JANUARY 15 2016 BUILDING APPSSOrL-SiC
15-1939NEI^, HANOVER COUNTY BUILDING PERMIT
APPLICATION TTPE: COMMERCIAL
PLEASE AN5I{ER ALL QUESTIOi]S APPLICABLE TO YOUR PRO]ECT
"Project Responsiblllty"
APPLICANT'S NAI4E:Bradley*Barnes Constluction Co.
DEVELOPER:
River B1i.rf f s DeveIo
ent Co
PROIECT ADDRESS: 1030 chair Road
OCCUPANT/BUSINESS
NAME: Porches Restaurant
PROpERTY OUiNER'S NAME: River Bluffs t)eveloDmeni
cor
APPLICATION
Numben
(offlce UBe)
DATE: ?- 18- 15
p.
CIry: castle Eayne
PHONE #:9L0-443-3283
ST: NC ZIP:28429
ST: NC ZTP: 28128
PHONE
#:glo-]92-ogoq
PHONE #:9LO-443-2249
OUINER'S ADDRESS: 35?1 Hansa Drive
CONTRACTOR: Bradley-Barnes Constr:uction co.
ADDRESS: 1505-2 Mackerel Lane
E AIL ADDRESS: scottGbradley-barnes. com
CITY: canol.ina Beach
PRO]ECT CONTACT PERSON:Scott Bradley
Exrsr coNsrRucrroN:
fl ALTERATT.N
tr -rilffi;!;ii '[i?.1iLor n*rrns
f] RELocArroN
lf Rolocstlon, is there
a Natural
cas Line on the -Current sirul
flv.?!r.fo tseloo
spffiflfnfor Ives Itto
NEhl coNsrRucrroru:
fl enecr NEhr srRUcruRE
I rasr rRAcr(
n sHELrUPFIT
N ADD To ExTsT STRUCTURE
ACCESSORY STRUCTURE:
If UpFIT
- The She1l Permit
#: 2o4t-s402
IF Yes, what llras the Previous Occupancy Type]
ARCH DESIGN pRoFESSIONAL: John B. Parker
*,i*** rs rHrs A CHANGE oF occupANcy use;
flves flNo *****
blhat Is the NeH Occupancy Type]
PH: 910-515-0954 NC REG #: 4086
ENGR DESfGN PROFESSIONAL: McDowell Ensineers PH, 9rO-2'1O-1'147 NC REG #: 018518
DE5CRIPTION
0F hlORK: Eit-up of restaurant and PME rouqh-ins for futu.e upstaj.rs.
ls
food or beverages preparad or served ln this gruct re? Eves [ ruo b The Property Located In The Ftoodp{aln?
[ ves
l-l lto
all oth€r applicable Slate
D{ahs and sDecifi calions
NC State Bldg Cods and
OWNERiCONTRACTOR: scott sradtey SIGNATUR
(Or6llillr) (Prlr*
lbnE)
Nola: Oomolidoo no{fcoddlg & asboalos rdnovel prinlt apdlca[ohB ors to
bs subhitled lsing th6 qpiicstlm form (DHHS-3768) wtl€thor the f&i[V or toond to
cD'ltain Asb€61o6 o. nol. You a.a roqulrod !o csll lho Natonal Emhdm S1and6.d6 tur liszadoG Ar rolt,antr (NESHAP) 6t (910)707-5050 6t l6.t l0 doys D.io.l,o [l€
d.rDlldon ot arv faclllty or bdldng. 606 Asbo6t6 W6b Slie: htlpr/V'.{.w. sd.3lab,nc,ud.pu.5bslos/ahmp.}finl
TOTAL PROJECT COST: $82,800.00 BUILDING HEIGHT: 34 teet
TOTAL AREA SQ FT :6020SQ FT PER FLR:
TOTAL SQ FT UNDER ROOF:
_]I9g_# OF STRUCTURES:
ACRES DISTURBED:EXST LAND DISTURBING PERMIT?
TiIYES
E NO
3,loo e 2,92(
1
# OF STORIES:
# OF FLOORS:
2
2
0
NEW IMPERVIOUS AREA: O SQFT EXISTING IMPERVIOUS AREA 33,929 SQ FT
PROPERTYUSE IOFFICE RESTAURANT
[uencmrLe f]Eouc f]nnr flc,oHoo orHER:
WATER:
SE]WER:
ECFPUA
EICFPUA
TI COMMUNITY SYSTEM
I--]WELL EZONING USE CLASSIFICATION:
fr cetrnauseerrc f]p-RMATEsEPTtc DcoMMUNITYSYSTEM
.. SEPARATE P€RMITS REOUIRED FOR ELECT, MECH, PLAG, GAS EQUIP, PREFABS & INSERTS
''
pAyMENTMETHOD: ECASH [CueCXlelVenETONHc) fiarrrrrntCnruo<eRESs nMC /lsA IorsCOVen
r.{*.{# H*rtmattart}.fftltt}}**tt**raHaffi*lttHrfftranift a.siFttetfi+ffH*}},.t+LtffiHt
(FOR OFFICE USE ONLY) REVISEO OATE4NIN2
ZONE:-OFFICER:-SETBACKS: Fr-LH:- RH:- B:--
Aprproval:- Citf- DAT FLOOD:- BFE+2ft=-
AVN
EtrElt\rlT Ftrtr' (
Commenl
F.
CfTY: castle Hayne ZIP:2a429
PHoNE
f: 910443-3283
LTCENSE *: 33s67
Is Elect Power on thi.s Bullding fl Yes E ruo
# OF UNITS: 1
Xottt-oz{
,'i-.-\,,r "!. .li.\
i.ib'.
,IPPLICI'{T'S UAtrEI
NEh' HANOVER COUNTY
BUILDING
aPPLIcarIoN
ryPEi RESIDENTIAL liloBILg
P!(ASE PRIIT CLEAiLY t AIISI{R AlL QU€sTIOI{S
"Prcject Respon5lblllt',,,
IPPLICATION
**tPEz t5_35.tf"""
PERMTT
'YnaLL. (
OEVELOPER:
.l PK)!IE
LOT *:
PRO]ECT ADORES!:
SUBDIVISTO :
(ITYt
B!OCr
ft
Ol,t/NER'; AIX)RESS:
CITY:
LICEN5E *;t'n j
CITY; 1-,a,rtLt17
PHo.rE $: qr0 3iJ9kl?
sr;6!ire: i b-hf f
sr
;!! zrn :
.ItY lA-
pnonr
*: t/ /c 7iJ3lV
COrTRACToR I
ADDRE!]; I
EMIL ,TDDRESS:
,fto]ECT CONTACT PERSS'J:lfra\c.\ ^.- |A)ct^L-r''
(CHECI( ALL IHAI APPLY)
ffi'rNsrall NEl.i rioBrLE l,o{€ [ nelxarror oF usED floBrLE HorlE
o!5CRIPTIoN oF l{lRXit^<\r\\ r.^rr--
mrLL 1r.,"*- ct tt ,v- a\\{
tSqrsEr r b*, ..t, M J| r{filao 6 ur. +r..:ro. ! drer nd, 'dd.cncyrel)I lr. ond.9 a.a. o, |..'!. +caar.3r&.rn b.r lrl r*q€., Erc.br tL rBc
D7ds.d rnk- cd rn
r.odrd.alr &!!&.i h 4ord c6 d.rdrt&r6.nc.{cl'!!,6.!*rth& -'ioE !r w t.iaEr r&o
i ^rB..r rh5
*ll rr r vroa. !r h Nc
se tlar cd. fi lcG b ffr! uo rr t5d m_'
O$NER/CC} TRACTOR:(Wl, "\"^[J,,*,SIGNATURE :
rs rHE pRopEBTy LocarED r{ a rloooeutN?
[ v
pRopERTv usE/occuPAltcv: [lnesroeruce 7 orueu
es S|4ro
HUO LABEL:
YEAR [lAO!:AO\\,I.'IDTH:
P- I C orrr.r.,
cvn{\
LENGTH: -Ug_
rorAl pRolEcr cosr c-c" rar:
I 3b)$:.rr rolAl AcREs
DrsmBED:
Exrsr LANo DrsruRBrNc peurr:
[-l ves
l-l r.ro
,{ATgR
SEI,JEB
,,"Ei
,-El
( FPUA
CFPUA
CO{IIUNITY 5YSTEI1
CEIJ'RAL SEPTIC
PiIVATE I.IELL
PI]VATE SEPT
CENTRAL h'ELL
C01,1'!{JN
f TY SYST El.lIC
PEiIlTis REQUIREO FOR
TL€CI, IIE(H, PTBG, 6A5 EQUIP, PR€FA8s
& Ii/SERI5 '.r
pA['rEt
f rETHoor
E clss I orrcx lnavasre ro urrl I arun:coi
exeaess
E *crurso I orscover
ZONE
App.oval:
city:DAiT
5ETBACKS:
rr
* r-x
'Srur#,3
N
FEE:
$_--P
\r
Coment
i
n€n{^) ,ur-
IEtt{,\F
PiOPEETY Oi,Jfl ER'5 NAflE:
PHoxE .si qtu'?rJ' 3iqq
HAIfuFACTUSER:IL SERTAL
t 6k4-OJQL{fNC
cotoR I O l',$.a
HURRTCT.NE zoH:t! r
Kzf,, snox: oETecronaSves
f] ro GARaGE;
Ives piruo
-
sF
DEGK:
LJ yrs D(rNo
_ sF poRcH:
Ll YEs
[:r 0
_ sF
F
LOOD:
."I
C+.EnvH, Fr<,GFtvA
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIaN
rYPE: COI|IMER€IAL
PLEASE ANSI,IER ALL QUESTIOIIS APPLICABLE T0 YOjR PROIECT
"Project Responsibility,,
lottn -obb
15-3561
m APPLICATION
Number
(Offlce U5e)
DA'IEi .2 i'-e / --aAPPLICANT'S NAITE:?e1phr Cansrruct:cn
- D
ico Ps i" los
DEVELOPER:
leicii:.:PHOI{E
*: -;
c I - 6 4c .1 41 1.
PRO]ECT ADDRESS: 12LO wliqhtsville Ave
OCCUPANT/BUSINESS
|,lAttE:
axisitrq - Cevlche,s
PROPERTY OWNER'S
NA!4E: iunae. riblrer:
OWNER'S ADDRESS:
ri5 parne:e -1.:.id
CONTRACTOR: leica,r :.:s-,ri.---...
ADDRESS: :aa ia:'::.e :: :u:--e :-'5
CITY: -,,,Ir:iqhtsv:l1e Beach
LICENSE
f: 326E,
CITY: iq:iminqror
PHoNE *: 9).c.)'-5 -,JCCa
5T: :.lc Zf P: 2 8. a
I
ST: ra ZIP: r: -,r::
PHoflE *:1c1.c4a,114i.
PHo E
f: .1i4.a4c.1441
CITY: ,r;: 1:.: ncto:-ZIP:28qo-l
Resj:a!lana
El.tAIL ADDRESS
: r.::ssc::363qmai 1 . acr,
PR0IECT CONTACT PERS0N: i.::re Br:ssscr,
(Check A11 That Apply)
EXIST CONSTRUCTION:ALTERATIONa/RENOVATIONGENERAL REPAIRSRELOCATION
lf Rolocation, is there a Natural Gas Line on the Current Site?Yes
flNo IS BLDG SPRINKLERED?
Ives r No
NEH coNsrRucTror:
I enrcr NEh, sTRUcruRE
f] rasr rnacr
f] sxer_r_
UPFITADD
TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Permit #: ./a exislrnqIs Elect Power
on this Building
I Yes
E*o
*!T*TI' I5 THIS A CHANGE OF OCCUPANCY USE?I YEs
I o *****
IF Yes, what rras
the Previous Occupancy Type? Me rcant:.
ie Hhat is the tlew Occupancy Typ€
? Restauran'-
NC REG #: ,252:ARCtt DESIGII PROFESSIOML:
icb :.ci,e.o
EiIGR DESIGI{ PROFESSIOTIAL:
3:e. :'1cD.r.ie-.
DESCRIPTION OF l.rORK: Re.c.
eris!ino lesrauranr s
PH:91C.228.3137
PH:9i0.270.3?41 NC REG #: C13si3
pace ar'rd C1n inq,/;(!t Expansioa into aC-'l aceD: unii
DISCLAIMER: I
hereby ce
nd ordinan
niry thai all information in
in
cont6ctor ol contraclo
Fines Up To
$500.00,'.
reoulatons. Ths
this-application is correct aM allwork
W comfiy with the
N8f .C"^l"J"'q,f
,"#"sf
#if$9,:3i;ylp??J;l'ii"reJ#ll"
and locallaws aces andState B s
chain
the a
and all
the
icable Slate
e and
or chanoe
Sublecllo
OWNER/CONTRACTOR:
i:!ro ?silos SIGNATU
(OrJ.lli!.r)
Not6: Cl€fioliton nodtlcadois
t esb€atoo re.novad permitopp{icatlois ar6 to be submitt€d l.rsing th€ appllcation form(DH wh€ttsr lh€ laciltry o. blildlng wss found tocontaln Asba6to6 or mL Yo! €€ requiEd to cd, th€Nedongl Embsiofl Slandads to. Hazadoss Ar pollutadts(NESHAP)at (91S)707€950 at I€..t 10 deys p.io. to dlede.rlolldo.r od eny
hd{V oi buBdkE. 5€6 Asb6b6
TOTAL PROJECT
COST: i35i03
ttlp:rwww.epi state.l1c..sy'epuasilestost€hmp.lhl
BUILDING HEIGHT: ex
- +r-i G
'
SQ FT PER FLR: 19e5
# OF
UNITS: 2
- ex:s:tr:
Web Sit€
TOTAL AREA SQ FT:t35
TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:
_
- exisrl:1q
EXST [.AND DTSTURBING PERMTT?
E YES
EXISTING IMPERVTOUS AREA: ex: s
WATER:
SEWER:
SepARA-€ FERi,TS ReoUtRED FOR El-ECT, |,,.1ECH PLBG.
G{S:Outp. pREFABS 8
:a;
:a a :)ange SO FT
PROPERry USE:
[Orrtce RESTAURANT [UenceNnle [eouc
I APr DcoNDo OfiERgicreua
V]CFPUA
ECoMMUNITYSYSTEM TIWELLE CENTRAL
SEPTIC
E PFIVATE SEPTIC
nzoNtNG USE CLASS|FICATION:
ncoMMUNrrysysrEM
PAYMENT METHOD:
[clsn ficHecx lnavmLE ro NHc)[rusnrcm ExpREss
flucrsn
I oscoven
ZoNE:-oFFrcER, _
__. ('.&1{X:IEH=_.*,_RH:_B:--
Apxoval:_citv: -lIiF- rrooo,_ BFE+2fr=
REVISED DAIE 1/1 1/12
State
fiC
Comment J.*r,rr.=,s5
n 9-9
ls
bod or boverages pr€parsd
6 s€w6d h tfrls *ucrtre? pves I No F The prop€rty Located ln Trre
Fbodflain?
f] ves
[| ruo
# OF STORIES:
t - ex.i.st:ng
#OFFLOORS: I - exisr::rs.
ACRES DISTURBED:
| - r:or:e
EJNoNEW IMPERVIOUS AREA:
ex:s::r.: - ic ::arce SeFT
t)
4r
NEW HANOVER COUNTY BUILDING PERMIT
APPLrcArIar,t rrPE; R ESIDENTIAL
Prtast Altsl.tl AtL Q{JtsTIo{s APPLT(aBta To Yori Piolr(I
"Project Responslbilit)f'
CITY:
BLOCK {:
2otLJ'|9
APPTICATI(}{
l,iumber
(Orll.€ ur.)
oatr: i7-Hcrnss/sAPPLTCANT,S }.IA,iIE:
DEVELOPER:P8oI,IE f :
PRO]ECT AI'OR
suEDrvlsIo :
m0
PROPERTY USE
/ OCCUP
DESCRrPiIo 0F lltoix:
LOT Sl
zrp: &]qoi
tsl
PROPERTY OhINENJ S [t}tE :tL
d{NER'5 ADDRES5
i
COTTRACTOR:
ADDRESSI
EIIIAIT ADDRESS:
PRO]ECI COi{TACT PERSOfl :
t sffN
EXISTING coNSTRUCfrol,
I
NEl.r collsTRuCTIoN, $ rar., r{El,l RESTDETTEE or
E
s PEo r !: q(o
qsz-1t',is
sr: N0zrp?9Yl \CITY:
LEASE CHECX AIID AIISIIER BELOfl ALI THAT APPLY TO YOUR PROJECI:
ATr cARAGE
\03\ srDE] GARAGESF
P@L SF
LrcEirsr i: 3qqstscrrv: Be\i,i\\r-sr;..:FzrprZld5t
accoorr *: [egq6
pKlilE 3r qloqsz'117s
ADDITTON TO EXISTIN6 RESIDEIICE
,o*a, -flI, ,,
STORAGT SHED
UU
ALTT RATION R
ENOVAT ION
I ermnal nrenns
[] RE LocATroN
SUNRoOM
_, SF
_ sF
SF
f! e nrrmrousr
-
sr fl orcx
_ sr OTHE R:
rorAl HEATED
sefit LL5L rorAl sQ Fr upoER noorr 3\J'l roraL AREA sQ Fr;
-
TOTAL PRolEcT COST fl.*sror) | $ Zli Ot{:t;t> S oF STORIES: 7.-
Is Any ELECTRICAL,
PllntSl,l6
or |tECHlXlCAl Hork BeinS Done to the Accessory Stro(turel
If the pnoJect
is a Relocation,
is there a t,latural 6as Line on the Current Site
Is there Ele.trlca] Power on this Building?
Iv"' Sro
v., f,, no
r
flv"' $ to
%s SINGLE FAI4ILY
D OUPLEX T-',]LJ Tol.JNHoUSt
NU^)chcN
OltlCLAE/ER I
h.,.by csnry t|a .t h,orm!&h er
hr! rpplbltm h con€ci .nd .i *o{t rdrcoriply Yfi aE
sBt! Suibn! code r^d 6!
o'l 4rbrbl6 sr.t .nd bc.l la{s
3rd odha).as ond tclulathns Tna NhC De\Btoo,i€nr
S. tc.s Canler r{r b€ lDtild ot!.y .hau€3 i. !1e Bpp,orld pbo! rnd !p.cl6.!tb6 or ch$96 in contxbr oI
r,rarrn r
S crprra
fl co'l|tuNlry sysrE
srwrr: fi crcur
f] (ENTRAI sEpTrc
PERl{ITr
TEM
rofi*br hbmEdon .-NoTE: An,
OUNER/CONTRACTOR:
wb* PBnorrEd
wO |no App.opl6E t iennrE
r be in
Horv6
Vablbn or n! Nc Sbt
SIGI{ATURE:
** rra r * i ri,i'rrrt,t * t* r rSrl
+r rt a,r
YEs
ffi*
TOTAI. ACRES DISTUNIED:
EXIST LAM) DISIURIITre
6uq.cl li, rin€6 U, Tol5@.0O"
ir)l 1. *. 1r* )r,i
it* r*
YE5 NO
n
** *4 {*a a +,t. tt
*a** * 1,1+ + *,i|l rr.*rr+r.!ar.***.
I5 THE PROPERTY LOCATEO
IN A TLMDPIAII,I?
EXrSTrNG
Ili0ERW(lrS
ARrl: o 5q p1
NEx ritPERvrdrs aREA:
3Z5B se Fr
Zot{E:
_ OFFTCER:
..' 5rpaRAlt pE[^lll: RrQlrlitD roR Hr(r, Ht(H, pr8G, cAS pQUrp, r,Rtlass
I rNs[RTs .r,
payirm HErsoo: [_l casr
fi cxrcx (pAyAuE ro mrc;
f]rrr.l xrarur f]rc7vrsr florscovrn,,
+" arr r *r{ rarr +'r *r *r
t. jr-r r,*r +r+.**** *if* ++t+*'rarar a*t+ a***r,ir1*rl1*r1**++***a*a,}***4aa
ftr f] mrvrrr wrr-L
I ctNTRAt l,t r L
I mrvarr
srrrrc
I coa,tituirTY sYs
(roi Orrl(a
ult OttY) *Vr'rD DArt 6{/tllr,
SFTMC(S:
F;.'-- LH: RH:-. B;_
Approval:-, _ ,_-_ Clty;..-_*- DATE:_ FI-OOD:
--
o -i--1
_t4Conoe
nt i PrRt4II
tEt: ,,,(o
16-0000 9
prorr
*rQjo:llZllfS
--* BFE*2ft= -.--
INEht HANovER couNTy BUTLDTNG pERilrT lrnlr "Applrcatra nE..
co{ltERcrAL ,^\:- l\ r.
(
{t,rM
3rt/
PLEASE AIISI{TR
AII QUESTTOTJS APPI.ICABIE rO YOUR PIO]ECI
"project R€sponsibillq/
AP P
L ICAIIOI{
l{umbrr
(offt.. UrG)
AP,LICAI',T, S MIU:
r)b
DEVELOPEN:OATE:/^1
6
PROJECT ADDiESS:t:
CITY:zrp7X,<lt,SoccuPAnT/8uslr{Ess ilAnE
:
uos PL.z,r+
PTOPERTY O}ltrlER'S llAllE :
u
PHO E ':
c- 6gqr'OIiT{ER'S ADORESS:crw:
coirTRAcTon:
SI IP:
LlcEtEE
*:
ADDRESS:CfW: /
t),uprA4il7EIUIIL
'\DORESS
:ST
PIO'ECT COI'ITACI PERSO :PlO E
I:
Plot{E f :
EXrST COiISTRUCrIOi{:
f) llrrurrot((n..t ltt lh.t roply)
f Rolocadon, is lher€
I Nalural G8s Line on
REIOVATIOI{
tr GENERATREPAIRS
I rrtocauorCunent Site?
[Yes
trNo lS BLDG
sPnrxrc-eneor E ves ftr,roiIE}., CONSTRUCTI :
tr EREcr t{Eh, srRUcruRE
I rrcr rucr
fl sxrr.r.
!ADD TO EXIST SInUSN'REACCESSORY 9TRUCIUiE:
UPFIT
tr
If UPFrT
- The
Shell Pen
lt *:Is Elcct Yes E no
.rrr. IS rHrS A CXAi{GE
fF Ycs, xhat yds thc Prwloos Occuptncy TyDG?
ARO{ OESTGN PIOFESSIOiIII-:
EilCr DESIGI{ PtOFESStoilAL:
rI
l,h.t
Poucr on
jils BuildinS
tfls
ffo .,.,.
1,---_ r{c REG
e:-l';
-
x. Dla g.
OF OCCUPAi{CY U5€
DESCRIPTIOT,I OF IORK:
lL u<
b tbod or Dcvtragc. pD ed or sGn6d h U,f
.r,ar"f llfo I m f nc nroperty
Lma tn
nc nmaprh?Eyes E NoDISCTAIMER:I h€Eby 6ltfy
and odinErces
that sll lr{brn8{on h thls ls corrEc,t 8M 8ll
rcft wi$ he Slsteand local lav\69nd NHC will
Cod€ and 8or chenoe h contraclot or @nllEEtor
Sdrecllo FlrEr Up To
t5m,00'-NOTE: Any be of the
in
-
PRoPEFTY
usE: EpFFnE
flnesnuunr fluen*rnre florrc
flerr Ehroo OTHER
Iorsoven
WATER:
SEWER:
rz{rpue
ffcrwa
EXtS'
stct
F
PA\otENr i{ETHOD: flCnsx
A t{
RE\nSED OAiE (rl1^'
N r+0
ffi
APPLICAI{T'5 tU$tE :
DEVELOPER:
NEhI HAiIOVER COUNTY BUILDING PERII,IIT
APPLIcATIott rYPr: RESIDENTIAL
PLEASE ANSI{ER ATT QUESTIONS APPLICABTE TO YOUR PRO]ECT
"ProJect Responsibility"
IIXB CONSTRUCTION INC
PROJECT ADDRESS: 6 CO},IBER ROAI,, EIGURE 8 ISI.AND
CITY: WILUINGTON
SUEDMSIOI'l:
oltc.
SK)
APPLICATION
Number
(office Use)
DATE: t/4/L6
PROPERTY O.,iIERJ S I.IAfiE: JASIE
S. BARRINGER
OtIl{ERrs ADDRESSi 1620 EAIRFAX RoAD
CONTRACTOR: wxB coNsTRUcTIoN rNc
PHO
E S! 910-357-1648
SF
LICEIISE *:
CITY: SURF CITY
BLOCK *: LOT *:
-
PHOI{E *! 910-367-1648
ADDRESS: 9045 W 9TH STREETST: Nc ZIP: 28445
EIiIAIL AODRESS
: WA],TBLACKMANSGMAIL.coM
PIO E *:910-367-1548
PROIECT CONTACT PERSOI'I: wAr,r BT,ACKMAN
PIO E *:
Exrsrt€ corsrRucrro
r
I nlrenarroru
f] nrruwarroru GENERAL REPATRs
I nrrocarrol
NEhr cor{sTRucTrotl,
I enecr E],1 REsrDEr{cE o"
fl morrrol To ExrsTrr{G RESIDENCE
TIPLEASE CHEC( AI{D AIISI{ER BELOId ALL THAT APPLY TO YOUR PROJECT:
ATr cARAGE looo sF ! oer eanaor
_ sF
!
tr
PORCH SF
STORAGE SHED SF
! surnoou
-sF
f] eoor-
_ sr
! eneerurouse
_ sr ! oecr
_ sr OTHER:
ToTAL HEATED
sQ FT:
_ ToTAL sQ Fr UI'IDER ROOF : TOTAL AREA
SQ FT:
# OF STORIES:TOTAL PROJECT COST rressr.oo : $t J.ooo.o'
Is Any ELECTRICAL, PLUIilBIl,lG
or nECHANICAL Work
Being Done to the Accessory St.ucture? [ V"r ff frfo
ff the project is a Relocation, is there a Natural Gas Line on the Current Site? Eyes I No
Is there
Electrical Power
on this Building?T
ves flruo
PROPERW USE
/ OCCUPAT,ICY:
STNGLE FAMTLv
I u-rerrx
f] rolruuouse
DESCRIpTIOI{ OF }iOR(: RE},IOVE A}.lD RE?LACE GARAGE DOOR AND INSTATL NEw
EN?RY DOOR
1000
OISCLA ER lh6roby cortry
h€tall inbma0on in bis applicaton as con€cr rnd al workwilr
and odinanc€s and rogul€lionB. Th€ NHC Dovolopmsni Sorvicss Cenbr wittb€ notf,od ofan
complywih he Sraro Building Cod€ and atlotsr applErbto Slale and tocat taws
ychangG in t€ approved phns and spscafc€Ions orchang€ in coni,'Ecbror
contacbr intsrma&.l.'*NOTE: Any
ot.llNER/CONTRACTOR,
Work Porformed
WO Violaron
ollho NC Sra
SIG ATURE:
,ri*****,r **,k***r*,**** *** **** *(liTlJl!]* *
*,l,l,i ** )t,t
***** )t)t*+** *,t**** **,t****** +)*)t ***,*,ir(*******,*
te Bldg Cod€ and Su
bjsci lro Fines Up To
$500.0r..
IS THE PROPERTY LOCATEO
IN A FL@DPLAIN?
EXISTIITIG IMPERVIoUS AREA:
-5Q
FT
YEs
E rro
TOTAL ACRES DISTURBED:
Exrsr LAr'lD
DrsruRBrNG pER
rr: f] vrs [l r,n
I
ITIEI{
IiIPERvIo,,s
AREA;
-
sQ/-
wnrER:
! ar*o M cot4r,4uNrry sysrEM
FT
**i' SEPARATE
PERIilrrs RE$JTREo FoR
ELEcr, t4EcH, PLBG, GAs EQUrp, PREFABS
& riEERTs **'r
pAyHErT ErHoo:
!cAs, flcrro (payABLG
ro rr.l f]*.*r.* .rr*ri, E..rrrro
"-Eorr.*r,
***:t**,*,*+***,i,t*,t+*,t,t,i*t*)t***+*****,t*,t*,t**,t*)t)t *+*,***r* * ** *,i *,*,t*)f, **,* !t * **,t+ *)t*,***)t***t *)t*)*
+*
(FOR OFFICE USE d{Ly) REVISED OATE
o4l11l12
ZONE:
_OFFICER: _ SETBACKS:
F: LH: RH: R:
RTvATE
wELL
f] crrrnal weul
sEwER:
I Creua
I CENTRAL SEPTTC pRrvarE sEprrc
I col,rr',tr..,rtrv
svstrm
Approval:_City;_ DATE:_ FLOOD:
_ BFEr2ft=
AVN
Comnent I PERIIIT FEE:
ztP I zyLL!_
CITY: GREENSBORo Sf I Nc ZIP | 21401
Jo(a - 3 73
' lf-J
!
''/
NEW HANOVER COUNTY BUILDING PERfiTT
APPLICATT1AI
rrpsr COI4fiERCIAL
PIEASE
Ar{sr/ft aL! QUES.ilCts AFeLtAlt€ to youR ptollo
"proJ€ct RGsponribility,,
ADPLICA'{T,s l{/lfi€ I
OEVELOPER:
APPI- ICATrc
l{uDb!r
(Crfft(a Ur!)
PRol ECT AD5RE55 |
' ' '- " t- oAtt:
PHONE
T:(i}!:
OCCUPTTfl T/8US:fit55 N{'1E r
PiorUrrY oht{ER'5 ilatl!:
zt':
ST:
- / ZIP
OI'JER'S ADDRTSSI '
COMTRACTOR:
AoDR€5S3
ucEr{s€
,r
crw:
EITAIL ADDRESS:
SIi . ZIe|.,-..,:
PHOI'I
':Plot{F
t:PRO]ECT COIIACT PERSO :
EXIST CONSTRUCIIoI{:
!
ll Relocation, as l,here 8 N8lural
fi,Et corfSTRUcrIOl:
I En
act€ssotY STRUC:l.iPE
:
If UPFIT
- lh€ Sh.I
l P€t-:t * :
Itt..r AU
ALTER
TTo I nrrcvrrro*
Gas Line on ltte Currenl
site?
E
rcr rct srnucrune
I rsr
:- -:- i s
f nerocr:lon
Yes
trNo tS BLDG SpRlNKt-EF t.r
f ver
f,to
IRACXrr SHEL!
tr uPFrl li:'l 4g6
ro
trrsr srRucrutE
Is Elect
r on
thls Bujtdint E yes dL"'..... rs rtrs a cx xGE
ot occwnrcv usrr
f, vta E m ..,..
lF Y€t, rtit $a5
lh. P.!vlou5 Occuprncy Ty9.? 1lt,7 !.s tfri-lrr, g..upancy TyDe?
AROI DESIGi PROTESSI&{AL:
E[6n D[5I6N PROrtssloll4li
DT'(FIPT]ON CT hOR(:
PH
PH
DC
Rt6 '.- NC FEG g:
la food or bcverages pepar8d or reN€d in thh s1rucrln!?
lvgs I Ns b lhe pmpedy Locstad ln .lt€ Floodph
Tves
I lo
Grllh4 lrd !.il
NoQ:
Danollt..l ra'fieloot t .ri€rto! M $d pe
ol rrp:lcrtlqE a'r to
b a
.ollrh &!.3oi o U Youan raQut!6
b.rrr tll NrU.i.r ElrE jio. str'rd .d
OWNEFUCONTRACTOR:
ACRES DISTURBED:--
NEW IMPERVIOUS $EA:
UbhltEd UshC 0t ip-{r'.n 1.6:DHHs.16r) y^.,',r
rrb:lli) c.:.rAP)r (91!'707..a.-,1
,0F UNTTS: .4.
1
, o. sToRrES
6 OF FLOORS:
! r..
!.:tido6 Ar Pol:6lits (!E
d.-Rr:ly cf!ry Ldil,v or Lrlrdhg.
s.. tut 3r!q itb si| Er;ll,it rv
TOTAT FRCJECTCOST: 1 BUILDING HEIGHT
SQ F-i PER FLR:IOTAT AREA SO
'i
TOTAI SO F: TJNDER
ROOF:
f OF STRUCTURES
oat
SQ FI
PROPERTY USE:
fiorrae I RESTATTMNT f_lumcrrrnlr leu.rc
[ err
[oloo onen
zoNE:
?-:f,loFFlcER:SErBAC
ApprovBl:_ Citf-_TE
: -, r (a FLOO
PERMII FEE:
$_-.-
ExST t-AND DTSTURBTHC ,;r,ln i
E
D(ISTING IMPERVIOUS
Ans{Ero
WATFR: t-]CFprJA f-ICOMMUNrY STaSTEM
ff WELI_ _EZON|NG USE qJASS|FICATION;smrn frcrn:.n ffcExruLserrrc
f eEvrrr sernc A-co-u-uu*,r" svstu
-' <EPlrv-; ,!q!,!:_! ni--.. .i: t:: -{8r..,,in. puc. Grs Eoulp FF€FA8S
r INSE!,! _.
pAylrEMI METXOD: ECASH
_flCNeCX
eevrsc ro NHC) EAMERTCAN EXPRESS
fiucmsl f, orscoven
DriE l^ 1a2
vld
E,fiilriec q t[]_2)4_dVU
Cornment
--fe+++;
PHOTiE
':
\&
C+,
NEI,' HANOVER COUNTY
BUILDING PERIIIT JDtu - 373
APPLICATI^| rvpE: CO lilERCfAL
PLEASE Ai,JSIER
AtL QUSSTIO S Appt-tcABL€ TO youR pRoJEcI
"project iesponslbilit!fl
la1(e-n
'ul Cuo1.z
t'
\i
r.,^eLL-
APPLICATIOI
l{umbcr
(OFflG! Us.)
DATE:
/t- tr-APPIICAI',T,S AfiE:
DEVELOPER:
PROJECT ADDREsS:CITY:
OCCUPAT{T/BUSINEss ilAt'tE 3
PROPERTY ol!, ER'S [AfiE
! 7",
/e //a
or 4a
PIO E *!
PHO
E *:
ZIP I
t lt,DC
OUNER's ADORESS:
2D
tk 14CIW! /.2 /
/ST:
.tc zfp: ,?.t-r. ,
Slz.'* Zlp I t.i.1a l
/t-1 _
CONTRACTOR:/t, e.
,^-/tuo LICEIISE
*:
CITY:ADDRESS:4)t/a.o t
E AIL ADDRESS:hq/'<o,
. @ CAo"r Ier.,oe-/PlfillE
*t q.,O 3a,
/d/siPROJECT CO TACT PERSOT'I:
/e
Exrsr cor{srRucrror:
E ArrERArr* E'r*JiIifr'Ery.'iLor. REpArRs
E RElocarroN
tf Retocarion, is rheres Naruratcss Line onthe cunenr
site?
[vF[ruo rseLEGspftilriiii;iffiv"r [m
NEU COr{STRUCrr0t{:
[y] rneCr r{E}, STRUCTURE
I rasr rmcr
I sHELr
E upFIT ErADD TO EXrsT STRUCTUREACCESSORY STRUCIURE:
If UPFIT
- The
Sh€lI Permit $:
1+"' rS THrS A CHANGE
fF Yes, xhat was the Prevlous Occupancy Typel
PKr E
f: *rc t" Z
S,;,t
r on
this Buitdin8 E yes I't0
Is Elect
OF OCCUPAI{CY UsE
I
flvts flro '*...Ihat is th. err Occupancy fype?
AROI DESTGT{ PROFESSIOiIAL;
EI{GR DEST6 PROFESSIO'TAI-:
P+t:
PH,-I''C REG
*:
t'lc REG
{:
DESCRIPTION OF I,|OR(:J rt.
tzt
/4 LF "f v,\b-
),
U*/ "fh
E food or beverag$ prpared or served
h this strratur€? Eye.
[tNo b the properg
"'j;?Hli:'s i#mr":?g $# *3ts*1,:iri $Bi:EfJ:;H"$ffi $d;i5qffiffiFfrffi8',gFJc8 ll"?J'lfpig tiffi tFqlor
in'ormar ro
e-<t
ht.
Locabd In
n€ Fbodpt€in?
E yes E No
ff Fjr,ilF",:,ffi Hfl
"ffiTfrffi !ffi
hdlliy or bdtdhC
w.s tound to
ban 10
drys Fior lo
ltE
REVTSED oArE
41tt2ZONE:_OFFICER:
(FOR OFFTCE USE ONLY)
Aoooval: Civ:
SETBACKS: F
: LH:_ RH;._ B.
--
BFE+2fr=
t{Commenl
DATE: FLOOD:
PERMIT FEE: $
Cr'
/rft,
rlz, /.,/,SIGNATURE:
/n/<'L-/
-
lq.r.llf.4
TOTAL PROJECT COST: y'( z 7-c-,
TOTAI AREASO FT: /v /,4
TOTALSAFTUNDERffi;:_
f OF UNITS:
ACRES DISTURBED:
.ooR!
tr
t tz<
ftorscoven
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TVPE; RESIDENTIAL
PLEASE ANSWER ALI QUESTIONS APPLICABLE TO YOUR PRO]ECI
"Project Responsibility"
APPLICANT,S tIANtE:
{h/^.Ail^\.t o o
Ar c
CV
DEVELOPER:
PRO]ECT ADDRESS:
CIw: h.
w-7+Y
APPLICATION
Number
(office Use)
DATE:I-Y-2OIG
*tq)_Q_2-o_e__Gc
z+
SUBDIVISION:
PRoPERTY olllER's tlAI'lE :
O}flER, S ADDRESS:o S
L
ft
O \V\
PHONE
zrP.:
>-* +0v
8L0CK #:LoT #: ._
,qto
Qlb 1l>o
T:,,\rL7IP: Z g'YCC
LICENSE *:
58>zz
CITY:
sr:[zte
: z *Ycol
PtfiiE #z attc >cc Qc>\
P}ONE S:
oa
ozl
PHON
s
s
E
CITY:
CO TRACTOR:
ADDRESS:
rk0o
DESCRIPTIOI{ OF WORK:
\, CC
PRoJECT COI{TACT prnSOr: vvr,qf}-z t-v OCacOck
ExrsrrNc coNsrRucrroN:
a o,rr*o.K pzneHovarrou pdrrue nal Rrenrns
lu
RE
LOCATION
NEW CONSTRUCTTOT:
! rneCr NEW RESIDENCE o" ! eOOrrrOH TO EXT5TTNG RESTDENCE
**PLEASE CHECK AND AIiISWER BELOW ALL THAT APPLY TO YOI,R PROJECT:
ATT GARAGE5F
! oer cnaroe sr
fl eonor
-
sF
! surnoor,r
_ sF POO
LSFSTORAGE SHED
GR E ENHOUS ESF
! oecx
* t,o
SF OTHE R:
TOTAL HEATED SQ FT:
_ TOTAL 5Q FT UNDER ROOF:
_ TOTAL AREA
TOTAL PRoIECT CoSTrr-o"rorr : $\SlZ-e_ f OF STORIES:
Is Any ELECTRICAL, PLUIIBMG
or MECHA
ICAL Work
Being Done to the Accessory
Structure?
[ Yes
If the project
is a Relocation,
is thene a Natural Gas Line on the Current Site? [
Is there Electrical Power on this Building? [fves l-.l to
pRopERw usE
/ occuPA
cYt Nrsruer-e FAtrrLy
E ouer-ex
! rowNHousE
SF
SF
\w ith
Mo
ves ffruo
5Q FT:
d ecV<+4>.\
DISCLAIMER:l y
ceriry ttal all inblmalion in fiis applicaiion is
conect and all work will comply wih he Stat6 Buitding Cod€ and a[ oher appStaE and local aws
and odin ances and regu lations The NH C Oe velopmen t S€rvic€s Cen
br will be notlied ol an y changes in he approved phn s and specifications or chang e in con tracb r
or
contacbr intomalion. "1NOTE: Any Work Perfonned W/O he Appropriab Pemils willbe in Violarion ol rhe NC Srats Eldg Code and Subjecr r, Fines Up To $500 00.-
OhINER/CONTRACTOR :
t*:* + *++ **** + t*,f
rs rHE pRopERry LocArED
rN A FLq)opLArN?
fr7iS E nO
c
),f * * * '*,t*,1,i*,* )i*+ *rt,t* * *rt* *** * *,t:i +*,t* )i *,* * *jt * r*
*)i * t*,t* * )i )t* {r*
TOTAL ACRES DISTURBED:
EXrST LANO DTSTURBTNG prnMrr: l-] ves
[-l ruo
EXISTIM I',IPERVIOUS AREA:
NEW
I}IPERVIOI'S AREA:
-SQ
FT
-SQ
FT
WATER :
SEWER:
-/Itlcrpun I Icor,lr.tutrry sysr
M cF PUA
LI CENTRAL SEPTIC
ru ! rnrvrre we r-r ! CENTRAL wELL
! enrvare
serrrc ! coMMUNrry sysrEM
$15*** SEPARATE PER}IITS REQUIRED FOR ELECT, TECH, PLBG, GAS EqUIP, PREFABS
& INSERTS ***
pAyirENT ETH.D:
I casn
[ *rec* ('A'ABLE
ro
rrc; [ +renrcar,/
ExpREss
Ejdrnrro I orscovrn**)******r(******,t,lr,*,*)*:*******+)*)t,t,t,*,***,t*i+,t***,i**,t+*+**)t,t*****+,t)i**,t*+,*,*+***,t***++*)i)t)***)*)*
ZONE: OF FICE R:
(FOR OfFICE U5E
Ol{tY) REVISEO DATE g4l11/12
SETBACKS:
F:_ LH:_ RH:_ B:
N
Approval:_ City:_ DATE:_ FLoOD:
_
AV
8FE+2ft=
qi4
-&',
,
EIiIAIL ADDRESS:
r- i \ q...
SIGNATURE:
tt
Aorrr- 3ft ooq *.r^d1,<l<ller Po,)+e fur^cl
.&,
APPLICATIOI{
I\rmbe I
(O{ft.. Us.)
NEW HANOVER COUNTY BUILDING PERUIT
APPLICAfIO\I
n'Pr: RESIDEiITIAL
P|-EASE Allsk[R ALt" QIESTloa./S TPPLICABLT TO YOUR PRO]ECT
"Prcject ResponslbLlity''
APPLIa/inT'S t\tiflE:
OEV€LOPER:
Pf,OIECT ADORESS: (z ( 1 :., '^ I rj. .t .l \ J.a y.
t r.{ CITY:
suBDrvrsro{: 1^,.,\ f J i 1", tJ -t '
\,\,taAacClz DATE:
t- Yl-2c16
Pl()a,iF a:
<Z+
zrP|
2 Z.\t C y
PHO'{E
}:
sI: iA;zIP: ? i5'Ya6-
sT:,L_L zrP:
: 9'lcl
?L(XE *,t et t C
6 r>,t
BLOCX
f:
-_
LOT n:
--
PROPERTY C*]H
(l*]€R,5 AOoRESS:
Ei'S iantE: fniCl^.. p
I (>ci"ltC (eI
b -ttzc
c CTTY:
CONTRACTOR : I 4 ,, -. $!r ,.,,
.o fl .., vr
r v. ;.,'l- I ,r
!LICET'SE *:
58zzz
ADDR€5S:
ZONE:
i(4 ,G
itl-.,"rk s"^.ITY:
EI1AIL ADORESS:
pRol;cr Cot{TAcT prffio
; ir"r c.,1^}-, tw ocdCO(k ptwtt
*: cll
C Zoc (c c,
2\
ExrsTrNG c${srRucrlor{ :
I oarr
nltr'orl [f-n truwlrron
fi{rxraal aeerrns
I RELocarroN
NEI €ONSTRUCTTO ' D rnrCr ilEt{ RESTDEiICE "" I noOlrrol To Exrsrr G BESTDENCE
TTPLEAS€
(H!(I( AIIO ANSI{ER BELOII ALL T}IA'T APPLY
'O
YOUi PRO]ECT:
I eonor
-
sF
I sroraer sHEo
-.--
sF
! ir: erucr
_ sF DE- 6ARAGE
5,
I suxnoon
_-'-- sF POOL ST
6R EENHOUS E SF
n DEc(
*to SF OTHTR:
+
olscLA[rER rrcedjt nat at irb,rnstio^ n t'is applcolon b corecl6nd al qork{ll conpl, {in ta Sab BulldiE Coda and ol ohe,
SF
TO'AL HEATED SQ FT:
-
TOTAT SQ TT UiIDER ROOF:
-
TOTAL AREA SQ FT:
roTAL pRolEcT CoSf Gcss Lor) : $ ts-fu-I- * oF sToRrES:
Is Any ELEITRICAL, PUIrts i or ,lE<HIliICAf lrork Eeing DoDe
to the A.cesto.y structure?
E Vet Ei-fio
rf the project
is a R€location, is there a t{atural Gas Line on th€ Current
Site?
[ ves pi'ruo
rs there Electrical Poxer on this Bulldlngl plves fl r'ro
pRopERry usE
/ occrrprucy:
NKruerr rltrrr-v
I ouelrx
! To NHousE
\.
'tr t r** tr ** tr ** t****r(* *r.
u-;th
e k
,d ord . arces ed €9o|.!ons Ih. NHC
oevehpDe.t Sedic6! C€nD, wi{ !. noli€d o, 8'ry ch8!.3 h
t'l 6PP.o',rd plans and ipacitlcabns or cha!. h c6r..b, o,
conr.cbr i.lo naDon. "'N OTE Any VYoit Pododnsd W^O
$e Appropdab 96mil5 *ll U6 h \,lolaion ot rlre N
C SlitD B&,! Cod€
rhd Subi.cl b Fbe s Up To $500 00...
OWNER/CONTRACTOR :
r*'r**arr r r r
i **r,i**a*a*rrra* *rr r.tta
RavtlEo oATi s./rul2
I5 T'IE PROPEqTY LOCATEO IN A FLO(EPLAII{I
ffi-ves
tl NO
ExIsTIt'lG IT,IPERVIOJS AR!A:
_SQ FTTOTAL ACREs DISTURBED I
IIEX IHPERVIO{,'s ASEA i SQ FT
EXIST LATID D]sTURBING
F PUA
COI&IUNITY SYSTE}I
f, errvare w:r-r-
[CENTRAL I,IE
LLHATER:
SEI,IER:crpuA
f, CENTIAL
sEptrc
E prrvlrr srrrrc
I cor,4t1tlNrry sysrEm
,ffi,pao*u
.'. sEpAaAT! pERl.lrTS REqJIREo FOR
€LECT, ttlECHJ PLEG' CAs
€qJlp' PR€FAB5 E IIsERTS i..
pAyfiENT
r.iET*oD:
I crsx
f] carcr (lAyaBLE To Nxc;
fi ollrnrcm e xenrss
V*nrro fl crsc.vrn
***r r t.r*r***l* r***r.1+ i r.* 'I t,r ** t1* 1ti * !rr* *
** a,r
+*t,.,.*1:r)}***** *,* * ******r* r
r** ***+r **1r.***4*
fuf orr:cen:
App.oval;-- Clty;_
UB.r,"i.Fd
I rt'
{roi 0FFI(E rrst o{aY)
1-r
6r
,ds
I
DESCEIPTITN Of T{OR(;
SIGI,IATURE : V^-ZCZJ '- --, n.-t2-:'j.-,-