Loading...
DOCUMENTS 61)Initial Application Date: --✓ 11 SI 1 IS. Application N 1 'sSc -9J 1 DRB# CU# COUNTY OF HARNETT LAND USE APPLICATION Carpal Pernpng (Physical)IDS E.Front Street,tllliglon,NG 215546 IWIIing)PO Box 65 Llllinglon NC 9548 Phone:(BI0)s9-7525 opul 2 Far:(SIC) 93-2793 www harnetorglperms LANDOWNER: Harnett County School Mailing Address: P.O.Box 1029 City: Lillington State: NC Zip: 27546 Contact it 910-985-1003 Email: rgreaotyl@hamett.k12.nc.us APPLICANT': Harnett County School Mailing Address: P.O Box 1029 City: Lillinaton State: NC Zip: 27546 Contact# 910-985-1003 Email: rgregory1@hamett.k12.nc.us *Please fill out applicant information 11 different than landowner CONTACT NAME APPLYING IN OFFICE: Rodney Gregory Phone# 910-985-1003 Harnett Central High School S.CYJ PROPERTY LOCATION:Subdivision: Lot#: LotLo�S ¢ize: State Road# State Road Name: 2911 Harnett Central Rd.Angier NC 27501 t c -Mapp Book&Page:Q-WI / O Parcel: 04 L' D(A - et '- I PIN: C alio a. -53 — StS 'OLY" Zoninger Flood Zone: /.. WatershedA..40r Deed Book&PaggPLC140.2S 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 210 out Lillington turn right onto Harnett central rd.will be on the Left PROPOSED USE: ❑ Multi-Family Dwelling No.Units: No.Bedrooms/Unit. ❑ Business Sq.Ft.Retail Space: Type: #Employees: Hours of Operation: ❑ Daycare #Preschoolers: #Afterschooiers: #Employees: Hours of Operation: ❑ Industry Sq.Ft: Type: 4 Employees: Hours of Operation: ❑ Church 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: 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. Sig ore of Owr orer's Agent Dote • is 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 '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 8 phone must match 910-893-7525 Fax 910-893-2793 www.harnetl.org/permits information on state license. COMMERCIAL Application for Building and Trades Permit Owner's Name: Hamett County School Date: Site Address:2911 Hamett Central Rd. Phone: 910-893-4808 Directions to job site from Lillington: Take 210 out of Lillington turn on to on to Harnett Central Rd school on left Subdivision: Lot: Description of Proposed Work: Building a mobile classroom 24'x 36' Heated SF 864 Unheated SF General Contractor Information: Building Cost$ 10000.00 Harnett County school 910-893-4808 Building Contractor's Company Name Telephone 1500 South main St.Lillington, NC 27546 rgregory1@hamett.k12.nc.us Addre '/�S --�-� Email Address Signe Ownef/Contractor/Offcer(s)of Corporation License# Electrical Contractor Information: Electrical Cost$ 500.00 Description of Work Wiring service panel Service Size: 100 Amps #T-Poles Hamett County School Electrical Contractor's Company Name Telephone 1500 South main St.Lillington, NC 27546 Addr� Email Address SignaeOwner/Cbntac7/Oficer(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 Inc. 919-772-9000 Insulation Contractor's Company Name&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 y 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 chargedc/ at full price per current fee schedule. i �� (p '�2 -�i Signature f Own/Contractor/Offcer(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. 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. Company or Name: Sign waffle: /y A 9 7 Date: o -R-457 Harnett COUNTYY * ~' t..s.•r>..:m o.wm..ne • Fire Marshal Division P.O. Box 370 Lillington,NC 27546 910-893-7580 Application for 'Plan ' R' fevie 'w^ Application #I - S t0'cS-111-4a�( UD Date Received:1.441_511X S_J_12i Received By: Name of Project: Harnett County School Physical Address o(Pro)ecr. 2911 Harnett Central Rd. Angier NC 27501 Plans Submitted By: Harnett County School Project Phone: (910 )-8934808 Contact Person/Address: Rodney Gregory 1500 South Main St. Contact Phone: 9109851003 (�- - 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 http://hteweb.harnett.org/Click2GovBP/Index.lsp 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 fees paid before any required inspections can be conducted.