AUGUST 25 2016 BUILDING APPLICATIONSNEId HANOVER COUNTY BUILDING PERMIT I6-tqs'?APPLICATTON ITPE: RESIDENTIAL
PI.EASE AiIS}JER ALL QUESIIOI{S APPLICAELE TO YOUR PRO]ECT
"Project Responslbility"
APPLICANT'S NAT4E:
DEVELOPER:
PROJ ECT
SUBDIVISION:
PROPERTY OI,II'IER'5 I'lAt4E i
OWNER ' 5
CONTRACTOR
ADDRESS:
! surunoom _ sF
! cneewouse _ sF
LrcENsE s: -(baa I
.iir, ul_ffi-_ rr$gae 6s1_o3
EIiI,AIL ADDRESS:
PROJECT CONTACT
EXISTIT'16 CONSTRUCTION: ! nlrenerrot ! nenovnrrot ! celenlr- neelrns I RELocATToN
NEte coNsrRucrroN: [[ enecr NEhr RESTDENcE or ! morrror ro ExrsrrNc REsroENcE
+'PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
! arr crnncr SF
CITY:
sr I noncu
-sF
! sroRace sHeo
OTHER:
PHONE o, (oZl€i1q -?
sr,@iQ71t I
PHot'lE *r a5(-oO3 <
PHONE S:
l-l oE t cnnncr
dP@L\2YA;-
I o:cx _ sr
TOTAL HEATED SQ FT: _ TOTAL SQ FT UNDER Rq)F:
TOTAL PROIECT COSTtuossr.orr g 39.11S S OF STORIES:
DUPL EXa-TOI/.JNHOUSE
EXISTING IIIIPERVIOI,IS AREA:
-SQ
FT
NEW IMPERVIOUS AREA: _ SQ FT
ZONE :OFF ICER:
TOTAL AREA 5Q FT:
Is Any ELECTRICAL, PLUI4BING or fiECHAIiIICAL Ho.k Being Done to the Accessory Structu"elS yeS E
If the project is a Relocation, is there a NatunaL Gas Line on the Cunnent Site? [Ves
Is there Electnical Power on thls Building?(ves Ito
PROPERTY usE / OCCUPANCYT fl SrruClr rm,lrrv tr
-ts
NO
E*o
f6l-r*JOESCRIPTION OF WORK:
5to1616,-.
andodinBncessnd logulaions Ih€ NHc oevelopment seeices c€trler wrllbcnoulied otany changes in lJ)e approved plans end speolications or change h cont.a.Dror
connsct)rinbrmaton'_NOTE:AnyWorkPsrtormeOw/Otir,AppropnatePe.mr(swdrbernvoraronolrheNCSla€AEgCodeandSubjeclbFinosUpIo
ohINER/coNrRAcroR: *-lD \2- \ r\3El.\.\Of,[]br1\srGNAruRE :
rs rHE pRopERTy LocArED rN a rlooorlanl I vrs El *o
TOTAL ACRES OISTURSED:
ExIsT LAND DISTURBING PERMIT: E VrS I riO
HATER: dcFpuA f] cor"ruurrrv svsrem ! pRrvATE wELL f] crrurRnl we ll
sEwERt dcFpuA I cerurnlr seenc f] pRrvArE sEprrc I commutrrv svsrem
r" SEPARATE PERI4IIS REqUIREO FOR ELECT, ilECH, PLB6J GAS €QUIP' PREFABS & INSERTS *TT
pAyr,{Er,rT r'rETHoD: E clsn E orec* (PAYABLE ro xxc; I menrcal :xeness E]r.rclvrsl I orscoven
,t***'l+,i*ritIr*,r!**,i***,*it)t*)i1!**'rri)i**I*x,r*ri*i.*1(t(,r,i,tt*r(*+*,*,r!r***,****rt,t,t****:t,i*,i***+*t**t*****
(F0R OFFr(a (rSE 0r1LY)
SETBACKS: F: LH: RH: B:
Approval:
N
iEVISE0 oaIE 04l11/12
8FE+2ft=
lalb'bgl{l
APPLICATION
Number
(offic€ Use)
oorr, Sloa\ \ cl
rI
SF
SF
Conment:
City: DATE: FLOOD:
PERiIIT FEE: $
i
tuirlr.ry'iitflcb'
APPLICANT,S NAME:
DEVELOPER: Verizi.'
OCCUPANT/BUSINESS
PROPERTY ONNER,S
OWNER,S ADDRESS:
CONTRACTOR:
ADDRESS: .:rr, ,i-L
EItlAIL ADDRESS: .
PRO]ECT CONTACT PERSON:
iCheck I\Il That Apply)
EXrST CONSTRUCTTON: E ALTERATTON I nrruOVArrOr'r I eerurnnr- REPATRS f nrlOCnrroru
tf Relocation, is there a Natural Gas Line on the Current Srter [-l Ves I l\]o lS BLDG SPRINKLERED? il
NEI,J coNSTRUCrroN: I rnrcr NEW srRUcruRE f] FAsr rRAcK I sxrr-r- [ uerrr I noo ro
PHONE #:
5T:
80tt 1fl47
1- 6- 1zz9
APPLICATION
Number
(office Use)
!1i:
|, I , i. i
,.1H
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
pLEA!E ANSTnER ,1Lr QUISrI0\S ADpLIC,IB.E T0 yOtJR pRr]IECT
"Project Responsibility"
:1 .. . r ....j i:..1 CITY: ',i .... -
DATE: -.: l -r-
NAI4E:
NAIttE:
ZIP: -'J.'
:lud-i,, l ir
C]TY:
PHONE
PHONE S: ir3-
ZIPI)',, ,)
ST: r.r ZIP: :t 'r r4
f: .' ,.- :'r-.-t-,r .
LICENSE
CITY: ,: '
ves ffiruo
EXIST STRUCTURE
'. rr ;t,i -.,'i:'-.ACCESSORY STRUCTURE:
If UPFIT - The 5he11 Permit #:
***,** IS THIS A I
IF Yes, what was the Previous Occupancy
Is Elect Power on this ouilding ffi ves t*o
CHANGE OF occuPANcY usE? nYES [5lss *****
Idrat is the New occupancy TyPe?
PH:
PH:
Type ?
ARCH DTSIGN PROFESSIONAL:
ENGR DESIGN PROFESSIOML:
DESCRIPTION 0F WORK: ,"'-
IJC REC #:
NC REG #: -j:!;i
ls food or beverages prepared or served in this structurel f ves ffi ruo ls The Property Locsted ln The Floodplain? f ves ffi ruo
andlocat lawsandordinanceiandrequlatrons TheNHCijevetopnrerrtservicesCenlerwrll benorit,edof anychangesinth6approvedplqnqandspecrlications
or ihanoe tn contractor or contractor iiformatron. " IOTE: Any Work Perlorned W/O 1[e Appropriate Permris will be in Violalion of the NC Slate BIdg Code anrSlbE;Y;Fi,i;U;iiisloA0bx- -;'^a-- \.-;"- Z-- .- r r - .- .Sublect"to Fines Up To $500.00"
OWNEFYCONTRACTOR:SIGNATURE:
(Quslif er)
contain Asbestos or not. You are equired to call the Nauonal Emission Siandards to( Hazardous Air Pollutants (NESHAP) sf (919)707-5950 at least 10 days prior to the
demolition ot any facility or building, See Asbesios Web Siie: httpl/ww.epi.state.nc.us/epi/asbestos/ahrnp.html
TOTAL PROJECT COST:BUILDING HEIGHT:# OF UNITS:
# OF STORIES: N.,.a
# OF FLOORS: r:ra.
TOTAL AREA SQ FT : t',SQ FT PER FLR
TOTAL SQ FT UNDER ROOF: :, .. # OF STRUCTURES:
ACRES DISTURBED: :.,:
NEW IMPERVIOUS AREA: r.SQ FT EXISTING IMPERVIOUS AREA: i: '.:,
pRopERTyusE: noFFrcE f:RESTAURANT [uencnrurlE nEDUC f]nrr fcolroo orHER;
EXST LAND DTSTURBTNG PERMTT?f,lveS t *O
wATER: [f CFPUA ff COMMUNITY SYSTEM f]WELL flzoNlNc USE CLASSIFICATION:
sEWER: fICFPUA fICENTRALSEPTTC l_JPRTVATESEPTTC DCOMMUNTTYSYSTEM
"' SHPARITTE Priit"'llTS RFQJIFID FQii EL;CI i'liCH. "-Bl]. GAS aQUIP FrRiii:AB-q & rr{STFIS ^'pAyMENr',=',:::;.H::::-F..::::i:::f.:::":i:]-.-n...y::::::::::::H"::::l f o scovrn
(FOR OFFICE USE ONLY)REVISED AATF 4J11112
ZONE: OFFICER SETBACKS: F:-LH:- RH:- B:
Approval;_ City:-
Comment
DATE: FLOOD: BFE+2ft=
l' ,.?
SO F]'
N ^^-o
PERMlTffie,$ il.,Ll'
c i+^UI
&
APPLICANT'S MIiE:
DEVELOPCR:
NEhI HANOVER COUNTY BUILDING PERMIT
AwLIcAfIoII TYPE: RESIDE TIAL
PLEASE AflSllfR ALt- gJESTroltS AppLTCABLE TO YO,R PROIECT
"Project Responsibility"
^l rl
(e.r#lb-Dr,s
}ot1o-tt'lt'l?
APPLICATIOI{
t*.der
(Offtc. Usc)
oo'rrr'slrllc
PKr E #: n tO Z CZ 7Cz,r
PRO]ECT AIDRESS:
SUBDIVISIO :
CITY:ZIP:2a.rd1
*: _ LOT *:
PROPERW O'{ER,5
(AER,S AIDRESS:
rurE: El,z,rs4t \on^H Plo*E *: 1,0 t, l7 ,tql/
2tot" < Ch*rcl;,lt 6,1., .n o lrn sr: A{ zrP : 2 s rJo3
CO{TRACTOR:
AIX)RESS;
EiIAIL ADORESS:
PRO]ECT CO TACT PERSoiI:
EXTSTT{G COiTSTRUCTTON: ! lrrrnArrO !
Ehl C0{STRUCTTO :f] enecr ilEr REsrDEncE
*'PLEASE CHECX
! rrr cauer
I sur,rnoou SF
TOTAL HEATED SQ FT:
PROPERTY tlSE /
DESCRIPTI(II OF
A ShIER
OCCUPAITCY:
l,lC{K:
SF
LTCENSE *t blot0crrv, NB
-
srz NL zrPz2xt{to
tr: q tD zbl 4.-14
*z 4to ?t,t qat"/
I cneeruouse ! oecr
TOTAL sQ FT U DER R@F: LBO TOTAT AREA SQ FT:
TOTAL PROIECT COST rcss ro z t 1e,ooo * OF STORIES:
Is Any ELEGTRICAL, PLtIiSIllG or ttEClUlt{IGAI- Hork Being Done to the Accessory Structure? E
If the project is a Relocation, is there a Naturral Gas Line on the Current Site?
Is there Electrical Power on this Building?Mves [-.lno
d,,*,,rar.rr lv I u:elrx
BELq{ ALI TIIAT APPLY TO YOT'R PRO]ECT:
sF ! oer canne r ,, f,**., 2 80 sr
f| noor- _ sr ! sroue r srro
OTHE R:
! roumrouse
lort. awtLral
I __J
REilor'ATIor{ ficeleml neearns ! RElocArroir
o" P[ mrrror ro Exrsrr{G REsTDEME
SF
SF
OISCLAiIER I heeby cerlit llat al ht malioo h $is appkalon b conecl aod EI rcrk wil comply wit| h€ SraE Ardding Cod6 ad at o$er ?plicabb StaE ld bcal laws
tld ddhilc€s tld r€oulalbns. The t{HC Da\/€bpn|ant Sarvi:6 C6nb. wil b€ nolfed of ay cheues h he approwd pbs dd spoctfcaibrle or ch&06 in contr&Dr ot
contebr hbmalon. "'l{OTEj Aoy Wort PerbIIIpd w/O lle Appopriab PerniB wll b€ h Vbhtibn of Ul€ NC StaE-Dnnu Lon, o,lu
-
o {ER/COTTMCTOR:SIG ATI,'RE :
(p.tnt raie) /*,1*,* )* )* * )r {. *,t {.:r,*,r ***{,*r, * **** f*+}+ iai-{*i **'********* * * * *,,* *:},} :} + a *+*
TOTAL ACRES DISTURBED:
P}OT{E
""t f,n'fives firio
EXISTII{G IITPERVICI'IS
IIE}I IITPERVIqJS
xnrrn' [|7raua I
Srwen: [[creua !
AREA:
AREA:
sQ Fr
SQ FT
corriuNrry svsrrr,r ! pRrvArE I{ELL f] cerrur wrll
CENTML sEprrc ! enrvlrr seerrc ! co,rflr;rrry sysrErir
*1+ SEPARATE PERI1ITS REqJIRED FOR ELECT, MECHI PLBG' GAS EQIJIP' PREFABS & IIISERTS ***
payrlerr f,Ehoo: f] osr I orrot (p vABLE ro mr; flomnrclrr rxrness E rrcn rsa I orscorn
+++a**,!+++.1ttt++,htttt:l,i*,i't:i:l:*tt ,3:t+,t++,!'t++rt*,t.tt+a+'t'i:t*:t:rr,*:r,ir:}:.:|.r*:*,r,r,*a*:r,r+a:a,*++a++,****:*t
EXrST LAI{D DrSTURBrrtrG prmrrr: l--l vrs l-l no
/ REVI5ED OAiE U/11/r.2
nrir 10,' er15'
7llr1- BFE+2ft=
-
it
PERITIT FEE: I2s44ts-Corment
filnpection ,910-
PHOt{E
IS THE PROPERTY LOCATED IIiI A TIMOPUTI{T VES rcfLrn
RECEIVET)AUG 1 - 2010
zotL-9'iL3
f c-aa33
rusz:
APPLICATION
Number
(office Use)
"9,
NEW HANOVER COUNTY BUILDING PERIYIIT
APPLI1ATIqN rPE, RESfDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOIJR PRO]ECT
"ProJect ResPonsibilitf'
AppLrcANPs Ni|,l{E, tYJfinl€tJ AA(L C0il,findqle..) LL<- oarez 7-Zt-2o/6
DEVELOPER:PTONE #:
pRolEcr o* ctw h/rrrauvarav zw: 2&/6
:- ,^--- ,.
-
-4SUBDIVISION: /,TUTIfrCc.BLOCK #:
-
LOT S: fZ
pRopERTY oil{ER's nmet CHrzr.c hllp€rt,tont , P}lo{E #: ?" -fn:?Y
ohlNER'S ADDRESS: l,o ,Arx lnge cn STt pcz\Ptztvo(
co.lrRAcroR: lt.lfiTrfiu (722 a4)57' "cr<-
LrcEt{sE *:
ADDRESS: tttrt --@--ct1.' Ard@ sr:ag zrprL?Ltf?'
EmArL ADDRE5S1 /yturTie M|TT#A/ /A(4->pl,ogaucno; . Cor4 PK)ttlE #: qn-f"4-o(31/
pRolEcT corrlrAcT PERsoN: (hntr curt- PHoNE #: ?tQ - fZ'/'ot =c/
ExrsrrilG co,tsTRucrroN: f] alreRrrrou f] neruovnrron flerrurmr- REPATRS f] ne locarroru
NEhr CONSTRUCTTON: I eneCr NEht RESIDENCE or KADDITION TO EXISTIT{G RESIDENCE
*TPLEASE CHECK AND ANSIIER BELOtt, ALL THAT APPLY TO Yot R PRoIECT:
f]nrr GAMGE
-
sF I orr GARAGE sr fl noncH
-
sF
I sur'rnoom
-sF
I enrrNuousE
-
sF
E noor- ?y'O sr fl sronace SHED
-
floecr
TOTAL SQ FT UNDER
SF OTHER:
ROOF:
SF
SF
TOTAL AREA SQ FT:TOTAL HEATED SQ FT:
ToTAL PROIECT COSTTT-osLor) I $ 2'{roro # OF STORIES:
-
Is Any ELECTRICAL, pU,rrBMG on HECHANICAL tJonk Being Done to the Accessory Structure? [l Ves f] ftfo
If the pnoject is a Relocation, is there a Natural Gas Line on the current sitei Elves fl Uo
rs there Electrical Power on this BuitdinC? Xl Yes ilruo /
occupANCy: [tsrHer-r FAMTLv f] ouelex flrowrunousr
waq:t: Z-AJ5,.7 LL /ft/ 6y'ot/N? f\rruntl/f,c /o<t L
PROPERTY USE /
DESCRIPTIO{'I OF
DISC|J\IMER lheEby certjfy hatatl inbmauon in his applicstion is corect and dl workwillcomplywi$ fie State Building Code and dt oher 4plicable StaE and locsl lsws
and ordinancss and regulations. The NHC Devolopmant S€ruices Cenbr will be notfiod of any chsnqes in he approved plans and spsifcations or chanoe in contracbr or
conbrcbr infumation. '"'NOTE: Any Work Perfomed w/O he Apprcpriate Pemits will b6 in Molauon ot the NC StaE Bldg Code and Subject to Fin6s Up To $500.00"'
Ol.lNE R/COI'ITRACTOR :
(Print Nane)+'**:t ,i.rilt+,t {.,F'l.*rt**,t*,****,t**,lr***{r{r+****r,l **+,1.*{.**{r*:l**'i:i**+*'F**
rs rHE pRopERTy LoCATED rN A FLOODpuarrr f-l vrs p-xo
EXrSril{G rr4pERvrGrs *eaz ) I m- sQ n rorAL AcREs DrsruRBED: >l A-
NEhI IMPERVIU,'S AREA: 7 I *C q TT EXIST LAI{D DISTURBIiIG PERIitITs F*] VTS ffi NO
r.rATER: El-crpun ! coruunrrv sysrEM f]enrvnre wrr-r- fl cENTRAL uIELL
sEr,rER: E[cFeua f] cENTRAL sEprrc flenrvnre sEPrrc fl commururw sYsrEm
**. SEPIBATE PEEIITS RE(IJIRED FIOR ILECT, tlECH, PLB€, GAS EqUIp, PRESABS & II|SERTS *r*
*"1.T.l:'xT;...x.'ffI-.8.1Tl.f1'fl.'.r.Yl..H:511'#.:l:111'....?.1T::1...8:f::"'
ZONE: _ OFFICER:
(FOR OFFICE USE ONLY)
SETBACKS: F:
REVISED DATE O4111,112
LH: RH: B:
CFrr<Czcil
)
i:.ffi
*tkIAIF- .
.:
i
ffi
APPLICAI{TJ S
DEVELOPER:
NEW HANOVER COUNTY BUILDING PERT',IIT
APPLICATION TYPE; RESIDENTIAL
pLEASE AllSl{ER Att QUESTTONS APPITCAEIE TO YoUR PRolECr
"Project ResPons ibil it!/'
lppr-rFlrror
Number
(Office Use)
crrvt /rtla)- sr.&zr?t Zgqo/
PHONE r: q/o-21 q - t3V?
PHONE $:
NA,4E :
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERTY OT{NERJ S
(MNER, S ADDRESS:
CONTRACTOR:
ADDRESS:
LICENSE #:
EI'iAIL ADDRESS:
PRO]ECT CONTACT PERSON:1a- c.t <-
NEW CONSTRUCTION:
*IPLEASE CHECX ANO
flarr erRrcr
I sunnoom
-
sF
! cnr rrHouse
-
sF
PROPERTY USE /
OESCRIPTION OF
w6-
ZONE :OFFICER:
Approval :- city :- DATE :
I
PERMIT FEE: $
20rc- g',lL7
lu - z3+)
oartflll!L
*t ?to -L-Zq-t 7q?t
ztq : 23'tO I
tt cl1O-22q -(34c1
* ;/LLzrP t - 9'Lh I
ExrsrrNc coNsrRucrroN: ! nlrrnnrrotl f| nrmvrrron ! crnenll ntcarns fl RELocArroN
E rnrcr NEll REsTDENcE o. ! aoorrror ro Exrsrruc REsTDENCE
ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
SF ! oer crnnce sr E poncn
-sF
! eooL
! orcr
SF
SF
f] sronree sreo -otn*: Pr'e r SF
SF
TOTAL HEATED SQ FT: /) TOTAL 5Q FT UNDER *OO.: 916 TOTAL AREA SQ FTI qflf)
TOTAT PROJECT COST(ressrou : $ 25 DOl)OF STORIES: I
Is Any EI-ECTRICAL, PLUilBIl,lG or ECHAT{ICAL work Being Done to the accessory Structure? ffi V"t I Ho
If the project is a Relocation, is thene a Natunal Gas Line on the current site? [ Yes fl No
rs thene Electnical Po$ler on this Building?(lv"t f]Ho
SINGLE F lv !ouelrx ! rowruHousr
Corl r.n t (
DTSCLATMER: thereby cenit hal aI anbmation in bis appticarion is conect and all work willcomply witl fle Stale Building Code and all oher apPlicable Stab and local laws
and ordinances and regutarions. The NHC De vetopment Se ruices C€ntsrwillbe notfied olsnychanges in lhe approved plans and specifcalions orchange an conrraclcror
Subi€cl tr $500 ocr"
IS THE PROPERTY I-OCATED IN A FLOOOPLAIN? E YES [-='I UO
contaclcr nbma[on ".i,IOTE Anv work Perromed WO ,hP ApproriaE Pemils will be rn violai'on ol lhe NC Slsb Bldg
owNER/coNrRAcr r*, / / r// /l 7/rral.^ srGMruRE: /
EXISTING IIiIPERVIOUS AREA:
NE I PERVIOIJS AREA:
SQ FT
SQ FT
(FoR ofrra[ usE oNLY)
SETBACKS: F:
TOTAL ACRES DISTURBED:
EXrST LAND DTSTURBTNG PERMTT: E vrS l--.l lto
iEvlsEO DATC 04l11/12
LH: RH: B:
*rrrrfr creun I coMMUNrry svsreu I pRrvATE ttELL I crtrnnL wrrl
sEwER:RcFpuA I crtrur srn[c I PRrvarE sEPTrc I commuHtrv svstttl
*** SEPAIIATE P€RHITS REQUIRED FOR ILEC], MECH, PLB6, GAs EqJIP, PREFABS & INSERTS IT'
pAylrEr{r }tErBoD: Ecos, Ecrr.x (PAYABLE ro lncl I arlrnrcAN ExpREss fl n.rurso I rrscou.*
,t,t,l,t,t*,********,| ,}*)t**,t* !t t *,* ***rt *,f * + !* * ,r ,*,i *,t **,t* )t:l * )** *,t ,* * )C* ** * ** * *,* )t * * **** *,* *,| * * * )t'** * '* '* ** * !r
B FE+2ft=
comment:
FLOOD:
PROIECT ADDRESS: 4601 Gordon F.d
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COAMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Coastal Construction Servlces, Inc.
CITY: wifminqron
?rlt, 8,+E+
APPLICATION
Number
(office Use)
DATEI 01 /29/2aL6
PHONE #:
,
I .trt'I fifl
APPLICANT,S NAvlE:
DEVELOPER:
zTP2 2eALt
OCCUPANT/BUSINESS
PROPERTY OWNER,S
OIdNER,S ADDRESS:
NAlvlE: Buy euick
NAME: Kahtid Saleh PHONE #:
515 9 Favetvi- l Ie St CITY: Durham
LICENSE #: : :
CITY: wilminston
ST: NC ZIPi 211t3
CONTRACTOR: Coastal Construction Services, rnc
ADDRESS: 6643 Gordon Road
EMAIL ADDRESS! beckvGccsiofnc.com, iarodGccsiofnc com
PROIECT CONTACT PERSON: Jarod Fornes
ACCOUNT #:
PHONE
PHONE
ST: uc ZTPI 2B4tL
#i 9to-256-4452
#: 910-859-0556
EXrST CONSTRUCTTOru: ! ALTERATTON
lf Relocation, is there a Natural Gas Line on the
(Check aII That APPIy)n nruovarroru n eeuennl
-c*r"n, sitez [ve?E uo
REPATRS ! nelOcnrroru
lS BLDG SPRINKLERED? Elves [ ruo
NEhr CoNSTRUCTTON: I rneCr NEht STRUCTURE E FAST TRACK ! Snelr- ! Uerrr I aoo To ExIsT STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The SheII Permit #:
***** IS THIS A CHANGE OF OCCUPANCY usE ? n YEs [El No *****
What is the New Occupancy
Is E1ect Power on this Building I ves E *O
Type ?
DESCRIPTION 0F WORK: Erect
ts food or beverages prepared or served in this structure? flves ElNo ls The Property Located ln The Floodplain? fi ves El No
DISCI-AIMER: I hereby certify that all information in this application is correct and all work will comp,ly with the State Building Code and all other applicable.State
and local laws and ordinance's and requlations. The NHC bevelopment Services Center will be notified of any changes in the appro-ved plqnq and specifications.
or chanqe in contractor or contractor iiformation. .'.NOTE: Any Work Performed W/O the Appropriate Permifs will be in Violation of the NC State Bldg Code and
Subject-to Fines Up To $500.00...
OWNER/CONTRACTOR: arthur e Geen SIGNATURE:
(Qualif,er) (Print Narne)
cutain Asbestos or not. You are required to call the National Emission Standards for Hazardous Air Pollutants (NESHAP) at (919)707-5950 at least 10 days prior to the
demolition of any f;acility or building. S€e Asbestos Web Sile: http:lhruw.epi.state.nc.us,/epi/asbestos/ahmp.html
TOTALPROJECTCOST: 3OO,OOO BUILDINGHEIGHT: ZT
TOTALAREASQ FT i 3451 SQ FT PER FLR: . r r # OF STORIES:1_
TOTALSQFTUNDERROOF: :qSI #OFSTRUCTURES: I # OF FLOORS:
ACRES DISTURBED: 0.85
NEW IMPERVIOUS AREA: 31218 .25
EXST LAND DTSTURBTNG PERMTT? [ VeS E ruO
SQ FT EXISTING IMPERVIOUS AREA:
pRopERwusE: EoFFlcE ERESTAUMNT @UenCnrurLE EEDUC EAPT lCOnoO OTHER:
wATER: ECFPUA fICOMMUNITYSYSTEM EWELL EZONTNGUSECT-ASSIFICATION:
sEWER: EICFPUA ECENTRALSEPTIC LIPRIVATESEPTIC fICOMMUNITYSYSTEM
*- SEPARATE PERN/ITS REOUIRED FOR ELECT, I\,4ECH, PLBG, GAS EQUIP, PREFABS & INSERTS *-
ZONE:OFFICER:SETBACKS: F:-LH:_ RH:- B:-
PAYMENTMETHOD: ICASH [CneCx(PAYABLETONHC) [arU-ACCOUNT flnaCnrtSn [OrSCOven
(FOR OFFTCE USE ONLY)
Approval:- City:-DATE:- FLOOD: BFE+ffi=-A v
J=*r,, ,=:,JZ l ZComment
IF Yes, what was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOML: Goodrich Architecture
ENGR DESIGN PROFESSIOML: McDowelf COnsuLtinq Ensineers
PH: 910-343-1065
PHi 9I0-21A-31 41
Nc REG #i L
NC REG #t 23933
# OF UNITS: r
SQ FT
REVISED OATE 4111112
RECEIVED AU6 9' lOS
NEt^, HANOVER COUNTY BUILDING PERHIT il
aPPLICAfiOfi rYPE; RESIDENTIAL
PLIAST ANSIIER ALL 0jT'1I01,l5 APPLICAALE TO YOJR PRO]ECT
'Project Responsibitity"
\'t
L-_ r / ,.{t IL. ll
C*
ffi
PRoPERfi Ol.ll{ER'S
OtrlNER'S ADoRESS:CIIY: Nex York-|-:. t)"rr< Av.., I rrd F-_crr
lllAllE: Brooi( taube PHOT{E s: l::..,:!1,-3.9!!-
sT: IL zIP: f .i5:
sr i I9_ zIP: .3.1L!L
*r .9,l.L-9.q.g.-g.l-1-9-
#: -9:!-35!--!-11:-
COI'IIRACTOR: clavLon tsrr!! and sons, r.c LICENSE *: lJNEl,D33520 /
ADDRESS: ?o tsox 2e CITY: Fayettseville
E|'I!AIL ADDRESs: rbritr@spaandpooloor ld. com plto E
PTIONEPRO]ECT CONTACT PERSON:Marv Beth rlaire
EXrSrr?rG coNsrRucrroN: f] nlrtRruoH I ReHovarlott I erltenal REPATRS I RELOCATTON
EW CONSTRUCTTO , E] rnrcr NEll RESTDENCE o" f] mOrrrOl TO EXISTING RESrDEi{CE
rIPL€ASE CRECX AND AII5I{ER BELOhJ ALL THAT APPLY TO YOJR PRO]€CT:
fl arr eauce sF D otr eaaacr sr DPoRcH
-sF
fl sronre r slrED
-
sF
OTHER: SF
co.ra.br inbrmaDon- '"NOTE: Any wo.k F!.rorned w/O &e AppropriaF Pc.nns willbo io Vkrblion ol lhe NC Slab
-4WI+ERKONTRACTOR: uary iiei h ii,i.e
I5 TTE PROPERTY LOCATED IN A FLOODPLAIIIi N YES [ rc
EX1ST]NG IIiIPERVIOUS AREA:
NEW IMPERVIOUS AREA:
I surunoor,r
-
sF
I cnr elHouse
-
sF
p noor-
! oecr
93r 5F
SF
TOTAL HEATED SQ FT: N/A TOTAL 5Q FT UNOER ROOF: !I3- TOTAL AREA SQ FT: 931
TOTAL PROIECT C05T rr.." rort : $ r::,goo $ OF STORIES:
15 Any €LECTRICAL, PlUltgI G o. tltcllalllcal t{ork Being Done to the A(cessory Stru(tu.e} f] Ves I ffo
If the p.oject is a Relocatj.on, is the.e a Natural 6as Line on the Cu.rent Site? [ves Ilo
Is there Electnical Powec on this Building? [v"t nlo
pRopERry usE / occuPANcY; I srrerr rmrrv f] DUPLEX n rotJNHousE
OESCRIPTION OF WORN: l4qlqqrld co!s!e!! E1{iq!1
DISCLAIUER lns.eby cenit harall inbrmataon m fiis arplicatioo is conec! and all worl ri! comply witr he Slal€ Burldng
and ord6.n.€s and regul,rions. The Nt{c l>velrpf€nl seryaes cenbrwll b€ nol,lied ol any changes n lre a9ptoved
sQ Fr
SQ FT
TOTAL ACRES DISTURBEO:
EXIST LAI.ID DISTURBIT{G eenrrr: I YES n NO
lrArER: fl creun I coH'ruNrry svsftr'r E] pRrvArE WELL I clHrnar- w:t-r-
sEr,rER: f] crrua I CENTRAL sEpTrc ff-r*ruor, ,rorra 3- coMrit NrrY sYsrEM
pAyrErr nErHoD: LJ Casx L-lcHrcx (PAYAELE ro ruc; I orenrcm rxrnrss I r'czvrsa I o:scov:n
(aoi oFFr(f rJsE orLY)
SETEACKS: F: LH: RH:
REVISEo oArt A./11/U
B:
Approval :- City:-
ZONE:OF F ICER:
BFE+2ft=
N
PER'NIT FEE: ,
lorr"o- g48E
ll.
APPLICATIOI.I
Nunber
(Ofti(e use)
AppLICANf,S Ml,lE: Mary Beth Haire
DEVELOPER i James a Burris ColsL:.uclion conpanv PION€ +: (91c) 586-5e7c
PRoIECI AODRESS: 29 sardy P!ir!CITY: Hilriilrqlorl ZIP,. zat ').
SUBDMSION: Fiqurt 8 lsiand SLOCK *:LOT *:
Corment:
DATE: f LOOD:
,i
e
NEW HAI{OVER COUNTY BUILDING PERI{IT
APPLI0ArI(N IypE: COi4}|ERCIAL
PLIA5E AirSt{ER ArL Q{ESTI0}'5 ApPLICAE|"E TO yfiJR PRO]CCT
"Project Responsibilit!/'
Cl,{t"J t- l!'
PROPERTY Oi.II{ER.,S NANE: }-Iit-h
0lilI{ER'S ADDRESS: b_8*X ?#*fi
COTIITRACTOR:k{* {nn'lrac{ors
ADORESS:
EilAIL AIX}RESS:
PBO]ECT C$ITACT PERSOil:
LICEITISE *:
Lll-ootq
(Chrck All 11111 lpplf)
Exrsr colrlsTntrrrolt I ALTERATTo{ fl aercrrarror fl cqxenn REpArRs I ner-oarrot
It Relocdon. is ihere a Natural Gas Line on the cilnenr sire? n vFtr r,r"
- -
'J
aioc
-spn1il*ii*ioi
fi-_ """ I Nt
IrlEl{ co}lsrRtlcrrot{: fil enecr ilB{ srRt cruRE E FAsr rRAcK fl *relr- f] unrrr I am ro Exrsr srRucrunE
ACCESSORY STRTICTURE:
If UPFIT - The Shell Permit f:Is Elect Pouer on this Building f] Ves El nO
ot occuPlr{cY usE? EyEs
PROFESSIOI{rI|-: -.J.i"** _""""\.nfr*rqt"}* .. __ . pH:(lro
px,ftgylS:g,gl3- ilc REG *: ?te83
Px: (f!$5t"-z:97-el ilc RE6 *: &5"g3l*
DESCRIPTION OF I{)RK: -{^s*all }'1o1e !r'*hic frunrlo*'on
ls tuod or berreragffi prepoced or eered ln tila stnrctrrer f]ves [tNo b The Propety Locarod ln Ttra Floodptatnt fJ ves E *o
OWNERYCONTRACTOR:SIGNATURE:
lqs{ {p,hr}lrE}
..... IS Tl{tS A c}lAllGE
IF Yes, rfiat ras the Prevlous Occupancy Type?
ARCH DESIGN PROFESSIOilAL:
Eit6i oE5l6il
Hhat ts
conrhArtcstosornd- YoU uc.tqulrrd b cd lhc t'ldorul Emkhn StandsrdE b.Hannbur AJr Po[uo*r {ff€Si{Apr.t totgi?orr-SCs0 !r l..d i0 dryr ffd'a U,"demolltlat o( any fadIty * hrnang. S.. A!b66 U{bb Slt : }&rnwil.6d.rild..rc.rrsrrpprsbardafrnp.}rtni
TOTAL PROJECT COST: qOO OS,#* BU|LD]NG HETGHT: . 2{# OF UNITS: b
TOTALAREAsOFT: lsooo SQFTPERFLR:-{-8oog .* #oFSroRE*,*_-1:
TOTALSOFTUNDERROOF: IEOqq- #oFSTRUCTURES. T
-
#oFFLooRs:T
AcREs DlsTURBEDr | ' S3 el(sr rrND orsrunBtNc pERMlr? ElyEs D No
NEWTMPEHVTOUSAREA 5b 312- _saFT A(SnNctirpERvtousAREA , ..,." Cl _,,,,,,,,.- . sQFT
PRoPERwusE: UFrHce f]nesnunnr-n ffuencnr'rnr-e fleouc Eeer fJcor.roo orHER
YIE!t E!!I|9A flcoMMUNIrYsYsrEM EWELL fJzoNtNG usE clrsstFmroN:
sEWER: Eicrpur elcerurnru-sEr"nc fl ph'rvnresepnc trE6MMiiNnysisreu* $EFARATE PERMITS SEOUIRqO FOR ELECT [IEO{, PLBG. GAS EQUIP, PREFAES E INSERIS -'
PAYllEtlrMETHoo: fJcesn [lorecrlpAyABLEToNHc] fiemencalrp<eREss fitucrvrsn floscoven
(FOR OFFTCE USE ONLrl RE\tltEDD IE'lflInzZONE: OFFICER: _ SETBACKS: F:_LH: RH:_B:_App-latr-cir!. ,:**mTE-.FLooD:_ BFE+zF.
H
PERMff FEE: $_
lntti - t5o
1
APPLICATIOIT
Itlun0er
(Offlce Use)
DATE:
Pr{oilE *:{l.lq}g: I -1{
PHOilE
PllOt'lE
PllotrlE
[ilo tttt'
the iletr Occupancy Type?
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*: {3lc)3L&:EI.A
Comment
mpr.iiarr,s iurllE:
OEVETOPER:
PROJECT ATX)RESS;
occupArtlT/BuslllEss NA!{E: ot"sh) LLc
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