APRIL 14 2016 BUILDING APPSDEVTLOPER I
SEWER
Comment
zotg-LfiE
1s-L504
APPLICANT'S NA E: Tr
S LLC
PRO]ECT ADDRESS: "st
OCCUPAI{T/BUSII{ESS IIAME : ila,k
PROPERTY O!ff'lER'S l{A}lE: Brrao
ot/t{ER'S ADDRESS: ,?22 r4arker
COUTRACTOR: l.ta.rellsvl11e Me
NEW
ADDRESS: Po Box 38
EIiIAIL ADDRESS:
PRO]ECT CO'ITACT PERSON:
ANOVER COUNTY BUILDING PERI{IT
APPLI.ATI0N rYPsr COMMERCIAL
5l AilSl,,JER All QUCSIIolis ApPLIaAOIE IO YO{la PROIEaT
"P.oJect Responsibj.lity"
APPLICATIOII
Nu|nber
(Office us€)
Inc
C ITY:
LICENSE *: r r.5a e
CITY: Harrel1svr1le
CITY: $lllminaron
DArE : _!!_!3:3!:l_
ZIP : 2B4n
PHOIIE T: 945-862s
ST: NC ZIP: 2 8411
ST:Jg_ ZfP: 27ea2
PHOl,lE $: 252-lsE-2912
PHo|{E s: 252 2o?- t74 t
Q/a ,2:, -t/ry
EXIST COIISTRUCTIoII: I alrr IION @ RENOVATION tr GENERAL REPAIRS RE LOCATIOiI
li R€locdioa. is lhere a Naturol Gas on the Current Site?tr No lS BLDG SPRINKLERE ves [ ruo
irEU Co|ISTRUCTIO,{, I earcr n 5TRUCTURE I rasr rnacx f] sHru f, ue:rr TO EXIST STRUCTURE
ACCESSORY STRUCTTJRE:
If UPFIr - The Shel.l Peroit Is Elect Power on this Building E yes E ^O*rr*r I5
IF Yes, uhat l,as the Previous O
THIS A CHANGE OF OCCUPA}ICY USE?I ws I r.ro ""'
cupaflcy Type?What is the Nel, occupancy Type
DESCRIPTION OF !.]ORK: demo I i
ARCtt OEsIGll PROFESSIOI,IAI:
ENGR DESIGN PROFESSIOI'IAL:
ZONE: OFFICER:
Approral:- City:-
((h.ck aIl Ihrt appry)
l.].::1il;.llii:,;|-l|.1.'.i
ui Idi lace sirh rall
all olher applicable Slale
b food or b€vea8oes prspflod oa in ttis stu.tu6? E Ye" fi Ho f nu etopu,ty LocEted h fh€ Floodptainf f] ves fi ruo
DISCLAIUER: I hercby ce,tfy lhar
and ltralraEt and ordrnances and
IGNATURE
Nord Osnoliro! hoolicrioN I aD6t6 pemii apprlcaridE ara lo b6 3u6rnined us&E nE spdietkn tdm (DHHS.3758) ltdfB
corlai, AaDecos G nor. Yql aro r6(ui€d ro cal lllaidd Emaio, srrftrds k Ha:adars Ar rolln8rns 0€sflaP) d (919)rc7-5950 al lssr 10 d€ys !,d r,o 6e
demolilioo ol ay hdlily d hirdhg. Se W€b Snc iilpy/$ivw eti,$are.nc.lyet(/asbeCos/ahmEtnml
TOTAL PROJECT COSI: loo.ooo OO BUILOING HEIGHT: 22 # OF I.JNITS:
TOTAL AFEA SO FT :# OF STORIES: r
IOTAL SQ FI UNDER ROOF
ACRES DISTURBED Exsr LAND orsruRBrxc reRurz [ves I r.ro
NEW IMPERVIOUS AREA:SQ FT EXISTI AREA:SQ FT
LloFFrcE Ll RANTR
CFPUA
trE COMMU
CENTRAL eerrc ffi
SYSTEM
oa dlanoa n @t acldor dnlrador
Sube(t]o Fin€s Uo To 5500.00"'
OWNER/CONT
1or.rilld)
tlZONhG USE CLASSIFICATIONirc EcoMMUNmvS\€IEM
'r,! \: i.!Jr). i lri ' tr.!-l ;,l:!alii; -a '. srri .r_r,: r : ;.-,-r;
PAYMENT MEI}TOD: ECA.SH E HEcK (eAvABLE ro NHc) f]Ai,rERtcAN D@ness fiucruse florscown
iFoR oFFrcE usE oNLY)
SETBACKS: F: LH:- RH:- B:
FLOOD: __ _ BFE+2F
N
PHO E #:252 94s-862s
n
PH:9ro-2r3-rof! Nc REG f: ?465
PH:- C REG
':
-
SO FT PER FLR
-
# OF STRUCTURES:# OF FLOORS: 1
REVISED D lE a/1 1/12
PERMIT FEE: $-
ffi
DEVELOPER:
PROPERTY USE
WATER:
SEWER:
ZONE:
Comment
a?t/eaJ'//-r
N
PERMIT FEE: $
A>
"aurLorNct:
OUNTY PERMTT 15-510NEW
TOTAL AREA SQ FT
TOTAL SQ FT UNDER ROOF:
NEW IMPERVIOUS AREA:
CFPUA
CFPUA
a
@
COMMUNITY
CENTRAL S
VER C
APPLICATION IYPE: COItU{ERCIAL
AI!SI,iER ALL QUE5T]ONS APPLTCABIE TO YOUR PRO]ECT
"Pnoject Responsibility"
.2JC /(
PLEASE
APPLICANT, S NAIT1E: ].]hi aois tr
PROIECT ADDRESS: tta )c:* s.
OCCUPANT/BUSINESS NAI'IE: iier A:):,en tsrelrea
PROPERTY Ol,',1'lER'S tlAl4E: ::'.': o -e :'r: c
OITNER'S ADDRESS: 1:5 i.ct< sr:
CoNTRACToR: re-nr acas!ructioil
ADDRESS: 255 P.a.i..e Dr: s,.r:ie 2t
Ei,IAIL ADDRESS : d= i hibulLdersl5 ahoo. ccn:
PRoJECT CoNTACT PERsol{: ili):e 3
ALTERAT
APPLlCATION
Number
(office Use)
CITY:;r-rir.-:iq:o.
OAIEi 2.22i21-,e
PHO E f:9:l-352-5!5r
LICENSE #: -:2e e9
CITY::irlr.:.9:.::
CITY:"?,iilninqr-on
PHONE S:
ST: NC ZIP: 2 8,1c --
sT : Ii zIP: jljjj-
PIONE #: r!)-352- 6451
PHo|{E $: rC_.-5iC-r.] j 1
d allolher applicaUe Stale
si:ecfietons
Eldq Code and
lho fadltty or bulldhg wa' found ro
ar io6st 10 days Fior to dt€
SO FT
RENOVATION
lf Relocation, is there a Natural Gas Line the Cunent Site?I IS BLDG SPRINKLERED?I ves flrio
NEti coNsTRUCTrOr.r r fl enrcr uew rRucruRE I rlsr rucx I sxer-l I urrrr ! noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shel1 Permit #:Is Elect Power on this Building fives nrc
[-'] cerrnr
Yes LlNo
R EPAI RS n RELOCATION
A cHAr'lGE oF occupANcy usE? flyEs [l nn *,.-.,*
hlhat is the New Occupancy Type?
PH
PH
NC REG *:
NC RE6 #:
State
(che.k A11 rhet APply)
SIGNATURE:
i'**** Is T8
IF Yes, what Has the P.evious Occu ncy Type?
ARCH OESI6N PROFESSIOTaAL: F.cc a.c:n
Ell6R DESIGN PROFESSIOTIAL: ;re Vc Do'"rei:
DESCRIPIION OF WORK : :.::','erii.ace ii1-,c a brewer
OWNERICONTRACTOR:
(Ournn6r)(PnlnX!,r.)
apdlclddrs are 1o b. Bubrnhrd tAlltg tre Epdkrdo.l tonr (OH
ls food or b€veraqos Fropared or sorvod thls etruclure?ves [ rc b Th6 Proparty Locatod tn The Roodptaint f] ves [l ruo
In
in
Note: Delnolilioar holillcalions & a6b€3los rc(noval
co aln Aabosl6 or not. You alE roquired t calldl€Emissio.r Slan&rds for Hazr.dous Air PollutEnB (NESHAP) st
demolilion of ahy fsdlity of buildirg. S€ Asbestoc Sttaj httpJ r\e?.6pa.stale.nc.Bs/6!i/asb€aios/ahop-hunl
TOTAL PROJECT COST: :12:BUILDING HEIGHT: -: i;
SQ FT PER FLR:
# OF STRUCTURES
# OF UNITS: :
# OF STORIES: l
# OF FLOORS: l
EXST IAND DTSTURBTNG PERMIT? n YES I NO
SO FT EXISTING IMPERVIOUS AREA:
LIOFFICE LJR
EM f: WELL [f ZONTNG USE CI-ASSTFTCATTON:
LJ PRIVATE SEPTIC f]COMMUNITY SYSTEM
PAYMENTMETHOO: flCeSx [Cn (PAYABLE TO NHC) IAMERICAN EXPRESS r McA/lsA f] DrscovER
(FOR OFF|C€ USE ONLY)REVISEO DATE 4/11/12
OFFICER:SETBACKS: F:-LH:_ RH:- B:
Appoval:_ Ctty:-FLOOD:- BFE+2ft---
I
ZIPl2e!.1--
EXIST CONSTRUCTION: I a
ACRES DISTURBED:
[urnarrrl.e [eouc lerr [coxoo orHER:9;s3;;;__
.. I :i\
,s;
APPLICA'{T, S }lAif,:
PRO]ECT
PiOPERTY OTJNER,S
oi.]lrER
CONTRACTOR:
ADDRES5:
EIAIL AlOREss:
TOTAT PBOJECT
np*romt:--0X.-
Commont
ertv tnmeckn nequneCI, 9i 0'2541$*!
E{SEO q tE(llt^2
NEI^J ANOVER COUNTY BUILDII'16 PERMIT
APPLICATI*I rY?'Fr COitl{ER( IAL
rds!/tr alt- QuESaroNS APPTI(lrlt To Yoljl Plo)EcT
eglb-U81
klzir
APP L ICAT IOII
tauober
(dtlc. ut.)
l^DATE )-t /- tv
PHONE I:
ADDRESSi I
OCCUPA}'TTIBUSIIIES5 M}lE :L
,S A'DRESS;
PRO]ECT COXTACT PERSO :
CXTY:
{r{C f P
. .LLt I
. 25 6-&t
k:
CITY:
CITYr
LICET{SE ,Jl.< (Accolr.fi *
ST:
prcrr rr {10
5T ZIP: 'l
ZIP
n{,nz *t dttO -'ZaiL_fr3
IION
ED n Yes il N 0
EXrST COxSTRuCTrotl I fif ALrr I r0fl D
tf Rrlocdon, is r1ere a NarralGE6
NEr COlsTRUClrOt: I errcr
the
ACCESSONY STRUCTURE:
lr Jood or bo\rs8gs3 p.opsred s In thls ltnE1ur€?n
(FOR O€FIC-E UsE
ZONE: C6 OFFICER:SETBACKS:
P}ONE ':
ly il R I LOCAR€NOV AIION n 6 E t{ERAL ER PA t RS
S il tr IS BLDG SPB NKL :FonCurlar{ite?Yes NO
esIf UPFIT - The Shel] Permit
"r" I
IF Yer, r,t1at Yas the Prevlout
*: _ Is ghct Po*( on thls EuildinS
Txrs a orarcE oF oca,paxcy rse r flv:s X!" ""'
ccuprncy Typ.l !fiat 15 the ]{!e o(clPatlcy TyF ?
PH
PH
irc RgG r:
C RE6 ':
€
'In€Flooddaln?ves E/lo
sGre
BFE+zfts
PER}'IIT FEE:
T
Yes ls Ths Prop€{t Locded ln
wth $a Slaie Buildiq Codc axd rll
OWNEFYCONTRACTOR:G4 SIGNATURE:
{od-1
t\hll.: Dtnollbn nottaaloB I rrStloa
{Alr llrl)
,tml 'Dr&.no.l. .!l b !. r.lnld uslrlo !r .99tltuoo t n lDf+6'37ir) $dt . ttI fiduv ot bludho ,.. t{n(, to
@ntah a$6toa or llo! Yog 3a taqlr[d to ,r N.noilrr Enlrlloo s!l1d!{!,. hr ftrElrdolr A, Pot nldi frESH t) !a (919)707'50aO al b.n 1! 4ry! F1o. ro 0l
d.rioFlb. c{ny L{ly o. ts,,r$0- s..!r,.! sf6: nlb:lt1r x.qlltrl..rr'J:l€pvt3Latti/thm9.ttnr
coST:2[o ButLotttc HErcrr:#OF UNM:
IOTAL AREA SO FI:SO FI PER FLR:*Of STORIES:-L-
TOIAL SQ FT UNDER R@F f OF STRUCTU # OF FLOORS:
ACRES DISTURBED:'sr IAND DrsruRBtHe eenr*rr fi vrs [No
NEW IMPERYIOUS AREA:SQFI EXIST}NG IMPERVIOUS AREA:SO FI
Iuencernt-:n=orrc D*,r Dooroo our*;!alo'r*
SYSTEM n WELL tr ZON!NG IJSE CT,ASSIFICATNN:
SEPTIC D PRIVATE SEPTIC D COMMUN lTv SYSTTM
" :ir,\eerf fat
PAY ELT METHOO: DcAsH cHEaK (pAyAatr To Hxq flaru eccouxr BMc,vl$l fiorscoren
orfYl.
r,4&_t&_LH nnNAe
iac,a.
"P.oJect Respontiblliq/
OEVELOPER:ZIP | '2 Qu. "'-
srflrrcruiE I msr rrrcx [ *rrr.r. I wrrr f] ADo ro Exrsr srRUcrrJRE
AROi 0rsl6tl p8oFEs'rotal:
ENq DESIOI PS0FaSSIOI'ALI
0ESCRIPTION 0F l^0RK:
E r'lo
N
AIT
APPLICANT'5 t'lAfilE:
DEVELOPER:
PRO]ECT ADDRESS:
PROPERW OIdNER'S
O}JNER'5 ADDRESS:
CONTRACTOR:
ADDRESS:
EIIAIL ADDRESS:
D sc LAIM ER:
nd loca
Subjecl
ge
to
TOTAL PROJ
Approval:-
Comment
N
PERMIT FEE: $
NEt^,1
OCCUPANT/BUSINESS t.IAilE :
NOVER COUNTY BUILDING PERMIT
APPLIcATIott TYPE: COI4tr1ERCIAL
PLE E ANSWER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Proje€t ResPonsibility"
L"
CITY;
)a /v-348 z
Lo-u
APPLICATION
Number
(offtce Use)
PHONE #:
PrcNE *: 1/0 '
C ITY:
LICENSE o\"/k€r ACCOUNT *:
DATE 3-f7-tC
ZIP: 7 ?u^qa
zs 6%tLri(\2
5T:z?.P: 1
t't Alf.zrPt?r9!\
PROJECT CONTACT PERSON:
Che
EXIST CONSTRUCTION: EI ALTE ON n RENOVAT ION n
s
pl6[E #: dtlA - 433 -1\3
!R E LOCATI ON
RE D ,)a Yes No
CITY:
A1 ly
ESlf Relocation. is there a Natural Gas L on the UU rre nt Sire
GE N E RAL R EPA I RS
tr N o BLDG SPR NK LE')
: Is Elect
? what
is
I
NEt,l coNsrRUcrIoN: fl rnrcr te srRUcruRE I rasr rnacr f] sxer-r- [ urrrr f] eoo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
EHo
THrs a cHAr{GE or occuemcv usrr fi
S
PH:
PH:
sIf UPFIT - ThE ShEII PETMit
{r**** IS
IF Yes, what was the Previous upancy Type
ARCH DESIGI'I PRoFESSIoNAL:
ENGR DESIGi'I PROFESSTOML:
i:.Ffr,i,,i-,,,-?
NC REG #:
NC REG T:
DESCRIPTION OF [^,ORK:€tr
ls food or bev€rages Prepared or ln this strudure?E v". [ENt- ts The Property Locared ln The Rooddaln?Yes [ ruo
licable StaterhSlate Bui Code and alloth
\
I hereby certrly
and ordinances
rhat all chaandalionThewill g Code andin contractor
Fines Up To $s00
N
.00"'UL SIGNATURE:OWNEF/CONTRACTOR:
(aualn€r)
Nots: Demollton no(icaions & asbe6tos
(Pnd frerl€)
pemh appllcatlons arc io be submltod uslng the appllca{on form (DHHS3ru) vrheth€r tho fadllty or bulldlng w8s bund to
conialn Asbeslos or noL You sr€ requlred to call Natonsl Eml$lon Standads br Hazadous Alr Pollulenls (NESHAP) at (919)707-5958 al hosr 10 drys prlor lo the
demolnlch of 6ny fadllty or bulldlno S€e web Srto: htlpr /rww.epl.sltte.nc.uslepuasboslov8hmp.hlrnl
ecT COST: 2 [o gu -otNc r-lElGHT:
-
# oF uNlTs:
TOTAL AREA SO FT :lOo SO FT PER FLR:l,,oo # OF STORIES: I
TOTAL SA FT UNDER ROOF:* or srRucruRE6,# OF FLOORS: I
ACRES DISTURBED:Exsr leND Drsrunetuc eenutn flves fl Ho
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:SO FT
rce E RANr EMERcAr,trrr-e [eouc lner f]colooPROPERTY U/SE: EOFF
wArER: EZIPFPUA fl
SEWER: f,l[CFPUA !-l
COMMU SYSTEM WELL EzoNr NG USE CI.ASSIFICATION:
SEPTIC tr PRIVATE SEPTIC coM MU N ITY SYSTEM
".S=PARAIE Fi:RI',II I]EOUIRED FOR ELECT, MECIl, PI,BC, GAS ECUIP' PRtFABS & II]SERTS "'
PAYMENT METHOD: fICISN cHEcK (eAvABLE To Hnc; fletu nccouur flucruse flotscown
ZONE: OFFICER:
(FOF OFFTCE USE ONLY)
SETBACKS: F:- LH:- RH:- B:
DATE: FLOOD:--BFE+2fr--_
REVISED DATE I,/1 1,'T2
(00
a.\r,{.
PHONE f:
I
orHER: ,4, o11
fr
v
ffi
Pno
PROPERW O!{18R, S
O}J ER
CONTRACTOR:
ADDRESS :
EI,IAIL ADDRESS:
D rscl-ArM ER:
local
Su biect
ge
Approt al:-
Comm€nt PERMIT FEE:\
NEW ER COUNTY BUILDING PERI4IT
APP L ICAT IOI{
tlunb€r
(offi(c $.)
D,rlE:3-17- lQ
P!t
L..r
APPL rCAr roilt rYPf ; Coi'iI4ERCIAL
E AXS!{ER ALL QUISTTOiIS APPLICAELT TO YoiJR PRo)tcr
"Project Responsibillty"
APPLICANT'5 tlAltE:
OEVELOPER:
]ECT ADDRESS: i
OCCUPA',TTIBUsINE55 NAfi E :
CITY:
CITY:
LICET'ISE o \./her
C ITY:
zlPIa.*u.l.a{
61 4 3l
7tc' ?5 (;?U
,ff@75
t"
PH)HE A:
L l,{(PP Ptot{E *:
5T
ACCq'NT *
ST:uP't'Zgql\
,5 ADDRESS:
PRO]ECT CONTACT PCNSON:
If UPFIT - The Shcll Permit
r.'.r ls
tha
d
Up s500 00-'T
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
ZONE: OFFICER:
P[l(}t{E $:
PloxE $:
c4lo -a
(
EXIST CONSTRUCTION: E[ At ION D R Et{ov AT ION D
I Rdocauon, is lhere a Natural Gas Li on the Current tr trSIe2Yes No
G ENE RAL R E PAI u R t LOCATI ONRS
IS B LOG SPR IN KLE R E o?tr Ye5 tr No
NEr.l co srRucrroN, f] enrcr STRUcruRE I rrcr rmcx ! srer"r. ! uerrr I aoo ro ExrsT srRUcruRE
ACCEsSORY STRUCTURE:
Is Elect es fl uo
IS A OiAIIGE OF OCOJPANCY IJSE? E
IF Yes, rhat nas the Prevlous upancy Type?l4hat
^RCI{
DESI@{ PROFESSIOT'IAL :
ENGR OESIGN PROFESSIOHAL i
€k)
ls tood or b€v€roges PaoPq€d d in lhis slrudrjre?I v". [prv6- b n€ Propdty t cdod tn Th€ RoodCain?ves I no
I h€reby cenily Sfat Buildino Cods rnd all State
Poref on this Bu i lding
"r, [*.....ls the flbr OccuD.ncy Type
Pl'r
PH
lic RE6 r:
NC RE6 ':
so€c cEIionsgldo Code and
,
SO FT
OWNER/CONTRACTOR:L.L SIGNATURE;
ia.rdi..,
Nor.: Ctsnr&,o.t r{,tiaadooa & aabdlo.
{rrrr rt!.)
par I aprllcado*r ali to ba ruS.itrtd tEliq {t. lppllaaiion
co'ltal.t Arbaroa o. mt YolJ a(! llqulrta, !o call Nlnonsl Elnbtton Strndad! br lhzartlot s Ar ruutants
d€rbffion ol rny ftdlit or bulElno. S..WrO Snar h$:r^r*r.opi.5!!c.nc.usl.prrsb€s!o3/rimp.hLni
TOTAL PROJECT COST:LI o O eurlDnrc xgtcHT:
TOTAL AREA SO FT IOo
TOTAL SQ FT UNDER ROOF:
b(m {D}*tS-376q r*r.ther th. lrdltt or bulEklo x,rs tound b
(I{ESH P) .l (919)70r-5950 d Lcn l0 d.ys glor D dle
I OF UNITS;
EXST I-AND DISTURBING PERMIT? N YES f] NO
SQ FT EXTSTING IMPERVIOUS AREA:
RANr flMERc,ANntE DEDUC f]nPr [coNoo 6111911 ja Io'1
SYSTEM tl WELL D ZONING USE ctAssrFtcATtoN:
SEPTIC tr PRIVATE SEPTIC n CO{\IMUNTTY SYSTEM
ol the
DATE-FLOODi--g=g+2ft=
PAYTTENT METH@: f]cesx CHEo((PAYABT.ETO NHc) flEltrAccouNr [fMc,vlsA f]orscown
(FON OFFEE U8E OI{LY}
SETBACKS: F:- lll:- RFt- B:-
FEVISED DAIE /g1 TN2
N
-,\r,{
(-iac.a
lotb-ntl
w?t
DESCRIPTIOTI OF I.IORK:
SO FT PER FLR: JJ!}Q- * OF STORIES: I
#OF STRUCTURES,- I OF FLOORS:-L-
NEI
2ctb-3$r
APPLICANT,S T,IAfiE :
DEVELOPER:
PRO]ECT ADORESS:
SUBDIVISION:
PROPERW Oh ER'S t.IAIitE :
OT'INER,5 ADDRESS:
CONTRACTOR:
ADDRESS:
Eli,lAIL ADDRESS:
f] suunoor,l
-
sF
! eR rrrunous r
-
sF
If the project is a Relocation
Is there Electrical Power on t
IS THE PROPERTY LOCATED IN A
EXISTII{G II,IPERVIOUS AREA: 3
NEW II'IPERVIOUS AREA:
hIATER: N CFPUA
sErdER: EJ cF PUA
*** SEPARATE PERMlTS
PAY Er{T I.ETHOO: E CIS' E
NEW H ER COUNTY BUILDING PERMIT
APPLICATTOTI TYPE.. RESTDENTIAL
ANSWER ALL QUESTIONS APPTICAELE TO YOUR PRO]ECT
"Project Responsibility''
:1K
APPLICATION
Number
(office use)
CIW: uJ,\nrin+lt n
oare:3.31.401\"
zrp : 5&l0S,{LOT #:
CITY:
LICENSE #:
CITY:
BLOCK S:J
STORAGE SHED
sT: rf- zIP: i?{AS
sr: It zlP:ffllf
PRO]ECT COITTACT PERSON:
A LTE rroN E RENovArroN ! errurnnr REpArRs E RELocATToN
NEU CONSTRUCTTOTT I rnrCr I
"PLEASE CHECK A}{D Al{st,ER BELotl
RESTDENCE o" [l-aoorrroru To EXISTTNG RESIDENCE
L THAT APPLY TO Y(UR PRO]ECT:g ATT GARAGE 5q8 SF tr DET GARAGE
-
SF
POOL SF
! concx
-
sF
Lr)
TOTAL HEATED SQ FT:rorAL sQ FT UNDER nOOr: 59P TOTAL AREA Sq rr: 518
TOTAL PROIECT COSTrressrou : $a-gooj/S 0F STORIES: I
I5 Any ELECTRICAL, PLU BING oT fCAL work Being Done to the Accessory Structure? E[ Ves I m
! oecx 5F OTHER:
SF
5F
is there a Natural Gas Line on the Current Site? !Ves I to
is Building? ffiv"r J-l ruo
Vlohtbn ol t e NC StaE Bldq Code and Subiecl b Fines Up To 9500.00"'_-.-.:_ Z
5IGNATURE: -</Z-Z-.2-_
PRoPERTY UsE / occuPAilcY: EI s NGLE FAr,4rLY ! Ouerex I TOr^TUHOUSE
DESCRIPTIOiI OF hIORK:
OISCLAIMER: lhercbycerlilyharall inbmation in fr applicalion is conectand dl work willcomply witl fie Siate &rilding Code and a[ oh€r applicabl€ Stab and localtaws
t S€rvices CenEr willbe notfEd of any changes in t'e approved plans and specilScariotrs orchange in contracbr orand ordinances and rcgulatons. The NHC Oevelopm
contacbr inbmalion.'-ilOTE: Any Work Perlormed /O he AppmpriaE Pemi6 willbe in
OWNER/CONTRACTOR :
)*,** * * )* * **** ** ** *,t ,t * *,t ,* ,* *+**** *)*)a,**)**:t)t*)a** )t )i )*** )i*)t* *rt)t* *++,t,t* **,**)t **** ** )t * *)i* )t)t* )t **)t )* **
OODPLAIN?
'1
dves f-] uo
TOTAL ACRES DISTURBED: .OtSQ FT
SQ FT EXIST LAND DISTURBING PERIiIIT:l-'] ves El-no
SETBACKS: F:_ LH: RH:_ B:_
*** * *,** **** * )i * * )t1.** )t{.* 1.*ilr*
f] commurrw YsTEm APRIVATE WELL I cerurnar wrl l
! ccr'tmurrw svsrrmI crrurmr s TIc T'I PRIVATE sEPTIc
EqJIRED FOR ELECT, HECH, PL8G, GAS EQUIP, PREFABS & INSERTS
HEcr( (pavABLE ro rncy [ ltl:uca ExprEss [ rc7vrsr E orscorr*
*+***)i **** **** *)i* )i *** )r*** )*****,i,t *,*,t**+*,t *,* * ,i ***,t *,r * ,* *,t,* ***,r,r*
(FOR OFFICE USE ONLY) REyISED OATE O4l11/12
ZoNE: _ OFFICER:
Approval:_ City:
Coment l
DATE:_ FLOOD: _ BFE+2ft=
N
PERINIT FEE: $
Pror{E f: g,^.l5l.4qxo
PHo E f: gto.LxO.{/93
PHor{E #: gto. L?S.95lr0
Ptlo E s: 9,D.15,.'J9JO
EXISTIM CoNSTRUCTIoN: f]
SEVETOPf!
PRO-]:'I ADORESS
sL ELr:VISI0N:
CC'J1RACTOR
ADORE 55
E{AIL
^MRESS:
Nnr co srnJa!10N:
5EiiEE
loNr
apr -
RECEIYED l{AROT?IIJ
NEW HA VER COUNTY BUILDING PERTlIT
a?PLICAT tott ryer: RESIDENTIAL
^rstlE8
ALI qriiilar{s rrrLIcABLt T0 YuJi i}Rolt(
"Project Fesgonribtlity"
-1..'l -...,'. /t,'.
QetF aM 3
fu,+a+
AFPI-i( ryI I 'I NANT :i J
tlY ltl : : ^16.!L
8L0CN d: _ LoI a:
--PHONE f: .
PHONE B
CfTY: r.,ziP i
otr,JER'5 A0ORE55: ta-:..a c:ii 51: /J!!-21P.. ! '. '
1.:it I st,.t./'
PqO'jEar CO},ITACT PERSOIi
EXiSTlric CorsrRUClloN:
EXT9rrr6 IltPaPvlo{rs AREA:
NEI,I IA1PERV]OUS AR!A I
oEr GAiA6a sr [] roncx
-
sF
PI€NE S: - ;
PIONE *: ',
[] sronacr sqED _- :r
.-,.cq. "tlllr' t 'r,
..tttasf cHEc( arD ar{9u!a SELOtd
f-..1 ,,' c,.-.,,' st
! sur,now, - sF
! or.rrrousi
-
sF
' .1f1 I nrrov,rrrorl f ctrEnc ntnn:cs I RElocarrol
FR ECT ni E{r E5TDE CE o. fl aoortron ro Exrsrrlrc RtsrDEtlcE
TXA'T APPLY TO YOUR PRO]TCT:
poo L
!t (K
TOTAI HEATE0 5Q Fr; .--
ri'rt PROIEaT (CST - r, : t
i. ;i')t elt( r\lLAl, PLI:MgTNG or i'tEa
It thr pfola.l is a Relocatlor
Ie thcre Ele.i"ic.!f Pouer on'
,.., -. i\.
3hi:' rof ,. R:'
ICAL .ni.k &l,rf 0(rr(r to th€ A(cer.r:/ Str!.tu..l I Ves [] lo
Is the.e n Ll.jlul..il 6.rs Lioc on the current sitei Iv"s I no
r 8ui1din8l []l v"t ] lo
PRO9ERTY USE I o(CteAYl.:
IESCRIDrION O? vt}cK: f -
LE ra$rrY ]ounlrx f] r*'lroust
i na 1:.'
",..t...."-. "..........*\\>arnrl otstungeo:
:rj': lif-, . ... . ...... ".,.
UI:' "'I
N
I5 THE PROPERTY LOCA:ZO ITI A F ooDPLATN? fl YEs
SQ FT
sq ir
;OTAL
EXIST LANO OISTURBING PERHIT: I-,I YES NO
':--l Pn:vrrr NE!i- L] Ci.ri-iat !!Ft I
J .ot, E cx (pAyaDL! ro ,r; I or.rnrcu txretss f, nclraao
! {-t le,T
X err'z+' ---,*J.rr, , HID
I r:;f w I
. 1.-- ai t!D,
,;
t
APPLICATIfi
Nunber
(Orfr.e Ut.)
)t
DATE : ,-'i----:
'. .' / ,. ,. /..'LrcErsE s: u l'ti
TOTAL SQ FT UNoER ROOF: - .- TOTAL IREA 5q iI: -.-
* 0F SToRIfs: .-
-
NN
N eo tb*3|rlt!
J RECEIVED l,AROT?!1:
. NEt'l H
PLE
VER COUNTY BUILDING PERMIT
APPLI6ATIOII IYPE: RESIDENTIAL
ANSI,iER AtL qJ[STIoNS APPLICABLE To YOUR PRoltaT
"Project Responsibility''
l[r-lcr]
ffi
APPLICATIOT{
Number
(Offic€ Use)
(1,',s v,4,
,vi j-
(-.,t,* r''7i DATE :APPLICANT'5 }'AHE:
DEVELOPER :PHONE #:
PROIECT ADDRESS i
SUBDIVISION: :
PROPERTY ObJNER, S NAI'1E:
Ot^olER's ADDREsS
CONTRACTOR: '
,',1/.'
I
CIty I i,,)t (.
^.,r l(4:t)
'.: /-c y' \/_-
CaIY | 1;)rt-/,^ ,r) (i;-4.".t
- < ': ...-/ , PIfiNE
11s11p y itr, - /'l ) l'l)'.)
51|/1/LziPt.')'1'.:
PIIONE #: 7,
ttU {-.7 /,)
-4,
/-/
ADDRESS:
EI.4AIL ADORESS:
CITY:
, ,^t,- (,, tu(t /-/'r1gps6s o.
,t t\- /' t. {f)
i+1
ess to(l : $
, - -r',t,1
NEI,J COfl5TRUCTION:ERECT NEId RES IDE
+*PLEASE CHECK ATID ANSI{ER BELOI,J THAT APPLY TO YOUR PRO]ECT:
PRO]ECT CONTACT PERSON:
EXISTING CONSTRUCTIONi @titrt TION
ATT GARAGE
-
SF
SUNROOI,I
-SF
GREENHOUSE SF
I nelovlrroru [ otrenar- necarns I RELocATToN
NcE or f] aDorrroil ro Exrsrrrc RESTDENcE
OET GARAGE
-
SF
PooL _ sF
DECK SF
I noncx
-
sF
f] sronaor sHED -.-._- sF
or*Ep. t;fi //l/,aor,'t/ BD sF
TOTAL HEATED SQ FT:
IOTAL PROIECT COST r
Is Any ELECTRICAL, PLUUB rN6 0 t I'l ICAL l,lork Eeing D
TOTAL SQ FT UNDER ROOF: --- TOTAL AREA 5Q FT:
If the project is a Relocation
Ts there Electri.cal Power on t
# OF STORIES:
one to the Accessory st.ucture? fl ves f] ruo
0 h9 aotropnaE PerrrEyll3e ir vtr,slon.ol lhe.,NC SlaE
,.)'., ,- i ,rr';/-1- "tl'irff{*^r.
PROPERTY USE / OCCUP
DESCRIPTION OF I4ORK:
is there a Natural 6as Lrne on the current site? [ ves I Ho
s Euilding?Yes fI ro
S LE FAMILY TOhJNHOUSE
ud!UP stoo.0r'
DIJ
a
LEX
(\
DISCLAIMER I har€by cenjly tal alr nbmratlo,r in h applicadon is conocl ald all wotk wr! corirply wih $e s6te Buildirg &r,e
5nd ordinancsssnd regulalions lne NHC Oe S€rvicesCenbr wit 6e nolified ot ychanses i^ lhe app'o@d plans an
.onv-ior inlormaton'-NOTE: Ariv work Petfo,m€d
***i *,f 'r ** ** * t** **,*:* * *,i****
iL..'-OWNE R/CONTRACTOR :
IS THE PROPERTY LOCATED I
EXISTIT'IG IIiPERVI(US AREA:
I'lEl'l I|4PERVIOUS AREA :
NA oooplarrt fi ves
r******r,*,*,* 't*,r,r )l * *!.,r*. *q ** )tx)*,***)t *1.** **** **:-,f-r I tio
TOTAL ACRES DISTURBED:
-
5Q FT
5Q FT ExIsT LAND DISTURBIN6 PERFTIT i YES NO
UIATER:
SEWER:
Ed
CFPUA
CFPUA
COIV}IUNITY
CENTRAL 5E rrc I enrvrru srcrrc I
zoNE:
-
0FFICER:
Appnoval :--.-- CitY:
CENTRAL WEI L
COMI,{,iI ITY SYSTEM
(FOR OFTI(E USE ONLY) NEV1SED DAIE O4l11/1]
SETBACKS: F:- LH:- RH;- B:-
.-. sEPARA Ti PTR'4IT5
P^YnENT ilETHoD: f] casx E
IQUIRFD FOR ELECT, }{ECH, PLB6, GAS EQUIP, PREFASS & INSERTS i'
,I* iooror* ro xnc) E ,.enrcAr ExPREss E nclvrsa I orscovrn
YSTEM PRIVATE lrJE LL
*** ' * * * * x* * * * * * **, * +** ** * *,*,r,x i(** * 1* *,t +** ** *)t * r<i.***i**,*+*** ']i)t* *:! ** 'i * *** +*'l *** ***** 'i *** )'*
DATE:- FLOOD:
-
BFE+2ft=
Coffnent:
PERMIT FEE: $116
'f
BLOC( *: LOT *: _
74/
tr
^rF
c
)otb;a?r
\\RECEIVED I'IAR O 4
ffi
APPLICAI.IT'S HAIiE:
oEVELOPER i
1010
NEt^l NOVER COUNTY BUILDING PERI{IT
/arn
APPLICAIION,APE: RESIDENTIAL
E ANSYER AIL qJESIIOIIS APPLTCAILE TO YOUR PiO]ICI
"Project Res pon $ tbi I it),"
(-, t utro
CITY i
8 LOCK i
(ITY:
LICENSE
PHOIE *r
ST W,%u
cITY i w
f:
srt ly'e 1'5p.t :Zfulo/
Plfiit *. 110 .it'3-2251
Pt*,*E stqlb'44's'760?
!rfllt'tcr=4-F
E sronaee sHED _- sF
It
I t-t'1}Ll
APPLICATI{'i
Ni er
oart,is ?,2[/l
P FON E #
$EDIVTSIOTI:
PROPERTY Oit'tEi' s tllltE i
Fo,
oUNE R/46ltrfi gfirft:4Pt
4r r* 'r,r* arr+'la*t *l*+4 * * I
I5 THE PROPERTY LOCATED II{
ET STIIIG IIPERVIOI,,s AREA !
NEI' IitPEtMq,' ANEA I
ZOi{E:
-
oFFICER:
ApprovEl:-. citY:
I orr eanaet
l--l poor- sFE.rr*@t,SF
.,1.a+.!l*.*** i(* rF* t
ZT p
e
EiIAIL aDDRESSi
EXISTJNG C0 STRUCTIOT: fi ar-TION D REiIOVATION f] erueRal nrelrns I RElocArrol
NEll cq,lSTRUCTrOIl r I enrcr RESTDENCE o" fi AOOrrrOt TO Exrsrri& RESTDENCT
.*PLEASE CI{ICI( AIID II{S9EN BELO'/ az
ALL THAT APPLY TO YOTJR PRO:ECT
COIITRACmR !
ADDRESS:
IXJ AIT GAEEE EF
f-l sunnmm sF
I oeeexHousr
-
sr
TOTAI HEATED 5Q Fl:A
TOTAL PROIECT C05T tt-c." rort :
Is Any ElECrucAL, Pllrl'i8lLlc on
If the p.oject 15 a R€locet
ls there Elect.ical Power
PROPERTY UsE / OCCUPINCY:SI NGLE F AMI t tr DUP x tr
O?HER;
TOTAL SQ FT U DER ROOP:ut{I IOTAL AREA SQ TT:
* 2/too' O0 * oF SToBtEs: , --
HTTflICAL l,lork Being DooE to the Ac(essory Stfutture? [ Ves fil fVo
n, i3 there a l{atural 6as Line on the Current Site? [ves
this Building? fiYes Erc
No
TO^lNH0U5 E t ft deck la Pb47;
otscl^f4tR I heEby clnly $31 .l inbm.ton hli.pglc.lon 16 contrcl.nd d wb.k rig Gmplywi$ fio S!.io Burldlng C.d6 sd .l o$.r sppl.lbl. Sl!i. eii lcc.t taw3
.ndodh.nc.t snd Egulrdo^E'Dto NHC On t s.IvL.r Conbr wjl b. nolt.d ot.ny cb.noot in the rpprcved Phr B Bd rF.c'tc.tEn€ or ctEn!. h @ntLcb.q
cantrscbr intm.!ot. '10YE Any \4b* ter{o . Aqpn prilb t?,nilsrlll!a l^ vlolldo. .1lh! NC Sl!6 Eld s Up To i50-0.0C"
L E
+1,h
Y G ee^SIGiOTURE I
lFrlnt iltsel***********r*x.*r|***.rar.*+a*rt't*'t**'rrt +*+++
rlooopuut l-l ves I no
5Q FT
SQ FI
TOTAL ACRES DISTURBED:
EXIST LAIIO DISTURBING PERI.UT I l--'l vrs NO
lurER: ! crPur El couutl svsreu I cuvarr well I crrurrulu well
I comrunrw svsrrnsrwrn: fl crcun f! ceilrnu seerrc I pnrvari seprrc
i..5EP{!qTE PERII
PAY ETfi r,lErtroD : EI crsr,
REOJIREO FOR ELECT, HECH, PLBG, GAS EQUIP, PRETAs 8 INSIiTS '*"
cHEo( (pAyABrE m urc; I areuol :nrrss E xzrr* Do,
5
'*+*'r *tt *rt,r.* *+*1+**:l **'i t ++ ++?+ +* ***********tll t*****+.rr*{*rt*** **.+* *4.+ +++*****$.++* *
(,oi orflcE usf o{LY)
SETEACIG: F: LH: RH;
stovt t
DATE r FIO00:
AV
iEV:SED aAlE C./lrr:
-
B:-
8FE+2ft= -:fn-I.,.,tT
PtrO]ECT AOORESS:
O}']iIER'5 ADDRESSI
-
LoT *r
PROJECT COi'ITACI PERSOiI:
DESCTIPIIOTI OF HOM i
J
A
rzt
r2i
NEW CONSTRUCTION:
SUNROOM
! cnr rruuousr
ZONE :
Approval:
PROJECT COI{TACT PERSO[{: Richa ciLL/Bi1] Clark Homes of wilmington PHOIIE S: 910.3s0.1244
EXTSTING CONSTRUCTION: ! lr-re ION RENOVATION GENERAL REPAIRS RE LOCATION
ERECT NEW RESIDENCE or ! lOOtrtOH TO EXISTINC RESTDENCE
NEW H
APPLICANT's llAIitE: Bilt ctark H
DEVELOPER: Bitt ctark Homes of
PROIECT ADDRESS: 3s03 Atwater
SUBDIYISIol,I: BelleMeade
PROPERTY OUINER,S I,IA}IE: Bill C1
ol^lNERrS ADDRESS: 127 Racine Dr
CONTRACToR: Bill Clark Homes o
AIDRESS: 127 Raci.ne Dr. Suite
El.lAIL ATDRESS: rsill@Bi r rcrar
contacbr inlormaton. r*NOTE:AnyWork Perfomed
OWNER/CONTRACTOR: Richard ci
** ** * * *,** * *,*,t * * * * *,t * * * ***,ll
IS THE PROPERTY LOCATED IN A F
EXISTING I!,IPERVIOUS AREA: O
NEll I!.IPERVI(US AREA: j\ I
!,rArER: I CFPUA fl cowuNrw
SEI.IER: @ CFPUA E CENTRAL SE
OVER COUNTY BUILDTNG
APPLICATION TYPE.. RESIDENTIAL
PLE E AIISXER ALL qJESTIONS APPLICABLE TO YOUR PRO]ECT
"ProJect Res pons lbilit)f
es of Wilmi.ngEon LLC
ilmington LLC
CITY: wilmington
BLOCK f:
O,olb-3^clb
PERMTT ?Ezlto )D 30
RECFTvFn f" o 4 2s{ri;7 "."
DATET 4+i6/20t6
PHOltlE #: 9ro-3so -1?44
ZIP i 28412
LOT #: 6
**PIEASE CHECK AI{D Ai{SUIER BELO{ AL
[f arr eanaoe €67 sF
rt
/O he Apprcpriar€ Pemirswillbe in
/BCH of wilmingron
OODPLAIN ?YES
SQ FT
5Q FT
PORCH lrt zAol SFDET GARAGE 5F
POOL SF
DECK SF
rk Homes of Wilmington LLC
suite 201 CITY: wilninqton
wilmingron LLc LICENSE S: 34s86
1 CfTY: wilminqton
s. com
THAT APPLY TO YOUR PROJECT;
PHoNE #: 910.3s0.1744
ST: Nc ZIP: 28403
sT: NC zIP: 28403
PHONE #: 91o.3so .1?44
STORAGE SHED
OTHER: Pa}ro - l2O
SF
5F
TOTAL SQ FT UI{DER ROOF: }21\ TOTAL AREA SQ FT:4111
S/lto # oF sroRrEs: L
ICAL l{ork Being Done to the Accessory Structure?Yes I No
s Bullding? nYes I No
SI LE FAMI LY ! ouelex f] rouuousr
DESCRIPTION 0F lrJORK: New const ction of single family hone
DISCLAIMEFI lhereby cerrify hai allinbrmatjon in hi alion is conecl and allworkwill
SF
SF
TOTAL HEATED SQ FT.L!q1
TOTAL PROIECT COST (ress ro0 : $
Is Any ELECTRICAL, PLUIIBING or litEc
If the project is a Relocation
Is there Electrical Power on t
and ordinances and regulatons The NHC Developmen Services CenEr willbe notified ofan
complywitr he Slale Buibing Cod6 and alloher applicable StaE and locallaws
ychanges in he approved plans and specifications orchange in contracbror
viol€lion of lh6 Nc sla6 Bldo codB and subled lD Fines rlo To $500-otr"
srGr{AruRE: i:%/r/
* * * * * *,*** * *** * * * * * *E * * * ,ll **** * *:* ** * *:r
El uo
A***********:* * r:*,.,r* **
rem I PRrvArE wELL ! crrrmr werl
rc E pRrvATE sEprrc fl co[lMuNrry sysrEr.i
**+ SEPARATE PER''1ITS R qJIRED FOR ELECT, MECH, PLB6, GAs EQUIP, PREFABS & IiISERTS *TT'
PAYIiIE T I,IETHOD: E CASIT E EcK (pAyaBLE ro ucy I areucAl ExpREss rlclvr5a
,***,* + * rr 't *+* ***t **,* x * )* * *,*,1*
OFFICER:
ToTAL AcREs DrfluRBEDz 'Zb
EXIST LAND DISTURBING PERMIT:YES !NO
DISCOVER
B
*****)t,i++*)t)r)*****)*)***,*,t,**,*,i+'i,*,*,*)i(:|{(*,t:i+****+*)****:t+****+***)**
(FOA OFFICE UsE ONLY) REVIsED DATE O4l11l12
City:DATE:
SETBACKS: F
FLOOD:
LH RH
N
B F E +2ft=
fl I'lba-
APPLICATIOITI
Number
is there a Natural Gas Line on the Current Site? ! Ves [ ruo
PROPERTY USe 7 OCCUnmCv: @
&
APPLICAT{T, S tulrrtE: Bitl crar
DIVELoPER: Bttl clark Hc,'n€s
PiOIECT A XESS: ,so3 At,aE
5;1 8ITIWSIOI: <ereade
PiOPERrY OIIER'S UlllE: B:.t
CfiEi'S AomESs: 127 Racine
CO TRA(tOn: si.l} c16!h xohe
ADmESS: 12? Raci.ne Dr. sui
Exrsrr{i €srsra Crror: f} l
tlEr{ co{3TRUCrI( t El rnrcr
EttAIl, ADDiESS: rglL1oBlrr
PnOl ECT C(xfrACf P€R5Oi: Ri
..9LIASE CXECX A'{D AiIST{ER BEL
^ff CAR,6,E ,E'7 5F
flsurnmr! cnrrxxursr
MTER:CFPUA
SEIER: A CFPUA
..T SEPARAIE P€ R'4I
PAYTE}iT IIETflOOI D C**
5F
ToIAL HEATED SQ FT: Z3,ql
IOTAL PROIECT COST ree; Lorr
Is Any f,LECTi.ICAL, PLtiB]}{6 o.
If the project ls a Relocat
Is there Electrlcal, Poxer
DEClAlttE k I h€rcDy c6rtt, h a: .t inbfislon
rx, o.dn.rc.r r.id ,.!dbtir!, -It! NnC.drl*t, inbrmrlon- '_llolE: Any wo.r
0*{ER/CO{TRACTOR : a:c:1ari
PROPERW USI / OCCI,}iA CY:
DESCRIPIIq{ 0F I()Rr: Neu
l.ttt.. rrri a rai rr*r*!a..
I5 THE PnOPERTY LOCATED II$
EXISTITre IiPEMIIq'S AREA :
IEI IIiPERUIA,,S AREA:
I ca'rrurr
D cerrul
.aa.t*a rr*a lrra. aaa***t*
79106, R-to
Approval:
I I u"^A-,j ;xy*w
NEId
sr
LEA'€ Arsrcr a* euEsrrc.rs appLrcr'LE To t'.n peoSE(T APPLrcarro{
.project Responslbtltt!/ -- - -
l*de|"tY- RE.Ftucn :, ^,: ?o{,T}'ju*l
Hornee of rllmingron Llc OAtez -i/)4tzou
HANOVER COUNTY BUILDING
APPLIcArr0t rvpf: RESIDENTIAL
Clark ilonca of tJilmington: !.LC
Dr:. su:Ee 201 CITY: ,Il_t l-EgEoa
ot rillllnEtoB tl,c LICEISE ,: 3{5sG
201 CIfY: lrilfttDgtdr
of Xl]filngton LLC
r Couli
PI{NE i: 910 _150.174a
CITY: tatlmilrgcon ZI?i 28412
Bt ocl( t:LOf *: 5
2011o-3e?Q
PERr'|rr ?Ezlle -|o 3o
PtfiE *: 910 .3s0 . 17{4
- 5T: :ic ZIPi 284cl
._ 5T: {g ZIP: zB{03
Pl{O{€ *: 910.3s0.1?44
rd Gil.l/Bill Clalk Hones of ilElngror PIIPIE *i 91o.iso.1?4.
TERArron I ncmnrror I emenrl nerarm I RELocATror{
RESIDET{C8 o" ! OOrrrol ro EXISTDIG R€sroEicE
ATI. T}IAT A'PLY TO YOOR PROJECT:
! oer elme e
E pooL
! oecx
sr B eoncx ,44?3 sr
fl sro*rce sxro
0IHER: P41," - r?i'
,rrr +,t. .. *r.tr.lt+tt*a ar
YEs fll xo
sr SF
5FSF
0
TOIAL 5Q FT utpER RmF:bZa\ TOTAL AREA SQ FT34qii
I irzTta * oF SToirEs: Z-.
Icrrt tlork Selng Done to the A..essory St.uctsret n yes t NO
on, ls there e ,,latural 6as Llne on the Curent Site? ly€s I Io
thls Bulldtng? f] Yes I l{o
SINGLE FAI4ILY f) ourlrx I rolHrousr
lrucli.oD o! aingl.e family home
tr6.opE lon i. corr.drrd d hork $t co.ndy sirr r! Sra!. &itdrE Co!6 -d d oner Iprtic.la $!D a,d lo.l t*s
S.tuica. C.nl,, wil bo no{i.d o! y.trn9€. jn
'la e4rlo'/'a larl s.:d .p.o6€no.s o. dl,tge o cont &br orwro !1€ fu9tDr.itl flrmiB ,r1l bc n v]otaion ot tra Nc s!6! 3td!6 UD To S50t0q"
Gii I/tsCf: of tr:l:ni.oro:1 SI@,IATURE:
FLOOOPLATI{ ?
SQ Fr TOTAL ACRES DISITn8ED:,26gq se FT o(rst Ln D Drsnnarir pER tr: T-l
svstx fl e*rvrre rell
rrrc I PRTVATE sEptrc
f] curul nr lr-
E coqnnrrv svsrer'r
YE5 a NO
rwrSaD oAtf atlrr/r2
REqJIRIO Fof, ELECT, llECH, pL86, GAs EQUIP, pCEFAE' t I]tsER?S r..
clrEfl (nAvABLE ro rtry flurnrcatr E,@REss D *a:so I orscwrn
**trr *** **la,*tr*.lr*rsa. * r. *rtr.*a rr* r,i*r rr ar. r.
(for oflrc! u5a o.r'
SETOACTS: F:
F LOO{}:
'lo'LH: \O RH: lO' g, ",1,5'
\-7-\ &
DATE:
t
OFFICER:
__ city:
r
TEI
Pf,OPERW oltlER, S MllE: Bitl
0NF,IER'5 ADORESS i 12? Raclne
COflTRACTOR: EilI cllrk Honc
AITDRESS: 12? REcine Dr. sui
E AIL ADORESS: rsilloBirtcl
PROIECT COIITACT PERSO{: Ri
DEVELofTER: BilI Clark Bornes
PROIECT ADOREsS: {613 sikes
SUEOIWSIOi: BeIlel,leade
IS THE PROPERTY I.OCAT€D IiI
EXISTIT{G INPEFtvI(t,s AREA: O
APPLICAT{T,s MltE i Bi1.l c1a
NE( IMPERVIoI's AREA,3
tilATER:CFPUA tr co."I.!uNI
sEr,rJER: fl cf puA fl CEMTRAL
... SEPANATE PE
PAYIr€ T xETHOO! DcSx
EXISTII{G CO STRUCTIO : n A
riEN co{sTrt}cno, ffi rrr
..PLIASE CHEC( t{0 AtlSt{ER
Elarr crnqas Q45
[surnoom sF
f] ertruous:
TOTAL HEATED SQ FT: I 16 /
TOTAL PROIECT CosTc€ssr<r) :
Is lny ETECTRI(AL, Pl"t l'lgIHG o.
ff the project ls a Relo<at
Is there Electrical Polrer o
PROPERTY UsE / OCCUpAI{CY:
DESCRIPTIoIiI OF WoRK: New c
oscLAltltR r horeby crrlrry nar rll Llrrncirn
..!d o.aiucrs ird r.grrranonr Thc NHC Oe
€onr&b. h hm€ii,n. '-!OTE: Any tltk
otrrNER/c$,lIRAcToR : Richard
ri*r r*,* *ir r r rar *rr*4rti x a
* t*,ta*J ** ** 'lt*a,ta*.* t:..**
26xE. P- lc
Approval: -
OF FTCER:
City:
NEI-,ANOVER COUNTY BUILDING PERMIT
"Project Respoo5rblli|ff, E lV I j ,ll] 04 ?01$
Ho$ea o! wilmington IJ.C
( nilmiagton Ll,C
wilit:lngtort
BLOCI *:
Plo{E f: 910.3s0.1?44
ZI? | 284L2
LoT $: 3
CIry:
Clark }!o,nea o! t{ll,nlingroo LLC
Dr. suire 20r CfTY: !U&i!g.on
of wilhinqtor LLc LICETEE f: 34s86
patb-T'q*
PH0a{E *: _:lo_:3Jo .I11!*
5T: Nc ZIP;28403
TeZ ilr- tozqAPPLICAII0|I rYPEr RESIDENTIAL
alsllri atl QtEsTIo{s AppLICAttE To youa pRorECr APPLICATION
tlu.tber
(off,!. uir)
oarc, ' It/ors
201
rkhomes. ccni
SF I orr eamer 5F
POO L <E
sQ rr
sQ Fl
SETEAC(S: r,30' Lri,'i 0'
DATE:
CITY: Hrlmingcon _ *_ST: N_c ZIP: 28403
PHoaIE ,: 910.3s0. r7{4
Plloa{E lr 9ro.rso.1744rd GiIl,/Si11 Clalk Homes of Wilmingcon
ERATION REIiOVATIOII f] cerrnnl neearns f] RtLocArror{
r{ REStDEtiCE o" I mOrrror To ExISTritG REsIDEiIcE
ALL THA' APPIY TO YOi'R PRO]ECT:
3{*r, gfu:l ,,
5F I oecx SF OTHER: Paho - l-72
5F
5F
r0TAL 5Q FT UNDER nOOF: ?573 rOrAL AREA Sq *:/1t$
t rat'oo r or sron:rs; I
CAL tio.t 8elng a}one to the Accessory Structurei f, yes NO
n, is thene a Natural 6as Llne on the Current Site? flyes uo
this BulJ.ding? flves I No
srrclE FAr.rrLy ! crurr.ex ! ra.iHrrust
tluction of singlc famlly home.
'lis mDllcalon b coirect drd & rio.i wil cohply wah na slsta Buldlng codB ano at oncl 4pkads s6b and bcd ls,*s
I Saryicas GnEr wil Da oolfcd ol.n, chrl0e! h h6 :ai{o\€d f,hn3 uld spo.itcabnr ch89o r1 conLEbro.
lYiO tr Apa'otri.t FtrmiB [il b€ h V'olaur. ol ttr NC Sllr Bhg es Up To S5O0.0O"
{11/sc}: of rilllilngron SIGNATURE:
{ti ** * * 't a lr,rrr'a trrt ra
F LOOO P LAITI ?YE5 NO
svsr:u ! PRrvarE I4ELL I crmul welL
prrc I pRIVATE sEprrc I comrlrw svsrer
REqJIREO FOR ELECI, IIECH, PL8G, GAs EQUIP, PREFABs 8 IIISERIS ..*
cHEcK (eAyasLE ro nxcl I u:nrcar{ ExpREss fJ r.l*ro fiorscorr*
* **** l)t* rrr.. r*.. * r** r*.r r r Ir **** *tr rlll rr.r ll '.r.**r r r *,* * * rr t***, * r*
(ton oFFtcE u5€ orLY)
8
STORAGE SHED
iavtlED D ra t,r/11,/t2
RH: lO' B:rS'
K sr r+zft*'d/l'ld
:
q-a-l b
/'. t:i}\
(&;
E
ToTAL ACIES DISIURBED: .23
EXrST LAr'rD DISTURBTNG prRi{I1; n yrs l-d rc
iFt
. FLMD:
suNR00t,1
GR E ENHOUSE
PROPERW USE / OCCUPANCY:
PAYI,IENT METHOD:
NEhI
APPLICANT'S llAl4E: Bi 11 clark
DEVELOPER: Bill C1ark Homes o
PROIECT ADDRESS: 4613 sikes D
SUBDIVISION: BelleMeade
PROPERW oh[{ER'S NAIiIE: Bil l
o}INER'S ADDRESS: 127 Racine
VER COUNTY BUILDING
APPLICATION TYPE.. RESIDENTIAL
PL E Ar{S}lER ALL qJESTIo S APPLICABLE TO Yo(n PROIECT
"ProJect Responsibilif,ff,ElVED lll 0 4 2010
s of Wilmington LLC
Wilminqton LLC
CITY: wilmington
BLOCX S:
ark Homes of Wilmington tLC
. Suite 201 CITY: wilrnington
RESTDENCE o" ! aOOrrrOH TO EXISTING RESIDENCE
L THAT APPLY TO YOUR PROJECT:
! oer clnace sF
I eoor- sF
DECK SF
(aOR OFFICE UsE OlrltY)
SETBACKS: F: LH: RH
DATE: . F LOOD:
AV
AcoM-H18
PERMITPEZ tb- lsTq
APPLICATIOI{
Number
(Offtce Use)
OOrrr%r/,fi
PHOI{E *: 9r.o.3s0.1244
ZIP | 284\2
LoT #: 3
PHONE *: 910.3s0.1744
f Wilmington LIrC LICENSE #: 34s85
CITY:!'lilminston 5T: NC ZIP: 28403
EIiIAIL ADORESS: rgi 11@Bi11c1ar s.com PHoI{E #: e1o .3so . 1744
PROIECT COI{TACT PERSON: Ri-cha ci11/BiIf Clark Homes of wilmi.ngton PHO{E #: 970 -3so.t'744
EXT5TTNG CONSTRUCTTON: E ALT RATION R E NOVATION ! eerenal nennrns ! RELocATToN
CoNTRACTOR: Bill clark Homes
AIDRESS: 12? Raci.ne Dr. suite
NEhI CONSTRUCTION: E ERECT N
**Py SE CHECK AND AtiSl,'JER BELotl
Elarr camcr 445 sF PORCH I b L4 SF
! sronacr sHro
OTHER: Pafo - t?Z
rorAl sQ FT UNDER noor: 2573 ToTAL AREA sa Frz7tt{
\bq,Oo # oF sroRrEs: I
ICAL l,lork Being Done to the Accessory Structure? n Yes T No
is there a Natunal Gas Line on the Current Site?Yes t No
is auilding ? l-l Yes I No
s NGLE FAMTLY ! ouerrx ! routruHouse
DESCRIPTION 0F [{ORK: New const ction of single famity home.
OISCLAIMER: lhereby ce ly hal allinlbmation in tr applicalion is cotrect and all workwillcomply with lhe Slate Building Code and all oher applicable Stale and local laws
and ordinances and regulalions The NHC Develop I Seryices Cener willbe notfred ofanychanges in he approved phns and qecittcalions change in conlracbror
SF
SF
ToTAL HEATED sQ Fr:\1 l-7
TOTAL PROIECT COST (ress ro0 i
Is Any ELECTRICAL, PLUMBIT{G or IC
If the project is a Relocatio
Is there Electrical Power on
contacEr inbrmaton.'"NOTE: Any Work Pertormed
ONNER/C0{TRACTOR 3 Richard cj-
* * **,*,*,* *,1 ,t *,t * )* )* *** *,1++ * * **
IS THE PROPERTY LOCATED IN A
EXISTING IIiIPERVIoUS AREA: o
NEW I PERVIoUS AREA:3 B
wArER: I creua ! coMMUNrry
sEhJER: I creun ! CENTRAL sE
SF
SF
REVISED OArE O4l1r./12
'trrr*r# lllQ
/O fie AppropriaE Pemils will be in Violalion of the NC Siae Adg t)es Up To $500.0Cr"
I/BCH of wilmingron SIGI{ATURE:
* r. * * * * * * + * * * * * * * **:l + :* :* *:* i*** * * *** * *,1* **** ** * * * *
OODPLAIN?YES
ToTAL ACRES DISTURBED: .23
EXIST LAND DISTURBING PERMIT:YES T NO
YSTEM ! cnrvare wrr-r- ! cENTRAL t.lELL
TIC ! enrvare senrrc ! coMMUNrry sysrEM
RED FOR ELECT, I4ECH, PLBG, GAS EqJIP, PREFABS & INSERTS *++
CASH Ecx (IAvABLE ro Hrc; ! nr,reucAr{ ExpREss ! r,rcTvrsr DISCOVER** * * * * *,* * ** ** * * * x * *,t * * * * * *,i+*****:r)r,****,*)**++,t,*****:i****,***i**+,t*,r)r***,i,t***********r+**+
N
ST: Nc ZIP: 28403
NO
ZoNE : OF FICE R:
Approval: __ City:
SQ FT
SQ FT
*I* SEPARATE PERIiIITS
nEqEtYt0 APR o+10s
s of Wilmington LLC
DEVELOPER: Bi 11 clark Homes
PRoIECT ADDRESS: 1210 Matteo
SUBDMSION: Bel leMeade
wl.LmlnqEon LLU
ANOVER COUNTY BUILDING
APPLICAIION TYPE: RESIDENTIAL
E AI{S}IER ALL QUESTIO'{S APPLICABLE TO YOIN PRO]ECT
"Project Responsibllity"
ark Homes of Wi.lmington LLC
. suite 201 CITY: wilminqton
f wilmington LLC LICENSE f: 34s85
2aa CITY: wilminqEon
A"o[,,--7 3oo
PERMTT pELtV-1073
APPLICATION
Number
(offi(e Use)
41..
o[fE2 4*./20t6
PHO{E #: 910.3s0.1?44
ZIP i 284t2
LOT #: 38
NEtd
OFFICER:
PROPERTY OU,NER, S I,IAI4E: Bill
Ot{l{ER' S ADDRESS: 127 Racine
EIi',lAIL ADDRESS: rsi 11@Bi"11cta
CONTRACTOR: Bill Clalk Homes
ADDRESS: 12? Racine Dr. suite
s. com
PHoNE S: 910.3s0.1744
ST: NC ZfP: 2s403
PHol{E S: 910.3s0.1744
PHONE $: 910.3s0.1744
RE LOCATION
PRO]ECT CONTACT PERSON: Ri ci11/Bi.11 Clark Homes of wllmington
EXTSTTNG c0{srRucrroN: fl ALT RATION ! nrnovarroru ! ceHrnal neclrns
NEW CONSTRUCTION:ERECT N RESIDENCE o" ! aOOrrrOU TO EXISTING RESIDENCE
LL THAT APPLY TO YOUR PRO]ECT;
LI DET GARAGE SF do,^
ZONE:
Approval:
CH \}? SF
! sronace snro
OTHER: ?etro/PeJ - \36
REVI5ED DATE O4l11/12
POO L SF
! orcr 5F
TOTAL SQ FT UNDER ROOF:3611
S OF STORIES:
SQ FT
SQ FT
SF
SF
rorAL AREA sQ FItTZSS
ICAL Work Being Oone to the Accessory Structure? n Yes !No
, is thene a NaturaL Gas Line on the Current Site?! v"t No
his Building ? E Yes I No
PRoPERTY UsE / oCCUPANCY: Z S NGLE FAMTLv ! ouerrx I rowruHousr
DESCRIPTION OF hlORK: New cons ction of sj.ngle famify home
DISCLAIMER: I hereby cerlify hat all iniormaiion in tl applicalion is conecl and all work will comply wih tle State Buihing Code aod a oirer applicabte Stats and tocal taws
and ordinances and regulalions. The NHC t Services C€nErwillbe notfied ofanychanges in he approved plans an specifications orchange in contraclcror
contaclor informai,on. "'NOTE: Any Work /O trre AppropriaC Permils will b€ in Viohtion ofthe NC Stab Bldg p To S500.0CP"
OWNER/CONTRACTOR: Richard c 1/BcH of i.ri lminston SIGNATURE:
***:*,*,*,* * * * * * * ** * )* ,* ,* ,l ,* ,* ,* * * ** ** * * * *,[ * * * * * * r,,x * * ,r *,] * *,t ** * )t *,* *,t*,1* * *** *** **** * * ** * ** * **
IS THE PROPERTY LOCATED IN A
EXISTING II{PERVIOT's AREA: O
OODPLAIN?YES NO
ToTAL HEATED sq rt':7b41
TOTAL PROJECT COST Gess ro0 3
Is Any ELECTRICAL, PLUIiIBING on M
If the project is a Relocatio
Is there Electrical Power on
NEW IMPERVIOUS AREA: 3.2 \
TOTAL ACRES DISTUnBED: .23
EXIST LAND DISTURBING PERIITIT:YES NO
YSTEM ! cnrvrrr wELL E cENTRAL wELL
SEWER: fl CFPUA E CENTRAL sE TIC
*** SEPARATE PERIiIITS
PAYltEt{T HETHOD: E ClSx E
EqJIRED FOR ELECT, I.IECH, PLB6, GAs EqUIP, PREFAsS & II{SERTS ***
Ecr( (payABLE To r{Hc) E MERTcAN ExpREss ! ncTvrsa l-l orscoren
* ** * * * * ++,t * *,t,**,*,i * + * +,*,1,|***** ++* ***,t,*,* * * ** *,t t,t,* ,* ,t )* )* **,t+:t 'llt *** *** +:t :i )t ,t ,t ,t * * **** ****,1,r,t,*,t,t
BF E+2ft=
fl tv.r
I
City:DATE:
(roR 0FFICE USE oNLY)
SETBACKS: F:
F LOOD:
LH:RH
N
B
CITY: wiLminqton
BLOCK #:
APPLICANT'S l,lAllE: Bir l. clark
*.PLEASE CHECK A'{O ANS}IER BELOI.'_/pfarr cauer 957 sF
! surunoor'r sF
! cnrruouse sF
E
uren: fl crnua ! coMr,4uNrry
! earvare sEprrc E cor,4MuNrry sysrEM
sT: {-c zIP: 28403
E
Hlittly6o mn oiro$
PRoIECI ADORESS: r.2r.o uat
ol.f'l€i,s AD0RE55: 12? Rac
6id ordindces -rd regulaUonr. fhs Nll C
.ontac6.intrrhalon. "'llofE Arrywotk
C(*{TiACTOR: Bi l1 c1.rk
ADOftESS | 127 Racine Dr
EXlSTlt{E C&{S?[UCTION: I
T.PLEAS€ CttE(( At{D A}lSt"laR BE
-/l-yf rrr c"anaer 867 sF
[surnoor'r sF
I enreuousr sF
ToTAL HEATTD se FT: Z3q
TOTAT PROI ECT COST tla* rar)
I5 Any ELEaTRICAL, PLU 5IJ{6 a.
If the project is a Reloc
Is there Electrl(aI Po er
PRopERW UsE / OCCUPAXCY I
DESCRIr'IOI 0F HoR( r Neu
olsculx Eft I ne.rhy ceni, finr all lnbmalion
aal* **r i****l*:l *tar* a*rl a
IS II{E PNOPIRTY LOCATEO IN
r.rarER : m cF Pt A
SEI.IERI E CFPUA
PAYT4ENT rrrHoor [.osl
i) ,t'
ZONEr e -tLr OrrtCEn:
App.oval: , ., Clty:
N
e olb*j3oo
HANOVER COUNTY BUILDING PERIT{IT'}ELIL?.IOZ{
APPLIurrdt IYPE: RISIDINTIAL
pLEAsE rlls*ra AL! Q'[srr,is appLrcaarE To yoi]R piolE(r ApPLrcATrolt
'ProJect Responsxbrllty- ,*ti::T.,
4l r
OA7E:..d-ae{2oL6
PHOl,l! {: 910.3s0.174{
CIIY| ri1ldngton Zlp: 2o{t?
Honres of t{llltingtor! LLC
PROPERTY O }IE8,5 IiIA}tE: Bi],Clark ]olnes o( HtleirgroD LLC
8L0CK *: ._ _ LoT fl: -38 --,- ,_
PISIE {: ero .350. r744
OEVELOPEi: BIII cl.ark Horle
EIiAIL AIrORISS: . rgitl@Bilic
PROIECT Col'lTAaT PEISO.I: Rl
r{El.r cor{sTRttrTloNr ffi enecr
EXI5TII$6 IIIPERWOUS AREA r o
tllUl IIiIP{RV1&IS AREA:
of l{l]Iningron L&C
Dr,
CITYi wilmingtor:
of HiLralnEtorr LLC LICEI.|SE fr 3{53G
CIIYr l*!-1.!ff1!g!!9.1_ ._ ST I {9 ZIp1 ?j,40j},
pHOflE $: 91o.3so.1?{4
YES O
TOTAI ACRE5 DI$WisEo: ,23
EXI'T LATID D:5TURBIN6 PER6IT:
5Ir {q_ Zlp;29!0.3.-
:NO
!d cill/3i11 Clark l{or,1es of wilnington PHo{E f: 910.3s0.174{
SaMces C€nbr wi! be noif€d ., a1y .narigei lr tr. 39prov€d pLns an,, .rcciica{ons ot cnanEoin con$abt or
WrO tlo ApgopriaE Porin ll3 'xii: b6 In V'oladon ol h. N C StBt! gdg T6 S500.C,lt_
ohfl ER/CCNIRAaIOR : Ri.chard Gl1l/BcH of w!l,mi.g!.on 5I@{ATURE:
i a r r, +* t + * * l: f r l !,
LTe RATror,l f] *rmvnnon I orurnnl nrmrns I RllocArron
NEW BESIDET,iCE o" I lOOrrlor io ExtsTIlrG REs:De cE
AII T}IAT APPLY TO YOI,R PiO]ECTI /I crr enuee sr S mrcr -g;]_-* sr
I roor- sF f] sroraer sxro
f] orcr sF oTHE R: Pal,a/ ?,.d - r?6
5r
SF
$
TOTAL 5Q FT UITIDER ROOF:30qJ TOTAL AREA sQ FI:3?3}
* OF SIOBIES:
IECIAdICA! Iork Belng oone to the Accesso.y Structuret ff Ye'!No
, is there a Natural Gas Llne on the Cu.rent Site? f] ves NO
thts Sulldlng? n Yes a Io
sr GrE FA,urry I ouelrx I ror.irtouse
lruction of single fahily ho$e
Irls ,ppltclion 16 coroal *|lt tI nrfi wll comdy \rtrn lld S141i fuitdinO C4ae ffd atr otror appltc6ue Sta€ lno loc5t tars
arklo:ies. con
FL(xlDPLAII{?
sq rt
\7. 5Q FT
'ATE:
I cowur svsrer,t ! PRTvAT! idEtL f] crrrml well
I cor*nrrv svsrrnfl ce Hrul serrrc ! PRTvAT€ sEPTrc
rr1 SEFAIiATE nEgJr*6D Foi ELSC'r, raCH, prB6, GAS tqllp, PREFASS & :fa9rrTs {.r
cHE{r( (payABLE ro m<1 f, arerrcAt{ ExpiEss [ rc/vrsl fJ orscov:n
*ir,r *:r r **rrl}*1* a*** *,i*t r * a. r* r**.;,| ** rit*,3 r *t * *:il 'r a*:t* *'raY*a+*,.n t**.+*rr;'r.** *l**ll+*.ll+* ar
(roa orri(E lrll odaY)atvtsEr tart srl11/1?
strBACXS: r, 4 b', rn, io r{)'B: ,.5'
{ are*zrt-
ur|-? -tta
RH
htztt
APPLICAM,S tlAl.lE: Bill
SU8DIWSt0a{l
g
1T:
. FL@O: _
+t,
ffi
PROJECT ADDRESS:
SUEDIVISION;
ZONE: _ 0FFICER;
Approval:_ City
comment:
).otr*-91'A
NEt^l
-L 00
NOVER COUNTY BUILDING PERMIT
APPLICATIoN TYPE I RESIDENTIAL
E ANSWER ALL QUESTIOI{s APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
lu*gg
APPLICATION
Number
(Office Use)
APPLICANT,S NA E:
DEVELOPER:
54o^.o (<...-
PHONE #:
zrP,t*:jlor
PHONE *: e"7 31e_Z(? t
sr:. !!!!zrP I LEto{
ST:l/. zrp 7t%-
eo 7 -31.-zt??
DATE:
-
Laz - ilc - 2ltr
PROPERTY OWNER'S NAIIIE:
OWNER'S ADDRESS: 2 o4
COI!TRACTOR:5t,
ADDRESS:ac
EMIL ADDRESS: SJ,
PROJECT CONTACT PERSOttl: 5l',
TOTAL PROIECT COST tress rort :
Is Any ELECTRICAL, PLUi,IBING ol"
If the project is a Relocatio
Is there Electnical. Power on
DESCRIPTION OF WORK:
ATT GARAGE
-
SF
suNRoo[1 _5F
GREENHOUSE SF
POOL _ 5F
D ECK
S
*)F )fiX,*)** ** *,*,**)** **1.* )*** **,*
STORAGE SHED
-
SF
/,G.
CITY:
CITY:
LICENSE *:
crTY: 1L/,
t-er-
P}ONE f :
PHONE S:(.-
EXISTIi,G CONSTRUCTION: EI AL RATION
NEI^I CONSTRUCTION:ERECT N RESIDENCE or ADDITION TO EXISTING RESTDENCE
*I.PLEASE CHECK ANO ANSWER BELOW I-I- THAT APPLY TO YOUR PRO]ECT:
I oer caRacr sr ! eoncu _sF
SF OTHER:
HA'IICAL Work Being Don eto
Gas, is there a Natural
his auilding? fi ves
PROPERTY USE / OCCUPANCY:E INGLE FAMILY DUP LEX TOIj./NHOUSE
TOTAL SQ FT UNDER nooF: 2f,8 ToTAL AREA sq n, ={8
'l oo t'
the Accessory stnucture? fu vu, ! to
Line on the Current site? [ vet ! ruo
No
Le
* * )* r*,*,* ,r,r * * *** )* * ,* * ,r,r *,r * * )i ** * * * ,*,* * *,t )*,r ,*,r * *,t* * ** * * ** * * * *
LOODPLAIN?YES
1U SQ FT
SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:YES
ct
DATE:_ FLoOD: _ _AV
Er4 El
Epn
PRIVATE WELL
IVATE SEPTIC
CENTRAL I^JE L L
COMIIUNITY SYSTEM
l.l,.rt")$).-"^ Lillno,r. clanl , -l,l.l-.
DISCLAIMER: herebycertify fraiall inbrmarion in applicaton as coffecr and alt work witt compty wih he State Buitding Cod€ and a[ otrer appticable Siab ard locat taws
I S€ rvices Cenler will be notfed o f an y changes in the apprcvad ptan s and specitications or change in co n lrac !:,I orand ordinances and regulalions The NHC Developm
conlracbr inbrmation'_NOTE Any Work Perform pnab PenniGwillbe Ln vnlation ollhe Nc sraE Bldo de and Subjecr b Fines Up To $500 00"
OWNER/CONTRACTOR :SIGNATURE:
(,**** *!t**,*i(,* )* )*,*,* ,* * * !F * ,i,* ***
IS THE PROPERTY LOCATED IN A
EXISTING IMPERVIOUS AREA:
NEW II.IPERVIOUS AREA:NO
COMIYUNITY SYST
SEWER: ! crcul I CENTRAL s TIC
"*, SEPARATE PERIIITS
PAYI,4ENT iIETHOD: E COS, E Ec( (payABLE ro rHc; ! amrnrcaN ExpREss fl ,.,rrrsa DISCOVER
EQUIRED FOft ELECI, I'1ECH, PLBG, GAs EQUIP, PRETAE5 & INSERIS i+'
SETBACKS: F :_ LH :_ RH:_ B:_
*)*ir *)** * *+* )t*)t)t ** *,r *!*!t !t )t )i:t ti**,*,*,* *)*)* *!i** * )t* * )* )*)** * ** * *)*** * )t** **
(FOR OTfICE USE OI{LY) REVISEO DATE O4l11l12
BLOCK #: LoT #:
-
SF
f] nrruovarroru ! ceruenai aeerrns ! RELocArroN
TOTAL HEATED SQ FT:
# OF STORIES: (
lElrc
warER: f] crcun !
BFE+2ft=.
l**r.rr' ,-q00-
APPLICANT'S NAIiIE:
DEVELOPER: Il A
NEW
Ashle li3
6ll S. lr.i :;
ffi
ANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
5E ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
?otb-))o'1
16-8 58
APPLICATION
Number
(office Use)
PRO]ECT ADDRESS:
SUBDIVISION:BLOCK #: i i:
CITY: aiLmlnqton
DATE :03.18.16
PHONE #: 91ir. r6i rta5.i
LOT #: 1
PHONE #: 979 . a,12 . ti, t I
ST: r.ic ZIP:284il1
PROPERTY OL]NER'S NAI4E:
OWNERT S ADDRESS: o:.- :l
Doc H
I rd
CONTRACTOR: ]!]
ATT GARAGE SF
SUN ROOM 5F
GR E ENHOUS E SF
TOTAL HEATED SQ
ZONE : _ OF FICE R:
Appnoval:_ City:
DET GARAGE
-
5F PORCH 5!SF
LICENSE #:
CITY:ADDRESS:ST: _ ZIP: _
El,lAI L AODRESS: r:1t.h0lisle chitecture. com PIIONE #: 91a . r63.605i
PROIECT CONTACT PERSoN: .i:..,Ha PHONE #: 9t,..r6i.aa5J
ALT RATlON
NEW CONSTRUCTION:ERECT N RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOII L THAT APPLY TO YOUR PROJECT:
TOTAL PROIECT COST rress roo :
Is Any ELECTRICAL, PLUMBING or M
If the project is a Relocatio
Is there Electrical Power on
FT: tE4:
Ha
*********************+++++
NEW IIiiPERVIOUS AREA : 4 r- 8
STORAGE SH ED SF
SF OTHE R: 4I9
,t,t*)t*******+++*,***,t)t**)*)*rt*,***********+++****** jt+++*,t*
NO
PooL _ sF
DE CK SF
TOTAL SQ FT UNDER ROOF: 21re
# OF STORIES: :
HANICAL Wo.k Being 0one to the Accessory Structure?nIYes No
, is there a Natural Gas Line on the Current Site? [ Ves !No
his Bu i1d ing ?T ves fi to
DESCRIPTION OF WORK: Acldrt 1on f 419 heated s uare feet to rear of house lnterior renvoat i on
includin new bathrooms and ki chen
DISCLAIMER: lhereby certit tlat all information in f)s applicalion is corecl and allwork willcomplywih he State Building Code and alloher applicable Stae and tocat taws
PROPERTY USE / OCCUPANCY:NGLE FAMI LY
OWN E R/CoNTRACToR : .:: --
DUPLEX TOWNHOUSE
t S€rvices CenEr willbe nolilied ofany changes in t1e apprcved pians and specificatrons or change in contrac!)r or
SI6NATURE:
and ordinances and regulalions The NHC Developm
confacbr inbrmalion "'NOTE:Any Work Performe W/O t'e Apprcpriats Permits will be in Viotalion of lhe NC Srate Btdg Code and Subject i, Fines Up To $500 00...
IS THE PROPERTY LOCATED IN A
EXISTING IMPERVIOUS AREA: 1tl5
LooDPLATN? [-l ves T
5Q FT
5Q FT
YSTEM PRIVATE NELLWATER:
SEWER:
CFPUA
CF PUA
COMMUNITY
CENTRAL SE
CENTRAL tilEL L
COMMUNITY SYSTEM
TOTAL ACRES DISTURBED: . t,] 1
EXrSr LAND DTSTURBTNG penmrr: [t] ves ffi to
*** SEPARATE PERIIIITS
PAYIVIENT I'IETHOD: E Co'U E
EQUIRED FOR ELECT, MECH, PLBG, GAs EQUIP, PREFABS & INSERTS ***
ECK (PAYABLE TO NHC)I me nrcm exenrss E Mc/vrsr
TIC PRIVATE SEPTIC
SETBACKS: F:_ LH:_ RH: B:
I orscorrn
* * * * ** * ** * * * * * * *** * *** * * * **,*,*,t,*,t * * * * )* ,t ,t ,t *,t + )* ** x **** + + *,* x )* ,* ,t *,t,f * * ** **+ * *** + + * * ** ++ ** * * * *
(fOR OFFICE USE ONLY)REVISED DATE 04l 11/12
DATE:_ FLoOD: _ BFE+2ft= _A v - SIDII
CITY: iri Imincron ZIP::\4")
EXISTING CONSTRUCTION: E ! Reruovarrorl ! ceruennl neearns ! RELocATToN
TOTAL AREA SQ FT: _
NEW
PL
APPLICANT'S NAIiIE: r'la.k Jcrn -.1
DEVELOPER:
PROIECT ADDRESS: .1c34 ccean R 'I e Dr
SUBDMSION: Landfaf I
NOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
ASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
)a6-7los-'' L6-1031
APPLICATION
Number
(Office Use)
PROPERW O!{NER' S NAIVII:
OI,{NER, S ADDRESS:
Dale d Rcbert .Iohnston
DATE: 4 1tt(:
CITY: I\,i tmi nqr on NC
PHONE #:
ST:_ZIP:_
ACCOUNT #: 3660
ST: nc ZIP: 28445
CONTRACTOR: marr ohnson cusl,m homes LICENSE #: r689l
ADDRESS: r:1!:ririrar cutoff suite cc #211 CITY: ,,ri -mincLorl
EI'4AIL ADDRESS: malk mark ncus t omhcme s . com
PROIECT CONTACT PERSON: m;rrt ohnson
ALT RATION RENOVATION GENERAL RE PAIRS
NEVJ CONSTRUCTION:ERECT N RESIDENCE oT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW LL THAT APPLY TO YOUR PRO]ECT:
! orr cnucr _ sF PoRCH 4:8 SF
STORAGE SHED
ATT GARAGE 1C]l-1 SF
POOL 5F
DECK SF OTHE R:
TOTAL HEATED SQ FT: s45s TOTAL SQ FT UNDER ROOF: esga TOTAL AREA SQ FT:
TOTAL PROIECT COST rress roo :
Is Any ELECTRICAL, PLUIiiBING or
1,4rll,,l.j,j
PHONE #: )rr . r13 .5!))
RE LOCATION
HANICAL l^/ork Being Done to the Accessory Structurel I Yes
, is there a Natunat Gas Line on the Cunnent Site? [
I No
Yes I No
PHONE #: 9tr . 44i .5422
SF
If the project is a Relocatio
Is there Electnical Powen on
5F
x****,**++*****x*******+*+++********++***********i.,t **x
arh n
*x** *** *+++ **** **** **r: * * * *
NEti{ IMPERVIoUS AREA: iree
X X X X + + + *+ * * *,k* * * * * * * * * * * + *
his Building? [-"] vur FIruo
PROPERTY USE / OCCUPANCY:NGLE FAMTLY I ouerex ! rowruuouse
DESCRIPTION OF WORK: New Resi
DISCLAIMER: lhereby certify hat all inbrmaton in rr applicaton is correcl and all work will comply wilh lhe Slale Buidlng Code and alloher applicable Slale and tocat taws
t Services Cenler w ll be noijfied of any changes in the approved plans and specrfcarions or change rn con tractor orand ordlnances and regulations. The NHC Developm
contactor informalion. "'NOTE Any Work Pedo W/O tre Appropriate Permits will be in Violalion of lhe NC State B dg Code and Subject r, Fines Up To $500.00',,
Oti{NER/CONTRACTOR: marr SIGNATURE:
IS THE PROPERTY LOCATED IN A
EXISTING II,IPERVIOUS AREA: 370
LooDPLATN? l-f ves E ruo
SQ FT
SQ FT
TOTAL ACRES DISTURBED: tss rhn l
EXIST LAND DISTURBING PERMIT:FI ves Fl r'ro
WATER:
SEWER:
CF PUA
CF PUA
COI,II,IUNITY
CENTRAL 5E
YST E 14
TIC PRIVATE SEPTIC COMMUNITY sYSTEI.4
*** SEPARATE PERI,IITS
PAYT4ENT METHOD: I CASX il
EQUIRED FOR ELECT, MECH, PLBG, GAs EQUIP, PREFABS & INSERTS ***
ECK (PAYABLE rO r'[rC I fl BrLL ACCOUNT m MClVrSA n DISCOVER
ZONE : _ 0F F ICE R:
Appnoval :_ City:
* * * * x * x x ** + + ** **** *** + + * * * * * x x x * * + + * * x** **** ** x +++* *** x
(FOR OFFICE USE O\IY) REVI
SETBACKS: F:_ LH:_ RH:_ B:_
DATE: FLOOD:
A N
BFE+2ft
'*'i'risa
PHONE #: 9rt .4\:9 .2A2t
ZfP: .tt445
BLoCK #: LOT #: _
! surunoom _sF
fl cne eruHousr _ sF
CITY:
EXISTING CONSTRUCTION: N
# OF STORIES: 2
! earvare we r-r ! CENTRAL wELL
C,
,^L.
Q-s tG -730Q
RECEIVED ltlAR 31 20ff
!l HAI'IOVER COUI{TY BUILDIITIG PERTiIIT
A'PLToAT,,/,,
'TPT:
REsIDE TI1AL ,IIOBTLE IOTIE
I
'U.-1
ADPLIC'rIfi
md!r'
(off ,!. &.,
APPLIAflT'S Bllfi:
DEYEtOIEi 3
suSD$[tm{:
. PMPERIY O!III['S MIIE!
6'{EE'S ADOIEsS:
cqriAcmn!
ADD[Essi
El,UlL lDDnEsS:
PRO]ECI co{TAcf
IISTA LI
0€scirPxrqt OF
OiCU|.ll llitrditdalrca.b
!.,rrF!rt aria6 c*{l
tl!.hv*dbltr-frct
(cxtrrcf ALL TI{AT APPTY)
tooa.E HofiE f] nrroclrrot oF usED ltorlE tot€
l.dtlir.l-r.rtLhSar*-aa-.d*aa.tdurrrrh-.,aia.rrtl.trfio
aF.t d*rirrre.d!{.t...d..d6Mn-tdltaltff Frdffi t .rrhM
lkrc(*LOt #
ilI,e,*t@.o17',1
ctrv:$r iilcJtp: e rr{€t
ucE6E t:ooetqL
6lV: Leland rr3ugzrP:ll&!7
PffiE n: qtOTqQ lllq
nou rr nlarqq utl
SI6{/ITI'RE:
PlME w;2z4gg_5+_
rs I{E pnsERtY LOC TO
PSoPEBTY USE/0C6,PA&Y:
[i.D LtgEL:
"'
,HW q o
I,EAI !UDE: - aolu
'F
(trrnt h-l
l rmoanuru I ves ilo
,rt t
UnrrcAtr zou: 71
oscr, IvrsSQ'
iEslDElcE / oTl{Ei?
7 3
5F
TOiAL PBOTECT COSTGrITI.oS , SofooQ IOTAL IGRES DISNn!M:
#vEs t{o
TATEI: f'l cFpua l--'ls*x! LJ cFpu Ll SEPTIC
5\5TEll
E
tr. sEPnrlTE nEEurrto FA ELEC', I8dt, pLtc, 6A3 EqlElr liEFt6 I tl|SEnrs r..
FAl,rErr rentor E tlg,orEcr (payrslE To trrc) [ rrnran mmss E rmsl fr rcova
......6.{rd aaEsma/uar
(Br calt rG ci
ZONE:OFFICER !SE[EA(#3 F:_ [Ht RH: !3ArDFovrl! cttv UAIE! FLml
-
fFE+2ftr _
EXIST I'tD DI! U[8Til6 PE$ET:
PRrvArE rELL K grrrroa **r.
Fill/ArE sEmc ffi comlrw svsnx
t
ConaDt
A
Pt[i[fT FEEi t 3ooI
BErSE pIr{f CtClIrY r llEg ltt olEsrlllEdFrdect lorpons{btltgP
}EO]ECT IDDNES3:
itA[rFacn iEiI
_lb
slloKE
POiCH:
I
i:{*{'l
|.rf ','ij
llaflrif
lr
-w RECEr',:rl t'lAR 01
NEt^l
APPLICANT'S NAME: McAdams s LLC
DEVELOPER:Homes LLC
PRoIECT ADDRESS: 10 12 acks R1 eCt
SUBDfVISI0N: .racxs Ri
PROPERTY O}INER, S NAIlE : Mc s Homes LLC
OttlNER'S ADDRESS: 6525-Rd
CONTRACTOR:ms l.Iomes LL
ADDRESS:6-C Gordon Rd
EMIL ADDRESS: rianc ada
PRO]ECT CONTACT PERSON: Tim
SUNROOI'I SF
)ob-'7to^-7
tu'bb;L
APPLICATION
Number
(Office Use)
ANOVER COUNTY BUILDING PERMIT
APPLICATIoN rYPs: RESIDENTIAL
EASE ANSWER ALL QUESTIONS APPLICAEI.E TO YOUR PRO]ECT
"Project Responsibility,,
PHONE *: 910 ?98-3006
CITY: wrlm
BLOCK #: _ LOT :
CITY: wilminqton ST: J!_ zIP: 2 8411
CITY: wilminoton ST:JS_zIP:28411
cadamshomes . net PHOt'lE #: 910-?e8-3006
PHONE #: e1o-soB 2298
ZIP i 294ta
I6
AL narroru f] RENovATToN ! crruennl nrcarns I RELocATToN
NEW CONSTRUCTION:ERECT N RESTDENCE o" E lOOIrrOru TO ExrsTrNG RESTDENCE
L THAT APPLY TO YOUR PRO]ECT:;TPLEASE CHECK AI{D ANSI,/ER BELOW
@nrr caRaer 466 sF ! orr canace sr I eoncn e4 sF
I eool _ sr ! sronnoe sHED _! oae erurousr _ sF ! orcx
TOTAL HEATED 5Q
SF OTHER:
ToTAL SQ FT UNDER ROOF: 2ser TOTAL AREA SQ FT: 2sel
125.000 # 0F STORIES: r::. oo.r
CHANICAL Wonk Bej.ng Done to the Accessory Structure? E yes No
SF
5F
FT:1s71
TOTAL PROIECT COST lress rog :
Is Any ELECTRICAL, PLUI1BING oT M
If the project is a Relocatio
Is there Electrical Powen on his Building ?T Yes
Line on the Current Site? [ v"s [t uo
No
, is thene a Natunal Gas
INGLE FAI'1ILY ! ouerex fl rownuousr
DESCRIPTION 0F WORK: erecr 38 2 5BA with tional. bonus room 2 ara s1 le famiL h
DISCLAIMERi lherebycenity hat alt inbrmation in is application is cofiectand allwo (wil complywitll llle stale Building code and a[ other appticabte stae and localtawsand ordinances and regulalions. The NHC De
conf acbr inbrmaton.'-NoTEr Any work
nt Services Cenier willbe noified ofany changes in fle appro!€d ptans and
W/O lhe Appropriaie Permiis wi be in Viotaiion ofthe NC Slare Btdg Code
OWNER/CONTRACTOR I ndam sosrr SIGNATURE :
***++****x++*+r ti*+++**r*
IS THE PROPERTY LOCATED IN A
,t *)i * * * * * * + * ** * + * * ** * *,* * t f * + * i * * * *,i + * * ** * +
LOODPLAIN? TI YES E ruO
EXISTING II'IPERVIOUS AREA:
NEW IIiIPERVIOUS AREA:
TOTAL ACRES DISTURBED:
EXrSr LAND DTSTURBTNG penUrr: l--l yEs I-'] No
WATER: II CFPUA
sEwER: I CFPUA
E coNr"ruNrrv
I cerurnnl s
SQ FT
SQ FT
YsrEM E pRrvATE wELL ! crrurRnl well
Trc E pRrvATE sEprrc fl coMMUNrry sysrEM
SETBACKS:ZoNE: _ OF FICE R:
Approval:_ City:
Comment:
Up To $500.0r"
)**,* +* *:** )t * ** *,t )t,t * * )t
F: LH: RH: R.
BF E+ 2ft=
N
PERJiIIT FEE:
1+* SEPARATE PERI4ITS
PAYI.ET,IT UETHOD: E Clsx fJ
EQUIRED FOR ELECT, I.IECH, PLBG, 6A5 EQUIP, PREFABS & II{SER:S ,i,*
EcK (PAvABLE ro ruxc; I BrLL AccouNT E r.rclvrsr I orscoven,* )** + *** + *** )*,* *,i )*,t * )* + + * * * *+****+)i*,***+**++*)**,*,**,i**+)i,t)t*+****,******,t***,t,t*+*,**+**:*i*,r*)*,*
(roR oFfrcE llsE oNLY)EEVISED DAIE 94l11/12
DATE; FLOOD:
AV
I
DATEt 2/2e/16
PHONE #: 910 798-f ooE
LICENSE #: 6eeo7 ACCOUNT #:
EXISTING CONSTRUCTION: E
PRoPERTY usr 7 occurallcv t I
,tE
^{L\.
) otb3St
(€L tb-'+b,>
APPLICATIOi
Number
(Of{1.. Ur.)
APPLICANT,5 NA{E. Richdrd Me
DEVELOPER:
PROIECT AtnRESS: 1200 Purvian e cour!
SUBOIV]5ION:
pRopERTY oHllER's i/AHE. Richa
OI (ER '5 ADDRESS:4200 PurviaD
#'
NEW VER COUNTY BUILDING PERT1IT
aPPLIcArI0tt rrPE r RESIDENTIAL
a 5rE8 ALL QOr !r ICriS APPtt(AaLE T0 yqJR pflOlE(T
-Pnoject Responsibilit/'
DATE; 3/a!/):
pttg\iE f . 910-612-6I95
CITy. ni lniogton 2Ip.28409
ELOCX fi LOT s:
PI€NE #:
CITy. flilnington ST: NC 2Jp.28409
LICENs E f,:
CITY:./,ILr'',ST
RE LOCATION
PORCH _ SF
sToRACr SHED _ 5F
ttA!
PIrc E *:
PHo.IE *:
,l/( up, Zgld7
4tA ,t4r z -l/?(-
910-6t2-6.I95
EI1AIL ADORESS:
TOTAL HEATED SQ
conTRAcToi:
AOORE SS:
w
PROIECT CONTACT PERSO : Ric !aeehan
AL : -; rcN R ENOVAI IDN GENERAL REPAIRS
NEr.r coirsrRrJcr ro,l ' I enecr RESIDENCE oT ADDITIOII IO EXISTTNG RESIDENCE
L THAT APPLY TO YOUR PRO]ECT:
oET GARAGE _ Sf
PooL _ sF
FT:
9AYIIENT I" I8OD:
. r r I I r * t * * r a*r r + r t t r r *r:1
5F
apdrrion b corft l and al E1]{t ril comliv *,n ta S!6re 8(,l
Serv{rs CenE. hl !e,,oI&d ol ry charror.! h tre a9pr.*t
hAD SIG.{ATURE:
*r**r+r!**r.*r4....rrtr.rt+a**r***
oooerrui? (] vrs
SQ FT
sQ Fr
YSTE It PRIVATE t^lE LL
DECK 2a4 5F CTHER:
rorAl- SQ FT ttPER R@F | -.()- TOTAL AREA * rt: Zf/
TOrAL PROIECT COSTrLessLor :
I5 Any ELECIRTCAL, PLU}8IIG':. I
5000.00 * OF STORI ES:
ICAL tJork Seing oone to the Ac.essory Structu.el [l V"s Q Ho
is there a ltatunal Gas Line on the Cu.rent Sitet Qves fr ruo
is suildins? ffi ves Ilo
)NGtE FA[,1ILY DUP L EX TOlNHOUSt
DESCRTPTTO Ot tt/ORX. Addition f a deck to exrsting r€6idenc€.
OISCLA$ER lhe.ebyca'!'r, tlar€rr,nb.ma&o n tr
If the project is a Relocation
Is there Electrical Povrer on t
dr( oron3nals aro ?!!lalEis. ihe flEC DeF - ipt : ,r_"-_SwrlDenVc'_1i _-\-5t
o!.lNER/COaITRACToR. Richard
IS THE PROPERIY LOCATEO IN A F
ExrsrrNc rnPERvrqJs AREA: l92 o
NEI4 I PERVICI,)s AREA: O
NO
IOTAL ACRES DISTURBID: _---=-
EXISI LAND DISTURBTiE PER aTT i [L) yEs iLL t{o
HATER:
SE'.]ER;
CFPUA
CTPUA
CO{"I{UN I TY
CTNIRAL SE
CEI{TRAL Wf tL
Cor\OtL,NI;Y SYSTa,'1
"1";,;:J: ll3o' ,r, t6' ,r, l6' ,,3.d*"'o
oart o^/L..tt2
DATE: F LOOD:
3-tq4a Jhodd X BFE+2ft=
u*ba* *,v inpectr, eflJreo
#
L.J CASH Ecx (payABLE ro rncl Q ^r.r*rclrJ
EXpREss f,t nclvrso f,torscove n
I'PRIVAT' SEPTIC
ZONE:OF FICF
Citv:
f\/\ud 9t[254#1'tr5
Aooaoval
-J I rw^a.
..PLEASI CHECX AXD AXSI{TR BEL(}'
flarr crnacr
-
sF
I surnoor
-
sF
f, cnrennouse
-
sF
EXISTII{G CO.I5TRUCTIO : f]
PROPERTY USE / OC(UPAITKY: p
r.d (€?
)olu-
-7b.>
)to
r4
)
APPLICANT,S NA,{E: Richard M an
OEVELOPER:
PROIECT ADORESS. 4200 Purvi e Court
SUBDIVISION:
PROPERTY OTNER, S Ml[tE: RiCh Meehan
O$INER, S ADORESS. 4200 Purva e Court
NEW ANOVER COUNTY BUILDING PERMIT
APPLICATI(N IYPE r RESIDENTIAL
E A Si{ER ALt QUESTIoiTS APPLICABLE T0 YOt,R PROIECI
"Project Responsibility''ffi APPLTCATIOI{
Numbe r
(office Use)
CO TRACTOR:
ADDRESS:
4
DATE: 3/rl/16
plo E *: 910 - 612 - 619 5
CITY. Wilnington Zlp: 28409
PHONE #:
CITy. wilnington
LICENSE *:
cIrY: lVlthttLrf2N 9r:flC ztp;
PRoJEcr cot{TAcr PERso ' Rich d Meehan
EXISTII{G CONSTRUCTION :ALT RATION RENOVATION GENERAL REPAIRS
NEW CONSTRUCTION:ERECT N RESIDENCE oT ADDITION TO EXISTING RESIDENCE
i.*PLEASE CHECK AI{D AI{sI.,IER EELO}J LL THAT APPLY TO Yot'R PRO]ECT:
EITAI L AOORESS:
ZONE :
PHo{,|E #:
PHOT{E *:910-612-6195
RE LOCATION
ATT GARAGE
-
SF
SUNROOI,I SF
DET GARAGE SF
PooL _ 5F
DECK 244
PORCH _SF
STORAGE SHED SF
0ruo
ves ! uoIf the project is a ReLocatio
Is there Electrical Power on
GR E ENHOUS E SF SF OTHER:SF
TOTAL HEATED 5Q FT:TOTAL SQ FT UI{DER RoOF: --O-TOTAL AREA Sq n: Zfl
TOTAL PROIECT COST (ress ro0 i
Is Any ELECTRICAL, PLUl4BnlG or n
5000.00 # OF STORIES:
HA ICAI- Work Being Done to the Accessory Structurel Yes
is there a Natural Gas Line on the Current Site?
his Building? IC'llvet I lo
PROPERTY USE / OCCUPAII,ICY:NGLE FAMILY DUP L EX TOI,INHOUS E
DESCRIPTIOT{ OF htORK: Addition f a deck to existing residence.
DISCLAIMER lhereby cerlify frar all inbrmation in tl applicalion is correctand alt work wittcompty witl tle Srate Building and
and ord,nances and regulatbns. The NHC De\,e t Servaces CenEr willbe noijfred ofanychanges in he appro\€d
conracbr inbrmat,on. "'NOTE: Any Work Pe /O tle Appropriab Permitswitlbe in Violaiion offte NC StaE 00'
OIINER/COI{TRACTOR : Richard han SIGNATURE:
IS THE PROPERTY LOCATED IN A
Exrsrrirc 4pERvrous AREA. 3e2
NO
TOTAL ACRES DISTURBED:
NEIJ IMPERVIOT,S AREA: 0 EXI5T LAND DISTURBING PERMIT: I(I] ves [CT,I rc
COHHUNITY YSTEI,I PRIVATE WE LL CENTRAL WE LLMTER:
SEtJER:
CFPUA
CF PUA l-l crt.trnnr se TIC l-l parvnre seerrc ! cofrmuNrry sysrEM
* * SEPARATE PER'4ITs
pAYlrE r '4ETHD: o Cosx 0 EcK (IAvABLE ro ritcl Q +renrcar{ ExpREss Q "crursr Q orscoven
jl,t** *** x* * * * * *:t *+* * * * * x:t:t +
**** *** *,*** *,t,t* **:t:t +** ***rt
* )* + *,t,*,* ***,t** **** *tt* * * * )*,r *,r,*,t*,tt** *,t* * * ** jt*** ** * + * *
ooDPLATN? Ql ves
SQ FT
SQ FT
*** itit* *** )*,.*t* **:t:t:8,** +:t:t )t,* +:i:t * )t)t:it* **+:i,*,*:t:i i.,* * +:t* * + **:t * ***:t **
(FOR OFFTCE USE OI,/LY)REVrSEo DAIE O4l11/12
SETBACKS:F:_ LH: RH:_ B:_
EqJIRED FOR ELECT, MECH, PLBG, GAS EqJIP, PREFABS & II{SERTS ***
Aooroval:
OF FICE R:
Citv:DATE :F LOOD:BF E +2ft=Szr
BLoCK *: _ LOT *:
ST. Nc ZIp. 28409
tr
ntl
r${
#r
NEW ANOVER COUNTY BUILDING PERMTT
APP L I CAr I ott rYPE: R ESIDET'ITIAL
asE at,lsllER ALt QUI5TI(I{S AppLI(AaIE I0 yoUR pROl€CT
"ProJect Responsibility',
Q o lb*33ta
(€L \b--tb,>
APPLICATIO I
Nwnber
(Office Use)
APPLICAI{T,s NAi{E: Rich.Td Me
DEVELOPER:
DATE: 3/:-\I t
pHq{E $: 910-612-6195
CITy. ri imrngton
Pltot'l E * :
CITY. wi lln ngton ST. Nc ZJp. 28{09
LIC€NSE fr
CITY: /, t/L/'h,f,rr.,'sr lK zte Z{'//7
etrr,'te *: 4h ,/tz-lqr-
PHO{E *: 910-512-5195
RE TOCAT ]ON
pROpERTy O$irR, S NAIE. Richa ll{:i\an
fiN€R, S AoORESS: 4200 Purvian
PRO]ECT ADORESS:
SUBDIVTSIO:
Co,iTRACTOR:
ADORESS:
TOTAL HEATED SQ
ZoNE i
o-F-OFFICF
Ei1AII ADORESS i
PROJECT CfiTACT PERSON. Rich
EXISTII'JG COITSIRUClION:AL R /,T r0I RENOVAIII)I.]GENERAL RE PAI RS
NEhJ CONSTRUCIION:ERECT NE
*.PLEASE CHECX ANO ANSI.]ER EELdr'L TBAT APPLY TO YOUR PROJECI;
AII GARAGE
-
5F
suNRoor4 _ st
GREENHCIJsE SF
DET GARAGE
-
SF
P@L _ SF
DECK 2,14 SF
PoRCH _SF
STORAGT SHED SF
CTTiER:5F
TOTAL PROIECT COST tcis ro,) :
Is Any ELECTRICALT PLUNBIIG nr t{
If the pnoject is a Relocati
Is there Electrical Po!,en on
han
oooer-nrxr Q vrs
EXISTItic II,IPERVIOUS AREA: 3920 SQ FT
5Q FTNEl{ II,IPERVTOUS AREA: O
TOTAL SQ FT tlDER R@F: --0- TOTAL AREA Se FT: Zt4
* OF STORIES:
AIICAL tJork Being Oone to the Ac.essory St.ucturel Q Vet Q ffo
is there a Natural Gas Line on the Current Sitel Q ves fi Ho
is Euilding? (flvur Ilo
PROPERTY T,'SE / OCCUPAIICY:s N6L€ FAI'1I LY DUPLEX TOI,JNHOUSI
DESCRIPTIoiT OF HORN. Additron f a deck to existj.ng regidence.
oISCLAIUER lhe,ebyce iit, hat a[ nblnrarbn n tr iprrf,,ltv.^ rs cctrecl;!in allf . r $il,.r : i\. * be S .. 3 , d
dnd odman€es aid ,.ir rrrri,)ns. Tne NHC {-l',$tues Cene, *'t,6g nolridd oaanycha.rtns h
'le
dopro,ed.ifrra, trbr..3rid!: '.1{oTE Any wdk Pedormed rCfr \pt r ,€ ",.,-,.s wrll be nVl]!.:1or*-\CSr.r
ottlNER/coNIRACTOR: Richard u
It"
SIS'IATURE :
NO
rOrAL ACRES DISTURBED: _
Exrsr LAND DTsTURBT{G o,*rr,--fal ves [CI] m
PAYII€|iT Ialiloo:(f cos, Ql
FT:
YST[ !t
I"IC
DATE :BFE+2ft=
r i r* * * * r +1r * r1+ *+r.tar.'r1..{ r1{.},rrt+*+4 l*ri*r*.1 a t f * t * r tt. r. ,. . r
l{ATER:
SEWER;
CF PUA
CFPUA
COl.1l.lUNIry
CENTRA! 5E
CTNTRAL UlE I- t
COqIiUN IIY SYSTEH
"1;.^;-';: TlSo' ..r, t6' nn, l6' u,i.d**o
o M4l11/12
PRIVA']"8 STP'TIC
.. '' _' : I I . it r,.:
Ecx (pAyaBLE ro lrc; ff atrrrcar ExpREss Q rcTrrso Qorscournrtrrtt*ir***lrrr*iarr++a*it*+rr+.rr.r***..+..
3-tq'tQ
FLooD: Jho"cd x.fltr
a
Aooroval:
fvrqt dl rt ^n.re0 9t&254.Crts
-
zIP: 28{09
SLOCX *: LOT *:
RESIDENCE o" u] AOOrrrOt TO EXISTIT{G RESTDENCE
5000.00
IS THE PROPERTY LOCATED IN A
r-! erirvarr we lr nT
Cltv:
NE pERr,rrrPufUr-qOo
APPLICATION
ilumbe r
HANOVER COUNTY BUILDTNG
^PPLIcarroN r}?E; RES I DENTI AL
PIEAsE ANSIIER ALI QUE-TrI!!5 AI'IICAELE TO YOUI PiO]ECT
"proJect Re5pons.ibility',
CITYr
8L0C( $:
!
CITY: L
#
APPLICANI'5 t,lAHE:
OEVELOPER I Z
PNOJECT AODREsS:
SUEDIVIS IONI
oArr: ?. 21-l6
PROPERTY O$JNER, S N,U.IE
or{t{ER, s aDoR Ess: z o
CONTRACTOR:!i
ADoRESS r
EI1AI L ADORESS I
PRoJECT COJTACT PERSollr
€XtSIIflG CoN5TRUauotl, !
xEl,,J CONSTRUCTION: f EREC
..PLEAsI (H[CX ANO AflsI,]TR SE
I rrr ernacr A -lo sr
SF
Plou E #:
LICENSE it lZ /8"ACCoutiT f:
CITYr
ST:A<zrp:28"loS
sr'44,--Iil[], 12<t.,-t't.-..
DEC K <! ^ruc D.
T A L F T
(-> .'rl *0 F s TOR I E s
xlCllllJICAL l,Jonk 8ei nB
ion, is there a Natu
PHONT {:
q 14) -P}{oNE rr 7
PHONE 3:
LTERr-lrcN I nelova-rol I crnrnlr- neearcs ! RELocArro
N€W RESIDE CE o" ffimotrrot To EXISTIT{G REstDENCE
ALL THAI APPLY TO YOUR PRO]I(T
oEr 6ARA6E sr leoncx
--sfPOOL cr Tl .-"o,, ,.AGE SHED <E
SF
6REENHOUSE .-. 5F
TOTAL HEATED SQ FT:
TOTAL PROIECT C0ST rLei3 Ld)
Is Any ELtaIRICAL, PLUIIBING ':.
If the project is a Rejoca
Is the.e E]€ctrical Power
sQ L NC R00 F T A I A R E A s a F T 7-tcT0
oone to the accesso.y Structurel f Ves fl fvo
n thi s Building? f]
ra1 6as Li.ne on the Current Site? [Vest'es f] no
No
PROP€RIY UsE / OCCUPANCY:SIN6L
OESCRIPT]ON OF I,IORK:
OJPT EX I0/INH0USF
L
SI@IATURE:
I 6
8J L
CENTRAL I,,JEL L
CfiIUNI'IY SYSIEX
GAs IqJIP, PRTTABS
accorr f ncrv I5A u
OISCLAII/EF lhsrlb, c.nrtr a3r sI nbm3
..r odm.n.es and reouralions.lhc NHc oc
f Dis lpchc.rc. is co.re.lsn! **)*witco6
I S..v(€s C.nEr rl De.o!tE: ot&ry chB.lrrr Ln ic.pprcEa oLa.
9rrFitr $r sllr 8u't 'n0 Gdr...oner l:! la.E S:!E.^c bc. tahl
co.neb, i.!r4rb. "'Ncrt
^ny W€ fie ApprolliaE PErF,tewitrbe h
Otunen/COIrnqCrOt, .-J "-Str:ra r * i * * t, r i r r r+* +** 'I5 IIIE PROPFRTY LOCATED IN FLOODPLAIN? E YTs B"O
EXISTIiE IitP ERVIOUS AREA :
NE}J I},IP E RVIOJS AREA:
SQ FT ToTAL ACRES oISTURBEOi
sQ F'!'ExIsT LAND orsTuRBIN6 FERMTT: f: yEs
sYsrEri D pRrvarE wErL$ATER:
SEiiEn I
N cppua f coat,rurr
Ilj CFPUA L ] CENTRAL
.'T SEPARATE P€Ri4l
PAYilelT nErHOor I clsri c8 E CX
f rnrvare sretrc
ED FOR ELECT, IECH, P
(PAYA8|-E ro u{c) E
!t,lo S50001t..
fto
&I N5
K*t
zoNE: <- /C oF FrcE R:
Approval:_ City:
. riuslo orrt t./!t]r,
: lI- q )'.-' -.:-r-L
X. BFE+2ft=
--..J.,IUr,rrr, sj/L
t54rh ,
+'rr!rr..ti:rr*t.r.*lir
STPTIC
R E Qr;
!i 5C0V R
()C 0
Cor]lrienti
lfY litqtufiJr Rsqufeo g lg
Qo lb'3311
I surunoon
ZIP: 2 15\ io 3
-
LOT s:
'/./ \ -o 2.,,
{aor orrr(t t5a orLY)
sErBAcKs: r: jC r-n: ru ar
NEW HANOVER COUNTY BUILDING
APPLICATIu,I TYPE: RESIDENTIAL
PLEASE ANSWER ALT QUEST]ONS APPTI(ABLE TO YOUR PROJECT
-Project Responsibitity',
CITY:
&etbSsi I
pERMrr Pte Uo- q03
APPLICATION
Number
(Offi<€ Use)ffi
PRO]ECT ADDRESS:
SUBOMSIOITI:
APPLICANIJ S IIAIiIE :
OEVELOPER: ?PHONE #:
PHONE #:
ZIP: 2 fsrio 3
ST I A ,a ZIp | 28 Llc,s
5l t"zLZIP I Z8.l.l3
EIiIAIL ADDRESS:
PRO]ECT CONTACT PERSOI',I:
EXISTII'IG CoNSTRUCTION: I A
irEN coNsTRUcTIoH: fl rnrcr
*,PLEASE CHECK AND ANsI.IER BE
PROPERTY OWNER,S AI,IE:
OWNER,S ADDRESS: Z o
SUN ROOII,l SF
I cnrrwousr _ sF
COI{TRACTOR:
ADDRESS:
l-l arr crucr * Vo sF
LICENSE S:
CITY: Lr.
//"y a ACCOUNT *:
\-)
CITY: I,\, i
e(.f r. Z c,--L PIloNE f: -76 2-4 I 4f
EXISTIiIG IMPERVIOUS AREA:
NEW IMPERVIOT,IS AREA:
sQ
sQ
FT
FT
PHOI'IE r: ',/9'3 -oZ z-C
SF
INS E RTS
I orscovrn
REVIStD oATE O4l11/12
-t
TERATToN I nenovnrron I errurnal necarns I RELocATToN
EW RESIDEi{CE o" @eoorrrou To ExrsTrNG RESIDENCE
ALL THAT APPLY TO YOUR PRo]ECTI
! oer eruee sr ! eoncr
-.
sF
I coor- _ sr
! oecx _ sr
ilding Code and olher applicable Srae and tocat laws
d phn
SU To $500.00"'
)t +,* )t,* * **)****+* *:* r* * )t )*
er- )
l-l sronlct sr.r Eo sE
TOTAL SQ FT UNDER ROOF:
'<YO
TOTAL AREA SQ FT: Iq(l
OTHE R:
TOTAL HEATED 5Q FT:
TOTAL PROJ ECT COSTlLessLoq :$a1.r,oo,t'# OF STORIES:
Is Any ELECTRICAL, PLtnBING or
If the pnoject is a Relocat
*,r***)t** * )t* )i*+* )t** *,*)** **
IS THE PROPERTY LOCATED TN
ECHAIICAL l,Jork Eeing Oone to the Accessory Structurel I Ves I fVo
n, is there a Natural Gas Line on the Cunnent Site? [ ves I Nothis Building? [ ves IroIs there E 1€ ct rica 1 Po!,/er
PROPERTY UsE / OCCUPANCY:SI NGL F DUPLEX D TOWNHOUSE
DESCRIPTION OF WORK:
DISCLAIMERT lhereby cerrilytral all inbrmation i his spplicaton is conectand attworkwiI comptywih he Stale Bu
and ordinances and regulalions The NHC De nl Setuices CenEr willbe notfed otsnychanges in he approv€
w/O lhe AppropriaE Permilswi| be in VDhtion oi$e NC Sratsconrracror inbrmarion '-ilorE Aiy l94f$
OUNER/CONTRACTOR:SIGNATURE:
* +, *,* *** * **', *rr * * )t* ** ** *,r r 'r,* )t+** * +!t
rrooopurur J--l yrs fil ruo
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBTNG PERMIT: l-l YES I-I ruO
s
ts
WATER:COI4MUNI SYSTEM I enrvarr we Lr- ! cENTRAL t"tELL
SEWER:crrur ! cerrnal E PTIC
I** SEPARATE PERIIIT R t QUI R
PAYT4E|T r'lETHoD: I ClSn CH CK
ZoNE: _ oFFICER:
Appnoval :_ City:
Corment:
E
:t )t.t,f *** ** ** *)t** * )*)** *** **
I enrvare seerrc I coMMUNrry sysTEM
ED FOR ELECT, I4ECH, PLBG, GAs EQUIP, PREFABS &
(payABLE ro wc1 flaru rccanm I rclvrsl
* * * *** **'***** **
(roR 0fFICE usE o(LY)
DATE:_ FLoOD: _ BFE+2ft=
SETBACKS: F:_ LH:_ RH:_ B:_
J.*rr, ,rr, ,''ll0
D^rEt s,. z9-16
BLOCK r:
--
LOT r:
creur !
:11-'';ll'"...,,'ffi"
APPLICANT'5 NAITE I
DEVELOPER;
PROJECT ADDRESS I
O!,lN ER' S ADDRESS r
CONTRACTOR I
ADDRESS;
EI.IAIL AODRESS:
tren< e , <L,
ls food or bey'erafies'
ACFES DISTURBED
WATER: E g'PUA
SEWER: L:-CFPUA
Approv8l: Citv:
S
FL ooD
F LH R H
+
$0 O
1112
(
c,).r
OCCUPANT/BUSINE55 NAME :
PROPERTY ONNER'S NAI{E:
Mar.l8, 2016 ll:05AM
EN6R DESIGN PROFESSIOT,IAL:
DESCRIPTION OF WORX:
TOTAL PROJECT COST:
TOTAL AREA SQ FT ;
"sb ri,ltta
It,--*lc
APPLICATIOI{
NunbeF
(officc use)
PHONE #:
PHONE fi:
DATE,. J lv t.
h)al
ztP;Z*a//Z
st r tt(zrp t ?7,, a/ Z
st : fe(itp:
qld z,
NEW
RECEIVED l'{AR 18 2016
HANOVER COUNTY BUILDING PERMIT
APPLICATION rrPE I COttlttlERCIAL
EA'E ANSXEN ALt QUESTIONS APPLICABLE TO YO{JR PRO]ECT
"Pnoject ResponsibiLity"
(.,(4,,A
CITY; L4J;
,k
Lt/ i ) *ot
..,ll ( ,lu .)LICENSE S:
.ITY: i.,'.''/ tt'1
PRO]ECT CONTACT PERSON:
lf Relocatlon, is there a Natural cas
NEht GoN5TRUCTION: I rnrcr
ACCESSORY 5TRUCTURE:
If UPFIT - The shell Permit
a
T I
ne o n rh a Cu
ccupansy lype )
id, ttet
AU T ,_
E RELOCATIONOVATIN
renl Sile?tr Ye
ExIsT coNsTRUcTIoN: f] ALTE ON g RE o GEii R.AL R E PA IR5
K""Efr.B LDG PRlNKL Eneoz ffi v""
Staie BuiLdi no Gooe and Elt o1h€r Eppticeble Sl,otoapproved Dlanr andton ol lhe NC StBte
Et,l srRUcruRE I rasr rucx ! snrr-r- ! unrrr I aoo ro Exrsr srRUcruRE
Is Elect Power on this Building fi ves ,SruO
THrs A cHAflGE oF occupaNcy uset ffivrs Sm *.'*'
the Ne 0ccupancy Typet
#
3****
IF Yes, what h,as the Prevlous
ARCH DESIGN PROFESSIoML I
l,]hat is
tr4ri
PH
PH
a//,ol <(.)Lt< /.) e llo u.*o./- t'aa-F
n Ye ffiu 16 The Property Locatsd ln The Ftoodplain? E yes .EI*oSI
OWNER/CONTRACTOR:
(o!sliri*)
SIGNATURE:
Not6: Demollion notifcatlons E, sabestos Epplic3tlong submin6d using the appli (oH .376S)lh6irtoHS tu cil ily bulldngconEin Aebe$lor o, noi You ars r€quircd 10 c€ll Emierion Stanrrards (N ESITAP)(91 9 07-5950 0 prlor todmolilion ol sny fadllty or building. S€e epi.p,htjnSilo:
a !".,),
/a 4 BUTLDING HETGHT:
SQ FT PER FLR:
TOTAL SO FT UNDER ROOF I 5 EXST LAND DrsruRBrxo ernurrr ffi ves ffi *o
SO FI EXISTING IMPERVIOUS AREA:
PRoPERTv usE: Soerrce I sTAURANT [uencRnlle leouc [eer lcouoo orHE* Si,r,
ECoMMU SYSTE tr WELL Ezo NI E CLASSI FI CATION:NGU
NITYff cENr T IC tr P RIV s EPT IC n COMMU SYS TE MATE
EFAFAiE PETiI,I REoU REO F()'l (:l icl rrECH. pLBG GAS EQiltp. PREFABS A jNSERrs -.
PAYMENT METHoD: fficrcrt EcK (pAyABLE ro Nncl fleutnrcm E(pREss ffrrcr,=o il orscovrn
}6...1**#*ffir*lfrr
(FOR OFFTCE USE ONLY)ZONE:--oFFICER:ET BACKS B:
BF 2ft=
SO FT
.<-
REvrgED DATE 1t1
E
N
PHONE #;
pHoNE *: f)ltZt?l?aS
DISCLAIMER:
NEW IMPERVIOUS AREA:
NC REG *:
NC REG *:
# OF UNITS:
# QF STRIJCTURES:
# OF STORIES:
*or rtooRs: ---T-
#
OEVELOPERi N
COI.ITRACTOR:
ADDRESS: :]2
TOTAL AREA SQ
Alprwal:
Comment
&o/6 -7sl ;
L6-796NEId
APPLICANTj S NrrfiE :
nover Re al Medica
PROIECT ADoRESS: 21it s. 1?L S
OCCUPANT/BUSINESS NAl,tE: NHRM Z imne.
PROPERTY OWNER'S !A EI
ANOVER COUNTY BUILDING PERMIT
A,PPLICATION TTPE : COTTIIIIERCIAL
5E AI'ISIdER ALI QUESTIONS APPIICABLE TO YOUR PRO]ECT
"Proje€t Responsibility"
APPLICATIOI{
Numbe,.
(Oftice Use )
mas walsh PHONE *:910-34i-?oco
le:
ver Reoional Medical
CITYr wirmin
OWI'IER'S ADDRESS:1t S!
! ion
tst
E AIL ADDRESS: I
PRoIECT CONTACT PERSoN I s Gore
EXrST CONSTRUCTION: E ALTE ON m ON GENERAL REPAIRS
PI.ONE f: 9to-343,?cco
PtOt'lE #; 910- ?9r-8r01
ves I lo
RE LOCATION
Yes No IS BLDG SPRINKLERED?I
milEed for a! a ]aEe
CITY: xilmrnoron
LICENSE S: 4l31e
T I R E NOVAT I
lf Rolocation, is there a Natural Gas Li th CU lte nt S le?o n e
t n and service leve1 work h,i1t
If UPFIT - The Shell Per it
NEuJ corsrRucrrcw: ! rnecr r
ACCESSORY STRUCTURE: New add
srRUcruRE I rasr rrncr ! sner-r. f] uerrr ! mo ro Exrsr srRUcruRE
',, '' Is
IF Yes, rhat t{as the Prevlous O
Is Elect Power on this Building I Yes Eruo
THIS A CHANGE OF OCCUPAIICY USE?vEs
cupancy Typ e? Business l.Jhat is the Nelr occupan.y Type
ARCH DESIGN PROFESSIONALI Ls
€IIGR OESI6N PROEESSIOT,IAL :sk
WATER: ZCFPUA
SEWER: Z] CFPUA
3orl PH
PH
:910-?91-9901 NC REG fil 84al
? Busine
i 7a4-3'13-1533 NC REG #: 01-5636
t c L inic
td rn0 Code d all olher applicable State
1
ls food or berreragss lr€parsd q In this stuctrra? [ Yes !No ts The Por€.ty LoceH ln Ths Ftoodplsin? f] ves
th's applrcaron .s corroct and al. wor{ ktlcon ply w lh he Srate 8u
NHC Dereloomefir Se^,rces Cenler will be nofifreO ot anr/ chanoesNOTE Any Work Perlorm€o WO the Appropflare Perm.ls w,llo;e,r },1C S g Code and
DESCRIPTION 0F WORK: I.! ont reno cf 1s fI NHRX r Cancer Cente!:or
I No
OWNEFYCONTRACTOR:
{Orni..J
Core SIGNATURE:
Nol€: Ocmolftm ndlitcdo,r3 & s&aa@ rsnova]69plbattn5 o.r io bo r,ulrnhgd
'Jsllle
flo apgtlcdon fcrfi (DHHS-C/88) wf.U.r dE hdlr, o. bd5hg yrr. bur$ b
colnaln AsDelos o{ nci. You BrB Equlrcd to aatt l&don lEmbslrn Stlndare br thzactouE Ak Po{utrnrs (NESH p) sr (919)7076950.t t*t 10 dEy3 ldcrlo ltp
dansltbr of any hclltty d bulotao, s€ Asbostos slt6: mF ]l^iylvw.oplsi.t€. rE.LlsropyssD6btahmp.mmt
5 000 o BUILDING HEIGHT: 65 ,# OF UNITS:c
Fr .. 24 ,52e SoFTPERFLR: 24,52e # OF STORIES: l
TOTAL SQ FT UNDER ROOF # OF STRUCTURES: 1 # OF FLOORS:
ACRES DISTURBED:E(sr LAND Dtsrt Rar|.rc ppRurr? -]yes !NO
NEW IMPERVIOUS AREi\' Ncne SQ FT EXISTING IMPERVIOUS AREA:
PRoPERTYUSE: ;prrrce ffn TAURANT luenurnt-e leouc [p1 [colroo orHERBusi
@MMUN
CENTRAL
s\4sTEM D WELL fIZON|NG |JSE CLASSIF|CAT|ON;Prc LIPRTVATESEpnC IICOMMUNrYSYSTEM
PAYMENT METHOO: ICa.SX I EcK (eAvABLE To Nnc) EAMERIcAN E<rREss E McMSA I orscovrn
zoNE: i: .' i sppl6sq.
(FOR OFFTCE USE ONLY)REVISEo oA]E 4/1
'r2$ETBACKS: F :lU3_Ltt
I
FLOOO:
City lnWeOtron Reqtlreo, 9l &254'$ "'l
DAIEi al/i4/2a16
ZIP i 2a4ot
ST: xc ZIP: 28401
CITY: wilminqrcn Sf: Nc zIP: 284c1
PHOiIE *! 9to-?e1-8101
TOIAL PROJECT COST:
Comment
N
PERMIT FEE: $
NEW
PL
APPLICANT'S NAME: t,ronte rth C nstruction
DEVELOPER: i.jelr Ha,1ove r F.e a1 Medical Centen
PROIECT ADDRESS: :rr- s. 1rr
OCCUPANT/BUSINESS NAI'IE : r..r:-ii1 Z immer Cancer Cente r
PROPERTY O[{NER'S NAiIE: Neri H VCI RC I Medrcal Cent er
OWNERJS ADDRESS: L:]L ::I 1IT st
CONTRACTOR: Mcnteith Constru LICENSE #: .iiIr:.
ADDRESS: 32 tJ. a.onr :rr CITY: wr rmi not on
EMAIL ADDRESS: -
PROIECT CONTACT PERSON: t hi)s Go re
If UPFIT - The SheII Permit
ANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMITERCIAL
E ANSWER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT
"Project Responsibility"
sa.t-?3i-\g- L6-7 96
APPLICATION
Number
(office Use)
CITY:Wilminqton
PHONE *: !ta-3.13 r0cc
ZIP:281c1
ALTE ION RENOVATION GENERAL REPAIRS RE LOCATION
lf Relocation, is there a Natural Gas Lin on the Current Site?Yes Ero rs BLDG sPRrNKLEReor [l ves I trto
NEW CONSTRUCTION:ERECT N
ACCESSORY STRUCTURE: :,rer.; add
ST: r: r ZIP: ::;, -
PHONE #: r: -':,1-Btl
PHONE #: ir, , ,- 1,1 g ;,1 ,
(check Al1 Ihat Apply)
ion and service ]eve] work will be ermitted for at a .later date
Is Elect Power on this Building T Yes ilruo
Hrs A cHAr,rGE oF occupANcy use r flvrs I No *****
upancy Type
'**r!r!* Is
IF Yesr what was the Previous oc
TOTAL AREA SQ FT
ARCH DESIGN PROFESSIOT/AL: Lsl?Chris Bone
ENGR DESIGN PROFESSIOiAL: :ska - Ken Sha le
DESCRIPTION OF WORK: rnt ont reno of 1st fl NHRMC Zimmer Cance
OWNER/CONTRACTOR:'-...,, ..SIGNATURE:
? Business
PH: 910-191-9901 Nc REG #: 844l
PH: ra4-j,-t r 5.l:NC REG #: 01s63
Center for out atient clinlc
all olher applicab e State
cations
Code and
SO FT
? Bu s ine What is the New Occupancy Type
ls food or beverages prepared or in this structure? fives [lno ls The Property Locared tn The FtoodptainZ I ves [l no
rn lhrs apphcdton rs correct and all work will comply wrth the Slate Buildrnq Code and
he NHC Developmenr Services Center will be notified ol dnv chanoes in the aooroveo"'NO I E Any Work Pertorned w/O lhe Appropnate Permiis wrll b;e In V olation of the
3ore
(Oualne.)
Not€: Demolition notifications & asbeslos reanoval il applbations ars to be submitl€d using the application iorm (DHHS-3768) whether the facility or buitding was iourd to
cont6in Asb€stos or not. You are requhed to call Natjonal Emlsslon Standards for Hazardous Alr Pollutants (NESHAP) st (919)707-5950 at teast l0 days pdor to the
demolition ofanyfEcility or building. See Asbestos Site: http:/ vww.epi.sbte.nc.us/epi/asbeslos/ahmp.htrnl
TOTAL PROJECT COST: i5 000,0 1r BUILDING HEIGHT:# OF UNITS:
TOTAL SQ FT UNDER ROOF:
ACRES DISTURBED:
WATER: ECFPUA
SEWER: ZICFPUA
SQ FT PER FLR .!,,.
#OF STRUCTURES: r
NEW IMPERVTOUS AREA. irrr-,=SQ FT EXISTING IMPERVIOUS ARE{. ii / 9
PROPERW USE: [OrrrCe !RANT NMERCANTILE EDUC EAPr lcoruoo
# OF STORIES: r
# OF FLOORS: 1
EXST LAND DISTURBING PERMIT? N YES I NO
OTHER:r,,,.r ne,.s
EzoNrNG usE CLASS|F|CAT|ON
E COMMUNITY SYSTEM
COMMUNI
CENTRAL S
SYSTE
PTIC
M TIWELL! e-Rvnre seerrc
"' SEPARATE PER]\4ITS R UIRED FOR ELECT. I\,1ECH. PLBG, GAS EQUIP. PREFA&S & INSERTS "'
PAYMENT METHOD ficesn [c ECK (PAYABLE rO NHC) EAMERTCAN EXPRESS I UCnrrSn I orscoven
(FOR OFFTCE USE ONLY)REVISED DATE 4/11/T2ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:Approval:_ City:_FLOOD: _ BFE+2fr=
0
,-..-iT|:\
DATE : ri r l,'2 416
ffi
PHONE #; ,r tLl-:tt:-100:l
CJTY: lrliLmin.,tor, ST: N,t ZIP:281a1
EXIST CONSTRUCTION: !
STRUCTURE I TAST IRACK E SHELL f] UPFIT E ADD To ExIsT STRUCTURE
I