1r r96t
ZIP | 2a 407
Nc ZIP:2e409
PHOT{E A:
5T:
Coa{TRACToA: wileless Net,ork Grolp. rnc. - LICEISE *: .}j4g6
ADORESS: - CITY: pomplon ptains ST: NJ ZIP: _
EXISr COXSTRUCTI : nlfRelocation, is there a Natural
ALTERAIIOI'
(<n..r ^lr rh.t apoly)
f-l REr{ovarrora f-.,| GEilERAL REparRs f-.l RELOCATTOiI
-cuE€or sne? I vEJ--r.ro rs aLoc sp"RtNrrrneo?T _ yesf-
18, .o*rr*r.rro*, 3
ACCESS(NY STRIJCTURE:
ERECT )rEr{ STRUITURE n FAsr rRAc( E sHELr E upFrr fl ADD ro ExrsT srRUcruRE
PHO E fi:
Pl6l{E *: s52 266 6q5q
Is EIe.t Porie. on this Bull.ding T Yes T NO
r"" I5 IHI5 A cH lSE of oC(uPArlCY USEIT YEs T rc.r...
IF Yee, ihat Es the Prcvlous orcupancy lyp€?
IlEiro.sro PRoFEssroi L:
_ l.tat ls thc f,er. occupancy
PH: ttc NEG *:
tIC REG ':-EIiIGR DESIGII PROFEsSIO AL
DESCRIPTIO{ oF IORK: Ari;;E-;-iehit t 2o1? 12451 is collect
OWNER/CONTRACTOR: Christopher Schroeder SIGNATURE:
SEPARAIE PEXiITS REqJltrEO FOfi ET.ECT T/ECH, P[SG, GAS EOJIP PREFAAS ll INSEFIS
lde ale chanqinq cC only
ls food or bev€reges prepaed or sewed in dls saudlrrE?T- Yef - ifo ls The Prcperty Loc€ted tn The Ftoodptshf _ ye{-_
blscr-^rMER r trsslyc..r't nEr aI hh.rrEto.. disappa@ro 6 dr* rnd.r 6t rdr @rd, *ilh nE st.t BrddrE c.d€ ard dtorhd 4Fhbt n!r...d bol lay. .d ddi6* 6d reglalin. TtE NHC O6-b0.r.d Sr!E. C-r.. ,{ b. ndra.d ot w .tE|lG h iE .806 ot .s and ;*r66tiFiffi -'mrE' 4., lvoft Pa.to.rrrd wlo tno Ap9@o.bb Pmis *[ ds r. vobtoi of rF IC Srre Bho Coo€ sidSuq.<ilo Fh6 Up To 35OO qF'
(qfr, (Prr |am.,
ttoa: odio&lo. mfier*r. a *te 6wd pqri.dr:b! e b b. e&ft.d 6at rh. @crdron 6.n (otlll$37t$ irE B tr€ t dryqoulldho 6lound b@Ei. Arb.c q lEt Y@ lle BqwDd ro 6I nt l*!o.rd Eolddr $andart b tbat @. Ar t.ltraair (NESTUP) ar (919)7O7-5S5O al r.sar 10 d.y. !ro. ro tEddrdl{o. ol 6nt f..'1 , d nl(rho. 56 AsbnG lB5 Sibi htrp:/ffi.6ri .r.b ft uV6t asb6oJ.hmD hlml
TOTAL PROJECT COST
TOTAL AREA SO FT :
BUILDING HEIGHT:
SO FI PER FLR:
# OF UNITSI
# OF STORIES:f OF FLOORS:
-
ACRES DISTURBED:_
NEW IMPERVIOUSAREA:
EXST LAND DISIURBING PERMIT? .T YES T NO
SO FT EXISTING IMPERVIOUS AREA:SO FT
pRopERry usE: f]oFFrcE E RESTAURANT D MERCAInLEI eotrcf] eer[ coNDo oTHEr
WATER:
SEWER:
SYSlEM
trtr
CFPUA
CFPUA
T-] COMMUNITY SYSTEM f-l WELL T1ZONING USE
ECENTRAL sEpTrc D pRlvArE sEprc BiCoMMUNTfi
CLASSIFICATION
PAYMENT METHOD: T CASH T CHECK (PAYABLE TO NHC) T. AMERICAN EXPRESS T. MC^/ISA T- D|SCOVER
{FOR OFFrcE USE ONLY)
ZONE: OFFICER SETBACKS: F: LH- RH- BApproval:_ City:_ OATE_ FLOOO: BFE+2rt_AVNCommeDt PERMIT FEE: I
ToraL so Fr uNDERE- # oF srRUcruRES:--
NEI{ HAM)VER COUNTY BUILDING PER}IIT
APPLICAi ldt rypa: C0|*IERCIAL
Pr6A5E rlslrEi Att (pE lloll' aPPltcrllE ro Yoln plolEct
'P.ojcct ResponilbUlqf
'?ntl- tzs>g
^PTLfaElfor
AP"LICIXI'S LAr{f i -'!cobs r€lecoNDication/J.st!lsecn/I-tlobile
OEVEIOPER:
PRO]ECT
DAfEi t/22)2ata
PHol,lE f:
: 33lO liriqhlsvi1le At€nu€ZIP | 2s 4a3
pR(PEnTY O ER'S l{AiE: aeacon comunicatt(X{ER'S ADDRE5S: 6{.? shinn,ood Ro.d
PHC{C *:
ST:Nc ZIP:28409
(clkr Au rhrt rFrr)
cxrsl co.srnrl(rtor: f] ^LftnaTrd{ l-l RElur^rlfl f] GEtlEi t REPATRS f] nELc rr
It Rotocsibn. is th€re a i,lanri t css rine on nretdnenr Ste? T-YET No lS ELDG SPTHIftKLEREDI- YasT-
iloiiir cmsrnrrronr E EREcr xEt srftJcflnE E FAsr rnlcr E 5HELL D uptrr E aDo r0 Exrsr srRUcnJRE
A(CESSoRY SInl,cTrnE: -
If tpffl - Ihe Shell Pefirlt *, _----.---------- Is Efe<t Pqr€r on thls Buildlnt f Yes f. M)
...*. 15 r{rs A orrlrcE G ccup^rry usE}T yEs f. ro .....
It Yes, l.lat F5 tta pf!vld,' oaaupallcy rypa? - lll.t l3 tna l.er o<.uPaEy
&fI DEsr@r pK)fEssroi L: - Pt{: xc REG l:
C(I{IRAaTOI: xi!e1ess Netuork Grolp, hc
ADORESS:sTi Zle I
EIAIL PH(trlE 'iPf,O]ECT Cd{T : chris schroede!PllollE *: g62-299-9959
EiEi OESIGI| PROI EsSIOIIAL Px:_- iK RtG r:-
DISCRIPTIOI OF lfR(: a1i lnfo otr perni! |20l?-1237S i! colrect.9e ale chanqllq GC 5n1y
ls food or beyerao€s FeperEd or s€n€d in ois slruttulE?f. Ye{*- No ls Th€ Propetty Locat€d ln T}te Floodplainf - Yef-
@Eb A.dE q... Y@ e,.qs&!.r ro d rr x.ro.rd Er*r*n S6r6id. i( l5a6G & fr*)i.iE lX€SH P).{91OrOr'5$O r 510 a.F El'ro rE
djde6 ot .., fkrrt d tlBFq. sr- alElrG tLD sL: no:rm ep,..6le ft.6/ep6!o..lBtlri9 htnl
TOTAL PRq,ECT COSI: _ BUILDING HEIGHT:.- ,, OF UNITS:
TOTAL AREA SO FT SO FT P€R FLR: *OF STORIES:
# oF srRUcruFE:-- * oF rLocsls:TOTAL SO FT UNDER ROOF
ACRES DISTURBEO:Exsr LAND DlsruRBrNc pERMrr? f yEs f No
EXIST'NG IMPERVIOTJS AREA:SQ FTSO FT
_ LICE ISE tt 714a6crw:
pRopERry usE: floFFrcE fl REsTAUMt{r D MERcAtffLED EDL}C APrfJ coiDo
WATER ]CFPIJA T-'I COMMUNITY SYSTEM T'] TVEIL Tl ZONING USE CLASSIFssrrsn, fJcrnue fi c:urnr seerrc 3 Fnlvrre seenc Slfouttut'JwSYSTEM o""r,*,an.r*,,naor,,aoFcra€Lcr.r.nclraE6.G4sEcrup,jnri ts5arNssprs
1 FEB lB 1E: 36f
OTHEI
ICATION
PAYMENT METHoD: f cAsH T "r."* ,ro,tl*Lo.rJf.*B) T. AMEBTCAN ExpREss T McMsA f DtscovEF
OCCIPATIT/ESIIESS llIE: iNe6p6y95N6s ult11
NE\ry IMPERVIOUS AREA:
ZONE: OFFICER,_ SETBACKS: F- LH_ RH_ BApproval:_City: DATE_ FLOOD:_ BFE+2ft, I r,/a v r 1-y' C-
__ eERur rte.: f_/
I
.il \X -rLl t
NEW HANOVER COUNTY BUILDING PERMIT
APP LICATION TYPE: RESIDENTIAI
PIEASE ANSWER ALTOUESTIONS APPTICABLE TO YOUR PRO]ECI
"Prored R€sponribilittd
...,i.i.,.'i:- .i. r.l;r.
r: 5h .':l:m;
(office use)
APPLICANTS NAME: L.+.S
PROJECT ADDRESS:
suBDrvtsroN:
-l s
CITY:
PHONE #:
CITY:
Date:
BtDG UC f:
ST:
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tr Att Garage {SF)_
! Sunroom (SF) _
D Greenhouse (SF)_
PROP€RW OWNEf,rS
OWNER'S ADDRESS:
CONTRACTOR:
ADDRTSS:
SEWER: E CFPUA
zone, L ID orfi
D DetGarrSe (sF)_
0 Pool{st)-
Unheated:
NAME:,;
CITY tr)
EMAIL ADDRESS:N€:
PROJECI CONIACT PTRSON:Lr>a PHONE: (
EXISTING CONSTRUCITON: E Alte.atlon @-denovarion F GeneralRepairs
NEW CONSTRUCIION: E Erect New Residence I Additionto Existing Residence E Relocation
. . . PI-EAST CH EO( ANO ANSWER BEI.OW AtI. THAT APPLY TO YOU R PRO' ECT' ' '
a
tr Porch (SF)
! Storage Shed (S
! Other {SF)tr Dect (SF)
ls the proposed work chanting the existinE footprint? X yesv o
IOTAt PROJECT COST (l-ess Lor): S \ \C. DOC;
15 the proposed work changing the number of bedrooms? E yes *K
/ nr-- r.loD
s
c(v- .
ls any Electri.al, Plumbtng or Mechani..l work being done tg the Accessory Structure J", o *o
lf the proiect is a Relo.atlon, is there a Natu.at Li q,r(.
ls there Electrical Power on this Euilding?es
ne on the current site? fl Yes
NO
Prope.ty Use/ Ocaupansyi l-.1 Sl Famlly Oupl€x C Townhouse
Delc,iption of Work:
)_(v)
OISCIAIME* r hereby c€.tify th.t .lt th€ intorm.lion h tiila9Ai.:tion Bcor,e€t and al eort u,,It .ohply wirh the State Blildh8code and aI c$erliws and ordrnances aftl r?Sutatbns tte N8c oewtoPrnent s€w,ael Center wittb€ notified ot anychaq€r in lhe approvcd dans and sDeofior,on!'itolEi Any wort perforftled wttiout ih€ appro!,ri.te permils wifl b€ In violarion o, th€ tlc Srate AU8 Cod. alld ,obj€ct to t1ne5 up ro
Ownei/Contractor: L.l Signatur€:'Licensed Quolilier-,,.
ls the property located in a ftoodplain? :l yes D\i
Existlng lmpe.violsArea: _ .- Sq Ft TotalAcres Disturbed:
New lmpervlous area:
--
5q Ft Erlsttng Land Dinu,bint peimit ! yes D No
WATER: q,ttpuA D Communitysystem E private Well E Centrat We O Agua
tysystem D privateseptic E Centratseptic a Aqua
tJlA 1nx1 xl in (8)d-!fi
( ) { 8FE+2fr= _
Permit Fee:
Approval: _ C,ty
Coftlnent:5trc
)N?- r tl)
I
TOTAL Sq FT UNDER ROO9 Uor proposed wor*) Xeatea: .t r-[lt\
Ciil lnpection kquseo, 9i i|254.41
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NEW HANOVER COUNTY BUILDING PERMIT
APPL, CAIION ryPE; RESIDENTIAL
PI-EASE ANSWER AtL QUESTIONS APPI-ICABLE TO YOUN PRO,'TCT
?ro.led Responslblllv'
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APPLICANTS NAME:L-+.s \
PRO',ECT ADDRESS:
suEDtvtstoN:
CITY
Date
sLOG UCE Hl
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PROPERTY OWNER]S NAME:
OWNER'S ADDRESS:
5 PHONE fl
CONTRACTOR
ADDRESS;
.l
CITY
CITY:l,rl
tMAll- ADORESST U\\E
PROJECT CONTACT PERSON:Lr >rr )PHONE: <trL
EXISTING CONSTRUCTIOIII: D Aheration &denovation E General Repairs
NEW CONSTRUCTION: E Erect New Residence - Addition to ExistinS Residence E Relocation
...PI.fASf CHECl( ANO ANSWTR EELOWALL THAT APPLYTO Y(ruR PRO.I!CT..'
E Att Garage (SF)_
E Sunroom (St) _
E Greenhouse (SF)_
rOTAL PRO.,ECT COST (Less Lot): 5
lfthe proiect is a Relocatlon, is there a Na
ls there Electrical Power on this guilding?
n Det 6a.age {SF)_
tr Pool(sF)
D Decl (Sr)
ne on the current site? E y€5
t{o
I
ves 5,Xo /
the Accessory Structure p/Yes
v*o
l'-, Jfl|l l8 16rB?tln
ct\'
icable Statp and lo(al
rhanSa in.ontrador
m
CNo
/ nr.* ulOD
5
D Porch (SF)
D Storage Sh
tr Other (SF)
ed(
ls the proposed work chansin8 the existing footprint? [ yesV,(o
TOTAI- SQ FT UNDER AOOF Vot ptoposed wotkl xeateo, .l.]ft) unheat€d:
ls the proposed work changing the number of bedrooms? [
ls any Elect ical, ptumblnt or Mechanlcalwork being done to
c
tural sLi
e5
Property Uie/ Occupancyr n tamily Dupbx n Townhouse
Descrlptlon of Wo*r 1
Owner/Contactor:
'Licensed Quolifter"
OlSCl,AliilEB: I her€by certify that attth. intormarion in rhi5appaication is correcr.nd allawsand ordinancesand r€gulations.Ih€ NXC Delelopmcnt ServicesCenter wi be nothformation- ...NOTE:Any work p€lorm.d wiihour the appropriat€ permits s, t be tn
lwo.k srtllcomp, with th€ Stat€ Bulldlng Cod€ and. other
ified ol anych.nS€s in the app.oved ptans and specific.tionsviolarlon ol the Nc state BtdS code and ,ubject to fin€s up to
SiEnaturetLr
ls the property located in a ftoodptain? a y", lV(/
Existlnt lmp€rvlous Area: =- Sq Fl Total Acres Disturbedl
New lmpervious Area: .- sq Ft txinlnt Land Dlsturblng permlti E yes O No
WATER: E/'CFPUA El Community System D private Well D CentralWell fl Aqua
SIWER: ?J CFPUA 0 Commuoity System fl privat€ Septic D CentralSeptic D Aqua
Zone: _ Offl.er: _ Setbacks (Fl _ (txl _ (R8) _ (B)_
App.ovat; _ Crty:
--
Datei _ Flood: (A) _ (V) _ ( ) _ BfE+2rt:Comment;Pcrmlt Fee:
)o
Numb€r
(ottice us€)
t50(
I
Pr$rt$'
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l1 ''+oo I
Application
(ofice use)
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NEW HANOVER COUNW BUILDING PERMIT
APPUAAfl ON TYPE : RESIDEI{TIAL
PI.-EASE ANSWER ALI, QUESTIONS APPLICABII TO YOUR PROIECT
'Prciect ResponsibilM
Alan [laqerAPPUCANTS NAME:Jr,hn
PROJECT ADDRESS:
SUBDtVtStOt{:
Cm: W I
PROPERTY Owl{ER'S NAME:J-al n la r Plror{€r: {l o^5iS -3578
CITY: W, 1^[^'S-n ztP IOWNER'5 AODRESS:n0 <e-
CO TRACTOR:
ADDRESS:4 e-,'
EMAII, ADDRESS:cc e
PROJECT CONTACT PERSON:a)ht a a
E Att Garage (SF)_D Det Garage (SF)
D Sunroom (5F)n Pool(sF)
n Greenhouse (SF) _n Deck (SF)
ls the proposed work changing the existing footprint? n Yes I No
TOTAT SQ FT UNOERROOF (for proposed work) Heated:tlO sq{+Unheated i
TOTAL PROTECT COST (Less Lot): S
aa
BLDG LICENSE S;
.,"1. w)l th(qlon sr m,28? c
a)-
&P'OE q lo*9ls'35'29
PHONE:o -5i5^I
EXEn G COI{SIRUCIION:El Alteration C Renovation. ! General Repairs
r{Ew col{sTRUGfloN: ! Erect New R"riO"n." Ya?fiiifn rot irtine n".rOence I Relocation
**.PI..EASE CIIECX A D A'{SWER BELOW ATI THAT APPTY TO YOUR PROJECT..'
ls the proposed work changing the number of bedrooms? E Yes D No
ls any Electrical, Plumbing or Mechanical work being done to the Accessory
lf the project is a Relocation, is there a Natural Gas Line on the current site?
ls there Electrical Poweronthis Building? E Yes fl No
Propertv Us€/ Occupa nr
,rr"*"r{kr*6
tr Yes El No
E Porch (SF)
E Storage Shed (sF)_
D Other (SF)
*6 all )enalDescription of Work:t aA
v,.*(,)rs A.a6t
l.ws and ordinances and reSulatioos. The NHc Development services centerwillbe notified ofany changes in the approved plans and speaifications orahange in contracto.infonnation. "'NOTE: any wo* performed without the appropriate permits *ill be in vaolation of the NC State BldS Code and subject to finer up to S5OO.OO...
Owner/Contractor:
'Licensed QuoliJier'
Toh n d_l/-sitnatu.e:
ls the property located in a floodptain? D ves El o
E{stlnt lmp€ivious Arca: _ Sq Ft Total Acres Olsturbed:
New lmp€rvious Area:Sq Ft Existing Land Distu.t inS permit: ! ves ! o
WATER: 8l CFPUA tr Community System D private Well n Centralwell ! Aqua
SEWER: fl CFPUA E Community System Et private Septic E Centralseptic E Aqua
Zore: _ Offfcer: _ Serbads (Fl _ (tH) _ (RH) _ (B) _
ADproval: _ Ctry: _ Dare: _ Ftood: (At _ (Vl _ {N) _ BFE+2fr=
C.omment:Permit Fee:s
i o.r, r".nt
lor r'_
P.int Nome
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NEW HANOVER COUNW BUILDING PERMIT
APPLI CAT,ON TYPE RESIDENTIAL
PLEASE ANsWtR ALL QUESTIONS APPI,ICAELE IO YOUR PROJECI
"Project Re5ponsibility''
ol LL
7a* r1/ 7
?n( u' l) *tAPPI-ICANT'S NAME
PROJECT ADDRESS:
SUBDIVISION:
CONTRACTOR
ADDRESS:
t^Date
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LOT H ))t
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PROPERTY OWNER'S NAME:
OWNER'S ADDRESS:
5l \ < ?'^'PHO E#
CITY
ct
PHONE
ll
'-( --- ) .c ,z^IJ
>.1-
L
EMAIL ADDRESS:
PROJECT CONTACI PERSON
! Sunroom (5F)
(2 ,*,7zo - S-4o -J)
)--.^ .-o (.-.^-
D Det Garage (SF)_w66,srt 2)Co
"-5)s^ii:-
/ro
L-J €6-. (.PHONE \
EXISTING CONSTRUCTION: D Alteration E Renovation E General Repairs,/
NEW CONSTRUCTION. ffi.rect New Residence E Addition to Existin8 Residence E Relocation
,a '*,..
fulatt carace ls b cl ((
*PLEASE CHECK AND ANSWER BELOW AtT THAT APPTY TO YOUR PROJECTi'''}
D Storage Shed (5F)_
E 6trre, (sr)tr Greenhouse (SF) _ a DySFI
ls the proposed work changing the existing footprint? trYes fl No
TOTAI- SQ Fr UNDER ROOF Vot ptoposed work)tleated, 2\ 7 3 unheared: 4 17
TOTAT PROJECT COST (Less Lot):5 2Jo <> t:9
lstheproposedworkchangingthenumberof bedrooms? E Yes D No
lsanyElect cal, Plumbing or Mechanical work being done to the Accessory structure ! yes ! 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 Building? D Yes E No
-/Property Use/ Occupancy:L Single Family D Dupler n Townhouse
Description of Work:
29Jfilt 18 t8!iEB
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t.t L,rJ e
t/\<J S) "l<c\(e i cle".Ct
laws and ordinances and re8Ulations. The NHc Development services center will be notified of any changes 1n the approved pl
rnformatron. "'NOTE. Any york performed wlthout the appropriate permhs witt be in viotation of the
o*n"./con.r".,or, \'- - d* t-) € )". Loc ltirnrsur".
'Licensed Quolilier" Print Nome
ls the property located in a floodplain? A y"" W{
nd specifications orchanBe in contracror
Existing lmpervious Area:Ft
NC Stat€ Bld8
Total Acres Disturbed: ;)
New lmpe wious ,r.ea, /L\qFt
werca: D4pua a
sEwERt gdpuA a
Zone: -- Officer:
Approval: _ City:
Comment:
Existing Land Disturbing Permit: ! Yes ! No
Community System D Private Well f] Central Well ! Aqua
Community System D Private Septic ! Centralseptic n Aqua
_ setbacks (F) _ (tH) _ (RH) _ (B) _
_ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft=
74t
Permit Fee: S /(?0
t
n Pool (sF)_
EceLf