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NEW HANOVER COUNW BUITDING PERMIT
APPU CA1DN IYPE : RESIDENTIAL
PIEAS€ ANSWER AI.I- QUT STIONS APPI.IC-ABTT TO YOUR PRO,,TCT
'Projcct Responsiblllty"
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APPLICANT'S NAME:Oate
CITY ltP:I
&.L,no LOT s: _
PROPERTY OWNER'S t{AMT:
OWNER'S AODRESS:
AODRTSS:
EMAIL
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b\PHONE T:
SLDG LICENSE T,
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PHONE:b qL
ZIP!
PROJECT CONIACT PERSON:l(
lsTlltlc @NInUCTION: E Alteration E R€novation O Gln.ral Repairs
I{Ew CONSTnucnOr: 0 9d( new aesidence E Addition to Existin8 Resid€nce n RelocationL-.-
PLTASE CHECK AI{O AI{SWTR BELOW AU THAT APPLY TO YOUR PNOJECT"'
O Det Garate (SFl
-
n Porch (SF)
E Pool(SF)
-
PHONtT l
D Storate Shed (SF)-
D other (sF)
Att Garage (SF)ilq,
E) Sunroom (5F)
n Greenhourc (SF)tr Deck (SF)
unh.rt d: q'/ )
ls the propos€d work chan8int the number of bedrooms? O Y.3 O No
lsanyELctrkal,PlumblntorMcch.nlcalwortbeingdonetotheAccessorySt.uctureEYcsENo
lr the proiect is a Relocatlon, is there a Natural Gag Line on the cutr€nt !ite? E Y6D o
ls there Electrical powaron this Buildint? E vct E t{o
./
P.oDGrty ui./ occugrncy: E}'Sln3tc rrmlty O Dupl.x E Townhout!
Description ol work:
.1
OICLAIMEI: r h.rcby.anrly thrt rlltha inform.llon rn thls.gplicetion with th!St.ta &rlEintcodaand all olhlr . Ppliaabla St.ta .nd loaal
Lya and orali^an(at and ratulatlon!. th. NHC O.v.togmfi! SarYL6 Cantat ,rll ba no(or chtnla in conlrador
mfo{,narro. " "lotl: ant rp.t p..lonnad tfhoqt tita .ggtoDrla!. p.rmb will bc in
Owner/Cootractor:liym
'Liccnted Quotifi.t' P n, Noi,c
ts the property locatcd in a floodplain? El Ycs El-tto
Erl nS lmpervloG At!a:
-
Sq tt
N€w lmperviout Area:Sq Ft
ToialAcr€r Dislurb€d
Exlstiog L.nd Disturbint Permlt: O Yes D No
No,"r-i
W,;iatt A-(FWA E) community system E Private well E Centralwell E Aqua./
SEWER: EaCFPUA E Community System O Private Septic E Centralseptic E Aqua
zon!: _ gfllreri _ 5eoilb (fl _ (tfll_ nil _ {31 _
Approval:
-
Clty:
-
D.te;
-
rbod: (A,
-
(v)
-
(N,
-
BFE+2tt=
-Comrn nt Pcrmit fcc: I
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4/a-l-qq- t R',\
CONTRACTOR
t
ls the propored work chantint rhe existint footprint? E Ye3 ! No
TOTAI SQ FT UNDEi ROOF lJot ptoposed wor*1 xcated: =.[l![-'); r'i 'TO?A[ PnOrtCT COSI lle3r totl: S ",------------7.----_-_
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NEW HANOVER COUNW BUILDING PERMIT
APPLICATION rYPE: RESIDENTIAL
PLTASE ANSWER ALL QUESTIONS APPLICAgLE TO YOUR PROJECT
ect Responsibilit/'
Jatf'z.lz ar
Appli..ation
Number
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APPLICANT'S NAME:
PROJECT ADDRESS:
I Lac-Date
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ztP:
suSDrvrsroN:
WATER:F
SEWER;CFPUA
rL&lPROPERTY OWNER'S
OWNER'S ADDRESS:
CONTRACI
ADDRESS:
E:t/PHONE #:
CITY:
D(Dc ,10 klt ZlPl
BtDG NSE Hi
5T:ZIP: _
PHONE:
1 L tcl 1l/
EMAIL
PRO,ECT COMIACT PERSON
I Sunroom (SF)
n Greenhou3e (SF)
New Impervious
,1E
EXISTING CONSTRUCTION: E Altgration D Renovation D General Repairs/-
NEW CONSTRUCIION: Q/ect New Residence D Addition to Existing Residence D Relocation
...PITASE CH:CK AND ANSWER BETOW AtI THAT APPLY TO YOUR PROJECT..'./',
i24tt earage 1sr1 9(.:'' I E oetcarase(sF)- Q-rdicrr (sr)7L
tr Pool {SF)
! Deck (SF)
tr storgpr
gd,n"r(s
Shed (5F)
F)6o
ls the proposed work chanSingthe existin8 footprint? tr Yes D No
TOTAISQ FT UNDER ?OOF lJor proposed work) Heated:,:.'l+,' r -ii
.Z-a)t . 1 ., .,, ,TOTAT PROTECT COST lLess Lot): S . _
ls the proposed work changing the number of bedrooms? E Y6 El No
! / t2
unh.ated: l,'l()
lsanyElactrkal,PlumbintorMechanicalworkbeingdonetoth€AccessoryStructureEYesENo
lf theprojectisa Relocation, isth€rea Natural Gas Line on the current site? E yes E tlo
ls there Electrical Power on this Buildjpg? E Yes n No
,,.
Property Use/ occupancy: DZSin3le Famlly D Dupler E Townhous.
TotalAcles Dirtu.bed: ,.' (. -
Descriptlon ol Work:
olSClArM€nr I h€reb'y c.rtify th.t allthe intormation in thil ron is coareci and all willcomply with the Stata Buildin8 Code.nd allother applicrble Stat. 3nd local
law!anal o.dinencas and re8ulations. The tlHC Oev€lopment Servlce3 Centar willbe of any chang€s in the plans ana, lpecifacations or change in (onraclor
ed our th€ appropriete permits willbe inviolation ol lhe NC State and subject to lines up to 5500.0O"'
SiEnature:
"Liaensed Quoliliet' Ptint Nome
ls the property located in a lloodplain? E Yes E No
Existint lmpervious Area: _ Sq Ft
a'.)Sq Ft Existint Land oisturbing Permit: E yes E ruo
E Community system E Private Well E Central well E Aqua
E Community System E Private Septic E Central Septic E Aqua
Icilr
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-Approva[ _ City: _ Date: _ Flood: (Al _ (V) _ (N) _ BFE+zft=
-
tCITY:
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Comment Permit Fee: S
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RECETVE0 ]']I012018
NEW HANOVER COUNW BUITDING PERM]T
APPLTCATION TYPE: RESIDENTIAL
PLEASE ANSWER AtI qUESIIONS APPUCABT€ TO YOUR PROJEcr
'Prorect R6ponslbllly
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Applicetion
Number
(omce irs€)
APPLICANT,S NAME:A.lem lhom6son Date: 08-29-2018
PROJECT AODRESS : 3855 Malvern Roari CITY: Wilminoton zt 28403
SUBDIVISION: Lincoln Forest LOT #:
PROPERTY OWNER'S NAME:A.lam Th^mna.rn I Fl I ennon-Thomoson PHONE f: 910-619-5296
OWNER'S ADDRESST 3855 Malvern Road CITY: Wilminoton ztP: 28403
A th"rr''.)n BLDG LICENSE f:-COMRACTOR:
ADDRTSS:CITY:ST: ZIP
EMAILADDRESs: aAam+l-'o s
PROJSCI CONTACT PERSO :A at
l- Cprn PH ONE
0 PHONE:
EXISnNG OONSTRUCTION: E(Alteration C Renovation E General Repairs
I{EWCONSTRUCnO:-ErectNewResidenceEAdditiontoExistingResidenceDRelocation
.*.PLEASE CHECK AND ANSWER BEI.OW AI-t THAT APPTY TO YOUR PROJECT" '
E Aft Garage (SF)_E Det Garage (SF)_tr Porch (SF)
E Sunroom (sF)tr Pool (SF)
df\Gtq -za.9"ct
(sF)
! Storage Shed {SF)_
! Greenhouse (SF) ! Deck
ls the proposed work chan8ing the existinB footprint? fl Yes o!ftr'r4tTOTAI Sq FI UNDER ROOF llor proposed wor*) Hertcd:Unheated:
TOTAL PROJTCT COST (Less Lot):t3r5G,
ls th€ proposed work chanSint the number of bedrooms? U Yes E No
ls any Electrlcal, Plumblnt or Mechanical work being done to the Accessory Structure E(Yes D No
lftheprojectisaRelocatioIl,isthereaNaturalGasLineonthecurrentsite?EYesENo
ls there Elecrical Power on this Euildin8? \E) Yes D No
Property Use/ Occupa ncy:rK Single Family E Duplex ! Townhouse
Description ol Work:
allerino a half heihroom io 1 lbalhroom
laws and ordhan(e3 and regulations. The NHc oevelopment Se ic€r c€nter will be notilied of any chanSes in the a pprovad plans and 5p&ificationr or changc in contractor
informatlon. "'NOTE: Any work d without the appropriele permits willbe in violation ofth€ NC State 8ld8
Owner/Contractor:
'Licensed Quolilier"
--./'1I ll o,,t Signature:
t Nofie
lsthepropertylocated ina floodplain? ! Yes E r{o
Existing lmpervious Area:Sq Ft Total Acres Disturbed:
New lmpervious Area:Sq Ft Eristint Land DisturbinS Permit: fl Yes f No
WATER: XCFPUA ! Community System fl Private Well D CentralWell fl Aqua
SEWER: ELCFPUA fl Community System E Private Septic B CentralSeptic ! Aqua
Zone: _ Offacer: _ Setbackc (Fl _ (l,Hl _ (RH) _ (B) _
Approval: _ Crty: _ Date: _ Flood: (A) _ (V) _ (N) _ 8FE+2ft= _
Comment:Permit Fee: S
D Other (SF)_
D I-C-
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATTON TYPE I RESIDENTIAL
PLEAST ANSkTR All QUESTTONS AppLICABLE T0 l0U8 pnotECT
"Proj ect Responsibility"
APPLICANT'S NAI1E: Robuck Homes Trianqle, l,LC
&otB t )U)7
APPLICATION
Number
(0ffi(e Use)
DAIE: tl./oB /18
PROJECT ADDRESS: 1229 l{aLerlrav cL
SUBDIVISION:SouLhHaven aL Arr
CITY: oJi Imill9Lon ZIP:2a411
00?BLOCK
'I
PROPERTY 0I'INER'5 NAIIE I ltobu(:k Hor rs rrianq.Le. LLC
OWNER'5 ADDRESS: 6131 Falrs of Neuse Rd. sce 200 CIIYr Raleich
CoNTRACTOR: Robuck Homqs lriangle, LL!LICENSE #: sr08l
ADDRESS; 61111 FalI6 ol Neuse Rd. ste 200 C]TY:
PROJECT CONTACT PERSON:Jai Norbech i norbech@robuckhonres. com
LOT 'i:
ST: r.rc ZIP i 2'l6i9
5T: IL zIP: !:!!z
PHoNE ll: 9le 2?, r126
ExrsTrNG coNsTRUcTroN: f] arrrnarror,: I neltovnrrou E]cerurnar neenrns I RELocATIoN
NE'J CONSTRUCIION:ERECT NEI^I RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECI( AND ANSI,JER BELOl,l ALL TIIAT APPLY T0 YoUR pROIECT:
ATT GARAGE
-
5F
SUNROOIVI
-
SF
GREENHOUSE SF
DET GARAGE
-
SF
P00 L _ sF
DECK SF
PoRCH _ 5F
S]ORAGE SHED SF
5FOTHE R:
ToTAL HEATED 5Q FT: _ TOTAL SQ FT UNDER R00F: _ ToTAL AREA 5Q FT: _
ToTAL PROIECT CoST lress Lor) :$_ S OF STORIES:
Is Any ELEaTRICAI, PLUiIBING on I1ECHANICAL Work Beint Done to the Accessory Structune? E Yes
If the project is a Relocation, is there a Natural Gas Line on the Current Sj.tei AYes r No
llc
Is thene Electrical Power on this Buil-dj.nB?
PROPERTY USE / OCCUPANCY: @ SrUCrr rnmrrV
DESCRIPTION 0F WORK: Eempered qlass rcDlacemenL So<Q<lrviy * arir}.+,-197
I ves f] no
ouer-rx I rowNHousE
cont.cro, i.ttrm6ton. "'NOrE: Any lYork Pedo,nred W/O {re Appropiab Pe.mnsw[! be h virlallon ol lhe NC S!a@ Bldq Code 6nd SuUiecl lo Fines Up To 5s00.00"'
srGNAruRE : --'l:; )z//S/H,OI4NER/CONTRACTOR: chartes ;r. Bishop rv
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING It'{pERVIoUs AnEA: _SQ FT
NEN III1PERVIOUS AREA:
-
SQ FT
I vrs I NO
TOTAL ACRES D]STURBED:
,v.** * * ** * * **+**it *+t * * +* *i(** )tx )i * r*,*:** * * +*iti * ****** *:f *)t **x* ***, *x *x ** *,f,1 * )r * +l + * +* *'* * * *:i* **I
EXIsT LAND DISTURBING PERNIIT:YE5 NOI
l^,nTER: I creun I coMMUNrry svsrrm I pRrvArE WELL I cerurnal well
5EWERT E creun ! CENTRAL sEprrc I nnrvlrr senrrc I coffi'lljNrw sysrEr.l
1+1 qFPARATI: PERITITS NIQUIRED TOR TI.ICT, I,lECII, PLOG, GAS TQUIP, PIIEFA85 A II.JSIIiTS '1i
PAYT1ENT TTIETHOD: CAsn Cn.Cr (PAYABLE TO rttHC; I nmenrCAn rXnnrSS E ralrrtO OTSCOUTO
+*+**** * * **** ** *,t ,t,ii *,tr * +* i!* )t,t * *,t** *)t +*:f* ** +,1* * ** ***** ****,t**** + * *)r * * ** ** *,* * r** * * **t * +**,t*
(Fofi oFFrar usE orLY) RavIsED D rE 64111/12
ZoNE: oFFICER: SETBACKS: F: LH; RH: B:
Approval
Comment;
City:_ DATE :_ FL00D _ BFt+2ft=
N
PERI"IIT FEE; $'1; oc
&,,r
(
r
kp?^ce S(azS r6N\F".d d <Z r5 V(v \\lttrs
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DEVELoPER: Robuck Homes Trianqte, LLc PHoNE #: 919 8?6 gzoo
PHoNE li: 919'€ /6 92oo
EMAIL ADDRESS: i norbech@robuckhomes . co,n pH0NE #: grg s:e_gzoo
2VL,?uv+1 )o \
NEW HANOVER COUNTY BUILDING PERI{TT
APPLICATIOI TYPE.. COIftE RCIAL
PLEAsE A,lslrER ALt Q()ESIlOrs APPLICISIC lO YOJq PnOIECI
"ProJcct RcsponrIbiLity"
- olrr:
AFFfffATfon
t{urb€r
8/31/2018
OEV€LOPER: N/A
PRO] ECT AOD REss: 725 wELLTNGToN AVENUE crw: wwrNclolt
OCCUPATIT/8USItlE55 tlAllE : FAITH LtFE FELLOWSHTP lNc
PROPERTY OnaER' 5 llA}lE: SEAMIST pROpERTIES LLC
Crrll'lER'S ADORESS I 3SO7 pEACHTREE AVENUE #2OO . CITY: yyg1y11.167611
- LICE'{SE I:
P}l()llE ':27P t 28401
- PtlOiiE *: 9102089450
ST !'N!_11r@
CO TRACTOR I
ADORESS:
I
T:CITY:PAn, ZXt, o=st
*'t T:3184584210
EITAIL ADOR€S
PRO]ECT CONIA
NoNEIi CO{STRUCTIdI:
DISCIAlMEAT I hq.by
and lo.al bill .nd ordio, ctDM h c..lr6clorSubFllo F6.. Up To
: scorl FoRREST
1"
EPl()
EXIS] CONSTRUCTION:ALTIRATIOII R EIOVATION
lf Rolocation, rs ther€ a Natur€l Gas Lino on lh€Sto? T KL
dE RECT NEI{ STRUCTURE FAST TRAC(SHELL UPFIT ADO TO XIST STRI'CTURE
accESsoRY STRITCIURE: R€NOVATE EXIST|NG ADD ROOM FACILITIES
If UPFIT - The 5he1l Perhit f
Erl6R o€5l6al PnOFESSIOML L . PH:irc R
DESCRIPTIoIi 0F IIORK:TE EXI TING ANO ADD oolJ
1Ch..k lr th.t appry)
*r.o.nlro,,.#.v*li_GENERAL REPAIRS
lf - xo rs BLDG s
I5 Ele(t Poler on this gulldint l. Yes f N0
..... ls llrrs A a8^r6E 0r Gcrp^ncy ustt f yEs li. rio .....
IF Yes, rfi.t r.a th. Preyloua (kcuP.ncy TyP.? - l.'|.t 15 thc Xd Oc.!p.n<y
IXSfitorrr* ProFEssro,r L: Pn: NC REF
Ef
s
ts iood or b€verages prepared or s,6rved in this srflJcturs? li yosl- No ls lt. property Locst€d tn The Fmapieint [- vos NO
dlity rhlr .1, inld@oo.r inMn6 End rsoulslion3. Th€o. 6nlrs.td liim8tlon -'ts60 m-
NHC Osyglosm€nr S€rqcs! Co.nor wll b,o ootGdNOIE Ary \,Vorr Pdh.m.d lYrc rE A)groprrrle
IhB apdic.lih E dred 6.d .{ Er FI c'rpry rith ltE Sr6rc 6uidn9 Cod.
SO FT
OWNEFUCONTRA CT OR,. 5'-O iI Q*zes i sreueruRE
# OF UNITS
# OF STORIES
I oF FLooRs 50! LoFT
B
Nor6: E\.dD&ro. turiliori@ a .$.srdr Gmov.J D..dl .pplicllto.E.l! !o b. iJ.,iu.d 6h9 th. 4fadl,on lbm (DtlH9376E) ,id$. nr
crnbii A3besa6 o. rcL Yc! !l! Equi..d b on lh. N!tj6.l Enisirh grrr,srt! ld 8.!r(bu6 ar tulubr{s (NES,HAP) !r (919)70?.5950 fri
ddn<rtion or ,q laoliy d &adi.E s€ asb€rB lir.! sii: hnp r,'**r,6d.ad..du.roprarbG!to!/.hmr-h'rl
t .Iry d borr& i.. rard ro
16r t0 d.F fiq !ouE
TOTAL PROJECT COST: 20 000 AUILOING HEIGHT: 25 FEET
TOTAL AREA SO FT : SOOO SO FT PER FLR:.4500 MAtN
ToTAL SQ FT UNDER ROoF: 4566 t OF STRUCTURES
ACRES DISTURBED
NEW IMPERVIOUS AREA
PROPERIY USE
ZONE OFFICER
Approval;*- City:- DATE- FLOOD
EXST LANO DISTURBING PERMIT?
SO FT EXISTING IMPERMOUS AREA:
fves J-ruo
[oFFrcE I nesrnuneur f] mencrrnle[ eoucff nrr[CONDO OTHEI CHURCH
FICATIONWATER
SEWER
CFPUA
CFPUA.. SE
COMMUNIIY SYSIEM TI WELL D ZoNING IJSE CLASSI
cENTFAL sEprc L-l pntvrtE sEprtc E- cot,tuuNtrv s'sreu
P^R^rE PERITTS REOUIREO FOA ELECT. MECH PLSG GAS EOUrP PREFABS a INSEnTS'_
PAYMENT METHOD: I- CESX J- CHECK (PAYABLE TO NHC) T. AJ|4ERICAN EXPRESS J-- Mc,visn l-- orscow
lFOR OFFICT USE ONLY)
SETBACKS: F'
I
gBFE+2ft,t0
Comment
LH RH
PERMIT FEE: :
"::i:'i-';-,
i,ffiri
APPLIcAxT'S ilAltE: SCOTT R. FORREST
d,D6- (atuA(
18-3288
Appliaation
(office use)
NEW HANOVER COUNW BUILDING PERMIT
APPLICATTON TYPE: RESIDENTIAL
PL€ASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECI
?roiect Responslblliy
SUBDIVISION: Munayville Crossing
Ow'{ER,s ADDRESS: 131 Rscine Drive Suite 201 ClTy. Wilmington 71p. 2&a03
ClTy. Wilmington 51. NC 21p. 28a03ADDRESS: 131 Rscine Drive Suite 201
EtrfAl[ AODRESS: bredge(ldfiodon.com pHONE.91G33&6017
PROTECI CONTACT PERSON: Sean Reynolds p66119. 91tr52&1689
EXlSTlilG CONSIRUCTION: E Alteration E Renovation E General Repairs
NEW CONSTRUCTION: El Erect New Residence E Addition to Existing Residence D Relocation
...PLEASE CHECT AITD ANSWER 'I*
E att Garate (Sr) 417 D Det Garage (SFl
-
E Pordr (SF) a8
E sunroom (sF)tr Pool(SF)D storage shed (sF) _
D Greenhouse (sF)E other (sF)
ls the proposed work chan8ing the existing footprint? E Yes E No
Unheated: s
TOTAT PROJECT COST (Less Lot):105'170
ls the proposed work changing the number of bedrooms? E Yes E No
lsanyElectrical,PlumblngorMechanicalworkbeingdonetotheAccessoryStructureEYesENo
lI the project is a Relocatlon, is there a Natural 6as Line on the current site? [ Yes El t{o
ls there Electrical Power on this Building? D Yes E No
owne/contla ctor. Barry Edge Sitnature:
'Llcensed Quolifiet' tuint Nome
ls the property located in a floodplain? tr Yes E No
Exlsting lmpervious Area: _ Sq Ft Total Acres Dlsturbed: .17
New tmperviousArgl; 2844 Sq Ft Erlstin8 Land Dlsturbing Permh: E yes E No
WATER: E CFPUA D Community System E Private Well D Gntral Well D Aqua
SEWER: E CFPUA E Community System D Private Septic D Central Septic E Aqua
Zon€: _ Officer: _ Setback (Fl _ (tHl _ (RHl _ (B) _
Approval: _ City: _ Date: _ tlood: {A} _ (Vl _ (N) _ BFE+2ft= _
lawsand ordinances and regulatlons. The NHC Development SeNlces centerwlllb€ notmed of any chanSes ln the approved plans and sp€cmcatlons or change ln contractor
lnlormation. "'NOTE; any wo* pe.formed without the appropriate permits wlll be ln vlolation of the ttc State gldg code and Jublect to fines up to 5500.00...'F44
l--
Comment:Peamit Fee: S \ JQ.oo
AppltCANT,s NAME. Barry Edge Date: _px6l661appxsss. tffi 6rry, *;,n91_,t ;r*!_
I.oT #: 7
PROPERTY OWNER,5 laggs D R Horton, lnc PHONE d. 9'1G33&6017
CO1;TRACTOR. DRHorton, lnc g1p6 g66 96g.29676
I Deck (SF)_
TOTAT SQ FT UNDER ROOF (for proposed nork) Heated: 1618
Property use/ Occupancy: E Slryle Family E Duplex E Townhousc
Descdpdon of Wort: Ncw tiitrd. Ftrit R"i&rE
ehwr 2oPatr s 7ot&lStnt BNEtd HANOVER COUNTY BUILDING PERMIT
APPLICATIoN TYPE: COIjIHERCIAL
PLTASE ANSI{IR At L QUESTIONS APPLI(A8r€ TO YOUR PRoIE(I
"Project Responsibility"
o
Dnv CITY:
APPLICATION
Number
(of{ i(e Us€ )
appLrcANrs Hamrr unitgel Rr$retrcn 3rurrcs,LLC
DEVELOPER: N |4
PRO] ECT ADDRESS :rLLA CITY:
oaIEt)9:29:8-
8,3
CONTRACTOR:Roto on
e
e
ADDRESS D
EMAI L ADDRESS: c.
PRO] ECT CONTACT PERSON:
OCCUPANT,/BUSINESS NAME :
PROPERTY OWNER'S NAME:
EXIST CONSTRUCTION
ll Relocation, is there a N
LC Lrcelsr s:1691-7
CITY:
rces
PHONE f:
ztP.)E10{
sr:NL zrP: 2840f
srl.lc zrP: r-8{ry
PHoNE f : R4,l'qGA'2q'Io
PHoNE #:85>-fiI-qnq
e
er
(Che.I all fdetY;EALTERATIONRENOVATION NERAL REPAIRSNo lS BLDG SPRIN
RELOCATION
rrrnroz Iv"" IttoaturalGas Line on the Currenl Sile?tr
NEI,I CONSTRUCTION:ERECT NEW STRUCIURE I rasr rnacx ! srrr-r f]UPFIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The Shel1 Permit #: Is Elect Power on this Bullding E Yes E *o
*'*** rs rHrs A CHANGE oF occuPANcY usrl Ivrs E to .-'-.
IF Yes, \ihat wa5 the Previous Occupancy Type?
ARCH DESIGN PROFESSIONAL:
EtiGR DESIGN PROFESSIONAL:
DE5CRIPTION OF WORK:
PH NC RE6 {
NC RE6 #PH
)rt LI hi"
ls lood or beverages prepared or served in this structure?
DISCLAIMER: Ihe certly thal all information in
and reoulalions. Thraclor i-nformation '
nish Floors
ves [ ruo ls The Prop8rty Locsted ln The Floodplain?[vu" fio
Code and allolher applicable Slale
d 6ndc slale Code andSubjecrloFines Up To
F/CONT
s500.00"'
OWNE RACTOR:r.oa(SIGNATURE
NolorDomo,hion ootlfetiong A 4b6stos rmoval p€mh 6ppllatlon6.r€ ro b€ eubnrhe., u6in9 tho appll.srloi toft (DHHS-376a) wherher rhe racltty oi bu)rdrng w6s roundro
co aln AsbeSos or not. You 3re requlred !o callthe National Emlsslon Slandards tor HezErdous All Pollutanls (NESHAP)Bl (919)707-5350 at t€ai 10 d6ys p.ior lo the
demolnlon o{ any racility or buildlno. See Asbestos Web Site: ttlpr/ww-epi-sale.nc.us/eprasbeslos/ahmp-hhl
TOTAL PROJECT COST Sco,ocD BUILDING HEIGHT: JO.# oF UNITS: i b
TOTAL AREA SO FT :SQ FT PER FLR: {oot <F , OF STORIES
TOTAL SO FT UNDER ROOF i4;;o-# OF STRUCTURES # OF FLOORS:
ACRES DISTURBED EXST LAND DISTURBING PERMIT?YES NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SO FT
pRopERry USE: DoFFrcE flnesrnumur [uencmrrru [eouc Imr gdor* o.n."
WATER: T/CFPUA
SEWER: ACFPUA
CoMMUNTTY SYSTEM flWELL EZONTNG USE CtASS|FICAT|ON
CENTRALSEPTTC Ll PRrvArE SEPTTC fICOMMUNTTY SYSTEM
..'r: .ii: ::- i :ir; l;i:l :a:i.l l!..ri:i
PAYL4ENT METHOD: nCASH ffirrCr leo"oelE TO NHC) lar,,lrnrCaH EXPRESS ffiCnrrSn I OTSCOVEn
I
lFOR OFFjCE USE ONL'REMSEO DATE lJ11]12ZONE: OFFICER SETBACKS: F:_LH:_ RH:_ B:Approval:_ City:- DATE:- FLOOD:__ _ BFE+m=
AVNComment PERMIT FEE: $
lgOr,cd 0or etoU r.p ";( / W \\l sltg
OWNER'S ADDRESS I
PHONE Sl
I.rhat is the New O(cupan(y Type? _
ll Slanr.' V.p
I
a\2o16-1illl 3
appLrcANr,s rime : L-lnrted Resbra*ron e-.r u !ce.5. LLL
DEVELOPER: N A
PRO] ECT ADDRESS
OCCUPANT/BUSINESS NAME :
NEW HANOVER COUNTY BUILDING PERI'IIT
aPPLI.ATIoN TYPF; COMMERCIAL
PlEAsE ANsTITR ALT QUTS1IOIIS APPLITABLE TO YOUR PRO]ECI
"Project Responsibility"
PLace CITY:
PHONE #:
27P | 2840{
PHONE f:
PHONE
PHoNr $:856- Tlr-qtlg
REPAIRs RE LOCATION
IS BLDG SPRINKLERED?Iv". Ir'ro
ADD TO EXIST STRUCTURE
APPLICATIOI,I
Nunber
(Office Use)
DArE !!$fi--
PROPERTY OWNER' 5
OWNER'S ADDRESS:8 eNAME:
CITY:
coNrRAcroR: tln,Jed Rertomtmn Serv rces L(L LrcENsE $: nLq21
ST: NC ZIP:J.6qO5
sr:{L zrP: L8{.Df#,844-41.al1'.t)
ADDRESS:
EMAIL AOD
,rds
RESS:
PRO] ECT CONTACT PERSON:
EXIST CONSTRUCTION:ALTE RATION
ll Relocation. as there a Natural Gas Line on the Currenl Sile?tr
(Check all
R ENOVATION I./ GENERAL
Yes l_lNo
NE I.] CONSTRUCTION:ERECT NEI^J STRUCTURE FAST TRACK SHELL UPFIT
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permi.t #:Is Elect Power on this BuiLdin8 Ives Ero
IF Yes, what was the Previous O(cupan(y Type?
ARCH DESIGN PROFESSIONAL:
ENGR DESIGN PROFESSIONAL:
PH
PH
NC REG {
NC RE6 #
DESCRIPTION OF WORK D..unl.l Ai,ntir'L h
ls lood or beverages prepared or served in this sruaure? [ vus fl No h The Proparty Locat6d ln ThB Floodplain? [ Yes al"
DISCLAIMER: Ihe lhal all inlormalion in all olher applicable Slale
I
or chanoe in conlracbrSubiedlo Frnes Up To
lhrs applicairo'] rs cored and all worl wlll comply with rhe Slare BLrldrng Code and
NHC Develoomenl Servces Cenler wrllbe notrllpd of anv chanoes rn rhe aoorovedNOTF Any Wofi Perlorm€d WO tne Appropfiate Permrls will b-e rn Vrolari6n o' rheNC Stale
OWNER/CONTRACTOR ct,.t a.X<SIGN
{oreffeO
demolhlon ofany racility or buildlng. See llsbsnos W€b Sile: hltpJ rwlv.epi.naie.nc.us/epi/asbeslos/aimp.hhl
Nolo: Deholll,on no fcilron5 A asbo6ro5 r€.novel p6mh 6ppll@tlons €16 to b3 Bubmhsd ucing thB applr@tion to,h (DHHS 3754) \r'6rher rhe lacilhy orbuirding wss loundro
cornah Asbeslos or nol. You are roqulrad to calllhe NationBl Emlsslon s]andards lor Ha?erdous Ajr Pollurarns INESHAP) ar (919)707.5950 al Ean 10days giorrolhe
TOTAL AREA SQ FT :
TOTAL SQ FT UNDER ROOF Wxsf # OF STRUCTURES| ,
ACRES DISTURBED EXST LAND DISTURBING PERMIT?YES NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA SO FT
PROPERry USE: lOrrrCe !RESTAURANT MERCANTILE EDUC I ner ffCor'roo orHER._
TOTAL PROJECT COST
PAYh,IENT If,IETHOD: E CASH
.4rn,aD?, OF UNITS IL
WATERi
SEWEBi
-/t'sfctPuA fIcoMMUNTTYSYSTEM flWELLffireue EceHrRn seprrc fleh-vere seelc
f OF STORIES:
# OF FLOORS:
f]ZONING USE CLASSIFICATION:
ff coMMUNTTY SYSTEM
{*"*,so I otscovencx lcrvrem ro runc1 fl AMERICAN EXPRESS
(FOR OFFTCE USE ONLY)
ZONE:OFFICER:SETBACKS: F:-LH:- RH:- B:Approval:_ City:_ DATE:- FLOOD:
--
_ BFE+2fr
AVN
PERMIT FEE: $_Comment
Al$rea lo, oa,nnfir ^$, Vt ttq$
B
CITY:
.*r*. rs rHrs A CHANGE oF occupAN(y usrr Ives E]ro ....-
Hhat is the NeriJ occupancy Type? _
(
BUILDING HEtcHT: 1?i
SO FT PER FLR: faDa 5f
RE\1SEO DATE IV11N2
\:Sh.,e.n %WcS
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
2a*-lzutb
APPLICATIOII
Number
(offi(e Use)
::
,./
PLEASE ANSI,JIR ALL QUESTIONS APPLI(ABLE T0 YoUR PRoIECT
"Project Respons ibility"
APPLICANT'S NAME:I lxrrel Rarrlelarro* SERUTcE5 LtJ.oalt: t6 Z1' lB
DEVELOPER: N
PRO]ECT ADDRESS:t)CITY:
OCCU PANT / BUS INESS NAME: \)NIF]I Or- lr}+ , )ol- 2c6, ',?or-.l)Ll
PROPERTY OI,JNER'5 NAME :
OWNER'S ADDRESS:813 vE CITY
CONTRACTOR:Serurces LIcENSE s: 16qL1
ADDRESS:CITY:
n
PHONE fl:
:-rp,l84aJ
PHONE S:sr,5gE@5
sr:Nc zrP; 18{05
PHoNE fl: B4q-4bo.zqTo
PHoNE #: 85 O- Zq 7-Orr,
EMAI L AODRESS:
PRO]ECT CONTACTP RSON
(theck 41l rh.t r6plfd etY;E
v)
EXIST CONSTRUCTION:ALTE RATION RENOVATION NERAL REPAIRS
No lS Bt DG SPRIN
RELOCATION
rreneoz Iv". Ittoll Relocation. is there a Natural Gas Line on lhe Curreni Site?tr
NEI4 CONSTRUCTION:EREcr NEr^r srRUcruRE I rrsr rnacx f] sxrlr- f] uerrr fl noo ro Exrsr srRucrunr
ACCESSoRY STRUCTURE r
If UPFIT - The Shell Peimit i:
If Yes) what u,as the Pievious occupancy Type?
.**** rs rlrs A cnaNGE oF occupANcy usrr Ives E*o ...'.
Is Elect Power on this BuildinB E Yes D ,ro
NC REG {
NC R€6 #
ARCH DESIGN PROFESSIONAL:
EN6R DESIGN PROFESSIONAL:
PH
PH
DESCRIPTION OI |/.]ORK R-P., D"vrotl, hi"tina , Flnish Floors
tstoodorbeveragespr"p.r.do,""rr"dinttir'"rrarr"rIv".[,Jo',,*",ropertyLocatedlnThenoooptain?f]vesffi
lhis applicalaon is correct and allwork willcomdy wilh the Sla1e Buildlnq Code and
NHC Develoom€nl Servrces Center willbe nolrlied ol anv chanoes rn lhe aoDrovedNOTI Any Worl Periormed WO lhe Applopftale Permi{s will 6e ln Vrolat,on ol ihe
ali olher applicable Slal€
Slale
7"o.(€SIGNATUROWNEFYCONTRACTOR
(Ou.Ln€4
NorB: DeDorhoD .orlfierron. A *b.Etos rhoval pemh oppllcallon3 ar€ ro b. EubrDrhod u.in! rh€ apdl€rio^ rorm (DHHS,376a) l,lrrh6, rh6 taaltry or bu dhg was ldun! ro
con h Aib.slos o, no!. You are raqulrad lo c5ll the Naronrl Emisslon Sandards for Hazerdous Alr Polldarns (NESHAP) al (919)707-5950 .r least 10 days prior lo rhe
domolillon ol any lacility oI bulldlng. See Asbenos Web Sile: ml9:rwww.epi.$ete.nc.us/epi/Bsbesto€/ahmp.html
roTAL PROJECT COS-r: .&l), @o BUTLDTNG HETGHT: z? t
# OF UNITS:IL
IOTAL AREA SO FT :
-
ToTAL sQ FT UNDERRIIF@,F SQ FT PER FLR: bO4-# OF STORIES:, OF FLOORS:# OF STRUCTURES:
EXST LAND DrsruRarHc eenr,arru I-l ves I NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SQ FT
PRopERry usE: lorrrce f]nesrnunaNr MERCANTILE eouc flrer plcdlroo orneR,
WATER
SEWER
dtrpuaffi,retx COMMUNITY SYSTEM
CENTRAL sEPTrc E flWELL
PRIVATE SEPTIC
PAYMENT METHOD: ICeSX HEcK (eAvABLE ro nHcy flnuenrcaN ExeRESS
L]ZONING USE CLASSIFICATION:
EcoMMUNTTY SYSTEM
-/ftfficrursa fl orscoven
(FOR OFFTCE USE ONLY)REMSED DATE 1J11h2ZONE:_OFFICER SETBACKS: F:_LH:_ RH:_ B:Approval:_ City:_ DATE:_ FLOOD: __ _ BFE+2nAVN
Comment
fttodJ! roru^ rag[*F,fitl tlattg
PERMIT FEE: $---
!,Jhal is the Neur Oc(upan(y Type? _
ACRES DISTURBED
APPLICANI'S NAME:
9toern W:Pa\r3 ZotE-Da1$NEI^, HANOVER COUNTY BUILDING PERMIT
aPPLICATIaN IYPE: COMMERCIAL
PLEAST ANSt4,tR AIL QUESTIoNS APPLI(ABI€ T0 YoUR PROIE(T
"Project ResponsibiLity"
5erv
APPLICATION
Number
(tff ice Use)
RESS:
OCCUPANT/BUSINE55 NAME :
PROPERTY ONNER,S NAfiE:
OWNER'S ADDRESS
EMAIL ADDRESS:L
PRO]ECT CONTACT P RSON:
CONTRACTOR:
ADDRE5S:706 S
Aiv C ITY:
n
r LVE CITY:
LLC lrcrnsr *,76121
CITY:tn
on s
oar:t:lb-L1'2018
ztP 2E4DS
sr: Nt zrP : 28'105
ST: NL ZIP: 28TO'
L
DEVELOPER:
PRO]ECI ADD
N A PrioNt ,:
PHONE #:
n(I
3 e
e
tc9
PHoNE {: 64,1- {L0' 2ct'lO
PHoNE r: 85b-717'9l'l?
EXIST CONSTRUCTION:ALTE RATION
PRIN
RE LOCATION
rrrneoz Iv"r [ruoli Relocation, is there a Natural Gas Line on the Current Sie?tr
NEI,J CONSTRUCTION:ERECT NEI,J STRUCTUR E FAST TRACK SHELL fl uenr I noo ro Exrsr srRUcruRE
(Check A11
R E NOVAT ION
tut ipt y tl7I crnrnll nrplrns
Yes LlNo lS BLDG S
If UPFIT - The Shell Permi.t *:
IF Yes, uhat Nas the Previous Occupanay Type?
.*... rs rHrs A CHAN6E oF occupaltcy usrl flves [rc .*-.,
Is Elect Power on this Buildin8 E Yes E m
PH NC REG *
PH NC RE6 T
ARCH DESIGN PROFESSIONAL:
ENGR DTSIGN PROFESSIONAL :
DESCRIPTION OF WORK o(5 UeLL A@Trs)Er;rS
ls food or beversges prepar€d or served in this srruaue? flve" flruo h Th" Proparty
this application is correcl and all work willcomdy wilh lheNHC Develoomenl SeMces CenEr willbe nolilied ol anvNOll Any Wort Perlorned WO lhe Aptropriale Permils
){r.,""(e SIGNATUR
{rooa.t
Locsred tn The Ftood6ainr I ves P(o
Sl,ale Building Code and allolhe, applicable Slale
chanoes rn lha aoowill 6e rn Vrolar,on C
cotnain Asbesos or nol. You are r€qulred lo c8ll ih€ Nalional Emlsslon Slandards lor Haz8rdous Ar Poluants (NESHAP) sr (919)707,59:,0 ar teasr 10 days p.ior ro lhe
06mohbn o, anytacilfyor buildlng S€€ Asbenos WeD Sne: hll9li1./!vw.epi.s1al hrmt
TOTAL PROJECT CO
TOTAL AREA SQ FT :
BUILDING HE # oF UNITS: lU
SQ FT PER FLR:# OF STORIES
# OF FLOORS:rorAL so Fr uNDEaaoor, JlAw 5f f OF STRUCTURES
ACRES DISTURBED:Exsr LAND DrsruRarNc peRr,rrr Tl ves
SQ FT EXISTING IMPERVIOUS AREA:
NO
NEW IMPERVIOUS AREA:SO FT
PROPERTY USE: EOFFTCE ! ReSrlUnnNr MERcANTLE leouc lmr pc6Noo oruen:
WATER
SEWER
gfreue. V1
ETCFPUA fl COMMUNITY SYSTEMcrlirnal srerrc !DWELL DzoNtNG usE cLAsslFtcATtoN
PRTVATE SEPTTC E COMMUNTTY SYSTEM
(FOR OFFTCE USE ONLY)
ZONE OFFICER SETBACKS: F:-LH:- RH:- BApproval:_ City:_ DATE:_ FLOOD: __ _ BFE+2ff=AVN
Comment
REMSED OATE 4/11/I2
Appoued h nwry,ri u61 r%r.(\/s /(0
PERMIT FEE; $
i-l
'(t'
I ln,ted Pe-strro*io^
ACCESSORY STRUCTURE:
l.Jhat is the Ne}? O((rrpan(y Type? _
3cDrDeD
I
pAwrENr METHOD: [CnSn ffinecx lenvaeLE To NHc) [aurnrcaN ExpRESs ffiCwSa I OTSCOVeR
\r, I y ._--fjyoun &parr.S 2ot6-Db83NEI^I HANOVER COUNTY BUILDING PERHIT
aPPLICATIoN TYPE r COMMERCIAL
PTIAS€ ANST'TR ALI. QUESIIONS APPLI(A8IE TO YOUR PRO]TCT
"Project Responsibility"
. CITY:
aJ re o
u r CITY:
ttcENsE i: 1b Z1
APPLICATION
Numbe r
(of{ ic€ U5e)
AppLrcANT's xnuE, L,l n ited Restara{zon Se-rrlrp<. , LLC
DEVE LOPE R :
PRO] ECT ADDRESS :
OCCUPANT/BUSINESS NAME :
PROPTRTY OI^JNER'S NAHE:
OWNER'S ADDRESS:8 3
CONTRACTOR;
ADDRESS:
EMAI L AODRESS:
PRO] ECT CON]ACT PERSON:
PHONT I
DATI :_
PHONE #:
LT sr;NC zrP:r-840s
r c
STr_ZIP:_
ce
PHONE d:
PHONE fl:
.i{-,t6 -Lqlo
50-
EXIST CONSTRUCTION:
ll Relocation, is there a Na
ALTERATION
Gas Lane on th
{ahe(r all Ihat rPply)
RENovATToN liTcrHrnar
enl Sne? [l yes LlNo
R EPAlRS RE LOCATION
tural e Curr IS BLDG SPRINKLERED?Ives [ru0
NEt,J CONsrRUcTrOu, f] eReCr NEI' 5TRUCTURE I rrSr rnaCx ! Sxrr-r-
ACfESSORY STRUCTURE:
UPFIT ADD TO EXIST STRUCTURE
If UPFIT - The She1l Permit #Is E1ect Power on this BuildinS I ves E rlo
PHARCH DESIGN PROFESSIONAL I
ENGR DESIGN PROFESSIONAL:
NC REG I
NC RE6 flPH
DESCRIPTION OF WORK:Boofs, DrVoat[, hinhr,q . Frnrsh Fioors
OWNEF/CONTRACTOR:
(ou.lfi.r)
Je SIGNATUR
d€moliilono, any facility or buildlng. See Abenos Web Sie: mtp://!vu/uepi.state.n€.us/epi/asbesi6/ahmp.htmt
TOTAL PROJECT COST
ls lood or beversges prepared or served in this s,tructure? nYe, flruo"
'ls
The Property Located ln The nooOptain? E ves ZI(o
this applicalion is correcl and all work wili comply wilh the Srale Bui
NHC DeveloDmenl Servrces Cenler will be nolrlled of anv chanoes iNOTF Any Work Pedormed WO tne Appropnale Permils will6e ir
ldingnlhea
Violari
Code and allolher applicable Slate
on ol Ue NC Slale Cod!
Nolsr Domolton .oth€raons 8 a6b€alos rhovar p€mh appllc.tlorc €r€ ro b€ 6ebmhr3., u6iog rhoapplielion rdh (OHHS,375a) tltErhor tho racjtiry or 6uirdh0 w6s romd ro
cortaln Asbesos or nol. Yo! are,equlr6d to c6llthe Nalio.lal Emlsslon Stndards tol Hozarclous Air Pollda s (NESHAP) ar (919)707-59$ a basr 10days triorlorhe
TOTAL AREA SO FT :
BUILDING HEIGHT:
SQ FT PER FLR:
# OF STRUCTURES
Exsr LAND DrsruRsrno eenurr l--l ves I NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SO FT
PROPERTY USE: flOrrrCr I neSreUmrur MERCANTILE EDUo I APr f,]eoNoo ornen,
., ,., .ril i i.ar als a l:Jsi.,ri,l
PAYMENT l.ltETHOD lcesu [ffnecK (eAvABLE ro NHcy f]auenrceru ExeRESS ficrvrsa I
Comment
(FOR OFFICE USE ONLY) AEV5ED DATE 4/11N2ZONE:_OFFICER:_ SETBACKS: F:_LH:_ RH:_ B:Approval:_ City:_ DATE:_ FLOOD: __ _ BFE+2n=
DISCOVER
AVN
_ PERMIT FEE: $--
AW..d $ ao.n 16pair n[firt l\d0
ZIP :
CITY:
tr
..'** rS THrs A CHANGE oF ocCUpANCy usrl IvrS E*o -.-r-
IF Yes) what was the Previous O(cupancy Type? _ what is the NehJ occupan(y Type? _
7,\OfD # oF UNITS: i U
# OF SToRIESj a
s or rloons, ---3-'rorAL so FT UNDEa aoor: 31p00 bf,
ACRES DISTURBED:
-
WATER: TTPFPUA f]COMMUNITY SYSTEM EWELL f]ZONING USE CTASSIFICATION:SEWER: flCFPUA E CENTRAL SEPTIC E PRIVATE SEPTIC ECOMMUNITY SYSTEM
rtr, i r
L\rRRr o*.xE +ok€rlcir I Sr.-.tPrn
NEI^J HANOVER COUNTY BUILDING PERMIT
aPPLIcatIoN rYPE; COMMERCIAL
PLEASE ANSWTR ATL QUEsIIONS APPLI(A8IT TO YOUB PRO]E(T
"Project Respons ibil ity"
)il611;ioo,-,/,
APPLICATION
Number
(oftice Usc )
oarr: 10-29- l8APPLICANT'5 NAME:t I vritd Re4nrator Servtses LLC
rITY:
DEVELOPER:
PRO] ECT ADDRESS:
OCCUPANT/BUSINESS NAME
PROPERTY OWNER'5 NAI'IE :
PHoNr #: 8,1,t" {bD .28 .05
ztP LE.\O''
r:NC zrP:28q05
d
5
NEPHO
OWNER'S ADDRESS:8,3 tfe Dr rv CITY:ton
LICENSE # i 761 27
ADDRESS:Place 611Y;6Ijlnrin ton
EMAI L ADDRESS:r(t \fl ces
PRO] ECT CONTACT PT RSON:ce
srt ttC ztpt 2t.l0l
o, E{,l-%o--zqtoPHONE
PHoNE s:850:7q7-1tnq
EXIST CONSTRUCTION:
It Relocation, is there a Na
{( Ler r Alt rhal lPptl)
aLTERATToN ! neruovarroru fforrrnar-
Gas Lrne on the Current Srte? [v". I uo
R EPAI RS RE LOCATION
tural IS BLDG SPRINKLERED?[v"' flruo
NEW CONSTRUCTTOru: fl rnrCr NEW STRUCTURE ! rnsr rnaCX I SXrr-r
ACCEsSORY STRUCTURE:
UPF IT ADD TO EXIST STRUCTURE
***.* rs rHrs a cHANGt oF occupANcy usrl Ivrs IHo -..t-
Is Elect Power on this Buildin8 E Yes E to
Pt.lARCH DTSIGN PROFESSIONAL :
ENGR DTSIGN PROFESSIONAL:PH
NC REG fl
N( RTG I
DESCRIPTION OF WORK Dr S
ls tood or beverages prepared or served in this slructure? nYe;V{No ls The Proporty Located ln The Floodplain? E ves fft'lo
lhis applicalion is correct and allwork willcomdy wilh theNHC Develoomenl Servrces Center wllbe norilled ot anvNOTE' Any Work Perlormed WO the Appropfiare Perm,{schanoes in lhe aDorovedwll6e rn Vtolalron ol lhe
Slale Building Code and all other applicable Stale
and
conlain Asbeslos or nol- You 3re roqulrod to c.ll ihe Nationa! Emlsslon San&rds ,or llaz8rdous Alr Poluarns (NESHAP) at (919)707-5950 at leas 10 days p.ior io lhe
demolnbn or snylaliltyoI buildlng. See Asbeslos Web Sile: ht1p1t /r4w_epi.srate.nc.usrepi/asb€no6/ahmp_hht
TOTAL PROJECT COST
TOTAL AREA SO FT
rorAL so FI UNDEaaoor, !4tu 1F
ACRES DISTIJRBED
Comment
.ficrr""l €SIGNATU
BUILDING HEIGHT: ,A '
so rr pen rlR' EJ4-
EXST LAND DISTURBING PERMIT?
EXISTING IMPERVIOUS AREA:
# OF UNITS IL
# OF STORIES
# OF FLOORS:
YES NO
NEW IMPERVIOUS AREA:SQ FT
PROPERTY USE: [OrnrCe I REsTAURANT luencnr.rrrre I eouc flmr lyfdoruoo ornen
SO FT
WATERI
SEWER:
radrpue Tt
E-crpue E COMMUNITY SYSTEM f]WELL
CENTRAL SEPTIC L,] PRIVATE SEPTIC
flzoNtNG usE ctASStFtcATtoN
ECOMMUNITY SYSTEM
pAyrvrENr METHoD, j"oa* 6u"* fro"*.= ro'^n",
trr :i?. ti:: r. I jl ::._
AMERICAN EXPRESS ffiirse [orscoven
(FOR OFFTCE USE ONLY) REVISED DATE 1/11/12ZONE:_OFFICER: _ SETBACKS: F:_ LH: RH: B:Approval:_ City:_ DATE:_ FLOOD:__ _ BFE+2nAVN
PERMIT FEE: $---
Apgord lr,aru r1*it ^(y - W ttbfiO
E
coNrRAcroRi t-lnited Restorp.tro, 5e rvrces LLL
If UPFIT - The 5he1l Penmit {:
It Yes, uhat u,as the Previous O(cupancy Type? _ lhat is the Nelr Occupancy lype? _
# OF STRUCTURES:
rl I r ,_'-Sloarn Q'&tr-s
NEW HANOVER COUNTY BUILDING PERMIT
aPPLICATI1N TYPE: COI|IMERCIAL
PLTASE ANs}JTR ALL QUESTIONS APPLI(ABIT TO YOUN PRO]TCT
"Project Responsibility"
La&t;ogs
APPLICATION
Number
(of{ ice Use)
.
',/
APPLICANTJS NAME United Restorotion Servrces, LLC
DTVELOPER:PHONE fi
PRO] ECT ADORESS:AP}E a CITY:h up: A84oS
OCCUPANT / BUS INE 55 NAIV1E:n
PROPERTY OWNER'5 NAIV1E :e*l OR PHONE f
OWNER'S ADDRE 55 crrv: Wiina.inqton sI: N]L zIP :r8{ OS
coNrRAcroR : tlniterl Restovrton Service s, u t-C
(,
tlCeNSE a: 7b?,|
ADDRESS:
EMAIL ADD
Zo8 t^-linds"-r e.sf Placeffi CITY: l-r-li Innr-lro ton sr: NC zrP: ?8-!!5
ervrces I [a c%- pnonr *, ?Ll|-lt"o'zq1D
pRorEcr coNrAcr i{ason, C hqrl Prlce pHoNE s:850.7 11"qt7 1
If UPFIT - The shell Permit fl:
If Yes, what uras the Previous o(cupancy Type?
...** rs rHIS A cHAr,lGE oF o6cgpAr,t6y USe t f]vrs Em -r**-
tJhat is the Neu oc(upan(y fype?
Is Elect Power on this Bulldine n*o
PH NC REG {
PH NC Rt6 fl
6",
ARCH DESIGN PROTTSSIONAL:
ENGR DTSIGN PROTESSIONAL :
DES( RIPTlON OF I^IORK:R-F, D.,rurutt, Airdino. Fi,,rsA Floors
ls tood or beverages prepared or servsd in this srruauree flves I No h The Property Localed ln The Floodpla
lhis applicalion is correc! and allwork willcomdy with lh€
NHC DeveloDment Servtces Cenler wllbe nonlled of anvNOrt Any Wort Pedormeo WO lne Appropnale Perrnris
Slale Building Code and all olher applicable Slale
in lhe
ol lhe lJC !
comain Abestos or not. You are roqulrod lo call lhe National Emlsslon Slandards lor tlazardous A, Potluanls (NESHAP) al (919)707-5950 rr teasl l0 days Fior lo rhe
OWNEF|/CONTRACTOR
(Arar,6.r)
SIGNATUR
demolitlon ol ony lacility or buildlng. Sse Asbeslos Web Site: httpj dww.epi.slale.nc.us/epi/asbeslos/ahmp.himl
4o', OF UNITSrorAL PRoJECT cosT: ?,C0, (0(2 BUILDING HEIGHT
SQ FT PER FLR:&xo<F
rr ,.-r:1,: i. :: -
(FOR OFFTCE USE ONL\1
OFFICER SETBACKS: F:_ LH:_ RH:_ B:Approval:--DATE:_ FLOOD:__ _ BFE+zflAVN
)L
R ROOF # OF STRUCTURES
ACRES DISTURBED EXSr LAND DrsruRarHo pEn[rrr Tl vrs [ ruo
NEW IMPERVIOUS AREA SO FT EXISTING IMPERVIOUS AREA SO FT
PROPERry USE| lOrrrCe ! neSrlURarur MERCANTITE eouc flacr fifcoHoo ornen,
TOTAL AREA SO FT
TOTAL SO FT UNDE
wArER: VGI)A ff COMMUN|TY SYSTEM flwELL DZONTNG USE CLASS|F|CAT|ONSEWER: ffCFPUA E CENTRAL SEPTIC Ll PRIVATE SEPTTC ECOMMUNTTY SYSTEM
PAY\IENT METHOD: ECASH cHEcK (eAvABLE To xncl [ar,,trnrcAN ExpRESs EhfCrutsa D DISCOVER
REMSEO OATE {11/12
Commenl pERMIT FEE: g
\gseJ P"4ot$'\ tePitony - tstl (yS,*'
DArE:lo 2q'18
Exrsr coNsrRucrroN: E aLrERArro, 3 .r*Jiiiill"J 'ffiil*o. nrmrns I RELocArroN
tt Relocstion isrhereaNatural Gas I ine on the Currenl 51", f]ves[ruo tS SLOC SpnllttxteneOz Iv"t Ir.ro
NEtll CON5IRUCTrON, I rnrCr NEW 5TRUCTURE IrnSr rUCx f] Sxrr-r ! Uerrr! mO rO Exrsr srRUcruRE
ACCESSORY STRUCTURE:
(
# OF STORIES: 1
I Or rlOOnS: --:7-
ZONE:
Slorzwl P'g-Par r-S
NEW HANOVER COUNTY BUILDING PERMIT
APPLI.ATI0N rYPE: COMF1ERCIAL
PIIA5I ANS}/tR ATL QUESTIONS APPLICABLE TO YOUB PBO]E(T
"Project Respons ibil ity"
Zc$-lrtu97
APPLICATIOIT
Number
(offrce Us e)
DArE : lo.2t' zo itAPPLICANT,S NAME:United Restomfron Ser\rEei. L Lc
DEVELOPER:
PRO]ECT ADDRESS:It LT ctrv:h
PHONE #:
PHONT #:
zrP: 28405
OCCUPANT/BUSINESS NAME:
PROPERTY OWNER'S NAIiIE:Vlllane *+ rvqius;r,re ilon
ourr.rER,s ADDRESS, 6A8 fi,|tJfiiie f iB'f>ive ciiv: urila,trngton srti{c- ztPt Lglo{
.'LIc€NsE t: al63z1rLLCONTRACTOR:
ADDRESS:
EI'1AI L ADDRESS :
PRO] ECT CONTACT P RSON:
Crrv : LrJ i lrvr rv.qt-o n sr: Nc zrP:2r{05
pnonr *, N(.*t"o.zqrc
PHoNE $: P,so.7q1.ql'l 9
J
L
If UPFIT - The Shell Permit #:
If Yes, h'hat uas the Previous O(cupancy Type?
Is Elect Power on this Buildin8
**'*r rs THrs A cHAr,,GE oF occupANcy usrl Ivrs Erc -,---
W("' E *o
ARCH DESIGN PROFESSIONAL:
ENGR DESIGN PROTESSIONAL:
PH
PH
DESCRIPTION OF WOR(Roo-0s, Dr,ru.,a((. Pcinti"a . finish FLoors
ls food or beyeraoes prep8rcd or served in this srruaurez Ives I no b ne eroperty Locat€d ln The Floodptain? [ ves ffio
this applicalron is conecl and allwolk will comdy with the
NHC DeveloDment Servrces Center willbe notfied of anvNOIE Any Wort Pedormed w/O lhe App'op,iale Permilschanoes in lh€ aoorovedwill b'e rn Vrolatron ot lhe
Slale Buildlng Code and all olher applicable Stale
de andNCSlale
OWNER/CONTRACTOR:,l SIGNATURE:
domohlon o{ Bny ladlity o{ buildlno S€€ Asbeslos web Sile: hllpj d'.^ i.€pi.nale. nc.us/epi/asb€sto6/ahmp.html
# OF UNITS ILrorAL PRoJEcr cosr: 3g2JlEQ_BUILDING HEIGHT
SQ FT PER FLR:
il
TOTAL AREA SO FT ,Dd.iF # OF STORIES:
TOTAL SO FT UNDER ROOF ?4,nrar(# OF STRUCTURES # OF FLOORS
ACRES DISTURBED
NC Rt6 {
NC RTG #
lqEL6., FnnlN66.)
contaln Asb€sos or nor. You .re roqulrod lo call rhe N8rionsl Emlsslon Stndards tor Hazardous Alr Pollutants (NESHAP) at (919)707-5950 sl teasl '10 d.ys p.lor lo lhe
EXST LAND DISTURBING PERMIT?
EXISTING IMPERVIOUS AREA:
YES NO
NEW IMPERVIOUS AREA SQ FT
PROPERry USE: DOFFTCE ! neSmUnnHr MERCANTILE EDUC APr L4eoNDo orHER:
SQ FT
WATER ,ICFPUA T.I
SEwER: E-cFpUA E COMMUNITY SYSTEM fl WELL
PRIVATE SEPTIC
',:. i
flzoNtNG usE CLASStFtCATtON:
tlcoMMUNtTY SYSTEM
]l],1;?.1:.i:..1.]i|.i''
CENTRAL SEPTIC
PAYMENT t,4ETHOD flcnsn plcnecK (eAvABLE ro NHcl leuenrcen exeness grfi-ovrse I DISCOVER
(FOR OFFTCE USE ONLY)REMSED DATE d/11/12ZONE:_OFFICER:_ SETBACKS: F:_LH: RH: B:Approvat:_ ctty:
-oare
Flooo:
- - -eieEff=Comment
AprodQ nour\ rrpir - Et( \t loltb
N
PERMIT FEE: $_
/,i,
{,1
\\
l(he([ A]l that Arply)
Exrsr coNsrRucrroN: fl aLTrRATror l--l neuovarror ffcrHrnlr nrllrns I RElocarroN
ttRelocation.6 rhere a NaruratGas Lrne onrheEirenr Sire? flY;ENo ts eLDG spiiixLrpEpr Ives Ilto
NEW CONSTRUCTTON, fl rnec'r NEW STRUCTuRE ! raSr rnrCx ! Sxrr-r- [ uerrr f] noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
tlhat is the New Occupancy Type? _
l SYorun ?npt6
NEt^J HANOVER COUNTY BUILDING PERIvIIT
aPPLI.ATIoN rvPE; COHMERCIAL
PIEASE ANSh'TR ALL QUTSTIONS APPLI(A8T€ TO YOUB PBO]E(T
"Project Responsibility"
r.,tniterl Restorufton Ser,r r
?d\-DtaqA
APPLICATION
Number
(of{ i(e Use)
,
APPLICAN],S NAME
DEVEI.OPER:
l_r r
ztP:2tl\t
8sa.'l.q,L'11
PRO]ECT ADDRESS:
OCCUPANT/BUSINE55 NAI,1E :
pRopEBry owNER's NAME: Yrllqqe &t t]ta rtfatre dlA
n
PHONE #:
PHONE 8
otrlNER's ADDRESS, 6613 Sr: xfC zrp: 28{05
CONTRACTOR:llni*el Restorot lon S ra rces. LLL LrcENsc a: 7c? Z'l
ADDRE5S: 7o8 t) tnd-sweot PLar e,CITY:sr:Nc' zIP: ,J{O 5
fe3 44- 460-zq.lofEMAIL ADDRESS:
PRO] ECT CONTAC T PERSON:LE
PHONE #:
PHONE #:
EXIST CONSTRI.JCTION:ALTE RATION
PRIN
RE LOCATION
111gpgpr Iv". INoll Relocalion, is there a Natural Gas Line on the Curr
NEW CON5TRUCTTON: nERECT NE[,J STRUCTURE IraSr rnaCX f] SHrr-r- [ Ulrrr ! mO rO ExrsT sTRUcruRE
ACCESSORY STRUCTURE:
1f UPFIT - The Shell Permit #:Is Elect Power on this Building E Yes E ruo
.**** rs rHrs a cHANGE oF occupar,rcy usrt Ivrs E"o.r.-,If Yes, what v,Jas the Previous Ocaupancy Type?Nhat is the New occupancy Type?
(che(l a) I Ihaupply)
RENovArroN lTorrrRaL Rr plrns
enr Srle? L_l Yes LlNo ls BLDG s
ARCH DESIGTI PROTESSIONAL:
ENGR DE5I6N PROFESSIONAL:
PH NC REG {
NC RE6 #PH
DEsc RrprroN or woRK : Koofs, 0rVdq tl, Pa,r,t,r,a, 6nti h Flnort
C ITY tn
--------
ls lood or beverages prepared or served in this srucrure? flves I No ls The Property Localed ln The Floody'ain?flYes d,"
lhis applicalion is co.rect and allwork will comEy wilh lhe
NHC DeveloDmenl Services Cenler willbe nolrlied ol anv\OrE Any Wort Perlormed WO lhe Appropnale Permrlschanoes rn the aDDroved Dlanull6e 'n Vrolalioi ol th€\lC dg Code
DISCLAIMER: I nereby cerUty lhar all ,nformarion in
and ltEllaws and ordrnances and reoulatons -f he
or cnanoe rn collraclor o, conlraclor rilor.nalron. "'Subre.rlo Fines uo To 3500 00"'
o**i""o**"roR' {d.."[Srt""/e
(FOR OFFICE USE ONLY)
SETBACKS: F
Slale Euilding Code and allolher applicable Stale
t
# OF FLOORSi
REMSEO DATE 4/11T12
SIGNATURE
cDriain Asbenos or nol. Yo{, are requrrod to call ihe National Embslon Siandards tol Ha2ardous Ar Pollutads (NESHAP) et (919)707-59:'0 ar leasl 10 dsys p.ior lo lhe
domolillon ol any ladlily ol bulldlng. Sa€ Asbestos web Sile: htlpJ vw.epi.Sale.nc.us/epi/asbenc/ahmp.hlml
TOTAL PROJECT COST D BUILDING HEIGHT # OF TJNITS:
TOTAL AREA SO FT SQ FT PER FLR:a , OF STORIES
TOTAL SO FT UNDER ROOF # OF STRUCTURESIU@s
ACRES DISTURBED
NEW IMPERVIOUS AREA:SO FT
PROPERTY USE: fIOFFTCE ! nesrnUnAnr MERCANTILE rouc ! eer ffc-ouoo orxen,
EXST LAND DISTURBING PERMIT?
SQ FT EXISTING IMPERVIOUS AREA:
flves I No
WATERI
SEWER:
gftSeva
ETCFPUA
COMMUNITY SYST
CENTRAL SEPTIC
EM flWELL fIZONTNG USE CTASS|F|CAT|ON
PRTVATE SEPTTC D COMMUNTTY SYSTEM
.:r.r.
PAYMENT METI-JOD [cesn p]C]rrcK (eAvABLE ro NHcl f]auenrcaN EXeRESS gfr'cn,rse I orscoven
_ LH:_ RH:_ B:_
AVN
ZONE:_OFFICER
Comment
A6utJ 9or 6q0l. {ceCot[1
-n\ \Elro
PERMIT FEE: $_
oalE:lO L1 'LOl8