DOCUMENTS Initial Application Date. / J ' j n Application# I' 15CL )Ly aCi
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Perring 108 E.Front Str et,Ellington, NC 27546 Phone: (910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.org/permits
off'. -enftta. • �C-
ECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)E,SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
_• _,Comfort Homes, Inc. P O Box 369
Mailing Address:
City: Clayton State:NC Zip:27528 Contact No: 919 553 3242 Email: comfrthomes@aol.com
APPLICANT':Comfort Homes, Inc. Mailing Address:P O Box 369
City: Clayton State:NC Zip:27528 Contact No: 919 553 3242 Email: comftlhomes@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 40 1.47 acre
Lot#: Lot Size.
State Road#1006 State Road Name: Old Stage Road N Map Book 8 PagedC6Y/ a J 14
Parcel. 040692 0017 35 PIN: 0682-98-5916.0002� 91O
Zoning'. • -30 Flood Zone: x Watershed:IV Deed Book 8 Paque. 4 b0 / 35a Power Company'. Duke Progress Energy
*New structures with Progress Energy as service provider need to supply premise nu�dde137846 from Progress Energy.
PROPOSED USE:
sea sr 54.35. 3 p ✓ Monolithic
YI
SED:(Size x )#Bedrooms' #Baths:_Basement(w/wo bath):_Garage: Deck: ✓ Crawl Space: ✓ Slab:_Slab:_
(Is the bonus room finished?( )yes (✓1 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 (_J no
❑ Manufactured Home:_SW DW TW(Sizex )#Bedrooms: Garage: (site built? ) Deck:_(site built?_)
❑ 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?(_J 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( ✓)yes (_)no
Structures(existing or oposed):Si le family dwellings:proposed Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual 165'
Rear 25' 54'
Closest Side 10 11
Sidestreedcorner lot n/a
Nearest Building n/a
on same lot
Residential Land Use Apphcahon Paye I o'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 state that fo cingsta m are acture ncl cortect to the best of my knowledge. Permit subject to revocation if false information is provided.
\PnL 3/29/17
Signature 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•
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NAME: \yA`Alm lea c. •\jag& . 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[N THIS APPLICATION IS FALSIFIED,CHANGED,OR THE SITE IS ALTERED,THEN THE IMPROVEMENT
PER\IIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration
depending upon documentation submitted. (Complete site plan-v 60 months:Complete plat(n without expiration)
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 b=etween 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 atter confirmation. $25.00 return trip fee maybe incurred
for failure to uncover outlet lid, mark house corners and properly 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 property.
• Prepare for inspection by removing soil over outlet end cf lank as diagram indicates. and lift lid straight up el
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 910-993-7525 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 request.
• Use Click2Gov or IVA to hear results. Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authorization to construct please indicate desired system rvpe(s : can be ranked in order of preference. must choose one.
11 Accepted 1l Innovative 1. Conventional 1_1 Any
1_1 Alternative (t. Other
The applicant shall notify the local health department upon submittal of this application if any of the following app))to the property in
question. If the answer is"yes", applicant MUST ATTACH SUPPORTING DOCUMENTATION:
(LYES t.,/1 NO Does the site contain any Jurisdictional Wetlandn? \\cc �n
1-1 YES Il) NO Do you plan to have all i[Ii,:IDiosl sestet)now or in the future?
L)YE. IX1 NO Does or will the building contain any drains? Please explain._.
I_—I1ES Ix''I NO Are there any existing wells. springs. waterlines or Wastewater Systems on this property?
LI YES 11y NO Is any wastewater going to be generated an the site other than domestic sewage?
I-_I YES 131 NO Is the site subject to approval by any other Public Agency?
1/N1 YES 1`r)� NO Are there any Easements or Right of Ways on this property?
1—I YES I�jV NO Does the site contain any existing water, cable,phone or underground electric lines?"'ot\u>@ S\eeel�\�
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If yes pleasecall No Cuts at 800-632-4949 to locate the lines. This is a free service. 4
I Have 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'"o Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Propeny Lines And Corners And Making
Site A��zzssihlle STha� Com�mrr��ete�Site Evaluation Can Be Performed.
PROPERTY OWNERS 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.
cl"" (Notary Public)
My commission expires 4/2/17.
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Application#
Harnett County Central Permitting
ESC,roman babes b
he Ned out Po Bos 05 Ultmglon NC 27548
by Momever performing work
910 893 7525 Fie 910 883 2793 www hornet!wD'pemiM
Muer be awry or licensed
connote Address or many Aoohcation for RaNtlembel Butldin 7
nerve&phone must match send radw Perron
a.
Owners Name itt_Vlttipt �_S `s ` /j -.(�
Site Address \� V a• _ . . .a •S. Date J'pt'(•�
e� PhonaQ\Q-ss7- 341
Directions to lob site from Edlington - �\O N r:0._ \ tsei c ti r:_
Subdivision \1�D/, Si Lot YV l\1�
_( �'J
ci
Description of Proposed WorkQ . yC `�' s1 u of edrooms J
Heated SF 15549 Unheated SF siesaFinished Bonus Room' Crawl Space Slab
Q—CitS\. �Cryl Contractor InJormadoq — —
Building Contractors Company Herne — qeq-
h -�(y Telephone
Cb . • � .�'p react COQ<r��(lOchf.h 0.o .C'OtY .
Address
SS\Cejy Email Address
License#
Eleetna IC tractor Information
Description of Work 'N �- ''a` CO'&. Service Size dC:NJ Amps T•Pole Yes_No
Lt. pec C \Q1.- CcnS" OSg9
Electrical Contractors Company Name f� ,� Telephone
Address C`O- ,�� o\�;c� `f5C Email Address
Address
a #as a- s-,LO
License#
Mechanical/MVAC Contractor Information
Description of Workt 't SV<vCt\ \Cr-1cRC
e - 3a9-oa%
Mechanics Contractors Company Name Telephone
Address l Email Address
License#
Plumbing Contractor Information
Description of WorkCJ \. ‘•• a<•,ct\ 0%S. a Baths
C\ . \•-•-t.N.\o, 4\R- Ck -'37 9
Plumbing Contractor s Company me Telephone
ass-
Address
a•-)sat:Emad Address
af:ta�
License#
Jnsutatucr Contractor Information,
\ate- S\4 bco S ZeQ [1. \G- \G\>,\- q9
Insulation Contractor s Company Name &Address mac t.Pr 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 m 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 waning beltw I have obtained all subcontractors
permission to obtain these permits 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-issuffee rs $150 00 After 2 years re-issue fee
is as per current fee schedule
Signature of 0 er/ConlraacP Datecto'Officer(s of Corporation _�` n
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the \/
General Contractor Owner n 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
Has three(3)or more employees and has obtained work ars compensation insurance to cover them
Has one(1)or more subcontractors(s)and has obtained workers compensation Insurance to cover
them
XHas 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 thrs permit is sought it is t 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/� (�
Company or Name CDCk�l.J .\t'Oh�1a \M
Sign w/TNe �.e_'.::\(\* Q \‘t- e -�Q
/�_ Date el --)
L
Appointment of Lien Agent: Details-LiensNC Lien Service https://apps.liensne.com/ser/appointment/details.html?entryNumber=...
DO NOT REMOVE!
•
Details: Appointment of Lien Agent
Entry #: 626910 Filed on: 2017
Initially flied by:by: ComfortHomes
Designated Lien Agent Project Property
Print & Post
NFC Nalional Tine Insurance Company Oxford Woods lot 0 El*. Qi
118 OXFORD WOODS DRIVE -rte- ➢
Onlinew wliensnc wm
ANGIER,NC]]501 -
Addms:19W IIvryut Sc,5u'ie 507;Reigns,VC Harden County O *!W;➢
27601
Phone 888-twele9 Contractors:
Please post his notice on the Job Site
ens:oo-sn-set Property Type
am.d:,ouPnndom,n<wm Supplies and Subcontractors:
Scan this image with your man phone to
]Family Dwellingview this fling Wm can then file a Notice
to Lien Agent for this project
Owner Information
Comron Homes.Inc
PO Hox 360
Clayton NC 27528
United Slates
Entailcorn Iii liomes! aotcorn
Phone.919-553.3242
View Comments TO)
Technical Support Hotline:(888)690-7384
I oft
3/28/2017 3:32 PM
^ Date y ac, J 7
Plan Boxl# � ) Job Name Wit&
APP T# I a() 1 Valuation /76
?CI" SQ Feet /cell
Garage .S190
= /b
Inspections for SFD/SFA
Crawl ✓ Slab_ Mono_ Basement
Footing Footing Plum Under Slab Footing
Foundation Foundation He. 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 Other
Additions/Other
Footing
Foundation_
Slab_
Mono_
Open Floor_
Rough In
Insulation_
Final_