MARCH 29 2016 BUILDING APPSL
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APPLICANT'S N'I',IE:
DEVELOPER:
PRO]ECT AODRESS:
su8Drvr5r0r.r:
C0l.lTRACT0R I
ADORE55:
NEW
Z
RECEtvEoilAn16r0,0
HANOVER COUNTY BUILDTNG PERMIT
APPLICATIOTT rYPf r R ESIDENTIAL
LIASE /rNSllfR AIL qLlEsTlolis AzPl"i(A8tI t0 YOUR pRO]ECT
"Project Responsibil ity"
a/
CITY:
BLOCX #
@+t-x+*
)ott, )S1O
APPLICATION
Nunber
LO' S; _
..PI-€AsE CHTCK AI{D ANSHER 8EL ALL IHAT APPLY TO YOUR PRO]ECT
puom a, 6a?. 34 b-{327
lt/lrntqar\l St: tt/C Z1p1 ZWO2
trc€NsE $:lzz7L ACCOUIiT $:
C ITY:sr I Na ztp z*vo,
PHONE *:
PA)NE *t E/O. ?rt' O 3/ 7
I sronaor ssto SF
SF
PROPERTY oI^JNER'5 tlAil!;
OI,INER,5 ADDRESS
t//4 &/lt aJ
CITY:
ar\/
/<a
1o z-t r l-.
POOL 5t
! oecx _ sr orHER
DATE:/6./b
PHoNE *t,/A F,, o,/-7
zIP:z*o,
I r,ru
I
ExIsIING coNSTRUCrrol, p.A
NE!^i cot{STRUcTIofl, I tnecr
ATT GARAGT
-
SF
SUNROOI,I 5F
EI4AIL ADORESS:
OWNTR,/CONTRACIOR:
ZON!: _ OFFICER:
Approval:_ City:
Connent;
ERAT ION RENCVATION I e e mnar- nrearns I RELOCAIION
h, RESIDENCE OT AODITION TO EXISTINc RESIDENCT
! oer crnlcr sr I eoncn
-
sF
TOTAL HEATED 5Q FT:. 2Fo IOTAL 5Q FT UNDER ROOF: 216.) TOTAL AREA 5Q FT: /OO
TOTAL PROIECI COST,rus Lor :
]s Any €LECTRICALJ PLU EING OT
fl cnrrrnouse
-
sr
If the project is a Relocati
Is there Electfical Power on
PROPERTY USE / OCCUP'TNCY: M
DISCRIPTION OT $]ORK:
DTSCIAIMIR rlrelel'c6di! lhal ai]:nb4n6tui trl
?aon S OF STORIES:
CHANICAI dork BeinB Done to thc A(cesso.y St.u.tune] [ V", ffi ruo
, is there a l,latural G.s Line on the Current Site?
llo
ves
nis auiraine? p-ves l-l
II,IGL E FAMILY OUP L EX TOI"]NHOUS E
bt/t /o/
Cdtt A- ,rGNAruRE:
6F c<)'+<-<-&.r--
a.d ordinan.es ard regu,arons Th€ ritlC Davejor 's.ppl(auon 6 co(ecl and allwork sli!"rmrlywd &e Sla$ Brildnrg Codc and aitqrher asrlcabE Sr.b a., |,cs, tar.;
rr I S€ .i.e! C€. E' will be noriet ot i^y ftra.ges R rne aprro!€r 9'3ns a.rl sprcrtcalBis c! .ha.ge j. ca.lra:b, .r
IS THF PROPERTY LOCATED TN A tl KLOOOP LAIN ?YES
5Q FI
SQ FT
EXISTIiIG I'.IPERVIOUS AREA:
NEl.] II4PERVIOUS AREA:
wArERr ffi crnua fl coiw\4uNrry
sEtJER: ffi Crnua I CENTRAT S
.A'SEPARATI PI R}1I TS
PAYflEMT ETHoD: IclSx f]
EXIST LAND DISTURBING PERIVIIT
vsreu I pRrvArE t,*rrL f, cerlrnar relr
rrc I enrvarr sserrc I coiu4uNrry sysTar
NO
TOTAL ACRES DISTURBED:
YES l--l r,:o
Ecx (pAyABtE ro nrc; Iorll lccoulrr I i'rclvrsa I orscovra
EQUIIEO FOS ILEC1, ]iecr, p186, cAs tQUIp, pRETABS & tNsrRrs _*,
BF E+2ft
tl
(t03 oril(a u{ ltlY)RtirljEJ t...rE ?.1:t :,
DAIE:-' FLOOO
PERMIT FEE: $
.?-
+ b5-
PRO]ECT CONTACT PERsON:
SETBACKS: f:_ LH:_ RH:-- B:_
NEt^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE I R ESIDENTIAL
lLAst aNsulEt{ ALL UUEsIIIJNS APP. l(AB. f TO VOUR DROJFC '
"Project Responsibility"
APPLICATION
Number
(office use)
APPLICANT'S NAI,IE: C
OEVELOPER:
TOTAL HEATED SQ
e Fear HabiEat for Humanit Inc
POOL SF
Ff i 1222
PHONE *: elo- 6t'7 - tt)9
925 N 5rh
PROPERTY o[^INER'S NAflE: c:r Fear Habitat for Humanit Inc
OhINER,S ADDRESS: 20 N 4Lh S suiEe 2oo
PRO]ECT ADDRESS:
SUBDIVISION:
ATT GARAGE
-
SF
suNRootl,t _ sF
GRE ENHOUS E SF
CITY:Wi imiiq! on ST: NC ZIP:2840]
CONTRACTOR: ca e Fear tiabit for Humanit Tnc
ADDRESS: 20 N 4Lh sr suire
LICENSE #: ,16i32
CITY: wi lmin,trton 5T: !q ZIP: 2 8101
ElvlAIL ADDRESS: esmond@ca ef rhabitat . or
PRoIECT CoNTACT PERSON: Es
AL ERATION
NEW CONSTRUCTTOT'r: I rnrCr l,,l RESIDENCE or
**PLEASE CHECK AND ANSWER BE LOI,,J ALL THAT APPLY TO YOUR PRO]ECTI
LI DTT GARAGF
-
SF PORCH ]:!_ SF
STORAGE SHED
-
SF
TOTAL SQ FT UNDER RoOF: rrs2 ToTAL AREA SQ FT: 1352
TOTAL PR0IECT COST rressrorr :a,5,000.ar0
Is Any ELECTRICAL, pLI.JMBING or lv1 HANICAL l^lo.k Being Done to the Accessory Structurel I Ves I lo
SF
, is there a Natural Gas Line on the Curnent Site? [ ves [ ruo
his Building? J-l v"t J-l to
If the pnoiect is a Relocati
Is thene Electrical Powen on
PROPERTY UsE / OCCUPANCY:INGLE
OWNE R/CoNTRACToR : ssmond an
CENTRAL hELL
COI4I'1UNITY SYSTE14
DUPLEX TO[INHOUSE
DESCRIPTION OF I,,IORK: ] Bedlo-
DISCLAIMER: lherebyce ry that all infomaton in
and ordlnances and regulaiions- The NHC Develop
s applicarion is correcl and all wo.k
',,,l tt compty wffr the Slate Euitding Code aid a[ other appticabte Slale and toca aws
FAI,IILY
Ie Famil
l SeNlces Center willbe nolifed olanychanges in ihe approved ptans and specifcatons or change in contractoror
coniracror inturnaton.'tNOTE: Any Work Pertorrn W/O il'e Appropriale Permitswlllbe n Viotaiion oflhe NC Stab Btdg Code and S!bjeci rc Fines L]Io 9s00.00"'
* ** * * ** * *** ** *,r * *** ** * ** *
IS THE PROPERTY LOCATED IN A
EXISTING IMPERVIOUS AREA:
NEh IMPERVIOU5 AREA:
WATER : Z] CFPUA
sEhER: Zl cFpuA
,o",. R.3 oF FICE R:
npprovat: 0A city:
LOODP LAIN ?YES
5Q FT
5Q FT
COTlMUNITY
CENTRAL SE ! enrvrrr sEprrc E
YSTE ]Y PRIVATE U]ELL
SIGNATURE:
No{)r
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT: N YES N NO
rson CFHEH
t **+*********+*************************+******+********+*****
QUIRED FOR ELECTJ I\IECH' PLBG, 6A5 EQIJIP, PREFABS & INSERTS **A
PAYI.4ENT HETHOD:Ecasn E EcK (eAvABLE ro NHc) EIA^{ERrCAN ExpREss E ra/rrro
TIC
c
* ** * * * * ** ** **+* * *** ** * ** *** * ** * **** ** * * * ** * *
=
Eo
=Nae
-E:9o
N)(rrs
*(5
(F0R 0FFr(E llSE
SETBACKS:
'
^. ),, -).
iW;n t;;1' Wi|ir;;[*.' r' * r "'
r,15' tu..4,3' RH,4.i' ,, rs"""'ooa't
04 t1/12
U DI5COVER
I
-
Tnru{, BFE+2ft=
I
Comment :
D^rE:g l9 /tb F LOOD
N
RMIT FEE: $a 0?-
+e=+t:716
,&
EXISTING CONSTRUCTION: f]f] nrrovnrroru ! crrurnnr nrearns f] RELocArroN
tr ADDITION TO EXISTING RESIDENCE
DATE: 2/24/16
CITY: wilmj.nqton ZIP: 29401
BLOCK #: LOT f: _
PHONE #: 91a 67i it39
PHONE #: 97a - 67'7 -'7 L19
PHONE *: 910 - 61? 7139
I orcr _ sr orHER:
# OF STORIES:
E
*** SEPARATE PERI',lITS
Jutt, 2usb
NEt^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
LEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT,S NAME: Ca HabitaL for Humanit
DEVELOPER:
5F STORAGE SHED
GR E ENHOUS E SF SF OTHE R:
TOTAL HEATED SQ FT: 1117
If the project is a Relocati
Is there Electrical Power on
PROPERTY USE / OCCUPANCY:INGLE
APPLICATION
Number
(office use)
DATE; 3/ar/a6
13 06 Kin f
PRoPERTY oWNER'S NAlilE: ca Fear Habitat for Hrrmanit
OWNER,S ADDRESS: 20 N 4Ih S suite 2oo
CONTRACToR: ca Fear Habit for Humanit LICENSE S: 46532
ADDRESS: 20 N 4rh sr suire 0 C ITY:Wi lminqton
ElilAIL ADDRESS: esmond.4ca et rhabitat . or PHONE #: 91a 6t-i tt39
PROJECT CONTACT PERSON: Esm d Anderson PHONE *: 97o-6L'7 -7Li9
AL ERATION R ENOVATION GENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT
**PLEASE CHECK AND ANSWER BELOh'ALL THAT APPLY TO YOUR PRO]ECT:
PRO]ECT ADDRESS:
SUBDIVISION:
ATT GARAGE
-
SF
SUNROOM SF
! oer cnnacr sr ! conor LsF
POO L
DECK
DESCRIPTION OF I..]ORK: ] Bedlo Sl
**** * ** *,F** +*** r( *** *** ***
DUP LEX TOI^INHOUS E
w/O the Appropr ab Permits will be in Violarion ofrhe NC Sra€ Bhg Code and s Up To $500.00"'
SIGNATURE: ,- .
PIIONE #: 910 - 617 - 713 9
SF
TOTAL ACRES DISTT'RBED:
EXIST LAND DISTURBING PERMIT: T-] vTs ]_I rc
TOTAL PROIECT COST rre.s ror) :65,000
Is Any ELECTRICAL, PLUI4BING or H CH,\NICAL Work Being Done to the Ac.essory Structure? [ Ves I lfo
SF
, is there a Natural Gas Line on the Current site? [ ves I llo
hls Building? l-l y"t l-l ruo
FAT,IILY
le Famil
DISCLAiMER lherebycertifyihatail irtrrmaiion in
and o di'ances a'd regulatons The NHC Develop
is application is conect and all work will comply wilh he Slale Buildinq Code and allorher applicabte Srale and tocattaws
nl Seru ces Cenler will be notlied ofany changes in lhe approved ptans and specifcanons or change in conlractor or
cofuactrr in lr nn aiion. "'NOTE:Any Work Perlo
0WNER/CONTRACTORi esmond
tlc SA
(^)
.=
f;o
=pae=
_8-c
Pl\)<,.4.
*g
IS THE PROPERTY LOCATED IN A loooprnrru? l-l vrs I
** *** *,t*** *** **** * ****** ** )* *+***** ** * ** +** * **,** *++ * **
NO
WATER: E CFPUA
SEWER: Z CFPUA
EXISTIM II,4PERVIOUS AREA:
NEW I[lPERVIOUS AREA:
COMMUNITY
CENTRAL SE
R-,2
SQ FT
SQ FT
YST E [1 PRIVATE t^iE LL CENTRAL WELL
CO[1I4UNIry SYSTEMTICPRIVATE S EPTIC
*** SEPARATE PERI,4ITS EQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
PAY}4ENT T1ETHOD:Ecasg fl AB TO N HC AI'1E RI CAN E x PR E s 5 tr tr/vtEcKPLE
* *** *** *** *,****,*** * *** ****+iit*++******/iluiltun *rr
a:5'^
-
Tnnn V. BFE+2ft=
-
Kr4t*u_
RH: 5 l5/
D I 5C OVE R
ZONE:OF FICE R:
tpprovat: 0K city DATE
B
Comment:)
S E T BA CKS: F
FLOOD:
LH
FEE:$5{3
,J*
:!
ffi
REVISED DATE O4l 1U12
EXISTING CONSTRUCTION: E
V RESTDENCE o" ! aOOrrrOr TO EXTSTTNG RESTDENCE
(FoR 0FFTCE USE OiILY)
CITY: r,,ri lminqron ZIP i 2E4ar
BLOCK *: LOT S: _
PHoNE S: 910-617-?139
CITY: wilminqron ST: NC ZIP:2e401
ST: I!_ zIP: 28401
TOTAL SQ FT UNDER ROoF: rzgr TOTAL AREA SQ FT: 12e7
# OF STORIES: 1
IEt^
I
rrr_ll}._
"$NEW
If UPFIT - The Shetl penmlt *:
vv7 tL-{q\
ER COI'I{TY BUILDTI{G PERMTT aolb;,6qAaPPLICAII(N IypE: COI{IERCIAL
E ANSI,IER AtL QUESTIOIS APPLICABLE TO YOUR PRO]ECT
.ProJect ResponsibtlttF
s 0._
#APPLICATIOII
fiLrber
APPLICAXT' 5
DEYETOPER:
,c8 5 D A fi,0,..,J
'x
'fY4t< D
(Offic. Us.
DATE:d
ztP:t'7-
PfoflE #:PRO]ECT ADORESS:
OCCUPAI{T/ 8I'SI}IESS MIitE ;b'
PnoPERw o ER,s Mr,tE: '7-f-,
PIOI{E
':
6, /'z Jc ,t
CITY:sT:A& zrp:
*t -7tlLl L Accot tT r:
c ITY 4.*,[@,
ff ER's ADDRESS z lO S. C<..
5
CTTY:
cq{rRAcmR: c6ns )nl 57u*ly-t
ADORESS:t)
EIIUIIT AIDRESS:
PROf, ECT COiITACT PERSOI{:
EXrST C(I{STRIrcTIO : I alrru (Che(t atlI nmnvarror
lf Raaoodcr. b there a Naturat Line the Cr.rrent Ste? f]
pflo E *:
pflot{E t:lc )-L
It.t Awlv)
GEI{ERAL REPAINS u RELOCAITOiI
Yes l.lo lS BLDG SPRTNKLERED?n Yes
! urrrr ! Aoo rc ocsr srfircTUiE
ct cotasTRrcTloit:ERECT TruCTtNE !T TMCK u SHE LFAS
ACCESSORY STR[rcruRE: F-d
L
J.-
IF YeE, xhst rras the prevlous
DESCRIPTIOI{ OF hPRK:a
OWNERrcONTRACTOR
..t*t JS A CHAI{GE
IYPC?
Ptl: _ t{C REG #:
Pt : '/tO gt <'1, ?A{c eee *, GFEB
Is Elect pouer o.r thts Butldlng E yes NO
li lbod d b.yr.gB pa.p...d a .Jrild *r*tree flves No hTh.Prop.dyt o.hd h lho Booednz flves filruoinformation
Code and ell
of the
\\-.-t.SIGNATU(o.|b,
f&ta: Dt noldon rlotilicrlioll3 & -baab rnovd
(PI rti!.)
4flbanon6 b b6 .ubnittd rFhE d|e lpda.lion hrm (oHHs3788)t16 thdlv bl,llldiag bund bccotlh Ai-ta orioi yoo.rDrqdfit b eafi lrh Erntioo Sand.id.for lL:rdct/a Pollunnb (NE8HAP}€r e)707$5O !t o ir.yr pricrd.rnotlion fldltty dlud,,Z.8s i
rt
TOTAL PROJ ECT COST:6rrJ BUILDING HEIGHT:
SQ FT PER FLR:
* OF UNITS:TOIAL AREA SQ FT :
TOTAL 80 FT UNDER ROOF:
ACRES DISTURBED:
# OF STRUCTURES:
NEW IMPERVIOUS AREA
O(ST I.ANO OISTURBING PERMIT?fives filroSOFT EXISTINGIMPERMOUS
SO FTPROPERry USE:tr lrencemu fieouc APT floonoo ortrmWATER
8EWER
@t MUNIY
CFPUA CENTRA Er{,EL
PHVAIE 8EPIIC _l]zo$trNc UsE cl.AsstFtcAltoN
LJoOMUI ,lny s\.BTEiltr
PAYnENrrrErHoB EcAsH f](PAYABETO ]TIC) EBI.L ACCdJNI E]ucJvtsA fluscorn
D)(FOR OFTCE U€€ZONE OFFICER SIEIBACTG A E-.- nqrEDolrE'ard2
,gryrov*0ll-FLOOD BFE+fr
dacas*d A N
FEE [\J,b ard /10 {urtwr rev ,,Y^,
tL)
erfu hspectnn Qrrureo glL.2l+fflq
ANCH DESIGiI PROFESSIOI&L :
EI{GR DESIGI|| P ROFESSIOTI'IL I
, OF STORIES:
I OF FLOORs: --
Eto
oF occuPArry rrer f]vrs [io '....Ih* is th. Ifl Occupmcy r},pG,
ARI
N
:l+r
.$NEW ER COI,'IIITY BUTLDTNG PERIIIIT
APPLICATI(N ryPE: COIIiIERCIAL
sE altsltER atl QUESTIOIS ApplIcaBLE TO YOUR PROIECT
'PrnJect ResponsibiliEf
APPLICAM' S ,cg J 'Drs J,.L p,-s
w7 l|-{q\
,o6qe9)
#APPLICATIO{
Iluber
(Offic. U3.)
DATE:r/r+
DEYETOPER
PRO]ECT ADDRESS:
occuPAttl/BrrsI EsS MltE !
PROPERTY Oh,{ER,S MI'IE: ,7-g
Ot cR's ADORESS: lO S. C<..
If UPFIT - ThE ShEII PEPMII #:
t.r.. JS A
IF YG, xhat uar the prevLous Occ
ARCH DESIcil PRoFESSIO ALT
EIW IXSI6iI PROFESSTOML:
DESCRIPTIOi{ OF t4lORK:
EXrST COiETRTETI(X|: E aLTERA
lf Bdocadgt, is thore a Nstural
,tlEl', C0iISTRUCTIo I:ERECT TRUCTUR D FA5 TRACK tr 5HE
(Cneck All Th.t ADlvt! nrrcvlrrolr I eriimr_ nearns ! RElocArror{
cunEnt Sit6? l_lyes [_J lto tS BLDG SPR|NKLERTO? [ Ves ! r.ro
**r*,{7/;,6,/'z Jc')
sr:A<-irp,-IJ7. r
sr [_d@,ptoirE $:
PtoitE *:/o t-1 I
! unrrr ! Arro ro Exrsr srRrrcruRE
P+tot{E *:
CITY:ZIP,'z-
{
br ^ 'rt
'fY-aq D
cffrRAcroRr {:6;1! )Ott 57.,tlit-;r J&-r..*E*: lULl {-accot T *:
s E
CITY:
crw:ADDRESS:L\/.t e , tLr..t-
PROf,ECT CO{IITACT PESSO :
T
ACCESSORY STRTCIURE:'r-ot J
L L
cltAnq oF occupAtry user lvrs f] lo "..*TtlPo? Ih.t 1r thG tlla occup.ncy Type] _
NO
Sldg Code snd
a-^
1...
ls lbod a bJrr.lB Flpc€d d rjvbd orrtrZ f]ves t lo L Ih. Proprty trcd.d [t Tt Eoo$ldnz I ves [l to
iniormation this is State 8u Code and all olher epplicabte State
and
State
OWIERrcONTRACTOR
(call.,
ACRES OSTURAED:
NEVI' IMPERVIOUS AREA
PROPEFry USE:
O(ST I.AND DISTURBING PERMIT?[ves f]rvoSQFT EXISTINGIMPERVIOUS
flnencmrnr-e Deouc APT floonoo orxm
\E-SIGNATU
Not : Dcmoliton iolllaatims & r6b6t! rsnoval .pplac.don8 b 6ubrnitDd r.Eir18 tha 6pplicalion (oHHS3768)ho lbdtiv buldr!hamccnain Aaaaala ar rot yoo lltmqul ,bcalltt Emhdon &.nd..d.br l.L:.do{E Fbllutnb (NE8HAP)(e10)t!7{360 al 10 d.F prlc.heddnolitionIrc!lrty bu drt 8*rtot
TOTAL PROJECT cosr 6"o BUIIDING HEIGHT:
SQ FT PER FLR:' OF UNITS:TOTAL AREA SO FT
' OF STORIES:TOTAL SQ FT UNDER ROOF:# OF STRUCTURES:* OF FLOORS:
SA FT
WATER
AEWER:CFPUA E @MMUNIfY
CENTRAL pffitsemc trBffiFffi,"ffi EcAnoNtr
PAY ENTilETT{oe EcAsr f](P YAB.ETotifig [aurccoun EilcrvlsA fluscoran
coR omcE u8€ZONE OFFICER SETBACKS:Ft-ooD_
dacas*d
FEE:00
FryA R{dl&-B
ru-Y BFE+ft
N
nar€EDD rE{fitn2
A
t'V
a,,.lir--
nlTT
J,b Atrct a {u d{ta,rr rYutlP
k)
etfu hspeclion psl nreo 9t0.254.G10
E'iIAIL ADORESS:
Is Elect pouer on this Bullding I yes
PH: _ NC REG *:t: 'ftc S't <-1,2?1nc aec *, GIEFi
:tcE
Ll
I
H
ME
s1
ffi
ADDRESS:
D ISCLAIMER
and
d6molilior,
TOTAL
PROPERW USE:
WATER
SEVVER:
ZONE:
|{fr.otal:Dk-
Coman€m
APPLICAITT' 5
DEVELOPER:
Jbart 5l no {urltwr y7y ry ul
tt)
fifu lnmeclion horrreo gl0-25+tri0
NEhI
PL
.c8 J 'Drs 5"
b,
1llo
R COTtr{TY BUILDTilG
w" t|"{q\
Jolt - &Aa
APPLICATIOiI
ilnber
(office Use)
PERMIT
APPLIGATLN |YPE: COi$iER€IAL
E ANSIIER AtL qUESTIOIS IPpLICABtt TO YOUf, PROTECT
"Project Responsibiuqd
lr^.- 0o.,t v S D._DATE:{a
P+loirE *:
CITY zrp:I)t'L
*$**:c?'\6'tz Ja')3
sr,A,gzrr,@. i
L.,L ACCoUrr *:
CITY r Q.n,o-1lE srt h-Jtpt 1. t .l l1
E
(cl'.ck AU rh.t apply)
/. "-1, S"c.,, F.".r*
,fl-.,^
Jr
PRO]ECT ADDRESS:
OCCUPAI'IT/BI'SI ESS MIIIE:
PR(PERTY Oti ER's ,UilE:
olll{ER, s ADDRESS: /e) 5
L\(.rLr,.
EIiIAIL AIDRESS:,..\:r.--
PRO]ECT COiITACT PERSOiI:
ra-'i, ,i*A.\ O
,.'
(<..CTTY:
cc{TmcroR: i /5 i1-))nt )7."<tL tt.-,IC ils E *-7
PHO E #:
Pt(,itE *:
EXrST COTSTRTTTO|{: ! llrem l-'l nrrnvlrron I-'l eeirrm nrplrns l-l RElorlrror{
cunent s e? LlYes Llt{o rs 8Lm sPRlNKLEReoz l__lves l_ltto
rf UPFrT - The shell Penmlt #
IF Yc', rdhat wai the Prevlous ncy Typel
Is Elect PoH€r on thls Building ! Yes
rs A cHAr{GE oF occupAify user lves I m .*'**
lc t-zY;
Ihat ls the iler,, Occup.ncy Type?
NC RE6 #:</togtt-L' ?214e REG *:4.-L\b*-)
State Building Code and
lf Relocdon, is there a Natural Ele
IIEW COt{STRtrcTrOIrl:ERECT sTRrcTUftE E FAST TRACK I sx*r- ! urrrr ! a , ro Exrsr srRrcruRE
ACCESSORYSTRT,CTURE: E-
NO
ARCH DESIGN PROFESSIOML:
EIGR oESIGI{ PROFESSfOMLT
PH
PH
DESCRIPTION OF I.dI]RK :
that information
lc lbod or bcvr..gs trrpd.d d 3Jt Ed tis rtuctn? Eves No b Ih. Prop.rty Lcd.d h lhe Boo$dn? ! ves [t uo
nd
all other applicable Stat€
Dbns and sD€cificauons
}{C Sbt6 BIdg Code and
6€r,Sitel
PR OJECT COST:ctJ BUILDING HEIGHT:
TOTAL AREA SQ FT :
TOTAL SO FT UNDER ROOF # OF STRUCTURES:
ACRES DISTURBED:_
NEW IMPERVIOUS AREA:
the
of the
SIGNATUR
* OF UNITS:
# OF STORIES:
I or rLoons: IlIllI
Exsr I-AND DtsruRBtNG pERMr?nyEs flNo
SO FT EXSTING IMPERVIOUS EA:
or c-hange in contrsctor or contactor
S'rbi€d to Fin6s UD Tot500,00-
OWNER,eONTRACTOR
OFFICER
Ct't..
((}rl3i,
Not : Domoliton nodlic.ltoll6 E ab€6ns rsnovEl Epdbatbna .16 b bo .ubm itbd trlng $e applieton 6rr'l (D.HS€788) ut|stl€r fie fldfity o. bul(fng vv!. tbund b
ccnlin Aab€38 or not You llE mqrlrd lD ..ll ,lo Emiieo St rdlrd! br l-hzedolF Alr tulunhb (NESHAP) rt ple)707$95o.t h.c l0 AF Fio. b he
lbcllity bu[diry,
SA FT
fluencarnr-e Eeouc !ooroo OTHERAPT
CFPTIA
trE COMI'UN]TY
CENTRAL tr EvriEr EzoNtNc rrsE ct !8{itFtcATloM
PFUVATE EEmc Ecorflu{Iry BYSTEU
PAYMENTMETHoTT [ca* [(pAyAEEro N{c) f]auaccourr DrcMsA f]uscown
(FOR OFFICE t6E
SETBACI(S:LH:Ar RHdA B:FLOOD-i"M-FEII/ISED DAIE
'fl
1N 2
BFE+2F
dacx*d FEE:00NA
SQ FT PER FLR:
-
iE,.^T
'J^t,
q's'
DEVELOPER:
ADDRESS:
EIiIAIL ADD
D ISCLAI
and local
Subject
chan oe
Comment dEsL
NEt^l
APPLICANT'S NAME: R .rones B i1 is INC
PROIECT ADDRESS: i 417 1
OCCUPANT/BUSINESS NAfiE: in D we t.ru minist
PRoPERTY oNNER'S NAIIE: wl11 e Powell
OIINER'S ADDRESS:
CONTRACTOR: R Jones Bui lder INC
738
RESS: T ilde i1 . com
PROIECT CoNTACT PERSON: nus 11 alones
HANOVER COUNTY BUILDING
APPLICATImT IYPE: C0tltlERCIAL
E AIIS}'ER ALL QUESTIOI,IS APPLICABLE TO YOUR PRO]ECT
"Project ResponslbilitlP
tIEu oNLY *D,a tb- 810 t
PERrrlrr ?€z 6-z?,g2
APPLICATION
liumber
(office Use)
PHONE f:
CITYi castle hatme ZIP I
(check Alt rhat Apply)
PIONE S: 9to/214/G390
ct-Ass IF ICATION
CITY: _ ST: _ ZIP:_
LICENSE #: 44504
CITY: rrchfands ST: nc ZIP: 28574
PHONE #: 970-324 652s
PIIONE #: 910 389 4807
EXrST CONSTRUCTTON: n ALTE ION REiOVATION GE
lf Relocation, is there a Natural Gas on the Current Site?Yes I I No
NEU CONSTRUCTTOI: p tneCr t,l srRUcruRE ! rnsr rnlcx ! surlr- ! urrrr ! eoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Penmit Is Elect PoHer on this 8uj.1ding ! ves a NO
THIS A CHA'{GE OF OCCUPAIICY USCI IVCS I
cupancy Type?tdhat is the New occupancy Type?
PH:
***** IS
IF Yes, lrfiat was the Previous O
I{ERAL REPATRs l-l nelocarrolNo rs eroc spAtNxrsnrou Ives
NC RE6 #:
NC REG *:PH:
DESCRIPTIoN OF WORK: chur h fec*Q.ot tu 0r?a^, I SL.e I arl.
ls food or be\reragos propar€d or in this struaure? [Yes No b The Pmpqty Located ln Th6 Floodplain? E yes I
MER:hereby cerlify
nd ordinances
all Code and al I olher applicable Stalethal
a and s.
contractor
ARCH OESIGN PROFESSIOI.IAL:
ENGR DESIGN PROFESSIOTIAL:
or contractor
$500.00*
WATER: EICFPUA
SEWER: T-l CFPUA
SYSTEM a WELL
No
and
Fines Up T
OWNER/CONTRACTOR: n"sse I LJUneS SIGNATURE:
(Orialiied
Nde: De.ndlgo ncdHori6 E *5t06 r€.novd apdi:aidls ar6 to b6 sub.ntt6d uing th6 apdicatm fo(m (DHHS-3768) *iet|€r $E or boildhg was fqJnd to
coilain Asbestos o( not You ere rcqulr€d to call Naliooal Erntsslm Srandards fur Hazardos Ar Pdlutants (NESHAP) at (919)707-5960 at l@61 10 days do.lo lhe
d€mdttjon d any fadlity or bulldlng. S€a fub€610s Sile:
TOTAL PROJECT COST: l5OOOO BUILDING HEIGHT: 1E
TOTAL AREA SO FT SQ FT PER FLR: 480o # OF STORIES: r
TOTAL SO FT UNDER ROOF # OF STRUCTURES
ACRES DISTURBED:Exsr LAND DrsrunarNc penurrz J-l ves I NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SQ FT
PROPERTY USE: lOrrrCe !nmr [uenceNrrrc leouc f]eer lcoruoo otHER:(|,\,icl,lkkfr
CENTRAL a PR IVATE S E PT tc tr coM UN ITY SYSTE MM
ZONING USE
PAYMENT METHOO: [CASX I (pAyAa[E To NHc) Enuenrcm expness ! ucnrrse f] orscoven
(FOR OFFTCE USE ONLY)REVIS€D DATE a/.t 1fl2ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:Approval:_ City:_FLOOD: RFF+rF=
N
PERMIT FEE:
!
$?
tr
# OF FLOORS: 1
DAfEi 8/10/15
# OF UNITS: