DOCUMENTS .35 AV C5 it 91)P 9Wila
Initial Application Date: IC; 1
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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:Atkins Village, LLC Mailing Address: 1210 Trinity Road, Suite 102
City: Raleigh State:NC Zip:27607 Contact No: 919-233-3886 Email: )moxley@royaloakshomes.com
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#919-233-388-6/321
PROPERTY LOCATION:Subdivision: Atkins Village /� 1l Lot#: ] Lot Size: .70
State Road# ` State Road Name: A� ( .,(J(._, 1�- ��/ /' 7 �1 Map Book&Page: 2017 / 38
Parcel:04064g `2, 1 PIN: (/ -1'(p 7 - `�-7�-1•ey�'D
Zoning:RA30 Flood Zone:N/A Watershed:N/A Deed Book&Page: 3298 / 570 Power Company`: South River
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
45' 67' Monolithic
iii SFD:(Size x )#Bedrooms: #Baths:_Basement(w/wo bath): Garage: ✓ Deck:I Crawl Space: ✓ Slab:_Slab:_
(Is the bonus room finished?Pi)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
U Manufactured Home:_SW_DW_TW(Size x )#Bedrooms: Garage: (site built? )Deck: (site built?_)
U Duplex: (Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
U 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(I)yes (_)no
Structures(existing or proposed):Single family dwellings: New Home Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual Ic (,
Rear 25'
Closest Side 10' q
Sidestreet/corner lot 20
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
PLOT PLAN FOR
ROYAL OAKS BUILDING GROUP, LLC
XX AFTON COURT
LOT 35, ATKINS VILLAGE, PHASE THREE
BLACK RIVER TOWNSHIP, HARNETT COUNTY, NORTH CAROLINA
ATKINS PLACE, LLC
STUART ADAMS HAIR AND DB 1754, PG. 288
WIFE CATHY TAYLOR HAIR MAP NO. 2003-1125
D.B. 1419, PG. 693
D.B. 1448, PG. 394
D.B. 1654, PG. 834 / 16.1'
D.B. 2128, PG. 476 12.67$ COVERED a 6'
/
PORCH DECK
csi 4.67
/ 6.08 .5.33'
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CRAWL FOUNDATION g
� R s CARLEIG. HILKERTHILKEAND M
SHEILA A. HILKERT �
47 �'F DB 2006, PG. 80
Gy MAP NO. 2003-1125
S' 33'S.o ,
03.00'
0{.L g
/ 1 29.67'
"• WALK &
kr.. 1 DRIVE
far INSET; SCALE: 1" = 30'
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0-X DB 2822, PG.E283 HICK
0 .66 MAP 2003-1125
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41)
0.783 AC. AMANDA E. BOYKIN
DB 2037, PG. 100
NUMBER RADIUS' DELTA ARC ' CHORD BRG. CHORD ' MAP NO. 2003-1125
C1 50.00 77'39'23" 67.77 S52'03'52'W 62.70
LEGEND w6 1913
BFP BACK FLOW PREVENTER
CURB INLET
0 CLEANOUT
ECM EXISTING CONCRETE MONUMENT SEE INSEE
EDN EXISTING DRILL HOLE
EIS EXISTING IRON STAKE
EIP EXISTING IRON PIPE
EM ELECTRIC METER
EPS EXISTING PK BAIL \lift.
ES ELECTRIC STUB
16.7
FLARED END SECTION
FlRE HYDRANTeb
0 FIBER OPTIC PEDESTAL km
GM GAS METER AS
INV. INVERT
O LIGHT POLE
er
0 MANHOLE SANITARY SEWER
NDH NEW DRILL HOLE y
NIP NEW IRON PIPE
NPKOPK NAIL Cl �j"CLAYTON W. DAVIS
OHW HW OVERHEAD WIRES
PNS POINT NOT SET DB 2076, PG 91
PUE PUBLIC UTILITY EASEMENT
TBC TOPL BACK CURB
® MAP NO. 2003-1125
TELEPHONE PEDESTAL
OB TRANSFORMER
0111 CABLE TV PEDESTAL
UTILITY POLE
WATER METER
AWATER VALVE
YARD INLET
FIELD MEASUREMENT
AFTON COURT SETBACK INFO
FRONT: 35'
IMPERVIOUS SURFACE TABLE 50' PUBLIC R/W REAR: 25'
SIDES: 10'
HOUSE. 2,330 S.F.
PORCH 190 S.F. REFERENCES;
DECK 40 S.F. B.M. 2017, PG. 38-39
WALK it DRIVE 630 S.F,
TOTAL IMPERVIOUS 3,190 S.F. 60 0 60
PERCENTAGE IMPERVIOUS - 9.4% mom mom iiingim
00/08171 Application#
Harnett County Central Permitting
Each sect=below to be Idled outPC Bos 85 Lamgbn NC 27546
by whomever performing work 910 803 7525 Fax 970 8133 2703 WWW hemett org/permda
Must be owner or licensed
contractor Address company Application for Residential Budding and Trades Permit
name 8 phone must match t
Owners Name Royal Oaks Building Group Date
Site Address DAFT/)JJ Cbl9R7r Phone 919-233-3886
Directions to job site from Lillington North on 401; Right onto Rawls Church Road; Right onto Atkins Road
left onto Atkins Village Court
Subdivision Atkins Village Lot 41
Description of Proposed Work Single Family Home #of Bedrooms 4
Heated SF 2800 Unheated SF 843 Finished Bonus Room'r_Crawl Space X Slab
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 cobriendroyaloaksbg.com
Address Email Address
49775
License#
Electrical Contractor Information
Description of Work Electrical Rough In and Final servicesize 200 Amps T-Pole x Yes No
Imperial Electric 919-363-7474
Electrical Contractors Company Name Telephone
PO Box 162, Apex, NC 27502
Address Email Address
19850
License#
Mechanical/HVAC Contractor Information
Description of Wank Install HVAC and duct system
Enhanced Heating & Air 919-467-6464
Mechanical Contractors Company Name Telephone
5813 Lease Lane Raleigh, NC 27617
Address Email Address
31660
License#
plumbina Contractor Information
Description of Work Plumb single Family home #Baths 3
Barbour & Pourron 919-533-4455
Plumbing Contractors Company Name Telephone
PO Box 934, Clayton, NC 27528
Address Email Address
27132
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 Hamett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that OV signing below I have obtained all subcontractor%
permission to obtain these Dermas 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 current fee schedule
3/i3,/.7
Sign re of Owner/Ca6trecto f icer(s)of Corporation Date
Affidavit for Worker's Compensation NC GS 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 d is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers 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 Building Group
Signw/TidetanksOl a Plans Coordinator Date W13//-
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(I)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-I I.1(a) is conspicuously set forth in the permit or in an attachment thereto. The building permit may
contain the lien agent's electronic wail 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."