)oti.
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1b#
NEW HANOVER COUNTY BUTLDING PERilTT
APPLI(A|Ia rrEr RESfDENTIAL
ffii
PTEAE A'IITER ALL QUESIIOIIS APPI.ICASI€ IO YqJR
APPLTCATIO{
PRO]ECT
tluhbe.
'project Responslblllty"
ipPl"ICil/T ' S iUUE: J.E.EvANs coNs?eucTroN, INc
DATE:01105/20r6
DEVELoPER: N-\
PHO
PRojECT ADO*ESS: 2009 SPI|;l.Ari:3 PI;aa
SUPEIVISI0l,li
q,lER'S itAtlE:
PROPERW
mllR'S
ADOnESST
rslri
ELOCK
E!
PRO'ECT COIITACT
CITY:
r:
$Er cotsTRu(Troft:
..prE 5E CX€C|( AtD
nn cnnact
ALTERATIOIiI
fl rnrcr
A,,ast{ER SEtOra
€H RESTDE cE or
AtI
I
RENOUATION
THAT ApPLY
@:.__
Srr
errrnnl neellns
*:520
PH0|{E
}:
f]
-L, Plur8lll6 or (ECtttI{ICA! {ork 8€ing
REMOI]I,E
199 I i-'e
!
Done
to the
sF
sF
sHED
EXIS?:{G XITCIII:N WlTH
NH.y{
SF
TOTAL AREA SQ
-
accesso.y St.uctu.el
If the project is a Rel.ocation, is the.e a Natural 6as Line on the
Is there Electrical Pol{er on thls Buildlng? @ves fllo
PROPEiW USE / oCCUPA'ICY r
srNcLE FArlrLy I urelex I ro.ruouse
l{NT:
jgLlL
RELocATrc*r
OTHER:
DSSCRIPTI(}I OF
Zrp:
2168
ADOITIO'iI TO EXISTIiIG iESIOENCE
rO YOUi PtorECr
sF Q orr eaaace sr fl eoncr
sr fl srorle:
f| eoor- _
flswnoon
sr f] oecx _
sr
I crermous:
TOTAL SQ FT UltlOER ROOF: Il_
ToTAL HEATED 5Q iT; sa
-sF
IoTAL PRoIECT C0sTtuor-orr: t 20,000.00
* 0F STORIES:
Any E!ECTi!C
g
Plioaa€
f]
Is
2a{as
?: li,{
3I i,1?
PlRSqiJ: :1]KE
I
|
*r
ST: NC ZJP:28,iCS
/1:u:NcTO&..
LICEllSE
BP!\:-
EXISTTM CdI'STRUCTTAN:
NA
LoT
PHCiE
CITY:
PLACE
J.E.E'JANS CO|'IST. INC
8c
TL ADDRESS: jEvA,issR2 eGMAl L. col,,
3!! rtrlgis
II
ZrP
*:
I:::lr.eAN
2009 sP:![ixER
€
CJTY: WlLI'IING:ON
CoNTRACTOR I
ADORESS:
).1 cZ
CAI}TNI]TS
FT:
[t V"t I
[v"r
Na
m
Ilo
Curnent Slte?
ANI ii;PAINT I'AII,S ANfl TAI!'
n-C S:i.JC:'JA:
D(Ulr/lER I n-.n, cnrtt n .t i,rbm!h. n ni. pr&.e. 6 corEcr rn d ro.t $l condl iL'I nr St,E &adog Cod6 ed .l o!.r.. prkaDr€ Slai $o bcal I!'.s
E)d oiihsrclr ,!d llCllarhnt ltr. NHC o!\ltbptul}r lhl.aor C.n:r.l o..olfi.d ot ar, cn!.!.i n no atpD8d 9Ln5
.pqrtcrlons q ch*9s h ca.EcDr o.
c..lr-r,lnbn.ror. "rtlolE: &y
OdNER/Co|iTIACIOR
rs
:
!vo.t
."'.
r.rb6.o vto h! Approtilrt
Ps,miE
w{
r,. n
\.d.lbn
E. EvANs
l
E}, IAPENVIOUS AREA:
HATER:
SEi.lEtr:
pAynErr
' P-2d
AoDroval:
Com€nt:
ff
_SQ
NA
Srca
'r, $d sqrirct D Frcr
cod.
l,
To
tff0.04r"
:
l*al*1**r*tia.r
*
r, ** r***
rr
r4 r
vts
I
*r
r,
Elrc
rT
TOTAL ACRES DISTURAED: XA
EXI5T LA}O DISTURBITIG PERIiIT:
5Q FT
tto
crnur I coinullrY svsrrn ! PRrvarE I/ELL I ceu'rml uell
creur f] CTNTRAL srprrc D pnrvarr strnc f] corrluNlry sysrEr.l
..i SEpAEqTt PErr{ITs iEQUlr€D fon EltCT, rECr{, pLBg, 615 EQUIP, pXtfAsS & tXiERrS r'1
rFrll(x)i f| asx I cx:ot (pAyAsLE To rxcl I usn:or exrness E iclrrs. I orxovtn
a*
zor're
fir Nc sr.3
SIOTATURE
!1'ataa r 4l tr*r*r,rN* *rt 1r*.l}* * a t *aa a*r rrrtl*lr**rla*r.art
n{G pnopEnry locATEo rN rrooorurxr
ves
EXISIIiiG IIiPERYIoUS AiEA;
or
or
trr r.*.4;r.r.tr
rrcrn:
Citv
il,
rrl.aa.i;tttt:.aat*ia*rra
(toi o.Frca uta orLY)
S
ET B,4C
orre : U -?-1i,"
?,h"
\
r*r a++'l s*,*,' ):, *. ttr t!ta.r.a
xsr r: *rr4 r-x:u
FL0O0l
annvrrn
lnr*icn
a
iavlsto 0^rE 64/1!/12
ttl RH:N!F B: iAr
t. 8rE+?ft=
prRrrr
fily
a1rr.
FEE:
Pelil'oct' 9lS25l
'h1-
NEW HANOVER COU r(rv
ffi
ALI
eurLorlrc
IYPE: C0t'lltlERCIAL
APPLICA,TION
PLEASE AISHER
)ei-..i co..s'.!.rct:tr:i
DEVELOPER:
PHONE
1i6 lcck Sr
OCCUpANT/SUSINESS NAI'IE: .ier ]'r::":
CITY:
PROIECT ADORESS:
olflER'S
PROPERW
tlAfiE
O[/NER'S ADDRESS: 115
CoI.ITRACTOR:
r la...id 5e::tic
:i.i
:
de
1
LICENSE
5T: NC ZIP:2,q;l--
PHONE
G
ill2e 3riss.::
PH6NE
(c6.(t alr rha!
NEl,l coNsrRucTro.l:
*:
rarcr
*: ra;-ai,-:-.:jl
6ENERAL REPAIRS
RE TOCATION
IS BLDG SPRINKLERED? I Yes
D*o
f] usr rnacr I
NEr,l STRUCTURE
ST: r*c ZIP: 2a,ial
#: 2'-2-2a.i 6:. al
Apply)
l
I
*:
-:2r,89
CITY: ii: lr:.9--ci
ALTERATION
RENOVATION
lf Relocstion, is there a Natural Gas Line on the Current Site?
Yes
CoNSTRUCTIoN
ln:.:-!..
'd:
oh:rui :de rs ? 5 lraacc. :c:r
PROIECT CONTACT PERSOI{!
ZlPtzt!-a).
PHoNE
CI'rY:
SL
)elchr ac.s:!...r.:rc.
P,3.ine D. silte 2,i5
ADDRESS
t1'r:n:ns:o:1
OATE | _Z-_933:i_
+:9il-3s2-6,;5,
-i:pr::7
ADDRESS: 2a5
ExIST
APPLICATION
Number
(off1.c ure)
QUESIIOIIS APPIICABLE TO YOUR PRO]ECT
"ProJect ResponsibllltY'
APPLICANTTS NAIIE:
EttAIL
@o /63lsG
pERMrr 16-510
sner-l
f]
f]
uerrr
n
mo ro Exrsr
No
srRUcruRE
ACCESSORY STRUCTURE:
this Buildlng E] yes f]
**r** rs rtrs A cHANoE oF occuFAtlcY usrl flves Qro **.*'
IF Yes, wlat was the Pfevlous Occupancy Type, _
What ls the llew Occupancy Type?
If
UPFIT
-
Is Elect
The 5he11 Perrnit #:
DESI6I{ PROFESSIoML: L
E GR DESTG pFOFESSIoML | _:.es
ARCH
DESCRIPTION OF WORK:
Power on
NC REG *:
NC RE6 #:
PHI
t{c Dori.e::
pH:
;cnrre.i::rq space :--!o a brererv
I
ls food or boverag€s pr€pargd or s€rved ln thls stru61ur6?
ves
I lio
ls The Proporty L,ocated tn ThB Roodptain?
OISCLAIMER: I hereby c€rDfy Ihar a l ,nformar,o..n
and locallaws and ord,nanceE and raaula ons. Th€
or chano. in contactor or conlraclo iformsl,on.
Subiectlo Fines Uo To S500.00"'
state 8u
sr
"'
O\INEFyCoNTRACTOR:
SOtfr.I 3tr-o<.
€I)dniJ
(P,ht
TOTAL PROJECT COST: S12., JC!
TOTAL AREA SQ FT :
TOTAL SO FT UNDER ROOF:
:2i.,
I
No
Viol
Slar€ Bldg Code and
SIGNATURE:
BUILDING HEIGHT: 1q
SQ FT PER FLR
# OF STRUCTURES: l
ACRES OISTURBED:
WATER:
SEWER:
yes
N.m)
NEW IMPERVIOUS AREA
usE:
E
nd all other ap plicable State
tld€: D.rnoltoar nodtlca!,on & esb€lto6 land.l 9.mll rppllcs{fis Ere to b. lubmit d l,3kp h. appilc.i{l lorm {
contaln A!b6r6 or nol You €re r€quired lo call tl€ Natonal Emtsaloi Srrnds.& to. Hezedors Air Polln€rt! (NESHAP) a1(
d€rrclidort or arr Ldlty o. tulldinq. 56€ Asb€eroa W6b Sltat fttp:1rv,1^w.rpi.stsl6 nc.Br€pyasb*loslahmp.hunt
PFoPERTY
ruo
SO FT
:.-
h€ fucuy
o. bllldlrE wa. found lo
3l l6ssl 10 days p.i6. lo 6e
# OF UNITS:
# OF STORIES:
f
OF FLOORS
EXST LAND DISTURBING PERMIT?
EXISTING IMPERVIOUS AREA:
florrrce [nesrnunelr [raencLxrrr-e [eouc Depr
-:
YES
I
NO
SO FT
n CONDO OTHEFLare,re r
BCFPUA I:COMMUNTTY SYSTEM E]WELL
flzoNtNc USE CI,ASS|F|CAION:
EICFPUA -CENTRAL SEPTIC E PRIVATE SEP,TIC I]COMMUNITY SYSTEM
_::..::--::::.--._':-...:.,.-:.:-:
PAYMENT METHOD
[casir [caecK
(nAvABLE
ro Nxcy [mlenrcan ExrRESS [lucrrasa
(FOR OFFTCE USE ONLY)
ZONE:_OFFICER:
Approval:_ City:-
DATE:-
SETBACKS:
F:_LH;_
RH:_
f]
REVISEO OATE 4,1
BFE+m=
FLOOD:
PERMIT FEE s
.-'i-,
C
?t
-ila,-1-/L:
'12
B:
N
Comment
orscoveR
\,DQO ' oo
A1trF- MoLF e,.r6Dtl .6
Ft$8" TinaSr 4fboo
&otb*3)tg
?8"(b
NEW HANOVER COT'NTY BUILDTNG PERMIT
applrcafidt rvpr: RESIDENTIAL
PLtAlt
Al"L QL,t5
^xsiTi
r
r.Jt! AFpLI(ABtt tO yqJl
APPLICATIO'I
I,ROIECT
ttul'b€r
"Project Responsiblllt}/,
/rtY,.ne to rte5
APPLICA}II' S NAXE
/C"-/)...-
c,a 5 Y4
DEVELOPER;
PRO]ECT ADORESS:
SUEDI VI
S
] OII
PK(PERTY OgTt]ER'
s
o..iER,
ADOf,
€
P
S
E55;
/C
u/
ADOREsS:
ta
PRO]'CT CO'{TACT PER'oli:
;
EXI5TING CO STRU(rrO
NErJ CONSTRUCTTO
,
CXECX AND
"PIEASE
GARAGE
5fr2
sr
DEr
sF
o"
I
GARA6E
P@L
----..--_
[EMloUS
sF
E
DECI(
J1 )
TOTAL HEATED SQ FT:
TOTAL PROIECT COSTr',*corr
I 5 Any
/
cr
I
:
_--
OCCUPATCY:
--
5F
s
l,lork BeinS Oone
I
5I \(:1E FAI1ILY
I P..los..l
WrO
6.
ilEt{ II?ERVIC{,S
CF
I
T'UA
!
K'-2D
RELocarrori
EXrSTrr,rG RESTDEICE
?QD
"*r,
sr
5F
oTHER;
5F
322{
STORTES:
to the
rorAL
AREA sQ
L
a..r1ssor.y St,.u(ture?
ff
I
rr; 3 7?{
yes
[
E-rfo
cruerrx
No
ves
No
rcur+rouse
c
.
r,
ala t:..
; -.:.,r1ot4
AOpnrDri5t r\.n.E wat th ;
r II A Ft@P r-lrrr IX]
t.D Io 3500
00'..
AREA:
d
frE
vrs
SQ FT
sQ
comuurrv svsrer
I
oorrcrr,
Approval :---Clty:
EXIsT LAttO DISTURBltrtc
IRJVATE wErL
pRrvATE sEprrc
r
\u^l
DATE:
(foR
tzLd>e
TOTAL ACRES DISTUREED:
rr
r***'1rr.rr*rtr**.,r..
:: J!:
f]
6as Ll ne on the Current Slte?
crrrrnrl seorrc f]
.'. s tPAiAr i Di{'.j-s
uR tLECr, XECH,
_ii4Lrr
PAYBEI T ErHoo:
c*,
(PAyarLE
3
6c*e4
ro rtr+c;
F
$t 7/0 167-8;12?
SIGI.IATURE:
EXISTI}IG TEPERVIOUS AREA;
SEWER:
OF
TRACTOR:
T8E PR@ERTY LOCATEO
I'ATER:
,&;;Eb
itkzrP: rg///
E
STORAGE SHED
-."--
h,.rry.!rdr,. nrt 6! '' - rLor r. rr . -s
|d h,!'hrr^4 Ihc \r.4,.i.'.
.-,<-- ....i!itr.*t, ...NoTE:r!,,
n!.rbritnnts^
rS
crrerar. nrnrrns
sF
ttu0
3
n
or{vER/c0
P'IO
sF
DESCRIPTIfl OF IOflX:
ttd l:rrno1,
I
TOTAL 5Q FT UI{oER ROOF:
€LECTPICAL, pluflgDt6 on
PROPERTY USE
rtt
aoorrron ro
'{ECBIflICAL
If the p.oie.t is a Relocation,
is there a Natural
powe.
Is there Elert-ical
on this Buildtng? f] y",
OSCLAAaER
st
A
plo,iE *:
RENovATToH
t{Er{ R€srDEircE
af,tcf
AI5!iER AELolI ALL THAT APPLY TO YOUR PTO]TCT:
suNRoo|t
6R
I alrrna-rrol !
rnrcr
Q
'r'/r
d,{
Zi p,
r! , .r,
E *i lto-1111.8061
LTCENsE
O
6
LOT
CIIY:
ADDREsS I
Arr
f
,J^qhE; tlc
CITY:
':
ITY:
ELOCX
COITRA(iOR:
€ITAI!
C
Ar1
:
D,f:E:3
PHO'IE
a
goz
cr;:.-t
f]
I
cerrnrl
PLB6, GAS agJrP, PFEiAS
flr,rrn:ari
:rsa o.t(w)
F:
rLOOD:
Ff@DZONE
coutnirrv svsrrn
*1r a aat a,:**.rt.
SerarCxS;
wer-r
iO
LH:
:xrnrss
D
*zrrso
t *, i,*ra . . r...,
ALt7'
RH:
jl_
' ' '*
OISCOVER
r
i.: s.rt* *
REVttao DATI gal11/
r
l
B:
BFE+2ft=
\
i.l
Htorr
.2ot
NEW HANOVER COUNTY BUTLDING PERI4IT
AwLItATtaN ryrf r R;SIDENTTAL
?LEA5a AlsiEi alt ql€sTloats AepLtc.cBtt 10 your pAolEct
"Froject ReJponsibiltty-
h
CE
APPLICAI?'5
T{A'4'
* t*
ti,re,
I
a*
.$t> t -JT*
U-.
4JI
'IDDSESSI
PROIECT COI{TACT PERSotll
EXISTIIG
E14
Cotistiltcrm ,
S
f, rnrCt
COI{5TRL}C'rO[:
..PtEAsl alltcx AllD ,lls!,!i
I
rr:'
I
cnrruorsr
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Pt{o{r
nrHovarrol
!lEl,{ RESIDET{CE
8f l"Ol,
51r
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I
ArrERArroN
o" I
Ieerrru
noo::toN
TO
fi
neen:es
EXISTritc
*r -n !,o
RelocArror,l
Aptly
RESIDENCE
TO yq.,a
sF ]
sr I sromcr sqE,
D eool
sr $ orcr-.-.
312- 5e orHER: _ *-,
ernnee
suNnmu
Laer3B€s
,ntt€CT:
Kt ^ ^ _t
orr eanner
sr $eoncr iS Ja -r,
THA,
_sF
TorAL sQ FT uNDEn \ool: 4\?
TOTAT HEA'ID 5Q T? ; ,,. e
zrTOTAL PRO]ECT TOST tLo'tou: $ &):l*"w<,
* OF STORIES:
f]
f:
!B; :rp, ;ag.48 o
Pl0{E *: qIc 5-<u- _t r-:rr r
acco${r
CITYI
eL.
9s-r
+
33*
q
I:
LICEI']SE
ADOf;Ess r
z\zzlt
*: c\\ o S3ra - ?365
,./ C
z:r: Z fl t-\5 5
IOl il
Pl$ttf f: qlo Z6q- 4 \i6<-l
5T:l.r( ZTP: L{1\O<-
*:
r{1{
rt) qr.-t'' 't'-
co$ri4cron
€T'AIL
ttulllb€r
(Of"fi.. r,!.)
0a'!-r:
BLaCX
a*U<<r
&ftER'S UEt[ i
C,*I,IER,s ADDR€sS:
A9'LT'ATIcii]
Pl&nlE
PiolEct a00nE55:
stiBollrtsls{: U^
PROFENTY
It, -?"{{2
tcrtxgirr
DEVELOFSI:
b-?177
sr
sr
2.a7
ToTAt ARIA sq Fr:
ttrrrnlcrt 9lUtA$,6 or taHlt{ICAL !.Jork Selnt Oone to the A<(essory St.ucture } Xn Yes
let
D,ro
i5 a Relocatjon, is theae a Naturrl. &s Ljne ci the Cur.ent S ite ?
If the
L.j Yes Ll
Is the.e Ele.t ricrL Po$er on thls Butldingt qy!5 DNo
I5
PioPfRw usr /
0ESCnIPTISI Of
&c!-n.n!,
o|SCLA1U€R I
a.d or, in.n..3
\_
OCCUPaICv
hOtrX
:
Y
i
I
] SINGTE FAI,IILY
*a
<.,risli
ourlex
tr T0[
I
oc*db
r..,,*"
c.a, !r, !t t&f.idon in .rptt.lon b to6.t ,nd 3u ln.l wit cofloly *;a l! Suro 8!i6ioC
'lii I Sr.rt.! ct.€. yit !€ no{Faa ol 8ny cn&Oo! n tle .!p,!rr,
&r, .rgvraione. The NriC DG\rlop,nei
ylor*
c6nrsct$ inbfi!!{on.
'-il0-tE lry
O!.'NE*/CO TRACTOB:
P..lo6€d
WiO $0
aDr..ti.g Pe6& *tr bt b v,o bl,on
TiSo- 6u-'
I
SIG
No
1fl
.trx -z
r_l
<lr\a5
.nd al otar
$)
qokal,. stlb
o, ln6 Nc
tf-
ATURE:
......,,*.r......*r,..,.",,.(:l*J:1"1
f yrs &.no
ExISTIllG I|IPERVIoI S AREA: _SQ
FT
rOrll iC* [5 DISIUiBED:
El'' l'itFEdvrous anEA!
sQ FT
rxrsr IAND DrsluiBr[c p€Rxrl: ff
[lrra: fi crrul fJ coh]vllJ rry svsrer.r I pRwarE l.lf[L f, c:lrnal uelr"
5EHER: iLj CrRA LJ CEN'IRAL SEpTIC LJ pRrvATE Srr-:c
ry
I
rs
yH€ pRopERTy LocarEs rN
a rlooorurrul
coi,u4uN]
,..
*Y
r,(.rr** Irir
(roa
fr-i'f
orr:ce*,
Approvrl:- City ;zo*r'
n
I
rr ar {ra *}.r,
lattct
uta
lnl
SETBACK9T F:
DAT!
3 ?3.1h
rrcco'
}
uo
sYsTEH
SfPAiATg PERNITS REqUIRED roe €tEcl, r1:cg, pt 56, 6A5 tQUIp
PAY'.IElII tlt]t10D:
casn
cllE(x (PAYABL' r0 !JH()
orlr accolr
fi
vrs l-']
.
pnEraBs
E"^
+r*x**ri * ..*r.**ra
&
lilstxYs.'.
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SA
i+art *a
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'lr
rr....1
}c ,.n,ln' o,rb]- ,,CS ilrrD
*
Cornert:
o*' e'll:/:r
8FE+2ft=
PENBIT TTE: 9
fitui
\nrl n$ps*fun kqur*':,
I
t&
&o rb- 3t19
16- 60 6
NEW HANOVER COUNTY BUILDING PERMIT
rYPe: RESIDENTIAL
APPLICATION
APPLICATION
Number
PLEASE ANSWER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project
APPLICANT'S NAflE:
-.:.
r,
ibility"
Res pons
(office
,r",r
DATE: )i26,ii5
PHONE
DEVELOPER:
PROIECT ADDRESS:
s UBDIVISION: The
PROPERTY
103! Bent Blade Ln
averlook at Midcle soun.l
CITY:
l^i
BLOCK
I il :icr..,cn l nc
Belle rerre B1,.-,1
i
LOT #: :tr_
*:
R
PHONE
uorron
A LT
E
LICENSE
RATION
R
ST:
j!_
zIP :
:j:2
PHoNE
#: 91a-821-8556
PHONE
#: 9ir.-5rl1
PAIRS
RE
#:
RE LOCAT
,,18.1
ION
ADDITION TO EXISTING RESIDENCE
ERECT NEW RESIDENCE oT
NEW CONSTRUCTION:
GENERAL
ENOVATION
)841,7
#: t4l r5l 84!a
sT: j!_ zIP: 295-r9
ACCOUNT
ilaniel:l
PROIECT CONTACT PERSON: t,trltraeL
EXISTING CONSTRUCTION:
Beach
#: / ,r r'l
Myrtle
Beach
CITY:
Inc
ADDRESS: 4cli Bette Terre Blvd
Efi,lAIL ADDRESS: I4rdanietsGdrhorron. ccm
CoNTRACTOR: D
rt Ie
CITY:
#:
zIP
I I riirl.1t on
O NER'S tlAItlE:
otdNER'S ADDRESS: 401-l
Use)
*,*PLEASE CHECK ANO ANSWER EELOln ALL THAT APPLY TO YOUR PRO]ECT:
46'
ATT GARAGE
!
!
surunoom
_
cn e eruHous
r
SF
STORAGE SHED
SF
SF
DECK
OTHER: .6
:.-.
TOTAL SQ FT UNDER ROOF:
:
#
$ 139000
5F
SF
r
-_SF
-
FT::ers
SQ
PORCH
sF
POOL
TOTAL PROIECT COSTrr"""roo
If
Is
oer cannce
sF
TOTAL HEATED
Is
!
SF
TOTAL AREA SQ
OF STORIES:
FT: .,]..-
2
or FIECHANICAL t^Jonk Being Done to the Accessory Structure? I y"r
the pnoject is a Relocation, is thene a Natural Gas Line on the Current site I I ves
there Electnical Power on this Building? nYes I No
Any ELECTRICAL,
PROPERTY USE
/
E
PLUMBING
SINGLE FAMILY
OCCUPANCY:
DESCRIPTION OF WORK:
a^d o.din ances and reg! lalion
s The
!
DUP LEX
No
I
No
rowrunouse
:rrri,ll! rrnrr-I uc:ii,l.: i r:rl
NH
he appro ved plan s and specifrcalions or change in con tracb r or
in Violalion of lhe NC StaE Bldg Code and Subjecl lo Fines Up To $500 00"'
C Developmen t Se Nices Cen Er will be notified of any changes in
conracbr intormaton "'NOTE:Any Work Performed W/O he Appropriat€ Pemits willbe
OWNER/CONTRACTOR: Michae L Daniels / D. Fr.
(Print Name)
H.rton
rnc.
SIGNATURE:
****r:*++++*+:+**ir*******,*,t,t*,**r.r.,t,t++,*++,t++***+++++++:i*i.,**:i:i:ir.************)t***)t)i)i+***r(*)t)t*
IS
THE PROPERTY LOCATED
IN A
EXISTING IMPERVIOUS AREA:
NEW II..IPERVIOUS
CF PUA
COIIMUNITY SYSTET1
SEI,JER:
CF PUA
-SQ
CENTRAL
SEPTIC
i.*I,
*
***
EXIST LAND DISTURBING PERMIT:
SQ FT
AREA: tr435
PRIVATE
PRIVATE
SE
WE
METHOD:
ICASn ICneCK
1r+itl. ***r(,1.++
+
*** **
***
PTIC
r* r* + rt
ITY
F:-
I
NO
SYSTEI"I
&
IIISERTS
AccouNT r.rclvrsl I
x x
vrs
nrur wrrr
PLBG, 6A5 EQIJIP, PREFABS
BrLL
l-l
*
x
*
x x )k,*
x,**x ****
1.1.
***
orscoven
* l. r.l. r. ***:k,t,* * r. r.,*
ONLY)
SETBACKS:
DATE:_
ce
COI4I4UN
T
(PAYABLE TO NHC)
*,*,*,t *,*,*,} +,t,t + +** **
**
(fOR OFFICE UsE
oF FICE R:
ZoNE:
Appnoval:_
City:_
!
LL
SEPARATE PERMITS REQUIRED FOR ELECT, I,!ECH,
r. i. {: + +1rir
ruo
TOTAL ACRES DISTURBED: ,25
FT
WATER:
pAYMENT
flvrs El
FLOODPLAIN?
SEVI5ED DAIE
LH:-
RH:-
B:BFE+2ftF
FLOOD
N
94l1|l12
fl ru-rr
RECEIVED HAROOTOS
0 uvt{
03/1H3ru
lc-
\aun-3tsS
ir
NEId HANOVER COUNTY BUILDING PERMIT
APPLT0AIToTI
&
PI"EA5E PRIN1 CLTANTY
T'S
APPLICA
/
II.PEI SIGIIS
llumber
(offlce ui.)
ANSX]ER ALL QUESTIONS
Responslbr,llty"
^dPr^oJect
tlht
",,1;+
frlt;^^,,- /,
tlAttG:
DEVELOPEnf
PRO'ECT ADDf,ESS:
DATE
I
FHOiIE +..
zIP:8f,qd/
CITVI
/r"-t-*
0ccuPANT/BrrSlt'rEss AlrE:
NAMEI 41lio-- r*- c/,t*t
pnopERrv o,{NER,s
- At('T
OL0aER'S ADoRESS:
/?EJ+'
coITRACTOfl:
-utt.*ctttt
L.J,l,ti,$1*,--
PHONE
LICENSE
CITY
ADDXESS I
#:
srthc2TPt;fufr!_d I
*:
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:
n^An
ElitAIL ADDRESSl
0
--
Otlll
ltl-17?-t
s1.:n-- il:,vt
PHOiIE
$i
PHO E S!
P{OJECT CONTACT PERSONt
DE5CRIPTION oF
APPLICATIOI{
BXLLBOARDS
I
-./.
ffenrcr
UonKi
(CHECX ALL THAT APPLY)
neelrn ! euwoe f] cnmrce our
I,!t,t.-w
'a4<Jt,- orw.,*i
alrrn
Or-
,S
ffou I
rs srcN(s) or on oFF pRElrsEs?
t{yt-..,. _-
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ond 0dJlnanc.. .fi| ngula onr, Th. Nl.lc Dovolopoant t a.vl... Contor wlll b€ nolmsd c, erry dung€! ln tha 6Dp@vad plsn. atd ap€Clloa[ona or chrngE ln pqltraolo. o.
conlraotor ln16nhi1loh. "'floTgr Ahy work Pdrlamsd WO $lc l+Froplalc Ftrmllg M1 bo h Molrtoo ol lhtr NC St !a
Cods !flal Sub).01 lo Fh o! Up To 1500.00'
"
SIGNATURE:
TRACTOR
OI^INER
(P.lnt
Nsil5)
***r.* ***+ ** l.* ir+ + +*4 *t* +*l+++t* *** *** ****
TYPE
*t * t*** * *,t,r**+* * *
*+*1+* |* t*,1I*li,l
li,lr a
*
**ii****A
0F SrGil(S)
ffrnresralorruc (6round)
! srrruere
h,,
sISl 1 tlelght:
sI6N 2
3
SI6N 4
SIGN
slgn
Slrn
HeiEhE:
Helsht:
Helghtr
zoNE:
of
Dlmenslons
0nnv,nt
'E9rld
Slgns on thi.s ProJect:
t 3l
Dlmenslons:
IS
cl.t v
\g ',^
H
OTHER
I
. of srsn: +h17'(
x
TotaL
X
Total SQ. FT. of Sltn;
Total sQ.FT. of Sign:
T6tal So. Fr. of slcnl
X
X
--
THE PROPERTY LOCATED IN
ELEcr,
{st''-'f,
RCOF
-
EGfl, PLBG, qqgr
sQ. FT
A FLOEPLAIil?
E Yes V*
nsrpftufi[hAggqrigS6ef3
*r;]+'urut:
arrnrcm rxnness El wlvr*
f] orscwer
+**+ t+ t*, *1. 'ir. * {rr. + {.,trt *** +{** 'r***4'll,t+++4* * ** a* * t* 'r..* * i rr+rr a* ri * 'l' t*
(F6 OfFICE USE
8E',1S80. DIIE r/ a6lL7
SETBACKS: F ft1.rH, lti Ann ,lJrA e, dn4
X sre*:ft=
onre;I*LLk- rlooo:
El casn ftcn:cr
oFFrcER
Approval./a
hN'J
*l|rtt t* r tll *a l.* **
q1!:L
Comment:
Number
sEpAiarE pEFmrs REQ|TRED Fm
FA\flEff hErHoD;
+tr * lt
r,tanque
Slen Dlmenslons:
SlSh Dlnenslansl
TOTAL PROJECT COSTI S
..'
e tr PRO]ECIION
!
l_l narr"
fl
CANOPV
Total
t
*4
,^rgv.u
(F^yAsLE
ro
Nnc) f]
ltha, {dt-, cNnl--35sf r.
^a.pJnr,ur
rre,
,0-ao"-
NV ?0: Z0 9I0e'60'rq^I
' RECEIVED MAR24Wb
A'+L
AaW
, 'a,r\r
ItEI^I BAI{CVEF. COUITI'IY BU:LDEI{€ PERTI4TT
PLEA]sE
riPPtjc{lE(ru iYPs: RESIDESITIAiAH$EN ALL QUESTIOT*S A9PLIEABLE TO YIJi
'Ppoject
Respons
Cor..\\^-a-
APPLSCANT's i{AT4E:
{
-btt 7
APPLSCAT!6[
PtrO]ECI
t{unber
(Oftise Use)
!"bl.littP
L
DATE;
DEV€LOPER:
P.U.oNE
*:
-<*A(t-lt
PRO]ES': ADDRISS:
gjsDrlrgs3oi! !
Ll
OI{NER,S ADDxESS:
:
EI4A3L ADDRESS
".rl.-s
3
EsTTNG C0i\'t5iBufi!ni{:
NEII COT,ISTRUfi:OI'II
CCPLEASE
[nrr
I
E
I
PlioNE
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T0TA:FT L1DER ROoF: _
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-sF
pROiEL'!
TOTAL
tOS?
ror) : $ )Srec.e
S 0F
:
rs any ELEc?RicaL, purr48lN6 op FlEct{Axrcal trork Being
to the accessory structuru?
SC_
g.e!s
STC;.5 ES
ffi vu, E
[-,".
Done
If
fs
the project is a Relocation, is there E NatupeL 6as Line on the Current srt=:
thepe ElectpiceL Por.re. on
PEOPERTY
USr
/
OCCtrtgIrtC.,':
I
this
aui!.ding!
Sf
EF mrv
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)
E
DESCRIPTI0'{ OF h!0Rt(:
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a^d !n r,6ru wilr .@! y rrlh ara stol! B{ndhg C.d. lnd .! oher
.pplEaUg sraE Erd toqal Ews
ces aod r€golafsos.The NHC DevElopmont *aAtuii.. CEnEr \.rin be noffod o,
any ch.ne.s h ln. arproved phns rnd srecifia,ltons
or aiEnge h om.acbf ot
coieacbr inbrmeton. "}'IOTE: Aoy
$lr0 the ADsropdaE P.mlsei br b VoEnon ot gig {C Sllr3
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fii-creua
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AREA:
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'Al',TqEfli
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(pa1,a,rE
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SEIBACKS: Fi
(FOq
OFFICER:
ZONE:
Appno\r51i- City..._
-_
Cosunerrt
DArE._
FLOODi
LH
_
A
:
RH:_
swt5EO OiTE sal11/12
B:
BFE+lft=
V11
tlERl{ii
EEEr
.
.r$
RETEIVED
4 MS
t{AR 2
Aoto-iu{
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NEld FI.ANGVER CSUNIF{ BUTLDTNG PER$'ITT
APpLIcA'ilU{ iyPs: !iESI DEII! TEAL
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&DPLICANTJ
5
Nurober
"FroJect Responsll!.!.itl,
(ofrlce
NAJ4E :
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pHoNE {.i:
DEVELOPER:
PROJEGT ADDBESS;
Uso)
r 3-aq-lt
c!14:
suBDrvisSoN:
PROPERTY
APPLTCATION
pnolEcI
PLEASE AflStCEi ALL qUESEoN:i AppLiCABLE TO yoUR
SLOCr
P
O$NER's NAi{E I
PHOI'IE ;+:
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PHON!
PRoSECT C0 TACT PERSoi'l:
flESTSNG CONS?RUCIItN:
*:
LOT
.)-
oao
OIINER,S ADDRESS:
af
f:
{rr
9ro /. /Q {7?O
RELOCATIOiI
AOOUT:OiU TO A-\EsTING TIESIDEIIJEE
YOUR 9ROsEETI
sF f] orr
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sF I lPoRcH
sF
rSqu?
i=l-poo
f]
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I--l eneeuro.tsE sF
orcx
sr
I
IOTAL HEATED SQ F?:
TETA:.-...sG .!? U$DER RoOF:
T0i5.L .q.q,E* so Fr:
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ro0 t I IL sc.,_t
$ tF STC-i1IES:
[nrr
eaaaae
_
6IiRA.GE
suiunoo,
cE
OTHE R
COS? cals
Is
Any ELECTIIICAL, PUrr.BtNg oF i{EC
AT
XCAL
tort( Belng
Done
to the
Accessor.y Struc,(ure?
j.s there a itaturaL 6as Li,ne on the
3+ the project is e Relocation,
polreF
fs thepe Electrical
on this Bui!.dlng? iEt", E iuo
PROPEniY UsE
/
DESCR!PE0i' OF
[I6LE FAiGLY '
OCCI.JP,qNS.':
fl
ouelsx
ffi_Ves
fi
currerrutit fi,rl
TOI,IirH0usE
nO
[
ruo
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r{ORr(;
.nd
.[ o,lir
arpttsaiE SttE alto tocd taws
specihlions or dBng€ h cDntrlcbfor
OIINEiT/CONfRAC?OR
IS
(h ro S5OO.00i.'
:
5i6i,i4?uEE
THE PRopERTtj LoCAiED
lir A E!.ooDplArir?
EiSSTTNC EI4PERVXOUF ARE:E;
F?
IIqPE .xqJS ARE'.I
s0 ;?
ITEI.J
uaTER:
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cor,otuurw
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=
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EvGsr LANo DisruRBrruc
pRivArE erELL
pKrvATE
sEprrc
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cojlrl,ruruiry svsrEr4
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