NOVEMEBR 18 2016 BUILD APPS$tc
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APPLICATIOI{
Number
,.:' .1 NEhl
'
ffir,uto
ocl 20 ,ot
APPLICANT'S l,lAllE: K&L sisns
HITM)VER COUNTY BUILDING PERII,IIT
APPLICATImI rn'f: SIGNS ,/ BILLBOARDS
PLEASE PRII{T CLEARLY & AI6I'ER ALL QUESTIOIS"Project Responsibilit}/,
(Kenny Waqqoner)
(Offtce U5e)
DATE: I-i9-1s
zrP,FA\
DEVELOPER i
P&OJECT ADDRESS:
oCCuPAI{T/BUSIT{ES5 NA E:
CITY:
PHO E #:
PHOI,IE #:
\
PROPERW OIS{ER'S t{AitE:
OUNER'S ADDRESS:CITY sr:Ni zrP: rGLl\
CoNTRACTOR: K&L siqns LICEI,ISE ':ACCOUNT *:
ADDRESS: fo17 Ramsev Rd CfTY:,lracksonwille ST: sg 21P; ,ru*E!iAIL ADDRESS: k1 aiqnseyahoo. com
PHONE #: 910-4s5-8202PROIECT COiITACT PERS(X: xennerh itaqqoner
CHANGE OUT
CRIPTION OF I6RI(:
rs srcN(s) orrt oR oFF pRErrsEs? fl on I orr
and ordinames 6nd rEgulations. The NHC Dev€togn€r S€rvlce3 Center wl be noriffed of any changDs in the approv€d pl6ns 6nd spocifcarions s chano€ in cfftractor orcontraclor idorma on. "'NOTE: Any Wo Pertormed WO rhe Appropriata pormlb wi b€ in Volatlon oftl.NC Bldg Code and Subiect ro Up To $5o0.0O"'
OtINER/CONTRACTOR:SIGNATURE :
(Print Nc)
* + +,1,t t *,t *,t*a*,8*:* *,r *:r **,|r*:tat****:!t*** * a*,| *,r t )i*** *:*:t * *,t* *,i *,i )t***,*+,1**:t:l:t**++**:1,*t** **rt**,t
TYPE OF Sr6N(S)
/^ (qHECK ALL TI{AT APPLY)fl rnrcr f,/ar-ren f! neearn I eur-aner
H,,ffP,'
PRO]ECTION
CAIIOPY
FREESTANDII'IG (Ground )
SHII{G L E
..,4-
*h# I1S# rni it:rr: $ ;i:t;
Total t{umber of Signs on this project: _
Sign Dimensions:
Sign Dimensions:
SiSn Dimensions: _ X_ Total SQ.FT. of Sign:
Sign Dimensions:X_ Total SQ.FT. of Sign:
A*i SEPAIUITE PE8,{ITS REQUIRED FOR ELECT, I.IECH, P186, GA5 EQUIP, PREFABS & INSERTS **1
PAYI.lEtf IIEIHOD:tr CASH E cnscx (pAyABrE To rr{c) [ err-r- rccolrr tr HC/VrSA f] orscwen
(FOi OfFTCE r6E q{rY) i€\,lsED oarE 3/30lr2
SETBACKS: F: LH: RH: 8:
1 Height:Lo\50
_1. JSIGN 2 Height:
65' srel 3 Height:
srGN 4 Height:
roTAL pRolEcr aorr, l3r\)5,@ rs rHE pRopERry LocArED rN A FLo@pLArnr f] ves E ruo
**** ** **l ** *,1,*:t** )t***** *,i** * )t:t * )* 't,t,l ,i,* * ,l,l * * t* ,t:* * * *:t,* ,t * *** * * *,1***:* **,i+ Jt,* * +***,t,*r*** * * ,i ,|,t *,t **
ZOTIE: OFF ICER:
Approval:_ City:_ DATE:_ FLOOD: _ BFE+2ft=
AVN
Corment: PER IT FEE:(
PtO E *: 91-o-Ass -s2o2
ntr [-l noor
L_-l orxrn
>ti
&E
APPLICATTON |YPE: RESIDE TIAI aotb-((l lrl
PTIASI ANSWTR AI,L QU€'IONS APPI.ICAETE TO YOUR PROJEC]
-Proiect Responsibililf
Applrtion
APPUCAI{T,S NAMI:E+r, 4 7,.,.,t Dale
PROTECI ADDRESS - 7 3)a Su ,/rza n Z-r-:Cll]i./J),1zvr-,>oy'-.?, ZIP .rtV-3
SUBDtVlSlOll: 1-t)'t s.'.t^ F 7 *=r-; U c
PROPTRTY OWNER'S NAMf:P, +.- I 4*;t-. 7-n /.PHOr{r r: 9/o - 7 ?,/- 7a1/, " 'g -,'t nie.).tkw
.9
owNrR'sADDBrss 3*a? s.,/n,^.t D:CITY
CONTRACTOR:,?o,r4 n C-
l (4;t"-.7nc*-,Br.DG UCfi{SE fl
ADDitSs: 3 CITY
tMAtt ADDntss:PHOilt
...PLEAST CHTCK AND ANSWER BTLOW AII THAT APPTY TO YOUR PNOJECT''T
D Art Gara8e (sF) _
D Sunroom (SF)
E Greenhouse {SF) _
ls the proposed work chan8ing the existing lootprinl? tl vu. d to
TOIAT 5Q FI UNDIAROOP Uot ptoposed x/or*) Beated:
TOTAL PROTEC' COST {Less Lot):I q-ooo
D€scription ol Work:Pre-- fui, she<l
sllYf:ztP: .J.E .11:)3
EXISTING CONSTRUCTION: D Aheration C Renovalion D General Repairs
NtW CONSTRUGTIO n, {erea }let}*erid?lrce I Addition to txislin8 Residence U Relocation
O ,ror*r*t rl-4;r ro
D Porch (Sr)
0 orher (sF)
7-
ls lhe proposed work changing th€ number ol bedrooms? B yes E to
ls any Electriaal, Plumbint o, Mcchankal work being done to the Accessory Structure E yes
l, the projecl is a Relocation. is there a Natural Gas Line on lhe current site? 0 yes g No
ls there tlectrical Power on this Buildinc? ft Ves 6zNo
{*o
Itws at|d o.dinanaat and retulalrons- The NHC Devtlopmenl Serti(es Center wll b€ nofi{ied ot rny chantes in the approred plani and sp€a t.!Dn! or ahrnSa ii tonttaclor
inlortn tion. "'NOft: Any yrorl perlormed rilhout the sppropri.r€ permil5 will be rn violarion ol lhe NC Sbre Bb8 Code .nd subied lo fin6 up to 3Sm.m"'
Owncr/Contraclor;-/-
"Ltcensed Quoliiet'
ls lhe property locared in a floodplain? E Yes
tristinB lmpewious Area: _ Sq Ft
New lmpervious Area Sq rt txistint Land Disturbing Permil: D Yes O No
WATER: b ctPUA E communilv svstem O Privale Well E central well O Aqua
Sfwfn: b CfPUA O Communilysysrem D PrivaleSeplic O CentralSepti( D Aqua
zon€: .........'- orlicer:
-
setbacks (r)
-
(tHl {/ IRH)
-
lsl 5'
Approval: *- City; _ D.l€:-- tlood: {A)
-
{v}
-
(N}
-
Bttr2lt=
-
{*o
Signature:
Total Acres Dlsturb€d:
comment: Petmit ;ee: s
ffr6=ja6{'
PRorEcr cor{TAcr ?ERsoN: &at-L -'/ ( lz- euow, ?fC - 7l- 723/
D Der Garage (Sf)
D Pool {sr} _
D Deck (Sr) _
Property Use/ occupancy: B single famlly E Duphx E Townhouse
vohearcar /QO
APPLICAiIT, S NAITIE :
OCCUPANT/BUSINESS IIAiIE :
PROPERIY SfiERJs iIA}tE:
O T{ER'S ADDRESS:
CONTRACTOR:
ADDRESS:
Ei,IAIL ADDR
- pronr *:Ql
CITY:V\I Mln A srf[Lzrr:
zLP I
ctEnge ln c&trador or
)o (b It 3,oD,
APPI.ICATIO., Nunbertffi' (Offtc. Use)
^',r,N:Zl'( b
3
/
de
flE
NEhl HANOVER C0UNTY BUILDING PERI,|IT
aPPLIcarI0tt rypr: SIG!6 / BXLLBOARDS
PLEASE PRIM CTEARLY & AI{STER ATL OJESTIONS
fi+ect Responslblllt)d
I
DEVELOPER:
PRO]ECT ADDRESS:q^un4znf oauc-c_ a*,1!I!{!'!tvi6fnifl' o'
__
\fvilrvu ,Ebn LrcEr{sE *:
sd SaW, (orlvl
Rr cVr 14c,,t+)fY14CD
n.NLrro?84lL
PHONE ",qlo-a)4141Ipnonr r,QlQ- 3EZ-4rbo
CHANGE OUTilit#d'Ptush rqovnlrd
(CHECK ALL THAT APPLY)
TER ln ENa [-]
DESCRIPTION OF
c,hanu/
WORK:
DISCLAIMER: I hereby cerdty ihat Ell In ormathn in uis
S or forr
spdhton b concd and allwck wiltco.ndy wih tt€ StalE
IS srcr{(s) oN oR oFF PREI{ISE5?
and ordinanc€! arld r€gulatons. The NHC Devclopm6nl Son ice€ Ced$ wlt b.no[fiad of eny changss tn lheconracb. in lmalt6. 6NOTE: Any Wo.t p6rtorm6d w/O the ApF.opd.t PsntriE uil be h Vlohnon of tlB NC St!t!
ot{NER/CONTRACTOR:SIGNATURE:
* *rt)** ** I *i.*,t* * * r* *,x*:a:*,r ** * | ****** *,t* +,i *,t:tt**,**+* *:**,*:*,t,****:* **
TYPE OF SIGN(S)
I I FREESTANDTNG (Ground)Il srrnele
f I unoue r
D(,ALi
ROOF
OTHER
$s00.00-.
,I *,*!t *,* *+ !t *,t * *t *!:*,t** * *
tlr1
21
l_l pno:ecrror
f l qxopv
Total t{umber of Signs on thls project:
l0h"Total SQ,FT. of Sign:
Total SQ,FT. of Slgn:
Total SQ.FT. of Slgn:Total sQ.FT. of Slgn:
TOTAL PRO]ECT COST:$Efro,@ rs rHE pRopERTy LocATED rN n rloooeunr? i:-. ves E *o
SI6N 1 Height:
S16N 2 Height:
SIGN 3 Height:
SIGN 4 Helght:
Sign Dimensions:
Sign Dj.mensions:
Slgn Dimensions:
Sign Dimensions:
__4-" *. _,- x
x
x
*** SEPARATE PERllrrs REQUTRED FoR ELEcr, r,rEcH, pLBGr GAs EQurp, PREFABS & rNsERTs *+*
pAvr'iENr r'rETHtxr: [] csa fi oreo< lnavmr: ro uc1 []j arrnrcar excnrss X-l n./urro DISCOVER
,t,i***,**:****I**:tt+*,i*:t,*,rf +**:3+.**t**,***,***:***:**,**
.or,, HX orrrrr^, Ofl $Tr[i.:,";Approvat:_ ctty: - DArE: ll- l0lkrlmD:
* * * ** *'*,t** *,r )tr* * i,* t * '** **t,l,l* * *,1*,i * * *,* **,1* *
rrL]l , ., iEvrsED oa:|i it!,etlztlV/J\ utNfi a*/tL4 a.411,4
,t$
{\6e
_ BFE+2ft=
PERIET FEEr g ()
g'kvp 'rloltr
Comment i
t /,.$
PROIECT CONTACT PERSON I
crw,\$1tl16gpq
l_lI
I
(Jly lRspeciion Re,eprrecl 9i0-254-0r,- .
APPLICANTJS II{I,II:
oivELopIn:
Pnof[cI At]DnEss:
.5 UB DI VIS IOi,I:
NEId I.IANOVER COUNTY BUILDING PERMTT
'AP? LltArf a'l rrpFr IESIDENTIA|
PLEASE IIIST'EI TLI- QUESIIOE APPTI OL6 TO YOUN fTO]ECT
"PrgJect lterpon5Jlrlttty,'
cITY r
BLoC|( il: LOI ll;
puour, *, 9lo't9i'??/*
CIry;sr: ULzrP:.lk4l F
tICEilSE : 'l
CI}Y:5T:(czrPr et(!l
pHoN[ ,; qt0-33f,-Q.731
lotto- tl l+y
-1-!-€+ra
APPL I CATTOt.I
,'lL.nhe r
(oflrc. ur6)
oart-,-WAh)_b.
t9to'3TrlA'l5l
. .jyrE., ccrr cr PEnsoN:,Jn fun
PIIONE ,}
zrp: At4l3-
ProilE ilr qp 339'4131
Pn0PEnry otilIft,s
0I,,NERrS ADDnES.t:
u
c0NTnAcT0n:(
ACDBt55i
ftl It. ADonEsS;
n6 rrhrL n
rxrslr:{6 cotrsTnuc1rol I I aLtrnltrot I RENOYATION errrn,ri neprrns I nriocarrol
[Er., coNsTRUCrIoN: ffmect * RESTDENCE or I mOrrIO[ IO EX.TsIr]rG RESTDET,TCE
e+r,LEAsg C8E[( lNo llsl{flt !rlol.] AU. IltlT tpply IO yOU[ PR0]ECT,
[f[nr erucr ,B* sr l] orr cruer sr ffnnet 33 ? ' sr,
fl surunoor'r sf 5F I smnaer s,lrD _sFP00!
0fcK6,il:liN,lOUSE st-SF OTHEN:5t:
rorAl HEATED sq rr: l'lJJ rorAl sQ Fr uNDEn noor:4541 rorAl. ARr^ ,,)fi,*Q53{
T0IAL PR0JECI cosT{ra',ro'): $ 4{010(I) tt or stoRrus: I
rs Any ELEciucA!, pLtN8 6 oI' IEcfi^}{rcAL. uork ge.10g Done ro the i(cessory structuret E Ves fi loIf ths project 1s a nelocatloh, 15 there a ;tural Gas Line on the current Sltel EV..'[Xo
Is there lfartrical Pouen on thii nuitdlhgt Elves fiuo
ptioPft(TY usE /LJ sll,16Lr f:AtlrLv flouelrx El'rourrmusa
D€5CRIPTIoN ol' U0 (i
DSCI,AIMCn: I heroby c.rrly h.l r! hnmdjoo tn gr,s .pptc.!6[ b .on !l lnd ., r;,{ n U coru, wlh U. sllL Bulldno coda and ,t o$rr lpplcdih srru ,nd tocd 16rr!
and odhclcor a,x, roolhuonrn! MiC D.v.lopo.. | &rvbs cuilt,lba,o!!6da,$y!h.r3.! h li..pprdvldpbn fid +!clr.rd6,ls o,ctruo h 6ntl..6, or
mnt0chr h lnrr. ton, "'tloIt: Any Wbrt PBft.,md lV,O 0l Appl.pdrL P.,rnlh l/ll D! h Vblr0on or lh. |lc ShL s'6Fcr b Flms lrp T6 1500.00.-
o,,,NEB/CoNrnACTon I .SI6NArUnF r
**++,,++++r*+rrr*+*******+*#l'i!liTJ**'l*,lat++*t*raltl*al:i+aa*rl+tat+++:i+*t+*lat+*++++t*+*
rs rttc lnop[nry LoCATED rr n rloooruri,r l:l Yts ffi m
EXI5fING IllPEnVIot,S AR[A:
--Sq
FT TOI/II ICnES DlS'IUnBEor . tb
Nrt, r,rpr,rvrous orun, ffirq- r, rxrsr r-AirD Drsrunrr 6 ot*o" El ves ffi uo
wnitn r Mcrm I corurururrv srfrEn E pnwATE ltEtt n cENrnAr i,!LL
stutni ff*rua n c[NrRAr. stprc E pRrvATE sEprrc [-J coltmrlrw svstrn
r', SEP IATE PfS,IITS tfgrliED roh ELfaT, l,fctl, PIBG, 6,15 EQUIP, PtEflEs & I SEnTs Nl'
PAY'.1EdI r,l€T'100 c,rsl flcrecr (pnyAorr. T0 utcl flllrnrcm rxprrss . H m/vr-sa fi r,rscovra
*+*******+ir+ttr+ir:f:r:t*,'**t**+*1++,'+t+ai+++++{}*+'**++*,lt*,1+,}*'}*+,}*t+*,}:l+++{+t**t**+r++1**
zoN* .R-f 5 oFrrcERl ?{u
Approval:----- CltY 1@ ,otu
4llY] trvl5r:)ff-tu: i rr'--1iu,i
Di ,/ BFF.+zft-
sETBACKS:
r 100
ao 'a\t ot/rvr7
ll
PERI.IIT F€E: ,cor llcnt:
( :cfl l,cl'il)*.rxt-nt,..',gSseralfi'(1
-t-
52-
NEl,{ HANOVER COUNTY BUILDING PERilTT'APPLI'A'|'I,,I ryPrr R ESIDENTIA|
ttEASE AISt.ni rlr q:tslroui aTnLICA0LF to youn tiol[(T
9roject R;spon5lblllty,,
Aotte-I l\+t
APPLIfATTOI
Numher
(oFfic! l,r.)
^FFI.ICNNI'5 N{,IE:
D[V[LOPEN:
PNO]ECT ADD
SUsDIYIsTON
,su R00t1
6NEE IIOUSE
(0
RISS:cITYr
cITYI
ucrNsE ;
CITY:L€lN
rn
0l0ct( r:
J33^l I
nrl
DATE:
PHONE iJ
7tP
r.0T l,;
PfloNE. {: 513- glq - o3aa-
sr; NC zrP; ,&llJ
sr' P(-zrr,,Qftl5(qrD-33 -4131
3 ?e73t
sr
I'ROI'ERIY OI'INERJS I'AA[;
ol,lNtfi r 5 A00,lfs5:rarq Ma{r-l)
c0 Tti^Cron:
ADDII855;
[,.IAII. iIDDfiESS;
i{e
PnorqcT cotJIAcI PrBsoN:Vonpssa ?onnp.frn
PTTNE ll:
Pll0ilE ,ll'?irsrrrc colrsrnucrrol, f] alrrRrrror,r' f] naiovrrrdl--fi cerenri nsperns I nrlocarlol
NEu Cor,rsTRLlcTIO[: fifffieCr reu nESIDE CE o. I nOOrIrOl Io EXISIING RESIDENCE
*.rLfnsE cltEr( Axo /rIs}'En nElol{ Al.l thT Appl.Y T0 Yr,t i lnolEcIl
I alr cnmce 43{ rr fl orr canacr
--
sr [f noncu 9Q -t,fl sronaee sHEo _5F5fPOOL 5F
I orcr .- sr5F 0TIE n:
ror^L HEATEo sq Fr: ,4013 TorAr. sQ FT UuDEn nooF: A3+3 rolAl AIEA sqrr::/i{(fit
ToTAL PnOIECT cosT&r,r.or) I $ .i lo,od) 't
0F STonrEs;
-l--Is nry E|ECTSICAI, PLul0rNG or HEOlaIrcAl.. tlor! 6.lng Don6 to the A.crssot'y Stru.txre] [ Ves fr m
If the project ls a Relocatloh, is ther8 a ilatural 6as Line on tho current Sttel frvor'l] lo
Is Lhene Flectrlcal Po'rer or thls lulIdlngl Eves I lo
pBopEnTY UsE / OCCUPT'U,'CY; I SrrClr r,rtrrv I uflrx ffromlousr
DESCIIIPTI0N of tlctu(r -Rrri trl'finr.ln hi:rrS€
)rd\^
nlgcLAIME& lrr!.3byftdt$!t!I h!,msldn h lh,s aPdc.ldn h cor.cl.rd.l
nnd odhsncos .nd r.0&l!1bll3. Ilr. }.li lC ,!vE,.Prn.ol S.,vL05 c.oLl M[ b. n6l
.notacl.r h iinlton, "'tlOTEr AIu Wo* l.rfom. d WIO ',\! APPropd.L P.tr rt
wi* rdf .omrlyrvlii !r. slab 8{!Uln0 c.ds rrd st olhor lrplhd)jo 8,rL .nd b.ol l.ws
[.d nt '.1y chsn0rs 14 1r. .ppro(rd pho! 6nd +oolla! lbll! o/ .I.r0o b con lrocb, b,
rN+,1*****+,rii.**r*"*"*i"*gi'+l#i']r++rtr+t+++:r.rt+r*f******tt+t+t+:lt++*;t++a+.+*;r**;l+t+++
rs THti psopEnly LocAffD Jr',' ,r rroooplnru f,f, yrs t7 ro
EXI-6IIM Il,PEnVIOrrS /lsEA!
--.--SQ
FT IoIAL ACRES DI5TU8BED: ' l+
NEi' rHpEnvrous IREA: -119L sQ Fr Exrsl tlilD DrsrunBr,,l6 PEnflrI: I ves EJ r.n
OI.'NEB/ CONTNACION :
I'ATEN:(rPr,/r COI&IUNITY SYSTETI I enrvlrr t,rrLL I crNlnaL ltrlL
\& lrrha or 6. Nc 3r!r. 0!!^cod5 !d sulrl.cr b tlnls tt' To t50n 0or "
sr6i',ATURE : vl5c/-/---df
ar
C.
iat:
sEr,iEnr lZ cFpui Il ctffilnl stPrrc f] PnlvATE s€PTrc n col$tulrrv svstru
.*T SEPARATE PEPJITS NEQUIXED TOI E'.ECT, iIECH, PT!6, 6A5 EQIJIP, PREFIES & IIISFf,TS .''
p^ydENT ,t€1t00: H clsu E tlscr (PAvnsLE. ro ttHc; fl*unrcm .xrnrss . fJ ru/wsl I orscovra
********+*tr,l*+a*rr*+t+*++r*,.,.:l++:t,|t:t:ra+:t*,1.+ara+:r:l*+*ir*:tt++**+l*1***t**+**a***t:l++*+'ltltl
I navra€o oAIa otl71lt2(fot 0rtrr6 ulr o[Y) * , .\ I
sET0AC(S: F: l( lH: fr' ngr-\L 8;_'t 15
Approval:-clty:- D TE: !:---t-, Flooor .--
-
--', oFE+2ft=
-
II
conrnent :- i',,::---!]li-!; rq)lol 'l t-_ _ PEnfllT fFEr
l8t+-t
zore : -.!l;l! orrrctnt
\
lI
ffi'fi
APPLICA'{T'
DEVELOPER:
O'IEi' S ADOR
cofinAcTon:
I r^.t t"St''-t
L
lr<\t<:rt fl
J.J v
I MtoL Shett
PIlo E #
L6-2272 . rev2
APPLICATIO
,{u,rber
(tlFft<c Usc)
oa,.,to/1t/tto,@ffiT?iq
zrP:. 2,6405
PHoilE *:[1lo) 371-{{?1
sI: !!!zIP:!!fQG
st:NCztPtZ8l6G
Pl€lirE fl:r{lol57 t -1{qq
PHollE s:Glo\z62-tfie
v_>U
I NEhJ HAI{OVE R COUNTY BUILDING PERMIT
APPLICATIoN ryPE; COitlltlERCIAL
PI"EASE tllSHER ALL QUESTIofiS APPLICA0LE TO YOUR pForECr
"Project Responsibility',&
S tIAllE:r
PRO]€CT ADORESs:
(XclrPAl,lTlEUsItiESS rlAflE: O (.l)t{) LLC
crw:iIr*i
PROPERTY OflTER'S }IAilE:olq
ESS: fi)7oltr a.l
J
CITY:
LrcEr{s€ f I {15 Gcrw:Ittlntt^dE
lo 0ll.oorrl
ADORTSS:
EIIAIT ADORESS:
PRO]ECT COilTACT PERSO :
EXIST COilsTRUCrIOfl:
ll Fdo{atlon, is there a Natu.al
iIEH CONSTRUCTIOI: EACC€SSOiY STRI}CTURE:
(Ch.(t ^ll tft.t Apply)
aLrERATrd{ [ arronrrqr ! ceiiaru nernrns f] RElocArror{
Gas Lrne on rhe Currenr site? Llyes LlNo tS BLDG SPRINKLEREOZ I Ves flruo
EREcr NEr{ sr*lrrunE firasr rracr fi sxe r-r- fl urrrr I oo ro Exrsr srRUcruRE(trr r
If TPFIT - The Shell pennit s:
TT'T' JS THIS A CHAMEIF Yes, $tat Has the prevlous Occupancy Ttpe?
Is Elect Porer on thls Buitdlng fl yes @W
AROI I'TSIGI{ PROFESSIOI.AL I
EI{Gf, D€5IGI{ PROFESSIOI{AL;;x;ffiffiff:r&Ji
DESCRIPTIOII OF HORK: . ETE-C \ s+..e-\ b- ' \A(
F hod or b€verBgrss prepared or ssnred ln ff* snrfurcZ flves fltlto ls Ths Prop6.ty Locatod tn Th€ F,ooddatflf I v". a to
TOTAL PROJECT COST: qOO OOO*EUILDING HEIGHT: 2 # OF UNITS: lo
TOTAL AREA SQ FT :lgooo SOFT PER FLR: IFOOO
TOTAL SO FT UNDER ROOF: ,0()06
ACRES DISTURBEO: \. Ba
NEW TMPERVTOUS ARE,d, 5b 517-
f OF STRUCTURES:
f OF STORIES:
# OF FLOORS:
Exsr LANo DrsruRerne peRurz Tlyes l--l HoSqFT EXISTING IMPERVIOUS AFEA o SQ FT
pRopEFryusE: fprrrce [ResraunaNr f]uencAr.rnr-e fleouc laer f]coruoo OTIIER
yltrry ElgFpuA EcoMMUNnySySTEM flwELL DzoNtNGUsEcrASStFtcAIoN:SEWER: SCFPUA f] CENIFAT Serrrc [ frvlre sEpnc E-coMMuHny svsreu.'sEFARATE PEFIJI'S REOJIEID Foir EL€C r, [:EC] I, PLBG, GCS EOI'P PFETAOS 6 iNSfi,S -.
PAYMENT METHOD: flcrSx filcnecx prvulE ro NHc) fi[auenrcaru e<eness ffitucnnse E otscoven
(FOR OFFICE USE ONLY} REV}ED DA'rEZONE:_OFFICER:_ SETBACKS: F:_LH:_ RH:_ B:Apgand: Citf_ OATE: FLOOD: __ _ erf+Zt=_
at1 12
. fgt
3 50. 0o30mmefltPERMITFEE:$1.
oF occl,pal{cy ustr flves f]ro.'...tftat ls th. l{€n Occup.ncy Typct -.--
NEW HANOVER COUNTY BUILDING
AWLICAIION TYPE.. COI|IPIERC TAL
l"oru tt t,l I
PERMIT LS-AOS+
APPLICATIO',
l{umber
(Of{lce Us€)
Exrsr co srRucrrnN: p ALrER rrror{ A -r,Jifrillii 'fr^l'Ji'r*'- REpArRs [-l nrrocrrron
r R€locdon, is there a Natual Gas Line on the
*Current
Siteu f]ve?[ r.ro ts aLoo spRtN-xLeneor I ves Qruo
NEt.l €cftsrRucrroN: I enrcr Eht srRt cruRE f] rlsr rnlcx I sarlr- [ unrrr ! ADo ro Exrsr srRWruRE
ACCESSORY STRUCTURE:
APPLICANTT 5 l{A}lE: Daniels & oanie16 Construction comDanv. rnc-
DEVELOPER:PHol,lE #:
PROIECT AODRESS: 23? Racine Dr CITY: r.iilminot on ZIP'. 2a403
OCCUPAHT/EUSINESS tlArlE : Alliance Cledir union
PROPERTY Oh, ER'S MllE: Alliance cEedtr. Unj.on - Ji-m De1yea
OWNER,S ADORESS: 3lts Almaden Exr)resswav; Ste 55 CITY:San Jose ST: cA ZIP: 9st 1s
CO{IRACTOR: Danlels & Daniels Consrruction LICE SE *: 236e7
ADDRESS: po Box 10337 CITY: Gotdsboro ST:N_ ZIP: 27s32
E AIL ADDRESS: ioshp@danddcc. com PIIONE *: st9-"t7s-4
PROIECT CoNTACT PERSOI{: Josh Price PHoNE f: 919-17a-4s2s
If UPFIT - The 5he11 Permit #:Is Elect Por'rer on this Building E ves E UO
+'+, rs rxrs A cHArKE oF occupa{cy usE? EyEs [| ]o "....IF Yes, rrhat uas the Previous occupancy Type?
AnCX OCSIol PROFESSIoML: n/a
EIIGR 0ESI6|{ PROFESSIO AL: n/a
PH
PH
I{C REG *
iIC REG *
DESCRIPTION 0F [4ORK I Al teration Level 1 ReDlace of existino f ini 6hes wirh lik ; NO PME: See sow
PLEASC At{Sr.'ER Ar-L QUESTIOi{S AppLICABLt TO yo{.'R pRolECT
"ProJect Responslbll1ty"
ACRES DISTURBED:t/a EXST LAND DISTURBING PERMIT? T'] YES IiI NO
NEW IMPERVIOUS ARE i: N/A SO FT E(ISTING IMPERVIOUS AREA:N/A
pRopERryusE: EIoFFTCE f]nesraunnrr fluenarmm f]rouc f]err flcoNoo OTHER:
ls tood or b€\lrag€s popaod 6 s{vcd h [rc *ucnro? [ ve" Etr No n rne prop<ty Locarod tn The Floodpunr I ves [l ruo
all other applicable State
olans and so€cificationsNC State Bhg Code and
L Lr-
(olrdltd)
tlolo: Derndilo.| ndfc.lotE & 66boaB rdnoval p6.tnit rppllctdon arr b b. aa.nlEd urUE tlo lpdfcab.r krm {DHHS.3,68) wi.dEr tl€ bcitrty or buturE w.6 hrd B@ ain Asto6to. q mt Ycr aro l€qrkrd b crl tfia Nrnoid enbrbn Slr6drrd6 tor filardous Ar PollursnB (N€SHAP) .t (919)707.5S50 !r hlsi 10 &ys FJor b tle
dfioltloo od loy bd[,ty o( brdeu. S€o Asbo6b Wbb Sftg; htl9ll^saw.€d.state.nc-us/eprsrb''tos/ahmp.htnl
TOTAL PROJECT COST: 960, ooo BUILDING HEIGHT: 11 ,# OF UNITS: I
TOTAL AREA SQ FT :54 00 SO FT PER FLR: saoo # OF STORIES: r
TOTAL SO FT UNDER ROOF: 54oo # OF STRUCTURES:i OF FLOORS
SO FT
WATER:
SEWER:
CFPI,IA
CFPUA
@a r-]colnruMrysysrEM TlvrrELL flzoNtNcusEcl-AsstFtcATlor{:fi crmnru-ssmc !ffierrsrmc nE-oftiMuurysysrEM
PAYMENTMETT-roo: fiCeSX frCXeCxleaveAlEroNHC) flmrenrCruroeeESS EMC/VISA f]olscown
"'SEPARATE PE,l,rll'lS R(OUIRED rOR ELEC, ME()1. Pl8c. CAS EOUIP. PRFFABS 8 INSERi S "'
(FOR OFFTCE USE O{LY)REUS€D [)ATE 'II 1fl2ZONE: OFFICER:SETMGKS: F:-LH:- RH:- B:
Aooroval: Cltv: DATE: FLOOD: BFE+2fl=
/)t:l
iai
DATE: ro,/ 31/ 20 15
PHo E #: soo-232 - 9669
tfiat ls the [er{ Occupancy Typ€? _
SIGNATURE:
J.*un rrr, r- / tlb-
\IMEI
lii
ft
AP P Ll CATIO N TYPE i RESIDtNTIAL
PIEAST ANSWTR ALI OUTSTIONS APPtICAETt TO YOUR PRO.ITCT
"Project Responsibility"
"-J l,l<>'7-2\)t A--\
CITY
otb- ll l,'1 ?^,,.,,-,teffiung
Date 6
rV1 ztP o
lor #
r)
APPLICANT,S NAMT
PROJECT ADDR€SS:
SUBDIVISION:
OWNER'S ADDRESS
PROPTRTY OWNER'S NAME WD6.PHON T H
ctw
CONTRACTOR Lt
AD DRI SS
TMAIT ADDRTSS
PROITCT CONTACT PTRSON
D An Garage (Sf)
-
! Sunroom {5F)
n Greenhouse (St)t-l Deck (sr)
ts rhe proposed work changing the existing footprinl? D ves Ed2wo
ToIAt sq FT UNDER RooF Uor propos "d.orf\ lerrca, /200
TOTAL PROJECT COST lLess Lot): 5 7o oeo
9BI,DG LICTNST 'ST:7tPCITY
PHONT
PHONE
.T'PIEAST CHECK AND ANSWIR BTI-OW AI.I. THAT APPI-Y TO YOUR PROJTCT'*'}
fl Det Garage (sF)! Porch (SF)
txtsTtNG coNSTRUCrtolt: /alreratio ,$ aunou"t,on ! General Repairs
NEW CONSTRUCTTON: fl Erecr New Residence E Addition ro txisting Residence f] Relocation
E Storage Shed (5t)
-z{oUnheated:
ts the proposed work chan8in8 the number ol bedrooms? d yes E l'to
ls any Eleclrical, plumbing or Mechanical work being done to the Accessory Structure d Yes D No
l{rhe project isa Relocation, isthere a Natural Gas Line on the current site? O Yes D t'|o
ls there Electrical Power onthis euitding? dves f) I'to
Property Use/ Occupan€y:
Description ol Work:
Zone Olf icer
/single ramily E lex D Tow houseu
setbacks {r)
-
(tH) -- IRH)
-
(B)
-
t
DlscLAlMtR: I her€by cenrt lhar all lhe intormation in rhrs applcation i! (orrecl and al
laws and ordrn.ncet and Ietulaliont. The NHC Developmenl Setvi(€s C€nter will be nol
rntormanon "'NOII Any worl perlolmed wnholrf lhe applop"alP pe'mrls wrllbe !n\r
owne'/conrra(ror: lloQf;n4 b+$t'l't*v/
t work will(omply w h rhe slate BuildinB Code and all olher appl
roved plans and tpeol
icable Slatr and lolal
hfiE;. conrracro,i{ied ol any.hanSes rn lhe a
vrolation of lhe NC Sral€ner up to 55oo oo"'
Signature
"Lrcensed Quoliliet ' Prtnt Nofie
ls the property located rn r floodplain? yes dt'to
txisting lmpervious Area: _-- Sq tt TotalAcres Disturbed
New lmpervious Area 5q tt txisring Land Distutbing Permil: D yes D t'to
WATER: dcf PUA E communrry syslem fl Plivate well E central well D Aqua
stwER: Ey'cFPUA n communiry syslem E Prrvatesepttc fl cenlral Septrc ! Aqua
Approval:
-
City:
-
Daie: --
f lood: (A) _- (V)
-
(N)
-
Bf El2tt=
-Permit f ee: $
zlP. _
) lar ^[
?tc-\fi0qrc
D Pool (St) =-
D orher (sF)--_-
r-l b-
r*
,tr'4'*
Ytrf,gE |.1*OAA c-,*Lort, 11203
*tL*3+14-
APPLICATIO
Number
(oFfi.e Urs)
NEIC HANOVER CS,NTY BUILDING PERI4IT
APPLTCA7f,OiI WPE : COi4|i!ERCLAL
PLEASE AIlslI'i ALL QUISflOIS APPLICABLE TO YOI'R PRO]E(T
'?roJert ResponslbLllt)f
DEVELOPEN:
PnOlECf AoDRESS: .:ril;' s. :Lr-th st
OCCUPA$IIBUSIt{ESS NA'IE: s!iH:: Care }lanagemenL off ices
O{NER'S ADDnESS: 2.131 s. :.r.: st
CITY: lir lmin!:on, tlc
PSONE *: _
ZIP | 284o2
CoIiTRACToR: HunE-P!lce Inc LICEI|SE trr 43€57
CITY:lli]r,iagLoo ST: NC ZIP:2B4}2
ST: Nc zIPr 2B4o:
plloNE #: 910-262-34r.2
PHoNE *: 910-?52-3.!1"2
ADDRESS: 118 sebrell :v.CITY: tlilmingron
EFUf L ADDREsS: rluntpriceeec. r.-cotn
PROIECT CONTACI PEBSoN: u'1s Price
(c,E.* All Inrt ry?ly)
ALTERATION il RENOVATIOO u 6iI;ERAL &TPAIR5EX15T COTSTRUCIION:RELOCATIONntNo IS BLDG SPRIN(LERED"I ves f]noIf Reloaadon, is lhere B Natural Gas Line qn thg Cure!{ Sile?
$Elr crrx5lRucrlo{,r: I rn:cr NER sTRUcruRE I rrcr rucx ff surlr I ulrrr I ADo ro Ex]sT SrRU{ruRE
ACCESSORY
'TRUCTUAE
I
If UPFIT - The Shel! Pemlt {:Is Elect Po,{er on tnis Building Yes fl *o
.i..' rs rHrs A cHA GE or occupallcy user [r:s I
IF Yes, h,hnt *as the previous Occuprn.y Typei
-
Idrat is the nh{ Oacupancy Type?
ARO{ BESIGH PR0FESSI0IIAL: N/A PHI NC RE6 *:
ENGR OESIGN PROFEsSTO*ALi PH: NC RE6 t:
DES(RIr'IION OF tlo&(i cr.a.e nex cfflce in existi
le food or baveisges piepsl€d or served h *is *?*ursf n vos No ls Tlle Propeny Locsted x, fne aooog*rf [vu"I No
OWNEFJCONTRACTOR:
DISCLAIMER: I he(.ov ce.!fo har alt ir.,,ormaron n uir ao9lkrlo.r is.o.r*l and dl vrc.t y.lll corndy with rie SLato Bulding Code and all oB'|s apdicabE Stale
aid le1 jB.nd odirinc.s a^d rcorI3ridE Ti. NHC Dovdormdt Servii:€6 C6nl.rsJ b6 norfiid ol6nv cHrnoas h th€ aDD.oved d.ns and 6lcankatorB
or drinqe ," co.raao. n, csrradd :ifc.hr!on. "'NOTE. Any Worl( P€domed w/O h€ App.op.a'e P.fifo *il b1 in Vioi.au6n cl |h. NC SiBle Eldg Code .nd
Suu€cl1c aries l.lt 1-o 5500.0t"'
stcNATURE: ,J"^ P.-!- ta- [li*+- ,sr--l-^..-.llux: -lrrice lllc
{orlt.r, {itr N.D)
aofidn Asbesioa o' nOt- YoU erg |lerild to cal tlro lt8!6m, &fih3lcn S'ld6tt ioa B8ddrddrs At fdllrzrts (NESflA9 6l (919707-59@ llr !.an 10 dt 3 l'l(r b tE
drltotdoo oa ..y fE.sry o. tr.*3{! Soe A*.16 !{eb Sr':
ToTAL PnOJECT COST: jlgg:Eg- BUILDING HEIGHI:
-
#OFUNITS:
TOTAL ABEA SQ FT :0 il SQ FT PEH FLR:
-
# OF STORIES:
S OF FLOORS:TOTAL SO FT UNDER ROOF:
-
tr OF STFUCTURES:
ACRES DISTURBED:c Exsr I-AND DrsruRorNc nenurr f] vss f]NO
NEW IMPER!'IOUS AREA-SO FT EXSTING IMPERVIOUSAREA-SO'FT
pRopERryusE: UPFHCE nnesmun*n flumcarmr-e Eleorc [pr ficoxoo orH€R-
WATER: VICFPUA
SEWER: m CaPUA
n coMMr.rNrw SYSTEM fl WELL
ECENTRAL SEPTIC LJ PRJVATE SEPTIC
LlzoNrNG usE crrsslFlcAllol*
nco{rMuNnv sYsrEi,
PAYMENT MEIHOD: [CA.9H I cHecrK (pAvABLE To urcl flauenrcaN e<ecrss [ucrvrsa f]orscovra
:
l*GRrrR, $oRr Dnq.
R!'r€EO OArE rrd
'n
2
APPLICATIT'S llAllE i liur,t--Frica r'i: DATE, 11-l-2c16
PROPERTY O'!{ER'S NAI{E: P+F E *: 910-343-1000
!R
)ottr- lro15
APP U CAfl O N TYPE : Rt sIDT NTIAI,
FLt/|'St aNSV,,IR !rr OtTtSIIOIS Appl tCAgt t rO yOUn pfiO,l C'i
"P.oie.t Rc5ponribilily"
;,1,t j;,.,,.itl/\
115! '^' l::(;h 't 't
i:, lr.,.h1. L..[ _._ _.
Oa!P
tXISTIN6 CONSTRUCTION
NrwcoNsTtucno ;,1
i-J Ar Gara8e (Sr) -
CITY l1j.l Y, -^r i,,^r
IOT F
ztp ?-:t, t-\
PsottRrY OWNER'S NAMt .- ,, tly l';() yl*_- ._owrlnsroontss - 5i'..r PHON€ C
crw
coNrRACroR - (rl1 ly ,y,la,l /KrS i oi"|,,",BI.DG I-ICTN5T F
- i-rzat,,o Et.'l..-- st lj.?t? .Zt't?r:.PHONT: 1t. ':...:jtr.!2
d sr"..;, sl"a15t1 1't,." j
i I Ol her ISI)
aoDR:sS. _--.G rS L{ t!
rMArrADDRtss, {,.,.,-r, r,.?r^d-r.:, l t -,.1.r.>r,
PRCrt.-.] cor.r^a r PtRsoN -t&ti,"-'-b.1*PHONT
' All€ralron f, Renovalton Il Geno,alRcparr!
trLar New Frircp.r(e ,{ ndan,on to tnsr,nB Re,dence (.1 Retocarron
"'PLEAst cHEcl( ANo AHswtf,, BrLgt/y Alt IIAIjppryle.ylUBIEAlfq...
i i Del Garage lSF) ____ D porch (Sr)
i I Sui r.om (sfl_ _ __ L j Poot(Sr)
l.i Greenhousc l!.i) _ i- Deck (Sr)
ls the proposed worI changir.i thc exr5lrnfl tootprint? I , yei/E] No
TOTAT Sq rl UNDTR ROO' (lcr propafd wo.Al HG.tedr _- _Zt{ {2_-_ Unheeted:
IOIAT PROrtcr rosl (tess tor) S lS f-
ls rhl' pfoposed worr. chanarrfl rha numbrr ol bedrooms) tr yes.6 l\lo
lr any fledriral, Plrt ft b ing or Mechanical \ .c. ! berng ij c rc to lhe A<cessory 5tr r.rcr ure t' yes i
t1 lhe prolecl 15 a Relo.;lion, It lhere 6 Nalural aas trne on lh€ (u ent sil€? il ver -ff tto
lsthereilectr(al Pci'. onll.,i EuildinS? El ver ll llo
Properly Use/ O.(up3r.y
Des.ription of Work
.,tr SinElc r.mily il oupler XmSt-
'nl.rrn, ' "'Ni li ^nlworlp aDltr(f,ratr r. r! w,lltr. 6 !lohtion 01 rh? &C 51.r.6tdf CodF rnd !ub r ro lar! q, ro it00 m"'
l.w! and ord'n.n..t.nd '.tulr!ionr Inr NH( D!v.ro!,h.nr !€iy'(rrCE6t., will O. noxt.d ol.ny(han!€r n rhc.pproved tr?n:.,t0!9san|(.tlon! or (hrn8re.!n:i..ro,
Owrler/Co,11r;(tor't..,t(d Ouohl,p''t-C!pr;rl r,le
i! l l.r i r:fr,' r lo( arcd rlr . lloa _jr 'arn, [' Ves p tlo
[xi5tin8 lmp€rviouJ Area --,--._Sq]l TotalAcrr5 Oislorbed: ,._
New lmpervrou! Areii _ Sq It trilling tand Oistlrbint Pcimil: J Yes -l No
!t!i!H L ':r,1 -t ( {,:rir,u')Iy !yll{ - :- i.,rr.lr V,,att : (-r.t,d V/erl C ,Aqun
,o"..R- l:, o,, ,. . t{t\i s.'r".r, rrr}.J/A r.'nr fi' r.rr -5 r.l - I: '. l1t,",rrtu,r', [i!-r
aeprovar [(. cirvL't ruh \ oatllf AlVrtooa tat . {v) . t'ufrlirK orr.zrr.
..--".,i6t r{CUjrb-ru Jttu"r(s Dlr:lci-fi"rAyrrriurfl. L}g^- ilra:):tnuirLo",-,'"
nLg-\.luf h k.'u';.t '"! r.;r gifi.*'- . ,-.,: ,
.L! ilt (l
:5
i
L irr.,.orr, "onn,,/ PnoJtcI ADDntss:
SUBDIVISIONT *
- ito-+'.9-t!!-=.-
lP
NEt^l HANOVER COt IIITY BUILDING PERI'IIT
APPLICATIOI TYPE: COI4IIERCIAL
PLTASE AI6IIER ALL QUESTIOTIS APPLICABLE TO YOJR PRO]ECT
"Project ResPonsibilitF
)eW -ll2t7
APPLICATIO{iI
ttumber
(OFfl.c U.e)
APPLICAHT'S UU,!E:c\(J5\<(o^:{-.r..-Hr^ o€Y\".t h C^r q (',. ^4....DATE: IO lq (b
DEVELOPER: -T\^oo Jgn (o< Aer
CIIY:ir) il a to
PID E *: 4lo - .', zG -J.53
zIP: )gV lL
ST: AK ZIP: .??t/O8
PHO E ':
116-ZhL-?C16
PllotilE l: trb'3LL' 31 16
OCCUPA T/BUSITIESS tlAI{E:
c;{11 1
&.\( "-t^(!J r \r- i^
PROPERTY OHXGN'S *AI!E: 9\...{pHO E *: Saio -36"-- 311h
oit{ER, s ADORESS: '\oo
\^}, (s.^"s",tfir }. J(}r|( }f,tfi3 6re<r,i5Voro sT: Nc zIP: 7'f i€
COT.ITRACTOR:o.S S LICENSE *:5z:r(
.r *(& { i(tq.lr tr.)i\-in1 +.^ .I LC-
+€ NIc
AxxESS: r zr ttoo) ? \ ".. t-CITY:6.ae-,
EIIAIL ADORESS: e .--t C q. ss'.<- co"S trq<-fiof\ fie . co l't
PRO]E€T CO{TAf,T PERSOT{: ?.,T. 8a.r r
Exrsr co0.srRrrcrrolr: I ALrERArrq{ tr *rrff;rfi'fi[1il*l. *.ror.t
f Rdoc*o.l, b there a Natural Gas Une on the -Cunent site? [v." [ ruo lS BLDG S
Er cqtrsTmrcrlor: p|/rnrcr rEH sTnwTURE
ACCESSORY ST TTURE:
RELOCATIOiI
PRINKLERE D? flves flNo
I resr rucx n snrr-l f] wrrr I lm ro Exrsr srRtKruRE
If UPFIT - The Shell Pernit *:
IF Yas, {ret Es tie Pi6dous (kcuFncy TypC?
AnOl DESIG PIOTESSIS{AL: Fc *" K P^. e
rs E1ect Por.er on this Building n Yes NO
*+rrr rs Txrs A o{ttacE oF ocorpllrcy usE? EYES fllo "'jr*tllat is thc lld OGcuPancY nDe?
ETreR DESIG'{ PK)FESSIOI'IL : Fr"." K Oa-r \<
Plt
PH
tvr;-h3l-51{l irc REG *:,Eu:@ lrc REG *:
t4sts
r vs-{ s
DESCRIPTIOiI OF I{ORK:
NEW IMPERVIOUS AREA
-, t r".'e.if C5 *. { J-...
b lbod or b6ir "aC6 pnapasd a sled h ffe srl$ts? EVes EKo blfp Propgty Locded ln Tho Fbo$dn? [V"u E|No
all dtEr @haue Srate
TOTAL PROJECTCOST:1hS, I S\ BIJILDING HEIGHT:33 o #OF UNITS: )<l
darE aod .o6cificationsNC $are Eldg Code ard
(otfi, (Pl x")
ffac Oeodfir'n*foor f Ib& ltndd Frr[ +plcddr tlbb.aittl trtE tE lr+xcdo.t b. (s*ls€78t)!hd!itt g'a}|lc[ -idrrdbq fr ij&cra, yor '!|rqllli bcc ri tldora EDblon s.nb&h ll.zdr,q'r re Fdrrr. OEs+l D i (flgnt{so i ld 10 dllp Fto|bth.*""fr a,r r"ry a bET. s! ra* wrb sE HsJt*vw..d.st&.nc-us/.?i/a.b6to./dtnp.hanl
* a1pgp pgq rl. oo I
*OFSTRUCruRES: I
#OFSTORIES: a
# OF FLOORS:3
SO FT
RE\/IS€D DATE
'11N2
D(sr LAND DlsruRBNG PERHTmETYES fJ ilo
SOFT D(STING IMPERVIOUS AREA ol5.).q(o
pRopEEryusE: fpmcs flnesrauRANr fturncannue Eeouc fifenr f]conoo OTHER
werec g6n6
SEWEft EICfPiJA
courru{nYs@Eu,E-L EZONINGUSECI^SSIFICATION-
GENTRALSEPTIC flpnvrreseprrc E]ooHfl,rNITYsYsIE[l
-. SEPARATE PERMITS RECIJIFED FOR ELECT, MECfI, PLBG, GAS EOUIP, PREFABS & INSERTS *
PAYrrEilrMErlrorI EIcesH florro<laevraurot*lc) fluenrcrxooness ffircnasl fiuscorrn
ZONE: 0TFFICER:
(FOR OFFrcE txlE OI{LY)
SETBACIG:F: [H: RH: B:
Appruvd: W-D/[IEL__ -_- , n
BFE+&
PERMTT FEE:?
PRO]ECT ADDRESS:
u
(-Gc-')
€.4*=-
TOTAL AREA SO FT :
-31-o
1 't
-
TOTAL SO FT UNDER FI@F: 3 }, O Lq
ACRES DISTURBED: 5 '12 ^< r'r
NEI{ HAI\PVER COUNTY BUILDITIIG PERI4IT
APPLICArIOTT IPE" C(fi ERCIAL
PL€ASE Al{sLER ALI- QUESTroXS APPLICASLT T0 YdjR PROIEG
-Project ResPonsibllity"
)Otto- \tZlg
LG,1984
APPLICAT{T'S MT*;(-\c,.ts.< (o.:1.s ..tiq ^ oF Y\r.thQ I^r.,
CITY: Gi ree-s
oATE: lo lc (b
: rrk zlp: :lqo8
)16-a$L - 3q1G
PtoflE *:qtq - -729 -:1 t3DEVEL@ER: -l-hso y.^ C\f- Aer
PROJECT ADDRESS:(- {t r '.i
$) , \r- i^
CITY:,.r l*.^^!^ ZIp: lgqlL
occt PAI{T/BI sr[Ess tlAtlE:
PROPERTY *'la*'t
'11119;
(!-,r Pto E t: )ab-362--3q,1b
OtilER,S ADORESS. ,\Eo w, (s.^.,.r(tt \. s-i|< !.rrY. f^i?eN.s!,6..1 5T: Nc ZIP: ]1'{€
CO TRACTOR:<.- LICEIISE *:5utrt
d.ttd t^
e*r& r.)i(t{ "\.: rN i \.,..;.r1ts n LLC
d.5 S t .' .,k'€ \l<
ADORESS: rzt lto.r) P ST
EIAIL ADORESS: f --+ e c(\J s'\c qo^J tr \^c fioln lfi c. . cc "1i
PtoilE f :
Pt() E *:,3b-3 31 '76PRO]ECT COITACT PERSOT,':
Exrsr cor{srRrrcrrq{: fl ALrERArror E nrdili'rlii 'tiH'ii*r REpnrRs E RELocArro
tr Rotocarim, b there " u"t-*a c* ui" * ;" '-c*;;;;t -yFtl N; rs Br m spiiiKtERED? El Yes E No
NEt{ cof{srRr}crro{, p}-enecr E}t srRUcruRE I rrcr rnacx f] sxrr-r- [ urrrr I aoo ro Exrsr srnucruRE
ACCESSORY STRT'CTURE:
If UPFIT - The Shetl Pemit $:
*'.rr Js rHrs A cHtl6E oF ocorpA cy l6Et r]yEs ffrc .ro*
IF Yes, dtet Es the Pre\rlous O<cupancy Type? _
ARcil 0ESIGII PE)FEssIolAL: Fr *^ t< P^. f-
rlat ls the id Occupalcy lypei
P,l:.',h-63 l'5f tl rlC nec *: t+s70
EI.GR DESIG ?IOFCSSI(I{AL: Fr"."K Po-P :2st" -c1l'{qttl c REG *: -LLS- { g
Is Elect PoY€r on this Building fl ves I Ho
DESCRIPTIO{ OF }ORK:
TOTAL ANEA SO FT :
TOTAL SO FT UNDER
ACRES DISTURBED:
ROOF: :q sso
) _r c o-Lr c>
}.\l{-a)
b tuod a barag,6 trr9d€d a scrv€d h ils *uctrel f]ves ffio ts rrre Propaty Loc*ad tn Th6 Flooddeinu f]ves ffir.ro
all orher apdkatie SEteliert3 aod s.E€ifi€rtiGNC Strt6 Bldo Cod6 and
@t ltr)lPtffit r.)
TOTAL PROJECT COST: q \?5!o BulrllrG HEIGHT: J 5 0
t{& Drirdloi rdlcddta &.atdr rtnod Fat rl sppffi. tr 5 b. dhhd r*E it6 a!5c.ton hrir (D}+}s€7c9, rtatt, tha '..ry (r' h&I u- hrd brdfir td-. ( not Ydr r! rTrr, b.d 't. tkirld k*ddl &rlffi tu lMl'r Ak FoLr. OEStt p, d (C|9FO-r€05O rtdio dqa F;;6.-- -d..n oft d'ly bcf,y *b{rffir$ 3a A.ee \{tb Sbi t@;/rrlww.egldat .rE u./.pusb6bs/aknp.htnt
a1.bs!SO FT PER FLR t s-o
#OFSTRLGTURE!|: I *OF FLOORS:
I OF UNTTS: 2.i
*OFSTORIES: 3
NEW IMPERVIOUS AREA @ is,r.110 SQ FT
PROPEFW USE: IIOFF|CE trRE$rruMNr fluemmr-e [eurc pffnr f]omo
B(sr LAND DtsruRBlNG pERMrr? EryEs El NO
EX'SNNG IMPERVIOUS AREA 6 SQ FT
WATER:@MMI,NITY S'INSTEIiI nwELr flzoNNG USE Cr-ASSlFEATtor*SEWER:cENrRAr_ SEPnC E PRVATESEPTIC nCOMUUNIrySYSTEM
", SEPARATE P€RMIIS REQUIRED FOR EIECT, MECH, PLBG, GAS EQUIP. PSIEFABS & INSERTS *"
PAnEltnuErHoD tlcrsH florEcK(p^yA8rEroM{c) firuenrcAr{o<pRESs dMCMs^ flDsco\ER
FEVISED OATE,INlN2ZoNE:. oFFcenr tffi,t_*,_RH:_B:
Approml: City DATEL_FLOOD: BFE+&_
N
P(*N^ 11Ecrare If
Gomrnefit
A
PERMfT FEE: $
APPLICATIO
Hrnb€r
(oGflc. us€)
(1*,\.i.-,^"
OTHER
).crts -l la.t 1
:/NEW HANOVER COWTY BUILDTNG PERfiIT
APPLICAfiOTT TYPE; COITIIiERCIAL
PL€ASE Allsl{tR ALL QUESTIoIS lpPlrcagtE To YGJR PRO]ECT
'Project ResPonsibllitF
APPLICATION
ltunber
(Offl<e U3e)
APPLICAyT' S tlArlE: C\(rsr((o^:{_ t,.til ^ of \1o.\!, (^ ,- g \r.. ^- !.r . .
DEVELOPER: lTl^ " - r.^ Cov .Q er
CIIY: L^l ll r- i ^ qf..zlp: ]gvlL
STi ^k ZIP: ,-?.,/ o8
PtO E f! 236-abl-3q 1to
PtPIrlE #:z3b-3 L 31 -r6
oz I ves u No
ADD TO EXIST STRWTURE
PRO]ECT ADDRESS:
occuPAt{I/BUSII{ESS Al,lE ;
PROPERIY OH ER'S tlANE:
tt o.f^(l.i r\r' i.'
* trr) i i.- i.1r{s ^ .
G),q
e.
P}0NE *: 1ah - 762-- 3111o
fr{ER'S ADDRESS3 ,\ct3 w. (oc^v.o'(li! }"J,,^tq b CIW: Greedsuoro 5T: N< ZIP: ]1.t€
CO TRACTOR:c:- LICEi|SE #:SzttI
Sr-,r.r -(& U i(({1 LLC-
to.: s € F.l <
AD0RESS: -r zt ttuol f CITY: 6.eFh
E AIL ADORESS: e..t @ c(qs si- coa-ltrtr<-fisny\.: . co.h
PRO]ECT CO{TACT PERSotr: P-f R
Exrsr cor{srRttrTro : D AtrERATro
lf Rolocdon, b there a Natural Gas Lise on the
EH consrRrrcTroir, @'r*tct r{E}r srRUcruRE I rasr rmcx I sn:r_r_ n uprrr
ACCESSORY STRTKTURE:
ff UPFIT - The Sh€lI pentrit *:
(check Ar.1 nlat apply)
REI'IOVAIIOI'I n GEiIERAL REPAIRS fI RELOCATIOII
Current Site?nYes n No lS BLDG SPRINKLERE
.rr..* rs Tllls A o{t 5E oF occrpa cy lrsE} f]yEs wn .,rF Yes, rlrrt Es tic pFwlous Occupattct, Iypal _ frrt is the t{s Oc
Is Elect I,oler on this Building fl yes I fO
cupancy TlPe?
AROI DESIO{ PRoFESsIqALi
E GN DESIGX PENESSIO{AL:
DESCRIPTIOI{ OF }ORK:
c.r-n K P^.Pt{
Plt
tnL-b3 l-5f {l
:33h .Cal-'lll(I"C REG *:
C REG *:
t+sl8t(rK ?g
St 6r+r'rf J (].\,(A (- \,/
TOTAL PRoJECT CorST: qLS, -? so
TOTAL SO FT UT{OER ROOf:]?.oJQ
ACRESDISTURAED; f jz F.1.,
NEW IUPERVIot,S ARE,i: \ So, q I \)
# OF STORIES: 3
#OFFL@RS:
E€TLANDUSruRBING PERMTnEhEs
SO FT AGNNG IMPERVIOUS ARE^u O
TOTAL ANEA SQ FT 17
WATER:
# OF UNTTS: )LtoJ\
PROPERTY UsE f]oFFlcE trREsrruRAnr [uenc[mu [eurc plrerr [coxoo orxen6*an n
EI.CFPUA E
SO FT
SEWER:
PAN/IEl{r
Cofim€lt
@ianu{TYS}!5TEM
cEt{rRAt_ sEPnC E EJtvELLPRIVAIE SEPNC nrcMNcrrsE c[.AS$FrcATtottncoliMuNnYS\4SIEU- SEPARATE PERMIIS REQUIRED FOR ELECT , MECH. PL8G, GAS EOUIP, PREFABS A NSEITTS *'MErHoo: EIcAsH ElcrlEo(f]menrcmr o<nREss fMcMsA Ioscown
REVIIEO DAIE,IT tN2
N
-r------
(PAYABT TO M{C)
PERMIT FEE:tlE -
oarer rol rq / (6
Plo E t: q(q - 7zg -el 53
ls bod c trrrages pr€pdsd a sdved h 0rt str.ltrez flves Bfio ls Tln ftoprty Locad h IIre Flooealn? [ Ves @]no
P^+ ?^-. -(a' .,f*rtllt l
BUILDING HEIGHT: ? ,
"..SQ FT PER FLR: rr. oog#oFsrRUcruRB:_
Elno
b
*_.c.-
NEW HANOVER COUNTY BUILDING PERJIIIT
APPLICATIOII TYPE.' CO}II{E RCIAL
PLEASE AiIS}IER ALL QUTSTIOI{S APPLICABLE TO YCIjR PRO]ECT
'Project ResPonslbllity''
)r,tb - llzzo
xF2992
APPL ICATIS
tlumben
(Offi.cc Us.)
APPLICA T'S tl.l|,E:(-\c.JSr<a.:h th C^1-,.'. o€ Y\o.6\^^ !.-DATE i IO tq (b
DEVELOPER: --l-hse r'o (ov &er
PROJECT ADDRESS:L Gq.(
(rccuPN{T/Bt SrNESs MttE:lf"-b^
PHO E *: q(o - lzq -a 5:
zIP: fgVl
PIO E *: 1al - Staz-' 3q-
ST: N< ZIP: )1"{,
sT: .\k ZIp: ,'I4 o
PtO E f: tr16-?s z - 3i't
PIIO E *: z3b-36L- 31'
tN r \r'' ia
g \ i\*.i.rr{s...
CIW: tr\l it
e.
PROpERW O'fiER'S [AltE: SX'c.r^r& {.((q..\I LC-
ffiRrS ADDRESS: .:\co w, (ornu)c-tli! *. Suit< D CITY:6 re a.i 5 \2o ro
COT{TRACTOR:o.5 LICEI{sE *:5'zs r (6 Nf <
ADORESS: -12( ttoo!f \ ^.<CIW: 6 re o-s b"'s
EiTAIL ADORESS: t*t @ c(o.s.si<- con-:i tru.ct'isrr \l"r <. . cof'
PROJECT C0 TAf,T PERSO : p-t e
EXIST COI{STRITCTIO : Itf Rdocdon. b there a Natural
I{Er colsrRt crr(I{ , @ttaect El{ srRUcruRE
ACCESSORY STRIETURE:
(ch€ck
^11ALTERATTq{ [-'l nrmnrron
Ga Line on the Eilrent sile? E tiiinm nepuns I neloorrm
Eruo rs BLDG sPRTNKLERED? E Yes ff NoYes
FAsr rRA€x f! sxrr-r- [ uprr ! aoo ro Exrsr STRI cruR
If UPFIT - The SheU per it *:Is Elect Por,reP on this Buitding n Yes
ir... rs rHrs A o{axcE oF occtp cv usr} nyEs @to ,**.n
fF Yes, Hhat Es the Prevlous O€cupancy Type, _
ARCII DEsIcl{ pnDrEssro AL: F.*^ t< P^. e
t.lat is the lls OccuParcy Type?
atTrE-631-51{l Nc REG *: I45?S
qy+ n e.5 G--rJ-.-
Ix
all s[Er apdlcde Srateplans and lbacif catiorlsNC S{atB Bk g Codo and
E Gn DESIG Pf,[FESslollrltt Fra-.. [< Pa-r ]<PHt 33td.Qal'{tttt I lC nse *:@-
DESCRIPTI'X OF UORK:
ls iood or belsage F€pa€d a sdlr€d h ttis *rnrez flves EhIo fs ne noperV Locabd ln The Roo4ldn? flVo E]n
(\
(adr)
TOTAL AREA SO FT : 7'i, g !o
TOTAL SO FT UNDER ROOF: 21 gsQ SO Ff PER FLI+ 9. , s o
# OF STRTrcTURES: I
CrirftlE)
tad.. D..rolo,r nffcdo.. f e llllotl Fntit aF&.idl,lb ba stnltd lr&tg [to fCicdon ft.n (D]SIB3?SS] lrtr.tti !h. t t,db.*fEEhrrcda*r Adfr 6rd Ya, !! tlqltd b rd be Nddl E t*.ho slidtd. ft. tLddoo. & Mrh (t{Esr{AA r ptgTr{eb rfxio Orfn erio sr- -
.fr*i drtt! yahd&Il EaAte yS.b 8&c ttrpr/www..d..iat!.nc.tldo[r86b€do€/dmBl rnl
TOTAImOJECTCOST: -!!g- BUILDINGHEIGIIT:#OFUNITS: )'1Jj o
#OFSTORIES: 3
#OFFLOORS: A
ACRES DISTTJRBED:
NEW IMPERVIOUS AREA {'lo 1(o SO FT EXSNNG IMPERVIOTJS ARE',:o
pRopmryuse floFFrcE flnesreunmn flmencemr-e fleouc @-enr flcoroo
- SEPARATE PERMITS REO{JIRED FOR ELECT, MEC}I. FLBG, GAS EQUIP, FREFABS & INSERTS q
(FOfi OrF$E U8E O0ILY)
..,.1L.(<r<l D(sr LAND DISTURB|NG pERMrr? EIyEs El No
OTHER
SQ
WATER:
SE\IVER:
wthwe r-l couir.rlrw sylsrEM r-'l wE-Ldc*we f]crrrner-semc fliilrvrresernc ErcMMi IJSE C[AI}SIFTATIO{itg6mruwrvsrtren
PAYrrEi.rMEIlro& ElcrsH flcnro<prvrerEroNHc) f]mencrHoonEss trMcJvts^ Eorscovrn
EVTSED DAIE 1/r1^2ZONE: OFFICER: SETBACI(S:F: LH: RH: B:Appm,ak-Cl!,i-DATE-FLOOD:- BFE+2fts-
Corment
A N
PERMTT FEE:3