JUNE 20 2016 BUILDING APPSN \j.,t )ottr.tuz?
NEh' HANOVER COUNTY BUILDTNG PERfiIT
APPLIcatrd npe: C0i$IERCfAL
PLEASE AI{SUER Alt QlrESTtOr,lS app[rc^8lE T0 yOUi PROJECI
"pFoj€ct nesponslbllitf
,//4APPLICANT's M''E:
APP tICATIOI{
t{unbcr
(6ft.r t..)
?tDATE
---
2l?tZF/?/
r)
PRO]ECT ADDRESS: 2 o.?7-a2a 7-CITY:
PHONE *!
P}O E *:
OCCUPAIIT/BUSI1{E55 M}tE :-2 /,Ar-/
PioPERTY q fi'S ttutEt T7'V 211!/2 ,/
OU fR,S ADDRESS:o/
COI{TRACIOR 3
ADDiESS:
PRO]ECT COITITACT PERSOiT:
,CITY:
E*:
U IL
o
(ftr(k A]t lh.t Appry)
0F occuPt icY rrsE
st.4ll:ztPQ 8?/2-.
sr: JCzrp:? E14
*.W.*z/4o1,L
IU
EXIST CONSTRUCTIOI :Irlrrnrrror [r EI{oVATIOT{GEIIERAL R trlrns f1 RErocArror{
BLDG sPQ11r1x1spsp7 [
lf Rolocation, is there I Nstural Ga6 Line on the tr
r{EU cof{sTRucTro{rffi ne|- s
Current SiO? [Yes Elro rs
TRUCTURE flnsr rucr tr SHETT tr UPF17 tr ADD TO EXIST STRUCruREACCESSORY STRUCIURE:
If UPFIT - The Sh€Il Penilt *:Is El€ct
..... IS IHIS A O{AtlGE
fF Yrr, r,hat vrs th€ Prtyioos Occuprncy T)?c?
Ato{ oESrGlt, PiOFESSI0i'IAL:
EI{GR DESIG '
PTOFESSId{AI,:
rI
liat
porrer on this Building I ves E mtts ftt€ .....
is th. ry occup.ncy rypGl
r:--- ilc REG
"'.
-
r,,c REG
PHOI{E
Pltot{E tQeZZ^qo4_G
ves flruo
-
{:
*:
ls tood or bever'gst pf€parsd or ao^cd ln
TOTAL PROJECT COST
TOTAL
'.REA
SO FT:
TOTAL SO FT UNDER
8UII.-DING HEIGHT:
SQ FT PER FLR:
F: j-ae # OF STRUCTURES:
,()
wl$ th€ State But ldhg 8nd 8ll
Poporry Lofrd h Tt€ Foodphh?E wfuo
#a
D|SCI-AIMER: I tErcby cedtylhat a lnfomaton tn
snd locsllesE and oElinsrces End reoutstDns, The
or ctEnpe h corira4or pl-aohtaclor lnlolrrErion, 'is!,biedlo Flrps Up To lsm.(O'-
a
ol
r,tr0rr OE hllty or bifirhD *l! bl,d b| olt)ro7€rso n leLn '10 drrt prhf ro tu
SO FTpRopERTy usE: BFHCE lnmnumnr fiuencArnr_e
WAIER:tlE CFPUA
El coillilUilry sysrEf,l dil'War
EIcTNTRAL sEpnc $ffrerc ser.nc
CFPUA
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
#oFu lTs:
# OF STORIES:
f 0F FLOORS:
EGT IAND D|STURBING ftpy rnffiras [HoSQ FT EXISTING |MPERVIOUS AREt
leurc flmr Eomo otHEk jrzo/A6r'i:
SEWER;
tr ZONING USEq.ASS IFICATION:tr COMMUNITY SYSISI" SEPAM'TE PERMTTS REOUIRED FOF E.ECT. MECH, Pl'aG, GAS EO ulP, PREFABS a INSEB|S.-
PA\OTEi{T METHOD:tr CASH tr c1{EO( (PAYAEIE TO NHC}AilERtCAN EXPRESS E MC,vtSA Iorscoventr
(FOR OFFTCE usE ONIY)
nEvtSED oArE (^vltZONE: OFFICER:SETBACIG: F : LH: RH:B:Appmvrl: Cityr DATE: . FLOOD:
{
Commentr Er{v}t osw Lo A
PERM]T FEE:3
DEVELOPER 3
E AIL ADORESS :
DESCRIPIIo'I 0F IORK :
(ql.If.11
-rft
ffi
24,1-<7{V
L6-LL7 2
NEW HANOVER COUNTY BUILDIiIG PERF1IT
APPLICATIa TYPE: COI4flERCIAL
PL€AS€ ANSI{€N AIL qJESTIOIJS APPLICAALI TO YOUT PRO]E(T
"Project ResPonsibility"
CONTRACTOR :tia t,urtl C/raL, B0lt 0 6, I ) ^rCI1CENSE f:e%<
ADDRESS l ox a c fiyr fLc< k1 t/.s-
EITAIL ADORESS:west (o c,o l<.LO\i D , C d r\21
PRO]ECT CONTACT PERSO :rAt L,€,rJr
If UPFIT - The Shell Perni.t #:rs Elect PG.er on thls Building El Yes E no
PHOiIE *: ero l a2 5']82
AP9LICATIOT.I
Numbei
(0+{i(e use)
DATE : _-jjjj!-:!-
APPLICANT, S }IA}IE :
DEVELOPER: FARMiI.. BRN-IiDS
PRO]ECT ADDRESS:
(tTY: ; -:.;'t
OCCUPANT/EUSINESS I.IAI'IE :
PROPERTY o}ll,lER's MltE: !'rsHER llol"Dll':ss, LLC
Ol&tER, S ADDRESS: 16cs MARKE" srREEr CITY: w;LM:
PH: 9 10 -2't o -314'7 llc RE 6 *: 18518
ST : E_ ZIP ::33!;-
st:1,/Pzte:A1fu4
PHONE
PHON€
Yls-sz ?L
;tffi :-#:Th,H,:'*'#is,*f,::tiiiid-tifr.rrlTH:,H[:iTi]'ff ,u"s*.
r{Ehr cofisrRucrror{, ! rnecr €x srRUcruRE I rrcr rucr f] sner-l I urrrr f] noo rc Extsr srRt cruRE
.tr.i IS THIS A CH/qr{6E
IF Yes, $trat vas the Previous Occupancy Typel
ARCX OESIGN PROFESSIOML:&Pti:9io-11 -53-896 tK RE6 f:6456
oF occrrpArcY use r flves [} m "**"Itrit is ttre N€r. occupancY TYPe?
FI'IGR DESI&I PROF ESSIOI{AL; I',ICDC
OESCRIPTION OF L.,ORK: IN:ERI
BUILDING HEIGHT
ACRES OISTURBED:
NEW IMPERVIOUS AREA: NONE
E food or b€v€rag€s p.spa6d c ssrtd ln oc slructrct f] ves I No ls lho Prop€rty Locded ln lhe Floo@ain? [ ves [l no
lhe state guikin€ code dal Slat-,
the Code and
RE:
Not€r Domollton no{icetons E rsbooios r6rnovSl pormlt eprocadons tro to b€ srrbmitbd uslrE fio or0llca{on rorln .i768) wllcth€{ ltb f&tllt or Dt kltl9 wB loorrd lo
connh At!€&s o( not Yol, ee llqullEd b cal or Nldotld €mitslon Strnd6td'fu'r ita:rdoot A( Po{uqt{s {NESHAP)6t (919)707'5956 rt bitl 10 dlyr gdor lo lh€
donotlliofi o{ si, bdlity o. b(lHio. S.. Aabe6ba YV'b Sho: h(p:/iM5/v 6d_$aE nc t/s,bd/astle61ogahln9.htsnl
# OF UNITS:
TOTAL AFEA SQ FT :
TOTAL SQ FT UNOER ROOF s!' # OF STRUCTURES
EXST LANO DISTURBII'IG PERMIT? nves El no
SOFT EXISTING IMPERVIOUS A]REA; ;9OA SF SOFT
pRopERwUSE: DOFFICE Dnrsmunnln @uencerlrrue f]eouc []mr [Cotloo orHER--
V)a r-'l comruNrrY SYSTEM Tl WE-L [IZONING USE CI'ASSIFICATION:
--
fi cer,nner- serrrc fl Pf,-lvATE sEPTlc flcoMMuNIrY sYsrEM
'..': . '|r-r,rir' ir' . r::lj;lr' : Irl : I r. ' "'
PAYMENT METH@: flclSx fictreCx lravmlE TO NHc) finuenrcen o<eRESS nMc /lSA I orscown
zoNe: C&D orrcen:
Approrral:-
WATER:
SEWER:
CFPUA
CFPUA
Commsnt
erlJ
LZ Cfin<, Eovtl CPPUr
7l? i z\a{.)
PIONE S: 9l u 'r 61 5411
TOTAL PROJECT COST IDL
SQ FT PER FLR: qrc4 sr # OF STORIES:;--
, OF FLOORS: 1
2
Fr€vtsED DATE /Vl ',l/12
SETBACKS:
f-i
| )l1g 03
PERMIT FEE: $*-
C Q;"0 CZ \otta-5 +qLa#5&8NEK'I HANOVER COUNTY BUILDTNG PERMIT
APPLICATI0N rYPE: COIISIERCIAL
PLEAsE ANsUER ALL QUEsTIONS APPIICABLE TO YOTJR PROJECT
"Project Responsibllity"
APPLICATIOI{
I'lumber
(Offlc. Ure)
APPTICAI{T'S l{AilE: Hank Mi 11er
DEVELOPER:PH0t'tE #:
pROlECf ADDRESS: 132 Raci.ne Drive Unirs 11 CITY: wi tm I on ZIP:28403
oCCUPAI{T/BUSINESS tlAfiE: rhe Fix chi aoprac!ic
PROPERry ot!tr{ER'S !,lA}tE: smirh creek Rerail, rrLC c/o Lat purser & As Bociares PHOI{E *: 9r9.a44.2a44
Olt{ER'5 ADDRESS: 5ooo Fatls of Neuse Rd. sre 4oo CITY: Ralei h ST: NC ZIP:2?609
LICENSE *:C)
CITY:
EfiAIL ADDRESS:
PRO]ECT CO TACT PERSON:L. lrark Loudelmi1k, AIA (onner aqent)
(Check All that Apply)
COiTTRACTOR:
ADDRESS:
ExISr COI{5TRUCTTOT{: [l ALrERArrOrrl l-l nrHovlrrot
f R€locaton, is there a Natural Gas Line on the -Current Site? f]
?
$?tkzrP."2JZZ//
PHONE *,? -2"a )
GENERAL REPAIRS u RELOCATIO
Yes No IS BLDG SPRINKLERED?Iv"s tr No
NElr coflsrRucrrol: I enecr NEU srRucruRE I rasr rucr I sneu f] unrrr f] ADD ro Exrsr srR&ruRE
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #:
IF Yes, uhat Has the Prevlous Oc€upancy Type?
ARCH OESIGII PRoFESSIoiIAL: L. ltark Loudernilk
**+** rs rHrS A CHA GE OF OCCUpAtTCy USCI [VeS filio *'**r
Is Elect Poxer on this Building E yes E ruO
Uhat is the Ne Occupancy Type?
E1{6R DESI6!{ PRoFESSIOiIAL: sid A. Bendahmane PE Ptl: 910.4?0.958?ilc REG #: 12 918
DEsCRIPTIoN 0F HoRK: upfir of unir 11 ro BuEinesg Occupancy
d all other Slato
ahd
(qd €.)(Ptn x.rE)
wt6tld t|6 hcillqr o. bolldhg was tol,nd b
7076950 .l h68t 10 6ys prlor b lho
TOTAT PROJECT COST: g2o, ooo # OF UNITS: 1
TOTAL AREA SO FT : 1 . 156
TOTAL SO FT UNDER ROOF: 1. 1s6 #OFSTRUCTURES:1
ACRES DISTURBEO: o Exsr LAND DtsruRBtNG pERMr?Evrs fl ruo
NEW IMPERVIOUS AREA: o SQ FT EXISTING IMPERVIOUS AREA:SQ FT
pRopERryusE: E]oFFtcE nResrnuRnm luencnrnle [eurc flerr f]como OTHER:
tbre: Dqnolldon nomca{one & ssbelb! tqirotal poonk lpplhadons ..o b be subnlrbd uslr€ tlo 6ppli.ato. b.In (DHHS-3760}
@nldn Abboe@ or llot You tre l6qul.6d to callth€ f{adonal E nbrlon Stsnderls br HazadouB Alr PoltuEftr (NESHAF) at (9'1S)
dornofirion ol ooy ftc[hy or hdldhg. S€o Arbatbs W6b Sho: hrprrwww.epi.shb.nc.rd€pUa3b6sbs./atunp_hrnt
@a E ctMMUNrry s\4sTEM fl WELL DzoNtNG usE ct-AssrFtcATtoN:
DcENTRALSEpflc EpRtvATESEpIc flcoirMuNtrysysTEM
\iYATER:
SEWER:
pAylrENrMErHoD: lCeSx [CXeo<prvlaLEro NHc) !rurenrc,mocness ftucrusl floscown
CFPI..,A
CfPUA
-^ SEPARATE PERMITS REOUIRED FOR ELECT, t.{ECH, PLBG, GAS EOUIP. PRIFA&S & INSERTS ^'
.{t'ffie}ffih1ffiifrffi.............1.t..............1....r........H............titr.r....
(FOR OFFICE t SE ONLY) RE!,naED DArE 4I1fl2ZONE: OFFIOER:SETBACKS: F;-LH:-RH:-B:Apflo\ral:_Citf._DATE: FLOOD:BFE+2ft
Comment
A N
PERMIT FEE: $
$tloo-
ffi
DATE: r . 30.2016
PHONE *:910.341-?6oo
PH: 910.34t".2600 NC REG *: L0776
ls food or bwragroe p.€p €d or sar/€d ln trta sruauret lvas flNo b Tfle Prroperty Locailed [r lte Ho@tah? E ves [lr,ro
SIGNATURE:
# OF STORIES: r
*Or TLOORS: i--
BUILDING HEIGHT: 14 '
SQ FT PER FLR:
-
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLI.ATIoN TYPE: COIIIMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
*G$S
2n lta 5gll
APPLICATION
Number
(offi.e use)
APPLICANT'S NAME: 1:rlan.t Montessori char.tei schooi
DEVELOPER:
PRoIECT ADDRESS: 6llt .arotina Beech pd
OCCUPANT/BUSINESS NA E: IsaLdn t"iont-.::sori Charter :tchool
4C
-\((J
ae
.$>
\lc
s/-rr--.trz-
6-l-19:ihar',er Scl:ool, LLC PHONE f:
CITY:
CITY:
PHoNE f: .j ):.1.) ) .
5T: ZIP I
PROPERTY OWNER'S NA E:
OWNER,S ADDRESS: .:eme
CONTRACTOR: llod,rIir Technoloqies Inc
ADDRESS: 1!i1 , n hERF.rrr.EG
EMAIL ADDRESS: St eve I steves hut t I ewo rt- h . com
LICENSE #: j11
PROIECT CONTACT PERSON: st,.ve shut-t leliorth
CITY: k INSToN 5T: r. ZIP: -r., --
PHONE #: ?r9:req rlrr
PHONE #:
((heck All That Apply)
EXIST CONSTRUCTION:
lf Relocation. is there a Natural
NEtr,l CONSTRUCTION:
aLTERATToN l-l nerovlrroru
Gas Line on the Current Site? L_l
GENERAL REPAIRS RE LOCATION
Yes I No IS BLDG SPRINKLERED?[-l v""No
EREcr NEw srRUcruRE ! rasr rnacr ! srrll UPFIT ADD TO EXIST STRUCTURE
ACCESSORY STRUCTURE: Settinq new remporarv schoot cLassroom rraiter
!
:5
S
/,\J.\<
6.1G)Z
If UPFIT - The 5he1l Permit *:
IF Yes, vrhat lras the Previous Occupancy Type?
***** rs rHrs A CHANGE oF occupANcy usrl Ives I ilo *i***
Is Elect Power on this Building E Yes NO
What is the Ne!, Occupancy Type?
NC REG #:
NC REG #:
ls food or beverages prepared or served in rhis structure? [ves fl no ls The Property Loc€ted ln The Floodplain? [ ves No
all other applicable Stale
olans and sDecifi'NC Srare Bldg C
ARCH DESIGN PROF ESSIOT,IAL:PH:
ENGR DESIGN PROFESSIOiIAL: HII.iCNC FC PH:
DESCRIPTION 0F WORK: settinq new temporar'/ school classroom trailer
TOTAL PROJECT COST:BUILDING HEIGHT: :, :-,
ode and
[eworth
(O@ln6) (Pd Nam6)
Nole: Demolilion nolifications & asb€stos re.noval pe.mit applbatjons are lo be submittod using tho application form (DHHS-3768) whether th6 bcility or building was found to
contaln Asbestos or not. You are r€quired to call lhe National Emlssion Standards ror Hazardous Air Pollutants (NESHAP) at (919)707-5950 et leasl '10 deys fior to ths
demolition of any facility or building. 5€6 Asbesto6 W6b Sile: http:/ rvww.opi.slate.nc.us/epi/asbeslo6/ahmp.htnl
# OF UNITS:
TOTAL SQ FT UNDER ROOF # OF STRUCTURES:
# OF STORIES
# OF FLOORS:
PROPERTY USE: EOFFTCE I neSrAUnnUr MERCANTILE EDUC leer !CONDO OTHER: . , :, -
WATER: @CFPUA
SEWER: 17| CFPUA
EXST LANO DISTURBING PERMIT?
EXISTING IMPERVIOUS AREA:
T YES !*o
SQ FT
". SEPARATE PERMITS REOUIRED FOR ELECT. MECH. PLBG GAS EOUIP PREFABS & NSERTS "'
PAYMENT METHOD: ECASH ICXeCr leeVneLE TO NHC) [eUentCnU EXPRESS I r\irCnrtSa I OtSCOVen
Co Firr. r)I\LZ,C?QUI,
TICOMMUNITY SYSTEM -WELL f]ZONING USE CLASSIFICATION:
ECENTRALSEPTIC E PRIVATE SEPTIC ECOMMUNITY SYSTEM
{
(FoR oFFrcE usE oNL, En4 -
SETBACKS: F: .t.#- RH:- B:zDNE:OFFICER:
Approval:- City:- DATE:- FLOOD:--- BFE+2ft=
N
I
!
Comment EIM H PERMIT FEE: $
REVISEO DATE 4/11/12
ffi
DATE: 3-23-16
-\.--
ZIPi -. _-
DISCLAIMER:
C}
TOTAL AREA SQ FT : J..!.]_:_- SQ FT PER FLR: ,r h r -
ACRES DISTURBED:-:--L
NEWIMPERVIOUSAREA:4612 SQ FT
X NIo PIAIus*O6/O6 /2O16 1.':14 to37 P OO1/OO1
4l-/'R\ Qnw 6Kbo
APPLI'ATION
Number
NEW HANOVER COUNTY BUILDING PERMIT
APPLIcATIott ryPF: RESIDENTIAL
PLEASE ATSTIER AIT qJESIIOIIS APPI^ICABLE TO YOIJR PRO]T'T
"Project Responsibil.ity"
TOTAL PROIECT COST resr-a) : $ 16000.00 * 0F STORIES: 2
Is Any EL€CTRICAL, PtuIllAnJG or TiECHAIICAL Hork Eeing Done to the Accessory Structune?
APPLI(ANT'S l{AllE: tlcdern Builders,],LC DATE:
DEVELOPER:P!6NE *: 910 4.13 1646
PRoIE€T AoORESS: s42? Dunmolc Rd CITY: t{i lmrnqton
SUBDMSION: Halcyon Fore6E BLOCX fl: _ LoT #: _
PROPERTY OaIERJS ttAllE: Re,r & Nducy Kol-z PHOI.It ;:
0 {ERrs ADOXESS: s42? Dunmore Rrl CITYr I,li.lminqion ST; Nc ZIP:2840s
CONTRACTOR: r,loder:n Builders LLC LICENSE f: ?2862
ADDRESS: P.o. Box 1451 CITY:l{!iqhtsville Beach ST: NC ZIP: 28{80
Ei{AIL A-DDRESS: i EhaL€modbur tders. ner PHONE $: 91c 443 1545
PRoIECT CONrACT PERSS{: Jim shaw PIO E $: 91c 4.{3 1546
EXISTIN6 C0 STRUCTION T aLTERATror,r I nercvlrrot fl crrrnnr nrcarm I RELocATToN
NEr.l coNsrRucTroir, f] rnrcr En RE5IDENCE o" I aoottrOl TO EXTSTING RESTDET,|CE
..P!EASE CHECX AI{O AI'ISI'ER BELOT,I ALL TI{AT APPLY TO YOT'R PRO]ECT|
ATT GARAGE SF ! orr carror sr I eoacr
-
sF
I sur*noom _- sF FooL _ 5F STORACE SHED SF
I enrrnrro.rr _ sr I oecx _ sr OTHER:SF
ToTAL HEATED SQ FT:
-.-
TOTAT SQ FT UNDER ROOF: _ ToTAL AREA SQ FT:////
I ves I Ho
If the p.oject j.s a ReLocation, is there a atural Gas Llne on the Cuffent Site? f]yes t No
Is there Electrj.cal Power on this Buildingl I ves Eto
pRopERw usE / occupANcy: fi sruer-e rru.fir-v f] ourlrx fl TC[.rNHousE
DESTRIPTIOI{ 0F WORK: Replace vaniiies, build paftitions, uDdaEe laund ry loon, MiDor repairs
OISC1.AhaER lheEbyEedit m.r dl inbm.rlrn h ti5 spplaslon Ls corEcr 6nd d wo.t wil comCy wl'| tre StdE AriEing Cod6 d aI o'|er rpplicade Stre arld local ta{,s
trd odnancos !n0 Ilgubtons The NBC O€\i€bom.nt Scrvaces Clnbr *iE b! mliled o, ,ry ctral!$ In ,ra spproved pbns and +€clfic.dbns or chsnoe h c.nt.ebr or
conisct inbmaton- "IOTE: Anywort PericrrEd w/o
'ls
Approprlsle P.r6ir5pllbs h vlot.rjon otth. NC sLE Btdg co{t! lnd g,,!iecl b Fin€s Uo To 3so(l.oq..
{)a
=B6x,5*ae
-E.c)
?,\.>
<). I
I
OhNER/CONTRACTOR: uoaern Builarers SI6NATURE:
rs rHE pRopERTy LocATED rN l rloooeurul I ves
ExISTItlG I'PERVIOIIS AiEA:
--5Q
FT
NEI.I II.IP€RVIoTJS AREA:
-sQ
FT
I m !vlt'.
dATER:Efflr
crcua I co$'luNrry svsrrm f] pRrvATE ]JELL I ceHrnnr- wrr-r-
crrua fl cENTRAL sEprrc f] nnrvarr seerrc I cour.r]r.lrry sysrEmSEl,JER:
TOTAL ACRES DISTURBED:
EXIsT LAND DISTURBING PTRMIT:l--l ves f--l no
... S€PARATE P€MITS REq]IREO FOR ELFIT, !IE'H, PI 86. liAS EQIIID, DREFASS 8 INCEETS AIT
PAYfiEt,IT ITETHOD:E casH Ecxecx (PAYABTE ro Nrc) D A,.IENICA}] EXPRES5 @ t(c/vrsa DIS(OVER
zoNE: f-l,5 oFFrcER:€ura
(F0R 0ftr(r rJsE q{LY) ,
sErBAcKs: r $[ tn
approval:-Q!- citybJ\UAA DAIE:
i \t . REWSID UAtt 04/11/11
H)iA n*N/A a, N/A
Lf (\! x. BFE+2ft=
N
(olllnent i -Nr
FLOOD:
ZIPi 28409
.-)
PERiVIIT FEE: $-
t1,2nu - 5?tno
APPL I CATION
Nunber
(office Use)
NEt'l HANOVER COUNTY BUILDING PERIIT
APPLI CArIOtt TYPE: RESIDENTIAL
PLEASE ANS}/ER ALL QUESTIONS APPLICABLE fO YOTIR PRO]ECT
"Project Responsibility"
Modern Bui lder6 LLC DATE :APPLICANT'S }.IAIiIE:
DEVELOPER:
PROIECT ADDRESS: s427 Dunmoie Rd CITY: wilmington
PHONE *: 910 ,i43 1545
SUBDIVISION:Halcyon Forest BLOC( f: LOT #: _
PHONE #: 9L0 5L2-343?PRoPERTY OI^INER'S tlAl4E: Ken & Nancy Kotz
Ol {ER'S ADDRESS: s427 Dunmore Rd CITY:wilminqton ST: g zIP:3qlq
CONTRACToR: Modern Bui lders LLC
ADDRESs: P. o. Box 14s1 CITY:Wriqhtsvj.lle Beach sT : I!_ ZIP : :_95!_
EUAIL ADDRESS: j shaw@modbuilders. net PHONE #: 9ao 443 a645
PIONE *: sLo 443 )-646
EXISTING CONSTRTJCTION :ALTERATIoN ! nenovarrou @ eerurnal neearns ! RELocArror,l
NEr.r CoNSTRUCTIOH: ! SneCr Ell RESIDENCE o" I AOOrrrOl TO EXISTING RESIDENCE
**PLEASE CHECI( AI{D AI{SXER BELOUI ALL TTUIT APPLY TO YOI'R PRO]ECTI
fl arr oanace _ sF
f] surunoou
-sF
I one enuousr _ sr
DET GARAGE
-
SF
POOL _ SF
DECK SF
! eoncx
-
sF
ST0RA6E SHED _ SF
OTHER:SF
trtr
ToTAL HEATED 5Q FT: _ TOTAL sQ FT UiIDER ROOF: _ TOTAL AREA SQ FT: _
ToTAL PROIECT CoST Gess Lor) : $ reooo.oo # OF STORIES3 2
Is Any ELECTRICAL, PLUltBIltG or titECtUUUCAL Work Being Done to the Accessory Structure? [ Ves I Uo
If the project is a Relocation, is there a Natural Gas Line on the Current Site? !ves [l fo
Is there Electricat Power on this Building? IIv"s Iuo
PROPERW USE / OCCUPA CY:SINGLE FAMILY I u.relex ! rourxousr
DESCRIPTION OF }'IORK: Replace vanities, build partiLion6, update la undry roo$. Minor repairs
and ordinances and reoulalions. The NHC D€velopmenl Servjces Centsrwillbe nol,fed ofanychanges in the approved plans and specifications orchmge in contracb, or
contacbr inbmalion. T,NOTE:Any Work Performed w/O fie Appropriab Pemils willbe in vrolation ollhe NC SlaC Bdg Code and Subjecl b Fines Up To $500.0cl"
OWNER/CONTRACTOR: iutodern Bui I ders LLC SIGNATURE :
(print .he)**** *,t* +*!r*:t*,*t ****,t,t,t **** *,* *,* +,* * ,i ,1* ,t +*,t*,t *+ *,**,* +,*+,t *,t,t**,**,******,**,t*** *:r,. * )r*rr )* ** * *:t*:a **
rs rHE pRopERw LoCATED rN a rloooplatu n vrs
EXISTII{G IiIPERVIOIJS AREA: _SQ FT
NEtl IMPERVIOT S AREA: _SQ FT
ffi
t NO
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:l--'l vrs [-l no
f] crrrnal wrll
! corlrurrw svsreu
CF PUA COI'?4UNITY SYSTE14 PRIVATE WELL}.IATER:
SE}.IER:crnua I cErlrRAL sEprrc ! enrvare strrrc
*,}* SEPARATE PERIiIITS REQUIRED FOR ELECT, I.|ECH, PLB6, GAS EQUIP, PREFABS & INSERTS *T''
PAYI,IENT I'IETHOO:tr CASH I orecx (payABLE ro mcy I arenrcan exrness El rrclvrsr t]DISCOVER
***ri *x*,t*,**,*** * ******)i ***)t*)t*,* *+ )* )t** r* *:t** **)t* rt *,t *,t* x *,t*,t **1.**)t +rt*** *+*+*++ **** **** *)i*:i **
ZONE: OF F ICE R:
(FOR OfFICE UsE Oi{LY) REyrSED OATE O4l11/12
SETBACKS: F:_ LH: RH:_ B:_
Approval:- City:- DATE:- FLmD:
-
BFE+2ft=
AVN
PER IT FEE:Coment:
klba
&
zIP | 23!!2_
LICENSE #: 72882
PROIECT COI{TACT PERSOI{: Jim shaw
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APPLICAI'IT'S tlAflE :
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
MO1re- l-{t'rr(-
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|IoN rpF: RESIDENTIAL
PLEASE ANSI.JER ALL QIJESTIONS APPTICABIE TO YOUR PRO]ECT
"project Responsibility,,
CITY:
BLOC( S:
CITYr
iotb OEt t
w'B*
APPLICATION
Number
(Office Use)
PHONE #:
DATE:
LOT S:
zre :)KtlCn
PROPERTY Ot4lNER'5 tlAflE :
OI{NER,S ADDRESS:
PROPERTY USE / OCCUPANCY:
DESCRIPTION OF HORX:
PHONE f:
ACCOUNT *;
sr'ffi@63
COI'ITRACTOR :
ADDRESS:
Is Any ELECTRTCAL, pLurirBlilc o" rrarif,* ** r"rn,
If the project is a Relocation, is there a Natu
Is there Electrical Power on this Building? ll'l
ST: ZIP:*' llo b2r:<638
LICENSE T:
CTTY:
EIiIAIL ADDRESS:
PROJECT CONTACT PERSON:PHONE #: 3e
EXrSTrr{G CON5TRUCTTON: ! Alrrnarrot f} neruovlrro I celenar- nrearns f, nelocerror'l
NEW coNsrRucrroru: ! rnrcr irEW REsTDENCE o" fl aoorrror ro ExrsrrNc REsTDENSE
I'I'PLEASE CHECK AND AiISI{ER BELOW ALI. THAT APPLY TO YOUR PRO]ECT:
ATT GARAGE SF ! otr crnacr sr ! eoncr _ sF
[surnoom _sF ! eoor- _ sr
GREENHOUS E SF ! orcr
TOTAL HEATED 5Q FT:<q -)TOTAL SQ FT UNDER WNT: i/ ?Y TOTAL AREA SQ FT:
TOTAL PROIECT C05T lress r"ry : $t/oD0
DISCLAIMER: thereby cenit tiar att inbrmaijon in tis appticaton is conecr snd a[ work wiI
and ord ina nces and r€g u lations The NH C Oeve topmenr Se rvic€s Cen Er wi be notried of an
coniraclor inbrmaiion'_NOTET Any
OWNER/CONTRACTOR:
! sronrcr sHED _ sF
S F OTHE R: <E
# OF STORIES: )--___ar_
Done to the Accessory structure? [ v"s [ ruo
ral Gas Line on the Current Site? fl Ves fiNoves ffio
SINGLE FAMILY !o pLex ! Tot^tNHousE
complywih t)e slaie Buitding
ychanges in he apprcved pt6n
vilarion or the NC slae BtdggrElftfift'
** * * *,*+ !t,t,t,i rt * *,t * ** )t:* )* * ***
IS THE PROPERTY LOCATEO IN A
EXISTII'IG IIiIPERVIOUS AREA sQ
NEI,J IMPERVIOI,S AREA: _SQ
FT
FT
* * t *,1* * * +)** +,**** ,r * +,* * t * )t* )*
rroooplarr? I-l yrs Z
* **** * )t***)r *****,r,**:t.k:**,t,*,*,t )t*** ***)**)*
NO
TOTAL ACRES DISTURBED: _rxrsr LAND DrsruRBrNG ,r*rrr1-5 ves [-l
Code and altoher appticabte SraE and toca aws
s and speciticalions or chan
Code t b Fines UD To $SOO 00.-
NO
W/O tle Appropriate Permils w I be in
warrn;El crcun f| coMMUNrry svsrrm [f enrvare wrr-l ! cENTRAL hrELL
SEWER; [I CrrUI ! CENTRAL SEPTIC I CRTVITC SCETTC 5- COMMUNITY SYSTEM
**r ,EPTRATE p.Rr'rrrs REQUTRED FoR ELE.T, ME.H, ,LBG, GAs EQUrp, ,REFABS & rNsERTs **,1payrilE*T ErHoD, Icas, fl-cnecl l:ayaBLE ,o nr.i-Eri.i ;.;;;- 'tr;;;;'""i:;r*.rr*
**'t'| )t:t* !t**)t * '*
)** 't*)*'B*** *)r'** ** x* 'r)** 'I:t)**:*+*)* *:t *,f *,t * *+ * * * ****** * * * ** * +** * )*,t )t* * )t:i * * )**** **,** *)t
(FOR OFTI'E U5E CTILY)
ZONE: _ OF FICER:SETBACKS: F: LH
Approval.:_ City:_ DATE:_ FLOOD: _
Coment:
RrvISED oArE O4lt1l12
RH: a.
BFE+2ft= _
PERI,IIT FEE: $
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