TRADES 10/07/2010 15:06 BERNABEI 8 WACHTEL, PLLC 9 19100977053P001 N0.669 D01
05-81 -2001 10:39 PRGE1
Applirm • /fr. "/ fi)"
Harnett County Central Permitting
PO Box 85 Lillinoton, NC 27546
�°� 7//�
"�
910 -893 -7525 Fax 910 -693 -2793
www.harnett.orglpertnits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
!' o / Arc* ? ,,
y: it / ti Phone: rhro�
Owner (s) of Structure: i�7 '7Q'
JO I
Owner (s) Mailing Address: %� N� , Ai /
- _
/ 104 CL 1
Land Owner Name (s): is c.rP�/4/tu I n �, %btrePhone: brojain- „Pl
. Construction or Site Address; 17 1 it) M C✓i'An. i P,
PIN or Parcel S from GIS:
Job Cost: — _ Description of Work to be done
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping
Electrical*: 200 Amp <200 Amp Service Change Service Reconnect Other
i For Progress Energy customers we need the premise number
? Plumbing: WaterlSewer Tap Number of Baths Water Heater
$ggpifp Directions to Job from Lillinoton: . , ,
.2 f i :, � r« / � i � . / C. l M44 S �- . r .
Li , - ilr
4r 41 J rfLt ,n, 1 [ nil + .4 �J �leA4
Subdivision: Lot is
I will provide the • „ ___ labor on this structure.
(Contractors Name) (Trade)
1 am the building owner or my NC state license number Is , which entitles me to
perform such work on the above structure legally. All work shell comply with the State Building Code
• and all other applicable State andd ' al lelg o -"names and regulations,
• ucture owner(s) signature: 1 r Date: 9770
I Company Name: _ Phone:
Address: Courtly:
Contractor's License 0: Email Address:
Contractor's Signature: _ ^, _Dater •
"Company name, address, & phone moat match information on license.
mtlh 1quaI Trade Apgkmeon 1 el 08r10
05 -21 -2001 10:44 PAGE1
1'. � r ( Extra-' ferritorial.furisdiction
Y APPLICATION FOR ZONING: PERMIT
To: TOWN PLANNER /'TOWN OF COATS Permit No. _10 . 1 10 — 1
. P.O. Box 675
Chats, NC 27521 C 1 a-1-
r - ems 2 �i- ; Fees: 41 7..D,>
Phone: (910) 897 -5153
Fax: (910) 897-2662 . 0 T 0 2010 J 1
Date: to /-/ 1l b aY:__4: 01 b E l-,A1
Arca Zoned As: P--2-?
Applicant t Properly Ownar:
Nautc (Print) • r ie N:unc art CL
Address , /73 7} ) fit C, q}n D Address 7' 171 f ih
City, Slate COkYS /f),C, City, Stale q d11. LS
Zip Code ?.Cb / Zip Code a -SQ/
Phone # ql0) A� 7� Phone # ( td) 'S - 7°C7
Location of Property: 1N -TOWN / FTJ ETJ (contiguous)
Present Use of Property: f21=. -,c ca— t/4
Proposed Use of Property:
[ Single Family Dwelling: # Rooms: # Bedrooms: Square Feet:
[ Multi Family Dwelling: # of Units: //Bedrooms (per unit): Square Feet (per unit)
[ Mobile Home (single lot): single wide: Double Wide:
[ Mobile Iionie Park: Section 16, Zoning Ordinance Hurst apply .
[ Business: Total # of employees per day Type of business
[ Others (specify):
1 Existing structure: Renovate: • Addition: Demolish:
Water and Sewer Supply: Water Sewer
Private • • _
Public c/
Proposed
Existing
/ /
/ NOTE: Attach a site plan that includes property tides (front, side, and rear), location d proposed structures
(including driveways, decks, etc.), and existing structures. This plan should be drawn to scale. Also, in order to
receive a Privilege License from the Town of Coats to open a business, you must have a valid Zoning Permit,
along with ail applicable inspections from Harnett Count}
Applicant: 1 certify that all of the information presented in this application is true, complete, and accurate to
the hest of my know) . toe. False ii formation is grounds for rejection of the application.
Signature: l 7 Date: Mr io
7 r,;NINC; ADMINISTRATOR USE ONLY
Nnles: — 7:>DH.J8'L e t, j�6+ —
Loninq Administrator: / Date: t 11 I[p
kepi o Y _d: itclued:
*irk ennilier can Le ol;tainod throegh tlic Ha limit ( CIS: office :don ,tilh a rn:.p of the situ (�� i.v'vi.latrat l.uq'i.
i
f IS _ Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
r
W <. k �► ` i t ( .. I4 y„4,4!, ,. t,,, 34 r t-- 1 1�t ' i' j' �i 3 } `'F `. �f' 4 F .
t t I ♦[ g'k q } : .i E�' t' }XH �i �- „ ,,ry N 9 p. 1r. M� '. I � . ,, 1 � � 11 1' „t)
� 4; 1 —I To + .ti" ...: t A W {( 1 Y 'N^� 'ti , S&`�I \19t ! ' "".C: ? �L_.I F+u.
{ t) t� Y 3 { _ 1
y. ,.� �i�� ��''. � 3 .. °'t.>• ty'a'yk(yPbflTr to 7f a y' *a. ue ;
' t t- _� *x. -s. #. �y n Iii dt iF1ftr ^. �r f ir –cr. t .r r ,..:' I V;
® 'it -,141, k w� � +lyYw -s 0 �y y i YR I F Y 'i
r .gy I,1� rs 1P.,4,1* 9 .t ' i' '�{• ' . I i ?j4 i it { � 1 w 1 ''' " . a ti z
1' 'r I, x £ ` ___----;":.01.11i
11 .41',F, u l * *'4/04', 4 71-11v A; i t ..""n b � i } ''+''' s . • ' 1 2 : 5' -1
,}* }r y ! t { gk �a , di e �, �Q r.�''r f} 1r�i fir+. eo Y ..i"F , L
n� ..4. e o +' P A , , +n o r
y } Z G ,{c t �{{ a i y 3 r r t Lyy��It rr yyII r u
a I � t � l� 1 i � ' t � II ! d If I . 1�Pip1�4W l t�l �y A 4 1'�
A r r+ s i' may'+ I ^� "I �!1 "t t tl,t r1 tXlri;a ; •\ t4'r C /app „ 19 le ^'xa da{p� .1 i
1. I It t -" ^ ': • r A r . Si y � y > t I uV 4ury1i • H z x l '""• x!- • h ' u G a in ? 4 --q 1 4 � t 15 Y r 5 �l M1R l !i' -4P -1 / � 4 r 1 , 1 ,, Ml
, li
alj +,..
1 .. y rx' [ i I r.. t Y � 1 t �1 �I!'1 'tit t 4+ IIV.4$Kid t t- .P.: tt i)`>, .7.4 r
� I l:. en A 3. 173 +I`ti� < `ir �. tlAl r °---
1 �wi y •ro l+r lt A t i � t t f 9 111 I s ' .
� 1
f � i � � I: r)iv e, "t � v, M° 1t i� t r I'r� {I���l.� trta � ��' it y t 5i � 141J�•T;l41trd1 bddiet JAn tFr e
II � 1 � i ri'a ,�� l s i � = -�' i rsbu "•1111114171, li z 41
l i h 6 1 ' ti k � Iv lti:041_ 1 ^ 1 , It I(]AFh! (rtlt .at 4•' i? 4
k � t ' i it r t Y t ` w�t 'trr r —^ E d rr "l �nf� A u n a t tt rC 1 b u@ I A
tr { t ` r " + ' I r t Yr la 4xic Axd1 1 1M dt I l: ,. el4�i'6 64thlrlaP 3
• 1+ .4 p.01. . .� it 1 r —lib.; . a a i. f{ I { t �( s`4 r 5 ,, Y 6 t V� J
r r,- 4 }, ;1/4 :ii, t i t 1 i� Q t 1
p t )� �13 r 1 ' r � 1 r+ M " + ! ' 4 1t , fit ' f t {f t rN 6 a + a ia l+.« h ti ' Lc:r
1- ∎ rs • 4 ' i �' $ ,1 T 1 ti ; t v r C Y t .. U t t o
a.. tS !k r T � " �! ��h �l � ��.+1 a' Yes- A }t �
� I t
t a
s
- 1 1 Y �' ,•`� A � i � `'� e r r V t T. ra r
-•"'" I t \i iA.z� \ :t �' { T V s Af 1 r'' d" f f x1 _A-L nt ..
1 P't } µ itz t P [ s r b . { Y f t,� f 1 `�. . Ja '4P 'w nt a r +_.
�'7 �w� t � � a � t � I w ' xe,. 1 l +
' a i7i� >i.ny1.5'r +� G .'.1 t � Yr � -
✓ t�it tY} it Y� "s t ' r i 7 L � --,♦
1 r + t. 7r ! x I e � 41 ii 1 :1�I4 r x � i 3" ".." r "� 9
t 1 1 r { � 1( w 't4� Y �4r r t ht' t � � t� k� �
� o i C t � ,, .1 1.y.1�1 r t 1, :4 2 � 4 t r
a,1t[� � , 0 ' y, 1. ,ri. s i d y r t_.tt 4tq 'Z',"
t r 0, ' 17 Imt �` T, u .111.10•°1-41:441.j: 1' 1 dil
t ( * 1 h t 1 1 t '' '. , r � 7 r ^ - w 'ri —' " ' E ' xr _' -- ^ 'r_—)
r x � t 11 '�. +4..t,+45" Y -r-• l i 1'� � ��� 1,;,, `L Al�� 1--"`""t 9'* 5 • g r trt !l t 4, .+ I J.,,, t e , "g I-4, t4# r j,
l��lA " 4 it i l ++ l' .J ' #i :&'�+, tt M, S.i' -' t+11+ 3 Y �Sle�t i *. • lt x f
rt41 AI 91i »t �'f+-: � 1 - a- t. r IA #aL O 1 ( .IaT Jl
tyj'till!�Frp�' 'L - t•�?''';ts f r � ua I €F },it It= 4li4l it P1 f1: , m' * 1 11 i t4 <s �i� :
U 4 a lL4495�I 1Y � 4 d r l ' 1.71 - 1q' W t i 11 x� N t C ' £ "1 l 4 + ' ry . d 0 {(('
0 $' • v�4i Yrw: �, 5 r ,a'.; e r.... �: -u ..brl.a � xs 'i .� ...u. V ,.1 _ v u '. rY . xt, v If{
rk`
� J �aA? y 1 tP !:
li! y R!A V:,_
K. , `11 ;4 u. i ✓ j
Map Tool Options
The current cursor mode is set to 'Pan / Recenter'. Clicking on the map directly will adjust ti
1
http : / /gistools.harnett.org /Freeance/ Client /PublicAccess 1 /index.html ?appconfig= public 1 10/7/2010