Mobile Home Permit Application

10 Johnston County Inspections Mobile Home Permit Application Please answer ALL of the following questions and submit the required information listed below with this application to obtain a permit to set - up a mobile home Applicant Name Phone Email Address Project Address What is the Type of Building Please select one of the options for the type of building below & attach a bill of sale , sales receipt , Form 500 , OR a copy of the title to this application SINGLE WIDE DOUBLE WIDE TRIPLE WIDE QUAD WIDE Intended Use Rental Permanent Residence Other Please Provide the Mobile Home Information Please fill out the following information for the mobile home PLEASE NOTE THE FOLLOWING 5 Cost 1 Number of bedrooms REQUIREMENTS 1 The mobile home must be 1976 or newer to be 6 Color 2 Number of bathrooms moved into Johnston County a EXCEPTION If the mobile home is already in 7 Year 3 Dimensions Johnston County , there is no age requirement Ever been occupied 8 Serial Number 4 Make Poured Footing Brick Foundation - please leave a copy of the detail on site for the inspector Property Information Please check the box in front of one of the following for the property type and fill in the required information Is the property a Mobile Home Park PLEASE NOTE THE FOLLOWING Name of Mobile Home Park REQUIREMENTS LOT 1 The lot must be ONE full acre to place a SINGLE wide mobile home on a new private lot Subdivision a EXCEPTION If there has been a single wide mobile Name of Subdivision home on the lot within the last six months , it can be replaced in the same location as the previous mobile home 2 Only ONE residence is allowed per private lot LOT Property Owner Private Lot Size of LOT Phone # Who is your power company Duke Progress South River Electric Wake Energy OtherPageJohnston County Inspections Mobile Home Permit Application Who will be doing the work Please list below who will be doing the set - up , mechanical , electrical , and plumbing work to the mobile home You must hire a licensed contractor to do the work unless you will be living in the mobile home for at least one year after the Certificate of Occupancy is issued Set - Up Contractor Name License # City StateAddress Zip Code Phone Plumbing Contractor Hiring Contractor If you plan to hire a contractor to do the plumbing , fill out the information below Self If you plan to do the plumbing yourself just check the box See the note above Name License # Address City State Zip Code Phone Electrical Contractor Hiring Contractor If you plan to hire a contractor to do the electrical , fill out the information below Self If you plan to do the electrical yourself just check the box See the note above Name License # Address City State Zip Code Phone Mechanical Contractor No Mechanical If the property will not have central heating and air , check this box Hiring Contractor If you plan to hire a contractor to do the mechanical , fill out the information below Self If you plan to do the mechanical yourself just check the box See the above note Name License # Address City State Zip Code Phone PageJohnston County Inspection Mobile Home Permit Application What is the Water Provider Please select one of the options for water service below and attach the requested information with this application NEW WELL - Provide a copy of the well permit from Environmental Health Department SHARE WELL - Provide a Share Well Agreement from Environmental Health Department EXISTING WELL - Provide a copy of the well permit from Environmental Health Department COUNTY WATER - Provide Application for Utility Service from Public Utilities Department TOWN WATER - Provide Zoning Permit from the Town Hall What is the Sewer Provider Please select one of the options for sewer service below and attach the requested information with this application NEW SEPTIC SYSTEM - Provide a copy of the Septic Permit from the Environmental Health Department EXISTING SEPTIC SYSTEM - Provide a copy of the Septic Permit from the Environmental Health Department COUNTY SEWER - Provide a copy of the Application for Utility Service from the Public Utilities Department TOWN SEWER - Provide a copy of the Zoning Permit from the Town Hall MOBILE HOME PARK SEPTIC TANK - Provide a copy of a Relocate permit from the Environmental Health Department Please provide a Site Plan - NOT NEEDED FOR MOBILE HOME PARKS You will need to submit to the Inspections Department a site plan unless you are setting up the mobile home in a mobile home park The following is a list of items that must be on your site plan 1 Draw the property lines and the approximate length of the property lines 2 Note the location of the driveway 3 Draw where the mobile home is going and the dimensions of the mobile home 4 Note the distance between the mobile home and nearest property line 5 Note the distance between the mobile home and the street 6 Note any existing building on the property 7 Draw the location of the well 8 Note the distance between the well and septic system 9 Note the distance between the well and mobile home 10 Draw the location of the septic system 11 Note the distance between the septic tank and mobile home The Inspections Department can provide help with your site plan if needed The undersigner declares the above listed information is true and shall comply with the North Carolina State Building Codes and all other applicable state and local laws , ordinances , and regulations The undersigner also declares all subcontractors for this project have been notified of their contractual obligation to this project This application does not become a permit until it has been approved by a Johnston County Building Inspector and all applicable fees have been paid PROPERTY OWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE DATEPage