HomeMy WebLinkAboutAUGUST 11 2015 BUILDING APPSDteose rt{e rcnce Per rnrt *F
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APPLICANT,S
DEVELOPER:
NAIT1E:Sheenah Gardener-ent for Verizon Wireless DATE: 8/ 4
/20 15
PHONE*i-
PROJECT ADDRESS:201 Nor:th FrontStreet CITY: tlilmingl-on zlP:28 40t
NAItlE : verizon Biireless
NAME: Murchison Building T'P PHONE #: u1ln!ryIl
uNKNowN CITY:
-
ST: ZTP:
occuPANT/BUSTNESS
PROPERTY Ot^lNERr S
OWNER,S ADDRESS:
EII{AIL ADDRESS: rnurrL r'
^h^rF-r fAtrT^/! DEDGill. ahaorr:hal?oatnrs r'()m PHONE #:PR0IECT CONTACT PERSON: sheenahgGesanrs'com 980-202 5s80
Permit #:Is Elect Power on this Building f] ves
EI no
**++* IS THIS A CHANGE
IF Yes, what was the Previous Occupancy Type?
ARCH OESIGN PROFESSIOML:
EN6R DESIGN PROFESSIOML:
DESCRIPTIoNOFWoRK:Addandreplaceant-ennaswithnochangeto''owerfootplint.noeiectl}Cwo:k.
ls food or beveragas prepred gr served in this stnrturez
[ves I No E The Property Located ln The Flodpainz
Ives EI No
(check All That APPIY)
ExrST 6SNSTRUCTIoN:
[| nlrrnnrrOn
fl nenovlrroru
[l arnennl REPAIRs
f] nrlocrrror't
tf Relocdion,isthereaNatural GasLineontf,"Cutr.,tt-Sri"'
IVFEru" ISBLDGSPRINKLERED?fl Yes
flruo
NErd coNsTRUCrIoN:
I rnrcr NEhl sTRUcTURE
flFAsT TRAcK
I sHer-r-
[ unrrr
f] aoo To EXIST STRUCTURE
DISCLAIMER: I hereby certrly that all anlormation in this^application is correct gnd_all work.wrll comply with the state Buildino code and all other applicabl€ state
androcallawsandord.nancesandresqrarions t-re,N[c-Dev!iJ;,T;;ii9l'E9iF,?,AtEiy{^fgl^;l'lit""l*t:lP,ig":"'tlIBtrSl?"*Bif#BEf"trE33["iiiand local laws and regqlalions. I
)r rntormattonEi'Ir'in6i: in contraitor or contraclor
Subiectio Fines UP To
$500.00--
Ihe NHC DeveloDment Services Center w
r.aii.iOiE. Any Work Performed W/O the
ijevelooment Services Center will be notrfied-ot any (
i. Any work Performed wo the Approprlale Permlls
rotified of anv chanqes tn the
nriate Permits will be in Violz
OWNERICONTRACTORi l SIGNATURE:
NEt^l HAN0VER COUNTY BUILDING PERMIT
APPLICATTON TYPE; COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibilitY"
APPLICATION
Number
(office Use)
CONTRACTOR:
ADDRESS:
ACCESSORY STRUCTURE:
If UPFIT
- The Shell
TT
LICENSE #: 3!]l|!-i*, R"to.6^ sr:QlQzrPtX:ttrlt
PHONE
oF occuPAr{cY usE?
[vrs flNo *****
What is the New Occupancy TYPeI
PH:
PH:
NC REG #:
NC REG f:
(ctuaffis) (Prlnt
t{am)
contain Asb€stos or not. .7d.J er€ r€quired ro call the Natidtal Emission Standards for Hazardous Ar Pollutants (NESHAP) at (919)707-5950 at lBast 10 days
rid to tle
@nditifi df any tacility of t[ilding. sco Asbeato6 Web st8: http:/A^ ,+l,r,.api.state-Bc.us/epiiasbsstos]'ahmp.html
rorAL PROJECT cosr:
.I5Om- BUILDING HElGFlr:# OF UNITS:
TOTALAREASQ FT: ILi SO FT PER FLR:# OF STORIES:
TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:# OF FLOORS:
ACRES DISTURBED:D(sr LAND D|STURB|NG PERMr?tr'.lYES
E NO
NEW IMPERVIOUS AREA: SQ FT EXISTING IMPERVIOUS AREA SO FT
-T qle.corn{}-}u(
rr(rtt'o
pRopERw usE: floFFtcE ERESTAURANT [ruencelulLE IEDUC flapr f]coruoo ornen,-ffi!fi7'""'"
wATER: bficrpun -coMMUNrTysySTEM I-lwELL flzoNlNcUSECLASSIFICATION:
SEWER: ftcreun Ecelnnnr-SEPrtc fle-ntvnreSEPTIC f]CoMMUNnvSYSTEM
:,
pAyMENr"T:::..=:::Lp.trT.'r3Tl.:Ji:L?*=ji:Ifl :::.:-?1mf lorscoven
ZONE: OFFICER:
(FOR
OFFICEUSEONLY) REVISEDDATE4/11n2
SETBACKS: F:-LH:- RH:- B:-
AoororrT--citv, -*--TIJil FLooD:- BFE+2ft=-A v
J.**,, FEE:
$ l0o -Comment;
RECEIVED AUG 1O 2OI5
NEt^l HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSNER ALL QTJESTIONS APPLICABLE TO YOUR PRO]E(T
"Project Responsibility"
,ol 5- 15v/
APPLICATION
Number
(Office Use)
LOT *: _
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APPLICANT,S MIiIE:
DEVELOPER:
PRO] ECT
PROPERW
oHttER ' s
CONTRACTOR:
ADDRESS:
EIiIAI L
PROJECT CONTACT PERSON:C
PHONE
CTTY:
LICEI'ISE *:
PHONE*:
sr
! roncr
-sF
! sronncr sHED
_ sF
oTHER:
_ SF
Ol^ltlER'S MIIIE:
ADDRE55:
ff* **ur/-
! surnoor,r sF
I eoor
_ sr
sF I oecx
_ sr
'/EXrSTrilG CONSTRUCTTON:
! elrennrrOru
! cneeHrousr
TOTAL HEATED 50 Fr:'2Ob"K3?#O' 50 FT UNDER NOOr:2ON?,O'O'O|------1.-
ToTAL PRolEcT c0sTrressroo : $ ( tO,Ct D f oF sToRIEs: I
Is Any ELECTRICAL, PLUl.tBIl'lG
or I,IECHA ICAL Work 8ei.ng Done to the Accessory Structure?
If the pnoject
is a Relocation, is there a NltqrAl Gas Line on the Curnent Site?
PROPERW USE,
I srrucre ranrlv
! oucrex
! rowNHousE
DESCRIPTION OF WORK:
DISCLAIMER: lheeby certit hsi all inbmaliron in his applical,on is conect and allwork willcomplywih he Srare B!ilding Code and alt oher appticabte SlaE and tocat taws
and ordifiancesand regulalions. The NHCCenE willbe norified
ofany changes in he approved ptans or change in
conlractoror
conlractor inbmalon. TnNOTE: Any
l{Er{ IfitpERvlous AREA:
_SQ FT EXIST LAND DTSTURBING pERirIT: E VrS I UO
A
r.rArER:
! crcur pf .o,iiHiifr"rr.m ! eRrvare weLr-
! cENTRAL wELL
sEwER:
MtFpuA I ceurnal srerrc
! pRrvArE sEprrc
! coMr,rutrrv svsrrm
,I*1 SEPARATE PERT.{ITS REQUIRED FOR ELECT, MECH, PLBG, GAS CQUIP, PREFABS
& INSERTS T'**
pAynEl{T IiETHOD:
I Cmn
I CXeCK (PAYABLE
rO nXCl
I AnenrCA
ExpREss
I nclvrsa I orscoven
)i,i)i*,|*,1)i)t***)i)irt+*++*,t**,i**)i,t*+*++*.t)i)i)i)t)*,*)**!t***:t****+***,i*,t***)t)*++*)i)i+)t*)i)i)t,i+***,i)ir(,t,*xx:r
ZONE:OFFICER:
Appnoval:
NEW CONSTRUCTTOru:
! rnrCr NEhr RESTDEiTCE or
*'PLEASE CHECK AtiID ANSWER BELOW ALL THAT APPLY TO
sF ! oer eanace
Pemitswillbe in Vblalio. of lhe NC Siab
SIGNATURE :
)i
+++*++,*,*,r,i)r,r,i,i
*ri* *+***+***,r)r,l + *,r )i )hr,* r* ,*
* * )r )* )*
FLooDPLATN?
l--'l yEs El *o
SQ FT TOTAL ACRESDISTURBED:
Up To
$500.00"
OtiNER/CONTRACTOR:
Itr**)* )t*)* *,* r* rt )t*** +,|** *)t* )*
IS THE PROPERTY LOCATED
IN A
EXISTII,IG ff.lPERVIot
5 AREA:
(FOR OFFICE UsE
OI{LY) REVISEO OATE
O4l11/12
SEIEACKS: F: LH: RH: B:
BFE+2ft=
N
PERMIT FEE: $Comment:
_ City:_ DATE:FLOOD:
SUBDIVISION:
! eelenal neearns
I RELocATToN
ADDITION TO EXISTING RESIDENCE