APRIL 13 2016 BUILDING APPS,I
'ty
r!l
t\
APPLICAI{T, S ITA E:
DEVE LOPER:
PRO]
PRoPERTY Otlt'lER'S
O NER,S ADDRESS:
CONTRACTOR:
ADORESS:
EIIAIL ADDRESS:
ACCESSORY
DESCRIPTIOI.I
DISCI.AIMER
or chanqe
Subjecl lo
CommentB, F,\-{Ti BB
QUIRE
N
PERMIT FEE: $
t:
iuts'trrt I
ER COUNTY BUILDING PERMITNEW
PLEAS
US CE]I
n MaHr Chr
rke! s
lIAilE: rie,
APPLICATIo,T TYPE: CO'II'IE RC IAL
AXSUER ALI QUESTIOTIS APPLICAELE TO YOUR PRO]ECT
'Proiect R€sPonslbilltr,
I]'CIW: crtrnrr
L5-247 0
APPLICATION
Number
(offi(e U5e)
DATE:
ZIP::8{11.
ECT ADDRESS: 8Ii]1,
occuPAI{T/BUStilESs NAiE :
Uei ent e
i
C.
b
TEP
A
s13000.0
-/o a.-5
PHONE *: i irr al.) . J :L-18
CITY:
LrcENgE s: 6l i'i c
CITY:
sT: ZtP I
ST: U( ZIP: Ji s-7,
PRO]ECT CON'ACT PERSON:
ARCH DESIGT{ PROFESSIOML :
ETIGR OESIGT,I PROFESSIOT{AL :
Cerso faui nd Fos PHONE #: 318-801-2659
Exlsr coNsrRucr:ot: f] alr
ll Relocslion, is there a Natural Gas
t{EH CONSTRUCTTON r I tnrcr
If UPFIT - The Shel1 Permit *
*ri.* Is
IF Ye', bfiat l.a5 the Previous Oc
{Ch€.k AII lh.t APPIY)
E RENOVAT ION GE}IERAL REPAIRs n RELOCATIONn
KLERED? [ ves fl r'ro
Line n the Cunent Site?tr Yes E lo ls BLDG sPRtN
srRUcruRE I rmr rucx I sxer-l I uerrr ADD TO EXTST STRUCTURE
STRUCTURE: Ai1,i e exist 1ea
A €ttl GE or occt PANCY usrr fivrs ffilrir *""
i.lhat is the Nex Occupancy IYPe?Napancy TyP€
TOTAL AREA SQ fi :
TOTAL SO FT UNDER ROOF:
ACRES OISTURBED:
WATER: ICFPUA
SEWER: I CFPUA COMMUNTY SYSTEM
NC REG *:
NC REG *r
I No
SQ FT
REVISEO OATE 41'12
SYSTEM D WELLtrPRIVATESEPTIC
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:
to i:xislin
Code and
# OF UNITS:
SO FT PER FLR # OF STORIES
# OF FLOORS:f OF STRUCIURES: _---
EXST I.AND DISTUNAINO PENU Z JJ YES N NO
Pfr
PH
ls bod or boverages pepared or sewed tis *trtle? ftYe, fltlo s Tr,e erp€.ty Locatod ln T]€ Floodpleh? E Yes
all ot€r apptcable Slale
DlarE and soeofications
NC sEle Bldq code rnd
OF WORK: Add
I hereby certfy
and ordinaaces
lhal
and
in thisall
alions.N
in conlEctor
Fines Up To s500.00-'
OWNER/CONTRACTOR:
(a!mar)
l,br6: t)€rrloxlo.r todfcdo.ls & 6b436 rsroval .pr&1dois rI! b ia aubatirsd usitE ,E applicalioo
conialn Atb.sb3 or na,t Yol, are r€qJlr€d to c.ll
doootlron o( !n), tadlrty or hidrlo. Soe Alb6to.Sto: tr$rrfi ,w.ofrrd6. rE.'r.'/epudosbddlltp.lEnl
TOTAL PROJECT COST BUILDING HEIGHT:
Emisrlon &srl.lstrrs b( Hlrlrdo(,3 Al Pollubols
to !n (OHHS-3768) ii,hrflor tto
(NESIIAP) d (319)707-5950 rt
l3dllry !r bdldi8 wa! toi,nd b
lost 10 drF p.lo( to t'e
NEW IMPERVIOUS $Ei!r
PROPERTY USE: f]Orrrce fl [uencmurrue
SOFT EXISTING IMPEBVIOUS AREA:
leouc Dapr f]CONDO OTHER:
fI ZONING US E CLASSIFICATION:
CENTRAL
PAYMEMT METHOD: flcsx I
D FOR ELECT, MECH PLBG, GAS EOL'IP. PREFABS & INSERTS "'
(pAyAaLEro NHcl ftmrenlcex oonESS E Mc/vlsA I otscoven
-' SEPARATE PERMIIS
ZONE:-OFFICER:
Approval:- CitY:-
RH: B;
FLOOD:- BFE+2t=
\
a GrTn^
PHOIE *:
PHol{E f:
n
rs Elect PoH€r on this Buiiding n Yes E l,lo
I
NEh
THI]
DEVELOPER:
PAYMENT METHOD
Comment
N
PERMIT FEE: $
2ctf?sq I
NEW H ER COUNTY BUILDING PERMIT L5-2483
PLTAS
APPLICANT'S NAME: u:r i-el L ,lnr
n I'1awr ah1
PROIECT ADDRESS: s2tr Marker r:
OCCUPANT/BUSINESS NAME :
APPLI.ATI0N TyPE: COM ERCIAL
ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECI
"Project Responsibility"
APPLICATION
Number
(Office Use)
PHONE *:
CITY: l,lr t r:rn.tr on
D-E, BE neLt-
CONTRACTOR: rBD er^)ortz0/\o as
ADDRESS: 3("E1 ll-S <r.rrl
PROPERTY OWNERJS NAI,IE:
OhINER,S ADDRESS:
ARCH OESIGN PROFESSIOi,IAL:
ENGR DESIGN PROFESSIOT,IAL:
LrcENsE #: b1qt,)
artt' 9,r." (6.,.o
<
ST: _ ZIP:_
sT: vL zrP: f,Ps rr
PHONE #:
CITY: r^/ i lmi not,--n
JEIiIIAIL ADDRESS: CL..l-o,ue
PRO]ECT CONTACT PERSON:Lal re Anclerson FauIk and Foste r
(Check AII That Apply)
ALTE RAT ON RENOVATION GENERAL REPAIRS
PHONE #: Q15 'arr-3:z
PHONE f : i.n .,.r' --.,
RELOCATION
IS BLDG SPRINKLERED?I v"" flruo
! sxer-r- f] urrrr ADD TO EXIST STRUCTURE
t
lf Relocation, is there a Natural Gas Line the Current Site?il Yes Eruo
NEU CONSTRUCTION:ERECT N STRUCTURE FAST TRACK
ACCESSORY STRUCTURE: Add Gene r
If UPFIT - The Shell Permit #:
fF Yes, what was the Previous Occ pancy Typel
t**** Is rs A cHANGE oF occupANcy usE? EyEs fi ro *****
tor to the existin Lease s
I,JN What is the New Occupancy Type
ls food or beverages prepared or served this structure? fives fi lto ls The Property Located h The Ftoodptainz flves [l ruo
this application is correcl and all work wllcomply with lhe
NHC DeveloDmenr Servires Cenrer will be nor'fied of anv
NO'lt Any Work Performed w/O lhe Appropflale Permris
plan
NC Eldg code and
DESCRIPTIoN OF TJORK: Add Gene ator to the exi st in lease area
PH:
PH:
NC REG #:
NC REG *:
SIGNATUR
# OF STORIES
# OF FLOORS:
Slale Building Code and a other app cab e State
ofthe Slale
Note: Demolidon nolifcalions & ssb€slos re.noval it applicatioN sre to be submified using th6 applicalion form (DHHS whether the focility or building w€s found to
contaln Asbestos or not. You ar€ requlred lo call the Emission Standards for Hazardous Air Pollulants (NESHAP) al (919)707-5950 at least 10 days prior tothe
demolition ofany facility or building- S€€ Asb€stos
TOTAL PROJECT COST: . . '
Site: ht$:/ r,ww.epi.state.nc.us/epi/6sbestosL/ahmp.httnI
BUILDING HEIGHT:
OWNER/CONTRACTOR:
(qudiltor)
TOTAL AREA SQ FT
TOTAL SO FT UNDER ROOF:
ACRES DISTURBED
NEW IMPERVIOUS AREA:
PROPERTYUSE: lorrrce !n
)4,.),. ,.
SO FT PER FLR:
# OF STRUCTURES:
EXST LAND DISTURBING PERMIT? r,lYES N NO
SA FT EXISTING IMPERVIOUS AREA:
MERCANTILE EDUC APT CONDO OTHER:
Sq FT
WATER: fICFPUA
SEWER: ! CFPUA
COMMUN
CENTRAL
SYSTEM TIWELL f]ZONING USE CLASSIFICATION:
PTIC fIP-RIVATE SEPTIC f]COMMUNITY SYSTEM
". SEPARATE PERMITS OUIRED FOR ELECT. MECH. PLBG. GAS EOUIP. PREFABS & INSERTS "'
ficnsH I ECK (PAYABLE TO NHC) EAMERICAN EXPRESS I UCTrSA I otSCOven
ZONE:-OFFICER:
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
REVISED DATE 4/11N2
Approval:- CitY:-:-FLOOD:--BFE+2ft=
DATE:-
ZIP i 2e,1n
EXIST CONSTRUCTIOTTT: !tr
Is Elect Power on this Building E Yes E ruO
# OF UNITS:
rf
ffi
CONTRACTOR:
ADDRESS:
EIIAIL ADDRE
Comment
(J\
NEW NOVER COUNTY BUILDING PERIqIT
APPLICA| IOtr TYPE; COIIIIIERCIAL
ANSIIER ALL QUESIIONS APPLICABLE T0 YOUR PRoIECT
"Project Responsibility"
)n6ttubo
APPLICATION
Number
(offic€ use)
APPLICANT'S NAME:
DEVE LOPER:
ec i re\
PL€
L CITY:
DATE:'t-'t - l{
z:e )2 Ltt:7PRO]ECT AODRESS:
OCCUPANT/ BUS INE SS NAI4E:
PHONE f:
PHONE S:
o
PRO]ECT CONTACT PERSON:
NEl,ll CONSTRUCTION:ERECT NE STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The 5hel1 Permit #
PROPERTY OM.IER'S NAfiE :
OWNER'S ADDRESS:
ARCH DESIGN PROFESSIONAL I
ENGR DESI6N PROFESSIOI,/AL I
FAST TRACK SHE LL UPFIT
l,llhat is the Neu occupancy Type?
PH:
Is Elect Power on this Euilding K Yes
PTIONE #:L)
ProNE *; -7cniziz-llb I
I v"s [ruo
ADD TO EXIST STRUCTURE
NO
ST: _ ZIP:_
s, , ,lL ztr, )Za \ O
IJY
NC REG +:
NC REG +:
CITY:
!\e':cn d.nncS LICENSE f:
rJl-o]
0c
CITY:
(Check Alt Ihat Apply)
EXrST CONSTRUCTTON: E ALTERA ION RENOVATION 6ENERAL REPAIRS RELOCATION
lf Relocation, is there a Natural Gas Li on the Current Srte?tr Yes Eruo IS BLDG SPRINKLERED?
*+r*,. IS
IF Yes, Hhat was the Previous Oc
s a cHAr'rGE oF occupar{cy user f}ves $ln
upancy Type?
PH:
DESCRIPTION OF I.JORK:3"tu trrre0rafa^t"n,v.S t.. t G Lfe Up6r^ 3-3
*rmre? flves E No b The Propsty Locatod ln Th6 Flooddainr I v"" E *"i<a.p,ls food or beverages prepared or in this
DISCLAIMER: I hereby cedrty t\at
.n.l lftr] laws.nri or.tinances an.l
all i
or chanoe in contractor or conuaclor
Subjedlo Fines Up To 5500 00'-
OWNEFYCONTRACTOR
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
ZONE:-OFFICER
Ao6oval:- Citf-
rk will comply wilh lhe
wlll be notified ol aflv
e ApproBrale Permils
Srar€ Buildrno Code and
chanoes rn lh; aooroved
w;l 6b ln Molaton ol the
olans afld
NC Slale
sbeolScax
Bldq Code
ppl ble S1a Stc
a nd
frcftn (DHHS-3768) wt1€tr'€r ll'e fdcility
(NESHAP) at (919)707-5950 at l6asl 10 days trior lo the
SQ FT
i (
Qvel L'J*,ot- srcNAruRE
(qralii.4
No(e: Dgnditim ncdf.ado.ls & asb€sloc lrn(nr6l ad i:adals 8(e.r6 be subrnitl€d udm lhe apdlcadon
emgstortdanoarcs lor XazardoE Ar Pollulsntsconlain Asb€sto€ or nol. You s€ requlred to call Narlonal
domdhjon oa eny tadllty or hilding. 5€6 Asb6los Site
TOTAL PROJECT COST;$Cir BUILDING HEIGHT:
TOTAL AREA SO FT
TOTAL SQ FT UNDER ROOF
EXsr LAND DrsrunatNe penutre Tlves I Ho
SQ FT EXISTING IMPERVIOUS AREA:
PROPERTY USE: [OrrrCe !n RANT MERCANTILE EDUC APT @NDO OTHER
WATER: ECFPUA
SEWER: ECFPUA
ff zoNtNG usE cLAsslFlcATloNtrtlCOMMUN
CENTRAL
SYSTEMrc fl PRIVATE SEPTIC
WELL
ncoMMUNITY SYSTEM
PAYMENTMETHOD: []crsH f]EcK (pAyAaLE ro uucl IeuentcnN EXPRESs ffiucrulsn f]otscoven
,Ve.t,-..-r \jrre\e5-T&iir-3Tc.<
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
FLOOD:
---
BFE+zF
AVN
PERMIT FEE: $--
REVIS€D OATE /Ul142
tr u
# OF UNITS:
so FT PER FLR: # OF SToRIES:
# OF STRUCTURES,- # OF FLOORS:-
/-\
PAYMENT METHOD
Comment
T tr
NEW
PLTAS
WATER; ECFPUA
SEWER: E CFPUA
ZONE:-OFFICER
ADDroval: CitY:-
ER COUNTY BUILDING PERMIT "Jotb--ld5f,
APP L I CATIOI{
I'lumber
(office Use)
aPPLIcAtIott TYPE: Co}1F'IERCIAL
AASTTR ALL OUESTIONS APPI-ICABLE TO YO{,R PRO]ECT
"Project Responsibilittd'
APPLICANT'S l,lAi'lE: Kendal ol ive
DEVELOPER: .axncrid vit 1 vel nt tLC
PROJECT ADDRESS: 7s caval ier CITY: wi tminqron
OCCUPAT'IT/BUSINESS NAr,lE: witmi ton Ind endant Livi LLC
PROPERTY ot.INER'S NAiIE: oliver ewe I ment LLC
ol,rt{ER'S ADDRESS: 6136 Falls of Neuse Rd CITY: Raleiqh
CONTRACTOR: Brasfeild & corr ie LICEI',ISE S: 41e sB
ADDRESS: 3?00 Glenwood Ave ste 3ac CITY: Raleiqh
EitAIL ADDRESS: s mith3brasl ie orrte . com
PRO]ECT CONTACT PERSON: S Smith
(checl AU Ihat Apply)
SEPARATE PERMITS EOUIRED FOR ELECT, MECH. PLAG, GAS EOUIP, PREFA&S & INSERTS *'
PHO E *: 919 632 78'78
ENGR DESIGN PROFESSIoT{AL: charl i Lewis
DESCRIPTION OF WORK: BIdg 1 : RE ovation of two existing unils on 2nd 4th floors
ls food or beverages prepared or served this structure?!ves I no ls The Property Located ln The Floodplain? [ves [ ruo
this applicalion is corr€cl and all work wll comdy with the Stale Building Code and all olher applicable Slale
NHC DeveloDment Servrces Center will be notified ofanv chanoes in the aoD.oved Dlans and sDecrfications
NOTE: Any Wo* Perlormed w/O ihe Appropnale Pe.mrls wlll6e in Vlolati6i ot lhehlc Slare Aldg Code and
EXrST CONSTRUCTTON: n ATTERA RENOVATION GENERAL REPAIRS RELOCATION
lf Relocation, is lhere a Natural Gas Line n the Current Site?Yes ["o IS BLDG SPRINKLERED?I v"" I r.ro
NEt/ COI'ISTRUCT IOtl :ERECT NE STRUCTURE FAST TRACK I sxer-r- [ uerrr f]ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #Is Elect Power on this Euilding I Yes Eto
*'***'r, Is rs A cHAlrGE oF occuPA cY user flves r
fF Yes, what ias the Previous ncy Type?t.Jhat is the New Occupancy Type?
ARCH DESIGN PROFESSIOTIAL: Johr]worrell PH: 919 305 024s NC RE6 *: 1044s
PH'. 919.A66.47)-6 NC REG #: 02s934
contain Asbesios or not You ar6 rcqulred to call NationalEmbsion S-bndards ior HazardousAir Pollutants (NESHAP)at (919)707-5950 at l6ast 10 days pnor to th6
demolitibn ol any lacality or building. S€€ Asb*tos Sibj http:/,!vww.epi.sEte.nc.us/epi/asbestos/ahmp.html
TOTAL PROJECT COST: 18 at4 3 7 BUILDING HEIGHT: a e '# OF UNITS:17
TOTAL AREA SQ FT :7 922 SQ FT PER FLR: 16,'tt't+ I -# OF STORIES: a
TOTAL SQ FT UNDER ROOF 67 92 # OF STRUCTURES: r
ACRES DISTURBED:EXST LAND DISTUNEIHC PENI\, Z N VES I NO
SQ FT EXISTING IMPERVIOUS AR
ST: Nc ZIP: 2?615
ST: NC ZIP: 2i6t2
PHO E fi: 9a9 -'19a.9272
PHO E &: 919-3oG ?s43
EA: existnq no chanqe SQ FT
ICATION: MF-MH Mlur iFam
OWNEF/CONTRACTOR Scorr Du STGNATuRE: eA't)JA
(ouoln 4
Noto: Demoliton notficatons t asb6tos r6mqval epplbalibns e€ b bo submitbd usino th€ applicalioo bm (OHHS-3768) wlEtl€{ 016 hdlity or buil(trlg was bund b
NEW IMPERVIOUS AREA:
PROPERTY USE: lOrrrce !TAURANT MERCANTILE EDUC APT CONDO OTHER:
atl COMMUN
CENTRAL E
SYSTEM TIWELL EZONING USE CLASSIFprrc E p-Rvlre sEPTtc E coMMUNtrY sYsrEM
ficesn I EcK (eAvABLE To Nncy flal,rentcaN ExPREss flucrrltsr E otscoven
REVISED DATE IVlIl12
FLOOD:--
-
BFE+m=
AVN
PERMIT FEE: $-
\i
a
ffi
DAfEi o1/ 1512A75
ZIP i 2e401
PHO E $: 9t9 632 ia?8
# OF FLOORS; _3__
(FOR OFFICE USE ONLY}
SETBACKS: F:-LH:- RH:- B:
EIttAIL ADDRESS:
owN
PROPERTY USE
PAYMENT METHOD
Comment
N
PERMIT FEE: $-
NEW
PLE
APPLICANT'S AllE: Kendal ol ive
DEVELOPER: can rri vi 11 el Nt LLC
PROIECT ADORESS: 7s Cavali rD
OCCUPANT/BUsINESS tlAr{E: wi }mi ton Inde
PRoPERTY OI{{ER's NA}IE: ol iver ve 1o
OITNER'S ADDRESS: 6?36 Falls of Neuse Rd
COi{TRACTOR: Brasfeild & corrie
WATER: ECFPUA
SEWER: ECFPUA
ZONE:-OFFICER
Approval:- CitY:-
NOVER COUNTY BUILDING PERI4IT
APPLIcATIott TYPE: C0illtERCIAL
AIi/S}IER ATI QUESTIOIIS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Jo/h8;r
APPLICATIOI,I
Number
(office Use)
PHONE #: 919 632 tatS
nt Livi LLC
ADDRESS: 3?oo clenwood Ave ste 300
Smithsbr.asf ie
PRO]ECT CONTACT PERSOI,I: S smiEh
ALTERA
lf Relo€ation, is there a Natural Gas Line Current Site?
I{EH CONSTRUCTTOi,|, Zl entCr ru STRUCTURE
ACCESSORY STRUCTI.JRE:
If UPFIT - The SheU Permit #
IF Yes, vrhat uas the Previous pancy Type?
ARCH DE5IGN PROFESSIOiIAL: - or.:n on worrell
ENGR DESI6N PROFESSIoML: Charl1 Lewis
DESCRIPTION 65 P6q1; Bld 5Ne 4 Story Wood sLiucLure,
J3 It l
LICEIISE s: 41es8
CITY: Ratei h ST: NC ZIP: 27612
rs Elect Power on this Building EI Yes E Ho
: 919 306 o24s Nc REG #: 10445
i 919.a66.4716 NC REG #: 025934
t LLC
(che.k all That Apply)
ON
n the n tr GENERAL REPAIRS
No IS BLDG SPRINKLERED?
RELOCATIONRENOVATION
Yes n Yes No
f] rasr rnacx ! sHrr-l ! uerrr I ADD TO EXIST STRUCTURE
**.** IS rs A cHANGE oF occuPA cY usrr [ves I ilo ** *+r
What is the l{er, Occupancy Type?
PH
PH
ls food or beverages p{epa€d or served this struciure? ElYe" [ ruo b Th" P.pefty Located ln The Floooptain? [ ves [ ruo
thrs applcaircn is correcr and all work wlllcomdywilh lhe Slale Building Code and allother applicable State
NHC Develoomenl Services Cenrer willbe notilied ofaav chanoes in the aooroved olans and soecificatrcns
NOI L Any Work Performed w/O ihe Appropriale Permils will Ea rn Vrolallon of the NC Slale Bldg Code and
ERYCONTRACTOR: scotDu srGNAruRE: Ld iu^ -
(aulifi6d
Nole: Dorholitloo nolificalbns & asbesbc r€moval it applbatons.re b be submined using tho Epplicalim form (DHHS-3768) wheher th€ hcility orbuildingwas bund to
contain Ash€stos or nol You ars requirBd b call Natonal Emission Standards br Hazardous Air Pollulanis (NESHAP) at (919)707-5950 al l6asl 10 days prlor to tho
demolilibn of any facility or buihing. See Asbesios Siter htlpJi/vww.epi-stste.nc.us/epi/asbeslos/ahmp.html
TOTAL PROJECT COST: 18 7 BUILDING HEIGHT: 49.# OF UNITS: 318a4,3
TOTAL AREA SQ FT :46 656
TOTAL SQ FT UNDER ROOF:65 f OF STRUCTURES: r
ACRES DISTURBED EXST LAND DISTURBING PERMIT?I vEs l-l No
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA:ii. ! SQ FT
L_loFFrcE LIR nnm flurncrHrtle EDUC ler lcottoo orHER:_
aE COMMUN
CENTRAL
SYSTEM ELLtrPRIVATESEPT tc co MM U NITY S YST E M
SEPARATE PERIVITS OUIREO FOR ELECT, MECH, PLBG GAS EOUIP' PREFABS & INSERTS
[casn I EcK (eAvABLE ro Nncl fiauentcaN EXPRESS I racrutsr E otscoven
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
FLOOD:
---
BFE+zft=-
REVTSEO OATE 4/11n2
DATE: o 1/ 15 /2 015
CITY: wilminqron ZIP:28401
PHONE *: 9t9 632 '/8'/8
CITY: 3cl9l*__ sT: NC zIP: 2?G1s
PHONE S: 9t9.79a.92i2
PHONE s: 9t9 306 7s43
EXIST CO STRUCTION: E
SQ FT PER FLR: rr . ""4 # OF STORIES: a
# OF FLOORS: a
f]zoNlNG usE CLASSlFlcATloN: MF-MH MluriFam
owN
PAYMENT METHOD
Comment
APPLICANT'S l,lAllE: Kendal ol ive
DEVELOPERi cambri vi11 ve 10 T LLC
PROIECT ADDRESS: ?5 .dvdl ier
OCCUPAIIT/BUSINESS T{A}IE: Hi}mi ton Ind endant Livi.LLC
PROPERTY Otfi'lER'S ttAIE: ol iver evel0 MENI LLC
OI{NER'5 ADDRESS: 6715 Falls of Neuse Rd
CO TRACTOR: Brasfeitd & Gorrie
ADDRESS: 37oo clenwood Ave ste 300
EIIAIL ADDRESS: s smi th.abrasf ie
PROJECT CONTACT PERSON:smi Eh
APPLICATI(N |YPE; C0|IIERCIAL
AI|S}JER ALL QUESTIOTIS APPTICAELE TO YOJR PRO]ECT
"Project Responsibility"
CITY: wilmington
CITY: Raleiqh
LICENSE #: 4r958
CITY: Rale iqh
(che.k All Ihat Apply)
Yes
PK,NE *: 9\9 632 1878
ZIP i 28qo)
5T: Jq ZIP: 2 7615
ST: NC ZfP: 2?612
PHONE S: 9]-9 -7sa.9272
PHO E $: 919- 306 -'7 s43
PH: 919-305-o24s NC REG #: 10445
PH:919.866.4715 Nc REG *: 025934
,NC
SIA
nd
B ldq Code and
STRUCTURE FAST TRACK
If UPFIT - The sheU Permit #:
NEW
PROPERTY USE: nOrrrce n
WATER: ECFPUA
SEWER: ECFPUA
ZONE:-OFFICER:
Approval:- CitY:-
ER COUNTY BUILDING PERMIT
)atb-l8r-7
APPLICATION
Nunber
(office use)
ALIERA ON tr R E NOVA T I ON
lf Relocation, is there a Natural Gas Line th C urrent S ite ?e
r,***r Is
IF Yes, what Has the Previous Oc
ARCH DESIGN PROFESsIOML: Joh!'t Worrell
ENGR DESIGN PROFESSIO AL: ChaTli Lewis
DESCRIPTIoN 0F WORK: Bl 6Ne 4 Sto Wood structure
N HC
ER/CONTRACTOR Scot1
,7
NEW IMPERVIOUS AREA::'t
GENERAL REPATRs l-l ntlocarror.r
Eruo rs aLDG spRrNxleneoz I v"r [ruo
SHELL I urrrr I aDD ro Exrsr srRUcruRE
Is Elect Po}rer on this Euilding Yes Iro
pancy Type?What is the Nel, Occupancy Type?
ls food or beverages paepared or served this structure?ves [ ruo ls The Property Located ln The Flooddain? E ves I No
rhi icalion d ln s Code al btappl Sla
SIGNATURE:
(au.ffo0
Not6: D€molilion rlolificalbos t asb6to6 rsnoval apdbaliiros er3 b b6 submitbd uslng the spplicatiorl brm (DHHS-3768) wheftor |€ laciliv or boildhg wae found to
conialo Asbostos o. not. You ere requlrod to call Nefonal Embsion Standards br Hazardous Air Pollutanb (NESHAP) al (919)707-5950 at l6ast 10 days prlor lo tho
demolilion ol any lacility or building. See Asbesbc StE: htlp/if,ww.epi.state.nc-utepv.sb€slos/.hmp.html
TOTAL PROJECT COST: 1E 814 7 BUILDING HEIGHT: 4e'f OF UNITS: rs
TOTAL AREA SO FT 42.444 SQ FT PER FLR: 10. G 11
TOTAL SO FT UNDER ROOF # OF STRUCTURES: 1
ACRES DISTURBED EXST LAND DISTURBING PERMIT?I ves !ruo
E
ed'bra-
SQ FT EXISTING IMPERVIOUS AREA:SO FT
RANT MERCANTILE EDUC APT CONDO OTHER:
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-
FLOOD:- BFE+2ft=-
AVN
PERMIT FEE: $-
ZE COMMUN
CENTRAL
SYSTEM
c P
ELL
R IVATE SEPTIC
SEPARATE PERI!4ITS OUIRED FOR ELECT MECH PLBG GAS EOUIP. PREFABS & INSERTS *
flcnsn I EcK (eAvABLE To Nncl fieuentceN EXPRESs I lttcrutse I otscoven
REVISED DATE 4/11/12
I
I
DATE I oa / a5 /2a76
PHOiIE *: 9L9 632 7a7a
EXIST CONSTRUCTION: E
NEr{ coNsrRucrroir: I tRrcr
ACCESSORY STRUCTURE:
A cHANGE oF (rcuparcy usrr flvrs flrs ***..
and
# OF STORIES: a
# OF FLOORS: l__
EzoNtNG USE cLASslFlcATloN: MF-MH Mr,rriFam
zcoMMUNrY SYSTEM
I
llEh
WATER:
SEWER:
Comment
NEW ER COUNTY BUILDING PERMIT
&at 'lbs|
APPLICATION
Nunber
(orfice use)
PLEA5
APPLICANT' 5 NA}IE: XENdAI O]i1,E
DEVELOPER: camu i e vi lla vef o E LLC
PROIECT ADDRESS: ?5 cavalier D
OCCUPAT{T/BUSINESS !,IA!IE : wilmi lon Ind
PROPERTY OiINER'S llAl'lE: ol iver ve1 T LLC
()l,o{ER'S ADDRESS: 6716 Fa11s of Nerrse Rd
CoflTRACTOR: Brasfeild & corrle
ADDRESS: 3?oo clenwood Ave ste 300
EiIAIL ADDRESS: sr Smithobrasfie
smi th
aPPLIcAIIott rYPE: CoilllERCIAL
Ai1SHER ALL QUESTIOTIS APPLICAALT IO YOIJR PROJECI
"Project Responsibilitf'
CITY: Hitminqton
DAfEi at / as /2016
PHONE #: 9t9 632 1a7a
ant Livi LtC
CITY: Raleich
PHONE *: 979 - 632 -'t a1a
ST: NC ZIP: 2?515
5T: NC ZIP: 2 ?612
LICENSE *: 41e s8
CITY: Raleiqh
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #
IF Yes, Hhat Has the Previous pancy Type?
ARCH DESIGN PROFESSIOML: Jor.:-n worref L
ENGR DESIGN PROFESSIOML: ChaTli Lewi s
DESCRIPTION OF WORK: BIdg 7 Ne 4 Story wood sLructure,
t*'I** IS rs A CHANGE oF occuPmrcY usrr flves I
KLERED? [ves Iuo
ADD TO EXIST STRUCTURE
Is Elect Power on this Building T YeS nro
tlhat is the New Occupancy Typel
PH: 919-306-0245 NC REG #: 1044s
PH:919.866.4716 NC REG #: 025934
ALTERA ON
n the
RENOVATIONtr tr GENERAL REPAIRS
No lS ELDG SPRIN
RELOCATION
lf Relocation. is there a Natural Gas Line Current Site?Yes
NEW CONSTRUCTION:ERECT It/E STRUCTURE I rasr rRacx ! sHrr-l I uerrr f]
(check all lhat Apply )
ls lood or beverages prepared or served this structure?I ves I No ls The Propeny Located ln The Floodplain? Eves f] ruo
DISCLAIMER: I hereby cerlify lhat all informati
and locallaws and ordinances and reoulations
or chanoe rn contraclor or conlraclor r-nformaiio
Subieclio Fines Up To $500 00"'
OWNER/CONTRACTOR : Sco(
{A,amet)
Note: Demolilion nolificaliirns & esb*bs removel it appti.aliorB 616 to te submitbd usino tle applhalio brrn (DHHS-3768) whoher t\o ftcjlity or buildi€ w8s burld b
conEin Asbosios or not You are r€quirod to call Nafonal Embslon Staodarcls for Hazadous Air Pollutants (NESHAP) at (91 9)707_5950 at least 1 0 days prlor lo the
derrlolilbn of any facility or building. See Asbesios Sib: httpy
^/viw.epi.state.nc.utepi/asbeslos/ahmp.html
TOTAL PROJECT COST: 18 814 3 7 BUILDING HEIGHT: ae'# OF UNITS: a ?
TOTAL AREA SQ FT
TOTAL SQ FT UNDER ROOF:
ACRES DISTURBED:
!€,
'l
# oF STRUCTURES: r
EXST LAND DISTURBING PERMIT?I YES
i
flNo
NEW IMPERVIOUS AREA:
E
EOUIRED FOR ELECT IVECH, PLBG GAS EOUIP, PREFAAS & INSERTS *
N
38,161 SQ FT EXISTING IMPERVIOUS AREA SQ FT
EDUC aer [coHoo orHER:-
EzoNrNG USE CLASSIFICATION: MF-MH Mlut iFam
z]coMMUNTTY SYSTEM
PROPERTY USE: lOrrrCe I RANT MERCANTILE
ECFPUA zlcoMMUNE oFPUA f] CENTRAL
SYSTEM IWELL
PTIC LI PRIVATE SEPTIC
*.SEPARATE PERI,I TS
PAYMENT METHOD: flcesx I EcK (eAvABLE To Nncl flauentceN ExPRESS I ucnrtsn I orscovea
(FoR OFFICE USE oNLY) REvlsEo DArE 4/'l vl2
SETBACKS: F:-LH:- RH:- B:ZONE:-OFFICER:
Approval:- CitY:-
:
ffi
PRO]ECT COI'ITACT PERSON:
-ziii:\
ZIP i 284o3
PHONE S: 919.79o.92-t2
PHONE S: 979 -306 -i s43
EXIST COiISTRUCTION: E
SQ FT PER FLR: Jgq-
l.d DJA-
# OF STORIES:3__
# OF FLOORS:.3-
PERMIT FEE: $-
ffi
EI'IAIL ADDRESS:
OWNERYC
AC
NEW
PROPERTY USE
Comment
NEI,{ H ER COUNTY BUILDING PERIvIIT
APPLIcAtIoll TYPE: Colttl4ERCIAL
At{sI{tR aLL QUESTTONS APPLTCAALE TO YOIJR PROIECT
"Project Responsibility"
&olk-i8tu I
APPLICATIO{
Number
(oFfi.e Use)
PLE
APPLICAiIT' S llAflE: Kendal olive
DEVELOPER: cambri e vi11 e1 rlt tLC
PROJECT ADDRESS: 75 cavalier D
OCCUPAiIT/BUSINESS l,lAllE : wilmirt on Inde
PROPERTY OI.INER, S NAIitE: oliVeI ve 1o t LLC
O,ll{ER'S ADDRESS: 6736 Falts of Neuse Rd
Cd{TRACTOR: Brasfeild & corr:ie
ADDRESS: 37oo clenwood Ave sLe 300
Smith@brasfie
PROIECT CONTACT PERSON: s Smlth
DATE: 9i Feb /2016
PH)NE *: st9 6f2 lata
CITY: wilminqron ZIP:. 2aao1
nt Livi LLC
ST: NC ZIP; 27612
LICENSE #: 4r95I
CITY: Raleiqh
ALTERA ON REI,IOVATION
lf Relocation, is there a Natural Gas Line lhe Current Site?
NEW CONSTRUCTIOI.I:ERECT N STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Penmit #:
IF Yes, what was the Previous occ cy Type?
ARCH DESIGN PRoFESSIo},IAL: Jol)worrel l
EI{GR DESIGN PROFESSIOML: Charl r Lewis
ONTRACTOR: sr,,r Du
**+** IS rs A cHANGE oF occuPAr{cY usrr fives !NO *****
GENERAL REPAIRS RE LOCATIONnYes[ruo IS BL DG SPRINKLERED?I v"s flruo
FAST TRACK I snrr-r- ! unrrr !ADD TO EXIST STRUCTURE
Is Elect Power on this BuildinB I Yes n*o
trhat is the N€w Occupancy Typ€?
PH:919-306-0245 NC REG #: 10445
PH'. 919.A66.4776 NC REG *: 02s934
DESCRIPTION OF WORK: BIdg 3 d of exlerior north end lor conneclion to new buildin 5
ls food or beverages prepared or served this s1ruc1ure?!ves I No b The Property Located tn The Ftoodflain? [ Yes [ ruo
this applicalion is correct and all work will comdy wilh lhe Slate Building Code and all other applicable Stale
NHC DeveloDmenl Servrces Cenler will be notrfied of anv chanoes rn the aoDroved Dlans and sDecrficalions
NOTL. Any Wod( Performed w/O ihe Appropriare Pemils will b_e in Violalidn ol lhe NC Stale Bldg Code and
(Che.k All That Apply)
STGNATURE: W- D-ra
(oual(bD
Note: Dcmoliton not'ficatiirns I esbestos rsnol.el epplkatio.E ar. to be submitbd using the spplicalirn brn (DHHS-3768) whe0l€r the ledlit o( buildhg wa3 fu./nd lo
contain Asboslos or not. You ar6 requlred to ca,l NatonalEmbslon Standards br Hazardous Air PolluEnts (NESHAP) at (919)707-5950 at loast 10 &ys Fior lo 6e
doololi{rcn ol eny licility or building. See &bosto6
TOTAL PROJECT COST: $30'000
Sits: httpJ fivw.epi.state.nc.us/spi/asbesbs/ahmp.ht nl
BUILDINGHEtcHT. 57,231
TOTAL AREA SQ FT 57 231
TOTAL SQ FT UNDER ROOF
# OF UNITS: 54
# OF STORIES: a
71.5
RES DISTURBED: ,r . ?
IMPERVIOUS AREA. .i ta 'SO FT EXISTING IMPERVIOUS AREA
FFICE R
E
SEPARATE PERIi,|ITS EOUIRED FOR ELECT MECH, PLBG GAS EOU P, PREFABS & INSERTS "
u HECK (PAYABLE TO NHC)flnuenrcnru exeness I trlcrutsn florscoven
(FOR OFFICE USE ONL'
SETBACKS: F:-LH:- RH:- B:-
57
SO FT
nnur luencaurtre !eouc arr lcouoo orHER:
WATER: ECFPUA
SEWER: ECFPUA
aE COMMUN
CENTRAL
SYSTEM f-I WELL EZONING USE CLASSIFICATION
errc ! e-nvare sEplc El coMMUNlry sYsrEM
MF-MH M]uTiFam
REVISED DATE 4/11/12
ZONE:-OFFICER
ADDroval: CitY:-FLOOD:- BFE+2t=-
N
c.
PAYMENT METHOD: ICNSTI
Piot{E S: 919 - 632- 7a't a
CITY: 3cls]s!_ sT: NC zIP: 2?51s
PK)NE S: 919 -790.92'12
PHOiIE f: 919-306-7s43
EXIST CONSTRUCTIoN: n a tr
DISCLAIMER:
SO FT pER FLR. jd.047
# OF STRUCTURES: ]__ d OF FLOORS: -4-
EXST LAND D|STURBTTC penUrrZ ri'l VeS [ ruo
PERMIT FEE: $-
!
ffi
owNEFvco
TOTAL
TOTAL SQ
PROPERTY USE
PAYMENT METHOD
Comment
N
PERMIT FEE: $-
Jo lf, -llt')
NEt^l
PLE
APPLICANT' 5 l{Af'lE: Kendal olive
DEVELOPER: camlri e Vill ve1 ent LtC
PROIECT ADDRESS: 75 cavalier D
OCCUPA T/BUSIIESS NAlilE: wi Imi
PROPERTY OUI{ER'S NAIIE: o}1ver evel nt LLC
OWNER'S ADDRESS: 6?36 Fa1ls o Neuse Rd
COi{TRACTOR: Brasfeild & corri
ADDRESS: 37oo Glenwood Ave st 300
EiIAIL ADDRESS: s smith,sbrasfi
PRO]ECT COT,ITACT PERSON: S r Sml th
ALTERA ON
ARCH DESIGN PRoFESSIOiIAL: Jor,on worref 1
NOVER COUNTY BUILDING PERI,IIT
APPLICATIoN TYPE: C0illlERCIAL
AiJSHER AtT QUESTIOIIS APPL]CAELE TO YOUR PRO]ECI
"Project Responsibilitf'
APPLICATIOiI
l{umber
(offi.e use)
lf Relocation, is there a Natural Gas Line th e Current Site?
NEl./ CONSTRUCTIoI{:ERECT N STRUCTURE FAST TRACK
ACCESSoRY STRUCTURE: N.4aintena garage / support structure
lf UPFIT - The Shell Permit #
**r.*'* Is rs A CHANGE oF occupat{cy user flvrs B ao ***t*
IF Yes, what was the Previous ncy Type?
CITY: wilminqton
ton Inde ndant tivi LLC
CITY: Raleiqh ST: NC ZIP: 2 751s
LICENSE f: 41es8
CITY: Raleiqh ST: NC ZIP: 276r2
PHONE S: 919.790.92'72
PHONE S: 9r9 i06-7s43
(ch€(r all rhat apply)
RENOVATION tr GENERAL REPAIRStrYesnNo IS BLDG SPRINKLERED?flv""No
! sner-r- ! unrrr !ADD TO EXIST STRUCTURE
Is Elect Pouer on this Building T Yes Druo
PH: 919-306-0245 NC REG #: 10445
DATE : 9,' Feb ,2016
PHONE *: 9a9 632 7o'tg
PH; 919.866.4715 NC REG #; 025934
REVISED DATE 4/11N2
EN6R DESIGiI PRoFE5SIoML: charl Lewis
DESCRIPTION OF WORK: New con tional wood framed mainlenance buildin
ls food or beYerages prepared or this struclure? [Yes I No ls The Property Located ln The FloodptainZ f] ves D ruo
th pplica
Devel
ny
lion is correct and all work will comdy wilh the Slate Building Cod
oDment ServEes Center will be notrhed of anv chanoes rn lhe aDo
Work Performed w/O lhe Appropriale Permfis will 5e in Vrolal'on
plans and
NC Slate Bldg code and
pplicabafldal State
NHC
N OTE lhe
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:7t .5 SO FT
L_.loFFrcE [_lR RANT MERCANTILE EDUC APT CONDO OTHER: Uiility
NTRACTOR: s*,tt worth SIGNATIJRE. cT# L-vt't
(qrdia.l)
Notei Demolilion mtficafl$s & 6sbostG removal eppli.aflons are to be subrnitEd using the applkalixl brm (DHHS-3768) wh€her $e leciliv or building wes hulld io
contaln Asbostos or not You ar6 requlrcd to call Natonal Embslon Standards for Hazardous Air Pollulants (NESHAP) el (919)707-5950 at l6asl 10 days prior to $6
demolilion ol any hcility or building. S€€ Asb€slos Sib: htlp:/ rglw.epi.st8te.nc.utepi/asb€stos/ahmp.hunl
PROJECT COST. $40 000 BUILDING HEIGHT: 14
TOTAL AREA SQ FT :432
FT UNDER ROOF: 432 # oF STRUCTURES: r # OF FLOORS:.
ACRES DISTURBED EXST LAND DISTURBING PERMIT?I YES NNO
WATER: ECFPUA
SEWER: ECFPUA
aE COMMUN
CENTRAL
SYSTEM
c P
ELLtrRIVATESEPTIC
. SEPARATE PER[,4ITS OUIRED FOR ELECT MECH, PLBG GAS EOU]P, PREFAAS & INSERTS
flcrsx f]ECK (PAYABLE TO NHC) EAMERICAN EXPRESS I llCrutSr E otscoven
ZONE:-OFFICER
(FOR OFFICE USE ONL'
SETBACKS: F:-LH:- RH:- B:
Approval:- City:-E:- FLOOD:
--
BFE+2ft=_
# OF UNITS:
# OF STORIES: 1
ZIP;28403
PHOiIE B: 9t9 632 'la'ta
EXIST COiISTRUCTION: N tr RELOCATION
lhat is the f{er Occupancy Type?
SQ Ff PER FLR: 432
1
lzoNtNG usE cLASSlFlcATloN: MF. MH MruriFam
ECOMMUNITY SYSTEM
OWN
Comment
N
PERMIT FEE: S
NEW H ER COUNTY BUILDING PERMIT
AP P L lcar lott IYPE: C0ililERCIAL
AIIS}IER ALL OUESTIONS APPLICAALE TO YOi-'R PRO]ICI
"Project Responsibilitr,
2p tts-t8tu 5
APPLICATIOI{
Number
(office Use)
PLt
APPLICANT'S l,lAllE: Kendal or ive
DEVELOPER: camlri
ALTERA ON tr
lf Relocation. is lhere a Natural Gas Line th c urrent Site
NEl.l COI'/STRUCTION:ERECT N
e viIl e1 nt LLC
PROIECT ADDRESS I 7s c ti lD
OCCUPAI{T/BUSINESS llA}tE : Hr}mi Eon Inde danl Livi
PROPERTY Oi{NER'S lUtllE: ol rver ve1 t LLC
OiTNER'S ADDRESS: 6?i6 Fa1]s oI Neuse Rd
CONTRACTOR: Brasfelld & corrie
ADDRESS: 37oo clenwood Ave ste 300
EI+IAI L ADDRESS: s Smithgbrasf ie
PRO]ECT COI'ITACT PERSON:Smith
(che(k all Ihat Apply)
ST: NC ZIP:2761s
ST: NC ZIP: 2 7612
PHOiIE f: 979.79a.92'/2
PHONE *: 9r9 305 7543
tr R E LOCA I ON
DATE : 9i Feb /2016
PHOTJE S: 979.632 7a1a
ZIP:28403CITYr wilminqton
LLC
CITY: Raleiqh
LICET'ISE f: 41e s8
CITY: Raleiqh
R E NOVAT I ON tr 6 N E RAL RE PAI R sE
2
T
YES IS Yes NoNoBLDGSPRNKLE
FAST TRACK SHELL I unrrr I mo ro Exrsr srRUcruRE
rs A cHAr,r6E oF occuPANcY usrr flvrs I ito *****
pancy Type?l{hat i5 th€ Ner Occupancy Typel
RED ?n
STRUCTURE
closure
DESCRIPTIoN oF woRK: New wood nce on concrete slab dum r enclosure
ls food or beverages pfepared or served this struclure? nYes I No ls The Prop€dy Located ln The Floodptaint I ves [ruo
ppl rcabl Stale
ACCESSoRY STRUCTURE: Dumpster
If UPFIT - The Shell Permit #
**+** IS
IF Yes, hfiat Has the Previous Oc
ARCH DEsIGN PROFESSIOIi.AL: .]oII:I n worrel l
ENGR DESIGN PROFESSIOTIAL: Charlr Lewis
TOTAL AREA SQ FT 768 SQ FT PER tIff; 768
TOTAL SQ FT UNDER ROOF N]A # OF STRUCTURES: 1
ACRES DISTURBED:
PH: 919-306-0245 Nc REG #: 10445
PH:919.866.4?16 NC REG #: 02s934
fu- t.r.,a
hJC Bldg Code andS
ER/CONTRACTOR: scou Du SIGNATURE:
(A@lif.0
Note: Demolilion nolifrcaliros & asb€sbs reanoval Epdbatlons ar6 b be submitEd using Ble spplicetbn fo(m (DHHS3768) xlEtho. the Lcllity or buildlng was bund lo
contain Asb€stos oa no! You ars r€qultod to call Natlonel Emissioo Standards br Hazardous Ajt PollutanNs {NESHAP) at (919)7075950 at bast 10 days prior to ths
denDlilion ol sny hcility or bullding. Soe Asbesbs
TOTAL PROJECT COST. $40,000
516: httpJ rww.epi-sbte.nc-us/6pyasbestos/ahmp-html
BUILDING HEIGHT: 8 N.,A# OF UNITS: .
# OF STORIES:
# OF FLOORS:
EXST LAND DISTURBING PERMIT?I YES flNo
NEW IMPERVIOUS AREA:
PROPERTY USE: Srrrce I RANT MERCANTILE EDUC f]APr lcot.loo
38.7 6l SQ FT EXISTING IMPERVIOUS AREA:SO FT
OTHER: Ut] ity
flzoN ING USE CLASSIFICATION: MF-MH MlutiFanr
EIcoMMUNnY SYSTEM
|-I
WATER: fICFPUA mCOMMUN SYSTEM EWELL
PTIC E PRVATE SEPTICSEWER: ICFPUA f] CENTRAL
(.'j Dt-l-
PAYMENT METHOD. ICASN I ECK (PAYABLE TO NHC) EAMERICAN EXPRESS I llcnrtsn E otscoven
E
EOUIREO FOR ELECT MECH, PTEG GAS EOUIP, PREFAES & INSERTS'
ZONE:-OFFICER:
Approval:- City:-
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
BEVISED DATE 4N1l12
EXIST COI'ISTRUCTION: f]
PHO E S: 9a9 - 632-7 a'? a
I
Is Elect Po!,er on this Building E Yes E] Ho
1
2oru9278
04/04/201A 09:0 7 l'rLl 7(O PLAU5 *
HANOVER CO{,NTY BUILDIIIJG PERMIT
&?LIArIOlt TYpe; RESIDE TIAL
PtE4:a rxsr|za ALr qr:stto 5 nr41(a!t a To )tt t piol!<r
"ProJect ios Eors tbd,l t"tF
@ool
0ATE: .{ /,1./10.6
RECEIVED APn 0 4 m 4y ,ir€\ .1qt --tobo
NE
n
?rztt" loLt,
APPIICATIO{
aP9LtCArfi'S rAltr:
OEYELOPEN:
pRollcr ADof,€s5:
sL@rvts1o :
PfiO": *:
I cosr,E T s5 tr tr
CTW:u1:ZIP::8.0!
Is Ar, ELECTAICA!, ,Urr3!l{l
If the project ii a Reloc
Is thr.e ale(lrl(aL Poiic.
PFOPTRTY fiTiIR's IIA'IE
o.r,$R,5 ADORESS:
Co*ITRACTOR: sa.:,, n.i.
Aooh€ss: r.; l
EMIL
^DORESs:piolEcT co TAcT PERSOX
EXrsTrG C.0alsTRr[rIoil:
ntrtcoETntrIIO:EE
..9LtAs! altEar atD llls]l:l
I rr r c*Rae r
f] surnoo'r _sFI ane ei*urse
-
TOTAL HEAT€D Sq FT.
IoTAL PROIECT (OST,!"*
IS T'{E PROPENIY LOCqTED
z3itE 1.i ft*.il n \ .ar':J{o o^Il a.lrrlD
ar, Ni4 s, N &4
BLO(X *; LoT r:
effY: _ sr: zrpl
LICEI6E *: 4,3C
CITY: G!..nBboro sT: Nc Zrp: :7.rrc
P}O E *,
P}ICNE,: lt6.B{r-l9ra
Lt ERArro.l fl nnannrron I eelreur nrenrns I RELocATroi
l,aft{ R€srDE?{Cf, o. I llnr:ct ro €XJ3T$L itsrDttct
AtL 'tttA-t aPPL! 10 YqJi PRCOaCT:
I oc-r- muce sr ! rcror _ sF
f] aooi
-
s; I sroRAcE sHED _ sF
f] orcr _ sr otlcR:SF
TOTAL SQ FT t t'DEn nOOF: TOTAL AREA SQ FT: !6r
t q.r:!o ca EL (cr ea AG 5 E+J t I tE
: I rr. rrs f OF STORIESI ___;
ltlClle{IcA No.t B!.ing Doo! to lhe l(c.3sory Str!r.t!ra? [ V"s $ fVO
i'l;,1'.ll!ii"l, m ;:l E i:"" ""'n" Ffscff'zoNE
DISCRPIIC" OT TOR(:it
Ogq-AlE R I rqnny sas ili .r. n b.h - nlt .aal..b r .Er-d d sr rd crlrrt ut ar AlDt orrrnO O,{. 6 dt orpt s!:r.a 6i. a !4 E!a6.5rrxr,a 6:-b!.4r tE V-la frn r a.?f .{ i;.nrr s.I 4 mi6.d .t F / 3rylac , n6 .r@at
'54tb '!'?'u "!{OrF
^'Y
!'rb'r w,ii n! .rra!..! rrrf rE *r D. in vl.rrrr' ,! cr ria srt
oH$E R/ CO'{TRACTOR :STG}IATURET
..r4... r.!. r.1. rrtl noooeunl f] vrs D ro
p(opERTY USE / OCC0Pn}.CYI srrct-c FAiiILy ! urera< [ raa'na.sr
EGSTITJG I8PER\rIOI'S Atr€A;
NEtl llPtFVfdJS AiEA i
SQ FI
5Q rr
TOTAL ACnrS OIsrUiEEo:
;XIST t lO DISnnE G PERTII: E VrS I m
nAYER: m crfl.n f]svsrrm I i,nrvar uell f] cemul wll
sErifi: E]CIPU E ce{r stx:c I mrvri-e serrrc Q ccr+{Jrr]ry sysrFu
n
R *Jio,rr,r*,(rfi orrral u$ orl.Y)
SE-I9ACXS I f:
Appnoval:- CltY:
PER,'IIT FE E:lO.aa
8FE+2ft-
N.,ti*N O C\o"z'o,a.
coilent:
oAr r:!lla[,4r roo):
Cfy h*eclion Requrrec, gl 0"t54{i.,1
i#
PllotaE r: 9:.a--3e:-6-{.
#'"-'
O4/04/2016 09:07 F.,LI XN PLAN' *
RECEIVED APR 0 4 20t.4.y. q'e\1q\ --1ci.oo
NEhJ ANOVER COUNTY BUILDING PERMTT
&PLIGAII0II TYPE.. RESIOEITJTIAL
Aris{IR
^Lr QUEsTrOtts ApptI(ABrE T0 YOUR pROtfCT
r'Pr.oJect Resporsibility''
@ oo1
2ott 322b
Wztr, loLb
APPL ICATIOII
ltumber
APPLICAHT'S l.tATIE :
DEVELOPER:
PRO]ECT ADDRESS.
SUBOIYISION:
PloflE *:
1 5 BiEE CIWi wi]minqton ZIP i zaao l
FROPEf,TY OI{{ER,S t'lAfiE:
oh,tlER'5 ADORESS: same
Ken S
]s AN}, ELECTRI€AL, PLUtrB]iIG ol"
If the pnoject is a Relocat
cr.se b- r. b?h atol "'NOTE A.ylYc:k o.,
PHOTIE *:
STi
910 -3 92 - 6lr 6
_ ZlP, _
HTXICAI- l,lork BeinS DorE to the Accessory Strs.ture? [ Ves fi HO
n, is there a Natural Gas Line on the current Site? fives f] ruo
r' +an!.s.n tB al9.ovel rjh^F an: sEc r"-? i.nc a, .5.iEB h.cl!'acD
\45aro" o'he rvc SEE do ip.6 anc S.!!ecr r,{ ne!LDT.Sf0O.Oq
srcmrunE: I )n-r,..1larr*-l
c.rTv.:
Co|ITRACTORi scar6 -liome i LICEI6E *: 4 733 c
ADDRESS: 4s2i int Dr CIIY:ST: NC ZIP: 274 ro
EIIAIL ADORESS::-2oao:PI€ E *:
PROIECT COiITACT PERsoItr ]anD
EXIsTrls col{s TRIJCTION: E AL aarroru @ RENovATToN f] crueear- necatns I RELocarroN
NEN COrsTRrETrOn, I rneCr REsrDEflcE o. [ rcOIrror ro EXT5TI]re RESIDENCE
.+PLEASE CHECX AI\D AI{SI{ER. EELOUI ALL THAT APPLY TO YqJR PRO]ECT:
[rrr caaaor
-
sF
! sutnoor,,r
-sF
! enrervroust _ sr
I orr caRnce sr f] con+r
-
sF
PooL _ sF I sronace SHED _ sF
DECK SF OTHER: SF
TOTAL SQ FT UNDER ROoF:
-_
TOTAL AREA sQ FT: 1Bo
TOTAL PROIECT COST (1.*L.q :# OF STORIES:
Is there Electrical Powen on this Building?t ves [No
PROPERTY USE ,/ OCCIJPA|TCY I a I\KI F FAWLY I werrx I romnouse
DESCRIPIIOfl OF l{OR(: xiL remocie-. cabirLet refac nev counterto
build 1!050
USCLAI,ER I rEoby c.djt m.r alr Ebflnanon .€pFlcalon a_com.trd llr erkwllc plywltr tr€ St3b BllEmO tudo d 6llonEr appkEbre 6bb ad b€rtfuB
sd ordr!1ra6 ana 16! rl:tions. Th6 !N c il6 !€l
ON'JNER/CO TRACTOR:
* **** ** **** ** +* * * * * * * )i *,r
rS THE PROPERTY LOCATED IH A
+ ..**r,i,r*** ***,i*** ++ * ** ia+aa+r** + t 1* l+ *
rlooocunrr I vrs Em E;;;ro;;=
EXISTII'IG IIiIP ERIrIOI,',S AREA:
I.,EI.I T4PERVTOI6 AREA :
r.rATER I E CFP{]A
sE €R. El Cfp{JA
ZONE: _ OFFICER;
Apprsval
Cortr'Ent:
TOTAL ACRES oISTURBED: _
Exrsr LAlo Drsnn8uE PERHTT: ! ves F-l m
sQ Fr
SQ FT
tr svsreu E pRrvArE wELL f] cerrur uerl
I CEMRAL rcrrc I eRtvart secrrc I cor+rururrv sYsrEM
PAYNEIYT IIIETHOO: [ '*'
REQ!]IRE FOI ELE(I, IlECIt, 9LBG. 6A5 EQUIPJ PP'FABS & IIISERT5 fu'
clrEcx (payaELE ,o mr.; I mnrcal{ ExpREss E */rrto I cns.wtn
*,} SEFARAI$ P€3III
*)r** a:r* ***a**:t***** *+* *,t
(FOn OfFr.r utE orLY)RE!.r5ED OATE O4l11l12
SETBACKS: F:- LH: RH:- B:-
:- CitY
-
BFE+2ft=
-
DATF: F LOOD:
A
PERMIT FEE:
OAIE'. 4 /4 r2Lt.
BL(rcK *: LOT *:
PIIONE #r 3ls e4r 19rc
TOTAI HEATED 5Q FT:
\
DEVELOPER:
OWNERJS ADDRESS:
OWNER/CONTRA
TOTAL AREA SO FT :
ACRES DISTURBED:
NEtd H
PLEASE
APPLICANT'S NAME: Advanced Home Care
PROIECT ADDRESS: 1s2 o wr.i eetht st
OCCUPANT/BUSINESS NAME : advallce Home Care
PROPERTY OlrNERr S NAiIE: tsoslrc
&orr,- 91)
L6- 694
APPLICATION
Number
(office Use)
OVER COUNTY BUILDING PERMIT
APPLICATION IYPE: COMMERCIAL
ANSI,JER ALL QUESTIONS APPLI(ABLE TO YOUR PROJ€CT
"Project Responsibility"
CITY: wi lminqton
PHONE S:
EXrST CONSTRUCTTON: [l ALTERATT fZ neuovnrroru
Current Site? Ll
CoNTRACTOR: DH Gri ffin construc ion LLC
ADDRESS: doo creen Vatl Rd. s i[e 301
EMAIL ADDRESS: sadams@dh e. com
PRoJECT CoNTACT PERSoN: steve
+*+** IS TH
fF Yes, what t",as the Previous Occu
ENGR DESI6N PR0FES510NAL: o tima lneerln
DESCRIPIION 0F l.^lORK: Renovati to exist
ILLIAM E JR (ARLA C
(Check all That Appl.y)
s ace built in 1999 -
PHONE #:
LICENSE *: r 517s
CITY: creensboro ST: Nc ZIP: 2?4os
PHoNE *: 336-316-10sB
PHoNE S: 336-316-109a
lf Relocallon, is there a Natural Gas Line the Yes
GENER
f] r.ro IS BLDG SPRINKLERED?fl v""I No
AL REPAIRS RELOCATION
NEW CONSTRUCTTOru: I rnrCr rurUr TRUCTURE FAST TRACK SHE LL UPFlT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The 5he11 Permit *:
A cHANGE oF occuPANcY uset Ives I NO 'r'r***
ncy Type?What ls the New Occupancy Type?
ARCH DESIGN PR0FESSIONAL: Llndse rchitecture PH; 336-61?-4402 NC REG #i 5226G
PHi 9L9-925-2200 NC RE6 S: 1s4s7
ls food or bovsrages propared or servod ln structuro? nYes r No ls Ths Proporty Located ln Ths Floodplaln? f] Yes I No
CTOR: ou o.ir
(ouarno.)
Note: Domolidon nolifcstlons & asbestos removal
(Prk{ il6ri.)
It appllc€liom srs to b€ Bubmltbd uslng th6 apptlcatlon form (DHHS-3768) whelher t lg fdclllly or hulldlng ws6 tound !o
contain Asbeslos or not. You ar6 requked !o call the IEmisslon Standards for Hazsrdous Alr Pollubnb (NESHAP) al (S19)707-5950al lea l0 days prior to lh6
demolldon ol any facility orbuildlng. See Asbeslos Sits: htpJl$,wrv.cpi.stab.nc.us,/opuasb6losLhmp.hml
TOTAL PROJECT COST:235 000 BUILDING HEIGHT: 18 f eet # OF UNITS:
SO FT PER FLR:# OF STORIES: one
TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:# OF FLOORS:
EXST LAND DISTURBING PERMIT? I_IYES EI NO
NEW IMPERVIOUS AREA:SA FT EXISTING IMPERVIOUS AREA:SQ FT
PROPERWUSE: flOrrrCr I lruencnnrle flrouc f]apr n CONDO OTHER:
WATER: fICFPUA ICOMMUNITY flWELL
PRIVATE SEPTIC
flzoNrNG usE ctASSrFrcATroN:
fICoMMUNTTYSYSTEMSEWER: EICFPUA fICENTRALS tr
PAYVIENTMETHOO: ECNSH E (PAYABLETO NHC) fiel,entcnr.r e<nREss f]McMSA fl OtScOwn
ZONE:*--OFFICER:
(FOR OFFICE USE ONLY}
SETBACKS: F:-LH:- RH:- B:.-
Approval:- CitY:-BFE+2ft=
... SEPAFATE PERI,{I-TS RE IRED FOfl ELECT, MECH. PLSG, GAS EOUIP, PREFABS & INSERIS "'
FLOOD:
-
N
REVISEO DA'IE 4/11/12
3o
tr
Is Elect Power on this Building n Yes E t'lO
DATE: 3-7-2015
ZIP i 28401
CITY: _ ST:_ZIP:_
NEW H
P LEA
APPLICANT'S NAI1E: r. r. t-rr ', r,.
DEVELOPER:
PROJECT ADDRESS: , :Ld CI
SUBDMSION: rl,e ovcrlook i. M cldle Souncl
PRoPERTY OIINER'S NAI1E: e.R. Ho
OVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
E ANSIdER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility''
got6- 3lv7
L6-939
APPLICATION
Number
(office Use)
DATE :3/28/15
PHONE #:
CITY: w i tmi ncror ZIP I 2841
T- orl 1nc
OI{NER,,S ADDRESS: 4,r ir Bell-- re re Blvd
CONTRACToR: : . -,-:,.LICENSE *: :r.r.
DET GARAGE SF PORCH ']
ADDRESS: 4,rll tse1le Terre ELvd CITY: I4vrtle Beach
EIIAIL ADDRESS: Mrdanieisedr hor
PROIECT CONTACT PERSON: .t i.;
ALTE ATION
NEW CONSTRUCTION:ERECT NE RESIDENCE or ADDITION TO EXISTING RESIDENC E
r'*PLEASE CHECK AND ANSWER BELOL/ A L THAT APPLY TO YOUR PROJECT:
PHONE #: 91n 821 8s56
PHONE #: 9ti,i - 6t2- t-7rj
SF
SToRAGE SH ED _ SFPOOL _ SF
DECK
TOTAL SQ
LOT #:
ACCOUNT #:
ST: sc ZIP: 2!r!r9
SF
TOTAL AREA SQ
ATT GARAGE 46iI SF
SUNROOM SF
GREENHOUSE
ZoNE : _ 0F F ICE R:
AoDroval: CitY:
SF SF OTHER: - 6I
TOTAL PROIECT COST tr""" rort : $
DISCLAIMERj l hereby ce ry hat all inft)nnation in rhi
and ordinances and regulatons The NHC Developme
conuacl(Jr nfomalion "'NOTE:Any Work Pedormed
OWNER/CONTRACTOR i r,r-cr.aet :a
Ff.: ia4t
**** * * * ***r: r:*** 1.*++ * *+,1 * + +
NEl./ IMPERVIOUS AREA: :irl
**** x*i< +*+* *,k** *,*+* *** * *1.,1.
i el s 'D . P.. Horton
DATE:_ FLoOD
FT UNDER ROOF: 3812
# OF STORIES: :
DUP L EX TOWNHOUSE
FT i t525a
I5 Any ELECTRICAL, PLU,i.IBING oT E ICAL t,Jork Being Dgne to the Accessory Structure?I ves [ ruo
If the project is a Relocation
Is there Electrical Power on t
PROPERTY USE / OCCUPANCY:s NGLE FAMILY
DESCRIPTION OF WORK: .:: :le Fa l F.e s ident ia I
is there a Natural Gas Line on the curnent Site? [ ves
is auilding? ll'l ves No
applica[on is correcl and allwork willcomp]ywih lhe Slaie Building Code and allolher applicabte StaE and tocat laws
t Services Center wrllbe noiified ofanychanges in he apprcved plans and specifcations orchange n contractor or
/O rhe Appropriare Permits will be in Violation of the NC SraE Bldg Code and Subject t) Fines Up To $500 00"'
SIGNATURE:
IS THE PROPERTY LOCATED IN A
EXISTING IMPERVIOUS AREA :
il
WATER:
SEl.lER:
CF PUA
CFPUA
COMMUNIry
CENTRAL SE TIC PRIVATE 5 EPTIC
SETBACKS:
CENTRAL t'lELL
COMMUNITY SYSTEM
F:_ LH:_ RH:_ B:_
:
-
BFEl?+t=A v fll7ol
***r(***i(**,ttr(*******t(****)B************,t+++**+****,t,t*,t,t
OODPLAIN ?YE5
SQ FT
SQ FT
TOTAL ACRES DISTUREED:
EXIST LAND DISTURBING PERMIT:n YES Eruo
YSTEM PRTVATF t^lE L L
*i.i. SEPARATE PERlvlITS
PAYMENT IiIETHOD: E CMI il HECK (PAYABLE TO NHC)
EQUIRED FOR ELECT, MECH, PLBG, GAs EQUIP, PREFABS & INSERTS ***
T BrLL AccouNr fl mclvrsl E orscoven
)* )*:* )* )* )* )*,t )** ** ** ***,* *++,t*** ***,!,* + +,t + + *,* *** **x* *** **** l.*1.* 1r 't '* + + +
(toR oFFrcE usE oliltY) REVTSED OATE O4l11/12
BLOCK #:
PHoNE f: 84i 35/ 84,'rtl
CITY: i'jl,rrle Beach ST: Sa ZIP: 29511
EXISTING CONSTRUCTION: E ! nrruovrrroru ! cerurnal neearns ! RELocArroN
TOTAL HEATED SQ
E NoE
Irlruo
/r\
Do$
I
R CEIVED [{AR 16 iuri
HATXCVER COt I'ITY EUr t0rflG P E Rirr Tp?Lrcttt t I}tE:Col'SlEicrll
HXASE
lr?t lcllT,s l.lEr
DttEtcE !
Ptor€ct lD0ic56l
OCCUPT{T/H'9IIES tI'{E:
Pr0rEiTr 0l Et,5 lltt:e
SrGrS rDOrEsS&z3,
cotllllctli:
Vz rb-81f
iDlb-r)i s
rEGl lrr qrEsrDS rfiraara t! rqi
?rqrGct fcsr!trdDfuqf
CTTY:
e.C Ou,J
'zlr(t"rs
rr0Jtcr rP[ElTnld.r(ofiq !lt)
s
PttItE *!
DTIE
*",
*r&.2n 27AZt:
Ir
rrolESS:
E'{IIL IDOiESS,
PIOIECT C.ITIACT PCtrO :
TICREE }:
cltY:
Er$? C46rRrrDI! D
,f R.lor$or|. b tt€rls lur8f
ilEIr Gl6'tBUcrId: [l
^ErcEssoiy
rnrud:
If lr?Flt - rhe Slrdl
WATER NCFfil^ rlOOsate Eicrpur Elce
!F YrE, rft-t B5 ti! Ptwl
$OI DE EI PE}EEUTT:
EIIGI !E B PIOFSS'&IJAT:
DESCRIPTTO 0F IOR( I
e bod or DG/l,ros grgrrGd
lr
ol
tltn,,&Danlrk!rffir&tat
.st h&0.rr..E,lt.nd.mihrqE ohlutE,
TOIAL PROJECT
TOTAL IREASO FIr-
TUT&SOFTUI{DBROOI
rtHEsDlgruRBED_
IiIEIY II'PEFUI(XJS fiEft -
PEoPERTYI,Be trbFFH
L\L€ NJSr
ao ;\6 P
061 ..1J
rlruUfa-
,q
A l"D srtt
tq
t{cEr|{m Elvesfino
rGffiE
E(las
I
I 2
b
sa Fr
-BEPINAIT I
PAYrGt{rl,tEnmr EFAS
(- 5gm^totn--q..
Ttrffitrmoorm
EloiDo OI}ER
t--gi- GiEDrlEclt'!
-,-BFE+2ftp
,AlE OFHCERApor{-ry.-
ffi
ftv&Lv
?As{-5
1{qN967 rv 6l
\lo$$${to *tt<-
Tr*\ 1570 5l^,. t
-rsmnpE:0
TEPAIIS
IG}I STBfiNE ftnsrnrcrIscrr trmrEloo T0 EIIsT 5n rfif,r
NEW
Jotb- ?stT
PERMIT It'q{ IANOVER COUNTY BUILDING
APPLICA|IaTI TTPE: RESIDENTIAL
EASE ANSI.IER ALL QUESTIONS APPLICABIE TO YOUR PRO]ECT
"Project Responsibility',
z
i&
OWNER/CONTRACTOR:
a?t
APPLICATIOf{
Number
(Office U5e)
oafi: ?/ft)/ 14,
APPLICANT,S NA''IE;e
OEVELOPER :A
c
SUEDIVISION:
PROPCRW (MNER,S t,IAflE:
suNRooM _sF
GREENHOUSE 5T
TOTAL HEATED 5Q FT:
TOTAL PR0IECT COST (Less Loi) :
]5 Any ELECTRICAL, PLU}IBING oT
If the project is a Rel.ocat
Is there El.ectrical Power o
OISCLAIMER: I hereby cedit tral ali intomation
and ordinances and rcgulaiions The NHC Develo
PHONE #:
CITY;
! sronacr sHED
--
sF
tr e s tr
C
T
T ?q
PHONE *:J
PHONE #:
LO s
zrp;21il)
s 1 t e ?e s tr No
7
>,PlOtlE #: 5 a*-1{f-c Jsr*Lztpt :ibq4J,ic
CONTRACTOR:S Z?L
r'ADDRESS:
EIiIAIL ADDRESS:
PRO]ECT CONTACT PERSOIT,: ).-I Zc-2 e v'5 ia l't,
CITY:
LICE
CITY:
ict ft NS_E S: _ ACCOUNTftsf k Ha,rue s
EXISTING CoNSTRUCTION: n A
NEr,,l coNsTRucTIor, ffrnecr
ennrrol fl RENovArroN I cerrnar- nrearns f]RELOCATION
l^, RESIOENCE o" I aoorrror To ExrsTrNG RESIDENCE
*XPLEASE CHECX AND AI{SI{ER 8E AI-I- THAT APPTY TO YOUR PRO]ECT:
! arr eanree _ sF ! oer cnnaoe t, {ro^c,lll9 sr
E CHA'{I CAL ,to T k
n I s t h e n e a
t h 1 5 u 1 ]d 1 n
POOL sF
DECK 5F OTHER:st
TOTAL SQ FT uNDER R@FI JOt,' 7 TOTAL AREA SQ FT:)!!t-
$
PROPERTY UsE / OCCUPAI'ICY:SINGLE FAMITY
DESCRIPTION OF WORKr 8n
fr OF SToRIES: 1
Being Dooe to the Accessory Structur€
Natural Gas Line on the CurrentrIves !]'.1 to
I ourrrx I rowrnousr
b.,+hh l
"'nz
h
h wlll
Se Cen uf€d
ih h Slz BU ildino Code and aI ohe.applirabte Stab 6nd to€at taws9esspecifrcrtions or change in co|ll,actor or
Code and Subjeci b Fines Up Io g500.OO-
ts(SIGNATURE:
€ontaclor inbrmadon "'NOTE Any Wort th N cto
IS THE PROPERTY LOCATED IN FLOODPLAIN? J--] YES
+<
,t****rr***+)* * * rr* **** +** *!r * ***:* +* * ****,***)**+,1* +**,r* r,l )*
NO
SQ FT
SQ FT
,f :* *** * ****:***:*,*rt** *:t,t* )t*
EXISTING II.IPERVIOT'S AREA:
I{EU ITTPERVIOI'S AREA:
TOTAT ACRES DISTURBED:
EXIST LAND DISTURBING
C)
PERiIIT: T-I YEs fl r'ro
WATER; E CF PUA
SEWER: E CFPUA
! cor'uuur
I crrrnnl
SYSTE
EPTIC
REQUIR
CHECX
l'1 PRIVATE WELL I cerurml wrr- r-
ffenr vATE sEprrc ! collr,tururrv svsrru
**. S€PARATE PERMI
zoNE: _ oFFICER:
Approval:_ City:
Comanent:
E D FO R L E c T ECH P L BG GA5 E QU I P PR AB 5 &I NS ER T s
PAYI,IEIT r4ETHoD: ! casl PAY L E TO Nr{c tr I L COUNT /VI5A tr D IS c0v E R
_ BFE+2
L***,r * **:t* 'f * *,r** + )** *:t*x *
(fr/tc
(F0i 0rrrcE ust c !Y)
sETBAcKs: F :_ LH: RH:_ B:
iE!1sED .ArE o4l11/12
N
DATE:- FLooD:
-
A
PERMIT FEE::lnq
PROJECT ADDRESS:
BLOC( #:
o},r,lER'5 ADORESS:
No
C.t +:l {l-4 f4 >br-r-tv
4
do/tr-ir i
NEW H NOVER COUNTY BUILDING PERMIT
Pl t
APPLIcArIott rYP6; RESIDENTIAL
ANsI{ER ALL q]ESIIONS APPLICABIE TO YOUR PRO]ECT
"Project Responsibilitlr'
L6- 452
APPLICATIOOI
Number
(Offi(e Uie)
APPLICANT'S
DEVELOPER;
PRO]ECT ADD
SUBDIVISION
NA|IE: r
RESS: I : :. j .!r: r.' I
, ,l . l.rr,' r
PROPERTY O^iNER'S NAI'IE: n ':1.'
r :l::.:i,
i:e 2al0
IS THE PROPERTY LOCATED IN A F ooDPLATN? f] ves
EXISTING II{PERVIOUS AREA:SQ FT
5Q FTNEW ITJIPERVIOUS AREA : ,i r' ', i
CITY:
ELOCK fi:
TOTAL ACRES DISTURBED:
LOT *r
zIP: jj_!:
:. /;
9Lc-581-9499
PRO]ECI CONTACT PERSOI'I: i..PHOI'IE f: !:l'-5a -::l:.r
ExrsrrNc coNsrRucrro : f] ar-rr arrozu [ RENovATToN f]eexrnal necarns I RElocarroN
RESIDENCE o" I mOrrrOl TO EXISTING RESIDENCE
r+PLEASE CTI€CK AND ANsI,(ER BELOI,I A THAT APPLY TO YOUR PRO]ECT:
AlT GARAGE i .J::.)SF I orr cnnace
-
sF PORCH 10:j 3 SF
f] suruaoor.l SF I rooL 5F f! sronacr sHeo
OTHER:
SF
I cnrerrouse
-
sF DECK SF SF
TOTAL HEATED SQ TOTAL SQ FT UNDER R@F: .r4.r TOTAL AREA SQ FT:
TOTAL PROIECT COST rr".. ro,l : $i' , , .$ OF STORIES: :
Is Any ELECTRICAL, PLUIiIBING or I'IEC CAL t{ork Eeing Done to the Accessory Structur€? P V"r I no
C[.INER'5 ADDRESSi ; ] r,,1" i ' r'
CONTRACTOR: :i ): ;.),,;,,, r;.1
AmRESS: I ,1: Ea5r,/J,JC,.i :ioad
Ei{AIL ADDRESS: : , ,.I
PHONE f:
CITY: i{r l.: :r,SI; 1i'- ZIP: . !.; 11
LTCENSE *r ,i ,. i..,
CITY:i'j i lrr i f .ri 1rn 5T: jrj:_ZIP: . i,l. j
Pl0l',lE S: !,i r..6r:,- 4t_:r.1
biect t Fin€s up To 3500 00'..
* i( t * * * ** * *,f t I *il:i+ * +,* * 'a,l * * + * * * * * *,r * + * )t +* ** + + + !i + * ** + + + t
I NO
NEI.I CONSTRUCTION:ERECT NEti
FT: ,.:,rl
If the project is a Relocatlon
Is there Electrical Power on t
5
i.s thene a Natural Gas Line on the current slte? f! ves ff uo
is Buildlngl I ves f] ruo
GLE FAr,lrLY f| oueLrx f] ro.rruuouse
applicaton is cor€cl 3,d a{ work wdl co.iply rrih h€ Siate BuaUin0 Code 6nd ad otlor appkEbrB Stab ard tocd taws
Services Conbr wiE b€ notfed olany chalg€s in h6 €pp,ro\€d plels eid specificatons or change n contracbr or
DESCRIPTION OF UORK: r,,::'r .'iri,ir uctio|l of a residential honie on a vaaanL lot
DlSCLAlrER: lhsrebycerut hal allrn,ormatlon in fri
and ordinances and r€gul.lions. The NHC Developm
contac!r. inbmalon "'a{OtE AnyWor* P€rlormed /O tr6 Approp.ab Pemilswillbe in Violarion ol the NC Siab gidg
OWNER/CONTRACTOR : r,
)+1.r++,t t t* it,t +:*t t ++**+***+++
*+ + s r3 + *,t * * * t* *,t *,f t * * ** * * 4 *
EXIST LAND DISTURBING PERIiIIT:fi vrs NO
fl conmuur
I celrrnal
!'.IATER:
SELIER:
CF PUA
CFPUA
TY
SE
YST
TIC
el,t I rnrvare urll
l-l pRrvnrr seprrc
I crxrnal we ll
f] connuru rrv svsreN
PAYT,TENT nETHOt: ICmn
QUTRSO FoR ELEC'r, i{rCH, pr.B6, 6A5 EQUIP, pRtFASS n TNSERT( 'as
Ecx (pAyaBrE ro mrc I I anrnrcAr ExmEss E r,rcrvrso E rrr.orm
ZoNE: _ 0FFICER:
Approval:- City
)t,* r* + *,*,t,i i,r i * *,t *** 'l:* *,t,* + * + **,t*,1** * l* ***ri * **a+,t * * r* * * * + 4 * + *,t* + * r
(rofi oFFlcE usf ot[Y) flEVrsEO DArl 04/11112
SETBACKS : F:_ LH:_
FLOOD:
g:_
I
!
DATE
RH
ffi
DATE: .);r r i.'il . ii
PHSIE S: r--:a-:.;rI-',,1 i:'
PROPERTY USE / OCCUPANCY: E
SI$.IATURE:
BFE+.2ft=-.
#ATW
NEI,.J
. RECE'YEO UAR 1O 2OS
)oru 7L55
ER COUNTY BUILDING PERMTT
l^
*a4+-7,r.)
:.
APPIICAI{T'S ilAr{€: Be!.. Ro^:!
,EVELOPER:
Pt0lECT IIDRESS: 2-ri s. 1?th
;F Yes, rftat lEs thc Paevioars pincy Type ?
APPLTCATIN ryPFr CoI+IERCIAL
E lltxEl at-L Qrrfs=:oiJ ArPLicaSLr To yqJi piol:cI
dProrrct lcsponslbutty,
CITY:'d lni
e)APPLICAIIO',I
NuEb€r
(offl.€ ur.)
Pr.o E ' r
DATE:3 / 1a/ 2016
OCCUPANT/AUS1I.{ESS t{A}lE : rile i r. ,i v..l:cal
PROPERTY OIIIItfi's I\AN!: NCr, H 'n.r 1 l,!e,iicaI Canror
OINEE'S ADORESST :- !^Y i549 (ITYi }lrlntircr:on
COflTRACToR: Brker noorin LICEIGE S: 5812
A.DDRESS:3 0'l Xrrt fiaHX CITY: rir lt!:hqron
EHAIL ADDRESS:fi:
PRO]ECT COTTACT PERSO'I :k
PtOllE $; 910-343 -2 846
Sfi Nc ztP i 2B4o/.
PNI NC RE6
PH:-- Nc REG
DESCBl,lION OF [{ORK: .{e-8oo!:cJ. oll exlstln 7;\l ard 3um cc!'eabo3:d. IDstall rer
all Bl ct?
ARCH OE5I6'I PROFESSIdTIL:
E'JGR OESIGI{ PIOFESsIO{AL:
lui -!
OWNEFYCONTRACTOR: Pr t:.i c
(orE
lua: O6.n rron alarrh{ t d..t a mnora
EXrST COa{STRUCTIOT: I lr-rr
(O.ct
^U[-'] napvarron
Curront Site? [_llf Rdocdoi, B lhere a Net.rs! Ga n the
mr co0rsrRtrcrro*t ! f| e necr x
ACCESSORY sTRUCIURE:
srnucTURE ! rlsr raecx ! sxrr-l
If UPFIT - The Shel,l Pedllt f
&ery)
GEU€RAL REpArRs [-l teLocarr*
f!no rs BLDG spRf r.r-KLEREoT I v"" I r,ro
tr uprn E .ltD To Exrsr srRucrunE
Is Elcct ,ol{er on this Bull.dint n ycs fJ no
a oi rrE or occurccv usr? fl vrs a
Sf: Nc Z1P: 2840s
PhOiE t:91C-199-.rs85
PlloliE f, : 910-60!-r'ro1
l{hat L5 the ,ta Oc(upancy Typ€l
31:to
SIGNATURE
;07
N
PERMIT FEE:
lq,ls bod q be,r'qsgd pGp€rBd a 8{v9d tdr or.nue? fives I No h Th€ ploptrty t-ocG.d r, rna Rooapum E y""
DISCI IUER: I t-.bv ...(v In!:
aM locol iaer a d orlrunc* a']r
6i-t 1rtec r9gIca{oo {ofiHaJ76Ar
crrOln A!b.6 o. n ,t Ydr a ru Bqlhn b .dl tu (x-isHAA (s 1?d..r.ikr o, ,lI h.!V , uildt! $. r&tr llttv.,lri,r ed !Er,nc.u5r.c, 5*brhtrnc
TOIAL PROJrcT COST: s130 00 SUILDI}.IG HEIOHT;60,, OF UNIIS:
TCTA! AiEA SO FT :SO FT PER FL8:
' OF STORIES
TOTA SO ET UNDER R@F:# OF STR(rcTURES:t OF FLOOnS;_
ACRES DISTURBED:Exsr LAND o{sruRBluc crnurrr l-l ves f] xo
NEY,/ IMPERVIOUS AFEA SQ FT E(ISTING IM9ERVIOUS AREA
PRoPERTY UsE: []orrrc* finr f vencar.rnu [eouc [mr lcoNoo orHERHospita:
WA.TER:
SEWER:
P|CFPUA --lcouMttrl
64-crnn ficwrner-
- SEPAiA- 5€tViTS
IJ
,1
SOF
SYSTEM WELL zoNlNo USE ct tsstFicA TIOIY
PAIVATE SEPTIC tr COM[,I SYTTEMUNtrY
ISED FOR flrCT. MEC|,Pt8G.8AS aor.ltp. pR!tA3S a NSEt-s -.
PAYUEN' METH@: rlCASn E (pAyABtE To Nlc) flruenc*tl rxrness f] ucrvrsr I urscolcn
zore:&I-J orrrce*
Arprcvat-!l-_BFE+
ri
( l{!
f itv lnsoecton Requtre,:t 9l 0'254'$11!
FEaSE a DAr! {1 1r2
ZiP:2,8{01
{a
lltr.
DEVELOPER:
D ISCI.AIMER:
AM local
Suqectlo
' RECEIyED ilAR 10 20S 20tQ 32f.5
@
NEt'I
APPLICAIT's NAI',E:Baker Roo c
PROIECT AD1DR€SS; 2131 s. 17
OCCUPAI{T/BI SINESS MtlE: Ne,,
HANOVER COUNTY BUILDIT{G PE
APPLICAIIoII ryPE.. COfiilERcIAL
EA5E AT{STER ALL QUESTIOI{S APPTICABLE TO YOJR PRO]ECT
"Prorect Responslbluty,
APPLICATI(x{
l{umb€r
(officc Ur.)
P}ONE #:
CITY: }li tnlnqton zlP | 28 407
PROPERW 0l{l,lER'5 NAitE: new
(tr{ ER'S ADORESSi po Box 164
COITRACTOR: Baker Roofin C n
ADDRESS: 31.0 7 Kitr Hawk Rd
EITAIL AI'ORESS:oi ri.erQbake roofin . com
PROIECT COI{rACT PERSOiI: pat ck Poili r
and HCln
Fincs Up To 3500.00-
OWNEFUCONTRACTOR:Patri k Poir.ier(ark,
l5L: Oaaiolloal rd[cr6oB I S-b llrqd rpplbadoata
ional Med-ical Cenler
ional Medical Center
CIW: wilmington
LICEiaSE #: s 812
CITY: wilmibgton
ch A11 That
SIGNATURE:
PIIO E S: 9ta-343-2846
n
STr Nc ZIP:28402
ST: Nc zfP:2840s
EXrST CONSTRUCTTON: n ALT T ION tr REI{OVATION
lf Rdocdon, is there a Natursl Gas on the c urrent Site?tr Yes
DESCRIPTIoN OF WoRK: Re-Roof - Tear off exlst TPO and sum coverboard.Install new s
all
&Prv)
cENERAL REpArRs [-l neloqrrol
ENo ts BLDG spR-rNKLEneoz I v"u filo
PHoNE #:910-?9e-?585
PIONE f:910-604-1701
stem -
NEW COiI'TRUCTTO|{: ! enecr srRUcruRE ! msr rmcx E sre r-r. ! rnrrr ! loo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
Is Elect Pouer on this Butlding E yes fl UO
**t.* IS THrs a cllAI{GE tr o(cupt cy usrl ftvrs flto *.**.
fF Yes, what ms the prGvlous upancy T!pe?Hhat Ls the NeH occupancy Type?
ARCH DESIG'I PROFESSIOT,UIL:
EiIGR DESIGII PROFESSIOTIAL:
PH
PH
iIC REG #:
t{c RE6 *:
la bod c borcrage pr€p€Ild r rrfib*ur.rozftvesfiruo b Th6 propev t-ocabd h llre Ftoodpbh? E ves I uo
I hereby carlily
and ordinanc€s
that ln tNs Sbte Euildrnq Cod€ afid
cianaes ln lhe aoomvedwillSe In Violation or the
lt b ba autllnlLd i/slrE the !ppflcatha (DH HS.3708)rha6Ea dB rbd v bulldlng bfoamdDh Att..b. or iloL Yd, uE mqdrrd b cdl lfetoaEl Sbnd.rtb lhzrdooa Ar Polluffi (NE3HAP)(8r0)m759s0 deya b rhoEfibaio.t 1br 6t al bat 0 FlorrrEnolhr d my hcn\, cr boldlrE. S.. Arb-6.Sne:epi staaa,rE.lrs/cpuabctos/atrnp.htnl
TOTAL PROJECT CO.ST: S13O 300 BUlLOlt{c HEIGHT: 60'
TOTA AREA SQ FT :
TOTAL SQ FT UNDER ROOF:
ACRES DISTURBED:
NEW IMPERVIOUS AREA
PROPERTY USE: E]OrflcE D
E)Gr |-AND DTSTURBTNG pERMtr? Elves [ ruo
SQ FT E(ISTING IMPERVIOUS AREA SO FT
WATER: ECFPI.JA
SEWER: [l CFPI,JA E S\NSTEM WELLCOMMUN
CEiITRAL LlzoNrNG USE CUSSIFICATION:tr PRIVAIE SEPT tc tr COMMUN SYSTEMITY
N
-. SEPARATE PERIV ITS IRED FOR ELECT, MECH, PIBG, GAS EQUIP, FBEFABS & INSERTS ''
PAYMENTMETHOD: ICNSX I (PAYABIE TO NHC) flauenrcrrl erREss EMC/V|SA I OSooven
ZONE: OFFICER:SETBACKS: F: LH: RH:-B:Approval: Ctty:_
Cornmont
BFE+zf,=FLOOD:
A
If UPFIT - The Shell Permlt
(FOf OFftCE U8E ONLY)
DATEi 3/ta/2016
# OF UNITS:
SQ FT PER FLR:
# OF STRUCTURES:
# oF sTOfltES:
# OF FLOORS:
[uencarnr-e [eu.rc lerr lmruoo orHERresEig3]_
EY1SED DATE I'I I'I2
I{E}
PERMIFEE: $-