FEBRUARY 5 2016 BUILDING APPSilo,
fls
NEtil HANOVER COUNTY BUILDING PERIIIIT
APPLICA|IOII
IYPE: C$llilERCIAL
PLEAST ANSI.IER ALL QUEsTIONS APPLICAELE TO YOUR PRO]ECT
'Project Responslbilit}/'
2ot6'e1t
16-00043
APPLICATION
l{umber
(CrFft.e Use)
APPLICA,'IT'S liAllE: Rcbcrl M Fersun
DATE: 1,/l/16
DEVELOPER:
Co.ra- G.oup cf Ne1,9 Hanovea -j,_!c
CITY: i^;r-inrrq ronPROJECT ADDRESS:
5:i1 So.iL: C!iiei,e Drive
OaCUPANT/BUSf}.IESS tlAfi E
: Hi]i.inc-;on HeaLL:
PROpERTY
OJNER'S
NIffiE: !--orra:
crcur ci Nc'rr ilenc!.r
OI{NER'S ADDRESSi i,o lcx 1645
CfTY: Ja.ksci,\.r11.
PHONE
#: 91C-.146-98C0
CO{TRACTOR: Atla:1lic aonsLruction
fic
ADDRESS: ? Doi.is Avenue !-dsL
EIIAIL ADORESS: rinptlbiz.r.. rr. coni
LfCEiISE *; 3l ! 94,
CITY: iacksonvi l1e 5T: r'ra ZIP: : rr:t4al
PIONE #: , 1 0
- r :, a - 3 0 5
-l
PROIECT C(}{TACT PERSOII: 3-obcrL M Per:sun PHONE f : l1a--r:9-i5t.:
(ch.ck Atl Ihat ,rpply)
EXIST CONSTRUCTION:ALTERATIONRENOVATIONGENERAL REPAIRS RE LOCATION
lf
Rolocation, is there a Natural Gas Line on the Current Site?
nYes No IS BLDG SPRINKLERED?
NEW CONSTRUCTION:
ACCESSORY STRUCTURE: \A
flv"" pr'ro
ERECT NEhI STRUCTUREFAST TRACKSHEL L
UPFITADD TO EXIST STRUCTURE
If UPFIT
- The
Shell Permit *:
***** IS THIS A CHANGE OF OCCUPA'ICY IJSE ?I ves
fl ro ".***IF Yes, drhat was the previols Occupancy Typ
ei A2
ARCH DESIGN PRoFE5SIoI{AL
i "rer.JrJa Rurar,, R;rdm.ndPH: 91C-915-6529 NC REG *: 032705
EIIGR DESIGN PROFESSIOT{AL: anCrcri Ycdr,q
Pll:91C :18:.] 36€0 NC RE6 *: 1C1!3
DESCRIPTIOII OF HORK: Ccnve!Ling
cld co-Lden Ccrra-L inlc Medica-L Busioess wiLhin tne same fcoLpr1.' !
ls
tood or bsvtrag66 prBpcsd
a seav€din ttris stnrtureZ
I Ves I I'l,o ls TtE Property Localed ln The Roody'ain?
[ Yes I No
OWNEFyCONTRACTOR: nolerr M lcrsur/A-LLanLic .cnst- SIGNATURE:
(Oo5llL.) (Pd.n N.ru)
No{e: Cloanolud\ nd celons I cb€Gtos rsnovd p€rmlt rppllcatons ar6 to be subrnltFd uskE fne
applca{on form {768) nheths h€ fscilliy or bulldlng wss lound to
coolain Asb€stos q riot You aru rcquified b cdl th€ t{a{onal Emb3lon S:bnda.& for rhzrdot . A. tulurent (
de.fllolilion d 6ny tad,lty o. hrildrE. Se€ AEb€slG $r.b Slte: hti!:rlr..}l. e
rii.sl.t6. J r. !s.rspi/5g I esi!'s afar rr. iijrl
at (919)707-5958 ot l€a6l 10 days trior to th€
TOTAL PROJECT
COST: i5!rlcN0.00 BUILDING HEIGHT: :l'-C''# OF UNITS
all olher applicabte State
SQ FT
REV]SED OATE lu11/12
ACRES DISTURBED: sxi.'
f OF STORIEST l
# OF FLOORS: r
EXST LAND DISTURBING PERMI?
TI YES I NO
SQ FT EXISTING IMPERVIOUS AREA:83,5i5NEW IMPERVIOUS AREA: iI
pRopERTy usE:
fiprrtce nnesrnunnrr
[lilenarnle [eouc [APr f]cor'roo orHER'.-
WATER: ECFPUA
SEWER: EICFPUA
ECoMMUNTTYSYSTEM UWELL
r] CENTRAL SEPTIC L] PRIVATE SEPTIC
PAYMENT METH@: EICESX I cflEcK (PAYABLE
rO NHC) nArERlcAN O(PRESS
f] rlcrusn
E otscoven
ZONE:-OFFICER:
Appoval:- CitY:- DATE:-
flzoNlNG usE cLASSlFlcATloN:
flcoMMUNrrY sYsrEM
(FOR OFFTCE USE ONLY)
SETBACKS:F:-LH:-RH: B:
FLOOD:.-*-- BFE+2ft=-
AVN
PERMIT FEE:
$---
Comment
PHONE
#:910-316-980c
ZIP: 2a 4t 2
ST: NC ZIP:28541
Is E1ect Porer on this Building E Yes n no
lfiat is the lter, Occupancy Type! 3
DISCLAIMERi
TOTAL AREA SQ FT :
]]!!]-- SQ FT PER FLR:
-:-:!!.i_-
TOTAL SQ FT UNDER ROOF: 1.f05r II6II # OF STRUCTURES;
:_-
90rc q33
Oct 02 1 5 '10:3Ba D.Thomas Roofing9107988684
RECEIVED OCI O2 2015
NEW HANOVER COUNTY BUILDING PER,'IIT
APP
LICATI(N rYpE; CO||{iIERCIAL
PTEASE ANS'NER ALL Q1ESTIONS APPLIC.ABLE TO YOIJR PROJICT
"ProJect Respo8ibiLit/
p.1
'i.t"
ffi
,'f'281
APP LICATIori
Numb€
r
(offtce us€)
APPLICA'TJ
5
'IAI4E
:D, 'lbonaa Roof
oarEi ac/2/20--s
DEVELOPER:
PIP E #:
PnOIECT ADDfiESS:
l.le sourhWatern St
CfTY:
Hitminqton ZIP' 2}4o:.
oCCIPAIIT,/BUSIIIESS tlAIrlE
: pekirq eou:Der
PROPERW 0tdl{ER'S t{A E: Riverside of !,
illllinqcon Pacelnership
oIllER's ADDBESs:
1te s
h EaEer St
COfiIRACTOR:
D 1'homa6 Poofi:1q co INcLICEI{SE S: s9239 ACCOUITIT *:
2013 N tGSf: Nc ZIP: zs4os
EiIAIL ADDRESS: llboEa€ roaf inqqho:ma i
1 com
PtO E
#: 910"9a85o5
PROIECT C(IITACT PERSOiI: Norman Ea
PlottE
*:9106198473
(Che<l
all Thrt
^pply)EXIST CO STRUCTION:
! alrerurrron
I REMryATlON6ETIERA! REPAIR5RELOCATIOiI
E]
lf Rel@tiql, b lhere a NaturElGas Une on the Cun ent Site?
trYes
trNo lS BLDG SPRINKLERED?
flt*n No
xEl{ corr6rRrrcrroil,
I enecr EH srRrJcruRE
! msr rrecr
I srrr-r-
[ urrrr
I mo ro Gxrsr srRtrrmE
ACC ESsOf, Y STRTICTTJRE :
If UPFIT - The
SheU PenBit #:
Is Elect Porcr oo
this Building El yes E nO
ANCH DESIEX PROFES5IO{ALI
EI{GR OESIG}I PII)FESSToi{A1 :
PH:
b
'Dod
q barcrag€ pr€pd€d or s6,ed in this
onrez I ves
I uo cn" aop-ty tmted tn The Flooddsh?
E ye6 E No
D€ctIrUER I hereb)
ce'di thal all intormatlon h qb-spdrsaon b correq and stt u/Ur eitt cortt!{y wih rhe Sete Britdino Crode 6nd
dt dler apdicabb Stats
,t:3ft! i5ffiS;T,ffi,,3Hfffitrd"1'Effi+offi,o'fffl[ts"'#ffiffbe#ffi,9ffiff"ffiffiy;u*"sffiflffiB#fitr*"#.Suqed]o Fims UD To
i500.00-
PH:
DESCRIPTIOI{ OF UDRX:To incEa1l ]urolasL roofi.nothe PekiDq Gourmet secticn
OWNEH|/CONTRACTOR:liornBn gatcbell SIGNATURE:
# OF UN]TS:
TOTAL AREA SqFT: r-?oo# OF STORIES:
TOTAL SO FT UNDER ROOF:
_ , OF STRUCTURES: # Of FLOORS;I__
TC RE6
*:
r,rc REG #:
ACRES DISTURBED:Exsr IAND DrsruRanc
eenxrz
I ves
f-l xo
NEW IMPERVIOI S AREA:_SQ FT EXSTING IMPERVIOI S AREA
pRopEFryus: loFFrcE filnesraunnnr lnmcar,rnr-e neouc Eepr
n@NDO OTHER:
tldq Dc.rol al mtlctdqrg
I a6tGE rtrflovd
Fn .FfrllrldE sE ro
t ajbr &d rELtC lf|€ spClctiorl fdm (OHtl$37Eq t{Eors th lutty or tIJt ig iss ttrri b
.rlrieh A&6toa .r tq- Yq,
rt req.drtd b
dltro )5Io.tl E kidl Szfik! IEttEddG Al Foll.,ffi (NES{AFI
a (91qD7595O.t
H lO day5
Etqo ol.
dqnol&h.l'rly L.llty or hilldng. S€! l€bcllE VrlO
St.r
TOTAL PROJECT
OOST: "aoo- ooBUILDING HEIGHT
SO FT PER FLR:
SQ FT
aa CFR'A
CFPIJA
ncoMuuNrYsYsrgr r-]uEtf
Ecerrml semc
I e-nvare srrrrc Erct{r NG rrsE
ctAsstrcArort
flconMuNrTY srsTEu
pA't }ENT MEII.OD: [C-eSn floreo< eAYABTE ro NFlc)
[eu nccourr DlrcrvlsA flosoo/En
,'' S:PARAiE FERMI-S REOU RED
FCfi ELEG-'. MECH, PLEG, GAS EOUIP FR;FABS A NSEFIS
"'
(FOR OFFTCE USE Orf'
OFFICER:SETBACKS: F: LH:- Rll:- B:-
BFE+2f
ZONE:
FIEVISED OAfE ,tn
t/lz
l0o
Apprwal:. GI)4-DATE- FLOoD:
--
AVN
CommgU PERMTT FEE: $
PIIONE ll: s2a-396a
CIIY: wilElinqEon SI: Nc ZIP:2B4oi
ADORESS:
CITY: }litmlnqron
ri'.r..'i. rs rHts a cHAuiE oF occuprrry rser
flves n io "....IF Y€s, rdrat 1lal
the I'r€viqrs Occopancy
Type?
eesruranc fi*t is th€ tler Occupacy llPet
WATER:
SEWER:
ts\
APP!ICAT,|T'S N&4E I
DIVTLOPFR:
PROI€CT ADDR{SS I
SUSOMSIofli
\s-3sq?
Jorb-4$\
A9PLICATION
Number
,o,,.
ll/4lzot$
*,r}6x"
M&
NEhJ HANOVER COUT'ITY BUILDING PERMI.T
APPLICAT:1tt
rrPf
I RESIDENT
IAL
9LaASt A[5llEa
Atr Qttr-/r:rlr5 ApprI(aBLt ro vouE pPo]t(r
"Project Respo.3ibilit)r''
Yr,L 3ch,eeler
ClIY r
t"t',i-- 7l
TOT ':
PrOr're *r 9rr..'-.Ilq-e,l.l-c
e,
)6fCl
}q-rf,.).1
BLOCk e:
PRoP!irY &l[Fe's tlAnE:
r,lc
OHNER'S NODRESS:
e ( le,-
Cl IY:
CITYi
LI'FTsE ':
Piro^tE,
[r\ *r1 k\\ sr:&! zrp
31..,,
- 71p, |_:: .'"'t;
L
.)
COI'/TRACIOR :
ADORESS:
ZON€:
APP"o
EHAIL ADORTSS:
aLTctuir:oN
I nrNovrrrur
f clruenar ntrr:rs
T lt8ld R€srDaficE
o"
r aos:rroN To ExrslrN6 Rts
PHONT
f
pnorr
r: {i0 . ?}11'}-)}t1
RFI-
OCAT:tN
PFoIECT colvra(r Pfeseil:
€.K ci hrtt
EXISTIf,IG COfti-T
llEl^l C0N5Inr(TI EC
..91'A5E CNECI: ANO AiISfTg EELOT A
A;- GARAG5F
0
APPIY TO YOi.)F
PAO)i(T
,, GARAGI
__ 5F
IDENCE
I eonor
--
5p
fl sronae
r sHrD
_ sF
gTHER: tF
LL rHr,r
V!:'.
D sr.lrlnootr
.-. sr I nool
_=.- ir
I careHrous;
-
sr f, oecx
-
sr
rOrll UUrtO Sg rr, I
T0ral sq Fr u DrR
R&Ft 2 LI 0?olALAREA
rrrr, 16@
ToIAL PROIECT
CCSrlorsLlr : $
If the project is a Relocation, is there
1s there Electri(al po!,/er o,r :lis Buildin
PNOPEIIIY USE
,/ OCCUPINCYs: !r6L
! aA,lltY
f) # oF sronrEs: e
Is Any ELE(rc]aA!, PLULBlitG
or. EChArtICAt i{ffk Being Done
to the A(cesso.y
Stru(tu.ei
d",l-l xo
a Naturr-
Br Ll "es
line on
the Cu..rei:t
Site) [ves [ruo
NO
DllPttx rar.lNH0ui
i
c
6as
DtstRrpTroit oF liloRl(:
(0t fi1
OlSClArM5Il 1nr,".r.e.rty !!!: Jr
mt o,cnri.r5 &n,€pr;3r6ds lle
|'.r,,(u rtr'ir,,:. 'NCrt 1r,
Ol,lNER/C0NrRAa T0R:
("r't !!")
15 THE PROPENTV LOCAIIA III A FLOODPLAIiII
E:(ISTIIIG IMP'*VIO}5 AREA:
*.***_ SQ FT
ilfl{ IfiPERVIoUS AREA:
_SQ FT
IaIATER i
5gWER:
t;t,
ths.gcr n
'le
!!rbv.:d p:*'r dnd 3!. rr-- 1l:r'e rrc
S€r BC.
ToTAL ACRfS DISTURBE0i
ir'1_
,'t1r.i!ror
'n
!1,! spFr..iicn r!
r-i,q.:r.. rjr*rrrId!.-
Nll C Lr. 6:ophen r 5. r{es a.. r!, w'{ b. -.i:ncd o !
s' r
{r,k t;ar-..1P. -,rr,,1lh! 0hqkz SICI,IATURE:
R;;" j"Giaffi *''!'i,1'ri;;1"'ii';;ur3Ywrt':s-
€XIST LAND OISTUREII'IG PlRll]I:
fl ws
[I NO
J
^fr cru n co,nrur,rrt svsren
f pRrvATE
HrLr
I trlrnaL t.telr
fr crrua
fl (ENTML sEprrc
f] cn:vrrr srF::a
I couv,irr ;i- sys:.'1
PAYHEflT I'!'ii,]CD:
I cos"
f]c"sc* (payaBLr
ro mc1
[ mrr:cr', exrness
I ncuvrso D o.scoven
StPNIArL Pf!.li]l\ ilQutnii, l0n LLI(r, ':i.rl, Pllrc. GnJ tu.lll:, .ri:ta85 6 lrr!r
,;;;,,.,
val;-qE- city
(FCk
0frr(r utr o{1Y)
SEiSACKS
;i;irLrr"l onre 3,..J.1i.e r
looo,
r,L- LH:-e* nri
$.rr..
-
n
P:R T' FFE: $
co-,"nt,
010!l nre+ $rjr,rft-\'\' -
frcrg\"t
rrstl-lv{&d 3
t_
See additional notes on attached floor plans!!
!r1$
(n4 i):r.t-:it,\ L ,\
-
It
lar/r"u
('ii:;i[
c\nt
tu
\(,-\00
NEW HAI'IOVER COUNTY
BUILDING PERmIT
APPLICAII(N ry"E j CO,IIiIE RCIAL
P|-EASE A,ISI|ER ALL QUESTIoIS ApptICABt E T0 yot R piotEcT
"proJect Responstbulhf
';or['
APPLICATIOI{
lluDber
(offr,.. Us.)
APPLICAIITT S [rl!lE; Lindsev He
Olfai )1lt4l2at6
OEVELOPER: caDe Fear commerc ia
I
PlOtfE
r 9Lo ?99-229s
PllOl{E *: 910- s2o.3544
PROIECT ADDRESS: 101 N 3rdStreet
OCCIJPAITT/IUSII{ESS
llArlE: 101 Norrh
rhird SEreeE, LLC
PROPERTY t
t{ilER's tU$tE I r01 Nort.h
rhrrd srreet l,Lc
Otl{ERjS ADORESS:
tosr MiliEarv c]l
Eoff Rd SEe 200CfTY: l,iilminqron
C0I{TRACTOR: rhonras
tluct ion LICEiEE
l: s?620
AIDRESS:
l1t1 l.til.i,tarv Cutoff Rd #191
CITY: wilmi onZfP:28401
PlOilE
f: llo.144 . 1oo o
5T: NC ZIP:2s4os
CfW: I{Llminqton ST:
Nc zfp: lggEE ATL ATDRESS:
tdascon9tructi. colll
PROJECT COiITACT PERSdf :
Exrsr G'{srRucrror: EJ ALrERArrq{
n *rrffi# EE'iL*. n:runs f} RELocArro{
tf
Rdocdon, is thore a Nartratca6 Line on the
cunent
Sie"
lves Erc s aLDG
spiiixrrReoz
I ves
flxo
t{EI C()itSrRl'CTr(I{:
! rnrcr Et{ srRUcruRE
! rasr rucr ! snrr-r- @ uerrr
! m ro ExrST STRUCTURE
Af,CESSORY STRI.|CTI.|RE :
If UPFfT
- The
Sh.ll Penrit #: 2ot4 77s4Is Elect Poryer
on this Euildlng El yes E HO
.rr.. Is THIS A O.4I{GE
IF Yes,
t.rrt ns tha Prevlous Occuprncy t),pe?
AiCH DESIGI| PROFESSIO{AL
I Darurv 910 790-
990L rlc REG
*: e6s 7
EIIGR DESIOI P'OFESSIO'OT:David Ha910-?91
4000 NC RE6 *:23sS1
DESCRIPTIoII OF }JORX: uDfittion of a common
tenarnt corr dor en chc 4Ehf loor
Gr-.t
TOTAL AREA SQ FT :
Pfl
Ptl
h lood or
bewagea p..prd
r sdv.d h tlls
ou(trs? flves @ Ho h rhc propeay Localed ln Thc
Foodflrin?
lves p No
liota:
D.ltolo.l ltffiorlr t
ltltB llrnovd Frdr !!db.d(,r rra b ba ridlad udio $. lrefador h.tn (t}}ts-yr!a)
[t ol' 0E
hcfry o.
bd*|g *!! lb(rtd toaulur A&rb. s n a Ydt r! l.qdld io
cd th.
tLddd En&don siirirr k rdoo. a. tu,tilE o€sriep)tlstguoz-slEorla io orp piaoted.n oi ol ally h.Iy o. blEre. Se l!O6Co. fir.b
Sf. ntpr wrur,.opt.sld!.nc_us,/€fl/ast!€sros/ahm9
md
ACRES DISTURBED:
D(sT LAND DISTURBING
PERMI?
NYES I NO
NEW IMPER\4OUS
AREA N, A
SOFT D(SNNG IMPERVIOUS
AREA
-. SEPARATE PERMITS REOUIRED FOR ELECT MECH PLEG CTAS EOL'IP PFEFABS
I INSERTS ''
(FOR OFFTCE UsE OiI-Y)EVISEO DAIE 4atVt2
SO FT
pRopERryusE E:loFFrcE Elnesraunaan Er'rencernr-r
I eouc
! arr lconoo OTHER
@a CFPTA
CFRJA
r-loo nu mYstsrEu T-lwEr-
Elcenrnlsepnc E pR-were semcEzoNtt{G usE ct-AsstFrcAron
Ll@i ruMrY sY€TEn
pAy.rrENT MErlroD
[crsx filoreo< PAYABTE To NHc) fialrenrcAtr exnnEss EMcMsA E orscown
xlA
ZONE:_OFFICER:SETBACKS: F:_ LH:_ RH:_ B:
Apgowl: C|II-DATE-FLOOD:---BFE+2{F_
AVX
Commer PERMIT FEE:3
PKra{E
}: 910.344 . rooo
oF oc(uPn cY usrl
flvrs
fit€ .....
}lilt ls thc Ld Occupancy Typef _
OWNER/CO}.ITMCTOR: 1nl NorEh lhird sEreer, LLc
TOTAL PROJECT COST:
S2?,80?.oo BUILDING HEIGHT:
N/A # OF UNTTS: N/A
TOTAL SO FT UNDER ROOF:
!1A
SO FT PER FLR: N. a f OF STORTES: r
* oF sTRUcTUREs: r
-
# oF FLooRC:
--
WATER
SEVVER
\6-\o o
,$\
NEhJ
HAIOVER COUNTY BUILDING PERI{IT
APPLIcAtIdt rvPrr Co&IIIERCIAL
PLEASE ANSI{ER ALL q'ESTIOIiIS APPLICABIE IO YOT'R PRO]ECT
"Project Responsibilitf
?otb- q8?
APPLICATIOiI
Number
(orftcc Us.)
APPLICANT'S MrlE: Lindsey Hess
oATE:1/14l2orc
DEVELOPER: caFe Fea! Coiimercial
PROIECT ADDRESSi
tor N
3rd srreet
OCCUPANT/BUSINESS !,lAIitE i 101 Norrh Third srreeE-LLC
PROPERTY OWNER'S ,Ul!lE: 101 Norrh Third slreet, I,Lc
O{NER'S ADDRESS:
rosl Milicary curoff Rd sEe 200
CfTYi wilminqronZIP:284c1
CITY: t{iLmjnqron 5T: !g_ ZIP: 28a0s
LfCEISE *: s?620
STr
Nc ZIP; 2840s
COI'ITRACmR: Thomas corsrrructioo
ADDRESS: 1111 Milirary cuEoff Rd *191 CITY: wirminaron
EI'IAIL A'DRESS: tdatena i thomascons
truc!i
OWNER/CONTRACTOR:101 North Thild sLreets, I,LC SIGNATURE:
TOTAL PROJECTCOST: s2?, 8o?.oo BUILDING HEIGHT: N/A
TOTAL AREA SQ FT ;824 SQ fi PER FLR: li/A
TOTAL SQ FI UNDER ROOF:
]l/L--
ACRES DISTURBED: N/A
# oF STRUCTURES: I
PK,NE *:910-?99-229s
Exrsr cor,rsrRucrroil:
E ALrERArror,r
I *rJififfi 'E^ff.'il*or. repuns
f l RElocarrol
tf Relocstofl, iB therc 8 NuturatGes Lineon the direnr Site?
fivilfiuo ts gt-oo spntn-xleneor
t] ves
f] r'ro
NErd cor{sTRuclroNr
I enecr tsw sTRucTuRE
! rlsr rmcr
fl sxrlr. E] urrrr
! ADD To ExrsT STRUCTURE
ACCESSoRY STRUCTURE !
pROIECT COiITACT PERSOiI: rony DaEena PHOlrlE *r I10-s20 3 544
If UPFIT
- The Shell Penmit *: zo!4-1?54 Is Elect Pouer on
this guilding
*r+* rs rHrs A clrrNGE oF occuparcy rrsEt
flves firo ..*"
IF Yes, uhat uas the Previous occupancy Typel lhat is the eu Occupancy Typel
I ves Etto
ARCH DESIGII PRoFESSIoMLT
Daruly AdamsPHI
910-790-990r Nc REG
PH:NC REG
DESCRIPTION OC WoRK:
uofic addiEion of a common tenatlts corrdor on
the 4th floor
ls
bod or bsv€r8gos
Frpsrd q s€rved in thh Etucturs?
[v"" I uo b The Propqry Locatod ln lha Flooddsh?
E Yes
E No
the Stale Building Code and
*
the
allother applicab e S!6le
Dlans aM soecl0carlons
Nc Stale Bdq code and
lodllr) (PrhiNn,
lbt€: D.rrolllon noullcalolE I Elbnos EnoyC
Fm[ .lp{euons 6r€ to
te $bhl[6d tEtng lh6 appllcalon lorifl (DHHS37€8] sfslh€r lie Edllty or Urll,ng w.e lound ro
conraln Aslcs&a q nor You ibr€qulld ro cdlh.l{3ton l Eirissron S.fiEds tor
lbrrdolB Ats Pi{r&1i! (l€StlrP) 3l (919PO,-5S$ d ldn l0 d.y! Ebrlo uD
dorlo[hn of
dryhafrty or
h dhg. S€e Asb6n66 WlD Ste: htlpr^''l*ir.erl.tLt3.iEu3rod/esbosioCahmp hlrnl
fl OF UNITS:N/A
S OF STORIES: r
$ OF FLooRS:]-
Exsr LAND DlsruRBtxo eeRurn
Ivrs I NO
- CIMMUN]TY SYSTEM
-WELL DZONING USE CLASS
Ecenrml sernc
! en-vare semc fl coMMUNlrY SYSTEM
IFICATION: N/A
NEW IMPERVIOUS AREA SQFI EXISTING IMPERVIOUS AREA N/A
pRopERry use moFFtcE lnesmumnr fluencetmle fleouc lmr lcoroo OTHER
SO FT
WATER: mCFPUA
SEWER
E CFPUA
-. SEPAFATE PERMITS REOUIRED FOR ELECI, MECH PLBG GAS EOUIP, PBEFABS & INSEATS -'
pAytiENr METHoD:
flcAsx fllqrecr pAyABrE
ro NHc) f]euenrcer exeness
I ucruse
I otscoveR
ZONE:OFFICER:
(FOn OFFTCE USE ONLY)
SETBACKS: F:-LH:- Rl-t- B:-
FEVISED OAIE /Yl l/12
Approval:-City:- DATE- FLOOD: - v N
gP6+2fi=_
Commsnt PERMIT FEE:a
.1.
ffi
PHOI{E
fi 910-344.1000
PHOI{E *: 9ro.344.1oco
EiIGR DE5IGI{ PROFESSIOiU\L :
)o\b
\[-tc r
aB+
NEW HAiEVER C(ruNTY BUILDING PERIIIT
APPLICATI cN ryPr; CSJIIIER(IAL
tlElsE Ars*ti ALt qrtsI:Crs AppLlCrSlE T0 yOJl
'no]to'Project Responsibillt}f
aPD:
l:$fi'j 5 ri;i li. '- I
DEVEl0ril: .;i
a'-'.-"- r- ' i
CITY: lritnt.o-5a
c^a r. 3 i-__ 'ii - r..:. - :.i:.- :r::!ri
:_::---'c '5 *r
. l
'::::':rrc s: --!:i,Lc
owlER'S ioDiESSi :csl Erlrrary a\rroar Fd sr. 20a a::-rr: ilr L: ..
COlr-_ :li r' r _:r l
$h
EB
APPLICAI'C'I
ifuab$
__ oATE: r, i(.,:i .
P-::-i ft ,t .r:,r t:il
ZIPt
28..L
piEt{E t:
si
ta::
. zlP
AIDRESST
trtl tliti!a* curcff iC +1t:
EtltlL.__"i
PRa " - '^ ',:'.-- --^::r'
tICEiiSE l: sr6?p _
Cl IY: l^ilm:--.rn S-:lrc ZIP:2-l!.-i
,r'toliE
t: ::Lfl3:j.:_
PImNE
,i !ra-i20 35,:ri
rxrsr c*tsrRucrr.H: @ arrrno,ror
I .r*Siirfi' llTirl'r*^,. nrr*ns llll RELocAno{
tl
Rotocsdofl B th6.s , NluretGlr LhE on lhe
d;'6a -<1"r E]v";@ No E sLDa sDi;(.-:rec- [ vcs
f rro
flEI corisl8ucrroNr
f] rnrcr Hr* sinucrunr
f rlsr rRAa<
fl *rll @ urrrr
I ADD TO EXIST sTRUcruRg
ACCESSORY STRUCTURE:
Jf UPFIT
- 'hc Shell Pe.fiit *: :rot4---:j
:i Yes, whit t:!. th€ Previcus o((up3ncy Typel
aicN :_::ar Pt':_''r3&:al I 1r n:
Is Elect poror on
this Building lii ves f] lo
"". rs mts A a{aNG: oa o€cupatcy us!?
f trs firrc .....
{h.t is the {er o!.1, anay Type?
_
PH:
9ro-r9o-9901_ flC 886 r: ____Prl: l,lc i:! *:
a(l|..n,;)'...1..
_ -. 9as:Gai r_' rc|rnl:
CESCI-:_:_: ._ l^iill ur air _a: 'jion oi j c.-.i.x ^' .r tJ.c r.! ...'
slale eoii,.r 'i :od. ard
I:.1: SIGNATI,=..
-:- L:- : - C: - !. .. ! ,r.^ :C rE-"- ..r# :: UNI-S ri/A
11 .,.
SQ-
# OF STaRiES:l__._
* OF FLCORSi_- _- _ _
ilsr l-AND D'sruRBrNG cennr;,
f, vrs
EXISTING lIIPERVIf,US AREa( N, A
NO
pRopERryLsE: Eorrrc: XnesmuarNr
luencArnle DeDUc flAPr lcoxoo orne*_
A
]A
Oft ri/:\
^.v - ir. *c!..! - :, - 11-,.'.r,,=ro! .1':-..{-'.-.-: 'a/vsA fi.-i)\ -
1__- --_',^! _- Ita. - -
Apflro\6t_ Citta
t' \( i,tr\L,l PERMIT FEE:
$_ _
r-,', lnspection [eq,;irec, ! 1
C.?5d-0g[u
:.: tsACKS: F:,__LH Rl-l:_
_ 3r--__
r \(1
t6 - t4\
hotr.-qqaNEW HAI{OVER COUNTY BUTLDTNG PERilTT
AppLrcatrot mr.. COllrlE RCIA Lp[asE aiBLER
Atr qTESTIO S Appt
I(r8tE ro yon pRorEct
"pFoject i.rpontlbititf
P}O E ':
APP
tICATIOI{
ltunbcr
(OfflGG Ur.)
,.//)'.,-,'ldDATE
APPLICAI{T, S IIAfiT:
DEVELOPER:
PTOJECT ADDNEsS:
OCCUPA T/BUSII{ESS M,.IE:
PBOPERW OU?Gi'5 iA E:
or{r{Eir s aDoRESs:
COI'ITRACTOR 3
ADDRESS:
EITAIL ADDREss,
PSOJECr COTJTACT PEBSC{3
/
crw:
P}O E
i:
ztP::JZl )
?ca l.J
CIIY:
LICETTSE
3:
CITY:
5T:
_ ZIp3_
ST
zrPl
a S7-
Plot{E
,:
P}O E
r:
REVTSED
oArE
{lvu
EIrsr coilslycno{:
I arnmrror
n "ffii!fi H?rlih*
tf Retocdioo, h there
I Nsrural G8s Line on rne Current Site?
tr G-tr N"
,{Er't cot{sTRUCTtq{:
I errcr ilEr.r sTRUcTURE
I rrcr rnlcr
ft sx
ACCESSORY STRUCTiE !
nrrerrc
fl RErccarro{
ts BLDG
spelliKlsqEor
I ves fiwo
rr.l l_J u*17
[ ADD
ro Exrsr srrucnnE
t0
^j
ToTAL PROJECTCASI:
.LgZS. to BUII,.DING
HEIGHT ,OFUN]TS:TOTALAREASOFT:- SQFTPERFLR: _ *oF;;ft-
roTAL so Fr UNDER RooF:_ *
or
srnucrunQ t+;i#il;--
AcREs DISTURBED:
-
ExsT LAND DtsTURBtNG penym r.l yps E ,aNEW IMPERVIOUS ARE&- SO
FT BqSnNc MPERVTOUS
rrOt'
--
-'-- t
,O,,
pRopERTyusE: fprrrct EnesrAuRAlfi f]menmrnre Eeolrc E]Arr
Eb* or**
WAIER:
SEWER:
ss$Ui E_tr_!eL__-
- _EIzoNrMi rrsEq^sstFpAloN:
PRIVAIE SEPTTC ECO$lrUNlTy SysrErl
COMilUNTTY
SY€IEM
CENTMT-SEPTE
E.. SEPARAIE PEFfiIIS REOUIRED FOR
E-ECI, MECH, PT3
pAwE[r IIETHOD: ECaSX [OreO< pevratE To NHC)
(FOR OmCE UsE ONtY)
G, GAS EOUIP, PREFABS t lNSBlS.-
fturnrcer oenEss [f Mcr\4sA
I orscown
ZONE:-OTICER, = = =, SETMCKS:
F: LH: RH: g:Apprcral: OI$-DATEI--.TFLOOD:-__BFE+tr
A t{Commed= pERMITFEE:3
IN
If UPFrT
- The 5h.11 Permit
*:Is Elcct Poir.t oo
thls Building
tr YesE*o...r. JS THITS
A CH
lt6E OF
occl,Prr{cy
wrt
fi vrs
I ro ..*..lF Y€6, h'trt ms thr Prcviorr6 Occuprncy Typ€l
!__, tit.t Ir th. I.ry occup.ncy lypcl
ATO{ DESTG PTOFESSIO AI-:
PH:
PH,-
'IC
REG
#:
IIC REG
{:EIiGR DESt6r't PROFEsstofiAt:
oESCRIPTIoII 0F t',oRK:./2
b TIl3 prcpeily Loc.hd tn
Th. Floodpber?Ey6 Eu,
arod F
ett.
(O,.fiL4
Elnrlt,n
II{E
L(q
t6 - t4\
oAra:
aPPLtClrlofl
lludcr
(Otftc. Ur.)
, : ./r<
lorL- qq7NEI.' HAI{OVER COUNTY BUILDIT,'G PERIIITtqpLrctrta nEr C0 fifRCIAL
pLEASt AtSlEt ar! Qutsrrotg lrplttrrlt f0 youi
pi0rtcr
"p.oj..t tesronribtlltf
APPLICAfiT'5 I{ANTI
DIVELOF€i I
-.)
PIO]€C? ADDIES5:
(III€R'S ADOiEJS:
P'O E E:
C!TY:---.--
ZIP t .1,:..'o€oIP$[,/8U!rx65 {rrrtr :
PioPEiTY Ol,tlER's i&!0t€:
/A,.l.-./
CI]Y:
PHOIE
*:
PfloflE
':PIOIE
i I
Sf: zt?l
s'
corrRAcToi)rt i,?-,.
/...,i' '
Lrcll6E
r:
ADORESS;
IXAIL AOORESS;
CffYr ?at La tt?t
_. :'.,
) ). .,
r!t%-.r--:
| ,:: :,. ...a ,,::)
PTOJECT COfiTACI PTTSOT{:
EXISr COri! Iructt0ll:
f, lrrrrnrot Etoctlro.tf Rolgcrtilm, is $ere t Nslurll G6: lhe on tlle ERED? Y€6 ENoirEl{ ConsTf,Uttloa:
D nEc' [Et{ srrrrcruRE El rrcr rrrcr
[ $EtL
n upPII
f, oo ro Extsr srnucnnrACCESSOnY 9TIUCIUSS I
5 *'Ji[iif" H?i'i',** ,r,o,*, r, .
cuncflrsire?
[v-!m s BLoc spRLilrt
If UpFft
- Th€
Shtll pentit i: Is Elcct posrr on
this guilding
..... rs rxrs
r o.urr6r oF txcl,?rflcy lrSEr
lllns [m .*.,
tF Y!r, rfirt ra, th. Prcy!.{rr Occlpr^cy rypr, ffiii fs thlre glquprD<y T}?.?
aro{ oEglol PxotEssrorulr
Et{Gl DESIGI{ PmTtSSIC$lAt I
:
-
ll|9
rt! t,:....-_-_ IC nEG
t, .-
f'"! Yes ['] ruo
l0Ij
IOTAL PROJECTCOST: ]: . 1- ,; BUIIDING HBGHT:
TOTTTL AREA SQ FT i
zoNE:
f{\ fW-bFFrcER:
SQ FT PER FLR:*OFSTRUCTUR6_-
u tTE:r---
SYORIES:
,OF
*0F
*G FtooRsi
ACRES DISTURBED:
-
DGT LAND Dts'IURBtNG ERUrn LJ YES
tr NONEW IMPERVIOUS AREA:so FI EJ(snNG IMPERVIoUS
AIEt
pRopERTy usE:
BFFcr fleesrrumr,n fiuenmlrni-r
nEouc
firer fiqoilDo OTXER:
WATERI
SEWER.
6tx
CFPUA
CTPUA
I@MMUI{IIYS\6TEM
CTNTRAT SEPTC PRtvAtE
sEmC
flnwar EzoN,!lG usE ct.irlss
COIIUUXTTY SYS,'E}!
lFrcATtolrtr
- s€PAFAlt P€Br.r-s REOJ,FE .Or BrcI. r€cH ,1A6. GA!toLJrt. pBErros a lr€Fs -pA\rrENr rrETHoo:
ficlsx fioreo< pAyABiE ro
ilrc; EArrErrcAN aPR ESS El uovrse Dorsmlen
Fof, oFFlCf IJEE
SFIBACI(S:
_- {BFE+?te
Hilrer*-*g*HNt B:NrgADDrovel:
TE:t -
2.5.\1, FLOOD:
IERMIT FEE
REv6tt !,4r€
{I]n:
DESCRIPTTOI{ OF ISRX :
',.-
MO(Aq ! Gr:
b tmd or b.Yrrtcr. flptrcd or t€ord h ttlt .t,ldurtf I ve, P to b Thr Prop€rr,
U.qsd fr .nr FoolXrUr fr v* ft to
TOTAT SQ FI (]NDER ROOF:
_-
APPLICANT'S i,IA}'IE :
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COIIIMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResponsibilitY'
M ,
*oa,- 6oooro.
N/A
PROJECT ADDRESS: L7i-q Sc.r" I'l-!i ST&€6j CITYI LJ r!^-(PctoP
OCCUPANT/BUSINESS NA,'IE :
Cana€rco^r M.tn ^
zrPt_B_9
PHONE #:
ST:
_zrP |
zryzl
Wtlrrr y
a,-roy' St: L Z]P: Zttol
PHoNE #: 1lo'J12- scz o
16- \tB
2otb -
lo'cj
APPLICATION
Number
(offlce use)
ep;.ET l-Ll'tG
DEVELOPER:
PROPERTY OWNER,S NAME:
OWNER, S ADDRESS: .2.,\
(.au€*e.r MA NA (rcxr6 J'(
6ue" Maqoe Fo CITY, W,*.,, 6,-*,
LrcENsE #: Lo77
PHONE #:
PHONE *: ' o-r1L' ,zzo
coNTRACTOR: Lrl.u"-, .r. -Tkers
ADDRESS: ZzSo Str'r,1aPs OuvD CITY:
E AIL ADDRESS: /!\tcHeeL6ooDst,, Q. Cta eot.(nqt . &
PROJECT CONTACT PERSON: M\cdAeL GeDroN
ACCESSORY STRUCTURE:
If UPFIT
- The 5he11 Permit #:Is Elect Power on this Building
ffives E Ho
ARCH DESIGN PROFESSIOI'IAL:PH:NC REG #;
ENGR DESIGN PROFESSIONAL:
STF.CI" TUSvrrw.< hc PH:
lto -7(r3-
l3ll NC REG *: ?.E. 12660
DESCRIPTION OF WORK:
Cr.116.".,o- ,a ^Jcw ^,1n{.,F svreDrr,6 €^JD - !.,l L!
ts iood or b€vtrags pr€p€rod or ssv€d tn tris srnraure?
f]ves
ffino b The ftop€.ty Locatod ln The Floodflaln?
! ves
[l No
OISCLAIMER: I hereby cenify that all informalion in this applicalion is correct and all work will comply with the State Bui
and lo.-al laws and ordinances and reoulations. The NHC Develooment Services Cenler will be notrfied of anv chanoes r
or chanqe in contractor or conlraclor i-nformation. "'NOTE: Any Wo* Performed w/O lhe Appropdate Permils will 6e in
Subjectlo Fines up To
$500.00"'
OWNEFUCONTRACTOR:MrcflA4 6o)J},
TOTAL SQ FT UNDER ROOF:
ACRES DISTURBEO:
'\o ,rcq
CFPUA
CFPUA
WATER:
SEWER:
EIE}flcoMMUNrrYsYsrEM flWELLf] CENTRAI. SEPTIC LI PRIVATE SEPTIC
lding Code and all other applicable State
nthea
ViolCode and
SIGNATURE:
EZONING USE CIASSIFICATION: --
LIcoMMUNnYSYSTEM
(a'r.lliE) end thm.)
Nol6: Domollton notmcatlons & a.bsbo rsnoval ponnlt appllcadotE atB to b€ submltbd uel.E th€ spPlhatlon form
contain Asb€sE or mt You Elr rEquiEd b call th€ Nadonsl Embllon Sbndsds br tla2aftbus Ar Polluiant3 (NES
domolltlon of any fEdllty or bulldlng. 5€6 Asb€€tod Wob She: htF/vrww.6pl.5iat6.nc.us/6puasb6stos/ahmp.hlnl
th6 hclllly or bulldlng wae found b
HAP) at (91El le€sl 1 0 deys Fior lo ths
TOTAL PROJECT COST: 92!- !'o BUILDING HEIGHT: n 70'
TOTAL AREA SQ FT :# OF STORIES:
# OF FLOORS:# OF STRUCTURES: I
EXST I.ANO DISTURBING PERMIT?
NYES [X NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SO FT
pRopERryusE: floFFrcE Enesraunam ffiuencemle leouc lerr lcoNoo orHER:-
*. SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP, PREFABS 8 INSERTS **
PAYMENT METHOD:
EIcAsH flcxecr prvnalE ro NHc) flnuentcm oeREss E[McMsA E otscoven
(FOR OFFTCE USE ONLY)
ZONE:_OFFICER:_SETBACKS: F:-LH:- RH:- B:
Approval:- City:- DATE:-BFE+m=
N
Commont.
REVISED DATE (11/12
rF yes, what *, .* ,"",r",rt:.:X;:":rtiil::
oF occuPANcY usE;.F[t.H::;:::;""",
rype?
-
(Check
All Ihat APP]Y)
EXrST CONSTRUCTTON:
ffi ALTERATTON
! nrUOVlrtOU ! eeruenAl REPATRS
n RELOCATTON
tf
Rolocstion, is
lhere a Natural Gas Line on the -current sile?
E YeIEINo ls BLDG SPRIN-KLERED?
[ V""firuo
NEW CON5TRUCTIOil:
N ERECT NEI^I STRUCTURE
! TAST TRACK
E SHELL
! UPFIT
E ADD TO EXIST STRUCTURE
# OF UNITS:
SQ FT PER FLR:
-
I
PERMIT FEE:
&
APPLICAI'IT'S I,IA}18
:
DEVELOPEi I
NEt'l HANOVER COUNTY BUILDING PERMIT
AePLIcArroN TYPE: COWERCIAL
PLE^S' A'tIs;Ei ALL QUfSTIO'{5
',?',ICA8LE
TO YOiJi PRC']:iT
"Project Responsiblllty"
f..'1 , .-a,r
r,, il.,",.,o.
t6- \qB
?ovb- \oos
APPLICAT]ON
lJurnber
(offic. ure)
DATE:
PROIECT ADORESS;
_ -L--
OCCUPANT/BUS]NE55 NA'.IE :
PHOTIE f:
zrP
I f't,! 1.
PHONE $:
<l 7ia. . J.-1
sI L zr? | !rt,i
PHotlE # | _L j_-:::-l:j:
PHONE #; 1,-' )r1- ::-:j
C..rr"1&d., ll*raae*g+,
PROPERTY OI''NER,S NTT E:
O|,JIER'S ADoRESS: :2.t' \
{r-47-p- p1,1ua64*-g,r.i
Vl6,*blf !r+ CITY: ,,^l r,-.f...
\,.,
C{&-,
CONTRACTOR: L LICENSE *: ;lC 7'l
ADDRESS: U-c&Sn,r;r,;.r, o'rv CITY: }.,t!'i,,.'.,J
EitAIL ADDRESs: ,\/\rc.!q.!
PRO]
ECT COI.ITAC'T PERSON:lJ\. .1a,-.. :;.:.,,rr.:,
EXrST CONSTRUCTTON:
r ALTEqATTOH
I eexovlrtoru,
l{
Rolocatio.r. ls
lhcre a Nalural Gas Une on the Current Sne?
Ll
ARCH DESICN PROTESSIONAL:
EIGR D!5IGN PROFESSIOML:
(<h.(t All Ih;r Ar!Ly)
Yes
GEIiERAL REPAIRS RE LOCATION
No lS BLOG -SPIINKLERED?fl ves,No
tilEl,l coNsTRuc'tIcF{,
I tnecr NE]J sTRUcruRE
I rasr rracr
I sxer-r-
I uprrr
f] mo ro ExIsT sr(ucTuRE
If UPrIT
- The shell Penmit #;Is Elect Power on this 8uildin8 ELYesEro
..... 15 THrS A CHAr,t6E OF OCCUTA'ICV USel
I YE5
I!1 Yet, what r'as the p.eviou, occupancy Type?Bh.t is the Nei. O((uPlNcY TYPeI
Pt-l NC ni6 ':pH. Aro.?rl-'?itl NCR€G #: ?.
E. 'a ilr:
DESCRIPTIoN oF WoRK: l.o.itr..r,o- g" ..,e- ..,'rr,..r
ls fuod or bo\r6.Ega3 prepared q, 8s.v6d in Bds sfiJctn6?
[ v""
[fNo k Tho Pmp€{ty l.rcstsd ln Th€ Flooddsln?
[ v"" fi r'ro
.&D
all olher appl,cabl€ slale
olans o.'1 !oecr[carons
hC Sl. : 310.r Codc afd
olSCl,AMERl*a:ebvcenitv:r.'all;ntcrmal'i.r'nllr'sapplre'o'sco'r!c!'ndallwoi(lellcomplyErrh'ne;;;;;; i;;; ;.d;;;;;.1'. ""4
.ic"'i'.c"" rh. NHc b;r^i i:,:ra! sF1,..s cpnre' wL, be notl€d_or any
o..h.no.4contracloro,(^'r.:.r,rtrr":.;;'iictaA 'l - t Pcr' j
a( d '/"' lho AporopriaiF Perrlil!
Suhecli. i:.ro! UP Io S5;-r '--: '
Sl:IB gu'tding
OWNER/CONTRACTOR:
{qt lL.) P'nr N.d)
fb|6: Dadd$; n d6tofir I 65b..b. r.tlolal pfil! lptlkstsr"! a€ b b' lLl'{t
.!r!!.ln Arb.3E o. llot Yo! ati laqulmd D c.ll t to tt3u.nal E nbsion S8l1&dt to(
dsrn lEon ., .try b. lry
, bullC{nt' S.o AtbGB wlb th.: h&L?*''€Pl tlEE r''
TorAL pRoJEcr
c!51' sza. l:' ButLDtNG HEIGHT
ts.d u.lnp tro lpClc.ton totr (DgHS_378s1 lrutE dl. t cl'rv o. bulldtY "! fo{rd b
Hs:srdo; Ar Potuts'ir (N€s
{AP) 8t (91$ 70_5950 .l lssd 10 &vt t'ltr to oto
!e!€r,..b..bcrrnm9.hl't1!
Ml an.lea 6e, !i"4
f OF UN S
TO]AL AREA SO FT#OFSTORIES: ,
TOTAL SO FI UNDER RoOF:
--
, OF STRUCTURES
ACRES DISTURBED EXST LAND DISTURBING PERMIT?
T YES
f] NO
NEw IMPERVIOUS ARFA:-SO FT E(ISTING IMPERVIoUS AREA:
-*-.-__- sQ ir
pRopERrY usE: SFFlcE I aesreuneNr f]iuencettnr-e neouc ]APr lcor'too orHER:
YIATER:
SEWER:
CFPUA
CFPUA
D coMu uNirY sYSr
[:: CENTFAL SEmc
i-l'rr'ELL flzoNlNc usE cLAsslFlcATlou
iFlere seprc [f coMMUN['Y SYSTEM
.ll ,rr,cE:
El,i
-. sEp^pJ.ir PEFMlrs rif!r!,lt?!D FOR EL ECT. Mtctl, PL8G, (lAS EOUIP ?8EFAES & lNsill? I
''
^'
PAYMENT ME]HOD:
[fcAsH f]cHEcK (PAYAsI-E ro NHc) f]ru,rentcor erenEss [trMclrsA
ZONE:OFFICER:
Arpror/"5l: C
Y:-
DISCOVER
oAra rJr lI12
Comm6nt
c|,r<*{
ERMII FEE
SIGNATURE:
f ;., .1i. .
i," .: _--:
SO rT PER FLR:
-
N
d"rbst,*.'o,q,
B'-NiS
NEhJ HANOVER COUNTY BUITDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEAs! Ar'lsl/ER
ALI QUls1IOl,lS APPII(ABIt TO YOUR PROltal
"Project Responsibility"
APPLICANT'S NAilE: LMflN [D'Nd - D LtrINN
#..o,
6r
2ott "ta
L6-206
APPLICATION
Nutnb6r
(of{lc€ us")
DATE I t lzL,
D-qsz--1tDEVELOPER:
PROJECT ADDRESS:
SUBDIVISIOI.I:
PROPERIY OIINER,5 I'I,T,'IE :
OI'NERJ S ADDRESS:
CONTNACTOR:R
ADORESS i
Eli|AIL ADDRESS:
v
BELOH AI"L THAT APPLY TO YOUR PRO]ECTI
Puotr l: {11s
CITYr zrp;
?ts,4l I
BLOC(
':
LoT #r Z
PHoriE *: 1lo qszj]l'7s
sr:$t zrp: zev.{s
I
LrcENsE $: 5Ll{06 a666g16 6; lbo{@
CITYI EfT\;\If 5T:ztP t 2fr4al
psorr
*: Qlo - t{SZ--tt7S
Pttor{E f : qlo -t{sz' 1tls
ADDITION TO EXISTING RESIDETICE
EXTSTTNG GONSTRUCTTONT
f] alrrnrrrot fl RENOVATIONGENERAT REPAIRSRELOCATION
NElr COl,rSTRUCrroN,
s'*ra' NErd RESTDE cE or
f]
..PLEASE CHEC( A}JO ANSUEN
ffl arr canacr Lt1:
L-l suNRoor4
_sF
SF
I orr cnnaer
-
sF
SF
f] ene e Hxo-rsr
_ sF
P@L
DECK
ffi
L_l
porcn 'zL,r\
STORAGE SHED
SF
SF OTHER:
TOTAL HEATED SQ FT:
Z\TOTAL sQ FT UNDER nOor: 7-rl' i i TOTAL AREA SQ FT:
-
SF
SF
TOTAL PRolEcT CoSTrres"ror) t $ ZSOTA S OF SToRIES: Z-
Is Any ELECTRfCAL, pLUflBING
or l,lE€HAllICAl- Ho.k Seint Done to the Ac(essory
Structurel
! V"r ffi
If the pnoject
is a Relocation, is there a Natural 6as Line on the current Site?
f]Ye;
Is the.e Ele(trical Pouer on this Buildinclf-lv", fTl to-7r
F*"
ffi
CJ
Kt^ C(
PROPERTY USE
/ OCCUPA CY:
DESCRIPTIO OT [Oi(: SF
SINGLT FAMILY DUP LEX
I ronlriousr
No
contaabr lnbmaton. t'TNOTE: Any
li\rori Pcr{orled WO t'e Apprcpriats Pemlrswill be inVblatbn olrhe Nc SraE 460 Code
atu Sublocr to F her up Io
$5@.0"
Oh,NER/CONTRACTOR :LO t1 D
[1(SIGI\IATI.JRE:
1)t** * **,f *,i * )r
**,t **** *
*****a** **,r+* * 'tlr,r * *** *+.r * f
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?YE5
EXISTING II,IPERVI(Us AREA:
sq FT
NEul InPERvIors o*UOr ':.aj.lC sO
MrEn:
ffi crcur
f] coff.4uNrw sYsrEM
PARAT
ZONE r OFFfCER:
1r**+ ++*+t{{r*+l*ratrt+irrr'rtt*ttr*lt*r't**
rtt *
rf,I o.r* Drsr.,RBED: I :TO
rTEXIST LAND DISTURgING PERHTT:YES
PRIVATE I,IT L I
I ctlrnar wrLL
{FOR Ofrl(t u5€
ortY) llvlsEo D r€ 04/11/12
SETBACrc: F: LH: RH: B:
F'"
sEl.rER: EB crrul f] cEinRAL sEprrc
f| enrvlrr sre'ruc
I co.rML r sysrEM
{r, 5t
PAYfiEiIT ITETHOD:
i,l+**+**,t***
T PtRII1II5 RfQIIIRFO FOR
IIT(I, I4E(HJ PI86, 645 IQI'JTP' PRTIAES
& INSTRTS '*'
.or, ffi.rr.* (pA'ABLE
ro ,,rm;
f] er.. accanm D nclrrso [orscovrn
* t *.. * j )* r +* t, r. * a * + *. rr ,,
r+* *++
rrr'.*, r.* +** + 'r* r,r+ * + ***+ *,i + *)r*,r*i.*r. ,,r*
Approval:- clty:_ DATE:_ Ft@D:
-
BFE+2ft=
-
AVN
connent:__PERtIIT FIE ! $
CTTY;
PRO]ECT CONTACT PERSON:
lL-
,Jo
ii{il'<E
to6- loo1
t6-207
APPL]CATION
!{urber
(office us. )
APPLICANT'S iIAI.lE:
DIVELOPER:
Plo]Efi ADDRESST
PROPERTY OWNER'S }TAI'lE:
OT'NER,5 ADDRESS:
NEh' HANOVER COUNTY BUILDING PERMIT
APPLr tArloit rY"E r RESIDENTIAL
PrrasE ar{stai alr QtJlslloNs PPII(Aalt r0 YouB Piollcr
"Project Responstbility"
CITY:
BLoC(
{:
P{N
crrY: klri\\-e .
11gslt5s s; 5LP10b 1q6oufi s' J(rO{b
sr: !(,r zrP |
ipl{t {
PHO E {r q(o - t{sz-'I?5
PHoNE t: qto -t{sz - 1 t'ls
DAT!: I
2V|1,
pHot{E #: qic -7 - -111E
LOT I;
zrp t 7bH | |
PHoNE
T: 1lo q5z1\1s
sr:Ut zrP:
"8-{5
\
ADDRESS I
EI..IAI L ADDRESS :
PROITCT C(}'I'ACT PERSON:
PI-EASE CHECX AI'D AI{SI,IIR IELOH ALL IHAT APPLY TO YOUN PRO]ECTI
CONTRACIOA:clw: Efl\^\11
ATr GARAcE
\!05 sr I otr aneacr
-
sF
sur{Roou
-sF
n pmr-
-
sr
f] enrrnuolse
_ sr f] oecxSF OTH€ R:
EXrSTrr,tG Cor'lsTilrcrro*:
I aLTERATToN
f] netrovatroru [erruenat neelrns
! RELocATToN
NEW CONSTRUCTTON,
s rnrCr NEkr RESTDENCE o" flaoOttlON TO EXTSTTNG RESTDEICE
(oo*.r'Ab *
STORAGE SHED
-
SF
SF
TorAL HEATED sq rr: 7\'t! TorAL sQ Fr uNDER noor, :J-l-l TorAL AREA sQ FT:
-
ToYAL PROIECI COST rLea" r*r | $ ZSO/@o * OF STOFIEST ?
Is Any ELEcTRIcar, PLUIIlrilG
or nECHAllIcal, Ho.k BelFg Done to the ac.eesory Structurcl
I Vu, ffi lo
If the project
is a Relocation, is there a Natural 6as l-ine on the Current site? trv"i fimIs there Ele(t.i(al Power on this Building]
[v"t ffi fo
PROPERTY UsE
/ OCCUPANCY:
DESCRIPTIOT'I OF NORX:)t-N6
srr{6LE FAr.rrLy
f] u.nlex
f] ror*ouse
Nt^a Cors+nf+ioNl
D|SCIAIIJEF- I
hd.by c.dlt lhrl ri hl,lrrarbr It tris .pplc.ion ,s coG.r a.d d llort rvld conplt wit h. Sllt Blildii! Cod. dd
.i oh.r eplcabL SlE d bc.l lo*s
snd oidharlcEs E 0 egdrlhrE Tb6 NBC (EwbplrEnr SeMcts CenE win be mUbd ot e.y cnin0es In r's ?tlor/ed p&ns
rtd .peci[c6&ns oi EMnta h s'ti.b, or
conr&br hbmrlon. ."t{oTEr A6y wb.,( PdblrEd wo nc Apr.op.lrb P.mrrs w'r be kl virldth ollne Nc srib Bt g code ,x, slbrrl b Fo.r (D To $500.00"'
OHNER/COt{TRACTOR:L{N 0ri1{srGl,rATURE:
a /,^.,.."."-,T
t*** t*,tr**at*t*t** t *1*
****
IS THE PROPERTY LOCATED IN A FIOODPLAII'I?
**.*.+* *l+*r ** **4 rrt* t*t tr { t,, t I
YEs
M*
,orlan o.*r, DrsrurBED: -
]S
EXrST LAi{D DTSTURETNG ta*rt, 5 ttt ffi *
j7?,"o!,AIER:
lE cFPUA
tr COI,T'IUNIIY SYSTEH
[ prrvarr ler.r
f] cENTRAI tJn r
SEI.JER:
m CFPUACEITRAI SEPTIC
tr PRIVATT SEPTIC cOl't|4tlNITY SYSTEM
., t StPARAJI Pt RllRto toR rtrcl, tlf(H, PI86, 6as fQlllP, PRtlaEs
& rNsERI5
EXISTlT{6 II4P ERVTd.,'S AREA:
Ei{ TOPERyIOI,S AREA:
PAYI.IENI I.IEIHOD:
u TASH
i** r*tt i* r* * *.r, +r* t ***
zoNE:
_ OFFICER:
-,=-.-.'=0-zrr' t )
II5 Rf QTII
.R*-'l
SQ FT
SQ FT
f,l fiNst*
(PAYABTE
ro ltxr; I arlr lccoutrl
I ncTvrsa
n DtscovEl
++ *t** r * *t r*t
'| ***r t**
'r
**+)N*:r**rrttrll:i,lttt ?trl*rria l***rr *1
(fo8 otrlaa lrtt fllY) ttvltED oalt 04/lr/rl
SETSACXS: F;_ LH:_ RHi_ B:_
ADgroval: city: . DAT[:- Ft00D:
-
BFE{2ft=
-
AVN
com|ert:
_PERTTIT FEE: $
d/fto
SUBDIVIsIOII:
#o
ififlats
NEW HANOVER COUNTY BUILDING PERMIT
aPPLIcArro rwE: RESIDENTIAL
PLEAII Ar{sr,lER ALt qJItTlolS lPPLlCAll[ TO YOUR PnO]t(l
"Project nesPorlsibi]ity"
A
2olL - lol 6
L6-208
APPLICATION
Number
(of{tce us.)
APPLICANT'S iIAitE:
DEVFLOPER:
PNO]ECT ADDRESS:
SUEDIVISI(*,Jt
PROPERTY T*'NER'S tIAfiE:
OTNER'S ADDRESS:
CONTRACTOR:R
I,t
ADDRESS I
EBAIL ADDRESs:
PRolEcT CoNTAcr PERsS{r
GREENHOJS€
-
SF
DATE: \z-v 1U
PHoIE {: qlo
-!sz -[1!
cfTYl
BLOC( l:LOT f:
PHOI'IE fl t q\'7s
CITY;sr,gt zrp, z€Y-{S \
116E11s6 3; 3F{08 166drfi s, Jbo{b
CfTYrEetri\lr5T:zIP; 2FcI5 {
PHoNE *r qlo- t{sz-1r7S
PHoNE sr qlo -t{SZ -S
EXTSTI G CONSTnUCTTOI,
I ALTERATTON
I nelovnrrol
f] crlrnrt nrnlrns
fl RELocATrol'l
irEht coNsTnucTroN,
s r*ra, NEtl REsroENct or
I loorrrox To ExrsTr]lc RESTDENCE
.IPLIASE CHECX A}'D IIISI/.IIR BELOhI ALL THAT APPLY IO Y(x'X PRO]ECTI\J-
LN arr GARAcE
-;9y- sr D orr clnacr sF mPoRcH 211-1- t,
I surnoon
-sF
f] pmr"
--
sr I sronrcr sHED
-
st
oEcx
_ sF oTHER:
TOSJNHOUSf
SF
rorAl HEATED sq rr ,
ilji -
TorAL sQ FT uNDER Rrr,F t Z7L3 rorAl AREA se Fr :
-
ToTAL PRoIECT CoST p*s rorl 7
1 ZSota * or sToRrEsr L
Is any ELEGTRIGAL, Pllrltgl 6 or lltcllrtllcAt l{ork Being Oone to the Ac(essory Stro(tur€l
! V", ft Uo .
If the project
is a Relocation, is the.e a Natu.al Gas Line on the current slte? EV"i Sn"
Is there Electrical Power on th15 Buildin8?
[v"t ffHo
PR()PE RTY IJSE
/ (rcCUPANCY :
5Ftr
P.-
sTNGLE FAr.rrLv
f] u-relrx
Ntuo Cors*rrtdo n tDEscRIPTIo or HORKI
DISCIAIMER I h6lcbycsnly nl€lltr hh,nalon ln hr. !9pllc!!oo is ro'ed.nd rl vott wj[ colrply vlh 6c elsi! Bulldbg 6d. ad d ottlr tpPfc$b SllE lnd bol lers
and odlnances rnd €oulslhns 1116 Nrlc ll\th9rltenl seMco! cenl€r will bE mE Ed ot 3nt cn$EEs In ne QprD\td pbns atd .r.ciltcslons o.
dts{€ h
con!..bt or
alc cod. 6n6 subF.r rD f n.s th to t-5{,0.(tr".onrEbr hb.rn.tou. '"NOrE i A.'y
Otll'lER/CONTRAITOR i
ZONE:
_ OFFICER:
wort PEdornEd WO t'c App.optuE Ftm{s wn be
h
Lo 0rA(
vbblbn ol lhe NC S_,3E
SIG ATURE :
r** rlrrr ra* *.la *a r tIl.l r
tri* t r r, **r *rt ** {*r ltM*
,orL' o.*r, DrsruRBEo: . \
t'
(
,. ra a.a rra***ri* **t * a **r. r,* rir* att*l1r. r* 1*tt*
rs rHt pRopERTy LocarED rN A FIooDPLATN? fl YES
EXISTIN6 II'PERYIOJS AREA :
IEH T PERYIOUS AIEA:
5Q FI
EXIST LAI{D DISTUNBING PER IT:
l-l vrs
#*SQ FT
IM PRIVATE r,lELL
! CrHrnAt urLL il1,$(fr."o ft].'c'{on
f] errvlrr srenc
f] coluuNrry sYsrEM)G0.
REO tOR rttal, ntcHJ Pr86' GAS tQlllP, pRttAES & INs€RTS',t
(payABL€
ro xrrl fl a:u lcco.nr D tc,rvrsr I orsconn
**ra***,r*** ***l*t+ t* *rt*
t*+*,rt* ri* ai+ I ***t a++
t**,t*l+t*ai* l*
(toi ofrt(! l,st (xl,Y) l!v!9Eo |]All 0!/1r,/12
SETBAC(SI F: 18: RH; B:
urrn' ffi creur
I comruNrrY sYsr
SENEi:
l& CT PUA
N CEiflRAL SEPIIC
"' st PARATt ptRxlI5 nrQl,l
PAY|EI{T l4ErHoD:
f].or, ffi.r..*
. r. '.rr r r r, t t, t *i+ * + t. t i )tt** t
Approval;- City:- DATE:- Ft@D:
-
BFE+2ft=
-
AVt
Coment i -PERIIIIT FEE:
t_-
za? | ?tsJri
| |ll
n$.'irfi
ats
NEhI HANOVER COUNTY BUILDING PERPIIT
APPLI arloN rYPE: RESIDENTIAL
PttasE Al{stlEn aLL oJl3troN.S aPPtlcASlt ro YouR Pro)[(I
"P.oJect Responsibility"
)otL-1o20
L6-229
APPLICATION
umber
(ofil€€ Us€)
APPLICANT'S iIAfiE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISIO,I:
OI,JNER'5 ADDRESS:
CONTRACTOR:
ADDRESS:
EI.IAIL ADDRESS:
PRO]ECT CONTACT PERSON:
EXISTTIG CONSTRUCTTON:
ls Any ELECTRICAIT PltllBlltl6
or IiECHTNIGAL Hork Beint
If the project is a Relocation, is the.e a Natu
CITYI
BLOC( lr LOT #:
ProNE fl 1tO qSZjll"I,S
CITY:
sr;$C2 zrP: zE{5 \
1165x5s 6; 54{06 rccouur l' lbor{a
CITY: Be[i\lrsr,NIfiilffit
puoxr
*: Qlo - t{SZ - 1 rl S
prpnr
*: Qlo -9sZ - 1tlS
DATE:\lztolb
PHoNE sr qlD - q<z -
Tils
zrI t ?b\ | \
t(j
ALTE RATION
f] nrrwrrrol Ierrrnar REpArRs
I RrlocArroN
r{El.l colslRuclroNr s rrrar Eur REsrDEr,rcE o"
f] aoorrrox To ExrsTrNG REsTDE}icE
..PLEASE CHT(I( A}[) A}IS}IER BILOH AI-T IHAT APPLY TO Y(x'N PRO]ECTI
fr on oo*ou, 5{1 sr ! otr canaet ,, fi oon.n
335 sr
fl surnoom
-
sF f] poor
--
sr f] srorner SHED
-
sF
fl ene mHorse sr ! orcx5f OTHE R:SF
TOTAL HEATED Sq TT: Z1\,{ TOTAT SQ FT UTIDER AOOT:
!QS2- TOTAL AREA SQ FT I
-
TOTAL PROIECT COST rrersra) t I ZSO/P* oF SToRIES: 2-
Done to the Accessory Structurel E
Is there El€ctri(al Power
on this Buildi.ng)
f]
ral 6as Llne on the Current Site?
ves I I lxo-?r
ves
fino.[Jv"i
I No
pRopERTy rJsE
/ occrPA cy:
ft rrnulE
rmrrlv
f] welrx
DEscRrprro{ or rcrx , 5F R I NLr,^r CU'S*ruC+io i..i
TOI.'NHOUST
contebr infrmadon
"'l,lolE A.y Wort PlrlomEd W/O $. App(bprlrb P.dn]B$t b! h Vbt lton oi lh€ NC Stab Bkrq code lurdsubjecr ro Fio.s Lrp To
1500.00..
o$ ERlcoHTRAcToR; h(!rfl(SIGNATURE I
++tr **r 'r *,14
*,rri, 'r't*'f ,r** r,* r*r..r *rr *,t ** * i1+a
* *rt*t **r**r,f+,tt +i *** tt *** rr
*
runeror ,11
15 THE PROPERTY LOCATEO IN A FI-OODPLAIII?
EXrSTIlrc ITOERWTU5 AREA: 0 5Q FT
r{EN II{PERvrous
mrrr
,l$ll_ sq rr# '{"
and ordlnaocas 8nd legththns Ti? NHc oswkpmnt SeMcas @nlE win b€ miied ol sn y
€naho€3 ln
'l€
apprD€d pbns &ld spe.ifEafons or chsnlo t c!flvaabr or
-#.-ffi;-'.---
TOTAL ACRES DIS
mren: NS creun
f] comluNrry
svsrru
n pRrvATE hrELL
f] crlrnnL wrLL
SEIER: EB (rpuA fl cE[rRAL
seerrc
f] pRrvArr sEpTrc
I cotr'turrrv svsrrm
f] orscovrn
r * ** *, 'i $* J *,i !r
i
rtvls€D DAiE g.(/1t /t 2
OFFICE R:SETSACXS
i F: [H: RH: Br
Approval:___,,_ clty;_ DATE:_ fL@D:
_
cotrllllent:
*j,tffi* Xn... sfpaRAIt ptRr,{t-It fltQUIRED FOR rrr(T, i1t(H, pI86, cAS
}Ql'tp, pRrraBs I
pAyr{ENT
,,lErHoD:
[ .ls, ffi.r.,r.x (paya&r m ,uc;
I ar[ o..-ni .
E *rrriorrr.r.* r. *{ +
+.r r*r + *. t tJ}r. r *r
r,t****+**t,r**.}**r+** *+ r *,r r {*+ r!f,}r+**++++,rrr +
(aoi otr!(a lrst 0lLY)
ZONE:
_ BFE+2ft=
_
N
PERI{II FEE:
t_ __
PROPERW OI,II'IER'S IIA'IE :
EXIST LAiD DISTURSING pERt'lrr: E yEs
NEW HANOVER COUNTY BUILDING
APPLICATION TYPE: RESIDENTIAL
Qorb - lc} L
PERMTT 16- 0 0092
APPLICATION
Number
(Office U.e)
PLEAS€ ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAiIE: Sterlir(r Cu:rtom Constructron LIc
DATE: r/1a/tc
DEVELOPER:
sterIln CusLom Construction lfc PHONE
#: 91o23tr!44
pROIECT ADDRESS: 316 Be;,ch Road lior--h CITY:Wr lmrnqt on
ZIP:23411
SUBDIVISION: Figure S lsland BLOCK #:
PROPERTY
otlNER'S tlAi4E: .lhri:r ipher .llcr.eige PHONE #: 9iC2311814
OI.IiIER, S ADDRESS:
L CITY:wi lmi nqt o n
ST: :. ZJP: l8{--i
CONTRACTOR: 3r_,-rl lnJ --u:rr: ).., .-rirsrt. j.t-:n ,lc LICENSE #: 68-,-2.
ADDRESS: .c ,c:{ 1113 l
CITY: wi Lm ington ST:IS_ZIP:28111
Eli'IAIL ADDRESS : ster lingcurjt r)rn.ronsl-rucl-ion(! gma i I . corr PHONE #: 11,C )',!' '.44
PROJECT CONTACT PERSON: Ierem, tsrshcp PHONE #: 9102311944
EXISTIN6 CONSTRUCTION:ALTERATlON R ENOVATION
! ceruenal REPATRs
fJ RELocarroN
NEhI CONSTRUCTION:ERECT NEW RESIDENCE o" ! aOOrrrOt TO EXISTING RESIDENCE
+*PLEASE CHECK AND ANSI,]ER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 664 SF ! Orr ennnCe
_ SF
E PORCH
_ 5F
SIORAGE SH ED
! surnoor,t
-
sF POOL
DE CK
SF
SF 1699
SF
SFSF OTHER:GR E ENHOUS E
TOTAL HEATED SQTOTAL SQ FT UNDER ROOF: 1688 TOTAL AREA SQ FT: 5869
TOTAL PR0IECT COST rress rorr : $ r, ooo, ooo
Is Any ELECTRICAL, PLUI,IBIIIG
o. MECHAT{ICAL
Work Being Done
to the Accessory Structure? [ V"s [ ruo
If the pnoject is a Relocation, is there a Natural Gas Line on the Current site? fl Ves I No
Is there Electnical Power on
this Building? -Yes T No
PROPERTY USE
/ OCCUPANCY:sTNGLE FAMTLv
! ouelrx
f] ror,llrouse
FT:3505
DESCRIPTION OF WORK: construct a ne!, residence accotdinq
to the attached permit dral,riogs
DISCLAIMERi I
hereby certiry tlat all intrmation in t|is spplicaljon is
conect and all work willcomplywit} he Siale Suilding Code dd dlofer applbable Stat and local taws
and ordrnances
aid Bgulatjons. The NHC Dev€bpment Services CenEr wjllbe notfied ofanychanges in he 6pploEd plans or change in contracbror
contacbr infonnaton. '_NOTE: AnyWork Partomad w/O h6ApplopnaE dle NC StaE
b Fines {Jp To
1500.00"'
OWNER/CONTRACTOR:
{t/f,il.iH^
* * * * * **
+*** *tt'| '| *,t !t
*+ * )t ,t,i
*
IS THE PROPERTY LOCATED IN A FL(NOPLAII{?
EXISTING IITPERVIOT,S AREA: O 5Q FT
NEW
II4PERVId,S AREA: 4?49 SQ FI
TURE
:
(P.lnt irame)
:i +++ + +,t + + *,trt,t*** *,i** *:t t,t)a,t +* * **,i* )**t,*+:t+ +,t:a:.aa**,t*
T YES
Erc
TOTAL ACRESED:
-
EXIST LAND DISTURBI
6 PERIIIT:
flves firc
WATER:
SEWER:
CF PUA
ccf4t'luNrry sysrEm
n pRrvATE wELL
I ceurnal wrll
CF PUA
CENTRAL SE PTIC pRrvATE sEprrc
I co'n'luHtw svsreN
*.** SEPARATE PERI'IITs REQUIRED FOR ELECT, IIECH, PL8G, 6A5 EQ{JIP, PREFABS & INSERTS **+
PAYMENT
I.IETHOD:
ICIST !CITTCK (PAYABLE TO NHC)
E A}TERICAN ExPREss
E r,cIvrsI I orsco,,*
r(i(,k*r.**i.*r.******,*1.*r(*r(r(r(xr(*xxx**************,t,i*,i,**,i**,a*)a**:t***+*,8+{.+rt+,}*************xx**
(foR oFFICE UsE q{ty) REVI5ED DATE O4l11/12
SETBACKS: F: LH: RH: B:ZoNE : _ OF F ICE R:
Appnoval:_ City:_ DATE:_ ffOOD:
__l_ l{
BFE+2ft=
ffi
LOT #: _
S OF STORIES: 2
T
tr5 t
NEt^l HANOVER COUNTY BUILDING
APPLICATIoN rYPE: RESIDEIIITIAL
,.JrH''**'ffi!-ffi'
APPLICATION
Number
(offtce Use)
PLEASE ANSI.JER ALL OUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Responsibility''
1
ton
PHoNE S: 910.3s0.1744
ST: NC ZIP: 28403
ST: NC
ZIP: 28403
PHO{E S: 910.3s0.1744
PHOiIE #: 910.3s0.1244
RELOCATION
Yes No
* * *,t,l,l,l,l,i*,* * * * ** * *
APPLICANT'S l,lAltlE:
BiII clark Homes of wilmingron LLC DATEa
7/25/2u-6
DEVELoPER:
Bill clark Homes of wilmingron LLc PHoNE f: 910.350.1744
PROJECT ADORESS: 8os Liberty Landing way CITY: wilmington ZIP: 2a409
SUBDMSIO'l: covinston BLOCK
#:LOT #: 34
PROPERW O'[{ER'S tlA E: Bill Clark Homes of wilmington LLC
oi.rNER'S ADDRESS: 127 Raci-ne Dr. suite 201 CITY: wilm
CONTRACTOR: Bill clark Homes of wilmington
LLC LICENSE fr: 34586
ADDRESS: 127 Racine Dr. suite 201 CITY: wilminqton
EIi|AIL ADORESS:
lgilI@Bi llclarkhomes. com
PROIECT CoiITACT PERSOT{: Richard Gi11/BiLl Clark Homes of wj.l.mj.ngton
EXTSTTNG CONSTRUCTTON:
! lrrCnArrOU
fl nrruOVArrOH
! CrHrnal nrenrns
NEW CONSTRUCTTON:
E ERECT NEttt RESTDENCE o" ! mOrrrOru TO EXTSTTNG RESTDENCE
**PLEASE CHECK AI{D AT{SWER BELOUI ALL THAT APPLY TO YOTJR PROJECT:
l7l err erme r :gr SFDET GARAGE SF
POOL SF
PoRCH 132 SF
STORAGE SHED5 U N R00t4SFSF
! cneerunouse SF
! orcr
SF oTHER: Patio: 160 SF
TOTAL HEATED SQ FT: laaa TOTAL SQ FT UNDER RooF: 2373TOTAL AREA SQ FT: 2s33
If the project
is a Relocation, is there a Natural Gas Line on
the Curnent
Site? ! ves r No
Is there Electrical Power on this Building?
l-l YesNo
PROPERTY
USE
/ OCCUPANCY:STNGLE FAMILY
! ouelex
I rowruHouse
DESCRIPTION OF HoRK: Ne\,, construction of single famify home.
and ordinances and regulalions The NHC Delelopment Services Cenbr will be nolified of any changes in he approved plans and specificalions or change in
contraclor or
conraclor inlbrmaton. THNOTE: Any Work Performed
w/O r|e Appropriare Perm its
willbe in Violalion of the NC SraE 81dg
To
00-'
OHNER/CONTRACTOR:
nicnara cil1/BCH
of witminsron SIGNATURE:
(Print Nare)*+++********+**+***,1*,*++*********)i:l***++,l,l,t*****:r:***jl:*:l,l,l,l,**)*)t)t****
TOTAL PROIECT COST (less
ro0 : $ r:o:zo # OF STORIES: 1
fs Any ELECTRICAL, PLUI'IBII{G or IIECHANICAL Work Being Done
to the Accessory Structure?
IS THE PROPERTY LOCATED IN A FLOODPLAIN}YES I NO
EXISTING IMPERVIOIJS
AREA: o
NEtrI I!.IPERVIOUS AREA: 3055
MTER:
I creua
! coMMUNrry sysrEM
! Rnrvare
wer-r
! cENTRAL r^tELL
sErrrER:
I creua
! CENTRAL sEprrc
f] nnrvare
seerrc
! cor4MuNrry sysrEM
*** SEPARATE PERI4ITS REqJIRED FOR ELECT, IIE
pAy E
T METHOD: ! CrSx I Cxec( (pAyAsrE To r{HC)
$E
o91 u,
5Q FT
SQ FT
TOTAL ACRES DISTURBED: .21
EXIST LANO DISTURBING PER IT:
CH, PLB6, GAS Eqirp,
AIiIERICAI'I EXPRESS
I NO
PREFABS
& II{SERTs X'*
! rcTvrsr
! orscovrn
REVISE0 oATE
94l11l12
****'t,*****+*********,*,*,*,**:***++:i*********,*,*)**:*,*****:tit,i,*,***************+,**,*)r**,t,*,t,r*+:i*****
(FOR OFFTCE USE O|!LY)
SETBACKS: F:ZONE:
Approval:
OF FICE R :
N
I
I
City:DATE:FLOOD:
LH RH B
BF E+2ft=
YES
9 RECEIVED JAN
19 2OIO
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANS!{ER ALL QUESTIOXS APPLICABTE TO YOUR PRO]ECT
"Project Res pons
ibil ity"
2o'tt-to32-
?u- ta-t+I
APPLICATION
Number
(office use)
ffi
APPLICANT'S NAlvlE: Mack Braxton
DEvELOPER i
PROJECT ADDRESS: 809 Gu11 point Road
SUBDIVI5ION: Landfall
DATE: t/15/t6
PHONE #:
ZIP i 284a5
LoT #: .1oc
PHONE *: so9 1398
ST: NC ZIP: 28405
ACCOI.TNT #: 8812
ST: NC
zIP: 2840s
PHONE #: 9to 2a6-6326
PHONE S: 91o -22a- 97sa
RE LOCATION
CITY: wi lmingron
BLOCK *: 17
CONTRACToR: RMB Building & Design, LLC
ADDRESS; 1017 Ashes Dr. suite 202
EIllAIl- ADDREss: mack@rmbbui ldinganddes ign. com
OWNER/CONTRACTOR: Mack Braxron
++,r * *** i+*+ *** **-. -.. ^.- -
**(i:Tl li'*"J
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA: SQ FT
NEW IIiIPERVIOUS AREA: 5Q FT
PORCH
STORAGE SHED
OTHER;
TOTAL SQ FT UNDER ROOF: O
Is there Electrical Power on this Building?
pRopERTy usE
/ occuPANcY'
fl srrucle rnmrLv
DESCRIPTION 0F WORK: RenovaLe Bath & Laundry, no square fooEage added
ATT GARAGE
suNRootl
GREENHOUS E
SF
SF
SF
DET GARAGE SF
POOL 5F
DECK SF
PROIECT CONTACT PERSON: Mack Braxton
EXISTING CONSTRUCTION :A LTERATION
[] nrnovnrrol
!GENERAL REPAIRS
NEI^l CONSTRUCTION:ERECT NEW RESIDENCE oT ADDITION TO EXISTING RESIDENCE
,T.*PLEASE CHECK AND ANSWER BELOW ALL T}TAT APPLY TO YOUR PRO]ECT:
5F
5F
SF
TOTAL HEATED
5Q FT: o
TOTAL PROIECT C0ST tress rort : $ zssoo # 0F STORIES:
Is Any ELECTRICAL, PLUIIIBING or IiIECHANICAL Work Being Done
to the Accessory Structure?
TOTAL AREA SQ FT:
YeSNo
If the project
is a Relocation, is thene a Natural Gas Line on the cunrent site? n Yes NO
OISCLAIMER: lhereby cerrrly hat all inlomalion in his applicaiion is coneci and all work willcomply wih he Siaie &rilding Code and all oher applicable Siale and local laws
and odinances and regulalions. The NHC Oevelopmeni S€rvices Center willbe noii,ied ofany changes in lhe approved plans and specifications or change in conlracior or
contactcr inbrmarion. I-NOTE:Any Work Perfomed WO lhe Appropriate Permirs willbe in Violalion
oflhe NC StaE Bldg Code and SubFcr ro Fines Up To $500.00"'
I Yes No
DUPLEXTOlnNHOUSE
SIGNATURE:Mack Braxton
** )*)*** ** i( )i * )i* **** * * * )t
* ** ** * *rt*,** ***,* **,r * ,*
*,* *;f **,*+ * *,f*
YES T NO
TOTAL ACRES DISTURBEO:
EXIST LAND DISTURBING PERMIT:YESNO
ZONE:
Approval:
Comment:
H*'* SEPARATE PERiiIITS REQUIRED FOR ELECT, I,IECH,
PLB6, GAs E
QUIP, PREFAES
& INSERTS r**
CASH
f] orrcx (eAvABLE To r,uc;
! arlr- accorrr
dlo,@
PAYfiENT
'4ETHOD:
r,llc/vrsA DISCOVER
* *,*,* ,*,*,*
* !F )t !i
*,r** *,ti( * ** *,** t,* ***,* )*
*,*,** * *,t*** * * *,*,**+ **** *,**r* *** * *)i ***,i* ** )k,*
** *,t,t** *** * * * + * **
OF FICE R:
City:
R€VISED oATE 04l11/12
RH: B:
BF E+2ft=
tl
PERMIT
FEE: $
(FOR OFFICE USE ONLY)
SETBACKS:
F: LH:
. FLOOD:
AV
PROPERTY OI,INER's tlAI'lE: Bdward & Marie Rl.nne
OI|NER.,S ADDRESS: 809 Gu1l Point RoadCITY: wr lmingion
LICENSE #: s4s4s
CITY: wi Imington
WATER:
@ creua
f] coMr4uNrry
svsrrm
! pRrvATE WELL
! certrnal wrll
sEr,lER:
E creul ! CENTRAL sEprrc
! enrvnrr
srerrc
! coMMUNrry sysrEM
DATE :
>RECEIVED JAN
19 2016
NEW HANOVER COUNTY BUILDING PERMTT
APPLIcATicN rYPf i R ESfDENT IAL
PIEA'E AIISIIEi ALL QU€5-iIOT5 APPLICASLE TO YOU* PRO]E(T
"P.oject Responsibility"
2olt"-tts3L
?Et ld-t+1
APPLICATICN
l{umbel.
do
6E
APPLICAI'IT'S ilAl4E
I :.1:.). tr! dx:cn
DEVEtOPFi:
PROIECI ADDR€SSr .,:uIl ?ofirL Rodi
SUSrI vISION: 1,. --!'.r I :
CITY: H:1!r:r:cr ^
BLOCK *:
PROPERTY O$NER'5 NAnE: ':or:::': Il ':;]: rr! k..:rl
CltJtJl,i'S ADDRE55; r:::':i. Pc:r.' i:.r':
cotiTRAcToR: Ry3 -cu1:ir.rt ., )i,!:j.i i,r_:j
ADDRESS:
:,:r, a:si:().r DY. s!rr.e 2!2
EI{AIL TO0RESs : r r
^k1rhb.{r i 1di::qandd(-'s r ---= ( r-l
CITY: ',1:;mr!:g!(,r
LICENSE *r ,.i li !
CITYr !iill:1r::gEo:i
PRoIE:" Co:fiiaT PaRSON: 1.,.< :'-'a: -
PHONE f:
ZIp
i 2r.i!i
LOT s: : ra
PXOllts tr: :0' r..'!
5T: );a zIP::,i::
ACCoUNT f: e r:.:
ST: :;: ZIP: :6.i r:
PllOl{E
#: 9i0 :)!6 612{,
PliOllE l: -,:, ....!-;. i:
ExI;rrNG csNsTRucrr$i:
I at-1':ra;::H
fl ntrov,r;r,.tt .lc:rttnar
aeearns
[ ]aEIoCArloN
NEr,l cor{sTRUCTION:
! rnrCr NEH REsIDENCE o"
ImOItrOr ro Exrsrrric RESIOEi{CE
.IP!EAsT CHECK AAD AI'IsI{ER BTIOI.J
ALL'THAT APPLY IO YOUR PRO]ICT:
sr D Drr GARAGE sF
sr I noou sF
SFCECKSF OTHER5f
ToTAL HEATED 5Q FT: r TOIAL 5Q FT UI\DER RoOF: 1 ToTAL AREA
5Q FT:
TOTAL PRO]ECT COSTrre*Lrr : $ :;,:.r # OF SToRIES:
I\ any ETECTRICAL, PLUi,IBING u,_ i'IECHANTCAL
lilo.k 8€ir18 Oore to tlre a((pssor'y st.uLtu,el I V"r ] *o
ATT 6ARAGE
SUNROOH
GREENHOUSE
I
v"s
fl tto
PORCH _ SF
STCflAGE SHED
F[OOD
st
If the projelt is a Relo(ation, is there a Natu.a: 6as Line on the Cur"cnt
Srte) ! Yesllc
Is there El€.trical Powe. on thi5 Suildingl
pRopERTy usE
/ occuPAttcY:
@strclr rurrv
OESCRIprIol,l 0F NoR(: n. ,31. nrLb e Lsundry
OUP-EX TOHIIHOUSE
tosL.ae aid.d
"*pArEo sclllMEBr I her.b,.c4't otar a[ f. ia. rry Ln
ur:s spDli:Jlon is
c4riicl!d0 ailwoirsl..ii'!,Md\ !re sEle ijuidr! (,odc ana rlroli!r opFlcrsl,:
ar: orr,nrc.3..d rcgxrrrc.3. rhc {iC rbwbpr:.nr Sc}-.. CenE' w't !. no! 4d ol.,r, chrhges,i !]. .prroi,l ,-lths anc :i.,llc$r.. s or.hrn9.
OlrJN ER/C0NT RAC TOR : irark rraxt^'r SIGNATURE:lUack Braxton
IS THE PROPE?IY LOCATEO IN A FLOODPLAIN?
EXrsTirlG IfiPIRVIOUS AREA: 5Q rT
NEU IHPERVIOUS AREA: SQ FT
YES
. -.1N0
t/ATER
SEIiE?
creua
I comquNrry svsrrr
I entvlrs tetl !
PAY|IINT l',!iHOo ca58
TOTAL ACRTS DISTiJRSEO:
EXISl LANO OISTUFEII.IG P:RI'1IT
fl ves
Irc
CENTRAL,.:LL
@ crcua
I cE,irRAL sEprrc
f enrvnrr seerrc
I coMMUNrrY sYsrEll
.*. sETiRATE ptnxrTs REQI;[[D FOF
Ettai. H€CH, P186, C!S EQiiiP, ;rta,'.3; & rrJ5rRr': .'
j*,rcx lrovaelr ro rnc;
]arlr accounr
!ucrursr f orsco'':i
ie)
0tria:.:
City:
(r
0t ott:(t ust c{rv)-
ylttr) sE-BAcxs: r,l{1}*r",i, [t1lcln,r, t'-]4"
- ot,r,2-S.lb FLooot "pe.\t t?,,ce"*)
Nt +
BF E+2ft=
fi:":'! 5
l\r ^ l'...-- -
,orc, {'7.o
Approval:
Conoent:
fUidrtncn '.r SFtlANu
-lorhur' +.jlo exoerU
I
\om iD8try,.r\*te,+,fruit .,1 ".J