DECEMBER 7 2015 BUILDING APPSc?{1NEbJ HANOVER COUIiITY BUILOING PERMIT
APPLICATT&I TTPE.. CO'i{I.IE RCTA L
PlFASt All:lilafi AII QUESTIOUS APPTICABLE TO
YoUi IROIEC'I
(Project Responsibility"
fr -fi", / ruc
206- lt33'/
\q*31a7
APPLICAIIOiI
I'lialber
(offi(a Use)
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{
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OiIiER'S ADORESSI3t7
I
COITRA'TON
AOOREsS:
,A'LtcEtsiE *t 3ly9/ ACCOltlT r:
c:':iv,
bot.;i---.. sr,
/,.-Eifs?iJ"
Pl{lt{E * I
PlstE *:
5r]. l1:4Z1Pt J8Ya3-
-b/0-8b
?
E'IAIL AMT!55:
pioJtcl co[TAo peRso[:
,'Et
rxrsr coxsrRrrrror:
ffi lrrtmrrot n **ifil#'np;i*r arurns
I R*Locarron
ItRCocdiirt,,s rhere 6 NaturarGas
Lmeonthe cl,rrenr siter Llyes LINo rsBLtG SpRtNhLERFn,
Llv.. Ll;ro
sir corisr&,crroar,,
[ :nrcr
nf{ sTRUcruRE
I rasr rucx
f] srtr-l
f] wrr I loo ro Exrsr smucrusE
ACCTSSORY STIUCruRE:
'**r' rs rtrs A cHAiEt 0F occupArcy usrr
I vrs
,II * "-"'lF Yes,
rtat !,at the prcvlout Occupancy lypoi _* l,,hat is thc l,lerrr Occupancy lyp6? _,
if UPFII
- The Shell Pernlt #:Is Elect Po{er on this Building
{"", il nro
Ptl i
NC RlG *.:
NC REG ':
ARC'{ DE'IGN PiOFESSTOML:
Etfifi !ESI€* pROF€SSIOltAt I
0ESCRIPTIoII Or I.ORX:' l-
PH
I
t/t
L iood lrba/srlB !r$tr6d o. r6i,td in Hi d{(fissl
[V"" I No b thr Prop..ty Loc!{6d
h'Itr Bolddlin?ves
fi uo
all ol,'1c .ppIcabi€ Sral€
Dbns nnd soe.ifr.al6n!
NC Staro B ldo Cd€ and
7a1,l.dt oE^ rEa.r ar\cr.
lrooo qt
or It ntNa uira:ur.
SQ FT PER FLR;TOTAL AREA SO FT :te b f OF STORIES
roTAL SQ rT UNDER ROOF:
_ t OF STRUCTURES: * Or FLOORS:..*..*..."--
ACRES DTSTURBEDi
_ sxsr IAND DtsTuRsrr,tc pe Rmrr l*-l yrs l-'"1 uo
NEW IMPEHVIOUS
AfEA:Fa EXISTING IMPERVIOUS
AREIi SQ
TT
s
6..!tinA6e5k or,lg!Yo!arsn$ri'!dbe.ildl.N .r!l En]h€loll S!nda,{. t!. H.:a.na* A,r Pollutonla OCSHAF) !! 1S19}70?6r€0 st b.$. tO
dry6..i* t }l€
drmorlisn ot.ny kltrly or !oii&€, 6ar
ArkEs ltbb
Ebr -
PROPERfi UgE: nOTHCE nnrsnr.rnmr
werec
iv'firnr T-'lco sn[tirry sys]Eu
sEwER: E/cFpuA fr cer.nnel semc
f]
fieouc f]lrr f]conoo onren
n$€-L [fZONtNc rrsE
clAsstFtcAlroN:
PRIVATE
BEPnC nooiisrltf,ilTY EYsl€M
pAyuENr METlroo
[clsn f]orea<CAyAB[E ro i&tc) [ur.r rccor*n [McMsA [uecormn
* 1,.
i.
I,.;r,,i,
NTRACTO
4n'rn,
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t
?0 t:|1b1
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APPL!CATIOiI
Nurnbel.
(Ofiise Use)
ttEl^i tiAi',leVEF- COUN?Y
BUELDII{G PER[,/iET'
APPLICAT']a IYPS: ti.ESSDEitlTlAL
PI.EASE AIIShIR ALL QUTSTIOHS APPLICAELE TO YOUR PRO]ECT
"FroJect Responslbi!.18/'
-l
APPL:CAN?' 5 NAJtlE :DI:,TE:
//- 2(- I
5
PHONE {.I:
FBOJEsT ADDRESS:
a!iJ. t
SUBD;VISSON I SLoct( ii: -:-- LOT
i,:
,*:3
PRgPEP.il.I 0I'INER' S Nlt'iE
;!)ltoNE
{il
s?r
M et2: 2.k/
l/CIT\T:0Lii\]ERrS ABDRESS:
CON?RiIC?OR:
frDDREss 3
EI4I\31 A9DRE59:
PRO3ES? COI{TACI PERSOi{:
..\CCOui{i i; i
t
s:,'E_|fr,fut
r;: 9rO-
*r.( {rq91
PHONa j.ri: 9rD
-lg -L/ >7o
aPpliEaDlr sEle and locrl lalvs
li.ilioos or change inconrachr0r
EIESTSNG CONSTRUCI:DI{:
I elrenerrou
E Reuovnr:oi,r
I oeirrnir- REPArES
E RELOCATTOi|
NEr{ CONSTRUCiTO$Ii
E EREC" !:E"{ REsspE €e or I nooir:olr To Exr5T3N6 nEsiDEircE
qCPLEASE CI{EC( AI{D ANSI.IER BELOII ALL IHAT NPPLV
IO Y6UB PIO:E€TI
l-lnrr eanaes sF
f] suitRoom
-.-.-
sF
i--l enseNxoust sF
I uer crinrr.or sF npoRcg
-sF
I sronrcr SHED
_
5F OTHER:
sl
CE
pRopERry usE
/ ss€upat{c\..: pi::ttole roi,triv '
I ouersr:
I rolluuousr
DESCRTPi]OiI OF HORI(:
DISCIAI IER.
Ihirsby.6dii, haretl tnf.nnlrion a^ L.rs
aepti.alon ie.o,ccr.nd a[ iwori:
sir.o6pty\dri\ .16 sr.rc Bcrrti^g c.de erd lltohtr
E poor-
SSt2= sr
I oec:<
--.--
ToTAL HarrTED sQ FT
:
-
T0TA'. sc- ':-i ui{DER RooF :
-
roral .{ftE4
s3 ;-1;
TeTAL PRolEeT i05? cess r.ou
: i1 rcrr\oo. i.i 0F STO?.IES:
Is Any ELeCIRICALT pLUt4SIi!6 oF I4EClt
ltICAL !,ort( Belng Done a-o the Accessory St.uc.tufe? ffiVes I ilOI* the project
is e Relocation,
!s there E ijatui.el 6as Line on
the Cu.rent
slte? Eyes E_Nors thepe ElectricaL porrer on thls Bullding?
fi>fes e iro
ard ordhances an6 reOUIa ons- The NHC Devetop,nenl S+rvi.es CenEr rrilt hB nogfied or snycha^ge6 in [ie appoved plaos.nd srecico aqhrirbrmaton. ''NoTE: Anywro
r\.ADprcpdac
Pem;Fviltbe in
Vbletion oithe NC SLae BE
or{NEn/coN?R C?Ok:
rlr I SiGiirlTUitE I
"",,,,,,"..., -",L?fJ'; i'3."sJ""
IS TI.IE PROPENTY LOCATED
!i! A FLOODPLA!i.!?
iFon oaFtcE use c*LY)
ZoNE:
_ 0FFICER:5ETBACIG
i F:LH :__ RH
:_ B :_
iEr(sEo orTE €al11,/12
. I yEs l-ll uo
Ei€grTNs ['.'|PERVSOUS ARdA I
_-_ 5q F? T0T.A.L .r:ap.Es DISiURBED;
NET., !:MPE[.,.'U' ABEA:
-
5q ii uXlsT LAND D]5TURBIN6
rrnr.urift YEs
=
Nc
ttATER:
ltrcFpuii E comulrrw svsrti,,
funwari ,.reul
i:l SENTEAL l,tELL
ss.ER;EfcFPUA
E crrwnal :r:]* fr r*.,rotr
tro*.\$*r*r* **
rys.sli,-l_'lF.lll*_:T=:;T^.:[,:T',i_:T.'d";1 :::#'* fl,,ill,i;*"5';:.,,.+sg::++t$*gg*'|*+r:s:&s*n*3**:!s11$4rrA+srr&*:>++++::\:iaH:r++++f-ti*;:+::*:!::c::r:s:!+***,:,i4rri
Appnoval:-City:_ DATE:_FLOOD
i BFE+2ft=
A tl
Comrnent:pERtriii EEEr
NEW HANOVER COUNTY BUILDING
APPLICATION
TYPE; RESIDENTIAL
7o$ - \\38
)
pERMrr
?ELl5.3btq
APPLICATIO,I
Number
(office Use)
APPLICA T'S I,IA'4E : i D
DEVELOPER:D
PRO]ECT ADDRESS:
suBDIvIsIoN: H A-A^J Qo @'t-
PLEASE ANSI,{ER ALT QUESTIONS APPLICABI-E TO YOUR PRO]ECT
"Project Responsibility"
VC
.<aa-7
.) r.{ An. t'n/r <fr-€ c:7'CTTY:
DATE: i
"EPHONE
*:
-I8
zrP: 2t rloot(-
BLOCK f:LOT *:
PHoNE
*:9(.)-!13-Z:,-qPROPERTY OTI,I{ER'S t,IAtiIE :
otlNER'S ADDRESS:
tzo
L_(-
LlAA2ee\) lZ()
CO TRACTOR:
i-r53 ftNJ Mr'<z\N€-r L\-C LrcENsE $: -1-t5 t\
ADDRESS:
fO Go< 1,952-crrY: uLGl6l{lEl\.!E__DQ-H_ sr :
N(Jrp : ZgQ go
EII|AIL ADDRESS:
TM TL.) (A i6)-€.NJ M+AI NE ,
c o^-a-
PRO]ECT CONTACT PERSOT,I:ftN
EXTSTTNG CONSTRUCTTON:
! nrrrnarrOru
f]RENOVATIONGENERAL REPAIRS
! ne locarroru
NEW CONSTRUCTION:ERECT NEW RESIOENCE o" p'-aOOrrrOH TO EXISTIT{G RESIDENCE
*TPLEASE CHECK Al'lD ANSWER EELOI{ ALL THAT APPLY TO YOIrR PROJECT:
! arr eannce
_ sF ! orr canrcr sr
! eoncn
-
sF
I sulnoom
_ sF POO L5FSTORAGE SH
ED
Is Any ELECTRICAL, PLUMBIIIG or F1ECHANICAL Work Being Oone to the Accessory Structure? E Yes
6R E ENHOUS ESF
! oecr
SF OTHER:jo
TOTAL HEATED
SQ FT:
-
TOTAL SQ FT UNDER ROOF I .ZO O TOTAL AREA
sQ FT:
f OF STORIES:
CITY:Ra-u tuu€ST
s!-zrp: Zi .1 5- i
SF
SF
ffi.
Relocation, is there a Natural. Gas Line on the Current Site?
[ ves ffio
Powen
on this Building?
[ v"t pl-ruo
ANcy: E<TNGLE ramrlv ! ouerrx ! TowNHousE
6rf+ fl*-: kx 9of
If the project
is a
Is there Elect nica I
PROPERTY USE
/ OCCUP
DESCRIPTIoN OF l.lORK:
C1r.'z€ Otl: lo7-7-aN6^j
DISCLAIMERT lhereby cerliry hat all inbmation in
his applicalion is
co(ecl and allwork willcomply wihe State Building Code and att oher applicable Stab and tocal taws
and ordinances and regulalions. The NHC Developmenl Setuicgs CenEr willbe notfred olanychangos in
he approved plans and spec ications orchange in conlracttr ot
cootaclrr inbmalion.
"'NOTE Any Work Pedomed w/O he Appopr aE Psrmits will be in Violation of th€ N C Slats Eldg Code and Subiect rc Fines Up To $5OO 00..'
ot|lNER/COtTtTRACTOR :
IGNATURE :
**+r. ++++*,*t i(,*,tl. *+*+ +** *t Name),i'i:t rr:i r*
* ri rt**,*,**,t * )*:t *,1+ +++*:t )r:a + x * + r* r*
* ++ **
*++*)t**)*****+
EXISTING IIIIPERVIOUS AREA: \'i1r SQ FT
SQ FTNEl., II4PERVIOUS AREA:
^fK
s6
EXIST LAND DISTURBING PERMIT:
l-l ves
I rio
*** SEPARATE PERi'iI]S REQUIRED FOR ELECT, IIECH, PLSG, GAs EqJIP, PREFABS
& INSERTS *It'}
pAy[ENT ETHoD:
I clsr I cnrcK (pAyABrE
ro NHc1
[ mrnrcar,r ExpREss
[ ,cTrrsl I orscovrn
* )* x * i( r. it + * + * * )* ,*
* + * :N
* * * ,t ,*
* ,*
* * * * * * ,*
* * * ,*
* * ,k )t ,*
* * * + * * ,i r( * ,*
* * * r( ,* ,t ,l ,a
* * + * * * ,*
* + ,k )k
* * )t
* ,*
* * * * * :* )*
* :r )* :*
* *
ZoNE: 0F FICE R:
(FOR OFFICE USE cllLY) REvtsED DATE o4l11l12
SETBACKS:
F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD:
_ BFE+2ft=
_.AVN
\\t?/..
ffi
ewne
*:4b-7*;1- t\Ab
nxore
*:Qlg;&fu[392
TOTAL PRoIECT CoSTlressr-oq : $ I OO. dOO
rs rHE pRopERTy LoCATED rN A FLooDILATN?
[ vrs
TOTAL ACRE5
DISTURBED: A./ A
hTATER:
ElzcFpuA ! coruururrv svsre u ! pRrvATE wELL
! crrurnnl wrlr
sEwER:
EfcFpuA Eceurml srerrc
!r*ruor, ,rorr.-
E;;;;;:;:r* NIA(
19 -lqtt
?ot5- U
535NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION
TYPE: RESIDENTIAL
PLEASE ANSI,]ER
ALL QUESTIOIIS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility',
\a o-
QT
CITY:
BLOCK f:
er-
APPLICATION
Number
(office use)
olre: \ D-B
I*\5
PHONE
*:
zIP:']BY)C,
I
LOT f:
PHONE
#:1g -brr -:'V)'S
sr \f=_ zrP :
),gL(}q
ACCOUNT
#:sr,[fzrnlffi.9'
PHoNE
#: q lb-t, t-1 -Str
aS
PHoNE
f : Q lO-b tr "Sqa S
APPLICANT,S TJAME:
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISIOIi:
PROPERTY OT{NER, S TJAflE
:
OWNERJS ADDRESS:--CITY:
CONTRACTOR:V-.* F{ar
V().r
C LICE
CITY:
E #:
ADDRESS:
EMAIL ADD
t
REs5:
PRO]ECT CONTACT PERSON:\
A LTERATION
f] nenoverroru
! crrrnal nrearas
! RELocArroN
NEW CONSTRUCTIOU:
! eneCr NEW RESIDENCE
o" ffi loorrtor To EXISTING RESIDENCE
**PLEASE CHECI( AND AI{SWER BELOII ALL THAT APPLY TO YOUR PROIECT:
lnrr caraee
_ sF ! orr eruce sr leoncH
_sF
SUNROOMSF
I eoor-
_ sF EI sroRner
suro Q \e
L sF
GR E ENHOUs ESFDECK
SF OTHE R:SF
TOTAL HEATED SQ FT: O TOTAL SQ FT UNDER ROOF:TOTAL AREA SQ FT: q\ro
TOTAL PROJ ECT COST 1r,ess rog : $\%,ooo# OF
STORIES: I
rs Any ELEcrRrcAL, PLUmBrilG
or MEcHAT'lrcAL
Honk gelng Done
to the Accessory structure?
[ v"r ff[ uoIf the project
is a Relocation,
is there a Natunal Gas Line on
the current
sitel f] ves ffi uo
Is thepe Electrical Power on
this Building?
[ Ver ffino
PROPERW USE
/ OCCUPANCY:
SINGLE FAMILY DUP
LEX TOWNHOUSE
OESCRIPTION OF WORK:'%ur\dinree+ fv\e\c\\
DISCLAIMER: lhereby cenify haall inbrmalion in t)is dpplicaton is
conectand 8ll work will comply wih he State Buatdjng Code and sll ofier applicable Slae and tocat taws
sand specific6lions orchange in contracbror
TOTAL ACRES DISTURBED:
Exrsr LAND DrsruRBrNG
nrnnrr: fl ves
I Ho
and ordinances and regulations. The NHC De\,elopmenl S€Nices Cenbr wiI be no{lied olan
contracbr rnlormalion. '"NOTE:Aoy Work Performed W
Qbv--
/O he
Fr
Approprlab Permils will be in
{qr Q'
and Up To
$500.00"
OWNER/CONTRACTOR :
(P.lnt Na e)* * + * * * * * * * * * t * * :t * :i,t * )t :t * + +,1 * * * )r
*,* * * *,t '*,t ** 't * )* :t ,i ,f,t ,t
* r*,t ,t
**,t,t,i,t * !*** + *
* ,i :*,t !t r***x,t,t *rt,t* +:t ,i :*
rs rHE pRopERTy LocATED rN A FLooDnLATN?
f, vrs E[ ruo
EXISTII{G IMPERVIOUS AREA:
NEI{ II{PERVIOUS AREA:
SQ FT
SQ FT
I^IATER:CFPUA
SEWER:
E CF PUA
f] cor,u"ruurw
svsren
fi pRrvArE hrELL
fl ceurRel well
fl ceurnar-
sterrc
! pRrvATE sEprrc
! comr.ruurw svsrem
*** SEPARATE PERI'lrrs REQUTRED FoR
ELEcr, t{EcH, PLBG, GAs
EqJrP, pREFABS & rirsERTs :rr*
payllENr ErHoD:
Icrsn ficxecK (PAYABLE
ro
rncl
[rr.. oaa*r, I r,rcTvrsl
'-
i-orraorr***,*)*:ii***,***:*:*,**)t,***,t)*x,r*+'t'i,t,t,t)t********'*,t,***'i)t,*:t)t,t!i*,i:i:t+***)r**+*rt,****,t*,t:1,****t rr,i )*
* *,1,* *,t*
(FoR OFFICE usE ON!Y) REVISED oAIE 94111112
ZoNE : _ 0F FICE R:SETBACKS:
F:_ LH: RH:_ B:_
Appnoval:_ City:_ DATE:_ FLoOD:
_ BFE+2ft=
AV
EXISTING CONSTRUCTION:
!
i
n
lVo
&
NEW HANOVTR COUNTY BUILDING PERMIT
APPLICATIAN TYPE: RESIDENTIAL
PLEASE ANSI{ER ALL QUESTIONS APPLICASLE TO YOUR PROJECT
"Project ResponsibiLity''
wL^ a.)\^t) $,1"<
\t-\\1Bt
APPLICATION
Number
(Otfi<e Use)
APPLICAIIT
'S tlAllE: Gary corle DAfE:lt/24/ts
DEVELOPER:PHONE #:
SUBDMSI0N: l'{edgef ieLd LOT *: _
PHONE #: 30180r-9980
BLOCK Sr
PROPERTY OM'|ER'5 I'lAI'lE: Gary corle
CONTRACTOR: -.N.,.A-
ie
ADDRESS:
EMATL ADDRESS:q.rrLr (of lc 6D o*..,i1,(oi,.t
LICEI,ISE *:
CITY:
sr,;![z*: Zglg"l
J
PROIECT CONTACI PERSOI{; Garv cor.1ePI0NE f: 301807-9980
EXTSTTNG CON5TRUCTTO :
I nrrrRnrror
f] nrrovrrroN GENERAL REPAIRs
I nrlocrrrol
NEW CONSTiUCTTON,
fl rnrCr EVI RESTDENCE o"
I AOOrrrOru TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND Al{StrER BELOI,, All THAT APPLY TO YOUR PROIECI:
I arr elnacr
-
sF n oer cannce sr
I eoncn
-
sF
SUNROOM SF
fl eool
-
sr
fl cnrrrHousr
-
sr I orcx
-
sr
fi sroraer sHED 1e2 sF
oTHE R: 5F
TOTAL HEATED
SQ FT: O TOTAL SQ FT UNDER ROOF:
]22- TOTAL AREA SQ FT; 192
ToTAL PROIECT CoSTlressroq : $ zsoo # 0F STORIES:
ts Any ELECUICAL, PLtfiaING or IIECHAI{ICAL hlork B€ing Done to the Accessory Structure?
[ Ves fl ruo
If the project
is a Relocation, is thene a Natunal Gas Line on the current site? [ ves ffi no
Is there Electrical Powen on this Building?
flvet IEI tlo
pRopERTy usE ,/ OCCUPAT€Y | ffi Srnelr rar'rrr-v
I oucrrx
f] To NHousE
DESCRIPTION OF NORK:StoraShed in Back Yard
afid ordinances and regula{onr The NHC o€v€lopmenl Sewicss center wli be notf€d o( y cnsnges in he appro!€d dans specilicali,cn s or ch6nge ln contacbror
conrrsclor iflbrmadon. "'NOTE: AnyWork Perirr'r€d W/O tis Appropriab Peinils willbe h Vblalion of$e NC Stab Bldo
OI,,INER/C0NTRACT0R : Gary corle SIGNATURE :
*,1+* ++{. *,i,* i.i+ + + i. * * * * * * **** *(ii1ll liT})i,x)i****;i** *** * ** * r*
*++ * + )t r*,* + * * *,| * *rt** )t**,*****i****r*,f **
IS THE PROPERTY LOCATEO IN A FLOODPLA]N?
ff YES
EXISTING IiIPERVIOT'S AREA:
::!:-- Sq FT
ilEt{ II{PERVIATS AREA: 4101 SQ FTEXIST LAND DISTURBING PERILIIT: L_-] YES
LlI NO
,orr*, E/crruo E CoI1}'IUNI TY SYSTEIvI
fl enwarr werr
! cENTRAL wELL
s.*r*, pZrruo ! crrrnu sEprrc
n pRrvArE scprrc
f] commurrw svsrrm
''T SEPAIIATE PEfl'{ITS NEQUIRE' FOR EIECT, I,IECH, PLBG, GAS EQUIP, PREFABS
& INSERTS I*'
PAYfiEl,fi l,lETHoDl
n CASH
n CHEC( (PAYABLE T0 irHC)AI{ENICAI] EXPRESS
E tlclvr5A
f] orscoven
* t* )t {r ** *,i:t)t * r** * * * ** *:t,t **)*)**** r*,r***,**,t*** * )*t(
* * * * * ** {.,t *,f *,t * 'r.
***:t*t+ri i|***)i** t r(
*'}***,1*)t )a)t
*,t
NO
zoNE:
_ oFFICER:
(FoR orFtcE usE o{LY) iEVI5ED DAIE
0{/11/12
SETBAC(S: F: LH: RH: B:
Appnoval :
-
City :- DATE:- FLOOD:
-
BFE+2ft=
-
AVfl
Conment !
I
PROIECT ADDRESS: 482r. wedsefield p'. CIryi lg+s!Ig-!_ ZIPi 233!2_
OWNER'S ADDRESS: 4821 l.fedqefleld pr. CITY:
llifgilglg!_ ST: Ig_ ZIP: ?]lLqz_
PH1NE *,t 3ci 807
-7a €l)
PERIIIT FEE:
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICA"TION IYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Res pons
ibility''
TorS- l\SZf
ls-3=is
APPLICATION
Number
(offtce Use)
APPLICANTJS NAIIE:
h sreven sraronDATE: t a,.,l0
/15
DEVELOPER:
CITY: wi Iminqron
PHONE s: e1063567e8
ZIP': 2s417PRO]ECT AODRESS:332 island creek dr
PROPERTY O,'INER.,S NAItlE: h sLeven sraLonPIONE s: 9taca6619s
O NER'5 ADDRESS: 332is1and creek
CONTRACTOR:
CITY: wi lmrnqton ST: g9_ ZIP: 28411
LICENSE *:
CITY:ADDRESS:
5T:_ZIP:_
EIIAIL ADDRESS:
G-)-l^t: o-Y-Y'\PHONE f:
PROIECT CONTACT PERSON: h sLeven
staton PHONE s: 910586679s
EXISTING CONSTRUCTION:A LTE RATION R ENOVATIONGENERAL REPAIRS RE LOCAT ION
NEW CONSTRUCTTOU:
! rneCr NEW RESIDENCE
o" ! AOOrrrOl TO EXISTING RESIDENCE
*IPLEASE CHECX AT,ID
ATSWER BELOI,J ALL THAT APPLY TO YOUR PRO]ECTI
flnrr canncr
-
sF ! oer crnaer
-
sr
E PORCH
-
SF
suNRooM
_sF
GREENHOUSE SF
PooL- sF p sronacr SHED 336 sF
DECK SF oTHER: SF
TOTAL HEATED
SQ FT:
_ TOTAL SQ FT UNDER R00F:
336 TOTAL AREA
5Q FT: _
TOTAL PROIECT COSTrressrorr : $# OF STORIES:6500.00
DESCRIPTION OF WORK: install prebuilt stcraqe bul ldinq
conracbr inbrmadon "l{OTE:Any Work Perfomed W/O ule AppmpriaE Pemils witlbe tn Viotaiion
ofite NC staE Btdg Up To 5500 00"'
OWNER/CONTRACTOR:
h steven staton SIGNATURE:
DISCLAIMER lhercby €eniv hat arl inbmation in his applicaton is
conect and allwork willcomply
wi$ he Srate Building Code and atto$e. appticabte SraE and tocat taws
and ordinances and requlations The NHC Developmeni S€rvices CenEr willbe noiified olanychanges in he approved plansand specificarions orchan9e rn
contractoror
, *
* ***...*.'::TlJirl,,
IS THE PROPERTY LOCATED IN A FLffDPLAIN?
EXISTING II'IPERVIOUS
AREA: _SQ FT
* * ,*,r
** * * * * * * * *,t * ,*,* * * * * * *r* ***** **** ** * ***,*,*,***
**** *,r
NEt{ IMPERVIOUS AREA:
5Q FT
WATER:
SEWER :
CF PUA
CF PUA
I crrurnnl secrrc @ enrvrrr
srerrc
I
COl,llvlUNITY SYSTEI'1PRIVATE WELL
ZoNE:
_ OFFICER:
I NO
TOTAL ACRES OISTURBED:
EXIST LAND DISTURBING PERMIT:
vrs
F] rc
PREFABS
l-'l vr s
CENTRAL t^JE
L L
COI,1I4UNITY SYSTEM
**T SEPARATE PERiIITS REQUIRED FOR TLEC], MECH,
PL8G, CAS EQUIPI
PAYMENT I'IETHOD:
E CST' EI cH'C* (PAYABLE TO NHC;
I OIENTCMI TXENISS I
& INSERTS ***
r.rclvrsa
I orscoven
* * )* )* ,i
*,r ,i * *,t * * ** )t**,t,*** * * * * * *,i* *!t* ** * * * *
** ***,t **,*,**** * * * )t
* ** * * * *
** *,t** * * ** * * * ** ** ** * *
** * *
(FOR OFFICE USE
ONLY) NTVISED DATE O4l11/12
SETBACKS:
F:_ LH:_ RH:_ B:_
8F
E+2ft=Approval:_ City:_ DATE:_ FLOOD:
_ _
AV N
PERIIIT FEE: $Comnent:
N.V'\v ! :
ffi
SUBDMSION: island creek esEaEes BLOCK #: LOT f: _
Is Any ELECTRICAL, PLUmBING
or iIECHAIICAL l.Jork Being Done
to the Accessory
Structure?
[ V"a fi lfo
If the project is a Relocation,
is there a Natural Gas Line on
the Cunrent Site? [ Ves [ ruo
Is there Electrical Powen
on this Building?Jllves @ r'ro
pRopERTy usE
/ occupANcy r
I srterr rnurrv
I ouerrx
I TowNHousE
:-rr't:l'-
Xl t't t-
tJ tr
,,4...,. r-\
/-rz I \\
(ffi)e
rr,tu\L
F
NEW
R!:CE Vt! Nov 0 2 20i5 Xot:; ttb,l+
I
HANOVER COUNTY BUTLDIN6 PER'VIIT
APPLIcarr(N rvPer C$IIIERCIAL
PLEASa
^t\6tEt
ALL QUESTIOiE AD9LJC BLE TO y!'rq rrat:Ct
'?roje(t Rerponslblllq/'
Appttcal,lT,s MtilE I - : '.. i &- : : -.:q (. -_
I ,
PROIECT A00RFS5: ..31 S 1?th srCITY: vill:::a.r,r
PROPERTY ot{tiER
'5 N$iE: Ner, liri;.-r Rcslor.L yed!c.l cente!
c[{ ER'S ADDiESS: 2131 s :,:h s:CITY: I{ilr-in
Co+ITRACIOR: B.ke: Roofi LICETSE TI :8i2
EIAIL IDoRESS
! .:.irlerSlikerroof1ns ccn
PROIECT ColiTACr PERSOi|
I :at,1
APPL!CATI4,I
l{u,!b!r
DATE
i -llil:
5l: c zl?i.E4i.1
/ (rh..r ^llExrsl coRsTqucTrG{:
! Al.renar Ic,l [l rrxo,ilrrol
tf
Rdlocdon. b her-. a Ns:J'3l Gss Line o.1 the Cur:ert S,te?
Ll
cENERAL REPAIRS I--] ntloclrrol
E*o rs BL-DG sPRrNKl .Ri5 r flves !Ho
HEra coi6rRucrrofl:
! rnrcr nex srRUcruRE
I rlsr rucx
f sxer-r.
f urrrr
f ADD TO EXIST STRUC'II]RE
ACCESSORY STRUCTUIE:
If UFFIT
- The Shell Perntt #:rs Elect PoBer
on thls Bullding
E Ye5 E lo
.'... rs rlrs a cx^lrcr of, ocqrprtcy tsEt
[v:s Em ""'
IF Y.s, rirt rr3 th€ Pr^cvlous Occupancy Typa? lfirt 15
the Nca occuP.n<y ty9€)
ryataH Dlsrot PRorEssrolul :
E}l6R DESIGI' PRO':SSIO|I^L:
TC REG
'IftC RE6 $:
oEscRIPrl9N Ot WOR(:!.-:@o! ls€€ scope of etrrl( dLldchedl
b tuod or bovrsoo6 prep€rqd q,
sy.d h thb 3t^dwet ffves [l ruo b T]€ Prcpony Locatod ln Tlre Foodflaln?
[ ves
I lo
s.lr!. a! la -_ aoda 6.d sl c'!-_ i_: rlr'-!-_D|SCL T L
--./-.'. lhai., J ---- itl'r-.-rrrr,on s.-- -+rl-al{odit co.rry "rh,
- .pr,e wi ,E a.rf6
i f.iJi :j - . rc:d r.-.- lo.r^./----J-.i.
r -i-: .
OVVN EFYCOIITRACTOR
zoNe:0-1 - i(
Apprcvat---,_ City:- DA
SIGNATL'FF
{Odr.t lPrh 1.t;
r.,o..i !'in6fito. noai!.i,.d & d*!. rnovd F nt.tpIc.!d. o.e EDr unnErd
cF! ts ap.racrt, b.m (DHNSJ,68) vndr,.r rr.'!.r19 alrki,tE ta bu1d b
c..6n Atacr- c r!i. Y..) yn r4Jr!, b.rI rh. $do l Ejnl.r.. slnisEb t l&a kit & lulnlr€ ii€S}l P).l (9ll)7th5950.l
lcc loary! Flo E
th.
,.mitkn ot rry bdtty q hrld.g. S- &b-tt W.b Slb: ii"r/M epl.Rtlb.rEjlr/.purb..Eh\Er ll,rl
T3TAL PROJrcT COST 55,t,2OO 8UILDING hEIGH T: l6'# OF UN:'I S:
TOTAL SQ n UNDER ROOF;
_ * OF S:RUCTURES
f OF SiORIES
# O'- ELOORS:
TOTAL ,AJiEA
SO FT
tlr0C SQ FT
PlR FLR:
A'C!S DISTUREEl E(sr LAND DrsruRBrr.rc oEnvrz
E vrs
fl ruo
tt Ew IMPERVIOUS ARE/.u SOfi EXSTING IMPEqVOUS AREA:
---.--,SQ FT
f]uencer,rtletrEE'JCOTIIER!,.-f/ao!le: i:
ICATION:
A?T CONDO
f wE-L flzoNtNG usE cr^ssrF
PFVATE
sEPnc ncoMMurrYsYsrEM
PAYMENT M E]-t-'at{- :
Scmr flcxrcx (pAyAsr:
ro NHc) flerrentcer :nn:ss E Mc/vtsA
E oscoven
SETBACKS:
ilfira,r,-drg "H:i!$B:+6gOOD: v
-;
v ----7n
Clutauta,r ' ,.,-t
' rA.aa- . PE
8FE *2i-
_1
Cornm6nt AM
T FEE,
DEVELoPER: PllOl{E I:910-r9,-]5I5
779r284A 1
OccuPAt T/EusrNEss NA
E:@
PHo E t: _!!q:9lf:1.9!9_
ADDRESS: lI0? l"rrv :tawk Rd. CIW: !,lilrrraton ST:NC ZIr:26,i0)
Pt!!,lE f: :19:l:!- I:gL
PHO E t:9!c-6c4-17c1
x
NH
NEt{ HANOVER COUNTY BUILDING PERMI
aPPLICATI(N TYPE: CoiIi'IERCIAL
PLEASE AI{s}/ER ALL QUESTIOT{S APPLICABLE IO YSJR PRO]ECT
"Project Responstbtltq/
OEVELOPER:
PROJECT ADDRESS:
2131 s 17th sr.CITY: }lltminqton
OCCUPAI{T/BUSINESS l,lAr,lE: New Hanover Regional !4gL!qq1 center -Boiler Rool
CONTRACTOR: Baker Roofing conpanyLICEilSE *: s812
RECEIVE0Nov022015)f r-,
-llyt,l
APPLICATIOI{
l{unber
(0Ffic. ur!)
{ea puc fL
PHONE *:9ro-r-99-158s
AROI DESIGX PROFESSIOML:
EiIGR DESI6I{ PROFESSIOIIAL:
PHi
PH:
DESCRIPTION OF WORK; Re-Roof (see scope of \,,,ork attached)
ls ibod or b6rarag6 pr€pdsd a sdred h thle atrrtuae
fives
fl No b The Propsrty tocatod ln Tho FoodpainZ
I ves
[l No
DISCIAIMER: lhoreby ccrlify th.t.ll intomaton in lhis application is conecl and 3ll wo.k wlll comply wlth the
and locallaws andordlnances and rsoulations. The NHC Develoohent Sorvlces Cenl€rwillb€ notifi€d ofenv
or chanqo in co r6dor or contreclor iFforiation. -'NOTE Any Wori( Perfonned wO lhe
Appropfuls P€rmftE
Subjedlo FinB Up To
35,00.00-
OWNER/CONTRACTOR: Patrr-ck Porrier
(armd)(Ptr |&nr.)
TOTAL PROJECT COST: ss4, 200
TOTAL SO FT UNDER ROOF:
_ # OF STRUCTURES:
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
Codo 6nd 6ll other appllcablo State
and
SIGNATURE
# OF STORIES: 1
# OF FLOORS:
o(sr I-AND orsruRarruc eennarzffivrs
I Ho
SO FT EXISTING IMPERVIOUS AREA:
SETBACKS: F:-LH: RH: B:
-BFE+m=-
N
cont h Arb@ d m! Ydr lll llqrlttd b crll rl. NdorEl Embdon grrdard! ft. Hetldol! AJr PdlutBnt! (NESItAP) Et (319)m7{950.t l.6at '10 doya
Fbr b rho
dr.mmbn ol any tadny q hildng. Seo
fub€sto. \t/eb SIE: frltEJ/*rrw.epl.3tBE.nc.ud€puab€{b./rhmp.ntsi1l
SQ FT
PROPERTY UfE: [OrrrCe EneSraUnArrn
lUenCmrnle
WATER: To(CFPUA T-]COMMUNITYSWTEM ['IVI'E-L
sEwER: E[cFpuA E cerrnnal sEprtc
I c-nvert serrrc
Eeouc apr Emxoo OTHER:Mech/Boi
Ier rc
flzoNrNc usE cLAssrFrcAroN:
fl coMMUNnY SYSTEM
., SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOU]P, PREFAES & INSERTS
''
PAYMENT
METHoD:
ficAsx ffcnecx lnavraE To NHc) EAirERrc,qN Expness
fluovlse E oscoven
(FOR OFFTCE
UsE ONLY)REV]3ED OAIE 4.I1fl2
ZONE:_OFFICER:
Apprcval:_ City:_ DATE:_ FLOOD:
CommentPERMIT FEE:
$_
APPLICAI{T'S ilA}tE: DArEi:!!92!!!_
ZIP i 284A7
PROPERTY oWNER'S NAfiE: New Hanover Reqional Medical
center PTONE fl: 910-667-?000
OIINER'S AoDRESS: 213r. s 17th
st. CITY: wirminqton 5T:
I9_ ZIP:3939f_
ADDRESS: 3107 Kittv Hawk Rd. CITY: l!ilgi!g!g!_ ST:I!_ ZIP:2jg
EIUIIL ADDRESS: PlOt{E *: 910-799-7585
PROJECT CO{TACT PERSON: PHO E *: 910-604.1701
/ (che(k
all rhrt Apply)
ExrsT cor{srRucrroN:
E ALrERArror
lll nrrwanor pl c:reul nelarns l-'l RELocArroN
f Ralocdim, is
herB a Natural Gas Lane on the -Cnrrent Site?
[vo-f] f'ro ts BLDG spRlN-Kleneoz
I v"" I r.to
IEH COrrsTRrcTrON:
f) eAeCr EH srRUcruRE
! rlSr rnACX
! SXer-r-
! Uerrr
! ADD rO Exrsr srRrrcTURE
ACCESSOnY STRUCn nE I
If UPFIT
- The shel.t Permit #: rs Elect Pouer on thls Building E Yes E rc
*.rr. Is THI5 A c1rnrcE (F occupA{cy us:f
ftves ffiiD ..t..
rF YGs, what yrs thc Prevlous occupancy Type?
_ lthat 15 the l{ex occupancy Type?
_
NC REG $:
NC REG #:
BUILDING HEIGFIT: # OF UNITS:
TOTAL AREA SQ FT :
Il4- sQ FT PER FLR:
_
C
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE PRINT CLEARLY & ANS9IER ALL QUESTIONS
"Project Responsibility"
L Bac*grr-
- t
ltloS
APPLICATIOiI
Number
m(offi.e use)
CA,orr, f\\\A\lSAPPLICANT'S t,NfiE :
DEVELOPER:
'-{.3"11
PRO]ECT ATDRESS:
SUBOIVISIO,I:
I TY:
PHONE S:
ZIP
BLOCK #: LOT #:
-
P}O E $:
sr,AE-zrP,28ddB
ACCOUNT #:
sr,@zre, e-4
PHONE $:
PROPERW OT{]{ER'S tIAfiE :
OUNER,S ADORESS:U3ACITY:
3 L ICE
CITY:
COiITRACTOR:
ADORESS:6t+CrbP€&e 6
ETUIL ADDRESS:
Is
Aqir*tL,uw\
PRO]ECT Co|.ITACT PERSOI'I:C#arge*hct+6LT
NEW CONSTRUCTION:ERECT NEW RESIDENCE onADDITION TO EXISTING RESIDENC E
EXTSTTNG COT,TSTRUCTTON:
f] ArreRArrOl
8.I crlrnar nerarns
I RELocArroNRENOVATION
DECK
_ sF OPEN PORCH
DUP LEXTOWNHOUSE
PHor,rE *: qto 633 +3-?1
SF
Ero
lfthe project is a Relocation, is there a Natural Gas Line on the Cunent Sltet
I ves I lo
Is there Ele€tricsl Power on this Building?
[ Ves I Ho
ACCESSORY STRUCTURE:
! Orr cnnncr
_sF
POO L sr ! sronact sHED
-
sFsCREENED concr
-
sr f]
GREENHousE sr fl orHrn, ............'_sF
Any ELECTRICAL, PLU BI G or I'|ECHA,{ICAL l,,ork Being Done to the Accessory Structure? E Yes
pRopERTY USE
/ OCCUPAIICY,
fi Sr*e,e ramrr-v
!
OISCIAIMER: lhereby cenity hatall inbmaton in his applicaton is corccl and
and odinances aE regulatlcns. The NHC Oe!€lopment Services CenEr willbe n
conracbr anbmadon "'NOTE: Any Work Perlomed W/O he Appropria!-' Penn
aI work willcomplywitl he Slate Bualding Code and alloher aPpli.abl€ SlaE and local laws
olified of atry changes in tle apprc!€d plms and sp€calicalions or change io conlract'r or
ilswillb€ h Violation oflhe NC StaE Bldg Code and SubFct b Fines Up To
$500.00"'
DION WOR(:
L) tw\
ObINER/CONTRACTOR
TOTAL ACRES DISTURBED:
CENTRAL WELL
COMMUNIry SYSTEM
SIGNATURE:J7
EXISTING IMPERVIOUS AREA:
NEW IiTPERVIOUS AREA:
SQ FT
SQ FT
EM PRIVATE WELL
PRIVATE SEPTIC
STBA
3
DC
fr
tr
WATER:
SEHER:
CFPUA
CFPUA
COT4UNI TY SYST
CENTRAL SEPTIC
Approval:-Of--- city:
Corment:
cKs:
FLooD
,,$[-Ln:r$A,n
0o,,,* ,.,,,i110'^ff:lli''
ff:;::-'i:^iHl J'il,"'U;;.11::**i''^b-ili,.*.o' 8,,*
* *** )*,t
* ** r(* *,*,* * +,t* *,**ri x +,; ,t
*ii** r*** *,t !i,t,t !i** )***'* * 'l * '* 't* * *'t** * )t*
*'t* '* )** )t* *+ )*
'(
*)i* 'i** )t
X(*)** * *)t* 't*
ZONE :
'H-5il."1,,,.,*''-q&8FE+2ft
N
PERmIT FEE:
$--
t 11t1 \,rl0u1
DATE:
\C-\rie l:'r lnsoeclion Reqlreo, 91
0-r!4 .!nx
*',@-l-
ntrtr
,k*r)* *r( * )r
* * * ,*,*:*:*
** * * * ** *
** * *tllil fil"] ** * *** ****,* + )* ,* ,r ,*,*
*)*** *** * )t
*,t,t +,** ***,* * )* )* )*
*,* *,t***,r:** *,t+
TOTAL PRolEcT COST 1r ess rort: $ \1.2Arq rs the Property Located in a rtooorlarll ! ves il t"
rorAl sQ rr: L!li- -Jl*lr*rrs, I TorAL sQ Fr tr'IDER **,, 6?
PRO]ECT ADDRE55:
OCCUPANT/BU5IIIESS NA E:
€r
PROPERTY O|\INER'S t,tALE:
OWNER'S ToORESS:
393b
oa: $2c(o
CITY:
LICE SE *:o51
CITY:
D^r* la-zt1'Zbt6
PHONE *:'7t5'lr12
ilp;Lbrlo3
,*o,l. o,
,lo\ -tlr9.
tLdl
sr: rr!(z:r:{!'If,
*fuzrr'33512
Lots-t t+gLl
APP L ICAT IOII
llunber
,/(
n,r&rgt
do
,1-r
NEI{ HANOVER COUNTY BUILDING PERI4IT
appltcatroN ryps.. COF,II,IERCIAL
PLEASE ANSI{ER ALL QUESTIO'IS APPLICAALE TO YOW PRO]ECI
'Prcject Responsibility"
CTTY;
cclccrr!
APPLICA T'S NAlf I
DEVELOPTRI
\on5te Ve, izr",, (ri rc \c5
cot{lRAcT
ATDRESS:
L
EITAIL ADDRESS I PHONE *r
,*nr o,
J6'--t=--1zZ
r)
EXIST CotISTRUCTION:ALTERATIO{R EI{OVATI OIIGEI{ERAL REPAIRSRELOCATION
tf
Rdocation, rs there a Nalural Gas Line on the Currern S e?Yes
Druo rs aLoc spntr'tKLenroz YesNo
IF Yas, rbet *as tha Prcvlotls Occupancy Type?
ARC}I DESIGN PROFESSIOML:
EiIGR D€SI6I.I PNOFESSIOI\IAL:
Lt9 E.n
<c5
2L
r uonx: fcrnortc lo.6c
WATER ECFPUA
SEWER:
E CFPUA
l{hat !s the Nfr occupancy Type?
'EsCRIPTION
O
ls food q boy€rsg€s tr€p8red o( s€.v€d in thB nructns?No le Thc Prope y Loc.ited ln The Flooddain?
NC Slrle
coobh Asb€3r5 o. nd- Yor t€ rqdrd lo cdl tE Nddld Emhd6 5L'{.nb fd Hatdotis At Uu'nt {N
d6.rdiuo. ot dly hdllyd hlldln€" s.. A$cros ftb s!: i1lr)/iri!r,::)i''r'3e ir;rs/'ir'€scss.,J' 1r:' " '''
TOTAL MOJECT CO
TOTA,I. AREASQ FT:
[0.u0 BUILDTNG HETcHT:# OF UNITS:
SO FT PER FLR* OF STORIES:-
TOTAL SO FT UNDER ROOF# OF STRUCTURES# OF F-OORS
ACRES DISTURBED:Exsr LAND DrsruRBtnc eenutrr
f]ves
NEW IMPERVIOUS AREA:SO FI EXISTING IMPERVIOUS AREA:
PRoPERTYUSE:
[Orrrce [nesmunerr [uencru'nrr-r [eouc !eer
[cox t
0
Code and
i{d6: Dsndilbn diin..tlons E est s'G rmord P.rm( aPCUtc.6 tob bo s{$mrud urLrg &s
?dtrldr lum (DHHS'376E)$. tldliv o. !r(rE t.6 bs'd lo
ESH P) d (919707-5950 n b.C | 0 dry! FL. to h€
Stale
SO FT
T-lco MUNnY SYSTEM
nWELL EZONING USE CLASSIFICATION
fi ceuru-senrrc
f] en-ruare seerrc E@MMUNrrYsYsrEM
PAYUENT METHOD
f cesn flcxecx (PAYABLE ro NHc)
f emencu rxeness
f] ucrvtsa
zoNe0+1'Torrrcen'
DISCOVEH
+REVTS€D CATE 4r't
1/i2
epprovat 0L
JvJ
N
PERMTT FEE:
$-
^9"1'Zgg-oSEl r,.
^rc
,, 021239*@-Hcrrcr:ffi
PROJ
ECT CO TACT PERSON:
lEr coNsTRUcTroN:
! enscr t{Etd sTRUcTURE
I rasr rucr ! sxrr-r-
[ unrrr
! oo ro Exlsr STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The 5he11 Permit s: N\ft ,f"oa PoYe. on this Euilding ! Yes n *O
r.... rs rHrs ^ cHAr{6E or ocorpArcy usrr
Ivrs !ro ""'
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATIoN TYPE: COMI4ERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
)oa-ru{oo
J"5-a{50
APPLICATION
Number
(office Use)
APPLICANT'S NAIiIE: ,: .,,, :....,e..-| ..
DEVE LOPER:
PROIECT ADDRESS:
ttil I Mitirar,r' Curoff RoadCITY: l^ir tmrnqtcn
OCCUPANT/BUSINESS NAME: soLrr.lBari{
PROPERTY OWNER'S NAI'IE: s'riain ar.l .q:::i5cirr-e:i
LICENSE #: ! - 8: l
CITY: wi ]mi noron
EI{AIL ADDRESS: }recky0c.,jiof nc. irorn
PRoIECT CONTACT PERSON; r: .. : ,:: :
(check
all rhat Apply)
EXIST CONSTRUCTION:ALTERATION RENOVATIONGENERAL REPAIRS
lf Relocation, is
there a Natural Gas Line on the Current Site?Yes
ENo
o|^INER'S ADDRESS:
lLlL B
Mlilrar'!. Curoff Roacl CITY: wi ]rrrn t cn
CONTRACTOR: Coasta] Construction Services, Inc.
ADDRESS: 6643 Gordon Road
NEW CONSTRUCTION:ERECT NEW STRUCTURE
! rasr rnrcx
! sneLr-
!
ACCESSORY STRUCTURE:
RE LOCATION
IS BLDG SPRINKLERED?
fl ves
flno
UPFITADD
TO EXIST STRUCTURE
ST: J!_ zIP ::jj!l_
ACCOUNT #:
ST: NC ZIP: l!l_l:
PHONE #: 910-256-44s2
PHONE #: 91c-:56-1.15:
If UPFIT
- rhe Shell Permit #:
***** rs rHrs A cHANGE oF occupANcy usrt Ives I
IF Yes, rrhat was the Previous Occupancy Typel
ARCH DESIGN PROFESSIOTIAL: N,/A
ENGR DESIGN PROFESSIOIIIAL: \/i
DESCRIPTION OF I,JORK: move 2 walls, add
slass, install ATM
OWNEFYCONTRACTOR:SIGNATURE:
Is Elect Power on this Building
I Yes
il*o
What is the New Occupancy Type?
PH:
PH:
NC REG #:
NC RE6 #:
ls food or beverages prepared or served in this
srucure?
[ves [lno ls The Property Loc€ted ln The Floodplain?
[ ves T No
DISCLAIMER: I hereby cerlify that all information in this application is correct and all work will comply with the Slate Building Code and all other applicable State
and local laws and ord,nances and reoulations. Tne NHC Develoomenl Services Cenler will be notified o, anv chanoes in the aooroved olans and soecrllcations
or change in contraclor or collractor r"nformalon. "'NOTE. Any Wor[ Performed w/O lhe Appropnale Permiis wrll 6e rn Vrolalron of the NC State Bldg Code and
Sublecl'io Frnes Up To
$500.00"'
Arr,hur i Gee l
(Ouarne.) (Pdnt N8rle)
contetn Asb$tos or not. You are rcquired to call the Nstonal Emisslon Standerds for Hazardous Alr Pollulants (NESHAP) al (919)707-5950 3t least 10 days prior to the
dernotitioo of any facility or building. See Asbesb6 Wob Site: htF:/r!/v/w.epi.state.nc.urepi/a5b6to6/ahmp.htrnl
TOTAL PROJECT COST: .1! :,IBUILDING HEIGHT: I it '# OF UNITS: l
# OF STORIES: 1
ACRES DISTURBED Exsr LAND DrsruRBrNG pERMrr?
n yES
n No
NEW IMPERVIOUS AREA:-SQ FT EXISTING IMPERVIOUS AREA:
PROPERTY USE: EOFFICE ! nesrnuRelr MERCANTILE EDUo
EAPr [cor,,roo OTHER:earrr
WATER: E]CFPUA
SEWER:
E CFPUA
*'SEPARATE PERMITS REQUIRED FOR ELECT, l\'lECH, PLAG, GAS EOUIP, PREFABS & INSERTS "'
PAYMENT [,lETHOD
ficnsn ficxecr lervneLE ro NHc)
fietu rccourur EMc /lsA Iotscoven
SO FT
I-ICOMMUNITY SYSTEM -WELL f]ZONING USE CLASSIFICATION:
fr cenrRm seenc E p-RtvATE
sEPTlc ncoMMUNlrY SYSTEM
ZONE:-OFFICER:
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
Approval:- CitY:-DATE:- FLOOD:
--
BFE+2ft=_
REVISED DATE 4/11/12
Comment
N
PERMIT FEE:
$-
DATE: ,1./r5/2ar5
PHONE f:
ZfP:::: j
PHONE #: ?' -=.. r..
TOTAL AREA SQ FT :
]2iD- SOFTPERFLR: 1200
TOTAL SQ FTUNDER ROOF: r2.. #OF STRUCTURES:
1 #OFFLOORS:1
EXIST COI.ISTRUCTION:
ll R.tucaliq.l. is lhare a Na
ALTERATION
Gas Line on the
NEW HANOVER COUNTY BUILDING PERMIT
aPPLrcaT roN rvPrr CSIIIIERCIAL
ti tLrsa Atlsrti 'r-l q!aiI:oN5 APtL!aArra ri' roirl ticlt'i
"P.oject ResPcnsibilitY"
R Etiovalr0l
tr 6EHERAI REPAIRS fI RELOCATION
rS BLOG SPR"r-hLEREo I
i-l ves
ffi
LotS- llLloo
APPLICATIOTI
l,lunbe r
DATE I ljrj:ii-.lllAPPLICANI'S iIAt4E :
DTVELOPER:
___
PROJECT ADORESS:
PHONI I
sT: l.': ZIP: l'E1a ,
5T: r;. ZIP | 29ii:
r1-.254-r.1!2
:1.1I -
a Mr-r!i:l , ., :. ..
O(CUPANI/BUSINESS iIAIE : sounilliaik
PRoPERTY ohltlER'5 l{Aiil€: s?.rr.. ai:i ,'1sj'rr':1:ir
CIIY: " I ,
CoNTRACToR: .. ..n;:l!)jsa:::::.::
CI TYAO0RE55: a.,i,: i .
EI.IAI L ADDEESS::r ..iri,.,,,,i.fn.
PROIECT CONTACT PERSoN: tseciv :rcl{:!t5
(iori A:l :n.t &9r'/)
PHONE T:
PHONE f:
Currenl Site'l*o
tic-256-.45?
Nc
lural
lr Ye9, ,hat Yas the PrevLous occupan(y rype?
If UPFTT - The 5he11 Pe.mit s Is Ele<t PoBer on thi5 Br'/ildin8 El Yes I to
NEr COTSTRUCTTO,I:
! enrcr nrl{ srRUcruRE
!rnsr rnlcx sHerr
! unrrr
! aoo ro Exrsr STRUcruRE
*.+.. rs rHrs a cHAxct or oc(uPANcY us[a
f vrs f ro ""'
l.lhrt is the Nev O(cuPan.Y TYPe?
ARC]i DEsIGN PROT T
55IOIIAI: li A
ENGR DE5I6N PROfESS TONAL I tl-:i
OESCRIPT:ON
b bod q b€vsoge prBprBd q r€ry€d h tlb druct rB?
fl v"t
I Ho b Tho Propedy Loclttd tn 'Ihe FloodpHn?
[ Yes
0F lloRK: rr:'. ;-,. ! ::.:::r .'. l'
DtscLAlllER: I horo5, Le.tt,hdl d rntonr !t,o1 ,n .n. s at (6t0n r!
co{ed a car *oa w co,-ptv dj 'm s
.r. Bdrld'rl corl6 d d trlolh€r appl'€6D:€ slaic
ffiffi,}ff;1;*ffiaiia;'d""#l+l'dslu^x'#i'iitl*{:l*a''kl'rj,',',:'rr:.s*t':n"'rir*ft'ns'"'sRl"ilsrsEffi*::?'I
SIGNATURE:
--
OWNEF/CONTRACTOB:
{q.r., (Prir rsul
r{du oam,ld dllorons a ..!6b. irtrrrd p.rlnt
lpgdfr-'1 o u
"'lo""o"a 'tr"o tE 'Idi'lndl b{In {oF}is-s'Es) !r'e1l6i " trcxlr!-or-b11919Y- hrd to
c..dr arbe o d Yo., .l! ,"q,.ir"a o c'u u ,*JJ :tric,l st'xltr& b' r"t'(bB alr F'o&Errs (r€sHA4
r F1971I/6s0 ' lid 10
6'3 9'b' D 'E
iiort" J-y !.atv. o"r*'q 3€. Atb.d6 tt'€D s'tt: hrg, ww epr n]1! ic r'!"n'!sb@!"n6p Hf,r
TOTAL PROJECT COST: .19 9o a
TOTAL AREA SO FT
WATER: ZCFPUA
SEWER:
m CFPUA
BUILOINGHEIGHTT 13 4OFUNITS:
SO FT PERFLR: 1:il# OF STORIES: :
TOTAL SO FT UNDER ROOF:
;;!g- f OF STRUCTURES:
]-- ---#OFFLOORS::
ACRES OISTUIIBED Exsr LAND DrsruRBtHc eenurr
]l ves
I uo
NEW IMPERVIOUS AREA:
-_
so FT EXISTING ,MPERVIOUS AREA:
---.-
SQ FT
pRopERTy
usE IoFFlcE EREsreumnr f]urn*mle I EDUC
n epr
ncoNDO OTHER::arrr
pAYMENT METIIoO:
[clsn ! cnecx (PAYABI'E TO NHC) I]BILLAC@UMI IMC /lsA [-- otscown
T-1 COUMUNTTY SYSTEM T-] WELL SZONING IJSE CI.'ISSIFTCATION:
frcerrm- semc E P-RlvArE sEmc Llcoli4MUNrrY SYSTEM
tzrrt
(FOR OF}ICE UsE ONLY)
SETBACKS: F: J* LH: - - RH3;/ a,: -
DATE:-l
r - nuooo BFE+zfr=
---t
i./. PERMIT FEE:
$--
Cornment
i-1E-:ffi
PHoNE #: e1,, 1:i'.?;
CITY: x.lnu-i:or:ZfP:28415
Ol.lNER'5 ADoRt55r l-11 ,, Y-.1:::: i,,:,': :i:?ri
LICENSE *: ACCC{rMT l:
|l( fiEG s: _
C RTG I:
L!lN- ll
t