JANUARY 24 2018 BUILD APP01252019092438't
al
a
NEW HANOVER COUNTY BUILDING
APPLICATIoN rYPE: COI.TMERCIAL
2 t ' l'( -)'tt L
PERMTT 18-3681
APPLICATION
Number
(office Use)
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responslblllty''
APPLICANT'S NAIIE: Michael saieed ArA (Arch/Rec) Desisn ElemenEs,rnc /owner Asent DATE: 12 Dec 18
DEVELOPER: Daniet J Massio PHONE *: 9to 3s2 86oO
PROIECT ADDRESS: 6524 Gordon Sration Suire A CITY: witmlnqton. Nc
OCCUPANT/BUSINESS NAIiE: osden Eamify Chiropratlc
PROPERTY OWNER'S tlAltE: Maggio56 LLC (Business/Bui]dinq suite owner)
OI{NER'S ADDRESS: 6624 cordon station suire A CITY: wi lmin ton ST: NC ZIP: 28411
+coNrRAcroR : r.{ytr ;Dr#hEBr cr' Laraaa'naJ LrcEirsE *: ,{611
ADDRESS: Nt?. Zo t 7t1o,w+t {-a.vt) DL CITY: wi tminqr on
EiIAIL ADDRESS: ttlJot Ar)-o./nt e.Sdaadf aor-t
PRO]ECT CONTACT PERSON:
Code Revievi Contact:
(TBD) (Construction Aqent/ cc AppI icant )
ACCOUNT #: N/A
ST: NC zIP: Nte;B4t/
Michael Saieed, Arch/Rec(Lease Tenant Aqent)' (Check All Th;t App]y)msa ieedG des igne-I e . com
RE LOCATIOITIEXIST CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS
lf Relocation, is there a Natural Gas Line on the Current Site?tr Yes Eruo IS BLDG SPRINKLERED?[v". flruo
NEtl CONSTRUCTIO :ERECT NEW STRUCTURE FAST TRACK SHEL L ! urrrr I loo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE: N/A
If UPFIT - The SheII Permit #:
***:r' rs rHrs A cHAt{GE oF occupAlcy usrr flvrs fl o .****
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOML: Michael 1 RA AIA /aka Mit che f l : 910-509-3131
| 9).0-2'70-3'7 4'7
Is Elect Pob,er on this Building EI Yes E ruO
What is the New Occupancy Type ? B Bus iness
NC REG *: 8773
ENGR DESIGI{ PROFESSIOML: Greq McDowefl {McDowelt Ens'r)NC REG f: 18s18
DESCRIPTION 0F WORK: Exisitnq Interior Business Suite (construction remodelinq) space Alterat ion
PH
PH
ls food or beveeges prepared or served in this snraure? [ Ves fl llo ls The Prop€rty Located tn The Floodptaint I ves [l to
Siate Buildinq Code and all other applicable Slate
in the a soecificalionsBldg code and
and
SIGNATURE:
(Oualhle.)
Note: C,igmolilion notificstjoBs & asb€sios rsnoval p€mil appllcadorE aro to be submitt d GinO th6 appllcatlon fofm (DHHS3768)facility or buildlng was fourd lo
conraln Asb6tos o. not. You are lequlred to call lh€ Nadoml Embslon Staidard3 br H6zardou3 Air Pollutants (NESHAP) st (919)707-5950 at le€st 10 dsys Fior to tE
demolitlon of any fadllty or building. 56 Asb€sloo W6b Slb: httpJ vww.epi.state.nc.usy'€pi/6sb6slos/shmp.htnl
TOTAL PROJECT COST: Est s145K
oiedtre*tedr5.k,r(*.
i.<d{d{n*n.dq!<mG6
>+BUILDING HEIGHT; E" L I8 ' 6 "
SQ FT PER FLR: Exi s( lu99u
# OF STRUCTURES: (r)t*i.t erdq
# OF UNITS: one t r I
# OF STORIES: one lrt
fIZONING USE CLASSIFICATION: RB/ (cD)
REVTSED OATE 4/ /12
WATER: ECFPUA
SEWER: E CFPUA
TOTAL AREA SQ FT: Est 2,944 suite
E COMMUNITY SYSTEM EWELLff CENTRAL SEPTIC LI PRIVATE SEPTIC flcoMMUNrrY SYSTEM
*, SEPARATE PERIVIITS REOUIRED FOR ELECT, MECH, PLBG. GAS EQUIP. PREFAAS & INSERTS ''
(FOR OFFICE USE ONLY)ZONE:_OFFICER:_SETBACKS: F:_LH:_ RH:_ B:
AVN
Comment PERMIT FEE: $Ytt -
f,B0
ZIP | 2}4tl
PHONE f: 910-352-8600
PHONEf:GClN,/A
PHONE #: AoR/ 509 3131
Aonmz:
OWNER/CONTRACTOR : ui-c.]rae-t--sa-i'ee*-*ol u renanp?'q6ot
TOTAL SQ FT UNDER ROOF: Esr 18ee8 # OF FLOORS: one trr
ACRES DISTURBED: -Np.oe- EXST LAND DISTURBTNG PERMTT? E yES E No
NEW IMPERVIOUS AREA: uot applicarte SQFT EXISTING IMPERVIOUS AREA: Existnq pevefopment SQFT
PRoPERTY usE: lorrtce [nesraunaNr llaencerurLe Isouc !ner lcoruoo orHER:pror.services.
PAYMENT METHOD: ECASH ICHeCX lenVnALE TO NHC) [AtU- eCCOUrur flrvrCrurSa florscoven
Rs
//-* y's
AI'PLICANT'5 NAT4E:
"ProJect Responslblllty"
l-r I
AEFErA-TIoN
Nunber
t1Q
CIlY
LICENSE S:
DATE
PHONE rr q I
PHolJE I I
5Tr ztP
V/vol
r
d
I
DtV€LOPER r
PRO]ECI AD
PROPERTY OI,]NER'S
O'JTIR'S AODRESS:
OCCUPANT/BUSINESS NAfl E :
PHONE B: q tqo
1
t to O
}-
CONTRAC
ADDRESS
E}1AIL A
PROJECT
TOR:
DDRE55:
CONTACT PER ON:
IOTAI- SO FT UNDER ROOF
6ENERAL R€PAIRS
rs 8t_DG s trPRINKLERED?f _ Yes
f OF STORIES
d OF FLOORS:
r\ST
f:
Z IP:
,99ta+
EXISI CONSTRUCTIOT:
li nelocatron, is ther6 a Na
/ (cn.(* All
Tl arrERArroN p[nrrovarror
tiidt cas Lrne on thoI-urenr sie? f
RE LOCAIION
es
No
EW CONSTRUCTION:f] EREcr NEr,r STRUCTURE nFAsr rRA ! 5HELL nuPFrr D ADD TO EXIS 5TRUCTURE
ACCESSORY STRUCTURE
Is Elect Power on this Buildlng T es ti0
r..,. rs rHrs A cH^l'$r oF occupaxcy usr?f yEs f N0 r.*..
IF Yosr |rh.t r,/as the Prevlous o(aupanay lype? - Llh.t 13 tho l{ew O<<upar(y
IItfi rorrron PRorEssroNAL:I( REG T
NC R€6 f
"0, [d
Srale
EN6R DESI6N PROFESSIONAL I.PII
D€SCRIP] ]ON OF HORK
Bu,ld n9 Code
frar. O.dr on,o!f,c.rEnr & aen srlr 6ntov, p6m .pplicaufir .tc lo b.6!i.n,r.a ulrrg tu.Pdit.!n ,o'h (OHtS,3768l it
ICIAL AREN SQ FT
ls lood or beverages prepared or served in lhis svucrure?l- vesl-)& t" tn" eropcdy tocated ln The plain?
c$oin Asb.srd, or oot Yos .,. i.qt rod ro ca{ lr'. N.tooal Edt$n $r.d.di h tlat.das An Po&lanB INESIIAP} .r (919)707-5950 .r h6r | 0 drr!
cemoh'on o, any tlnlfy or hJild.o soo AlLrestor w.b sitlr hrD,rr'B .oi.s'.,i.n. ur.rrd$o.rot.hmD.ihl
TOTAL PROJECT COST ccx)SUILDING HEIGHT
SQ FT PER FLRI
ACRES DISTURBED: _
NEW IMPERVIOUS AREA:
PAYME
ZONEI
NT METHOO:
CODT
f cAstrt+w )FICER,*
, OF STRUCTURES:
EXST LANo DrsTURBrno eenr,trn .|- ves J- I
SO FT EXISTING IMPERVIOIJS AREA SO FT
PROPERTY USE: T-!t t')
:,J:I.E:::::coMMUNrTw SYSTE Tl WELL nZONTNGUSECLAS
cENTRAL sEprc f] fr,rore serrrc [Tonruun,,r srsre,
orrrce flnesraua,rrur I r,,rencerrteI eouc coNDo oTr{Et
SIFiCATION
-'sE AftrsPERUiISAqOltrrEOFanEL:Cr.rJECh P!AG.OASEOUTP.PREfn8SI|lrSEArS'.
{ou.^
A?Ptotat' ()Y C,ly lll)l DAII
f- crecx leevnare ro NHc) T- AMER|CAN ExpREss f- Mcn/sA f- DtS
(FOROF'ICE USE ONLY)Dru TBACKS: F
FLOOD:
I'ilA Lx ,ri/Anu li/l Bd4
BFE+2ft,
E
,.)Comment L'I r
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PERMIT FEErr
-0
cldrr Form Prinl €Mail
NEW HANOVER COUNTY BUILDING PERMIT
APPLIcaItoN IYPEr COMI4ERCIAL
PIiASE ANS' EA ALL QIESTIOiJS A'PLICAOII IO YOUA PRO)'CT
If UPFIT - The Shel.l Permlt i:
PH:
OWNER/CONTRACTOR:
f OF UNITS:
lo
I
FLOOD ZONE
j,
Clea. Form Print ollall
NEhJ HANOVER COUNTY BUILDTNG PERMIT
aP P L I caT rov r)zPr ; COI{'IERCf AL
PLIA5E ANSIIER ALL QUESTIO\5 APPLICABTI 'TO YOL]R PROJI(T
"Pnoject Responsibility"
w{k-113tr
AFFfT.Efi-o
Number
(office use)
APPLICANT'S NAiIE:
DEVELOPER: .; . :.. 1.-:: , .i. ,..:, i... -_... .r.::, _ , ,...::: r: .:.., ,
PRolEcT ADoRESS:
-
. DATE :
IP:- ..._ PHOftlE f: ,: t-,! _ j-.-r:
CITY: ri, ^- .. .-
O(CUPANI/BUSIIIESS NAl,lE: :.::, r - ;i-j:.:l
PROPERTY otlNER'S ttA',tE: r.. .-j. ..r.:: . j:- , ::; ! :: :..!r,PHONE f:
CGI{TRACTOR; -1 LICENSE A:
CITY:
CITY: ..r j -.,.., .-
ADDRESS:ST: ZIP:
EI1AI t AOORESS:PHON€ f:
PHONE *:PRO]ECT CONTACT PERSOTI:
(Check All th3t Aprly)
It Relocation. is there a NaturalGas Line on the
ALTERATIOfl H REiIOVATION
rrent Slte, l--
T- GEN€RAL REPAIRS T-H;- *o rs BLDG sPkd'r
EXIST CONSTRUCTION:
NoNEl.l CONSTRUCTaON:ERECT NEt., STRUCTURE n FAST TRACK n
ACCESSORY SIRUCTUEE;
RE LOCAIIOfl
KLERED'{li_ Yesr_
UPFIT tr ADD TO EXIST STRUCTURESHELL
If UPFII - The Shel: Permit *:Is Elect Power on this Euildiog f. Yes r NO
*+:r+ rS IHIS A chAI6E or occupAllcy UsElf yEs J-. r0.,...
IF Yes, rhat ras the Previou5 Occupancy Type? _ uhat is the Neri o<cupancy
TvDe ?ARIH
WATER
SEWER
SYSTEM
Comment V0ronr 0 nr.n /i"of flnvrtT-l-jrra Val, d
C\ t[O,tuaVtcQ.
D€SIGN PROFESSIoNAL: . -. ,, ,:: : , :::. : ,,:., :,:.-
EIIGR DESIGN PROFESSIONAL:-.r.-- , ,:t r,., ,tl
DESCRIPTION OF HORK:
OWNER/CONTRACTOR: rr:
TOTAL PROJECTCOST: .:,. r,..'' BUILDING HEIGHT: ,,: ' :-
TOTAL AREA SO FT : ir'r I ',,1
TOTAL SO FI UNDER ROOF
(oudf.') (p n rrofr)
cln|ain Asbesios or mL You ars.equrrsd ro call $a Nalional Emission Srandaros ror tLzsrdous Arr Pollotenc (NESHAP) ai 1919)707-5950 ar t€asl l0 days prio. to lhe
d.molition of any ta,:illry or brdlding Sec Asbesbs Web Sn6 nnpll,ww ed.steta rc-ut€pr.sb6to8/€hm9.hrnl
_.-_fzr t_16 12 r 3 sli.i
NC REG #: 1?:a
NC RE6 *:-PH
2'?e)L -l
ls food or beverages prepared or served in this slructure Vesl-_ t'to ls The Property Located ln The Floodplainf_ y"f_r(
)cr15sE
NoDISCLAIMER I hereby ced*i lMt all ntonnal,@ In this appl'calDn is correct and allviork wrllcomply wrh lhe Slate 8ui{dmg Code and all other appl'cat,le State
and local laws and ordi
Subtectio
nanc;s and reoula onor ..nrra.lor '-nlomats500 c0-'
s.lhe NHC OeveloDment Seruic6s CcnlOTE Any Work Perlonned W'O Pemrls w l &apr)Ic!€\d plans and specdrca:ionsfion o{ lhe NC Srare 8lc. C.irp rnd
SIGNATURE:
ACRES DISTURBED
SQ FT PER FLR: :-,. '-# OF STORIES
# OF STRUCTURES: I # OF FLOORS: -
EXST LAND DISTURBI\]G PERMIT? T YES J- NO
SQ FT EXISTING IMPERVIOUS AREA:SQ FT
CONDO OTHEI, -.56 -
CFPUA T-'I COMMUNIry SYSTEM
CFPUA E CENTRAI SEPTIC D.. SF?ABA:E PERMITS REOUIREI) FOR
T'I WELL [-l ZONING USE CLASSIFICATION
,TYff .':::''*E:,:#,:H!Y.hpectiornEureo,fl FS{+;ii
PAYMENT METH r oASH T cHEcK (PAYABLE To NHc) T- AMERICAN EXPRESS T,(l 3 {FOR OFFICE USE ONIY)
SETBACKS: F:*r*r*zoN FFICE LH
Approval City DATE FLOOD
ucrurs6j-;?<lrcx$ p**/
,?#,*--.rlgii[-- *
lbl6l vavuvl-e)
RMIT FEE: :PE'+1^-
Va
Ugr;.,*rr-e
crLb,snflood n!-olco\on.O
v"iL\aaj.,&)7,a tu:'10
14'e€v'tt6ca*rets-q U
OWNER'S ADDRESS:ST: r ZIP:_
n
NEW ll\,IPERVIOUS AREA
# OF UNITS: :, :
pRopERry usE: floFFrcE flnesrruuNr f| ruencrurr[ef-1 eoucl-1rerl-l