DOCUMENTS Initial Application Date. / 3`/ I1 Application# 11-921)4101.0c1
Cliff
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.hametl.org/permits
'A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED,EWHEN SUBMITTING A LAND USE APPLICATION'
LANDOWNER. Rcar o N 1-61✓t5 S'i'b N• Mailing Address': 16-11 Ade-MS CZ.•Na
City. LS 111& o..3 State: Pl C Zip:1 ontact No \O-14U 9615 Email: N1tr._% weld cumPtAo.bw..t OM
APPLICANT`: ' 111• l ` Mailing Address: JJ
City. State: Zip: Contact No: Email:
'Please fill out applicant imomiation if different than landowner
CONTACT NAME APPLYING IN OFFICE: Phone#
PROPERTY LOCATION:Subdivision: .1 �j Lot#: Lot Size: I 1062 Q�
State Road# y],D 11 (� co ss
Road Name: A URNS k0 �/��7 (� Map Book 8 Page: s!e Q I 7/VI
par°VhIbOS(9° bsy DI lPit0S1Q9-�1-��b9�-32t9406() f
Zoning RA 30 Flood Zone: A. Watershed: A//A Deed Book&Page. 4 7 I Power Company toe Z.‘ IC..1 sP
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Menelithic
❑ SFD:(Size x )#Bedrooms: #Baths: Basement(w/wo bath)._Garage._Deck Crawl Space: Slab: Slab:
(Is the bonus room finished?( )yes ( )no wl 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
r Manufactured Home:_SW ✓ DW TW(Size as' .52' )#Bedrooms. .1 Garage: (site built? )Deck: (site built?_)
❑
Duplex:(Size )No.Buildings: No.Bedrooms Per Unit:
U 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(5005 of tract listed above?( )yes ( /no
Does the properly contain any easements whether underground or overhead(_I yes ( if)no
Structures(existing o r s ingle family dwellings: Manufactured Homes: (1�� OtherT (specify):
Required Residential Property Line Setbacks: Comments: ,y : Cy4r� N
SS
I 5 114-�M�J�-»>`- `
Front Minimum J Actual "1
Rear
Closest Side 16 I 3 2 f
SidestreeVcorner lot
Nearest Building
on same tit
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 5'f'wr+ yN len A;ea Niter' CSOM3 Sd"rt"/
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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 statem are a urate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
ign 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
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PROCEDURES AND GUIDELINES FOR MANUFACTURED HOMES
RA-30 Criteria Certification
I, PT, S^., SA-ra , landowner/agent of Parcel Identification Number
%, u. oct mCi njgK r4 located in an RA-30 Zoning District, do hereby certify the
following:
The multi-section manufactured home shall meet the following appearance standards,
verified by zoning inspection approval, prior to the issuance of a Certificate of Occupancy:
1. The structure must be a multi-section unit built to the HUD code for manufactured
homes.
2. When located on the site, the longest axis of the unit must be parallel to the lot
frontage.
3. The structure must have a pitched roof that is covered with material commonly used in
standard residential roofing construction. Said material must be installed properly and
be consistent in appearance.
4. The structure must have masonry underpinning that is continuous, permanent and
unpierced except for ventilation and access.
5. The exterior siding must consist predominantly of vinyl, aluminum, wood, or
hardboard; and must be comparable in composition, appearance, and durability to the
exterior siding commonly used in standard residential construction. Said exterior
siding shall be in good condition, complete, and not damaged or loose.
6. The minimum lot size must be one (1) acre excluding any street right-of-way and the
minimum lot frontage must be 150 feet as measured at the right-of-way line or along
an easement whichever applies.
7. The tongue or towing device must be removed.
By signing this form, I acknowledge that I understand and agree to comply with each of the
seven (7) appearance criteria listed above for the multi-section manufactured home I propose
to place on the above referenced property. I further acknowledge that a Certificate of
Occupancy (CO) entitling me to apply for electric service will not be issued until each
appearance criteria has been met and approved.
'Signet of Landowner/Agent 3/ % i ji1
Otte
*By signing this form the owner/agent is stating that they have read and understand the
information on this form
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Application# 4 l c (-1 9
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number: 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
Apolication for Manufactured Home Set-Un Permit
(Please fill out each pan completely)
Pad I—Owner information:
Home Owner Information (To be completed by owner of the manufactured home)
Name: PIC.rN ‘317kr.a- Address: ( (9iI Arta R 4
City: 11i vt,Vo_t State: 11 C. Zip:tict((n Daytime Phone: n14 4c( t G$'1 S
Landowner Information (To be completed by landowner, it different than above)
Name: Address:
City: State: Zip: Daytime Phone: ( )
Part II—Contractor Information (To be completed by Contractors or Homeowner,if applicable.
Name,address, 8 phone must match information on license)
A. Set-Up Contractor Company Name: J,,de.. Fel( /1le.,.ic how' .e.7
Phone: Address: 3J3r .Nc g7 tlwy
/'
City: Sr JTwd Stale: Ai Zip: 273 '1z
State Lic# 3 '-I be Email:
B. Electrical Contractor Company Name: 7Tny i7F J/Pcj c—
Phone: Address: 3/5 i'6-A'As �1b✓^
City: / State: /L-e— Zip: 213-4
State Lic# 7590 1— Email:
C. Mechanical Contractor Company Name:
Phone: Address:
City: State: Zip:
State Lic# C7NIN(C Email:
D. Plumbing Contractor Company Name:
Phone: Address:
City: State: Zip:
State Lic# CJ WI- Email:
Part III—Manufactured Home information
Model Year: (G C1 1 Size:2ti X z- Complete& follow zoning criteria sheet
Park Name: Lot Number:
I hereby certify that I have the authority to apply for this permit, that the application is correct including the contractor
information and have obtained their permission to purchase these permits on their behalf, and that the construction or
installation will conform to the applicable manufactured home set-up requirements, and the Harnett County Zoning
Ordinance. )mderstand that if any item is incorrect or false information has been provided that this permit could be
revoked. \
/1� —�<} q121(7
Signature of Home Owner or Agent Date
'Effective July 1,2004, a County Tax Department Moving Permit must be provided before a Set Up Permit will be issued. It is
purchased from the tax office of the county that the home is moved from. If the home is from a dealer, we need proof of year on the
Form 500 and if available, the serial number.
List of inspections and Egress requirements available upon request. Progress Energy customers must provide Premise Number.
SETUP 04111
JOSEPH R.UTLEY,JR. illy, ns. AMY B.KINLAW
Tax Administrator Chief of Assessment and Collections
TAMI K BOTELLO
Chief of Real Estate and Mapping
OFFICE OF THE TAX ADMINISTRATOR
Courthouse•5th Floor-Suite 530•P.O.Box 449•Fayetteville,North Carolina 28302-0449
(910)678-7507 • Fax: (910)678-7588
MOBILE HOME MOVING PERMIT
Date: April 11, 2017 Current Listing Owner: ROSE, VIRGINIA H
County of Cumberland Permit No.: R-25
State of North Carolina Agent: Toni Gotshall
Permission Is granted to the following person(s)to move the mobile home identified below.
Name: AARON STONE Phone: (910) 891-9875
Address: 1434 ADAMS RD LILLINGTON NC 27546
Are you the current owner of the mobile home? Yes 0 No 0 Purchase Date: 3/31/17
Mobile Home Carrier
Name/Company: E J MOBILE HOME MOVERS
Address: 3335 HWY 87 S SANFORD NC 27332
Property Description
Manufacturer Year Size VIN
OAK 1997 28X52 HONC01132099AB
Current Location: 2814 CHINABERRY DR FAYETTEVILLE NC 28306
Location Moving To: 1434 ADAMS RD LILLINGTON NC 27546
County: HARNETT
This permit is issued in accordance with the provisions of North Carolina General Statute§105-316.1
through 4105-316.8.
This permit shall be conspicuously displayed near the license plate on the rear of the mobile home at
all times during transportation.
PERMIT VALID FOR
THIS MOVE ONLY!
Joseph R. Utley,Jr.
Cumberland County Tax Administrator
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 17-50041069 Date 4/12/17
Property Address 1434 ADAMS RD
PARCEL NUMBER 10-0569- - -0058- -01-
Application type description CP MANUFACTURED HOME RA 30 CRITERIA
Subdivision Name J G LAYTON
Property Zoning PENDING
Owner Contractor .
STONE AARON LEWIS RAVEN ROCK MOBILE HOME MOVER
1691 ADAMS RD 3335 NC 87 HWY.
LILLINGTON NC 27546 SANFORD NC 27332
(919) 775-3600
Applicant
STONE AARON LEWIS
1691 ADAMS ROAD
LILLINGTON NC 27546
(910) 891-9875
--- Structure Information 000 000 28X52 3 BDRM DWMH
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 3 . 00
MOBILE HOME YEAR 1997 . 00
PROPOSED USE DWMH
SEPTIC - EXISTING? EXISTING
WATER SUPPLY UNKNOWN
Permit MANUFACTURED HOME PERMIT
Additional desc .
Phone Access Code 1186964
Issue Date . . . 4/12/17 Valuation . . . . 0
Expiration Date . 4/12/18
Permit LAND USE PERMIT
Additional desc .
Phone Access Code 1186949
Issue Date . 4/12/17 Valuation . . . . 0
Expiration Date . . 10/09/17
Special Notes and Comments
T/S : 03/31/2017 11 : 35 AM BPETRICH --
401 S - LEFT ONTO E MCNEIL STREET -
RIGHT ONTO ADAMS ROAD - 1434 ADAMS ROAD
IS LAST LOT ON THE RIGHT
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 17-50041069 Date 4/12/17
Property Address 1434 ADAMS RD
PARCEL NUMBER 10-0569- - -0058- -01-
Application description . CP MANUFACTURED HOME RA 30 CRITERIA
Subdivision Name J G LAYTON
Property Zoning PENDING
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . MANUFACTURED HOME PERMIT
10 501 T501 R*MOBILE HOME FOUND. / M. WALL / /
10 814 A814 ADDRESS CONFIRMATION / /
20 818 Z818 PZ*ZONING INSPECTION / /
30 507 T507 R*MANUFACTURED HOME FINAL /