MAY 3 2017 BUILD APPSaclTL{Ltcc
#NEW HANOVER COUNTY BUILDING PERMIT
APP LI CATION TYPE RESIDENTIAL
PLEASE ANSWER ALL QUEST1ONS APPLICABLE TO YOUR PRO,,ECT
"Proiect Responslbillty''
Appllcation
Numb€r
(office use)
AppLtCAN.|.s NAME. Plantation Euilding ol Wilmington, lnc Date:511l't7
PROJECT ADDRESS: Y u Jonns orchard Ln.ctw. Wiimington 28411ztP
SuBDtvtsroNi Bridgers creek lOT c; 17
pRopERTy owNER,s NAME. Byan & Lindsay Crecelius
ow{ER,s ADDREss. 203 Rogerstilte Rd
PHONEf:910.409.7120
ctw. Wilmington 24411ztP
coNTRAGToR: Plantation Building of Wilmington, lnc
314 Walnut st.Su 200
IPIEASE ECI( AND ANSW R BELOW ALt
n sunroom (sF)
fl Greenhouse (sF)_
ls the proposed work changing the existing footprint? A yu, fy{d
TOTAT SQ FT UNDER,RAOF lfor proposed wotk)Heated:4731
68712BLDG LICENSE *:
EMAtI ADDRESS: roseman @ plantationbuildingcorp.com
pRoJEcT coNTAcT pERsoN. Kate Eames
ExlSTll{G CONSTRUCTION: tr Alteration [] Renovation n General Repairs
NEw coNsrRucrroN: tr-dt New Residence I Addition to Existing Residence E Relocation
D/t carage (sr) 856
Ctry. Wilmington st: NC ztp 28401
PHONE.910.763.8760
PHONE.910.899.8162
APPLY TO YOUR PROJECT'}*
E/orch(sr)865
n Storage shed (SFI_
! Other {SF)Patio 518
Unheated: 1721
TOTAT PROJECI COST (l-ess Lot): S 816,000
ls the proposed work changing the number of bedrooms? A Ves WK
lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEyesDNo
lf the project lsa Relocation, istherea Natural G95 t-ine on the current site? D yes EI No
ls there Electrlcal Power on this Buitding? El,.{aes E No
Occupancy: E Single tamily E Duplex E Townhouse
work. Hutld a stngle family home wtth an attached garage
Property Use/
Descrlption of
laws and ordinances and re8ulations. The NHC Development Servlces Center will be notified of any changes in the approved plans and spectfications or chan8e in aontractor
information. "*NOTET Anv work perfoftned without the appropriat€ permits will be in violation of the NC State and subject to fines up to S500,00.1.
Owner/Contractorl Angela Roseman Signature:
"Licensed Qwlffier" Ptlnt Nome
-..-als the property located in a floodplain? E yes &lqo
nExlsting lmpervious Area: " SqFt TotalAcresDisturbed: 75
New lmpervious Area:3356 Sq Ft
WATER: D CFPUA E community system V{,uate wett E central Well E Aqua
sEwER: ETdPUA E Community system E Private septic E centralSeptic E Aqua
Zone: _-- Offlcer:
-
Setbacks (r)
-
(tH)
-
(RH)
-
(B)
-Approval:
-
City:
-
Date:
-
Flood: (Al
-
{V}
-
(N)
-
BFE}zft:
-
75
Comment: Permlt Fee: I
tra.'", tti",.-), aaL
17-1399
ADDRESS:
E Det Garage (SF)
n Pool (SF)
--
u Deck (SF)--=-
Exlstlng Land Disturbint Permit: EI-r{6-s tr No
C? Cn ce CfPu+,.Acl,T +bK,Lo<, tD +q qSc
PERMTT T7=-tO37-
{Bbts APPLICATION
l{umber
NEW HANOVER COUNTY BUILDING
APPLIcArIott rl'PE; CoIf.iERCIAL
PLEAsE AiI5I.JER ALL QUEsIIONs APPLICASLE IO YOUR PRO]ECT
"Project Responsibility"
Ho1dl LLCAPPLICANT,
OEVELOPER:
5 NAI4E: L
PROIECT ADoRESS: 101 vlrqinia Ave
OCCUPANT/BUSINESS N,UIE: Lynm Holdinqs, LLc
DATEi 3/29/t'7
PHONE S:
CfTY: wrlminqton ST: NC ZIP:2840e
LICENSE *:6zolz-cIrY: hll l,ltU;l ,11 sr,A/Pue,2!f0/
O,JNER'S ADDRESS: 1312 JohDs creek Rd
CONTRACTOR I
ADDRESs: ?,, ,rl
EI4AIL AOORESS:
PROJECT CONTACT PERSON:
alural
EXIST CONSTRUCTION
lf Rolocadoo is there a N
aLTERATToN [7 nrrovlrror fl cerugnll nrplrns
Gas Line on rhe Eirens 5lgr flvJflNo TSBLDGS
(check AII That Apply)
Paone *: L3l- l90l
PHoNE s: Z? t - l90L
RE LOCATION
rLenrot I v"s NoPRINI
NEr,/ coNsrRucrroN, fl rnrcr t{Ew srRUcruRE f] rasr rnacx I sner-ffi ucrrr [] ADD ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Pernit $:
IF Yes, xhat uras the Previous O(cupancy Type?
ARCH DESIGN PROFISSIoIIAL: Greq R. Ra\-nolds
EN6R oESIGN PROFESSIoiIAL: J lIetti
D€SCRIPTI0N OF l,,JoRK i ,l
ls bod or beYsago6 pGpstBd a ln tis *uauo? lves
Is Elect Power on this Building f] ves Bno
PHt 2)!::!J::flL
PH: 910-?91-4ooo
NC tiEG S: 5351
NC RrG #: l!2-lg_
L € qsL
I No b Tho PrDpqty Located ln The FloodCaln? [ ves !No
r-..- ,, ,rillr^* * occunorcv usrr I vrs I l\lo *1r*t
hlhat is the N€,* occupancy Type?
donEll{oo(r6nybdlltyo( Dolldlnc. S-A!b€b. \'!bb sn : htFJ/tYr* .pl3.E.tr t|./.d/ab@/3hmp ffnl
TOTAL PROJECTCOST: $3 00, 0 oo BUILDING HEIGHT:]9--
TOTAL AFEA SO fi SQ FT PER FLR:10.000
f OF UNITS: I
# OF STORIES: r
TOTAL SO FI UNOER ROOF: ;-9--@-# OF STRUCTURES: r #OF FLOORS: I
ACRES DISTURBED Exsr LAND DtsruRatuc ernr,ttr I ves NO
NEw IMPERVIOUS AREA:-...--=---SQ FT EXISTING IMPERVIOUS AREA:SO FT
pRopERTY usE: trloFFlcE n nrsreunalr luencarrnle fleouc [ecr f]cottloo orHER-
WATER: ACFPUA
SEWER; B CFPUA
T-I COMMUNTTY SYSTEM TIWELL EZONING USE CLASSIFICATION;
E cEurnt seprtc fl P-RMATE sEPrrc flcoMMUNmY SYSTEM
o & 1-1
FEVISEO D TE '9iI/I2
..S{:PARATE PEBMITS FEQI]IREO IJO'I ELECT MECH, PLAG GAS EO!IP' PIIFFAiJS 8 NS'RiS "
PAYMENT MEIHOD: n*n Elcxeo< (peynsE ro NHc) EA ERICAN D(PRESS I ucrusr E orscown
ZONE:-OFFICER:
(FOROFRCE USEONLY)
SETBACKS: F:-.LH:- RH:-B:
Approvsl:-City: DATE: FLOOD:- A v N
BFE+m=
!
Commgnt PERMIT FEE:)'t't o
CITY: wi tmi nqt on ZlPi 214al
PROPERTY OI^]NER,S NAI'IE: PHONE $: I]!_f9!:I!]!-
tr
DISCLAIMER:o(her applcable SEte
GN
NEW HANOVER COUNTY BUILDING PERM]T
APPLI CAT t O N TYPE: RESIDENTIAt
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Prorect Responsibility''
2on-qaqa
Application
Number
(office use),z '/*
ztp ,/ '/ .
APPLICANT'S NAME:
PROJECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER'S NAME:
OWNER'S ADDRESS:
CONTRACTOR
ADDRESS:
EMAIL ADDRESS
PROJECI CONTACT PERSON
-)
CITY
PHONT H
ctw
aLC BtDG LICENSE S
CITY srTQ zo,PHONE
ztP
./1
z " -/, * " "r,/PHONE
,,.,/
ExlsTlNG coNsTRUcTloN: A4lteration ! Re
NEW CONSTRUCTION: ! Erect New Residence
novatio General Repairs
to Existing Residence E Relocationition
n Att Garage (SF)
E-4lunroom (SF)0
n Greenhouse (SF) _n Deck (SF)
ls the proposed work changing the existing footprint? n Yes No
TOTAL SQ FT UNDER ROOF lfor prcposed work) Healedi
***PLEASE CHECK AND ANSWER BE ALI. THAT APPIY TO YOUR PROJECT**'}
E Det Garage (SF)! Porch (sF)
n Pool (SF)D Storage Shed (SF)_
! other (sF)
TOTAL PROJECT COST (Less Lot): S
ls the proposed work cha nging the nu mber of bed rooms? [ Yes No
ls any tlectrical, Plumbing or Mechanicalwork being done to the Accessory Structure
.2U(
lf the proJect is a Relocation, rs there a Natural]/s
ls there Electrical Power on this Building? El'1es
Line on the current site?tr Yes
4,o^.dno
tr
Property Use/ Occupancy:tr 5i Family Dup
Description of work:,ry -E//zo2.z)
No/
bx{townho,tse
DISCLAIM€R: I hereby cenify that all the information in this application is correct and all work will comply with the State Euildin8 Code and allother applicable State and local
la\xs and ordinances and regulations. The NHC Development Services Center will be notified of any chanBes in the approved plans and specifications or chan8e in contractor
information. "'NOTt: Any work performed without the appropriate permits will be in violation of the NC State Eldg C and su to lnes up to 55OO.O0'*'
owner/contractor: /-flZf y 279441 Signature:
"LicenseI QuoIifier"
ls the Aroperty located in
Existint lmpervious Area:
Print Nome
?EYes No
Sq Ft TotalAcres Disturbed:
7-
a floodplain
New lmpeivious Area:Sq Ft Existing Land Disturbing Permit: E ves E t,to
WATER: d CFPUA E community System E Private well E central Well E Aqua
SEWER: F CFPUA E 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+zft=
-
$qto-
Comment:Permit Fee: S
LOT T:
Unheated: _
tr
z4tiPR l? 2rE4Pf.t
:/NEW HANOVER COUNTY BUILDING PERMIT
AP PLICATION TYPE : RESIDENTIAL
PLEASE ANSWER AI-t QUESNONS APPI,ICABLE TO YOUR PROIECT
"Proiect ResponslbilM
f,cl}- Ll3b3
Number
{otfice use)
Appt-tcaNrs NAME. Salt Bock Builders, LLC Da'(, 4t24t17
pRoJEcT AoDRESS: 5110 Masonboro Harbour Drive ctw. Wilmington zt40sztP
SUBDIVISION: Masonboro Harbour Drive t-oT #
pRopERTy owNER,s NAME. Sam & Janet Wheeler
OWNERS ADDRESS: 5110 MASON
PHONE *. 828-273-6990
OW. Wilmington ztl. 24409
coNTRAcToR: Salt Rock Builders, LLC glDG UcrNsE f: &S8
sr. Nc ;rp:26,Rt5-
J
N\1.s:;''
loonrss:322 Smugglers Court Cny. Wilmington
EMATL ADDRE55: jspivey'l @bellsouth.net PHONE -6123
pRoJEcr coNTAcr pERsoN. Jimmie spivey PHONE. 9.10-367-6123
EXISTING COI{STRUCTION: ! Alteration E'Renovation ! ceneral Repairs
NEW CONSTRUCTION: E Erect New Residence ! Addition to Existing Residence ! Relocation
,lT*PLEASE CHECX ANO ANSWER BETOW ALL THAT APPTY TO YOUR PROJECT'**
n Att Garage {SF)_ D Detcarage(SF)_ D porch (SF)
TOTAL PROJECT COST (Less Lot): S 60,000.00
ls the proposed work changing the number of bedrooms? tr v"" dno
ls any Eledrical, Plumbing or Mechanlcal work being done to the Accessory Structure E Yes
lf the project is a Relocation, is there a Naturgl Gas Line on the cu rrent site? D Yes f,/No
lsthere Electrical Poweronthis Building? Ef Yes E No
Occupancy: U single Family D Duplex E Townhouse
work. lnsiall new kitchen cabinets, plumbing, lighting
Property Use/
Description of
g/tro
, appliances; interior trim; enlarge existing master bedroom;
flooring; interior paint
laws afld ordinances and regulations. The NHC Development Seruices centerwillbe notified ofafly changes in the approved plans and specifcations or change in contGdor
information. "'NOTE: any work performed withoutth€ appropriate permits will b€ in violation ofthe NC State B and subject to
Owner/Contrador:Salt Hock Builders, LLC Sigoature:
"Licensed Quolifie/' P ntNome /
ls the property located in a floodplain? O v", dt{o
Existing lmpervious Area:
-
Sq Ft Total Acres Disturbed:
New lmpervloFs Area:
-Sq
Ft Existlng Land Olsturblng Permit: E Yes E No
WATER: dYUA E Community Svstem E Privatewell E centralwell E Aqua
SEWER: MFPUA El community System E Private septic E central Septic E Aqua
zone:
-
offcer:
-
setback (F)
-
(tH)
-
(RHl
-
(B)
-Approval:
-
Ctty:
-
Date:
-
tlood: (Al
-
(V)
-
(N)
-
BFE+2ft=
-Comment:Permit tee: S
gq6q -
N$t W
t:.
! Sunroom (SF)_ ! Pool (SF)_ D storage Shed (SF)_
! creenhouse (SF)_ ! Deck(SF)_ D Other (SF)_
ls the proposed work changing the existing footprint? E yes dno
TOTAI" SQ FT UNDGR ROOF lfor proposed work) Xeated: 2Q32 Unheated:
-
Y L--\------
@)
NEd I,!*$f,[VER CSJlrgY BI.I3LE 16 PER$E?IFEqAE ne: S.EIBENTIIL
9t.E,t* rBrB 4r. gErltE OeulEngrr To !qB. &EE
R.5rql.!5f'Ilil,.
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NEW HANOVER COUNTY BUILDING PERMIT
AP P LI CATIO N TY PE RESIDENTIAL
PLEASE ANSWER ALL OUESTIONS APPLICABLE TO YOUR PRO.]ECT
"Proiect Responsibility''
CITY
APPLICANT,S NAME:
PRoJEcT ADDRESST
Date
ZIP'. ?t?o<l
SU BD IVISION LOT {
PROPERTY OWNER,S NAME *,ne PHONE H
ZIP
BLDG LICENSE fl
sr: ,!C ztP Zt4oQ
t0 €3a\'?a')
wowQfl lri 3'707
OWNER'S A,DRESS: CITY
CONTRACTOR
ADDRESST
EMAIt ADDRESST
Owner/Contractor:
"Licensed QuoIiIier"
New lmPeJvious Area
c'\r4r0
CITY
d^
PROJECT CONTACT PERSON
EXISTING CONSTRUCTION: n Alteration 6 Renovation E General Reparrs
NEW CONSTRUCTION: I Erect New Residence D Additionto Existing Residence ! Relocation
+*,} PLEASE CHECK AND ANSWER BEI.OW AI.T THAT APPTY TO YOUR PROJECT***
p oet carage lsFt <-? 6n Att Garage (5F)--
! Sunroorn (5F)
l l Greennouse ()r, _
DISCtAtMER: I h€r€bY certrfY t at a I th€ information io thls aPP
tr Pool (SF)
n Deck (SF)
ls the proposed work changing the existing footprint? n Yes ! No
TOTAT 5q FT UNDER ROOF Aor proposed wotk)Heatedt , ,l 6 Unheated:
TorAL pRolEcT cost tt rrtott.s*--2@
ls the proposed work changing the nuriber of bedrooms? ! Yes E No ?
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure SYes D No
lf the project is a Relocation, is there a Natural Gas Line on the current site? X YesE No
Is rhere tlectrical Power on thrs Buildinc? p Yes E No
Property Use/ Occupancy: I Single tamily E Duplex ! Townhouse
Description of Work:
r)
lication is correct and allwork will complY with the State Surldlng Code and allolher applicable Staie and local
or change rn contractor
ss00.00"*laws and ordinances and regulations. The NHC Developme nt Services Center will b€ notified of anY changes in th pproved plans and speciflcatio
information. "'NOTE: Anv work performed witho ppropriate permitswrll beinvrolationof the NCst Cod€ and
lsthepropertylocatedinafloodplain? tr Yes E No
Existing lmpervious A r"",5'? f sqrt TotalAcres Disturbed:
Signature:
Existing Land Disturbing Permit: I l Yes tr NoSq Ft
WATER: Fj CFPLA ! Community System t] Privatewell E CentralWell E Aqua
SEWER: FCFPUA ! communitY svstem fl Privateseptic E central septi€ E Aqua
zone:
-
officer:
-
setbacks (F) -- (tH)
-
(RH) _- (B)
-Approval:
-
City: .- Date: -- Flood: (A) -- (V)
-
(N)
-
BFE+zft=
-
Permit Fee
E7-t
Comment:
5s1s
ffi
yl t+91+
f] Porch {SF}
ll Storage Shed (SF)-
n other (SF)-
7) CN\LH rt-r
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; COI{MERCIAL
PLEASE ANSIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
##
'sot+ Zrll
APPLICATION
Number
(Office use)
i:
a
't.
APPLICANT,'S NAME: :.:i re ::r,, e DATE: - a -
DEVELOPER: p.rti _- cr l irrE
CITY:fi/ilmrngton
PHONE #: Srl.rrr r-291
PRO]ECT ADDRESS: o . :\ ., :-
OCCUPANT/BUSINESS NAME : Le lil.irir af Fir.ierLrJlit,: q! er:r,\' aert,e:
PROPERTY OWNER'S NAME: Ptr1l,e ijr.-ill
OWIIIER'S ADDRESS: 4aCi Faber PIace Dri./e, ste 110 CITY: I.lcrth cirarlestcns
CONTRACTOR : 1"1. n t e i:- h con st r.u ct- i cr c cr-p LICENSE #: .rl "
ADDRESS: 32 N. Frcnt st CITY: ,i lmi n.it cn
PHONE #: 8,ll.r'lI 129-l
ST: f[ zIP: 2 5]. t l
EMAIL ADDRESS: , :i. .:::-, :.:', ' r'
PROJECT CONTACT PERSON: r.rr{-: r'rli
(Check A11 Ihat Apply)
EXIST CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS RE LOCATION
lf Relocation, is there a NaturalGas Line on the Current Site?Yes Eruo IS BLDG SPRINKLERED?[v". fino
ERECT NEW STRUCTURE FAST TRACK SHELL UPFIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE: T.U N.AT I I]]'I .N,I
NEt'J CoNSTRUCTIoN:
If UPFIT - The SheU Permit #:
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOiBLi sT3 :eiirr., i:...
ENGR DESIGN PROFESSIOiIAL: ,ir,rr,- I S-,L r.rtrr,,i Cr,i.r,i1r,:,r, .]
Is Elect Power on this Building E Yes !NO
**i!i!'* rs rHrs A cHANGE oF occupANcy user ffves I N0 *i***
PH: I13. 8r1 . 9191 NC REG f: 1064 0
PHi '713.996.1975 NC REG #: 03r182
DESCRIPTION OF I,JORK: EoUNDATToN PERMTT oNLy
DISCLAIMER: I hereby certify lhat all information in this application is correct and all work will comply wth the Stale Building Code and all other applicable Stale
and local laws and ordrnances and reoJlalrons The NHC Developmenl Services Cenler wrll be nolified ol any chanqes in the approved plans and spec li(alions
or chanoe in contraclor or contrac lor informalion "'NOTE Any Work Performed w/O lhe Appropriate Permrls wrll be rn Vrolalron of the NC State Blog Code andSubject-to Fines Up To $500.00"' r . /
Gf hlcoNrRrqcToR: :,r, a. L o\ -. JATGNATURE: ./14'7+
*llI"..,-J:l"JHRu-4"[FJm""*,'".oon,o,..o,I-ffilthetaciliyorbUildingwsstoUndto
ls food or beverages prepared or served in this structure? Eves fi l.lo ls The Property Located ln The Floodplain? [ ves r No
conlsin Asbestos ornol. You are required to callth€ National Emisslon S:tandards for Hazardous Air Pollutants (NESHAP) al (919)707-5950 at lerst 10 days p.ior to the
demolilion of any facility or building. S€e Asb€stos Web Site: http://\rrwwepi.strate. nc.us/epi/asbestos/ahmp.htrnl
TOTAL PROJECT COST: ., , , . . BUILDING HEIGHT: = '# OF UNITS
# OF STORIES: I
TOTAL SO FT UNDER ROOF
ACRES DISTURBED: .. J
NEW IMPERVIOUS AREA: e5
PROPERWUSE: EOFFTCE !ReSrnUneNr MERCANTILE
WATER: ECFPUA
SEWER: E] CFPUA
#OF STRUCTURES: .# OF FLOORS:
EXST LAND DISTURBING PERMIT?T ves Ir.ro
SQ FT EXISTING IMPERVIOUS AREA: r SQ FT
EDUC APT CONDO OTHER:l.me.Lrt v aer::e
IFICATION: : :r.
2rt31
COMMUNITY SYSTEM I-I WELL f]ZONING USE CLASS
oENTRAL sEprc ! e-nvare seertc ff coMMUNlrY sYSTEM
-'SFPARATE PERI\,IITS REOU RED FOR ELECT. MECH PLBG. GAS EOUIP. PREFABS & NSERTS "'
PAYMENT l\i!ETHOD CASH I cHEcK (eAvABLE ro uncl [nlaeRtcAN ExPRESS I rucnrtsn I otscoven
ZONE OFFICER:
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-REVISE9 DATE 4/1 1N 2
Approval:- City:- DATE:- FLOOT, --- o --- u N
BFE+2ft=
Comment PERMIT FEE: $
PHONE #: : .-. a
PHONE #: !- .. !!'r.:l.l\,
ZIP: :g! -:
ST: j!_ zIP::j:_::_
What i.s the New Occupancy Type? _
TOTAL AREA SQ Fr : =:-::-- SO FT PER FLR:
-
ao-
-n
APPLICANT'S NAME:
a.
5
2
=
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; COMMERCIAL
PLEASE ANSI^JER ALL QUESTIONS APPLICABLE T0 YOUR PRoIECT
"Project Responsibility"
APPLICATION
Number
(office Use)
Mike Dov le DATE: I 9 2ll
DEVELOPER: !, i t:: tr.,i.
CITY:Wi lml ngtron
PHoNE #: a-: 'r- ::l
ZIP | 2a1r'/PROIECT ADDRESS: ..1.1 :vrel:ii.d Ldne
OCCUPANT/BUSINESS NAME: f e l-,.reblr ar, RiverLicht,s Ame.ir
PROPERTY OWNER'5 NAME: !r,te ilr.,r1l
y cent e r
PHONE #: 6i.l .rir l.:i
Ot{NER.'S ADDRESS: 4ffl Eaber. pla..e Drive, sre 1Li CITY: Nort!r CharLe:rrcn
CITY: wi lmr n.r--on
ST: sc ZIP: 2 9.r'r s
CONTRACTOR: Mon!eit h Ccnstruction Ccrp LICENSE s: llrr!
ADDRESS: :12 N. Fr()nt st ST: NC ZIP: 281cr
EMAIL ADDRESS: r.l.,lelnonteitL.. com PHONE #: 9:r r-?r.8rrl
PRoIECT CoNTACT PERSON: l.:ik: l.'/le PHoNE #: .- :" -..:
(check aIl That Appry)
EXIST CONSTRUCTION:ALTE RATION R ENOVATION GENERAL REPAIRS RE LOCATION
lf Relocation, is there a Natural Gas Line on the Current Site?Yes Er,ro IS BLDG SPRINKLERED?[ve" flro
NEW CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHELL UPFIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The Shel1 Permit #
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIO},IAL: :ltat iesr',i:, I:.
ENGR DESIGN PROFESSIOiIAL: ;nited Struc.u:.rL C.:rsLiltan:5
Is Elect Power on this Building n Yes
'It'I*'**i' I5 THIS A CHANGE OF OCCUPANCY USE? EYES T
I NO
PH: 713.811.9191 NC REG #: 10640
PH:713.996.?915 NC REG #: r ,.- - !:
DESCRIPTION OF WORK: rn.i.,or P..l
ls food or beverages prepared or served in this structure? [ves I no ls The Property Located ln The Floodplain? E yes I No
DISCLAIMER: I hereby certify that all information in
he
this-applicatron is correcl and all work willcomply wrth lhe State Buildrng Code and all other appticable StateNHC Developmerr Services Cenrer will be nolilied of a1v chanoes in th6 aooroved otans and i;c(,ti.ationcNOTE Any Work Perlo.-ned w/O the Aoproo ale Permris wrI bie rl Vrotalion of lhe NC State BlOg Coae aia
IGNATURE:/"ttt4*le
NoterOemolilion
conlain Asbestos ornol. You are roquired to callthe National Emisslon Standards for Hazardous Air Pollutants (NESHAP) at (919)707-5950 al t6ast 1O days p.ior to the
&pemit applbations are to be submitted usir€ the applicstion iorm (DHHS-3768) rvhether the tacility or buitding wos found to
alemolilion of any fEcility or building. See Asbegtos Web Site: htF:/ ,eflw.epi.stato.nc.us/epi/asbgstoVahmp.htrnl
TOTAL PROJECT COST: s2..,:!i BUILDING HEIGHT: #OFUN|TS:
TOTAL SO FT UNDER ROOF:
ACRES DISTURBED: , .
NEW IMPERVIOUS AREA: e 6
# OF STORIES
# OF STRUCTURES
EXST LAND DISTURBING PERMIT?
SQ FT EXISTING IMPERVIOUS AREA: il
I YEs ENo
691 SQ FT
PROPERTY USE EoFFrcE nResreunenr MERCANTILE EDUC APT ECONDO OTHER: r.sser b,1
WATER: MCFPUA
SEWER: [7]CFPUA
EZONING USE CLASSIFICATION: .-,- I
ff coMMUNTTY SYSTEM
-'SEPARATE PERMITS REQU RED FOR ELECT. i.IECH, PLBG. GAS EOUIP, PREFABS & NSERTS ''
PAYMENT |VIETHOD: ECASH oHECK (PAYABLE rO NHC) EAMERTCAN EXPRESS I rUCnrrSl florscoven
EcoMMUNTTYSYSTE|\4 flWELL
L_] CENTRAL SEPTIC L I PRIVATE SEPTIC
(FOR OFFICE USE ONLY)REVISED OATE 4/11N2ZONE:_OFFICER SETBACKS: F:-LH:- RH:- B:Approval:_ City:_ DATE:_ FLOOD:__ _ BFE+2ft=
!
What is the New Occupancy Type?
(ou6lffer)
TOTAL AREA SQ FT: , SQ FT PER FLR:
# OF FLOORS:
-
A v J=*r,rr.=,$ 16\-