NOVEMBER 20 2015 BUILDING APPSNEtd HANOVER COUNTY BUILDING PERMIT
APPLICATIoN TYPE: COIyIMERCIAL
PLEASE ANSIJER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
?ntf -10383
L5-2984
APPLICATION
Number
(office Use)
APPLICANT' S NAIIE: Susan sullrvan Eqan Realty services-Agent for Verizon
DEVELOPER: er--on ,{ re-es.;
pROIECT ADDRESS: j3Ja i\,rishLsr.itte -A..,e
OCCUPANT/BUSINESS NAME :
PROPERTY OWNER'S NAME: Ir.rn, :r . rrc\. LL1
ollNER'S ADDRESS:
3:3.r viriqhcsvi-te A.re
CITY: t^li
tmi nglon NC
PHONE #: rcq
:to 861!
CONTRACTOR:,e'- -,co::.
CITY: wi tmr ngrcn
PHONE f: N A
ST: )i:r ZIP::r,t:
ST:
Fx ZIP: t:r,,!:
PHONE #: E: r- l8 i,- r ?::
LICENSE #: r, l
CITY: thono t o s;r,, s
a
{\)\)-2--;..-{
'+
\
PROIECT CONTACT PERSON: re.rr l,e ,r,;ril G:il t.rl PHONE #:
(Che.k
All Ihat Apply)
XIST CONSTRUCTION:ALTERATIONRENOVATIONGENERAL REPAIRSRELOCATION
lf Relocation, is there a Nalural Gas Line on the Current Site?
rYes No IS BLDG SPRINKLERED?
EMAIL ADDRESS:
NEW CONSTRUCTION:
tr ERECT NEI,,/ STRUCTUREFAST TRACKSHELL
ACCESSORY STRUCTURE:
[ves [No
UP FITADD TO EXIST STRUCTURE
3
t
k)+
ej2t
If UPFIT
- The
Shell Permi.t #:
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGI{ PROFESSIOT,IAL:
***** rs rHrs A 6HANGE OF OCCUPANCY USE?
EYES flrc *****
Is Elect Power on this Building
Ives ENo
l,,lhat is the New occupancy Type?
PH:NC RE6 #:
PH: 710-82!,-0744 NC REG
#: F 0102
DESCRIPTION OF WORK:
Addrnq and/or repfacinq antennas,No change to heiqht or existinq qround space
Q ls tood o, bererages prepared or served in this structure?
[ v".
[lr.ro ls The Property Located ln The Floodplain?
[ ves r No
DISCLAIMER: I hereby
certfy that all information in lhis application is correct and all work willcomdy with lhe
and loca I laws and ord in a nces a nd reo ulations The N H C Develooment Services Center will be nolified of a nv
or chanqe rn conkactor or contraclo. i-nformalron "'NO fE. Any Work Performed w/O the Appropnale Permrls
Subleclio Fines Up To $500.00"'
will b"e in
n the app
Eldq code and
State Building Code and a olher app cab e Slate
and
Vio ation
OWNERYCONTRACTOR:'Ti-ili- SIGNATURE:
(OU3lfiier)
Note: Demolilion notjficslions & asbestos removal p€mh applications ar6 to be submitted using the application form (-3768) whether the facility or buildino was found to
contain Asb$tos or not. You are rcquired to call the Nauonal Emlssion Standerds for Hazardous Air Pollutants (NESHAP) 6l (919)707-5950 at least 10 days p.ior to the
demolidon of any facility or buildino. See Asb€5to6 Web Sit6: htts:/Avww.epi.state.nc.us/api/asb€slo6/ahmp-hhl
TOTAL PROJECT COST: :5,]..,]T BUILDING HEIGHT:
SQ FT PER FLR:
# OF UNITS
TOTAL AREA SQ FT
TOTAL SO FT UNDER ROOF:# OF STRUCTURES:
ACRES DISTURBED EXST LAND DISTURBING PERMIT?
E YES I NO
NEW IMPERVIOUS AREA:-SQ FT EXISTING IMPERVIOUS AREA:SO FT
PROPERTY USE:
lOrrtCe ! nesrnunaur MERCANILE
leouC !ner !CONDO OTHER:
retecon ro!.re r
WATER: NCFPUA
SEWER:
f-l CFPUA
*'SEPARATE PERMITS REQUIRED FOR ELECT, MECI], PLBG, GAS EOUIP. PREFABS & INSERTS *'
PAYMENT METHOD:
ficesH ficnecr leeveelE ro NHc) flruentcrtl EXPRESS
I tucnrtsa
fl otscoven
# OF STORIES:
# OF FLOORS:
T-ICOMMUNITY SYSTEM
I-IWELL f]ZONING USE CLASSIFICATION
fi cer.rrnru- seerc E p-RrvATE
sEprrc E coMMUNtry sYSTEM
ZONE: OFFICER:
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
Approval:- Ciry:- DATE:-FLOOD:- BFE+2ft=-
AVN
REVISEO DATE 4/11/12
Comment PERMIT FEE:lm
DArE :
_l!l!_Il:!:l_
ZIP i 2s4r a
ADORESS:
933r E. Eow]er Ave
ENGR DESIGN PROFESSIOT,IAL: ]iin,ev Horn
ffi
ffi
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATION rYPE: COIiIIiIERCIAL
pLEASE ANSIIER ALL QUESIIOI'IS APPLICABLE I0 YOUR PRoIECT
"Project Responsibility"
EGAN REALTY SERVICES AGENT EOR VERIZON WIRELESS
7r-ll-- (Oe,ZG
APPLICATION
Number
(Office Use)
APPLICANT'S T,IATE :
DEVE LOPER:PHONE tr:
ZIP i 2a403PROIECT AIDRESS:
i14 BURKE AVE CITY: WILMINGToN NC
PROPERTY OI'INER,S t,IAfiIE: AI'{ERICAN TowER CORP (
TO!{ER OWNERi
OtrlNER'5 ADDRESS:
3s00 REGENCY pARKwAy srE.ro0CITY: CARY
LICENSE f: ;rto:
EIi!AIL ADDRESS:
PRO]ECT CONTACT PERSON: SUSAN SULLIVAN
(Che(t A11 lhat apply)
EXIST CONSTRUCTION:
PHONE *: sts-74s-6927
5T: Nc ZIP: 27s18
PHONE *: at7-9a6-4922
PHONE *: s7o-26G-s893
l-..:+:s RENOVATIONGENERAL REPAIRS
lf Relocation, rs there a Natural Current Site'?Yes
nNo IS BLDG SPRINKLERED?
flves No
D
NEIJ CONSTRUCTION:ERECT NEW STRUCTUREFAST TRACKSHELL UP FIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
ALTERATION
Gas Line on the
Ss-.iS
If UPFIT
- The Shell Permit *:
I**** IS TIiIS A CHANGE OF OCCUPANCY USE?
tr YESI
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOT,IAL:
ENGR OESIGT{ PROFESSIOiAL: TowER ENGINEER]NG PROFESS]ONALS
rs Elect Power on this Building E Yes E tO
tlhat is the ileti Occupancy Type?
PH:NC RFG *
c-1?94PH:
919-551-5351 NC REG #:
\)DESCRIPTION OF WORK; ADDINGREPLACING ANTENNAS RRUS l TO 2 HYBRID FIBER L]NES1TO 2 RAYCAPS
lJo (,rvnre-tCtl.)eaSADrr
'\**
DISCLAIMER: I hereby cenity thal all rnformaton rn lhis apptcation is correct and all wo[k will comdy with the Sta
and local laws and ordrnances and rmulations. The NHC Develooment Services Center will be notified ol anv cha
or chanqe rn
conlractor or contracior inilrmation.
"'NOTE Any Work Performed w/O the Approprrate Permils wtll
Sub|ectlo F'nes Up To
$500.00"'
oWNER/CoNTRACTOR:
T a< 4,> t t
i c!. -t(orJ.lits. ,P'rm u.tn' I
or berrsages prep€rsd oa s€rired in this srudure?Yes
ENo ls The Propefty Loc8ted ln TheYesNo
te Building Code and all other applicable State
nges in the app
State B
lds
ificalions
Code and
ns and s
Z Nole: Demollton mtlfrcatbrls & asbBtos rqnovel p€mlt appllcetons Ers lo be submltisd uslm th€ sppllcalbn form (DHHS-3768) whether lh6 faclllty or bulldtp wss bund !o
cont dr Asb€sb3 or mt You aro GqulrEd to call lhe l.l6tbml Emtsslon Slandards lor tia2artbu! Ar PollubnB (NESHAP) ar (919)707€950 El legl 10
dsys Flor b tl€
6molhlon of eny ibdllty or buildlm. S€€ AsDesb6 Wob SltE: ntb rlrwlr. epr.stale. nc us/epi/ssbeslos/3 hm p.
htrnl
SIGNATURE:
TOTAL PROJECT COST: $25,OOO.OO BUILDING HEIGHT:# OF UNITS
. SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP. PREFABS & INSERTS -
TOTAL AREA SQ FTSQ FT PER FLR
TOTAL SQ FT UNDER ROOF# OF STRUCTURES
ACRES DISTURBEDIExsr LAND Drsrunarruc eenurrr
[ves fl uo
NEW IMPERVIOUS AREASO FT EXISTING IMPERVIOUS AREA:
PROPERTY USE: DOFFTCE EReSrnunaHr MERCANTILEEDUCAPT@NDO OTHER: cELL rowER
# OF STORIES;
# OF FLOORS:
TICoMMUNTTY SYSTEM
TIWELL fIZONTNG USE C|-ASSTFTCATION
f:] CENTRAL SEPTIC LI PRIVATE SEPTIC D COMMUNITY SYSTEM
SQ FI
WATER: ECFPUA
SEWER:
E CFPUA
PAYMENT METHOO:
ICASH ICXECX lerVmLE TO NHC) [nUenrCAr eXeneSS ImOVtSe I O|SCOWn
(FOR OFFTCE USE ONL'REMSED OATE /V11/12
ZONE:OFFICER:SETBACKS: F:LH: RH: B:
AoDroval: Citv: DATE: FLOOD: BFE+2fr
Comment
DATE: 10l13/15
OCCUPANT/BUSINESS iIAItE :
CoNTRACTOR: BETACoM rNC.
/ADDRESS: 9331 E.FoWLER AVE CITY:
THoNorosAssA 5T: FL ZIP: 33592
n tr RELOCATION
J=*u,, *=' s--f !!-
RECEIVED NO\, O9 20fi
RECEIVED OCTOs 2015
is*-atr;r
APPLICATTOiI
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6EI'IERAL REPAIR5RETOCATION
r{Er{ co sTRucrroi{:
f] enecr llE}l REsrDEltcE IO EXISTING RESID€TJCE
..PLEAsE CHECI( A'{D AiSrlR EEI(Id ALL
'I{AT
APPLY IO YOUR PRO]ECI:
flnrr ermee
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TOTAT PROIECT COST1T* r.o,r : $
Aj!)-s OF STORIES: l--
Is Any ELECTRICAL, PLUltBrlG or llECllArlICAL dork Eeing oon€ to the Accesgory St.u(tu.e?e5
f] xo
If the project 15 a ielocation, ls there
Is there €Iectrical Porer on this 8ui1di
PRoPERTY USE
/ occUPrrNCY:
F,II"IGLE FA'IILY
tr OUP LEX
I rolHirouse
E
a Natural Gas Line on
the Current Slte?
ngr(ves ENo
fl v"'NO
DESCRIPTIO{ OF h9ft(r 5 p
e N,If Acvli.> E!leS-I'.
IS THE PROPENW LOCATED IiI A FL@DPLAIX?
EXISTII{G IIiPERVIOTS lnEA: _SQ FT
El IfiPERVIq,TS AREA:
_SQ FT
firo
TOTAL ACEES DISTUNBED:
Exlsr LAID DIsruRBr
c ps*irr: n ves
f] no
.ohdyrln tE St t Ba,ldhg C.Ja
r{ 6t oh.r.ppticsbb Sast id b.d i6rrs
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SIO{ATURE:
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o|ft 6.lr: /r2
YES
r{ArER:
f] crrun
I cq{tur'rrry svsrrn
I lnmrr trr-r-
fl cEtrial t,tEu,
SEIER:
ff creua
I cE TFAL
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I c$.+{JNrry sys]'Er4
... SEPANATE P€R,'IIIS RTQU]RED FOR
ETECT, i:TCH, PLE6, 6A5
EqJIP, PRIIiABS
S INSERTS T:'
pay;Eirr
iErxlo: E asx flc}r:o< (p YABLE
to nrc1
[ ^,rerrOn
arnrss E ,a/-ro ! Orscor.*
'r +.
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277-:,. (FoR
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Appnoval:_ City:_ DATE: I r -rl-t 5 FLmD:
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APPLICA'tto,l rYPEr RESIDENTIAL
PLEASE A',Is'IER ALL q'E5IIOI6 A'P!.ICASLE TO YOUS PROJ'CI
'Project ics Pons j.b i 1ity"
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ADORESS;
E}IAIL ADORESS:
LICENSE f:
TorAL HEATED sQ rr: ) l:lJ ToraL 5Q FT ut{DER noor: Zt 3 -l Toral AREA tQ FT:
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,/-r?'\\,W NEI^J HANOVER COUNTY
BUILDING PERMIT
APPLT$TION TYPE.. RESIDENTIAL
PLEASE ANSI{ER
ALL QUESTIOIIS APPLICAELE TO }CUR PRO]ECT
*proj ect Responslbilit)d
APPLICANT,5
*., i-*.LS l)o t-,+.JD
DEVELOPER:\^J ..1Ev-
PRO]ECT ADDRESS:cIw:
SUEDIVISION:
BLOCK
*: _ LOT
*:G
-lo
PROPERTY
OifiER'5 MME:cr r{aJA
^D f,^"4
€9 PKlrilE
#r 52-o -
o36b
OT{NER'S ADDRE5S:CITYI
sI: ryszlp: Ztryof
COI'ITRACTOR
: \t-Il r.->
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APPLICAIION
Nl[b€n
(OFfice Use)
DATr: li brrI
PllOllE
#: S
ZTP:
Z 6t
ADDRESS :
LICENE
*:
CITY. LJr
ACCOUT.JT
*:Nt
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sr:a(EF[lqof
EIiTIAIL ADDRESS I PHONE
*:
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or r+) D
DGSTTT{G
coNsrRucrroN:
I aLrenarroru
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E RELOCATToN
NEN
COIETRUCTIq{.
f] tNrCr NEhI
RESIDEIEE Or &DDITISJ TO DGSTIIIG RESIDENCE
*TPLEASE CHBCI( AI{D A}Js}IER BELOI{
ALL THAT APPLY TO YOUR PRO]ECT:
I err onnece
_ sF
! sulrnocn
_sF! ene
euo:se
_ sr
! orr ernnoe
_ sF
I eoor-
_ sr
I orcr
_ sr OTHER:5F
TOTAL HEATED SQ FT:
3z-a TOTAL
Sq FT UNDER
nOOr, 32'6 TOTAL AREA SQ
rr: 3 ?
3
TOTAL PROIECT CoST1LessLos
t $ z5poo # oF SToKIES:
_L_
rs Any ELEcrRrcAL, pu.,ttBrN6 or fiEcHANrcrrL wonk Being Done to the Accessory
structure)
[l vua I t'to
rf the project
is a Relocation,
is there a NaturaL Gas Line on the cur,nent sitel flves fifruoIs thene
Electnical Powen
on this Building?
ffiV"r l-lruo
PRoPERW
usE
/ occrrpAitcy, (rr*r,FAI,IILY
TI JPLEX
B{l[Zoo^n
I rowu.,ouse
DESCRIPTION OF WORK:ADD b"J s P
,,t<€
DISCIAIMER lh€reby certry
bda[ hbrrnadon in hiE app[cadorl b co{rBct€hd ally,orkvdu
and odinancesand rogLJlatons.Tho NHC De\€topm6n! S€rvic€s
Cenbrwillbe notfed ofan
oontBcl} in 6rm€don, '-NOTET A.y Work perfcrm€d w/O he Applopriar perniG wi b6 in
co.nply wih tr€, Sble Euildhg Code aod a ohor apptbabt€ SEb and to{al
hw6
y changee in he app o wd ptan6 and 6p€cifc€tons or changa in
conteor or
Vrolalion of he N C
Siara Bdg Old€ and Subj€c! o Fin€s Up To
9500,00.'.
oHNER/coNTRAcron
: fa*<L9 A)-ot
D 5IGMTURE,
***+**+ +:i + **:r+
***** *** **** *({!TlJil? + + + ++** ++ + + +* + *:r* ++*+ *****
I5 THE PROPERW LOCATED
IN A FTOODPLAII,I}
rl YEs BLrc
EXTSTING Ii{PERWoI}s AREA: I b Oo SQ FT
SQ FT
TOTAL ACRES DISTURBED:
_
EGST LArO DrsruRBrNG pERr'trr-: E] yEs r-1 NoNE[^J lirPERwous
AREA:
Z7
t
appnovar: 0
[ . city:
\.O\t-f( oare :
MrER:EfcFpuA ncor+ruruw sysrEM npruivArE htELL
f]ceuranl ureu
sEr{ER:
F< cFpuA
I cerurRal sEpTrc
I pRrvATE sEpTrc
I co,luutrw svsral
+4t SEILEATE pE&l€Ts REqUIREO FO& ELECT, I{ECH, pLEGr CAS EErp, TREFAES
& TNSERTS 8r"}
PAYHENT ETnoD
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ro n,...1
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** *+** +++ *:t++ +**+:f!.+***
RSVISED OATE
o4/ttl12,*,, R-,C 6FFICER:'' IY&,-rr N/R
----7---,*,
TiaLL
,15'
(FOA OFEICE USE OntY)
SEIBACKS:
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NEhI HANOVER COUNTY BUILDING PERI4IT
APPJ an rctt rYP€ : RESIDENTIAL
PL!A5t ANStti ar! slt5lrol{' aPPLr'aEtt ro Youi Piol'(I
"ProJect ResPonslbtltty"
CITYi
BLOC( !
PHOi'IE
15-3118
APPLICATIO{
tlui|ber
(of{tc. u3.)
DATE:
ZIP i a
LOT {:
HornssAPPLICANT'S IIAIi'IE:
DIVELOPER:
PRO]ECT ADDRE
sugDIvrS r ot,l :
PROPERTY Ot4lNEtrS NnE:€L
&Nf,N'S ADDRE5S:
SEHER:CFPUA
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PHO E II
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CONTRACTOR:
LICENSE *:
CITY:\r,
PHONE {:qlo r{s
z'-1 l'7 \ADDRESS:
EI'IAIL ADDBESS:prnrr
*,?leAlZllls
PRoJECI Co IACT PERSoN I
EXISTING CoI{ST8UCIION: D ALTERATION
I ntmvlriotr
f] otlrnar nrelns
f] RELocaTloN
i! rorl slt conslv witn he s!'E a,iEt'! cod'!.d 3l olll!. 4DlctbL stor' tnd loctl l6i'3
Dl8CLAl$ER I netcby Etritlln ai nrt mrlbn h tlls i8pllcalon
snd ololnalces md regulrlioflg Tho NHc Dtu.logrcnl Se k.l CanLr chBt!6s h lle aPP.olrd Planc and or.irros i. .onlr&bI ol
rontrclr inEm.6r. I'XOrE A.y wo.r t'erlotnEd WO Ul€ Approprlai'Pcmr6 ri( b. l. vohbn ol lt. NC 6tb Fh!! Up To ,600.00"'
ol,tt'lER/CONTRACTOR :Hwux SIGNATURE:
r!t a* aaJ}*****t*t,t1a * t'rt I. .. 'q!Il,liT,l .
" '* ' r.*'it'i* " 'ir *'r ' r'r*' ti*'1*" r 1i* "*'i*""' "
jr*
NEW COI{sTnucrroN,
s r*ta, tlEt'l [E rDEttcG or
I tDortton ro ExlsTrib lEsroEt'lcE
H ffi *rffi ::- ^"#J:'ii;:: ;#'l; s::x.#:_ "
I etreurotst
--
sr fr o"*
_..- tt ortlER: sF
rorAl HEATED ,q ,r,
L!IJ- rorAl sQ Fr l'tlDER xooFt
tpfoj'l rorAl AREA 5Q Frr
_-
rorAL pRolEcr cosr {r.":ru) , *
fu.po f oF srouEs:
2- ....-- rd,^
Is Any ELECTUCAL, Plultgttlc or ItECM!'ltCll l'lork Seing Oone to the accaesorv StructuFel L-l Yes l.J5' o
If the project i5 a Relocation, 15 thcne a Naturai Ggtine on the (urrent sttel Evis $rio
rs tnere electrical Poxer on thi5 Butlding?
l--lves Lp tto
pRopERry usE
, **r*.r, fr,IliGLE tMrLY
f] ruertx
f] rmnnc*rsr
DEscRrprror oF Horli 5fR - Nu, cMsvu ct\u\
CITY:
ctNTSAI t't tt
f] enrvrrr seruc
I cot'$tlrrv svsreu
Pt86, 6A5 rq.ilP, pRltaBs & I
[ rc/vrsr
ACCdNI }
sTl' t\rl.\Llt
l&zrp: z!,.t5 t
YEs
Q r,n
ror(l ncnrs DrsrungrD:.11
EXIs't LAiID DISTURTI G PtRtiITr
f]
fr
r5 THE PiOPERTY LOCAITD IN A FLOODPLATN?
ExIsTItlG IttPtRYIdJs AREAI SQ FT
rilEr,c $ipERvtdrs AREA:
llzga- sQ Fr
d
fi
I,IATER:CFPUA
D co{.ruNrTY svsru
f] PRTvATE t.ttll
YES NO
irs[RTs
"'
f] o:scovtn
B ** 'l
rt*t a** ar tt
navlstD o rt 6al11/1'
PAY6Ei{T IETHOO:
..1 SIPARAIT PTRX
fl cnsx
r
ls
N cHccx (
RTQ{'IRID to8 tal, t{t(ul
PAYABTE ro la<1
[ srlr lccolltr
r*,t*a** *a+rrttt l,t.l *** *t tl ***l. tr*,r tl I *a t.***i++*'r4'* r** +ri****
(loi orft(t u* oitY)
ZONE:OFFlCES:
Approval:-- clty:.- DArt:--- FLooD:
.-
SETBAC(S: F:- LH: RH:.---- Bl-
8FE +
2ft=
,r
Cofinert: -
P€RI'l1T ETF:
'
tDls- roqe3
- 'Ls-322L
ffi)
NEtd HANOVER COUNTY BUTLDING PERMIT
^PPLITATION
IY"EI NESIDENTIAL
PL:AsE rr(stri Arr QIJISTIO{S t9plrrr3l€ T0 YoLR mOIE(T
'Projrct ResPonsibility'
APPIICAfi(n
R .b3n
(oftlca ul.)
APPLICA I'S iU$IE:
DEVELO}ERI .
9TO]ECI ADORESS:
SUBDIVISIO:
PROPERTY OIiI'ICR'S MTEi
G.d ER,S ADORCSS:B?r,v q CITY
fvl I
c0 rnAclon:l:,
AOIRESS:CTTY:
EfiAIL ADDRGSST
|..OSi,c.,lln4P onU--iU{tn6c,:rP,
('TY:
tJilrrainrztscr zrP!
aJglDt'ir+
.l{ 3
iiicxliE r.or *'
rxore
r;
!Ellg)39
sr :
F:L(2IP rJSt lo.a
accowl t: &i I
sr:Ngzrt3A8l.{Ol
pfiq{E
*:-l$5,-tr?(S
p+o{E
tr
5ar.LqiB1
[]-ourr-']t>.- sr
I--l sronmr suro sF
.DATE:
pHo E l:
PBOJECI CO{7A€I PERSOJ:
EXI5TIiI6 CONSTRUCIIC I:A L'I E RA]ION
fl nrmvrrron flce ntnal nermns
f] RELocarroN{
tiEU co STRUCTIOI:ERECT NEtll RES
rDEnct or
! ADorrron To Exlstrllc RESTDEN(€
..PLEASE CIIECX AiD I'I$ER BELO{ ELL ?IIAI APDLY
'O
Y(}'i PiO]E<t:
fiarr oeuee
-
sF
I sunrom
-
sF
flenernxotsr sF
rorAl HEATED sQ FTr -l3F-13-
! orr oamce
-
st
l-''l pmr- sF
E orcx ."-............"."- sr orHER:SF
TOTAL PBolECr cosr(r&r.o$ : $
JrlQnS3 r OF STORIES; -a-5-
rs Any ELECIiICAL, Pufi 6 on itldi$rlcAl [orl Bstrng Done to the ottt'*"rliu*u""' Q "t" @ --If the pro5ect 1s a Relocation, ls there a tlatunal 6as tinq on the Cument Sfte) QVes
[*d-
rs th6re tiLctrlcal Poven
on this Eutrdins? Otrve= G{r6'
TorAL sQ Fr tNoER noorr tr-{18 TorAL AREA sQ Frt (*3S-
propERrY usE
/ ocrrparicY:
f!*-ruelr ralrlv I otrlex Toiir$lousE
DEgCRIFIIO OF HOR(;
o|6cLA[rER r
nd.by aird, h.r .I hbmrion h oC 690ac!tona coltec! rul .I worl rr, comely ,ria na &a{a &/lCR 6oe rd I ott r
.CrltibE BLb nld bc.l hra
lnd ordiarraa i1d Gl&5ton9. Thr NHc o.lr.logmnlt*rfa"s Caolfi w|t bo llqiLd ol .ny chlnoil!h,t.rraoFd,afflod*adL.lon or d*{t h cdlr&br or
corlr..br hbrm.aon.
'* OfE: Anylto.k Pefbrfligd W,Bdt A9r(ofllri Flr'nl8 wll b. h vbbtqt ol tr alc
5l.r
*r&l b Fnlr uD to 1t00.0tr|,
&}NER/q}{TRACTOR I 5Ie{ATURE I
riaaar.raaraalaail**ta+aaa*a r\if iilf{ *r rrrr+r r * rrt * * a. + ***rt al*lr*t*,laat{r*t+a.ata)ll*ttttttt
(r0r oaa!(i ust
I5 THE PR@SRTY LOCATED IIiI A FLOOOPIAIIi?
O VEs Oh6,- i?
ExrsrilE lltP€Bvrous o*ro, J-- ,; ;t- ,offA.*r, 0rstuFBEDr
'{C H
Er rfipEivrdr AREA:
-168 sQ FT ErIST tAtO DrsIUSBIilc gERl,ttf
: lQ vEs lGE4d
Ec,
NArER;
trcrpJA I coraururrv svsrtn
I PRTvATE IIELL
f] cenrneu wtr-t- S
sswrn':
f,fzf-nrn,.?:T,::,:T[:-*::::,,"':.T:.H:H],il11,
o,*,,*,, ... g
pAv Em rErHoDr
Ocrce Q.rscx (pAvABLE
ro Hxc) (Jertl accou{r
0 nclvrsl Q orscov:n E
ttft,ttaataataa*atttt.aaa,tttrt**ra*t*Naaaararltl.ta:$atai+a*tl3t*lrt*ll*tlt+aa**l*atttltttaI.|lt ;
ZONE;
IID:&. OFFICER!
Aoerovat; d- crty:tNltfil onrt r
?l*- ,.r,
+ *r,lfr e
Zou,X
SETBACKS:
N
corment
t9sut0
F
1000 i
-lb-aa PER'4IT
BFE+2ft.
e
,kah*
ffi
APPLICATT I T}?f .. RESIDCNTIAT
PTEASI ANS|.,ER ALI- QUI5IIoIJS ApptlfABtt r0 yOUi piol€C,
(fz \r-ilr1
2ots-r*APPLICATIOW
itumber
(Offi(. u.!)
aPPLICAIT,S !{AiE : ctl ESfa
"ProJect Responsibillty"
R- 'E*:*erz-fOATE: \ \+rr
Pll()Nf f :
PNOJECT ADDflES5:-1(CITY:zrp:
Z84o'l
ELOC( l: [oT o:
PIONE T:
SUBDIVISTON:
PROPERW OISIER, S IUIT,IE:us?N
Oi,{T{ER ' S ADDf, E55 :
-t
CONTRACTOR:
4
CII
: (
rrl
ADDRESS:crTv:
EitAIL ADDRESS:(1.$i^fq Ot:f @ C^l^,itL lL,
LICENSE
*:ACCOU
T I:
EXrSTrrrc c0 STiuGrI0r{:
! nlre
Rlrtoru fter,|ovorror
I e e ue nal ne earas
!
rmrr
*:a4g_j!3$fi ?
RELOCAIION
PRO]ECT CONTACT PERSOi{:
E- "f,,k'*.?q-r-
NEll cor{sTRUCTIOt{,
! trecr NEH *ESIDEI{CE
o.
! OOrrrOr Io ExISTIire REsIDEttlcE
.IPL€ASC CHEC( AiD AI{SUIR SELO}J ALL IIIAT APPTY TO Yfl'R PRO]ECT:
! rrr caamr
-
sF f| orr onRaor sr
I roncx
_ sF
I surunoor'r
-sF
f] eool
-
sF I sronrce sHEo
_ sF
I cnrrHxarse
_ sr I orcx
_ sr OTHER:
sr
TOTAL HEATED SQ FT:
/iq-TOTAT SQ FT UNDER RooF:
_ ToTAL AREA SQ FT:
TOTAL PROIECT CoSTlLcst-or1 | t /<f'tz) S OF
STOnIES: (
Is Any ELTCTRICAL, PttI{8Il{c or IECNAflICAL lork Seing Done
to the accessory Stri,itune? [ Ves [l fo
If the project
is a ReLocation,
is there a Natural Gas Line on
the Current
Sitel Eye; M No
fs there Electrical Power on this Buj.lding?Sves f3No
pRopERTy
ust
/ occupAmy,
ftr e r.e rrmrLv
I ouelex
I rowNHousE
OESCRIPTION OF l,\,rn<re-R L^4
o
OISCLAhiER: I he.lby
c.r0, hll !l Inlormlton h fiis .ppliceLn E con ct lod elr worl wit compty
wi6 he Si.t SuiHhg C6d€
rnd
.t oll.r sppk.blc SOE
&d loco
arr
and ordlnanc€s and ragrrlations. Ih. NHC O€v€loprn€nt Servlcos Ccnbr r{ti bc notifi€r, ol anydrdr9€6 ln
ho agprov8d pl€ns 6rd .pccilicllion! or ch6o0e in colrt acbr or
conmcbr inbrmatofl. "'NOTE: tury lryort P€rlormad w/O
h. App.opriab P.mil5 irtitbe ]n
ohrNER/CO{rRACrOa :
(74ffie7 BtctG,d'
* * * + ++ * * * *+,i* *+ ***. * * * ** ** *(I lTl,l?I'J *
*
15 IHE PROPERTY LGATED IN A FLOODPLAIN?
EXISIII{G IIPERVIqTS ,rnEA:
_SQ FT
NEI IT9ERVIOUS AnEA:
_ 5Q FT
Viobtbn ot ft. NC Sl6b Btdg Cod6
ord Sobj.cl
srciirAruREr
//3 '7
-E-4,/
* * ** +, ** 't:* * !I+ + *i. *+:l * *,r * +
t **'r * * * + tr * r* * *
**,r* * *,*** * ++I vrs fd-re
b Fines Up To 3500.00"'
!{ATER:
SEWER:
lTLcrrur
fi creun
I cor.uurrw svsrtm
I PRTvATE tlELr.
! crurml srerrc
I PRTvATE
stprrc
TOTAL ACRES OISTURBED:
EXIST LAI\D DISTURBIII,G
PERIII: I].] yes I.] ruo
! crurnal wrll
I cor,rmr;rtw svsrrm
.ri 5t:FARATTi PEI:l'\l..IS, Rr:q-rl ntil) .roI(
tir:(r, rir:ctrr ptll0. Grs [Qt,IF, pRt:r:r]:r
g ,t,,st:tTs 1^,
payflEr{r
}rE[roD:
E*s* E cr.c* (payABr.E
ro r.rc1
f] rrr-t oa.ani flncrvrso 5'rrr.or**,1***+*'l****l******rt*****'t*:l,i***t*+***1,|t+**,t**t,l,lr**,t:t+t****,l!,**t***it****tt**,tl**t,iri*)i:ii+
(roi oarltt lrst
ottlY) f,EVlStO oAIE
0al1r/1t
SETBACKS: F:_ LH:_ RH:_ B:_
Approva]:_ City:_ DATE:_ Ft000:
_ BFE+2ft=
zoNE:
_ 0F F ICE R:
PERII1II
FtE: $Comme nt :
DEVELOPER:
,^/C-
*t5g-fr@$
PIONE ':
NEId HANOVER COUNTY BUILDING
APPLICATION
IYPE; COMMERCIAL
,r*rrff;ly:g
APPLICATION
Number
(Office Use)
PLEASE ANSIIER
ALL QUESTIOiIS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'5 NAIiIE: rMC Tavlor construction rnc DATE:ta/23/2oLs
DEVELOPERI GLT properLies, LLC
CITY: wilminoron
PHONE #: (910)251-1181
ZIP i 2a4tl
ST: NC ZIP:28401
PHONE #:910 2 51 1181
PHONE #: (9tol 7'7'7
-s825
PRoIECT ADDRESS: 6620 cordon Road
- Unit K
OCCUPANT/BUSINESS NAIiIE :
PROPERTY OWNER'5 NAfiE: Gl,T prooerties, LLC
oWNER'S ADDRESS: 14oE Casrle Ha./ne Road
CoNTRACTOR: TMC Taylor ConstrucEion Inc
ADDRESS:
1406 castte Hayne Road
EI{AIL ADDRESS
: ccole@tmctaylor. com
CITY: wilmlnqton
LICENSE f: rBess
PRoIECT CoNTACT PERSON: chris cole
(Check A11 That Apply)
EXrST CONSTRUCTTON:
E ALTE RATTON
lf
Relocation, is there a Natural Gas Line on th
RENOVATIONGENERAL REPAIRSRELOCATION
e Current Site?Yes
trNo IS BLDG SPRINKLERED?
flves No
NEW CONSTRUCTTOru:
! rnrCr NEW STRUCTURE
! rASr rnnCX
I Snell UP FITADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:*a,e.-:,
If UPFIT
- The
Shell Penmit #:
ARCH DESIGN PRoFESSIoiIAL:
coodrich Archirecrure
rs Elect Power
on this Buj.lding E Yes E no
: (9!o) 343-106 NC REG #: 7434
NC REG #
DESCRIPTION
0F WoRK: Add Bathroom and HVAC, wa11s,
Ceilinq, Floorinq, painr
ls
food or beverages prepsred or served in rhis snraure?
f] ves
fl llo ls Th€ Property Located
h The Flooddain?
E yes No
PH
PH
DISCLAIMER: I hereby cenify lhat all information in this applicatjon is correct and att work wittcomply with the
and local laws and ordinances and reoulations. The NHC Develooment SeNices Cenrer will be notifiad of anv
or chanqe in contraclor or conUaclor Information,
"'NOTE: Any Work Performed WO lhe Appropriate Permils
Subjedlo Fines Up To $500 00"'
State Building Code and all other applicable
chanqes in tha approved plansand
willbe in Violation of the NC Srate
OWNEFyCONTRACTOR: qnris core SIGNATURE:
(Ordlll€r) (Pirn
&.i6)
conteln Asbe3b. or not You 6rE r8qulrod tD cell tho Natlrnal Embslon
SLndar& fo. l-lazadour Alr PollubnE (NESiIAP) ar (919)707650 d bn 10 days Ftor b the
d6molltlon of any fddliv or bulldlno. S€€ Asbasb6 Wob SllD: htp/fuam.ept.stare.nc.u9epuasb6sloyshmp.htnt
TOTAL PROJECTCOST: 21,OOO BUILDING HEIGHT: 15 '# OF UNITS: 1
# OF STORIES:
r
TOTAL SQ FT UNDER ROOF: soo# OF STRUCTURES: I# OF FLOORS:1
ACRES DISTURBED:0
Exsr LAND Drsrunarruo eenurrz
I ves
I r,ro
NEW IMPERVIOUS AREA: o
SQ FT D(IST|NG IMPERVIOUS AREA: soo
PROPERTY
USE: EOrrrCe ERESTAUMNT
luencamru
leouc f]nnr [cotoo OTHER:
WATER: ZCFPUA
SBIITER: IICFPUA
REVISED DATE 41 .I/12
SQ FT
fl coMMUNrTy
SYSTEM
fl WELL EZONTNG USE C|-ASS|F|CAT|ON:
ECEMTRALSEPTIC LIPRIVATESEMC f]COMMUNITYSYSTEM
"'SEPARATE PERII,ITS REOUIRED FOR ELECT, MECH, PLBG GAS EOUIP, PREFAES & INSERTS *.
PAyr\rENr METHoD: flCeSn
fiorecx prvealE ro NHc) finuenlcat o<eness
I ucrusa
I orscown
(FOR OFFTCE USE ONL'
ZONE:
OFFICER:_ SETBACKS:
F:_LH:RH:B:Approval: City:_ DATE: FLOOD:
__BFE+2fr
0
I
Comment
N
PERMIT FEE: $
PHONE #: (910)2s1-1181
CITY: t,ljlgjlgls!_ ST:
I!_ ZIP:2!j!I
***** Js rHrs A cHANGE oF occuPANcY
usel
fives [rc .....
IF Yes, what was
the Previous occupancy Type?
_ l./hat is the New
occupancy Type?
ENGR DESIGN PROFESSIOT1AL:
TOTALAREASOFT: 8OO SQ FT PER FLR: eoo
e
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION
TYPE; COMMERCIAL
PLEASE ANSUJER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Jos- ll,ct bt
15-3r.31
AppLrcANT'S NAI'|E : Tribute construction. lnc.
DEVELoPER: Same PHoNE
#: 910,251.5030
PRolEcT ADDRESS: 419'1 Hearthside DrivecITY; WilminqtonZIP: NC
occupANT/BusrNEss NAmE: Sea Pines Apartments
PHoNE f: 910.251.5030
owNER's ADDRESS: '10 S. Cardinal DrivecrrY: Wilminqton
LrcENsE *: 60001
ADDRESS: 10 S. Cardinal Drive
crrY: Wilminqton
sT: NC zIP: 28403
ErttAIL ADDRESS : bkaiser@tributeconstruction.com 910.251 s030
PRO]ECT CONTACT PERSON: BT|AN KA|SET
PHONE #:
PHONE
#:910,599.8130
EXIST CONSTRUCTION:
lf Relocation, is there a Natural
NEr^r CoNSTRUCTTON:
E] ERECT NEl,' STRUCTURE
ACCESSORY STRUCTURE: MaiI Kiosk
GENERAL
ilto IS BLDG SPRINKLERED?
REPAIRSRELOCATION
[ve' ffilro
SHELLUPFITADD TO EXIST STRUCTURE
ALTERATToN l-l nrruovlrrolr
Gas Line on the Current Site? L_-l
(check A11 That Apply)
Yes
FAST TRACK
If UPFIT
- The Shell Permit #:
ARcH DEsTGN pRoFEssror,rAL: Cothran Harris Architecture
ENGR DEsTGN pRoFEssroraL: Chris Holmes, PE
DE5CRrprroN oF woRK: construct new Mail Kiosk
Is Elect PoHer on this Building E Yes E ruO
pH: 910.793.3433 Nc REG #:4290
ptt: 910.796.9988 Nc REG *:16336
ls food or beverages prepared or served in this structure?
Eves ffi lo ls The Property Located ln The Floodplainz
I ves
[l uo
DISCLAIMER: I hereby certii/ thal all information in lhis-application rs correct and all work wll comply with the Stale Building Code and all other applicab e Slate
and local laws and ordindnces and regulalions. The NHC Deve opmenl Servrces Cenler wrll be nolilled ol anv chanqes in the aooroved olans and sbectftcations
or chanoe i,1 conlraclor or conlraclor informalion. "'NOTE Any Work Pelor?ned w/O the Appropriate Permiis wrll bie in
ViotalDn of the NC State Bldg Code and
S!btecr-to Frnes up To $500.00"'
SIGNATURE:gu y-J
(o€liflo4 (Pfit Namo)
contain Asb€sbs or not. You are lEquked b callthe Nalional Embslon SEndsrds ror Hazsrdous Air Pollutanb (NESHAP) at (919)707-5950 et l6est 10 daF p.ior to lh€
domolilion ol any facillly or building. S€e Asbostos Web Sit6: http://\ yivr.epi.stale.nc.ugepi/asbestos/ahmp.himt
ToTAL PRoJECT
COST: $25,000.00
TOTAL AREA SQ FT: 373
BUILDINGHEIGHT: 12'-3"# OF UNITS: N/A
# OF STRUCTURES: 1
PROPERTY
USE:
lOrrrce ! nesrnumrur MERCANILE
!eouC
Incr lcoruoo orHER:
WATER: MCFPUA
SEWER: l-Kl CFPUA
"'SEPARATE PERMITS REOUIRED FOR ELECT. MECH, PLBG. GAS EQUIP, PREFABS & INSERTS -'
PAYMENT METHOD:
ffclsu [cHrcx lenveeLE To
NHc) finuenrcaru EXeRESs
I ucnrrse
I orscoven
(FOR OFFTCE USE ONLY)
ZONEOFFICER:SETBACKS:
F:-LH: RH: B:Approval:_ City:_FLOOD:_ BFE+2ft=_
AVN
E coMMUNtTy
SYSTEM
fl WELL flzoNtNc USE CLASS|F|CAT|ON:
LJ CENTRAL
SEpTtC L_l pRtvATE SEpTtC
fl COMMUNTTY SYSTEM
REVISED DATE 4/11/12
Comment PERMIT FEE: $
APPLICATION
Number
(Office Use)
oare : 'l 'l .5.2015
pRopERTy oll/NER,S NAIIE: sea Pines Apartments LLC
ST: NC ZIP: 28403
coNrRAcroR: TributeConstruction, lnc.
IFYes,what*,.**]ii]J',:.:fi:":,.lil::oFoccUPANcYusEiFt'.Hx;:;;"".,Type?-
owNEFycoNTRACTOR: Brian Kaiser
SQ FT PER FLR:
TOTAL SO FT UNDER ROOF: 373
#OFSTORIES:1
*or TIOORS: l-
ACRES
DISTURBEo: 0.009 ExsT LAND DtsTURBtNG PERMI?
myES
E NO
NEW IMPERVIOUS AREA: 5OO SQ FT EXISTING IMPERVIOUS
AREE: N/A 59 61
i otsl fl3(
15-313L
i.n
{T
NEW HANOVER COUN?Y BUILDING PERMIT
aPPLI.ATI,N IrPf I COfiiIERCIAL
FLEA5E AllrWgS A!! ?Ua511C{S APPLlcAEaa l0 voul PRolEcl
"Project Respon5lbllltY"
A PPL ICAT IOI{
Nufiber
(otti.a Ur.l
orr::11.5.2015APPLICA{T'5 NA]IIE:
"iribute Constructiofl . lnc
OEvtLoPER: Same
PRO]ECI AODRESS:4191 Headhside Drive Wilminqicn
prore
*: 910.251.5030
sr: Nq zrP:-ry91
sr: NC zrPr 28{01
Pror'rE fl : 910.251.5030
Psonr r: 910.5-09.8130
Yc9
E*o
OCCUPAT'jT/8U51,{ESS IAIIE: Sea Pines Apartnlenls
PROP€RTY O9II*ER' S NAi'!E Sea Pines Aparlments LLC
CT{NER' 5 ADORESSi0 S. Cardinal Drive
Tnbule Construction lnc
crrY: Wilmincton
LICENSE *l 6C001C0 TRACTOi i
ADDRESS I CITYWilminoton
ial.(i rl: Ih!: Arrl')
GXrSl COilSTRUCTIO{:
u ALTERATION
fl neruOverroI
I erre ur nrrllns
ll Relo..tioo. b there a Nalural Gas Lino on the Curlent Srle? L--l /es Ll No lS BLOG SPRIIl
RC LOCATIO}I
rlrneor
I ves flNo
NEN cOtrsTRucTIcT,l:
ffi raeCr Hex sTRUCIURE
I rasr rnlcX
! sHrr-r-
[ uerrr
I aoo lO EXIST SIRUcTU1E
10 S. Cardinal Drive
EI'IAIL ADORESS: bKAiSE uteconstruction.com
PRO]ECT COIITACT PERSON I Erianise
TOTAL AREA SQ FTSO FT PER TLR:
TOTAL SO FT UNDER nOOr' -37X- # OF STRUCTURES:
ACRES D'STURBED: 0 009
NEW IIIIPERVIOUS AREA 5OO
ACCESsORY STRUCIUREI MA|I KIOSK
If UPFIT - The SheU Penn!.t *: Is Ete.t Poli€r on thi5 8u11ding
..."r rs rBrs a cH IGE oF occuPlrtcY ustt f vrs frc ""'
It Y€s, vhat Bas the Previou5 OccuPan(y Type?Hhat ls the Ie! O.cuPtncy TYP€I
ARCH DEslGN PROFESSIOt.lAL:
EII6R OESIGN PROf ESSIOllAL :
Cothran Harris Archrlecture px, 910 793 3{33 rc nEG r: 4290
,u,5i'0-7ilogg88-- rc rrc o -i6335-
D€SCRIPI IOi'/ O' I,,IOR(:Construct new Mail Krosk
ls hod or bsy€€ges p.epar€d o( sewed tn tl{s
snrtunz
f ve*
fr r.ro k The Propetly Locdod In the Floodpldn?
n Yes
m Nc
olscL^luER I
neEby c€nt lhnr aLlddetron .
snd hcd tr*s.ni oriimncrs and roourahons lhe
d chas in co.lraclo( or conl'salor inlormatio. "'
subl€d lo Frms up To
l50O0O-'
lhis !c6r.ar@,s (o.re.r aild a/lBolr s'.o,rrr *,rn Ue Si.lE B-,d'nQ Codc anO dlolhor BpFcaD.9d€
Ndc tr."el6fl$l s.rr' ces ceirr, f{ tr.r,d's) 6.snv/:n.":fs n lhe aolrovad plals a^d loaoocaLlrals
i.biiiii-*'i;icerioi";io fo/o ih€
^pi;opdare
Pet{s r l dr ra
votaron otlhe'Nc stal8 BcE coo€ and
SIGNATURE: 4T
T,-J
1O*' (fthltd)
[o!.: D.,noqrn r|oar.r{oi, r eorear r*rcver pcrntt
eprl;.tonr.it t! !. 'l]br&d u.hg,!. 6grt don bm (DHr€-37!)
$t ter te h.lB o. DlrB[fi. rlln b
.onr6,'Erd.ro! ydrltrlNrd b c.r !| N.iord Emt lo.r
$ll.!r!, ix''.r brltPo&n$tr(N€sRP)tl(019mr-5S!0iid,0niFbbtL
artleo.r ot..!rt
&dul&g. s.. ar!..t \rra6 &: '!.t' \4s .t! t :r. e r::..1'*r.:.tif -. 'l' i
TOTAL PROJECIcosrr $25.000.00 BU|LD!,{G }iEGHT#OF UNIIS: N/A
' tt-J
SO FT O(|ST]NG IMPERVIOUS ARfrr.:
#oF sTOnlES: 1
* OF FLOORST-l-
ExsT rAfiD DTSTURBTNC pERMTnmYES n NO
\iA SO Fr
pRopERry use f:orrEE f]nesnunnrr frerncercnu [rouc frnrr f]muoo orHEn:_
WATER:
SEWER:
mm
CFPUA
CFPUA
C,MMUNTry SYS]EM T.I WELI
cENTRAT sEPTrc
[] e-avnrr semcflzoNrNG usE crAssrFrcATrolr
LlcoNAruNnY gYSTEM
i,fa: :,r lrj61r,. ., ..
PAYTTENT METHooi
[cesx i] cxecx (PAYABLE
To NHc) f.]er,renrcm aeness E Mc/vtsA
f orscoren
t€v6ED O TE aJMZ
a
psore
r: S10.251.5030
ZIP: NC
OW|\ERTCONTRACTOR: Brian Kaiser
?otS-/47>s
t 5-31,88
&
NEI.I HANOVER COTJNTY BUILDIN6 PERMIT
APPLICAT
IOII IYPE : RESIDENTIAL
PLEAsE Alilsl/€R AIL QUESTIoNS APPLICABLE I0 YOUR pioJECf
"ProJect Responstbility"
APPLICATIO
I'lumbe r
(Officc ure)
APpLICAffT'S MnE: Rcbuck nories f,rralqLqr LLc
DEVELOPER: Robuck HoIIleE Trianqle, LLC PllotlE *: ere-8?6-e2oo
PROIECT ADOf,ESS: 71s
AnLIe' D.rve
CITYi wilmlnqron zIP | 284a9
SUBDMSIOiI: Melton oaks BLOCK fi _ LOT r: -9]21__
C0 TRACTOR: Robuck Hones
Trianqlg, LLC
ADDRESS: 5131 FaLls of Neuse Rd. ste 200CITY: Raleieh ST:
!L zIP: Ugg:
ElitAIL ADoRESS: i
rorbech@robuckhomes . con
PROIECT CO{TACT PERSO'I: chase Elan - cel am'rrobuckhone s . ccm
PHoNE #: 919-s76-9200
EXISTIi}s CONSTRUCTIOiI :ALTERAIION
f] nrrcvrrrorv
fl crruennr nrenras
! RELocArroN
Elr coilsTRucTron,
E} eaecr ]rEw RasrDE €E o"
I morrou ro ExrsTrtlc REsrDE cr
1'PLEASE CHECI( AfP Al,lsl{ER BELoi{ ALL THAT APPLY T0 YouR pRoJECT:
I rr anae:
3.:.:- sF fJ oer ernaoe sr E] poncr
lxl- sF
! surnoou
-sF
I eoor
-
sr f] sronace sHED
-
sF
I enreuouse
-
sr I orcr
-
sr orHER:5F
TOTAT HEATED SQ FT:
3osa TOTAL SQ FT UNDER ROOF: {s51 ToTAL AREA SQ FT: a5s1
TOTAL PROIECT COSTtrosrroo:
$ ;ta.s;0. # OF STORIES:
15 Any ELECTRICALT PurllBrll6 or llE(HAxrcAL Work Eetng Oone to th€ Accessory Structure?
n Yes
If the project
is a Relocation, j.s there a Natunal Gas Line on the current Stte? EYes I No
Is there El.ectrical Power on this Buildingl r ves
f] to
pRoPERw USE
/ OCCUPANCYT
fi Srlere rmrlv fl rupr-rx
f] roHlwousE
DESCRIPTIoN OF flOR(: neu ho e
DlSCi.AllEft lhcteby c.n ly
hrr!l inbBnrton in
$is rpplicaton b corecr End dlwolt m[ coinply wjrh h. Slab Auuding Code and rX oter appiicable StaE a.d local l.$,s
End odhancss s.., €!ul6!on3. The NHC Da\olopm€rit S€fflces Canbr reill be nolited olsnychangas in $o s9provrd 9l6n3 and sp€o'fi..tlrns or ch.nge in conEscbr o.
conr*i$ hbmalio[ "1|OTE. Any Worl p.rbmGd w/O h. AppopdaE PEmI6willbe in Vblotion
otfi. NC St'B Bdg Cod6 ard Slbi,ct b Fin.s th To
1500.00"'
OhllilER/COl{TRACTOR:
.rai Norbech SIGNATURE:
PHOiIE *: 919 819-42?5
I No
rs rHE pRopERTy LocATED
rN a rlooorllrNl I vrs
EXISTITG IIIPERVIOI
S AREA; o SQ FT
NEI.I
II.IPERVIO{,5 AREA:
2505 SQ FT
wnren: @ crrul fl co,BluNrry
svsreM
! pRrvarE IIELL
I cetrul wet-l
SE$ER:
E creun
f] cExrRAL sEpTrc
f] enrvrrr
srerrc
f] corciuNrry sysrEM
*** sEpAttATE ![Rr4lrs I'QU:!E0 rOR ELECT, flEct{, PLAG, cAS [€UIp, pna[ABs & LiSll8Ts i**
pAynEa{T
ETHq):
I asx I ctrcx ( pAyaBLE
'ro mr1 [ mrRIcAx exere ss E rc/rtso I orscovrra*rr*.1*f*, u(.
zotie:
l(- ))_---..-.?
,.'
flf A )
OFFICER:
]**1r**'r***r r*'**'r*'**:i(** * ri:r * ,*,*
*,*:! *,r ,** !i )*
* *
*,r* )*,*,a
** t*rr
)
.*4*S*******.*r.***,r*..*.+.iilir l, ;.rd;ffi ili..ilfi : ii.e2 54'o?il
!i
*,t i(,*** ** 'i *,i *,ll * * **,r* I *,!+J* *+: *r,r1*****,1**,at l*,t+* i,*,t*)*:ti.*:i*)i)t,t*,I**:t,i)t*
(foa
otllaf t,5: o[Y)ff!j540 oale 04/11/12
TOTAL ACRES DISTURBED: -15
EXIST LAND DISTURSII.IG PERHIT;
l*.,l ves ITI rc
SETBACKS: F
'lu Ln'-i1g-- nH:i
- g:lS
FLOOD:
-+BFE+2ft=approvat:
l) 11 city:l .r- DATE:
rtConnlent fllq ffrIril!(PER!4II F€E: S
OAIE: 11/ 1o / 15
PROPERTY olitER's
M,{E: tobLrck Homes ?rianaqle, LLc . PHOI{E f: -91!:!:j::3L
Oi ER's ADoRESS; 6131 part6 of Neuse Rd- sEe 2oo CITY: Rateiqh ST: r{c ZIP:27509
LICENSE *: 5708.1
1.8*'d
,t(
#
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION
rypE: COIiIMERCIAL
PLEASE ANSIIER ALL QUESIIo S ApptICA8LE TO YOUR pROltCT
"project Responsibility,,
;r. ) PHONE
*
APPLICANT'S
llAllE: iared Dlrcore, Archi I.ECt
, AIA, NCARB
DEVELOPER: BR,\GG ROAD
DEVELOPI,lENT COMPANY,
IJLC {ConEact:Gordon Kolb
PROIECT AoORESS: 716 Braqq DriveCfIY: wiLmi
oCCUPANI/BUSINESS l,lAflE : pub
866-7100
lix Suoer Mai
kets. ftrc -
PROPERTY
OIINER,S
l{AfiE: BRAGG ROAD
DEVELOPTIENT COMPANY,
OWNER'S ADDRESS: 3
920 Maqazine SEreeL
CITY: New
Ieans
PHONE
f: (so4) 856-?3oo
ST: r,A ZIP:7ot-ls
CONTRACTOR:
ADDRESS:
(ouE to Brd )
LICENSE *:
CITY i
EIilAIl- ADDRESS: rnait@cbsarch.com (AoDlicant/Archj.tecL
PROIECT CONTACT PERSON:
,lared Ducore, ArchirecE, AIA, NCARB
PHONE #:
(Check
All That apply)
EXIST CONSTRUCTION:ALTERATION RENOVATION
n GENERAL REPAIRS RE
LOCATION
lf Relocation, is there a Natural Gas Line on the Curre Site?
trYes
No IS BLDG SPRINKLERED?Tves
I no
NEI'J coNsrRucrrot't: p enecr Eut srRUcruRE
! rasr rmcx
! sxer-r-
! utrrr
I aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Permit
f:Is Elect Power on this BuildingIYes E Ho
,.,.,**.i Is rHrs
a cHAilGE
IF Yes, lihat Has the Previous Occupancy Typelhhat
is the lleu Occupancy Type?
MeicanEile
ARCH DESIGiI PRoFESSIoNAL:
Jared Duc
ote. ArchitecAIA, NCARa PHt(8s0) 43
9 1ss2 NC REG #:034
Et'lGR DESIGN
PROFESSIoML:
Jason
s. Henderson
er) PH: (864)326 4204 NC R€G S:31306, P. E. (
Bl.uewat
DESCRIPTIoN
0F IdORK:
Consbrucrion
of a New Rerai
l Bui ldinq and
aII asoociaE
ed S.ite Wolk
I
DISCIAIMER: I herebv
c€rttv lhat all 'nln,m^r,on in this appth.6tion rs correct and a wort wil comply wrth th€ Slste Buitding Code afld aI other apptrcabte Sta|eand bcat taws and ordinanc€! and resutarrcns rte NnCblvitoomeni
sei,-iiit".i,iil J,ii ri
Subiectlo Fines Up To S500 00".
ls food or beverages fepared or se.ved in
lhis struclure?ves
[ ruo b The Property
LocaH tn The
Flodflain?
[ yes
OWNEFYCONTRACTOR:
cora""SIGNATUREo1b, Jr
No
fofln (DHl-lS-3788)
$fiefi€. tio hdtty or butldtno wss bund
b
(NESHAP) el (919)m7-5950 ai leEst 10
dars Fior b tho
I
io'rdrr€r) (Frhr Nsn )
Note: Dainollion notifcauons &
ssb€stos renoval peamll eppltcstoos 610 to ba submiu€d usirE the
apgllcsthn
aor*ah Ast6tos or
mt Yo! alo rqlir€d D clI tE Nsfanst Embrnn
${xbrds br Hazradous
Ar potub s
d6mo0thn ot eny teclliry or buildtng. So€ Asbcsto6 Wbb Sh6: hrp/ ,tud.6p,.stale. nc uyepyasbesbs/shmp.htm
ACRES DISTURBED: s. r4 (+/ -)
NEW IMPERVIOUS AREA: r e r
EXST LAND DISTURBING PERMIT?
YEs
ENoSQFT EXISTING tMpERVtOUS AREA:
o sF
{o.or) SeFf
APT
CONDO OTHER:
pRopERry usE: EoFFtcE lResmunalr firaencalTlu
[eouc
f]
WATER: EICFPUA
SEWER:
m CFPUA
ZONE:_OFFtCER:
Approval:_ Cit}a_
982 SF l?A 098)
SEPARAIE PERMITS REOUIRED FOR E!EC'], MEC}I. PT-BG. GAS EOUIP pREFAAS T NSERTS
flcoMMuNtw SysrEM
flwELL f)zoNtNG usE cLASstFtcAIONE CEMTRAL
sEpTlc
fl p-RtvArE sEprrc n-coiri\rtNny aisrE;
PAYMENT
METHOD: I]CNSTI I cHEcK (pAyAaLE rO NHC) IAMER|CAN EXPRESS flUCn/Sr
I orscovrn
(FOR OFFTCE USE ONLY)
SETBACKS: F:
LH: RH:- B
FLOOD:
_
-- -_
BFE+2fi=
N
!
T
AEVISED DATE 1UI 1/I2
APPLICATION
Number
(office Use)
DATE; 08/1?/I5
PHoNE
f: (8so)419-rss2
ZIP: 2a4r2
i,T,a
oF occuPAtlcY
usrr
Ives Im ***""
TOTAL PROJECT
COST:
SE,4oo,0oo BU|LD|NG HEtcHT:
3s Fr #OFUN|TS: N/A
TOTALAREASOFT:4G.031
sF SeFTpERFLR: a6.03r
sF f OF STORIES:
rTOTAL SQ FT UNOER ROOF:
4d 0r1
sF # OF STRUCTURES,
I SOF FLOORS: r
-
comm.nt A v
PERMIT FEE:
i-