DOCUMENTS (
j /g NORTH CAROLINA I in LI 004
ALCOHOLIC BEVERAGE CONTROL COMMISSION
4307 MAIL SERVICE CENTER
RALEIGH NC 276991307
(919)779-0700 FAX:(919)662-3583
abc.ne.gov
INSPECTION/ZONING COMPLIANCE
IMPORTANT:The Applicant will complete SECTION A,below.SECTION B through SECTION E,below,are to be
completed by the appropriate InspemianrZoning OfficiaL To request inspections and zoning certifications,please
contact the city or county building and fire Inspection and zoning departments for your area.Failure to submit this
form in a timely manner to these local authorities may result In delays in processing of an ABC permit application.
This form must be completed by the building,fire and zoning officials before a permit will be Issued
SECTION A-APPLICANTTO COMPLETE
Name of Applicant bl(5111�'Arte./- .2 `` �'n- St
Trade Name of Business -SCS C.rASjysi-O n ` y- Srs.-.tp
Address of Business �� �� C ��.0-1 1 D-y c 5L 11 no-c--
City County \-i Ctrr.L.TI
Phone#&Thu) SS�ts1-1- 1430 II- QrtnMl/,�,,/r''C�
he of EstablishmentC os-Ven-enu S^rPelt(s)Applying For l 12'.Lt 0,As '•» !\
SECTION B-BUILDING INSPECTOR TO COMPLETE
Building Code:
Building is in- Li Compliance U Non-compliance* ❑ Not Applicable
Building Inspector's Name(printed)and Signature
Phone ( ) Date of Inspection
SECTION C-FIRE INSPECTOR TO COMPLETE
Fire Code:
Building is in- ❑ Compliance ❑ Non-compliance* ❑ Not Applicable
Fire Inspector's Name(printed)and Signature
Phone# ( ) Date of Inspection
SECTION D-ZONING OFFICIAL TO COMPLETE
Zoning:
Business is in- ❑ Compliance ❑ Non-compliance* Li Not Applicable
Is business located in an Urban Redevelopment Area(Article 22 of Chapter 1604) ❑Yes ENo
If"Yes", has establishment been given notice that it is in an Urban Redevelopment Area and must comply
with the requirements ofN.CG S. 18B-309 ❑Yes ❑No
Zoning Classification
Permitted uses in this zone
Zoning Official s Name(printed)and Signature _
Phone ti L )_._ _ Date of Inspection
*Please state reasons for "Noncompliance"in SECTION Eon back of this page.
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50041432 Date 5/19/17
Property Address 6601 ELLIOTT BRIDGE RD
PARCEL NUMBER 01-0534- - -0010- - -
Application type description CP MISCELLANEOUS INSPECTION APPLICATION
Subdivision Name
Property Zoning CONSERVATION DISTRICT
Owner Contractor
STEWART WILLIAM N & LENA R OWNER
RT 2 BOX 164
LINDEN NC 28356
(910) 497-5491
Applicant
BEAMAN DONNA S
6601 ELLIOTT BRIDGE RD
LINDEN NC 28356
(910) 584-1630
--- Structure Information 000 000 ABC LICENSE PERMIT - NAME CHANGE
Other struct info PROPOSED USE ABC PERMIT
Permit MISCELLANEOUS INSPECTION
Additional desc .
Phone Access Code 1192202
Issue Date . . . 5/19/17 Valuation . . . . 0
Special Notes and Comments
T/S: 05/19/2017 10:47 AM JBROCK ----
6601 ELLIOTT BRIDGE RD
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50041432 Date 5/19/17
Property Address 6601 ELLIOTT BRIDGE RD
PARCEL NUMBER 01-0534- - -0010- - -
Application description . . CP MISCELLANEOUS INSPECTION APPLICATION
Subdivision Name
Property Zoning CONSERVATION DISTRICT
Permit MISCELLANEOUS INSPECTION
Additional desc .
Phone Access Code 1192202
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 812 A812 C*ALCOHOL REQUEST LICENSE / /_
999 822 H822 ENVIR. HLTH/SANITATION FINAL / /_
999 880 F880 FM*ABOVE CEILING _/_/_
999 878 F878 FM*AGST/UST PIPES _/_/_
999 852 F852 FM*DAYCARE INSPECTION / /_
999 854 F854 FM*FINAL INSPECTION / /_
999 850 F850 FM*FIRE ALARM _/_/_
999 884 F884 FM*FIRE MISC INSPECTION _/_/_
999 870 F870 FM*FIRE WORKS / EXPLOSIVES / /_
999 856 F856 FM*FIXED FIRE SUPPRESSION / /_
999 882 F882 FM*FOGGING OR FUMIGATION _/_/_
999 858 F858 FM*SPRINKLER CERT TEST /_/_
999 864 F864 FM*SPRINKLER-FLOW / /_
999 860 F860 FM*SPRINKLER-FLUSH / /_
999 862 F862 FM*SPRINKLER-HYDRO _/_/_
999 866 F866 FM*STANDPIPE _/_/_
999 872 F872 FM*TANKS-ABANDON IN PLACE / /_
999 874 F874 FM*TANKS-INSTALLATION _/_/_
999 876 F876 FM*TANKS-REMOVAL / /_
999 868 F868 FM*TENTS / /_
999 818 Z818 PZ*ZONING INSPECTION _/_/_
999 820 Z820 PZ*ZONING/FINAL INSPECTION _/_/_
999 808 G808 C*GROUP HOME _/_/_
999 830 D830 C*DAY CARE INSPECTION _/_/_
999 H824 ENVIR. OPERATIONS PERMIT / /_
999 826 H826 ENVIR HLTH/SANI PLAN REVIEW / /_