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SEPTEMBER 15 2015 BUILDING APPSAPPLICANT'S NAME:DEVELOPER:NEW HANOVER COUNTY BUILDING PERMIT Д PPLICnI10″ rypFr COMMERCIAL PLEASE ANSWER ALL QUEST10NS APPLICABLE TO YOUR PRO]ECT “Project RespOnsibility"Island Montessor■ Charter School PRO]ECT ADDRESS: 6339 Carolina Beach RD CITY: wilmin ton OCCUPANT/BUSINESS NAME: Island Montessori Charter Schoo■PROPERTY OWNER'S NAME: 6339 Charter Schoo■ LLC OWNER'S ADDRESS:CITY:CONTRACTOR: Modular Technologies LICENSE #: 31101 ADDRESS: 101 」N Herritaqe CITY: Kin:-:t-on EMAIL ADDRESS: steveGsteveshuttleworth . com PRO]ECT CONTACtt PERSON: steve shuttleworth ρ q誠帯 APPLICAT工 ON Number (OffiCe use)DATE: 6-23-2015 PHONE #: 910 512 7002 ZIP:28412 PHONE #:ST: ZIP:ST:NC ZIP:28504 PHONE #: 910 512 7002 PHONE #:EXIST CONSttRUCT工 ON:□ALTERATrhettr:職難凋凸涯 ]占 VAL if Relocation,is there a Natural Gas Line(週盤怒 lP照濯 WttYesttNo NEI^J CONSTRUCTTON: I rnrCr NEW STRUCTURE E FAST TRACK ! SHrr-r- [ Unrrr I nOO TO EXrST STRUCTURE settinq new modular classroom ACCESSORY STRUCTURE:If UPFIT ― The Shell Permit #:***** Is THIS A IF VeS, What was the previous Occupancy ARCH DESIGN PROFESS10NAL:ENGR DES工 GN PROFESS10NAL: HWCNC PC DESCRIPtt10N OF WORK: delivering an/1 _‐ett■llq new modular classroom CHANGE ' Type,!t,* ,* * *Occupancy Type?NC REG #:NC REG #:TOTAL SQ FT UNDER R00F:ACRES DISTURBED:< 02 NEW IMPERV10US AREA:SQ F「PER FLR:1968 #OF STRUCTURES:1 に bod or bevemges prepaЮ d orserved h thb執側 duЮ ?[コ YesEコ No に The Propett Located ln The日 ood口 dn?Eコ Yes Eコ No D!SCLA:MER:l hereby certify that allinformaJon in this applicaJon is correct and a∥work面 ∥comply with the State Bui:ding Code and a∥other applicable State :「:1:隅 U帯糀認器 1臨 ]li」渇 R電 ♀柑 lJり負 N8♀』鋼 Ⅷ郡認論謎 (祀 R「ど哭語酬 :ぼ誕濡 L咄 ♀躙需 ι 滉認霧 ft劇腱認 ξ 町 888出品 and locallaws and ordinances and r(3tttR:昌 Iども 393轟 ∬鴨 9∬° PRO〕ECT ADDRESS:SIBDMS10N:た NO′幹 JS片 7こそ /s~―Zうし XNO′曝「ぼ S摯 NE∥ HANOVER COUNTY BU工 LD工 ∥G PER∥=T App■I●4"。w7ypF= RESIDENTIAL pLEASt A■5り ER ALL QUEST10TS AP'LICA3LE TO V℃UR PRO]ECT や roject RespOnsib■litゞ ″施 ι 腕 ′タル ′し 2215、z5ι λ あ l,δ ヵイ NAME AppL工 CAT10N Number (OffiCe use)DATE:′´“ PEι ′s―一 ι 〔'∂ι 麹 g―溜・ 77 APPLICAT10N Number (OffiCe use)DATE: t-r.t-l<●: え ■■・ `7● RECFい '「｀Al」●●282015 NEW HANOVER COUNTY BUILDING PERMIT ″Pl■OTraV TPE: RESIDENTIAL PLEASE ANSllER ALL QUEST工 ONS APPLICABLE TO YOuR PROコ ECT “Proコ ect RespOnsibility"*r.-i.*r, r rorr., Stusrli finu tlomo PROpERTY O∥NER'S O∥NER'S ADDRESS:DEVELOPER:pRO,ECT ADORESS:SuBDIVIS10N:CONTRACTOR:ADDRESS:EMA工 L ADDRESS:PHONE #:DATE:LOT #:欝 :輻 AccoLlt{r f: 11e ST:¨#:SF SF TOTAL AREA SQ よ StruCtulelttPYLl::1旨 N。没研ゝ約 7ら /」スリタフ APPLICATIOI{ttunbe r (OffIce Use)|`ZIP:PHONE pRolEcr cor{rAcT ,re5ex, ltaci N'rohotta4 p}ol{E f: ?-----I EXrST${G CO|ISTRUCTTO: I altRarrOr ! neUOVarrOU ! crlrur nrearRs ! nelocarror J Et{ cor{sTRucrror: [l enrcr NEH REsrDEr{cE o" ! aoorror ro ExrsrrNc REsrDEl{cE 拿拿 PLEASE CHECK ANID ANSllER BELOW ALL THAT APPLV TO SUNR00m GREENHOUSE SF ! oecx SF OTHER:fiarr camee 1l!5 sF □P00L ! oer canecr YOuR PROコ ECIF 巨ゴ PORCH lθ イ sF _SF □STORAGE SHED__T:lli l:冨 ::TS:。::iLi:」}:J:T:」lililiQ FT U∥DiR。翼 i:ぎ Is Any ELECTRICAL, PLtllBIl{G or IIECIUI ICAL Work Being Done to the Accessory If the project is a Relocation, is there a Natural Gas/Line on the rs there Electrical Power on this Building?f]v"t Bno ノ OCCuPANCV:ra1'rr-r-v ! qJPr-u I ro]lNl{ousE OF WORK: N耐 DISCLAWER lherebycen,ha alinbmatbn in this applに aton is ccrled and dl work■1∞mply wiいい eS●te Bu ung CDde and al oherapplに abb Sta●and bヨ laws and odinancas d)d rogulalbns. The NHC DevelopnEnl Servbes CenEr willbe nolifed ofany chalg€s in lh€ apprct/ed pBrs a|d orchange in contrrctror contrac●r inも maton・ ‐Nu[ヒ :Any wOrk PerOrmed wЮ he App●priab Pem ts wl be n Vblatbn ofthe NC S●●B dg o Fhes up Tosま Ю Olr・・酬 NER/CONTRACTOR:⊆徹 :牛う ltヾ 01サ 2r「―――――――――――SIα ttURE:Exrsrr G rrrpERvrous ffiilt 2'i l? sq rr NEU rri,rPERvrOUS nnea: 3{ 11 5q 51 躙 :田『∥目酬 :理滞 Ettwτ E胤目 :柵 WhT印 PAVHE"T“EIふ :EPA苗ょギ琶『:廿 IRi胤 [Ⅷl"liCЪ ttlltt」騨 =鴫 :∬瀕忠 INSttLIIttR *************ネ *******************ネ ******中 ************十 ***十 ****中 ***ネ *+*******ホ **ネ ********ZONE:OFFICER:Approval:_PROPERTY uSE DESCRIPT=ON TH[*PROPERI;*LOCATEDlliIIII111il][II「i::itil∫**i:IIII∫********IS :ι TOTAL ACRES DISTURBED:EXIST Ltt D工 STURB=NG PERT,IIT: l-']YES tt Ю (FOR OFFlCE uSE ONLV)SETBACKS: F: LH: RH: B:REVIS[D DATE 04′■1/12 BFE+2ft=Comnent :City:_ DATE:_ FL00D:CITY:LICEIiSE *:CITY: Wi [I PER∥IT FEE: 卿ヤ [み IS~7'3 皮 ο 15″8777 APP LI CATIOI{Numbe r (otIlc. us!)AppLICANT'S NAME:DEVELOpに R:PROコ ECT SOBDIVIS工 ON:NEW HANOVER COUNTY BU工 LD工 NG PERMIT 4PPII“丁 =銀 ryPF: RESIDENT工 AL PL〔ASt ANSH[R Att Qulsiュ oNS APPt:(Aeti 10 YOuR PRO〕〔Cl “project RespOnsibニユ ity"BLOCK ″ SuBDIVIS10N:PROPERttY OHNER'S OWNER'S ADDRESS:EMA工 L ADDRESS:NE∥ HANOVER COuNTY BU=LDINC PER∥=T APPLiC■7rar n'Fr RESIDENT工 AL pLEASE ANSWER ALL QUESTIoNS APPLICA3L〔 TO YOI」R PROJECT 'prODect RespOnsibility"AppL工 CAN「'S NAME:ご α んだ。″`ι と C DATE:」2運ン生 Zンを腱 2″雰 DEVELOPER:PROJECT ADDRESS:PHONE#:APPLICAT工 ON Number (OffiCe use〉互夢 #:どツの ψ 受 5‐■=00メ γ 3ア ST:`望ビ L ZIP:J72昴ノ C=lY:」黎奔 _―__ST:盤 2■p:ョレ多 , PHONE#:=q、｀イ /」・物 PROIECT COtITACT pERSq{: ' ^.'y ,lr^ c pH$lE f: 1?tg).*eh-,egt|ExrsrrN6 coNsrRucrrou, flALTERArroN f] neuovarroru f, ornrnnl REpArRs I ne loclrrou NEtt CONSTRUCTloN: Dヨ ERECT NE" RESIDENC= o「匿コ ADDET=ON TO EXIST=NG RES工 DENCE ,中 PLEASE CHECK AND ANS∥ER BELOH ALL THAT AppLV TO YOUR PR●コ ECT:pnrr cARAGE -400,1 sr I suunoom _sF □DET CAMGE sF図 "RCH′J曖 5 sF EIIGREENHOUSE sF TOTAL HEATED SQ FT: Jl」多 Jι `ム ToTAL SQ FT LINDER R00F:― ToTAL TOTAL pRO]ECT COST(Les3歓 →:S′″ノイ ∂ 繊 oF STORIES: J rs Any ELEcTRrcAL, PlulttBrttl6 or ilEcllAItEcAL lrtork Being Done to the Accessory structure? fl ves EI no rf the project is a Relocation, is there a Natural Gas Line on the Current site? [ves E to Is there Electricat power on this BuitdinglIVes EIruo PRoPERTY USE / OCCUPAT{CY: I sruelr FA,,uLy f] ouer-rx I romxousr DESCRIPT工 ON OF WoRK:ルぉ畿 ″α メ ″″ι 力 ra″Jr」ん勁 ″為 "励ガ物拓 "だれグル "|′DISCLAIMER::hettby ceru"tlat att inゎ matbnin his app“calon E c。籠 ct and e麒椰 ●rk輛 "compけ win he sta"Bu∥ф tt Code and Jloher applcable stab and locallttvs and o崚 ∥nancesandre9ulalcns TheNHCDevebpmentsewicescentrwillbertolfOdOfanychangesintheappovedphsandspecincationsorchangeincontBcbror conncゎ rinbmaoon_'mNOTE:Any WOrk Perbmed WЮ 由 ●Appmpriao Perlnits w口 :be h Vlolatlon ofthe NC S愴 "Bld9 Code and Sublect b Fines Up To S5000『・・ 0∥NERノ CONTRACTOR:SIGNATUREメ *ホネ ****キ ****ネネ **幸 *********J:宙皐増摯撃よネネ **拿 *‡****輩 *摯 **十 *攣キ **キ十 Z″*キ十 *キ **ネホ十 *ホ **摯ネ **十 *十 **十 **十 **IS THE PROpERTV L∝ATED IN A FL∞DPLAINP Eコ vES 獲至 No EXIST工 NG IMPERV工 OuS AREA: sQ FT NEW 工 ∥PERV工 ●uS AREA: sQ FT TOTAL ACRES D工 STuRBED:EX=ST LAND DISTuRB工 Ntt PERM工丁 : □YES 臨 :機 N0 瞬 ER:図 CFPm□COMMuNIW SYSTEM tt PRIⅥTE厨饉 LL□CENTRAL WELL SEWER: 厖璽 CFPUA □CENTRAL SEPTIC □PRIVATE SEPTIC □COP4MUNIttY SysTEM PAYm[NT ME]∞: □●5H EcHECK(PAYABLE Ю 霊に )日麟 ERICAN EXPRESS tt Hcノ VISA 口 DISCwER **十ホ *ォ **ホ *キ摯 **十 *オ **ホネ ***ネ **キ *****キ *ホ十ネ *華キ *キ **十 *薫 *ホ幸 t*****ホ **■**ホ **摯 *幸 *キネ十十 *十 ******十摯 t**幸 (FOR OFFICE USE ONLV)SETBACKS: F:_ LHl___ RH:_ B:`fl sronnae sHED _ sF orHER: lhe.S sr L=CENSE#: ムゴタ 1亀ク fl eoor _ sF I oecr _ sF AREA sQ Fr: l,illJ ZONE: oFFICER:Approval:_ City:_ DATE:_ FLOOD:Corment: PC乙 IStp9ゞ」口 '■777 APP LI CATIO'{t{unb€ r (offlc. us.)t-or *z 5L PHONE“ハ tO Ч S2‐■■ NEW HANOVER COUNTY BUILDING PERMIT こ `)θ l篭 '´〔ツ 7δ だ劇 qfL \5-?of g 2研 5-・ 77訳 APPI-ICA?ICN Nunber (offise Ure)NEtt HANOVER COuNttV Bu工 LDINC P=R腱ェ ,員 __DATE:ノ Iン ~ノゲ ´甲 ONE#:ヱ蚤 Lユ ==ジ ′こ隧饉 ∥ HANOVER COUNTY BUILDINC PERMIT Д ρ Pι ICAFrcJV TvPE: DEMOLlT10N PLEASE 'RI∥T CtEARLY & ANSWEn ALι QUESTlllltS _ “projOct R●5,0■Sibllitプ °!", ft r 30 4D Blocl( s:SuSDIVIS10N:PROPERTY O"NERJS NAME:知 O}JNER,S ADDXESSI 1 }t 1,, l/.-nn) A isn.t θ 、 APPLICAT工 ON Number (OffiCe use)DAT[: ′7′ 7-ノイ 9ot5: fig{PC2 (｀二茨｀・も十 Dennis Bordeaux lnspections Manger NEW HANOVER COUNTY Development Services Center 230 Goverlullent Center Dr.Suite 170 Wilmington,North Carolina 28403 rLttuα vE″′の 79&″“さヽ #ρ プの 798‐7θ `θ REQUEST FOR NATllRAL GAS SERVICE RELEASE g´脇 4r/肥 Ю びり ,7θ irSIIArc′ 7●ダン ´″′主 DttИ θ ″〃θ ⅣPRaJEcr/DDREssi DATE:PERMIT NUMBER:CaV7■4Crθ R′NAME:蜃ン ι 2∝ヽ b秘 ∠ 6～娃為 ″__′′絶〃Piedmont Natural Gas has vcrificd that no activc natural gas seFr'ice cxists at this ビ PREMISE NUMBER:METER NUヽ 4BER:UTILITY CONTACT NUMBER:OPS CENTER:Please cal:N.C ONE CALLatl■00‐632“949 prior to any dcnlolition or cxc.nvation work,so 8.ns fac∥:`ies can b●1。catcd、ほ `hin priv3`c cnsements and pub■l rlght o「ways,FAX TO:(910)350‐2263(9:0)341‐|!48-BElン L SOuTH FOR NOTIFICAT10N Revised 4/11/12 グチ NEW HANOVER COUNTY Development Sewices Center 230 Govemlnent Ccntcr Dr.Suitc 170 Willnington,North Carolina 28403 Dennis Bordeaux Inspections Manger rELEP″θ ″τ ρ ′の 79ι π θ ∂F傷 #ρ ′の 7937θ 6θ 皿 QUEST FOR NATURAL GAS SERVICE RELEASE f 3 ″ダ PERMIT NUMBER:ⅣuArИ RE Iりび DEMOL」SttG2 /est -*r, *-kDEMOLIπ θ ⅣPROECrИ DDRESSf SERVICE ADDRESS:CITY:Cθ Ⅳ7R/Crθ R「NAME:/N//∫ NEW HANOVER COUNTY BU工 LDING PERMIT Appι IC4ア rO″ rypF= S16NS / BILL80ARDS PLEASE PRINT CLEARLY & ANSKER ALL QUESTIONS "Project Responsibility"AppLXCANT'S N肉嗅 E: tiぜ P 3 ■1■er●DEVELOpER: =・ ●t t i〕●ヽ ,■1っ rine:I PHONE PROコ ECT ADDRESS:L_-170し NEW HANOVER COUNTY BU工 LDING PERMIT Л PPこ工 CArIOr rypF= SIGNS / BILLBOARDS PtEASE PRINT CLEARLV & ANSWER ALL QuEST:ONS “PrO」ect RespOnsibilitプ ‐t霊 ‐NE∥ HANOVER COUNTY BUILDING PERMIT Appι rCД rrow rypF: SIGNS / BILLBOARDS PLEASE PRINT CLEARLY & ANSI,{ER ALt QUESTIONS "Project Responslbility"ApPLICANT'S NA∥E: Edqe Bullders DEVELOPER: Lot 2 DeVe10pment PHONE PR03ECT ADDRESS: lュら ■ahe―TTti■