AUGUST 11 2017 BUILD APPT\TB ,3.,-s 2oryrsdp
NEW HANOVER COUNTY BUILDING PERMIT
APPLIiATI9N rYPE; COIIILIERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICASLE TO YOUR PRO]ECI
"Project Responsibilit}/'
APPLICATION
Number
(Office Use)
- DATE:APPLICANT'S NAI'IE I James Clements 't / t8l2ot7
DEVE LOPER:
PRO]ECT AD CITYI pi1,"it,gson
PHONE #:
ZIP i26461
PHONE S:
ST: yg ZIP:2 ga 61
ST:Nc ZIP:28a2e
- PHO{E *: 9to-623-4244
. PHONE *:910-431,12o1
DRE55: 5g4 North Fronl streeE
OCCUPANT/BUSINESS NAIIE: cFCC Bldg F workforce Training cenEer
PROPERTY O.INER, S NAI.IE :
OIINER' 5 ADDRESS: ail p
Cape Pear Communit
: :'TY: yi 16i19s6n
ADDRESS: po tsox I
EMAIL ADDRESS:clement sGke stoflerc. com
PRO]ECT CONTACT R : James Clemenls
- LICENSE S: e r:-r o
- CITY: 96sgtg ilaynq
(Ch€ck aIl That Apply)
EXIST CONSTRUCTION:ALT ERATION
lf Relocation, is there a Natural Gas Line on the
GENERAL REPAIRS T-I RELOCATIONt_ll-. No lS BLDG SP- INKLEREDT- YesJ-
REI{OVATION
rrent Site? f CSLJ
If UPFIT - The SheII Penmit #:Is Elect Power on this Building li'. Yes J.. N0
rI*** I5 THIS A CHANGE OF O€CUPAT'ICY USE?T YES I!- NO TI*+T
IF Yes, what r.ras the Previous Occupancy Typel - what is the New Occupancy
TVoe?ARCH DESIGI{ PROF ESSIO}'IAL : H i pp Archl ! ecEure
ENGR DESIGN PRoFESSIONAL ;-
- PH:910-7G3-8969 t{C REG f:
PH:NC RE6 #
nd classroom layout. Add lj"ghting . Ceiling replacement,floo!ing & Pa int
in !he
ol B
SIGNATURE
DESCRIPTION OF hJORK: Expa
ts food or beverages prepared or served in this struclure?f Yesli- ruo ls The Property Located ln The Floodplainf - Yefr-
NBcLltuen: t trereoy ccnity that ail inrormation in lhis applicatlo n is cor.ocl ancl allu/ork willcomply with the Stale Building Code and all othor applicable State
anc, bcal laws and ordinances and regulations. The
or crlanoe ln conlrador or contraclor informalion. "'
Sublectlo Finos UP To 5500.00"'
NHC Develoom€nt ServicesNOTE Any Wort Perlormed
Center willbe notlfied ol anv chaw/O rhe Approprial€ Permrts wl o€crlicatonshg Code and
(Ouahfd) (PEl &mo)
Note: Demalilion nolificalorts & asbestos removsl p€mit spplications are to be su
conlarn Asb€slos or not. You are requi€d to calllhe Natjooel Emisgion Slandads
OWNER/CONTRACTOR:,-rames cf ements
NEW IMPERVIOUS AREA: p,tn
bmitred usin€ lhe apdication fom {DHHS.3768) ttiether ihe facilrty or Uralding was foutld to
lor Hazardous Air PollulaoB (NESHAP) al (919)707'5950 at loast 10 dsys p.ior to th€
f OF UNITS
# oF STORIES: r
8 OF FLOORS:
EXST LAND DISTURBING PERMIT? .T YES ]i NO
SO FT EXISTING IMPERVIOUS AREA SO FT
demolitjon ot any tacility o.building. See Asbeslos Web Sit6: htlplrrww epi.slale nc us/epllasbeslosjahmo himl
TOTAL PROJECT COST: 154OOO BUILDING HEIGHT 5 f T
TOTAL AREA SO FT : 3ooo SQ FT PER FLR:
TOTAL SQ FT UNDER ROOF: iOOOO
ACRES DISTURBED: N/A
# OF STRUCTURES: r
CONDO OTHEI
SE CLASSIFICATIONWATER
SEWER
SYSTEM
CFPUA
CFPUA E
COMMUNITY SYSTEM
CENTRAL SEPTIC
r..I WELL T-I ZONING U
Hvare seprrc D?oMMUNtrY
pAyMENT METHOD: f CASH l* CnrCx (peynBLE TO NHC) l-- nUteRtCnu EXPRESS {-- tr'lClrtSe [-- OtSCOven
ZONE:OFFICER:
(FOR OFFICE USE ONLY)
SETBACKS: F:LH RH B
Approval:- CitY:- DATE- FLOOD:BFE+2ft,_,
(--<')
Comment PERMIT FEE: :
TDISCLAIHER: SUBMITTING THIS APPLICATION MEANS THAT THE SUBMITTAL CHARGE
N
15 NON. RE FUNDABL E
L7 -23L6
CONTRACTOR: Keysrone R&C Inc.
NoiiEw cotsrnucrroN: n EREcr NEt.l srRUcruRE I rAsr rRAcK f] SHELL n upFrr n ADo ro Exrsr srRucruRE
ACCESSORY STRI'CTURE:
PRoPERTY USE: floFFIcE f] nesrnunatlr f] rrrencer'rrrue171EDUCTI APrT1
\{v &,'1-8t+5
17 - 1831
APPLICATION
Nuober
NEI^J HANOVER COUNTY BUILDING PERMIT
aPPLIcatIoN IyPf : C0ti'lMERCIAL
PttasE a 5lltR ALL QUt5TIONS AppLI(A8ta TO YOIJR pROlECt
"Pro ject Responsibility"
APpLICANT'S NAJVIE: -'anres 11 JchoEL',,
DFVFI OPFR. ., ,
PROIECT AOORESS: 2?2i Norroc):ase !ark,,lav sI CITY: i,i i, r rno:c
oCCUPANT/BUSINESS NAr'!E: srare Emotovees, .,edir unlor
DATE: (!,'rr 2arr
PRoPERTY OWiIER'5 ilrrtlE :
Ol.rNER'S ADoRESS: rre N Sal r6burv st r E€l CITY: R.,le r,th
PHONE T:,Eacr4 lr.,ri..i
coNTRAcToR: Monteith Construction Corp
ADDRE55 T 52ffi crrv:wilmingt,on
116px5s s; 43319
51; NC 2yp. 2840'1
PHONE s:9 G7e1-S16-r
p11ep5 s, sf[To5z6&[-pRolrcr c6Nracr pERsoN. DaviafBuatrner-
((hc( I All Ihat apply)
EXIST CONSTRUCIION: E
ll Rolo@don, is lhere a Natural
ALTERATTON l-l nerOVlrrON
Gas Line on lhe Current Srte? Ll
GETIERAL REPAIRS
E"o rs BLDG s
RELOCATION
KLERED? E Yes I NoPRIN
UPFIT ADD TO EXIST STRUCTURE
Yes
r{Et,l/ coNsTRUCTrON: I rnrcr NEt,l STRUCTURE ! rasr rnacx ! sxer-r-
ACCESSoRY sTRUCTURE: N/A
I{ UPFIT - Ihe SheII Permrt *:Is Elect Power on this EuiLding Yes Ero
t'... Is THrs a cHAr{GE 0F occuPAflcY usE? EYES I
It Yes, l,Jhat ra! the P.evious Occupancy Typel
ENGR oES16ll PROftSSIoNAL: vari, T. Arcuri Pu ,oroj391-2929 fiC R€G 3: 24119
DESCRIP-IION OF WORK: Consrru.r new burldinq for use as a credit unicn branch office
,|l
f'€ lrclhy o. 5ultsr! w.6 lfl.d lo
OWNEFUCONTRACTOR \ulhr,n/((l ()1\ncr\' r.p SIGNATURE:
(Ortl!ry) lPrtrr ta.d)
Nolsr O€rnolilo. mrf6toll6 E s!b.tt6 rtroval p..tnll.pdb.tort !t! lo b. tuDrnuld 6ll[ lh. trg.k tb.lo.tt (DBHS'3
conrDL t!b.5lon or mt. You E ! E{urcd lo catl tlo N5to.!l Ehbrbn st!.d.r(b h. B.:!l(tn I} Hr'dnr (NESHAP) 3l (
d Errron!,on o1 6n, Iadlry or blldhO. 566 AEb.rG Wo! Sllo: hiPJirwe 6pl rlti..nc.uJ.9!.6bclc,/61h, ht l
!
d oF UNITS: ti, n
5950 ol lcarr l0d.y3 fnor ro tn€
TOTAL PROJECT CoST: rE:
TOTAL AREA SO FT
TOTAL SO FT UNDER ROOF: r,tti
ACRES DISTURBED
NEW IMPERVIOUS AREA: rs r,,r r
WATER: UCFPUA
SEWER; m CFPUA
BUILDING HEIGHT: lr'-10 1rl4'
I OF STRUCTURES: I fOFFLOORS:r,trezz
-EXST LAND DISTURBING PERMIT?t YES fl No
SO FT EXISTING IMPERVIOUS AREA SQ FT
pRopERrYUsE: ZloFFlcE Enesrlumr'n [ueRce.rwtle neouc f] esr [coruoo otuen,
r-'ICoMMUNITYSYSTEM T-'IWELL EZoNINGUSECLASSIFICATION
-CENTFAT sEprrc fj PRIVATE sEPTlc flcoMMUNlrY SYSTEM
SEPAT1AIEP€I{I'.IISREOUIHIDfOSElILI,MECH.PIBG(iASEOUIP,PRLIAAS6I^]STRIS-
PAYMENT METHOD flcnsx flcxecx (eAYABLE To NHc) []AMERIcAN ExPRESS EMc /lsA I otscoven
(FOR OFFICE USE ONLYJ
SETBACKS: F:-
REVTSeO 0Al€ r./11/t 2
ZONE
Approval:-
OFFICER:LH: RH: B:
City:- DATE:- FLOOD' - o- u N
a\
BFE+zft=__
Comment_
T
N K fi v-r-. t' \ \\( Ao rf - '''c\ ,C F (vs<<4,X-
PERMIT FEE: $| -,.rri4 Ocl
I
PHoU€ l: !-,. i.ti
ZIP:.8i:,:
5T: ils ZIP:2'i5!r
66ay1 6e@
Hhet is the ller Occupan(y Type?
AnCH DESIGII PROFESSIOIALT B! rar) T. shepard, AtA, NCARts, LE!:o PH: (919)32'r'-0115 NC REG r
ls t@d or bov€.e96s Fepared q 6€rved ln thls srru,:trrez I ves I No lE Th€ Property Local€d ln Thg Floodgaln? [ ves fl No
SO FT PER FLR:
-
#OFSTORIES: I
l f.i I Y $p &n-8q15
r-7 - 1831
APPLICATION
Number
(Office Use)
2
=
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: COMMERCIAL
PLEASE ANSHER AI.I OUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT, S NAI4E :Jame R John
PROIECT ADDRESS: 2721 Norrhchase parklrav sE
oCCUPANT/BUSINESS NAr,lE: Srare Employees, Credir Union
CITY: wi t minot on
NorEh Carolina State EmpLoyee,s Credil UnionPROPERTY OWNER'5 NAfiE:
oWNERJS ADDRESS: 1le N ST: NC ZIP: 27603
CONTRACTOR:
ADDRESS:
Monteith Construction Corp.116s115E x; 43319
32X.FrontSt 611y'Wilmington 51; NC 71p; 28401
EItlAIL ADDRESS:dbuckner@monteithco. com PHONE S:9'l-G791-8-1-cT
pRolEcT coNTAcT pEp5gp; David Buckner pHoNE #:910-409-2664
Sal-isbury SEreeE CITY: nalerqh
If UPFIT - The Shell Permit #;Is Elect Power on this Building Yes U*o
ARCH DE5I6N PRoFESSIOML: Brian T. Shepard, AIA, NCARB, LEED PH: (919)322-011s NC REG *i t2'144
ENGR DESIGN PRoFESSIoiIAL: Mark T. Arcuri PHi 1910)397-2929 NC REG #i 24479
DESCRIPTIoN OF WORK: Construct new buildinq for use as a credit union branch office
DISCLAIMER: I hereoy certty lhal all rnformatron rn thrs applcatrcn is correcr and all wor\ willcomply wrlh lhe Stale Auilding Code and alt olher apptrcabte Slareand local laws and otdinances and IeqLrlalions, The NHC Develoomenl Servrces Cenler wrllbe noli,red ofanv chanoes rn lhe aooroved olans and soecrfrcatronsoI chd.rqe rn conlEctor or conlraclor rirlormalion. "'NOTE Any Work Performed w/O lhe Appropriale Permrls wrllbie rn Vrolalron ofthe NC Slare Bldg Code andSublecllo Fines Up To $500.00"'
ls tood or bevs-dges p(eparcd or serv€d in this stnrture? [ Yes I No ls The Property Located ln Th€ Ftoodflain? [ ves I No
# OF STORIES: r
# OF FLOORS: t + tqezz
EXST LAND DISTURBING PERMIT?T YEs ENo
SQ FT EXISTING IMPERVIOUS AREA:SO FT
OWNEF/CONTRACTOR:
TOTAL PROJECT COST: TBD
TOTAL AREA SO FT: 10.570 SQ FT PER FLR: e,:ss
TOTAL SO FT UNDER ROOF::-rrr #OF STRUCTURES: r
ACRES DISTI,RBED: r.2e
NEW IMPERVIOUS AREA: sE,8el 0
pRopERTy usE: EoFFrcE [nesreuReNr luencarrru leouc lenr CONDO OTHER:
WATER: ZCFPUA ECOMMUNITY SYSTEM
SEWER: m CFPUA flcENrRAL SEPTIC fl flWELL
PRIVATE SEPTIC
flzoNrNG usE CLASSTFTCATTON:
ECOMMUNITY SYSTEM
-. SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PL8G, G,1S EOUIP, PREFAAS & INSERTS *'
PAYMENT METHOD:Ecrsx EcxecK (eAvABLE ro NHc) EAMERIcAN ExpREss I rucusn I orscoveR
(FOR OFFTCE USE ONLY)AEUSEO OATE {1V12ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:
I
oArEt::J:)J3!]l_
PHONE #: (919)644-3149DFVFI OPFR:
ZIP i 28405
PHoNE #i (8or)4is-110,i
(check A11 That Appty)
EXIST CONSTRUCTION: E ALTERATION I-I RENOVATION I-I GENERAL REPAIRS I-I RELOCATION
lf Relocatlon, isrherea Naruralcas Line on the "current Sire? f]Ye;ENo tSBLDGSPfi KLEneoz Ives E]uo
NEW coNsTRucTroru: I enecr NEW sTRUcTuRE ! rasr rnacr ! sner-r- ! ulrrr ! aoo ro ExrsT STRUCTURE
ArrFq<nPY qTRr rrrr rRF.
***+* Is THIS A 6HANGE oF occUPANcY UsE? EYE5 [ru0 *****
rF Yes, what was the Previous Occupancy Type? _ What is the New Occupancy Type?
SIGNATURE:(Ou.lrid) (Pint Nln. )
Noter Domollion notflcalJon6 & a6b66to6 rsnoval p€rmit appllc8tons 6re to b€ Eubmlltod uslng lh. sppllcatlon form (DHHS-3768) whothor tho tacttlty or bultdtng wss bund to
conlaln Asbeeto6 or not. You aro requk€d lo call tho Naional Emlselon Standad3 lor H6zadou6 Ar Pollutants (NESHAP) st (919)707-5950 st te66t 10 dsys prtor to tho
deholition of any f8cility or bulldlng. S€e Asb6sto6 Web Site: hnp/v/ww.ept.stEl€. nc.uJopuasb€slo€y'ahmp.hun I
BUILDING HEIGHT: 33 ' -10 T/4tr #OF UNITS: N/A
N HC- arcr, N \\c-zorr'. \CtrA)e,Ee6€{'c
8'niho
e
n"t t' \;yv<rt ,tcvy', -r--tr.t 4l -1-fi7b
,,/*o*Xrr*.ouNwBUIIDINGpERMtr Yt t ll /'$G1t1n'='r''
AppucATtouTypE:*E5/lafllf,it,d'-cptnrnEcrlRr-- App[""6-
PLEASE ANSWER ALL OUESTIONS APPIICABLE TO YOUR PROJECT Numbet
APPUCAiTT'S NAME:
PRoJECTADDRESS:cnY:
suBDlvlslo :f:
[Vn*tIn
'hoiEcr Rssponslbflltll"(LJ*, <L*,L
&,slPROPERTY OWNER'S NAME:
OWNER'5ADDRESS:
N
-(fas,
n,L CL's!.*
bcc.
(,( c^y t
0 Pool (sf)
tr Deck (sR
(office use)
Date:[o-30-t'l
ZIP:-zB.+B
\ PHO Ef:qrc ZGN -{)"3z
CITY;
Bi"OG LICEI{SE *:
sr''tf ztPtzg'fiq
I.J--@ITTRACIOR:
ADDRESS;
PROJECT CONTACT PERSOI{:
E 0$fr{6 cOl{SIRUcnO :E Aherdtion E Renoyation E GeneralRepai6
tlEW Co sfnucno : E Erect New Residence E Additio to Edstint Residence E Relocation
aa aa
E Att carate(sF)- tr Det Garage (5F)- C Pord (sfl
c,
EMAII. AODRESS:
E sunroorn (sF)
-
tr Greenhoue (sf)
Descripti,o of Work:
OTY:
nrc> 28tt,-o1 ]z
PHONE:<to'lcrS 3t 37
urfi€s."a S.% til!
((l-*o! -L,-[,."i lJ,
ts-Sorqe Shed (5F)
-
qou*.",t=lelo k a$n% J"d
(ls the propo6ed wort changing the eristing foobrint? q Yes E No
IOTAL SQ FI UIIDER ROOF W ptop*d rro*l jlf,5frd;
ToTAL PRoJBcr @sT (tllsststl:S l2/6:9. -
ls the proposed wo.k chan€int the number of bedroorns? tr Yes EF{o
ls any Eledri.d, Pll.fnfu or Mechfiical work being done to the Accassory Structure tr Yes EK{o
ffthe project is a Relocatioo is tlere a Naturdl Gas Line on the cumnt site? E Yes El^.t{o
ls there Electrical Po/rrer on this Euilding? tr Yes ELfo
Property lrse/ Occuparcy: tr gngle tr tr
hws and ordinances a'ld .€gulatirns. Ttr€ NHC Devdopment S€wkes Center will be hotified of any plans andsp€dfications or dEnge in contra@r
hfo.matio{l. "*NOIE: Ary vrork the permits wfll be in violatjon of the up
Orrrner/Contractq:
"Lkens€d ewtfief Prittt I'lome
ls the prcperty lo€ated in a floodplain? tr Yes E llo
Edsting hpewious atea: - --/gFt Total Acr€s olsturt€d:
l{ew lmperuious Area:sqFt E dsdng tand Dlsfrrbbrg PermiE E Yes E tlo
WATER: EIICFPUA E Community System E Priydte Well E Gntralwell EI Aqua
SEWER: ,EI-GPUA E Community System E Private Septic Et Central septic E Aqua
z*r",?'3 omcer Of(o setta+O MAtrrl 5' (nnl 6' lsl 5''
o*.*n. &-o,+
-l/-r4-o,*,
4h[,?-*1oJ-.g-6r x BrE+2ft=-
cornm€nt ?r.olttl'es c onbi'.*) .rrol Aoet atlo.x.l u; Oer-rnr I permlt
$t
Fee: $T
state
Agi'ti;I"1,
i.tr1t rr oyi;Lrr0i i nfiaurriiJ., il.t_2U".rll.i
^.\0u
J=
to-
ht \'nt{80
rt'?\#
Clear Form P.int eMail
NEI,{ HANOVER COUNTY BUILDING PERMIT
APPLICATToN TYPE: COiIIIERCIAL
PLEAsI ANSI,JER ALT QUESTIONs APPL:CAALE ]O YOUB PROJECI
"Project Responsiblli.t}/'
;riu0 I i irgli
A FFfi-carrox
Number
(offj.c. Use)
APPLICAIII'S l{A}lE: 16py ssss311-
PHONE $
, 284A3
9t zazcz
:1TI
DEVE LOPER:
PRO] ECT ADDRE55: 6819 6o.clor RoaC CITY: :, i r -,i. i-L
OCCUPA T/BUSINESS l,/AilE: ?-iIobi;c .j.ire *:,ri:Ji19
PROP€RTY O{NER'S MltE: Cr,rwn .jasL.:rl
Ol.lNER'S ADDRESS: :530 Tcr.tr,gcor $.ry
CONTRACTOR: ileicon se:vices
ADDRESS: !,. c. Box 659irl
EIiAI L ADDRESS: ts i..1,,a r l3 Lo:ecansl rc. c.n
€lTY:;1".1";gu.
PHOIIE si
ST:
I- LICENSE *i 1a324
- CITY: s.". pcLersburq 5T: 1s ZIP: 33736
PHONE S:
PHONE S:PROIECT C0iITACT PERSON: 1,,n, 5;gp31;
(che.k all th.t ApPly)
I
v
EXlST Cor,rSlRUCTrON:AL T E RATION RENOVATION
If Relocation, is there a Natura Gas Line on the
GENERAL REPAIRS T-'I RELO(ATION
T No rs BLDG SPFrNKLEREDX- _T esfi _urrenl Sile?Yes
No
NEI.I CONSTRUCTION:u ERECT NEII STRUCTURE fAST TRACK SHELL UPFIT ADO TO EXIST STRUCTURE
ACCESSORY 5TRUCTURE:
IXEfi?D€SIGtl PROFESSIOML: i:!- PH:919-661-63i1 llC nfC, *, O1.,:-, t
ENGR OESIGII PROF€SSIOML i..PH
DESCRTPTToN OF WOR(: .a?lilliil-lna frber, upsrade cab,.net, no
ruc n:cl*
ground cr e Iectri ca1 dork
ls lood or beverages prepared or served in this structure?f - Yesli No ls T?re Propeny Located lnThe Floodplqinf. _ Yefr_
NSculurn, r trur"ty ."niry that aB inlormaton ln lnls applicstron ls correcr 6nd
NHC Develooment ServrcssNOTE Any Wo.k Pedo.med
allwork will comply wilh the
C€nter wil b€ no!fied ot anvW,O th6 Appropriar€ Pemrls
Srare Buildtng cod. and 8tl 6pplcable Slare
Code and
OWNER/CONTRACTOR
{onrid)
N SIGNATURE
Nore: D€dro{Uon rdirioldls a asbesros removol permir apdieljons are ro b€ s{Om.tred usi,E rhe apdEalio. lofm IDH
conlain Alt oslos or nol. vo! 4.6 llquirsd lo cEllthe NsnonalEmisspn Slrnd8rd$ lfl Ha:"rdcus Ak Po,lutanls (NESHAP)9|107 al la93l 10 fays pdor to rh€
demolkiod olany lacikly or bualdrng. Soo Asbeslos Web Sita: -,::r.., .',:
TOTAL PROJECT COST: ie.2t!BUILDING HEIGHT: .# OF UNITS
TOTAL AREA SQ FT : i]SO FT PER FLR # OF STORIES
TOTAL SO FT UNDER ROOF: _S OF STRUCIURES # OF FLOORS
ACRES DISTURBED: g_
NEW IMPERVIOUS AREA: c
PROPERTY USE EIoFFTcE f] nesraunerur I MEBCANTLEI-J
ZONE
EXST LAND DISTURBING PERMIT? ^T YES
SO FT EXISTING IMPERVIOUS AREA: il
NO
EDUC APT CONDO OTHEI
BI
BFE+2ft,
SQ FT
,tJ,-j(C
WATER T]CFPUA
SEWER: HCFPUA
SYSTEM L_I
PAYMENT METHOD;
T''ICOMI,IIUNITY SYSTEM T'I WELL T1 ZONING USE CLASSIFICATION
flcrnrnar seerc fl lnlvArE sEpnc D?oMMUNrry
f. casu f. cHEcK (PAYAELE To NHc) T. AMERICAN EXPRESS T. MCA/ISA I- D|scovEn
OFFICER
{FOF OFFICE USE ONLY)
SETBACKS: F: LH RH
Aooroval Citv. DATE FLOOD
f.l
't /28 / r1
l.l-o1i-: r:T-
LIf UpFIT - The Sh€lI p€rmit #: Is EI€ct Polrer on this Building r-. Yes tI N0
.*r.r rs THrs A cluya6E oF oc6upAllcy UsEl1- yEs f-. m *rrr
I
IF Ye', rhat ras the p.evious Occup.ncy lype? _ l,lhat ts the lileu oc.upan.y i
I
Cornment , PERMIT FEE; : I*orscLAlr.r rs NoN-REFUND;dIE--
?uq- gr{83
ClearForm Prinl e rll
NEhI HAI{OVER COUNTY BUILDING PERITTIT
APPLICATI(n rYPE: C0IfrERCIAL
PLEA5E A}.IS}IER ALL qJESTIOI{5 APPLTCABLE TO Y{I'R Prc]ECT
"ProJect nesponslbiuty"
APPLICAI{T' S l,lA}lE: s.g.r, Barefoor,Bluewave Deployn€nt obo American Tower
DEVELOPER: American To!,e r
PRO]ECT : 5?05 Castle llayDe Rd i castle Hayne
OCCUPAIT/BUSII{ESS llAltE : American rower
PROPERTY OtflER'S IUUTE :
(}ltlER,,S AITDRESS i Arnerican Touer Lr,C _ trTY r 6of,r.r,
CO TRACTOfi: Netcom services rnc._ LICEI{SE *z zae24
ADDRESS r 3522 EI cenrro sr
EiIATL ADORESS 3
CITY: 5s pssq
PRO]ECT
L7 -2463
AFFmIiid{
Nrnber
(Offl.c t i!)
DATE: 1/31i1'l
- PIO E *3 9L9-'712-2s94TFza*zs
5T: MJ\ ZlP:616g1
ST: EL ZIP:33706
ExIsT COI{STRUCTIOI: f-'l ALTERAUq{l-J
It Relocation. is thars E Natulll Gas Lin€ on th€r-r-] 6EI{ERAI NEPAIRS T'] RELOCArIOHF * 6BLDGsful,lKLEREDf-Yef-
-Pl0rlE f i'727-940-3507
: Kurt llade Schneider -PIOIE *: 121 -s4o-35o"t
(ch€.t Al1 lhat rpply)
REN(WATIO'
Sit6?
ERECT ]IEI{ STRI'CTURE FAST TRACX n S}tE L L n UPFIT n ADO TO EXIST STRITTUREDNtr corsrnucrron, A
ACGESSoBY STRUGTURE i
If UPFIT - The 5he11 Permlt #:Is Elect Porcr on this Buildlng f Yes f ilo
...r. Is THIS A CllrlFE Or OCCIPAI{CY tSE?r.
lF Yes, rihat yar the Prevlous (kcupancy BDei - tar.t
fvla?
ANtH DESIGiI PROFESSI0I{AL i To,re. Engineering prof essioDats PHr 919-661-5351 llC REG *:6-1794
El6R DESIGiI PROFESSIoIUIL:-PH }lC REG *:
DESCRIPTIOI{ OF I.loRK: Replacins existins antenoag uiLh new anLeonas at sane heighL and location
ls iood or beverages prspsrcd or sBrysd in this structur€?f- Yesfi- no ls The Property Locaied ln Ths Floodpl8inf- Ve{i-
OWNERICONTRACTOR: a.ia" Balef oot SIGI.IATURE:
{O,aa..) (Prh trr|l)
Nda: Cbmofiion mtficaUo.E E d65ba lrlno.d pendl .pplcdidB arB to b. subrinad tring fi. t aaation brn (DtlH$376t) s,hdEr Ule Hfy
contrin A5b6b6 or no! Yqr dr€ rEquiEd to cdl lh6l{alioorl EmEdoi Sirafitarda lo. Haaddr At fdulan$ (NESHAP) Ea (fiSlm7-6950 sr bd 10 dar! Fid b rt
denromdr oa any trdlfiy o. bullrtlng. Sc Asb€3b W€b Sha: h[p/, wr.€9i.ai te.nc.lni+i/lsbai6iehnP.himl
15 000 BUILOING HEIGHTI
SQ FT PER FLR:
YES r, ' .t.r.
ts the rI (kcuDancy
NoDlSCl,.AlraER: I h€mry cerlity lhst.ll inhflalidl in lhis apdk:ati,l h conecl tnd
and lo{al lrys and ordinancB rnd rEgulalion6. Tho NHC Davslorn€n Sorvi:B
o. chano€ in contlcno.9r @aitftlcbr iniom8lion. "'NOTE: Any Work Porffi
Subj.d'lD FirE6 Up To S5o0,00.-
all i/ort will coanDly ivth ttls S:t t0 Buildlng Codo srx, all o$er spplitt 6 Sla16
c6ri€r wi[ be nortf,ed ol anv dlamos in lho aDoroy€d olans and 6Doarfic6tion6
w/o ule Apprcprbte Permis wil Ee ln Vblalion ol th. NC Stat Bld{ Code tld
TOTAL PROJECT COST:
TOTAL AREA SO FT :
TOTAL SO FT UNOER ROOF: # OF STRUCTURES
ACRES DISTURBED
{ OF STORIES:f OF FLOORS:
EXST LAND DTSTURBTNG PERMI? r YES r NO
SQ FT EXISTING IMPERVIOUS AREA:
OTHET
ATION
S OF UNITS
NEW IMPERVIOUS AREA SO FI
pRopERfi usE: EoFFrcE I nesrauneNr f] uencmrrtr-e[ EDUc[-l APrf-l coNDo
WATER: nCFPLJA f"ICOMMUNITY SYSTEM f-'l WELL Tl zoNlNG USE CLASSIFIC
. g-E!-E-R, ff creua ff cex-rner- seerrc D PrIvArE sEmc Br6MMUNrrysYs I b.M " sEpARATE pERMlrs REoutREo FoR ELECT. MECH, pLBG. cAS Eourp pREFABS 8 tNsERts
PAYMENT METHOD: r CASH f-, CHeCX lelVeBLE TO NHC) l-- aUenrCen eXPRESS r- MCAflSA f-- OtSCOVen
ZONE: OFFICER:
(FOR OFFTCE USE ONL\')
SETBACKS: F;LH RH B
Approval:- City: DATE- FLOOD:- BFE+2fl!-
AVNComment PERMIT FEE: :
*DISCLAIIIER: SUBI{ITTING THIS APPLICATIOT{ }IEANS TI{AT THE SUBI'IITIAL CHARGE IS iON-REFUITDABLE
PHoflE S:
)ot1- 8\gbClearFom Print ellall
NEW HANOVER COUI{TY BUILDI]TG PERIIIT
APPLICATION TYPE: C(I'lIlE RCIAL
PLEASE AIS}IER ALL q.ESTIo}IS APPLICASLE TO YCi'R PRO]ECT
'PrcJect Responiibility"
APPLICAT{T' S l{AltlE: syi6n Barefoor-,Bluewave Deployment obo American Tower
DEVELOPER: Anerican ?ower
PRO] ECT . 5704 Park Ave Wilmington
OCCUPAI{T/BUSI ESS tlArlE: American rorer
PROPERfY oolER'S MttE: Gtenn D Hushes
oI,[{ER'S AIX}RESs:9 w Henderson St +5111 €ITY: g5ig515yit.Le Beach 5Tl xg ZIP:
C0 TRACTOR: Ner-com Servj-ces lnc-- LICET{SE *: t 4BZ4
ADRESS: :SZZ sic."r; E _ CITY: st peLe . Sf: p1 ZIP: 33766
L7 -2464
AFTTETTOI
Ilurber
((Hl<. Us.)
_DATE: 't/3\/t'l
_PXO|E : stg-t-t 2-25s4
2L:28403
_ PH0[{E *: gt1-256-4921
EHAIL ADORESS:
PRO]ECT COTITAC ITET)Snl ! Kurt wade Schneider
PKr E f:121-g4O-35A'j
PH(}{E *t l2l -gqo-lsal
(Check All lh.t tuply)
EXIST CoI{STRUCTIoil | E AITEMTIoil
1, Roloc€tion, is there a Natural Gaa Line on lhe sib? r_
r-I GEI{ERAI REPAIRS T-IH;i-ro rs BLDG sdHll.r
ilt* .*or*,*rro*, g1
ACCESSORY STruCTURE:
R E I{OVAT IOI{RELOCATIOiI
KLEREDI*Yesf-
ERECT i{E}I STRUCTURE I resr rnacr f] 5HELL f] upFrr E ADD ro Exrsr srfit cruRE
If UPFIT - The SheU Permlt s:Is Elect Porer on this Bullding f. Yes f. No
.'t" Is THIS A ctlAr{6E oF occuPAtlcY usE? f YEs J-. to ..rrr
IF Yes, rhat xas th€ PrevLou3 Occupancy Typ€? - Ilrat ls the X€r. Occupancy
IXEfi trtttc* proFEssroiaL : rower Edsineerin9 Professi"onal6 PHi919-661-5351 |K REG #:6-1794
Eti6R DESIGN PiOFESSIO..AL:-PH:NC REG *:
DESCRIPTION OF ['ORK:Replacinq existiag antennas uith new anLennas at same hei qht and Iocation
ls food or b€yerag€s prBpared or servod in
NoDISCLAIMER: I hereby cstfy ttel ell ln o.rnadon ln
End loc.l lsws ad ordlrEnc€. and r€{ulEtions. Theo. d)enoe in @ntftElor gr cootractor iifoamalbn. .-
Sublodlo Frs Up To 3500.00-
OWNERYCONTRACTOR: e'ia, Bareroo!(alaltbo (Pfi rb'te)
Note: Osnolilion mllrbattoos & Erb6t08 llnotral Dennlt apgLaliorB ara
ttris struaureZl-- Vesl-t , No ls The Prop€rry Located tn Tho Floodptainf._ Y6f_
thls applha{on b @.r€c't aM all woit wlll coytply wldl trE Strto Blllding Codo and all other sppllcaue Sbie
NHC Develootnc,rl Servkes Cent€r wlll be nodfed ot eov chanoas in lh6 aoomv6d olEn! and aEecifcstocNOTE: Ary Work Perormod w/O the Apprwriate Permfo will & in Vrohtiori of tleNC Statri Blijg Co(b end
SIG}.IATURE:
ro be eariu.d uchg ul. alplicarion tom (DHHS{768} whdld t|e hriUino was fottnd ro
contaln Asb65lo6 or no!. Ycu aro mqujrEd to calltE Netonsl Efiiadon Standards fu lleElqJs Ar Hutanl! (NES}IAP) at (919)707.5950 at l€rn l0 days Flor to tlc
d€rndltlon of 6ny ladtty or bulEinC. See Asbeslos Web Site: htF:/rve/u.6pi.state.nc.Ldepi/asbesios/ahmp.htrt
TOTAL PROJECT COST;
TOTAL AREA SA FT :
BUILDING HEIGHT:
SQ FT PER FLR: .
# OF UNITS
TOTAL SQ FT UNOER ROOF: _ # OF STRUCTURES
# OF STORIES:
f OF FLOORS:
ACRES DISTURBED:EXST I.AND DISTURBING PERMIT? TYES I- X6
NEW IMPERVIOUS AREA:SA FT EXISTING IMPERVIOUS AREA:
pRopERry usE: floFFrcE I nesrnunarr I rvreacaNrrc [ EDUCI-L Aprn coNDo OTHET
SA FT
WATER -ICFPIJA T-I COMMUNITY SYSTEM T-'I WELL T-I ZONING USE CLASS
SFWFR. HcFpUA H CENTRAL sEpTtc f] h[vArE sEpflc B\roMMUNtrysYsrEM rJ "' aa"t-o*ra "a*r,a" FrEeurRED FoR ELECT, MEch. pLB6. GAS Eourp. pREFABS & rNsEBrs
IFICATION
PAYMENT METHOD: r CASH f-, CXECX IeAVnBLE TO NHC) f-_ el,lenrCnX eXPRESS r- MCA/|SA l-_ OISCOVen
(FOR OFFTCE USE ONLY)
ZONE: OFFICER:SETBACKS: F: LH RH B
Approval:-City: DATE-FLOODI---BFE+2ft-
AVNComment - PERMIT FEE: I
.DISCLAIMER: SUBHITTING THIS APPLICATIOI{ I{EANS THAT THE SUBMITTAL CHARGE IS NOI{ - RE FUI'IDA8L E
Clea. Form Print eu6lt
NEhI H'INOVER COUNTY BUILDI]TG PERilTT
APPLICATTN Tyipr: COI'SIERCIAL
pt_EAsE lnsyEn ALt QUtSTIflS ApptICABLE TO yOt'R PROIECTdProject iesponsiblutf
APPLICAT{TtS l{AllE: gsi5n Ba!efoot, Blue}rave Depl,oynenr obo American lower
oEvELoPER: Anerican Tower
PROJECT 6736 Carolina Beach Rd ; [{ilmingLon Nc
PROPERTY O$IER'S iaAltE: NevelEno 1NC
OtflER'S ADORESS: 6?35 carolina Beach RD : wilningtoD
COiITRACTOR 3 Netcom Servj.ces rnc LfCE SE *; 7a624
ADDRESS:3522 El centro st crw:St. Pete
EI.UU L ADORESS:
PRO] ECT COi'I
(CrEck AII Ihat Appry)
Xorl- 84qj
L7 -2462
AFEIEiforr
Lurber
(OffI.c us.)
-DATE: 1/ 37 /t1
- P}ol{E *: sts-112-25s4
zlP I zaaiz
5T: x6 ZfP:2g469
. ST: FL ZfP: 33706
_ PlOl{E }: 121-g40-350.1
_ PHoitE *i't2-t-940-3s01
EXIST coilSTRlrCTIo : n ALTERATIo
lf Relocation, is there a Natura-l Gas Line on the sita? f-
r-,I GENERAL REPAIRS I-'Ik,;--rlo rsBLDos*IIil{
NotlEH coNsTRUcTIOfl: LlACCESSORY STRUCTURE !
RETIO/ATIot{RELOCATIOI
KLERED?f _ Y€61-_
ERECT I{EI STRTTCTTTRE E FAST TRACI fI SI{EL L UPFIT tr ADD TO EXIST STRI'CN,NEtr
If UPFIT - The Shell Permit #:
r.... Is IHIS A CHAITGE OF (rorp XCv usE?r yEs li:IF Yes, rdrat yas thG Prcvlo{s (kcuparcy fryp€! _ t*r.t ts tha
Tvoe IARCH DESIGI Pf,OFESSIOCAL: Tower Enqineeri
Is Elcct Porcr on thts Buildlng f. Yes ,-' i0
lo.*.rt
ieu Occupancy
919-661-6351 NC REG $: g-1194
flC nrG *:-
n9 Professionals PH
PHEI{6R OESIGI{ PTOFESSIO{AL
DESCRIPTIOII OF TORK:Replacing exist i.ng antennag with nec antennas at the same hei qht and iocation -
(O'dft.) (Prid t{..n€)
NdEi Dernditton notilDetbn. e 33b6lo6 l€rrloral pormit apfaadoftr {!lo bo arbrnitbd uEing tE epplietm torm (DBHS-3768) rttotEr U€bla*to xr6 found ts
cofllaan Asb€6to€ or not. Yo! orc rcgurod to call th6 Nalirlal Emb€lrn St rdards b{ l-hzan {u6 Air fulutants (NESHAP) d (919)707-5950 at l€ad 10 deys p.k b tt€
domdiUon ol any hcllty or building. S€e Asb6tos W6b SiE: htts/yyviw.epi.stale.ft us/opi/asbestos/ehmp_htni
TOTALPROJECTCOST: ls,000.00 BUILDINGHEIGHT:f OF UNITS:
TOTAL AREA SQ FT :SQ FT PER FLR:
* OF STRUCTURES
EXST LAND DISTURBING PERMIT? T YES T NO
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:
pRopERry usE: DoFFrcE I nesrnuv,nr I uenar{rrr-e[-1 EDUcfl Aprl-l coNDo OTHEIcetf tower
TOTAL SO FT UNDER ROOF: _
ACRES DISTURBEO:
# OF STORIES:
# OF FLOORSI
r-lcFPUA r-l COMMUNmY SYSTEM r-l WELL r-I ZON|NG USE CLASS
EJcFpuA ECENTRALSEPTE DFElvArESEprc n-doMMUNrTy
'- SEPARATE PERMITS R€QUIRED FOR ELECT MECH. PLBG, GAS EQUIP PREFABS 8 INSERTS
SO FI
WATER:
SEWER:
SYSTEM
IFICATION
PAYMENT METHOO: r CASH f.. CAeCX leeVlaLE TO NHC) J-- lUentClr\r EXPRESS f-- trlClVrSe l-- OtSCOVen
{FOR OFFICE USE ONLY)
ZONE: OFFICER: SETBACKS: F: LH RH B
Approvd:_ City:- DATE- FLOOD: BFE+2f,:AVNcommenl PERMIT FEE: t'
.DISCLAII,iER:
-UBT4ITTING
THIS APPLICATIq{ $EANS THAT THE SOETITTAT CFARGE I5 NOI{- REFUNDABLE
OCCUPAT{T/BIrSIiIESS MltE : Anerican rower
- PHO{E *i
ls Tho Property Located ln The Floodplainf_ Vaf _
owNER/CONTRACTOR: Br;aa