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DOCUMENTS Initial Application Date: I ` q I�, A lication# �'1 ll � + — PP ����1 lU �� COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CU# Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www,harnett.org/permits "A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER:CAVINESS&CATES 639 EXECUTIVE PLACE STE 400 Mailing Address: City: FAYETTEVILLE NC 28305 (910)481-0503 y State: Zip; Contact No: � Email: pam @cavinessandcates.com APPLICANT*:SAME AS ABOVE Mailing Address: City: State: Zip: Contact No: Email: *Please fit out applicant information If different than landowner CONTACT NAME APPLYING IN OFFICE:PAMELA GEDDIE 481-0503 Phone#(910) PROPERTY LOCATION:Subdivision: VILLAGE @ LEXINGTON PLANTATION j Lot a Lot Size: ' 1) State Road# — Stair!.Rnarl Noma• Los� I� ��` �� (��� �, rM/Map B'ook\&Pag / Parcel: t Lo ( _PIN: P595 ro i `13'-iO .06 Zonin. Ni r lood Zone:X. Watershed:_Deed Book&Page: !SJ Li LO Power Company': CENTRAL New structures with Progress Energy as service provider need to supply premise number ! from Progress Energy. UV US w SFD:(Size #Bedroo ns #Batt asement(w/wo bath):L Garage: Deck:_Crawl Space:_Slab: Slab 1 (Is the bonus room finished?( )yes (___)no w/a closet?(__)yes (__)no(if yes add in with#bedrooms) O Mod:(Size x )#Bedrooms #Baths_Basement(w/wo bath) Garage: Site Built Deck: On Frame Off Frame (Is the second floor finished?( )yes U no Any other site built additions?( )yes (_J no ❑ Manufactured Home:_SW DW_TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built?_J ❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit: O Home Occupation:#Rooms: Use: Hours of Operation: #Employees: ❑ AdditionlAccessory/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 (_J no Structures(existing or opos)Single family dwellings: ( Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments:ro Front Minimum J Actual Rear S Closest Side S Sidestreeticomer 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: HWY 210 TO NC 27,TURN RIGHT,GO 17.5 MILES, MERGE ONTO NC87 TO LEFT,GO 4.5 MILES TURN LEFT ONTO PLANTATION DRIVE,RIGHT ON CRUTCHFIELD, LEFT ON BLUE BAY LANE If permits are granted I agr==to confo to all ordinanc-and laws of the State of North Carolina regulating s ch work nd the specifications of plans submitted. I hereby state that foreg stateme is are accurate corre a best of my knowledge. Permit su to revo tion If false information Is provided. L Signature of Own:r or Owner's Agent ate "`It Is the owner/applicants 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 • il 'Notes: -This plat is for location purposes only. LEGEND Builder should verify foundation information ti with plans before construction begins. • -EXISTING IRON PIPE c There Is no USCE or NCGS monument o -SET IRON PIPE as within 2000'of this site. + -CURVE PTIPC .S.R.120 s The subject property I5 not within a -SURVEYED LINE Special flood hazard area as determined -_ _.ADJOINER LINE by the Department of Housing and Urban "/ Development. 1 01 �+ '° -The easement Information shown hereon was e¢' gbtained from the recorded plat.No updated ' title search was performed by the surveyor. 'N, -All distances are measured in feet. X 0 5. SR. 1 t 1 -50' -25' 0' 50' 100' o"e. LOCATION MAP �"�'").- N.T.S. SCALED IN FEET '"PRELIMINARY PLAT-NOT FOR CONVEYANCES OR SALES" pLA7' NORTH (270\ f (269 I 2s8 SIP 13-�.?_35'0$'i/U ME•• i `58.98`.7+ IP S11.35,0,,,„,,,, it2 Inch '600$; diameter + reb8r �`1: � . •WETLANDS. ` --1_j •,, . • 8,942sf, . •..•+.� ICOVERED �� ' PORCH 0 1 c0 _ 10.7 °�:- �C- OMmW //// ". to r r {236 �• 1 ,�l 0 1Z (238 . f 17.0! CO 22 RIM! I 21.0 5.S' I .51.,,,,,, STREET T LIGHT b x ORVE il L 9.84' N04°38'48"E 1 m R 815.00' 45.38' CHD.DIST.9.64' CHD.BRG.N04°59'08 0E EIPP - SIP EXTREME CARE SHOULD BE (50'PUBLIC/UTILITY R/W) EXCERCISED IN STAKING HOUSE ON LOT AS SETBACKS SHOWN ARE CLOSE. BLUE BAY LANE -PLOT PLAN FOR- CAVINESS & CATES BUILDING AND DEVELOPMENT -SUBDIVISION- LEXINGTON PLANTATION - VILLAGE PART 3,414#111Q,,,, ANDERSON CREEK TWP. SEPTEMBER 2.20'4 , g.. C,�+8x00, HARNETT COUNTY SCALE r 50' �. r.••.•e �a4i� NORTH CAROLINA FIELD BOOK a`_► �o /© .'4 . REFERENCE f MAP#2013,PG.306 SEAL I HARNETT COUNTY NORTH CAROLINA REGISTRY .. jj �j r!1y ; ...^'.: w {..-113~�ei7 ?t Li 115 broadfoot eve. .- % 'CAI p.o.box 53T74 •.e �3?'�OO�, C3 .•/i f` ENGINEERS o 10 e .•{"rA/,y PLANNERS p fayetteville,n.c.,28305 fjgo:-. w.,.�s(j ..... /w+a suRVEVORS phone 910�t84-5191 ,� ', �ry MOORMAN,KIZER&R£ITZ£L,INC. fax 810-48-1088 ! ' �' . LICENSE#:F-0108 PROFS RV,'•1 • -',. w , 0000.11.11!t1•'Ol- •Each section below to be filled out Application# by whomever performing work. Harnett County Central Permitting Must be owner or licensed PO Box 65 Lillington,NC 27546 contractor. Address,company 910-893-7525 Fax 910-893-2793 www.harnett.org/permits name&phone must match Application for Residential Bulldinct and Trades Permit Q Owner's Name: CAVINESS&CATES Date: + , q/1 <� Site Address: AIL_ W i - - # • Phone: (910)481 503 Directions to job site from Lillington: HWY 210 TO NC 7,TURN RIGHT,GO 17.5 MILES,MERGE ONTO NC 87 TO LEFT,GO 4.5 MILES TURN LEFT ONTO PLANTATION DRIVE,RIGHT ON CRUTCHFIELD, LEFT ON BLUE BAY LANE VILLAGE LEXINGTON PLANTATION Subdivision: Lot: Description of/Pro osed Work: RESIDENTIAL #of Bedrooms: Heated SF:Jcq I Unheated SF: • fished Bonus Room? . Crawl Space: Slab: General Contractor Information CAVINESS&CATES (910)481-0503 Building Contractor's Company Name Telephone 639 EXECUTIVE PLACE STE 400 FAYETTEVILLE, NC 28305 pam @cavinessandcates.com Address Email Address 59586 License# Electrical Contractor Informatio Description of Work RESIDENTIAL Service Size: Amps T-Pole: Yes No PARNELL ELECTRIC (910)237-2751 Electrical Contractor's Company Name Telephone 6400 ALLIE COOPER ROAD, GODWIN NC 28344 Address Email Address 24236-U License# Mechanical/HVAC Contractor Information Description of Work RESIDENTIAL CAROLINA COMFOR AIR (919)550-7711 Mechanical Contractor's Company Name Telephone 5212 US HWY 70 BUS W.CLAYTON NC 27520 Address Email Address 29077 License# Plumbinn Contractor Information c:25. Description of Work RESIDENTIAL #Bath VANCE JOHNSON PLUMBING (910)424-6712 Plumbing Contractor's Company Name Telephone 3242 MIDPINE DRIVE FAYETTEVILLE,NC 28306 Address Email Address 7756-PL License# Insulation Contractor Information CUMBERLAND INSULATION 4205 CLINTON ROAD FAYETTEVILLE (910)487-7118 Insulation Contractor's Company Name&Address Telephone `NOTE: General Contractor must fill out and sign the second page of this application. RESIDENTIAL BUILDING APPLICATION 1 of 2 04/11 Homeowners Applying to Build Their Own Home Please answer the following questions then see a Permit Technician to determine if you qualify for permit under Owners Exemption. Questionnaire per G.S. 87-14 Regulations as to Issue of Building Permits (Memo available upon request) 1. Do you own the land on which this building will be constructed? yes no 2. Have you hired or intend to hire an individual to superintend and manage construction of the project? yes _ no 3. Do you intend to directly control & supervise construction activities?_yes no 4. Do you intend to schedule, contract, or directly pay for all phases of construction work to be done? _yes no 5. Do you intend to personally occupy the building for at least 12 consecutive months following completion of construction and do you understand that if you do not do so, it creates the presumption under law that you fraudulently secured the 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 am 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 cu =nt feI schedule. r' .. q/( / 7 Signature . 'er/Contractor/Officer(s) of Corporation Date f Affidavit for Worker's Compensation N.C.G.S. 87-14 The undersigned applicant being the: General Contractor X Owner Officer/Agent of the Contractor or Owner Do hereby confirm under penalties of perjury that the person(s), firms) 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 c vering themselves. Y 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. 1 Q . Company or Na ._: , I C . ct CO ill Al . I l'1 Sign wlTitle: ,..,' Date: • ( II rr 8/21/08 Appointment of Lien Agent: Details - LiensNC Lien Service Page 1 of 1 DO NOT REMOVE! Details: Appointment of Lien Agent Filed on: 09/19/2014 Entry #: 192085 Initially filed by: PamG Designated Lien Agent Project Property Print & Post Investors Title Insurance Company BEING ALL OF LOT 237 AS SHOWN ON THE 0 gii4 ❑ PLAT ENTITLED"SUBDIVISION MAP j�: ;, .- Online:ymw knew com,.�, •. �,,,,v, VILLAGE PART 3A LEXINGTON i •_ +t Address 19 W.Hawn St,Suite 507/Raleigh,NC PLANTATION"AND RECORDED IN BOOK ❑ :..a OP MAPS 2013,PAGES 306-307,HARNETT 27601 COUNTY REGISTRY Contractors: Phone:888.690.7384 206 BLUE BAY LANE Please post this notice on the Joh Site. Fax:9I3-489.5231 SPRING LAKE,NC 28390 HARNETT County Suppliers and Subcontractors: 6loail:apaoneuilrensnc com"«.., I Scan this image with your smart phone to view this filing.You can then file a Notice to Lien Agent for this project. Property Type Owner Information 1-2 Pamdy Dwelling CAVINESS&CATES BUILDING AND DEVLEOPMENT COMPANY 639 EXECUTIVE PLACE,SUITE 400 FAYETTEVILLE,NC 28305 Email:pam(a)cavinessandcates.com Phone:910-481-0503 View Comments(0) Technical Support Nadine:(888)690-7384 https://apps.liensnc.com/scr/appointment!details.html?entryNumher=192085&printable=Y 9/19/2014 Date _ I ' 02 • Plan Box# ] Job Name CCU ui(\_tSS App # Valuation/56 886 Heated SQ Feet l 9 97 Garage if )7 Inspections for SFD/SFA = Crawl Slab Mono ✓ Basement Footing Footing Plum Under Slab Footing Fou ndation Foundation Ele. Under Slab Foundation Address Address Address Waterproofing On Floor Slab Mono Slab Plum Under slab Rough In Rough In Rough In Address Insulation Insulation Insulation Slab Final Final Final Open Floor Rough In Insulation Final Foundation Survey Envir. 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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 14-50034630 Date 9/24/14 Property Address 91749 TECH 2 PARCEL NUMBER . - - - - - - - Application description . . CP NEW RESIDENTIAL (SFD) Subdivision Name Property Zoning UNZONED Permit BLDG,MECH, ELEC, PLB, INSU PERMIT Additional desc . Phone Access Code 1054881 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-30 814 A814 ADDRESS CONFIRMATION / / 10-999 309 P309 R*PLUMB 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 / / 40-60 329 R329 THREE TRADE FINAL / / 40-60 229 R229 TWO TRADE FINAL / /—