DOCUMENTS Initial Application Date Lt I I I " 1 Application# n ED( J'4 I2nC)
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central�P_eerrmittin�ik61058jE.Front Street,Lillington, NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett org/permits
L
"A RECORDED SURVEY MAPS REECORDED OR ER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
.Comfort Homes, Inc. P Box 369
Mailing Address:
City: Clayton State:NC Zip:27528 Contact No: 919 553 3242 Email: comfdhomes@aol.com
APPLICANT,:Comfort Homes, Inc. Mailing Atltlress. 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#'. 7 Lot Size:'962n^acre
State Road#1006 State Road Name. Old Stage Road N Map Book 8 Page r / P11-1
Parcel:
040692 0017 17 PIN: 0682-98-3651.000r
Zoning:RA-30 Flood Zone: IV eqy � Duke Progress Energy
gX Watershed: Deed Book 8 Paola/Lir/�H}} / Power Company'.
'New structures with Progress Energy as service provider need to supply premise number 34384274 from Progress Energy.
PROPOSED USE:
S4.W' Monolithic
66.W'
SFD.(Size x )#Bedrooms':3 #Baths:2 Basement(wrwo bath). Garage: ✓ Deck. ✓ Crawl Space. ✓ Slab:_Slab._
(Is the bonus room finished?( 1 yes (f)no wl a closet?(J yes (✓)no(if yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(wlwo bath) Garage Site Built Deck: On Frame Off Frame_
(Is the second floor finished?( )yes ( )no Any other site built additions?( 1 yes ( )no
❑ Manufactured Home:_SW_DW_TN(Size x )#Bedrooms. Garage:_(site built? )Deck: (site buil? )
❑ 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?( 1 yes (✓)no
Does the property contain any easements whether underground or overhead( 11 yes ( )no
Structures(existing oropose Single family dwellings:proposed Manufactured Homes: Other(specify).
Required Residential Property Line Setbacks: Comments:
Front Minimum 35' Actual 85'
Rear 25' 60'
Closest Side 10' 62'
Sidestreet/corner lot n/a
Nearest Building n/a
on same lot
RessJentell Land Use F rscaUon page I of 2 y 1
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 1 agree to conform to II ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby statbtba r omg st ement are urs and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
• p` 3/29/17
Signature of Owner or Owner's Agent Date
"'It la 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**
Res deli,al Land Use A>pl:calior P.-.e 2 o'? 03:4. ,
W Ino.
L... ' PLAT NORM Ux] db.
d —r v a [[rr��]] cs o
Al Itt,
a tpCO 0'1 ADOPTED IMP NUMBER 2008-214 L 215 O ^ O O ad µ1 I0
L.
m R y0�
0 m �" 0 Ilk R I II w
m F,-1 R'. U O O 0) ,.. c0
ria-8002 NjgR71N a, 0.'1FjiT4
O 4 c
dVW JO 9 ,G07 E-1 Ei H
3
a• [ m0 9zo� � z
, M8Z,L300 S W ' q0 m � ao
H .LN2D2S 1
NOLLIdSSSNOO SONYII211 `5
4/ - OPEIMUSIOND MISNYRSSd
CO a /111
; cu
m
r--_----4
CI
—.....� .—_._
-0
i II F4
10
47LJ, o b-
IT
NG h
� O C W
0.'q
ti .0.9E
N w�
lice L0 C) N 0't
.[YIIeUM1 1 '�. ?r U 4
m C w '11I OSSOdOSd i ti A
ry qy
O V to I ,1 0T9 �y;42 w • qm O mvi
da I a - b
C. a0 i \ J >q 14 • Cq 400
7 U CO Q 0) 1 e ° \ 1() n
0 m Ye_ 1 29'opm w � A4'
�,• b cn ,I e>.�• r a I cc P g a
NO 1 y� IC j O
amu\ cc OH I 0p yE.Oa
rc> y Cr'.Oi I W 2
4.- `] a O
6vs �r1 0
Ili
,66'I11Z ,1„az,L3.00 N J I
1 O
�iZ—eooz W3UJY17N �1 •• rn
(DIN 10 9 107 M V
■• 4 ;
w °
C oq k �■ Z
G �r"e,e CO 0 O■ /
wan pejti 2 1f� ■CO vN
7 0, h mo
Om -m� ,Fq mF5o
w0 as Law R I M3tel bot lt
70a aW Cc 0R1SLI A;
p yqy F
MI Ud N66.' p � j m$ aK tt u
ww.nw I Fo r2 q �e .44
r s£... M
bi CV
�IQOti f °b. (7 Pio€�S N1Np1 �911i 3 0.1 N. 0
(/i 1 3 I NO ° t �y F ��!! \1 P . ,_r 46'. ' V� N I
c� E-Co 'E3t e p gt N U
Al
jv0io��z 4,444
o��u �y z $O F CZ . .�• i aI ,1 1•1
NI
reNcn vu 6.ig4aiy$ 16 E.- (0 . 't " 6J • t U U
dNNNnW �O."Ig46i< _2 ON 3 B 3 • Z J
'�g5 Z ,
NAME: ���`""v , �l7WVv APPLICATION#:
"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 INVAL'D. The permit is valid for either 60 months or without expiration
depending upon documentation su bmi ted (Complete site plan=60 months.Complete plat=without expi tat tont
910-893-7525 option 1 CONFIRMATION#
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 euist) for Environmental Health inspection. Please note
confirmation number given at end of recording for proof of reauest.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
Environmental Heath Existing Tank Inspections Code 803
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over outlet end cf tank as diagram indicates, and lift lid straight up (ii
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 910-593-7525 option 1 8 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 reouest.
• Use Click2Gov or IVR to hear results. Once approved. proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authori eat ion to construct please indicate desiredvisystem t)pe(S can be ranked in order of preference. must choose one.
I—I Accepted II Innotatice I_.ry Conceptional 1__1 Any
1—I Alternative 1-I Other _
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the propeny in
question. If the answer is"yes, applicant MUST ATTACH SUPPORTING DOCUMENTATION:
I_I YES I f�
JI NO Does the site contain any Jurisdictional Wetlands? NN€ \ -.. t\
LI YES (r) NO Do you plan to have an BLitt cogent now or in the future?
(_I YES IXI NO Does or rill the building contain any drains?Please explain. ._
I_._I YES Ix�l NO Are there any existing wells.springs, waterlines or Wastewater Systems on this property?
I_IYES 1i1Y NO Is any wastewater going to be generated on the site other than domestic sewage?
I—IYES 1'‘I NO Is the site subject to approval by any other Public Agency?
11IYES I 1 NO Are there any Easements or Right of Ways on this property?
I-I YES ( NO Does the site contain any existing water,cable.prone or underground electric lines'?—Ch�`• @ cc-UN
If yes please call No Cuts at 800-632-4949 to locate the lines. This is a free service. 4
I Hate Read This Application And Certify That The Information Provided Her-in Is True,Complete And Correct. Authorized County And
State Omcials Are Granted Right Of Entry To Conduct Necessary Inspections To 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
'-1 e Site Acv ibeSoT a . 'ompl to Site Evaluation Can BePerformed.
• • _ %-aa -n
PROPERTY OWN • 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.
ee—
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.
t ,
'Zga. (Notary Public)
My commission expires 4/2/17.
,pWuob..
,,, G\A F.4,4%
.� , '•. OBI-, 2
4 :
ti t°N c0'
T .'
N
MOW 1
Apalcabon#
Harnett County Central Permitting
EKh semen below b be NIS outPD Box 85 Winston NC 21548
by whom..perform work 910 893 7826 Fru 910 883 21st www Arnett orypaim�a
Man be ones or Wanted
0°n"'tl0f Add sn company AnDllcatlon for Rem idenual Building and Trades Permit
twee 8 phone must meth 1
Owners Name .,.allta. \ '•,\.% _ a\ Date J'21 (AC)
Site Address .S % _tee. lk110o 1► W • S.• Phoneq\4-5S9-0a4a_
Directions to job site from Lilinglon _ - r,\ll N ' C O \ QeCa-e�Sgr\R. &
c-- ...o. QC\ '1\Ce., yc4 e6,...J,<4.:,.'s\ OGS co`. >6.c
Subdmsion \axc<tS., .t�tS---t\.` Lot
Description of1f Proposed�.11 -- Work Q—_115_.+-0:=4� . S•sd akgt..in ".,+.~#of edrooms 3
Heated SF \`t/.t`RJnheated SFS$4 Finished Bonus Ftoom'r(\C Crawl Space✓ Slab _
Genets' Contractor Information
Q t\ 1aZ&-%c CIA-SSS-S a
Building
L�Contractor
ls�Compan Naim Telephone
� 1. J\P-\ �,\1+�>l�\•- Q-_,"?-).";"act CO�<Cll\OMRI� P 0.o\.got
Address \ Email Address
33\%y
License#
ElectncaAl Contractor Information
Description of Work •. •.t. nam•N Service Sae do0 Amps T-Pole Yes No
5..XS\XCNQCC\61. \Q-Nt. - C2A- qt3 - OS 99
Electrical Contractor s Company Name\' Telephone
10STCA.i\�cn�..�. `VO\�:C2��c��
Address O Se\\.tylSC Email Address
License#
Mechanical/HVAC Contractor Information
Description of W ork� 'Mr\c(k(\ \aOlc fc J@t y�\� �
,_ N. - C _ e a •.� ID\\a% 3�9-1\420\„
Mechanics Contractors Company Name Telephone
;2)"\9, S\-:\cz\�ac`.\-- r. ` «ems 3->Sa9
AddressEmad Address
\%\.O `V 1
License#
Plumbing Contractor Information
Descnphon of Worker .a-n \ \l:t-O. 0.S. #Baths
fib.,.—t)\..,r.\o,t a 4\R- RSA-\3'19
Plumbing Contractors Company-S;) me Telephone
CISsZ :\\flt Gam 0 ,
Address anamoEmail Address
ao%aay
License#
Insulation Contractor Information
---- o�wc.- \c am- S\4 b\clNADv. .0.4, nl\IR- \G\G\-*kat
Insulation Contractors Company Name&Address\3 t c roc Telephone
-2-7ppCb a-t
'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 tome and that by signing below I have obtained all subcontractors
permission to obtain these permits and if agy changes occur including listed contractors site plan
number of bedrooms budding 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
Signature of Owner/Contracto Officer((of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the \/
General Contractor Owner 7� Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjiity{hat 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 it 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 Lp r��pn�a \ e (�
Sign w/Title � �: �� �. Date J '\)
Appointment of Lien Agent: Details-LiensNC Lien Service https://apps.liensnc.com/scr/appointment/details.html?entryNumbem...
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 03/28/2077
Entry #: 626907 Initially filed by: ComfortHomes
Designated Lien Agent Project Property Print & Post
WFC National Tine Insurance Company Dxtbrd Woods lot 7 12" --0
165 OXFORD WOODS DRIVE a+
Online:wwwijwmc earn",wwwr ANCIER.NC.27501 j
Adder 14 W H r ell St Sully 507:Raleigh,Nr County ty 'Kea
27601
Contractors:
Phone:8118.440-7384 Please post this notice on the lob SIIe.
F1cOil48 -5231 Property Type
Supplien end Subcontractors:
1.0 au: tipporftvlIensnaonhnw_.n.,........, Scan this image with your smart phone to
I Family Dwelling
view this filing You can then file a Notice
to Lien Agent for this project.
Owner Information
Comfon I tomes.Inc.
P()noa 369
Clayton, NC 27528
United Slates
Email cantfnhomes., aol emu
Phone:9199-553.3242
View Comments 00)
Technlcsl Support Hotline: 8)600.7384
I of I 3/28/2017 3:32 PM
Date (4/c3-0) 1?
Plan Box
r#I 1' RL_ Job Name �I Y Lrc� Non.Qs
App # 4\abb Valuation 1/. I7( SQ Feet ( � 0 l
Garage i(y
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 v Other
Additions/Other
Footing
Foundation_
Slab_
Mono_
Open Floor_
Rough in
Insulation_
Final_