DOCUMENTS T `
Initial Application Date: Application# `l �U( ]3 L1 I S
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
/� �Ceentrrall Permitting 108 E.Front Street,�Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits
V"' 4 REC DE S CE ORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION**
L _ nl;*n:McKee Homes, LLC 101 Hay Street
_ Mailing Address:
City: Fayetteville State:NC Zip:28301 Contact No:(910)475-7100 ext 723 Email: Jbuckwalter @mckeehomesnc.com
APPLICANT*:McKee Homes,LLC Mailing Address:101 Hay Street
City: Fayetteville State:NC Zip:28301 Contact No: (910)475-7100 ext 723 Email: Jbuckwalter @mckeehomesnc.com
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:Jennifer Buckwalter Phone#(910)475-7100 ext 723
PROPERTY LOCATION:Subdivision:Q01�'.TIC' * Lot#:1S ) Lot Size: •4
i
State Road# �/4 State Road Name: t" 0
` 1, • Map Book&Page'ao 13 J 3�1l0
Parcel: `, b.Cf x}-1 N C1 Q PIN: O W1-R2'MV co(]
Zonin..��re�� )C g 31lp5 / (e 7S Power Company*: Central Electric
9�p��ZFlood Zone: Watershed: Deed Book&Pa e:('���
New structures with Progress Energy as service provider need to supply premise nu�n6er' ' from Progress Energy.
PROPOSED USE:
Lj Monolithic
SFD:(Size['T0l x LI(Q)#Bedrooms:4f #Baths._Basement(w/wo bath): Garage:)' Deck:_Crawl Space:_Slab:_Slab:
(Is the bonus room finished?(_)yes (ti)no w/a closet?( )yes (A7)no(if yes add in with It bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(w/wo bath) Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?(_)yes (_)no Any other site built additions?( )yes ( )no
❑ Manufactured Home: SW_DW TW(Size x )#Bedrooms: Garage: (site built?_)Deck: (site built?_)
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?(_)yes (_)no
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
Does owner of this tract of land,own land that contains a manufactured home within five hundred feet(500')of tract listed above?(_)yes (_)no
Does the property contain any easements whether underground or overhead(_)yes (_,.)no
Structures(existing or posed: ingle family dwellings: 1 Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum Actua3,
Rear c�
Closest Side
Sidestreet/corner lot
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
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 if false information is provided.
Signature of Owner or Owner's Agent Date
***It Is the ownerlappllcants responsibility to provide the county with any applicable information about the subject property,including but not limited
to:boundary information,house location,underground or overhead easements,etc.The county or its employees are not responsible for any
incorrect or missing information that is contained within these applications.***
**This application expires 6 months from the initial date If permits have not been issued*'
Residential Land Use Application Page 2 of 2 03/11
' HOUSE PLAN: SANBORN£
Arc GRID
`13)1 `13 j 6
—A N05'42'11"E 0' DRAINAGE EASEMENT
100.00' i 11tt��
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`` /150 c.i
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w PROP. ana
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'n V.13I 26.715 — z
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*I 16.0''9.7. 0.5'
20.3'
PROPOSED
HOUSE o
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�2 75' 20.3' I.
cd 25.7' J
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as o
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1 100.00 _ _
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e S05'42'11"W
CHERRY HILL DRIVE(50'RAW)
PRIVATE & UTILITY ACCESS (30' BC-BC)
`,�.N„CARo<,,.
PLOT PLAN ;'o ..'F�SS1a
SUBDIVISION: OAKMONT SUBDIVISION
PHASE ONE - • SEAL
SECTION THREE 021411
•MB 2013, PG 346 ;x'•,09/30/14 ,:2 .
OWNER: MCKEE HOMES, LLC -,%Chq.�No 114E- ...4v�,
SCALE: 1" = 40' ''�,F� D. P,,.�
The design for the proposed v Averette Engineering Co., P.A. v
sewage disposal system Established 1970 ' , /f p�A approved. CIVIL ENGINEERING address: 'i7L d✓• Ze
LAND SURVEYING 712 E.Lake Ridge Road
PLANNING Raeford,NC 28376 Michael D. Averette PE-021411
Sanitarian Supervisor I111.■ Phone: (910)4885656 Professional Engineer
Harnett County Health Dept. / Lmwmg. Fax:(910)4880181 SEPTEMBER 30, 2014
Date
License:C-0146
t, Date _ Web:www.averette-eng.com (PPLAN128I0
NAME: APPLICATION#:
*This application to be filled out when applying for a septic system inspection.*
County Health Department Application for Improvement Permit and/or Authorization to Construct
IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED,CHANGED,OR THE SITE IS ALTERED,THEN THE IMPROVEMENT
PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration
depending upon documentation submitted. (Complete site plan=60 months;Complete plat=without expiration)
910-893-7525 option 1 CONFIRMATION#
is Environmental Health New Septic SystemCode 800
• All property Irons must be made visible. Place "pink property flags" on each corner iron of lot. All property
lines must be clearly flagged approximately every 50 feet between corners.
• Place "orange house corner flags"at each corner of the proposed structure. Also flag driveways, garages,decks,
out buildings, swimming pools,etc. Place flags per site plan developed at/for Central Permitting.
• Place orange Environmental Health card in location that is easily viewed from road to assist in locating property.
• If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil
evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property.
• All lots to be addressed within 10 business days after confirmation. $25.00 return trip fee may be incurred
for failure to uncover outlet lid, mark house corners and property lines,etc. once lot confirmed ready.
• After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code
800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note
confirmation number given at end of recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
0 Environmental Health Existing Tank Inspections Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if
possible) and then put lid back In place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE LIDS OFF OF SEPTIC TANK
• After uncovering outlet end call the voice permitting system at 910-893-7525 option 1 & select notification permit
if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
given at end of recording for proof of request.
• Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference,must choose one.
la Accepted ID) Innovative (DI Conventional {0} Any
CI Alternative {Q) Other
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in
question. If the answer is"yes",applicant MUST ATTACH SUPPORTING DOCUMENTATION:
(D}YES la}'NO Does the site contain any Jurisdictional Wetlands?
{❑}YES (❑] NO Do you plan to have an irrigation system now or in the future?
{❑}YES {j]I NO Does or will the building contain any drains?Please explain.
IDIYES i, i NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
(U}YES (,G]I NO Is any wastewater going to be generated on the site other than domestic sewage?
(❑}YES {,I NO Is the site subject to approval by any other Public Agency?
{MI YES {. NO Are there any Easements or Right of Ways on this property?
(Q}YES NO NO Does the site contain any existing water,cable,phone or underground electric lines?
If yes please call No Cuts at 800-632-4949 to locate the lines. This is a free service.
I Have Read This Application And Certify That The Information Provided Herein Is True,Complete And Correct. Authorized County And
State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Site Accessible :s a • Complete Site Evaluation Can Be Performed.
P ERTY O ,A,1/4 ,RS O V--It-4- S--I,EGAZ REPRESENTATIVE SIGNATURE(REQUIRED)
lliff-8
10/10
CONTRACT TO PURCHASE
ti:Xret3 1 LLC as Buyer hereby offers to purchase and
00.K.MINV �, } , as Seller,upon acceptance of said offer,
agrees to sell and convey,� all of that plot,piece or parcel of land described below together
with all improvements located thereon and such fixtures and personal property as are
listed below(referred to as the"property")upon the following terms:
PROPERTY: Located in the City of LW. yip() ,County of 1-'a rrOft ,
State of North Carolina,being known as an. •'ore particularly described as:
115b 10-7
LEGAL DESCRIPTION:Loi5'OS ,Plat BookO%ig ,Page 0015_...
PURCHASE PRICE: The purchase price is$ J' O7Ct lot and shall be paid
as follows: $ , Earnest money deposit with this offer to be deposited
and held in escrow until sale is closed by
Balance of$ in cash at closing.
Closing is to take place not later than: 24>t 2N4
at the offices of utaN nstow Tirnn
If Seller is to pay any of Buyer's expenses associated with this purchase,the amount shall
be $ -$- and the Seller agrees property taxes which shall be prorated
on a calendar year.
Deed shall be made to: !I l'AN•r cS L .
Buyer acknowledges having made an on-site personal examination of property prior to the
making of this offer.
Date: o f'�.� I Date: Ct(Z,a I
bUY_AIWIL (Seller) 4Oil &i (Buyer)
- — (Seller) - - (Buyer)
09/09/11 Application#
Harnett County Central Permitting l' N-1 5 _
PO Box 65 Lillington NC 27546
Each section below to be filled out
910 893 7525 Fax 910 893 2793 www harnett org/permits
by whomever performing work
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match
Owners Name McKee Homes, LLC Date )9 %3] 1- 1
Site Address \ Cr� t\\ 1 Phone Sni-ri 51 f CO a'•-IZ3
Directions to job site from Lillington
Subdivision RXtYKD'n-* Lot
Description of Proposed Work Single Family Residential #of Bedrooms L�
Heated SF 2.1vfe Unheated SF (55Q Finished Bonus Room', NA Crawl Space Slab \C
General Contractor Information
GML Development Inc (910)475-7100 ext 723
Building Contractors Company Name Telephone
101 Hay Street, Fayetteville NC 28301 jbuckwalter @mckeehomesnc.ce
Address Email Address
63970
License#
Electrical Contractor Information
Description of Work Single Family Residential Service Size 200 Amps T-Pole X Yes No
Sandy Ridge Electric (910) 323-2458
Electrical Contractors Company Name Telephone
454 Whitehead Rd, Fayetteville, NC 28312 keith @sandyridgeelectric.com
Address Email Address
100064
License#
MechanicallHVAC Contractor Information
Description of Work Single Family Residential
Certified Heating & A/C (910) 858-0000
Mechanical Contractors Company Name Telephone
PO Box 1071, Hope Mills, NC 28348 certifiedheatair @embargmail.com
Address Email Address
20012 H3-1
License#
Plumbing Contractor Information
Description of Work Single Family Residential #Baths
Dell Haire Plumbing (910) 818-4863
Plumbing Contractor s Company Name Telephone
7612 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing @hotmail.com
Address Email Address
24204 PL
License #
Insulation Contractor Information
Cumberland Insulation (910) 484-7118
Insulation Contractors Company Name&Address Telephone
*NOTE General Contractor must fill out and sign the second page of this application
■
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 that by signing below I have obtained all subcontractors
permission to obtain these permits 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 as per rrent -fee .
10 ( `51 `-I
Signatu of c ontra = /Officer(s)of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
X 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
X 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 workers 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 McKee Homes, LLC
Sign w/Title Date \O ,
Appointment of Lien Agent: Details-LiensNC Lien Service hups://apps.liensnc.com/scr/appointment/details.html?entryNu...
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 09/30/2014
Entry #: 196868 Initially filed by: Jbuckwalter
Designated Lien Agent (Project Property Print & Post
First American Title Insurance Company Lot 150 OM ❑ ❑
114 Cheny Hill Drive
Odine:www.lienanc.wm as>.••• Lillington,NC 27546 • _
Address:19 W.Hargett St,Suite 507/Raleigh,NC Harnett County i ❑ a
27601 --
Contractors:
Phone:888.690.7384 • Please post this notice on the Job Site.
Pea:913-489-5231 Property Type
Suppliers and Subcontractors:
Email: Scan this image with your smart phone to
view this filing.You can then file a Notice
— 1-2 Family Dwelling to Lien Agent for this project.
Owner Information
Date of First Furnishing
McKee Homes LLC
101 Hay Street 10/3112014
Fayetteville, NC 28301
United States --
Email:jbuckwaiter@mckeehomesnc.com
Phone:910-475-7100
View Comments(0)
Technical Support Hotline:(888)690-7384
1 of 1 9/30/14,3:37 PM
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 14 -50034753 Date 11/05/14
Property Address 114 CHERRY HILL DR
PARCEL NUMBER 03-0507-01- -0046- -45-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name OAKMONT PH1 SC3 52LOTS
Property Zoning RES/AGRI DIST - RA-20R
Owner Contractor
OAKMONT DEV PTNRS LLC GML DEVELOPMENT INC
5112 PINE BIRCH DRIVE 5112 PINE BIRCH DRIVE
RALEIGH NC 27606 RALEIGH NC 27606
(919) 793-5237
Applicant
MCKEE HOMES LLC #150
101 HAY ST
FAYETTEVILLE NC 28301
(910) 475-7100
--- Structure Information 000 000 49X46 4BDR MONO W/ GARAGE
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 4000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? NEW TANK
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
]?hone Access Code 1058460
Issue Date . . . 11/05/14 Valuation . . . . 0
Expiration Date . 11/05/15
Special Notes and Comments
T/S : 10/13/2014 01 : 06 PM JBROCK ----
OAKMONT #150
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC,MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
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 14-50034753 Date 11/05/14
Property Address 114 CHERRY HILL DR
PARCEL NUMBER 03-0507-01- -0046- -45-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name OAKMONT PH1 SC3 52LOTS
Property Zoning RES/AGRI DIST - RA-20R
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1058460
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION _/_/—
10- 999 309 P309 R*PLUMB UNDER SLAB / /
10- 999 205 E205 R*ELEC UNDER SLAB _/_/_
20- 999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE / /_
20 104 B104 R*FOUND & SETBACK VERIF SURVEY / /_
30-50 129 I129 R*INSULATION INSPECTION / /_
30-60 425 R425 FOUR TRADE ROUGH IN _/ /_
30-60 125 R125 ONE TRADE ROUGH IN _/—/-
30--60 325 R325 THREE TRADE ROUGH IN _/_/_
30--60 225 R225 TWO TRADE ROUGH IN _/—/—
40--60 429 R429 FOUR TRADE FINAL _/—/-
40-60 131 R131 ONE TRADE FINAL _/—/-
40-60 3 2 9 R329 THREE TRADE FINAL _/_/_
40--60 229 R229 TWO TRADE FINAL —/—/-
999 H824 ENVIR. OPERATIONS PERMIT / /_