DOCUMENTS To: Page 2 of 2 2017-07-31 19:12:42(GMT) From: San
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Application -STO SQ) O`-' t
Harnett County Central Permitting
PO Box 85 Lillington,NC 27548 - Ph_910-693-7525 - Fx:910.893-2793- www.hameitiorgtpermits
Certification of Work Performed By Owner/Contractor
{+ (Individual Trade Application)
Owner(s)of Structure: {CSN\Jlz',. I14t1u"it Phone:
Owner(s)Mailing Address: 2410 Legit 'C zsv t Pr.
Uitir4' v\ Nl 'L9St-(3
Land Owner Name(s): Phone O' Y
Construction or Site Address: 221 IpCUC (1:hA ice--(1 N.
•
PIN# 0410 'UV Sala 4.000 Parcel# 11000 Oug5
Job Cost:SVOD CODescription of Work to be done .1-t Qtt 2-, -f.7('\
Mechanical: New Unit With Ductwork New Unit Without Ductwork Gas Piping Other)
Electrical*: 200 Amp_<200 Amp_Service Change Service Reconnect Other
For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap__ Number of Baths Water Heater
Specific Directions to Job from Lillington:
Subdivisioo'n...,I-�, Lot#:
rte.Pecs uYtictil will provide the IC*.'t
(2-41aTh labor on this strucLure.
(Contractors Name) (TTrade).
I am the building owner or my NC state license number is. 1-12-5(-0
which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code and all
other applicable eapplic��a��blee�State and local laws, ordinances and regulations.
99
Contractor's Company Name — Telepphonehone g02- �(-u
3r � u5 tom.
Address Email Address -+
t-}2.S(a
License#
C ,
Structure Owner/Contractor Signature: k7;)-" :"-='., l_»: Date: 4' JI-14
By signing this application you affirm that you have obtained permission from the above listed license holder to
purchase permits on their behalf.If doing the work as owner you understand that you canna(rent,lease or sell
the listed property for 12 months after completion of the listed work.
`Company name,address ¢phone must match Information on license
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 15-50036809 Date 8/01/17
Intersection
Property Address 230 LESLIE CAMPBELL AVE
PARCEL NUMBER 11-0670- - -0265- - -
Application type description CP NEW SCHOOLS & EDUCATIONAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20M
Owner Contractor
CAMPBELL UNIVERSITY T A LOVING COMPANY
PO BOX 97 PO BOX 919
BUIES CREEK NC 27506 GOLDSBORO NC 27533
(910) 893-4111 (919) 734-8400
Applicant
WEBSTER - LITTLE
SHANE
410 BLACKWELL ST
DURHAM NC 27701
(919) 474-2524
--- Structure Information 000 000 DORMITORY-SOUTH RESIDENCE HALL
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE DOMITORY
SEPTIC - EXISTING? CAMPBELL
Permit COMMERCIAL MECHANICAL PERMIT
Additional desc . WALK IN COOLER
Phone Access Code 1202944
Issue Date . . . 8/01/17 Valuation . . . . 0
Expiration Date . 8/01/18
Special Notes and Comments
T/S: 08/05/2015 04 :43 PM KGOINS - - --
421 E TOWARD CAMPBELL UNIVERSITY T/L
ONTO LESLIE CAMPBELL AVE SITE IS ON THE
RIGHT BETWEEN EXISTING PARKING LOT AND
BOB BARKER HALL
PREMISE # 22351067
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 15-50036809 Date 8/01/17
Property Address 230 LESLIE CAMPBELL AVE
PARCEL NUMBER 11-0670- - -0265- - -
Application description . . CP NEW SCHOOLS & EDUCATIONAL
Subdivision Name
Property Zoning RES/AGRI DIST - RA-20M
Permit COMMERCIAL MECHANICAL PERMIT
Additional desc . WALK IN COOLER
Phone Access Code 1202944
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 451 M451 C*GAS PIPING / /
999 455 M455 C*MECH CHILLER PIPING / /
999 457 M457 C*MECH DUCT / /
999 465 M465 C*MECH FINAL / /
999 463 M463 C*MECH OVERHEAD
999 459 M459 C*MECH ROUGH IN / /
999 453 M453 C*MECHANICAL UNDERGROUND / /
999 461 M461 C*REFRIGERATION INSPECTION / /