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Initial Application Date: I a ► ► (� Application ft l 33 DRBa CUE_ COMMERCIAL cP44momep Thome lamrvwa m.4 Maim NC irsoOUNTY OF HARNETT LAND USE APPLICATION (Wing)P0 am so WNW MC 1754 Pia pith mama inn roc ryes)emaN we* r4tpypamm LANDOWNER: Hornell County School Melling Address: 1500 S Main St. City; Lillington gin: NC zip: 27546 contact 910-985-1003 Emit rgregoryl©hornet kl2.nc.us APPLICANT: Mating Address: City: Slate:_Zip:_Contact E Emelt 'Plano m outepHim.tinlem4mn daIeam Man la Samar CONTACT NAME APPLYING RI OFFICE: Harnett County School Phone ft O ROPERTY LOCATION:Suadblelon: 10637 NC 27 West Lot E: ...r LotSize: 1! State Road NC 27 State Road Nm .: I+ L. a7 Map Sooe&Page:T.p! .`is Parcel: tar 24Z D5`' I 4.e*6 .(S PIN: n50 1 .1 ' a�Q . abc3 zonkgO'3A a'gla a Zone: Y7 Watershed: NA Deed BookiPage:139X / 55/ Power Company: 'New structures NM P opess Energy as service presider need to supply premise number torn Prowess Energy. SPECFII DIRECTIONS TO THE PROPERTY FROM LILLINOTON: Take 27 west out of Lillington school is on the Left PROPOSED USE: O MA-Panay Dwelling No.Units: No.BedromnsMnit O Business Sq.Ft.Retail Spam Type: E Employees:_Hour of Operation: O Daycare EPreschoolers: #Mars hoobre: E Employees: Hours of Operation: O Industry Sq.Ft Type: E Employees: Hours of Operation: O Church Seeing Capacity. E Ballrooms: IPoDrenm: p AmuooympapmyOgyr(Sba 241 36 I use: Mobile classroom Water Supply:_County _Existing Well _New WeD(#c(oWaRkge using load_) 'MUST have openthte'Water Ware Roe Sewage Supply:_New Septic TW(Complete Checklist) _Existing Septic Tena(Complete CkaakJary _County Sewer Cone If permits me ponied I agree to conform to at ordinances and lows of the Stam of Note Carolina regulating such work and the spedaratbes of plans submitted. I hereby sum that foregoing statements are accurate and masa to the beet of my knowledge. Penn*sublet'to avacalon Slabs mformeato le p.00kast Mg reef Oenm wOwneYDatea Agent "This application expires S months from the u'41 data S permits have not been issued" A RECORDISI SURVEY 11AP.RaDEO DEED(OR OFFER 10 PURCHASE)AND PIAT ARE REDWare WHEN APPLYING FOR LAND USE APPLICATION *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 Lillington,NC 27546 company name & phone must match 910-893-7525 Fax 910-893-2793 www.hamettorglpermits information on state license. COMMERCIAL Application for Building and Trades Permit Owner's Name: Harnett County School Date: Site Address: 1500 S. Main St. Phone: Directions to job site from Lillington: Take 27 west from Lillington go about 8 miles school on Left Subdivision: Lot: Description of Proposed Work: Mobile classroom Heated SF 864 Unheated SF General Contractor Information: Building Cost$ Harnett County School 910-985-1003 Building Contractor's Company Name Telephone 1500 S. Main St., Lillington, NC 27546 Rgregoryl@harnett.kl2.nc.us Address Email Address �� Signature of Ow ontractor ffo€r(s)of Corporation License# Electrical Contractor Information: Electrical Cost$ Description of Work Service Size: 100 Amps #T-Poles Harnett County School 910-985-1003 Electrical Contractor's Company Name Telephone 1500 S.Main St., Lillington, NC 27546 Rgregoryl@hamett.k12.nc.us Addres Email Address Signature of ner/Cont ctor/O Icer(s)of Corporation License# Mechanical Contractor Information: Mechanical Cost$ Description of Work #Units Harnett County School 910-985-1003 Mechanical Contractor's Company Name Telephone 1500 S. Main St., Lillington, NC 27546 Rgregoryl@harnett.kl2.nc.us Addres / Email Address Signature of O er/ContractorIcer(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 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 any 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 at full price per current fee schedule. 2 - / -,e Signature of 0 r/Contractor/O icer(s) f 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. t Company or Name: gW.-r--€ 1 W tt H —E7 ScA�a• Sign w/Title: / Date: .2 /2. IS Harnett Mw. COUNTY es Emergency services D.parenent es Air w*WAesneM>g Application for Plan Review, f Application# X ? - �i43.� s4 Date Received: ala\ 1 11 Received By: Name of Project: Harnett County School Physical Address of Project: 10637 NC 27 West Lillington r NC 27546 Plans Submitted By: Rodney Gregory 893 4808 Project Phone: ( 910 )- - Contact Person/Address: Contact Email: rgregoryl@harnett.kl2.nc.us Contact Phone: ( )- - I )- - Contractor's Name/Info: Harnett County School 1500 S. Main St. 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 httol/hteweb.harnett.org/Click2GovBP/Index.isn or by calling the Hamett County Central Permitting Office(910-893-7525,Option#2),or the Hamett 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 18-50043354 Date 3/01/18 Property Address 10637 NC 27 W PARCEL NUMBER 03-0507- - -9000- - - Application type description CP COMMERCIAL MODULAR Subdivision Name HARNETT CO BOARD OF EDUCATION Property Zoning PENDING 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 1230073 Issue Date . . 3/01/18 Valuation . . . . 0 Expiration Date . 3/01/19 Permit LAND USE PERMIT Additional desc . Phone Access Code 1230082 Issue Date . . . 3/01/18 Valuation . . . 0 Expiration Date . 8/28/18 Permit MODULAR PERMIT Additional desc . SINGLE ROOM HUT Phone Access Code 1230091 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 ---- 10637 NC 27 W 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 18-50043354 Date 3/01/18 Special Notes and Comments ***********a*****..«****************** 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 18-50043354 Date 3/01/18 Property Address 10637 NC 27 W PARCEL NUMBER . 03-0507- - -9000- - - Application description . . CP COMMERCIAL MODULAR Subdivision Name HARNETT CO BOARD OF EDUCATION Property Zoning PENDING 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 I I 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 /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 18-50043354 Date 3/01/18 Property Address 10637 NC 27 W PARCEL NUMBER . 03-0507- - -9000- - - Application description . . CP COMMERCIAL MODULAR Subdivision Name HARNETT CO BOARD OF EDUCATION Property Zoning PENDING 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 / /