JANUARY 7 2016 BUILDING APPSj .l t) i
t/lt,l
NEI'I HAM)Ven COU|(
. :, I - /
, Li;ill1llocliY
TY BUILDING PERMIT
1qrft) 3
/ s--
t3z8
APPLTCATION
Number
(Offlce Use)
il
aPPLIcarIoN TYPE: CO}'IIIERCIAL
PLEASE AflSI,IER
ALL QUESTIOIIS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"7
APPLICANT'S tIAIitE :
DEVELOPER:
Eqan Realtv services-Aqent for V
er1?on
PK)NE *:
PROJECT ADDREsS:
s2t7 Marker sr
OCCUPAffT/BUSINESS MI'IE :
PROPERTY OIINERTS NA,{E: Ame:rican Tower CorD. (
Tower Olvner)
OI{NER'S ADDRESS: 35oQ Reqency parkway sre 1oo CfTY: Cary
5T: NC ZIP:27s18
CONTRACTOR:
Betacom lncorporated LICENSE #: ?re05
ADDRESS: e33r B. Fowler Ave
EIiIAIL ADDRESS:
PtO E
S: Ba3-9a6 4922
PROIECT CONTACT PERSON: Susan sullivan-Eqan Realty servicesPK) E S:510-26G-s893
NEr{ COI{STRUCTTOT:
! eneCr irE}' STRUCTURE
! rasr rneCr
I sxer-r-
! urrrr
! ADo
ro ExrsT STRUCTURE
ACCESSORY STRUCTURE:
.(
*Exrsr co srRucrroir:
fl ALrERArron
3 *r,Jffffi'fiE'il*o. nrrarns
I RELocArroN
lf Relocation, istherea Naturatcas Line on the -Current Sitez
Ive!-[ Ho ts eLoo spR]ixLeneoz
Ives [ruo
.3
>sE
----)
s
If UPFIT
- The Shell Permit *:
IF Yes,
uiat was the Previous Occupancy Type?
ARCH DESIGN PROFESSIO AL;
***** rs rHrs a cHAl{GE oF o(cuplrrcy
usrr
f] ves firrc *.*"
Is ELect Pocer on this Building E yes E HO
hhat ls the l{ex Occupancy Type?
PH:
ENGR DESIGN PROFESSIO AL:PH:
DESCRIPTIoN
0F IIORK: Addinq and/orreplacinq ancennas. No change to towe!
heiqht or qround space
ls
food or bevrages preparcd or served h t*l slnrctrez
[ve. p llo t" Th" Pmperty Located ln The nooogain?
flyes
[l ruo
NC REG *:
NC REG #:
OISCLAIMER: I hereby cerlify thal all rnformation in lhls apdicaton is correcl d all work will comdv with lhe State Buitdino co.je an.j
and locallaws and ordrnances and regulalions. The NHC Developmenl Services Cenler will be notfifo ofanv chanoes in ttE annmveri
oI chanoe ln conuaclor or @nrador infonrE[on. -NOTE Any Work Perfonned w/O tle Appropdate Permfts will 6b in Molalioi ot thaSubjecilo Fines Up To
$500.00*
all other applicable State
Dlans and sDecifi cations
NC Stare BldO Code and
STGNATURE: Susan
SullivanER/CONTRACTOR:
(o'diti)
TOTAL PROJECT
COST: 25ooo. oO
TOTAL AREA SQ FT :
TOTAL SQ FT UNDER ROOF:
_
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
WATER: EICFPUA
SEWER: l--'l CFPUA
BUILDING HEIGHT:
SQ FT PER FLR:
# OF STRUCTURES
# OF STORIES
# OF FLOORS:
EXST LAND D|STURsTNC penurz l--'lves
I Ho
SQ FT EXISTING IMPERVIOUS AREA:
Not6: D€rnoli{on nodfcados & 6b6to€ r€rnorral pdrnh apdlcadons ar6 b be
submtt€d rrslng rlo apdicaion fdm (DHHS-3768) wt|oth€r th€
f8dlity o. buldho wa6 folmd to
cofilaln A6b€6tG o. not You
db r€quird
b cdltlg Natonal E nb6lon starda.ds fq Bazadq,s Ar fulutalG (NEsHAp) ai (919707-s9so at te6d 10
days
Irid to trta
domolluon
d sny fedlity o. Ulldlig. Se€ Asb€Gtc Wbb Slte: h11pjl^1/vw epi. state. nc.
uvepi/asbestotahmp hlm I
SO FT
fl coMMUNrry s'r4srEM
fl WELL flzoNtNc usE Ct-ASstFtcAfloN:
LJ CENTRAL
SEPTIC LJ PRIVATE
SEPTIC
fI COMMUNITY
S\€TEM
pAyMENr METHoD:
flcAsn f]cxecx lenvaalE ro NHc) ftnuenrcrur expREss ElMcMsA I oscoven
ZONE:
(FOR OFFTCE USE ONLY)
OFFICER:SETBACKS:
F:-LH:_RH:_ B:_Approval:_City:_DATE:__ FLOOD:_BFE+2fr
-'SEPARAIE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS -'
N
REVTSED
O IE 4Xln2
ffi
DATE|
]9J2f129]3_
CITY: wilninqron sC
CITY: ThonotoeaesaST:
Fr ZIP: 33s92
ZIP:2840s
PHONE *: sae -'7 49 - G927
# OF UNITS:
pRopERTy usE: EoFFtcE f]nesraunau luencamru leouc
[arr lcotoo orHER:relecom rower
comment A v
PERMIT FEE:
$-.--
N\\NE[^I HANOVER COUNTY
BUILDING
APPLICATION
n"E; RESIDENTIAL
?ot$ - lo (z
PERMTT
/f 3sdA
APPLICATION
Nunber
(offi(e use)tu
APPLICANTJS I.IA'4E;
DEVELOPER:
PLEASE Ar'rSl,/ER ArL QUESTTONS Appt-ICABI-t TO YOUR pRolECT
"Project Responsibility''
sJoat4
IJA R Dl tu, €R,o'rrr tTtilo-
PHONE #:
PROIECT ADDRESS: /
SUBDIVISION:
PROPERTY O.I',IER,s t{A'{E: J;,,'
OIINER'5 ADORESS: /Jj
crw:
BLOCK #:
CITY:
LICENSE S:
CITY:
zrPt
29qo7
_ LOT S;
ce ( 6 r/-a3T=TEB6
PHOI.JE
*:7ta-378-8237
*: PezIP:
209of
at glZ
-22
UJt\)
CONTRACTOR:
ADDRESS:
EmAIL ADDRESS I
PROJECT CONTACT PERSOfi :
t^tt' -
t.g,$; sr:$zw:
23tq
PT()NE
*:
P}ONE
f:
ExrsTrNG co sTRUcTroN:
I alrrnarron f] nrrcvarroru
[ eer,rrnrl neearns
f] RELoCATToN
EX CO|{STRUCTIOI:
EI rnrCr NEt.l RESTDENCE
o"
I OOrrrOU TO EXISTING RESIDENCE
I*PLEASE CHECX AND AI'IsI.'ER BELOI.J ALL THAT APPLY TO YOI'R PROJECT:
I arr eauee
-
sF fi oe r eanae
e
luo sr
! eoncx
_ sr
I sronrer sHED
_ sF5FSF POO L
! cnrrruxousr
-
sr I orcx
5F OTHER:SF
TOTAL HEATED SQ FT: O TOTAL
5Q FT UNDER 7@P
1 /O?O TOTAL AREA SQ FT:
-
ToTAL PRoIECT CoST (ress r-o0 z
i /i, ON # oF STORIES: 7
Is Any ELECTRICAL, PLUIBI]rG
or ttEC]Ut{fCr[ Hork Being Oone
to the Accessory Structure?
fi Ves I no
If the proj€ct
is a Relocation,
is there a Natural Gas Line on the Current Site?
[ ves E lo
Is there Etectrica} Power
on
this Building?[ves [l uo
PROPERTY USE
/ OCCUPTTNCY:
n SINGLE FAMITY
,( e/ sf. ,o
fl oueLrx
! rowruHouse
DESCRIPTIOT{ OF WORX:e
06CLAIMER: lhereby cenify fi6161 inbrmslion
h fiis applicstion b corect eod
sttwortwitl comptywih he StBle Buildino Code
and o.dinances and regulalbns. The NHC Development S€ryiCeS
CenC, witr b€ notfed ol snycnOnges in
h€ agpoved pbns snl,
end all
olter appltablo Stab and tocattaws
sp€cifcaibns orchange jn contracbr or
conracbr anbrmalion
"1{OTE: Any !ryork P€rforhod WO h€AppropriaE Peflnirswillbe in Viotation
ofthe NC Strb
OWNER/CONTRACTOR:T-5_G,q t.vEZ-SIG},IATURE:
* r*
*,i, *
*r * r ',,r* *** * * * * *** * r,(liT: Jil"J * * ****
****, ** ** *
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
E YES B
To 3SO0 0O"
EXISTII{G I}IPSRVIOUS AREA:
_SQ FT TorAL ACRES OISTURBED:
NEl.l II.IPERVIOJS AREA:
_ SQ FT EXIST LAi{D DISTURBIiIIG prnmrr: l-l yES E t{O-/
HArER:
n gpua
n co r'luNrw svsrel4
ffnrvarr wrr-r-
! CENTRAT t^,ELt-
srwrn:
ffcrcur fl crtrnnl srerrc
! pRrvATE sEprrc
! cour,tutrrv svsrtu
*** SEpAltATE PtRltrrs- REQUTRED
FoR
EtEcr, r1tcH, PLBG, GAs fQUIp, pRtFABs & rNs€RTs ,+r
pAy Effr METHoD:
El crsx fJ c*rcx (payaBLE
ro n*y
[ *..r.* ,ir.ri, fi-rizrrii -
fJ or..orr.
+ r'i* *'t!t'**!i* **!** *t+* !*
** *,*** * *,*r,r **,1** * + *****+* *** *:* ++ ***,| * +!r *** ***** ***a r+*
**** +*** r,i,:r )i
*
(foR offlcE usE o{rY) rEvrsro DATI
o4l1tl12
*++'t'l *t)t****)**:;**)* jt**+,t* **
NO
N
ZONE:OF FICE R:SETBACKS:
F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE;_ FLOOD:
_ BFE+2ft=
Comme nt ;
I
t
! sulnooN
PERMTT FEE:
Wb -lo?
PL?
rs 35++NEW HANOVER COUNTY BUILDING PERMIT
aPPLIcATIott
ryPE: RESIDEI{TIAL
PLEASE ANSI,IER ALI. QUESTIONS APPTICABLE TO YOUR PRO]ECT
"Project Responslbility'
APPLICATIO{
Number
(offlce Use)
c
(
APPLICA T'S IIA'1E:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDMSI0l,l:
PROPERW OUT{ER's TJA
E:
OT{{ER'5 ADDRESS:
pHoa'lE #:
ZTP ,:
LOT #: _
PHONE
#:
) 7az
ST:
IP:
srzQ!zre:Z
PHONE
S:q0 z./-3?7
_5 7(D
No
CITY:
LICENSE
CITY
DET 6ARAGE
_ SF
POOL
_ SF
DECK 5F
rw:
8[OCK f:
CO TRACTOR:
ATDRESS :
Ei!AIL ADDRESS:
PRO]ECT COI{TACT PERSOiI:PHONE
f:
EXTSTTNG CO,|STRUCTTOT|:
! alrenarroN
I nrruovarrou
I cetenal neearns RE
LOCAT
ION
Eht coNsTRucTIor:
! enecr NEH RESIDENCE
or
I AOOITTOru
TO EXISTING RESIDENCE
**PLEASE CHECX AND AI'ISWER
EELotJ
ALL THAT APPLY TO YOUR PROIECT:
I err cnnecr
_ sF
D
tr PORCH qF
sTORAGE SHEDSF SF
SFfl eR eruxouse
-
sF
ToTAL HEATED SQ FT:_ TOTAL SQ FT UNDER
aoot: 5'-76 TOTAL aREA SQ FT:
ToTAL PRoJECT CoSTlressrorl , I /!,a4y' # oF sToRIES:
rs Any ELEcrRrcAL, PLUfitBrt{G
or IECHA
rcaL wonk
Being Done
to the accessory structure? [ v", [ ruo
If the project
is a Relocation,
is there a Natural
Is there ElectricaL Power
on this Buitding? [yes
PROPERTY USE
/ OCCUPANCY:
INGLE F
ILY DUP
LEX
DESCRIPTION OF WORK:
'Li,a€
SUNROOM
Gas Lin€ on the Current Site?
[ Ve, IErc
contactcr intomalion. ".}.IOTE : Any
OISCLAII ER: lherebycerlit tlat all intormaiion in
his appticaton is
conect and al workwil
and ordinances and.eg{rlalions The NHC De vetopmen r S€ rvicss Centsr
wi be notfied otan
complywih
fie Slate Buitdjng Code and al oher Slab and local taws
y changes in
he approved phns and
Appropriale Permits willbe inViolarion ofthe NC StaE Etdg
,l*:t*,i* *+* *,t*:*,t,i + * ,i,i +* )i*
TOTAT ACRES DISTURBED:
ExIsT LAND DISTURBI G
PERiIIT: n yes [..] rc
REVISEO DATE
04l11l12:_ RH:_ B:_
BFE+2ft=
VN
OWNER/CONTRACTOR :
<SIGNATURE:
**)r****ii+,r**r+)i************ti!'lllil"]**********+,i*+,ts,*)i+**,rx*+**r+**
rs rHE pRopERw LoGATED
rN A FLooDpLAri?
l'-l vrs E no
EXISTING ITTPERVIOUS
AREA:
_SQ FT
(z
WATER :UA
f] com'ruurw svsrem
I PRrvArE T,JELL
fl crrurnal well
SEWER:CF PUA
I crurnal srerrc
I pRrvATE sEprrc
! cour,ruurw svsreu
(FOR OFFICT USE q{tY)
ZoNE: 0F F ICE R:SETBACKS:
F: LH
NEW II4PERVIOUS AREA:
-SQ
FT
*,T* ri,-d,:"^H-#fl'fi-I.}i:[^Jff,.i.,1.'i,l,,''fr'"ff';,:ff .',T-?,"'H',l,Jlio'*"8,,,.0,,** ** *
*** 'r **'r *+)t* *'t '** +'t 't *'r:*
'* +* *,t + *,t )r )r* )*
*,t +:t ** + *
r,**
*** 14 X 411,1* *,**
*,r*** *:r* )r + **,* ** * * * )r
* *+
**
**
s Up To $500.00,,.
AppnovaL: Citv:DATE:_. FLOOD: .
\\s2-;.,
&
D^fE: /z_2
f-/J
/1
?olg:I\
PRO]ECT ADDRESS:
f,zt 7 6 1..a 1/ ^-?crw;
ffz tL- \L
APPLICAIION
Number
(offic€ use)
s;;s, tt/:./,t
PHONE
S: ,.
PIIONE
*r,'. ?t. 'L ),' t
ffi
APPLTCANT'S IiA'4E :
DEVELOPER:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLfASE AtrsLEi ^lI QUES_rIOliS ApplICASL;10 YOU8
PRoIE(r
"Project ResponsibiliO/'
PROPERTY OI,$'IIR, S ilAIIE ;
,, 7a,
-
Ot ER'S ADDRESS:
ttt; 7;, ", 't,.-- .'..-'/ CIIY: w t,^-..Sf I
t::_ ZIP i, t / /r'
S'f {r'_:ztPt rt ///
co{TRAcroR: A+':no'- I tl'-l^-"
ADDRESS: Fir . 8. , ,-.; ...- /. .-
- 7
EI'IAIL ADDRESS:
/?t
LrcEilsE *:
CITY: t''
a,{ c.tn Tl.tANE
4:?/..)... t'/l t ..i/
pl|o E *: 1/t ;ti.r - a..,5.,PROJECT cot'ITACT PERSON: ,r1.", i; , . | ..:;.-,. /- . .
EXTSTTNG CO STRUCTTON:
f] lrrcnarrOru
[RENOVATION GENERAL REPAIRS
/-'*'t
RE LOCAT
ION
IIEh CONSIRUCTIO :
E rnrcr NEr{ RESTDENcE o"
ffi moruoH To ExrsrrNc REsTDENcE
**PL!ASE (HECX AND AllSuER BELOT{ ALL THAT APPLY T0 YoUR PROIE(T:
DEr 6ARAGE
4 g 4 sr
fl eoncx
-
sF
7T
POOL SF
DECK
ATT GARAGE
-
SF
suNRooM
_ 5F
GREEIIHOUS! SF
STORAGE SHED SF
5FSF OTHE R
TOTAL HEATED Sq TT, C TOTAL SQ FT UNDER AOOT Z 1€* TOTAL AREA SQ FTI 1Eq
DESCRIPTTON OF WOR|(:
21' x z )-' c,Ad.,/,,
DISCLAIMER: I h€rltry cerlty hal a[ i.brmato^ n trs sppti.ation is
conect and alt
and orni^ances aid rggulatirns fhe NHC Oev€lopdr€.! S€pices C€.ler r,{ be not
contacr./ intonn6!on.
'"'llOTE Any Work Pertormod W/O ,rc Apprcp,iab p6mirs
wo w,r,complywih h€ Sla@ Blitding Cod€ and a[ ohsr aopkabto Srab and tocal i s
tied
olany cha.rgos rn
he approved phn5 a^d sp€cjfcalrcns or cl.ang. m
contactJr O,sillbo
'n
Vislalion
ofh6 NC Srab Btdg Code and Srbp.t b Fines U; To $500 0C-
OWNER/COI,ITRACTOR :S!GNATURE:
*
** * **)* * r* r(
* r* *** i * *+ * * * * *
I5 THE PROPERW LOCATED
IN A fLOOOPLAII{}
EXISIII'IG II{PESVTOUS AREA:
-
SQ FI
NE IiPERVIOT
S AREA: _ SQ FT
WATER:
E CFPUA
sEl{ER:
B CFPUA
ZONE
: _ OFFICER i
TOTAL ACRES DISTUREED:
Exrsr LAND
DrsruRBrNG ptnrrt: l--l ves @No
** *trI ra * r xY rr * * rtr;r******:'r*
itvlsa0 oAra o4l11,.12
f] comruurrv svsrrr,r
I pRrvArE wELL
CENTRAI ELLI crrurRnl
srcrrc I pRrvArE sEprrc
f] co+ll,rurutrv
svsral
YEs Ei *o
SET8ACKS: F
r*. SEPARATE PER}IITS I*"tir-::,-1--' l:.;JitrnY:Ji1;j:',"'T!,Ji'h'tr';,.'fr ,',1^?,*'H';JI;"'u;*.*-r**'r***')i**r"r*+*****'r****'r*****1*1**i*)i*,r*,**r*r;--;,.;.----.-,**rir**i*t***r.r,r,*.**.**r
(foR cratca L,rst
orl Y)
ApDroval: air,,..,.y._ DATE: Frtu1n.
:_ LH:_ RH:.--_ B:--
_ 8FE+2ft=
ZlPi )t / /,'
8L0CK t: LOT s: _-
ToTAL PRoIECT CoSI rress Loo : I 15)lct s oF
SToRIES: I
1s Any EL;CTRICAL, PLUllEIl{c
or i1ECHA,{ICAL l,lork Bein8 Done to the Accessory St!.ircturel fl V"S I Ho
If the project
is a R€location,
is there a Natural 6as Line on the Cur.€nt Site? [ ves BtoIs there Electnical Power
on this Euilding?Rv"r I-] to
pRopERTy usE
/ occupaNcy:
ffi srNcr-r raNrrv
I oulirx
I Tol,]NHouSE