SEPTEMBER 7 2017 BUILD APPS@,^
Print
NEW HANOVER COUNW BUILDING PERMIT
A PP U C,ATI O N TY P E : RESI DENTI AL
PLEASE ANSWER ALt QUESTIONS APPLICABLE TO YOUR PROIECI
"Project Responsibilitl/'
hqn+;*f,#
Application
(off'ce use)
APPLICANT,S NAME:Date:
PROJECI ADDRESS:
SUBDIVISION:
6 crrY: b),lr.t ztP o2
L "^J Cot(LOT #:
llic)
*: 2-
a> -.-
PROPERTY OWNER'S NAME:
OWNER'S ADDRFSS:lQa I (1 .l-
PHONE
CITY:
CONTRACTOR:
ADDRESS:
dn L^,,r2,tJ-rs BLDG LICENSE #:58./Zo
ZIP: 29,22'.5-
sr: ,/14 ztP. t C.4> zb*1 fo rororuo,: rl oTY: iizlt t ;",.
EMAIL ADDRESS:,,14 PHONE:3BO
fie.,l Sn,.I.,-1tD biq 78O1PROJECT CONTACT PERSON PHONE:
ExlsTlNG CONSTRUCrIoN: n Aheration m Renovation I General Repairs
NEW CoNSTRUCTION: n Erect New Residence n Addition to Existing Residence ! Relocation
*.*PLEASE CHEC( AND AN$JI'ER BETOW ALL THAT APPTY TO YOUR PROIECT'*'
I Att Garage (SF) _n Det Garase lSFl I Porch (SF)
tr Pool (SF)
n Greenhouse (SF)_! Deck (SF)
f Storage Shed (SF) _
:l Other (SF)
ls the proposed work changing the existing footprint? n Yes ! No
TOTAT SQ FT UNDERROOF lJor proposed workl Healedi Unheated:
ToTAL PRoJEcr cost ltess totl:S / 04, Affi
ls the proposed work changing the number of bedrooms? n YesA No
ls any Electrical, Plumbing or Mechankal wo* being done to the Accessory Structure F Yes fl No
lftheproiectisa Relocation, istherea Natural Gas Line on the current site? [ Yes El No
ls there Electrical Power on this Building? & Yes tr No
Property Use/ Occupancy:si Family:l Duplex f Townhousc
Description of Work:
,-./ lrn,1...I ^J oF lL L,.)L,?b
laws and ordinan er and reSuhtions.Ihe NHC Development Services Center willbe notified ofanycha
information. *"NOTE: Any work performed withorrt the appropriate permi8 will be in violation of the
nges in the approved plans and s eaifications or change in contractor
NC State BIdE up to S5m.0o"+
Owner/contractor:Signature:
"Licensed Quolifie/'Ptint Nome
ls the property located in a floodplain? I Yes E ltto
Existing lmpervious Area: _ Sq Ft Total Acres Disturbcd:
New lmpervious Arca: _ Sq Ft Existing Land Disturbint permit: D yes ! No
WATER: b\ CFPUA E Community System E private Well n Centrat Welt E Aqua
SEWER: N CFPUA n Community System E private Septic ! Centralseptic ! Aqua
zone: _ officer: _ Setbacks (Fl _ (LH) _ (RH) _ {B) _
Approval: _ City: _ Date: _ Ftood: (A)_ {V) _ tN) _ 8FE+2ft=
-_Comment:Permit Fee:s
I cl€r Form
C a/"ql/
! Sunroom (SF) _
h
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)i-*ces, E-,|.h oul q il {,,.
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)ca ,t^osLr b"lL b *,^sk{
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b,J.u^, Rrylou
"fr r l^ /,t
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Va";u;]L[,
NEW HAN.,ER couNry BUTLDTNG TT-*? "?
' nrlrV'!*'
Afiplicadon
Numbea
(oflice use)
APPLICANT'S NAME:n D. Law
APPLT CAT ION TY P E: RESIDENTIAL
PL€ASE ANSWER ATL QUESTIONS APPLICABLE TOYOUR PRO'ECT
"Project Responslblllty"
CIW: W ington
s61e: 119117
PROJECTADDRESS.
SUBDIVISION:
6310 W ont Drive _ztP: 29412.
LOT :
pRopERTv oWNER,s NAME: Slel.ton Coleman
owrurR's eooness, 631 0 Welmont Drive
coNTRAcToR: Power Home Solar
pHoNEfi. 910-23t-5657
CITY:mington ztP 412
gLoc r-tcrlrsr rt. 60946
ADDRESST 919 N. Main St CITV: Mooresville st; NC ztp 2B1 15
EMAIL ADDREss. blaw@poworhome.com pHoNE. 704-800-6780
pRorEcr coNTAcT peRsoru; Mike webe, Bryan Law pHsr!s. 704-223-6576
E sunroom (sF)n Pool (sF)E storage shed (SF) _
n Greenhouse (sF)fl other (sF)
Property Use/ occupancv:.S,plnglp
Descriptlon of Work zlt lluol Familv D DuolexE Townhousemouted modules, grid tied, 6.84 KW solar installation on existin g reseidence
DISCLAIMEnT I hereby cedll, that all the informatlon in th]s application is correctand allworkwlllco ftplywith the State Buildin8 Code end allother applicable state and locatlaws afld ordlnances ald regnlatlons. The NHC Development Servicer Centerwlllbe notifled of any
Infornralion, 'i'NOTE: Any work perfonned wlthout the approprlate pernlts will be in vtolatlon ot
changes jn the approved plarg and spectftcatio[s or change in contractor
the NCState BIdg Code and subj€{t ro rine5 up to Ss00.00*'t
r: Michael Whitson SlgnatureiOwner/Contracto
"Licensed Quolilie/'Pdnt Nome
ls the property located ln a floodplain? E yes n No
Existin8 lmpervlous Area: _Sq Ft TotalAcres Dlsturbed:
New lmpervlous Area:Sq Ft Existing Land Dlsturblng permiti E yes fl No
WATER: E cFpUA fl Community system D private Well D Centralwe E Aqua
SEWER: E CFPUA E community System E prlvate Septlc D Centralseptic E Aqua
Zone: -- Offlcer:
--.-
Setbacks (Fl-- (tHl_ (RH) _ (B) _
Approval: _ clty: _ Date: _--.-- Ftood: (A) _ (Vl _ (N) _ BFE+2ft=
Comment;Permit Feej S
I
l
I
i
I
'|
i
EXISTING CONSTRUCTION; D Alteratlon D Renovation D General Repairs
NEW CONSTRUCTION: D Erect New Residence I Addl on to Existlng Resldence D Relocation
I.+'PLEASE CHECK AND ANSWER BEIOW ALL THAT APPLY TO YOUR PROIECI''} *
E Attcarage(SF)_ tr Detcarage(SF)_ tr porch (SF)
D Deck (SF) _
ls the proposed work changing the existlng footprint? D yes E No
TOTAI Sq FT UNDERROOF $ot proposed work) Heated: _ Unheated:
ToTAt PRoJECT COSI 11e., rot1,g .$29'850
ls the proposed work changlng the number of bedrooms? E yes E wo
lsanyElectrlcal,PlumbingorMechanlcalworkbeingdonetotheAccessorystructureEyesENo
lftheprojectisaRelocatlon,isthereaNaturalGasLineonthecurrentslte?EyesENo
ls there Electrical Poweronthis Buildin8? E yes El No
i
1'
i
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RECEIVED AUG 17 2017
NEW HANOVER COUNW BUILDING PERMIT
APPLICAI ION fY PE : RESI DENT|AL
PLfASE ANSWER ALL QUESTIONS APPUC}BLE TO YOUR PROJECT{Prolect Responsibilitt/
?ot1 - 15qf
l1-^bd4
ApPlicatlon
Number
(office us€)
APPLICANrS NAME: Micfiael Evenson oate:gl1,t2}1t
PROJECT ADDRESS:4313 Wi Rd clrY: WIn0iloton _Z!P:28412
SUBDIVISION:
PROPERTY OWNER'S NAME:William H Anoe PHONE #: 910-622-1963
OWNER'5 ADDRESS:28409 CIW: Wilminqton ztP 28412
CONTRACTOR; Micfiael Evenson Customs Inc.BLDG UCE SE s:--
ADoREss: 6107 L nRd CITY: Wilminoton sT: |lC Ztp: 2E409
EMAII- ADoRESS: MichaelaA com PHOI{E: 91G524{963
PROJECT CONTACT PERSO ; Michael Evenson PHOi{E:910-5 2+0963
EXISTING CONSIRUCTION: E[ Alteration ] Renovation E General Repairs
l{Ew cor{STRucrrol{: E Erect New Residence ! Addition to Existlng Residence fl Relocation
...PLEASE CHECT AND AT{SWER BELOW AlT THAT APPI.Y TO YOUR PROJECT..'
D Att Garage (5F) _El Det Garage (SF)_
D Pool lsr)
! Greenhouse (SF)! Deck (sF)
ls the proposed work changing the existing footprint? E yes EL No
TOTAT Sq FT UI{DERROOC {for prcposed work) Heated:Unheatedt 228
TOTAT PROJECI cOsT (Less Lot):1 1.000
lsthe proposed work changing the number of bedrooms? tr yes E o
ls any Electricar, prumblng or Mectankrar work being done to the Accessory structure EJ yes fl No
lf the project is a Relocetion, is there a NaturalGas Line on the current site? E yes E! No
ls there Electrical power on this Buildin8? 6 yes ! No
P.operty U3e/ Oc.ulEncyr & Slqle Family D Duplex E Townhouse
lawgand ordinances and refutaions. The NHC Development Servtces Centerwi be notifte; of any cfianges in the epproved pLnsand specitications or change rn cont actorinformatlon'+'NorE:anYwortperformedwithouttheappropriatep€.mits*irrt"inviJationottheNcstateBldBcod€andsubrectrofinesuptoSsoo_o...
Descrlptlon of Wortl
the shinOlas on the homo
Owner/Contractor:
"Licensed Quolifel
Evenson Signature:
Print Nome
ls the property located in a floodptain? f] yes EL No
Erlstin8 lmpervious Area: _ Sq Ft Total Acres Dlsturbed:
New lmpelvlous Area:
-=-
sq Ft Exlsdng land Distuiblnt psrmlt:
WATER: tr CFPUA D Community System fl private Well E Central Well D Aqua
SEWER: ! CFPUA n Community System E private Septic E Cent alseptic D Aqua
Zone:
--
Offtcer: _ Setbadc (Fl _ (rltl _ (RHl _ (B) _
Approv-al; _ City: _ Date: _ rbod: (Al
-'.-
(Vl _ (Nl _ BFE
Comm€nt:
[:] Yes E No
+2ft=
Permit Feei 5
I
LOT fl:91
tr Porch (sF) 228
tr Storage Shed (SF)_
fl Other (sF)--
D Sunroom (SF)_
$NEW
Clear Form Print eMail
HANOVER COUNTY BUILDING PERMIT
APPLICATI$I TYPE j COIITIqERCIAL
PLtASt ANSWER ALL QUESTIONS APPLICABLT TO YOUR PRO]ECT
"Project Responsibility"
2?Ftit 17
APPL-TE_TION
Number
(Offt.e Use)
10: ?(
APPLICANT'S llAIrlE: ertnur w. Hitl _DATE: B/29/7j
DEVELOPER:
PROJECT
_ PHONE #: 910 6 601817
: toz ota Eastwood Dr. Uni-t A5 Wifmington ZIP i 28 4a3
(rcCUPANT/BUSII'IESS AltE: panacea Brewins company
PROPERTY OI{NER'S AltE: sreven A. King
OIINER'S ADDRESS: 2106 Medeira cr.- CITY: pi 16inglen
CONTRACTOR; Arrhur w. Hill _ LICEI{SE $: n7u
ADDRESS: ? Chris Dr.- CfTY: 66s11s g6y1q
El,lAIL ADDRESS : DanacedbrewinqcomDd n vG oma i : . com
pROIECT COI{TACT PERSON: nslis rri11
_ PHONE S: 9104 ?04 848
ST: N6 ZIP:2s4s3
ST: x6 ZIP: 2g429
PIPNE *: 910 6 6 01817
PK)NE #: c;03675909
EXIST CONSTRUCTTON:n ALTERATION
lf Relocation, is there a Natural Gas Line on the
(Che.k All That Appry)
RENOVATION T-I GENERAL REPAIRS T'-'I RELOCATIOI{
rrent site? 5 *J6- r.ro rs BLDG sPh/NKLEREDfi Yesl--U
No
NEhI CONSTRUCTIOI{:EREcr r{Er{ srRUcruRE l-l FAsr rRAcK I suell fl urrrr n ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE: BAR and 2 rabtes
If UPFIT - The SheII Permit f:Is Elect PoHer on thi.s Building li Yes f.NO
***+* IS THIS A CHAI{GE OF OCCUPAI{CY USE?|-' YES J--. ilO *****
IF Yes, what was the Previous Occupancy Type? _ hlhat is the ew Occupancy B peop le
TvoelARTH OESIGI{ PROFESSIO{AL:
NEW IMPERVIOUS AREA
PH:
PH:,l
NC REG #:
NC REG #:-
NoDISCI AIMER: I hereby cerlily that all informalon rn lhis applicatrcn rs correct and all $/ork will comply wrth the Slate Burtdrno Code andand tocat taws and ordinan@s and requtalions. The NEC Development Servic€s Center wilt be notif'ed of anv chanoes rn thi aooroveoor chanse in conrractor or conr€ctor i;rormation. '-roie: AnyWo* Feioiineo Wlijiire Apl-.op-a-ai-e'ptfills';iliiiiin Vi|iaii,i,ibi ri:eSubiecr'lo Fines Up To $500.00"'
olans and sDecificatlonsNC State Bldo Code and
ls food or beverages prepared or served in this structure?l-_ Vesf-_ ruo ls The property Located ln The prain?r Yed-_
all other applicable State
OWNER/CONTRACTOR: artnur w. srrr SIGNATURE
TOTAL PROJECT COST: s2OOO BUILDING HEIGHT: sinqle stor
ENGR DESIGITI PROFESSIONAL :.
DESCRIPTION OF WORK:We have added a bar and 2 smalL tabfes
TOTAL AREA SQ FT SQ FT PER FLR: 741TOTAL SQ FT UNDER ROOF:# OF STRUCTURES
contain Asbsstos or not. You are r€quired to call lhe National Emassion standaids for Haza rdous Air po urants (NEsHAp) at (919)707-5950 at teast 1 0 days prior to thedemolation of any faciriry or buirding. s€e Asbeslos web site: hxpr^^,ww.epi.slare.nc.us/epi/asbesros/ahmp.hl.r
v
PROPERTY USE: lOrnce !RESTAURANT
NITY SYSTEM
# OF STORIES: 1
# OF FLOORSi 1
EXST LAND DISTURBING PERMIT? T YES T NO
SQ FI EXISTING IMPERVIOUS AREA:
MERCANTILE ED APTl-l coroo orner Ah Foor{ t
CLASSIFICATION
SQ FT
WATER
SEWER
iYSTEM
CFPUA
CFPUA E
cot\flvtu
CENTRAL SEPTIC
PARATE PERMITS REQUIRED FOR ELECT. MECH, PLBG. G
T1 WELL
I'Rlvere seprrc N ZONING USE
B-coMMUNtrYtu I
AS EourP PREFABS & tfGE
tr
PAYMENT METHOD: r CASH l-. CXECX leevaalE To NHc) f-AMER|CAN EXPRESS f_ MCA SA f- DtscovER
(FOR OFFTCE USE ONLY)
zoNE: R3 oFFICER SETBACKS:F:t\IiA LHNJiA . RH
FLOOD
ortt
rproval:_ City
nment
T
t.LAIMER: SUBI.TITIING s PPL TION I4EANs THAT THE SUBMI L CHARGE IS NON- RE FUNDABLE
(.Uqc\^"J)
<,,.|:tt4,
ACRES DISTURBED:
# OF UNITS:
t)
k2
\1
Clear Form Print eMail
HANOVER COUNTY BUILDING
APPLI:ATI1N rYP6; COMiIERCIAL
ftriT?o t
/'\/0 NEhJ PERMIT
PL€ASE AN5NER AII QU[5]'OIiS APPIICABLC IO iOi]N PBO]TCI
"Project Responsibility"
rF-pLrcrrroN
Number
(offi(e ure)
APPLICANT'S NAI'1E: ,.,r-:j-,: 7!. ,1j l TE tl t :4,) _
DEVELOPER;
PRO]ECT AD ; 1C2 Ojd EasLwood Dr. unit A5
PHONE S:
Z7P:2i:,,...1
OCCUPANT/BUSINESS NAiIE; :r::,,:,,, :,,.'{r:,,. :.-r,:i.
PROPERTY OI{NER'S NAI{E: jri-ey,,,l A. \i:1.j
OWNER'S ADDRESS; ,,tita i.:,,.€1r., ij:CITY: ,, it j,,,.:,"
PHONE $:
ST :1s ZIP: 7;,;; -r
1a13576r09
i
CoNTRACToR: r.. :: ,: i.;. :r . l
CITY: 1,,.,111 xs1,1q,
€lUtIL ADDRESS : panaceabr€-n.ir,gconlany€ ir-r lt
PROIECT CONTACT PERSON; n.1 1,. 1, I 1 :
(ahe.k !Il Tn.t ap9ly)
ALTERATION RENOVATION GENERAL REPAIRS
lI No lS BLDG Slf Relocation. is lhere a Nalural Gas Line on the urrent Site?es
NONEw CONSTRUCTIOT'i:ERECT iJEW STRUCTURE FASI TRACK SHTLL UPFIT
LICENSE *: ,.
ADDRESS: / Ctrris Dr "sr:lg,- ztn: zaq::
PHONE f:
PHONE #:
r trPRIN KLEREDfi_ iyesT _
RE LOCATION
or, ,o ,[ra, srRUcruRE
ACCTSSORY STRUCTURE: BAii aro ;t :dr_..e:
Is El.ect Polrer on thj.s Euilding
.,r.*r rs THrs a CHAJi6E oF o{cuplNaY usE?fi YEs f-. no ".**-If Yes, *hat Has the Previous Occupancy Type? _ ,lhat is the l,aer Occupancy
TvDe?ARTX OES16 PROFESSIOflAL NC REG
EN6R DE5IGI'I PROFESSIOTAL:.PH
If UPFIT - The shell Pernit $:
DESCRIPIION Ot I,JOR(: ..., .,,-, t .:.,.. . ,, , Url Arl,
ri Yes T N0
<, A,L\9
ls food o. beverages prepared or serued in thrs structure?li. yesJ- "o ," ,* o.o"[ilu,ufiiu ffiffi{i- ye"l-...
No
OISCLAIMER I hereby cenily [hal aU rnlomalion i. fiis spplicalon is conecl and all wolk will comply wrth $e Srate Boilding Code and att o
and tocal laws and ordrqanc€s and '€gulations, The NHC DeveloDmenl Services Cenic, will be noidled o{ anv chanoes tn thi aDffove.t DIdnor cia4qo '1u{'l,dclor or conlrrdo, infoEnaton "'NOTE:Any UJorx Pe4omed WrO lhe Appropnat' pernlc wil 6b in V,otarro. oflhe\JCSubi€ct'io Fines Up Io 5.500.00"'
OWNER/CONTRACTOR: ,:cr,:r ;r. :rii: SIGNATURE:(osdr,t.) (ftid NMe)
Nol€i osnolilion nolifr3tio.rs E asbosros ,6moval p€rmil .p9licauons are ro bo submited ugng lne applcaroi torm (DHHS'3768) whelher rhe tacitiry..ntar Asbosros o. nol. You a.c equi od to carllhe ri.ti:)n6l Ernisson siandards lor Hazardols Ar. Pollltanrs (NESHAP) al t919)707-59:0 ar teasl to
denoldron o, any aacilrry o/ building, see Asbesbs yJe! sirc hltp.r/[1\r./.cpr .rate nc rgeplrast lsroylnmp.httn
TOTAL PROJECT COST: s20 ic
TOTAL AREA SQ FT .
-
tie, apdrcabte Srare
$are Eldo Code ard
I
TOTAL SO FI UNDER ROOF
NEW IMPERVIOUS AREA
PROPERTY USE OFFICE
BUILDING HEIGHT: s.r.r-e :;r.or,. ,OF UNITS
f OF STORIES: I I
tr OF FLOORS: l
MERCANTILE EDU APT CONDO OTHEI
EXST LAND DISTURBING PERMIT? T YES
SQ FT EXISTING IMPERVIOUS AREA:
NOt-
'I.1
WATER
SEWER
CFPUA
CFPUA
RESTAURANT
NITY SYSTEM sE CLASSTFTCAT|ON I
COIVMU
CENTRAL SEPIC fl
r-.I WELL T-l ZONING t'Hverr seprrc 3toll r,,r ur'r rw
PAYMENT METHOD: T CASH f- CneCx leavaalE TO NHC) r. . AMERTCAN EXPRESS T_ MCI4SA l* ,ISCOVERD
zoNE: (8 oFFtcER
(FOfi OFFICE USE ONLY)
SETBACKS: F ' ,.i LHl.; ,' RH
FLOODApproval:_ Cjty:_BEE+2lt'*_I*
n;rrr%1.i,.4"*$
DATE
,,;"'t 4ppComment
TDISCLAII''1ER : SUBMITIING 5 PPL CATION IIEANS IHAI THE SUBMI L CHARcE ts lrot - R r rulroadr t
EXISI CONSTRUCTION i
PH:
SQ FT PER FLR: ?a1
* or srRucrunESl-
ACRES DISIURBED:
SO FI
NC REG
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PLEASE ANS'IER ALL QUESTIONS APPLICAELE TO YOUR PRO]ECT
"Project Res pons ibility"
Nn-@w
L7 -27 83
-q$7
APPLICATION
Number
(office Use)
APPLICANT'S l{AllE: Munoc Homes of N.r-,h Carolina, rn.
DEVELOPER: Munso Homes .rf Norr,h Carolirra, Inc
PROIECT ADDRESS: a:l ts= :.e'. :i :
SUBDIVISION: :'{a I 'h r-rak:l
PROPERTY OWNERTS NAI\4E: i.Jur.li t:imcs .l l.iori,i, aa:.r,Lir.r, r;r.
Ol.lNER'S ADDRESS: 44i i!-eriLer:r :ane CITY: r:n.
CONTRACTOR: i'iur,qo Homes of Iorr-h Carolina, Ir,c
DATE: 8/21,'2-.11
PHONE #: 919-418-r958
CITY: wi lminsron ZIP | ) a:',',
BLOCK #:LOT #: .l l
ST: :lC ZIP:29453
ACCOUNT #:
ST: s. ZIP: 29i rl
PHONE #: 8 ai- 6 -1a- r s2 r
RE LOCATION
PHONE #: 919 418 r968
LICENSE #:
CITY: I:nlADDRESS: 441 l.,restern Lane
EiIAIL ADDRESS: klusk.mungc ccm (Katherine Lusk
PROIECT CONTACT PERSON: Erad rilvcu (prr jecr- mar,aqer)
A LTERATION R ENOVATION GENERAL REPAIRS
NEW CONSTRUCTION:ERECT NEI^, RESIDENCE or ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOI,I ALL THAT APPLY TO YOUR PRO]ECTi
PORCH 234 SF
EXISTING CONSTRUCTION:
ATT GARAGE ,1 i,3 SF
SUNROOM SF
DET GARAGE SF
POOL _ SF
DECK SF
STORAGE SH ED SF
SF6R E ENHOUS E 5F OTHE R :
TOTAL HEATED SQ FT::a,I TOTAL SQ FT UNDER ROOF: :sa., TOTAL AREA SQ FT:
TOTAL PROIECT COST tr."" rort : $# OF STORIES: ]
2 81r
Is Any ELECTRICAL, PLUl.tBIt{G or MECHAT{ICAL Work Being Done to the Accessory Structure? [ Vet [ ruo
If the pnoject is a Relocation, is there a Natural Gas
Is there Electrical Power on this Building? [V"t I
Line on the Curnent Site? [ ves [ ruo
No
PROPERTY USE / OCCUPANCY:SINGLE FAI4I LY DUP LEX IOWNHOUSE
DESCRIPTION OF WORK:New Sinqfe Familv Resi dence
and ord in ances and reg u lalions lhe N H C De velopmen t Se rvices Cen le r will be no tlled of an y changes in tre appoved phn s ard sp6cificalibns or chanqe in con lracb I or
contact)r informa6on. "'NOTE Any Work Performed W/O he Appropnale Perm its will be in Violation of rhe NC Stets Bdg Codo and Subr6ct b Fines Up To $500.00..'
O!{NER/CONTRACTOR: rq,nqo Homes bv Karherrne Lusk SIGNATURE: Katl\2,f iAe/ Lu&*,
(Print Name)!i * *:t * +,* * ++* * * * 1. ,r ,t ,f:t t t +:i itr ii ii i**,t,* *** **,r )r * + + ri:N + + * + x * )i * + +:i t:i jt *,t* *:t* *,i+*)t,|,|,|* *:i*+*+rt **** **:f * t*
IS THE PROPERTY LOCATED IN A FLOODPLAIN? N YES NO
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
n SQ FT
SQ FT
TOTAL ACRES DISTURBED: . ,16
EXIST LAND DISTURBING PERMIT:r YES NOn
WATER:
SEWER :
CF PUA COI'4I'4UNITY SYSTEM PRIVATE WELL CENTRAL WELL
REQUIRED FOR ELECT, MECH, PLBG, CAs EQUIP, PREFABS & INSERTS ***
cHEcK (pAyaBLE ro NHc) E BrLL accouNT I mclvrsr I orscoven
CFPUA CENTRAL SEPTIC PRIVATE 5E PTIC f] cor,trururrv svsrer
,f ** SEPARATE PERM
PAYMENT Ii!ETHOD: I CISTT
ITS
T
* * * * * * * * * + * + * * * * * * * + + + * * * * * * * * + + * + * * ,* * * + + * * ,* )t x * * * * ,t * ,* ,t x x x ,* + * ,* * x * * * + * * * x + * * + * ,t * * ;* ,* ,t * * * x x *
ZoNE : _ oFFICER:
Approval;_ City
(FOR OFFICE UsE ONLY) BEVISED OATE O4l1
'- *r,,-t'*^::;r:'- "'j''-'';$ \do
!2t/
t
N
I
CtrRJA, IIz *
PIIONE #: 919-3r3-8525
APPLICANT'S NAME:
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION ryPE. RESIDENTIAL
PLEASE ANsWER ALL QUESTIONS APPLICIETE TO YOUR PROJECT
"Projed ResponsibilitY'
CITY:
b1-q1E
nfl$q
Application
Number
(omae us€)
oate,j,lTplp
PROJECT ADDRESS:
SUBDIVISION:
I ztP:z3l.lo\
LOT #
PROPERTY OWNER'S NAME:/t'^-.rca f PHONE #: -')
OWNER,S ADDRESS: 71 I 6 Q arL-.4r--,CITY ZlPl
BLDG TJCENSE #:
ADDRESS:CITY ST: ZlPl
EMA|TADDRESS: lB F+-b i3 i
PROJECT CONTACT PERSON PHONE:
EXISTING CONSTRUCTION: E Alteration d Renovation I General Repairs
NEW CONSTRUCTION: E Erect New Residence ! Addition to Existing Residence n Relocation
.*.PLEASE CHECK AND AI{SWER BETOW ATI THAT APPLYTO YOUR PRO.IECT* **
! Greenhouse (SF)tr Deck (SF)
TOTAL Sq FT UNDTR ROOF (for proposed wort) Heated:
TOTAT PROJECT COST {Less rot): S f,^S,6Cld2
ls the proposed work changing the number of bedrooms? tr yesE No
ls any Electrical, Plumbing or Mechaoical work being done to the Accessory Structure El yes n No
lf the project is a Relocatlon, is there a Natural Gas Ljne on the current site? El yes fi No
ls there Electrical Power on this Building? & yes E No
Property Use/ Occupancy: B Single Family ! Duplex fl Townhouse
Description of Work;
t
DISCI,AIMER: I hereby certify thet a[ th€ information s applicatio.r is corect and allwork wi comply wth theStat€ Buildi ng Cod€ and allother applicable State and localin
lawsand ordinances ahd regulations. The NHC Development Services Centerwill be notified ofanychanges in the approved plans or change in contractorinfoflnation. .. . NOTE: Any work performed without the appropriate p€rmits willbe in violation of Eldg Code and to fines to S50O.m"'
Owner/Contractor:
"ucensed Quolifier"
Signatur€:/>
ls the property located in a floodplain? D yes d No
Eristing lmpervious Area: _ Sq Ft Total Acres Disturbed:
New lmpervious Area: .-- sq ft Existing Land Disturbing permlt: ! yes ! No
WATER: tl CFPUA tr Community System ! private Well I Centralwe I Aqua
SEWER: E CFPUA I Community System ! private Septic f] Centralseptic D Aqua
zonei _- Officer:
--
Setbacks (f) _ (rH) _ (RH) _ (B) _
Approval: _ City: _ Date:
--
Ftood: (A) _ (V)
-_
(N) _ BrE+2fE
Comment:
*.q63
PH
Unheated:
d
I
c7-,
,"rri,Fee: S ,\h
D Att GaraBe (SF) _
n Sunroom (SF) _
E Det Garage (5F) _
tr Pool (sF) _
E Porch (SF) _
E Storage Shed (SF) _
tr fther (SF)
-
ls the proposed work changing the existing footprint? E yes ( No
hqqrut
L7 -L326z
i
t
r.
a
NEI,'J HANOVER COUNTY BUILDING PERMIT
APPLTCATIoN ryPE.. cO'I,IlERcrAL
PI,EASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT..project Responsibj.l.it}/,
APPLICATIOfl
Number
(Office Use)
APPLICAI{T'S NAIIE: TD Eure Mar:ne coast ruct.ion, LLC DATE. 4 / t] / 2A17DEVELOPER:
PHOI'IE *:PROIECT ADDRESS: 4410 River Rd CfW: wilninqroo
0ccuPAt{T/BUSritESs tuutE :
PROPERW CHNER,S NAIiE: NNp rv capeFea! River tLC PHOITIE *: 9104422846Ot{tlER' S ADDRESS: 13r7? Balra..t Corp Pf Ste 55C CITY: Charlor re
struction, Ll,CCO{TRACToR: TD Eure Marine Con
CfTY: Beaufcrl:ST: NC Zfp: 28s16
ADORESS: s7s us 70
EMIL ADDRESS: sha Gtdeure. com
PROIECT CoNTACT PERS(X{: Andrew iaw PHo{E *: 252-51L-2'ti3
(Check Al1 Ihat Apply)EXIST CONSTRUCTIO : I ALTERATION n REiOVATION GENERAL REPAIRS l-l nrloclrrorlf Relocaton, is lhere a Natural cas Line on the Current Site?tr Yes n No lS BIDG SpRtNKLEReoz I ves [ruo
NEla, CoNSTRUCTISI:EREcr r{EN srnucruRr fl FAST TRACK SHELL f] unrrr I mo ro Exrsr srRucruRrACCESSORY STRUCTURE:
If UPFIT - The Shell permit #:
+**I.TI rS THIS A CHANGEIF Yes, what uas the previous Occupancy Type?
ARCH DESTGN PROFESSIOTAL:
Is Elect pouer on this Butldtng E yes E ruO
r f] ves flns **'**
t{hat is the e}, Occupancy Typel
OF OCCUPANCY UsE
PH: Nc REG #:PH:843-414-1040 NC REC *:
DESCRIPTION OF WORK: Etoarinq Jocks Gangwa Eire Protecti
ls bod or bevwages E'psr€d or ssr/sd h .nis *nrtre? [ Ve" E f.to s t* eroperty Locabd ln Th€RoodCaln?tr Yes il NoDISCLATMER: I hersby cerrfy rhet afl informahon mand tocat laws and ordinance3 and regulations. The
Stfi LTCS Il#J[?ciT tgoT.B8actor rirormation ;;'ffii:qff#nd#ffi#f###dr*;*ffi iH&."1iffi;,:ffi Ei{Dlans andNC Stare sDecifications
Bldg Code and
Sys Lem , glectiicaf
allolher epplicable State
OWNEFYCONTRACTOR:TD Eure Marine ConsErucrion SIGNATURE .?
(audird)
t{de: O€rnoli{oh nodffcatiorE & esbdc rsno\rd psmh apdbrrbos srE l,o be 3ubrni[d lJ3lng lt'€ apdicatim form (oHH5-3768)wfEtE tte fa.{tty s hlldlng was foo.ld toconEin As6€S d noL you ero Equlred b call hs iledonal E nb.sfon Sadsl& 1b,l"lazarddrs Ar Podutads {NESHAP)a (S19)m7-5960 sr t6sn 1O &ys trr6lo th€de,nofih.l d any th.Sty or hrgdno. S*Asb6lo€ tireb Eb: h(pJ^vww.6fi_st o_rE_us./€{rasb€stos/*mp.htnl
TOTAL PROJECT COST: 3sl 488.00 BUILOING HEIGHT:
SO FT PER FLR:TOTAL AREA SQ FT
rorru_ so rr uxoeR nooF
ACRES DISTURBED:
PAYI'ENT METHOD:DCASH n
Comment:
# OF UNITS
# OF STORIES:
# OF FLOORS:# OF STRUCTURES:
NEW IMPERVIOUS AREA
EXST I-AND DISTURBING PERMTT?fives fiuoSQFT EXISTING IMPERMOUS AREA:
PROPERTYUSE: EoFFtcE lnesreuneNr [uencaxlr_r flsouc [err lcoloo orxe*WATER:
SEWER: T-.I CFPUA
trICFPUA nfI @MMUNIrySYSTEM
c=rrnal seerrc [PRIVATE SEPTIC
LIWELL
COMMUNTTY SYSTEM
flzoNtNc usE ct-AsstFtcATtON:D
SO FT
-. SEPAMTE PERIIITS REQTJIRED FOR ELECT, MECH. PLBG, C1AS EOUIP. PREF
ZoNE:. omrcen, _- ('TffiB[::H:_,*_RH:_B:
Apprcvd:-_city,__D"-._fE-_.Lo,ji.:_ BFE;F
C}IECK (PAYABLE To I.Ixc1 f]aMgqEAN #;::l'u,",,*n DtscovER
REVISED DATE {/1 U'2
N
0CLtcFPERMIT FEE:$\00-
ZIP i 2a 472
sr: NC ZIP i 282'71
LICEI{SE S: 754s9
PHO{tlE *: 252-'t28-41s7
EiIGR DESIGN PRoFEssIo AL: ffi
ffi
rut1-aL4{b
L7 -7 22 . rev2NEW HANOVER COUNTY BUILDII{G PERMIT
APPt CAilON TYPE; RESIOENTIAL
PLEASE ANSWEN A[ QUTSTIONS APPTICASLE TO YOUR PROJECT
"Prq.cr R.tponrlbfitf
PHONE S:
CITY:
PHONE:
Appfic.tlon
Number
{oftlcs uie)
APPLICAI{fS NAMEr
PRO'ECI ADDRESS:ctrY
suBDtwstoN:
B\r.- c)_*v)/_ES
PBOPEiTY OWiIE S I{AME:N
OWI'IER S AODREgS:l2'7 zk)ilr Dts,-2Dl
CO}ITRACTOR;
ADDRESS;ctw
EMAIT ADDRESS:
PROIECI CONTACT PERSON :OLIVI* ftTDY hA*rJ
EXEnt{G CO SnUCrIOI{: E Alteraflon E Renovation ! Gener8l Repairs
NEW New nce f) Addhion to ETo wt
&s.n.e.$o 531 D Dct G.rage (SF)
-
C! Sunroom (SF)_ EI poot(SF)_
E Gr€enhouse (SFI_ tr Deck (SF) _
ls the proposed work changlng tho exlstlng footprtnt? E Ves /No
TOIAI sQ FI ut{DEi ROOF (for propos ea wo*l Xffittaz 2r4 I I Unheetgd:
TOTAL PROJECr COST (Less Lo0: S 4l-7.Ooo
Proparty Uray' Occuprncy:O tupt.x tr Townhou*
Dcrcrlptlon ol Work:
Oate:
LOT *r 3o
s
zlP
BIDG
oAl 10.b.lPtroI{E:414'93'%b
I 3t.l-7
t?t D+zn
Relocation
rch (sF)/-zz-
ls the proposed work chanting the nqmber of b€drooms? tr Vel ffio
ls any Elestdc , Plumt n! or M.chrnlcrl work belng done to the Acc6sory Structure El yrg t'fo
lfthe proiect isa Reloc.tlon, 15 therc r NaturelGas Llnq gn the current site? tr ycs ffi
ls ther. Elestrlcal Power on thts Butldint? E y.r ts4{o
Itlr6 rnd ordlnmc.i.nd rqubtlons.lhr NHc oa&lopmlnt Sawlct! canhr wlll b. ng{ttld of ary chrqesrn thc qprorcd ptair rno +ccrncetom ot ch!q. in conrraroriniormerioo. ..rNOTE. Any wo* p.r{oin.d strhour th. .ppo}rtr!. I. 'nttr w{[ b. rn viC.$on ct th. nC St te Uajcoac rr,a rubrGd; fin6 !p lc f,5@.O0...
g.rmlcontr ctor:
'Llens.d Asolll€t'
Sl3nature:
P nt Nome
lsthe p'operty lo6t d ln a fioodplaln? E y..
Exlrttu tmp.rvtorl3 trt: ,./ saa
d"
ToulAsrrg olrturbd A. 2'f
l{.{, mpc,"to*A,.r, *ro2z 4n E&il,E t rd Dkurbtns psflnlc tr ve Ed
wArft tr4puA E communtty s)*rm Et prtv.te walt El Ontr.t wel Et Aque
tElirER #FPUA E Communtty Sytt m E prlv.to Septk E Centralseptic E Aqua
zgnr: --- Oficari _ S.!t do lFl _lrH)_lnHl_lBl_
Approv.h _ Ctry: _ O,t.: _ flood: lAl _ (yt _ (trtl _ BfG+Zfi* _
Comment:
O storate Shed (SF) _
fl other (sFl*_--.--'.-.''-.---
?on-(btd
L7 -2777
Application
(office use)
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER AtL QUESTIONS APPLICABTE TO YOUR PROJECT
"Proiect Responsibilitl/'
pRoJEcT ADDREss: 420 Catamaran Drive ctTy: Wilmington ztp. ?8412
sUBDtvtstoN: River Oaks Homestead Estates
PROPERTY OWNER'S NAME;Bill Clark Homes of Wilmington, LLC
OWNER,S ADDRESS; 127 Racine Drive, Suite 201
pxorur*:910.350.'1744
Ctw. Wilmington aP. 28403
CONTRACTOR: Bill Clark Homes of Wilmington s1s6 1166t{56 g. 34586
ADDRESS: 127 Racine Drive, Suite 201 CtTy Wilmington Sr: NC ztP. 28403
EMAIL ADDRESS:cbain@billclarkhomes.com pxorue:910.350.1744
puorur:9'10.350.1744
n Storage Shed (sB _
PROIECT CONTACT PERSON;Courtney Bain
EXISTING CONSTRUCTION: n Alteration [] Renovation E General Repairs
NEW CONSTRUCTIOITI: Eiere* New nesidence U Addition to Existing Residence fl Relocation
.,_PIEASE CHECK AND ANS *r. ? "., LJ<u/ettearac"{sr)L-15-J o r",u",,r"1rr1----------/poI'$rtEV?yA1 nS
n Sunroom (SF) _
E Greenhouse (SF)
n Pool(sF)
D Deck (SF)
TorAL PRoJECT cosr lLess iotl: S 2t1 , V-lB /
ls the proposed work changing the number of bedrooms? E Yes d f,to
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Stru.trr" E v", 8/trlo
lf the proiect is a Relocation, is there a Natural Gas Lirlgon the current site? E yes E/trto
lsthere Electrical Poweronthis Building? E yes Efito
Property Use/ occupancy: dingle famtly E Duplex E Townhouse
Descriptio n of Work: new construction of single family residence
lavrs and ordinances and regulations. The NHc Development services Center will be notified ofany chanSes in the approved plans and specifications or change an contactorinfurmation. "'I{OTE: Any work performed without the appropriate permlts will be in violation of the NC State Etdg Code and subject to finer up to S5OO.OOr..
Owner/Contractor: Courtney Bain Signature:
"Licensed Quolifie/' ptidt Nome
{*,ls the property located in a floodplain? O Yes
Existing lmpervious Area: -_ SqFt Total Acres Disturbed:L{
New lmpervious Area;Ft Gxisting Land Disturbing Permit: tr V", E/No
WATER: fl CFPUA El Community System E private Well E Central Well E/A/qua
SEWER: D CFPUA E community System E private Septic E Centralseptic #qua
Zone: _ Officer: _ Setbacks (Fl _ (tHl _ (RHl _ {B) _
App.oval: _ City: _ Date: _ Floodr (A) _ (V)_ (Nl_ BFE+2ft. _
Commenti
\44C$
"OISCLATXEft s ]N6 THIS LICATlON I.lE T}IAT THE TTAL CHARGE S i]ON-REFUNDABLE
Permit Feer 5
-\c)
,^u.-->>, ----:0.,? A: 'iii:' ^tL-\1:l iusJ[ r:1'' El&l '-'ia Bt ':
AppgcANrs NAME: Bill Clark Homes of Wilmington, LLC oate: 0812212017
tOT #: 39
n/o,i,".tso PAhD- l3(a
ls the proposed work changing the existing footprint? C yes /tto
TOTAT SQ FT UNDE RROOF (fot proposed workl Ueated: Zln4 Unteatea: 8"1-l
NEW HANOVER COLINTY
DEPARTMENT OF BUILDING SAFETY
230 GOVERNMENT CENTER DRME . SUITE 170
WILMINGTON, NORTH CAROLINA 28403
Telephone: 910.798.7308 Fax: 910.798.781 I
Interuet: www.nhcgov.com
4 to 7 WORKING DAYS TURNAROUND TIME FOR PERMTT TSSUANCE
STATEM ENT OF UNDERS NDING
am submitting an application for a residential
building permit to New Hanover county. And, as the applicant or person submitting
the application, I check the boxlboxes below to acknowledge that:
1$fr I nave attached an official CFPUA receipt or document that has
acknowledged an approval of the payment made to CFPUA.
:
t,
I have ttached an official proof of a Zoning sign-off from the City of
Wilmington, for this work that will be done in the City of Wilmington.
tdk I have aftacnea an official proof of an approval granted by the New Hanover
County Environmental Health Department, for this work that requires an approval
from Environmental Health.
lf the application is correct and complete with the required drawings, and if
there are no corrections or revisions to plans and drawings, and if there are no
further clarifications required by New Hanover County; New Hanover County
can guarantee that the building permit will be issued within 4 (four) to 7 (seven)
working days after the official submittal date/time (the stamped date/time
notation made by the Building Safety Department on the application or submiftal
document). I understand that the 4 (four)to 7 (seven) working days only begins
when the application is submitted prior to 4:30 pm on any workingday.
Signed in acknowledgment:
Courtney Bain 08122t2017
Signature Printed Name
0 Catamaran Drive
$r
Bain for Bill Clark Homes of Wilmi
Address for the proposed residential work:
Date
RECEIVED AUC Ts IOU A1-q51b
l'l -11( '1
APPLICATION
Number
i.ri
ffi
APPLICANT'S NAfiE:
DEVELOPER:
NEW HANOVER COUNTY BUILDING PERMIT
aPPLI.ATI1N rYPs I R ESIDENTIAL
PLTASE AI5r.,rE8 ALI Ql-'IS]I0N5 APPLIaASLE T0 YOLIR PR0ltCT
"Project ResPonsibility"
Pl"loNE {r ,r, ir: :,:l
PR0J ECT ADDRESS: ::,1: :ia ., r::r.ir:::e ,r:-.',-CITY: ilr l:r:l:,r:..ZIP | .,.:.
SUBDIVISION:ELOCK *!iC
PHONE
LoT fi
PROPERTY ONNER ' S NAI'IE
OI"JN E R, S ADDRESS: i]:]CITY; r: li::r-.,r :.
CONTRACTOR: :-:,,:: , :
ADDRESS: itt.r iin:.:.-r ,i :,r, -
LICENSE 11
CITY: r'i . ,
5 T : ,.:-_ Z I P : ., ,i i - :
STi tl', ZIP: -l,i-.l
El'1AI L ADDRESS
EXISTING CONSTRUCTION :A LTE RATION R ENOVATlON 6FNF RAI RFPATRS
NEI,] CONSTRUCTION ERECT NEI.I RESTDENCE on ADDITION TO EXISTING RESIDENCE
.'PLEAS[ (HECX AND ANSI,JER BE LOI,,] ALL THAT APPLY TO YOUR PRO]ECT
PHONE #
PHONE $
ATT GARAGE
suNRootl _ sF
GREENHOUSE
DET GARAGE
-
SF
POOL l s4 SF
DECK ':O SF
5F
SF OTHE N
PORCI]
STORAGE 5HED
RE LOCAT ]ON
SF
SF
5t
ToIAL HEATED 5Q FT: _ TOTAL 5Q FT UNDER RoOF: _ ToTAL AREA SQ FT:
TOTAL PROIECT COSTL-.,.ru,r : $ =: r:, :. # 0F STORIES;
1\ lr)t ELECTRICAL, PLUtIBING ol. tIECHANlCAL llor'k Brirll Do,:r, tu ,,,a Accc55oIy llt' u(lurei t
If the p.oject is a Relocation, is there a Natunal 6as Line on the Current sitel fl Yes
Is there Electrical PovJer on this Buildinga I llo
I llLj
PROPERTY USE / OCCUPANCY: I SrruCre ranrrV ! OUerrX ! ToWNHOUSE
DESCRIPTIoN OF HoRK: .::,.-:.1--:.'-r:,, .: i
,ltitr;. llEi - -,: -r I
trc'F
Ol,lNER/C0NTRACTOR : .r,,:. .r : i.'.;cr:-:. r:::-
I NO
.* SEPARATE PTRTlITS REQUIRED FOR ELECTJ N€CH) PLBG' GAS EQUIP' PREFABS & INSERTS
! cosu !clrc* leavnolr ro rurc1 [PAYr'1ENT l'1tTH0D AI4ERICAN EXPRESS ric /vIsA D l SCOVE R
(,o ii, r(i Lisf e r) Rrvrlro tnrt 0r_ ll
SETBACKS: F: Ll1: RH: 8:
City:_ DATE :_ F LoCD:
I
Approval
Comment :
IJ
PE R14I T
BF E+ 2ft=
FEE: $ 6
DATE: b., 2'-, :)
PRO] ECT CONTACT PERSON I
I5 THE PROPERTY LOCATED IN A FLOODPLAIN? f] YES fi] I'TO
EXISTING II1PERVIOUS AREA: :...:6 5Q FT IOTAL ACRES DISTURBEDI
NEW IIiIPERVIOUS AREA: .-::, SQ FT EXIST LAND DISTURBING PERMIT: fl vES
I^JATER: E crcul f coir uNrry sysTErl n pnTVATF r"lELL ! cenlrial lltrl
sEWER: I creun ! cENTRAL sEprrc I enrv,rrr srerrc ! cor,l uNrry sysrEi,i
ZoNt i OF I'ICE R:
TqE7,NEN HANOVER LOUNIY bu.tLU.IIIU TE'II'III
- "\[,, APPLI1ATION rvPf ; COI'IIIERCIAL
?t'rlr^r, allstttr aLL eutstroNs aPPLt(^alI To Yoln P.olt(I
"Project Re,PonslbilltY"
JBBU6 l7 lBi 12fi
fi'
ARCH DESIGII PROTESSIOIAL:
ENGR DESIGN PRO'EssIONAL:
.L.C cvl
CITY:
TT:-'l 0 -:.01 ?
lD-SS
zt?
5/Ar,ru e
: 71P:
APPLICATION
NulI6€r
(Offi.. us.)
APPIICANT'S NAfiE :)T.r{E!
DEVELOPER:
O}JNER ' S
CONTRACTOR:
EMA1L ADDRESS:
PRO]ECT CONTACI PERSON:
ExIsT CONSTRUCIIO T m
I Rglocation. is there a Natulal
NE}J C(},ISTRUCTION: E
ACCESSORY STRUCTURE:
rf UPFII - The Shell Permit S:
""' I5 TH1S A CHAN6I
IF Yes, r,hat wa5 the Previous Occupan'y Type?
CITY:
LICE
CITY:,L,,,Mt
PHONE *1
PHONE T
5
PRO]ECT ADDRESS:
OCCUPANT /BUSINESS N'{'4T :
PIOPERTY ()I.IIIER, S NA''IE :5
NsE '
lcn (r AII rh.t APPIY)
ALTERATION RENOVATION GENERAL REPAIRS RCIOCATIDtr
Gas Line on the Cutenl Sile?Yes fluo ls BLDG SPRTNKLERED?v"" [Hotr
ERECI NE},, sTRucTURE f) rAsr rucx I urrrr fr mo EXIST STRUCTI',RTSHE LL D
Is Elect Poxer on this Buildi ffives E^o
PHONE
PHOTIE
oF occupAt'rcY use r ftvrs fii r,o ""'
t'rrat i5 the ller Occupancy ?
DESCRIPTION OT !,ORl( :5
ls lood or bovor6gs6 propaod or 6orv6d ln tis 6tT rcllro?
PH:
PT:N(irc,
f]v."$No h The P.opafiv Locdod ln Tho fiv"rINo
lhe Sble Burld,r€ Code dal
N(RE6 I
The $ewill
OWNER/CONTRACTOR:^.,
iY €r'SIGNATURE
Note: o€molitoo no{ficaoons & 6sb.stor Isnor6l p6,ml rpPli:aironl aaa !o b. tubfiilsd usLp uD .P9{c.lim to.h (DHHS-37G8) vrrtctEr n {ry o, Duil&r! {.! brrd ro
conlsh AaDatloa or rio! Yq, arr t!$ra(t to ctll tE HlliorEl Embsloo St {atdl fu[ ttizrdor. Ait Polhr.nB (NES'{ F) !r (91S)707-5950 .r hi$ 10 &)5 Flor blh!
dernor*r d .n, h.Siy or bul&[. Sc. Asb'srd \r,.b Site:
f OF UNITS:
TOTAL AREA SQ FT :SO FI PER FLR; _.-.-f OF STORIE
TOTAL SO FT I'NDER ROOF : (,bo # OF STRUCTURES: I , OF FL
ACRES DISTURBED EXST tAND DISTURBING PERMIT?YES ENO
SO F'
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA;
pRopERfi usE: EloFFlcrE f)nesrnunmr f]uencaHrtle [eouc f]aer f]coloo
COMMUNITY SYSTEM 7l!vELL flzoNrNG usE ctASSlFlWATER:
SEWER: I CFPUA
D CFPUA DD CENTRAL SEPTIC a PRIVATE SEPTI c n CoMMUNITY SYSTEM
.. SE?AR!.'tt r,kRr,{lrs REoulBti o roB [L[(]1. MtcH. Pl EG GAS EOUIP PRFI ABS A INS[:a] S'
PAYMEMI METHOD: ICESX fllcnecx lenvraLE ro NHc)AMERICAN E(PRESS f]M D otscownn
FEVTSEO OAIE 4tlrn2
TOTAL PROJECT COST:ooaoo
trtoJl*Yw..9l.5isto.rrc'I6hd/..be,!trng fr, {
BUILDING HElcHT, 2?' "',{h*fr,sS
(FOR OTFrcE USE OIILY)
TnNF OFFICER: SETBACKS: F:-LH:- RH:- B:
o*,"""r- city, ---- ofre - FLooD:
- - -
BF
AVN
?R=-
FEE: $_._.-Comment
7 t0i eilail3*
vs!^,
Nt\LPt"e,
P
tr
ADDRESS:
-qtoErlTU
\lNrI'.
NEW HANOVER COUNTY BUILDING PERMIT
aPPLICATION TYPE: C@llvlERCIAL
PLEASE ANSI,UER ALL QUESTIOI'IS APPLICABLE TO YOT]R PRO]ECT
"Project Responsibllity''
m aonlQGL7.2LL8
APPLTCATION
Number
(Of+ice U'e )
Clear Form Print
?_
a ?.L
APPLICANT'S NAltlE: Kri srre shifflerre OAfEt a6/23/1'7
DEVELOPER: 1,1.,1 PHOt'rE #:
PRoIECT ADDRESS': L4,.2 Barclay Pt. BIvd. *1002
OCCUPANT/BUSINESS ttAltE: oRANGE rHEoRy ErrNESs *0rG5
PROPERTY O{NER'S NAI,IE: co LLErr / cAr',rE RoN pRopERrlEs
OhNER,S ATDRESS: 1111 METRoPoLITAN AVE SUITE 7OO CITY: CHARLOTTE
CITY: wTLMTNGToN
CCNTRACToR: Buildlnq Systems Inc,
ADORESS: 2 wild Flower ci r
E AfL ADORESS: wrshif f lette@qmail.com
CITY: HamDton
PHONE #:
ST: NC ZIP: 28204
5T: vA ZIP: 23869
PtoNE #: 7sr-s61-6980
PI(,NE #: ?s7-561-6980PROIECT CoNTACT PERSO : l,layne shifflette
(Check All That Apply)
EXIST CONSTRUCTTON: ! ALTERATTON I neNOVlrrOU
lf Relocation, is there a Natural Gas Line on the Current Site? n
GENERAL REPAIRS
[ruo rs BLDG sPRIN
RELOCATIOT{
KLERED? flve" IHoYes
NEW CONSrRUcrror: ! enecr NEll STRUCTURE ! rasr rRAcK fl 5HELL
ACCESSORY STRUCTURE:
UPFIT n ADD TO EXrST STRUCTURE
If UPFIT - The Shell Penmit #: 201r-1063
IF Yes, what uas the PrevLous Occupancy Typel
ARCH DESIGN PROFESSIOML: JOHN JARVIS
***** IS THIS A CHANGE oF occuPAl{CY uSE? nYEs [f, No *****
rs Elect Poh,er on thi.s Building E Yes E ruo
PH: 919 9C3 6086 NC REG #: 12168
EI{6R DEsIGN PROFESSIOI,IAL: DAVID I,I]lTNEY PH: 919 855 2030 NC REG *: 1'/382
DESCRIPTION OF WORK: UPT]T oF SHELL SPACE To F'ITNESS STUDIo
Code an I other applicable State
ep andlhe ode and
(Olalifid) (Pint Nam€)
Nole: Demolilioo nouricadons & asbeslos removal permit appljcaljons are to b€ submitted using lhe application lorm (DH 768) whether th€ilding was found to
contain Asbestos or nol. You are requked to call lhe Nalionsl Emissiofl Standards for Hazardous Air Pollulants (NESHAP) at (919)707-5950 at te€st t0 &ys prior to the
demollJofl ol any facility or building. 5o6 Asb€stos Web Slte: httpl^,vww.epi.state.oc.us/epi/asbesros/ahmp.hrrn,
TOTAL PROJECT COST:BUILDING HEIGHT: 2,# OF UNITS: NA
SO FT PER FLR 3,166
TOTAL SO FT UNDER ROOF: 3,166 6 OF STRUCTURES: 1
ACRES DISTURBED: NA EXST LAND DISTURBING PERMIT? T''i YES I NO
NEW IMPERVIOUS AREA: NA SO FT EXISTING IMPERVIOUS AREA NA SO FT
PRoPERTy USE: lOrrrCe [nesrauneur luencarulle IeouC Ieer !CONDO OTHER:EXERC r sE / Fr TN
wATER: lTlCFpUA ff COMMUNITY SYSTEM E WELL EIZON|NG USE CLASS|F|CAT|ON
sEwER: EICFPUA E CENTRAL SEPIC E pRtvATE SEpTtC ECOMMUNTTY SYSTEM
*'SEPAFATE PERIVITS REOUIRED FOR ELECT, IVECH. PLBG. GAS EQUIP, PREFABS & INSERTS -'
flcnsn flcrecx lenvnBlE ro NHc) [fl nrilenrcnru EXPRESS f] r,,tcn,rse I olscovenPAYMENT METHOD
(FOR OFFTCE USE ONLY)ZONE: OFFICER SETBACKS: F:-LH:- RH: B:Approval:_ City:_ DATE:_ FLOOD: __ _ BFE+2ft=
AVN
REVISED DATE 4/1]/12
ZIP | 284t2
LICENSE #: ?3991
ls food or beverages prepared or served in this structure? [ves fi ruo ls The Property Located ln The Ftoodplainu I ves [l uo
OWNER/CONTRACTOR: Kristine shirrtette SIGNATURE:
t{hat is the ltlew Occupancy Type}
# OF STORIES: 1
# OF FLOORS: r
TOTAL AREA SQ FT : l, I 6 6
Comment pERMtT FEE: $_
rYl Lfrr-. ,L4 rvH
APPLICATIT'S AHE: iir.tt aesisn lrrr--
DEV€ LOP€R
PRoIECT AooRESST 1412 Barcl.v poiot Blvd, *1001
OCCUPANT/BUSINE5s i,lAfi E ; w!1icrl,ii i.l-- suo€r:ior sa:]jrt c:es
PRoPERTY ol,ltlER'S t'lAi'lE. E;rr:l.rv conrrD:is r,'.taiI r.i.il
olalNER j S ADoRESS: ::JI ..t-ea r'1e:rce riJ
uA
NEI^j H OVE couNrY BUTLDtrNG PERmrr L7 -396
APPLICATIh| IlzPEr COI'IITIERCIAL
PIEASE AISl.En ALi- ClrtSIIoilS APPTiCABIE rO Yod! Pfiol€CT
'"Pro ject Responsibll.ity"
y4 /t"ed&-- )onC't2?
APPLICATlOI/
Number
(office us.)
CITYi !ii t r.:riqE.r:
PHONE *:
OAf E t. ..1'- i -..'..) , i
ZIP::sa:i
CITY: ri1n!r:qlcir ST: Na ZIP:.rsalr
ST: ZlP.
PHO E T:
COI{TRACIoR: r ir,)L rc E itSE ,:
CITY:ADDRESS:
EIIAIL AODRESS:
PRoIECT CoNTACT PERSOII: Tara sul1,v,,rtr 1 ,;RK D.:stqr lri.l
{che.i all that A@!y)
EXrSr CO STRUCTTON: fl ALTERATTOt{
lf R€locdi,on. is there a NetuJal Gas Line on the
NEt,/ COttS-I RUCTTOtJ :
Cu.ert Site?
R E},JOVAI ION GEIIERA
E].ro IS BLDG SPRINKLERED?f] v.. I un
L REPAIRS RELOCATION
Yes
ERTCT NEUJ STRUCIURE FAST TRACK SHELL urrrr I ADD TO EXIST STRUCTURE
ACC€SSONY STRUCTURE:
lf UPFIT - Tl"e Shell Permit f: .e l::;Po{€r on this Buil.ding n Yes ff rc
vrs f1m....,
Is Elect
r.r'. Is THIS A CHAXGI 0F OCCUp!)rCy r6Et I
IF Yer, rrhat *as the F.eviou! oagupancy Typ
aRcH oeslciJ PRoF€sslol{AL: t).nie- !::bi..e
E{6R DESIGII PRoFESSIottlL i
DESCnIPTIoN OF WORK: Finish-cr! in rEl,/ sirett t
PH
?u
[c RtG f
NC RE6 S
at):z :J61 21-i2
t4c1-]-
-l Teraht is a sub sandw:c! ,esiauran!
lB frod or b€vEra€e{ preparad or sarv€d ln ttlE [,trrlllrs?I ves [ ruo b The Pmp€.ty tocebd tn lhs Fto@lsh? n Yes I
,tr-. l_.r. .,-d.rr :_-'-r' rrp
a,1\
(a.nl{l (Ptfi c.id
.ontcn A3D6@l or lld. YG, a.!.B$rlrd b qai ho itadord antsbn st fibd. hf llzrdoo. A] PollutaB {NESHAP) .t (919)707€t&.t lsast l0 d.yr!l|q b tk
d-n ffb6 ot any bdlk, fi D.,lldnro. S- ,sbe $hn $E: mpr^rrr..pt-,t l3.rE.u!/Ept a.n .!o./shmp.ndn
SQ FT
TOTALPROJECTCOST: .L'jc,oor BUILDINGHEIGHT:--# OF UNITS:
IOTAL AFEA SO FT SQ FT PER FLR: Lr(,t # OF STORIES
TOTALSQFTUNDERRooF: :.r:c #OF STRUCTURES:1 *OF FLOORS: :
ACRES DISTURBED EXsr LAND DrsruRsrNe prnutr n yes f] No
NEW IMPERVIOUS AREA:- SQ FT D(ISTING IMPEFMOUS AREA:
PROPERTY USE; ffOFFtCE RESTAUF NT [uencellu eouc f]lrr ncoxoo orHER_
WATER: ffiCFPUASEWERj m CFPUA
EtlCOMMIJI{TTY SY€TEM
CENTML sEPnc n Dwar
PRIVATE SEPIrc ElzoNrNG usE c LAsslFrcAT lo :
D@MMrrNrrYsrerEM
PAYMENT METHOD ficsx I orecx (eAvABLE To NHc) fieuenrcer o<eRess I ucnnse I oecoven
(FOR OFFTCE U6E ONL'BEVTSED O TE {1112ZOi€:_OFFICER: SETBACKS: F: LH: RH: B:Apprcval:_ Clty:_ DATE_ FLOOD: ..-_ _ BFE*&_
PERMIT FEE: $538CommBnt
Ja ra .Su tl\v^^elvl<ltsign.u s
Cz,cr /a{ #. ,oFluA Aell # aoil-td(o3
PHoNE ,: .ri r-:s:-2.i,ri
PHONE S: r.i?-5;2-:{r5{
ldrat ls the l{etr o(cupan(y Typel restauran:
DISCLAIMER:
L.''l\;vry-
r RECg\\Eo
5ge s6 Sftew
Cber Fo]In
HANOVER COUNTY BUILDING PERMIT
APP L I cAT I ON rYPf : COt{lvlE RCIAL
PLEASE AI{SWER ALL qUES]IONs APPLITABLE TO YOUR PRO]TI]
"Project Responsibility"
Pfantation Building of 9{ilmingon, Inc.
1503 - 101 Little John Circle wilmington
PROPERTY OI{NER'S NAr4E: pBw Ho1ding6, r,Lc
OIINER'S ADDRESS: po Box 2473 CITY: wilnington
CO TRACTOR: plantation Building Corp LICENSE S: 687r2
ADDRESS: :ta watnut .St. Suite ZOO CITY: Wi Inington
PRO]ECT CONTAC t PERsON: Kyle Henry
I 017-?,t.f 3
11 - z81t- tor
APFIITIT--rofit
I{umbe r
(Office Use)
APPLICANTJ S NAI4E:
DEVELOPER:
DATE: A/30/U
PRO]ECT A
PHoNE *:910.753-8760
zIP | 214oi
PHo E #: 910.763.8760
5T: Nc zIP: 28402
ST: Nc ZIP: 29401
-PHOI{E S: 910.?63.8?60
OCCUPANT/BUSINESS I,IA E:
PHO E $:910.409.5919
{Checl( All Ihat Apply)
EXIST CONSTRI CTtot{:
lf Relocalion, is lhere a Na
No
ALT ERAT I ON
Gas Line on theral
RENOVATION
renl Slte? f YesUI
GENERAL REPAIRS
l- r'ro ls BLDG s
RELOCATIOI{
KLEREDf _ Yesl._
NEhr coNsrRucrroN: fl EREcr NEr{ STRIJCTURE
ACCESSORY STRUCTURE:
FAST TRACK SHELL UPFIT ADD TO EXIST SIRI]CTURE
Is Elect Polrer on this Building l-'. yes rNo,r... rs rHrs A CHATJGE oF occupAt{cy uSEtr yEs l-'. rc.rr.rIF Yes, lrhat Has the Pievious Occupancy Type! _ t{hat ls the Nen Occupancy
If UPFIT - The Shell Penmit f:
Tvoe?ARTH DESIGN PROFESSIONAL: N/A . PH: N/A NC RE6 *: N,/A
NC REG #: N/APH: N/AENGR OESIGi] PROFESSIONAL : N/A
DESCRIPTION 0F hIORK: ciEliEIll-Floor ing, Etectriqal. r plunbing
ls food or beverages prepared or seNed in this slructuro?f yef - Ho Is The Property Located tn The Ftoodptainf ye{f
NBCUTUen: t nereOy certfy thar a[ inb.mation in lhts apdkarirn scorrocl aM allwork willcomply,rrlh th€ Slate Euildino Code and all other applacaue Stateand local lalrs and ordinaflces arld aeoulatons I hsor dran@ in coatocloa O( contrdctq infotmalion '"Subiecrlo F'nsB Up To 1500 00"'
Nl-lC DoveloDm€nl Ssrvrcos Center will te notif€d ol anvnrOTE Any Work P€rlffm€d W,O rll€ Aogropflate Pemils tlre the olans and secllicarlonsNC Slare Bldg Code and
OWNER/CONTRACTOR; Ansela Rosenan SIGNATURE
coflLain Asbssaos or nol. You are requksd lo c€llthe Nelionsl Emisson Standa.ds for Hszsrdous Ar PdlutanB (NESHAP) at (919)707,5950 Er t666t l0 d6ys prior to the
de,nolation ol any lacilily or building See Asbesto6 Wab Site: hnpjlwww.epi.state.nc urepi/6sbestos/ahmp.hlml
TOTAL PROJECT COST: S9,500 BUILOING HETGHT: N/A flOFUN|TS: per unit
TOTALAREASQFT: A3O SO FT PER FLR: 430 Per unrt # OF STORIES: Per unit
TOTAL SQ FT UNDER ROOF # OF STRUCTURES: 1 Per unr't 8 OF FLOORS :l Per UD].t
ACRES DISTURBED: N/A
NEW IMPERVIOUS AREA: N/A
PROPERTY USE
Exsr LAND DrsruRarruc ernurr I ves J- r,ro
SO FT EXISTING IMPERVIOUS AREA: N/A
CONDO OTHEI
SQ FI
CFPUA
CFPUA
COMMUNITY SYSTEM
CENTRAL SEPTTC D R WELL
VATE SEPTIC
USE CLASSIFICATION
Y." SEPARATE PERMITS REOUIRED FOR ETEC], MECH, PL8G. GAS EOUIP. PREFABS E INSERTS
PAYMENT METHOD l- crsn l-, cnecK (PAYABLE To NHc) f AMER|CAN EXPRESS ;- ucmrsa l-i otscovER(roR oFFtcE usE oNL'ZONE: OFFICER SETBACKS: F:LHRHBApproval:_ City:_ DATE_ FLOOO,_BFE+2ft,
Comment PERMIT FEE:
laa
+DISCLAIMER: SUBMITTI\G THI S APPLICATION MEANS THAT THE SUEI"IITTAL CHAR6E IS NON.REFUNDABLE
Prlnt I
emreaoon@
floFFrcE I nesreuneHr f] uencarulle l-1 eoucFl eerf[
WATER:
SEWER:
SYSTEM
Cloar Form Prlnl
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATT1N IyPE: COI4I1ERCIAL
PIfASE AI!sI"IER ALL QUESIIONS APPTICABLE TO YOUi PRO]ECI
"Project ResponsIbilIty"
)onqsr;3
AFFIfeTtuo-oN
llumber
(office use)
APPLICANT'S NA'4E i Plantation Bullding of wilftingon, rnc.-DATE: a/30/!7
DEVELOPER:
PRO]ECI ADD
PHONE f:910.763-8750
ZIP i 2840r
OCCUPANT/BUsINE5S I{AIE;
PRoPERTY o|,{tlER'S NAllEl pBw Holding6, r,Lc PHONE S: 910.76t.8760
OWNER'5 ADDRESS: po Box 24?j - CITY: !.lirnington
CONTRACTOR: Plantabion Buj.Idins Corp LICENSE S: 687r2
ADDRESS: ll4 fialnut st. suite 200 - CITY: HiLmington ST: Nc ZIP! 2840r
E['{AIL ADDRESS: roseman Q pl, antat io nbul }d ingqorp . com PHoNE {:9r0.?63.8760
PRO]ECT CONTAC : Xyl€ fisnry PHoNE $:910.409.s9r9
((hec* All Ihat appry)
EXIST CoNSTRUCTIoN: n ALTERAIIoN Elf Relocatron. rs there I NaluralGas Lin6 on th€ Currenl Sits? f
6ENERAL REPAIRS
l-_ ruo ts BLDG s
RENOVATION T-] RELOCATION
eH,Kr-eneo4- - v"16-os
No
NEW C0 STRUCTIoN I I EREcr NEt^l srRucruRE E FAsr rRAcK E SHELL f] upFrr ADD IO EXIST STRUCIURE
ACCESSORY STRUCTURE:
If UPTIT - The shel.I Penmi.t *:
.rrr. Is THJS A CHAitcE
IF Yes, ,hat was the P.evlous Occupancy Typel
tr{8F?ossrcr PR'F EssrolAr I N/A
Is Elect Power on thls Bulldlng lf. Yes r NO
oF occuPANcY usE? f. yEs F'___ l,{hat ls the
PT: N/A
Ner occt pancy
PH: N/A
NC REG S: N/A
NC RE6 #: N/AENGR DESI6N PROFESSIONAL i- N/A
DESCRIPTION OF I/,IORK : Cabinets, Floorj.ng, Electrical E plunbing
ls lood or bev6ragss prepared or served in this slructure?f. Yesli- No ls The Proporty Located tn Tho Ftoodp,ainf _ yedf -
OWNER/CONTRACTOR. Ans6Ia Roseman
TOTAL AREA SO FT : {ro
SIGNATURE
f OF UN|TS por Unit
# OF STORIES; Per unlt
60F STRUCTURES: I Per uni.t # OF FLOORS. I Pel Unrt
NoDISCLAIMER: I heroby cenjt lnar allinlormatron
and locallaws and otdtnancos an(lrgoulation3. Tor chonoo rn conuacloa oa conlractor inlorma onSuuecllo FlnEs Up To 35@.00"'
TOTAL SO Fr UNDER ROOF: _
ACRES D,STURBED: N/A
NEW IMPERVIOUS AREA: N/A
h lhls appllcallon is corroctond 6llwork wltl cornply with lhe StaG Suitding Code and allolh6r apdlcable Stale
he NHC Dovoloomonl Servlcss Cenlar will"'NOTE AnyWork Perlorm€d WO thoApprop,ialeb6 notllicd Dlans and soeolicationsNC Sriors Eldg Code a.d
cmloin Asbeslos or nol You.16,lqunod lo c€lllho N.lionalEn sion Sranda.ds lor H€zardols Al, Potbr.nB (NESflAP) ar (919)707-5350 st bast I0 days pdo, to rht
d€rnolllaoo olanyhcflily or buldin0. Se€ Asb6stos Wob Site: htrr:/ *yvw.epi.Blar..nc.uy6pi/a6b.stos/stxnp.htd
TOTAL PROJECT COST: Se,5oo BUILDING HEIGHT: N/e
sQ Fr PER FLR: r:-6-iEliff-
EXST LAND DrsruRerruc eeRlarz J-ves l] r.ro
SO FT EXISTING IMPERVIOUS AREA: N/A SO FT
pRopERry usE: DoFFtcE fl nesrnunnr,rr f] uencnulle T1 eoucrl nprl-l coHoo OTHEI
ICATIONWATER:
SEWER:
SYSTEM
CFPUA
CFPUA T'ICOMMUNITY SYSTEM T-[WELL T-t ZONING USE CLASSIF
E CENTRAL SEPT|C D PEtvArE SEerrc SfiCouuuxrrv
EPARATE PERMIISREOUIREO FON ELECT. MECH. PLBG. GAS EOUIP. PREfAES & INSERTS
PAYMENT METHOD: l: CASH f-.CteCr1nAvABLE ro NHc) f-AMERIcAN ExeRESS f-': McA/tsA [-i orscoven
(FOR OFFTC€ USE ONL!)
zoNE;o+r-, oFF|CER SETBACKS: F: r\tn LH Nl\A RHoln eqa-Approval:_ Cily TE FLOOD BFE+2ft,
N
. PERMIT FEE: IComment
PLI TION ME AT THE M]TTAL CHAB
I
laa
1O I SC LAIIl
Cifu Insneclinn Opnrrrren Q 0-254-t9fi
ST: Nc zIP: 28402
qm
rs ru0ru - nerurfrEiE--
Prlnl
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: COItItlERC IAL
PLEASE ANSI.ITR ALL QUESTIOI{S APPLICABTE TO YOUR PRO]ECT
"Project Responsibility"
Plantation Building of wj.lhingon, Inc-
1503 -102 Little John C irc le wiltnington
PROPERTY OWNER'S NAtlE: pBw Ho1dingE, LLc
OWNER'S ADDRESS: Po Box 24?3 CITY: wllndngton
COTITRACTOR: plantation Building corp LICENSE #: 68712
ADDRESS: 314 Halnut St. Suite 200 CITY: wilrnington
EiIAIL ADORESS: rosenaDQplantationbuildingcorp.com
PRO]ECT CONT : KYle Henry
(Chect AII That Apply)
ACCESSORY STRUCTURE:
r hn-zs<;
t'1- 281? {tu)
AFFffefro-roir
Numbep
(office Use)
APPLICANT'S I.IAME:
DEVELOPER:
DATE : A,/ 30 / t7
PRO]ECT
PHONE f; 910.763-8760
ZIP: zeaor
_ PHoNE #: 910.763 .8760
OCCUPAI{T/BUSINESS NA}IE :
5T: Nc ZIP i 28402
ST: Nc ZIP: 2B4or
PHON E #:910.409.5919
EXIST Cof{STRt cTIoN; E ALTERATIoN
lf Relocation. is there a Natural Gas Line on the
J-l RENovArroN fz GEI{ERAL REpArRs f]bdrrent Site? |- vbd;'- No tS BLDG SP-RIN
RE LOCATION
KLEREDf- Yesf._
No
NE}J CO STRUCTION:ERECT r{Et{ srRt cruRE n FAST TRACK n SHELL f] upFrT ADD TO EXIST STRIJCTURE
Is Elect Pouen on this Building fI Yes f N0
t**** rs THIS a CHAI{6E OF OCCUPANCY USEir YES lr_ rO .****
IF Yes, what was the Prevlous Occupancy Type? _ t,hat is the i,ler., Occupancy
Ix8fi?DESIGN PROFESSIONAL: N/A
EI{GR DESIGN Pf,OFESSIONAL :- N/A
DESCRIPTION OF WORK:Cabinets, Flooring, Electrical & plumbinq
PI,i: N/A NC REG #: N/A
NC REG *: N/APH: N/A
ls food or beverages prepar6d or served
N8"*,rr^, , *"or .rnify lhal a intormarion
and local laws and ordrnancss and rogulalions. Tor chanoa ln co.rtador ot conlracior inlormations'Jbied]o Fin€s Up To 1500 00"'
in lhis structure?f . Yefr No ls The Property Located tn The Floodptaanf yafr
in lhis appjlcaton ls conecl and alt r,oft will compty wtth lhe Slate Bu dlng Code and a othsl applicabb Srale
le, N8?rtri"?J"ff*'x"|S#rd ffia"i#l##i#,i,fl lt$,Hi; ui?ffi '#,fl R"ieBB Effi.EHH"
OWNER/CONTRACTOR: Ansela Roseman SIGNATU RE
Nole: Defiditon nolili€lions E asbestos re*noval psmil applielims 6re to b€ $bmited usiog the apptication lorm (DHBS-3768) ,rrerh6r rhe tacitfiy or bcontain AsbestG or nol. You a.e required to callthe Naiional Emission Slandards lor Hazsrdous Ai Potbtants (NESHAp)sr (919)707-5950 at teasr 1O days prior lo itedemdition oaanylacilly or building. See Asb€slos Web Sire: hnp://www.episrate.nc.uyepi/asbestos/ahmp himt
TOTAL PROJECT COST. $e,s00 BUILD|NG HETGHT: N/A f OFUNTTS: per unlt
TOTAL AREA SO FT . 4JO SO FT PER FLR: 4J0 Per un].t # OF STORIES: Per unit
TOTAL SO FT UNDER ROOF f OF STRUCTURES: 1 Per Unlt # OF FLOORS :1Per Unrt
ACRES DISTURBED: I,i/A ExST LAND DISTURBING PERMIT? TYES T No
NEW IMPERVIOUS AREA: N/A SQ FT EXISTING IMPERVIOUS AREA: N/A
PROPERW USE: EOFFTCE I nesreunnNr MERCANTILE EDUC APT CONDO OTHEI
SQ FT
WATEB
SEWER
SYSTEM
CFPUA
CFPUA
COMMUNITY SYST
CENTRAL SEPTIC T-1 WELL T-'I ZONING USF CLAFRlvArE sEpr tc SUorurrlururrv
EM SSIFICATION
EPARATE PERMITS REQUIRED FOR ELECT. MECH, PLBG, GAS EOUIP, PREFABS & INSERTS
PAYMENT I\4ETHOD l- cnsn [i. cxecK (eAvABLE To NHC) f AMERIcAN ExeRESS f_ McA/tsA l-. OtSCOvea
ZONE: OFFICER
(FOR OFFTCE USE ONLY)
SETBACKS: F:BApproval:_ Ciry:-- DATE_ FLOOD
Comment PERMIT FEE: I
BFE+2ft
N
rI
*DISCLAIMER:SUBMITIING THIS APP LICATION MEANS THAT THE SUBMTTTAL CHARG E I5 NON- REFUNDABL E
cn r ro- |
--------mfrE
*: ii6l ro:.eJ?i-
If UPFIT - Th€ Shell Permit S:
LH RH
.CtearForm I Prlnl
NEW HANOVER COUNTY BUILDING PERTUT
APPLIcarIott TrPEr COIII4ERCIAL
PT,EASE Al{S$rfR ALL QUE5TIo S APPLTCAEIE TO yo{j8 PROJECT
"ProJect Responsibillty"
CITY: wifmington
. CITYI nilmington
APETT-ATI.6N
Number
(office use)
IPPLICANT'S l,lAME i Plantation Bulldlng of wilmi.ngon, rnc,
DEV'LOPER I
PRO]ECT Auttic55: 1503-102 Little John Circle
occupANT/BUsu{Ess NA|lE :
OWNER.,S ADDRESS : PO Dox 2 473
_oAIEr A/30/)7
PHOl.lE f: 9ro. ?63-8760
zLP i 284A!
PHoNE S: 9lo.?53.8760
sr:5E-TTFJli?Ti-
CoNTRACToR I plantarlon Bullding corp
AODRESS : 314 Walnut St. Suite 200
EIi'lAIt ADDRESS: roseman 0 p lantat io nbu ildingcorp . com
LICENSE #: 687r2
CITY: wj.lnington - ST: Nc ZIPr 284ol
PHONE X:910.{09.5919PROIECT CoNTACT PERSON: Kyle flenly
EXIST CONSTRUCTION:ALT E RATION
lf Relocation, ls there a Natu,al Gas Line on lhs
No
NEI,.I CONSTRUCTION:r
(checr all rhat aPply)
T-l RENOVATToN ITIGENERAL REpArRs l--l RELocATToN
t-urrenr sir€? l-. vEi;- tto rs BLDG sP-fr-TNKTEREDfl _ yeslf-
ERECT NEtll STBUCTURE I FAST IRACr E 5H ELL IJ PFIT AOD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit s:Is Elect power on this Building fr Yes f. N0
'r'*+ Is THIS A CltAN6E 0F oCCUPAT,ICY usEff YEs [. tro '.*..IF Yes, what yras the Prevl.ous o(cupancy Typel _ lJhat 15 the New O.cupan.y
I{8f?DE5I6N PROFESSIONAL: N/A . PHi N/A NC REG S: N/A
ENGR DESIGN PROFESSIOI,IAL r- N/A .PH ; N/A NC REG S: N/A
DESCRIPTIoN 0F NoRK; cauin6lil rtoorlng, Electricar & plumblng
OWNER/CONTRACTOR: AnseIa Rosenan SIGNATUR
NoteiDemolllion nolilic€lofls E asbestos renovalpsrmil apdicalions are lob€ submlted using rh€ Epplication,o{m iO}lHS-3r 68) wh€rhor tho tacility
contah Asbesl6or nol. You ar€ rsquir6d lo calltho Na onal Emission Sanclards lor Hazardovs Ar Pottulanls (NESHAp) at (91S)707.5950 at tc6sl I
demolillono{any laciliry orbuild;ng. See Asbostos Web Sto: n p:/,1vww.€pt.srab.nc.ur6pi/asbeslos/Bhmp.hht
0 days prior ro he
SQ FT
TOTAL PROJECT COSTj $9 ,5OO
TOTALAREASQFT;l:o-
WATER:
SEWER:
SYSTEM
CFPUA TI COMI\,IUNITY SYSTEI\,| Tl WELL T1 ZONING USE CLAScFpuA E CENTRAL SFpTtC fI pdVATE SEPTIC D-dOMMUNITY..,SEPARATE PERMITSREQUIREO FOR ELECT, MEC11, PLBG. GAS EOUIP, PREFABS S INSERTS
BUILDING HEIGHT: N/A f OF UNITS: Per Unit
SO FT PER FLR: 430 Pe! Unit # OF STORIES: Per unit
TOTAL SQ FT UNDER ROOF # OF STRUCTURESI I Per Unit d OF FLOORS:I Pe! unit
ACRES DISTURBEO: N/A EXST LAND DISTURBING PERMII? J:YES I: NO
NEW IMPERVIOUS AREA N/A SO FT EXISTING IMPERVIOUS AREA: N/A
pFopERTy usE: floFFtcE I nes unerur ! MERoANTTLEI-I EDUCEL AprTl coN DO OTHEI
PAYMENT METHoD: l: cAsH nCHECK(PAYABLE TO NHC) l-; p,wrERrCeH EXpRESS J:r MCA/ISA rL DTSCOVER
(FOR OFFTCE USE ONLY)
zoNE:O+lf-, oFFrcER:SETBACKS: F:NtB LH rqg.RH_qA.B_U€_Approval:_E g.?. I? FLOOD BFE+2fr'
SIFICATION
N
- PERMIT FEE: I
THAT HE SUBMITTAL E IS NON - REFUNDABL E
Comment
LICA r0l.lTDISCLAIt{ER; SUBHITII
Cily hscation Rerrec, 9l 0.254'LqI
)err?s{s
PROPERTY Ot4lNERrS NAI4E: pBw Hol.di.ng6, LLc
, PHONE {:910.?63.8?60
I :'tlr'r
ls lhe Proporty Located ln The Floodplainf- Yeqi_
)oD4J-tO
n-zx?t (rot)
APPLICATIOiI
Nurber
(office use)
DATEr 8/30/11APPLICANT'S i.IAME:
DEVELOPER:
Prinl
NEW HANOVER COUNTY BUILDING PERMIT
APP LICAI IOtt rYPE; COi{IIIERCIAL
PLTASE Ar{sr{tR ALt QUTSTIoNS APPLICAETE TO YoUR PROIICT
"PPoject Responsibility"
Pfantation Building of liilmingon, Inc.
I503-103 L1ttle John Ci!c].e tiiltnrngtor!
PROPERTY Orlt{ER'S NA|,IE : paw Holding6 , LLc
OJ'{ER'5 ADDRESS: Po Box 24?3 CITY: wilniogton
LICENSE ,+: 6 8712
ADORESS: 314 walnut st. suite 200 CITY: wilningtoo
ElilAIL AoDRESS : roseman€plaotationbu j.ldingcorp.con
pRolEcr coNTAca pERsoN: xire senrv
PRO] ECT
PHo E f: 9ro.?63-8?50
zIP:28401
OCCUPANT/BUSINESS AI1E:
PHONE *: 910,763.8?60
ST: Nc ZIP:28402
ST: Nc ZIP: 2s4o r
PHol,lE {: e1o.?63,8750
PHOiIE #: 910.409. s919
EXIST CONSTRUCTION:A LT E RATION
lf Relocalion, is there a Natural Gas Line on the _ Yes
No
NEt.{ CONSTRUCTION:EREcr NEt,l srRUcruRE f] FAsr rRAcK E SHELL fl upFrr fl aDD ro Exrsr sTRUcruRE
ACCESSORY STRUCTURE:
T-'I RENOVATION
urrent Siteu l-
GENERAL REPATRS fl RELoCATIO{
l- r.ro rs er oG Sp-RTNKLEREDr vesli
(Chect All Ihat AppIy)
If UPFIT - The Shell Permit s:Is Elect Pouer on this Euilding If. Yes f NO
*.*'* rs rHrs A cHAt{GE oF occuPAt{cY usElf YEs li. io ***rr
IF Yes, lrhat glas the Pnevious Occupancy Type? _ tlhat is the t{er., Occupancy
I[8fito.tro* PRoFEssroNAL: N/A PB:N/A NC REG *: N/a
ENGR OESIGN PROFESSIONAL :_ N/A PH: N/A NC REG #: N/A
DESCRIPTION OF WORK: cabinets, Elooring, Electrical e plumbing
ls tood or beverages prepared or s€rv€d in this skuclure?f yef_ tto ls The Property Located ln The Floodplainf- Ye{r
Buildn0 Code and allolher applicable SuIe
rn lhe olans and sDecifrcatonsNC Slals Bldq Cod€ andol lhe
OWNER/CONTRACTOR: Ansela Roseman SIGNATURE:
(OLrdir€0 (PndNa@)
Noler Demolilion nolific€lions E asbestos rsmovalpermil applicrlions are lo be srbmined using fte applicarion form (DHH3-3768) whather the t citiry or but
conlan Asbeslos o( not. YoL, are requked lo call the Nstional Emlsslon Slandards for Hazardous Alr Pollulants (NESHAP) at (919)707-5950 ar teasr 10 days prior ro the
derndition ol anyfacility or building S€e Asbsstos Web Sitet hnp J/w*1/l/ epa. state. n c. us/epi/asbestos/ahmp. hml
TOTAL PROJECT COST: S9,500 BUILDING HEIGHT. N,/A f OF UNITS: Per Unit
TOTAL AREA SO FT: {30 SQ FT PER FLR: a30 Per Unrt S OF STORIES: Per unit
TOTAL SO FT UNDER ROOF:
ACRES DISTURBED: N/A
WATER
SEWER
SYSTEM
CFPUA
CFPUA
# OF STRUCTURE 1 Per Unit # OF FTOORS I Pe! Unr-t
Exsr LAND Drsrunanc eenurrl J-tves J- l.ro
NEW IMPERVIOUS AREA: N/A SO FT EXISTING IMPERVIOUS AREA: N/A
PROPERTY USE CONDO OTHEI
SQ FT
ASSIFICATION
.. SEPARAIE PERMITS RSQU]RED tOR ELEC
ZONE: OFFICER SETBACKS: F LH RH BApproval:_ City:__ DATE_ FLOOD BFE+2ft,
Commenl PERMIT FEE: :
COMMUNITY SYSIEM
CENTRAL SEPrc l--}R WELL Tl ZONING USE CL
vATE sEPTtc rriCouurururrvl-r
T, MECI] PLBG, GAS EQUIP, PREFABS & INSERTS
PAYMENT l\4ErHoD; fl cAsH p cnecr teAffllr".rl3.lj*tG^MERtcAN ExpRESs l--- r',lcrrrrsa [-1 DrscovER
'DI SCI A]MFR: SUBMITiING THIS APPLICATION MEANS THAT THE SUBI'IITTAL CHARGE
N
IS NON. REFUNDABL E
cr.r r"- |
CoNTRACToR: pl.antation Buifding corp
.lLll
BB.*'ur^
f]oFFrcE Ll RESTAURANT fllrencnrrtef[ eoucFl aerff
Cloar Form
NEW HANOVER COUNTY BUILDING PERMIT
APP L ICA| I ON TYPE i COI{MERCIAL
PTEASE AlrSr{tR Au. QUESTIo S AppLICAatt tO YOUR PRolt(T
"ProJect Responslblllty"
RESS: 1503-103 Llrtle John circle Cl IY: wllnington
OCCUPAN]/BUSINESS NAME :
PRoPERTY OWNER's Nr E: pBH 8oldlnss, r,Lc
OWNER'S ADDRESST po Box 2471 - CITY: fltlmington
CONTRACToR: Plantation Building corp LICENSE *; 68 7 r.2
ADoRESS: 314 nalnut st. Suits 200 - CIIYi wilmlngton
PRO]ECT CONTAC P : Ky.L€ llenry
(Che(r alI Ih.t Appty)
GENERAL REPAIRS
l-. No ts ELoG s
RELOCATION
)"O-ZcrG
aPPL-TCIi-Ar r oN
Numbe.
(office use)
APPLICANT'S NAME: Plantation Buildtng o! wllmlngon, Inc,DATE; a,/ 30 /11
DEVELOPER:
PROJECT ADO
PHoNE S: 910 .763-8?60
ZIP | 28401
PHoNE f: 9r0.763.8760st:F?i?l-i!?if-
ST: Nc ZIP: 28{ol
PHoNE S: 910,?63.8750
PHoNE {: 9L0,409.5919
EXIST CoNSTRUCTTON: E ALTERATTON r-l REI'rOVATroN r.7
lf Relocatlon. is there a Nalural Gas Llne on rneurrent SItel l-- t'#trPRIN KLEREDf _ Yeslf_
NoNEtJ cotlsrRucTloN: Ll EREcT NEt"l STRUCTURE
ACCESSORY STRIJCTURE:
FAST TRACI(SHELL n UPF IT ADD TO EXIST STRUCTURE
NC REG S: N/A
DESCRIPTIoN 0F WoRX: Ca-6liEEll--nets, rlooring, Electrical s plurnbing
ls rood or boveragss prepared or servod in thls skucturs?ft Y€SJA- No ls Th€ Pmp€(y Locoled ln Tho Floodpleinf-- Ye{i-
coruly thaloil lnlormailonln thi6 apdica[on ii conoct and attwork s/itlcompl with lh6stale Building code an6 all orher applic€bl€ Siate
Dl6ns and sD€dlica ons
NC Srars Bldo Codo and
If UPFIT - The Shell Permit S: Is Elect Power on thls Bullding F. Yes f. N0
..... rs TBts A cHANGt OF OCCUPANCY USEtr. yES F., NO rr...
IF Yes, uhat was the Prevlous occupancy Type? _ Hhat ls the New Occupancy
lXtfi ?orsren PRoFEssroNAL! N,/A
NBcwurn, r n"r"uy
and locsl la$6 snd o(dlo. chanoB in conl(oclor
Subiocllo Flnes Up To
PAYMENT METHOD: rlCA
zoNE:C)+r-l oFFrcER
noncss and rogulatonS. Thg NHc Dovg,oomonl s€rv,co6 contor lrlllor conlraclor lhlormallon "'NOTE. Anv Work Pe.{ormed w/O lheAss00.00...
b€
(Ourii6,) (Pdr, N.6.)
Note: Oqno{rco nolifrcatims & 33b€slo6 ,e.noval O€,mil applications sra
WATER
SEWER
SYSTEM
TACFPUA T-ICOMMUNITY SYST
EIcFPUA ElCENTRALsEplc
EM TI WELL - ZONING USE CLAS
fl FmvArE sEPrc -.-coMMUNtTY
conrdn Albcslos o( nol. Yot/ ara roqulr8d lo call lha Nalional Edsgon Sandard.lor H.:!r(bus Ar PolluranB (NESHaP) sr (919)707.5950 ar r€asl 10 d5y3 p.i.. ro rho
demolition ol 6ny lacilily o. buildng. Sa. Asbeios Wob Sile: hllpi//vrr,\{,.epi,sr6lo.nc utspussbostos/ahmp itrnl
TOTAL PROJECT COST: S9,5OO BUTLDING HEIGHT: N/A f OFUNITS: Per Uoit
tobE srD.nined uslngola applic€ton lorm (OHHS-3768) $tut\8r rhslacility or
TOTALAREASQFT: {.ro SO FT PER FLR: 430 Per unLt f OF STORIES: Per Unit
TOTAL SO FT UNDER ROOF SOF STRUCTURES: I Fer unit # OF FLOORS I Per Unlt
ACRES DISTURBEDT N/A Exsr LAND DrsruRBrNG eERMrr? J:yes J- xo
NEW li?tPERVIOUS AREA: N/A SQ FI EXISTING IMPERVIOUS AREA. N/A
PFOPERTY USE;EoFFrcE I nesraunexr fl MERCANTILE EDUC APT CONDO OTHEI
OWNER/CONTRACTOR: Ans6Ia Roseman
.. SEPARATE PERMI'TS REQUIRED FOB EIECT, MECH, PL8G, GAS EOUIP, PREFABSI,INSERTS
SO FI
SIFICATION
CHECK (PAvABLE To NHc) n AMERIcAN Expness f-._ ucrursr J-l_ DtscovER
(FOR OFFTCE USE ONLY)
Approval:_ City
SETBACKS: F:NIN tH NtF nH
FLOOD
N
Commenl . PERMIT FEE: :
LICATION IIEAN THAT THE SUBMITTAL CHARGE IS NON-REFUNDABLE
TE
'DISCLAI14ER:MI TTI HIS
Crtu lnsleelion Relulec 91 0.254.!ii:l
Prlnt
emlrllo@
PH: N/A
€lt6R oEsrGN pn0rtsst0Hat:_ffi pH:a-/I- Nc REG r ITTI--
SIGNATURE:
Cl€er Form Prlnt
NEW HANOVER COUNTY BUILDING PERIiIIT
aPPLIcArIdt rYPE: COflllERCIAL
PrtasE axsr,rtR aLL ouEsTroi.rs APPrrca8rr To YouR PRolEaT
'ProJect Responsibility"
Plantation BuildiDg of Wiltningon, Inc,
: 1501-104 Little .rohn C ircle LIIY:n-ington
n-75{+
t?28?? Qo|)
rppr-feEi-roru
Number
(Office use)
APPLICANT, S NAME:
DEVELOPER:
PRO]ECT AuuntE>5
PHONE f:910.763-8760
ZIP | 28401
OCCUPANT/BUSINESS I,IAI4E :
PROPERTY oUNER'S NA E: pBw Ho1dings, LLc
OIINER'S ADDRESS: po Boa 24?3
CONTRACTOR: Plantation Buitding Corp
ADDRESS: 314 walnut SL. suite 200
EtlAI L AoDRESS: !oseman€ plantationbuildingcorp. con
CITY: wiltdngton ST: Nc ZI P: 28402
ST: Nc zIPi 2s401
LICENSE *: G8712
CITY: wilndngton
PROIECT CO TACT PERSON: Kyle Henry
PHOI'IE *: 910,763.8760
PHONE *:910.409.s919
EXIST CONSTRUCTION: Nlf Relocalion, is there a Natura
(Che.k All Ihat Apply)
aLrERATrOir n RENOvArr ra GENERAL REPATRS J-l RELOCATIoT{
rGas Lino on theTfrrenr sire? J- vE- l- ruo tS BLDG spEitKLEREDtr_ ye{f _
NoNEl{ CONSTRUCTToa,T: E ERECr r{Er{ SrRr.rCruRE f] FAST TRACK !
ACCCSSORY STRUCTURE:
SHELL UPFIT ADD TO EXIST STRUCTURE
If UPFIT - The Shell Permit *:Is Elect Power on this Building li. Yes |- N0
..*** r5 THrS A CHA,{6E OF OCCUPAT{CY USEI r. YES [- iO rrr*',;
IF Yes, uhat Has the Prevlous Occupancy Type? _ flhat Is the New Occupancy
I[tfi trrtrun PRoFEssroNAL: N/A NC REG *: N/A
DESCRIPTION OF WORK:cabinets, I'1ooring, Electlical & plulbing
ls lood or beverag€s prepared or served
NoDISCI-AIMFR I heretry certly lhar aLll rnlormaton
and local laws and ordinances anc, rogulatms To( chanoe tn conuoclot ol cont aclor tnlormaltonsuuecllo Frnes Up To 5500 00"'
ACRES DISTURBED: N/A
NEW IMPERVIOLJS AREA: N/A
PROPERTY USE: [OrrrCr f]RESTAURANT
in this structure?f- Vefl- tto ls The Property Located ln The Floodplainf-_ ve{i
in thls applral,ion is correct and all work will comdy $dlh lhe State Euildng Code and all other apdicabte Stale
he NHC Develooment Sarvlces Center wlll b€ nolrted d anv ahanoss tn thd aooroved olans and"'NOTE Any Worf Peddmed W/O the AODrogfiate Permils wll 6e rn VidEUon ol lhe NC State Bldg Cod€ and
or building was loundro
10 days prior to the
# OF UNITS: Pe! Unit
SQ FT PER FLR; 4.llj Per unrt s OF STORIES: Per unit
#oF STRUCTURES: I Per Unit # OF FLOORS:I Per UnLt
EXST LAND DTSTURBTNG pERMtT? ryES r NO
SQ FT EXISTING IMPERVIOUS AREA: N/A SQ FT
OWNER/CONTRACTOR: Ansela Roaenan SIGNATURE
Nole:Demdiuon notificalions & asbeslos removal permt ,pplicatjcns are lo be sub.nined using the applbeton to{m (DHH5-3768)
contain Asbeslos or nol You are requlred tocalllh6 Na on lEfiission Sranderds lor Hazardous Ar Polturanrs (NESHAP)at (919)707,
demolllion of 6ny faciliry or blilding. See Asbesro6 Web site hnpj/wwv/.epi.state.nc !gepi/asbestos/ahmp.h|mt
TOTAL PROJECT COST: Se,500 BUILDING HEIGHI: N /A
WATER
SEWER
SYSTEM
CFPUA
CFPUA
COMMUNITY SYST
CENTRAL SEPTIC
T-L WELL
lrRlvlrE seprrc TI ZONING USE CL'Co tr,tu u r'r rrv
I\4ERCANTILE ED APT CONDO OTHEI
EM
'" SEPARATE PERMITS REOUIRED FOR ELECT, MECH. PLBG. GAS EOUIP. PREFABS & INSEFIS
ASSIFICATION
PAYMENT METHOD ll cnsn f-i cnecK (pAyABLE ro NHC) fi_ AMERIcAN EXpRESS J-_ r.,tcnrrse I otscovER
ZONE: OFFICER
(FOR OFFTCE USE ONLY)
SETBACKS: F LH RH BApproval:_ City: _ DATE_ FLOOD:---. BFE+2ft,_AVNComment pERMtT FEE: I*DISCLAIMER: SUBMITTlNG THIS APPL ICATION I4EANS THAT THE 5UBMITTAL CHARGE IS NON. REFI]NDAB L E
_DATE: 8/30/17
.Irll
_ PtlO{E S: 910.763.8?60
_ PH: N/A
EI{GR DESTGN pnoressrofiAL: ffi pH:rr-zE- ruc RrG *:T/E-
TOTALAREASOFI: 430
TOTAL SO FT UNDER-H6_
Clear Fonn Prlnt
NEt^l HANOVER C0UNTY BUILDING PERMIT
APPLICA|I1N IYPE ; C0l4filERCIAL
PI.EASE ANs}JER ALL QUESIIONS APPIICAOLE TO YOUR PRO]ECT
"ProJect Responslbillty"
w I ngtoo
CITY: wllnington
)onnrs)
AFFITCIT-roN
Number
(offi<e Use)
APPLICANT'S NA|4Ei Pl"antatlon Building of wl1mlngon, Inc.
OEVE LOPER:
PRO] ECT l50l- r 0 { Little,rohn Circle
OCCUPANT/BUSINESS I'IANE :
PROPERTY ollJNER'S NAfiE: pBw Holding6, Lra
OWNER'S ADDRESS: po Bo; t4-
- DATE: 8/ 30 / 11
CONTRACTOR: plantation BuildiDg colp
ADORESS : 314 Walrtut St. Suite 200
ElilAIL ADDRESS: roa eman l!ptantat ionb!iLdingcorp . con
. LTCE SE *; 6s1!2
CITY: l,,lrnlngton
. PHotlE t: 910. ?63-8?60
zIP | 2840t
PHoNE f: 910,753.8?60
ST: Nc ZIP: 28402
ST: Nc ZIP; 284ol
PHONE f;910.753.8?60
PHoNE S: 910 . 4 09 . s9l9PROIECT CoNTACI PERsON: xyle Henry
(Ch.ct All Ihtt lpply)
EXIST CONSTRUCTION
ll Relocation, is there a N
: T-'l ALTERATION -1L-' t-laturalGas Llne oo lhe Cunent Site? fi es I-L Ho
RENOVATION GENERAL REPAIRS RELOCATION
IS BLOG S
sHErL n uP
H..KLEREDl-- Yosli_
FIT ADD TO EXIST STRUCIURE
NoNEh' CONSTRUCTION:n EREcr NEr,l srRUcruRE n FAsr TRAcx EACCESSORY STRUCTURE:
If UPFIT - The Shell Permlt #:Is Elect Pow€r on thls Buildlng l-'. Yes f NO
f. yEs li.hat 1s the
PH I N/A
l{eu Occupancy
".T' IS THIS A CHANGE OF OCCUPANCY USE?
IF Yes, lhat was the Prevlour Occupancy Typel _ H
Itr8fi trrrron PRoFEssroNAL: N/A
DEsCRIPTION OF I.IOR(: ca-ineta, rloorlng, Etectrical 6 plumbrng
NC RE6 #: N/A
ls ,ood or bevsrages prepar€d or ssrved
No0ISCLAIMER. I horoby csrlify thar allinlorms oo
ond locollaws and ordinancos ond toeulatons. Tor chana€ ln conkaclo. or controctq lilormallon.Subiecl lo Flnes Up To $500.00"'
in thls structure?f- Yeslf-1 tto ts ttre Proporty Locat€d tn The Ftoodptalnl:_ ysfr _
ln rhlsapdicauon ta coroct and atl wo{k witl compty Mlh tho
ho NllC Doveloomanl Servlces CenlEr wllbo nolilied ol anv"'NOTE. Aoy Wort Perlolmed w/O lhs Applopnota Psrmitschanoes rn llt6 aoorov6d ol6ns andwlll 6E in Volalrbi ol lhaNC Slat€sDeclficationsBlda Code ond
Slalo Bullding Cod€ and allolh6r apd(.bla Slate
OWNER/CONTRACTOR: Ansel. Roseman SIGNATURE
SETBACKS: F:rlr\ Lu d[n nH NlgFLOOO: I
Nole: Demdilion no ncauo.sE asbesb6 r6ino€lp6rmir Bpdic.lms!16ro b6 6ub.nlned ustng ltl€ applacrum i.ym (OHHS-376E)
conlaln Asbssros or nor You 6ls roquked lo c3! th8 Na onal Emlsslon Sbnd..dr lor Hazaft,ous Alr Polbtanb (N ESHAP) at (9 1 9)707
demonion ol snylaclito. building. Ses Asbsstos W€b sits: htp/*irw.cpi.sl6ta.nc.u6/opi,r6&slos/atmp html
or boilding t,t!s,!uld lo
TOTAL PHOJECT COST: Se, s00
TOTALAREASOFT;n:u-
WATER:
SEWER:
SYSTEM
BUILDING HEIGHT: N/A fl OF UNITS: Per Unit
SO FT PER FLR: ilJU Per unrt f OF STORIES: Per Unil
TOTAL SO FT UNDER ROOF #oF STRUCTURESJ Per unlt f OF FLOORS: I Fei VnrL
ACRES DISTURBED: N/A
NEW IMPERVIOUS AREA: Ni A SO FT EXISTING IMPERVIOUS AREA' N/A
pRopERry usE: EoFFlcE ! nesrauRAr.rr MERCANTILE EDU APT CONDO OTHEI
SQ FT
ZONING USE CLASSIFICATION
MMUNITY
'" SEPA'IAT E PERMITS FEOUIRED FOR ELECT. MECH. PIBG, GAS €OUIP, PNEFAAS A INSEffIS
PAYMENT METHOD: T CAS CHECK (PAYAELE rO NHC)f-r AMERIcAN EXPRESS f.-
NLY)
H
(FOR OFFICE USE O
zoNE: aft-l oFFrc
Approval:_ City
ER
ucrursn f] orscoven
B dtnBFE+z'll,_TE
comment No fxo0vloirr,r or c]r,.lvtal ',^ ,rlo PERMIT FEE: :*DrscLAIMEn; sUBMri rs roN- ReruruoagL r
N
Cilv lnsoecfron Recuteo, 9l 0-254-t-('3
EN6R OEsrctt pnOressro AL:_ffi pH:T-/I- NC REG +:T/E--
Exsr LAND DrsruRatruc eenmrrt J-i vrs j- r.ro
t-ACFPUA TI COMMUN Y SYSTEM T.l WELL
EJcFpuA EICENTRAL sEprrc f] pdvArE sEpTlc
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATI(N |YPE; COI{tlE RCIAL
PLEASE AI{sTER ALT QUESTIOIIS APPTICASLE TO YOUR PRO]E'T
"Project Responslbility"
PlaDtation Building of !'rilningon, Inc.
1505- 101 L ttle John Circle Wilmington
PROPERTY oI/NER'S NAME: pBw Hotdinss, LLc
Ol,{'lER'S ADDRESS : PO Box 2473 . CITY: wilmingron
CONTRACTOR: plantation Building Corp LICENSE #: 68712
AODR ESS ; 314 t{alnut st. suite 200 CITY: wilmiDgton
PRO]ECT COIITACI PERsOI{ J KyIe Henry
(chect AII rhat Apply)
NEW COT.ISTRUCTION:
ACCESSORY STRUCTURE:
2orpss
n-28qc
7(tot
aFFfie['fr-oN
Number
(Offtce Use)
APPLICANT'S NAME:
DEVELOPER:
DATE: A / 30/ 1'1
PRO] ECT
-PHOf'lE #: 910.763-8760
ZIP | 28ao:1
PHoNE *: 9r0.763.8?60
ST: Nc ZIP: 28402
5T: Nc ZIP: 28 401
PHoNE S:910,763.8?60
OCCUPANT/8USII{EsS NAME :
PHONE *:910-{09.s919
EXrST CONSTRUCTTOT{: f] ALTERATTON nlf Relocalion, is there a Natural Gas Lin€ on theeu
No
GENERAL REPATRS T-l REL(raTrO{
[-_ ruo rS BLDG SP-R|NKI rREDf vesJi-
RENOVATION
rrent Site? f-es
EREcr r{Ehi sTRUcruRE n FAsr rRAcK E SHELL fl upFrT AOD TO EXIST STRUCTURE
If UPFIT - The Shell Permit #:Is Elect PoHer on this Building F. Yes r NO
DESIGN PROFESSIOiIAL: N/A . PH: N/A NC REG *: N/A
ENGR DESIGN PROFESSIOTIAL :_ N/A PH N/A NC REG #N/A
DESCRIPTION 0F I\,ORK:CabinetB, FIooring, Electtical e plurrlbing
ls food or b€varages pr€pared or served in this structure?f . Yef No ls ttre property Located ln The Ftoodptain 1_-v"fr
*r*+* rs THrs A cHAlrGE oF occupANcy UsE?r yES l-' iO ...*.
IF Yes, what was the Pnevlous Occupancy Type? _ Nhat is the l{ew Occupancy
Ix8fi?
B8ar^rr*, , *"0, "rrtfy tha( aI into{motion an this applicstion as co{rect snd a work wil @mpty with the
and loEal las/s and ordrnancss aM rogdeions Tho Nt-lC DevdoDmed S€yvces C€nter v$ tt€ ndfied c, anvo.ch€nneancontrad.YorcontaclorrirLrmalDn.'.NOTE.AnyWo'tpertormedw/OlheA!,rrotyralepermibSuhocllo Flnes u9 To S5O0 00"'
stiate Building code and a[ other applicabte state
n lhe a9!roved dans and sDecificallonsViolarion ol rhe NC State Bldg Code and
OWNER/CONTRACTOR: Ansela Rosenan SIGNATURE:
Note: Demolitlon noiilications & asbeslos removal permit 6pplicarions are io be subnined usin0 th€ appticarion form (OHHS-3768 lacilily or burlding was lound to
contain Asbestos or nd You are required io call he Natonal Emission Slanc,Erds lor Hazardous Air Pollutanrs (NESHAP)ar (919)r07,t950 ai teast 10 days p.ior lo rh6
demollion of any laciliiy d brilding. See Asb€stos Web Ste: htrp:/^r.,, .epi.slare nc uvepy'asb€sros/ahmp.hht
TOTAL PROJECT COST: $9,500 BUILDING HEIGHT: N/A floF I,JNITS: PeT Utlit
# OF STORIES: Per unit
f OF FLOORS I Per t nrt
ACRES DISTURAED: N/A Exsr LANo Drsrunenrc eenl,rrrz f ves f- r,ro
NEW IMPERVIOUS AREA: N/A SO FT EXISTING IN,IPERVIOUS AREA: N/A SO FT
CONDO OTHEI
WATER
SEWER
SYSTEM
CFPUA
CFPUA
l-l coMMUNrrY SYSTEM Tl WELL
E CENTRAL sEPrc f] F,mvArE sEpTlc
T-"I ZONING U?ouurr rr'rrrv
SE CLASSIFICATION
EPARATE PERMITS REOUIRfD FOR ELECT rt4ECH PLBG. GAS EOUIP, PREFABS 8 TNSERTS
PAYMENT METHOD I cnsn [-1. cnecK (pAyABLE ro rurc1 l-_ nuenrcAN ExpRESS f-. nrcnrrsa l-; otscovER
(FOR OFFTCE USE ONLY)
SETBACKS: FZONE: OFFICER LH RH B
Approval:_ City: DATE_ FLOOD;--
N
BFE+2lt
Comment PERN4IT FEE: :*DISCLAIMER: SUBMITTING THIs APPLIcATIoN MEANS THAT THE SUBI{ITTAL CHARGE I5 NoN-REFUNDABLE
Cbrrrorm I Prlnt clffl
rrurleoo@
TOTALAREASQFT' 4JO SQFTPERFLR: 4.,0 PeT unlt
rorAl so rr uuoeRE66Fl-- # oF srR ucruRES: -I-;i;li-
pRopERry usE: EoFFlcE I nesrnunnr.rr I Nencarrrrcl-1eouc[J nerf]
vo fL?ss7
Cl€ar Form
NEW HANOVER COUNTY BUILDING PERIYIIT
APPLICAfION IyPFI COMITERCIAL
PLEASE ANSWER AL! QUESTIOXS APPLICASTE TO YOUN PRO]ECT
"Project ResponsibLUty"
APFffeITTON
l,lumbe r
(offlce U5e)
APPLICAiIT'S llAl,lE: Plantatlon Buildlng of wilRingon, Inc.DATEr 8/30/11
DEVELOPER:
PRO]ECT AOD
PHONE f:910.763-8750
ZIP i 2o4oL
OCCUPANT/EUSIt.IESS NAT4€ :
PROPERTY ol,JNER'S NAl,lE: pBw noldings, lLC - PHoNE r: 910.?63,8?60
O!,INER'S AoDRESS; po Box 24?3 . CITY: }lilninqton
CoiITRACIOR: plantation Building corp LICENSE f: 68712
AoDRESS: 314 gralnut sb. Suit€ 200 - CITY: wj.Imington _ ST: Nc ZIP: 2s4or
Ef'IAIL ADDRESS I roseman! pl6ntat ionbu i Ldlngcorp , com PHONE S:9r0.?53.8760
PRoIECT CoI'ITACT PERSON: KyIe Henry PHoNE r:9r0.409.5919
(ah.ck All rhat apply)
EXTST CONSTRUCTTOI:ALTERATION
lf Relocation, ls lhere a NaturalGas LIna on the
ERECT NEI,I STRUCTURE FAST TRACI(SITELL
l--.l RENovArroN El GENERAL REPATRS [-l
a-urronr sile? f-- vEi[-- tto ts aLoo spEit'l
RELOCAIION
KLEREDl-* Y6sli-
! uPFrrn aDD To Exrsr srRucruRE
If UPFIT - The Shell Permlt f:Is Elect Power on thls Building fr. Yes f NO
nnd locol Isws ond o,dm6n 6! rnd legulntions. T
or chano€ in conraclo. or aonlactor 6lorm0tionsubtectlo Flno3 up To 1500 00"'wli n rhi aDorovo{r 6lEns and sDacincz ons
Violsri6i ol ho NC Sbrs Aldg Cod€ and
OWNER/CONTRACTOR MSeIa Roseman S IGNATURE:
(Oq.ll&r) (Pdd N.m)
Nolo: Domolidon noailic8lio.r3 a .sb6slor removal psrmlt applcslions are lo b6 submined udno lho applc8uon,olm (DHHS3r63 lac[ily or buirding was ro{,nd ro
conrsin Asbastos or not. You a,6 r€qulrod to calllho N6rional ErnlsElon Sranturds lor Hazrrdous A. PolllianB {NESHAP) el (919)707-5950 al loast l0d6ys prior lo 116
demotlim ol8ny ladlity or blildng. Seo Asb{slo6 Web Sit6: hilpJ/ww api.sr.l€ nc ur.puasb.storothp.hhl
TOTAL PROJECT COST: $9,500 BUILDING HEIGHT: N/A #OFUNITS: PE! UNlt
TOIAL AREA SO FT. aro SO FT PER FLR: 4J0 Per ljnrt # OF STORIES: Per Unit
TOTAL SO FT UNDER ROOF # OF STRUCTURES; I Per unlt I Per Urlrt
ACRES DISTURBED: tlrl EXST LAND OTSTURATNC peRi,rtrl r,VeS J- tto
NEW ItuIPERVIOUS AREAi N/A SO FT EXISTING IMPERVIOUS AREA: N/A SO FT
pRopERry usE: f]oFFrcE I nesrnunerr f] meRc,rrurLel-J eo APT CONDO OTHEI
WATER
SEWER
SYSTEM
CFPUA
CFPUA
COMMUNITY SYSTEI
CENTRAL SEPTTC D
r..I WELL T-l ZONING USEHvnre seplc 3?ottlvruxrrv
IXtE?oetrou PRoFEssroNAr- : N/A PH: N/A NC REG *: N./A
DESCRIPTIoN 0f WoRK: cabtneta, rlooring, Electrical & plumbing
ls food or bevaragos prepared or ssrved in this struclure?f- Yofr- No ls The Prop€rly Locatod ln Tho Floodplain{-- YeEi-
N8",-o,rr", , ,ol9o, ""rrily th6r 6[ tnlormarion th6 Slate Buil.,ing Code and allolher applicablo SL?lo
CLASSIFICATION
,'' SEPARATE PERMITS REOUIRED FOR ELECI, MECII, PL8G. G/\S EOUIP. PREFABS E INSERIS
PAYMENT METHOD: I]CASH CHECK (PAyAsLE ro NHc) f.- AMERTcAN ExeRESS n McA/tsA llL otscoven
(FOR OFFTCE USE ONLY)
ZONE: n+, -l OFFICER SETBACKS: n: f\l€ Ln NtO RH$s_B-!)jo
AF E+2ft,Approval:_ City
Comment NO
OATE FLOOO x
€Krn'n inn ov ohg'nol-in - \.^/rQ--PERMIT FEE: I*orsclnrt BMITiAL CHARGE Is NoN-REFUNoAsLE
N
Va
Ciiy lnspeclion Requneo, 9i 0-254-0i31
Prtnl I
ST: NC ZIP: 28402
il8* .orrr*r.rror, IACCESSORY STRUCTURE;
Et'iGR oEsrcN pn0rEsSr0tal:-ffi pH:i-7I- c REG *:]l-7E--
r.1.. rs THrs A cHAflGE oF occupAN(y usElf yEs fi. No.,*.*
:F Yes, rhat was the Prevlous occupancy Typel - what ls the ew occupancy
# OF FLOORS:
a)l?-?r-Qo
Claar Folm Prlnl
NEW HANOVER COUNTY BUILDING PERIUIIT
APPLTCATI0N IYPE: COMMERCIAL
PI-EASE AI{5hIER ATL OUESIIOI'IS APPTICABLT TO YOUR PRO]ECT
"Project Responslbility"
Plantation Building of Wilmingon, Inc.
15 0 5-10 2 Little John Circle Wllnrngton
PRoPERTY oliNER'S hlAfiE: pBw Hotdings, LLc
OI{N E R' S ADDRESSi po Box 24?3 CITY: wilminqton
CONTRACTOR: plantatioD Building corp LICENSE *: G 8712
ADDRESS: 314 walnut St. Suite 200 CITY: $ilmington
Ei.IAI L ADORESS: rosenan€plantationbuildingcorp.com
PRO]ECT CONTAC T P€RSOtl: (yLe Henly
t1-28?9 Qoz)
APPLICATI(N
Number
(Office use)
APPLICANT'S NA E:
DEVELOPER:
DATE; a/30/17
PRO]ECT
PHoNE l: 9lo,763-8760
zlP | 2S4c1
- PHoftE #: 9r0.763.8760
OCCUPATJT/EUSINESS NAME ;
ST; Nc ZlPr 2a4o2
5T: Nc ZIP: 28401
PHONE S:910.763.s750
PHO E f:910-409.5919
(ahe.k AIr Ihat apply )
EXIST COT{STRUCTION:
lf Relocation, is there a Na
No
NEW COiISTRUCTIOiI:ERECT NEW STRUCTURE FAST TRACK
tural
ALTERATIOI{ I-'] RENOVATIOiI
Gas L ne on thebdrrenl site? f-
GENERAL REPATRS fl RELOCATTON
I-_ No tS Bt DG SP-R|NKLEREDtr - yesli.
SHELL UPFIT ADD TO EXIST STRITURE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit s:
IF Yes, uhat iras the Previous Occupancy Typel
I{tEtorr.on PRoFEssroNAL: N/A
Is Elect Poten on this Building li' Yes r.N0r.**i Is THrs a cHAr,l6E oF occuPANcY usE?r yEs [, No **.,*
_ !,rhat is the NeL Occupcncy
. PH: N/A
PH : N/A
NC RE6 *: N/A
NC REG *: N/AENGR DESIGN PROFESSIONAL :_ N/A
DEsCRIPTION OF I.JORK: Cabinets, Eloorlng, Electricat & plumbing
ls food or bsverages prepared or seNgd in
NoDISCLAIMER: I he(eby ceflify that all lnlolmatDn in
and local laws and o[drnancss and r€gulalims. The
or chaftE' in contraclor or conlraclor iniormalion "'SuDiecl]o Fines Up To 3500 00"'
OWNER/CONTRACTOR: Ange1a Rosenan SIGNATURE:
(Ooariied (PidNarE)
Notei Demolilion nolilications & asbeslos removal perm it applicalions are lo be submined using lhe applicaiion rorm (DHH5,3768) $,ieine building w6s lound to
cmtain fuHlo6 or nol Yoir are requircd lo call ltle National Em|sson Slandards lo{ Hazardous Ar Pollutanrs (NESIIAP) at {919)707-5950 at least t 0 days pnor to rhe
domolilion of any lacilily or buildino See Asbestos Web Sire: htrp/www.spi-srat6.nc.usrepi/asbsstos/ahmp.htmt
TOTAL PROJECT COST: $e,500 BUILDING HEIGHT: N/A f OFUNITS: Pe! unit
this structure?f- Yef_ tto ts tne e,operty Located tn Th€ Ftoodplainf- yefr _
this applicaloo ls conect and alt r4ort will cornply with lhe Stalo Building Code and aI other atBicab{e SlaisNHC DeveloDmenl SorvEes Conierwll be nolted of anv chano€s in the sodered olansend sDecifi.err.dNOTE Any Woft Perl.rmed w/O rhe Approp.iate Pefmih will 5e in V'otat6i ot ulc NC Sble Bldgf Cod€;;d
TOTAL AREA SO FT : 430 SO FT PER FLR 4J0 PeE Unlt # OF STORIES: Per Unit
IOIAL SO FT UNDER ROOF # OF STRUCTURES: r Per tnit # OF FLOORS L Per Unlt
ACRES DISTURBED: N/A Exsr LAND DrsruRerruo eeRurn J- ves J-ruo
NEW IMPERVIOUS AREA: N/A SO FT EXISTING IMPERVIOUS AREA: N/A
PROPERTY USE noFFrcE I nesrauner.rr I I\4ERCANTILE EDuc[f eer[CONDO OTHET
EM
.^ SEPARATE PERMIIS REOUIRED FOR iLfCT, MtCH PLBG, CAS EOUIP, PREEABS & INSfRTS
ZONE: OFFICER LH RH B
SQ FT
WATER
SEWER
SYSTEM
CFPUA
CFPUA
COMMUNITY SYST
CENTRAL SEPTIC fl WELL n zoNtNG USE CLA
FmvATE SEPTTC DTOMMUNTTY
SSIFICATION
PAYMENT METHOD La oASH n cHEcK (PAYABLE To r.rncy J- nuenrcAN EXPRESS f-_ rr/]cnrrsn l_a_ otscovER
(FOR OFFICE USE ONLY)
SETBACKS: F:
Approval:_ City: DATE_ FLOOD BFE+2ft,
N
Comment PERMIT FEE:*DISCLAIMER: SUEMITTING THIS APPLICATION MEANS THAT THE SUBI4IITAL CHARGE IS NON.REFUNDABLE
.lLll
)on-Zfl"o
Clsar Form Prlnl
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION ITPE; COMMERCIAL
PLCASE AIISHES ALt QUESIIOI]S APPLI(A8LE TO YOUR PRO]ECT
"Project Responslblllty,,
PRO]ECI ADD
OCCUPANT/BUSINESS NAI,IE :
ol^JN ER 'S ADDRESST pO Box 2{73 CITY: wilnrinSton
CONTRACIoR; plantation Building corp LICENSE S: 5B?12
ADDRESS : lL4 walnut St. Suite 200 CITYi $il,niogton
EI.IAII. ADORESS i ro6eman € p lantat ionbui 1d lngcorp . com
PRO]ECT CONTAC : Xyle Henry
((h.cr Alr lhat ^pply)EXIST CONSTRUCTION:ALTERATION
AFFr-rcarroN
Number
(offl.e Use)
ZIP:2s4ol
ST: Nc ZIP: 28402
ST: Nc ZIP: 28{01
PHONE S:9r0.?53.8760
PtloNE t: gro.nog,sili
tfRelocation. is lhors a NaturalGas Line on lhs
N RENOVATION J7I GENERAL REPAIRS -tirrenr sire? 1*d;-- ruo rs st-oc spttTl.,
RELOCATION
KLERED'{-_ Yesli
No
NEW CONSTRUCTION:
ACCESsORY STRUCTU
ERECT NEt^l srRucruRE E FAsr rRAcK f] SHELL E upFrT ADD TO EXIST STRUCTURE
RE:
If UPFII - The Shell Permlt fl:Is Elect poHer on this Euildtng lT. Yes f. N0
.*r'|.' rs THrs A clrANGE 0F OCCUPANCY USC?r. yEs f-. HO """IF Yes, lrhat eas the Prevlous occupancy Type? - Hhat ts the lle!, Occupancy
IX8fi toesrcu PRorEssror{AL: N/A . PH: N/A NC RE6 #IN/A
DESCRIPTION 0F WOR(: caEnElElTioor Ing, Brectrlcar & pr.u,ibtng
ls food or beverages prepar€d or served ln
NoDISCLAIMER I heraby certfy lhar 6ll Inlorma on In
and loc5llnws arrd ordinoncas aod rgoulato,16, Thsol chanao in conuaclq o( contracrd t-nformattdn 'i.Subiecllo Flno3 Up To S500.00"'
lhls structure?f- Yesli_ tto ts Ttre eroperty Located tn Th€ Floodptainf- yefr_
lhlsapplicalion |s coned a^d 6tlwork w tcomgty wtth |he Stst6 Blritdino Co(lo ond al oth6r sootrcaHe SEENle_Day€lop.nonlSeMces Cr,lrer taitt be nornird ot any changss tn the apryovod Otans ond aDodica[o.BNOTE:Any Wo.h P6rlormod W,0 tho ApproFlat6 Prmlls t.itt 6e tn Vlolatt6n ot thgNC StaE EIdg Code snd
OWNER/CONTR,{QIQfi ; aneela noeernan SIGNATURE:
Nole: Oemolilion nolilicrtions & ssboslos rern@ol psrm,I applicElion s arerob€ subrniisd usir0fte stptication lorm (OHH5-3766)
conlaln Asboslos or nol. You srs r6qutsd lo c3ll lhe N!!fial Emissioo Shndard6 lor ttazardou! A, PottullnB (N ESHAP) 6t (919)707.5950 6t leas( I O d.ys p,io, ro the
d€molllon of any lsaility or bufding. 5€6 A3b63to! Web SitGr hflp:r*rvy/.€pa.st le.nc,oyepirrshcsloyshmp.ht r
TOTAL PROJECT COST: $e,500 BUILDING HEIGHT: N/A #OFUN|TS: per unlt
TOTAL AREA SO FT: 430 SQ FT PER FLR: {Jo Per unrt fl OF STORIES: Per unit
TOTAL SO FT UNDER ROOF:_
ACRES OISTURBED: N/A
WATER:
SEWER:
SYSTEM
E[4 ri WELL Tl ZONTNG U
D PmvArE srPTtc EToMMUNTTY
f OF SIRUCTURES: r Per IJnit # OF FLOORS I Per Un],!
Exsr LAND DrsruRBrNG pERMlT? f,yES _l: No
NEW IMPEFIVIOUS AREA: N/A SQ FT EXISTING llIPERVlOLlS AREA| x/A
pBopERry usE: L]oFFlcE I nesraunnr,rr ! uenceNr[el-l eoucPL rerf[ coNoo OTHEI
SO FI
CFPUA
CFPUA
COMMUNITY SYST
CENTRAL SEPTIC
SE CLASSIFICATION
... SEPANAIE PERMIIS REOUIREO FOR ELECT, A,IECH, PTAG, GAS EOUIP, PREFAES t INSERIS
PAYMENT METHOD: rt CASH llJ CneCX leeVealE ro NHc)
(FOR OFFICE USE OIa- AMERTcAN ExpRESS fi Mcn/rsA l]l_ orscoven
NLY-)
zoNE:O+f-I oFFICER:SETBACKS: F:Nln tH
^.I[ARH
B-drSApproval:_ C TE FLOOD BFE+2ir,
Comment
N
. PEBMIT FEE: :
TI IVlEANS THA THE SUEMITTAL H E IS NON.REFUNDABLE*DISCLAIfIER: SUBirtl ING TH
Cily lnspeclion Requreo, 91 0.2S4.0i1,)
APPLICANT'S NAME: Plantation Butlding of wilmi.gon, Inc. OATE: A/30/11
DEVELOPER I _ PHONE f: e10.763_B?60
PROPERTY ol^ltlFR'5 NAME: pBw Hotdlngs, r,LC - PHoNE S: 910.763.8760
ENGR OESIGN PIOTCSSTOITAI:.ffi PX:TIE- NC REG #:r/E-
)ott-? sa r
n'ztsQ1oAAPPLICATIOI- -,/
Number
(offlce Use)
DATEr I /30/17APPLICANT'S NAtlE:
DEVELOPER:
Cleer Form Prlnt
NEtd HANOVER COUNTY BUILDING PERMIT
APPLIcATIott |YPE: COIIIIIE RCIAL
PLEASE Al{Sl'ltR AtL QUESII0IIS APPLICABTE TO YOUR PROIECT
"Project Responslbllity"
PlaDtatioD Buildj.ng of Wilningon, Inc.
15 0 5-10 3 Little John CircIe Wilmington
PRoPERTY OIJNER'S IIAME: pBw Eordinss, LLC
OtdNER'5 AODREss3 po Box 2473 CfTY: wilmington
COTJTRACTOf, : plartatior Building colp LICENSE *: GB 712
ADDRESS: 314 walnut St. Suite 200 CITY: wilmingron
EITAIL AODRESS : ros eman€ pl antat ionbui Idingcorp . corn
PROJECT CONTACf PERSoN: Kyle Henry
PROJECT
- PHONE f: 910.763-8760
ZIP: zgaol
PHoNE S: 9r0.76i,8760
ST: Nc ZIP:28402
ST: Nc ZIP: 28401
PHoNE S:910.763.8760
PHONE S:910.409.s919
occUPANT/BUSTNESS NAt4E :
EXIST CONSTRWTIO :
lf Relocation, is there a Na
ALT E RATIOiI
Gas Line on theral
RENOVATId{
rrent Site? f ES l- tto IS BLDG S
RETOCATIO
KLEREDtr_ Yes,i
GENERAL REPAIRS
(Che(k All Ihat Apply)
NoI']EW CONSTRUCTION:ERECT NEW STRUCTURE FAST TRACK SHELL
ACCESSORY STRUCTURE:
UPF IT ADD TO EXIST STRT'CTURE
Is Elect Pouer on this Euildlng J- Yes f. NO
i*r** rs THrs A cHAt{GE oF OCCUPAT{CY USE?r yEs Jr_ iD *rrr.
IF Yes, what uas the Previous Occupancy Typel What ls the Neu Occupancy
If UPFIT - The Shell Permlt S:
Ix8fitDESIGN PROFESSIONAL: N/A - PH: N/A NC REG f: N/A
NC RE6 #N/APHN/A
DESCRIPTION OF I^,ORK : cabinets, Floorj.ng, Electrical & plunbj.Dg
ls tood or b€vorages prepared or served in
NoDISCLAIMER: I her6by certly hal all information tn
and local lan6 and oraltnanccs and rooulalions Theq d|ana€ n c(rll,aclo. or cDnlracto. iifo.malion _'
Subiecllo Fin66 Up To 5500 00"'
ZONE: OFFICER
this structure?f YefL No ls The Property Located tn The Ftoodplainf_ y"{i_
Ihis applicslion is cofiect and attwork willcomdy with the Stato Butldino Code and a otherapplicabla SlaleNHC Develogmgnl Serv|ces Cenler wrll be notlfted ol anv chanoes tn the eooroved olans and soedficati6GNOTE Any Wo* Perfamed WO the Appropnate Pernih w 5o rn Vorati6ir ot the |,lC Sldo Bldg Coda;;d
OWNER/CONTRACTOR: Ansela Rosenan SIGNATURE:(Oualifi.4 (Pnrr N.ru)
Nole: Dornolilion nolilications E asbestos r€moval p€rmit apdicalqrs sre ro be submined using rhe appticar'oi fo(m (DHH$3768)building was lound ro
conlarn Asbostos or nol You are required lo call the N at onal Emission Standards lor Hazardous Ar Pollurants (N ESHAP) 6r (9 19)707-5950 ar tea$ 1 0 days prior lo rhe
dernolition o, any facility or building Se€ Asbestos Web Sile: hnpllrww.epi.sr,are_nc uyepi/asbesbEahmp.hlmt
TOTAL PROJECT COST. $9,500 BUILD|NG HEtcHT: N/A f OFUNTTS: pe! unir
TOTALAREASOFT:410 SO FT PER FLR: 4JO PeT Unlt # OF STORIES: Per unit
TOTAL SO FT UNOER ROOF
ACRES DTSTURBED. N/A
WATER
SEWER
SYSTEM
CFPUA
CFPUA
"'s
nwELL T1 ZONTNG USE CLAS
PF0VATE SEPTTC n-COMMUNTTY
# OF STRUCTURES: 1 PEr UNit # OF FLOORS l Pe! UniE
Exsr LAND Drsrunerruc cenurrz J- ves J- r,ro
NEW IMPERVIOUS AREA: N/A SQ FT EXISTING IMPERVIOUS AREA. N/A
PROPERTY USE: EOFFTCE I neSUUnnUr MERCANTILE ED APT CONDO OTHEI
SQ FI
COMMUNITY SYSTEM
CENTRAL SEPTIC
EPARATE PERMITS R€OUIRED FOR ELECT, MECH, PLBG, GAS EOUIP PREFABS 8 INSERlS
SIFICATION
PAYMENT METHOD f oASH fl cHEcK (eAvABLE ro NHc) f, AMERIoAN ExeRESS f-; r'ltcnrrse [] olscovER
(FOR OFFICE USE ONLY)
SETBACKS: F,LH RH BApproval:_ City: _ DAfE_ FLOOD
N
Comment PERMIT FEE: I
*DISCLAIMER: SUBMITTING THI S APPTICATION MEANS THAT THE SUBMITTAL CHARGE IS NON.REFUNDABLE
.Idl
E GR DESIGI/ PnOresSlottlL:-ffi
BFE+2ft,
Prlnl
NEh' HANOVER COUNTY BUILDING PERMIT
APPLICATI,N IYPE; COI'IHERCIAL
PLEASE AIiI5N€R AIL QUESITONS APPLICAELE IO YOUN PRO]ECT
"Prorect Responslblllty',
tlilmlngton
. CITYr wilmington
bt)-?{Q I
APPLICANT'S NAMEr Plantatlon Buildlng of wllmlngon, rnc.
DEVE LOPER I
PROJ ECT A : 1505-r03 Little John clrcle
OCCUPANT/BUSINESS NAIE:
PRoPERTY oWNER'S NffiE: pBw lro!.dingo, Lrc
OI,INER'S ADDRESS: po aox 2473
-DATE; 8/30/r7
PHoNE {:9r0.763-8?60
ZIP:2840I
COIITRACToR; plaotation aullding corp
ADDRESS: 314 walnut st. suite 200
PROJ ECT CONT ER : (yle H6n!y
LICENSE rt 687r2
5T: Nc ZIP:28402
ST! Nc ZIP: 28401
PHoNE S:910.?63,8?60
PHoNE s:9r0.409.5919
CITYi allmington
(Ch!(t Alt Ih.t Apply)
EXIST CONSTRUCTION:tr ATTERATION l-l RENovArroN [z GENERAL REPATRS ntlrrent sito? J.-y;if'- No rs BLDG sPHll.rlf Relocalion, ls there a Natural Gas Llne on the
RE LOCATION
KLEREDi-_ YesJi-
UPFIT ADD TO EXIST STRUCTURE
NoNaw coNsrRUcTroN: f] EREcr NEl,t STRUCTURE EFAST TRACKn SHErr
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permlt S: Is Elect PoHer on this Bullding l-'. Yes
.rrri rs THrs A CNANGE 0F occupAxcy UsEtf. yEs l-r. No ."r.'
If Yes, what ras the Prcvlous occupancy Typel _ Hhat 1s the Netl occupanqy
trI8fi 'oesrcnr PRorEssroNAL: N/A
r NO
PH: N/A
DESCRIPTIoN OF iIORX: cabinets, plooring, EJ.ectrical & plumbj.ng
PH: N/A
ls food or b6v6ragos prepared or serv€d ln lhls skucture?f- Yefr- No 18 The Property Locat€d ln The Floodptainf_.- Vo{--
Nob|SCLAIMER I heroby certlty rhsl Bll lnformstion ln lhis apdicoton is correcl .nd all rerk will comdy $dlh the Stal€ gullding Codo and all olher appllcablo Sla taa d locallau6 snd ordln5nc€s ond roodalions. The NHC Dev6loom6nt S6.vicos C6nt6rwiltbo m$li€dolanv chanoas ln tho aoolovod ol6ns ond so€cillcallons
or drango ln conlr9alo. q -ceuacls fnlo.m6 on. "'NOTE: Any Wort Pgtormod WO the Approflralo Pormils will60 ln Violalioir o,ltuNC Stale aldg Cods 8ndSuDtoclloFin s Up To 5500.00"'
oWNER/CONTRACTOR: Aneela Ro6eman STGNATURE: ctD ----(oud,i.4 ffi '7- \
co.troin Asb€stos or not. Yor aro r6qulr6d to ca[ 0to Natois] Emi6ron sra.deds {or Hozardous Ar PolluGnts (NESHAP) al (919)707.5950 al lesst 10 days prior ro lh€
defiolirion o{ anr laolity or bulldin!. k A3bostos w6D Sira: hnp.//wwl.r.6pl.sr6r€.nc utai/6sbesros/rhmp.hvd
TOTAL PROJECT COST; $9,50 0
TOTAL AREA SO FT ; llo-
TOTAL SO FT UNDER ROOF
BUILDING HEIGHTT N/A fl OF UNITS: Per Unj.t
SO FT PER FLR| qJo Per uni.t f OF STORIES: Per unit
d OF STRUCTURESa r per unrU # OF FLOORS: rFet Untf,
EXST LAND DTSTURBTNG PERMTT? J: YES I: NO
SQ FT EXISTING IMPERVIOUS AREA| N/A
RESTAURANT MERCANTILE EDU APT CONDO OTHEI
COMMUNITY SYSTEM
CENTRAL SEPTIC
AcRES DTSTURBEo: j1l_
NEW IMPERVIOUS AREA: N/A
PROPERTY uSE: fIOFFTCE E
SQ FT
WATER:
SEWER;
SYSTEM
CFPUA
CFPUA
.. S€
J_I WELL T-I ZONING USffivlrr srprrc D'CoMMUNTTY
E CLASSIFICATION
PARAIE PERMITSR€OUIREO FOF ELECI. MECTI. PIAG. GAS EOUIP. PREFAES 6INSERTS
PAYMENT METHOD [: oASH [:] cHEcK (PAYABLE ro NHc) f-l AMERTCAN EXPRESS fL MCivtsA []l- orscoven
(FOR OFFTCE USE ONLn
E
ZONE: Oi'f -l oFFICER:SETBACK
FLOOD
s:rNl0 ru Nl€ RH*oJlf B_JqF
BFE+zfi'_Approval:_ Ci
Comment
DATE
APP
N
PERMIT FEE: :
TION MEANS THAT TH BhrrrAl CHARGE rs NoN- REFUNDABL E+OISCLAII,lER:I
City lnspeclion Rquueo, 91 0'254'0i :'l
ctoerrorm I
aFFl.IcATro-rcATroN
Number
(offlc. use)
_ PHoNE f: 910.763.8760
Er'IArLADD@
NC REG fiI N/A
NC REG *:I-/E-ENGR DESIGN PNOTTSSIOT.TIL :-ffi
Clotr Foin Prinl
NEW HANOVER COUNTY BUILDING
APPLICAIION TYPE.. COi4IIIERCIAL
PLEASE ANSI,IER AI.L QUES]IONS APPLICABLE TO YOUR PRO]ECT
"ProJect ResponslbiUty',
Plantation Building of wilningon, fnc.
htl-qru2-
pERrvrrr nefg g Qo /
Number
(Office U'e)
DATE: I /30 / r'lAPPLICANT'S NA E:
DEVELOPER:
PRO] ECT 1505-104 Little John C rrcle
occuPAt'lT/BUsINE55 NAitE :
PROpERTY O NER'S Ml4E; pB}r Ho1dings, LLc
0tJN ER'S ADDRESS: po Box 2473
COITITRACTOR: plartation Building corp
ADDRESS:314 walnut St, Suite 200
ET,IAI L ADDRESS:rosemaneplarltationbuiIdingco!p. com
wi-mington
- PHONE S: gro.ro:-gzoo
ZIP:28401
_ PHO{ilE f: 9ro.?63.8760
_ LICENSE *i 68712
CITY: wilnington 5T: Nc ZIP: 28402
ST: Nc ZIP: 2s4ol
PHONE S:910.763.8760
PHONE *: 910.409 - s9r s
CITY: wilnington
PRO]ECT CONTACT PERSOI'I:Kyle Henry
EXIST CoNSTRUCTION: T-] ALTERATIoN T-'lLJ tIlf Relocation. is lhere a NaturalGas Lrne on theCu rrent Site? f:
GENERAL REPAIRS
l-_ llo rs BLDG sES
trPRIN
R E LOCATIOT{
KLEREDtr,_ Yeslf _
UPFIT ADD TO EXIST STRUCTURE
(Chect ^I1 Ihat Appty)
R E NOVATIOIII
No
NEW CONSTRUCTIOT{:E EREcr NEhl srRucruRE FAST TRACX tr sBELL
ACCESSORY STRUCTURE:
If UPFIT - The Shell Penmit #:Is Elect Pouer on this Euilding li Yes l- No
*'*'* rs THIS A CHAI{GE OF OCCUPAI{CY USEtf yES Jf. lO r***.
IF Yes, rrhat Has the Previous Occupancy Typel _ }Jhat is the t{ew Occupancy
I[8fi?r.rrcn pRoFEssroNAL: N/A PH: N/A NC REG *: N/A
PH : N/A NC REG *:N/A
ls rood or baverages prsparcd or sarv€d in this structurs?f Y"fr No ls The property Located tn The Ftoodptaintl ye{i_
88"*ra*, , O"O, orrity rhat EI intormsrion in rhis applcation ls conect and alt work wilt comply wirh ltle srate Euilding Code aod allolher apdacable Stateand locallaws and otdtnances and regulatons. Theol Chanqe ln Conrador q Confaclor lilormaltorl "'Subied lo Frnes Up To 3500 00"'
NHC Develoryionl ServlcssNOTE Any Wort Porlormed Cenlel wllt be noifed ol anv chanoes rw/O lhs Aprrooftat€ P€rmrls $,rll& in
plans arE s@oficauonsNC Stale BIdg Crde and
Note:Demolilion notifications I ssbe6tos removalpefinit applicslions are ro bs submrfled using the appticarion torm (DHH5-3768)whoconlah Asb€stos or nol You are required to calllhe NalionalEmission Srandards tor Hazactous Ar polutants (NESHAP)at (919)707-
demolilion ofany lscjlity or building. Se€ Asb€stos Web Sitei hnpJ/www.epi.state nc.us/spi/asbestos/ahmp htmt
n lhe
OWNER/CONTRACTOR: Aneela Roseman SIGNATURE:
bullding was lound to
10 days prior rolhe
TOTAL PROJECT COST: $e,500 BUILDtNG HEtGHr. N/A fl oF UNITS: Per Unit
TOTALAREASOFT. 43IJ SQ FT PER FLR: a30 Per Unrt # OF STORIES: Per Unit
TOTAL SQ FI UNDER ROOF
ACRES DISTURBED: N/A
#oF STRUCTURES: I Per Unrt # OF FLOORS I Per Unrt
NEW IMPERVIOUS AREA: N/A
EXSr LAND DtsruRBtNG eERMtr? -[- ves {] r.ro
SO FT EXISTING IMPERVIOUS AREA: urr
CONDO OTHEf
SO FT
WATER
SEWER
SYSTEM
CFPUA
CFPUA
SIFICATION
EPARAIE PERMITS REOUIRED FOR EIECT MECH, PLBG. GAS EOUIP, PREFABS E INSERTS
PAYMENT METHOD Icesn [] cnecK (eAvABLE ro Nr-rcy !-, arvrenrcnN ExeRESS [p rucnrrsr !]] otscovER
COMMUNITY SYST
CENTRAL SEPTIC
ENI NWELL Tl ZONING USE CLAS
PmvArE sEpTlc f]_ToMMUNtry
(FOR OFFTCE USE ONLY)
SETBACKS: F:ZONE OFFICERApproval:_ City: DATE_ FLOOD
LH RH B
BFE+2ft,
N
Comment PERMIT FEE: :
II
+DISCLAIIIER: SUBfiITTING THIS APPLI CATION MEANS THAT IHE SUBMITTAL CHARGE IS NON-REFUNDAELE
a
EI{GR DESIGI{ PAOTCSSIONNT:_ffi
DE5CRIPTIoN 0F NORK : cauTets , Ttooring, Etectrical & plumbing
pRopERry usE: EoFFtcE I nesrnunnr'rr I ueRcnurLel-l eouc[f nerf]
Clsar Form Prlnl
NEt^l HANOVER COUNTY BUILDING PERMIT
aPPLrcArroN rvPE; CoMMERCIAL
P|-EASE AltSWEe ALL QUESTIOT{S ApptICASL€ TO YOUR pROl€CI
"ProJect Responsiblllty',
)xn-qrt >
atPLI-cA oN
Numbei
(offlce Use)
APPLICANT'S NAIlEi Plantation Bullding of wilmlngon, Inc.DATEI 8/30/r7
DEVELOPER:
PRO]ECT 150 5 - 104 L ttle John circle
OCCUPANT/8USINE5S NANE :
oWNER'S ADDRESS: po Box 2473
CoNTRACTOR: Plantat.ion Building corp
ADDRESS; 3t4 walnut sr. suite 200
EtlAIL ADDRESS: roEsman e plantat ionbui Ldlngcorp . con
w I ng ton
PHONE *:9r0.7d3-o?60
zIP:2840r
CITY: wilmington ST: Nc ZIP:28402
STr Nc ZIP: 28{01
PHOtilE f : 9ro. ?63.8760
. LIcENSE *| 68112
CITY: wilmington
PROJECT CONTACT PERSON: xyle H6nry . PHoNE f: 910.409.59r9
EXIST CONSTRUCTION:
(Che(l All th.t Apply)
aluralGas Line on thetrUU(ent Site? f
R ENOVATION
es trPRIN
RELOCATION
KLEREDl-_ YssJf _
GENERA! REPATRS
l--_ No lS BLoc Slf Rolocation, is th€re a N
No
NEW CONSTRUCTION:ERECT NEI,I STRUCIURE FAST TRACK SHELL
ACCESSORY STRUCTURE:
UPFIT ADD TO EXIST STRUCTURE
If UPFIT - The shell Pe.mit #:Is Elect Power on this Euilding Fi. Yes NO
....* rs THrs A cHAr{GE 0F occuPAt{cY usEl r. yEs Ji. tto '*.'.IF Yes, ,rhat xas the Prevlous Occupancy lypel _ tllhat ls the e}r oc(uparcy
IX8fi ?oesrc, PRoFEssroNAL: N/A . PH: N/A NC RE6 *:
NC REG f:
r
N/A
ENGR DESIGTI PROFESSIONAL :_ li/A
DESCRIPTION OF I^/ORK : Cablneto, S.Ioorlng, Electrlcal a plumblng
PH: N/A N
ls lood or beveraoes prepared or served in lhis slructuro?f: Y€sli- No ls The Property Located In The FroodpratnI-l_ ye{f.-
Stale Building Code and all olhe. apdicaUe SIat6
olans and soeofrcallonsNC S1116 Bldg Cod6 andtho
OWNER/CONTRACTOR: Ansela Rosenan SIGNATURE
Nore: Derndibn noiilicllons E aBbosros rcrno/61 pormat applcolion3 r.. to be subry tod uskE lhe spdjcatioo t m (0HH93768) e$o
conllin asbeslo6 q nol. You af6 r€qrt€d ro calllh. Nalional€missbn st.nderdr,or Hazardoos Ar Potroan6 (NEsHAplst (919)707.5
dBmditioo ol any lacltry o. bdtdng. Sre A6boslos !l/ob Slte: h(pif$/ww.opi.sbto.nc.uyepr/asD6slos/6imp,blmt
TOTAL PROJECT COST: $e, soo BUILDING HEIGHT: N/A f OF UNITS: Par Unir
TOTAL AREA SO FT: {30 SQ FT PER FLR: 4.,0 PE! Unit # OF STORIES| Per Unit
NoDISCLAIMER: l har€by certly lhal o tn,o.mEron tn
and locd laws and ordtrl3ncos and ro0ula[on6, Thoor chEnos in @n(aclor of cont aclo. lnlorfttarlon "'Subjscllo Fines Up To S500.00''
lhls apd,caUon ls conocl ad allwo.k wrll comply wlrh ihs
NHC DovoloDm€nl S€rylc?s Cenlet wlllb6 nolilled ol onvNOIE: A^y Wo.t Pc{lom€O w/O lh6ADo.oorlale Psrmrls
TOTAL SO FT UNDER ROOF:-
ACRES DISTURBED: N/A
f OF STRUCTURES I Per Unlt # OF FLOORS L Per Unr.t
Exsr LAND DrsruRBrNo pERMrr? f,yes [] No
NEW IMPERVIOUS AREA: N/A SO FT EXIST|NG ||\4PERVIOUS AREA: N/A
PRoPERTy usE: DoFFTCE ! aesreunnr'rr ! uencnur[el-1 eouCPL APT CONOO OTHEI
N
Comment PERMIT FEE: :
oN til E THAT THE SU8I.1ITT
SQ FT
WATER:
SEWER:
SYSTEM
CFPUA
CFPUA
fI COMMUNITY SYSTEI\4 T1 WELL T1 ZONING USEfl CENTRAT- sEpllc fl pRlvArE sEplc B-CoMMUNtry
v.14.L
CLASSIFICATION
.. SEPARATE PERMITS REOUIRED FOR ELECT. MECH. P!8G. GAS EOUIP. PREFAES & INSERTS
PAYMENT METHOD flcnsn [] cuecK (PAYABLE ro NHc)l-; AMERTCAN ExpRESS n McA/rsA [i_ orscoVen
NLY}(FOR OFFTCE USE O
ZONE: O+'-' OFFICER SETBACKS: F:N(P LH--dS RH B__tqgApproval:_ City L DATE FLOOD BFE+2ft,
ARGE IS NON-REFUNDABLE*0ISCLAIMER: SUBI'IIT THIS APPL
t:i?i1nsoec nn Recurreq, 9l 0.254.!ll,
'{(k)
PROPERTY OWNER,S tlr{{E: pB}r Hotdj.nss, I,Lc
ALT ERATION
_ PHoNE S: 9r0.?53.8760
Clear Form Prlnt
Pfantation Building of 9,Iilmingon, Inc.
l5 05-2 01 L1tt1e .Iohn Circ 1e wj-Imington
PROPERTY ot{l'lER'S NAMEr pBw Holdings, LLc
OtlNER'S ADDRESS: po Box 247J CITY: wilnirgton
CONTRACTOR: plantation Buitding corp LICENSE #: 68712
ADDRESS: 3r4 walnut st. suite 200 CITY: wrtmington
EIiIAI L ADDRESS:ro6eman€ p l antationbuildingco!p . con
PRO IECT CoNTACT PERsoN: KyIe Henry
(Check AII That apply)
ilD/1€r-A3
l71E?D
llumber
(Office Use)
DATE: a/30/ 17APPLICANT'S i,IAME:
DEVELOPER:
PRO] ECT
- PHOITIE #: 910.763-8?60
ZIP | 2B4at
PHONE S: 9r0.763.8760
ST: Nc ZIP | 28402
ST: Nc ZIP; 28401
PHONE *:9r0.763.8760
PHON E #:910.409.s919
OCCUPANT/BUSII{ESS t.IAilE :
ExIsT col{srRucTlo'/: f} ALrERArIolrl E RENova
lf R€location, is there a Natural Gas Line on thecurrent site
RELOCATION
es
No
NEt{ co{srRt crro{: E EREcr NE}, srRt cruRE
ACCESSORY STRUCTURE:
TRACKEsHELLEUPFIT ADD TO EXIST STRUCTURE
TIOI{?f_
FAST
GENERAL REPAIRS
l- Ho rs BLDG s trPRIN KLEREDtr_ yesr-_
Is E]ect PoHer on this Buildi.ng fr- Yes f N0
*'l*rr rs rHIs A cHAr{6E 0F occUPANCy USE?r yEs l-'- m.,}r**IF Yes, what was the PFevlous Occupancy Type? _ What is the New Occupancy
If UPFIT - The Shell Permit S:
I{88'DESIGN PROFESSIOI{AL: N/A
ENGR OESIGN PROFESSIOT.IAL :_ N/A PH:
NC REG *I N/A
NC RE6 *: N/A
DESCRIPTION OF WORK: Cabinet8, Floori[g, Electrical & pludbiag
ls rood or beverag€s pr€pared or served ln this structure?f Yef tto ls the Propeny Locared tn The Ftoodptainf ye{i_
NS"*,r.", , *.0,carlity ll€l6ll rntormatlon ln thrs applicalion is @fiEclalld atl work witl comply with lhe Stare Euilding Code and a[ orher appticaUe Stateand local latws end ordi
Sub|ecrlo
narr€s a.|d regulatms Th€ NHC Dsvglooment Servic!6q @!raclo. inlormalDr "'NOTE Anywod Perlo.meds500 00-'
Csnler w|ll be notilied
W/O lhe Appr@riare
ofa plans and soeotcarionsNC Starc BIdg Code andin conradof
Frngs Up To
OWNER/CONTRACTOR: Angela Roseman SIGNATURE:
(Aualli€r) (Pn Nsile)
Note: Domdtion notificalionsE asbeslos r€rnoval permh applicalionssre to be submrned using th6 apptication form (DHHS-3768)or building was lound ro
cool,6in Asbestos or no( You are requircd lo c€[ lhe Ndional Emissioo Slandads lor H6zardous Atr Pollutants (NESHAP) ar (919)707-5950 ar teasr t0 daysprior to rh€
d€mclition ol any,acility o buildin0. S€e Asb€stos Web Sile: hUpJ ^r ,ry.epi.stsl€.nc.ut€pi/asb€gos/shmp.hrmt
TOTAL PROJECT COST: $e,500 BUILDING HEIGHT: N/A #OFUN|TS: Per unit
f OF STORIES: Per unit
I Pei Unlt
ACRES DISTURBED: N/A EXST LAND DrsruRsrruc eeRurrl J- ves j- Ho
NEW IMPERVIOUS AREA: N/A SQ FT EXISTING IMPERVIOUS AREA: N/A SO FT
PROPERTY USE: IOFFTCE ! neSrlUnarut MERCANTILE EDU APT CONDO OTHET
WATER
SEWER
SYSTEM
CFPUA
CFPUA NCOMMUNITY SYSTEM T'I WELL Tl ZONING USE CLA
EICENTRAL SEPrc fJ FRlvArE SEprC SiCOurvtururrv
SSIFICATION
EPARATE PERMI]S REOUIRED FOR ELECT, MECH, PT8G. GAS EOUIP, PREFABS S INSERTS
PAYI\,,IENT METHOD I cesr l-i crecK (eAvABLE ro Nrcl [, nueRrcaN ExeRESS f] r,,rcnrrsn [] otscovER
(FOR OFFICE USE ONLY)
ZONE: OFFICERApproval:_ City: DATE_ FLOOD
N
Comment PERMIT FEE: I*DISCLAIMER: SUBMITTING THIS APPLICATION MEANS THAT THE SUBMITTAL CHARGE IS NON.REFUNDABLE
NEId HANOVER COUNTY BUILDING PERMIT
aPPLICATIaN |YPE: COiIMERCIAL
PI-EAsT ATSTER ALt QUESTIONS APPI-ICA8I-E TO YOUR PRO]ECT
"Project Responsibility,,
I
PH: N/A
TOTALAREASQ FT: A.JO SQFTPERFLR: 430 PeT Unit
rorAL se Fr UNDER-R-66F1- # oF srRUCruRE-i;;r unit-# OF FLOORS:
BFE+2ft,
SETBACKS: F] LH RH B
2orv-?r-b3Clsa, FoIm Prlnt
CITY: tilrnington
CITY: t{ilmington
A-PPLrcATroN
Number
(0ff1ce Use)
-DATI: 8/30/r7APPLICANT'S l.lAME: Plantatton Bullding of wilningon, Irc,
DEVELOPER:
PRO]ECT ADDRE55;1505-2 01 Littl,e ,rohn circle
OCCUPANT/BUSINESS I,IAME :
PROPERTY OWNER'S NAI1E; pBr,{ o1dins6, rJr,c
OWNER' S AoDRESS: pO Box 2473
-PHoN! *:910.?63-8760
ZIPr 28401
CONTRACToR I planration auilding corp
ADDRESS: 314 watnut st. Suire 200 - CITYr witnington
LICENSE S: 68712
PHoNE fl: 9r.0,763.ar60
5T: Nc ZIP: 2o4o l
PHoNE f:9r0.?63.8760
. PHoNE {:9r0.a09.s919PROIECT CoNTACT PERSOI'I: xtte Henry
(check All'Ihat apply)
EXISI CoNSTRUCTI0N: E
lf Relocation, ls there a Nalura
ALTERATIOI/
lGas LIne on lhe
T-.I REIiIOVATIoN r.7 GENERAL REPAIRS T-.I
urrenr srre? ;-r E1 rc ,s"locspH,
No
T.IEt,ll CONSTRUCTION:tr ERECT ?rEN STRUCTURE n FA5T rRACK f]
RELOCATION
KLEREDtr_ yeslf_
sHELr D uprrr n ADD T0 ExrsT srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shel.l Permlt +:Is Elect Power on this Bullding lf. Yes f. NO
*.*r. rs rHrs a oIANGE 0F occuPAr{cy usErr yEs Ji' No .*.rr
IF Yes, what l.]as the Prevlous Occupancy Type? _ Hhat ts th! NeH Occupancy
TvDe?ARTH DESIGN PROFESSIONAL: N/A NC RE6 Si N/A
ENGR OESI6N PROFESSIONAL :. N/A PH i N/A NC REG #: N/A
DESCRIPTION OF WORK: CaUiiEIll-iloorLns. Elecrrical & prunbing
(O!.rli.4 (PiflN.n1o)
NoGr Oernolilion nourrcslions 3 ast.slor rcrnov6l po.dir ,pplicauon! sr. ro bo gubmitld usiog th6 spplication lo(m tDHHs-3768)
WATER:
SEWERI
SYSTEM
CFPUA
CFPUA
"'sE
COMMUNITY SYSIEIII N WELL N ZONING USE CLASS
cENTRAL SEPTTC fl PR1VATE SEpTtC B-COirMUNtTy
contain Asbdslc or noL You ale requirod lo ctl h€ NstionBl Emi6slo.r Slsn&rd6lor Hsrardous Ar Po{ura.ts (NESHAP) or (91!)707-5950 r.a$ lO dsys prior lo tho
dernolilio( oI sny l8cility o. b$lldng. Ss6 Asb69os Web Sile: h(p//v/**.epi.stab.nc.us/opi/a6bsslo6/shmp.hht
TOTAL PROJECT COST: 9e r 500
TOTAL AREA So FT , qJo-BUILDING HEIGHT: N/A
SO FT PER FLR: 4J0 Per urlt
OWNER/CONTRACTOR: Ansela Roseman SIGNATURE:
PA'TAIE PERMITS REOUIREO FOR EIECT. MECH. PI-BO. GAS EOUIP, PBEFAAS 8 JNSERTS
Tho FloodptainT:_ Ye{f _
Code and all orher apdicable Slare
olons and ioecificalonsNC Slal8 Bldg Cods and
orbuildlng was lound ro
SO FT
IFICATION
g OF UNtTSi per Unlt
TOTAL SO FT UNDER ROOF # OF STRUCTURES: I Per unit
ACRES DISTURBED: N/A Exsr LAND D'sruRerruc cenl,rrtr f vrs J-. r.ro
NEW IMPERVIOUS AREA: N/A SO FT EXISTING IMPERVIOLJS AREA: N/A
PROPERTY USE noFFrcE fl nesrauner.rr !MERCANTILE EDU APT CONDO OTHEI
PAYMENT MEIHOD [: cASH CHECK (eAvABLE ro NHc) f.- nruenrcnx exeRESS fj McNtsA []! orscoven
(FOR OFFICE USE ONLY)
zONE: O+f-, oFFICER SETBAoKS: F. N I A LH (vA- RHAIA-B_VJAApproval:_ Ci fn DATE FLOOD x BFE+2ft,.AV
comment-_ _ 1y!2 341?qrt, O 4 Ot d<tnqz - i n -ut(N
. PERMIT FEE: :*DISCLAITl
[)!lv Insoecllon Relureo, 91 0-254,-!!]l
IS NON- REFUNOABL E
NEW HANOVER COUNTY BUILDING PERMIT
APPL ICATIqN ITPE j COI4MERCIAL
PLEASE A SllEi Au. QUESIIoIS ApptICAS!€ T0 YOUB P8o]ECT
"ProJect Responslblllty',
EI'TATLADD@
ST: Nc ZIP i 20402
. PHi N/A
g OF STORIES: Per unit
, OF FLOORS: T-fe7t fr!E--
1
Clear Form Prinl
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: COIrlltlERC IAL
PL€AsE AIISI{ER ATL QUESTIOIIS APPLICABLE TO YOUR PRO]ECT
"Project Responsibllity"
Plantation Building of Wifmingon, Inc,
1505-2 0 2 L ttle John circ le wj.lmington
OI{NERJ S ADDRESS; po Box 24?3 CITY: wilmington
CONTRACTOR: plantation Building Corp LICENSE f: 68712
ADDR ESS : 314 Walnut St. Suite 200 CIfY: wilniogron
EtIAIL ADDRESS: ros eman € plantat ionbu ildingcorp . eom
PRO]ECT CONTAC : KYIe Henry
>anafl"7
/zagg 2or',
APPLICITIOI{ -
Number
(office Use)
APPLTCANT'S NAiIE:
DEVE LOPER:
DATE: B/30/11
PRO]ECT A
PHoNE ;; 910.?63-8760
zlP| 2840r
occupaNT/EuslilEss NAiIE :
PHo E S: 910.763.8760
ST: NC ZIP2 28 402
STi Nc ZfP: 284or
PHoNE #:9r0.783.8760
PHONE #:910.409.se19
(Che.k all That apply)
EXIST CONSTRUCTION:ALTE RATION RENOVATION GENERAL REPAIRS RELOCATION
IS BLDG S trPRIN KLEREDtr Yesl-r -
UPF IT ADD TO EXIST STRUCTURE
lf Relocation, is there a Natural Gas Line on the urrent Site?r e5 l-: tro
ERECT NElr/ STRUCTURE FAST TRACI(!SHEL L
If UPFIT - The Shell Permit f:Is Elect Power on this Building J-r Yes |-.No*t.** rs rHrs A cHAriGE 0F occupANcy usE?r yEs li- ao **+.*
IF Yes, hrhat hras the Previous Oc(upancy Type? _ l{hat ls the Ner Occupancy
II8fi 'rrtrun PnoFEssroilal: N,/A _ PH: N/A NC REG *: N/A
DESCRIPTION OF WOR K: Cabitrets, Flooring, Etectrical & plumbing
ls rood or beverages preparod or sorved in this structure?l- Vefr_ ruo ls The Property Locatsd tn The Ftoodptainf- vefr-
H8"^ra", , ,rr"O, .rnity thet dt intormarion n ais apdica[on rs correct and alt tvgrt wlt coriply wilh the State Building Code and allother apdicable Slaleand loc€l Iarrs ard cralrnances and regulatons Thg NHC O€v€toome S€rvicDsin conraclor or contado( lntormafion. "'lloTE. Any work PerlormsdFrnos L.Jp To 1500 00"'
Canler r|ill bo notfied ol envw/O the ApDr@fiato Permrlschangos in the approvedwill be in VGlarion ol rhe
OWNER/CONTRACTOR: Aneela Roseman SIGNATURE
(Ou.lill€r)
Nole: Dqndition notilication
(Pnnt Nri'e)
s E asbestos rernoval prmit appticalions are lo be submitted usino the application ftrm (DHHS-3768) wtl
Subledlo
TOTAL AREA SQ FT : l:ro
TOTAL SQ FT UNDER ROOF
Olans and soeolicatonsNC Srare BIdg Cods and
or building w.s louod ro
Air Pollutanrs (NESHAP) al (919)707-5950 6t t€ast l0 days prior lo rhe
# OF UNITS: Per unit
SO FT PER FLR: 430 Per u!,it HOF STORIES: Per unit
F STRUCTURES: I per Unrt # OF FLOORS : L Pe! Unit
SQ FT
SSIFICATION
contain Asbsstos or not. You 6re required to catllhe Nationat
dernolltion of any facjlity or buildin9. 5€6 Asbestos Web Sle:
TOTAL PROJECT COST: $e, s00
Emission Standards lor Hazardous
httpj xl^rrl.epi.srale nc us/epi/asb€
BUILDING HEIGHT: N/A
: #O
ACRES DISTURBED: N/A EXST LAND Drsrunetnc eenutrr _li ves J-r 1,ro
NEW IMPERVIOUS AREA: N/A SO FT EXISTING IMPERVIOUS AREA: N/A
PROPERTY USE: EOFFTCE ! neSreunam MERCANTILE EDUC APT CONDO OTHEI
WATER
SEWER
SYSTEM
CFPUA
CFPUA
f-lwELL T-l zoNtNG usE cLAFnlvnte septrc 3Tor,luuurrv
COMMUNITY SYSTEM
CENTRAL SEPTIC
EPARAlE PERMITS REOUIREO FOR ELECT. MECH. PLBG, GAS EQUIP, PREEABS & INSERTS
PAYMENT METHOD: r CASH f-l CnrCX lenveaLE To NHc
(FOR OFFTCE USE
) nAMERTCAN EXPRESS f, r'rrcnrrsn [l otscovER
ONLY)
ZONE: OFFICER SETBACKS: F LH RH BApproval:_ City: DATE_ FLOOD BFE+2ft,
Comment N
PERMIT FEE: J*DISCLAIMER : SUBMITiING THIS APPLICATION MEANS THAT IHE SUEIT1ITTAL CHARGE IS NON - REFUNDABL E
a
PROPERTY ohlNER'S A E: pBw Hordin96, Lr,c
No
NEW CONSTRUCTION: E
ACCESSORY STRUCTURE:
ENGR DESIGiI PROFESSIOi/AL:-ffi PH:TT_Za-- NC REG *:T7E-
2on-ra7ClearForm I Prlnt
NEW HANOVER COUNTY BUILDING PERMIT
APPLICaTI0N rrPE; Co!4l,lERCIAL
PLEASE AI{SWER Art QUtStIOl,tS APPLICABLE T0 yoUB pROIECT
"Project Responslblllty,'
DEVE LOPER;
PRO] ECT ADD
- PHoNE $:910,763-8?60
RESS:1505-202 Lltt).e John Circle CITY: Ellnington ZIPr 28401
OCCUPANT/BUSINESS N,lnlE:
PRoPERTY ot{NER'S NAME: pBl,ll Hordings, Lrrc - PHoNE ,: 910. ?53,s?60
OWNER'5 ADoRESST po Box 2473 CITY: t{ilmington
CONT;IACToR: Plantation Bulldlng Corp LICENSE fi: 687T2
ADoRESST 3r4 walnua si. suite zOo CITY: wilmlngton ST: Nc zfp: 2saor
PHONE $:
PRO]ECT CONTACT PERSON:Kyle flenry PHoNE S:9r0.409,se19
(Chec\ Al) rh.t Apply)
EXIST CONSTRUCTION:AI.TERATION E RENOVATION GENERAL REPAIRS RELOCATION
lf Relocation, is thsre I Nalural Gas Lino on lhe rent Site? f-I]-t'ro IS BLDG SffiKLERED'4-_ Y6sl-r_es
AppLICANT'S NAME: Plantation Building of wilmingon, rnc,-OAIEi 8/30 /t1
n EREcr r,rEr,l srRUcruRE E FAsr rRAcK SHELL UPFIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
NoNEhl COi'ISTRUCTION r
rllll
Is Elect Power on thls Buildlng Ji. Yes f. NO
'.rr. rs THrs A C8AI6E 0F OCCUPAfiCY USCIr. YES li. riO r*'..
IF Yes, what was the Prevlous occupahcy Typel _ l.lhat ls the NeE occupancy
trtrtfi?orsrcu PRorEsstoNAL r N,/A
If UPFIT - The SheU Permit #:
DESCRIPTION 0F t^tORK: ciE-ineta, rtooringr ElectrLcat r pluibtng
PH:N/A NC REG fI N/A
NC REG f: N/APH:N/A
ls food or beverages preparod or sorvod in
NoDISCLAIMER ihorEby cer(ly rhol ollnlormatlon |n
ond locrl laws onc, ordinancss and rogulalons Thoor chonoo in cmlroclor or conlraator Inlormation "'Subledlo Flnos Up To t500.00"'
thls slructure?f. Yesli- tto ts the Property Locatsd tn The Ftoodptainf_ yedi
lhis oppllcauon.s correcl and Erlwolk wllcrmplyw h tho Srato Burld,rE Codo and
NHC DevoloD.n€ Ssrvlcos Conlorwllbo notfod olanv chamss ln lhs soorovodNOTE' Any Wor{ Podormad WrO rhe Appropri8lo Permrls *ill 6e rn Vlola oi ol rh6
all orhe, opdlcabla Slalo
Dlans andso€.ifrca ons),lC St6l6 Blds Cods and
SIGNATURE:
(O!5li[r4 (Pnd N5D)
Notd oemolition notiftaatooa t asbastG rornovat pefinlt appticationa aro lobe s{rbmited usin9 rh€ 6pplicaion lorm {OHHS.3768) whor
conlsin Asbeslos or ool- You are requlr6d lo cslllho Ntllo$l Emisrioo Slandards lo, H.zsrdoos Alr Polutsnr6 (NESHAP) at (9lS)707-5950 6r lea, 10 d6ys prio. ro rho
demolrion ol any f3cility or building Se€ Asbe6tos Wob Sir€: hnp://w\a^x.ept.state.nc.uG/oti/ssboslogatmp.htd
rOTAL PROJECT COST: $e,5oo BUILDING HEIGHT: VA
SO FT PER FLR: 4J0 Per UnltToTALAREASoFTi 4lo
o. buiLdino was lound lo
SO FT
WATER:
SEWER:
SYSTEM
CFPUA
CFPUA
"' s
COMMUNITY SYST
CENTRAL SEPTIC
EM T'1WELL N ZONING USE CLAS
D PHIVATE sEPTrc 3?oti,ttr,tuNtrv
# OF IJNITS: Per uni.t
f OF STRUCIURES: I Per Unit
Exsr LAND DlsruRerNc eenl,,lrtt f ves J-1no
TOTAL SO FT UNDER ROOF:
ACRES DISTUBBED: N/A
NEW IMPERVIOUS AREA: N/A
EDUC APT coN
EPANAIE PERMIISREQUIRCD FOR ELECT. MECIi. PL8G, GAS EQIJIP. PREFABS S INSERIS
N
PROPERTY USE: EOFFTCE ! neSreUnar.n ! ueRCAHfluel-1 DO OTHE' _
SIFICATION
PAYMENT MEIHOD][:]cAsH HECK (PAvABLE To Nncy [] euenrceN EXeRESS f, ucnrrsn l]l orscovea
(FOR OFFICE USE ONIN
zoNE; o+i-l oFFrcER SETBACKS: F,Nf n tn ltfn.anyln aglnLApproval:_ City t, I TE q-7-17 FLooD BFE+2f\,
ACommanl IJO exp/,y\^iott\ er !.[ranc^l -)n-UJ<PERMIT FEE: I
*DrscLArMER: SuBMriTrNlS IHr ts NoN-neruNolgt-E
(:iry in$peclion llequreo, gl 0.Zi4.CIi,ll
1o
AFFtfcA-rroN
Numb€n
(offlce usc)
ST: NC ZIP: 28402
enarlaoo@ 9r0.753.€?60
EIIGR OESTGN PROrESSI0NAL I ffi
OWNER/CONTRACTOR: AneeI6 Rosema!
# OF STORIES: Pe! unl.t
# OF FLOORS: T-E -oiiE-
SO FT EXISIING IMPERVIOUS AREA: N/A
Cl€er Form Prlnt
Plantation Buildr-ng of tJilmingon, Inc.
NEW HANOVER COUNTY BUILDING PERMIT
APPLI7aTIhN ryPEr GOIiIiIERGIAL /7
PITASE ANSWER ALL QUESTIOI.IS APPLICABLE TO YOUR PRO]ECT
"Project Responsibllity"
I 2D/)4ttos-
-23? f?o3)
AFFTffii'EdN
Nunber
(O+flce Use)
DATC: A/30 / L1APPLICANT'S NAME:
DEVELOPER:
PRO] ECT I505-203 Litrte John circle
OCCUPANT/BUSINESS NAI'IE :
PROPERTY oWNER'S NAlvlE: ptsw Hofdings. r,J,c
OI^IN ER'S ADDRESS: po Box 2473
CONTRACToR: plantation Buitding corp
ADDRESS : 314 walnut St. Suite 200
EIVIAII- ADDRES5: !osemao€plantationbuildingcorp.con
ui lnington
- PHoNE #:910.?83-8760
ZIP | 2aao1
- PHoNE *: 9r0 .763 .8750
_ LICENSE *i sai 12
CfTY: witmington ST: Nc zlP | 28402
ST: Nc ZIP: 284or
PHONE *: gro.1e:.az6t
CITY: wj.ItningtoD
PRO]ECT COI'ITAC T PERSON: KyIe Henry PHOi{E *:910.409.5919
(Che.k A1l rn.t Apply)
EXIST CONSTRUCTIO{:ALTERATION
lf Relocation, is lhere a Natural Gas Lin€ on the
Tl REr{OvATrOti l7l CENERAL REpArRs T.l
t-unent Sire? J- vti;-- r.ro rs eroc sCEttl,l
R E LOCATIOI{
KLEREDr Yesl.
ERECT NEhl srRrrcruRE f] FASr TRACK E SHELL E UpFrT ADD TO EXIST STRUCTURE
If UPFIT - The Shell Permit #:Is Elect Power on this 8uildj.ng li. yes f.N0*.**. IS TI{IS A CHANGE OF occupaircy USE?r yEs J-t. ro .'.*.
IF Yes, i{hat xas the Previous Occupancy Typel _ What ls the ew Occupancy
Ix8fi?DESIGN PROFESSIOIAL: N/A . PH: N/A NC REG S: N/A
EN6R DESIGN PROFESSIONAL :_ N/A PH : N/A NC REG #; N/A
DESCRIPTION 0F WORK: ciSFnets, nlooring, Erectlical & plunbing
ls food or beverages prepared or ssrvad ln
NoDISCLAIMER. I horeby c€rdty lhat allinlormELion rn
and tDcal laws Encl ddnances aM r€Eulatms Theor chenga |n cmraclor gr contractd rilormdon ';'SubJecllo F;nss Up To $500 00"'
this structurs?f Yef, No ts ThE properly Located tn The FtoodptainT-_ yefr_
lhis apdlcalon ls coriect aM all worl wI compty with lhe State Buitding Code and altolher apdicablB State
Nffi u%"ff &?tsffi traxJi#,JF.Tir4,itr*,Brilvmf,sr## R"iE8f ;ffi8ffi [gf.
OWNER/CONTRACTOR:,Ansela Rosenan
# OF STRUCTU RES: I Per Unrt
SIGNATURE:
Ncte: Domdilion nolificauons I asbeslos remol/slp€rmit applicationsere !o be subrhi(ed using tie appticarion form (DHHs-3768)
€mtain Asbesl6 orno{. You are requted b c€llrhe Nalional Emission Srandards for Hazardd$ Ar po r.rtanls (NESHAP) ar (919)dernolition oI anyiacility or buttding. See Asbesros Web Sire: hnpr//www.epr.siate.nc_us/spi/asb€stos/ahmp.hlmt
70,r 5950 ar least 1
# OF FLOORS I Per ljnrt
B
BFE+2fl
or building was lound to
0 (bys p cr to the
SQ FT
TOTAL PROJECT COST: $e, s00 BUILDING HEIGHT: ll/A # oF UNITS: Per: Unit
TOTAL AREA SQ FT : A3O SQ FT PER FLR: 4J0 Per Unrt # OF STORIES: Per unit
TOTAL SO FT UNDER ROOF
ACRES DISTURBED: N/A EXST LAND Dtsrunaruc eenurrl J- ves J- r,ro
NEW IMPERVIOUS AREA: N/A
PROPEFTY USE: lOrrrCr !RESTAURANT MERCANTILE EDU APT CONDO OTHEI
SSIFICATIONWATER:
SEWER:
SYSTEM
CFPUA
CFPUA
"'sE
COMMUNITY SYST
CENTRAL SEPTIC
EM fI WELL T-1 ZONING USE CLA! lHvrre sepr,c B6urr,lutrry
PAYMENT METHOD J- crsn J-i cnscK (pAyABLE ro uncl f- aurnrcAN EXpRESS l-- rucnlsl f-1 otscovER
(FOR OFFICE USE ONL'
ZONE: OFFICER:SETBACKS: F LH RH
PARAIE PERMITS REQUIRED FOR ELECT, MECH, PLBG. GAS EOUIP, PREFABS & INSERIS
Approval:_ City: DATE_ FLOOO, o u _
"Comment PERMIT FEE:
'D]SCLAU4ER: 5UBI4]TTING THl S APPLICATION MEANS THAT THE SU BMITTAL CHARGE IS NON- REFUNDAB L E
No
NEW CONSTRUCTIOiI: EACCESSORY STRUCTURE:
SQ FT EXISTING IMPERVIOUS AREA: N/A
CleEr Form
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATIoN TyPg: COI{MERCIAL
PIEASI AI{SWE8 ALt QUt5IIofl5 ApptICABLE TO yOUi pROl€CT
"ProJect Responslblllty,,
ti lmington
- CITY: wilninqaon
AFF'[ItAT!.6,N
Number
(Offlce u3e)
APPLICAI'IT,5 NAME: plantation Building of wilmlngon, Inc.
DEVELOPER:
PRO]ECT A 505 -2 03 L ttle John c rcle
OCCUPANT/BUsINE5S NAME :
PROPERTY Ol,llt'lER'5 |.lr$lE: pBw Holdirgs, LLc
OWI'I ER 'S ADDRESS: po Box 2473
.oATE: 8l30 /'t't
- P80NE S: 910 .7 6 3-8 75 o
ZIP | 2840:-
CONTRACToR i plantation Buildlng Colp
ADDRESS:314 walnut St. Suite 200 - CITY; wtlrnlngron
LICE SE f; 6 8? r.2
PHONE $: 910,76t.8?60
5'I: Nc ZIP: 28402
, ST: Nc ZIP: 2g{or
PHoNE #:9t0.763,8i60
PHONE l:9r0.409.5919
E[4ATL AODRESS:
PRO'ECT CONTAC
roEellan€plantati.onbul ldingcorp. com
T PERSoN: KyIs [en!y
EXISI CoIISTRUCTIoN: T-l ALTERATIoN T-'1t_J tlIf Rel0calion, is lhere a Nalurat Gas Lrne on thecu
RENOVATION
rrenl Site? f -
tr
PR IN
R ELOCATION
KLEREDtr_ Yssli_
UPFIT ADO TO EXIST STRI'CTURE
(Ch..t AII rh.t ADrly)
es
GENENAL REPAIRS
I-_ r,ro ts BLDG sNo
NEI', CoNSTRUCTI0N:ERECT NEW STRUCTURE tr FAST TRACK SHELL
ACCESSoRY STRUCTURE !
If UPFIT - The Shell Permit fl:Is Elect Powen on thls Sulldlng fi
at{cY usEt r. YEs lr. o .,...
_ l.,hat tt the Nex Occupancy
PH: N/A NC REG #: N/A
Yes NOr*'T" IS TI{IS A CHANGE OF OCCUPIF Yes, lrhat wa5 the Pfevlous occupan(y Type,
IXEfi'orrro* Pf,oFEssroNAL i N,A
DESCRIPTIoN 0F h,oRK: ca-SGEtil-?Ioor1ng, Erectrical ! plulDins
PH :N/A NC RE6 #i N/A
OWNER/CONTRACTOR: Anseta Roaernan
ls lood or boverooes pt6pared or s6rv6d ln
NoDISCI-AlMER. I her cby c€rlty rhal a lntormatjo inaM locollows ond o.dhtancss arrd regulo ons. Thoor chanoe in conlraclor or contrEcior l-.ldma .h'..Subiecllo Frns3 up To t500 00"'
louailt9
No{o: Oemolilion nolifcauors 6 asbestos rcfiOeal
conrain Asbosros or nol. You 6rs requi,od to ca[ h
domollhn ol ony laciliry o.buldh€. Sos Arbsstos
TOTAL SO FT UNDER ROOF
ACRES DISTURBED: HIE
SIGNATURE
(ptu tl.nE)
pe.mil 4pllcatlons ro to bo subnltrsd u shg th€ spptc' on torm (OhHS-376E)wno
foFs
ihis skuclur€?f Yesli- No ts The property Locar€d ln The Ftoodptainf _ yoEf_
lhlslpptcillDn lscofloctond oltwort witlcompty w h th€ St6t'r Bu dtno Codo and s[ other aDDlcabto Ststo
N3?.9flfl",83,i"1:,?ff];33$tEllyX,?frlJs%"J,flll"*il"'""";tiXii,iffit?,igsl,is,,"l3;E"n g3t,j"J"."
e Nalional Emislioh Sr6.ldards ro. H6z6rdous Ai, potut6nl3 INESHAP) at (919)707-5950 st bssl 10 days pdor lo ttr6! /eb 6l16t hnp://w\sv.€pl_6tstg.nc.ur€pi/asb€stos/ahmp.htmt
TOTAL PROJECT COST: Se, s0o
IOTAL AREA SO FT; c:o-BUILDING HEIGHT: N/A
So m PER rLn: . rril! iJf-
q bu,lding was lound to
SO FTNEW IMPERVIOUS AREA: N/A
PRoPERTY USE: 5orrtcr I RESTAURANT
f OF UNTTS: per Unlt
f OF STORIES: Per uni.t
TRUCTURES: 1 Per Uni.t f OF FLOORS L Pe! Un:-A
Exsr rAND orsruRBtNG pERMtr? J-yes J-:ruo
SO FT EXISTING IMPERVIOUS AREA: N/A
MERCANTILE oucEL rerl-l coNoo OTHEI
WATER:
SEWER;
SYSTEM
CFPUA
CFPUA
r-] COMMUNITY SYSTEM T''I WELL
ffceNrnel seerrc f] pHlvArE sEprrc
E CLASSIFICATION
PAYMENT MEIHOD: I: CASH CHECK (eAvABLE To NHc) [-. atrenrcau exeRESs f- McA/tsA l-L orscoveR
(FOR OFFTCE USE ONLn
zoNE: O+i-l oFFApproval:_ C
SETBACKS: F:AI IE YY1 I'I IO AH/,,]A B NI4
TE q.7.t7 FLOOD:______X_ BFE+2f1,AVNCommenla1f PERN4IT FEE: :
TION IiIEANS THA THE SUBH]TTAI C
EPARATE PERMIIS REOUIRED FOR €IECT, MECH. PIBG, GAS EOUIP, PREFAAS & INSFRTS
ICER
*DISCLAIIlER : SIJBMITTIN TH S APPL
Ciry rnspecrion REulreo, gl 0.1i4.0i3)
E IS NON.REFUNDAELE
w
ENGR OESIGii PNOFTSSTONNL :.ffi
funqazb
/teE?F(zoV)aFELItlrIo ,-'z
APPLICANT'S NAI4E:
DEVELOPER:
Clea. Form
NEW HANOVER COUNTY BUILDING PERI'IIT
APPLI6ArI0N IYPE; COIIIIERCIAL
PLEASE AI{SWER ALL QUESIIOI,IS APPLICABLE TO YOUR PRO]ECT
"ProJect Responsibility"
Plantatj.on Building of Wj.lningon, Inc.
1s05-204 Lt tt eJo nCf rc le liilm'i ngton
PROPERTY OWNER,S NAME: PBti Holdings, LLc
OhINER,,S ADDRESS: pO eox 2473 CITY: w.il.n.in9ton
COI{TRACTOR: plantation Bu.irding colp LICENSE #; 6B?].2
ADoRESS: 3I4 walnut st. suite 200 CITY: wilnington
PROIECT CONTACT PERSoi{: kyle Henry
PROJ ECT
PHONE #: 9r0.763-8760
ZIPi 284a \
OCCUPANT/8USINE5S TJAME :
PHONE #: 910.?63.8750
St: r.rc ZIP:: sa o 2
STi Nc ZIP: 2840I
PHoNE A:910.?63.8760
PHOl,lE *: 910 -d09.5919
(Che(k alI That Apply)
EXIST CONSTRUCTION:ALTERATIOI{R ENOVAT ION
l, R€location. is there a Natural Gas Line on the urrenl Site?r.es trPRIN KLEREDtr_ YesJi
R E LOCATIO{GENERAL R EPAIRS
I-_ r.ro ls BLDG s
No
NEW CONSTRUCTION;
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit $:Is Elect Power on this Building l-'_ Yes f NO
..r** 15 THrs A cHAttGE OF OCCUPAT{CY USE}r YES li ilO "..'IF Yes, uhat Has the Previous Occupancy Type? _ What is the [ew Occupancy
IX8fi?o.srcn PRoFEssrotial i N/A NC REG *: N/A
ENGR DESI6N PROFESSIONAL :- N/A NC REG *: N/A
DESfRIPTION OF hJORK: Cabinets, Flooring, Electrical & Plurnbing
ls rood or beverages prepared or served in this structur€?f_ yefr_ ruo ls The Property Located ln The Floodplainf-_ Ve{-_
PH
PH
N/A
N
NoDISCLAIMER I herebry certfy hal all rnlornation in
and local lart/3 and ordinanc?s and reoulatons. The
oa chano€ rn conuaclor or aonlraclor lnlormation. "'SubJecllo F'n6 Up To 3500 00"'
WATER:
SEWER:
SYSTEM
CFPUA
CFPUA
OWNER/CONTRACTOR: AnseIa Rosenan SIGNATURE
(Oll8lire.) (P,inlN!me)
Notei Osmolilion notitications E asbostosr€mov8l psrmil applicarions ars ro b€ submited using t'le applicalron rorm (DHHS 37
this application is clrrecl and all wo.k will comply with Ihe Stato Building Code and all oher apdicabte Sl,ateNHC Dgvelolrnenl Sorvrces Cenl€r wll be nol r6d ol anv chano€s rn llE aoDroved olans and sD€cifcahonsNOTE. Any Wo,k Perlormed WO lhe Approp{€le Permrls wll6e rn Vidatrdi ol lheNC Slate Bldg Code a;d
COMMUNITY SYSTEI\,4
CENTRAL SEPTIC R WELL
VATE SEPTIC
T-'I ZONING U
a?ouvururrv
facility or buiding was found to
contain Asbeslos or not You are r€quired to call lhe N.taonal Emission Srandards lor Hazardous Ar Pollutants (NESH AP) al (919)70 7-5950 al teast I0 days prior lo the
demdillon ot any tacilily or buildino. See Asbe9o6 Web Siite: http://M €pi.state nc us/efi/asbestos/ahmp.hlmt
TOTAL PROJECT COST: S9,5OO BUILDING HEIGHI. N/A #OFUNITS: Per Unit
TOTAL AREA SO FT . 43n SO FT PER FLR: 4.t0 Per Unrt # OF STORIES: Pe! Unit
TOTAL SQ FT UNDER ROOF g OF STRUCTURES: I PEr UNit #oF FLOORS; 1 Per Unif
ACRES DISTURBED; N/A EXST LAND DTSTURsI,{O peRi,,trrZ rVeS J- r.rO
NEW IMPERVIOUS AREA: N/A SQ FT EXISTING IMPERVIOUS AREA: N/A SO FT
PROPERTY USE CONDO OTHEI
...S:PARATE PERMITS REOUIREO FOR ELECT, MECH, PL8G, GAS EOUIP, PREFAES E INSERTS
SE CLASSIFICATION
LHRHB
BFE+2ft,
N
PAYMENT lilETHOD f cASH fl cHEcK (eAvABLE To NHc) f- AMERIcAN EXeRESs t-- ucrursn l-l_ otscovER
(FOR OFFICE USE ONLY]
ZONE: OFFICER SETBACKS: F
Approval:_ City:__ DATE_ FLOOD
Comment PERMIT FEE: :
za
*DISCLAIMER: SUBMITTING THIS APPL ICATION MEANS THAT THE SUBMITTAL CHARGE IS NON-REFUNDABLE
Prlnt
Number
(Office Use)
DATE: B/30/17
rmrlaoo@
EREcr NEh srRUcruRE E FAsr rRAcx n sHErL E uprrr E ADD T0 Exrsr srRUcruRE
.Sll
floFFrcE !nesreunru.rr f| n,rencntrrlrl-1 eouc@ eerf]
Clos Form Prlnt
NEW HANOVER COUNTY BUILDING PERMIT
APPL ICAI IoN IYPE; CoI'IMERCIAL
PIEASI AIsTEN ALT OUTSIIONs APPLICASTT TO YOUS PRO]ECT
"Project Responsiblllty"
Plantation Building of Wilninqon, rnc.
AFFIIEAT_ION
Number
(Offl(c use)
APPLICAT.IT'S NAI4E:
DEV E LOPER:
DATE: 8/30/l',t
PRO]ECT AD0RE55: 1505-20{ Litt.Ie John CilcI6 CIIY: {ilmington
PHoNE s:9r0.763-8?60
ZIP:2o4or
PROPERTY oWNER'S NAME: pBl.] Holdlngs, LLc
OI.INER'S ADDRESS: po Box 24?3
CONTRACToR: plantation Buirding corp
ADDRESS: 314 eJalnut st. suite 200
ElttAlL ADDRESS: roser6n e plantationbui Id Ingcorp. con
I : !iilnington ST: Nc ZIP:28402
5Tr Nc ZIP:2840r
PHoNE f:9r0.?51.8760
PHoNE fi | 910 .409 . s9 19
LICENSE fi; 68?12
CITY: wilrnington
PRoIECT CONIACT pERSoN: KyLe fienry
(Chect ^ll rhat Aoply)
EXIST CONSTRUCTION:ALTERATION RELOCATION
lf Relocalion, is thers a Nalural Gas Lins on tho KLEREDtr_ Yesli_
No
NEW CONSTRUCTION:EREcr NEr,r sTRUcruRE E FASI rRAcK f] sHEr.L f] upFrr ADO TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
- RENovATToN ra cE ERAL REPATRS l-l
Tfrranr Sito? l-- viTl-- No tS BLDG SPHIft
Is Elect Power on this Building li. Yes f N0
r.t.* rs rHrs a CHANGE oF occupai/cy usElr YEs fi1IF Yes, lrhat uras the Prevlou! occuparcy Typel - tlhat ls the NeE 0ccupancy
l{8F'oesrcl PRor EssroNAL i N/A
If UPFIT - The Shell Permit fl:
ENGR OESI6N PROFESSIO NAL I- N/A
rNPH
PH N
NC NEG #I N/A
NC REG B iT/E
ls food or beveragos prepared or serv€d in thls structure?f- Y€f- No ls The Propedy Located ln The Floodplainf _ Ye{i-
NBCUtuen: trcr"Uy c"rlir that all inromalion In thls appllcalon is corect and allwoft rvill cornply wilh (he slals Euilding Cods and alt olhff applicable srato
and locsll6ws and ordlnoncos and requlations, Ths NHC Doveloooent S6Nices Contsrwlllb€ nolllisd o, anv chanoss in lhe BoDlovtd Dlansoncl soocificallor$
or chsnos ln conuador oI @nraclo. lhlormalion. "'NoTE:anyworx Porlo.med wr'o lhe Apprcprlote Pgrmrls willEo ln vidalldn ol rhe Nc s1316 Eldg cods and
:tri:ffi;'#Xi'Jio*,*,u,u *o"u.un srcrunrune:(l-@a---1-
{Ou.fir.4 {P'lnr r{. )
Noi6; D€mdllon nolific8lion! t asboslos r€moval pemil applcalions ars lo bo $turined osh0 lne apdi.llir. torm
coi(ain Alb€stor s not You rr€ roqulrd ro call rhe Nalionol Emittion stao6.ds lof H!.6.doU3 Ar Pol[tanls (NEs
demollion ot any raolily or buildlng Se. Asbaslos Wrb Sll6i hlp //wM/y/.3pi. slrls.nc us/epl/a6b€3lo3r6hmp. hltnl
-7 1
(onns.rrgdluourrdtd'ry or burdhg was round ro
HAP).t(919)707-5950atleasl I0O.yspriortolh€
TOIAL PROJECT COST: Se,50 0 BUILDING HEIGHI: N/A
SQ FT PER FLR: {J0 Per unltTOTALAREASOFT. 4]U
TOTAL SO FT UNDER ROOF
ACRES DISIURBED: N/A
NEW IMPERVIOUS AREA: N/A
PROPERry USE EoFFrcE I nesTAunnr'rr !MERCANTILE
# oF UNITS: Pe! unib
d OF STORIES: Per IJnit
# OF STRUCTURES: I Per UniI # OF FLOORS: I Pat UnIt
EXSr LAND DTSTURBTNG PERMTT? j:YES l- NO
SO FT EXISTING IMPERVIOUS AREA: N/A
APT CONDO OTHEI
E
PARAIE PERMITS REOUIREO FOR ELECI. M&CH, PLA6, GAS EOUIP, PRETABS & INSERIS
PAYMENT METHOD: J- CASH HECK (PAYABtE TO NHC)T- AMERToAN EXpREss f, McA/rsA l-' otscovEn
(FOR OFFrC€ USE ONLYI
zoNE:l)trLrLoFFrcER SETBACKS: F. il/A LH lr'/A. RH-A/L B_uA-
Approval: CltyU I Ll1 DAIE 9-r-l7 FLOOD
AVN
BFE+2tt,
Comm6nt fuo e v*,r.,s,ltm o{ aAo^q -tl-r'uJ(PERMIT FEE: :
*DISCLAIMER: SUBMITTING THIS APPLICATION MEANS THAT THE SUSI4ITIAL CHARGE IS NON.REFUNDABLE
WATER:
SEWERI
SYSTEI\,I
CFPUA
CFPUA
...S8
COMMUNIlY SYST
CENTRAL SEPTIC
EM T-I WELL T1 ZONING U
T1 FRIVATE sEPrc fl:CoMMUNrw
SE CLASSIFICATION
City lnsneclron Reoureo, 9l 0'254'0t:l
2tn_rbp
OCCUPANT/BUSINESS NAME:
PHoNE f: 910.763.8750
0EScRIPTION 0F llOR(l ca-EinElil-Tlooring, Elocrrtcal I p1utrDing
Print
NE[,'I HANOVER COUNTY BUILDING PERMIT
APPLICATI(N TYPE; COIiIII1ERCIAL
PTEASE AI.ISWER ALL QUISTIOIIS APPLICABTE TO YOUR PRO]ECT
"Project Responsibillty"
Plantation Building of wilningon, rnc.
1507-101 Little John Circle 9{i lrnington
PROPERTY o|{NER'S NAi4E: pBw rroldinss, LLc
Oh,NER,S ADDRESS: po Box 24?3 CITY: lJilnington
CO TRACTOR: prantation Buj.lding colp
ADDRESS: 3I4 walnut st. Suite 200 CITY: wilmj.ngton
EI.TIAIL ADDRESS: ros enan€ p Iantat ionbuitdingcorp . com
PROJECT CONTACI PERSON: KY1e Henry
2o2<ct +
t12-81?0"D
AmfftlTl-dir
Number
(Office Use)
APPLICANT'S NAME:
DEVELOPER:
oATE: a/30/17
PRO]ECT A
PHONE *: 910.?63-8?60
ZIP:28d01
OCCUPANT/BUSII{EsS I,IAME :
PHONE f: 910 , ? 63 , 876 o
ST: Nc ZIP: 28aot
ST: Nc ZIP: 28401
PHSIE S:910.?63.8760
PHoNE *:910.409.5919
EXIST CONSTRI}CTIOI,I :
l, Relocation, is lhere a Na E aLrERATrOr,r
turalGas Line on the
(Check all rhat apply)
RENOVATIolI GENERAL REPAIRS
l-- r,lo rs BLDG str^KLEREDtr Yesl-_
R E LOCAT IO{
UPFIT ADD TO EXIST STRTrcTURE
urrent Sile?r
NoNElll CONSTRI.,CTION:ERECT NEN STRUCTURE FAST TRACK SHELL
ACCESSORY STRUCTURE:
Is Elect PoHer on this Building li Yes f N0
....' rs Tllls A cHAlaGE 0F occupAr{cy usEt r. yEs f-!. rro .."..
IF Yes, what rras the Previous Occupancy Type? _ what is the ilee Occupancy
I[8fi?ortron PR.FEssroNAL: N/A NC REG #: N/A
DESCRIPTION 0F l,lORK: Cabinets, F1ooring, Elect!ical & plumbing
ls food or beverages prepared or served in lhis structurs?f- Yef_ No ls The Property Located ln Th€ Floodplainf--_ ve{-
N8"*ra^, , *"O, "rn fy thal .i irfomarion rn th,s apoicaton 16 coflscl and aI u,orl( wilt cqhdy rvith the Stalo au ding Cod€ and a olher apdicabte SlateaM local laws ard ordinancas arld roOulatons The
or chanoe in cmlra(lo. or conuactor tnroamaton "'Subiedlo Fines UP To 5500 00"'
NHC o€velopmenl Servlc6s Csnl€r wtll bo noufiGd ol anv chanoos In tho aDorovod Dlans aod sD€cifica rnsNOTE Any Wo.k Pertqmed w/O the Apfrotr'ate Permrls wll 5e 'n Vlolatloir ol rhe NC State gldg Co(b and
OWNER/CONTRACTOR: Angela Roseman S IG NATURE:
{Ouarifer) tPnd N.nE)
Not€: O€rnditjon nolilicalions E asbaslos ,€rnoval p€rmit applicalims arc to b6 subhitod urlng tl6 applicalion lorm (DHHS-3769)or buildng wes lound to
conrain Asbstos or not. You are required lo call$e Nalional Emisston Slandarcls lor Hazardous Ar Pollubnts {NESHAP) ar (919)707-5950 a1 teasr 10 days pnor to the
d€mdilion of any facilily or building S6s Asbestoc W€b Silei htlp://\Nww €pi.6tat€ nc us/6pi/66b€stos/ahmp html
TOTAL PROJECT COST: $e,s00 BUILDING HEIGHT: N/A #OFUNITS: Per unrt
# OF STORIES: Per unit
# OF FLOORS. I Per UnIf
ACRES DISTURBED: N/A Exsr LAND DrsruRerxc peR[4rre J: ves f- r.ro
NEW IMPERVIOUS AREA: N/A SQ FT EXISTING IMPERVIOUSAREA: N/A SQ FT
CONDO OTHEI
CFPUA
CFPUA
WATER
SEWER
SYSTEM
COMMUNITY SYST
CENTRAL SEPTIC
T-I WELL T-I ZONING USE CLASSHvere seprrc rriColanluNrryL-I
E I\'IFICATION
.. SEPARAIE PERM TS REOUIRED FOR ELECT, MECH. PLAG, GAS EQUIP, PREFAES & INSERTS
ZONE: OFFICER SETBACKS: F_ LH_ RH_, B_
Approval:_ City: DATE_ FLOOO,______A
u
BFE+2ft,_
N
_ PERMIT FEE: IComment
Ir
*DISCLAIMER: SUEMITTING TH]s APPLICATION MEANS THAT THE SUBMITTAL CHARGE IS NON-REFUNDABLE
cbrFom I rkll
LICENSE fl: 68712
If UPFIT - The Shell Permit #:
. PH:N/A
ENGR DESIGI{ PROFESSIOITIL:-ffi Px:rI_7I- NC REG #:T/I-
TOTALAREASQFT' 430 SQFTPERFLR: 410 Per unlt
rorAl se Fr UNDEnEooFJ- r oF srRUcruRES:l-;;-;;I-
pRoPERTY USE: nOFFrcE f] nesreunnNr ! ueRcmrr[el-l roucfl eer[
PAYMENT METHoD: l- CASH []] cxecr leevnalE ro NHc) fi AMERTCAN ExeRess [_ ucnrrsn l-l_ orscoven
(FOR OFFICEUSE ONLY)
Cls.r Form Print r
NEhI HANOVER COUNTY BUILDING PERMIT
APPLICATI(N TTP€: COTi$IERCIAL
PIEISE ATSI'ER ALL q]ESTIOIiIS APPLICAELE IO YOUR PROJECT
"ProJect Responslbj.lity,,
!,liImin9ton
. CITY: wilnington
2oryqstzl
AFFLTE[=F-arroit
Number
(Offlcc Us.)
t1-'L?1 ?
or-F/c€/o(
APPLICAI,IT'5 MME: plantation Building of wilningon, Inc.
DEVELOPER:
PRO]ECI A : l5o7-Io1 L-ittLe John cirCre
occUPANT/BUSINESS NAt4E :
0ttJNER ,,S ADDRESS: po Box 24?3
_DATE: a/30/11
-PHONE *: 910.753-8760
ZIP:2B4ol
- PHONE *r 910.763.8?50
CONTRACToR: Plantation Building corp
ADDRESS : .314 ttalnut St- Suite 200
EiGII ADDRESS; .osenan€p lantat ionbuildingcorp , con
_ LICENSE *i 6a1tz
CITY: wilningtoo
5T: Nc ZIP | 2s402
ST: Nc ZIP: 2940l
PHONE *:910.?63,8760
PHONE #r 9ro.409 .5919PROJECT CO'ITACI PERSON;XyIe Henly
(check AIL lhat Aoply)
EXIST CONSTRUCTION
lf Relocataon, is th€re a N , Yss
No
NEW Co{STRtrcTr0 :ERECT NEI,I STRUCTURE FAST TRAC(SHELL
ACCESSORY STRUCTURE:
: T-'l ALTERATIoN f-l REi'IOVATION
att?dt Gas Line on thebJrrent Site? l-
GENERAL REPAIRS T-Il- ruo ,s eroc s"HNKLEREDtr_ yes|f_
RELOCATIOII
UPFIT AOD TO EXIST STRUCTURE
r.... IS THIS A CHAI{GE
IF Yes, rhat l,as the P.evious O<cupancy Type?
TvDelARCH DESIGI{ PROFESSIONAL: N,/A
ENGR OESIGN PROFESSIONAL - N/A
0ESCRIPTION 0F l^lOR(: cabinets, E1ooring. Electrical & plumbj.ng
or occurmrcv usrl g].
Sd-clu\g- ur"t
YEsI.No'*"'
is the Ne!, Ocaupancy
PH: N/A
m$-*rO,^,q!L,
PH: N7A
NC REG *: N/A
NC REG #: N7A
ls food or beverages prepargd or served in this struclure?f.Vef- No ls The Property Located In The Floodptainf _ ye{i_
N8". ,,r.o I hereby cediiy thal alt tntonflation rn liis apdicaron is co.red and aI glsk wil comply wilh llE slate 8uild,ng Code and a[ olt]er apCicau. Slatsard locat lsws and ordlnances and rogdatms The NHC Oevslor char{e in coitadd or con8ado. htormalion "'NoTE anySubiecllo rines Up To 5500 OO"'
m.ned Serncss Cenl6l w'llbe noufed ol anv chams rWo.k PerloflneO w/O t€ AppropnaG p€r rls Htt & jn n lhe aouoved olafis and soecifrcar'ons\/icrar,on ol rheNC Slare Blch Cod€ and
OWNER/CONTRACTOR. AnseIa Roseman SIGNATURE:
{O'qrri.o (Pdnr N.c)
Noro: oemolilion nolilicalions & asbe$os r€movel p€rml applic€rions ar6 ro be submined using rhe sppti.6tion torm (OHHS-3768)or buil([ng waslound to
co.rt .n Asteslos or not You are rcauted lo call0!e NatooalEmBsbn sranda.ds ror Ha..rcbusAr Poit,r,anrs (NESHAP)d {919)707-5950 al teast 10daFprio.lorie
dGtnolilioi ot 8ny lEcility o. buildi.g. S€e Asb€slos Web Sire| hnp://ww\r,epi.state nc us/.Pi/asbes1os/ahmp hlmr
TOTAL PROJECT COST: Se. s o0 BUILDING HEIGHT: N/A fl oF UNITS: Per: Unir
SO FT PER FLR: 4J0 Per Unit d OF STORIES: Per unit
#oF STBUCTURES: I Per uni"t f OF FLOORS. I Per Unrt
ACRES DISTURBED: N/A EXST LAND DlsTURaNc eenurrt _l- vrs l- tto
NEW I|UPERVIOUS AREA N/A SQ FT EXISIING IMPERVIOUS AREA: N/A SO FT
PROPERTY USE ffiorrrce I RESTAURANT t,teRcnnrrLefl eouc[ J aerff CONDO OTHEI
WATER:
SEWER;
SYSTEM
CFPUA
CTPUA
"' sE
E CLASSIFICATION
PARATF. P'RMITS REQ1JIREO FOR ELECT, MECH. PL8G, GAS EOUIP, PREFABS E INSERTS
PAYMENT METHOD: J- ClSn []CHeCK (PAYAELE TO NHC)
(FOR OFFTCE USE O
fi AMERIoAN EXpRESS f_ MCA/tsA l-L otscoven
NLY)
ZONE: O+f-i OFFICER:
TE
SETBACKS: F: t\lq LH d lra. RH
FLOOD:-Nrgx
B NIA
BFE+zft,Approval:_ City
x
LI
COMMUNITY SYSTEIU f-l WELL
cENTRAL sEPTrc 3 inlvnr e seerrc T'1 ZONING US
Stowrruur.rrrv
Comment
APPL ICA ION IIEANS THA
. PERMIT FEE: 1
THE BTIITTAL CHA
*)N
*OISCLAIMER:MITT:NG TH
i:ity lnsoeclion Regureo, 91 (l?544ti E I5 NON-REFUNDABLE
pROPERTY OdNER'S NAfiE: pBw noldings, LLc
If UPFII - The SheLl Permit *:Is Elect Polrer on this Building lf. Yes f-: No
TOTALAREASQFT: 430
TOTAL SQ FT UNDER ROOF:
NEI{ HANOVER COUNTY BUILDING PERI{IT
aPPLICATIott TYPE: COIIIIIERCIAL
PLE'SE ATSI.JER AIL QUFSTIOI{S APPLICASLE TO YOUR PRO]ECT
"Project Responsibility"
Plantation Buildiag of w.ilmingon, Inc.
150 7-102 f.ittle John circ 1e wi.ngton
PRoPERTY ot'INER'S NAME: pBw Holdings, Lr,c
O!,,|NER'S ADDRESS: po Box 24?3
CoNTRACTOR: ptantation Building corp LICENSE t: 68712
ADDRESS: 314 walnut sT. suite zoo CITY: wilningron
EIIAIL ADDRESS : ro6enan€plantationbui ldingcorp. com
PRO]ECT CONIACI PERsON: RYle Henly
((heck Alr rhat Apply)
)o/1€db7
n-28q?Qoz)aFFIifATllf{
I{umber
(office ure)
APPLICAT{T'S NA}IE:
DEVELOPER:
DAT€: a/30/t'I
PRO] ECT
PHOI{E S: 910.?63-8760
Z.lP: 294ot
OCCUPANT/BUSINESS iJAI'1E :
- PHoNE S: 9r0 . ?63 . s760
ST: Nc ZIP: rBao2
ST: Nc ZIP: 28401
PHONE #:910.763.8760
PHONE #:910-409.5919
EXIST COt{sTRt CTIo : E ALTERATTO
lf Ralocation, is there a Natural Gas Line on the rRENOVATION
urrent Site?es TNo IS BLDG S trPRIN KLEREDtr Yesl-_
GENERAL REPAIRS RE LOCAT IO{
FAST TRACK SHELL UPFIT ADD TO EXIST STRI,'CTURE
NoilE}, col{sTRUcTIoltl: Ll ERECT NEl.l STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #:
ITEfi?OESIGN PROFESSIONAL: N/A
**r*r rs THrs A cHAitGE oF occupaNcy usE?r yEs Ji'. M,
IF Yes, what l,as the Prevlous Occupancy Type? _ What is the Neu
Is Elect Powen on this Buildint li'. Yes f NO
Occupancy
PH: N/A NC RE6 }: N/A
DESCRIPTION OF I^JORK: c56Inets, rtooring, Blectrical E pl.umbing
ls lood or beverages prepared or served in this structure?f- Yefr tto ls The Property Located ln The Floodplainf_ Yefr
$8",-^rU^, , ,-"0, a"rtfy lhat all lnrormaton in riis apfli{xtjon ls corect and alt work wil comply wrrh the State Building Code and a othq apptrcabte Slaleand local layYs ahd ordinances and r€gdatons The NHC Develoomenl Servrcssor chang€ in conlraclor or confacbr ihtormation. -NOTE Any Wort PertormedSubjecl lo Fin.s Up To S5!0 00"'
ol any ctlanqes in the approvod dans and sltecificaxonsPernits w & in Violarion ot tle NC SEre Eldg Code;ndCenler will be nolrliedWO lhe ApproFiate
OWNER/CONTRACTOR: Ansela Rosenan SIGNATURE(O'x*rrd (P,i.r N.rr)
Nole: Demdilron nolificatbns E asbegos rernovd permit apdicatjons are lo be $bmitied ushg rhe applicalDn lorm (OHHS,3768)vrtr or bu dng w6s lound to
co.tlain Asbeslos or nol You are required to c€ ll the Natjooal Em6sion Slandards lor H azarcbus A r Polk lanls (N ESHAP) at {919)707,5950 at tea l0 dsys prior ro lhe
derndiricrn ol any faciliry or building See Asbestos Web Sne: hnp:/ ru../ epi.srare.nc.us/epi/asbe$oydrmp.htmt
TOTAL PROJECT COST: $e,s00 BU|LD|NG HETGHT: N/A #OF UNTTS: per unir
TOTALAREASOFT.4JO SO FT PER FLR: 4-i0 Pei unrt # OF STORIES: Per unit
IOTAL SQ FT UNDER ROOF # OF STRUCTURES: I Per uDrt # OF FLOORS I Per Ljnlt
ACRES DISTURBED: N/A EXST LAND Drsrunarruc erRurrz f ves J_a ruo
NEW IMPERVIOUS AREA: N/A SQ FT EXISTING IIMPERVIOUS AREA: N/A SQ FT
PROPERTY USE; IOFF|CE ! nesreunlNr IVlERCANTILE EDU APT CONDO OTHEI
WATER
SEWER
SYSTEM
CFPUA
CFPUA
COMMUNITYSYSTEM TJ WELL fI ZONING USE CLASS
CENTRAL sEpTtc fl t RlvArE sEpnc [ToMMUNrry
IFICATION
EPARATE PERMITS REQUIRED FOR ELECT. MECH, PLBG, GAS EOUIP. PREFABS S INSERTS
PAYMENT r\rErHoo: ll oASH f] cnecr leevaare IBJjUtG*.RrcAN EXPRESS f-! rucrursa !ll_ orscovER
ZONE: OFFICER SETBACKS: F: LH RH BApproval:_ City: DATE_ FLOOD: BFE+2J|,AVru-comment pERMtT FEE: :
II
*DISCLAIMER: SUBMITTING THIS APPLICATION MEANS THAT THE SUBMITTAL CHAR6E IS NON-REFUNDABLF
clerr Form I .lLllPrlnt
. CITY: wilninqton
€t{GR OESIGI{ PROFESSIONAL:-ffi PH:Th_- NC REG *: T-/E--
Prinl I
NEW HANOVER COUNTY BUILDING PERMIT
APPL ICATION IYPE: COIIIqERCIAL
PLEASE ANSI,JER ALI QUESTIONs APPLICAELE TO YOUR PRO]E€I
"Project Res pons i.bi Iity"
CITr: wirminiroo
CIIY: wilnington
20lHtk?
/z-'zt?r &c?/oz
AF-PTIC-iIO\l
tlumber
(offlc€ U5e)
APPLICANI'S NAIiIE: Plantation Building of wilmingon, roc.
DEVELOPER:
PRO]ECT AUDRtSS: 1507-t02 Iitrle John Circte
OCCUPAI{T/BUsIllESS I',JAfi E :
PRoPERTY OhiNER,S ttAritE: pBw Hordiogs. Ltc
OHI.IER,s ADDRESS: Po Bo; 2.73
DATE: A/30/t7
. PHONE *:9t0.763-8760
zIP i 28401
CoNIRACTOR: plartatj.on Buildj.ng corp
AODRESS: 314 i^]alnut St. Suire 200
Ei1AIL ADDRESS: roseman€planrar ionbu i ld ingcorp . con
- LICENsE *| 68'tt2
PHollE S; 910.763 . B7Eo
ST: NC ZIP:28402
ST: Nc ZIP: z B40l
PHoNE *: gro.ts:.g:Go
PHotlE *: 910 . aoe . se le
CITY: wilmlngton
PRolEcr coNTAcT PERSoN:Kyle llenry
EXIST CO STRTTTION:
lf Relocation, is lhere a Natural Gas Line on the
ALTERAIION n
Cu
RENOVATION
rrent Sib? f.
GENERAL REPATRS I--l RELOCATT0N
I- ruo tS sLoG SP-RrNxLeREDtr YesJi _
(Ch.(k Atl thdt apply)
ES
No
NEW CONSTRI.,,CTION:ERECT NEr4r STRUCTURE n FAsT rRACK E SHELL n UPFIT E ADD TO EXrSr STRrr€TuRE
ACCESSORY STRUCTURE:
Is Elect Power on this Building li. Yes r NO
X YEs [ . tlo "*"fiat Is thE N€w Occupancy
. PH: N./A NC REG *: N/A
PH: N/A NC REG *: N/A
'ITTi IS TrIS A C1IANGE OF OCCUPANCY USET
IF yes, shat was the pnevtous occupancy rypet illml drltll,nfrw
IItfi?oesror pRoFEssroNAL: N/A *"T-u o"o.9 J*n
ENGR OESI6N PROFESSIONAL :_ N/A
DESCRIPTION OF I^IORX: Cabinets, Floo.ingr ELectrj.cal & plunbing
OWNER/CONTRACTOR: AneeIa Roseman SIGNATURE
Nole: Dernolilbn nolilicatons t asbeslos r€rnoval p€rmn applicadons ers lo b€ submined usng rhs appltcation lorm (O}1HS3768) nns d biildng was {ound to
0s q nol. Yoo tre reqiired tocallthe NttionalEmisgon Srandardslo. Hazardous Ar Pottutanls (NESHAP)at (919)707-5950at teast l0daysgrior ro the
demolition ol any,acil yor buildng. Se Asbegos Web Sh6 htrp:/ wepi.srare ^c lyepibsbesros/ahmp hunl
TOTAL PROJECT COST: Se,soo BUILDING HEIGHT: x/A f OF UNITS: Per unj-t
TOTAL AREA SO FI : 4Jo SO FT PER FLR: 430 Per un.it # OF STORIES: Per unit
TOTAL SO FI UNDER ROOF # OF STRUCTURES: 1 Pe! Unrt f OF FLOORS: I Per Un1t
EXSr LAND DrsruRBtNG pERMtr? J_ yes l-I ruo
NEW IMPERVIOUS AREA N,/A SQ FT EXISTING IMPERVIOUS AREA. N./A SO FI
PROPERry USE florrrce f]RESTAURANT urncarurrlrl-L eouc[_[ mrJ-l coNDo orHEr
WATER
SEWER
SYSTEM
CFPUA
CFPUA
COMMUNITY SYST
CENTRAL SEPTIC
TI WELL T-l ZONING USE CLASSl,tdvnre seplc 3llouuuNrrv
EM
EPARATE PERMITS REOUIREO FOF ETECT, MECH, PLBG. GAS EOUIP. PREFABS & INSERTS
HECK (PA
SETBACKS: F: iltrA LHNtn .an Nln a_1ffi
TE FLOOD BFE+2ft,
d
N
- PERMIT FEE: IVi
T]ON MEANS THAT
IFICATION
PAYMENT METHOO: r CASH
ZONE:O+i-, OFFIGER:
YABLE ro NHc) [a AMERTCAN EXpRESS f_ MCA/ISA l-l_ orsCOven
(FOR OFFTCE USE ONL'
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Comment*DISCLAI|tiER: SUBitIITTING TH APPLI
r 'ihr lncrranlinn hg*r IS- NON.REFUNDABLE
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ctga Form I
If UPFIT - The Shell Permlt S;
ACRES DISTURBED: N/A
ls The Property Located ln The Floodplainf- Yefr_