DOCUMENTS hSMl AppllaUon Dab: f? I I Si ) 1 Application# 11 SC + LI•Ob .7(�
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COMMERCIAL
COUNTY OF HARNETT LANG USE APPLICATION
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LANDOWNER ,9404/60G-He C0 sane" saw/ Malang Address: 45-6 el .S. INA:+ Say
Cly: ti//t.m'%. SM.:NC ZOLinagrontedN 9/0 5SP/vo9Enmm
APPLICANT': Meiling Awns:
City Slab:_Zip: Contact N_ Env:
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CONTACT NAME APPLYING IN OFFICE: Re aiNr'/ GAteep 9' Phones J^/A .911./a o3
PROPERTY LOCATION:SubdMelLot
on: ! Lot Size-
Slate Road N Slab Raams
Rad N : /92$ .4.4-4./ k /?r. Map Bedc6Peps:
Parcel: PIN:
Zoning:_Rood Zone:_WaMNW:_Deed Book&P.ge: / Power Company*:
Mew Modulo wah Program Energy as serape pawkier need to suab Premise number from Progress Earn.
SPECIFICDIRECT1ONS TO THE PROPERTY FROM LLUNGTON: Ty.Aa. di re/ 4i , 74
APi.
PROPOSED USE:
O MUNF.mtiy Dwelling No.UNb: _No.Bedrooms/Unit
O Business Sq.FL Rev Space: Type: N Employees:_Noun of Operation:
O Daycare *Preschoolers: N ARenchppbn: N Empbyees: Moon of Operation:
O Industry Sq.Fl: Type: N Employees: Hwa of Operation: _
O Church Sealing Capacity: N Bathrooms: Kitchen:
!� Aaeawy/MMtlwJOIMr(Sia k •Sol Use: A ii/• CAN;z.—
Want Supply: County _Existing Wel _New Wel(S ofohaige ping wsl_) 'MUST haw aper�bb waler beta BM
SewageSuppy: New Septic Tank(Complete Cheat) _Existing Septic Tank(Conpbro Chectlet) Gatnty Sewer
Comments:
N pains are granted I ewes to conform to eti ordinances and owe of the Stab of North Cama regulating mach work end the spsdfaans et plans submlled.
I hereby stale that bnpdng abbmenb are mounds and comet to the Md of my knowledge. Penni wbllect�to remotion If Obit information b pmtdd.
le/ onOwneYe Agent
Data
"This application expires 6 months from 0e Mal date If rafts hese nes been emu."
A RECORDED SURVEY NAP,RECOR050 D IaR OMR TO PURCHAIE)AMD PLAT ARE RECIM®WHEN APPLYING FOR LA/01SE APPLICATION
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Harnett
C O l/ N T Yifit (FM} Emerpmry e•rriur Department
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Application for Plan Review
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Application# � . I • JW14;cSS7
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Date Received: ' ) S I Received By:
Name of Project: fA"Lou-.-TS/ jt.%../ ( /aoat,e rat,,
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Physical Address of Project: /9.2t Aak4 eh /get
41./47 , NC 77.,r
Plans Submitted By
Project Phone: ( 9/0 )- 981- /DO?
Contact Person/Address: Al✓A/eV 421. It?
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,//(/ C L 7n"Contact Email: _ yQ4/2£SeK /L Y se %, aA.eTV. /) . A.G . 4s
Contact Phone: ( `,/,0d/ )- CC/S /0e 3
Contractors Name/Info: ,* lA v.af� a Li a 241 fc�° 0 /
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Contractor's Phone:
• Plans that are submitted will be reviewed as quickly as possible with an average time of review
between 7-10 working days.
• Status checks may be conducted on plan reviews by visiting the website
http:llhteweb.harnett.orgfClick2Gov8P/Index.isn or by calling the Harnett County Central Permitting
Office (910-893-7525, Option#2),or the Harvel(County Fire Marshal's Office(910-893-7580).
• Approved plans must be picked up from the Central Permitting Office and all fees paid before any
required inspections can be conducted.
Jennifer Brock
From: Rodney Daniels
Sent: Wednesday, August 16, 2017 3:08 PM
To: Jennifer Brock
Subject: RE: site plan for the new huts at Boone trail
No. The plans were previously approved at the prior location. If you will let me know when they are set up we will do an
inspection so your guys can issue the CO.
From:Jennifer Brock
Sent:Wednesday,August 16,2017 2:29 PM
To: Rodney Daniels
Subject: RE: site plan for the new huts at Boone trail
Are you going to do a letter & fm fees
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1E2 E Fv St =PG g^x 65
L!JILL tci ^vi. NC .29546
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f—x: 910-cai5 93
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From: Rodney Daniels
Sent:Wednesday,August 16,2017 1:57 PM
To:Jennifer Brock<jbrock@harnett.org>
Subject: RE:site plan for the new huts at Boone trail
That location is acceptable.
From:Jennifer Brock
Sent:Tuesday, August 15,2017 2:12 PM
To: Rodney Daniels
Subject: site plan for the new huts at Boone trail
Look at this please & let me know what you think, these are huts that are already built &
they are just moving them over to the school.
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'Each section below must be fined out by Application#
whoever is performing the work. Must be Harnett County Central Permitting
owner or licensed contractor. Address. PO Box 65 Lillington,NC 27546
company name & phone must match 910893-7525 Fax 910-693-2793 www.harnett.orglpermits
information on state license. COMMERCIAL
Application for Building and Trades Permit
Owner's Name: Harnett County School Date: 8-15-17
Site Address:1425 Adcock Rd.Lillington Phone: 910-985-1003
Directions to job site from Lillington: Take old 421 turn on Adcock Rd go about 3 miles
Subdivision: Lot:_
Description of Proposed Work: Move in two mobile classroom
Heated SF 864 Unheated SF
General Contractor Information: Building Cost$ 1200.00
Harnett County School 985-1003
Building Contractor's Company Name Telephone
1500 South Main St. Lillington rgregory1@harnett.k12.nc.us
Adddd/ryf/@�^Ss L/-� Email Address
Signaturd'of 0bner/Ct/htractor/Offcer(s)of Corporation License#
Electrical Contractor Information: Electrical Cost$ 250.00
Description of Work New service for mobile classroom Service Size: 200 Amps #T-Poles
Hamett County School 985-1003
Electrical Contractor's Company Name Telephone
1500 South Main St. Lillington rgregory1@harnett.kl2.nc.us
Aleress -/J --^7 Email Address
Signal of 0xrfier/Corttractor/OHicer(s)of Corporation License#
Mechanical Contractor Information: Mechanical Cost$
Description of Work #Units
Mechanical Contractor's Company Name Telephone
Address Email Address
Signature of Owner/Contractor/Officer(s)of Corporation License#
Plumbing Contractor Information: Plumbing Cost$
Description of Work #Baths
Plumbing Contractor's Company Name Telephone
Address Email Address
Signature of Owner/Contractor/Officer(s)of Corporation License#
Insulation Contractor Information
Insulation Contractor's Company Name&Address Telephone
'NOTE:General Contractor must fill out and sign the second page of this application
Sprinkler Contractor Infonnatlon
Sprinkler Contractor's Company Name Telephone
Address Email Address
Signature of Olfcer(s)of Corporation License#
Fire ALarm Contractor Information
Fire Alarm Contractor's Company Name Telephone
Address Email Address
Signature of Of cer(s)of Corporation License#
Driveway Access- NC Department of Transportation Driveway Access/Permit? Yes No
I hereby certify that I have the authority to make necessary application, that the application Is correct
and that the construction will conform to the regulations in the Building, Electrical, Plumbing and
Mechanical codes, and the Harnett County Zoning Ordinance. I state the Information on the above
contractors is correct as known to me and if Lay changes occur including listed contractors, site plan,
number of bedrooms, building and trade plans, Environmental Health permit changes or proposed use
changes, I certify it is my responsibility to notify the Hamett County Central Permitting Department of
any and all changes.
Expired Permit Fees-6 months to 2 years permit re-issue fee is$150.00. After 2 years re-Issue fee
Is charged at full price per current fee schedule.
Ci to /f—/7
Slgnetu ownfACo orlOfficer(s)of Corporation Date
Affidavit for Worker's Compensation N.C.G.S.87-14
The undersigned applicant being the:
General 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 three(3)or more employees and has obtained worker'compensation insurance to cover them.
Has one(1)or more subcontractors(s)and has obtained workers'compensation insurance to cover
them.
Has one(1)or more subcontractors(s)who has their own policy of worker'compensation insurance
covering themselves.
Pe Has no more than two(2)employees and no subcontractors.
While working on the project for which this permit is sought it is understood that the Central Permitting
Department Issuing the permit may require certificates of coverage of worker's compensation Insurance prior
to Issuance of the permit and et any time during the permitted work from any person,firm or corporation
carrying out the work. 47
Company or Name:
Sign w?roa: Date: 1•/5--)7
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