DOCUMENTS Z ?v 09\t_ S-1--‘
' Initial Application Date: \;\ 1, Application# Pi 5Opp 34 9 04
•
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.hamett.org/permits
"A RECORDED SURVEY_`MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER: L .e_ W l-)L-i o— ailing Address: Q t/v V Q�,J�„f ( o JJ �y &s ,1
`` IQL /� t
City: fl]ø,yiui i)P let t- ip:SD1ontact No: ' ) 7 I(O 1 :mail:r e-,& e.. � i
APPLICANT': 6:.. QJ`Y)-R- ___ (6 Q I6,Edrjss:
J
City:• State: Zip: Contact No: Email:
'Please fill out applicant Information If different than landowner
CONTACT NAME APPLYING IN OFFICE: ISA.-. O. ` LeI
Phone#
PROPERTY LOCATION:Subdivision: Oki aim)< <1`Gt�J ei PK*- Lot#: I 1 2-Lot Size: 1 I Ct&i,
State Road# I ( 2 D State Road Name: Ov(Yrt U S 12 , Map Book&Page: .[o\ki ;$9,
Parcel: (bstl t V I PIN: tn011—_ 37 ., C
Zoning:czt.-2Ceitlood Zone: Y.. Watershed: tq IX Deed Book&Page;i561,1/ al%Sower Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE: I iy 'a g`V� oa K S A.itiA.
2
01 SFD:(Size x 0 '#Bedrooms: #Baths:_Basement(w/wo �/ Mabolithic
u ):_Garage:_Deck: ravel Space: Slab: Slab:_
•(Is the bonus room finished?(_)yes (_ no w/a closet?(_)yes (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?(_J yes (_)no
•
O 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:
O Addition/Accessory/Other:(Size x_____)Use:
Closets in addition?(_)yes (_j no
Water Supply: NrCounty Existing Well New Well(#of dwellings using well )'Must have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist) Existing Septic Tank(Com'+Iete Checklist) 'ounty Sewer
Does owner of this tract of land,own land that contains a manufactured home withi five hu- met(500')of tract listed above?(_)yes (i!)no
Does the property contain any easements whether underground or o ead(�yes U no fa $►5n 4 PkJb\1 C w a ea se lib
s a\ s'o e p lta\
Structures(existing or proposed):Single family dwellings: Manufactured Homes: Other(specify)ify)::
Required Residential Property Line Setbacks: ( Comments:
Front Minimum ' Actual .- '
Rear Z(,. I
Closest Side 5 7 .-1
Sidestreetcomer lot
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
d MICHAEL P. GRIFFIN , orthy that under my*wctlan and
suparifslon this map was draw from an actual*ski sunw% that the error of
alone of the survey as calculated by coordinates Is 1: 14000,E; that the
area shoes hrwan was calculated by cordhatea
. 1111111641111 .4
Maces my hand and seal this day of MOWN 2014
c'S,OOJ/, �bN
Wg
S 26°30'08"E --- 67. 12'
K
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m N CD
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0 PATIO
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0
28.00' Q
PROPOSED 1 7, 101 SQ.FT. 0
BRANDON 1 0. 16 AC. D/
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Q 13� N
-� j ■O U J Li
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W m
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(1") L
5.7'm 1 3.00 c,, /5.00' 0.8' = p in
OI— — — -^— — ' PUBLIC Ce
PROP I DRAINAGE LLB
CONC SIGN EASEMENT
DRIVE EASEMENT
it-:.
N / 0
M
' 1� 6
II
N m
SIGHT
62. 8' EASEMENT
N 28°09'27" W 10'PUBLIC
WATERLINE EASEMENT
SITE PLAN APPROVALR I V E R OAK STREET
DISTPIC-i RA- of A USE 51✓7 so' PUBLIC WW
#BEDi o;':AS 3 SETBACKS
.j��/ `,A ^�� FRONT 35'
_1 REAR 25'
ZON L}`(J f4t)0,NNISTRATOR SIDE MIN. 5'
SIDE AGG. l 5'
L E G E N D s l r�P R E L I M I N A R Y M I N A R Y EIP EXISTING IRON PIPE FES FLARED END SECTION
IPS IRON PIPE SET WM WATER METER -py,_
NOT FOR RECORDATION, R/W RIGHT OF WAY CO CLEAN OUT
SALES OR CONVEYANCE N/F NOW OR FORMERLY FH FIRE HYDRANT
EIS EXISTING IRON STAKE CB CATCH BASIN
•
*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 Bulldins!and Trades Permit
t
Owner's Name: D . klo�r\ �Ine • Date:
Site Address: (�2 V■tiV Ot�. --�'%" Phonnee: 1�q 'its .e S
Directions to job site from Lillington: Q,.3aL- 1-k0.1.4-�' Owd ,* lV�
�u 1 en W RA I I .1u ' , t 1.tf-J' on us-")6 I1
•• I. ■ I.__ . •I_` y_ II ^2 I) —
Subdivision: 6 olds 4 f ' Vi III ' ` Lot:
Description of Prnnosed Work: - i u J v •,‘ I ' #of Bedrooms:_
Heated SF.k ,, ,, _Unheated SF._ . _Finished :'n i s Room? Crawl Space: Slab:
. General Contractor Information
D.P.&Jon t_inC • VI VA ra°I .
Building Contractor's Company Name Telephone
telb ogiAitli .u. l� )14 I rn► u4 e. dk.hok�arr-can'
Addf�s�s� AMU uili� c- J Email Ad ss I
1,11rY� C. 358 X
Signature o Owner/Contractor/ cer s of Co
g ( ) Corporation License#
Electrical C !n actor Information
Description of Work A),114) (:p(ZS Uu'enuwervice Size: Amps T-Pole:%c es No
Jrn -11Ca €141 c_ 919 a b3 .741)4
EI trical Contractor's Compan Name Telephone
r go •B0Ne lb 1. kit, a- a,Sb Cat& 0on'%i77iA Q. nvf n
Ati%f (:�n
Address Email Address �^-,�
Signature of Owner/Contractor/Officer(s)of Corporation License#
Mechanical/HVAC Contractor Information
Description of Work A)tU)
1T m P?um b is rN 31+ - 93 -19 )S Mechanical Contractor's CGnpany Name 9j Tel phone
to f s &din Si. L:ti. .Q.,41..I(Q. &/' e_ ktf. corn
Address Email Address
`-I aas a9
Signature of Owner/Contractor/Officer(s)of Corporation License#
Plumbingi Contractor Information 3. 5
Description of Work 011..LU (b i A.ud �i c #Baths
1►rn Pior,nlb∎rND. 33 3_9 93 - ) 9 IS-
Plumbing Contractor's Cdthpany Nam ID)Q81 Telephone
(o s' bAaliA 5. LJMV.AUIk kt eltatin a y m 31 b; .con,
Address Email Address '
• Signature of Owner/Contractor/Officer(s)of Corporation License#
Insulation Contractor Information
• ,_t.l • 1 • S. • a . . • 9)96(Q1-0999
Insulation Contractor's Company Name&Address .1 a•
Telephone
*NOTE:General Contractor must fill out and sign the second page of this application.
R<siront.iai i3uilc:ing AIppiic^at.ion 1 of 2 08/10
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 my 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.
EXPIRE PERMIT FEES-6 Months to 2 years permit re-issue fee is$150.00. After 2 years re-issue fee
is as p r urrent fee schedule_.
ja2. 31x.itA_C, t & ' 4-
Signature of Owner/Contractor/Officdr(s Corporation Date
Affidavit for Worker's Compensation N.C.G.S. 87-14
The undersigned applicant being the:
`. nd 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 Nark: 0. ttdMU n`' JAL
Sign w/Title:_ 1 . L`� �,(P1, Date:
Residential Building Application 2 of 2 08/10
Date 11 /1
Plan Box# C I Job Name Q(Z 0.0(-4-44n
App # 1 - Soo3 4G,0�1 Valuation 11 �'C� Heated SQ Feet /6-61
Garage 2s'?
Inspections for SFD/SFA ?/ 7
Crawl Slab Mono Basement
Footing Footing Plum Under Slab Footing
Foundation 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 l 2S Envir. Health SE's'Gr Other
Additions/Other
Footing
Foundation
Slab
Mono
Open Floor
Rough In
Insulation
Final
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 14-50034904 Date 11/19/14
Property Address 12 RIVER OAK ST
PARCEL NUMBER . . . . . 01-0504 - -0125- -22-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name OLDE FARM VILLAGE PH130LOTS
Property Zoning RES/AGRI DIST - RA-20M
Owner Contractor
D R HORTON INC D.R. HORTON INC
2000 AERIAL CENTER PKW 2000 AERIAL CENTER PKWY
MORRISVILLE NC 27560 SUITE 110
MORRISVILLE NC 27560
(919) 460-2969
Applicant
D.R. HORTON
-- - Structure Information 000 000 28X34 , 3 BDRMS, GARAGE, MONO
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 3 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1061605
Issue Date . . . 11/19/14 Valuation . . . . 118086
Expiration Date . 11/19/15
Special Notes and Comments
T/S : 11/10/2014 11 : 24 AM LSEGARS ---
HWY 210 S TO SPRING LAKE, RIGHT ON
OVERHILLS RD, SUBDIVISION ON RIGHT, OLD
FARM VILLAGE, LOT #112 , ADDRESS IS 12
RIVER OAK ST
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