JULY 12 2015 BUILDING APPS0 ) ,6,i\
' tt!
NEId HANOVER COUNTY BUI LDING
lot{'QIJ-f
PERMIT 15-L672
APPLICATION TYPE : COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Uh1, Inc
CITY: wit-minqron
NAIIIE: A11 Celtutar Solutions
GorilIa, LLC
Militarv Cutoff Ste 204CITY: wilminston
LICENSE #i 62082 ACCOUNT #:
CITY: wilminqr-on
APPLICATION
Number
(Office Use)
DATET_W_APPLICANT'S NAME:
DEVELOPER: na
PROIECT ADDRESS: 5216 Carolina Beach Rd.
Unit 5
PHONE #: ero-753-6588
ZTPi 284t2
PHONE #: s4o-4500
ST: Nc ZIPi 28la3
ST:
NC ZTP2 28406
PHONE #:910-763-5688
PHONE #:910-231-1806
occuPANT/BUSTNESS
PROPERTY OWNER,S
OWNER,S ADDRESS:
NAME:
1508
CONTRACTOR: uht, rnc.
ADDRESS: P .
o. Box 444 1
EMAIL ADDRESSI
uciGer:. rr. com
PROIECT CONTACT PERSON: cres uhf
(Check A11 Ihat Apply)
EXrST CONSTRUCTTOTU:
I ALTERATTON
! neruOVarrOn
! eeruennl
lf
Relocation, is there a Natural Gas Line on the Current Site? ffi Y"i[ ruo
REPATRS
! nrlOCArrOU
lS BLDG SPRINKLERED?
n Yes
ffi ruo
N h NEW coNsrRucrroN:
I rnecr NEhr srRUcruRE
f] FAsr rRAcK
! snrr-r-
! uerrr
! aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
o)\s
3N
ol\)
2
s
If UPFIT
- The Shelt Permit #:Is Elect Power on this Building ffi ves il tO
oF occuPANcY usE?
[ves flNo *****
What is the New OccupancyType?
PH: 815-0019
PH:
NC REG #: 2683
NC REG #:
DESCRIPTION OF WORK: Remove int. wafls, modify
ceiling qrid, complete trim out for retail store.
ts food or beverages prepared or served in this structureZ
Ives El*o ls The Property Located ln The FloodplainZ
fl ves
El r.ro
DISCI-AIMER: I hereby certify that
all information in this application is correct and all work will comply with the State Building Code and all other applicable State
and local laws and ord'inances and requlatiojl.$+he-MC Development Services Center will be notified of any changes in thgalrproved plang and specifications
or change in contractor or contractor lhfqnfi-ation. ."'UOTE:An[Work Performed WO the Appropriate Permits will 5e in Vplatiln of the NC State Bldg Code andor chanoe in contractor or contractor
Subject-to Fines Up To $50Q.00".
ment Services Center will be notifi6d of any changes in
ork Performed WO the Appropriate Permits will be in \
pRopERTyUSE: EoFHcE f]RESTAUMNT
[uencnNnLE EEDuc [eer [coruoo orHER:
PAYMENTMETHOD:
ffiCnSn ftCnecr(PAYABLEToNHC) fierr-lAccouNr [!]ucnnsn Ioscoven
WATER: EcFPUA fICOMMUNIWSYSTEM f]wELL _EZONINGUSECLASSIFICATION:
SEWER:
frcreun fr cenrnnlSEpTtc fle-nvnreSEPTlc fIcoMMUNITYSYSTEM
*" SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *'
(FOR OFFICE USE ONLY)
ZONE:OFFICER:SETBACKS: F:-LH:- RH:- B:-
Approval:- City:-DATE:- FLOOD: A v
BFE+2ft=
IF Yes, nthat
ARCH DESIGN
ENGR DESIGNPROFESSIOML:
***** IS THIS A CHANGE
was the Previous Occupancy Type?
PROFESSIOML:
liarren WiLson
SIGNATURE:
(Qualmer)
Note: Demolition notifications &using the
contain Asbestos or not. You are r€quired to for Hazardous Air Pollutants
emolition of any facility or building. See Asbestos Web Site: http:/ ,yww.epi.state.nc.us/epi/asbestos/ahmp.htrnl
TOTAL PROJECT COST: .945,000 BUILDING HEIGHT: n
TOTAL AREA SQ FT : -1.&.!.SQ FT PER FLR: 7. 3so
TOTALSQFTUNDERROOF: 7,
350 #OFSTRUCTURES: T
tate
whether the facility or building was found to
at least 10 days prior to the
# OF UNITS:
# OF STORIES:
r
#OFFLOORS: r
SO FT
ACRES DISTURBED:-L
NEW IMPERVIOUS AREA:
EXST LAND DTSTURBING PERMIT?
fl VrS
il *O
SQ FT EXISTING IMPERVIOUS AREA:
REVISED OATE 4111112
Comment PERMIT FEE: $
5qt
NEW HANOVER COUNTY BUILDING PERMIT
PPLICATTON TYPE: RESIDENTIAL
PLEASE AI'ISI{ER ALL O,,ESTIONS APPLICABLE TO YO{JR PRO]ECT
-Project Responsibility"
l{AltE: Eston Blinkrey
spling Cleek Lane
CITY: wi.Lnington
SUBDMSIOITI: spring Cree k BLOCK S:
frz sttbb
Jole -Q^sl
APPLICATIOII
Number
(Offlce Use)
DATE: 6/ 3A
/15
PHo E
f: 91a.29'7 .1,459
ZI,P, 2o4rl
LOT #:
PlOl,lE #: 910.612.1521
CITY:
.:l}}gg!9!_ Sr: Nc ZIP: 28411
sr:gzIP: ZlLlll_
*i 910.29't -1459
*: 914.291 .1459
PROPERW O{IIIER, S
O {ER,S ADORESS:
MllE: Ronald & Yvonne Rumple
158 spinq creek talre
CoNTRACTOR: Eston Brinkley LICENSE *: 6s03s
ADDRESS: PoBox 10082
CITY: 'lilningtonEIiiAIL ADDRESS: PHOiIE
PROIECT CoI'ITACT PERSolil: Eston Brinkley PHO{E
I sulnoom
-
sF
! cne rluu.rse
-
sFSF OTHE R:
-sF
SF
TOTAL HEATEO 5Q FT:TOTAL SQFT UiIDER ROOF: 328
TOTAL AREA SQ FT:
TOTAL PROIECT COSTtT-"a'r-or : $ gd,!!-# OF STORIES: 2
rs Any ELEGTRTCAL, PLunBrI{G or IiEcMNIcAL },lork Belng Done to the accessory structure?
[ Ves
fi
If the project
ls a Relocation, ls there a Natural Gas Line on the current Site?
fl ves
Is thene
Electrtcal Powen on
this Building?
lilYet l-l ruo
pRopERTy rrsE
/ occupANcy t @ srue le rar'rr r-v
f! ouer-ex
! ro.,NHousE
DE5CRIPTIoi{ 0F lioiK: rye ar.e bui.ldinq 4 12L!9 flont porcE !9o! oye! an e{!s!i!q slab Clq C 1q!!Iq
No
ElHo
EXrSTr
6 CO STTCTrON:
I AlrrmrrOr
! nrNOvarrOH
I eeHenal neearns
fl RELocArroN
NElr cor{srRucrror:
[ :nrcr r{Ehr REsrDEl{cE o"
I aoorrroN To ExrsTrNG RESTDENCE
**PLEASE CHECK AI{D AI{ShIER BELOIdALL THAT APPLY TO Yq,lR PRO]ECT:
! rrr crucr SF
I oer eamer sr @ eoncH 328 sF
I eoor-
-
sF
I sronaer sneo
! orcr
back porch xoof over an existing deck
DISCLAIMER: lhe6by ceniry hd afl inirmation in hls applicaton is conect ad dl work will clmply wl'l ha Stab ariuing Code and all ohEr +plicable Stat dd bcd larr,s
and ordinances and Egulalions. Th6 NHC Devolopment S6rvices Cenbr will b€ nolif€d of any changes in
he approvad plan6 dld 6pecifcat'ons or changs in
contracbr or
contrabr inlcrmatbn. '.tlOTEr Any Work P6.blm6d w/O fle AppropriaE Pemitswllb6 in Vaolalion of the NC SlaE Edg Cod. ard slrbiect D Fines Up To
$500.00"'
om{ER/co1{rRAcroe e<k* B:fu.r,h/,, u STGMTURE: {k 79,/-4
**** **.* *!r*,r,r*** ******* * * ** *(l l'I I,lil** * *** * * * * * + +,i ,r,i )r:r )*,*:r r. :r.
'*
* *** ***** ***,*
'*
* ,r
*:i,r * ,r,i * r. *,i,r.* **
rs rHE pRopERTy LocATED rt{ A FLooDpLArrr
l-l ves M}
EXISTI]S IiPERWOI'S AREA:
NEtrt $tPERVIolrS AREA 3
TOTAL ACRES DISTURBED:
EXrST LA,{D DrSTURErI{G pERr{rT: fi VeS
E iO
SQ FT
5Q FT
r{ArER:
! creur
f} cou.4uNrry svsrem
I pRrvArE WELL
! cerurnal uer-l
sEUER:
fl crnua
! CENTML
sEprrc
[l enrvare seerrc
fl coMMUNrry sYsrEM
ti,* SEPARATE PER',IITS REQIJIRED FOR ELECT, I.!ECH, PLBG, GAS EQIJIP, PREFABS & INSERTS ***
pay',lEtrT
r,lErroD:
I casx
I cr:cx (pavABLE
ro nncl flmrnrcAt{ ExPREss
E nclvrsl ! orscoven
**** *+ + *r****:t+ *:t** *** )i+**
****++***** 'l*** 'r'r.:r* *** +* ++ * *** *** t,it +)t**:t ***+**+ ***t t****t$* **
zol'lE:
_ 0F FICER:
Approval:_ City:
(FOR OFFICE USE flI.Y)
SETBACKS: F:
REVISEO DATE O4l11/12
LH: RH: B:
DATE:FLOOD:BFE+2n=67-t
Aots-6tU1
15- L7
62NEW HANOVER
COUNTY BUTLDING PERMIT
APPLICATION TYPE
: RESIDENTIAL
PLEASE ANSWER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Tongue and Groove, LLC
PROIECT ADDRESS: 8019 BaId Easle Lane
CITY: wilmington, NC
SUBDIVISION:BLOCK #:
APPLICATION
Number
(Office Use)
DATEI---@APPLTCANT'S NAlylE:
DEVELOPER:PHONE #: 910-264-3251
ZIPi 2847r
Joe Newcomb
LOT #:
PHONE
#:PROPERTY OWNER'S NAIIlE:
Ol',lNER'S ADDRESS: 8019
CITY: WilmingtonBald Eagle Lane
CONTRACTOR: Tongue
and
Groove, LLC
ADDRESS: 6331 Oteander Drive
EilAIL ADDRESS
! billuatongue-and-groove. com
LICENSE #: 54432
ST: NC ZIP:284L1
ST: NC ZTPz 28403
#. 9to-264-3251
(fJ|; wiLminqton
PHONE
PROIECT CONTACT PERSON: Bil-l de Brurn PHONE *i 910-264-3251
ExrsTrNG coNsTRUcTroN:
I ALTERATToN
I nrruovnrroru
[ crrurnnl REPATRS
! nrlocnrroru
NEhl CoNSTRUCTION:
! enrCr NEkt RESIDENCE or ! nOOrrrON TO EXISTING RESIDENCE
,}*PLEASE CHECKAND ANSWER BELOW
-SF
ALL THAT APPLY TO YOUR PRO]ECT:
! oer GARAGE
_ sF
! eoor-
_ sF
@ orcr 6n 5p
f] eoncH
-
sF
! sronacE sHED
OTHER:
SF
SF
NO
NEI,{ IMPERVIOUS AREA: O
sQ FT
TOTAL ACRES
DISTURBED: 0.014
EXI5T LAND DISTURBING
PERMIT:
[-1 YTS
[T] IVO
wATER,
! creua
[] coul,rururry
sysrEM
! enrvnrr wrll ! cerurnnL tntELL
sEWER:
! creun
! crrurnnL sEprrc @ enrvnrE
sEprrc
! coNr"rururry sysrEM
'r"r"' SEPARATE PERMTTS REQUTRED FOR
ELECT,
'I1ECH,
PLBG, GAS EQUrp, PREFABS
& TNSERTS {"r.:*
! cnsx
il cxecr (eAvABLE
ro NHc)
ffi ru'renrcaN ExpREss
fl ,cTvrsa
fl orscovenPAYII,IENT METHOD:
tx******************************************.***********,***xr.*******:r,t r(xx***********,F*****
ZONE:OF FICE R:
(FOR OFFICE USE ONLY)
SETBACKS: F:- LH:
REVISED DAIE
04/71/72
!nrr GARAGE
I surunoou
_sF
f]cnrrruHouse SF
TOTAL HEATED
SQ FT: o
TOTAL SQFT UNDER ROOF: O
TOTAL AREA
SQ FT: 6tj
TOTAL PROIECT COSTlresst-ot;
! $ ss,ooo
# OF STORIES:
Is Any ELECTRfCAL, PLUMBING
or I'IECHANICAL Work
Being Done to the Accessory Stnucture?
fl V"t E ruo
If the project
is a Relocation,
is thene
a Natunal Gas Line on the Current
Sitel fi ves E] ruo
Is thene Electrical Powen
on this Building?
[Ilyes E *o
pRopERTy usE
/ occupANCy:
@ srr,rcr-e FAMTLY
! ouer-ex
f] rowruHouse
DESCRIPTION
OF WORK: Redo
an existing co4qICte patio, add a wood
drip through deck and hot tub.
(There
wilf be no new additional- impervj-ous
area- new deck j-s "drip-through".)
and ordinances and regulations. The NHC Development Services Center will be notified of any changes in he approved plans and specifications or change in contractor or
contactlr informaton. *..NOTE: Any Work Performed W/O he AppropriaE Permits will be in
Violation of the NC StaE Bldg Code and Subject to Fines Up To $500.00'.-
OWNER/CONTRACTOR: Birl de Bruin SIGNATURE : Mrt:=-
(Print Name)i(*************,k*****************************************************************1.,*t *****
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
I-'] YTS
EXISTING IMPERVIOUS
AREA: 6!! - SQ FT
Approval:_ City:_ DATE :F LOOD :
RH:_ B:_
NEId HANOVER
COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
NAI}IE:
Enrlque Morales/ PhilIlp Balderose
PROIECT
ADDRESS: 2c)B overlook Dr
CITY: wilminsron
SUBDIVISION: The
overlook at Middle Sound
DEVELOPER:
AoS -bq Sy
15-1686
APPLICATION
Number
(Office Use)
DATE2 6/22/15
ZTP:284rr
BLOCK #: _ LOT #: 23
PROPERTY
OWNER'S NAIvlE: D.R Horton, lnc
CITY: Myrtle Beach
PHONE #:
PHONE #: 84r-646-2813
ST: sc ZTP2 29519
ACCOUNT #:
OT,.INER'S ADDRESS: 4073 BCllC TCrrC BfVd
CONTRACTOR: D.R. Horton, rnc
ADDRESS: 4073 Belle Terre Blvd
EHAIL ADDRESS: emfacundoGdrhorton.com
LICENSE #: 2961 6
CITY: Myrtle Beach
sT: sc zIPz 29519
#: aqt-6qa-zzta
#i 843-646-23t8PROIECT CONTACT PERSON: Enrique Morales
PHONE
PHONE
Inrr GARAGE 54r
SF
E oET GARAGE
I eoor-
_ sF
sF E] PoRcH 244 sF
I sronacE sHED
_ sFSUNROOM
GR E ENHOUS E
! orcx
SF OTHER:
ExrsrrNc coNsTRucTroru:
! ALTERATToN
! neruovnrroru
! crrrrrnnl REPATRS
f] nrlocnrroru
NE}',
coNsrRUCTroN:
E] enecr NE!'I RESTDENCE or
f] aoorrroN To ExrsrrNc RESTDENCE
**PLEASE CHECK AND ANSWERBELOtI
SF
SF
ALL THAT APPLY TO YOUR PROJECT:
tr
tr
TOTAL HEATED
SQ FTz 2ei5 TOTAL SQFT UNDER ROOF: :roo TOTAL AREA SQ FT: :roo
TOTAL PROIECT C0STlressr-ot1
i $ res, aos # OF STORIES: 2
Is Any ELECTRICAL, PLU,{BING
or MECHAiIICAL Work
Being Done
to the Accessory Structure? fl V"r E ruo
If the project
is a Relocation,
is thene
a Natural Gas Line on the Cunrent
Site? fi Ves ffi ,o
Is there Electrical Power
on this Building?
[l]ves Elruo
PROPERTY
USE
/ OCCUpANCy:
I SrnCr-r FAMTLY
! OUer-rx
! rownHouse
DESCRIPTION
OF tdORK: Sinqle Eamify Residential
and
ordinances and regulations.
The NHC Development Services
Cenbr will be notified
of any changes in
tle approved plans and specifications or change in contractor or
contactcr information. *'-NOTE:AnyWork Performed
W/O
he Appropriate
Permitswillbe in Violation of the NC State Bldg
Code and Subject to Fines Up To $500.00-.,
OWNER/CONTRACTORi
Enrique Morat-es/D. R. Horton.
rnc. SIGNATURE:
(Print Name)****xx********,t *****xx,t<****'*xx*x*.***xxxxx***xxx*********x***'t ****************x**r.*.,t *r(*xx
hrATER,
I creua
f] comrurur'rrry
sysrEm
! enrvnrr
wrll f] cer,rrnnL wELL
sEwER:
@ creun
f] crnrnal sEprrc
! enrvarE
sEprrc
! coNNururry sysrEM
rs rHE pRopERry LocArED
rN
A FLOODPLATN?
]*] yeS El *O
EXISTING IMPERVIOUS
AREA: SQ FT
NEW
ImPERVIOUS
AREA:
3132 SQ FT
ZONE:
_ OFFICER:
Appnoval:_ City:
(FOR OFFICE
UsE 0NtY)
SETBACKS: F:
{'** SEPARATE PERMTTS REQUTRED
FOR
ELECT, MECH,
PLBG, GAS EQUrp, PREFABS
& TNSERTS ***
Jcnsn ilcxecx (pAyABLE
ro NHc) ffierr-r- AccorJNr ffimczvrsn florscovenPAYT'IENT
METHOD:
t***x*******************x********************x**********x***x********+****************x**
SF
TOTAL ACRES
DISTURBED: .24
ExIsT LAND DISTURBTNG pERMTT:
[I ves
lEj r'ro
REVISED DATE
04/1.I/12
BFE+2ft
q
DATE:_ FLOOD:
LH:_ RH:_ B:
=
+-l t,b
?ns- b't'{oL5-L725
APPLICATION
Number
(office Use)
DATEi 6/tB/L5
PHONE
#: gto-tat-aaae
ZIP:28q,,rt
PHoNE #: 97a-i63-26i6
ST: Nc ZIPi 284ot
ACCOUNT #:
ST:
Nc ZIP: 28406
#: 9ro-763-6688
#:9to-23r-1806
NEId HANOVER
COUNTY BUILDING PERMIT
APPLICATTON TYPE
: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Uh1, Inc.
PROIECT ADDRESS:
2120 tTrh sr
OCCUPANT/BUSINESS NAItlE
: mn :Parking Lot Bus Shelter
CITY: wit-minston
PROPERTY
OWNER'S NAIIIE:
OWNER,S ADDRESS:
I2oI
Cameron Company
GIen Meade DrCITY: witminqron
CONTRACTOR:
UhI, InC LICENSE #: 62a82
CITY: wifminqronADDRESS: p.o. Box 4441
EilAIL ADDRESS!
uciGec. rr. com PHONE
PHONEPROIECT CONTACT PERSON:
cres uhl
(Check
AII That Apply)
EXrST CONSTRUCTTOru:
! ALTERATTON
fl neruOVarrOru
! Cerurnnl
lf Relocation, is there a Natural Gas Line on the Current Site?
[Yes
il No
REPATRS
I nelOCarrOru
lS BLDG SPRINKLERED?
n Yes
flNo
NEW coNsrRUCrroN:
I tnecr NEhr
srRUcruRE
E FAsr rRAcK
f] snell
! unrrr
I aoo ro Exrsr srRUcruRE
Construct
steel, glass & wood
bus shel-terACCESSORY STRUCTURE:
If UPFIT
- The ShellPermit #:
*,r.*** IS THIS A
IF Yes, what was
the Previous Occupancy
ARCH DESIGN PROFESSIOML:
Greqorv p.
Is Elect Power on this Building I Ves E ,O
OFoccuPANcY usE?
flYEs ffi No *****
What is the New Occupancy Type?
PHi
672_4634 NC REG #:
PH: NC REG #:
61
59
DESCRIPTION 0F WORK:
Construct 7-person
steef, glass & wood
bus she.Iter; No plbq,elec, HVAC
ls food or beverages prepared or served in this structure?
fl ves
E No ls The Property
Located ln
The Floodplain?
fl Yes
El ruo
DISCLAIMER: I hereby certify that all information in this application is correct and all work will comply with the State Building Code and all other applicable State
and local laws and ordinances
and requlations.
The NHC Development Services Center will be notified of anv
chanoes in the aooroved olans and lbecifications
or chanoe in contractor or contractor ihformation. .'.NOTE: Any
Work Performed W/O the Appropriate Permiis will 5e in Violation of
the'NC State Bldg Code and
Subject-to Fines Up To $500.00-'-
OWNER/CONTRACTOR: ur'r, rnc.SIGNATURE:
(Auslmer) (PrintNaEle)
contain Asbestos or not. You 8re required to call the Nauonal Emission Standards
br Hazardous Alr Pollutants (NESHAP) at (9'19)707-5950 at least 10 days prior to the
demolition of any facility or building. See Asbestos Web
Site: http:/ ,yvwy.epi.state.nc.us/epi/asbestos/ahmp.html
TOTAL PROJECT
COST: $ 1s , 0 0
0 BUILDING HEIGHT: Na
EXSr LAND DtSTuRBtNG pERMtr?f]ves ElNo
SQ FT EXISTING IMPERVIOUS
AREA: o
PRoPERilusE: EoFFlcE ERESTAURANT
luencnrurLE EEDUc
nApr lcoruoo orHER:Bus sherter
*- SEPARATE PERMITS REQUIRED FOR ELECT, IVECH, PLBG, GAS EQUIP, PREFABS & INSERTS *-
PAYMENT',=',::.o.:.H.::::**n...::.=*:::::f.::::i?..n.._r.]::::::.:::.*8.*T:::T..Eorscoven
(FOR OFFTCE
USE ONLY)
wATER: ECFPUA ECOMMUNTTYSYSTEM
EWELL EZONTNGUSECT-ASSIFICATION:
SEWER: E]CFPUA ECENTRALSEPTIC f]ENVETCSEPTIC f]COMMUNIWSYSTEM
ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:_ B:_
Approval:_ City:_DATE:_ FLOOD: A v BFE+2ft=.
CHANGE
TYPe ?
Kot
ENGR DESIGN PROFESSIOML:
TOTALAREASQFT: qO SQ FT PER FLR: 90
TOTAL SQ FT
UNDER ROOF:
ea # OF STRUCTURES: r
# OF UNITS:
# OF STORIES: r
#OFFLOORS: r
ACRES
DISTURBED: O, O02O66
NEW IMPERVIOUS
AREA: go SQ FT
REVISED DATE
4/11N2
Comment PERMIT FEE: $
DEVELOPER: na
\,{i
tu
APPLTCANT'S t.lA E:
DEVELOPEN:
CO TRACTOR:
ADDRESS:
ye??-rei{
APPLICATIOI'I
Number
*No FLAN'
x
NEhI HANOVER COUNTY
BUILDING PERPITT
APPLICATIoN TyPE: RESIDENTIAL
PLEASE AIISHER ATL QUESTIONS APPI-ICABTE TO YOUR PRO]ECT
PRO]ECT ADORESS:
SUBDIVISION;
PROPERTY OIrII{ER,S MII1E :
O![ilER'S ADORESS:
DATE:
PHONE
*:
LOT
#:
PHONE
4/o-Zzo-zd 3*:
ST:
_ zIP:
LICENSE
s:
CITY:
EMIL ADDRESS :
PHONE
s:
PROJECT COI'ITACT PERSON:
EXISTING CONSTRUCTION:
! noor-
! oecx
TOTAL SQ FT UIDER ROOF:
Is Any ELECTRICAL, PLUnBT
G
or tilECHAt{fCAL Work
Being Done
If the pnoject
is a Relocation,
is there a Natural
Is thene
Electrical Power on
this Building?
frlyes
TOTAI PROJECT COST1r-essrory
, t laoog
,/
uarre: d ctpla V
sEwERt lt2l CFPUA
Ll
f OF STORIES:
ZONE:OF FICE R:
lt
PERI.IIT
,r.@rrr,Zgq(
3o
Plot{E
r: 1tO.Z71 -797a
SF
! sronaer suru
SF
SF
SF OTHER:
TOTAL AREA SQ FT:/(?
ALTERATToN
I nerovarroru
f] erlenal necrrns
f] RErocArroN
iIEU CONSTRUCTIOT:
I CNTCT NEW RESIDENCE
O"
I AOOTTTOI TO EXISTING RESIDEI{CE
I'PLEASE CHECX AIID AISMR BELOh'
AI.L THAT APPI.Y TO YOUR
PRO]ECT:
! rrr eanaee
sF ! oer canace
sr l-l poncr <E
! surunoor.l
_ sF
I cneeuousr 5F
TOTAT HEATED
SQ FT:
/ occUpAr,,cy: l1![smate FAm]Ly 7fl ounlex
! ro]rNHoUsE t . , //
oF.roRK: ^ilii- ,)-1'-- l"lr^ ^4/DEscRIprIor{ 0F roRK: ^1 aKZ .nt.rt ,Uqll lt1(f)<41 KJ_OhCa ^_.{/ , //
(^r >n i
r-, l1 otoct*- y'
/(tlr,ra / ..-,/,0 -n^t /,)^-712-7---7^. /^-./
DlSCLAfllER: I hereby
c€dt t/al an inbmstion
'n
risspptic6don-b corecrsnd s[ work
wii compty wih tle 5o,"'aui,oing coo" "nHi ffibE Stab End tocattaws /
Xa,-]W4and odin rnces and rcgu tatbns The NH C DG velopmont Se ryFes C€n E, wi I b€
roflred o I sn v ch;nges h t|€ appro reO pran s ano specirrcarons ol ;i.coni'acb'|inbrmaron"lyott,o"vw-rp.2**,{"orr-;tr;;16;;;;;,"',u-n*"",,n"^.ro.Erdscrfand>ubFcrbr""jl,i"i:ffir#j,"' -uq((/* ''' *,
*-"7*f 'Ye ^petoptiaycntE
wrtbe in
vorston oi rhe Nc srac Erog c2f anysuopcr
i_i."Jgo ,o rsoo
oq-,
ot^rilER/cor{rRAcron:
/! "it[t-^ z/ ^ srGnaTURE: Cl.,llad".^ 4-
PRoPERW usE
/ occupANcY
, g{rror" raurlv ,fl ounlex
rs rHE pRopERTy rocarcD
r{ A FLooDILATN?
n yEs E ,uo
EXISTING IIiIPERVIOUS AREA:
-SQ
FT TOTAL ACRES DISTURBED:
NE}'I IIiTPERVIOUS AREA:
-5Q
FT
Exrsr LAND
DrsruRBrNG prnnrr, l-l vrs l--.1 uo
cor,ruuNrw
svsrem
I pRrvATE ],ELL
! ceurnnl well
cENTML
sEprrc
I rnrvare
srrrrc
f] coMMUNrry sysrEr.l
(Foi 0fFr(r usE o{LY)
SETBAC(S:
F: LH:
Appnoval :
*** SEPMAIE PERHIIS REQUIRED FOR
ETEC], MECH, PLBG, GA' TQUIP, PRTFABS
8 INSERTS *}*
paynEflr ilErHoD: Ecosr
Ecrix (pAyaBr.E.
*.1 E*r^r;;;;.;, "Erirrri^"'nrr.orr*
*,* +* *,| *:f**+ **.i* **** * * *,lrl:*:r **** ** *
**** *:t )t + *:i:t+ ** * * **:* *!t * *:t )*:*
**:|:*:l*** ***** * )t
**)t+ ***:l:i*** **
.o .n" o.."rro"rllI"e: fl ves
fl ro
6as Line on
the current site? !ves I tofl roo
iEVISED DAIE O4l11/12
RH: R'
Comment:
_ City;_DATE:_ FLOOD:8FE+2ft=
,rr,r--K-
CTTY:
BLOCX f:
&olt- b'lb3
15-L700
APPLICATIof{
t{umber
(OfFlcc Use)
mre : t lz>{,s
PHorrE #; 11,W
t<n1*
LICET{sE
*: { 6&}5 t;*
]crrv, t..l*ffi
- 4o+e- " pffi[
PHOT{E
#;
srndc
npr2^8,foS* Tto-fii7tzL
t{A}tE:
ttIEhI HANOVER
COUNTY BUILDING PER!,TIT
APPLIcATIott rYPFr COIIFIERCIAI
PLEASE Ar{St{ER AtL QUESTIONS APPLTCABLE TO YOUR pRolECT
'?roJect ResponsibilitlP
f.\. 1 b*J,^"{,,,
.\,^r
*ht+-
Clr,o*6(:+t
.J
OCCUPAI*T/BUSIT{ESS
PROPERTY O#{ER'S IIIIiIE :L.lL
ohft{ER'S ADORESS: Y. A,
tLu"^b l, **
.t,
L.tt
PRO]SCT CONTTACT
U Ptr{,f
Exrsr corsrRucrron: ffiar-rERArrffi f] neriviirg[
-rfiiiml neparns
fl nrlmlrror
lf
RCocdm, is there a Naiural Gas Une on the curent Sire?
[Ye- f]ruo tS BLm spntNxmnED?
flrs BLm sPRINKLEREoa
flves f,f No
I{Et{
co{srRucrroit:
f] r*rcr I{Et{ s?RUcruRE
f]FAsr rRAcK
f] xerr@qgrrr
f, ArD ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
lot
Iq
- r^L.
L.-t, t,
(Check
a]l Th.t App1y)
PHOI{E
rf upFrr * The
Shel} permit
*: {t-'lo8m
IF Yes,
r&at ms the Prstrious Occupancy Tlpel
.L".t"*.t
&.
b lr:q, ,(9 oF e{S"*
Is Elect Porcer
on
this Bui}dtng fl ves d(iq0
pn:
1*/.?6SS ilc ftE6 *: Sf qp}.
PH: ?{{- {ooo NC REG *:z35il
Ancfi DESI6T{ PROFESSTOU|L:
Eit6R DESIGf, PiOFESSrOilnt:
DESCRfPTION
OF ISRK: t*
#OF UNITS:
# OF STORIES:
#OF FLOORS:
SQ FT
DISCI-AIMER: I hereby c€rtify that all lnformatiolt in this
appllcaton is conct and all wort will
cornfly with the Srate Building Cod€ and dl oher apolicaHe Slale
ff.ftiffi!"dff&,iffiiEHiffUtl?"H#?F*'te'N8{LFtiJ"\ffm13iffifi,?B\fiIllloT#i#,{,fl1il"S,i,9.*;V*Eftryffid"$gEAf Effiffiggti,or cfianoe ln contractor or con39-6o lfiibmaiibn.
'i'N0ft: ,'jirWoi{ipai&ii& W7c'iirJlrp}lob?iii-plini{sI
SubJectlo Fines Up To
$5(X).00* a , , , ,
owNEfrrcoNTRA;ssrfu' YJ* tL.-^Sh" sGNATURE:
h bod s bevgaopo ptepsod
il tsvcd kr tl$ srufirs?
f]v"r
#n b The Prropery Iocfrd h The
Hoo#dn?
fty"*
BUILDING
HEIGHT: 3I j
farm.., (Prfffl3n )
ildc: Danolitm nodfcadone & 8b66. rt'rrcrd p.rrnlt rppficldo(lr
aI. b bG ]tmltbd wkp tho rySicdm flm (OHt€-370s)hdfuorbrrHdif
w*ihmdb
conilin Asbo$ or not Ydr
rli' ltqrhcd b ca{ the
t{atorul Emb*lon
&nhdr
h }laardour Alr
Hut nti (ilESHAp} rt (919p07-Sm st l*t tO
d.yr trlor !o rh.
domdldon
dr'tytdlity or Mldhg. $oe Asbrcloc Wcb Silo: htp//*rnx.epi.stata..rc.us/ept/s$b&erodehmp.hht
p(sT LAND
DtSTuRBtNG pERMn?
flves
E No
SQ FT EXISTING IMPERVIOUSAREA:
PRoPERrYuseSprnce flnesreunmn fluencnrrne
[eouc
ilapr f]coxoo orHEFu
WATER QIIGFPUA E]corrMUNtrYsYsrEM
nwELL ErcMNG usE ct-AsistFlcATtor*
SEWER: TGEPUA f]CENIRATSEPTIC LJPRIVATESEMC DCOi'MUNTTYSYSTEM*, $f;PARATfr FfrRMITS AfrOUiREO FON 6LCCT, MfiC}'', PL$*, ffA$ XQfiIP, P&TTA8$ &,f{SfrRTS *'
PAY1IENTMETHoD:
flcrsH Eh{:o<enyasuroNHc) flnuenlcmD<pREss ff uovsl fJoscoven
(FOROTHCE rrsE
ONLn RFVISED
OAIE,{/t1l12ZONE:_OFFICER: _ SETBACKS:
F: LH: RH:_B:Aprovat: cit).
-TAF-
FLooD: BFE+2F.
TOTAL PROJECTCOST: -J5 C'O<->
TOTALAREASQ FT: 1 .F-
TOTAL SQ FrUNDER ROOF:
C
rFo
ACRES DISTURBED:
NEW IMPERVIOUSAREA
SQ FT
PER FLR: ( 4oo r
#OFSTRUCTURES:
Comment
N --fIT
PERMTT
ree,
t--l-:2-3-
srr-Z zrp'5f tEu
ADDRESS:
EIIIATL AX}RESS:
I**'T IS THIS A CHAI{6E OF OCCI'PA{CY USE?
N
5- l+qs
1-b4 t./NEId HANOVER COUNTY BUILDING PERMIT
APPLICATIa TYPE: COIIIIIERCIAL
PLEASE AIISIdER
ALL QUESTIOiIS APPLICAALE TO YOt,lR PRO]ECT
.Pr.oJect Responsibitlttf
'7-t
c-'g 8rt 5,4o.<.1'*,-APPLICANT'S ltlAfiE:
DEVELOPER:
e,/'
'T
PROJECT ADDRESS:
0ccuPANT/BUSINESS
ra E:6/l
PROPERTY OI {ER'S
Oi/'INER, S ADDRESS:
co rRAcron: C*r'
AtDREss:
tls 2
EfIIAIL ADDRESS:
PRO]ECT CONTACT PERSO :
tco I
111114pr€lltn,1." $'1.nr LLL
CITY:
t1t
P10r,rE
PI{oNE
nsnarns
fl RELo(trroN
rs BLDG sPRrNKLEneo:
I v." f]ruo
sr
i.r< zrp!)S f a't
*:
a1!G=tt/Y111
(che.k
all rh.t Apply)
EXrST CO 5TRTJCTTOT:
I llrrmrtot I nrrovlrrot ! crteul
tf
RMon, is there a Natural
cas Line on the Current
Ste? l_lVes ll tto
l{Eh, cor{srRrcTror{r
flrnecr E}, srRtrcTURE
I rasr rnacx
I sxer-r-
f] urrrr
I aoo ro flrsr srRrrcTURE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Penmit #:
Is Elect PoHeF on this Bullding I yes Eruo
IS TIIIS A CHANGE
Occuprncy Tt4Oe?
oF occuPAr{cY
user
flvrs flrrc
[hat ls the Nex
Occupancy Type?IF Ye', Lfiat
ARCH DESIGN
EiIGR DESIGI{
uas the Previous
PROFESSIOML:NC REG *:
NC REG *:PROFESSIOt{AL:
DEscRrPTroN
or upnx: 'f-.,9rw
rrr r'+r 0*l
NEW IMPERVIOUS AREA SO
FT EXISTING IMPERVIOUS ARE/U
pRopERry usE: EoFFtcE f]nesrAJRAr,n fluencerru-e
[eouc E epr ncoHoo OTHER Gr,,
wnrec g(9rrua fl coMMt-,Nnv
sysrEM fl WELL fl zoNtNGt rJsE crASStFcAnoN:
sE\ iER ErcFpr.rA
- GENTRA
sEpTrc
I iEvare
semc E coMMUNmy sysTEM
PAVUET'Ir
MEIHOO: ECASH IO{EO<(PAYABLE TO sco\rER
zor.re
[i[-r-I#)rct*
PH:
PH:
(O.lL4 ei hn )Iklt :
Demolldo.r n dtc.lbo.
&..!..tB rsnovrl pomll.pdlc.don. lrD
b be a.6mlttd ltin0 tho.ppth.tEo ft.m (0}f|S376S) wietle. fiE fEitiv or htkif *€a found
E
It lbod or ba,trgr tr p.r€d
d 3ftd ln ti: oua'.z [ve" I tlo l. Thc
Propry Locd.d ln
Thr FloodCdnz
E ves
E ruo
DISCLAIMER: I her€q c!ftty thst sllinfomation in this-spplication is con@t and allwork willcomply with lhe SDat€ Burlding Cod€ and attother sppticsbte Steteand.lrcal lav/s and odin€nc€s and regulations. The NHC Developm€nt Servi:€s C6nt6r willb€ notfrA, ol snv chano€s in th6 eoDroved obns and i6-ifi6iions
or change rn
contractor or clntraclor inlomralion. -NOTE: AnyWo* Pefonned w/O th€ Approp&ts Pormib will& in Viol€tiori of th€ l,lc Ststs Bldq Code 6ndsubiocr to Fh.s Up To
$500.00- ^ ^-
- - -)-4- -:-- -;*r;*;il;;s,.. i<flu- Gr
{^k-^,. src*aruae: A / 7
€onlln A.5e.b. or no! Yc{ rt f.qllrd D..t th. Mlor.J Emhdon St od.nb 6r lb..dcr Ar Pottsa.r- (}{88&qD.t (91S)7Orue5O
I h.e tO d.F Ftc. b t|c
d.molllion ot.ny llolltly or buildiqg,
8.. A.-b-b W.b SIbl htFru Mr.€ti.6Eb.ic.L]€rspira.bst ahftp.nfni
TorAL AREA se FT . 'LL-]-- se Fr pER
FLR,
-
* oF sroRrEs:_
TorAL
se FT uNDenI6iE-_ , oF
srRucruREs: *oFFLooRs:_
ACRES DISTURBED:Exsr LAND DrsruRarxc penurtz
llves I No
(FOR OFFTCE t SE ONLY)REVSSD DAlE
aflln2
#.SETMO(S: F: >lz
LH:# RH:-gi B_ -P'/SFLOOP--_ V -Are**A v- 7tx
PERMIT
FEE $
TLL
ao
APPLICATIOI{
tllrber
| (9ffrc. us.)
l"- t b,. lJ-,9 b't#ii:tk o/-r/ry
zrp:ZEY//
LICEiEE *: 1, C ("
L5.ACCot.t'tT
f:
crw:(r,\ r'\r
-:F;
5LF+,l-4 L
Approval: Gttr.-lle_DA
CB lnpechon Requreo, 91
0254-09U1
ffi,,
CITY:
P}O E #:
Plo E
*: ?lo"rtl ,otg
*rt<:6; -ql1
"y
APPLICANT'S M'4E:
DEVELOPEN :
PRO]ECT ADDRESS:
SUEDTVISION:tz
PROPERTY o}'IT{ER,5
ot{rlER'S ADDRESS:
*'
ab3^7-t2^3az
SIt _ZI:P | 24o-)
sr: f\e(zrp: ZRZ{Z 8
TION
SF
SF
No
Dro
EXISrI G IIiIPERVIOI'S AREA:
-SQ
FT
,'lEl, Ir{pERvIoUs
mea:
7_S4
O sq ff ExIsT |AND DTSTURB!,IG pEnxrr: I yes [--.1 uo
ZONE:OF FICE R:
Approval:_ City:_ DATE:_ F
LOOD:
Comment:
LH: RH: a.
t
PTUITFEE:
i
nEZ t5- t++3
NEW
HAN',ER couNry BUTLDTNG pE,t,rl) l5 - (!#b
APPLICATION
tlumber
E ( Orq ci7-5
!( crw:
APPLICATION TYPE; RESIDENTIAL
PLTASE ANSI,/ER
Al-t QUESTIONS APPLICAETE TO YOUR pROlECf
"ProJect Responsibilit)/,
LIcEi,IsE
: 4ZI 6ZL
CITY: /'-A /-r,iL,.tc^ fz.b A /a
Exrsru{G co srRUcrIoN3
f} alrrnnrror
! nrruovarroru
! errenal neratns
I Reloca
t{EH CONSTRUCTIOT, ffiTNCCT NEW RESIDENCE
O"
I NOOTTTOI TO EXISTING RESIDENCE
I orr
eaneer sr
[rcncx IYO sF
[J eool o C,C'
sr f] sronaer srro
E orcx 4'1 2- sr orHER:
ToTAt HEATED
Sa rr: Z\1L:oyr,:a-:, UNDER
RooF:
21/10 TorAL AREA sQ FT:
{16<
TOTAL PROIECT CoSTlressroe, g
352\,478 f OF
STORIES: Z
rs Any ELECTRTCAL, pLUrlBrNG or r4rcHA
rcAl .,ork Being Done
to the Accessory structur€? [ va, f]If the project
is a Relocation,
is there a Natural Gas
Line on
th€ Current
Sifl ! r.,fs thene
Electrical powen on
this Building?f]ves [ruo
pRopERw usE
/ occupANcv, $srtcr_r rar"rrrv
fl ouer_ex
I rowNHousE
DESCRIPTION OF r,lOR(:
0lsc!AlMER:lhercbyce(i'halatinbmstoninfiisepplica1jonisco@ctsnd"n*o*,,i
conltactt, inbmaion.'-l!oTErAny work Perfomed w/O heAppropriaE permio",fft" i"'viof" "-- cr'carcns orchsnoe in
conlraclcrr
tion
offie Nc St6E Bldgrcode.id subiecl
b Fines
upfoj50o.0o.,
A:*e- STGNATURE:
-ines
UD To 35/d9
rs rHE pRopERry LocArED
rN A FrooDpLArN?
E[ yEs E ,ro
tlArER:
fl crouo
ffi co*rNrw sysrEM
! Rnrvare
t,lErr
fl cENTRAT wELL
sEtrtER:
f] creur
f] CENTML
sEprrc
I enrvnre
rrrrra ffi coMMUNrry sysrEtit
pERt[Ijt RIQUTRTD rOR ELECI, fiECH, PLBG, GAS rQUrp, pRErABs 8 rNSER]s ,,,
*r:r:l-::l1T_,-"_H-.j-r:" .l#orrcr (payaBr.E
ro
rucl
fl anrnrcor
rxenrss fln.zrrro Iorscovrn** *:| ** * * * '| * * * *:* ** * * *
** *** * + *** *+,t****:t******:r **:r:r******:r:* +* **:t *:t *:** r*
*** *:i *
**:r****l**** * *
(roR 0Ffrcr usE oriLY)
SETBACKS: F:
COI'ITRACTOR:
ADDRESS:
EI|AIL ADOREsS:
PRO]ECT COI{TACT PERSON:
'*PLEASE CHECI( AND ANSWER BELOt,t
ALL THATAPPLY TO YOUf, PiOJECT:lrrr eannee [*l
6lt sr
fl suruRoor'r
-
sF
I enreunousr
-
sr
TOTAL ACRES
DISTURBTD: .A
PTO E
':
PHONC
T:
RtwstD
oart o4l11/12
BFE+2ft=
qto
-44<-6141
ZIP I
v ru,ls/?)+
dDlS-LpqgI
APPLICATION
Number
(Offt." t s")
NEW HANOVER COUNTY BUILDING PERMIT
APPLIiATI0N TYPE;
SIGNS
/ BILLBOARDS
PLEASE PRIHT CLEARLY & AI.ISNER ATT QU€STIONS
PRO]ECT ADDRESS:
OCCUPANT/BUSINESS NA}IE :
7t4t1
'FS
AL56=sss
sr\iE_zrn, ?K411
rr.P1-rroffi4l 2-
u,Aria-.g)T&t4
uqE:352--4tVo
rs srcN(s) oN oR oFF inrursssl
8o* ffiorr
DISCLAIMER: I hereby certify ulat all information in this application is
conect and allwork will comily with the
Stale Building
and otdinanc€c and regulations. The NHC Development Services Genter will be nolilied of any changes in the approved
cmlractor inrormation. -'NOTE: Any
Work Performed yvTg 169
Appropriate Pemits will be in Molatjon ol the NC State
,t**:i:|;i*******:t***:t**,t,****,t:t,t,l****)t*!*****,t*:****:t*********,t,i**:i* t,t****** :t,t**** ****,i*
TOTAL PRO]ECT
COST:
$EOID-OD IS THE PROPERTY LOCATED IN A FLOODPLAIN?
f VCS E *O
++* SEPARATE PER'',IrTS REqJTRED FOR ELECT, IrtECH,
PLBG,
6A5 EQUrp, PREFABS
& rilSERTS ***
PAYlilENr
itETHoo:
ffi casn ffi cxecx (rAvABLE
ro
NHc) ffi anenrcan
ExpREss
E uc/vrsa f orscovrn
,t****,i*:t*****:t*************:t*****************************:l*******:t*****,t*,f:l:i***,t**!t!t*:t*!t
(FoR oFFICE USE ONLY)REVI9ED DATE 3/3Ol12
Approval:_ city:_ DATE:._ FLOOD: BFE+2ft=
N
ZIP:
PR0PERTY OI,INER'S NAI'IE
:
OIdNER,S ADDRE55:
K'fi1
CONTRACTOR:
ADDRESS:
EMIL ADDRESS:
PRO]ECT CONTACT
SI6N 1 Height:
SIGN 2 Height:
SIGN
3 Height:
SIGN 4 Height:
u
PHONE
PHONE
PHONE
wPE oF Sr6N(S)
B-t*""*DrNG (6round)
I I 5HINCLE
| -j cHnNFE qrv\nd(orllVM tnfffOlN" Sv\brv,
llaRQUEE i* I pno:rcrron l*l noorr^rall IlcnNopv I llorHER
Signs on this Project: I
--b' * )bt * rotal sQ.rr. or
sign: q bq
X
--
_- Total SQ.FT. of Sign: _--*=-*
APPLY)
X Total SQ.FT.
of Sign:-" ^
"- X
--
Total SQ.FT.
of Sign: -.,-,,-
ECK
L]R
Total Number
of
Sign Dimensions:
Slgn Dimensions:
Sign Dimensions:
Sign Dimensions:
r ",1i1
amotr
rTla
=\e
crr
l\te,
Elt
-\llttvul
R\
ch Ceylat'rt'rFt,
(cH
Etate and local lavrs
"or change in contraclor or
Comment:PERMIT
FEE: $.
,.)
DEVELOPER:
ffi
APPLICANT,S I{AIITE:
Responsibilitt''
PHOHE #:
or,rNER/coNrRACroR:
V iet
Wfdtf-n cfhf*{ sr.NAruRE:
.,
.1
,ffi,
APPLICAI{T'S NAI{E:
NEhI HANOVER COUNTY BUILDING PERMIT
APPLIcATIot't rvPE; SIGNS
I BILLBOARDS
PLEASE PRINT CLEARLY & Al{sl,lER ALL QUESTIONS
"Project$v"
4S-ro6ab
15- L777
APPLICATIOII
Ntmber
iix+ii" ur"l
orre:?:L=I.S
rr.11;rrrffi{}}u,ilv-g.ff.l4t{
$q-Loje?T47vCI
nn
\tLvion
Le 7-{-otl#a,tJ
[_j noori I orHrn
this ProJect:
_
, --J-g,; ,"*r.Fr. or urr^,\b6#'
rorAl pRolEcr cosr:
$&fiar{-$ rs rHE pRopERry LocArED rN A FLooopLmNl
l] ves ffi *o
**'i SEPARATE PERmITS REQT
IRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS
& INSERTS ***
'^T:.:X;,-..3.'::...Y:::::.::":::.:::']...::'::::::::...H:'i::::....Y.o,'corER
(FOR OFFTCE USE or{tY)REVISEO OATE 3/3Att2
N
PERilTT
FEE: $.
{1
OCCUPATIIT/BUSINESS
PROPERTY Ofi.IER'S
EI{AIL AI}DRESS:
PRO]ECT COT{TACT
ctrfrttrvtffi^.
LrcENsE o,ZS?Bb-SPFS
PHOilE
trrv,\S)1E41
, (on1\
l*l rRo:rcrrou
i...l caruopv
PHOHE
PHONE
Total SQ.FT,
of Sign:
Total SQ.FT. of Sign:
Total SQ.FT. of Sign:
rs sr6N(s) oN oR oFF PREII{I5ES?
DISCIAIMER: I hereby certifo lhat all info.mation in
lhis apdication is
conEl fid all worft will
corndy with the Stat€
ard ordinances and regulatiofls. The NHC
Dw€lopment Services Center will be notified of any c*tanges in the
contracto( informatian. *NOTE: Any Work Perfomed VflO Ure Appropriate Permits will be in Viole[on of th€
PERSON:
Ri Ch
a
and all other
* * * * !t*** ** ******** ** *****
CfiINER/C${TRACTOR:sIGNA
!t
* * !*
*,t'3 * * ** * * * * * :f
* * * * rt
*,t * * * * * * ** * * * * * * * * ** * * *,* :l
* !*
* * * * * * :f
wPE OF SrGil(S)
S-r*rrtr*DrN6 (6round)
l*j snrruole
Height:
,%:
Tota} Number of
Sign Dimensions:
Sign Dimensions:
Sign Dimensions:
Sign Dimensions:
ITIARQUEE
TIALL
Signs on
ll,_ _l-r-_
-_.SIGN X
SIGN 2
SIGN 3
SIGN 4
Height:
Height:
Height:
--x-_
X
(cHECKALLTHAT APPLY)
Comment:
*--ruWtl
L]i,l cHmee
DEVELOPER:
PRO]ECT
ol,Il{ER' 5
COI{TMCTOR:
ADDRESS:
DESCRIPTION
(Print Name)
APPLICATION TYPE., COMMERCIAL
PTEASE ANSI,ER ALL QUESTIoNS APPTICABLE To YOUR PR0IECT
"ProJect Responsibility"
APPLICANT'S NAIIIE: Nexsen Pruet
- Thomas ,.rohnson,
,fr. (Aqenc
for American Tower6) D,i|EI 5 /i.///g'5/i,/rn
DEVELOPER: .American Tov/ers Lr,C
- Jifl Hou6e PHONE #:919-466-s163
PROIECT ADDRESS:
5s91 Marvln K Moss tane CITY: wilmlnqton ZIP i 2\4os
OCCUPANT/BUSINESS l.lAME:
American Towers LLC
dctS- a5d?
NEh' HANOVER COUNTY BUILDING PERMIT L5-L320
APPLICATION
Nurnber
(offi.ce Use)
PROPERTY O[^INER' S
OWNER,S ADDRESS:
MME: american Towers LLc
*: 919-466-5153
STi Nc zIP: 2?sr8
PHg'lE
.500 Reqencv Parkway, * 1oo CITY:
CONTRACTOR:
ADDRES5:
LICENSE #:
CITY:
EMIL ADDRESS:
ST:
#:
ztP I
PROJECT CONTACT PERSON!
Ji11 Hou6e
PHONE
PHONE#: 919-46G-5163
(Check
All that Apply)
ExrsT coNsTRUcTroN:
I ALTERATTON
fl neNOvnrrOu !.CeUennl
lI Relocatlon, is thers a Natural Gas Line on the Current site'l flVes I t to
REPAIR5 TI RELOCATION
ls BLDG sPRrNKLEneo'r
f] ves
f] tto
NEld CoN5TRUCTTON:
ul ERECT NEW 5TRUCTURE
E rasr TRACK
n SHELL
E UPFrT
E ADD TO EXrsT STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Permit #:
**,ir.* Is THIS
A CHANGE
was the Prevlous Occupancy Typel Occupancy Type?
IF Yes, what
ARCH DESIGN
EN6R DESIGN
PROFESSIONALI
PRoFESSIoNAL r
Tower Enq. Professionals- K. Martin
Tov/er Enq. Professlonals- K. Martin
rfi: -91-9:-g-q:;-6-l5l* NC REG *: o'|3szo
PH:
919-651-6351 NC REG *" 0'13920
DESCRIPTIoN 0F I^IORK: wireless communicatrions ?ower site
(Oudlll.4 (Pdnt NEm!)
Notei Domollton no[ncailons & aEbostos rdnovol p€rmh appllca{ofis aro io bo submltted uslng lh6 sppllcston lorn
ls food or beveragos praparod or served in tHs slruclure?
f]ves [lNo b The Property Locat€d ln The Floodplatnt
I ves
El No
Code and all other appllcable Slate
aooroved Dlans and soecillcatlons
(lonrnhq NC Slate Bldg Cod6 snd
OWNEFUCONTMCTOR: thomqa "Johlson,,rr. (Aqent)
clnraln Asbostos or not. You fr€ roqulrBd to
call the Nadonal E nbslon Sandsrds lor Hazadous Atr Pollut6nts (NESI-IAB at (919)707 at l6ast 10 days palor to
lho
domolldon ol any fadllty orbulldlng, Soo Asbostos W€b Sts: hllp/ vwv, opl, stlle. nc, u6/opl/asbstos/shmp. ht nI
TOTAL PROJECT COST: S2lO.oOO BUILDING HEIGHT: 195' tower
TOTAL AREA SO FT : -q-,s5 SQ FT PER FLR: N/A
TOTAL SQ FT UNDER ROOF;
N/A # OF STRUCTURES: N/A
EXST LAND DTSTURBTNG pERMrr?
r-l yES EI No
SQ FT EXISTING IMPERVIOUS AREA:
pRopERTy USE:
florrrce I nesrnunntw [uencnNrLr f]eouc f] ner
[couoo orHER:relecom rower .
WATER: ECFPUA DCOMMUNIry SYSTEM
NWELL MZONING USE CTASSIFICATION: N'TS
sEwER:
E cFpuA
E cENTRAL sEprc
n p-RrvArE
sEPlc ;366uuuNtw svsrerlt
, ,i r^ii.Al l |rllnMlr$RE{ltrlliEllFOI]ELF(j-I.MrOll,lrlljrj,,i;Ali|Olll|,Plri l,^i,lirilr.l.ll Iil1)"
PAYMENTMETHoD:
ncAsH flctecrlenvnnLEToNHc) [ruuentcnNexPRESs nMc/vlsA f]DlscovER
*rdiat.*.t*.**t.ra*Hr
(FOR OFFICE USE ONLY}
ZONE:OFFICER:SETBACKS: F:-LH:- RH:- B:
Approval:- City:- DATE:- FLooD:BFE+2fi=
N
PERMIT FEE: $
SIGNA
ACRES DISTURBED:
NEW IMPERVIOUS AREA: z . szo
fsll[V or bulldlng was lound to
# OF UNITS:
# OF STORIES: N/A
# OF FLOORS: N/A
SQ FT
Is Elect Powen on thls Buildlng El Yes E UO
oF occuPANcY user
f]ves [lruo
what ls the New
Comment
REVISEO DAIE 1/l1/I2
RECETVED JUL 10 2015
NElrl HAMTVER COUNTY BUILDIIIre
. APPLICATI(N mE.. ZOTII'TG
(tld.rcor?orated Areas
of cqrlttl)
PLEASE PRIIfi CLEARLY & AISTER ALL QUESTIOG
'Project Responsibilitlf
Ja6iah Bell
JCt5 - (o5zzPERIqTT ir_1r6rrd
t{umber
to+rtce-Gj
DATEr 7
/ ot/LsAPPLICAI{T'S
'IIIIE:DEVELOPER: .;'agi36 PIIO E #r 9t-o-616-0063
PRO]ECT ADDRESS:
SUBDIVISIO{: . rre
9227 sedqley Dr CITY:.wilmirrqtson ZlP: zettz
._152,_
_-BLOCK *:LOT *:
pHOIrlE
#: 910_616_0063
CIW:
g1le!!S@_ ST: Nc ZIP: zea12
LICE SE #lC0 TRACTffi: ,raaiah BelI
AITDRESS: e22? sedqtev Dr
EIiIAIL AIDRESS: .i asiahbell@yahoo. com
PROPERTY OhII{ER' S
OdITERJ S ADDRESS:
lUlllE: Jasiah selt
9227 sedqley Dr
PROIECT COI{TACT PERSO{ ! ,rasiah gell
CITY: sil6irrogo',ST:
Nc ZIP: 28a12
#t -9.L9=sls= r!-g]-
*, -9:Lgf!:.9.9.E}-
PH(xtE
PHOITE
Is yot R pRolECT: ! conmercial I nesidential
l-l Ne lnsta]tatlon ! Replacement
I ottren
DESCRIPTIOI'I OF ORK:
ARCH DESIE{
EI{GR DESIG
PROFESSIO AL;
PROFESSIOML:
PH:
PH:
NC RE6 #:
NC REG *:
Is THE PRoPERTY LoCATED IN A FLodrPtAIt{?
EYes E Ho
IS y(ruR PROIECT:
E ACCESSORY STRUCTURE 6ust ue tess than 'r2 tuet ar dimensan"l
f] coHsrRucTIoN TMILER
I seasonar sALES Lor loruen:
BUILDING HEIGHT: 15,
TOTAL SQ FT UNDER FOOR:
120 ft2
NUMBER OF STRUCTURES:
and qdinancss and regulaliorrs. Th€ NHC Oevetopmoot Services C€or6r wil be nolifi€d ot aoy changos in the approved plans ard specifcaf,ons c+lange in
cortlElclor or
contraclor inforlna(on. *NOTE: Any Work Performed WO dle Appropdaie PermiE will b€ in Violaltoo ol the NC State Bldg fue and Slbjecr to Fines Up To
$500.00-
TOTAL PROIECT COSTc""suq: $ $rooo.oo
O{I{ER/CO{TRACTOR:
sasiatr e.11 SI6NATURE :
(Print Nare)
pRopERry usE:
[l RE5TDENTTAL
! eusrnrss
I eouc
[nnr I c
mrER:
f] CFpUA
El CONlr4UNrry SySTEH_-E pRrvATE yELL zoitrNc usE cLAssrFrcATroN:
sExER:
I cFPUA
E cE[rRAL sEPrrc ffenrvnre sEPrrc El coi'l]'luNrrY sYsrEr'l
*** SEpAIi&ii: Plliiiiis Rltj.iiil :; l(i:i iiii.r, ti: aii, f ii.:, t'.:. ii-.:i, I'i:li,'.i I ( 1... .,- '
pAy Err itErKD: Et .*, f] .r,r.* (PAYABLE
ro r{Hc)
[ menrcal exmrss finclwsa
ZONE:
-
OFFICER:
Approval:_ CitY:FLOOO:
-
BFE+2ft=
I'l
*,t****,i*****:f,t(:!tlt:i,*,rr(**,i:r**,*,i*t,t'i:1.*:**t,t:a:i+1.**:t:***'i*'t************:t'l*'''l(*'t)t:l:t:i**'l*'(:t*x*****
(
FoR OFFTCE USE ol{LY)RtwsED 4ltzla2
SETBACKS: F:- LH:- RH:- B:-
NUIiIBER OF STORIES: 1
TOTAL SITE AREA: 120 fI2
TOTAL ACRES DISTURBED: 120 ft2
I orscoven
ComEnt:PERXIT FEE:
'
1rt Y T, <ha.l
I ornen,