JULY 21 2016 BUILDING APPSL6-L7 34
APPLICATION
l{umber
(OFflce Use)
APPLICANT'S *tr DATE: 06,/0?,/ 16DEVELOpER: PHONE f: 910-791_1196
PROIECT ADDRESS: 2?50 vance srreet Cffy, wil.inoton ZI1:2A412
?ott"-1o3?
Ptot'lE *: -z.qt&-.3.€.9,2_
ST: NC ZIP:.zlllL
ST: Nc ZfP: 2840 6
s: LLLf-9.1:ll9!-
*: -91!:!!!:!l3l-
rs Elect Pouer on this Bulldlng EI Yes E ruo
*'r** rs THrs A cHAI{6E oF occuPAt{cy usrr Bves [r€ **.**
IF Yes, uhat was the PFevious Occupancy Tlpe? Business tlhat is the t{eu Occupancy Type? A-3
ARO{ DESIGN PROFESSIO{AL: cothran Harris Architecture PH: 910-793-3433 ilc RE6 S: 4290
ENGR DESIG PROFESSIOTI'IL: PH: NC REG *:
DESCRIPTIoN OF WOR(: Rennovation includioo nechanical, Dlumbino, efectric and fire Drotection
ls food or beve.ages prepared o. serv€d ln tlts *ruaureZ I Ve" fl No ls Th. Property Located ln The FlooOflanZ f] Ves [l ruo
DISCLAIMEFI: I hereby certfy lhal all lrformatm ln thls appllcadon is conet and allwork will comply with lhe State Bulldlng Code and etl othEruppllcable State
and local laws a^d ordlnanc€s and r€ouladons. The NHC DoveloDment Servlcas Conler wll b6 notlfed of srw chenoos ln lll€ rooroved olans and sDeciflcallons
or change in cootraclor or conlraclor informallon. "'NOTE: Arry Woi( Psdormed w/O tha Approprlars Permlh u/ill b]s in Vldaton ot the NC Shle Bld€ Code andSubjecllo Fin€s Up To $500.00*
owNER/coMRAcron:@ srcNAruREt Hlt? U24,,?r4-tH-
cd rln AEHor or rlot Yo{ ErE l6qdtEd lo c![ rhs Nldqul Emllslon g8ndrdE lor Hazrdous Ar fulr,irrrE OESiMP) si (Sl0)rc7.5050 .t lc65r 10 dar! Ftor to tlc
ddnotrilon of lrry rEdlly or hrlldlng. 666 Ab€aloc V,/6b Silr: l 9rlsw.6C.stris.nc.ud$U6bG.todshF.ttnt
TOTAL PROJECT COST: $30, 000 BU|LD|NG HEtcHT: l!__ # OF UNITS: N/A
TOTAL AREA SO FT: _1!32_ SQFTPERFLR:4133 # OF STORIES:;_
TOTALSQFTUNDERROOF: 4?33 # OF STRUCTURES: I # OF FLOORS:.!_
ACRES DISTURBED: o
NEW IMPERVIOUS AREA N/A
ExsT LAND olsruReNc penr,,rttt f-l vss [l ro
SQ FT EXISTING IMPERVIOUS AREA N/A SO FT
pRopERry usE: noFFtcE lnesraunmrr luencerurLe [eouc I aer lcoruoo oTHERgsg!]J_ res-
".SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLAG. GAS EOUIP, PREFABS S INSERTS ''
PAYMENT MEfioD: flcesx f]cxecx leevealE To NHc) fieuenrcan exeness fr lamltsa E orscoven
WATER: EGFPUA n COMMUNITY SYSTEM T-IWELL IIZONING USE GLASSIFICATION:
sEwER: EicFpua frcerurml srnrtc fle-nvare seerrc 5-coruuuNtrysysrEM
(FOR OFFICE USE ONLY)
ZONE:OFFICER:SETBACKS: F:_LH:RH:_ B:Approval:_ Clty:_ DATE: FLOOD:
Commentl
BFE+2fl=
NEW HANOVER COUNTY BUILDING PERI,{IT
APPLICATIoN rrPE j CoITITIERCIAL
PLEASE AllSl.rER ALL QUESIIONS APPLICABLE TO youR pRolEcr
"project Responsibilit)/,
l{A}lE i Ei.st Eruit Miqistries
2750 vance Street CITY:WiLrninqton
OCCUPANT/BUSINESS M EI
PROPERW OUINER'S
OWNER'S ADDRESS:
COI{TRACTOR: sancq Buitders Corp
ADDRESS: po Box 3167
EIIAI L ADDRESS: terrv8s ancohomeq . com
LICE SE f: 34520
CITY: wilminoron
PROIECT CONTACT PERSOI,I: AelAr Kennon
PHOI{E
PIONE
Exrsr coNsrRucrroN: E ALrERArron g *.*liIi'll'*''E^1111*'- a:prrRs fl REL(rArroN
tf Rolocaiion, is there a Natural cas Line on the Einent Site? [ vF[ r.ro ts gt-DG spRtN-rLEReoz I ves I r.ro
NEr{ coNsrRucrroN: f} erecr NE}, srRucrunE I rasr rnecx ! sxer-r- [ unrrr ! mo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit *:
REV|SED DATE #1 1/12
N
PERMIT FEE: $_
APPLICANT'S
I NEI^J HAN0VER coUNTY BUILDING PERMIT
dU applrcArroil rpF: SIGNS / BILLBoARDS
Ugi pLE^sE pRr{T cL€ARLy & Alrsr.,ER ALL ouEsrroNs
RECE'YED JUL 0120fi 24tt! - aot?
ie-lqvs-
APPL ICATIOT.I
ltumber
iu+r". u".1
'i"ii.i"i,'-'=, lqttf5. I bt SX.pf - _,_-- ci.,,fltt5urq1.rfr'
oCCUPANT/EUSINESS NAIIE: J 2Mo)
APPLICAI{T'5 NAI4E:
DEVELOPER:
CONTRACTOR:
ADDRESS:
PRO]ECT CONTACT PERSON;
ZIP i
pRopERry owruen,s nar,r_rt f$ffi1
or,lNER's ADDRESS: 14[6 S itr:s#o" +#iffiX,n..Th'n "o*'
iy!r, rgb^ .:IT^'f ,.1:?#b- Sp- Fs
qtu?3,.-441?-
r[rJgzrr,lxltC I
crw:[\tn4fgfui
pHorE
rr'NLrro?-&4lLo,ql}-31u4t4
o,Qto-3sZ-4fUbEl+D PHoNE
(CHECK ALL THAT APPLY)
llren I
DESCRIPTION OF HORK:
llltL'r rrl Stgi
rs srcN(s) oN 0R oFF $ oH f'l orr
DISCLAIMER: lbsrobr cdly lhal a[ hrormalim in lhb €rplicalion l! co(recl rnd.ltwork w toornrty wth t|e Stato Buitdn!
6nd ordlnenc.! lrd..rul.rioB. TtE NHC D.v.l.pmdr 6.ivlc Cdr.rwtt ho nodfi.d ot.ny ch.n€€. In th..ppr@.d
conkacror lnlomation. "'NOTE: Any work P6tmlE will b. ln Violltion ol lh! NC Stare
ot,NER/CONTRACTOR:SIGNATURE:
*** 'i,t 'l * * **. *,i* r( * + * *,i* r * * * t,l * * a t*,i * 't,t* *,i* *:r ** t+* * i + *'r, r r,r, +* t t,r/+**,r * +** * + * *,* *,r. * * rr, **[,* ], *
TYpE OF SrGN (s )
fj+nrrstoorle loounal E r,ranquer l-l cno:rcrror L lrmr A41ilsnrrere Y" ..,.,1lrr:r , :io*r^
#:i.Total Number of signs on this rroJect: 4 S5f',
f/5sr6N l Helght: 1' sign Dlnenslons: 4' * at-- Totat se.FT. "+ sirn, [?K4
1-,,/l.itlsrcr: I"lul:' stsn Dtmenslons . 4L_ x 12,3', rot"t sq.FT. ,r tti", -41 (
SI6N 3 Height: Sign Dimensions: X Total SQ.FT. of Sign:
5I6N 4 Height: -_-_ Sign Dlmensions I ._-- - X __ Total SQ. FT. of Stgn:
rorAl pRolEcr cosr: $q+)uDJ;) rs rHE pRopERTy LocArED rN n rLooorurt? fi ves E ,lo
*+i SEPARATE PERI'IITS REQUIRED FOR ELECT, I,IECH, PLB6, 6A5 EqJIPJ PREFABS & II{SERTS '**
paYr,rEr'rr rETHd)r lll casn fiJalecr leavmlr ro nrc; ll_l arenrcar exrnrss fl rc/vrsl fl orscoven
***r**!****t** * *'r* *****il* l* *il*+*,t**+* ** *-* *,t * r,:*'!'i**F'r**r*,rai*.* a+* r**** +, ***** +r*r*r**+r*
zoNE,orr-t.oFFrcER: t+n, l'#,"j:ltf':l'df',.ifr1;'1,1'il1m" ""''
approvar: Df- cttyd.$rLt1\ oare,tr Fc,llu FLooD: --
-
&*x_ irr]2r.=
co.."nt,ffi0lrd nnll 5r4tn-ruI h rXgd a07, 8l {r, ul,li 4.ir' FEE: g-_
O lrlal \nLxtnld,;r atf:c'*xd.Si..rn 0.ruo0 8. .:SO1
kttslandL"n4 S,ry (tll-rr ncl Jo nxciid "3f n r lc} oml-rrl,rhr,re
, (orv'\
City lnpeclion Requrreo, 9l&254-gr33
'o1-
?ttt b-7osB
L6-L572
APPTI{ATIOfi
ilumber
(Offlce use)
DATE: 5-?s-16
ZfP: ze*o:
"
PIGI{E
PTCINE #:
ITEhd HAIiIOVER COUfiTY BUILDING PERIIIIIT
&ppt_Ic$Trs't rypE; CO!{IIIERCXAL
prEeSE Ar{sliEft ALL qUEsTIOil5 AppLrcAELE IO yorjft pRolEcT
',project Rerponsibilitts,
APPLXCAT{T'S ilAilE: iasper Ne'*man
DEVELOPER:
PROIECT ffiOEESS: 1114 R+ndqll parkroay surre +CITY: r,rilminsron
0{CUPtr{T/BUSIirIESS lUllrlE : oasis ssLooi
PROPERTY frd{ER}S
OhtrTER'S ATFRESS:
lrlAllE: xorman Bra-Llgf ord
CITY: witminqr,on
f,: ?6t-5111
ST: Nc ZIP: 28493
ST;lS* ZIP: zB{03,,
*: szo-arze
f: 520-8129
3205 RandalL Pkwv
CONTRACTOR I 5e'*r;a: B:cs
ADO*ESS: :.02 old easr,wood Rd Unir Ba
EilAfL AD$RESS : j nervmanai nemanlros . -qqm
LICEIEE S: ?tela
CITY: I,;i"lminqron
PROIECT COi{TACT PERSOil: Jasper *ewman
PI,IONE
PIrcNE
(Check tll That Apply)
EXr$T COTiTSTRUC?IOX: E ALTERA?r€H{ [ ner$VarrOx f]_CeXenA-
tf Falodon. is rhere a Natural Gas Line on the Current Srtee il Yes fi xo
REPATRS f] nelOCrr:Ou
ls BLrc SPRINKLERED? f] ves fflno
r{Er{ cosrsrtucrrot{: f} rn;cr NEkr srnucruRE f}FAsr rRAc( [ sxrlr- f] unrrr f] m ro Exrsr srRrrcruRr
SCCE5SCIfiY STfiUCTUEE:
If UPFIT - The 5hel1 PErmit #:
IF Yes, uiat
ARCH DESIGSI
*ii*t rs THrs A cltAt{GE oF oCCUpAgCy USE? flyE5 f]rp rr***
uasthePrev1ou30ccupancyTypel-tfiatisthel{eu0c€up3ncyTyp€}
Pf,OFESSIOIIAL;.poogrieir Arehir.ecLure PH:3{3-1065 f'lc fiEG
STRUCTURE$:
# OF $TORIES:
#OF FLOOR$:
rs Elect Pouer on this Buitding f,l ves fJ uO
h food r bcvragec prepryBd or e6n ad h tris sucilrer flves fJ ruo b The Proprty Located ln The Flmdilain? fi ves ff no
DlSClllllER: I hereby certify that all rnforrnation in this apdicat,on is con€(x and all work,.yill comdy wilh the Stale Butlrling Code 8nd all otfier applicable Stfite
and lacsl l€ws and ordinances and reoulations. Th€ Nl'lC DeveloofiEnt Services C€nter will be notified of any cfianoes in tre aooroved dans and sDecificatims
S"#iffi Hfg1iffH SffiSr.gor
iifornralion "'NorE. Any work Performed wno the Aepropriate eermns wFrlYdasor c{ tteHlate Blds code ar}d
ENGft O€516I PROFESSIOIIAL :HC REG
*: 7434
*:
DESCRIPTIOI{ OF LIORK: r.wo new openinss in exiscinq wal1 io expand lnto exislins unil, no ocher wcrk
OWNEH/CONTRACTOR: "'..per l.reu.*a..SIGNATURE:
{et.[{rr} {Prklfirn.}
r*d6: B€fidlEon nd*cstofie & €sbe6io6 rmwal pffinti appllcdon8 tr6 b be EUOmlt d uafu fI6 appffcadoo ,unr
efltgln fubod6 fr n€il. you as,rasdrFd to dl Slc l{ational Emie$lm Stindards h l{a:ar}ous .tr Pdlut6nls {HESHAP) EB (S19}707-5S0 st l€6st 10 dayi frld io th€
d€mofition ol an,? ,aGlily or building. S€e Asbesros Web Site: r . .
#
TOTAL PROJECT COST: ,3r o.?o
TOTALAREASA FT:
-
TOTAL SO FT UNDER ROOF:
ACRES DISTURBED:
#OF UNTTS:
NEW IMPERVIOU$ AREA:SQ FT IXISTING IMPERVIOUSAREA $CI FT
pnopERTyuse: fJorrEE ffREsrAunnr,n f]uencar.rnue fiJeouc f]err f]coNm orHER.
EXST ljND D|STURBTNG pERMr?ilVeS [lNo
WATEFL mCFPUA fICOMMUNTTYSYSTEM IWELL nZONTNGUSECT-ASiSTFTCATON;
$EWER: mCFPUA flCenrnru-SEmc LIPRTVATESEPT|C IfCOMMUH|TYSySTEM
FAvirErrrrMErfrotr: flcnsn f]cneo<(pAyA8r-ET0NHc) flnuenrcnND(PRE$$ flucnns* Dplscaven
{FOR OFF}CE USEOilLn REYISED DATE {,/11I12
ZONE:-OFFICER:SETBACKS: F:_LH:_ RH:_ B:_
Appro,val:_ City:-DATE- FLO@:- BFE+2i=
AVN
Commsnt PHRMIT FEE; $
ffi
,Nyffi
APPLICANT'S NAT'IE:
DEVELOPER:
NEW HANOVER COUNTY BUTLDING PERMIT
APPLICAIION TyPE: RESIDENTIAL
PLtASt At{Sr./ER ALt QUESTIO S ApptICABtt TO yot R pRolEcT
"project Responsibility',
?o16-?onq
iVW
APPTICATION
Number
(office Use)
PRO]ECT ADDRESS:
SUBDIVISION:
CONTRACTOR I
ADDRESS i
PROPERTY OWNER' S
OI{NE R, S ADDRESS:
LICENS E
CITY i
TOTAL AREA SQ FT:
2
structu.e? [ ver ffi rrro
current site? [ves [l no
ZONE :
-
OFFICER:
Appnoval ;_ City:
Comment:
)**,i* rt,t** * ****,** ** )r *
5Q FT TOTAL ACRES DISTURBED:
5Q FT EXIST LAND DISTURBIiIG penurrr l-l vrs l--i Ho
B F E+2ft=
N
PERMIT FEE: $
srtL!L-znt&k,*'98:231:466S
NE}.' CONSTRUCTION:
1'PLEASE CHECX AI{D
I arr camcr
PHONE
pRorEcr coNrAcr prnsoru, J-r,<-/ 6zD pHoNE f: ?/o-a9-#83
EXrSTriG CO STRUCTTON: f] rrrraarrot [t n$ovarrol Ieerrul neearRs I RELOCATTON
E rnecr NEt"t REsTDENCE o" I aoorrton ro ExrsrrNc REsTDENcE
ANs!{ER EELON AI,L THAT APPLY TO YOUR PRO]ECT:
SF fl oer ennace sr f] concr _ sFI mor-
-
sr ! sronree srro SF
5F orHER: /8-O sF
TOTAL SQ FT UNDER ROOF:
! surnoor.r
-
sF
I enrrrHousr _ sF I orcx
TOTAL HEATED SQ FT:
# OF sTORIES:
Is Any ELECTRICAL, PLUIIBING or lttCHrflICAL Hork Belng Done to the Ac(esso.y
If the project is a Relocation, is there a Natural Gas Line on the
rs there Electrical power on this Building? lFl ves l*l uo
PROPERTY USE / OCCUPANCY;SINGLE FAI'4ILY DUP LEX TOWNHOU5E
OF WOR(:
,r*)r* *****,i*** ++****r** **** *(Ii'Jl,lt1"J, * * *** ****,ir r * * )r:r +:r** ii
rs rHE pRopERTy LocArED rN a rloooeurrl I ves l--l no
w^rER: WFpuA E comr,tuNrry sysrEM E pRrvATE r^JELL ! crrurnar wrli
sEwERt Z cFpuA I crurur srerrc f] pRrvATE sEprrc I communrrv svsrrm
,'I SEPAJIATE P€RMITS REQUIRTD FOR ELECT, I.1ECH, PLBG, GAS EQUIP, PREFABS 8INsTR'lS.1,
pay}lENr r'rETHoD: !.os, I cr..t( (pAyaBLE ,o ,r.y [ *r^r.o,, .*..., tr ,.rrii^ [orscovrn
(FoR OFfTCE USE d{rY)
SETBACKS: F: LH: RH: B:
REVISE0 DATE 04l11/ 1?
TOTAL PROIECT COST rr.ess Lort : $ H, C.tXt,<rC,
EXISTING IIIPERVIOUS AREA:
NEI,J IiIPERVIoUS AREA:
DATE:F LOOD:
DATE :
PHONE S:
pnmt e*L'fl3;L @_ sr: ,lzzrP ta*1c?
lotb- 7o9/
NEhr HAN,,ER couNry BUTLDTNG ,r*rrle? u" lkqg
APPLICAII I rYPE.. SIGI{S / BrLLBOARDS
PLTASE
-PRINT CLEARLY & AI{5I{ER ALL QUESTIOI{S"Project Responsibility-
APPLICATIOI{
I{umber
tEI"r*l-
APPLICANT'S AfiE:
OEVELOPER:
PROJECT ADDRESS:
OCCUPAIIT/BU5II{ESS NAJiJE:
O}[{ER'S. ADDRESS:
ADDRESS: 56
EIIIAIL ADDRESS:
PRO]ECT CONTACT PERSON:
oarc, bP+ltt,
ztP:
ffi::ll]^:H::.s t{anE: TES l+otd,^t ( LL( pK) E s:crw: l^ lll"t-, -laa st:AlLztP: ?q d:.d7
LICE SE *:
l'l . .':) l^:-lFtr= sr vtN.*: #42\ Pl{o E *z nto.H|-i2dl
(FOR OFFTCE U5€ ot{LY)
SETBACKS: F:
REVISED DAIE 3/]O/T2LH: RH: B:
BF E+2ft=
Ct."s-,k- LJttsc,--.-.--.-_Ptro E *: qn-?67.61?L
(CHECK ALL THAT APPLY)ffintcr l-.1 nlrrn ! arnarn ! eur-anir I cnarce our
DESCRIPTIOT{ OF l{)Rf : p-r<_c_ I tt\ .l:,--" - r--_ -t - -^1_-_ .- -,)
trtl
rs srcr(s) oN oR oFF pRErrrrsEs? (* D o+
::::fs: ::jY::P^-"xt "l']gi:lT ,1 ,1," apprijarion is coned a'd all work wi[ comdy wiur rhe srae Euirdins code and a orher appricaue srare and rocar raws
::::j:::l"fflL:*i*:1";.i:.i,l11Tl1T5i:,::N.icescen*.'I,irrbenouri"d;il"#;il;;;;;;;;;;;#;:iffiffi:'"i5ffi"'f:';HT:lco.tactor intdma$on. ",NOTE: Any Wo.k perbrmed *,O rhe Appropiat. perm* *ilt ;l;iioiil; ;; ,r;!;;il;
or{rrrER/co rRAcron, C_\<rL \-^)r\s.-.^_ srcirAruRE:
(P.int tiar€)
* *:f:i:a l. *:t:t * *,t t,a * *:*,* * *,*:* + ** *+ ** * +,1*,**a+,* )*:. *,1,t,*:* *,t * *:* *,.* r** + *:*:* a rt,t,i:a +,t,a *:t +*, *:t,t+,* )r +:t.t,*,t:f,t,. *
wPE OF SrG[(s)
ffie sranorlc (Ground )LI SHINGL E
MARQIJE E
hALL
signs on
PRO]ECTION
ctitoPY
Project:
n noor
E orxrn
Total Number of this
srGN 1 tleight: 5 ('( sign Dimensions, 72" x 56 q
Tota1 sQ.FT. of sign: l?-d
SIGN 2 Height: Sign Dimensions: X_ Total SQ.FT. of Sign:
srGN 3 Height: sign Dimensions,
-
x _ Totar SQ.FT. of sign:SIGN 4 Height: Sign Dimensions: _ X_ Total SQ.FT. of Sign:
TOTAL PROIECT COST: $ 55oo ' oo rs rHE pRopERTy LocATED rN A FrooopLArlt I ves KIruo
*{. SEPARATE PERI'IITS REQUIREO FOR ELECT, EO{, PLBG, GAS EelJIp, PREFABS & I{SERTS ,r**
PAYI,IENT IETHCD:
It*****+.*'lt )a,t****r.*+*****,t**+**)t:t***++:t,*,t:i,t*,t****,*)*)*+*:l,t,i:t ):,t,***)*+**)a****** jt+***)i:i:*:i)*At***
I casx I criecr (payaBLE ro r{rc) [ lrrearcar exenrss E nclvrsa I orscovrn
ZONE:
Approval:
Comment:
OFFICER:
_ City:_ DATE: FLOOD:
oJ*nr, ,.r' $ k)0. dD
CONTRACTOR:
APPLICATION TYPE: SIG]IIS ,/ BILLBOARDS
PLEASE PRIIIT CLEARLY & ANS}JER ALL QUESTIOT,E
'Project Responsibility"
APPLICANT'S
DEVELOPER:
PRO]ECT ADDRESS:
OCCUPANT/BUSINESS
PROPERTY O[{NER'S
OttlNER'S ADDRESS:
ao,Y^rta- ?-<-r.r-'-'.
CIw: ( .f, N L,!.^ *1 ll3. zIP:
NAIttE:
NAitE :
CITY:
(--^^LICE SE *:
ADDRES5: <("t+ n Carof i,-*- 6a"-ct ful I crw: Llt\e-.- -^., {-.-,.-. sT'/./LztP:. -<-f 4l?
EIiiAIL ADORESS:PtorE *: qlo-7qU-kZQ3
Ptpt{E s: ?tc:'367 -A1l(,
(CHECK ALL THAT APPLY)
ALTER E REPAIR E ENLARGE E CHANGE OUT
PRO]ECT CONTACT
DESCRIPTION OF }.IORK:
SIGN 2 Height:
SIGN 3 Height:
SIGN 4 Height:
,ffne rsraHorlc (Ground )-E sHruer-r
I,TARQUE E
l.lALL
E noorI orxrn
Approval:
coflment:
t{
PERI.tIT
74tb- 1D97
APPLICATIOI{
Numb€r
(offi.. U*)
D^r* 6lL7ll6
Pro E *: ato-]9Q'EZQJ
PIONE *:
X bot't Ranct- D c ?4tb- -/D?7
NEW HANovER couNry BUTLDTNG pERmrr Pgttb-1811
{r*r.
IS SICN(S) ON OR OFF PRE}IISES?
and ordinances and regulations. The NHC Developdent SeNices Cenierwill be noiified ofany changes in lhe approved plans and specifications orchange in contaclor or
o{NER/cor{TRAcToR: /?\.}s-L L-J$s..,'-'-' 5rG[ATURE:
(Prrnt [a,le)
)t l.t rt +:* r.,* ** + ** X. * *,i +,t + +* r. r. t )*,* + +,1++,* * * )t,t * +rt *,*,1.,t * +* l. * r. *,i + *+*****rt'|****+++'l )i *
']*
+:4,. * '* *:*:l * *,. 't * t:.
TYPE OF SIGN(S)
Total Numben of Signs on this
PRO] ECTION
CANOPY
Project:
srGN 1 Height: 6at' si'n Dimensions, 6o* x 5q * Totar se.FT. of sign: ll- E(
!il
sisn Dimensions: x Total SQ.FT. of sign:
sign Dimensions:
-
x- Total SQ.FT. of sign:
sign Dimensions:x _ Total SQ.FT. of siSn:
T9TAL pROJECT COS1: $ \L(?O (2'ofS rHt PROPERTY LOCATED IN A FL@DPLAIH? [ Ves fi-ruo
SEPARATE PER',IITS REQUIRED FOR ELECT, I{ECH, PLBG, GAS EQUIP, PREFABS & IflSERTS ***
pAy Erfi I1ErHoo: E crcx I orecr (pAyaBLE ro flHc) [ otenrctr rxnness E nclrrsr f] orscoven
+,t + )t )t * * +,t *:*,*,* N,** )t,*:*)t,l*l*,i***,**,*,i,t* + rt {.:t,* )*,8,} ,},t + * )* * * )8,} ++)**:*'*'* )t{'***'} *+*++*)*)*)*'* ** * + * * '} 't* '*
rt * rt:*
ZONE:OFFICER:
(FoR ofFrcE usE oNtY)
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iEVISED OATE 3/30/12
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NEW HANOVER COUNTY
APPLICATION TYPE:
BUILDING PERMIT
DEMOLITION
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APPLICATION
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LICENSE #: K.IN,I ACCOUNT fIrrv, ly'it.- srr4zL;ag-"o3
PLEAST PRINT CLEARIY & ANSWER ALL QUESIIOI]S"Project Responsibility"
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OI,'INER' 5
OIdNERJ S ADDRESS:
CONTRACTOR :
ADDRESS:
Ei4AIL ADDRESS:
PRO]ECT CONTACT
PHONE
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DESCRIPTION OF hIORK:
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(!h.t lyp€ of Building Oo You lant To OemolishT)Norlt 4f .**
6nd ordinancss and regulallons. The NHC Developmeni Services Cenier will be nolified ol any changes in lhe approved plans and specilicanons or change inconraclor o.
conrraclor informallon. "'NOTE:Any Work Performed WO lh€ Approprial€ Permits will be in Violalron ofthe NC Slare Eldg Code and Subjecl ro Frnes UpTo $500.00"'
Ot\,NER/CONTRACTOR:,!. ilttr <--
SIGNATURE: / +
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rs THE pRolEcr: E RrsrorNrral /[t corurRcrnr TorAL AcREs DrsruRBED: /1-_.7-__
TOTAL PROIECT CoST lress r.or1i S 6. Sto ExrsrrNc LAND DrsruRBrNc pERMrr? n ves p rc
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rs rHERE ELEcTRTcAL powER oN THrs BUTLDTNG? pvrs [ rc
WATER: IXCFPUA
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Note: The National Emission Slandards for Hazardous Air Pollulants (NESHAP) Regulations Require that you contact thern at (919)707,5950 at leasr 10
days prior to lhe demolition of any facilily or building, whelher lhe facility or building was lound to conlain Asbestos or not Demoliiion notificalions &
asbestos removal permil applications are lo be slbmitted using the application form (DHl"lS-3768). This form can be found on lhe web site shown below.
Note: Obtaaning a demolition permit from lhe NHC lnspeclions Dept. does NOT salisly or meet the noliiication requirements ol the HHCU (Health
Hazards Control Unit). 'Keep in mind that an asbeslos survey is required by a NC accredited asbeslos inspeclor prior to any renovation or demolitjon of
a facility. Please see the Asbestos Web Sile hlto:llwww eoislale nc uslep/asbesLos/ahmp html
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Approval:City:DATE:
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Comment: