FEBRUARY 2 2016 BUILDING APPSNEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION rYPE; COI{MERCIAL
PLEASE AITSIJER ALL QUESTIONs APPLICASLE TO YOUR PRO]ECT
"Project Responsibllity"
aCt5- a5q4
L4-L922
APPLICATION
Number
(offi.e Use)
APPLrcANT,S 11111g r 'IF.i{t* B*0r!6
DEVELoPER:
nlsotll.l} affiA
*ffr$Wll
PRolEcT ADDRESS : I
l\&Ht Dz,t\!€
occupANr/BusrNEss NAr,,rE: Hrf4rroil lsS { Sorfr,
PROPERTy or.rNER,s r,lAt{E: /"A,grU^lA kt<,vt V\sA*vtrt Jr,t* LfU
Ol.lNER's ADDRESS:t'l€\W: Algr.6tX
*-CONTRACT
ADDRESS :
T.E.D,- t2a v E (o
CENSE #:
CITY:
ctTY: ChgbuFrk S,e<-4{ztPt 2bt)7b
L
PHONE #:
PHoNE $: 10to.7A2.6QE
sT : c-,>. ztP : g6qlq
ACCOUNT S:
ST:
_ ZIP: _
PHO E T:
PHONE #:PRO]ECT CONTACT PERSON:
(Ch€ck
All Ihat Arrly)
EXIST CONSTRUCTION:
lf Relocatiofl, is there a Natural
NEr,l coNsrRucrror{ t fi rnecr NEI,, srRUcruRE
fl rasr rmcr
I
ACCESSORY STRUCTURE:
SHELLUPFITADD TO EXIST STRUCTURE
If UPFIT
- The sheu Permit #: Is El.ect Power on this Building ff Yes EI ,o
*r*** rs rHrs A CHANGE oF occupaNcy usel
flws flf,t€ *****
IF Yes, r,hat t{as the Previotrs occupancy Type?
hhat is the t{eu occupancy Type?
ARCH DESTGN pRoFEssroMr:
fuwc'c w.?otwz, te*md P* 110.bV7'?lf ruc nre *: 76L+q
ENGR DEsrGN PROFESSTOML: ,. t"" ft4ta A1&rrlu4',e.r. uqt\) hl A)/4,4pa:NC R€G #:
DESCRIPTION OF t.,iORK:NW 9*s&t l^.{
ls tood or beveraggs pr€pared or sorved in thls stn:awe? ffives I No h Ths Propsty Locatod ln The Flooddaint ffives I lo
Code and all pplicable Slale
of the8ld0 Code ard
(>tAll-
o L'J(Or.lltbr) {Frh( N.ti.)
Nots: Demdltion mU[csdon6 & ssbesto3 rafioval p6mh apdlcado.s elE!o b€ 8ubfth!6d u8ii0 [16 gpdicadon Ionn (oHHS-3768)laclliY
ot
TOTAL PROJECT COST:
4 I/}4.BUILDING HEIGHT:
lII'3'# OF UNITS:loo
fi,r'l SO FT PER FLR:UAT,{E,
aLTERATToN l-l nerovalror'r [-'i eereml REpArRs Tl RELocATToN
Gas Line on the cwrenr Sitez
Ives ftNo rs BLDG sPRtNKLEneor
f] ves
Ir'to
TOTAL AREA SQ FT :
TOTAL SQ FT UNDER
# OF STORIES: , tNa,plNh
B<r.rIFq
#oF FLooRs: 7 tN.uDt lr]B^fzyll,,lcl
WATER: ficFPUA
SEWER: XXICFPUA
,.SEPARATE PERMITS REQUIRED FOR ELECT.I\iECF]. PLBG, GAS EOUIP PREFABS E lNSERIS ,..
PAYMENT METHoD:
ftcesn flcxecx leeveeLE ro NHc) fiotu- accouu-r EMcA/lsA f] oscoven
(FOR OFFICE USE
ONLY) REvlsED o rE4rlr/12
ZONE:-OFFICER:- SETBACKS: F:-LH:- RH:- B:
Approval:- City:- DATE: FLOOD:
- - -
BFE+2ft-
AVN
ROOF:
'lt{,91\ # OF STRUCTURES:
ACRES DISTURBED.qto EXST LANO DISTURBING PERMIT?
EIYES fJ NO
NEW IMPERVIOUS ARCA: 4,U41 %,,.TI. SA FT EXISTING IMPERVIOUS AREA: 5'2G1 34.Y|. SQ FT
pRopERWUSE: florrrce f]nesreunar,n fluencnrnle
[eouc f]arr [couoo OTHER I4Of1,L
ECoMMUNTTY SYSTEM
I]WELL DZoNTNG USE CTASS
CENTML SEPTIC LJ PRIVATE
SEPTIC
f] COMMUNITY SYSTEM
IFICATION:
dgD
oaIE:. b,24'?ol9
)/\ Yd Q v1
Ei!ATL ADDRESS:
A*.rt
conEin Arb€sto. or not. You ar€ r6qulr6d to .all the tlrtior|al Embsion Stan&.d5 fur Hazardol,3 Alr PolluteoB (NESHAP) Bi (919)7!7-5950 et l6est 10 daF prio.
b dle
demolllro. ol6ny laclllry or bullding- S€e Asbesbs Wob SIbr http:/Arww.6pl.stats.nc.us./€py65be.lo5./ehmp.htrnl
Comment PERMIT FEE:
$-
,d'Y€Z I5-'Y
?o\r-?t{}
APPLICATION
NrmtJer
(offi.e use)
io.
rfi r-l
"l.t
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIAN rYPrr CoIIMERCIAL
atEA5r Arl\!itR Al1 QLlFtiIoll5 APPIl(48Ll Ia.i YOLllt
'\Nrlf(r
"Pro ject Responsibility"
APpLICAI{T'S NAME: ::ill !-elei' it{rssr ar]d i's..,r;rr.:s DATE: .:.,it,l.l
DEVEIOPER: rr PHONE S:
PROIECT AODRESS:
5-:: uari(et s!reet
OCCUpANT/BUSINESS NAI\4E: jhik, ! r l A
PROpERTY OiINER'5 NAME:
Irer P.x, ll chik iil Al
Ol4lNER'S ADDRESS:
,:.,u ii,!ff rror':x, F,,)ii,i
CONTRACTOR:rli
CITY | (-tOa1-\al)ot9 sr:
]LzrPt21q05
pHoN!
l: Bb-E*S-qqq.t
PHONE *: :
lr 6:r2 9B:rrr
CITY: 'ri: I nr r:qr:.ir:
CITY; At- La r.rST: (ra ZIP: -i o l4,.1
ADORESS i
EMAIL ADDRESS:
PROI€Ct CONTACT PERSON:
sr.vefi t'r.'cl) is I Foli-,y lossi & Assoclaaes)
(Checr
Arl Ihat apply)
EXIST CONSTRUCTION:
ll Relocation. is there a Na
ALTERATToN
I nrruovarroH
I eer,rrnlr netlrns
Gas L rne on rhe Current Sne ? [ves !No rSBr DGS
RELOCATION
turalPRINKLERED?
I vest No
NEI.' CONSTRUCTIO , I ENECT NEW STRUCTURE
ACCESSORY STRUCTURE:
FAST TRACX SHE LLUPFII AOD TO EXIST STRUC]URE
lf UPFI1
- The
shell Perlt}it *:
IF Yes, !,rhat v,ras
the Previous o(cupancy Type?
Is Elect Por.rer on this Building T Yes
nro
*,'r* rs rHrs a cHANcE oF occupaNcy usel
[v:s INO..*ir
tlWhat is the Ner Occupancy TypeI N,,A
ARCH DESIGN PROFESSIOML:
EN6R DESIGN PROTESSIOiIAL:
.lei:5-lL 3"8!
i'1a i k Xurz!.n.rke 615-25!-52C'32.;t '-1
DESCRIPTION 0F WORK:
InLerior.r|d exLerior renovatlons, rE: !:-t I U.S
-ylltd adcllt lo!1, ltlr:ior srte $/ork
PH
PH
NC REG #
NC RE6 II
DISCLAIMER: I horeby cerl/y th3l allinlormrtlon
J'.d llual Ind\ rrjd ryd"rJnces Jnd r.oularruns T
cr LlrrrJe rn onl,ix k r or contrJctor .-alormatrcr,
Subt€ctio F,nes Up To $500 00"'
m rhis applicalion ;s.o(ecl and all work , rllcomply wrrh lhe Slate Buildrng Code and.ll orher aprlicable Srare
he NHC tteveloa,ment Servrces Center fiil be loif'ed o, any chanoes in th€ afixoved Dlans rnd lffL rutrons" NOTF
^nv
lrorl Pedo,.ned W O tne Applop{rale PerYrrls
willoie rn Vrolctr6n
oltheNC Sr.rre Bhq.Co.!e an4
owNER/coNTRncroR:
€ronlrn \drt<l zu SIGNATURE
lP'r*rl"*J- -f
TOTAL PROJECT COST: : ,].C.JU.lll
conrair Asbeslos or nol. You are r€quired 10 callli€ Nalional Lmlssio. Srandards lor narardous Aj, PollL.ta.rs INESTIAP)al (919)707-5950 ar laast l0 days p.ior ro the
demo,itron.t any racility or buildinO See Asb€slos Web Sile ,,irr.r,.., ri-l:r:'l
vm
r-)m
m(f
z.
a9
BUILDING HEIGHT
SO FT PER FLR: I
# OF
UNITS: :r
IOTAL AREA SO FT
TOTAL SO FI UNDER ROOF: :
# OF SIRUCTURES
ACFES DISTURBEO
NEW IMPERVIOUS AREA:
*__-*-,.. . , ,, SQ FT
WATER: mCFPUA
SEWEF:
[Z CFPUA
# OF STORIES
, OF FLOORS:
EXST LAND DISTUFBING PERMIT?
EXISTING I[.,IPERVIOUS AREA;
YES I NO
SQ FT
COMMUNITY SYSTEM
cENTriqL SEPTTC
I
WELL ZONING USE
CLASSIFICATION: ,
PRiVATE
SEPTTC
fl COMMUNTTY SYSTEM
PAYMENT METHODCASH I CHECK (PAYABLE rO NHC) trAMER|CAN EXPRESS
f] r'rCrursa
f]I)ISCOVER
ZONE
Approval
Comment
OFFIOER
(
lity
-, B:-,,
- BFE+2ft=
PERMIT FEE: $
{roR 0FFrcE usE oNLYi
SETBACKS: F: --
'LOOD:
L,t1 nFl
RavlsEroATE a/1M?
ZIP: u aia.
PHONE * i .t
ir.] !:.: ::5 a
LICENSE *: 6b+22.
ts food or bayeragos preparsd or s€rved in this srruaure?
[lve" f] ruo ls Tha Proporly Locatod In
Ths Floooplain?
Dves E no
pRopERryusE: floFFrcE [RrstruRaNr
ffueRcerlle f]rouc f]mr f]coHoo orxen,
DATE:
+Aotto -?Ll{
APPLICATIOI{
Number
(offlce Use)
ffi
NEW HANOVER COUNTY BUILDING PERTI'IIT
APPLIcATIot't rYPr; RESIDENTIAL
PLEASE AIISWER ALt QUESTIONS APPLICABLE TO YOUR PRO]ECT
"PrcJect ResPonsiblIlty"
DAfE|
tztzz/zOtYAPPLICA!{T,S NAI.IE: TTram Bros Tnc
PHONE #:DEVELOPER:
PRO]ECT AODRESS:CI TY:Wi lmin ZIP i 28 At:
BLOCK #:
-
LOT *:183SUBDIVISIqll:
CONTRACTOR:
d {ER, S ATDR.ESS:A1S S
PRoPERTY oill{ER
'S NAfiE: )r.rrie J. G
rngram Bros Iuc
CITY: yritninston ST:
&- ZIP:23.412-
LICENSE #: 66480
CITY:Iii lmi ngton5T: Na ZIP: 284c3
ADORESS:1?05 Castle Street
EiIAIL ADORESS: i r rambrosGbi zec . rr . com
p}ot{E s: 91A-152-969s
P}O E #:910
-s99 :t14PRO]ECT Cd{TACT PERSO{:
EXISTING CO STRUCTIOT'I:
UNROOM roo SF
ALTERATION RENOVATlON
I e rr'reur neearns
! RELoCATTOiI
NEt{ COITSTRUCTTOI{,
! rnrcr EH RESTDENCE or ADDITION TO EXISTII{G RESIDENCE
I.'PLEASE CHECK AIID AI{SI{ER BELO{ ALL THAT APPLY TO YOUR PRO]ECT:
l-'l arr eannee sF
! otr elnaee sr
I roncH
-sF
I emr-
-
sr ! sronaer sHEo
-
sF
n e neruousr
-
sF fl orcxSF OTHER:SF
TOTAL HEATED SQ FT: toc TOTAL SQ FT UNDER ROOF:
1j3- TOTAL AREA SQ FT: 10c
TOTAL PROIECT COST
tr*" r'oo : I J5 ooc)
rs Any ELECTRTCAL, pLull8rl{G
or II',IECHANTCAL Work Being
If the project is a Relocation., is thene a Natu
Is there Electrlcal Power on this Building?I
PROPERTY USE
/ OCCUPA'{CY:STNGLE FAMTLY
fl CUcitx
f| rorNxousr
# OF STORIES I
Done to the Accessory structure?
fl V"s I
ral Gas Line on the current Site?
[ ves
ves
f] ro
No
ElHo
I nstall srrnraom to rea!of h,uildinoDESCRIPTIOiI oF t,lORK:
D{SCLAIIER lhercby certty hat a[
and ordinarc€s 'ld reguladons The
contact r intormadon. "'NOTE: AoY
O{T{ER/CONTRACTOR :
ZOa,lE:
-
oF FICER:
Approval:- city
ul
ptrEE,PErmits wlll bB
fiJsena4
intornatbn h tnls applcaloh rs
conEct arld d r/ofi ti{ comply l,ih ft€ State &iHihg Code atid aflapplicable StaE ,td
NHC Developmeni s€rvices CenE. willbe nolfed ofany dranges in fie appro\i€d Phns ard
inlatkln of ltre NC SlaE Bldg Code
IS THE PROPERTY LOCATED II{ A FLq'DPLAIN?
E YES EI TTO
EXISTING II,IPERVICIJS AREA:
-SQ
FT TOTAL ACRES OISTURBED:
NEr'r l.tpERvIq,S AREA:
-
SQ FT EXIST LAI{D DISTURBING PERI'III:
l-'l veS l-l uo
MTER:
SEWER:
creun
I cormuNrrY sYsrEM
E PRTVATE NELL
I celrnal uell
creua
I CENTRAL sEPTrc
I enrvlrr sEPTrc
E cot'11'[JNrrY sYsrEM
n SIGNATURE:
(p.irt ttane)
r.**,* *,r * ,*
* + + ,1
+:t * + '* * * ** + *l d,* ai +,|*,t* +'t+* *,i** +*** *++,**,t,t ++**,t+* +***it't*'l ***+ *
+)t**1'***)i* ** ++ *'t
*.* sEPARATE PERIiIII5 REqUIRED FOR ELECT, MECH, PL8G, GAS EqJIP' PREFABS & II{SERTS '**
,orrr*, ,rr*1" tr;; ii;;f- it t*., .o t'tc1
[a't*rc* exr*'ss
[l r'rcrursa Eorttovr*
*+**,!a*:t**:l*,t*t*+a'***t*:r'r,t*:t****'t+'t*'|t'3***lj** 'tt:t*+**:t't**:**+ +***:t*:t* 't,t***++:***+***:***** 't+
(fOR OffICE USE ONLY) REVISED DAIE g4l11/12
SETBACKS: F:- LH:- RH:- B:-
BFE+2ft=
Coment
: DATE: FLmD:
-
AV N
PERIiIT FEE t[1]
PIloNE S: 9-!t) t)\2-922a
(
o7 D
tb-213
15-330 6
ADLO16
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSI,J€R ALL QUESIIONS APPLICASTE T0 YoUR PRoIECT
"Project Responslbility"
APPL]CATION
Number
(of+ice Use)
APPLICANT,S NAI.IE: H&H CoNSTRUCToR,s, INC.DATE,.17/23/2ots
DEVELOPER:PHONE #:
PRO]ECT ADDRESSi -!.?T} ADAMS LAND1NG DRIVE CITY: wILMINGToNzIP
i 23!]3_
U a4-.
SUBDIVISION: ADAMS LANDING
PROPERTY OWNER,S NAME: H&H CoNSTRUCTORS OF FAYETTEVILLE
BLOCK S: rt2a LOT #: jIl-_
PHONE S: 910-219 148sLLC
OI,{NER,S ADDRESS: 8209 Market stieet suite c
CoNTRACTOR: H&H coNsrRUCToRs oF FAYETTEVTLLELLc LfCENSE f: 741s8
ADDRESS: 8209 Market str.eeEsuite c CITY: WILMINGTONNC
zrP: 28411
EiIAIL ADDRESS: HeathelMacKenz le@hhhomes . comJe rr rennlnhhhomes.com PHoNE #: 910-219- 14B5
PROIECT CONTACT PERSON: ,lJ Brenninq PHoNE #: 910-219- 1485
EXISTING CONSTRUCTION :ALTE RATION R ENOVATIONGENERAL REPAIRS RE LOCATION
NEhI CONSTRUCTION:ERECT NEI,.] RESIDENCE OTADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELoW ALL THAT APPLY TO YOUR PRoIECTi
ATT GARAGE ao1 SF
I oer canece sr m PoRcH 233 sF
5T:
suNRooM
_sr
GREENHOUSE 5F
POOL
DECK
5FSTORAGE SHED
5F OTHER:
FT UNDER ROOF: 2934
# OF STORIES: 2
TOTAL AREA SQ FT: rser
_ sF
SF
TOTAL HEATED SQ TOTAL SQFT:2300
TOTAL PROIECT COST tress rort : $$133,386
:t,**)t:i*** *,t(* rh*+!* *)tik,l :i++{.i(* **+*t i(t *}***r.{.**
NO
DESCRIPTION OF WORK: STNGLE FAMILY DWELLTNG
conrscbr inftrrmaton. "'NOTEi AnyWork Perlormed Wr'O he Appropriab Permils willb€ lo Violalbn oflhe NC Slab Bldg CodeSubjecl b Fines Up To
$500.00"'
otlNER/CONTRACTOR: .rJ Brenninq
*+i.,r * *+ ** {* * ++,r **** * ** ***" *(llT! liT} * *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
fl vrs
EXISTING IMPERVIoUS AREA:
-sQ
FTTOTAL ACRES DISTURBED: 0.15
NEN IMPERVIOUS AREA: 3526 5Q FTEXIST LAND DISTURBING PERMIT:I YEs
N NO
and orc,ioances and eoulallons. The NHC Development Servlces Coner wlllbs nolifred ofany changes ln hs approved plans 8nd specifica ons ot
change ln conlrebr or
WATER:
I CTPUA
N COMMUNITY SYSTEI1
N PRIVATE WELLCENTRAI IIJELL
sEhIER!
E] CFPUA
E CENTRAL SEPTIC
I CNTVATT SEPTIC
fI COI4MUNITY SYSTEI"I
**' SEPARATE PERI.IITS REQIJIREO FOR ELECT, I'iECH, PLBG, 6A5 EqJIP, PREFABS & INSERTS **'
pAyr,lENr
r4ErHoD:
I casn
[cr:c( (PAYABLE
ro NHc)
n AfiERTcAN ExPREss
E na/rrto D orscovt*
'*x**,* r( ,1 ,t
* ** +,t,t,t *,1jt * * ** *** il.:*
+*+ * * * **r( * ** t+ *+ * * *1.+:l't+* * l.x i. *** *'t* 't** 't * *'1"*:* * + * *
**t( i**
'* '* '*
* *,( :! 'l'
(TOR OFFICE UsE OiILY) REV1SED DAIE O4l11/12
ZONE:
_ OF f ICE R:SETEACKS: F:_ LH: RH:_ B:_
Appnoval:- City:-_ DATE:- FLOOD:
-
BFE+2ft=
AVN
I
1(-/J
.ffi
CITY:
IfllfnslsL_ ST :
Jg- zIP::!3_11_
Is Any ELECTRICAL, PLUHBING or FIECHAIIICAL Work Eeing Done to the A€cessory Structure?
E Ves E f'fo
If the project
is a Relocation, is there a Natural Gas Line on the curnent site? [ ves fl no
Is there Etectrical Power on this Building?
lEl ves
l-l ro
PROPERTY USE
/ OCCUPANCY ' tr] STruEIE FAfiILY E OUPLEX
N TOWNHOUSE
SIGNATURE:
/"
Vts
NEW HA
jr 2c
tL_lff
NovER
couNw BUTLDTNG
,r*rrPEZ lb
-o
ii APPLICATIoT| rypE: CO0illERCfAL
PLEASE ANSXER
at L QugsTroils appttcA8t E TO youR prolEct
"project Responslbllity,,
I
l'lAPPLICAT,IT'5 MiIE:
DEVELOPER T
PRO]ECT ADDRESS:
o
APPLICAIIOI{
l{umber
(Offlcc Ur.)
DATE:L
6,?CTTY:
PIO E *3
zlq
I Ll\ t:t
P}ONE
*:
5T:
i.L ZIP: )t.-i I i
st. itL Zpt4)tt i
PHO E
T:
PIO E
*:lqL- Oaj
occuPA
T/EusI Ess MlrE:/11
ul llrac
PioPERW olt'tER'S iAllE: ,{,i
1
i.t fu-dL
(XNER'S ADDRESS:
Por*re
r- Lt't€CITY:) ltlhlA.
COiITRACTOR
Dl 6At..LICENSE
*:C
ADDRESS:?att ilv,i51 CITY:
E AIL ADORESS:
PRO]ECT COITACT
If UPFITThe
Shell Permit
*:
a
L.
Exrsr coNsrRucrror{:
E aLrERArr* Et"rJff;lfr E?r'ih^. nrrarns
ft RErocArroN
tf Retocarion, is there s NsruratGss Line
onthe current Site?
flves-fl ruo rssLDGspffiriiRi;;iJro 6ro
NEr', cor,rsrRucrro{r
! enrcr Ew
srRucruRE
I rsr rnlcr
I sxrr.r
! upF17
[ a, ,i-rrrg srRUcruREACCESSORY STRUCIURE:
rs Ele
ct Polr€
84,
r on this Buildin8
tr ves-[ro
...TT JS
THIS A CHANGE OF OCCUPAI{CY USE?
trIF Yes, hrhat l"ds th€ Prcvlors Occupancy TtOe?
Ihat is thr l{etr Occuprncy fype?
AICH DESIO', PROFESSIO{AI:P$t:
-!-
I'lC REG
* :EIIGR DESIGI{ PROFESSIONJAL:
_ Dr{.C REG
f:
SESCRIPTIoN 0F ttDRK:
b food or Devsreg€s FEparad or sen od ln
U* srnrcfureZ
[Ves
trNo b The Propeny Loctbd tn
The
Ftoodptatn?Elyes E No
Bullding Code 6nd all otherBpdtcable
$abrhe and
N6
of the
speciflcetorls
Bldg Code and
r*tp{tar lha
fu ty
orboitsho was totnd to
9)707-5950d LGn 10 d.ys prtor lo
tia
# OF UNITS:fTorAL PRoJEcr cosr:I w,BUILDING HEIGHT:
TOTAL AREA SQ FT :
FT PER FLR:
TOTAT SO FT UNDER ROOF:
_ #OF STRUCTURES:
ACRES DISTURBED:
-
NEW IMPERVIOUS AREA:
PROPERTY USE:
lOrnCe flnesraUmrr
WATEB: -CFPUA f-'l COMMUNIIY SYSTEM
sEwER: EICFPUA fictunar-sennc
!
"'SEPARATE PERMTTS REOUIRED FOR ELECT, MECH, PLBG. GAS EOUIP
pAyl4ENT METHOD:
flCnSx [CXeCr pnVaaE To NHC] [AMen
(FOR OFFTCE trSE ONLY)ZONE:_OFFICER:_ SETBACKS:
F:_ApprovEl: CiIy:-DATEL_FLOOD:
f OF FLOORS:
EXST LAND DISTURBING PERMtI?
trves
INoSO
FT EXISTING IMPERVIOUS AREa:
______ sQ FT
fluercaHn-e fleorrc
trmr flmrm orHE*.:5tAlL:7iL)ttl
tsWELL EfzoNtNG usE 0 ASS|F|Q{T|ON.
PRIVAIE SEPTIC
tr@MMUNITY SYSIEM
# 0F sToRtEs:
, PREFABS E INSERTS .-
tcAN E(PRESS flucruse Iorscoven
RFYEEDLH: RH: H.
-BFE+2ff=
I
lD
F ? Bnros
Comment:PERMIT FEE: $
oAIE anfi2
MesJ^.1
I
(Or.rlf.4
lt ihL-
'o',1
(P,h
il.h.)
q&-
ffi
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TVPE; COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICAS!E TO YOUR PRO]ECT
"Project Responsibility"
-{€--aO8-
APPLICATION
Number
(offi(e use)
APPLICANTJS NAJVIE: Uh}
PROJECT CONTACT PERSON: creq uhl
DATE; 1/7s /a6
PHONE #: 910 ?63 5888
919-306-8170
CITY: Durham ST: NC ZIP: 2770r.
LICENSE #: 62082ACCOUNT #:
PHONE s:910-763 6688
PHONE f: e1o-231 18 06
(check
all That Apply)
GERELOCATION
I PRINKLERED?Tves
! ruo
! rrsr rmcx
E snrr-r-
@ uerrr
!ADD TO EXIST STRUCTURE
Inc
DEVE LOPER:
PROIECT ADDRESS | 2't2 N. Front st. suiLe s01CITY: Wi Iminqton
OCCUPANT/BUSINESS NAlilE:
Kirretson & Associates, rnc
Efird, LLC PHoNE *:PROPERTY OWNER'S NAI'IE :
OWNER'S ADDRESS;
301 wMain St
CONTRACTOR: UhTInc
ADDRESS: P. o. Box 4441
EMAIL ADDRESS: uci@ec. rr. com
EXIST CONSTRUCTION:
E ALTERATTOT'r
! nercVArtOr'r
!
lf Relocation, is there a Natural Gas Line on the CuIIenl S(e? L--l Yes
NERAL REPAIRS
No lS BLDG S
NEI^l CONSTRUCTION:ERECT NEI,.J STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The shell Penmit #:Is Elect Power on this BuildingI Yes
Ero
r.**'r' rs rHrs A cHANGE oF occupANcy user flves I
IF Yes, what Has the Previous occupancy Type?
ARCH DESIGN PRoFESSIONAL: Mark Loudermllk
|,{hat is the New Occupancy Type?
ENGR DESIGN PROFESSIONAL:NA NC REG #:
DESCRIPTIoN 0F WoRK: Remove one non load bearinq wall, construct a small server room. repl door
ls food or beversges prepared or served in this srrucrure?
[ Yes INo ls The Property Located ln The Floodplain?
[ ves I No
PH:
t41-7600 NC REG +: 10776
OTSCLAIMER: I hereby ceniry that aI intormatron rn thrs applicatron ,s
correcl and-all work wll comply wilh lhe Slale Building Code and all ol he' appl,ca_ore Slale
an.j tocal taws and ordinance's and reoutaltons. The NHC Developmenl Servces Cenler wlll be nolilied of any chanqes in lhe apploved ptans a'rd specrl cal'ors
Subtectlo Frnes Up To $500.00"'
OWNEF/CONTRACTOR:
demolltlon of afly laclllty or bullding.t
TOTAL PROJECT COST:
WATER: ECFPUA
SEWER: mCFPUA
ZONE:
SIGNATURE:
httpr,lvuw'epi-nale. nc.uyepi/8sb€slos/6hmp. html
Uh1, Inc.
louolms4 (P,inl Nam6)
comatn Asbestos or nol- you are required lo c€tt th€ Narioml Emlsslon Slandsrds for Ha2srdous Ar Pollulanls (NESHAP) at (919)707-5950 at l6ast 10 days p.ior lo the
s€€ Asbeslos sleb slt€:Zi,?to lQ )$efin---/
# OF STRUCTURES: 1#oF FLOORS: 5
ACRES DISTURBED:EXST LAND DISTURBING PERMIT?
TI YES I NO
NEW IMPERVIOUS AREA: NA SQ FT EXISTING IMPERVIOUS AREA:NA
pRopERry usE: EoFFrcE nnesrnuneNr luenceNrtre leouc laer CONDO OTHER:
BUILDING HEIGHT: 8of r
' SEPARATE PERMITS REOUIRED FOR ELECT [/ECH. PLBG. GAS EOUIP. PREFABS I INSERTS -'
#OFUNITS: NA
SQ FT
REVISED OATE {11/12
TICOMMUNITY SYSTEM
-WELL EZONING USE CLASSIFICATION
frcerurnar seelc n iR-tvArE sEPTtc
fl coMMUNlrY sYsrEM
PAYIVIENT METHOD:
flcasn flcxecK (PAYABLE ro NHc) EBILL Accoum E]McA/lsA I otscoven
#..ir.#ffi.sffi..rdffiffi
(FOR OFFICE USE ONLY)
OFFICER: SETBACKS: F:-LH:- RH:- B:
nppror"t'-City:- DATE:- FLOOD:
--
BFE+2ft=_
Comment
N
PERMIT FEE:
$-
PH:
&0lk -?ctc
ZIP | 2B.1cr
CITY: wilminqron ST: NC ZIP: 28406
TOTAL AREA SQ FT :.1J9!-- SQ FT PER FLR:
JA- # OF STORIES: S
TOTAL SQ FT UNDER ROOF: NA
B
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIoN TYPE; COMI|IERCfAL
PLEASE ANSWER ALL QUEST]ONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
,4e,tb')?c16-108
APPLICATION
Number
(office use)
APPLICANT'S NA|.IE: r.l Inc
DATE: l/r,i/1;
DEVELOPER:
CITY: wi ]mrngton
PHONE *: rL,-r53 6688
PROIECT ADDRESS: 212 N. Front st. :ruite 501
OCCUPANT/BUSINESS NA E: (i:r-et:rcr. ! Assr!-i.,tes, In.
PROPERTY OWNER,S NAME:
OWNER,S ADDRESS: 301 W
Efird, LLC PHONE f: 919-3c6-8rrc
ACCOUNT #:
ST:
Nr ZIP: : B.t a 6
Main St
LICENSE #: ,: :
CITY: i,.l
i 1n, i n.lr or,ADDRESS: E, . o . Eox ,14.1
I
EMAIL ADDRESS: u.iGe. rr .i,r PHONE #:910-163-6688
PROIECT CONTACT PERSON: irrec, u]..1PHoNE # : 9 i a
- 2 3 r - I I 1..r
6
(Che.k
All Ih.t Apply)
EXIST CONSTRUCTION:ALTERATION RENOVATIONGENERAL REPAIRS RELOCATION
lf Relocation, is there a Natural Gas Line on the Current Site?Yes
Eno IS BLDG SPRINKLERED?
flv". Ir.ro
NEW CONSTRUCTION:ERECT NEW STRUCTUREFAST TRACKSHELL
UPFITADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The shell Permit #:
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOML: Mark Lcu.lermilk
***** rs rHrs A CHANGE oF occupANcy usel
Ivts I llo *****
Is Elect Pouer on
this BuiLding
!YesEruo
L/hat is the New
Occupancy Type?
341-t 6AA 1l---6PH
PH
NC RE6 #:
NC REG #:
ls food or beverages prepared or served in this struaure?
[Yes INo ls The Properry Located ln The Floodplainz
I ves
[l r.to
ENGR DESIGN PROFESSIOT,IAL:
DESCRIPTION OF l"rORK: Remove one non foacl bqa!] lLaIl, consllqq! q lutqLL server rolll. repl door
OWNERYCONTRACTOR:SIGNATURE:
DISCLAIMER: I hereby cerlify that allinformation in lhis applicalion is correct and a work willcomply with the Slate Building Code and all olher applicable State
and local laws and ord.nances and requlalions. T1e NHC Development Services Center will be nolrlied of any (hanqes in lhe approved plans and spec ficatrons
or change i4 contraclor or conlracto' inlormalion. "'NO " E: Any Work Perforn"ed W/O the Appropnale Permils will tie in Violallon of lhe NC Slale Bldg Code and
Subject-to Fines Up To $500 00"'
uhl
(Oudffier) (Pn Nam6)
contain Asbestos or not. You ere required to csll the Natlonal Emisslon Stendards for Hazardous Air Pollutants (NESHAP) 6t (919)707-5950 at least 10 days p.ior to tlle
denrlition of any fucility or buildirE. Se€ A3besbs Web Sit6: htE:/rlreww.opi.state.nc.ua/epi/asbe6tos/ahmp.hunl
TOTAL PROJECT COST:
;]., ]]:-BUILDING HEIGHT: s,t rr,
# OF STRUCTURES: r
WATER: ZICFPUA ECOMMUNITY SYSTEM fIWELL
SEWER:
E CFPUA f:ICENTRAL sEPTlc Li PRIVATE SEPTIC
ACRES DISTURBED: NAEXST LAND DTSTURBTNG PERMTT?
n VeS
[J NO
NEW IMPERVIOUS AREA: :rn SQ FT EXISTINGIMPERVIOUS AREA: NA SO FT
PROPERry USE: @OrrtCe RESTAURANT MERCANTILEEDUCAPT ECONDO OTHER:_
flzoNrNG usE cLAssrFrcATroN:
fl coMMUNrrY SYSTEM
*.SEPARATE PER]\4ITS REQUIRED FOR ELECT, MECH. PLBG, GAS EQUIP. PREFABS & INSERTS ''
pAyruENT METHOD: ECASH flCnecx leeVneLE To NHC)
[etu- nCCOUur firvrCnrrSe [otSCOven
ZONE:_OFFICER:
(FOR OFFICE USE ONLY)
SETBACKS: F:-LH:- RH:- B:
Approval:-City:-DntE:-FLOOT'-----;-----,
N
BFE+2ft=
REVISEO DATE 4/11/12
Comment PERMIT FEE:
ZIP | 2 81t1
CITY: i,, t,.rL ST: \rr ZIP: r Ir
# OF UNITS:
# OF STORIES: s
# OF FLOORS: 5
TOTAL AREA SQ FT : 1 , 10 .l SQFTPERFLR: NA
TOTAL SO FT UNDER ROOF: r;;
Zc,ttalQ*
\6-rqo
l[Ell HAiI0VER COUNW BUTLDItttG pERitrT
,pplrcrTr rr"gr GllllGtCIAt
F|.EASE
a,6lf,R ALL qrEsnoxs rDpuctrrE m toui piolEct
-Pror.ct IG
3ponslblliy
APPIICATIOI
Iud.r
(Otft(G Br)/ -?ry'Z
(ch..t
^lr
tr REIOATIOI
Ct'Iem SitG?
tr
t{gu cottsTrl GTr :
I trrcr m, sTflrnfiE
!rrcr
ACCESSORY STRUCWiE I
rf UPFIT
- Thc
Sirll Perrit
t:
IF Yc3, rlllat Bs tlr. I'r.t
torr Occug.ocy
IIDI!
ato{ 0EsI6r, PtorE
trq{/tt:
Effir D€SIG P'OFESSIU{AI !
V\Nt- w tLS C$K
9
...r. 15 I5 l OUEE OF
ocroDN rrH
I rrs
f!8.....
DATE:
crrY:
PloirE
t:
ot)
CITY:
P}O{E
t:
.l---_5T:_ ap!_
LICEiTSE
CIWr
ST:
*78/zt
PloflE
t!
PIOflE t3
Is Ellct on
thls BuildlnS
f! ves flro
i,___. nrt 15
Ul.
b 0ccupmcy fy,p.f
Exrsr od6r rrrd, /^r*r*
lf Rebcaioo, b thero a tl,[dal Ges Lirc on rhe
qhEEr
*,S
PROJECT ADOiESS:
occuPArr/BU9r E95
uutE:
PIOPEiTY O6IEi'5 ITAIIE
:mri's lDDnESsr
COIIIRACTOB.*-*e()
ADDRESS:
EiA:IL ADORESS:
PiOJEC COi'TACT PIT9CI:
TOTA PROJECT
TOTAL AREA SQ FT:
TOTAI SO FT UNDER ROOF:
ACRES DISTURBED:
APPLICAIT'S AIE:
DTVELOPEi:
SEWER:
a t/ts
ZIP
92,/'2-
--PH:_rtrRE6r:
?
o
P+t:
DESCRTPTIOII OF MRT:
E lbod or b6,.n CE3 Fplrq, r rs}td h O*
*rrtrcZ [Ves ll,o b llr P'opc'
DISCUUIIER: Ic.rfirth.t
8 lntumslm lnu&lsh|c.larldS8b
N
tr Ttrc
Eoo6Lh?E Yes No
ellodE SLb
h r0t!..Fbtotr
OWIIERICONTRACf,OR:((r&
tlob: O.rnotttrl trdiicrdolr
l a&G ltlEl,rr
'ri
ii aFlHdi.tl bh..ubnrbdurE !r apr Etilon
fuft wmta$!tcryq r,l!tudbcodth
AtolFt q lld. Y!(l.ltftq*td b
dtl! fl,art! E rtdqt Am(.rd!
h tbrdolrAr po&,.rrat r or$7or.6Go
edlnE&ho oftiyb. y
Sr
,.!to. tttb Sr.:
Ogo.oo EUII,DIIIG HEGHT:
SQ FT PER FLR:toF
tillre \sronrsFFLO0RS:-!k--.
,s
,OF*s
NEW IMPERVIOUS AREA:
- SOFT EXSINGMPERVbIJS AftA
pRopERTyuse
sme Enmnrnrrr EFencmrnr
EurEIrr Eloom orrr*
WATER:
EIcFPra
EpcFPrrA CEI{TRAL SEPTIC
tr nF#ffi*ffffirEArDrt
STSTEM
Aep.Dtrt_Cr1r.-OATL-FLQOtr
SO
FT
trilcJ\rsA troscoan
--8FE+k
t-
---
EIGT LAND DtSTURBttrtc PERllrnElvss
Ero
Ex,Er-
Pf,IVAIE SEPIIC
-. SEPARATE PENTJIITS
iEOUMED FOR EECT.
TlEctTPl'lG, GAS
EOt P. PREFASS
t ${SBE_pAy'HElrriETloD: ficasx florsocpevaatero rorcl ftamarcan ExFREsE
ZONE: OFFICER:
IFOi OFFEC USE
O}rY'
SEIBACKS:
Fi__tlt_Rrf_g,nEyEE DArE
attw
Commedi
A
v
PERMIT FEE;a
IEPAIf,S
EIrro
,o eltsT Stiucn BE
tr
I
',l ri
F
)t>tb rqg
xlL\' \TE
qs;
ilEW HAi'OVTR COUNTY BUILDIi,,6 PER,{IT,r?LICArrAt lt"g: CO{IEiCIAL
PtI^sf
{6rf,t
^rr
qjfgr:ols
^,rrr^,rr ro
tDtI rto tc!
16- tq0
aP?ucur,s $nr:
DgVfLOPER !
PIOTECT rDOetsS,
onlft's lDDRr5Si
ornrcrr
aDoitsg t
riqTl ADREss:
Pr.olEcT colrtlr! PaRsot r
'ProJrrt
t rponrl.br,tt
v
r/ls
CITYr
DAT'
lPPt
IClItGl
,&!&r
:IP:
(ofr&. tr.),lZl://
r4{4tt
r:
O@JPllJTlSlJlII{tl5 arrriE
:
PtFEt?y OrEt'l iillt€:
2r,42-\
EXrSY Cofis
I Brhadidr,Curcrn Sitcf I
rET COarSTtt CTtOf,:
I raect rrw STrrcrulE
I r*sr
AC€E$SOXY ItiUCtUlr:
fi uPrrT
- thc $dl Perrlt
,:r._-Is Ekct on
thts Bullcing
rrurnorv:
t'lrurrrra
ia trerc! tldti.l G!.
Lil. on ur.
(oro Ar
LJ rErovATrorx
CfTY:
I PrcflT
I:
LICT$T
CTTY:st
PlEa{r a:
F
6l{E
t:
or ocrrruc?
tr*t
firts
E. ..-.
,* _r srJt 1r t,rr Xai 0ctwraty
ry*l
p+t:
PHi
I{ RE6
-
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ST: Z19l
, */8/;t
-,-
#- //t/ ( Y J</ z-
fives firo
--ai
t:
,'.r IS
n{I! I OU,6E:r ycr, },rrt r.rr tha ttryl,*ra o.clpr$ay TlDcl
nld. DE !g tlotCttto,{
lr
Erict 0€tl6x PltffjsloMt:
DESCRIPTTO OF T"FX:
\|.JG \^l t -,- )-
l- t S( \--LLq\!1
E bod or blyrrrt!. Flrand qr'nad h 0&
*Iltrt? Byrr ib b rll. p6r..ty toqd * n: aoo4*rr[ vrrDSC^'I€R; I
attfy th.!
lll Lib.'lrlo1 ti ,rS ls
Slnt r1lo
dafiiitrld&y ndty
TOIAL PROJECT 000 oo
IOTAT ANEA SO FI
TOIAT 9Q FT UNDER FIOOF;
Arr6a6r,!.t
BUILDIi.,G HEIGHT:
soFrPEFFl-R
fG--rorsrnucrtnE---SIOES; \
llo
sbb
r{t
riar*
tQ rrqr{bftdfii. r,Jr
ft{rr.d.r PltFoTirgo
,G$t Bt0f'---
_%fsFLOOf,S:
s0
Fr
FLOOD:
lv I
la!c!!fiE {'tw
OWVETI/CONTRACTOR:
!,e.&,
ftt E|r!!&t r.dlCdr l aLia riEd E tl|ltthant.n b
!. .l&n5
l-I tr rrc,bo tamco.t h lr&a t. l5- Yasar ltQ*rd !a.d
tr&!qrl Bn.lhn OL'l&rr
kskrql
CosT,!
ACRES DISTURBT':
-
E(gr LANO DTSTURB$IG
tERMmLJYEE LJNONEw IMPERVPUS /nEA: s^ trr EXISIING UPERUoUS
Ak^
PROPERTYUSe
srnCt
nRESTAIJFIIII
trumrxrus
trEUJC
nret
&roo OT}iER
IVATERT
Etr
crPu
SEI{ER:CFPUA
- slP ri aE PEETTTS
nBO{rfiA foq a-Ect. rEcH. pt!o. oas€orP, PiEFAIS a StSEr1t -
PAN4ENT UETHOO:CASH
dcet< pAyrstrro r{.tq Err.mtcln ExrREsr nucrvts.l florscovrn
FOT OBFICE UAC
n6$HU fYsr/tsTEl,l nurFr rflcrrrmrsrrc trfiileEssnc
nffi.lffiS,H***
zoxe-!&-omcsi:oatYl
riSiESETBACKS:
iEBT/UT FEE:
tr.-.r.--
./7 -
L,t-
Cz
Comr,Bflt:
B
to t&yt srnucn*E
XEPAIRS
dA APPLICaTIoN rvPEr COIIIMERCIAL
## p[EAsE ANsr,,€R ALL QUEsrroNs AppLrcaBLE To yc{JR pRo]Ecr
eE "Project Responsibility"
APPLICANT's
l,lAllE: .lim Cooper Construction co., Inc. - Andrew Byrd, Proj
Tb F-x/b Ab- 7Dt
APPLICATION
Number
(office Use)
1NEW HANOVER COUNTY
BUILDING PERMIT
r.5-1840
Manaqer oAr E |
__92_9Jj2:_
DEVELOPER: set.zer proDerrie6 wILu, LLC
PROIECT ADDRESS:
324L pennin on Dr.CITY: Wirni-nqro.
OCCUPANT/BUSINESS tAflE: FedEx cround
PROPERTY OI'INER'S NA E: serze! properries wILM, Lr,c
otlNER,S ADDRESS:
3s4 walter Ave,
suire 200CITY: Lexinqton
CONTRACTOR: Jim cooDer Conetruction Co.
, Inc LICENSE #:ar?1,/
ADDRESS:
5oo4 srh Ave southCITY: Birminqham
PROIECT CONTACT pERSON
: andrelrb@cooperconstruction. com
(Check
All That Apply)
PRIN
PHONE #: assst41i 6't
ZIP
: 2B4os
2
PK)NE *: as9sr4't'/ 6i
ST: KY ZIP: 4os04
ST:
AL ZIP: 3s212
PHONE *: 2osB7r.o3o4
PTONE
*: 2o5B?10304
Exrsr coNsrRucrroN:
f] ALrERArrou
! neruovarrm
fl ceruenar- neenrns
lf
Rdocdm. is
there a Natural cas Line on the Current Site? fl_lYes l_lNo lS BLDG S
RELOCATION
KLERED?
B ves
f] r.ro
*\y
\{s
+r NEl.l coNsrRucrrofrr:
I enrcr NEhr STRUCTURE
f] rasr rnrcx
I srer-r-
! uerrr
! noo ro Exrsr sTRucTURE
ACCESSORY STRUCTURE:
If UPFIT
- The Shell Permit S:
Is Elect Power on
this Buildingr Yes
Erc
**+** rs rHrs A cl{aNGE oF occupalrcy
usrr
fives [lro *****
IF Yes, what rras
the Prevlous occupancy Type?What is the New Occupancy Type?
ARCH DESIGI,I PROFESSIoNAL:
Craiq p. Roqers, Architect PH:2o\a24o
018 NC REG #: 104?6
EIIGR DESIGN PROFESSIOT{AL:
Mike JonesStr.uctural PHi 2a5a2452a0 NC REG *t 02'7942
DESCRIPTION OF NoRK: New Pre-Enqineered MeLal Buildinq Facility for FedEx Ground
- ) OISCIAIMER: I hereby cenify lhat all information in fiis application is correcl and all work will comply with the State Bullding Code and att other sppticabte SIate< - and local laws and ordinances and rooulatons. The NHC DeveloDnent Services Cenlerwill be nolited ot anv chanoes in lhe aDDroved olans and sDecifica ons
or chanoe in contractor o. contractor rifomation. "'NOTE: Any Wo* Performed w/O the Appropdale Permib willSe in Violaton of lhe)JC Strate Bkg Code andr Subjecllo Fines Up To
$500.00*
\r . 7\ -,1 .-
+€WNER/CONTFLACTOR: paul vardaman, vice presidenc a'O*Otr*tt t a-',, -,'.\ (o.dlre) pn Ndrts) T
conbhAlt s63 or mt You aro rBwlrd b c.ll tE tblord Embebn Slrd.ds ftr tl.z.rddrs Ar Poflutrrls (NESfrUP) et (919)D7-5S50 et Len 10 d!y! Flor b tt.
ls food or bevBrsges prep€Bd tr sorvBd in tris anraure?
[ vesNo b lhe Prop€.ty Locsted ln Tho Floodflaln?
[ ves T No
@zATOTAL PROJECT COST: S12, ?7G,
09,1 BUILDING HEIGHT: 30 ,
# OF UNITS: r
TOTAL AREA SQ FT :213,508 SQ FT PER FLR: 213, sos# OF STORIES:
TOTALSQfiUNDERROOF:
213,so8 #OFSTRUCTURES:# OF FLOORS:
r
ACRES DISTURBED: 3o . I Exsr IAND DrsruRerNc peau[t
n yEs
I NO
ct€mollton of any bdllly or fuildlng. 560 fubosG Wbb Slt6: hl$:/ ,$dr.epl.rtel6.nc.us,/6puesb€alos/dhmp-htnl
". SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLB6, GAS EOUIP, PREFABS & INSERTS
"'
WATER:
SEWER:
PAYMENTMETHoD:
flcasr EcfircxpeyesEToNHc) flruuenrce,noeness f]uovrsl f]orscorrrn
CFPUA
CFPUA
a
@
flcoMMuNrTYSY€TEM EwEr fIZON|NG|,JSEC|-ASSTFTCATTON:ff cEr{rRAL sEpTrc Ll PRrvAlE SEPTTC TICOil MUNrySySTEM
7-2
FEVISED DATE .{,I11112
F-1ZONE:OFFICER:SETBACKS: F:_LH:_ RH:_ B:_
Approval:_ City:- DATe_ FLOOD:
- - -
BFE+2tu_
N
PERMIT FEE:
F L cwun-
!
Comm€nt,D
ElilAIL ADDRESS : ryanf@cooperconstruction. com
NEW IMPERVIOUS AREA: 13.
sac. 601.128.osF SOFT E(STING IMPERVIOUS AREA: 0.00 SO FT
pRopERryusE: ffprnce [nesnuemr luencar.tnu [eorrc f]npr lcoNoo oTHER_pisss$s!-ts_
(FOR OFFtCt USE OtitY)
)cP - Ycj
NEW HANOVER COUNTY BUILDING PERMIT
APPLI CATIOII TYPE.. RESIDENTIAL
PI.€ASE ANSWER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT
tU- l1>-
APPLICAIION
Number
(office Use)
Q;""
, "Project Responsibilitf'A f,[,^.'o^r*
l--]-tcAPPLICAI{T'S M}tE :
DEVELOPER:PHONE
#:
PRoPERTY OIINER' S
O}'{ER, S ADDRESS:
PRO]ECT ADDRESS:
SUBDIVISION:
CO TRACTOR:
ADDRESS:
a CITY:
CTTY:i.)
CITY:
BLOC( f:
zrP:
a-t!t\
LOT fl:
PHONE
#:).bo->Ao-l
st:.Ut.zlr: ?*y'il
ST:ZTP ,:
?JYq
7r>
f
NAI'4 E
n trrxla r,.LICENSE #:
EIiBIL ADDRESS:
PRO]ECT CONTACT PERSON:
<\ASO
/) Cr**t)
PHO
E #:
PHOI{E S:c,
I
33
Exrsrrr{G Cor,rsTRucrroN:
! alrenarroru (^rrouorro, I oerurnal nrenrns
fl RErocArroN
NEttr coNsTRUCTIOt:
! eneCr NEr{ RESIDENCE o"
fl AOOTTTOH
TO EXISTIi{G RESIDENCE
**PLEASE CHECK AND AI'ISI{ER BELO}'I ALL THAT APPLY TO YOUR PROJECT:!DET GARAGE
-
SF
n poncr
-
sF
TOTAL HEATED SQ FT:
^)T0TAL PROI ECT COST tress r-orl
: $
EXISTING IiTPERVIOUS AREA:
NEW
II4PERVIOUS AREA:
ZoNE:
_ oFFICER:
Approval:- City
5F
SF OTHE R:SF
TOTAL ACRES DISTURBED:
Exlsr LAND DISTURBING prnmrr: ll'l ves [ rc
I eoor-
! oecx
f] sronncr sHED
_ sF
ToTAL sQ FT ur{DER R@F ,
,3 ) O Toral AREA
se F.t | / t) D r
{oK #oFsroRrEs:
Is Any ELECTRICAL, PLUmBft{G or IiIECHA{ICAL Work
Being Done to the Accessory
Structure?XYes E No
If the project j.s a Relocation,
is thene a Natural Gas Line on the Cunnent
Site? [ ves I no
Is there Electrical Power on this Building? [f v"r Fl ruo
PROPERTY USE
/ OCCUP'NCY:
K INGLE FAMILY
I oue r-rx
! rolvruuouse
DESCRIPTIoI'I OF WORK:3f lr, .o
"-b
av-
DISCLAIMER: lhsreby cerlit lhal all inbmalron in
fiis applicaton is
conecl and allwork willcomply witr he Stal€ Building Code and all ohor applicabte Stale and tocat taws
6nd ordinances and regulations. Th€ NHC Devolopment Services CenlEr will b€ notried ofany changes in lhe approvod plans and speciicalions or change in
cootrecbr or
conttrbr inbmaton. '-'NOTE Any Work Eerformod W/O he Appopriats Pemits will be in Violetjon or lhe NC S
//l t /)r
OI{NER/COiITRACTOR:
IX,>I,.E't L-'hAT1 SIGNATURE:
raE BldCodeand Subjeci
b Up To $500 00"'
l.****ii*,*1.,1.*,t,*,8:t,i++*,i*++rtrt*+,t*,*,f,t)t)t*,t*:f*,t,r*)t+***+*.1+++*++**+,**+***:r**:t+***,t,r*+**)k*:**r*r*,r**
IS THE PROPERTY LOCATED IN A FLOOOPLAIN?
E YES
fiuo
SQ FT
SQ FT
rurrn:Mcreul
! cor,{r,luNrw sYsrEMPRTvATE
wELL
I crrurRal well
sEr,rER:
E creua
! CENTRAL sEPTlC pRrvATE sEprrc
! cor.tmuurrv svsrrm
*** SEPARATE PERI'IITS REQUIRED FoR ELECT, MECH, Pl-86, GAS EQUIP, pREFABS & ITVSERTS *:r*
pay Er,rr fiErHoD:
flcrsx flcrrcK (pAyABrE
ro
rxcl I arerrcAr,r ExpREss
I r,rcTvrsr
I orscovrn
*,t***r.+)***1.,tr(***,*+)t+,t,**,i,++,t,t**,t,i,t+*t,**,*'t,t,*)*,*,t,t***,*,1*)r,*,t*,r***,r+:r****)****x*+)r+**,k*,**,*,**)*)x*
(TOR OFFICE UsE CI{LY) REVISED DATC
O4l].1/12
./l,
SETBACKS: F:_ LH:_ RH:_ B:_ (J /f .
:_ DATE:_. FLoOD:
_ BFE+2ft=
N
,.1,.i.'.\
,...-&-,,
! arr canace
-
sF
! suruRoom
-sF
! cnrmrxouse
_ sF
l).,NEW HANOVER COUNTY
BUILDING PERMIT
APPLIcArIott
ryPE: RESIDEI{TIAL
PLEASE ANSIIER AI,I. QUESTIONS APPLICABLE TO YOUR PRO]ECT
"ProJect Responsibilit}/,
n^k, il
4/,
Wz*i6^ts-;
APPLICATION
Number
(offtce Use)
APPLICA T'S tlAfiE:
DEVELOPER:
DATE :
PRO]ECT ADORESS I
SUBDIVISIOI{:
PROPERW OT, ER,S IIA'IE:
OU[{ER, S ADDRESS:
C0 TRACToR:
_._-.L
ADDRESS:
EMIL ADDRESS:
TOTAL HEATED SQFr: / 6 a
.i
TOTAL PR0IECT COST tuess r-o0 : $
"
tioo o
'/ ctry z
crw:
LICE SE *:
CTTY:
BLOCK f:
pHot'lE
*:
ST:
LOT #:
,*rrr{r,
E
* -1/o&;fu2 y'
sr,,lfzrp. T
:rrp,lg lai'I
Is Any
If the pnoject
is a Relocati
Prl()TJ
E # :
Plot{E A:
esE
-K,orJn/2
a D ul.J
PROJECT CO{TACT PERSON:
EXISTING coNsrRUCTIoN:
! alrenarroH /ar*ororro,GENERAL REPATRS
! ae
locarroru
NEr.l CoNSTRUCTIOT:
I rneCr NEIJ RESIDENCE o"
! AOOtrrot To ExrsTrl{G RESIDENCE
.*PLEASE CHECK AND At{Sl{ER BELOI, ALL THAT APPLY TO YOUi PROJECT:
I nrr eenace
_ sF I orr eaRace sr
! noncu
_ sF
SUNROOMSF SF
! sronaer suro
5F OTHER:
! on rrruxous e
-
sF
POOL
DECK
,@,
SF
SF
TOTAL SQ FT UtrlDER Rq)F:/la TOrAL AREA
SQ Frz /LJt
f OF STORfES: /
Being oone
to the Accessory Structure?
Natupl Gas Line on the Current Site?
f] vestfrv"t fino
No ,/
d*oat
k
ahere
Is th€re Electrical Power
on this Bui 1d i ng
PROPERW UsE
/ OCCUP
OESCRIPTION OF WORK:
At'rcY :
SINGLE FAMILY
! ouer-rx
f] rowruxouse
ocJ
lzLer,t
,'841s
DISCLAIUERi lh€robycerti& het all inlorma{on in his Bpplicaton is
con€ctand
and ordinances 6nd regulations The NHC Derclopmenl S€Nic€s CenEr wllb€ n
2
eur
! cor4muNrw
sysrEfi
[ pRrvArE wELL
eun
I cENTRAL sEprrc
! rnrvarr srrrrc
6ll workwillcomply wib he Stete Building Code and
s[ oher applicabte
otfed olany ctlenO€s in he epp'o\/ed ptan! and specifcstions orcheng
bjed
b F
T 0 00"'
SiaE and locsl laws
contacbr inbmeton. '1,|OTE: Any Workrmed
w/O he Approprrats its willbe in Violation ofthe NC Srats Bldg
3-
OUNER/COilTRACTOR:
SIG ATURE:
(Print tlane),.** + *t* + *+'a,if *+ * * * +,t+* ***+ ** **,t** +*+ +:i:t,i,t t **,t***:*'*:r:r,r + *+ *:t*,t + +:t** ** +,l* * + *,t,t*,** +*,* x
t,i ,t ,* rt+
IS THE PROPERTY LOCATED IN A FL(rcOPLAI]{?
tr\Es
/m\o
TOTAL ACRES DISTURBED:
EXISTING II,IPERVIOI,S ,EEA.
Jb,1 SQ FT
NEt/{ r4PERVIoI S AREA:
_SQ FT
EXIST LAND DISTURBII{G
PERIiIIT:
E YCS
f].] rrO
MTER:
sEHER:CF
I crrrnal we
ut
f] conuururrv svsrrn
(rOR oFFICE UsE CaIIY) REVISSD DATE €4
SETBACKS: F:_ LH:_ RHi_ B:_
*** SEPAIRTATE P-ERlttITS ,,IQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS
& INSERTS **+
pAyMEr,r
TETHoD: Wasu WcuecL( (PAYABLE
ro nnc;
I urrnrcau ExpREss
E nclvrsl t-l orscoven .
* * * +* *,t ,t
**,t,| * t,t * * + * + )*
* ,t ,l ,*,t ,*,*
* ,t ,1.
*,t * *+* *,ht !i(
*,i *,4 * ** ** ** * * *+,ir** +* + + +**+
*** * *,** )*
*** + + i.,i !t * *rr + +
zoNE: 0F F
ICER:
LECTRI
Approval:- City:- DATE:-. FLoOD:
-
BFE+2ft=
-
av[
'Ll
,4
rLl,t
2otrn-go+
NEI^I HANOVER COUNTY BUILDING
APPLICATION TYPE; COMMERCIAL
L6-L22PERMIT
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICATION
Number
(office Use)
APPLICANT'S NAiIE: a.rdsr,rl Con:rtrlrcLlon Services, Inc.
DEVELOPER:PHONE #:
DATE: ,i l, r8/:lr6
ZIP i aB1),PROIECT ADDRESS:
6B:t Parker Edrnr rloaclSurte 140
OC CUPANT/ BU
5I N E SS NAME:
:..
PROPERTY OWNER'S NAII4E: cP,L r Arisoclat,es Management, rnc
OU,NER'S ADDRESS:
58j5 conser-,.riior, l.tay
CITY: witminoron
CONTRACTOR: coastal Cons!ructicn servrces, rnc.
ADDRESS: oo- > lor oor. ioao
CITY: wr Lmrngr cn
PHONE #: 910-:s6-5131
ACCOUNT f:
sT:
l!_ zIP: !_!_!_l_l_
PHONE #: 9rc-25r;-r.r5:
LICENSE #: ; ::;
CITY: wi tmi nqt on
PROIECT CONTACT PERSON: J!Lriny EdrLe\/
(check A1I That Apply)
EXIST CONSTRUCTION:
lf Relocation. is there a Na
ALTERATION
Gas Line on the Current Site?
RENOVATION
EYes
trilGENERAL REPAIRS
No lS BLDG SPRIN
RE LOCATION
tr
KLERED?
[-il Yes
n Notural
NE}' CONSTRUCTION:ERECT NEW STRUCTUREFAST TRACKSHELLUPFITADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT
- The SheLl Penmit #:
IF Yes, what was the Previous occupancy Type?
ARCH DESIGN PROFESSIO},IAL: ai.).)rir iirlL A r .'l-, r r e c r-- L: re
ENGR DESIGN PROFESSIOiIAL: :qrri-rowelL Con:iulLin(J Ert.lineers
Is Elect Power on this Building
flves Eruo
***** Is THI5 A 6HANGE oF occupANcy usE?
nyEs ffi No *****
PH:910-343-1065 NC REG #:
PH:910-270-3747 NC REG #:
DESCRIPTION OF WORK: see aLtached plans - Add I office ancl 2 bathrooms
ls food or beversges pepared or served in this struaure?
[ ves
fi no b The Property Located ln The Floodplain'l
I ves
fl uo
DISC|AIMER: I hereby certify that all anformation in this applicalion rs
correct and all work will comply with the State Building Code and all olher applicable Slate
and local laws and ordinances and reoulations The NHC Develooment Services Center will be notified of anv chanoes in the aooroved oldns and soecrfications
or chanqe rn
contractor or contractor iiformation. "'NOTE: Any Worl Performed w/O the Appropriale Permits will 6e in Violati6n of lhe NC Stale Bldg Code and
Subjectio Fines Up To $500 00"'
OWNERYCONTRACTOR: Arthur A Geen
SIGNATURE:
(Ou.l[t64 (Pn NaIr€)
conbin Asbestos or not. You ar€ r€quirsd to call t lo Nadonal Emi*sbn StaMards ior Hazardo{rs A.lr Pollutants (NESHAP) at (919)707-5950 st le&st 10 deys prio. to the
denolifron of any facility or buiHiig. S€o Asb€stoo Web Sit6: htp:/r\t/vJw.epi.stat6.nc.us/efi/asb€slo€Jahmp.hhl
TOTAL PROJECT COST:
TOTAL AREA SQ FT :
_._:-_
fl CoMMUNTTY SYSTEM E WELL EZONTNG USE CLASS|F|CAT|ON:
fl CENTRAL SEPTTC
Ll PRTVATE SEPTTC ECOMMUNTry SYSTEM
BFE+2ft=
# OF UNITS:
# OF STRUCTURES:
:
ACRES DISTURBED:EXST LAND DISTURBING PERMIT?
l_.l YES!NO
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA:
pRopERw usE:
lorrrce [nesrnunnrur lmencnrurLe EDUCAPTCONDO OTHER:
WATER: @CFPUA
SEWER:
r7l CFPUA
", SEPARATE PERl\,lITS REOUIRED FOR ELECT. I\,{ECH. PLBG, GAS EOUIP, PREFABS
& NSERTS *'
PAYMENT N4ETHOD:
EcASH ficnecx leevaBlE ro NHc) [aru- nccourur ffiucnrrsa fiorscoven
SQ FT
(FOR OFFTCE USE ONLY)
ZONE:_OFFICER SETBACKS: F:- LH:- RH:- B:
Approval:_ City:- DATE:- FLOOr' o u N
REVISED DATE 4N1N2
()f ,CVt e,
CommentPERMIT FEE: $
f-r' c>
.)uo-
5T:
lL ZIP : :8,1 - 5
EIiIAIL ADDRESS: beckvFcc:rioinc. conL
PHONE $: 97N-261-0i 6.)
What is the New Occupancy Type?
BUILDING HEIGHT: .
SQ FT PER FLR: ,
TOTAL SO FT UNDER ROOF:
_
# OF STORIES: r
# OF FLOORS: i
RE
cElvr' JAN1h;.ttr
/A -
tt{
APPLTCATION
Number
7o
NEW HANOVER COUNTY BUILDING PERMIT
' aPPLrcnrtoN TYPE: RESTDENTTAL
PLEASE PRINT CLEARLY & ANSL']ER ALI- QUESIIO\S
"'Project ResPonsibility''
CITY:
BLOCK
3
a CITY:
ICENSE
CITY:
&
(office Use)
DATE :12{n )otl
zlP,i6"lU
APPLICANI,S N/TME:
DEVELOPER:
PHONE #:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OdNERJ S
OWNER,S ADDRESS:
CONTRACTOR:
NAI']E:Prcne *,11'l"J-w
*,W'j-0e22
I ACCOIJNT S:A ST:ZIP
ADDRESS:
EI|IAIL ADDRESS:
RO]ECT CONTACT PERSON:
I
PHOI'IE *:
PHONE *:,(-'
P
NEII CONSTRUCTION:
d EREcr NEl,l RESIDENCE or fl ADDITION TO EXISTING RESIDENCE
EXISTING COlSrnucuOH,
I ALTERATION RENOVATION GENERAL RRELOCATIONEPAIRS
d*"If the prcject is a Relocation.
Is tl!ere Electrical Power on
ACCESSORY STRUCTURE:
I5 ANY ELECTRICAL, PLU
PROPERW USE
/ OCCUP
DESCRIPTIoN OF I',ORK:
is tlrerc a Natural Cas l-i
this Building?
E
DET GARAGE
Cunenl Site'iYes
5F DE CK
SF
CAL I.JOBeing Done
E FAMILY
OPEN PORCH
n"/,,1 "Mto
SF
SCREENED PORCH
..-
GREENHOUSE SF
ffi OTHER:
POO L SHED
to the Accessory St
SF
-rf
ructure ?
M Yes
/ar*{p
II1B ING
ANCY:
n. mlcHatt
/,,*u,
No
DUP LEX I0LJNHOUSE
hup
DISCLAIIER lhereDy
and ordinances and regr
\ ' conractor inbrmaliofi. '
cenity tlatallinbmation in his applicaiotr is corecl and al sork lvill
uh[o;s. The NHC Development SeNices CenEr willbe oolified of an
"NOTE: Any work Perlonned w/O the ApptopriaE Permits will be in
comply wilh tle slEle Euildhq code and ax otler applicable sEts and bcal lads
OWNER
SIGNATURE :
TOTAL PRO]ECT ^q
A /d''GST Cess rott: $ffu' Is the Property Located i.n a FLo0DPLAIN?
fiYes No
TOTAL SQ F
')404,14T:?t*?.c
EXlSTING
D*P
Tr,.ip ERVrAREA: "_-SQ FT
y changes in he plans and specif€a[ons or change in contraclol oI
Vrolalion oflhe NC code and fubjecl b Fines t-b To
S50O00"'
TOTAL SQ FT UNDER ROOF:
-
TOTAL ACRES DISTURBED:
rtes,/t
*,t )t*
***+r.*++,* l.*,*+ **********i'+{r*:t **+****+*x*****x**+rt*** +*,tria *+** *+*+ **+ ++
PAYMEIT I.IETHOD:
*++:****+***
CENTRAL t,JE LL
COI,I!{JN ITY SYSTEM
CASH CHECK (PAYABLE TO Mrc)
*,**,t** ******r( * ** ** **
(foR oFTICE tSE dlLY)
iOr,,r r
--
OFFICER:
-_.--- SETBACKS: F:-LH::RH::B:-
app"orrt '- City:- DATE:- FLOOD:
-
8FE+2ft=-
AVN
BILL ACCOTJNT!iASTERCARDVISA
:t r.:**r.i****
*** +* **+-r.** +r( * r. * + 1.,1.++ + + l' * {' +*+* *+
TOR
nn n n
LOT S:
trn tr
NEhl IiIPERVIOUS /REA:
-5Q
FT
J_J
r.rnren, fl crrro
B cor+,lu*rw svsrem /eRwaE uell
f]
;;;; E;;;; E it**ot s,t"t f,nnrvart srnrrc
I
l,l0. OF STORIES:
Comnent:
PER!4IT FEE:
RECEIVED JAN 19 2015
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSIiER ALT QUESTIONS APPTICABLE TO YOUR PRO]ECT
'Project Responsibility"
wiminqEon
BLOCK #:
?olb - 8t b
tL- lcb
APPLICATION
Number
(Office Use)
PROIECT ADDRESS:
@ CITY:
SUBDIVISIOI,I:
ztP: 2S!p:_
PROPERTY OWNER'S NAI'IE: Brian & Morqan Fritz PHoNE *: 9a9 219-9324
O.INER'5 AODRESS:5 813 Harbor Breeze Dr
CONTRACTOR: EG3 ConstrucE ign
ADDRESS: 122 Riveroate Ln
LOT *: 31
sT: .]l!_ zIP : 2j3_lzCITY:wilminqEon
El'lAI L ADDRESS: qmdzrm@hotmail.
co!PHONE #: 9\a 622 1966
PROJECT COI'ITACT PERSON:creq Moore PHONE S: 9ao 622 ae66
EXISTIN6 CONSTRUCTION:ALTERATION
! Reruovrrron
f] cerrnal neerrns
! RELocArroN
NETi{ CONSTRUCTIOI:
! TNTCT NEhI RESIDENCE O"
I AOOTTTOU TO EXISTING RESIDENCE
TIPLEASE CHECK AND ANSNER BELOW ALI- THAT APPLY TO YOUR PRO]ECT:
flarr ennnee
-
sF ! oer cnaner
-
sF
E
! surunoom
-
sFPooL
l!!_ sF SF
DESCRIPTION OF WORK:Install in
PoRCH
_ SF
STORAGE SHED
5F
ToTAL HEATEo 5Q FT:
-
ToTAL SQ FT UNDER RooF:
-
ToTAL AREA 5Q FT:
-
TOTAL PROIECT COST tress rort : $36,195
Is Any ELECTRICAL, PLUI,IEING or I4ECHANICAL work Bei.ng Done to the Accessory Structure?
[ Va E lo
If the pnoject
is a Relocation, is thene a Natural Gas Line on the Cunnent Site?
[ Ves [l ruo
Is there Electrical Powen on this Building?!v"t @ r'ro
DUPLEX
E
pool fj.berq
TOI,INHOUSE
lass styLe
PRoPERTY UsE
/ OCCUPANCY'
I Srtlcle rlmrlv !
DTSCLATMER: thereby certiry hat alt intormation in fiis applicar,on is conect and all work willcomplywih he Slate Euildinq Code and all olher app
and ordinances and re;ulab;s The NHC Devetopment SeNices Cenbrwillbe noljlied ofanychanges in $e approved plans snd specilications or
contracbrinbrmation.-NOTE:AnyWorkPerformedW/olheAppropiarePermiiswillbeinviolationoliheNCStraEBldgCodeandsubjectbFi
licable Si;E and local laws
change in
contraclcror
nes Up To
$s00.ocr"
OhINER/CONTRACTOR:creq Moor SIGNATURE:
,*,i ri
* *,r,* ,*,*,*
* )r,r,*,*
i*** *** *** * *'iitl I lil"J * * * * ** * * ** *i(+ )*)*r**
**)*!**)*'* ** * )****'t )i)*** )*)**
*i('t * * '*
)** )t* 'i'ii(*
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
E YEs EI
'O
EXISTIiIG IIIPERVIOUS AREA:
I!!I-- SQ FT TOTAL ACRES DISTURBED:
NEW IMPERVIOUS AREA: 636e sQ FT EXIST LAND DISTURBING PERIIT: ff VeS [ rc
wrrrn,
I cFpuA
E cor,luuNrry svsrer'r
! PRrvArE wELL
! cetlrnnl werl
sEwER:
I creun
! CENTRAL sEPTrc
I enrvnre sEPTrc
E coMMUNrrY sYsrEl4
.** SEPAIATE PER}IITS REQUIRED FOR ELECT, T'IECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
oo"rr* ,rr*oo, E aot" EIa"raK (PAYABLE
ro r'11rc1
[ alrenrcaN ExPREss
El nclvrso
! orscovrn
)*,*,* )t )t,i**+)*)t )t,t,t * * * *,i ,t
*,* ;I ii
*,t ,i i< )*,* rt*,t **** ** )t )t
*'t++ '*** **** * '* 't '* )* '*
r*
** '* '*** * 't 't 't i< '* '*'** ** ** )ti('**
*'t'** * *
ZoNE:
_0FFICER:
(FOR OFFICE USE ONLY) REVISED DATE O4l11/12
SETBACKS: F:- LH:- RH:- B:-
Approval :- City :- DATE:- FLOOD:
-
BFE+2ft=
-
AVN
comment: PERI{IT FEE:
$-
$X,.,
t''
AppLICANTIS ilAl4E: cr:eq Moore DATE: 01-18_16
DEVELOPER: PI'ONE #:
ffTY: t,lrlminqton ST: Nc ZIP:28409
LICENSE f: 651se
I enerrunouse
-
sF I oecr
-
sr orHER:
* OF STORIES:
&
NEI^J HANOVER COUNTY
BUILDING PERMIT
APPLICATION
TYPE: RESIDENTIAL
PIEASE ANs}itN
ALI QUESTIOI{S APPLICASLE TO YOUR PRO]ECT
"Project Responsibility''
t,. v,t,"
gc,/b -917
l6_ r?{
APPLICATION
Number
(offi(€ Use)
APPLTCANT'5
',IAfiE:DEVELOPER I
a)
DAlt l'L2'/Z
PHONE *:
PROIECT
ATDRESS:
l quo'!. cD.l2-e57 D2 Z!?t 7?,tLs
BLocK #i ....'....'.......','......._ Lol
*; _L2__
PAc*tE $, (4@ SLl Yitf
st, PZ up; Z!3st
crTy: (/4 SfLe ltYt L
SUBDIVISION:
PROPTRTY
&'INER'S IIA',IE :BlloLt n/
O.INER'S ADORESS:
L
T1or-r * Zo.t
CITY
i Lt/.
-l
CONTRACTOR:
ADORESS:
lLot lZ!)ttul ,tv
LrcENsE s: ?L1)o
crTY: LL c,l
tvt srt
LztP;2t.6)
Oro
,c
NO
E*o
E!,IAIL ADDRESS:"t,PHOt'rE
S:
PHOTIE $:
.'Y
-.-/
P"",1,- / 1o/c^
EXISTING CONSTRUCTION:ALTERATION
fl nelovarron
I cerurnal RrpArRs
E RELocArroN
Er,t coNsTRUcTION;
El tnecr NEw RESIDENCE
o"
! aOOttrol To ExrsTrNG REsroENcE
.IPLEASE CHECI( AND AI.JSI,JER EELOT]
ALL THAT APPLY TO YOUR PRO]ECT:
Arr caRAGE
&rff'e sr DET GARAGE
-
ST
S eoncx Ll
) sr
l-l sronace sxro sF
I surunoon
_ sF
! eoor
_ sr
I cnrerirousr
_ sr DECK
5F OTHER:ST
rorAl HEATED
sQ rt: l)1) ToTAL sQ Fr UNDER Roor; 78oN rorAl ARIA
se fit !:26
TOTAL PROIECT COSTrressLoq
: $SS pc# OF
STORIES:
A
Is Any TLECTRICAL, PLUI,IBIIG or I'iECHAr'IICAL t,ork Being Oone
to the Accessory Structure? E V", nIf the project
is a Relocatj.on,
is there a Natunal Gas
Line on the Cunrent
Site? E yes
Is there Electrical Poker on this Building?flves $to
PROPERTY USE
,/ OCCUP'WCY:
DESCRIPTIOI{ OF I,IORK;
tr SINGLE FA
(f* cf
mrrv
! oueuex
! rorruxouse
L €"-,-
l,t
\
DISCLAIMER: lheebycerlrt hsl..i inbmsrion in his spplhsrjon is
conect.nd altworkwiu
!.d odi.6.@s and lEgul8!o.s. Th. NriC Dovolopment S.rvices C6nEr 'i[ be ooltted
orsn
contrEbr hbmation. "'NOTE:AnyWork Pe o,m€d W/O tle Approp,iaE Pe, iI5wilbein
complywih Uio Stale Burlding Code and at, oher appucsble Slab and hcal taws
ychanges h nte
apprcwd plans and
sp€cif'catons o, chonoe in conrracrcror
\rlolalion ol0rg NC Srab
SIGI,IATURE:6r"-t,.
.nd S!bFcr ic FrnesUp'lo 350000'..
or{NER/C0NTRACTOR:
*r**,r** ****,r**,* **** *** ** ** *(l'*'ll li'*"J * *... * *.
r. ". "
* ::r'*,*,*,i,i*,r****+**,i*rrr
I5 TTiE PROPERTY LOCATED II{ A FLOODPLAIN?
N YES $ tlO
EXISTING II'IPERVIOUS AREA:
-SQ
FI TOTAL AcREs DISTURBED:
NEr,l $TPERVIOUS aREAr
_SQ FT ExrST LAi{D DISTURBING
rtnnrr, I VeS
l--l ruO
larER:
I creua
! co'['ruNrTY sYsT
sEr,rER:
n creua
f] cENTRAL sEPrrc
ZoNE; oFFICER:
PRTVATE
r^rELL
f] Crtrnal wrrr
rvATE sEprrc
I cor'trurutrv svsrtm
(roR
otrl(E ugr
orLY) RtvIs[D O rr 0{/11/1?
SETSACXS:
F:_ LH:_ Rtl:_ B:_
',lfrF-*
r*. sEpNtATI PER ITS REQUIRED FOR
tLt(T, HECH, pL8G, GAs EQUlp, pRIfAgS 8 INStRlS .,'
paynEl{T
fiErHoo:
E clsri Ecrecx (pAy^BL€
ro mc1
[ errnrcel rirn.ss E ncfrrro I orscoven
*,I** '*+ * t *,1,* !t
*,i * *,| tl * )t
* + rt *,1*
+l *,: !t*t *+la**r. * t
*t *
**rt,*,t* it
*++*,t *,1**,t * *,r,*,r *a** !t** ** *,1, *
Approyal :
_ City :_ DATE:_ FLOOD:
_ BFE+2ft=
_
N
Comnent:PERiIIT FE
E: $
PRO]ECT COITACT PERSOI./:R
CIry:n
i5-15i
Qotb-82r
APPLTCA T'S T.llU'IE
:
PROJECT ADDRESS:
LrcEirsE *: qOqZ
CIry:
APPLICATIOI{
l{umber
(Offtcc tBe)
DATE 3 rz-l*-7,.ot5
PHOflE
*:
ztq:73*Ol
PK'NE #:
sI:llc 71P,Z8rlOl
PHoirE
*r go6€XE- aE'l
t
occuPA T/BUsrNEss nalrr
r Nevs
Hanole,r Lond€.tt
PROPERTY O IER'S I,I'UIE:orter Coo
0{NER,S AODRESS: 3002, tl${ 'izt crw
CONTRACTOR:
M\rrl
ADDRESS:+
o
EruEL ADI'RESS: Ft.{urnecmur
PROJECT COI,ITACT PEISO :
noc<_s[iil-' 51;sc 21p;29'132
Pl{oflE *: 0Bae8-.38{{
Exrsr @risrnucrror: pf nr.rennrror gJ *.,rJ,iffirfi 'Ett'il*r nerarns
I nELocArlq{
r Rslocador, is trcre a Narurat cas Lhe on tire r.rrenr srer
[vE-[uo ts eLDG spilNKLeneoz
Ives firuo
ttsl cosrnlrcrro, fifenecr I{Eri, srRUcnrRE
ffesr rmcr
I sHer-r-
[ urrrr
I ADD
To Exrsr srRUcruRE
ACCESSORY STRUCIURE !
t+** rs rttrs A (HAttGE oF ocapllcy rsel fives ffi-o ..*.'
IF Ycs, r{hat ues
the pre,trldrs occuparEy
Typet _ t0€t ts the tr Occupancy t}pe?
AICII DESICI{
PftOFESSTOIALI PH: C REG
*;
EI{GR DEsrGir proFEssro{nl:
ffi pH:
Ii;;IEiEa6- Nc BE6 #: --
DESCRIPTION OF }''ORK:
Plon{-
lG &od orb€\tr€96 prtpasl oreonsd h tle amnref flves ff*o n
n" erp"rry Locabd ln'Iho Flmdplalnf
fives No
all otherst3t6
olans and
NC Siete€nd
OIII/NER/CONTMCTOR:
(qd..)
r SIGNATURE:
(Rhfl.nr)
tlrot$ D€.ndilon ,rdncdolE & s.A6bs n rotd pqmhappllcafloGs E rb b. jrunllgd |rslno lho Sllc.don lbm (DH,+3708)
t!or
hd&E w.s forhd b
conEh Arb€do8 oa not Yor,
€r! |tqdrld b cdl t lo l,tdfrl Embsbrl Steldci9 tu }hl!to.s Ar Faft/lalltr (NESHAP) at (919P076960
.r l0 days
Florb |o
ddnordor d
$y hd[V o. hidtE. S.o As6€3bs Wbb
Stg:t@rturflr.€C$ab,nc.udhd/orM/qhnp.hfil
TOTAL BUILDING HEIGHT:IE F+.# OF UNITS:
TOTAL SQ FT PER FI."R Stoa
TOTAL SQ FT UNDER ROOF:
TIoa# OF STRUCruRES:
ACRES DISTURBED:.5 qcre.p(sr trND DtsruRarNo eem,rnz
f] ves
f] No
NEW IMPERVIOUS
AREA
SOFT D(STING IMPERVIOUS ARE'U SQ FT
If UPFIT
- ThE ShEll PEMit
*:
CFPI'A
CFPI'A
ts Elect Poder on thls Building
ffi* Euo
I
#OF STORIES: . I
#OFFLOORS: I
PRoPERTY r.rsE: EfoFFICE finesrnr.rnar.n
l]leoucEarr
Fmroo@L_
IIVATER:
SEWER
Etrl
COMMUNITY
SYI}TEII
CENTRAL
SEPnC
sEmc H
LIZONING l,nlE CI}SSIFICATIOI,I
COil'MUNTTY SYBTE ,l., SEPARAIE PEM4ITS REOT,IIRED FOR ELECT, MEG.I, PI,36, GAS EQUIP. PREFABS & INSEFTS
-pAyrrENrMErHoD: flCasr flcueo<lrevesETot{Hc} ffrm:nrcaroeness ffuovrsl Eoscoven
REUS@D
tE,ta!fi2
ZoNE:.
-oFFrcE", *SffififfiH- lr,-nH:-B:_App'w.t ctttt-DAE-FLooD:
--BFE+2f,---
N
Commant
{1
A
1T\).' r- -)
{"rt=- f .2<...
NEW HANOVER COUNTY BUILDII{G PERIIIT
APPLIGATTOr rr"E; COIIIERCIAL
PLEASE
At6t ER ALL QtEStIot{S APPIICASIE
lO \|EUR PRoIECT
"Pnorect Responsi.bilit/
DEYELOPER:
J'
PERMITFEE:$_
/o{b {Az-
NEW HANOVER COUNTY BUILDING PERMIT
APP LIcAfioN rYPE: COIIIIIIERCIAL
PLEASE ANSUER
ALL QUESIIOI{S APPLICAELE TO YOUR PROJECT
-Project Responsibility"
16-119
APPLICATION
Number
(Office Use)
APPLICANT'S NA}TE:
DEVELOPER:
stonehenge Buildinq Inc.DATE: 01/ 15 / 15
PTONE
#:
PROIECT ADDRESS: 1430 Corn{onwealrh Drive *302
0CCUPAI{T/B{TSINESS t{AIttE
r Arrhur J. callaqher & Co.
0liNER'S ADDRESS:
1430 commonirealrh DriveCITY: wilminoton ST: NC ZIP: 2840s
CONTRACTOR:
sEonehenae Buitd.ilrqInc ,
LICENSE *: ss2 o7
ADDRESS: EG21 AmEter:dam way #2CITY: Hilnin€rEon ST:
Nc ZIPr 2s4os
EIiAIL ADDRESS
: 6tonehenqebui22 3@bellsourh. ner PHO
E #: sro / 4'7 r-226a
PROIECT CONTACT PERSON: .lennifer Lancaster PHOtrfE *: 9a0 / 47t- 226a
(check Af,I That Apply)
EXIST CONSTRUCTION:
n ALTERATIONRENOVATION GENERAL REPAIRSRELOCATION
tr
u
if
Relocdion, is there a Natural Gas Line on the Current Site?
nYes
ENo lS BLDG SPRIN(LERED?I ves
[ ruo
itEll cot\ETRucrroN:
I rnecr NE!, srRUcruRE
I rrsr rnacr
f] snrr-r-
[ unrrr
fl mo ro Exrsr srRrrcTURE
ACCESSORY STRUCTURE:
If UPFIT
- The She11 Penmit *:
IF Yes, what uas
the previous Occupancy Type?
Is Elect Por.rer
on this Building E yes D t'tO
*,.+{'* rs rrrs A CHANGE oF occupaNcy
user
fiws ffi flo *****
ARCH DESIGN PROFESSIOiInL:
JohJI Ree
s NC REG f: 10s41
NC REG *:EI{GR DESIGN PROFESSTONAL:PH:
DESCRIPTION OF hlOR(:
Modify rwo offices convert break room
to office, and uDqrade
licrht inq
OISCLAIMER: I herebv certito that all rnrormalion ln this
apdbalion is correcl
ad all u,ork will co.ndy wifi the State Buiuing Code and a other apdicabte Stateand bcal laws arld ordinance! and requlations The Nljc bevebpnEnt seryices c;tt wti be ilxfcd of
il;;;;-iliffi ;;;ied olans and soecrficarionsorchanoeinconracior.|r..nrra.roriift'rmaron;NoiE:AnrWo*FfrffiAfuoiire;cpp.di;6-p;,iniLiili&i""ir,ViEt-&{Jf""iiiEiGri6-o'iElilio
Suuectlo Fines Uo To
$500.00*
ls
food or b€verages pepared
c served in tris
*uatre? f]Ves I No ls
Tle Property Locatod ln The Ftoodptah?
E ves No
OWNER/CONTRACTOR:afenni fer Lanca6ter SIGNATURE:
(ovd €4
TOTALPROJECTCOST:
20815.00 BUILDINGHEIGHT:55# OF UNITS: r
# OF STORIES: 3
# OF STRUCTURES:# OF FLOORS:
t{de Derndiddr
naifcatio.s & drde IE ovd p6.mn apdlcalirE are b be snrnited udl€ the apdicaridr ftam (D+{HSO76E)
vtEos tho
ba{lty o. h-atdE *as
'ollrd
iodrE*n Asbedc or nor. You
es rqdlod to cdt ItE Nadonat Eni6sirn
$an&& 6r Headqls Ab polurant8 0,feSip) a (gfdZOZ_lfO at t€st 10 days frt.t' to O|edo,ndtdfi d any Hity oa hrutngL Sa6 AsbcsfoG $$O SIE: ht&rlaLlrr.ed.stalo.nc.usr'eprasbe91o6/ahmp.hrrnt
3
ACRES DISTURBED:EXST LAND DISTURBING PERMM T-'IYES I NO
NEW IMPERVIOUS AREA: o
SO FT EXISTING IMPERVIOUS AREA
pRopERWUSE: EloFFtcE [nesTAunAl,n f]uencnr,nru
fleorc
[nrr f]conoo orHER:
WATER: @CFPUA
SEWER:
m CFPUA
SO FT
D coMMUNny
sysTEM flWELL []ZONTNG USE CLASSIF|CATION:
Ll CENTRAI-
SEpTtC Ll pRrvATE SEpTtC
fl COrrMUNny S)ETEM
-' ljt:PAItAtI: ptR} TS REOUTHLD
t OH
I i i C], trtf:O , pt.ti(i, GAs tt)ultr, pREFAas a lNsaRTS -'
pAyMENr METHOD:
flcesu flcuecr leevaalE ro NHc) fieusnrcaN expREss nMc /tsA florscoven
$fr..r*ffi
(FOR OFFEE rrSE Ol,tLY)ZONE:_OFFICER:--SETBACKS:
F:_ LH:_ RH:_ B.._Approval:_ City:_BFE+2fF
REVSED DATE
{T1N2
I
Comment
DATE:-FLOOD:
N
PERMIT FEE: $
/m
'i)
E D
CITY: t{ilmi.nqton ZIPi 2a405
PROPERTY
O{NERTS tlAitE: walker
TayLor p}() E *: 970/239.L090
hftat
is the Nefl Occupancy Typ€?
PH: 9t
o/Bos-0421
TOTALAREASOFI: 3oo
TOTAL SQ FT UNDER ROOF:
_
SQFTPERFLR:;eoo
.2o/b*rs
L6-L27NEhI HAI{OVER COTJNTY
BUILCIING PERMIT
aPPLIcAno TYPF; RESIDEITTIAL
PLEASE ANsl,rER
ArL QU€5TIOi{S ApprICABt€ rO YOJR pRoJlCT
"ProJect Resporsibility"
APPLICAI{I' S ilAI.lE:
ceoff wea!herwax
OEVELOPER:
PRO]ECT ADORESS:372O MaraCh
CITY:Castle Hav_ne
SUBDMSIOI{: I
A y'A/,"' 3 t
b {b'u
$1 iF..ro
{oP Blocx
*:
#APP L I CATIOI{
llmb€r
(offl<e U3.)
DATE:01,,18 12 Ot6
Plo C *: 910 -.r s? -9 910
ZIP : 3332l-
{
Al,t-LOT f;
PKPERTY O,{ER'S lU$lE: caEho}ic piocese of Raleiqh P}O E *:919- 421-'t 326
C0 TRACTOR: Seoff weacherwax ConsEruction LICE|6E #: 3s4r2
ADOiESS: 3960 ExecuEive park B1vd., sEe 1CITY:
5T; NC
ZfP: 28461
EltAIl AODRESS: oeof f@weatherwaxconst rucr i PtOilE *: 9io-4s7-9910
PROJECT
COiIIACI PIRSO : Geoff weaEherwaxPlOilE *: 9ro-443-o?oe
EXTSTTG CO{SrnUCrrOr{,
I alrenarroN
I nerovarror
f] errenAl nrearns
! RELocarror{
NEW CONSTRUCTION:ENECT I{EI,I RESIOErcE
O"
I ADOTTTCI! TO TXISTI}IG RESIDEI.ICE
"PLEASE C}IEC( AIIO AIiSWER BEIO,' AIL THAT APPLY TO
YAJi PRO]ECTI
I oer eanaee
-
sr
n PORCH 5!5F
I eoor-
_ sr f] sronnee sHED
_ sF
I cRrrmouse
-
sr f] orcx
5F OTHER:SF
TOTAL HEATED 5Q FT:
r.618 TOTAL
5Q FT UlilDER ROOFI :rze TOTAL AREA
SQ ft: Ltt?
TOTAL PROIECT COST tr-ess Lou : $* OF STORIES: 1
[l arr eanaoe s1o sF
flsuNnooN _sF
t'74,204
Is Any f,LGCTRI€AL, Pl"U Btl{c o. nECBAtrtICAL Hork Eeing Done to the Ac(essory
Structu.e)
fl V", fi fo
If the p.oject i.s a Relocation, is there a l{atural 6as. Line on the Current Site?
E ves S lto
rs there Electrical Po{er on this Eullding?
f]ves ffino
PnoPERW
tSE
/ OCCtpAr{CY t fl Sr$Gle rru.trlV
DESCR IPI I0III OF IloR(: New
conatluction of si.
f] werex
I ronrnrousr
le famil
OBCLAITER lhorebycerlity t|al all hbfihaton n hls applcaton b con€ct 6)<l all,4ork wi{ crynply wifi
lle $a€ tuiktnrg
and odlra.lces ad leoulalio.rs Tho NHc Dovebpmenl seNres crnbr vril0o rlolH olaly ch&ges il tt€ approrred
rtrls
coor&br nb.maaon.
"'t(OlE i Any Wo.l PerlrmEd W,0 h€ Appropriab Peflhits wllb6 ir Virlarbn oflhe NC StaE BdO
O{|I|ER/C0|{TRACTOR : Geof f wearhelwaxSTG ATURE:
r** r **:r *r** +r *,1*.r..** ** ** *(!1'f I S] * * **** *r****
oh€r apptaat te
SEE
IS II{E PROPERW LOCATED IN A FLOOOPLAIN?
EXISTIIG IIPERVIq,S AREA:
-5Q
TT
NEI' I'PERVIOUS AREAI }O g L * FI
,* *,t,**t,* *,** **t:l **,1* t,r* *,1*
TOTAL ACRES DISTURBED:
n H;.-...-YES
EXIST LATE OISTURBII,IG PERflIT:
flvrs ffi NO
mren:
fl crpue
n co {l{rry sysrct.l m pRrvArE I.,ELL
f] crrrmr
rell
sEnER:
n crptA
f] cE TRAL sEprrc frl enrvrre sEprrc
ff coitltj rw sysrEH
r'. SEpARATE pERfiITs RIQUIREo FOR ELECT, t1E(H, pLB6, ets tQ{rlp, P&EFABS
& IISERTs
'ri*
pAyrE
r nETloD:
I clsr
[ orrcr (payAsLE
ro
r}f] ElA Eircrx Exp[Ess
E rrclwso
tr DI5COVER
*:r*'l *** +*t* **:*+rr+r* *'it+t*,* ***+ *t,l +*,tl rr,t * ri r*t:c *,*tr****
****,********r**,r*,t,t *t***+* *.1 *,r ,t,r,r * *t
ZoNE:
_ 0F FICE R:
(FOR oFTICE U5{ otilY) RfVISEO DArE O4l11/12
SETBACKS: F:_ LH: RH,_ B:_
Approval:_ City:_ DATE:_ FLoOD: _
CanDlent:
0fiER'S ADORESS:
@ CfTV: Ralelqh ST: gZIP:?:Sll
, BFE+2rt" -AJq--
PERrr{Ir FEE:
$___J_L I
NEId HANOVER COIJNTY BUILDING PERI'iIT
AwLICATIott TYPE: CoIOIERCIAL
P|EAS€ At{SltER Ar-L QUESTIOT{S APPLICAAI€ TO YOt R PRO]€CI
"ProJect Responsibility"
NF-\r\f\Q-\
C
PRolEcr AIDRESS: .53O I l^\PlGdTSVr lla Dljlle ITY:
occuPANT/BUS ilESS NAtiE :
5Arre
ffi
g I-E\-h/6-tr33
APPLICATIOI'I
l{umber
(Offlce Urc)
APPLICA T'S I,U'{E:
DEVELOPER:
Plrot{E *:
PROPERW OTNER'S I,IAfiE:
O'{ER'S AODRESS:
CO{TRACTOR:
ADORESS:
CITY:
LIcEt{sE $; 33ZZz
IY:6,
.lG'CDltA
PflOt'E *:
STzIP i
51'AJ(-zrn' Z$osz
PHoriE *:
10* qryo+\L4
PHO E S: lr4-9t7-O*<14
EIIAIL ADDRESS
i
PROIECT CO{TACT PERSo T
EXrST Co{STRTJCTTO : f] ALTERATTOT
lf Rolocaiion, is there a Natural Gas Une on th€
((heck
,lll In.t Apply)
REI{OVATIO{
Current Siie?
tr[-1 e ermll ngplrns l-'l RElocarr(r{ ,z
ves-plfo rs
eLoc spR: xleneoz
ffv"" I r.ro
r{Er. cor{srRucrror:
fl rnecr EH sTnucflrRE
f] rrcr rucx
f} sner-r-
[ urrrr
f] m ro Exrsr srRucnnE
ACCEsSORY STRT'CTUNE:
rf UPrIT
- The
sh.ll Pentrlt
*: rs Elect pder on thls Eul]dlng fl yes wfio
'..r. rs rttrs a o{air6E oF (rctpfllcy usrr
f] vrs ffi....,IF Yes, lrtat l.as
tha Pl.evlo{.rs Ocrupan€y T}lp€?
t$at i5 the lle Ocruparcy Type?
ARCH DESIGI{ PROFESSIOT,IAL:
Eit6R DESIGI{ PROFESSIO ALT
pn,7dl-899.61{8
*r: ?ott-8"l-l-58E
Nc REG #: 7877
€
ft
DESCfiIPTION OF I{OR(:N]
s Y.
Codo and
ls food or b6v6r'.gs pr€pared
c s€rved h tHs srucura?
f] Yes
Mft-o rs rrre Proporty Locstod tn 1tls Ftoodgenz
flves fluo
lhe
Ndo: Domoalion mtifi6liyt6 & 6b€ato6 rsnoyel pollnh apd*doo6 ars b !6 $rtrnhbd u5ln0 tfb apdlcadofl
cD.tCn
Ab&s o( not Yoo aro rcqliI€d b calt tha
Nsliord Elnbsior|
Standld. lor H6zrrdo6
A, pdluboB
l,orm (DHHS-3768) wh€Oler &e htiry o. butdhglo
http:/lww! .epi.state.nc.urepyasb€sloo/ahmp.hE
(NESH P)
d (919)m7-5350 6t t6d l0 d.y! rior to tp
I
all oth€r apCicsble s:tale
dans and 6oecifcatnng
NC Srate BldO
Cod6 afld
V*
d6rb*ibn of 6ny frc&ty o. brfdhg. Scc l6b€3h6 $r€b 8{E:
TorAL pRoJEcr
cosr. 5tJO,oq?oi
rorAl AREA so Fr
, ZE4--BUILDING HEIGHT:
SO FT PER FLR:
# OF UNITS:
TOTAL SO FT UNOER ROOF:
_ # OF STRUCTURES:
f OF STORIES:
# OF FLOORS:
ACRES DISTURBED;EXST LAND DtSTUnerNe prRiflrr r]YES
NEW IMPERVIOUS AREA:
M FT EXISTING IMPERVIOUS AREA:/)
WATER: fICFPUA
SEWER:
flCfPUAflcoMMuNrrysysTEtr flwElr f]zoNtNGUSECt.ASStFtCATIoN:
fIcENrnAL sEpnc
I pRtvATE SEprlc n coirMuNny sysTEill
SO FT
REVIS8D oATE a/1
1al2
PAYMEMMETHoD: ficesH f]cnecxpavnoLEroNHc) fleuenrur.roeaEss flMcIvlsA f]orscown
(FOR OFHCE rXtE Ot{_Y}ZONE:_OFFICER:SETMCKS: F LH:
Rlt_B:
." SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP. PREFABS E INSERTS
'"
Apprwal:_ C[y:_DATE: FLOOD:
Cdnrnant
_ BFE+2tb
orn"d\
N
PERMIT FEE: $
L6-000L2
o$ez l-.J-l
b
p
pRopERryusE: flornce flnrsmunnur fluenur.nrur
[eouc
flarr [cor.roo orHER:J]62a.fi r-.