OCTOBER 5 2017 BUILD APPSNEW HANOVER COUNTY BUILDING PERMIT
A PP LI CATION ryPE.. RESIDENTIAL
PIEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
I.* *PLEASE CHECK AND ANSWER BELOW ALI THAT APPLY TO YOUR PROJECT***
E Det Garase (SF)_E Att Garage (SF) 760
! Sunroom (SF)_
! Greenhouse lsF)
E Porch (5F) 136
n Storage Shed (SF)_tr Pool (sF)
E Deck (sF)781 tr Other (sF)
ls the proposed work changing the existing footprint? ! Yes E No
TOTAL SQ FT UNDER ROOF (Jor proposed work) Heated: 3.523 Unheated: 984
TOTAL PROJECT COST (Less Lot): $700.000
lstheproposedworkchangingthenumberof bedrooms? ! Yes n No
lsanyElectri€al,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureIYesDNo
lftheprojectis a Relocation, istherea NaturalGas Lineonthe current site? ! Yes fl No
ls there Electrical Power on this Buildin8? ! Yes C No
Property Use/ Occupancy: E Single Famlly D Ouplex Ll Townhouse
Description of Work:
Construct New Residence
fui1 'Wlq
L7 -227 3
Application
Number
(oftice !ie)
APPLICANT'S NAME: Darren Jones Date:7_13_17
PRolEcT ADDRESS: 277 Loder Ave OTy:Wilminqton ztp;ilt/;Og
SUBDlvlSlONr Loder Landinq Division LoT f : C
PROPERTY OWNER'S NAME| Chrislian Bolz pHONE #:
OWNER'S ADDRESS: 6244 Sentry Oaks Dr CITY: Wilmlnqton Ztp: Zg4O9
CONTRACTOR; Environments Unlimited, lnc. BLDG UCENSE f.6An71
ADDRESS: 215 S Kerr Ave CtTyr Wilminoton ST: NC Ztp: 28403
EMAIL ADDRESS: darron@environmentsunlimitod.com pHoNE: 910-399{717
PROJECT CONTACT PERSON: Danen Jones PHONE: 910-279-3062
EXISTING CONSTRUCTION: D Alteration n Renovation ! GeneralRepairs
NEW CONSTRUCTION: E Erect New Residence D Addition to Existing Residence D Relocation
DISCIAIMER: I hereby certify that allthe Lnrormatlon in thh applic.tlon k correct and allwork willcomplywith the State Building code and allother
laws and ordinances and regulations. fhe NHC Development servlces Centerwillbe notified otanych:nges in the approved plans and
infohation. '"'NOTE: any work performed without the appropriate permiB willbe in violation ofthe NC State Bldg Code and subject to fines
owner/contractor: Danen Jones 5l A, Cxkf o*Sitnature:
"Licensed QuoIilier"
ls the property located in a floodplain? O Yes ! No
Exlstlng lmpervlous Area: 0 Sq Ft
New lmpervious Area: 3.700 5q rt
Total Acres Disturbedi O.08
Existing Land Disturblng Permit: fl Yes E No
WATER: ts CFPUA D Community System fl Private Well n CentralWell D Aqua
SEWER: E CFPUA D Community System fl Private Septic E CentralSeptic f] Aqua
Zone; _ Oftlcer: _ Setbacks (F) _ (tH) _ (RH) _ (B) _
Approvalr _ Clty: _ Date: _ Flood: (A) _ {v} _ (N) _ BFE+2ft= _
Comment:
*t^*y
o€tu *lb'
FLOODZONE f rrlo planr *-FLOODZONE
, . "-.," _ .t .-1 ..
NEW' HANoVER couNTy BUTLDTNa prnmir.', ..,"_ 1
APPLICATIuN TyPE j RESIDENTTAL
PtgrsE Ar,lsr,,ER ALL QUESTIoI|S APpLICABLE TO YOUR pRolECI
"ProJect Responslblllty',
. . l:isEP l7 9t24nilnaLb
APPTICATIOII
Numben
(offt€e us.)
APPLICA},IT'5 MI.iE:David rlames e Co
DEYEIOPERt Davtd ,]PHONE fi
V LoT $!
PRO]ECT ADDRESSS
SUBDIVISIONI
PROPERTY OI{.IER'S NAITE ;
O{IIER'S ADORESS:
CONTRACToR! David ,rames ( co
ADDRESS! 308 old palrv Rd 9rq 130
EI1AIL ADDRESS ; di amae 0 wl lml nqronbU-l tde r . com
CITY!
LICEI{SE *i 3s423
CITY: W1!mlnquon
PROJECT C0NTACI PERsOl.l: Davld rrames
ST: NC ZIPI 28405
PHoilE S! 910-443-3184
PHoilE fl! 910-{43-318{
ExrsrrN6 coNsrRUcTroH: fJ alrenarroru ffineHovrrroH flceruenau REpArRs ft nelocrrroru
NEH coNsrRUCTrON: fl rnecr NEh, REsrDENce or ! ADDrrroN To Exrsrruc RESTDENCE
.IPLEASE CHECI( A'{D A}JsUER EELOI{ ALL THAT APPLY TO YOUR PROJECT:
f] arr GAM6E uI sr fl oe r GARAGE sF fJ poRcH
-
sF
flsuHnoom
-sr
fl pooL _ sr ffi sronre e sneo 180 sr
flcneeruHousE
-
sF f] orcr _ sF orHER:
TorAL HEATED sQ FT: fu-- TorAL sQ FT UNDER RooF:
-T0TAL PR0JECT COST1r-urr.os , g lA),OtD fi 0F SToRTES:
Is Any ELECIRICAL, P[Ul,lBtltG or ITECHANICAL t.lork Belng Don€ to the Ac€essory Stnuctur.l fi Ves fl ,oIf the proJect ls a Relocatlon, ls thene a Natunal Gas Llne on the Current Sitel I Yes E] Uo
Is there Electrlcal Power on thls Bulldlng? Elves f]Ho
NGLE FAMILv E.oupr.ex ! ro^rruHouse' Hllt\to,u r\ hqzrrtarrt^rq t
No
hst sll Inbmsuon h hls rppuc8tion tr conocl c.1d D! wort wil comply wlh hc Sl,'t &lldino Codo urd sl oh6r spplcabh Stsb .nd locsl l.ws
snd ordln$cos and rooul6ilont. lhe NHC Dovolopmont Servh€s Conbr wlU be no!fod o, eoy chonoos h he approwd plsns or chanoe ln conuacb,or
contscbrlnbrmsuon."'NOTE;AnyWorkPcrrorme(WiOheApgoprlabPemilswilb.hVlob&norUe NCSt b
oI^INERICoNTRACToR: b"r.itX Jo",^ls SIG1IATURE:
,onr, P,'20 oFFrcER: -W';;d;;; r''i.Vn *r,5[ nn:r.s/A B,dd
rpprovar:-QL- city: Ld ILru omr: ttlZ9llftrooo: AEJL BFE+2ft,
N
PERfiIT FEE:
SF
'3 rorAL AREA sQ rrr 680
Srblocl b Fhos Up To 3500.00rr
PROPEBW UsE /
DESCRIPTION OF
Ol{lCtaIMER I
- t-
-
(Prlnt [aor)****+t*'l********ttt*t***+t t'++t*++t*tt,F*t+**++t,3*,|tt*'t****ir**ta,l)*t,trt:t
EXISTING I|-IPERVI0US AREAT __ Sq rT
NEW II{PERVToUS AREA: __ SQ FT
(foR oFflcg usE o{tv) $vrslD oAt! e!./,llLl
|:ttttl,it,l.tt+*rt
'a
5"CD'rt(Dc,::i:c,:,*)(D_og,ri(Do:c,
c)I
IS rHE pRopEnry LocArED rN A FLooDrLATN? El yEs E ruoE$kc+,t e gCH "- trAost fzE#WrcTlrE
TOTAL ACRES OISTURBEO:
ExIsT LAND DISTURBTNG pERilrT: I-1 ves [3 Ho/
ITATER: flyeua fl cor-rnuHrw sysrEt.t f]nnrvrre wer-u I cENTRAL wELL
sEwER: ffcreua f] cenrnau stprrc E pnrvnre sEprrc I couulrrv sysrEM
... SEPA'IATE PERIIITS REQIJIRED FoR ELECT, HECH, pL8C, GAs Eqrrp, PREFABS & IilsERTs r.r
pAygErir nETHoo: E]casn Ecxrcx (pAvABLE To xHc) florenrcu rip*.ss I nclvrsn florscovrn**a'l*'l'3*t'3*****r]*rr****l*i'a*la*a*r**l*t*****rla*r*aar***'a1****rrtrra*a***r****aa***+trt,+I
Reoui Beo"PA$SS16;1. t\o?r 5oen65 -ro Crrrecq yd NmfiIfuffiPe of [^Nrtl4-
2on-/obVd
.. ..r. . l--r ..::rt - .. ,: . :..,.. ..;1..i6....,-;4,:..,;-;tr",i...d-:. r j :..".:,,-ij- ", :-r.. .
PHONE f:323- 604'-35@
4!ne z3!!!
NEW HANOVER COUNW BUILDING PERMIT
A P P LI CATI O N ryPE.. RESIDENTIAT
PI-EASE ANSWER ATT QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibiliq/,
APPTICANTS NAME:
PROJECT ADDRESSI
BLDG LICENSE #:
st.: LEztPjbtq.z4
?HoNE:7lo.ktct -34 t')
! Att Garage (SF)_
! Sunroom (SF)_
! Greenhouse (SF)
E Det Garage (SF)_
tr Pool (SF)
E/Deck (SF)
E Porch (5F)
E Stora8e Shed (SF)
! Other (SF)
ls the proposed work changing the existing footprint? E/yes ! t'to
t
TOTAT Sq Ff UNDERROOF Vor proposed work) Heated: _ yn6."1"6. t 3 O srl El .
TOTAT PROJECT COST (Less Lot): S l[,r6Cf,r . c7 ---------------t=
ls the proposed work changing the number of bedrooms? Ll yes EaNo
ls any Elecrical, Plumbing or Mechanical work being done to the Accessory Structure Ll yes E/No
ll the project is a Relocation, is there a Natural Gas Line on the current site? n yes E 1tlo
ls there Electrical Poweronthis Building? ! Yes D No
Property Use/ Occupancy: g/Single Famlly ! Duplex ! Townhouse
Description of Work:
OISCLAIMER: I hereby cenifythat alltfie information in thisapplication is and all work willcomply with the State BuildinS Code and altbther appticabte State and local
information. "'NoTE: AnY work performed r,ritlout the approprilf permits/,ill be in violation of the Nc state BtdS coderand subject tolraes up to S50O.m'..
Owner/Contractor:
"Licensed Quolifier"
SiSnature:
ls the property located in a floodplain? tr Yes dft-o
l.\-lrl,
Total Acres Disturb€d:Existing lmpervious Area: _ Sq Ft
New lmpervious Area: _ Sq tt Existing Land Disturbing Permit: n Yes ! No
WATER: n CFPUA tr Community System g/Private Well fl Centralwell fl Aqua
SEWER: fl CFPUA n Community System EaPrivate Septic E Centralseptic ! Aqua
zone: _ officer:setbacks (F) _ (tH) _ (RH) _ (B) _
Approval: _ City: _ Date:
Comment:
7ot1- I06q)
11'wss
Applacation
Number
(office use)
suBDtvtstoN:
PROPERTY OWNER'S NAME:PHONE #l
OWNER'S ADDRESS:ctTY{ i
CONTRACTOR:
ADDRESS:
EMAIL ADDRESS:
PROJECT CONTACT PERSON:
EXISTING CONSTRUCTION: ! Alteration t'Renovation ! Generat Repairs
NEW CONSTRUCIION: ! Erect New Residence ! Addition to Existing Residence ! Relocation
...'PLEASE CHECl( AND ANSWER BETOW ALL THAT APPLY TO YOUR PROJECT"*
laws and ordinances and regulations. The NHC Development Services Center willbe notified ofany chanSes in the approved plans and specifications or change in contractor
Flood: (A) _ (V) _ (N) _ BFE+2ft.
Permit Feer S
fur,so glan+ { 3 a r1-tob{3
NEW HANOVER COUNW BUILDING PERMlT
AP PLICAT'ON TYPE.. RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICAEIE TO YOUR PRO]ECI
"Proiect Responsibilit/,
2r,5EP Ii IUr1lBtjtt:bgz
Application
Number
{ofice use)
J"sAPPLICANTS NAME:
PRO.'ECT ADDRESS:
SUBDIVISION:
PROPERTY OWNER'S NAME:
OWNER'S ADDRESS:
CONTMCTORi
ADDRESS: P,
EMAIL ADDRESS:
PROJECT CONTACT PERSON:
c-.4a
PHONE d:
gys611gsn*n. 78167
ST; AL z'PI Z81CE| 1/d LZZ- z Sq<-
pHoNE: f/o-Czz - zg+r
! Att Garage (SF)_
n Sunroom (5F)_
! Greenhouse (SF)
{^
l/D,& unheated:
ls the proposed work changing the number of bedrooms? a Ves W6o
ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure E yes
lftheprojectisaRelocation,isthereaNaturarFasLineonthecurrentsite?!y€sENo
ls there Electrical Power on this Building? EfYes ! No
Property Use/ occu p"n y, {snel. lamiry n Duptex fl Townhouse
?b,/ /7
O
at 23 qal
EXISTING CONSTRUCTION: D Alteration ffinovatton n Generat Repairs
NEW CONSTRUCTION: n Erect New Residence E Addition to Existing Residence n Relocation
***PLEASE CHECI( AND ANSWER BEI.OW ALL THAT APPLY TO YOUR PROJECT'"**
D Det Garage (SF)_6isrt rfo
! Pool (sF)
! Deck (SF)
D Storage Shed (SF)
! Other (SF)
fs the proposed work changing the existing footprint? a Ves ffi
TOTAL Sq FT UNDERROOF Vor prcposed work) Heated:
TOTAL PROJECT COST (l-ess Lot): 5 ?, AdO
Des€ription of
Owner/Contractor:
"Licensed Quolifier"
!,
DISCLAIMER: I hereby certify that allthe information in this application is correct and all work will comply with the State
laws and ordinaflces and regulations. The NHC Development Services Center witl be notified of any chan8es in the
-<u )<-
ls the property located in a floodplain? I Ves 6
Existing tmpervious erea: () scrt
New lmpervious Ar"", ? sqfi.
w ArERt dcFpuA a
SEWER: E/6PUA n
Zonel Officer:
Approvalt _ City: _ Date:
Comment:
TotalAcres Distu.bed:
Existing Land Disturbing Permit: f: Yes ffi
Community System E Private Well E Central Well ! Aqua
Community System n Private Septic n CentralSeptic ! Aqua
_ setbacks (F)_ (tH) _ (RH) _ (B) _
Flood: (A) _ (v) _ (N) _ BFE+2ft=
Permit Fee: S
.13\u
t,LffiP
Cloar Form
1)aonr*aroR: Pootmasters / Michaet Ledger
>- ADDRESS: P.O. Box 1772
S
EMAILADDRESS:mike@pootmasters.com
I pRoJEcT co TACT pERsoN: Michaet Ledger
{!)
u2
BI.DG UCENSE fi:NiAF-
CITY: Shallotte ST: NC ZIP:28459
PHONE; 330-323-6209
PHO E:33G.32$6209
EXISIING CONSIRUCnO :E Alteration ! Renovation E General Repairs
I'IEWCOI{STRUCTION;!ErectNewResidence!AdditiontoExistingResidenceIRelocation
'**PLEASE CHECX AND ANSWER BETOW ATL IHAT APPTY TO YOUR PROJECT"'
n Att Garage (SF) _
! Sunroom (SF)
n Det Garace [SF]
.ff poot (sr) . aso
! Porch (SF)
E Storage shed (sF)
D Other (SF)n Greenhouse (SF)D Deck (sF)
ls the proposed work changing the existing footprint? a ves K ruo
TOTAL sQ FT UNoERRooF ffor proposed workl Heat3,d'l Unheated:
so/<ToTAL PROTECT cosT (Less Lot): S
information. ".NOTE: Any work performed without the appropriate permits will be in violation of the NC State Bldg Code and to fines up to S5m.00"'
ls the proposed work chanSing the number of bedrooms? ! ves /lo
ls any Electrical, Plumbing or Mechanical work being done to the Accessory structure /Yes n lo
lftheproiectisaRelocation,isthereaNaturalGasLineonthecurrentsite?gVesfflo
ls there Electrical Power on this Building? ! Yes I lto
Property use/ occupancy: (Singb famlly I Duplex f] Townhouse
Description of Work:
lnstallation of fiberglass pool shell no bigger than 14130 x6' and circular soa 8' circumferenc€ x 3' deeo and all mechanicals.
laws and ordinances and regulataons, The NHC Development S€rvices Centerwillbe notified ofanychanges in the approved plens and sp€cifications or change in contractor
Ourner/Contractor;
'Licensed Quolifrel
Micheal Ledoer Slgnature:
Print Nome
ls the property located in a floodplain? [ Yes n No
ExistinS lmpervious Area:
-
Sq Ft TotalAcres Disturbed:
l{ew lmpervlous Area:Sq Ft E{stln8 tand Disturbing Permlt: E Yes I No
WATER: ! CFPUA D Community System \ e.ir"t" W"tt E Central Well ! Aqua
SEWrn: \CFPUA tr Community System f] Private Septic f] Centralseptlc f] Aqua
zone; _ Offlcer:
-
Setbacks (Fl
-
(tHl
-
(RH)
-
(Bl
-Approvel:
-
citF
-
Date:
-
Flood: (Al
-
(v)
-
(lU
-
BFE+2ft=
P ."t hEe EIvED o* - , *fo t1'l6bts:
NEW HANOVER COUNTY BUILDING PERMIT
APPLIC,ATIO N |YPE : RESIDENIAL
PLEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROJECT
'Pmject Responslbllttyr
lr-asql ?nu6r7 4is4P
Application
Number
(office use)
APPUCAT{IS NAME: Paul Tirella Date: 0g/09/2017
PROJECT ADDRESS: 222 Wlndv Hills Drive CITY: Wllminoton zt?..2UO9_
stJBDrvrsroN:LOT f:
PROPERTY OWNERS NAME: Paul Tirella PHO E #: 91+81S3849
OWNERS ADDRESS: 222 Windv Hills Drive CITY: Wilmington ZIP: 28409
Comment:Pcrmh Fee: S
pa ar4*r*47'
gv Clear Form print oMrll
NEW HANOVER COUNTY BUILDING PERMIT
APPLIaATI(N rYPE: COi'lllERCfAL
PLEASE AIISI./ER ALL QUESTIOIIS APPLICAELE TO YOJR PRO]ECT
"Project Responsibillty',
Chambliss and Rabil Contractors
-n1-t0b+8
,1.r00 I
55EP l7 Srl6ff
APPLICATIOI{
unber
(Offlce U5e)
_DATE: s.t.t.7APPLICANT'S NAt.tE :
DEVELOPER: n/a - PI0NE S: 910-350-0554
PROJECT ADD
OCCUPAT{T/BUSINESS MttE : wi lminqton Heal rh Associ ares
PROPCRTY OH ER'S NA E:
OW ER'S ADDRESS: n/a
CO TMCTOR: Chambliss and Rabi1
PHOTIE *3 n/"
ST: xs ZIP:29445
- LICENSE *: tsazs
ADDRESS: 6426-C -/,JincimlI- riay ST:
s:
p6 ZIP: 26465
910-350-0ss4EiIAIL ADDRESS: robgchambliss-r abil. com _PHONErno:rcr cotrlcr exott
(Check Alr Th.t Apply)
ExIsT col{STRUcTIoN: E ALTEMTIoI{ l-l REl{ovArlor{ l-l GENEML REPAIRS J-l RELoCATIoI'I
lf Relocation, istherea Nati?;tGas Line on thebdrrent Site? J-.vtsff-No tS BLDG SPhINKLEREDr - YesJ--
*: gto-zlt-ztza
NoNEI.I COIiISTRUCTIOI.I: E ERECT ITIEI{ STRUCTURE E FA5T TRAcl( fI sxeII E UPFIT E ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The SheII
***** rs rHrS a cHAl{GE oF occuPAt{cY usE?r YEs l-'. o ***r*
IF Yes, ehat llas the Previous Occupancy Type? _ Ihat is the iler Occupancy
Tvoe?ARtH DESIGI{ PROFESSIoa{AL: n/,
Permit #:Is Elect Porer on this Building l-. Yes f.NO
EI{GR DESIGI{ PROF ESSIOiIAL;- n /a
PH:
PH:
NC REG #:
I'lc RE6 #:
DESCRIPTION OF WORK: Removed/modify existing watls to create 2 conference rooms
ls food or beverages prepared or served in this struclure?f yesli- t'to ls The Property Located ln The Floodplainf - Ye4i-
NoDISCLAIMER: I hereby cerlify lhat all nlormation in this application is conect and all work willcomply \Nith the State Building Code and all other applicable State
and locel laws and ordinances and regulations. The NHC DeveloDrnent S€rvices Cenler will be notified ol any chanqes in the approved plans and sp€cificalionsor chanqe in conlraclor or conlraclor i-nformation. "'NOTE: Any Work Perfomed w/O the &'propriele Permils will& in Violalion oftheNC State Bldg Code andSubiecllo Fines Up To $500.00"'
OWN ER/CONTRACTOR: Rob N,-pp SIGNATURE:
TOTAL PROJECT COST: 19,OOO BUILDING HEIGHT:# OF UNITS:
(auaffi.r) (PnnrNam)
cont in rGb€slos or not. You 6r€ r6quir€d ro c€ll rh€ National Emission Standards lor Hazardols Air Pollurants (NESHAP) ar (91 9)707-5950 .r l€6sl l0 days prior to the
demolhjon of any facility orbuilding. Ss€ Asbostos Web Siis: http //ww episrate nc us/epi/asbestos/ahmp hlmJ
TOTAL AREA SQ FT
'
g9_ SQ FT PER FLR: . # OF STORIES:ToTALSoFTUNDERRooF:-#oFsTRUcTURES'-#oFFLooRs:
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
EXST LAND DISTURBING PERMIT? -r YES T NO
SQ FT EXISTING IMPERVIOUS AREA:SQ FT
pRopERry usE: EoFFrcE ! nesrnuneNr flMERCANILEn EDUcf-LAPTD coNDo oTHEr
WATER: ACFPUA T-.I COMMUNITY SYSTEM N WELL T..I ZONING USE CLASSIFICATION
s-EW.Efi: ElcFpuA El cENTRAL sEprc E FRlvArE sEprc [?oMMUNtrySYSTEM *'stp-enere penr,r" REaurREo FoR ELEcr r\rECH prBG GAS Eeurp eREFABs & TNSEBTS
PAYMENT METHOD: r CASH l-.CneCX leAVmLE TO NHC) I--AMERTCAN EXPRESS r- MCA/|SA r- DTSCOVER
(FOR OFFTCE USE ONLY)
ZONE:OFFICER:SETBACKS: F LH RH B
Approval:_ City:_ DATE_ FLOOD:BFE+2ft'
Comment
Pal.ladium at Surf
CITY! H611y pi6qs
*DISCLAIM IS NON- REFUNdICIE
u1-
hq
RECE|VEDSEP2ol0lT
Clear Form print eMail
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAT IoN TYPE : COI{MERCIAL
P L EAS E ANsh'ER.;'i,::':I'T:ffi
:T:I ]:
YOUR PROJ E CI
Kerrn 7 Easor.rAPPLICANT, S NAI'iE:
DEVE LOPER :
PRO] ECT '1001 MiIiLar cutrcff rcl i)
OCCUPANT/BUSINESS NAME: 5e196(. ts<1nk & lrusL
PR0PERTY 0WNER'S MIrIE: goie:r Balk 6. Trusr_
0WNER'S ADDRESS: 3600 airar -e., Bo_r le\.arct
CONTRACTORi Keei-,:r .;. ilr tmlnotcn
ADDRESSi c::ox-l25
EMAIL ADD
PRO]ECT CONTAC
CITY: 5r"-nrri yt6 ZIP:2zg!,a
ZIP: zetzg
- LICENSE S:
CITY: g2--p5, e..e ST: I
PHONE #:
PHONE #:
(check All That Apply)
ExIsT CoNSTRUCTIoN: EI ALTERATIoN E RENoVATToN E GENERAL REPAIRS f] RELocATIoN
lf Relocation, is there a Natli6l cas Line on theEilrrent Site? [- vFl-- ruo lS BLDG SPhTNKLERED?f-- Yesfi-
No
NEW CoNSTRUCTTON: flenrCr NEhr STRUCTU*'IFAST TRACK I SXell tr UpFrT f aOO TO EX]ST STRUCTURE
ACCESSORY STRUCTURE:
If UPFIT - The Shell rN0Permit #:
**+++ I5 THIS A CHANGE OF
IF Yes, what was the Previous Occupancy Type?
Is Elect Power on thi.s Building [- Yes
occuPANcY usE?r YEs Ji. No *****
_ What is the New occupancy
Ttroe ?AREH DESIGN PROFESSIONAL:
EN6R DESIGN PROFESSIONAL:'
PH:
PH:
NC REG #
NC RE6 #
DESCRIPTION OF WORK: Er.rcr wa-i l. rrrsra t.i dc.cr
is food or beverages prepared or served in this structureZf- Vesfi f.io ls The Property Located ln The Floodplain{i - vef- -NoDISCLAIMER: I hereby certify that all information in this application is correct and allwork will comply with the State Building Code and all other applicable Siate
and local laws and ordinances and regulations. The NHC Development Seruices Center will be notified of any changes in the approved plans and specilicalionsand local laws and and regulalions. The NHC DeveloDment Services Cenler will be notified of any chanoes rn the approved plans and
Ia-c-tor information ""'NOTE: Any Work Performed WO lhe Approprrate Permrts will 5e in Violatron of the NC--Stale.rr chanoe in contractor or contractorSubiectlo Fines Up To $500.00"'Subject
1e NFlU UevelODment Seryrces uenler u""'NOTE: Any Work Performed W/O lhe ,,/./SIGNATURET 2.1'-*OWNER/CONTRACTOR; Keeco of !,0rln,instcn irc
(Oualifier) (Phnt Name) /
(;,lltain Asbestos or not. You are required to call the National Emission Standards for Hazardous Air Pollutants (NESHAP) at (919)707-5950 at least 10 days prior to the
demolitron ol any facility or building. See Asbeslos Web Site: httpr/M.epi.slate.nc.usiepi,/asb6t6/ahmp.html
TOTAL PROJECT COST: 85OO. OC # OF UNITS:BUILDING HEIGHT
SQ FT PER FLR:.TOTAL AREA SQ FT:
TOTAL SQ FT UNDER ROOF
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
ZONE: OFFICER:
# OF STORIES:
# OF I-LOORS:
EXST LAND DISTURBING PERMIT?.r YES T NO
SO FT EXISTING IMPERVIOUS AREA:
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WATER: *CTPUN f-l COMMUNITY SYSTEM T-l WELL rl ZONING USE CLASSIFICAIION
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PAYMENT METHOD: r CASH f-. CUECX (PAYABLE TO NHC) f- lrr4enrCnN EXPRESS fi- trrCVSR [-- OISCOVTn
(FOR OFFICE USE ONLY)
# OF STRUCTURES:
SETBACKS: F: LH-, RH- B
SO FT
Approval:.City:_ DATE_ FLOOD AVN
Comment*OISCLAIM ,
BFE+2ft
PERMIT FEE: :
7O1-lcosv
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Number
(office Use)
- DATE: g- -:-2r,):'t
. PHONE #:
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PHONE #:
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IS NON-REFUNDAI