AUGUST 7 2015 BUILDING APPSX
Rr*vI.+ lotE -+oqo
CONTRACTOR: DAVE,S .CNSTRUCTIOli SERV]CE, iNC
AoDRESS: .,1) iirr 22r5
NEW HANOVER COUNTY BUILDING PERMIT
APPLI.ATIoN TYPE r COMMERCIAL
PLEAsE ANSWER ALL QUESIION' APPLI'ABLE IO YOI]R PRO]ECT
"Project ResponsibiLitY"
LICENSE *:
CITY: EDEN
ffi
APPLICATION
Number
(of+i.e Use)
APpLICANT,S NAIiIE: rAl'E SE:{TON DATE: a/1/15
DEVELOPER i F:TE A:D
PRO]ECT ADDRESS: 'I5c2 SHIpYARD 3LVD IITY: i'i1r,r'!lNGToN
OC CUPANT/ 8U5INES5 NA}1E
PRoPERTY otlNER'S NAME:
z: )r: : i: rL.PHONE f:
o|.JNER'S ADDRESS:
!o Bax -lr.bs CITY: HARRISBURGST: _!4_ zIP:j.4!j_
3:908
ST: -!E_ ZIP: jJ:_ga
EirlAl L AIIDRESSi i,i'.,er.i..,1a!E. -,-.,PHONE $: 1i6-ri2i-9906
PHoNE f: lr6-6lf:!39iPRoIECT CoNTACT PERSoN: BECKY iRYE
NEi.J CONSTRUCTION
ACCESSORY STRUCTI.,'RE: 1r,;
If UPFIT
- The Shell Perrnit #Is Elect Power on this Building YesEruo
ARCH DESIGN PROFESSIOT,IALI PE:{RY IIIBBAR'PH:859-231-8404 NC REG #: 9?2a
ENGR DEsI6N PRoFESSIOML: ERIC ENGEIL PH:6a5-f54-28Nc REG s: n2.a96i
DESCRIPTION OF hORK: I:,lTERIOR REIIODEL 1O EXIS:ING PHARMACY
I
OWNEFYCONTRACTOR SIGNATURE: .
DISCLAIMER I
hereo! cer$v rhat at, rr,ornatton ,n thrs aoD 'carron 's corecl and alr worr wll comdy wrlh lhe Slate Burldr4g Code and al' ohe' a
i,od locrl raws "nd orUtlancei anO reoutalrons The NHC Develoomenl ServiCeS Cenler wrll b€ nouleO o, any Cnanoes ln he apploved plan! and
.'.ninq" in a"iirairo; oi co racio, ,i,oimar
bn ''NOiE Any Wo.k Pe.lormed W.Othe approp.Ele Permils wrll6e 16 vrorairon
ofiheNC Staie
s ,DJA.,i^ L,"c( llo ro S500 00"'
pplicable Slate
soecrircalronS
Bldq Code and
onrsio as!€sbs or no! You arc mqut,ld ro call lho Na0onsl Embslon Staidsd3 br Hlza dot s Ar Pollutanti {NESHAP) ai 1919)707'5950 tt 16!!1 l0 day3 Fio{ b tho
dgmolhlon ol any hcnny or buildir€. Se€ Asboslos WeO Sne: ht9/ w.spi.sbE.nc.us/6pU36bosto6/shmp.hrnl
ro6Lnqr (ft r{aft)
Nor6r D6morinon nol,icsti,ons & asb€sro! r€mov.l p€rmlt appllcalions aro lo !3 submltt d ulinc h6 sPPlhadon form (DHHS-376a) wh6th6r $6 lEclllly or bu
TOTAL PROJECT COST| :.:::-- , :, .:
TOTAL AREA SO FTSO FT PER FLR# OF STORIES:j--
TOTAL SQ FT UNDER ROOF:
-
#OFSTRUCTURES# OF FLOORS: :
ACRES DISTURBEDEXST LAND DrsruRstNc peRi.,rtr: -lves I No
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA
pRopERry usEi
lorrrce EResrnunerr puencnNrtrc [eouc leer CONDO OTHER:
WATER: [ICFPUA
SE]WER:
fifl CFPUA
DAVE SEXTON
- SEPARATE PERMIIS FEOI.]IREO FOR EIECT. MECH, PLBG, GAS EOUIP, FREFABS & INSERIS
)
SQ FT
flcoMMuNrry SYSTEM
fl WELL EZoNING usE cLAsslFlcATloN
-]CENTRAL SEPTIC LI PRIVATE SEPTIC f]COMMUNIry SYSTEM
PAYMENT METHOD
[cnsn [cnecK (pAyABr.E
To NHc) firutentcer exeness
I ucaasr
E otscoven
OFFICER:
(FOR OFFTCE USE ONLY)
SETBACKS: F:-LH:- RH:- B:-
REVISED DAIE ,V1 1N2
Approvat:- city:- DATE:- FLooD.
---
BFE+2fi=
AVN
Comment
PHoNE *: _
ZIP: 28sol
Exrsr coNsrRucrror{:
E ALrERArror
a .r*Ji[i'li'r' 'fi[l'r*o. nrenrns
I RELocArroN
r,Retocation is rl^ere a Natura, Gas t rne on rne -Cwrent S11s'
EIVe;I iro rS grDG SpR-l rrrn5p,Ives [ru0
I rnecr NE,,r srRUcruRE
f] rnsr rnacx
! sHrll
I uerrr
I eoo ro Exrsr srRUcruRE
*aa*, rs rHrs a CHANGE oF occupa^cy usrr Ives flm -...-
IF Yes, l,hat r/as
the Previous Occupancy Type?
-
llhat is the New occupancy Type?
--
ts food or beverages prepar€d o( served ln thls suaurea
E ve.
E No b The Prop€rty Located ln The Floodptaln?
E ves
El lro
BUILDING HEIGHT; :.i # OF UNITS:
ZONE:
PERMIT FEE:
$-
NET{ HANOVER COI'NTY BUILDING
APPLIcATIofi rvPE: RESIDEI,ITIAL
WZ 6-)toL
PERMTT
6Ol;'1968
APPLI CATION
Number
(office use)
PLE.A.IE AIISI'ER ALL QIJESIIOI{S APPLICAALE TO Y(I'R PRO]ECT
"PrcJ cct Respons ibtlttld
APPLfCAII' S ilAf{E r xcxee Ecorea r,Lc DATE :
PHONE $:
PROIECT ADDIESS: 1461 Eastbourre Drire
s,UmfVISIOil: Hanover Reserve
CITY: rarllrilrqton zIP i
105
28411
LOT *i
sr: JIL zIP I jalljlll
BLOCK f:
C0 TnACTOR: clLDelelq!,Inent rnc
ADDRESS:
1Ol Eay st
EfitAIL ADORESS : rdb].numFekeohonasnc.coEr
LICEMSE #: 53e70
CfTY: Payettevilie
PROIECT COI\ITACI PERSOI\I i Kenny Jones
PIEf,'IE A:
PHONE S:
910-47s-7100
919-s.l9-38I5
Exrsr lc corsrRucrro :
I elrrnarror
I Rercvarror
! eer:nll nselrns
I RELocATToN
Elr cor{srRrlcrror{: p enscr t{Et{ REsrrxNcE o"
fl rcorrru ro Exrsru{6 REsrDExcE
*.pLEASE CHECX Ar[) ANSIIER 8EL(x ALL THAT APPLY TO YOI,R PttOlECTl
@ rrr oanace 4e1 sF ! orr anme e sr
I eoncu
..]q-sF
I suunoou
-sF
I emr-
-
sr f] sronae t sHED
-
sF
f] eRerurruse
-
sr I oecr
-
sr orHER:SF
TOTAL HEATED SQ
FT:
2933 TOTAL
5Q FT U DER ROOF: 3796 TOTAL AREA
SQ FT: 3.795
ToTAL PRoIECT COST rr-'ss ur : i rusrao f OF SToRIES: 3
Is Any ELEcTRrcaL, PLutIllG or tlECtul.{IcAL Work Being Done to the accessory Structure?
[ Yes No
If the pr€ject
is a Relocation, is thene a Natural Gas Line on the current sitel I ves [ ruo
Is there Electrical Power on thls Buildingi f]v"r l-'tr lo
pRopERTv usE
/ occupAircy: @ srle le ru:r-v I nLr
Lex
! TouNtousE
DESCRIPTION OF UORI: codstruct residential 6j.nsle fEmi],y h lrom dirt to iinlBhed horE-
DECLAIEE I he,€by c€rtit hai all i,|brmdior h t E
?plc.ton b coned ffd d work rillconpiy i'l!l it6 Stab Euitsirg Cod€ s.d all
otler applicoble SEE sfld bcd |rws
a.d od;nanc* rtd €$rlsion6" Th€ NHC D.vclophent S€lYks! CenE. willbc norfi€d ol any ciange. an he appoved pl.ns and gpecitaalions or chtloe h qlolebr or
.ont*br hlbfialm. 'r'NOTE: Any Work Perro.m€d w/O h€ App{Dpriab PermiEuillb6 in Viobton olhe NC S6b BldC Code s1d Sulrjecl b Fines Up To
tsoo.o0"
W,llD6 Rn[m ::=5:-.-_--ol,{ ER/CONTRACTG
I wi111an F. ByDu& SIGMTURE:
lPrlnt Nar.)*i**,lr**+*+'**r**:i*+*rr***rr!ii***t****{,r,**r.'+**+***,***,i*)r+*+**+**:***:r:r*:t )*
*++ + + + r * 'r ai )r
*:
IS THE PROPERTY LOCATED III A FLO@PLAII{I
CXISTI]{G II,IPERVIOI,S ATEA:
-
5Q FT
NEH
rlPERYIqrs AREA:
_SQ FT
TOTAL ACRES DISTURBED:
EXIST LAIID DISTUREIII,IG PERfiIT:vrs
Fl rc
HATER:
crn-ra
I coruuNrw svsrrr'r
I pRrvATE NELL
I c:nrnal t.lel r
! com-nrw svsreusEhrER:
m crrua
I CENTRAL sEprrc
l-l pnrvlrr seprrc
*+. SEpARATE PER|{ITS REQUIRED FS,
EIErI, fiEcri, PLB6, GAS EqrIP, pIEFAB5
I I1I-SERT5 .r.
PAYIIE
T ITETHOO:
tr fi cue cx lervmle ro
lnc)
f] alrarcA ExpREss
YESI'lo
CASH
ltclvrsA DISCOVER
***t+*t *++,t *****,|*,**,|*+*+* ***+ *** **t:| ***:* * *:t:a * )i
* *+* * 't***,i** +** *+*** ++** l,f )t
*t,**+* **+)t**a*
(FOR OFFTCI USE OiLY) BEVI5ED DATI
O4l1V12
SETBACXS:
F:_ LH: RH:_ 8:_ZONE:
_ OFFICER:
Approval:_ City:_ DATE:_ FL@O:
_
A
Cq ient:
BFE+2ft=
I
PER$IT FEE: $
JJ-f
DEVELOPER:
PROPERTY O{tlER'S tlAl,lE: xcKee Eones r.Lc PHo E *: 910-tt7s-7100
(I {ER'S ADDRESS; 10r 8av st CITY: Favetteville 5T: q ZIP; -3!3!.1-
Tnrr-tq87
Ls-L7 27NEt, HANOVER COUNTY BUILDIIiIG PERIT'IIT
APPLI,ATI^| rYPE; RESIDEI{TIAL
PL€AsE AI.ISH€A ALI qJT5TIOTS 4PPLI(ABLI IO YA.,R PRO][(T
"Project Responsibility"
APPLICA?iON
tlumbe
r
(Office Us.)
APPLICAiT'S l{AllE : lenai ileai.ierwai:DAIEi 05/26izi1',;
PHlirE *: ,l r. {t7 !9::al
PROIECI ADORESS: r.i'1 traee Dri,',P
OtflER'5 AOORESS: 6:il ,:qhtsville aee, -Atr,! :ljCITY: t{i lni nE!oa
LfCEllSI S: i. t :::
CITY: southlofa 5f:
zrp:
LOT #: {!:
5T : lic ZrP: :-q4 r l
st
E}IAIL ADORESS : -reci f ,r'ie
PROIECI COi{IACT PEnSOia; ;:.i1 li€aiheivr-x
EXISTII,IG CONSTRUCTION :ALTE RAIION R E iNVA T IO t'IR E LOCAT IOII
NEX CO STRUCTTOT:
fi eneCr IEW RESIDEI{CE o"
I nOOrrrOX T0 EXrSTri& RESTDENCE
*P|,EA5E Ctt€C( At{o Ai9}{FR B€IOH ALr THAT APPIY TO YoUR PiOIECTT
ArT 6ARA6E a.r6 SF I Orr eAnaee
-
sF PORCH ]trT SF
su RooH
_ sF
GREEI{HOIJSE SF
PooL
_ sr
DECK SF
f] sromer SHED
-
sF
PIO,IE t: 91c-45? -19:.0
PtlOtlE
f: 9ta -44)-07a96
OTHER:
TOTAL HEATE0 Sq FT: j.rre TOTAT SQ
TOTAL PROIECT COST i"n* rul : S :rq,.i:;
FT UN0fR ROOF: :r],TOTAL AREA 5Q FT: : .-
* OF 5TORIES:
t
Is Any ELECTRICAL, Plt ltBIXG or ltECHrlraICAt l.lork Eeing Done to the Accessory Structurel C YeS
If the project j.s a Relocation, j.s there a Natural 6as Line on the current sitet f]Yes I lro
Is thene Electri(al PoHer on this Building? EYes f,lo
pRopERTy rJsE
I OCCUPAT{CY,
fi SrHCle ranrlv f] ourlex
DESCRIP'IOI,I
0F WORI(: ricq .-'ori!
OiJI{ER/COilTRACT0R: .:eo:: /i. a., ii.: r !,a::SIGI,IATURE:
(Prrnt xar*)a)r+t*r:*****t*r*****'*,1*,a**ati.l,t**+**r*+*,lr**ra*r*tt+++**t'l*,l*ri!a*t:t*t***ttt**r*,|**+*'!rt*a']t
I5 THE PROPERTY LOCATED IN A FLOODPLAIiI?YE5
flm
EXISTII{G Ii'IPERVIOUS AREA: Asq FT TOTAL ACRES DISTURBED:
conrsct, inbrmrion "'ltOTE. Any
Worr lt .fornied wirJ tte AppropnrB P6,mrrs irll bo 4)
Violdbn ol tnr NC Siae 8d0 Cnde and SuOFcl
s Fr,es Up To
$100.00"'
L"
MTER :
sEI{ER:
q
E
CF PUA
CT PUA
Zot'lE:
_ OF F
ICE R:
CENTRAL I^rEt t
cot't ltxir Iry sYsTEt4
NE,J IfiPERVIOI,IS AREA: 7 Z ITK_ 5Q FI
f] cortrunr rv sysrEll
E rntvarr urll fl
f] curur- sEprrc
f] pRrvArE sEprrc
P
EXISI LAND DISTURBIiIG PERIiIII:I--l ves l-? m
." SEPARATI PSRI4IIS REqJIREB lOR TTTCI, "I€CH' PI-96, 6A5 EQUi!, PRIFABs
S INsERIS
"'
payr.tE
t [E'moo:
il casx
il cxecK (p{YABLE
ro riff
) il Ar.tEircal{ ExPrtss
E t./rrto I orscovrn
,t
rr* * *** * *,t1**** *+*i. *** it
*l a )tNt )t*,l!* tx*a {i{.* * +* x{r tat*+* t it ** ** I *ri( +* * t* **,** * r* ,l(tet*
*tlrn * r* * i *
rroa oFr rc! lrtt odl'rt - AtvltlD oAIt o4lirlt?
SETBA((S: ,,9) ,'- RH:- 8:-
Approva]:- city:- DATE;- FIoOD:
-
AVI
cofiIent: PERITIIT FEE : s
8FE+2ft=
_
a
I
DEVELOPER:
PROPERTY
oiOlER's NAIIE: l,laq! PHO
E *: iJ.,-?25-221.'
BLO(K f:
NEtrl HAN0VER
e0UNfV BUILDING PERMIT
APP
rJc4rrciu ry?E; RESIDENTTAL
PtE/lsE A[sfiER Arr. grEslrols irpucIBrE TO youR 9RO]ECT
.rProJect ResponstblEtp
APPLICAIT'S M,IIX I
DEYELOPER.,t^
PRolEcI ADDnESS'CIWt
SUODIWSfoN!rKS
BLOCK
I'r
P&OPERIY
flWER'S M}4EI+tJ.r Gco,
O{NEN'S ADDBESS!CITYI
COTIIRACIOB;lr rd LIcEftsE
*!
ADDRESS Icrly:
EI'UIIL ADDRESS:
P&OJECT COHTACT PEBSOf{I
I'PLEASE CIIEC( O
sHEi ptro{ {!t ? A?
Appty yo your pto:dcrr
oAnacE 515 SF
fJ orr omror sr EfponcH{ot SF
7_D
ts -r q? /15-1881
APPLTCIIION
NtEnboF
(ofatcs rkc)
Pll0tilE
- _ , Lor *3
ztPt 2841L30-
PHO
E f,18?..6
sT3
Nc zrpr?8qtz
13t1t
;a--sr3
ACCOUflT
}l
PHoNE *!
plrorJE s:7t2-79a6
o(rsrilrc collsrRucEoyn ALTERATToN
I nemvlnoru flcrruennr- RE{,ArRs.
n RELOCATToN
NEr'r cousTRrrcrron, E[ rnrcr N6n RESr0EncE
or
I aoorrrdlt
ro FXIsrIrro RESrDINCE
d*
flsumoctr
--sr
fl noor- sr
I sroRecr steoI enrrltursr SF
Enrcx
-
sr oTHERT
SF
SF
TorAL HEJITED
sa
m ),E',lL-- rorAl sq FT uNoER
noorz 7,-1ql yorAl AREA sq
r* 5i.8!o ry e $
T0TAL PR0JECY c0sf&6sio0
t S tQu& fl OF STORXEST
I ..
te Any ttEcYRrcALr
rtum;m on Hrc ,tlrcal t{o}.k Bolhg oono to tho Accorsory stru€tur.}
dvr, E oroff the proJ6ct
rs a Rardcatron, rs thore a Natunar o:rs Llnb on tha cunrent
srt"l flG rylroIs there E1ectr'lca} pquor on
thls Bufldlng) E3yes
f]no
PROPEBry tEE
/
DESCRIPIION
OT OhK'
SII{OLE FAHILY
Y(*r
.*,2Ll dJPLB( . Llafro+,Mors E
rs Trr! pRopERTy rocaTED
rfl a ruooupurtD
E yrs
**r*trgr***a
Efro
r+t+*+t**+**t*t3*$**trt****t1it**a*t*t**+t*+t*+**t3t+t**l+*+*
Exrsrr|{6 r.{pERurous AnEAs
_-sq rr Io?AL.AcgES DTSTUnBED,
@w oql /
ilEr'l
ltrpEnwous anrar
-Jll!- sg rr E(r'r LAirD
DrsrurBrtrc prfir,rfr-E rrc
d*
,;,vln.nlFpu^ fl cotruuw svsren
I enrvnre HErL
El cE rrurl I{ELL r.tr.,
srurnr pt crRua
fl cEii,rRAL
sEpTrc
I enrvmr
srlrrc
I com:rury sysiri.r'l/?fi]q:ir^,, , . .
..t s€prrArd, plErrrr' nrguthqD
ror €[ecr, .,,ecr. pLso, cAs squrF, pREr,os o
r*rrr]'j,fetllthiu. vt,, , .
'^'IilT-H11',i*-*iffl--H,:1,1'lllff1,.-'.r:-1X',LF-H.-:f,?,il---H[f.'i-,-8H..-T:_ ', ' 'rt'z;t4"ivttj
zonet
Q.i orrrcenc
(ral
otz(l Ur! sLY)
fisA*sr
r! 251 u,'-5{n',ilpproval
r_-.- ctt!4!*-Ll!A DAIE
cot flchtI
1 FLOOD:
Av
PE8}III FEE,
tltz
qt
,
s,
oHNER/coNrnACfoR I SIGIIATURE:
rNO
\Jt U
Tfr t;-?ocu
latrtV?3NEW HANOVER COUNTY
BUILDING PERMTT
AppLrCATroN
rypr; C0rIHERCIAL
PTEAsE ANsHER
ATL QUESTIONS APPLICABTE TO YOUR PRO]ECT
..pnoject Responslbility,,#APPLICATION
a{umber
(Office Use)
APPLICANT'S NA E:
DEVELOPER:
I DATE: I
PRO]ECT ADDRESS:
OCCUPATIT/BUSINESS',IA E:
PROPERTY OWNER'S I,IAI{E:
OWNER'S ADDRESS: \.f.
CITY: l,
PHONE
#:
PHONE
#:
'l
IztP
vrj
ITY:sr: t\Czrp: /j 5r/(_5
CONTRACTOR:
ADDRESS:
Ti3\)LICENSE
#:
CITY:5T: ZIP:Eil4AIL ADDRESS:
PRO]ECT CONTACT PERSON:
EXrSr coNsTRUCrrON: E ALTERATION
irfi PTONE J':
PHONE
#:
WW *OI
RENOVATION
4pp1y)
lf Relocation. rs there a Natural Gas Line on the Current
Site? [
NEt.l CONSTRUCTTON:
I enrcr NEH STRUCTURE
f] rlsr rmcr
ACCESSORY 5TRUCTURE:
'I*** r5 THIS A €HAI.'GE
IF Yes, what was
the previous Occupancy Type?
ARCH DESI6N PROFESSIOML:
ENGR
DESIGII PROFESSIOI,IAL :
6ENERAL
nrmrns I RELocATToN
ls BLDG spRtNKLEneoz
I v""
[[ro
fl sxrr-l
! urrrr
f] aoo
ro Exrsr srRUcruRE
Is ELect power on
this Building E ves E *o
PH:
PH:
NC REG S:
NC REG #:
DESCRIPTION OF WORK:
ls food o( bevorages pepaed a served in
tlis
sfrEt e?ves
[ ruo b Tho property Loceed tn The Ftooddain?
trves
fl ruo
Code and allother app,icabte Slate
\
ldqCode and
OWNER/CONTRACTOR SIGNATURE
Nols D€mdiUm noaifc€thn3 & 4bssro6 r€.novat
p€mit apdicalicrls are
b be submined using
fle apptic€tion to{m(DHHS-3768) lrfi oth6. rhe aacility q buitd,ng yras found tocornah A6be*os or not. yo{ are rBqrned to call the Nat Emisstoh $sndads J.r H
hllDr,\r,^,vw
€ri siB16 nc us
BUILDING HEIGHT:
SQ FT PER FLR:
demolitjon ot any tucility or bdlding_ S€e A6b6t6 W6b Siils:
aardous Ar Pofldants (NESHAP) at (91 9)707-5950 atleti/3sb€st6'5hh. hrmr
least I 0 day$ trjo. to ttle
TOTAL PROJECT COST# OF UNITSTOIAL AREA SQ FT
TOTAL SQ FT UNDER ROOF# OF STRUCTURES
ACRES DISTURBED
NEW IMPERVTOUS AREAu
PROPERry USE: noFFt f]coloo orueR,
WATER:
nn COMMUNIrySYSTEM
cerurR.ql
serrrc
f]PR|VATE
sEpTtc fl
flWELL EzoNtNG USE
CLASStFtcATtoNSEWER:
COMMUNIry SYSTEM
D
SO FT
Exsr LAND
DrsruRgrruc peRl,lltz ves
INo
EXISTING IMPERVIOUS AREA:SQ FT
CE
I nesrauner,n [uencemrr-e neouc
! ap1
PAY\|ENT METHOD: f]Cnsn flcnecx lelvlslE TO NHC)finuenrcan excness [ncrvrsa
f] orscoven
HEVISED DATE ,!/1 1/12ZoNE: oFFrcER: Tffi[:[tH, *, RH: Fr
Approvar: citv:
---EiF- rLooo'-l'"'-j"'-s?e-ro=
N
Comment
PERMIT FEE: $,__{-oD
If UPFIT
- The
Shell permit #:
-yvrJr&Jqlir_
oF occuPAr{cy user
fives
Ito *****
t/l|hat
is the l\lew Occupancy Typ€
I _
flCFPUAfl CFPUA
# OF STORIES:
* Or TLOOnS: -.--
lor:l''ncl
15-2051
NEt^l HANOVER COUNTY BUILDfNG PERI4IT
APPLICATIoN TyPE: COMMERCIAL
PLEAST AHSWER ALL QUESTIO},IS APPLICABLE TO \OUR PRO]ECT
"ProJect Responsibllity"
APPLICATION
Number
(offtce use)
DEVELOPER:
CfTY: wilmiJlqbon
PHONE #:
ZIP i zaa].j..
ST:
rL ZIP: 33021
PHoNE S: 67I
-46o-a442
PBoNE $: 618
-460-1442
PRoJECT ADDRESS:
1219 Midd1e sound Loop Road
OCCUPAiIT/BUSINESS
NAIE: .r,Mobile sourh LLc
ONNER'S ADDRESS:
10 presidentiat t{ay
CoNTRACTOR: Lucky Horse Cabln r,r,c
ADDRESS: 5105 McKinley street
Eli,lAIL ADDRESS : Kayanne. Younqoi acobg. coru
LICENSE #r 61815
CITY: ttollywood
PROJECT CONTACT PERSON: xayaane vouns
Exrsr consrRucrroN:
I ALrERArrr*
I *.rJffffi E?fi)r*t nrnnrns
I RELocArrlN
tf Ralocaton, is rhere a Narurat Gas Line on the ainent Sile?
EY;E No ts at DG spRtN-xlrneor
f] ves
I no
NEr,r coNsrRucrroN:
I rnecr NEt.l STRUCTURE
I rasr rmcr
fl snrr-r-
f] urrrr
I aoo ro Exrsr srRUcTuRE
ACCESSORY STRUCTURE:
If UPFIT
- The sheU Permlt #:Is Etect Power on this Building E Yes E nO
,.*r,t* Is THIS A CHANGE oF occupANcy usrt flvrs firo .*r.-
IF Yes, vhat was the Previous occupancy Type?tlhat ls the New Occuparcy Type?
PH:t'lc RE6 #:
ENGR DESIGN PRoFESSIoiIAL: tvratthew watkins PH: (?70 ) 841- 9440 NC REG
#:040594
DESCRIPTfON
0F WORK: AlLenna co-loeation on exiscing ce1l lower sLte- No land dieturbance.
ls lbod or boDrages prspared o. servEd ln trr eruauret
flves
[l uo F Ihe Plop€rry locslod ln 'fta Flooddatn?
E v* E r',,ro
wlth the StaleCode and
the
OWNEFUCONTRACTOR: x.vanne vou"qSIGNATURE:
(Ooafi]€,(P*tr Nr.m)
Noio: Oond on mlfa€lhtls & rsb€sio3 lgmoval p€rm[ appllcathm aro b h6 rubftltrd l,aliolhr apDllc6don fuam (DHHS3ru) whothatdl bdding vras bund 10
cootall,
Arb6.to6 or not Yoir aro oqulrEd b cdl lrts ltaUofl€l Emkslorl $taMo(h for lbzardqro Alr Polutafits (NE8HAP) st (818]707{W}
domollhn ofsny lhcl,lty or
fuIdhg, S6e Asboltoo !t/bb Sls: hflprrnmw.splsteb.nc,usftpu6sbastogshlnp.hunl
10 dsta prloriothe
TOTAL PROJECT
COST: :s, ooo
TOTAL AREA SQFT: N/A SO FT PER FLR:# OF STORIES:
lr/e
TOTAL SQ FT UNDER ROOF: N/A# OF STRUCTURES: N/A# OF FLOORS: N/A
ACRES DISTURBED: N/A EXST LAND DISTURBING PERMIT?
I:IYES
EI NO
NEVTI IMPERVIOUS AREA: rqo
chanqe SQ FT EXISTING IMPERVIOUS AREA
_ SQ FT
pRopERryusE: EoFFtcE EResrnuneNr
lnrncnNr[e f]rouc
flnpr Emruoo OTHEFLutitiry
WATER:
EnCFPUA f-l COMMUNIry SY1STEM
ficnrrnnr-seenc I EWE-L EIZON|NG USE CrAtistFtcATtoN:
PRTVATESEPTIC fICOMMUNITySYSTEM
R-20
SEWER:CFPUA
.. SEPARATE PERMITS REOUIRED FOR ELECT. MECH, FLBG, GAS EQUIP, PREFABS & INSER'TS *'
PAYMENTMEIHOD: fiCNSN I]CXECKPAYABTETONHq EAII'ERICANE@RESS
lUCrurSN flOTSCOTCN
(FOB OTFrcE UsE oI{Lu REVISED
ZONE:
. OFfICER:_ SETBACKS:
F: LHt RH;_B:Appro\ral: Ciry:_ DATE: FLOOD:
-__-
_ BFE+2F.-
N
Comment PERMIT FEE:
a^rE 411t12
APPLICANT,S NA,iIE: T.MobTle SouLh I,I,C DATE: 6-5-2015
PRoPERW oWNER'S NAr,lE: American Tower corporation PHONE #: 8oo-a3o-3355
CITY:
_@ss__ ST: g ZIP:gIlIL
ARCH DESIGN PRoFESSIoNALT
BUILDING HEIGHT: N/A #OF UNITS: N/A
AIMI
iEq;
NEIA, HANOVER COUNTY BUILDING PERMIT
APPLICArIOI'I TTPE: RESIDENTIAL
2-EAST AIiS}iER ALI QUESIIOI]s A'PLI(ABL: TO VCUR DAO]:(T
"Project Responsibility''
/1 r\ r't(>cerli f ( ,>
o.r. r c..,
gcz
tf - )ou,b
tslL{?J-
APPLICATION
Nul,1ber
(Of.i(e usc )
APPLTCANT'5 TiAIIE:
DEVELOPER:PloN! f: ll)-?)c >
PRO]:CT ADDRESS I oo CITY:ZIP: _
ELOCK *:LOT *:
-
P}ONE *:
CITY:
_ 5f; _ ZIP:
_
LICENSE S:ACCOUNT F:
cIrY: L).1*sT.1)1 ztP:
Agl u
SUBDIVIS ION ile^)d. )l
PR0PERTY OIINER'S NAIIE:
Ot,l ER'S ADDRESs:
Ao^ * kar.'l4ns
CONTRACTO
ADORESS:
EI4AIL AI'D
R;
RESS:
ATT GARAGE
-
SF
SullRooi!,1
_ 5F
GR€ENHOUSE
-
5F
I eool
-
sr
DECK
PHONE S:
P}ONE *:
fl sronace sHED
-
sF
sF oTHER: - 3OO- F
YesrE
{\9- )tc'>PRO]ECi CONTACI PERSON:
EXISTI1{G Cot{STRUcTIoN:
[.{t rrnlrrolt I renovarroru
! ctr,rtnal aeerrns
I RELocATIoN
NEr^r coNsTRucrrou:
I enecr NEt,ll RESTDENCE or A0DITION TO EXISTING R:SIDENCE.
.+PLEAsE CHEC( AiID AiISI'IER BELOhJ ALL IHAT APPLY TO YOUR PRO]ECT
! oer cannce sr fleoncx
-sF
TOTAL HEATED 5Q FT:
--
TOTAI 5Q
IOTAL PROlEcr C0STir-e.".o'r , , 21*:
rorAL AREA sQ FT:rja:tor'
ttau. trifir'1FT UNDER ROOF:
-
fi OF STORIES:
PROPERTY UsE
/ OCCUPAI'ICY:SINGr E FAi4ItY DUP LEX TO,iNHOUS E
DEIPTION OF(:
D|SCLAIMER I
heieilytertfi uIal6' rrb
OI.'NER/CONTRACTOR:("
6,((.9.\SIGNATURE:
IsAnyEIECTRICAL,PLU8aIIGoTAECHaNICALt'iorkBej.ngOonetotheAccessorySt'uctu'e?
If the pnoject is a Relocation, is there a i{atur,l Gas Line on the Current S
rs there Electricat Powen on this Buildlng?
ffv.t f, ruo
E*o
ves [ ruo
)
ite
{1.oJ.l
.:d ora n6nccs .nc r3?-talons-re\i,CDerelslEcrtS€NrcesCeiln'$,De.al[.ool3nych8:.oear.$eaDp'ortcaransardsrec
can:'8ar?j ,nhmr!a. '-NOTE a,i''.1i < Pe'I
al. Fern!:s(, bc.- V.ral.or orr-r t{C Slrie 8d
|,n ar oi rr
irs sppfcetoi a correcl &nc a, 1^o,i crll clm
t:, * '* he 5'.6!0 SJlr:r g
6de aoC ar obe' erF| .eaie S:aC eri icc€i
3i 5
ngc ^ crr.:re:iJr 3r
i/D -! S50C t:'
rs rHE pRopERTy LocarED rN A F
LooDP LArt{ ?
[ vrs '
EXTSTIiTG U,rPERVrOLrS *tO r 1. 5q rt
NEI,] II'IPERVIOI}S AREA :
I 5Q FT
TOTAL ACRES DISTURBED:
EXIST LA[\D OISTURBTNG pERl.llr: E YEs
(p.:ni,
*i,**:,i* +*:t* r ri: ***+ ++* r*ti -*** +
* r:r
'ti
! ii,*+ i r.* *+x * i+, . Y,r
NO
I-l ruo
r)-?
5
Eg
g
-
I
=5'I\)(.'rA.
E
r.lArER:
El/crpuA fl commurrrv svsrem
f] PRTVATE hlELt
fl ceNrnrl u:ell
sEr.rER:
EfcrpuA fl ceurnal seerrc
I PRrvArE sEPTrc
! cortNurrrv svsreu
-.' SEPARATT PERI.IITS REQIJIREO FOR ELECT, IIECH, PLBG, GAS EQUIP, PREFABS
8 INSER:S -..
PAYMENT iIETHOD:
Ecrsx E CHEC( (PAYABLE
IO I'lllC)
* -+: r !x*.r +r,i':**a+r* ll
I arr,l accurrir E n./urr^ [ orscover
(Foi oErtaa u5!:;"7
r'!va .3O' ^r'r.l/A ,'
=:6!
f\Arnintrm
95
slJ ,,irE eal;:/
ri
TBACK5:
Approval;- city lrj I Lt\Aoarr ',-
5 rlooo:BFE+2ft=
PERI'IIT FEE:
tComnent'
l0
5
tlo enroocitrrr*ilrio
oafEt
)-)21{
{
.L.---------.---
.o*r,
fufQ. oFFrcER: tvr1
\\
\
U 7e tS.Zo
w
/r?Ln-T
APPLICATION
Number
.ffi
APPLICANT,S NAI'IE:
DEVELOPER:
NEt^l HANOVER COUNTY BUILDTNG PERMIT
APPLICA|ION TYPE..
RESIDENTIAL MOBILE HOME
PLEASE PRINT CLEARLY & ANSWER
ALL QUEsTIONs
"Project Responsibility"(office Use)
DATE :
E *,
PRO]ECT ADDRESS:
SUBDIVISION:
CITY:ZIP I
BLOCK *:LOT #:
PROPERW OhINER' S
OI,,INER'S ADDRESS:
coNrRAcroR: ll n\r rhdl
NAME:
CITY:
LICENSE *: 2 0
CITY:
r:*,]Vrp@*
srff L :-:o,tF4ff
PHoNE f: q/0- {0t/-7JJ
PHONE T:
3/7q
ADDRESS:
#,
L ADDRESS
ECT CONTACT PERSON:
eerrFino 46aT .Xc t- "ttrr.* o,-.THAT APPLY)
ffirrororro" oF usED MoBTLE Hor"rE
fl rnsrall NEt", MoBTLE HoME
DEscRrprroN oF woRK:
:f{ fn tlL ,\f},"./
owNER/coNTRAcr o* LhA 6o\h^lrnh4
rs rHE pRopERTy LoCATED rN A FLooDILATN?
ffi", ff no
pRoPERTY USE/OCCUPANCY:
I neSrOeUCr
/ OrHER?
,uo ,orrr, D1 (63d t(
*irl be
'n
V'olaion ol the NC
Stlre alllO Code 6nd Suq€d ro Fincs Up To
1500.00"
1
2
ZONE:OFFICER:
I4ANUFACTURER:
/)an=,brl SERIAL #:
SETBACKS: F:- LH:- RH:- B:-
/,/)/-SIGNATURE:
,*
* *** )** * * *,t,*,t,t rt,r + + ,i:* *,* * * ** * * ** ** *,* *,** )*
**,r **,i***,* * *** * )* )r,*
*,* ,*
* ++ *,**** )*,**,f** * ** !i,r,t + * *,*1. i.,i l. *
6lo sJ
vean mnoe:
l{S 3wrDTH:
L8 rcnerHi {f1 .)' coloR:
DECK:
E YES
SiIOKE DETECTOR:
zJ
sF PoRcH:
E vrs El--ruo
ves
I no GARAGE:
[ ,es
ff*o
-
sF
SF
EgHURRICANE ZONE:
NO
TOTAL PROJECT COsT (ress
ror):
t I
5, OAO--------.-....._TOTAL ACRES DISTURBED:
EXI5T LAND DISTURBING PERMIT:
I_I VES
I_I NO
WATER:
E CFPUA
sEwER:
E CFPUA
*,I* SEPARATE PERT,IITS REQUIRED FOR ELECT, I.IECH, PLBG, GAs EQUIP, PREFAES
& INSERTS **'i
pAyMENr rlETHoD:
I crsx I cHecx (PAYABLE
To NHc) [ rulenrcm extness
E rclrrto ! orscovrn
-Jl-'l cor,uururrv sysrrm Z,pnrvare wer-l
I cr
[ .rrr*0r. serrrc [[ nnrvore
srorrc-3
NTRAL hELL
COMMUNITY SYSTEM
REVTSEO 4/ 12/ 12
(roR oFFraE usE oftLY)
Appnoval:_ City:_ DATE:_ FLOOD;
_ BFE+2ft=
AVN
Comment:PERI4IT
FEE: $
PHONE
n)
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIOII 7'YPE.. SIGIiJS
/ BILLEOAROS
PLEAS€ PRINT CTEA'LY & AI\IsI{ER ALL qJESTIOII'
"Praject Responsibility"
?Ez t5 - l-oqq
APP
LICATIOTI
unbar
(offlc. Usr)
oo"ll4h4
5
#
IPPLTCAXT'S
'UI'{E:DEVELOPER:
?t,abmw\
PloalE i: _._. _
PRO]ECT ADDRESS:
9:
OCCUPAI.ITIBUSINESS NAXE :
PROPERTY Ot/tttR'S IIAHE:*w
*t r^,s monrss, \ )L5
COl{TRACTOR:
AOORESS:
EHATL AODREsS:.Sct
PRO]ECT CONTACT PERSON:
l<'
LT
[-1 rnersraHorHe (6round ). , SHIT/6LE
d
CTTY:t
y'\_._ ,,,
-. 5T!
. ?.tp{2*q)S
PHOtlE *:r0-l^\)
9rp
-spps
PHONE #:
rr,NL.rr784lLI
(CHECK
ALL THAT APPLY)
t0- 362-4rbo
a^
vryrId
PHO}IE {
IR
nl E NL ARGEt
eESCRI
t3n
PTrfa{
?
T
rs srcN(s) oat oR oFF PREnISES?
f$ or [f, orr
DISCIAUI€R: I h6E!y <er1,ly lt l all hrarn.tion n lhti 3pdlcalion ,! con€cr ad alr
$rorl i.ll comFy ri$ tll6 Siale
drd ddiEnc€. and rc@a.tr*, llE NHC O6€lopm6n S..!i..6 C6l€. uil t6 not f'.d
d .ny
drg.i io
th.d
cis!. h
cdli.rd.. or
.dr'aiio. irl h.rid -tlOTE: Any Wer Paldmdl w/O th6 Appropiial€
Psmhr w bo in Vldaoon or lh€ NC3500.@-'
OT.'NER/CONTRACTOR :SIGNATURE:
* r tr*a *l**ta,r r I * a* 1* *** +* **** *+* * a *!t* * **!t,lt1t*,| + +,*** a ra * +* *,| *,t rr*+at*** **+*,|t + *,1* *,t,;a
TYPE
OF SIGIi (S )
nmC)m
m(,
C
T\9
co
e,
mARqJEE [_r RRo: ec"rror
i.rALL i .- oroev
ROOF
OTHER
&n
LIllZ tub.pd
tl*l,ia,
SI6N
1 Helght:
5161 2 Helght;
5I6N 3 tieight:
SIGN 4 Height:
1t,/22rI' q-o
I$E*,4'-. - 4l . .. Totar sQ.Fr. or srsn:
: , -D-b-" rotal
'Q.FT.
qr sisn:
Total Number
of Signs on
thi.s Project:
Slgn Dimensi.ons:
Sign Dimenslons:
sign DimensLons: ,TotaL SQ. FT.
of Sign
TOTAL PRO]ECT
cosr: i3009, c-() rs rHE pRopERry LocArED rN A FloooplArr,rl
f] ves E no
,*. SEPABAT€
PTRXITS REQUIRED FOR ELCCTJ XECH' PLAG'
645 EQUIP, PNEFAES
A IIsERTS tlT
pAriEr{r
iErHoo:
[] crsn H cHecx (pAyaELE To ]rrc) l-'] Ounrcur
rxnness fJ rrlvrso I orscore*
'!*** ***!l*t *r rt *tt *****ar**a,f**+*t*a++a+*ta1*,t ***,*:t, * *** *t,l!t****,r*r,l***..*
zrr+ftt
eB oFFrcER:
#Approval:__ L-tty: hig DATF
x
Sign DiDenslons: X
__-,,- Total Sq, FT.
of Sign:
(FOT OFFTCE USE
O{LY) , RE\,ISEO OAIE !/
, sETBAcKs:
r: lt LH: LL an * e: *:-thth{ F[ooD:
-- - V srr*:ft=t I ;- v -;^
xL-
Corrrent:
eflv hsD*mfl ngcli-tr&', fl e254fl0ff
Rxrr FEE : r
%rllso(
CITY:
LICEITSE *:
{\U WZ l*LDqL
2ot,S-" 7C-o
2-
NEW HANOVER COUNTY BUILDING PERMIT
aPPLICATIoN
rYPE: DEMOLITION
APPLICATION
Number
PL€ASE PRINT CLEARTY
& ANSWER ALT QUESTIONS
"Project Responsibility"
APPLICANT'S l,lAME: Sterlin<-r austom construction Llc DATE:
DEVELOPER:
Sterlinq Custom ConsLrucLion 1Ic
(Offi.e use)
1
/'t /75
PHONE *: 9ta231ta44
PROJECT ADDRESS: 95 Beach Road south
SUBDIVISION: Fisure E j.qh! Island
PROPERTY OWNER'S iIAME: Kenneth Budd
OhINER,S ADDRESS:
96 Beach Road sourh
CONTRACTOR: Sterlinq CusEom Construction llc
ADDRESS: po box 11186
EI'IAIL ADDRESS : sterl inqcusEomconstruct ion@qmai 1
C ITY:wi lminqton
CfTY: wirminq
LOT f:
970-237-1844
T: NC ZIP: 28.rr 1
91o2371A44
9102311844
ST: NC ZIP: 28404
BLOCK S:
HONP
E#
5CITY: wilminoron Nc
LICENSE S: 6a'7 2a
PHONE #:
PHONE
f:PROJECT CONTACT PERSON:
Jeremy sishop
DESCRIPTION OF hIORK: Demol-ition of a Sinqte family residence
(lJhat lype of Buitding Do You lant To Oemolish?)
and ordinances and regulations. The NHC Development Services Cenler wall be notifed ofany changes in the approved plans and specifcations or change in contractor or
conlraclor informalion.
"'NOTE:Any Work Performed W/O ihe Appropriale Permils will be in Violalion ofihe NC Siate aldg Code and Subjedio Fines Up To$500.00"'
OhINER/CONTRACTOR: sterlinq custom consiructionllc SIGNATURE:
NHC
INSP
DEPI.
I^IATER:
SEWER:
CF PUA
C FPUA
COMI4UNITY SYsTEM
CENTRAL SEPTIC
tra PRIVATE I^lE L L
PRIVATE SEPTICCOMMUNIry SYSTET1
Noto: The National Emission Standards for Hazardous Air Pollutants (NESHAP) Regulations Require thar you contact lhem at (919)707-5950 at teast 1O
days prior lo the demolilion of any facility or building, whether the facility or building was found to conlain Asbestos or not. Demolition notifications &
asbestos removal pelmit applications are to be submitted using the applicalion form (DHHS-3768). This form can be found on the web site shown below
Note: Obtaining a demolilion permit from the NHC Inspections Depl. does NOT satisfy or meet the notification requirements of the HHCU (Heallh
Hazards Control Unit). 'Keep in mind
lhat an asbestos survey is required by a NC accredited asbestos inspeclor prior to any renovalion or demolition ol
a lacility Please see the Asbestos Web Site hnpJ/www eor state.ncus/epi/asbestos/ahmp hlml
PAYMENT Ii]ETHOD:
flcasx I cnecr (eAvABLE
ro NHc) flamenrcar rxeness
tr tlclvrsa
tr OISCOVER
+ ** * * * * **,t*,i,t,t* * * * *,*
*+*** *,t )t* * *+
** * +* x*)**,*,** +** )i* * )*** * +,* * + +* * )t* * )*+*)N* )*
* * * * *+ + !**,t***xji,*,* )*
OFFICER:
(foR 0FFrcE usE oNLY)
SETBACKS:
F:_ LH:
_ RH:_ B:
Approval:_ City:_ DATE: FLOOD: BFE+2ft=
l
Comment:
@
zIP | 233JJ_
* x,* *,** *
+*** + + *+ * * ** * ***** * *tll'll JlTl ** **** * ** **,r )** x x:r++* x
+* * +**,r )r*)k* * * )r* * *:r +,* ,* r. + *r(,( )r,i r( )r )r*
rs THE PROIECT: p neSrOeru
Al / E COrlrrnCral ToTAL ACRES DISTUREED:
ToTAL PROIECT COST 1r-ess r-os: $ rrooo EXISTING LAND DISTURBING pERt4IT? fl VeS I fO
DOES THrS STRUCTURE
OR BUTLDTNG CONTATN aSBESTOS?
E yES EI NO
/x,
rs rHERE
A NATURAL
GAs LrNE coNNEcrED rO rHrs BUTLDTNG?
EI yEs EI NO fr[c[:'i:
rs rHERE
ELEcrRrcaL poh,ER oN THrs BUTLDTNG?
[ vrs ft rc JUL 2$ :115
ZONE :
PERI{IT FEE: $
\\\\
Wl,tL TTLbUn) S -l l"4at.-voo
W11(
Aote -
boo
APP L ICAT
IOI{
ilulbe
r
(Offtce Use)
fre
ffil:
"CB
NEI^I HAI{OVER COUNTY BUILDIIIG PERMIT
APPLICATIoii
IypE: C0ftlME
RCfAL
pLEASE AllShlER ALL QUESTIONS APPLICAaLE
To yO{rR pRolEtT
"project Responsibility',
APPLICA|T'S AliE: cnA Congtruction Inc.
DEVELOPER: clen11 r{ Hodqes
PROIECT ADORESS,
aal- A ora o"i.v pa CTTY:wi
Iminqton
OCCUPAI{T/BUSI ESS t{AllE:
ro be determined ( Rent
a1 ProDertv )
PROPERTY
Oi{{ER'S NAltlE:
Glenn ws PHo
E *!
ST0t IER'S ADDRESS: 3911 wriqhrvitle Ave
CONTRACTOR: cRA Consr
ruction rnc
ADDRESS:
1080 Morehead Rd
CITY: wilminqton
970 - 191-9245
Nc ZIP:28403
ST: Nc ZIP: 28461
PHONE
#: 910-36'7 3426
PtloilE *: sto-367 -3426
CfTY: sourhDort
ElilAIL ADDRESS: qraconstrucrioninc @yahoo. com
PROJECT COiITACT PERSO
: euv R auqer
Exrsr cor{srRucrror:
n ALrERArroil
E *rr,lifrirfir''EE'iil^. nemrns
! RELocArror{
lf Rolocolion. istherea Naturat Gas Line on rhe current site? l_lves
!No ts aroc
spnlNrlrneor Iv"s !ruo
NEl.l
cotlsrRucrro,l:
I enecr NEH srRUcruRE
! rasr
rnlcr
! sxelr-
! uerrr
! mo ro Exrsr srRrrcruRE
ACCESSORY STRUCTURE: none
If UPFIT
- The
Shell Permit *:
ARCH DESIG PROFESSIOIiAL:
David Sims & A6Eoci.ates
EI{GR DESIGT{
PROFESSIOML: GEO
Structural Enqineerino.Inc.
PH: 910 - ?1-8015 NC REG
*i c-11s0
PH:919-881-9960 NC REG
*: C- 876
DESCRIPTIOI{
0F I{ORK: pre Enqineered Me
La1 Br.r i ldinqs
DISCLAIMER: ,
hergby cerrfy thst att rntonhs0on tn thls appticaoon is corr€ct and
6 wo.k wilt comDlv with ihe
and.local l6ws and ordinancBs 6nd ro€ulations. Th6 NHC Developrnoht S6Mc€s C6nt€r willbe notifi;d otBnvor chanoo rn conrEclor or cohlrector intormFrion. "NoTE: Any work P€rformed
wo the Appropnate p6rmi[s
Subjectlo Fin€s Up To
$500.00*
all olherapplicable State
plans and specillcatrons
NC Stata Bldg Code €hd
ls
fuod or boverag€s Fepared o. s€n ed ln this
aruaure?
flyes
OWNEFI/CONTRACTOR:Guy R Auqer
BUILDING HEIGHT: 25'6,
r No ls The Property Located ln The Floodplain?
lyes r No
Slat6 Buildrng Cods and
chthep
the
(olldr, edir N.rr)
Nolc: D.molitioh notillcation6 & ssbcsloc rG.novel pcrmh applic.liom arc to bc .ubrnit!.d u.ing lh. Epplic€lion
condn Arb€686 or not You .r. r6qdrod
b c€ll dl6 Nstirnal Emiision
$and.rd.Io. ttezrdoG Air pollut nts
demoliton of Eny h.jlity or building. S€r A!b.!tc Wrb slE:
SIGNATURE
SQ FT PER
FLR:
soo2
sq fr
# OF STRUCTURES:
r
folm (DHHS3768) wh.th€r
h6 building
wls iound io
(NES AP,
rt (9t97O7-5950 rt toalt 10 d€ys
Fix b rh6
# OF UNITS: 1
# OF STORIES:
r
# OF FLOORS
ACRES DISTURBED:
2.e acreas
NEW IMPERVIOUS AREA: 13e30
WATER BCFPUA
SEWER:
m CFPUA
1
EXST LAND DISTURBING PERMIT?I ves f]ruo
SQ FT EXISTING IMPERVIOUS AREA:0
SQ FT
pRopERryusE: EloFFtG [nesraunnrr f]uencemrr-r
[eruc
f]rr flcomo
EcouMuNnysysrEM
LlwELr EzoN[.lGrJSEcLAss
LJCENTML SEPIC LlpRtvArE sEpTtc
fl coMMUNrTy SYSTEM
IFICATION:
rndusrrial
* S€PARATE PEFtr,IITS REOUIRED FOR ELECT, MECII. FTBG, GAS EOUIP, FREFABS A NSERTS -'
PAYMEhIT
ZONE:_OFFtCER:
(FOR OFFTCE U8E
O L'
SETMCKS: F:
I DISCOVER
REUAED DA'IE ,l/I 1/I 2
Approval:_ Crt},l_DATE: FLOOD:_LH:_ RH:_ B:
BFE+2n=
NComment
tr
Z ctrp tt*
A
PERMIT FEE:I<60U"-
DATE| 06
/ o't
/207s
PIOilE
*: sto-'tr--924s
ZIP
i 2a4o5
LICE SE #: s4
9?s
Is Elect Pouer on this Buitding E yes E] Ho
*r.*** rs rHrs A cHAt{cE
oF occupANcy
user
flves Il,m *rrr*
IF Yes,
rhat was
the previous Occupancy Typet _ Hhat is the t{fl Occupancy Type} _
TOTAL PROJECT
COST: 92oo, ooo. oo
TOTALAREASOFT
: soo2
60 fr
TOTAL SQ FT UNDER ROOF:
soeo
sq f
OTHER:
wharehouse/of .
\
NEt^,| HANOVER COUNTY BUILDING
APPLICATION TYPE: RESIDENTIAL
?(.2 t5 -tsuY
PERMTT &Ot5 -l!d&
APPLICATION
Number
(office Use)
PLEASE ANSI,{ER AI-L QUESTIONS APPLICABLE TO YOUR PROJECI
"Project Responslbillty"
APPLICANT'S NAmE: Thomas Byrnes DATE: oz-20-1s
DEVELOPER:PHONE #:
PROJECT ADDRESS: ?33 Robert E Lee Drive CITY:wilminqtonZIP: 284a3
SUBDIVISION:BLOCK fi: 1?
LOf *t JS2_
PRoPERTY ol,JNERr S NAI'1E:Thomas Byrnes & Mehdr Kazemi PHONE S: 443 so4 8091
OWNER, S ADDRESS: 733 Robert E Lee Drive
CONTRACTOR:
ADDRESS:
LICENSE #:
CITY:ST: ZIP i
EIiIIAIL ADDRESS:PHONE S:
PRO]ECT CONTACT PERSON: ,rohn ByrnesPHONE #: 9aa 512 -'7 44t
EXISTING CONSTRUCTION:ALTE RATION
@ n rr,rovnrrou
!GENERAL REPAIRS RE LOCATION
NEI,/ CONSTRUCTION.
I CNTCT NEW RESIDENCE O"
! NOOTTTOru TO EXISTING RESIDENCE
'I.PLEAsE CHECK AflD ANShJER BELOI,J ALL THAT APPLY TO YOUR PRO]ECTI
fl oe r cnnace sr
! concH
-
sFATT GARAGE
-
SF
5UNR00I4
_sF
GREENHOUSE SF
POOL
DECK
SF STORAGE SH EDSF
SF
SF OTHE R:
TOTAL HEATED 5Q FT:2352 TOTAL sQ FT UNDER RooF: 3211 ToTAL AREA SQ FT:
-
DESCRIPTION 0F WORK: Renovate existi nq bathroom
DISCLAIMER: lhereby certfy hat all inhrmation in his applicalion is correc
and ordinances 6nd €gulaiions. The NHC Development Services CenEr wil
contactcr inbrmation.
'-NOTE: AnyWork Perlonned W/O he Appropriale
OIINER/CONTRACTOR i rhomas Byrnes
tand all work willcomply wilh lhe State Building Code and alloher applicable SiaE and local laws
lbe nolified ol any changes in fie approved plans and specificalions or change in
contracbro,
Pemirs wirlbe in Violation ofthe NC Srat€ Bldg Code and Subjecr b Fines Up To S500 00'-
'TGNATURE:Thomas
C Byrnes
ffi:;
E NO
(Print r,l** * * * *r( ** * *,i(,*r( * * + *,t * ** )**
** * )*
*,* * *,t {, * * * i {, r. * * ,t r, * + + + i + + i + * * * + ,*
* * * )*
* * * * * * * ,*
* * * * )*
* * * * * * * i( ,t * i! it
*
umc)m
mo
\3
o
l\,o
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING II'IPERVIOt,S AREA:
-SQ
FT
NEW IMPERVIOT,S AREA:
-
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERIlIT:YE5
I-l ruo
YE5
WATER:
SEWER:
CFPUACOI'IMUNITY SYSTE14 PRIVATE l,^lEL LCENTRAL l,,lE L L
creua
fl cENTRAL sEprrc
! nnrvarr secrrc COMMUNITY SYSTEI"I
**+ SEPARATE PERI,IITS REQUIRED FOR ELECT, T,IECH, PLBG, GA5 EQIJIP, PREFABS
& INSERTS **'}
PAYIIENT METHOD:
E COS'I cHEcK (pAyaBLE
ro uc1 f] nre nrcAr.r ExpREss
I rclrrso n orscore*
********,i***)F*r(*,t**,t+**ri*+*+*++,i+*,f,*i(++r(t++)t*++*,i+**+,i*+***+,i++++,fi(+,t)F,t,trk*)F**,F,t*******t*
ZONE : _ OFFICER:
(FOR OFFICE UsE OJLY) REVISEO OAIE O4lT1l12
SETBACKS: F: LH: RH: B:
Approval:_ City:_ DATE:_ FLOOD:
_ BFE+2ft=
_
AVN
I
Comment :
PERMIT
FEE:
$-
,/7
CTTY: wilminoLon ST: NC
ZIP: 28401
tr
TOTAL PROI ECT C05T (ress
rog : $
..E-.S-qp--S-9- # 0F STORIES :
Is Any ELECTRICAL, PLUI4BIIIG or IECHANfCAL llork Being Done to the Accesso.y St.ucture)
fi V"t I Ho
If the pnoject
is a Relocation, is there a Natural Gas Line on the Cunrent site? [ vet I uo
rs there Electrical Power on this Building?
lr-l ves
l-'] ruo
PRoPERTY USE
/ OCCUPANCY,
I SrrOrr rnmrr-v
! ouelex I rowNHousE
Aua.6.2015 9r56A|14 BYRNES SERVICES, INC
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATIOTI ryPE.. RESTDENTIAL
PLEAsE ATIsI{TR ALL QUESTIONS APPLICAELE TO YOUR PRO]E(T
"Project Responslblllq/'
./: l, '
l.: m;;
APPLICAI'IT,5 t,lAHE
I
DEVELOPER:
)ot1-?5C
N0,9452 P, l
DATE: o7-20-1sTholllas EylneB
PHONE #:
PRO]ECT ADDRESS:713 RobetE E Le6 Drive
SI'BDIVTSION:
PROPERW OM{ER'S MI4E:1'homas Bvrnes & Mehdi (a
OI'INER'S ADDRESS:?ff RoborE E Lee Drive
Ti+.^*< Erv*s
CITY: wilminqron
Pllol{ E #: 443 s04-soel--
CITV! hilrornoton ST: NC ZfP: 28403
zlP t 253!t_
769
LISEN5E ft "; ) 4
IrY:
JJlr.*rrrr(4sd.- sr,!L ztq t
4!:82
PIONE *: qtD 5lz'"9{ I
CONTRACTOR;
ADORESS:
EI.4AIL ADDRESS:
€ buc)!
a.a e(",t ' <o
a*.
PRO]ECT COiITACT PERSON I,Iohn Bt.r:.leBPHONE T:910 512-?441
ExrsrrNc coNsrRucrroll:
f| alrrnarrou
fl nrruovarroru
[orlrnlr neeelns
I RELocATToN
NEW coNsTRUCTroN,
I tnrcr NEw RE5TDENCE o" flOOrrrOt rO ExrsTrNG RESTDENCE
*.PLEAsE CHECI( AND AI,ISI,iER BELO{.] ALL THAT APPLY TO YOUR PROJECTI
f] rrr canaee
-
sF ! orr eanaee sr
E poncu
-sF
fl suunoom
-
sF f| eoor-
-
sr ! sronaoe SHED
-
sF
! enseruHouse
-
sr I orcr
-
sr OTHER;SF
TOTAL HEATED SQ FT: jf!?- TOTAL SQ FT UNDER ROOF: 3211 TOTAL AREA SQ FTr
-
TOTAL pROIECT CoST tr-eas L.0 : $
fl,-9i9.9.9- # OF STORIES;
Is Any ELECTRICaL, PLt I.{BING or i{ECHAl,lIcAL tlork Eeing Done to the Accessory Stru(ture}
lS Ve" [ ruo
If the pnoject
is a Relocation, is thene a Natural Gas Line en the (0.rent Stte? [ves [ ruo
rs there Electrical Powei on this Buildlng?
flv"s IHo
PRoPERTY UsE
/ oCCUPANCY r5TN6LE FAMILY
I ouer-rx
! rowlruouse
DEsCRIPTION OF hIORK
i Renovate eilscind bathroom
DECLqttER rhe,Eby
ce.rrt hat arr rnbrmarbn ln
thlr.PPrcdbn E cored sd sn w.twlll
snd ordlr.ncss srd llgulsooni.'Iho HC Oev€loPmsnl SErules CsnErwiU b€ nolif6d of
conrebr hbm.rirrr. *NoTE: anywort FsrbmEd W/O tre Approgria6 P.imta wil !a h
Ol,ll{E R/CONTRACTOR : %
6mplywlh $e $a16 Building C6d€ 6nd al ofi6repl,c.bl€ Slab.id bcellawE
y
chtngss h ths Bpprovsd plan s 8nd spocifcalions o/ <lrdD? in contralDr ol
Vobtjon orltc NC
Stat abg @.,e sd Slbl{t b Fln€!
th To
$soo.o(r-
sTGNATURE: Thomas C Byrnes
IS TTIE PROPERTY LOCATED IN A FLOODPLAI ?YESI NO
EXrSTrilG IIIpERVIOUS AREA:
_SQ FT IOTAL ACRES DISTURBED;
NEUI ITIPERVIOUS AREA:
-.SQ
FT EXIST LAIO DIsTURBTNG PER}III: Q VTS E M
NArrR
r
@ creua
! coMr'ruNrry svsreM
fl pRrvATE WELL
f] cerurur well
sEHERi
m cFpuA
Ef CENTML sEPTrc
! rnrvrre stprrc
E co$r,ljNrTy sysTEM
". sEPIRAYE PERI{ITs REQI.IIRED FOR ELECT, IIECH, PL8G, GAS EqJIPJ PREFABS
& INSERTS 'T'
pAyrEnr rlETHoDr
E cns, Ecrrc* (pay^B[E
m ruxc;
I ulrnrcm rxrness
I ncT,rrsa florscoven
+ + ** * **** * * *!***,1*rl !*
rt*tl rlrB,l.* tt*rl I ** * * *{r* ri,r*,ll rt* * |f,*,l ,t
*,t***+*,t+t+ tr* +.*+++*.. *ca +** +:}**** +* *:l*
MNE: OFFICE R:
(roR oFfIcE usE oiLY) tavtgEo DAT! 04111/12
SETBACKS: F: LH: RH: B:
ADoroval: Cltv: DATE: FLooD: BFE+2ft=
AVfl
Coflnent: PE[U,|IT
FEE:
$_
/
lp-ifi?-arror
Nunber
(offiEE use)
ALOCK s; 17 LoT
fi
de
ff t-1'4Y
NEt'l HAI\IOVER COUNTY BUILDIT{G PERMIT
APPLICATI T IYPE: CfiItlERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResponsibiLity''
Aas-bo1
APPLICATIOT{
Number
(offtce Use)
APPLICAI{T'5 AIIIE: GRA Constructi.on rnc.
OEVELOPER: Glenn w Hodqes
CITY: wilmin ZIP:2B4os
Pll(nE
*: 9to-'7s1- 924s
ST:I!_ ZIP: 28461
PIOI{E *: g1-o -16't -3426
PROIECT ADDRESS:
;LA I
- l o1d oai Rd
oCCUPAI{T/BUSIIIESS NA E: ro be derermined ( Renral property )
PRoPERTY
oN{ER'S NAIiIE:
Glenn w Hodqes
OtfiER' 5 ADDRESS:
3911 writwi11e Ave
COiITRACTOR:
cRA Construction Inc LICEI{SE #: s4
97s
CITY: southport
EIIAIL ADDRESS: qraconstluctioninc@yahoo. coft
(che.k A11 lhat Apply )
EiIGR DESIGN PROFESSIOML:
ceostructural Enqineer
inq, Inc.
DESCRIPTIoI{
0F IIORK: Pre Lyrqineered Metal Buildings
EXIST COiISTRUCTIOI'I :
lf
Rdocation, is there a Nalural
l{E}l
cot{srRucrrot,
I rnrcr Et{ srRUcruRE
f] rmr rnlcr
! sxer-r-
! urrrr
! mo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE: none
If UPFIT
- The
SheII Permit #:
rs Elect pol,er on this Building n yes!NO
*.*t. rs rHrs A cHAirGE oF ocqrpal{cy
ustr flves r
IF Yes, what lras
th€ Ptevious Occupancy T!pe?l./hat is the t{eu Occupancy Type?
ARCI{ DESIGN PRoFESSIOML:
David simE & Associates
ALTERATTo{
J-l nruwarror
l-l erlenal neperns
l-l RELocArro{
Gas Line on the rent
Siter
f]vF[ uo rs gl-oc spffixreneor
I ves
f] to
PH
PH
: 910-791
8015 NC REG *: C-1150
: 919-881-9950 C REG *: C-8?6
DISCLAIMER: I hereby certit that all informstion in this applrcation is
corroct and
a work will comply with the
and loc6l lsws and ordinances and reoulations. Th€ NHC D6v6lopm6nt SsMcos C6nt6r will b6 nodfi6d of anv
or ch8nEs rn contraclor or contractor informatjon. "'NOTE: Ahy Work Por{ormed w/O th€ Appropriats pemris
Subjecllo Frnes Up To $500 00-
hd specific€lrons
le Bldg Code and
ls food or bcv*ages propared or servcd ln tHe
anraue?
lVes
OVVNEFYCONTRACTOR:Guy R Auqer
(oldbo {P'elr N.,rr)
Nob: Dernolitirn noli{c5tion. & eb*b. rdnovsl pGrmit
.ppli:stion!
.r. to b..l.6m
cont in Asb.aba or not You 6r. r6quir6d
b csll flo Nltioflll Ernbsion
St nderd! fo.
d€molilion ot Eny
tsdlity or building. Se. A!ber!o! W.b SE:
I
No ls The Prop€rty Located ln The Roodptain?
[ves!No
Stat€ E[ilding Cod€ and allother applicable Stal€
the a
the
plans a
NC Sla
SIGNATURE
itbd using
hc epplication iorm (DHHS3768) wh6hu buildiru wa found lo
Hszardou! Air Pollutsnt6 (NESHAP) et (919)707-5950 sr toast 10
d6y3 Fior b th.
d
FICATION:
rndusrrial
I
WATER:
SEWER:
CFPUA
CFPUA
aa ECoMMUNITYSYSTEM
flwEr []zoN[.tct,SEqrsst
EoENTRALSEmC EpRrvATESEmc flcoMMuNrrysysrEM
- SEPARAIE PERI'ITS REQUIFED FOF €LECT, MEfi, PLBG, GAS EOUIP, PREFABS & INSERTS *'
PAYMENT
METHOD:
[CnSn I ctrEo((pAyABtE
ro
xxcl lnnenrcm ExpREss
[ucrursr f]olscown...........
(FOR OFFICE U8E ONLY) RE\'sED OArE "Il'I2ZONE:
. OFFICER:_ SETBACKS:
F:_LH:_RH:_ B:_Apprcval:_ Cit}r._ DATE: FLOOD:
_ _ _ BFE+tr
AVNConrnent pERMITFEE:
w
DATEt JSJ9ZJ29JL
Piot{E *: eto -'7
sr-s24s
CITY: wilminqton ST: Nc ZIp:28403
ADDRESS:
1o8o Morehead Rd
PROIECT CO{TACT PERSoI{: Guy R auqer PK)I{E *: eto-367-342,
TOTAL PROJECT
COST: $2oo,Ooo.oo BUILDING HEIGHT: 2s'6" #oFUN]TS:
TOTAL AREA SQ FT
:j9.9.2._Ec_l!_ SQFTPERFLR: soo2 Eq fr # OF STORTES:
r
TOTAL SQ FT UNDER ROOF:
soeo 6o
f #OF STRUCTURES:
r *Or TIOORS: F-
ACRES DISTURBED: 2 .
9 acTeas EXST LAND DISTURBING
PERMI?
MYES fI No
NEW IMPERVIOUS AREA:
13e30 SOFT EXIST|NG tMpERVtOUS AREA: o SOFT
pRopERryUsE: EloFFtcE [nesrnumr\n luencer.mue
[eurc
f]arr lcoNoo oTHERltrer9.hes9sl,9!_
CiYJ
ADDRESS:
EMAIL ADD
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLIcATIott IYPE r RESIDENTIAL
PLEASE ANSWER ALL QUESTIOI{S APPL]CA8LE TO YOUR PRO]ECT
"Project Responsibility"
wLtt-21@a
,olS
-.]s
APPLICATION
Number
(office use)
APPLICANTJ S NII,4E :(
DEVELOPER:
PROJECT ADDRESS I I^ ),\Ifo *t i c,L Ln
SUBDIVISION:
PROPERTY OWNER'S i,IAME :
OWNER'S ADDRESS:L
CONTRACTOR:(
DATE: ?
L LC PHoNE #:
CITY:
U',.\ I\\c.tr,.\
;Loai tr LOT f:
1
ZIP i
)gqc.t
PHONE #:
CITY:
c
gcE
ITY:
NSE #:
ST: A,e zIP:
LilOq
sr
N( zrp
' <gil_.,t6
PHONE f:
Carvt
PHONE f:'aq-(cl
RESS:
suNRooM
_ sF
irrn l:rtrrv O e.Lrrrit naAorrr-l,,l^*rMq<)r\r; ({s LLc q/o'z"Y-rql9
PRO]ECT CONTACT PERSON:
RENOVATIONGENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:
\
ERECT NEW RESTDENCE
o"
I nOOrrrOt TO EXTSTTNG RESTDENCE
*,}PLEASE CHEC( AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
! nrr carurce
_ sF ! orr canacr
_ sF
!PORCH SF
STORAGE SHED
-
SF
GREENHOUS E
-
SFSF OTHE R:*,<.
sF
230
TOTAL HEATED SQ FT: -'c .- TOTAL SQ FT UNDER nOOr:
ai{ ) TOTAL AREA SQ FT:
,{g o
TOTAL PR0IECT COST ruess rot) :
$ j b,zq,s# OF STORIES:
POOL
_ SF
D ECK
Is Any ELECTRICAL, PLUIIBING
or MECH,\NICAL Wo.k Being Done
to the Accessor-y
Structure? E YeS
PROPERTY USE
/ OCCUPANCY DUP LEXT0t^INH0USE
DESCRIPTION OF WORK:o xtLnd. o
-,^rr-0,r.\ rr
r cL- C r
Sxzo *o l./ v.l-o
contador rnlormaton "'NOTE iare Perm[swrllbe rn volaron oirhe N(- sraF Bl.lg Code and Sublecro $500.00'-'
OWN
SIGNATU{J Ah* * * * * ** * *** * x * )* )r*
d.
If the project
is a Relocation, is thene a Natu?a1 Gas Line on the Cunnent Site?
[ Ves [ ruo
Is there Electrical Powen
on this Building? Elt"r E Ho
\ rrro,, ramrrv
!
Rr-', )d r, n'ru n r.l <1 .',a
Orr Aoc'r- tr':l i "h L/o.rrl+zd c o lt Y1 rl,
and ordioances and regulalDns. The NHC Developmenl S€ruices Cenier willbe noiifred
ofany changes in
lhe approved phns and specilrcations or chEnge rn
conrra(!]r or
*,* *,**,*,r *,f* + )t* +,*** * * )***
*** * )** * ** )** *,**+ )*
*
IS THE PROPERTY LOATED IN A FLOODPLAIN?
EI Y
Eruo
EXISTING IMPERVIOUS
AREA:
-SQ
FTTOTAL ACRES DISTURBED:
NEW IMPERVIOUS AREA: _SQ FTEXIST LAND DISTURBING PERIiIIT:
l-l ves
I-'] ruo
FPUA
COI4MUNIry SYSTE14
PRIVATE WELLI,/ATER:
SEWER:crcua
I CENTRAL sEprrc
! enrvarr
srerrc
!
CENTRAL WE LL
COMI"IUNITY SYSTEM
*** SEPARATE PER}1IT5 REQUIRED FOR ELECT, I.1ECH,
PLBG, GAs EQUIP, PREFABS
8 INSERTS ***
pAyr4Er{T
rilErHoD:
Icos, lcrecK (pAyaBLE
ro tncy
I mrrnrcAN
ExpREss
E r.rclvrsl Et orscoven
* x+* r*
*,*:*+** * **,i *** )* )*** * r* r*,t
* r*+* *,**,tx**,*+,*,* *,1+* **,*,Nx*x * *++,t+,1. x*,i,*x *,1rt rt
*+,t *x* x* x* + r***,t,t** x *
ZONE
OFFICER:
Approval:_ City:_ DATE
:_ FLOOO
(FOR OFfICE U5E OiILY) RIVISED DATE
O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
BF
E+2ft=
N
Comment :PERMIT FEE:
,,<..o.;:.i
'ffi
--1-
EXISTING '0"'*""0}gnrrrRarroru
!
(
NEh' HANOVER COUNTY BUILDING
aPPLICATToN rYPf : DEI4oLITION
a("e $ -t{b1
2DtS--15 / )
APPLICATION
flLmbet-
PERMIT
,j ;'':
ffi.;Ed,
".{P,APPLICANT, S N,$tE :Ewe::oreen C]enrinq. Inc
PLEASE ?RINT CLEARLY & ANSH€R ALI qJESTIOTS
'Project Respqnsibility''(Otrt(e Use)
DATE.1
/9 /t5
DEVEL0PER i
PRO]ECT AODRESS:
SUBDTVISIO :
zr5 Braorey cteeK PolaE
ELOCK *: LOT *:
PROPENTY OI,{NER,5 I'IAI'IE :T. Dixon Dic PifONE *i 97A-624- 6060
o$INER'S AoDRESS: 1ol rsland Dr CITY: hriqltsville BeechsT: lg_ zfP; 23480
ADDiESS:4553 -6 TechnoloqY Dr CITY: wilninqeon ST; Jg_ zIP: 28405
El&IL ADoRESS: b. benicrCgever:s..er.1eari nq . com PlOl'lE fi 9ro-???-5196
PROIECT COI{TACT PERSON: Brian s-nrord PHOIIE *:10-5]9-613
DESCRIPTION OF IORK: deno 2500 s
oft house and r
(Llhat Tyre o{ 6ul1d1n! Do You t.nt lo oeftllshl)
OI.Jti E R/CONT RACTOR :SIGNATURE I
ad ddrna|css atd .!g!btions. Ihe NHC Devebaflgn! S9tui.es Cen€r wll be not,je{ ol any chgroos ln
llE 89plov€d pltns e.d specftBrk rE d cnai!€ ln cotnrador oi
.ofilaclo,i.lorf,albn,*NoTE:AtlywoikP.',o'm9dvr'/ollteApp.opliael..!ni15snbelnvi.lstianolllENcst6lcElcgcodc6ndsrEi'.lloFiBL9Tos5'0,..".
r*.***i**r.*,r***-...,..., Jl:tl: lill*. * * * n******* *, * *.i * * *,*$* * * * *.* *,1* *r*,,* y,
*,,**** r* *,
rs rHE pRolEcT:
[l ntsroeltrur / f] co+rencrll TOTAL ACRES DTSTURBED:
TOTAT PROIECT COST{Lssslor): g
rqooo.oo EXISTING LAND DISTURBING eemrfrt
I VrS fi rc
DoEs rlrs srRUcruRE oR BUTLoTNG comarr nsarsros?
[ ves NC
rs r-rERE a IiATURAL G 5 LrNE cot{tlEcrEo ro rHrs eurlotr6l f} ves lntwfun
&*rn
rs rHERE ELECTRTcAL PotlER oN rxrs eutlorNct
Ivrs I NO
WATER:
SEttER r
I creun
I cor+,ruNrw svsrrm
f,
E cepur
il cENTRAL sEPr:c
n
PRIVATE WELL
PRTvATE sEPTrc
I com+.,tltrw svsrrt't
B. Be.
Emc)mNOI
I
w@w,
C
to
EiNolr: Tho Nationat Emission stadards tor Hazardous Ajr Poll$ants (NESHAP) Regulslions Rcquire tha! you conlad them a (918)707-5950 al leasl 10
day; Fjor lo the demomon ot sny {ocitity or hritding, whdier $6 facilily or building was found to cofrtain Asb6tos ot nol Demolilbn nolfi'ations a
esLstoe romorat permtt appticalion6 ara lo b€ srrbmued using he applicallon form (DHHS-3768). Thia rorm can be found on rB
web sila shown below
lrJ, ou.,ning "'a..oi i.)n permi lrom the NHC hspecrions D€pt. does NoT sarsfy or meet lhe noliricauon tequiremena ol lhe HHoU {Heallh
Hazrtds contaol unit)_ .Keep in mind firt ao asb€6!o5 s;rvey is reqoiaod by o Nc accreditcd osbestos inspector pdoa lo any renovalion o. demoliton ol
a fecitiy. Please see lhe asb€slos web Sne
[Sl!!rydl:!i srale.nc uJ€o,a9!e$aElaiQ!'i!@
PAYlrEr,rr r.tErH{p:
ficsx I cHEcr( (pAy^sLE'ro uc) f]l,lenrcll rxeness
I rcTvrsa
fl orscoven
L
r;. DATE:'l{ FLooD:
(r0r oFFl(! us€ orlY)
ZONE :OFFICER:
Approval:
-
City
t
x '.-' .,'l ' ',_. .)
(. ;a,..-i;r3)cfi:"{ A. A
l\r r'1o
€\l.\t,v;7
I
Comment:
I
'kr-
\ / BFE+2ft=
14r,,,,,,
, -
PHONE Sr
_
CITY: $itmi."ron ZIP:_
CONTRACTOR: Evprrreen C)earinq, lnc LICEiISE *:
f,e
ff'il:{ts
NEW HAI\IOVER COUNTY
BUILDING PERMIT
APPLIATION TYPE: CO IT1ERCIAL
PLEASE ANSI.IER
ALL QUESTIONS APPLICABLE TO YOTJR PROJETT
"Project Responsibltity',
?Dt;
--l5t+
APPLICATIOI{
l{umber
(Office Use)
APPLICAI{T'S Al.lE: cRA
consrrucrion rnc.
DEVELOPER:
slsrn r,r
PRO]ECT ADORESS:
OCCUPA'{T/BUSII{ES
PHO
E #: 910 791-9245
S NAIIE:
to be determined( xenEa-L
Pr
U.LO UA1CTTY:
rtv )
wilminaton ZIP
i 2B4os
PRoPERTY
Olf{ER,S A
Ei GLenn wHodqes Ptl('ilE * 3
ST
9L0
-'797-9245
NC ZIP:28403CITY: wi 't m
ington
CONTRACTOR: GRA
construcrion rnc LICENSE
*: 54915
ADDRESS: 108
o Morehead Rd
CITY: sou
ort ST:
Nc ZIP: 2
8451
EiIAIL ADDRESS: q! aconst rucr ioninc@yahoo. com
PROJECT Coi{TACT PERSOI{: Guy R auqer
If UPFIT
- The
Shelt penmit #:
Is Elect Pouer on this Building E yes T NO
AROI
DESI6 PROFESSIOML:
David Slme &
Associates
Exrsr co{srRucrro{:
n ALrERArroil
fl *rrJffi;illi 'ti?!'il*o. REparRs
Tl RELocArror{
lf
Relocstlon. isrherea Naruratcas Line
onthe current
stte?
[ves !ruo ls groc spR]
rreneor Ives Ino
NElr'l
coilsrRucrrct{:
I rnecr E[l srRucruRE
I rrcr rucx
! sxrr-l
f] unrrr
I aoo
ro Exrsr srRrrcruRE
ACCESSORY STRUCTURE: none
EI{GR oESfGN PROFESSIOML:
ceostructurat Enqineeri
nq, Inc.
PH: 910-791-8016
PH: 919-881-9960
DESCRIPTIoN OF t,rORK: pre Enqineered Meral B
uifdinqs
ls food or bcverages
fep ed ff s€ryed
h Uris
sruaueZ
[ves I No h The Prop€.ty Located ln The Floodplain?
f] ves No
and all work
wll comolv
wth th6
66 Csnter
wllbs notif6d ofanv
ed W/O lhe Appropriste pormtis
d allolhe, appltcabte Stst€
d plans and sp6crfic6tjons
6 NC St8le Bldg Code and
DISCLAIMER: I
hereby cerlify that atl infohstron in thts aDolicaand.locallaws and ordinanc.s and regulatrons. Th6 NHC b'sv6l
or chahg6 rn
contractor or conlractor ihform€lron, *NoTE any
SubjBcl to Fine6 Up To
S500.00*
TOTAL SO FT UNDER ROOF
tion is cofiect
sqf# OF STRUCTURES: 1
EXST LAND DISTURBING PERM]T?
SQ FT EXISTING TMPERVTOUS
AREA: o
Servic
stare Building Code an
in
will
OVVTIEFUCONTRACTOR:Guv R
Auqer SIGNATURE:
(oqdn 4
Nol€: D6molilion not'rfcalions & e.bG6b6 rdnovsl parnil applic€lions 616
b be Bubmitbd using fi6 epplicstion forln(DtlHSJ768) wh66d ftocontrin Asbcob! or
not You er6 roquir€d
b c€ll dlo Nstional Emblion Sbrdard. tor l-hzardous Air pollutanB(NESHAF) at (919)707-5950 at l6a.t tO dsyr prior
b thodomolilion ot .ny I6dlity or building. Sea
Asb6to6 W.b Sb:
TOTAL PROJECT
COST: s2oo,000.00 BUILDING HEIGHT: 25 , 5 "# OF
UNITS: 1
TOTAL AREA SO FT :5002 s.,
fr SQ FT PER FLR: sooz eo
fr
: 5090
ACRES DISTURBED:2.
s acreas YES
ENoNEW IMPERVIOUS AREA: 13 el
SQ FT
PRopERry USE: EloFFtcE
[nrsraunm f]uencarnr_eeouc
! np1 ICOHOO OTHER
whassrrosEs4l.
WATER:
a
@
CFPUA
nE CIMMUNITY S\€TEM
CENTRAL SEPTICPRrvA'rE
sEmc fl CONTiMUNITY SYSTEM
WELL ZONING l,rSE CI-ASSIFICAT|OM rndu6r
rialSEWER:CfPt,IA
tr
I
T
DAfEr 06
/07
/2ots
PtlO{E
*: 9Lo-36.1 3426
PHOltlE
#: sto -36't -342G
t{c REG *: c- 11s0
M REG
*: C- 876
0h ER'S ADDRESS; 3911
wriqhrville Ave
*,r*.' rs rHrs A ouu{GE
oF occlrpar{cy usE? EyEs
[l rc *'***
IF Yes, uhat xas the previous Occupancy
Typel _ Wtrat
is ttr-e
tiet Occupancy Type? _
# OF STORIES: 1
# OF FLOORS: 1-
PAYMENT METHOD:
[ClSn pc+reo< pnvnelE To NHC) [rurenrcm exnREss IMC/V|SA
lOrscoven
zoNE:_orr,a.*,
=r,,,
n'Jffif:ir:Ha LH:_RH:_B: REvrs€DD]E4/11^2
Approval:_ City, -- DATE-- ffOOO,
__ BFE+2*=
commentAvN-
PERMIT FEE:
$-
NEhI HAiIOVER COUNTY
BUILDIiIG PERMIT
AP?LICATIo
rypE: Co{IIMERCIAL
PLEASE AT./SI.IER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"project Responsibllit!/,
2ot*
1tt+
6a
ff?IdB
APPLICATIO{
trluober
(Offtc. Use)
ApPLICAIT'S l{Ai,lE: GLA
Con6rruction rnc.
DEVELOPER: 616rv1 p s
PRO]ECT ADORESS:
oCCUPAI{r/BUSI ESS NAlitE:
!o be derermine.t( Rental Prope
PRoPERW
o[{ER'S NAIi'lE: ]Elenn w Hodqes
PIIO E
f:910-?91-9245
CITY:
rtv )
WilminqtonZI?'. 2a4os
PHoNE
*: 9to -7 gr- s245
Exrsr col{srRucrrori:
I ALrERArron
[ *rffiffi '[iT?'il.o. nrrerns
f] RELocArro{
lf
Rolocalbn. is there a Natural Gas Lineonthe Current
Sile?
[ves Ir'ro tS BLDG SpR-tNKLEneor
flves !ruo
t{Et'l
co{srRucrro{:
I enecr Et{ srRUcruRE
f] rasr rnacx
I sxrr-r-
! urrrr
! eoo
ro Exrsr srRrrcruRE
ACCESSORY STRUCTURE: none
OIINER'S ADDRESS: 3911 r,rriqhrvilte Ave
CfTY:
wil ton ST: Nc ZIP:28403
CO TRACTOR: GRA
Consrruction Inc LICE SE *: s4
e?s
CITY: sourhD
ort ST:
Nc ZIP: 28461
Ei'IAIL ADDRESS: qraconsrrucrion inc@tr'ahoo. com
PRoJECT Coi{TACT PERSo
: Guv Rauqet PtOfiE
#: 9to-16't -3426
If UPFrT
- The
Shell Permit #:
Is Elect Po!,er on this Building E yes NO
AROI OESIGI{ PROFESSIoNAL:
David
sims & As6ociates PH:
PH:
910-?91-8016
919-881-99 60EI{GR DESIGN PROFESSIOML:
Geosrructura
1 Enqineerinq, Inc
NC REG
*: c 11so
NC REG
*: c- 876
DESCRIPTIoN 0F IiORK: pre Enqineered Meral Buildings
I
16 food or berrcrages prcparcd or s6red h
tjs enraurc?
lves I No h The Property Locaiod tn The Ftoodptain?
flves No
lhe Stats Euilding Code snd
OWNEH/CONTRACTOR:Guy R Auqer SIGNATURE:(o!er)
Nots: tlr.nolitirn nodfcatonr
I sabastot rdnovd pcrmhapplicatio.l. Er6 tio b€ slb.nitbd ustng th.Epplication b.lh(DliHS-3768) lrhstr€r h6
BUILDING HEIGHT: 25 ' 6'# OF
UNITS: 1
a,l oth€r applicabl€ Stste
Dl6ns and sDsdfcatrons
NC Slate Bldg Cods and
conuin Asbaabs
d not You rrc rGquirod to csll the Nalion8l Emi6lion Stardsrds io.l-bzardous Air PollutsnE (NESHAA
.t (919)707-S9SO st teasr
b th6dcnolirbn
ot y tadliv or bdlding.
S.. A!b..ror Wcb Sb
TOTAL PROJECT
COST: 92 00, o oo. oo
TOTAL AREA SO FT :500
sq ft.SO FT PER
FLR:
sooz eo
fr# OF STORIES: 1TOTAL SO FTUNDER ROOF:
5o9o
sq I# OF STRUCTURES: r# OF FLOORS:1
ACRES DISTURBED:
acre EXST LAND DISTURBING PERMIT?T YES
ENO
SO FT EXISTING IMPERVIOUS AREA:
O SO FT
OTHER-UI.rSho"ECreL.
ICATON:
rnduetriat
DISCOVER
(FOR OFFTCE U8E ONLY)
SETBACKS: F
RH:_B:Approval:
-Cltf-DATE:
FLOOD:BFE+2f
N
2.9
pRopERryusE: EIoFFtcE
Enesreunervr
[uencnrrru
leruc
[arr f]como
YjEl mcrpur EcoMMUNnysysrEM
-WELL nzoNtNGUSEcLASstFsEwER:
m crpuA - GENTRAL sEpfl
c fl P-RMATE
sEpac E-coMMUN[y ;isril-'
NEW IMPERVIOUS AREA: I 3 e3 n
PAYMENT
ZONE:OFFICER:
I
I
Comment
A
LH:
PERM]T FEE:$
REVT8CD OATE ,t/t 1/r2
OA'lEr 06
/oj /2015
ADDRESS: to Bo Morehead Rd
PHOI{E
*: s7o -36.1-3425
t***r rs rHrs A cHAircE
oF occlrpANcy
user
fives fiiD ..***
IF Yes,
rhat uas the previous occupancy Type? _ wnit
is ttre fi.r occupancy Type ?
--
Lort-1f{L
NEhI HANOVER COUNTY BUILDING PERI{IT
aPPLtcATIotJ rvPE: RESIDENTIAL
PLEASE AIISbIER AIL qJESTIOIS APPLICAEL€ TO YCIJR PRO]ECT
'PrcJect ResPonslbility"
SO
IJ
L5-L467
ffi
}IATER:
SEtIER:
H
PAYI{EiTT }1
APPLICATIOI
Nurlber
(offlce u..)
APPLICAT{T'5 IIA}IE;R
PRO]ECT ADORESS:c TY:
SUBDIVISIO:
PROPERTY O TER's tlA'iE:A r.,
O!'{ER'S ADORESS:CITY:
CO{TRACTOR A n*;t (5lrt,c.*p{ENSE T:
ADORESS:
CITY:
EitAIL ADORESS:tn,.;L, co
PRO]ECT CO TACT PERSO{:t"l lt AK S;'rnD
j,oel
5F
eQ5 2 I
PHoilE *:.i1(
zIP I
tl
s LOT *:
PHOIE S:-l 1lo
s1 ue z*fl.d.t !
illr EXrSTritG coritSTRUCTrOt{:
f] llrenar:olr
f} nruovnrrou
I eeuennl nrnarns
f] RELoCATION
HEI{ cot{sTRrrcTrotit,
F enecr IEH RESIOE CE o"
f] aoorrron lo ExrsTrl{G REStDEtilcE
*'PLEAsE CHECKAi[, ArlsI{ER BELOII ALL IHAT APPLY TO YOUR PROJICT:
firo*., f ll
Eort eo.oo,5?fi SF
I oer oaneae
',.1!,,,,@/*,IJfr:-s/1t:al1bPTIONE
pH${E
t:0'vqr -aq7I)
SF
5F
u SUNROOM SF SF
f] eree uxouse
.-_- sF frorcx^<fi SF OTHER:SF
TOTAL HEATED Sq TT:410 5 TOTAL SQ FT UUDER RooF:L3t TOTAL AREA SQ FT:b'|1o
TOTAL PROIECT COST (less
roo :
t 49trr1 r OF STORIES:
Is AnYELEcTf,tcaL, Plutittl{c or TECHAIIICAL t'{ork 8€ing Done to the Accessory Stru(ture,Er", H
Site?
tr Yes
POOL STORAGE SHED
cAfFf +
Is there Electrical Power on this Building?
nYes
Gas-rLine on the Current
XtoIf the Project ls a Relocation, is there a Natural
t,
ffi srtcr-e raurlv [--l u'lnlex
Anv Work Pe.lorm€d W,O
'|e
ApPog{r.E Psmrts wdl b6 ', MARL 5^P:anJ
rs rHE PROpERTY LOCATED $i e rlooorurrr
I vrs
EXISTII{G Il'PERYIot S *ro, .- O SQ "
NE}I II,PERW(US AREA: 5 ,I25 SQ FT
o
PROPERW USE
/ OCCUP'{NCY:TOTINHOUSE
OESCRIPTIOI OF l{of,(:e
OISCLAIIIER: I her€by celllt ltlara[ inbr.naton in ltis @pbcaton ls corocl and
'work wr[ complywirt h6 Burlding Code and C oler applcsble Sl.b and lo"l laws
and ord,rs.rc.! and rEoultnors. Th6 NllC Oev€lopmont S€ Ee! C€nbr wil b' mtf6d ol slly chanoss in hs appto\.od plans al !pac'
viol.hon olrne Nc slab$500 00:-
co.lt&br hlormrlion.'3t{olE
O{I,IER/CONTRACTOR SIGNATURE :
(Pri't tam)
* ri I * * i *.,1*t * *** {t * ** * ** ** * t *r * I * * ' !t
lt
*a,| * * * :*,r !t,* ,t
*,t * 't,|* *tt** * ** **it**+*** + * * * * ** **:t* r* *!r +*
crrur
! coatuNrrY svsrru Srnrvorr wrlr-
fl cENTRAL NELL
crnur
! cENTRAL sEPrIc
fl'enrvrrr srerrc
! coilri;NrrY sYsrEM
*r. SEPARATE PERIIITS REqJIRED FoR ELECT, ltEcH, PL8G, 6As EgJIp, PREF3g, & Il{sERTs *..
Elloo:
I csx
ft oEo< (PAYABLE ro xrr;
I
^r,le
nrcAr exrness lXrc/vrsr LJ DI:o'Ei
* )t)*
** * t * * *
+,t* ***,i*** **:r+ **:; st t* * **+.** * *rl * *';* **''* * ** t * *t r 'j*** | * * t
*rt +* * * * r
** * * * * t*
YES
Ixo
sfvrsto oaTf 04l11/12
ZoNE :
-
oF FICER:
(roR
offlct ulE orilY)
SETBACKS: F:- LH:- RH:- B:-
Approval:- city:- oATE:- FLooo:
-
AVN
BFE+2ft=
_
ComEnt:
PSttl
PCRMIT FEE3
I
DEVELOPER:
,>--
Ino
TOTAL ACRES DISTURBED:
-Exrsr LA'{D DrsruRBrNG ,t*tilft
RECETVED IUL 21 ?06
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIOII rYPsr RESIDENTIAI.
PLIAst TX51,IER ALL QUESTIOI']s APPLICAELE TO YOUR PROJSCI
dProject ResponslblIlty''
aruu,tz(AOIapts
CITY:
BLOCK *:
el
PHONE $:
zrp:
?RlJL))
Lol *:
PITONE S:qlD"1te'qDlo
sr Mzrp'-.?*4OS
trWZ 47e37IP
a
?otr---trzj
W?6Jq11
APPLICATION
Numben
(Dfflc6 U'e)
DATE:
-7
APPLICANT' S NAIIE :
OEVELOPER:
PRO]ECT ADDRE
SUBOTVISION:
PROPERTY OI{NER,5 NAIIE:
c[ IER,s ADDRESS: 3
CONTRACTOR:
ADDRESS:
EllAIL ADDRESS:
ATT GARAGE
5UNR00r't
_5F
6REENHOUS E
rl(
CITY:
LICENSE
CTTY:
1
r
L.d'1t pHoNE #:
,4PRO]TCT CONTAC PERSON:
EXIS.IIIIIG CONSTRUCTION:ALTERATION
I Reuovarrorrr
I eeurnnr nennrns
! RELocATro
NEll coNsTRucrrot,
f] enecr NEll REsroENcE o.
! noorrrou ro ExrsrrNc RESTDENCE
+.PLEAsE CHECK AI]O ANSIIER SELOI,J ALL THAT APPI,Y TO YOUR PROJECT;
sF E oer canlce sr
f] poncu
-sF
I rooi
-
sr STORAGE 5HE0
_5F
5F
sF ! orcrSF OTHER:o
TOTAL HEATED 5Q FT: TOTAL SQ FT UNDER ROOF:
-'..-.' - TOTAL AREA SQ FT:
-
TOTAL PROIECT COST s""" r.r1 : $
Is Any ELEC'|'xICAL, PLIJIIBrNG or lllc
If the proicct j.s a Relocrtion
fs there Elect.icEl Power onls Bul.1dlng?
EYe
PROPFRTY I'.SE
/ OCCUPANCY:SINGLE FAI'IILY
I ouerex
I T0tlNH0UsE
HrrNrc^t vlork Seing Do
! is there D Notura
# OF STORIES:
ne ro the Aqcessory
struqtunci
6o, 1*o
I Gas Llne on
the Curnent
Slte?
[ ves I uor Eruo
.rA 0{-r)1-DESCRIPTION OF WORK:
rnd ord nMcs Md regulELon!, Tno NHC ua'robpmont SorutE6 C6nbr w[lbe nodnsd otlnyahmoat ln tlD approvod pbnE dnd 6p6.lllcaUons
ln Vlol0 on olu\o NC SraE BHg Cod6.nd Subr.rt
b
or chEnoo ln conl/.).lllr r,r
upIo $500 0rJ.-Eonfacb. hb.mBion. r"NoTEl
OI,IN
ER/CONTRACTOR SI6NATURE :
**_..,"...,.qtt:Ji,,fJ,-,- _._.-
".,,..,.,,._
rs rHE pRopERry LocnrED
rN l rtoouelarut
I ves &
EXISTING IHPERVIOUS AREAI
-Sq
FT
NEW IflPERVIOUS AREAi *- SQ FT
WATEIT:
SFIIFR:
[_l cor'n,lunrw
svsrru f] pRrvATE r"jELL
I celtner_
wrll
E cENTRAL
sEprrc
[-l pRrvATr sEprrc
I collr,lrurw svsrtu
TOTAL ACRES DTSTI'RHFD:
EXIST LAND DIsTURBING PER
IT: T-J YgS f--:l NO
liEVISED DArE s4l11/12
H: RH: F.
BFE+2ft=
NO
*.+***+*+*$**x*
CI PUA
CFPUA
'+* sEPARATE PERMTTS REqUIRED FOR ELECT, I,4ECIL
PLU6, OA5 EQUIP, PRETABS
& IMSERTS ,I'IipAyrlEnr mErHoD:
I casn
fi.,.,:cl llAynuLE . *.t FI;il; il;;r""ij-"lrrrio"''Eor..n r*'i** i *t t+t * t rtji'i ,'*r**t* r*', * ++!i I r.. + ,,ri
** * ** * tli
* + + * **'t* * * **** *** ++i iri,l + i{,r
rri* *+a ir{r*,a*,i B *H*r**
(FoR OFFrC€ USE OILY)
SETBACKS:
F: I
r0NL
i .-- oF
FICE R i
npprovali. ._City:_ OAIL:.- FLOOD: _
-l I ; l:lt-t-:-:t!, o
I\)n t)v
PHoNE n:
@q-a7L7th)
4 ttott
Aott^.15-a.1
15-20LL
NEW HAITIOVER CON,TNTY BUILDIilG PERI|IT
apmcauq |v"E.. R ESIDET{TIAL
PLEASE AiI9IER AlI OUESTIOIs AfPLICAATE TO YOUR PTIO]ECT
"Project Respoosibilit/
rE/E€.Lx .rEI{l{.tNs
CIry:
CTTY:
LICETSE *;
(ITY:
APPLICATIOiI
llllGber
(qffic. u5€)
APPLICA'{T'S IIAIIE:
DEVELOPER:
PRO]ECT ADDRESs:
SUBDIVISION:
DATE:
*pE*:
PROPERTY Oti.IER'S
otrlER's ADORESS:
PloitE *:
ST
W,ffi,
zlP:
ST: ZIPi
CO{TR,'ICIOR :
ADDTESS:
TO BE
E'iAIL AOORESS:Pror{E *:
PRO]ECI CO{TACT PERSOI{:
EXTSTn{G CCErSTRrrfirOtl:
EI ALTERAIIOI
M REror,/Arrol
fl ee xe nat. nrpxns
E RElocarrol/
ilErJ CO STRTJCTTOiI:
I rn:Cr rEr REsTDEllcE o"
filmrrror ro Exrsrrm REsrDEtlcE
..PI.EASC CHECI( I}O AI{S}'f,R BELO{ ALI- THAT APPLY TO YOI'R PiO]EgT:
I nrr emaee
-
sF I orr
ernaee sr D poncx
-
sF
,*", o.,1la'317'041
_sF
SF
fl sroreer sHEDSF Nu z'SWf
OTHE R:5Ft
AoDllloN )
! suxnoon
-sF
I e ncewanst
-
sr
PROPERTY t'SE
/ OCCT.P
DESCRTPTICN OF PON-|(:
fl roo.
fl orcr
TOTAL HEATED SQ FT FT UIDER
TOTAL PRO}ECT COSTF..lL) *
Is Any ELECTRICAL, PLtfiEIr{C or IEGGT(ICIL tlork Beiflg Dor€ to the Accessory stru<trr.e? E/Yes flo
If the pcoject is a Relocation, is there a 6as Line on the cumeot slte? EYes
tr m
l{/A
, 1,330 roraL sQ
,.*-r, $ tbrfrf/Y(
RooF: l,33O
- rorAl AREA se Fr: f 30o
oF STORIES: ,4
Natq,"al
t
ffit"',Is there Electrical Power on thi,s Building
n
A},ICY:
drr,.nLE FAI,IILY
f] merex
f] rormrorisr
No
orscL^triEft r herBny.Etutlrar al i.txmaEo h nls
adaabo 6 co.rEt Eld atl ,lork wil cDrply till te Slae Bildhgcodo a{ d orlo Fp{clbL si.b 8nd rocal la\ts
etd odinances ad Ggrulabns. Tlle Nllc oe!e@r8 se.v.a. c.rEr qi, De nontted
oi4y.h*{€s h,'e €oprovEd
conr'&!l nbniator "'NoTE AnI$b.k Pefhdr.d wro
tc App(lqntb P€mIs lNfl
te in vbEibn o, t'e Nc
CONTRACTOR:
Ftr\#KL/ rtENKlliS
?, a,i*'rrl+*,t,tt,*a,;r**+t*+**at*.i.*rr* r***r*** t***
rs rHE pRopERTy LocATED rH l rr-ooopu$P
EI vts
ExISrIl{G IIPERIIIOJS nfel: ./A sQ rf
NEu II,PEaw(I]s mea:
l.l/A sQ rr
{foR oFrrc usE orLY)
@'
,onr,
fl-f or,r.rr,
Approval:- City
6
SI
'..i:7'."*'*.".Ivl m
ExrST L t\D DISTuRBIIG PER rT; I ves
EI ro
HATER:
SEUER:
ddcran
! co,r'iunrry srsrrr
fl rnmrt xrll f] cEtrrRA! wELL
crpul
! cENTRAT- stprrc
fl pntvnre seprrc
E co{r{t,r{rry sysrE,4
't' SEPARATE PEMUTS.REqJIIEO
'OR
€LECT, I{ECH, P185, 6t5 EqJIP, PRETABS & IiISERTS .*'
payrlErrr
HErtoo:
E *rn E[*.o (pAyaBLE
ro xrc)
[ onrnrcu
ooress El tcrvrsr E orxorrt*
.***rara*rar.a*t,r*tt*+arr.a!**i*r.r *r*'J,*+ti,atrfltarlt,r*
trSsWil/1oAff<r.TOTAL ACRES DISTURB€D:
hrti rn:ft9- nr
^"
rawsED oarE oal11/12
sr
FLOOD:
brSr g:
il-
BFE+2ft.: hr Ln oare:
[-ras -r**t .s"1"
6{(a..fix2..a
. -al b PE
IrI FEE:
Colnent,
filly lnpeclion Requreo, 9l$251{m
ELOCX *: _ LOT S: _
NEI,'J HANOVER COUNTY
BUILDING PERMIT
APPLICATION
TYPT: DEITTOLITION
PLEASE PRINT CLEARLY
& ANSWER ALL QUESTIONS
"Project Responsibility"
?E+/s-/7n
/r,?
APPLICATION
Number
APPLICANT'S T.IA}IE:
DEuELIPE*
B/lL
LJ
a
CL4fzY
hAOfS
(office Use)
DATE:7 -b
-t<-
PH9NE
f:w zw:2fr10
/PRO]ECT ADDR
SUBDIVISION:
PROPERTY OWN
ESS:
4JVO'
ER,
S T,IAilE:
OWNER,S ADDRESS:
CONTRACTOR:
€,lE (cN 574
ADDRE5S: P7
Rnt qg
EIi{AIL ADDRESS:
PRolEcr coNTAcr PERsoM
Jt n"i /^)
41.(9t(
cIrY
I lO /t /hu/l,t)
LLC
Pwne
*:
%2 -81(
-l(Y/
ctTY I
a-/t9t.tv/(t€ stt
t\( zrp I
A7Ns8
t,/-,6z.lu/,uL LrcENsE
S: 5073 ACCOUNT #:
CITY:
trl PH0NE
* :
OFit( - ?//1 -
t, 7f- fub
/
PHoNE *(til - 9//t^
A)q -0 aO)
r4a4\t-oN
DESCRIPTION OF I,ORK:C5
dtr a@ortnL fi/L cJuOfS Tr) lN(t uAf T-U)
Horgf9 t4rn AAPN
and ordinances and regulations. The NHC Developmenl Services Cenler willbe notified ofany changes in the approved plans and specifc6lions or change in
contractor or
conlraclor informalion. "'NOTE: any Work Performed W/O lhe Appropriate Permiis will be in Violation ol ihe NC
Stat aEg Code and Subjecl io Fines Up To
$500.00...
ok'rNER/coNTRACT O* ELt na (/ )^Fft An Al !, b tLtl)
Ub STGNATURE :
(P.int Nane)
*,t r, ,t ,t i. ,i + i. * i.1.,t *,1. ,t
* * )t )*
r.* * )**)* )* )*
* * r*r*,* * + ** x,*)** + ,t ,1+ r* )t,t * )t* )t*
*** + r* r*** *i( ++**** * ,( ,*:t
**+* )* )t* * )t r**++ * +
rs rHE pRolEcT:
fi nrsrourrnr
/ E coMmeRcrnl TOTAL ACRES DISTURBED:.25 Q<
TOTAL PROJECT C05T lress rory:
$_EXI S
(xhat Type of Building Do You lant ro D€nolish?)
Euo
DOES THIS STRUCTURE OR BUILD]NG CONTAIN ASBESTOS?
IS THERE A NATURAL
6A5 LINE CONNECTED
TO THIS BUILDING?
!"rs
ffi
IS THERE ELECTRICAL POI,IER
0N THIS EUILDING?
! vrs plzno
WATER:
SEI.lER:
CFPUA
CFPUA
COMMUNIIY sYsTEM
CENTRAL SEPTIC
PRIVATE WELL
PRIVATE SEPTIC
pAymENr
rErHoD: lcrSr I cnecr (payABLE rO
r$C) fierll lccourr ! usrrnclno ! vrsl
)k* * )*:t)t*'***'**)* **)t*+ + )t*)* )**':tt )* )t
*:t,t**+ **,** *+,*+:t *,** )*
*,t,i )t
***,i )*
*,t *,k )*+,* * *,i )r
+** *
*+ * *)r** )*+
** **:t* )* )r
(roR oFfIcE USE ONLY)
ZoNE:
_ OF FICER:
Approval:_ City
Note: The National Emjssion Standards Ior Hazardous Air Pollutants (NESHAP) Regulations Require lhat you contact them at (919)707-5950 at least .10
days prjor to the demolition of any facility or building, whether the facility or building was found
lo contain Asbestos or nol. DemotrtDn notitacalions &
COI1MUNITY SYSTEi!
asbestos removal permit applications are to be submitted using the application form (DHHS-3768). This form can be lound on lhe web site shown belowNote: Obtaining
a demolilion permit from the NHC lnspections Dept. does NOT satisfy or meet the hotifrcation requirements of the HHCU (Health
Hazards Conlrol Unit). 'Keep in mind that an asbestos survey is required by a NC accrediled asbestos inspector prior to any renovatjon or demolition ol
a facilly Please see the Asbestos Web Sitehtto:/.eoi.stale.nc.us/eDi/asbestos/amp hlml
TING LAND DISTURBING PERII,IIT?
E YESfr, g"o
SETBACKS:
F:_ LH:_ RH:_B:_:_ DATE:_ FL00D: _ BFE+2ft=
N
Comment:PERIiIIT FEE: g
BLOCK *: _ LoT #:
sr,41_zre,@57
tru
d,e
fir-:4Y
NEW HAiIOVER COUNTY
BUILDING PERMIT
aPPLIATIOfi
rypr: COiIMERCIAL
PLEASE Al,lSl,lER
ALL QUESTIONS APpLI(ABL€ TO yoUR pRolECT
"project Responsibility"
tots- 74?1"
APPLICATIO{
Number
(Office Use)
ApPLICAI|T' S l{AIlE
: GRA Const.rucrion roc
DEVELOPER:
clenn w
PRO]ECT ADDRESS:o1d Dai
CITY:
wilminqton
PHO E
*: 9to-797 s24s
ZIP,2B4os
PHO E
*: 9to -1gr -9245
ST: Nc ZfP:28403
5T: NC ZIP: 28451
PtO E
*: 9to-16't -3426
OCCUPAT{T/BUSII{ESS
t{A
E: ro be
deterrnined( Rental Proper
Ey)
PRoPERTY
OtnER'S NAfiE: Glenn vr Hodqes
OldilER' S ADDRESS: 3911 wriqhrville Ave
CO TRACToR: GRA ConEt.ruction rnc
ADDRESS: 1080 Morehead Rd
CfTY: wilminqton
CITY: sour
rt
EitAIL ADDRESS: qraconstruction inc@yahoo . com
PRoJECT COITACT PERSoI{: Guy Rauqe
r
Exrsr cd{srRucrroN:
n ALTERATT*
I *r*LTillij 'E^['Jil.^, nrperns
l-l RELocArror{
lf Rolocsiion, is lhere a Natural Gas Line on the currenr sirer [ves ! ruo tS BLDG
SpR-hKLEneor
I ves
I No
NEW CO STRI'CTIO :ERECI
IElr STRUCTURE
I rlsr rnlcx
! sner-r-
! urrrr
I mo ro Exrsr srRrrcTURE
ACCESSORY STRUCTURE: none
rf UPFrT
- The
shel1 Permit
*:Is Elect Power on this Building E yes!NO
ARCH
DESIGI PROFESSIOML:
David Sims & Associare 910-791-8015
tlc REG
*: c- 1150
Ei{GR DESIGI{ PROFESSIOMLi
ceostrucLural Enqineeri
nq, Inc.
PH:
PH:
919-881-9960 t{C REG
*: c-816
DESCRIPTIoN OF l@RK: pre Enqineered
Metal Buildinqs
DISoLAIMER: I
h€reby c€niry thal arr rnformaton rn
rhis appkcaton is correcr snd
a[ wo.k wiI comply with the6nd,rocar raws and ordrn6ncss and regurations, Th6 NHC Dov€lopmenr servrces
cenl.r wil b6 horif;.i 6frhvor cnan0€ rfi contr€ctor or conrrecior rhrormEtioh. -NOTE: Any Work pBrform€d W/O the Appropri6t€ plrmi{s
Subjectlo F;nes Up To
$500.00*
ls
food or beverages p.epar€d or s€rved h this structw€?
flyes I
No Is The Propedy Located ln ThE Floodptain?
!yes,No
Slate Building Codo 8nd alloth€r spplicable State
Elds Code andwill C SlEt6
(DHHS-3768)ho fEcility tound to
OW\ER/CONTRACTOR:Guy R Auqer SIGNATURE(ooe,
Nota: Dcmoliton notillc€tions & e3bo6to6 rarnovd pormit eppJications6rc lo bc 6ubmit!.d U.ing th6
apdicElion fo.m
conhin
Alba.bo or not Yoir arc r€qdrod to c€ll thc Nalionsl
d*nolhoo ot .ny tadlity or bdldln!. S€e A$cB Wrb Slb:
TOTAL PROJECT
COST: 92oo.ooo.oo
Emisrion Stand5rds for
Haardou! Ah pollutenE(NESHAP) ar (919)707*5950 6r l6ast 10
b lh6
,l
TOTAL AREA SQ FT :5002 so
ft
TOTAL SQ FT UNDER ROOF:
soeo
so f
ACRES DISTURBED:
BUILDING HEIGHT: 2s ' G.
SO FT PER FLR: soo2
sq
fr
# OF STRUCTURES: r
# OF STORIES:
r
# OF FLOORS: 1
NEW IMPERVTOUS AREA: 13e30
EXST LAND DISTURBING PERMIT?T YES
flNo
SO FT EXISTING IMPERVTOUS
AREA:
0 Se FT
pRopERryusE: EoFFtcE
lnrsmuna^n luencnrunr_e
f]eruc
[err lcoNoo OrtlER_Ulcrelslec/ql
2.9 ac eas
WATER
SEVVER:
CFPUA
CFR'A
@a EE CONTIMUNTTY
SYSTETU f-'lWE I LlZONtr{c t.lSE CLASS|F|GATION:
cENrRAt-
sEpTlc
I iH"vnre
seerc trdoMMuNm/6ysrdt,
Indu6t
ria'l
* SEPARAIE PERlr,llTS
REaU|FED FOR ELECT, MECtt, ptBG, GAS EOUlp, PFiEFABS & INSERTS *.
IPAYMENT
ZONE:
(FOR OFFTCE
U8E ONLY-)
OFFIGER:SETBACKS: F:Apprml:_
trDISCOVER
_LH:_ RH:_B:
BFE+2ft=
NComm€nt
Citlc_ DATE:_ FLOOD:
A
REVISED DAIE ,t/I
I/I2
Wtaqffi
DA'IE: 06
/ o7
/ 2Ot5
LICE SE *: s|s.ts
PHoNE
*: 9to 36.7
-3426
****. rs rHrs A cHAt{cE
oF occupat{cy
usel [ves [}iE *****
fF Yes, what uas
the Previous Occupancy
Type? _ trhat
is the Ner Occupancy
Typei _
# OF UNITS:
PERMIFEE: g
til*)dhlrlt?AIr:5;;7
l:
\:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TyPEj COMMERCIAL
PLEASE ANSI.JER ALL QUESTIONS APPL]CA8LE TO YOUR PRO]ECT
"Project Responsibility"
l< 30t7
APPLICATION
Itlumber
(Office Use)
o[rEt Z .2. 19APPLICANT, S NAI'IE:
DEVELOPER:
M o
nt<-r*\a Constrvr a1i
ov1 Cor
p
PROIECT ADDRESS:
+CITY: Castl e hlay n c ztP
I zt+zq
^rE - Ai€-f
PHoNE
*: 110.3142.1tq5
PHONE f:qd3CT .
+<,qr
occuPANT/BusINEss l,lA E: CF (C €rt\er qtnr Tcchno[g9 iq5 - B\ar
\dl nJ
PROPERTY OWNER,S NAIIIE:cF Co tl
CITY:
inilmiErhv-n sr: lNL!? zIP: 2t+o I
LICENSE *: +33 l9
CITY:sT: j{CZIP:zt+oi
PHoNE *: C(0.Aql.?to
(C
O[^INER'S ADDRESS:
+ll orirt^+st
coNTRAcroR:
Morrter+l^\ Constructr rrn (o rp
ADDRESS: 3z Nor1-h Froni Srrre pf
EmArL ADDRESS:
Chlwcl\ (o mon+eifhCO.Corn
pRorEcr coNTAcr pERsoN:
Clint Howc,ll PHONE #: q lo. s ts. &t 3+
(Che.k
alr Ihat appry)
EXrST CONSTRUCTTON:
E ALTERATTOU
! nercVlrrOU
! eeUrnAl
nrnArns
l-l RELOCATTON
tf Retocation, isrherea Naturalcas Line on the -Current Site?
EY;ENo lS BLDG spiiixleReoz flves [ruo
If UPFIT
- The SheII Permit #:
IF Yes, what rias the Previous occupancy Type?
rs Elect Power
on this Building E Yes E t O
**r.** rs rHrs A cHA'.rGE oF occupA,cy usel
flves frrrc
What Is the New occupancy Type?
ARCH OESIGN PROFESSIOI,IAL:
ENGR DESIGN PROFESSIONAL I
PH
PH
DESCRIPTIoN 0F l^l0RK:
OWNEFYCONTRA
(ousli6€r)
oL l/tinz,4
ls food or beverages prepared or served in this sfiJcture?
EYe"Hno f fn; eroperty Located ln The Fln.|
ff[v No
DISCLAIMER: I hereby certry lhal allrnlormati
and locallaws and o{dinances and reoulalions.
or chanoe in contraclor or conlractor i-nlormato
Sublectlo Frnes Up To
S500.00"'
this applicEtron rs
correcl and all work willcomdy wiih lhe
NHC Develooment Servic€s Center wllbe notfied ofanv
NOTE: Any Wo.k Performed
w/O lhe Appropfiate Permilswll6ein oithe
on in
The
Slate Buitdingand allother appl
(oHHS-
State
Code and
CTOR: Bvan oM45 SIGNATUR
Note: D€rnoliton notifcations & asbestos rornoval pemit appli:alions are lo b€ submitled usinO lhe application
cofitain Asbestos or not, You aro r6quir6d tocalllhe Naiional Emission Standards tor Hazardous Air Polll^ants
demolition ofany lacilily or buildlng. See Asbestos Web Slte: hilpJ irww.epi.slaie.nc-us/epi/asbestos/€hmp.hlml
lil€ facility or bullding was found to
at (919)95O al least 1
0 days prjor to Ure
nma)m
mcf
-1rrt@
t.
i,e
o
ACRES
DISTURBED: 2?-Exsr LAND
DtsruRatuo
eenl,lrr
Ives
NEW IMPERVIOUS ANEN: TSIOOO SQ FT EXISTING IMPERVIOUS AREA:o
(FOR OFFTCE USE ONLY)ZONE: OFFICER:SETBACKS:
F:-LH:- RH:- B:Approval:_ City:_FLOOD: RFF+?fi=
AVN
(ro
SQ FI
pRopERry usE: EoFFtcE lnrsrauRanr lraeRcerurLe
ffeouc leer flcoNoo orHrR:
WATER:
SEWER:
ElCFpuA flcoMMuNtw sysrEM
flwELL flzoNtNc usE CLASSIFICAT|ON:
E!.CFPUA
f] CENTRAL
SEPTIC
E PRVATE
SEPTIC ECOMMUNITY SYSTEM
-'SEPAFT,ATE PEFMlTS REOUTRED FOR ELECT. MECH pLBG. GAS EOUIp pREF-ABS & TNSERTS -,
pAyutENr METHOD:
[CeSx [CxeCx leevealE To NHc) fiaMenrcaru rxeness
I ucnrrsa
f] orscoven
Comment
REVISED OATE 4NM2
.'r'i:..i
ffi,, '
,
NEl.l CONsrRUCrror:
flenecr NEt.,l STRUCTURE
I rAsr rnlcr
I sxer-r-
fl uerrr
! aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE;
NC REG *:
NC REG #:
roTAL PROJECT COST:
ZLlEljl !L BUTLDTNG
HETGHI: .f o f+ # OF UNTTS:
TOTAL AREA SQ FT i q} '7OE SQFTPERFLR:
I/3-I8.2;
3+,€23 #OFSTORIES:_Z-
TOTALSQFTUNDER ROOF:
9-T??OS #OFSTRUCTURES:
I #OFFLOORS: -2.
PERMIT FEE:
$--
I.c
rfl?:dB
NEhI HANOVER COUNTY BUILDIT{G PERMIT
APPLIGATIOTI ryPE.. COITIIiIE
Rc IAL
PLEASE ATISI{ER
ALL QIJESIIOiiS APPLICABLE TO YOUR PROJECT
"ProJect Responslbllit}/,
APPLICATION
l{umber
(Offtc€ Usc)
APPLICAT{T'S AI.IE: cRA Constructlon rnc
D€VELOPER:
clenn w Ho
PROJECT ADDRESS:
occuPA[T/BUST ES
Rd
5 I{AME!
to be detelmined ( Rental property
pROPERTY Ot ER'S Af'tE:
clenn w Hodqes
PROIECT COiITACT PERSON: cuy n auqer
OI'{ER'5 ADDRESS: 3911 wrihtville Ave
CoiITRACToR: GRA construcrion Inc
ADDRESSs
1o8o Morehead Rd
EI4AIL ADDRESS: qraconst.ructioninc@yahoo.com
PHO
E *: 9to-i 9t-924s
CfTY: wi lminqton ZIP | 2gaas
CITY: wilminqton ST: NC ZIPr 2B4o3
LICENSE *: s4
e?s
CITYT sourt porL ST: NC ZIP: 28461
rhat
Yes
t{Ew
cot{srRucrro{:
I rnrcr NE srRUcruRE
! rrcr rucx
! sxrr-r-
[ unrrr
I eoo ro Exrsr srRtrcTURE
ACCESSORY STRUCTURE: none
If UPFrT
- The
shell Permit #:
ARCH DESfcN PROFESSIOML:
David Sims & Associates
Exrsr co{rsrRucrro s
n ALrERArro{
n *r,ffiirfi
lf
Rolocdon, is there a Natural Gas Lin€ on the Current Site?
Ll
apply)
GEI{ERAL REpArRs
l-l nelocarror
ENo rs BLDG
spRtNKLEneor
I ves
luo
PH:
l1!, ?91- 801G
PH: 919-881-9960
NC RE6 #: c- 11s0
NC RE6 #: C- 8?5ENGR DESIGI{ pROFESSIO AL: Geostructural Enoine
erinq, Inc.
DESCRIPTIoa{ OF }'JORK: pre Enqineered MeralBuiLdinq6
DISCIAIMER: I hereby certry lhal all inform€tion in this€pplicstion is
corr6t and all work wjll comply with lh€
3nd local laws and ordin€nc6s and r6gulatrons, Th6 NHC ijevoloDmont SaMces C6nt€rwillb6 hotifi;d ol env
or chahg€ in conlraclor or contractor informstjon. *NOTE: Any Work Performed w/O lhB Appropriste permils
Sublecllo Fine6 Up To
S500.00*
le food or
bevrages propared o. s€rv€d h lhis sructrcz
[ves
OVT/NEF/CONTRACTOR:Guy R Auqer
{a!-.d {Prh ih,rr)
Not : Demolilion nodllc.lions
I rsb..io. rdnoval p.mit spplicetion6
ar. to b6 3ubmitlad using th6
conbin
Arbcb q mt You
.rc r6qdr.d to cill ih! tbtiooal Ernalion Slandsrd! fu. Hszadous Air
don ditoo ot any t cjlity or buildlng. S.. Asb.6Es W.b
Sb:
TOTAL PROJECT
COST: g2o0.ooo.o0 BUILD|NG
HEtcHT:
INo k The Prop€rty Localed tn The Floodflain?
[yes!No
Stale Building Code sndall olher applicable State
Dlans and soacifi cstiohsIlc Srste Eldg code snd
the
SIGNATURE:
spplication form (DHHS-3768)t|6 f€calily or building wei found to
PdlubnE (NESHAP) at (919)707.5950
.t l.ert lO
day! p.ior ro rho
# OF UNITS: r
TOTAL AREA SQ FT :
l!q2 q f
I
TOTAL SQ FT UNDER ROOF 50co
sof
ACRES DISTURBED:reas2.9 ac EXST LAND DISTURBING PERMIT?
SQ FT EXISTING IMPERVTOUS
AREA: o
I YES
fJNo
NEW IMPERVIOUS AREA: 13e30 SQ FT
PROPERTYUSE: EIOFF|CE lnrsrnUnnur
luenurnu f]eruc
larr lcoNoo orHERwbsgchouEelg!
WATER ECFPUA
SWER:
[} CFRJA
IFICATION:
rndusrrialE@rrMUNrysysrEM
EwErJ- EzoNtl{ctsiEclAss
LJoENTRALSEmC LIPR|VAIESEmC ECOtrtMUNrryS\4STEM.* SEPARA'IE PERiiITS FEOUIRED FOR ELECT, MECII, PL8G, GAS EQUIP. PREFABS & INSEFTS -'
PAYMENT METHOD:
ICISN T ctrEq< eAYABLE TO
NHC) EAMERTCAN E(PRESS EMC/vtsA Ioscoven
(FOR OFFTCE U6E oa{LY)REVIsED DA1E 4/' 1II2ZONE:_OFFICER:SETBACKS: F:
LH: RH:-B:
Appro\rel
:_ Cit)r:_ DATE_ FLOOD:
_BFE+2fi=
N
Comment
A
r0r5-
hz(
PIO E #: L\o 367-342G
PtloilE *: 9L0 36't
-3426
DATEi oG
/oi / 2075
PHo E #: 9L0 7sr-924s
Is Elect Poh,er
on this Buitdin8 n yes E] Ho
.*+*r rs rHrs A CHAIT|GE
oF OCAJPAI{CY
USel [VrS [i0 *..**
IFYes,hhatPasthePreviou5occupancyTyPe?-t{hatistheNfloccuPancyType?-
SQFTPERFLR: soo2 so
fr #OFSTORTES:1
# OF STRUCTURES:
L *Or rlOOnS: f-
PERMIT FEE: $