OCTOBER 08 2015 BUILDING APPSI-IEI{ HAI.SOVER COT,I{TY BUILDTNG PER'.!TT
APP LI cAfi dt rvPr
; RESIDETJTIAL
l, r!-<f trlSril? ALL q,alTIOIS
^tipllarnlE To r!!,8 .iarial
"P.oJe.t Responslblllty''
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t5 37s1
APPLICAT'O{I'
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XEH COfiSTRI,(TIO : N ERE(T l.En REsTDEITCE o. f] aOOlrrOl ro Exrgtrtlc iEsIDEtLE
PCRCH
_5F
sroaict sltED
(. ,.. -.aPtf t t: /'c (;;) ,1
DaI G,!a,1G9
--
5F
tooL sF SF
sr
rci,rl H€A1EO
Sq rr, /(o0o roTAL
sq f r urlDER ewt lbk)TOTAT AREA SQ FT:
/6 z'
-orAt PROIECT
CosTrrsro : $ *n,{ { s
of sroRrEs: L
:,, r\r,v ErE<:tICAL, pL'Jt8:t{6 or. .{fCHA'arCAL *r.k 9ei.^8 oone t. thr a...5sn.y 1r.rrt1r..r
If :l-,e :^^ject is a Re]..rtion, is 1,pr" a
1s :t-.-. Elecr.ical pcrre- rr it'is Building?
Gas
Lin., c^ the
curi'eit Site?
f]ves Iuo
;FO'TR'!'Y UST
/ O"UPAfiCY:
DESCF IPTIC*i OT IlloRK:
Srt.r E FAyTty D ro!
ix
1)TitQtt/,L
1 '..Lit
I i,!
,,,.,,,,, JI;l j:'il'.'','.'."."r..,.
rs rHE p[opERTY r-ocArED rll A FLO@PLArI?
E] YES ; i'to Sco'lg;t+ Flo& A"anrc)Qz
*nnrle'l I
Cy1bttfr-/
EXISTIIic IIiPERVfOJS AREAr --_- SQ rr
tlE; IIPERVIOI6 aiEll:
--SQ
Fl
TOTAL ACRES OISTUEBEO:
EIIJT LA}O D:'TU&8TNG TERXIT: I
,r-"l :-..!r ::
:l
,FLOODZONE
c5naq;!ii _
.,i.,: 'iiJ :r'_\
D)
OF F
ICI R:g.s
!''Nlk.n,t Uk
'__ : I Lrlr _
CKS; F
F L OCD:
Z0rlr 'or,5Llrt a,tJ]A
,5hodr,Mn'r':"-
RF!:] FEE:
,
hb at<t G^-+.ee{glrcf,P-te"* wo.Jc '"s{..r-<kd
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L5-2684
APPLICATION
Number
(office Use)
APPLICANT'S NAIIE:DATE: 9-18-2,,ri5
PHONE #: 9ta qq4-306rDEVELOPER:
Southern Inctustriat Constructors 1nc
PROIECT ADDRESS:
f9C1 Casr,le Hayne Road
OCCUPANT/BUSINESS NAI\4E : :., rt : -- r., I i,':i.r : : r
PROPERTY OWNER'S NAHE: Gexeral I,rlect-r,.
CITY:Wi fmi n qt on
iaI Constructors:nc
OIINER'S ADDRESS:
3901 casrle Hayne Road
EMAIL ADDRESS: .{nLy. lewi:r.ase. com
CONTRACTOR: southern rndlrst,riaL :onstructo!s, rnc. LICENSE f:
ADDRESS: 51C I Trianqfe Drive
CITY: wr Lrnrnoton
PHONE #: 91!^-11I - -l,r 6 i
ST:
ll!- ZIP: 2r61r
PHONE f: 9ro-q44-306r
PHONE #:91a-s4C-:185
214 2i
CITY: R.l1e iqh
(Check
All That Apply)
EXIST CONSTRUCTION:ALTERATIONRENOVATIONGENERAL REPAIRSRELOCATION
lf Relocation. is there a Natural Gas Line on the Current Site?
il Yes
Erro IS BLDG SPRINKLERED?I ves
I uo
NEW CONSTRUCTTON:
E ERECT NEr{ STRUCTURE
! rASr rnaCr
! sXell
ACCESSORY STRUCTURE:
UPF IT ADD TO EXIST STRUCTURE
If UPFIT
- The Shell Permit #:
rs rHrs A cHANGE oF occupANcy user
Ivrs Iin *****
Is Elect Power on this Building!YesEruo
NC REG #:
NC REG #:
ARCH DESIGN PROFESSIOT,IAL:
ENGR DESIGN PROFESSIOiAL:
ls
food or beverages prepared or served in this strucrure?
[ ves
fl lo ls The Property Located ln The Floodplain?
[ ves No
PH
PH:
DESCRIPTION OF WORK: FMo men's chanse room mods (Job+2-SE-52058)
OWNERYCONTRACTOR:SIGNATURE:
DISCLAIMER: I hereby certify that all information in lhis application is correct and all work will comply with the Stale Building Code and all other applicable State
and local laws and ordrnances and reoulalions. Tle NHC DeveloDmenl Services Center will be nolified ol any chanqes in lhe approved plans and specificalons
or chanqe rn conlraclor or conlraclor iiformation. "'NO fE Any WorL Performed wO the Appropnate Permrls will 6e in Vrolation of the NC Slale Bldq Code and
sublecllo Fines Up To
$500.00"'
Llichael Brinson
(Ouallfor) (Prlnt tl8mo)
contaln Asbestos or not. You sre requircd to csll the Naional Emis-sion Slanderds br Hazardous Air Pollutants (NESHAP) al (919)707-5950 at least '10 days prior to lhe
demoliton of any facility or building. 5€6 Asb€tos W€b Sit€i htF:/ rtw.epi.stata.nc.usJepi/asb6sto€/ahmp.html
TOTAL PROJECT COST: .]1,'i. BUILDING HEIGHT:
TOTAL AREA SQ SQ FT PER FLR:
# OF UNITS
# OF STORIES:
# OF FLOORS:
WATER: ECFPUA ECOMMUNITY SYSTEM
fIWELL IIZONING USE CBSSIFICATION:
SEWER:
E CFPUA
E CENTRAL SEPTIC Ll PRIVATE SEPTIC ECoMMUNITY SYSTEM
".SEPARATE PERMITS REOUIRED FOR ELECT MECH. PLBG. GAS EOUIP PREFABS
8 NSERTS *'
PAYMENT METHOD
ficesn ficnecx leevnaLE To NHc) filuenrceru EXeRESSI ucnrrsn
I orscoven
FT:1119
TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:
ACRES DISTURBED: r..i/;
Exsr LAND DrsruRgrruo penurrz l-lyes T NO
NEW IMPERVIOUS AREA: r.ir,/ASQ FT EXISTING IMPERVIOUS AREA: N/A
PROPERry USE: f]OrrrCe ! neSrAUnem MERCANTILEEDUCAPTCONDO OTHER: r., cLi s t r-, :11
SO FT
T
(FOR OFFTCE USE ONLY)REVISED DATE 4/11/12
ZONE:_OFFICER:SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD:__ _BFE+2ft=_
AVN
,,.,,..::. ,
ffi
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATIaN TYPE: COITIMERCIAL
PLEASE ANSIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
ZIP.2s4a2
5T: NC ZIP: :t84a2
pROJECT CONTACT PERSON: t.1ik: Err:rson
IF Yes, what lras the Previous Occupancy Type?
_ What is the New Occupancy Type?
_
CommentPERMIT FEE:
$_
tiuu(;
:
tt
NEt^l HANOVER COUNTY BUILDING
APPLICA|I$'I TyPE: RESIDENTIAL
Wbts-Zlol
PERMTT ?Off -q{{q
APPLICATION
Number
(office use)
PLEASE ANSWER
ALL QUESfIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT,S NAIiIE:
DEVELOPER;PHONE *:
PRO]ECT ADDRESs:
SUBDIVISION:
CITY:
PRoPERT owNER,
s NAME:
FZZO T^'
A* Od Y €R
etA 14Lt 4.4t.1 pHoNE #: ?tO'i?Z AZO
ot{NER's ADDRESS,
S2/ {fAeo,etfi€ D,(CITY: trst t -.r14 ST :
_ ZIP:(r
CONTRACTOR:L
2-
l)c_
zrp,&tt
LICENSE #:
ADDRESS:
crrY: tA) t
LA^ tru (rto^lsrilLzwZSIJ1
PRO]ECT CONTACT PERSON:n L
1bn4cL€
EXISTIN6 CONSTRUCTION:ALTERATION RENOVATIONGENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEtl RESIDENCE or ADDITION TO EXISTING RESIDENCE
I.*PLEASE CHECK AND ANSI,IER BELOW
ALL THAT APPLY TO YOUR PRO]ECT
ATT GARAGESFDET GARAGESFPORCH SF
fl surnoorur
_ sF POO
L
DECK
SFSTORAGE SHED z7Xl7 sr
GRE ENHOUS ESF
TOTAL HEATED 5Q FT:- TOTAI SQ FT UNDER RoOF:
-
ToTAL AREA SQ nt 339
TOTAL PROIECT COST tress Lort : $r6,
Is Any ELECTRICAL, PLUI4BING or fiECHAIIICAL Work Being Oone
to the Accessor-y
Structure? [ Ves [fruo
If the pnoject
is a Refocation, is thene a Natural Gas Line on the Current Site?
[ Ves
rs there Electrical Power on this Buitding?!v"r f!-no
ffi-ro
PROPERTY USE
/ OCCUPANCY,
! StruGrr rAmrrV DUPLEX TOWNHOUSE
DESCRIPTION OF WORK:TO4dE
DISCLAIMER: lherebycerlii/ ihai all inbrmaiion in his applicaton is correcl and all work will comply wih tre Siale Building Code and
alloher applicable State and local laws
and ordinances and regulaiions. The NHC Development Services Cenler will be notfled otany changes rn ihe approved plans and speciJications or
change n conlracbr or
.onira.ror inbrmaton "'NOTE: An
OWNER/CONTRACTOR :
rs rHE pRopERTy LocATED rN a rloooplarul
l-''l
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEW IMPERVIOUS AREA:
-5Q
FT
BldgSubjecr to Fines Up To
9500.00"'
YEs
El Ho
TOTAL ACRES DISTURBED: -
EXrST LAND DTSTURBTNG tr*rr, E VeS
[ rc
PRIVATE WE LLCENTRAL WE LL
yWork Perlomed W/O the Approprial€ Permirswillbe in
(print Nane),i*** r. ,*,t ,t ,t
* * ,*,t
*+ *,t* + +* {<,t,t ++ +'*,** *** ** ** * * ** ***,* )* )*,*
* ** * * * )**
*** * )t )t )***
** * )k )*
* )*** ** )i )* x( )*** *r( * * )**
Violatbn orlhe NC Slab
SIGNATURE:
NATER:
SEWER:
COMMUNIW SYSTEI'1
crcun
! cENTRAL sEprrc
! eRrvarr srcrrc COIIIV]UNITY SYST EI.1
*'i* SEPARATE PERNITS REQUIRED FOR ELECT, MECH, PL8G, GAS EQUIP, PREFABS & INSERTs
pAyritENT |4ETHOD:
ECISX ECneCK (PAYABLE rO WC1
[ menrcAr.t EXPRESS
E r,rClVrSA
E rrSCOrt*
)k****,t,t1.+,tr*x**)t)****++*)**,****r()t,tt()t*++**,*,**)***)i*)t*)t*i<**)*)********)******)t*)t*i(****)**)*****)t)***
ZONE: OFFICER:
(FOR OFFICE U5E OI{LY) REVISEO DATE O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:-
Approvat:-City:- DATE:- FLOOD:
-
BFE+2ft=
-
AVN
Corment:PERMIT FEE:
$-
@
,orr, 7-Z j.tf
BLOCK f: _ LoT #:
PHoNE *: q/0-5E?-/12n
pnoNE
s: lq /. OQQ/
El,lAI L ADDRESS:
5F OTHE R:SF
# OF STORIES:
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSWER ATL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
BLOCK *: _ LOT f:
(EL \' -771\
PHONE #
ztP:
Zfl)Z
PHONE f
: ,/ qZ t i' l/
srt ///!zrPt 2?f/2
?0,5355
APPLICATION
Number
(office Use)
oalEt <
o/r7-2 4- /5
;
443/ fd?
APPLICANT'S T,IA',!E :
DEVELOPER:
PRorEcr ADDRESS:
.,9{O ( laKo U,tcJ 0E crrv:
SUBDIVISION: TAI / IAP
PROPERTY OWNER'S I.IAi4E:
owlER,s ADDRESS:
&€O& /tVi(o UaLD4 Ctr\,:
/) 21
CONTRACTOR:
LICENSE *:
ADDRESS:
l-
I5 THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIoUS AREA:
_SQ FT
NEt4, IMPERVIOUS AREA:
_5Q FT
CITY:ST:
to
,rstraU'cu*"PHONE #:
E]"rs Eluo
TOTAL ACRES DISTURBED:
i/
42zrPi"Yq/Zt9z/r3/
PRO]ECT CONTACT PERSON:./.-'-PHONE #:
4 qlJc,?
EXISTING CONSTRUCTION:ALTERATION
@'(-enwarrolr
!GENERAL REPAIRS RE LOCATION
NEt^J CONSTRUCTIoN:ERECT NEW
RESIDENCE or ADDITION TO EXISTING RESIDENCE
I.I.PLEASE CHECX AND ANSI,IER EELOI,J
ALL THAT APPLY TO YOUR PRO]ECT,
! nrr eanncr
_ sF ! orr canacr sr
! eonor
_ sF
suNRoofl
_5F PooL
_ sFSToRAGE SHED
_ SF
! cnerruHousr
-
sF ! oecr
5F OTHER:
FIg. - EIO SF
TOTAL HEATED SQFT: 26 a TOTAL 5Q FT UNDER RO,F: z60 TOTAL AREA sQ FIz 2/,d
ToTAL PROIECT COSTqT-essuo,) : $ 6, ur. # OF STORIES:
Is Any ELECTRICAL, PLUMBING or I4ECHTINICAL l,,lonk Being Done
to the Accessory Structure)
@nG fi no
If the project
is a Relocation, is there a Natural Gas Line on the Cunnent
Site?
! ves @[.ra
Is there Electrical Power
on this Building? @|ves ! Ho
PRoPERTY
usE
/ occuPANcY,
flSlncrt rnrlrrv
! ouelex TOINNHOUSE
DESCRIPTION OF WORK:
7-4";
,)
DISCLAIMER: Irebycenitylilalall inbrmalion in
hrs applicaton is correcl and all work will comply wifi llle Slale Euilding Code and alloher applicable State and tocattaws
and ordinances and regulalions. The NHC Developmenl Servrces Cenier willbe noljlied olanychanges in lhe approved plans and spe€ilications orchange in
contracbror
contraclor inbrmalion. '"NOTE: Any Work Performed
WO ihe Appropriaie Pemitswillbe m Vior6lon olthe NC Siaie Btdg Code and SubJecl to Fines Up To
$500.00"'
OWNER/CONTRACTOR :
SIGNATURE:
* i<* * )** )k
**)** )i,* )** **ri * * * * ** )**
** * *
+* +++ )* ,t,t * )t)t+ +,t*r( * *+ *,* )i
* *** * )*
* )*** * r** +*+ * )** * )*
*** * *
*
I creun
[l commururw
svsrrm
I pRrvarE wELL
! creua
! crnrnar sEprrc
E pRrvArE sEprrc
EXIST LAND DISTURBING PERMIT:
l-'i vrs I-'] ruo
CENTRAL WELLWATER:
SEWER:|fl. cor"rr.run rw svsrem
*** SEPARATE PERI'4ITS REQUIRED FOR ELECT, I.IECH, PLBG, GAS EQUIP, PREFABS & INSERTS **1
payr{Eflr r.lErHoD:
E casn EIcuecK (PAYABLE
ro rxc; ! ru,tEarcAN ExpREss
E nclvrsa f] orscorr*
,*
* * * r*
* ,*
* * * * )*
* )t
* * * * r. * ,i * * ,t ,t 1. 1. + + * ,* 1. ,* tr + * * r. ,* 1. ,* ,*
t )*
* * ,* ,*
* * * )*
* * * * * * * * ,*
* * * )t
* * * * * * * * * * * * * * ,i i( * * * ,i ,i * *
ZoNE:
_ OF FICE R:
(FOR OFFICE USE ONLY) REVISED OATE
O4l11/12
SETBACKS: F: LH: RH: B:
Approval:- City:- DATE:- FLoOD:
-
BFE+2ft=
-
AVN
Coflment: PERI4IT FEE:
,.f,\-\.
@,;
)",,_
EIIIAIL ADDRESS:
I
#
RECEIVED SEP
16 MI5
NEW HANOVER COIJNTY BUILDING PERPIIT
APPLICATI@,I rYPr: RESIDENIIAL
P!tnst A\l(tR aLL q..jtJIiolls APPLi(Aalr rc YoirN PSOItCr
"Proje.t ResPonsibility"
tott -qqto
t{-2c1L
APPLICATIOI'I
ilumber
APPLICANT'S t,IAfiE:
)EV€LOPER:
ino:
DATE: '-, -,- .
P}IONE *: ::, i-: l:-::: :'
ZIP i :.. !ECT ADORESS:
SUSDIVISION:
PROPERTY Oir{ER'5 tlAfiE;
o$rsR, s AoDRESS:4 iil: ita$..r 1ra,.l-: al.
CONTf,ACTOR, rJcs:,sc l.r.J:. ii ',;:-r:iq:.: l.i
ADDRESS i
EItAIL ADDRESS ; o. e;.. -qeI: c. L
s., j;.i -::, - r. j t.
-i:li?..i: - . .r:::
BLOC( r:_ LOT #:
CITY: ri
I :.i- : i. .r ! .-.:
PHotIE T;
ST:
LICET'ISE *: ' '.4 r'j
CITY: r;. -:: - 'i t: -- .
EXlsrrNG Cor,lsrRucrroN:
f] ALTERATTON
I RelOvarrol
f] cruennr aecarns
I RELocArloN
NEI,J COT.ISTRUCTION:ERECT NE* SESTDE CE o" I mOrrrOl TO EXTSTTUG RESTDENC!
'tPLEASE CIIECX AXO ANS}'ER BELOW ALL THAT APPIY TO YOI'R PRO]ECT:
PORCH
_SF
STORAGE SHED
f] cnrrnirousr
-
sr I orcrST OTHER
Is there Electrical Power on this Suilding]I Yeso
PROPERTY USE
/ OCCUPANCY:SIN6LT FAflILY
fl ourr-rx
I loli\Hou5E
ATT GARAGE SFOET GARAGE
-
SI
Pxol'lt f: :-,: ..r - 1r: 2 - :- . :,-
SF
SF
ST :
t:_ zIP : ::j-jra_
No
I sultocm
-sF
Poor jji_ sF
TOTAL HEATED SQ FT:
-
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ TT:
-
TOTAL PROJECT COST tr"ss rorr : $ i:.,!iir!.n S OF STORIES:
Is A3y ELICTBICAL, PLUl,lSlliG o. tttcx$tlcAl- l,lork Eelng lone 10 the A(cessory Str..turei
Iro:Yes
]f the project
is a Relocation, is there a Natura.l Gas
Line on the Current Sltel nYes
DESCRIPTlOt'l OF UOR(: lns!!.li-aaj.,r: .,r ir.irrLta rni :.:',! i1:,.
ttsct hlER I
n.Dby c€ftIy trar€ll hLrmaion l'r
rri..?C*.rrn 6 co'e, a*c ad ffrl {illcomplywr't !.slar. ltuildfig Cole an! ali oher.pplEau! Srrro 4d local rds
&rd ddhsc. ..6 cgulaloB. ih€ rHC O.cropftal Sc t43 C.nHa'i be ndlfEd or$Y.hy'g6 ki
tle appmor chMoe $ convebr o'
.oDra.br.bd.l$'"NOTEiA.yl1roaP.rloftedlry/Ofi!ApptuDnabPemiaealbeDviohLoflolrh€NCStab Fnes up To 3500 00"'
0i.tl,i E R/COTITRACTOR: ;:1::,! r -.sr.-;.
(erj.r rlane)
i,r***rr,rr*,r*****r***'a,l**:r**'i*i***rirrr**{a.i:i..*i*}.r.t+ar(tr*t+*1*******t'ir'it***t*r**:*
vEs I ri015 THE PROPENTY LOCATED TN A FLOOOPLAIN?
EXTSTII{G II'IpERVIOUS AREA:
-SQ
FT
NEN IiIPERVIOTJS AREA:
-
5Q FT
TOTAL ACRES OISTURBEO:
EXIST LAI{' DISTURBING PERI'IIT:YES
l--l no
I4JATER i
SEI.,IER:
creua
I cor4[,]rrry svsrun
f] pRrvarE uELL
I ctrrnal wrlu
creua
I cENTRAL sEprrt
I e*rvarr srrrrc
f] coqttuNrry sysrEr4
"' 5:l,iinrii I plltitli5 R!i$illal 'lF ii-i(l) rt!'j.
'r'-6a- 6lS rQiill, j)iti:1rs 6 lN!llli:' "'
PNYMENT EITHOD:
[.osn I cHE€r( (PAYAELE
rO HC)Ar'iERIaAN EXPRESS
I xclvrso
I ors.ouu*
I
I
App.oval:- CitY:- DATE:- FL0o0:
-
A
Bft+2ft-
Pnol€CT COI{TACT PEiSOt{: ::::.re PHONE f: 9:i.-i1; iii:
SIqIATURE:v
iloi cFar(f usr orrY) Rtvrsfo Drit €4111/:2
ZONE:
-OFFICER:
-
SETBAC(S: F;.- LH:-_ RH:- B:-
" i{\ ' 11 ,.',
RECEIVED SEP
29 2OI5
NEtd HANOVER COUNTY BUILDING PERMIT
APPLI6aTI0N rYP6: RESIDEI{TIAI
Pt.A5T ANs!]EN AI.I'QU!sTIOITS APPLICABLI TO YOUS PRO]ECI
"P.oject ResponsibilltlP
't-'llo\5
APP L
I CATIOiI
Nu beF
,qq55
6si.rrxrc16x; Bald.inBrothers, LLC. N/D
l9zrP, z8+oADDREsS:PO Box 1947
LrCENSG *r 66865 ACCOI.IT #
GrTYr Wilminglen slr 2
flrH coNsTrdrcTroN
i f] enecr ttw RESIDENCE
orf] aOottlOtr To ExIsTtN6 RESIoENCE
ExrsTrto @NsrRucrroru:
I arrrnrrroru lXl nenovrr:on E 6ENEnAL nrnaras
! RELocarrot
aRE Y(x, CoNSTRUCTINE:
! DEr GARA6E
-
Sr
I Orcx
-sF
I onrN eOncu
-
sF
I scnetro poRc]l
_sr ! eool_ sr I sroneee sBeD
_ sF
I enerrvxo..se
-
sF I nnrro w/roor ottrEn.i
Eiynr ADDIESS: nick@Ba
idngbrothers com P|ottE *r 9I0 251- 27 2l
PROJ€CT
CO{TAqT PERSOi':Nick Balding plaorls
s2 910-25L 212!
SF
Is Any ELECIRICAL, plul,4Blta or I.IECHANICAI, l.Jork BelnS Dane
to th€ Access!^y Structu.e? [Vur IUo
If the proje(t ls a Relocation, is thcrc a Natunal Gas llne on the Current sito? ! v", ! no
Is there Electrlcal Power on this Duildint, mYe5 No
pRopERTy usE
/ occupANcv:
Esrnclr rar,ulv
Iourltx f] ro,lrurousr
oEscnrprroN oF [oRK: Guest bath remodel. Remove
and replace all fi"nishes,
oacl-AIMEB Ill8roDyclrlt
ln.r.i.t .norbn h rt
'3.pprc al6r] rs
cofi.d atd a[ qork wdr compty $ih tE Sbte 8{rrrng
l>re srr
d oher
epr.lDb srare
a]d rocr rcqs
lrld o{dh !nca6
&d elulalbnr ihe ll}l c Develoomonl
sorEcs cenrr, \f ba noll'od ol ao, oaroe, ln 0E
apgroled okns ald spectfEalions or
cnr{e h.onrracFr or
coctacI{ l.brfiElon. '.'NOTE:AnyWork Po.torrEd w/O ure ApDr@riab F€,niE v/lrlbe ln Vioralon olUeNCSmE sld! Code.n., Subt€cl b Fhe 550000 "
T0TAL PROIECT COST{L'5.to0r
$ 32 680 Is the P.operty
in a rLooocLArr':?
f] yes E ro
ToTAL AREA SQ FTr
_IOTAL SQ FT UNOEF
NO
etr,.\ww
EXISTING TiPERVIOUS
AREA|'--- 5Q FT
T'IEH IIIPERVIOUS AREA:
-5Q
FT
. OF STORIES I
I.]AT.EF:
sEt{En:
ffi
CFPUA
CFPUA
COIII'IUNI TV SYSTE
CENTRAL SEPTIC
PRIVATE l/{ELL
IVATE SEPTIC
CENTRAL llJELL
(gl,ll'luNITY sYs:rEM
t1
tin! r5 nEqJlfltu t:oI tLtlt,I1ECHJ PLBE
EQU]P, PiET 5& ItJsEItT5...
T6RCARDVISA
OF FTCER
T8ACKS: FLH:RHB:
Approval'- City DATE:
ZONE
i
FL00D:
_ _8FE+2ft.
/x c.a AColErent
ltb ern a,.t- I"et.L lan'bdi-PtimIT FEE i $
+$,ffi
DEVELOPER: PHoNE s:
rro::cr em
SUBDMSIofi | BLoCk *:
--
LoT #: _
PRoPERW o,trlER,s NrmE: Dr. Andrew Terzian & Mrs. Nnenne Mortley pxote *r 910-612-9366
Or&'rER's ATERESS;
520 Dock
Street crTy:
_]dij!1j!glo0_ sT I Ajczrp: ?Al.n1
OWNER/CONTRACTOR r Nick Balding Sf6NATURE:
TOTAL ACRES DISTURBED:
" l, dr:
I
N9?,.,,
ffi'
*No PUAr{gj6?o$'41f 8
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE I RESIDENTIAL
PLEASE ANSI"JER ALL QUESTIoNS APPLICABLE TO YOUR PRoIECT
"Project Responsibility''
!f rco*^\inr [L^*-rLr:."e,,rr,r
t
CITY: UJ
BLOCK #:
G
C ITY:
PHO{E #:
zrp: ,tJ
CaBl ll
PHONE *:lo 3lo -7o?l
sr:!l-(JrP: D.8'{ /,
Sr:0Q p:
?b'{ll
PBONE *:lo(U^o564
PHONE #:to ll-o 1
SF
?ears -z+12
APPLICATIq{
Number
(Offlce Use)
DATE :
-
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OT,'INER'S NAtilE :
Oh,l',iER'S ADDRESS:
APPLICANT,S NAI'4E:
conracbr inlormalion "'NOTE:
OWNER/CONTRACTOR
K
r
ADDRESS:
ET{AIL ADDRESS:
PRO]ECT COT{TACT PERSON:\)qntQ-
CONTRACTOR:\.Gwski LICENSE #:
CITY:
" (c vrt
6o0o*
v{-
DET GARAGE
-
SF
fl eon+r
! eoor-
-
sFSTORAGE SHED
DECK
SF
SF
ToTAL HEATED
SQ FT: _ TOTAL 5Q FT UNDER ROOF:
_ TOTAL AREA 5Q FT:
7r,..()
Is any ELECTRTCAL, PLuMBII{G or MECHAT{fCAL llork Being Done to the Accessony stnucture? [l V"t I m
ReLocation, is there a Natural Gas Line on the Curnent Sitel Yes
Ero
Power on this Building?
K Yes
ruo )F€leat.WlrLrluJ,.
tl-alvr,r'Frrrrjkl.!'tr
E SINGLE FAMILY
tr DUP L EXTOI^INH0USE
SFa
P.rdl.ANCY :
Z
If the project
is a
Is thene E lect nica I
PROPERW USE
/ OCCUP
DESCRIPTION OF hIORK:o.\UJ
n,")c(
DISCLAIMEFt lhereby c
and ordinances and regulaliohs. The NHC Developmenl Services Center will be nolifi€d ol an
U
(Jwt rh
comply witrh he Slale g Code and all oher applicable StaE and local laws
ho,kk,fl,en
-,*h
Work Performed W/O [re Apprcpriab Pemitswillbe in
\
G.,S.*:k
y changes in he ap
Volaion ol rhe NC
SIGNATURE
proved plans and specificatjons or ch ge in conlracbror
Code d SubiTo $500.00"'
I a
r* )t
* )*
* * )t
* * + ,* +,* * * * * * * * * * * * * * r* + *
* **,**'i l l l l l l * * * * ir ir )t 'i 't * 't )*
*,t,t {.,* ,* rt + + * * * * * * rt
* * * * * * * * )t
* * * )*
* * * * * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
E YES EI NO
EXISTIIIG IMPERVIOUS AREA:
-5Q
FT TOTAL ACRES DISTURBED:
NEi,J IMPERVIOUS AREA:SQ FTEXIST LAND DISTURBING PERMIT:
Ives [rc
lrArER:
! creur
fl co rr4uNrry svsreN
$ PRrvArE ELL
! cerurnnl wer-l
sEwER:
El creua
I CENTRAL sEPrrc
! enrvrre seerrc
I coMMUNrw sYsrEM
*** SEPARATE PERTIITS REQUIRED FOR ELECT, FIECH, PLBG, GAS EqJIP, PREFABS & INSERTS ***
pAytlErir rirETHoo:
I crsr f] cx:cr( (
PAYABLE ro Hxc)
E utnrcAN ExpREss
E rctvrso E orscort*
,* + +,t:i,t )t )t,t,l*
**** ++*+ *** ***+ **,i* *** * + + *:* )i )i )i
* * * *,1rt+ ++++ ***i. *+* * ri + +** )* '| * 'l** ** + * )** )r )*
x )* )*
* '* ** * )*
zoNE:
_ oF FICE R:
(FOR OFFI'E USE ONLY) REVISED DATE O4l11/12
SETBACKS: F:_ LH:_ RH:- B:-
BF E+2ft=Approval:- City:- DATE:- FLOOD: -
" N-
fl arr eanacr
_ sF
f] surunoom
-
sF
! cn eeruuous r
_ sF
LOT #: _
ExrsTrNG CoNSTRUCTTON:
I arrennrroru ffi neruovnrroru
! oeruenar- neenrns
! RELocATToN
NErd
coNsrRucrroN;
fl EREcr NEhr RESTDENCE o"
! nOOrrroN To EXTSTTNG RESTDENCE
.*PLEASE CHECX AI{D ANSLIER BEL&I ALL THAT APPLY TO yflrR PROJECT;
5F OTHER:
TOTAL PROJECT CoSTtrersuorr z $ L;,C{L'--'----+ OF STORIES: I
?YI, ?
NEhI HAT{OVER
COI'NTY BUILDING PERIIIIT
APPLI(ATIoiI rY"E: RESIDEI{TIAL
PLEISE
AXtfiR ALL qUESTIOtS APPLICAALE TO'ttXrR PROJECI
oPnoJect Responstbiltttf
?otf4utqo
APPLICATIO
llrrber
(OFficc t se)
APPLICAI{T, S TWE: *(I
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISIOI{:
PROPERTY O${ER, S tlA E:s
O${ER'S ADORESS:
dh
ADORESS:
EIIAIL ADRESS:
PROJECT COTITACT PERSO :(_
S-te D
t:-
crw:
CITY:
LICENSE *:
CITY:
DATE:84kJit,
P}D E *:
BLOCK *:
ZIP z
-2? y'z-f
32LOT *:
nsw *r8/o ' {r3- /laa
sr.&LczrP? 2t+13
srzN?zplTty'oL
PHn{E
*: ErO -
+t/t - /36j
Prc E *: Qu'fu!'l)/L
Exrslrirc corETRUcTroN:
f| alre
mrron
fl ne
uovarrou
I crHrnar nreuns
I RELocaTro
r{EH CO]{STRi CTIOt{r
$ rnrCr EI RESIDE CE
o"
ft nOOrrrot To ExIsTrr{G REsIoEt{cE
..PLEAsE OIECX AID AIEIEN BELOI ALL IIIAT APPLY TO Yq'R PNOf,ECT:
fiarr cruce dE I sr ! oer eamoe
-
sF
EIponor ^10 0 SF
f] surunoou
_sF f! eoor"
_ sr f] sronace SHED
_ sF
! cReruouse
-
sr
fioecr 439' 5trq4 g67al,
SF OTHER:
TOTAL HEATED SQ FT:
A27/TOTAL SQ FT UIDER
RmFt,,$fu[- rorAL AREA
se Fr:
_
ToTAL PRolEcT CoSTo-ercr-co , I /9? K * oF sToRIEs:
A
Is Any ELECTRICAL, PUnBI!{G
or IECIU|IICAL
tbrk Eelng Done to the Accessory Structurtet
I Ves [ rc
If the project
is a Relocatlon,
ls there a ilatural Gas Line on
the Cunrent
Site? [Ves fifo
Is there Electrical Pouer on this Buildlng?
f]v"s f]ro
axv, E STNGLE FAtiuLY
3/teZ lraoc
! runr-rx
fl rolmousrPROPERTY lrSE
/ OCCT P
DESCR IPTIOI{ OF }.(nI:
DISCLAI{ER I her€by cenily trat a[ lnbrmatirn i] lls ppgcalion b comct and at wort wiI conpry vrnh fie Slete Buitsing Code gtd a[ oths app[cabte StaE aod bcd lsrxs
and odhdlc* &ld Egulattms The NHC DEv6bpm6nt Servlcls C6nEr will be notfied of ay chaEes h he +pro\r€d pbrs srd oa chage h
conhrbr or
FhoB Up To
$so(Ifir-cooreDr inbmabn.'-NoTE: Any ltork Perboned w/o he Appop{iat Pemhs wlll b€ ln vohton ofthe Nc siat Brdg
SIGI.IATURE :
(p.tnt Il e)
:r,*
*:*:i * a ,l * *:*:& +,i * +*+**** ++++++*+ *+***++*a+**+**,t*:r,r:i*,1+*:** +**:r**:|.i.:1.*{.++ t t,i t:1.:1.* +:a:l
rs llrE pRopERw LocarED r A FLoooPur ?
n yEs E rr
EXISTI]S IIPERT,IOI,S ANEA:
-SQ
FI TOTAL ACRES DISTURBED:
NEu rrPERvrolrs nea; 3 {o
6 SQ FTEXIST LAI\D DISTURBIIIG PER IT:I lYEs I I iro
OIOIER/COITRACTOR:
V,e/"n Shtn G-
I'ATER:
SETIER:
Mcrpua I coruHrw svsreu
f] pRrvATE uELL
f,crwa ! cerrnal senrrc
fl pRrvArE sEprrc
I crrrml urr-r-
El co+rnrrv svsreu
*** SEPARATE PEN'TITS REQIJIRED FOR ELECTJ I{ECH' PLBG' GAS EQIJIP' PREFABS & II{sERTs **I
PAYITEI{T BET}OD:
tr CASH
! cxrcx (DAvABLE
ro ury
! umran rxneess
tr nc/wsa
tr DISCOVER
,t:l:tt*lrl)trt't*:t:trl,i:t*:t:i:l'|***:l*,t'lrt:l:t**,i,l,l**:l,lt,.'.'i:*'t:i't**,t*'ht'*,|'l*:*,t:.+ + +:t +* + +:i:l:i + * t*,i * *:| *:t *:t** * *
(foR oFFrcE 1r5€ o.LY)REVISED DATE O4l11/12
zoI{E:
_ oFFrcER:SETBACI$: F:_ LH: RH:_ Br_
Approval:- City:- DATE:- FLOOD:
-
8FE+2ft=
Cd ert:PER rT FEE: $
--lrs+g
'Y.*
WtS-LboZ
SF
9 TnrGqtq>
NEW HANOVER COUNTY BUILDTNG PERII,IIT
'rT+E_Z+;t5,-
APPLICAIIOTI
rrpE: C(}II}IERCrAL
PL€ASE ANSI'ER
A!t- QUESTIO|S Appt-IcABt-E TO YOUR PROIECT
-project Responsibility,,
dilid-uori
Numb€r
(Offlc. Ur.)a-)l5 e io,'t 5..^..,^Sr,.
DATE:
DEVELOPER:
ADOR€55:c)
E AIL ADDRESS:
PHONE
*? ?/o"<-/ y 3^ v /t?
PRO]ECT AODRESSI
OCCUPA
T/BUSINEss t,IAItE :
edF,ei(CfTYr L',
s, ^ flus hb
CIw: (-
LrcE sE *: 3a ers'
clw: r* il
ZTP I
Pr{or{E
*: ?l?' n r
l' ?
fv'
sT
!-r?a ztq I
,1 esJ
PROPERTY OT{'{ER,s UTI,IE: C)
o.lr{ER,s ADDRESST /J/
COiITRACTOR:a
c\srr{.a:g ,
*z nio' '-t
)3? ,,93-vrt3a
PRO]ECT CO TACT PERSO :
If UPFIT
- Ihe Shell Permit #:
PHONE
:- c REG
*:l_t{CREG*:
PHoIE
r: ?to''1 v3'u t, -
Exrsr cor{srRucrror{: B, ArrERArron
! *.#illii E?r'i!.l, nrrrrns
I RErocarro
tf Retocarion, isfterea NsruratGss Line
onrhe current Sire?
flves-filo rsALDGspfiil*iERl;;ffivo ftruo
EH cof{srRucrrot{:
f) mrcr El{ STRUCTURE
I rasr rucx
I sxelr.
! urrrr
f] ADo
i- rrrsT srRUctuRE
ACCESSORY STRUCIURE:
Is Elect pouer on
thts Buil.ding Et yes E rO***.. Js rHrs A cHtNGE oF occupat{cy
usrr
flvrs [f[o .....
lF Yes, r,hat as th€ Prcvlous Occupancy TlOe?
_ rnrlf
fs ttlney Occup.ncy lype?
ARCH DESTGN PROFESSIOT,IAT;
EI{GR DE5I6I{ PROFESSIOML:
Pu
PH
DESCRIPTION OF hDR(:lt s- ./+j3,-1
ll .-- I+t
SIGNATURE: l'L-
h tood or bsverag€s pGporod or
ssrwd h rhis
smrrwe? Elyes
ENo ls The Propedy Locsbd tn The Ftoottptain?
[ Ves
[! ruo
aa
all otherappllcable Slate
8nd
taclllty or
hjldho wls fomd to
le8-n 10
d.ys prior lo
th.
I
DISCLAIMER: I hereby ceftfythal6ll lnformalion ln lhls Apptlcauon lS
conecl sM eltu/orkwit
snd locallaws and oElinances Bnd teoulatlonsqi;#iseii'6;Gdor;..La-du-;r"rno*r,,-gnbi'fltlT"&g,i"ffi$d4lqh*,ffiFr["ffiffi'#tll9,ffffi,H
subjecllo Fhes Up To $500.00"'
speclfcations
Bldg Code and
OWNEFUCONTRACTOR:
tor'lllt'd
f3 rio- 5...,o.&a
(Pri N.n )
TOTAI. AREA SO FT :
TOTAL SQ FT UNDER
SQ FT PER FLR:
ACRES
DISTURBED:-
NEW IMPERVIOUS AREA:
PROPERTY USE: EOFFTCE tr
:
a.7<oo_ # oF STRUCTURES:
SQ FT
E(s-r I-AND
DtsruRBtNG IERMtr?
E yEs $ Ho
EXISTING IMPERVIOUS AREA:
RESTAURANT
fluencemru fleouc
flmr Ecomo OTHER:
G/"'-'
fOFSTORTES:
/#0rrloons:Ei-^....\
SO FT
t{
ysExBCFPUA
trE COMMUNITY S\€TEM
CENIRAL
SEPIC
E PRMATE
SEPIC El
EwELr ElzoNtNc usE ct
{sstFtcATto N:
COMMUNITY SYSIEMCFPUA
.' SEPARATE PERMITS REOUIRED FOR ELECT, MECH. PI.3G, GAS EOUIP, PREFABS E INSERIS'.
PAYMENT METHoD:
flCasx ficxeCx pevnatr ro NHc) [AUenrcat o<eREss EMCMSA
Iorscown
(FOR OFFTCE USE ONrY)ZONE:_OF||CER:_ SETBACKS:
F:_LH: RH: 6:Approval:- City: DATE: . FLOOD:
__ _ BFE+ZI=
Comment;PERMIT FEE: $
REVTSEo DAIE a/11/12
Tb b,
APPLICANT'5 AfiE:
'Lorr qbt4
r
?ezs-zttyNEW HANOVER COUNTY
BUILDING PERIIiIIT
APPLIcarro rypE; C0ttltERCIAL
PLTASE Ai{S}/ER
At-t QuEsTIous appLIcABLE TO YOUR pROl€CT
"project Responsibility!
C i o-'- S.^- -^so^
CfTYr
APPLICATIOiI
l{umber
(offic! Us.)BAPPLTCANT's tUUlE:
DEVELOPER:
DATE:
PHO
E *:?to4TT4 u 3
PROJECT ADDRESS:
OCCUPANT/BUSINESS iO}tE
:
* .'tI
o) tr,'- eJ
ZIP:
pHoNE #3 ?tq
-'ltl - 9lvs-
sr41E
zrP:_
srtSue)tY tl
PHOflE#:9,o-Y?3-,t,?
PHo E
,: GiG11j-
5tPROPERW ONNER'5 iAIiIE :
ot{NER's ADDRESS: ?go }o--- ('
J* lL.n-
COITRACTOR:S
AT'ORESS:
EITAIL ADORESS:
6
a
PiOJECT COT,ITACT PERSO
:(Lc S r-.
TICENSE
r: 3)8?s-
CJW: \../
CITY:
<c, -.1
;t'Jiff lii:I':1,:,m,::lin'"':["H,,:itii"dsff I'1":r.g:,H,ffiTjrdvesrruo
NEr,r coNsTRUcrIor:
I enecr NEt{l
sTRUcruRE
! rasr rnaCr
! srer"r-
! unrrr
I ADD
ro Exrsr srRUcTuRE
ACCESSORY STRUCIUiE i
If UPFIT
- Th€
Shell Permit
*;
**1T' IS THIS A CHAiIGE OF OCCUP
IF Yes, uhat lras th€ Previous Occupancy Type?
ARCH oEsfq{ PROFESSIO{AI,i
EI{GR DESIG PROFESSIOi,IAT:
DESCRIPTION OF IORX: 6'^i
1*, .-. tlr e^/e
ls food or
?.\v\-
beverages Fepared or served in this
t-. ll S
Is Elect pouer on this Buitding Eyes E rO
A[cY usE?
! vrs fflm .....
P+t:
_ c REG
*:PH: c REG
#:
i.,rL )t <la 1",\,.-.,|J
(ou.rltbr)
ACRES DISTURBED:-
NEW IMPERVIOUS AREA:-
ves
[[Ho
allother8ppllcable State
andsDeclllcations
Eldg Code snd
EXST I.AND OISTURBING PERMrI?ves [tNo
SQ FT EXISTING IMPERVIOUS AREA:SO FT
flrueacnHlle
leouc
!nnr flcoloo oTtEn:
6 y-,_
trWEtI zoNlNG usE 0IASS tFtCAItON:
PRTVATESEPIC
fl COMMUNITY SYS,IEM
". SEPARATE PERMITS REOUIRED FOR ELECT, MECH, Pt3G, GAS EQUIP, PREFABS & INSERTS
''
pAylrENr METHoD:
[CeSn ficxecx lrnvealE ro NHc) flaurnrcel o<rness
I ucrwsn
I oscovrn
PROPERVUSE:
lornCe EneSrAUnAUr
WAIER: MCFPUA T-'I COMMUNITY SYSTEM
sEwER: EicFPuA ficsNTnaLseerrc
[
(FOR OFFICE
t SEONLY) REyEEDD^rEZONE:_OFFICER:_ SETBACKS:
F:_LH: RH: B:app.o-[-City: DATE: FLOoO. -
- -gieE:N
\.:-1
Comment PERMIT FEE:
a,/1v12
9
lhat
ls th€ t{efl Occupancy Type?
b The Prop6.ry Locabd h Tlre Ftoodptain?
[ ves
[t Ho
A.:o,.
TOTAL SQ FT UNDERROQF: t ), 676
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; R ESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Res pons
ibil ity"
C ITY:
')olfqqL|3 t> at n
APPLICATION
Number
(Offi.ce Use )
PRO]ECT ADDRESS:
SUEDIVISION:
PROPERTY otalNER'S iAME:
OWNERJS ADDRESS:
APPLICANT'S NAITIE:
DEVELOPER:
CONTRACTO
ADDRESS:
R:
EtilAI L ADDRESS :
o
IA
C ITY:
LICENSE #: <O5 7b
crrYt U);ld&.!on/J
PHONE f:
BLOCK #:
/* Lor #: +-
pHoNE
#: 6/0 -
l/f/.5?of
STl. DC ZrP:
4</0f
sfttJLzrP ?s{Of
PHONE S:
PHONE S:
et)'6t2-82?2
9/d. G,t2 -
8227
To
$500.00"'
TOTAL HEATED SQ FT: 978 TOTAL
5Q FT UNDER nOOr:
558 rOrA16$
fy
SF SF OTHE R:
I
DESCRIPTION OF WORK:t
R: lherebycenit ihai allinbmarion in ihrs aaton is
conectand all work will comply wirl ihe Siale Building Code and alloher applicable Siate and locallaws
and ordinances and reoutalions. The NHC Development Seruices Center willbe noiined ofany changes in he approved plans and
PRO]ECT CONTACT PERSON:
EXTSTTNG CONSTRUCTTON:
ffi ar-rrnarrOt
!R ENOVAIIONGENERAL RE PAIRS RE LOCATION
NEW CONSTRUCTTOH:
! rneCr NEW RESIDENCE o" @ lOOrrrOr TO EXTSTTNG RESIDE
E.**PLEASE CHECI( AND ANSWER
BELotl ALL THAT APPLY
T0 YoUR PROJECT:
ATI GARAGESF
tr DET GARAGESF
trPoRcH /
8o S
POO L
STORAGE SHED
f,rr*3?tt
Em
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:l-l Yrs l-'l m
TOTAL PROIECT COST tress rotr : $/oo, ooo
# OF STORIES:
Is Any ELECTRICAL, PLUIIBING or I4ECHANICAL Nonk Being Done to the Accessory Structure? [t Ves I lfo
If the pnoject
is a Relocation, is thene a Natunal Gas Line on the curnent
site? [ Yes E No
lJ/!
rs there Electnical Power on this Building?
@v"r f]lo
pRopERry usE
/ occuPANcY,
ffi srrucle rnmrlv
! ouelex TOWNHOU5E
3?( s
conlracior inlormanon.
"'NOTE:Any Work PeW/O lhe Appropr are Permils willbe in Violation of rhe NC Sial€ Bldg
OWNER/CONTRACTOR :
l,i* ** +** *,*r. * ** ** * * * i( )i*tr( i<* *,*,** ** * )i* {<** *r( ++ * ,*,*
*,*** )** )i* * ** * )t* i(,i* {< ** *** *,*,**,*** ** *,* * *** **i( * * *
rs rHE pRopERTy LoCATED rN n rlooopurut
I-'l ves
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEt^/ II'IPERVIoUS AREA:
_ SQ FT
r,rlarER: p creua
! coMMUNrrY sYsrEt4PRIVATE I^]E LLCENTRAL WELL
sEwER:
E creun
! CENTRAL sEPrrc
! nnrvnrt srerrc COII4I\4UNIry SYSTEM
*** SEPARATE PER}.1ITS REQUIRED FOR ELECT, I'1ECH, PLBG, GAS EQIJIP, PREFABS & INSERTS ***
payr,lEgT
fiErBoD:
E.os, E.*rix (payABLE ro rurc)
E olenrcAN ExPREss
E r,c/rrsa
I orscoven
* )i
* i + * * )*
* x( * tr + :*
* * )t r( * )t
* :*
* * )i ,t ,t + + it
* * * )i ,t ,t )t
* + * * * * * )t
* + + * * )t
* )t
* )* + * * )* ,*
* * * * * + + 'i ,*
* )*
* * )i ,1. tr( * ,t tr( ,*
* * * x )r )r '* *
(FOR OFFICE UsE ONLV) REVISED DATE O4l11l12
ZONE: OFFICER:SETBACKS: F:_ LH:- RH:- B:-
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=
AVN
Coffnent:PERMIT FEE: $
SF
oaIEt
7./8./5
SEP
18 2015
Efsurnoon 77t sr
! cRr rrurous r 5F
SIGNATURE:
9')ctf-7qqf
PELs-z]tyNEW HANOVER COUNTY
BUILDING PERflIT
AppLrcatro npsr CofittERCfAL
PLEASI AIISIIER
Art QUESTIOIIS APPLIqTIE
M Yd]N PTOJTCT.proj.Gt f,esponslbfltq/
tJ6i.,-- S ta-,.^!aaAPPL,CANT,S TTA}IE:
APP
TICATIOI{
untcr
(ofrlc. Ur.)
PHONE
u3
occuPAr{r,/BuslllE!5 [A]1E
:
PRoPERTY Ol{}lER'J f,AilE
i
(MNEI'S ADDRESS:Tb-.- a
CITYI
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CIIY:
LxcrrrsE
*: 31 8 ?s--
CIIY: \.,,
ztP
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pror{E s: ?/? - 'l tl ' Tllr
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COiIIRACTOR I
AODTESS:
EHAIL A.DDRESS t
PROJ ECT COI,ITACT PTRSOI,I :
b food or bgvereoet or scryed In
this
OVVIVEFYCONTRACTOR
sTryj: ZrP
r-_
st:MC
up)?\ ll
*r
9,o-YYl-., t,'?n.@t13'
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Exrsr cor{sriucrron;
[ *rrurron t] .rJi]HHl,"Ett'ih* nrrarns
fl RElocarro*
rr R.rocatior, is rher68 NslurarGas LinE on rhe currenr
she?
fivifim rsgrDG
spfiiNKtEil;iffiv*
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ACCESSORY STRUCIUiE:
(FOR OFFTCE USE ONLY)
SETBAGKS: F
:-S1Lt
PlloriE
PHONE
,10-00
BFE+2ft=
REVTSED
DAiE an
u2
If UPFIT
-The
Sh€ll Permit S:
Is Elect poHer on
thls Building
fves E]m.T'*' IS THIS I CI{A-|,'GE OF OCCUPA}ICY USEI
Ett ffiro .'...
fF Yes, hfiit lJas
th€ Prc!.Lols
occlFnay typet hlhat
ls tftr I€i, Oc<rpaicy Typ€l
ltcH oEsrc PRoFEssror'lAt:PTI:
_ r,tc REG
fl
EII6R DE5I6I{ PROFESSIOML:PHI IIC REG
#
DESCRIPTION OT I,JORK:$^',lJ
+*. .-.r tlr q^/e?,-^t i.,,.t /" /r <lq
f,,.7
^e*!-. r, S
gBpsr€d Yeslr lhe ProDdty
Loc&d tn Tho Ftoodptatn? El y€s E Nq
DSCLA|MERj,hercby cidty thol Elllnfom6uon ln
snd locallaws 8ff odlnEncesand reoulallonx. lhs
or chlnoe ln conlttdor or (.nlrEclor lifomaUon.
''
SlblsdlD Fln€s UpTo$5m.m"ffil4rd{fl
if"f mi'*ilqh;,lT,+ld#,fifftrffi it,l#,ffi &t,fr:
Bll
A,;S.^,.-Jo-SIGNATURE:
AcREs DISTUREED: ExsT I-AND DISTURB|ruO
nenl,rrnflVeS [tuO
NEW IMPERVIOUS AREA:_SQ FT EX|SnNG |MPERMOUS aREo. - - o: =_
pRopERTUsE: EprFrcE Elnesraunmr flr./tencennu
leouc fiAPr Eooroo or]tER:l3&-
wArtR:ElcFpuA Elgg.yeuirryIlFI[.E]urELr _EzoNrNGUsEqr,csrFrcAnoN,
-
SEWER;
@ CFPUA ECENIRAL SEPTIC LJ PRIVAIE
SEPnC I]COMMUNITYSY3IE
". SEPARA]E PEFMI'III REOUIRED FOR ELECT, MECI,T PI3G, GAS EOUIP, PREFABS
T NSEnB .,
pAyMENr ME
IHOD:
ICaSX ICXeCX (pAyA8r.G TO NHC) [luenrCeN exrnEss EMCMSA
E Orscoven
ZOIIE:'fY1/\OFFICER:
Approvel:
Com ment:
Cil.,' lnspoctron Rqureo, 9l S254-09fi1
PERMIT FEE:I
DEVELOPER!
PRO]ECT ADDRESS:
{og.Ift4
TOTAL SA FT UNDER ROOF;
t),676
Tr^,tt
BlIr r
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIaN TYPE,; Col,llilERCIAL
PLEAS€ ANSI.IER AIL QUESTIONS APPLICABLE TO YOUR PROIECT
"Project Responsibility"
,Ol5- gq a->-
APPLICATION
Number
(office use)
APPLICANT'S }.IA E :clancv & Theys construcLion ComDanv
DEVELOPER; .:
reenbrier Development
PRoIECT ADDRESS: 7919 Blue Heron Dr
OCCUPANT/BUSINESS T.IAI{E :
Plantat ion vi11aqe RetiremenE communitv
PROPERTY OWNERJS NAME:PlanEaEionvillaqe RetiremenE Comrnuni Ey
OWNER'S ADDRESS: 7e19 B.LUe Heron Ur
CONTRACTOR:@
ADDRESS: 2250 shlpvard Blvd; suite 1
LICENSE *: 2077
CITY: wilminqEon 5T: NCZIP:28403
ACCESSORY STRUCTURE:
EMAIL ADDRESS: davidmichae 1@c I ancvE hevs . com PHoNE *: 9to-392 5220
PRO]ECT CONTACT PERSON;David Michael PIoNE *: 9to -392 -s22o
(che.k AU Ihat APPIY)
EXIST CONSTRUCTION:
DtrI nlrrRarron RENOVATIONGENERAL REPAIRS
D RELOCATION
Natural Gas Line on the Current Site?I Yes
trNo lS BLDG SPRINKLERED?I ves flruolf Rslocadon, is there a
NEW CONSTRUCTION:
! enrcr NEW srRUcruRE
! rlsr rnacr
! srelr-
! uerrr
[] mo ro Exrsr srRUcruRE
If UPFIT
- The Shell Penmit f:Is Elect Power on this Euilding Yes
Iro
**i.'i,. rs rHrs A cHANGE oF occupANcy user
[vrs I NO r*r.+'.
IF Y€s, what iras the Previous Occupancy Type?t./hat ls the NeU occupancy TYPe?
NC REG *:
NC REG #:
ls food or b€verages p.sp6rsd or s€rved ln rtrb *nmrc?
[ ves I Nols Th€ Prcpsty tocatod ln Tho Flooddain?
[ Yes a No
ldingCode and all o$er appllcable State
olans and
NC State
ARCH DESIGN PROFESSIONAL:SPCS, Inc.ScotE Rasner PHt
704-3?2-132't 51)-4
EIIGR DESIGN PROFESSIONALl sFcs, rnc-tve campDe.r -L PH: 800-873-2,7
I o25476
DESCRIPTION OF I^IORK: A stand alone bathroom is beinq added on the second floor onlv.
code a
SIGNATURE:
Not6: o.moliion notf ca&rns E ssbeslos rBmovel P€mft gpplbaions ar8to bE submlibd using dl6 appllcalon brm (OHHS{788) Yinleth€r tl|€ ftElkty or bulldino bund to
contaln Asbestos oa not You are Equlr€d lo call lhe Nstonsl Emlsslon slEndtdsfor Hlzsrdou! Alr Polluta s (NESHAP) si (919)707€950 et b3st 10 day! Fhr ro tl€
d€filoll{on of 6ny hclllty or bulldlnO. See As!€stos Web Shs: http#$/ww.epl.$ate nc'ur/oplbsb€alo5/ahmp,htnl
TOTAL PROJECT COST: S2s,ooo BUILDING HEIGHT N/A# OF UNITS:.I
(
ACRES DISTURBED:EXST LAND DISTUNgINC PERUIT
[-I YCS I NO
SO FT EXISTING IMPERVIOUS AREA:
0
N /'A SQ FTNEW IMPERVIOUS AREA: O
WATER: EICFPUA
SEWER: fin CFPUA
T-l COMMUNITY SYSTEM J_I WELL EZONING USE CLASSIFICATION:
ficellrnelseelc E p-RrvATE
sEPTlc D coMMUNlrY SYSTEM
pAyMENr METHOD:
flCrcx [ctrecx PnvnsLE ro NHc) [euenrcel.l o<enessuovse floscown
(FOR
ofFlCE USE oNLY) RE\raED DAIE
'nlrl2
ZONE:OFFICER:SETBACKS: F:-LH:- RH:- B:-
Approval: CltY:- DATt-FLOOD:--
AVN
BFE+2ft--_
!
a
C,omment
da
6B
DATE: e-2 - 15
PIONE #: 121,4) 9'19-27o1
CITY: wilrflinoron ZIp:28411
P}{)NE S: {910)586-7181
CITY: wilminoron ST: NC ZIP:28411
DISCLAIMER:
OWNEF/CONTRACTOR: oavia r. raicnaer
TOTAL AREA SQ FT :
-5.3--8.S.-!!- SOFTPERFLR: N/A
TOTAL SQ FT UNDER ROOF:53--ssJ:g- # OF STRUCTURES:
1-
# OF STORIES: N/A
# OF FLOORS: N/A
pRopERryusE: noFFtcE flnesreuRmrr [uencanrrue Eeorrc fiarr [cOHoo orHER-
PERMIT FEE:
$-