DOCUMENTS Initial Application Date: !d��_ 1 L( Application# ,y`..J�LJ 3
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
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: Ck.S 1;24.1.15Vi 3 Mailing Address: 0
City: —;ty: State:' 'r Zip:24445 Contact No: Email: ��
APPLICANT*:Royal Oaks Building Group Mailing Address: 1210 Trinity Road
City: Raleigh State:NC Zip:27607 Contact No: 919-233-3886 Email: Jmoxley @royaloakshomes.com
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:John Moxley Phone#919-233-3886/321
PROPERTY LOCATION:Subdivision: VII'•3L of Lexington Plantation Lot#: ZZ( Lot SizeiZ,51",
State Road# Gt1 41- State Road Name: 131v t '66,v LexKC.- Map Book&Page:201 3/ 30 re
Parcel: 061c1 S 65-1 0 Z-C3 Z /0 PIN: '1 5-4 S I/- 00S-7-1.00
Zoning:RA20R Flood Zone:N/A Watershed:N/A Deed Book&Page:035/031 7 r Power Company*: South River
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
SFD:(Size IT x 3 )#Bedrooms:A_#Baths:Z..5asement(w/wo bath): Garage:X 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: #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 1! )no
Structures(existing or proposed): Single family dwellings:New Home Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
i
Front Minimum 3S Actual 3(O
Rear ZS I Rol
Closest Side S, /�' Z,
Sidestreet/corner lot 1 7
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 LILLIINGTON: F►^O"1 L17(,.t.�{-�o►e, 'r"hL. 7i1b SD""l'L 40
SF(;,.� 1 a 1� _ � To. V 1- p a,4 Lr,' r `�V 4 b t JJ C c-444-e-444 •��'4-"`it„c� rt)14 4
o - ft) .�M-t-�a-� t T h i v e_, 1 (.14 JO.� -�O C e..�l-�1r y c7111. l ✓
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 sta ents are accurat and cor tot a best of my knowledge. Permit subject to revocation if false information is provided.
//VII /
Signature of Owner or Owner's Agent Date
***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
PLOT PLAN FOR
ROYAL OAKS BUILDING GROUP, LLC
147 BLUE BAY LANE
LOT 221, LEXINGTON PLANTATION, VILLAGE AT LEXINGTON, PART 3A
ANDERSON CREEK TOWNSHIP, HARNETT COUNTY, NORTH CAROLINA
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SITE PI AN APPROVAL 10.83', .2
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—q'BEL ROOMS.................
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S17'47'36"W 60.00'
LEGEND SETBACK INFO
BFP BACK FLOW PREVENTER BLUE BAY LANE
CI CURB INLET FRONT: 35' OR 30'
Co SEWER CLOUT 50' PUBLIC R/W REAR: 25'/5'
ECM EXISTING CONCRETE MONUMENT
EDH EXISTING DRILL HOLE CORNER SIDE: 20'
EIS EXISTING IRON STAKE
EIP EXISTING IRON PIPE AGGREGATE SIDE: 15'
EPK EXISTING PK NAIL FRONT SETBACK BASED ON RIGHT OF WAY
ES ELECTRIC STUB
FES FLARED END SECTION
LP LIGHT POLE
MH MANHOLE
NNIPNEW
EEW ON PIPES REFERENCES;
0LPFKN OOVEERHEEAD WIRES B.M. 2013, PGS. 306, 307
PNS POINT NOT SET
TP TELEPHONE PEDESTAL
TR N 1VCABLE�PEDETAL NOTES
UP UTILITY POLE
WM WATER METER 1. NOT FOR RECORDING IN MAP BOOKS.
WV WATER VALVE 2. THIS SURVEY SUBJECT TO ANY FACTS THAT MAY BE
1 YARO INLET DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH.
( ) FIELD MEASUREMENT
3. THIS MAP IS NOT A CERTIFIED SURVEY AND HAS NOT
09/09/11 Application#
Harnett County Central Permitting
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 Royal Oaks Building Group Date ei/ fii
Site Address IL-I-4- 7 Li` gal L-dt't.e.- Phone 919-233-3886
Directions to job site from Lillington ead South on Main St. toward Front St. ;
Turn Right at NC 210 S; Turn Right on Overhills Rd. ; Turn Left on
Overhills Rd. ; Continue onto Nursery Rd; Turn Right at NC 24W/87N; Turn Right at Sawyer Rd.
Subdivision Lexington Plantation; The Lot 21- (
Description of Proposed Work Single Family Home #of Bedrooms q
Heated SF 1604- Unheated SF 33‘' Finished Bonus Roomy ✓ Crawl Space Slab X
General Contractor Information
Royal Oaks Building Group, LLC 919-233-3886
Building Contractor s Company Name Telephone
1210 Trinity Road, Suite 102 Raleigh,NC 27607 cobrien @royaloaksbg.com
Address Email Address
49775
License#
Electrical Contractor Information
Description of Work Electrical Rough in and Final Service Size 200 Amps T-Pole x Yes No
Imperial Electric 919-363-7474
Electrical Contractor s Company Name Telephone
PO Box 162 , Apex, NC 27502
Address Email Address
19850
License#
Mechanical/HVAC Contractor Information
Description of Work Install HVAC and duct system
Stewart ' s Heating and Air 919-362-0387
Mechanical Contractors Company Name Telephone
2430 Reliance Ave, Apex, NC 27539
Address Email Address
09308
License#
Plumbing Contractor Information
Description of Work Plumb single Family home #Baths i .5-
Barbour & Pourron 919-533-4455
Plumbing Contractors Company Name Telephone
PO Box 934 , Clayton, NC 27528
Address Email Address
10672
License#
Insulation Contractor Information
Tatum Insulation II 919-661-0999
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 a_y 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 current fee schedule
/ . I A/70
Signature of Owner/Contractor/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
X 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 Name Royal Oaks B ilding Group
Sign w/Title Date Viil/
LIEN AGENT INFORMATION
Effective April 1, 2013
In accordance with North Carolina General Assembly Session Law 2012-158,
inspections offices are not allowed to issue any permit where the project cost is $30,000
or more unless the application is for improvements to an existing dwelling that the
applicant uses as a residence OR the property owner has designated a lien agent and
provided the inspections office with the information below.
Name of Lien Agent Chicago Title Company, LLC
Mailing address of Agent 19 W. Hargett Street, Suite 507
Raleigh, NC 27601
Physical address of Agent 19 W. Hargett Street, Suite 507
Raleigh, NC 27607
Telephone 888-690-7384 Fax 919-489-5231
Email support@liensnc .com
This information will be attached to the permit record and a copy provided to the
applicant. The applicant is required to post a copy on the property.
Excerpt from North Carolina G.S. 153A-357:
"(Effective April 1,2013)No permit shall be issued pursuant to subdivision (1)of subsection(a)of this
section where the cost of the work is thirty thousand dollars($30,000)or more, other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7)that the
applicant uses as a residence, unless the name,physical and mailing address,telephone number, facsimile
number, and electronic mail address of the lien agent designated by the owner pursuant to G.S.
44A-11.1(a) is conspicuously set forth in the permit or in an attachment thereto. The building permit may
contain the lien agent's electronic mail address. The lien agent information for each permit issued
pursuant to this subsection shall be maintained by the inspection department in the same manner and in
the same location in which it maintains its record of building permits issued."
Date 1c- 3 - I f
Plan Box# E � Job Name
App # 3 L U S_1 Valuatiol- 1 311175 Heated SQ Feet I 6.8 7
Garage 3 36
2.3
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
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____
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 14-50034689 Date 10/20/14
Property Address 147 BLUE BAY LN
PARCEL NUMBER . 09-9565-16- -0282- -10-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name VILLAGE @LEXINGTON PT3A 66LTS
Property Zoning RES/AGRI DIST - RA-20R
Owner Contractor
ROYAL OAKS BUILDING LLC ROYAL OAKS BUILDING GROUP LLC
1210 TRINITY RD SUITE 102 1210 TRINITY RD, SUITE 102
RALEIGH NC 27607 RALEIGH NC 27607
(919) 233-3886
Applicant
ROYAL OAKS BUILDING GROUP #221
1210 TRINITY RD
RALEIGH NC 27607
(919) 233-3886
--- Structure Information 000 000 47X34 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 1056514
Issue Date . . . 10/20/14 Valuation . . . . 0
Expiration Date . 10/20/15
Special Notes and Comments
T/S : 10/03/2014 11 : 19 AM JBROCK ----
VILLAGE @ LEXINGTON LOT 221
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 14-50034689 Date 10/20/14
Property Address 147 BLUE BAY LN
PARCEL NUMBER . 09-9565-16- -0282- -10-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name VILLAGE®LEXINGTON PT3A 66LTS
Property Zoning RES/AGRI DIST - RA-20R
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1056514
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 /_/_
40-60 329 R329 THREE TRADE FINAL / /_
40-60 229 R229 TWO TRADE FINAL / /