AUGUST 4 2015 BUILDING APPSNEW HANOVER COUNTY BUTLDING PERMTT
ilrPLrCITIOtt TYPE : RESIDEITIAL
PLEASE ANSI{ER
ALL QIJESTIff,IS APPLICABLE TO YOUR PROIECT
*Prcject Responsibif itF
prestiqe Pools of l{ilrninqton rnc DATE: 1/tS A 'fAPPLfCAilT'S MlItlES Prestise Pools of l{ilrninston Inc
DEVEL(PER:
Prestise Pools of Wilminqton IncPl{rNE *. 92023253"15
PROIECT ADIXESS: 4201 Greens Ferrv ct CfTY: wilminston ZTP:28409
SUBDIVTSIOIII:BLOCK *: _ LOT #:
wz6*n5(
20 t{ - 13oL1- APPLICATIOI{
Nunber
(offtce tBe)
PROPERW
OilER'S
OIiIER'S ADDRESS:
Steve and Marsha StonelUlt{E:
420L
CfTY: Wilmington
PHONE
#:
ST: NC ZIP:28a09
ST: NC ZTPz 284L2
PIOilE S: 91054785rr.
PllotlE
*3 910232s37s
Greens Eerry Ct
CO{TRACTOR : Pres t iqre Poo I
s3 f ![i !qi-n9!qn--r!q
ADDRESS: 5307 S. Collese Rd
EiIAIL ADDRESS: prestiqepoolsofwilmington0grmaiL. com
PROIE€T COiITACT PERSOT{: shane Kosnik
LICETSE *: s4s79
CITY: wilqr4Slen
ExrsrrilG corsrRucrroil:
I ALTERATToN
fl REiovArroN flerrurnnl RErATRS
fl nelocarroru
r{Er{ coilsrRr,CTrol{:
D rnrcr ilEH REsIDEilcE
or @ aoorrror To ExIsTItrrG REsIDErttcE
**PLEASE CHECTAtL THAT APPTY TO
I oer GAMGE
flarr cARAGE
TOTAL HEATED 5Q FT:TOTAL
SQ FT UNDER R0OF:
TOTAL PROIECT COST6-essr-a1
: $ 1q5C0 S OF STORIES:
Is Any ELECTRICAL, PLUIIBIIIG or IIECIIANICAL uork Eelng Done to the Accessony Structure?
[l V"t EI ruo
If the pnoject
is a Relocation,
is there a Natural 6as Line on the Current
Site?
ftV"t EI m
Is there Electnical Powen on this Building?
J]llves EIxo
pRopERw usE
/ occupAr{cyt
[l srnelE FAMTLY
fl ounlex
I rouuxousr
DESCRIPTIOIII OF IIORK: rnstallation of ingrrqund swiqing pool
AM' AI{SHER BELOI{
-SF
Y(I(IR PRO]ECT:
flsunnoo'r
-sF
I eneruncusE
-
sF
[l eoor- e t{\U sr
I orcr
_ sF
sF
fl PoRcH
-
sF
I sronaeE sHED- sF
OTHER:
TOTAL AREA SQFT: 42s
SF
DISCLAilER I haeby cartiff hat a[ hbrmalbn
h his +dhaton is
correct and all work will comply wilh tle Stato B.rildlng Code
nld all oher applbable Srab dld local
la,vs
atd ordinatces ald legdalbns. The NHC Devebpment Servicos C€nbr witr
bo notfied of any changes h lhe approved pbns and spacifications or charge in cont acbr or
conracbr infumaton. '"!{OTE: Any Work Perbrmed w/0 lle AppropriaE Permitswll be in Vlohion of the NC Stae
Ok i{ER/COIIITRACTOR:
shane Kosnik SIGT{ATURE:
**'t * *,r * * * * * * * * * * * * * * * * * * * * Jlltll tl?1i ** * * * * * * * * * * *,* * {.* :r
* *'t * * ******************** **
IS THE PROPERTY LOCATED II{ A FLOOOPLAIIT?
I-I VCS
EXISTIT{G I}IPERMIflTS AREA: SQ FT
EI rro
NEl,l IIIiPERVI0JS AREA:
TOTAL ACRES DISTURBED:
EXIST LAITID DISTURBITTIG
flves F*
RECETUED
JUL,IE 201ssErrtER:
@ crnua
I crurnaL sEprrc
fl enrvarE
sEprrc
n cor'r],rur,rrrv sysrEm
OF FICER:
(FOR OFFICE USE (t{LY)
SETBACKS: F:
u{ATER:
@ crnua
fl cowuluw sysrEm
I enrvrrE wELL
fl crHrnaL wELL
'*I SEPAUITE PERIiIITS
REqJIRED FOR ELECT, IIECH, PLBG, GAS EqJIP, PREFABS g 1166P15 *** ffi
pAyr{Eilr
}rEr}oD:
E cns,
E crecr (eAvABLE
ro r{}rc)
fi anenrcln
ExpREss
E *l*ro E ,rffi=*
r+++ +t+ *++++*t***+****i*** **** *** **** **** +*** ****f,*,t +**x **+ *+***t* + t*,r* *** * ******* *,*** **
sQ FTPERIIIIT:
ZONE:
City:_ DATE:FLOOD:
LH: RH:- B:
REVTSEO
O rE
*lLtltl
xl*l/'d)
BFE+2ft=
'q'o'
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; COMMERCIAL
PTEASE ANSNER ALL QUESTIONS APPIICABLE TO YOUR PRO]ECT
"Project Responsibility"
WZEfiII
Z)ts-1Jal
APPLICATION
Number
(Office Use)
ST:
IL zIP:
!!3!1
*: ll!:2!::f-].6.j-
# |
2]9J:2:3)s:-
APPLICANT'S NA}IE: CAPE FEAR MAINTENANCE, INC DATE:.-!.SII!I-}I_
PHONE *:DEVELOPER: N/A
PROIECT ADDRESS:
3002 us Hwv 421 Norrh CITY:
wrlurNctor'r ZIP:
OCCUPANT/BUSINESS NAtitE: NEw HANoVER couNry HousEHoLp wAsrE
MIIE : NEW HANoVER P[0NE *: 9ro-798-4338
2oo pivision prive CITY:
IMMIgI- 5T: Jg- ZIP:2!.1!I-
CONTRACTOR: CAPE FEAR MAINTENANCE INC. LICENSE f:
PROPERTY OIINER,S
OTJNER'5 ADDRESS:
(che.k
all rhat Apply)
Exrsr coNsrRucrroN:
E ALTERATTON
E RENOVATTON
E GENERAL
lf R6location, is there a NaturalGas Line on the Cu-rrent site? [vi-f]lo
ADDRESS: 14os 39TH STREET CITY: wrr,MrNGTON
EIIIAIL ADORESS: peL er@c ape f earma intenance . com PHONE
PROIECT CONTACT PERSON: Petei o'Brien PHONE
nrparns fl RELocATToN
tS at oC SPRlNxt ERtD?
E Yes
E No
NE!,J coNsrRucrroru:
I tnecr NEt,,l srRUcruRE
! rasr rnacx
f] sxer-r-
! urrrr
! aoo ro Exrsr STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- ThE ShEU rs Elect Power on this Building E Yes E ruo
ls bod or be\rerag€s p.epared o( ssved in this srrrcture?
Eves I No b The Propefly Located ln The Flooddaln?
E ves
I lo
OWNEFYCONTRACTOR: Peter r. oerien SIGNATURE:
((x.d[ts, (Pim Ndrl.)
Noi6: C,emollion nottlcatbns & .!sb6to6 rl.novel p€mlt appllcaions 6rE lo b€ submllbd uslng th6 appllcatbn bm (DHHS3768) wnather t|o fsclllty or bulldlE was found to
contaln Asbe5b6 or mt you s|t |lqut|Ed b call the l,tatomt Elnb3lon sran&r(3 for Hszsdour Alr Pollutanta (NESHAP) at (919)m7€950 at l€€sl l0 d.ys Flor b fi€
dorr|olnbn of any lbdllv or bulldlno. Sd Asb€6rG Wcb Slt!: ht$rr'v$,nv.6pl.stat6.nc.us/apuasbc5los,/ahmp.htnl
rorAl PRoJECT C osr 4,t [,-o-:- BUILDING HEIGHT: ?' # oF uNlrs:
TOTALAREASQFT: T4 SOFTPERFLR: 6q # OF STORIES:
/
TOTAL SO FT UNOER ROOF: 6./ # OF STRUCTURES:
^/ #OF FLOORS: /.
D(ST I.AND DISTURBING PERMI?
E YES EINO
SO FT D(STING IMPERVIOUS AREA:
pROpERTy USE: IOFF|CE EnesrnUnnr,n luenCnrnr-e EeOUC ! err lCOtloo OTHERJ4slelsc-
WATER: r.|CFpUA T-l COMMUNITY SYSTEM
nWELL lzoNlNG usE CLASSIFrcAToN:
sEr/r/ER:
EoFPUA Ecer'nnru-seprlc El i-RlvArE SEPTIC flcoMMuNnYsYsTEM
., SEPARATE PERI\,IITS REQUIRED FOR ELECT, MECH, PLBG' GAS EOUIP' PREFABS & INSERTS *.
ZONE:OFFICER:
pAyMEirT MErHoo:
flclsn flcnecx plvaaLE ro NHc) flluenrce.x o<eRESS
E McMSA
I orScown
(FoR OFFIC€ usE oNLY) FEvtsED oArE "llt|2
SETBACKS: F:- LH:- RH:- B:
Apprc\El :- C'i$- DATE:- FLOOD:BFE+2f
N
PERMIT FEE: $
Permit #:
'r,**** Is THIS A CHANGE
IF Yes, what was the Previous Occupancy Type?
oF occuPANcY user
!vts @no *****
u/hat is the Nel, Occupancy TYPe?
ARCH DESIGN PROFESSIOML:
ENGR DESIGN PROFESSIOTTAL:
DESCRIPTIoN 0F WORK: Frame unisex restroom wj'thin existrnq metal buildinq
NC REG *:
NC RE6 #:
PH:
PH:
ACRES DISTURBED:
NEW IMPERVIOUS AREA:SO FT
0Comment
all other applicable State
nlans and soecrfications
Nc Srare Bldg code and
Tort?2Y
ziil}\
./...r*r-tx NEt^l HANOVER COUNTY BUILDING PERMIT 1-5
- L87 4
/i' "ffi.
\,,\ AppLrcATroN rvPE: CoMMERCTAL
- 1 fJ ffi ifl pLEAsE ANswER aLL QUESrroNs AppLTcABLE ro youR pRorECr APPLTCATT.N
Number
N \\HHu7 "Project Responsibility" (orrice use)
(n
I \<r-:rY
N APPLTcANT,s NAME: DATE:-!!la!l
( t- nFVFr npFR: PHoNE #: 91c-341-4331
PROIECT ADDRESS: 1817 Harr Dr CITY: % ZIP:L
OCCUPANT/BUSINESS NAME: aattte House
PROPERTY OWNER,S
OWNER,S ADDRESS:
NAHE: Wilmington International Airport
1740 Airport Rd
C0NTRACT0R; Environments
Unlimited rnc
ADDRESS: 215 South Kerr Ave
EMAIL ADDRESS
: dionesGenvironmentsunlimitedinc. com
PROIECT C0NTACT PERSON: Darren Jones
PHONE f:
ST:
9r-0-341-4331
NC ZIP:28405
J.l
$
-(Uq?
s
s-.
\$
CITY: witming!g4
LICENSE #: L
CITY: wilmington
PHONE
PHONE
ST: Nc ZTPi 28405
#:910-399-6717
#:W
REPATRS
! nelOCArrOH
ls BLDG SPRINKLERED?
n Yes
fl ruo
NEW CONSTRUCTTON:
f] eneCr NEW STRUCTURE
EFASr TRACK! SHer.r-
@ Uerrr
f] aoo To ExIsT STRUCTuRE
ACCESSORY STRUCTURE:
Is Elect Power on this Building fi ves El ,O
PROFESSIONAL: Greg McdoweII NC REG #: 018518
DESCRIPTI0N OF WORK: Int-ericr modifications
I ls food or beverages pepared or senred ln this srruduref Elyes E ruo b The Propaty Located ln The FloodplainZ
I Yes
El ruo
' S nrscr atMtrFr't hcrchv ceriifv that all information in this aoolication is correct and all work will comolv with the State Buildino Code and all other aoplicable State\l/ DISCLAIMER: I herebv certifv that all information in this
-J:*J:::I?y:^tTg:#i*rys.i"ld^'."gyk*gl^'.rns"NHt
that all information in this appllcation is
correct and all work will comply with the State Building Code and all other applica-ble State
and reoulations. The NHC Develooment Seruices Center will be notified of any chanqes in the approved plans and specifications
ricr-oil-nioimiii<in. '*NioTg: Ani Work Performed Wo the Appropriate Permits will ble in Violation of the NC State Bldg Code andor chanoe in contractor or contraclor
Subjectlo Fines Up To
$500.00-'t
OWNER/CONTMCTOR:
(Ouar,llql
SIGNATURE:
contain Asbestos or not. You are required to call the National Emission Standards for Hazardous Air Pollutants (NESHAP) at (919)707-5950 at least 10 days prior to the
demolition of any facility or building. See Asbestos Wob Site: httr:/,lflt ur.epi.sbte.nc.us/epilasbestodahmp.html
TTOTAL PROJECT COST: 1s0000 BUILDING HEIGHT: 25'# OF UNITS: r
TOTAL AREA SQ FT :
f.lLL4ZSQ FT PER FLR: I0,129 # OF STORIES:
TOTALSQ FT UNDER ROOF:
J9,1n- #OF STRUCTURES:1# OF FLOORS: r
ACRES DISTURBED:EXST LAND DTSTURBTNG pERMrr?[VeS El"O
NEW IMPERVIOUSAREA:SQ FT EXISTING IMPERVIOUSAREA:SQ FT
pRopERTyusE: EoFFlcE ERESf,AUMNT EMERCAT{TrLE IeOUC EePr lcoHOO OTI{ER,Bus ines s
wATER: ECFPUA ECOMMUNTWSYSTEM EIWELL fIZONTNGUSECLASSIFIGATION:
sEWER:
E-crpun E cer.nnru- sEprc
f] e-nvnre
sEPTlc [EurvruNtwsYsrEM
*" SEPARATE PERMITS REAUIRED FOR ELECT, IV]ECH, PLBG, GAS EAUIP, PREFABS & INSERTS *'
pAyI\tENTMETHOD: ICASX flCXeCTpnVeeLETONHC) fimrenrcmEXPRESS IUcrUSn EOtSCOVen
(FOR OFFICE USE ONLY)
ZONE:_OFFICER:SETBAGKS: F: Ll-l:_RH:- B:_
Approvall cib[-DATE:-rlooD:1 v NBFE+2ft=
EXrST CONSTRUCTTON:
! alrenATrON
lf Relocation, is there a Natural Gas Line on the
(Check
AII rhat Apply)
IZ Renovarror l-l crruennl
ilr"ntsitez flves t]r,lo
If UPFIT
- The SheII Permit #:
***** IS THIS A CHANGE
was the Previous occupancy Type?
PROFESSIONAL: Mark Grenel-I
oF occuPANcY usE?
fivrs flNo *****
What is the New occupancy
PH:910-233-1061
PH;910-210-3747
IF Yes, what
ARCH DESIGN
ENGR DESIGN
Type?
NC REG#:7438
Environments Unlimited
(Prlnt Nsme)
Comment PERMIT FEE:
RE/f,SED DATE 4/1,I/12
i
&,
APPLICAI{T'S M}tE:
DEVEL@ER: ritA
NEII HANOVER COUNTY BUILDING PERI-iIT
APPLICATI(N TYPE; CO[TITIIERCIAL
PLEASE ATISHEN ALL QUESTI$Is APPLICABLE TO YOI.,R PRO]ECT
"ProJect ResPonslblltty"
9ov1ne
lF{t}tp_
APPLICATI$I
Number
(&Fftcc Usr)
DATE:01/L0/L5
P}toXE *! NA
CfTY: vlilminor,on ZIP:28401
SR&R Environmental Inc.
PROPERW
ot{ER,s
PRO]ECT ADDRTSS:4920 ttwv 421N
OCCUPAilT/BUSIHESS t*Al,tEi sRdR Environmental Inc"
ffilEn'S HAIIE: illilliam Murrell .:r PlKXrlE *: 910-520-00s5
AIilIRESS: 42{2 tuckahoe Drive CITY;
U.rl.* lller*"lr ffi
fvanhoe 5Tr3g_ ZlFtry
COi{TRACTOR, LICET{SE *:
AIXHESS: 5J4-.r"q*.^r*s€--s*i,re CIW: !:;!gig!g ST:39 ZIP:39!g
EIiAIL AIIORESS:
?rdner.eae€het* -r r/ S+ra6rar rrrc-au.acr..- a Pll$IE*; 9.1${*l-e5€"F
If UPFIT * The thell Permit #:
r*.*r Is TfiIs A cI{lilGE
IF Yes, LAat ms the Previous Occupancy Tlpel
oF occlpArcY rsE?
flYEs fllrs *""
NA t{ret ls the t{en Occupancy Typel
PROIECT CO{TACT PERSOT{: tranrqraunrrri
f,qr di ^. Ptl(XE *t 2Jg--s,Jg,--t-fu.1'
(Check AJ.l rhtt Apply)
Exrsr cotrtsrRu(rror*,
fJ ArrERArro{
[ nenovarrm flcexrnnl
lf
Relocdon, is there a Natrxel Gas Une on the CGrent Sirez
flves Cf xo
REPATRS
f] nrlomrron
rs BLDG spniNrurneD? il3vrs fiNo
NEh' cu{srRUCrrff{:
fJ rnrcr ilEH sTRucruRE
IJF*5T TRACK
I SXeur
flunrrr E] mo To Exlsr sTRUCruRE
ACCESSORY STRUCTUFE:
Is Elect Pouer on this Building [l ves ff Ho
IXSCT-AIMffi: I tre{ebv
certfv Oral dl informatron rn
this amhcaton rs
coffocl and all r$ork wll comdy with the State &nktrn0 Code and all od}er applicabb Stat
anO tocat lari6 and odinana* and reoidations. Tho NHC bevelopment Sryvices Center will be nori-fad_d any chglgc in_tlrri
{prorred El.qnl€ndlpfcitications
sr*;ectIo Fincs Up To
t500 00*
/,t , ,, { ii liT
OWNERyCONTRACTQR; w j ir iam Murreii irI SIGNATURE' l"t" / tlt+t*' U!-L
(OnrHlr.)
ildc Drrrdifqr ndtcds* & der ilnorrd Frmit ryLcltar lr b br
xfimu s|klg tr. rFdlct{f,t hm (DHH8fl6E} wftc{h{ tt fucffiy a
hd&g ru hnd ru
conl.klA.b6!onor Yanmflqlrtdbcdl rh.llddl.] Emuon
$rrffitbr ]lutdolr]e F*rrrr (HE8[lApf
d (91$m7.6050i1a.* 10dr!a F{d btr F
pRopERwuse [orrne f]nesrnunrun flueBcAr.rrLE
f]ur f]*rr fJmxpo orHER]s]s*ssr*,/
ltrATER:
[fCrPuA nCOt{MUNTTY$\6IEM J-}frELL IfZONINGUSECI-ASS|F|CAf,|ONr
$EI{ER:
frcrpun fr crr,nnnr-
$Emc ffi*fuare sEprc g3-couuuNrrys\nsTEu
PAYl,tEhrmErltoo:
[Jcnsn flcrreo<prveslErol&{c} f!ru,renrcnnp<rnEss fir,rcnnsn tlnrwran
GOn OFFICE
US OitLY)
ACRES DISTURBED: o
E(Sr r^r{D DtsruRBtNe pERMm ESvrs slno
NEW IMPERVIOUS AREA:
SQFT $(ISTINGIMPERVIOT,,SAREA
RB'}SED OATE 4II1lI2
ZONE:_OFFICER:SETBACKS:
F:_LH:_ RH:- B:_
Approd:_Cfity:_DATE: FLOOD:_ BFE+zfrE_A v lr*u* FEE,
$l4g_Co{nmerrt I
ARCH DESIGfi PIOFESSTOilAL;
EIIGR DESIGil PROFESSIOT{AL :
NA PH:
PH:
NC RE6 *:
HC RE6 *:NA
t* tood n bilrag6 prafmd
r arYed h tffs rtn rtra?
Dvrr EI ruo b Tho Propety Locarsd h The Floo#dn?
flv". EI *o
(FrhX..ltd
DESCRIPTION 0F ISRK: Addieion cf tab@
dinolton.amyirceyorhd*{L S..Arbmfrd$Stb: tttp:/,1ffii..d..&.rc.lrtr!Cffi/l*mp.}trl
TOTALPROJECTCOST: $78,122.2a
BUILDINGHEIGHT: fOFUNITS: :
TOTALAREASQFT: 225 SQFTPERFLR: 22, #OFSTORIES: T
TOTALSQFTUNDERROOF:
?25 #OFSTRUCTURE$: L *
OFFLOORS:--]-
frm(-,
fTI
m(3
tv
0
ed
sorT
NEtl HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COIII{ERCIAL
PLEASE AllSl.lER ALL QUESTIOT{S APPLICABLE TO YOt R PRoIECT
"Project Responsibl1lty"
SR&R Environmenta-I
Inc.APPLICANT'S ttAfiE:
DEVELOPER3 NA
NEr{ COi{STRUCTTOT:
! enrCr Et{ STRUCTURE
! rlSr rmCX
! srElr EUPFrTE ADO TO EXrST STRUCTURE
EXrST CONSTRUCTTOT{:
! ALTERATTON
! netOVlrrON
! Cetemr- REPATRS
E RELOCATTON
lf Rolocation, islherea Natural Gas Line on the Current
Site?
flves !to lS BLDG SPRlNKLEneoz
Ives Ir,lo
ACCESSORY STRUCTURE:
If UPFIT _ The SheII
oF occuPAricY usE? EYES E r\p
NA tftat is the er.r
ARCH DESIGI{ PROFESSIOML;
EI{GR DESIGI{ PROFESSIOML r
Is E1ect Power on this Building E Yes E ruo
Occupancy TtDe?
NC REG
NC REG
DESCRIPTIoN
0F WoRK: Addition
of Laboratoly Insi-de warehouse.
le food or baveagre pr€pc€d
a sd!,€d h rrs trnree [ve" [ rc r ne moprty l-oc#d ln Tho FloodCah?
E Yes
El No
OWNERYCONTR/qCTOR' wi r r lamMurrel.I III SIGNATURE:
(qdk)Pfin rl.n'c)
cqrtlh A$s. d not Yqr
.It ]!q.ir!d b c.ll t! t{adoi.l EmbCqr S'l&.* ibr He.dor Ar Folnr.m. (NES[UP) at (919]707{050
.i lc6.n l0 &y. Flq b tE
dridltdl d dry ibdlliy o. h.ddilc. S.. Albe Wbb
Sb: htuirrnv..d,.rd.. nc.u./.pu..bcb.rdimp,ttrl
TOTAL PROJECT
COST: $18,122.20 BUILDING HEIGHT: e' #OFUNITS:
TOTALAREA SQ FT 1 225 SQFTPERFLR:4_ # OF STORIES:L
TOTALSQFTUNDERROOF:A #OFSTRUCTURES.!- #OFFLOORS: 1
D(ST I.AND DISTURBING PERMI?EYES EINO
SQ FT EXISTING IMPERVIOUS AREA:
PRoPERTyuSE:
flornce lnesnunnrr EueBc,cmLE
f]souc lAPr lcomo oTHER!euo'"to'"_.
WATER: ECfPUA ECOiTMUNrYSYSTEM -fl#LL fIZONTNGUSECT-ASSilF|CAnoN:-
sEwER:
-icFpue Ecttlrmr- sEmc EfEivATE sEprrc E-corrMuNrysysrEu
- SEPAMTE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS & INSERTS *
PAYIiITENTMETHOD:
lCaSr [CXeCXeAVnaETONHC) lnUenTANE(PRESS lUCrVrSe EOTSCOWn
(FOR OFFTCE USE ONLY)REVISED OATE 1rITT'2
ZONE:OFFICER:
SETMCKS: F:-LH:RH:_ B:
Appro!€l: City:_ OetE:_ FLOOO, o u N
BFE+2fr=
Permit #:
**.** IS THIS A
IF Yes, h'hat was the Previous Occupancy
CHAI{6E
TtDe ?
PH;
PH:NA
7m-)m
mC'
h9
o
ACRES DISTURBED: o
NEW IMPERVIOUS AREA: oSQ FT
A v * .=.-*lQ!-Commont PERMIT
Sotsjl
ag
lr--tg!&_
APPLICATIOT{
1{unber
(offtce Use)
DATE: 0?
/ 10,/15
PHOI{E #:L
PROIECT ADDRESS:
4920 Hwy 421NCITY: wilninqton ZIP | 2B 4ar
OCCUPAT{T/BUSINESS NA E: SR&R Environmental Inc.
PROPERTY Ot{t{ER' S NAI4E: william Murrelf Jr PHONE #: 910-s20-00ss
ohlNER'S ADDRESS: 4242 Tuckahoe DriveCITY: rvanhoe 5T: NC ZIP:28447
ADDRESS: .ll.4-.Lquar j.l+-er-i-+e CITY: !5!1ggg__ ST:ne ZIP: ?6+
EitAIL AODRESS: qtu-pr.€4het,gr4i1-€o i L/ . lr -t.^c-Lr t.Cnvtr.O..).+1 PHOflE *: 9+4-€3-e5€+
PROIECT COI{TACT PERSO
: .E.arr-frorrsj(-i j--r.?.-r Zr.^.-,.. PHONE #: ,'tO.SLo.t.ttt.
I
(check
alt That Apply)
CONTRACTOR:
LICET{SE #:
DISCLAIMER: I hereby certify that a
and local laws and ordinances and r
or chanoe in conlractor or contractor
Subioctlo Fines Up To
$500.00*
re76-na+
APPLICATION
Number
(Office Use)
oaTEi a'7
/02/2a75
PHONE
*:910-755-6411
ZTP ..
LOT
#: 106
#: 910-599-7698
ST: NC ZIP:
ST: Nc ZIP: 2B459
f: 910-?55-6411
#i 91A-622-339A
NEW HANOVER COUNTY
BUTLDING PERMIT
/4/t-
%bAPPLICATIoN
TyPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Res pons
ibility''
APPLICANT'5
MI{E: Jason walker
DEVELOPER:
Carolinq Creatioos Landscape
PROIECT ADDRESS: 2906 Park Ave.CITY: wi Lni-ngton
SUBDIVISION:BLOCK #:
Fred Kostern PHONEPROPERTY OWNER'S NAi1E:
OHNER,S ADDRESS: 2906
Park Ave.CITY: wilmington
CONTRACTOR: carolina Creations Lands
cape
ADDRESS: P
-a. Bax 232'7
ElllAIL ADDRESS
: _Lqalkerccarolinacrear ions.
biz
LICENSE #: 73105
CITY: shallotte
PROJECT CONTACT PERSON: Jason waLker.
PHONE
PHONE
BELOl.l ALL THAT APPLY TO
sF ! orr caRaor
YOUR PRO]ECT:
! sur,rnoom
Z POOL 486
! cneenrousr
! orcr
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
l...l YES
EXISTING IMPERVIOUS
AP61, 'i5/7 5q rr
SF
sF EPoRcH
-sF
SF
! sronace sneo
5F OTHER:
SF
5F
TOTAL HEATED
5Q FT:TOTAL SQ FT UNDER ROOF:
TOTAL AREA SQ FT:
TOTAL PROIECT COST(LessLor)
: $ 3l.O*8# OF STORIES:
Is Any ELECTRICAL, PLUMBING or I{ECHANICAL work Being Done
to the Accessory Structure? [ V"t I ffo
rf the project is a Relocation,
is there a Natural Gas Line on the cunrent
site? [ ves I lto
rs there Electnical Power
on this Building?
ny"r l--'l ruo
pRopERTy usE
/ occupaNcv: @ srrucre FAMTLv
E DUpLEx
E rowNHousE
DESCRIPTION
0F W0RK: Install 12'x 20' fibe.qlass swimminq pool, 486 sf of conclete poot deckinq,
and pool code fencing.
DISCLAIMER: lherebycerlify hai all information in his applicaljon is conect and allwort( wittcomptywit) he Siaie Buitding and all ofier applicable StaE and local laws
and ordinances and regulations. The NHC Development Services CenEr wiI be notied of any changes in he approved
conEacbr informalion. 'hNOTE:Any Work Performed
w/O he Appropriare permits
wi be in Viotatton of the NC StaEFines Up To
$500.00"'
OWNER/CONTRACTOR
I rason watxer SIGNA
**,*,* * )i
*:i+,i,r,r*** **** ** * **** *(I
i'{ I }il"J * * * * * * * * * *
*** * * * * **** ***
*l}
EI ruo
TOTAL ACRES DISTURBED:
EXTSTTNG CONSTRUCTION:
I nrrenarrOru
! neruovarroru
! oeurnnr REPAIRs
n RELOCATION
NEW CON5TRUCTIOru:
! enrCr NEt.l RE5TDENCE
or
! lOOtrroru To EXTSTING RESTDENCE
**PLEASE CHECK
I nrr cnnnce
AND ANSWER
NEW IITTPERVIOUS
AREA: 486
-sQ
FT
EXIST LAND DIsTURBING PERIVIIT:
I-I YEs
Ef NO
sEtJER:
@ cFpuA
E CENTRAL
sEprrc
! earvarr sEprrc
E comMuNrry sysrEM
hIATER:
E] cFpuA
E coMMUNrry sysrEM
n pRrvATE WELL
! cerurnar
well
ZONE:OFFICER:
(FOR OFFICE UsE OIILY)
SETEACKS:
F: LH:
*** SEPARATE PERII1ITS REQUIREo
FoR ELECT, IilEcH, PLBG, GAs EQIJIP, PREFABS
& INSERTS j't *1,
pAyr,rEr,rr
rilErHoD:
I cnsx
fl crecK (eAvABLE
ro NHc)
f] Ar,rE;rcAr,r Ex;RE;s
I r,rcTvrso
! orscovrn
++,t**+:i:i*,t,t*,t,*****)i)i,*:i******+*++*+,***:t+:l+,***++:t**r.****)i,i{.+i}iB****:i++:}{.*,**,*)i)i)i+,}*******)i+,*
REVISED
DAIE O4l11l12
Approval:
City:_ DATE:FLOOD:
RH: B:
B F E+ 2ft=
w*ts-t10t
NEH HANOVER COUNTY
BUILDIHS PERMIT
APPLICATIaN
rypr; RESIDENTIAL
PLEASE AIISI.IER AtL QUE5TIONS APPLICAELE TO YOUB PRO]ECT
"project Responslbility,,
fu/{-733D
APPLICANT'5 l*AtME: .rason Hatker
APPLICATION
t'lumber
toffice Use)
DATE:.0?/02/2_.0-11.
DEVELOPERI
Carolina Creations Landscape PflONE
*; 9:0-?55-6411
ZIP: _
LOT #:
*: 910*599-?598
ST: NC ZIP:
5T: llc , ZIP: ?Bqle
#:
uto*t:l-{ilrr
f;910-622-339.0 _
PROIECI ADDRESS: 2906 Park Ave.
CIW: l{ilnjlqton
BLOCK
#:
lrlAlilE: t'red Kos.-ern
2906 Park
Ave. CXW:Wi L$
i.ngton
SUEDIVISIOf{:
PBONTPROPERTY O,INER'S
O$$IER,S ADDRESSI
CS,ITRACTOR: Carolina
clealions l,andscaile LICEIISE f: 73105
AODRESS: v.a. Box ?.32'?
CITY: shailotte
ii'IAIL ADDRESS
i ,j rca
lke r8carotinac rear i ons . biz PHONE
FHONEPR0]€CT CONTAfT PERSOi'I: Jason '.tIal"ker
ExrsTrNc coNsrf,ucTroN:
E ALTERATToN
f nrnovarroru
f eeNenal REpArRs
I ner-ocnrror,t
t{EhI
coNsrRUCTrs-l:
I rnrcr NEt,l
REsrDENce
or
I ADsrrror,l
ro ExrsrrN6 REsroENcu
I*PLEASE CHTCK AND AIIShIEf, BETOT{ ALL TTIAT APPLY
IO YOI'R PRO]ECT:
fJarr GARAcE
_ sF LJ oer cARA6E sF
f] poRc{
_ sF
f] surunoom
..._-*-sF
I cnrenHousr
-
sF
f, aoor.
$6 --, ,.., sF
f] orcr
* sF
f] sronaee sHED
_ sF
OTHER: 5F
TOTAL HEATED SQ FT:TOTAL
SQ FT UNDER ROOF:
TOTAL AREA
5Q FT;
TOT&L PROIECT C0ST(Lessr-or)
: $ 3-L.O:!A# OF STORIES:
Is Any ELECTfrICAL, PLUIIBIIIG
or i'tECilrltUCAL Work geing Done
to the Accessory
Structure?
fl Ves
fJ Ofo
If the project
is a Relocation,
is there a Natural Gas
Line on the curnent
site? f, yes ffi ruo
Is there Electrical. Por,+er on
this Bui.ldinC?
ff yes I'I ruo
pRopErry usE
/ occupANcy:
[t STNGLE FAr'rrLy
I ounr-rx
n rr--?#Jsgerlon $ryuri*i:. iljii;;,: -:^-
DESCRIPTION OF lrlofi(: rnstall-121
xlQr fiberqtass "r{i**ine popt, qtg
rr of *o,l"ru"u;or.-fltffrYfW.i
and pool code fencinq.
DISCIA,ME* I hereby certlry fiat all intormatiofi in ftis applicalion i3 corBct and a{ workwiil comp,y wif} fre Srats tsdtding
and ordinsnces and regutations. Ttle NHC Dsvobpment Sgrvlces Cen!* !ri!l bo notifi€d ota.ry changas h tre approved pla't
coniacbr inbmarcn, "'NOTE: Any Work Psrfo.med
lynC he Appropriaie
Pormilswill be ir Vbleti?n o, rhe
NC Ststs
OWNER/C0NTRACT0R:
Jason walker _SIGNATURI;
* *
* + *
r***** x**x***,r )rr**
*** *
J,ii'Il Jil,ti** ***:* *{i* * *+**r.***,**** -"1*
-l;t*'**}
TOTAL ACRES DISTUREEO:
EXIST LAHO DISTURBING
a,ld
dl olher applhable SBe and hcsl la*s
Fines Up To
$500.00"'
rs rHE pRopERTy LoCATED
IN A FLOODPLATNI
n yEs ffi uo
EXrsrrNG $rpERvrous nnra. f5I7 5q p1
NEW
I|IPERWOUS AREA: 4.85-., 5Q FT
PEfit4rr:
IJI ves
fJ ruo
wATrft:
ffi creun
f, conmunrry sysrErq
I enrvnre
wrlr.
I crrurnnl weu
sErrrER:
fi crrun
fl cenrmL sEprrc
I enrvare sEprrc
f commur,rrry
sysrEl{
*** STPARATE
PERI4ITS flEQUIRED FOR ELECT, }IECH, PLBG, 6A5 EQUIP, PREFABS g IiISERTS ***
pAyl,rErtrr
nETuoD:
flcas, ficxecr (eAvABLE " rr.) flrurrnrcm ,*rrrg n;;r;;;;
-
Do,,coyER**+'r.,1************,r,l,+in*+****,r*****,r**i***{.,i.{.*****#*+*******:B*f,t *****,F:t*ri*}t++1.t*+,r*********
i', , - ,t .t (FoR oFFrcE usE
oilLy) , ltll*,*; '1 ik{*.rst, REvrsED 0ArE a4/ntt2
llrff'.. r\;: rh,'ftr'tr:, ")":f,f ,,.ri-* |'lr^r,.0**,t 14, ?,r:f
,iM;.- rfr*-
lill)ii,,ich, ivl'r*it ,ry4r 'i{r a' ,fftffiz
LDlS-17>c?
NEW HAI\OVER COUNTY BUILDING PERMIT
APPLICAIIOTI
ryPE: COIII&IERCIAL
PLEASE ANSI'TR
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Pnoject Responsibility"
NAqE. Christopher Building Compaoy
L5-L826
APPLICAT]ON
Number
(office Use)
DArE: ll5l]5APPLICANT' S
DEVELOPER:
PROIECT ADDRESS: sB18
olealde! Dr.
OCCUPANT/BUSI ESS NA,IE: l,loe's original BBg
pRopERTy ollrNER'S NAflE: Bobby suckabee
OI'INER, S ADOftESS: Po Box 2889
CCITITRACTOR : christophex Buj.lding conpary
ADORESS: Po Box 1634
Eli|al L ADORESS : bil l € chri stopherbuildi.n g . com
PROIECT
Co TACT PERSON: Bill christopher
CITY: !9ilmington
CITY: tiilnington
LICENSE *: 72280
CITY: tlrightsviLle Beach
PI0NE
*:910-233-3061
ZIP:28403
PHONE *l 910-233-8200
gf 3 Nc !1P128402
- 5T: Nc ZIP: 28480
PI|oNE #:910-233-3061
PI()NE *:910-233-3061
(the.k Al1 Ihtst Apply)
rs Elect Porrer on this Building Cl Yes D No
SIGNATURE:oWNER/CONTR CTOR. Bill chrigropher
TOTAL PROJECT COST: 1s0, 000
TOTAL AREA Se Fr . 346B
@r{8h A6b€8bc or rct You 8rs lEqlil€d to call t}E Nado.d Emr6sbr|
Sl6ndar* for HazardoG Air Po&lrnB (NESHAD sr (919P07*5950
fi b66r 10 dsys frb. io
tro
d6nE€tion ot ary fadllv oa bulk n€. S€e Asb€dos fryob Sltd fttp/ rwlv.sd.stat€.nc.us/6puasb63toGi/ah.'lp.f*ml
Exrsr coNsrRucrroN:
I ALTEMTToN
fl n$ovarrot l--l ceurml REpArRs
Tl RELocArror
tf Relocadon, is there a Nat!;t Gas Line on thetfrrent sitez
I vF[ r.ro tS BLDG SPRLfrKLERED?
Cl ves p No
NErd coNsTRUCTrCn:
f] enecr NEhl srRUcruRE
I rasr rRAcx
E SHELL
n upFrTE ADo To ExrsT sTRUcruR€
ACCESSORV STRUCTURE:
If UPFIT
- The
Shell Permit S:
*r*:..* Js rHrs A cHANGE oF occupANcy usE?
ff yEs Ql lo *****
IF Yes, what ras the Prevlous Occupancy Type? - tfiat ls the Ne$ Occupancy Type?
ARCII DESIGI{ PROFESSIO|{AL: Dogl^,ood Architecture . ?Hi 910-264-3'}42 llc REG *: 12054
ENGR DESIGI PROFESSIOi,|AL: Mcdove]l Consulting Engineering p* 910-270-3'14"1 NC REG f: 018518
DESCRIPTION OF UORK: Restaulant renovalion
ls food or b€\rsrqies prep€r€d
s served h Ats srucrur€?O Yesft ruo Is fne Rropelty Locatod ln The Floodpbin?ff ves B[ rvo
DISCLAIMER: I hereby cedfy that all .nformation in lhis aDglication is correcl
aid all 'rork will comdy wilh ihe State Buildinq Code and 6ll other aoolicableDISCLAIMER: I hereby cenily lhat all rnfofmation ln lhrs applicalron is
corre'd afld all work will comdy with the Stale Building Code and all other appftcable Stale
atud local lalvs and ordinances and leoulations. The NHC DeveloDment Servrces Center w lbe notlfied of anv chanoes ln the aooroved Dlans and soeofications
or change in contractor or contaclor i"rro{mation -'NOTE Any Work Performed
w/O the App(oFrrato Permrls will 6b in Vrcladoir d IIE NC Slate BIdg Code and
Subjecllo F'nes Up To $a)oo 00-'
pRopERry usE: EoFFlcE fl nesraunnrr fluencnHrrlE
I eouc
f] nnr
[coNm ornen:
WATER: T-l CFPUA
I CoMMUNTY
SYSTEM
EwEtL EZON|NG USE clAsstFlcATtoi.l:
sEwER: -lcFpuA f]cENrRALSEpnc f]FFtvATEsEprrc ntAMMUNnysysrEM*. SEPAMTE PERMITS REQUIRED FOR Et,ECT. MECH, PLBG. GAS EOUIP, PREFA&S & iNSERTS
'.
PAYI/TENTMETHOD: UCASH f,lCHeCxlenveAlEToNHC) QlUenrcatoeRESs OMc/vts,c florscoven
(FOR OFFTCE USE ONLY)REVISED DATE IYl1/I2
. SETBACKS:F:
,LH: ,RH: -B: Ka r.,,r oo_FLooD:___BFE+2fr 9.l "lC
O-AVN
. BUILDING HEIGHT: 16 '
SQ FT PER FLR: 3468
# OF UNITS: L -
# OF STORIES: 1
# OF FLOORS: 1
TOTAL SO FT UNDER ROOF. 3468
ACRES DISTURBED: O
NEW IMPERVIOUS AREA: o
# OF STRUCTURES: r
Exsr LAND DrsruRBrNG pERMrr?K)yES c[ No
. SO FT EXISTING IMPERVIOUS AITFA 3468 SQ FT
ZONE:
Approval:
OFFICER:
_ Crty:- . DATE:
lka-l1l-, y.as
CFeu* yng
Crq Frr.e y.5'B c*17
&ots-7?37
APPLICATIOI{
t{unber
(Offi.e Use)
OATE: 't / 73
/ t5,*i.*.*, , ?rc3Ti7Es
pnorecr
lmn /
SUBDIVISION: Eiqure 8 BLOCK *: lOf *: /1
PEz ;s-;go5
APPLICAI{T'5
NEId HAM)VER C(ruNTY BUILDING PERMIT
APPLIcArIott nrPE: RESIDENTIAL
PLEASE AI{SI,JER ALL QIJESTIONS APPLICABLE TO Ycl(JR PRO]ECT
"Project Responsibility"
llAllE: Pat Talbert Buifding & Development. r,lc
PROPERTY O}'{ER's M}tE:
O{NER'S ADORESS:
CO TRACTOR: Pat Talbert Buildinq
ADDRESS: 6608-6 tii.ndmill lgay
EflAIL ADORESS: ptatbeltotalbertbuilding.com
PROJECT COIITACT PERSo
: Pat ralbert
,T+PLEASE CHEC(
tru
*:sr@@{
LICENSE #: s2084
CITY: wil.minq t on5T: Nc ZIP:
4
PHO E *: 910-4lo-2188
PIo E #: 9!0- 47 0
-2188
PROIECT COST 1r-ess r-ory : $ eso, ooo
EXrSTrr{G cO STRUCTTON:
! alrenarroru
! nrruovlrroru
f] eerurnal nrearns
I RELocATToN
NE!' CO|{STRUCTTOn:
[l SneCr E]r RESTDET{CE o"
I AOOrrrOl{ TO EXrSTrilG RESTDEI{CE
AND AiISWER BELO{
2092 SF
! orr eanaee sr
! eoncr
LsF
SUNROOM SF
n poor
-
sF
I sroRace sHeoSF
GREENHOUSE
-
5F
I orcr s64 sF orHER:SF
HEATED SQ FTi 512lTOTAL SQ FT UNDER ROCTF : 7 311
TOTAL AREA SQFT:7311
Is Any ELECTRICAL, PLlr alll6 or IIECIUI ICAL l,ork geing Done to the Accessory Structune?
[ Ves I Ho
If the project
is a Relocation, is there a Natural Gas Line on the current site? [ ves I No
is thene Electrical Por',er on thls Butlding?nv"5 ltl Ho
pRopERw usE
/ occupaNcY,
@ srrucle ro'rrlv ! ouelex
I TohlNHousE
DESCRIPTIOI{ OF UORK: new water front horne
DISCLATMER lhereby cenjt tlat all inlcrmaton in his applacalon is
conecr and d wor* wii comply wltl ite State &ibn€ code
4ld a[ oher appllcdle SlaE and locd laws
and ordindlces a|d regulatbns. The NHC Dev€bpm€nl Solvhes Centsr Mn b€ notfied of any chaEes in t|e apFoled plans and
coniEEbr inbrmalon. "'NOTE: Any Work Perfomed WrO he Appropriat Permils wll b€ in Vbbton ofhe NC StaE
OhNER/COIiITRACTOR: rohn p rarberr SIGNATURE:
(Prlnt
t.ne) /***,t 'i*'f )t:t:|,lr ,* {. *:i *:l *
t *****'t:i +*+*,*,t*,i,}***+,i*,},*++ +a+ + +:f :i :}:a
* r. * + i :*,i *
*:r,l:l ri
*,1:l 't:a
rt
*,},},t !a rt,t
*,t *:* +:t :}
*
rs rHE pRopERTy L(rcATED rN A FLooopLArrl
f] ves IrlO
EXISTIIre II{PEEI,I(I,S AREA:
-SQ
FT TOTAL ACRES DISTURBED: .25
ETI IIIFERVIq'S
'REA:
4349 SQ FT EXIST LAI\D DISTURBIiIG
PERNIT: f] VES I rrO
J
r{ArER:
fl crrue Er coflflrry sysrE!,r
I nnrvare wer-r-
[ CENTML hIELL
sEflER:
I crptn
f] cE?{rRAL
sEprrc p[ enrvarr
srerrc
! co rflNrry sysTE]r
''* SEPARATE PEMITS REq'IRED FOR ELECT, I,IECH, PL8G, GAS EqJIP, PREFABS
& INSERTS ***
pAy[E
r [Erlxrrr:
E osx E cxrcf, (pAyaBLE
ro xrrl f] uenrcAr ExpRGss
E r.rcrwso
E orscorrn
Itta:|t + * * {,{.
*t t+ t*:t+ ta*:rt:r+ It:l.'i!l.,li }*ti I *+* l.{.t'a
tttttta+ **{. *:r * *r,{.i++ltta*{, *+*tt++ +**+t,aat t*
zot{E:
@ arr eaaaee
TOTAL
TOTAL
ALL THAT APPLY TO YOUR PRO]ECT:
# OF STORIES:
OF FICER:
(EOR OFFTCE rrsE 0tLy)
SETBACKS: F:
LH: RH: B:
REVIsEO OATE O4l11/12
$3aarr
!y2,.,,
ffi'
APPLICA'{T's tlAfiE:
DEVELOPER:
NEW HANOVER
COI'NTY BUILDING PERMIT
APPLICATIA N?8.. RESIDENTIAL
PLEASE AT{S}/ER ALL QUESTIOI{S APPTICABLE TO YOUR PRO]ECT
-Project Responsibilit)/'
U\
PITON E
TEL l5-LqqL
dot5- 1t38
APPLICATION
t{umbe r
(offlce Use)
t,
DArE: "/a) I l'
PROPERTY O''.''*"'*',-I'
Ol4lNER'S
CONTRACTOR:
ADDRESS:
EIiIIAIL ADDRESS:
PRO]ECT CONTACT
! surnoom
-
sF
! eReerxouse
-
sr
n poor
_ sF
fl orcr
_ sr
LrcEtEE #: b0 qqq
crrY: N.a \gr-
LOT
zrP:
.Xp.q: q
----J--l-J-
*,
S! -ri'lo.- 13st8
sr:\LJrP: e,ql q-r
sr:@zrr:
P"lPl*:nl1-fl$-l4t)
t\owr PHONE
PHONE
p;16 E #:
Qt\+tf -l\1>
EXrSTrirG CONSTRUCTTON:
! ArrenarrOru
fl nrruOVnrrOru
! CrrrnAr nrearns
! RELocATIoN
r{Er{ coNsTRUcTroH,x enrcr EH REsrDEricE o"
! aoorrror ro ExrsTrr{G REsrDEl{cE
**PLEASE €HECK AiID AIISI{ER BELO}I ALL THAT APPLY TO YOUR PRO]ECT:
I)
ffarr cauer
S'lb se ! oer canacr ,, ffoo*., 3'3 I sr
! sronacr sreo
OTHER:
SF
5F
structure?
! Ves
[rc
current site?
[v"r f] to
OWNER/CONTRACTOR :
**)r***ri+**i)t*,**,t**)i***)r*rr+rt'*i(*,t,*,**
ZONE:OFFICER:
Approval:
EXrST LAI{D DTSTURBT{G
PER}UT:
E veS pfrrc
I crlrnal wrlr
! comuurrw svsrrm
REVISED DATE
O4l11/12
BFE+2ft=
,ra,r-Iffi-PERI,IIT
rorAL HEATED Sq rr:^G'?a TOTAL SQ Fr UNDER Rcr/Ft 35b6 rOrAL aREA
Sq n:2b14
TOTAL PROJECT COST (ress
ro0 : $ 355tOtls, oc
# OF sTORIES: A
Is Any ELECTRICAL, PLUIIBIT{G or I,iECIUINICAL Work Being Done
If the project
is a Relocation, is there a Natural
Is there Electrical Power
on this Building?!ves
pRopERw usE
/ occupaNcy ,
fir*ofi rAl,lrlv
! ouelex
!
DESCRIPTIO OF HORK:
DISCLAIMER: I hereby cerlily that all inbrmation in fis applicaton h conecr and all work willcomply witr the State Building Code and att oher appticabte State and tocal tat /s
contacbr inbrmalion. ,TNOTE: Any Work PertoflrEd w/O he ApprcpriaE Permits witlbe in \rrobrion ofihe NC Star Bt
d;Sublg.r rrflne.iy(p To $500-0Cr"
iru\l*tlur I rl a ttfB"lut,r/*srcr{AruRE :
-r
IS THE PROPERTY LOCATED IN O
''-*",-O'N' 3 "'' d*
TOTAL ACRES DISTURBED: () ,19
*** SEPARATE PERiIITS REQUIRED FOR ELECT, IilECH, PLBG,
645 EQUIP, PREFABS
& INSERTS ***
payirEr{T
nET}oD:
flcrsn flcxrcx (,A'ABLE
ro mrc1
[ orenrcar{
ExpREss EI rclrrso I orscovrn
(roR oFFrcE usE o{rY)
SETBACKS: F:
RH: B:
EXISTII{G IIiIPERVIOUS
AREA: O 5Q FT
NEhr ,rpERvrous aREA,:
aL1 b_ se FT
uern:
fiwa E .o*lr*lr" svsrrm
! pRrvArE wELL
sEuER:
WcFpuA ! crrurnar
srerrc
fl pRrvATE sEpTrc
to the Accessory
Gas Line on the
E rio
Comment:
City:_ DATE:FLOOD:
LH:
PRO]ECT ADDRESS:
SUBDIVISION:
The NHC Developmenl S€rvices @nbr willbe notifed olanychanges in the approved pbns and
Zolr-?281.
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAmE: uichael Saieed (aka mitchell)Archi-tect of Record (owner Agent )
DEVELOPER:
Coastal Theracv partners, LLC (Lease Tenant owner)
PROIECT ADDRESS: 6770 parker Fram Road (Unir 102)CITY: wirmi ton
OCCUPANT/BUSINESS NAME:
Coastal Therapv Partners
PROPERTY OWNER'S NAME: Jim Dickerson (Lease Tenant Owner)
OWNER'S ADDRESS:
210 Liberrv HilI RoadCITY: Lumberton
CONTRACTOR: (ro Be Determine)LICENSE #: N/A ACCOUNT #: .4
ADDRESS:CITY:ST:
wc ZIPI 2s4ox
EIIIAIL ADDRESS:PHONE
#:
PHONE #:PRO]ECT CONTACTPERSON: ttike Saj-eed,AIA Owner Agent)msaieed@desiqnele.com 910-509-3131
15-1930
APPLICATION
Number
(office Use)
DATE. 1/27/L5
PHONE #. 9ro-2i2-9056
zlP:28405
PHONE #: 9L0-272-9056
ST: uc ZTPi 28358
REPATRS
! nelOCArrOru
lS BLDG SPRINKLERED?
m Yes
I No
NEht coNsrRUCTroN:
! enecr NEt.l srRUcruRE
E FAsr rRAcK
f] snrr-r-
[ uerrr E] noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Permit #:
***** IS THIS A CHANGE OFoccuPANcY usE?
[YES fl NO *****
IF Yes, what was the Pnevious Occupancy Type?What is the New Occupancy Type?
ARCH DESIGN PROFESSIOML:
Michael Saieed (aka mi
tchel 1 )(AOR) PH:.@ NC REG #i B'ti3
NC REG #:ENGR DESIGN PROFESSIOML: n,ra PH:
DESCRIPTION 0F WORK: New(Nol,oad Brg)rntr Wal1 Const/Exist Lease Tenant space - minor alteration
Is Elect Power on this Building fl ves il tlo
ts food or beverages prepared or served in this structurez
I ves
E r.lo ls The Property Located ln The Floodplain?
f Yes EJ ruo
\tr O|SCUNUER: 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
:-aod local laws and ordinances and reoulations. The NHC Develooment Services Center will be notified of anv chanoes in the aooroved olans and soecifications(_) oi change in contractor o[ contractor iiformation. '*-NOTE: Any Work Performed W/O the Appropriate Permiis will b]e in Violatioir of the NC State Bldg Code and
{z Subjectio Fines Up To
$500.00--' t 11 . Dq,tarys,e'redbyM,chaerLsa,eed.r(aka
OWNER/CONTRACTORT Michael saieed,Aonlowner aqent SIGNATURe
{f &ffi;:1ii,tl,il:ji"':ii!-dli'"::!lI I &- VF- R{ord.€mail=m'aied@deren.l!(om, c=Us
(Quslmeo (Pdhf Name) \-/'rS-. Dare.2or5.o7.2r tt:24:42-u'oo'
,-rl contain Asbestos or not. You are required to
call the National Emission Standards for Hazardous Air Pollutants (NESHAP) at (919)707-5950 at least 10 days prior to the
Y demolition of any facility or building. See Asbestos Web Site: http:/ ryavw.epi.state.nc.us/epi/asbestos/ahmp.html
\ TOTAL PROJECT COST: est, 967 r BUILDING HEIGHT: Exj-stinq # OF UNITS: n/ aJ totolAREASQ FT, nrr rr..,.il sQ FT PER FLR: 33000 (exisr) #oFSToRlESr pour (exisr)
TOTALSQFTUNDERROOF:33000 #OFSTRUCTURES:
one #OFFLOORS:_sne
EXST LAND DTSTURBTNG pERMrr?
fl VeS
El r.rO
SQ FTEXISTING IMPERVIOUS AREA:n/a
pRopERryuse: fiorFrcE EREsTAURANT
lnaencnrurLE nEDUc EApr EcoNDo orHER:
WATER: ZCFPUA fICOMMUNITSYSTEM
EWELL fIzoNINGUSECLASSIFICATIoN:
SEWER:
Z CFPUA
ff CENTML SEpTtC LjPR|VATE SEpTtC ECOMMUNTTY SYSTEM
*- SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *"
ZONE:_OFFICER:SETBACKS:
F:_LH:_ RH:_ B:_
PAYMENTMETHoD:
fficnsn flcxecx(PAYABLEToNHC) f]arr-r-AccouNr flrucnnsn ffiorscoven
(FOR OFFTCE
USE ONLY)
Approval:_ City:_
Comment
DATE:_ FLOOD: BFE+2ft=
A 1J=*r,rr==;lg-ae
EXIST CONSTRUCTIOU:
[]
lf Relocation, is there a Natural
(Check 411 That Apply)
ALTERATToN
! neruovnrroru fllgruennr-
Gas Line onthe Current Site? LlYes lrlruo
ACRES DISTURBEDT n/ a
NEW IMPERVIOUS AREA:
nza SQ FT
REVISED DATE 4/1 1/12
e, ctrP<F
{
j
Q
s
]-
J^1
Lo'J'NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|ION
TyPE: COI{MERCIAL
PLEASE ANSWER ALL QUEST]OI'/S APPLICABLE TO YOUR PROJECT
APPLTCANT, S NAIiIE
:
DEVELOPER:
"Project Responsibility"
g16z 1t-r4?o
Lotel3t>
APPLICATION
Number
(office Use)
PHONEt\c zrPruSPRO]ECT ADDRESS:
OCCUPANT/BUSINESS NA}lE :
PROPERTY OWNER'S
OWiIER, S ADDRESS:
CONTRACTOR:
ADDRESS:
PHONE f:
sr: fu(:rP:286t-
LICENS E
EMAIL ADDRESS:
PRO]ECT CONTACT
crrv, \"/it,^-rr.
h,,- t1.f,lq- 71p ?-B\to5
PHONE f:
nrparns l--l RElocarroN
rs aroc
spffixlrneoz
I ves
It'to
NEW CONSTRUCTTOT:
! enrCr NEhl STRUCTURE
! rnsr rnaCX
fl Snrr-r-
! Uerrr
I mo ro ExrST srRUcruRE
ACCESSORY STRUCTURE:
. (check A11 That Apply)
EXrST CONSTRUCTTON:
E ALTERATTON
fll nrrOVlrtOl E eeNrnAl
lf Relocation, is there a Natural Gas Line on the Current Site? L-l Yes L-l No
If UPFIT
- The Shell Permit #:
***** IS THIS A CHAIGE
IF Yes, what liras the Previous Occupancy Type?
rs Elect Power on this Building ElYesE*o
oF occuPAlrcY user
I vrs ffir6 ****.
tthat is the Ne!, Occupancy Type?
NC REG *:
NC REG #:
[v""INo ls The Property Located ln The Floodplain?
[v"" ffo
ARCH DESIGI', PROFESSIONAL :
ENGR DESIGN PROFESSIONAL:
DE5CRIPTION OF WORK:
/vttk// /)y/?/raf
ls fo6d or beverages prepar
DISCLAIMER: I hereby cerufy lhal all 'nlormatron in lhis apphcalion rs
corlecl and a,l work will
comdy with the
and localtaws and ordinanc€s and reoulalrons,'l he NHC Develoomenl Services Cenlerwllbe notfied of anv,
o, chanoe in
contraqor or conlraclor i"nlorllalion. "'NOTL: any Worl Performed WO the Approp,iate Permils
Subjecrlo t ines Up To
$500.00"' Y I I -- . .;-;";;1,il;;on*rr{o.a E{*/L src*n
other a
ns and
all
conrainAsbesios or nol. You are required to csllthe N6llonal Emission Slandards for Hazardous Air Poll(nants (NESHAP)at (919)707-5950 al leasi 10days piortolne
dernolitlon oleny fadliy or building. See Asbe$os Web 5116: htlp/lwvlv.epi.stale,nc,us/6pi/asDesioy.ahmp.html
ToTAL PRoJECT c os1:
%,W BUILDING HEIGHT: I* # OF UNITS:
TOTAL AREA SQ FT : td56 = SQ FT PER FLR:
_ # OF STORTES:____..1L_
TOTAL SQ FT UNDER ROOF:
IOE # OF STRUCTURES:
I # OF FLOORS:-L-
ACRES DISTURBED:
-
EXST LAND DISTURAINC PENI'4 T
I-.] VCS B}*IO
NEW I[IPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:
pRopERw usE: floFFrcE [nesreunnrur f]uencarurlLe leouc [eer lcoruoo ornen:
wATER: ICFpUA I]COMMUNTTY SvSreq
fulver-r- fIZONTNG uSE CLASSTFTCATTON:
sEwER: ECFPUA fICENTRAL SEPTIC ffiq1v41E SEPnc flcoMMuNlry SYSTEM
*, SEPABATE PEBMITS BEOUIRED FOR ELECT, &1ECH PLBG, GAS EOUIP PREFABS 8 INSERTS *'
PAYMENT METHoD,
fuesx f]cnecx leevaalE ro NHc) [aMenrceN ExpREss flucnnsa E orscoven
(FOR OFFTCE USE ONLY)
SETBACKS: F:
REVISEO OATE 4/1V12
ZONE:_OFFICER:LH: RH: B:
BFE+2lt=Aooroval: Citv: DATE: FLOOD:
AVNcomment eennltrrree$ ICO
PHoNE *: 4ts
3SZ='m
I
NEtil HAN0VER COUNTY
BUILDIN6 PERHTT
AppLI
CATIot{ rypE
I RESfDENTIAL
2-0t5r3rlo
W{5-tT3r.
q/;
sr: ^rQrp: 78t{oz
%
%8l0cx#;
Broe. LICCNE
f I
rrt%crTY: U) ) t'a'w-'tz t ff r
to the Accessory Structurrr f V., [f ruo
E i:"t
on
the curnent site?
flve, [t ro
*r."
rln r*.,*uu$Sqf,$I{ t
6'00lmb06 uqlced$ul i*}
Lu)
TOTAL ACRES DISTUXOED;
EXXST LAi{O
DI5rURBril6
JUL ,fl ves
"'SEPARATE PERilrls RIQUTRED FoR
EL[cTr ttEctt, plg6, GAs
tQU]p, pREFABS & r]rsERIs r.r
*T''r.r:Yj...F.'fl.H.m;::x;l*.i:f-Iiy-.3. Exp*rss ft *,,,so
I orscovr*.****aa*lf,rttrr$*a** **f a r.rst a
APPLTCTNT'S
DEVELOPEf, I
PrEilE
r: _5qq -
3tld 4i5
Exrsrrlil6
c&isnucrroll,
I nlrrxarron I RENovATToN [!erHrnal aEpArRs
f nelocarrou
ITEIr' CONSTRUCTIOTT:
I ER*.' flE}I f,ESIOEIKE Or
N ADOITIO}' TO EXISTIil. NES,,E.,CE O!!"O *
"pLEAsE cHEo( AiD A*,!,ER BEL.., ALr.
Tror Appry To yo{,R
ptrolEcr:
6^6-11 4 to 1
br} .
( uqgfarr GAMGE
-*
sF D osr
GARAcE sF f]poRcH _ sF -_
[surunmu
-sF
U P,"*-;=i-:r- sF [ ,ro*ou,
,*ro _ sF J nq no6n*
fl cnrrnnousE
_ sF fforcx *{fT, _= * ii*i*, --
--
--
--l ,,
TOTAL
PiOIECT C0ST1-esslor)
, t 5& U
O,
,r6irr,
I5
tf
fs
PRO]ECT ADOREsSi
SUEOfvItIo0{l
&{'0
.,.
fDtEIIAIL ADOf,ES5;
PROTECI COf{rACT PEnSOil:
,51dAt'
Any
ELt(rRICAt, pttfulilc or I'rtct{Al{rcAt r.tork Being Done
the project
is a Relocation,
is there a Natural
there Electrical power on
this Bullding? fl ves
PIOPERW USE
/ OCCUPAffiY:
OESCRIPTIOil
0F l0fil(r
5IN6IE FAMIIY
EXISTIXi U{PEBVIoUS AREA:
_SQ FT
t{E},,
I}tpERVIqrS AREA:
_ Sq FT
SE}IER:
roumC
t
hctlbl carrity hil rt k'br''lx,(}n ir;tlir lppttttion l:I lll:rt.wil eomply wih fie Sr.r€ Buitdins codc
;.nd ordinan*s
rod..guir!brs. Th?
NHc.o!EroprEnrsery"7fi",*l;i*"i;,;;;fi;; il;,;;ffi]^r:Icontrocbr hbrnation. ''?'lgTE; Any
wort pcdomnd w,o
y{&p*pl* per,ni$ wiltb. " v;lu,.fi oi,r.n c srrE Er.,a .^e.
0h${rR/@I{TRACTOR:
'v-PTPrrBl ltrmits will br in
Vi)lstbn o, rhc NC S$E ElOg
fu_@lie uwiirun,,,w,SIGHATURE:
r*..*.i*.*rrr*rr.r***.+--xllTl.llTl+*r****+rr*!ir*******1r**r***,3,i+r
rs THE pBopErTy LoGATED
rit A FroooprArill
f] yEs Ei rO
H,gmrrn:Xcrpua D colrqu{rw sysrEu Irnrvare *rlr
sEUER: fi[crnua f] crrul sEprrc
I narvrrr sEprrc
ft crnrur-
r.nu 8Y: M5.*nr* i*t* '--' " *
PLEASE AIISYEN ALL QLIISTTOI'IS APPTIaBIE IO YOUft
PRO]ECT APPLTCATIOiI
._r
.?roJect trsponsibillty', 8u6b€r
,r*r rorr,
,TlrIL_
rS
+Z
I I4Z 15- t?bu
?ot;13'/o
APPLICATIO]I
l,lunber
(Offi.c Urc)
o^r8.2-/b*/s:
ffi
APPLICANT's tul'iE:
DEVELOPEN;
NEhI HANOVER COUNTY BUILDING PERI TT
APP LICATIOI,!
TPE.. RESIDENTIAL
PLEASE At'/Sl{ER ALt- QUESTIONS ApptItaELE TO YOUR PROIECT
'Project Responsibility',
O(.
Jnc
PRO]ECT AODRESS:
8L0CK
*: _--- t-or.
*,
pRopERry o}nrrER,s riME:
e*toh€n Rc ia<rmffifi|;'^#H;: matr' ,;1
lrf"tr" Dr-'^ pH, E r:
%i..315b-7 ?- -'-i,ffiiX,
counAcToR: JmGtasu D/D€ -l ytL
ADoREss: t7 n ti L'01\+ to 67. I - cfiy.
LICENSE
*:
rTv! l^)) l'/\a--
pRorEcr coinAcr pE'(soxx
J)av LDh)staaotl -=:,; qgrrvrErr runrALr r.^>\r\ri gulvt t\-/tt.-><qtq?Lt pto E ,: 5qq _ 3l r'b
EXIST,fi CO STRUCTTON:
I llrrnarror I neruovarro'
I eerirral neearns
[ *rroaorr-*
SINGTE FAMILY DUPTEX TOWNHOUSE
u)
ST
otler appliclDt€ S|.d lnd bcs e,as
Up To
$500.0C.'
nElrr coflsrRucrror:
I rnecr NEt,l f,EsrDE cE
or
! morrror ro Exrsrr 6 RESTDE
CE O(lraa *
;:'f'J[::
*'
*'*' 'j:" *'dTL k:;: '-' '-"':; ! roncx
-_ sr q
D:3a '.4 uq>
[surunoor'r-sF !99o,-:,,_- ,, - firrr*onilil_ ,, Jnc{rafi,o,I enseruxouse
-
sr ffoecr 32T sF ,-*r*,
rorAL HEATE'
,o ,r, -* rorWr-r*r,
'-:;ro
,r,
J::I,::l,.::1,':,1l:;:"1"',:
mr.", *,"1.1",'"'lL1ll",;_, E,", E *"If the project
is a R€Iocation,
is there a Natural Gas
Line on the Curre't
,ri, E* B r"fs there Etectricat power on
this Building? [t ves
f]uo
PROPERW USE
/
DESCRIPTIOI{ OF
occupAr,rcY:
la,oRx:
lhccby
certitisr.I tnbm.tion iri
6is lppticldon
and ordifisnces and lD0olstbm. Th€ NHC Devetophenl
conracb, inlDrmsljon. r''l\lOTEtAny Wor* Pertormed w/O
OWNER/COTITRACTOR:
******* *** * **** ****:t +*
IS THE PiOPERIY TOCATED
II{
EXISTI G ITPERVIq'5 ANEA:
* *** r*** a** *
+*** ** * ***+ ***a *** *** *t*r rl rloooruul
fl vrs E rro
NEh IITPERVIOJS AREA:
SQ FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND
DISIURBIIG
l'6'' 20tsEro
uaren:Xcreur Econmu,rw svsreN !pRrvArE r.rELL
!ce.,r^ol nrr, in
sEl,ER: Ef cFpuA
fl crurral srnrrc
I pRrvArE sEprrc
I aorrrrrr" ,rs.r,,
.** SEPAIRATE PERT.ITS REQUIRED FoR
EI.EcT,
ilEc*, PLBG, GAs EQtJlp, PRETAB' & INsTRTS +*,IpAynE
r ErHoD:
fl casx
I cxrcJ
lpayAsrE . ;t tr ;;rca ExpREss LJ rc/vrsr [ ,rscovrn*** *
***tt******* +* ** **+
******** *,lr t4+*
**++******* **** *t * * * * *
*+* ***'l* trtr**a +****+** *+**
*r
ZONE:OFFICER:
Approval:
(FoR
oftlcE usE q{tY)
SETBAC(S: F:
REVISID DATI Oal11/12LH: RH:
x
PTi}tIT
"*"=
FEF:
IComment:
_ City:_DATE:- FLooD:
+75
.llwork witl compty
wjtl he Stst€ Buitding Cod€.nd
plans
SlaE Bldo
STGNATURE:
le zte*l 9rIo!u
.1j; .' \::' *. '.\ti' A* .;i
',1,ffi,j'
*r.iio*',
DEVELOPER:
NEhJ HANOVER COUNTY BUILDING PERMIT
APPLICATIOI,I TYPE; RESIDENTIAL
PTEASE AllSt{,ER ALt QJESII0NS APPLICABLE T0 YOUR PR0JECT
"Project ResPonsibilitY"
LD$n3Y3
nppuiffin
Number
(0ffice Use)
ztP:
/.5ito3
LOT #:
PHoNE #:
19:-LAJY{sr;&z*tZv-74-/
LICENSE $;
PRO]ECT ADDRESS:
SUBOIVISION:Ot",&**
PR0PERTY OIJNER'S Ml4E :llI{,r4 qrtr.
OltlER,S ADDRESS:
6qf {@-4.-"t --J.fvutf. CITY.U\/, ltl f? fTt/-
CoNTRACToR:
"J*v !C.
tu
$r4'tL/ C
t'vi7 e €-e'iL*L.6e,12
\),fu
tL f\1)
EMIL ADDRESSI
PRO]ECT CONTACT
C ctrYt
:Y!W:Zrd/:sr:pe ue7"',? Src -3
*t lta- z,lz-, {z 7f
*,?&
*s::KY{
P}ONE
PHONE
Exrsrrnc corusrRucrronr
ffi,,llrrnanolr ffineuovnrroru [crruenal REPATRS
f] nrlocarrou
NEW coNsrnucrroN:
I EREcr I{Ett RESTDENcE o. Iaoo:rroN To ExrsTrNG RESTDENCE
**PLEASE CHECI( A}ID ANSIdER EELOI,J ALL THAT APPTY TO Yfi'R PRO]ECT:
I lrr GAnaGI
*- sF I nrr cARAGE sF flPoRcH
-_.-
sF
f] surunoom SF
f] noor-
-
sF i--l sronncr sHeo sF
i]j cnrrnHousr
-
sF
fl oecx SF0THER:
*4"SF
TOTAL HEATED 5Q FT:TOTAL 5Q FT UNDER ROOF:TOTAL AREA SQFT: Zt>*
Is Any ELECTRICAL, PLUI4SItIG or }|ECHA,'IICAL ti,ork Being Oone to the Accessory
If the project
is a Relocation, is thene a Natural Gas Line on the
Is there Electrical Por,{er on this Building? rc ves f] No
PRoPERTY USE
/ OCCUPAUCV:
ffiSrNGLE FAt4rLY
I OUnlrX
I rowNnousr
TOTAL PROIECT C0ST(r-essr-ou t S LOroqO
-d
,."k*, fi v",
il Ho
ff,"fr-
S OF STORSES:
Current site?
f ves H(fto
DESCRIPTION OF Worrl tA./
oul'l u/Yl t(a'{. A*Y?z'ts ho"-<-A--
anO +r(,rr,lnce$ ald regulellons. The NHC Oeveloprnent Services Centst will be noI{ed ot any ct}anges in the
approwdsp9clf[ations o( cl)ange io conlractrr ot
s'biep!
(Pr1nt !,lame)
+ t +,1* ** **** * * ** * *
** *
** **'* *
l.**d. ** + t* + + * +
** * * * * 'k * * ** * * ** ** * *
* * * * * *** * * x
*:l * * * +* * *
******** * *
rs rHE pRopEflTy LocATrD rlr A FL0oDPLATN?
rJ YES ffi *O
EXrsrrNG nTPERVTOUS AREAr
tgdo SQ Fr
NEtd IMPERVIOUS AREA:
_ SQ FT
xJ
hlArER: [-}J. creua
l-l commuuw sysrEr'4
[ enrvnrr wrll I crfufi{1gg..n,,*
sEr,tER: [Lcrpua f] cerurral sEprrc
f] cnrvarr sEprrc
f coumurlrr/tYY{$'{i
TOTAL ACRES DISTURBED:
EXIST LAND OISTURBING
,{O
PERFlrr:
[J ves
[J ruo
ffyj,,ry.f:$"r$d##)+"I SEPARATE P[BftITS R'Qi",}IRID TOR EtICT, I
TCH, PL86J 645 TQI'IP' PNEFABS & INSEETS A1*
pAyMENr
rrr*orl-'
D.^ir n;; ioorort, io *.i t*rit* r*r.ri, ffi-r.zrrro fiorscoven
* * t( * *r( *+ ** * ** *+ * r*+ * * * ** t* *
+** *
+* ++ |* **** **** *** *
*** *
** + ** 1 * *, *
* t * * #rt *:l ** * * * * + * * * *
** * *:i. *
ADORESS:
conuactor inbrmalion.
; REVISEO
OAIE
04l11,/12
a, /,
BFE+2ft=
zoNE:
fJ*a .FFrcER: ti 'i ,"IrT;:-l': ?:-i- ,*,*1
Approval:- city: l;;ln DATE r
?l)31,( FL0oD:
=
corment: fut- ';
i,:i1r7',oi?FEE:$-JS
cir]
@
APPLICANT'S l,lA E:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERW
OWNER, S
OT{NER,S
ADDRESS:
* *PLEASE CHECK
! arr crnncr
I surunoou
_sF
! cnr rruHouse
_ sF
DESCRIPTION OF.1,/
oul/J,'l u/Ylt.lad 71/ 6 ft6."'-<-&_
and ordinances and regulalions. The NHC Developrnenl Services CenGr w llbe noli,ied ofanychanges n the approvedd spec ticalons orchange n contraclor or
Up To
$500.00"'
(Print Nane)***i*r*****)t**,*********)******it***,*******,*******)***,k*tr)t*{.*,t***+,*r.+++1.*i.,t,*i.***,t,*r.)t**r.+*i.,t,*1.,*
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
I:-I YEs
ffiro
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
EXISTING II4PERVIOUS AREAI
TIOOU SQ FT
YEs
f: No
r,rATER:
mcFpuA ! cor,muHrw svsrrm
! pRrvATE WELL
! crrrnar wrrr
SEWER:
Qf creun
! CENTRAL
sEprrc
! enrvarr sEpTrc
E coMMUNrry sysTEM
*** SEPARATE PERI,IITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQIJIP, PREFABS
& INSERTS ***
PAY ENT IiIETHoD:
I cos, IcxecK (PAYABLE To NHc)
E AIiIERICAN ExPREss
E[-".I,,,A I orscoven
*,i** * *r( * )t*r*
***)* * *** )* r*
* **** it+*id*r*i. + {.1, ,t +,F i.,* *,t*,* )t* * * *)** * * )**
*)** )*x x * rr *,t * +,t )*+
*,t* x )t**
*** )* )*:}
*:} +r.
(FOR OFFICE USE ONLY)
SETBACKS: F:
NE[^J HANOVER COUNTY BUILDING PERIVIIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ETT
"Project Responsibility"
l,\-/ t / ,.r. uS 1).P'
BLOCK f:
.7
t?/-
LICENSE #:
CITY: Wt lttc2-ta,u
DP"Py
PHONE
LOT *:
I'AME:PHONE #: qa -
L3 Z - ?z-r5i-
sT tY2zrPt Z>457
sr:Pczv?E7o-3
#:
*|
Tto.zsz-"(275'
/5:
t'u /
rL
?-L'PHONE
PHONE
I eoor
! orcr
sr !eoncu
-sF
SF
! sroRacr suro_ 5F
SF
SvtfNo VLu/vt,oJf
E4o
.{o
PERMIT:
E
B:
le z16-l qTi
.t o
l;-r gYg
APPLICATION
Number
(office use)
coNrRAcroR: Dn -, , o
ADDRESS:
EI4AIL ADDRESS:
PRO]ECT CONTACT
5FOTHER: i:--t
^o
TOTAL HEATED 5Q FT:TOTAL SQ FT UNDER ROOF:TOTAL AREA SQ n: ZcC
ToTAL PRol Ecr CoSr rr""" rou : $ f O, o oO# OF STORIES:3
Is Any ELECTRICAL, PLUIiTBING
or IiIECHAI,IICAL l,{ork Being Done to the Accessory Structure? [t V"t I
If the pnoject
is a Relocation, is there a Natural Gas Line on the Cunnent Site? El Yes
Is there Electrical Power on this Building?pv"r [ruo
pRopERTy usE
/ occupANcy,
lfl srrucr-r ramrlv
! oucrrx
! rowNHousE
NEW IMPERVIOUS AREA:
SQ FT
REVISEO DATE O4l1U12
ZONE:
OFFlCER:
Approval
:_ City:BF E+2ft=
ztP I 2S/6 3
ExrsrrNc coNsrRucrroN:
ffio,rr*orro, fII, nrruovarroru
!crnrnau nrcarns
! RELocarroN
NEW CONSTRUCTTOru:
! eneCr NE!,/ RESTDENCE o" I nOOrrrOH TO EXISTTNG RESTDENCE
AND ANSWER BELOW ALL THAT APPLY TO
-
5F LI DET GARAGE
YOUR PRO]ECT:
Corment:
DATE:F
LOOD :
LH:RH:
Jr*rr,
,r.,
,-a5-
ll
,, t2.Ft!,c<..<-z O]/W .r CITY:
P
btS--lZcnce
%Z
5 tq45
DATE :
PHONE
! sronace sHED
_ sF
oTHER:
_ SF
,
&
APPLICANT'S NA'iIE :
DEVELOPER :
RECEIVED JUL 2O 2OT
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIoN TyPE..
RESIDENTIAL
PLEASE ANSWER
ALL QUESTIOTIS APPLICABLE
IO YOUR PRO]ECT
"Project Responsibilitf
LICENS E
CITY
APPLICATIOiI
Number
(Office Use)
PRO]ECT ADDR
SUBDIVISION:BLOCK
PROPERTY otlNER' S
OUINER,S ADORESS
CONTRACTOR:
ADDRESS:
PRO]ECT CONTACT
! surunoom
_ sF
fl eneeruuous e
_ sF
I eoor
_ sF
! oecr
_ sF
PHOI{E
#
PHONE S
EXISTING coNsrRucrroN:
l-l nlrrnnrroru
fl neruovrrron
fl ceruennr neenras
! RELocArroN
-/-
NEI,I CONSTRUCTION: E/ERECT NEW RESIDENCE
Or
! MOTTTOT'I
TO EXISTING RESIDENCE
**PLEASE CHEC( AND ANSWER BELOUI ALL THAT APPLY TO YOUR PRO]ECT:g/*, oo*ou,
&6 t ! oer enuee
-
r,
ffo*rn U4 t
TOTAL
TOTAL
PROPERry USE
/
DESCRIPTIOI{ OF
ZONE :
HEATED
SQ FT:
fil\fr rorAL sQ Fr uNDER noor,.-.7)f,6- rorAl AREA sq rr: C9338
PRorEcr cosrrlessroo ,t
lbWf5,t
Is Any ELECTRICAL, PLUI.TBING or FIECHANICAL t/ork Being Done
to the Accessory Structure?
lV"t ffi
If the project
is a Relocation,
is thene a Natunal Gasline on the Current Site? [Ves I Non\&
Is thene Electrical Power
on this Building?
l-ly"r l7I ruo
LY
f]tr
# OF STORIES:
nn cENTRAL
sEprrc
l-l enrvare
secrrc
fl coMMUNrry sysrEr4
coMMUNrw svsrem
! pRrvATE wELL
! cerurnal werl
and ordinances and requlaiions. The NHC Development Services CenEr will be nolifed of any changes in he approved ptans and
contactor informalion. "'NOTE. Any Work Perfomed W/O the Apprcpriate Permits witl be in Viotarion of ihe NC
SIGNA
or change in contracloror
REVIS€D 0AT€
94l11l12
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEr{
rilpERvrorJs anee r \?4 \ sq rr
. ,groL
PERMTT:
l--'l vet
ffrc
TOTAL ACRES DISTURBED
EXIST LAND DISTURBING
WATER : I L,,TCF PIJA:./'
SEHER: LL,TCF PUA
.}*} SiDAR;\IE PERI4ITS R!?UiiED FCR
EL:CT) tIECI, PLBG, GAS EQUi,', PREFAtsS
& INSERTS ***
PAYIIENI rttErHoD:
I crsn
I crtcK (PAvABLE
ro r,ruc1
[ menrcA l ExpREss
f] r,rcTvrsa
l-l orscoven**** ** * **** **** **** *:**:*i**,t,t*** * i(+ * )***,**** *** * **+ *
** * *** *
*+* *** ***** **** *** ***x **** ****,t*
OFFICER:
citv:
(FOR OFFICE USE ONLY)
SETBACKS: F:
#
PHOI{ E
* +++ ** * * * * * *** * ** * * * ** * *** *(I ltl i ]i\"] * *#* * **** + i(* * i.x x r;,
rs rHE pRopERTy LocArED
rN A FLooDpLArrr
l--'l vrs ffio
Aooroval:DATE :
FLOOD:
LH:RH:B:
BFE+2ft=
EI,IAI L ADDRESS:
ffi
APPLICANT.'S
DEVELOPER:
NEId HANOVER COUNTY BUILDING PERI{TT
APPLICATTo
rypr: RESIDENTIAL
PLEASE AtlStrER
Att QUESTIo s APPLICABLE TO YOUR PROIECT
"project Responslbillty',
PNO]ECT ADDNESS:
SUBDIVTSIO :
PROPERTY O}.IiIER, S M}tE:
ot,lvER'S ADDRESS:
CCNInACTOR:
*:9toS)o /i?esft_zrPt;&v l(
LICET'ISE
*:
ADDRESS:CTTY;
E ATL ADDRESS
PROJECT C(,i{TACT PERSO :
..PI.EA5[ CHECX AI{D AI{SI{ER BELOI.'
AL! THAT APPLY TO YOUR PRO]ECT:
ir
ST:
f:
,-, r-. ,_\_,._-L- p$tE *t?t a -
>
I l
- l tt 7 g
Exrsrrrre c.flsrRUCTroN:
f] arrrRarror
! nerovauo'
I oenrnar- REpArRs
D *,,o,orro;- '
r{Er4l co srRucrron:
fl rntcr NEW RESTDEiTCE
or
I eoorrtor ro ExrsrrNc RESTDE CE
I arr eanaer '/ O ct sr ! oer ernae
r sr
fl poRcH
_,___. sF
! surunoor.r r,-\ sF E r*r- ,, f] ,ro*onili-- "
sF
! enreuousr
_ sr ! orcx - 56
fr*r*, - --
-r,TOTAT HEATED
SA FTI
i160 TOTAL SQ FT UNDER
NOOr:fl[iQ- TOTAL AREA
Sq
fi, / ?{O
TOTAL PROJECT COST luss r.or1
:t_ f OF STORIES:
rs any ELECrtrcAL, pr-u.rrtc or fiEcflrr,rcar, work Being Done
to the accessony structure?
E v", E]r6-If the project
is a Relocation,
is there a Natural 6as Line on
the current
Siil !r", fffiIs there Electrical power on
this Building?
f] ves @fu-
occuP&rcY:LE FAMILY
I ounlrx
HOR(:
PROPERYY USE
/
DESCRIPTIOI{ OF
'l-otf'llr+ pez s.-ts+Z
APPLICATION
Number
Ptot{E
LOT
f:
-
zrr ).? (/o f
(Offi-.e U5c)
ZIP: A
tl
M'1E :
3i::fl ::s"'ffff isd?i1''IiJr'fl l,i:,"9ffiT*n"*o*
con,'scb,n6'msron-.-Non *r*.,21"ii""iffi;;;d;f;;J'ffi;:Til[ffi""i##ffi1,,fi&?ffi:'f**n:IX*Xll;".::.;'
ortrwER/coNrRAcro* {"e
/cr/) l(.> K<- sTG ATURE!
Firyrs lrb T0600.00'./4i//.-
***+*** *****,r****** *** ****
JIirll,l!TJ***** * *r*.
******* ---
rs rHE pRopERTy tocATED
rN A FLooDPLATN?
tr;;--iJ#******tt*+t+***'**'l*:t****+'***'***'
ExrsTrNG rilpERvrorrs
enea:?/Jo sQ rr
t{Erir
r[PEnvlous
AREA:
iy'JA sQ FI
!#rrER:
@ creua
f] co rHUNrry
svsrru
! pRrvArE WELL
! cerurul hlrr_r-
SENER:
El trnua
fl CENTML
sEprrc
I carvarr
,rrrra fl.orrurr* ,rrru
'T* 5IPARATE PEnhITs REQUIRED FoR ELE.T, I,1E.H, PLBG, GAs EQUIP, pRtTAES & INsIRTs **TpAynEin HETH,D:
!casr !cxrcx.ll*lr*
. ;t tr;;*; ;;;;;r'"E;:;ili"'Eorr.orr*tr+* *
a** **** **** +***
*rt:*:t** t *** +:l* *+** + * * *:r * ** * *ii* ** **r * *a. * *+ * * ** +*rar* ****** *:i**,r*** r*
ZONE:OFFICER:
Approval:
IEVTSED DArr 04l11/r2LH: RH: D.
8FE+2ft=
TOTAL ACRES
DISIURBED:
.O3
Exrsr rA D DrsruRBr{G
,,*n-i-g3 vts
ffi
(roR orflcE usE ottY)
SETBACKS: F:
comm€nt:
_ City:_ DATE:FLOOD:
Pttfirl
rrr, I
7{--
BLOCX
S:
Plo[E
]:
,/
?plr'1vs?(€L 15- t?11
NEW
HANOVER COUNTY
BUILDING PERMTT
APPLICATTON
TYP€: RESIDENTIAL
pt€AsE AxsrJ€n
alt qJEsrro*s apptrca,L€ To you* pRolEcr APPLTCATToN
..proJect Responsi.bility,, Number
(offj.te uie)
CITY:--:r-
(CI
PR0PEKTY
owiy-*IR'! mnr: _..1
:t<,r N \ _ i1{\ ( l^J _ pHoNE s: L0__Xf,S:lJ.{X}
oLII{ER'S
ADDRESS:
lSll- {{".rr..<, Fi.> Ctt\: i<: Lt.,,t:L;ir"nJ ST:4(
ztiri:f{it*,:"1
ffi:iffi,'n*,, rilr^.,{l (,r/{ _ _._-.,.^::;,Wq/*T;
PROIECI
A0ORESS: lS lk: .. K,Vrf ,'nj. kr\ Ctty: \,.i \"r.,,^ir;"{t.,,.\ ... '' ZIp,
l{ii:.f
pRopERTy oh,il:R's ilnr're : ,.. ]J {.t Al
A l'\,qqk
\/\j pHoHE
*; th *i< - OrrIK
LICEilSE
ET,IAII ADDRESS:
PRO]ECT COiTIACT PERSO'I:
l,{*ri (Aea
PHOT{E
#:
P}IONE f:
Is Any ELECTRICAT, PLUllBIttlG
or IIiECHAilICAL work Being Done
to the Accessory StructureT$
Vnt f] *o
If the project
is a Relocation, 1s thene a r,51yra1 Gas. Line on the Cur!"ent
Site?
[ yes ,]ruo
Is there El€ctri.ca1 Fower
on
this Euilding?
l/ves I .J No
pRopERTy usE
/ occuPANcy:
f] STNGLE FA$4rLy
f OUelrX
f rO ruxOuSe
TOTAL PROIECT COST(LessLol)
: E Zl,tfr).-..'.--
,o*,.
P-}, oFFIcER:
ApDroval: Citv:
TOTAL SQ FT UNDER ROOF:
# OF STORIES:
SF
5F
TOTAL AREA SQ FT:
a**l**rl+il**+tr r*
DlSCLAtl{ER: ll'et8by
celtiyt'r! rrt i^b.nelion h 6,s
.p$ka{ar 6 corrBcr
aM 6ilwork wi comDlyryltl he Stale Eu}ldir? CoJf Eid dl ofier Stab ard baat,e"..9ardotdinanersndcgukfitir lhcNHCOe€lopmentsoNicesCenErsilb€notfEdotanyChangeshlheappro'redplsnsa.,n
corrtrbr nbmrli, "'NOTE An j/
Wa:l Pertomgd $y'1o
$e App.opriaE Parsrtr wrlt
b€ m Vigtaitcn
s, ihe NC SEE tsldg Co4y
r{y'' angq,. .r,,,.r., .,
Irres Up 'l o
SSCO.9tr"
OWNER/CONTRACTOR:
*,* *
*a * * i** +*
*.. r :r ; + r * *
- * "(l!'l I
li1"J* t i *r * r* ** r
I **r*, ** *, + r + *+. *
rs rHE pRopERry LoCATED
rN A FLOoDpUrrl
[J VrS [ ruO
ExrSTIl,lG IilIPERVXOIJS
AREA: =*-_SQ FTTOTAL ACRES DISTURBED:
NEI'I
I!{P8RVIoUS AREA: 5q FI . EXIST LAtitD OISTURBI{6.PERIrIT: [l VfS D HO
,ATER:
f, creua
I comunrry sysrEm
fJ nnrvarr we ru
I crrurnal
kdfil$&"*;^_
"
SEr"iER:
f, crnul
I cenrnnl sEFrrc
f] rnrvarr sEprrc
f] comuururr"
srsrri,""'*ttufi WW,ra*t #,*"'SfpARArt PERI4ITS REQUIRT.o r:OR
ELECI, r,lrcH, pLB6,645 EQUII, pR[FA8S & til5[n]s.,. 'qt:*1Tl.f'-1':;-..-?.'fi.-?..:'.1-l:l'-T-'-i.l:.:i.,,..HI,.y..#_:i::T_'._.F,iyJjil:__F,,ri:::"'
i{'r"+u,
VF
PERI'!IT
l\f,ut, ?*1;{
Exrsrrllc coNsr*Ucrrot,fi| alrenarton
f] Renovnrron fJeeHrnal REpArRs
f nruocarroru
NEI.J CONSTRUCTIOH:
I ERECT NEW RESIDENCE O1. f,ADOTTION TO EXISTING RESTDEilCE
ilpLEASE CHECK ANo AiISWER
EELOLl ALL THAT APpLY TO YoUR PRoIECT;
I nrr GARAcE
.- sF I oer GARAGE sr f]eoncx
_ sF
[surunoou
-sF
f cneeruHousE
-
sF
TOTAL HEATED SQ FT:
fp noor-
{4G sr
f orcx
-
sF
J sronnce sxeo
OTHER:
DESCRIPTI0I{ 0F N0Rxl
. . f ..
, jr{utt"
D^\t o4t'tt/12
8FE+2ft =
FEE: $
CONTRACTOR I
ADDRESS:
SIGNATURE:
Qlrqs:?
(€?- \5*l?11
NEW HANOVER COUNTY
BUILDTNG PERMIT
APPLICATION
ryPf
I RESIDET'ITIAL
FLEA'E Allsi$n AIL Qursrr,rg Apprrca,r.E T0
voui DnoJEcr APPLrcATroill
ilunben"ProJect Responsibilitf' (orrirG u,r.)
APPLrcAr,rrs ,*r, t*a4 &r/{ ,orr,
1f/,f ,;'
31ilIr1: PHor,rr f: I/,r,,,"=. _pROlCCf A0oRE59: lSl{f" Rrn,,'ni hk}t _ CITy: \,i.Ur.,trit't} ' ZIp:
FX{(nSUBDIVISIofl: Blocx r: J t.,r t, I
PROPERTY 0t{tr,ER'5
OIII{88,5 ADDRCSS:
CONTRACTOR:
ADDRESS:
LIC€r{5t
CITY:
EI'IAII" AODRESS:
U)
PIOHE
5T:,t.L zIP:
ExISTItlG cot$TRucTroru:S alrenerroH
I nrrtwarroN
f errenal REPAIR5
f] nelocatroru
}TE!,' CONSTRUCTIOI{:
fJ EXTCT UT}J RESIDEHCE Or f}ADDITItr,I TO IXISTT'{6 fiESIOEHCE
!.PLEASE CHECK Al.p Ar{S}rfR SELOti,
ALL THAT A?PLY I0 YOUR
PROltCl:
f].qrr GAM6€
--
sr f orr GARAcE
sF fIPoRcH
-sF
S noou
{10 SF
f] sronacr sHrD
--
,5F
SF
florcx
-
sF OTHE R :
T0TAL SQ FT UNDER RO0F:
PROIECT
COtffACf PERSOIIr
#t'q-fi- Clea
PHOITf S:
Pt{}iIE }:
coST(resrtor):$Z\t*) f oFsr0RrEsl
Is Any ELECTRICAT, PLI#4BItic
or ilECHs{fCAL l.lork Selng oone to the ,1(cesso.y Structure?$ Yes [ *o
If the project
is a Relocation,
is there a tlEtural Gas Line on the Current Site?
[ Ves il *o
Is therE Electrical Polrer
on
this Buildingl mYes ff Ho
pRopERTy usr
/ occuPAxcv;
f] 5INGLE FAMTLY
[-l ouplrx
[-l rolruHouse
lu i7,tz.t'
I surunoor'r
-
sr
fJene er'ruousr
-
sF
TOTAL HEATED ]
TOIAL PRO]ECT
SQ FT:
TOIAL AREA
SQ FT:
rF.vlr[,o DAr[ 04tt1tt2
. Qn*
BFE+2ft=
DE5CRIpTI0I{ 0F MIRK: ldtl-1'i
OISCi.AtMER: lne,eby 8l r[ inbrmslbn ln trrs epph6tcn € coroc! 8fid all work wil comtlrwm 0]G
Stale 5ui&Jfrg Corc a0d
a[ oterSert &nd ba6r t?r.t
rd otdinrnces endThcNHCOercloprntntSorvKssCetrE
ffibtnolfiadolBnycnnngeshtheagprovadFlrEse1r n coorac$t ct
m.t'&c!5r nbmalon "'NOTE AftF Worh P(rfiomod WrO
$e Applopris& PerF jrs B*l De a VbBfron o, thc NC Sats Bldg
! uo '! o
sSiB str"
tiaftritrrt*rir**l
owNER/cotirMCToR:
.A*W ("** srGMruRE:
itr.**+)r*r*.***rr.+*rrr.r*tlt*tjlllx"Jr*ji*+***+**r*tr.i***++r*i+*+
rs rHE pnoFEBTy LocArED
rt{ A FlootprArt{?
n yrs f] r*o
EXIST$fr $|PERVIOr,S aREA:
_ sQ FT TOTAL
ACiES DISTURBED:
iIEr',
tilPERvlots AREA;
--5Q
FT IXIST tAll0 DISTURE,IIIG PERIIT: f] VfS f] Ho
MrER:
I crrua
I co+au*rry sysr€r,r
I rnlverr
urll f cr*rnau $-ttnto*""-
sEr.rER:
f] crnur flcrnrRRl sEprrc
ffirvarr sEprrc
5.**rrr, r"rri["'&eft---
drs__.
pAy,,E,{r
,,;;,:"t'#'i::j:iiT^Jff.j'ff';,li'dill;,ili il;il,,*"fi;:,J::i*"il'0,,*,,:*l#tr1
*trI**t*$*******a**rit!i+****r*!******rrrr*t+r*i*r*****!iltt***tt*i,|+***+r*{,tqt*+*i***rri*t:t
,orr,
[ra, oFFrcER:
**,+-
plRtqlr
-,**r'
DnTE
I "l
Approval:-city: L>lUt\
FEE: $
.(3
ffi
NEW HANOVER COUNTY
BUILDTNG PERMIT
APPLICA|IoN TYPE: COITIITIERCIAL
PLEASE AT,TSWER
ALL QUESTIoNS Appt-ICA8t-E TO yOU[ PRO]ECT
lbility"
//*/rl
2or{- 131:
APP
LICATIOI{
l{umber
A/5
ai(
APPLTCAiIT, S tlA E:
DEVELOPER:
/it'.
PRO'ECT ADDRESS:
occuPAilr/BuslNEss r,rnlrE :
PROPERTY ()}INER,S
OTI ER,S ADORESS:
COI{TRACTOR :
ADDRESS:
EI{AIL ADDRESS:
PROJECT COI{TACT
DESCRIPTION OF WORK:
(Ch€.k
Atl rhat Appry)
Permit #:
a'r.r Is THrs a CHANGE
IF Yes, uhat rras the Previous Occspancy T)De?
ARCH DE5I6I{ PROFESSIOML:
EI{6R DESIGN PROFESSIOML;
Type ?
NC REGPH:
PHi
# OF
STRUCTURES:
I * OF
TLOOnS:
-
Exsr LAND DtsruRBtNG pERMr? E yEs flNo
SA FT EXISTING IMPERVIOUS AREA:
pRopERryusstc|:,FFrcE ERESTAUMNT EMERCANILE
IEDUC
leer flcoroo otnea,5
f o, ,1 c-
WATER: @PPUA E @MMUNITY
SYSTEM
fl wELt EzoNrNG usE
ct^ristFtcATtoN:
l',/at u
SEWER: IICFPUA EICENIRAL SEPTIC LIPRIVATE SEPTTC ECOMMUNTTY SysTEM
SO FT
bh.d
ls tood or beverages prepared or served in this sfnrfure?
[Yes
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
TOTAL PROJECT COST:cD BUILDING
HEtGtr: !J t
# OF UNITS:
TOTAL AREA SQ FT :
_ SQ FT PER FLR:# OF STORIES:
TOTAL SQ FT UNDER ROOF:
i( '
4 tats -
fez- ls- f
tco
P[o E
*: 7/D -3b) -sszc
slrLVtp c5-
PHONE
PHO E
Exrsr cor{srRucrro{:
E alrERArror
I nrrcvarro [-l eeirlnlr_
lf Relocation, is there a Natural Gas Line on the -Current SiteZ I Ve?[ Ho
ExrST cOr{STRUcTIor{:
Ll aLTERATToN
Ll REtOvATToH
fl eerrnn_ nrprrns
l-l RELocaTroN
tf Relocation. is rhere a Narural Gas Line on rhe current
sitez flves
! ruo ts BLDG
spR-i KLEneou
I ves
filo
NE!,l cor{srRucrroN, pt'inrcr NE}, srRUcruRE
I rnsr rucx
! sxrr-r-
fl urrrr
! eoo
ro Exrsr 5TRU6TURE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell
*:
Is Elect PoHep
on this Building E yes E to
oF o(cuPA cY usEt EYEs p[6 *'...
hliat
is the ey Occupancy
NC REG
#:
ls The Properry Loc8tod In
lhe Roodptsin?
E yes
PHO
E *:
(Or.lilt r)
codEln Asbodos oa rt.l. Yorr arc roqulrcd to cllllh€ N6tionsl Emlssion
demolhion of any hdllfv or bulldiog. S€e Asbenos Web Slre:
ZONE:. OFFICER:_SETBACKS:F:_LH:_RH: B:
(FOR OFFTCE USE ONLY)
N
PERMIT FEE:
ST: ZlPl
REVISEO OAYE
{Ifi2
15
- L999
APPLICATION
Number
(office Use)
DATE2 i-24-r5APPLICANT'
S NATIIE
:
DEVELOPERi n/a PHONE #:
PROIECT ADDRESS: 1212 olmsread Lane
SUBDIVISION: Parkside
at Mayfaire Secl
CITY: wiJ-minsron
BLOCK
#:LOT #:
ZIP: 28405
88R
PROPERTY
Ot{NER'S MI{E: Michae-I MaioccoPHONE
#: 9ta-1 42-3100
OWNER'S ADDRESS: 1212 otmstead Lane
CONTRACTOR! Porch Conversi-on
ADDRESS:
6821 Market streer
EilAIL ADDRESS I porchconversionuQsmail .
com
CITY: wilminston
LICENSE #: n/a > 30K
CITY: wilminqton
ST: Nc ZTP2 28405
ST: r'rc
ZlPi 284aI
*:9to-ttt-3363
#: 910-777-3363PROIECT CONTACT PERSON: John Kmetz
PHONE
PHONE
EXTSTTNG CONSTRUCTTOnT
I ALTERATTON
! nrruOVArrOru
! CerurnAr- REPATRS
! nrlOCnrrOru
NEt't CoNSTRUCTION:
! eneCr NEW RESIDENCE or ! AOOTTTON TO EXISTTNG RESTDENCE
**PLEASE CHECK AND ANSWER BELOW
! arr GARAGE
_ sF
f] oEr GARAGESF EPoRCH
-SF
[] surunooN 330 sF
ALL THAT APPLY TO YOUR PRO]ECT:
SF
f] sronacE sHED
SF OTHER:
! cnrrruHousE
_ sF
tr
tr
POOL
DECK
SF
SF
TOTAL HEATED
SQ FT: 330TOTAL
SQ FT UNDER ROOF: 330TOTAL AREA
SQ FT: ::o
TOTAL PROIECT COST (t-ess
loo ! $ tq, e qo
# OF STORIES: 2
Is Any ELECTRICAL, PLUfIIBING
or MECHANICAL Work Being Done
to the Accessory
Structure?
ffi Vet E ruo
If the project
is a Relocation, is thene a Natunal Gas Line on the Current
Site? fl ves E 'loIs there Electnical Powen
on this Building?
IElves f,] to
pRopERTy usE
/ occUpANCy:
I srncur FAMTLY
! ouer-rx
! rowruHouse
DESCRIPTION
OF hIORK: Enclosure 1 2nd_Slpgy
beleql ith 5gnloom y4lls and windows (southside) and
Enclosure 1 lst floor screen porch wi wa-Ils and windows (northside of buildinq)
and ordinances and regulations.
The NHC Development Services CenEr will be nolified
of any changes in he approved plans and specifications or change in
contractcr or
contraclor informatjon. ---NOTE:AnyWork Performed W/O
freAppropriate Permitswill be in Violation of the NC StaE Bldg
Code and Sub.iect
to Fines Up To $500.00.-.
OWNER/CONTRACTOR! Jeremv Martln SIGNATURE:
* * * * * *
* * * * * * * * * * x r< * * * * * * *
* *(iit{l }i1"} * * * * * * * * * x
* * * * * * * * * * x
* * * * * * * * * x x * * * * * * x
* * * * * * * x
* * * * * x
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
[*I YES
EXISTING IMPERVIOUS
AREA: 3215 _SQ FT
El *o
NEt^l IMPERVIOUS
AREA: o
sQ FT
PERMIT:
IJ vts
IrI ruo
sEr^tER:
[] crnun
! crrurnnL
sEprrc
I enrvnrE
sEprrc
! conmururry sysrEg
(FOR OFFICE USE ONLY)
SETBACKS: F:
wATERT
@ crrun
! coNllururry
sysrEM
! enrvarr
well f] crrvrnnL wELL
ZONE:OF FICE R :
*** SEPARATE PERMITS REQUIRED FOR
ELECT, IIIECH,
PLBG, GAS EQUIP, PREFABS
& TNSERTS ***
f cnsx
E c,rcr (,A'ABLE
ro NHc)
fi nuenrca,
,*r*ri, il mcrvrso
fi orscovenPAYI{ENT
METHOD: L********************************************************************xxx**************xx*
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
REVISED
OAIE
04/LL/L2
RH:
_ B:_
Zolt-QV\q
NEI^, HANOVER COUNTY
BUILDING PERMIT
APPLICATION TYPE
: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Proj ect Responsibility"
Porch Conversion
Appnoval:
City:_ DATE:F LOOD :
LH:
BFE+2ft=
LotrlSKes-2o01
NEId HANOVER COUNTY BUILDING PERMIT
APPLTCATTON TYPE : COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
NAIIlE: Coastal- Construction Servlces, Inc.
PRO]ECT ADDRESS: 140 Has Lane Unit 150 CITY: wrtmi ton
OCCUPANT/BUSINESS NAItlE :
PROPERTY OhINER,S NAME:
APPLICATION
Number
(office use)
DATE. o1
/24/2015
DEVELOPER:PHONE #:
ZlPi 28At1
Fantastic Sams
LI. Jlaqi. Salon. 121 PHONEf: 9r9-637-9001
ST: Nc ZIPt 2a405OWNER'S ADDRESS: 1319 Mittary curoff Rd, ste EE CITY: wilmj-nston
CONTRACTOR! Coastal Construction Services, rnc LICENSE #: 60825
ADDRESS 2 6643 Gordon RoadCITY: wilminqron
EHAIL ADDRESS!
beckvGccsiofnc.com
PROJECT CONTACT PERSON:
Scott Johnson
ACCOUNT #:
PHONE
PHONE
5T: NC ZIPi 2B4II
#i 9ta-256-4452
#: 9to-264-041 L
EXrST CONSTRUCTTOU:
@ ALTERATTON
lf Relocation, is there a Natural Gas Line on the
(Check
AII That Apply)n neruovarroru n ceruennl
currentSiteZ
IVes Eto
REPATRS
! nelOCArrOr
lS BLDG SPRINKLERED?
nves flruo
NEht CoNSTRUCTTON:
! rneCr NEW STRUCTURE
E FAST TRACK
! Snell
I Uerrr
n nOO TO EXrST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The
ShellPermit #:
ARCH DESIGN PROFESSIONAL: Narramore Associates, Inc
ffi No *****
the New Occupancy Type?
864_242_988I NC REG
864-242-9887 NC REG
DESCRIPTION 0F WORK:
see attached plans
Is Elect Power on this Building fi ves E ro
#:
*:
ts food or beverages prepared or served in this structure?
ftYes Elno b The Property Located ln The Floodplain?
[ ves
fl ruo
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 ordinances and reoulations. The NHC Development Services Center will be notified of anv chanqes in the aoproved plans and specifications
or chanqe in contractor or contractor iiformation. .'.NOTE: Any Work Performed WO the Appropriate Permiis will 6e in
Violation of the NC State Bldg Code and
Subiectio Fines Up To $500.00t-.
OWNER/CONTRACTOR: ertir,' A Geen
SIGNATURE:
(QuolmeD (Prlni Name)
contaln Asbsstos or not. You are required to call the National Emission Standards br Hazardous Air Pollutants (NESHAP) at (919)707-5950 at least '10 days fior to the
demolition of any facility or building. See Asbestos Web
Site: http:/ ,wwy.epi.state.nc.us/epi/asbestoyahmp.html
TOTAL PROJECT COST: 3 5 O O O
BUILDING HEIGHT: 22'# OF UNITS: r
TOTALAREASQFT: I5OO
SQ FT PER FLR:
lsoo# OF STORIES: r
#OFFLOORS: r
TOTALSQFTUNDERROOF:
Tsoo #OFSTRUCTURES: T
EXST LAND DTSTURBTNG pERMrr?
[ VeS
El nO
SQ FT EXISTING IMPERVIOUS AREA:
PRoPERTYUSE: EoFFcE ERESTAURANT
luencnruTrLE
EEDUc flApr EcoNDo orHER._s,.Ion_
PAYMENTMETHoD:
ficnsn flcnecx(PAYABLEToNHc)
[arr-r-AccouNr
flucnrrse Iorscoven
(FOR OFFTCE
USE ONLY)
WATER: ECFPUA fICOMMUNIWSYSTEM
EWELL fIzONtNGUSECIASSIFICATION:
SEWER: ECFPUA fICENTRALSEPTIC
leRVnreSEpTtC ECOMMUNIWSYSTEM
"" SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *-
ZONE:_OFFICER:SETBACKS:
F:_LH:_ RH:_ B:Approval:_City:_DATE:_FLOOD:
A v NBFE+2ft=
***** IS THIS A CHANGE
IF Yes, what was the Previous Occupancy Type?
'-'-'%
ENGR DESIGN PROFESSIOML: Narramore Associates, rnc.
OFoccuPANcY usE? EYEs
What is
PH:
PH:
ACRES DISTURBED:
NEW IMPERVIOUS AREA:SQ FT
REVISED DATE 4/1 1/12
Comment PERMIT FEE: $
/4
ab
APPLICA T'
S i|AitE:
DEVELOPER: -
'LolrrtvS?
NEhI HANOVER COUNTY
BUILDING PERI'IIT
APPLIATI(N rYPEr C(ItlltlERCIAL
PLIAS! AIIsI{ER
AtL QI.,IS'IOXS APPLICABLE TO YOIJi PRO]ECT
*ProJect Responrlbluty"
Jeremy Andergon
L5-2007
APPLICATIOI{
I{umber
(Offtce ura)
0NE._L!?L!!L _
mOIECT ADDRESS:
3804 oleander Drive CIIY: wilnli.nqton
PHoi{E *:40{-601-4000
_ 2IP128403
PHONE*: llg:f!!.8!:1-sT:sLzIPr&
sT: zIPl
#!
f:
OCCUPANT/BUSI ESS
PR@ERW
OflER'S
OI{I{ER's ADDRESS !
Mr4E: whol"e Foads Market
lulllE: David chrisEy
- whol"e FoodE
1180 Upper Herbree RdCITY: Roswell
co{TnAcTm:
ADORESS:
TICENSE f:
CITY:
E!'IAIL ADORESS:PHOI{E
pHot'lEPRO]ECT CO TACT PERSO{:
Exrsr co{srRucrrou:
I ALTERATToI{
E -"Ji[rrfii'tfi&'il*,- REpArRs
! n*ocrrrot
tf
Rdocdm, is t!6re a N8turat cas Line on the cu-rrenr Sltez
flvilflno TSBLDGSPR-lNKLEneor[tves
flNo
Eu cot{srRlrcrru:
Ienecr NE]r srRucruRE
fl rlsr rmcx! *reur.
!urrrr!ADo TO Exrsr srRlrcruRE
ACCESSORY STRUCTUNE:
If UPFIT
- The Shell Permlt S:rs Elect PoHer on this Bulldlng
ff Yes fi rc
oF ocoPAl{cY user
frvrs [l o "tt"tdh.t 15
the t{6r occupanty Typ€?
PH:393@ Nc REG #: 9082
Ptl: 404-601-4000 NC REG *: 41015
IF Y€s, Hhat
ARCI{ DCSIO{
ENm DESIgtl
...t. I5 THIS A CtUfleE
Has thc Prevlous occup.ncy Typ6?
PROFESSIOML: Hughes w Thoq)son AIA
PROFEsSIOIIAL: E:ig qqlf PE
DESCRIPTI0N
0F hlORK: rni.nor
incerior reeodei
#OFUNITS: -
f OF STORIES:1__
#OFFLOORS: 1
v/ nezz
ACRES DISTURBED: -
NEW IMPERVIOUS AREA:
-SO FT
BFEr2ft
N
DCTIUTT
EFF. G
Ir fmd or
bcwrcp. pr.pard 6 rlnlcd tn thh ar.rctne? @ves fi ruo b Th6 Proporty LoM ln Thc FloodCrln?
ff ves
lfl no
I,ISCIAIMER: I
horcbv cortity ltlEt 8ll inlormaton ln u]ls rpdlcauon is coffrct 8nd all work f,,lll comdy vrlth ulo
and locsl lElys and o.dlnancEi and Equlstlon6. Tho NHC Dgveloorn€nt S€ndcee Coolor will b€ nodfi6d of Env I
EiffiIt Ei"tsffiJfioflff9tor rntonmton. *NoTE: Anv wort Perhnn€d wo ['e App'lp.lsrs P6rmn8
OWIIERICOiITMCTOR:
% SIGMTURE:
til rt Flrh0
t{olo: Dmotrixl rdfcldo & !.b.!b! ttnq,rl p.rmltlFplcaion
d!ro bca.im&!d udt?0r ApIG.don hm (DHH$3768)xtt!0tdttt hcfiryor
c rlh Aa.do. o. nd. You
alr l!([lkod
b 6ll nr }{.tdf,l Emblior srl|d8d8 h Hd&u. Alr
PolluE$! (NESHAB
d (9t9]47-!S0 d
r.d l0 dd l.ad l0 &y8 Flor b tlt
uB blrrd b
c llh Aa.doa o. nd You
al! lr(llkrd b 6ll lrl! }{atd,lal
Embliol Srl|d8d8 h tldrhua Alr
Polluht! (NESHAB
drru&o or lny fiGlV 6 brrldhS 8ac Alla.E tiVO EE hupJrwww..plrt b.nc$r.0uarb€6lo.hhmp.tml
TOTAL PROTECf @ST; Sxso, 000 BUllDlMl HEIGHT: 23 ' -8'
TOTAL AREA SQ FT :
3^9...1.Q2- SO FI PER FLR: 40, 3 02
TOTA 8Q FT UNDER ROOF:
4&3!3_ * OF STRUCTURES:
J,-_
o(sr |-AND DT8TURBTM! pERMmnYES El NO
SO FT H(ISTIh|G IUPERVIOUS AREA: -
pRopERTyusE: EoFFrcE lnesnrnnnr @msncrrnue fisouc ilrrr Eoonoo orxen
WATER: 1'g166ptA r-ICOMMUNIWSY€TEM nr'vELL ElZONlNGtsEqIsslFlCATlON
sEwER Ei cFpr.ra EI cer*rner- seprrc El pn-ware
sEmc E-corr{MuNrw sysrrt.r
*'SEPARATE PERMITS REOUIREO FOR ELECT, MECH, PLBG, GAS EOUIP, FREFABS & INSERIS"'
pAylvrErrrrilErlroo: flcAsx floreo<lenvlaEroNHc) flnuencmooness flNwrsl Eloscown
{FOR OmCE UtE ONLY)ZONE OFFICER:SETBACIGI F:_lll:_ RH:_ B:_Applord: CIIr_DAIE_FLOOD:
,\rraurcaf
REIIEED DAIE 1'1 1fl2