BUILDING
;_0 Hamett County Central Permitting
• PO Box 65 Llllington, NC 27546
Telephone Number 910-893.4759
SA i%for Building and Trade P rmi
Owner's Name: ? t
~ipr,[GC Date
Address: ,4 % L/o c. / Phone: ga 7
Directions to job site: - o
'k 7 A le;, 4-e
zeW /t /1 / X-e /t/ e
Subdivision: / f oe;,I!NFL 1,4A-J- Lot: OZ
C tion Type: ( lease Check) Building Use: (Please Check)
_ w L-Resltfential
_ Renovation _ Modular
-Addition Commercial
_ Moved House _ Multi-Family
_ Other
Description of Proposed or : Y R[JSrPctliDN lJ~ li G!~ JSE7/JlP
Total Project Cost:
(g
Building Permit Information
Heated SF,,--?Y ! Crawl Space lu. Building Construction Cost $ OIXJ
Unheated SFS7&SIab Acres Dis)urbed Storia3
S hFaii~PB.J~/a~.r'1 LGC (9i9) ~ 7
Buildin Contractor s Compan Name Telephone
_22 ~~/s- i9vt . ~ ".69s-Z19
Address Liceli 13 #
Signature of Officer of ration
Electrical Permit Information
Description of Wor Electrical Cost $
TS Pole: Yes No Underground Overheard ( )
Permanent Service: Underground (yam Overhead O Service Size: 200 Amps
V r- ;2 4?
ge /J!
Electrical Contractor's ompa 70 N me ~ Telephone
Addres ~ License #
Signature of Officer(s) of Corporation
Mechanical Permit Information
nescription of Work
Numb pr of Units Type System Mechanical Cost $
TaLJ, S 04,s k7 G , -4 c /y - ? 9/ -Sys/D U /9~T, v of 86
Mechanical Contractor's Company Name Telephone
P.y 6a y S t 8+~~ Sav , N.L a1 $2 3 6 70
s i 9~(/ v License #
/ldrg~Signature of icer(s) of Corporation
Plumbing Permit Information
Description of Work
Numb hs Plumbing Cost $
L
I- JV) L/ ci G
P bingontracjpr mp~ny Na Sa Telep~
m X4 S a
Address / License #
Sig re o Officer(s) 6f Corporation
Insulation Permit Information
Residential Other O Not Required ( )
Inci datinn Rnntractnr's Cmmnanv Nama 4ridre+cc Talonhnno
Pape 1 of 3 12/04
Affidavit for Worker's Compensation
N.C.G.S. 87-14
The undersigned applicant for Building Permit # being the:
✓ Contractor
Owner
Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s), firm(s) or corporation(s)
performing the work set forth in the permit:
Has/have three (3) or more employees and has/have obtained workers'
compensation insurance to cover them.
Has/have one (1) or more subcontractors(s) and has/have obtained workers'
compensation insurance to cover them.
Has/have one (1) or more subcontractors(s) who has/have their own policy of
workers' compensation insurance covering themselves.
Hasihave not more than two (2) employees and no subcontractors.
While working,on the project.for,AIO this permit is sought it Is understood that the Central
Permitting,.-Departmerit fssuing `the permit may require certificates of coverage of worker's
compensation insurance pridr'to issuance of the permit and at any time during the permitted work
from any person, firm or corporation carrying out the work.
Firm Name: .4!~e C
By/Title: 4
Date:
Page 3 of 3 12/04
.S1lraN~
Ct►N)l •8 ~3gpf6ee7 31 -O<
Required Inspections for SFAISFD Appl # 6-9 SO 6 15oa 9
Valuation 1571
Sq. Ft O
Sea Seg
10 R'Bidg Footing 60 Two Trade Final > 2500
10-30 R'Elec Temp Service Pole 60 One Trade Final
20 ----R'Bldg Foundation 60 One Trade Final > 2500
20 ✓ Address Confirmation 999 Envir. Operations Permit
30-999 R`Open Floor
30-999 R'Bldg Slab Insp
30-999 R'Elec Under Slab
30-999 R'Plumb under Slab
30-999 R'Bldg Water/Damp Proofing
40 Four Trade Rough In
40 Four Trade Rough In > 2500
40 Three Trade Rough In
40 Three Trade Rough In > 2500
40 Two Trade Rough In
40 Two Trade Rough In > 2500
40 One Trade Rough In
40 One,Trade Rough In > 2500
50 R'Insulation Inspection
60 Four Trade Final
60 Four Trade Final > 2500
60 Three Trade Final
60 Three Trade Final > 2500
60 Two Trade Final