DOCUMENTS Initial Application Dab: d'a% I Application k (✓` 5-3
DRB# CUk
COMMERCIAL
COUNTY OF HARNETT LAND UBE TION
MT w P.iii ewe 1W a lid aid L aA PC 27540 i1 PO IT 86 MGT NCMGPhoat D�1%Ar>J5 opt#2 Pc IH% 34793 voraMTxgYet
LANDOM R: Hemet County School Mailing Address: 1500 South Main
City; Lillington State: NC Zip: 27546 COMadk 910-985-1003 Erol;
APPLICANT: Harnett County School Malang Address: 1500 South Main St
qty: Lillington State: NC Zip: 27546 Contact It 910-985-1003 Ernst rgregory1@harnett.kl2.nc.us
'Phew 1111 aa.pptlndldrmsdonka owSo n YMan+r
coma paw APPLylMO W Opnct Rodney Gregory phonta 910-985-1003
PROPERTY LOCATION:SIOUldrion: 215 Maynard Lake Rd,Erwin NC 28339 Lot It Lot SIx:7M.A't6
Slob Rank '11.5 Sbb Reedtheme: YV\aLyrsa LSI IASL.-ta Map BopksPro•: (rWL
Parcel: 01D LSC1 otD DD PIN: 5L7 ' OSSc 'OCY�
ZonIr ekucNr d Zone: % WabrshsJ'L C Deed BooksPage:1103o I .Z. 3D Power Company':
'New tucks=with Progress Energy m minks provider need to supply premiss number from Prosiest EnesilYi
SPECInC DMECI1O$STO7NE PROPERTY PROM UWNOTON: take 421 east to Erwin turn left on Maynard Lake Rd. school on
right
PROPOSED USE:
O Mull-Famtiy Dwelling No.Units: No.Be&aoms/Unt
O Business Sb.Ft.Rawl Space: Typo. it Employees:_!burs of Operation:
O Dayxm k Pmdnolstt #Albradmpbc: k Employees: Haus of Operation:
D Indusby SN.Ft Typo: _ *Employees: Homs of Operation:
O Church Sea*g Capedy. k Bathrooms: Kitchen:
O Awbory/Ad 0lher(Sze 24r )Usti: Classroom
Wafer Supply. _Courcy _Eabting Well _New We (#c(S ps using Rep ) 'MUST bete operable water before fool
Sewage Supply:_New Septic Talk(Complete Checklist _Existing Septic Tank(Complete Chadma6 _County Sewer
Comments:
If pemks are granted I epee to conform to W ordinances and laws of the Sate of North Cardia reputing such week and the specifications of pin submitted.
I hereby Mb that foregoing statements we accurate and correct to the best of my knowledge. Permit subject to reyoxtipn If false Information is provided.
r��� � <
naarod Amar.Agent Oma
"Thin application expires k months from the Intal date If permits hew not been Issuer!^
A RECORDED RUNTY WAP.MOON=MED(OR OFFER TO PURCHASE)ANO PLAT ARE REQUIRED WHEN APPLYING FOR[AND ME APPLCATCN
'Each sada' below mlw be filed out MPermitting
whoeverwhoeverIs performing the wog Must be
Harnett County Central PermiApplication#
ng
owner or Meowed contractor. Address. PO Box 65 LAInglon.NC 27546
company nems & Mone must malty 910-893-7525 Fax 910893-2793 www.hrrett.rg/prMb
inroonallon on state Parse. COMMERCIAL
ADolication for Building and Trades Permit
Owner's Name: Harnett County School - Date:
Site Address: 215 Maynard Lake Phone:
Directions to Job site from Lillington: Take 421 to Erwin turn left ionto maynand lake rd school is
school is right
Subdivision: Lot
Description of Proposed Work Build mobile classroom
Heated SF 864 Unheated SF
General Contractor Information:Building Cost$
Harnett County School
Building Contractor's Company Name Telephone
1500 South Main St.
Addresssie G Email Address
Signature of r/Contra /Olficer(s)of Corporation License#
Electrical Contractor Information:Electrical Cost$
Description o Work Install wirino for classroom Service Size: 100 Amps #T-Poles_
Harnett County School
Electrical Contractor's Company Name Telephone
1500 South Main St.
Address, Email Address
Signature of Owned tractoctio f r(s)of Corporation License#
ebonite'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/ContractoriOfficer(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
Commerc'.aL Building Applical:on I of 2 3111)
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 iffy 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 an changes.
Expired Permit Fees-0 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.
1aktx
Signature of er/Contra /OBc r(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 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.
X Has no more than two(2)employees and no subcontractors.
White 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,Inn or corporation
carrying out the work.
Company or Name: Sr ' c/71 Z /
Signwmtle: —saleDate: a \ y
earmr,rca B,,,ldnt.ni:pl cacn .v._ 3110
Ms Harnett
Harnett
COUNTY _' Finayanry 541rHr•r Department
�. . , � vwxaun•e.ery
Applicationcfor Plan Review
Applicationtiio $f D - cc
Date Received: CY la I i U Received By: rES
Name of Project: Harnett County School ,
Physical Address of Project: 215 Maynard lake Rd
Erwin ,NC 28339
Plans Submitted By: Rodney Gregory
Project Phone: ( 910 )- 985 - 1003
Contact PersonlAddress: Rodney Gregory
1500 South main St.
Contact Email: rgregory1(ojharnett.k12.nc.us
Contact Phone: ( 910 )- 985- - 1005 ( )- -
Contractor's Namellnfo: Harnett County School
1500 South Main
Lillington
Contractor's Phone: ( 91n )- 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
httoJ/hteweb.harnett.org/Click2GovBPllndex.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. •
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043353 Date 3/01/18
Property Address 215 MAYNARD LAKE RD
PARCEL NUMBER 06-1507- - -9000- - -
Application type description CP COMMERCIAL MODULAR
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20R
Owner Contractor
HARNETT COUNTY BOARD OF HARNETT COUNTY SCHOOLS
EDUCATION MAINTENANCE DEPT.
PO BOX 1029 PO BOX 1029
LILLINGTON NC 27546 LILLINGTON NC 27546
(910) 893-4808
Applicant
HCBE-OHHS-SCHOOL PROJECT 17/18
PO BOX 1029
LILLINGTON NC 27546
(910) 985-1003
-- - Structure Information 000 000 24X36 SCHOOL PROJECT HUT 17-18 SCH YEAR
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE SCHOOL HUT
SEPTIC - EXISTING? NA
Permit COMMERCIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1230046
Issue Date . . . 3/01/18 Valuation . . . 0
Expiration Date . 3/01/19
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1230055
Issue Date . . . 3/01/18 Valuation . . . . 0
Expiration Date . 8/28/18
Permit MODULAR PERMIT
Additional desc . SINGLE ROOM HUT
Phone Access Code 1230064
Issue Date . . . 3/01/18 Valuation . . . . 0
Expiration Date . 3/01/19
Special Notes and Comments
T/S: 09/22/2017 10 : 58 AM JBROCK ----
215 MAYNARD LAKE RD
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 2
Application Number 18-50043353 Date 3/01/18
Special Notes and Comments
***************************************
THIS HUT IS TO BE MOVED AT A LATER DATE
TO ANOTHER SCHOOL
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 3
Application Number 18-50043353 Date 3/01/18
Property Address 215 MAYNARD LAKE RD
PARCEL NUMBER . 06-1507- - -9000- - -
Application description . . CP COMMERCIAL MODULAR
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20R
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . COMMERCIAL ELECTRICAL PERMIT
999 265 E265 C*ELEC FINAL _/_/_
999 257 E257 C*ELEC OVERHEAD / /_
999 263 E263 C*ELEC RECONNECT / /_
999 253 E253 C*ELEC TEMP POWER CERT _/_/_
999 261 E261 C*ELEC UND POOL / /_
999 259 E259 C*ELEC UNDER SLAB _/_/_
999 255 E255 C*ELECTRICAL UNDERGROUND _/_/_
999 251 E251 C*ELEC ROUGH IN / /_
999 267 E267 C*ELEC TEMP SERVICE POLE _/_/_
Permit type . . . . LAND USE PERMIT
999 818 Z818 PZ*ZONING INSPECTION / /_
999 820 Z820 PZ*ZONING/FINAL INSPECTION / /_
Permit type . . . . MODULAR PERMIT
10 101 B101 R*BLDG FOOTING / TEMP SVC POLE / /_
20 103 B103 R*BLDG FOUND & TEMP SVC POLE _/_/_
20 814 A814 ADDRESS CONFIRMATION / /_
20-50 163 C163 C*BLDG FLOOR FRAMING / /_
30-40 119 B119 R*MOD MARRIAGE WALL _/_/_
40-50 425 R425 FOUR TRADE ROUGH IN _/_/_
40-50 427 R427 FOUR TRADE ROUGH IN >2500 / /_
40-50 125 R125 ONE TRADE ROUGH IN _/_/_
40-50 127 R127 ONE TRADE ROUGH IN > 2500 _/_/_
40-50 325 R325 THREE TRADE ROUGH IN /_/_
40-50 327 R327 THREE TRADE ROUGH IN >2500 / /_
40-50 225 R225 TWO TRADE ROUGH IN / /_
40-50 227 R227 TWO TRADE ROUGH IN >2500 _/_/_
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 4
Application Number 18-50043353 Date 3/01/18
Property Address 215 MAYNARD LAKE RD
PARCEL NUMBER . 06-1507- - -9000- - -
Application description . . CP COMMERCIAL MODULAR
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20R
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
50-60 131 R131 ONE TRADE FINAL _/ /
50-60 429 R429 FOUR TRADE FINAL _/ /
50-60 431 R431 FOUR TRADE FINAL >2500 / /
50-60 133 R133 ONE TRADE FINAL > 2500 _/ /
50-60 329 R329 THREE TRADE FINAL _/ /
50-60 331 R331 THREE TRADE FINAL >2500 _/_/-
50-60 229 R229 TWO TRADE FINAL —/ /
50-60 231 R231 TWO TRADE FINAL>2500 _/ /
999 H824 ENVIR. OPERATIONS PERMIT / /
999 H828 ENVIRO. WELL PERMIT _/—/—