DECEMBER 30 2015 BUILDING APPSt1\
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NEI{ HANOVER COUI'ITY BUILDING PERiIIT
APPI.ICAITO'T PE.' RESIDENTIAL
IRIIIT CLIAnIY C ANSHEI ALL qurSTIonS
;inoj ect Responstbi}lty"PLEISE
BI.oCK #:
pllol{E
APPLICATION
Nu!*rel.
DATE:
-
-
Pr(lilE $1
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*,1-i!-90-3;.5tu3 |
APPLICANT's IIAI''IE T
OEVELOPER:
PROsECT AODRESS:
ST'BDIVISIOTI:
PROPERTY(,I.II{ER,
S TIAIIIE :
OI,JNER,5 ADORESS:
COTITRACTOR
ADDAESS;
E.IIAIL AbORESSI
CITY:
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=
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TOTAI. 5Q FT UNDER IIoOF:
-..-TOTAL ACRES UISIURBED:
}ftrurNER,/co,,rRacron
rorAl se .rr
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EXI.Sfl!IG II'IPEffVIOI'S ANEA:
-SQ
FT
IGH I]NPER\IIOI'S AREA;
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5IO{ATURE:
4?r.*.t1+la*+*t*a*'a*tjtrtlt"*1|t"t'r{"1*!tst*{+tr ar1.,ti+a'.. r.iir r
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Is the Property Located ln atloourufil?
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-
SET8ACKS: F'- LH:-. RH:-l':-
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PnoPEBIY t,sE ./FAI.[LY DUPLEX
OESCRIPTION OF IJORK:
. toTAL PRolEcT cosr{t-.,ot $ 4,Q0)
GRE
oct
RECETVED DEC
16 2015
NFId I1ANOVER COUIITY
RUILDING PERMIT
APPLICATI,II
IYPE; R ESIDENTIIIA L
ILIASE l sr.l€fl /ltl QUESTIOIIS APPLICABI.E TO volrR pnotgcT
"lrro;i ect R'esponsibility"
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APPLICATION
Nutnbe.
APPLICANT'5 llall,l[:"lissa',,U.,
orVrlonrri :
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PRO]ECI ADOftI:9J:(.t ,
.SUBT]IVISION:'(
PRoPI:nTY ol,llll8's N/$.18: (a$ls1 r{
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oATE:
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lt: 7.t
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PNOJECT CONTACT PfNSOTI:Yi,.[to,{k"l PlloNE il: /all.l5t]r,
i,frsrrruc corusrnuctror,r,
I at.le n,tt'rox' [--] RrNovATrol{ -l:l 6ENEiiAr. nrlrrns
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Nlli R{:SIDTNCE ," fJ nOOitrON T0 EXI51IU6 nESIDFNCE
EASE {:'lt'f( illD A SI.IER 0fl.01,J ALL i}lAT APPIY'10 \'ollR PnoltcTl
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fi Vus l]] lo
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-3,211 -ror^L ARE^ sq rr ,
![ii loE'i.'*t
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L
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/ OCCUPNNCY:
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l:lids Up To S5C0 o0"'
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EXLSTTNG rtlPEnVIOUS AREA:
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NEIJ l.tP€RVroUs AR[A: 361 5Q FI
15 TllE PRoPl:llTY IoCATED ll'l A FL0oDPLAIN)YE5
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TOTAL ACRE5 DIsTIJROEO: O'C.E'-
EXIST LAND DI5TUNBING
NUN"',
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I'JATTIt:
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. ;,ig L,, :
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if thc project
is a nelocatioh, is tlrere a N;tu[al 6as l.ine on
the current Site?
flvnr'!] ruo
rs thcrc EJ.ectrical Por,,er on
thl5 Euilding?
l]fv"t filro
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RECEIVEO DEC
16 2015
NEW IjANOVER COU[]]"Y
BUILDING PINIqIT
APPLICATION ? YPE., R I.SIDENTIA L
ptE^sr llrsr.,[n etr qutstroli Appt-rclBrE t0 youl r,no:Ecr
"ProJect nesponsibility"
AorG
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CITY: Lr
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Et, nESr0ENcE o. l]l noorlror r0 Exr:;TrN6 nEsr0ENcE
ALL TIIAT APPLY TO YOUR PNO]ECI:
OET GARi6I:5F
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rs Any fl.l:cTllTc,llr PLUI,IBING or l,lECllANIClL t'lork Being Done to the Ac.esso.y Structltrel
il Vcs
ll lo
If the p
roject 1s a ftelocatloh, ls there a Natural 6irs l-inc on tlre ctrrrcnt Sirei
[] vn,t
f] lo
fs there Elcctrical
r,tior,IRTY t,sE
/ 0calJ]r
DISCftIP lroN 0I lloRl(:
|ilding?Yesl.lo
ol,JNH0usr
conuactn ! rhnnsion, ...ti oTEr A.y lYnrk Perlom6d {Vlo [\0 A pploirrle'. P.rirrlrs \cjrl ! e ln vl.l3 .n o l lhe
}:c sral} auo corl! a.:l
. t,, tnr ro.)'!.l"lr"rIIIll1lr{I |}**r.t I i-r
l.f '''r 'r:i'r'l
us tjr Io $500.00"'
I I 1r:t:T:r it {: +:ri,t:r + r,t 1 :h
* Ji
+;r *:( t :a;r i( r*f**:t+:t++1+:lt*+*xi+++++1+ir
Yr5 l'10
TOTAL ACNIS DISTUNBED; O.O(
i:xr-sT r,lND n:sTUn0rNG pEni,rrr; Il-l vrs
ll] ruo
ol,lNElt/CoUTnACron: -i,,1(-.'5I6i{A'TUHE:
IS TII[ PNOPENTY LOCATIIT It'' A FLOOOPLAIN?
EXTSTING ftlPEIiVIoUS.AnEA;
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PLB6, 6A5 TQU]P, PRITA8S & ]I'S[iTS I'1
p^ylENr
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(foi orrrcE urr (NllY)
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Approvar:.---...'.-............ city: Lrr,n DArr
BACKS: F:
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04/11/r2
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L5-3444NEW HANOVER COUNTY
BUILDING PERMIT
APPLTCATION
TYPE: RESIDENTIAL
PTEASE AIISI,JER
ALL QUESTIOT.IS APPLICAELE TO YOUR PRO]ECT
"Project Responslbllity"
APPLICANT'S NAME: Herrinqton classtc llomes, LLC
DEVELOPER:
PROIECT ADDRESS:
87oo Fazio Drive
APPLICATION
Number
(Offtce Use)
PHONE
#:
CITY: 1{i
IminqLon zrP
| 3!3]L
98
! oer
cnnaee sr ZI eoncu s81 sF
! eoor-
_ sr I sroneer sHED
_ sF
DE CK
SF OTHER:SF
PROPERW ot!,ilER'S l,lAItlE :
OI.{NER,5 ADORESS:
SUBDMSION: PorterE Neck PlantaL ion LOT
#:
Rrl & t'er1 Lleanmenne
CITY:ST:
_ ZIP:_
CoNTRACTOR: Herrinqton classj-c Homes IrLc LICENSE
#: 68106 ACCOUNT f:
ADDRESS: Po Box 3s8
CITY:wiiqhtsvilLe Beach ST:
JL zIP: jlgqg
EI'IAIL ADDRESS: heather@herrlnqronclassichomea. com
PROIECT CoNTACT PERSON: craiq .rohnson
EXTSTING CONSTRUCTTONT
I nlreRarrOn
I neNovarron
I cerenal nrearRs
I RELocATToN
NEh' CONSTRUCTTOU:
EI rRtCr NElt RESTDENCE or ! aOOITrOlr TO EXISTING RESIDENCE
r'*PLEASE CHECK AND ANSWER BELOII
ALL THAT APPLY TO YOUR pnolECT:
ffiarr clnaoe ?84 sF
f| sunnooN
_ sF
I enreuHouse
_ sr
TOTAL HEATED SQ FT:352s ToTAL SQ FT UNDER ROOFI szzo ToTAL AREA SQ FT:
TOTAL PROIECT COST lress rory
: $ soz,ooo. oo
# 0F STORIES: 2
Is Any ELECTRICAL, PLUIiiBING or FIECHTIiIICAL l,lork Belng Done
to the Accessory Structure?
[ Ves fl ruo
If the project
is a Relocation, is there a NaturaL Gas Line on the Curnent
Sltet Eyes I No
Is there Electrical Powen on
thls BuildingiIYes r No
PROPERTY uSE
/ OCCUPANCY:
@ SrUClr FAMTLY
E OUelrx
! TolllNHousE
DESCRIPTION OF lllORK: Construction of sL
le Family Residence
DISCLAMEn: lhorBbycediry hd all lnbrmallon In tlls appllcatm ls conecl and dl work willcomply wlh S16
StaE Bultdtng Code and altoh6r sppllcable Slab and tocat laws
and odlnanc€s and reolrladods The NHC Dav€lopmeot S€rvlces Cenlea
wlllbs nolifed of any d)ang€s ln h€ approv€dorchange ln cofl lracbror
conlracbr lnbmalbn- "llOTEr AnyWork P€rformed W/o *leApproprlate Permlrs wittbe in Vlota on of the NC StEle!o Flnes Up To
$500.00"'
oWNER/C0NTRACTOR 3
ohnsm SIGNATURE:
+r**+rt,***)t *x 'l {. * + + jir,} *r. ** x*(Prlnt Nane)** t*+,t )N )i,t* *r(t*:t,*riri)i*,t,i+f*,i:t,t*)t*t**:i:****,|*)t*,i*,t{(*+)****
IS THE PROPERTY LOCATEO IN A FLOODPLAIN?
rl YES EI ruO
EXISTING IIiIPERVIOUS
AREA:
O SQ FT ToTAL AcREs DISTURBED:
NE},I IMPERVIOUS
ANEA: OO2.b SQ FT
EXIST LAND DISTURBING
PERIiIIT:
T'I VES
TI iIO
r.lArER:
I crnua
I cor.x,4uNrry
sysrEM
I pRrvArE WELL
f] cerurnal
wrlr
srwen: @ creua
f] CENTRAL
sEpTrc
! enrvnrr
s:errc
I coMMuNrry sysrEM
*** SEPARATE PERilrrs REQUTRED
FoR
ELEcr, MECH,
PLBG,
cAs Equrp, PREFABS
& rvsERTs r*.*
pAyr,rENr rrlErHoD;
Icnsn IcHrc( (PAYABLE
ro urcy
IrrLi o..**, 'Ir.iurro- -
f]orraorr***** *'iitft****t *tt*:*,i* !t*i*:t'i,i+ *{i*
******** ******************+**,i:r*)r**:rE**{(:i*****,r+****t**
(FOR OTfICE USE C
ty) rEyrsEo DATE
O4l11/12
ZoNE:
_ OFFICER:
Appnoval:_ City:_ DATE:_ FLOOD:
_-
AV
BFE+2ft=
N
Cod6
Comment:PERMIT FEE:v
DNE| t2/e/Ls
BLOCK S:
PHONE
#: 309-350-s440
PHoNE
#: 910-399-s688
PHONE f: 910-442-75oo
SETBACKS:
F:_ LH:_ RH:_ B:_
RECEIyE0 oECz1t0l5 4ors-l bzrl
NEl,\l HANOVER COUNTY
BUILDING PERIVIIT
APPLI1ATI,N IyPEI R ESID ENTIAL
pt-EAsE AtislrEs aLL QU€STrolls AppLIc sL[ T0 youR pRo]EcT
"ProJect R;sponstblllty"
APPLICATTON
Numben
(offl(e Ure)
APPLICANT'S NIU,1E I(.
DEVELOPER:
PRO]ECI ADDITESS:3
SUBDlVISION:
PROPERTY OI,INER'S NAI.IE:
ol,lNER's ADDRESS: tDzg
/vl.a"K C)
CONTNACTON:
ADDRE5S: 19t
EI.IAIL ADDRESS:
6
olrr: ll to t5
PT]ONE #:
(crry: hl,la,urton
slocr
N
zIP
I zgqtl
t5LOT J'J
PRO]ECT CONTACT PERsON:
SUNROOH
--
SF
GREENHOUSE SF
t*P}'lASE CH€CK nNo ANsl'lER BEL
I_(l atr onRne r ,oo sr
IIAT APPLY TO YOUN PRO]ECI:
DET GARAGE
-
5F
POOL
_ SF
DECK 5F
Ldul
STORA6E SHED
ffoo*ru {kt{s'I sr
PITONE
'}:sT:
lf.zlP:
-s"ttLDztPt?8451
PfioNE $t
ag*Z?oL
PHONE II:
RE LOCATION
SF
SF
CITY:
LICE
CITY:
U
w vrk!q
Itc-
iJsE lt;
OTHER:
''ixrsrrr.re
coNsrRUcTroN:ALTIRATION
f] nrmvrrror'i '-[ crrrmi nrprrRs
NEl,, CoNSTRUCTIoN:ERECT NEtt RESTDENCE o"
I AOOrrrOlt TO EXTSTTNG RESTDENCE
OI.I
ALL T
ToTAL HEATED SQ tT t '1,.,'131 TorAL SQ FT UNDER RooF
| 5t2o5 rorAl AREA sQ Frr 5,53j IMP
.ll oF STo&IEs ! I
fs Any ELECTRICAL, PLUI.IBING or xECllAi{IcAl- Uork Being Done to the Accessory Structurel
fi Ves I to
If the project
is a Relocatloil, ls thcre a Natural 6as Line on the current Site? flves Ilo
Is thcne Electrical Por,ren on
thls Bullding?ves
fino
(
PRoPERTY UsE
/ occUPANcY:
fl SINGLE FAI4ILY
B*td
OUPLfX Toi,,NH0USE
DEsCRIPTION OF I,JON(;-ltonlrro,
ro
conrrscbr hbmstoo. "'NoTE:AnyWo* Pa.form€d Wo U a
Approprlab Permlt! v/llb€ ln vlolalion olu6 Nc sl.b Bldglo Flnss Up To
r500.m"'
O11]NER/CONTRACTOR:JSI6NATURE:
and ordtnances aod ,€Oulattons. Th6 NllC Oevabpm€n I Se,vlces C6Dbr vri,lbs noDfod
otanych6ngss ln fio app.owd plans and opo.licalbns ortiangs h.onll€cbr or
t'
r
(P.ht
^la,re)**,r,|**+*+,t.i+++:*{.i.,ti +t + +{. ++**++*** **
rS lHE 9ROPERTY LOCATED IN A FLOODPLAIN?
EXISTING I}IPERVIOUS AREAI .- SQ FT
NEI,J TI,IPERVIOUS AREA I,19 SQ FT
,t*+* *,r **** *** 1,* ++*** * r.**1r**
**** *
+** *:f:t:t +*:*+,*++,t **,i+ * *
YEs
lr'l No
IOTAL ACRES DISTURBED:
_O$-_
EXrSl LAND DTSTURBTNG pERflrrr E YES
d*o
f00trrrw vi u.t;t,t-ivw
I.JATER:
SEI,JER:
pun
n comuurrry svsrem
I lnrvrre wrLL
crnua
fl cErlrRAL sEprrc
I enrvnre srlrrc
CENTRAL
IJELL
I. ?
COMI.IU}{IIY SYSIEM
*TT s€PARATE PERI.IITS REQUIREO TOR ILECT, !1ECH, PLBG, 6A5 EQUIP, PREFABS & I}ISERTS '*'
PAY'.IENT ItETIiOD:
fl cosl
ff cxecx lmvaare ro uc;
fl AI1ERICAN EXPRESS
E rc/vrs,r
I orscovrn
**++***+++***+**'***+*+,r+*+*+***+**+***+****+++++*f+*++i.**++++*****r*****t+*****+++***,i+
zore : B-l{ orrrcrn:
Approval:- clty:-tl!\- DATE ;
(foR ofr]Ct u5E o[
SETBACKS: F:
Y),.\,/tJ1
.4 54,r,
R€VI5!0 DAIE 04/11/12
,
BFE+2ft=
Comment:
rLOOD:
t.BH J -) h
'IN-PER14ITFEf I
TOTAL PROIECT C05T (ross
ro0 : $ Ztl0,ooo
tr
(*^s
$+yz!
NEhJ HANOVER COUNTY BUTLDTNG
APPLICATIO TTPEI RESIDENTIA!
lor5-
l\oz5
RECEIVED I)EC
21 ?015
PERr4Ir -+#g1-
APPL]TATION
Nrlorber
(offl(e Ur6)
APPLICANT'S I]N.I,lE:
0Ml.0FfR i
PRO]ECT ADNRFSS:
SUBDIVISI0NT
PROPfBW OI,'I]TRJS NA'IE !
pLtAsS a sl{Ei ALL (Xt€STIolls ApptlcAELE To youfl
pto]rrl
"P.gject R;sponsiblllty,'
CI'IY:
D LCCii
I'TY;
DAIE r3o
piiofrE it:
ztP t 2qqlL
&tq
PHcNE tt: 787-Zb6st| (-zIP tZgqOL
sr: ngzrPrzc:]trl
PHONE
':
LOT
'}:
ol{liERJS ADDRISSi,
CONTRACION:t
ADDNI55:8l o
EI.TAIL ADDREss:
suNloo
--sr
l"IcENsE
*: l5l=l]crTYi LJaal1co
,
C1t,'t
M"Ll€J1",P\aNE n':1U'ZtOuPNO]ECT CONTACT i'TJiSON:
EXrSTr,lC aoNSTnUCT:or,I:ALTEJlAlION
! nelovlrron cENIRAL REPATRs
! neloclr:oH
&(,
I'EI,.I CONSTRUCTION;I:NECT NEI.' RESIOENCE Or ADDITION TO E:(ISTTN6 PESIDENCE
AI.L IIIAT .APPLY TO YOUN PflO]ECT:.iPrrasE c,iEcK ANo lNsuEn uEIo,
M^ri (,AR GE
,oo sr
Wdacu 4t1,- sr
f oer crrn rcr 5F
fl e ne auouse
-
sr fl orcx
-**
sr
ST0RA6E SHED
-_.-.-_ SF
TOTAL AREA SQ FT:
S,5sq
P00L
_ sF
0 t,t[R;
TOTAL PROIECT C05T (t"s. ror)
t $ Tlo rOco * OF STORTE5:
l,A
Is Any ELEcTltlcIL, PLtlAIBrro or r.rrtfiitNlc L l,.rk Seing oone to the accesrory
structu.€l
ll Ves
fi lo
If the project fu a Relocatioilr is therc a ituraL Gas l-ine on the Currcnt s:lte?
fiVot'f, H,
TorAL HEATED sq fi t :ll-81 TorAL SQ FT UNDER RooF:
uAT--i-
Is there Electrical Por,;er on
this Bullding?
Eves INo
P'{opERry UsE
/ OCCUPaJCYT
fl Slrcr,e
I ouelrx TOI,] NI'OU5 E
l.Ar4ILY
l1*\ADE5CRTPTION OF I,JORI(:4-rurrlvl,-rr c-
conrr..rrr !.
bixacrn.
"'IoIE:n , !vor* P6rh/non &i3 &.Appioprlala Peroll. v)l b, ln Vlcb$n rl$s NC sLL Pll,i3 ,ho r U, io t5O0-00" I
oHNER/C0NTRACT0n:,r\d.,516 ATI'I(E:
r * *
*,i ** *,r +r.,1* r ** r *
*. * ** r**$i'ii.lt'l'J
r**"**
rs rHE pRopERTy
tocirrD rN a rlooorurll f]
EXISTIiIG ftll)Env]oll5 nREAr
. :- SQ FT
NEr,i T PERVToUS N]EN 3i3\ sQ Ft
*a****+*t*t+*t***+t+****:i+trtr*+t*:f *;t*t:i+'!"t+,t
YEs
d*
TOTNL ACRIS DISN]8BED: O'UT
EXrST LAN0 DTSTURBTNG
T**r,-fr1
"S dro
I.JATE N :
SEliEn:
IV) CFPUA
v) :FPUA
CC,\'J'1UN Iry SYSTEII
fl enrvrrr r+ru
Ill cerrnnl srlr:c
f]PRIVATE S!P TIC
lf coBf.1lIIrTY sYsTrr,l
... rrfaRAIE PER}IITS ftE0UIRED Fon. ELECT,
AEalt, PIBG
, 645 EQ{.rIP, PiaFAES & I SERTS rlr
PAYIIIIT IETHOOI
Ecur f-l olrcr lmvralr. ro nncl ffialenrclrlt rxra:ss
I rcTvrsa
f] orscovzn****r*****r1*!rrl11+,4+*.,****a,ta*t**********t*it+,|r*a**r+t+***r+)*t**+*+,1+*t*:f*****r++**t*
(rox
oflr(l utt orl
zom:
3.-i{ ornr.*t:
Approval:- city:l4a- D rE:
SE;BACXS
I F:
Fr000:
_ _
v)l
7t\ u,{S'*u, ,lL
iavrsfo o^rE 64lrY12
o:.gf,yr f2 : *ie
"l*8FE+2ft-
Cor-"flent
i
?.
I'ERi.:IT
FgTI
'
'12,+
4/?
C
*free cft
NEhI HAiOVER COUNTY BUILDING PERMIT
awLICArIOtt rYPr: C0it ERCIAL
PLEASE A}IS}IER ALL QUESTIOI'S APPLICAALE TO Y(UR PRO]ECT
"Project Responsibilitf
do.
fltq
APPLICA'{T,S NAI{E:
DEVE LOPER:
APPLICATION
l{umber
(office Use)
Hunt-Price rnc DATE: 12 - 11- 1s
OCCUPANT/BUSINESS NAlilE: New Hanover Resional Medical Center.
PROPERTY
Ol{ ER's tlAr{E: New Hanover Regionaf Medical center
O.INER'S ADDRESS: 2131 s. lrth st CITY: wi Imington
CITY: wi rnin ton nc
PIO E S:9i0-791-1134
ZIP i 284a2
PHONE *: 910-343-7000
ST: NC ZIP:28402
ST: NC ZIP: 28403
Pto{rlE *: 970-262-3472
PIIO E *:910-262-34L2
CONTRACTOR: llunt-Price rnc
ADDRESS: 118 sebrell Ave
EIIAIL AIDRESS: huntpricer3ec. rr. com
LICEilSE *: 4365'7
CITY: wi lminqton
PROJECT COIIITACT PERSOI{: wes Price
(che€k A1l that Apply)
EXIST CONSTRUCTION:aLTERATToN l-l nerovarror l-l erremr
cas Line on the current Site? LlYes LlNo
REPAIRSRELOCATION
lf Rolocadon, is there a NaturalIS BLDG SPRINKLERED?I Yes No
r{Er cor{srRucrr$r,
! enecr NE}r sTRUcruRE
! rasr rmcr
I sxrr-r-
[ uerrr
f] aoo ro Exrsr sTRUcTuRE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Penmit #:Is Elect Power on this Building
I Yes
Ero
ARCH DESIGN PROFESSIOiAL:
ETIGR DESIGI{ PROFESSIOIUIL:
PH
PH
NC REG #:
NC REG #:
DESCRIPTION OF I,JORK: Chanqe Locker room and
ianitors closet into one
lactation room.
DISCLAIMER: I hereby cerlify thal all infomalion in lhis application is conect and all work will comdy with the Stat6 Building Code and all other applicable State
and locallaws and ordinan@s and reoulations. The NHC Develoom€nt Services Cenler will be notrfi€d ofanv cianoes in the aooroved olan6 ahd soecifcarions
orcrianoe in contraclor or @nlractor i-nfomaton.
"'NOTE:Any Wor* Pertormed w/O lhe Appropriate Pennils willE6 in Vlolati of theNC Strate Bldg Code and
Subiecl'lo Frnes Up To
$500.00.-
SIGNATURE: [ -; -
7/. -,
ls food or be\roragos pr€por€d or s{vod ln tH8 stnEturo?
OWNEFYCONTRACTOR:
I ves
I lo b Tho ftopsty Locatad ln The Floodfleh?
! ves No
HunL-Price Inc
(ou6f,lh.) (Pri.tN.in )
Nd€: O.mollton nodfcatona E e!b€.t€ rsnovll p€.mh
epplbetoi. er! to ba 8r]b.nlt d udng lho spdlcadon fo.m (DHHS3768) vrtrotlq th.lbdlry or hildhg was
hrM b
conbin Asbola or not Yoo.rE Equired lo 6ll th. |,Lliord Embabn $a.ldarda lbr
tbzadoll3 Ar fufirtentr (NES*IAP) et (01C)707-6950
d b€6f t0 dsyg trh. b tb
d€.m{tio.r ol any faality o. hrldinc. So Aabeb W€6 Slb:
TOTAL PROJECT COST: 8, 000. 00
# OF STORIES:
_
# OF FLOORS:_TOTAL SQ FT UNDER ROOF:
_ # OF STRUCTURES:
ACRES DISTURBED:
Exsr I.AND DrsrunarHc penurrz
l-l ves
I No0
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA
-SQFT
WATER: ECFPUA
sEwER: EICFPUA
PAYMENT METHOD:
ICISU r cHEo((pAyABrE ro Hxcl [mlenrcnx p<eREss
I ucrvrsr
n orscoven
flco|[ruN]rys\4sTEu EwEr flzoN[{crrsEcN-AsslFtcATloN:
ECENIMT-SEPIrc IIPRTVATESEPTIC ECOMMUNTTYSTSTEM
T
DATE /Hln2
ba5'lNLd
PROIECT ADDRESS: 2131 s. 17rh sr
**r** rS THIS A CHA1GE OF OccupAllcy uSel
[ves Im r..-r
IFYe5,h'hatHasth€PreviousoCcupancyType?-tfiatisthet{eUoccupancyType?-
BUILDING HEIGHT:
_ # OF UNITS:
TOTAL AREA SO FT:2!!- SOFTPERFLR:_
PRoPERTY
usE: EoFFtcE [nrsrrunenr [uencemle [eruc
! arr f]conoo orHER:
insritutional
(FOR OFFTCE USE ONLY)..)
n0nRer edal0 ?str"0qi PERMIT FEE:
$_.I
NEW HANOVER COUNTY BUILDING PERM
APPLIcATIott TYPE: RESIDENTIAL
PLEASE ANSWER ALT QUESTIONS APPTICABLE TO YOUR PRO]ECT
"Project Responsibility"
1,\i r r.r. z--r7 L -ri!tEf2-A<a-i
o2Dtt- iABb
rr PEZ t5-
%ol
APPLICATION
Numbe
r
(Office Use)
APPLICANT, S NAntE :
DEVELOPER:
DATE :
-
PHO E #:
pRolEcr ADDRE5S: g(oA (€\r-p--J DA. S{ S2- crry: @ zrp I
ZBL. tL
suBDIvIsIo : (Zrw u--?- I Ptz-';BLOCK
#:toT r. _
PHo
E *: lto- j18')Za.lPROPERry OhftER'S NAIr,lE: '.-La<r.r ! S1-Ci t-*1/<L L{
O'INER'S ADDRESS:9lo Y.4 r .J I\Ar
s!/5,CITY: wJ ,
u-1 , r-Lc\-ror.{sr:.JulLztP,:2.*\\L
sr:t!:LzrPtZg-tZF
vr;rc(i L-.-rr1<r/r,rcr.{
tt"- oS LICENSE #: 61aoL(,
ADORESS: ztO ! ?,gr.r t,.rSrL-A DrL
EfilAIL ADDRESS: V r.rtCITY: Z/\{ZaL-t^r
A TS€^<-c\
PHONE
f:.oz'tt.arq5-PRO]ECT CO TACT PERSON:
EXISTIT{G CONSTRUCTIOI{:
DESCRIPTIO{ OF
I{ORK: Z
?
^,I
V €.2j-( gL
p ar-renarror ffPneruovarrolr !GENERAL REPAIRS
! nr rocarroru
r{Erd coNsTRUcTIoN:
E ERECT NEW RESTDENCE or
I mOrrtOH TO EXISTING RESIDENCE
*TPLEASE CHECK AND ANSI,TER
EELO{ ALL THAT APPLY TO YOt R PROJECT:
! arr crnaer
-
sF ! orr oanece sr
! eoncu
-
sF
SUNROOI"I I Sr-\ sF POO L
sF ! sronncr sHED
_ sF
SF OTHER: SFGREENHousE
_ sF ! oecx
TOTAL HEATED SQFT: lSa-t TOTAL SQ FT UNDER ROOF:
ToTAL AREA
Sq rr: i 5a/
TOTAL PR0JECT COST lress roo : $\€,o6'/'# OF SToRIES: t
Is Any ELECTRICAL, PLUfilBIt{G or TIECHA ICAL Work 8€ing Oone
to the Accessory
Structure}
[ V"t fi ruo
If the project
is a Relocation,
is thene a Natural Gas Line on the Current
Site? [ yes l'B ruo
Is there Electrical Power on this Building?
fElv"r l-l'l uo
pRopERTy usE
/ occuPANcY:
[f srrucle FAMTLY
E ourrrx
!
7oz-c-
TOU'NHOUSE
e\ TD S->>-t Q-oa
DISCIAIMER: lhereby cenify hat all inbmalion in
his applicalion is
conect and allwork willcomply wih he Stale Buiiding Code and all
oher appticabts SraE and tocat taws
and ordinances and r€gulatjons. The NHC DevelopmentCenEr willbe notfied ofany changes in he approved plans and specifica8ros orchang€ in
contracbror
contacbr informalion.'"NOTE: AnyAppropriab Psrmitswillbe in Violation ot the NC Siab Bldg Code and Subjeci
b Fines Up To $S00 00..,
OWNE
,l
+** ir,i)*,t ***,i i( )t )t,t*+ * +,i,* **+
IS THE PROPERTY LOCATED IN A
EXISTING I}tP ERVI(US AREA:
NEW II'IPERVIOUS AREA:
I{ATER:
E CF PUA
sEr,lER:
E CFPUA
ZONE:
_OFFICER:
(Print I'larie)It:i't+*'*'t+'*+rt***,i,*)*:i:i.**++*,t,**,t**,t***,*,*)r+++:**)i+*,**:N*tjt+*+*jlrt+,*+***
FLoooPr-ArN?
lll vrs E no
5Q FT
SQ FT
TOTAI ACRES DISTURBED:
EXIST LAND DISTURBING
PERMIT:
l-.] vTs
I-I Ho
! cor,n'lururw
svsrer,l
! pRrvArE wELL
! crtrRnr well
I cerurRal
srerrc
fi pRrvATE sEprrc
! couuururrv svsr rr.r
*** SEPARATE
PERIilrrs REqJTRED FoR
ELEcr, l{EcH, PLBG, GAs EQurp, PREFABS
& I{sERTs *,'.*
pAynENr r4ErHoD:
I crsx
I cnec* (payABLE
ro nrcl I m.*r.*
,rr.ri, E ,Vrrii -
5 DrscovER+*,1****,*,t,t,*,**,t**+**,t,i***++*)t**++*****+++,1)*)t+****,l,t**,t,t,**)*+*,*)*,i+,****,r*+*:t****+*****,*)***)**
(FOR OFFICE UsE CI{I.Y) REVIsED DATE
94l1|l12
SETBACKS:
F:_ LH:_ RH:_ B:
TRACTO
BFE+
ffirr
CONTRACTOR:
PHo
E #:11,r:4ll:e!!1S-
r S1-(
SIGfiIATURE:
Vr NLd L--."-i\-t<J-24" 1
Aoproval: Citv: _ DATE:_ FLOOD:
AVN
J o rf tacr\ o
lt-3{?1
'*&/APPtrCtMr's t&lr:
NEl^, HANOVER COUNTY BUILDING PERHIT
appLrctTr*t rvpF: ColrlllERCIAL
PLTASE
AiSUEI AL! QUIS7:ONs ArFltcrtrE ro youq piott(r
"project Rtsponr j.bllitf
/,/ /J/12-4/",
APPLICATTO{
l{ullber
(Offi(. Urr)
,tj
ztp
| 2ytt
. /
PftOJ
ECI ADORES9;
OCCUPAHT/BUSTilElS M'TE,
PROPFE-rY O'{iJER'g Pr'li[ !
oEvft0PER:
o*flERr5 A9CRESS
c,
+*4JT PHol{E 6
4
L'c-./v)3 u..{€PHONE T:.. a69wr i-?.1.,1L
COiITRA'TOiI:
Jot-tn--,dfLnv
'1./
. A./
/-
crw:5Tl
/.r ZIpr
ttctftSE
t:
A-ilstSS i
WATEs
EI(AI L ADOF€SS:
PiO] E C'I COTT?ACT PERSO{:
TOTTAL SO Fr UhDEF ROOF
ACRES OISTURE E:
l,iFt^/ IMPERVIOUS AAEA:
PROPETiTY USE:
PIO E 1:t--+*'
SI,] EL L
PHONT
t: .
j
Jic\.(r d) ih.t rgtlr)sxrsr copsrRucrlolr
f, ltrenruocr [-nrItJvar
Iofi
D GTNECAL REPAIRS
f rtr.ocrnoriil Relocation, is$6reo Nstursl Gos Line on the
Cu.,e S{e? En
E{6 tS
BLDG
SPeilKlgpgo, I Ves
f ,lo
uEH COr6T?UCrrO{r
! enrct xrw STnucIUiE
f rasr rmcr
I
ACCEsSORY sTRUCTJRE:
I urtr I aDD
ro Exrsr rnucrmt
:f UPFfi
- Th€
Shell Pern:t
f: Is Elcct
a oultcr oF
occuplrry
trr r l_llr Y.t, rlat !2t th! Prcrri.ous O(cup.4cy Ty?rl .ri't.. i *r,t-
lrcH Dt5rai Pi0rEsst0a{At:
€NGR 0!tI6r{ PtoFESsIo.lrLi
-
---
PoBer
onihjs Bujldtng trves C uo
vEs
!ffi ...,e
1. the ce o(cuptrcy
typlt C,; )C i .H:_=-.- NC REG
*:'"
---
tlc REG
s:
oEscRIrrr3 0F ,oRK:
ls food or beversoer Fapsrod or rc.ved in
thb structr€f
! V".
ffi lr Tl€ Propeny Loo5C ln T|1c Foodptgin?L.j /es
Li\E \"
i-' t-,
/ /l/ ; -
/v
Drscua
OWNER/CONTRACTOR:4/,,/SIGNATURE:
Lo(.'
D.holt!. .o.44rlo{ l.sb.rt!a .?,rov|r ffri 4ritnEr5 rc 10
!a auuntt c
u.hl !r rDrllasllor
l.r
li-^,1a
l]i' -_-'- :_,s co-*r "-:s, ua.krf.' .r,.r'..h€
S-- ' - '-', esCprre
s'o- ':"c
^.. , .
,.. .€d !y,O he A.rr ,t ts
:F,#;trffiffi,Hf,lel#,tffi"
cr.rlt lr
atatrca or id Yo{8a nautrd l. ol lfi lilUc.al €nrllon S!i6rd! t,itu Eoi! Ar Poituar:(! IftlEletu$.n olrry trciry (' hrkhe, S.9 Ara.s-l} r&.iE.l{rit!!onna,/..fi a.di
TC,TAL PROJFCTeuttomc
xrcxr 2,- l'f 0F
uNtrsI^.TAL AREA SQ TT :
SQ FT PEF FLR:
* or
s'rqucrunF---7--* 0F
Sloa
{ 0F FIOCRSI
D(sT LAND D|STURS|NG ERMr.t i
[vrs [ruosQr EXISTING IMPERVTOUS ARL{.ffrrcefiRESTAURANT f,uencannr.e
I eouc
EAPi f-borioo oidER
sElrytA
cexrner
srerc
f PRTVA]ESEPTC E ItAsstFEAno I'l:COMMUNIry SYITEM-'SEPAF; . :::.,'s:ii .:ar aoFErE:- MECX p'€G.6A5 EOUtr.
mtr...Bs
! tN.r.\ ..,
PAY ENT r,lEnloo: [c^SX ficire cx ;nAYAS|E TO NHC)
Iluencnor e<cnrst fim-cvlsa
f oscovrn
B,-g!/A
T€YB!! O,TT
4 JN:
BFE"2t=
, rfurput 11
d€reus fi
ri"4il"8
COMMUNIfY SY1STEM
DwElt DZoNING UsE
ED
C
lSs,i6n. 1 ; ftt6lJ
F.
tERMn FEE] 3
/'1
I
Appoval:
, ,.:
NEW HANOVER COUNTY BUILDING
t5-54?j ,
pERr{rr p otl-/?oY o
i,,appLrcAtro rypr: COill,lERCfAL
PLEASE ATJSTER
AlL QUESTIOiIS applIc rLE tO your pRoJrcr
"project i€sponsibillty-
clws
L' (;J
sT
| /U(Ztp I2_
st:4)1;uetZFL_o 3
7/D/Z-rw
DEVELOPER:
PRO]ECT ADDiESS:
GCUPA TTI8USI|{ESS UttrE :
PiOPERW O{{ER'S iIA}tE:
OIINER'S ADDRESS:
4E rTY:
COTITRACTOR:oHxl YI6L A^J LlcEtrsE
*:
ADDRESS 3
cIw:
E AIL ADORESS:
PHO|{E
*
4
PtO E
I:
APP LICATTOI{
unber
(Offl.c t eG)
ztP?
2*Ud I
6?
oor5,
tZ,/Y/,,
f ,
:'7/4 ?a a (+$
PROJECT COI{TACT PEisO{:
/-,PHOI{E
P}ONE
,:
Exrsr coNsrRucrro :
E arrERArro, 6-*,,,Jifiii;lJ ji?rlii.^.
tf
Relocltion. is therea N8turat
c8s Line on the
Curenr
S,t"f flVufflfVa
NEH COr{SrRUCrrOr{;
I enrcr flElll srRucruRE
ft rasr rnlcx
I sx
ACCESSORY STRUCIURE:
If UPFIT
- The
Shell Pernit
*: Is Elect
.r... Js
lrlrs A CHAIIGE
oF,occuprycv usel
IfF Y€s, Hhat ras thc Prcvr.ogs Occupency
IWet oFF/C€ Nhat
ANOI
DESI6 PNOFESSIOI{AT:
Et{6[ DE5I6N PiOFESSIONIIL:
-
nrruns
I iEmcauo
lS BLDG
SPRr.rneneOZ I ve, ElNo
rrr.
ft urr11[ ADD
m Exrsr srRusn RE
Poucr on
this Buitding fl-ves E no
YEs p16..*..
is the ilcu occupancy tyCel C>Fr2C. E
1'--- Nc REG
#:
PH:
-
C REG
*:
b food or berotlgss grtp.rad or sen €d in Urb
sfraureZ [Ves
ffi 16
lhe Popeny Loctod In
Thc
Ftoodptain?Eyes Eh{o-
,",f B*iil'* J#pJ,::g $* .,lJlgn;l"i{ $,!.iBF"F5,tffi;yi*r,silx,"Tf, fl,L'*,#g'#xffi
El
gy'f#"J tisl"'r€'c1or
rnrormar ro
ffiiiflilfl ,sJrtrft'fi ffi
HF:Sfrft]ffi
DESCRIPTION OF hIORX:ol///4
ifidher tha
tdllv or
hrtsh, 1.t. lblJnd
to(018)707{gE0
.llead 10 day! prior io
tir
TOTAL PROJECT ooo BUILDING HEIGHT:
/L lf f OF UNITS:TOTAL AREA SO FT :
0-SQ FT PER FLR:/3otzrorALsaFruNDeaaooi@
*orsrnucrunffi-#0F
STORIES: I
#0F FLOORS:
ACRES DISTURBED:EXST LAND DISTURBING PERMTn
flvrs [HoNEW IMPERVIOUS AREA: ..r e?EXISTING IMPERVIoUS ARE{.
SA
FTPROPERTY USE:
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