OCTOBER 23 2016 BUILDING APPSEma il 1AdN tb-s7gl
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Proiect Responsibilit/'
Application
Number
Ioffice use)
Appt-tcANT,s NAME. Stone-Montgomery Construction oalf.. 10t t 412016
PROJECT ADDRESS: 126 Green Forest Drive CtTy. Wilmington z,P.28409
sUBDtVtstoN: Long Leaf Hills LoT #. 101 Sec 2
pROpERTy OWNER,S NAME. TraviS and Jennifer Nichols
OwNER,S ADDRESs. 126 Green Forest Drive
PHONE #
CtTy. Wilmington ztP 28409
coNTRAcfoR: Stone-Montgomery Construction BLDG LICENSE #r 28130
ADDRESS: 1 15-5 Hinton Avenue ctTy. Wilmington sr: NC ztp 28403
EMATL ADDREss: jennifer@stonemontgomery.com PHoNE. 910-799-3939
pRoJEcT coNTACT pERSON. Robert Montgomery PHoNE. 910-520-1653
EXISTING CONSTRUCrION: E Alteration ! Renovation E General Repairs
NEWCONSTRUCTION:nErectNewResidenceEAdditiontoExistingResidenceERelocation
I.,II.PI.EASE CHECI( ANO ANSWER BEI.OW ALL THAT APPLY TO YOUR PROJECT*'}*
D Porch (SF)299n Det Gara8e (SF)_n Att carage (SF)_
tr Sunroom (sF)_
! 6reenhouse (5F)
tr Pool {SF)
! Deck (SF)
n Storage Shed (sF)_
744E Other (SF)
ls the proposed work changing the existing footprint? E Yes n No
TOTAL SQ FT UNDER ROOF lfor proposed work)Heated:744 Unheated:299
TOTAL PROJECT COST (less rot): S {r0rnOO&
lstheproposedworkchangingthenumberof bedrooms? E Yes ! No
lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructurenYesENo
lftheprojectisa Relocation, istherea Natural Gas Line on the current site? ! Yes E No
ls there Eiectrical Power on this Building? E Yes E No
lawsand ordinances and regulations. The NHC Development Services Center willbe notified of any chanSes ln the approved plans and specifications or change in contrador
information. '*'NOTE: Any work performed without the appropriate permits will be in violation of the NC
owner/6on1r".1or. Robert Montgomery Signature:
"Licehsed Quolifie/' Ptint Nome
lsthepropertylocatedinafloodplain? n Yes E uo
Existing lmpervious Area:
-
Sq Ft Total Acres Disturbedr O
New lmpervious Area:04 Sq Ft Existing Land Disturbing Permit: D ves E ruo
WATER: E CFPUA E Community System E Private Well E Central Well I Aqua
SEWER: E CFPUA E Community System E Private septic E Central septic E Aqua
zone:
-
officer:
-
setbacks(F)-(LH)-(RH)-(B)-
Approval:
-
Cityr
-
Date:
-
Flood: (A)
-
(V)
-
(N)
-
BFE+2ft=
-
te Bldg Code and subject to fines up to 5500.00""
Comment:
a1v1-
Permit Fee: S 69C.
lerint
Property Use/ Occupancy: G single Family E Duplex E Townhouse
Description of work: Adding master suite, laundry, new hallway and kitchen with screened in porch on back of existing house.
nt
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NEh' HANOVER COUNTY BUILDING PERMIT
aPPLIcAtIoN TYPE; C0l1l4E RC IAL
PL€ASE ANSKER ALL QUEsTIOI.IS APPLICASLE TO YOUR P8O]ECT
"Project Responsibility"
Ro tb - laooe/
APPLTCAITON
Numbe.
(Oftice Use)
APPLICANT 'S NAI4E : ;rv:i. :.=.)..OATE :
tlfi orveloeen,PHONE Sl
PROIECT ADDRESSi 6835 Conscrv.rtion wa B1?O CITY: !.tilninqcon
OCCUPANT/EUSINESS NAflE: st eeD Numbe:
PROPERTY OI,JNER'5 NAME: :tsL L Assoc:ales ?ioi)e PHONE S: 6ii!..; ,:1.i:s,l
f7p coruraacron,
ADDRESS: lq tq [l). ft1A4.r :fiz€nl-
Ol,lNER' 5 ADDRESS: 98oo 59:l- i.,.'e. :i
EMAIL ADDRESS:
PRoIECT CoNTACT PERSoN: Ai.v ;oCqson
LICENSE s: |q aqL,
C ITY : -Ti,jr/a",{ (="S,S st.fuue,&sSA
- Qt1 .PHoNE *: 35r'&c<).Os .{)
cct'r pBorur s: aa!.,i:r.90!:
CflY: r:: :,::r:,rcel :s 5T: Ir:i Z IP: tlri4:
{(I.(k nll Ihrt irrly)
EXIST CON5TRUCTION:A L TE RAT ION R E NO VAT IO t../GENERAL RE PAI RS RE TOCATION
lf Relocation, is lhere a Natural Gas Line on lhe Current Srle?Yes No IS BLDG SPRINKLERE D?ves I llo
NEW CONSTRUCTION:ERECT NEhl STRUCTUR E FAST TRACX SHELL UPFIT ADD TO EXIST STRUCTUR E
ACCESSORY STRUCTURE:
I
If UPFIT - The She1l Penmit l!:Is Elect Powen on thls BuildinB I Yes r,t0
IF ves, lr,hat $/as the Previous occupancy Type? l{etai.I what is the Nev/ occupancy lype ? Retarl
ARCH DESIGN PRorESSIoNALT Dor:a1d l,aukka PH : 9 5 2 , 0 2 s . {i r '/ / NC REG fl: 57lj
ENGR DESIGN PRoFESSIONAL: M;l.tilerr Armslead & Uili:am Thresse 9H : 6 5 i . 6 il 2 . 2 .l : 1 NC REG n: a,; 9,i6
DESCRIPTlON OF I.JORK lt!et.!or Leia::--::ap::oven:ei:i ior ae.r t c::._.:_.i. Slaer::iJ:: !ral
ls iood or beverages prepared or served In thls structure? [Yes No ls The Property Localed ln The RoodplainZ! ve5I
ll orlur applicable S
cs
TOTAL PROJECT COST: 18C 000 # OF UNITS: 1
TOTAL AREASQ FT | 2tr42 SQ FT PER FLR T OF STORIE$: :
TOIAL SO FT UNDER ROOF #OFSTRUCTURES: r # OF FLOORS: :
PROPERW USE: EOFFTCE EReSrnUnAHr MERCANTILE !rOuC APT DO OTHER:
COMMUNIry SYSTE
CENTRAL SEPTIC
EWELL IZONTNG USE CLASSTFTCATTON:
PRTVATE SEPTTC ff COMMUNITY SYSTeM
(FOR OFFTCE USE ONLY)
OFFICER SETBACKS: F:_LH:_ RH:_ B:_
City:- DATE:- FLOOD:
----
BFE+
AVN
PERMIT
ll!
(O1tslre, {Pnil Nao.}
contoln Asbeslos or nol. You are required lo calllho N6(on€lEmis3lon Standards for HazrNous Alr Pollulanls (NESHAP)3t(919)707-5950 El teasl 10 days prio.lo !h€
demolition or6ny lacllhy or bulldlh0. See Asbeslos Web Saler hllp:/Arwr.epi.slare.nc.us/epU6sbeslos/ahmp.hlml
WATER: GU CFPUA
SEWER: BCFPUA
ZONE:
pAyMENr METHoD: flcesn flcnecx lneueLE To NHc) [enle nrcnru ExPREss f] rrrcrursa I DISCOVEF
Y7
REVISED DAIE ,U 1 1n 2
Approval:-.--
Comment
I
o,u,u75L-@
\s--Y
ZIP: ?84c5
*r.*, rs rHrs A cHANGe oF occupaNcy usrr E}vrs I r,o --"--
oWNEFYCoNTRAcToaM SIG NATU RE:
BUILDING HEIGHT: :xisr ir.o
ACRES DISTURBED::- EXST LAND DISTUREINO PEAMITZTIYES E] NO
NEW IMPERVIOUS AREA: , SQFI EXISTING IMPERVIOUS AREA: SOFT
\r\
APPLT CATTO N TYPE: RESIDENTIAt
PTEASE ANSW€R ALL QUESTIONS APPLICABLE IO YOUR PROJEC'I
"Proiect Responsibility"
)ub-tffii
\(j,l*"asr
//f ,1APPLICANT'5 NAMT:
PROJECT ADDRESS:CITY zlP
3
,
SUBDIVISION:A TOT f
PROPTRTY OWNER'S NAME
OWNER'S ADDRTSS:
CONTRACTOR
ADDRESS:
1L
PHONT H tr//
2r,4.12{CITY
BLDG LICENSE #
ST:ztPCITY
TMAII. ADDRESS:PHONE
PRO.'ECI CONTACT PTRSON ;*fil: *t A*LL PHONE
EXISTING CONSTRUCTION: D Alteration [] Renovat on D General Repairs
NEW CONSTRUCTION: I Erect New Residence Addrtion to ExistinB Residence D Relocation
** *PLEASE HE l(ND N5 ER BE AI.L THAT AP LY R
v//-l 7/-r//l
I Att Garage (SF)
! sunroom (sF) _
D Greenhouse (sF) _
Der carage lSFl ?/l ! Porch (sF)
D stora8e shed (5F) _
[-J other (sF)
7/a
G'n"
D Pool (5F)
E Deck (5F)
ls the proposed work chan8inB the existing footprint? ! ves L/tlo
TOTAL SQ rT UNDER ROOF (for proposed workJ Heatedl
TOTAL PROJECT COST (Less Lot): S 100
Property Use/ Occup
Description ot Work:
ancy: n single tamily D Duplex E Townhouse
Unhealed
ls the proposed work changing the number of bedrooms? E yes Eftt'lo
ls any flectrical, Plumbing or Mechanical work being done to the Accessory Structure E Yes
lf the project is a Relocation, is therea Natural Gas Line on the current site? E yes Ei-trto
ls there Electrical Power on this Building? E Yes E/l.to
5
n!a
"i)ts
law5 and ordinancer and reBUlariont. The NHC Developmenl Servrces Center will be notified of any chanSes in th€ approved plans and spec;frcatron5 oI chan8e in contraclor
rnformalron. "'NOTt Any work perlormed wilhout the approprrate permils willbe in violalion of thl Nc slate Bldg Code and sublecl to fines up lo S5o0.00"'
Owner/Contractor Signat u re
"Licensed Qualiliet" Prnt Nome
ts the property located in a floodplain? ! Yes /No
\-s-c
Ixisting lmpervious Area Sq tt Total Acres Disturbed
New lmp€rvious Area:Sq tt Existing Land Disturbing Permit: U Yes D No
WATER: D CFPUA E Communily system EllPrivate well E] Central well I Aqua
sEwtR: E CTPUA tr Community System #rivate Seplrc fl central Septic [] Aqua
Zone:
-
Officer:
-
setbacks (r)
-
(LH)
-
(RH)
-
(B)
-Approval:
-
city:
-
Date:
-
tlood: (A)
-
(V)
-
(N)
-
BfE+2ft=
-Comment:
ffi
Date
) -r'at
Permit teer $
- RECEIV Z0 tb- /o/ 9Z$\-fLan5 I*hnvcl*cc)
EtA, HANOVER COUNTY BUILDING PERMIT
APPLICAI IOtt TYPF: COltli'IERCIAL
PttasE AlsrER alt QUEslroNs appLicABLE r0 vo{Jt PRol€cT
"Project Responsibility"
\t(cr\ l){
ffi APPLICATION
t{umber
(Offi.e use)
\olslrbAPPLICANT'5 t.IAIiE:
OEVELOPER:
WrLlr*lr,t HfrUs+{-Tr OATE
PHONE t: .?D Oi&|
PRO]ECT ADDR ESs:
OCCUPANT/BUSINESS TlAfi E :
PROPERTY OI{NER'S NA}TE:
OIIJNER'S ADORESS:
CONTRACTOR:
ADDRESS:
Ei,IAIL ADDRESS:
PRO]ECT COiITACT PERSON:
CITY:
LICEI{SE S
CITY:
PHONE S:
ST:
zrP: AE{d
ZIP 1
5T FC zrr,
o-o
a6'ia-PHOt'l E S :
PHO E *:a- t->
ADD TO EXIST STRUCTURE
EXrST CONSTRUCTTOT,I: E ALTERATTON tr RET.IOVATION
lf Relocatlon, is there a Natural Gas Line on the Current Srte?E
NEW CONSTRUCTION:ERECT NEW STRUCTURE FAST TRAC(5HELL UPFIT
ffoli'r*. REPATRS E RELocArror{ }JYes LlNo lS BLDG SPRINKLERED? klYes LlNo '
(checr AII
E\,
T-.ACCES5ORY
STRUCTURE:
.,>,- If UPFIT - The ShelL Permit s
I flves filn '*"-lllhat is the l{el/ Occupancy Type t rl4-TJ *rirl I5 THIS A CHA\GE
IF Yes, lrhat lras the Previous Occupahcy Typel
ARCH DESIGI{ PnOTESSTOT'rAr- : P1A PH
PH
NC REG !:
NC REG si
oF occupatacY usEA A-.flsz
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J
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EIIGR OESIGiI PROFESSIO AL: N'l P
DEsc*rprroN or ***.1,q-E]-ch, AL{\*'\q joF]-r^i exl. usrde.!
-__-__--_--_--__
lE food or berrr8g€E propsrBd q Eqved h tUs Efrnwel I ves fro ls ThB Prop€.ty Located ln Tho Floo<tflain? [ Yes fr*"
DISCLAIMER: I her€by certfy lhatan., lo.ll lsws and o.d'na.'.es and
allrnlorTnalron rn lhrs applEanon rs Code and all o!,h6r applrca
NBC
Frnes Up To 9500.00"'of rhoin contraclor or conlraclor
OWNEF/CONTRACTOR:(or--1 SIGNATURE:
f.toao: O€mofton ruliltcatons e a6b€6tc pa.rn[ apd{cadons .E to b€ Bubnittsd r.6lnq tlE apClcaio.r fuln (OHHS-3768) "heth6r th6 frcilny or hrlldfB wss ,ound i.
.D.lt5an Ar!6 o. rEt You !r! Itqdtd b cd th. drdC Embskn Sn n&fi! d HeardoE Ar PoId.'rti {NESHIP) ot (fi 9)m7-595O , L.d 10 d.ya Flq b 6.
ddno{doh d -y h.{ty d trr{dk'!. S.E A.b6E $f.b 9l!: hnp /!w\p er{ sl;te "c Js,€i!r.slesr.s,2)rap tlFi
TOTAL PROJECT COST:BUILDING HEIGHT
SO FT PER FLR:
l1D'# OF UNITS:
1 TOTAL AREA SO FT ;
TOTAL SQ FT UNDER ROOF
ACRES DISTURBED
NEW IMPERVIOUS AREA
# OF STRUCTURES: I
# OF STORIES
# OF FLOORS:
+
Exsr LAND DTSTURBTNG PERMTT?-n yES E NO
SQ FT EXISTING IMPERVIOUS AFIEA:
MERCANTILE EDUC APT CONDO OTHER
(FOR OFFTCE USE ONLY)REVISED OATE 4,i11X2
SQ FT
nwELL flzoNrNc usE cr.AssrFrcATroN:
PRTVATE SEPTTC fl COMMUNmY SYSTEM
PAYMET.IT METHOO: [CrSn [CneCX leeVnaLE TO NHC) f]mlrnrCm eXPRESS EMC /tSA ! OTSCOWn
ZONE:_OFFICER:SETBACKS: F:-LH:- RH;- B:Approval:_ City:_ DATE: FLOOD: _ _ _ BFE+2lt=_AVN
Comm€nt.PERMIT FEE: $_
tr
CITY :
n D T tr
Is Elect Polr€r on this Buitding MYes E nO
L UU o Z()lb- lo / 5L
APPLICATTON
l{umber
(Offtce Use)
+-
NE[^J HANOVER COUNTY BUILDING PERI.,IrT
APPLICATTON TYPE; COIIIIIERCIAL
PLEASE Af,lSilER ALL QtItSIIONS APPLICABLE TC volfl PR0:IECT
"ProJect Responsibillty"
APPLICANT, S T,&NE :\Nr\Lr*uzr H*UTl.t,ri(f DATE:
DEVELOPER:
PRO]ECT ADDRESS:
OCCUPANT/EUSINESS IIAI4E :
CITY:
PHONE #:
PHONE #:
ZIPt-
i pRopERTy or{NER,s NAfiE: \r!-L(LCH tSoH-
OI,JN E R' S ADDRESS:OO\ N. tr(7 S\- S rrie
CONTRACTOR:
ADDRESS:
EI'IAIL ADORESS:
PRO]ECT CONTACT PERSON:
Z9ZrrrY, WlL\A/\\ufa[Dl.{sr ryl zrr
IL
\
\I(
PHONE $:
PHONE S:
REIIOVATIOt{,Fff i'J.. s T.rT:"H-H.ril'ft "* s ""F^l.
EXIST CONSTRUCTION:ALTERATION
lf Rolocauon, is there a Natural Gas Line on lhe Current Site?ME , rr* coNsrRucrro.l:ERECT I'IEI,/ STRUCTURE FAST TRAC(SHELI-
ACCESSORY STRUCTURE:
LICENSE f:
CITY:sr{f zre'7P4(-
J
UPFIT ADD TO EXIST STRUCTURE
**f If UPFIT - The shell Permit f:
IF Yes, hat ra5 the P.evious Occupancy Type?
,,4
DESCRIPTIOIT OF UIORK
Is Elect Porrer on this Butlding R Yes D tO
....' rs rnrs a cl{lrtcE oF occupar{cy user flvrs Ethe Nei Occupancy Type?l.,lhat is
PH
PH
NC REG $
NC REG S
\*
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CJ
a
2\
o
tion rs co(ect and all wo.k will c
[v." (lro
appli.ible SiBle
ls food or bevsrsgas prsparsd oa ssved in this stucluro?Ives ls Ths Prope{ty Locatod ln Th€ Flooddain?
DISCLAIMER: I hereby cernt ltul allirand local laws and ordinances and reg
or chano€ n coniraclor or conrador rnSuqectlo Finss Up To S50O.0O"'
nlo.mation in lhis applbaulatons. Th€ NHC D€v€lt'm.r6n ?"NOTF: Anv
bl\,.^ \l
oonlenl Sarvices Cenlo
Xlvort P6rlormd 5//o r
\ni \-r#t
h rh€ Slate Building Code Bnd all olt|er
S
SQ FT
OWNERYCONTRACTOR:
{Or{dl
NEW IMPERVIOUS AREA:
Nd6: O€.nootdl ndtar{oau & asb€.lc ranov.l potmh applh30dti ar! to b€ sut'.nit d ullng th€ ap hatloo ,o.m (
rOTAL PROJECT COST
. TOTAL AREA SO FT k
TOTAL SO FT UNDER ROOF:# OF STRUCTURES: r
' ACRESDISTURBED: /
cDalain Asba.l6 d rlot YdJ ere Equirud b csll th€ Mtooal E nb8ion Srandards fff Hsra.do€ Air tulutanls {NESHAP) si
dorndnian of any hcility or hrldkE. S€€ Asb.6lG Wsb SilE ' ' ..r. 'r'
BUILDING HEIGHT:
SO FT PER FLR:
# OF UNITS:
# oF STORIES: @ c{
f OF FLOORS. L{
) wh€Ore. rtc hclllty d bulldllg was found !o
)707-5950 er l@rt 10 daF ,.br to th€
Exsr rAND Drsrungrlo peR rtrr l-'lves Z r',ro
SO FT EXISTING IMPERVIOUS AREA:
rcE RESTAURANT MERCANTILE EDUC APT CONDO OTHER:
COMMUNIW SYSTEM
ceNrnllseertc !EWELL
PRIVATE SEPTIC
flzoNrNG usE cLAsslFrcATloN:
COMMUNTIY SYSTEM
PROPERTY USE: qOFF
WATER: IT1CFPUA TI
SEWER: TTCFPUA -\-t)
PAYMENT METHOO:flcsx flc+recK (eAvABLE ro Nxcl fieuenrcal ExpREss fluovrsn I oscovrn
ZONE: OFFICER:
(FOR OFFICE USE ONLY) REVISED DATE 1,/11112
SETBACKS: F:-LH:- RH: B:-
Approval: Clty:- DATE:- FLOOD:
-- -
BFE+2t=-
Commant
4JF
. ARCH DESIG PROFESSIOML:
. . ENGR DESIGN PROFESSIOML:
{\
Y );/-
SIGNATURE:
lr *r',n ,s-/oL..oo-