Loading...
DOCUMENTS Initial Application Date: 1`a—a--1 Iw-7 Application# \-1 St)(21 &'3 3c9..., DRB# CU ft COMMERCIAL COUNTY OF HARNETT LAND USE APPLICATION Central Permitting IPhyvcal)lW E.Front 51mot,Lillingion.NC 27546 (Mailing)PO Box 65 LiI1Inglon NC 27546 Phone:19101 893-7525 opt#2 Far(9101 89a-2793 wmrnamettoq/permta LANDOWNER: Harnett County School Mailing Address: P.O.Box 1029 City. Lillington State. NC Zip: 27546 Contact# 910-985-1003 Email: rgregorv1kahamett.k12.nc.Us APPLICANT*: Harnett County School Mailing Address: P.0 Box 1029 City: Lillington state. NC Zlp: 2754fi Contact# 910-985-1003 Email: rgregory1@harnett.k12.nc us *Please fol out applicant information it different than landowner CONTACT NAME APPLYING IN OFFICE: Rodney Gregory Phone# 910-985-1003 PROPERTY LOCATION:Subdivision.. 10637`N`C Hwy.2727West, Lillington NC 27546 Lot#: I Lot Size7)•Co C:3 State Road#41-.) Cell L'L. State Road Name: NL a-n L—A— �e'\-•rMap BookerPage�:: —7 Parcel:SM.& `SC�/J €C)0 CI PIN. t T)r�s�...1 (1�- .5-7 - a' 0 1 • LU CO Zoning4 8.. Jood Zone: iC Watershed:k I\ Deed Book&Paget:21Re / -/S9 Power Company': 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy. SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Take Hwy 27 out of Lillington school on Left Left PROPOSED USE: ❑ Multi-Family Dwelling No.Units: No.Bedrooms/Unit: ❑ Business Sq.Ft. Retail Space: Type: #Employees: Hours of Operation: ❑ Daycare #Preschoolers: #Afterschoolers: #Employees: Hours of Operation: ❑ Industry Sq.Ft: Type: #Employees: Hours of Operation: ❑ C ch Seating Capacity: #Bathrooms: Kitchen. % Accessory/Addition/Other(Size 24 x 36 )use: Mobile Classroom with no plumbing Water Supply: County Existing Well New Well(#of dwellings using well ) *MUST have operable water before final Sewage Supply:_New Septic Tank(Complete Checklist) Existing Septic Tank(Complete Checklist County Sewer Comments: ac p''le--E' 1-1 - ) Y -5U-e. U\ t{_ar— If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted. I hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation it false information is provided. Si,�re of er or ner's Agent Date t 'This application expires 6 months from the Initial date If permits have not been Issued'• A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION Application# `'f;33 'Each section below must be filled out by Harnett County Central Permitting whoever is performing the work. Must be p0 Box 85 Lillington,NC 27546 owner or licensed contractor. Address,h 910-893-7525 Fax 910-893-2793 www.harnett.orglpermits company name & phone must match COMMERCIAL information on state license. Application for Buildina and Trades Permit Owner's Name. Harnett County School Date: 9-6-2017 Site Address: 10637 NC Hwy.27 West Lillington NC 27546 Phone: 910-893-4808 Directions to job site from Lillington: Take 27 western go about 8.5 miles school on left Subdivision: Lot: Description of Proposed Work: Building a mobile classroom 24'x 36' Heated SF 864 Unheated SF 10000.00 General Contractor Information: Building Cost$ Harnett County school 910-893-4808 Building Contractor's Company Name Telephone 1500 South main St.Lillington, NC 27546 rgregoryl@harnett.k12.nc.us Addres Email Address Signature of er/Cont0er(s)of Corporation License# Electrical C6ontractor Information: Electrical Cost$ 500.00 Description of Work install a 100 amp panel Service Size: 100 Amps #T-Poles Harnett County School Electrical Contractor's Company Name Telephone 1500 South main St.Lillington, NC 27546 Addres Email Address Signature of wner/ ontrac r/Offcer(s) of Corporation License# echo cal 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# Plumbina 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 Inc. 919-772-9000 Insulation Contractor's Company Name 8 Address Telephone *NOTE: General Contractor must fill out and sign the second page of this application Sprinkler Contractor Information Sprinkler Contractor's Company Name Telephone Address Email Address Signature of Officer(s)of Corporation License# Fire Alarm Contractor Information Fire Alarm Contractor's Company Name Telephone Address Email Address Signature of Officer(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 aa>i 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 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:; full price per current fee schedule. L Q. 1 .-/7 Signature of a/ er/Contrac .r/Officer: 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 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. 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 at any time during the permitted work from any person, firm or corporation carrying out the work. / / !2 / Company or Name: ALC /'//7I c—AGw/ N- Sign w/Title: 41) £17 /� Date: '6 'I7 Harnett t o u N r rEm.•.uYSerwanD•M�••nt * IFMf wweJ.ntt..� Fire Marshal Division P.O. Box 370 Lillington, NC 27546 910-893-7580 Application for Plan R eview �� Application #17 Date Received:((C9\aa IIP Received By: Name of Project Harnett County School Physical Address of Project: 10637 NC Hwy.27 West Lillington NC 27546 Plans Submitted By: Harnett County School Project Phone: (910 )-893 .4808 Contact Person/Address: Rodney Gregory 1500 South Main St. Contact Phone: (910 985 1003 Contractor's Name/Info: Harnett County School Contractor's Phone: (910 985- 1003 • 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 httn://hteweb.harnett.ore/Click2GovBP/Index.isn or by calling the Harnett County Central Permitting Office(910-893-4759), or the Harnett County Fire Marshal's Office(910-893-7580). • Approved plans must be picked up from the Central Permitting Office and all tees paid before any required inspections can be conducted.