DOCUMENTS Initial Application Date: —1/ 30 /( ‘SCC1n Application# in )T I I /U
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
1-��Central� �Perrnittin�.{��1.0088jE.Front Stree illington,NC 27546 Phone: (910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.org/permits
v )113ECORDED SURVEN P. E 0 D D D(OR(AR 0 URCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
er' Comfort Homes, Inc. Mailing Address:P O Box 369
C�„ Clayton State:NC Zip:27528 Contac No: 919 553 3242 Email: comfrthomes@aol.com
APPLICANT*:
Comfort Homes, Inc. MailingAddress:P O Box 369
City:
Clayton State:NC Zip:27528 Contact No: 919 553 3242 Email: comfrthomes@aol.com
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE:
Julian Stewart Phone#919 422 1481
PROPERTY LOCATION:Subdivision: Oxford Woods Lot#:5 Lot Size:.6686 acre
State Road#1006 State Road Name: Old Stage Road N Map Book&Page0201:3/ll 9)4
Parcel:
040692 0017 15 PIN, 0682-98-6666.000
RA-30 Duke Progress Energy
Zoning: Flood Zone: /� Watershed:IV Deed Book&PPg L,yt] / SSD Power Company'.
is f cr 08062410 from Progress
'New structures with Progress Energy as service provider need to supply premise number 9 Energy.
PROPOSED USE:
Monolithic
47 x 52-3s #Bedrooms:3 #Baths:2 Basement(wAwo bath): Garage: ✓ Deck: 1 Crawl Space: ✓ Slab: Slab:_
� SFD-.(Size ) — —
(Is the bonus room finished?( )yes (1)no w/a closet?( )yes (✓1 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?( 1 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?( 1 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 (1)no
Does the property contain any easements whether underground or overhead( yes (✓)no
Structures(existing or proposed):Single family dwellings:proposed
Manufactured Homes'. Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual 94.5'
Rear 25' 69'
Closest Side 10 12
SidestreeUcorner lot n/a
Nearest Building Na
on same lot
Residential Land Use Application Page 1 of 2
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: NC 210 N;right on Benson Road; right on Old Stage;subdivision on right
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 stat t t ants arerat and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
�\`T �T��-:'.�D` 3/29/17
Signature of Owner or Owner's Agent Date
4*9t 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 2of 2 32'11
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NAME: Q .42 ` Q . APPLICATION k:__-.
VV*This application to be filled out when applying for a septic system inspection.*
County Health Department Application for Improvement Permit and/or Authorization to Construct
IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED.CHANGED,OR THE SITE IS ALTERED.THEN THE IMPROVEMENT
PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid far either 60 months or without expiration
depending upon documentation submitted. (Complete sae plan=60 months:Complete plat=without expiration)
910-893-7525 option I CONFIRMATION k
Environmental Health New Septic SystemCode 800
• All property irons must be made visible. Place "pink property flags" on each corner iron of lot. All property
lines must be clearly flagged approximately every 50 feet between corners.
• Place"orange house corner flags"at each corner of the proposed structure. Also flag driveways, garages, decks,
out buildings, swimming pools, etc. Place flags per site plan developed at/for Central Permitting.
• Place orange Environmental Health card in location that is easily viewed from road to assist in locating property.
• If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil
evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property.
• All lots to be addressed within 10 business days after confirmation. $25.00 return trip fee may be incurred
for failure to uncover outlet lid. mark house corners and property lines. etc. once lot confirmed ready.
• After preparing proposed site call the voice permitting system at 910-893-7525 option 1 to schedule and use code
800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note
confirmation number given at end of recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
Environmental Health Existing Tank Inspections Code 803
• Follow above instructions for placing flags and card on properly.
• Prepare for inspection by removing soil over outlet end cf tank as diagram indicates. and lift lid straight up (if
possible) and then put lid back in place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE LIDS OFF OF SEPTIC TANK
• After uncovering outlet end call the voice permitting system at 910-B93-7525 option 1 & select notification permit
if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
given at end of recording for proof of reauost.
• Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authorization to construct please indicate desired s\stern types can be ranked in order of preference.must choose one.
L) Accepted 1I Innovative LY Conventional 1_1 Any
( I Alternative 1_1) Other
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in
question. If the answer is"yes",applicant MUST ATTACH SUPPORTL`/G DOCUMENTATION.
I_1YES 1—I NO Does the site contain any Jurisdictional Wedand8 W.\‘y..si 1n
I YES Il) NO Do you plan to have an jrngalj_0n system now or in the future"
I_1 YES 1XI NO Does or will the building contain any drains?Please explain.
IVES IX I NO Are there any existing)cells.springs.waterlines or Wastewater Systems on Nis property?
!YES I NO Is any wastewater going to be generated on the site other than domestic sewage?
{_IVES fk NO Is the site subject to approval by an) other Public Agency?
1-I YES IN'� NO Are there any Easements or Right of Ways on this property?
LI YES 1 fv NO Does the site contain any existing water,cable.pone or underground electric lines?'"CI &1"-eR�<as %\
If yes please call No Cuts at 800-632-4949 to lot the lines. This is a free service. �
I Have Read This Application And Certify That The Information Provided Herin Is True,Complete And Correct. Authorized County And
State Officials Are Granted Right Of Entry To Conduct Necessary Inspections Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Site • cessible S 'hat A Complete Site Evaluation Can Be Performed.
z•. ♦ -074-\7
PROPERTY 0 VNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
10/10
March 29, 2017
Comfort Homes, Inc. has an option to purchase Lots 5, 6, 7, and 40 in Oxford Woods Subdivision,
recorded in Map Book 2008, Pages 214-215, Harnett County Register of Deeds.
I, Patricia F. Waite, do hereby certify that Julian R. Stewart, President of Comfort Homes, Inc.,
personally appeared before me this day and acknowledged the due execution of the foregoing
instrument.
Witness my hand and Notarial Seal, this 29th day of March 2017.
VIP ft:s
(Notary Public)
My commission expires 4/2/17.
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09/09/11
Application#
Harnett County Central Permitting
Fedi seder below b be Med outPo ops 65 Ldlmgidn NC 27546
by whomever Petering work 910 893 1526 As 910 e93 270.1 www Nene raip4lmib
Must be ewer or'ceased
coneermr manes m'np'"r Application for Rondonia! Buddr 7a and Trades Perm
risme&phone must matin /� p I
Demers NamaQc�ct�i'lc� Mlp Date -aS-\)
Site Address \� O y,�cct1��,}J��.eQ PhoneQ\'4-ss)-�av
Directions to lob site from Lillmlgtoon�'N s ? \C:11Nom" C•�Off\ �\ se i�S��l-V
�G�-(pC� (t3
�4Qe c-44, 66;&'S C- OGS `d0�\
Subdmslon \T�l ` —t Lot 5 �t
Description of Proposed Work�QSstu-C�:-* tC s s cm�yNgpf rooms J
Heated SF\SOS Unheated SF Sa') Finished Bonus Floomn (\O Crawl Space ✓ Slab
Comma Contractor Information
Cn� � e 4\R-Sts-'ca1/44a
Building Contractors Company Natne Telephone
"L' ' e �� -�_2� Come<\�Otaen P0.o\.Cocom
Address Email Address
S3\C?by
License#
Electnc I Cppnntractor Irlormation
Description of Work ' •_ '.n a �Ctc 's. Service Sus t CS3 Amps T-Pole Yes No
SLe_te\scLQs \LCSL \a te _ \\c\ CCS- - OSR9
Electrical Contractor s Company Name Telephone
Address . -15C'.- Email Address
craws \n (,a74511•0
License it
MechanicalltlVAC Contractor Information
Descnpton of Wa eLyNt \bycec Je Z\i;• on
I. - e a R\R- 3a9-1()V-lk\r,
Mechanica Contractors Company Name Telephone
SRS SeS-Ez\.`AS`n��r. LxiNS Pia& 9..nsa9
Address i Emad Address
License#
Plumbing Contractor Information
Description of Worker t \ ax,tn O.,. It Baths
N .�.t;=) es \o. _ 0'A- C\�\\-\319
Plumbing Contractors Company me !� Telephone
flSs Zp S :\\4c V2�\q��
Address r ana DEmad Address
aO%a3
License#
Insulaticin Contractor Intonation
Insulation Contractors Company Name &Address uat i Telephone
-XS
'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�changes occur including listed contractors site plan
number of bedrooms building and trade plans Environmental Health permit changes or proposed use
changes I certify n 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
Signature of Owner/Contracto Officer(s of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the \/
General Contractor Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of-per/iffy 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 ootained 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 a Is nderstood 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 f(��
Company or Name O' S-Vg.JP .EIn\QJa a 'yg
Sign w/T \
itle � \(\��+L
�� . \ v \g� Date 3 D
h i—fF
Appointment of Lien Agent: Details -LiensNC Lien Service https://apps.liensnc.com/ser/appointment/details.html?entryNumber=...
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on: 03/28/2017
Entry #: 626904 Initially filed by: ComfortHomes
Designated Lien Agent Project Property Print & Post
WFG National Title Insurance Company Oxford Woods lot 5 0�.:. NI
109 OXFORD WOODS DRIVE _
•
Online:rwltr_nscy^0w_w^�o ANGIER,NC 27501 .1
Address:19W.Hargett SL Suite 507/Raleigh.NC Harnett County i] -t o
27601
Contractors:
Mane:585-69o-7384 Please post this notice on the Job Site.
rim 91439-5.31 Property Type supphen and Subeaninelon:
emaih wnnmt2tien.ne corn Scan this image with your smart phone to
new this filing You can then file a Notice
1-2 Family Dwelling to Lien Agent For this project.
Owner Information
Comfon I tomes,Inc.
PO Box 369
Clayton, NC 27528
United States
Emailcomfnhomes®aol cam
Phone 919553-3242
View Comments(0)
Technical Support Hotline:(888)690-7384
I of 1 3/28/2017 3:31 PM
^^(� Date "t ad) i I
Plan Box# 1'1l S4 Job Name t 61ATs I-ItYNLQF
App# t-,l‘CIV Valuation /4g 42--.6 SQ Feet / < OS.-
Garage CZ 7
= 213
Inspections for SFD/SFA
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_ Envir. Health L/ Other
Additions/Other
Footing
Foundation_
Slab_
Mono_
Open Floor_
Rough In
Insulation_
Final