JULY 22 2016 BUILDING APPSAPPLICAT{T,5 AIiIE I
DEVELOPER: Bailev
NEW HAiIOVER COUNTY BUTLDING PERIiIIT
APPLTCATIOTI TTPE: CCJTT'IERCIAL
PLEASE AliSliER Ar-L QUESTTOT{S APPLTIAAL€ TO Yo{JR PRoI€CT
"Project Responsibility"
Jame6 wenninq
and Associates Inc.
NA|llE: Cruze Cali fornia / carol ina Resrrante
l,lAr,lE: Bailey and A66ociates rnc.
405 Weetern BLvd. 6uite D CITY: Jacksonville
a\lbn0y 3
16-1816
APPLICATIOTTI
t{umber
(offtce Use)
DATE:_qq:153ci
PHO{E *: 910-346-844i
ZIP'. 284a3
PHOiIE #: ry933f-
ST: Nc ZIP:28s41
ST: oc ZfP: 28a8o
*:2fp:!3:g-#:22w23-
PROIECT ADDRESSi ?205 wriqhtsville Ave. suite 10o CITY: l,rtminqton
occuPA|{T/BUsIt{Ess
PROPERTY (XNER,S
Ot!['lER'S ADDRESS:
CO TRACIOR: coll-ins Buifdinq Inc.
ADORESS: 24 west salsbury st.
E[!'IAIL ADORESS: i imowerminq@qmai I . com
LICENSE *: 38608
CfTY: wriqhtsville Beach
PRoIECT COiITACT PERSOfiI; ,lim welrninq
PHOI{E
PHONE
(Che.k all rhat Apply)
EXrSr COillsrRUCrrOr: I nlrrnarror ! nrrovarrqN I GE rnrL
lf Rclocalion, is there a Natual Gas Line on the Current Site? l_-l Yes ll No
nrplrns l-'l RELocATror'r
ts grDG spnrN-xlrneoz I ves ! No
r{EI., cor{srRucrrol: f] enrcr NE}r srRUcruRE ! rlsr rmcx I sxrr-r- @ urrrr I noo ro ExrsT STRUcruRE
ACCESSORY STRUCTURE: a/a
If UPFIT - The Shell Pernit *: ?Is Elect Pouer on this Building D Yes E ruo
at**t
uas the Prevlous
IS THIS A CHA'iGE OF OCCUPA{CY
Occupancy Type?
Michael saieed
usr r Ivrs flm
Hhat is the ileB occupancy Type? A 2
PH: ll!:!-9-::ff-ll_ Nc REG #: nc-8173
PAt :)9-&3.31_ NC R€G #: nc18s18
IF Yes, what
ARCH DESIGN
EiI6R DESIGI{
PROFESSIO'IAL:
PROFESSIOilAL:McDowelI Consultinq
DESCRIPTIoN OF UOR(: nelr uDfit fu11 service resturante
OWNER/CONTMCTOR: saaie corrins SIGNATURE:
dcmofts! danytldny ( b(flrfE. S6 Albodc lfhb Slc hnp:/nrwvr.epi.slate.nc.us/epuasbaslodahmp.mml
TOTAL PROJECT COST: 31e200 BUILDING HEIGHTi E_
TOTAL AREA SQ FI : 2j5!SQFTPERFLR:2560
TOTAL SQ FT UNDER RooF:2gjL_ # OF STRUCTURES: I
b food or bey€rageo propaltd fi sqv€d h tts srnnreZ fi ves [ ruo U fne Aoporty tocated ln Ths Fooddah? E Yes E No
UScl-AllrER: I nereby certfy lhat all lfilormaton ln lhls appliaaton is coryed aid all work will corndy wilh lhe State Buildrn€ Code and all oher applicable State
and local lau/s and ordrnarrces and reoulations. The NHC Devdooanenl SeMc€s Center will be notted of anv chanoBs in the aooroved dans and so€(,fcallorls
or change in @ntractor or conlraclor i-n{ormation. "'NOTE: Any Work Perlormed W/O t'ie Appropriate Pemf,s will ft in ViolaUdn ol the NC Stale Bldg Code and
Subjectlo Fines Up To $500.00'"
(q).xlL.) (PtnNrn )
l,lol€: Ddrrtidl fttrllcdorE E a6bad6 rdnovd pannn apdlcaddr 6lt io bo E{rbntt d Bhg o16 appacdofi idm (D[IHS.3TGS) wt.tE ut fadll, o hilding wE6 found !o
codaln A.6.doa d nd. Ydi .l! Eqdnd io call th6 Ndond E nl6slon Sandar& tb. Haz.nhja Ar Polll,ans (|ESHAP) d (91e)707-5S0 a baEt 10 (laF trld to lhs
pRopERry usE: EoFFrcE ElnesreuneNr fluencarnr-e Erouc flAPr [conoo orHER-
WATER: flcFPUA fl @MMUNmY S'IGTEM flwElr EIZONIi|G USE CIASSIFEATION:
sElvER m CFPUA fl CENTML SEPTrc LIPRTVATE SEPTTC flCOrrilUNnY SYSTEM
*. SEPARATE PERMITS REOUIREO FOR ELECT, MECH, PI.BG, GAS EOUIP, PREFABS & INSERTS *'
pAylrENT METHOO: ftCrSn ECreq< PrvmE rO NHC) [UenrCan O@RESS EIMcJlyTSA E OrSCCven
(FOR OFFTCE USE ONLn FE\/ISED DAIE {r/12
ZONE:_OFFICER:SETMCKS: F:-LH:.RH:_ B:
BFE+2ft
# OF UNITS: 1
# OF STORIES: r
# OF FLOORS: _1__
ACRES DISTURBED: o
NEW IMPERVIOUS AREA o
EXST LAND DISTURBING PERMI? I-I YES EI NO
SO FT D(STING IMPERVIOUS AREA SQ FT
Aooronal: Citvr DATE FLOOD:
C,ornmentl
N
PERMIT FEE: $
.&
N,,s
NEI,J HANOVIR COUNTY BUILD:I-JG FERI{IT lb*&ar'7
APPI- IrArIaN ryPf : RESfD€NTIAL
PLtASt AHILrP itt QUta):l0r,r5 APPrICAEr.t T0 YOlrft Pt0ltcr
7ra^S 'Project Responsibility"
futa -7DgO
APPTICATIO'I
tlumber
ub*tos i05
APPTICANI'S I,IA'48:
nlvf,LOPER r
PRO]ECT ADD&ESS:
SUBDIVI5IOI.I:
PROPERTY
ouNER',S
o$ttJFR'S Mi.t€:
ADDfi ESS :
C(NTRICTOR:
ADDRE55:
Il'tAlL rt.DDRE55:
PRO]ECT COMTACT PE8sOH:
STW,&gJ,'rPHONT
'I:
_sF
_5FI mor-
I orcx
ToTAL AREA 5Q FT: m*
PROPTRTY USE /
DESCfiIFTION OF t
P€ff{rrl f-i vss fJ Ho
.L;;.<
5tl€t?}fr
(:3
ffi(t)
dT
/": #*{}
lD *e,Sh.
:irr.tar
:..-,..*
colt|4ur,rrry sysr€i.l flenrva'rr ueuu fl crurn.rl urlu
cENrMt sEprrc f] rnrvarr sEPTrc I cofimumriY sYSTET'I
... StpAnATt pERI'1I1S RtqUIRt0 rQL ttt(I, i{ECH, pLB6" 6rrf rQVIP, PRE[T,SS & lrl!tl{l: -"'
pAyr4rrrT *rrrool''-n ,;;; fi;;;;; iootot.. ,o "r.l ffi a't'rc* ExpREss [ 'c/'rso [l trscouro
,;:-;, ifr/a ,,,,p[ nH:NA *$d'Lrll ea )
,ouu, R-15oFrr(Es: - .Exrn
Aniiloval,. OIL - city\tlllln DATL:
se
LICtNsf $i
rxrsrrNc aoour*u,rro,uffurrrRArIoH $*r*ovorro* fleErtnrr REpArRs f] ne rocarror
t{EH CONSTRU{ITOH: D ERTCT NEl{ RtsroENCE or
I'PLEASE CilfCX AfilD tilSNEn BELOI., ALL TIIAI APPLY fO
I nrr GAM6E
-
sF f] oer GARAGE
TOTAL HTATED 5Q FT ' IVD TOTAL SQ TT
TOTAL PROIECT C05TrressLart: $ krlfl'b f OF 5T0RIr5: f
Ie Any EL€CIEICAL, ptUfiBlNG or ltECfi.SI(AL Ucl'k Seing DOne to the A(ressO|y Structufpl I vo' {o,
:f the project is a Relocation, is there a rua9ra} Gas Line on the Current Site? [ves f]tuo
Is thene ElectricaJ Poulcr on this Buildingl Fl ves f] ro
occuPANcY, I srr+cr,e FAMILY DuPLEx il r
edo,d6n.c4randcavl8l*n* lteNHCD"vcloln€ntSeNrer,{b.,brfilbeneliedo,atry(t}sn$ess[]e?artrtt6dtlans60sr*{if{alsl-ror(ha.qeflconki.blo,
conr 6ctor nb.mB0o, l -XOIE Ary qnrrlcrromed WJO !1" A?t6i,8b ltmris $dl be h. Viq!{{eri el rlie tlc SraB lildg Codt Btrd Subjs e r dt}J! I o S5O0 0lr "
E XISTII,.IG ITEP TftVIOIJS
NEIil II.IPERVIOJSI
hrArER: lffcrPua il
srwen: fr creua f-1
fJsuHnoou
-
sF
I cneeHxousr *--- sF
oNHER/coNrRA $ o*, {)lit€
' $ *x i rr + $ * * $r't il t { r r t' * r. t(3ii3l I1tJ " * rt.
IS THE PROPT*TY LOCATfD IN A FL@DPT.ATTII I-I
AREA:
-
5Q Fr
iREA: -.'- SQ FT
_sF
UNDER ROOF I
srGNAruRE , dl*-*,
*..*****+11
Yrs M xo fltfr
TOTAL ACRES DTSTURBED:
EXIST LAND DISTUREING
flponcH
-
sF
f sronacr SHED
--
sF
OTI'IE R r Sr
PlBilr n:qO-frL-ffi1
E loorr:oru ro rxrsrrNc REsrDFrcE
, YOUR PRoltCT:
DtSCtASIf F. ltrreh, cBrtrl, tha, rl{ nhrs?licn in f ir appi,c$t*r h rnnecr a{d dl worh wil ffifrlyt{itr f8 SB{e BriHr.}c Code inf tl! 0tk:, 0pru4at* SlalB aM bc& li{!
Cornm€nt
,, *?{
PERI1IT FEE : 9. /.. J I
ELOCX T:toT *:
PIO'ECT AIDTEsS:
OCCuPAtrrT/BJSIIJESS
aPt36tlq1
pronr *:L!0'HSJ:rq9osr:lLarat)q03hl.
sr:lv/EPaBqost,3IQ9Sr:l-rOO
PROPERTY O'{ER'S XA'G:
oll{Ei,s AmnE9S:
COT.ITRACIOR:
ADORESs:
E'.{AIL AI'DRESS:
PRO]ECT CO}ITACI PEtSOa'l:
rnrcr f] rr.rer
OESCRIPTIO OF T()NK:
.sn rcbr hlo.mllor .'.|{oTE: ar, !/rt i Prrtofncd yvp nE aqoE t ! fltmrBul !. rn rrorrf(il d na rc $+ lld! oo.h a.d st.llci to fu[a u91o !5@.&-.
'orrrnT@cr?,SI6I{ATURE
*t ar rtaa ra*.. araar. aa.. *+aatar.r* aaaa iaa.rataaiattlraa:rr.atat
nor r:Qlo.Hs'a.lroo
CHAX6Etr
TYPE OF 516r{(5)
! rrersrarorrc lercrnol f,l nnCrre
LI strrcrE [Xl ]alr
'-""'$5eF'p.[
z/ra/tro errn
Total umbcr of Slgns on this Projrct: I
,r* .,r.ier,.s:!r L srm ggcnslon$$15" xL3L5 " rotar se.Fr. o,,ren, 5O FSIO{ 2 Helgtlt: Slgn Dl.ensims: X_ fotal SQ.rT. of Sttn:
--
SIGII , Heidtt: Slgn Dtlenslons: X_ Total SQ.FT. of Sltn: _
SIG!. 4 Heltht: sitn Dlnensloos: X_ Tot.I SQ.FT. af Sign: _
rorAl pRolEcr cosr: *?@o - r5 'IHE pnOpERTy LOCATEO rrl a rumorlarll f] ves El no
..i 5FF,IRA'rE 9EU.IITS RTQUIRED FO( ELErr.. hECta, pLtN, G[t SQUrp, pfifiASS I I[!!nTS +."
payfiEr,tr rlDrco: E crsr, f] occr lelvrrtt ro r+c) p lrrercer eDrcss E ncrvrsr
rpp-,"i[L_ cityrliGtff;T/ ;Ji; ;L@D,
-
---2ffi)c-tFF+2ft=
-T*''t
.-
.*., cBN [x]?-,iffigii:Sh,,, Vn ^rdr.- ;ff^T """'
rs stor(s) or or oFF piE rrsEs? Eg| E ori citarral tsIbrs' Na rtg'r -$o u'er .is^- "'"*i^< Q,ztlod- 6ooteia,.. kD b t*iSti t3
tIGA-.^trGF: lnGtbr.itfy LrC ffifli.rbr h lirlgl,liri r crrGrn.r u/rk l{driy ri6 aa Sn &5,f Cod. rrad*r r[gfan Strrr rrr rocar ra*{Pury
,rdddh.rE!!.id,.gdclo.Tn.tlHco6aaoqr'..raerli!crnt,a!oncdll,drrry6rt.hrrraqro\.dpr.l6&d3p.c{c.a6rtrddurig.hlE.!.cb.o.
f] rrorecnoll
flcamrv
l--l nmr
Llorxrn
E orsco'n*
rt
" r'l ttataar aa l,t a aa.r)ra a atr al}a rala i a. aatraaa||,t'l a:lra a aaai aal}*ta at*.:r r a a alrrr:lr,rt rr a ll aa t *
(rq oFrrcr ust o(Y)
aorr."alJi
I bvilagL not-to rx*4-1&o,ura.Q.
PERfifi FEE: , T
tEcEtvED JUL 20 20ffi
NEId }IAM)VER COUNTY BUILDII{G PERI,IIT
APPLIcArIort rYPE; SI6tl5 / BILLBOARDS
APPLICATIOT
t{mber
iotft". ur.)
ICflC.,
APPLICAI'T'S
DEVELOPER:
ptE sf piDaI cl.trnty a r5*t arl qf,snoxs
"Pmjcct RcspooslDiltt/ur' KSnn
3 ottolcn t
[\"
YE
ilsrcd'
NEtl
RECEIVED JUL222016
RECTIYI]JUt192OS
HATTIOVER COI'HTY BUILDTNG PERHTT
ffPLIATIA1 rt?E: RESIDErTIAL
PttASC An$Ef, ALL QUESTISrS AP9LICABLE TO Y(n PROIECT
"ProJect nesponstbllltf
Aotlrqo.ts
APPLTCATI(II
Luder
(Offlcr Llsc)
DATEi 7/18./2016APPLICAXTTS llAilE: 8.s., !.IJ.c. dba Ra*.racl / charLLe Leyis (agent)
OEVELOPER:PXIIE f: 9le-309-9?2?
PROIECT ADffiESS: 156Nun st CITY: rilninqton ZfP:28401
SUBDMSI0il: PARID: R05{06-030-016-000 BLOCX *: 504 l-OT $: 10
PR0PERTY OalER'S l{AllE: ulchael Ferquson P}O?IE l: 't24-42r-98L0
fi,lER's ADIIRESS: 1506 Nun st CITY: 9liLminqtoq
COilTRACTOR: F.S., L.L.c- dba Ramrrack LICEIaSE l: s3778
5T: xc AP:3gg
5T: trc ZW'. 21705
l:919-309-9i2?
PISIE ,: 9I9-309-9?2',
ADORESS: 4122 B€nnett MerBorlal. Road guice 30tl CITY: Durham
EfqIL ADDRESS: charlieQra$1ackusa. cdtr
flsuxnoor
-sr
I enrrnrolsE
-
sF
P}fiIE
PROIECT COIIITACT PERS(I{: Charl {e Levis
EXIST$S CollsrnrrcTrotl: fllrrrnrrro| E RE],tovATro{ flerxrnil- REpArRs ft nrrocArron
nEr{ coilsTRrrror: t sREcT HEr RESTDET*CE o. f]ApOrrr0r rO EESTTIE RESTDEITCE
+.ILEASE CHEC!( ATD ANS*Ef, 8ELil ELL NUTT IP?LY TO YqN PNOJECT:
flarr 6ARA6E
-
sF D osr GARAGE sr f]noncr
-sF
f] pmr
-
sF f] sronaer sHED
-
sF
l-lorcx sF orHER:SF
TOTAL HEATED 5Q FT:TOTAL SQ FT IIDER ROOF:rorAl AREA 5Q FT:
TOTAL PROIECT COSTtu.rtd, : t so2s.00 * OF STORIES:
Is Any ELECTBICAL, PLttrBIraG or f,ECltAItCAI. rOrk Eelng Oone to the Accessony Structure? ! Ves [l no
If the pro3ect is a Relocatlon, ls there a l{atural Gas Line on the Current Slte? fl Ves [l no
Is there Electrlcal Pouer on this Bur.ldlnC? El ves f] Ho
pRopERTy rrsE / o€araxcvt ElsrilGLE FA,.lrLY flufr-rx I rm*ouse
DESCnIPTIo| Of tffX: fnstell pipe pj.eEr rrith adiustable blackets and nel, concrete footinqs to stabil
DESA|ERItEmbycrdrynrrrlhb{rislonhnEep0cafonbconrrct'lddrrqlvrilcofiplrx}'|n $6lt8.Jil*tgCodr'ldd0116Op&Sla3btrrdb6dliilr!
Dd a&l'bd tld r0uldor6. Th. $lC Oartbryno.tlS6rylcEa ConSralt b. rctlodortrychagg h tra op|orrd Dbilr oacfti|gr h coarlEbrgr
co.rrEbr hbnnllm. "'t{OTE:Any $blt Ferbflll.d W/P lho Aop.oorlsB P.{rn}a rI bo h VbHon or lhc NC Slli To 9500.0C-
0IfiER/CONTRJKTOR: cha:les l.enis SIGIIATURE:
.atr..a +aaat+a* +.ra.irr tt*. JIlt! l:ttl. a lata t. a+.a a **aa.....r1.... *aa a*. tar ar..ar* r..rrrr. rt
I:r rHE pROeERry LOCATED rr{ A Flooopr.lu{? fl VeS [J tr
EXISTIIE IIFERl{t()l.rs AREA: _ SQ FT
tlEl.J lltpEF\ffolr5 AREA: _ Se FT
nArER: $ .r*o f] ccraunrw sysrEn fJrnwnrc HELI n cEtlrnnl r,rELL
sELER: QCrrun fl ceinu- sEprrc finnrvare sEprrc I coaurw s't4srE,,t
TOTAL ACRES DISTURBEO:
EXIST LATD DTSTURBII6 PErrrr: [-] vrs El m
'rr SEPARATE PERtarrs REQUTREo FoR ELEcr, ,{Ecil, PLBG, 6As EQurp, pREFABS & rHsERTs ,r,pAyltE,'i,rErroo: E** [*rro. (*A'ABLE m rox] tr;;;; ;; '8il';r# "'"DDrscovE.
lltt't* 'l'* t tt+ti'i 't* ttt I *a*a * a *t*t,i l++ !tr a a ata *a*t ** aa aa*t*t*t at+ +t+r arl rirrtrtrl a*rl **6.7rrZ5,.on., P-5 #[rf ':E$-_--.Irffi ?l li,ar*,5,1g nx,isaJe, ,i;$*'ED
D^rr er/rvu
Approvar :_ crtv,__] o*re ?fkJb FL@o: I,__ ctL.t* re rlrrr.r: .. i _BFE+2ft.C*nt: Nar .tX0nvt rr.\r./'t Arz n lar. ant -A^., , -: il
PERilTT FEf: $.-
()ily Inwec,un hqureo, gl &254$ li
,jJ):'orc""Y "'l'.{ffi,
a
RECEIVEN JUI 18 ?NT
NEW HANOVER COUNTY BUILDING PERI'1fT
APPLICATZ0N Typg.. RESIDENTIAL
pLEASE ArgiJFR ALL QUESTIC{S APPLlCA8!€ r0 !q.rR pROIECT
"Project Responstblllty"
[''-S., L.L.C, dba RaFJack
PROIECT ADORESS: 5609 she1l Road vi.Ilaqe orive CJTY: ltil.ninqron
SUBDIyISIOfiI : sle I r Ee4q !-!l-l 4"re,-t!C,!-e I
PROPERTY O{lltlER'S MllE: Eleir )iDrst
Ot{,lER'S ADORESS: 5509 Shcl} Rord vi}Iage D!j'Ve CITY: .,ril.rainqton
C0|{TRACTOR: {'9.. L. i.9.-dba !e$!ec!LICEIISE *: 53778
ATTDRESS: 4I22 Ben:lett l,lenqriqt Ee!!,ggit€ _f!1 CITY: Dur:la-q
APPLICAIT'S i1IAIIIE:
DEVELOPER:
I rrr cARAGE
-
sF fl orr GARAGE
flsuHnoom
-sF
I PmL
-
sF
flcnrrxxu;sE- sF [orcx
-
sF
LOT *: 28
*:910-309-7438
ST: E- ZIP:eIg
sr: llP3 z'|'tQ'
PlOlIE r: el9-3c,9-9127
PHOf'lE *: 919-3oe-9?27
EllAIt ADDBESS: cha!lieOranJatkusa-c!!.
PRoIECT CoilfACT PERSOT{! charlie I'eh'i3
Exrsrrrs cof{sTRucTrot{: I alrenarroN ft nercvarror [Jeenrnll REPATR5 [ nelocaTlor
NEl.t copsrnucTlofl: I ERECT NEIJ RESIDETJCE o" fJnOOrrroil To EXISTING RESIDEHCE
"PLEASE CHECX ANO AIIISTER EELOi{ ALL IHAT APPLY TO YOUR PRO]CCT:
sF flPoRcrr
-
sF
f] sronacr sHED
-
sF
OTHER:5F
rOTAL HEATED 5Q FT: TOTAL SQ FT UT.IDER ROOF:TOTAL AREA SQ FT:
TOTAL PROI ECT C05T (L'sc Lor) : $ sszs. oo * OF STORIES:
Is Any ETECTRIGAL, PLUITBIHG or
'IECHAI{ICAL
Hork Being Oon€ to the Acces5ory Structure? fl V"t [l no
If the project is a Relocation, is there a Natural Gas Line on the Current Site? [Ves EI tlo
Is there Electrical Power on this Bulldlngl fi Ves ff Ho
pRopERw usE / occuPAHCv' fi STNGLE FAllrLY f, OunLex fJro*xousr
DESCRIpTIOH OF I{ORN; lnsta:.I he:.ic.!i p:ers to 3::abi-lize foundation
OlltCtAUaEE lhorlbrcarrit notrl nbmaoon n Dis Epplic.lon 13co,Ec! md !tr wrtt|ilcotnply wttl ?lr $Eb &ilding Cod! arl al oho qep&Sl. SE! lnd bcd 1il3
ild ordlnm rid ilgul.lioN. Thc NHC Dcwbp.Eil Stryicr erb. ril bG mltod ot ray chsg.a h na appotod gbnr a&d spoclicsoonr o. chrngg h cdrtracb, ot
ra*.lrt:*r*rr+..-*tr*rar."*(!1?lilTJ..rrra*rr*fa*r*ar*a*t*r**rrrra*aarrt,rara.raJrtir**.r
rs rHE pRopERTy LocArED rN A FLoODPLATN? r-l yEs fJ UO
EXISTIHC IllPERvroUS AREA; _ SQ FT
IiIEt.I $tPERwoUS AREA:
-
sQ FT
!,IATER: fl cFpuA fJ co$,tunrry sysrEn I enrvrre I,ELL f] cENTRAL r.rELL
sErdERr fJ crnua f] cerrnar" sEprrc I enrverr sEprrc I cor,nuxrw sysrEH
TOTAL ACRES DISTUREED:
Exrsr LAND DISTURBTNG pERtrrT: II ves [J m
AunN{
APPLICATIOT{
llunber
(O++lce UJE)
OATE:. 7 /t5/?-ot6
PllOllE *: 919-309-9?2?
ZrP: @!S,
BLOCX fl
PIIOTIE
cmtncbr nbm.lon. -'NOTE:Anywort Frrbmd W,!c rt! Aolmpriar PemiBwllbs h Villau& o{0ra ro i500.00"'
OWNER/CONTRACTOR : cl:1:-1ie Lauis SIGMTURE:
PER{rT FEE3 S_
o$€J"cdfun,
Reqildeo 9l0.254Si,1
PROPERTY OIJT,IER'S
OI''T'IER, S ADDRESS:
pRorEcr coNrAcr ,r t , crt165 ffe- aiCpeZ r
PHONE *:
ST:
*I.PLEASE CHEC(
I arr crnrce
fl sunnoou
-
sF
E cnr ergous r
-
sr
BELOW ALL THAT APPLY TO
sF fl orr eanncr
f] eoor-
! orcr
ExrsrrNc cotsrRucrroru: ! nlreRarroru fi nerovarror I cerurnnl neearns ! RELocATToN
NEW CONSTRUCTIOT, ! entCr NErrl RESIDENCE o" ! mOtrrOru TO EXISTTNG RESTDENCE
TOTAL PROIECT COST(ressror) t t t?,?N # OF STORIES:
Is Any ELECTRICAL, PLU BII{G or iIECHA ICAL Work Bej.ng Done to the Accessory Structure? ! Ver ! no
If the project is a Relocation, is there a Natural Gas Line on the Current Site? fl ves ! No
fs thene Electrical Power on this BuildinB?[ves Ito
pRopERTy usE / OCCUPANCY, fi SrNCre rAlrrlv ! ouerrx ! Toi,,JNHous
DESCRIPTIOI,I OF
lheleby ceni, tiat allinbrmation in his application is corccl and allwo wllcomplywih he Slate Buitding Code and a otier appticable SraE and locattaws
and ordinances and regulstions. The NHc Developme.t s€wices c€nEr willDe notilied ofany chan0es in 0|€ approved ptans and specificsrions orchang€ in conrlacbro,
conlracbl inbrmaton. '.NOTE:Any Work Performed W/O he Appropriats Pennits willbe an Violation ofrhe NC Siats Btdg Code and Subieci r, Fines up Io $500 OO"
orrrNER/coNrRAcroRt?t/trl2 2,6,{/ePf srGMruRE: ZE 2 -4 ,-l
t
)*,r,r * *,8 * *,r,r * ** !r,*,r * * * * ** **** *(ii'Il lil"] * * ** * * ** ** * *,r,r* +* + !i !* !* ,r,r,r **)*,*** *,r *** *,** )r * ** *,**,n * rr,r,i * ,r,r
rs THE pROpERry LOCATED rN A FLOODPLATN? n yES dro
EXISTII,IG II'IPERVIOUS AREA: _SQ FT TOTAT ACRES DISTURBED:
NEW I|'TPERVIOUS AREA: _SQ FT EXrST LA|{D DTSTURBING ptnmrr, l--l y:s [-'l rc
ulrrn: 6 crnua I cor4r.luNrry svsrrm ! pRrvATE WELL I crrlrnnl wrrl
sewen: fr creua ! cENTRAL sEprrc ! enrvnrr rrorra I coMMUNrry sysrEm
*+* SEPARATE PERI1ITS REQUIRED FOR ELECT, MECH, PLBG, GAs EQUIP, PRTIABS 8 INSTRTS T+'
payritErr ErHoD: I crsa I curc( (pAyABLE ro lrrc1 flarenr.* ,*rrr, 8;;;;; I orscovrn)** *)t )t )t,l 't * *,* *+*+*:f *** )t * ,*,t !* !i * )* )t * )*,* * *** )t* *** *)**+ **)i )t*+*,t ,t *:t,i:i * )*** )i,*,t**,t**)t )* )*,t )* )* * *,f *,t,t,r***,f ,t
iEvIsED D Ta 04l1Ll12
8:ZONE :OFFICER:
Appnoval:
AND ANSHER YOUR PROJECT:
5F
SF
5F
TOTAL HEATED Sq TT: \ \D TOTAL SQ FT UNDER ROOF:TorAL AREA sq rr' tlo
(FOR oIFICI USE o{tY)
SETBACKS: F: LH:
*r-raa=
PER IT FEE: g
LICENS sr{f-zre:44
PHoNE $: q@ $3?-\11
! eonor
--
sF
! sronacr sHED _ sF
OTHER: SF
Comment;
_ City:_ DATE :FLOOD:
RH:
-&r-
rairca RECEIVEDJULlS?06
NEW HANOVER COUNTY BUILDING
APPLICATIaI TypT; RESIDENTIAL
PLEASE ANS}IER ALL QUESTIONS APPLICAELT TO YOUR PRO]ECT
"Project Responsibility"
PERMTT SotA:l( CO
APPLICATION
Number
(office use)
ApplrcANrs nlr,lle, L\*ESr€L BV.t/€f-f oArE:
OEVELOPER:
PRO]ECT ADDRESS:
suBDIvIsroN: -ftt6'7tt\f5 sLocK s:
ADORESS:
Ei4AIL ADDRESS:
-_
LOT *:
L
ptot'tE *:
Wr*,ffi1o,
APPLICANT'S ilAfiE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
m$NEW HANOVER COUNTY BUILDING PERMIT
APpLrcArIoN rypE; RESIDENTIAL
PTEASE AN5WER ATL QU€STIONS APPLICABLT TO YOUR PRO]ECT..project Respons ibil ity,,
CITY:vn
BLOCK #:
PHONE #:
LOT
PROPERTY ONNER' S
OhII'IER, S ADDRESS:
flsurnoom
! ca rnrHous e
Lha" l;<lL^nn1ry
CITY:
LICENSE
CITY:
EITAIL ADDRESS:
PRO]ECT CONTACT
EXISTING .*rr*ratto*, ff ALTERATToN I nrrovarror I errtnnl ntelrrs I RELocArroN
NEW CONSTRUCTIOU: I rNrCr NEW RESIDENCE O" ! AOOTTTON TO EXISTING RESIDENCE
**PLEASE CHECX AiID ANSI,JEi BELOh' ALL THAT APPLY TO YOUR PRO]ECT:
I nrr canacr
5FSF
SF
SF
! orr crnaer
! noor-
! orcx
sr lroncu
--sF
I sroRncr sHeo
SF OTHER:
ToTAL HEATED sq,,, /3f{ ToTAT 5Q FT UNDER RooF:
rorAL pRorEcr cosrlr-essr-os | $ e9/7D # OF STORIES: /
rs Any ELECTRTCAL, plurilBt*G or tlECHAr'lrcaL work Being Done to the Accessory Structure? [ ve, [ ruorf the project is a Relocation, is there a Naturar Gas Line on the current silr D rI n *Is there Electnical powen on this Building?ffiv", [ruo
TOTAL AREA 5Q FT:
?otb-1115
Aulr,au frro, i^c ooru.
'lArtgw
APPLTCATION
Number
(Office Use)
PHoNE #: qD 3%-3NC
ST: _ ZIP:_
1 srt Nzto, #lo3
PHoNE s: 7ba -10q5
:rT{'fr,M,
PROPERTY USE /
ZONE:
Approval:
oaarr*ar:,h ,rror,
'rot " grLl l"DUP L EX
(Foi oFFICa usr oNL y)
SETBAc(s: F:
ON OF woRN: E l(rn )i,
wc.[(
OFFICER:
)t
other appli€abte Slare aad bcat tavjs
orchanqe in conlracbror
5500.00"'
EXISTING ,IPERVIOUS AREA: --_.-sQ FT roiaL lcnrs DISTURBED:
NEN rl'tPERvrot's AREA: ..-sQ FT Exrsr LAND DrsruRBrNG ot*rtt, n ves [-r ruo
wnrrn:P creua fl coMMUNrry svsrrr,l fl pRrvarE t,lELL fl crrurRrr werr
sEhrER: KJ creua ! (ENTML sEprrc ! nnrvare ,rorra fr arrrrrrr" ,rrr
'*+ STPANATI PERI1ITS
oo",.", n,,,ool- -tr'.; i::,:::-*ifi.",_,_!i-i*:i'hTii,ili lflii;,,-,i5":,JiI-,'i DrscovER+*******'f*****)i'i*'*'r!r****************************ii************************+*******x,r,r**,r*
RTVISED DAIE O4lr1l]2
B:
B F E+2ft =
N
PERIiIIT FE E: g
Comment:
City:_ oATE:FLOOD:
LH:- RH:
CONTRACTOR:
ADDRESS:
contaclor inbrma00n
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE : COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT'S NAilE: Michael Saieed (aka Mitchetl)Architect/Record (AOR) Owner Agent
DEVELOPER: Dennis o,Learv
?orb-? la j
L 6- L974
APPLICATION
Number
(Office Use)
DATE: r nuq t5
PHONE f: N/A
PROIECT ADDRESS: 6905 Market Srreer
OCCUPANT/BUSINESS NAME: O'Learv Automotive Repair
CITY: wilminoton. NC ZIPi 284tL
PROPERTY OWNER'S
OWNER'S ADDRESS:
NAME: Dennis O'Leary (Owning Partener/President)
PO Box 10317 CITY: wilminston
PHONE #: 910-231-561s
ST: Nc ZlPt 28404
ST: r'lc ZIP 2 21 ra
#: 336-508-3567
#: 910-509-3131
CONTRACTOR! Prinsle Solutions, LLC LICENSE #2 L_14145 ACCOUNT #:
ADDRESS: 5603 w. Eriendfv Ave. Ste B PMB CITY: Greensboro
EMAIL ADDRESS:
PROJECT CONTACT PERSON! Mike saieed AoR(orner Aqent)
PHONE
PHONE
(check AII That Apply)
Exrsr coNsrRucrroru: ! ALTERATToN fl neruovarroru [ eer'rennr-
lf Relocation, is there a Natural Gas Line on the Current Site? ffi Y". I no
REPATRS ! nelOCarrOru
lS BLDG SPRINKLERED? n Yes ffi no
NEr^t coNsrRucrroNt I enecr NEw STRUCTURE E FAsr rRAcK f] snrr-r- f] uerrr I aoo To ExrsT sTRUcruRE
N/AACCESSORY STRUCTURE:
If UPFIT - The SheII Permit #:
***** IS THIS A CHANGE
IF Yes, what was the Previous Occupancy Type?
fl No *****
the New Occupancy
910-509-3131
' Type? Business
NC REG *i -LARCH DESIGN PROFESSIOML: Michael Saieed (aka Mitchell) (AoR) PH:
ENGR DESIGN PROFESSIOML: Gres McDoweIf PHt 910-210-3141 NC REG #i 23933
DESCRIPTION OF WORK: Demo Existing occupj-ed Bld'q and Re-Build the same Structure as new Eacifity
and local laws and
ls food or beverages prepared or served in this structurez I ves E No ls The Property Located ln The Floodplain? [ Yes El r.lo
DISCLAIMER: I hereby certify that all information in this application rs correct and all work will comply with the State Building Code and all other applicable State
and local laws and ordinances and regulations. The NHC Development Services Center will be notified of any chanqes in the approved plans and specifications
or chanoe in contractor or contractor
Subiect"to Fines Up To $500.00-'.Subject Up
and reoulations. The NHC Develooment Services Center will be notified of anv chanoes in the aooroved olans and soecifications
raclor ihformation. .-.NOTE: Any Work Performed W/O the Appropriate Permiis will 5e in Violation of the'NC State Bldg Code and
OWNER/CONTRACTORI l4ichaet Saieed,aoR owner Aqent SIGNATURE:
(Oualifie0 (Prinl Name)
contain Asbestos or not. You are required to call the National Emission Standards for Hazardous Air PollutanB (NESHAP) at (919)707-5950 at least 10 days prior to the
demolition of any facility or building. See Asbestos Web Site: htQ:lhruw.epi.state.nc.us/epi/asbestos/ahmp.hfnl
TOTALPROJECTCOST: CSt, $4OO K BUILDINGHEIGHT: CSt 1B fCCt # OF UNITS: N/A
# OF STORIES: one
#OF FLOORS: one
TOTALAREASQFT: 3619 SQ FT PER FLR: 36te
TOTAL SQ FT UNDER ROOF: 36ts # OF STRUCTURES: one
Exsr LAND DISTURB|NG pERMtT? fi veS fl no
EXISTING IMPERVIOUS AREA: 13 , s 14
PRoPERwusE: EoFacE ERESTAURANT luencerurlE nEDUc EApr lcor.roo orHER:-a,-togeil_
wATER: ECFPUA flcoMMUNlrysYSTEM ffwELL EzoNtNGUSEcLASStFtcATtoN:sEWER: ECFPUA ECENTMLSEPIC le-nvnresEplc Scouuur.lwsysrEM*- SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *-
ZONE:OFFICER:SETBACKS: F:_LH:_ RH:_ B:
PAYMENTMETHoD: flcnsu ficnecx(eAvABLEroNHc) f]alr-r-AccouNr flucrusn f]orscoven*t*******************************t*ft***+t**************a*********************i*****+**t*************
(FOR OFFTCE USE ONLY)
City:_DATE:_ FLOOD:_
- -BFE+2E
Digitallysigned byMi(hael t Saieed, i (aka
Mitchell)
DN: cn=Michael LSaieed, Jr (aka Mit(hell),
o=DESIGN ELtMENIt ln(., ou=Archited of
Record, €marl = msaieed@deJEnele.(om, c=Us
ACRES DISTURBED: 0.39
NEW IMPERVIOUSAREA: ro, grq nerro Existq SQ FT SO FT
Rppror"[
Comment N
PERMIT FEE: $
Is Elect Power on this Building I ves E *o
oF occuPANcY usE? [vrs
What is
REVISED DATE4111I12
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATIAN WPE : RESIDENTIAL
PLEASE AI'ISWER ALL QUESTIOITS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilit/'
vlnce l-ut_neran
CITY: wilminston
;o/b - 7/Aq
/6'/&77
APPLICATIOIII
Number
(Office Use)
D,JEr 5/2312076APPLICAI{T,S I{AIttE:
DEVELOPER:
PROIECT ADDRESS: 8520 River Road
SUBDIVISION:
PROPERTY OhINER'S NATTIE :Mi-che11e Carisle/,Jack Carlisle
OT'INER'S ADDRESS:5022 Tarin Road
CONTRACTOR: Vince Lutheran Homes, LLC
ADDRESS: 403 Peninsi]1a Drive
EfiAIL ADDRESS: vinson. lutheran@qmail.com
PROIECT COIIITACT PERSOH: vince LuLheran
CITY: wilminqton
LICENSE #: 6es1B
CITY: carolina Beach
BLOCK #: _ LOT #:
PHONE #:
ZIPi 28472
PHONE #r 9196240564
ST: lsc zIPt za+og
ST: uc ZIPi 28428
PH0NE #: ."?*.q-zr g- qla g
PHONE *: 9l"o-279-01"45
ExrsrrNc cursTRucrroN: I ALTERATT0N f] nrNovnrron flcerurnnl REPATRS fl nrlocnrroru
NEhl cor{sTRUCTT${: [J rneCr NEhr RESTDET{GE or f, noorrror\r To ExrsTiNG RESTDENCE
**PLEASE CHECR AND Ai{SIJER BELO}J ALL THAT APPLY TO YUrR PROIECT:
[f nrr GARAGE zozt sF I orr GARAcE sF mPoRcH LsF
f] surunooil
-sF
I eoor
f] enrrruHousE
-
sF [] orcx
TOTAL HEATED SQ FT: 3368 TOTAL SQ FT
TOTAL PROIECT COST (i-ess t-ol : $ seg, +oo . o
Is Any ELECTRICAL, PLUI'IBING or IIIECHANICAL hlork Being
If the project is a Relocation, is there a Natural Gas Line on the Current Site? fl V"t il ruo
Is there Electrical Pouer on this Building?fIy"t ilruo
pRopERTy usE / occuPAr'rcY: fi srruer-r IAMTLY f] ounlrx fl rowruxousr
DESCRIPTIOIII OF WORK: sinqle I'aql1lNew construct-ion
*
^* 5F
f] sronaeE sHED
OTHER:
UNDER R@F: 6?53 TOTAL AREA SQ FT: eaes -
# OF STORIES: :
Done to the Accessory Structurei il Ves I Uo
SF
5F
DISCLAIMER lheraby cerfir hat all informalion in his application is correct and all workwill comply witl he Slate Building Code and all ofer applicable State and local laws
and ordinances and regulations The NHC Development Services Centsr will be notified of any changes in lhe approved plans and s or change in contractor or
contracrcr information. "'.NOTE: AnyWork performed W/O he Appropriate Permitswill be in Violation of lhe NC Stale t b Fine$ Up To $500.00*"
OIIINER/CONTRACTORI vince Lufheran SIGNATURE:
*,ft ** * * * * * ** * * * * * * * {. * * * * * * * *(Ii'{l Jil"} * * * * * * * * * * ** * * * * * * * ** * ** * * * * * * * * * * *,} * * * * * * * * * * * * * * * ,r *
rs THE PROPERTY LOCATED rN A FLOODPLATNI [J vrS
EXISTING II{PERVIO'S AREA:
NEI'I IFIPERVIOJS AREA I
o SQFT
2453 5Q FT
TOTAL
EXIST
NO
ACRES DISTURBED: :LAg
LAND DISTURBIiIG PERITIIT: FTI VTS il] TtO
MTER: I crnua fJ coumururry sysrEm I nnrvarE wELL [J crrurnnL wELL
sEWER: f] crnua fl crurnnl sEprrc fl enrvarE sEprrc [J cour,runrw sysrEi,l
*** SCPAEATE PERI{rTS REqJTAED FOR ELECT, fiECH, pLBG, €&S EqJtrp, pRrFABs & rNsf;RTs ***
I casx E cxscx (oAvABLE ro trrHc) [ anrnrcnn ExpREss fl nc7vrsr florscovrnPAYIIENT IitCTH@: I
*** * *** **** * *** **** * ** !X**,t,** *,* ** *** ** **** **** *** ri,k* * *,t ** *** *** ri !f ** * **,** *,8* ***rt * *** **** **
ZONE:OFFICER:
(FoR OFF]CE USr S{tY)
SEfBACKS: F:
REVISED DATE 64/7T/12
0\
(
N
\'
Appnoval:City:_ DATE:_ FLOOD:
LH:_ RH:_ B:
BFE+Zft-
d$
APPLICAffT'S t{AHf :
DrYgLop€n:
PF0IECT AD0ftrSS: ::11
SIjBDIYI5IOt.I:
o#irEf;,s AEoftE$s; 3 t ; j*I",..i"-:.,. r-,<. I I --
ST: i 'st*:IId; IIP;
I J.
pRolEcr c$trA{T pERsil: |t; ,- ,', ?=, {2 L!J-;- p}tot{E $:'t*:7','57sj Z-
[XISTI'{€ CO,I5T*U{?IOI{; * ALTfRATIOI.I I{Ti{N/ATIOI,I
-
GEI.IERAL REPAIfi,S _ RtrLOCATI$I
T{EI{ CO{STNUCTTOil: _ IRECT ITEI{ RES]DEIIEE Or y'4611IU{ TO TXISTtrilIG RESIDETICE
.TPLEASE CHECI( A,{D AIJSI{ER BSLO}I ATL T}IAT APPLY TO YOT,f; PRO]ETT: C,r,. I(\',1,N",L,
* ATT GARAGE
-
5F
-
DET GARAGE 5F - PORCH !" t d' - Sr
__ suNRootl
--
5F _ POOL _ 5F _ STORAGE SllEO _ SF
$REEtlHOtlSE
-
SF * OECK SF OTHER:5F
FtostluoNS TotL-?fl.s2
lvteTt
"ProJect Responslblli.ty"
{r**l *l/;s
r0TAL HEATcO SQ FT: -. ,{.i* TOTAL SQ rr UI'ISER ROOF: 2-52 TOTAL AREA SQ *r&
TOTAL PROIECT t0STruessLar z g /Or.22t,,* 0F STORTES: l-
NEhI HANOVER COU}ITY -BUILDTfiIG PERF{IT
APPLIcATIott n?f I RESf DTNTIAL
pt-fAsE AxSr,lgR ALt QUrl1 10fi5 APPLTCABII tO YOIJR PRO]ICI
fs Any ELECTRICAL, PttFIBIXG or I.iECMi{ICAL }dork Being Dona to the Accessory Structure}
If the Froject is a Relocation, is there a l{atura} Gas Line on the Current Si
AP?LIT'TIOiI
l{unber
(offlcr use)
COxTRACToR: Fv,-t.-r K f; (lr ) LfcfilsE *: 't\/4 1e.,Ao0sEss: Aaa-crTY: Li'i i ,r'' , n .r J r' rr 5T: ${ z:pr d'T *D *
ErcArL AmRE*;- i. j \ i t- \t z' 'r'''nl PHoriE *: 1li "i?'i'rt:"';-T- ./
y/r"t
-
Ho
.tel ,* Yes _ tlo
Is there Electrical Potr€r on this Buildingl _ Yes * Ho
PROPERTY UsE / OCCTPATiirY ' O("*N" FMILY * DUPLEX
*Escnrprror.t oF krffir(: {1'-r \c{ J<-"t-11.1r-}[)*val'1
T&dNltot 5E
i-tx i'i.i 12\',/") .
OISCX-AIIER lh€r"tly c€r$ry Qat 3ll iotrftg{ofi h tli8 appgcolon b crnoct 8rd a! xortwil oom{ywih tro Sl6to 8u,ld{1, Coda aad al oh€t applisabh $1eb and locd la!#s
sld sdinil|c-cs aad egulfllbns' The NHC Dr€bpflcnl Scryt$ Centrwillbe !.tfBd otily r&siges h 1he approved plsr's ed qacifrcatims orch.*ira in conlrscbror
conti:cbr inbmaion-'-}|STE: Anywork Perbnnod WO te ArprDpriab Pemilswill bc in \fEb$on of tho NC Stsb ElQg Code rqSubioclPtiDoE irp Io S500.tlO"
otdltER/c0t{TftACToR: [, ".-"'. x. Lt t , : Sro{ATuRE: // 1^-l'\ {lil'* :
*rl**r**rr**r*r*++t{t*t*tr*(ilt!,ltT}rr"ttrrtr** r*r*r.rrr.rt*+trt****r*rrrrrtr!*rFt*q***:r
r'rs rHE pRopERTy LocATlo rN A F[oaDpLA$r? yEs t/ w
EXfSTIilG II.IPERUIOUS AREA: _ SQ FT
t{El,I II.iPERVI0{JS AREA: Sq FT
TOTAL ACRSS DTSTURBEO: 4.!"i,;*
EXIST LAHD DISTURBT$G F$fiI,'IT:rr]ilo
|rlATEfi: .,
SETJER: -"
CFPTA _ COl.$/ttllITY SYSTE}{ _ PEMTE I.JELL _ CENTRAL I'IELL
CFPIIA
-
CENTRAL SEPTIC _ PftIVATE SEPTIC
-
COttI'?JNIry SYSTfI{
pAY'rlEl{r HETIIOO: _ CAS]I _ C$rCr (PAYAEIE rO uHc) _ AilERrcalt ExpREss _ t{c./vrsA _ DrscovER
****++*+***+++*********!a***:?****+**a***t**********rl*t*t*t,t*{r*,}**:}*+!r**1.**+*+******'tr}+**
'T,;;^:;I ?:I4 r*,il/A **, # ,, # ''u""
,, 7*u, tt 1.. ^7;;jg2 nmo, ftE.1 BFE+2rt= ilj::f(tectr,{l-
$,nnt fub*;c9{o k si,ffgg*exisjin+pr i1{
Ptpi{f *:
?orb-?t{ o
L6-L7 L6NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TyPE.. COIIMERCIAL
PLEASE ANSuIEN ALL QUTSTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responslblllty"
DeIphi Construction
PROIECT ADDRESSi 890 south Kerr unit *4 CIW: wilmhqton
APPLICANT'S NAME:
DEVELOPER:PHONE f:
APPLICATION
Number
(offlce Use)
DAIE:_9!Lt3!JS_
ZlPr284ot
OCCUPANTIBT'SI ESS
PROPERTY OttlNER'S
O NER,S ADDRESS:
Round BaqelNAME :
NAME :
CITY:
PHONE #:
ST:ZIP I
CONTRACTOR: Delphi construction
ADDRESS: 265 Racine Dr. suite 205
EMAIL ADDRESS: defphibulfdersT 58yahoo. com
PROIECT Coi'ITACT PERSON: Michael Bti.sson
LICENSE *: 32689
CITY: wilrninqton ST: NC ZIP:2840s
*| 910-352-6457
*.. 't04-640-144r
PHONE
PHONE
(che* alr rhat Apply)
EXIST CONSTRUCTION: E ALTERATTOI I nerOllrror'r ! cnenar-
lf R€locadon, ls thera a Natural Gas Line on the Cunent Site? l-lves l-l t'lo
neparns I--l RELocATToN
rs BLDG sPR-rMLEReoz flv"" flno
NEut coNsrRucrroN, f] rnecr NEu STRUCTURE I rmr rnlcr f] snelr- f] uerrr f] aoo ro ExIsT sTRUcTuRE
ACCESSORY STRUCTURE:
If UPFrT - The SheU Permit #:
oF occuPAlrcY user I vrs
what is
*rirrr Is THIS A CHANGE
IF Yes, what r.ras the Previous Occupancy Type?
rs Ei.ect Pouer on this Building lI Yes E ro
occupancy Type?
NC REG
DESCRIPTIoN 0F WORK: Cleaninq existing space and adding a exhaust hood behind service counter
ls lood or bevengo p€par€d orsorvsd tn hls Eruawe? EYes flNo bThe Proporty Locatod lnThe Flooddah? ff Yes [!lNo
oWNER/CONTRACTOA' n/lo ft/zos
Gralr.r) (Prt't Ntm)
l{ote: Ddnolltion nodffcaEdrs & 6bo3b6 romoval p€lrnh applcado*a €r! to bo subrnltrod u€ho tlo apdlcdlm lbrm (DHHS-9,68) wh6ther [1o hd[V oa bdl&U w!8 found io
conktn Asb6Bh6 o. not Yolr {€ r6qrli€d io call lhe Ns ord Embllon Sirndsds br Hslddorr. Alr Pollut d. (NESHAP} al (9'!9)707-5950 at ha6t 10 day3 Flo. b t!3
domolhion ot any fadlty oI bulldklo. Soo A6b€stq! Wob Slbr htlpr wr,rr.od.st ao.nc.udopUasbostG/dlmp,t nl
TOTAL PROJECTCOST: $60,000 BUILDING HEIGHT: ZL:-
# OF STORIES: 1
# OF FLOORS: 1
TOTAL AREA SO FT :.I.45- SQ FT PER FLR:
TOTAL sQ FT UNDER ROOF:
-
# OF STRUCTURES:
Exsr LAND Drsrunerno eenlartu fives [lr.ro
SQ FT E(ISTING IMPERVIOUS AREA:
pRopERTyusE: EoFFrcE ElnEsreunar'n f]urncaunle [eouc [nr flcoNoo ornen:.
WATER: ECFPUA [ICoMMUNITY SYSTEM [IWELL flzoNlNc USE ctASslFIcATloN:
sEwER: EI=CFPUA Eicrurnnr- seertc ! i-nverE sEPTrc g-courauunv srorera
*' SEPARAIE PERMITS REQUIRED FOR ELECT, ME(t], PLBG, GAS EQUIP, PREFABS & INSERTS "'
eAvMENT METHoD Ecnsu Ecrrecx (pAyABrE ro NHc) flnr',rrnrcnN o<eness I laausr Elotscoven
(FOR OFF1CE USE ONLY)RE1/ISEO OA1E .l/1
"r
2
ZONE:OFFICER:SETBACKS: F:_LH:_RH: B:
Approva[ Cliy:- DATE: FLOOD:
-BFE+2F
N
<r-(.
(;-.
[3no
the New
ARCH OESIGI{ PROFESSIOML:
ENGR DESI€iI PROFESSIOI{ALI
PH:
PH:#lNC REG
ACRES DISTURBED:
NEW TMPERVIOUS AREA:SO FT
Comment PERMff FEE: $.
'l
ffii
APPLICANT, S NAIIIE:
NEW HANOVER COUNTY BUILDING PERMIT tU- t 3oc+
APPLICATIaN TYPE : COl{ltlERCfAL
PLEASE ANSI.IEN ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
iotb-IFII
APPLICATION
Nuntber
(Offlce Use)
s;gs2 A510312016
pHoNE ry; (423) 490-8385
IVILMINGTON zIP:28405
"Pnoject Responsibility"
VCC, LLC
DEVELOPER:
PROJECT ADDRES5: 86I TOWN CENTER DR CITY:
OCCUPANT/BUSINESS IIME : RETAIL
PROPERTY OI,INERJS ruNMT: CBL & ASSOCIATES PROPERTIES. INC PHONE
ol,lNER's ADDRESS: CBL CENTER. SUITE 500 _._ CITY: M
coNTRAcToR: VCC, LLC LrcENsE x3 68339
ADDREsSI 600 E LAS COLTNAS BLVD, SUITE 1225 CITY: IRVING
*: (423) 490-8385
sr:fN zrP:3'7421-60
sr:fX ZrP;75039-56
*: (678) -510-443 i
*: (404) 227-'1487
El'lAIL ADDRESS: nliacobs(rllccusa.cour
pRolEcT CgNTAST pERsoN: MIKEJACOBS
PHONE
PHONE
(Check AlI That Apply)
ExrsT coNsTRUCTroN: fl ALTERATToN ! neruovnrroru. [_ceruennl
ll Relocallon, is there a Natural Gas Line on the Current Site? f, Yes f]frfo
REPATRS fl nrlocarronr
ts BLDG sPRTNKLERED? f] ves INo
NEt,t coNsrRUCTrotrl: ffi enacr NEr,,t srRucrune ffi FAsr rRAcK @ sHell f] unrrr I noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Pernit #:
***** IS THIS A CHANGE
IF Yes, what was the Previous Occupancy Type?
ARCH DEsIGN PROFESSIONAL: ANGELO CARUST
ENGR DESIGN pROFEssIONAt-: REBECCABROOKS
DESCRIPTION 0F l^l0RK: DARK SHELLRETATLBUTLDING L
fs Elect Power on this Building I Ves Eruo
oF occuPANcY usE) flvrs
l,lhat is
NC REG II:
NC REG II:
9t47
037910
I]l No *****
the New Occupancy Type?
and local lav/s and ordinanc€s and regulalions. Tlte NHC Developntent Services Cenier vritl be nolilied of any changes in th6 approved plans and lbecificar,oni
Subjectlo Fines Up To $500.00"'
OWNEFyCONTRACTOR: MIKE JACOBS stcNATURrl- I,1,,1" ,'' * { "
(Pdnt Nrrro!(QuaIfier) (PdntNrno)
1
(QuaIfier)
conlaln Asbastos or nol. You are lequlred to c€ll the National Embslon St ndards lor Hrzardous Alr Pollutants (NESHAP) at (919)707.5950 st least 10 days prior to lhe
domolltion of any fadlity or bulldlng. See fubestos WBb Slto: hltp:fits^A,, epl.stat€. nc.us/e{i/asbertos/Eh n)p.htrnl
rorAl PRorEcr cosr:'LL15J\il! BU|LD|NG HEIGHT: 33'-0"
ls food or beverages prepared or served in this struciure? flves B f'fo ls The Property Located ln The Floodplain? [ ves ffi No
r. I rlllrrlvvl # OF UNITS:
TOTALAREASQ PT; 11,084 SQ FT PER FLR: II,O84 # OF STORIES:
TOTALSQFTUNDERROOF:11.084 #OFSTRUCTURES: I #OFFLOORS:
EXST LAND D|STURBING pERMrr? flves ElNo
SQ FT EXISTINc IMPERVIQUS AREA; 0.48 AC
PRoPERTYUsE: florrtcE IREsTAURANT ffitraencaruTtlE nEDUc f]ner ftcor,roo orHER:
wATER: mcFPUA flcoMMUNlrysYsrEM flwELL flzoNtNcUSEcLASStFlcATtoN:
SEWER: M CFPUA f]CENTRAL SEPTIC fI PNIVNTE SEPTIC 5 COIAUUruIry SYSTEM
," SEPARA]E PERMITS REOUINED FON EIEC:T. }/ECII. PLHti, (:.AS EOI.]IP, I'REFABS. 8 II.ISENTS '.'
PAYMENT METHoD: ftclstt ffilcHecx (PAYABLE ro NHc) flnurnrcnN ExpREss f] ucnnsn I orscoven
atItrttttlttttttttalitlttatlltarrattrttiitlttiaarattatlltltllItl1rttalltttrttattltittaaatratattIrtlatttltaatt
(FOR OFFTCE USE ONLY)ZONE:_OFFICER: _ SETBACKS: F:_LH:_ RH:_ B:Approval:- City; ---- OATE: FLOOD:
N
DtrE'i,IT trtrtr. q
ACRES DTSTURBED: 3.63 AC
NEW IMPERVIOUS AREA: 2.53 AC SQ FT
MX
/anmmonl
REVISED DAT€ 4/.II/12
NEI^I HANOVER COUNTY BUI LDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
NAME: Thomas Construction Group
DEVELOPER:
PRO]ECT ADDRESS: 101 N.Street, Suite 500
OCCUPANT/BUSINESS NAME: LS3p Associares LrD
CONTRACTORi Thomas Construction Group
ADDRESS: 1111 Military Cutoff Rd, suite t9l
EMAIL ADDRESSi lwilliams@thomasconst.ructiongroup. com
PROIECT CONTACT PERSON: rony Datena
PHONE #:
CITY: lvitminsron
PROPERTY OWNER'S NAME: eejr _ pHONE
OhINER,S ADDRESS: 1OI N.
#:
ST:NC ZTPi 28403
LICENSE il: 51620
CITY: wifmington ST: rrc ZIP:28405
PHONE *2'79e.2295
PHONE #: 199.2295
(check A11 That Apply)
EXrST CONSTRUCTTON: ! ALTERATTON fl neUOVArrOru !,Oerrrennr-
lf Relocation, is there a Natural Gas Line on the Current Site? flYur fl f.fo
REPATRS fl nelOCarrOu
lS BLDG SPRINKLERED? m ves fl ruo
NEtd coNSrRUCrroN: fl enrcr NEH srRUcruRE E FAsr rRAcK I sxer-l @ unrrr f] aoo ro Exrsr srRUcruRE
Brick
?orL4 ttttl
lq.tq.{e--
APPLICATION
Number
(Office Use)
DATE: 1/t/76
zIP,.28403
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #:
**r.r.{. IS THIS A CHANGE OF occUPANcY usE? ilYEs [lNo *****
Is Elect Power on this Building [l ves E NO
What is the New Occupancy Type ?
PH:799.990r NC REG #:
PH: ?91.4000 NC REG #:
9 551
23311
IF Yes, what uras the Previous Occupancy Typel
ARCH DESIGN PROFESSIONAL: LS3P Associates
ENGR DESIGN PROFESSIOML: CBHF Engineers
DESCRIPTI0N 0F WORK: Provide interior upfit for new office space
tvwtrrd, (rnmMm, i
i,bte: Demollilon nodicadorc & asbestos rsnoval pemltappllcatlons ar€ b bo subrnltbd uslng the appllcadon brm (DHHS$:
@ntaln Ast,stc or not You 8.4 r€guired b call the Nalional Embsion Standards fur Hazardous Alr pollutants 6esieey 6ft1
and all other applicable State
OWNER/CONTRACTQFI; raura wj. 1f iams SIGNATURE:
(Oualm6r)(Prlnt l.larn )
i,bte: Demollilon nodicadons & asbestos rsnoval pemltappllcatlons ar€ b bo subrnltbd uslng the appllcadon brm (DHHSltZetl *nLddtt" f"Jfl[ or bulldlng was to
@ntaln Ashtc or not You 8.4 r€guired to call the Nalional Embsion Standards fur Hazadous Alr Pollutarts 6esie4 at\btsizoz+sso a teast 10 days p.ior b rhe
the hclll} or bulldlm was tord m
demolltlon of any fadllty or bulHlng. 566 Asbcbs W€b Slte: htg/\rmw.epl.stat6.rc.us/epyasbsbs/ahmp.hsnl
TOTAL PROJECT COST: s86,000 BUILDING HEIGHT:#OF UNITS: r
TOTALAREA SQ FT : l2Z SQ FT PER FLR: 1222 # OF STORIES: r
#OFFLOORS: sTOTALSQFTUNDERROOF: 69575 #oFSTRUCTURES: T
ls food or bw*agee pr€par€d q str\rsd in this Gtructurez f]ves ffi to b The Pnoperty Located ln
ACRES DISTURBED: O
NEW IMPERV]OUS AREA: o
Exsr IAND DtsruRBtNG pERMlr? ffives Hlruo
SQ FT EXISTING IMPERVIOUS AREA: o
PRoPERTYUse: [prrrcE f]RESTAUmln EuERcANnLE [eouc Enrr lcoruoo orHER:
9IIUA ECOMMUN|TSYSTEM EWELL EzoNtNGUSEC|-ASS|F|CAION:CFPUA ECE}.ITMLSEPTIC IE-NVNTE SEPTIC SCOUUUNITYSYSTEM*" SEPARATE PERMITS REQUiRED FOR ELECT, I..4ECH, PLBG. GAS EOUIP. PREFABS & INSETTTS '-
PAYTI ENTMETHoD: ffcnsn ftcxecrlPAYABLEroNHc) ffluenrcmExpREss f,f ucrulsn floscown
(FOR OFFTCE USE ONLY)ZONE:_OFFICER: _ SETBACKS: F:_LH:_ RH:_ B:a---.-r. AL--
-
Approval:_ City: DATB ff-OOO.
- - -eie+E
SQ FT
WATER:
SE\,VER:
@
@
REVTSEOD TE4/,rn,
^\(a\d
V
[v"" il *o
DISCI-AIMER: I hereby certify that all information in this application is correct and all work will comply with the State Bu
and local laws and ordinances and regulations. The NHC Development Services Center will Ue notitiea of anv chanoes ior chanoe in contractor or contractor iiformation. ".NOTE: Any Work Per{ormed W7O tne AppropriatJpirmiis v;iiti q"e i"Subjectio Fines Up To $500.00.;
olans and soecifications'NC State Bldg Code and
Comment:PERMIT FEE: g_
ffi
APPLtrCAI,IT, S NAII1E I
DEVE LOPER:
PROIECT ADDR€SS: 20 New Bern s:.
OCCUPANT/BUSINESS NAIIE: A14 Aut,o Body & Paint
PROPEfiTY OWNER'S NAI'1E :
OiINER'S ADDRESS:CITY:
CONTRACTOR: Priofessiona.l lq'ri!]t"-enance - Distibutors LICENSE #:
ADDRESS: 8015 MaxwelI Rd CITY: wade
E|'IAIL ADDRE55: atexrieprorna inecr:ip. com
PROIECT CONTACT PERSONi Alex Ryder
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATTAN TYPEI COMMERCIAL
PLEASE ANSI.IER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Pr:c:i. lrss i :rr:a1 Mn.i rti-r.:nancr:
PHONE #:
CITY: wilminsron
PHONE
PHONE s: 91ose1Be1B
ZIP i
5T: nc ZlPl 28395
*:9:"0s919918
(Check All That Apply)
Exrsr coNsTRUCTroN: [J nurenarroH fl nrruovnrroru. fllgnennL REpArRs f] nrtocarrox
tf Relocstion, is there a NaruratGas Line on the current siteu f]ves [ruo lS BLDG SPRINKLEREoz f] ves f ruo
NEtl{ coNsrRUCTroN: fl enecr NEhr srRucruRE fJFAsr rRAcK I sxer-r- f] uerrr f] aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTUf;E:
If UPFIT - The Shell Permi.t *:
*t*** IS THIS A CHANGE
IF Yes, what was the Previous Occupancy Type?
. Is Elect Power oythis Building f] ves
occuPAucY usE? f]YEs ffio *****
l] r,ro
What is the Ner., Occupancy Type?
ARCH DESIGN PROFESSIONAL:
ENGR DESIGN PROFESSIONAL:
PH:
PH:
NC RE6 #:
NC REG #:
DESCRIPTION 0F WORK: InstaI1irs pa1n! !aa!! 1! 4u!S -booy--C-!-Sp
OWNEFICONTRACTORi A I trxa:rtlcr R.vcler SIGNATURE:
(Oudifiw) (Printl'18m6)
contsln Asboslos or not. You are rEquksd to call th€ l.l8uo{r8l Emlsslon ssndsfds for Hsz8r&ur Ar Pollutsrils (NESIIAP) 8t (91S)707-5950 d le6sl 10 &ys prlor to th6
dernolltbn ot sny fscillty or bullding, soe A9b€s16 wsb stts; hfipJ r$,rrw.epl.sr8!e.nc.uy6pi/ssDesto€/shmp.html
TOTAL PROJECT COST: 21OCU BUILDING HEIGHT: f OF UNITS:
TOTALAREASQ FT: ]67.5 SQ FT PER FLR:# OF STORIES:--
TOTAL SO FT UNDER ROOF:# OF STRUCTURES:# OF FLOORS:
F.CRES DISTURBED:EXST [-AND DISTURBTNG PERMIT?[VrS il *O
NEW IMPERVIOUS AREA:SQ FT EXiSTING IMPERVIOUS AREA:SQ FT
PRoPERTYUSE:DoFFlCef]nesreuRANTIMERcANTtLEf]roucfeprfcolloooTHER-
ls food or beverages preparod or served in thls stnrctrre? f]v". fl r'lo ls The Property Located ln The Floodplaint f] yes E no
DISCIJAIMER: I hereby cenify that all infornation in this application is correcl and all work will comp_ly with the State Building Codo and all olher alplica_ble State
inO toiat iaws and ordinance's and requlations. Tre NHC b'evelopment Seru;ces Center will be notificd,ol any changes in ihe approyed pla-ng and-sPeciJications
oi cnanqe jn iohriactor or coritractoiifiioimatron. 't'NO iE: Any Work Performed W/O the Appropriate Permits will 6e in Violation of ihe NC Statc Bldg Code and
Subiect'lo Fines Up To $500.0n'
WATER ECFPUA DCOMMUNTTYSYSTEM DWELL EZONINGUSECI-ASSIFICAT'ION:
sEWER: aCrrUe ECrNrncLsEPTlc flenveresEPTlc fIooMMUNITYSYSTEM
"' :.' \ii ?ir.lL:--- F()tiFli-':)i.lj!:Cfi.Pt.3G.GASLOlllP "'''-iA3S &ll':' ;':"'
PAYI|ENTMETHOO: [CtSn ICITTCXPAYABLETONHC) [nUenrcaNE(PRESS f]UCrVlSe EO|SCOWn
ffi**ffi
zoNE: CS oFFrcER:trrrrl (FoR oFFrcE use oxuft . ,
SETBACKs: r: N /A m::nn: [ilA BIJ/fi
$$
REVISED DATE 4/1
'/12
BFE+zft=
PERMIT FEE: $_
Oftinn Dannrd'n 01n.lf I fi('i't1
. .-vr e..! --
fuproval:*1Q!:- cityLlj,Itl DATE:.
?t'['?14?
15-L902
APPLICATION
Number
ioffice Use)
OA'rEi 2/24/2o).5
ZIP: zeqor
PHONE *:
ST:
Comment )0'r
FLOOD
s,dr("
?arO - zt?gvNEW HANovER couNry BUTLDTNG pERMrr ?eZ b -l1sS
APPLTCATION TYPE; RESIDENTIAL
ffi
APPLICANT., S
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY
OI{NE R ' S
PLTAsE ANS},IER ALI. QUESTIONS APPLICASLE TO YOUR PRO]T(T
"Project Res pons ibil ity"
APPLICATIOT'I
Number
(offi(€ use)
oa,,t r//5NAxE
a,l,
C_
PHONE g:
OITINER'S NAlilE :
ADORESS;CITY: /tt- --
Lrcrr{sE f: 5}/of
5F OTHE R:
'---- zn,E7a
LOT S:
sf tryEzrP t )e./c b
Sr ; .{.Ztp . 25:.-( o.-
*: ?rzr..t 2f Sflt
*: 71o >zs S -f l8
El.tAIL ADDRESS:
NEt^I CONSTRUCTION:
* 'PLEAST CHIC( AND
! lrr oanncr st
! suraoor.r _ sF
fl cnrrruxousr _ sF
?o "1
! oer oannce SF
PHONE
P HONE
RE LOCATlON
! rnrcr NEW REsTDENcE o" pfi-oorrrol ro ExrsrrNc REsTDENcE
ANSWER BELOI.J ALL THAI APPLY TO YOUR PRO]ECT:
! roncx 3 t> o
I sroRaer sHeo
5F
! eooL
! orcx
SF SF
TOTAL PROIECT GOST rr-ess Lo,) : $ 2o f- # OF STORIES: / -/.rs Any cLEcTRrcAL, PrutitBrNc or titEcHrNrcAt- r.Jork Being Done to the a((essory stru(ture? El f"s ! ruo _./_If the project is a Relocation, is thene a Natural Gas ,!!e on the current site? [v", p],(6
Is thepe Electrical por.Jer on this Buildingt l-"1 ves ffiruo
pRopERTy usE / occupANcy t ffi*uo* rlr,ulv I ouelrx ! Toh,NHousE
DESCRIPTIoN oF t{oRK: 4t2O ,4<o't.r- 2,,-cA o/l*z'-- Sk a,12=g1l/..s
TOTAL HEATED SQ FT: ^O-- TOTAL SQ FT UNDER ROOF:, OO TOTAL AREA SQ FT: 5C)
and oldinances and regulatbns. The NHc Devebpmenl Servi€es c€nlerwiltb€ norifi€d olanychanges in l,le approved ptans 6nd speciticalions o;change in contracbrorconuacio, inhrmElion'-NOTE AnyWork,/O h€ AppropriaE Permirs wittbe in Viotation otlhe NC Srab B!!g4ode eld Subrect i., Fines Up To 550000..,
SIGNATURE:
EXISTING II4PERVIOUS AREA:
NEW IPERVIOUS AREA:
PUA
CF PUA
ZONE:
Approval:
TOTAL ACRES DISTURBED:SQ FT
5Q FT
i'* sEpAltATE pERlitlTS REQUIR[D FOR ELECT, tlECH, pLBG, 6A5 EQUIp, pR€rABS 8ItJSrRlS,,.
PAYIIENT itETHoD: I casu I cHrcK (pAyaBL€ ro ,l*rc I I or,rt*raon .**.r, E nalrrro I orscor.*
* * ,* * * * * )* ,* ,i * ,* ,i * * * * * * ,i * * * * * * * ,* * * * * * )* * * * ,* * * * * * * * * * * * * * * * * * * * * * * * * ,* * * * * * ,r * * * *
(f0R orftcE usE o{LY)
SETBACKS: F: LH: RH: B:
fiEVlSED DArI 04l ] r/ 12
ExIsT LAND DISTURBTNG nrnmrr, I yes [--l rc
! communrrv svsrrm ! pRrvATE taELL I crrrRnl wrlr
n crnrnar srerrc f] pRrvArE sEprrc fl communrrv svsrrn
OFFICER:
BF E+ 2ft =
PRolEcT CoNTACT PERsoNt :7;.// ,-x 2Re t t
EXISTING CONSTRUCTION: ts
/ U lp.rtl Nareli{i,.1{,t,r,.{.{..r*" r {{ *,i,rt*r{r**+,
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
Comment I
City:_ DATE:F LOOD:
ttv/'
PERMIT FEE: $ /),
CONTRACTOR:
ADDRESS:
PHONE $:
tttTl,^ -
?oru-?l\q
1 6- L946
APPLTCANT'S NAIIIE:
DEVELOPER: .URBAN
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; COWERCIAL
PLEASE ANSIIJER ALL QUESTI0NS APPLICABLE To Y0UR PROIECT
"Project Responsibility"
ROB ROMERO
BUILDING CORP.
PROIECT ADDRESS: 1013 NoRTH FouRrH srREEr CITY: l,IILMINGToN
occuPANTIBUSrNESS
PROPERTY 0hltrlER'S
OI{NER'S ADDRESS:
NSiIE: ACTIvE ENTERTAINMENT/LIFE sTAGE FILMs
NAME: DAVE NATHANS
CITY: wILMINGToN ST: IrTc ZTP:.28401
CONTRACTOR: TIRBAN BUILDING CORP.LICENSE #:
APPLICATION
Number
(Office Use)
DATE:-q@.-
PHONE *: gto.taz.otqt
ZTP: zeqot
PH0NE *: 9L0.i62.07.47
516 NORrH 4Tti
ADDRESS: 516 NoRTH 4TT{
EMAIL ADDRESS: dave,,r:urbanbuildinqcorp. com
€ITY: wILMINGToN ST: NC ZIPI zeaot
*z gto.tez.olal
#2 91,0 .i62 -0747PRO]ECT CONTACT PERSON: DAVE NATHANS
PHONE
PHONE
Exrsr coNsrRucrroN: I ALTERATToN g *r*lifii!;li 'E^3'r1l*0r- *roor*, f-l nerocnrrou
lf Rebcarkrn, is trere a Natural Gas Line on ttre -current Site? [vFS ruo lS BLDG spfriilxlEnED? E yes $!ruo
NEt{ coNsrRUCTrorrr: I rnecr NEhr srRUcruRE E FAsr rRAcK f] sHell @ unrrr f] aoo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
Is Elect Power on this Building ffi Ves El ,,to
oF occuPAr{cY usE} flves
What is
PH: 9Lo.22e.3L3i NC REG #: 12250
PH: 910 .27A.3747 NC RE6 #:23933
SNo *****
the New Occupancy Type?
DESCRIPTION OF I,JORK: RENovATToN oF ExrsrrNc BUTLDTNG rNTo BUsrNEss spACE
If UPFIT - The Shell Permit #:
**{.** IS THIS A CHANGE
IF Yes, what uas the Previous Occupancy Type?
ARCH DESIGN PROFESSIONAL: RoB RoMERo ARCHITECT
ENGR DESIGN PROFESSIONAL: MCDOWELL ENGINEER]NG
b ftod or berrcagee pr€pa€d or sanrod h tlrb sfiucfrre? ffv"r Eilruo b Tte Properry bced h The Floo&hin? ffives E ruo
DISCLAIMER: I hereby certify that all information in this application is correct and all work willcomgy with the State Building Code and all other applicable Strate
and local laws and ordinances and requlations. The NHC Develooment Services Center will be notified of anv chanoes in th6 aooroved olans and Sbecifications
or change in contractor or confactor iiformation. -".NOTE: Any Work Performed W/O the Appropriate Permiis will 5e in Violati6fi of the NC State elag Code andSubjectlo Fines Up To $500.00.*
OWNER/CONTMCTOR: nave NATHANs SIGNATURE:(QurlifEo (Pir,tth{rE)
Note: Dernolilon nodfk atbns & sb€sios lgfovd pqrnit 4plhalhrls ars b bo ssrnii3d uGho tlo edien fm (DHHS€768) wtrelher tho hcimy or buiHhg yrs iomd b
con0ah Asbeatc or nd. Yor are rcquimd b cal the Natiold En*sion Sland{ds lor Hazandous Af Pohr0Ents OESHAP) at (919)ru7.5950 6t l*t 10 days prla !o the
darnolton d any bc-ilty or hdding. Sce Asbeefioe Web Siler hupr f,wiif.qi.Sb.rralr/€d,hDeee/Brnp,htnl
TOTALPROJECTCOST: $30, ooo BUIIDINGHEIGHT: 15'.Ou
TOTALAREASQFT: leoo SQFTPERFLR: 18oo # OF STORIES: r
#OF FLOORS: rTOTALSQFTUNDERR@F: lBOO #OFSTRUCTURES: T
Exsr l-Ar.tD DtsruRBtNc pERMtr? ff ves ffilNo
SQ FT EXSTING IMPERVIOUSAREA:
PRoPERwUsE: EPFFIcE nREsrAURAln flMEncArtrurc [eouc flapr f]coxoo orHER:
wATER: ECFPUA f]COMMUNIIY SYSTEM [V"Elr f]ZONtNc USE CLASSIF|CATION:
SHI\IER: EOFPUA flcENIR tsEmc [IPRIVATESEPTT flcoMMUNlrYsYsTEM*" SEPARATE PERMITS REOUIRED FOR ELECT. MECH. PLBG. GAS EOUIP. PREFABS & INSERTS -*
PAYMENTM florscoven -f;.S
(FOROFFICEI SEOI.ILY) RE\n'EDDAlE4flfi2 ]a4ZONE:_OFFICER:_ SETBACKS: F: LH:_RH:_B:_ C',^tApprovafi CIIy-DATE: , FLOOD:- BFE+2t=_ a"
#OF UNITS: r
ACRES DISTURBED:
NEW IMPERVIOUS AREA:SQ FT
COnrnent PERMIT FEE: $