JANUARY 21 2016 BUILDING APPSL-{te.;-- l; %t1v
H *^o
(fPOA-NO
&ps utroG
APPLICATION
Number
(office Use)
DAf E':
r/.q /F
PHONE
#: /utb\3)j -3eo.1
ffi
APPLICANT'S NAfiE :
DEVELOPER:
^llA
NEW HANOVER COUNTY
BUILDING
APPLICATIoN
IyPF; CoMIvIERCIAL
PERMIT
PLEASE ANSI,IIER
ALL QUESTIONS APPTICAELE TO YOUR PRO]ECT
"Project Responsibility,,
L
PROIECT ADDRESS,:
22s Otd, Fa,<t,.
oCCUPANTi/BUSINESS
NAIiIE:
lahl',s bc
CITY
I LJ;lo1,nA+a^ | NC ZIp: A?4ag
LICENSE
#:
CITY:
oa-l*^* S*n-,-t<
PROPERTY OWNER'S tlA E: (oal's D.
.la--* S*a,-<s
OIINER'5 ADDRESS:
PtfiNE
8t (2b)))o3-2 3S'cItY: mj^^^^E.^tls STt A2IZIP I S'3ft-t
1-6D coNTRAcToR:
ADDRESS:
ST: ZIP:
EI{AIL ADDRESS:PHONE
*:
PHONE
#:PRO]ECT CONTACT PERSON:
Exrsr coNsrRucrroN:
E aLrERATron g *rrJi)ffi '[^ll'i"*o.
lf Relocation, is there a Natural Gas Line on the Current Sire? [Ves IUo
REPAIRSRELOCATION
rs BLDG sPRrNKLEneor
ffi ves
I ro
NEl,'l CONSTRUCTION:ERECT NEI,J STRUCTUREFAST TRACKSHELL UP FIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Permit #:
IF Yes, what was
the Previous Occupaocy Type?
ARCH DESIGN PROFESSIOT,IAL:
***+* rs rHrs
a CHANGE
oF occupAl'lcy
usrr
Ivrs ffirc .--..
Is Elect Power on
this auitding fil ves E ,lo
What is the New
0ccupancy Type?
PH:
ENGR DESIGN PROFESSIOTJ.AL:PH:
NC REG
#:
r,/c RE6 #:
ls tood or bo\rerag€s prepaGd or ssved ln this *u<tre?
[ ves
ffi No b The
ftope y Locded tn The FloodCain?
n ves
I No
DISCLAIMER: I hereby certity that all information in this-application is
correct anc, all work wtt compty wrth the State Buitding Code and a| other applicabte State
a nd local laws and ord ina nces a nd rmutatlons. I he N H
C Development Services Cenler wil be nothed ot any ctra noes in ttrE joproveJ otans a no
ibecifrcations'
Subjecllo Fines Up To $500 0O*
DESCRIPTIoN OF WORK: /Ilin
OWNERYCONTRACTOR:
(auafilbt)
TOTAL PROJECT
COSr. '!O,JW-_TOTAL AREA SQ FT : 456 y ( t.
TorALSo FT
uNDeaaoor@t
ACRES
DISTURBED:
NIA
NEW IMPERVIOUS
AREA:
^,l
/A
#OF STRUCTURES:
Erp
SO FT
# OF UNITS:
#OFSTORIES: E]-R
SIGNATURE:
conlaln Asbeslo. or tlot Yoit erE Gqul@d
b call the ltslimal Embsbn stsndads for tta2sdous Atr PottutanB (NESHAP) at (919)7076950 sr has! 10
days p.io.
b tE
donElhlon ofany fadllly or bulldhg. 5€6 Asb6sb6 W6b Si!6: httsr r/wvr.eptstab.nc.us/6pl/asb6los/ahmp.hrnl
BUILDING
HEIGHT: Erfe. (tJo zyv^At)
SQ FT PER
FLR: FTR
WATER:
SEWER:
# OF FLOORS: F'TQ
EXST LAND DISTUREIruC PCNUITZ
[-I YES
TI NO
D(ISTING IMPERVIOUS
AREA: ET R,
OTHER
SQ FT
COMMUNITY
SreTEM WELLZONING USE CTASSIFICATION:
CENTRAL SEPTIC
!PRMATE
SEPTTC
fl CO[iMUNtTy SYSTEM
ARATE PERNiIITS REOUIRED FOR ELECT, [,4ECH PLBG.
cAS EOUtp. PREFABS & TNSERTS -.
pAyMENr METHoD: [Crr'Sx [CneCX pevealE To NHc) [nuenrcel enREss
n MCMSA
I OrScOVen
(FOR OFFICE USE ONLY)REVISED OA'IE ,'A 1T12ZONE:_OFFICER:SETBACKS:
F:_LH:_ RH:_ B:Appro\€l:_Oty:_DATF FLOOD:___BFE+tr
N
Commont PERMIT FEE:0. Do
t^J t tr< N<g?^ eidA@o@4 b.-
pRopERryusE: floFFtcE lnesraumNr ffiuenanrru f]eouc
[aer lcoNoo
APPLICANT'S l,lAl'lE: william A Randolph, rnc
Jot;- //gb/"
APPLICATION
Number
(Office Use)
DATE: 1.5.16
PHONE #:
PRoIECT ADDRESS:
228
otd Easrwood Rd
OCCUPANT/BUSINESS NAI'IE:
Kohts DeDartsmenr
srore
PROPERTY OWNER'S tlAlilE: Kohld Department
store
O}'INER'S ADDRESS: w1 N0Ri Drive
CONTRACTOR: william A Randolph rnc.
ADDREsS: 820 Lakeside Drlve sulte 3
CITY: wilminqton ZIP
i 2s4a3
CITY: Ivtenomonee palls
LICENSE
#: 74?B?
ST:
_ ZIP: s3os1
ST:11 ZIP:6oo3r
PHONE *: 847-8s6 0123
CITY: curnee
EIIAIL ADDRESS: 'i
ason. heeres@warandolph. com
(Check A11 That Apply)
EXIST CONSTRUCTION:ALTERATTON
I neruOVnrrOru
! Aruennl
Gas Line on the Current
SiteZ
!Ves !ruo
REPAIRS
tr RE LOCATION
lf Relocation. is there a Natural
NEt4l CONSTRUCTIof'l:ERECT NEhI STRUCTUREFAST TRACK
! sxer-r-
! unrrr
!
ACCESSORY STRUCTURE:
IS BLDG SPRINKLERED?I ves
I to
ADD TO EXIST STRUCTURE
If UPFIT
- The
SheU Permit #:
Is Elect Power
on this Building
r Yes
Ero
PH:ARCH DESIGN PROFESSIOT,IAL:
ENGR
DESIGN PROFESSIOiAL:
NC REG #:
NC REG S:PH:
DESCRIPTION
0F WORK: Minor, rnterior-only remodel of beatuy deDartment
tdi
nd all other applicable State
C Slale
(AElirs)
Nole: Demolllion mtfcatons & asbestos re.noval permh appllcatons sre to be submitied using the application brm the f6clllly or bullding was bund !o
conEin Asbestos or noL You are requircd to call !h€ Natonel
d€mollton of any facllliy or bullding. S€e Asbeslos Web Slie:
Emlsslon Standads ior Hazrrdo6 Ar Pottutants (NESHAP) st (919)707{950 at tsst 1O
days prtor
b the
htlpJ ww.epi.state.nc.ust/epilasb€stos/Ehmp.hml
TOTAL PROJECT COST: ao168.00 BUILDING HEIGHT: sxiscinq #OF UNTTS:N/A
TOTAL AREA SQ FT : asoSQ FT PER FLR:# OF STORIES:
rxistt
soecrfrcations
Bldq Code and
TOTAL SQ FT UNDER ROOF: Exisrinq#OF STRUCTURES: exi st inq# OF FLOORS:
ACRES DISTURBED: N/A EXST LAND DISTURBING PERMIT?
TI YES
E NO
NEW IMPERVIOUS AREA:s 4 SQ FI EXISTING IMPERVIOUS AREA:N/A SQ FI
pRopERryusE: floFFtcE EResmumm @uencrNrru
f]eouc
Epr Im NDO OTHER:
WATER: ECFPUA
SEWER:
E CFPUA
flcoMMUNrW S\6TEM
fl WELL fIZON|NG USE CTASS|F|CAT|ON:
f]CENTRALSEPTIC
E PRIVATE
SEPTIC E COMMUNITY SYSTEM
PAYI,IENT METHOD:
lcasn [cnecK (eAvABLE To NHc) EAMERIcAN DGREss
I ucnlsn
I orscoven
..,SEPARATE PEAIi.{1TS HEOUIRED FOR ELICT,I!4ECH. PLBG, GAS EQUIP, PREFABS & INSERTS ..'
(FOR OFFTCE USE ONLY)REVISED OATE IUlV12
ZONE:OFFICER:SETBACKS:
F:-LH:- RH:- B:Approval:_ City:_ DATE: FLOOD:
___ BFE+Zfi=_
AVN
Comment PERMIT FEE: $
&
NEt^,| HANOVER COUNTY BUILDING PERMIT
APPLICaTIoN rYPE: COIiltlERCIAL
PLEASE ANSWER ALL QUESTIONS APPLTCABLE TO YOUR PRO]ECT
"Project Responsibility"
DEVE LOPER:
PHONE *: 262 7 03 -'7 6as
PROJECT CONTACT PERSON:
Jason xeeres PHONE #: 84? 8s6 0123
r'*'*** rs rHrs A cHAr{GE
oF occupAr'rcy user
[ves INo *****
IF Yes, what was the Previous occupancy Type? -- What is the Nel, Occupancy Type?
ls food or beverages prepared or served in
this sruaure?
f]Ye"
I t.,]o b The Property Located tn The Floodflain?
[ ves
! ruo
J..^ ll,,*r
:EY
/Lrc$r,5 AfiE:
.. eJirr ^crPsn5rolll
P-t
LrcEiasE
r:
C.;
DATE:j-;-t6
zlle r
),I;</ ZI
.WtL*'l )0ffi;3to
JEVELOP
PROJECT
,t
colrTlacroR !
AI'ORES' !
ER:
ADDiISS r
occuPA[T/8USrXCSS HAfiE
:
PROPEiTY OHIVER'S
iAiE :
OI{NER'S ADDIESS:
e
PTO
E
*:
PIO E
':
t{
.rr--_str.4/tztp?)&y>1
stzlL ut Dv{ol
t:
o
x Eiall TDDRCSS:
PROIECT COI.IACI PERSO 3
CNGS DE'IC'{ PRO}ESSIOT{AL;
DESCRIPTTOfl OF TOR(:
EXr5T COfaSTRUCTIO|{:
D atItiATIOit_-/ 1o-rx anlq RCUn aTrox
PHOIIE
PtoiE
t:
ocorP[{cY t sEt
tr YES
t{tat ls Ot(upang, Typc?
'@:UrLa"
nrmrns
I RElocArrons ar,oO snnrurc-eneoz
[l
fixoth{ fieu
Wii,*,
Yes l/lNo
lf Rolocstion, i6 there
! Natlral G8s Une on the Cunent Site? [Yes l_lNoErd
cor.srrucEofl:
fl IIEI{ STRI}CIUR
,D r
E uprrr TO EXTSI STruCNNEACC!5So*Y SrRircIuRE:ADD
If UPFITThe
Shall p€rmlt *:Is Elest Pqdcn on
thls Buildlnt
pves Eror.... rc Tllls a cLtlt{6E OF
PH
REG
*:
PB
r----.16 o.1 r. -..-
DAIE
arti4l
PERMIT FEE:
NStor.J
\
crrY:
(.oour*;o
I Bo, l/^*
b food or
bcvaogcs grpccd
r 3€nEd h d|b
rrrm""Z lVus
I Ho
Enssrnunlrn fiuencmrnle fieorc flaer E]co,{Do
NO
Ioscovea
oo
D0s
t
Q,,,',
{
!"0|a*./l?
1s-3430
WGEO58
NEId HANOVER COUNTY BUILDING PERMIT
APPLTCAIIfi'I IYPE
I RESIDENTIAL
PLEASE ANSUER ALL QUESTIONS APPLICABTE TO YOUR P8O]ECT
"ProJect Responsibility"
APPLICATION
Number
(office Use)
APPLICANT'S NAmE : H&H coNSr
DEVELOPER:PHONE T:
PROIECT ADDRESS: 612? wrl,I,o GLENN DRrvECITY: wrr,MrNGToNzIP | 29!]2_
SUBDIVISION: WILLOI{ GLEN ESTATESBLoCK
f: 612 7
LOT #: osg
CONTRACTOR: H&H C0NSTRUC,|ORS OF FAYETTEVILTE, ],LC
ADDRESS: 8209 Market streec, suite c
LICENSE #: 74r!8
CITY: WlLMINGTON
ST: NC
ZIP: 2 8411
EIIAIL ADDRESS
: HeaEherMacKenzie@hhhomes. com/JerrvBrenninq@hhhomes.com PHoNE #: 910-219-1485
PROJECT CONTACT PERS0N: J.l Brenninq PHoNE S: 910-219-1485
@lrr oannor 't
42 sF
I eoncx zqe sF
I sronrer sHED
-
sF
OTHER: SFCR EENHOUS E
SF
DET GARAGE
-
SF
P00L
_ 5F
DEC( SFSF
ToTAL HEATED SQ FT:
2aes ToTAL sQ FT UNDER ROOF: 3486 ToTAL AREA SQ FT: 2?6G
T0TAL PROIECT COST Gess ror) : $$1s3, ss2
rs Any EIECTRICAL, PLUI4BING on ECHANICAL Work Belng Done to the Accessony structune?
E YesNo
If the project
is a Relocation, ls there a Natural Gas Line on the current Sitel I ves fl lo
Is thene Electnical Power on this Building?I Yes
E No
PROPERTY USE
/ OCCUPANCY:SIN6LE FAMILYDUPLEX TOI.INHOUSE
DESCRIpTIoN oF woRK: STNGLE FAMTLY DwEr,LrNG
OISCLAIIIER Ihoebyco ry tlat att inbnnolon h hi6 appllcaton b corEct and dl rork wlllcomply wlh tle St8b auiElng oode and all orh€r appllcsle Sr.ts and bcd bws
and ordinances snd lbgula on6. The NHC Oevelopment S€rvlcss C€nbr will bo nolified ol €ny chang€a In he +pto\red pl s 8nd sp€clflcadons or change ln conl,Ebr or
contaclor infumallon.
OhINER/CONTR
"'I{OTE: Any Work Perfomed w/O
ACTOR ! ,rJ Brenninq
he Approprlsb fumllswlllbo ln Vlolatlon of lhe NC SlsE Bldg Cod€ and SulFcr r) Fhes Up To
3500.00"'
s TGNAT,RE :
ltg 6-.....__Z
** *** *,t** ** ** t,t:**:l** * * ,1* * x* rt,t'!* I * !t
V/7
*t**r**t** **tt t***()******* ***** *+ ***+ **** *** *****(!
IS THE PROPERTY LOCATED IN E TIOOOPIETru?
I-]] VTS
EXISTING ITIPERVIOUS AREA:
-SQ
FT
NEH TmPERVToUS AREA: 33 !2__ SQ FT
ZoNE:
_0FFICER:
(FOR OFFTCE Ust oNrY) SEVTSED oATE 94/11112
SETBACKS: F:_ LH: RH:_ B:_
NO
TOTAL ACRES DISTURBED: 0,58
EXIST LAND DISTURBING PERIiIIT:YES
Eruo
8FE+2ft-
WATER:CFPUACOMMUNITV SYSTEMPRIVATE hJE LLCENTRAL NELL
srwen: @ creua
I CENTRAL sEPTrc
f] nnrvnrr seerrc
fl comrlrJNrry sysrE
iT' SEPARATE PER}'ITS REQUTRED FOR ELECT, IiIECH, PL8G, GAS EQUIP, PREFASS & II{SERTS 'TT
pAynENT r,rErHoD:
I cmx
I crtcK (pAyABLE
ro uc; [ ru,lenrca ExpREss
E "c/rtto I orscoven
,t*
** *,**:** * * **,hi( *** )*
* )t:*
* *,* * ,*,* ;t !t :t:l ,t
**'*r|:*+*,* +++* *,t )i
ta )t* *,f *,t *,t,* * * * )t:*,*,*,t( )*,* !*:l rl.*+
** ra {. ***:} '}rt+* *ir
Approval:- City:- DATE:- FLmD:
-
A
1t'tB
I
I
-fi
DArEt ..]Z/p312!1L
PROPERTY OhINER,S MI'IE: H&H coNsTRUcllRs oF FAYETTEVILIE, LI,c PHONE #: 910-219-1485
SINER'S ADDRESS: 8209 Market stleet suite c CITY: wilminqton ST: !g_ ZIP
32!3ll_
ExrsrrNc coNsrRucrroN:
fl alrtRnrron
! nrloverror
! errurnal neenrns
I RELocATToN
NEW CONSTRUCTTON:
E] enrCr NEI' RESTDENCE o" I nOOrrrOt rO EXTSTTNG RESTDENCE
'**PLEASE CHECK AND ANSIJEn BELO{ ALL THAT APPLY TO YOUR PRoIECT:
! surunoom
# OF STORIES: 2
E
Solb - Ltl o
lb-KaNEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION
TYPE: RESIDENTIAL
PLEAS€ ANSI,{ER ALI- QUESTIONS APPLICABLE TO YOUR PRoIECT
"Project Responsibilitf'u\c<J-Z-
APPLICATIO{
Nufibe r
(office Use)
q{o Q'.lrf-(c_IAPPLICA T'S t{A'4E:
DEVELOPER:
(DATE:
PRO]ECT ADDRESS:
SI'BDIVISIoli:
CITYT ()o1 C.
P
E *:YL
LOT #:
ue :/SpJn
ot
toPHONE
f:qocA1y7
ST:
_ ZIP: _
sr: !fC21P 3 ZElc
f
Pro.{E
r: (gl{l Sq2 Zt4L
PHONE
S:(*<9 S?7 vri'6
CITY:
BLOCK S:
PROPERW Ota,NER'5 NAfiE:
O'II{ER, S ADDRESS:
CONTRACTOR:
ADORESS:
EitAIL ADDRESS:
DESCRIPTION OF WORK:
O
L
LICENSE #:
CITY:
PRO]ECT CONTACT PERSON:
Exrsrrl{G coNsrRucrro :
I nlrenarroN
I neruovarrou
! cruenal nrenrns
f] RELOcarroN
NEH CONSTRUCTIOil: S EnECT NEU RESIDENCE
o"
! morrroll To ExrsTrr{G RESIDEitcE
**PLEASE CHEC( AND ATISWER BELO}I
ALL I}IAT APPLY TO YOI.IR PRO]ECT:
! nrr eenacr
-
sF fl orr canroe
_ sF
lsurnoon _sF I nool
_ sF
PROPERTY USE
/ OCCUPANCY:
CH <F
RAGE
SHED
/?Z SF
SFf| cnrrrurouse
-
sF I orcx
SF OTHER:
TOTAL HEATED SQ FT: _ TOTAL SQ FT UilDER RoOF:
_TOTAL AREA SQ FT:
t1L
TOTAL PR0IECT COSTllessr-ou : $t?p0.0* OF STORIES:
fl'r*
[[sro
rs Any ELEcrRrcAL, pLUI'.tBrl{G
or nEcHAtucal work Being Done
to the Accesso.y
structure?
f] v"r S ruo
rf the project
is a Relocation,
is there a Natural Gas Line on
the current site? f] ves @ ruo
Is there Electrical Power
on
this Bullding?[Ves [l Uo
NGLE FAMTLY
! ouer-ex
f] ror,iruxou E5
DISCLAIMER: lherebycerlit hat all infomBton in
fiis spplication is c1tsnd
allwork will complywih he Stat€ Buitding Code and a[ oher applicStats and local laws
and odinances and regulations. The NHC D€velopment 56Nices Centsrllbe noljfied olanychanges in
he approved ptans and specifcations orch
conraclor intomalioo.
"'NOTE AnyWork Perfomsd W/O
h€ Ap
Pefinitswillbe in Violation ollhe NC
Stab Bldgand Subject
b FineTo
$500.00"
Ot{NER/COIIITRACTOR:SIGNATURE:
(P
+ +* *,* +,t ,*
+,1.* *,t * * * )t
* )* + *,1+,t + *,t,t+,t **,|* ***,1*+:l + +* + **:|,t,t** *,i,t,i*+ **
*,t* * +
IS THE PROPERTY LOCATED It{ A FL
urrr
ll'l ves ptno
EXISTIIiIG IiIPERVIOUS AREA:
-SQ
FTTOTAL ACRES DISTURBED:
NEhl II4PERVICTUS AREA3
_ 5Q FT
Exlsr tAtiD DISTURBII{G pER
rT: f-l vrs f] rllo
ZoNE: 0F FICE R:
AoDroval: Ci tv
ltlATER:
SEUER:
S crnun
I conr'rururw
svsrem
I pRrvArE hrELL
! crrurnaL
wrli
p creua
I crrurnal
srerrc
! pRrvarE sEprrc
! cor.rr,rurulrv
svsrru
*** SEPARATE PERI,IITS REQIJIRED FOR
ELECT, TIECH, PLB6, GAs EqJIP, PREFAES
& IiISERTS ***
payi,rEr'rr r,rETHoD:
! crsx
fl cxrcr (payABLE
ro rrcl I orruca, ExpREss
fl r.rcTvrsl
ft orscovrn
t***,**:t,*** * * *,1,*,t + *,* *,**,t,i )i * + + 'f *,t*,t,trt+* t +,t *
** *,i * ** **:i,r,*,t*,i * ,t,* ,t ,*
* *** *r*,*** )* + +,*:t+* + +* * * *)r )r
*)*
(FOR OFFICT UsE ot{rY)
SETBACKS:
F:- LH:- RH:-
,r-l*"'{l'ry'
:- DATE:- FLOoD:
-
ere+Zft=q/ -)av