JANUARY 22 2016 BUILDING APPSNEtl HANOVER COUNTY BUILDING PERMIT
aPPLICArIaN rYPf I COMMERCIAL
PLEASE AXSI,/ER ALt QUEST]ONs APPIICASLE TO YOUR PRO]ECT
"Project Responsibility"
Clear Form
? c:16-5 )g
L5-00007
ffi APPLICATION
l{umber
(Ofttce Use)
APPLICANTJS I,IA,qE: KR]STIE S}IIFFLETTE
DEVELOPER: JoELE FITNESS LLCDBA OR}NGETHEORY !'IINASS
PROIECT AITDRESS: 58OO parker Farm Dr. Suite 120 CITY: r.lrLMrNGToN
OCCUPA
T/BUSINESS tIA E: oR-A.I\.G]THEoRY FIlNEss
O NER'S ADDRESS: 6835 CoNSERVATToN wAy
CONTRACTOR
I BUILDINC SYSTIMSINCLICENSE s: 7leel
ADDRESS: 2 IIILD FLoT,{ER CIRCIE
CITY: HAI,]PToN
EI4AIL ADDRESS: ushi f f .Iet Leocox.
net
(Chect
all rhat Apply)
PHONE *:202-2ro-0492
ZIP:2840s
ST: vA ZIP: 23669
PHONE $: 7s7-s5r-69s0
PlloNE $: 757-?71-9921
EXIST CONSTRUCTION:ALTERATION RENOVATIONGENERAL REPAIRs
tr RE LOCATION
lf Rolocatio.r, is there a NaturalGas Line on the Current Site?Eruo IS BLDG SPRINKLERED?I ves
I NoYes
NEw coNsTRUcTror{'
! enrcr E}l STRUcruRE
[rlsr rnlcx
I sner.l
I uerrr
fl mo ro rxrsT sTRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Permit f: 2oL4-e'te3Is Elect Power on
this EuildingI Yes NO
IF Yes, rfiat was
the Previous o(cupancy Type? NON!
What is the New
occupancy Type? A-3
ARCH DESIGN PROFESS]ONALI I4OVE ARCHITECTUREJOHN JARVIS
PH:919-903 6066 NC REG #: 12168
ENGR DESIGN PRoFE55IoiIAL: ATLA-\TgC ENGINEERSDAVID I,IHITNEY PH: 919-855-2030 NC REG f: 1?182
DESCRIPTION OF I^,ORK i UPFIT oF VACANT SHELL spAcE To FIT\Ess GYM
ls food or boEages preparod
a seved h lhis
stuctre?
[ Yes t No
h The Prcpsty Locat d ln The Floodplain?
flYes I No
DISCIAIMER: I hereDy cenjty lhar a I 'nloma'ion in lhis application is
co(ecr and all wo will comply with the
and locallaws and oidinanGs and rmulalions, The NHC Develoomenl Ser!,ces Cenrer w lt be mtilied ol env
or chanoe n conEector or contraclor frformatr')n,
"'NOTE: Any v\ork Pedormed WO lhe Appropriate Per,irls
Subiecllo Fines Up To$500.00"'
Slare Suilding Code and all orher appl cable SEre
chanqes i,r :he apploved plan
willbe in Violation of th€ NC
srle Bldg code,id
OWNEFyCONTRACTOR. !.rA1.Nr sHTFFLETTESIGNATURE:
(orlir) (Pd{ Nrm)
tldo: lbmdthn idfllcado,re I ast stc lgr|oval poml applhrlorE.rr !o b. submltt8d uslnO tho epplha{(rr brm (DHHS-3768)
TOTAL AREA SQ
--t-_\--
.o.loAalanoao.noLYouaretEqulBdtoc.llrr.ilaucrElEmkhn$an&nrh.l-ha.dou!AlrFbtll,..ts(NESIiAP)ar1919)707-5950atlaasll0d6yEp,o.toths
d.nElDoo of cry 6.illy q. bulBi8. S.€
Arb.aot Ubb Sle: ltF/w*w.5pl.nat6.rE.l,6pu6besE/shmp.hm
TOTAL PROJECT COST: 5250,OOO BUILDING HEIGHT: 32
'OFUNITS:
NA
SQ FT PER FLR: -. i ol
,rnuL- u. r.ariV
# OF STORIES: iFT: 3oor
TOTAL SO FT UNDER ROOF: 3oo1
ACRES DISTURBED: NA
f OF STRUCTURES:# OF FLOORS:
r
NEW IMPERVIOUS ARE
':
NA
Exsr LAND DrsruRgrNc penutrz
n yes
f, rrro
SO FT EXISTING IMPERV|OUS
AREA NASO FT
PROPEBTY
USE:
lOrnCe EneSrnURam MERcANTLE
Eeouc
E ppr [coHoo orHER
WATER mCFPUA
SEWER:
E CFPUA
flcoMMuNny sysTEM
! WELL [IZON|NG USE CIASS|FICATION:
61- cenrnn- serrrc
! fr-vere seprc EEMMUNrry sysrEM
pAyMENT METlloD Ecesn E cnecK (pAyABtE To NHc)!AMERTcAN EpREss
I ucnnsa
I oscoven
zoNE: l^Yl ( oFFrcER:
(FOR OFFTCE |.JSE
ONLY)
SETBACKS: F: ., i'LH: !." rRH: r' B.l=___
Approval: Crty:_TE:
i .>'i'- FLOOD:__BFE+2ft=
Comment__llUrr.l
oi____l$lIj ....!ti .{
"t+9
\
N
PERMIT FEE: $
I **_l
DATE| \2/30/ls
PRoPERTY oIFJER'S ilAI'lE: uspA MAYFAIR!,
LLc pHOl,lE
*: 9to-2s6-s1n
CITY: WILMINGTCN 5T: NC zIP:284C5
PROIECT COiITACT PERSOII: DANi HERSHIY
"rr* rs rHrs a cHAtrGE oF occupAr'rcy usel
flvrs I m .....
FEYISED DATE ry11,'12
$'.,., ,
t-,&
C,.+o
{+..a
o
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION
TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Responsibility"
[--"rv'"t-_l
2glr"-sAQ
APPLICATION
Number
(office use)
Clear FormPrint
APPLTCANT,S NAiIE: KRlSTIE :,IIIFF:ETTE
DEVELOPER: JCELE FlTNESS LLC, DBA orr.ANGETHEoRy
FrrNEss
DATE: 12 . ,r il 15
PHONE #: . :-. : ,-
ZIP::!1NsPROJECT ADoRESS:
6800 Parker Farm Dr. suite 120 CITY: ,.,,r:,l]r 3r.ti
PROPERTY OWNER'S NAME: -:l ., l'::r: :.1
o NER'S ADDRESS: ,j335 aoNsER\.ArrcN i.rAy
PHONE f:
ST
CONTRACTOR: BUILD] NG SYSTEMS, INC
ADDRESS: : Ii]LD FLc.,iER CIRCLE
CITY: !.i
I LI'jINGToN
: i ZIP:.a;nt
ST:,r.1 ZIP: :i66!
LICENSE #: ,- l,r,r 1
CITY: HAuPrcNs_
5\EI'!AI L ADDRESS: ,r:ri:l:f -e:r. r.i.rx.:ieL PHONE f: .15--56i-al8a
PHONE #: l5r-r?L-99:1ROJECT CONTACT PERSON: D,'\1.iA ,lEF.srrl' r
o't EXIST CoNSTRUCTIoN: LJ
, is there a NaturalGas Line on the Current
Site? [Yes
[ruo
(Check
All That Apply)
ALTERATIONRENOVATIONGENERAL REPAIRS RELOCATION
traf Relocation
9 *r, .or'
P accrsso*"E
RUCTION:ERECT NEW STRUCTUREFAST TRACKSHE LLUPFIT
STRUCTURE:
IS BLDG SPRINKLERED?I ves
I to
ADD TO EXIST STRUCTURE
S If UPFIT
- The SheII Permit #2414-9193Is Elect Power on this Euilding
I YesEruo
What is the New
Occupancy Ty
--.s.o
klrr ves, wh
\ARCH DESrG
,(DENGR DESIG
Srrr.*ro,
*i!I*I*I* IS THIS A CHANGE OF OCCUPANCY USE?T
ves
[rc *****
at was
the Previous Oc€upancy Typel NONE
pe? .1
i
N PROFESSIOML: MOVE ARCHITECTJF.E, JcHN JAttV]S PH: 919-903-5086 NC REG f: 12168
N PROFESSIOTIAL: I-TLANTEC EIIGlNEERS, DAVID i.,THITNEY PH: 919-855-2030 NC REG #: 1--382
ON OF WORK: UPFIT oF VACANT SHELL SPACE To F]TNEss GYM
'-E
o.,o-)
2
.---Boto*
5o'sc..rr
TOTAL SQ FT UNDER ROOF
ACRES DISTURBED: iii
and loca laws and
ordnancei
or chanoe
Subtectio
in contractor
Fines Up To$5oo
and regqlalions.
th s application is correct and all work willcomply wilh the
NLIC Devc,oomenr Services Center wrll be nolified ot anv\O E Any Wo'k Perforn,ed W/O lhe Appropriale Permrls
chanoes in lh€ aDoroved olan
will 6e in Vrolati6n of theNC Code and
or beverages prepared or served in this structure?
trYes
MER: I hereby cerlify that 6ll informalion in
The
nt00"'
r No ls The Prop€rty Located ln The Flooddain?Yes No
State Buildang Code and allother applicable Slale
andificalions
Bldq
OWNERYCONTRACTOR: .:::.:
i- :: : l SIGNATURE:
(Ou6ffie4 (Pn,n Name)
Note: Demolilion nolifrcalions & asbestos r€moval pemit applb€tions are to be submitEd usin0 the applicstion lom (DHHS-3768)building vras foud to
clntain Asbsslos or not. You ar€ r€quircd to calllhe Nalional Emlsslon Standards for Hazardous Alr PollutanE (NESHAP) at (919)7Ur,595O af ba8t 10 dsys p.ior to tho
demolifron of any facility or buildin0. S€€ Asbestos Web Sile: htlp:/ ffww.epi.stsle.nc.uvepi/asbestos/ahmp.htmt
TOTAL PROJECT
COST' .]:,,,BUILDING HEIGHT: i:
TOTAL AREA SO FT: l
SO FT PER FLR: ..r.1
EXST LAND DTSTURB|NG pERrt,lrrZ
I VeS
fl r,rO
NEW IMPERVIOUS AREA: i:i SO FT EXISTING IMPERVIOUS AREA: ::.'
PROPERW USE: f]OrrrCe ! neSreURnrur MERCANTILEEDUCAPTCONDO OTHER:
WATER: ECFPUA
SEWER:
7I CFPUA
3001# OF STRUCTURES: L
SQ FT
flcoMMUNrTy SYSTEM
EWELL IIZON|NG USE CLASS|F|CAT|ON:
E CENTRAL SEPTTC
Ll PRTVATE
SEPTTC
ff COMMUN|TY SYSTEM
*, SEPARATE PERMITS REOUIRED FOR ELECT MECH, PLAG, GAS EOUIP, PREFABS & iNSERTS -'
(FOR OFFTCE USE ONLY)
ZONE:_OFFICER SETBACKS: F:_LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD:___ BFE+2ft=
AVN
!
PERMIT FEE: $
REVISEO OATE 4NI112
16-00007
OCCUPANT/BUSINESS NAIT4E: oRAN.iErHE.rRy FrrNESs
# OF UNITS:
# OF STORIES: 1
# OF FLOORS: I
PAYMENT METHOD: ECASH
[CneCr leeVnALE TO NHC) flaUenrCeru EXPRESS
I UCnrrSa
I OrSCOven
Comment
NEW HANOVER COUNTY BUILDING PERMIT
APPLIcAfioN TyPE I RESIDENTIAL
PTEASE AI,ISH€R
AI.L QT,ESTIO}IS APPLICABLE IO YOUR PRO]€CT
"Project Responslbllity"
J otb-Sse
L5-3483
APPLICATION
Number
(offlce Use)
APPLICANT'S NAME:
DEVELOPER:
Sevenby Irest Builders, Inc.oarc,
Bf$lta,
PHONE S: 19101324-4441
PROIECT ADDRESS: 937 ridalwalk Drive
SUBDIVISI0N: 1i(l.,1rra1)i
CITY: l.Ii
lminqton ZIP | 284o9
I rrr ornace
_ sF
fl suuaoor.r
_ sF
I eneeruouse
_ sr
I oer canace
_ sF
f| eoor
_ sr
I oecx
t/PORCH g_SF
I sronacr sHED
_ sF
SF OTHE R:SF
Lor t: :1!q_
I No
BLOCK
'}:
pROpERTY OI{NER'5 NAfiE: seventy llest Buj,lders, Inc. pH0NE B:1910t 324-44 4't
Ol,lNER'S ADDRESS: r27 Grace street CITY: IlilmingLoir ST: NC ZIP: 2 84 01
CONTRACTOR: sevenLy Ilest Builders,Inc.
ToTAL HEATED 5Q FT: 0 ToTAL SQ FT UNDER R00F: 1oo ToTAL AREA 5Q
FT: roc
T0TAL PRoIECT CoST(ressro0 : $ :soo # 0F ST0RIES: N/A
Is Any ELECIRICAL, PLUIIBING or IIECHANICAL
fitork Being Done
to the Accesso.y Structure?
fl yes
If the project
is a Relocation, i.s there a Natural 6as Line on the Current Site?
f| VesI No
Is there Electrical Poerer
on this Building?TYes ENo
our r-rx f| Toh,NHousEpRoPERTY USE
/ OCCUPANCY:r'5IN6LE FAMILY
DESCRIPTIoN OF TIORK: Adcl
covered screei Porch
to Exist.ing Structure(Origioal Permit *2014-11538
Coveted Porch i',i11 be built over exist.ing concrete patio
DISCLAIMER: lher.by cetily tlal rllinbmation in
hls applcrton b conecl snd an rvoft wi[ complyvrth h6 Stiet. Buitding Cod6 aad at ohor 6ppicabte stab and locel laws
8nd ordlnaoces aod regulations.lhe NHC Development Sewlces Ccnb. tvi[ b6 nolfEd ot aaychangoE h
ira
appovod plans and speclficattrns orchengo in
contracbror
conractrr lnblmslon. "'NOTErAnyWolk Porlornled w/O h6Appoprtab Pormtrs vri b6 i.r
Yblaion oflnd NC Stab Bldg
SIGNATURE :
FinestpTot500.00.'.
** *,r ** * ***,* *,r,|:l * *** * * * ** * * *(i iti
l,ltl"i:** x,: * rt ++,},t *,1:!
**t* *,a,* * **+,t
++,t*,i:8+****,**!t***+*,i**,!)hr* **
EXISTIiIG I'iIPERVIOUS
AREA: 3211 SQ FT
NEI.I IHPERVIOUS AREA: 3211 SQ FT
TOTAL ACRES DISTURSED: 0
€XIST LAND DISTURBING PERHIT:
r vrs
I r,ro
t/
ZONE:OFFICER:
olrNER/CONTRACTOR
I cra.lq smirh
Approval:
_ City: DATE: FLooD:
A
Corment i
I.IATER:
SEWER:
crnua
I col4r"ruNrw
svsren
I pRrvATE r,,ELr
f] cerlrnal lirlr-
creul
f] CENTRAL
sEprrc
fl nnrvare
srcrrc
I co MUNrry sysrEm
rr* SEPARATE pERtrrTS RTQUTR€D
ron ELECT,
llECH, pL86, GAS €QUIp, pftrFABs & I 5IRTS r.*
pAyr.tENr rilErHoD;
Icrsx [cnecK (payABrE
ro,rrcl
[ rurr*r.ou
,*.*r$ E rarurri I orscoven
* *+ +,a* *,r:* *:i ** + +,1,t *:* **,* ***,t**,t***,1,i**rt,*,1*+*++,*,*,r)r,i)a+,1*,t,|)t+)t,t *,**
*** *,* ** *,r,t,t * * * * )* :t,a
*,f *rh** )i*
(foa
ofrrcr us€ olly) REVTSED
DAIE
84l1rlr2
SETBACKS:
F:_ LH:_ RH:_ B:_
BFE+2ft=
ti
t/
PERflIT FEE: $
)
LICENSE S: 64926
ADDRESST 127 Grace st.eer CITyi !.{ilminslon ST:
I!- ZIp: ?qlg
EI'IAIL ADDRESS:
melissa070\.restbui.Iders.com pHoNE
f: lgto)324-444'l
PROIECT CoNTACT PERSoN: Rvan Bailey ' PHONE f: (910) s47-9362
ExIsTrNG coNsTRUcrroN:
f] alrrnarroru
[ nrruovnrroru
f] crruennl nenarns
f] RELocATToN
NEW CONSTRUCTIOTI
I rnCCr NEH RESIDENCE o" I AOOrrrOru TO EXISTTNG RESIDENCT
''PLEASE CHECK AND ANSI,IER EELOI.I
ALL THAT APPLY TO YOI|R PRO]ECT:
rs THE pROpERTy LoCATED
rN A FLoODPLATN?
f] yES E rc