SEPTEMBER 29 2105 BUILDING APPSNEI{ HATTIOVER COUNTY BUILDING PERIITIT
APPLIA|I I N?8.. RESIDETTIAL
PLEASE A'ISTER ALI. QUESTIdIS APPLICAALE TO }U'R PRO]ECT
"Project Responstbilitf
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APPLTCATIO
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D^rE- q lr ll,APPLICAiIT'S t,lADIE:
DEVELOPER: S
PRO]ECT AIDRESS:
PROPERTY I.,SE / OCCUP
DESCR IPTIOiI OF IOR(:
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BLOCK *
CITY
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ZIP: 3
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SUBDIWSION:
PROPERTY (I{ ER'S }UlltE:
onruen'S runnSS: 5'110
ot r,llnS 6n ttomet
A
0
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COI{TRACTOR:{V{tb 0 {vr
0
EHATL ADDRESS:n e
PRO]ECT COT{TACT PERSOI'I:S llioholrrt
ACCOUNT
ST
PK' E *:
PTONE #:
*. ?\L ,t-,;i.lVfrG (Nt'',11-ffi
EXTSTTiE COa{STR CTIO : ! AlremrrOr ! nercvarrot ! eerennr- neemns ! RELocATToN I
El{ co6lnucTlo{: I enecr mr RESDE!(E o" I mrrrol To ExISTIts RESIDEI(E
..PLEASE O{ECT AXI AMN BTLfl AI-L TIIAT APPLY TO YqR PIO'ECT:rn
n
PORCH 1l SF ! oer e,rnaee _ s
I eoor _ sr
! oecr _ sr
STORAGE SHED SF
OTHE R:5F
TOTAL HEATED Sq rr, l?JQ rOTAL SQ FT U{[ER ROOF: l'i11 rorAL AREA * er, 1111
TOTAL PROIE€T COST rresc rat : S l2O,oOO f oF SToRIES3
^Is Any ELECTRICAL, purIiBII{c or I'TECHA ICAL tdork Being Done to the Accessory Structure? [ V"a fr ffo
If the project is a Relocation, is thene a t{atunal Gas ,Line on the Current Site? [ ves f, lo
Is there ElectricaL pot{er on thls Building? Eves E[no
Al'lCY:' srtct-E FAl.trLy n DI',P LEX -J l_{ roumousr
kJrlin I'Al AeN tonr)tu t0A
a EElEi
DtslG-A ER lhecby certiry fia a[ inbrmstbn h t'ris +pfoalon b corrEct ald J nDftwil corplywih tte SraE adtstE Code ald at oter applbable SraE and tocal ta$/s ai ordinaEes rE regulafbrE Tlc ttHC Dar€lopment Servtss Csotef wll be mtfed of dty cnaEes in tre ?proved pEts axl +eciicali$s or charEe in contrirlcr or cfit*br hbmaton. "1{OTE: Anywork P6rb.med W,o rhe AppoprtaE permlGwf,tbe h VDHbn of tte NC SEb Btdg Cod€aE SubFcl b Fines Up To S500.0(r-
(,!TINER/COIiITRACTOR:(ar 5tr{cn5 SIG ATURE:
(Print ibm)*++ + !*,*,* * * *,i,t :t !t* ** * :* +rr *****,t*,*,**,t **+***,t**,**,****
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IS THE PROPERTY LOCATED I A FL@DPLAI ?, 116 qn Fl Yes Elro
R{ MERrnqTS n O. iG 5Q FI
trerER: [l creua ! corrr{rNrry svsrem ! pRrvArE ri,ELL ! ceurRal we u
sEHER: fr cra.n f] cErrRAL sEprrc f] enrvare serrrc [.*n^rry s.rsrEr4
,,*1' SEPA'IATE PERiIITS REqUIRED FOR ELECT, I,IECH, .PLBG, GAS EqUIP, PREFABS & INSERTS ',{'*pAy$E r [Er]oo: Easr E crrcr (payaBLE ro rr*1 [irr.'- *co"i E n./*rn ! orscorca
:ts+:i:i * {. '*,t:i,*,a !**t*+ ** * *** **,r* +*** **{. **** ** **:t*** *** {.:}+{. ***+ +* *,t !t,},a* !t ra * *+,t* *,***+++}:t,irt ***** *
ZONE: _ OF FICER:
(FOR OFFICE USE o'lLY) 8E!1!SED DATE €4l11l12
SETBACKS: F: LH: RH: B:
EXISTII{G II,PERYIOTJS AREA
Appnoval:_ City:_ DATE:_ FLOOO: _
Comlent:
TOTAI ACRES DISIUnBED: '/S
Exrsr LA[, DrsruRorirc pERrur: I vss f:l ilo
BFE+2ft=
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PERHTT FEE:
ADDRESS:
! arr eaaaer _ sF
! sur'rnoom _ sF
fl enremorse _ sr Pa[,
la
*
L.o, tD 31103/
NEW HANOVER COUNTY BUILDING PERI4IT
APPLI CATIfiI TY?,E: RESIDEITITIAL
PLEASE AXS}IER AIL qUESTIOiIS APPLICABLE TO Yfl'R PROJECT
'PnoJ ect Respons ibilit)d
vens 6nc ilsnre5
tolSlZoe
1t*;e
(oFfi Use )
DATE: {6 tl APPLICANT'5 I,IAIIE :
DEVELOPER:of9 I t,t
PRO]ECT AIDRESS:I
SUBDIWSIO{rl:
PK'PERW ff{ER'S iIAIIE: i t,l ttg fiXt ttorrtot
OTflER,S ADDRESS: 51 r00 CIry:
LICET'ISE *:9t 0,Lb Nonrrr *: ?rl?-
11
CONTRACTOR:{enb 0 fvt
ADDRESS:
PlOilE #:(-i
Zr,P: A
LOT *:
ST
PIT'T{E *:
ST
firol114-$b11
z tL zrp:264,3
2Nc 71p1 214fi tMtrq'm
f CTTY:
0
BLOCK #
J
0
E AIL A)ORESs:0 e 5 ohot Plg{E *:
PTO E *:PRO]ECT CO TACT PERSOiI:S Nioholfl
EXISTII{G CO STruCTI(X: ! AlremrrON ! aerovarrou f] cenenal nseuns ! RELocATron
ilEl{ COi6TRUCTIOI{: fr ERECT I{Ell RESIDEITCE o" ! mrrrOl TO ExrSTrIG RESIDE CE
.*PLEASE O{ECI( AII' AIISffiR BELfl ALL T}IAT APPLY ro Yq.R PRO]ECT;1l ! oer ermce _ sF E
Ieoor_sr n
! arr ennaer _ sF
! sur'rnool,t _sF
! eneerxouse _ sF
PORCH SF
STORAGE SHED SF
SF OTHER:5b"r h 5F ! oecx
ToTAL HEATED sq rr, I?.JK ToTAL sQ FT IioER.*.. IT11 ToTAL AREA a 'r, 1171
TOTAL PROJECT COST tLess ral : $lao,0 o0 o # OF STORIES: A
Is Any ELECTRICAL, PLtfiBI G or IIBCHAIIICAL Uork Being Done to the Accessory StructurE? ft V", fr fio
If the project is a Relo€ation, is there a current site? [ v". fl to
Is thene Electrical Power on this Building
PROPERTY T',SE / OCCT,PA CY:
DESCRIPTION OF |IORK:kir
_.1
Lt nlnl Aev,l Co
SIIGLE FAI.ILY
a
l{atural Gas .Line on the r[v", frro-
I-l uiplex l-y'| roumpusr
n?ru.ohorl
I ilEtu ,Eil
OrICLAI/ER lhseby certiry fid a{ hbrmabn in fils +dbaton b cqlect and d 'iorkwil comply wih fle StaE BulEhg Code ald d ofi€r applbabb SbE and bcal larJs
ard oGllnarces and regulaibns The NHC DeEbprient Servb6 CenE wil b€ odifu ot a'ly ciangEs in the +plo\€d pEls a*,sp€cificd,oris or change in contftEtr or contebr inbrmarbn. "1!OTE: Any Work PsrbrrEd w/O t€ AppropriaE p€milswitbe in yDhion ot t|e NC Stat Sldg Code ard SubFcl b Fines Up To gSOO.oCr-
ohrNER/CoNTRACTOR:(ar 5lUe,n5 SIGI.IATURE :
***,t**,*,f ,*** *+++ **** *,**,****(Prtnt [ac)*++ + *,*,* * *,t +,t +,** **:*:*!i,l'i *,t*,t ***+:t*,t **:*,*+ t dm :f:t+:i:t + +* +***:t*+* *+
rs rHE pRopERTy L(NATED rr{ l rlooopuru E ves
Exrsrrrre u,,Emrous ,.6, 1l? q rr
t{E, IITPERVIoITS nee: 419 q n
TOTAL ACRES DISTURBED: '/S
EXrsT LAID DTSTURBT G pER rT: I Vss l-l rc
r'nren, fl crrua I co!fiuitrry svsrrr,,r ! pRrvArE [{ELL I cemnal ueu
seHER: fr crrua E cErrRAL sEprrc I enrvare srrrrc I courr.^rry s6rEr,t
**' SEPAiATE PEMrrs REQUTRED FoR ELEcr, l1EcH, fLBG, GAs EQutp, PREFABS & rf,sERTs **{.
pAylrErrr lrErH(I,: EcA$ E cxrcK (payABLE. n*t Mrr.i **r*, 'tr*r**- -uo".*r*
**** **'t '* 'l:t a,i*+*'i't,* *,*:*:r '*,t*rt++*:t*** +,f +'i,a,t+* !**++ *:|:i +.t**:i!t,** *'i* 'a** *t*** ******* +:t,t,t,r +:F:!:i * !t,t,i.i
(FOR OfFTCE usE Orty) REVT5EO OATI O4l11l12
ZO E: _ OFFICER:
BFE+2ft=
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Approval:_ City:_ DATE:_ FLOOD: _
coment: A v
PER},ITT FEE:
apTli6idr
ttmber
CITY:
SETBACKS: F:_ LH: RH:_ B:_
(
"Lc
(5'-Q') a ,oa.-tl
L5-2437
APPLICATIo.I
l{urnbe.
(offi.€ Us€)
' il-:"'.',. .';
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NEW HANOVER COUNTY BUILDING PERMIT
aPPLrdarr(N rypE i R ESIOENTIAL
PLEA5T AIiSIER ALL QI]I5IION5 APPLI(ABLI IO Y&JR PRO]ECT
"ProJect Respons ibi lit/'
ApptIcaIT,s IAHE:
oEVEIOPER: r-, A
?CRCH COMVERS ICN
PROIECT ADORESS: .ril r:.IElt .]!r :.)TR.aT CfTY: irrt-MrNtlt{,N
SUBDMSIOfl: :ir4 5 ,tcRrrEkATa L:Hr'1s 8L0CK S:
PRoPERTY O{tlER'S ttAr,tE: eoHrNA-DCr G.1l
O{NER,S ADORESS: 51c SoIITH ] RII sTTigiT
COi/TRACTOR:PtU \ C tr,t6rt--,,.LICEIISE S: ?abe
: Lc,! wrr v..g\j1!}-- ST : !L ZIp: jllllE
OATE: q:24115
ZIP::840r
LOT s: 3
PIONE *: 9io-J5.1-J5:2
ADORE SS : b:2 i yv\,&r) Va"1ii
EMII ADORESS: Frrcl:ccnv"1sr.n PHotIE fi
Pt0,f{E {:
970--t77-)f6']
910-1t1- l )63 pROIECI COI{TACT pERSON: rrl...rrrl Br:',r
Exrsrrxc corsrRucrrol: fl rrrunarror fl neruovarroru GEIIE RAL REPAIRS fl nrrocrrron
NEr.l cotlsTRUcTIO :ERECT NEI{ REsIOENCE oT ADOITION TO EXISTING RESIDENCE
..PTEASE CHECK AT{O A'{SXER EEIOI' ALL THAT APPLY TO YA'R PRO]ECT:
f] rrr cauce _ sF fl oe r cruce _ s, D
[] sultnoolr re8 sF poot _ sF
DECK GREENHOUSE
-
5F
TOTAI- PRoIECT COST.",',., : t
PORCH _ SF
STORAGE SHEO 5F
5F
IOTAL HEATED 5Q FT: '-eE TOTAL SQ FT UNDER ROOF: rre TOTAL AREA SQ FT: 1eB
5F OTHE R
S OF STORIES:
ves [ ruo
ouerex I roHNHousE PROPERTY USE / OCCUPAACY:5I N6L E FAI'IILY
DESCRIPTIfi OF lrloRl(: ::nsrrucL n :: :{ i!
Ir Any €LECTRICAL, PIUllBIi,C or |aECHAIICAT Wo.k geing Oone to the Accessory Stru(turet E V", I ffo If the project is a ReLocation, is there a Natu.al 6as Line on the Current Site?I v"t fl rio Is there Electrical powe. on this Building?i
5FT an an ert st t;rq de a!.
OISCLA,MER ih.,eDtcetuty tt.r.[ ntmalEn o a]s.pphcalo. 6 .lrr o,d!.-,:.s.nd Ggurrlio.s th€ N8c tbwb9m.its.e..! c$a.., oIglY cha9.s i.'l€ approlld 9b;
e.,r niconolywro ,'e srare Bur(69 cod.ed dr 066. ao!{raarh star rd krst l&s
so.c,ncaho^s or.hm96 o conr.6ab. or ,'d grbFcl!3 Fn6s uo Io S5oO O(r'.
&flxrm,S[254-CP0)
.o.rEE.,.6d.!o. "I{OTE ny wqr tunod.d W@ nc App
rl'
irbe u vola({n.tlh€ Nc sE6 8td9
SI6NATURE:a
IS THE PROPERTY LOCATED IN A FLOOOPTAI ?tl t+0
EXI5TING Ii,tPERVIOI,S AREA: ] ].,-SQ FT TOTAL ACR
SEPARATE P€RTIIIS RE gllREo F
PRIVATE SEPTIC
OR ELECTJ TECH,
Ecrsr E cxEcx (payABLE ro,*,<; I or.*r.* rxrne ss ! rcTrrso
fl conrulrry svsr+r
prac, cas EqJrp , PREFASS & IISERI5
r rr !l r. * tr * * t, * r +
D: 'j. Lt Lt.t i
NEt{ II1PERVIoUS AREA; ll8 _SQ FT EXIST LATID DISTURBIIi/G PERTIIT: E VCS ffi
warER: @ crcua I cof,, juIITy sysTEH LJ pRIVATE wrr-l Ll cENTRAT rirrLL
5EHER: p CFPUA I CENTRAL SEPTIC
,{o
R
/7t/t2
D
*B:C €vis
BF E+2ft=
r
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6eiltrr FEE: $
0IscovE
EO OAIE 6'
PHOa.lE #: iio 7"? .rJ6l
CITY: iTTLMTNC?oN 5T:gZIp: 28401
YE5
PAYTET{T fiETHOO;
zor',r, l( ( oF FrcE R:
'-l , r'r^ \\
Approval:..--Citv:
SETEACKS:
Itr,.i r,^
FLOOD:
t7
c i"+1
APPI.ICAI,JT'5 NA,I,IE :
DEVEL@ER:
PRoIECT A00RESS I
suEDIVISr0[l
Zctfe R1
Fz r}agz
APPLICATIOII
Nufib€r
(office Ure)
* NO {LANS*
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA| rov rrpf : RESIDENTIAL
PLEAST Ar,lSllER ALL qJEsrIGtS APPIICAELE TO yOuB pROrECr
"Project f,esponsibility,,
OHNER'5 ADORES5:
zorr: ft!- orrrcen,
(roi orFlcE ust o!LY)
SETBACKS: F
DArE:?-Zl- l9 FLOOD:
JI
CO TNACTOR:ICE SE #;
ADDRE55:ST
EITAIL ADDR PHONE fI
PROIECT CoNTACI PERSO T !PH'HE *:
EXTSTI{6 CON5TRUCTTON: I ALTERATTON p nrnovlrroN I crrrnnl nepnrns E REtocATror{
CITYr
TOTAL ACRES DIS]URBED:
EXIST LAND DISTURBI}JG
RH:
P}ONE f :
BIoCK #: ..- LOT *
nq bd c^r
OATE i ?t -1l 1\
zrp:28?A 3
sr I ALLIIP I Ztt/ 71
,r&7J
Jt)
TOTAL HEATED Sg rr: [\&) .TOTAL 5Q FT UNDER NOOF: I3S5- TOTAL AREA SQ rr: /3SS-
rorAL PRolEcr C0STrtasstorr , C 0915b. * oF sroRrEsi I
rs Anv rLEcrRrfAL, pr.u.l4grNc or irEC[A,'JrcaL work Being oone to the Accessory structu.er fi ves f,l ro rf the project Is a Rerocation, ls the.e a Natural GaJ-Line on the current sii"l E v", E r,r"Is there Electrical po!./en on this Building? Sves f]no
SUNROOM SF l-l poor- sE ! sronrcr sHED _ sF
5F ! oecr SF OTHER:5F
PROPERTy t5E,/ OCCI pANCy: EIsrterr rarllv ! ouclrx IOI,]NHOUSE
DESCRIPIION OF I,]ORKI q-Nod ' lo b c Cit ci q^{-l
OISCL IMER: l hEEDy c€nrry mai sr tnbrmar in bis.pplicsti(rr Bcorect s.d aI $€r,t wiI flptywllh he slst€ 8(lfdho and o.dlnarce8€nd r€gltatb.rs. Th€NHC Os t S€lvlc€s Cenb, wittbe noutOd ofany citnges in hd apprDved plarlssnd speclficallon. o{ change l. conlr"cbr or co,rtaro. ln hma50n. "1\tOTE:Anywdt psrtormBd U,/rO the Appropnab Pemirs$l[ !r in vlolation ot lne Nc slre Bbg c4!c ed sublect b Fnes Lh 00^
Oli,NER/C0NTRACTOR :SIGNATURE:
" _... _ _ _,- J:i'Jl,ltl"]_,
]S THE PROPERTY LOCATED IN A FI.OODPLAII,I?
EXISTIiK IIiIPERI/r0US AREA | _ SQ FT
uEl{ I}IPERVIoiJS AREA: _SQ FT
AU6 3l 2015
R I lYEs I lr{o
I,]ATER I CTPUA COI4T4UI,II TY SYSTE'4 PRrvarE UIELL I calrnaL wrLr BY:
rvATE sEprrc f] com,rulrw svsrti,r sErrEf,: D crnua I celrRal srrTrc ! en
NEI,I CONSTRUCTIONi ! TNECT NE}I RESIDENCE Or I AOOTTTOIV rO EXI5rING RESIDENCE
* *PTEASE CHEC(
p rrr ennace
AND ANSJER EELOI{ AI"I. I H.AI APPLY TO YOUR PRO]ECT:
?l:4 s, ! orr crnncr sr pconcr l5U ,,
g ,rr.or.*
71/17
",111 3L
x)
<D E
s
:9 G'
t\)<-rr
l-
H
SEPARATT PERI,IITS REQUIRED FOR €LECTJ I,IECH' PLBG, GAS EQIJIP, PRTFASS & INSERTS pAyllft.T HrrtroDi [_l crsn l_f clecx (pAyaBLE TO rxC; I utenrcm exrnrss E "rrrii
-
Ft*r * ** *+** ****,r**r r a* **** ***'l+* * r$** **** **rrrii,***,* + * *,i,a,* * ***r**)i+***+,|.r***:r***
'N1ft o,-f -fr.,,J5'
-{
BFE+2ft=
PERHIT FEE:$_=-
Aaol-
Coment:
4o ?(L.Qa {nvn ,lb hol.)B-(Qto
p$NE $t\a-jJl-?6jt PROPERTY OI,INERJS IiIAI,IE:
I cnremrousr _
tr tr
Approval: Citv:
-i,
t'l)to\f q,R1
*No {LA^ls*
APPLICATION
Number
(office use)
,.(C /NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATIa1 IYPE; RESIDENTIAL
PTEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility,,
APPLICANT'S NAIiIE:
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
COI{TRACTOR
ADDRESS:
DATE:
g/ A 7l 1\
PTIONE *:
CITY: (! r LT"\
-
BLocK *:
-
loiTl ZIP:16'/\) .
Arz--ol,-t
PROPERTY OI''NER'S i,U\ME:
OWNER'5 ADDRESS:-1S L ITY:
(
r\C{ bd c\-)sr :, L)_LzrP I z-ty 71
LIC ENS
&q,Nt
Q7o
,rB!7j'
-,11-e6 3c
E fl:
Ur \ n Y-\a bo*.)"ST:
EII,IAIL ADDRE s:
PRO]ECT CONTACT PERSON:
GRE ENHOUS E SF
TOTAL HEATED SQ FT:{\a)
{
r o-n\
il ProNE #:qtO'111963L
EXISTIN6 CONSTRUCTION:tr A LTE RATION lXl Rrrcvarror ! crHrnar- arearns ! RELocATToN
NEW CONSTRUCTIOT: I eneCr NEt4, RESIDENCE o" ! loolrtou To EXTSTING RESIDENCE
**PLEASE CHEC( AND ANS}TER BELOW ALL THAT APPLY TO YOUR PRO]ECT:p arr enmcr ? h4 sr tr DET GARAGE
-
SF
PooL _ SF
DECK SF
60
rs any ELEcrRrcaL, PLUiIBTNG on tilEcHANrcAL htonk Being oone to the Accessory structurel$ v", [ ruo rf the pnoject is a Relocation, is thene a Natural Gas Line on the current site? [ ves f] Ho
Is thene Electrical power on this Building?Sves !no
TOTAL PROIECT C0ST lress roq : $lsb # OF STORIES:
PROPERTY USE / OCCUPANCY: EISrrClr rarlrlv TOI^]NHOUSE
DESCRTPTION OF WORK:Nod -fod
PORCH SF
STORAGE SHED SF
5F OTHER:
roTAL SQ Fr UNDER nOOF: l3Sf rorAl AREA SQ FT:/J9J
+o C
-1
** ** + * * )*)*+ *,t* **)*)t *,t* )* r** )t )N+ )k ** ***
e Q-r q
en
OISCLAIMER: herebyceriifyliatat inbrm alDn in this appilcalion is correcl and a workwlt prywilh lile slale Buitding cod and al otrer applicabte and ordinances and regutalions. The NHC Devetoprnent Services Center wi be notfied olany changes in the approved plans and sfecilicaiions orchange in contracbr or contacbr inbrmalron. '-NOTET Any Work pertormed w/O the ApprooriaE permrcwilb€ in violalion olfie Nc stab Btdg code and subjecl lo Fines up 00"
OWNER/CONTRACTOR :SI6NATURE:
* * ** *** * *. r r * *,* ** ** * ** ** *,1*(,!ifllilJ
rs rHE pRopERry LocArED rN e rloooplarr? ll-l yrs E nro
AUG 3 I 2015 EXISTING II1PERVIOUS AREA:
-sQ
FT
NEW II1PERVIOUS AREA:
-sQ
FT l--1 vrs l-l ruo
!,raTER: ! creua ! cofir4uNrTy svsrem !PRIVATE I^,E LL ! cerrnnl wrr-l BY:
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
REVISED OATE O4l1U12
sEWER: ! creun f] CENTRAL sEprrc I enrvarr srerrc f] coMMUNrry sysrEM
*** SEPARATE PERflrrs REQUIRED FoR ELEcr, MECH, pLBG, GAs EQUrp, PREFABS & TNSERTS '**pAynENr rirErHoD: I crsx I cnecK (,A'ABLE ,o ,*cy [ -r^r; ;;r;, -E
n.rrrr^''- E ,rr.orr^* '**'i 'r )t* * 'r 't * * **'l* * )k)** +* )* * +,t* * )t *,t * )*,* *,t *,* ** * * ***+ ** )* ****,* *,t* * * *,f ** * )t* ** *** *,t*)* * ***,*,i** * *,t* )* )k
ZONE:OFFICER:SETBACKS: F:_ LH: RH:_ B:Appnoval:_ City:_ DATE:_ FLOOD: _B F E+2ft=
AVN
Corment :
Wz rSas,;
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R
Prcw *:\o-,lnfiSJL
P}ONE fl:
! sunnoom _sF tr tr tr
l
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{FOR OFFICE UsE ONLY)
i,''{
I
RECEIVEDSEPlS2Ol5
NEW HANOVER COUNTY BUILDING
APPLICATION rypE; RESIDENTIAL
PERMIT
nr y-aQ-13
APPLICATIOI{
Numbea
(offlce Use)
:v,
t
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility,,
APPLICANT'S NAITIE: Abie rnsratlaricns r Con strucEion 1nc DATE:09-1r-201a
DEVELOPER: AbIe Ins!al.lations & Construc!ion r
CITY: wi I a1r crton
_ BLOCK #: _ LOT #:
ZIP:284a9
69
PHONE S:
ST: NC ZIP: 2840 9
ACCOUNT #:
PROIECT ADDRESS: r-52 Liberty Landir q viav
SUBDMSION: a c i,r n.i: o.,
PRoPERTY OINER'S NAIIIE: Bltt and Chartc!!e Fairarr
Oh,il€R ' S ADORESS: r52 Liberry Land:nc riay CITY: wi l::r n
CONTRACTOR; Abre tnstafta:rons & Consiruc tion Inc LfCENSE #: 3 9.131
ADDRESS: 3934 Market Srreer CITY: wilmington
EIi,IAIL ADDRESS: abteokGsmarl. com
ST: I!_ ZIP: 28 4 o3
PHoNE S:910-251-ooi8
PROIECT CONTACT PERSON: F:ank (ear:re PHONE f: 9'-A-25i-ar':E
EXISTING CONSTRUCTION:ALTE RATION R ENOVATION RE LOCAT ION
NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
,}*PLEASE CHECK AND ANSWER EELO{ ALL THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE SF
al suNRoot4 :68 SF
GREENHOUSE 5F SF OTHER:5F
TOTAL AREA SQ FT:TOTAL HEATED SQ FT: _ TOTAL SQ FT UNDER ROOF: .168
TOTAL PROJECT COST ir."s r.r) : g ts43r # OF STORIES:
DESCRIPTI0N OF WOR|(: Enctose exisrin g roofed de ck,and extend 4', construc L 4' x 141 raised slab
extend roof I i ne of rh e sunroom to create a dLro snaoe awnrn
ed otanychanaes in he aD
DISCLAIMER: lhereby cerrily Uiar alt intornarion in h s apptication is cotrect and a[wo* 'rrillcomply wih he Srate and ordinances and regutalions. The NHC Devetopm€nt Seryices CenEr wil be noli,i
applicable StaG and tocat taws
or change m conlractoror
b Fines Up To$50000".
conrracbr in,omarjor. .,,NOTE AnyWork perfomed WO rhe ApproDriahe pemiG willbe h violaton oflhe NC St
OIINER/CONTRACTOR: Abte rrsrratLaclons o.strucLi SIGNATU &C
* * *,* ,i * * * *** *,r* * ** * * * ** ** ** *(Ii'Ii lil"J ** * *** * ** * * ,*,* * *** * ** * * *,* * *** drr*T IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IIiIPERVIOUS AREA: _SQ FT
NEW IMPERVIoUS AREA:
-
sQ FT
I^IATER:
SEWER:
I comuururrv sysrEm D pRrvATE I^JELL
CF PUA ! crrurnal sEprrc E PRIVATE SEPTIC E
NO
rOTAL ACRES DISTURBED: _
EXI5T LAND DISTURBING PERMIT: E YES NO E
CENTRAL WELL
COMMUNITY SYSTEM
c
YES
(FOR 0FFICE lJsE s! LY)
B:_
R€VISED OATE O4l11l12
*** SE,ARATE pER,,lITs REQUIR€D FOR tLECi, I'ECH, pLg6, C.AS EQUI,, pR€FABS & IN.ERTS *+*pAyr{ENr r,lETHoD: Icrsr [*rec,. ('A'ABLE rr ;r.t L;;;; o..**- 'U;;r;'''-'tr;r*.r*
** * * *,** ** *,* ** ** * *,**,** )* * *,* * ,*,t * * *:** )*,* * *,** *,r ** ** * *I*** * ** * * * * * ** *,** ** * *,* * *,* *,* * * *,i,r* )i,* ,* * *,r * *
ZONE: _ OFFICER SETBACKS; F LH:- RH
BFE+2ft=
N
PERIiIIT FEE: g
Blds C.de and Subj
I
ApDroval: ai i,,.DATF _ crnnn
Comment:
PHo E *:910-251-0038
6ENERAL REPAIRS
ffi
! orcx --
! orr cannor
! coor _ sr
sF LJ PORCH _ 5F
! sronnce sHED _ sF
rs Any ELEcrRrcaL, pr-urrlBfi{G or rilEcHArrcaL wonk Being Done to the Accessory stnucture? fl ve, I lro rf the project is a Rerocation, is there a Natural 6as Line on the current site? [ t", 3 rn"Is there Electnical power on this Building? [Ilv", [-".| ruo
PROPERTY USE / OCCUPANCY, I srNorr rtrrlv ! ounr-rx ! TOWNHOUSE
ffi
NEW HANOVER COUNTY BUTLDING PERIVIIT
APPLICATION TYPE: RESIDENTIAL
Pr-EAst axsllER atl QuEsrl(xs ApprICAstE ro yot s pRot€cl
"Project Responsibility"
DATE
P}ON€ f :
2otf -1{?I
1l''2k32-
APPLICATION
,tumber
(offt(e Urc)
q/ru/rc APPLICANT'S M'iE :
DEVELOPER:
PRO]ECT ADDREsS:
SUBDIVISIOI{:
COI{TRACTOR
ADORESS:
d CITY:
SF OTH
BLOCK S:LOT *:
ztP: )8+/ /
PlofiE $:t9 (a h1
ST , i.: I ZIP...',: t.': '
toa/tl
sr: l/Cz{p:
et*,xe *:fo!gi:l2g_
PROPERW OMIER'S MflE:s
OtrlNE R '5 ADDRESS:a Ca /1
CITY:
"h . LICENSE S:ACCOUMT f:
CTTY:h)
P}(}NE *
DET GARAGE sr ! eonor
--sF fl pmr _ sF STORAGE SHED
,*,0€{u-
f,
I
EH.ATL ADORESS:ft
PROIECT CONTACT PERSoi,I:
EXISTING CONSTRUCTION :[J alrrnnrror'r I RElovarroN I erruraar ntlarns f] RElocarlol
NEW COI,I5TRUCTION r f|_eneCr NEh' RESTDE CE o" [ ADo1u6r{ TO EXISTTNG RESrO€irCE
..PLEASE CHECX AI'ID AI{SWEf," 8EtO., ALL THAT APPLY To YC[,i PRo]ECT:
[nrr eanacr _ sF
I surnoon _ sF
! cneeiuousr _ sr f] oecx
_5F 7)0 sF
Fr: 42 TOTAL SQ FT I'IIIDER ROOF: ,iJO TOTAL AREA SQ FTI AO o
TOTAL PROIECT COST lress rol : $S OF STORTES:
rs Any ELECTRT(aL, Pl-trtSrt{G o. iEotaNrcAl Ho,.k &ing oooe to the accessory str-ucture} [l ves I to
If the project is a Relocation, is there a Natural Gas Line on the current Sitel f]yes Is there tlectri€al Po$rer on this Euilding? lXlyes l-] ruo
PROPERW UsE / OCCUPAT{CY, ErSlnCLe rarlrv DUP L EX TOWNHOUSE
Eto /+
DESCRIPTION OF II,ORX :te o?ortA Ar n<a olP,L.e
OISCIA{vEF: I h@D, @.t, Od ar inb.D.tbn in nlis apptaaon is coiecl aod ar \rort w,! compty ,it tle S6le
and oftlinances rx, Ie9ulatoos. Th€ NHC t)evebpdE.t Sedaes C€obr wi! be nodfed ot an, changes in he conrrbrhbm.t n "'NOTE: Anywo.r Fredorm€d w/O tne App,opriaE pemirs wilbe in
at ooer app,aabre SraE and bcat raws
o, cnanoe in @arrr.rcr d
OWNER/CONTRACTOR:A^Slb,ed !o Fnes up ro !500.0Cr..
*,r rrrr'r +*r* !r. * ++*** ** *.* ** *(li'l! jil'l * il tt*+,+ * !t,t **,i,t,l ** )t * )t,3 ,i *,t * **,* *,t *l a *,f **,la **it * I + rl,t * r
uarrmoeurrtffives fl rlo
Q ,&,r,,
Vblalan ol lhe N C Slab
SIGNATURE :
IS THE PROPERTY LOCATED I
EXISTING I'i,IPERVIOUS ANEA :
I.IEh' II,IPERVIOT'S AREA:
TOTAL ACRES DISTURBED:ttl n
EXI5T LAID DTSTURETNC peamrr: l--l yss f]ro
HATER: ! crnua ffi cotltuNrw svsrtm I pRrvATE UELL I ctrrnar wrrL
sEritR: fl crrun I CEITRAL sEpTIc ffi enrvarr srprrc D co.{r,rjNrTy sysrEr4
i'r SEPAFA]'[ PERI|ITS Lt.Qr-,rRSo F(,rr t_r.E(.r, lrECH, DLEG, cAS tqt^p, pRtFAoS $ t!.lSER!s ...
pAyr'lEirr rEruoo: I cos* [l crrcr (payaBLE - n.y !"r.i oa.**r g "lirrro"'-'g-r*rm {t i*..r**itrraaa,, + *t.raa**r*rrar+
(FOe Ofrl(a usr o[y] &vrsro olra ,./rtll?
ZONE:
--
OF FICER:
E sQ Fr
sQ Fr
SETBAC(s: F:_ t_H: Rfl: B:Apprcval:_ City:_ DATE:_ FLOOD:
--
BFE+2ft=
AV
Co,r!rent:
I
Jarn " A.h'rr,s ( nsf.noi,bn (o..Tne.
TOTAT HEATED SQ
D tr
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION rYPE r R ESIDENTIAL
PLEASE ANSWER ALL QUEST]ONS APPLICABLE TO YOUR PRO]ECT
2otr'Qr? z Pez SeQd:
mpr-rcarroN
Number
(Offi(e Use)Respons ibility"
APPLICANT'S I{AfiE:
DEVELOPER:
v e te
roject
//^K (DATE :tS
a9
PttOt'tg *: 3 Y
PRO]ECT ADDRESS:
SUBDIVISION:r
PROPERTY OWNERJS t{AME:
OWNER'S ADDRESS:
- CONTRACTOR:
Z' ADDRESS :
EltAIL ADDRESS:
PRO]ECT CONTACT PERSON:
i I
DISCLAIMER: lhe
and ordlnances and regulations. The
conlracior infomaton. "'NOTE: Any
OWNER/CONTRACTOR :
e(e
cV \^9.t'1,1'
CITY:
LICENSE T:
CITY
BLOCI( #:
t
LOT #:
ZIP I
PI()NE *: -3 *,&zrp@ll7
e l-pxoue *: =
/.-:rlLz rt ST
PHoNE #: 3V3- t/
,r, *8\t6=gtQ
S)erck llnrlr
[.[itrnarron RENovATToN f] ctlenar nrenrns ! RELocATToN
NEt,,] CONSTRUCTION:
I.*PLEAsE CHECK AND
! rnrcr NEW REsTDENcE o" ! morrroru To ExrsrrNc REsrD ENCE
fwsVa"rr'b"(
EXISTING CONSTRUCTION:
TOTAL HEATED SQ FT:)<;o
TOTAL PROIECT COST rress roo : $
ANSWER BELOI,/ ALL THAT APPLY TO YOUR PRO]ECT:5 /i!
SToRAGE SHED _ SF
/OO sr
roTAL AREA sQ rr: )OO
AIT GARAGE SF DET GARAGE
-
SF PORCH
-
SF
SUNRoOM _ SF
GREENHOUSE SF
P00L _ sF
DECK
TOTAL SQ FT UNDER ROOF: k()
/s'oa # oF sroRrEs:
+ +* * * * *,** +* **)* * *,t )i
Accessony St ructune ? E Yes
e on the Current Si.te? E
REVISEO DATE O4l11/12
Is Any ELECTRICAL, PLUIIBING o. T1ECHA ICAL t,lJork Being Done t
If the pnoject is a Relocation, is here a Nat u na as Li.n
Is there Electrical Power on th Building)E e5 No
PROPERTY UsE / OCCUPANCY:INGLE FAIV1ILY DIJPL EX tr T0l^INHOUSE
DESCRIPTION OF I.IORK:ol){zc Sl'r +u-
thatalinirrmaron rn is applicalion rs correctand attworkwittco ywi$ he Srate Euilding Code and alioher applicable state and localtaws
NHC Developmeni Services CenEr wittbe notlied ofany changes in the approved ptans and specifications orchange if conlracbr or
Work Perlormed W/O the rmilswillb€ in Violaiion ofthe NC SlaE Bhg Code and Subject to Fines Up To Ss(n.ocr,'
.-r-(SIGNATURE:
r * rr r {, * * **. r,k * *, * * * * * * *, * * *(i!''ll,. }i1"1 * * * * **, *,,
- IS THE pROpERTy LOCATED rN I rr-OOOelnrr,rr [py6
EXISTIN6 IMPERVIOUS AREA: _SQ FT
NEW IMPERVI EA: _SQ FT
l_l ruo
TOTAT ACRES DISTURBED:
EXIST LAND DISTURBING PERIiIIT: I-'] YES
PRTvATE l.iELL ! crrrRal wrrr
RTvATE sEprrc ! commururw svsrem
l4lATER:
SEWER:
I cor,ruuurw svsr
fl crtrRnl srerrc
EiT
FPUA
ZONE: _ 0F FICER:
(FoR oFFICE USt ONLY)
SETBACKS: F: L Approval:_ City:_ DATE:_ FLOOD: _
Coment:
H: RH:_ B:_
B F E+2ft=
vil
PERMIT FEE: $
a
ffi
u7-
CITY:
aK'-
ves @l{
5F OTHE R:
B(
*r* sEpaRATE,,,fRr,rrrs REQUTRED ,oi ,arcr, r,rEcH, pLBG, GAs EQUrp, pREFABS & rNsERTs ***
pAy,'Er'rr r4ErHoo: LLfcasH Llcnec* (pAyaELE rO lrnc) [menrcAN ExpREss [,rclvrsa !orscoven + * ** * * * *** 'k 't* * * * * ** *,* )* ** )r )*,*+** * *,r * * * + * **+ ** *,* *** *,*** )k* )i,t ** + * )** * * * * * +* *+ *,i* * *,t* *** * )* *,*+ **
NEhl HANOVER COUNTY BUILDIIIIG PERNIT
APPL I cATrott Tltf I nESIDEiITIAL
PrAsE .nsiri
^rL awsrroNr aP
rproj6ct Respon6tbluty',
L5-2628
APPLI(ATIOII
PiOPEiTY OINEi'5 TATE:
5I: lE_ zIP: 23{23 o0lr{t8,s ADDttss 1202 tl Lak. Prrr Ervd CITY: cuolt!. Be.dh
CoIITRACToRT s.el cop.tluotld c@.nv. rnc ttCEtSE ,4e2AS aCIOUNT I
AODnESST r2o2 n !.r. p.* ltvd CIIY IMIL AO0RE55; .L.trJ!a..6fcd.t!uctt6!..6
ptOlEcI CofrACT pEnSO\l: xen coir..
aPPLICA|!T'5 NA'iE I t(otr cotr.!oalEi 9/1rl2o15
otVELOPEIi c PHONE f PiorEct a00itss:ZII:2aar2 slrSoIvIsr0r{:U-OCK l: _ LOL: 1
c.!611M !.&!sr : .!g- zrP | .3!!2q p|oilE #: ero-.13-5505
p|lott€ r: 9!0-333-1055
ExrsT!{6 cq{sTRucuo : Ierrrnerror ! nrrcvlrror flcelitn* rrmrns I nrtoclrrot
tEh cottrsTRucTlo : E rnEcT t{EH REsIoEl{€E o" fiaoorrrot To ExtsTI{6 iESIDEN(E ..PL'A'C CIIE(K IJ1D A'{SI{Ei !EI.O( ALL TIIAI I'PLY IO YOI,]R PiO]ECI!
! otr cmmr
-
sr I eoror .231_ s.
lcooL
-
sr I sror,aer *o_sr
@lrr cemcr a45 sF
! sunoot _ sr
I cnrrurursr _ sr lorcx _ sr ortEi:
ToTAL HEATEo SQ FT : 3A!]_ IOTAL SQ FT UNoEn iOOF : .A!:l__ TOTAL AREA SQ FT I 3gt_
ToTAL pROlEcT CosI (&(d) ! I erro,ooo I oF sToRIEs! A_
Is Any ELICruq[, Plutst $G a. nl<rauclr,lo.k Belng toE to th. lcesrory structurir O v". 0lo If th€ project is a ieloratton, t.s therc a Naturat cas Llne ofl th. curreit Stt€? OVes Orc Is th€re tlectrl(el porcr on thts Bu, rdlnrr Crve, ONo
p&opEs1y usE / occupAMy: Bls:rcu ralrrv I owtrx I roumrousc
oESaRIP'ION Of UOnk
reulNlE I h.nhy 4rr d.r hbm.loi h nk .rplc.t r c6Er nd.r w**r dllr'n .. s* ersh ed.,n d orq 4e.c,rb 5r- d d rs -n o,ihh* d q.hsn rt. rrc l]'0hfuryEf,d...1d?dro!.nid cr*E 6bn.&n'-toE A.y w,o n. r',@ns pqmrb yil b. h vbbdoi or h. rc
OIX{ERICo TRACToR: x6 cotrc!SIGIIAIURE
*-. -gi,ii,itl.,l-...._
"__IS I1IE PfiOPEITY IOCATEO IN A FLOOOPTA T O YEs O iO
EXt9TIr\kt ItfEivlot s aREA, _5Q F-
l{Etd II?ERVIOUS AREA: _ se FT
TOTAL ACRTS DISTURBED:
-
txrsT tlND DrsllrRBrNG pERrrr; (] yEs Olro
sir 3rb ood.,i_s$tsr b rhr LF ro_E o&;/, .44 4. '-a
uren,! crcue Ecouwrrv svsrrr firnrvrrr llErt f] crmnnt N,rrr se*t: I crare f]crunm seerrc I mrvan stnrrc @- coot +..,lrw svrnt
pEult.ts REQUIfiED DOi flEcy, ecn, pLao, 6as Equ4, pierlBs & rrEafiTs .r.
PAyftl.I,€rHrb: Oosx [occr< (payAsLG to flH€) Qrrr"t rccurr
_
f,lnvvtsa f,lorscortr
(roi ofrrct o3f olty) rtse urr q/u/rr
zo{[: _ofFrcER: SETBAC$: Fr_ LH: RH:_ B:_aPPFov:I:_ C 1ty r_ DAT€:_ FLOOD: _ _ _ BrE|2ft. _
ll
titt
\e)
7
-f)
-<)
"D
ffllol
NEhI HANOVER COUNTY BUILDING PERI'IIT
APPLItAtIotl rl?f: RESIDET'ITIAL
Pttast ANstEi Ar! Qltlrrots ApprtcABlr ro lorri pnoJEtT
dPr.ol€ct ie5ponslblllty,
15-2 630
IPPTICAIIOT
AppLIa$Jf,S &qE: x6d co!!.!DATE:9/1rl2015
DEVEI"OPER:PHOI{E
'pROlEaT ADDRISS: 8ao5 d cITYr gls6_!s!9:__ zIP: -!!!fi_SUBDI!lSIONI BLOC( f:
-
IOT *: 2
PROPENry olflEl's MI{E I PHol,lE *:
ol{NER'S ADDRESSi 1202 N 'r.h.
prlr llvd GITY: sSIg!!&-Ecg!-_sT: !g-zrp:3!32!_
LICENSE f. 132{3 AaCoU l 'r ADDRESS:{ITYI carolttr. B.a.h
D|sCI-AAIER I hsdyeil, 6.r.n liJomdm h ht. +Fc.roi h comd nd 6! *!*wt! 6mpry wlll 6l. St b Butilng coda.id .! .n* rpptue sbb d d je
BnAMDoRE55: _L.nJr06ecolcq..ruotl,on. M
DnolEaI coiIIAcI pERsot{: XeD Coff.!
PHOIE *: e1O-l6A-560t
pHOitE $: 910-333-'160s
Exrsrriro co,{srruqroir: I lrrenanol f] nrucvnrror ! ceneuL n:cnrrs I aerocarror
rr,l cotrsrnucrron, I EStcT t{EN REsroEr{aE o" I eoorrml To ExrsTrrrF IESTDENCE
"PIEAsE CTiE'( AIIO AIISI{ER bELOt{ ALI THA1 APPLY IO YOIJR PIO]ECI!prrr crucr ltf--- sr Iorr eauee _ sr Elponor j!- sr
fisumoolr
-sr
I roor.
-
sr I sromce sHEo _ sr
[entrmousr
-
sr f] orcr sF orHERj SF
ToTAL HEATEO SQ FT: 21e5 ToTAL SQ FT UtSEn R00F! ltSg_ ToTAL AREA SQ fT: l€!g_
ToTAL PROTECT CosToelorl | $ -t!9,-S-99._ { 0F SioR:IES|,!_
ts Any El"EalilaAl, P!41a G o. ieolA raa! {orl selng Dore to the A.(e$ory shrcturel p Ves Q lio
If the proJe.t ls a Reldatlon, 1s there a Natural Gas ttne on the current Slte? Oy€s O o
Ir ther€ Electrlc.t powel" on thls B',ildlns? Oy€s renNo
PnoTERIY usE / occuPAttsYr @srrelr rmILV fiourrrx ! rCimrOusr
SIGNATURE;
rs Tlt! propEnry tocarlo lt! A FL@opLArNl Q ves @ no
c..Eh@nle.flta6nblilb.&6.6d Mr6r ht m.iotr ".NoI!r Aiyno,k P6,ron sd w,o h. A6@iab P.mi'vfl
ot{ ER/couTRAcToR: x.! c"rr"!
EXISIT'Ic IIIPERVId,5 AREAI
-5Q
F]
IEN Il'lptwr(l{rs aREA: _sQ Fr
o,.iy chmror h rro oppbsd &n' .'n
b. b vhh$m .r ths NC sbb Brdo cod.
{ar€R I E crprra B} comrurw svsru I rnmre wrr"r f]
stwrn: f] creue I cemnar srerrc I mrvlre srerrc I
CE{TRAL lilELL
col{turitY svsTEtil
nr sEraE4l! PEnxlrS iEQlrrf,ED rot EIECI, tttECH, pLtG, C s Eq]rp,
'REFABs
S rrisEiTs ...
pAyrlEl|T .THoD: p casx Qcrr.r (pay^sLE ro t{Hr) (f trir" rccari O rr/vrsa Oorscwrn
(for @ c u* 4ru irEso er.044r^1
TOTAL A'iES DIsTUSSEOI
-
EXISI IAND DISTUIEINc PERIiIII:@ vts (fl m
ZoNl: _oFfICE&l SETBACKS: f r_ LHt Rll:_ B:_
Approval:_clty: DAI[:_ Ftooo: _ _ _ BrE+2tt. _AV
c
r)
--\N
l
I
I
I
I
I
I
I
l
].1-
DESaAIPIIOI| 0F tiOR(;
\f 4t
NEtl HANoVER CoUNTY BUILDING pERllIT
APPLICA|IUI rypE; RESIDE TfAL
pr[r5E Axsir€& alr QoEttroxs Arplr(A8tE .ro yo!8 rioJrar
r.pmJ€.t R.sgonslbtut)/,
L5-2629
APPLICATIOIi
PROIECT COtiACT pEisoalr r(en colf6 pltottE l, 9r0-333-r065
orscllrMEE I hdoby 6,cy !1.r .ll lnhmroi h nb lpolc.ioi h cftorod it mrrv r @pryr 6 tr. sh sull,Is codr 6d d oh.t lprlobx 66 .id h..r ld!
myd'al3.hiFi,'odphrd .-xorE
^iy
v{ql p.,ih;.d w,o h +o.or- *;;;,L h vbbltr .r h c sb5 8lJ! d. -.d subt d b
OINER/CONI8ACIOR | l(a corr.r SIC{ATURE:
,...Jlfiisl.t".""___..
Is rHE piopElly Lo(ArED r A FTOOOplArtlr O vrs @ rp
EXISTIIIG IIIPERVIoUS AiEA: _Se FI
IlEltl II'{PERVIOUS AREAr _SQ FT
ExrsTti[c coNsrRUcrIoI: I lrrralrrou firtmvlrrol flceleul nrearns I nrroarrol
rcll consrnucrror, p ERE{T t{El R€sroErcr or I noornor ro Exrsrr{6 rEsrDrN(E
..PLEAsE CIIE'( ANO AXt'IEi D€!O!I ALL IIIAT APPLY TO YO{'T PiO'G'I;plrrr cruce {?5 sF florr ouce _ sr etroncr;gg_sr
LJ sumoo
-sr
Epoor_sr f] srmecr eto_sr
LlcREEr'norsE _ sr f]DEc( sr orBERr _ sr
TOT L HIATED SQ Flt 2307 TOTAL SQ FT Ur{OER ROOF| 3r5o IOIAL AREA SQ FT: III_
ToTAI PROJECT Cosltlqror) i S s16o.ooo S OF STORIES: .?_
rs Ary cLEcrttcal, pruttu{G or lttcHArclca tbrt Selna Llone to tie accassory structuml @ ves Q lo If the proJe.t ls: Reto<.tlon, ,.. thsra. tetlrel 6as tln. on flr. cur.ent stt€? Oy6s O{o ls there €lect.l.at pol{g on thls sultdlntt r]yr, @ o
PRopERTv usE / or(upa .y: @ stucr.r ralrrv ! oulru f] ronnousr
wrrrn:flcrnun Q couuntrr svs'er Epnryer urrr !crmur lrrr
sE$E*: Ll(rprrA LI(ElTRAt sFprrc l_lenrvrrr srrrrc @ comr-wtw svs r*r
... sEprlRATE pEittrrs Rag,lrnEo FoF ELEfi, t4ECHr pLB6/ cAS EQUrp, PnEFASS & rr6Etrs .r.
p^yne.T nErroo: Ll cas,i Ll (fiEo( (p^yA!!E ro lt€) earu ecrarr e m/wsr I orscovm
ooi or'lcf usr d]Lr1 rEu$ro srE orxr!
zoNE: _offtcE8: SETBAC$: F:_ LH: nH:_ 8:_apprcvalr_clty:_ oATE:_ flooD: _ _ _BFr+lrt- _
/{oo-
tl c>.
1----..--
t\
--.-t)
^\
-\
?
APPIICI|{I'S tiAqE: -xe cor!.: DAIE: s!r1/207.
ptolEcr ADDiFss: srro rq% --;;rs.r,
suBorvrsro,r: n utl..1 ciea. Broq( r: _ Lai r; 3
-PllP€nry ol €RrS [AtE: .B c.E rlaot, ,I,c pHOdE ]r ero-ris-r6o5 o{tltR,s ADDRESS: l2o2 N L.ke p.rr Btvd clry: c&oli;-;f sr: .lqzrpr.?!!!!_cI]lfrcR, sesgl-!9lr!luel!s-er!erlr,-Jls-- Lr.EusE rr ..2.s accou r ri _aDDRES5: JJ-O? N.ht.:Puk rrvd cITy: c.rorr!. B..ob sT:lE_zI,: rlars Erlat( ADoREss: *a1.r."or."..in.tiiiica--- -- p,rct r ;, "-_"rr-r*,
OE5TRIPIION OF t/loNK:
IO]AL ACRES DISTURSED: _
txrsT LAND orsTu[8I{G pERXrTr o yas o} o
I
i
I
tt'-7)oa-L5-2647
HOR073
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTfAL
PLEASE ANSI,JER ALL QUESTIoI,IS APPLICABLE TO YOUR PROIECT
"Project Responslbility"
APPLICATION
Number
(offtce Use)
APPLICANT,S NAME: H&H coNsTRUcToR, s, INC,
DEVELOPER:PHONE f:
PRO]ECT ADDRESS: 7287 SANCTUARY DRIVE CITY: wTLMINGToN ZIP i 284L2
SUBDIVISION: ADAM's LANDTNG BLOCK S: 728 7 LOT *: 073
PRoPERTY $INER'S tlAI{E: H&H coNsrRUCroR ' s, rNC.PHoNE #: e1o-219-148s
OhjNER,S ADDRESS: 8209 Market street suiLe c
CoNTRACTOR: H&H coNsrRUCroR's, INC.
ADDRESS: 8209 MarkeE street. suite c
CITY: wilminqton NC zIP: 2 8411
sT: Iq zIP:.4
ST:
LICENSE *: 31s s4
CITY: wILMINGTON
El,lAIL ADDRESS : JerryBrenninq@hhhomes, com /HeatherMacKenzi.e@hhhomes . com PHoNE fl 910-219-148s
PROJECT CONTACT PERSON: JJ Brenninq PHONE *: 910-219- 148s
EXISTING CONSTRUCTION:ALTERATION R ENOVATION GENERAL REPAIRS RE LOCATION
NEI{ CONSTRUCTION:ERECT NE'J RESTDENCE o" I lOOrrrOll rO EXTSTTNG RESTDENCE
I.',PLEASE CHECK ANO ANSWER SELOW ALL THAT APPLY TO YOUR PRO]ECT:
I nrr eanaee :]-l- sF V
suN R00f1 SF
! enenrHousr SF
TOTAT HEATED SQ FT: 249s TOTAL SQ
TOTAL PROJECT COST gess rog t $ tqs,aet
Is thene Etectrical Powen on this 8uildin8?
pRopERTY USE / OCCUPANCV: fl SrNClr ramrlV
DET GARAGE
-
SF
POOL _ SF
DECK SF
PORCH 1e0 5F
STORAGE SH ED
OTHE R :
FT UNDER ROOF:4_
# OF STORIES: z
I
SF
SF
Is Any ELECTRICAL, PLUI.iBING or mECHANICAL Wonk Belng Done to the Accessony Structune? E Yes
If the project is a Relocation, is thene a Naturat Gas Line on the Current Site? [
TOTAL AREA SQ FT: zsor
No
Yes Eruo
ves f] ruo
DUP LEX I0l^INHOUS E
DESCRIPTION OF NORK:SINGI.E FAMILY DWETLING
DTSCLAIMER: lhereby cedlt lhat sll lnbmadon ln his appllcauon is cofiscl and allwork wlllcomplywlh he SEie Bslldlno Code and all ohsr appllcable SlaE and local l6wg
and ordlnances snd requlatlons. The NHC D€v6lopment Sorvices Cenbr willbe nodfled olany chaIlges ln he appoved plans afld spaclficallons or change in con}€cbr or
contacbr rfibrmstion. "'NOTE: Any Work Performed W,O ho AppopriaE Pemi6wlllb6ln Violstbfl ol tte NC Slab Edg Code and Subl€cl I Fines Up To $500.00"'
OIIJNER/CONTRACTOR I ,rJ Brennins
(P"1nt Name)
* :t rt :i :t t +,* )* *,i,t * * * + + )t * l * * + r* +,t +-)i + * * ri * * :*
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING II'IPERVIOUS AREA:
-Sq
FT
NEl,', IMPERVIoUS AREA: 33s7 SQ FT
SIGNATURE: , ,-.- -..
:t+ +* *l + * * + * x*,1*+ * *,r )i,* *,1* *** *il * )t * *,**,i< * jt*,f ttr.'"*)* * ** **E vEs NO
SETBACKS: F:_ LH: RH:_ B:_
TOTAL ACRES DISTURBED: 0.18
EXIST LAND DISTURBING PERMIT:I YES l-l lro
wArER: I creua f] cor4r,4uNrry svsrrN f] pRrvArE wELL I cerurRnr wrrl
sEwER: E] crnun I CENTRAL sEprrc f] enrvarr seerrc I cor'rr,luu rrv svsrem
*+4 SEPARATE PERI'IITs REq'IRED FOR ELECT, I4ECH, PLBG, GAs EQI'IP, PREFASS & ITISERTS *T*
payflENr mErHoD; ficmn f] cHrcK (PAYABLE ro NHc) E a!,tERrcaN ExpREss E c/vrsr I orscovrn
***r( )*+ {. * ,a tr( )* ,* ,*,} * *** * *+ * * **1.,r* ** **i} {( )r *)t i( ri( * t+** *** * *t$*t** t * + *$* ** *** *a** ** * ** * * t* * t * *** **
(FOR OFFI'E UsE O{TY) RIVIsED DATE O4l11/12
ZONE: OF FICE R:
N
!
,Al.
I
I
Appnoval:_ City:_ DATE;_ FLoOD: _8FE+2ft=-/{3 t
OATEz 9/i,G/20ts
lols- l2or
L5-2656 NEhl HANOVER COUNTY BUILDING PERMIT
APPLIcAfiqt rYPE: RESIDENTIAL
PLEASE ANSI,{ER ALL QUTSTIONS APPLICABLE TO YOT'R PROJECT
"ProJect Responsibility''
lVol.l^^^ [VA-5
APPLICATION
Nunben
(Offl<e Use)
oart.rQ^n-$
, qb-a;:-il7(
ztPl. TE,t t L
PHONE *
PRO]ECT ADDRESS:
SUBDIVISIOfl:
l_CITY:L
CITY:
LICENSE #:6rp>
CITY: U
LOT #:
PHONE *:qb-6t\..'7651
Sr: /vL zr'p z lltr\
ST: (
PHONE *:
BLOCK #:
PR@ERTV OhINER'S A E:
00![ilER'5 ADDRESS: 2?.tl
+Evarr:
Aovpn f
Cd{TRACTOR:e Fe". S"\r,.5kr.:LLc
ADDRESS:i I
EI4AIL ADDRESS:()
PRO]ECT COiITACT PERSON:Q-,.,1,e.f,ker pr, E *: qp^t"tt_egl
/
EXTSTING CONSTRUCTTON:
'p' Ar-renarrOt I neruovarrou !eeruenar nerlrns I RELocATIoN
NEt{ CONSTRUCTIOru: ! eneCr NEW RESTDENCE o" ! mOrrrox To EXISTING RESTDEI{CE
'T.PLEASE CHECK AilD At{St{ER BELOII ALL THAT APPLY TO YOUR pROlEcT:
I arr canncr _ sF f] oer canace _ sF u SUNROOI\4 SF ! eoor- _ sr
I enreruHouse _ sF I oecr SF
! eoncx
-sF
I sronacr sHED _ sF
OTHER: SF
TOTAL HEATED SQ FT:ToTAL SQ FT UI{DER ROOF: _ TOTAL AREA SQ FT:
TOrAL PROJECT CoSrrr."sLou t rliqY-- # oF sToRrEs: 2
Is Any ELECTUCAL, PLUIIIBII{G or ttECHA TCAL Work Being Done to the Accessory Structune? [ V"r fl ruo
If the project is a Retocation, is there a Natunal cas Line on the Cunnent Site? [ Ves f] to
Is there Electnical Power on this Building?fiJves f]uo
PROPERTY USE I OCCUPA CY!ffi srruolc rarlrlv u ounlrx ! TowNHousE
nerS hoae
OISCLAIUER| lh€r€by certi8 {.at sll inbrmatbn in fiis apptlcation is conEcl snd dt work will
and ordlnances and rogulalions. The NHC O€wbpment SsNic€E CenEr wfltb€ nolifi€d ofan
confacbr informaton "'NoTE Porformed W/O t,le AppropriaE Pemils willbe in erl 'P^rke-
6 {3 o *Ae rq>6 /-+
comply wih lhe Stala Bujldang Code and a{ ohor epplicable StBb and local lsws
y changes in h6 Eppmv€d plms snd speclfcatons or chsnge in contracbror
I O
Violarion of the NC S
SIGNATURE:
blecl To $500.00"'
OWNER/COflTRACTOR:o
,*,** *,* * * * r** )i* +:*,I * * * ** + + +** a* * * *,1+ *,l l.* rt ** *,* )3:t * *,t* )* +ti( )*+*t *,t,t ,t,* )t )t* + .*,* **:t*,t* *,r,i,r ** * * **r.* **
IS THE PROPERTY LOCATED IN A FLOODPLAITVI f] VTS E IVO
EXISTING IIi.IPERVIqJS AREAI
-sQ
FT ToTAL AcREs DISTURBED:
NEW IMPERVIOUS AREA:sQ Fr EXrST LAND OISTURBTiIG pennrr: l-] ves I-l uo
MTER: I crnua ! co{q{uNrry svsrem I pRrvATE wELL fl ceNrnal wrlr-
sEllER: f] creua I CENTRAL sEprrc f] nnrvare seerrc f] corlMuNtry sysrEr,l
*r'|i SEPARATE PERIi'lrrs REQUTRED FoR ELEcr, ttEcH, PLBG, 6As EQUrp, pREFAgs & rNsERTs ***
pAylE r riErHdlr flcasx flcxrcK (pAvABLE ro n*y f]*.*r.on.*.rr, tr;;;;;; "florscov:n
:a*,t* * * t rt,* *,1 * :* rt !t ,l:t t + ,i * * ,* +,1,t **,I )t,i i.:t,i*t*,**:i+:t,*f* +*,* * *:i * :t * *:t,i * + :t,* * ,t,t ,t *{,tt** +*,* * )* ,} :t ,t,i * ,t *,*:t * ,t *
(Fon oFTICE USE otitY) BEvrsED oATE O4l11/12
ZONE: _OF FICE R:SETBACKS: F:_ LH:_ RH: B:
Approva l:_ city:_ DATE:_ FLooD: _ l_ _N_ BFE+2ft=
APPLICANT'S t{AiIE:
OEVELOPER:
DESCRIPTION OF HORK:
C-\ -A
Totf- Aa
NEW HANOVER COUNTY BUILDING PERMIT
APPLI CAIIOTI TYPE.. RESIDENTIAL
PTEASE A}ISI.IER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilltld'
1 )
Ls-2635
APPLICATION
Number
(offlce Use)
APPLICANT,S MI{E: EmJ. ] y orIi2
DEVELOPER: Cape Fear solar Systems LLC
DATE: 9-4-2015
PtlU{E s: e1o-4oe-ss33
CITY:Wi Imi ngton
BLOC( #r _ LOT t:
I oer cnnaee sr ! eoncx
-
sF
fl eoor- _ sF I srouce sHED _ sF
PROJECT ADDRESS:
SUEDIVISIq{:
328 Snilax Lane
O}JNER'S AODRESS: 328 smilax Lane CITY: i.li lmington STt Nc ZlP:284t2
CONTRACTOR:Cape Feal So1ar Svs tems LICENSE #: 6s67?
ADDRESS: 910 Martln st.CITY:Wi lmington ST: NC Zrp: 29L9]*
El.lAIL ADDRESS:suppo r Leca f earso-la!svstems, com Ptol{E *: 910-408-s533
PROIECT CONTACT PERSO : Robert Parker PtloilE *: 9L0-232-62aa
EXISTING CONSTRUCTION:ALTERATION I neruovarroru fl ernrnal nenarns I RELocArroN
NEhl GoN5TRUCTTON: n ERECT r,lEl.l RESTDENCE or I nOOrtrOlr TO EXISTIT{G RESTDENCE
*T.PLEASE CHECK AND AI{ShIER BCL(M ALL THAT APPI-Y TO YO,R PRO]ECT:
Irrr banner _ sF
f] suNnoou SF
fl cneenHouse
-
sF I oecr SF OTHER:SF
DESCRIPTIO{ 0F tl0RK: Instal.Iation of Solar Panels on the roof of the customer,s home
DBCLAIMER lheraby conit hal all lnbrmataon in tlils applicatao is corrrct and all workwillcomply wllh he SEte Butldjog Code snd 6tt otEr @pltcsblo StaE a'd tocal laws
and ordinanc€g and regulalons, The NHC Developm€nt S€rvbes Cenbr will be notfied ol6ny chsnges in he approv€d plans snd sp€cificatons or change ln contracbr oa
conrscbr inbrmaton. "'ilOTE: Any Work Perfomed w/O he Appropriab Permats r4ll be in Vbl€tofi ol the NC StaE Edg Cod6 ald SubFct b Flnes Up To $500.00'..
O{NER/COI{TRACTOR: RoberL pa r ker SIGNATURE :
* +,t * + + +,* *,*,t r ri * * * * * + * * * * + * + * * * * * * * * :k :t,***,r:it,t,t,t)t*,t,*,tt*++r*,1**,t,*,t,*,*+:t*rt**)t,l,t,|tt)**+,*:t***t*+*
I5 THE PROPERTY LOCATED ITI A FL@DPIAIN} EI YEs E UO
EXISTII{G IIiIPERVI(US AREA: _SQ FT TOTAL ACRES DISTURBED!
!{E}I II.IPERVIq'S AREA:
-
SQ FT EXIST LAI{D DISTURBITIG PERITTIT: I VES [ rc
uaren: I cFpua E ccr{r.ruNrry svsrem f] pRrvATE wELL I crurRll well
sEwER: f] cFpuA fl CENTRAL sEprrc ! enrvarr srerrc f] coMrttuNrry sysrEM
t** SEPARATE pERMrls REqUTRED FoR ELEcr, MECH, PLBG, GAs EQrJrp, PREFAB5 & rNsERTs ,,*ti
pAyriEifr llErroo; ! csn I cnecK (PAYAELE rO nxcl I menr* ,**r* E ,vrrio I orscovrn ***'*{r*'t*t'i+**:}**,ts*,*r.**,1.,f***,t*r******,**,t't,t**+,*x*,t)i.++,tt**++*++{.++)t:t:*:t*,})t,}+,**,*,}t*+,***,t:ii,ti**
(fOR OFFICE USE OTIIY) REVISED DATE O4l11l12
ZONE:OFFICER:SETBACKS: F: _ LH:_ RH: B:
Approval:_ City:_ DATE:_ FLOOD: _
N
BF E+2ft=
ZIP: 284L2
PRoPERTY O€'IER'S NAIiE: Emilv or:t1z PIICNE #: 910-795-8061
TOTAL HEATED SQ FT:
-
TOTAL SQ FT UNDER ROOF:
-
TOTAL AREA SQ FT:
-
TOTAL PROIECT COST lress r"o9 : $ 2s,e35.42 # 0F STORIES:
Is Any ELECTRICAL, PLUIIBING or IECHAI{ICAL l.ronk Being Done to the Accessory Structure? [ V"r I No
If the project is a Relocation, is there a Natural. Gas Line on the Current Site? f] Ves I to
Is there Electnical Power on this Building?l-lV"r [ruo
PROPERTY USE / OCCUPANCY: El SrruCle FAMTLY fl DUPLEX n TO&]NHOUSE
_tu-
Ablf- 12c{
NEI^J HANOVER COUNTY BUILDING PERMTT
APPLICATION TYPE; RESIDENTIAL
PLEASE ATSUER ALL qJESTIOIIS APPLICABL€ TO YOUR PRO]ECT
"Project Responsibility"
1As -I.I",e5e AcA,llo.n (r
PHONE *
DAT
'(
j -o oi
L5-25L5
APPIICATIOIi
Number
(Offtce Use)
er 4 ^ lF'Lot{APPLICANT'S iAfiE: I
DEVELOPER:
PROJ ECT ADDR ESS:
SUBDIVISIO :
PROPERTY ()UiIER'S NAIiIE :
OINER' S ADDRESS: 5)q
CO ITRACTOR:.1 ?e,.,
aDonESS: 9C,
EITAIL ADORESS:orl
rs rlgn"LLL
CITY:
LICENSE #:I 1'1 9/,'
CITY: VI
zrp: ?.X{,1
LOT #:
HON ET 3oi -6 t?-oir>
srt MzrPt2Yltl
*:&up,214ol
PHo{E #: qlO-)-}L-6 L rl
pl, E s: /to ln_6fY
No
slt{ c ."Ll;t Vu\CITY:
BLOCK #
ere c-L r)
6
e
!-lc.r
P I
PRO]ECT CONTACT PERSON:
ExrsTtNG coirsTRucTroN: ffir-renarro* [ nrruovnrrou ! crruennr- nsearns I RELocArroN
NEt.t cor{srRucrror,r: I rnecr NEhr REsrDEa,,cE or ! loortror ro ExrsrrNc REsroENcE
*.PLEASE CHEC( AI{D AIISI'ER BELOT{ ALL THAT APPLY TO YOJR PRO]ECT:
I arr eanace _ sF I oer cnnaee _ sF
lsurunoom _sF f] eoor- _ sF
fl eneenHousr _ sr I oecr _ sF
I eoncu
-
sF
I sronrcr sHED
-
sF
OTHER;SF
TOTAL HEATED SQ FT: _ TOTAL Se FT UNDER ROOF: _ TOTAL AREA SQ FT:
ToTAL PROJECT CoSTlressros : I lf.88"t s oF ST0RIES:
Is Any ELECTRfCAL, PtUtlEII{G on IqECHAT,IICAL hiork geing Done to the Accessony structure? [ V"r I lfo
If the project is a Relocation, is there a NaturaL Gas Line on the Cunrent Site? [Ves I Is there Electnical Power on this Building?Fver l-'] ruo
PROPERTY USE / OCCUPA CY:Esr*rt rnmrlv ! ouer-ex I ro$rNHousE
DESCRIPTIoT'I 0F IIORK:
hor.o "l[^f lL.e- roo{ o{
DISCLAIUER lhereby cardry hal a,l inbrmstioo in his appticsUon is cor€ct and altworkwilt
and ordhanccs etd Egulatons. The NHC O€vetopment Seryices CenEr wjll be notfied ofan
comply $/lh trr€ Stste Euildlng Code and a{ o'ler appticabt€ Stah snd ,ocat lsws
y cha'rge8 in lhe 3pprovad pl6is sd 6p€cificatcn3 or chang€ in conlraclcr or
00...
firuo
conteb.hbmaion. "'NOTE] AnyWork Perlonn€d W
oilNER/coilTRAcroR: ?rl,..I
/O tr€ Appropriab PermiB w,l b€ ln
larke.
Viola{on oflhe NC StaE Edg
SIGNATURE :
Code bje
+ * * * * )r )r *,* + + *,*,* * * * * * * * * * *** *(ilrfl Jil?**,i*** * *,t i*,1.,* ,r ,. )* *,i ri *.* ri )* x* **t **t,t,t *,r+,r 't***,t,it****,(**,r*
Is THE pROpERTy LO(ATED ril A FL@DpLArrut I vrs E ro
EXISTTNG II4PERVTOUS AREA: _Se FT TOTAL ACRES OISTURBED:
NEW II,IPERVIOUS AREA:
-
sQ FT ExIsT LAI{D DISTURBII{G nennrr: f] ves
mren: f] creur I cor4r,luNrry svsrem I pRrvArE IIELL I cerurnnl wrll
SEUER: I Creue I CENTRAL SEprrC I nnrvare searrc I cof'lrrluNrry sysrEM
*r'(r'! S€PARATE PERri'lrTs REQUTRED FoR ELEcr, I,tEcH, pLsG, GAs EQUrp, PREFAB5 & rNsERTs r**
pavnEirr nErHoD: f]casx flc'recK (,A'ABLE ro n*l E] m,r*r** ,**rs fl;;;;;; -fiorscoven
*+ ** 't * * +.t *,t ,1. )t * * +,1 :l + *:t,l ** jt* * + t:i,t,r.,I ***N **,[*:t,* i*,t** f f )it,t t:f + ,r !. + :]:] ,] ,t t *:t + **+,.tt,t * ,B:r ,* ,i,t:i I *,t+t,t,t
(FOi Offlc€ usf o LY)
SETBACKS: F:_ LH
REVrS€0 DAr[ A4l11l12
ZONE: _ OFFICER:
Approval:_ City:_ DATE:_ FLOOD:
: RH: B:
N
BFE+2ft
)olflzo
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATIoN nzPs I RESIDENTIAL
PLEASE ANSI,JER ALL QIJESTIOI{S APPLICABLE TO YOUR PRO]ECT
"Project Responsibtlity!
..1\ ,Kobcrl Ya,lSer
6LSo^ S
15-2 658
APPLICATION
Nunber
(Offlce Use)
APPLICANT' S MIi.IE :
DEVELOPER:
oarc, 1^ l'7-l{
PHONE $:clto:fr7lEy
PRO]ICT ADDRESS:
SUSDIVISION:
I crw:
BLOCK #
PROPERTY OI{NER'5 NAIIE:
OISIER., S ADDRESS:L CITY:
CONTRACTOR:Ee.rS iar 5le*LL lrcense *: 45677
/y(-
LOT f:
z:Pt aYqU
c PHo E r: 910-tl1-Jieq
sr I a;zw: Lyq ll
*t@ue i!!!!\
PHONE *:
pHor{E *: qb-*t-Ayt
ADDRESS:0t lreo.,-
EIIAIL ADDRESS:L d f ;.CITY:
a4t+1
PROJECT CO{TACT PERSO :'Pu bo":l-V^rk..
EXTSTTNG COf{STRUCTTON: sarrenarroru f} Reruovnrroru ! cer'rennr neearns I RELocArroN
NEI.I COiISTRUCTIOI.I: ! CNECT NEU RESIDENCE O" fI IOOTTTOI TO EXISTIiIG RESIDEi{CE
T.PLEASE CHECK AiID AIISI{ER BELOI,' ALL THAT APPLY TO YOUR PRO]ECT:
I nrr eanoee _ sF
sUNROOM SF
! cnseuHwsr _ sF
f] orr onaee _ sF
I eoor-
-
sF
f] oecr _ sF
I eoncu
-sF
fl sronace sHED _ sF
OTHER:5F
TOTAL HEATED SQ FT:
-
ToTAL sQ FT UNDER RooF:
-
IoTAL AREA sQ FT:
-
TOTAL PROIECT COST 1r-ess r-og : g Lt? t # OF STORTES:
rs Any ELEcrRrcAL, PLul4BrrG or ECBA TCAL work geing Done to the Accessony stnucture? [ v"t [ ruo rf the proJect is a Relocation, is there a Natura] Gas Line on the curnent sj.te? fl ves Iro Is thene Electnical power on this Building? ffV", ft ruo
PROPERTY UsE / OCCUPANCV: fi Srtrcle ramrlv I ouerex f] rowrurouse
a
At;
DESCRIPTION OF IORK:llo.l;o^d LAe lood o{ lle n
C otskne.s hoi-t4
DISCLAIMER: I h€reby.erilfy hat atl inlc.msUon in tlis appiicaton b cofiecr and aS work wi!comply wih he Stale Building Cod6 6nd aS oh6l spplcable StaE and tocal taws
y changes In tre Bpprovad pl6ns sod sp€c{frcatlrns or chsngo in conlmcbr or
and ordinanc€s and regulations. Ihe NHC D€velopm€nt Se rulc€s Cener wiH be nogfi€d ofan
contracEr hformator. '-NOTE: Any Work perto Appmpriab PerIflatswil be in
OI{NER/CO'{TRACTOR :R l,e,e/-
Viobrion ol the NC Stab
SIGITIATURE:
gdg Code Su $s00.00-'
,l * N,| !* )i* *+ ** * :i:* * *** * *** * * ** *(Ii'lljtf] * * **** * ** * *** r+ + +:* {<* )i i.**,r,*i* +,i *,* f ,i:t* * t*,i + )t** ***,t,i:t** r.:t rs rHE pRopERw LocATED rri A FLooDpLAril? n yEs E no
EXTSTING IIIPERVITXIS AREA:
-sQ
FT ToTAL ACRES DISTURBED:
NEII rl{PERvr@ls AREA:
--
sQ FT Exrsr LAND DrsruRBrNG penrrr: l]l vts I No
MIER: fl creua I co,.r,4uNrry sysrEfl D pRrvArE wELL f] cerurRrl we lr
sEllER: f] creua I CENTRAL sEpTrc I enrvare ,rrrra 3- cotlnJNrTy sySTEFr
qlO -Ltuq -ffjj
*r* SEpARATE pERHrrs REQIJTRED FoR ELECT, r{EcH, PLBG, GAs EqJrp, pREFAB5 & rNsERTs,.,.pAyrEirr r'{Er}€D: Ecosn. !1*scx (,A'ABLE ;;*; tr;;;r; rff;;r'"'iSrirrrri'-Errr.or.*'|+:t*'r*+***'|*:t+':i:r')i'r'*'r)*******'r+,rt,r.*,f ,f *++**:**:t****i***t**+t*++***++:f *,| r,* t N + * t r.* ,r * * )t ,f r+*+:t+:l _/_ __
(PoR OFFrC€ USE Oilt-Y) *rrrrro oor, *f,JA zoilE:
-
oFFrcER: sETBAcKs: F:- LH: RH:- B:- ^'-d:l)
Approvar :-- clty:_-- DATE:_ FLOD: _ _, _ _t_ BFE+2ft=
\l.-.-V
\
\--
\->
N
Yez ls-anY
?otf-{t{o
APPLTCANT'S NA{E:l-...r"^
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPF; RESIDENTIAL
PLEASE AN5WER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
l') r\ F- ,,rr
APPLICATION
Number
(Office Use)
oArE: 7 l\ \5-
DEVELOPER: -,/\ C .V-i).,, .\,o,. .^t Li._pK)NE #: 1C;'t.- *)i, jac-|
PRO]ECT ADDR
SUBDIVISION:
ESS:CITY: L\, , \ i.^ ...'\.. ,..ztp 1t --tc c\a L.Co.!BLocK *. l LOT #:
PROPERTY OWNER,S MME: \ , I.\ C , Y'. i),..".\
ohrNER's ADDRE55, 11, 13j 11.t..' p*,,.r'.EJ-co,,.1 * i-t-(.-PHONE *:
il a
..\F.-..'
CrTY: R--t\-,:.2I r\ *
L L ( LrcENsE #: C L\ f, qn
CITY:
sT:v]! zrP: lta\1r
51, t1c 71p,) k 4 f-c>
CONTRACTOR:
ADDRESS: ))
EIIIAIL ADDRESS:
PRO]ECT CONTACT PERSON;
EXISTING CONSTRUCTION:
,. t\
[\PiIONE *: -lL-{- 50{ )-tio
I o (.):^
ALTE RATION R ENOVAT]ON GENERAL REPAIRS RE LOCATION
AE..^r PHoNE f : '1O-1. &! J'ra +
NEW CONSTRUCTION:ERECT NEI^i RESIDENCE or ! morrror'r To EXISTING RESTDENCE
**PLEASE CBECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
flarr oamer ?tl sr tr DET GARAGE _ SF
PooL _ sF
DECK )38,]c sF
poncu \ )r) sF
STORAGE SHED
OTHE R:
SF
SF
!....+
) rz\TOTAL HEATED SQ rr:3j9f TOTAL sQ Fr UNDER noor, jYi'i.[t. rorAL AREA sQ Fr:
TOTAL PR0IECT C0ST tr"""roo : $# OF STORIES:'1'l:-
Is Any ELECTRICAL, PLUIIBING or i4ECH,\NICAL l.Jork Being Done to the Accessory Structure? [ VeS I no
If the pnoject is a Relocation, is there a Natunal Gas Line on the Curnent Site? [ Ves I no
Is there Electrical Powen on this Buildj.ng?[V"r Ino
PROPERTY USE / OCCUPANCY' I SrruCrr rAnrrV DUP LEX T0l^INH0USE
i1\. rOc)
\ n.,-,\
DISCLAIMER: lhereby cenily ihai allinformalion in ihis applicaiion is correctand all work will comply wih lhe State Building Code and alloher applrable Slale and local laws
and ordlnances and regulations The NHC Developmeni S€rvices Center will be notfied of any changes rn lhe approved phns and specilicaiions or change in conraclcr or
contaclor nlormaiion. "'NOTE: Any Work Pe(ormed WO lhe Appropriate Permi$ will be in ViolalDn o, ihe NC
SIGNATURE
Stab Bldo
.(-
Code and Subjecr rc Fnes U, To $500 00"
oWNER/CONTRACTOR: )c^s o ,^ D. ,t\x' .^ 5
,r*,**,*** ** +* * * * * + ,*,t + *,F * ** **,t *,t * ***l"J * * ** ** **** * ** * *** *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?YE5
COT1MUNIW SYSIEi4
JUL 31 2015
Exrsrrl{G TMPERVTOUS AREA: el SQ FT TOTAL ACRES DISIURB
EXIST LAND DISTURBI NEW IMPERVIOUS AREA: .) 1{f 5Q FT
WATER:
SEWER:
(l'PUA
! crrurnal sEPTrc E PRTvATE sEPTrc
COI,1I,1UNIIY SYSTE14 PRIVATE WELL ! crrurnar- wrr-EY:
P T
CF PUA
*** SEPARATE PERIlITS REQUIRED FOR ELECT, I.4ECH, PLBG, GAS EQUIP, PREFABS & INSERTS *'i*
payr4Er,rT rirETHoD: !casx flc}recK (PAYABLE ro rrcl I amearcA ExpREss E mclvrsr E orscovea
** )i* * ** *** * * * )** * )t** )** )* ** *)* )* )*** ** r* rt *,* * * ***,** *,t ,t,t ,t ** )** * **+ )* rt r* +*+ +****,t* )k* **+ *r, ++ * + ,*,* 1.**x **
(FOR OFF]CE UsE OIiLY) REVISED DATE O4l11l12
ZoNE : _ 0F F ICE R:SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FL00D: _ BFE+2ft=
AVr,r
Corment:PERMIT FEE: $
., :.
..&
! surunoom _ sF
I cnrrruuousr _ sF
DESCRIPTION OF WORK:
NO
vrs E
Loc lD 34ozo
t{EhI HAT()VER COUNTY BUILDING PER!4TT
APPLIq|I I NPE.. RESIDEilTIAL
PLEASE AXSIGR ALL OI'ESTIdS APPLTCABLE IO Y(I'R PRO]ECT
"Pr.oject Res pons ibilitl/
,rcns F,nc t{cruS
)ae-qttq
-f#c>s
APPLICATI(I{
t&.mDer
(Oefic. lrse)
DATE: 1 rl II APPLICA T, S M',IE :
DEVELOPER: Sr ol,
PROJECT ADORESS:
SUBDTVISION:
PROPERTY (Il ER,S MIIE:
,*rp,5 noong55. 5'l l0
CONTRACTOR:{?Ab
ADDRESS:
.I c-PTO E *:-7
o-a 0n
r,ttrts Frn ttoms,5
rm 0
Apl$,1-sur,
, tlL zwr 2s4O3
CITY
BLOCK #LOT f:
ZIP I
q5 n
0
PTO E *:
crw:ST
LICEiISE f:/ACCOUNT
CITY:u{i I ST
0rfl *, ?'lL ,1tffi 2fifi (Ntfiq'ffi ET,IAIL ADORESS:,15 PTO E f:
PRO]ECT CO TACT PERSOI,I:S tlioholart
.*PLEASE OECT AIO ITSHEN BEL(I' ALL THAT APPLY IO Y(lN PIOIECT:
! arr cannee
-
sF ! orr emaae _ sF tr
tr
PORCH 5l SF
flsuunoor.r _sF fl rooL 5F STORAGE SHED
! eneeuurse _ sr [orcr _ sr oIHER: P0
't0
ohol 0
ExrST$E qr sTrucTn : ! alrrmrror ! nercvarror ! ernenal neenrns f] RELocATroil I
Et{ co6rnucTrot{, fl rnrcr EI RESIDEIfE on I amrrrol To EXISTITE RESIDEITE
SF
SF
TOTAL HEATED SQ FT:lylb rorAL sQ FT Ur{DER ^*r,
l\'11 rorAL AREA sQ Fr:l1'11
TOTAL PROJECT CoSTcessr-ar : I I?0,OOO s OF ST9RIE5:
^Is ArD/ ELECTRICAL, PlliBI G or I'TECHAIGAL Hork Being Done to the Accessory Structur€? [ V", fr ffo
If the project is a Relocation,is there a atural 6as Line on the Current Site?[v"s fi no
Is there Electnical Po'rer on thls
PR@ERTY IISE / OCOFAIf,Y:'srttcL TOt/',NI1OUS E
DESCRIPTION OF IrDRK:(sirlCntial
DISCIAIIER lheebyceni! t|at a[ hbrm&n h thls applbaton b coi€ct dd s{ lrort wil comply wih t|e Srab BuiEi€ Cod€ and dt otEr apptbabie Sfats and bcat ta/vs ald odinalces grd legllstbns The NHC Deve@menl Servijss CenCr wi! be notfied of ary (iaE€s ln lh€ appoved pb.ts std specifuatbos or chate in contEtr or cqrt_4brhbrmarbo.+'OTE:tuyllblkPer6.nEdw/OtheApproprtaEpennitEwdtbehVrchionofheNCStets&gCodeat(t SJbiect b Fines Up To $500.0Cr-
o {ER/CONTRACTOR:(at 5tr{cn5 SIG ATURE:
***,r * )*,**,f t+:f +++ +*,t* *** +:i*+(Prlnt ila0e)T:t*!t **+ * * + +,i,1,** **:* * *,r
-t Bullding? !_l ves f! ro
-J.E FAr4rLY I I uprpx lVl
Aev't con?ru.ohort*
rs rHE pnopERTy LoGATED r l rlmoeurrr I vrs
* *,** ** * * + * * * ** ++*
l/liD
EXISTIITIG I!4P ERYIOI's AREA:1t5 SQ FT TOTAL ACRES DISruRBED: y'g
EXrsT LAU' DrSrURBrr{G pEnxIT: fl WS If rc ,{B{ ITPERI'IOT'S AREA: 1 15 SQ FT
t+ +,** 't** * t:t+:i 't **:r:* *
HATEn: $ crrua ! coil4uNrry stsrem ! pRrvArE WELL
sErcR: fl crrul I cEr{rRAL sEprrc I eRrvare seerrc
fl crurRal uell
fl cou.nrrw svsrer
ZONE: _ oFFICER:SETBACKS: F:_ LH: RH:_ B:_
Appnoval:_ City:_ DATE:_ FLOOD: _-
conert: a v
BFE+2ft=
'..'*r' SEPARATE PERmrrs REQUTRED FoR ELEcr, MECH, .PLBG, GAs EQUrp, PREFABS & rNsERTs ***
pAyHEilr nE*oo: I casr I cxec( (IA'ABLE . *l Elrr.i *..^, -
E oi-*- - trio**r***,*,**)r:**:i+,t***,**+++,****:i,r*,*,t,*:F:t,t*,.*,t:tjt+*+,t****,*,*:*t+*t++**,*:t ++:a***,i***t* +,t * +:t + +,* *:t +:t * !t * !* *
(FOR OFFTCE U5E qiLY) REVT5ED DATE O4l11/12
N
td MtrlE
PERI{TT FEE:
PTO E *:
(
1,o., lD sqcr/
NEhI HANOVER COUNTY BUILDING PERMIT
MPLIoaTI(N TYPE: RESfDENTIAL
PLEASE AIISI{ER ALL QUESTIO S APPLICASLE TO YOUR PRO]ECT
'Project Responsibilihf
Str.rus F,nc ilone5 APPLICAiIT'S I,IA}IE :
DEVELoPER: Sa ol,g'.l.
PRO]ECT ADORESS:
ST'EDIWSIO : 5
&otS.q tq I
Pr()ttE *:
LOT *:
APPLICATIOI{
Umter
(OFfice Use
ZT :A
*'rr, lftt ,?
c
5 0,1 v,6 fiN/ ttorrto,pror: *,(td 1q44brll
Sr: lO zrP;284R
P
I
I Nc zrl.1 2(404 (NtVq'ffi
an CITV:
0 0 BLOCK *
PROPERW M{ER,s MTIE:
o*tp,5 emn655. 5,110
COI'ITRACTOR:l\nb 0dr
ADDRESS:rtr 0
EI'ATL AIDRESS:oho I o
CITY:
LICE SE *:2b ACCOUT{T #:
crrv: Nrlil r 4ct 0fl ST T
0
n ?'lz
5 0 P} E *:
PHI{E *:PROJECT CONTACT PERSON:5la Ct Nlcholrrt
EXISTII{G CONSTRUCTIOiI:! rlremrror ! nercvarrol ! eerenal neearns f] RELocArrGt
ilrr{ COiETmrcrrOn: d ERECT t{EH RESrrrE[GE o" ! ruOrrrOl TO EXISTII€ RESITTETEE
.*PLEASE CHECI( AIT' Af,ffR BELOJ AIL T}U[T APPLY TO Y(lN PNO]ECT:
! arr eanaer _ sF
I surunoou _sF ! cnrruxor;s e _ sr
I oer canece _ sF
J .tt
lleoncx rl sF
n poor l-l sronacr sr ii,r*, Y,1ro
SF ED
! oecr _ sr ', 53 SF
TOTAL HEATED SQ FT:tT1v rorAL sQ FT lfloER nooe: ll'J 1 roTAL AREA 5Q Fr:H1q
TOTAL PROIECT €OST Cess r-ol : $leg,o00 # OF STORIE5: A
Is Any ELECTRICAL, PUnIIBI G or IECHAIICAL llork geing Done to the Accessory Structur€? [ V", fl rc
If the project is a Relocation, is thene a t{atural Gas Line on the Current Site? fl Ves Eno
Pouer on this Building?E Yes Is there Electrical
PROPERTY I'SE / OCCIP
DESCRIPTIO{ OF HIRI(:
AI{CY:SIIGLE FAMILY DI',P L E
[elrtrcn l,al A2'^l Con?)en t04
EEItr gil
DlsCLANlER I lE€by cenit tha al hbrmatoi h tlls 4pl.aton b coo€ct and all $ork wil cofirply wir'l fie state AttstE Code aE at o'|€r applbdb StaE and bcat taws
aad ordinaEes eld ,egul6tlcr6. Tire NHC De!€loprEnt Servires Contsr wltr be notfi€d of aty chdEes in fi€ appoved pEls ald *ecificatons or dlaEe in contftrbr or cfit'acbr hbfinatbn. "l{OTE: Aty Work P€.t6flrEd W/0 rhe ApptoprtaE perniEwltbe ln VpHbn of$e NC SEb Bldg Code aE $bi:cr b Fines Up Io g50O.0C-
OI,{NER/CO TRACTOR:(ar 5lUe,n5 SIGNATURE :
*++:t*!t.l.i.l:t*,***++:t :t!tt,a,t*,*:**(P.lnt ilarle)*+'t + *,t* *:| ++ +,i *'* *,|*:r :* *
IS THE PROPERTY LOCATED I'{ A F LAIN ?E ves
.t*r* '1.* ***'* ***:*:*:* *'**d,"
ZO E: OFFICER:
'l !a !t** :**,t + ++!t***+ :f :* +
(FOR OFFTCE tSE OrLy) REyrsEo DAT: O4l11l12
SETBACKS: F:_ LH: RH:_ B:_
Lq,OP
4 EXISTITE $PENMIOUS AREA:
1{E{ II?ERWq'S ANEA:
1t SQ FT TOTAL ACRES DISTURBED '/s 1t5 qn EXI5T LAID DISTURBIiE PER'IIT: F''I VES I-I rc
IiATER:
SEI{ER:
tr d
creun ! cols,urNrw svsreu fl pRrvArE I{ELL ! cerrnal well
crrua ! cErrRAL sEprrc fl enrvare seerrc I cor4ar rry sysrEm
*** SEPAllarE PERilrrs REQUTRED FoR ELEcr, tlEcHJ fLBG, GAs EQrrrp, PREFABS & rNsERTs 'i.*pAyHErr rErHor,: Ecrs Ecxecx (pAvABLE . **1 firr.i *i.*, 'tri.-r^-'-iJ.r.*.*
*+*+++:t.!,**,t:t+:i!t**,t+,****,*:**:i't+++,t*,*++:t,i+*+,f't**,l.**t**t+*!*****++,t,t,i,a*+,F***,t,i*,t*+***********
Appnoval:_ City:_ DATE:_ FLOOD: _BFE+2ft=
AV}I
PERfiTT FEE: $
Conment:
I
SF
1fwd s,le tbn)
l;, tD q&@'o4oz4
NEI'I HANOVER COUNTY BUILDING PER!4IT
APPLIaTIdt rY"E: RESfDENTIAL
PLEASE AIISI{ER ALL QUESTIOIS APPLTCABLE TO Y)UR PRO]ECT
'Proj e(t Responsibtltt)d
lots-1nt
APPLICA T'S M}IE:r.J{lt5 F,nc fioflrc5
DEVELOPER: S r{.t,PH' E *:
CITY
BLOCK *
Pltot{ E
CITY:
LICEiEE *: ,l t zb ACCOUNT .rrr, hri lrn I Aot0 rt ST
J
APPLICATIO{
llunDer
(Office Use )
DATE: ?ll 6
ZTPIA
LroT f :$PRO]ECT AI'DRESS:o t,
SUBDIVISION:
PROPERTY O'{ER'S MIIE:*tt*" oooXs55: 51[0
5 t,ttrtS Frn ttorrtC,
I
0
*.(39)1qq4!1L
srt tV zrPt 264(i3
COTTRACTOR:{V{tb 0flt 0n
ADDRESS:0
e n
*, ?'lL ,18fi 2fi[fi
rffitnq-Tm EIiATL ADRESS:P}O E #:
PNO]ECT CO TACT PERSO :
EXISTIIG OO STN'CTIO :
S Nloholatt
f] altRarror ! nemvarrox ! e:rrnal neerrns ! RELocArrot
neW COnsrnrrrrOn: d ERECT Eta RESIDEiEE on fl AmrrrOr TO EXISTIiE RESIDE CE
.TIPLEASE OIECI( Al{' IXSffiN BELOi ALL THAT APPLY rc Y(tN PM]ECT:
I arr eanaae
-
sF I oer cmaee sr E ponor 1l 5F
! sunnoon _sF n poor- _ sF ! sronaer
orrrn: l0t t0
SHED SF
! eneeuxorse
-
sr ! oecr
TOTAL HEATED SQ FT:1,11b TOTAL SQ FT UDER ROOF l t,\11 TOTAL AREA SQ FT:
TOTAL PROJECT COST t-ess rat : $laoroo0 {f OF STORIES :q
Is Any ELECTRIGAL, PllfrB! 6 or ltECtlA IGAL fork Being Done to the Accessory Structurel I V", fr fo
SF SF
1,411
If the project is a
fs there Electrical
PROPERW rrSE / OCCUP
DESCR IPTIOI{ OF Hnl(:
Relocation, is thene a l{atural
Po{er on this Building?Yes
lfv: I
I SIIGLE FAI.ILY n DUPLEX
ir {n ol EN
Gas, Line on the Current Site?
EI*o
E Yes Eno
-J
fuil rowurouse t{:"6r(lri f,f
appllcable Srab and locat
or chang€ in contrabr or
b Fines Lb Io S5@.0(r"
DECLAIi'GR: lhereby cenify that all inbrmstbn h fiis appllcaton ls conect and 6ll !\orkwittcompty wth the StaE Bufldlng Cod€
and odlndrces dld egulatbns. The l|,ltic Dev€loprnent SeMcos Cenier will be notf€d of any chaEes in the 4lplov€d pbns and
cont-Dr hbmalbn. ".i1OTE: Anywoft PerfurrEd w/O tle AppropriaE F,€mits w t be in VbEnion of me NC StaE Adg Code
ol{rr E R/coiITRA€TOR :(ar 5lde,ft5 SIGT{ATURE :
(Print ila.E)**+* +++:t**,t**:t* *'i+***+ ++ ++ +,t,** ***:!:i:t +++:i
'r *,* ra
'*
* *+ *:i,i 'i * *,*:r *:*** +rt,i:t***** *,*,t:*:f **:i,t !t 't * **,t
IS THE PROPERW LOCATED II{ A FLOOOPLAIiI}Flves Ed,.
EXISTIIre IIPERVIOIJS AREA:1t5 SQ FT
NEW IIPERVIOIJS AREA: _
-
SQ FT
HATER:
SEI{ER:
tr d crrua n coN,$t Nrry svsrer,r n pRrvArE I{ELL
cran I cE[rRAL sEprrc ! Rnrvare sreuc
TOTAI ACRES DISruRBED: '/S
EXTST LAN) DISIURBIiIG PERIIIT: R vIs F r'p
! cerrnal well
f] comn nirw svsrer,r
X.** SEPAf,ATE PERiIITS, REQUIRED FOR ELECT, I.IECI.!2..,,PLBG, 6A5 EQUIP, PREFABS & INSERTS ***
pAy Er{r nE*,rr: Easr EcnecK (payABLE ,o **l Err.i r".-*, 'E-;;;;-'-firrr"*r*
***,t:*,i,****+:t**,i,*+,t*,t.t*,*)t:*t:f,i,t**t:t++,i,t,**+***,tt*,*,a,i*,*+**** *+**** t+,*,i,* *,t,a !a f,t:f:t,t,i * *,r,i *:f + t +,t f
(FOR OFFICE USE Olty) REVTiEO DA.I-E O4/LL/a2
ZONE :OFFTCER:SETBAC6: F:_ LH:_ RH:_ B:_
BFE+2ft=
N
t-
t e &dEtu
I al
Approval:_ City:_ DATE:_ FL@D: _
comerrt 3 A v
PERflTT FEE:
Pt{}tE *:
i
)
$_
rl t\i I l-1 sB zcl+ llQ?-l
l.{- a a 3a-
APPLICAIIO'I
I'lunber
(oFft.. UsE)
i.. l t
i,.ffir,
NEW HANOVER COUNTY BUILDING PERITIT
APPLICATI I rYPF.. COIVII{ERCTAL
PLEI3I AISXTR AIL QUEsTIOS APPIICAILE TO tq]S PiO)ECI
"Project Responslblllty"
AppLfCA f,S NA'{E. tu ey Smiil
DEVELOPER: NoItrvhr Psnn.6 Lt-C
9917. 3 7nu4 _
Pt{r E #: s19.277.1132
814ry.-C!9_--- crry: ffrrirgbn __ zt?': ?8412
OCCUPAT{I./BIISII'IESS mtrtt :
pRoptRW ol CR,S i0ttE: Medli4atF tFlr5 pa ,tIC PHO E *. 919.E55668
OOIER's ADDRESS; 6131 Falls ot Nrl.6s R6d Suilr 200 cIrY , "Rsbhh .___ 9T ; 19_ Zrp : 2i609-. ..
r-rCE 5E *: 6E52.1___ ACCOtflT $:
ADDRESS ; 612'l Falls of lkus. Road Suit! 200 61ry; Ralelgh ST,NC Zrp; 27609
EIIAIL AIDRESS:con Plt ilE #: 919.806.5t68
PRoIECT @I{TACT PERSON: MdrtelPeds Pr{r{E s:919.2/t.1112
Is Elect PoHen on thls Bullding i--Yes f':NO
Exrsr cor,rsrRucrrofl: l-r alrerarror l- *r#iliri 'F;?!til*,. nrparns [l RElocArrori
rf Rslocdim, E fierc I Narurar Gas une on rhe currenr sitr? l] ves f ro ts gt-oc spiiirueneoz J]. ve" 7lro -..,
rtrH cotsTsucrro'l: L{ enrcr trx srRucTURE [-: rrcr tmcx :.: srll l;urrrl -
I aDD ro Extsr sriucTURE
ACCESSOBY STRUCIUSE:
COI{TRACToR: Ionhvid,
ARo{ DESI6N PRoFEssIor'lAt: !4g! G..l49pfr_ - _
Ei/GR DESIGN PAOFESSIOIAL:
PH: 704.927$00 NC R€6 *: 8196
PH:NC RE6 f:
0ESCRIPTIoN OF OR(. Nav Multlrnliy Con8lruclion
ls lbod or belrsEges prB!,Br€d or oerwd in frHs strucnra? il lE 'Ihs Prop€{ry locded ln ft€ Hooddsh? K/yss No
DISCHIMER: r h6t€b: clli y hal all intormrfon il lhis_lpplE tlor i! corecl and att woft sltlcomply udu flc $rt. Bu tdinq Cod€ sfld e[ olior sootkaDte stste
ilff"ffqs"il"fr#,4+EHffiU"1H#8"trsN8ft?r"f,i&1ffi3i,:6yrLX.,&'r'"g;r[m,wri[nii*,rri*bsslf ;m.g-#s.
OWNEFyCONTRACTOR. t|alr R Barker
TOTAL PROJECT COST. 13,87s,000 BUILDING
TOTAL AREA SQ FT : 578
SIGNATURE:
11',.10-# OF UNITS:
SQ FT PER FLR:576 # 0F STORIES: 1
# OF SIFUCTURES: 'l _ # OF FLoORS:
6dnv or h*dhg rNac lurnd b
LGl 10 days ,lor D he
I
MX
TorAL sa FT UNDER RooF: frht:€
ACFES D.STUREED: ro.ls.o,. {tu
ruew tueERvrous ri s-B.li4
*-*EXST LAND DI8TUREING PERMN? YJYES I ] NO
sa FT ExtsING tMpERvlous AREA 0 _- _ _ se FT
PRoPERWUSE f_.lorRce Inesrnunam l__,_-r,renc*rnr-s ileoUC COI'IDO OTHER t-
WATER:
SEWER
€cnut -t
fl',crnur. fi CPMMUNTTY $TSTEM i..] WELL
CENTRAL SEF flC flfrVrre sajq tlzoNrNG r-lcoMMtrNrIY
.'SEEAIA'IE PEFMITS REOUIRED FOR ELECT. MECH PI,3G. GAS EOIJ|P, PBEFAAS 8 IISEFIS -
PAYMENT MEIH@: I-']CASH i\ltHEcK (pAyABl.E To NHc) f, aru rccouHr prraovrse l'a
d-frrfrrihi*@R
zorue$f .'FtcER:, d4-t-fJffi^tltoJf, ,- , * *H:_.{, .e: .+ RE,EEDDATE'{'''^2
Approval:-.-.Cttr; la,,,r oere UFrJin FLOOD: _'- - . "'*i-#;;iE
connent .2,-,,&ti Je(. .1"4 -l4.; ,-e> -5,<; )4L:_ ')ur,u,r**
Vk:VA (€Ld6o> lrf (a:{:8,16io1 Crrl -d---STrr|d
PROJECT ADDftESS ! SF Fsi,vte,, D ve.
If UPFIr - The SheU Perfllt f:
*t*'. rs ThIs a orrtrE oF ocarprncy uset f;vrs Ee .*..
lF Yes, tdl.t ras th€ Previoos O.cupency lyp€l *._- . - . l{h.t t, the ler Occlpa|cy Iypel __-.____ . ._
I
.1, :f-'..;..
.,- dl- r ':, ^EAR,.j ,;.,8$r.i7
\i:::r;,.
i.i ir lr+-i54
NEW HAI.IOVER COUNTY BUITDING PERI{IT
iP?LIcATZ@t rr"f ; €O}1|IERCIAL
pr^tasE a*$rEi Arr Q{]Esllo s ApPtI(A8La r0 youR PRolEcr
dProlect Respomi.blllty''
aol+llu,.]8
i+-f a3l
APPLICATIOT.I
ilu ben
(offtc. Ur.)
APPLrcArfi, S naae , i119rll-_.
9 DEVE LOPER: No hvhw Patue,s LLC
PRO]ECT ADORESS | _l8FElryie!_qLe.:Er s.5h
occuPtilT/BUsI{Ess
PROPERTY o{{NER,S fl{E: MedianalFdFddPa .UC
Otl'lER'5 ADDRESS: 6131 F.il5 d Nouse Ro6d Srih A0
E|'{AIL aDoRESS : ._E!9d@LqdUE[!!&SOm
PRO ECT CONTACT PERSO : MiCIEd PT€IE
-'-
wrE:-!1m11
PK)fiE f : 91917.1132
-_,._ clwr Yl!!s(l- __..
919 806.5868 PIENE *r
ST:
(chc.l
^U Th.t appb,)
EXrST COflSTRUtEOT{: fl AlrrnnTto , REllovaTrd{ []1 celenll REPATRS '- RELocATToN -r lf Relocatbn, is th€r€ I Natural Gas un. on th€ cwrent site? I Y6s i . No lS BLOG SPRINKLFRED? r Y€s {rl No
Er{ CO sTRUCTTOT I sr*rt t{Ew srRt cruRE
CITY: Ederg[Nc zrP: a6o€
PIPNE *: 9,19 2I:1112 .,
FAST IRAC(snEttl-'ruprtr "
ADD To Exrsr srRucTURE
Is Elect Por,tp on this BuLldin8 :-" Yes i-'t'to
.r..r Is rHrS a cltaf,GE oF occupar{cy rrer i- vp5 t{n *.'..
rF Y.s, rdr.t r..s the Prevlour OccuParcy tyPA? tghat 15 the N€t O(cupancy Typel ----
aRcH DEstd'l Piofrsito!,lt!: U&)JG !!9E8"*--PH: 7fiI27 9P.0^
PH:
11g X65 y; 6196
€IIGR OCSI( PROfESSIOUTL:
OWNEFUCONTRACTOR:Ilat R Bafi€r SIGNATURE:
---
11'-10'
ACCESSORY STRUCIURE:
If UPFIT - The Sh€Il Permlt {:
Jcrwe
tZc*ata
NC RE6 *:
,
ls tood or bavemges prcparcd q sar,/sd h lhit stuouruz I - vesV r'ro ls Th€ Proporty Lootrd ln ThB FloodplEin? gY6
i .: : No
D|SCLAfiER: I herebr coftfy thal s[ inlomador| in tr s .pptic.lon . corracl od lrl wor* lNillcolnrry wih the Slab &/ndrng Cd€ snd al ohet spdicablo Slata
ImHmlgd*,m#ffits'*st'1r[5#ffifi**"tHffirffiIX,E#*##Hr*f',Bi,J]ilB'BlT'"#ffit8l!Eflf;&Hi.
Subiocrlo Frres Up To l5o0.(lo'-
O6r&d lPll,i t{lle,
Nor: or.naur alddaolr a abctbt cnord pom! aPCb,jo aar to b &romln'd 'dm fu
'rdoi6oo
fofli (0trls*t'68) rlD${ holclry or bur'ldiie ' blhd to
c.ri|tr A!06t06 or tror Y.u r'D rqdrd b c.llrtr. lldo.d Emb.hi Snrira& turfbcl,tbu. t} hi.rEt (NESH F, !t (919)707-5t50.t L..r 10 nF Bh. b dt
de o0foo of .w ffiV or bddng. S.€ l566toa wa! Slkl hD:r',tt r..pl!Ei..m.{l./.Ol,gt€3t0a/dlnp,iEil
TOTAI SO FT UNDER
rcAES OISTURBED:
ROOF: 56
to?Sacrx I l e
EXST rrorD DTSTURBNG PERMTr? yYES
.-
-.. No
f OF STFUCIURES: I
NElv IMPERVIOUS AREtu 296,171 SO FT EXSNNG IMPERI/IOU3 AREA: O
PROPERTY USE: t,-lOprtCe il;nesrrUnmr 1- .UenC$trrUe ;* i eouc rlnpr
BUILDING
TOTAL AREA gO FT :5/6 . SQ FT PER FLR: 576
OTHER
MX
REVISO OATE {T
'2
-SAFT
WATER:
SEWER:
' @MMUNIIY SYslEr"l * siELL :_..lzoNtNG
CENTRAL SEP]1C PRIVATE SEPTIC -' @MMUNITY SYSTEM
". SEPAM'E FERMITS REQIJIBEDF()F ELECT,I\IECH PLBO,OAS EOU'P. PREFAE9 BINSEfiTS'.
:*
.V
RH:-P'.-sI_g.
'o*'*'oT?:.I:f:..*:,:::':i:*f-3::.'1.:::*:i-;Mc/v'|sAil'covE*
i\ . (FOB OfFICE t t€ Ol.lLY)
zoNE: llx trFtCER; -/aL5 . , SETBAeKS: F: .!a.. LH Approvat: cltyl l.rtlArE-p/r,fq rLoOo, - _'
conmenr. /4J Rgto P.A .lXe-,#p-.,-> t r< $rrJ
t/ aFE+m=AI
PERMITFEE:$_. _,
lOsSa-< /a.e*ea {-at (r*sazsc<l".,6/-B qlrrl{
zlP: 2u12
Co IRACToR r ljfiWlv closh4on -- LICEI{SE # | q6A --.- - ACCoUiIT f :
IDRESS: 6121 Fdls ot N€us6 Road Stdt6 200 CITY, Rrhigh 51.NC 71e3 27609
ToTAL PROJECT CoSf: !.!ls.o[--#OF UNITS; I - -- -# OF STORIES: , *.
# QF FLOoRS: -!---.-
eta2r4w)
_-! 1i:\
rff
JI SL3
NEhI HANOVER COUNTY BUILDING PERIITIT
aPPLIcATT0N rrPr: C0lll,lERCIAL
pLE*SE ATEHER Art QUESTIONS AppUcASLE T0 yoUA pROltCr
"Proj.ct Responslblllt},,'
2,-.r+ rl(o8a-
r* aaOi
A9PLICATION
llulrbcr
(Offtc. ur.)
ADPLICAI{T'S tlaxE; lIlay sritr
DEVELOPER r llodhvlen tudoers LLC
PRO] ECT ADDRESS:4625 Farticw DfE _- 5!ilc!e99_!G19.-a99 'e:' $rv
occuPAl'JT/BUSTNESS r{Al.,tE :
piOpERTY O|^JI!ER,S IA!E, Msddian.t F.irFicld Ps& LtC
oa'IBER'S ADTRESS: 6 r31 Falls o, Neuse RoBd Suite 200 CITY: Raleigh.-_
CONTRACTOi: f{orthMery Constvction _ _
ADTDRESS : 612, tlB o{ Nru& Rold SUl€ 2m
pHo E f, 9!93$.566E
-... , st:NC zrPt uefrg
- LICEilSE *, .891,___._ ACCOOiT f :
crw: !3le_n__.____ sr;{ zrl: .uzgg.
PtlotlE ,t: 9-1q!Z:ll!1- .._
zJPt 28112
(O..r ^l! rh.t rrplr)
Exrsr coflsrRucrrqr: ll alrrarrtot : n:tornrron J cruul reearns ; RELocArroN
r Relocalion, is rh6re a NE&ralcas Lin€ on tlle Currsflr Sits? j Yes | :No tS BLDG SPRINKLERED? L YcsVNo
-t Er,, co sTRucrro : M rnscr ilEH srRucruRE _ resr rnacx -] sn:r.r. il grr:r . 'ADD Io ExrsT SIRucluRE
EitlAIL ADDRESS :,Epd@nod&h/!,a8tg"t!qS_, *,__pHofiE 8: 91s.898.Sq
PHoNE *:919.27.1112 PRO]ECT COIiITACI PERSOI{! Mhha€lPoole
ACCESSoRY STRUCTURE: - - _.
If UPFIT - Ihe Shetl Permlt ':fs Etect Power on this Bullding i-, Yes I nto
r"" rs rHrs A GtlalIGE ot occuP!flcY rLsrl ! vrs i;t{b ""'IF Yes, uhat rE5 th€ Prevlorr9 occupan(y Type?t/hat i5 the t{cU Oc(uplnc!, lypct -
PH: 704.S7.9900 6 p66 13 6i96
^RCH
DES1GN PFroFEssIoML: l4!lq4!.M49E _
E'I6R DESI6T{ PFdFESSIOiIAL :
DESCRIpTION OF 1ORK - ll€tr Md6?fl1y Constuclon .-t
ls food or bev6rse$ prep€red orsrly€d in hh stnctre? I :YesV No Is Ths Propsrty l-ocaed In The FtooodEtn?#Yes ii tto
OIECLAIMER: I llorsB csiity thal all ln omauor h lhb agplcrion i6 co.r€cr ond Ef wgrl will csDCy wilh ttE SEt€ BslldrE Code gnd 6l oltur Bppli.rble Sra6
and lo{al lrwr and odiEncs. lrd reoulatioo3, Tho NHC Oorsloo.narn Srtuk€r Cenrer wiI b€ norified ol a^v .hir}oe, in th4 .oorwed 6bns and .o€dfcllrlt d cnaDce ir cor|t_acEr or conlrD@r frrormBton. "'NoTE: tny wolt porronn€d wo $o App.opftt. pstr'k rll 6c tn vlobrioD d th€M srs(r BIdg c&o lnd
Suq6q-10 Flne! Up To is(,l).(O"'
OWNER/CONTRACTOR:Mark R EBrks SIGNATURE:
(o.n.o {ftr'iNr )
tbE: D€lior,o.r t6fc.Uu|! A E.t..lD. r.1ol/rl t.lfi!9frE {orr a! b !.!!tn[t.d raklo 0t apCh.tino|to (DHX$,68) rtdlrtE itclr r hildlrg yn. h/$d tt
c.rr!,h LD..bt $ rg. Ylxr sI. ItqdrEd b..I dE t{t&nd Ellbrlo,l ffidr nr HE rdo6 A. Poli.EiE (NEs{AP) A 0197}?-5!60 n t*r 10 dsya Crbb he
&orffon ol try Gdry or hiidio. Se A.b..io. Uhb gr.: llqlhrur.at irAs-rEJ,lLpib.braB/B1np.rt
BUILD]NG 1f-l1',f OF UNIIS: I
, OF STORIES: 1
f OF FLOORS: -l
TOTAL AREA SQ FT :t2. 95 -,. _ ___ SQFTPERFLR:1205
TOTAL SO FT UNOER ROOF: 1295 # OF STRI'CTURES: 1
pRopERTy usE - loFfrcE llnesreumrr -
-,rvrmcmmr.e _ aow il,APT r-'-,COl.lDO OTHEFI:
WATER: v/pFpuA , CoMMUNIT/ S\€IEM VVELL
sEwER: \Z, CFPUA - CWrml Serrrc iarvnre serytc
.,-ASSIF,CAT;ON. Ltx
.. SEPAAATE PERMITS RSQJIFEO FOR ELECT. MECH. PLBG, G{S EOI'IP. PF€FA8S &
PA'/IriENT METHODI ]-. CASH Muecr (pAyABrE To r.&tc) nBtLL AccouMr i-jMcwtsA
REV|SEO DA'E
'/11/12 RH: .Jz B:.-K-.A 8FE+zft=
,tl (FoR oFFcr Use oNLy)
zoNE: Ju! OFFICER: r',> i _ ., SETBAGKS: F:;jl<. LH: .4:_Apprcvar: __.. CiryillL^ OATET-! 2lt,pl FLOOO:
comment full_ ?ea _.tat A+g!L.,a s:,af ,,r{ v
n?raa* ?rraa;> Gl- /ru,rrrrr..u
PERMIT FEE: $.&-& 4lzzl,r
oarc: !9!-_.
PH: lC REG r:
TOTAL PROJECT COSir: 13075.000
ACRES DISTuRBED; 11.I$ ExSr LAND DtsTuRerr.re eenurrr 5/, WS l'--. No
NEW TMPERVTOUS AREA'_lf,ta. - .-_ _,_ __SA Fr EXTSING IMPERV|CIJS rRrA: 0_ so FT
:::';--'i';
i'.-.@,
NEt,tl HANOVER COUNTY BUILDING PERilIIT
APPLT0AiIo,I TYPE j COI{MERCIAL
PLETS€ AI{sIJE8 AII QUESTIOi]S APPIICAELT TO YOUi PBO]ECI
"PrcJect Responsibilj.ty"
coiY-rlo7 )
$,raoL,
APP t ICATIo'l
NuEber
(offl.e U5. )
ApptfCAlrT,S ilAIE. Ashlcy Smlth
OEVELOPER: tldlhvlar PadnsE L'-c g9L3_
PRoJECT ADDRESS: 4625Fat^LlwD,tve.llBer€EEgqwi S1omo9-.
oCCUPA},ITIBUSI ESS fUU-iE: ___-- __-
pROpERfy O^lNERr S t{A{E: M!.illu 8t Faifisld P!d{, Ltc
ottlNER'S ADDIEsS; 6'131 Fa[! ol Ncrso Road &ib 200
cor{TR rcroR: lbrhysqa!!€trdlo_ *
ADDRE5S 6121 Falls o, N6r,!e Ro.d Suite 20C
EiIAIL ADORESS : -,rr!egg@i_Lq!0s4!s!.L. -__*
PROIECT COUIACI PERsOfl: Micheol Poclc
If UPFIT - The SheU Per0i.t *:
.*1'rr J5 THIS A Clttr{GE OF OC
IF Yesr r*'t y3, the Previ.ous Occupsncy Typei *, .
ARCH DEsTGN PROFESsIOMI: [IaIhew G.
ElGn DESIoI PB0FESSIoIAL: _,-_
TOTALAREA SQ FT :UC1__-- _ .
TOTAL SQ Fr UNDEn ROOF: t,10.t
ACRES DTSTURBED. 10.75 aces
SO Fr pER FLFI 1,181
#OF STRUCTURES: I ,-
(Cha<k All Thrt apply)
R€iOVATION :6EI{ER,ALREPAIIS
Is Elect PoI€r on this Sullding j*,Yes i- lto
a,PJu{CY t sE? j- vrs 12116 *'*".
- - _. mat ls the cu occupancy Type? -
PH: 701.927.9900 6 pp6 6; 8196
.. ss14 3tz7!2a!4
P+OilE *t 919.27?.11U
IrYi lrrlmilql]tl.,. _.
PHONE S. 919.E96.5668
sr:p_ zrr: g_4q_-
LICEIIsE *:
CITY: tulatgh
68523 ACCOUNT #:
sr: NC z*t !l$l_
PTONE s; t19,096.5658
PH: *.- _,- __, NC REG * r
r Retocation, ls there a Nat;;lGss Line o'1 the iu eor Sir6? l- y"" f ruo rs BLDG spRtti(LEREoz T-' y". 7uo I
NEbr consrRucTroN: ;y[ rnect NElt sTRuouRE *;rnsr rnacr j--1 SHE| t L-.j upfll ii ADD To ExIsT STRUCIURE
EXIST CONSTRUCTION: i , ALTERATTO .RELOCATTO
ACCESSORY STRUCTURE:
DESCRIpT1ON OF UORK: _Ne lrHh,Jy Co,t{t1[ . _,
ls food or b€wrpg€G F€pa€d or s€ryed ln tld6 ltrudurBt i Ves$ru0 b rh€ Propny Locared tn rtre noodphh? , /, yes i l'lo
OISCLAIMER: lh..eby ccrlly ital alinlbmauon in liri lrplic€tion 6 coned a^d lllwolk rillcomdy wi) n\e 6tsta Buldim Codc 6{td atlo6er alolicaue Slste
lnd local law! and orIn.nco. .rd ranuLlions. Tha tlHC D.,rahorn.d S€.ylc€! Ccnlrr wll br nol!5.d or.nr dEnags h fia.Dorov.d ohno and iircd,icctlons
E,tSl8 E"g'ffiggrffiF$" libinrton. "'NoTE:Any Wo* Pcrlonll.d wio ue App'opdaE Psmtut,fll 6e ln vror.thri of t'€ Nc SEr6 Bd! cod..nd
OWNERyCONTRACTOR: u{t{ ! 0e**SIGNATURE:
Gr.ttr, lPt{ taAl}
faoi.: D.fidfdl tralifaaUao! & rtaab E mval ldtllit apg&dolrr !,! b !a suhnltbd u!h, d. .dlcadgl hm (DHHS$rE!) $lE{! d€ hdlu d bdldho ,r. Iound tD
.onbln A!b.!br or noL Yau o(o rq,kad to callfia Nlddrl Elnlt lon Sriild! hr tbE dor.s^,Pdl'Irolt (NEg{AP} rt (9€)m7.G860 at te 10 dry3 prb. ro 0E
dsrloltron ofuy haifr, or bulleE. 8€ A.b..toa lY.b 6fl. t{S//$Mtr.orrt!t rl-er.pu!.!-b.rehmpJtr*
TOTAL PFOJECT c!91; 13,875,000 BUILDING HE|Glf[: 13''5'S OF UNITS; I -- .----
Exsr rrND DrsruRBrxc ceRunz y'. v6s ;'- x6
NEW IMPERVIOUS AREq: 296,174 _---. . sq FI o(sTtNG TMPERVIOUS ane* _9
PROPEAryUSE:' lorace llnesreuneur --,"nencnvnu ]rrouc /trr , -lconoo
SO FI
OTHER
MX
.:iir,_ ax:=1.-X;
e,,.*
BFE+2fr5
Al (FoR oFFICE IJSE OiILY)zoNe IrV oFFEER: -.._*5 _ SETBACKS: F:.4.U,
ApprDvar .- -- ctty: [:ier oeft: tlrl$ FtooD: -
._.
-)^-A commenr -!dl&z/ 3 -fd . ?c dg0t_..^o d,;r t+"t
Y\-;A Qztc*zo> '-rz,? &rso,:cn)
PERMIT FEE: $6L-6 llzsln
ZaP i 2a112
PK,{E s:919.2n.11t2
# OF STORIES: 1
* oP fr-OORS: I ---- -
mre* y/,creun - colilMuNry sysrEM wElL
sEwER v/crpuA , -- cENTRAL sEpTtc -, pFlvlre semc
-. SEPARA1E PERUIIS REOOEEO FOR ELECT. i'ECH PT8G. GAS EOUIP
PAYMENT MEIHOO: FCASH FdXCCT (PAYABI.E TO NHC)llarurccouur
AqSII
tJ s6
,::}...
t,& n
'i' ,H&t'.,7 '{,.'{ E:i/
24C,t*P I 1qifu\
NEW HANOVER COTJNTY BUILDING PERI{IT ;J-ia3c
aPP LIcaTto rypEr COI.IiIERCIAL
PLEASE ANSITEi ALI. QUESrJON5 APPI.I(AOIE TO \rcUR PROJECT
nproiect ResponsLblllt}/,
--
DATE: 31272014
PlOi{E $: gls.27zllU -{e!-i.PBO]FCT ADDRESS:
0CCLPA|'IT/BUSII{ESS IrUttiE :
pRopERTy 0u ER,s |\JAIE I M8ridan at FaiiF8ld pelk Ltc
Urtt{ERr S ADDRESS: 613, Fa[! dtl€tJse Rord Sutts 2o0
CoITRACToR: _l&OrltSqqgllshEp-t __ __ __-
AmRESS: 6121 FaSotNor,6€ Road Suit€ 200
ACRES DISTURBED: iOJIll--
NEW IMPERVIOUS ARE{: 2s6.12
CrTY: _V_Jiminlton
APPTICATIOT{
unbea
(lrffl(! us.)
ZIP : 78412
_ - .. LTCE SE t:
CIfy: Rsbti
pt{oNE *. 919.&96.5666
ST:rlc ZIp: 27609
accowl si
STrNc zrP: 27609
CITY: _(ale!h
68523
lf Relocalon. is ihoro a NEt al cEs Line on the Crinent Siite? I*a
NEH COISTRI]CTIOfl:il EREcr NEI srnucruRE i-l rasr rucr i. , srulr- I :urrrr ADD TO EXIST STRUCTURE
EI1AIL AIToRESS3 _offlhGllgt,lluDgh0EetL_,
PROIECT CONTACT pEisoil: idchs€l Pede
(ftact All lh€t Arrly)
Exlsr CONSTRUCTI0N: [:-j ltremrtot i-RENOVATION
Plol{E *: !!9{s.5668
PHol'lE *: 919??.11't2
GENERALREPATRS RELOCATION
ves l*' t'to ts gr-oo spir^irrrReo; l- yc" Trrro
ACCCSSOiY STRUCTURE:
If UPFIT - The SheLt Perait #:
DESCRIpTION gp 119X1. New L,luEhn y Con-stuclbn
b food or b€vel5g6B prEpared or served n tIrls srtmre? i_-1 ves ls'Iho Prcp€(g Looaled ;n L p666g667y'. y6s ,--, tro
OWNEH/CONTBACTOR ' MErt R BErbr SIGNATURE:
TOTAI PROJECT COSI; 11,875.0m
TOTAL AREA SO FT : 1S -.. zuILDING HEIGHT: l?.7.#OFU N[S: 1
SQ FT PER FLR: 196_# OF SfORIES: 1
* oF STRUCTURES: 1..,
OlSClAlMm: I i'6lEq, cediy lllal all iniormali4 in Bis l[DricE6on t corei ld 6ll wod( $illGnmply $,ih Sle Slst6 Bddrno Cod6 and sU oth6. .oDlcsde Slllc
iif_,3ftJ.ffisff8tsiffiffiH"#Jt',''B.NffiE?t1"'ffiA*#.?tffB,,i,yls1t###[*fiBr"ts,ifsffiflsBcgffiffig1ft sublccl lo Fines UD To 4500,00"'
|li&drlr, Frn iLm)
Ndo; Oarcfdoi nolft.lor! A..!etG renove p.rnlt.m*.l,on rt D b. e6.i&od rlnC 0l,.grlk adr fom (DHll$S?6t) *h.0, t trcory or ldkli{ r.3 hJnd b c'lEh &DEba d nol YdJ rn rql|td b c.tl ths st/oflat &*doi EElrd.rEts fur HErn or,/.t, potllt rE (ltESHAp) r (t Si7O.t$O tt b-r'lO d.y. pd;b h.d..Dlitn ola|, h.fftor !ul,".dr!. S.. trb.na f]\tb Sk hnpr rr r.dr!.t .ftr&t ld..{o.r.tripj6nt
_ #OFFLOORS: t - - -_...
EXST LAND DISTURBruO renrr,lrrr y'r ves .l
-
1Ho
s.o FT E(STING tMPERVtousaRe* o
CLASSTROqION: Ux
SO FT
PRopERry usB I ffi1sE - rnesreunnr,n .MERC !.IILE l_-:eouc i/pr loorsoo orxe*
WATER: YCFPUA COMMUNITYS\STEM WE.I
sEwER: !/cFpuA .=_ ceurnt sEpflc -l frvATE sFflc -
,-_i
-. SEPAMTE PERMI.IS BEOUNED FON ELECf. MECH. F!BO. OA5 EOUIP. FNEFAES &
PAYMENT METHOD: rC,lSn ffiXeCr (pAy BLE TO NHC) l-B[L ACCTUI{I
AppmvaL. _.. _. Crty: l^:'6n Oefe:_r;/ r./t ri FLOOO:__
}j, Rft_*..8:*
O. fr are+zr
PERMTT FEEI $.-(
Comment futw,to ftu:ar
D"? ,tac Tpowa J5€ ^?r+t
Q,el*t -> i-ti /c.,*,flict**,abfr 4
applr(^rrs [Ar,rE: _lry-yjIg.
DEVELoPER; NofiVrow P.rtto,s LLC
&!r{q{ S{!ei_Ga*ts-
Is Elect Porrer on this Eqllding i- yes Il: no
.ii*r rs rHrs A oralJGE oF occlrpar{cv trel i'vrs d7fu.-.'.IF Yes, Biit u5s th€ Prevlous occuptncy Typct . _-_ -__-_-,. lAat ls tte er (kcupancy f|,qlet -.
ARO| oESrG pfixrEssro{aL: l@9,! !.McEE-_ _* pfl;704J27.9900 ._ 16 xg6 s; 8l-95 _
EI{6R DESIGN PROfEssloiAI : PH i _-__-_ t{C RE6 * :
ToTAL SQ FT UNDER RooF: f$_ -.
sa 5)
aot+ l tBg
f *,::13
APP L I CATIOIII
llu blr
(offic. ut !)
,,],
r;;'
WATER:
SEWER
':l
NEt^l HANOVER COUNTY BUILDINO PERMIT
AwLIcArIdt TYPE; CO,IIIIERCIAL
DLEnsE AXSiI'R AL! QUESTIOITS APPII(I8IE TO Y(T'R PRO'ECT
'ProJ.ct Responsibl.llty"ii
AFPLTCA!{T,s 4qs; l€tdcySm l
DEVET@ER: tlodnvi.r, Prdn n LLC
PRolEqT AoDiESS: jlElajlewg,ive - 5_qaQ!99
oCCUPANT/BUSIiIESS ilAl'lE : .-
pROpERTy OUNEBTS ,{AfiE I Mrddlan al FalrFnld turii ILC
oltitlERrS ADDRESS: 613l F8lls 0t NelJs€ Rmd suih 200
CoNTRACTon : -&d'yier_eg'!hEtigl'--
ADDRESS: 6121 tellsdtl.i}!€ Ro€d Sib 200
OWNER/CONTRACTOR:Ma* R Ba*er
oar:,-.3274911.
CITY: Rekhh .____-
LICEISE f: 58523
crTY: ltlhingon
PHO|{E g:919.277,1132
ZIP'| ai412_
PHOI{E $. s19.898.5668
--*. ST:NC - zrP! 27600
acc0tlfi *;
EHAIL AIDRESS: rE d6dnortwiewDartnerB..olrl
PRolEcT co rAcT PERSoI: Mldla3l PBele
(ft.d all rh..r apply)
cIrY: !!$.sT:!9 - zrP: t sog
PHO E *: 919.896.5568
PHOiIE *: .919.22.11'l2
EXIST CO{STRIJCTIOI: ._ etrrUrrOl '' nrUOvlrrOt l*- -j
l, Relocador. is there a Natu.al Gas Llne oo the Curent S e? I- Ycs
'f-l xo
REPAIIS REL(TATIOi
IS BLDG SPRINKLERED? i Y€s ili NO
6EIIERAL
NEH CONSTRUCTIOT,I:ii/ERECT NEH STiUCTURE i FAST TRAC(SIIELL UPFIT ADO TO EXI5T STRUCTUSE
ACCESSORY STRUCN',RE:
If UPFIT - The Shell Per01t *:Is Elect Power on thls Euilding -' Yes I,l0
Aidl oEttGN PRoFEssIoaL i U&SJg9q.pH: 704,&7.0000 ss xg6 s; 8196
E!I6R oESIGfl PRofESSIOMLT
ls fuod or bovEragB pBpared oI served ln tils stuEtJts? l-- Y6s No lE the PrepErty locer.d ln Th6 Floodpbin?VYes { . No
_ -- PH: -.-_ t',C BE6 t: -__ -_
DISCiA|MER: I hEroby Elrdv lh{ .tt inlornrqtlon ln hi6 rppliEtton 15 corred ond all W!{t $,lll cqlrt y wilh th6 Ststs Bui0in, Cod€ End sll dlh.. orPlidblo SEle ;;-;ii ffi ;il;-#^;;,X iiiri iiiiiiiitdr'-rr nnc EL*opm€ni 3!fvic6 ccrwwllb. ncdlad otsny dErEes h.!ha leprqsd plqrlsndli9cfr4doo.;A;;;i;;;Eil;;ffitr;d;-flldfiGfr;: Sn fE. -r;t-W;it- PriGi;a il,loiil;Ap-r'it.i.'! P. nt' Illil5b In \r'd4b'i ot tho Nc sbr. Blds code 31d
$biocrb Frno. up Tol500.o0''
tet/.ltr4 C,til@
lre: rr'IFlrd iofic.roi. g rt-ro. r.m. dF rppfl..dorBurb D.adrfi.d srhe ir.aorl(.dfi' tordt Ofltlg€7eq d!6..1ElHlU.,h{*lg wrE b'Jnd b
dith Arb..br or rd. You .ll mqtud E c.l d.l,Lio|tt Emb.bi &rtdat tr tha&|r Ar Fo{uiiE {l'lEHlP) ll (910)7O-6t50 d l.. l l0 d.yt pior b 0E
rhmamon ot lat balty or tdltE. sE.talBba yvrD 8ta: mFJrrrilradJfi..trraLplraatido.hnPrt
TOTAL PROJECT COg7. 13,8?5,000 tg'a615611E1661. l3{'
SIGNATURE;
#OFUNITS: 1
sa FT PER FLR: l,!is_".- - # OF STORIES: 1
# OF STRUCTUREST 1 # OF FLOORS; I
EXST LAND DISTURBING PERMIT?MYES.
AREA: O
DO OITIER:
MX
TOTAL AREA SQ FT : U16- - - . "-. -.TOTAL SO FT UNDER ROOF. 1.17s .-
ACRES DISTURBED:l0.75acros
NEW IMPERVIOTJS ARE{: 286''74 SQFT E(ISIING
PROPERTY uSE: -- ,-OF|CE ]'iaegreUMMr MEROCNIILE , EDL'C
NO
SO FT
\,,/crpua
iZcrpua
t COMiflJNMY SYSIEM .. .
WELL ZONING USE
pAyrrENT METHOD; ;' cesn ffiecx (PAYABLE TO NHc) j:JBIU ACtOUNT i-:MCyVISA r
CENTML gEPTIC PRIVAIESEP'flC i@MMUNTTYSYSTEITI
.. SEPARATE PEFMTG REOUIREO FOR ELECT, I]lEc}I {A6, GAS EOUIP, PREFABS & INSEFTS ''
LRH:_*:_B:iE.
, - X; BFE+2G
PERMIT FEE: $o|-fu alnl,<
zoNE:t\[. -oFncER: -45 -jTffi3lEff&-rr'Appmvd:. . city Lrr,,- o-ATf.AifilLFLOoo; __ __-
commem lf;-fttd-J- ?rf -m. &?Lce> <,ru j.ol
'&.P* ?a,,.tart> ii /cu<-t-z;crot
tEvtSEo DATE tvr 1ar2
r*++r rs rlts a cH^ GE or ocolparcy user f'ves {7{p .t"'
IF Yes, !h.t ra3 the Prt\rlous occupan<y Type? lftrt It ttle ller occuPancy Typa? .*-...--,--.--- .
oEscRrprroN oF woRK: Nl Mdlfrju cgIh,'qn ,. .--_
'i ?j
r;i i'
]ECEIVED $EP 08 $fi E B M
tf '12(0
f€s 15")YtD
APPLICATION
Nuober
APPLITANT'5 NAIIE: F.Ll iid;ko:OAtEi I i ,.l r_
DEVELOPTR
p(oi EcT A00RE55:
occuPAilr,/BUSINESS NAI4E i .,.-r! ,^:,.' i q, :.
C]TY
pnoNt {:
!l
PHONE }:PNOPER TY OI{NER'S NAlilE | !r,i,ne ricD.r usn :n.
oNNER'5 ADORESST i,i, riox rr,s'l{i1
CoNTRACTOR r l'rnj\j. i'r.::r:rtr sar\.i'rE!, :,-,rl
ADtlRfSS, :j, i a,::r!rjtl i':.i:s:.:r, D:
CITY: r,'- -ur,:..5T:jj-ZIP:, .'r-
tT: 1: 21P: jl1-LTCENSE fli ,.,N
CITY: ! t.\ i.!ri [.:]
rHAII ADORESS: U:PHONF *r..,, ',i"',1(.
PHC{,]E #: : a PRoIECT CoN]AC'I pER50fli :.r1.iie'-le t:ti(
a$r<l Ail ,h3: aplr rr)
l1 Rdocalhn rs thsrc rr |\latural GBs Lilte on lhe Culreqt Sile?L--J Yes
6Et ERAL REpAIRs fl nrlocartoru
D ^o ts ot trc spifrx.tnr. n' f] ves
txrsr aorus1RUCrr0 :ALI€RATIOII RENOVATIOII
r'tEti col,s'r iuc IIcN :I errcr Nlt{ s]RUcruRE ! rns-r rucx SHELL
ll..l
UPFlT AOD IO EX:ST STRUCIURE
i- uPfIl - ;he ShelL Pel.rnit d
A'C E3SORY STRUCTURE:
WATER: fICFPUA
SEwEai fICFPUA
ZONE
rirr? I9 T9r5 A Cllali6€ 0f occupll',lcY usEl YE5 6
what is the Ne,, orciJpanay Type' _-
PHr i i-. ,r1 l.ai Na REc 1t: l:rt _
Is Elect Pouer on this Building E Yes \c
IF Yes, whrt u/.s the Prevlols occ[pan.y Typel
APCIr oESIGN PRoFFtlrotuL: .lj!:!!..r j
TNGR OESIGI.I PBOFESSf,OML: *lHr NC RTG 9
0ESCRIPII0N CF !iORK irErircoE n{}, rc!,h
olscLA \!ER' I l,r''ob.)/ .erlrry ltJ all inlcrnrlb,l r rlrs ai&lrj3lroi,s (:Jr (jcrarlr drl w{rl srll corn '/ wir,r irr srall) guirrr,q:loie 3nd a:, oll:e, rt ll('rDre Sl.'.
dd2..a..nirrcoiJdlrrirs. rlreAr; Qurdllorlruil orerroxlla.lcr,-nfrrBlu' ''NOIr 4.y v\nfi P
.:rt cliJL,qe! n Llu rr9 o'+{
rrils arlbr | \1.1r'rior' dtr,'c
ola,s a,,.i.',tur.:nlic' :,
^rC
Srn, ltlda a:nne. dl
SO FI
AGRES DISTURBED]
-
OWNEFUCONTRACTOR: i'a:, tra,r.er SIGNA'TI.,,RE:
iorrtlr, it'srNr..r
.orlah As!.4to! oi nor yo! !i€ r€dulrd ro c€, lrie NlrioMr Emissoo Srsnderd! to. H6:rrdo{s A! Ft lrulrlr lt€s}lAil 3! I919)7@.5S$ at ie69 10 03ys t iro. lo rn.
tlnorirlcn of at lacrlllt or burldbg see Aebs5lod Vibr Stu: t:!: t:* ^!; ' ':
|OIAL PROJECT COST: ii!,I;; EU,LDING HEIGHT { OF UNiTS:
TOI A1, AREA SO F # OF STORIES
IOTAL SQ rT UNDER ROOF:
-
IOF STFUCTURES:il OF FLOORS: _..-
EXST LAND DISIURBII.IC TCRTIIT f] VTS NO
NEW i'|(PERV|OUS AREA _--SO Fr EXISTING IMPERVOIJS AFEA
pRopERry usE: tloFrlcE nnEsraunar'tr fimrncnwtre f]eouc CONDO O]HER:
COMMUNITY SYSIEM EWELL
CENTRAL sEPnC LI pR,VATE SEPTIC
DZONTNG USE CI"ASS|FTCATIO N
DCOMMUNIIY SYSTEM
PAYMENT ME ftOD: nCASH cHEcK{pAyAsLE ro Hncy [menrcnl exeRrss f] uc,vtsl [-. ]otscovrR
2g OFFICER:/"r.2 iFOR OFFICE USE ONLY,
. stiancxi,rt-r/Lr-H: ",,l_nH: a,] e: J
Aoproval:- City: l^:;ir- Onfe zi[i.{'< fIOOO
-{*"tun'o=
ff
Commqit
Cil';
PER[,11T FEEi S
REVISEO DAT€ 4N1/12
NEI^J HANOVER COUNTY BUILDING PERMIT
aPPLrcarroN rvP€ i col.lMERCIAL
o!aA(: nn<iEr r,i r QU!a r1t'rs ,1peL:i,1Brf I0 YcuF lRClrar
"Proje.t Responslbility"
lr food or boversgds p.qpared or sprver, in lits aructrre? f] ve" fi ruo ls Tig Property Loe€ted ln The Floodplain?f -,1Ves [ruc
SQ FT PER FLR:
-
hi,.tbr-
,ECEIVED SEP O8 N6
APP LICANT's NAME: Paui r',/aLker
DEVELOPER:
Lott-Lto fEz ts.)n,
APPLICATION
Number
(office Use)
i,*
ifl,r 4Y
DATE: 9/3/1,5
PHONE f:
PROJECT AOORESS:\o ttl 0 CITY:/r1\ N 01..,ztPi-,
OCCUPANT/BUSII{ESS iIAME: Home feoot USA inc
PROPERTY OWNER'S NAME:Home DeDot USA Tnc PHONE #
CONTRACTOR: tJalker Prorr.,r-ty services, LLC
ADDRESS: ?174 cenrral Indust,rial Dr
EIIIAIL ADDRESS: nrisgsewpssc . cgr
CITY: Riviera Boach
PRO]ECT COT{TACT PERSON:Michelle Riqqs
PHONE f:5Et-848 0036
PHONE #:561-848 0oi6
(Check All rhat Apply)
EXIST CONSTRUCTION:
lf Relocation. is there a Na
ALTERATToN [-l neruovlrroru
cas Line on the Current Site? f_l
GENERAL REPAIRS
tural Yes No lS BLDG SPRIN
NEr.l CoNSTRUCTTON, ! rAeCr NEW 5TRUCTURE ! rnsr rnaCX ! Srer-r-
ACCESSORY STRUCTURE:
UP FIT
RELOCATION
rrrRsou !ves [ruo
! aoo ro Exrsr srRUcruRE
If UPFIT - The Shell Permit #:
IF Yes, what was the Previous Occupancy Typel
**'I*'* rs rHrs a CHANGE oF occupAlcy ustr [ves I
what is the New occupancy Type?
ENGR DESIGN PROFESSIONAL PH NC REG #
DESCRIPTION OF I,'IORK: ResLroom Refresh
ls food or bev€rages prspared or served in lhis struaure? [ves !No ls The Property Located ln Th€ Ftood4ainZ f]ves ! ruo
DISCLAIMER: I h€reby cernly lhal all information an this applicalion is correrl and allwork will comdy with the
and local laws and ordrnances and reoulatons. The NHC Develoomenl Serv,ces Cenler wtll be nolfied ot anv
or chanoe in contractor or conrador iilformatron "'NOTE Any Work performed w/O the AppIopriate Permtls
Subjedlo Frnes Up To 5500 00"'
charlpes n lhi) aplroved Dlans and willbe in Violarron ot the NC State
specifi
Bldg C
SEte Suilding Code and allother appticabte Slale
ode and
SQ FT
cofilain Asb€slos or ncl. You are requlred lo calllhe Natonal Emissloo S'tandards fo. Haardous Ar Pdlulants (NESHAP) ar (919)707-5950 st least 1O d6ys Ftor to tte
dernolilion ol any hdlhy or buildlng. S€€ Asbestos Web Slte: rrllpr^^\rw.epr stzte. nc. usrep/asbenos/ahm p. hl 'r i
TOTAL PROJECT COST: 8o.ooo
SIGNATURE:?*,t ilal*A
BUILDING HEIGHT
SO FT PER FLR:
fl CoMMUNTTY SYSTEM fIWELL flzONrNG USE CLASS|F|CAIoN
[]CENTRAL SEPTIC LIPRIVATE SEPTIC E COMMUNITY SYSIEM
# OF UNITS
TOTAL AREA SQ FT: 550
TOTAL SQ Fr UNDER ROOF: _ #OF STRUCTURES:
ACRES DISTURBED EXSr LAND DISTURetNc crnrtltrr I vrs f]NO
NEW IMPERVIOUS AREA:__ SQ FT EXISTING IMPERVIoUS AREA:
PRoPERTY USE: EOFFTCE DReSrnUnAl[MERcANTTLE Ieouc Ieer [cotoo olren:
WATER: ICFPUA
SEWER: E CFPUA
PAYMEiTT METHOD: ECASX t cHEcK (eAvABLE To uncl [auenrcel EXeRESS I ucrurse n orscoven
(FOR OFFICE USE ONL\/)
ZONE:_OFFICER:SETBACKS: F:-LH:- RH: B:
Approrral:_ City:_ DATE: FLOOD:__ _ BFE+2ft--_
AVN
Comment PERMIT FEE: $_
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE r COmmERCIAL
PLEASE ANsl^rER ALL QUESTIoNS APPTICABLE T0 YOUR PRoIECT
"Project Responsibility''
O}.INER'S ADDRESS: po Box 105465 CITY: AtlanEa 5T: GA ZIP:30348
LICENSE f: ?5661
ST: FL ZIP: 33404
tr
Is Elect Power on this Building D Yes n NO
ARCH DESIGN PRoFESSIoiIAL: Sodano Architecture PH: 631 871-4160 NC RE6 #: 13154
OWNEFYCONTRACTOR: I'aur wa:xer
# OF STORIES: 1
# OF FLOORS:_
REVISED DAIE 4/I 1/T2
Sj Sr:
NEW HANOVER COUNTY BUTLDING PERI'IIT
aPPLIcATIott ryPEr COI'llttER€IAL
PtEISE AiSr{E8 ltt QUESnO$ APPIICABLE T0',tl]lrR pRolEcI
'Prcjest Responsibllit!/'
qs,F-_ CITY, !'llrnholon
tHisl rl tatrFldd ffi.lLC
Oot*L Illattl
$.aa6 I /.,: .,--. .:.
'-,i' | ...
,,- &,',
'r'ffi APPLICATION
Nlnber
(Oftk. Ur€)
D,AIE2 3t27r2014 APPLTCAII' s t',lrie: .
jl9 3$. --DEVGLoPER: No,h\/€w PertErB LLC_ - ,|UU 3
enO::Cf AnOnrSS: fai-rl*Oriro.OAO-0".* 60
.. _ _ pr(},rE *: 1it2n.1132.
ZIP't 2l,112
Exrsr cotsrRrrcrroil: ar ALrERArrofl = rrrJilil$ * ?'ii'.r* *rro.o i i R:locrrrol
It Relocarloo, h rhere a NoturatGas Line onthe Cr,rrenr She? ll1v.i- i-=lro ts alOC SpntlfleneOt f" v"= 7,ruo
-,tl$l CONSTRUCTIo : V ERECT NEI{ STRUCWRE _ FAST TRACI( _ SHELL -- UPFIT _ ADD TO EXTST STRUCTURE
ACCEssoRY STRUCIUIE:
occtrPANT/BlrSINESs UU1E I
EIIGR OESIGN PfiOFESSIOO{AI.I
DESCRIpTIOa{ OF I{ORX: t&w Multfs,rily Coost udion
food or boyerag€s prep€r€d fi Eenld h ll s shrturs? i Yes
TOTAL PROJECI COSI. 13,875,000 tg11gg116 1191qp7. 13'.5'
9r9896.560t
oItlER's ADDREsS: 6131 Fsls ofN.Ne Road &[e 200 CITY:M zlp r 27609
COffRACmR : lEduign CooEEldbn _ -LICEI|SE #; ,68523 -__ _ ACCOT [T t:
ADoREss:q!!t{!gl!.0_gg$a!9y&.Oq_,- ___crw:!{4h sr:Nc zrP:27609
EIArL A0oRESS: -IEqrE0gt![e@Osrs,OI!__ ___ _-_*_ _ _,-.
PROIECT CSITICT pERSiON: Michad P€eE
If ITPFIT - The SheII Permit #:Is Elact Pouer on thls ButLdint i'"'Y€s i'tlO
.r.ri tS ttts A CTUINGE of OCO,plNCy gser J* ws 96" .-..-
fF Ycs, {hat ras thc Previ.ous Occupancy Typc? . t.lh.t l. th. [3H O(cupaficy Typel
ARtH DESIG,I PioFESSIW|I r MatUEr G. Mrlors PH: i04.927.9900 Nc REG #: 8196
PH'UE SI
5T:
OilE r:9i9.898.5€€6
tflot{E *: 9'19.27?.1112
-".,.- _,, Ptl; ___ -.__.,- C REG r
ol dly
Uat( R Barkot
(orfi1
ndlcadon t ldda ,siod lqrlfr rrr&.tda it b tr rHtrd uril,ie ,t. ?didi'| ftfln (ofiH8.lnq wHir dlr lbdttv o. boldhg wi, h.rd i.
or .Et Yqr cr rlqditd lo ..ll tu ltdr|.l Elltd(rr g.n{rd! hr fieldo'r A. Pdturd. (t{EgHrD a (8lt)70768@ { ti.t 10 6ys Pltd u, fi.
h.ffV or hJIdLt. 8.. ArEarba W$ qE: ht&dl}ffr,ldtbE n6rrt0{b!bb./CrnBtt,1l
No ls The PDpeny Locd.d h Th. Flooddllfl?VYes' .No
6rl orher .ppliceblo Slcto
ohtts andso.g,lcabnB
NC Sl8lc Bldg Cod. snd
f OF UNITS: I
, OF STORIES: I
fOF FLOORS: !
a(sT I-AND DISTURB|NO fenNrn .; veS i Iuo _ sa FT ocslNc tMpERvtous me* o SO FT
-rEouc lnpr . coNDo orHER:
..ZONING USE CLqSSFICATION: MX
SYSTEM
BEVISED DA]E
ACRES DISTURBED: l.o zr Tas
NEW IMPERUOUS AREA;29s.174
SQ FT PER FtR 1,.IqS
f OF STRUCIURES: I
\. PROPERTY USE OFFICE RESTAURANT MERCANTTLE
wartn y'-crrua mMmuNrry sysrEr, - wELL
SEnTER: !/, cFpuA CENIRAL sEpTlc - pnivnre sf mC
-' SEPARA1 E FESMITS HEC]UIREO FOR EI-ECT IIECH, PTBG, AAS EAUP
pAYr,rENT METHCD: I-icSX #r*O<(PAYABT.E r0 NHC) i-_iBru rccouNT r
aft;1;i
zoNE: l\F .oFFrcER: /,.*L__,]:"Sffitr*E? .r,-d* nH: l<e:rr Approrrat: ciry:-,)rrea DATE:_L2f rt[rJl FLOoD: - -..- .. __.y gee'iZc
co,nmenr !etwls__?a 1tu ffi_sa> s,s( ?,L.. u
-''J."*,rr..,,plnsa< Zewtt.> G, ao-srvun,*l' qt-f$
PROPERTY O T{ER'S IIATE:
--_. _ , SIGNATURE:_
TOTAL ARSA Se Fr : 1.41 9
TOrAL so FT t NDEn nooe.Laoe _
'/..
.&
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIaN IYPE: COMIT1ERCIAL
PLEASE ANSuJER ALL QUESTIONS APPLICABLE TO YOUR PRoIECT
"Project Responsibility"
/orf- fl J1--
L5-237 3
APPLICANT'S NAi4E: Phrlilps Manaqe41en! Gplp
PHONE #:
DATE: 819 I5
DEVELOPER:
PROIECT ADDRESS: 46t4 Fi.tImore Drlve (unrts A-D)
CONTRACTOR: PhiIIips t4anasement croup
CITY: i,i:Inrno-on
OCCUPANT/BUSINESS NAI'IE: .'li :,-i:. ;r)::r.:rii,t:i
PROPERTY OWNER'S NAI{E: fre cle:: G, LLt PIIONE #:
OUINER'S ADDRESS: I4C,l Batrlesround A.re Ste 201 CITY: Greer,sbcr:c _\
,q :s
d :J
\b
3
9
RESS: 1400 Battleqround Ave Ste 201 CITY: ::ee:,,.br: r
fiAIL ADDRESS: . neh.rme 1mp 8lv i nd.r t ream. nei PHONE #: 3i6-:11-:tBl
PROIECT CONTACT PERSON: I{. , ,, -, i. ..r :: --, e :PHONE #: lli,-r- lt-ir'r :.1
(Check All That Apply)
EXIST CONSTRUCTION:ALTE RATION RENOVATION GENERAL REPAIRS RE LOCATION
lf Relocation, is there a Natural Gas Line on the Current Site?il Yes INo IS BLDG SPRINKLERED?[v". flro
NEh' CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHEL L UP FIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
ST: J!_ zIP: :fllq
)
'.)d ,1 g
If UPFIT - The 5he11 Permit #:
e? Apa rtment s
ARCH DESIGN PROFESSIOiIAL: K{)t Ho,rLeller Architects PLLC
Is Elect Pobrer on this Building Ives Eto
l.lhat is the New Occupancy Type
'}**i.r* IS THIS A CHANGE OF OCCUPANCY USE? EYES I NO ***rr
IF Yes, what was the Previous Occupancy Typ ? epa rtment s
ls food or beverages prepared or served in this struaure? [ves fi lo ls The Property Locsted ln The Floodplainz I ves !No
DISCLAIMER: I hereby cerlify that all information in thrs application is correct and all work will comply with ihe State Building Code and all olher applicable Stale
and local laws and ord,nances and reoulations The NHC Develoomenr Services Center will be norified of anv chanoes in the aooroved Dlans and soecrficarons
or chanqe r4 conlraclor or conlraclor riformatron. "'NOTE: Any Work Performed WO the Appropnate Permris wll 6e in Vrolal6n of lheNC Slale Bldg Code and
Subiectlo Fines Up To $500.00"'
OWNER/CONTRACTOR:phitrips Manaqement Group SIGNATURE:
PH
PH
974-612-77L9
910-343-8007
NC REG #: 52 510
NC REG #: 19 415 ENGR DESIGN PROFESSIOTIAL: uood:r Ensineerins
DESCRIPTION OF I",ORK: Rebuild 4 unirs rhar were roral losr due ro fire
FT '. : a'| )
a
E (O€[n€O (Print l{amo)
contaln Asbestos or not. You are rcqulred to calltho Nadonal EmEslon Standads fof Hazardous Air PollubnE (NESHAP) at (919)707-5S50 at le&st 10 days p.ior to d€
dernolitjon of any facility or building. S€€ Asb€stos Wob Site: htts:/ Mrw.epi.st8te.nc.us/efi/asb€sto€/ahmp.hunl
TOTAL PROJECT COST: 3t..]., O.C BUILDING HEIGHT: 26 FT #OF UNITS: 4
TOTAL AREA SO # OF STORIES: :
TOTAL SQ FT UNDER ROOF: -:. , .r # OF STRUCTURES: i #OF FLOORS: l
ACRES DISTURBED: : .EXST LAND DISTURBING PERMIT? -IYES EJ NO
NEW IMPERVIOUS AREA: r. .l SO FT EXISTING IMPERVIOUS AREA:
PROPERry USE: lOrrrCe ! neSreUnerur MERCANTILE EDUC APT CONDO OTHER:
SQ FT
WATER:
SEWER:
fICoMMUNTTYSYSTEM fIWELL ff CENTRAL SEPTIC LI PRIVATE SEPTIC
flzoNrNG usE CLASSTFTCATTON
EcoMMUNTTY SYSTEM
ECFPUA
ECFPUA
*.SEPARATE PER[.4ITS REQUIRED FOR ELECT, MECH. PLBG. GAS EOUIP. PREFABS & INSERTS "'
(FOR OFFTCE USE ONLY)REVISED DATE 4N1112
ZONE:_OFFICER:SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD: ___ BFE+2ft=_
AVN
Comment PERMIT FEE: $\B/B tCc,Ci r ciPu*
I
APPLICATION
Number
(office use)
)+s ZIP: :81,13
ST: r.. ZIP: . , i
LICENSE #: : :...
SQ FT PER FLR: . - .
pAyMENr METHoD: ncASH [cnecx lenvmlE ro NHc) flnrvrenrcaru EXPRESS fl lacnrrse f] orscoven
ffi
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibj.Iity"
?orr-t lsb
L5-237 4
APPLICATION
Number
(office use)
APPLICANT'S NAlilE: Pi,lllrps Manasemen. sro.rrl
PHONE *:
DATE: 8-19-rs
ZTPi:]AN3
DEVELOPER:
PROIECT ADDRESS: 4614 EiLLmore Drive (unics A-D)CITY: ;,;: -r:r::.q -, cn
OCCUPANT/BUSINESS NAfiE: rhe cten Aparrmenrs
PROPERTY OWNER'S NAME: rhe ct-^:r :, r-:a
otrNER'S ADDRESS: t4a0 Barrteqround Ave Sre 20-l
CONTRACTOR: I,hrL-lrps l4anagement Group
ADDRESS: 14011 RattLeground Ave Ste 201 CITY: Green sl:oro
ElilAIL ADDRESS: c nehome lmpLGw inCsr- ream. net
PROJECT CONTACT PERSON: \el::oIr Ea::-er
(Check All Ihat Apply)
EXIST CONSTRUCTION:ALTERATION RENOVATION 6ENERAL REPAIRS
lf Relocation. is there a Natural Gas Line on the Current Site?Yes ENo
PHONE f: 336-2i A -2 481
ST: Nr ZIP: ,rr--r!8
PHONE #: Jl6-2r4-:481
PHONE S: i:ii,--iirL r!,l
d t
RELOCATION
IS BLDG SPRINKLERED?flv"" Ir.ro
..-. NEW CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHELL UPFIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:d
9
.--)
liEF-
If UPFIT - The SheII Permit #:
IF Yes, what lras the Previous Occupancy Type ? Apa rtment s
ARCH DESIGN PROFESSIOi,IAL: Xot- Hostetler Architects PLLC
Is Elect Power on this Building I ves f] ruo
What is the New 0ccupancy Type? Arrirr- ienrs
PHi 9ra-672-7779 NC REG #: 525?t
cootain Asb€s!6 or not. You ere requhed to callthe Nedonal Embslon Standards io{ Hazardous Air Pollutants (NESHAP) at (9'19)707-5950 at leesl 10 dsys prior to th€
d€moliton ot any facility or building. See Asbestos Web Site: ht9/ rtlrv.epi.sbte.nc.us/6prasb€6tovahmp.hunl
Comment
SQ FT
TOTAL SO FT UNDER ROOF: J6,!
ACRES DISTURBED: tlr,:EXST LAND DISTURBING PERMIT? T-] YES T NO
NEW IMPERVIOUS AREA: r.rone SQ FT EXISTING IMPERVIOUS AREA:
PROPERTY USE FFICE RESTAURANT MERCANTILE EDUC APT CONDO OTHER:
WATER: ECFPUA E CoMMUNITY SYSTEM fl WELL flzONlNG USE cLASslFlcATloN:
SEWER: [Z CFPUA f]CENTRAL SEPTIC LIPRIVATE SEPTIC flcoMMuNlw SYSTEM
'" SEPARATE PERMITS REOUIRED FOR ELECT. I\,4ECH, PLAG. GAS EOUIP. PREFABS & INSERTS "'
PAYMENT METHOD:EcASH flcuecx 1e*neLE ro NHc) fieuenrcau ExpREss T MCn/rsA n DrscovER
REVISED DATE 4/11/12
ZONE:_OFFICER:SETBACKS: F:- LH:- RH:- B:
Approval:_ City:_ DATE:_ FLOOD: __ _ BFE+2ft=
\3 / 8, c:Lt LF / cePL.t +
CITY: S:SSl:!gsg_ ST: J!_ ZIP: 2r4c8
LICENSE #: 2et2
*r!i**'', rS THrS A CHAr{GE OF OCCUpANcy usrt [VeS flrc *****
ENGR DESIGN PROFESSIOTIAL : -doodi.r Enq i r,eer i r,.1 PH: l_1!:fll:!tltlf_NC REG #: 19115 s -\---
\\l ls food or beverages prepared or served in this structure? Eves [} No ls The Proprty Located ln The Floodplainf I ves [l no
DESCRIPTION OF WORK:RebUi 1.1 4 Ilrits th.r were ioi:l lost to f i-re
is correcl and all work wl
(a@ltnd)
TOTAL PROJECT COST: 3",:': BUILDING HEIGHT: :6 ET
TOTAL AREA SO FT .. :JJ:)- SQFTPERFLR: I,8]5
# OF UNITS:
# OF STORIES: l
#OFSTRUCTURES: i # OF FLOORS: 2
(FOR OFFTCE USE ONLY)
N r ;- I
PERMITFEE:$ Lr I I --
------f------.---t----_
zoti-q/f3
APPLICANT'S NArilE: Adams SoutheasLern Construction, LLC
DEVELOPER:
PROIECT ADDRESS: :L) station Foad. UNIr C
L5-26L2
t APPLICATION
Number
(office Use )
DATE: 9/ 14 '/ 1s
CITY: ','irlmlnston
PHONE #: 91a 443 8753
ZIPi2s4i:)5
OCCUPANT/BUSINESS NAI1E : T=L
PROPERTY O{NER'S t{AIllE: undisclosure requested PHONE *:
OWNERJ S ADDRESS:CITY:ST: _ ZIP:_
CoNTRACTOR: Adams southeastern Construction, LI-C LICE SE f: 68856
ADDRESS: 323 l,lhisper Park Dr.ive CITY: !iilminot-on
Eli'lAI L ADDRESS : t aLlams B a.lams :i ec . .,orrl PHONE *: 910 441 8r5l
PROJECT CONTACT PERSON: , ,.,,:PHONE #:9tr 443 8153
(Check All That Apply)
EXIST CONSTRUCTION:ALTERATION RENOVATION GENERAL REPAIRS RELOCATION
lf Relocation, is there a Natural Gas Line on the Current Site?Yes Ero IS BLDG SPRINKLERED?Iv". Ir.'to
NEW CONSTRUCTION: E ERECT NEW STRUCTURE ! TIST TRACK E SHELL
ACCESSORY STRUCTURE:
Elao -ffir.rn rrtrir
,At
UPF
IF Yes, what was the Previous Occupancy Type?
ENGR DESIGN PROFESSIOTIAL: :r t :j De:iqrrr: srd Eendamane
DESCRIPTION 0F WORK: i,L, :rne,i,i -fit usin
***** Is THrs A cHAl'lGE oF occupANcy UsE? EyEs fiio *****
Is Elect Power on this Building E Yes E ruo
What is the New Occupancy Type?
ARCH DESIGN PROFESSIOiIAL: Erederlck Collins / Becker Morgan PH:910 341 ?600 NC REG #: 4537
PH:910 470 9687 NC REG #: 12918
non foad bear in metal studs
ls food or beverages prepared or served in this structure? [ ves fl lto ls The Property Located ln The Floodplsin? E Yes I No
DISCLAIMER: I hereby certify thal all information in
and local laws and ordinances and regulalions. The
or chanoe in conlraclor or ( ontraclor informalion "'
Sublect lo Fines Up To $500 00"'
lhis applicalion is correct and all work will comply with the State Bu
NHC Develoomenl Services Cenler wrll be notilied of anv chanoes
NOTE Any Work Performed w/O lhe Appropriale Pemiis wll b:e in
in the approved plans and siecifications
Violalion oflhe NC State Bldg Code and
ilding Code and all olher applicable State
,+4 -----'OWNER/CONTRACTOR: w. 3. "rr.r.e" .-..rrn:, rrr SIGNATURE:(ou.H€o (ftrn Namo)
cootain Asb€stos oa not You aro rEqulred io call t l€ Nsdooal Emb.slon Standsrd3 for Hazaftrous Ar Pollutanb (NESHAP) al (919)707-5950 at lest 10 days prloa !o tho
denlolitoo of 6ny tacilily or buildlng. S€€ A3b€8bB W€b Silo: htts:/ ,nw{.epistate.nc.us/ed/Gbeotodahmp.htnl
TOTAL PROJECT COST: :J,"i -, , !, , - BUILDING HEIGHT: :.,,-# OF UNITS: r:,'a
# OF STORIES: :, r ';
TOTAL SQ FT UNDER ROOF: , ,# OF STRUCTURES: rr a # OF FLOORS:
ACRES DISTURBED: :,/.,EXST LAND DISTURBING PERMIT? -IYES E NO
NEW IMPERVIOUS AREA: SQ FT EXISTING IMPERVIOUS AREA:
PRoPERTyUSE: [torrrce EResrnunerur lr,lencnnrLe !eouC Enpr E CONDO OTHER:
SQ FT
WATER: ECFPUA
SEWER: r7l CFPUA
ECOMMUNITYSYSTEM EWELL E CENTRAL SEPTIC L] PRIVATE SEPTIC
flzoNrNG usE cLASStFtCAT|ON:
flcoMMUNrTY SYSTEM
". SEPARATE PERMITS REOUIRED FOR ELECT. I\,{ECH. PLBG, GAS EOUIP. PREFABS & NSERTS *'
PAYMENT METHoD; ECASH flcHecx lenveelE To NHc) fleruenrceru EXPRESS fl r'rrcn4se I olscoven
(FOR OFFTCE USE ONLY)
C;, CZ B
REVISED DATE 4/I1l12 ZONE: OFFICER SETBACKS: F:- LH:- RH:- B:Approval:_ City:_ DATE:_ FLOOD: __ _ BFE+2ft=
AVN
Comment PERMIT FEE:
NEW HANOVER COUNTY BUILDING PERMIT
aPPLICaTION rvPE: COIJIMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
5T: NC ZfP: 28{11
-f /_
TOTAL AREA SO FT::-jj_ SQFTPERFLR: nre
If UPFIT - The Shel1 Permit #:
'l , ri) lN\b
, /F \J, V 9
?o\5 - {t13 -w,15-z*+
,',qy11tt 41PZ '< t.c4 Un;d/'fut,--
COUNTY BUXIDING PER''IIT 1 HEId HANOVER
AP P t tc Ar ldt rY?'r: Col,tltEiCIAL
pLEAgl lllsr€i ALt QOEsTrols AP?LrclELE T0 Youn nolEct
"Proj.ct Sesromibl}ity"
.:fi.,,.
,
APPLICANf,S }lAIt't r.i:r8 t*r t d:-
A}FL]'AIftd
liurbrr
(oFft.e use)
!
oartt c1/ri / ltt
DEV[LOPER:M|Tln -{,,AtZ\ tL. t: c lff RtlCTtq,4 rm*s r: q rc - lri€. r 77L
PSolECr AD{)REStr +r:1 LANP i.. Dt? ,CfTY: \A/rt rvliNl.. r-cN ZrP't '/A4t"4
O(CUPAruT/$U5TIIE55 MfiE:?e.(xt,4 0acV4 l-u rntun?. (l.O
PROPE|n o#i'lE['s RAl4f I 6nrr '{. o Prf-rzT /;
CITY;/-!F-Ar?Wl\ T E.R STtt_tuv: 11'71;l-
srtylTtlt -aFALa
?$o.tE * a)yzlL 7L
71g{E g7 ttc:- ?Ai ,jJ7Z
oe{}lERts eDtS
COtrTRAcToR; 4'rrll'.11: Go'^L 1n,r''r\2Aclrr|t r LLL LICErfir *r l2L1
C'TY:vvtu.M ${alaN
Essr 1zg I 1:4C r2-\/tL
AOORE95:z,iA f,l
IHirL
^DoRfSs:
C"44 C"\1\E @ ea, \zA , hM
pRoJ[cr colfTAcl pEft soir:
, laepR( L\E-t
;flilff IHIfl :H,*xnTft F-:iH'ltiFffiT^',$.ffi ,H-tht#ffi ',*soo
lJa{ csltgTntrcrroti ftffiro rrcr sTRucruit E rrcr nacx fl suru E uerrr tDD To Etr:tr $ftJ{xutr
*#.ar.:f 7L9 o
rf upFfi - The thell p€mlt l: It Elect PoHer on thlt guildln8 ffives fim
G'.'. t! flrs & cilarcE or oconorv wet frvts p!6 .."-
rt vca, *fiat rEs th€ 9.st/ioot o(cuprncy rypct rftltt 1! tie x{fl tkcuOD(y lyrc?
-_-*
(tcH ctrr6x PfiOFEttlOaJAL :tAxzu-arztNtLl A€Lr.i if *.i Flti la
Effif, r,!5icl,t PROFE5S:r Alr ?uDer{ ZrN4rr LrrN/ E^r/a ,P,i:416--l L 't4rr>
I]ESCRIPTIO OF KOR(:Luecr l'l
t ,ood 6r ber€r.f,gas Feflrd o. B.ry0{, h 0lh !u,rt "Z[V".ffi 6 !h! fttu{try tocsEd fn n naadenffrVes fi'f6-
win thB SlEl C.de
bt
OW},IEFVCONTRACTOH:G"gu?,SIGNATURE:
4o, tr , /t-lo4A/.ti. fi\.EE- ,
e.u 4btlL> 4a, F-i t"Plta.-. "€*w
,
o€-1
llrns: oodd&ih nou. t6ti6rr & rnbeslls tnnftl parmlt ,t9llcaddtt al!id !. rtbfiin d qdBir rrplknhn lofi EltlH$rfirl iLi$,v ar lrrildht s!* l(rld to
t6nl3ln Arts!r..,, d t16l Ya{reri ran d lod, nir Ndto.ll Emhtlnn gti.hrd. ht HdlfdnE Ar Folldrr* (irs
TOTAi" sA F UNDER Rotr-t lUZ-
ACnES DISTURBEo:--
(rorioltEn ot 6l1Y lada} orhrlktrtg-8r. tulanor W€! stte,ilD./t4rr.ed.dcr-i(r6,tri/!.Ot ros/.tnp.l*d
rorAl pRoJEcT cosrt t{ t-41$aq '''BUILDING }€IGHT:t*l
TOTAL AFEA SO fi :Zcc'c so Fr PER FLRI _1gg__
{ OF STRrcTURES: _L-. f Or FLOOFS ,l
EGTIANO DIEIURBING PmMmEYES E No
FOn OFrrc€ U8E oNl}1 ,
r:5-Q:L
SF/SEU tAlt +tfi'
zoNE cFFlc€R N\SEIBACIG;
Appm\,6f.*--
6HAP) r B107Sr.!050 n b.il i0 d4,E Fior to XB
,0F UNrS:
,OFSTORIES: !
PEf,MI'i FEE:
NEw IIJPERI.,II,IJS AEFA: - . SO FT D(LSTIMI IMPERVIOUS AREA
-
SQ FI
pRopERry u,es: fprFEE flnernunnrr fiuencnxnr.e [eouc fleer fhoxoo orxen1rcggg.jl-1:'r' ,
w{rEP:
SEII'ER:
n c,oMMuNny BYSIEM l-IwELL [:?ONE{I t SE Ci/ASS|FEAnO*
frcrurtr srr"rc ! r-nvare serrc fJAMHUiiffYsttTE!CFPUA
-. SEPARATE PEt*Il-rS REOVIRED ron EIECT. LrEcll. PIBO a,^S ECLI1P Pfl-E ABS t lllllErfs "'
?AystEMf METT"TOD: ncAsH Elct Eo( (PAYTAE TO NH6) [AueRrm oenrss nMCi/lSA ffiOrSCOUrn
itsi.ldai}6
,Ir0D
FLooD: _*_-
s Commer{
chr.-!rE-
Citl lnWeclion Requreo, 91 0-254-mffl
fiic,lta * t 7 Z"l' 4' A 4 " q( c 4
^{CESSofY
SrRtlCYURfi
NC REG 0l
IC Rr6 *:
sr 5a
NEt,l HArcVER COUNTY BUILDING PERIVIIT
APPLICATIU I\"'E j COI}IERCIAL
?rE15E lrsritR aLL QuEsrrolls appt-I(A8r€ ro youi pFoJEo
rProjGst Responsibiutlf
zcr q- r ltol 1
/V- aoa )
ADPLICITIOil
Humber
(off1c. u..)
OAte1. 7!2?t2014 AppLIC itT,s itAliE, Ast&ysdh
OEVELOPER I Nodt\4av P8rfiss LLC
PRO]ECT ADDRESS; 1626 Fairview Odw - O Bry GaBge .._/,
oCCLPAi|I/BUSXIESS Nrr,,lE :
PROPERTY otliEi'S flAIlE ilo#ian 6t Faifiold Psl|( LLC
oliltER'S ADDBESS: 0111 Falb olNeuse Rosd t\rib 200
Coi{TR.ACT0R : NutiVlew
ADoRESS | 612, Fall6 ofNdr!6 Road tuite 200
E AIL A!,DRESS: mo€staollorttviqmather8.c.n
FRoIECT CO|{IACT pCRSOii: MidEel PoslE
PHoNE *: 919277.1i32
CIIY: Rdeish
LICETISE f: 6Ee3
sr:Nc zrP:2ft,09
AC(oU{I *:
. crrYr EgL_ sr:ry zrpi 2766s
PHor{E *:919.896.561€
PiOIE 8:,9ls.2 ltq_.
EXIsT CoNSTRUCTTOfl r rl] nlr:rarror I REI{OVATIOI'/x GENERAL REPAITS RELOCATTON I
lf Relocatlor\ is thgre a Natural Gas Line on th€ CurI.m Site?r Ys6 No IS 8L0C SPRINKLERED?[- ves /;No
NElrl CoNSTftUCTIO,I I
J
i$ eaecr NEH srRUcruRE FAsr rRAc( ] sr:r-r. f uerrr , I ADD To Exrsr STRTJTTURE
ACCESSORY STRUCN'RE:
If UPFIT - The 5he11 Perftlt *Is Elect Pouer on this Euilding J] y€s i]j ro
r,rrr* ts mrs a cHrrrcE of ocorpAxcy use I f v:s fi4t ',*'IF Yesr ,hat llr the PrEvloos occup.ncy Type? . ._.'__*-_ {hat ls th. Iey Occupancy Typ€?
ARcl{ oESI6t{ PnOFESSlo lr' Mafl€B G.
E'iGR DESI6{ Pf,OFESSIOMI.:
OWNERTONTRACTOR; Ma* R Earler SIGNATURE:
Ol,ffd,
TOfAL PROJECT COST: 13,875.0C0 -_ BU|LDING #OF UNITS: I
T.TAL AltEll So FT :1,109
DESCRIPTIO OF i,ORK t&r4 Mult'lamiy Cor6ln clion
ls tood o. hevsragee prap€rad or sdvld h t 6 stuetrc? f-j yas No b Th€ Proporty Locsird tn The Ffo4Utnf ffves fi ruo
DISCI CIMEP: I lt€EbJ 6nily t'Et BX tn om€|iq! tn t* Bpprl.lidt js crnc.l el|d aI worl( rdtcomdy wih the €tc{. guildim Coo. &d st ottEr aDotbabt. S:tsE
;;'51:t3ffiB1i.g8EffiiErn,,ffiEJ'rrl5%:irJ"fitf,EffiEfti6"H*"J$i.,"i,*ttfiH"iluS",'tsffiHfl"J$*ffitr:T"i SubJad-lo Fhos Up To 55m.00"'
No|. Ehmor{({l mtfaadqE ! a!o!B rEioi/ll p.{il( lrpLtto.E i! b !a robrllad uie tp eplklrtdi lbn pflfl8,lt7c8) f,tclh.r h| h.{lv oa h&ma vra! (bu1d b co tln Lb..o. oriot You.orrqllted5 cdl trr ifton l Elra.h st nd..d3 t HE dotat nonnrr oeeifpla Ofri z.ooa.tf-tio aro "il,ou"& oli{o. o,tnyhdfiVorhrlldtl!| sc eDcb. t l.b 8it : ftefi m..pird..icr*rthtb€b.hhrpJth
TOTAL SO FT UNDER ROOF: 1,100
ACRES DISruRBED. 10,75 acc6
SA FT PER FLR IlE*
# OF STRUCTURES; 1
LH
o$r LANo DEruRBrrc renranr gltves lll r,ro
e<tsttro rupEnvous aaE* o NEW TMPERVTOUS AnE!,: 296,'74 SO FT
pRoPERry usE: i-loFHCE IneSUUnmr [e,rrncnrnle f eouc
SQ FT
L:zoN[{cl usE
.. SEPARA'}E PER'JT'S EEOUIREO FON ELECT, i'Ecfl PLSO, GAS
f, coMMUNnY SYSTET{
EOUIP. PREFABS A INSE'IIS '"
PAYMENT METHOD: flCISX ffuecx (pAyAEtE ro t.lHc)tt BLL Accoumr f rcrusr i*10
were* 6/creue i coMMuNrry s\6.rEtur := wELL
SEWER: hZCFPUA ; CET,IIRAL SEPNC ]] PRIVATE SEPTIC
,o*r,*.[ty*.
Approval:__-.
comment J 3rA
OTHER:
PERMIT
MX
(br**Q.: t:r,-.t o/-#E
D TE 4tr 1rl'
CIry: ]/l/limiQbn ^. . ZIpt.384!A_
pggyg g. 918.898.5668__. _
Pfl:704.97.9S0 frc nEG $t 8lS
# 0F STORIES: 1
ror ruoOnS: l-l-
FLOOD: __ .
CFI
r i
usg
PRoIECT ADDRESST JgP F*{gr-privrjlGlh*E.o.0trgu
OCCUPA T/BUSINESS MI'IE:
.z_Or.L rle-l!
,.1";aa?
NEI,{ HANOVER COI,TIITY BUILDING PERIiIIT
APPLIGATIU| TYPE; COfrIIERCIAL
pLEAS€ AXSIJEI ALL QUESTIOIIS APPLICABTE T0 \Ot R Pno)ECT
*Project Besponstbl]'lhf '
APPLICATION
llu[lter
(offlce ute)
AppLfCAI{T,S 114r1g, lshhl Smltt .__.. pglg; - 3271?014
PK)NE tr: 919.27,1132 DEVELOPER:ilortryrsw Pdfie6 LLC
CIIY: lfld4glol zl? i 2{/.12
PROPERTY OLIIEB'S M E Meddian at FaifieH Fa& LLC PH0NE *. 9r9.896566E
OUI'IER'S ADDRESS: 6131 Fa& ol Ns$e Road Sdte 20t CITY: RiEiqh STrNc zrP: 27609
coNTRAcroR : _!!!hViqc_AGE&!__ACCOU|T f:
. sr:& zrPt !!3@.
PlOtlE *r els-8s5.566E
OWNER/CONTRACTOR:Mark R Barl(er SIGNATURE;
TOTAL PBOJECT @ST: 1 3,875,000 BUILDING HEIGHT: -1 #oF UN[S: -1- . -
*OFSTORIES:1 TOTAL AREA SQ FT :665 __ so FT PER FLR; 685
#OF STRUCTURES: 1 # OF FLOORS:
EXST TAND DISTURBINO PENMlT?
SQ FT P($NNG IMPERVIOUS AREA O
sl YES i iNO.''t
PROPERW USE: -':OFFTCE l. ,neSTrUnrHr '' MEHCANTLE _: EDrrC i- lcoNDo oTnER:
, LICEiISE t: !,8523
617y1 Raleigh
Exrsr coxsrRucrror.r: I : lrrrurron ,. .*lfril&"i?iiko, REparRs .RELocATrot{ .q,
l, Relocatlon, is rhsr3 a Natural Gas LinR on lhe current Site? fves iHo ls BLDG SPRINKLERED? 1- Yes {fNo
-.t I{EI.I CONSTRUCTION: IV ERECT I'IEI'I STrucTURE , . . FAsT TRAC( ,' SHELL -.J UPFIT .. ADD TO EXIST sT?UCTURE
ADDRESS: 8121 Falls ofN€rrso Rmd Sdb 200
EIAIL AIDRESST mp€d€Onodr/swoatuers.codr
PRoIECT COiITA(T PERSC : UidEelPe€le PIENE #:919"?rr.1t12
ACCESSORY STRUCTURE:
If UPFIT - Ihe Shelt Permit f: -. Is E1ect Pouer on this Buildlng i- Yes
,.*** ts THrs A CrlAi{GE Op OCATPANCY USE} 1-- YEs S74p .."'-
tF Yr5, r,fiat var the Prevlous Occupancy Typel
-
tft.t 15 the ew occupancy lypet - --
NO
DEScRIpTfoN 9p 1,g661. NewMullifamillgrylruc]io]1
ls food or bevaraga€ Fcpa€d or ssvEd ln thb stucture? !-. Ycs dro * * ,.*, Locdld ln the Floodplainz Vves l 'r No
DISCN-AIMER: I h66bv C€nifo ${ dt ldloBlaton h $t5 sppllcation h conBct 6nd allwart *ill comdy wltrr lhe slala Eulclru code.nd s[ ofter applioslc stt6
m-miflffiHrmiffi,ildJfl,i*$;,r$BEP,:r,mnL*l*r9,iB."illix$",.sffi%gtrttrlT""',JvffitffiflBt'llfEffiE$o
Subl..rlo Fraca Up To t500.00"
(or.LJ? (Pt't l{irr)
Itorr Dcmo&oir ndtclionr ! .rb6tg. r.nrdtl Flnfi .!c.dcdor!r !r. E be ru6r{t!d lr!tr tE qdlco{oo fun (D||HS{7GE} el€tErtc bdllv or hldll' it. hnd to
co.h^rt€b6ornotYou.rDttqt]tredroc{tlh€lLdddEmLdor$.rdn*lDrHlzlr&niltPolln{$c(ErP,!!(919r:rd,$5oatl6dlollFprlorbiia
d6noHbn oluykcflly or hlldkg. S.€ A6telo. t vlb Sra: l${,i,'\ rir.aPkb;rErB,bpUla!.31o5&hmp.htrl
ToTAL s! FT UNOEn ROOF: 691 . .....
ACRES DTSTURAED. l0.75acr$
NEW IMPERVIOUS AREtu 296'174
WATER
SEWER:
s/crpve - coMMUMTY 6YSrH, -wELL dcr.eue .- ceumnr serrc - iirivnre semc
SQ FT
MX
COMM
.'SEPAMTE PEF IlE BE6I'IREO FOR ELECT, I.IECH, PLBG. GAS EOUP. PREI-,ABS ! INSER]S --
PAYMENT METHoD: 1;c*sn $]6xecx (PAYAB|ETO l*tc) lnBrLI ACCOUi|T I-*rr.,rCWlSl [_.
A^ " (FO8 OFFTC€ USE ONLn. BEvtsED DATE.{rvr2
zoNE: jl$ oFFrcER;._ -afl _ .., SETBACKS:F:.*. m,# RX:-dF_-B:)&-.
commenr jg:ls *..tu ?o,z-:ra-Apl+e /*e bal ' ').*urrrr,,
R tu r2ade*> €ot lcusaa,ti:,i Ol -b lf>fl,r '
ARd{ DIESTGN pRoFEsSrOrAL: elE]LqEls." -..- . "-. eu: !4.9-2.!.p0-0--*, -.,-. rlc REG *; 81!6 ,--
Eiffi DEsTGN pRoFESSIOta[! ,-- ..._- PH. fl( REG #:
\
Si 58
NEhI HANOVER COUNTY BUILDING PERI{]T
APPLICATIo,.I ryPE; COI{fl ERCIAL
Pr.ErsC IrISHER A!. QUESIIONS
^pptICASLE
I0 YOUR pRolECT
"ProJect Responsf blf itys
z-or* ttco13
t.{-?ios
APPLICArION
iluEber
(dfftce u5!)
Dnrr; - 34!l0l+ .-
PtlotlE *: 919.277.1132
ZIP | 2E412
APPLTCA TIS llA E: Alhtoysmltr
DEvELopER: . t{orlhvirw pafior5 tlc L/ UA I .
rnorecr aoonTss t l@@@liilGeser.dj6 efl_" G '' crri:-wn iner
ocorPAxT/Bus$tEss ilA"rE :
€xrsr co6TRucrr6r: i-j ArrEnATrori *r*irTiifri 'i::?H'r*. nrparrs i I RELocArroN
tl Robcarion, js tfcre a Nrfi;r G€s Ltne oo rhe Eurrern sitel I ves i'- Ho rs atoo spRlNklEnrm I- yes 7no ,
rEr{ cor{srRuctlor: i{ rnrcr t'lEul slnucTtnE . FASI IRACT(
'_-
SHELL - Urrrr I ArD T0 Exrsr srRUcruRE
AccEsSotrY STRUC'URE I
pROpERTy O,1{ER,S NAqE: M€ ii8ri at Fa[Fieid pad(, LtC PHOIE f,919.896.5668
oIJNER' S ADORESS : 61 31 Falb ol Neusq Road Suie 200 CIIY: Rrl{$.
LIC€i1SE f: 8054 COflTRACToR: Norh\4a, ColshlqQn ACCotrT S:
ADDRESS : 6'121 FaIe d N.t,]so Road Suit! 200 .^.-..- -,. sr:lx zrP'! 276a8
Pflo E #: 9,9'896.5668 EIAIL ADDRESs : mm€li@nq{Iliolrpad,tlrE.rym_
pRorEcr coNrAcT pERso : !ElE!!I!!lL PHo E *: _9U27.1I2
If UPFII - The SheLL Permit t:Is Elect Porrer 0n this Buildlnt i'- Yes f'lNO
.r'.. rs rrrs A o{4r6E oF occopeNcy rsrl i- ves *1fio '--"IF Yes, rh.t ya5 the Prrvlous oc.upancy Typ.l .
ARcll D8sI6t{ P&orEssIoML: U$!g|G.|EIS. _
ENGR DE5I6N PROTESSTONAL:
OESCRIpTION OF lilORK. Nsry Mulff..nily Cmslnrclbn
h lbod o. bev€ragEs pr3Fr€d or s€rv€d ln this srrm,re? i-" y""
{Or.ti!.)
TOTAL pRSJECT COST. t3,875.000 EUILDING HEIGHT: 13'S # OF UNITS; .l
#0FSTORIES;1
trhat is the tl€}l Occupancy Type,
pn: 704.P73900 NC REG s 8196
PH:NC REG I:
D|sCI^IMER: I h.r.ty cerlly hal sn hlo.rnsrim ln tr! sp9Loti, i6 corEl md slr v,r}* wlrlcolngty wlh tN SiaE Eutrdim Codc snd stt oti6r aoDlic6bto SLcrc .nd loc.l la*3 8nd oi{hancia ond r!fir.dotu. Tha Nilc Dawlogmlnr SeNb3s Cefi.r h,lllbc mtifiij olrny lrr6ft.r h iha eooroved otsn6 oDd ai,.df,c€ll,o|ls or ch.no.ln cafuado. ot conrador htomalbn. -"rlOIE: Any Wo Perform.d wlo oa Appropainr. PeflnGwilft in yotrtlir of lmllc srsrE Bldg Cod..nd Sub,.cilo Fims Up To t500.00"'
-t-M No ls trhe PDp€fly Lo.ared ln Tha Fo+lsln?VYes I i Nq
SIGNATURE:
r{oln o.mol|oi mtrb&rlst Bbats Eiofdpmfi.Bli:.ior6 a,'b b.rriDft.d u.l! ur4ip{.!don bitl OHHS€768)yrl!0N.n tutlv d !dl!10 r.+lturd to
.D bh lrb€.bt oi ,lot Ycr !,8,Eq,lnd to a.ll !r tLta{d Enbdcr Staidirds br He!!ou. Ab Potlrn,i! (}lESHlP) r[ (819)7lD.8so !t tort r0 6],s Fior lo tL dnltltn ol .li, (!dfv or bdldliO. $a ltt doa lt'.b Sia: h&rh$lw..d.5bta,trc0r.t.fl,. b!6boiu nplrrnt
ToTALAREA SQ FT : US- __ -. ._-__
TofAL sO FT UNDER ROOF:195 _
SO FT PER FLR: 1,165
# OF STRUCTURES: 1 # OF FLOORS :l
ACRES DTSTURAED- 10.75 a.r6
NEW tMpERVaOUS AREt 296,174
pRopERTy usE --"toFFtcE _.nesrauamr _:MERcnNnLE ._- EDUc
Exsr LAN, DrsruRB,rc eenrrar y'.. ves , -, no
so Fr p(sTtNG tMpERVtOtrs AREA y* .. . . . . __. SQ FT
OTHER:
sT:NC zrp!:1$9
CITY: Rsleigh
OWNER/CONTRACTOR; Ilod(R Bo er -
WATER:
SEWER:
y/,creua -. coMMUNny sysrEM wELL
lacFPUA I lCEr'frRAl" sEFflC , pRlvATE SEpIc
MX
REVISED OITE rn rn 2 zorue:.Ifo
Approrral:, -,
LH: *
:lc,/
commentJs.lBfulzt ld? -t_ttl N3r. .a> 5d i.s{
Y0rraAar Vet*<a> -ar41 (ctr/rn? Ja.r.<-)
PERMIT FEE: $6i-6 qhl;
.St #
NEb'I HANOVER COUNTY BUILDING PERMIT
AwlrcAtrort ry'PEr COllilE RCIAI-
PLEASE AESrcR ALL QUESII(I{S APPLICAELE TO YPUR PRO]CCT
'Project R€sponsibility"
Adiry Smllh
2Dt t- tlto-lS
i'{- aaaB
APPLITAIIOIT
llurte.
(otfrc. us.)
APPLICAI'IT, S llAI.IE:
DEYELOPER! tiorovrs* PrrtErs LLc
PROIECT ADDRESS: 1025 F*vlor DiyL' Plg!!gg,
occlrPAnT/Bt sltiEss NAr4E: _ -_
-_ CITYI Wnminqlm 9bvl
PHO E *:91912.1132
DATE: -.,!!Iegl!--
zlP | 2u12
pROpERTy OtrlER,S 1IAHE I Maiion dFairFrdd Pa,k tlC
CITY: Rrblsh sr:Nc ztP: 27600
ACCqJMT *I
51,NC 21p1 27609-
ot{l,lER'S ADDRESS: 6131Fs&olN.uss Road SdE 200
C0 TRACToR; NqlhMsf Co-!!ryd!O_ -__ -
ADDRESS : 6121 FalJsof Nou3s Road Suile 200
LICENSE *:
CIfy: Ral€igh
68523
PRO]ECT COI'ITACT PERSON: Mi*Bd P€d8
OWNEFICONTRAGTOR:Mafi R 8a.kq
TOTAL PROJECT c!ST. 13,875,m0 BU .-D|NG
TOTAL AREA SO FT :?Q,8..
-.--TOTAL SO FT UNOER P66P;,288-
---
EI4AIL ADDRESS:
ZONE,
ApprolEll
__ PHoI{E *! 919.277.111-2 _
((n ak lll lhlt lppty)
EXrST CONSTRUCTTOIII: i.l llremuol [- j REtlo\rATroN - I qelen+ nrrcns ]] RELocArrSx *,
ll Relocatbn, is ttErB s NaluralGas Lhe on lhe Curenl SI€? ; 'Yes I No ls BLDG SPRINKIERED? | YesW-,No
flEl,l CoNSTRUCTIoNi #ERECT IIEI{ sTRUCTURE . .J FAST TRAC(SHELL - UPFIT _. ADD TO EXIST STRUCTURE
ACCEsSORY STRUCTURE:,,..-
If UPrIT - The shell Permlt f; -, ....-- Is El€ct Poryer on thrs Buildlng -- Yes i'Ho
'..,r. rs rlrs a ct{A!68 oF oc<r,parJcy us:: j-'vrs {i4o "**'tf Yes, drat ms the Previous occuPsncy Typet .",-- .---", hrt ls the l0ew occuP.ncv TyPa?
Ano{ DEsIGI{ PnorEsSIo(A!: !$El/-g!+F..,,-pH: i04.027.s900 pq gg5 x; 8196
EMR DESIGI PROFEsSIOML:PH:
DESCRIPTIO OF WORK;Ilsw itufifarnily co.slruclion
ls tbod or bor4rsg$ Feporea or ec.vea n uf srlrcumf i*- i ves VNo ls Th€ PDperly Located ln Ttte Floodplalnt 9, yes iI ro
tt( REG f: -
Dlsct-AlMEFt: lhatbv cor0ly lhotaE ialbrmalion h tit spprcanon ia cgrect snd dlw(k-wltr oom.E wih he sllte Bt'ildir{ cod' old 6{ outer,oppllcabl' stslo
#il-r,!ilHg#Fs""*[r"F#i.#tt"Io.xB9.',"frler,$ '*aft3"t]xff#oji#'{mr*",$?"1si,ilmH*r#f €ffilT^'.
Si/t*&r1o Fine3 U, To 3500.00''
{Q.!!tr) P'ir ran.l
Nd.:Mno;rEdi;[o.r&..teffilold,.t!$!p9Iit&n.r!bbsimi!.dlnildE.Fffiittm(0Hl*33788)vir.dEr$.b.l&orboldruta6unb
colt n A3!.rb. o. nol yor, .re liqlnd E aa! ha ildorBl ll'lldon ALrdrB lbr Hsllrdoos lr Poluffi (N ESHfq d (91t)707.C50 .r Laat l0 &y! Elol D lrE
d..ndrbn of tnyhdD d bolEne. E . A5b-b lv.bsL: htp,llstY.TbEErE U.r.P*crakhAhml
ACRES DISTU I C.75 acrs3
NEw lMPERVrous A** :1u,111 SO FT
PROPffiT USE:
-1OFFICE - IRESTAURAI'IT .MERCAI'ITILE .*" /^rt
..-._ SIGIIIATURE:
1Z-1',# OF UNrS; 1
#OFSTORIES:1
# OF FLOORS: -!
E(sT LAND DISTUREING PERMTM
EXSNNG IMPER\4OUS ARST O
|V Yts : _-No
SO FT
WATER;
SEWER:
U/-crpue - co[,tMUNrY s\6TEM - wELL
I/CFPUA :
. .
CE].ITRAL SEPTIC PRIVATE SEPTIC
:@NDO OTHER--. ,
CI-TSSIFICATION: MX-.
l COMM
". SEPARAIE TERT'IIS FEAUIREO FOQ €lrcT. IGCII, PLAG. GAS €OUIP. PIEFAAS &
pAyrltENT METHOD: ,'-lcrSn vdAeCX pAyABr.E TO NHC) ]:* ALL ACAOUNT r;
(FOR oFFlce usE oNLYI
l(tl oFFTCER: +4
cM ["uo.-. oArE.
, SETBACKS:
t rfiilrl ruooo,
F:..+ LH: #. RH:+Eer ?E
V eFEi2rF /it-ftr vc Airc+4o S.st ?*r PERMIT FEE: $Comment 4ett*tl1
/aruw r2aatr.:, {'-.tl (at3a2,scr,"S 0t-g shlr'
--- Pt{oirE *' Ixtll-
hMFlrdMrlhvhwd*lnart amh Ptt6lE f; 919.898.tS
sQ FT Pm a.R: 48 .
#OFSTRUCTURES:I -- -
,r'1 ,r;,\
iffi
u\ 56
Appt IcANT,s fiAfi€. Ash]8y Smih
PROIECT AODRESS; 1625 Drlve - M6ilXlosk
occuPAfiT/BT.EINESS [A[tE :
pROpERTy O {ERJS M|,4E: M€diiian Et F0ifietd kd(, LLC
APPLICATION
lluDber
(Offlcr Ur.)
oarct.8?!?.917- ,-
*orur *: e1sjr.f68
|-ICEiISE s: .68-523
61w; &ldgh
- st:NC zrP: 27w
PH0i{E *:919.E96.5668
PIONE sr 819.277.1112
2.D)+ rlof 3
NEt^l HANOVER COUNTY BUILDING PERfiIT r4-:aqj
APPLIarIott TYPE; CO,llilE RCfAL
PIE^sE AI,{S}'ER AI,L QUESIIONS APPLICABLE TO YOUS PflO]EcT
'Project i.rponslbility"
r, , ,^ PH0}E f: 919.?7.1132
YWJ-_- crrv: wrrn*nrc, -
--.._ . ..iii:zutz
ot{tlER'S ADORESS | 6131 Fdr ol NEus€ Rord Suib 2m
COIITRACYOR
ADORESS: 5121 FEIS of Narie R6d Sulo 200
EIiAIL ADORESS I rnllglE@ruftylerypeoq!,A4.- ..
PRO]ECT CDIITACT PEflSOIi 3 Mdtad Peda
AcCoUtlT #:
ExIsT coNsTRUcTIoI: . . ALTERATIO .- '#ili$Ii
.:?.'iL*'
REPAIRS - RELo(^rIoN
lf Relocrrion, is there a Nstur3lGs LIne on rhs O.lncnt She? l*" v"s 1I lo ls BLDG spRtNKLEREol ]' ': ycs V*o
NEH COI.JSTRUCTION:d EREcr rEu srRtcruRE . rlsr rucr --I stEt t ,-- uprrr, _ ADD To Exrsr srRtrcTURE
ACCESSORY STRI'CTURE I
If UPFIT - The Shell Permlt $:Is EI.ct Porsr on thls 8u11ding f'- Yes i* No
r.*t tS Tr{Is A CHrr{6E oF oc6lrpAlt6y rrsEt '-:yES iYrfo *,...
IF Ycs, drat las the Pravlous occuprn.y Type? . tlhat 1s tht [{en oc.up.ncy Type? _ -
ARctr DEsr6t PloFESsroNAL I S$gir G..lq4,l.
EMN DESIGII PSOFESSIOMT:
PH: 70{.927.9900
DESCRIpTIOT{ 66 1,1961. New l{dt'hm yCoroln di,
ls tmd or b€l/sag€6 preparEd or scniert h tlds strud.rE? ll Yes
i
f/No b nte prcp€rg Locatld ln TtE Flooddafrf ii/fes i-- ruo
PH:
DISCtAIMERT I h6r6by csiit tlat EJ irdormslim h lhi6 .lplcElion b con€d End an rort wit co.nCy with lh€ Srato Su,ldinC Cod.6nd lll oh6r B!drcB!16 Slalc
a,ld bcallaw6.od ordh$.rb snd r.q!a.ion.. fhe NHC oevgloprhrm S€M.ra Crrlswll b3 nortli{ ol.,lydlrro.t ln ha.Dp.ovrd 9l.nt 8nd $peq'fi€d6rs
er qlag. b conqocqr q @lfaator i-n1brfirdo[ -'NoTE: ary Wofi Pe'to.rneil wo rte appopd.l. Fr€mft,rlu lia h !,lddlifi or$cl\]c Soi. Bkh Coda rnd
Srbhct to Fhs8 t D To t5m.00'-
OWNEFYCONTRACTOR:Mal R Ba*Br SIGNATURE;
{oufid Pn N.n$
$ole Oornolt n ftdtcatlol! & !r6€sb...mwd pqrhtrrgrcdona ro o bo srtnhsd l5lr! th.6rdHm foor (D?tas{7t8) *rdE 0Elh.IlVq tolHhg n6 foord b
.ortEh^.b.!ba o, fl.r. Yos aro lrqulrad !o call,r! Naio.r.l Arbiol! tl.rdrr! fd Hrrndoua Atr Follu.rlt (NEI}H P) rr (019)mrsgt0.r t Br t0 d.y! Bo. lorrp
driolldon of ally hollv or oulldl€, s6 l6b6ba $r.! 9t : t'r9drr,rr ac,aa.rE.'rsr.ru..b.rt6blrr!.lr!nl
TOTAL PRG,ECT COST: 13,875,000 BU|LDTNG HErGHt. ,1'-11'
IOTAL AREA SQ FT SA FT PER FLR: 37!_
# OF STRTrcTUBES: I TOTAL SQ FT UNDER ROOF:
ACRES OTSTURBED, _10..75
.r9__ _
NEw IMPEFVIoUS AREAI 296.I74
PROPERTY USE:
--OFFICE
RESTAUMNT
-UenCeUnC
. EOUC /epr _-@Noo oTHEF: - ..
WATER:
SEWER:
y'creue -coMMUNrrY sysrEM *- wELL
\/.crpue ;- ceurn*serrrc . pIivArE sEpnc -ZOND..IG
USE CLASS IFICATOIt MX
I@MM
., S8'A&AIE PEPMITS REqJIFED FOq EIECT.rIECf], PI.6G. G,(s EOUIP. PAEFABS
PAYMENT METHOD: T'CNSN N?6HECT< (PAYABLE TO MlC) f Bfl.r AccouNT f -ISCOVER
EXST LAND DISTURBING PERMF? Y.YES i "i NO
SO FT EXISTING IMPERVIOUS ARE'\: O
RHL#-B:.*:
"-). ere*ztc
#OF UNITS: 1 .,, -t OF ST0RIES: _1. ,
#OFFLOORS:1
SA FT
zole: ltt- -oFFtcER: fu 'T$flfiffi'f]r r-r, -r Appmvat_ crtvJ=rr.n-o-nre D[t:lrl rtooo: -_ *,_ _ ..
comnenfuJfrelj ?* :a_.t ip%o> aC i1U"p{b:yz< Za-erra* 6l G*st2 ocTv,j
PERMIT FEE $
or-#3*aP{,{
1r12
OEVELOPER: tlorfiMar Padnrc LLC
-_ cIrY: _B&ig!__ 5r ! NC zrP: .2]6m_ .
96 tr55 p; 8l!6
il( REG *: --, ----
W, rs-l03/sr- %DING PERI{II lr-?2o'l NEW HANOVER COUNTY BUIL
APPLIcArro rv"E: COt$IERCfAL
PLEASE AIIST/ER A[r QUESTTONS APPLICATLE TO YOUR PNO]ECT
-project Responsibtlit!/,
APPIfCANT'S MI'lt:
DEVELOPER:
A
crw:
CITY:
LICE S *:
crw:
PHONE *
PHONE S
PHOIE
':ptoNE *:
APPLICAIIOI{
C'
ZIP I
-3
PRO]ECT ADDRESS:
OCCUPANT/8USIilESS I{Afi E :
PROPERW OhII{ER,5 I{AIIE I
O{ ER's ADDRESS:
COI{TRACTOR:
AODRESS:
E AIL A
'RESs:PiOJECT COiITACT PENSO :
ACCESSORY STRUCIURE:
d'
\)
ST ZIP I
5T
EXIST CO STRUCTIO{:I elremrron fi REI{oVATION REPAIRS I nrlocarrot lf Rslocation, is there a Nalural GEs Lioe on the Curent Site?tr IS BLDG spRnrleReor E yo
(Ch..k All Th.t argly)
I l6EI{ERAL t*-Ao R,NEN COI'ISTRUCTIO{:tr ERECT iIEW STRUCTURE FAST TRAC(SHELT UPFIT ADD IO EXIST SIRUCIURE {,Ca rl..tr tr 0
lYt r
c
If UPFIT - The Shell P€rmit #: Is Elect power on this Building ..... Js rHrs A cHANGE oF o€cupAr{cy usgt l-.'lvrs fd tr6 ..*..
IF Yes, xtat sas th€ Pc€vious occupancy Type? . nr13-i fs ttli-a. Occupancy rype
AR(H oESIG PRoFESSIOIIIAL;
EI{GR DESIGN PNOFESSIOTUIL:
PH:
ff.ves flrc
?
t'lc REG S:
r,rc REG #: TF.--
DESCRIPTION OF IORK:
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
pRopEnry usE: EoFFtcE Enesraunarr kilIERCANTltE tr EDUC tr Pr flouoo orxen:
WATER:
SEWER:
X ,K
CFPUA E COMMUNTTYS\6TEM
cENrMLsEpflc E PRIVATE SEPTIC COMMUNTTY SYSTEII CFPUA tr WEI.I ffzoNING usEq1sstFtcA roN:u -. SEPARA'TE PERMITS REOUIRED FOR ELECT, MECH. PI3G. GAS EAUIP
pAyMENr METHoD: ICaSX flCxecx pavaeE TO NHC) flAMen
, PREFABS t INSEBIS.n
tcAN E(PREss flucrusa Iorscoven
ZONE:_OFFICER:roR omcE USE Oi{LY)
RCVEED DAIE (/I I/t2 SETBACKS: F :_LH:_RH:B:Apprc\ral: City:_
---
BFE+2h
EXST LAND DISTURBING PERMIT?EIr.. Dl.rro SO FT EXISTING IMPERVIOUS AREA:
--_
SQ FT
N Comment
DATE: P1g6p.
PERM]T FEE:VU:
i\]
(q..lfi.4
TOTAL PROJECT COST:
ls food or bevorlgss Frprrod or s€rved in rfrfs ana,nef flv"sfuo
BUILDING HEIGHT:
SQ FT PER FLR:*orsrnucruRffi
# OF UNITS:
gfz tt'7331
2 crr^1l I qq
NEW HANOVER COUNW BUTLDING PERIIIIT
APPLICATION rrpE: COtllilERCIAL
PLEASE ANSI'IER ALL QUESTIOT,JS APPLICAB|-E TO YOUR PROIECT
"Project Responsibllity,,
r/ -'
P}O E *:
APPLICATIOI{
t{umber
(Office U!.)
zrP: .f 8!tl
APPLICAI{T'S IIA'4E:,n (n Sl,"tr. "',nC DATE
DEVELOPER:
PRO]ECT ADDRESS:
OCCUPAI{T/BUSI ESS MfiE: T
PROPERTY OWNER's iATE:
OT,I ER'S ADDRESS:
crw:)'l*tt
ll lr,
Vr,,ll<
s*ruht^I'',c
cIw:
LICETISE T:j3t'
PHO{E *:
PHq{E *:
_ PHOIE *:
Sl y't-<- ZIP'.-) i La t L
ST: ,Li zlp; A\4eC
(A
rqd
COI'ITRACTOR ,K\,n (,rn , f ,r,,
ADORESS:
E AII- ATX'RESS:
PROJECT CONTACf PERSOI{:,
o,t t CITY:
Ht
Exrsr coirsrRucrro :Ef arrERArro, 3 *.,Jifiillli
lf Relocation, is there a Natural Gas Line on lhe Current Site? E
rh.t Apply)
! erlrrnm REparRs E RELocAyroN
Yes l_lNo lS BLDG SPR|NKLEREoT I ves I r,to
NEN coNsrRUCrrOr{: ! enrcr E}, srRUcruRE fl resr rmcx fl snrlr- ! unrrr ffi1po ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit *: .'" lt Is Elect Po!,er on this Buildtng El yes E ruO
? fiws $n0 ...'*
hltat is the l{eu Occupancy Type?
1+'*T JS THIS A CHANGE OF OCCUPA'{CY USE
IF Yes, h'hat ras the PrevLous Occupancy Type?
ARCH DESIGI', PROFESSIo0IAL:
Et{6R DESIGII PROFESSIOTIAL:
A PH:NC REG *:
NC REG #:E--
DESCRIPTION OF I,IORK:((At
hr
1- ,t^.lx
Code and atl
SIGNATURE
appllcalons Ele to b6 subnt(€d uslno tho sppltaa on lorm (oHHS-3768)Mlether $e tecl ty or tulldho sl8s tound to
oo\
ls food or bevorages Fepared or selved in this siructure? FYe. I No b rhe propeny Locabd tn The Ftooapuinz I ves fffro
OWNEFUCONTRACTOR:
(Or.lh..,
Note: Deftolltjon no0licalions & rsbestos rgnovatp€mll
corltaln AsDeslos o( not, You ar6 requlled to call tie NaUoml Emhslon Sand.rd! for Hs2a,rtou! Ar po ut.ms (NESHAP)a (919)707-5950 st te&n 10 days pior to $e damolltion of 6ny
'3dllly
or bulEln0. See Asb€nos Wob Site: httpr&ru,.epj.stsro.nc.la/epv8sb6torohmp.mft I
TOTAL
TOTAL
TOTAL
PROJECTCOST: /- (
AREASaFT 7f4/
so Fr UNDER (OOF: V.Cr'
BUILDING HEIGHT:2{/#OFUNITS: I
SQFT PERFLR: 7, 1-?
#OFSTRUCTURES:' )
ACRES DISTURBE O, -L//A Exsr LAND DtsruRerNc peRulrr l:lvEs fr[No
SQ FT EXISTING TMPERVTOUS AREA: ,. , .1,NEW IMPERVIOUS AREA: .U I4 SO FT
PROPERTY USE: EOFFICE tr RESTAURANT D MERCANTILE tr u APr E6NDo orHER: Kr\,S)15 .
EDUC
WATER:
SEWER:
E E CFPUA
CFPUA
tr E COMMUNITY S\6TEM
CENIRALSEPTrc E PRIVAIE SEPTIC
[f \,vELt-EzoN|NG USE CtAsStFtcATtoN:
COMMUNITY SYSIEM
(FoR oFFlcE usEoNt-y) REvtsED oarE 1/1vt2 ZONE:_OF|ICER:_ SETBACKS: F: LH:_RH: B:Approval:_ Crty:_ DATE:_ FLOOD: __ _ BFE+2ff=_AVil
Comment PERMIT FEE:
,(t-..,.
,.:/ ,i.,,
,
,r
At I / vl-f 16,,4,< 1
t-
PH:.ltLl_!ry'_E_l!._
#OFSTORTES: I
# 0F TLOORS: -l-
"'SEPARATE PERMITS REOUIRED FOR EIECT, MECH, PI..BG. GAS EOUIP, PREFABS E INSERTS'.to*t*ut$;[" flotscovrn
' t-.\'r---'i t trt1
Yd- rs -?33 6
t(fl.
!,.
NEW HANOVER COUNW BUILDING PER'I4IT
^PPLIcaEd,t
rl' rr CO}I!,IERCIAL
PLIASE A{5t{'8 AI"L QUEs]IOIIs APP!I'A8L'
'O
YOUR PRO]ECi
"p.oj€ct Resporslbility-
APPLICA!trI''5 M''1EI
DEVILOPERI ,i,'!i,'
{PPLICATIO'{
t u$b€r
(o6ftc€ u,c)
oar* //z/,tf
PHSHE $:j '., , ttl )r,IITY: j-r zzP,t ,. ,:, al I ,
OCCUPAi\|TIBUSINEsS NATIE I
PROPERry OU8{Ti'5 I{A'IE I
tl r.,
I
li t'
PHO'{E *:
96{ER'S ADDRESS: i
ColiTiAcToR: it,'. ", k i,l't f-.., r:, r,:," !:;..LICEIEE ';
j3,-'r ST: L-{ ZIP: r " -/. ,-
srr rl{ zrp: .l'i.!- a
I'', <,..
A0snESs:
ENAIT ADO
pno:rcr comlct' pERso{: -
DESCRIPTIOI{ OF IORK I
CITY:
PHol'lE * I
PNOI{E [:
&t
Exrsr cotsrRucrr*l:*$rlreurron n #ffiili}
It Relocetioo, is there a Nalural Cas Line on rhe Current Site? f,
tt.r ApJjly)
I cr*rul nerrrns I RELocArroN vcs LJ No tS BLDG Spp,\KLEREot I ves f, lro
NEH COrJSrRUalrOtii f enrCr rEu s"r&ucTURE I rsr rucx f] sxrll f] urrrr s aoo ro ExrsT srf,ucTunE
ACCESSORY 5Tf,UCN'RE;
lf UPFIT - The Shell Permit f: " ,.1
t..r, I5 THrS A
If Yec, lhat ms the Prevloog o<cupancy
ls Elect poxer on this slritding Elyes t ro
cl&trcE oF occupalcy ustr f,ws Eno *-.
Type? .- {iat ts the l{6l o(.rpan(y Type? _-.---
PH:
PH: rc age *: -l---]-
ARCH TE5I6N PROTESSI$,IATI
EI6X oEsIGN Pior€st:a&qtl
A
{ic..,., I il , t i;. ",\
ts lood or bever8ges pteparad or served in this strrrtret $Ves fr f o b Tne propcrl, Locsred tn Ttr Floodfief?fiyes ffNo
Cad? 3nd all otli€t r9tlcire SElo
Eid! Code 61.d
OWNER/CONTRACTOR;
(Oni614
zoNE:jj;Fi .oFFtcER:Aoproval: City:*--L::a_
SIGNATU
DAIE,a/llnz
Commantl PERMI FEE: S
L
pAyMENr ME*1O0: f,CeSn ficxecx (PAYABIE rO NHC]fiaurnraN oeaess