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OCTOBER 25 2016 BUILDING APPS/o(b - la\4 Y 16-2446 NEI^J HANOVER COUNTY BUILDING PERMIT APPLICATION IYPE; €OMMERCIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" APPLICANTTS NAI4E i Brandon catledqe, RJTR Architects APPLICATION Number (office Use) DATE:-__!_ll]]l DEVELOPER: CK Gatler\/ park Wilminqton LLC PHONE #: 'to4 342 - gaoo OCCUPANT/BUSINESS NAIIE: EfemenL Barclay vlest Apartments PROPERTY OWNERJS NAME: cK Gallery Park t,lilminsLon LLC OWNER'S ADDRESS: 301 S Colleqe Srreer Sre 28OO CITY: Charlotte 5T: NC ZIP: 28202 CONTRACTOR: HK Jordan & co, rnc ADDRESS: 5129 oleander Dr sui.re 201 LICENSE #: 2 6411 CITY: wi lminqEon 5T: NC ZIP: 28403 EMAIL ADDRESS: aboqer@hki construction. com PHONE S: 910 25G-4388 PROIECT CONTACT PERSONi A]ldy Boqer PHONE *: 97o 79'/ 43a9 (Check AII Ihat Apply) EXIST CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS RE LOCATION lf Relocation, is there a Natural Gas Line on the Current Site?Yes E*o IS BLDG SPRINKLERED?I v"" flno NEW CON5TRUCTTON: I eneCr rurW SrnUCrUAe !FAST TRACK SHEL L UPFIT ADD TO EXIST STRUCTURE ACCESSORY STRUCTURE: IF Yes, what was the Previous occupancy Type? ARCH DESIGN PROFESSIONAL: Daniel F. ,.]oy *r.*r,' rs rHrs A CHANGE oF occupaNcy user fives Is Elect Power on this Building f] Yes what is the New Occupancy Type? t NO PHt 't1o 66:.-1492 Nc REG #: 10670 ENGR DESIGN PROFESSIONAL: Brad E]Iinwood Pt.li 404 262-AA00 Nc RE6 #: 23014 DESCRIPTION OF UJoRK: Burldi WATER: E CFPUA SEWER: m CFPUA e2 OISCLAIMER: I hereby cenify thal all information in ihis application is correct and all wo* will comply with lhe and locallaws and ordrnances and reoulatrons, fhe NHC Develooment Services Center wllbe notilied ol anv or change rn contractor or contraclor,hformalron, "'NO I E: Any Wo Perlormed WO lhe Appropriale Permils Sublecilo Frnes Up To $500 00"' all olher applicable State olans and soecrficalrons NC Stale Bldq Code and OWNEF/CONTRACIOR: n a..-tres., Jorty 7'1,>ot s /t r SIGNATURE: T No Slate Building Code and wll bie in a1 (odln.r) (Prjri Nrn.) cofitaln Albecbs or noL Yorr 610 rcqul€d to calllho l.ladonsl Embslon stsrxraatb 6a l-bzardou! Ar PollutanNs (NES}iAP) a (919)707€960 8l ben 10 deys p.10. to dL d€rdnbn of any hdllty o. bulldlno. S€e AsberE Web Slte: hnpy f,rvr,,r.spl.stals.rE.l]3/epue3b6ro€/€hmp.tnml # OF STORIES: : TOTAL SQ FT UNDER ROOF: 3esa2 # OF STRUCTURES: r #oF FLOORS: 3 ACRES DISTURBED: see crvl l EXST LAND DISTURBING PERMIT?I YEs ENO NEW IMPERVIOUS AREA: see civ11 SO FT EXISTING IMP ERVIOIJS AREA: see civit- pRopERryusE: EoFFrcE Enesnumur fiuencnrr[e leouc lner @NDO OTHER # OF UNITS: 27 ZONING USE CLASSIFICATION: n-: SO FT COMMUNITYSYSTE CENTRAL SEPTIC M f-.l WELL LI PRIVATE SEPTIC E CoMMUNTTY SYSTEM ". SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLAG, GAS EOUIP, PREFAAS A INSERTS "' oJ''[ rr, ] *",--...-----.--l- (FOROFFICE USE SETBACKS: REVISED DATE /V' 1/12 FLOOD: _-BFE+2F N '/5 )c0,0-i-PERMTT FEE: $- itv insoeclion Recurreo, 9l 0-25{-?. I Qfttuf u -ttC r rt6 ^ PRO]ECT ADDRESS; 1530 BARCLAY PoINT BLV - BLDG 9 CITY: Wilminqtol Z'Pi2a4a2 PHONE T: If UPFIT - The SheII Penmit #: ls bod or b€verages prepared or sorvod in tris srnrtrreZ [ve" [ ruo k The Proporty Locarod ln Tho Floo<fdaln? E ves ! TOTAL PROJECT COST: 2,34s,672.0e BU|LD|NG HEtcHT: 4 8 , TOTAL AREA SQ FI : .ryj2- SQFTPERFLR: r:zqq PAYMENT METHOD: [CrSx [CxeCX pAVee[E TO NHC) fleUenrcaN oeRESS E MCMSA I oSCOWn 5^t, Sota-toi2y 16-2446 ffi NEI.I HANOVER COUNTY BUILDTNG PERI4IT aPPLICATIoN IYPE: C0i!}'IERCIAL PLEASE AfiSTER AI-L QU€STIONS APPLICASLI TO YOI'R PRO]ECI "Project Responsibillty" APPLICANT'S tIA E:Blandon catl , RJTR Archit ects APPLICATION Numbet. (0ff1.e use) occuPAr{I/BUs It{Es5 Ar.tE :Element B arclav w t ltnents PROPERTY Ol.ltlER'S tlA E: cK Gallery park r{ilminqron Lr,C PHONE *: Ol.lilER' S ADDRESS: 3Q-1 5 qllleqe slreer sre 28oo CITY: Charlorre CONTRACTOR: HK LICETEE *: 26431 ST: Nc ZIP: 28202 ADDRESS: 5129 oleander D! suire 2oI EitAIL ADDRESS: aboqer@hki congtruction. com CITY: wilninqr.on ST: Nc ZIP: 28403 PIIO E *: 910 256 -4 3 8I If UPFIT - The Shell Permit #:Is Elect poHer on this Euilding E Yes E tto .*... rs rHJs A ou GE oF occt pa{cy usrt I vrs I rro ..t.* IF Yes, !.trat Has the Previous Occupancy Type?lhat is the l{ew Occupancy Type? ARCII DESIGII PROFESSIOML: Dani.1 F. .l 770 66L-1492 NC REG *:10670 ENGR DESIG',I PROFESSIOTIAL: BIad Ellinwood 404 262-0A0A NC REG #: 23014 DESCRIPTIoN 0F t410RK:Buildinq ?!De 2 ls too<l or bwraga pepared or served in tris *ucnnet [lVe" flruo lg nre erop€rty Located ln The Floodplsh? ff yes E No Stare Buildlng Code snd Exrsr coNsrRucrror: fl aLrERArro, I *r,Jffi'lfn"fipil*. nenarns fl RELocarror,r ll Rdutim, is there I Naturalcas Line on the Cunent Site? flves IHo tS aloc Spntttxleneoz f] ves !ruo I{Et{ coNsrRucrroN: I rnrcr NEH STRUCTURE I rasr rucx I sxrr-r- f] urrrr ! aoo ro Exrsr srRUcTuRE ACCESSORY STRUCTURE: PH PH lhe all other 6pplic6ble Sbte olans and sDecif cstions NC Slrte gdg Code 6ndoI SIGNATURE: (Cdnd, Nd6: Dsndnion nodicaidE t osb6t(B rtroval pcrrnlt apdlcada|s ar6 to b€ srrboltod uslng th€ apdlcsUm ffin (DHHS-Cmq wffilc. tre f8dlfy o. hdl&€ ws! iomd to coitaln Asbo3t6 o. rct Yql arB rEqulrod to cdl ih. Nrtdd Enrrddl Srrdads lb Hedd(irs Ar klut nt6 GeSflAP) sl (919)ZIr-5$0 Et le.C 10 drF Fid b fio doodldon o( 8ny fadlfiy or hildkrg. Ss AEb6dc $Lb qb: ffiUJfe.w .sd.slslo.nc.u3/opuasbanos,Smp]nmt TOTALPROJECTCOST: 2,34s,6?2.0e BU ILDING HEIGHT: 4e .# OF UNITS: 27 ACRES DISTURBED:See Ci.vil EXST I-AND OISTURBING PERMIT?I YES ENo NEW IMPERMOUS AREA: see civil SO FT EXISTING IMPERVIOUS AREA: see ciwil sofi pROPERTyUSE: [orrrce lnesrnuRarr @uencAnnr-e [eouC Enpr E @NDO OTHER: !ryATER: ECFPUA SEWER: gICFPUA ", SEPARATE PEBMITS REOUIRED FOR ELECT, MECH, PLBG. GAS EOUIP, PREFABS & INSERIS "' PAYMENTMETHoD: flcrsx fiorecxprvnalEToNHc) lemenrcma<nREss nMcMsA f]orscorcn (FOR OFFTCE USE ONLY)nFrFa oAfE afl 1n2 ZONE: OFFICER:_SETBACKS:F:-LH:-RH:-B:- Approval:- Cltf- DATE: FLOOD: -- - BFE+2F-- AVN Comm€nt PERMIT FEE: S_ DCoMMUNrYSYSTEM flwErE CEI'ITRAL SEPTIC LI PRIVATE SEPTIC [:]coMMUNnv SYSTEM a ZONING USE CLASSIFICATION: R-2 DATEi G -1-2016 DEVELOPER: cK Ga]lerv park t{ilninqron LLc P}OttE S: ?04 342-9ooo PROJECT ADDRESS: 1630 BAicLAy porMr BLv - BtpG 9 CITY: JtLOilgEl__ ZIP,| 2}at2 PRoIECT COI{TACT PERSON: }ryly Booer PTO E *: eLo ?e7-4389 OWNEF/CONTRA CTOR. t',,tr**"*-. Iod n) hi,s. u n e TOTAL AREA SO FT : 3es42 SQ FT PER FLR: 132aa # OF STORIES: 3 TOTAL SO FT UNDER ROOF: 3e5a2 # OF STRUCTURES: 1 #OFFL@RS:3 NEId HANOVER COUNTY BUILDING PERMIT APPLICATION IYPE: COMIjIERCIAL PLEASE ANSWER ALt QUESTIONS APPLICAELE TO YOUR PRO]ECT "Project Responsibility" APPLICANT'S NAIiIE: Brandon Catledqe, RJTR ArchitecLs DEVELOPER: 61 6a1 l- er Park wi lmin ton LLC 1E )c-tb-/OLt7tr 16-2446 APPLICATION Number (office Use) DAT E : ___!__l:!!_L!_ PHONE *: '7 o4 342-eooo PROIECT ADDRESS: 1630 BARCLAY porNT BLV - BLDG 9 CITY: wi lmin OCCUPANT/BUSINESS NA E: Elemenr Barclay Wesr Apartmenrs PROPERTY O},INER'S NAI4E: CK Gallery park wilminston LLC ONNER'S ADDRESS: 301 s cotlese Srreer Sre 2soo CITY: Chartorre CONTRACTOR: HK Jordan & co, Tnc LICENSE #: 26431 ADDRESS: 5129 oleander Dr suire 201 CITY: wi lmingron EI\4AIL ADDRESS : aboqer.lhk r c onst ruct ion. com PROIECT CONTACT PERSON: Andv Bcqer (Check ALl That Apply) ZIP: 2s412 PHONE $: ST: NC ZfP: 28202 ST: NC ZIP: 28403 PHONE f: 9to 2s6 4388 PHoNE #: 9ao '7 9'7 - 4389 Exrsr coNsrRucrroN: E ALTERATToN ! neNovarrsN E.g5ruemr- REpArRs E RELocArroN lf Relocation, istherea Natural Gas Line onthe Currenr Sitez IVes fllto tS BLDG SPRtNKLEnf oz I v"" Ito NEW CONSTRUCTTOT: I enrCr NEr{ STRUCTURE ! rASr TRACK E SHELL E UpFrT ACCESSORY STRUCTURE: ADD TO EXIST STRUCTURE If UPFIT - The Shell Penmit #:Is Elect Power on this Building E Yes E ruO ***** rs rHrs A CHANGE oF occupANcy usel flvrs ! IF Yes, what was the Previous Occupancy Type? ARCH DESIGN PROFESSIONAL: Daniel F. .roy What is the New Occupancy Type? ENGR DESIGN PRoFESSIoiIAL: Brad E].:liwcoC PH:770 561-1492 NC REG #: 10G70 PH: 404 252 oaaa NC REG *: 23014 DESCRIPTIoN OF WORK: Buildinq Type 2 ls food or bevoragos proparod or s6rv6d ln this sruaure? [ ves I tlo ls The Proparty Located ln The Floodplalnt I ves fl No DISCLAIMER: I hereby certity lhat all rnformalron rn thrs applicalron is correct and all work will comdy with the Stale Buildrng Code and all other applcable Stale and locallaws and oldinances and requlatrons. The NHC Develooment Services Cenler willbe notified o, anv chanoes in tha aooroved olans and sDecifications or chanqe in conlraclor or contraclor i-nformation. "'NOTE Any Work Performed w/O the Appropnate Permils willSe in Vrolaliori oflheNC State Bldg Code and Subjedlo Fines Up To $500.00"' OWNER/CONTRACTOR: Andy Boser SIGNATURE:(Ou€lifior) (Prlnt N8nl€) Note: Demolilion notfrcalions & asb€slos removal psrmit applicelions are to be submitted using tho applicaton form (DHHS-3768) whefEr lhe facility or building was bund to contaln Asbeslos or not You are required to c€ll tlle Nalional Emission StaMards for Hszardous Air Pollulants (NESHAP) st (919)707-5950 Bt l€ast 10 dsys p.ior to tle demolilion of any facility or building. S€e Asbsstos Wob Site: httpr xww.epi.state.nc.uyepi/ssbestos/ahmp.htrnl TOTAL PROJECT COSJ: 2,345,6'12,09 BUILDINGHEIGHT: 4E' # OFUNITS: 27 TOTAL AREA SQ FT: 39542 SQ FT PER FLR: 13244 # OF STRUCTURES: r ACRES DISTURBED EXST LAND DISTURBING PERMIT?I YES EI NO a ZONING USE CLASSIFICATION: i-: (FOR OFFTCE USE ONLY) SETBACKS: F:-LH:- RH:- B: See Ci vi'l NEW IMPERVIOUS AREA: see civil SO FT EXIST ING ||\4PERVIOUS AREA: see t:rvrt SO FT PROPERry USE: [OrrrCe ! nesrnUnnNr MERCANTLE leouc flaer lcoroo orHER: WATER: ECFPUA SEWER: Z CFPUA ZONE: OFFICER: fl coMMUNrrY SYSTEM fl WELL E CENTRAL SEPTIC L] PRIVATE SEPTIC nCoMMUNITYSYSTEM PAYMENT METHOD:EcASH flcHecx leevneLE To NHc) flnuentcmt ExeRESS I tucnrlsn I otscown ", SFPARATF PFRMITS REOI]IRED FOR ELECT. MECH, PLBG, GAS EOUIP, PREFABS 8 INSERTS "' REVISED DATE 4/11/12 Approval:- City:- DATE:- FLOOD: -- - BFE+2fi--- AVN Comment # OF STORIES: : # OF FLOORS: a--TOTAL SQ FT UNDER ROOF: 3esa2 PERMIT FEE: $- tb- 16t1 NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE; COMMERCIAL PLEASE ANSI.JER ALL QUESTIoNS APPLICAELE T0 YOUR PRoJECT "Project Responsibility" 16-2445 APPLICATION Number (office Use) APPLICANT, S NAME:Brandon CaEledqe, RJTR ArchitecEs DEVELOPER: CK Gafterv park wilhinqton LLC OCCUPANT/BUSINESS NAr4E: Element Barclay t.?est AparEments PROPERTY OWNER'S NAI'IE: cK Gallery Park wilminsLon LLC OUINER'5 ADDRESS: 301 s Colteqe SEree! Ste 28Oo CITY: I^li tmrnqton PHONE S: '7o4 342 9ooo CONTRACTOR: HK Jordan & co, rnc ADDRESS: 5129 oleander Dr suiLe 201 CITY: charlotte PHONE f: 5T: NC ZIP; 28403 PHONE *: 910 256 4388 PHONE f: 9ao '79'7 -43a9 LICENSE *: 25431 CIW: wilminqton EXIST CONSTRUCTION:ALTERATION RENOVATION GENE RAL NEW CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHELL UPFIT AOD TO EXIST STRUCTURE ACCESSORY STRUCTURE: If UPFIT - The Shell Permit #:Is Elect Power on this Buil.ding Yes E*o lf Relocation, is there a Natural Gas Line on the Current Site?Yes Er.lo nrpnrns l-l RELocATToN rs eroc spRrN-rleneo: ! ve" !tto or chanoe in contraclor or Subjecllo Fines l.lp To $5 nces and reoulalions. T contractor iilormation, 00.00"' he NHC Develooment "'NOTE Any Work P erlormed w/O the ApproPriale Pe Services Center willb€ nolill.)d of anv cha rmrts wrll o pp roved olans and soecrllcations ol rheNC Srare Eldq Codeand EI1AIL ADDRESS: aboqer@hki construction. com PRO]ECT CONTACT PERSON:Andy Boqer (Check A11 Ihat Apply) 3'79'72 TOTAL SQ FT UND ER ROOF: 37e72 fOF STRUCTURES: 1 ACRES DISTURBED:See cl vil flWELL ARCH OESIGN PROFESSIONAL: Daniel F, Jov PH. '7'7A 661-7492 NC REG #:10670 ENGR DESIGN PROFESSIONAL: BTad E1]inwood PH: 404 252-o8oo NC REG #: 23014 DESCRIPTION OF WORK: Bui ] dIn e1 ls bod or bev$ages prepsrod o. s{vod ln this sEuct re?ves ! ruo b The Proporty Locatod ln The Floodplain? [ Yes I N DISCLAIMERi I herebY cerliry thar al information n this appl ication is correcl and all work will comply with the Slate Building Code and all other applicable State and locallaws and ordina OWNEFI/CONTRACTOR:/.6.rqtz rc SIGNATURE: dgmolltlon of 6ny hclllty or bulldlng. S€€ Ab€sios wob Stte: lilp/w./w.epl.3tst3.rc.us/epuesbe$odahmp.mml TOTAL PROJECT COST: 2,2O2,597.48 BUILDING HEIGHT: a8' TOTAL AREA SQ FT :SQ FT PER FLR: 12716 (Ou6lfi.r) (Ptlnt N.mo) Not6: oeflbllton flrullcatlons & 6sb6sb6 rsnoval pomlt appllcatk[rs ol€ to bo 5u contaln lsb€stG or nol You ar€ Equlrcd to call th€ iJatlon6l Embsloo sLnd6rd3 bmlt€d rlslno tho sppllcauon bm (DHHS3768) whelh€r tho iEclllty or bulldlm war bund lo b. Flazadoue Ar PollutenE (NESHAP) 3t (919)m75950 d len 10 days Flor to t€ #OF UNITS: 30 # OF STORIES: : NEW IMPERVIOUS AREA: see civil SQ FT EXISTING IMPERVIOUS AREA:See ivil SO FT pRopERw usE: EoFFlcE lnesreunerr luencaHrtle ! eouc APT ECONDO OTHER- EXST I-AND DISTURBING PERMIT?YEs INo EZONING USE CIASSIFICATION: t-z PRIVATE SEPTIC flcoMMUNlrY sYsrEM WATER: ECFPUA SEWER: EICFPUA @MMUNITY SYSTEM CENTRAL SEPTIC fI -- SEPABATE PERrvrlTS BIQUIRED FOR ELECT MECH PLBG' GAS EOUIP PRI:FABS & iNSERTS _' PAYMENT METHOD: [c*SH flCxecr lenvlotE To NHC) fiementCm ETRESS E MCMSA IorScown (FOROFFICE USE SETBACKS: FLOOD:--BFE+2ft--_ tAr., ( PERMIT FEE: $ oNLY) \/F: -t LH:X^r,Xr,*BEVISED DATE '/'I 1/I2 o, I rG25c.0r qn2N p I I I (cs) 00.u'loo t, DArE:lLlj?.q!g_ PRO]ECT ADDRESS: 1620 BARCLAY Po]NTE BLV BI,DG 8 ZIP i 2a412 sT: llq ZIP: 28202 ***'*r, rs rHrs A cHA GE oF occupANcy user lves IHo "--- IF Yes, what was the Previous Occupancy Type? - t',Jhat is the New Occupancy Type? - # OF FLOORS: j-- SatHa.{r1 ffi HANOVER COUNTY BUILDING PERIITIT APPLIcATIott neE: COlltlERCIAL PLEASE At{s}tER ALt- QUISTIONS APPLICAELE T0 YOUR pROttCT "PFoject Responslbility" - @MMUNny S\rSrEM T'l WELL UIZONING USE CI-ASSTFTCATTON:fi cerrnalserrrc fliF'varssemc S6uuuNtrys\srEM NEW 16-2445 APPLICATION Number (of+l.e usc) APPLICANTJ S iIAI4E :Brandon Cat , RJTR Alchi tectE OEVELOPER: cK Gal,l.ery park w ilminqton LLC P}ONE $:04 3{2-9000 PRO]ECT ADDRESS: 1520 BARCLAY PoINTE BLv. BLDG 8 CfTY: wilrninqton ZIP: zetn OCCUPANT/BUSINESS tlAitE: Elemenr Barclay weEr Aparr ment6 pROPERTY OI.JNER'S NAfiE: CK Gallely par:k wilminqron L LC PHONE #: OWNER'S ADDRESS: 3o1 s Slleet Ste 2800 CITY: charlotre ST: JL ZIP: 2e202 CoiITRACTOR: t{K ,rordan & Co. Inc LICETlsE *: 26431 ADORESS; 5129 oleander Dr sui te 201 CITY: wilnltloron 5T: Nc ZIP: 28403 EIIIAIL ADDRESS : abooer@hk i con6truct ion. com PKr E *: 9to 2s6-43BB PROIECT CONTACT PERSON: Andy Boqer:PHOI{E *: 910 797-4389 If UPFIT - The Shell Permit *:Is Elect Pol,er on this BuildinB E Yes E rc '.+.* rs rHrs a o{ar{cE oF occuplttcy uset flvrs [} J *...* IF Yes, xhat rIas the Previous Occupancy T)pe? ARCH DESIGII PROFESSIOIAL: Daniel F. Joy that ls the tJeu Occupancy Type? PH: ??o 661- r4 92 C REG *; 10670 EI{GR OESIGN PROFESSIOT{AL:Brad E}lin trood NC REG *: 23ou DESCRIPTIoN OF tilORK: Bui.ldi.nq Type 1 ls bod or boveragos proparsd or son ed ln trts wuamz [l v"" I No b The Prcpcrty Located ln The Roodflaln? [ yes fi ruo lhe State Buil Code and (Ch€ck Al). That ^pp]y)Exrsr coNsrRucrroN: n ALrERArror I nrrcvarrol fl cstrnal REPArRS Tl RELocATToN t, Reloc.rion. is rhere a Naruatcas Line on the nent Site? [ ve!-[ r,,ro ts gLoc spn-tnxleneor Ives f]Ho r{E['l coNsrRucrro , [l enecr NEhI srRUcruRE I rasr rnncx f] sxrlr- f] urrrr I eoo ro Exrsr srRUcruRE ACCESSORY STRUCTURE: all oher spplicable Stale olans and soecificatons NC Sliate Bldg Code 6nd OWNER/CONTRACTOR:fE!ffiEqc<{oW Z,fi.zttttrt-SIGNATURE: (Ordh.r) Nda: txDdldoi nodtcaddB & aBbda rsnovd parml ardlcaddls srE to be !6rnhtd tdllo tlg opdbsta klt (DHHS-3?68) ,rrletl€ Ar laa tV d hj&E wso hrtd to contdn A5t6& o. not You aro tlqdlld b cdl [le Notdul Emlsddi Sbfltrrds tor H@doos Ar rolutdrtE (NESHAA st (91g]7fr-550 !t 16 10 dsF Ftor to tro dorndltd| d Erry hdlt!, d hluhg. S* AEbodE Wbb Stt!: htFr^Nlw.od .strls. nc,us/opua5b6€tor,/ahmp.htrn I TOTAL PROJECT COST: 2,202, ss?.48 BUILDING HEIGHT: aB ,#OFUNITS:30 TOTAL AREA SA FT SQ FT PER FLR: 12?1G # OF STORIES: : TOTAL SQ FT UNDER ROOF: 3?s?2 # OF STRUCTURES:# OF FLOORS:3 ACRES DISTURBED:See Civil EXST LAND DISTURBING PERMIT? IEIYES E NO NEW IMPERVIOUS AREA: see civi.L SOFT EXISTING IMPERVIOUS AREA see Ciwil SQ FT PRoPERTYUsE:EoFFlcEEnesmunnr'rrf]uencnrrtu[eouc[mr!coNoooTHER- WATER: ECFPUA sEwER: EJCFPUA "' SEPAMTE PERM]TS REOUIREO FOR EIECT MECH, PLBG, GAS EOUIP, PfEFABS & INSERIS -' R-2 NEVEED DATE INlN2 PAYMEMT METHOD: flcrSX ECHrCrPevnAtr rO NHC) [nUentCAn oeaEss E Mc/vlsA ! oscoven ZONE:_OFFICER: Approval:- Clty:-DATE (FOR OFFICE USE ONLY) SETBACKS:F:-LH:-RH: B: FLOOD:- BFE+2F- AVN PERMIT FEE: $-Comment DATE: 6 1-2 015 PH: 40{ 262-0800 9orb-^)--) 45(Ir-l $-zq I NEW HANOVER COUNTY BUILDING PERMIT APPLICATIoN rYPE I COMIT1ERCIAL PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROJECT "Project Responsibility" APPLICANT'S NA}IE: Brandon Catledqe, R,fTR Architects DEVELOPER: cr cat 1e rk Wilmin on LLCrv Pa PRoIECT ADDRESS: 1520 BARCT,AY porNrE BLV- BLDG 8 CITY: wi tmingron OCCUPANT/BUSINESS NAI'4E :Element Barclav Wes t ADa r tmenLs PROPERTY OWNER'S NAIVIE: CK G llCrY PArK I,^IiIMTNqTON LL C CONTRACTOR: HK Jordan & Co, Inc ADDRESS: 5129 oleander Dr Srrire 201 LICENSE #: 26437 CITY: Wrlming!o! EIIIAIL ADDRESS: aboger@hkj construct ion. com PRoIECT CONTACT PERSoN: Andy Bocer (check A11 rhat Apply) NEW CONSTRUCTION: ACCESSORY STRUCTURE: PHONE #: '/ a4 342 gooo PHONE #: ST: NC ZIP: 2sa03 PHONE S: 9to 2s5 4388 PHONE #: 910 ?9f -4189 EXIST CONSTRUCTION: ! ALTERATION lf Relocation. is there a Natural Gas Line on th RENOVATION GENERAL REPAIRS tr RELOCATION e Current Site?Yes tr No lS BLDG SPRIN xLeReol I ves No ERECT NEr,/ STRUCTURE ! rnsr TUCX ! SXrr-l ! unrrr ! eoo ro Exrsr srRUcruRE If UPFIT - The shell Permit f: IF Yes, what was the Previous Occupancy Type? ARCH DESIGN PROFESSIOT'AL: Daniel F. Jov Is Elect Power on this Building ***** rs rHrs A CHANGE oF occupANcy usel Ivrs I I Yes Ero What is the New Occupancy Type? PH PH 't'to 6Gt-1-492 NC REG #: 10570 ENGR DESIGN PROFESSIoNAL: Erad E--:nw.ci 4A4 262-A8AA NC REG *: 23014 DESCRIPTIoN 0F WoRK: Burldinq Type 1 I DISCLAIMER: I hereby cenrfy lhal all rnformation in this application is correct and all work will comply with the Slate Building Code and all other applicable Slate and locallaws and oldrnances and reoulalions. The NHC Develoomenl Services Center will be notrfied of anv chanoes in the aooroved olans and soecitications or chanqe in conlracror or conlractor iiformalon. "'NOTE: Any Work Perlormed W/O lhe Appropriate Permils will b'e in Violation of the NC Slate Bldg Code and Subjectlo Frnes Up To S500.00"' ls food or b€veragss propared or served in this structuro?ves I No ls Th6 Prop€rty Locatod ln Th6 Ftoodplaint I ves T No (FOR OFFICE USE ONLY)REVISED DATE 4/11/12 OWNER/CONTRACTOR:Andy Boqer SIGNATURE:(Oualineo en Nah6) contain psb€stos or nol You are requked to c€ll the Nalionsl Emission SEndards for Hszardous Air Pollutonts (NESHAP) st (919)707-5950 st least 10 d6ys prior to th6 d€molitbn of Eny facilily or building. S€€ Asbesbs Web Sitot htpr ^,\vw.epi.stste.nc.us/epi/asbestos/ahmp.hEnl TOTAL PROJECT COST'. 2,202,5e'7.48 BUILDING HEIGHT: a8,# OF UNITS: 3 o # OF STORIES: 3 #OF STRUCTURES: r # OF FLOORS: 3 PROPERry USE florrrce flnesmunmr !MERCANTILE EDUC APT CONDO OTHER: WATER: ECFPUA SEWER: E CFPUA flcoMMUNrrySYSrEM fIcoMMUNTTYSYSTEM DWELLf] CENTRAL SEPTIC L] PRIVATE SEPTIC Z ZONING USE CLASSIFICATION: n-: PAYMENT METHOD:Ecnsn f]cnecxleevleLETo NHc) fleuenrcer.r E<eREss flucruse Iorscoven "'SEPARATE PERN4ITS REOUIRED FOR ELECT IVECH. PLBG, GAS EOUIP PREFABS E INSERTS '' ZONE: OFFICER:SETBACKS: F:_LH:_ RH:_ B:_ Approval:_ City:-DATE:- FLOOD: --- BFE+2fi-= AVN Comment l1 ;' ffi APPLICATION Number (office use) DATE: 6-1 2015 ZIP 2 zaatz oWNER'S ADDRESS: 301 s cofleqe srreer sre 2800 CITY: Charlorre ST: NC ZIP:28202 TOTAL AREA SQ FT : }J2J2- SQ FT PER FLR: 12:.15-- TOTAL SQ FT UNDER ROOF: i7e?2 ACRES DISTURBED: see civil EXST LAND DlsTunatruo eenutrz fllves [ ruo NEW IMPERVIOUS AREA: see civil SQ FT EXISTING IMPERVIOUS AREA: See Civi] SQ FT PERMIT FEE: $_ sk R)_)ptt* l0q?3 & APPLICANT'S I{A',IE: NEhI HANOVER COUNTY BUILDING PERIiIIT aPP LICATIOit IyPf; C0ftlltlE RC IAL PLEASE ATISTER ALL QUESTIONS APPLICABLE TO YOJR PRO]ECT "Project Responsibility" Brandon CatI , ROTR Architect6 DEVELOPER: cK Gallery park w ilmj-nqton LLc PROIECT ADDRESS: 1303 ELEMEIII wAy - ELDG 7 --1M444- APPLICATION Number (Office Use) DATE:_-jj-]-91!_ OCCUPANT/BUSINESS tlAl'tE: Elemen! Barct-ay HeEr Aparrmen PRoPERTY OWNERTS ttAi'lE: cK Gallerv rk Wilmj.nqton l,tc OI{NER'5 ADDRESS: 301 s colteqe sL reet sEe 28OO CITY: CharloLte CONTRACTOR: HK Jordah & Co, Inc LICENSE $: 2G4 31 ADDRESS:129 01 Dr Suite 2o1 CITY: glllqi4qron EltlAIL ADDRESS: aboqer@bki con6rruct ion. com CfTY: wilminqron ZIPi 28412 PIONE *: ST: I!_ zIP:3!Z!2_ ST: Nc ZIP: 28403 PHOI{E S:704 34 2 - gooo Plpt{E S: ,-o 256-43aa Exrsr cor{srRucrror{: ! aLrERArro* 5.r,'lJffiif*' tf Rdocadon, is there a Natural Gas Line on the Cunent Site? Ll rrgIv) GENERAL REPATRs J-l nrloclrtoru Elruo ts aloc spiiixleneor I v"s ! r'ro that Yes NEr.r cor{srRucrroN: El EREcr NEr,,, srRucruRE ! rsr rucx I sner-r- [ unrrr I aoo ro Exrsr srRUcruRE ACCESSORY STRUCTURE; If UPFIT - The SheLl Pemit *: IF Yes, hfiat l{as the previous Occupancy TlDel ARCII DESIGI{ PnOFESSIO,IAL: Daniet F. Joy Is Elect PoueF on this Building El Yes E rc ..*.i rs rHrs a o{AraGE oF occupArcy tsE?EyEs fl o **r.. PH PH 77o 66!-t492 NC REG #i 106?0 EI{GR DESIGN PROFESSIOiIAL: Brad Ellinwood 4o4 262 oa1o NC REG *: 23014 DESCRIPTIoN 0F t{oRK: Buildinq Tr,.De 1 l8 bod or bevsrEg€s prBFrEd or ser€d in rrds *ucue? fi ve" [ ruo r ne eroperty Loffi tn Tho Ftoodpain? fl ves [} ruo OISCLAIMER: I hereby certit hat sll lnlormaton in tr s aDolic€tion is conecl s(d all \rcrk wi co.ndv wllh the and local laws and ordinoncea, and re0ulstions. The NHC beveloDrneol SeMces Cenler will be nolifi6d oI env o{ change in conlraclor or confador lafomalion. *NOTE: Any Work Pedormed w/O $e Appropdote perm(s Subiectlo Fines UD To $500 00- all olher applicable State Dlans and so€cif cations NC StEIe BIdg Code and Stale fue and OWNER/CONTRACTOR:larmoqrr Jilr-htulru r SIGNATURE: (odlns) Nd6: Ddnd m ndfcot@5 E sat6tos lEnsval perfih aEfal(r{dls sro b b Gubnlt€d udr{ tp sldLa{dr fqlll (DHHS{rEq wfElh6. tE lbdllty q h$([E B66lurtd to @flEln Albodos d rEL Y(,J 3ro tqtdrld b cdl tr€ NstdEl Emlsddr Stlndlrd! fu H@rdara Ar PoIUdlt8 (NESHAP] at (910)?0"4S60 at l6t f O drys lllc to [1€ domdldon d dly l8dllty or hrldhg. Sd Alte ltlbb gto: lnFr,l,rw.o/.st8ro.nc.ud6pu 5besrc,tshmp.hrnt TOTAL AFIEA SO FT :17972 ACRES DISTURBED:see ciwil EXST LAND DISTURBING PERMIT?vrs flHo NEW IMPERVIOUS ARE.Ii: SCC CiVi T SQ FT EXISTING IMPERVIOUS AREA see Civil. pRopERryusE: fprrce Enesraunnrr fluencarrrue [eouc Eleer f]coHoo OTHER: SO FI WATER: ECFPUA SEWER: m CFPUA .' SEPARATE PERMITS REOUIRED FOR ELECI. MECH, PL8G, GAS EOUIP, PFEFABS & INSERTS "' (FOR OFfTCE TISEONLYI ZONE:-OFFICER:-SETBACKS:F:-LH:-RH: B: Appm\ral:- CiI)I-DATE: FLOOD: --- gf E+2F flcoMMUN'rY s\crE!!_ E wELr- f]CENTRAL SEPTIC LI PRIVATE SEPTIC D cofrrMUNtTY SYSTEM ZONING USE CI^SSIFICATION: R- 2 PAYMENT METHoD: flosx Ecnecx eavralE ro NHc) flnuentcal ooness I ucMse El otscown RE1.'EED DAIE T'II'I2 -N I Commont PERMIT FEE: PROJECT COI{TACT PERSON: Andy Boqer pKrNE *: s10 ?e7-438s t&at ls the tleu Occupancy Typel TOTAL PROJECT COST: 2,202,se?.48 BUILDING HEIGHT:3gj_ # OF UNTTS: SO FT PER FLR: 12?16 # OF STORIES: : f OF STRUCTURES: r #OFFLOORS:3TOTAL SQ FT UNDER R@F: 3?9?2 ?,crto loqts NEId HANOVER COUNTY BUILDING PERMIT APPLICATION IYPE: COMMERCIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT "Project Res pons ibility" APPLICANTTS NAIIE: Brandon catledqe, RarTR Archj.Eects DEVELoPER: CK Gallery park witminqEon LLC PROJECT ADDRESS: 1303 ELEMENI wAY - BLDG ?CITY: witminqron OCCUPANT/BUSINESS NAfiE: ElemenE Barcfay west ApartmenEs PROPERTY Oi^INER'S NAl,lE: CK Gallery Park wilminston LLC OWNER'5 ADDRESs: 301 S Collese Street Ste 2800 CONTRACToR: HK Jordan & co, rnc ADDRESS: 5129 oleander Dr suite 201 CITY: wi tminqton LICENSE s: 26431 EMAIL ADDRESS: aboqer@hki construcE ion. com PROIECT CONTACT PERSON: Andv tsoqer (Check A11 Ihat apply) ALTERATION tr RENOVATION ;15-244+- APPLICATION Number (office Use) DATE: 6 1 2 016 PHONE #: '7 04 342-9aoo ZIP | 2B4a2 PHONE #: 5T: NC ZIP: 28403 PHONE #:910 2s6-43s8 PHONE *: 9ta '797 -43A9 EXIST CONSTRUCTION: lf Rolocation. is there a Na WATER: ECFPUA SEWER: m CFPUA tr GENERAL REPAIRS No lS BLDG SPRIN RELOCATION xleneo: Iv"" It'totural Gas Line on the Current Site?tr Yes tr NEl.r coNsrRucrror: p rnecr NEW STRUCTURE ! rasr rnecr ! sner-r- ! urrrr ACCESSORY STRUCTURE: ADD TO EXIST STRUCTURE rf UPFIT - The shelL Permit #Is Elect Powen on this BuiLding T Yes Ero ***'r,* rs rHrs A cHANGE oF occupa cy user flves IF Yes, what was the Previous Occupancy Type? ARCH DESIGN PR0FESSI0|,IAL: paniel F. .rov PH. JJ!_@:)82_ EIIGR DESIGN PRoFEssIoilAL: Brad Ellinwood PHt 404 262-oaoo DESCRIPTION OF I^IORK: Bu1ldi NC REG *: 10670 Nc REG #: 23014 e1 ls food or berr€rags8 prsparod o. ssrvod in thls slructuro?I ves I uo b rho Propgrty Locstod tn The Ftoodptain? f] ves [ ruo OISCLAIMER: I hereby cerlify thal a I information in this application is correct and all work will comply with the and local laws and oroinances and reoula!ons. The NHC Develooment Services Center wllbe not ied ol anv or chanqe rn conlrador or contaclor r-nlormalron, "'NOTE: Any Work Performed WO lhe Appropriale Permils Sublecilo Frnes Up To 5500.00"' p wl OWNEFyCONTRACTOR: I-ars"q.. Joh- 241't z4: SIGNATURE: 10!€ if6.) contaln Asbe6tos or not. You al€ €qulr6d to call the lh$onsl Emlrglon sra lErds br Hazsrdo6 Alr t olluiBnts (NESHAP) 3t (919)707-5960 at lo6st 10&y3 p.lor toth6 dernolltbn of Eny ftc-illty or bulldlng. S€o Aib€stcr w9b Stto: litlpr r ^/w.oplstat6.flc.B/epyasb6todahmp.mml TOTAL PROJECT COSri 2 ,202,5e'7 . aa BUILDING HEIGHT: qa '# OF UNITS:30 TOTAL AREA SO FT 3',7 972 SO FT PER FLR: 12?18 # OF STORIES: : TOTALSQ FT UNDER ROOF: 37e72 # OF STRIJCTIJRES: r # OF FLOORS:3 ACRES DISTURBED:See Ci vil EXST LAND DISTURBING PERMIT?I YES ENO NEW IMPERVIOUS AREA: see civil SQ FT EXISTING IMPERVIOUS AREA:SA FT Slate Buiding Code and all other applicable State cha Dlans and soecincations'NC Sraie Bldg Code and See Civil pRopERryusE: EoFFlcE EnesreuneNr lueRernle f]eouc @arr flcoHoo OTHER E@MMUNrIYSYSTEM flwELL mzoNlNGUsEctAsslFlcArloN: I]CENTRAL SEPTIC LI PRIVATE SEPTIC ECOMMUNMYSYSTEM R- 2 pAyMENT METH6D: [CrSx f]cnecx leevealE To NHC) lnuentcm exeREsS E Mc /lsA E otscoven ", SEPARATE PERMITS REOUIRED FOR ELECT, A/IECH, PLBG, GAS EOUIP, PREFABS & INSERTS *' ....i........... I t,:iry lnspection Requrreo, 9l 0.254.0: oarE {11^2 \--..::!/ CITY: charlorre ST: NC ZIP: 28202 tJhat ls the New Occupancy Type? _ X PERMIT FEE: $- (r>) i f* {s NEW HANOVER COUNTY BUILDING PERMIT aPPLIcarIda rypF: COHTIERCIAL Prilsr axsuEt aLL Qu€sIao(s aprttca8lt To youn pRolfcT "ProJect Rerponsibility" )ott loqgl IU:X[2. APP L ICAT IO'I llurnber (offt.. Ur.) APPLICAT,IT'S IIAHE: rr: LJr o -'..-iru.:.-r DATI:_-_l!jj!--t!_ DEVELOPEI:1,i1,"6"C3!1st rucr ron, tnc-P}ON€ ,: 91o,2it-50:ro PlOl,lE $: 9r0-2s1-238r PRoJECT A0O[[5S: zro cr.enfie]d sE: OCCUPAIIT/zuSIi1€55 NAIIE: rrr hrre ccr:::u PRoP€RTY oUIER'S l,lAl.lE: eeachr:ree venur rx.l.LLC Ol0JER's ADoRESS! ro s. ca ldinal :r:rve C0NTRACTOR: r]"r tuco 6t ruct,.on, Inc AIX)RESS: 1O s C:trCl.nal Drive EllAIL ADDRESS : . I r,rn?.. ribit eccnst:::r.r i f, r...:..,i1 CITY; w:.1.m:n;ton 5'f: J!_ ZtP: 28401 LICEil5f *r Eoool CITY: wilminct.,ST: !l zIP: 2!3!! EXI5T COirSIRr.'firOX: I ATiTRATIOft f] RE NOVATION D lf Rdocdon. is lhere a Natural Gas Line on lhe Cr:rrent Srree I v nGENEiAL NIPAIR5 No lS BLDG SPFIN NELOCATIOI{ rle aeoz I ves f]m ((hQ.k lll lh.t lrply) !,rEr{ cot6rRlrcTlo,t: I tntcr NEI sTRUcruRE I USr tnlcr I sxrr-l ACCESSOIY SInUCIURE t UPf]T f, oo ro Exrsr srRrxruRE If UPFIT - The She1l Perait S:Is Elect Po{er on this Buildhg D Yes n No DISCRIPTf0N 0f I.JORK: Bu!lil irri1Dt.., !a1l b bod orbav€.egoG p.op&od a r{vsd h lhb stru{r('oz [vu" [ ruo b I|e Propo.ty Locded ln Ths Floo@rlr? E ves f]No DISCLAIUER I ne, eb, cLrlty hsl all : io, msuor rn !F"! , ptl.! uc. l3 conc.l 6{d .ll *!rr w{l coFrry *,n lhe Siale 8sl!lin! Code snd 6lr otror rppllcabL Slrl! aM bcsl B*! 6nd ordimncc:6nd rooJlauons. Ih. NhC OEveloomnl Serur..B C6r.r u! b. mtrEc o, anv (hsnoca rn th{ a@ovd olr.! rnd ioc.iftalb.! o/ ch.no. ,1 oontr.cls or ionn.do' fr,omauJn -',,rO'rE dn, *,orr Perlo'n'd WO tho ArD:ct{{k Fern,is*ill5! h yrol.llia olnre}tC Slelg 6ldg Cooe 8nd SubBcr'L Fio€s UD ro 3500 00-' # OF STORIES: # OF FLOORS: Exsr I.-AND DrsruRBtrc rsnutrr J-l'res D HoACRES DISTURBED: - NEW IMPERVIOUS AFEA *i.lrEr 0|r &.1!r, o. buldl! tat toutd t SO FI SIGNATUREg.{.1 (lihllr) trda Demlatat iorll..iol!, t l3!.'lar .movd p..!r{ .d..!qu .r! Ir ba &S{dt!d l'l,! !r arr{cdbn b.m TOTAL SO FT UNDER ROOF: _ # OF STRUCTURES: 6dtrh l!!.r.. or ri.. Yoo .r. *qrg..rd & .d! Vr l&@d 6'ntrthn 3t ndS. hr li.:irdo(l' ilr tlolllJ'lnl! lNESr{A}l at {919}7074960 ar t*N 10 d.y. Flo. D t dalrEltht tty&a t/o,!t/I[n!. S6. !n .b. We! St.: hlFr r\rvr.ottrek,nc$rb9v!sb.a&s,,!nmt.i!nt IOTAL PROJECT COST:AUILDING HEIGHT # OF UNITS: TOTAI AREA SO FT :SO FT PER FLR: .€ :3o(Da)5o ?c .JtCao .4,: t\)(Jr:,E. SO FT EXISTING IT.TPERVIOUS AREA: pRopERTy usE: []oFFlcE Dnesreumnr [uencexnLr leouc I aer [mr.roo orHER_ WATER: SEWER: APFPUA fl coi/sruNIrY SYSTEM - wEl- ElzoNlNG USE Ct sslFlcAllott T,fCFPIJA TICENTRAL SEPIIC I I PRMATE SEPNC f] COITTMUNITY SYSTEM PAYT,IENT MEl}iOD flcesH flcrrecx (pAyABlE ro ir{c) f]ruencm o<rness fl uclvrse il orscorm ,.) ZONE:umx OFFICEB: Approval: r-111 .- 1Utilc\ ,i'i,1 iti o*v CITY: trrtminqr.:- ZIP' 2a4ol PHoNE *: 9ro-?.,r-solo PRoIECT CONTACT PERS{rii Bryen Eau.k - pto E f: 9ro-36]-1tjl ..... rs rgrs A cHrlrGE oF o(cuparcy usE? flvts [m *..' IF Yes, i'trt vas the Prevlous occupan.y Typei .- lIlat 19 the l{es oacupanay Typ€t _ Af,Ot D€S:O,I PEoFESSIO AL: pH: -_.*.*-'.- NC R€G t: -_.__ENGn DESIgrl PmFfSSIonALt tJorldlrj,de Eltlrlfieerinq, Ilc PH:_ l,ic RfG {i -- OWNEF/CONTRACTOR: rribute ccrstnr:t i or.. rnc. {roR orFrce lJsE oxl,&FvlSEO OATE tl/l l/12 ,1t4,,,,..' (x lHf rlt t loui.gr ; tlact( c!{l,L'e(.Da l,j ZDlL-loLt<tl lU)$12. APPLICATION Number (office Use) DEVE LOPER:Tribute Constsruction PHONE *: 910-2s1-so3o PROIECT ADDRESS: 210 creenfield s OCCUPANT/BUSINESS NAr4E: rribure consrrucrion. fnc. PROPERry OWNER's NAfitE: owt'lER'S ADDRESS: ro s. Peachtree Venutrues, LLC Cardinal Drive CITY: wi lminqron PHONE *: 910-2s1-so3o ST: NC ZIP;28403 ST: NC ZIP: 28401 PHONE *:910-2sl-2381 PHONE f: 9to 36't L't79 CONTRACTOR: ?ribute Construction, Inc LICENSE fi 5ooo1 CITY: wi tminqton EiIAIL ADDRESS : clane@tributeconstruction. com PROIECT CONTACT PERSON: gryan xauck EXIST CONSTRUCTION: lf Rolocadon, is there a Nat ural (Check All Ihat Apply) ALTERATToN l-l nrrcvarrot [-l erurnll nepnrRs l-l RELocArroN cas I ine on rhe currenr Sire? Eyes ENo tsat oo spniNrrfRfoz I v"" fluo NEr,l CoNSTRUCTIONT ! rnrCr NEW STRUCTURE ! rasr rnlCX ! SHrr-r ACCESSORY STRUCTURE: I ucrrr I mo ro Exrsr srRUcruRE If UPFIT - The Shell Permit #: IF Yes, what was the Previous occupancy Type? ARCH DESIGI{ PROFESSIOML: ***'',!', rS THrS A cHAr{GE oF occupAl,lcy USef IVeS [rc ***** Is Elect Power on this Building E Yes E ruo llJhat is the New Occupancy Type? PH: PH: NC RE6 #: NC REG $: ls food or b€vsagos p.ops.€d d ssrcd ln trb *uaure? [ ves f] to b Th6 Property Locatod ln Th6 FloodCah? E ves I Ho DISCLAIIIER: I hereby certly hal all informauon in lhis application as correcl and all work will comply with lhe State Building Code and all olher applicable Stale and local laws and ordindnces and reoulatrcns. The NHC Develoomenr Services Center will be norrfied ol anv rhanoes in the aDoroved Dlans and sDecircalons oI chanoe rn conlraclor or con[aclor i-n,ormalion. "'NOTE. Any Work Performed W,O the Appropriare Permils will b_e in Violalidn ol rhe ].lC Stale Bldg Code and Subjectlo Fines Up To 5500 00"' d.mo&bn d any frdltly oa buldlno. Soo Arb€ac Wbb SftE: httpr rftvw..pl.Btab.rc.urepu$b€ctG/ahmp.htnl TOTAL PROJECT COST: BUILDING HEIGHT: # OF UNITS: SIGNATURE: (Or.llik) Noia: Dolholldon nodllca{o.E & asb€.toc .snoval p€mh appllcatlo.lB ar. to b€ submltbd uelrE 0F appllca$on bm (O -3768) wndhor rh6 ftdllv or bulldlno was found b cont h Aabosbo or not You alg l€qulmd ro call Ure i.lal(oml Embdon Siardarls fur lhzaftbu! Alr PollutrnE (NESHAP) at (919)707S950 Bt l65t 10 deyr Flor b the ENGR DESIGN PRoFESSIoML: worldwide Enqineerinq, lnc DESCRIPTIoN 0F WoRK: Build retaininq walt TOTAL AREA SO FT :SQ FT PER FLR:# OF STORIES: TOTAL SO FT UNDER ROOF: _# OF STRUCTURES:# OF FLOORS:- ACRES DISTURBED:EXST LAND DISTURBING PERMIT? NYES E NO NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA: pRopERryusE: EoFFrcE f]nesreunmr nuencN,nrr-e leouc EnpT E @NDO OTHER: !zoNtNG usE cLAsslFlcATloN: flcoMMUNrTY SYSTEM SO FT WATER: T1CFPUA f-l COMMUNITY SYSTEM T-'IWELL sEttERt WFpu^ ficerrnru- seerrc flp-RtvArE sEPIc .. SEPARATF PERI4IIS NTOUINf;D FOR FL FCT, MECH, PI BG, TiAS EOUIP. ')RFFABS & INSE[iTS '' pAyMENr METHOD: [CnSn fieeCx pAVealE TO NHC) fleUenrcel o<eREss E MCMSA I OTSCOWn (FOR OFFTCE USE ONLY) ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B: npgord:-City-DATE-FLOOT'-----;-- , N BFE+2F REVAED DATE,gll/12 Commont PERMIT FEE: $- .,/.: .. :., ,/.,.: 'i' ,: ' .ffi, NEI^J HANOVER COUNTY BUILDING PERMIT APPLICATION rYPE; COIiIMERCIAL PLEAST ANSI,IER AtL QUESTIOTIS APPLICABLE TO YOUR PRO]TCT "Project Responsibility" APPLICANT'S NAIIE: TribuLe construction, rnc. DATE: 1o.o6.t6 CfTY: wilminqron zlP i 2o4or ADDRESS: 10 s. cardinal Drive OWNEF/CONTRACTOR: tribute construct ion, rnc. NEI^I HANOVER COUNTY BUILDING PERMIT APP LICAT IOtl IYPE; COIT1MERCIAL PIEA5E ANSI,{ER ALL QUESTIONs APPLICABI.E TO YOUR PRO]ECT "Project Responsibility" 2frtL-taLlr2- tb-2s5 APPLICATION Number (office Use) PHONE f: 910 25r so3o CITY: wi lminqton ST: NC ZIP: 2 84 01 LICENSE f: 6ooo1 CITY: wi lminqron ST: NC ZIP: 284o j (Check AII Ihat Apply) GENERAL REPAIRS RE LOCATION Yes I No IS BLDG SPRINKLERFD?flves [No FAST TRACK ! sxer-r- f| uerrr I ADD TO EXIST STRUCTURE PRoIECT ADDRESS: 380? porrofino courr oCCUPANT/BUSINESS NAritE : Anrisua Aparrmenbs PROPERTY OWNER'S NA E: OI,INER'5 ADDRESS: 10 s. afoshua] Holdi s LLC Cardlnal Drive CoNTRACTOR: Tribute CosnLruction Inc ADDRESS: 10 S. Cardinal Drive ElllAIL ADDRESS: cfane@tributeconstrucLion.com PROIECT CONTACT PERSON: charitv Lane EXIST CONSTRUCTION: lf Rolocadm. is there a Natural NEW CONSTRUCTION:ERECT NEW STRUCTURE ACCESSORY STRUCTURE: ALTERATToN I nrruovarrolt Gas Line on the Current Site? E If UPFIT - The Shell Permit *: IF Yes, what was the Previous Occupancy Type? ARCH DESIGN PROFESSIOTIAL: +'l*r* Js rHrs A CHANGE oF occupAlcy user Ivrs fliD **.** Is Elect Power on this Building E Yes E *O What ls the New occupancy Type? PH: ENGR DESIGN PRoFESSIOiIAL: Chri sroher Holmes PE PH: DESCRIPTIoN 0F l.\,oRK: Rebuild aparrmenr uni.r6 due ro fir eda 18 bod or bovssgee p.epsEd or ssvsd ln rtrts snnureZ I ve" fi lo ls fne erope.ty Locatod tn The Roooflain? [ ves EI No NC REG #: NC REG #: DISCLAIMER: I hereby certjfy thar allinformailon in and local laws and ordinances and regulauons. The or chanoe rn contaclor or conira.lor informalion "' Subjecllo Frnes Up To 5500 00"' lhis applicalion is correcl and all work willcomply with the State Building Code and all other appticabte Slate NHC DeveloDmenl Services Center w l be noulied o, anv chanoes rn the aofloved olans and ldecihca[onsNOTE Any Work Perrormed WO lhe App,op,iate Permils will 5e in Viotal'oi ot lhe \lC Stale BldO Code and SIG|{ATURE: "'' (q.dls) (Pirn larE) No!a: Oomolllon mtltcatlom & rabaatG lanoval p€rmh apptha{on3 alE to bo aubmluBd rlltno tE eppllca{on fonn wh€1h6. lll€ hdlly or bolldlng war bund to conbh A3b€lt(,3 o. mt You are Fqul,rd b call lho l,{ado.lal Embslon Slendad! fo( Ihzsrdou! Alr PollutanE (NESHAP) A (919)707{950 at loolt 10 d6yr Fb. b tle cbndftdon of any hdllt or bulldlng. S€e Asb6lo. Wab S[o: httsr/u.ffu6pl.liai..nc.usr/6pl/6sb€sbdahmp.htnt ToTAL PROJECT COST: llq,66pcr)BUILDING HEIGHT:# OF UNITS: l ACRES DISTURBED EXST LAND DISTURBING PERMIT? NYES I NO NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SO FT pRopERryUSE; EoFFrcE f]nrsreunmr f]uencenrru [eouc f,ltrPI E*rro OTHER: WATER: ECFPUA SEWER: UICFPUA fl coMMUN]fy SYSTEM f]wELL flzoNrNc usE cr-AssrFrcATroN: ECENTRALSEPTC LIPR|VATESEPTC fICOMMUNTTSYSTEM ^ SEPARATE PERMITS |IEOUIRFD FOR EI ECT, MFCH, PI BC, CAS EOUIP. PREFABS & INSFRIS '' PAYMENT METHOD: [ClSn flereCr peveaE rO NHC) flrUenrce.x o<eREss EMcMsA f] otscoven (FOR OFFTCE UsE ONLY)RB,/TSED DATE.I/I1/12 ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:- B:- Approvd:_ Clty:- DATE:-FLOOD: -- - BFE+2tu- AVN PHoNE S: 9ro 25r 2lB1 PHoNE f: 910 251 2rBr APPLICANT'S NAIqE: Tribute construction, 1nc. DATE: __l!._g!-_l!_ DEVELOPER: ?ribute ConsLrucEion, Inc. PTONE S: 910-251-5030 CITY: wifminqton ZIP 2 28412 OWNEF/CONTRACTOR: rribute construction. rNc. TOTAL AREA SQ FT : 22-!f- SQ FT PER FLR: - # OF STORIES: :ToTALsQFTUNDERRooF:223l-#oFsTRUcTURES:-#oFFLooRS:2- Comment PERMIT FEE: $- NEW HANOVER COUNTY BUILDING PERMIT aPPLI.ATION rYPtr CoHMERCIAL PttAsa axslrEf, aLL Qu€srlo{s APPLI(AoLE TO YOUS PRoIECT "Froject Responslblllty" 2aL*tctl3'r- 11"-2?,7t APPLICATION Number (offr(e U5e) APPLICANT, S NAfiE:Ir i bur., (roiaLr0.DATE: 1q, sq,1! DEVELOPER: l,ribute const rucr ion. I CITY; 9li lrninqLolr PHoN€ fi 9ro-25r-soro ZIP i 28412 Pl{oNE S: 9ro"a51-50lo sT; j9_ zIP:-?!j!l_ 5T: NC ZIP:28401 PH0NE ri 910-251-2rBr PROIECT ADDRESST r0o? porrofino courr 0CCUPANT,/EUSINESS NAI1E i Anr iqua Ar).rrrmenrs PRoPERTY olrNER'S NAI4E: .rolrhual Holdinqs Lt,c OWNER's ADDRESS: ro s. cardinal Drive CO TRACToR: rribure cosntruc!ion Jnc ADonlsS: ro s. caldinal Drive CITV: }litminqEon LICENSE S: 6ooor ClTY: wittrirqtorr PRoIECT CoNTACT pERSoNr charity t,ane (o,!(t All n.t aprly) GTNERAL REPAIRS RELOCATION No IS BLDG SPRINKLEREO?I ves No Er,l coNslnucTroN: ! rnrcr lrrw STRUCTURE I rnsr rnacx I sHrr-l ! ulrrr I ADo To ExIsT sTRucTURE ACCESSonY STRUCTURE r If UPFIT - The shell Per it llr Is Elect Po!,/er on thi.s Buildlng El Yes E r,o r*r.. Js rHJs a cHAr'lGE oF occullrucv use? flves rc rr+r* IF Yes, lhat ulas the Prevloris occupancy Type? ARCH OESIGN PSOTESSIO AL: ENGfl 0ESICN PnoFESSIo ALl Chrisloher ttol{nes Itt DESCRIPTIoI,I 0F tJon(i Rebuild apirtmert unit6 due to fire danaqe ls food or b€versgos pr€psrgd o( 8oN6d lr tl s dflrduet I ves @ ruo b Tho Prop€fiy Locstsd ln Tho Flooddslr? f] Yes No DISCIAIMER: lherol,y cerlly thill oll ,nlormor,on ,n Ors opl Eol'on,scorlccr ond lllr wo,k w l comtly w,lh rho ond locollaws and o,.linoncos rnd reoulrl'ons. )he NHC l)cvoloon,cnl Scrvlccs Cenler willbo notlod olanv o, ch6.0o in conrrscror or conua.,h, r-nlornErlon "'NOIt'Any Work Podormed WO the App.of,r'ats Permrli Sublecrlo Fines Up To t500 00"' Slolc Burt'rrn0 Codc ond orr orher applrcable Slab .16noes h lha aoororcr, Dlans Bnd soccilications w'lld€ in vi.ran6i or lhslrc Slaro 81,10 Cod6 an,, SIGNATURE: (o{"rb Pd,r NaB) Nor6: Dimo{lon mu!€adoru t a,3b3lrot,snoval p€.mll.pplblloN 5n !o be Db.nlrbd urlQ $..rplk Uon lorm - lortjs{ 70a) |rt60l.l ln. bd[V or Dulldlrv w6l bund io conb h A!D..to! or Nt You .ro mqulrsd ro csli tho ll3uonsl Emtllloo St3nrhdr br tlr.:u&ur A,r Polut nlt (NESHAP) rr (9 t 0)7076950 .r l€6!l I0 ddy! Flor b l\€ d6rm uon ol any bdl,t o. bulldh!. S66 tub.slos Wob Sll€r hip./,1i*r.opl.otot5.nc.ur,/opl/6sb6llos/ohnp.hlrnl TOTAL PROJECT COST: I.)'T X:r.'(? BUILDING HEIGHT: ExIsT CoNsTRUcTIoNT E ALTERATIoN I nrNovarrot lf Rglocatlon, is there a NaluralCas Lrne o lhc Cu,rent Situ? Ll Ycs zone:lhf. [brrpop,o*TW-c ICER: r I I Commont 6 I x f:iMn speclion Recuire,o, 910-254-0\ : !t ii#i Eli,lAIL ADDnESST clanr@brlbuLecon6r,ruction-com PHoNE d: 9!o-2sr-238r t{hat Is tfie Net, 0c(upancy Type? _ PH: NC REG S: PH:_ NC nEG n: _ OWNER/CONTRACTOR: rrrbute cor struction, INc. # OF UNITS: # OF STORIES:3--TOTAL AREA SQ FT : 2231 SQFTPERFLR:- TOTAL SO FT UNDER ROOF: 223? fOF STRUCTURES:- , OF FLOORS:2- ACRES DISTURBED: - EXST LAND DISTURBIHA NCNU T I VES [I HO NEW IMPERVIOUS AREA:-SQ FT EXISTING IMPERVIOUS AREA; -"-- SQ FI pRopERWUSE: DoFFlcE lnesnumrr f]uencllrtu neouc G(pr lmNoo orHER- WATER: mcFPUA rICOMMUNITYSYSTEM E WELL IZONING USE ctASSlFlCATloN:- SEWER: MCFPUA ff CENTRAL SEPIIC LIPRIVATE SEPTIC DCOMMUNITYSYSTEM '''sati,lnlfiPtrrMlt)rrFQlllnfLt!,iflfLlr'ller,.t{n!,,(nSfdtir l!li:r ^l'! 6lrr:J P Ir "' pAYMENT METHOD: ECASH ECHECK (PAYABLE TO NHC) [nUeRtCer eXrness flucaasl f]otscown REV18@ DATE {l lll2 FLOOD ZONE ?olL- totl2L l(rrllqNEI,I HA}.IOVER COI.|I{TY BUILDI}IG PERHIT ,,"?LTCA7rO,, N?f ". RESIOEXTIAL PLEA!{ t$Srta &t $rttltst! Aprtl(lat t ro Yfir* 91o]a.t ':Proje.t Retpoistbtlltf /*,lrx //o a sVa /Cau wta-, Ap.dFrA t&.&r 44'u piolrci ADDRESS t :tr'()li{E g:: LOT ': ZTP I3CITY: LLC c:rY: LICETi'E CTTY: g tlD altsreft 8tldi atl Tl{.tt tP9Ly Tc Yom pxo)EcT: BLOCr r: PRC,PEnTY da'JER's *a{ER's A00RaS5 t *r s, q/o lrru-goo?,EiiTWsa aOtfiRA(ToR i ADme 55; E 'tatl I!D&ES': ptolE(l co.,Ttcr a^de* *)A,'flrkaYal pfi&lt ,: P*Olr€ t: Fxrsrr* cor6Tncrr*, n ortaffiial Rrpatf,s I ettoorrot xEl, c,rsrxlrr:o{ ,dr 16 ,.a,. trsrDEtr€ * [ rmrrran ro atgrnac REtro€ncf 71,,r K!// 5t Q74 sr ! orr crarcr sr @6aot lI I sr f] c*rr*la.xe -- sr [Jtrrr 9.]-? sr orliri r If the prol.ct lt a Relo(.tLon, ls theis a llatuFal Gas Li the ct rrcnt Stte? BYe6 Is there tlect,'1cal Poucr on thls 8utrldl ns I tf ves fC PneERIY t5€ / occl.,PlrfY:.l l: a :;:: Y ua r. 6AR,A6T f] *r.rroor - sr f] roor - sr f] sro*rcr s,{ED - sF rorAl x€ArED srr fi, 3s;16 roTal- sQ Fr mDEn nmr r Slzt roraL anEA sq rr: 13 Arry tLlcTlIcAL, PtlrSlrx oi IlsOlr[C ! gorr 9.1^8 Oon to the A(..rsc.y Siru<t,.r..1 D Vet G€ f| ceNrral urll f] cc.*oxlrv svsrrx 339? \,jbg I Tn.\)n N o€ScRIPfia$ Oa i&*Ki -:y tO O6{ER,/CO}ITRAcToR : <- TOTAL I(RE: DI5'UiBEO: Fxrsl LAr6 DISailn8:l{: pERlrl:fl.m L6 Aac'YY**$ 'kit' IS THE PROPEiTY LOCATED I'i A ooopr-anrr EI vrs t Lrn EXIS':II6 I'.ITI ERVIGJS AREA 5 TT sQ rT l{tl fn r .F f] aelvarr urll sE!,€R I LJ ctMrRA[ stPTrc L-] PRIVATT sEpllc I c.s. zn trourunr (P YASaE r0 |*r)I rleercrrl exrness D "czvrso I ors<wrr"^'Uet""' "::;:;:-';;:",Xft"toiili'A'iilU:'ui^iiaq[,"".r,r".,,r!1 zxt,{iO orrr.r*, F.raf(1 -, sE}MC(s: t' * ,r, * *r,* e, )+ rpprovar: oK. .r.r,t"tit-r0-io*iN/*i/..k,*' ffi.L - - *r". l*Jllu,,,,", t'fu*" *'''pq"l Sdl!"-th* rttuaJiCIvr at* .o] nm}?fnr-d"wloprrt"r.t qoki,,* aprllca,{l, S x-${[ ] Gevr- NEhI HAITIOVER l-r.4 CqJNTY Tolb -t atl21 BUILDING PERI,IIT to{}l9 APPLICATIOI It*€r y/;,t" APPLIC/WT' S N/IIE : DEVELEER : PROJECT AII)RESS ST,BDIVISIOT: crw: crw: LICETISE crw: o l ffi APPLIC^IIOII TYpe: RESIDEI{TIAL PLEASE Ai'9GN ALL QUESTIqiS APPLICAALT TO Y(l,i PiO]ECT "Pr.Jrct respo0s tbtl lty" /rrl,rre fi,5 o osV, /Co )"-.DATE: P}I E f : BLOCX *: ZIP: LOr *: *: 5r ST t: qlo bv?-trob?,W*t&,o ,/(ue , &U 7/o zb/-ar7? LCPROPERTY (MIEN'S ff{fR's ADNESS: CO TRACTOR: ADOfiESS: EITATL AU)nESS: o P'HE PNOJECT C('|TACT PERSOI:b AJA,r'fi)uaYarl PlrotrE *: Exrsrri6 co*STn crror: u orrr*rro,, p *rr*rorril [ ceunal nreerns I RELocarrofi ./ rEL corsTntError r [[rnrcr H f,EsrD€racE or I rmrrrot ro Exrsrrre REsrDGt{cE A5 ATETER BEL(T ALL T}IAT APPLY TO Y(IN PROfECT: f]smrnmn -sF I cnrenrore - sF fuoecr l)-? sF orHER: TOTAL HEATED 5Q ,r,9{16 roTAL SQ FT l,|iDEn ROOF:3tLL TOTAL ANEA 5Q FT: TOTAL hOTECT COST (r"o rar t od>f OF STORIES: cauee 97-1 sr I oer camee sr @6,u )] I sr E *. * [rr**f-*.o- r, SF ssyl Is Any ELECTITCAL, PLrrtIre or IE(IUmCII. Iork gelnS DorE to th If the project ts a Relocatlon, ls ther€ a atural Gas L Is there Electrlcal Pot{er on thts Bulldl ng? l-'l ves t)tlS nSIT{GLE FA',!TLY DUPLEX e A€cessory Structure?tr Yes h the Current Site?fl ves No G6 PNOPERTY t.lSE / OCCI.pAIllcY: DESCRIPTIO{ Of T{ORX: E OISCLAXR lherEby c:edty llel aI hbrir6lrrn h his rp9&aton is comct trd d wort wil comply wifi ll€ Stab Buildkrg Cod€ ard ddhrr]!. -d lc€danons. Th. t{HC D.!!aop.h6nt S6.vaa Cer}L wil b6 rcatod ot y crlrua. h h. 4p,!\td conr*Dr hb,melirn. "'|OTE: Any \ryO llc Agproprtr: PcrmiL w b. h Vbllixr oflho NC Sial otttER/cor{TRAcron:zrz*ornrunr (Prlnt ll*)ar**tt,l,t+r,i**,tt +,|li tla aaa* *tl'l+ ++a +,ttr *+rr *++a +*t 'itat,| Stalt ald locd l€ws * * * *r* +t.* * t*+ + t I5 THE PROPERTY LOCATED EXISTIiIG IIIIPERWqJS AREA llE]' rtr9 AREA :W\, 2Jr0D n xr fl vrs FT FT t(, TOTAL ACRES DISTURBED: EXIST LAID DISTURBITIG PER''TIT:fl ves fl m I{ATER: SEIER : CF f] corurrw svsru fl pRrvArE I,ELL f] crlrnal wru I crurRel seerrc fl pRrvArE sEprrc f] co.u.nrw svsrrr *+. SEPAITATE PEUI P \tr€rr rETro: E crsr, ITS RT FOi ELECT, IIECH,PLBG, 6A5 EQUIPJ PREFAES & II6ER'S 'T' (PAY BtE rO Xf )tr lltERIClx EXPnESS E rrmsr ! orscwrn a.rr* *r* a*:: t*tti +** a a*{, * +*,} tt *ta '}tr *il * ** r.* {.t* r *t*,}*:} + ** *'l *+ + **tt*+i+t,r*t i*:}t+:l+ il.*l:l'l**++ (ro8 offlc€ t,sE !Y) REVTSEO IBTE e4l11/12 z0r{E OF FICER:SETBACKS: Fi-- LH:- RH:- B:- PUA llApproval:- CitY:- DATE:- FL@D: - BF E+2ft= ,ll Email NEW HANOVER COUNTYCS ILDI ERMITrre -aqbl j;tti!,t6"APPLICATION PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROIECT "Proiect Responsibility" Appt-tcANfs NAME. John Andrew Bacik Date. 1O11712016 pRoJEcT ADDRESS: 1800 Eastwood Road - Unit 123 ctw. Wilmington r4P.28403 suBotvtstoN: Lions Gate PROPERTY OWNER,S NAME: OWNER,S ADDRESS: SAME John Andrew Bacik PHONE s. 480-227-8'160 CITY:ztP CONTRACTOR AODRESS: -)66,,,1 i\ 9AC'&BI.OG UCENSE # ST:ztPCITY EMAIL ADDRESS:Co!"1 PHONE PROJECT CONTACT PERSON:),'ft"t A 4., ((R PHONE ExlSTlI{G CONSTRUCTION: I Alteration 3 Renovation I General Repairs NEw CONSTRUCTIONi n Erect New Residence n Addition to Existing Residence n Relocation '*.PLEASC CHECK AND AT{SWER BELOW ALL THAT APPLY TO YOUR PRO'€fi'I' L(tt.22'? t/LL'' E Att Garage (SF)_n Det Garage (SF)_tr Porch (SF) n Sunroom (SF)tr Pool (SF)n Storage shed (SF)_ n Greenhouse (sF)tr Deck (SF)E Other (sF)Kitchen ls the proposed work changing the existing footprint? I Yes E No TOTAT SQ FT UNDERROOF Uot proposed work)1i""1"6. 130 sq ft unheated TOTAL PRO.IECT COST (Less Lot): S 15,000.00 lsthe proposedworkchangingthe numberof bedrooms? E ves E tto lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEYesENo lftheprojectisaRelocation,isthereaNaturalGasLineonthecurrentsite?EYesENo lsthere Electrical Power o n this Euilding? E Yes E tto Property Use/ occupancy: fl Single Family E Duplex El Townhouse Descriptio n of work: Kitchen Remodel - Remove a wall... add an island laws and ordinances and regulations. The NHC Oevelopment Services Centerwillbe notrfied ofany changes i approved plans and sp€cifi.ations or chante in contractor information. *"NOTI: Any wor{ performed without the appropriate permits will be in violation of the Nc iect to fines up to $5o0.00"' Owner/Contractor: "Licensed QuoIilier" John A Bacik Signature: lsthepropertylocatedinafloodplain? E Yes E No Existing lmpervious Area: - Sq Ft Total Acres Disturbed New lmpervious Area 5q tt Existing Land Disturbing Permh: E ves E t'to WATER: E CFPUA E Community System E Private Well E Central Well E Aqua SEWER: E CFPUA E Community System n Private Septic E Centralseptic D Aqua Zone: - Otficer: - Setbacks (Fl - (tHl - [RHl - (B] -Approval: - city; - Date: - Flood: (A) - (v) - (N) - BFE+2ft= -Comment Permit Fee: S l-P,j"t I ffi LOT S. 123 I NE[^I HAN0VER COUNTY BUTLDTNG PERHTT APPLICATION TYPE; COMMERCIAL PLEASE ANs}IER ATL QUESTIOIIS APPLICABTE TO YOUR PRO]ECT "Project Responslbllity" }ort -\o\t ! L6-2213 . rev2 APPLICANT'S NAME: Phenqtou Thor DATE: 9/2/t6 DEVELOPER: Duke Enerqy PHONE S: 1o4-s94 -6200 PROIECT ADDRESS: 801 sutton steam pant Road CIW: wilftinqton, NC OCCUPANT/BUSINESS NAME: Business / Duke surron PROPERry O iIER'S NAIIE: Duke Enerqy Business Services, IJrJC Ol.lllER' S ADDRESS: 801 sutton steam Pant Road CITY:9{ilminqron ST:NC ZIP: 28401 CoNTRACTOR: Roebuck Buildidq6 co., Inc.LICEIT,ISE #: c1o163 v51N" ADDRESS: 3500 south church st. ExE CITY: noebuck sT I 59_ zIP | 223fL EIiAIL ADDRESS: rmabus@rbcqc. com PHONE #: a64-575-G330 PROJECI CONTACT PERSON: Ryan Mabu6 PHONE *: a64-57? -2s29 If UPFIT - The Shell Penmlt #:Is Elect Power on thls Bullding ff Yes El uo ARCH DESIGN PROFESSIoNAL: Green Arch Desiqn croup, Ll,C a54-3s4-o4so llc REG #: s1791 ENGR DESIGN PRoFESSIoML: Palmetto sLrucLural Engineerinq 464-416-8644 NC REG *: P-1217 DESCRIPTIoN 0F WORK: BUTLDTNG PERMTT (Have already obtain a FouAdatio. Permit #2015-8441) b fuod or bovsrsgos proparod or sdvod ln l'lb annwe? [ ve" fl ruo b tne Property Locatsd ln Tho Floodplah? [ ves No (Che(k all rhat Apply) Exrsr coNsrRucrroN: fl ALTERATToN n RENovATToN EGENERAL REPATRS n RELoCATToN lf Flolocdon, istherea Naturalcas Line on the Current Site? !ve" IHo ts aLDG SpRlNxLfneo? [ ves Ir.ro NEI.' CONSTRUCTIOru: I TNTCT NEW STRUCTURE fl TAST TNECT fI STTT.T. I UCTTT I ADD TO EXIST SIRUCTURE ACCESSORY STRUCTURE: None PH PH DI6CIAIMER: I he.eby cerlily that all lnlo.mauon lfl lhls applicalion ls conect and all !rcrk willcomdy wllh lh€ snd lrc8l lews end ordlnanc€s end reoulatlons. Tho NHC Doveloodenl Servlce3 Cenigr will b€ notlffed of anv or chang€ in conlractor gr contracbr lironnation. "'NOTE: Any Wo* Performed w/O lhe Appropdale Permils Subjectlo Fines Up To $500.00'' State Building Code and all oiher applicable Slale chano€s in lhe aooroved Dlans and soecificalions willbt in Violau,oi oIrheNC St6te Bldg Code 6nd OWNEF/CONTRACTO R: Roebuck Buildinqs co.. rnc. SIGNATURE: (Cxasnei coBbln Arbo.bs or m! You rro r€qulrld b c6ll ih. l.tafon.l Emlr.lon Sbidrrd! tu H.zsrdous A. Po{ubntr (NESHAP} at (910}7I}7SS0 .t b€3t '10 d.y! p.lor b lha d6rioulhn ot any fad{ry or hrltim. sea Asbe3bc Wab 6ltar hl9r,X^r.r,rpl.et .rc.osJ.pua.!b..@afunp.h!nl TOTAL PROJECT COST: S1,535,805 BUILDING HEIGHT:18,-0"# OF UNITS: n/a TOTAL AREA SQ FT :5,250 SF so FT PER FLR: 5.2s0 sF # OF STORIES: 1 pRopERryusE: BoFFlcE f]nesmumNr [uencmrtu f]eouc f]arr ncorupo OTHER: wArER: EroFPUA SEWER: E CFPUA ". SEPARATE PERMITS REOUIRED FOfl ELECT, MECH. PLBGI GAS EOLJIP' PR€FABS & I}{SEFTS '- PAYMENTMETHoD: flcnsr f]orcxpavlaEroNHc) flleraemceNoeREss ffMc,vlsA flotscown flcoMMUNITYsYsTEt4/[]WELL EZONINGUSECLASSIF|oAT|oN:f] CENTRAL SEPTP I TJ PRIVATE SEPTIC E COMMUNITY SYSTEM ffi afi -.r*ft ...i.ff .rfrrffi .#rffi .}a*ff a***taaaa*t+aa]l}6a1ffi (FOR OFFTCE USE ONLY)REVISED OATE 'IiI'I2ZONE:OFFICER:SETBACKS:F:_LH; RH:_B: Approval: CiIy;-DATE:-FLOOD:---BFE+2fr- AVN I Comment ZlP.' 2a4ot PHoNE *: 7 04- s94- 6200 ***** rs rHrs A CHANGE OF OCCUpAIICY USrr f] VeS [lNO ***** IFYes,t,hatHasthePrevl.ousoCcupancyType?-l.lhatlstheNe},occupancyType?- ToTALSAFTUNDERROOF: 6.2s0 sF # OF STRUCTURES: ]- # OF FLOORS:-1-- ACRES DISTURBED: -LeeE-r}a!--t- P(ST I-AND DISruRBNG PERMm tf YES E NO NEW IMPERVIOUS AREA: - SQ FT EXSTING IMPERVIOUS AREA - SO FT PERMIT FEE: $_- NEtd HANOVER COUNTY BUILDING PERIIIIT APPLICATIa| IYPE: RESIDENTIAL PL€ASE AXs}IER ALL QUESTIOXS APPLICABIE TO YOJR PRO]€CT "ProJect ResponsibiUty" 613 2 Ambleside Dri CITY: I,[ilminqton BLOC( $: 7o16- )oLt11 L6-294L APPLICATIOiI Nurber (office Use) APPLICA T'S I,IAI.IE : DEVELoPER: N/A PRO]ECT ADDRESS: SUBDIVISIOIT: CITY: wilmi.nqton zlP i 28409 LOT S: _ ST : l!_ zIP : -2gl!!_ ST: l!_ ZIP: 3S3!! 0I ER's ADDRESS: G132 Ambleside Drive CS'ITRACIOR: cape Fear solar s ystems AITDRESS: 901 Mar.rin srreet LICENSE S: E5G7? CfTY: lli lminqton EMAIL IIDDRESS: suooorE@Ca peFearSolarSvst em6 . PRO]ECT CONTACT PERSON:Robert Pa rker EXTSTTnG COISTRUCTTON: I alreUr:ox ! nerovlrroN I oeruenal reemns I RELocATToN E!,r coirsTRucTlon: I rn:cr NE]l REsrDEr{cE or fl aoorrrol To EXISTI|TG RESTDENCE **PLEASE CHEC|( AIID ANSTIER BELOI.I ALL THAT APPLY TO YOIJR PRO]ECT: ! arr elme e _ sF I sulnmu _ sF f] orr oannee sr fl eoncx -sF POOL SF STORAGE 5HED fl eneeuiousr _ sF I orcx SF OTHER: SF SF ToTAL HEATED 5Q FT: _ ToTAL SQ FT UNDER RoOF: _ TOTAL AREA SQ FT: _ TOTAL PROIECT C05T lr-u"" rorr : i # OF STORI ES:30,3 DESCRIPTIOI{ 0F tl0R(: rnstallation of sol ar pane16 on the roof of ehe core'B DISCLAIMER lh66by csdify hal afi hlbmalion in his applicatb, is cofiEct and allwork willcomply wirt h6 Stste Buildhg Cods and sI oher applicable Stds and local t.ws and ordinancss and rogulelloos. Tha NHC Devolopm€nt Sorvbes CenEr willb..lodfed ofanychenges in he epproved planB End spacifEallons orchange in con|le(br or contaclo. inbmaion. "IJOTE: Any Work Porform€d w/O &e Appropriats Pormitswillbe ifl Violation ol tho NC StaB aHg Cods and $500.00'" Ot4,NER/CONTRACTOR: Roberr parker SIGNATURE : * * * * * *, * r* * *** *.- -.,. --,. -. -.(,iili -!iTi rs rHE pRopERTy LocArED rr{ e rloooptarul l-'] vrs EXISTII'IG IIiIPERWOUS AREA: - SQ FT NEI{ IMPERVIOTS AREA: _Sq FT **,a,t *,1 ,t *,** *,*,* **)** *)*rtl *,i* rt,* Jt * )i *,t * **,*,1,t*+ r*+** !* * )*,t **+,* ** Lf no TOTAL ACRES DISTURBED: EXIST LAND DISTURBING PERMIT:Fll vrs E no MrER: I creur I com4uNrrv svsrrm f] pRrvArE wELL I crrrnal r,lell sErER 3 E creua f| CENTRAL sEplrc I nmvare seerrc I cs.$oNrTy sysTEr{ II* SEPAIIATE PERI4ITS REQUIRED FOR ELECT, IIECH, PLBG, GAS EqJIP, PREFABS & II{sERTS ,.*'I PAYMENT IVIETHODI ffcsx f] cxecK (pAyaBLE ro mc1 f] amrnrcAr ExpREss n Ftclvr5A fl orscovrn **,** **,*,1***,1.r(*)* ** )i,* **,* *,* * * **** *)******** *)* )* )*)**,1*)t**t(* **,** **,* *'t* t+'i.*,*,r*** * * * ,1. * *,1.,* rt,* !* ***,|,i* ZONE: _ OF FICE R: (FOR OFFTCE USE of{ry) REVr5€D DAIE 0411.1/12 SETBACKS: F: LH: RH: B: Appnoval:- city:- DATE:- FL@D: - BFE+2ft= - AV}I cormenti PERI'ur FEE: I H Bebcr! Parker DATE: 17ocr.16 PHOlrlE *: {910) 232-6288 PROPERTY OriER'S MIitE: chuck Gole p[Ot{E *: tsro)262-o62.1 PTONE $: (sro)232-62s8 PloNiE *r t910J 232- 6288 Is Any ELECTRICAL, PLUI'IBIiIG or |IECHA ICAL ldork Being Done to the Accessory Structure? [!t Ves I lo If the project is a Relocation, Is there a Natural 6as Line on the Cunrent Site? ff Ves I Uo Is there Electrical Power on this Buildingl [1V". fiUo pRopERTv usE / occupA cy: I srruelr reurlv I ouer-rx I ToN,,NtousE { l--_l l:__-JNEW HANOVER COUNTY BUITDING PERMIT APPLICATION TYPE: RESIDENTIAL PLEASE ANSWER ALL qUESTIONS APPLICAELE TO YOUR PROJECT "Proiect Responsibility, Applicatjon Number ?orhlo{5D AppLtcAN?S NAME. Blue Tide Homes, INC Date. 10/10/'t 6 pROJEcT ADDRESS: 8104 Willow Way ctTy. VVilmington ziP.28412 sUBDtvtstoN: River Oaks LOT #: 3 pRopERTy owNER,s NAME. Brent and Lorri Conlglio owNER,s ADDRESS. 7616 Clark Hill Road PHONE fl.910$22$227 ctw. Wilmington aP.28412 coNTRAcToR: Blue Tide Homes, INC BrDC UCENSE #.66619 ADDRESS: 7616 Clark Hill Road ctw. Wilmington sr. NC ztP. 28412 EMATI ADDREss: bluetidehomesinc@yahoo.com PHONE.910$22$227 pRoJEcT coNTACT pERsoN. Brent Coniglio PH)NE.910-622$227 ! Greenhouse (SF)_ ls the proposed work changing the existing footprint? [] yes n No TOTAL SQ FT UNDERROOF lfor proposed workl Heated.4.162 unheated: 1232 TOTAT PROJECT COST (Less Lot):40,000 lstheproposedworkchangingthenumberof bedrooms? E yes E No ls any Electrical, Plumbing or Mechanical work being done to the Accessory Stru ctu re E yes E No lf the projectisa Relocatlon, istherea Natural Gas Line on the current site? E yes E No ls there Electrical Power on this Building? D yes E No Property Use/ Occupancy: E Single Family E Duplex E Townhouse Descrlpt ion of Work: New Construction DISCLAIMER: I hereby certify that allthe information in this application is correct and allwork willcomplywith the State Buildi and allother applicable State and local lawsand ordinancesand regulations. The NHc Deve lopment 5e rvice 5 centerwillbe notified of any changes in the information. r"NorE: Any work performed without the appropriate permits will be in violation of the Nc state B and specifications or change in contractor dg to flnes up to S500.00"' Owner/Contractor: "Licensed Quolifie/ o Signature: TotalAcres Disturbed: New lmpervious Area;Sq Ft Existing Land Disturbing Permit: E Yes D fto WATER: E CFPUA tr Community System E private Well E Central Well E Aqua SEWER: E CFPUA tr Community System E private Septic E Central Septic E Aqua zone: _ officer: _ Setbacks (F) _ (tH) _ (RH) _ (B) _ Approval: _ City: _ Date: _ Flood: (A) _ (V)_ (N) _ BFE+2ft= _ Comment: permit Fee: S Y'c&] EXISTING CONSTRUCTION: n Alteration D Renovation n ceneral Repairs NEW CONSTRUCTION: E Erect New Residence D Addition to Existing Residence n Relocation ***PLEASE CHECN AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT*'}* tr Attcarage(SF)_ ! Detcarage (SF) tr porch (SF)_ ! Sunroom(SF)_ n pool (SF)_ D Storage Shed (SF) _ n Deck (SF)_tr Other (SF) _ ls the property located in a floodplain? El yes E No Existing lmpervious Area: _ Sq Ft ib NEI^I HANOVER COUNTY BUILDING PERMIT ?otb-)gffir? buldiy APPLICATION umber lrl ./ APPLTCATIoN ryPE.. UOITT E (ljninco.porated Areas of County) PLEASE PRINT CLEARLY & ANSWER ALL QUESTIONS "Project Responsibility" APPLICAI{T'5 t{A}lE: Ner^, Hanover County Board of Education DEVELOPER:N,/A CITY:.!iilmington (Office Use) DATE: 9/2t/76 PK)NE #: 9ro-338-8413 SUBDIVISION: PROPERTY OI{NER'S NA}IE: New Hanover Counl,y Board of Education OIdNER'S ADDRESS: 6410 carofina Beach Road CITY: $IilmingLon CONTRACTOR: To be dere rmined LICENSE #: ADDRESS :CITY: E}IAIL AODRESS; ntChard , [,etV\steup trhcs, ndt PROI ECT CONTACT PERSOI'I : R r chard i'!^e rrs--e rr. BLOCK *: LOT S: - PI€[{E #: 910-2s 4- 4206 ST: Nc ZIP:284r 2 ST: _ ZIP: _ PHONE #: PlOt{E #: 910-338-8413 ARCH DESIGT{ PRoFESSIOML: N,/A PH: PH: NC RE6 #: NC REG #:EiIGR DESIGI{ PROFESSIOML: N/A IS YOUR PROJECT:ACCESSORY STRUCTURE (Musr be tess rhan 12 feet a dime*.^g I CONSTRUCTION TRAILER sEAsoML sALEs Lor ! ornrn: BUILDING HEIGHT: ]NUMBER OF STORIES: 1 TOTAL 5Q FT UNDER FOOR: 144 TOTAL SITE AREA: 6? Acres NUMBER OF STRUCTURES: 2 TOTAL ACRES DISTURBED: O TOTAL PROIECT COST (ress r-o0: $rsoo OWNER/CONTRACTOR: New Hanover county Bd. of Ed SIGNATURE: (Print Name) pRopERry usE: ! RESTDENTTAL ! eUSrrueSS EDUC APT ! coruoo tr OTHER: COIII'IUNITY SYSTEM PRIVATE WELL ZONING USE CLASSIFICATION: and ordinances and regulations- The NHC D€velopmenl Sewaces Centerwillbe nolifred of any changes in the approved plans and spocifications or change in contracloror contracto, inio.matiofi. *NOTE: Any Work Performed WO lhe Appropriale Permits will be in Violation ot the NC State Bldg Code and Subject to Fines Up To $5tX).00"' ama)m m(:, rrt_! N1 6 NATER: SEUER: C FPUA CFPUA CENTRAL SE PTIC PRIVATE SE PTIC l-l commurrrv svsrem zoNE: _ 0F FrcER: (FOR OFFICE USE ON[Y) REVISED 4/12112 SETBACKS: F:- LH:- RH:- B:- Approval :- City: - DATE:- FLOOD: - BFE+2ft=- AVN Comment :PER IT FEE: $- *** SEPARATE PERF1ITS REQUIRED FOR ELECT, IilECH, PLB6, GAS EQUIP, PREFABS & INSERTS *** pAvrirErrr nETHoo: E.*, fl orrcr (PAYABLE ro lt{c) ft Arttnrcal exrnrss !rc1-so I orscoven t()t +*t +*tr *,t*,t*+ +* )** * * ** *:i + * + * *,* * * * 1. )i it 't,1.:i,f * * rt,i *,t *,i r.:f r.l.l. *,*,* rt 'i + + * 'J* '* 'Jt * 'i * * + * *:* ']* * **:t '* r""' )t *d(*:liit{' 51)(tl*rl fr; s,,t/ni/ y/a,,. ,/ o n ^ ).,*j dzltz..-( Z'/5 PROJECT ADDRESS: 4305 shipyaid Boutevard zlPr 28403 Is YolrR PRolEcT: I Commercial ! nesidential fl New Installation @ Replacement I ottrer DESCRIPTION OF l{(rRK: Install 2 new equipment stoiaqe sheds to replace those that were burned down. To be placed inside existing fenced in area. See plan fot exact location, IS THE PRoPERTY LocArED IN A FL@oPLAINT I ves El *o Zn # APPLICANT,S NAIVIE: ,-<t ,€,1hto4ft Lc^*dixa ?Lr'O L^ CITY: 2Dttu- lc4(!L lv-&w APPLICATION Number (office Use) oorr, -r/o'-2G/ 6, ? ii:lil':ED[fIrrilt NEW HANOVER COUNTY BUILDING PERMIT APPLICATION IYPE: RESIDENTIAL PLEASE ANSI'ER ALL QUESTIOIIS APPLICABLE TO YOUR PROJECT "Project Responsibility" ft (=.*).li e DEVELOPER:PHONE f: PRO]ECT ADDRESS: SUBDIVISION: I ZIP i E ^:<oct o 'a C ITY: ^lfi.LICENSE S CITY: L-! BLOCK #: a,--\- I \a PROPERTY OIINER' S OttlNER'S ADDRESS; CONTRACTOR: ADDRESS: PHONE #: SF ST:{(ZIPt2 c ( f 7{1gq AccouNr s:: I *,(gzrpl.@o b PHONE *: PHONE S:52s - 3S-J 2 EMAIL ADDRESS:C\L PROJECT CONTACT PERSON:1o--^/Lo,lucLLJ EXISTING CONSTRUCTION:A LTERATION RENOVATION GENERAL REPAIRS RE LOCATION NEr^l coNSTRUCTrOnt E+fr6 NEW RESTDENCE o" ! mOrrrOru TO EXTSTTNG RESTDENCE E CHECK ATT GARAGE PROPERTY USE / OCCUPANCY: DESCRIPTION OF WORK: OTHE R SINGLE FAI4ILY DUPLEX TObJNHOUS E AND ANSI.]ER BELOW ALL THAT APPLY TO YOUR PRO]ECT: ) / ) sr [__l orr canace _ sF /1-Fr^c,J cL- >r-/>PORCH STORAGE SHEDsuNRooM _sF GREENHOUSE SF P00L _ sF DECK SF SF SF rorAL HEATED sq n, ,/?'f I TOTAL PR0IECT COST tress roo : $ T OTA t; L 5Q FT UNDER ROOF: 28C O TOTAL AREA 5Q FT: -2 8OC AOA # oF sroRrEs: / Is Any ELECTRICAL, PLUI'IBING or MECHANICAL Work Being Done to the Accessory Structure? f] V"t I lo If the pnoject is a Relocation, is there a Natural Gas Line on the Current Site? [ Ves I lo Is there Electrical Powen on this Building? [--l ves l-l ruo cf l:yr cl <.*-c andordinancesandregulationsTheNHCDevelopmenlServicesCenterwrllbenoiifiedofanychangeslnheapprovedplansand orchange in corlracloror conractcr inbrmaton "'NOTE: Oh,NER/CONTRACTOR Anv Work Perlonnedi J*-*SIGNATURE: **** *+ tr< {<**+ ** *+ **** * * W/O rhe Appropriare Permltsw llbe in Violarion ofrie NC Srare Bldq L-" e ,("^(.-. L-. **+i. + 1.* ** +* *+ ** **** * ** **** *(i!t{! Ni\",tr* * ** * * ** ** * ** ** ** * IS THE PROPERTY LOCATED IN A FLOODPLAIN? E YEs //3z SQ FT TOTAL ACRES DISTURBED:,/l (FOR OFFICE USE ONLY) REVISED DATE O4l11/12 SETBACKS: F: LH: RH: B: EXISTING IMPERVIOUS AREA: NEW IMPERVIOUS AREA:)-7 s QFT I^JAT E R :c PUA CO[,1[1UNITY SYSTEM I enrvrre wer-r- [ cENTRAL r{ELL SEWER:CFPUA I crrrnal serrrc I PRIVATE SEPTIC ! commuurrv svsrem *** SEPA]IATE PERI4ITS REQUIRED FOR ELECT, ]V1ECH, PLBG, GAS EQUIP, PREEABS & INSERTS *+* Icos, flcrrcK (eAvABLE ro nrcl [aru rccourur D mclvrsr tr DISCOVERPAYI,IENT I4ETHOD: ++ ** *** ** ** **** *)** * *** *** * * * *,t,*** **** *+ ** +* * * *** ****,k*** * ** * ** * * *** *** * * * * *** + + + ** *,f +* + * ZONE:OFFICER: Approval:_ City:_ DATE:_ FLOOD: _ _ _ BFE+2 AVN Comment: PERI1IT FEE : 'aD zd^L) ft ia40,0D I LOT #: _ ( tr t Exrsr LAND DrsruRBrNG ernmrr: I vrs [---l ro r&}APPLICATION WPE, RESIDENTIAL PI.EASE ANSWIR AIL OUESTIONS APPTICABL€ 1O YOUR PRO]ECT "Proiect Responsibility" 2olu - )045)Lffi9O& Date q lzolrtWeS<rv Off€LAPPLICANT'5 NAMTi pRorEcr AooRtSs: SUBDIVISION:l-ell c\G<(A PROPERTY OWNER'S NAME:Z{cr.l*er}d o€.*E Cu X 61Ty. rrrft 7^J tor f:2B PHONF f 4t Q - 23L - qS q.< OWNTR'S ADDRTSS tE't q € A6/D{>1 A_O CITY tt*tL,,'s.- l,1aJ Zt?: 29\ l, CONTRACTOR AODRESS: 1a;€rLr} >^r4-BLDG L|CENSI $: to251q tA?,> O€€" r A)J*CITY: udtrr-^,e-rvt'i'}l ST zlPi 79ut' PRO]ECI CONTACT PTRSON Wei EXISTING CONSTRUCTION: n Alteration ff Renovation D General Repairs NEW COIISTRUCIION: I Erect New Resideoce B lddition to ExislinB Residence f] Relocation ."PLEASE CHEC( AND ANSWEN BEIOW ALt THAT APPLY TO YOUB PRO.,ECT..i n Att Garage (sF) - fl Det Garage (5F) D Porch (sFl TMAII. ADDRT55: fier-f-ra,- U Sunroom{sF)- D Pool (5t) n Greenhouse (St) - tr Deck (5F) ls the proposed work changinS the existin8 lootprint? E Yes fl TOTAT Sq F UllDtA AOOF $or proposed wolk) Heated TOIAL PROJECT COST {Less Lot}: $ €o ruc,,t) ls the proposed work changing the number of bedrooms? El Yes D No ls any f,lectrical, Plumbin8 or Mechanical wo,k being done to the Accessory structure El Yes D No lf the pro.iect isa Relocation, istherea Natural Ga3 Line on the current site? f] Yes El tto ls there Electrical Power on this Building? E ves D xo Propeny Use/ occugancy: El Single Family E Duplex E Townhouse eooB)h, 4oot11z,r *t Sct tlo<a & lv et. tca,[&-&!L to(oJer€r, ,4a1.\ No PHONEi 4I 4 -<Lq -1 | .-l q PHONE dlq'<L \ -1tt I n StoraSe sh€d (SF)- [0 Other (sr) 2? 6 U ate4/-t 2LA Unheated:?.,g A ( eo*'tc"r*4 A'\)Description of Work: H,-t€.4 .r, L a< lead) ,AZo hws Bnd ordinance! and regulationg The l{XC Devalogment 5ervi.e5 Center will bp notirird ol any (h.nter in the ap information. "'iJOTt: Any worl perrormed without lhe eppropriete petmilt will be in violation ol lh€ NC State BHB proved plen3 and tpe( rcations ot chan8a in conllactot and tubied to frnls up to 55@.00"' Owner/Contractor: "Lrcensed Quotilier" Wu(.F\ D*ctt sisnature: Ptint Nome lslhepropertylocatedinalloodplain? D yes D t'lo ExistinB lmperviou3 Area: &. Lt3 sq ft Total Acres Disturb€d: > I New lmpervious Ar eat 7-1,9 sqtt f,xistin8 Land Disturbing Permiti f] Yes El No waTER: n CTPUA D community system El Private well E central well D Aqua SEWERT tI CTPUA E Community System E Private Septic E Central Seplic C Aqua Zon€: - Ot icer: -- S€tbacks (F) - (tHl -- (RH) - lB) -Approval: - City: - Date: - fbodr (A) - (V) - (N) -. Bf€+2ft'----- Comment: t.sarD (*oa0 Permit fee: S L ZlP 49.1 lt I lotrc to\b"l NEI^I HANOVER COUNTY BUILDING PERMIT APPLICATI1N IYPEr COMT1ERCIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" APPLICANTJS NAIIE: Brandon CaEledqe, RTTR ArchiEecEs 1ffi47 APPLICATION Number (office use) DEVELOPER; CK GaIlery park wilminqEon LLC CITY: wi Iminqton PHONE *:'ta4 342-9oaa PRO]ECT ADDRESS: 1342 ELEMENT wAY - BLDG 5 OCCU PANT/ BUS I NESS NAI'IE: ElemenL Barclay Wesr Aparrmenrs PROPERTY O[^]NER'S NAI'IE: cK Gallery Park l,tilmins ton LLC OWNER'5 ADDRESS: 301 s colleqe srre EitAIL AODRESS; aboser@hki consEruction. com et sEe 2 8oo CITY: charrotte CITY: wi lminqEon PHONE *: ST: Nc ZIP: 28202 ST: NC ZIP: 28401 PHONE *:910 256-4388 PHONE S: 9to '797 -43a9 CONTRACTOR: HK Jordan & co. rnc ADDRESS: 5129 ofeander Dr Suite 201 PRoIECT CoNTACT PERSON: Alldy soqer (check All Ihat Apply) RENOVATION GENERAL REPAIRS tr RELOCATIONEXrST CONSTRUCTTON: E ALTERATTON lf Relocadon, is there a Natural Gas Line on th e Current Site?Yes No IS BLDG SPRINKLERED?I ves No NEW CON5TRUCTTON: @ rnrCr NEhr STRUCTURE ! rlSr rnlCr ! Sner-r- ! Urrrr ACCESSORY STRUCTURE: ADD TO EXIST STRUCTURE rf UPFIT - The shell Permit #: '***+ rs rHrs A cHAxGE oF occupar,rcy usel lves I N0 ***r* IF Yes, what was the Previous Occupancy Type? ARCH DESIGN PROFESSIONAL: Daniel F. Joy l,{hat is the New occupancy Type? PH| 1ia 6G7-1492 NC REG #: 106?0 ENGR DESIGN PROFESSIoNAL: Brad Ellinwood 23 474 ls food or bgverogos prepsred or servod in $is stucfiJr6?I ves I llo ls The Prop€rty Located ln The Floodplaln? [ ves cha lhe pp roved of ih€ all olher applicable Slate olans and sDecificalions NC Srate BIdq Code and DESCRIPTION OF WORK: Bui]di WATER: ECFPUA SEWER: E CFPUA DISCLAIMER: I hereby cenir lhal all information in this application is correct and all work will comply with the and local laws and ordina'rces and reoulalrons. t he NrlC Develoomenl Services Cenler will be nolifted of anv or c,ranqe rn conlraclor or contacior i-nformalion, "'NOTE: Any Wo Performed w/O the Apptopnale Perm,ls Subtectlo Frnes Up To$500.00"' e1 ru rilS08eit0ll N slate Bui ing Code and will OWNEFI/CONTRACTOR:*,*-*r*.--En<t ?.:nt-,tttztu SIGNATURE: (o!difi64 PddN8ne) contatn fu!.5toa or na{- You alo roqulard to callthe Nstloml Embslon S,tanden,3 6r Hazord,our Ar Polluta[E (NESHAP) ai (919)707-5950 at l6al 10 days p.lor to tlo d..rElltbn ot any lbdllty or bulldlm. See Asb€do6 wgb S[a: mFr Mrw.opl.$8ro. nc.ue,/6puB3b6larahmpJnrnl TOTAL PROJECT COST: 2,2a2,se'l .48 BU ILDING HEIGHT: 48'# OF LJNITS: 3 o TOTAL AREA SQ FT :3'79'72 SQ FT PER FLR:72175 # OF STORIES: : TOTAL SO FT U NDER ROOF: 3?e72 #OFSTRUCTURES:1 # OF FLOORS: ACRES DISTURBED:see civil EXST LAND DISTURBING PERMIT?I YES flNo NEW IMPERVIOUS AREA: see crvi l SQ FT EXISTING IMPERVIOUS AREA:see Civil SO FT pRopERTy usE: EoFFrcE Enesreuneu luencnrnle leouc Enpr E @NDO OTHER TI@MMUNITY SYSTEM -WELL aZoNlNG USE CIASSIF Eceurnalseprrc fl P-RIvATE sEPTtc EcoMMUNITYSYSTEM ICATION: r z PAYIVIET.IT METHOD:flcrsn flcxecK (pAyABtE To NHc) EAMERIcAN DoRESS E McMsA E otscoven DAIE {1I/12 ZONE: App U'/it'ii T Co ,[o :ffi DATE: 6-1-2016 ZIP', 284t2 LICENSE #: rs Elect Pouer on this Buitding E Yes E to PH:404 262-0800 NC REG *: -. SEPARATE PERMITS REQUIRED EOR ELECI, MECH, PLBG, GAS EOUIP, PREFABS & INSERTS '' l^- N PERMIT FEE: $- Ccu) 0*fllt rt( ffi NEW HANOVER COUNTY BUILDING PERIIIIT APPLIcarIott nPE: CO4IIERCIAL PLTASE A',ISIJER AII QUESTIOI,IS A.PPLICAALE TO Y(XJR PROJECT "ProJect Responsibility" /L)t@ l)L{ba APPLICATIOiI Nunb€r (office use) Js2a+t DATE: 6 - 1-2 0r.6APPLICAI{T'S ilA!'tE: DEVELOPER: sI< 6s1 Brandon Catle , RJTR Archit.ects lerv Park wi1 minoton L],C PHONE f:'t04 342 -gooa PROIECT ADDRESS: 1351 Elemenr way - b1 dc5 CITY: $Iitminqron occuPAt{T/BusrNEss ru E:Efement Barcl a Weat A ments PROPERTY OIINERTS t.lAfiE: CK Gallery palk wilminqr LLC ollNER'S ADDRESS: aol s colleqe sEreet sre 28oo CITY: charlot.t.e CoNTRACToR I Hr ,foldan & ADDRESS:Dr Suite 201 CITY: wilrdnqron EI.'IAIL ADDRESS: aboqer@hki conarrocrion. com PRoIECT CONTACT PERSoN: Andy Boqer ZIP | 21a]2 Pl{''{E * ST : !g- zIP:-Ag3!!_ ST: Nc ZIP: 2sao3 Exrsr corurRucrroN: fl ArreRArror a nenJfriifu"E??'il*l REparRs E RELocArroN tf Relocdon, isherea Naturstcas Line onrhe dnent Site? [vF[r.ro tS BLDG SPRIN-KLERED? E yes f]No NEt{ coNsTRucrrot{: I enrcr irEt{ srRUcruRE I rasr rmcx I sxelr. f] uerrr I aoo ro Exrsr srRUcTuRE ACCESSORY STRUCTURE: If UPFIT - The Shell Penmit #: IF Yes, Htrat rrds the Prevlous Occupancy TlDe? AROI DESIGI{ PROFESSfOTUL: Dani.el F. Joy ...* Js THJS a o{at{GE oF ocoJPAr{cY uSE? f] YEs [t€ ..... Is Elect PoHer on this Buildj.ng r Yes EHo l0rat ls the t{er. Occuparcy Type? EI'IGR DESIGiI PROFESSIOTIAL ; Blad E1llnuood DESCRIPTION OF hJORK:Buildi.nq Tvoe 1 ls iood or b€\,€rages gep*ed or aerved h thia *rrtrez I ve" f] ruo k ne e]opaty Locabd ln Tho Roodgatnz I ves fl r'ro lhe Slate EuiBing Code and PH PH 770 66r-7492 404 262-OAO0 TC REG *: 106?0 l,lc REG *: 23 014 tf @ flcoMMuNny sysTEli EwEu- glzoNtNc UsE ct-AsstFtcATtoN:ff CENTRAL SEPTTC D PRTVATE SEpTtC fl COMMUNTTY SYSTEM in Ua OWNERyCONTRA CTOR: }',a'-e!,!,.r -fuJ 241L t r / k' SIGNATURE: {Otllld, {Pi'r Nrm) Nolo: Ddndltm ndicatdB & 6tsla tsnol.sl pormlt apCh€tdls Er. b bo submftrd uCnO 0le .pdlcrdqr lbnn (DHHS<768) v,tl€t|6 0lo hcJtty a hil&B was hnd b contrln Asbo.loa G not You dE rEsirrd b cdltlo tlstdrsl Elnbdm $.rd!rds lb. Hdrrdoos Ar Po[um NESHAP) rt (919707.6S0.t tad 10 irryE Ftqto rho d.rndl0dl ol ary lbdltty d hldlnC. Se A.bd6 lt & SIlr: hrsri^lr,t 6d.ste1!.nc.u6/6!Usb61o6/shmp.hrlnl TOTAL PROJECT COST: 2,202,597.48 BUILDING HEIG}[: 48' #OF UNITS: 30 TOTAL AREA SQ F l i 37912 SQFTPERFLR:12716 # OF STORIES: : TOTAL SQ Ff UNDERR@F:37972 #OFSTRUCTURES:1 # OF FLOORS: 3 ACRES DISTURBED:sqe ciyj' l EXST LAND DISTURBING PERMI? E YES E NO NEW IMPERVIOUS AREA: see civil SQ FT EXISTING IMPERVIOUS AREA see civil SQ FT pRopERryUSE: floFFrcE nnesrauner'n [uencnNnu f]eouc ffianr f]coNoo OTHER: Bll other applicable State olarLs and soecif celions NC Stare Bldg Code and WATER: SEWER: CFPUA CFPUA R-2 ". SEPARATE PERMITS R€OUIRED FOR ELECT, MECH, PLBG. GAS EOUIP, PREFABS E INSERTS -' pAyMENr METHoD: flce,SH E CneCX pevpetE ro NHc) flaxenrceN D(PREss I ucrvrse I orscoven (FOR OFFTCE USE OliLY)aEvrs@ oATE {itn2ZONE:_OFFICER:SETBACKS:F: LH: RH: B: Approval:_ Citf- DATE- FLOOD: _ BFE+tr_ AVN Comment LICE SE $: 26431 PHONE *: 9ro 25G-4398 PIONE *:9r.0 ?9?-43a9 PERMTT FEE: $_ ,)CLU (L((c 1 16-2441 NEI^I HANOVER COUNTY BUILDING PERMIT aPPLI.ATIoN rYPE: COMMERCIAL PLEASE ANSNER ALL QUESTIONS APPLICASTE TO YOUR PRO]ECT "Project Responsibil.ity"ffi APPLICATION Number (Office use ) DEVELOPER: cK Galtery park wifminqEon LLC PROIECT ADDRESST 134? Etemenc way OCCUPANT/BUSINESS NAME: Element Barclay wesE AparEmenEs PROPERTY OI^INER'S NAME: cK Gallery park I4ilmlnqton LLC OWNER'S ADDRESS: 301 s colleqe streeE sEe 28oo PHONE f:'7a4 342 9oaa CONTRACTOR: HK Jordan & co, rnc ADDRESS: 5129 oleander Dr suiEe 201 EI'IAIL ADDRESS : aboser@hki construct ion. com PRO]ECT CONTACT PERSON:A]1dy Boqer CITY; charrotte PHONE f: ST: NC zfP: 28202 PHONE s:910 256-4388 PHONE #: 910 797-4389 LICENSE *: CITY: wi lminqEon If UPFIT - The SheII Permit #:Is Elect Power on this Building T Yes Ero ARC H DESIGN PROFESSIONAL: Daniel F. Joy PH PH . '|'ta 66t-1492 NC REG $: 10570 ENGR DESIGN PROFESSIONAL: Brad E]]inwood DESCRIPTION OF WORK: BuiTdi ls food or bev€rsggs propared or servod in this s:tsucuro?ves f] to b Tho Property Locstsd ln Tho Floodplain? E Yes No DISCTAIMER:I hereby and ordin cenit thal all information in this applicalion is corecl and all work willcom erformed WO the Appropriate Servlces Cenler will be nol pl rfi y with the stare Bui of anv cha Permils wll ng Code and all other applicable Slate nces and reoulations, The NHC Develoomenl conkaclor iilormation. "'NOTE: Any Wo* P Dlans and soecrficatrons'lJC Stare Bldg Code and ao4 262-0A00 NC REG #: 23014 2 a or chanoe in contraclor or Sublecllo Frnes Up To $5 00.00-' OWNEFI/CONTRACTOR: (O.5lln6r) b.rnr"rtrc SIGNATURE: Not€: Domollton ndlffcatlons & asboSo6 ltanoval p6mlt aPPllcatlorB ar€to bo submltl€d rlslno th€ appllcatlon icm (DHHS-3768) whethor th€ bcillty or bulldho wa blnd to contstn Asbas@r or noL YoU ar6 Gquk€d lo call lho i,latonal Embelon S.lrxraltb h. llazadous Ar Pollutanb (NESIIAP) ot (9 19)7Ur€S d la!( 10 dty! p.lor b lh. doryblhlon of 6ny bdllty o. bulldlng. S€e Asb€G wob Stb: htQrn6,vt r.epl.siaE.rE.B/opu63b6t6/6hmp.mml TOTAL PROJECT COST: 2,3as,672.0e BU ILDING HEIGHT: a 8 # OF UNITS: 2 7 TOTAL AREA SQ FT 39542 f OF STORIES: 3 ACRES DISTURBE D: see civil EXST I,AND OISTURBING PERMIT?I ves Iuo SQ FT EXISTING IMPERVIOUS AREA:SO FTNEW I MPERVIOUS AREA: see civil pRopERTy usE: EoFFrcE Enesnumur fiuencmrnle leouc aer lcor.roo orHER- WATER: ECFPUA SEWER: E CFPUA zoNlNG USE CIASSIFICATION: R- 2 ECOMMUNmY SYSTEM see Civil ECOMMUNTTY SYSTEM E WELL E:]CENTRAL SEPTIC LI PRIVATE SEPTIC .- SEPARATE PERIIIITS REQUIRET] FOR ELECT. IVECH. PLBG, GAS EOUiP PREFABS & INSERTS '' PAYMENT METHOD:lcl'sn flcuecK pAyABlE To NHcy fleuenrcal exeness I ucruse I oscown I cp) OFFICZONE:/Yl R: c .J I I f;LIiLT iry lnspecrrOn Hequreo, 9lu25q.0r I I Approval ft 1111t12 APPLTCANT.,5 NAfiE: DATE:__i:ljl9l!_ CITY: wilminoron ZIP| 28412 ST: Nc ZIP: 28403 Exrsr coNsrRucrroN: E ALrERArro, 1*r*Jiliiilil'fi^l?'il*o,- neeerns ! RELocarroN tf Relocadon, istherea Naturatcas Line on the -Current Site? EY;ENo tS aroO spRlN-fLgneOZ !v"" ! r.to NEr^l coNsrRucrror,r: Z] enecr NEt,.l srRUcruRE ! rasr rnlcx ! sxrr-r- ! uerrr f] noo ro Exrsr srRUcruRE ACCESSORY STRUCTURE: i,'r.** rs rHrs a clrANGE oF occupAlcy usrr !ves Ero --.-. IF Yes, what was the Previous Occupancy Type? - t4hat is the New Occupancy Type? - SQ FT PER FLR: 132aa TOTAL SQ FT UNDER ROOF: i9532- # OF STRUCTURES: ]- # OF FLOORS:I-- (FOROFFICE USE ONLY) N PERMIT FEE: $- oo 2ott, (oL{^t, 16-2440 I ffi NEt^I HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE; COMMERCIAL PLEASE ANSI"JER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" APPLICATION Nu mber (office use) OEVELOPER: CK Galtery park wilminqEon LLC PROIECT ADDRESS : 133s Elemenlryql Dl4]lu4g-L CITY: wi ImingLon OCCUPANT/BUSINESS NAiIE: Element Barclay wesE Apartments PRoPERTY OU/NER'S NAME: cK GaIIery park wilmlnqton LLC CONTRACTOR: HK Jordan & co, Inc ADDRESS: 5129 oleander Dr suire 201 LICENSE fr 26431 CITY: wilminqcon EiIAI L ADDRESS : 4baqe!@ilkiqA4qtruqllqn. com PROIECT CONTACT PERSON: Andy Boqer (Check All That Apply) EXIST CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS RELOCATION IS BLDG SPRINKLERED?[v"s [ruo UP FIT ADD TO EXIST SIRUCTURE PHONE *: ta4 342 eaaa PHONE *: ST: NC ZIP: 28403 PHONE #: 9r.o 2s6-4388 PHONE #: 910 79? 4389 lf Rglocation, is there a Natural Gas Line on the Current Site?tr Yes Euo NEW CONSTRUCTION:ERECT NEt^l STRUCTURE FAST TRACK SHELL ACCESSORY STRUCTURE: If UPFIT - The Shell Permit #: IF Yes, what was the Previous Occupancy Type? ***** rs rHrs a cHANcE oF occupAr'rcy user !ves I fs Elect Power on this Building ffives Druo l,Jhat is the New occupancy Type? ARCH oESIGN PROFESSIONAL: L PH ENGR DESIGN PRoFESSIONAL: Brad ElLinwood PH DESCRIPTION OF WORK: Bui]dir,T e1 i 7'70 661-1492 NC REG #: 10670 404 262-AAOO NC REG *: 23014 ls food or bovorsges p.eparcd or ss.ved in lhis srucfiire? DISCLAIMER: I hereby cenlfy lhat all nformation in this appllcation ls or chanoe in conlractor Subjectlo Fines Up To $500.00-' and locallaws and ordl nances and reoularions. Th or contractor iiformanon.' e NHC Daveloomenl Servrces Center "NOTE: Any Wort Performed w/O th e ApDropriate Pe ves I llo ls The Propedy Locatod h Th€ Flooddaln? E Yes T No correct and all work ll be noufied of h the Stare Euiiding Code and all other applicable State Dlans and soecifications l.,lc Slale Bldg Code and T p9 cori6h Albostos or noL Yo{r 616 raqulrod to calllho l.bllcnal ErnEglon Sl6ndanf ba Hsz8dour Ar Polluana (NESiIAP) d (919)707€960 d l4n 10 daya p.lor b UB derDlltlon of Eny bdlily or bulldlm. S€€ Asb€otos Web Sft€: mtprlMdw.egl.stat6.nc.us/6pl/asbatoJahmp.mml OWNEFUCONTRACTOR:a,*-*o* JU"t t./'!eu E t €SIGNATURE: (Ou6lifi€4 TOTAL PROJECT COST: 2,2o2,ssi .48 BUILDING HEIGHT: 48 ,# OF UNITS:30 TOTAL AREA SQ FT .. 37912 SQ FT PER FLR: 12?16 # OF STORIES: 3 TOTAL SQ FT UNDER ROOF: l7e?2 # OF STRUCTURES: 3__# OF FLOORS: 3 ACRES DISTURBED:see civil EXST LAND DISTURBING PERMIT?I ves [ruo NEW IMPERVIOUS AREA: see clvil SO FT EXISTING IMPERVIOUS AREA: see clvll PROPERTY USE: [OrrrCe !RESTAURANT [uencnHrrle leouc epr n @NDO OTHER WATER: ECFPUA SEWER: u] CFPUA trE @MMUN]TYSYSTEM CENTML SEPTIC E PRMATE SEPTTC fICOMMUNTTYSYSTEM fl WELL ", SEPARATE PERMITS REQUIRED FOR ELECT, MECH. PLBG. GAS EOUIP, PREFABS & INSERTS "- pAyMENr METHOD: !U,Sn [CneCX leAVletE TO NHC) [lUenrCeH O@RESS E MCMSA I O|SCOWn SO FT V ZONING USE CLASSIFICATION: n z {*- (FOR OFFTCE USE ONLYL/ SETBACKS: r: tr LH:l-*{-'{t\ BFE+2ft= tl F. Ar'"( REVISED DATE {I 1/I2 APPLICANT,S NAI,IE: DATE: 5-1-2016 ZIP | 2Baa2 OWNER'S ADDRESS: @ CITY: !IeIl9!!S_ ST: I!_ ZIP:28202 N PERMIT FEE: $_ oo t'1Lc t f?R 01 0-1( r.ir NEW HANOVER COUNW BUILDING PERMIT APPLI CATION TYPE: RESIDENTIAL PIEASEANsWER ALL QUESNONS APPI-ICABL€ TO YOUR PRO.IECT "Prorect Re5PonslblllV' 2otb" to39L IjElti.tliI l:e'9ijl (otffce usc) APPLICANT,S NA irs, F.S., L.L.C. dba RamJack Date. 1ol18/2016 PROJE cTAoDREssr 446 Ssmmes Drive cry: Wilminglon 71p. 28412 coNrRAcro n. F.S., L.L.C. dba RamJack qry; Durham g196 Uggpgg g. 53778 511 NC 2;p.27705ADDpp55;4'122 Bennett Memorial Road suite 304 EMAIL ADDRESS:charlie@ramjackusa.com pH611g.919309-9727 ExlsTlNG CoNSTRUCIIoN: fl Alteratlon O Renovatlon El GeneralRepal.s NEw GONSTRUCTIoN: D Erect New Resldence D Addition to Existing Resldence O Relocatlon I"PLEASE CHECK AND ANSWER BELOW ATLTHATAPPLY TO YOUR PROIECT,I*' D Attcarase(sF)- tr Detcarage(sF)- tr Porch (sF) D sunroom {sF)- D Greenhouse (SF)- tr Pool{sF) tr Deck (sF) E storage shed (sF)- tr other (sF) ls the proposed work changing the existing footprlnt? 0 Yes B No TOTAT sQ FT UNDER RooF lfor prcposed work) Heated:Unheated: TOTAL PROJECT COST (tess Lot):2525.00 ls the proposed work changinE the number of bedrooms? E Yes E No lsanyElectrlcal,PlumblngorMechanicalworkbeingdonetotheAccessoryStructureEYesENo If the proiect is a Relocatlon, isthere a NaturalGas Llneon the currentrlte? Cl Y€s G No ls there Electrical Power on thls Bulldlng? E Yei E No Property U5e/ occupancy: E, single f.mlly O ouplex E Townhouse Des€.lptlon of work: lnstall heljcal plers to stabilize foundation, as desiqned by slructural €ngineer laws and ordlnances and re8ulatlons, Thc NHC DevElopmEntServlces Centerwlllbe notlf,ed ofanychan8€s ln the approv.d planr and sp€ciflcetlons o.change ln.ontactor intormatlon. "'NOIE: Any wo{k pedomed wlihoutthe appropi.te pe.mtu willbe lnvlolation ofthe NC lo finer irp toSSm.m"' Owner/Contractorr Charles Lowis Sitnaturc: "Llcensed Quolifrel Pdnt Ndme ls the p.operty located ln a floodplaln? E Yes U No Exlstlng lmpervious Areai _ 5q Ft New lmpervlous Ar€a: _ Sq Ft TotalAcres Dlsturbed: Exlstlng Land Dlsturbln8 Permlt: E Yes 0 No WATER; El CFPUA E Communlty Sysrem E prtvate Well D Centratwell E Aqua SEWERT E CFPUA E) CommunitySystem E prlvate Sepflc E Centralsepflc O Aqua zonu, R -15 omcer: (W setbacki(F)[I\-(Lxt"tU, tnxt dh rst dh Approvar:-[!- city: tIL{^ oate: \phq\lt F;ood,1ny ' 1v; ' (NfllA4|J( BrE+2ft= _ co-ment, tlo €yPldlruJ of fvrS(r.lo S<l,uc1u[\( oROtrirGL\d\Ig€ eermit Fee: S Y,,A City lnspection Requreo, 9.l0-254"0t : l r \.! sv'w 5ggp1y1516p, Pine Valley Estates SEC 22 PARID #R06609005.002-000 toT*:-- PRoPERTYowNER'S NAME! pnone #: 9]9E9iE1- 61yi1gs,s 6ppxs55; 446 Semmes Dr cry; lry!I]!gg!-. 71p.2a412 PROJECT CONTACT PEnSOiI, pX6NgI 9'19-309-9727