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HomeMy WebLinkAboutSEPTEMBER 29 2105 BUILDING APPSNEI{ HATTIOVER COUNTY BUILDING PERIITIT APPLIA|I I N?8.. RESIDETTIAL PLEASE A'ISTER ALI. QUESTIdIS APPLICAALE TO }U'R PRO]ECT "Project Responstbilitf .rln5 fin? dorU5 0'l. Lpc lD Y 01+)ctC1ZoL APPLTCATIO ttmber (oJ+l<e tk ) D^rE- q lr ll,APPLICAiIT'S t,lADIE: DEVELOPER: S PRO]ECT AIDRESS: PROPERTY I.,SE / OCCUP DESCR IPTIOiI OF IOR(: 0 t, crw: BLOCK * CITY LICEI.ISE *:zb .t r, Ni lrn l rr0t0 il PTONE *:-$ ZIP: 3 LOT *: PT6 E *:-$b11 1u SUBDIWSION: PROPERTY (I{ ER'S }UlltE: onruen'S runnSS: 5'110 ot r,llnS 6n ttomet A 0 0 sr' tls;p@ COI{TRACTOR:{V{tb 0 {vr 0 EHATL ADDRESS:n e PRO]ECT COT{TACT PERSOI'I:S llioholrrt ACCOUNT ST PK' E *: PTONE #: *. ?\L ,t-,;i.lVfrG (Nt'',11-ffi EXTSTTiE COa{STR CTIO : ! AlremrrOr ! nercvarrot ! eerennr- neemns ! RELocATToN I El{ co6lnucTlo{: I enecr mr RESDE!(E o" I mrrrol To ExISTIts RESIDEI(E ..PLEASE O{ECT AXI AMN BTLfl AI-L TIIAT APPLY TO YqR PIO'ECT:rn n PORCH 1l SF ! oer e,rnaee _ s I eoor _ sr ! oecr _ sr STORAGE SHED SF OTHE R:5F TOTAL HEATED Sq rr, l?JQ rOTAL SQ FT U{[ER ROOF: l'i11 rorAL AREA * er, 1111 TOTAL PROIE€T COST rresc rat : S l2O,oOO f oF SToRIES3 ^Is Any ELECTRICAL, purIiBII{c or I'TECHA ICAL tdork Being Done to the Accessory Structure? [ V"a fr ffo If the project is a Relocation, is thene a t{atunal Gas ,Line on the Current Site? [ ves f, lo Is there ElectricaL pot{er on thls Building? Eves E[no Al'lCY:' srtct-E FAl.trLy n DI',P LEX -J l_{ roumousr kJrlin I'Al AeN tonr)tu t0A a EElEi DtslG-A ER lhecby certiry fia a[ inbrmstbn h t'ris +pfoalon b corrEct ald J nDftwil corplywih tte SraE adtstE Code ald at oter applbable SraE and tocal ta$/s ai ordinaEes rE regulafbrE Tlc ttHC Dar€lopment Servtss Csotef wll be mtfed of dty cnaEes in tre ?proved pEts axl +eciicali$s or charEe in contrirlcr or cfit*br hbmaton. "1{OTE: Anywork P6rb.med W,o rhe AppoprtaE permlGwf,tbe h VDHbn of tte NC SEb Btdg Cod€aE SubFcl b Fines Up To S500.0(r- (,!TINER/COIiITRACTOR:(ar 5tr{cn5 SIG ATURE: (Print ibm)*++ + !*,*,* * * *,i,t :t !t* ** * :* +rr *****,t*,*,**,t **+***,t**,**,**** 'l !t '*,*,* *,*,* * + +:i * * +,t *** IS THE PROPERTY LOCATED I A FL@DPLAI ?, 116 qn Fl Yes Elro R{ MERrnqTS n O. iG 5Q FI trerER: [l creua ! corrr{rNrry svsrem ! pRrvArE ri,ELL ! ceurRal we u sEHER: fr cra.n f] cErrRAL sEprrc f] enrvare serrrc [.*n^rry s.rsrEr4 ,,*1' SEPA'IATE PERiIITS REqUIRED FOR ELECT, I,IECH, .PLBG, GAS EqUIP, PREFABS & INSERTS ',{'*pAy$E r [Er]oo: Easr E crrcr (payaBLE ro rr*1 [irr.'- *co"i E n./*rn ! orscorca :ts+:i:i * {. '*,t:i,*,a !**t*+ ** * *** **,r* +*** **{. **** ** **:t*** *** {.:}+{. ***+ +* *,t !t,},a* !t ra * *+,t* *,***+++}:t,irt ***** * ZONE: _ OF FICER: (FOR OFFICE USE o'lLY) 8E!1!SED DATE €4l11l12 SETBACKS: F: LH: RH: B: EXISTII{G II,PERYIOTJS AREA Appnoval:_ City:_ DATE:_ FLOOO: _ Comlent: TOTAI ACRES DISIUnBED: '/S Exrsr LA[, DrsruRorirc pERrur: I vss f:l ilo BFE+2ft= N PERHTT FEE: ADDRESS: ! arr eaaaer _ sF ! sur'rnoom _ sF fl enremorse _ sr Pa[, la * L.o, tD 31103/ NEW HANOVER COUNTY BUILDING PERI4IT APPLI CATIfiI TY?,E: RESIDEITITIAL PLEASE AXS}IER AIL qUESTIOiIS APPLICABLE TO Yfl'R PROJECT 'PnoJ ect Respons ibilit)d vens 6nc ilsnre5 tolSlZoe 1t*;e (oFfi Use ) DATE: {6 tl APPLICANT'5 I,IAIIE : DEVELOPER:of9 I t,t PRO]ECT AIDRESS:I SUBDIWSIO{rl: PK'PERW ff{ER'S iIAIIE: i t,l ttg fiXt ttorrtot OTflER,S ADDRESS: 51 r00 CIry: LICET'ISE *:9t 0,Lb Nonrrr *: ?rl?- 11 CONTRACTOR:{enb 0 fvt ADDRESS: PlOilE #:(-i Zr,P: A LOT *: ST PIT'T{E *: ST firol114-$b11 z tL zrp:264,3 2Nc 71p1 214fi tMtrq'm f CTTY: 0 BLOCK # J 0 E AIL A)ORESs:0 e 5 ohot Plg{E *: PTO E *:PRO]ECT CO TACT PERSOiI:S Nioholfl EXISTII{G CO STruCTI(X: ! AlremrrON ! aerovarrou f] cenenal nseuns ! RELocATron ilEl{ COi6TRUCTIOI{: fr ERECT I{Ell RESIDEITCE o" ! mrrrOl TO ExrSTrIG RESIDE CE .*PLEASE O{ECI( AII' AIISffiR BELfl ALL T}IAT APPLY ro Yq.R PRO]ECT;1l ! oer ermce _ sF E Ieoor_sr n ! arr ennaer _ sF ! sur'rnool,t _sF ! eneerxouse _ sF PORCH SF STORAGE SHED SF SF OTHER:5b"r h 5F ! oecx ToTAL HEATED sq rr, I?.JK ToTAL sQ FT IioER.*.. IT11 ToTAL AREA a 'r, 1171 TOTAL PROJECT COST tLess ral : $lao,0 o0 o # OF STORIES: A Is Any ELECTRICAL, PLtfiBI G or IIBCHAIIICAL Uork Being Done to the Accessory StructurE? ft V", fr fio If the project is a Relo€ation, is there a current site? [ v". fl to Is thene Electrical Power on this Building PROPERTY T',SE / OCCT,PA CY: DESCRIPTION OF |IORK:kir _.1 Lt nlnl Aev,l Co SIIGLE FAI.ILY a l{atural Gas .Line on the r[v", frro- I-l uiplex l-y'| roumpusr n?ru.ohorl I ilEtu ,Eil OrICLAI/ER lhseby certiry fid a{ hbrmabn in fils +dbaton b cqlect and d 'iorkwil comply wih fle StaE BulEhg Code ald d ofi€r applbabb SbE and bcal larJs ard oGllnarces and regulaibns The NHC DeEbprient Servb6 CenE wil b€ odifu ot a'ly ciangEs in the +plo\€d pEls a*,sp€cificd,oris or change in contftEtr or contebr inbrmarbn. "1!OTE: Any Work PsrbrrEd w/O t€ AppropriaE p€milswitbe in yDhion ot t|e NC Stat Sldg Code ard SubFcl b Fines Up To gSOO.oCr- ohrNER/CoNTRACTOR:(ar 5lUe,n5 SIGI.IATURE : ***,t**,*,f ,*** *+++ **** *,**,****(Prtnt [ac)*++ + *,*,* * *,t +,t +,** **:*:*!i,l'i *,t*,t ***+:t*,t **:*,*+ t dm :f:t+:i:t + +* +***:t*+* *+ rs rHE pRopERTy L(NATED rr{ l rlooopuru E ves Exrsrrrre u,,Emrous ,.6, 1l? q rr t{E, IITPERVIoITS nee: 419 q n TOTAL ACRES DISTURBED: '/S EXrsT LAID DTSTURBT G pER rT: I Vss l-l rc r'nren, fl crrua I co!fiuitrry svsrrr,,r ! pRrvArE [{ELL I cemnal ueu seHER: fr crrua E cErrRAL sEprrc I enrvare srrrrc I courr.^rry s6rEr,t **' SEPAiATE PEMrrs REQUTRED FoR ELEcr, l1EcH, fLBG, GAs EQutp, PREFABS & rf,sERTs **{. pAylrErrr lrErH(I,: EcA$ E cxrcK (payABLE. n*t Mrr.i **r*, 'tr*r**- -uo".*r* **** **'t '* 'l:t a,i*+*'i't,* *,*:*:r '*,t*rt++*:t*** +,f +'i,a,t+* !**++ *:|:i +.t**:i!t,** *'i* 'a** *t*** ******* +:t,t,t,r +:F:!:i * !t,t,i.i (FOR OfFTCE usE Orty) REVT5EO OATI O4l11l12 ZO E: _ OFFICER: BFE+2ft= N Approval:_ City:_ DATE:_ FLOOD: _ coment: A v PER},ITT FEE: apTli6idr ttmber CITY: SETBACKS: F:_ LH: RH:_ B:_ ( "Lc (5'-Q') a ,oa.-tl L5-2437 APPLICATIo.I l{urnbe. (offi.€ Us€) ' il-:"'.',. .'; i,#.i NEW HANOVER COUNTY BUILDING PERMIT aPPLrdarr(N rypE i R ESIOENTIAL PLEA5T AIiSIER ALL QI]I5IION5 APPLI(ABLI IO Y&JR PRO]ECT "ProJect Respons ibi lit/' ApptIcaIT,s IAHE: oEVEIOPER: r-, A ?CRCH COMVERS ICN PROIECT ADORESS: .ril r:.IElt .]!r :.)TR.aT CfTY: irrt-MrNtlt{,N SUBDMSIOfl: :ir4 5 ,tcRrrEkATa L:Hr'1s 8L0CK S: PRoPERTY O{tlER'S ttAr,tE: eoHrNA-DCr G.1l O{NER,S ADORESS: 51c SoIITH ] RII sTTigiT COi/TRACTOR:PtU \ C tr,t6rt--,,.LICEIISE S: ?abe : Lc,! wrr v..g\j1!}-- ST : !L ZIp: jllllE OATE: q:24115 ZIP::840r LOT s: 3 PIONE *: 9io-J5.1-J5:2 ADORE SS : b:2 i yv\,&r) Va"1ii EMII ADORESS: Frrcl:ccnv"1sr.n PHotIE fi Pt0,f{E {: 970--t77-)f6'] 910-1t1- l )63 pROIECI COI{TACT pERSON: rrl...rrrl Br:',r Exrsrrxc corsrRucrrol: fl rrrunarror fl neruovarroru GEIIE RAL REPAIRS fl nrrocrrron NEr.l cotlsTRUcTIO :ERECT NEI{ REsIOENCE oT ADOITION TO EXISTING RESIDENCE ..PTEASE CHECK AT{O A'{SXER EEIOI' ALL THAT APPLY TO YA'R PRO]ECT: f] rrr cauce _ sF fl oe r cruce _ s, D [] sultnoolr re8 sF poot _ sF DECK GREENHOUSE - 5F TOTAI- PRoIECT COST.",',., : t PORCH _ SF STORAGE SHEO 5F 5F IOTAL HEATED 5Q FT: '-eE TOTAL SQ FT UNDER ROOF: rre TOTAL AREA SQ FT: 1eB 5F OTHE R S OF STORIES: ves [ ruo ouerex I roHNHousE PROPERTY USE / OCCUPAACY:5I N6L E FAI'IILY DESCRIPTIfi OF lrloRl(: ::nsrrucL n :: :{ i! Ir Any €LECTRICAL, PIUllBIi,C or |aECHAIICAT Wo.k geing Oone to the Accessory Stru(turet E V", I ffo If the project is a ReLocation, is there a Natu.al 6as Line on the Current Site?I v"t fl rio Is there Electrical powe. on this Building?i 5FT an an ert st t;rq de a!. OISCLA,MER ih.,eDtcetuty tt.r.[ ntmalEn o a]s.pphcalo. 6 .lrr o,d!.-,:.s.nd Ggurrlio.s th€ N8c tbwb9m.its.e..! c$a.., oIglY cha9.s i.'l€ approlld 9b; e.,r niconolywro ,'e srare Bur(69 cod.ed dr 066. ao!{raarh star rd krst l&s so.c,ncaho^s or.hm96 o conr.6ab. or ,'d grbFcl!3 Fn6s uo Io S5oO O(r'. &flxrm,S[254-CP0) .o.rEE.,.6d.!o. "I{OTE ny wqr tunod.d W@ nc App rl' irbe u vola({n.tlh€ Nc sE6 8td9 SI6NATURE:a IS THE PROPERTY LOCATED IN A FLOOOPTAI ?tl t+0 EXI5TING Ii,tPERVIOI,S AREA: ] ].,-SQ FT TOTAL ACR SEPARATE P€RTIIIS RE gllREo F PRIVATE SEPTIC OR ELECTJ TECH, Ecrsr E cxEcx (payABLE ro,*,<; I or.*r.* rxrne ss ! rcTrrso fl conrulrry svsr+r prac, cas EqJrp , PREFASS & IISERI5 r rr !l r. * tr * * t, * r + D: 'j. Lt Lt.t i NEt{ II1PERVIoUS AREA; ll8 _SQ FT EXIST LATID DISTURBIIi/G PERTIIT: E VCS ffi warER: @ crcua I cof,, juIITy sysTEH LJ pRIVATE wrr-l Ll cENTRAT rirrLL 5EHER: p CFPUA I CENTRAL SEPTIC ,{o R /7t/t2 D *B:C €vis BF E+2ft= r +- 6eiltrr FEE: $ 0IscovE EO OAIE 6' PHOa.lE #: iio 7"? .rJ6l CITY: iTTLMTNC?oN 5T:gZIp: 28401 YE5 PAYTET{T fiETHOO; zor',r, l( ( oF FrcE R: '-l , r'r^ \\ Approval:..--Citv: SETEACKS: Itr,.i r,^ FLOOD: t7 c i"+1 APPI.ICAI,JT'5 NA,I,IE : DEVEL@ER: PRoIECT A00RESS I suEDIVISr0[l Zctfe R1 Fz r}agz APPLICATIOII Nufib€r (office Ure) * NO {LANS* NEW HANOVER COUNTY BUILDING PERMIT APPLICA| rov rrpf : RESIDENTIAL PLEAST Ar,lSllER ALL qJEsrIGtS APPIICAELE TO yOuB pROrECr "Project f,esponsibility,, OHNER'5 ADORES5: zorr: ft!- orrrcen, (roi orFlcE ust o!LY) SETBACKS: F DArE:?-Zl- l9 FLOOD: JI CO TNACTOR:ICE SE #; ADDRE55:ST EITAIL ADDR PHONE fI PROIECT CoNTACI PERSO T !PH'HE *: EXTSTI{6 CON5TRUCTTON: I ALTERATTON p nrnovlrroN I crrrnnl nepnrns E REtocATror{ CITYr TOTAL ACRES DIS]URBED: EXIST LAND DISTURBI}JG RH: P}ONE f : BIoCK #: ..- LOT * nq bd c^r OATE i ?t -1l 1\ zrp:28?A 3 sr I ALLIIP I Ztt/ 71 ,r&7J Jt) TOTAL HEATED Sg rr: [\&) .TOTAL 5Q FT UNDER NOOF: I3S5- TOTAL AREA SQ rr: /3SS- rorAL PRolEcr C0STrtasstorr , C 0915b. * oF sroRrEsi I rs Anv rLEcrRrfAL, pr.u.l4grNc or irEC[A,'JrcaL work Being oone to the Accessory structu.er fi ves f,l ro rf the project Is a Rerocation, ls the.e a Natural GaJ-Line on the current sii"l E v", E r,r"Is there Electrical po!./en on this Building? Sves f]no SUNROOM SF l-l poor- sE ! sronrcr sHED _ sF 5F ! oecr SF OTHER:5F PROPERTy t5E,/ OCCI pANCy: EIsrterr rarllv ! ouclrx IOI,]NHOUSE DESCRIPIION OF I,]ORKI q-Nod ' lo b c Cit ci q^{-l OISCL IMER: l hEEDy c€nrry mai sr tnbrmar in bis.pplicsti(rr Bcorect s.d aI $€r,t wiI flptywllh he slst€ 8(lfdho and o.dlnarce8€nd r€gltatb.rs. Th€NHC Os t S€lvlc€s Cenb, wittbe noutOd ofany citnges in hd apprDved plarlssnd speclficallon. o{ change l. conlr"cbr or co,rtaro. ln hma50n. "1\tOTE:Anywdt psrtormBd U,/rO the Appropnab Pemirs$l[ !r in vlolation ot lne Nc slre Bbg c4!c ed sublect b Fnes Lh 00^ Oli,NER/C0NTRACTOR :SIGNATURE: " _... _ _ _,- J:i'Jl,ltl"]_, ]S THE PROPERTY LOCATED IN A FI.OODPLAII,I? EXISTIiK IIiIPERI/r0US AREA | _ SQ FT uEl{ I}IPERVIoiJS AREA: _SQ FT AU6 3l 2015 R I lYEs I lr{o I,]ATER I CTPUA COI4T4UI,II TY SYSTE'4 PRrvarE UIELL I calrnaL wrLr BY: rvATE sEprrc f] com,rulrw svsrti,r sErrEf,: D crnua I celrRal srrTrc ! en NEI,I CONSTRUCTIONi ! TNECT NE}I RESIDENCE Or I AOOTTTOIV rO EXI5rING RESIDENCE * *PTEASE CHEC( p rrr ennace AND ANSJER EELOI{ AI"I. I H.AI APPLY TO YOUR PRO]ECT: ?l:4 s, ! orr crnncr sr pconcr l5U ,, g ,rr.or.* 71/17 ",111 3L x) <D E s :9 G' t\)<-rr l- H SEPARATT PERI,IITS REQUIRED FOR €LECTJ I,IECH' PLBG, GAS EQIJIP, PRTFASS & INSERTS pAyllft.T HrrtroDi [_l crsn l_f clecx (pAyaBLE TO rxC; I utenrcm exrnrss E "rrrii - Ft*r * ** *+** ****,r**r r a* **** ***'l+* * r$** **** **rrrii,***,* + * *,i,a,* * ***r**)i+***+,|.r***:r*** 'N1ft o,-f -fr.,,J5' -{ BFE+2ft= PERHIT FEE:$_=- Aaol- Coment: 4o ?(L.Qa {nvn ,lb hol.)B-(Qto p$NE $t\a-jJl-?6jt PROPERTY OI,INERJS IiIAI,IE: I cnremrousr _ tr tr Approval: Citv: -i, t'l)to\f q,R1 *No {LA^ls* APPLICATION Number (office use) ,.(C /NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATIa1 IYPE; RESIDENTIAL PTEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility,, APPLICANT'S NAIiIE: DEVELOPER: PROJECT ADDRESS: SUBDIVISION: COI{TRACTOR ADDRESS: DATE: g/ A 7l 1\ PTIONE *: CITY: (! r LT"\ - BLocK *: - loiTl ZIP:16'/\) . Arz--ol,-t PROPERTY OI''NER'S i,U\ME: OWNER'5 ADDRESS:-1S L ITY: ( r\C{ bd c\-)sr :, L)_LzrP I z-ty 71 LIC ENS &q,Nt Q7o ,rB!7j' -,11-e6 3c E fl: Ur \ n Y-\a bo*.)"ST: EII,IAIL ADDRE s: PRO]ECT CONTACT PERSON: GRE ENHOUS E SF TOTAL HEATED SQ FT:{\a) { r o-n\ il ProNE #:qtO'111963L EXISTIN6 CONSTRUCTION:tr A LTE RATION lXl Rrrcvarror ! crHrnar- arearns ! RELocATToN NEW CONSTRUCTIOT: I eneCr NEt4, RESIDENCE o" ! loolrtou To EXTSTING RESIDENCE **PLEASE CHEC( AND ANS}TER BELOW ALL THAT APPLY TO YOUR PRO]ECT:p arr enmcr ? h4 sr tr DET GARAGE - SF PooL _ SF DECK SF 60 rs any ELEcrRrcaL, PLUiIBTNG on tilEcHANrcAL htonk Being oone to the Accessory structurel$ v", [ ruo rf the pnoject is a Relocation, is thene a Natural Gas Line on the current site? [ ves f] Ho Is thene Electrical power on this Building?Sves !no TOTAL PROIECT C0ST lress roq : $lsb # OF STORIES: PROPERTY USE / OCCUPANCY: EISrrClr rarlrlv TOI^]NHOUSE DESCRTPTION OF WORK:Nod -fod PORCH SF STORAGE SHED SF 5F OTHER: roTAL SQ Fr UNDER nOOF: l3Sf rorAl AREA SQ FT:/J9J +o C -1 ** ** + * * )*)*+ *,t* **)*)t *,t* )* r** )t )N+ )k ** *** e Q-r q en OISCLAIMER: herebyceriifyliatat inbrm alDn in this appilcalion is correcl and a workwlt prywilh lile slale Buitding cod and al otrer applicabte and ordinances and regutalions. The NHC Devetoprnent Services Center wi be notfied olany changes in the approved plans and sfecilicaiions orchange in contracbr or contacbr inbrmalron. '-NOTET Any Work pertormed w/O the ApprooriaE permrcwilb€ in violalion olfie Nc stab Btdg code and subjecl lo Fines up 00" OWNER/CONTRACTOR :SI6NATURE: * * ** *** * *. r r * *,* ** ** * ** ** *,1*(,!ifllilJ rs rHE pRopERry LocArED rN e rloooplarr? ll-l yrs E nro AUG 3 I 2015 EXISTING II1PERVIOUS AREA: -sQ FT NEW II1PERVIOUS AREA: -sQ FT l--1 vrs l-l ruo !,raTER: ! creua ! cofir4uNrTy svsrem !PRIVATE I^,E LL ! cerrnnl wrr-l BY: TOTAL ACRES DISTURBED: EXIST LAND DISTURBING REVISED OATE O4l1U12 sEWER: ! creun f] CENTRAL sEprrc I enrvarr srerrc f] coMMUNrry sysrEM *** SEPARATE PERflrrs REQUIRED FoR ELEcr, MECH, pLBG, GAs EQUrp, PREFABS & TNSERTS '**pAynENr rirErHoD: I crsx I cnecK (,A'ABLE ,o ,*cy [ -r^r; ;;r;, -E n.rrrr^''- E ,rr.orr^* '**'i 'r )t* * 'r 't * * **'l* * )k)** +* )* * +,t* * )t *,t * )*,* *,t *,* ** * * ***+ ** )* ****,* *,t* * * *,f ** * )t* ** *** *,t*)* * ***,*,i** * *,t* )* )k ZONE:OFFICER:SETBACKS: F:_ LH: RH:_ B:Appnoval:_ City:_ DATE:_ FLOOD: _B F E+2ft= AVN Corment : Wz rSas,; t1, R Prcw *:\o-,lnfiSJL P}ONE fl: ! sunnoom _sF tr tr tr l ! ounrtx {FOR OFFICE UsE ONLY) i,''{ I RECEIVEDSEPlS2Ol5 NEW HANOVER COUNTY BUILDING APPLICATION rypE; RESIDENTIAL PERMIT nr y-aQ-13 APPLICATIOI{ Numbea (offlce Use) :v, t PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT "Project Responsibility,, APPLICANT'S NAITIE: Abie rnsratlaricns r Con strucEion 1nc DATE:09-1r-201a DEVELOPER: AbIe Ins!al.lations & Construc!ion r CITY: wi I a1r crton _ BLOCK #: _ LOT #: ZIP:284a9 69 PHONE S: ST: NC ZIP: 2840 9 ACCOUNT #: PROIECT ADDRESS: r-52 Liberty Landir q viav SUBDMSION: a c i,r n.i: o., PRoPERTY OINER'S NAIIIE: Bltt and Chartc!!e Fairarr Oh,il€R ' S ADORESS: r52 Liberry Land:nc riay CITY: wi l::r n CONTRACTOR; Abre tnstafta:rons & Consiruc tion Inc LfCENSE #: 3 9.131 ADDRESS: 3934 Market Srreer CITY: wilmington EIi,IAIL ADDRESS: abteokGsmarl. com ST: I!_ ZIP: 28 4 o3 PHoNE S:910-251-ooi8 PROIECT CONTACT PERSON: F:ank (ear:re PHONE f: 9'-A-25i-ar':E EXISTING CONSTRUCTION:ALTE RATION R ENOVATION RE LOCAT ION NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE ,}*PLEASE CHECK AND ANSWER EELO{ ALL THAT APPLY TO YOUR PRO]ECT: ATT GARAGE SF al suNRoot4 :68 SF GREENHOUSE 5F SF OTHER:5F TOTAL AREA SQ FT:TOTAL HEATED SQ FT: _ TOTAL SQ FT UNDER ROOF: .168 TOTAL PROJECT COST ir."s r.r) : g ts43r # OF STORIES: DESCRIPTI0N OF WOR|(: Enctose exisrin g roofed de ck,and extend 4', construc L 4' x 141 raised slab extend roof I i ne of rh e sunroom to create a dLro snaoe awnrn ed otanychanaes in he aD DISCLAIMER: lhereby cerrily Uiar alt intornarion in h s apptication is cotrect and a[wo* 'rrillcomply wih he Srate and ordinances and regutalions. The NHC Devetopm€nt Seryices CenEr wil be noli,i applicable StaG and tocat taws or change m conlractoror b Fines Up To$50000". conrracbr in,omarjor. .,,NOTE AnyWork perfomed WO rhe ApproDriahe pemiG willbe h violaton oflhe NC St OIINER/CONTRACTOR: Abte rrsrratLaclons o.strucLi SIGNATU &C * * *,* ,i * * * *** *,r* * ** * * * ** ** ** *(Ii'Ii lil"J ** * *** * ** * * ,*,* * *** * ** * * *,* * *** drr*T IS THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTING IIiIPERVIOUS AREA: _SQ FT NEW IMPERVIoUS AREA: - sQ FT I^IATER: SEWER: I comuururrv sysrEm D pRrvATE I^JELL CF PUA ! crrurnal sEprrc E PRIVATE SEPTIC E NO rOTAL ACRES DISTURBED: _ EXI5T LAND DISTURBING PERMIT: E YES NO E CENTRAL WELL COMMUNITY SYSTEM c YES (FOR 0FFICE lJsE s! LY) B:_ R€VISED OATE O4l11l12 *** SE,ARATE pER,,lITs REQUIR€D FOR tLECi, I'ECH, pLg6, C.AS EQUI,, pR€FABS & IN.ERTS *+*pAyr{ENr r,lETHoD: Icrsr [*rec,. ('A'ABLE rr ;r.t L;;;; o..**- 'U;;r;'''-'tr;r*.r* ** * * *,** ** *,* ** ** * *,**,** )* * *,* * ,*,t * * *:** )*,* * *,** *,r ** ** * *I*** * ** * * * * * ** *,** ** * *,* * *,* *,* * * *,i,r* )i,* ,* * *,r * * ZONE: _ OFFICER SETBACKS; F LH:- RH BFE+2ft= N PERIiIIT FEE: g Blds C.de and Subj I ApDroval: ai i,,.DATF _ crnnn Comment: PHo E *:910-251-0038 6ENERAL REPAIRS ffi ! orcx -- ! orr cannor ! coor _ sr sF LJ PORCH _ 5F ! sronnce sHED _ sF rs Any ELEcrRrcaL, pr-urrlBfi{G or rilEcHArrcaL wonk Being Done to the Accessory stnucture? fl ve, I lro rf the project is a Rerocation, is there a Natural 6as Line on the current site? [ t", 3 rn"Is there Electnical power on this Building? [Ilv", [-".| ruo PROPERTY USE / OCCUPANCY, I srNorr rtrrlv ! ounr-rx ! TOWNHOUSE ffi NEW HANOVER COUNTY BUTLDING PERIVIIT APPLICATION TYPE: RESIDENTIAL Pr-EAst axsllER atl QuEsrl(xs ApprICAstE ro yot s pRot€cl "Project Responsibility" DATE P}ON€ f : 2otf -1{?I 1l''2k32- APPLICATION ,tumber (offt(e Urc) q/ru/rc APPLICANT'S M'iE : DEVELOPER: PRO]ECT ADDREsS: SUBDIVISIOI{: COI{TRACTOR ADORESS: d CITY: SF OTH BLOCK S:LOT *: ztP: )8+/ / PlofiE $:t9 (a h1 ST , i.: I ZIP...',: t.': ' toa/tl sr: l/Cz{p: et*,xe *:fo!gi:l2g_ PROPERW OMIER'S MflE:s OtrlNE R '5 ADDRESS:a Ca /1 CITY: "h . LICENSE S:ACCOUMT f: CTTY:h) P}(}NE * DET GARAGE sr ! eonor --sF fl pmr _ sF STORAGE SHED ,*,0€{u- f, I EH.ATL ADORESS:ft PROIECT CONTACT PERSoi,I: EXISTING CONSTRUCTION :[J alrrnnrror'r I RElovarroN I erruraar ntlarns f] RElocarlol NEW COI,I5TRUCTION r f|_eneCr NEh' RESTDE CE o" [ ADo1u6r{ TO EXISTTNG RESrO€irCE ..PLEASE CHECX AI'ID AI{SWEf," 8EtO., ALL THAT APPLY To YC[,i PRo]ECT: [nrr eanacr _ sF I surnoon _ sF ! cneeiuousr _ sr f] oecx _5F 7)0 sF Fr: 42 TOTAL SQ FT I'IIIDER ROOF: ,iJO TOTAL AREA SQ FTI AO o TOTAL PROIECT COST lress rol : $S OF STORTES: rs Any ELECTRT(aL, Pl-trtSrt{G o. iEotaNrcAl Ho,.k &ing oooe to the accessory str-ucture} [l ves I to If the project is a Relocation, is there a Natural Gas Line on the current Sitel f]yes Is there tlectri€al Po$rer on this Euilding? lXlyes l-] ruo PROPERW UsE / OCCUPAT{CY, ErSlnCLe rarlrv DUP L EX TOWNHOUSE Eto /+ DESCRIPTION OF II,ORX :te o?ortA Ar n<a olP,L.e OISCIA{vEF: I h@D, @.t, Od ar inb.D.tbn in nlis apptaaon is coiecl aod ar \rort w,! compty ,it tle S6le and oftlinances rx, Ie9ulatoos. Th€ NHC t)evebpdE.t Sedaes C€obr wi! be nodfed ot an, changes in he conrrbrhbm.t n "'NOTE: Anywo.r Fredorm€d w/O tne App,opriaE pemirs wilbe in at ooer app,aabre SraE and bcat raws o, cnanoe in @arrr.rcr d OWNER/CONTRACTOR:A^Slb,ed !o Fnes up ro !500.0Cr.. *,r rrrr'r +*r* !r. * ++*** ** *.* ** *(li'l! jil'l * il tt*+,+ * !t,t **,i,t,l ** )t * )t,3 ,i *,t * **,* *,t *l a *,f **,la **it * I + rl,t * r uarrmoeurrtffives fl rlo Q ,&,r,, Vblalan ol lhe N C Slab SIGNATURE : IS THE PROPERTY LOCATED I EXISTING I'i,IPERVIOUS ANEA : I.IEh' II,IPERVIOT'S AREA: TOTAL ACRES DISTURBED:ttl n EXI5T LAID DTSTURETNC peamrr: l--l yss f]ro HATER: ! crnua ffi cotltuNrw svsrtm I pRrvATE UELL I ctrrnar wrrL sEritR: fl crrun I CEITRAL sEpTIc ffi enrvarr srprrc D co.{r,rjNrTy sysrEr4 i'r SEPAFA]'[ PERI|ITS Lt.Qr-,rRSo F(,rr t_r.E(.r, lrECH, DLEG, cAS tqt^p, pRtFAoS $ t!.lSER!s ... pAyr'lEirr rEruoo: I cos* [l crrcr (payaBLE - n.y !"r.i oa.**r g "lirrro"'-'g-r*rm {t i*..r**itrraaa,, + *t.raa**r*rrar+ (FOe Ofrl(a usr o[y] &vrsro olra ,./rtll? ZONE: -- OF FICER: E sQ Fr sQ Fr SETBAC(s: F:_ t_H: Rfl: B:Apprcval:_ City:_ DATE:_ FLOOD: -- BFE+2ft= AV Co,r!rent: I Jarn " A.h'rr,s ( nsf.noi,bn (o..Tne. TOTAT HEATED SQ D tr NEW HANOVER COUNTY BUILDING PERMIT APPLICATION rYPE r R ESIDENTIAL PLEASE ANSWER ALL QUEST]ONS APPLICABLE TO YOUR PRO]ECT 2otr'Qr? z Pez SeQd: mpr-rcarroN Number (Offi(e Use)Respons ibility" APPLICANT'S I{AfiE: DEVELOPER: v e te roject //^K (DATE :tS a9 PttOt'tg *: 3 Y PRO]ECT ADDRESS: SUBDIVISION:r PROPERTY OWNERJS t{AME: OWNER'S ADDRESS: - CONTRACTOR: Z' ADDRESS : EltAIL ADDRESS: PRO]ECT CONTACT PERSON: i I DISCLAIMER: lhe and ordlnances and regulations. The conlracior infomaton. "'NOTE: Any OWNER/CONTRACTOR : e(e cV \^9.t'1,1' CITY: LICENSE T: CITY BLOCI( #: t LOT #: ZIP I PI()NE *: -3 *,&zrp@ll7 e l-pxoue *: = /.-:rlLz rt ST PHoNE #: 3V3- t/ ,r, *8\t6=gtQ S)erck llnrlr [.[itrnarron RENovATToN f] ctlenar nrenrns ! RELocATToN NEt,,] CONSTRUCTION: I.*PLEAsE CHECK AND ! rnrcr NEW REsTDENcE o" ! morrroru To ExrsrrNc REsrD ENCE fwsVa"rr'b"( EXISTING CONSTRUCTION: TOTAL HEATED SQ FT:)<;o TOTAL PROIECT COST rress roo : $ ANSWER BELOI,/ ALL THAT APPLY TO YOUR PRO]ECT:5 /i! SToRAGE SHED _ SF /OO sr roTAL AREA sQ rr: )OO AIT GARAGE SF DET GARAGE - SF PORCH - SF SUNRoOM _ SF GREENHOUSE SF P00L _ sF DECK TOTAL SQ FT UNDER ROOF: k() /s'oa # oF sroRrEs: + +* * * * *,** +* **)* * *,t )i Accessony St ructune ? E Yes e on the Current Si.te? E REVISEO DATE O4l11/12 Is Any ELECTRICAL, PLUIIBING o. T1ECHA ICAL t,lJork Being Done t If the pnoject is a Relocation, is here a Nat u na as Li.n Is there Electrical Power on th Building)E e5 No PROPERTY UsE / OCCUPANCY:INGLE FAIV1ILY DIJPL EX tr T0l^INHOUSE DESCRIPTION OF I.IORK:ol){zc Sl'r +u- thatalinirrmaron rn is applicalion rs correctand attworkwittco ywi$ he Srate Euilding Code and alioher applicable state and localtaws NHC Developmeni Services CenEr wittbe notlied ofany changes in the approved ptans and specifications orchange if conlracbr or Work Perlormed W/O the rmilswillb€ in Violaiion ofthe NC SlaE Bhg Code and Subject to Fines Up To Ss(n.ocr,' .-r-(SIGNATURE: r * rr r {, * * **. r,k * *, * * * * * * *, * * *(i!''ll,. }i1"1 * * * * **, *,, - IS THE pROpERTy LOCATED rN I rr-OOOelnrr,rr [py6 EXISTIN6 IMPERVIOUS AREA: _SQ FT NEW IMPERVI EA: _SQ FT l_l ruo TOTAT ACRES DISTURBED: EXIST LAND DISTURBING PERIiIIT: I-'] YES PRTvATE l.iELL ! crrrRal wrrr RTvATE sEprrc ! commururw svsrem l4lATER: SEWER: I cor,ruuurw svsr fl crtrRnl srerrc EiT FPUA ZONE: _ 0F FICER: (FoR oFFICE USt ONLY) SETBACKS: F: L Approval:_ City:_ DATE:_ FLOOD: _ Coment: H: RH:_ B:_ B F E+2ft= vil PERMIT FEE: $ a ffi u7- CITY: aK'- ves @l{ 5F OTHE R: B( *r* sEpaRATE,,,fRr,rrrs REQUTRED ,oi ,arcr, r,rEcH, pLBG, GAs EQUrp, pREFABS & rNsERTs *** pAy,'Er'rr r4ErHoo: LLfcasH Llcnec* (pAyaELE rO lrnc) [menrcAN ExpREss [,rclvrsa !orscoven + * ** * * * *** 'k 't* * * * * ** *,* )* ** )r )*,*+** * *,r * * * + * **+ ** *,* *** *,*** )k* )i,t ** + * )** * * * * * +* *+ *,i* * *,t* *** * )* *,*+ ** NEhl HANOVER COUNTY BUILDIIIIG PERNIT APPL I cATrott Tltf I nESIDEiITIAL PrAsE .nsiri ^rL awsrroNr aP rproj6ct Respon6tbluty', L5-2628 APPLI(ATIOII PiOPEiTY OINEi'5 TATE: 5I: lE_ zIP: 23{23 o0lr{t8,s ADDttss 1202 tl Lak. Prrr Ervd CITY: cuolt!. Be.dh CoIITRACToRT s.el cop.tluotld c@.nv. rnc ttCEtSE ,4e2AS aCIOUNT I AODnESST r2o2 n !.r. p.* ltvd CIIY IMIL AO0RE55; .L.trJ!a..6fcd.t!uctt6!..6 ptOlEcI CofrACT pEnSO\l: xen coir.. aPPLICA|!T'5 NA'iE I t(otr cotr.!oalEi 9/1rl2o15 otVELOPEIi c PHONE f PiorEct a00itss:ZII:2aar2 slrSoIvIsr0r{:U-OCK l: _ LOL: 1 c.!611M !.&!sr : .!g- zrP | .3!!2q p|oilE #: ero-.13-5505 p|lott€ r: 9!0-333-1055 ExrsT!{6 cq{sTRucuo : Ierrrnerror ! nrrcvlrror flcelitn* rrmrns I nrtoclrrot tEh cottrsTRucTlo : E rnEcT t{EH REsIoEl{€E o" fiaoorrrot To ExtsTI{6 iESIDEN(E ..PL'A'C CIIE(K IJ1D A'{SI{Ei !EI.O( ALL TIIAI I'PLY IO YOI,]R PiO]ECI! ! otr cmmr - sr I eoror .231_ s. lcooL - sr I sror,aer *o_sr @lrr cemcr a45 sF ! sunoot _ sr I cnrrurursr _ sr lorcx _ sr ortEi: ToTAL HEATEo SQ FT : 3A!]_ IOTAL SQ FT UNoEn iOOF : .A!:l__ TOTAL AREA SQ FT I 3gt_ ToTAL pROlEcT CosI (&(d) ! I erro,ooo I oF sToRIEs! A_ Is Any ELICruq[, Plutst $G a. nl<rauclr,lo.k Belng toE to th. lcesrory structurir O v". 0lo If th€ project is a ieloratton, t.s therc a Naturat cas Llne ofl th. curreit Stt€? OVes Orc Is th€re tlectrl(el porcr on thts Bu, rdlnrr Crve, ONo p&opEs1y usE / occupAMy: Bls:rcu ralrrv I owtrx I roumrousc oESaRIP'ION Of UOnk reulNlE I h.nhy 4rr d.r hbm.loi h nk .rplc.t r c6Er nd.r w**r dllr'n .. s* ersh ed.,n d orq 4e.c,rb 5r- d d rs -n o,ihh* d q.hsn rt. rrc l]'0hfuryEf,d...1d?dro!.nid cr*E 6bn.&n'-toE A.y w,o n. r',@ns pqmrb yil b. h vbbdoi or h. rc OIX{ERICo TRACToR: x6 cotrc!SIGIIAIURE *-. -gi,ii,itl.,l-...._ "__IS I1IE PfiOPEITY IOCATEO IN A FLOOOPTA T O YEs O iO EXt9TIr\kt ItfEivlot s aREA, _5Q F- l{Etd II?ERVIOUS AREA: _ se FT TOTAL ACRTS DISTURBED: - txrsT tlND DrsllrRBrNG pERrrr; (] yEs Olro sir 3rb ood.,i_s$tsr b rhr LF ro_E o&;/, .44 4. '-a uren,! crcue Ecouwrrv svsrrr firnrvrrr llErt f] crmnnt N,rrr se*t: I crare f]crunm seerrc I mrvan stnrrc @- coot +..,lrw svrnt pEult.ts REQUIfiED DOi flEcy, ecn, pLao, 6as Equ4, pierlBs & rrEafiTs .r. PAyftl.I,€rHrb: Oosx [occr< (payAsLG to flH€) Qrrr"t rccurr _ f,lnvvtsa f,lorscortr (roi ofrrct o3f olty) rtse urr q/u/rr zo{[: _ofFrcER: SETBAC$: Fr_ LH: RH:_ B:_aPPFov:I:_ C 1ty r_ DAT€:_ FLOOD: _ _ _ BrE|2ft. _ ll titt \e) 7 -f) -<) "D ffllol NEhI HANOVER COUNTY BUILDING PERI'IIT APPLItAtIotl rl?f: RESIDET'ITIAL Pttast ANstEi Ar! Qltlrrots ApprtcABlr ro lorri pnoJEtT dPr.ol€ct ie5ponslblllty, 15-2 630 IPPTICAIIOT AppLIa$Jf,S &qE: x6d co!!.!DATE:9/1rl2015 DEVEI"OPER:PHOI{E 'pROlEaT ADDRISS: 8ao5 d cITYr gls6_!s!9:__ zIP: -!!!fi_SUBDI!lSIONI BLOC( f: - IOT *: 2 PROPENry olflEl's MI{E I PHol,lE *: ol{NER'S ADDRESSi 1202 N 'r.h. prlr llvd GITY: sSIg!!&-Ecg!-_sT: !g-zrp:3!32!_ LICENSE f. 132{3 AaCoU l 'r ADDRESS:{ITYI carolttr. B.a.h D|sCI-AAIER I hsdyeil, 6.r.n liJomdm h ht. +Fc.roi h comd nd 6! *!*wt! 6mpry wlll 6l. St b Butilng coda.id .! .n* rpptue sbb d d je BnAMDoRE55: _L.nJr06ecolcq..ruotl,on. M DnolEaI coiIIAcI pERsot{: XeD Coff.! PHOIE *: e1O-l6A-560t pHOitE $: 910-333-'160s Exrsrriro co,{srruqroir: I lrrenanol f] nrucvnrror ! ceneuL n:cnrrs I aerocarror rr,l cotrsrnucrron, I EStcT t{EN REsroEr{aE o" I eoorrml To ExrsTrrrF IESTDENCE "PIEAsE CTiE'( AIIO AIISI{ER bELOt{ ALI THA1 APPLY IO YOIJR PIO]ECI!prrr crucr ltf--- sr Iorr eauee _ sr Elponor j!- sr fisumoolr -sr I roor. - sr I sromce sHEo _ sr [entrmousr - sr f] orcr sF orHERj SF ToTAL HEATEO SQ FT: 21e5 ToTAL SQ FT UtSEn R00F! ltSg_ ToTAL AREA SQ fT: l€!g_ ToTAL PROTECT CosToelorl | $ -t!9,-S-99._ { 0F SioR:IES|,!_ ts Any El"EalilaAl, P!41a G o. ieolA raa! {orl selng Dore to the A.(e$ory shrcturel p Ves Q lio If the proJe.t ls a Reldatlon, 1s there a Natural Gas ttne on the current Slte? Oy€s O o Ir ther€ Electrlc.t powel" on thls B',ildlns? Oy€s renNo PnoTERIY usE / occuPAttsYr @srrelr rmILV fiourrrx ! rCimrOusr SIGNATURE; rs Tlt! propEnry tocarlo lt! A FL@opLArNl Q ves @ no c..Eh@nle.flta6nblilb.&6.6d Mr6r ht m.iotr ".NoI!r Aiyno,k P6,ron sd w,o h. A6@iab P.mi'vfl ot{ ER/couTRAcToR: x.! c"rr"! EXISIT'Ic IIIPERVId,5 AREAI -5Q F] IEN Il'lptwr(l{rs aREA: _sQ Fr o,.iy chmror h rro oppbsd &n' .'n b. b vhh$m .r ths NC sbb Brdo cod. {ar€R I E crprra B} comrurw svsru I rnmre wrr"r f] stwrn: f] creue I cemnar srerrc I mrvlre srerrc I CE{TRAL lilELL col{turitY svsTEtil nr sEraE4l! PEnxlrS iEQlrrf,ED rot EIECI, tttECH, pLtG, C s Eq]rp, 'REFABs S rrisEiTs ... pAyrlEl|T .THoD: p casx Qcrr.r (pay^sLE ro t{Hr) (f trir" rccari O rr/vrsa Oorscwrn (for @ c u* 4ru irEso er.044r^1 TOTAL A'iES DIsTUSSEOI - EXISI IAND DISTUIEINc PERIiIII:@ vts (fl m ZoNl: _oFfICE&l SETBACKS: f r_ LHt Rll:_ B:_ Approval:_clty: DAI[:_ Ftooo: _ _ _ BrE+2tt. _AV c r) --\N l I I I I I I I l ].1- DESaAIPIIOI| 0F tiOR(; \f 4t NEtl HANoVER CoUNTY BUILDING pERllIT APPLICA|IUI rypE; RESIDE TfAL pr[r5E Axsir€& alr QoEttroxs Arplr(A8tE .ro yo!8 rioJrar r.pmJ€.t R.sgonslbtut)/, L5-2629 APPLICATIOIi PROIECT COtiACT pEisoalr r(en colf6 pltottE l, 9r0-333-r065 orscllrMEE I hdoby 6,cy !1.r .ll lnhmroi h nb lpolc.ioi h cftorod it mrrv r @pryr 6 tr. sh sull,Is codr 6d d oh.t lprlobx 66 .id h..r ld! myd'al3.hiFi,'odphrd .-xorE ^iy v{ql p.,ih;.d w,o h +o.or- *;;;,L h vbbltr .r h c sb5 8lJ! d. -.d subt d b OINER/CONI8ACIOR | l(a corr.r SIC{ATURE: ,...Jlfiisl.t".""___.. Is rHE piopElly Lo(ArED r A FTOOOplArtlr O vrs @ rp EXISTIIIG IIIPERVIoUS AiEA: _Se FI IlEltl II'{PERVIOUS AREAr _SQ FT ExrsTti[c coNsrRUcrIoI: I lrrralrrou firtmvlrrol flceleul nrearns I nrroarrol rcll consrnucrror, p ERE{T t{El R€sroErcr or I noornor ro Exrsrr{6 rEsrDrN(E ..PLEAsE CIIE'( ANO AXt'IEi D€!O!I ALL IIIAT APPLY TO YO{'T PiO'G'I;plrrr cruce {?5 sF florr ouce _ sr etroncr;gg_sr LJ sumoo -sr Epoor_sr f] srmecr eto_sr LlcREEr'norsE _ sr f]DEc( sr orBERr _ sr TOT L HIATED SQ Flt 2307 TOTAL SQ FT Ur{OER ROOF| 3r5o IOIAL AREA SQ FT: III_ ToTAI PROJECT Cosltlqror) i S s16o.ooo S OF STORIES: .?_ rs Ary cLEcrttcal, pruttu{G or lttcHArclca tbrt Selna Llone to tie accassory structuml @ ves Q lo If the proJe.t ls: Reto<.tlon, ,.. thsra. tetlrel 6as tln. on flr. cur.ent stt€? Oy6s O{o ls there €lect.l.at pol{g on thls sultdlntt r]yr, @ o PRopERTv usE / or(upa .y: @ stucr.r ralrrv ! oulru f] ronnousr wrrrn:flcrnun Q couuntrr svs'er Epnryer urrr !crmur lrrr sE$E*: Ll(rprrA LI(ElTRAt sFprrc l_lenrvrrr srrrrc @ comr-wtw svs r*r ... sEprlRATE pEittrrs Rag,lrnEo FoF ELEfi, t4ECHr pLB6/ cAS EQUrp, PnEFASS & rr6Etrs .r. p^yne.T nErroo: Ll cas,i Ll (fiEo( (p^yA!!E ro lt€) earu ecrarr e m/wsr I orscovm ooi or'lcf usr d]Lr1 rEu$ro srE orxr! zoNE: _offtcE8: SETBAC$: F:_ LH: nH:_ 8:_apprcvalr_clty:_ oATE:_ flooD: _ _ _BFr+lrt- _ /{oo- tl c>. 1----..-- t\ --.-t) ^\ -\ ? APPIICI|{I'S tiAqE: -xe cor!.: DAIE: s!r1/207. ptolEcr ADDiFss: srro rq% --;;rs.r, suBorvrsro,r: n utl..1 ciea. Broq( r: _ Lai r; 3 -PllP€nry ol €RrS [AtE: .B c.E rlaot, ,I,c pHOdE ]r ero-ris-r6o5 o{tltR,s ADDRESS: l2o2 N L.ke p.rr Btvd clry: c&oli;-;f sr: .lqzrpr.?!!!!_cI]lfrcR, sesgl-!9lr!luel!s-er!erlr,-Jls-- Lr.EusE rr ..2.s accou r ri _aDDRES5: JJ-O? N.ht.:Puk rrvd cITy: c.rorr!. B..ob sT:lE_zI,: rlars Erlat( ADoREss: *a1.r."or."..in.tiiiica--- -- p,rct r ;, "-_"rr-r*, OE5TRIPIION OF t/loNK: IO]AL ACRES DISTURSED: _ txrsT LAND orsTu[8I{G pERXrTr o yas o} o I i I tt'-7)oa-L5-2647 HOR073 NEId HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTfAL PLEASE ANSI,JER ALL QUESTIoI,IS APPLICABLE TO YOUR PROIECT "Project Responslbility" APPLICATION Number (offtce Use) APPLICANT,S NAME: H&H coNsTRUcToR, s, INC, DEVELOPER:PHONE f: PRO]ECT ADDRESS: 7287 SANCTUARY DRIVE CITY: wTLMINGToN ZIP i 284L2 SUBDIVISION: ADAM's LANDTNG BLOCK S: 728 7 LOT *: 073 PRoPERTY $INER'S tlAI{E: H&H coNsrRUCroR ' s, rNC.PHoNE #: e1o-219-148s OhjNER,S ADDRESS: 8209 Market street suiLe c CoNTRACTOR: H&H coNsrRUCroR's, INC. ADDRESS: 8209 MarkeE street. suite c CITY: wilminqton NC zIP: 2 8411 sT: Iq zIP:.4 ST: LICENSE *: 31s s4 CITY: wILMINGTON El,lAIL ADDRESS : JerryBrenninq@hhhomes, com /HeatherMacKenzi.e@hhhomes . com PHoNE fl 910-219-148s PROJECT CONTACT PERSON: JJ Brenninq PHONE *: 910-219- 148s EXISTING CONSTRUCTION:ALTERATION R ENOVATION GENERAL REPAIRS RE LOCATION NEI{ CONSTRUCTION:ERECT NE'J RESTDENCE o" I lOOrrrOll rO EXTSTTNG RESTDENCE I.',PLEASE CHECK ANO ANSWER SELOW ALL THAT APPLY TO YOUR PRO]ECT: I nrr eanaee :]-l- sF V suN R00f1 SF ! enenrHousr SF TOTAT HEATED SQ FT: 249s TOTAL SQ TOTAL PROJECT COST gess rog t $ tqs,aet Is thene Etectrical Powen on this 8uildin8? pRopERTY USE / OCCUPANCV: fl SrNClr ramrlV DET GARAGE - SF POOL _ SF DECK SF PORCH 1e0 5F STORAGE SH ED OTHE R : FT UNDER ROOF:4_ # OF STORIES: z I SF SF Is Any ELECTRICAL, PLUI.iBING or mECHANICAL Wonk Belng Done to the Accessony Structune? E Yes If the project is a Relocation, is thene a Naturat Gas Line on the Current Site? [ TOTAL AREA SQ FT: zsor No Yes Eruo ves f] ruo DUP LEX I0l^INHOUS E DESCRIPTION OF NORK:SINGI.E FAMILY DWETLING DTSCLAIMER: lhereby cedlt lhat sll lnbmadon ln his appllcauon is cofiscl and allwork wlllcomplywlh he SEie Bslldlno Code and all ohsr appllcable SlaE and local l6wg and ordlnances snd requlatlons. The NHC D€v6lopment Sorvices Cenbr willbe nodfled olany chaIlges ln he appoved plans afld spaclficallons or change in con}€cbr or contacbr rfibrmstion. "'NOTE: Any Work Performed W,O ho AppopriaE Pemi6wlllb6ln Violstbfl ol tte NC Slab Edg Code and Subl€cl I Fines Up To $500.00"' OIIJNER/CONTRACTOR I ,rJ Brennins (P"1nt Name) * :t rt :i :t t +,* )* *,i,t * * * + + )t * l * * + r* +,t +-)i + * * ri * * :* IS THE PROPERTY LOCATED IN A FLOODPLAIN? EXISTING II'IPERVIOUS AREA: -Sq FT NEl,', IMPERVIoUS AREA: 33s7 SQ FT SIGNATURE: , ,-.- -.. :t+ +* *l + * * + * x*,1*+ * *,r )i,* *,1* *** *il * )t * *,**,i< * jt*,f ttr.'"*)* * ** **E vEs NO SETBACKS: F:_ LH: RH:_ B:_ TOTAL ACRES DISTURBED: 0.18 EXIST LAND DISTURBING PERMIT:I YES l-l lro wArER: I creua f] cor4r,4uNrry svsrrN f] pRrvArE wELL I cerurRnr wrrl sEwER: E] crnun I CENTRAL sEprrc f] enrvarr seerrc I cor'rr,luu rrv svsrem *+4 SEPARATE PERI'IITs REq'IRED FOR ELECT, I4ECH, PLBG, GAs EQI'IP, PREFASS & ITISERTS *T* payflENr mErHoD; ficmn f] cHrcK (PAYABLE ro NHc) E a!,tERrcaN ExpREss E c/vrsr I orscovrn ***r( )*+ {. * ,a tr( )* ,* ,*,} * *** * *+ * * **1.,r* ** **i} {( )r *)t i( ri( * t+** *** * *t$*t** t * + *$* ** *** *a** ** * ** * * t* * t * *** ** (FOR OFFI'E UsE O{TY) RIVIsED DATE O4l11/12 ZONE: OF FICE R: N ! ,Al. I I Appnoval:_ City:_ DATE;_ FLoOD: _8FE+2ft=-/{3 t OATEz 9/i,G/20ts lols- l2or L5-2656 NEhl HANOVER COUNTY BUILDING PERMIT APPLIcAfiqt rYPE: RESIDENTIAL PLEASE ANSI,{ER ALL QUTSTIONS APPLICABLE TO YOT'R PROJECT "ProJect Responsibility'' lVol.l^^^ [VA-5 APPLICATION Nunben (Offl<e Use) oart.rQ^n-$ , qb-a;:-il7( ztPl. TE,t t L PHONE * PRO]ECT ADDRESS: SUBDIVISIOfl: l_CITY:L CITY: LICENSE #:6rp> CITY: U LOT #: PHONE *:qb-6t\..'7651 Sr: /vL zr'p z lltr\ ST: ( PHONE *: BLOCK #: PR@ERTV OhINER'S A E: 00![ilER'5 ADDRESS: 2?.tl +Evarr: Aovpn f Cd{TRACTOR:e Fe". S"\r,.5kr.:LLc ADDRESS:i I EI4AIL ADDRESS:() PRO]ECT COiITACT PERSON:Q-,.,1,e.f,ker pr, E *: qp^t"tt_egl / EXTSTING CONSTRUCTTON: 'p' Ar-renarrOt I neruovarrou !eeruenar nerlrns I RELocATIoN NEt{ CONSTRUCTIOru: ! eneCr NEW RESTDENCE o" ! mOrrrox To EXISTING RESTDEI{CE 'T.PLEASE CHECK AilD At{St{ER BELOII ALL THAT APPLY TO YOUR pROlEcT: I arr canncr _ sF f] oer canace _ sF u SUNROOI\4 SF ! eoor- _ sr I enreruHouse _ sF I oecr SF ! eoncx -sF I sronacr sHED _ sF OTHER: SF TOTAL HEATED SQ FT:ToTAL SQ FT UI{DER ROOF: _ TOTAL AREA SQ FT: TOrAL PROJECT CoSrrr."sLou t rliqY-- # oF sToRrEs: 2 Is Any ELECTUCAL, PLUIIIBII{G or ttECHA TCAL Work Being Done to the Accessory Structune? [ V"r fl ruo If the project is a Retocation, is there a Natunal cas Line on the Cunnent Site? [ Ves f] to Is there Electnical Power on this Building?fiJves f]uo PROPERTY USE I OCCUPA CY!ffi srruolc rarlrlv u ounlrx ! TowNHousE nerS hoae OISCLAIUER| lh€r€by certi8 {.at sll inbrmatbn in fiis apptlcation is conEcl snd dt work will and ordlnances and rogulalions. The NHC O€wbpment SsNic€E CenEr wfltb€ nolifi€d ofan confacbr informaton "'NoTE Porformed W/O t,le AppropriaE Pemils willbe in erl 'P^rke- 6 {3 o *Ae rq>6 /-+ comply wih lhe Stala Bujldang Code and a{ ohor epplicable StBb and local lsws y changes in h6 Eppmv€d plms snd speclfcatons or chsnge in contracbror I O Violarion of the NC S SIGNATURE: blecl To $500.00"' OWNER/COflTRACTOR:o ,*,** *,* * * * r** )i* +:*,I * * * ** + + +** a* * * *,1+ *,l l.* rt ** *,* )3:t * *,t* )* +ti( )*+*t *,t,t ,t,* )t )t* + .*,* **:t*,t* *,r,i,r ** * * **r.* ** IS THE PROPERTY LOCATED IN A FLOODPLAITVI f] VTS E IVO EXISTING IIi.IPERVIqJS AREAI -sQ FT ToTAL AcREs DISTURBED: NEW IMPERVIOUS AREA:sQ Fr EXrST LAND OISTURBTiIG pennrr: l-] ves I-l uo MTER: I crnua ! co{q{uNrry svsrem I pRrvATE wELL fl ceNrnal wrlr- sEllER: f] creua I CENTRAL sEprrc f] nnrvare seerrc f] corlMuNtry sysrEr,l *r'|i SEPARATE PERIi'lrrs REQUTRED FoR ELEcr, ttEcH, PLBG, 6As EQUrp, pREFAgs & rNsERTs *** pAylE r riErHdlr flcasx flcxrcK (pAvABLE ro n*y f]*.*r.on.*.rr, tr;;;;;; "florscov:n :a*,t* * * t rt,* *,1 * :* rt !t ,l:t t + ,i * * ,* +,1,t **,I )t,i i.:t,i*t*,**:i+:t,*f* +*,* * *:i * :t * *:t,i * + :t,* * ,t,t ,t *{,tt** +*,* * )* ,} :t ,t,i * ,t *,*:t * ,t * (Fon oFTICE USE otitY) BEvrsED oATE O4l11/12 ZONE: _OF FICE R:SETBACKS: F:_ LH:_ RH: B: Approva l:_ city:_ DATE:_ FLooD: _ l_ _N_ BFE+2ft= APPLICANT'S t{AiIE: OEVELOPER: DESCRIPTION OF HORK: C-\ -A Totf- Aa NEW HANOVER COUNTY BUILDING PERMIT APPLI CAIIOTI TYPE.. RESIDENTIAL PTEASE A}ISI.IER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibilltld' 1 ) Ls-2635 APPLICATION Number (offlce Use) APPLICANT,S MI{E: EmJ. ] y orIi2 DEVELOPER: Cape Fear solar Systems LLC DATE: 9-4-2015 PtlU{E s: e1o-4oe-ss33 CITY:Wi Imi ngton BLOC( #r _ LOT t: I oer cnnaee sr ! eoncx - sF fl eoor- _ sF I srouce sHED _ sF PROJECT ADDRESS: SUEDIVISIq{: 328 Snilax Lane O}JNER'S AODRESS: 328 smilax Lane CITY: i.li lmington STt Nc ZlP:284t2 CONTRACTOR:Cape Feal So1ar Svs tems LICENSE #: 6s67? ADDRESS: 910 Martln st.CITY:Wi lmington ST: NC Zrp: 29L9]* El.lAIL ADDRESS:suppo r Leca f earso-la!svstems, com Ptol{E *: 910-408-s533 PROIECT CONTACT PERSO : Robert Parker PtloilE *: 9L0-232-62aa EXISTING CONSTRUCTION:ALTERATION I neruovarroru fl ernrnal nenarns I RELocArroN NEhl GoN5TRUCTTON: n ERECT r,lEl.l RESTDENCE or I nOOrtrOlr TO EXISTIT{G RESTDENCE *T.PLEASE CHECK AND AI{ShIER BCL(M ALL THAT APPI-Y TO YO,R PRO]ECT: Irrr banner _ sF f] suNnoou SF fl cneenHouse - sF I oecr SF OTHER:SF DESCRIPTIO{ 0F tl0RK: Instal.Iation of Solar Panels on the roof of the customer,s home DBCLAIMER lheraby conit hal all lnbrmataon in tlils applicatao is corrrct and all workwillcomply wllh he SEte Butldjog Code snd 6tt otEr @pltcsblo StaE a'd tocal laws and ordinanc€g and regulalons, The NHC Developm€nt S€rvbes Cenbr will be notfied ol6ny chsnges in he approv€d plans snd sp€cificatons or change ln contracbr oa conrscbr inbrmaton. "'ilOTE: Any Work Perfomed w/O he Appropriab Permats r4ll be in Vbl€tofi ol the NC StaE Edg Cod6 ald SubFct b Flnes Up To $500.00'.. O{NER/COI{TRACTOR: RoberL pa r ker SIGNATURE : * +,t * + + +,* *,*,t r ri * * * * * + * * * * + * + * * * * * * * * :k :t,***,r:it,t,t,t)t*,t,*,tt*++r*,1**,t,*,t,*,*+:t*rt**)t,l,t,|tt)**+,*:t***t*+* I5 THE PROPERTY LOCATED ITI A FL@DPIAIN} EI YEs E UO EXISTII{G IIiIPERVI(US AREA: _SQ FT TOTAL ACRES DISTURBED! !{E}I II.IPERVIq'S AREA: - SQ FT EXIST LAI{D DISTURBITIG PERITTIT: I VES [ rc uaren: I cFpua E ccr{r.ruNrry svsrem f] pRrvATE wELL I crurRll well sEwER: f] cFpuA fl CENTRAL sEprrc ! enrvarr srerrc f] coMrttuNrry sysrEM t** SEPARATE pERMrls REqUTRED FoR ELEcr, MECH, PLBG, GAs EQrJrp, PREFAB5 & rNsERTs ,,*ti pAyriEifr llErroo; ! csn I cnecK (PAYAELE rO nxcl I menr* ,**r* E ,vrrio I orscovrn ***'*{r*'t*t'i+**:}**,ts*,*r.**,1.,f***,t*r******,**,t't,t**+,*x*,t)i.++,tt**++*++{.++)t:t:*:t*,})t,}+,**,*,}t*+,***,t:ii,ti** (fOR OFFICE USE OTIIY) REVISED DATE O4l11l12 ZONE:OFFICER:SETBACKS: F: _ LH:_ RH: B: Approval:_ City:_ DATE:_ FLOOD: _ N BF E+2ft= ZIP: 284L2 PRoPERTY O€'IER'S NAIiE: Emilv or:t1z PIICNE #: 910-795-8061 TOTAL HEATED SQ FT: - TOTAL SQ FT UNDER ROOF: - TOTAL AREA SQ FT: - TOTAL PROIECT COST lress r"o9 : $ 2s,e35.42 # 0F STORIES: Is Any ELECTRICAL, PLUIIBING or IECHAI{ICAL l.ronk Being Done to the Accessory Structure? [ V"r I No If the project is a Relocation, is there a Natural. Gas Line on the Current Site? f] Ves I to Is there Electnical Power on this Building?l-lV"r [ruo PROPERTY USE / OCCUPANCY: El SrruCle FAMTLY fl DUPLEX n TO&]NHOUSE _tu- Ablf- 12c{ NEI^J HANOVER COUNTY BUILDING PERMTT APPLICATION TYPE; RESIDENTIAL PLEASE ATSUER ALL qJESTIOIIS APPLICABL€ TO YOUR PRO]ECT "Project Responsibility" 1As -I.I",e5e AcA,llo.n (r PHONE * DAT '( j -o oi L5-25L5 APPIICATIOIi Number (Offtce Use) er 4 ^ lF'Lot{APPLICANT'S iAfiE: I DEVELOPER: PROJ ECT ADDR ESS: SUBDIVISIO : PROPERTY ()UiIER'S NAIiIE : OINER' S ADDRESS: 5)q CO ITRACTOR:.1 ?e,., aDonESS: 9C, EITAIL ADORESS:orl rs rlgn"LLL CITY: LICENSE #:I 1'1 9/,' CITY: VI zrp: ?.X{,1 LOT #: HON ET 3oi -6 t?-oir> srt MzrPt2Yltl *:&up,214ol PHo{E #: qlO-)-}L-6 L rl pl, E s: /to ln_6fY No slt{ c ."Ll;t Vu\CITY: BLOCK # ere c-L r) 6 e !-lc.r P I PRO]ECT CONTACT PERSON: ExrsTtNG coirsTRucTroN: ffir-renarro* [ nrruovnrrou ! crruennr- nsearns I RELocArroN NEt.t cor{srRucrror,r: I rnecr NEhr REsrDEa,,cE or ! loortror ro ExrsrrNc REsroENcE *.PLEASE CHEC( AI{D AIISI'ER BELOT{ ALL THAT APPLY TO YOJR PRO]ECT: I arr eanace _ sF I oer cnnaee _ sF lsurunoom _sF f] eoor- _ sF fl eneenHousr _ sr I oecr _ sF I eoncu - sF I sronrcr sHED - sF OTHER;SF TOTAL HEATED SQ FT: _ TOTAL Se FT UNDER ROOF: _ TOTAL AREA SQ FT: ToTAL PROJECT CoSTlressros : I lf.88"t s oF ST0RIES: Is Any ELECTRfCAL, PtUtlEII{G on IqECHAT,IICAL hiork geing Done to the Accessony structure? [ V"r I lfo If the project is a Relocation, is there a NaturaL Gas Line on the Cunrent Site? [Ves I Is there Electnical Power on this Building?Fver l-'] ruo PROPERTY USE / OCCUPA CY:Esr*rt rnmrlv ! ouer-ex I ro$rNHousE DESCRIPTIoT'I 0F IIORK: hor.o "l[^f lL.e- roo{ o{ DISCLAIUER lhereby cardry hal a,l inbrmstioo in his appticsUon is cor€ct and altworkwilt and ordhanccs etd Egulatons. The NHC O€vetopment Seryices CenEr wjll be notfied ofan comply $/lh trr€ Stste Euildlng Code and a{ o'ler appticabt€ Stah snd ,ocat lsws y cha'rge8 in lhe 3pprovad pl6is sd 6p€cificatcn3 or chang€ in conlraclcr or 00... firuo conteb.hbmaion. "'NOTE] AnyWork Perlonn€d W oilNER/coilTRAcroR: ?rl,..I /O tr€ Appropriab PermiB w,l b€ ln larke. Viola{on oflhe NC StaE Edg SIGNATURE : Code bje + * * * * )r )r *,* + + *,*,* * * * * * * * * * *** *(ilrfl Jil?**,i*** * *,t i*,1.,* ,r ,. )* *,i ri *.* ri )* x* **t **t,t,t *,r+,r 't***,t,it****,(**,r* Is THE pROpERTy LO(ATED ril A FL@DpLArrut I vrs E ro EXISTTNG II4PERVTOUS AREA: _Se FT TOTAL ACRES OISTURBED: NEW II,IPERVIOUS AREA: - sQ FT ExIsT LAI{D DISTURBII{G nennrr: f] ves mren: f] creur I cor4r,luNrry svsrem I pRrvArE IIELL I cerurnnl wrll SEUER: I Creue I CENTRAL SEprrC I nnrvare searrc I cof'lrrluNrry sysrEM *r'(r'! S€PARATE PERri'lrTs REQUTRED FoR ELEcr, I,tEcH, pLsG, GAs EQUrp, PREFAB5 & rNsERTs r** pavnEirr nErHoD: f]casx flc'recK (,A'ABLE ro n*l E] m,r*r** ,**rs fl;;;;;; -fiorscoven *+ ** 't * * +.t *,t ,1. )t * * +,1 :l + *:t,l ** jt* * + t:i,t,r.,I ***N **,[*:t,* i*,t** f f )it,t t:f + ,r !. + :]:] ,] ,t t *:t + **+,.tt,t * ,B:r ,* ,i,t:i I *,t+t,t,t (FOi Offlc€ usf o LY) SETBACKS: F:_ LH REVrS€0 DAr[ A4l11l12 ZONE: _ OFFICER: Approval:_ City:_ DATE:_ FLOOD: : RH: B: N BFE+2ft )olflzo NEhI HANOVER COUNTY BUILDING PERMIT APPLICATIoN nzPs I RESIDENTIAL PLEASE ANSI,JER ALL QIJESTIOI{S APPLICABLE TO YOUR PRO]ECT "Project Responsibtlity! ..1\ ,Kobcrl Ya,lSer 6LSo^ S 15-2 658 APPLICATION Nunber (Offlce Use) APPLICANT' S MIi.IE : DEVELOPER: oarc, 1^ l'7-l{ PHONE $:clto:fr7lEy PRO]ICT ADDRESS: SUSDIVISION: I crw: BLOCK # PROPERTY OI{NER'5 NAIIE: OISIER., S ADDRESS:L CITY: CONTRACTOR:Ee.rS iar 5le*LL lrcense *: 45677 /y(- LOT f: z:Pt aYqU c PHo E r: 910-tl1-Jieq sr I a;zw: Lyq ll *t@ue i!!!!\ PHONE *: pHor{E *: qb-*t-Ayt ADDRESS:0t lreo.,- EIIAIL ADDRESS:L d f ;.CITY: a4t+1 PROJECT CO{TACT PERSO :'Pu bo":l-V^rk.. EXTSTTNG COf{STRUCTTON: sarrenarroru f} Reruovnrroru ! cer'rennr neearns I RELocArroN NEI.I COiISTRUCTIOI.I: ! CNECT NEU RESIDENCE O" fI IOOTTTOI TO EXISTIiIG RESIDEi{CE T.PLEASE CHECK AiID AIISI{ER BELOI,' ALL THAT APPLY TO YOUR PRO]ECT: I nrr eanoee _ sF sUNROOM SF ! cnseuHwsr _ sF f] orr onaee _ sF I eoor- - sF f] oecr _ sF I eoncu -sF fl sronace sHED _ sF OTHER:5F TOTAL HEATED SQ FT: - ToTAL sQ FT UNDER RooF: - IoTAL AREA sQ FT: - TOTAL PROIECT COST 1r-ess r-og : g Lt? t # OF STORTES: rs Any ELEcrRrcAL, PLul4BrrG or ECBA TCAL work geing Done to the Accessony stnucture? [ v"t [ ruo rf the proJect is a Relocation, is there a Natura] Gas Line on the curnent sj.te? fl ves Iro Is thene Electnical power on this Building? ffV", ft ruo PROPERTY UsE / OCCUPANCV: fi Srtrcle ramrlv I ouerex f] rowrurouse a At; DESCRIPTION OF IORK:llo.l;o^d LAe lood o{ lle n C otskne.s hoi-t4 DISCLAIMER: I h€reby.erilfy hat atl inlc.msUon in tlis appiicaton b cofiecr and aS work wi!comply wih he Stale Building Cod6 6nd aS oh6l spplcable StaE and tocal taws y changes In tre Bpprovad pl6ns sod sp€c{frcatlrns or chsngo in conlmcbr or and ordinanc€s and regulations. Ihe NHC D€velopm€nt Se rulc€s Cener wiH be nogfi€d ofan contracEr hformator. '-NOTE: Any Work perto Appmpriab PerIflatswil be in OI{NER/CO'{TRACTOR :R l,e,e/- Viobrion ol the NC Stab SIGITIATURE: gdg Code Su $s00.00-' ,l * N,| !* )i* *+ ** * :i:* * *** * *** * * ** *(Ii'lljtf] * * **** * ** * *** r+ + +:* {<* )i i.**,r,*i* +,i *,* f ,i:t* * t*,i + )t** ***,t,i:t** r.:t rs rHE pRopERw LocATED rri A FLooDpLAril? n yEs E no EXTSTING IIIPERVITXIS AREA: -sQ FT ToTAL ACRES DISTURBED: NEII rl{PERvr@ls AREA: -- sQ FT Exrsr LAND DrsruRBrNG penrrr: l]l vts I No MIER: fl creua I co,.r,4uNrry sysrEfl D pRrvArE wELL f] cerurRrl we lr sEllER: f] creua I CENTRAL sEpTrc I enrvare ,rrrra 3- cotlnJNrTy sySTEFr qlO -Ltuq -ffjj *r* SEpARATE pERHrrs REQIJTRED FoR ELECT, r{EcH, PLBG, GAs EqJrp, pREFAB5 & rNsERTs,.,.pAyrEirr r'{Er}€D: Ecosn. !1*scx (,A'ABLE ;;*; tr;;;r; rff;;r'"'iSrirrrri'-Errr.or.*'|+:t*'r*+***'|*:t+':i:r')i'r'*'r)*******'r+,rt,r.*,f ,f *++**:**:t****i***t**+t*++***++:f *,| r,* t N + * t r.* ,r * * )t ,f r+*+:t+:l _/_ __ (PoR OFFrC€ USE Oilt-Y) *rrrrro oor, *f,JA zoilE: - oFFrcER: sETBAcKs: F:- LH: RH:- B:- ^'-d:l) Approvar :-- clty:_-- DATE:_ FLOD: _ _, _ _t_ BFE+2ft= \l.-.-V \ \-- \-> N Yez ls-anY ?otf-{t{o APPLTCANT'S NA{E:l-...r"^ NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPF; RESIDENTIAL PLEASE AN5WER ALL QUESTIONS APPLICABLE TO YOUR PROJECT "Project Responsibility" l') r\ F- ,,rr APPLICATION Number (Office Use) oArE: 7 l\ \5- DEVELOPER: -,/\ C .V-i).,, .\,o,. .^t Li._pK)NE #: 1C;'t.- *)i, jac-| PRO]ECT ADDR SUBDIVISION: ESS:CITY: L\, , \ i.^ ...'\.. ,..ztp 1t --tc c\a L.Co.!BLocK *. l LOT #: PROPERTY OWNER,S MME: \ , I.\ C , Y'. i),..".\ ohrNER's ADDRE55, 11, 13j 11.t..' p*,,.r'.EJ-co,,.1 * i-t-(.-PHONE *: il a ..\F.-..' CrTY: R--t\-,:.2I r\ * L L ( LrcENsE #: C L\ f, qn CITY: sT:v]! zrP: lta\1r 51, t1c 71p,) k 4 f-c> CONTRACTOR: ADDRESS: )) EIIIAIL ADDRESS: PRO]ECT CONTACT PERSON; EXISTING CONSTRUCTION: ,. t\ [\PiIONE *: -lL-{- 50{ )-tio I o (.):^ ALTE RATION R ENOVAT]ON GENERAL REPAIRS RE LOCATION AE..^r PHoNE f : '1O-1. &! J'ra + NEW CONSTRUCTION:ERECT NEI^i RESIDENCE or ! morrror'r To EXISTING RESTDENCE **PLEASE CBECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT: flarr oamer ?tl sr tr DET GARAGE _ SF PooL _ sF DECK )38,]c sF poncu \ )r) sF STORAGE SHED OTHE R: SF SF !....+ ) rz\TOTAL HEATED SQ rr:3j9f TOTAL sQ Fr UNDER noor, jYi'i.[t. rorAL AREA sQ Fr: TOTAL PR0IECT C0ST tr"""roo : $# OF STORIES:'1'l:- Is Any ELECTRICAL, PLUIIBING or i4ECH,\NICAL l.Jork Being Done to the Accessory Structure? [ VeS I no If the pnoject is a Relocation, is there a Natunal Gas Line on the Curnent Site? [ Ves I no Is there Electrical Powen on this Buildj.ng?[V"r Ino PROPERTY USE / OCCUPANCY' I SrruCrr rAnrrV DUP LEX T0l^INH0USE i1\. rOc) \ n.,-,\ DISCLAIMER: lhereby cenily ihai allinformalion in ihis applicaiion is correctand all work will comply wih lhe State Building Code and alloher applrable Slale and local laws and ordlnances and regulations The NHC Developmeni S€rvices Center will be notfied of any changes rn lhe approved phns and specilicaiions or change in conraclcr or contaclor nlormaiion. "'NOTE: Any Work Pe(ormed WO lhe Appropriate Permi$ will be in ViolalDn o, ihe NC SIGNATURE Stab Bldo .(- Code and Subjecr rc Fnes U, To $500 00" oWNER/CONTRACTOR: )c^s o ,^ D. ,t\x' .^ 5 ,r*,**,*** ** +* * * * * + ,*,t + *,F * ** **,t *,t * ***l"J * * ** ** **** * ** * *** * IS THE PROPERTY LOCATED IN A FLOODPLAIN?YE5 COT1MUNIW SYSIEi4 JUL 31 2015 Exrsrrl{G TMPERVTOUS AREA: el SQ FT TOTAL ACRES DISIURB EXIST LAND DISTURBI NEW IMPERVIOUS AREA: .) 1{f 5Q FT WATER: SEWER: (l'PUA ! crrurnal sEPTrc E PRTvATE sEPTrc COI,1I,1UNIIY SYSTE14 PRIVATE WELL ! crrurnar- wrr-EY: P T CF PUA *** SEPARATE PERIlITS REQUIRED FOR ELECT, I.4ECH, PLBG, GAS EQUIP, PREFABS & INSERTS *'i* payr4Er,rT rirETHoD: !casx flc}recK (PAYABLE ro rrcl I amearcA ExpREss E mclvrsr E orscovea ** )i* * ** *** * * * )** * )t** )** )* ** *)* )* )*** ** r* rt *,* * * ***,** *,t ,t,t ,t ** )** * **+ )* rt r* +*+ +****,t* )k* **+ *r, ++ * + ,*,* 1.**x ** (FOR OFF]CE UsE OIiLY) REVISED DATE O4l11l12 ZoNE : _ 0F F ICE R:SETBACKS: F:_ LH:_ RH:_ B:_ Approval:_ City:_ DATE:_ FL00D: _ BFE+2ft= AVr,r Corment:PERMIT FEE: $ ., :. ..& ! surunoom _ sF I cnrrruuousr _ sF DESCRIPTION OF WORK: NO vrs E Loc lD 34ozo t{EhI HAT()VER COUNTY BUILDING PER!4TT APPLIq|I I NPE.. RESIDEilTIAL PLEASE AXSIGR ALL OI'ESTIdS APPLTCABLE IO Y(I'R PRO]ECT "Pr.oject Res pons ibilitl/ ,rcns F,nc t{cruS )ae-qttq -f#c>s APPLICATI(I{ t&.mDer (Oefic. lrse) DATE: 1 rl II APPLICA T, S M',IE : DEVELOPER: Sr ol, PROJECT ADORESS: SUBDTVISION: PROPERTY (Il ER,S MIIE: ,*rp,5 noong55. 5'l l0 CONTRACTOR:{?Ab ADDRESS: .I c-PTO E *:-7 o-a 0n r,ttrts Frn ttoms,5 rm 0 Apl$,1-sur, , tlL zwr 2s4O3 CITY BLOCK #LOT f: ZIP I q5 n 0 PTO E *: crw:ST LICEiISE f:/ACCOUNT CITY:u{i I ST 0rfl *, ?'lL ,1tffi 2fifi (Ntfiq'ffi ET,IAIL ADORESS:,15 PTO E f: PRO]ECT CO TACT PERSOI,I:S tlioholart .*PLEASE OECT AIO ITSHEN BEL(I' ALL THAT APPLY IO Y(lN PIOIECT: ! arr cannee - sF ! orr emaae _ sF tr tr PORCH 5l SF flsuunoor.r _sF fl rooL 5F STORAGE SHED ! eneeuurse _ sr [orcr _ sr oIHER: P0 't0 ohol 0 ExrST$E qr sTrucTn : ! alrrmrror ! nercvarror ! ernenal neenrns f] RELocATroil I Et{ co6rnucTrot{, fl rnrcr EI RESIDEIfE on I amrrrol To EXISTITE RESIDEITE SF SF TOTAL HEATED SQ FT:lylb rorAL sQ FT Ur{DER ^*r, l\'11 rorAL AREA sQ Fr:l1'11 TOTAL PROJECT CoSTcessr-ar : I I?0,OOO s OF ST9RIE5: ^Is ArD/ ELECTRICAL, PlliBI G or I'TECHAIGAL Hork Being Done to the Accessory Structur€? [ V", fr ffo If the project is a Relocation,is there a atural 6as Line on the Current Site?[v"s fi no Is there Electnical Po'rer on thls PR@ERTY IISE / OCOFAIf,Y:'srttcL TOt/',NI1OUS E DESCRIPTION OF IrDRK:(sirlCntial DISCIAIIER lheebyceni! t|at a[ hbrm&n h thls applbaton b coi€ct dd s{ lrort wil comply wih t|e Srab BuiEi€ Cod€ and dt otEr apptbabie Sfats and bcat ta/vs ald odinalces grd legllstbns The NHC Deve@menl Servijss CenCr wi! be notfied of ary (iaE€s ln lh€ appoved pb.ts std specifuatbos or chate in contEtr or cqrt_4brhbrmarbo.+'OTE:tuyllblkPer6.nEdw/OtheApproprtaEpennitEwdtbehVrchionofheNCStets&gCodeat(t SJbiect b Fines Up To $500.0Cr- o {ER/CONTRACTOR:(at 5tr{cn5 SIG ATURE: ***,r * )*,**,f t+:f +++ +*,t* *** +:i*+(Prlnt ila0e)T:t*!t **+ * * + +,i,1,** **:* * *,r -t Bullding? !_l ves f! ro -J.E FAr4rLY I I uprpx lVl Aev't con?ru.ohort* rs rHE pnopERTy LoGATED r l rlmoeurrr I vrs * *,** ** * * + * * * ** ++* l/liD EXISTIITIG I!4P ERYIOI's AREA:1t5 SQ FT TOTAL ACRES DISruRBED: y'g EXrsT LAU' DrSrURBrr{G pEnxIT: fl WS If rc ,{B{ ITPERI'IOT'S AREA: 1 15 SQ FT t+ +,** 't** * t:t+:i 't **:r:* * HATEn: $ crrua ! coil4uNrry stsrem ! pRrvArE WELL sErcR: fl crrul I cEr{rRAL sEprrc I eRrvare seerrc fl crurRal uell fl cou.nrrw svsrer ZONE: _ oFFICER:SETBACKS: F:_ LH: RH:_ B:_ Appnoval:_ City:_ DATE:_ FLOOD: _- conert: a v BFE+2ft= '..'*r' SEPARATE PERmrrs REQUTRED FoR ELEcr, MECH, .PLBG, GAs EQUrp, PREFABS & rNsERTs *** pAyHEilr nE*oo: I casr I cxec( (IA'ABLE . *l Elrr.i *..^, - E oi-*- - trio**r***,*,**)r:**:i+,t***,**+++,****:i,r*,*,t,*:F:t,t*,.*,t:tjt+*+,t****,*,*:*t+*t++**,*:t ++:a***,i***t* +,t * +:t + +,* *:t +:t * !t * !* * (FOR OFFTCE U5E qiLY) REVT5ED DATE O4l11/12 N td MtrlE PERI{TT FEE: PTO E *: ( 1,o., lD sqcr/ NEhI HANOVER COUNTY BUILDING PERMIT MPLIoaTI(N TYPE: RESfDENTIAL PLEASE AIISI{ER ALL QUESTIO S APPLICASLE TO YOUR PRO]ECT 'Project Responsibilihf Str.rus F,nc ilone5 APPLICAiIT'S I,IA}IE : DEVELoPER: Sa ol,g'.l. PRO]ECT ADORESS: ST'EDIWSIO : 5 &otS.q tq I Pr()ttE *: LOT *: APPLICATIOI{ Umter (OFfice Use ZT :A *'rr, lftt ,? c 5 0,1 v,6 fiN/ ttorrto,pror: *,(td 1q44brll Sr: lO zrP;284R P I I Nc zrl.1 2(404 (NtVq'ffi an CITV: 0 0 BLOCK * PROPERW M{ER,s MTIE: o*tp,5 emn655. 5,110 COI'ITRACTOR:l\nb 0dr ADDRESS:rtr 0 EI'ATL AIDRESS:oho I o CITY: LICE SE *:2b ACCOUT{T #: crrv: Nrlil r 4ct 0fl ST T 0 n ?'lz 5 0 P} E *: PHI{E *:PROJECT CONTACT PERSON:5la Ct Nlcholrrt EXISTII{G CONSTRUCTIOiI:! rlremrror ! nercvarrol ! eerenal neearns f] RELocArrGt ilrr{ COiETmrcrrOn: d ERECT t{EH RESrrrE[GE o" ! ruOrrrOl TO EXISTII€ RESITTETEE .*PLEASE CHECI( AIT' Af,ffR BELOJ AIL T}U[T APPLY TO Y(lN PNO]ECT: ! arr eanaer _ sF I surunoou _sF ! cnrruxor;s e _ sr I oer canece _ sF J .tt lleoncx rl sF n poor l-l sronacr sr ii,r*, Y,1ro SF ED ! oecr _ sr ', 53 SF TOTAL HEATED SQ FT:tT1v rorAL sQ FT lfloER nooe: ll'J 1 roTAL AREA 5Q Fr:H1q TOTAL PROIECT €OST Cess r-ol : $leg,o00 # OF STORIE5: A Is Any ELECTRICAL, PUnIIBI G or IECHAIICAL llork geing Done to the Accessory Structur€? [ V", fl rc If the project is a Relocation, is thene a t{atural Gas Line on the Current Site? fl Ves Eno Pouer on this Building?E Yes Is there Electrical PROPERTY I'SE / OCCIP DESCRIPTIO{ OF HIRI(: AI{CY:SIIGLE FAMILY DI',P L E [elrtrcn l,al A2'^l Con?)en t04 EEItr gil DlsCLANlER I lE€by cenit tha al hbrmatoi h tlls 4pl.aton b coo€ct and all $ork wil cofirply wir'l fie state AttstE Code aE at o'|€r applbdb StaE and bcat taws aad ordinaEes eld ,egul6tlcr6. Tire NHC De!€loprEnt Servires Contsr wltr be notfi€d of aty chdEes in fi€ appoved pEls ald *ecificatons or dlaEe in contftrbr or cfit'acbr hbfinatbn. "l{OTE: Aty Work P€.t6flrEd W/0 rhe ApptoprtaE perniEwltbe ln VpHbn of$e NC SEb Bldg Code aE $bi:cr b Fines Up Io g50O.0C- OI,{NER/CO TRACTOR:(ar 5lUe,n5 SIGNATURE : *++:t*!t.l.i.l:t*,***++:t :t!tt,a,t*,*:**(P.lnt ilarle)*+'t + *,t* *:| ++ +,i *'* *,|*:r :* * IS THE PROPERTY LOCATED I'{ A F LAIN ?E ves .t*r* '1.* ***'* ***:*:*:* *'**d," ZO E: OFFICER: 'l !a !t** :**,t + ++!t***+ :f :* + (FOR OFFTCE tSE OrLy) REyrsEo DAT: O4l11l12 SETBACKS: F:_ LH: RH:_ B:_ Lq,OP 4 EXISTITE $PENMIOUS AREA: 1{E{ II?ERWq'S ANEA: 1t SQ FT TOTAL ACRES DISTURBED '/s 1t5 qn EXI5T LAID DISTURBIiE PER'IIT: F''I VES I-I rc IiATER: SEI{ER: tr d creun ! cols,urNrw svsreu fl pRrvArE I{ELL ! cerrnal well crrua ! cErrRAL sEprrc fl enrvare seerrc I cor4ar rry sysrEm *** SEPAllarE PERilrrs REQUTRED FoR ELEcr, tlEcHJ fLBG, GAs EQrrrp, PREFABS & rNsERTs 'i.*pAyHErr rErHor,: Ecrs Ecxecx (pAvABLE . **1 firr.i *i.*, 'tri.-r^-'-iJ.r.*.* *+*+++:t.!,**,t:t+:i!t**,t+,****,*:**:i't+++,t*,*++:t,i+*+,f't**,l.**t**t+*!*****++,t,t,i,a*+,F***,t,i*,t*+*********** Appnoval:_ City:_ DATE:_ FLOOD: _BFE+2ft= AV}I PERfiTT FEE: $ Conment: I SF 1fwd s,le tbn) l;, tD q&@'o4oz4 NEI'I HANOVER COUNTY BUILDING PER!4IT APPLIaTIdt rY"E: RESfDENTIAL PLEASE AIISI{ER ALL QUESTIOIS APPLTCABLE TO Y)UR PRO]ECT 'Proj e(t Responsibtltt)d lots-1nt APPLICA T'S M}IE:r.J{lt5 F,nc fioflrc5 DEVELOPER: S r{.t,PH' E *: CITY BLOCK * Pltot{ E CITY: LICEiEE *: ,l t zb ACCOUNT .rrr, hri lrn I Aot0 rt ST J APPLICATIO{ llunDer (Office Use ) DATE: ?ll 6 ZTPIA LroT f :$PRO]ECT AI'DRESS:o t, SUBDIVISION: PROPERTY O'{ER'S MIIE:*tt*" oooXs55: 51[0 5 t,ttrtS Frn ttorrtC, I 0 *.(39)1qq4!1L srt tV zrPt 264(i3 COTTRACTOR:{V{tb 0flt 0n ADDRESS:0 e n *, ?'lL ,18fi 2fi[fi rffitnq-Tm EIiATL ADRESS:P}O E #: PNO]ECT CO TACT PERSO : EXISTIIG OO STN'CTIO : S Nloholatt f] altRarror ! nemvarrox ! e:rrnal neerrns ! RELocArrot neW COnsrnrrrrOn: d ERECT Eta RESIDEiEE on fl AmrrrOr TO EXISTIiE RESIDE CE .TIPLEASE OIECI( Al{' IXSffiN BELOi ALL THAT APPLY rc Y(tN PM]ECT: I arr eanaae - sF I oer cmaee sr E ponor 1l 5F ! sunnoon _sF n poor- _ sF ! sronaer orrrn: l0t t0 SHED SF ! eneeuxorse - sr ! oecr TOTAL HEATED SQ FT:1,11b TOTAL SQ FT UDER ROOF l t,\11 TOTAL AREA SQ FT: TOTAL PROJECT COST t-ess rat : $laoroo0 {f OF STORIES :q Is Any ELECTRIGAL, PllfrB! 6 or ltECtlA IGAL fork Being Done to the Accessory Structurel I V", fr fo SF SF 1,411 If the project is a fs there Electrical PROPERW rrSE / OCCUP DESCR IPTIOI{ OF Hnl(: Relocation, is thene a l{atural Po{er on this Building?Yes lfv: I I SIIGLE FAI.ILY n DUPLEX ir {n ol EN Gas, Line on the Current Site? EI*o E Yes Eno -J fuil rowurouse t{:"6r(lri f,f appllcable Srab and locat or chang€ in contrabr or b Fines Lb Io S5@.0(r" DECLAIi'GR: lhereby cenify that all inbrmstbn h fiis appllcaton ls conect and 6ll !\orkwittcompty wth the StaE Bufldlng Cod€ and odlndrces dld egulatbns. The l|,ltic Dev€loprnent SeMcos Cenier will be notf€d of any chaEes in the 4lplov€d pbns and cont-Dr hbmalbn. ".i1OTE: Anywoft PerfurrEd w/O tle AppropriaE F,€mits w t be in VbEnion of me NC StaE Adg Code ol{rr E R/coiITRA€TOR :(ar 5lde,ft5 SIGT{ATURE : (Print ila.E)**+* +++:t**,t**:t* *'i+***+ ++ ++ +,t,** ***:!:i:t +++:i 'r *,* ra '* * *+ *:i,i 'i * *,*:r *:*** +rt,i:t***** *,*,t:*:f **:i,t !t 't * **,t IS THE PROPERW LOCATED II{ A FLOOOPLAIiI}Flves Ed,. EXISTIIre IIPERVIOIJS AREA:1t5 SQ FT NEW IIPERVIOIJS AREA: _ - SQ FT HATER: SEI{ER: tr d crrua n coN,$t Nrry svsrer,r n pRrvArE I{ELL cran I cE[rRAL sEprrc ! Rnrvare sreuc TOTAI ACRES DISruRBED: '/S EXTST LAN) DISIURBIiIG PERIIIT: R vIs F r'p ! cerrnal well f] comn nirw svsrer,r X.** SEPAf,ATE PERiIITS, REQUIRED FOR ELECT, I.IECI.!2..,,PLBG, 6A5 EQUIP, PREFABS & INSERTS *** pAy Er{r nE*,rr: Easr EcnecK (payABLE ,o **l Err.i r".-*, 'E-;;;;-'-firrr"*r* ***,t:*,i,****+:t**,i,*+,t*,t.t*,*)t:*t:f,i,t**t:t++,i,t,**+***,tt*,*,a,i*,*+**** *+**** t+,*,i,* *,t,a !a f,t:f:t,t,i * *,r,i *:f + t +,t f (FOR OFFICE USE Olty) REVTiEO DA.I-E O4/LL/a2 ZONE :OFFTCER:SETBAC6: F:_ LH:_ RH:_ B:_ BFE+2ft= N t- t e &dEtu I al Approval:_ City:_ DATE:_ FL@D: _ comerrt 3 A v PERflTT FEE: Pt{}tE *: i ) $_ rl t\i I l-1 sB zcl+ llQ?-l l.{- a a 3a- APPLICAIIO'I I'lunber (oFft.. UsE) i.. l t i,.ffir, NEW HANOVER COUNTY BUILDING PERITIT APPLICATI I rYPF.. COIVII{ERCTAL PLEI3I AISXTR AIL QUEsTIOS APPIICAILE TO tq]S PiO)ECI "Project Responslblllty" AppLfCA f,S NA'{E. tu ey Smiil DEVELOPER: NoItrvhr Psnn.6 Lt-C 9917. 3 7nu4 _ Pt{r E #: s19.277.1132 814ry.-C!9_--- crry: ffrrirgbn __ zt?': ?8412 OCCUPAT{I./BIISII'IESS mtrtt : pRoptRW ol CR,S i0ttE: Medli4atF tFlr5 pa ,tIC PHO E *. 919.E55668 OOIER's ADDRESS; 6131 Falls ot Nrl.6s R6d Suilr 200 cIrY , "Rsbhh .___ 9T ; 19_ Zrp : 2i609-. .. r-rCE 5E *: 6E52.1___ ACCOtflT $: ADDRESS ; 612'l Falls of lkus. Road Suit! 200 61ry; Ralelgh ST,NC Zrp; 27609 EIIAIL AIDRESS:con Plt ilE #: 919.806.5t68 PRoIECT @I{TACT PERSON: MdrtelPeds Pr{r{E s:919.2/t.1112 Is Elect PoHen on thls Bullding i--Yes f':NO Exrsr cor,rsrRucrrofl: l-r alrerarror l- *r#iliri 'F;?!til*,. nrparns [l RElocArrori rf Rslocdim, E fierc I Narurar Gas une on rhe currenr sitr? l] ves f ro ts gt-oc spiiirueneoz J]. ve" 7lro -.., rtrH cotsTsucrro'l: L{ enrcr trx srRucTURE [-: rrcr tmcx :.: srll l;urrrl - I aDD ro Extsr sriucTURE ACCESSOBY STRUCIUSE: COI{TRACToR: Ionhvid, ARo{ DESI6N PRoFEssIor'lAt: !4g! G..l49pfr_ - _ Ei/GR DESIGN PAOFESSIOIAL: PH: 704.927$00 NC R€6 *: 8196 PH:NC RE6 f: 0ESCRIPTIoN OF OR(. Nav Multlrnliy Con8lruclion ls lbod or belrsEges prB!,Br€d or oerwd in frHs strucnra? il lE 'Ihs Prop€{ry locded ln ft€ Hooddsh? K/yss No DISCHIMER: r h6t€b: clli y hal all intormrfon il lhis_lpplE tlor i! corecl and att woft sltlcomply udu flc $rt. Bu tdinq Cod€ sfld e[ olior sootkaDte stste ilff"ffqs"il"fr#,4+EHffiU"1H#8"trsN8ft?r"f,i&1ffi3i,:6yrLX.,&'r'"g;r[m,wri[nii*,rri*bsslf ;m.g-#s. OWNEFyCONTRACTOR. t|alr R Barker TOTAL PROJECT COST. 13,87s,000 BUILDING TOTAL AREA SQ FT : 578 SIGNATURE: 11',.10-# OF UNITS: SQ FT PER FLR:576 # 0F STORIES: 1 # OF SIFUCTURES: 'l _ # OF FLoORS: 6dnv or h*dhg rNac lurnd b LGl 10 days ,lor D he I MX TorAL sa FT UNDER RooF: frht:€ ACFES D.STUREED: ro.ls.o,. {tu ruew tueERvrous ri s-B.li4 *-*EXST LAND DI8TUREING PERMN? YJYES I ] NO sa FT ExtsING tMpERvlous AREA 0 _- _ _ se FT PRoPERWUSE f_.lorRce Inesrnunam l__,_-r,renc*rnr-s ileoUC COI'IDO OTHER t- WATER: SEWER €cnut -t fl',crnur. fi CPMMUNTTY $TSTEM i..] WELL CENTRAL SEF flC flfrVrre sajq tlzoNrNG r-lcoMMtrNrIY .'SEEAIA'IE PEFMITS REOUIRED FOR ELECT. MECH PI,3G. GAS EOIJ|P, PBEFAAS 8 IISEFIS - PAYMENT MEIH@: I-']CASH i\ltHEcK (pAyABl.E To NHc) f, aru rccouHr prraovrse l'a d-frrfrrihi*@R zorue$f .'FtcER:, d4-t-fJffi^tltoJf, ,- , * *H:_.{, .e: .+ RE,EEDDATE'{'''^2 Approval:-.-.Cttr; la,,,r oere UFrJin FLOOD: _'- - . "'*i-#;;iE connent .2,-,,&ti Je(. .1"4 -l4.; ,-e> -5,<; )4L:_ ')ur,u,r** Vk:VA (€Ld6o> lrf (a:{:8,16io1 Crrl -d---STrr|d PROJECT ADDftESS ! SF Fsi,vte,, D ve. If UPFIr - The SheU Perfllt f: *t*'. rs ThIs a orrtrE oF ocarprncy uset f;vrs Ee .*.. lF Yes, tdl.t ras th€ Previoos O.cupency lyp€l *._- . - . l{h.t t, the ler Occlpa|cy Iypel __-.____ . ._ I .1, :f-'..;.. .,- dl- r ':, ^EAR,.j ,;.,8$r.i7 \i:::r;,. i.i ir lr+-i54 NEW HAI.IOVER COUNTY BUITDING PERI{IT iP?LIcATZ@t rr"f ; €O}1|IERCIAL pr^tasE a*$rEi Arr Q{]Esllo s ApPtI(A8La r0 youR PRolEcr dProlect Respomi.blllty'' aol+llu,.]8 i+-f a3l APPLICATIOT.I ilu ben (offtc. Ur.) APPLrcArfi, S naae , i119rll-_. 9 DEVE LOPER: No hvhw Patue,s LLC PRO]ECT ADORESS | _l8FElryie!_qLe.:Er s.5h occuPtilT/BUsI{Ess PROPERTY o{{NER,S fl{E: MedianalFdFddPa .UC Otl'lER'5 ADDRESS: 6131 F.il5 d Nouse Ro6d Srih A0 E|'{AIL aDoRESS : ._E!9d@LqdUE[!!&SOm PRO ECT CONTACT PERSO : MiCIEd PT€IE -'- wrE:-!1m11 PK)fiE f : 91917.1132 -_,._ clwr Yl!!s(l- __.. 919 806.5868 PIENE *r ST: (chc.l ^U Th.t appb,) EXrST COflSTRUtEOT{: fl AlrrnnTto , REllovaTrd{ []1 celenll REPATRS '- RELocATToN -r lf Relocatbn, is th€r€ I Natural Gas un. on th€ cwrent site? I Y6s i . No lS BLOG SPRINKLFRED? r Y€s {rl No Er{ CO sTRUCTTOT I sr*rt t{Ew srRt cruRE CITY: Ederg[Nc zrP: a6o€ PIPNE *: 9,19 2I:1112 ., FAST IRAC(snEttl-'ruprtr " ADD To Exrsr srRucTURE Is Elect Por,tp on this BuLldin8 :-" Yes i-'t'to .r..r Is rHrS a cltaf,GE oF occupar{cy rrer i- vp5 t{n *.'.. rF Y.s, rdr.t r..s the Prevlour OccuParcy tyPA? tghat 15 the N€t O(cupancy Typel ---- aRcH DEstd'l Piofrsito!,lt!: U&)JG !!9E8"*--PH: 7fiI27 9P.0^ PH: 11g X65 y; 6196 €IIGR OCSI( PROfESSIOUTL: OWNEFUCONTRACTOR:Ilat R Bafi€r SIGNATURE: --- 11'-10' ACCESSORY STRUCIURE: If UPFIT - The Sh€Il Permlt {: Jcrwe tZc*ata NC RE6 *: , ls tood or bavemges prcparcd q sar,/sd h lhit stuouruz I - vesV r'ro ls Th€ Proporty Lootrd ln ThB FloodplEin? gY6 i .: : No D|SCLAfiER: I herebr coftfy thal s[ inlomador| in tr s .pptic.lon . corracl od lrl wor* lNillcolnrry wih the Slab &/ndrng Cd€ snd al ohet spdicablo Slata ImHmlgd*,m#ffits'*st'1r[5#ffifi**"tHffirffiIX,E#*##Hr*f',Bi,J]ilB'BlT'"#ffit8l!Eflf;&Hi. Subiocrlo Frres Up To l5o0.(lo'- O6r&d lPll,i t{lle, Nor: or.naur alddaolr a abctbt cnord pom! aPCb,jo aar to b &romln'd 'dm fu 'rdoi6oo fofli (0trls*t'68) rlD${ holclry or bur'ldiie ' blhd to c.ri|tr A!06t06 or tror Y.u r'D rqdrd b c.llrtr. lldo.d Emb.hi Snrira& turfbcl,tbu. t} hi.rEt (NESH F, !t (919)707-5t50.t L..r 10 nF Bh. b dt de o0foo of .w ffiV or bddng. S.€ l566toa wa! Slkl hD:r',tt r..pl!Ei..m.{l./.Ol,gt€3t0a/dlnp,iEil TOTAI SO FT UNDER rcAES OISTURBED: ROOF: 56 to?Sacrx I l e EXST rrorD DTSTURBNG PERMTr? yYES .- -.. No f OF STFUCIURES: I NElv IMPERVIOUS AREtu 296,171 SO FT EXSNNG IMPERI/IOU3 AREA: O PROPERTY USE: t,-lOprtCe il;nesrrUnmr 1- .UenC$trrUe ;* i eouc rlnpr BUILDING TOTAL AREA gO FT :5/6 . SQ FT PER FLR: 576 OTHER MX REVISO OATE {T '2 -SAFT WATER: SEWER: ' @MMUNIIY SYslEr"l * siELL :_..lzoNtNG CENTRAL SEP]1C PRIVATE SEPTIC -' @MMUNITY SYSTEM ". SEPAM'E FERMITS REQIJIBEDF()F ELECT,I\IECH PLBO,OAS EOU'P. PREFAE9 BINSEfiTS'. :* .V RH:-P'.-sI_g. 'o*'*'oT?:.I:f:..*:,:::':i:*f-3::.'1.:::*:i-;Mc/v'|sAil'covE* i\ . (FOB OfFICE t t€ Ol.lLY) zoNE: llx trFtCER; -/aL5 . , SETBAeKS: F: .!a.. LH Approvat: cltyl l.rtlArE-p/r,fq rLoOo, - _' conmenr. /4J Rgto P.A .lXe-,#p-.,-> t r< $rrJ t/ aFE+m=AI PERMITFEE:$_. _, lOsSa-< /a.e*ea {-at (r*sazsc<l".,6/-B qlrrl{ zlP: 2u12 Co IRACToR r ljfiWlv closh4on -- LICEI{SE # | q6A --.- - ACCoUiIT f : IDRESS: 6121 Fdls ot N€us6 Road Stdt6 200 CITY, Rrhigh 51.NC 71e3 27609 ToTAL PROJECT CoSf: !.!ls.o[--#OF UNITS; I - -- -# OF STORIES: , *. # QF FLOoRS: -!---.- eta2r4w) _-! 1i:\ rff JI SL3 NEhI HANOVER COUNTY BUILDING PERIITIT aPPLIcATT0N rrPr: C0lll,lERCIAL pLE*SE ATEHER Art QUESTIONS AppUcASLE T0 yoUA pROltCr "Proj.ct Responslblllt},,' 2,-.r+ rl(o8a- r* aaOi A9PLICATION llulrbcr (Offtc. ur.) ADPLICAI{T'S tlaxE; lIlay sritr DEVELOPER r llodhvlen tudoers LLC PRO] ECT ADDRESS:4625 Farticw DfE _- 5!ilc!e99_!G19.-a99 'e:' $rv occuPAl'JT/BUSTNESS r{Al.,tE : piOpERTY O|^JI!ER,S IA!E, Msddian.t F.irFicld Ps& LtC oa'IBER'S ADTRESS: 6 r31 Falls o, Neuse RoBd Suite 200 CITY: Raleigh.-_ CONTRACTOi: f{orthMery Constvction _ _ ADTDRESS : 612, tlB o{ Nru& Rold SUl€ 2m pHo E f, 9!93$.566E -... , st:NC zrPt uefrg - LICEilSE *, .891,___._ ACCOOiT f : crw: !3le_n__.____ sr;{ zrl: .uzgg. PtlotlE ,t: 9-1q!Z:ll!1- .._ zJPt 28112 (O..r ^l! rh.t rrplr) Exrsr coflsrRucrrqr: ll alrrarrtot : n:tornrron J cruul reearns ; RELocArroN r Relocalion, is rh6re a NE&ralcas Lin€ on tlle Currsflr Sits? j Yes | :No tS BLDG SPRINKLERED? L YcsVNo -t Er,, co sTRucrro : M rnscr ilEH srRucruRE _ resr rnacx -] sn:r.r. il grr:r . 'ADD Io ExrsT SIRucluRE EitlAIL ADDRESS :,Epd@nod&h/!,a8tg"t!qS_, *,__pHofiE 8: 91s.898.Sq PHoNE *:919.27.1112 PRO]ECT COIiITACI PERSOI{! Mhha€lPoole ACCESSoRY STRUCTURE: - - _. If UPFIT - Ihe Shetl Permlt ':fs Etect Power on this Bullding i-, Yes I nto r"" rs rHrs A GtlalIGE ot occuP!flcY rLsrl ! vrs i;t{b ""'IF Yes, uhat rE5 th€ Prevlorr9 occupan(y Type?t/hat i5 the t{cU Oc(uplnc!, lypct - PH: 704.S7.9900 6 p66 13 6i96 ^RCH DES1GN PFroFEssIoML: l4!lq4!.M49E _ E'I6R DESI6T{ PFdFESSIOiIAL : DESCRIpTION OF 1ORK - ll€tr Md6?fl1y Constuclon .-t ls food or bev6rse$ prep€red orsrly€d in hh stnctre? I :YesV No Is Ths Propsrty l-ocaed In The FtooodEtn?#Yes ii tto OIECLAIMER: I llorsB csiity thal all ln omauor h lhb agplcrion i6 co.r€cr ond Ef wgrl will csDCy wilh ttE SEt€ BslldrE Code gnd 6l oltur Bppli.rble Sra6 and lo{al lrwr and odiEncs. lrd reoulatioo3, Tho NHC Oorsloo.narn Srtuk€r Cenrer wiI b€ norified ol a^v .hir}oe, in th4 .oorwed 6bns and .o€dfcllrlt d cnaDce ir cor|t_acEr or conlrD@r frrormBton. "'NoTE: tny wolt porronn€d wo $o App.opftt. pstr'k rll 6c tn vlobrioD d th€M srs(r BIdg c&o lnd Suq6q-10 Flne! Up To is(,l).(O"' OWNER/CONTRACTOR:Mark R EBrks SIGNATURE: (o.n.o {ftr'iNr ) tbE: D€lior,o.r t6fc.Uu|! A E.t..lD. r.1ol/rl t.lfi!9frE {orr a! b !.!!tn[t.d raklo 0t apCh.tino|to (DHX$,68) rtdlrtE itclr r hildlrg yn. h/$d tt c.rr!,h LD..bt $ rg. Ylxr sI. ItqdrEd b..I dE t{t&nd Ellbrlo,l ffidr nr HE rdo6 A. Poli.EiE (NEs{AP) A 0197}?-5!60 n t*r 10 dsya Crbb he &orffon ol try Gdry or hiidio. Se A.b..io. Uhb gr.: llqlhrur.at irAs-rEJ,lLpib.braB/B1np.rt BUILD]NG 1f-l1',f OF UNIIS: I , OF STORIES: 1 f OF FLOORS: -l TOTAL AREA SQ FT :t2. 95 -,. _ ___ SQFTPERFLR:1205 TOTAL SO FT UNOER ROOF: 1295 # OF STRI'CTURES: 1 pRopERTy usE - loFfrcE llnesreumrr - -,rvrmcmmr.e _ aow il,APT r-'-,COl.lDO OTHEFI: WATER: v/pFpuA , CoMMUNIT/ S\€IEM VVELL sEwER: \Z, CFPUA - CWrml Serrrc iarvnre serytc .,-ASSIF,CAT;ON. Ltx .. SEPAAATE PERMITS RSQJIFEO FOR ELECT. MECH. PLBG, G{S EOI'IP. PF€FA8S & PA'/IriENT METHODI ]-. CASH Muecr (pAyABrE To r.&tc) nBtLL AccouMr i-jMcwtsA REV|SEO DA'E '/11/12 RH: .Jz B:.-K-.A 8FE+zft= ,tl (FoR oFFcr Use oNLy) zoNE: Ju! OFFICER: r',> i _ ., SETBAGKS: F:;jl<. LH: .4:_Apprcvar: __.. CiryillL^ OATET-! 2lt,pl FLOOO: comment full_ ?ea _.tat A+g!L.,a s:,af ,,r{ v n?raa* ?rraa;> Gl- /ru,rrrrr..u PERMIT FEE: $.&-& 4lzzl,r oarc: !9!-_. PH: lC REG r: TOTAL PROJECT COSir: 13075.000 ACRES DISTuRBED; 11.I$ ExSr LAND DtsTuRerr.re eenurrr 5/, WS l'--. No NEW TMPERVTOUS AREA'_lf,ta. - .-_ _,_ __SA Fr EXTSING IMPERV|CIJS rRrA: 0_ so FT :::';--'i'; i'.-.@, NEt,tl HANOVER COUNTY BUILDING PERilIIT APPLT0AiIo,I TYPE j COI{MERCIAL PLETS€ AI{sIJE8 AII QUESTIOi]S APPIICAELT TO YOUi PBO]ECI "PrcJect Responsibilj.ty" coiY-rlo7 ) $,raoL, APP t ICATIo'l NuEber (offl.e U5. ) ApptfCAlrT,S ilAIE. Ashlcy Smlth OEVELOPER: tldlhvlar PadnsE L'-c g9L3_ PRoJECT ADDRESS: 4625Fat^LlwD,tve.llBer€EEgqwi S1omo9-. oCCUPA},ITIBUSI ESS fUU-iE: ___-- __- pROpERfy O^lNERr S t{A{E: M!.illu 8t Faifisld P!d{, Ltc ottlNER'S ADDIEsS; 6'131 Fa[! ol Ncrso Road &ib 200 cor{TR rcroR: lbrhysqa!!€trdlo_ * ADDRE5S 6121 Falls o, N6r,!e Ro.d Suite 20C EiIAIL ADORESS : -,rr!egg@i_Lq!0s4!s!.L. -__* PROIECT COUIACI PERsOfl: Micheol Poclc If UPFIT - The SheU Per0i.t *: .*1'rr J5 THIS A Clttr{GE OF OC IF Yesr r*'t y3, the Previ.ous Occupsncy Typei *, . ARCH DEsTGN PROFESsIOMI: [IaIhew G. ElGn DESIoI PB0FESSIoIAL: _,-_ TOTALAREA SQ FT :UC1__-- _ . TOTAL SQ Fr UNDEn ROOF: t,10.t ACRES DTSTURBED. 10.75 aces SO Fr pER FLFI 1,181 #OF STRUCTURES: I ,- (Cha<k All Thrt apply) R€iOVATION :6EI{ER,ALREPAIIS Is Elect PoI€r on this Sullding j*,Yes i- lto a,PJu{CY t sE? j- vrs 12116 *'*". - - _. mat ls the cu occupancy Type? - PH: 701.927.9900 6 pp6 6; 8196 .. ss14 3tz7!2a!4 P+OilE *t 919.27?.11U IrYi lrrlmilql]tl.,. _. PHONE S. 919.E96.5668 sr:p_ zrr: g_4q_- LICEIIsE *: CITY: tulatgh 68523 ACCOUNT #: sr: NC z*t !l$l_ PTONE s; t19,096.5658 PH: *.- _,- __, NC REG * r r Retocation, ls there a Nat;;lGss Line o'1 the iu eor Sir6? l- y"" f ruo rs BLDG spRtti(LEREoz T-' y". 7uo I NEbr consrRucTroN: ;y[ rnect NElt sTRuouRE *;rnsr rnacr j--1 SHE| t L-.j upfll ii ADD To ExIsT STRUCIURE EXIST CONSTRUCTION: i , ALTERATTO .RELOCATTO ACCESSORY STRUCTURE: DESCRIpT1ON OF UORK: _Ne lrHh,Jy Co,t{t1[ . _, ls food or b€wrpg€G F€pa€d or s€ryed ln tld6 ltrudurBt i Ves$ru0 b rh€ Propny Locared tn rtre noodphh? , /, yes i l'lo OISCLAIMER: lh..eby ccrlly ital alinlbmauon in liri lrplic€tion 6 coned a^d lllwolk rillcomdy wi) n\e 6tsta Buldim Codc 6{td atlo6er alolicaue Slste lnd local law! and orIn.nco. .rd ranuLlions. Tha tlHC D.,rahorn.d S€.ylc€! Ccnlrr wll br nol!5.d or.nr dEnags h fia.Dorov.d ohno and iircd,icctlons E,tSl8 E"g'ffiggrffiF$" libinrton. "'NoTE:Any Wo* Pcrlonll.d wio ue App'opdaE Psmtut,fll 6e ln vror.thri of t'€ Nc SEr6 Bd! cod..nd OWNERyCONTRACTOR: u{t{ ! 0e**SIGNATURE: Gr.ttr, lPt{ taAl} faoi.: D.fidfdl tralifaaUao! & rtaab E mval ldtllit apg&dolrr !,! b !a suhnltbd u!h, d. .dlcadgl hm (DHHS$rE!) $lE{! d€ hdlu d bdldho ,r. Iound tD .onbln A!b.!br or noL Yau o(o rq,kad to callfia Nlddrl Elnlt lon Sriild! hr tbE dor.s^,Pdl'Irolt (NEg{AP} rt (9€)m7.G860 at te 10 dry3 prb. ro 0E dsrloltron ofuy haifr, or bulleE. 8€ A.b..toa lY.b 6fl. t{S//$Mtr.orrt!t rl-er.pu!.!-b.rehmpJtr* TOTAL PFOJECT c!91; 13,875,000 BUILDING HE|Glf[: 13''5'S OF UNITS; I -- .---- Exsr rrND DrsruRBrxc ceRunz y'. v6s ;'- x6 NEW IMPERVIOUS AREq: 296,174 _---. . sq FI o(sTtNG TMPERVIOUS ane* _9 PROPEAryUSE:' lorace llnesreuneur --,"nencnvnu ]rrouc /trr , -lconoo SO FI OTHER MX .:iir,_ ax:=1.-X; e,,.* BFE+2fr5 Al (FoR oFFICE IJSE OiILY)zoNe IrV oFFEER: -.._*5 _ SETBACKS: F:.4.U, ApprDvar .- -- ctty: [:ier oeft: tlrl$ FtooD: - ._. -)^-A commenr -!dl&z/ 3 -fd . ?c dg0t_..^o d,;r t+"t Y\-;A Qztc*zo> '-rz,? &rso,:cn) PERMIT FEE: $6L-6 llzsln ZaP i 2a112 PK,{E s:919.2n.11t2 # OF STORIES: 1 * oP fr-OORS: I ---- - mre* y/,creun - colilMuNry sysrEM wElL sEwER v/crpuA , -- cENTRAL sEpTtc -, pFlvlre semc -. SEPARA1E PERUIIS REOOEEO FOR ELECT. i'ECH PT8G. GAS EOUIP PAYMENT MEIHOO: FCASH FdXCCT (PAYABI.E TO NHC)llarurccouur AqSII tJ s6 ,::}... t,& n 'i' ,H&t'.,7 '{,.'{ E:i/ 24C,t*P I 1qifu\ NEW HANOVER COTJNTY BUILDING PERI{IT ;J-ia3c aPP LIcaTto rypEr COI.IiIERCIAL PLEASE ANSITEi ALI. QUESrJON5 APPI.I(AOIE TO \rcUR PROJECT nproiect ResponsLblllt}/, -- DATE: 31272014 PlOi{E $: gls.27zllU -{e!-i.PBO]FCT ADDRESS: 0CCLPA|'IT/BUSII{ESS IrUttiE : pRopERTy 0u ER,s |\JAIE I M8ridan at FaiiF8ld pelk Ltc Urtt{ERr S ADDRESS: 613, Fa[! dtl€tJse Rord Sutts 2o0 CoITRACToR: _l&OrltSqqgllshEp-t __ __ __- AmRESS: 6121 FaSotNor,6€ Road Suit€ 200 ACRES DISTURBED: iOJIll-- NEW IMPERVIOUS ARE{: 2s6.12 CrTY: _V_Jiminlton APPTICATIOT{ unbea (lrffl(! us.) ZIP : 78412 _ - .. LTCE SE t: CIfy: Rsbti pt{oNE *. 919.&96.5666 ST:rlc ZIp: 27609 accowl si STrNc zrP: 27609 CITY: _(ale!h 68523 lf Relocalon. is ihoro a NEt al cEs Line on the Crinent Siite? I*a NEH COISTRI]CTIOfl:il EREcr NEI srnucruRE i-l rasr rucr i. , srulr- I :urrrr ADD TO EXIST STRUCTURE EI1AIL AIToRESS3 _offlhGllgt,lluDgh0EetL_, PROIECT CONTACT pEisoil: idchs€l Pede (ftact All lh€t Arrly) Exlsr CONSTRUCTI0N: [:-j ltremrtot i-RENOVATION Plol{E *: !!9{s.5668 PHol'lE *: 919??.11't2 GENERALREPATRS RELOCATION ves l*' t'to ts gr-oo spir^irrrReo; l- yc" Trrro ACCCSSOiY STRUCTURE: If UPFIT - The SheLt Perait #: DESCRIpTION gp 119X1. New L,luEhn y Con-stuclbn b food or b€vel5g6B prEpared or served n tIrls srtmre? i_-1 ves ls'Iho Prcp€(g Looaled ;n L p666g667y'. y6s ,--, tro OWNEH/CONTBACTOR ' MErt R BErbr SIGNATURE: TOTAI PROJECT COSI; 11,875.0m TOTAL AREA SO FT : 1S -.. zuILDING HEIGHT: l?.7.#OFU N[S: 1 SQ FT PER FLR: 196_# OF SfORIES: 1 * oF STRUCTURES: 1.., OlSClAlMm: I i'6lEq, cediy lllal all iniormali4 in Bis l[DricE6on t corei ld 6ll wod( $illGnmply $,ih Sle Slst6 Bddrno Cod6 and sU oth6. .oDlcsde Slllc iif_,3ftJ.ffisff8tsiffiffiH"#Jt',''B.NffiE?t1"'ffiA*#.?tffB,,i,yls1t###[*fiBr"ts,ifsffiflsBcgffiffig1ft sublccl lo Fines UD To 4500,00"' |li&drlr, Frn iLm) Ndo; Oarcfdoi nolft.lor! A..!etG renove p.rnlt.m*.l,on rt D b. e6.i&od rlnC 0l,.grlk adr fom (DHll$S?6t) *h.0, t trcory or ldkli{ r.3 hJnd b c'lEh &DEba d nol YdJ rn rql|td b c.tl ths st/oflat &*doi EElrd.rEts fur HErn or,/.t, potllt rE (ltESHAp) r (t Si7O.t$O tt b-r'lO d.y. pd;b h.d..Dlitn ola|, h.fftor !ul,".dr!. S.. trb.na f]\tb Sk hnpr rr r.dr!.t .ftr&t ld..{o.r.tripj6nt _ #OFFLOORS: t - - -_... EXST LAND DISTURBruO renrr,lrrr y'r ves .l - 1Ho s.o FT E(STING tMPERVtousaRe* o CLASSTROqION: Ux SO FT PRopERry usB I ffi1sE - rnesreunnr,n .MERC !.IILE l_-:eouc i/pr loorsoo orxe* WATER: YCFPUA COMMUNITYS\STEM WE.I sEwER: !/cFpuA .=_ ceurnt sEpflc -l frvATE sFflc - ,-_i -. SEPAMTE PERMI.IS BEOUNED FON ELECf. MECH. F!BO. OA5 EOUIP. FNEFAES & PAYMENT METHOD: rC,lSn ffiXeCr (pAy BLE TO NHC) l-B[L ACCTUI{I AppmvaL. _.. _. Crty: l^:'6n Oefe:_r;/ r./t ri FLOOO:__ }j, Rft_*..8:* O. fr are+zr PERMTT FEEI $.-( Comment futw,to ftu:ar D"? ,tac Tpowa J5€ ^?r+t Q,el*t -> i-ti /c.,*,flict**,abfr 4 applr(^rrs [Ar,rE: _lry-yjIg. DEVELoPER; NofiVrow P.rtto,s LLC &!r{q{ S{!ei_Ga*ts- Is Elect Porrer on this Eqllding i- yes Il: no .ii*r rs rHrs A oralJGE oF occlrpar{cv trel i'vrs d7fu.-.'.IF Yes, Biit u5s th€ Prevlous occuptncy Typct . _-_ -__-_-,. lAat ls tte er (kcupancy f|,qlet -. ARO| oESrG pfixrEssro{aL: l@9,! !.McEE-_ _* pfl;704J27.9900 ._ 16 xg6 s; 8l-95 _ EI{6R DESIGN PROfEssloiAI : PH i _-__-_ t{C RE6 * : ToTAL SQ FT UNDER RooF: f$_ -. sa 5) aot+ l tBg f *,::13 APP L I CATIOIII llu blr (offic. ut !) ,,], r;;' WATER: SEWER ':l NEt^l HANOVER COUNTY BUILDINO PERMIT AwLIcArIdt TYPE; CO,IIIIERCIAL DLEnsE AXSiI'R AL! QUESTIOITS APPII(I8IE TO Y(T'R PRO'ECT 'ProJ.ct Responsibl.llty"ii AFPLTCA!{T,s 4qs; l€tdcySm l DEVET@ER: tlodnvi.r, Prdn n LLC PRolEqT AoDiESS: jlElajlewg,ive - 5_qaQ!99 oCCUPANT/BUSIiIESS ilAl'lE : .- pROpERTy OUNEBTS ,{AfiE I Mrddlan al FalrFnld turii ILC oltitlERrS ADDRESS: 613l F8lls 0t NelJs€ Rmd suih 200 CoNTRACTon : -&d'yier_eg'!hEtigl'-- ADDRESS: 6121 tellsdtl.i}!€ Ro€d Sib 200 OWNER/CONTRACTOR:Ma* R Ba*er oar:,-.3274911. CITY: Rekhh .____- LICEISE f: 58523 crTY: ltlhingon PHO|{E g:919.277,1132 ZIP'| ai412_ PHOI{E $. s19.898.5668 --*. ST:NC - zrP! 27600 acc0tlfi *; EHAIL AIDRESS: rE d6dnortwiewDartnerB..olrl PRolEcT co rAcT PERSoI: Mldla3l PBele (ft.d all rh..r apply) cIrY: !!$.sT:!9 - zrP: t sog PHO E *: 919.896.5568 PHOiIE *: .919.22.11'l2 EXIST CO{STRIJCTIOI: ._ etrrUrrOl '' nrUOvlrrOt l*- -j l, Relocador. is there a Natu.al Gas Llne oo the Curent S e? I- Ycs 'f-l xo REPAIIS REL(TATIOi IS BLDG SPRINKLERED? i Y€s ili NO 6EIIERAL NEH CONSTRUCTIOT,I:ii/ERECT NEH STiUCTURE i FAST TRAC(SIIELL UPFIT ADO TO EXI5T STRUCTUSE ACCESSORY STRUCN',RE: If UPFIT - The Shell Per01t *:Is Elect Power on thls Euilding -' Yes I,l0 Aidl oEttGN PRoFEssIoaL i U&SJg9q.pH: 704,&7.0000 ss xg6 s; 8196 E!I6R oESIGfl PRofESSIOMLT ls fuod or bovEragB pBpared oI served ln tils stuEtJts? l-- Y6s No lE the PrepErty locer.d ln Th6 Floodpbin?VYes { . No _ -- PH: -.-_ t',C BE6 t: -__ -_ DISCiA|MER: I hEroby Elrdv lh{ .tt inlornrqtlon ln hi6 rppliEtton 15 corred ond all W!{t $,lll cqlrt y wilh th6 Ststs Bui0in, Cod€ End sll dlh.. orPlidblo SEle ;;-;ii ffi ;il;-#^;;,X iiiri iiiiiiiitdr'-rr nnc EL*opm€ni 3!fvic6 ccrwwllb. ncdlad otsny dErEes h.!ha leprqsd plqrlsndli9cfr4doo.;A;;;i;;;Eil;;ffitr;d;-flldfiGfr;: Sn fE. -r;t-W;it- PriGi;a il,loiil;Ap-r'it.i.'! P. nt' Illil5b In \r'd4b'i ot tho Nc sbr. Blds code 31d $biocrb Frno. up Tol500.o0'' tet/.ltr4 C,til@ lre: rr'IFlrd iofic.roi. g rt-ro. r.m. dF rppfl..dorBurb D.adrfi.d srhe ir.aorl(.dfi' tordt Ofltlg€7eq d!6..1ElHlU.,h{*lg wrE b'Jnd b dith Arb..br or rd. You .ll mqtud E c.l d.l,Lio|tt Emb.bi &rtdat tr tha&|r Ar Fo{uiiE {l'lEHlP) ll (910)7O-6t50 d l.. l l0 d.yt pior b 0E rhmamon ot lat balty or tdltE. sE.talBba yvrD 8ta: mFJrrrilradJfi..trraLplraatido.hnPrt TOTAL PROJECT COg7. 13,8?5,000 tg'a615611E1661. l3{' SIGNATURE; #OFUNITS: 1 sa FT PER FLR: l,!is_".- - # OF STORIES: 1 # OF STRUCTUREST 1 # OF FLOORS; I EXST LAND DISTURBING PERMIT?MYES. AREA: O DO OITIER: MX TOTAL AREA SQ FT : U16- - - . "-. -.TOTAL SO FT UNDER ROOF. 1.17s .- ACRES DISTURBED:l0.75acros NEW IMPERVIOTJS ARE{: 286''74 SQFT E(ISIING PROPERTY uSE: -- ,-OF|CE ]'iaegreUMMr MEROCNIILE , EDL'C NO SO FT \,,/crpua iZcrpua t COMiflJNMY SYSIEM .. . WELL ZONING USE pAyrrENT METHOD; ;' cesn ffiecx (PAYABLE TO NHc) j:JBIU ACtOUNT i-:MCyVISA r CENTML gEPTIC PRIVAIESEP'flC i@MMUNTTYSYSTEITI .. SEPARATE PEFMTG REOUIREO FOR ELECT, I]lEc}I {A6, GAS EOUIP, PREFABS & INSEFTS '' LRH:_*:_B:iE. , - X; BFE+2G PERMIT FEE: $o|-fu alnl,< zoNE:t\[. -oFncER: -45 -jTffi3lEff&-rr'Appmvd:. . city Lrr,,- o-ATf.AifilLFLOoo; __ __- commem lf;-fttd-J- ?rf -m. &?Lce> <,ru j.ol '&.P* ?a,,.tart> ii /cu<-t-z;crot tEvtSEo DATE tvr 1ar2 r*++r rs rlts a cH^ GE or ocolparcy user f'ves {7{p .t"' IF Yes, !h.t ra3 the Prt\rlous occupan<y Type? lftrt It ttle ller occuPancy Typa? .*-...--,--.--- . oEscRrprroN oF woRK: Nl Mdlfrju cgIh,'qn ,. .--_ 'i ?j r;i i' ]ECEIVED $EP 08 $fi E B M tf '12(0 f€s 15")YtD APPLICATION Nuober APPLITANT'5 NAIIE: F.Ll iid;ko:OAtEi I i ,.l r_ DEVELOPTR p(oi EcT A00RE55: occuPAilr,/BUSINESS NAI4E i .,.-r! ,^:,.' i q, :. C]TY pnoNt {: !l PHONE }:PNOPER TY OI{NER'S NAlilE | !r,i,ne ricD.r usn :n. oNNER'5 ADORESST i,i, riox rr,s'l{i1 CoNTRACTOR r l'rnj\j. i'r.::r:rtr sar\.i'rE!, :,-,rl ADtlRfSS, :j, i a,::r!rjtl i':.i:s:.:r, D: CITY: r,'- -ur,:..5T:jj-ZIP:, .'r- tT: 1: 21P: jl1-LTCENSE fli ,.,N CITY: ! t.\ i.!ri [.:] rHAII ADORESS: U:PHONF *r..,, ',i"',1(. PHC{,]E #: : a PRoIECT CoN]AC'I pER50fli :.r1.iie'-le t:ti( a$r<l Ail ,h3: aplr rr) l1 Rdocalhn rs thsrc rr |\latural GBs Lilte on lhe Culreqt Sile?L--J Yes 6Et ERAL REpAIRs fl nrlocartoru D ^o ts ot trc spifrx.tnr. n' f] ves txrsr aorus1RUCrr0 :ALI€RATIOII RENOVATIOII r'tEti col,s'r iuc IIcN :I errcr Nlt{ s]RUcruRE ! rns-r rucx SHELL ll..l UPFlT AOD IO EX:ST STRUCIURE i- uPfIl - ;he ShelL Pel.rnit d A'C E3SORY STRUCTURE: WATER: fICFPUA SEwEai fICFPUA ZONE rirr? I9 T9r5 A Cllali6€ 0f occupll',lcY usEl YE5 6 what is the Ne,, orciJpanay Type' _- PHr i i-. ,r1 l.ai Na REc 1t: l:rt _ Is Elect Pouer on this Building E Yes \c IF Yes, whrt u/.s the Prevlols occ[pan.y Typel APCIr oESIGN PRoFFtlrotuL: .lj!:!!..r j TNGR OESIGI.I PBOFESSf,OML: *lHr NC RTG 9 0ESCRIPII0N CF !iORK irErircoE n{}, rc!,h olscLA \!ER' I l,r''ob.)/ .erlrry ltJ all inlcrnrlb,l r rlrs ai&lrj3lroi,s (:Jr (jcrarlr drl w{rl srll corn '/ wir,r irr srall) guirrr,q:loie 3nd a:, oll:e, rt ll('rDre Sl.'. dd2..a..nirrcoiJdlrrirs. rlreAr; Qurdllorlruil orerroxlla.lcr,-nfrrBlu' ''NOIr 4.y v\nfi P .:rt cliJL,qe! n Llu rr9 o'+{ rrils arlbr | \1.1r'rior' dtr,'c ola,s a,,.i.',tur.:nlic' :, ^rC Srn, ltlda a:nne. dl SO FI AGRES DISTURBED] - OWNEFUCONTRACTOR: i'a:, tra,r.er SIGNA'TI.,,RE: iorrtlr, it'srNr..r .orlah As!.4to! oi nor yo! !i€ r€dulrd ro c€, lrie NlrioMr Emissoo Srsnderd! to. H6:rrdo{s A! Ft lrulrlr lt€s}lAil 3! I919)7@.5S$ at ie69 10 03ys t iro. lo rn. tlnorirlcn of at lacrlllt or burldbg see Aebs5lod Vibr Stu: t:!: t:* ^!; ' ': |OIAL PROJECT COST: ii!,I;; EU,LDING HEIGHT { OF UNiTS: TOI A1, AREA SO F # OF STORIES IOTAL SQ rT UNDER ROOF: - IOF STFUCTURES:il OF FLOORS: _..- EXST LAND DISIURBII.IC TCRTIIT f] VTS NO NEW i'|(PERV|OUS AREA _--SO Fr EXISTING IMPERVOIJS AFEA pRopERry usE: tloFrlcE nnEsraunar'tr fimrncnwtre f]eouc CONDO O]HER: COMMUNITY SYSIEM EWELL CENTRAL sEPnC LI pR,VATE SEPTIC DZONTNG USE CI"ASS|FTCATIO N DCOMMUNIIY SYSTEM PAYMENT ME ftOD: nCASH cHEcK{pAyAsLE ro Hncy [menrcnl exeRrss f] uc,vtsl [-. ]otscovrR 2g OFFICER:/"r.2 iFOR OFFICE USE ONLY, . stiancxi,rt-r/Lr-H: ",,l_nH: a,] e: J Aoproval:- City: l^:;ir- Onfe zi[i.{'< fIOOO -{*"tun'o= ff Commqit Cil'; PER[,11T FEEi S REVISEO DAT€ 4N1/12 NEI^J HANOVER COUNTY BUILDING PERMIT aPPLrcarroN rvP€ i col.lMERCIAL o!aA(: nn<iEr r,i r QU!a r1t'rs ,1peL:i,1Brf I0 YcuF lRClrar "Proje.t Responslbility" lr food or boversgds p.qpared or sprver, in lits aructrre? f] ve" fi ruo ls Tig Property Loe€ted ln The Floodplain?f -,1Ves [ruc SQ FT PER FLR: - hi,.tbr- ,ECEIVED SEP O8 N6 APP LICANT's NAME: Paui r',/aLker DEVELOPER: Lott-Lto fEz ts.)n, APPLICATION Number (office Use) i,* ifl,r 4Y DATE: 9/3/1,5 PHONE f: PROJECT AOORESS:\o ttl 0 CITY:/r1\ N 01..,ztPi-, OCCUPANT/BUSII{ESS iIAME: Home feoot USA inc PROPERTY OWNER'S NAME:Home DeDot USA Tnc PHONE # CONTRACTOR: tJalker Prorr.,r-ty services, LLC ADDRESS: ?174 cenrral Indust,rial Dr EIIIAIL ADDRESS: nrisgsewpssc . cgr CITY: Riviera Boach PRO]ECT COT{TACT PERSON:Michelle Riqqs PHONE f:5Et-848 0036 PHONE #:561-848 0oi6 (Check All rhat Apply) EXIST CONSTRUCTION: lf Relocation. is there a Na ALTERATToN [-l neruovlrroru cas Line on the Current Site? f_l GENERAL REPAIRS tural Yes No lS BLDG SPRIN NEr.l CoNSTRUCTTON, ! rAeCr NEW 5TRUCTURE ! rnsr rnaCX ! Srer-r- ACCESSORY STRUCTURE: UP FIT RELOCATION rrrRsou !ves [ruo ! aoo ro Exrsr srRUcruRE If UPFIT - The Shell Permit #: IF Yes, what was the Previous Occupancy Typel **'I*'* rs rHrs a CHANGE oF occupAlcy ustr [ves I what is the New occupancy Type? ENGR DESIGN PROFESSIONAL PH NC REG # DESCRIPTION OF I,'IORK: ResLroom Refresh ls food or bev€rages prspared or served in lhis struaure? [ves !No ls The Property Located ln Th€ Ftood4ainZ f]ves ! ruo DISCLAIMER: I h€reby cernly lhal all information an this applicalion is correrl and allwork will comdy with the and local laws and ordrnances and reoulatons. The NHC Develoomenl Serv,ces Cenler wtll be nolfied ot anv or chanoe in contractor or conrador iilformatron "'NOTE Any Work performed w/O the AppIopriate Permtls Subjedlo Frnes Up To 5500 00"' charlpes n lhi) aplroved Dlans and willbe in Violarron ot the NC State specifi Bldg C SEte Suilding Code and allother appticabte Slale ode and SQ FT cofilain Asb€slos or ncl. You are requlred lo calllhe Natonal Emissloo S'tandards fo. Haardous Ar Pdlulants (NESHAP) ar (919)707-5950 st least 1O d6ys Ftor to tte dernolilion ol any hdlhy or buildlng. S€€ Asbestos Web Slte: rrllpr^^\rw.epr stzte. nc. usrep/asbenos/ahm p. hl 'r i TOTAL PROJECT COST: 8o.ooo SIGNATURE:?*,t ilal*A BUILDING HEIGHT SO FT PER FLR: fl CoMMUNTTY SYSTEM fIWELL flzONrNG USE CLASS|F|CAIoN []CENTRAL SEPTIC LIPRIVATE SEPTIC E COMMUNITY SYSIEM # OF UNITS TOTAL AREA SQ FT: 550 TOTAL SQ Fr UNDER ROOF: _ #OF STRUCTURES: ACRES DISTURBED EXSr LAND DISTURetNc crnrtltrr I vrs f]NO NEW IMPERVIOUS AREA:__ SQ FT EXISTING IMPERVIoUS AREA: PRoPERTY USE: EOFFTCE DReSrnUnAl[MERcANTTLE Ieouc Ieer [cotoo olren: WATER: ICFPUA SEWER: E CFPUA PAYMEiTT METHOD: ECASX t cHEcK (eAvABLE To uncl [auenrcel EXeRESS I ucrurse n orscoven (FOR OFFICE USE ONL\/) ZONE:_OFFICER:SETBACKS: F:-LH:- RH: B: Approrral:_ City:_ DATE: FLOOD:__ _ BFE+2ft--_ AVN Comment PERMIT FEE: $_ NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE r COmmERCIAL PLEASE ANsl^rER ALL QUESTIoNS APPTICABLE T0 YOUR PRoIECT "Project Responsibility'' O}.INER'S ADDRESS: po Box 105465 CITY: AtlanEa 5T: GA ZIP:30348 LICENSE f: ?5661 ST: FL ZIP: 33404 tr Is Elect Power on this Building D Yes n NO ARCH DESIGN PRoFESSIoiIAL: Sodano Architecture PH: 631 871-4160 NC RE6 #: 13154 OWNEFYCONTRACTOR: I'aur wa:xer # OF STORIES: 1 # OF FLOORS:_ REVISED DAIE 4/I 1/T2 Sj Sr: NEW HANOVER COUNTY BUTLDING PERI'IIT aPPLIcATIott ryPEr COI'llttER€IAL PtEISE AiSr{E8 ltt QUESnO$ APPIICABLE T0',tl]lrR pRolEcI 'Prcjest Responsibllit!/' qs,F-_ CITY, !'llrnholon tHisl rl tatrFldd ffi.lLC Oot*L Illattl $.aa6 I /.,: .,--. .:. '-,i' | ... ,,- &,', 'r'ffi APPLICATION Nlnber (Oftk. Ur€) D,AIE2 3t27r2014 APPLTCAII' s t',lrie: . jl9 3$. --DEVGLoPER: No,h\/€w PertErB LLC_ - ,|UU 3 enO::Cf AnOnrSS: fai-rl*Oriro.OAO-0".* 60 .. _ _ pr(},rE *: 1it2n.1132. ZIP't 2l,112 Exrsr cotsrRrrcrroil: ar ALrERArrofl = rrrJilil$ * ?'ii'.r* *rro.o i i R:locrrrol It Relocarloo, h rhere a NoturatGas Line onthe Cr,rrenr She? ll1v.i- i-=lro ts alOC SpntlfleneOt f" v"= 7,ruo -,tl$l CONSTRUCTIo : V ERECT NEI{ STRUCWRE _ FAST TRACI( _ SHELL -- UPFIT _ ADD TO EXTST STRUCTURE ACCEssoRY STRUCIUIE: occtrPANT/BlrSINESs UU1E I EIIGR OESIGN PfiOFESSIOO{AI.I DESCRIpTIOa{ OF I{ORX: t&w Multfs,rily Coost udion food or boyerag€s prep€r€d fi Eenld h ll s shrturs? i Yes TOTAL PROJECI COSI. 13,875,000 tg11gg116 1191qp7. 13'.5' 9r9896.560t oItlER's ADDREsS: 6131 Fsls ofN.Ne Road &[e 200 CITY:M zlp r 27609 COffRACmR : lEduign CooEEldbn _ -LICEI|SE #; ,68523 -__ _ ACCOT [T t: ADoREss:q!!t{!gl!.0_gg$a!9y&.Oq_,- ___crw:!{4h sr:Nc zrP:27609 EIArL A0oRESS: -IEqrE0gt![e@Osrs,OI!__ ___ _-_*_ _ _,-. PROIECT CSITICT pERSiON: Michad P€eE If ITPFIT - The SheII Permit #:Is Elact Pouer on thls ButLdint i'"'Y€s i'tlO .r.ri tS ttts A CTUINGE of OCO,plNCy gser J* ws 96" .-..- fF Ycs, {hat ras thc Previ.ous Occupancy Typc? . t.lh.t l. th. [3H O(cupaficy Typel ARtH DESIG,I PioFESSIW|I r MatUEr G. Mrlors PH: i04.927.9900 Nc REG #: 8196 PH'UE SI 5T: OilE r:9i9.898.5€€6 tflot{E *: 9'19.27?.1112 -".,.- _,, Ptl; ___ -.__.,- C REG r ol dly Uat( R Barkot (orfi1 ndlcadon t ldda ,siod lqrlfr rrr&.tda it b tr rHtrd uril,ie ,t. ?didi'| ftfln (ofiH8.lnq wHir dlr lbdttv o. boldhg wi, h.rd i. or .Et Yqr cr rlqditd lo ..ll tu ltdr|.l Elltd(rr g.n{rd! hr fieldo'r A. Pdturd. (t{EgHrD a (8lt)70768@ { ti.t 10 6ys Pltd u, fi. h.ffV or hJIdLt. 8.. ArEarba W$ qE: ht&dl}ffr,ldtbE n6rrt0{b!bb./CrnBtt,1l No ls The PDpeny Locd.d h Th. Flooddllfl?VYes' .No 6rl orher .ppliceblo Slcto ohtts andso.g,lcabnB NC Sl8lc Bldg Cod. snd f OF UNITS: I , OF STORIES: I fOF FLOORS: ! a(sT I-AND DISTURB|NO fenNrn .; veS i Iuo _ sa FT ocslNc tMpERvtous me* o SO FT -rEouc lnpr . coNDo orHER: ..ZONING USE CLqSSFICATION: MX SYSTEM BEVISED DA]E ACRES DISTURBED: l.o zr Tas NEW IMPERUOUS AREA;29s.174 SQ FT PER FtR 1,.IqS f OF STRUCIURES: I \. PROPERTY USE OFFICE RESTAURANT MERCANTTLE wartn y'-crrua mMmuNrry sysrEr, - wELL SEnTER: !/, cFpuA CENIRAL sEpTlc - pnivnre sf mC -' SEPARA1 E FESMITS HEC]UIREO FOR EI-ECT IIECH, PTBG, AAS EAUP pAYr,rENT METHCD: I-icSX #r*O<(PAYABT.E r0 NHC) i-_iBru rccouNT r aft;1;i zoNE: l\F .oFFrcER: /,.*L__,]:"Sffitr*E? .r,-d* nH: l<e:rr Approrrat: ciry:-,)rrea DATE:_L2f rt[rJl FLOoD: - -..- .. __.y gee'iZc co,nmenr !etwls__?a 1tu ffi_sa> s,s( ?,L.. u -''J."*,rr..,,plnsa< Zewtt.> G, ao-srvun,*l' qt-f$ PROPERTY O T{ER'S IIATE: --_. _ , SIGNATURE:_ TOTAL ARSA Se Fr : 1.41 9 TOrAL so FT t NDEn nooe.Laoe _ '/.. .& NEW HANOVER COUNTY BUILDING PERMIT APPLICATIaN IYPE: COMIT1ERCIAL PLEASE ANSuJER ALL QUESTIONS APPLICABLE TO YOUR PRoIECT "Project Responsibility" /orf- fl J1-- L5-237 3 APPLICANT'S NAi4E: Phrlilps Manaqe41en! Gplp PHONE #: DATE: 819 I5 DEVELOPER: PROIECT ADDRESS: 46t4 Fi.tImore Drlve (unrts A-D) CONTRACTOR: PhiIIips t4anasement croup CITY: i,i:Inrno-on OCCUPANT/BUSINESS NAI'IE: .'li :,-i:. ;r)::r.:rii,t:i PROPERTY OWNER'S NAI{E: fre cle:: G, LLt PIIONE #: OUINER'S ADDRESS: I4C,l Batrlesround A.re Ste 201 CITY: Greer,sbcr:c _\ ,q :s d :J \b 3 9 RESS: 1400 Battleqround Ave Ste 201 CITY: ::ee:,,.br: r fiAIL ADDRESS: . neh.rme 1mp 8lv i nd.r t ream. nei PHONE #: 3i6-:11-:tBl PROIECT CONTACT PERSON: I{. , ,, -, i. ..r :: --, e :PHONE #: lli,-r- lt-ir'r :.1 (Check All That Apply) EXIST CONSTRUCTION:ALTE RATION RENOVATION GENERAL REPAIRS RE LOCATION lf Relocation, is there a Natural Gas Line on the Current Site?il Yes INo IS BLDG SPRINKLERED?[v". flro NEh' CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHEL L UP FIT ADD TO EXIST STRUCTURE ACCESSORY STRUCTURE: ST: J!_ zIP: :fllq ) '.)d ,1 g If UPFIT - The 5he11 Permit #: e? Apa rtment s ARCH DESIGN PROFESSIOiIAL: K{)t Ho,rLeller Architects PLLC Is Elect Pobrer on this Building Ives Eto l.lhat is the New Occupancy Type '}**i.r* IS THIS A CHANGE OF OCCUPANCY USE? EYES I NO ***rr IF Yes, what was the Previous Occupancy Typ ? epa rtment s ls food or beverages prepared or served in this struaure? [ves fi lo ls The Property Locsted ln The Floodplainz I ves !No DISCLAIMER: I hereby cerlify that all information in thrs application is correct and all work will comply with ihe State Building Code and all olher applicable Stale and local laws and ord,nances and reoulations The NHC Develoomenr Services Center will be norified of anv chanoes in the aooroved Dlans and soecrficarons or chanqe r4 conlraclor or conlraclor riformatron. "'NOTE: Any Work Performed WO the Appropnate Permris wll 6e in Vrolal6n of lheNC Slale Bldg Code and Subiectlo Fines Up To $500.00"' OWNER/CONTRACTOR:phitrips Manaqement Group SIGNATURE: PH PH 974-612-77L9 910-343-8007 NC REG #: 52 510 NC REG #: 19 415 ENGR DESIGN PROFESSIOTIAL: uood:r Ensineerins DESCRIPTION OF I",ORK: Rebuild 4 unirs rhar were roral losr due ro fire FT '. : a'| ) a E (O€[n€O (Print l{amo) contaln Asbestos or not. You are rcqulred to calltho Nadonal EmEslon Standads fof Hazardous Air PollubnE (NESHAP) at (919)707-5S50 at le&st 10 days p.ior to d€ dernolitjon of any facility or building. S€€ Asb€stos Wob Site: htts:/ Mrw.epi.st8te.nc.us/efi/asb€sto€/ahmp.hunl TOTAL PROJECT COST: 3t..]., O.C BUILDING HEIGHT: 26 FT #OF UNITS: 4 TOTAL AREA SO # OF STORIES: : TOTAL SQ FT UNDER ROOF: -:. , .r # OF STRUCTURES: i #OF FLOORS: l ACRES DISTURBED: : .EXST LAND DISTURBING PERMIT? -IYES EJ NO NEW IMPERVIOUS AREA: r. .l SO FT EXISTING IMPERVIOUS AREA: PROPERry USE: lOrrrCe ! neSreUnerur MERCANTILE EDUC APT CONDO OTHER: SQ FT WATER: SEWER: fICoMMUNTTYSYSTEM fIWELL ff CENTRAL SEPTIC LI PRIVATE SEPTIC flzoNrNG usE CLASSTFTCATTON EcoMMUNTTY SYSTEM ECFPUA ECFPUA *.SEPARATE PER[.4ITS REQUIRED FOR ELECT, MECH. PLBG. GAS EOUIP. PREFABS & INSERTS "' (FOR OFFTCE USE ONLY)REVISED DATE 4N1112 ZONE:_OFFICER:SETBACKS: F:_ LH:_ RH:_ B:_ Approval:_ City:_ DATE:_ FLOOD: ___ BFE+2ft=_ AVN Comment PERMIT FEE: $\B/B tCc,Ci r ciPu* I APPLICATION Number (office use) )+s ZIP: :81,13 ST: r.. ZIP: . , i LICENSE #: : :... SQ FT PER FLR: . - . pAyMENr METHoD: ncASH [cnecx lenvmlE ro NHc) flnrvrenrcaru EXPRESS fl lacnrrse f] orscoven ffi NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: COMMERCIAL PLEASE ANSIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibj.Iity" ?orr-t lsb L5-237 4 APPLICATION Number (office use) APPLICANT'S NAlilE: Pi,lllrps Manasemen. sro.rrl PHONE *: DATE: 8-19-rs ZTPi:]AN3 DEVELOPER: PROIECT ADDRESS: 4614 EiLLmore Drive (unics A-D)CITY: ;,;: -r:r::.q -, cn OCCUPANT/BUSINESS NAfiE: rhe cten Aparrmenrs PROPERTY OWNER'S NAME: rhe ct-^:r :, r-:a otrNER'S ADDRESS: t4a0 Barrteqround Ave Sre 20-l CONTRACTOR: I,hrL-lrps l4anagement Group ADDRESS: 14011 RattLeground Ave Ste 201 CITY: Green sl:oro ElilAIL ADDRESS: c nehome lmpLGw inCsr- ream. net PROJECT CONTACT PERSON: \el::oIr Ea::-er (Check All Ihat Apply) EXIST CONSTRUCTION:ALTERATION RENOVATION 6ENERAL REPAIRS lf Relocation. is there a Natural Gas Line on the Current Site?Yes ENo PHONE f: 336-2i A -2 481 ST: Nr ZIP: ,rr--r!8 PHONE #: Jl6-2r4-:481 PHONE S: i:ii,--iirL r!,l d t RELOCATION IS BLDG SPRINKLERED?flv"" Ir.ro ..-. NEW CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHELL UPFIT ADD TO EXIST STRUCTURE ACCESSORY STRUCTURE:d 9 .--) liEF- If UPFIT - The SheII Permit #: IF Yes, what lras the Previous Occupancy Type ? Apa rtment s ARCH DESIGN PROFESSIOi,IAL: Xot- Hostetler Architects PLLC Is Elect Power on this Building I ves f] ruo What is the New 0ccupancy Type? Arrirr- ienrs PHi 9ra-672-7779 NC REG #: 525?t cootain Asb€s!6 or not. You ere requhed to callthe Nedonal Embslon Standards io{ Hazardous Air Pollutants (NESHAP) at (9'19)707-5950 at leesl 10 dsys prior to th€ d€moliton ot any facility or building. See Asbestos Web Site: ht9/ rtlrv.epi.sbte.nc.us/6prasb€6tovahmp.hunl Comment SQ FT TOTAL SO FT UNDER ROOF: J6,! ACRES DISTURBED: tlr,:EXST LAND DISTURBING PERMIT? T-] YES T NO NEW IMPERVIOUS AREA: r.rone SQ FT EXISTING IMPERVIOUS AREA: PROPERTY USE FFICE RESTAURANT MERCANTILE EDUC APT CONDO OTHER: WATER: ECFPUA E CoMMUNITY SYSTEM fl WELL flzONlNG USE cLASslFlcATloN: SEWER: [Z CFPUA f]CENTRAL SEPTIC LIPRIVATE SEPTIC flcoMMuNlw SYSTEM '" SEPARATE PERMITS REOUIRED FOR ELECT. I\,4ECH, PLAG. GAS EOUIP. PREFABS & INSERTS "' PAYMENT METHOD:EcASH flcuecx 1e*neLE ro NHc) fieuenrcau ExpREss T MCn/rsA n DrscovER REVISED DATE 4/11/12 ZONE:_OFFICER:SETBACKS: F:- LH:- RH:- B: Approval:_ City:_ DATE:_ FLOOD: __ _ BFE+2ft= \3 / 8, c:Lt LF / cePL.t + CITY: S:SSl:!gsg_ ST: J!_ ZIP: 2r4c8 LICENSE #: 2et2 *r!i**'', rS THrS A CHAr{GE OF OCCUpANcy usrt [VeS flrc ***** ENGR DESIGN PROFESSIOTIAL : -doodi.r Enq i r,eer i r,.1 PH: l_1!:fll:!tltlf_NC REG #: 19115 s -\--- \\l ls food or beverages prepared or served in this structure? Eves [} No ls The Proprty Located ln The Floodplainf I ves [l no DESCRIPTION OF WORK:RebUi 1.1 4 Ilrits th.r were ioi:l lost to f i-re is correcl and all work wl (a@ltnd) TOTAL PROJECT COST: 3",:': BUILDING HEIGHT: :6 ET TOTAL AREA SO FT .. :JJ:)- SQFTPERFLR: I,8]5 # OF UNITS: # OF STORIES: l #OFSTRUCTURES: i # OF FLOORS: 2 (FOR OFFTCE USE ONLY) N r ;- I PERMITFEE:$ Lr I I -- ------f------.---t----_ zoti-q/f3 APPLICANT'S NArilE: Adams SoutheasLern Construction, LLC DEVELOPER: PROIECT ADDRESS: :L) station Foad. UNIr C L5-26L2 t APPLICATION Number (office Use ) DATE: 9/ 14 '/ 1s CITY: ','irlmlnston PHONE #: 91a 443 8753 ZIPi2s4i:)5 OCCUPANT/BUSINESS NAI1E : T=L PROPERTY O{NER'S t{AIllE: undisclosure requested PHONE *: OWNERJ S ADDRESS:CITY:ST: _ ZIP:_ CoNTRACTOR: Adams southeastern Construction, LI-C LICE SE f: 68856 ADDRESS: 323 l,lhisper Park Dr.ive CITY: !iilminot-on Eli'lAI L ADDRESS : t aLlams B a.lams :i ec . .,orrl PHONE *: 910 441 8r5l PROJECT CONTACT PERSON: , ,.,,:PHONE #:9tr 443 8153 (Check All That Apply) EXIST CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS RELOCATION lf Relocation, is there a Natural Gas Line on the Current Site?Yes Ero IS BLDG SPRINKLERED?Iv". Ir.'to NEW CONSTRUCTION: E ERECT NEW STRUCTURE ! TIST TRACK E SHELL ACCESSORY STRUCTURE: Elao -ffir.rn rrtrir ,At UPF IF Yes, what was the Previous Occupancy Type? ENGR DESIGN PROFESSIOTIAL: :r t :j De:iqrrr: srd Eendamane DESCRIPTION 0F WORK: i,L, :rne,i,i -fit usin ***** Is THrs A cHAl'lGE oF occupANcy UsE? EyEs fiio ***** Is Elect Power on this Building E Yes E ruo What is the New Occupancy Type? ARCH DESIGN PROFESSIOiIAL: Erederlck Collins / Becker Morgan PH:910 341 ?600 NC REG #: 4537 PH:910 470 9687 NC REG #: 12918 non foad bear in metal studs ls food or beverages prepared or served in this structure? [ ves fl lto ls The Property Located ln The Floodplsin? E Yes I No DISCLAIMER: I hereby certify thal all information in and local laws and ordinances and regulalions. The or chanoe in conlraclor or ( ontraclor informalion "' Sublect lo Fines Up To $500 00"' lhis applicalion is correct and all work will comply with the State Bu NHC Develoomenl Services Cenler wrll be notilied of anv chanoes NOTE Any Work Performed w/O lhe Appropriale Pemiis wll b:e in in the approved plans and siecifications Violalion oflhe NC State Bldg Code and ilding Code and all olher applicable State ,+4 -----'OWNER/CONTRACTOR: w. 3. "rr.r.e" .-..rrn:, rrr SIGNATURE:(ou.H€o (ftrn Namo) cootain Asb€stos oa not You aro rEqulred io call t l€ Nsdooal Emb.slon Standsrd3 for Hazaftrous Ar Pollutanb (NESHAP) al (919)707-5950 at lest 10 days prloa !o tho denlolitoo of 6ny tacilily or buildlng. S€€ A3b€8bB W€b Silo: htts:/ ,nw{.epistate.nc.us/ed/Gbeotodahmp.htnl TOTAL PROJECT COST: :J,"i -, , !, , - BUILDING HEIGHT: :.,,-# OF UNITS: r:,'a # OF STORIES: :, r '; TOTAL SQ FT UNDER ROOF: , ,# OF STRUCTURES: rr a # OF FLOORS: ACRES DISTURBED: :,/.,EXST LAND DISTURBING PERMIT? -IYES E NO NEW IMPERVIOUS AREA: SQ FT EXISTING IMPERVIOUS AREA: PRoPERTyUSE: [torrrce EResrnunerur lr,lencnnrLe !eouC Enpr E CONDO OTHER: SQ FT WATER: ECFPUA SEWER: r7l CFPUA ECOMMUNITYSYSTEM EWELL E CENTRAL SEPTIC L] PRIVATE SEPTIC flzoNrNG usE cLASStFtCAT|ON: flcoMMUNrTY SYSTEM ". SEPARATE PERMITS REOUIRED FOR ELECT. I\,{ECH. PLBG, GAS EOUIP. PREFABS & NSERTS *' PAYMENT METHoD; ECASH flcHecx lenveelE To NHc) fleruenrceru EXPRESS fl r'rrcn4se I olscoven (FOR OFFTCE USE ONLY) C;, CZ B REVISED DATE 4/I1l12 ZONE: OFFICER SETBACKS: F:- LH:- RH:- B:Approval:_ City:_ DATE:_ FLOOD: __ _ BFE+2ft= AVN Comment PERMIT FEE: NEW HANOVER COUNTY BUILDING PERMIT aPPLICaTION rvPE: COIJIMERCIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" 5T: NC ZfP: 28{11 -f /_ TOTAL AREA SO FT::-jj_ SQFTPERFLR: nre If UPFIT - The Shel1 Permit #: 'l , ri) lN\b , /F \J, V 9 ?o\5 - {t13 -w,15-z*+ ,',qy11tt 41PZ '< t.c4 Un;d/'fut,-- COUNTY BUXIDING PER''IIT 1 HEId HANOVER AP P t tc Ar ldt rY?'r: Col,tltEiCIAL pLEAgl lllsr€i ALt QOEsTrols AP?LrclELE T0 Youn nolEct "Proj.ct Sesromibl}ity" .:fi.,,. , APPLICANf,S }lAIt't r.i:r8 t*r t d:- A}FL]'AIftd liurbrr (oFft.e use) ! oartt c1/ri / ltt DEV[LOPER:M|Tln -{,,AtZ\ tL. t: c lff RtlCTtq,4 rm*s r: q rc - lri€. r 77L PSolECr AD{)REStr +r:1 LANP i.. Dt? ,CfTY: \A/rt rvliNl.. r-cN ZrP't '/A4t"4 O(CUPAruT/$U5TIIE55 MfiE:?e.(xt,4 0acV4 l-u rntun?. (l.O PROPE|n o#i'lE['s RAl4f I 6nrr '{. o Prf-rzT /; CITY;/-!F-Ar?Wl\ T E.R STtt_tuv: 11'71;l- srtylTtlt -aFALa ?$o.tE * a)yzlL 7L 71g{E g7 ttc:- ?Ai ,jJ7Z oe{}lERts eDtS COtrTRAcToR; 4'rrll'.11: Go'^L 1n,r''r\2Aclrr|t r LLL LICErfir *r l2L1 C'TY:vvtu.M ${alaN Essr 1zg I 1:4C r2-\/tL AOORE95:z,iA f,l IHirL ^DoRfSs: C"44 C"\1\E @ ea, \zA , hM pRoJ[cr colfTAcl pEft soir: , laepR( L\E-t ;flilff IHIfl :H,*xnTft F-:iH'ltiFffiT^',$.ffi ,H-tht#ffi ',*soo lJa{ csltgTntrcrroti ftffiro rrcr sTRucruit E rrcr nacx fl suru E uerrr tDD To Etr:tr $ftJ{xutr *#.ar.:f 7L9 o rf upFfi - The thell p€mlt l: It Elect PoHer on thlt guildln8 ffives fim G'.'. t! flrs & cilarcE or oconorv wet frvts p!6 .."- rt vca, *fiat rEs th€ 9.st/ioot o(cuprncy rypct rftltt 1! tie x{fl tkcuOD(y lyrc? -_-* (tcH ctrr6x PfiOFEttlOaJAL :tAxzu-arztNtLl A€Lr.i if *.i Flti la Effif, r,!5icl,t PROFE5S:r Alr ?uDer{ ZrN4rr LrrN/ E^r/a ,P,i:416--l L 't4rr> I]ESCRIPTIO OF KOR(:Luecr l'l t ,ood 6r ber€r.f,gas Feflrd o. B.ry0{, h 0lh !u,rt "Z[V".ffi 6 !h! fttu{try tocsEd fn n naadenffrVes fi'f6- win thB SlEl C.de bt OW},IEFVCONTRACTOH:G"gu?,SIGNATURE: 4o, tr , /t-lo4A/.ti. fi\.EE- , e.u 4btlL> 4a, F-i t"Plta.-. "€*w , o€-1 llrns: oodd&ih nou. t6ti6rr & rnbeslls tnnftl parmlt ,t9llcaddtt al!id !. rtbfiin d qdBir rrplknhn lofi EltlH$rfirl iLi$,v ar lrrildht s!* l(rld to t6nl3ln Arts!r..,, d t16l Ya{reri ran d lod, nir Ndto.ll Emhtlnn gti.hrd. ht HdlfdnE Ar Folldrr* (irs TOTAi" sA F UNDER Rotr-t lUZ- ACnES DISTURBEo:-- (rorioltEn ot 6l1Y lada} orhrlktrtg-8r. tulanor W€! stte,ilD./t4rr.ed.dcr-i(r6,tri/!.Ot ros/.tnp.l*d rorAl pRoJEcT cosrt t{ t-41$aq '''BUILDING }€IGHT:t*l TOTAL AFEA SO fi :Zcc'c so Fr PER FLRI _1gg__ { OF STRrcTURES: _L-. f Or FLOOFS ,l EGTIANO DIEIURBING PmMmEYES E No FOn OFrrc€ U8E oNl}1 , r:5-Q:L SF/SEU tAlt +tfi' zoNE cFFlc€R N\SEIBACIG; Appm\,6f.*-- 6HAP) r B107Sr.!050 n b.il i0 d4,E Fior to XB ,0F UNrS: ,OFSTORIES: ! PEf,MI'i FEE: NEw IIJPERI.,II,IJS AEFA: - . SO FT D(LSTIMI IMPERVIOUS AREA - SQ FI pRopERry u,es: fprFEE flnernunnrr fiuencnxnr.e [eouc fleer fhoxoo orxen1rcggg.jl-1:'r' , w{rEP: SEII'ER: n c,oMMuNny BYSIEM l-IwELL [:?ONE{I t SE Ci/ASS|FEAnO* frcrurtr srr"rc ! r-nvare serrc fJAMHUiiffYsttTE!CFPUA -. SEPARATE PEt*Il-rS REOVIRED ron EIECT. LrEcll. PIBO a,^S ECLI1P Pfl-E ABS t lllllErfs "' ?AystEMf METT"TOD: ncAsH Elct Eo( (PAYTAE TO NH6) [AueRrm oenrss nMCi/lSA ffiOrSCOUrn itsi.ldai}6 ,Ir0D FLooD: _*_- s Commer{ chr.-!rE- Citl lnWeclion Requreo, 91 0-254-mffl fiic,lta * t 7 Z"l' 4' A 4 " q( c 4 ^{CESSofY SrRtlCYURfi NC REG 0l IC Rr6 *: sr 5a NEt,l HArcVER COUNTY BUILDING PERIVIIT APPLICATIU I\"'E j COI}IERCIAL ?rE15E lrsritR aLL QuEsrrolls appt-I(A8r€ ro youi pFoJEo rProjGst Responsibiutlf zcr q- r ltol 1 /V- aoa ) ADPLICITIOil Humber (off1c. u..) OAte1. 7!2?t2014 AppLIC itT,s itAliE, Ast&ysdh OEVELOPER I Nodt\4av P8rfiss LLC PRO]ECT ADDRESS; 1626 Fairview Odw - O Bry GaBge .._/, oCCLPAi|I/BUSXIESS Nrr,,lE : PROPERTY otliEi'S flAIlE ilo#ian 6t Faifiold Psl|( LLC oliltER'S ADDBESS: 0111 Falb olNeuse Rosd t\rib 200 Coi{TR.ACT0R : NutiVlew ADoRESS | 612, Fall6 ofNdr!6 Road tuite 200 E AIL A!,DRESS: mo€staollorttviqmather8.c.n FRoIECT CO|{IACT pCRSOii: MidEel PoslE PHoNE *: 919277.1i32 CIIY: Rdeish LICETISE f: 6Ee3 sr:Nc zrP:2ft,09 AC(oU{I *: . crrYr EgL_ sr:ry zrpi 2766s PHor{E *:919.896.561€ PiOIE 8:,9ls.2 ltq_. EXIsT CoNSTRUCTTOfl r rl] nlr:rarror I REI{OVATIOI'/x GENERAL REPAITS RELOCATTON I lf Relocatlor\ is thgre a Natural Gas Line on th€ CurI.m Site?r Ys6 No IS 8L0C SPRINKLERED?[- ves /;No NElrl CoNSTftUCTIO,I I J i$ eaecr NEH srRUcruRE FAsr rRAc( ] sr:r-r. f uerrr , I ADD To Exrsr STRTJTTURE ACCESSORY STRUCN'RE: If UPFIT - The 5he11 Perftlt *Is Elect Pouer on this Euilding J] y€s i]j ro r,rrr* ts mrs a cHrrrcE of ocorpAxcy use I f v:s fi4t ',*'IF Yesr ,hat llr the PrEvloos occup.ncy Type? . ._.'__*-_ {hat ls th. Iey Occupancy Typ€? ARcl{ oESI6t{ PnOFESSlo lr' Mafl€B G. E'iGR DESI6{ Pf,OFESSIOMI.: OWNERTONTRACTOR; Ma* R Earler SIGNATURE: Ol,ffd, TOfAL PROJECT COST: 13,875.0C0 -_ BU|LDING #OF UNITS: I T.TAL AltEll So FT :1,109 DESCRIPTIO OF i,ORK t&r4 Mult'lamiy Cor6ln clion ls tood o. hevsragee prap€rad or sdvld h t 6 stuetrc? f-j yas No b Th€ Proporty Locsird tn The Ffo4Utnf ffves fi ruo DISCI CIMEP: I lt€EbJ 6nily t'Et BX tn om€|iq! tn t* Bpprl.lidt js crnc.l el|d aI worl( rdtcomdy wih the €tc{. guildim Coo. &d st ottEr aDotbabt. S:tsE ;;'51:t3ffiB1i.g8EffiiErn,,ffiEJ'rrl5%:irJ"fitf,EffiEfti6"H*"J$i.,"i,*ttfiH"iluS",'tsffiHfl"J$*ffitr:T"i SubJad-lo Fhos Up To 55m.00"' No|. Ehmor{({l mtfaadqE ! a!o!B rEioi/ll p.{il( lrpLtto.E i! b !a robrllad uie tp eplklrtdi lbn pflfl8,lt7c8) f,tclh.r h| h.{lv oa h&ma vra! (bu1d b co tln Lb..o. oriot You.orrqllted5 cdl trr ifton l Elra.h st nd..d3 t HE dotat nonnrr oeeifpla Ofri z.ooa.tf-tio aro "il,ou"& oli{o. o,tnyhdfiVorhrlldtl!| sc eDcb. t l.b 8it : ftefi m..pird..icr*rthtb€b.hhrpJth TOTAL SO FT UNDER ROOF: 1,100 ACRES DISruRBED. 10,75 acc6 SA FT PER FLR IlE* # OF STRUCTURES; 1 LH o$r LANo DEruRBrrc renranr gltves lll r,ro e<tsttro rupEnvous aaE* o NEW TMPERVTOUS AnE!,: 296,'74 SO FT pRoPERry usE: i-loFHCE IneSUUnmr [e,rrncnrnle f eouc SQ FT L:zoN[{cl usE .. SEPARA'}E PER'JT'S EEOUIREO FON ELECT, i'Ecfl PLSO, GAS f, coMMUNnY SYSTET{ EOUIP. PREFABS A INSE'IIS '" PAYMENT METHOD: flCISX ffuecx (pAyAEtE ro t.lHc)tt BLL Accoumr f rcrusr i*10 were* 6/creue i coMMuNrry s\6.rEtur := wELL SEWER: hZCFPUA ; CET,IIRAL SEPNC ]] PRIVATE SEPTIC ,o*r,*.[ty*. Approval:__-. comment J 3rA OTHER: PERMIT MX (br**Q.: t:r,-.t o/-#E D TE 4tr 1rl' CIry: ]/l/limiQbn ^. . ZIpt.384!A_ pggyg g. 918.898.5668__. _ Pfl:704.97.9S0 frc nEG $t 8lS # 0F STORIES: 1 ror ruoOnS: l-l- FLOOD: __ . CFI r i usg PRoIECT ADDRESST JgP F*{gr-privrjlGlh*E.o.0trgu OCCUPA T/BUSINESS MI'IE: .z_Or.L rle-l! ,.1";aa? NEI,{ HANOVER COI,TIITY BUILDING PERIiIIT APPLIGATIU| TYPE; COfrIIERCIAL pLEAS€ AXSIJEI ALL QUESTIOIIS APPLICABTE T0 \Ot R Pno)ECT *Project Besponstbl]'lhf ' APPLICATION llu[lter (offlce ute) AppLfCAI{T,S 114r1g, lshhl Smltt .__.. pglg; - 3271?014 PK)NE tr: 919.27,1132 DEVELOPER:ilortryrsw Pdfie6 LLC CIIY: lfld4glol zl? i 2{/.12 PROPERTY OLIIEB'S M E Meddian at FaifieH Fa& LLC PH0NE *. 9r9.896566E OUI'IER'S ADDRESS: 6131 Fa& ol Ns$e Road Sdte 20t CITY: RiEiqh STrNc zrP: 27609 coNTRAcroR : _!!!hViqc_AGE&!__ACCOU|T f: . sr:& zrPt !!3@. PlOtlE *r els-8s5.566E OWNER/CONTRACTOR:Mark R Barl(er SIGNATURE; TOTAL PBOJECT @ST: 1 3,875,000 BUILDING HEIGHT: -1 #oF UN[S: -1- . - *OFSTORIES:1 TOTAL AREA SQ FT :665 __ so FT PER FLR; 685 #OF STRUCTURES: 1 # OF FLOORS: EXST TAND DISTURBINO PENMlT? SQ FT P($NNG IMPERVIOUS AREA O sl YES i iNO.''t PROPERW USE: -':OFFTCE l. ,neSTrUnrHr '' MEHCANTLE _: EDrrC i- lcoNDo oTnER: , LICEiISE t: !,8523 617y1 Raleigh Exrsr coxsrRucrror.r: I : lrrrurron ,. .*lfril&"i?iiko, REparRs .RELocATrot{ .q, l, Relocatlon, is rhsr3 a Natural Gas LinR on lhe current Site? fves iHo ls BLDG SPRINKLERED? 1- Yes {fNo -.t I{EI.I CONSTRUCTION: IV ERECT I'IEI'I STrucTURE , . . FAsT TRAC( ,' SHELL -.J UPFIT .. ADD TO EXIST sT?UCTURE ADDRESS: 8121 Falls ofN€rrso Rmd Sdb 200 EIAIL AIDRESST mp€d€Onodr/swoatuers.codr PRoIECT COiITA(T PERSC : UidEelPe€le PIENE #:919"?rr.1t12 ACCESSORY STRUCTURE: If UPFIT - Ihe Shelt Permit f: -. Is E1ect Pouer on this Buildlng i- Yes ,.*** ts THrs A CrlAi{GE Op OCATPANCY USE} 1-- YEs S74p .."'- tF Yr5, r,fiat var the Prevlous Occupancy Typel - tft.t 15 the ew occupancy lypet - -- NO DEScRIpTfoN 9p 1,g661. NewMullifamillgrylruc]io]1 ls food or bevaraga€ Fcpa€d or ssvEd ln thb stucture? !-. Ycs dro * * ,.*, Locdld ln the Floodplainz Vves l 'r No DISCN-AIMER: I h66bv C€nifo ${ dt ldloBlaton h $t5 sppllcation h conBct 6nd allwart *ill comdy wltrr lhe slala Eulclru code.nd s[ ofter applioslc stt6 m-miflffiHrmiffi,ildJfl,i*$;,r$BEP,:r,mnL*l*r9,iB."illix$",.sffi%gtrttrlT""',JvffitffiflBt'llfEffiE$o Subl..rlo Fraca Up To t500.00" (or.LJ? (Pt't l{irr) Itorr Dcmo&oir ndtclionr ! .rb6tg. r.nrdtl Flnfi .!c.dcdor!r !r. E be ru6r{t!d lr!tr tE qdlco{oo fun (D||HS{7GE} el€tErtc bdllv or hldll' it. hnd to co.h^rt€b6ornotYou.rDttqt]tredroc{tlh€lLdddEmLdor$.rdn*lDrHlzlr&niltPolln{$c(ErP,!!(919r:rd,$5oatl6dlollFprlorbiia d6noHbn oluykcflly or hlldkg. S.€ A6telo. t vlb Sra: l${,i,'\ rir.aPkb;rErB,bpUla!.31o5&hmp.htrl ToTAL s! FT UNOEn ROOF: 691 . ..... ACRES DTSTURAED. l0.75acr$ NEW IMPERVIOUS AREtu 296'174 WATER SEWER: s/crpve - coMMUMTY 6YSrH, -wELL dcr.eue .- ceumnr serrc - iirivnre semc SQ FT MX COMM .'SEPAMTE PEF IlE BE6I'IREO FOR ELECT, I.IECH, PLBG. GAS EOUP. PREI-,ABS ! INSER]S -- PAYMENT METHoD: 1;c*sn $]6xecx (PAYAB|ETO l*tc) lnBrLI ACCOUi|T I-*rr.,rCWlSl [_. A^ " (FO8 OFFTC€ USE ONLn. BEvtsED DATE.{rvr2 zoNE: jl$ oFFrcER;._ -afl _ .., SETBACKS:F:.*. m,# RX:-dF_-B:)&-. commenr jg:ls *..tu ?o,z-:ra-Apl+e /*e bal ' ').*urrrr,, R tu r2ade*> €ot lcusaa,ti:,i Ol -b lf>fl,r ' ARd{ DIESTGN pRoFEsSrOrAL: elE]LqEls." -..- . "-. eu: !4.9-2.!.p0-0--*, -.,-. rlc REG *; 81!6 ,-- Eiffi DEsTGN pRoFESSIOta[! ,-- ..._- PH. fl( REG #: \ Si 58 NEhI HANOVER COUNTY BUILDING PERI{]T APPLICATIo,.I ryPE; COI{fl ERCIAL Pr.ErsC IrISHER A!. QUESIIONS ^pptICASLE I0 YOUR pRolECT "ProJect Responsf blf itys z-or* ttco13 t.{-?ios APPLICArION iluEber (dfftce u5!) Dnrr; - 34!l0l+ .- PtlotlE *: 919.277.1132 ZIP | 2E412 APPLTCA TIS llA E: Alhtoysmltr DEvELopER: . t{orlhvirw pafior5 tlc L/ UA I . rnorecr aoonTss t l@@@liilGeser.dj6 efl_" G '' crri:-wn iner ocorPAxT/Bus$tEss ilA"rE : €xrsr co6TRucrr6r: i-j ArrEnATrori *r*irTiifri 'i::?H'r*. nrparrs i I RELocArroN tl Robcarion, js tfcre a Nrfi;r G€s Ltne oo rhe Eurrern sitel I ves i'- Ho rs atoo spRlNklEnrm I- yes 7no , rEr{ cor{srRuctlor: i{ rnrcr t'lEul slnucTtnE . FASI IRACT( '_- SHELL - Urrrr I ArD T0 Exrsr srRUcruRE AccEsSotrY STRUC'URE I pROpERTy O,1{ER,S NAqE: M€ ii8ri at Fa[Fieid pad(, LtC PHOIE f,919.896.5668 oIJNER' S ADORESS : 61 31 Falb ol Neusq Road Suie 200 CIIY: Rrl{$. LIC€i1SE f: 8054 COflTRACToR: Norh\4a, ColshlqQn ACCotrT S: ADDRESS : 6'121 FaIe d N.t,]so Road Suit! 200 .^.-..- -,. sr:lx zrP'! 276a8 Pflo E #: 9,9'896.5668 EIAIL ADDRESs : mm€li@nq{Iliolrpad,tlrE.rym_ pRorEcr coNrAcT pERso : !ElE!!I!!lL PHo E *: _9U27.1I2 If UPFII - The SheLL Permit t:Is Elect Porrer 0n this Buildlnt i'- Yes f'lNO .r'.. rs rrrs A o{4r6E oF occopeNcy rsrl i- ves *1fio '--"IF Yes, rh.t ya5 the Prrvlous oc.upancy Typ.l . ARcll D8sI6t{ P&orEssIoML: U$!g|G.|EIS. _ ENGR DE5I6N PROTESSTONAL: OESCRIpTION OF lilORK. Nsry Mulff..nily Cmslnrclbn h lbod o. bev€ragEs pr3Fr€d or s€rv€d ln this srrm,re? i-" y"" {Or.ti!.) TOTAL pRSJECT COST. t3,875.000 EUILDING HEIGHT: 13'S # OF UNITS; .l #0FSTORIES;1 trhat is the tl€}l Occupancy Type, pn: 704.P73900 NC REG s 8196 PH:NC REG I: D|sCI^IMER: I h.r.ty cerlly hal sn hlo.rnsrim ln tr! sp9Loti, i6 corEl md slr v,r}* wlrlcolngty wlh tN SiaE Eutrdim Codc snd stt oti6r aoDlic6bto SLcrc .nd loc.l la*3 8nd oi{hancia ond r!fir.dotu. Tha Nilc Dawlogmlnr SeNb3s Cefi.r h,lllbc mtifiij olrny lrr6ft.r h iha eooroved otsn6 oDd ai,.df,c€ll,o|ls or ch.no.ln cafuado. ot conrador htomalbn. -"rlOIE: Any Wo Perform.d wlo oa Appropainr. PeflnGwilft in yotrtlir of lmllc srsrE Bldg Cod..nd Sub,.cilo Fims Up To t500.00"' -t-M No ls trhe PDp€fly Lo.ared ln Tha Fo+lsln?VYes I i Nq SIGNATURE: r{oln o.mol|oi mtrb&rlst Bbats Eiofdpmfi.Bli:.ior6 a,'b b.rriDft.d u.l! ur4ip{.!don bitl OHHS€768)yrl!0N.n tutlv d !dl!10 r.+lturd to .D bh lrb€.bt oi ,lot Ycr !,8,Eq,lnd to a.ll !r tLta{d Enbdcr Staidirds br He!!ou. Ab Potlrn,i! (}lESHlP) r[ (819)7lD.8so !t tort r0 6],s Fior lo tL dnltltn ol .li, (!dfv or bdldliO. $a ltt doa lt'.b Sia: h&rh$lw..d.5bta,trc0r.t.fl,. b!6boiu nplrrnt ToTALAREA SQ FT : US- __ -. ._-__ TofAL sO FT UNDER ROOF:195 _ SO FT PER FLR: 1,165 # OF STRUCTURES: 1 # OF FLOORS :l ACRES DTSTURAED- 10.75 a.r6 NEW tMpERVaOUS AREt 296,174 pRopERTy usE --"toFFtcE _.nesrauamr _:MERcnNnLE ._- EDUc Exsr LAN, DrsruRB,rc eenrrar y'.. ves , -, no so Fr p(sTtNG tMpERVtOtrs AREA y* .. . . . . __. SQ FT OTHER: sT:NC zrp!:1$9 CITY: Rsleigh OWNER/CONTRACTOR; Ilod(R Bo er - WATER: SEWER: y/,creua -. coMMUNny sysrEM wELL lacFPUA I lCEr'frRAl" sEFflC , pRlvATE SEpIc MX REVISED OITE rn rn 2 zorue:.Ifo Approrral:, -, LH: * :lc,/ commentJs.lBfulzt ld? -t_ttl N3r. .a> 5d i.s{ Y0rraAar Vet*<a> -ar41 (ctr/rn? Ja.r.<-) PERMIT FEE: $6i-6 qhl; .St # NEb'I HANOVER COUNTY BUILDING PERMIT AwlrcAtrort ry'PEr COllilE RCIAI- PLEASE AESrcR ALL QUESII(I{S APPLICAELE TO YPUR PRO]CCT 'Project R€sponsibility" Adiry Smllh 2Dt t- tlto-lS i'{- aaaB APPLITAIIOIT llurte. (otfrc. us.) APPLICAI'IT, S llAI.IE: DEYELOPER! tiorovrs* PrrtErs LLc PROIECT ADDRESS: 1025 F*vlor DiyL' Plg!!gg, occlrPAnT/Bt sltiEss NAr4E: _ -_ -_ CITYI Wnminqlm 9bvl PHO E *:91912.1132 DATE: -.,!!Iegl!-- zlP | 2u12 pROpERTy OtrlER,S 1IAHE I Maiion dFairFrdd Pa,k tlC CITY: Rrblsh sr:Nc ztP: 27600 ACCqJMT *I 51,NC 21p1 27609- ot{l,lER'S ADDRESS: 6131Fs&olN.uss Road SdE 200 C0 TRACToR; NqlhMsf Co-!!ryd!O_ -__ - ADDRESS : 6121 FalJsof Nou3s Road Suile 200 LICENSE *: CIfy: Ral€igh 68523 PRO]ECT COI'ITACT PERSON: Mi*Bd P€d8 OWNEFICONTRAGTOR:Mafi R 8a.kq TOTAL PROJECT c!ST. 13,875,m0 BU .-D|NG TOTAL AREA SO FT :?Q,8.. -.--TOTAL SO FT UNOER P66P;,288- --- EI4AIL ADDRESS: ZONE, ApprolEll __ PHoI{E *! 919.277.111-2 _ ((n ak lll lhlt lppty) EXrST CONSTRUCTTOIII: i.l llremuol [- j REtlo\rATroN - I qelen+ nrrcns ]] RELocArrSx *, ll Relocatbn, is ttErB s NaluralGas Lhe on lhe Curenl SI€? ; 'Yes I No ls BLDG SPRINKIERED? | YesW-,No flEl,l CoNSTRUCTIoNi #ERECT IIEI{ sTRUCTURE . .J FAST TRAC(SHELL - UPFIT _. ADD TO EXIST STRUCTURE ACCEsSORY STRUCTURE:,,..- If UPrIT - The shell Permlt f; -, ....-- Is El€ct Poryer on thrs Buildlng -- Yes i'Ho '..,r. rs rlrs a ct{A!68 oF oc<r,parJcy us:: j-'vrs {i4o "**'tf Yes, drat ms the Previous occuPsncy Typet .",-- .---", hrt ls the l0ew occuP.ncv TyPa? Ano{ DEsIGI{ PnorEsSIo(A!: !$El/-g!+F..,,-pH: i04.027.s900 pq gg5 x; 8196 EMR DESIGI PROFEsSIOML:PH: DESCRIPTIO OF WORK;Ilsw itufifarnily co.slruclion ls tbod or bor4rsg$ Feporea or ec.vea n uf srlrcumf i*- i ves VNo ls Th€ PDperly Located ln Ttte Floodplalnt 9, yes iI ro tt( REG f: - Dlsct-AlMEFt: lhatbv cor0ly lhotaE ialbrmalion h tit spprcanon ia cgrect snd dlw(k-wltr oom.E wih he sllte Bt'ildir{ cod' old 6{ outer,oppllcabl' stslo #il-r,!ilHg#Fs""*[r"F#i.#tt"Io.xB9.',"frler,$ '*aft3"t]xff#oji#'{mr*",$?"1si,ilmH*r#f €ffilT^'. Si/t*&r1o Fine3 U, To 3500.00'' {Q.!!tr) P'ir ran.l Nd.:Mno;rEdi;[o.r&..teffilold,.t!$!p9Iit&n.r!bbsimi!.dlnildE.Fffiittm(0Hl*33788)vir.dEr$.b.l&orboldruta6unb colt n A3!.rb. o. nol yor, .re liqlnd E aa! ha ildorBl ll'lldon ALrdrB lbr Hsllrdoos lr Poluffi (N ESHfq d (91t)707.C50 .r Laat l0 &y! Elol D lrE d..ndrbn of tnyhdD d bolEne. E . A5b-b lv.bsL: htp,llstY.TbEErE U.r.P*crakhAhml ACRES DISTU I C.75 acrs3 NEw lMPERVrous A** :1u,111 SO FT PROPffiT USE: -1OFFICE - IRESTAURAI'IT .MERCAI'ITILE .*" /^rt ..-._ SIGIIIATURE: 1Z-1',# OF UNrS; 1 #OFSTORIES:1 # OF FLOORS: -! E(sT LAND DISTUREING PERMTM EXSNNG IMPER\4OUS ARST O |V Yts : _-No SO FT WATER; SEWER: U/-crpue - co[,tMUNrY s\6TEM - wELL I/CFPUA : . . CE].ITRAL SEPTIC PRIVATE SEPTIC :@NDO OTHER--. , CI-TSSIFICATION: MX-. l COMM ". SEPARAIE TERT'IIS FEAUIREO FOQ €lrcT. IGCII, PLAG. GAS €OUIP. PIEFAAS & pAyrltENT METHOD: ,'-lcrSn vdAeCX pAyABr.E TO NHC) ]:* ALL ACAOUNT r; (FOR oFFlce usE oNLYI l(tl oFFTCER: +4 cM ["uo.-. oArE. , SETBACKS: t rfiilrl ruooo, F:..+ LH: #. RH:+Eer ?E V eFEi2rF /it-ftr vc Airc+4o S.st ?*r PERMIT FEE: $Comment 4ett*tl1 /aruw r2aatr.:, {'-.tl (at3a2,scr,"S 0t-g shlr' --- Pt{oirE *' Ixtll- hMFlrdMrlhvhwd*lnart amh Ptt6lE f; 919.898.tS sQ FT Pm a.R: 48 . #OFSTRUCTURES:I -- - ,r'1 ,r;,\ iffi u\ 56 Appt IcANT,s fiAfi€. Ash]8y Smih PROIECT AODRESS; 1625 Drlve - M6ilXlosk occuPAfiT/BT.EINESS [A[tE : pROpERTy O {ERJS M|,4E: M€diiian Et F0ifietd kd(, LLC APPLICATION lluDber (Offlcr Ur.) oarct.8?!?.917- ,- *orur *: e1sjr.f68 |-ICEiISE s: .68-523 61w; &ldgh - st:NC zrP: 27w PH0i{E *:919.E96.5668 PIONE sr 819.277.1112 2.D)+ rlof 3 NEt^l HANOVER COUNTY BUILDING PERfiIT r4-:aqj APPLIarIott TYPE; CO,llilE RCfAL PIE^sE AI,{S}'ER AI,L QUESIIONS APPLICABLE TO YOUS PflO]EcT 'Project i.rponslbility" r, , ,^ PH0}E f: 919.?7.1132 YWJ-_- crrv: wrrn*nrc, - --.._ . ..iii:zutz ot{tlER'S ADORESS | 6131 Fdr ol NEus€ Rord Suib 2m COIITRACYOR ADORESS: 5121 FEIS of Narie R6d Sulo 200 EIiAIL ADORESS I rnllglE@ruftylerypeoq!,A4.- .. PRO]ECT CDIITACT PEflSOIi 3 Mdtad Peda AcCoUtlT #: ExIsT coNsTRUcTIoI: . . ALTERATIO .- '#ili$Ii .:?.'iL*' REPAIRS - RELo(^rIoN lf Relocrrion, is there a Nstur3lGs LIne on rhs O.lncnt She? l*" v"s 1I lo ls BLDG spRtNKLEREol ]' ': ycs V*o NEH COI.JSTRUCTION:d EREcr rEu srRtcruRE . rlsr rucr --I stEt t ,-- uprrr, _ ADD To Exrsr srRtrcTURE ACCESSORY STRI'CTURE I If UPFIT - The Shell Permlt $:Is EI.ct Porsr on thls 8u11ding f'- Yes i* No r.*t tS Tr{Is A CHrr{6E oF oc6lrpAlt6y rrsEt '-:yES iYrfo *,... IF Ycs, drat las the Pravlous occuprn.y Type? . tlhat 1s tht [{en oc.up.ncy Type? _ - ARctr DEsr6t PloFESsroNAL I S$gir G..lq4,l. EMN DESIGII PSOFESSIOMT: PH: 70{.927.9900 DESCRIpTIOT{ 66 1,1961. New l{dt'hm yCoroln di, ls tmd or b€l/sag€6 preparEd or scniert h tlds strud.rE? ll Yes i f/No b nte prcp€rg Locatld ln TtE Flooddafrf ii/fes i-- ruo PH: DISCtAIMERT I h6r6by csiit tlat EJ irdormslim h lhi6 .lplcElion b con€d End an rort wit co.nCy with lh€ Srato Su,ldinC Cod.6nd lll oh6r B!drcB!16 Slalc a,ld bcallaw6.od ordh$.rb snd r.q!a.ion.. fhe NHC oevgloprhrm S€M.ra Crrlswll b3 nortli{ ol.,lydlrro.t ln ha.Dp.ovrd 9l.nt 8nd $peq'fi€d6rs er qlag. b conqocqr q @lfaator i-n1brfirdo[ -'NoTE: ary Wofi Pe'to.rneil wo rte appopd.l. Fr€mft,rlu lia h !,lddlifi or$cl\]c Soi. Bkh Coda rnd Srbhct to Fhs8 t D To t5m.00'- OWNEFYCONTRACTOR:Mal R Ba*Br SIGNATURE; {oufid Pn N.n$ $ole Oornolt n ftdtcatlol! & !r6€sb...mwd pqrhtrrgrcdona ro o bo srtnhsd l5lr! th.6rdHm foor (D?tas{7t8) *rdE 0Elh.IlVq tolHhg n6 foord b .ortEh^.b.!ba o, fl.r. Yos aro lrqulrad !o call,r! Naio.r.l Arbiol! tl.rdrr! fd Hrrndoua Atr Follu.rlt (NEI}H P) rr (019)mrsgt0.r t Br t0 d.y! Bo. lorrp driolldon of ally hollv or oulldl€, s6 l6b6ba $r.! 9t : t'r9drr,rr ac,aa.rE.'rsr.ru..b.rt6blrr!.lr!nl TOTAL PRG,ECT COST: 13,875,000 BU|LDTNG HErGHt. ,1'-11' IOTAL AREA SQ FT SA FT PER FLR: 37!_ # OF STRTrcTUBES: I TOTAL SQ FT UNDER ROOF: ACRES OTSTURBED, _10..75 .r9__ _ NEw IMPEFVIoUS AREAI 296.I74 PROPERTY USE: --OFFICE RESTAUMNT -UenCeUnC . EOUC /epr _-@Noo oTHEF: - .. WATER: SEWER: y'creue -coMMUNrrY sysrEM *- wELL \/.crpue ;- ceurn*serrrc . pIivArE sEpnc -ZOND..IG USE CLASS IFICATOIt MX I@MM ., S8'A&AIE PEPMITS REqJIFED FOq EIECT.rIECf], PI.6G. G,(s EOUIP. PAEFABS PAYMENT METHOD: T'CNSN N?6HECT< (PAYABLE TO MlC) f Bfl.r AccouNT f -ISCOVER EXST LAND DISTURBING PERMF? Y.YES i "i NO SO FT EXISTING IMPERVIOUS ARE'\: O RHL#-B:.*: "-). ere*ztc #OF UNITS: 1 .,, -t OF ST0RIES: _1. , #OFFLOORS:1 SA FT zole: ltt- -oFFtcER: fu 'T$flfiffi'f]r r-r, -r Appmvat_ crtvJ=rr.n-o-nre D[t:lrl rtooo: -_ *,_ _ .. comnenfuJfrelj ?* :a_.t ip%o> aC i1U"p{b:yz< Za-erra* 6l G*st2 ocTv,j PERMIT FEE $ or-#3*aP{,{ 1r12 OEVELOPER: tlorfiMar Padnrc LLC -_ cIrY: _B&ig!__ 5r ! NC zrP: .2]6m_ . 96 tr55 p; 8l!6 il( REG *: --, ---- W, rs-l03/sr- %DING PERI{II lr-?2o'l NEW HANOVER COUNTY BUIL APPLIcArro rv"E: COt$IERCfAL PLEASE AIIST/ER A[r QUESTTONS APPLICATLE TO YOUR PNO]ECT -project Responsibtlit!/, APPIfCANT'S MI'lt: DEVELOPER: A crw: CITY: LICE S *: crw: PHONE * PHONE S PHOIE ':ptoNE *: APPLICAIIOI{ C' ZIP I -3 PRO]ECT ADDRESS: OCCUPANT/8USIilESS I{Afi E : PROPERW OhII{ER,5 I{AIIE I O{ ER's ADDRESS: COI{TRACTOR: AODRESS: E AIL A 'RESs:PiOJECT COiITACT PENSO : ACCESSORY STRUCIURE: d' \) ST ZIP I 5T EXIST CO STRUCTIO{:I elremrron fi REI{oVATION REPAIRS I nrlocarrot lf Rslocation, is there a Nalural GEs Lioe on the Curent Site?tr IS BLDG spRnrleReor E yo (Ch..k All Th.t argly) I l6EI{ERAL t*-Ao R,NEN COI'ISTRUCTIO{:tr ERECT iIEW STRUCTURE FAST TRAC(SHELT UPFIT ADD IO EXIST SIRUCIURE {,Ca rl..tr tr 0 lYt r c If UPFIT - The Shell P€rmit #: Is Elect power on this Building ..... Js rHrs A cHANGE oF o€cupAr{cy usgt l-.'lvrs fd tr6 ..*.. IF Yes, xtat sas th€ Pc€vious occupancy Type? . nr13-i fs ttli-a. Occupancy rype AR(H oESIG PRoFESSIOIIIAL; EI{GR DESIGN PNOFESSIOTUIL: PH: ff.ves flrc ? t'lc REG S: r,rc REG #: TF.-- DESCRIPTION OF IORK: ACRES DISTURBED: NEW IMPERVIOUS AREA: pRopEnry usE: EoFFtcE Enesraunarr kilIERCANTltE tr EDUC tr Pr flouoo orxen: WATER: SEWER: X ,K CFPUA E COMMUNTTYS\6TEM cENrMLsEpflc E PRIVATE SEPTIC COMMUNTTY SYSTEII CFPUA tr WEI.I ffzoNING usEq1sstFtcA roN:u -. SEPARA'TE PERMITS REOUIRED FOR ELECT, MECH. PI3G. GAS EAUIP pAyMENr METHoD: ICaSX flCxecx pavaeE TO NHC) flAMen , PREFABS t INSEBIS.n tcAN E(PREss flucrusa Iorscoven ZONE:_OFFICER:roR omcE USE Oi{LY) RCVEED DAIE (/I I/t2 SETBACKS: F :_LH:_RH:B:Apprc\ral: City:_ --- BFE+2h EXST LAND DISTURBING PERMIT?EIr.. Dl.rro SO FT EXISTING IMPERVIOUS AREA: --_ SQ FT N Comment DATE: P1g6p. PERM]T FEE:VU: i\] (q..lfi.4 TOTAL PROJECT COST: ls food or bevorlgss Frprrod or s€rved in rfrfs ana,nef flv"sfuo BUILDING HEIGHT: SQ FT PER FLR:*orsrnucruRffi # OF UNITS: gfz tt'7331 2 crr^1l I qq NEW HANOVER COUNW BUTLDING PERIIIIT APPLICATION rrpE: COtllilERCIAL PLEASE ANSI'IER ALL QUESTIOT,JS APPLICAB|-E TO YOUR PROIECT "Project Responsibllity,, r/ -' P}O E *: APPLICATIOI{ t{umber (Office U!.) zrP: .f 8!tl APPLICAI{T'S IIA'4E:,n (n Sl,"tr. "',nC DATE DEVELOPER: PRO]ECT ADDRESS: OCCUPAI{T/BUSI ESS MfiE: T PROPERTY OWNER's iATE: OT,I ER'S ADDRESS: crw:)'l*tt ll lr, Vr,,ll< s*ruht^I'',c cIw: LICETISE T:j3t' PHO{E *: PHq{E *: _ PHOIE *: Sl y't-<- ZIP'.-) i La t L ST: ,Li zlp; A\4eC (A rqd COI'ITRACTOR ,K\,n (,rn , f ,r,, ADORESS: E AII- ATX'RESS: PROJECT CONTACf PERSOI{:, o,t t CITY: Ht Exrsr coirsrRucrro :Ef arrERArro, 3 *.,Jifiillli lf Relocation, is there a Natural Gas Line on lhe Current Site? E rh.t Apply) ! erlrrnm REparRs E RELocAyroN Yes l_lNo lS BLDG SPR|NKLEREoT I ves I r,to NEN coNsrRUCrrOr{: ! enrcr E}, srRUcruRE fl resr rmcx fl snrlr- ! unrrr ffi1po ro Exrsr srRUcruRE ACCESSORY STRUCTURE: If UPFIT - The Shell Permit *: .'" lt Is Elect Po!,er on this Buildtng El yes E ruO ? fiws $n0 ...'* hltat is the l{eu Occupancy Type? 1+'*T JS THIS A CHANGE OF OCCUPA'{CY USE IF Yes, h'hat ras the PrevLous Occupancy Type? ARCH DESIGI', PROFESSIo0IAL: Et{6R DESIGII PROFESSIOTIAL: A PH:NC REG *: NC REG #:E-- DESCRIPTION OF I,IORK:((At hr 1- ,t^.lx Code and atl SIGNATURE appllcalons Ele to b6 subnt(€d uslno tho sppltaa on lorm (oHHS-3768)Mlether $e tecl ty or tulldho sl8s tound to oo\ ls food or bevorages Fepared or selved in this siructure? FYe. I No b rhe propeny Locabd tn The Ftooapuinz I ves fffro OWNEFUCONTRACTOR: (Or.lh.., Note: Deftolltjon no0licalions & rsbestos rgnovatp€mll corltaln AsDeslos o( not, You ar6 requlled to call tie NaUoml Emhslon Sand.rd! for Hs2a,rtou! Ar po ut.ms (NESHAP)a (919)707-5950 st te&n 10 days pior to $e damolltion of 6ny '3dllly or bulEln0. See Asb€nos Wob Site: httpr&ru,.epj.stsro.nc.la/epv8sb6torohmp.mft I TOTAL TOTAL TOTAL PROJECTCOST: /- ( AREASaFT 7f4/ so Fr UNDER (OOF: V.Cr' BUILDING HEIGHT:2{/#OFUNITS: I SQFT PERFLR: 7, 1-? #OFSTRUCTURES:' ) ACRES DISTURBE O, -L//A Exsr LAND DtsruRerNc peRulrr l:lvEs fr[No SQ FT EXISTING TMPERVTOUS AREA: ,. , .1,NEW IMPERVIOUS AREA: .U I4 SO FT PROPERTY USE: EOFFICE tr RESTAURANT D MERCANTILE tr u APr E6NDo orHER: Kr\,S)15 . EDUC WATER: SEWER: E E CFPUA CFPUA tr E COMMUNITY S\6TEM CENIRALSEPTrc E PRIVAIE SEPTIC [f \,vELt-EzoN|NG USE CtAsStFtcATtoN: COMMUNITY SYSIEM (FoR oFFlcE usEoNt-y) REvtsED oarE 1/1vt2 ZONE:_OF|ICER:_ SETBACKS: F: LH:_RH: B:Approval:_ Crty:_ DATE:_ FLOOD: __ _ BFE+2ff=_AVil Comment PERMIT FEE: ,(t-..,. ,.:/ ,i.,, , ,r At I / vl-f 16,,4,< 1 t- PH:.ltLl_!ry'_E_l!._ #OFSTORTES: I # 0F TLOORS: -l- "'SEPARATE PERMITS REOUIRED FOR EIECT, MECH, PI..BG. GAS EOUIP, PREFABS E INSERTS'.to*t*ut$;[" flotscovrn ' t-.\'r---'i t trt1 Yd- rs -?33 6 t(fl. !,. NEW HANOVER COUNW BUILDING PER'I4IT ^PPLIcaEd,t rl' rr CO}I!,IERCIAL PLIASE A{5t{'8 AI"L QUEs]IOIIs APP!I'A8L' 'O YOUR PRO]ECi "p.oj€ct Resporslbility- APPLICA!trI''5 M''1EI DEVILOPERI ,i,'!i,' {PPLICATIO'{ t u$b€r (o6ftc€ u,c) oar* //z/,tf PHSHE $:j '., , ttl )r,IITY: j-r zzP,t ,. ,:, al I , OCCUPAi\|TIBUSINEsS NATIE I PROPERry OU8{Ti'5 I{A'IE I tl r., I li t' PHO'{E *: 96{ER'S ADDRESS: i ColiTiAcToR: it,'. ", k i,l't f-.., r:, r,:," !:;..LICEIEE '; j3,-'r ST: L-{ ZIP: r " -/. ,- srr rl{ zrp: .l'i.!- a I'', <,.. A0snESs: ENAIT ADO pno:rcr comlct' pERso{: - DESCRIPTIOI{ OF IORK I CITY: PHol'lE * I PNOI{E [: &t Exrsr cotsrRucrr*l:*$rlreurron n #ffiili} It Relocetioo, is there a Nalural Cas Line on rhe Current Site? f, tt.r ApJjly) I cr*rul nerrrns I RELocArroN vcs LJ No tS BLDG Spp,\KLEREot I ves f, lro NEH COrJSrRUalrOtii f enrCr rEu s"r&ucTURE I rsr rucx f] sxrll f] urrrr s aoo ro ExrsT srf,ucTunE ACCESSORY 5Tf,UCN'RE; lf UPFIT - The Shell Permit f: " ,.1 t..r, I5 THrS A If Yec, lhat ms the Prevloog o<cupancy ls Elect poxer on this slritding Elyes t ro cl&trcE oF occupalcy ustr f,ws Eno *-. Type? .- {iat ts the l{6l o(.rpan(y Type? _-.--- PH: PH: rc age *: -l---]- ARCH TE5I6N PROTESSI$,IATI EI6X oEsIGN Pior€st:a&qtl A {ic..,., I il , t i;. ",\ ts lood or bever8ges pteparad or served in this strrrtret $Ves fr f o b Tne propcrl, Locsred tn Ttr Floodfief?fiyes ffNo Cad? 3nd all otli€t r9tlcire SElo Eid! Code 61.d OWNER/CONTRACTOR; (Oni614 zoNE:jj;Fi .oFFtcER:Aoproval: City:*--L::a_ SIGNATU DAIE,a/llnz Commantl PERMI FEE: S L pAyMENr ME*1O0: f,CeSn ficxecx (PAYABIE rO NHC]fiaurnraN oeaess