MARCH 23 2016 BUILDING APPS;:t
\,\
APPLI (ANT'S
OEVEL CP€R:
PROJE(T AOO
O(CUPANT/BU
PROPE FI / OItl
O},]NER'S AOD
CONTRACIOR: D, /i.
ADORI SS
EHAIL A
+
-N.-\
a\,
-...-_\
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*
FXTST CO']STRU'TION
: :4. .r
TOTAL AHEA SO i-
ACRES DIS TURE 'I
C 'rl
ND t{0d-niry u- tti'nJ?'/i
rnt-oirticrci/< U.€C-uel;red.0ity lnpection ReqjneCI ?CF254{i,r
a, --
;$,u ^^ ^,')-c/LL.1
?ez+f/, 9.\-r.rRECElVED lr{AR o 7 20( .\ hrCf rve O fr: 2 2 2016
ih-tr6
NEt^i H OVER COUNTY BUILDING PERI.IIT
APPLIca'tIoN TYPEr CoMlu E RCIA L
ANSrl:B ALL qJE5_:aXS r)D!:CAS|t IO yotR fRO:EC',I
"Pr.-i.ct Resporslbility,,
PLENS
oi
,Jt
Ai]I I.ICATION
l,Jumbe r
NA' i
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SINESs NAMF
IiER.5 NA E I
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DORE55:
PRO] E (T CONTACT PEFSCX
',c\DAII
PHoNE r: ll*ll __--:lJ
61/ t 12.,a
CiiY I
c:T'/
lfrr 0 (
sBELL . trPFrf
L:iNO
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Plll
LrcENsE #i :J(1U /
51, 1.{'- 71p.,? i,7,, ,
]HONE {:
)HoNE { r
,1t i .. -j RE !OCAT]ON
IS BLDG SPRINKLEPED?fl vo. [uo
li'lLliu .. r, '(t-;,tt i,,,, .13
ADD TO EXIST S'I'RJCTUR€
7 ;r,,.1 ,r' ,, " ^o,rr;'neruovnrrou 'l crr:ea
,enr Sire? Ll / LJ Noll Ralocatlon. ,s ll,.r'e a Natural Gas Line o
ACCESSoRY 5TRUa-URE.
lf ijrr_, Ire Shell Perrit *
! alrrur N
the
NE!,i Ccfis'!'FUC'rlO i ]ERECT N EI^]rnucrune I rasr rnrcr f
l r.l
t L]
J\
, 71od{
.,..' 15 ra.:6*-{J(ti C U 5 5
IF Yes, rlr:i. rtas t':e P.".'io!s Cccil ancy Typel llhat ir the {eu, O(<upency Tyte)
ARCH DEsIGN PROT': SIONAL:
ENCN OESIGIJ PROFESSIONAI-:
ls food or'boverages p'epsfed or seryed is structure? f Yes ['io ls Ti]e Propc{/
DISCI ' r:J 0t i,loRK:
torel pHolecr ccsr ?
TOIAL SC 'T'JllD=ti ROOF / I '
I'lE!! IMPERVIOI,S AREA
'. i ,] -:.. |'l ., .|j:
1a
,i 4-o w.6_Js(,ic ro
.5!
t1a
IC
OVvN::./COl\.;;ACTOR:7eq', SIGNATUFE
l !pprrc.!!on5 lrs lo bo - eO Jilno rne aprllcali3n lo.m t:HHS-J?0E),//r!!h!. the lacllty.r b'
€^r.i^ *€rca or tul- Ye dc r.c! r.d lo c6llli. N
de$dilon ol any kcrly o. bol! : ri: S.o ,r.sa4slos We
ti a3 9)7!l
j l. rr p, rl'l .:, . . " " -t _ ''' ,r'r) r lr
rLr-)BUILDING HEIGHT \'
SO FT PEil FLR:_r:--
# OF STAUC]LIRES:
sc -- Ex,sTt\c [r1r:::..tou:; AREA
URANT
ExSr LAND D,sTunsttto r:.utr" [l ,es I--l ro
(lS
PRoP.rr usE: lorrrce lnesr
WATER
=CFPUA
I]COMMUN TY
SEWER f] CTFUA J CENTRAL SE
[uencmrrrue f]eouc f rcr lcoruoo ouza. (tkrrlk t,,^.
YSTEM T-']WELL
TIC [ ]PRI\/ATE SEPT
.raEo Fce EL€c-, MtcH pL5c
-zoNING USE CIASSIFtCATION: _- _ _
f COMMUNF}'SYSTEM
saorrri.,,r)r'r.Es a [iSEtlTS t tl/
AMr-a cAN ExFREss f Mcl/rsA l-- ...,rscove a '' ,PAYMENT METIiODI DCESH ECTI K {PAYABLE IO NHC)
(FCB s o N *1i 11'l(c ,2
!E t LH:-:L R H:{B -Y
F too D B E 2
-tr
zour: 0.4 oFFtcER
rtu ,',.-.|PERMIT FEE: $
It'
i {'
'{tlt -{L?LrrLpl*bfif L(c
ffi ii
:'l
PH0NE $: -tr\i i- l?.i-a) .?Ll
:]
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3
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r, /,,
9 OF L]NITS. ./P
r or sroqreJ-llf,---
f oF FrOons: -7-i
APP!IC'{T,S i{A|{E:
0EVELoPER; Ber r
PBo:ICI A0DBE55: 1110
oCCUPAf,T/SUSINESS llAllE : Bell
I{EW ER COUNTY BUILDING PERMIT
aPP L ICA| rart rYPt; CoIII1ERCIAL
^l|sr6n
ALr Q*STI0iS t PLIqAIE TO yoUR PROIECI
'Project Re5ponslblltty"
)-otL-2t tL
?Ez ts-11e1ot1
APPIITATIOX
ltufiber
(0ff1(. ur.)
Pn taE {: r10-798-3005
Pl€l{€ f:91r-!6?"1223
DAlE r_Jr.!.139_
CIIY: wi.l,mi!g!!D ZIPl2si12
P[€llE *: ero-79d-]o06
CITY: 'Iilminqron 5T: xc ZIPi 2 8111
LICEIISE Ti 5eeo?ACCOUIT fr
5T: Nc ztP: 2 8411
PROPERTY OI'IER'5
orllt,s rooREssr
ADORISS:
tf Rolocadon, b ihere I N81!ral Ga
r{Erd corBlntrttotl! E ERECT
AaCESSoRY STRUCTURE i
DESCRIPT]CN OF hIORI(ec! 3
CotITRACTOi,
TOTAT PROJECT COST:
TOTAL AREA SO FT
TOTAL SO FI UNDER
lrL
l{Al{E: E 11e
Gc d
R
on the Cunenl Slte?
fOF STFUCTU.qESi
fi,4tot lJ-
!IfY:14iy6iq'-""
€fiAIL
'OORESSIPiole(T coNTAcT pERsott;
EXrtT COr6TRrrCTrOr{r I alre TlON El*ovA trT:ON 6El'lE RAL REP AIRS u RE CA I IONLOiltrNoISELDGSPRINKLEREo'7 tr tr 1o
PH:IiC REG *
srRrrcruRE I rsr rucx I sarr.r. f urrrr ! oo ro Exrsr srnucruRE
If IPF:T - The She11 Pemit Is El€ct Poier on tils Bulldlng E] Yes I tto
..... rs A cHTNGE oF 6cclrpar{(y usE? [v:s fim ..."
Ir Ye3, uhat ras the Paevlorrs uplrl(y Type? lfi.t is tie l,i€r. O.curtn(y Typ.? _
AiCiI D'SIOI PROTESSIOML:
Et/Gi tEs:6 PRortsSlottal,
r+l: Lt9j33e:.2-!:-0_ Nc iEG t: _
b lood or bsversg€6 Fop.rod c.h dir slrluo? f]Ye€ fi U S no nropeiy Locsbd h The Flooddah? E Y6 ENo
$aE auildrn0 Codo o.d
chrnoarin Lho aDorvad
will Lls in vloraUan orln6
sx otF, apridDt $sN?
oLod i !d .o€dncatont
NC Srsb 8l{ Cod. s.d
"t
Y
OWNEFUCONTRACTOR:
Ndh D.rl$tr6 n cnod.d I .rE 16 b !. .!tsntEd uhg rti .pdlcdon tom (ftilE{7lsl *t.rt r n6'Hn, B hrrlv ].t *xrn b
.&-.EJ,r A$a.rr. u n a Yo! .'t Dqdlt( lo call lorld!.1Erul'llr s-tln.nlih(Handdr A, Poru6 r (NEstrAP) ll I9r e)r07-5e50 n barl t0 d.rt glc b !E
a.rioDrkn d.iy bcl'v d Mldhg 3..slr: hr9r,,ww..pt,sB.n .lrrpur.b..roebhfr Ahunl
f,,-ot (.tt. i',u1t (
pr\i I l!.\ i
BUILDING HEIGHT:
SO FT FER FLR:
t{r
ACRES DISTURBEDi Exsr LAND DrsruRerNc rrnurr f] ves f] xo
Nr'! IHPEqVIOUS AFEA:SAFT E1ISTING IMPERVIOUS AREA:SO FT
PROPERTY USE: SrrrCe I fiuenceure Eeouc illrr f]coxoo orHER:
WATER:
SE\ryER:
r-CFPUA TICOMMLIN
fu*crcua l] crvrnel
M f:,vEu flzoNlNc UsE CLAsslFlcArlont
LIPRMAIE SEP[lc E COTTMUNTTY SYSTEM
SYS'lE
..SFPARA':E FERl\I:'iS OJIREC FOF ErECl, |J€CH. PI.BG.C!a3 EOUTP. PFE ABS 6,NS€R'S -'
PAYMEMT MEI'IOD: [CeSl f](pAyAatr ro NHc) ff aru- rccoum fir.rcrvtsr I otscovtn
.,
()f . t)r"ft ol
flly lnpeclion Requr&u, r1 0-254-0tli
P rl{E ri 9ro-r98-l 006
(ft.<k allT
#OF UNITS: 33
, OF STORIES:-L-
# OF FLOOffS: _
SIGNATURE:
(FOB OarrcE USE OXIYI
PERMIT FEE: $-/"4 y
I
DEVELOPER:
A)OnES5: 66
ZONE
Comm€nt
2btt--2t137
P*15-11r1n5
NEN ER COUI'JTY BUILDING PERiIIT
APPLICTTNT'S tl/tlI:
LLC
PRO]ECT ADORESS:
0(CUPlrlI,/BtlSIllESS MliE : ge
PROP€RIY OT'iER'5 M'iE :
o}nrR,s ADOiESS;CfW: l{ilmincron
C(IrTRACToR: l|cadaDs Lofres LICEIISE *: 6e9o?
6-Rd (ITY: wirrdnqton
EnAIL ADORESS I
PIOJECT CO}{TACT PERsON:cordon
((n cr Al ri.t rrrly)
EXr5T CO.|STRI CTTOT{: I Arre I 0l{tr REI5,/AT rot{tr 6 EI,IERA!R EPAtRS T
f Ra{oado,r. b lhere a Nalural G6 ofl $e Curreit She?tr tr
APPLtarIan mE; CoISIERCIAL
dtst{€R Alt Qt E5Tr0r5 APPLr(Alr.E T0 yqJt rtoJE(r
'?.or€ct nesponslblllty"
IPPLICATIO{
lltrb€l"
(offt.i Ur.)
NEN CO 5TnICTTO{; I tneCr I srRucruRE ! rasr rnxr fl sxrrl ! urrrr ! m ro Errsr srnucrtnE
ACCESSORY SYRIClUf,E I
If UPfIT - The Shcll Pennit Is Elect Pqer on this BuiLdinS EJ Ye! E xo
r clrlrcE or o(ctrnry r6E, I vts $ m ..-.
IF Yts, *l-t va5 tha Prrvicur y Typlr Lrat 1r th€ Id Occr.p-cy typ.t
mor fi steri pRortJSIor{aL:
EtSn ffSrOl 9n0Ftssroltal:
Yes No BLOG
5T: g ZIP::!LLl_
ACCOtitT *rsrrra;;;E;
PtOt{E t: _!l!:f!!:3!!!__
PlOrlC r:9lo-36?-r221
RELOCATIOI'
SPRINKLE REO ?tr Yes tr No
SO FT
E\1S€D OATE 1,l?
DESCRIPT]ofl OF IORX:
TOTAL PROJECT COST:
TOTAI AREA SO FT :
TOTA! SO FI UNOER RmF: (
ACRES DISTURBED:
NEW IMPERVIOT'S AREA]
(.fi
eprpoYd: 6 i-
c l it
b lood o( bclqlgag trepald q h tNs llnr rc?
OWNER,6ONTRACTOR:SIGNATURE:
(l-,
N* OrioXrr rE!b&r. a d.e ?pbaql...lt .ttnur-tgt ?Clc&n bfln @}}l937aa).rlr A$SqrBYqrarlqdi ! cJ Ido{l.| Elrl.]qr srarti h. }lErd.u A. Pafrrir (NE$UP) rl
a.,n&! o(.ry*rr..Drrule. S..gra: htp./,ri'r/v..rl,3r.r..,E.l,s/.ru.6!..ro.llr,rp,tnhl
tr Yes E t{o lr Tho ftopity Loc.bd h T}lo Flodpbh?tr ves @ No
s6ra
t lv .r bltre rt.lhrt b
ar l-t 10 (lya Elo. 5 lr
BUltllil(i HEKTHT: W
so rr pER prR, No,/o
*or srnucrunEE]f_
Exsr IAND DlsruRBrHc reanrn I ves I Ho
PRoPERTY use []Orrrce !flusncrrnu n.o.F* [ooo
WATER: T9ICFP(A TI
sEwER: ,?fcFPUA lE.1 u tr
SO FT P(ISTING IMPEnVIOT'S AREA
OTHER:
SYSTEM WETL tr ZONING usrE CI.ASSIFCATION:
CE NTRAL PRIVATE SEPTIC tr COT,INT'NITY SYSIEM
.. SE'AFATE PERMI'Ts OUIR:D FOF ELECI.UECX.PLEG GAS EOL'IP, PNEFABS I INS€FIS ''
c
f^
t,A(A ,J€o 6-,r leo f,'rt T
PERMTT FEE 3-
PAlr,rEr{T METHOD: tr]CSr E (pAyABr.E ro NIE) flarurcco,lm EFTMsA fforscarcn
)
tnr-, . fir ( l( o
flit (g,- Itr Iru^(
6-b( (r,,)t$L L/-r;l . fuu A,ur( (.0, q^rr (Arr.
Crty lnpoclilon Requreo, 91S254'0i19
Anr
oATt r__3jl_l:_
PIOIG t:9ro-?9s-3006
CIrY: !:!gil@_ IIP: 2s.r2
PloNE rr "9.19:f!!199!_
ftl: !-Lql!3:f929_ Nc REG .: _PH: T( REG T:
, OF UNITS: 33
t OFSTORIES: 3
I OF FLOOiS:-
ala
fillcastl3
16-5s0
APPLICANT'S I.IA E:
DEVELOPER: L..C
PRO]ECT ADDRESS:
SIJBDIVISTO{:
PROP€RTY O i'IER,S iIA}tE: 'T C
NEH H VER COUNTY BUILDING PERMIT
PLE
APPLIaATIO*I rYPE: RESIDENTfAL
€ ANSTER ALL QUEsTIONS APPLICABLE TO YOUR PRO]ECI
-Project Responsiblll.tf
CITY:
BLOC( S:
ffi
APPLICATIO'i
llumber
(OFficc Use)
PHOI'IE $: qto .3G3a!<;1c
z,P:?8aa,
LOT *: t
,i-.- *r*" o
I yfounrcro\-/ aDofiEss:
DDRESS:
Ri
+
C
CITY:
LIcEtrsE #: q|0$
r+
PORCH 5F
sTORAGE SHED
Pror{E r:1lgg;e*O1o
sT: hJCzrp:25q(o,
ST:NC
5 Sor,
l\,CITY:zrP I z.EqC--
PHOI'IE $: clt o .3t- 3 <ict o
I
7b il\j-EitAIL ADDRESS:
**,** l*,t* **+ * *** *,:,i*** )**tri r* *
A LTE ATION I nenovarroru f] crHenar- nrearns f] RELocArroN
NEH coltsriucrrorl, p enecr Hrw RESIDENCE or ADOITION TO EXISTING RESIOENCE
rHAT APPLY TO YOUR PRO]ECT:
c
I
**PLEASE CHECX A'{D A'i5I./ER 8EL$'
tr*f461'RAFiifq r sF
SF
GREENHOUS E SF
TOTAL PROJECT Co5Ttressrot) : $
ls Any ELCCTRICAL, PLUIBIiIG or ilEC
O{NER/CONTRACTOR:
DET GARAGE
-
SF
POOL 5F
otcx \ta,Ct sF orHER:
5F
SF
Eruo
ves I no
TOTAL HEATED 5Q F"f: 3 (1 TOTAL SQ FT UNDER ROOF: '?/'r L -7 TOTAL AREA SQ FT: \lL -7
L,I
cAL l.lork Eeing Done to the Accessory Structure? El Yes
If the project is a Relocation,is there a Natural 6as Line on the Curnent Site?
s Bulldlne?EY"r l-1ruoIs thene Electrical Powen on t
pRoPERTY USE / OCCUPAXCY: F Sr LE FAII.IILY DUPLEX ! rouuousr
DESCRIPTIOT'I OF I''ORK :
DISCLAIMER ratalliot nation rn hls aton ir conecr a4d all *ort willcomplywih he Slaie Buihhg Code and dloher applicable Srats *ld locol lans
rld odinenc€s and regulalb.s.lh€ NHC OeElopmen c€s C€nDrwih b€ notlled ofs.ychalo€s i1t! apployed dans sF.ilicatons orctaog€ in.onlracElro.
connacbr ntcnnaloo. '-NOTET Any work P€.rom'€d tie Appropnate Permils wal be in Volaton ot lhe NC Slale Bldg 0 00",
f!i1 SIGNATURE :
r; r * + + * *i * * ** r i )*a *i* *tr I *)i * *** *.. *:i r
fiv:s
*r** *** i.* ** **r.* *,t** ++
EXISTING IMPERVIOUS AREA:
NET IMPERVIOIJS AREA:
warrn r fi creun
SEHER; E CFPUA
IS THE PROPERTY LOCATED IN A FL PLAIN?NO
EXIST LAND DISTURBING PERMIT:YES Rm
SA FT
SQ rT
COMUNITY S TEAt f| nnrvnrr we r-r- [CENTRAL I4ELL
fl ceurnal srr IC PRIVATE SEPTIC ff comrurutw svsrrm
x (pAvABLE ro nrry ffilm.*rcar ExpREss I r,rcTvrsr I orscovrn
+ r. * *,*.,x ** x*)i**,1** *)ai i+ r.,t *+** *r* *** *i*t**t,!,r + *+rll*i.**,i:rt* +*** i(+
(aon oFtrcE usE oiLY) iEvrsED DATE 04/11/12
PAYTENT ITETHOD:CASH
** r* * ** )i+x:t* **:* t!** *.* 't ** *+ *
ADproval:- citY:-
SETBACKS: F: LH: RH: B:
DATE: FLoOD: BFE+2ft=t4Corment:PERfiIT FEE:
L
DATE: 2t"-qli/-
1
I
PRO]ECT CONTACT PERSO :
EXISTING COI,ISTRUCTION: D
PHo.rE *; qto-18 -1q76
f| surunoor.r
# OF STORTES:
.\
TOTAL ACR€S DISTURBED: '- '/3 ACC &
ZoNE:
-
OFFICER:
rr
$
DEVELOPER:
DI LA
a nd local
C.
.}J
bFctlo
OT
Su
2.I,
---f
Comment
(-<->C-L\ f+t
N
PERMIT FEE: $
tuL 0 t1lct)t
NEW
Vl:)
oLi cfub Inc
rL ':r )
,ffi, PLEA
APPLICANT'S NAlilE: Erank D 'Andr
H
Th
NOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
ANSWER ATL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility,,
tk:-gt
APPLICATION
Number
(office Use)
PRoIECT ADDRESS: :610 r.,a le Po nt Dr
OCCUPANT/BUSINESS l,lAME: Ea fe oint
PROPERTY OIJNER'S NAI4E: . ,-=.,
oWNERTS ADDRESS: Bi3l Batd Ea e Lane
CONTRACToR: Mcnteii-h Cons t ruct on Co
ADDRESS: 32 \ :ront s:
EI4AIL ADDRESS: F'dardrea Bllonte i hco. com
PROIECT CONTACT PERSoN: Erank 'Andrea
PIONE #:9io-899 t4t3
CITY: -r,ii tm i nqrcn
PHONE #:
ST: NC ZIP: 264!1
LICENSE *: 4331I
CITY: Wi 1mr nqton
Is Elect Power on this Buit.ding E yes E tO
(-
!
)))
i
J1
PHoNE #: 9tc-899 i 413
PHoNE #: 910 399-11-r3
(Check 411 That Apply)
ALTE RAT ON RENOVATION GENERAL REPAIRS RELOCATION
lf Ralocallon, is there a Natural cas Line n the Current Site? E Yes Irro ts eLoc spRtNxreneor I v"s I ro
NEW CONSTRUCTIOi{:ERECT NEW srRUcruRE ! resr macx ! sxer-r- [UPF IT f] aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #:
***** IS T
IF Yes, what was the Previous Occ ancy Type?
ARCH DESIGN PRoFESSIoIIAL: J.hrs to Architecture
ENGR DESIGN PROFESSIoI,IAL: Anore 'is ln rneerfn
DESCRIPTIoN OF WoRK: Construct
s A cHAttGE oF occupAlcy user Ives Ilo *****
What is the New Occupancy Type?
PH:910-r63-5739
PH: 910 202-5555
NC REG *: 1224
NC REG #: 23591
on 0f New Fitness Center and Cotta
ls food or bevorages prepargd or served i thls struaure? [ ves T No ls The Propdty Located tn The Ftoodptatn? [ yes r
IMER h b v rnty th a ai rrl a
an d ord
$5
a
nt
and reoulatrons
thrs-applicatron rs conect and all work will comdy with the State BuiNiq Development Services Center wtll be notifi6d of anv chanoes rNU t E: Any work Performed W/O lhe Appropnate permils wilt b'e rn
lding Code and
ved
ihe
Dlans and
NC Slate
all olher applicable State
No
to
tr actor
n es U p T 00 0 0
n the
SIGNATURE:
eouc lner lcor.too
EzoNrNG usE CLASS|F
cations
e and
/<-.,
the facility bu td ng found
5 950 at least 0 days pnor !o the
SO FT
OTHER:tqrxea use
CAT to N
OWNEFUCONTRA
(Ou€l!ic.)
dron k fet
htbJ
^/ww.
epi.state. nc. us/epi/as
BUILDINGHEIGHT:30'
Note: D€rholition notifcalions & asbestos removal it appli€tions are to be subm itted usrng the applicalion brm D H HS-3758)
conbin Asbostos or not You are requked to call lhe Emission Sta nda rds for Hazardous luiants (NESHAP)(s 9)707at
domolilion ofany bcility or building. See Asb€6tos Siiei hmp.hrn
TOTAL PROJECT COST: ,, !# OF UNITS: ,
TOTAL AREA SQ FT :6426 SQ FT PER FLR
TOTAL SQ FT UNDER ROOF
EXST LAND DISTURBING PERMIT?ves Ir.ro
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA: ;5926
PROPERryUSE: EOTNCE EN RANT MERCANTILE
WATER: E CFPUA
SEWER: EICFPUA
YS TEM tr WELL
c tr P R IVATE SE PTI c c OM M U N ITY SYS TEM
COMMUNIry
CENTRAL SE
T CH (PAYABLE ro r.rxC; IalrenrcAN E(PRESS I ucuse I orscoven
(FOR OFFTCE USE ONLY)
ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:
Approval:_ City:_ DA FLOOD: _ BFE+2F_ \
", SEPARATE PERMITS RE JIRED FOR ELECT. MECH, PLBG, GAS EOUIP, PREFABS E INSERTS *'
))-(-/v
(C
I
-i\ ,,r
)t'',/L/..:::
EXIST CONSTRUCTION: !
ACRES DISTURBED: .
DATE: 2 / 21/ 'i6
ZIPi284tt
CITY: \^. o r ST:' ZIp: o:
I
# OF STRUCTURES:
# OF STORIES: 2
# OF FLOORS:
PAYMENT METHOD: ECASH
!l=i
fE
r
REVISED OATE 4/II/.I2
lc )s\a16-710NEW H OVER COUNTY BUILDING PERMIT
APPLIcATIottt TYPE: RESIDENTIAL
PLE E ANsWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT,S NAI'IE: HORIZON HOME OF WTLMTNGTON LLC
DEVELOPER: EoRTUNE PLACE HoLDI S LLC
PRO]ECT ADDRESS: 4827 GATE POST LANE CITY: \^]ILMINGToN
SUBDIVISION: FORTUNE PLACE PH 1 SECION 1 BLOCK *:
PROPERTY OWNER,S NAIVIE: FORIUNE LACE HOLDINGS LLC
O[^,NER'S ADDRESS: P.o. Box 3442 CITY: wTLMINGTON
CONTRACTOR: HORIZON HOMES OF WI INGTON LLC LICENSE #: 70867
CJTY: WILMINGTON
EI\4AIL ADDRESS: HoRI zoNHoMESBIL NGPGMAIL.COM
PROIECT CONTACT PERSON: JoDA B NETT
ALTE T ION R ENOVATION GENERAL REPAI R5
NEI,I CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW A THAT APPLY TO YOUR PRO]ECT:
APPLICATION
Number
(office Use)
PHONE #:910-520-6011
ZIP i 28 412
SF
LOT #: 3a
PHONE #: 910-520-6011
ST: I!_ ZIP: 28406
ST: Nc ZIP: 28406
PHONE #:910-508-6655
RE LOCAT ION
SF
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ATI GARAGE 422 SF DEI GARAGE
SUN ROOM POOL
GR E ENHOUS E 5F DECK
TOTAL HEATED 5Q TOTAL 5Q
TOTAL PROIECT COSTrr"""roo : $15 000
Is Any ELECTRICAL, PLUMBING or l|tEC
If the pnoject is a Relocation
Is there Electrical Powen on t 1S
FT UNDER ROOF: 3586
# OF STORIES: 2
SF
TOTAL AREA SQ FT:3586
ICAL Work Being Done to the Accessory Structure? [ Yes I No
is there a Natunat Gas Line on the cunrent site? [ves T No
euild ing ? J-''l Yes T No
SF OTHER:
DUP L EX TOWNHOUSEPROPERTY USE / OCCUPANCY:SI LE FAMILY
DESCRIPTION OF WORK: SINGLE E LY RESIDENTIAL NEW I{OUE CONSTRUCTION
ISCLAIMER: I heleby certily hat all inblmation in hi
nd ordinances and regulations The NHC Developme
lor infomaton ".NOTE AnyWork Perfomed /O lhe AppropriaE Pemits will
ER/CoNTRACTOR: RoBrN HAc Y/HORIZON HOMES
,* * ** *,k * *:t * * * * * * x *1.+,t * jl * * 1,1.
applicalion is conecl and allwo
Services C€nbr willbe nolified
rk willcomplywih lhe State Building Code and alloher applicable Stab and local laws
ofanychanges in he approved plans and specilications orchange in conlractrror
be,n Violarion ollhe NC Srare Blds Code and Sgbjod b Finos Up To $500 00"'
srGNAruRE: ElrdrblUz
* + * x x x,l r, + + + + + + * r( * r( r( * * + + +,*,* + + * * )* * * * * tr(
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I5 THE PROPERTY LOCATED IN A F OODPLAIN} I-I YCS r NO
SQ FT TOTAL ACRES DISTURBED: 11.99
SQ FT EXIST LAND DISTURBING PERMIT:YES E NO
ZoNE :
-
0F FICE R:
Appnoval:- city:
x i<++ * r< i.1. ir+ x {< * 1. * * * *,*,*,* * * * + *
YSTEM PRIVATE WE LL
IIC
CENTRAL WELL
COMMUNITY SYSTET4
0
3212
WATER:
5E!,JER:
CF PUA
CF PUA
COMMUNITY
CENTRAL 5E ! enrvarr srenc !
*** SEPARATE PER}lIT5
PAYT,TENT ritETHoD: E c*r il
QUIRED FOR ELECT, I4ECH, PLBG, GAS EQUIP,
EcK (payABLE ro rnc; I anrnrcAN ExPREss
PRE FABS, & TNSERTS ***
MclvrsA I orscovrn
,k,k*+*,*)*****,*,*x**,t+*,*,t**+,*,*,*x*i.*+++,*xx*'i**+********'t**********
(FOi OFFICE UsE ONLY) REVISED DATE O4l11/12
SETBACKS: F:_ LH :- RH
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- aDDREss: P.o. Box 3442
DATE: 3 /7 /16
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EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
fleoncH LsF
fl sronaoe sHED _ sF
PHONE #: 910 -622-527 4
EXISTING CoNSTRUCIION: E
FT i 2964
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DATE:- FLOOD:
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NEW ANOVER COUNTY BUILDING PERMIT L6-7 LL
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APPLICANT, S NAIiIE: HORIZON HO
APPLICATION TYPE: RESIDENTTAL
ASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(office Use)
S OF WILMINGTON LLC DATE: 3/7 /16
DEVELOPER: FoRruNE pLAcE HoL NGS LLC PHONE #:910-s20-5011
PROIECT ADDRESS: 4823 GArE T LANE CITY: WILMINGTON ZlP i 28412
SUBDIVISION: FORTUNE PLACE P E 1 SECION 1
PROPERTY OU,NER, S NAiIE: FORT PLACE HOLDINGS LLC PHONE #: 910-s20-6011
Ot4rNER'S aDDRESS: P.o. Box 34 CITY: WTLMINGTON ST: .!!!_ ZIP: 28406
CONTRACTOR: HOR]ZON HOI'1ES OF ILMINGTON LLC LICENSE f: 70867
aDORESS: P. o. Box 3442 CITY: wILMINGToN
$ rmarl ADDRESS:HORI ZONHOMESBI LING€GMAIL . COM PHONE #:910-508-6655
PROIECT CONTACT PERSON: JoDA ENNETT PHONE #: 914 -622-52 / 4
EXISTING CONSTRUCTION:AL RAT ION RENOVATION GENERAL RE PAIRS RE LOCATION
NEW CONSTRUCTION:ERECT N RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSIIER BELO!/LL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE 601
suN Rootl
GR E ENHOUS E
TAL HEATED SQ
SF
SF
DET GARAGE SF PORCH LSF
TAL PROIECT COST (ress lou 3
Any ELECTRICAL, PLUI.IEING or F!
,r\ tf the project is a Relocatio
! Is there Electrical Power on
POOL SF STORAGE SHED SF
SF OTHE R:
*********,t*,f )i)i*)t)i)***)*******+*+++**+**,*,*+,i****,t****xx*****it***
LooDPLATN? [ veS I NO
SQ FT
SQ FT
TOTAL ACRES DISTURBED: 11.99
EXIST LAND DISTURBING PERMIT:I YES [-l ro
YSTEM PRIVATE WELL
SF
FI i 2398 TOTAL SQ FT UNDER ROOF: 3312 ToTAL AREA SQ FT: 3312
250,000 # 0F STORIES: 2
HANICAL tJork Being Done to the Accessory St.ucture? E Yes No
, is thene a Natunat Gas Line on the Current site? [ ves T No
his auilding? [ Yes T No
INGLE FAi\4TLY DUP LEX TOWNHOUSE
LEF ILY RESIDENTIAL NEW HOME CONSTRUCTION
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF WoRK: srNG
DISCLAIMER: lhereby certry hat all inbmaton in
and ordinances and regulations. The NHC Develop
s applicaton is correct and all work will comply wih lhe State Building Code and all orher applicable Stab and local laws
i Services Cenler willbe noliried ofany changes in he approved p ans and specifications orchange in contrac!cr o.
contact]r inft)rma[on "'NOTE:Any Work Performe W/O he ApprcpiaE Permits will be in Violarion of ihe NC StaE Bldg Su btecl t] Fines Up To $500 00"'
0WNER/CONTRACTOR : nosrw Hec EYlHoRIzoN HoMEs SIGNATURE:
* *,* * * * * * * * * **** *** * *:ll * * * *
IS THE PROPERTY LOCATED IN A
EXISTING IMPERVIOUS AREA: O
WATER :
SEWER:
CF PUA
CF PUA
COI.1I4UNITY
CENTRAL S
NEW IMPERVIOUS AREA: 3587
i.* I, SEPARATE PERiqITS
PAYIiIENT ITETHOD: E CASI EI
* * * * * * * * * * *,(,.r( * *** * * * *,* * *
zoNE : _ oF FICE R:
ApprovaL:_ City:
CENTRAL WELL
COMMUNITY SYSTEMTICPRIVATE SEPTIC
EQUIRED FOR ELECT, I'IECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
SETBACKS: F:_ LH:_ RH:_ B:_
HECK (eAvABLE ro Hncl I nr'renrcAN ExpREss t1c,/vrsA I rrraorr*
,* ,* ,i ,t ,( ,( * * *,t,*,*,t,* *)t )* * *** *** * * * * r* r* + +,** +:*,* * +* **** *** x x ++ **** ** * * + +
(foR oFFrcE u5E oNLy) REVISED OAT€ O4l11/12
DATE:_ FLooD: _
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BLOCK S: LOT #: 3s
ST:qZIP:28406
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