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JANUARY 5 2018 BUILDING APPS2t\b -3 J 7'1("^? Application Number (office use) APPLICANT'5 NAME:/2?2 -5?^/S?IJ PROJECT ADDRESS: SUBDIVISION: NEW HANOVER COUNTY BUILDING PERMIT APPLICATIO N TYPE: RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT "Proiect ResponsibiliV' CITY I Date ztP: LOT E PROPERW OWNER'S NAME: OWNER,S ADDRESS: f colrrnacron $ noonrss, 4I,-rruatr loontss: PROJECT CONTACT PERSON I Att Garage (SF) M srn.oo. sl '7f'Zr Description of Work: eA -Vtlser,.' PHONE #o-6D-)Ye CITYCIC/}'L4 PHONE PHONE: 6zs -7 ? /o -6/2- F/27 P G I-ICENSE # EXISTING CONSTRUCTION: F Alteration E Renovation D General Repairs NEw CONSTRUCTION: n Erect New Residence n Addition to Existing Residence D Relocation **IPLEASE CHECK AND ANSWER BETOW ALt THAT APPLY TO YOUR PROJECTI I"I /Porch (s11 lg0E Det Garage (SF)_ tr Pool (SF) { oeck (sr)zzq n storage shed (SF)_ tr Other (SF)D Greenhouse (SF) ls the proposed work changing the existing footprint? B TOTAT SQ FT UNDER ROOF Aor prcposed wo.k) Heated: TOTAT PROJECT COST (Less Lot): S ,-1O lsthe proposedworkchangingthenumberof bedrooms? E Yes 6 No lsanyEledrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEYes[]No lf the project is a Relocation, is there a Natural Gas Line on the current site? ! Yes D No ls there Electrical Power on this Building? P Yes n No Property Use/ Occupancy: Yes E No tBq I F ily ! Duplex! T Unheated: ;A r4*thz- {) Owner/Contractor; "Licensed QuoIifier" /2rno a C DISCLAIMERi I hereby certify that allthe information in this application is corred and all work will comply with the State Building Code and allother applicable State and local laws and ordinances and regulations. The NHC Development Services Center will be notified of any changes an the approved plans and specifications or change in contractor information. "'NOTE: Any work performed without the appropriate permits will be in vioiation of the NC State BldS Code and subject to fines up to S50O.OO'.'fAeo aetstr./SiEnature: ls the property located in a floodplain? ! Yes d No 6sz i+Existing lmpervious Area:tqb Sq Ft TotalAcres Disturbed: New lmpervious Are ", /l'/8 s1.Ft Existing Land Disturbing permit: n ves dto WATER: tr CFPUA tr Community System fi erivate Well ! Central Well ! Aqua SEWERT ! CFPUA tr Community System fl Private Septic fl Centralseptic ! Aqua Zone: _ Officer: Setbacks (F) _ (tH) _ (RH) _(B) _ Approval; _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ 8FE+2ft= _ Comment:Permit Fee: S*DISCLAIMER: SUBMITTING THIS APPLICATION MEANS THAT THE SUBI4ITTAL CHARGE IS NON-REFUNDABLE f,i CITY: NEW HANOVER COUNTY BUILDING PERMIT APPLICATION TYPE: RESIDENTIAt PLEASE ANSWER ALL QUESTIONS APPLICAETE TO YOUR PROJECT "Proiect ResponsibiliV' Ntg-t+ Application Number (office use) APPLICANT'S NAME: Coastal Home CorDoration Date: 121211'17 PROJECI ADDRESS: 1708 Canady Road CITY: Wlminoton ZIP:28411 SUBDIVISION: N/A LOT #: 1 PROPERw OWNER'S NAME: Coastal Home Corporation PHoNE #: 910-679-8638 OWNER'S ADDRESS: 2030 Eastwood Road Suite CITY: Wlmino n ztP 284O3to CONTRACTOR: Coastal Home Corporation ADDRESS: 2030 Eastwood Road Suite 5 CITY: Wlmington ST: NC ZIP: 28403 BLDG LICENSE # EMAIL ADDRESS: irawlrOcoastalhomeco.com PHoNE: 910$79-8638 PROJECT CONTACT PERSON: Jordy Rawl PHONE: 252-916-4575 EXISTING CONSTRUCTION: n Alteration ! Renovation E General Repairs NEW CONSTRUCTION: /Erect New Residence n Addition to Existing Residence n Relocation *T*PL€ASE CHECK AND ANSWER BETOW ATt THAT APPTY TO YOUR PROJECT''* tr Att Garage (SF) 552 E Det Garage (SF)_ I Sunroom (SF)tr Pool(SF) tl Deck (SF)n Greenhouse (SF)185 ls the proposed work changing the existing footprint? D yes tr/o TOTAL SQ FT UNDER ROOF lfor proposed work) Heated:3263 TOTAT PROJECT COST (Less Lot)30 000 ls the proposed work changing the number of bedrooms? n yes E{ruo ls any Electrical, PlumbinS or Mechanical work being done to the Accessory Structure 3 yes g/tto lftheproiectisa R€location, istherea Natural Gas Line on the current site? tr yes Ez{o ls there Electrical Power on this Building? E4es ! No Property Use/ Occupancy: 3/Single Family n Duplex n Townhouse Description of Work Construction of sinole-family dwellinq off of Canady Road laws and ordinances and regulations. The NHc Development se.vices center willbe notified ofanychanges in the approved pla; and specifications or change in contractorinformatioh. *"NoTE:Anywork performed without the appropiate permitswillbe in violation oftte rut stare sui coue and subjecttofines up to S5oo.oo..r Owner/Contractor:q --\.sisnature: --- -2 )2-,-O"Licensed Quolile/' ls the property located in a floodplain? n yes ! No Existing lmpervious Area: 0 SqFt TotalAcres Disturbed: O New lmpervious Arear 2,500 sq Ft Existing Land Disturbing permit: ! yes E-1rlo WATER: tr CFPUA n Community System g4rivate Well D Central Well n Aqua SEWER: A4FPUA n Community System fl private Septic fl Centrat Septic ! Aqua Zone: _ Officer: _ Setbacks (F) _ (tHl _ (RHl _ (B) _ Approval: ---. City: _ Date: _ Flood: (A) _ (V) _ (Nl _ BFE+2ft= _ Permit Fee: 5Comment: aQaitu lfnu'no ffi n Porch (SF) 536 ! Storage Shed (SF) _ n Other (SF) _ Unheated:4,599 2c\S-\5) NEW HANOVER COUNTY BUILDING PERMIT APPL, CAT, O N TY P E : RESIDENTIAL PLEASE ANSWER ALL QUESTIONS APPLICAETE TO YOUR PROJECT "Proiect Responsibilityz -1t use) APPLICANT'S NAM€: Coastal Home Corporation Oale 12121117 PROJECT ADDRESS; 1712 Canady Road Clw: Wlminqton ZtP:28411 suBDrvtstoN: N/A LOT #:2 PROPERTY OWNER'S NAME: Coastal Home Corporation PHONE #: 910-679-8638 OWNER,S ADDRESS:2030 Eastwood Road Suite 5 ctw: Wilm no zlp:28403ton CONTRACTOR Coastal Home Comoration BLDG LICENSE #7F.574 ADDRESS:2030 Eastwood Road Suite 5 CITY: Wlmi ton sT: NC ztP: 28403 EMAIL ADDRESS; irawl@coastalhomeco.com PHON€: 910€79-8638 PROJECT CONTACT PERSON r Jordv Rawl PHONE: 252-916-4575 EXISTING CONSTRUCfION: ! Alteration n Renovation n General Repairs,NEW CONSTRUCTION: E/Erect New Residence E Addition to Existing Residence I Relocation I**PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT''* I Att Garage (5F)584 E Det Garage (SF) _n Porch (SF)740 n Sunroom (SF)tr Pool (sF) n Deck (sF) I Storage Shed (SF)_ E Greenhouse (SF)1124 n Other (SF) ls the proposed work changing the existing footprint? n Yes D No TOTAT SQ FT UNDER ROOF Aor proposed work) Heated:3 ,)AO Unheated;4 707 rorAt PRoJECI cosT (Less Lot): S3!qqOQ_ ls the proposed work changing the number of bedrooms? n Yes Edo ls any Electrical, Plumbing or Mechanical work being done to the Accessory Structure n V"t Z/no lf the project is a Relocation, is there a Natura-l Gas Line on the current site? n yes Ffio ls there Electrical Power on this Building? /ves a No Property Use/ Occu pancl: g/ttngle family E Duplex ! Townhouse Construction of singlejamily dwellinq off of C Road laws and ordinances and regulations.The NHc Development Services center will be notified ofany changes in the approved plans and specificatjons or change in contractorinformation. *r'NOTE: Any work performed without the appropriate permits will be in violation of the NC State Bldg Code and subject to fines up to SSOO.m..* owner/contractor: --tl"-rr.r.\ ?,q.^r\ siparwe,ft)fu- "Licensed QuoliJie/' print Nome Description of Work ls the property located in a floodplain? A Ves e/no Existing lmpervious Area: 2.600 Sq Ft TotalAcresDisturbed: -b New lmpervious Area: 2.131 5q Ft Existing Land Disturbin8 permit: a yes {xo WATER: ! CFPUA n Community System lz/private We| fl Centratwe n Aqua./SEWER: trCFPUA fl Community System ! private Septic I Central Septic ! Aqua Zone: _ Officer: _ Setbacks (Fl _ (tH) _ (RHl _ (B) _ Approvali _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= Permit Fee: SComment; 2nv\oo lear,o- r9,XI W Lo r6- t59 NEW HANOVER COUNTY BUILDING PERMIT AP PLICAnON TYPE: RESIOENTIAL PLEASE ANSWTR ALL QUESTIONS APPTICAEI€ TO YOUR PROJTCT "P,o,ect ResponslbllltY' APPUCANT'S NAMEI Timeless Properties lnc Dale: 12-28-17 PROIECT ADDRESS:852 Bedminister Lane clrYi Wilminqton LtP:28405 SUB0lVlSlON: Landfall cv)LoT Hr45 PROPERTY OWNER,S NAME:Anthonv and Constance Jo son PHoNE #:910-5506359 OWNER,S AOORESSI 852 Bedmini lane clTY: Wilmi ton zlP: 28405 EXISTING CoNSTRUCIION: E Alteration S Renovation D GeneralRepairs NEW CONSTRUCTION: n Erect New Resid ence El Addition to Existlng Resldence fl ftelocation *+.PLEASE CHEC( AND ANSWER BETOW ATL THAT APPLY TO YOUR PROIECT* 'I C Att Garage {5t)- D Sunroom {5F)- O Greenhouse {sF)- n oet Garaie lsFl tr Pool{SF) tr Deck (SF) tr Porch (st) - D storage Shed {SF)-- O Other (sF)356 C'n,,r ^il- ls the proposed work changln8 the exlstlng footprint? E Yes D No ToTAI Sq FT UNDER ROOI Vot ptopoted work)Heated:360 Unheated: roTAL PROIECT CoST (tess Lot)r S10000 ls the proposed work changing the number of bedrooms? Cl Yes E No ls any Electtical, Plumblng or Mechanlcal work being done to the Accessory Structure Cl Yes O No lf the p.oject is a Relocation, is there a Natural 6as Line on the current sit€? El Yes D No ls there Electrical Power on thls guildinS? D Yes I No Property use/ Occupan.y: O Slngle Family El o!plex D To$,nhouse Descriprlon of work: FiHietso{+Al@nd-leave-eeraeotexietingF€{i€€pe€e€s-atlto'sBa€e- Will add el and HVAC to new soace (WllAdd 1 slraioht wall in room lo create closet other wise will iust use all existina't a"'if intormat,on. ...NOT€: Any work performed wiihout the .ppropriate per.nlrr will be h vlolslion of the NC State Sldg CodP and subject lo liner up lo S5')0 00"' ls the property located In a floodplaln? tr Yeft' Exlsttng lmpervious A ,"", -l-rOn-2 No TotalActes Olsturbed , ,"' Owner/Contractor: Anlhonv Johnson Signaturel "Li.ensed Quoliliet" Pint Nome Ncw lmpervlous Area Sq Ft Existlng Land Disturbing Permlt: E Yes ! No WATERi 7p CFPl.rA D Community System E Private Well E CentrJlWell E Aqua SEWER: B CFPUA tr ,on", ?- 15 on.u,, DrG serbacks(F)dA{rH}avBrnxrN/A tgtdlA CommunitySystem O PrivateSeptic B CentralSeptic D Aqua ctwt )LN o"r",DbilQ (A) _ (v)Iloodl o Approvali Commenlr 0k Ciiy lnspection Requreo, gl 0.2S4.09&l (N) { 8Ft+2fi= Permlt teei $ w Lre{T4 CONTRACTOR; T|MEIESS PTODETTiCS INC ELDG LICENSE H:AS7Rd ADDRESST 852 Bedminister Lane clTY; wud!q!9!---sTr{Q- zlP:28405 EMAIL AoDRESS: tonv@timelessprooertiescc.com PIIONE: 910-5506359 PROJ ECT CO NTACI PERSON: Anthonv Johnson PHONE: 910'550€359 NEW HANOVER COUNW BUITDING PERMIT APPLI CATTO N WPE: RESIDENTIAL PL€ASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT "Prorect Responsibilit!/' 2o)8-)s9Lz=f,64 Appli.ation Number {office use) APPIICANrS NAME: Timeless Prooerties lnc Date:12-28-17 PRorEcT AoDRESS; 852 Bedminister Lane CITY: Wilminoton 2l?: 28405 SUBDIVISION: Landfall (Reoencv) PROPERTY OWNER,5 NAME: AnthonV and Constance Joh nson PHONE #: 910-550€359 OWNER'S ADDRESS:852 Bedminister Lane ow: Wlminoton ztp:2&405 CONTRACTOR: Timeless Properties lnc BLDG LICENSE #:65744 ADDRESS: 852 Bedminister Lane clrY: Yvihojnston ST: NC ZlP:28405 EMAIL ADDRESS: tonv(Otimelessorooertiescc.com PROJECT CONTACT PERSO N:Anthonv Johnson PHoNE: 910-550S359 EXISTING CONSTRUCTION: D Alteration * Renovation E General R€pairs NEW CONSTRUCIION: n Erect New Residence f,i Addition to Existing Residence n Relocation ...TPI.EASE CHECK AND ANSWER BETOW ALL THAT APPLY TO YOUR PROJECT*T+ n Att Garage {SF)_D Det Garage (SF) _! Porch {SF} I Sunroom {SF)! Pool (SF)n Storage Shed (SF)_ I Greenhouse (SF)tr Deck (SF)n other (sr) 360 f"r'rl z'ill' ls the proposed work chanBing the existing footprint? [] Yes n No IOTAT Sq FT UNDER FiOOF lfot proposed worl<) Heated: 360 Unheated; IOTAL PROJECT COST (Less Lot): S1 0000 lstheproposedworkchanginBthenumberof bedrooms? n Yes [] No lsanyElectrical,PlumbintorMechanicalworkbeingdonetotheAccessoryStructurenYesDNo lftheprojectisa R€location, isthere a Natura! Gas Line on the current site? n Yes n No ls there Eledrical Power on this Building? E Yes [] No Property Use/ Occupancy: a Single Family n Dupl€x E Townhouse Description of Work: Will add eleckical and HVAC to new space (Wll Add 1 straiqht wall in room to closet other wise will iust al, existing* lawsand ordinances and regulations. The NHc oevelopment seruices center willb€ notifled of any ahanges in the approved plans and specificatlons or change in contractor information. "'NOTE: Any work performed without the approp.iate permits will be i. violation of the NC Srate Btd8 Code and subject to fines up to SS,IO.([... t"*3 Owner,/Contractor: Anthonv Johnson Sitnature: "Licensed Quolifier" Ptint Norne ls the property located in a ftoodptain? : Vei6 to// Existing lmpervious Area: Sq Ft Total Acres Disturbed:)New lmperviousArea: Sqft Exlstint land Disturbing permit D yes i No WATER: iQ CFPUA D Community System ! private Well D Centrat Welt fl Aqua SEWER: E, CFPUA Il Commuritysystem [] private Septic D Centratseptic I Aqua Zone: _ Officer: _ Setbacks (Fl _ (tHl _ {RH} _ (B} _ Approval: _ Cityr _ Date; _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _ 5Comment;Permit Fee: LOT #:45 PHoNE: 910-5506359 NEW HANOVER COUNTY DEPARTMENT OF BUILDING SAFETY 230 GOVERNMENT CENTER DRIVE . SUITE I7O WILMINGTON, NORTH CAROLINA 28403 Telephone: 910.798.7308 Fu: 910.798.781 1 Internet : www.nhcgov.com REGULAR RESIDENTIAL BUILDING APPLICATION STATEMENT OF UNDERSTANDING 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 box/boxes below to acknowledge that: tr I did not attach an official CFPUA document that acknowledged approval of the payment made to CFPUA. B I did not attach 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. E I did not attach 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. And because I did not attach the official proof of approvals along with my application for permit; New Hanover County cannot guarantee that the building permit will be issued within 4 (four) to 7 (seven) working days after the official submittal date/time (the stamped dateltime notation made by the Building Safety Department on the application or submiftal document) Signed in acknowledgment: ,,-r"tlr't) i,ff I, Anthony Johnson 12,282,0 t7 Signature Printed Name Date 852 Eedminister Lane Wilminoton NC 28405 \^(l Address for the proposed residential work REcE\llo sEt I5 .r-.*t\,,__/ t.. \:_\ i ,/ rat! l.l i;i ,g$i iii \'.u&{,,/,/\:1!: '/ r${l Qot\-tuZ NEW HANOVER COUNTY BUILDING PERMI APPLI(AII oN rYPr: RESIDENIIAL PLEASE AXSIIER ALL QU€SIIoXS eppLlOrt .ProJect Responslbil. D"rs-fo^ T IO YOUR PRO]ECTt! I APPLICTTIOI.I Nuiber (offlc. Utc) _ DATE: -_-PHOI,IE S: qd ,\2 /^ PRO]ECT ADDRESS: SUBDlYIsION: PBOPERTY d,JNER'5 tTOlE:e ton 'TJ,c nef .PHONE +:lo 6l 2Fq CTTY:sT: dq zrP I 3 LICEiEE f: ACCoUI'IT $: o BLOCK *: PHONE P zrp; a 3 orlNER'S ADDRESS: CONTRACTORI ATT GARAGE fl surunoo'r *-sF GREENHOJSE -- ST ! orr canaoe -. s I noor- - sr ploecr d()D sr TION E poncH *_-* sr I sronae e sHED _--- sF OTHE R: LoT *: -- ADOR€Ss: CITY:aurLaoonrsiffi 5Tr _ ZIP; -1ro btl -135\PRO]ECT CONTACT PTBSON:LT .APLEASE CHECK AIO ATISIIER BELO|I ALL IHAI APPLY TO YOUR PROJ€CI! HoalE * RE LCCAEXrST$,IG CONSTRUCTTON: I ALTERATTON I nelOVlrrOlt I GENERAL REPAf,RS NEI,J COr,lSTRWTr0r,l: f] rntcr NEll RESTDE C€ o" dODrrtr* To E)G5Tr 6 RE5TDEiICE SF f I IOTAL HEATED SQ N: --:.U-* TOTAL 5Q FT UNDER NOOT' d TOTAL AREA SQ FT: AOO ToTAL PRoIECT CoST{LsLd): $ i Ooo # OF STORTE s: sory Structu.el Ll Yes I:l NoIs any ELECTRICAL, PLUIIBI 6 ol" l{EC}lI,lICAr llotk Belng oone If the project is a Rel,ocation, j.s there a Natural rs there Electrical Power on this Buildingl flYes to the Acces Gas L on the Current site? n Yes PROPERTY USE / OCCUPATICYI SIMLE FAi'{TLY JPLEX f-'lrollr+ious; oESCRIPTIoN 0F IoRKI OlSC.l-AuIEAj I hooby co.it n6t oll h b.m.don in 6le EPplctan b co.ri.t 4'd .I F,kr{I codiPly tlo 96D Eqlt hg Clodo o.{ dr ohor sp9r.iU. sttb !.d l0..l la'r,r sd od hond,s 3..<l tosuiorirns Iho NHC D.\.olopfronr Sorei.e Onof $l[ !o nolt l ol a.1y in to spprolod pr6ns. C qxcit aiohs or cllar]lo h c.nrcbr or :onr-rr. iibm.ron. "'NOT€l ho AppltO.ilb Pornibwll !o Ll Vb D Fi.oc Lb lo t500.@" O},INER/CONIRACTOR e"y)r{it Pe,"o.huc wr'o , /"eston -Tro" n.ar SI6MTURE I rs THE pRopERTy LoCATED rN l rlooopunD E vrs EXISTIiIG I|'1pERWoUS AREA: __ 5Q FT NEW IJ'IPERVIOIJS AREA; _Sq FT !.lArER: D creua I cq4wNrly svsreM E PR]VATE I{ELL CEI{TRAL WELL r-tl .(o TOTAL HIST Es DISTURBEDi DISTURBING PEF,JIIT:YES [] Ho City lnpeclion Requreo, 9l &254.00fl1 Ll, APPL]CANT'S MHEI 0EVELoPERi CI;TY: FL@D: _l x 8FE+2ft= SEUER: f] cFpuA E CENTRAL s€prrc f] lnrvere selrrc ! cor4uNrry systEM 'r r s:r,r&qTE P;il,.iiT5 I EqJIRED fOR ELECT,as EgurP, PR€FAas & tllsEtrs '.tPAYfltlll ltElHOol f .*n I cxecx (paYABLE rO NHC)AICqJ$T f] nczvrsr I orscoren ntvIsEo oAIa orltt/r,u,* as,# s,kZCNE:0FFICER I cot,,t,oftt # 11 LIS Cor a,.."^+ " .Li".,,1s o I ' J'r*r, ,rr, ,---i :#E NEW HANOVER COUNTY BUILDING PERMIT APP LICATION TYPE RESIDENTIAT PLEASE ANSWER ALL QUTSTIONS APPLICABLE TO YOUR PROJECT "Proiect Responsibilitry'' $'r7<uno.€ )ot\ -sO APPLICANT'5 NAME:f Datei /2 - 20 - I ? crw: Wi tmm-la'.,N: 2,WonPROJECT ADDRESS; SUBDIVISION:U LOT # PROPERTY OWNER,S NAME oWNER's ADDRESST *i: J r,r ! i e^,-: Nr q7t - rtq c a ztP':2fu1 TICENSE H c30'7 ? *'/(zp, Z&L[4 vt/ 2gDEC t7 tg:l l8t1 6r-\ )iz.n rn o{2 PHONE # CITY J-^C.CONTRACTOR ADDRESS:Mt.\ EMAIL ADDRESS PHON E PHONE ?/o-S3E-1777 ExlSTlNG CONSTRUCTION: ! Alteration D Renovation D General Repairs DdJd*",. +- er.\f.l, NEW CONSTRUCTION: ! Erect New Residence Ea Addition to Existing Residence E Relocation ***PI.EASE CHECK AND ANSWER BETOW AI,L THAT APPLY TO YOUR PROJECT*** tr Att Garage (SF)-fa Det Garape lsF) E Sunroom (SF)! Pool (SF) f ,r'I aOb^-7to'fi 3- q23'l ! Greenhouse (St)_I Other (SF) lsthe proposed work changlnB the existing footprint? E Yes E No TOTAI Sq FT UNDER ROO| lJot ptoposed work) Heated:Unheated:7L*ey TOTA| PROJECT COST (Less Lot): S 9oo ls the proposed work changinB the n umber of bed rooms? ! Yes E No ls any Electrical, Plumbing or Mechanicalwork beinB done to the Accessory Structure D Yes X No lf the projectis a Relocation, istherea Natural Gas Line on the current site? tr Y€sE No ls there Flectflcal Power on this Euilding?E Yes D No Property Use/ occupancy:ff single Family E Duplex fl Townhouse Doc Dn/'- --T Description of Work ls the property located in a floodplain? KYes D No Existing tmpervious a r.r,2"{2b ro.,r. L{ 'N;el? (,t e,/' Total Acres Disturbed: Fl"+o DtscLAtMER: t hereby certify rhat all the informa on in this applrcation iscorrectand all work will comply with the State BuildinECode and allother applicable Stateand local lawsand ordinances and regulations. The NHC Dev€lopment Services Centprwallbe notifaed of any changes in the approv€d plans and specifications or €hange in contraclo. inlormation. "'NOTErA Owner/Contractor "Licensed Quolifie/' performed without the appropriate permats will be in violation of the NC State SldC Code and subjed to fines up to 5500.00"' Signature:A^, L'ltL( )b+r New lmpervious Area:90t Sq Ft Existing Land Disturbing Permit: D Yes E- No WATER: E CFPUA - Community System n Private Well I Central Well ! Aqua sEWER: fi. CFPUA f] Community System Ll PrivateSeptic ! Centralseptic n Aqua zone: _ Officer _ S€tbacks (F) _ (LH) _ (RH) _ (B) _ Approvali _ City: _ Date: _ Flood: (A) _ (V) _ (N) BFE+2ft= Comment:Permit Fee: S lr i o,. 'r l).- PROJECT CONTACT PERSON: ! Porch (SF)- ! storage Shed (SF)- ! Deck (sF)_ t+ AotS:$ NEW HANOVER COUNW BUITDING PERMI APPLICAl lON rYPEr RESIDENTIAL ;'LLA5I ANS\!ER AIL QUESTIONS APPt CABLI TO YOUR PRO]IC' "PIoje(t ResPonsibililY"#-) APPLICANT,S NAME: - BTO-.L PRoitcI AoDREss: - j$3 < -:.-. - crrY \uil'!, r?.j]ha' toT il Date:-/L 2.5 ! 4.-_-ztp: ZLlacL .. It'1 t, t t-Z<.wr 0.t +-lIs"'J..- PROPFRTY OWNTR,S NAMT SUBDIvISION: , OWNER'S ADORTSS , 'r',1):1,'a. PIIONT N 11 ll R):CIIY t'!lhi^#,-- -_ztl :_l')':.1e coNrRACto R .r o-trt,.,r-fJ:2, ADDRtss:-.:.,,|i-L J i' L^) ,,} ,/L> FI,'lAIL ADORESS e e-C., .!'-l /ic<."PEONE ttv'/ )v,'t /2iPROJECT CONTACT PERSON ExISTING CoN5TRUCTION; I I Alteralron ll ltenovntion [-l 6eneral Repairs A'-\r1"lvt"t {" o'f'\'ltl') N€W CON STRUCIIO Nr !l trectNelv Retidence Cl:Ad(hiolrlotristinSResidence [] Relocalron ',.pLtASE CHECK AND ANsWTR EELOW ALT THAI APPLY TO YOUR PROJECT" ' L<jc Arr CaraKe (Sr) ' S,ri,0o,,r (5r ) Dcrcriplion ol work: - D oet cara8e (SFl_--. .I l,ool lsfi : Porch ISf l-. - - ,. i, SloraSe Shed (sI)-. --:.. orhe, {srl,&:4k. /t/e* y LIS-rr#1 D*k-. Grccnholte (st) -,- :l Deci( {5F) ----- ls the propotcd !,rork changirrB the ctistirrg footprint I Ii( Yet il No TOTAT sQ rT UNDE R R ool lJor Ptoposed ytot [) Heatedr---- Unheated: rorAr. PRolEct cosr ltess Lot): 5 I ,t-c1' , Ga Irlhc propoJed!'/ork ctran8inslhcnumberof bedrooni5? Ll Yes J< No l5 nny €lectrical, Plumbing or Mechnnicalwork l)€inB donc to the A'cessory Struclure LJ Yct ,i No lf th! proicci is a Relocation, it therc a Natural Gas tirle on the c!trenl site? ll Yet .'a No rs rhcre tle((fical l'ower on thi5 BuildinE?)g Yes D No Propcrly Uie/ o.(upan(y:,f{ slntlc famllv L-l Dupler n Townhoule 281.,f i lT lt,rllir\ r,, L l .\--Jt o1 C Ir (c,t,ry rhar a !lh. htorm iwrrrd ord'na.ce! rnd,tBU!.lrotr3 Ihe NllC O.v€lopm'nr .opn:re prrnnr! w.rlbr in!ioL.tion ollhr riC Srile gkc Codc J^a nrbi.(r ro ftn'i up tu 55olOl"' -- SiSnaturer nptl(rrra,, ,s co,r(( a.d allworI vll.on\nlv v'th lh. slJlc Uu'ld'nl Cod0 3nd rlr scN,(.t C(,'rer wnl& mnnuu ol a.v (,,4n8€r tr) Ih..nproved plt6!nd tpe'" ( r.rrr61t 9Yf 1 L., o!vncr/Contracto ,,yl l::,,,r-el tr the Irope(y locat€d in a floodplaio? h Ye5 f-l N rr,-q V€r rj Citvlrmeclion Reglreo, 91S254{19ff) Erislints lmpervious Area 2-4'?6 sqtt i .1 .-'l,{ .s1!.lTotal Acrcs oirturbed Ncw rmpervious arca, - 'l-P'a) sq Ft Existine Land OislurblnE Permill i I Yc5 jX No :4 cll,ua 1 Comn\rnrt7 Syslenl '.J Privalewell :l cenlralwell -j Aqua 1>J ct t,urr r-l Co rrunity Systrnr ['J Privale Septrc I ] Centritl Scpli( Tl Aqua -.I) orr'.",,LLF- serbacks lFl dL ltHt u/[ tnnt ]!1\ tst - SEWER $ ?s-,ono, (l npprovat: Q\L city: [)lL{ttate :t tat -- . tvt -l-Lr. trut tJt E+2 ft .li._, co,,."^tfirl8!,(A( rvroq-lEtl'ital mura't Fo- ( 1'gl \)rltL't b!\{r s.[qr,( tt',-\r;:\c-]\,.'t-,r.q (iu,l crl,t tr'[(lti r-, Locotur>'' Dt ( errrrit f ee: S 1L\, -, kc1.n,' cL Co,\ \,ti"r,iLUi'r t.. f\sr''L'ltt.. \ (\id1( ( flilrr:\ ivr-;0[y .\ 6""\tLb* g,Ltrlt ir,r-,vrc-tir.l bu \ L( r'1 t-tL'1.r,' rr( is FLOOD ZONE PHONE 1 ?'t. FLOOD ZONE # t( f,tness Cenk<* NEhJ HANOVER COUNTY BUILDING PERIIIIT APPLICATIoN rrPEr CottllERCIAL PLTASE ANST,IER AIL QUESTIONS APPLI(A8TE TO YOUS PRO]E(T "Project Responsibility'' ?ots 4z APPLICATION llumber (office Ur. ) APPLICANTJS I,lAfiE :YonEeith Cons! ruction OAIEi !1/2a/2O11 OEVELOPER: Lrve Oak BanL CfTY: hrilmlngton PIONE ,: 84r-296-45?4 PRoIECT ADDRESS: 1?41 Tiburon Dr OCCUPANT/8USINESS tlAltE: Live oak Bank PROPERTY Ofl ER, S tIA}tE:Live oak Bank PHOI'IE S: 91C - i95-i5i? ST: ri: ZIP: :i;.-OtlilER'5 ADORESS: 1741 Tiburon )r CONTRACTOR i Monteith Con6!ruct ion ADDRESS: l: N Fiort s! CITY: l,l i I m1r:g r. on LICENSE s: ;1.1-, CITY; wilmingron ST: Nc ZIP: :84!1 ET'IAIL AODRESS:PtOilE [:910-7ei € 101 PlOl{E !i 843-296-4571PROIECT CONTACT PERSON: Thoxas Gore Exrsr cor{srRucrro{: E ALrERArro* 5 ..tffl'lli,EE';l*r. rmarns ! RElocArror{ tf Relocedon, ls rhere a Narural cas L me on the Eirent She? [v"i[lo ts BLDG spRlN-xrfn69r Ives [ru0 r{E}J copsrRucrrd, @ rnecr t'tEtl srRUcruRE [ rur rnlcx I sxer.r- f] urrrr ! aoo ro Exrsr srRUcruRE ACCESsORY STRI,JCTURE : DESCRIPTION OF I{ORK WATER: mCFPUA SEWER: E CFPUA If UPFIT - The Shell Pernit fl: If Yes, what xa' the Previous o(cupancy Typ€? ARCH DESIOi PROFESSIOIAL: LSlt' Is Elect Poxer on this 8ui1dj.ng I ves E tuo tihat is the tler O(<upancy Type? PH:910-791-9901 lic REG A PHi 910-{52-4210 NC REG S *.*+. rs rHrs A cHrlrGE or occupal{cy usel Ivrs t ENGR DESIGII PROFESSIOT{AL: Cheatham & Associa!es 17991,1755a 6,^a^t ""*1,rlr^A^ I prr^,tl r s,,:r. ::.:l.ss ::e:.-.: ls food or bw€r8gss prepsed q s6yod in this s'trucrure? [ ve" f] No b Ths Property Locatod ln The Ftoodptain? E ves E ruo Lln thrs applrsnon 15 correcr a0 allwo.k willco.ncy wiih lhe stale B!,ildrng code and h€ NHC Dev€.loo.nml ServEes C€nrcr wlllbe nolried oi anv chanoes rn he aooroyed"'NOTE' Any Wolk Pedo.rned w/O the Applopnare Permrls wI 6e rn vDlal'oii ol th€l.lC OSCIAIMER: ' herebry clrliry llrat allinfo.malron and lo.allaws and o,dnances ano reo,dalons. 1t charoe n contrrrkx or aontrador rilcrhaton Suuecrlo Frnes Up To$500.00"' cornah Aloortos o. not. Yol, eo r€qulGd to calltte Natlonal EmBslon sirftbnb lor l.azaa(bu3 Alr Polluomr (tlESH P)sr (919)707-550n ben lo drya p.ior ro iha dsrDlrbn ol any tBcliy (, Durkhg. s€s astorror tl&o 9r.: tllp//www.€pi.ndo. rE us/eB/a!&dodshrnp.nmr OWNEF/CONTRACTOR:Thonas Cole MonEeith constructi SIGNATURE: TOTAL PROJECT COST: $5, OOO, OOO BUILDING HEIGHT: 15 '# OF UNITS: TOTAL AREA SQ FT : - - SO FT PER FLR * TOTAL SQ FT UNDER ROOF: 18,504 ,OF STRUCTURES ACRES DISTURBED EXSr I-AND DrsruRarruc penmrr I-l ves I xo NEwlMPERvloUSAREA:-9.1rl.]-5-sQFTExlSTlNGlMPERvloUsAREA: pRopERTy usE: EoFFtcE lnesraunnrr luencerrre leouc Ilcr Econoo oTHEFT parri:, COMMUNITY SYSTEM cENrRAt sEprrc fl flwELL EZONTNG USE CLASS|F|CAT|ON: PRIVATE SEPTIC []COI MUNTTY SYSTEM PAYMENT METHOD: IICASX I cHEcK (eAvABLE To lxcl fleuenrceN ExpREss I ucrursn I orscown (FOR OFFICE USE ONLY)ZONE:_OFFICER:SETBACKS: F:LH:- RH:B:Approval:_ City:_DATE: FLOOD: SQ FT Firn( -- BFE+fi= N PERMIT FEE: O TK Comment REVISED DA]: 1/1l/12 'arg +-7-_r-5F+ ZrP | 2BAt2 C9 #OFSTORIES: 3 # OF FLOORS: _ f Nur A,il(Lss As*ywl bX Dat(6 o3 W ? 12-\h: X -1:lt,rr:s Ce,Jc,,.-X lW*l8ll1l borrn rr RMIT 613/+3 ktt APPLICATION' llumber(ofll(. Ue. ) NEW HANOVER COUNTV BU]LDING PE aPPLtcarlott rYPf; COt'ltlE RCIAL pL(Asf ArislraR aLl QllasTlots lrPll(a3LE r0 Youi tRo)tca "ProJect nerponslbllltY" APPLICANT'5 NA}4E I l,ion [. i th Con.t 1t'cL lorr PROJECT ADORTS l?4 ] Tibulon Dr PtoNE , | 84r-:16-t5?1 55 NAIE l Llve orL Ban! PROPERIY OI,{NER'S NAnE: Ll!€ ont lla,:k (ONTRACTOR : l,i(:r)E€it11 const: \rcL ) Jlr PHONE I: 91n- jra-l€l'r ZIPr:8.Qi PHONE l:9!n-?r1-alCl PHoNE x:8tI.29r|Is?r L ICEIJSE Ti i]JIi, CITY: t{i imingtt-al ST: lrADO8E5S: l:' Ii florr .'it EtlAIL AOORTSS:r.:rf .,r.It.r1l,.o .L: {(n.(r All rhrl Arpiy) ErrsT coNsrRUcrro : I llrenlrrol l--] nrtovlrrot fl celtnlL nepllns l-l RFI ocAIlol! , Rorocsrion, is rho,o a Nar.,ar cas Lrno o, rhe H,"^i i "i n""'il"o rs0rDCspti Ktenttlzf]v". !ruo NrH corsTRuc1rol: I rnecr Hrw sTRU6TUR€ [ rlst tnlcx I snlrr f] uarrr f] mo To Exlsr sTiucTURE ACCES5ORY STRUCTURE: lJ UPFIT - lhe Shell pc.mtt tti - I5 Elect Pot.er o this 8r'ri'lding n Yes f] NO ..... ts 1Er5 ^ cH/\r16E or occuPucY usEl Ivts Bno ""' tF Yc5, rt.t llnt the Previous OccuPan(y Type? Hhat 1s the llet o(cupan(y lype? - pRo] ECI CONTACT PSRSOIII AR(1I otst6I PRoftssrotlA!r l,sl P EN6R OESI6N PROFTSSIONAL Chea rhah & A666ciateB ToTAL ARrA SQ FT: - - - SOFTPERFLR Pll: ,10-?91-9r0i ll( Rt6 {96i1 !?!tl,:,?{ir,:Prr:910-{.,2-li!10 C nt6, i'rrc),.-..-./-.,/Dr scR r pr ror or ro^*, ({i,rrvl,1 lit".o45'fl il n f ,n il pr'rrr ls food or bsv€r8gos p.opotod or so.vod l0 lhb sfuaureZ f]vos flruo ts Ths Proporty Locrtod ln Tlro rloody'ain? [ vos [ ruo conca,rd an olrcr 16r.r!e sl.:! :tj I rr-ory tr(,r,rss c_(|D'"e r O SCtAtMERi I,k,(ur r.nry thrl d'l ,rorn,r'.o,lr.t.rr{,11o,rsco,(Ii Jdlnorlsllcs,l/qrrIr{ ;;r',:iiliii:"111,!15,J$"i,liliJ'H*Xi:""'F.Xljs,'il1ffi,l"i""IJIffi!.iffif[fi;'J$ie],flr" S ,:r,rl I" Ihcs (,r' I o l'r0.00"' IoIAL SQ FT UNDER ROOri 18,504 dOTSTRUCTURES *, OF STORIES: 3 , OF FLOORS:- c YES NO so rr NDO OTHER: ?{ r },.,., PERMIT OWNER/CONTRACTOR:s ool'e, Mr:nroich co struc.j SIGNATURE: loa.r, (Pd iie.i 8or.: Oonolaoi io l\c.tb.t & Ir'.tbr idlovtr romi agy'aaldrt t.lo D. !!!.n&d ushC u. !r'dlc.(b ldm .d'nsrn A5!.$or o. r.r. Yi{ !.r ,.{vl.d to cll t|n Noton ' Enltilo. sr.nd.rdr ,or tulaidarl Nr Pdlrrl! . (NEs d.ndrbn ol sny l..Ir, o. buidn! 3.6 Asb..lo! wob Slio: lrlprk* opl.slsto E ure9v.rb63lot.funP.lrlfli (ol,t5.l7ao) *neole. o$,&Lrry o. di,l.g *!3lrcln, & rvo) d (0 r 0)707.59ao r1 ro!.r 1o 6ay a xrq ro lr'o tO.lAL PROJECT COST: S5, 00,0 , 00 0 BUILDINGHEIGHT:45'S OF UNITSi-,-"{-4. AC'1[S DISTURBEO NEW I'"tITERVIOUS AREAJ ( 1,9t5 pRopERTyusE: florrrcr [nesreunaxr [ueRcnNr[e [eouc lerr [co wATeR: fZC,:t'UA SEWERi ACFPUA 1FOA OFFICE USEONLY) EXST LAND DISTURBING PERMIT? SO F-T EXISTING DTPERVIOUS AREA: EcoMMUNTTy SYSTEM flwELL IIZONTNG USE CtASS|F|CAT|ON: DCENTRAL SEPTIC LI PRIVATE SEPTIC f]COMMUNITY SYSIEM eAvMENT METITOD: ECASH ECHECX IaAYAaLE TO NHC) f]eUeRrCl,N exenesS ! rilCmsn florscoveR I;;;""zoNe,O*l'L OFFICER ,ffb Appto],ot: Ok _ Clty:-lL fn-oAIE q6/4 FLOOD:_SETBACKS: F:__#_lx. # nH, )1 a, *x BFE+2ft= Ecomment K cm,ln:peclion Requrteo, 91 0'254 099 1u;34:€q- D^IE: )-.:J:J9?!!!_ CIIYi Hrlilnrlcr: ZIP:.ei:: ol.lN€R's AODRESS: lTil rtb\rlcrl l)t, crTYl l:lg].:1:1l- sT: i- zlP:l:gLl!- ef,u o9Y - (8it it Lruvov^, ))v lft& k+ "Y Pncl fur,lc--( \/nyy4_iary L7 -3697 #a flF NE],l HANOVER COUNTY BUILDING PERMIT APPLICAITON |YPEr COttflERCIAL ,ttA5a ArJtrJtft rtt QlasTlolrl APPIT(Astt I0 Yout Plo)Ict "P.oJe(t ietpontlblllty" APPIICATION Number appLt(ANI/S NA]{t i r:ootcirh conotlucLlon DAIE: -:-ll:ll3}Il- 0tVlLOPtR: l,rvo crl B.rt lRo)tCT aDD8l55 |CITY: Ni I0j qLn,,zlP | 20t t2 OCCUPANI/8U5IN['S flA}tI : pRoPtRTY Ot{Ntfl '5 llL}l! r PlloNE I I 5T !c zlPr:0r1: 5It ric ZIPr 28{01 or,JHr R ) 5 ADOIitSS:CITY: rl Ii ili(lLoI (Ol/TRA(TO8i ir,11r.lr h coIuLt (t lon tICtNSt l: ,tl'l)e CITY: trl lroln.rLonA00RtSS: i: rl rroxl s! l|lAll. ADonfSSi t,roro1}Norlcltl,co cor' -PE0ltCl COkTACI PEXSOIJ: Tr'o ru Gotc Appr t_ciry,t^ I TE PlloNE lr e (h.(\ ill rr.l rrlr) lxrsr (oNsTRUCrro : I lr.rtnarrol ! ttrcvlrrol Egnr*na r:reIns I REtocATtoN llRolocallon. is llroro 6 Ndlu,alGus Llro on lho Cu,fe1l Sile? LlYes LlNo lS Bt.0C SPtllN(LIRCD? l-iYos [--J No firl,i co srflucrror{r E tnecr leu srnucrurr !rlsr rrxx ! slftl I ulrrr ! ADD To ExlST s]RUCluRt A(CE5sORY STRUCIUSE i rf uprrT - Thc shsll Pc.nit ,i: - Is tle<t Por.. on tltis Building ! vcs I tto t...! rs Trrs a orarcr or o(cuparcy ustl Ivrs fim '.... Pll0Nl n:64!.196.4r7t tF Yca, !h!t vrr lhc Prevloug o((up.n(y IyPei uhit lt the ler, oc(up.ncy rypel _ DE5tG{ P80f tt5IOl{Ati l,r;ll fti6n art5I6,t fRotESSlo,lar:aIo.r.l!rn, , nu so.l,r I '!i prlr !10',i5r.,t210 tia flI( rl t /tr)l'/c5 uE SCRIPTIOIt O' l,lo8K lJ ',II O\!NETVCONTRACTOR 'I lror,r'r (;or,:, r4onr.cl t h consLrucL J SIGNATURE IoTAL IIRoJECT COSI| $9,000, 000 sUtLotN G I]EIGI]T:n!,,f OF UNITS: _ Exsr r No Dtsr unBrNG cr:Hr,,rrr e I ves !no EXISTINO IM''ENVIOUS ARIA:SO FTNEw rl,lPlllViOUS AREA 6r soll I'fiOP{:'I'IY USE l---loracE EREsr unaHr lurnceHtrre leouc [err f]coNoo OTHER: Pr, ti,,s, Fir r! tro' '. le lood o. b€vGr6gor paop6rod o. 6o.v6d ln lHt alrucluro? [Yos IHo 16llo P,o9!rty Lo$tod ln Ths Floodgloln?!v"' Iro 0lSCl eH' lr,t(,1/ c(rl,ly U i I all n rrorlrlll'o.l hl tlts 0Pr/ id irl,.^! d^, u,lii.rcr ,'xr r.{LlulrsD Ilo NllC l) ',, rlJr.r racNr(t/ or cuol,,1.ro. irdnnlon. "'NOlrsulrrfllo r @rUr Ioltoo.oo " t l{olo.rsco o(lido!Nr$1I(vn'llywrhllosrJlctlulJrqlcoroo"!,rlrol.,ultum."r Srd:..s C.nl.r Mlltn rE"lc'l ol3,,y (\a 'o.11,r lho dr{,fr.drL1n!, r9/@l l).r',r.n\od W! ll.o ^tt,ot,'r'r l,cx",hv,rll6r a Vdaran ollho)r(, s urarn arr!!io! o{ r,r Yo! .re r.qurod to cdl rll. Nsrkn6r Er'$rlo. &r'd.rdr d tht r&{r rJ, tldhrlns lm srt P) .l O l9J ror.ag', r b.rr 10 d.yt o.ld lo rln oi,rdirb^ ol .^, rr(lr, q !ordl{. s.. aLrllr w.b sn i nDr/wiw,rc id...r ut .rvtrDorlt orfp.hrrl 't'x<;')\/.'x ToTAI AREASOTI 1oo .'nt SOFTPERFLR,roLi so rr lrlocni-oori-]'I/a - r or srn;crunEEi-,-.Y-a or sronrrs, fl ot: t:LooRs: 4 v/ IERr ZJCFPUA sEwER: ITICFPUA nCoMMUNIY SYSTEM TIWELL DZONTNG USE CLASSTF|CAT|ON. lJcrHrnat. seerrc I crrr-verr srnrrc 6E6uuurrw svsrr:u PAYMLNI MI:TIIOD ficesrr flcxe cx pnvruLE ro NHc) !^MERTcAN ExpnEss flMc^,/tsA f] orscoven zoNe: 0r l'(cD) OFFICER:lr -x_El2n= I1: t,L -ll\.\Lrttc'r1 brr Com o tl PERMIT FEEr $ PlloNE I : 3 i :r . 2 9 6 . ,i 5 '/ .l Pll: rI0'?r1'rr0l ll( Ilt6 tr 965', ACNES I)ISTU'lOED:- Na^^i frj"*-ss x AC k/yDe*4 qSsr V\ r\rn \"L hcltu\l \q\\T#t ft-Y'" PRO]ECT ADDRESS OCCUPANT/SUSINE NEI{ HANOVER COUNTY BUILDING APPLICATIoN rYPr: COiIIIERCIAL PLEAsE ANSIJER AI.T QUESTIONs APPLICABIE IO YOUR PRO "Project Responsibility" PERMTTaBe]E(T L7 -3697 IZL-ow APPLICATIOiI llu ber APPLICANT,S i.IA,'IE: I.1 teith ConsrrucE ion D€V€LOPIR: ;rve k CITY:14q1qq!qton (ofti.€ Use) DAIE1 1r/20/2o7 t PtDl{E r: 8.ir -296-457.i uron Dr Live Oak Bank PROPERTY Oi ER'S llAtlE: Live oak Ban|.PlOl{E s: 91r-r95-1647 ST: Nc ZIP: 28401 PI()NE s: 84:-296-4s?4 ADDRESSi 3: N Front sr LICE SE $: 43:te Exrsr cor{srRucrro : D ALrERArro{ A *.,ffffi'tiE1i".^. reerrns ! RELocArri* ll R€aocdoo. is rhere a Natural Gas Line on rhe Current Site? ! ver ! Ho tS ef DG SpnlNfltnEpr I v". I uo Ell cor{srRucrro{, @ enecr Ex srRUcruRE ! rAsr rmcr ! sxru ! urrrr E oo ro Exrsr srRUcruRE ACCE5SORY STRUCTURE: Is Elect Pot{er on this Eullding E Yes E HoIf UPFIT The shell Permit f: ',..* rs rHrs a cHAr,rGE oG occ(p cy user lves ! IF Y€s, rrat vas the Previous oc(upan<y Typel ARCH DESIGT{ PiOTESSIOI{AL: LS] P hltrat is the 16{ O(cupancy Type? PH: 910-?91-9901 tlc R€G f: 9557 EiIGR DESIGII PROFESSIOIAL: Cheatham & Associates DESCRIPTIoN OF WORK: New 500 s a!ki TOTAL pRSJECT CoST: $ 9 , 0 0 0 , 0 0 0 BU;LDING HETGHT: as, SO FT PER FLR PH: 910-452-4210 [C RtG f: 1?59] 0 ls ,ood or bov€€gss F€pa€d q Edyod in this stuctroZ f| v". [ ruo h ffro Prop€rty Locdod ln Ths Roodplsio?[v"' f] ruo DISC|AIMER: I hereby cert ly lhal all rnlormalron in and local laws end o.ctnances and reoul8ttms The or chanoe n contactor or contJaclor filonnalion "' Subiedlc F'Es Up To S5O0 00"' this appllc€tlon is clrect ,r<, all $/o(k will comdy with the State Euilding NHC Develoomern Servlces Cenler lMllbe noi red o' anv dlanoes rn theNOTF Any Wo Perform€d WO the Appropnate Pemils wll6e rn Vda Code and all olher applrcable Stale SIGNATURE: coflrstr As!.3ros o. nd. Yoi, srs rcqrrcd ro call th. Nation6l Embslon S!.ldud! h. Hradoo! Al Pdfnrrrs (r€SH.AP) n (919)707-5960 i t .n 10 &ys p.lr lo E domottion ol dry lbclty or oull(,ho, Sao Arbodc wtb Shr: hnprlrww.opi-$ato.nc.ur,/opyalbesto3/ahmp. mt TOTALAREASO FT. . (', !]: TorAL so FT uNDEq p96p' ivTA # OF UNITS: l(*orsronres, + # OF STRUCTURES ACRES DISTURBED Exsr LAND DrsruRsr.lc peR[4[r l-l yes I ro NEW IMPERVIOUS AREA: .i SQ FT EXISTING IMPERVIOUS ATIEA: pRopERry usE: EoFFaE f]nesreunan-r f]uenc*rnle fleouc [aer lcoxoo orHER: F]rll WATER: ZCFPUA SEWER: m CFPUA SO FT f]co truNtTy sysrEM flwELL [IZON|NG USE CTASS|F|CATION: LJCEMTRAL SEpflc LIPR|VATE SEPT|C flCOrrMUNtTy SYSTEM pAyMENr METHOD: ICASX [CxeCX lenVmu rO Hxcl f]ruentcAN ExpREsS I UCnaSa I orscown (FOR OFFTCE USE ONL'oATE &1 2ZONE:OFFICER:_ SETBACKS: F:_LH:_ RH:B:Approval:_ City:DATE:_ FLOOD:$lBFE+2fr= N PERMIT ,[ule rdntrW D : ..1 : : Comm€nt FEE $ w NLY H \^ ZIP | 2a4)2 OI*{ER'S ADORESS: 1?4r. TibqlgIr Dr CITY: wi}rninslon 5T: NC ZIP:28412 CONTRACToR: Monteith Construc!io;: CITY: wilmr.nqron EtitAIL ADDRtSS: lqore4monLeilhco.con PH)NE S: 910- /91-8101 PRO]ECT CO{TACT PERSON I -{ OWNEFyCONTRACTOR: rhomas core, Monte i th consrrucr j f # OF FLOORS: _ ',. . . ,';. ,#, ?ott- l3s NE!{ HANOVER COUNTY BUILDING PERI.,IIT APPLICATIdI rvPE; COi{tlE RCIAL PLEASE Ai{5IER Atr QU€SIIoI{S appLI(A8LE TO yOUn pRoltcr -project Responslbi}Ity- APPLICAT,IT' S t'IA'.tE :a (^u e-fr\ r, PROJECT OCCUPAiITIBUSINESS iIAfi E : PROPERTY 09 ER'S M'IE: L ffi48+' AFFTa?IAr umbcr (Offtc. Use) oarc: t2-1-11 _ Pro E a:lo-- tzorc l,IP: Z8409 lJr IrJ(figrJ s.4 P}[XE S: ST: 9ts- q"1O.cpe4 llZtFWDu 'o'fiEi, s ADoR€sS: E o.l6l5c) COT{TRACTOR:5c ADDRESS I EI.IAI L PRO]ECT CGITACTJE NoEl,l co{sTRtrcTlotil: sr:t*lLzIP: Z&4Af* 7-fo -zq,E--4(**t1ln -4\l-4rL r -rr LICEISE f: . CTTY: 74a4 t C,q r,t co ((heck All rhst apply) R ELOCATIOI{ n ERacr r{E}l sriljcruRE n FAsr TRACK D sHEt L n upFrr E ADD ro Exrsr srRucruRr PHOt{E ExIsT cO STRUGTIo : EJIf Relocatron, is there a Natural ALTENATIO Gas Line on $eEJ REr$VArrOt n GE ERAT REPATRS nCurenr Site? f . yEFf No rS groC smJl.l KLEREDtr_ yes[X, hlo ACCESSORY STRUCTUNE: If UPFIT - Ihe shell Permit #:ls Elect Pruer on this Buildlng lx yes r No*.'.. t5 tHrs A cHAt{GE Of OCCUpA!{CY usE} _ t{iat is trY€5 rR he Lel. OcclpancyIF Yes, uhat rras the p.evlous Occupancy Typet IISi?orsro, pRoFEssroxaL: ?6[(tE,-pri: ? o-Z?7-9!iibrc REG *:886{EI{GR DESIGI{PROFESSIO AL;_PH:iK RE6 *:- DESCRIPTION OF $ORK:N g]p fr-stP,16 Pr1r-,.q OWNER/CONTRACTOR: {qEsr)SIGNATURE t{olei D€molition edricslioos t asb6d6 reirEvstparmil 316 tO be Subrnitt€d lsirE lhe apdlcat,on fofm IDH $hethsr ih€ hciliry or buitding y6 hJnd tocontein Arbado3 or not, you ar6 6qut.od b cr{ alo Nai6}sl H5-3768) den'oHbn of afly fettty o. hi|dtno S6e Astesos Web S,rsl E rtasiri Sterldar(ts b, Ha:sadoJs Alr fuilut nts (NESHAP)€r (919)7075950 d t€e$ 10 drys p.ro. b $enc.usleprasbe9odahmq,html SQ FT PER FLR # OF UNITS:BUILDING HEIGHT r or srRucrunE-# OF STORIES: # OF FLOORS: ACRES DISTURBED: NEW TMPERVIOUS AREA_ so FT Exsr LAND Dtsrunaruc eenurtz f vrs I r,ro EXISTING IMPERVIOUS AREA:pRopERry uSEi floFFlCE flnesreunnrur f] MERCANILE SQ FI ED APT CONDO OTHEI WATER; SEWER: SYSTEM fr SFEUi E 3P$liH'+3I3'ffi ffi,[F!,".,,. -. SEPARATT PIRMITS qIOUIBFD fOR ELECI MTCH, PLAG GA n zoNtNG USE CLASSTF BToMMUNtTy S EOUIP, PR€FABS 8 INSEFTS ICATION NComment OEVELOPEN: IOTAL PROJECT COST: TOTAI-AREASOFT: - TOTAL SO FT U NDE R€--O6?:- ZONE: Yeslft No ls The Poperty Locatad h The Ftoodptainf_ ye{-_ RHB PAYMENT METHOD: ;- CNSX I-CHECK (pAyaELE r.O_NHC) r- AMERTCAN EXPRESS t-_ ercnrrsa l-_ orscovsn(FOR OFFICE USE ONLY] PERMIT FEE: I $.,5 -Aolt-/3sF-! A rtl F\ -t^lt tfrLq..rLJL' 4rJr$U, NEW HANOVER,,COIHT"V.BUT LETNG " "PERMI T LH88.1.-. APPLI.ATI1N ItrPEr Coltl,lERCIAL Pl€ASE AtSkER ALt QUESTIoNS APPLICABLE iO voUR pqolt(I "ProJect Responsiblilty" S NAI4E r C*u qr,t:l\.,L .DATE: AFFITEET:O.N Nulllber (off1(e Use) t2-4-t*tAPPLICANT' DEVELOPER: PNO]ECT AD .o.raio A5borlos o, nol, daDolrliolt ol Boy (3cllry TOTAL PROJECT -PHoNE *r ?l (]-tr9 - lzos HP" Z t< og s^4OCCUPANT,/BUS1NE55 IIAME : PROPERTY OI.' EN'S iIAIitE : OWNEN'S AODRESS cor,iTRAcIoR ! 5t Rr:ra 6l C3. r-o AODRESS; EHAII" ADORESS: PRO]ECT CONIACT PER H lL.pr r.J(tts4 LICETSE f:14t,4t . CITY:\d,r.-!rt LT\,.'. STINCJIPI z&4al C,(5I)ao P E i:a\ .., . PHotlE *: ENECT NEI,I STRUCTURE FAST TRACI(f] SBELL f] uprrr E ADD ro Exrsr srRucrunE PHONE T: 9T: 9ts- btt -9884;tzrplzg4$ts ' 66f5tt EXISr CONSTRUCTTON: EJ ALTERATTof{ lf Rclocation, is there I NaluralGas Line on lhe (Chect AII That Appty) l5<l RENOVATToN r-l GENERAL REparRs f-l RELocArroN tirrenr sirc? T.\Gif .No rs oLoc sph-iirxleREo?T _ yeslx F-ro No El.] CoNSTRUCTIoN I L l ACCESSORY STRUCTURE: Is EIe(t PoBer on this Buildhg lX Yes f, N0 "r.. rs rltrs a CHANGE oF occuPANcY usE?f YEs R N0..... IF Yes, what uas the Prevlous oacupan(y Type' Hhat ls the- NeLr O(cupancy trXtfi ?rusr* rnorrssrorul: f6[ttja-o-29?-157or REG ,: 8664€NGN OESIGN PROFESSIOI,IAL DESCRIPTION OF WORX: OWNER/CONTRACTOR: (Qlol,Is,) Noloi Oenroilion nollcauons & atibaslos . Pll: N .PH Nc nEG #r-- flss !r**r IOIAL AREA SO FT : NCS F srRUCruRESI- ExsT LANo DlsruRBll'tc crnlarT? _f-ves fi Ho SO FT EXISTING IMPERVIOUS AREA: ooF; zorue: M X OFFICER: approuaTlll[-- city;DATE Comment SIGNATURE {!nd !m) rornowl po.mh eppii63uon3 aro to & su&nlt6d l,lsino fte appricatbn rorm (DHI]S-3766) v?nsrher $e tscility or requ rod lo csll tho Nallonal EmlsslonsEAd31d3,Or tlarrrdous Air Polluronrs (NeSllaP) al {919)707-5950 ai le!$ 10 days pr,or ro th€Asboslos ll/ab S e: htt .ugeprasb€sloyahmp.hlml €ff&nresd{\oED x UILDING HEIGIlT: SO FI PER FLR; The FloodptainlX:, TOTAT SO FT UNOER Rt"lnt l, ,,\rf." r.'- AC(ES rirsl0HBED: ' ) WATEII: SEWER: SYSTEM mE CFPUA CFPUA TI COMMUNITY SYSTEM T1 WELL n ZON,NG USE CTASS|F|CAT|ONE CENTRAL SEpTtc fl pmvATE sEpflc 3iComr,lururrv pRopERTy usE: f]orFtcE ! nrsrnunnNr f]lreRcnnrlrr!.EDUC CONDO OTHET ','sEPAltAI€ PfnMllS nEOUtnEO fOR EIECI, Mgctl p!Bc, cAS EClUtp. !,,lEfAaS a TNSERTS PAYMENT METHOD: Ti CASH T;CHECK (PAYABLE TO NHC) I _A^/E (FOB OrFlCe USE SETBACKS FLOO RrcAN EXPRESS f_ ru l.!i\ nxs/r,. MCfflSA r: DTSCOVER ss/N. arEiT-n,14_fogu &l r tJfiz4 fi el^ JYrunj 0u IILULL 4lu-Brs 'ahwfi'L N - PERMIT FEE:II t'/ A't "t\wJ Ut C{ fio tr?ot, ro Qnv ff $5? z- If UPFIT - Tha Shell Permit #: NEW II.4PERVIOUS AREA: { OF UNITS: # OF STORIES: # OF FLOORS: '..- Clea. Fcrm Print eMail NEW HANOVER COI'NTY BUILDING PERMIT APPLICATIOIT TYPE.. COTi'iiERCIAL PLEASE AIISI{ER ALL qJESTIOT{S APPLICABLE TO YOUR PRO]ECT "Project Responslbility" "),01t lfiL7-+06 APPL-faEi-roN Nunber (Office Use) PRO] ECT - 2131 S 17th Sr wj lmingLon NC ZIP2.B4ai OCCUPAT{T/EUSINESS t{AfiE: Behaviora} Hea-Irh gosDi-.al PROPERTY O}'INER'S I,IAfiE : O NER'5 AODRESS: 2131 COi{TRACTOR: Bun-!-price rn. ADORESS: 1i8 sebrel1 Ave E AIL ADDRESS: huntprice0ec. rr. com New flanover Re ional Medical Center - PHOI{E f: 343-too0 TYI wrr,ninqtol,ST: ^-c 7lP..294gy 5T: N6 ZIP: 2s463 - PHO E *: s7o-252-;i- - PHONE LICE SE *: 436s? CITY: wilninqton PROIECT CONTACT PERSOI,I: e,-6" pri."*: gto-zez-lqiz (Che{k A11 rhat Ap?ly)Exlsr c$lsTRUcTIoN: fZ ALTERATTOU n RETOVATIo{ fll, Relocation, is there a Natural Gas Lin€ on lhe Current Site? f Yes GENERAL REPAIBS N RELOCATION f-_ No ls BLDG sphTfuKLERED?r _ yesli l, oNoNEH CO STRTrcTIO :fl EREcr NEr'i srRrrcruRE I FAsr rRAcx fl SHELL n upFrr n ADo ro Exrsr srRUcruRE ACCESSORY STRUCTURE; Is Elect PoHer on this Building lf yes r-. NO *'**'it* r5 THJS A CHA|GE OF ()GCUPA CY USEI r yES r. iO ,r**** IF Yes, Hhat wa5 the Previous Occupancy Type? _ trhat is the tter Oc(upancy IXBE'orrrn* PR'FEssroML: n, a NC RE6 S: ITC REG f:-ENGR DESIGI{ PROFESSIOIAL:- PH PH DESCRIPTION OF WORK in existj.ng mechanical room, build wall and door to create separate storage ls food or beverages prepared or served in this struc{ure? T, Yesl. - No ls The Prope.ty Located ln The Floodplaini[- _ yesfi _No9s?!tlEl ll9,"b_Y g]rtiry lhat aI inJotmatiofl in thb appl;ceuon b coned and all work willco.rply wirh rhe Srab BuiEing Code and afl otier apptkabte Stale or chano€ in contraclor o( contractor inlonnato,r. '-NoTE: Any Work Perfofmed wo rhe &propriAa Pennjts-w-itJ i,6t-af55;l tii l,i-C5;i,idlt"s'i;iEHr'aSubiecr-to Fries Up To 1500.00"' OWNER/CONTRACTORT ar.rnt-price rnc TOTAL AREA SQ FT : 155 TOTAL SQ FT UNDER ROOF: 2e6 ACRES DISTURBED NEW IMPERVIOUS AREA: PROPERTY USE [oFFtcE I nesreunelrr I WATER SEWER SYSTEM CFPUA CFPUA E COMMUNITY SYSTEM CENTRAL SEPTIC ZONE: OFFICER SIGNATURE: Lry{p # OF UNITS # OF STRUCTURES # OF STORIES # OF FLOORSI EXST LAND DISTURBING PERMIT? -T YES -T NO EXISTING IMPERVIOUS AREA: MERCANTILE EDUC[-1eerl-l coNoo orHEr 51o56qs coftain Asbeno6 or nol You are roqrircd to call rhB Nati,onal Emission standards for Hazardous Air PoltLrtanrs (NESHAP) at (919)707-5950 al l6ast 10 days pflor to nh€d€molirjo. ot any facilily or building. 3€6 Asbeslos W€b Sire; TOTAL PROJECT COST: 5ooo. OO BUILDING HEIGHT SQ FT PER FLR: SQ FT SQ FT N WELL Tl ZONING USPRlvArE sEpTlc B?oMMUNtTy SETBACKS: F E CLASSIFICATION l) PAYMENT METHOD: T CASH I- CHECK (PAYABLE TO NHC) T-AMERICAN EXPRESS T. MCA/ISA T- DISCOVER(FOR OFFICE USE ONL' Approval :_ City:_ DATE_ FLOOD BFE+2T1, N-. _ PERMIT FEE: I Comment LH RH APPLICANT'S NAiIE: Hunr-price rnc _DAfEt 12-1s-2g11DEVELOPER: : - If UPFIT - The 5he11 Permit #: Clear Form Prlnt eMall NEW HANOVER COUNTY BUILDING PERMIT ,PPLTA| ION TYPEJ COIiMERCIAL PTEASE ANSHER AtL Q(,ESTIONIS APPLICABI"E TO YqJR PRO]ECT "ProJect ResponslblLlty', Sorr lffi -+7"=fo6+ AFFTftTTTON Numb€r (offlce Use) APPLICANI'S l{AllE: Bunr-prtce rnc -DATE:12-19-2s17 DEVELOPER: PRO]ECT PHoNE $ri zt3t s rlth st Wllminqlon NC ZIP I zB40l ST: Ng ZIP; 2s493 - PHONE fl: gLo-262-3412 . pHoilE si gto-262-3412 CONTRACTOR: Hlnt-price Inc _ LICEiISE $: ql6s.r ADDRESS: rte sebiell Ave - CITY: pil^in ton EI4AI L PRO] E I hurL riceOec, rr. con CT CONTACT PER OII: wg5 galss Exrsr coNsrRucrroil pl ALrERArror 1-1 *rnJifiil6'ni 'fi?t'il*ot REpArRs fllf Relocarion, ls rhere I NaTIEI Gas Lin6 on thst-urrent Site? T - \Gi f _ No tS ALOG SpEf^l RELOCATION KLERED?T- Y€s|i }, 0 No NE[^J coNsrRucrroN: fl EREcr NEr,l sTRUcruRE E FAsr rRAcK EACCESSORY STRUCTURE: SHELL n uPFrr I ADD To Exrsr srRUcruRE If UPFIT - The Shel.l Permit *:Is Elect power on this gulldlng lf. Yes F. tlO r+..r rs THIS A €HAI{68 OF oCCUPANCY USE? T yfs li. NO ttrr* fF Yes, rhat was the Prevlous occupancy Typel _ trhat 1s the New Occupancy TvDe?ARCH 0EsIGI PROFESSIONAL: n/a . PH; . PH; NC REG f: NC REG lt: - ENGR DE5I6N PROFESSIONA!L DESCRIPTION 0F hlORK: in-liiIlfll--tnq .""r,anicar room, bulld lrsl.l add doot co create sepalate sloraqe ls food or b€vorages prepared or sorvod in this structure?T- Yoslf - No ls The Property Localed tn The Floodplainif- _ yesli _NoDISCI'IIMER: I horeby cerlify lhal dllnlormaton ln lhis spplbalion is conocl €nd allwo.k witlcomply wilh lho State Buiidrng Code and allother appticsbto Stats Ai3;8ffilii-;BXl#ifJi?ffi3*"1?"?l",X"Jl,"dJ'l?'il89&',$Wffll:#ffiS93:iylUT,J#i3'""J#{"ti,T""?JUts;?f&"e',f"fl"iBfl"'Effi::X"J"'.Subjecllo Fine3 Up To $500.00"' OWNER/CONTRACTOR: Hunt-price rnc SIGNATURE:(oodllo.) (p.h[t.oo) l.loior O6molilion nofiic€don8 l! 6sbo6bs r6movsl porml appthoiong sro coniain Alb€sto3 o. nol. YolJ !.a roquirsd to asll lho N6nonsl Eml6sion st domolilbn of 6ny facllily or building. S€o Ab€stos Woq Site: to bo submitred usinq tho appltcaUon lorm (OHHS-3768) wholher lho {adtityor buitdinq wEs tolnd to andrrda ror HBza.Uous Ai Pollutsnls (NESirAP) 6t (919)707-5950 !r t€a6t t0 days prio. io tho TOTAL PROJECT COST: 5ooo. oo TOTAL AREA SQ FT : 155 TOTAL SQ FT UNDER ROOF: 2Oo # OF STRUCTURES ACRES DISTURBED: BUILDING HEIGHT: SQ FT PER FLR: NEW IMPERVIOUS AREA SQ FT PAYMENT METHOD; T CASH lr.Cnrcr leevaelE To NHC) T_AMER|CAN EXp ZONE [.f- onrrcen, (FOR # OF UNITS: # OF STORIES: c Or TLOORS: - EXST LAND DISTURBING PERMIT? -T YES .T NO EXISTING IMPERVIOUS AREA: E CLASSIFICATION RESS T- MCAr'ISA T-DISCO R SO FT PROPERTy USEi nOFFtCE I nesrnunerur MERCANTILE EDUCflaerfJcoruoo WATER: SEWER: SYSTEM CFPUA CFPUA r-l coMMUNtrY SYSTEM r't WELL flcENrRAL sEplc EI pRlvATE sEplc N ZONING US 3?ouwtur.rrw City DATE LH,llfA RH BdL BFE+2ft,fleo r(A|c# Approval N _ PERMIT FEE: Itl No No (L Comment € Clly lnspecti,on Requreo, gl &254.0gfr1 tffo*No 6rv4 N ffi OCCUPANT/BUSINE55 NAi'lE: Behavto.a.L Bealth f]osp!tal PROPERTY OWNERjS t{AflE: New lanove! Reglonal Med.ica_l centei - PHONE S: 343-7000 ot4,NER'S ADDRESS: 2131 s ST:;--zlFl;;;;i orHEl-:!9gg:-=