NOVEMBER 4 2016 BUILDING APPS2otL- lo139
RECEIVED SEP 3O 2OT
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIOI,I TypE: RESIDENTIAL MOBILE HOME
PLEASE PRINT CLEARLY & ANSWER ALL QUESTIONS
RoNlJ Cq "Project ResPonsibitity"
)
7az
APPLICATION
Number
(office Use)
APPLICANT,S T,IAiIE:
DEVE LOPER:
PRO]ECT ADDRESS:
SUBDIVISION:D?ro
PROPERTY OWNE , S NAIqE :
OWNER,S ADDRESS:
CONTRACTOR:
ADDRESS:
EMAIL ADDRESS:
DATE
PHONE *:czp .2841)-
BLOCK S: LOT *t -27
'L/sPHONE #: *G
*,@zw@8/
ICENSE *: ,/t/ ?- accouttr *:
CITY:*,a14tt:z /f
dg 66
trr6
ITY:
E
CITY:
PHONE #:
-$PROJECT CONTACT PERSON: D.FPP I cR fnonn.so^.:,PHoNE #: /7?4-il4
(CHECK ALL THAT APPLY)
f| rrsrarr NEW r,loBrLE HoME pffiEiocarrot oF usED r4oBrLE HoME
DESCRIPTION OF I,JORK:Perug-s maBrt-{ LLng Ag>. Sarns5z;
)g0 SIGNATURE:
fi H.SaP
wiilbe in Vrcla[on ol$e NC Srare Sldg Code and Subjed ro Fm€s Up To t500.00-
OWNER/CONTRACTOR:€tn.
rs rHE pRopERTy LocATEo rN e rloooeurml I v
pRopERTy usE/occupANcy: pd-esrorNce / orHER?
es [fm-
HUD LABE L:
YEAR I,IADE:
6tra,7-43-e3-43 wrDrH:/4 LENGTi T
I,4ANUFACTURER:FtEETa-hb SERIAL
COLOR
*: G4FLfr54/13fratE
HURRICANE ZONE: ! ,dZZ 3 s oKE DET
DECK: I ves ffno sF poRCH: I
ECTOR;YE s E ruo GARA6E: I v*ffiia _ sF
SF
* )t )t )k** * * *,t,1)* )t l.)t* )i )i )i )* )* )t )t +it++* ***)t* **,f *)* )t*)t* )t )*)t* )t )*:t + * )t * )t)i*+** )i )t* )t**+*,t *)t *,f **)*+ r* )*
YES
TOTAL PROIECT COST (Less Lo0: $ 5t5OO, .'rorAl AcREs DISTURBED: UO
EXIST LAND DISTURBING PERTYIIT: I-]] VES I- II rIO
WATER:
SEWER:
CFPUA
CFPUA
coMMUNrry svsrerrr ! pRrvATE wELL ! crrrul we rr-
cENTRAL sEprrc ffixlaru srnrrc-! coMMUNrry sysrEM
*+* SEPARATE PERIiIITS REQUIRED FoR ELECT, |4ECH, pLBGr CIAS EQUIp, pREFABS & TNSERTS +*+
pA\'nE''rr EmoD'
....tr*:::....5:::::..r.'.:::.::::]....5 BrLL Accou'i''|r fi mclvrsa Iorscovrn
(Foi oFFrcr usE oriLy)
t'****'r RtvrsED 4/12112
ZoNE : _ oFFICER:
Approval:_ City
SETBACKS: F:_ LH: RH: B::_ DATE: FLOoD: _ BFE+2ft=
E-eD ,,
Comment :
N
PERMIT FEE: $?,Oclv
$Y,ff
furL -qqx>
15 -27 C4
,!l
APPLICANTJ 5 II],:: ,I:!'IOI II
:r.vii0pERi
NEI.J HANOVER COUNTY BUILDING FTRIITT
APPLICATaI': r!l.i COfll'f RC:AL
i'lrisa , .- ::
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APPLICATION
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,ta:rt:I arllr.i !: - ,
!. aUPANT/81:-la! iq ..'' r
:200
r":': - : -':)
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I 1a:::r5t r,:
, rl-.. .,..
Pltoflf *: 1!::L'r].'
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1$9
*
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or^uJ *, -
PH:-.. #:
tf,lAM-rlEss: _.
lC:i:5C"', l:rl':-:":l
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(ch.c. A:r rhat irrly)
EXISI (."tr,.,a'r'a'i AL i i.i,.,iti3:l f-:Etlor,r:::l - 6t\:laL PEPr.i!i t -gcrrl!
rRotn..'i-r.isherea'1.,r:. Gost,ineo :|:'i.1' "tt )'t i -, ''. i-,. H. 1.\flil)G':'i 'l ':-:'!8iYes..,'No
NEW COt\j!tRut-lar!: :- ERECT l"/FW STfiUCiXRE
-l r;\lr lalcx 1* srr;1. --'r - ' ' i-', it t{r-i ICTURE
..ri. is i.- a cti-J,-:t or,',:.'iPtncY lrt.: -
,ot E'-'- "
:t Ye9, r",1 xas the Previ^lr! oc.L|r',l.Y TyPe? ,- what is th' 'iet] C:'rrp": Typel -
fc.-]. " a :1,
ARCH )ta rir Plo iii:ari-\t: rr
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Is :l:ct Prl.lr on "i:i 81rilrllng 'i'Y{l! l\c
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pAyMFrrr f.lrlloD: il,_.r.rr"i l-_'1gHg6K ipAy.(p1i To NHC) l-l q.y,1p:rgnfi gy,,ct:ss .-'r,rcnrtsa .. -;oisco,.,l:
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NEhI HANOVER COUNTY BUILDING PERIITIT
APPLTCArIAN TYPE: C(}II,IE RCIAL
PIEASE ANS}IER ALL QUESTIO},IS APPLICABLE TO YOIJR PRO]ECT
oProject ResponslbllltY'
0otb-qqa?
L6-27 04
APPLICATION
Numbe r
(offtce U5e)
APPLICA}IT, S NAI.IE:ravror simms paff3 09/ 16/ll
PHd{E *: (91.0) 66?-3063DEVELOPER:
PROIECT ADDRESS: 510 carolioa Bav Dr. #200 CITY: t{i.r mlnq ton
occuPAnr/Bus INESS NAriE: NunDelee Pediatric Cfinic
LICENSE S:
crw:SI: _ ZIP3 _t
PERSot{:
(che.k all That Apply)
EXrST CO STRUCTTO{'I:ALT ERAT IOI'l RElor,tATIOt'l tr 6ET{ERAL REPAIRS REL()cATIOiI
lf Rolocdbn, is there a Natural Gas Line on the Current Site?n Yes tr No lS BLDG SPRINKLERED?I
EREcr [Et'l srRUcruRE ! rrcr rmcr ! sxer-l urrrr I ArD To Exrsr srRUcruRE
SQ FT PER FLR: 2ND: 20 6?0
NEt'l CONSTRUCTIoI'I:
ACCESSORY STRUCTURE:
If UPFIT - The She11 Permit #: oBB137 Is Elect Pover on this Building [} ves I tto
ARCH DESIGT{ PROFESSIOI{AL: Angela Falk PH: (910)397-3618 ltc REG *t L2'199
EI{GR DEsIGll PROFESSIOI{AL: David sims PH: (9101 191-8016 ttc REG *: 7138
DESCRIPTION 0F |,{oRK: uP-FIT OF EXNM ROOMS oI'FlCES AND SUPPORT EOR NUNNELEE PEDIATRIC CLIN]C
h food or b€yeragG pr€ps€d or ssved in this *rnnef [Ye" @ ruo t" tt" e.po y Located In Ths FloodCain? E Yes I No
the State BullCing Code and allolher apdicable Sare
aoci
aM
RE:
(ou.lrlL.)
tldo: Osrnollton nodficatlonG A o3b6io6 rgnorBl ponhtt.pdhadoru .rE b ts st nltbd r.rctE Aro spdlcdoo iotm lidlr.y d h.lldho was hfid b
codah Arbsioo or not. You 6rc lcqullcd to celllho llstlonal Enbsloo Sl'|.h.ds ror Haadqa Ar Hut8.r3 .t(91 .t lct 10 days prto. to tl€
dfirdltlon of dty irdllty or bulldkrg. S.. Asbaar6 Wob S16: htSJ rv'w-od.3t3to.nc.u6/@Uasb6to6/3hmp-ht nl
TOTAL PROJECT COST:
TOTAL AREA SO FT : ]&.3.q9--
ToTAL SO Fr UNDER ROOF: llp;!q_
# OF SToRlEs: 2
#oFSTRUCTURES:1 # OF FLOORS: 2
Exsr rAND DrsruRerNe penurr flves [ ruo
pRopERw usE: EloFFrcE lnesraune n [uencnr\rnLe ! eouc I eer lcoNoo OTHER:
WATER: EICFPUA
SEWER: M CFPUA
.. SEPARAIE PERMIIS REOUIRED FOR ELrcI. MECH, PI.3G, GAS EOUIP, PREFAAS A NSERTS -'
pAyMENr METHoD: flcesx flcneo< lenvnalE To Mlc) fieuenrcr,n o<eness I ucnnsl fl orscoven
ves fltto
D CoMMUNITY SYSTEM flWEtI DZONTNG r,rSE C|-ASSTFTCATTON:
E c=lnnnr- seprrc I elTvere seenc EcoMMUNny sy€TEM
(FOR OFFTCE USE OlrY)REVISED OATE /U11fi2ZONE:_OFFICER:SETBACKS:F: LH: RH: B:Approval:_ Citli:_ DATE: FLOOD: __ _ BFE+2ft_
AVN
,'--;.,:},(&,
zlP | 28403
PROPERTY OHI{ERrS MltE: New Hanover Regional Medical center P}O E *: (910)343-7000
ohrNER's AoDREss: ry clw: JilailgL- ST:JLZIP:2!I!L
Pt(f,{E *:
PHO E f:
*.... rs rHrs a cl{ rleE tr ocoJparcy rsrr fiws flrc ....*
IF Yes, *lat rlas the Prevlols occupancy Typ€,
-
l.lat ts the lla (kcupancy Type?
-
BUILDING HEIGHT: 34 ,_8" # OF UNITS:
ACRES DISTURBED: _
NEvv IMPERVIOUS AREIi:
-SQ
Fr EXISTING IMPERVIOUS AREA . -
-
SQ FT
Comment pERMtT FEE: $_
NEW HANOVER COUNTY BUILDING PERMIT
APP L I CAT IOTI N,PE: CO.IIIE RCIAL
PIEASE ANSIER ATL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResPotlsibiIit)t"
iljamu)tb*qqa\
APPLICATION
Number
(office use)
ApPLICAHT, S NrNIE: lay.l or Simms
DEVELOPER:
PROJECT ADDRESS: 510 Carolina Bay Dr CITY: wilminqton
occuPANT/8U5r'IESS NAIIE: Nunnelee Pedlatric clinic
PROPERW OT{IER,S t,IAiIE :Net, Hanover Reg ional Medicaf Center
OiINER'S ADDRESS: 2I31 s. I /Lh sL.CITYi wilmington
CONTRACTOR:Monteith Construction lrcrmr *: 43319
ADDRESS; 32 N CITY: Wilminot
OATE. A9/t6/16
Eront St
sT: !i ZIP:284C1
sr: NCzrp:28401
EruIL ADORESS: tgoreGmonteithco. com PHONE *:
PHONE *:PTO]ECT CO{TACT PERSON:Thomas Gore
I43-29 6- 451 4
8 43-29 6- 45'7 4
ACCESSORY STRUCTURE:
EXIST COI./STRUCTION:
lf Reloc€tion. is there a Natural
NEt.t colsrRucrro{: I enecr NEI'I srRUcruRE I rsr rmcr ! sltt-t-uerrr ! ADD To Exrsr srRUcruRE
If UPrIT - The she11 Permit #: 088137 Is Elect PoHer on this suilding E Yes [ rc
rr|.. rs rHrs A cHAl{GE oF ocorpar*cy user ff vts I
IF Yes, uhat ras the Previous Occupancy Typel
-.""....................-
lfiat ls the ller. occupancy Type?
ARCH DESIGN PRoFESSIOML: Angela EaIk PH: (910)397-3618 t{C REG *: I2199
Ei{GR DESIGN PROFESSIOTIAL : David Sims
DESCRIPTION O F V'IORK: UP-F]T OF EXAM ROOMS OI'FICES AND SUPPORT FOR NUNNEIEE PEDIATRIC CI,INIC
ts 6ood or beverages prcpsred ff s€.ved ln this gruauref Eyes EI No ls The Property Loc8t€d ln Tho Flooddain? E Yes EI No
(Cneck Alr That A?PIY)
ALTERATToN l-l Remvnrrol [-l erlenal neplrns J-'l RELocATrotl
Gas Line on the Eirenr site? EY;E No ts aLoc sprn- xrEneoz [} ve. [ ruo
DISCLAIMER: I hereby cerlrly lhat all information ln
and locallaws and ordlnaFcesand reoulallons. The
o. cMno€ ln contraclor oI contractor lhformatron "'
subjedlo frnes up ro $500.00"'
liis aoolicaLon is correcl aod allv/ork willcomdy wilh tl€ Slale Building Code and allolhel applicable Slate
NHc b;vebDment servkcs Cenler willbe nou:lled ol anv chinoes ln tle aoDroved olaDs and soecficalions
NOTE: any Woa Pe.formod \iV/O l,lo Appropnate Permils wal 5s ln Violaijor!.6Bhgxgsiale Bldg Code andG-OWNEFyCONTRACTOR: Thomas Gore / Monteit.h- SIGNATURE
l€arl 10 days prlor !o th6
TOTAL pROJECT COsr: 91, 975,00 0 BU|LD|NG HEtcHT: 34'-8"# OF UNITS:
TOTAL AREA SQ FT :18 800 # OF STORIES: 2
TOTAL SQ FT UNDER ROOF: :]!i]!]- # OF STRUCTURES:# OF FLOORS: 2
ACRES OISTURBED:Exsr LAND DrsruRsrlc penMtrr nves f] r.ro
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA
pRopERryusE: EoFFrcE flnesmunA.n lr,rencarmle f]eouc !as1 lcoNoo OTHER:
.. SEPARATE PERMITS REQUIRED FOF EI,reT, MECH, PL8G, GAS EQUIP, PRETABS & INSEIiIS -'
(FOR OFFTCE USE Ott-Y)REVISED DATE {I
'12
SO FT
pAyMENr METHOD: [CaSn f]CXeCr leeVasU rO HnCl f,]aUenrcAN EXPRESS I l,rCrUSA f] OTSCOWn
ZONE: OFFICER:SETBACKS: F:_LH:_ RH: B:
Approval:_ City:_ DATE: FLOOD:--_ BFE+2F_
AVN
Comment PERMIT FEE: $_
,r'.i -:..
,". ' I l.-tr,i ,
PTONE *: (910)667-3063
ZIP;28403
PHONE *: ( 910 ) 34 3-1000
PH: _.lLl!lf3l:!!I_ Nc REG #: fl19__
/ {Pif,rir. )
SQ FT PER FLR; 2ND: 20,670
WATER: mcFPUA fl coMMUNnY SYSIEM -WELL ElzoNlNG UsE ctAsslFlCArloN: _
sEwER: fi cFpuA E cerurnal seprrc flR-nvrre sepnc flfuMuNny sysrEM
NEW HANOVER COUNTY BUILDING PERMIT
AP PLICATIO N WPE : RESIDENTIAt
PTEASE ANSWER ALL QUESTIONS APPLICASLE TO YOUR PROJECT
"Proiect Responsibility'(office use)
APPLICANT'S NAME:Eric L Lazzati 10t10t2016Date:
PRoJEcr ADDRESS: 21o1 Auburn Lane
suBDtvtstoN:
Cny. Wllmington ztP
PROPERTY OWNER'S NAME
oWNER'S ADDRESS: 2101 urn
Jose Hernandez PHONE #:917-587-085
Cny. Wilmington ZlPl
Lazzari Construction lnc
ctTy. Wilmington
-pHo
e 910-200-418-
BtDG LICENSE #: 58894
sr. NC;;:54T-CONTRACTOR
ADDRESS.
,145 Shipyard Blvd
EMATL AooREss: eric.lazzari.construction@gmail.com
Eric L Lazzari 910-200-4187
n StoraEe Shed (SF)_
n other {sF)
PROJECT CONTACT PERSON:PHONE
EXISTING CONSTRUCTION: E Alteration = Renovation ! General Repairs
NEW CONSTRUCTION: ! Erect New Residence A Additionto Existing Residence ! Relocation
**'}PIEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJ ECT'I"T *
tr Attcarage(SF)_ D Detcarage(SF)_ ! Porch (SF)
E sunroom (5F)tt+tr Pool (sF)
D Greenhouse (SF)_n Deck (5F)
ls the proposed work changing the existing footprint? O Yes tr No
TOTAL Sq Ff UNDER ROOF lJot ptoposed wo.k) Heated:114
TOTAL PROJECT COST (Less Lot)12,500
ls the proposed work changing the number of bedrooms? E Yes f No
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes El t{o
lftheproiectisa Relo(ation, istherea NaturalGas Line on the current site? El Yes E No
ls there Electrical Poweron this Building? E Yes El No
Property
Descripti
Use/ Occupalcy: E Single Family E Duplex E Townhouse
on of Work: EnClOSlng Screen POrch.
laws and ordinances and regulataons. The NHC Development Seruices Centerwillbe notified ofanychanges in the approved plans and specifications orchanBe in contractor
information.'+TNOTE: Anywork performed withoutthe appropriate permits willbe in violation ofthe NC State BldS Code and subject to fines up to 5500.00.+.
Owner/Contractor:ee6- L. LAzzazl Signature:
"Licensed Qudlifie/' Print Nome
lsthe property located in a floodplain? El yes El No
Existing lmpervious Area: _ Sq Ft Total Acr6 Disturbed:
New lmpervigus Area:
--
Sq Ft Existing Land Disturbing permiti Et yes Et No/-
WATER: EIICFPUA E Community System E private We D Centratwell El Aqua
SEWER: dCFPUA E Community System E private Septic E Centralseptic E Aqua
Zone: _ Officer: _ Setbacks (Fl _ (tH) _ (RH) _ (B) _
Approval: _ City: _ Date: _ Flood: (A) _ (Vl _ (Nl _ BFE+2ft= _
Comment:Permit Fee: S
-'\.a ,-{)
eot\, tDszLEmai*n^ {oeqd7
LOT f: _n dlel
Unheated:
Ap p L t c Ar t o N rypr, R rsr DE Nr wt ff*\t# I A1 6r,"d,,^
Pr-EAsE ANswtRALt ilil ::,t#j;fffrtroYouR
PRortcr 2afi 6i#1-$\
APPLICANT'S NAMT:
PROJECI ADDRTSS
SUBDTVISTON
PROPERTY OWNTR'S NAME
OWNER,S ADDRTSSJ
CONTRACTOR
Ll Att Gara8e (sr)
crw \S\o-*ta-- zrp 2-Q>b3
n**
PHONT I.,
c ITY : \ \-\:\$.^-.x.-tI...,.J zrP:att(O-
L)
BI.DG I.ICINSE fi
\Jsi \. ^+i-. 6r: tscjlP. ?84Cj3ADDRESS:C ITY
TMAIL ADDRTSS PHON T
IXISTING CONSTRUCTION: t'Alteration fRenovalion U General Repairs
Ntw CONSTRUCTION: fl trecl NewResidence I Additionlo [xislin8 Residence fl Relocation
.1*PLEAST CHECK AND ANSWER BTLOW ALL THA'T APPLY TO YOUR PROJECT*'*
L1I ID Det Garage (sF)E Porch (sF)
D Sunroom (sf)! Pool (St)E storage shed (st)-
! orher (st)
\.(B lll 167
tl creenhouse (SF)
-
/Deck (SF) -{Gf€t----
ls the proposed work changin8 the existin8 foolprint? ffves I t'to t ->?
TOTAL sQ tT UNDr R RooF (lot ptoposed wor*) Heated: &&)uns".r.a
Auu tFAvtrS
Property Use/ Occup
Description ol Work:
ancv: [fsin8le Family f! Duplex E Townhouse€Nao,E (oKCr\ KO^ovqv Kr',[c\.r6Ir
Ah5(€R
AND $fifd$oos
laws and ordinintes and teBUlalions The NHC Developmenl Services Cenle, wall be nolrli€d ol any chanee! an the approved plan5 and speciticalron! or chan8e in (onlra(lor
rnformalron. "'NOTt' Any work perlormed withorrt the appropriaie permils will be in vrolation ol lh€ NC Slale Bld g code and tubie.l to trnes up to S5o0 o0"'
Owne,/Contractorl SiBnature:
"Licensed Quoliliet" Prnt Nome
ls the property located in a lloodplain? f) ves E/t'to
txislinB lmpervious Area Sq Ft Total Acres Dislurbed:
New lmpervious Area: _ Sq Ft Existing Land Disturbin8 permit: fl Ves E No
WATER: ErCFPUA ! CommunirySystem E privateWe D Cenrrat Well E Aqua
STWER: E}.CtPUA fl Community System E privaleseplrc f) Central Septrc f) Aqua
Zone: _ _ Ollicer:_ Setbacks (r) _ (tH) __ (RH) _ lB) _
Approval:,- _ Ciry:_ _ Dar€:_ ftood:(A) _(V)_{N) BtEr2lr=
_ Permit fee: $__Comment
i1 m!
oate, -\Q - \ €' t(a
pRorrcrcoNrAcrpERsoN:\-$p.oA-e\LR=\^, "f*.-E\
-pHoNE
G-ZO-GZ<f^
ToTAt PRoJECT cOsT (Less tor): S 40. CfX:
ls the proposed work chanBinB the number oI bedrooms? D y., g/no
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure MYes E No
l{ the pro.iecl is a Relocation, is there a Naturat Gas tine on the current site? E ves Eldo
15 there Eleclrical Power on lhis Buildin8? /v", D no
/r,7.Ott -trotAZ
ta-T45
I
APPLTCATTON
Nunben
(OFfice Use)
DA:.E; /b 3l ' /b
PHOTIE #
APPLTCANT'5 IAI'IE:
DEVELOPER;
PROSECT ADDRESS:
SUBDTWSION:
r-?
PROPERTY OtdNER,S MITIE: '{"t z-rt { :r,r re l*a e
a).OZZ.
CITY: !o,Grtxz.rl -ZIP:.2?ttal
PnoNE *: (*) las'azzd
sr:.\!aaP. 2r.14
ACCOUI,JT *:I
BLOCK #: r or :tr.
01,{NER'S ADDRESS:
coNTRAcroRi J q (.i-li
ADDRESS:
EIT1AIL ADDRESS:
Fr crry: u,._), I
Sudtrt (n{t,- e LICEIS E #:+
I 6L{Y\
SIN€LE FAMI LY
rt N( zrpt !S:!9(qc) 4/,,i -ALL,
CITY i L),'k*5
t)tt a PHONE #
PRolEcr coNTAcr prnson, Ju[PHONE
EXISTII{G CoNsTRUCt-roN: n AL
NEl,l CONSTRIJCTIO}I. I ENrCr NEh} RESIDET,ICE ," I AOUITTOTI TO DCTSTING RESIDENCE
**PLEASE CHEC( A D ANSI{ER BELOX ALL THAT APPLY TO YOUR PRO]ECT:
flerr canaoe _ sF I orr ernrce SF f, ro*.r, '{oo sr
suNROo4 _sF
GREENHAJSE _ sF
PROPERW USE / OCCTJPAIKY:
DESCRIPTION OF WOR(: .|I
oaY,\t I sronacr sueoI oecr
SF
,, ur*w.l
REyIS@ OATE O4l11/!2
:/'(/A B r-l /4
BFE+2ft= _
N
PERHTT FEE3
SF
TOTAL HEATED SQ FT3
-
ToTAL SQ FT UNDER RooF:
-
ToTAL AREA sQ FT: 4oo
TOTAL PROIECT C05T 6ess rory t $ 4, <loC # OF STORIES:
rs Any ELEcrRrcALr PLUABTNG or r4EcHANrcAL r4ork Being oone to the Accessory structqre? f] ves f,fuoTf the project is a Relocationr is there a Natural Gas_,/.is Building? [,,J ves I I
Line on the cunnent Site? f]v"s f] lto
NoIs thene Electnicaf power on t
SF OTHER:
t!{
DUP LEX f] rowruuouse
f *o
oIs
rEguladons. Tho NHC Delelopment Servic€s C6nEr lviI b6 notconir&br intrftnaton. -NOTET Any Work pertm€d W
ol{NER/coNTRAcToR : Jotr ?
t'i1,a-,.n-/-
canj, &at all hblm.ton h tlis app[caaon b corecr snd s[ yo* vjI compty A1o SElo 8uildiflg Code
c-x'v3 r7n-!
SIGT{ATURE :
****l: *+** ******* +**+ ***+**
TOTAL ACRES DISTURBED:
fi€d of€ny cianges h ho appov€d pt n6and
wllb€ in VroLlioo ofheNC SEb Bdg Cod€
and 5[ otio{ appgc€bla SEb .rld bcal larac
specifc€dons or ctange in contaor or
and Subj{rct b Fin€6 Up To S50O0O-
/d.4-
x ** +*** *** *** + * **** ** * ** ***(iiTl {ili} * * * *** **** *+*++*+ +x*+ x** x
r5 THE PROPERry LOCATED IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA: _SQ FT
NEN IIiIPERWOUS AREA: -- SQ FT
YE5 El r.ro
B(IST LAIO DISTURBIT,IG PERI.{TT: T-l YEs fl r'ic
ITATER:CFPUA I cowullrw svsrer"r I pRrvArE urELL
sEhlER: El cFpuA fl CENTRAL sEpTrc I enlvare senTrc
CENTRAL I.,IELL
coi4f,lUNIW SYSTEI14
.t" sEp$rATE pERArTs REqUIRED FoR ELECTT |{ECH, pLBGr qAs EqUIp, PREFAES & ITSERTS *s,pAynEr{r r,rErHoD: [ .asn f] .arcK ('A,ABLE ," ;".t - ;;; *"-,ii- ' [ *.rirlo**5-or..*r*)t ** * *** ******* * **** ** **'L**** ** *i.*** *:*:t**:* *:**it **I*++* **** *** **** **** **** * r* * **:r ** ** **r(* **
ZONE:r1D OFFICER
coallnent.; .1-zL
CKS: F:'b n,-t/t-_--.- SEI-BA
: Aats s1;-1, t</A,/tU F LOOD:,t/fr
(foR oFflaE USE €{tL
R]-JAporova.l: a.i r,
<,<: o a-l{
C44 /y1(4 -r7- SJ,
X
7 AcCe; rANcZ (p41+
(irry lnspecilon Reourieo g10.2i4.0\
i'{a ?tan3 -
NEW HANOVER COUi.I'TY BUILDING PERMIT
APP LICATION TYPE., RESIDENTIAL
pLEASE ANSUER ALL QUE5TIONS APPLICABLE TO YOUR PROIECT
..proj ect Respons ibiLttjp
*Q,2!b:4tld,=_
GENERAL REpArRs I nerocarroru
F<>rfit_z,jT.
il.:
RECE ocr 2 0 2016 2o\(,- Lo tyu
-+kx61NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPT: RESTDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"project Responsibility,,
APPLICATION
Number
(Office Use)
APPLICANT'S NAIIE: McAdams Homes rrrrc
DEVELOPER: McAdams Homes LLc
PROIECT ADDRESS: 5el2 Aida cr CIry: wi lminqton
SUBDMSION:,facksons Ri dge
PROPERry o}/NER'S N/IHE: rucaaa ms Home6 LLC
OWNER'S ADDRESS: 6526-C Gotdon Rd CfTy:Wi lmington
CONTRACTOR: McAdams Homes LLc LICENSE #: 5eeo?
ADDRESS: rrrv.
EIIAIL ADDRESS: bianca cadaqrshomes . net /qrad]/@mcadams homes . net
PROIECT CONTACT PERSON: Tim Ravnor
ZIP i 284\t
BLOCK f: LOT #: 23
DATE:
PHONE #: 910 798 loo6
PHONE *: e1o-?98-3006
ST: NC ZIP: 28411
ACCOUNT S:
ST: _ ZIP: _
PHoNE #: e1o-79s-3006
PHONE #: 97o-so1 229a
EXTSTTNG COI{STRUCTTON: I nrrenarroru [ neruovlrroru [ certrenal nrcarns ! RELOCATTON
NEr,,l CONSTRUCTTON: [l enecr NE]t RESTDENCE o" ! AOOrrroru ro ExrsTrNG RESIDENCE
'I,PLEASE CHECK AIID ANSWER EELOW ALL THAT APPLY TO YOUR PRO]€CTI
I arr ceRacr 4o.t sF ! orr canncr _ sF
! surnoom _ sF I eoo r- _ sF tr
5F OTHER:
NatU
I
pgp611 zoo SF
STORAGE SHED 5F! onerruxouse _ sF ! oecr
TOTAL HEATED SQ
SF
TOTAL SQ FT UNDER RoOF: zorz TOTAL AREA SQ FT: 2077
TOTAL PR0IECT COST lress rorl : g rzsooo * OF STORIES:
1s Any ELEcrRrcAL, pLUr4BrNG or IilEcHA rcal wo.k Being Done to the Accessory structure? [ v"t fl ruo
FT:1a70
If the project is a Relocation, is there a
Is thene Electrical powen on this Building?
na1 Gas Line on the Curnent Site? [ Ves I No
ves l-l no
pRopERTy usE / occupANcy: [l srruelr raNrrv ! ouelrx ! TowNHousE
DESCRIPTION OF WORK: erecL 3br 2.5bath 2 car e single familv home
DISCLAIMER: lherebycertii/ hal att inbrmalion in his apptication is correci and a[ workwiI comptywiih ihe Slate Buitding Code
and ordinances and rcgulations. The NHC Developmenl Services Cenler wittbe notfied ofanychanges in he approved ptans andcontacbr inbrmaion. '-NOTE: Any work Performed w/O ille AppropriaE Permirs wil be in Viotation ofthe NC StaE Btdg Code ro S500.00"
OWNER/CONTRACTOR i ndam sosne SIGNATURE:
(print Name)*,t* *, r* * ** * )i:i * + * + * lr r * *, * * * * {* * *: * * * r + * * )** )t,* *+* *)t )*,* *+ *,t* )t* *+ )i,t )** *+ )i * )t ** )* )t ** )* *++ )i,t ** * +* )i )t * *
rs THE pROpERTy LOCATED rN A FLOODPLATNI n yEs fl ruo
EXISTING IMPERVIoUS AREA: _SQ FT TOTAL ACRES DISTURBED:
NEW rMPERvrot's AREA:
-
sQ FT Exrsr LAND DrsruRBrNG PERtiur: n YEs
SEl.,ER:
ag creua I CENTRAL sEprrc ! enrvare seerrc f] coMMUNrry sysrEM
UA COMMUNITY SYSTEM PRIVATE l,lJE LL ! crrurnnr we rl
(FOR OFFICE USE ON LY)
SETBACKS: F: LH: RH:
I-'l r'ro
CF PTERWA
*+T SEPARATE PERfiITS REQUIRED FOR ELECT, IilECH, PLB6, GAS EQUIP, PREFABS & INSERTS }**
pAyMENr r'lrErHoD: f] clsx I cnecK (pAvABLE ro "ncl E ,r,-i a..*ri- ' [ ".rrrJo-
'--[torr.orr*
+*)t* *)*+ * *)i * ++ )t* +,t ** ** )* *,x )** )*+** )*,*+ ** )r+:i+* )i + ++ * * +,t,*,r++,r*,i * +*,r + +*,***,*+,t* +* * )i+ +*:i+ + )rx + + )r* * )t,*
Approval: Citv:DATE:_ FLOOD: _
Co0ment:
REVIsED DATE O4l11/12
-
B:_
BFE+2ft=,- aaT
PERiIIT FEE: I tL I '2
ZONE: OFFICER:
ffi Ir EC E lV E D ()CT 2 I Zl[1sr aNswrp ArL eursloNs Appr.rrA6r.r ro youR pRo,Ecr
APP LI CAT,ON TTPEi RESIDENTIAL
"Proiect Responsibility"
&tte.ig145
lu"3ds1"
A u'A al 8*t n r'l t\)
CITY
{<oate
t-oT #
APPLICANT'S NAMT
PROJECI ADDRESS:
suEDlvlsloN:
lrl)ztP
ar t-A?t)PHONI i 4ro-3o2-33alPROPTRTY OWNIR'5 NAME
OWNTR'5 ADDRTSS
CONTRACTOR
ADDRtSS
TMAIT ADDRESS
PROJTCI CONTACT PERSON
Description o, Work:
'il, notli,ut
CITY ztP
/'{f'0Qq00
t,CITY
PHONf
y t/(zp )8103
b -4brf\
?ann t^)J_,'3 e n4/t I
I Greenhouse (5t)_ [ Deck (Sr)
ls the proposed worl changing the exisling footprint? n V", I
D Sunroom (Sf)
TOTAI Sq fT UNDTRROOF Uot ptoposed work\ Healedl
Property U5€/ Occupa Single family tr
Io,n", 1rr)
d (sr)_
&*4 ,caolel
rnoui,r. l€no//- t gaall _Unheared: 5OO
/db 5,c
E Pool (5r)fl slora8e she
No-i?
ToTAt PRoJtcT cosT {tess rot): S 32, OOO
ls the proposed wo,* .n"nr,nr rn" n.,rOI*, o**o-rl tr y", Xruo . ,
ls any tlectrical, Plumbing or Mechanical work being done to the Iccessory Stru(lure M Yes E No
Il the pro.ierr rs a Relocation, rs lhere a NalurrJ Gas Line on the (uIlent srte? E Yes 6-u, Nfa
l5 there I le(tn(al Power on lhrs BuildinB? KYes D No
r
D
t
Duplex Townhouse
L\^Z-Z-l
€matl ,&a11 @ il"4 o/,,s
lr'2e d
law5 afld otdin.nc€! and teSulalions Th€ NHC D€velopm€nl Servace! Cefll€r will b€ notifipd ol any change! in lh€ a rov€d plans and sperrficalronl or chan8€ in conlrarlo,
inlo,maton'..N01t
Owner/Contra.tor
"LEensed ()uoliliet"
txiitint lmpervious Area
New lmpervious Area
Any worl perlormed \xilhoul lh€ appropt
h {
in violalion o, the NC Sta Cod€10 S5O0 O0"'
UA sig nature
ls the property located in a floodplain? n ,", f,*.
5q rl
Sq rt
Total Acres Di5turbed
txisting Land Disturbing permit: E yes E No
WArER: HctpUA I CommunrrySysrem I privale welt E] Centrat We L Aqua
tr*rt, ft CFPUA E Communrlysysrem E privaleSeplic fl Cenrratseptic D Aqua
Zone: -==- Olticer: _ Setbacks lf) _ {tti) _ IRH) _ (B) _
Approval: _ _ City: _ Date j __ flood: (A) _ (V) ___ {N) _ Bf trztr=o
Comment Permil tee: S
;i
i
/D'/8 - /O
28!11
BLDG LICTNSE #
pxonc 4lo - 5?4 -3!!A
IXISTING CONSTRUCTION: D Alteration f,nunor.tion n General Repairs
NEW CONSTRUCTION: ! [recl New Residence f] Addirionto t)(istinB Residence E Relocation
."PLEASE CHTCl( AND ANSWER BTTOW ALL THAT APPLY TO YOUR PRO.ITCT..*
D Attcara8e(sf)_ D Delcara8e(sf) [] Porch(st)_
NEW HANOVER COUNTY BUILDING PERMIT
APP Lt CAt I O N rYPEi RESI DENTIAI
PLEASE ANSWER ALL QUESIIONS APPLICABLE TO YOUR PRO]ECT
RECEIyED ocl 3 1 20fi "Proiect Responsibilitv"
OSOZ
s'Number
(omce usc)
Date. 10/31/2016{ppltCANT,S NAME- Shane Smith
)ROJECT ADDR Ess. 7300 Fisherman Creek Cr.,6qry. Wilmington a1p. 28405
sUBDtvtstoN: Vantage Point
PROPERTY OWNER'S NAME:Scot & Cheryl Lachowicz
CWNER,S ADDRESSI /:Jt)(J F rsherman UreeK Ur..
pHoNE #: 910-520-3091
CONTRACT 6s. Coastal Building ConcePts ELDG LICENSE 73151
oonrss. 518 Trails End Rd.,g;1y. Wilmington 51 nc 71p. 28409
51y1411 49ppg55, shane@ coastalbuildingconcePts.com
PROJECT CONTACT PERSON Shane Smith
ExlsTlNG CONSTRUCTION: E Aiteration T Renovation I General Repairs
NEW CONSTRUCTTON: f- Erect New Residence f-l Additionto Existing Residence :l Relocation
r**PLEASE CHECK AND ANSWER B ALT THAT APPLY TO YOUR PROJECT***
pH6xs. 910-798-2880
Att Caraee (SF)
, Sunroom (SF)
l,: Det Garage {SF)-f Porch {5F)
I storage shed (SF)_
E other (sF)Bathroom remod(- Greenhouse (SF)
-
Ll Pool (5F)
fl Deck (SF)/&)
ls the proposed work changing the existing footprint? E Yes n No
TOTAL Sq FT UNDER ROOF Uor proposed work\11"11"6. No Change gn1,""1"6. No Change _
ToTAL PRoJEcT COST (Less Lot)52'1496
tsthe proposed workchangingthenumberof bedrooms? D yes E No
tsany Electrical, Plumbing or Mechanical work being done to the Accessory stru cture E Yes E lilo
lf the project is a Relocation. is there a Natural Gas Line on the current site? E Yes Ei No
lsthere Electrical Power on this Build ing? E Yes O No
Property Use/ occupancy:single Family E Duplex tr Townhouse
of Work: Remod el master bathroom' No chanqe to existinq foot printDescription
Dlsct-atMER: I h€rebv !€rtrfy thar all the inforn)arion in this application i5 corfect and all work will comply with lhe stakr ilding code ind
tows and ordinan.es and reSutations. The NHC Oevelopment Services center willbe notified of anYrhange, in the ap,/,nfge
information. .r.NOTE: Any work performed without the appropriate permits will be in vioiation of the NC State B de and subject lirl-
Statc anC local
Owner/Contractor:Shane Smith - a1"-'LSignature:
"Licensed Quolifiet" Ptint Nome
ls the property located in a floodplain? D Yes E No
Existing lmpervious Area:
-
Sq Ft Total Acres Disturbed: 0
New Imp ervious Area: 0 Sq Ft Existing Land Disturbing Permit: f] yes E No
WATER: E CFPUA D Community System ! Private well D Central Well D Aqua
sEwER: E CFPUA E community System E private Septic D Central Septic C Aqua
Zonet _ Officer:
-
Setbacks (F)
-
(LH)
-
(RH)
-
(B)
-approval: _ city: _ Date:_ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
Permit Fee: S
I
LOT f: _
cny: ylrnrngtol__ zrp' 2{05-
ps6116.910-264-2075
E
Comment: ___rta.,i"
',:-i
',,1 ffi
APPLICANT'5 NAMT
PROJECT ADDRESS:
\.-\
\'.lzl
Ei
APP Ll CATTO N fYPE; RESIDENTIAL
PLTASE ANSWER AtT QUESTIONS APPLICABLT TO YOUR PRO.'ECT
"Proiect Responsibility"
r-=<AZ
CITY
)aW (oE
.-A
Date
ztP
SUBDIVISION
N
tord
\x=""-(K".oAG\< {.PROPERTY OWNER'S NAMT
OWNER'S ADDRESS
CONTRACTOR\.
PHON E fl 7G'L
npZ.rzTS
(\.e-BLDG LICTNSE 9
ADDRTSS:
TMAII- ADDRTSS:
PROJECI CONTACT PIRSON
! l Ar Garage (sF) _
Description ol Work:
clrv\,:sirf-a.rg-\InsL sr. {\t- Zle : 11Q51 g \pHoNr: '1t? -7<a -{<eZ
pHoNE,qr- ZbA' tzs,
(
EXISTING CONSTRUCTION: n Alleration fi nenovation ! General Repairs
NEW CONSTRUCTION: I Erect New Residence f] Addirionto txasting Residence O Relocation
'**PLEASE CHTCK AND ANSWER BII.OW ALT THAT APPLY TO YOUR PROJTCT*'}'}
D Greenhouse (SF) _
ls lhe proposed work changinB the existing loot
TOTAT SQ FT UNDIRROOF Uor proposed wotk\
L] oet carage (sF)_
E Pool (SF)
fl Deck (SF)
D Porch (SF)
E storage shed (5t)_
nrint? U vesI No
&"","0, \GS \bnn""tua, 5o
,)l)
ltarU
,l
). rornl nnotrcT cosr (Less Lor): S c)\-)
ls the proposed work changing the number ol bedrooms? D v", p f'fo
ls any Electrical, Plumbing or Mechanical work being done to rhe icrcessory Structure\E-V", D lto
lltheproiectisa Relocation, islhere a Natural Gas line on the current site? f] Yes fl No
ls there tlectrical Power on this Buildin8? E yes E I'to
Property Use/ Occupancy:H!ingle family E Duplex E Townhouse
(\
J
.- --O
L( f-Je ,--) 5 llle aid\itr(9\ c)("*-c
DISCLAIMtR: i h€reby cenit ihal alt rhe anf ormation in lhis applcation is (orrect and all work wrll (omply w(h the Star€ Surldins Cod€ and allorhe, applcable Slar€ and loral
8e9 plans and speciticalions or chan8e inronlraclor
nd 5ubject to frnes up lo S5O0.0O"'iolalion of rh ruc
laws and ordinances and regulations The NHC Developmenl Services Cenrer witt be nolif
rnformal,on "'NOTI A{ry wort perlormed wiihoul the appropriare permits wilbe in v
Jli(aerlcont'acro"\tra"lg$.( A(((c*1 s
"Licensed Quoljliet"
ls the property located in a floodplain
fxisting lmpervious Atea:
, f t"\t
Sq tt Total Acres Disturbed
New lmpervious Area Sq tt txisting Land Disturbing permit: D yes D No
WATER: ( CFpuA D Communiry System E privale well E Central We E Aqua
SfwrR, RCrpua ! Community System D privateSeptrc D Central Septic U Aqua
Zone: ._- Officer: _ Serbacks (t) _ (tH) _ (RH) _ (B) _
Approval: __ City: __ Date: _ f tood: (A) ___ lV) _ (N) Bf t+2rr=
Comment Permit fee ,h0
6 (
crYL^iil"r1c{+rsr-
! sunroom (sF)_
! other (sF)_-
2AL- toSbp
L6-3022NEId HANOVER COUNTY BUILDING PERMIT
APPLICATIo^| nlPE: RESIDENTIAL
PLEASE At'lSr.lER ALL qJESIIoNS Appt-rCAELE TO YOUR PROIECT
"Pnoject Responsibility"
APPLICATIO{
Number
(Offtce Use)
APPLICA}IT'S NAI{E:
DEVELOPER: N/A
Robert Parke! DATE:25OctL6
610 8 Wiflow cLen Dr CITY: wilmincron zIP : 333J2
BLOCK #: LoT s:
PROpERTY OWNER'S tlAIttE: Dennis De1 ahunty PIIONE #: (919)785-5860
olll{ER,,S ADDRESS: G1 i11ow Glen D CITY: Wi1 ton ST: Nc ZIP: 28412
CONTRACTOR:Fear Sol t ems LICENSE #:5 67',l
ADDRESS: 901 Martin streeL CITY:Wi lminqton sT: !L ZIP: :!.19EIOIL ADDR€SS: suooort @CaDeFearSol arSvstems. com
PROJECT CONTACT PERSOT{: Roberr Parker
! eoncx
-
sF
I sronnee SHED _ sF
PRO]ECT ADORESS:
SUBDIVISION:
Exrsrrrs co srRucrroN: El alrrnlrrot I neNovnrroru f] orNrnal REpArRs fl RELoCATTON
NEI,' CO'IISTRUCTId{: f] CNECT NEH RESIDENCE O" I MOrrrOr TO EXISTIiIG RESIDET{CE
.TPLEASE CHEC( AIID AI{SI{ER BELTT{ ALL r}tAT APPLY TO YOUR MO'ECTI
I arr clnaee _ sF I oer ennace _ sF
f] surnoom _sF f! eoor- _ sr
0ESCRIpTION OF I'loR(: lnsrattarion
! enreruouse _ sr I oecx SF OTHER:SF
TOTAL HEATED SQ FT: _ ToTAL SQ FT UNDER ROOF: _ TOTAL AREA SQ FT: _
TOTAL PR0l ECT COST ir-""" roo : g 31 236 # OF STORI ES:
Is Any ELECTRICAL, PLUI4BIi{G or ti,lEcHrr ICAL llork Being Done to the Accesso.y Structure}ves [ ruorf the pnoject is a Relocation, is there a Natural 6as Line on the current slte? [ ves fi ruoIs thene Electnical poler on this Building? [lves IHo
pRopERw rJsE / occupANcy: I srruele FAMTLv E uJpLEx fl TohrN]r]usE
of eolar oane 16 on the roof of the Delahun t '6 home
t
DISCLAIMER lheroby c€nit fiar an hblmarion h his spptrcation is correct and
aid ordin€nces and r€gulations, Th€ NHC D€yslopmonl Services ConErwillbe n
contocbr inforoaton- arTlOTE:AnyWork porformod W/O ha ApDropriab pem
oII,NER/CoIIITRACTOR i Robert park er SIGNATURE :
*r,***** * *,r* ***!r * * ** *** ** ** *(ii'IlJilt]*:f,t * )r * 'r,rirk )*,* * * )r*,t 'i***,|** *,t,****rt*,r+,1,*******,t,*,r,t,*,t:t***:t
rs rHE pROpERTv LOCATED ril A FL@DPLArN? n yEs E rio
EXISTII€ IIiPERWO( S AREA: _ SQ FT
NEI{ II,IPERwous AREAI _- sQ FT EXIST IAND DISTURBING penurr: I.] YEs I..:I No
werrn, I crpuA fl corr4uNrry sysrEM ! enrvrre r.tErL n cENTRAL wELL
sruen: f] cFpuA E cENTRAL sEprrc f] cnrvare sEprrc fl coMriruNrry sysrEm
all t/vort willcomply witrt he S!at6 BujHbg Cod€ a|rl ai ohor sppticabto Ststr and local t6ws
otfBd oraaych8nges in h€ approved plans ad spscifEstlons orchan!a in contacbror
ils willbe in Viohtion otthe NC StaB Bdg Code srld Subjecr b Fin€s U, To $50OOCr..
TOTAL ACRES DISTURBED:
A!* SEPARATE PERIiITS REQUIRED FOR ELECT, MECTi, PLBG, GAS EQUIP, PREFABS & INSERTS *,Tl.payr'rErr irErr,r,: EI asu !66r.1 ipAyABLE to *.i tr**r; ;;;;, "'tr'ni^rio^''Eorr.*r,
'J***':* 't*a***,*:r,i**,*:!*,t:t+,t**)*,*,t*.t***:**,*,***,t,t**)tj****ii*** **** ****r*,t,i,i**:i *,r*:| *,*:* **:r:t *,*,t,*****:l,l
(roR ofFrcE us€ o lv)ZONE: OFFICER:SETBACKS: F:_ LHApproval:_ City:_ DATE:_ FTOOD:
--comrent l ^
REVISEo DATE A4l11/12
:_ RH:_ g:_
BFE+2ft=vt{
PERMIT FEE:
PIONE +: (910 ) 232-G288
PHOI'IE *: (910) 232-62s8
PHO E *: lgaoj 232- 62a8
i^ ftf*"2-,-
ffi
NEW HANOVER COUNTY BUILDING PERIV1IT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANS9IER AII QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Res s ibil
2otu- lorr*
APPLICATION
Number
(Office Use)
APPLICANT,S NAME:
DEVELOPER:
Al,rZ,,oorr. 7a i1_ /6
PMONE S
,,/zrp:Af VC
f
PRO]ECT ADDRESS:
SUgDIVISION:
PRoPERTY ot'INER's tlAl'lE :LC e
OI,{NER, S ADDRES
CONTRACTOR;A 01
CITY:
BLOCK g:
4c PHONE #;
PORCH _ sF
STORAGE SHTD
sqtt
sr I l:LztP
sr ,l/a ztP : ) 9!9
s, )7qAq.){
n?-sqs&
CTTY:
LICENSE *:bt 7/p-ACCoUNT #:
ADDRESS:
EMATL ADDRESS:ltl tli P}ONE
PROJECT CONTACT PERSON:tllD PHONE S:
EXISTING CONSTRUCTIoN: fl ALTERATION RENOVATION GENERAL REPAIRS RELOCATION
NErd CoNSTRUCTTO*: ff,ara' NEW RESTDENCE o" I aOOlUOru TO EXTSTTNG RESTDENCE
'*pLEASE CHECX AltlD At{st'lER BELOW ALL THAT APPLY T0 YoUR PROIE(T:
[arr eruer
-
sF ! orr crnacr
-
s, n
I sunnoom
-
sF PooL _ sF
DECX
crTY: lUt
SF OTHER
LEX TOWNHO
SF
! cnrrnHous r
-
sr
PROPERTY UsE ,/ OCCUPANCY:SINGLE FAI4ILY
5F
TOTAL HEATED SQ ,'r, /45? rorAl sQ Fr uNDER rcor: l59b rorAl aREA ,q rr, K?b
TOTAL PROIECT COSTlLestor) : $/Ao,o00 # oF SToRIES: J*
Is Any ELECTRICAL, PLUHBI1IG o" raa* a ,-k Being Done to the accessory Structure? [ V", [[ ruo
If the project is a Relocation, is thene a Natural Gas Line on the curnent site? ff ves R[ lo
Is there Electrical Powen on this Building? l-lv"t ffilo
e,EPro.lfin ht/,rtDESCRTPTION OF WORK:Jt /,1
u5€
dz+a,
DISCLAIMER: lhercbycerri, h a t all in{ormation jn his applicaton is corectand all work will comPly wih he Sl;te Build and alloher applbable SLae and locallaws
specifications or chanqe in cootraclotorand ordinances and regulations. The NHC Oevelopment Services C€n€rwillbe noifred oianychanges in he apprc
00'*conractor int rmalion "'NOTETAny
OWNER/CONTRACTOR:- 7J.,n. u"n",!r* ++ + r * **,* + +*+ * * ** * *** * *A + +*i-i i ai i-* * * ** ** ****,**,***++,k +** * ,t,k **E [t rc7rt-
Wort Perlormed{Yro.rle aDDropriale Permrlswill be,n Vblation ollne NC Sta
,1,bbq Becutrz.ttr0 srcir,aruRE:
rS THE PROPERTY LOCATED
EXISTING IIIPERVIoI.,S AREA
NEW II1PERVIOUS AREA
rN A F LOODPLAIN?
, ,,/a so Fr,-TFti *
)*** ******,r,t**rr,f ,*x*,r,***xx
h,ATER i
SEWER:creua ! cENTRAL sEprrc f] enrvarr srerrc COMMUNITY SYSTEM
3'** SEPARATE PERM]TS REQUIRED FOR ELECT, AECH, PLBG, 6A5 EQU]P, PREFABS & IIUSERTS **t
pAvilEr.rr [ErHoD: Icasn flcarc[ (payABLE ro rncl flerrr acco.'ur E n./rrtn [orscwer
*** **,* ***)* ******,f x,**********:* )k *,* **r**x***
R-3 ,rrr.r*, €Ll\ "II;:::..tr ti"fiffi.w;1iru[t,15',r5*r,-5',6i,,'
F PUA COMMUNITY SYSTEM PRIVATE WELL CENTRAL WELL
lCE UsE
ACKS:
YES
TOTAL ACRES DIST ED:
EXIST LAND DISTURBTNG PERMIT:l_l vrs III uo
+* *)* * * ** * t * )t * )k
5ED OATE 04/17/72
-€
5
E
<D6_<:o
=;rtr(D
.r.)c:+
<D.p.<,
o
N){rl
(f,
ZONE:
Appno
Comment
var: CIL city:U)Llt![ DArE:
u6+
-7'ft
)(BF E+ 2ft=
N
lrf$lmfi(\,nk.
(n
FLOOD:
PERMTT FEE:
LOT S: _
l
,_fla_
FLO0U ZLrtrc' 'lOlt* - \U{JZ
i\
NEt^l HANOVER COUNTY BUILDING PERMIT
APPLICAIION IYPE: RESIDENTIAL
PLEASE ANSI,{ER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibility''
APPLICATION
Number
(office uee)
APPLTCANT'S rualtE : .Iggr Braxton OA'tEz t0/28/16
DEVELOPER:PHOflE #:
PRO]ECT ADDRESS:1928 Sandvredge Place CITY:wilmington zIP. 28405
SUBDIVISION:Laodfall II BLOCK #:27 Lot #: 15
PRoPERTY otlNER'5 tlA!4E:Robert & Nancy Foglia PHONE #:l2t4 | 384-7 s43
oi'INER'S ADDRESS:5 515 Bandera Ave 'CITY:Da l.l as sr: Tl zrP: 7j331
CONTRACTOR:RuB Building s Design, LLC LICENSE S:54545 ACCOUNT f; 8 812
ADORESS:101? Ashes Dr. suite 202 c ITy. wilmignton 51t NC 71p s 28405
EIi.l/lIL ADDRESS: .nack€rnbbuildinganddesign'com PHONE #: 9t0-256-6326
PRO]ECT CONTACT PERSON:Travis Blaxton PHONE #:910-535-6458
EXISTING CONSTRUCTION :A LTERATION RENOVATION ! e rHrnar- REPATRS n RELocATToN
NEI{ CONSTRUCTION:ERECT NEW RESIDENCE O" I MOTTTOru TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOI'I ALL THAT APPLY TO YOUR PRO]ECT:
GREENHOUSE
-
5F loecr SF OTHER:SF
TOTAL HEATED SQ FT: r:sg ToTAL 5Q FT UNDER ROOF' 477s TOTAL AREA SQ FT: 477s
TorAL PRoJEcr Gosr (t-ess ro0 : $ 6ooooo'oo fi oF sroRrEs: r-t/2
rs Any ELECTRICaL, plul|Br G or ECHA TCAL t{ork Being Done to the Accessory Structure? Q V"t @ Ho
If the project is a Relocation, is there a Natural Gas Line on the current Site? f,t ves Q Ho
Is thene Electrical Powen on this Building? Qves 6'[ ruo
PROPERTY USE / OCCUPANCY:SINGLE FAI4ILY DUP LEX TOhINHOUSE
Erect a nev dwelling
ATT GARAGE 841 5p ! Orr CAnlee
-
sF
suNRoor,r
-
sF Ieoor
-
sF
PoRcH 54s sF
STORAGE SHED
-
5F
DESCRIPTION OF NORK:
DISCLAIMER lhereby cerlrfy tlat allinbdnatjon in tlis applicalion is conecl and all work will complv wih he SEte Building Code and alloher StaE and local laws
:=_..,
:f'.)
rD.):-(C:3:-(o
.. >iitri!1+
.>
e\)(tr
and ordinances and regulalrons. The NHC Development SeNices Cen Er willbe notfied ofanychanges in fie approved d
conuacDr inbrmalion. "'NOTE: Any Work Performed w/O tle AppropriaE Permiis will be in atd
otdNER/CONT RACTOR: R. llack Braxton
+ + + )r * + + + + :t,* *,* )t + + + )i + + + :r * * +,i * * *,* tl + :i *]****** ******* *:t,t,t )t )t :i :i *)*,t*:t * *,*,* rt rt *,t * * * )i i( * ** * rt * *,t,t * + )*,t
Violarion ol lhe NC Stats
SIC,NATURE :
nge in contr&lcror
Up To 950o.0G"
M) :P
EVTSE0 DATE O4l11/12
t/ATER :
SEWER:
I Ho Ae 13 Relirninaryl
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERI4IT:
CF PUA COI"IT4UNIW SYSTEM tr PRIVATE I.JE LL CENTRAL Wtr
CF PUA l-l crrrneL se prrc tr PRIVATE SEPTIC COMMUNITY
,*,*,t,i,t,t,* + * * * * )t,* *,t +,t * * * * *,r )* )*,t * * *,t r( + *,* *,* * + ** )* * * )*,* + )i i( )*,t,t,t,t,* * * * + * +,i + :t )t,*,* + i(
(foR oFFrc€ uSE o{LY)S,ziboc-Vt Per Lo"i:tlfrt\
Q rrn SETBAC(S: F:*f-l:*RH: 4r B:
lEtooD zoNE
Rrls.Jf
:
-s
(s
t-
\s
(sp)
,AeoZONE OFFICER:
roval: DL city:UJlffl DATE ,r:lzt/ts BF E+ 2ft i+
2.\r+
APp
[h E,C. raauircd as No porh6vr0.,51v! duve
FLooD: AEIA.
" bcffii +ho-u<, r*[,'0'Jst C^rnr*1 Dl Srtb4aiG
q--\
IS THE PROPERTY LOCATED IN A FLOODPLAIN? ffi VCS
EXISTING IMPERVIOUS AREA:
-
SQ FT
NEl.l IIIPERVIOUS AREA:
-
SQ FT
++* SEPAIIATE PERT.IITS REq.'IRED FOR ELECT, ECH, PLBG, GAS EqJIP, PREFABS & INSERTS **I
pAyME[r r4ETHoD: Q crsx Qcxecx (PAYABLE ro nxcl IBrLL Acco,NT Q uclvrsr Q orscoven
2ollo - 10815
L#81NEW HANOVER COUNTY BUILDING PERMIT
APPLTCATION TYPE: COMMERCIAL
PLEASE ANSWER ATL QUESTIONS APPLICASLE TO YOUR PROJECT
"Project Responsibility"
APPLICANT' S NAmE: Tribute construction, lnc.
APPLICATION
Number
(Gffice Use)
oere: 9.26.20'16
DEVE LOPER:Same
PRolEcr ADDRESS: 2440 Salinger Court crrY: Wilminqton
OCCUPANT/BUSINESS NAI.IE :Echo Apartments
PROPERTY OWNER'S NAI'IE: EChO FATM APATTMENTS LLC
crrY: Wilminqton
coNrRAcroR: Tribute Conskuction lnc LIcENSE #: 60001
ADDRESS: 10 S. Cardinal Drive crrY: Wilminqton
EMArL ADDRESS: bkaiser@tributeconstruction.com
PRO]ECT CONTACT PERSON: BT|AN KA|SET
PHoNE #: 910.251.5030
zrP:28412
PHoNE #: 910.251.5030
ST: NC ZIP: 28403
ST: NC zIP: 28403
910 251 5030PHONE #:
PHONE #:910.599.8'130
NEW CONSTRUCTTOT: I eneCr NEW STRUCTURE
ACCESSORY STRUCTURE: t\/ail Kinck
FAST TRACK SHELL UPFIT ADD TO EXIST STRUCTURE
If UPFIT - The Shell Permit #:
IF YesJ rrhat was the Previous occupancy Type?
ARCH DESIGN PRoFEssIotlAL: COthran HaniS Architecture
Is Elect Power on thls Buildj.ng Ives Eruo
PH: 793-3433 rc ne6 #: 4390
PH:NC REG #:
***** rs rHrs A CHANGE oF occupANcy use I fivts ffi No *r***
l.Jhat is the New Occupancy Type?Business
ENGR DESIGN PROFESSIOi,IAL:
DESCRIPTION OF WORK:Construct new storage buildino
ls food or beverages prepared or served in this structure? [ ves ffi no ls The Property Located ln The Floodplaine I ves ffi no
DISCLAIMER: I hereby certify that all informalion in this application is correct and all work will comply wth lhe State Building Code and all other applicable State
and local laws and ordinances and requlations. The NHC Developmenl Services Cenler will be nolifted ol anv chanoes rn the aooroved olans and soectltcatons
or cl"anqe rn contractor or contractor inlormatron. "'NOTE Any Work Performed w/O lhe Appropriale Permils will 6e rn Vrolanon of the NC State Bldg Code andSublectlo Fines Up To $500 00"'
Approval:_ City:_ DA
Comment
TE:_ FLOOD: _BFE+2ft=
N
lL_--../SIGNATURE:
(aullinod (Pfil Nsn's)
Note: Demolilion noIfcations E ssbestos r€rnoval permit appllc€lion6 sre to b€ submltled using th6 application brm (DHHS-3768) whether the tacillty or bullding was found to
contein Asbestos or not You are l€quired to cslltho N8tional Emission StandarG br Hazsrdous Air Pollutents (NESHAP) at (919)707-5950 et l€ast 10 days p{kr to th6
demolition ofanytacility or building. See Asbesios Web Site: httpi/ ww.epi.state.nc.us/epi/asbestosJahmp.htmt
TOTAL PROJECT COST: $3O.OOO BUILDING HEIGHT: 11'-1 1"# OF UNITS: I
TOTAL AREA SQ FT 472 SQ FT PER FLR: 472
TOTAL SQ FT UNDER ROOF: 472 # OF STRUCTURES: 1
ACRES DISTURBED: N/A EXST LAND DISTURBING PERMIT? ITIYES N NO
NEW IMPERVIOUS AREA: N/A SO FT EXISTING IMPERVIOUS AREA:SQ FT
pRopERryusE: EoFFtcE lnesrnuRerur lr,lenceNrLe [eouc finer lcoruoo orHER:
WATER
SEWER
E coMMUNtTy SYSTEM EWELL EZONTNG USE CLASS|F|CAT|ON:I |CENTRAL SEpTtC LJ PR|VATE SEpTtC E COMMUN|TY SYSTEM
mCFPUA
fE CFPUA
". SEPARATE PERMIIS REOUIRED FOR ELECT, I\4ECH. PLBG, GAS EQUIP, PREFABS 8 INSERTS *'
PAYMENT METHOD flcesx flcnecx leevaalE ro NHc) flnraenrcm ExeRESS I ucnrrse I orscoven
(FOR OFFICE USE ONLY)REVISED DATE 4/1 ,I/1 2ZONE: OFFICER SETBACKS: F:LH:_ RH:_ B:
PERMIT FEE:lcc
owNER's ADDRESS: 10 S. Cardinal Drive
Exrsr coNsrRucrrorrr: ! ALTERATToN tr *rilil;'#'fi^[?til*o,- REpArRs E RELocArroN
lf Rolocation. is therea Naturalcas Line on the -Current siteu [veT[ruo ls BLDG sPil KLEneou Ives ffiNo
owNER/CONTRACTOR. Brian Kaiser
# OF STORIES: 1
* Or rlooRS: -f-
RECET,ED ruo r z zmfif e \fnv H Qo nu gn-
t^l HANOVER COUNTY BUILDING PERMITNE
cD/-t
APPLI'ATION TYPE; COIII4ERCIAL
PLEASE A''JSIiIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResPonsibility"
APPLICATION
Number
(office Use)
S ft,- D P4 $'h..'"4t ,l Po, i + )P-APPLICANT'S IIJA E :
DEVELOPER:PHONE $:
aCITY:z,Pt 1-.trtt L-
PRO]ECT ADDRESS:Z
PROPERTY OWN aa,g Naqg, '3' ll a ,Or-n tJor"a(oF LrJt r ^..,1-t' Ctc PHONE S:Lf Z' 3t') - t.l ,t)
OhNER, S ADDRESS: .L)J €n ,r-t tt c .lt '7\ Lu D ClfY I 6 lae r A.r.o sT:!! zIP: Zlt \ I
CONTRACTOR:c{,f^ \ 'E,n-LICENSE #:1("Ll 'L- AccouNr *:
CITY:
c?-^kt L 1P r".', I irhflr *:'rio azYf,i-r.ADDR $sz t16 (ST: _ ZIP: _
EI4AIL ADDRESS:
PRO]ECT CONTACT PERSON:
Exrsr coNsrRucrroN: E ALrERArro, 3 *rrlffiii;'*''E!;i',*l- neerrns ! RElocarroN
if Rerocarion, istherea Naturatca" a',r"-""-ii" Ei.."*i*i 6""?5t" ts eLDG spRlN-xreneoz Iv"" Iuo
NEI.J CoNSTRUCTION: D
ACCESSORY STRUCTURE:
ERECT
S\^ r
I'IEW STRUCTURE
n t^.^1 (--l
If UPFIT - The Shell Permit *:
PH:NC REG #:
<.rr"u r ^ /5 h( i ar+v.r -{pH: {roEl(-6"?r-Nc REG
DESCRIPTION OF hORK:
* C'oL"+'t
ls food or boverages prePared or served in this sfnraureZ I ves E(i ," * ,ro*,, Located tn The Ftoodptatn? fl ves fiN-o
Building Code and all
in lhe
in
C-o,- l^".SIGNATURE:
(qrdil€4
Note: D6moliton noif catons & ssb€sros r€movat pemh appllcs{ons are to b€ submltsd uslng ths appllcatlon ionn (DHHS-3768) wheihet lhe hdllty or bulldlng w6s found to
contstn A3beslos or not you are requtred to c6llth6 Ns0onal Emlsslon Stsndads br Hazadous Alr PollutanE (NESHAP) al (919)707-5950 et least '!0 days Flor to the
d€moIr,loo of any fudlily or bullding. Soe Asb€so6 Wob 5116: htlpJ
^/ww
epl.stal€ nc ustr puasb€stos/ahmp.hllnl
TOTAL PROJECT COST:BUILDING HEIGHT:
-
# OF UNITS
TOTAL AREA SO FT :SQ FT PER FLR # OF STORIES:
TOTAL SQ FT UNDER ROOF:
--
# OF STRUCTURES:
ACRES DISTURBED:EXST LAND DTSTURBTNG pERMtT? n yES f] NO
NEW IMPERVIOUS AREA:SO FT EXISTING IMPERVIOUS AREA:SO FT
PROPERTY USE:RESTAURANT fluence.xrru [eouc E epr EcoNoo onre*
WATER: ECFPUA
SEWER: E CFPUA
UNITY SYSTEM
CENTRAL SEPTIC tr
(FOR OFFTCE USE ONLY)
flwELL EZONTNG USE C|-ASSIFICATION:
PRTVATE SEPIC fICOMMUN|TY SYSTEM
pAyMENr METHoD: ffCasx ficnecx paveslE ro NHc) fteru eccouvr fficrursn I orscoven
REVISED DATE ,IJ,I I/12ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:Approval:- city:- DATE:- FLooD:
--
_ BFE+2ft=
2olv lorzo
-WlgD,,t'ti".!,.it.&r)
D^rEt-qL UL/,-
PIIONE *: ?ir ?1Y l, S-t
f] rasr rmcx ! sxelr- ! urrrr ! aoo ro Exrsr srRUcruRE
Is Elect Power on this Building f] Yes E *o
' ***'r:i rs rHrs A cHAirGE oF occupAricy usrr flves ff m *****
Iy'ies, what was the Previous occupancy Type?
-
what is the Ne, occupancy Type?
-
ARCH DESIGN PROFESSIOT.IAL:
EI.IGR DESIGN PROFESSIOTIAL :
# OF FLOORS:
-
6crp)
AVNcommont pERMtT FEF.$ /D-D---L. .e--J_ia__t _
ndrt,ro,un'o *f H\ar.,3t( l-
NEW HANOVER COUNTY BUILDING PERII,IIT
APPLICATIoN ryPE.. CoIIIIERCIAL
PLEASE AN5I.IER ALL QUESTIONs APPLICABT€ TO YOUR PROJECT
"Project Responsibility,,
?ott,l0t 2t
&APPLICATIOI{
Number
(of{i.e use}
APPLICAa{T'S IIAIIE: Bill Clark Homes of wi lnj.nqton LLC
DEVELOPER: Bill CIark Homes of r,rilmi ngtoa LLCLlzl. t,,rcao, I ^. clTy I Wi lminqton
OCCUpANT/BUS! ESS t{AltE: Bil} Clark Hornes of wilhi
PHOSIE #: el 0-350-1't44
PRO]ECT ADDRESS:zrPtU4tL
ngton LLC
PROpERTy 0$NER'5 ilAtlE: Bilr cra::k Hohes of Wi.lftington tLC
Ohr{ER'5 ADORESS: 127 Racine Dr. suire 201 CITY: wiln1inqron
CO,ITRACToR: Bill Clark Homes of wilminoron LLC LfCENSE #: 34s86
ADDRESS: 127 Racine Dr:. Suite 201 CITY: witminqton
ST: Nc ZfP: 2s403
ST: NC ZIP: 28403
EIIAIL ADDRESS: rqillabitLctarkhomes.com
PROIECT CONTACT PERSOI{: Richard cilt /Bit1 clark Homes of Wi fminqton PHONE $:910-lso-1r44
EXlST CONSTRUCIION:I lr.rrmrru,r f](Cherk A1l Ihet Apply)
RENOVATION u GENERAL REPAIRS
No IS BLDG SPRIN
RELOCATIOII
KLERED? flves fiuoNatural Gas Line on the Curred Site?n Yes
ERECT I{EI{ 5TRIJCTURE ! rASr IUCX f] sHEr.r- f] Urrrr I ADO TO EXIST STRUCTURE
ACCESSORY STRUCTURE :
lf Robcdlori, is there a
NEI.' COI{STRUCTIOiI:
If UPFIT - The Shell Penmit #:
IF Yes, hhat rras the previous Occupancy Type?
ARCH OESIG'I PROFESSIO,IAL :
EfrcR DESIGN PROFESSIOI,IAL i Srround Enqi*eelinq, pA
Is Elect Pouer on this Building E Ves fl tCI
What ls the NeH Occupancy Type?
*r*** rs rtrs A cHAr{GE oF occupArcy us:l flvrs I
NC REG *: pE021990
DESCRIPTION 0F l.lORK: uew c onstluction of D oo1 houae for comrunitv rest dents
h foo<l or bonrage prcpdad a sevtd rr ris *uctre? fl ves [t ruo b rhe propqty Locarod ln Thc Ftoodflatn? [ yes T No
PH:910-815-0?7 5
gF,]41[H,]l_"rSb_y cerrfy thal a ,ntormation jn this,appticarion is correcl and a work wil compty with thoam.rccar Ews and o.dinanc€s and regulatjons. The NHC Oevetooment SeNicos Center wi be notifi&t ot an"or cflantl€ ln c.nlracbr rx conrri..lr,r inromation '-NOTE: Any Wo.k Pedormed w/O d16 Arprop*iate-pormiGSubjecllo Fines Up To S500.00.'.
srate Buildi g code and all other applicable State
the and soeclllcalons
Bldg Code and
fE hcoit or h{HhO wa. hrE !o
E nb3ion Staod..ds b lbzedou. Ar polutant8 (XESHAP) at (919)707.5950 sr t6s3r 10 dryE Fto. b Er6t't9r/w*.ed,!t8t .lr.!.@U.sbosB/6hrp.htnt
BUILDING HEIGI-{T:
OWNER/CONTRACTOR:BiIL Clark Horne s of t{i lminqlon SIGNATURE:
(O.dlllq){Prfi t{.lrE}
Xorr: Demoldoa mdfcadqE t 63b66c lgnoysl p6nnh Eppli:atiofls trB b bo $$rnin d l,slrlg tho lpdkEloi fo.m (DHI.S
.oni.kr A.bs! o. mt Yoi, sG l€qt*d b cdt tlE N,rdord
ddnoebo of rry bc3lty or hrtgng. 560 Asb.rts Wbb Sh.r
TOTAL PROJECT COST: flL,oOO
TOTAL AREA SO FT :Dro
TOTAL SO FT UNDER ROOF: s 1o #OF STRUCTURES: r
ACBES DISTURBEO: ,I Acce3
NEW IMPERVIOUS AREA:
PROPERTYUSE: EoFF
18,OF UNITS: r
-WATER: ECFpIJA tlE COMMUN]IY SYSTEM
CENTRAL SEPTIC PRIVATE SEPTIC
flwErL []ZONING USE CLASSIFICATION:
COMMUNITY SYSTEM
EXsr LAND DrsrunerNo peRurrr l-lves [J NO
SQ FT EXISTING IMPERVTOUS AREA: o SO FT
tcE nresralnelir [urncrrnle [earc Eaer [ootoo oT]cnsel3euss_
D tlfr;ffi' Ecr'*
UYMET.ITMETHOD:
EPAMTE PERMITS REOUIREO FOR ELECT, MECH. PLB6. GAS EOI'P. PREFASS A INSERTS -'
ZONE:_OFFICER:
Appoval:.-Citf._
Cornment
Icesn n CHECK (PAYABLE TO NHC)
(FOR OFFTCE USE O|LY)
AMERIcAN ExpRess flucrusa iloscovEn
SETBACKS: F:-LH:-RH:B:
N
FLOOD:
Rfvts€D DAIE {/.tt/12
DATE: 5-24-2016
PHo{E S:910-350-1744
PI(}NE #: 910-3so-17.1q
Pll: C REG #:
SQ FT PER FLR:
-
f OF STORIES: I
f OF FLOORS: 1
PERMIT FEE: $-
,b
NEI,I HANOVER COUNTY BUILDING PERMIT
APPLICA|ION rYPF; COiII4ERCIAL
PLEAsE ANSWER ALL QUE5TION5 APPLICASIE TO YOUR PRO]ECT
"Project Responsibility"
'loru- lot?5
rh- /.177
APPLICATIOT'I
Number
((rfi.e use)
Huri-Price Inc
DEVELOPER I
PROJECT ADDRESS: :131 S. 1?:h St
OCCUPAIIT/BUSINESS NA/vlE: cu:patie nt Services UniL
PROP ERTY OIINER'5 t{AllE: new Hdnover Reqior:aL Merl;cal Cer,Ler
DATE:10-13-2C16
CITY:',{ilming.on, NC
PHONE *: 910-791--/134
ZIPl.?8ta;l
Or,lNER'5 ADDRESS: 2l.ll s. 17!5 st.
COi{TRACIOR: Huni-Price rnc
ADDRESS: 118 sebr:ell Ave
cIry: ,,{ i I ri n
LICENSE f: ': -r.5 r
CITY:;{rlrrrnq'-rn
PHOiIE #: t10-343-700c
sT I Ig_ zIP::a!l!|
sT: ric zIP: 2 8.1C3
EIiAIL ADDRESS: hunlpri ce@ec. r:r. cca PHONE *: 9r-,)-r9 - 1434
PHONE S:9t) 242 3,, \,'.PROIECT COI{TACT PERSON: i{es ?r:.€
(Check all ihat Appl,y)
EXIST CONSTRUCTION:GENERAL REPAIRS tr RELOCATION
lf Rdocation. is there a Natuml I No 1S BLDG SPRINKLERED?T ves luo
NE9J colsrRucrroNr ! enrcr NElr srRUcruRE I rasr rucr f] sxrll I uerrr ! aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The 5hel1 Permlt #:Is Elect Power on this Building I Yes NO
*I*** IS THIS A CHATGE OF OCCUPAI{CY USE}YES I t\D +****
IF Yes, uhat !,Jas the Previous OccuPancy TyPe?
ARCH DESIGN PROFESSIOTIAL: n./e
tJhat is the Ner occupancy Type?
ALrERArro{ f-'l nrtovarron I
Gas Line on the Elunent sirer flveT
PH
PH:
locale restroom to a neo loca!lon, create new entrance to exlstinq offlceDESCRIPTION OF h0RK: :e
ls food o. bs\rer8g6 prep{ed or sorved in tis structurez [ves !No ls The Prope.ty Locat€d ln Ths Floodplain? n Yes r NO
DTSCLAMER: I hereDv cerlify thal alt lnformarion rn thrs applbalon is corret and all wort will comdy wilh the SLa'e Buildrng Code and all other dppl,cable Slare
iJ i-ar iai anO orOinance; and reoutarions. The NHC Davebomenr ServEes Center willt€ nol.lled of any changes in the.pproved plans and specfcatons
oi crinoe n contracto. or contractor rilolmalion. "'NOTE: Any Work Perfomed W/O th€ Appropnale Permils wil b€ in Violalron ol re N(- Slale Bldg code and
Subjectlo Fines UP ToS5o0.00'"
WATER: EICFPUA
SEWER: EICFPUA
SIGNATURE:lJ4-I,, DJ -p".).t,.i--
(qdh€n {Plh l.ed.)
conEin Asb.3to6 or nor You are r€quirud to cllr tlE tlltiorC Em[rsio. Slrnd.rtls for Hrzrdous Ar Pollut rlt (NES|iAD.r (919)707'695'0 tt l6t l0 d.ys prkr to tho
d€rno&jon ol ary facnity or buildat€. S€s Asbo.ros lYob Sn€:
TOTAL PFIOJECT COST: ?!!!!- BUILDING HEIGFIT:
TOTAL AREA SQ FT :244 SO FT PER FLR:# OF STORIES; r
TOTAL SQ FT UNDER ROOF:
-
# OF STRUCTURES # OF FLOORS:
YES I NOACRES DISTURBED: i
NEW IMPERVIOLJS AREA: i]SQ FT
PROPERTY USE: E]OFF Eeouc napr n@NDO OTHER:,,,.,t.,,,,,',
tlE
PAYMENT METHOD: f]CTSTI I cHEcx (eAvABLE To Hxcl laventcaN ExpRESs I llcnnsn I otscoven
(FOR OFFICE USE ONLY)REMSEO DATE /Vl V]2
ZONE:_OFFICER:SETBACKS: F:_LH:_ RH:- B:_
Approval: City:-DATE: FLOOD:--- BFE+2ftr
AVN
EXST LAND DISTURBING PERi,lIT?
EXISTING IMPERVIOTJS AREA:SO FT
rce [nesrnunarr f]r'r encemtu
COMMUNITY SYSTEM f-lWELL
cENTRAL sEPTrc E p-nvate seprrc
EzoNrNG usE CLASSIFICATION:
ECOMMUNITY SYSTEM
Comment PERMIT FEE:
I
APPLICANT,5 NAfiE:
NC REG #:
NC RE6 *:Eii6R DESIGN PROFESSIOIIAL:
oWNER/CONTRACTOR:4
# OF UNITS: