MARCH 25 2016 BUILDING APPSJ
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APPLICAI'IT'S Mr,tE:
DEVELOPER:
PRO]ECT ADORESS:
SUEDIVISIO:
r.rATER : E CFPUA
SEHER: E CFPUA
NEW
I cotlurr
I cruarl
tu
HANOVER COUNTY BUILDING PERMIT
aPP LIcAr IOtt rY"s: RESIDET{TIAL
PLTASE AiTSUER AIL qJESTIoI{S Appt-ICAErE r0 YOUR PROIE(T
"Project Responsibility',
aout - 235r/
Itr- 3l t2
APPLICATIOI{
Number
(Officc Us€)
r-r r i-1.crw:
CITY:
l,1.l(. tlce rG€ s,L,M
CITYr
* OF STORIES:
PHoi{E #;
BLOCK S :_-LOTr:
oar: 2-- ll-/ lt
ztP': ZtZt(
PROPERTY OHiIER,S tiAfiE:
O${ER'5 ADDRESS: 4
* connlcron, -1 r-ibL.it3
* ADoREss: _tO 5 )lfd:
t{Ehl COfiSTRUCTION:
..PLEASE CHECI( AXD AflsXER SE
! arr earace
-
sr
I surnoom
-
sF
I oneeuousr
-
sF
TOTAL HEATED SQ FT:
TOTAL PROIECT COST (Less toq :
Is Any ELECTRICAL, PLUltgDlG or
If the project is a Relocat
Is th€re Electrical Power o
OIINER/C0iITRACTOR:
Con*ru.c1ioN
a{ Dl !,U;\rvrinTcd fo!-ne
PH E s:1J9a.h_?_lz.l (
sIt4l-zIPtlt{/(
-
sr:
PH}{E *:
prcne *Q /h tt .-
I
ta
{,, EttAIL AD0RESS:
PROJECT CONTACT PERSO :
GXISTIIE COTJSTRUCnON: D TERA oH ! nrrwnrror ! orreaal nrearas f)ffi*,
t-,/l
RELOCAT]ON
EW RESIOET{CE o" I ADOrrrol To ExIsTrr{G RESIDE CT
ALL THAT APPI.Y TO YOUR
'AO]ECT:I oer eanner sr )xlec, ) 44 srf] nmr _ sr I sronaer sHED _ sFI oecx SF
TOTAr sQ Fr uriDER Ac/|/e : /916 ToraL AREA sQ Fr:tPo
t^ 1,
$ 7or.oc"r,
CCHA ICAL l,Jork Eeing Don€ to the Accesso.y St.uctur€? ! Ves ! lo
, is there a Natural Gas Lin€ on the Current Site? ! ves ! ruo
his Building? [ves Iuot
PR@ERTY USE / OCCUP'INCY :
DESCRIPTIoI{ OF l,ORx I
SII'IGLE FAMI LY !DUPLEX tr TO,JNHOUSE
DECLAICFI I her.by cenit hslr! irlcrmstbn his rppleloo rs corlct srd rlteolt nt compty wfi 6G Stst€ Buitdi{ Cod. snd .I or,..spplcable SGE End bclt Isyrsand o,tln.ncls rE regulal.ns Th. flHC Oe I S€rvi:es C,enb, iil b€ noai€d ot 6.y drnges ir ir! apploved ptsl s art 6p€cific€lions or cnenge in con!.rcb, o,conta.br irbmaion 'anOTE: Any w/O hc ApploprtE eglmilswillbe in Volarion oftte NC SEE Bbg SubFcr b F 00"
lf;*************dn
SIGMTURE:
.I
,l:t * * * *,* *:***:t*** *+
IS THE PROPERTY LOCATED II{f L@DPLAIil? E YES
EXISTIITre I PERVTOUS AREA:
iIE}'I I PERVT(US AREA:
TOTAL ACRES DISTUREED:
EXIST LAI{D DISTURBITIG pERTIIT: N YEs
SQ FT
SQ FT
,"rrr, . /o**ore wrlr. ! cEllrRAL hlE LL
arrc ffenrvnrE sEprrc E conuuutw sysrpr
PAYnEt I tElloo: El cas,PA ABL E TO NHC tr A,'lTR CAII E XPR E s 5 tr
'.i. SEPARATE P€RI.IIT R QU I R 0 F 0 R E L E C I t1 ECH P L I G
(CH E c(
t*,a t aal *r r. r *+* * * *'l:*r*r * *I
GA QUst I R u 5 &I N5 I R
t4<lv1 SA
s .r'
ft orscwen
iEvIsED DATI 0./rr/12
* I * *,f:r * rlr*,r,* * * *
(ron orFlct ust 6lrY)
ZONE: _ OFFICER:
\roval :_ City:
oment :
SETBACKS: F:_ LH:_ RH:_ B:_
DATE:- FLooD:
-
EFE+2ft=AVT
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PER TT FEE:
5F OTHE R:
M)E
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CONTRACTOR:
ESS:
TOTAL AREA SQ
c omm
( A,-
(,.,4n26 b3
de Rd
NEt^l ANOVER COUNTY BUILDING PERMIT
APPLICATIoN rYPr r COMMERCIAL
E ANSI{ER ALL qUT5TIONS APPLICAELE TO YOUR PRO]ECf
"ProJe(t Responsibllity"
i{_]tq)
APPLICATION
Nunber
(offlce Us e)
APPLICANT'S NAME: Rees Archi ectuie PC
DEVELOPER: S er ULrban k C
CT A0ORE55: 2238 s. 17E S!ree
ANT/8USINEss NAME: Phoe x Ma rt
RTY oI{NER'5 NAME: cante CenLer LLC
'5 ADDRESS: r2cr G1e.
CITY: '"?:lminqron
DAfEi 72/ i:/15
PHONE #:9r0313:lo2C
PRO]ECT CONTACT PERSON:
r *,r.* Is
IF Yes, what was the Previous 0c
ARCH DESIGN PROFESSIoiIAL: Johrl
OWNEF/CONTRACTOR:
{oudar)
WATER: ECFPUA n
SEWER: E CFPUA E
J.,^ -.
ZoNE: ( A oar,"appruiilE city
{I
t.dhrr'?trlt/
PH9NE *t 7{2 ^177- *sz Z
No
PHoIE *: 9+€.149€ter-(z>Fzz+ Ztl
Iug-.LIC EN5 E
crw: lt u(
CITY: w1i.lr ri:ci)
PHoNE S: 91016226'7 6
C d all olher appl
SQ FT
RE!1SED DATE.l/]I/12
s :
\n)
ALTE ION RENOVATION GENERAT REPAIRS RE LOCATIONrlf Relocation, is there a Natural Gas Li on th e Current Site?Yes No lS BLDG SPRINKLEReOT !ves
(Chcck all Ih.t Aprly)
L
VATE
IGNATURE
EzoNtNG usE ct ASStFtcATtON:
COMMUNITY SYSTEM
3768) *hcrh€r th6 Lclllty or hr dtog was found to
(819)707-5950 sl l€ssi 10 dsys Fior roU!
NEW CONSTRUCTION:ERECT NE srRUcruRE f] rasr rnrcx ! snrr-r- [ uerrr I roo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The shell Perrit #fs El.ect Por{en on this Bultding I Yes NO
rs A CHANoE oF occuPANcY usel Ivrs I
pancy Type)hlhat is the New 0ccupancy Type?
PH: 9104095J04
PHr 9103439653
NC REG {: I054r
NC REG S: 1983rENGR DESIGN PROFESSIOT{AL: John T nslal I - Civil
DESCRIPTIoN OF lrOR(: New s600 convenience store with cano ies and
ls food or beverages preparcd or served this struc{urg?I ves [ ruo ls Th€ Prop€rty Located ln The Floodplain? E yes
Note: Demoltton no ,licaions E asb€slos remolal eppllcatlons aro lo bs sub.nlrod usin€ th€ apdicalion rorm
cDnlain Asbestcaornol. You ar€raauir€d to calllh€Emlsslo.i Stsndards for Hs2srdcJs Aj. Pottu!0n16 (t{ESHAp) at
demoinion otanyla.lllry or bulldlng. Soe Asb€€tos Slts: hnp:/,wvw.epl.stal6 nc.us/6pt/ssb€stos/6hmp.himt
TOTAL PROJECT COST: ssrcoo BUILDING HEIGHT: z)' -2"
SQ FT PER FLR: s6oo # OF STORIES: 1
# OF UNITS: 2
FT: s500
TOTAL SQ FT UNDER ROOF: s60:# OF STRUCTURES: l # OF FLOORS: I
ACRES DISTURBED 25,59t s .f.EXST LAND DISTURBING PERMIT?I NO
NEW IMPERVIOUS AREA:? 61SF :es te: SQ FT EXISTING lM
COMMUNIry
CENTRAL SE
YSTE M
PRI
tr WEL
S E PT tc
PERVIOUS AREA:'t16,9C0sr
PRoPERw usE: florrrce !RANT MERcANTLE [rouc leer CONDO OTHER
PAYMENT METHOD: [CaSX I Cr.r (PAYABLE TO NHC)I AirERtcAN ExpREss flucrurse I otscoven
..' SEPARATE PERi\IITS RE IREO FOR ELECI, MECH, PLBG, GAS EOUIP, PFEFA6S A INSEFTS -'
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Ef{AIL ADDRESS:
ZIP I zEAa]i
5T: Nc ZIP: 234 tl
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SETBACKS:
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EASE AllSl{ER ALL Cl!,iST:0ilS APPLIC\BL! iO YoUA ?Rol€Ct
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if i-! :IBOJECT .qDFRE55:
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