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HomeMy WebLinkAboutAUGUST 16 2016 BUILDING APPLICATIONSSB 43 G^L 2 ot6lllQ @ APPLICAI{T'S NEW HAM}VER COUNTY BUILDING PERIIIIT APPLIGATIoN IYPE: C0ltlllE RCIAL PLEASE AISIIER At-L qrSTrOl{S APPLICIOLE rO Yotn PROIECT "Pcoject Responslblliqf MilE: (eviu cal6or DEVELOPER: .New Ealover cou-rty PXOIECT AIDRESS: 201 chescnur streer CITY: rtlniaqron oCCt PAI{T/BIISII'IESS MI'IE: NHc pubLic Lj-brary PR{'PERTY OTINER'S OIXTER'S ADDRESS: CO'{TRACIm: Eordeaux Col5lruct iolr Co.,Inc, AITDRESS: 1oo E. Blitania Awe EliUtIL ADDRESS: tescott@bordelrrIcoDEtructioD. com ,'t.'.r - Q\SQ APPLICATIOI'I lrluflber (oFft(e U5e) DATE. 6/24/LG NllltlE: xew Hanover couaEy la30 GovelDrleats Center Dt CfTY! HllmiDcton LICENSE #: 9266 CITY: Durham PHIIE *: 9r.07984338 ZIP:28401 PIbNE C: 9r-0?984338 ST: c ZIP:391!:- ST! rc ZIP: PtIONE tr: 919-220-11{1 PflONE *3 910-s99-5789 Exrsr cowsrRucro : I errcmrrou tr rrJffi*frr"EEl'** neearns fl RELocAEo It Rc|ocallo{r, b tlEr€ I tlat ral c6 Line on the Cunerr s&o? flVes firuo tS BLDG SpRtN(LEneOZ ElVee [r.ro NEu cor6rnucrro{: I rnrr f,Rl srf,ucruRE I msr rnacx I sner.r f] uerrr f] AoD ro Errsr srRrrclrrRE ACCESSORY STRTrIURE: If TPFIT - The 5he11 Per6it *: ARCH DESIOTI pROFESSIOI,IAL3 Matrhei, williard El'l6R DESIGN PROFESSIO'Ir|L: KA &qiaeeEinq ACRES DISTURBED: o tGW IMPERVIOIJS AREA o b bod or bwsagos pr€paEd a ssEd ln ufs $uryre? Eve" fi no f fn a,opelry Locabd tn Tho Fbodpsf Eyo E m ((rf,d (PrlirNr.) llorDi D€l'olEon llotlHorE & 6sbeGt6 ,snord DlSqAniER: I hereby certly lhal all lnformaUon ln thls Brplicailoo is conBct ald all $rork wfll cofiply wilh tE StBte Bulding code god rll othsr applicabl€ sbteand lo.d lau6 and ddharcas end requlalions. The NHC lrevEloomErt Servicss Carn6. wflt hE rtbri{ird d arlv dEmE in ; Emr D.r .rrn< r ;+i6.dr-n<or dtanoe ln doitidoi or carrtrad;-Subl*l]o FrE Up To S500.00* lhal all lnlormalon ln thls Brplicailoo is conB.t ald all $rork wfll cofiDly wilh tE StBte Buldino Code snd stt oihsr aoolicable st6t #tffl ilffi "'IsMfuffi Ug'Rts#-?ffi T,yLT#,W"g;e#,iffi i,,f"fHffi il"iEggiiitrS$g"JhIG OeveloplrEnt SeMcas Cod€a wlll ba notifed d any dianqss in the ElD oNr6d Dlarrs and s.#citcador|s 'TE: Arry work Pertunsd w/O ule App.opriare Psmfls lrdu &t in MinrniSi d rhe Na sti6- 6E-s-i:fr;iiid OW{ERICOIITRACTOR:revi.ncaieon($rg-Eeo} SIGNATURE:fjzJi_a-> , l{otDi D€llrolEonllollit3lons & 6sbeGl6,snord palltlqfi.rdoos flo b b3rlrn}H oshg tr6 sppflcdoi ft.rn (DtSSat Eq *dtglrE |bEry., h|Ggxas ford bdrhln A6b66b6 d not You sro rusdrEd b .all tt6 Nadon€l EniEdoo Stddads fu. lhdoos AL polhnrrG fiESiAP' e OttiZUfgO ar tcr fO darE db. b tls(NE8HAPr r (e,9nt6s0ar tGt.to drr6 [.brb &o dsno$on oI ry bE8lty o. hildB, Soc A*.G f&b SIE Hf-/fxrsa*.€pL6i&.ncus/eplhsb€dGrshmpjErl TOTAL PBOJECT 6T05T: 5O.OOO BUILDh.TG HEIGHT: 40 # OF Ui{TS; TOTAL AREA SQ FT :,zO O SO FT PER FLR: 2s. ooo f OF SIffilEs: 3 * OF FLOORS: !TOTAL SQ fi I,NDER ROOF: 750oo # oF STFUCTURES: T Exsr rAND Drsnnene eeRurn ffilves flHo SO FT E(ISTING IMPERMOUS AREA 25ooo PRopERryusE: Eorrrce f]nesrernnnr flnmcmmr f]sucEnpr flcomo on{ER"I,ibtalw_ WATER:EGFPUA EICOIT0TUNITYSYSIEU []WEI IIZON|NGUSEC|ASS|FTCATION:sEwm: EZICFPI A E Ca,naet- senC [ ffivere Semc A coUur.r,rry Src n.. SEPARAIE PEBi'TTS RECI'IIRED FOR ELECT. MEC'I, FIBG, GAS EOUIP, PREFABS & II{SEFTs hro**u flolscown (FOR OFFTCE r.rSE O|{LY)ZONE OFFICER:SETBACK$ F:_LH:_ RH:_ Bi_Appoval CiIr._DATE_FLOOD: SA FT Is Elect Ponden on this Bullding E yes E rc Pll: 910-297-3G.Gs IC REG *: 1o1Bo PH:910-{42-2000 C nEG *: P-o508 DESCRIPTION OF tloR(: RepaLrs ro enery fLoor-replaciaq entry alab & nateE ploof,inc .'*.. rs rttrs A ctat{Gr (r occupaNcy user fivrs flio ...r* IF Yes, rdrat uas the Preyious Occupamy Tlrpel _ Uftat ls the ,lcg Occopancy Type? 0a BFE+2F REVEED OAIE 4'Itflz pROIECT COI{IACT PERSOiI: rescotc Burler -l-une Lolte NEI^J HANOVER COUNTV BUILDING PEftMIT APPLICATION TYPE : RESIDENTIAL It i j^!: ,\lrsr!ll L.- ,.'.:i!rIIC4l!: AppLICi6i I iC rCUi pFC-'i(.- "Proj ect ResPonsibility" Zotb'1qt? LPda*q ?t ? \L- \69? PfoJ .RECEIVED AUG 15 201$ Ai)'.ffi BLOCK $: APPLI CATI ON Numbe r (off!(e Use) _ oATE; 0_6,i 0?'72i)l t' pHONE S: ?ll-jrf5-'l 5-': ZIP' ;irir:i' LOT r: 85 AppLICANT,S NAHE: Rick Lanier DEVELoPER, 1 t'T pROlEf - nlCRESS. u::'. :--;_ci::'P.:: SUBDMSION. F. r t,'-r :.i1:'r'€'_ pROpERTy Ot^,NER, S 1r14XE . IL\r)' Lave:-'-)' fr.lfiER,S TTDDRESS: rlr ruJ.-El"i:r*otJ :.'-,,,' EPAIL ADDRESS: I I ianicr€mac. c;:rr pROIECI C6NTACT pERSON. Rick l,anier I i:--"' " t-t*-E :-u" t1?: oj" -j-:..:*--, - =- c IT Y : { r' n : :' e: - ,.:i'-i--. - ^rrr.r-:rY. PHONE T: 5T: cor,rRAcroR. Seir KOk€a LAv6((T_L_ ioo*rr,, st+ €aiT-bt*F-qe hfr-iAJ{LICENSE #: l:/'.., crTY: tJ\tlAiN GlOJ sr:xlL z'e' r81Dq 6,,fi-i-re:-;lli- -- pHoNE g' 9lo--465-{!rt- 5F [-l s.cnacr srieo 5F iTIiL R : 5r 5F SQ FT; iili PERrlrr, [] vrs fil no l-l cH r,r Niiousr _- gF TOTAL 5Q FT UNDEE ROoF ' i-'8:TOTAL AREA TOTAL PROIECT COST .",sr,i: ! $ Z1--nOO # OF STORIES: 2 I5 THE PROPER':'Y LOCATED IN A FLOODP'A1PI F)I VES EXr-ST]NG TMPERVTOUS AREA: 51i -__ SQ FT NE}l ITIPERVIOU5 AREA. :;i sQ FT UHo I TOTAL ACRES DISTURBED: EXIST LAND DISTUREINC HATER:ficroun [-l cott"lt'r i-v S\'(]F'4 ,-l ppli,rt; i,lEir f-l crtlrnet ,.tLi SEhER:t,/-:CFor ri:__.C€tr'tRAl.SEPII(:_ pRIVAIIStT1:t i--,C','.","t,t IrYSY-<-i i _. , EXTSTI',iG CONSTRUCTTOH, [:} Ar- rIRA] rol'.t 7l nrroVaii}l I cftJEnar REP/::RS I I nrlocil :oN IJEFI coNSTRUcTlON: [] rnrcr NEW RESTDENCE or E]ADDrrrON r0 EXISTING RESTDENCE I.PLEASE CHECK AND ANSHFf; BELOI.I ALL THAT APPLY TO YOJR PRO]ECT: A:T r,ARAGi - SF I I DET GARA:i sr f ncncH 5F [Jsuru*0,:,^, - sF f noor I oecr CITy: i,': -.r.j:::. :r: TOTAL HEATED SQ ::' .::.: l: Ary EL€{TRICAI, PLUIBING or IiECHA|IICAL h'ork Being Done ro ihe A(re!sory St.uct.uret Ql vat C ruo If the;..oject is a Relocaticn, is there a tJatural Gas Line on the Currenl I flves S r,ro DESCRTpTTON OF T.JORK: -r".:l_: P1:!-"1_:_ii:',li,i"_"_.1-,:-.::d d:1111 j::*'.,,d3_1_:"" .:j-.': :.r,::.::'r.):. .i.oC a6J Si !'t ;f .i:':-p-r-i::-,ugh C.:t::ng. O'.lFlER/CONTRACToR ; Rc:-v Lave:':1 is l-rerc Electnical Porter on rlris Building) FI ves u *o pRopERTy uSE / occuplricv: 7l S:il61E FAMILy f-]OUeLrx f rOrruHOuSr t,' SIGNATURE : , / Jct b-Bac 1 6-7 23 NE[^I HANOVER COUNTY BUILDING PERMIT APPLTCATTA,II IYPEI COflIIIIERCIAL PIEASE Al'lsllER AtL QUESTTOI{S APPLTCASLE TO YouR PRolEcT oProject flesPonsibiIitY" CITY: wILMINGTON PHONE APPLICATION Number (office Use) ST: uc ZIP: zs*or *: 910 -679.4551. #:91c.6?9.4551 DEVELOPER: HARMoNy HosprrAI,rry, nLS. pl{oNE *r 357'753-'967L PROIECT ADDRESS: 9 EsTEtrr r,EE ptAcs CITY: HILMING?oN ZIP; es+or OCCUPANT/BUSINESS NAIIE; nugassv sultss Hottl trlAlilE: wr !,lrNcroN coNvqNTroN I{oLEL. LL-c PH0NE *: 757'36)'96'7t 13OO DIA!,IOND SPRINGS, STE 204 CIW: TT:NCTNTA gEAgH ST: VE ZTP:23455 CONTRACTOR: w. M. .roRDAld coMPANY or rBD LICEI'ISE *: PROPERTY OI.JNER'S OI^INER'S ADDRESS: ADDRESS: 1?r? EAs?woQp Bq EMAIL ADDRESS : jwineqareluJordan. com PRO]ECT CONTACT PERSON: JERRY ?JINEGAR PHONg (checl AII That Apply) Exrsr cosrRucrxoN; fl ALTERATTOITI I nemovlrrox fl,ggrrml lf Relo&r, is there a NaturalGc Line on the Cunent SiteZ ffives il N, REPATR5 f] nrlocnrroru tS BLDG SPRINKLERED? Eives fllto ERNEST W OLDS 10575 WESTON G BOI,ES SO FT NEV|SED DATE {11/12 BFE+2ft= PERMIT FEE: $_ NEr,r C0NSTRUCTTON: fi rneCr NEht srRrjcrUne f] FASr rRAC( f] SXell I Urrrr f] aoo T0 ExIsT STRUCTURE ACCESSORY STRIICTURE: If UPFIT - The Shell Permit *: ***+. IS THIS A OIAHGE IF Yes, rdrat vas the Previous 0ccupancy Type? Is Elect Por*er on this Building ffi ves ff na oF occuPtr{cY usE? nYEs [f ilq ***** t*rat is the Nerd Occupancy Type? PH:jl@ NC REG *: PH:J99,3ffJ3339* NC RE6 #: DESCRIPTTON OF T.IORK: SITE/BUIL,ING OF NEW 8-STORY UOTBL . DISCISIMER: I hereby certify that all information in his applbation is conect and all 'rvork will comdy wilh the State Building Code and a.ll other applicable State and local laws and ordinancei and reoulations. The NHC itvelooment Service3 Centerwill bo noU'liird of any qhqeges i! lhe appro_vqd plenq and:epecifications oi'itiinseli'contaaoiqr qb-ntacioiifihimCtion. d-NOTE: AnrWor* PCdormeO WO the Appropriate Permiis lsillhitrvi{ratio, of theNC SFle Eldg Code arxl Subjecl-to Fines Up To S500.00"' i // - n// owNEFrcoNrRAcroR c.qu& D.*1.! y9k stcNAruR e,'-cb.( I&U=- {Orr#tir) snrah Aib€s{o6 or not Yan are E$rh€d b csll tho Ns{ond Embdon Stan ra,& tor l-hzsldola Ar Pofiutants (NESHAP} at (919}707€960 tt bssl 't0 dE}.$ ptlo. b fi€ donrotitirn ol any bdllty or bulldhg. See Asbesbs Web Sne: ht$rlr,lrvxr..pl.sl8tE^nc.BhdhsMtrhmp.tfinl ls food or beverages preparBd or sen sd in ttils srtrcanez flves fJ No b The Property Located ln The Floodplain? f] ves EI N" ?OTAL PROJECT COST:BUILDINGHEIGHT:12cI10[ #OFUNIT$: 1S6 TOTALAREASQ FT : I8A,79:1 SO Ff PER FLR: sEE ArrAcHEp .# OF STORIES: I + p.ocr #OF FL@RS: g EXST lsND DISTURBING pERMrr? fJveS fJ rvO pRopERryusE: fprFlcE f]REsTAURANT f]uencexnlE nEDUc f]ner f]coNoo offiEH:-Bt*;*JsrE!**- WATER: ffiCFPUA IJCOMMUNITYSYSTEM DWELL [:IZONINGUSECLASSIFICA]ION:.qBp SEWER: mcFPUA flcEl.ITRALSEPTlc LJPRIVATESEPTIC []CO0TMUNITYSYST€M '"r. ^r*qli ..1;i:j{lQil-.-i.aotrf..--- hli.c-. l,riic ilrisl:Q:.llP.:i:--.8s&11.,' --- "' SO FT EXISTING IMPERVIOUS AREA: ZONE:_OFFICER: (FOR OFFTCE USE ONLY) SETBACKS: F:LH:_RH:_Bi Approval:* __ CIIy:"-DATE:_FLOOD:_ -a v N pAyrrENrMErHoD: ffcasH [cHrcxlenvEaEToNHc] flnr,,renrcmD(PREss flucrursn roscown ARCH DESIGN PROFESSIOML: ENGR DESIGN FROFISSIO!,IAL: TOTAL SQ FT UNDER ROOF: ACRES DISTURBED: -ug-- NEW IMPERVIOUS AREA: 32 ,6st #OFSTRUCTURES: i Comrnent 3aSlt -N 2o[a&oq? NEU,I HANOVER COUNTY BUILDING PERilIT APPLICATION TYPF: RESIDENTIAL PLEASE ANSI.IER Att QU€SIIONs APPLICABTE TO YOUR PRO]ECT "Project ResPonsibilitY" APPLICANT'S l',lAl,lE: Pe::3n Consi-ruction, LLC DEVELOPER : pe!'!r,or: C'rns t ruct i on . LLC PR0IECT ADDRESS: 19-I8 sprinqwood Drive CITY:wi lmi nqton SUBDIVISION: shinn'.-ood west PR0PERTY 0t,JllER'S Ml4E: Pe;'itrn New i"lorre!,, LLC OIJNER'S ADDRESS: 5105 oleancler Dri.ve suice 201 CITY: l.lilminqtcn CONTRACTOR: penton Conserucri.oE, LLc LICENSE #: 50903 ADDRESs: gloS oleancer )rive suise 20r.CITY: lifil.lllrnslan d+\lb-xll APPLICATION Number (office Use) DATE: oa/r J2olJ ZIP: 284 oJ BLoCK #; LOT f : 80.. _ PHONE f: e1o-4s2-lf,Lo PHOt*lE S: 910-452-1{10 ST: t'lc ZIP; zB4oJ 5T: NC ZIP: 28403 EMAIL AOORESS: mc::qaalije4,prqmait . com PilO.lE #: 9to-4s2-lslo PR0IECT CONTACT PEBSON: Mor.qan Daiene PHOiIE #: 910-52_o-sir1 ExrsrrNG coNsrRucrroNf f] ALTERATToN I nercvlrrou I aerue nal REpArRs fJ ne uocnrror'r I{Eld coNSTRUCTr0trt: M enrcr NEW REsrDENce or f}ADorTroN To ExrsTrrllc REsroENcE **PLEASE CHECK AND AI{S},JER EEIOW ALL THAT APPLY TO Yfi.lR PRO]ECT: Earr GARAGE .ara sF fJoer cARAGE f] surunoom _sr n pooL _ sF I enrrruuousr _ sF I oecx TOTAL IIEATED SQ FT: 2000 TOTAL 5Q FT UNDER ROOF: z62s TOTAL AREA SQ FT: zaze T0TAL PROIECT COSTIt-esstorl : $ gO, ooo # OF STORIES: z Is Any ELEcTRIcaL, PLuI,IBING or fiECHANTCAL Work BeinB Done to the Accessory Stnucture? S Ves n ruo If the project is a Relocation, is there a Natural 6as Line on the Cunrent Site? [yes E] *o Is there Electrical Power on this BuitdinC? [ ves Ii] ruo PROPERTY USE / OCCUPA}'ICY: [I SINGLE FAMILY I ourLex I ror,Irurrouse OESCRIPTION OF hl0Rl(: BuiId sinqle FaniIy Residence DISCLAIMER: I hereby certiry hat atl inbrmaton in hr$ appkatjon 6 conect and all worh wix compty wih he Stare Buikting Code and aff otter appticabte State and locat tars and ordinances ond regulaticis Ths NHC O€,vahpment Se *ces CenEr will b€ notif,ed ol any chalges ifi he approled otans and specifiaatons or change il cont(&6r o( 0tdNER/COI'ITRACTORi i{o,,rard A penEon rrr SIGNATURE: * * * * * ** * *'* * * * * * * + + * + + 4( * * * * *(I!Tl STi * * * * * * * * * * * * * * + r * * * * * * * * * " * * * * J* * * *{ * * * * * * r * * r * * * ** * * r5 THE pROpERTy LOCATED rN A FLOODPLATN? r-'l yEs E ro SF sF m PoRcH r3o -- sF I sronaer sHED _ sF OTHER: 82 SF EXISTIiIG IilPEXVIOUS AIEA: --SQ FT NEtll IMPERVIOUS AREA: -- sQ FT TOTAL ACRES DISTURBED: o.060 EXI5T LANO DISTURBING PERIIIT: I:i-I VgS [*I ruO NAT€R: E crpua I comrquru:ry sysrEr4 [ eRrvarr werl I crxrnal well sEWER: ZI crnun f] cemrnnl sEprrc [J enrvare sEprrc f] commuHrry sysrEm I*T <T')ARATE PTN^lT]"S REQUINID TOR ELTCT, II€CH, PL8(, GAS rq,)IPI PRFTAB' & IUSERTS ." PAYrrtENr ItlErHoDr fl cos, fl cxrcx (payABrE To HHc) [ oaenrcan .*o*rs fJ n.zr.ri il orscovrr \---.*'" r (FoR oFrIcE usE 6lty) , Rrvis[D DATE a4l ;.trz,o*,, R15 0FFrcER: j{&9)-';r;;;; ;,jj)_ rx: S' ^r, 5 e: rro i f -r ,*-Approvatr-city: -ll DArE:t.ti\-t(, FLooD: _Lffir.= {, ( / O -(V\J*,C; c.$.a-rgat dl nl*,*t.rr- $}fiffi , r "-v -J , 'if,r i6;,n61r,rrr41, rlnxr,*ygp.1 0'I n tg, fL rN) & )otto*Kak i t,-) 1l LdNE[d HANOVER COUNTY BUILDIN6 PERMIT APPLICATION TYP€; RESIDETTTIAL PLEASE ANSI.'ER ALL QUESTIfiS APPLICABTE TO YOUR PRO]ECI "ProJect Responsibility" APPLfCANT'5 [tl,AM: penLon Corlsgt'uctio::, LLC DEVELOPER i F..-,::Lr,:: consEruct:on, LLC PROIECT ADDRESS: L9,s.2 sprinqwood Drive CITY: wilminsten SUBDIVISION: Shi:rruood'alesE PROPERTY Ot{lER'S MI|IE: Penton Ne'r, !{ones, LLc O.JNER'S ADDRESS: 6105 olearder Drive suire 201 CITY: t,{ilmi4qton CONTRACIOR: Penton Construcilon. LLC LICENSE f: soeo3 ADDRESS: 6t05 olea:':der Drive suire 201 CIfY: Wilminqton EHAIL ADDRESSi mc:eaaniean r,.rrr,ar] . conl ZlPi zo4oe BLOCK $: LOT *: PHONE APPLICATIOTTI Number (office Use) . DATE: o8ltr/?.o16 *:910-4s2-1410 PHONT f: 910-4s2-I{ro sT: NC zIP:A3gi* sT: nc zIP: ?q4q3 PHONE f: 910 4s2-1410 PHONE fi: exo-szo-BrrrPROIECT CONTACT PERSON: tlo?rqan Datoma Exrsrruc coNsrRucrron, D ALTERATToN fl neruoverron f ceuenar- REpArRs f] nruocarrou tlEtrl corusrRucrroN: [J rxrcr NE]I REsTDENCE or fJADorrror,t ro Exrsrrr,lc REsTDENcE AiPLEASE CHECK A'{D ANShJER BELOW ALL THAT APPLY TO YOUR PRO]ECT: ffirrr GARAcE 43-4 sF floer GARAGE f] sur,rnoou _sr n pooL _ sF [Jene rlruousr _ sF fl oecr 164 sF sF m PoRcH rze ,, . 5s f] sronnce sHED _ sF OTHER: 155 5F TOTAL HEATEB SQ FT: 24aB TOTAL SQ FT UNDER ROOF: :ze+TOTAL AREA 5Q FT: i4?8 TOTAL PROIECT CGST lr-ess uor) : $ go, ooo S OF STORIES: 2 Is Any €LfCTRICAL, PLUlilBIt{G or I4ECHAIIICAL work Belng Done to the Accessory Structure? [l Ves f] ruo If the project is a Relocation, 1s there a Natural Gas Line on the current Site? [yes E ruo Is there Electrical Power on this Buildingl I--l ves EI *o PR0PERTY tisE / 0CCUPAI'ICY: [l 5IN6LE FAr'tILy I ourlex f]rOWrunOuSr DESCRIPTION OF TJORK: B.*i1d sinqle Fami.lv Residence and orcinance$ and rugulatbr$. The tlHc Developrnent sen ices cenBr will bo notfied ol any chsnges in fie approwd phns ano sp€cifEations or chsnge h contracbr orcontaclc(inbmation "'NOIE AnyworkPetbrmedwOfleApFropriahPermnswlrbeinVblatbnotth6NCSlaeBdgftgea,iOS"uL"i"i'*"'l,q; OWNER/CONTRACTOR: Hoh,ard A rrenlon rrr SIGNATURE: ****t*rt*****t* rs THE pEOpERTy LOCATEo rN A FLOODPLATNI n yEs EI r,ro EXISTIHG IIi,IPERVIOUS AREA: -5Q FT NT}J II,,IPERVI0US AREA: - sQ FT TOTAL ACRES DISTURBED: O.O?8 EXI5T LAND DISTURBING PERI.IIT: IJI VCS Fl rc r.rArER: fi croun fl comrururrv sysrgu [trrrvnrr wru fJ cnrrnal wrlr sEllEts: fl crnue fl crrurul sEprrc fJ nnrvnrr sEprrc ft communrry sysrEm GPq* lcz Torb'1077 NEtd HANOVER COUNTY BUILDING PERMIT APPLICATI0N rYPf : COltlltlERCIAL PTEASE AI{S!{ER ALL QUESTIOIIS APPLICABLE 7O YOUR PRO]ECT "Project Respons ibility" Chambliss and Rabil ConLractors, Inc PROIECT ADDRESS: 1202 Medi.cal cenrer Dr CITY: witminqron OaSSRAi{T/BUSINESS ilAilE: wll,minqtoq Healrh Associares 1 6- L992 APPLICATION Xumber (Office Use) DATE: r.e.teAPPLTCANT'S to}tE: DEVELOPER: nia PROPERTY OWNER'S OHNER'S ADDRESS:1202 MedicaL Center Dr CONTRACTOR: chambliss and RabiI ConrracEors ADDRESS: 6426-c windrnili wav EI{AIL ADDRESS: rob@chambliss-rabil.com CITY: wilmi Lon LICENSE #: rsezs CITY: witmi ton PISNE *: ,,r/a ZIP: zeqot PHONE #: gto-:+t-::oo ST: gg_ ZIP: zaaat ST: Nc ZIP: zeqas *: gro*:so-oq,s*PHONE PIflNE f:910-23r*2138' NAIiE: lllilminqbon -tiealth Associares PROIECT CO|IITACT PERSON: Rob Nipper Exrsr cor,rsrRucrroN: fl ALTERATToN n *rJifiIrfi'E?l'il'.*L REpArRs [-l nerocarro1 lf Relocation, is there a NaturalGas Line on rhe cilrent site? flveifl*o ts BLDG spiiilxuneD? EIves Iuo t{El,I cotlsrRUCrrOfrl: I enrcr NE]l srRUcruRE f] FAsr rRAcK fJ sHrlr- fl unrrr E aoo ro Exrsr srRUcruRE ACCESSORY STRUCTURE: Is Elect Power on this Building fl ves ftr uO *:r'.'** rs rxrs A cHAr,rGE oF occupAncy usE? fl vrs fiio ***** rasthepreviousoccupancyType}-HlratistheNewoccupancyTypel PROFESSIOML: Bowman. Murray. Hernmingway PHi g|a-752-2627 NC REG #: s9?1 PFOFESSI0}r|AL : lBMF snsjleerjns PH: 910-791-4000 NC REG #: 10592 DESCRIPTI0N OF tl0RK: _Lre3 sf MRr suire additi.on ls food or beverages prepared tr sen €d in this structurea flves El tto b rhe proper1y Locared tn The Ftoodptainz fJ ves EI *o DISCIAIMER: I herabv certify that all informati€. in this application is correcl and dl work.will comply rvirh the State Building code and a[ other applicable Stateand.local laws and ordinanceiand rqgulations. rne fvl-Q-6'evelopment Services Center wil be notified of anv chanoes ir"'@'OWNEF/CONTRACTOR:'{-/- 4},pprv StcNATURe: Z (Aud[Gr] (p1111rrrla6) contiln Asbdsbt or not You sre r€qulfrd b call th8 |'ls0ooal Embshr surdsr& br fl8zrrdor8 Ar pollubnB (NEsAAp) ar (g1g)rc7-5g5o at bsil io o"y. prti, o t,re&rmlHon ol any fadHy or bulldrE. S€e ,sbesto6 l4bb S[s: hflp:/ ,rru,.epi.stEre.nc.uslepi/asbestos/anmp.hrrnl TOTALPROJECTCOST: &680,ooo BUILDINGHEIGHT: L7, #oFUNITS: 1 TOTALAREASOFT: 1r.e3 Sqf.f pERFLR: 11e3 #OFSTORTES::. TOTAL $Q FT UNDER ROOF: # OF STRUCTURES: i - # OF FLOORS: i-- ExsT [-AND DTSTURBING PERMIT?flvrs il r,ro SQ FT EXISTING IMPERVTOUS AREA: t.?3327 PR@ERTYUsET ffoFFEE IIRESTAUMNT fluencnNllE f]EDUc nlpr flcoNoo oTHER._ucdrse-l_-gggrs-. PAYlrEMrMErHoo: flcesH fJcnecxeAyABuEroNHc] fJauencnruD<nREss ffucmsn ftoscown ffiff64ffiiaffi YlfT CAgty"l [Jco{tMUNlrYsYSrEM f]wELL IzoNtNGUSEct*AsstFtcAloN:SEWER: MCFPTIA IJCEMTRALSEPTIC [NNVETESEPTIC f]GNTUUNTTYSYSTEM. STPARATE PERM'TS R{OUIRED FOR ELECT. T,'ECH. PLBG, GAS EOUIP. PRETABS & INSERTS ' (FOR OFF]CE UsE O|{LY)ZONE:-OFFICER: SETMCKS: F:-LH: RH: B:Approrat: City: :-DATe - rf-ooo' - - GEG AVN If UPFIT - rhe 5he11 Permit *: IF Yes, Bhat ARCH DESIGI'I ENGR DESIGiI ACRES DISTURBED: 0.2 NEW IMPERVIOUS AREA: t7 t3z7 SQ FT REYE,ED OAIE.,','N' \\(, Comment,PERMIT FEE: $ (.!b : APPIICATIfI,I Number (office us€) DATI: 1.6.\e j flnftE*-.*a ffiffr "{} APPLf CANT' 5 ilAilt : ch r; i:: N$Eh' I{ANOVER COUruTY BUlLOING PERI4IT t 5-1992 APPI"-rCrlIIsl{ IYPf : COI\HERC IAL PLEI:.i' ANS'*TA ALI QI'TSt]iNS APPLI(A8LE 10 YOUR PR{)]IfT "Project Responsibility" . .,,,i H:rini i r,- -. - ,,.r ,,*.: 1 11^ PliOllE #: nraDEVELOPFR: e7. PROIEI: ADDR|SS: : - :i.i : .. l_i .-- - nt 0{IUPA!,}Tr'Bl.iSIiJFSS NAIIE: 'x j'-::a. o: l-1...:..:h .Ls , rl PROP€RTY O!{NER'5 lirJrlf : wi irn.ir:r::: Hea."l.Eh .r.rr.,.^ Ol.,lNER'5 ADORESS: 12cz ptedica: Cenl:rr Dy EItlAIL AESRESS! :r):1,:l",ambli ss-:rhi L.ccm PROIg(r CG$r{Cr;rft6ltlr ".*, -n"* fITY: ;; rrir:r;1.-. CI'iY :,r;i lrn:i.:: ::.gji_-._ LICEIJSF lf: :sg:s * CfTY: niLnr.:-.i:1]n ZIP r aq_f ol 57::.':-- :IP: ?iB4;l:.. ST:_ryc* ZIP: la10.L PlloNE s : S-!-a:l-!.q;*!ljj_* Pxol-lf f : st o-t3 *:2]*ilc.' Exrsr coNsrRUCrroN: I l-renarron t] -rrJifilr.li [^l?,lloo, nEFArRs ] ne uoc*:r*n lf RelocaUon.islhereafri*tural GasLineontheCurrqnr site* [f v[-f No lSBt.DGspnt:.tKa.iri:;,:ffi'v.,, []uo lIEh, coNsTRurrr0tl: fJ rnrcr NE!, sr&t;crunr n FAsr rRAcK I sxrr-r- ]] unrrr [ ,*.oo ro Exrsr 5TRUCTUR€ Al{ESSORY SIRUCTUf,E: If UPFII * The 5he11 ftr Yes, hihat ARCH DESIGN ] ErifiR Drs:frN r Di1 -Eii-ioN pROFESi:illAL | :-:::. .,, *:,-.:-:_ Z- r-r": PR0F| ssllrlrt : i.Il-i:-:Isj.jj.- . ,: - 0F WORK: -1 1?l si i,: -i Sui-,-_dri.irr rllr]. Permrt #:Is Elect Pouer on this Building ffi ver ilJ ruo t*'tt IS THIS A CHAil$g OF 0CCUPAI'{CY usE? flYFs [iJriq ","*.uas the, Frarrious occupsilcy Ti-ps?t^lhat is the ller,, 0cc*;'.,ang.;TyPe ? PH : -2-]-q.,::-,'?:-ti-i"1.- --. Prl : .:"js* r lj-:i,$.i* #: p_?11_*** *: 1.(r$.t2 , -"..NC NI6 ls food or beverag,es P,rsparsd or served ln this stnrcturer f ves ffi lo h The property Locatod ln Tle Fioodrrlainr ff .res ffil N€W IMPERVIOUS AffEA: :..r: i' ".r SUhilr:tii Fins$ iri r* gi{lii.l)"'" OWNER/CONTRACIOR: " ' n .,' .qtr - z- -"'-t i v,\.-:-,::,-.,:. "i.i ::: - -. SIGNATURE: -: ^'.,- .{-:.-,' '.,. ,I .*-(OJt{illa) lp.1-,: riani. dtrmolilhr ot 8ny t6tillly ol buildhQ. 369 Asbcsfts \Y+D Slte: l.i1r'j.ir#, r:r sri,li rt{:.us.,+!il,,tr}qrtlsr?f.,st rtr I TOTAL PROJECT 0OST: &g*0, oo,3* _ BUILDING HETGHT: r; , # OF UNjIti: : TOTAL AnfA SO FT : r i-g:SQ FT PER FLR: :13.] _#OF STOElf$: r .*..-.--'-'-.- # OF FLOCRSj i ","*..**TOTAL SQ TT UNDER FOOF r:_- , # OF $TRUCTURLS. : ACRES DISTURSI0: ir, ; ._ ... _ -[XSi I-AND DISIURB]NG PERfuiIT? f] VrS J*] ruO SO f T EXlSTli'iG IMPEFVIOUS AR[A: :r ''..r ,: Zi " *..-- Se f i PROFERTYUSE: foFntcE f]REsrAURclrr [r,,mncarvrilE JrDUc f]mr J]*oHoo *TiiER:r:*a.]_q*_).r:rr!c ylL!1. il:crp{.,A I-:*oMML}titrr sy$rcM |]u/ELL ilzoNrNc usE ct-A$$irtcAloN: SEfJER: [N {:FPUA i*: CENTffAL SEPT}C [J ENI'VATE SEPrlc ;'COTVIUUNTTV SYSTEM FAYrvi€ifrME'rl'ioo: ilcASH ncHrcK(rAvABLEroNHc) fJau:nrceNrxpRESS fJucrursa Iorscownt{t4r{*t${dti*.**a$ }att }i}*+rl&.,.{+he RH: ,+ B: i..J 8FE+2b - ar*$a*r***6taardka*a* REr;'i5fl i.\TE 411i12 N PIBMiT FE[: $ zoNE: oFtr,l oF F r cE ft : *;i__;",_ Tffi :Li,:: P']:_ r*, CONTRA{TOR: a:irrb::.;r arrd, t:b!i Cr::..?i.::r.a ADDRESS: 6426-C htia:*r tt r::-r, PHONE #:':r::-!4,: - iirru NFI& '-.1-*-:-.- APPLICANT, S MIT1E : DEVELOPER: PRO]ECT ADDRESS: SUBDIVISION: PROPERTY O^INER'S , PRO]ECT CONTACT PERSON: , .ds Any ELECTRICAL, pLUttBING or trtEcHAI{ICAL Work Being Done to the Accessory structure? [ ves E *o \ft/rt tn" p"oj".t is a Relocation, is there a Natunal cagfiine on the Current Site? [ves tiHt r+ the project is a Relocation, is there a Natunal Ga,/;; ;;"-;;"j".. t, a Relocation, is there a Natunal cafiine on the current Site? [ves E ruo \rs the"" Electrical Power on this Building? I-lt"tf$N NEW HANOVER COUNTY BUILDING PERMIT APPLIcATIott rYPE: RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" BLOCK {, LLL CITY: LI rv: " \.-(ezry62rrr ?or[ - $oql APPLICATTON Number (Office Use) 'ohlNER'5 ADDRESS: PHONE PHONE ExrsrrNc coNsrRucrroty,,ZALTERATroN f] neruovarroN I ceruennl REPATRs I nrlocarroru NEht CoNSTRUCTTON: [l enecr NEhr RESTDENCE or fJAOOTTTON TO EXISTTNG RESIDENCE +*PTEASE CHECK AND ANSI.IER BELOW ALL THAT APPLY TO YOUR PROIECT: flror', GAMGE 't!t\ t, E oer GARAGE - sF f, rrr*oo* lLi, sr fl eoor- - sF flcneeuHousE - sF n orcr sF orHER: rorAL HEATED 5Q Fr: Z:L'LLI rorAL sQ Fr uNDER RooF:2tgi3 rorAL AREA sQ Fr: TorAL pRolEcr cosr(r-essLorl : $ ?-2:n iAfi # oF sroRnEsr I dlf V{A' DIsCLAIMER: I hereby certiry that all information in his application is conecr and alt work will comply wih he stale Building code and all olher applicable staE and local laws andordinancesandresurations T^"rl^ff-3ffir$XT:Ua;,'#ffifl;"t'#H:""'i'ff-"3'ffi'-ii";"Tff3ftii""'T?',""i:t1";:qqT:". ,cont actor inbrmaton.'"NOTE : {oo r* /o5 s, I sronaee sHED - sF 5F PROPERTY USE / DESCRIPTION OF FAMILY(tl rrt #rrru.,LEX t]aill v SIGNATURE:[r o, i WATER: El Creua 5EWER: d crPua I coruruur,rrw sysrEM I enrvare well f] cerurnnl ulell I ceurnnl sEprrc I enrvare sEPTrc ft commururrY sYSTEM *** SEPAIIATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *** PAYMENT trlErHoD: E CoSx I cxecx (PAYABLE ro NHc) f] amrnrcm ExPREss fi/r.zrrso l-l orscoven ***,t,*:f,I,t:S***:*:**++************,1.,*)k********:**********,t***,k**************{<******'}*********** ZONE:OFFICER: Approval i- CitY:- DATE:- FLOOD: (FOR OFFICE USE ONLY) SETBACKS: F: LH: REVIsED DATE O4/7T/L7 RH: B: BF E+2ft= N PERMIT FEE: $Comment: ,orrr€'8 - lb ffin-r*, qb.FzEi'1 LOT #: CONTRACTOR ADDRESS: EMAIL ADDRESS: rs THE PROPERW LOCATED rN A FLOODPLATN? [ VeS EXISTING IMPERVIOUS AREA:sQ FT OWNER/CONTMCTOR: --ffin;t-- *** *** ***** **** *** ***'1. ** ** **** ** rorAL AcREs DTsTURBED: lrOSZ S# Exrsr LAND DrsruRBrNG oili* 3 t.t d*o