DOCUMENTS Initial Application Date: a i CI
Application# ` ` /�
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:
Cit : FAYETTEVILLE NC 28305 910)481-0503 y State: Zip: Contact No: Email: Pam @cavinessandcates,corn
APPLICANT:SAME AS ABOVE
Mailing Address:
City: State: Zip: Contact No:
*Please fill out applicant information if different than landowner Email:
CONTACT NAME APPLYING IN OFFICE:PAMELA GEDDIE
Phone#(910)481-0503
PROPERTY LOCATION:Subdivision: VILLAGE @ LEXINGTON PLANTATION
`/�� Lot#. Lot Slze—�
State Road# 1c.t State Roaadd�Name: �2/' Li l Map Book&Pag .
Parcel: ok t S S U C-)gD PIN: "i.c5 ' I — 1 as.�)o
�
Zonin•ill o.. 12-Flood Zone: Watershed: Deed Book&Paget-- , over Company': CENTRAL
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
/ `5 Mono th c
ill
SFD: (Size x C7f t)#Bedrooms: #Bath.`. asement(w/wo bath): Garage Deck: Crawl Space: Slab: Slab:
(Is the bonus room finished?( )yes ( )no w/a closet?
(_)yes ( )no(if yes add in with#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:- P #Employees:
❑ Addition/Accessory/Other:(Size x )Use: Closets in addition?( )yes U 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 U no
Does the property contain any easements whether underground or overhead L. yes (U no
Structures(existing or roposed))Single family dwellings: ( Manufactured Homes:
Other(specify):
Required Residential Pro erty Line Setbacks: Comments:
Front Minimum ) Actual
Rear a r
Closest Side ,C 1 (—I SidestreeVcorner lot 1
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 a ree t conform all ordinance and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby stat that foreg ng atements r acc rate an correc o th be/st of my knowledge. Permit subj ct to r iocati n if false information is provided.
Signature of 0 e or Owner's Agent r
Da
"'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 aro 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
1 Notes: i
-This plat is for location purposes only. LEGEND
Builder should verify foundation information
with plans before construction begins. • -EXISTING IRON PIPE-There is no USCE or NCGS monument o -SET IRON PIPE
+� �� within 2000'of this site. i CURVE Pl"IPC
s -SURVEYED LINE
sm.1YOJ The subject property is not within a ___-LINE NOT SURVEYED
i special flood hazard area as determined _ __-ADJOINER LINE
h sire' by the Department of Housing and Urban
r r Development.
e �/, �'' -The easement information shown hereon was
gfi obtained from the recorded plat.No updated
' title search was performed by the surveyor.
All distances are measured In feet.
oc,' . so ?It?' -50' -25' 0' 50' 100'
• c� IIIIMIMIIIII
0 Y LOCATION MAP
�
. N.T.S. SCALED IN FEET
"PRELIMINARY PLAT-NOT FOR CONVEYANCES OR SALES"
PM p NOR711
(�8i I (268.
112 inch ME iNe) 1 ` J I (261‘
diameter N11°35'09°E EIP S 11°35'09"W I �-J
mbar .58.98, �7 Q ,, IP
• 1• 238
f:o.074s1 . y'�•i -I •ice- '• ✓
^I COVERED i
PORCH
UI
e
5r12. I
°
co iNI 5.0 N
o f- co
5.5,, 17.5 i_
Li) CO
Qi
COI t2.a.
i10'MIN 7.0 Iz
4
♦21.O 14.0
i WIN
0-NE i L6Q.O0`
b? R815.00'
CHO.01ST.59.90
STREET �'" CHD.BRG.N07"26'00"E
LIGHT {T}
f
EIP� — _ EP —. -.
BLUE BAY LANE
(50'PUBLIC/UTILITY WW)
-PLOT PLAN FOR-
CAVINESS & CATES BUILDING AND DEVELOPMENT
-SUBDIVISION-
LEXINGTON PLANTATION - VILLAGE PART 3A
ANDERSON CREEK TWP. AUGUST 26.2014 �,i t oiz+t t kkeo f
HARNETT COUNTY SCALE 1"=50' 1iwn±,'I b.+. ,,
NORTH CAROLINA FIELD BOOK .k• ...944:1•4.
REFERENCE 4 �rvFow
MAP It 2013,PG.306 '. -• Q •' > .w
HARNETT COUNTY NORTH CAROLINA REGISTRY ' SEAL
SEJ L .
115 broadfoat eve. ! -- ''i .
f 1,-34.53
[NGMEF..R6
mICIL p o.box eJtM etteville,n.D.,28305 phone 910-484-5191 1 ,.(..,� O _ • ie
MOORMAN,KIZER&REITZEL,INC. fax 910-484-0388 /► :q„ N LICENSE#'F-0106 PROF.SU- •.` •. . b"-d e, • W~~`°•�err` k
44.4844:0
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 Building and Trades Permit
Owner's Name:
CAVINESS ESS&CATES Date: I / ��
Site Address: ) q J31(_' �3 a L_ z LCD Phone: (910)481- 503
Directions to job site from Lillington: HWY 210 TO NC 27, 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
Subdivision: VILLAGE @LEXINGTON PLANTATION Lot: 3b GG
Description of Proposed Work: RESIDENTIAL #of Bedrooms:
Heated SF: I (,L I Unheated SF:L/S3 Finished 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 Informatioonn.�
Description of Work RESIDENTIAL Service Sized 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 #
Plumbing Contractor Information
Description of Work RESIDENTIAL # Baths S
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 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 cu _nt fe schedule.
Signature :�•�"erlGontra / i
qjiqi, q
9 ctor Of icer(s)of Corporation Date
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:
XHas 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
ci ('
vering 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. 1
Company or Na •-: , _ I e C,f Co to IA . I ` 'f
Sign wiTitle: �.4 Date:
>
ri
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 #: 192107
Initially filed by: PamG
Designated Lien Agent Project Property i Print & Post
Investors Title Insurance Company BEING ALL OF LOT 238 AS SHOWN ON THE D: 0
PLAT ENTITLED"SUBDIVISION MAP 4
Online:eWWlienenccomn"ma.iw" w VILLAGE PART 3A LEXINGTON
"AND RECORDED IN BOOK
PLANTATION
Address:19 W.Hargett St,Suite 507/Raleigh,NC D••!
OF MAPS 2013,PAGES 306-307,HARNETT
27601 COUNTY REGISTRY Contractors
Phone:888.690.7384 1 198 BLUE BAY LANE Please post this notice on the Job Site.
Pau 913.489-5231 i SPRING LAKE,NC 28390
HARNETT County Suppliers and Subcontractors:
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 Family Dwelling
CAVINESS&CATES BUILDING AND
DEVLEOPMENT COMPANY
639 EXECUTIVE PLACE,SUITE 400
PAYETTEVILLE,NC 28305
Email:pam®cavinessandcates.com
Phone:910-481-0503
View Comments(0)
Technical Support Hotline:(888)690-7384
https://appsliensnc.com/scr/appointment ldetails.html?entryNumber=192107&printable=Y 9/19/2014
Date G o `i •
Plan Box # Job Name (1 e ,S r C,,-
f88
App # LC 3 1 Valuation I-41/407 Heated SQ Feet OWN-
Garage '1- rR
Inspections for SFD/SFA /3 02
Crawl Slab V
Mono Basement
Footing Footing Plum Under Slab Footing
Fou ndation Foundation Ele. Under Slab Foundation
Address Address Address Waterproofing
Open 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. Health Other
•.•. ■
Additions/ Other
Footing
Foundation
Slab
Mono
Open Floor
Rough In
Insulation
Final
HARNE'1r1 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 14-50034631 Date 9/24/14
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning UNZONED
Owner Contractor
CAVINESS & CATES CAVINESS & CATES BUILDING AND
639 EXECUTIVE PL DEVELOPMENT COMPANY
STE 400 639 EXECUTIVE PLACE SUITE 400
FAYETTEVILLE NC 28305 FAYETTEVILLE NC 28305
(910) 481-0503 (910) 481-0503
Applicant
CAVINESS & CATES #238
639 EXECUTIVE PL
STE 400
FAYETTEVILLE NC 28305
(910) 481-0503
--- Structure Information 000 000 47X28 4BDR MONO W/ GARAGE
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 4000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit . . . . . . BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code . 1054899
Issue Date . . . . 9/24/14 Valuation . . . . 149607
Expiration Date . . 9/24/15
Special Notes and Comments
T/S : 09/22/2014 10 : 38 AM JBROCK --- -
VILLAGE @ LEXINGTON LOT 238
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
tii- ti'J i 1 LUUN'1'Y LEN'1RAL 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 14-50034631 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 1054899
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 4 2 5 R425 FOUR TRADE ROUGH IN _/—/-
30-60 12 5 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 —/ /—