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JANUARY 4 2016 BUILDING APPS
*TCct.cvn rt *z;a0r5 T|SE APPLICATION Number (office Use) ftonee r CITY: ELOCK f: APPLICA T'S NATIE: DEVELOPER: PRO]ECT ADDRESS: SUBDIVISIO'I: PHONE *: DATE: I ID 3 ZIP 2 _ PROPERW Ol,liER' S tlAl'lE : O ER,S ADDRESS: L UID CITY: LIcENSE f: ID5LLcrrY: NlUiumsrn LOT #: PHONE #: L'tIb 44N1,U sr: Li zrP: - PltoNE *: clrr:,21413ct, I PIoNE #: q\D 4413it? I E No CONTRACTOR: AIDRE SS : IIATER: SEI,{ER:R ir.il*n*ru Covinohrn t 4 Eirarl aDDREss: he[cD \htflcntit0ie\ri\c. (()4? J PROJECT CO{TACT PERSoiI: EXISTI]{6 COIIISTRUCTION : ilA LTERATIONRENOVATIONGENERAL REPAIRS RE LOCATION NEr{ CONSTRUCTTOT: I rneCr r{Er{ RESTDENCE o" fi -rrrro' TO EXTSTTNG RESTDEiICE *IPLEASE CHEC( AND A}ISWER BELO{ ALL THAT APPLY TO YOI,R PRO]ECT: [.arr cenece - sF f] oer cnRaoe sr ! eoncrr - sF suN R00t4SF I aoor _ sF ! sronaer sHED _ sF ! cnerrurouse - sF I oecr - sF OTHE R :SF TOTAL HEATED 5Q FT:74b?. rorAL PRolEcT Cosrrr-essr-oo : $ MfrWjLSL * oF sroRrEs: L Is Any ELECTRICAL, PLUIIBIIG or Ii|ECHA'{ICAL Wonk Being Done to the Accessory Structure? E Yes EtoIf the project is a Relocation, is there a Natural Gas Line on the Current Site? E Yes Is there Electrical Power on this Building? EYes ffi Fn" PROPERTY USE / OCCUPANCY: DESCRIPTION OF WORK: SINGLE FAMILY DUP LEX usE L. DISCLAIMER: lhereby cerlity hat all inbmation in his applicatoo is cor€ci and all wolywilh he Staie Burlding Code and all orher appticable Slae and ocat aws andordinancesandr€gulationsTheNHCOevslopmenlServic€sC€nErwillb€notliedolanychangesintreapprovedplansandspecifcationsorchangeinconlractoror contacbr intormalion "'NOTE:Any Work Po aE Permits willbe in Violation oflhe NC SlaE Bbg Code and Subjecl b Fines Up To $500 00.., Ot.tlNER/CONTRACTOR : * + i.* )*+t *,** * )t *Nane)*,t**:f **)t*)t)t***rt********,f ,i** *****+*****,***,**++,***** IS THE PROPERTY LOCAYES NO creul I co]r'ruNrw ,"rrr, (r*rror, *ru creul I cENTRAL sEprrc I enrvare seerrc AL ACRES DISTURBED: ExIsT LAND DISTURBING psnmrr: Fl yes l]l NO ! cnrrRal wrLr ! coltttunrrv svsrem *** SEPARATE PERII'IITs REQIJIRED FOR ELECT, IIECH, PLBG, GA5 EqUIP, PREFABS & INSERTS *** payritENT flETHoD: I clsn I cnecK (pAyaBLE ro uc1 [ aueucAN ExpREss [ ,cuvrso fl orscovrn ,tr+++{r*,t*,r*r.,}*,*++:t******,t)*)**+,}***+)i)i**,t)i)i***t**)t)t++*,t,****x,*,f++**,*,******,t***)*********,t*)*** (FOR OFFICE UsE OTITY) REVISED DATE O4l11/12 SETBACKs: F:_ LH:_ RH:_ B:_ZONE: OF F lCE R: Approval:_ Cj.ty:_ DATE:_. FLoOD: _ BFE+2ft= _ AVN NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAL PLEASE ANSI,/ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Project Responsibility" sr: l'.rL zrr: - h.,rie r DreL Y-rvt t,ll rlrrrnrvrrrhtt^ 1 TOTAL 5Q FT UNDER ROOF: -7a;oo TOTAL AREA 5Q FT: n tr IN A FLOODPLAII{? EXISTING IITPERVIOUS AREA: -SQ FT NEt,l IIiIPERVIOUS AREA: - sQ FT srcNAruRE: (e flnnnU, \ (nvt r,,r nlrl4 a-z l\1- ltrcu;.6 5oc{,e4.. \\q, \a\,rv.ikct: "7a 7 NEW HANOVER COUNW BUILDTNG PER'{TT APPLICAITO//I rrpEI COTIITE RCrA L Pr€asE a[sIER ALL qJESTIOilS AppUClltE to yow ,Ro]Ect "Project Responslbilit!/, CITY: L cIw: zrp: &€ti, j- APPLICANT'S AT'IE: DEVELOPER: PRO]ECT ADDRESS OCCUPA T/BUSIilE5S M}tE: PiOPEiW OMTR,S MflE: € OT{NER'S ADDRESS: PHO E *: PHOI{E t: sr REG IIC REG Q-t : ZIp: crw:ST Ei'IAI L ADDRESS : PHO E f:PRO]ECT COI'IIACT PERSOiI:P}O E *: EXtSr CO STRUCnO{: ! elreurror ffi.r'JiI .t A1l Th.t apply) TION GENERAL REPAIRS I ner.ocenon lf Relocation, is lhere 8 NsturalGss Line on the Curre Site? uYes NoIS BLDG SPRINKLERED? to futotr NEW CONSTRUCTIOfi: tr ERECT t{Er.l STRUCTURE I rlsr r sxrrr. f(urrr a ope IO EXIST STRUCIURE RACK ACCESSORY STRUCIURE: If UPFIT - The Shell Pernit *: COIIIRACTOR: ADORESS: t*.*. JS TIIIS A CHANGE OF IF Y€s, utrat yas thc Pr€vlous Occupancy T)?e? LICE SE 8: 2 USE ARCH DESIGI{ PNOFESSIO AT: ETIGR DESIG PROFESSIOIIAL: ^&i aul.-Zrc /(rrr,z<//z.r 4/2-21,/-Jq77,//Z''zzZ-/ji / A(!mht.-/ . Ja.'\ --Lb8t )-1 ,') I I *, JiE- Is Elect poueF on this Building ry*, ErcIiHA.ts E m '..*.hh# ts the eu occupancy rypel c c PH: DEScRrPrroN or wonr, c(f,obuq-caD cc t"& ls food or bevarges poparsd or served h rtrls sfuauc? lves ErNo b The properry Locsbd In Thc Ftoodptsin? E yes sNo c.,,r,r, a pf thls ls NHC Cod€ 6nd all OIVNEFUCONTRACTOR: (qdi.i SIGNATURE: ACRES DISTURBED:EXST IAND DISTUREING P€RMTN flvrs ffioNEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIoUS AREI: treouc flpl fuxoo snd !o --- SQ FT orreo f,S?olv-,\- WAIER:COMMUNTTY S\6TEM tlWEII.EzoNtNG usE q.ASSIFICATION:SEWER:c=Hrmlseelc !PRIVAIESEPTE E@IIMUNITY SYSIEM ", SEPARATE PERMITS REOUIRED FOR ELECT. MECH, Pt!G, CIAS EOUIP. PREFABS AINSERh -. PA\0|ENTMETHOD: [CaSx flcneo<paveaEro NHC) flailsnrcruir E(PRESS fllucrvrse E orscoven FOR OmcE t sE oNL,ZONE:-OFFICER:SETBACKS: F: LH:_RH:_B.Apprc\ral: Crty:-DATE:__,,- FLOOD: --- BFE+2ft= A(crpur - ffcreue fi N Comment:PERMIT FEE: $ REVTSEO oArE {/ll/12 co\c) p-p-ridi-lor umber (Offlc. Ur.) ,or., lA- tf- lj- TOTAL PROJECT COST:fOFUNITS: 3 f 0F STORTES: t#0FFLOORS:- pRopERryusE: BFFlcE EnEsnunmr fluenceNlu ,Qo r=- lZoS3 c,, 2 \) ,,-.r()1 1:l ir'-,i. !t !.k NE',,J HANOVER COUNW BUiLDfNG pERII{IT appL rcatrot nEr CO,SIERCIAL pLtasE arl:rfD AtL qJtgTJCr]5 ArpttctltE ;: your piolE(.r "Proje(t Re3ponj ibilitf 'n APPIICATIOi/ llunle r (o.{l<a uir) APPLICAI{T'5 TA'IE:t/,/z,,,,, 1 DEYELOPER: . ' ProlECT ADDRTSS i : iCITY PHOit s: Ptlo.lt $. 'l ''- l€<(L i,{ t c0\liAcToR: .z/6 LlcrHs CfTYI:|: x- ErI5T cOflSrRUCTIOI{: f-l ltrrnar: l i! t"t\ \ Reloca oo, is $ere 8 NeturalGes Line on the i{Ehl co\STnucrr&{; ! :nrcr xer srnucrlnr f}res.r ACCISSORY 5TRUCiURi i lf UPiil - Th€ Shell P.f-i'r: ra Yes, List L"9 th€ Pr€ AiCH | :--,h --t!S---- I L Elgrurrlt rrrrrns f] tELoc^rr${ Yes LllNo tS BLDG-SEqr\( rc:lr f vo ffio rnrcx f sxtlr 1'jurrrr 3 rDo ro rxrsr s-Rr*"tuRE a tl PHcl,ra s! _-__)-;,ll i.. ,, IC REG t: ' rc Ft6 t: L ,RIPTrO 0f '.?q(:(a) (ar ..!. rs ri,;s r cHorGT oF. ocopugv usrl f rcsvifts o:.uprnry ryp., L!({th. \,1, ,,,i.: rs : 7 i i ( :',..'c.l :- .. ip11. I . '. . r ''1 , ,rr.., p11. '){-,-1).rz---=:':-=i1i--: ---=---:4 Is Elect porcr on thts euildtrrg ffVes f ,O f,ro "...th. L!a, oleprn(y rtne? jl .,,,rr14. / L., t- ts lood or b€vsrEosa lega.ed q ser"d h this stlElrEf IVes fiUo k-Ihe propelly Locsral In TIl€Roodrratn? flyes Brro " i' -' 'l raws.r6E) rA.$l.r tr L.irli .. llildhi rrs tsrnn to@rrrhAr!.s1o. d ntt Ycr3. _eir r r,. .- - '- oi'ryri-'_ c"_ - -a- .Pirc lc BUILDING HEIG'TT TOTAL AREA SO l-- L SC - iEi FLR: it IC-]'AI. SC == UNDE; ROCT f oF uMTs: ' '-- SOFSTOR|EST I t 0F FLOORST --i--=- ACRES DISTURBED: 7 _"- TiE"./IMPERV'OUSAFEI:, Exsr LAND Drs.ruRBtNG IERMm nyES ErcSQ FT L\ISTING IMPERVIoUS AIE,! Sa - PROPERIY USE: l-crrCr f]REs'TAUMNT f,uenceHlle lewc I rrr ftoxoo orxr* | r{r,,"N WATER T'<CFPUA T''1 sEw-"ER: E CFPUA E COMUUNITY SYSTEM n |VFU _:ZONING USE q-ASStFtCtrON: cFrilipel sEprE f, p-RtvAIE SEprtc IcoMMUNtry syslEtv -. s{ra:iaiE PEFMris REoirrFit roF -.u:cI. MECH pL8G. GAS EOLtp ,rir PAYMENT [TETHoo: [CSr IC|.ICCX PAYABTE TO Nrc) E*rEPCAI tr8s I r\SEP.is - E|(PRESS EIMc/vrsA l-] otscovr; l\ --: -' t-.1 t ; aoir-IAa: I ,/1 -t.'+1 Jf,IS-7Y7S NEW HAN.'ER couNry BUTLDTNG pERr,rrr r016-l/ De. APPLICAIT,5 AI'II: DEVELOPER: PROJECT AODNISS: OCCUPAIT/BUSU{E5S MfiE: PiOPERTY OU ER,s TIAfiE: <t_7q O}'NER'S ADDNESS: CONTRACTOR: ADDRESS: EIAIL ADORESS: P8OJECT COITACT PERSO : If UPFIT - The Sh€II Permit #: NEW IMPERVIOUS AREA: APPLIcAtIOfi rvpf: CdrlltERCfAL E ANSXEn Att QUESTIOXS ApptIAIIE TO youR pRo]Ecr ct Rcsponslbili!/ ;1 CIry: crw: LICEilsE *: AP P T ICATIOI{ t{unber (Offic. U,.) DArE: le-l J-t ) PTO E *: zIP: A&qo.s- PHO{E *: "1@7. STZlP:. Exrsr col{srRucrro{: E arrERArro, E.rrJlIilili ll Relocltion, is rhere I Natural G8s Line on the Cuirenr Site? [ r{El{ co srRucrro{: I rnecr urw srnucrunr I rrcr ACCESSORY STRUCIURE: clrY: Pltot{E *: PrcE*: Ih.t&ply) Yes GEI{ERAL REPAIRS I ner-oclrror IS BLDG SPRTNKLERED?@v". firvo TRACI( tr sxer.r. f; unrrr ADD TO EXTST STRUCTUNE Is Elect power on thls Buitdin8 gfi.. trro PH: b44Z PH: ,r,//Z!Grr,o- NC nte *: -5&, 1-ti7' NC REG #: 1l>{ <)) - .+.r. Is THIS A Ct{ t{GE OF OCCUPAI{CY tsEt E".tIF Yes, xtat Uas the Prcvlous Occupancy Type? lhat is Occupancy Type? &'-th€ l{en ARol DESfG PROFESSIoN{AL r EI{GI DEST6 PROFESSIOML: obLlcDJ DESCRIPT]ON OF l,llORK: TOTAL PROJECT COST:BUILDING HEIGHT: .7L TOTAL AREA SQ FT : SQ fi PER FLR: TOTAL SQ FT UNDER ROOF: :<# OF STRUCTURES: ACRES OISTURBED: d- DGT LAND DISTURBING PERM SQ FT EXISTING IMPERVIoUS AREI: l,cA( ls food or bsv6oges Fepared or sqved in ftrf *,rct reZ [Ves (Ho ls The Loca66 h thg Ftoodptain?fl yes Stat€ a # OF UNITB: I f 0F STORTES: ,1)#0FFLOORS:- bdldhg wla tol,d to al b.sl 10 day! 9.lor to 0p mff ftto SQ FT rcERESTAUMNT fluercmm_e fleouc f]aer f]onoo OTHER: TON: ". SEPAFATE PERMITS REOUIRED FOR ELECT, MECH, PI!G. CIAS EOUIP, PREFABS t INSERIS -'pAyuEin METHOD: ECASX flcaeo< leavraG To NHC) trAMERICAN O(PRESS @uornsl fiorscovsn PROPERTYUSE: MFF WAIER: XCFPUA T"I sEwER: EGFPUA EE[SHTIFA*8,Fff$..* EBf;,lijxffv:im','* ZoNE:-oryycen, =r,=. ('oSffi[{,"J--.",_RH: s:Appmvat: Ci$,:_DATE: . FLOOD:___BFE+2|i= t{ Commenl:PERMIT FEE: RAyAEo oATE (11n2 ,',.1/ \ ' J-,t,,(\ i zl .). Dez NEt., HANOVER COUNTY BUILDING pERI,IIT APpLICATT0 rypE I COfiIIERCIAL "p.ojkct L Rr iponr ibillty', 1,: )ol, *ll j+.t i- lY 7S APPLICANOI iluabtr (Oftia! Ur.) \@, APplrcam's riA-tlt: PltAsE Atistti alt sJtsrlo[s appilc^StE IO yOUt ?Io]aat ! ttr }E C. : c..lrzAuI -"-- r5s !a : ,, Pt{o{[ r: PtfiE t: I 9'j tr . -' j CTTY:lr,l 2i ^ 'i ru CI TY .r:LICT CIIY: 15€ *: sr y'Uzrpr _l/Plo r t! .J .. PlFflE t: , ' :- - ." ./ - ,r: ,- EXIST CO STRUaT:o\A)I EUCVAI:arl 6ENEPAL iETiTR5rEmclnoH x.Enri, E.res f xo ] loo ro Exrsr !rRUci,..!rE - !:. r:-- -i.e cn lre C 1€ o IS Bl 5a SP.r .; !:,! al , i EREcr lrEi, sriucruRE f rrcr rucr f sxer_r- I uorl1 ACCESSORY STRUCIL: ': I+ UPFiT The Shell Pernit #:Is Ellct Po*rr orl thls Buildlng frr", IHo rs iu:s A o1^ri6r oF occuplllcy uset flvts &'*.....IF Y€r, liat ,"!s th€ P.avlou!0a<upincy r-ype ? It.1 j.5 thr flct, Occup.ncy type? ASCH DESi6x iftOr€S5to.{AL; i . i- /-:-..- "PN:,f 1 ; I E}IGR iESrO,' PFOrSSS:!|iltr: --' I r \ PH: L) (ah..r r:1 rh.t rortr ) IIC REG {: tl( Fsa l: l<- : !s:.: !- - - 3N Of 1ORK: f\ ira,i :. ,xitr,hf *ts a_-,: t.(r,-. - Alt t-r-: i:-* Y.- '!r . 6.yr lrt to!!a.n1oll&n ol rry.r.,4f c :rrf,.! si Ar!..1d ntuD strlr !!t'tf.*.lrlrtd._E BUILDING HEIGI.IT: TOTAL AREA SO ET : - , SC F.I PER FLR; TOTAL SO '' JNDEF F"'f CF S-F.JCTURES: Ir Or rrOOaS, --]-- L}..- -AND DISTURBING .-:].,-. n\CACRES DIS-I]PBED: .I.V iMPERVIOUS AREA: PROFi NTY USEj -2(l*0FU"nS: i SO .- D(. |rc lurEr.r'louS ARLq. q6o,ce -RESTAURANT [uenCeXrru leouC [rr: I,cOHOO OT FPUA ,T_ICOMMUNITY Sr/STFM Tl WELL _nZON|NG USE q,ASStFtClTtON:ra;4 -i 6p-q11 srarc f r-nva'r sEerc Ed6Mlruxn , s-v#i" -- :z aR!-a .:r,,,-: :!.2u,r!a :aa €ttcl ,,aEc8. ptlc cAs Goutp >:!raas t lNs€Fh _. SC sEll'En PAYTTENT trETr.OD: ECASH EOiECK ipAyABG jo NHC) EA^lrCrclx girrnts"Lt MC/vrsA [_] Dtsco,/Et ; r, ? c- a€ usE o{LY)zc __a -- ---SE BACKS: F:_ t-H :.-*_ RH:- B:Approval: Ciry:- CirTE: FLOOD: --- BFE+?,i: C -- ?nt!ERM:T FEE; $ na\4s!t0^E(1!r2 I s ir r. _ S --tca C. .Dt ^, i: ,- - S.a;atj:!,lr Th€ protelr/ Loc.tGc lo Th€ Ftoodphh? E {es BNo p|c;tie s!?ae d,olbll -t' - i--,( \Dee I'IEW HANOVTR COUilTY EUILDING PERJ,III A ? E L I cAr I 0,t ryrr: [St]tlRClAL r:!.r3a r$rli all q,!a-Iont :,-ta:!1a r0 yout ?Rrltr, ".-ojl$t ), 3l'1 :'i17S t: r.^si!llity" lPPtICtrloi ltmbrr ' ! t,.: Pat A'PLICATT'5 }i.JiT: DrYrLO}*P r Dr'!r: P&]!ia r:pioiffr llxlss -_:-- -.-.cl1l ocruPl,a?,rll:SINI5s !t&,i!: l\\i..- J,.-*_*-* :tp,-::jj. PaoPrftr 7 ${rti', lart o.';t-D 'S ,Ootrss Col.Tq^.-ri l PRolEdr c06fi acT P€nsolil Plic$ta ,: "-"..-._* t: rl,* Z:o: iJ - !lc,!,5t s: a:iY: ./ ,,.rtrr,',J7 plr*'r i: , ] PBO*'E t: t €xr5r c&rsrxurr0r: l-r r*tnrt:o* 5 .rJilirg 'n?r'ih" r:o*es f t€Locry:r* it F.l..nio4 i! 0rr,. 3 {lr:a: e 6t Line on fie C t- :hc. f,"*-frlo ,Sg, :": Sp,XX.iCfIri$i* [Ho!t co!$rqiJ(rr(r: f rrrtr r:l stru.lJig I rrs.t ,*x* L sxelt ! urrrt : - *'rrrri ,*r*o,accrsso8Y :Tiuolira I P er cn :hls Sulldjn8 f1.)-/YEs L:j r& ",..& t|* {e 9j61p;16y 1r*1 I{ lJPt: i - -rhe Sl.]L ee.rit r1 :i i cr{.r.r or ocorarv ,crl l]tf Yar, ril! '.rs lht pFrYlo..r oac I: Illrt a: , . , N< l:," t. . tr( flEG Yes tr i0 lto{ r:gl&i rFoFEsslo /rt: EN6t :tst6!l Pi0;t!J:cfta!: -'<-:-..:,i 0f toRx i TOIAL PROJE': CCS- rO;A]. AREA SQ " ; .r v !r,tpEEvrors l4E;l; '/tc, r- 'EUILDING HEtcH'tl SC ': P€N F.R: ,OFUNiTS: i , ot tr-cF;asl 'i t-r - l.Hr t i.&.,: .a.r.r!ti, I trt at!a! !tr,*rr !.- t rrt5..{,r- ,,r b !. aran '!.trr!., !t r:rr':!!,..l.: a::.i. \'.. cs!t- f,!!.d., d r5 Yoc v. .@.r,..d a c.r tr radEn ' s.,l!rtn Stndrd, t.';!1.,r ., ':'- r,:.raAp: ! ?. a.ndioid l.i'..tly d:$t t S- raLra ltaO Eie $;,,{* .}td.rr "t..'?.::: : ." rl ? (.1 rotAl- so ,r UNDEF F0ca -_-:J*._,cr s-F.lc-_RES: acnfs ol5:1la8e0:t] 9' :AirD OISTURBING r':-'l-' 1* tES I'xc { 0f FLOORSi sc;to(r:- .tG rurE: r'ous A8!_A PROFi-CIY USE:REETAURATI? lurncurrr jm.lc Irl' ];qNDo C I,,: ': sEwi r +1- Tco llliluNl'Y s\6;E t cENq,a,L SEp'rC ;ptitrArr scpis T:COMMUrl?v SYS-r[r rwEu l: iSlt,Nc UsE q.{ss,F Ja}tr: jdl _*--*so. , r, t c- cc t/t€ oaJtYl pAyl,rE{r ',f .} r.oD: [fc.AsH nc+rEcx i?AyA3s ro N]lcl fiuenrca* Eranrss L! MC ,4SA LiD|SCC.€R ZON;. . CFFCFa'_ .:- *_ SF!BACT(S.F., tH:*__ Rl!: B.approvsr:- cit).** *..". ii€:;,-:.- etOOD:_ -_.., _ -*r-=ilr, C.r." - ?nl 'ERM- ':E: ', iECEtvED A$28 ?015 MOSER I,€Ci{NNICAL IN' ) rlt6- l'l PA6E 91l81ABl28/2A15 89: 1ot*'4 3103993733 !lEh, HAI,IOVER COUIITY FUILDII{G PERHIT itqLzrtttox rvw. tofiHlnclil PLEASE A!I9I€B Ir[ QUESITOT{s IPPltCAaLE TO loln ,}ooict -PPoJect f,espomlullty{ if>s;-o appLrc tr,S !Ol'{E. trafrttea! !B.l lror'r Pror€rty }aalEg|anEnt rr4lE r APPLTC.ATIO{ Itrdb€r (O+fl.. Ura) ol28l t5 DCI/ELOPER; . pRolEcI ADnESS: 121.1 trlr.t l1ar at OCEI'PiHT/IX.EI E55 AllEI CITY: wl.1trdsgton mopEFTy {nloER, 3 fl4!lE: l'Icfott !r aad llor6t Plopdrty x.!gr!1cr1t pl51g p; 910-232-280, STt !e Ztpt 2e401 0{ E( '5 A9OiESS; 1Z1Z rrrr.t.],la! Et CffY r Ftfnillqton COftIACfOt: Mosor Hoohdrlcdl tlo LICETIS! *: 74655 aDDRES6: 1212 Xar5te11.r 6t CITYI rllnridqtoD 9rr I zrpr ?!jgl ETATL ADMESS:oorltrot aDot atrEohdlcal . o oD ttf tE *. ero-I31-rs04 PEOJECT C(I{TACT PES]fsI'.reia t(o6c! E tt 0r 9_10-685-53s5 PH: PH: fic RE6 r: NC RfG $r T,fSCRIPTIO OT !ORK:Rl,!rn,{r to f,IoorLlg rystod! ll! bull-&l,ng, additLoa oJ art6rio! ltlIloare tsfi.d fiba,.rega. pllpndacEd h lt rfi,.&r?OV"" Elr.lo bfte Frsdy t4o*d fr ts nOoqAnrffver QtNo @dea di6r 8!ato ard Exrsr coorunroil: I mrsnrtrul t] *,Jil^l]&"8;'ilin r f,EpArRs flnrloanqr f Rllcdotr, h h6.E o t{6hr-rt ca urr on the E r"r,r grt flves-Qt xo ts aLDG spfiffflEnEo? O ve6 E No NErc cofis?Kisrroir | [ rnrct rrr rrnucrms flnsr tnmt f] sHe u f] uerrr f] ADo ro Exrsr srnucruRE ATCESSORY SIRI'CTIfiEI I+ UPFIT - The Shlll Per!.lt #: ts Plert Itoter on thlr Suildhg (f ver 6t *o ..r',s trs tpts A clArGE 0r occ.rprir:rv rxrr (f vr; EI no *..' lF Yrs, *rst r*r thr pravlout OcEupltcy B'pct _ trrrt 1r thr l{* Occup.nlJ, Iyp€? _ AnCS m3lol PnoFESSIO{AL ! E{6r Dclnt PaOF!S9Io rlI TOral pfio.srco6r: 3a,ooo BUE tltQ tErq{f: 39 ,t#oFtrN{TS:1 TOTAL AREA SO Ff:1200 3q FT PEF FLR:taa ToTAI SQ FT UNDER ROOF: r20o - *(f, gTRt CTUFIES:.1 SO FT ,ICREB dSIURBED: E(sruflD Dlsnftartl6 PRUrt?(f vB ElNo .\EW IUPERI/IOU8 NEA 80 FT EKSM\G Ii lEftT,iOUA 'fiEAJ tro8oFFEE UE pRopERF/ ulE fAmce [resrru*lrtr firnarmr-e f]erruc f]r,rr fJonroo ottE*-* S#[ gffi Effieffi%ffi*,* rffi"#"i.ffi*N: --., S€FARA'IE PEAM'IS REET'IFED Ffi E-ECT. i€CH. PIBO GAS EOUA PREPASS T I\6ERI9 'I.o**r OorsercR, zor.re LI orprerc SETBA]CK8: FLOOD: or{tY, ,/ F:--IZI-LH {tl,tt lno AFmtd:- PmdE f: 9!.0-23!-2804 ZIp;28d01 I I i #ff grofrEg: I tof, Ft ofis: 2 effy rupocllon tuqurca, 91$254.09tr] lt ZB/2A/2815 E9:10l$!,l 9183993733 t olb;J'1,,,, if">SlC) APPLICATIOI{ Number (office lrie) APPLICAI{T,S I{A!E; l{cPetterE aDd MoEeE Property lranagern€ut DEVELOPERT pX63pg1 IODRESS: 1214 uarst€llar st OCCUPAI{T/BIJsINEss NAllE : IVOSER MECI-IANICAL INC NEt^l HAI'IOVER COUNTY BUILDfNG PERI{IT APPLrcarrdt rrpE.- cO IERCIAL PLEASE Ar{strER AtL QUESTIOT{s ApPLICABLT TO YOI'R pRO]ECT 'Project Responsibility$ CITY: .tliLtrdDgtor EXIST CO STrurcTION 3ALTERATION RENOVATIO}I l7l errrnel v"?@no IS BLDG SPR'NKLERED? o oREPAIRS RE LOCATION lf Rdocdon, is lhere a Nstural Gas Lin€ oo thg Curre Site?YesNo PH: DATE ! 8/28/15 pROpERTy oI,INERTS [AIitE: I'Icfetters atrd [oseE Property usDgarlcAt otJt{ER,5 ADORESSi I212 ua!3te11a! 6t CITY: wiluiDgtoE COiITRACTOR: Moser !{echanical rnc LICENSE #: 745ss ADORESS: 1212 uarEtellar 6t CITY, wtlmlDgtoD EHAIL ADDRESS : contact8trDserDBchsrical.coD PROIECT COiIT CT pERSq! i rami6 xo6sr (Chelk A11 Thrt Apply) plo E *: 910-231-280{ ZIp:28401 ST, ac ZIp, 2 8401 5I: 11 zIP: 2j1!! pt0llE #: er0-231-2804 Plq{E #: 910-685-s3s5 If UPFIT - The 5hel1 Perlllt #: Is Elect poHe. on thls Building O yes O no A cllAI{GE oF (rcupa{cy usrr Qvrs Qlo ...'* IF Yes, Ifiat Es the Prevlous Occupancy Type? ARCH DESIGil PROFESSIoT{ALi hhat ls the tls Occupancy Tlpe? EIGR DESIGII PROFESSIOML:PH: NC RE6 *: NC REG *r DESCRIPTION OF WORK: Repair to ffooring systgm iD bultding, additiotr of, exterior staircaae E lbod of ba,sagE prep{sd s Esvsd h tis *uctrez OYee O r\,lo p ff* Aop*ty Ldd ln Thc Ftrir.t6anz Q ves Qt No Code end oll othetStale and (r'ed TOTALPRo|IECTooST.30,000 BUtLDtt{G HEtGHf 39 ft# OF UNITS: 1 TOTAL AREA SOFr. 12 00 SA FT PER FLR:600#OF STORIES: 2 #OF FLOORS: 2TOTAL SOFT UNDER ROOF. 1200# OF STRUCTURES: . 1 ACRES DISTURBED:E(sT|.AND D|STRBING PERM]T?DVES @ruO NEW IMPERVIOUS AREI':SQ FT E(STING IMPEF04OUS AREA';SO FT PRopERTy ugE: lorrrce lnesrrunar,rr [urncarnr-e lsouc flerr Ehor.roo OTHER X.ae b{ndoo ndLdar. I & rgrud pqml sppL.dorE c !o b. simltrcd ullto rr SdLri..r t m (I}rHs-t7tg, ffiErtEEdtry a hlldho rts fouid b cclt hA.b€se nc- Yql s! nsrh.d to cdt iL tl*rc EnLlo.r Effi s. H&Erdow Ar PllrEt (NEsfuF) { (8147rram I h*t to tty. Frrb {FCnffin drvlclry d ulEno. 5- e ufi StF: t@rlvl*v..dn6G-nc,ua/adrbDaaio.rrftfip.htnt WATER lTlcFpuA ncql/n uNrry sysTEM [-'lwEtr f-]ZONr\E usE o|-AEaIHCATKTN: sElrvER aCFpUA I]CENTR L SEFrlc fle-ruVrre SeerE E6i,iruNtry srErEM .. SEPARATE PERMITS REqJIREO FOR EI.ECT. MECH. PIBG. GAS EOUIP, PREFABS & INSERTS'" pAyrrrENT METI|OD f,lCaSX @OeCx FAYAB|E ro r{}c, flenenrcen eeRsss o ucrvrsr o orscovrn ZONE: OFFrcER:_ SETBACIG: F: LH:.- RH_ B:_AppleEl: Clryl_oere: FLOOD:--__BFE+2F-*- tu .....-. . r'.. (FoR OFFICE IJSE O|{LY) FEVTEED o rE,all.t,Iz N No oECE|VED AUG28 2015 I Y\, A4"Wut NEU cor{srRucrrol: I rnecr Er srRucruRE ! rast rucr f] sHELL t] upFrr f] AD ro Exrsr srRllfruRe ACCESSORY STRUCTTRE: .ecEtvED Ats28 m6 eotb 1Y AA/2A/2A75 A9: 1AAr,{ 9183993733 I'{'JSFR I€CHANTCAI TN' NEW I{AT{OVER COTTTITY BUILDI]iIG PER}IIT APPLICIfidT ME.. Cd 'E RCIAL PL€AsE Ar6ra€R ALL QUESTIOI5 ApptICABLE TO !/UI piOIECI 'ProJsct Rerponslblllty- CItY: .wllrdoqton PAGE B1l61 SATE; s/28/ts i\*->s>-o APPLICITI(,{ ttrdrr (Oaf t! Usc) ^pfLIClJ{T, S tlllE: XcPrttrra aBal l{olen FroFrty ttrDrgc:rraDt t avEL(ptR: PROIECr AmESS: 121{ rrst.116r 5t (xorPAtaT/ rrsr EsS tlAtE: PIS{E f: 910-231-280{ ;lffi;Hfr H,:::fl:LHffi"fr :ry-',s'Jff*.tr*#Hrfi vepxo t{ai corsntrcrroi: I rn:cr rEt srRucnnE I sr rucx f] sHer.r. I urrrr f] AoD To Exrsr st*rJc.runE ACCESSOftY SIRI'CTInS: zIP i 28{01 pf,OpERTy ff*Rrs [All€: llcfett€rg atrd Norer Propelry tlaD96rtEat pt(ItE ,: 9r0-232-2so1 0l aER,S ^0OftEtS; 1212 sar.tillat st Ctfy ' Hll-LiDgtoE sT: lli zIP:28{or CO TRACTOn: lloser l{echanlcnl Irc LICtitSl *. 74655 AmESS: 1212 raratella! 5t 611y I rllolaqrton ST; nc ZIFr 28{01 EflAIL ADORESS: contacttDrerrcha! icat . coD pl(llE *; 9l.O-131-2801 pRoSECr CdilrlCr PERSoII' raraia lro"r pltol! fr 910-685-s355 I+ TPFIT - The 3hc11 Perllt *:Is El.ct pHl. on thls Butlding Q ves @ m I'C R€G ':PH; _ iK BE6 sr DtSCRIPTIOI OF NnR(: R.p.i! to floori-rg .yireD j.a buj'lditrE. additloo ot cxtcrj.or staircai€ bbods!.\lr.0-prlFdqrlrdhtalnrdrq?Ovaroruo bThe proprry Ldd S frr aoOfrmftvcr ONo Codr md d dra(Sloteud r1d fry r hrllrgE br{rol-.t ro a'. Fbb r. TOTAL PRO.TECT OmT: 30,000 BULDING 39 ft* OF UNITS:I TOTAL AREA AOFr.1200 SQ FT PER FLR:600# OF EToRea: 2 4 Of F|-OORS: 2 , Of SYRIJCTI-|RES:.r rcRES D{STURSED:E<sT urD Dtsn Reno ralnr Qves @lnNEW IUPEFI'IOTAI ARE/,USII FTDO{INNG II$PEFN/IOUS AREA:SO FT pRopcnry t EE f-loFFrcE flnrsrlrrnervr Dmcermr-e fisorc fJrrr ncomo OIHERf-ffigffiEffi'EHffi* nffi,ffi,ffi*-, SEPACA= PEB lTS R€CIJ|aEO FM EL€CT. UECH, PLEG GAS EOUIP, PEEF pAvrrENT ug?rroo [crs+l Qlcx o< 1rAyAarE ro ur) Oexenctr aS 6 rNStf,TS'- E<RREss Oucruqr O oscovEn a orl€E c cclpffY usrl Qws Orp ....' tF Yr5, *rrt rcr tl6 FTayr.etr occupmcy Iypc) _ I!.t lr thr ttrr Ocoaenry rypc? _ AROI Dt5IGII PIOTE5SIGIAL I arn DE9ror ProftsltoaQt I P8: IonE=-oTFe....:---ffiF,[l* R]r-B:_ Er/E r*']r,r' Aprcvrl: ry-DATEI___FLOO(} _AFE+l{t '-AV hno TorrAI SO FT UNDm ROOF. 1200