OCTOBER 07 2015 BUILDING APPS? otl q681
-
.:'&
APPLICANT,S NAI"IE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBOIVISION: NA
APPLICATION
Number
(offi(e use)
DATE: 9/4/ls
PI-loNE *: 97o-256- 4229
zlP | 2841,1
LOT S: NA
Ls
-256L
PHONE #: 9ro-256-4229
PHONE *: 919-771-8531
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TTPE: RESIDENTIAL
PLEASE ANSUIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Res pons
ibility"
Parker Construction Group, LLC
4 Beach Road SouthCITY: wifmington
BLOCK *: NA
PROPERTY O[^INER'S l,lAI"lE: Page Benson Dickens
Oh,NER'S ADDRESS: 4501 stormy cale Road
CONTRACTOR: Parker construction croup
ADDRESS: Po Box 925
EltlAIL ADDRESS:
robert I parkercons t ruct iongroup. com
CITY: Rareigh
LICENSE S: 5s883
CITY: l^lrightsvifle Beach
PHONE *: 910-414-1011
ST; NC
ZIP: 27614
5T: NC
ZIP: 28480
PROIECT CONTACT PERSON: Robert Jarman
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA: o 5Q FT
NEW IMPERVIOUS AREA:
5,576 SQ FT
YEs K) ro
TOTAL ACRES DISTURBED: 0.128
EXIST LAND DISTURBING PERMITI O YES
(P.1nt
Name) Y
rfi rfi,i rr ,r + x ** +r ***+,i+,t* **+ **l( + ***+ + i<* *+** + * ** *r<*r **r. * * ** *)*++ *:f:f + * * x,*+* * *;*,*;r x+,f *;i x x + *;** + + * + t*
DISCLAIMER: lhereby ceriry har all int'rmation in his application is conecl and all work will comply wlh he Siale Buildlng Code and all oher applicab,e Slale and local laws
and ordinances and regulalions. The NHC Developmenl Seruices Cenler wlllbe nodlied
ofany changes in lhe approved plans and specificatons or change in contracbr or
conrebr inb.marion. '-NOTErAny Work Performed W/O t€ Appropriale Pemits wlllbe in Viohtion ol rhe NC SiaE Bldg Code and SubFcl ro F,nes up To $500 00"'
OWNER/CONTRACTOR:
nobert
Jarman SIGNATURE : Z-- :^
NO
h]ArER:
! creun p cor,lMuNrry svsrru !pRrvArE lnELLCENTRAL WELL
sEhrER:
! creun
!CENTRAL SEPTICPRIVATE SEPTICCO[4I"]UNITY SYSIETl
+*' SEPAIATE PERI'lITs REQUIRED FOR ELTCT, MECH, PLBG, CAS EQUIP, PREFABS
& INSERIS ***
pAyr4ENr r4ETHoD:
Qcmn QcxecK (PAYABLE
ro uxc;
ff amenrcair ExpREss
Q r,,lcTvrsa Q orscovrn
+;f ++,*++** +***+* ++** *a**i(* )t
* * x * * * * ;i,i,r x + * +* ***,i,i** ** )t* * )*,*;* ;* + + ,t
** )t***,i * *,r,i ,*,t ,f
**+* )i*,i**i,f* +,f
(FOR OFFICE UsE ONLY) REVIsEO DAIE O4l11l12
ZONE: OFFICER: SETBACKS:
F: LH: RH: B:
appnoval: City: DATE: FLOOD: BFE+2ft=
AVN
a
a
EXTSTTNG CONSTRUCTTON:
! AlrenArrOr,r
I nrruOVnrrOlr !crruenar- neenrns
f] RELocATToN
NEI^I CONSTRUCTIOT'T,
I CNTCT NEbI RESIDENCE O"
I AOOTTTOI TO EXISTING RESIDENCE
I*PLEA5E CHECK AND ANSI,JER BELOW ALL THAT APPLY T0 YOUR PRoIECT:
l-l arr crnncr sF [-l oer canacr sr p eoncH 2
,124 sF
l-l surunoor'r sF ! eoo
r- sF l-l sroRacr sne o sF
! enrrruuouse sF I oecx u z: sF orHER: sF
TOTAL HEATED SQ FT:5,719 TOTAL 5Q FT UNDER ROOF: 4,313 TOTAL AREA 5Q FT: ?,843
TOTAL PROIECT CoSTlressr-.0 : $ l,soo,ooo * OF STORIES: 2
Is Any ELECTRICAL, PLUIIBING or lilECHAl,lICAL Hork Being Done to the Accessory Structure? Q V"t Q ruo
If the project
is a Relocation, is there a Natural Gas Line on the current Site?
Qves p ruo
Is there Electrical Power on this Building? lOl v"t lCl ruo
pRopERTy usE
/ occupANcY,
Isrncre rnmrrv
f] ouerrx
! TowNHousE
DESCRIPTION OF l,lORK: construct Dickens Residence
trtr
{L
.,a",i'_'{
L5-2597
NEW HAI'IOVER COUNTY
BUTLDING PERI'IIT
APPLIr/IId/I NEC: COTIIIIERCIAL
PLEASE ATS}'ER ALL QUESTIOXS APPLICABL€ TO YO,,R PRO]ECT
'PpoJect ResponslblLity',
?o$:fiB6
APPLICATION
Nunber
(OFfice Use)
APPLICAIT'S I,IATE:JERO}.,E
R REDT4OND.
P.E.
DEVELOPER:BAII,EY AND ASSOCIATES
INC.PlOt{E
*: 910,346-0441
PROJECT ADORESS: 72os IGHTSVII]LE BUITDING
C CITY: wNGTON
OCCUPAIT/BI SII{ESS NAfiE: cRA}rD vrEw
{ FoRlirERLy srDBrrRy
PROPERTY
O{I{ER,S II.AI{E: BAILEY AND ASSOCIATES, INC PtlolrlE
f: 910-346-8443
o{.ll{ER'S AITDRESS: 405 D riEsrERll
CfTY: ,JAcKsolrvrLLE Sf: q ZIp:Zgjg
LICEI|5E
*: 16734
AIDRESS: PosT oFFTCEBOX 102'l
C,TY: DDNI,T
ST: Nc ZfP: 2833s
E|IAIL ADDRESS: eGrqcinc@elltbar q. com PHC
E *: 910 - B 91-5465
PRoIECT Co{TACT PERSON: EDWAR s 'ruRLrNGTON
Plot{E
*: 910-891-s4Es
COITTRACTOR:
Es".INC
Exrsr cor{srRucrrq{:
fl ALrERArror E] r.,Jff;lfrJ 'ii^ffJil*. neparns
l-l RELocArrn
I R8@ion, b th€re a Nalurar Gas Line on rhe cwrenr sire?
! ves
I Ho rs BLDG
spiifrxLeneoz
[t ve"
I No
NEr{
COiErRr}CrrGt,
f] enecr EH srRrrcrt RE
f] rsr rmcx
f] sHrr_r-
fl urrrr
f} m ro Exrsr srRt cruRE
ACCESSONY STRTTTURE:
rf uPFrr
- The shell permit #: 13-11s7a rs Elect p&rer on
this Building n yes E] r,,o
*t'*.. rs rHrs a o{aLcE oF occupAr{cy
usrr
fiws I
IF Yes,
*rrt ras the Previqrs Occupancy T!rye?
ARCH O€STGN PNOFESSIOI{AL: NOT APPTICABLE
lftat is the t{€r. Occupancy Typ€}
EI{GR O€SIGII PROFESSIO{AL: JBRoME
R REDI.{oTID,
P.E.
915-6529 l{C REG *: o]27os
DESCRIPTION OF I{ORK: INTERIoR UPFIT
oF 1
,800 sF FoREXBRCISE ROOM
& SA],ES OFFJCE
PH
PH
:NA NC REG #: NA
b food or bqrrag€s p.Bpor€d q sewsd h t& soucr.re?
f] ves
E ruo
f me eropetl, Located ln lho Eo@ah?
[ ve"
fl uo
TOTAL PROJECT
COST: s91, 318# OF
UNffS:ON8
Code and all orhericable State
of Code and
OWNER/CONTRACTOR:EDWARD STURLTNGTONSIGNATU
(q,8lt€r)
t{da Oano{tofl nodfcatioars
t Foheslos r€,nolrsl p€mit apdlcadclsar! ro be
sS.nitd uirE fl6 apdirstm iorm(OHH9tr?68) wtEth.. tle 6c{tv n fornd !oco.nah Asbostoa or nol YalJ
dg l€ql.€d to call lhe
NdaiC E niad Sr|da.(b f... HBdqrs Atr polutanis(NES*iAP)ar (91S)707-5SO e t6 10
dqrsddndnql o, ary l'dry or hlildtne.
56 Asb€6 \.,rab gte:|,,p:/A,yr*.6!asiat6.nc.us@asbaatos|hmpJht
BUIU)ING HEIGHT: NA
fluclrrrol florscoven
ACRES OISTURBED: NAD(ST LAND DISTURBING PERMIT?I ves fJr*oNEW IMPERVIOUS AnEa:
ra Se ff p(STtNG tMpERvtOt S AREA
pRopERryusE: EloFFtcE
[nesrnunenr f]uencarvnLe f]eouc f]APr
[coxoo orrun'
." SEPAMTE FERMITS REOUIR€D TOR ELECT,
MEOI. PLBG.
6A5 EOUIP, PREFABS 8 INSERTS -.
N
SQ FT
WATER: mCFPUA
SEWER:
fn CFPUA
@rrMUNny sylsTEM
nlyEr flpNth.G usE CT.ASSTFICATIoT{:
cENTRAL
sEplc
fl ea-vrre
seerrc g6uirrunnvi6;i;
PAyItrENr UETHOo:
ficesx Elcrlecx pavraE ro
ielc) firurenrcaru exeness
zoNE:.
oFFrcen' tHffiH_*, RH: B:
Apgovd:_C'$_DATE_fr_OOO:
- -
"--Sie;F REVEED OATE
"I
tA2
)
ffi
ZIP: 28403
TOTALAREASQFT:1,800
TOTAL SQ FT UNDER RooF: 73. 433
SQFTPERFLR: 1B.6Go
*
or srnucrunssfl__# OF
STORIES: oNE
# OF
FLOORS: FouR
PERMIT FEE: $
' 'J t- l-,(3v(-.
$4,,"*.,
RECEIVED SEP
16 2015
NEW HANOVER COTJNTY BUILDING PERMIT
APPLI CATIAN TYPF: R ESIDENTIAL
PLEASE AI{SI.IER ALL QUESTIOI]S APPLICABLE TO YO{,R PROJECI
"Project ResPonsibilit!/'
&ori'q st4
,(,fun6
APP L I CATIOI'I
Number
(offtce use)
Prestige PooIs of wilminqton inc
DEVELOPER:
PRO]ECT ADORESS:5004 Nicholas Creek D!CITY:wilmington zlP | 284N9
SUBDMSION: BLOC( *:LOT *:
-
PROPERTY OI,*,IER' 5 tIAItE :Matt & Meqhan Dzur-ik
CIlY:
PHO E *:615-41?-4365
E ruo
YesNo
ohr'lER'S ADDRESS:
LICETISE *: s4s7e
ST: g zIP:
4lii
EMIL ADDRESS: presLlqepooisofeiilminqton@qmail.com
PRO]ECT COT,ITACT PERSo I: shane PHd'lE *: 910-232-5375
EXTSTTNG CO STRUCTTON:
n alrenarroru
! nenovarroru
f| cerenar nrparns
I RELocATToN
NEtl CONSTRUCTION:EREcr NEhr REsroENcE o"
fl morrrol ro Exrsrrl{G REsTDE CE
'*PLEASE CHECI( At{D AiISI{ER BELO{ ALL THAT APPLY TO YOT'R PRO]ECT:
fl rrr eanacr
-
sF f| oer erRacr
-
sF
500 4 Nicholas Creek D!
CoI'IIRACTOR: Pr:es-"19e PooLs of wilmington Inc
ADDRESS: 530? south College Rd CITY:l{i1mi nqton
! sumnoom
-
sF
I cRernxo.rsr
-
sr
potoL !
64 SF
DECK
! eonor
-
sF
l-l sronree sHED
-
sF
SF OTHER:SF
TOTAL HEATED SQ FT:
-
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
-
TOTAL PROIECT COST (Les6
Lor) : $ -gf-L.q@- f OF STORIES:
Is Any ELEqTBI6AL, pLuitBIM or ltEc6ruucAl work Being Don€ to the Accessory structure?
El Yes
If the project is a Relocation, is there a Natural Gas Line on the Cunrent Site? [
Is there Electnical Power on this Building?I ves [Ho
PROPERTY USE
/ OCCUPAT'ICY:SINGLE FAMILY
I oucrrx
I ror^rr'rHouse
DESCRIPTIoi.I OF HORK:fnsLaflation of inqround slrimnng PooI 6 Fencinq
I
OSCLAIMER lh€rcby ceniry fial arl intormalion io tlis aPplicaton is corlect and all
md odhmces ed regulaiions. The NHC O€wlopm€nl S€ryE6 C€nEr will be rrct'
conracbr inbrmslon "'NOTE: Any Work Perfonned \ry/O he ApproPriats P.mit
wolt wi! comply wih tte State Brrrding Code and €l otrsr sPPlicable SlaE afld local laws
tu ol any changB in n€ opProEd DbrB $d €Pedtcaltons or chEnge in cont&b. or
wtlbe in Violarion of the NC SlaBdgb Fines lrp To 9500 00"'
0hll,lER/CONTRACTOR: shane Kosnik SIGT{ATURE :
(P.int tDtr€)
* *** )*
*r(,t** +,t*** *,t +++* * **** t+*+ l l.i.****,t*tkx l.,t l rt,1,1.,1.:*
*,i * *,t*:i * *i.,*,t * *,8*** ** rt )t
*rt*,1)t,t***,1*,,r'r)x*'*
rs rHE pRopERTy LocarED rN l rrooorurlt I vrs
EXISTII{G ITPERVIOI,S AREA:
-
SQ FT
NEH I PERVIOT S AREA:
_SQ FT
WATER:
SEWER:
'}* SEPARATE PERI'IITS REQTJIRED FOR ELECT, I,IE
PAYI,IENT I/IETHOD: E COS*
E CTTECK (PAYABLE TO l{}rc)
ZONE:
_ 0F FICER:
r f\n
TOTAL ACRES DISTURBED:
-Exrsr LAND DrsruRBrirc tt*t*-3 yrs [---l Ho
h\l
LBG, GAs EQI'IP, PREFABS & INSERTS ***
A,,ERrcaN ExpREss
E nclvrso I otscovea
creua
! coir{uNrry svsrrm
f} pRrvArE ttELL
fl ctHrnar well
crnua
I CENTRAL sEprrc
fl pnrvarr srrrrc
I cor4I't NrrY sYsrEM
CH, P
+,i i:f * l1:| +1* + +++ * ++*,t*,* *,f * * * *,** *,* ,t
*li+* *,*** *,i i. t t*+',tt++*tt4* * *** + * * t* t * * ** *
**'* *)*'| * **)t * 'l:l * 'r
r"r
I
(foR ofFrcE usE o{LY) RtvIsEo ,}a-Ia s4l11/12
SETBAC(S: F: LH: RH: 8:
Approval:- city:- DATE:- FLOOD:
-
BFE+2ft=
AVN
olr'e.4-rS'6
PHONE $: 97c-? 32-s3'14
wilminsLon ST. g-ZIP |
4!2-
PIONE *: 9!a-232-53'1 5-
a
RECEIVED SEP
2S IIIS
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI@I TYPE; RESIDENTIAL
PLEASE ANSWER ALL qJESTIONS APPLICABLE 10 YOUR PRO]ECT
"Project Responsibility"
N6'1s'lte
E'213b
APPLICATION
Number
(office Use)
APPLICANT'S I,IAME:
DEVELOPER: N/A
Christopher Banker
CITY: wj. LminqEon
PHoNE f: ere-s 9-2aa3
ZI? i 284a9PROIECT ADDRESS: 6421 senEry oaks Dr
SUBDMSION: sentry oaks
PROPERTY otlNER'S IIAME: ChrisEopher and Ashley Banker
01,{NER'S ADDRESS: 6421 senlry oaks Dr
LOT *:
PHONE f: 919-ss9-2183
BLOCK #:
CONTRACTOR:isL Ln-.
h-.LICENSE #: N/'A
ADDRESS: NrlA bqlt S x+A
u): l^ ;
-
SL,^ sT: OC zIP : -2 V-ble^l-r,^
br-lcs. b r CITY:
EITIAIL ADDRESS: N,/A PHONE #:
PHONE #:ChrisEopher Banker
ALTE RATION R ENOVATIONGENERAL REPAIRSRELOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSI,JER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTION:
ATT GARAGE
-
5F
SUNROOM
_SF
GREENHOUSE SF
DET GARAGE
-
SF
PooL
_ sF
DECK 231 5F
919-s59-2183
I roncrr
-sF
STORAGE 5H EDSF
5FOTHE R
ToTAL HEATED
5Q FT:
_ ToTAL SQ FT UNDER ROoF:
_ ToTAL AREA 5Q FT:
T0TAL PR0IECT COST lress ro9 : $ :,soo # 0F ST0RIES:
Is Any ELECTRICAL, PLUIIBING or IiIECHANICAL l/,,ork Being Done to the Accessory Structure? [ Ves I f'fo
If the project
is a Relocation, is there a Natural Gas Line on the current site? ! ves [ ruo
Is there Electrical Powen
on this BuildinB?!ves !lo
PROPERTY USE
/ OCCUPANCY:SINGLE FA[1ILYDUPLEXT0l^iNH0USE
DESCRIPTION OF WORK: Bui ldinq a detached deck off of the back of mv house (See aEtached plans)
OWNER/CONTRACTOR I chrisrop:T er BankerSIGNATURE:
,****,** *,*** * * ** )k,**,** * * * r*** *,** )**
*,*** *,** )**
*,** r*,*+* * )*+* * * ,*,* ++,*,t +,t + ** *,t * )t x( )i,t* * ** )F )t
* ** i( * * * * )**
DISCLAIMER: I hereby cenify hai all nbrmaiion in tlis applacaton is
conect and allwork willcomplywih fle State Buildinq Code and all oher applicable StaE and local laws
and ordinances and regulalions, The NHC De!€lopmeni Services CenEr willbe notlied ofany changes in lhe appro,"ed plans and specifications or change in
contraclcr or
contacior int).marion.
"'NOTEiAny Work Pedomed w/O lhe Appropriale Permils willbe in Violation ol the NC SiaG Bldg Code and Subjecr tc Fines Up To
$500.0[r"
I5 THE PROPERTY LOCATED
IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
_SQ FT
NEI^J IiiIPERVIOUS AREA:
_ SQ FT
ZoNE; OF FICE R:
YES I NO
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:YES
Eruo
(FOR OFFICE USE
ONLY) REVISED OATE
O4l11l12
SETBACKS:
F:_ LH: RH:_ B:_
E
waTER:
fl creua
!COMMUNITY SYSTEMPRIVATE hIELLCENTRAL WELL
srr,lEn:
fl crcua
! crrurnar
seerrc
!PRIVATE SEPTIC COMITUN ITY SYSTEI4
*** SEPARATE PERiIITS REQTJIRED FOR ELECT, I{ECH, PLBG, GAS EQUIP, PREFABS
& INSERTS ***
pAyirEr{T rirErHoD:
! casn
! cnrcK (payaBLE
ro rxcy
! mrenrca ExpREss
! rcTvrsa [l orscovrn
* )*
*,* ++ + +** )t )t*** )*,*
* + + ++ +)t* * )*)*** *+* +,tx*,*)i* *
+*** )***
****,*+*+ )t** )**
x:t*+ *,* x:t,t*,t+,*,*,t)**:t**+ * )t** )k )*
Appnoval:_ City:_ DATE:_ FLOOD:
_ BFE+2ft=
AVN
Comment :PERMTT FEE:27 dD
DATE |
__:123JJ3_
CITY:
Elsi!s!g!_ ST :
Ig_ zIP ::ll!:_
ffi
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|I(N TYPE.. RESIDENTIAL
PLEASE ANSI{ER ALL QUESTIO{S APPLICAALE TO YOUR PRO]€CT
-Project Responsibility''
rc aZe-< 7'it vDt Na ct K?o F.pqto rtr
P/5 -?359
l5'n5 t
APPLICATIol{
NumbeP
(oFfice Use)
DArEt
4/7.4ZttEAPPLICANT,S t{AIiIE :
DEVELOPER:
PloflE #: q)L zTqlabl
PROIECT ADmE55: i. L55
SUBDIVISION:
orl DCITY: WitVL rJ Qria
x zIYz Zb4d
BLOCK $:LOT #:
ST: CA zIP:q4.1OB
sr:*2zrPl.ZAot
PROPERTY IER'S ilATTE:
T'AF.A A.FLW1 AClF(q / JL{K YI"PHAIU PHONE #:
ohlNER's Am,RESST t r.,€*-utO LVE,CITY:
CONTRACTOR:
JrLICENSE #:
ADoREsss
lLtz fuwA ll*l^ 4Rw( crr''rl
ETIAIL ADDRESS:
\ O^EY d1L?I O L€C .Y'Y. (,CW PHONE #:
PROJECT COiiITACT PERSON:PHO E #:
EXTSTTNG COiTSTRUCTION:
ffi ArrenarrOru
[ neruOVArrOru
! eerenal nrearns
f] RELocATToN
NEu COil|STRUCTTOT:
I eneCr EU RESTDENCE or ! 6gD111gX TO EXTSTTNG RESTDENCE
'|"*PLEASE CHECK Al{D At{SllER BELO,I ALL THAT APPLY TO YoUR PROIECT:
I arr camee
-
sF ! oer ernner sr
! eoncr-r
-
sF
tr
tr GR EENHOUSE
SF POO LSF
! sronnce snro SF
SF
SUNROOM
5F
! orcr5F OTHER:
TOTAL HEATED SQ FT3
tl/x TOTAL SQ FT U]{DER NOOT:
N/4, TOTAL AREA Sq TT: N/A
TOTAL PROIECT COST rru"" rotr : $14000# OF STORIES:(/A
Is Any ELEGTRIGAL, PLuiBI[G or ttECHAflICAL Work Being Done to the Accessory Structure?
[
If the project
is a Relocation, is there a Natural Gas Line on the cunrent Site?
Is there Electrlcal Power on this Building?[v"t lEruo
pRopERw usE
/ occupANcv:
ffi srrucrr ramrrv
I ouerrx TO}'INHOUSE
DESCRIPTIO''I OF WOR(:r4ilvo Z-rlAgotlRY rrLJM'.j5 vlT*
Le$de
OISCLAIMER: lherebycenir t|al allinbmalion in his applacalion is
corecland all work will comply wih he Srale Building Code and alloher applicable Stab and locattaws
and ordinances and regulalions. The NHC DevebpmentSe ices Cenbrwillbe nolified ofanychanges in he approved plans and specifications or change in conlracbror
cont'acbr inbrmalion. T*NOTE: Any Wolk Pertomed w/O t|e Appmpriats Permits will be in Violalbn of the NC Sl.aE Bldg Code and Subject tc Fines Up To
$500.00"'
Oi.INER/CONTRACTOR: LIJTL\Z(-T RlqERq
]F 5IGiiIATURE:
\7{?I-,'-6,'2U
* )t )* )* )i
* * * * ** + * *,* +** + * *+ * * + + + *** * * * *,1
J*
Yes
E No
tr Yes
Eruo
****)trkrk,*+*++,fi*******t r.*r< *** * )* )**i<
***,t )t )t )t
* * * )* ,* ,* :*
* +* **C,--
5
trc,g
7
<D
€
-8.q
Pt\)<rrt
rs rHE pRopERTy LocArED rN A FLooDeLATN?
l-l yEs El no
EXISTII{G
I PERVIOUS AREA:
NEW II.IPERVIOUS AREA:
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBII,IG PERI4IT:
Ives [ruo
ED DAIE 94111
SQ FT
SQ FI
MrER:
E creua
I cor{4uNrry
svsrer'r
! pRrvarE r.lELL
! cerurRnl welr
sEHER:
l>( cFpua
! cerwnal
seerrc
! pRrvArE sEprrc
f] co'ruulrw svsrrm
*** SEPARATE PERIiIITS REQU]RED FOR
ELECI, IVIECH,
PLBG, CAS
EQUIP, PREFABS
& INSERTS ***
pAy ENT r,rETrtoD:
I asx
I cnec( ( payaBLE
ro
lrrc)
[ +reucAr{ ExpREss
E ,.lrrro ! orscorr*,*,***,*)r,i,r*lr:t+++++++*,*,f*,*)*,*,*,t+++++++*,***,t**+++,t,t***:t*+++++,t***,ir(,i,i:t,t:trt,**+:f:i:t+++*,t*,*,*:t,t:t+,**
/\ (tOR OFFICE USE qlLY) , BEVI5
zorue:
K-15 oFFrcER:
F.\Lty'\ . ,sErBAcKs: r,3' LH:SA_ Ru:
0/r e:,/x
Approval :- city:t0\ t-fy'\ DArE
:'l/2s(tSFLooD:
_ _ fuAlX BFE+2ft=
F-eg9a;yq$*na1 4 in hrr$*Yvld<+ bc selbc,(t(
re{ba<}A-A,$oJ.trt1t n
___
Yro fr€fi Y tj 6a.
/2'
t72
[o
f,+, gac,-Aots -
Exra
L"ffi
APPLICATION
Number
(Offlce U.e)
.@,
*
CONTRACTOR:
ADDRESS:
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATIOfl TYPF: C(X.ITIERCIAL
pLEASE AnSIER ALL QUESTTO S AeeLICAELE
tO VOUR pnO:eCr7
"Proj€ct Responsibl]lty,,
APPLICANT'S NA}IE: scorr KloDfer
DEVELOPER:
pROIECT AODRESS: 4?11 New
centre prive
OCCUPANT/BUSINESS |rlAllE
! rarqer
PHOI'IE
fl:
PROPERTY Ol/tlER,
S NAl.tE: Bob Meza(Tarqet )
OH{ER'S ADDRESS;
lLseurh SixEh sr.reer, CC-2s20 CITy: Minneapol.is ST:
I!_ ZIP: ss4o2
5T:_ZIP:_
LICENSE
T
CITY:
EI''AIL ADORESS:
PRO]ECT COI{TACT PERSON:
PHONE f:
PHOI{E
$:
Exrsr cotsrRucrroN:
E ALrERArron
3 ,rrli[il;',i 'fr^:?IL^r nrrrrns l-l RELocAr]oN
lf Rdocatlon, is there a Narural
cas Line on the -Current Site?
! ve?[ rc tS aLDG SpRtN-xLeneOz
[t ves
[ ruo
nEtr
cor{srRucrroir:
I enecr NEhr srRUcruRE
I rasr rnlcx
I sxer-r.
fl uerrr
I eoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The She1l Permit #:
...., rs rHrs A cHAlrcE oF occupAr{cy use r
fivrs t
Is Etect Poxer on thls 8ullding E yes E nO
PAi
6!2-677-7too NC RE6 tr: 7os9
NC RF6
*:ENGR DES16l,l PRO'ESSIOI,IIL:PH;
DESCRIPTION
0F WoRx: exterior remodel of the Tarset Store
ls food or b6ror6g€s pr€par€d or servad ln trb aruaure? filves
[ ruo b Tm emperty Locatod ln Tho Floodptain?
f] ves
[l Ho
DISCIAIMER: I horeby certi,y ftal all intormalion rn
this applic€ton rs correct snd sll work will comdy v.nh thG StEte Buitdino Code and att otier spplicable Stale
and bcal laws and ordinances and requlalions. Tha NHC Devel,ooment Seryices Center will he rolifiad of anv chanoas in thi! aoDmved Dlens and ;;ecrfrcat|ons
ot airanoe in conltaclot or contraqo. hformation "'NOTE:Any Work Per{ormed
w/O lhe Approprkte Perm{s wifl Se in Viotalion ot th€ NC State Bldg Codo andSubjoctlo Frn€s Up To
5500.00"'
(HIffi/CONTRACTOR:
(ornd
SIGNATURE:ff
or hd&E wrr tbl'ld loNotr: Ormdllo.r nodicador!3
t lsboiloa llnoval pe.mtt applLrUorls rroOUALTPtEr{
lo b€ 3rrbitifdod u3lnglo.In (OHHS.37m) $olho. tho
contdn A!b..16 or r|ot You
!r! Ir$r.!d b c.ll t lo iaetoml Enlblloo S.rdards br Hez.rdosr AL
Po{utrflb (NESHAP} at {810)707-5$0.t t..!r 10 dayr p.to, to UtG
d..notitoa ol any hdv or hdd'lg. S.. Asb*ba Wab
Slb: tnFJ,/utfr.od.st3!.. nc.us,/€puarba6to6tahmp.ht nt
TOTAL PROJECT
COST: s13c, oooBUILDING HEIGHT: 36, -4,
TOTAL AREA SO
Ff : tz4 ,221 SQ FI PER FLR:
lz{,227# OF STORIES: 1
TOTAL SO FT UNDER ROOF:# OF STRUCTURES:
f OF FLOORS:
I
ACRES DISTURBED:0
Exsr LAND DtsruRarNc Renlarrr
f] ves T NO
NEW IMPERVIOUS AREA: oSQ FT EXISTING IMPERVIOUS AREA:
,'SEPARAIE PERMITS REOUIREO FOR ELECT. IIECH, PLEG GAS EOUIP. PREFABS & IIISEBTS -'
(FOR OFFTCE
t SE ONLnZONE:_OFFICER:_ SETBACKS:
F:_LH:_ RH: B:Approval: Citf_DATE: FL@D:___BFE*tr_
N
SO FT
pRopERryusE: florrrce flnesraumrlr flueRcnnrle
leouc f]npr lcouoo OTHER:
WATER:
SFI./ER;
@a CFPUA
CFPUA
fl coMMUNtTy SYSTEM
fIWELL flzoNlNc usE CLASS|F|CAT|ON:fl CENTRAT_ SEpTtC LIPR|VATE SEmC nCOMMUNrYSYSTEM
REV]SEO OAIE lJ11l12
Comm€nt PERMIT FEE:
OATE :
_-g::l_:_ll_
CITY: lri.IminllLon ZIP: zeqoe
PHO
E f: 512-7G1,2031
IF Yes, what ras the Previous Occupancy Type?
_
ARCH DESIGiI PROFESSIOiIAI-:
David c. Norback
What ts the New Occupancy Type?
# OF
UNITS: 1
pAyMENr MEn{ODr
flCrsx
I Cxecx leeveslE ro NHc) firulenrceN exrness
I ucmse florscoven
L4t fSf,rt-Aat' " stua
]€effi/,NEW HANOVER COUNTY
BUILDING PERMIT
AppLrcATrON
rypsr CoTIERCIAL
PLEASE
A SUtn
AtL quEsTIOtS AppLrcaSLE.rO VOUn ptOrecr/
dproject Responstbluq/,
,@ APPLICATION
Nuflber
(offl(. us.)
DATE: 8-2a - rs
APPLICANT'5 NAHE: scotr(Iopfer
PHONE d:
PRO]ECT ADDRESS:
t1 CfTY: l{ir ZfP:2 o4 o E
OCCUPANT/8UsINEs5 i{AME
I
r
PROPERTY OI^,NERJs NA}IE I PHoNE
#! 612-751-2 1OltlNERJ5 ADDRES5:33 South
Sixth St!ee!, CC-2S20 CITY
: Minneapolls ST: -!S_ Ztp: 55{02
CO}lTRACTORI(tICE SE #.:
11174
ADDRESSi i
d CITYi CobmO,t5
EF1AIL AODRESS:
PROJECT C0 TACI PERSotli
OEVELOPERI
e.Ca
eELOt PHONE
PHONE
sr I oll fip,t\tlt,
$t (,t4't/ 88-./cd>#.ZE=?S.i?z
Exrsr coNsrRucrroN:
E ALTERATT.N g **ffi}*' 'iti'l?'il.o, Rrparns
r-r RElocarroN
lf Relocaton, rs rhere a Narur€rGss Line on the cJrrent
srte?
[v"" Iuo ts aroc spirN-xLengoz
flv", [ruo
NEI,J CONSTRUCTTON:
I raeCr uEt,l srRUcrrJRE
f]rAsr rnacx
I snrr.r"
I ulFlr
f] mo 70 Exrsr srRUcruRE
ACCESSoRY STRUCTURET
If UPFrT
- rhe Shett pemit #:
Is Er.ect poH€n on
thts Buildlng E yes fl no.i*.. rs rHrs a cHANcE
oF occupalcy usE?
fives frrg *.*'
IF Yerr what }las
the previous Occupancy Type?
--
Wtrt ts
ttre eu Occupancy Typel
--
Afl(H DESIGN PNOFESSIOIALI
David c- Norback PH
PHNC REG #i
61,2-511-?100 NC REG
f: ,0s9
ENGR OESIGN PROFESSIOI{AL:
DESCRIPTION OF I.JORK:erior renadal
of bhe Target
Sto!.
lslood orbsver€ges prspsrsd or sefl€d h thls
slr{cturoz fllves
[ ruo b ThE propsrv Located In
The Floodploin?
E yes
E No
&e Er{'
usln!iloto: D!fiolton m(i.3l,ong t 6sbo!to. lgnoysl paamlt
coni.l^ Ar6.sro! o. nor You .rs Equkod to cafl E!6 Noron.t Emb.ton
Ssi(hs hr
Cod€all
lhe rEcry or ouoone
r!! .w- .!
Harrft,ow r,J. Pollutanrt INESHAP){ (g10)707.5}50 rt l.€st I0 d!y6 lrtor to t\.
# OF UNITS;
d.molhlon ol ony
'b.lliy
or hrldlng So. Ab€6{or ltbb 8lt0:htQi/r,,\w/.Ert.5tsto.nc.us/apy.
TOTAL PROJECT COST:1lo 000 BUILDING
HEIGHI;l!]-4,
TOTAL AFEA SQ FT i
I.2.{.227 SQ FT PER FLR:
TOYAL SA FT UNDER ROOF: 1?a .
227 # OF 9TRUCTURES:
ACRES OISTUREEO:
# OF STORIES:L
{OF FLOORS: l
Exsr rAND DtsruRBrtle eenurrr
f]ves NO
NEW IMPERVIOUS AREA
SQFT EXISTING IMPERVIOUS AREA:
-s0FT
0
pRopERwusE: EoFFtcE nnesreuRANr
uuenclarle
lrouc flanr flcoNoo orHER:
!ryAIEl EglluA [fcoMMUNny sysrEM
E]WELL llzoNtNG usE cLASstFtcATloNieEwER: fifl cFpuA E]cENrR r_
sEplc
I iFvrre semc g6uraunrwsisre
. .sEp/lRiTF DEr?r.lis RIQIJ|FEO;Oq ELECI r.tFCH, pl Sa c^sFoutF FttEF Bg *
']SFRTS_..
'o*'*'-1:::.H:i":*tr-.*:1rj:f::l:y1-Hy.jl::.:x.1.-[r.::T:1 roscoveR
zoNE:. oFFrcER, ",".
(t"#fiffi[X1"J:-LH: RH: B. nEvBEDDATE'rrl^z
Approval:_ Clty: DATE: FLOOD:
__- gf
E+zn=_
AViI
I
Comm€nt PERMIT FEE: $
*
bt\'-1%?
NEhI HAiloVER
couNw BUTLD
ING PERfiIT
t*9u sAPPLTCTiIO ry?E: RESIDET{TIALPItlst alslGt at
t grE$roc a?rltcllra t0 YI'L DroJtctTrcrGet f,.rponr
lblut!/APPTICAUOI
ltur$cr
(Oftlc. tr.)APPLICAI{T'S MIIE:
PiO]ECT ADOIESS:
SUIDrvllstoit
PIOPERIY Oflf,ER'S llA'IE
'{Ei,S ADDRESS:
(
cttY:
CIIY:
PllIlE t!
PIO E
OATE:
-
sr:
_ zrP,
TIOI
el:ltr
BLoc(
t:7
1<@ilTttcToi:
ADoRSSS
!IICEEE
r!
-
a@UrI
,!Ei lIr tDoiEss:CIIY:
PTOIECT COI{TAEY PETSCI:PI E.:
dsTtre @iElRlcrlof{:
! alreUEOn DIO
E.:
f,at
cffirnucrrilr
I rrrcr ilEU TESIDEICE or
l[f6rurur neparB E rnocl
.rPLE^tSt C CCI lD lr.$ftt lctoJ
rtt r
lr APPIY TO
YU.tt ?t0rccr:
lDDmO{ Io ExrsTtrc
tlsIDEilcG
l-'l lrr cauee <G
! orr camae
flsuxnoor
-
sF EIroor
-sF tr SroiACE gED[-'l eneemrousr (!
R DEc( U
{ll sF OTHER:
SF
0n/1 lrl1"t1SF
:-_-
?PsraaSiO
YO?AL HEATED SQ
FT:
}1 O,qII,. TOTAL SQ
FT UDER ROOF:
j3 lrnc\..796s **sc
rr'Q$r:ratr l[d,N\T0YAL PiOJECT
C05Tarqro:
I l1,ccc* OF STORTES:I J.. r,,r,r;r
,4*Is Any EUC?nIC
t, putsttE or lGc,uItcl! rofk l€lng Dona
to thc Acccsso
ry Stntturt?
Is there
Electrl(rl poyel. on
thts Buitdtq?fives
Llne on
the Curr€nt S
lte? [
I ves
Yes
WnoIf the proJect ls a Relocauon, is there et'latur.l Gtstr llo
F-PT0PEIW USE
/ Oct PArrvs
$ srrcr-r rar.urv
I o1p1u E m11rousEDESCiIPIIo]{ 0F }tri|(l
- 8FE+2ftc
Comcnt 3
I
ZIP I
DEYELOPEI :
ffi{ER/@ITTRACTOI:
zor'rE:OFFICER:
SIqAIURE:
(t ofltcc ugt orY)
_______- SETBAC|(S:
F:_ LH:_*,.- ,,-ltD oan
"/11/rlApprlvel:_ Clty:_ DATE:_FIOOD:
$9-
!,
P€z
6 -257s
?ot'-q1a\NEW HANOVER COUNTY
BUILDING PERI.iIIT
APPLICA|I,N rvpF: C0i4}iERCIAL
PL€ASE ANSIER
AtL QU€STIONS AppUCABtt TO YOUR pROl€O
"project Responsibility-
APPLICATIOI{
ilumb€r
(Officc Ur.)
DATE
APPLTCAI'IT, S llA E:
DEVELOPER:
PROJECT ADDRESS:
OCCUPA T/BUSINESS IUI"IE:
PROPERW OUI'IER'S MfiE:
CONTRACTOR
AOORESS:
EI{AIT ADORESS:
PROIECT COI,ITACT PERSO{:
2(r*\CITY:
zrPt%b/
Ql)-?62-Ttt
\L ztpt26.lo/
CTTY:
PK'NE
*:
P}O E *:c
5
LrcEirsE
r: 3uSE
crrY:I
ST:
ST
PHOa{E
#:
P}ONE T:
Y.
L.(L
Exrsr cor{srRucrror:
I arrrmrr* F rrrdifirrg.ii 'ffi1*0. nerarns
fl RErocarror{
rf Rerocarion, is $ere s NarurEr
css Line on rhe curr€nr
sitez
flvFflruo rs aLoc
spRr'ilriiRl;; ffiv". flru.
NEU cor{srRucrro{,
I enrcr NE], srRUcruRE
fl rasr rnacx
I srsr.r.
! uprrr
E ADD
To Exrsr srRUcruRE
ACCESSORY STRUCIURE:
If UPFIT
- The
Shell Permlt
*:
'T"* JS THIS A CHAIIGE
IF Yes, h,tat uas
the Previous Occupancy Type?
t
flvts firm ***..
lhat is th€ tles Occupancy Type?
or occuPAr,lcY usE
ARCII DESTGI PROFESSIO{AI.:
Et{6R DESTG PROFESSIOTIAL:
PH;
-
ilc REG
*:
PH:
-
c REG
#:
DESCRIPTION OF l,lORK:
ls food or Devrrog€s prsparcd or seftrd ln Urts srr.ctrref lVes
I Ho ls The Proporty Loc8tod ln lhe Roodplain?
flves[rc
SiluiF;
j,i#"#ffi
l'drsqffiffid.,s#fr
trF;diiB,ffi#sieclllcatrons
Bldg Cod€ snd
alI
olher sppllcable State
End
cOWNER/CONTRACTOR:
(adLr,SIGNATURE:
lbclllty or hJtBhg wts tbund
to
l6rn 10
day! ,ror to tho
TOTAL PROJECT COST:
o BUILDING
HEIGHI
SQ FT PER FLR:
# OF UNITS:
TOTAL AREA SQ FT :# OF
STORIES:
# OF FLOORS:TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:
ACRES DISTURBED:-Exsr t AND
DtsruRarnc etnum
f] ves
I Ho
NEW IMPERVIO AREA:SQ FT EXISTING IMPERVIOUS AREA cn Er
PROPERW rrrce flnesraunarr f]uencaHn-e
[eorrc
fllrr flcor.roo orxee
WATER:
SEWER:
Not.: Demolluoo no{fcrtlonl & asbestor r€l'lovet pemn applcstions ere to De submltod ullng $€ appltcaton forn (DHHs.u6g) wrr.tiar
0l.
conLln Asbestos of not. You
u! aoqulr€d io
crff tn Ns{oml Embalon
slti(brdr for thrldous Ar po rrtlris (t€sxept a tgliizot.iilo a
demclhioo of ony fldlllv or bdldhg. Sac Asbenos yVbb Snc: httf,rAflvr.opi.slrte.rc.uyapyalbesto3/ohmprnrhl -
coMMUNtTySySTEM
ffwEtr EfzoNtrtlcusEcLASStFEAnON:
CENTRAL
SEPTIC LI PRIVATE
SEPTIC ECOiIMUNITY S\ISIET'CFPUA
i, SEPARATE PERMITS REOUIRED FOR ELECT, MECH. PIsG, GAS EOUIP, PREFABS E INSEFNS *
pAytitENTMETHOD: ICASX [CxeCrplVratETONHC) fiArlenrCaxo<eRESS EMC/V|SA IOSCOVEn
.rrin.i..tfrfur
(FOR OFFICE USE ONLY) nEusED
D tE 4/1n2
ZONE:-OFFICER:
-
SETBACKS:
F:-LH:- RH:- B:
Approval: City:-DATE: FLOOD:--
-BFE+2ft=_
AVit
Comment PERMIT FEE:
i_
Otll{CR' S ADDRESS:
Is Elect power on
this Buitding E yes E,O
t
,ors- qL{31
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Res pons
ibility"
L5-27 0 4
APPLICATION
Number
(office Use)
APPLICANT'S NAIIE:,'.i,ar:er Rui.Cins !tro.rp
DATE: 9-:2-1s
DEVELOPER: ,
PHONE f: 91ir r69 244a
PROIECT ADDRESS: 81:8 i"Ja.ie Hampton .ourt
SUBDIVISION: E.ire:r'. creek BLOCK #: tt ,se LOT f: 4\
PROPERTY Ol'r ER'S tlAI',lE: Hdrcld and Melisia Arrowood
OWNER'S ADDRESS: rir8
Gilcs Ave
Unlt I04CITY: wr
lmington
CONTRACTOR: Chartei. Burlclrng GroupLICENSE #: .. r.r r 9
ADDRESS:
108 ciLes AveUnit 104 C ITY:Wi
Iminqt on
NEI'l CONSTRUCTION:ERECT NEI,J RESIDENCE oTADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOI,I ALL THAT APPLY TO YOUR PROJECT:
ATT GARAGE 780 SF
PHONE #: 9ta '169 244A
EIiAIL ADDRESS: HottyGcharrerburtdi:r!Jsroup.com PIIONE $: 91!-r69-244\_i
PROIECT CONTACT PERSON: :re,:r:r Lewis PIIO E *: !rf -262-5899
EXISTING CONSTRUCTION:A LTE RATION R ENOVATIONGENERAL REPAIRS RE LOCATION
DET GARAGE SF
POO L
5F
PORCH
L_SF
STORAGE SH ED
sT : .]j!_ zIP
:41!:_
ST:
{_ ZIP:
:jjja
SF
SF
TOTAL HEATED SQ FT:
TOTAL PROIECT COST rress roo : $ 32.,!...
FT UNDER ROOF: 4:.4
f OF STORIES: 2
DUPLEXTOWNHOUSE
2984 TOTAL SQFT i 42a4
r No
Yes I No
Is Any ELECTRICAL, PLUI4BING or MECHANICAL Work Being oone to the Accessory Structure? E Yes
If the project is a Relocation, is thene a Natunat Gas Line on the Cunnent Site? [
Is there Electrical Power
on this Building?nYes I No
PROPERTY USE
/ OCCUPANCY:SINGLE FAI4ILY
DESCRIPTION OF WORK: Sinsle Family DweIllls q{b atlqqbed QeI"se
andordinancesandregulations.TheNHCDevelopmentSeNicesCenErwillbenolifiedofanychangesinuleapprovedplansandspe€ifrcalionsorchangeincontracttror
contact,r inbrmaton.
"'NOTE Any Work Pedormed W/O
he Appropriab Perm its will be in Violation ol ihe N C SiaE Bldg Code and SubJect b Fines Up To $500 00"'
OI.INER/CONTRACTOR:
:iLarr er Bui ldin.l SIGNATURE:
TOTAL ACRES DISTURBED: <I/3
EXIST LAND DISTURBING PERI'IIT:
I-'] YES
Group
+*r<* **+ r:+iti(,t + + tr rr )i
+* *,* * ***+ i+ + 't * ++ + i( *'* * * * * ** * 'f * * * * * * * +** + +**,t )t
* +:t* * + + ** * )i )i
* **** * 1.1. * **r.r< *,*n NO
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YES T
EXISTING IttIPERVIoUS AREA: r
NElr IMPERVIOUS AREA: r-,-ii
CFPUACOMMUNITY SYSTEM PRIVATE I,JE LLCENTRAL WELL
SQ FT
SQ FT
CFPUA
! cenrnnr sEPrrc
E PRTvATE sEPTrc
!NO
I,JATER:
SEWER:
*** SEPARATE PERJ'IITS REQUIREO FOR ELECT, MECH, PLB6, 6A5 EQUIP, PREFABS & INSERTS ***
pAyMENr
irErHoD:
Icrsx lcrecK (pAyABLE ro NHc)
E AfiERTcAN ExPREss
[ "cTurso E orscorr*
x**,t*{r+{.****r.i.i.+,*{.r:**r.*r(r.,1.+++**r(r(*1.r.,i,},t,}*a**xr**r(,t*r(+rr*lr***************+{r***+*{r****,*,t,**,t+
(FOR OFFICE U5E ONLY) REVISED DATE O4l11/12
COMMUNITY 5Y5TEI4
SETBACKS: F: LH: RH: B:ZONE:
_ OF F ICE R:
BFE+2ft=
Approval:- city:- DATE:- FLoOD: -
N
,/.---ti-\
CITY: wi
tminqLonZIP: ) a41 1
! oecr
_ sF orHER:
TOTAL AREA SQ
! surunoom
_sF
! cne eruHous e
_ sF
/Y?a-
(
Pe . lS-&r:
\NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIoN TYPE; COMIIERCIAL
PLEISE A'tSilEi ALL QU[5n0t5 Apptt(^8tt I0 YOJA PiO]:(I
"ProJect Besponslbllit!/'
APPLICATIOI'1
i/unber
(offr." Usc)
APPLICANf'S NAl,tE i Thomas ccnstrucilon Group
'TVELOPER:PRoJECT ADORESS:
2:lr s. i?ri slree'"
0CCUPANT,/8U5II'IESS NAllEi NlRl4c iNeu tla.ove! Resio:ral Medr.cal c€nter)
PRoPEiIY otlNER'S IIABE: I]RMC
Olt{ER'S ADonESS: 2i3.I
s. !?rh s:xeetClfY: olimlnqton
CoNTRACT0R I?honas Constructon Group LICETJSE *: 5162A
CITY: rlln'inq13nAoDRESS; 1i11 Mirita!vCutoff Rd. suite 191
El,lAIL ADDRESS: r,rl t iams0Eho,nasconstruc!lonqroup. cotn
PRO]ECT CONTACT PENSON:David aonverie
{che(k A11 that Apply)
EXrsr CONSTirrCrrOx I
f] llrtnnrrol
lfRelocetlon. is fiere a Natu.al Cas Line on lho
R ENOVATIOT{
tr eerenll neelrns
!
Cu(€nl Site?
EYes No ls BLDG SPRINKLERED?
E]Yes
tr
PHoa{E {: ?9e.2295
OATE: 9/16/l:
PHONE S: rI0..14.1. 3lC0
5Tr nc ZIPr 26401
ST: xc ZIPr 28405
RELO(ATION
No
r{EH coNslRucrror{r
fl rnrcr N€ll sTlucTuRE
I rA5r rucx
I sner.r-uerrr
! loo ro ExrsT sTRUcTURE
ACCEssoRY STRUCIUR€ I struc!ura1 sreel
ARCH DCSIGI! PROf€SSlOl"lAL: 3)i1i PA, 16? - 262'aNC REG ,r 4,9 51
EiER DESIGN PROFESSIOI.IAL YcEadve NC REG t: 8433
h ,ood or b6/oEgos p.!p$Ed
d .{v6d lfl t}& aruaucf
[v"" fl ruo
b Tho Propqty t ocstad ln Thr
[v"" fi ro
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TOrAL PROJECT CoST:
.Ll!-r-l!!_-BUILDING HEIGHT: :.6c'
TOTAL AREA SO Ff: r5CFT PER FLR: ]5.
TOTAL SO FT UNDER ROOF:
19L,3-.1_
hclilry or bllldlio f,ar hund l,
-5850
.t lrrl 10 dry! Fi!. b
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, OF UNITS:
# oF STORIES:
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NEW IMPERVIOUS AREA: oSO FT
OTHER: cspi t.:
WATER:
SET^./ER:
aa CFPUA
CFPUA
T-lcoMMUNlrysYsTE nWELL DZONING USE CIASSIFICATIoNIfi ceurnel semc Elp-nvere spprrc 5-couuuxnvsrerru
''. SEPAIIATE P€rlMlls AEOUIRIO FOR E'6Cr, M€Cri, PLBG, GAS EOUIP, PBErAAS
&,,\SEirTS _'
(FOR OaFTCE U6E Ol[Y)
EXST LANO DISTI.JRBING PERMIT?
E(lSTlNG IMPERVIOUS AREA: c
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Apgoval:_-
SETBACKS: F:
$leLH:JI1RH:r'J[A B:illn
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PERMIT FEE; $
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CITY:,:{iLml.oron zIP i 284 cl
PHONE f:9r0.?99.2295
PHOIE Sr 910. r99.2295
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- The sh€ll Penmit *i ls Elect Pouer on this Bullding El Yes E'o
...r. rs rxrs a clraflcE oF ocqJpaxcy usEt
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rF Yes, r*rat u/.s the Prevlous Oaarpan<y ly?e? Mlat ls the ile! o(cuPancy lypel
-
PH: 199. i125
nFcreTprToN OF r.loRl(: RonovaLe cldssroofis:o rl!ice lfloor:nq, ce::inc, d!vdl1, mecl 6 e-ec
* OF SIRUCTURES:
l__ , OF FLOORS:..-
ACRES DISTURBED: o
pRopERw usE: EoFFrcE f]nesnunerr luenurunr-e lrouc !rr f]coloo
P YMENT METHOD;
flceSn florecr (PAYABIE TO NHC) EA'"ERICAN EXPRESS
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