MAY 23 2016 BUILDING APPS)otbq H L(
{l*
APPLICANT'S l.lAfiE:
OEVELOPER:
ffi
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: R ESIDENTIAL
PLEASE ANSiNER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT
"Project Responsibility"
L
PHONE S:
rc" tqg?
APPLICATION
Nunber
(office use)
Ga. a ]^rc
CITY:
oall f-,|ri-1,
ztP ; i\E ?a3PRO]ECT ADDRESS:!r\i2
suBDrvIslotl; C;\et..l tr'\d+cLe-
El,lAIL ADDRESS: r"^',,Jvcr-l i (.7-\ 9-^-ln<-.nt.,1-
PROPERTY OWNER'S NAflE: il€te 'r-\)!r.^r,"; Cr*r\"-i?
oHNER'S ADDRESS:.Its\ \\A-r \t.crf,V< €z'(. 611y. t-i\1'.'
CONTRACTOR:
ADDRESS:
LICENSE #: !'/ ) ? >
BLOCK f; _ LOT $: _
PHotrE st 710'utJ'fla
PRO]ECT CO TACT PERSON:2.-,'c
CITY: \E)\)rNA!"e. )
ST:^K- zIP : "Ig?al
sr:tl=zrP: at?iv1
PHc,tE #i tl/o -q <J3" QlYi
PaoNe *: 7/r;- 143 -4/
SF POOL SF
! caeerrouse
-
sr I otcr
PROPERTY USE / OCCUP
DFSCRIPTIO OF WORK:
n'rcv , lZ(ficre rantrv
clo\X o.r, t.Ll-ly
5F
SF
Yes No
rI*[ *..<* \oC],.
5T0
SF OTHER:
RA6E SHED
R,rPr'.---l-sf-
TOTAL HEATED Sq rr: ..ltt TOTAL SQ FT UNDER ROOF | 3 3t2__ TOTAL AREA SQ FTt /8t)
TOTAL PROIECT C05T lLess Lorl : $q o,?# OF STORIE5: A
Is Any ELECTRICAL, PLt l'tBING on IIIECHAI|ICAL wonk Seing Done
I{ rhe project is a Relocation, is there a Natu}rl
Is the.e EIe(tnical Power on this Eui]ding? EfYes
to
Gas
_-,-the Ac(essory stru(ture? ZI-v"t f] r'ro
Line on the Current Site?
No
DUPLEX
0-oo,".
TOiINHoUSE
I\ ai
and o.din ances and .eoulslions The NH C Developmen I S€ ruices Ce. Lr wil b€ notfied changes i. ihe appmved plans and specillcalions orchange in conlBcb.o.
conlr&t. mbmalion'_NOTE: Any work viorarion o{ rhe Nc srae 8ld9 code and subjccr ro F,nes up'Io 5500 00'-
sIGNAruRE: (:An<e*, 8.ov"1e->Ol^JNER/CONTRACTOR:
rs rHE pRopERTy LoCATED rN A FLooDPLATN? n yEs NO elt^
EXISTING IIIPERVIOUS AREA I 3a.r 1 sq FT TOTAL ACRES DISTURBED:
E PARATE
,I
,** *** *,* *i( * **+r( t***** * **** ** * * **C).=
f;g
-tE
-8
=PI\'(rr.h,l-0a
NEN TFIPERVTO.,S AREA: _f31- SQ FT EXIST LAND DISTURBING PER IT: f] YES
wnren: [l craul I coMMUNrrY svsrru I PRrvArE I,.JELL ! celrnnl wrlr
sewen, fficreun E cenrnnr srprrc f] PRTvATE sEPrrc f] comuultrrv svsrrm
*{' s
PAYI4EST METHOD:
pERl,rlrs REQUTRt0 FOR Er.llCT) rfCll, PLBG, G/i5 [QU]F, PRtlAB5 E IN!liil! "'
aorn Ea*o* (payABLE ro nnay [*r.r.* ,ro*rr, [ "crursl f] o,scovu*
NO
* *** r* + *,1*,t ** * * ** *++*,t * !i *,i+*']}* * *)t * t * r( 't * '* * '****+'|*
(F0R 0tFlcE r.r5t 0N&lr ;]\rn
,,iUA,n
mrm
SETBACKS: F
ru4uiftffi:;;:,,,,,,,
,15']e'<l5'
7 "rzY. eFE+2ft=
-
OFFICER:€rrnZONE i
approval :----:0E- city :LO\ Lfl'l orrr L: rlooo:
Comnent:
\-%ulotonl)de r SdtS,tlhoc
,-&:RH
N
PERMIT FEE: $
ExrsrrNc coNsrRucnorur D ALTERATToN 3 nrrcvar]9 [ crmraal neearns ! RErocATroN
NEW CONSTRUCTTON, f] rneCr NEW RESTDENCE o" fflOOrrrOH TO EXT5TTNG RESTDENCE
*iPLEASE CHIC( ANO ANSHER S€ LOI,I ALL THAT APPLY TO YOUR PRO]ECT:
I arr canrcr
-
sF ft oer ennace ., (**., tq ?' sF
I sutnooi,l
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; COMMERCIAL
PLEASE ANSHER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
&otb-\sll
t(o'Pffi
APPLICATION
Number
(office Use)
DEVELOPER:
PROIECT ADDRESSz 2?a 6 N6.t\k..r e'tt CITY: t,) il 'nr^tD
OCCUPANT/BUSINESS NAME: Q..l B utl
PROPERTY OWNER'S NAME: Kerr DttJop,a.n+
OtdNER'S ADDRESS: A?ti A lo.'ein 5";t< loo CITY: LJ.l.n;^lo^
CONTRACToR: fi11.n+lc r okcre Ia.LICENSE *: Aq9 G3
ADDRESS: Q?r{ ft5L +oa Dr:r.-Jttt< toa CITY: (Ji(,-,;a lL..r
EMAIL ADDRESS: 9'5\(tllcr @ o o(. <o'-
PROIECT CONTACT PERSON: (D:l\;..,- B. F-:tlcz 5.-
AppLrcANr, s NAME: LrJ:t l; ^ -\ (5. €tllcr Jr.
e.f r Dc re-l o
zIP: arqo{
PHoNE #: 1lo-?cl'crt o
ST: rtL ZIpt agqtL
91;!c 71p1284t2
PHONE #:9/6- ?Ll- 63? o
PHONE #: ?b- a..X- eaz0
FAST rRAcK ! srer-r- fluerw ! aoo ro Exrsr srRUcruRE
Is Elect Power on this Building O Yes ffiO
) *tea* Lt- c
ING USE CLASSIFICATION:
COMMUNITY SYSTEM
oarE2S-r-tG
REVTSED OATE 1V11/12
LL L
(Check All that apply)
EXIST CONSTRUCTION:ALTERATION R ENOVATION GENERAL REPAIRS RELOCATION
lf Relocation, is there a Natural Gas Line on the Current Site?Yes No lS BLDG SPRINKLERED? Q v". ffio
NEW CONSTRUCTIOi/:ERECT NEI.I STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The sheU Penmit #: aotS-55fL
',*t*** rs THrs A CHANGE OF OCCUPANCY UsE? oyES pfrc *****
IF Yes, what was the Previous Occupancy Type? _
ARCH DESIGN PROFESSIONAL: 6,otLrcr, Hqtrit
What is the New Occupancy Type?
pltTto-'l1r- rq3, Nc REG #: Lra qo
ENGR DESIGN PROFESSIOTIAL: Dtt'.al 5;-t ..J Atto.;-t.t PH: ?ql. ?ot b NC REG *t C- I | ,o
DE5CRIPTIoN oF I^loRK: AJJ X (,?ft o€ .1(:,- u :r
ts food or beverages prepared or served in this struclure? Clves ffrto ts The Property Located h Ths Floodplain? Q ves ffruo
DISCLAIMER: I hereby certjly lhat all informalion in
and local taws and ordrnances ano reoulal,ons The
or chanoe rn contaclor or conlractor rilormalion. "'
Subtecllo Frnes Up To $500 00"-
lhis application is correcl and all work will comdy with the State Building Code and all other applicable State
NHC Develooment Seavrces Center wlll be nolif.ed of anv chanoes rn the aDoroved olans and soecrficatrons
NOTE: Any Work Performed W/O rhe Appropriate Permils wrll 6e rn Vrolatrdn of theNC Stare Bldg Code and
OWNER/CONTRACTOR. {r:tt:.-. B. Fu\tct St. SIGNATURE:(oualr.r) (Print N3m8)
contaln Asb€5ro6 or not. You ar€ rcqull€d to call th€ Nalidtsl Embsion Standar(s br HozErdoGs Air PollutanE (NESHAP) at (9'19)707-5350 al l€€sl 10 deF Fid to rh€
domolhon of any facillty or bulldlng. Ss Asb€sto€ Web SIte: httP:/rlflrvrv.epi.statg.nc.usJepl/asbeslo€J6hmp.html
TOTAL PROJECT COST: 4O, o oO
TOTAL AREA SO FT ll_o,o 1, t- SO FT PER FLR: /t ooo ,#OFSTORIES: I
TOTAL SO FT UNDER ROOF: I 7- o,r ., r" # OF STRUCTURES:# OF FLOORS:
ACRES DISTURBED o EXST I.AND DISTURBING PERMIT? [r]l YES ETNO
NEW IMPERVIOUS AREA: o SQ FT EXISTING IMPERVIoUS AltE\' 4 q, ? ' 5 SQ FT
pRopERryusE: [orrtce nnesrnuner.rr [ueRcemtle leouc Eopr ECONDO OTHER: 5-t (5
WATER:
SEWER:
E(CTPUA T-ICOMMUNITY SYSTEM TIWELL
flcreue f]cerurnlr- seenc n p-RtvArE sEPrtc
-'SEPARATE PERMITS REOUIRED FOR ELECT. MECH, PLBG, GAS EQUIP, PREFABS & INSERTS'
PAYMENT METHOD:OcAsH Q cHecx leavesLE To NHc) Qeuentcal ExPRESS ffucnrrse f,l otscoven
(FOR OFFICE USE ONLY)
ZONE:-OFFICER SETBACKS: F:-LH:- RH:- B:
BFE+2fr=
fra:l{
Approval:- City:- DATE:- FLOOO' ---;----; ----T
. :- '
PHoNE #: qb4cr- orgo
BU;LD1NG HETGHT: ?(, f + #OFUN|TS:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATTON IYP6: RESIDENTIAL
pLEA5E ANSiJER AtL QUISTIONS APPLICABLE lO YOUi PnOIECT
"Project ResponsLbtlitlP
RECEIVEDTIAREOMT
YNo PunNS ti
l,ott, - qkbV
APPLICATION
Number
(office use)
.3/30/L6
OEVETOPER:PHONE $:
PROIECT AIDRESS: 3s0s Violet Court CITY: Wi lmington
SUBDIVISIOI.I:BLoC( #: _ LOT #: _
PiOPERIY Od'IER'5 I,IAI4E:Chris & Allison stewart PHONE f:9La 962 2435
O$,IERrS AmRESS: 3s0s Violet Court CITY. wilmington sT: I!- ZIP: 2 8'10 e
COpTRACTOR: BaJ-ding Brothers, LLC LTcENSE #. 66865 ACCOLtrlT #: N/A
ADDRESS:PO Box 1947 clTY: Wi ]minqton sr;_IgzrP:28402
EruuL ADDR6SS: nick@Baldingbrothers . com Ptlof{E fi 9LO 25L 2721
PRO]ECT COITACT PERSON:Nick Balding pHor{E #: 9L0 -25L- 272L
NEr{ COr{sTruCTrO : I enrCr NELJ REsTDENCE or I aoorrror ro ExrsrrNc REsrDEticE
EX]sTING CO STRUCTION:ALIERATToN I nercvlrrou I orrurnar nrelrns I RELocATIoN
ARE YOU CONSTRUCTING:f] orr oauor
-
sF D orcx
-sr
I oerr poRCH
-
sF
tr
SCREENED PORCH
GR E ENHOUS E
5F
SF
Is Any ELECTRICAL, FlUllsING or IECI.IANICAL Hork Beio8 Done to the A<(essony stru(tune? [V.t f] Uo
If the project is a Relocation, is there a Naturat 6as Line on the Current sfte? E ves I no
Is there Electrical Power on this Building? Ey"r l--lllo
pRopERTY USE / OCCUPANCY: pSrrcle rar-[LV D OUelrX I To,,rNHoUsE
OESCRIPTIO OF l,|loRk: Kitchen Renovacion including new cabineEry, sink, countertops, e]ectrlcal
5F
sr I eool_ sr If] earro w/Roor
STORAGE SHED
OTHER:
and paint
al|d o{dm 3nc$ and re0ulal6rl5, ihe NHC Oevebpme0l Serv'ces Cenler wi9 be nol lied ol any cienOes in dE @pro!€d plan s and Secilaaliorrs o, riange h conlracbr ol
co{lracu lnbrmaUon.'_NOTE:
OtlNER/COTITRACTOR:Nick Balding
(Pr1nt trrc)
SI6NATURE:
*,1**:i*+*t*+*r*:t:f l.***:a* **** r**t ** * *t.*********t *** ***r.k)r***** **:****)t***,t**,1**** **** ***)t**
TOTAL PROIECT C0STrressrooi $ 26,'72a ao Is the Pnoperty Located in a FLooDPLATN? DYes D*o
ToTAt AREA sQ FT; 400 ToraL se FT urroER RooF' t,8oo
AnyWort PemrrEd WO l,1e Appro9,iaE Permib wir,be in vEElirn o{ihe NC Slal. Bldg C.de ald Subrecr i5 F 5500.00'-
EXISTING IIPERVIOI,S AREA;
-
5Q FT
t'lEt, IIiPERVIOUS AiEA: _sQ FT
NO. OF STORIES:
TOTAT ACRES DISTURBED:
,+A SEPARA E RtIIIS IiE ],R'D FO'{ EIECI, HLCH, PLB GA5 [QiJ-rP, PsEtA & II{SFRTS *"
IE(CARO
**, * * x* * *,i:k* )i. )it t* **+, * * *,* * *t *,i )i,l ** * *****,{.******$ )r$** ******* t ** ,f ;t * * + +;* !*+ + l* *x** **** **{.rt, )t
ZO,IE: _OF Ff CER:SETBACKS; F:_ LH:_ RH:- 8:-
ADDroval: citv: DATE: FL00D:--a
-
Coraent:,*;,ll ';'6=
ffi.H[T.{B
ztP | 2!!92
warrn: fl creua fl cour'iuNrry svsrr{ pRrvarE tlELr ! cerranl urrr
sEwER: UJ crcua l_l CENTRAL sEprrc Ll pRrvATE stprrc lJ mMI,luNrry sYsrEM
)ott,- W31
NEI'I HAII|OVER COUNW BUILDING PERI,IIT
aPPlIcatro ry"F; CottltERCIAL
ptEAsE AilSl'ER ALt QUESttOi's ApptI(ltLE y0 yot,i ?tolEct
"Prorect iGspon3lbluty{
APPLICANT, S MIIE:
DEVELOPER:PHO E f:
JPiO] ECT AOORESS:lfo
occr.rPAirT/BUsIXEsS MXE :
PiOPERTY Ol{ Ei'5 iAnE 3 P+Oi{E *3
o$tER', S AtDiESS:crw:
COiITRACTOB I GJ KLLl LICE]ISE *:
APP LICATTOI{
l{u bcr
(Offlcc tr.)
DATE:-
ZIP z 2f4o;d
ADORESS:?.0 &t{ t?,{L
ST: ZIP:
Ctt\t t'v.,1 Ar 6 tft nr U€ Be*{.lf St. _ Zr? t Zr {6c
PHOTE t: _PlfilE *.91a-Czt ?tjr/bzo 6ttq
riAIL AI'ONEsS
PNOJECT COIfiACT PIRSO :
t la a
Exrsr coiEnucno : I arnurror n *lJfiirf; EEiL* rrruns I rErccarror
lt Rctocdion, i6licrea NstutslGss Lin€ onlhe Currct Sile? l-lYes QNo lS BLDG SPQ;p11163eO2 [Vee [Wo
t{EH cot{sTnucTrcl{: I enecr ilE]l sTRucruRE I rrcr rmcr ! sxrr.r. ! UPFIT E ADD rO Exlsr snucnflE
ACCESSoRY STRUCruRE I
If UpFr.t - The shrll Pernit *:Is Elcct Por.r on thts Buildtng E yes E O.r... rs rHrs a ou GE oF occupAt{cy usrl ftws flro.....
tF yas, r,irt ras tht Prwious occuP.ncy Typa?
-
Ihet ls thc t{e Occup.ncy lype? _
AiCl{ DESIGI'I PnOrESSl0 At:
E'{GR D€5t61{ PtorEsslot{al:
DESCRIPTI0T'I 0F H0RK:
PH:
PH:
NC REG *:
0 (of
all dher appllcsble SbbplSrrs 8rd sDeclicalorl!NC Srst BIdo Code !d
OWNEFUCONTMCTOR:\<Ltr SIGNATURE:
(orfi.n lPriill. l
Nob: l|Gtnollt,l noolh.tbi!t asbiE triod gdtnlt appilrloia al! to !a ar.onrltbd rralr{ tL tpcfiattlon futn wtEt rtlr bd ty or r,aa touid to
.o aL Arbttoa oa ior' You an l.qulltd lo aalltr Nroo l Efibdon gandar6! lor ltallbut Ar Polldmr (l1g)707.5t50 n b.t! 10 d.yt p.lor to tr
d.m{tjon ol aiY tdlty or lull,lrg'S.c A.!.do. Vftb Si.
NEvr, IMPERVIOUS AREI,:-SO FT B(STING IMPERVIOUS l&,u
-
SO FT
pROpERTyusE: BFr|cE Enesmuunr fluenmnnr-e Eleouc El err Boxoo orxe*
ncouxtNtTYslsIElt EWEI ElzoNlNGtsEqlsslFEAno[-
ElcemnAserrrc flriFvercserrn Ecotlt uNrYsttEll
EPARA'IE PEFi{rTS FEOUIFED FOf ELECT, MECH, PtrG GAS EOUIP. PREFABS t I}''SEXIS *
PAYUEMT ltErHoD: lcasx flctreo( PAYABIE To Ntlc) fluenrcrx aeREss EMc rlsA I osmrnn
TOTAL PROJECT COST:lo.co
TOTAL AREA SO FT :
-
TOTAL SO FT UNDER ROOF:
-
ACRES DISTURBED:
-
inp:n*x .ad$a.nc.E/bglb0anoattr,tpJtil
BUII.DIT{G HEIGHT:
SQ FT PER FLR:
# OF STRUCTURES:
f 0F uNns:
OF STORIES:
f 0r TIOORS:
-
WATEB\bCFPUA
sEwER: SCFPUA
(FOROFFTCE t SEONLY) idEEDD lE(ltmffi, i:=adffifk^\L-#';m-
Exsr LAND DISTURBING mymflygs [J t.
Commenl
PERMIT FEE: i
iln-bL.^25'>octw:
ca llcRET{
b tbod or brv.rlros FtD.od or 3.nad ln ttd: annlre? pYes E Ho f fm propotty Loqod h Thc Foodphh?Eyes ElNo
C I +5
tu
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATIoII TyPE.. RESIDETTITIAL
PLEASE AiISWER ALL OUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResponsibilitF
APPLICANT,S N/qIi,tE: salt Rock Builders LLc
DEVELOPER:
PROIECT ADDRESS. 5707 wisteria Lane CITy, wilnington
SUBDIVISIOiT: camellia Heiqhts BLOCK #:
pROpERTy OI{NER,S NAIT4E: RBJ Associates LLc
CI|INER,S ADDRESS. 2409 Middle sound Loop Road CITY. wilmington
CONTRACTOR: Salt Rock Bullders LLc LICENSE *: 605 08
ADDRESS: 2409 l.{iddle Sound Loop Road CITy. wilmington
EfilAIL ADDRESS: -
j spiveyl € bellsouth. net
PROIECT Co{TACT PERS0!. Jimmie spivey
Aot
DATE :
Number
(of+ice Use)f/otu
pHOilE S:910-367-6123
ZIp.28403
pHOt{E f: 910-367-6123
PHoI{E #: 910-36?-6123
plo E S: 910-367-6I23
Exrsrrirc coNsTRUcTIoN: l-l arrenarrou l--l neuoverrot l-l cEurRar neparnS RE LOCATION
NEl./ CONSTRUCTION:ERECT NEW RESIDENCE oT ADDITION TO EXISTING RESIDENCE
''*PLEASE CHECK AND ANSWER BELo(, ALL THAT APPLY TO YOUR PROIECT:
ATT GARAGE 400 SF I oer eanaee
-
t, E PORCH 308 5F
suNRooM _sF
GREENHOUSE 5F
SF STORAGE SHED
-
SF
SF
TOTAL HEATED SQ FT: ra?o TOTAL SQ FT UNDER ROOF: 708 TOTAL AREA SQ FT: zrze
TOTAL PROIECT COST lress rorl : $ 12s,000 S OF STORIESs one
Is Any ELECTRICAL, PLUl,lBIl{G or iTECHANICAL work Being Done to the Accesso.y Structure? ff V"t Ql lo
If the project is a Relocation, is there a Natural Gas Line on the Current Site? Q ves Q Ho
Is there Etectrical Power on this Building? Qv"r F]l rtro
PROPERTY UsE / OCCUPANCY:sTNGLE FAMTLv ! ouer-rx ! rourHousr
DESCRIPTIOiI OF WORK: Construct.ion of single family horne
and ordinances and regulalons- The NHC Oe\elopmenl SeNices Cenerwillbe noffied ofany changes in he appror€d ancl specificalions or
coniracbr infrrmaton. "'NOTE: Any Work Performed w/O he ApprcpriaE Permilswill be in Violation of the NC State e and Subjecl iD F $500.ocr"
OIINER/CONTRACTOR: salt Rock Builders LLc
SF OTHE R:
SIGNATURE:
(P.int N.me)***r(*i<*+*,*ii,r.,tilx****)*********)i*+x**t,i*++**++*++++*****,*,t***,***,t*** ,1 *:i * + * * * )ir x * * * *** * ** * * *
rs rHE pRopERTy LoCATED rN A FLooDpLArHr Q ves @ ,o
EXISTING IMPERVIOT's AREA: 1A'OOO SQ FT TOTAL ACRES OISTURBED:
NEW IIipERVIOUS AREA: 11,822 SQ FT EXI5T LAND DISTURBING PERMIT: [fJI VCS @I IO
CF PUA COMMUNIW SYSTEM PRIVATE t^JE LL $b5{creua f] cENTRAL sEprrc I enrvare seerrc I
CENTRAL WELL
COMI,IUNITY SYSTEM
d!WATER:
SEl,liER:
*** SEPARATE PERJ.IITS REQUIRE
PAYitErrII HETH@i 0 CaSX o CH.CX (
)i:*** ***,1)t** t***:l,t:F* t*d. )t )t * * :i:i( :i + ,* *
O FOR ELECT, I4ECH, PLBG, CAS EqJIP, PREFABS & ITISE
payABLE ro rxcl Q arenrcm exenrss O r.rclrtso Q orscoven
* d. *,1)* :t :l :t +:i )* + * *,*,*
(FOR OFFr(E UsE Or{
SETBACKS: F
,* + + + + )*,* )t * + + + * )* * * * + + * :+ :l rt :t * + * * * t + + :t r* :t * x. * )* *
Ly) mrnt,\,'m Pic5ttl n" d REvrsFD DArE o4lr1l12
,3L',' r-H,-l-U- nH:io' e'.r5'-ZONE OFFICER:€vd)
ADDroval:Ola c'tv'l,O\LtY\oare,f i gllo rr-ooo,Zf'w x BFE+2ft=
f\.\u.s4 .or-ptA Ol sr{-{:aof t V'or9$t r^.l\a*{ror^4try lnspeenon Requrieo, 9i 0-2540i
LOT S: 6
sr: Ie zrP:2jjl1
sr: 19 zrP: 28411
! eooL
! oecr
R-\b
aolG 3
/<,o\
#
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE.. (q{MERCTAL
PLEASE AI,ISTIER ALI QUESTIONS APPLICABLE TO YOUR PRO]ECT
'Project Responsibility''
APPLICATION
Nunber
(Office Use)
APPLICANTJS IIA'4E:Susart Sullivar Eqa]l Realtv Services-Ageot fo! vexizoa wireless DAIEi 4/ 29 /2016
OEVELOPER: .Verj.zo! wj.reless
PROIECT ADDRESS: 1011 porr CITY: wilminqtsorl
OCCUPANT/BUSTNE55 iIAfiE :
pROPERTY OhJiIERJS AfiE: Ccrnel-ia Nixon Davis Inc
OHtilER'S ADDRESS: io11 Poriers Neck Road CfW: wj-lminqtoL
CoNTRACToR: T0l Trtalqle lnc.LICENSE #: 25891
CITY:Raleioh
EMAIL ADDRESS:
PROIECT CONTACT pERSON: susan sullivan susans@esanrs. com
ZIP : zae=
PHONE *:
ST; Nc ZIP;284r1
ST: NO ZIP: 27617
PHONE #: o1o-7er-
(Check All Th.t Apply)
EXIST CONSTRUCTTON: m ALTERATIOT
lf Relocdlon, is there a Natural Gas Line on ihe
RENOVATION GENERAL REPAIRS RELOCATION
Currenl Site?n il No IS BLDG SPRINKLERED?I ves r No
NEt., coNsrRuclror{r I rnecr NEi{ sTRucTURE I rnsr rnlcx f] srrrr I uerrr I loo ro Exrsr sTRUcTuRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Penmit *:Is Elect Power on this Building E Yes E *O
ARCH DESIGN PROFESSIOTIAI:
ENGR OES]GN PROFESSIONAL:
PH:irc REG +:
NC RE6 #:PHI
DESCRIPTfON OF WOR(: verizon sireless !o replace andlor add antennas to existinq celL site
ts food or bevelagqs preparod or served in this *uaure? [Yes fl No h The Poperty Located ln Ths Floodplatnz Ives El ruo
State
TOTAL PROJECT COST: l:.39!__ BUILDING HEIGHT
Nde: Dsnollto.r rotiicatqE E aBffi rernoval Fmit apdlcauo.ls ar6 b be sE t€d raing th6 apdcatlon torm (DHHS.3769 wtte$€r $c l€dlny t[ bl]r&ro $E3 rDlrld ro
corrdn Asboslos or rEt- Yo, are r€qded ro c6ll tne Natjd!€l ElnEslon S:tend6rds br Halardols Air Fdlutants (NESHAE 3l (919)?07-5050 ?r l*d l0 daF Flor b he
domo{tcn o, 6nytr[,ty d hltffig Aoe A3be$6 trybb S!6i inetr]\fsr'". eo! sla:e. r..!near:-'as.i"slor.hni.ni,n I
IOTAL AREA SO FT :SO FT PER FLR
IOTAL SQ FT UNDER ROOF:
-
# OF STRUCTURES:
ACRES DISTURBED:EXST LANDPTSTURBING PERMM Ef YES N NO
NEWlMPERVloUsAREA-SoFTExlsTlNGlMPERVloUSAREA-sQFT
pRopERry usE: EoFFrcE flnesuuuur f]ruencmrtr-e neouc E apr f]coHoo orHER-
ECoMMUNTTYSYSTEM flwELL
ECENTRAL SEPNC LIPRIVATE SEPTIC
# OF STORIES
# OF FLOORS:
flzoNrNG usE CLASSIFTCATION:
fl coirMUNrTY SYSTEM
WATER: EICFPUA
SEWER: ECFPUA
PAYMENT METHOD flcesN I cHecK 6AvABLE To NHc) EAMERICAN ExPREss E McMsA Iolscown
BFE+2fi=
ZONE:OFFICER:
{FOR OFFTCE USE Ot&Y)
SETBACKS: F:-LH:- RH: B:
Approval: City:-DATE:- FLOOD:
--
AVN
Comment PERMIT FEE:
REvlSEo OATE tllll/12
PIONE #: 704-510-8d10
AITDRESS: 6017 TriAndta D'
PHONE *: 5?o-266-589:l
{'**{i* Is THIS A CHANGE oF occuPAl{cY usE? EIYES Elrc '.{.-,'.-fF Yes, uhat sas the Previous occupancy Type? _ hlhat is the er Occupancy Type? _
# OF UNITS: