DOCUMENTS trdial Application Date:cc 1 ,) i 5/1 ri Applicata*/ t (7 6CZ1 a D59
DRB# CUM
COMMERCIAL
COUNTY OP NMNETT LAM)USE APPLICATION
WOW Punier. aMmnl In a roma IEen 161MIm.NL 27546 mow roRoss mew roc me Nom:(91011644525e01 az Pu(11101143-2", wwefwlweawp.set
LANDOWNER ,yawe,l'/ C.a sot fury, Mailing Addax: /500 .S. 4414r 51
Cly: ii//7..j'Ant sew:Ns /lap: 27SYIGanae# J/648P/00SEmea
APPLICANT: Meting Address:
Cly. State:_ZW:_Control ll Ernst
'Pw Ry ald aNMmi bbmem I®Rimm iron woman /
CONTACT NAME APPLYING IN OFFICE: Ra1N.'77 uALIA sW.Y Phren k 9/0 .91..r-la in
PROPERTY LOCATION:SubdMVon: aa:
Lot N: Lot B
Sate Rana R Sate Roe Name: /925 l4./c+i 4 tea.. Map Book&Page: I
Parcel: PIN:
Zoning:_Flood Zona:_Wstenhed_Deed Book/Page: / Power Company:
'New structures with Fogless Energy as amici prodder need to guppy premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILINGTON: TAA O did H2, 76
Atlee&1c IR/ /r 4-4G w, t .ee.l /c -,Geste / :2
- A- /.E F'<.
PROPOSED USE:
❑ Multifamily Dwelt* Na.Units: Na.Bedrooms/Cat
❑ Business Sq.Fl.Reap Space: Type: M Empyyew:_Faun of Opertlbn:
❑ Daycare N Preschoolers: N AMngmokn: S Employees: Noun of Operation:
❑ bWuoy Sq.Fl: Type: 0 Employes.: Noun of Opalatia l:
❑ C wrch Seating Capacity: R Bathrooms: Maw:
d AaaeaeawAamtlon .r(S¢.�. f4�ua.: hai,/e C14,(¢C.--'-
Water Sup* _i/Cmm/y _Existing Well _Now Wail(lofdwellge mag wet_) 'MUST have operable war before final
Sewage Suppy:_New Septic Tank(Complete Cheetah _Existing Septic Tank(Complete Checklist) T-- wily Sewer
Comments:
If pewde are granted I atm to cot,.,to all ordbmnces and laws of the Sate of North Carolina regulating sudl work and We specifications of pan submitted.
men!Welty foregoing aMmenIs are accurate and carred to the bed at my MnwMtlgee. Permit Minolta
.sew Ao.IIon N m
abe kdaalbn Y Provided.,'t w wrlar' f Li !!
24/
Sof ORnrOaApnt Date
'The application expires 6 months from the InPoet date I parols have not been Issuer
A RECORDED IURVIY MAP.IMMO= (OR OFFER TO PUROHASI ANO PLAT ARE Wallin=WNW APPLYING FOR LAND WE APPLICATION
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Application for Plan Review
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Date Received: S\ I S) 4"1 Received By: // 77
Name of Project': //AA.s..-ft Cat ns/y _CA•.I ( �7. . Tan;/J
Physical Address of Project: /9.2S ASU€ 4 •
4VA/- , NC w71•
Plans Submitted By: oo
Project Phone: ( /Id> )- 6S- /Doi
Contact PersonlAddress: Xi din?FY .ine-Y)
/cao S. 4'a//:.. 5/.
Li /7 f/ C z7s5"
Contact Email: f blip, «.Z . p4. .711. c/.. . .c-. as
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Contact Phone: ( /oo 3
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Contractor's Namellnfo: /' .✓tf'T//
/ �t+n �. . /Lf 4'.. 1 _
��AC L • Iti -CA
L%//7 74h A--)L 2. 75Yt
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'.//hteweb.harnett.org/Click2GovBP/Index.isp or by calling the Harnett County Central Permitting
Office (910-893-7525, Option#2),or the Harnett 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
;e (dlwwen.o
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.
1
-Each section below must be filled out by Application#
whoever is performing the work. Must be Harnett County Central Permitting
owner or licensed contractor. Address, PO Box 65 Lillinglon.NC 27546
company name & phone must match 910-893.7525 Fax 910-693-2793 www,harnettorg/permits
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.Liilington Phone: 910-985-1003
Directions to job site from Lillinglon: 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.Lillinglon rgregory1@harnett.k12.nc.us
Add sss1y LJ—� Email Address
Signaturd'of 0 ner/Cdntractor/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
Harnett County School 985-1003
Electrical Contractor's Company Name Telephone
1500 South Main St. Lillinglon rgregory1@harnett.kl2.nc.us
Adyyess —/J --� Email Address
Signal of OwfierTC-2actor/Officer(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
$orInkier Contractor Information
Sprinkler Contractor's Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
Fire Alarm Contractor Information
Fire Alarm Contractors Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
'Driveway Access- NC Department of Transportation Driveway Acces/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 Hames County Zoning Ordinance. I state the information on the above
contractors is correct as known to me and if spy changes occur Including bled contractors, site plan,
number of bedrooms, building and trade plans, Environmental Health permit changes or proposed use
changes, I certify it fe my responsibility to notify the Harnett 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.
Signatu Owniafir tr>3dtor/OMcer(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 corporations)performing the work
set forth in the permit:
Has three(3)or more employees and has obtained workers'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 workers'compensation insurance
covering themselves.
6.1 Has no more then two(2)employees and no subcontractors.
While working on the project for which this perm 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 at any time during the permitted work from any person,firm or corporation
carrying out the work.
Company or Name: '�//(y (,�//y
Sign w/Tide: HA�`9(7 1+�+'✓r/ / Date: •IS-17
Commercial n Acing Applmal'(P DI:. J.10