FEBRUARY 26 2018 BUILD APPZet&fi{o
l.-7=38OOt
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIaii TYPE: CO{IiERCIAL
PLEASE A^ISU€R Ar"L QUE5TI0 5 ApPTICIBIE TO yOrR PROIECT
"Project iesponsibility,,
,t-aFpli-plrcarror
Number
(OffL(€ Usc)
APPLICAI{T'S lUl}lE: paul gatrz, ArA .DATE: 11 22 / 20t1
DEVELOPER !
PRO]ECI ADO
Irane T don PIOllE *:910-508-71j8
ZIP : 2a4\l' 7150 Markee Street (suite l5ll)
OCCUPAI{T/BI StllESS Ar.lE: snooghie Kins (sK1617)
CONTRACTOR: rBD
ADDR€SS:
l{ilnington
1*ol!11 (}' E8's uulE: Hal'pern Enterprises (AEtn: Dan Gasne) -OSIER'S AIDRESS i s2oo Ro.rrelt p6. Ns -----. m ng15ng6
PlXnlE S: 170-5os -3322
5T: GA ZIP:
5T: ZIP:
PHONE S:
PHO{E t: 330-6s9-3161
CITY:
PRO]ECT CONTACT PERSd{: Poul wal.Lz (plan Reviei{)
(Ch.ck AII Init Apply)Exrsr coitsTRtKTror't: fJ ALTERATTo
It Relocalion. is thote E Natural Gas Lino on the
N REiOVATIOI T-] GET{ERAL REPAIRS T--l
bJrrent Sle? ; H;- Ho ,s slrc "rH,No
I'lEI.l CONSTRUCTIOTI :f] EREcr rEH srRucruRE fl FAsr rRAc( [ sxrrr n uPFrr fl aDD ro Exrsr srRUcruRE
RELOCATION
KLERED?f-_ Yesf,
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permlt #:
OESIGI PnOFESSIO{AL: paul David walrz
Is Clect Pouer on this Buildlng r Yes r
^ PH:330-6s9-:rer tE REG r:11s26
ry D Miterko-023560). P[l:330-659-6588 NC RE6 #: o3 9 g3.t
NO
rrrrr rs THrS A CHAI{GE oF occuPAllcy usE?f yEs l-i tlo '....IF Yes, llhat was the Pr€vlous occupancy Type] _ Bhat is the Nex Occupancy
Tvo€?ANtH
,
€N6R OESIGN PROF€SSIOIIAL l- Guy H j.ck6 (Jeffe
FiE out of neir 1,082 SP Smoothie King in and an exist.ing ahe11 bui.lding
ls food or b€verages preparod or served in this structure?f-. vesf-- tto ts The Property Locared tn The Ftoodptainf - ve{i_
N8"*,ua", , *.o, ""nt th.r ot ffirradon h th€ stal€ Suildin! Cod€ 6nd6nd bcatlaws 6m ordnrncos rnd rlgub0ons. TIE
or chanqe in cooraclol oa coalractor hfotrmaton, "'Subiecrlo F nes Up To 1500.00*
all olhor applicabb Slate
ohng and so6dfralonsNC StBre 8{dg Code andol the
ONTRACTOR: uane rr SIGNATUR
contajn Asbo6to! o. nor. YC,., r€ rcqolrBd lo6E tha ildd5l Enttlbo $rfirardr h( HElrdour A& Po[6a r (N€S]AP) !l (919)707.5050 at ba!, 10 daya p.ro. to dr6
damolilion ol any ta€llhy o. bdldioe, Sao A6baabs W€b Sn6: hlp:/lvrrvu.6pt.gLlo.nc.urcpt dlaesbJshmp.htrl
TOTAL PROJECT COST: 175, ooo f OF UNITS: 1 of 6
TOTAL AREA SQ FT : 1, 036 {renanE)SO FT PER FLR: ?,43e (btdq)#OFSTORIES:1
1,036 8OF STRUCTURES: 1TOTAL SQ FT UNDER ROOF
ACRES 0ISTURBED: o
NEW IMPERVIOUS AREA: 6
PROPERTY USE
EXST LAND DTSTUREING pERMrl? Ji yES r NO
SO FT EXISTING IMPERVIOUS AREA:
f OF FL@RS I
APT CONDO OTHEI
SQ FT
oFFrcE E RESTAURANT I MERCANnLETI ED
SE CLASSIFICATION
.. SEPAXATE PERMITS REOUIREO FOR ELECI. MECH, PI8C, GAS EOUIP, PREFABS T INSER'IS
PAYMENT METHODI f oASH f . cHEcK (PAYABLE ro NHc) f- AMERTCAN EXPRESS J-- ucn/sn l-_ orscovER
ZONE: OFFICER:
(FOR OFFTCE USE Or{Ln
SETBACKS: F:LH RH B
Approval:_ City: DATE- FLOOD BFE+2ft,
N
PERMIT FEE: :
ftta CFPUA
CFPUA
T"I COMMUNITY SYSTEM T-1 WELL N ZONING U
flcerrnel senrrc fl lalvArE sEprc D?oMMUNrw
Comment
cz I cpail\,lsrrrl i rO bS+,* t
E',IAI L ADDRESS:
. LICENSE #:
DESCRIPTIOI.I OF hORK:
be
BUIIDING H€IGHT: 23. -2,
WATER:
SEWER:
SYSTEM
\p Zo\g- tQt0
,,.1
ADDRESS:
NEhI HANOVER COUNTY BUILDIN6 PERI'IIT
APP LICATION IYPEr CO!'IMERCIAL
pLf^st AXSIJER Alt qlESrIo S APPTICABTE l0 YqJi pROl€Ct
tProject Responsiblllty"
].,L-aaoo
APPLICANT'S llAllE: paut r{atez NCARB
.P}ONE,l: e10-5OB-7tlB
AFFiTmN
l,lumben
(offt(. urc)
.DATE: 11 2 01?
ZIP:2s.r11
OEVELoPER: .Lanc Trogatqn
PRO]ECT ADORE55: ?r50 I'tarkct str.et (8utre 201)CITY: Hi t*inrg..
OCCUPANI/BUSIIIESS Nll.lE i Smoothle xtns (sK164?)
PRoPERIY ol,,lllER' S Nr$lE: rrat rn Enie!ises (A!!n r Dan Ga
OI.JNER'S AoDRESST s2oo noseell Rd. NE A!l3nta
PH0NE Ii 776-566-3322
ST: 61 ZIP:
CONTRACTOR:,rBD LICENSE SI
C ITY:5r
x:
ZTP i
EiIAIL AODRESS:P}rcNE
PHONEPROI€CT CONTACI-TERSOI: paur i{a}rz (p}an Revlev)ll0-659-rr6r
EXIST CoI.ISTRUCTIoN:
lf Rolocation, is lhero s No
(Chcck lU nrt lpply)
- ALTERATIOII T-'I RENOVATION T-lGEIIERAL REPAIRS T-I RELOCATION
rtidt ces LIno on totdrronr siro? f *Jfi No ts BIDG sPhll.lKLERED'{.- Yosl--
Noi'iEw corsrnucrror: I EREcr NEr,,r srRUcruRE n rasr rnac( E sHcLL E uPFrr n ADo r0 Exrsr STRUCTURE
ACCESSORY STRUCTURE I
oEscRrpTroN oF t,]oRKt FG;;;;w 1,002 sF sxroorhie (1It(r ln and an exiotirlg shell bulldio!1
Is lood or bsv€rages preparod or 6orvod ln this structure?li, Yesfi. No ls The Propeny Localod ln The Floodplaln{- , Ye{i
NobTSCLATMEn: I hcreby ccrtily l,hot all lnlo.ma$on ln lhir appllcllion ls cor.ocl snd ell\Noll willcomply wiu ihe
ond lo.0llovr! andordinan €6 ond .6oula UonE, TXe NHC Osveburncnl ScNlcca Ccnlflwlllbo noUnod ol Enyor ctranqe l^ conlr6clot 9I !9!!acbr lilormEllon. "'NOTE. Any Woil Perlormod WO lha Apflop&(o PormilsSublccllo Fhos Up To S500.00"'
slars Esildiog code all olrrar oprlrcrtrlo Sblo
olons snd soecillcolionsNC Srnlo 8tu0 CqJc o,rd
ONTRACTOR: L6ne ?losdon
TOTALPRoJECTCOST: 175,ooo I OF UNITS: r of 6
t OF STORIES: rf oF FLOORS: I
B.dA
BFE+2fr,_
BUILDINC HEIGHT: 2r, -2,
SQ FT PER FLRr 7..t39 {bldq)
SIGNATUR
conrain Albo6rosd not. You 016 roqurred ro caE tb. Norlo.rl Elliasloo S6odsrd3lorll.zlrdour Arr Pollullnts {NEStqP) El (91!)?07.5950.1 lo.st !0dry8 pdo. to rho
donror'non ol ,nt/ raorill s berllh!, soo A!l$!os w6b stro; hilprl6ai.opl.3lrlo.na.u3rop!6rhosloyah6p.hlml
TOTAL AREA SQ FT : r,036 (t,enan!)
TOTAL SO FT UNDER ROOF, 1,016 I OF STRUCTUREST r
ACRES DISTURBED: O
NEw IMPERVIOUS AREA: o
PROPERTY USE
EXSr LAND DTSTURBTNG PERMIT? -IIYES .r' NO
SO FT EXISTING IMPERVIOUS AREA: SQ FT
UloFncE I nrsrnunnNr f] MERCANTLED EDUcf], APrf]-CONDO OTHEI
PAYMENT METHOD:r cAsH r; cHEcK (PAYABLE rO NHC) r. AMEnICAN EXPRESS r- MCAr'lsA r- DIscovER
zoNEEq@)oFFrcER (-Ln dA nnrr/A
Approval:-_Ql-Cily DATE FLOOD
WNE
Conrmenl
Ci[ lnspection Requtreo, 9'l0'254 ']it l
N
If UPTIT - The Shelt Pe.mit #: I5 Elect Pouer on thls Sulldtng fr Yes f. NO
.r... It TnIs A CllaNGE oF OcCuPANcY USE, fr YEs lr-; No r.r..
rF Yes, lhrt !/os the Prevlous occupaocy Type? - l.lhat ls the Hel.r occuPancy B -
iiti DEsrGN PRoFESSIoNA!: paut David wal,t, . PHl33o-6s9-3161 tlc 8E6 r: t1828
€x6R DESTGN pnOreSS:Oxnr:-@ or,ii6=il;?Ea- tc 8E6 *:l!!!lJ-
WA'IER ']CFPUA T']COMMUNITY SYSTEM T1 WELL TlZONING USE CLASSIFICATION
sEwEn I}JcFPUA lf cexrnnl seerlc D FnlvArE sEPrlc 61'CoMMUNTTYSYSTEM '- sEpAMrE PEnMrTs REouiFEo FoR €L€cT, MECH, Ptac, c^s EourP. PR€FAss ! lNsEBTs
PEFMIT FEE: i
.i. \-' l..m;
),ott - lq rO
17-3800
APP LICATION
Numbe r
APPLICANT'S ,lAf'lE: paut Watrz, ArA,- DAT E : 1 1 / 2 2 / 2 C I ?
DEVETOPER:
PROJECT ADO
CONTRACTOR:
ADDR ESS :
Lane ',l r
' ,150 Market streer. {Suj.Ee 201)
PIONE f:9ro-5oE.7tJ8
Wi lmington ZIP: 2o{,1
OCCUPANI/BUSINESS NAI'18; 5m6s1h1s r..'ng (SK164?)
PROPERTY O|JNER'5 NAIiE:
OWNER'S ADDRESS: cz,,0
HalperJr Enler prj.ses (ALLn: Dalr Gallne)
RosHe L l Rd. Nll CITY;4gt.rg.5T: cA ZIP;
sr'A/&*,ZKlttLICENSE S:6
CITY I fEMAI L ADDRESS:
PRO] ECT CONTACT P
PHONE 8:
PHoNE s: 3to-r,..r- rt6laul h'dl. ! z {Pl.an Revie\r)
EXIST CONSTRUCTION:ALTERATlON
{Ch€(t All lhat apply)
R ENOVATION
urrent Site?r es
GEIiIERAL REPAIRS
J-- No rs aLDG s trPRIN
RELOCATIOTI
KLEHEDT- _ YesTll Relocalion, is there a NaturalGas Lrne on the
No
NEW CONsTRUCTION:ERECT NEW STRUCTURE
ACCESSORY STRUCTURE:
FAST TRACK SHELL UPF IT AOD TO EXIST STRUCTURE
If UPFIT - The Shell Permit f:Is Elect Powen on this Buil.di.ng
ri..r rs THrs a cl{ANGE oF occupAN(y usE?f vEs li. xo .'...
If Ye9, rhat ras the Previous occupancy Type? - Ehat 15 the New occupan<y il
IX8fi trrrron PRoFEssroflaL :
chanoe olans snd socolrcalonsNC Stare Blrlg Cr'i.le and
f Yes fNo
Paul David walt z - PH:330-659,3t6t t{C REG !: r}g28
- Gul' 11r.*" (Jeffery D Mirerko-023660j . PH:330 659 6688 NC REG *: 0399aa
DESCRIPIION 0F UIORK: Fi! ou! of rew 1,082 sF smoorhi.e Kinq in and an exlslinq 6het] buitdin
sfood or beverages prepared or seNed in this structure?Ji Yesl-_ tto ls The Propeny Located ln The Floodptainf _ y"{.
N8.LAltdFR lhereby cenrly lhat alt in,orma on h thrs applicar0n is corect Srare Buildrng Code and 6ltorher apptrcabh SLarcand locst laws and ordi H
ol lho
ONTRACTOR: rane r IGNATUR
conbn Asbosros or not. You are required locarl$le NatonalEmbsbn Slsndardi,or Hraardous Air Pollulanlt (NES|IAP)6r (919)70?-5950ar brsr lO days rhor io Oe
denrorrlon ol .ny bcnly or uuiuiry. s6s Asuosto6 YYeb sit€: hllp://ww.oor.starc nc.u9ept/aso€slos/ahmp htmt
TOTAL PROJECT COST: 175, ese BUILDING HEIGHT: 2J,-2" f OF UNTTS: 1 of 6
TOTALAREASOFT : r, 036 (!enanc SO FT PER FLR: f_ 11e (brd, )f OF STORIES: 1
TOTAL SO FT UNDER ROOF L. o:e
ACRES DISTURBED: O
f OF STRUCTURES: I , OF FLOOFIS: 1
NEW IMPERVIOUS AREA 6 SQ FT EXISTING IMPERVIOUS AREA SQ FT
CONDO OTHEI
or chanoe in conracrcr
SubJecllo Fines UP To
EXST LAND DTSTURBTNG PERMtT? Jr yES r NO
COMMUNITY SYST
CENTRAL SEPTIC
EM T-] WELL T'I ZONING USE CLASSIFi'nlvere seprrc ;.'CourauNrrv
WATER
SEWER
SYSTEM
CFPUA
CFPUA
'- sE
ICATION
PARATE PERMIIS REOUIREO FOA EI€CI, MECH, PLAG, GAS EOUIP, PFEFABS A INSERIS
PAYMENT METHOD: r CASH r. CHECK (PAYABLE rO NHC) r- AMERTCAN EXPRESS r- MCA/|SA J-- OrSCOven
(FOR OFFICE USE ONLY)
ZONE: OFFICER SETBACKS: F: LH_ RH_ B_.Approval:_ City:_ DATE_ FLOOD BF E+2fi.-'
WNE
Comment
N
PERMIT FEE: :
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAIION TYPE; COI,II,4ERCIAL
2LEAsE ANsITIER ALL QUESTIONS APPLICAELE IO YO{JR PRO]ECI
"Project Responslbitity"
_PHONE f: ).ia aats 1-,22
ENGR DESIGN PROFESSIONAL
2/X
pRopERry usE: EoFFrcE ! nesreunrr.rr I MERCANILED Eoucl-l AprD
ffi
PROJECI AOORESS:
suBDtvtstoN:
APPI-ICANT,S NAMEI
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIO N TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPTICABLE TO YOUR PROJEC]
"Proiect Responsibility''
Lo\&tcl
(ottice use)
Date lo'02- )P
zp., aqo 2
CJ.1t ,O
#
PROPERTY OWNER'5 NAME:
OWNER'S ADDRESS: /) s, t l
lua" ) /rt <-PHONE H 252- 261-X733
4t /'/< ,4r,,tz CITY zlP: ,8YJ ?
CONTRACTOR BTDG TICENSE #-73/3
AODRESS:J,-r 2 Sr: /YLztP 22qo 5
EMAIL ADDRESS:PHON E lto- ?I q-q?<7
PROJECT CONIACT PERSON CrIDF lltt-i ofi PHONE /o' L1 ?
EXISTING CONSTRUCTION: E Alteration D Renovation ( General Repairs
NEW CONSTRUCTION: ! Er€ct New Residence (Additionto Existing Residence E Relocation
*i*PIEASE CHECl( AND ANSWER BELOW ALI. THAT APPLY TO YOUR PROJECT***
! Att Garage (SF)_
D Greenhouse (SF)_
E Det Garage {SF)_D Porch (5t)
E sunroom (sF)! Pool (5F)! Storage Shed (SF)_
! Deck (5F)
lsthe proposed workchangingthe existing footprint?{ Yes f] No
ToTAI sq FT UNOER ROOF llor proposed wori Xeated, I6 Unheated:
TOTAT PROIECT COST (Less Lot): S 000
ls the proposed work ch an8ing the n u mber of bedrooms? fl YesEfNo
ls any Electrical, Plumbint or Mechanicalwork being done to the Accessory Structure ! yes t'No
lf the project is a Relocation, is there a Natural cas tine on the current site? E Yes D No
ls there Electrical Power on this Building? ts Yes ! No
Property Use/ Occup
Description of Work:li,uL*
& SinSle Family ! Dupl Townhgu;e *5kl 6',lA ".'r)<-
laws and ordinances and regulations. Th€ NHC Oevelopment Services Centerwill be notified of any €hanges in the approved plans and specifications or change rn contractor
information. "*NOTI:Any work p€rformed without the appropri.te permits willbe in violation ofthe NC State Eldt bject to frnes up to 550O.0O"'
Owner/Con ,r"nor',./on, Cat l4 tl,'/<-,
"Licensed Q0olilie/'
ls the property located in a floodplain? n Yes I No
ExistinS lmpervious Area: _ Sq Ft Total Acres Disturbed:
New lmpervious Area Sq Ft Existint Land Disturbing Permitr ! Yes fl No
WATER:8 CFPUA D Community System fl Private Well fl Centralwell E Aqua
SEWER: CFPUA ! Community System ! Private Septic D Central Septic D Aqua
Zone: _ Officer: _ Setbacks (F) _ (tH)
-
(RH)
-
(B)
-Approval: _ City: _ Date: _ Flood: (A)
-
(V)
-
(N)
-
BFE+2ft=
-
:FEB lg l1:1gFf1
A
q
CITY: LU) a^ .tn )t-'-t
CITY:
J
! Other (SF)_
!
SiBnature:
Comment: Permit Fe€: $
$a
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION rYPsr COII4MERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE IO YOUR PRO]ECT
"Project Respon s ibi lity"
?Pt}-{l
AFF-LrcATroN
Numben
(office Use)
'I
PRO]ECT AD
APPLICANT'S l,lAllE: 5u,n SowetI w/ MJM Architecrs
DEVEL0PER: ECLJo BedL PLVdge, LLC PHONE *: .lt2 A5 -53r5D lmington ZIP:2811.
OCCUPANT/BUSINESS NAIIE: per suppties ptus
PRoPERTY otrNER'S NAI'IE: ECHC Beau Rlva e, LLC
O$INER'S ADDRESS: 560 ipsiton Drlve
EIIAIL ADDRESS: Er:ic6engerkecs. com
LICENSE #: 75 ll4
ST: p1 ZIP: 15236
ST: oH ZIP: qq:rz
CITY: p 1s5.6,.,.o1.,
CO TRACTOR: EngeLke construction soluticns
ADDRESS: 2927 Nar_ionwide parkway CITY: g.r.., i.l<
_ PHONE #: j3i-2-t 3-2222
PROJECT CoilTACT PERSoN: Eric En.,etke - PHONE #: 410-721-8851
(check All That Apply)
EXIST CONSTRUCTION:ALTERATION
It Relocation, is there a Natural Gas Line on the
No
NEW CONSTRUCTION:ERECT NEW STRUCTURE
ACCESSORY STRUCTURE:
urrent Site?r IS BLDG S trPRIN
RELOCATION
KLEREDtr Yesli
RENOVATION GENERAL REPAIRS
ES
FAST TRACK SHELL UPFII ADO TO EXIST STRUCTURE
If UPFIT - The Shell Permit #:Is Elect Pouer on this Building I Yes r NO
*'r'rr'r rs THrs A CHANGE OF OCCUPANCY UsE? r YES |J. NO *****
IF Yes, what was the Previous Occupancy Type? _ What is the Nel, Occupancy Mercant l le
Iltfitrrrrn* PRoFEssroNAL: srephen p Maher , PH:615_244_8170 NC REG #
NC REG #
8941
Ei{GR DESIGN PROFESSIOTOL:-yir,chelt D. Simpson - PH:615-373-26a6 025299
DESCRIPTION 0F I{ORK: Inr"rio. renovarion of exisring buitldng for Pet Supp-Lies Plus store
ls food or beverages prepared or served in this structure?l-, Yesli- No ls The Property Located ln The FloodplainT- _ Yefr
NoDISCLAIMER: I hereby cenify that all information in this application is correcl and all work will comply with the Stale Building Code and all other applicable State
and local laws and ordinances and regulal,ons, The NHC Development Services Cenler will be notified of any chanqes In the aDoroved Dlans and soecftcatronsor c\anqe in contraclol or contractor information. "'NOTE: Any Work Performed W/O lhe Appropriale Permrls will bl rn Violalion or theNC State Bldg Code andSubteclio Fines Up To $500.00"'
OWNER/CONTRACTOR: SIGNATURE:
CFPUA
CFPUA
COMMUNITY SYSTEM Tl WELL
CENTRAL SEPIC l-1 FRlVATE SEPTTC
T-I ZONING USE CLASSIFICATION
cotvltvluNtTY
(A!alif64 lPnnl Name)
contain Asbestos or not. You are required to calllhe National Emission Standards for Hazardous Ak Pollutanls (NESHAP) al (9'19)707-5950 at teasl 10 days prior to the
demolilion of any facilily or building. See Asbestos Web Site: htlpr//triww.epi.slate.nc.us/epi/asbestoyahmp.html
TOTAL PROJECT COST: $400,000 BUILDING HEIGHT: 36,-0,, #OFUNITS: r
SQ FI PER FLR: , o, qos
TOTAL SQ FT UNDER ROOF: e,zr:# OF STRUCTURES: 1 # OF FLOORS: 1
ACRES DISTURBED: IIl}-EXST LAND DTSTURBTNG pERMtT? -l- yES -lr NO
SO FT EXISTING IMPERVIOUS AREA: rure SQ FT
CONDO OTHEI
EPARATE PERMITS REQUIRED FOR ELECT MECI.I, PLBG, GAS EOUIP. PREFAES & INSERIS
PAYI\,1ENT I\,4ETHOD f CASH l- cnecx lenvnBLE To NHc) l--nuenrcnr EXPRESS [- urcrvrse f-_ otscovER
ZONE: OFFICER
(FOR OFFICE USE ONLY)
SETBACKS: F:Approval:_ City:_ DATE_ FLOOD:_ BFE+zfi,_
AVNComment PERMIT FEE: I
LH RH B
NliC[..,<, ( pW \.\"u \*,rfr
l- r'ro
I tr
_DATE: s1 22 1s
- PHONE #:
TOTAL AREA SQ Ff : ., :.2
NEW IMPERVIOUS AREA: x,, a
# OF STORIES: 1
PRopERry usE: EoFFrcE ! nesrnuRnrur @ vencer.rr[e l-J EDUCI-I AprD
WATER:
SEWER:
SYSTEM E
,4f
ffii NB/I' MNO/ER@(JNTYzuII.DII{G PBM IT
AFRIqICN TY?E FEIE.IIIAL
BEA:E'T\E/'/RAIAJENONSERJOqBETO\O.RPMTT"fudft+orurbilltt'
tt- [5os C
OTY
u\6. lqso
L8-t36
Apdicalon
NJmb€r
(dfi(erE)
Date:tr
VP,
PHO.IE to ?6
OTt LJ, lrrl ZP.-?Y9 I Iq\-\tr
OTY LU.z z-ry t
PHOI{E
PROE TAODFE$
SJBUVISO{:
PROFERIYOTANERSMME
ovlmcroR
ADDFE
EMALAMFF.
b tJ ic'.
b
*.
os*'
4t
(
t IH
FFO.ECT OT.ITACT PERSON:PIIONE
D(ISTINOeNSIRJCIION: EI Ateration O BnoEtion tr @rsd tupalrr
NA,V @M;IRJCTON: tr &ed tla kidence Cl Addition to Bisting FBid€nce El Bocdion
...REASECI-IEf,(ANDAI\ISAIBBE.OA/AIITI.TATAPRYTO]cr'JRFFOTT..
oZt e.+ts; 9 ?t[
g $nroom ($;_
Desoiption of
tr oe,r Gar€e(s)_
o tuol($)-
n4ordt (SF)qq'
g Soragp Shed (€F)
tr Oir€r (g)-D Gsrhousa(SF) D DEd(($)-
l8th€ propo€tsd work dlandng the sdsting footprinl? tr \6s !f'(b
TorALPFoE{Gr(tls t t), $jl5-9q ,/
l6the propod work dldldngthe numb€r of bedroomd? tr Yes ff I'lo grudure cl Yesp y6s64 frt"
lf the proied i
Roperty Llsd nhouse lol/llr
^.('*. r
I h6 llda tulldlng Ode 8nd Cl ot h€r Qpll.abls gdo gld local
h6 appro\€d dsE tE A€dlicdlons or dlar€3 ln cot{.8d or
e Edg Ode ad r.ll,ed to tln€s up lo S@.@"'
cefrsd Brt
lsthe prop€rty locded in aflood
\\ "TbYs'i
plein? o Ye6 Eal{o ,'/lRiging lnpeMous Area:
-$
R Tote{ A(fes U$urb€d:
Nar lmperviousArea qR Biding Land Dsurbing tormit: E Yes Cl l'lo
fnAcTR /CFFJA A Ommunity q/gem o fri','de \A/ell o Gntrd Vvdl D Aqua
gnm
^a/cpnn g ommunity Qfisn tr RilEte $ptic D Gntral sptic o Aqua
bne
-
Officer:
-_
$(backs (D
-
(l.l-0
-
(FF0
-
(B)
-Approval
Omment
Zil'AFPuoA,rs,*ME Tl. .
OANBSADDF6
I
ST:
l tozt.v Y\-t {
lsarry Eectrical, Flumbing or Medlanical work being done to theA@ry
thB orrrent dt6?
Sgnature:
lEthEre Bedricd hfler on
Sn$e
NEWHANOVERCOI.INTY
DEPARTMENT OF BUILDINC SAFETY
230 GOVERNMENT CENTER DRIVE - SUITE I7O
WILMINGTON, NORT}I CAROLINA 28403
Telephone: 910.798.7308 Fax 910.798.7811
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:
U/ t aiO mft attacn an official CFPUA document that acknowledged approval of
the payment made to CFPUA.
n I did not attach an ofiicial proof of a Zoning sign-off from the City of
Wlmington, for this work that will be done in the City of Wilmington.
tl 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 date/time notation made by the Building Safety
Department on the application or submittal document)
Signed in acknowledgment:
.,, ... "1 -..; .'r,' ,6.:, a.
ffi,j->
I,
II
Address for the proposed residential work:a
Signature Printed Name Date
NB/1/ MNO/ER@IJNTY zuI I,I} NG PEFM IT
AFruOANON TY?E FEIDRINAL
REASEII{g^iRAI G.ENOiISAFRIOCE.ETO\O..R M.TT"eoject ftponibilit/
%Nrtfr%
L8- 454
Applicalion
i,lnnb€r
(oilce use)
AFqroroinsNArrE'Br.tt [los
3
Date:r3 IE
vP,*-J 1
Pli0l.lE to L6 v
OTrl LJ, laao AP.-Z-fr.l I
CENSE#:
Ll
OTY rlj , I sr: fu(z
PI.IONE
FMECTADDFffi
SJBDV1SON:
PROPERI'YOANERSMME
OAAERSADDFESS
oOl.IIRACroR
ADOFS
5+,tJic..
OTY:
L
(
I ur\
.( tt
alr-""*t*, 9?tl
D g/nroom (€F) _
C Geoohous ($)
PRO.E T @T.IIACT PEFf DN:PTloNE
A(Sn NG ONSIR.TCnO'I: O Ateration tr FEnoration g enerd fuprirs
NBA/@M;IFLJCTION: tr &ed l.le$/ FBidence tr Addition to &i3ing FEddence tr Hocdion
...R5ASEOTEC(AI.IDATIS/VB,BE.OA/ru}ATAPFLYTO'IOIJR FRO.ET--
E-Tbrcf' (S)qq'
lsthe propoed work dlanfing the oddingfootprint? tr Ves C/t',lo
TofALQ Fr UNDRRoOF (for proposd work) l-leated: - I U 12- unrreEteo: 5? 3
-TOIAL FF0.Er Gr (lrs Lot ) :t tr-900 -/
16 the propoed work ddEing the numbar d bedroorntrr D Yes [f No
lsfly E.ctricel, Plumbingor Medtenicalwork hldng done to the Amry
lf the proied isa FHocation, isthere a the arrrenl dte?
lsthere Bedricd tu\ er on this
Property Usd Oco,rpancy:UJ extr nhou$oDesiption of \Alo
Crxr
{r*
,-|
ti\
DIS.AIMER I hereby cBrtl{y lM dllhe lnlornEtlon ln thls4lpllcdlon ls corred {ld dl \./orkwlll comply lvlth the gd€ tuilding Ode md dlottEr rpplk*le gdo ad locd
la,E a.d odlnfrEesrrd regula io{E the Nl-C Oa,Uo{rrEr{ Sndces Gnt€r will b€ nol ltied ot sry dlat$ in the appror,Ed dsrE tE e€oticdlorts or (iEEe ln ontrsd 0r
lnform ior"'I{OIE Any y,n b€ ln \iolaion ot the |tcsate Edg Ode 8nd $bied io lln€3 up lo $500.00'''
Sgnature:
Bre \\"bK*ti
? D Yes E/tlols the p{'op€rty located in a floodplaln
Bi*ing lmpervious &€
-q
R
tlevytmperviousAr* &l S6, on
Tota{ A.res O(urb€d:
yr
fnnfm ,A/CFRJA tr Ommunity q/dem tr Ri\rda\ bll O Gntrd\ bll 0 Aqua
gfm .g/cFPtA o Ommunity gFtem tr Rivdosptic D Gntralsptic tr Aqua
Tone'.
-
Offior:
-
$tbacks (D
-
(l.l.}
-
(+0
-
(B)
-Approwl:
-
Oty:- Hq- Hood: (A)
-
(V)
-
(N)
-
BrFE+2,t=-
krmit Fee: $
h
B\iIAJLAMFES
I
4 to2 i.Lt Y\-t {
tr tE qags(S)_
tr tul(SF)-
tr h((SD-
O tloreB$ed ($)
tr Oher ($)-
gructure o )6o Ycs o-fib
Sn$e
2-
Bi$;ng Land Dsurbing Bmit; C YBs tr No
Omment:
ffii crnNEWHANOVERCOIINTY
DEPARTMENT OF BLrILDING SAFETY
230 GOVERNMENT CENTER DRIVE . SUITE I7O
WILMINGTON, NORTII CAROLINA 28403
Telephone: 910.798.7308 Fax 910.798.7811
lnternet: www.nhcgov.com
REGULAR RESIDENTIAL BUILDING APPLICATION
STATEMENT OF UNDERSTANDING
t,am submitting an application for a residential
building permit to New Hanover County. And, as the applicant or person submitting
the application, I check the box/boxes below to acknowledge that:
U/fOiOldeteeh an official CFPUA document that acknowledged approval of
the payment made to CFPUA.
tr I did not attach an official proof of a Zoning sign-ofr from the City of
\Mlmington, for this work that will be done in the City of Wilmington'
tr I did not attach an official proof of an approval granted by the New Hanover
County Environmentat Health Department, for this work that requires an approval
from Environmental Health.
And because I did not attach the official proof of approvals along with my
application for permit; New Hanover County cannot guarantee that the building
permit will be issued within 4 (four) to 7 (seven) working days after the official
submittal date/time (the stamped date/time notation made by the Building Safety
Department on the application or submittal document)
Signed in acknowledgment:
Printed Name Date
hl"t
\
AddFss for the proposed residentialwork:
d^Ne Cv._0
Signature
,iY\
APPI.ICANTS NAME:
PROJECT ADDRESS:
NEW HANOVER COUNTY BUILDING PERMIT
APPLT CATI O N rYPEr RESI DENTIAI
PLEASE ANSWER ATt QUESTIONS APPLICABLE TO YOUR PROJECT
"Proied ResponsibiliV'
cffnt /u/LJd,
Zot$- P5SHtu1
Application
Number
(office use)
t
Date
izLJ zl
SUBDIVISION:
PROPERTY OWNER'S NAME:,4/bd,lNAA + 04-a u'1 hd?rz<PHONE S 7oA 750-9dr(o
OWNER,S ADDRESS:5q/f /aan/<- /4.,Arao L lA CITY t,t ?w-)ZIP:
CONTRACIOR:
ADORESS:
&Sr/,...t . Czz6n-u*z-t Broc UcENsE #/ot15)
Ctrt: //e/a- z<t' ,t g sr&Lzl 7.{3rQ
EMAII- ADDRESS:.<..'4tL NE:4ra'!2_ro
PRO'ECT CONTACT PERSON:/L 7ra-'8889
4 a* Aoc< F*()ut'7
TTTPLAqSE CHECK AND ANSWER BETOW ALL THAT APPLY TO YOUR PROJECTA'1
E Det Garage (sF)_
E Storage Shed (SF) _
3[ ottre, tsr]/-770
ls the proposed work changing the existing footprint? E Yes ! No
TOTAT Sq FT UNDCRROOF $or proposed work) Heated:unheated:
TOTAT PROIECI COST (Less Lot): 5
lsthe proposedworkchanginSthe numberof bedrooms? ! Yes E No
lsanyElectrical,PlumbingorMechanl(rlworkbeingdonetotheAccessorystructureDYeslNo
lfthe projectisa Relocation, istherea Natural Gas Line on the current site? fl Yes D No
lsthere Electrical Poweronthis Building? E Yes E o
Property Us€/ Occupancy:
Ixscription of work:
laws and ordinancesand re8ulations. The NHC D€velopment Services Centerwillb€ notmed of.nychanges in the approved plans and specifications or change in contractor
lnformation. "'NOTE: Any work rmed without the ap willbe in violation ofthe NCState BldgCode and subject tofines up to S500.00"'
Signature:
! Att Garage (SF)_
! Sunroom (SF)_
n Greenhouse (SF)
Owner/Contractor:
'Licehsed Quolilie/'
New lmpervious Area:
ls the property located in a floodOlain?rd
Existing lmpewious Area: _ Sq tt TotalAcres Disturbed:
Existing Land Disturbing Permit: ! Yes ! No
tr Pool(SF)
D Deck (sF)
Yes E No
Sq Ft
WATER: d CFPUA ! Community System E Private well tr Central Well E Aqua
SEWER: F: CFPUA ! Community system f] Private Septic E Centralseptic f] Aqua
Zone: _ Officer:
-
Setbacks (F)
-
(LH)
-
(RH)
-
(B)
-Approval:
-
Clty:
-
Date:
-
Flood: (A)
-
(V)
-
(ry)
-
BFE+2fb
-
Comment:Permit Fee: S
.r'ttz-t LOT S:
PHONE:
EXISTI G CONSTRUCIION: n Alteration E Renovation ! General Repairs
l{EW CONSTRUCTION: E Erect New Residence E Addition to Existing Residence ! Relocation
! Porch (SF)
Single Family Ll Duplex Ll Townhouse
ha-, Dtrz- / llTn-t 16- h/t/,/ fia tL Fr A-.? €utttE ,&,u t/-t / l,rtl- E-
2ol0.tq5)
lb47/NEW HANOVER COUNW BUITDING PERMIT
APPLICATION TYPE: RESIOENTIAt
PTENE ANSWER ALL QUESTIONS APPTICIELE TO YOUR PROJECT
"Project Responsibiliv'
CITY
oate:l-l?-13
ztP:Z 3? s f
LOT f l'l't { o,e*. <
APPTICANTS NAME:/,-,-o-/ A^J-r,--. tlZZh dnPROJECT ADDRESS:
suBDrvtstoN:*f:tlrla/a-
PROPERTY OWNER'5 NAME:Ta,*t*.t P, B s ,a a,t, e, ,r
OWNER,S ADDRESS:
CONTRACTOR:EJu,o-J A^.!n.,.-l-t tt
ADDRESS:I t<-'t 4 ^t .L v2
/s-j-ao o'z(7
ztPtz 8<(.1t-
BI-DG LICENSE f (l't'3 o
sr'/\lLir]Ptz l? o j
CITY
ClTf : t J
EMA|L ADDRESS: C-r' Lil l, l/.@ a rao. l. Co(.r
PRorEcrco*AcrP ,uon A u! J'rff | //
-
EXISTING CONSTRUCTION: ! Alteration ! Renovation ! General Repairs
_/NEW CONSTRUCIION: EfErect New Residence E Addition to Existing Residence E Relocation
***PI,EASE CHECK AND AI{SWER BETOW ALI. THAT APPIY TO YOUR PROJECT*I1
PHONE:o-ZL s-6€
PHoNE:g/o-zLt-sL3 7
n Att Garage (SF) _D Det Garage (SF)_tr Porch (SF)
E Sunroom (SF)n Pool (sF)tr Storage Shed (SF)_
n Greenhouse (SF)! Deck (SF)tr Other (sF)
ls the proposed work changing the existing footprint? D Yes ! No
TOTAL Sq FT UNDER ROOF lfor prcposed work) Heated:9 {7 unheated: ? I
TOTAL PROJECT COST (l,ess lot),S'? l. cl oo7-
ls the proposed work changing the number of bedrooms? ! Yes E/o
ls any Electrical, Plumblng or Mechanical work being done to the Accessory Structure E Yes g.fiio
lfthe project is a Relocatlon, istherea Natural Gas Line on the current site? ! Yes fl No
lsthere Electrical Power on this Building? E Yes E No
Property Use/ Occu pancyt fiingle Famiry n Duplex n Townhouse t f ,'',L .{,n t'c:.t r lc {;.,(Description of work:Y?L
laws and ordinances and regulations. The NHC Development Services Centerwillbe notmed ofanychanges in the approved plans and specifications orchange in contractor
information. "'NOTE: any work performed without the appropriate permits will be in violation ofthe NC State 8ld8 Code and subiect to fines up to $5m.00...
Owner/contracror: f,Jr-.-o- J 4J-.u
,)6
I i'iBH l8 3:48PI't
SiSnature:
TotalAcres Disturbe a, , D LLI
., l
\
Comment:
cP?ua IL
Permit Fee: S
\JY\
Application
Numb€r
(ofrice use)
PHONE #:
"Licensed Quolifie/' P nt Nome
ls the property located in a floodplain? tr Yes g4-o
Existing lmpervious Area: _ Sq Ft
New lmperviousArca / O f O SqFt Existing Land Disturbing permit: ! yes D No
WATER: E/CFPUA f] Community System E Private Well ! Central We D Aqua
SEWER: EZFPUA f] Community System ! Private Septic ! Centrat Septic E Aqua
Zone: _ Officer: _ Setbacks (F) _ (LH) _ (RH) _ (B) _
Approval: _ City: _ Datei _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
NEW HANOVER COUNTY BUILDING PERMIT
AP P LICATION TYPE,, RESIDENTIAT
PLEASE ANSWER A!I- QUESTIONS APPLICABTE TO YOUR PROJECT
"Proiect Responsibility''
lo 16 ptAO
(offi.e use)
L 1JzS-ras CtAPPLICANT'S NAME:
PROJECT ADDRESS:l3-)Sa la^^C "-r-{-zo 29ltl tt
LOr E '-l o
PHONE #1-;) Z9 r-Btst
ctl\: Wt ll, *.t c-b-Ar L ztp: V*
Date
CITY: Ld
SUBDIVISION:
PROPERTY OWNER'S NAME:
OWNER,S ADDRESS:1t9 rJ.t)r
coNrRAcroR: tnnslo\Aonj f ruul,oh A^A Do'x,l e,tl l2L EtDG LICTNSE #s-z3s-o
ADDRESS:ctl\ : c+E'Ape,+la 6 sf :v& zP :2334L
EMAll, ADDRESS: (aa<L,>l C.trt3+ru.Li:,o llonp,*. tQ L,l . r ol-t PHONE: -7 (5 -7 t -7Z-3'7Do
PRO.'ECT CONTACI PERSON
z/atte"rrr.lsrl 1'lb
E Sunroom (SF)_
information. "'NOTE: Any rk performed without the appropnate permits willbe an violat on oft
E Det Garage (5F)_Bf6rch (sr)L8
1+
! Storage Shed (sF)._
n other (SF)__
a
i zFEB l8 l2! l6Pll
a
and a ll wo.I will comply with the State uilding Code and allother applicable Slat€ and local
be notified ofany chantes in the app(ns orchange in contraclor
lde c p to 5500.00"'
Signatu L^-
n Greenhouse (sF)
-
{oecr $rl IVO
ls the proposed work changing the existing footprint? [ Yes E No
DISCLAIMER: I hereby certify that all the information in rhis application is correct
laws and ordinances and regulatrons The NHC Development S€.vices Center will
TOTAI SQ FT UNDER ROOF Aot proposed work) Heated:- unn "t a, 502y' 'ico 3
TOTAT PROJECT COST (Less Lot)r 5
lstheproposedworkchangingthenumberof bedrooms? ! yes E No
lsanyElectrical,PlumbingorMechanicalworkbeinBdonetotheAccessoryStructurenyesnNo
lf the project is a Relocatlon, is there a Natural Gas Line on the current site? n yes E No
lsthere Electrical Poweronthis 8_uilding? D Yes n No
./Property Use/ Occupancy: E Sintle Family tr Duplex tr Townhouse
l-\)^rbl
Owner/Contractor -11n n e.^)."Licensed QudIilier"
ls the property located in a floodplain? tr ves E{no
Existing lmp€rvious A."", 0 Sq ft TotalAcres Oisturbed:t/A rr,or-{
New lmpervious Area 27W.t1Sq Ft Existint Land Disturbing Permit: tl Ves {no
WATER: {CFPUA fl Community System f] Private Well t] Central Well D Aqua
SEWER: y'CtPUA D Community System D Private Septic [] Central Septic D Aqua
Zone:_ Officer _ S€tbackr (F)_ (tH) _ (RH) __ (Bl _
Approval: _ City: _ Date: _ Floodr (A) _ (V) _ (N) _ BFE+2ft= _
Comment Permit Fee: S
#N\
ffi
EXISTING CONSTRUCTION: ! Alteration n Renovation ! General Repairs
NEW CONSTRUCTION: tslrect New Residence E Additionto Existin8 Residence E R€location
*.I'PTEASE CHECI( AND ANSWER BEI.OW AtI. THAT APPI.Y TO YOUR PROJECT***
-<=feyt t.\,^,zu- enone,ls;-l -291- g\3<t
!.r PoOr l)r)
)-. t{lil( l'(:: }./r {'\yrr ltul(.,t^i,}:2iltiilt',\ ' NEW HANOVER coUNTy sullorfuc Fiirvrrr
A p p L I CAT tON rypE; RESTOENTTAL
PI fA'T ANJWER ATL QUTSTIONs APPLICABLT I O YOt'R PRO]{ ( I,,p.olect Respohstbllity,,
Piantalron Buitding ot Wrlminqton, lnc.
d,P
$L'
APPT ICANI'S NAMT
pRor[cT ADDn€ss: t 4 Hobre Rurr
SUrlDtVtStoNr Riv6rLigltts
pSoptRTy oWNtR,s NAMt. Timothy & Meredrlh Werner
owlrrn's Aoonrss, 1 '14 Jrn Moody Fld
OlsCtAlMfA: I h€rrby(€,lrly lhat al rhe lnrormation ,. th6lawr rnd o.drnan(ot and r€8!lation, fhe NtlC orevetopm€h,nlo.matron ..'tioIt Ary wort pcrform.d wrthout rh. .,
owner/cont.actor: Angela Boseman
'l4anlpd euotlpt' ' prl,ot ttoit
ls tlrc'prepp11y lqa,t1cd in a floodplain? D yes
CONTRACTOR plar(atiorr l]tljlding ol Witr)Ingtolr, lnc
At DRfssi PO Box 2473
tMAtt AoDnEsS: rosemar.(dpiirrlationburld,ng(.orp corn
Date 2/13/19
A; 28412
Lol ltr 10
PHONE a 919 42u 311/
ctr-y Siter City 27344ztp
68712
CIIY Witmiriqton BIDG UCENST r,l
sr: NC
910.763 8760'ztP 28402
P tloN t
pRoJtcT coNrAfi t IRSON Wll Weir pxorur 910 599 5462
EXISTING CONSTf,UCT|ONT . l Alteratior) [ I nenovatron l. General Repaa15
NEW CONSTRUCfTON: :l Erect New Re5rdcnce _y'Additioo to txisting Residence l-, Relocation
...P.IEAITIHTCK AND AN5$E8lfrcUrA.[HAT APPTY TO YOUR PBO'ECT" I
- I Art GaraeL, (SF) E Der Gara8e (Sr) _-_ n porch (SF)
i l Sunroom (Sf) - IJ pool {SF)_- I I SroraSe Shil Greenhouse{SF) __ Ll De(k(Sr). ._ _ i. Orher(Sr)
ls tho prsp95s6 vr.,k changing the existing tootpriot? -- yes - No
IOIAT 5q fI UNDTR ROOf (/o/p/opored work) fleate _. Unheated:
rOTAt PROJECT COSI lLes: ror); g 5O0
ls the proposed work changang the number o[ bedrooms ? D Ves G}{ots any Electrlcal, plumblnSor M€chanical work being done to the A(cess;ry struc ture E ye5 n,4{olf the proje(t is a neloca on, is there a Natural Gas tinc on the current site? 0 yes f,I_ltols thc,re Etectricalpower on this Building? Gl_les D No
:::ril"T :1 ;::11,1.'1,o. ?if; i.J3r i {" ?" ,?sB i* &ro w n h o u s e
ed (sF)_-_
ippl,(ar,on ,( co,rocl ,ltd dl worl wrt.omgV wth the State AultdtnS Code and .,tr 5e,vrcer ((,ote. wrlt be notr,ied ol any chanleg,n tf," app,oreA p,an"s rnA rp".,t,<p.opr,.le p.rrir,tr w.llbe
'n v,ot.t,on o, the f,la Strtp A,OS Coa" ."Or*,"" ,";i;"
- sirnarure: Cfl-;;c '7)
ffilo
othe, appticible Stare and locat:alloni or (hangc in cOntra(lo,
5 uP lo S5m m.!.
txisting lmpervioue aru", lj02 _- sq rt TotalAcres Dlsturbedr .-03New tnrpervlous Arear _J02 sq ft Exlrting land Dliturblng permitr C yes n rvowArER: EktfpU U Comnrunity Systenr D privatewc E Central welt n AquaStWtR: Lftfpu^ O Con)nrullrrv Systern E privateScplic D Centrat Septrc X Aqua.."",i'{X(o) onicar: CXu serbacks{FJ!4,,r;'Ay;,;;rlVR rrr rr/Aavo,ovat: ()Y, crty: lL!r'\- ,"r.,1fu1r$,ood: (A) (v)- r*-r' rr' ,rr.rn.(onrmcnr: ts/r'r'/t'l o1,? , 1rl u t h,.n.1e i,., e,. ,61.1,17 fi4pr,^1_ permrtree: s
Cr[ lnpectron Requrreo, g I SZ5{{g0}
$t{
'ht,t- lSl,i
C IIY Wilrrll]glolr