DECEMBER 10 2015 BUILDING APPSNEhJ HANOVER COUNTY BUILDING PERMIT
APPLICATION
TYPE: COMMERCIAL
PLEASE ANShIER ALt QUESTIONS APPLICABLE T0 YoUR PRoIECT
"Project Responsibility"
tot f- to(('1.f
1s-3060
APPLICATION
Number
(office use)
APPLICANT'S NAME:
DEVELOPER:
Susan Sullivan-Egan ReaItv Se rvi ces-Agent ior verizon
a
)PHONE #:
PROJECT ADDRESS:
4ii4t .tordo: p.r
OCCUPANT/BUSINESS NAfiE :
PROPERTY OWNER'S NAI'IE:
Ameriiran t,,,^ers T,L:
CITY: Wllminqton NC ZIP 2
)slca
PHONE f: 843-971-8385
OWNER,S ADDRESS:
4r5 Lcnq prirlt F.d
69r5il
ADDRESS:
63a, :eqacy Dr
EMAIL ADDRESS:
PROIECT CONTACT PERSON: Susan sulliran-E.ran Reaity Se rvices
(Che.k All Ihat Apply)
EXIST CONSTRUCTION:ALTERATIONRENOVATIONGENERAL REPAIRS RE LOCATION
Ero IS BLDG SPRINKLERED?
[v". fiuo
UPFITADD TO EXIST STRUCTURE
LICENSE #:
CITY: plano ST:
rx ZIP: r502i
PHONE #:
lf Relocation, is there a NaturalGas Line on the Current Site?Yes
NEhl CoNSTRUCTION:
f] ERECT NE[,l STRUCTURE
I rasr rnlcr !
ACCESSORY STRUCTURE:
SHELL
,J.\i\\}1-\
N*rS
s
If UPFIT
- The
Shell Permit #:
IF Yes, what lras
the Previous Occupancy Type?
***** rs rHrs A cHAr{GE oF occuparlcy usel flves
Is Elect Power on this auilding I Yes E ruO
PH
PH
NC REG #:
NC REG #:
ARCH DESIGN PROFESSIOTIAL:
ENGR DESIGN PROFESSIOTIAL:
Tower Engineering Professionals: 919-661-6351
c-t ,"
94
DESCRIPTION OF WORK: A.ldirLq/P.eplacr:lq Antenn.ls. No chanqe tc tower he:qht or existinq qround space
I
contlln Asb€stos or not. You are required to call tho Nalional Emlsslon StEndards for Haza rdous Alr Pollutants (NESHAP) at (919)707-5950 at l6&st 10 days prior to the
demolition of any faolrty or building. Se€ Aebestoa web Sile: htp:/ ww.epi.stats.nc.ua/epi/asb€stovahmp.hunl
ls food or beverages prepared or served in this structure?
tr Yes
TOTAL PROJECT COST: 2silir! . oo
BUILDING HEIGHT
ZONE:
# OF STORIES
# OF FLOORS:
TICOMMUNITY SYSTEM
TIWELL EZONING USE CLASSIFICATION:
Icerurnal seelc E PR|VATE sEPTlc ECoMMUNITY SYSTEM
T
No ls The Property Located ln The Floodplain?
E Yes T No
all other appircable State
s andplan
NC
Bldg code andStale
# OF UNITS
SO FT
TOTAL AREA SQ FT :SO FT PER FLR
TOTAL SO FT UNDER ROOF# OF STRUCTURES:
ACRES DISTURBED:Exsr LAND DrsrunarNo peR[4tll l--'lves
[ ruo
NEW IMPERVIOUS AREA SQ FT EXISTING IMPERVIOUS AREA:
PROPERTY USE: EOFFICE ! neSmUnnrur MERCANTILE eouc
laer lcoruoo OTHER:tetecomr,
WATER: ECFPUA
SEWER:
! CFPUA
*, SEPARATE PERMITS REQULRED FOR ELECT, MECH, PLBG, GAS EOUIP. PREFABS & INSERTS *"
PAYMENT METHOD:
flcesx ficnecx lenveaLE ro NHc) fimaentcam exeness
I ucnnse
I otscoveR
(FOR OFFICE USE ONLY)
OFFICER: SETBACKS: F:-LH:- RH:- B:-
Approval:-City:- DATE:- FLOOD:
-- -
BFE+2ft=
N
Comment PERMIT FEE:
REVISED DATE 4/11/12
DATE: 10/29l201:,
CITY: ti:. i'r?a:ii,nt ST: j!_ ZIP:-:j:jj-
CONTRACTOR:
:r:..'.'^n . .
PHONE *:5?a-:65-5893
What is the New
Occupancy Type?
_
DISCLAIMER:is correcl and a
SIGNATURE:
(aua[is)
t.l. -.^\Lltl ( I ,-.c-Nac*N - D/\
-
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION TYPE.. COITU{ERCIAL
PLEASE AI'ISIIER AI.L QUESTION5 APPLICASLE TO YO('R PRO]ECT
*ProJect ResponsibilitF
ICbZ{
APPLICATION
Number
(offlce us€)
Susan SulLivan-Eqan Reaf,tv Serv
ces-Aqent
for verizonAPPLICANT'S NA'4E I
DEVELOPER:PHONE
#:
PRO]ECT ADDRESS: 4 641 GoRd
CfTY: wiI rni NC
OC(UPANT/BUSINESS NA,IIE :
PROPERTY OWNER'S NAfiE;American
rs LLC
oWNER,5 ADDRESS: 496 rronq poi.nt CITY: I1t. Preasanr
CONTRACTOR:
Mastec Network
solutions, r-rrc LICENSE #:100 37
-I
ADDRESS: 1000 cenrre cleen w
ay, suite 300
CfTY: carv
EiIAIL ADDRESS:
zalez emastec.
PROIECT CONTACT
PERSON: susan su
ll.ivan-Eqan RealServices
If UPFIT
- The SheII Permit #:
5T:
sc ZIP: 29464
ST: NC ZIP: 27s13
PHONE #: 7 04-840-2358
PI()NE *: 570-265-ss93
Exrsr coNsrRucrro
:
fl ALrERArror
n *.rliliillli 'Pi?l'ii*,. nrpnrns
l-l RELocArroN
rf Relocetion, is there a Naturar
cas Line on the current
site?
[ves [ru" ts aloc spfr]irleneor I v.s [ruo
NEt{
cq{srRucrrot'l
r
I enrcr NEtl srRUcruRE
! rasr rnlcx
I srer-r-
[ uerrr
I eoo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
*rr'** Is THIS
A CHA'VGE
IF Yes, rfiat uas the Prevlous Occupancy Typel
ARCH DESIGN PROFESSIO|IALI
Is Elect Power
on this Building E yes E rrO
r flves flro .**.'*
llhat is the I'lex Occupancy Type?
OF OCCUPANCY USE
PH
NC RE6 T:
Ei\]GR DESIGN PROFESSIOTIAL:
Towe! Enqi,neerinq Professio aIs PH:919-661-6351 NC REG
f: c-1794
DEsCRIPTION OF I,{OR(: NAMINGTFFEREN'T/"Ax-Eo!'ER c
/20r5-r 525
ls iood or beversgos pr€p€rcd q Eqv6d ln
this *ructrre?
[ves a
No k Th€ Proporty Locatsd tn The Ftoodplaln?
[ Ves
B ruo
DISCLAIMER: nereby ce.rly hal alt rntormaron
and local laws and ord nancos and roodtatons, I
orchanoe In conuador or contractor ifrormation
Subjecl lo Fines Up To S500.00..,
.n lhis appl€aton rs
coaeci and att work
wittcomdy $rlh lhe Slate Bultdtno Co.,e anrt
'ril39.?"^1",1",&rfi "l8fl#: g,ts,:[x{roo?lolf ,6"%"J*t".*",,^g';t
*irjlyld
pplicable State
OWNEH|/CONTRACTOR:
o*ar alez SIGNATURE:
tlotq t).rnolldol] nGdt adorl! 8 ab6bs rsnovat po,mtt
rl! to be ftb.nhbd qdng tl€ Epdi.adon tofin (DttHS-t/6S) vrh€tll€r Ul6
,NC soecitrcations
Bldg Code andState
hcillty
l.6sl 10
drrr Illor
corialn A8b*b or nci. You
€,r rEqdrrd
b cs, tho Nadomt
d€rnolldoo
d rny ,adt[y o. buttdtng. S€o
Asb6st6 W6b
S]b:
TOTAL PROJECT COST: zsooo. oo
TOTAL AREA SO Ff :
--
Embslon S'bdaEb lor
Hen ot6 Ak Po ubob (NESHA4 6t (919)707.i9S0
.t
htQr rq,w.opi,sl'lo. nc.uli,opUlsb€stoc/ohmp.hunt
BUILDING HEIGHT
SQ FT PER FLR:
# OF UNITS:
# OF STRUCTURES:
NEW IMPER\4OUS AREA
Exsr I-AND
DrsruRernc renurrz
f]ves
fl r.ro
SAFT EXISTING IMPERVIOUS
AREA SO FT
PRopERTy USE:
florRce lnesreunmr [uenc*r,nru
[eouc
! err [cor.roo OTHER: relecomm
TOTAL SO FT UNDER
ACRES DISTURBED:
r OF STORIES:
# OF FLOORS:
WATER:
SEWER:
E]
-1
CFPI.IA
CFPUA
DE co{rrMuNfisysTEM f]wELL EzoNtNG usE cLASSlFtCArroN:
CENTRALSEpflC LIPRMATE SEpTtC
fl coMMUNtTy SYSTEM
'- SEPARATE pERt\l IS REOiItRED f
eit EtECt, a.lECli. pltsc, GAS EOU p PREFABS & rNSElt.aS,.,
PA,MENT METHOD:
[CnSn flcnecK eA'ABLE TO NHC) flruenrcm oeness
I uovrse
I uscoven
zoNE:. oFFtcen, ..-- @Sffiil--ar, RH: B: REVEED oArE
'iu1r/'r2Appoval: City:_DATE: fIOOO:
- _ BFE+ZF_
Comment
N
PERMIT FEE:
DAIE :
J9!22!W_
ZIP:2840s
PHO.IE #: 843-921-83s5