DOCUMENTS Initial Application Date: - ) gS) I / Application I 150C)41214 O
CUM
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27546 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.harnea.orglpermits
"A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)8 SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER: ,T ohn SC e-t 36.. S Mailing Address: 1714 W4(k-er IL', Ly. -
city: Linden State:Ade- Zip: 2t 55*-Contact No. 'I/O -3G9-/s3l Email
APPLICANT': MOV; //atwxAv-tir4,c r� �cittiligAedress: ,?e art, 5'77
City: G t(It.r;4n state4it Zip:775 Y4 Contact No: %/C "Eft-210 Email: 25 zc r14; '"c .6 SM )' l. tc.'1'•
*Please fill out applicant mmrtnxtlon l[dPlerent than landownernn ,11 CC
CONTACT NAME APPLYING IN OFFICE: Atli AL?S Phone !/C-UFc- 2///
ry 3�
PROPERTY LOCATION:'TSubdivision: %" A Lot M'. / Lot Size-,,,,2, //�� cJ69
State Road# II;X:11 State Road Name: pitt2 ' its `' Map Book� 8 Pag�IL+l COCO
Parcel:
���'77/l/�Yi,_,,,,,vv��D S'S 01 o 9 O l PIN. (]DSO S — 'R -�` &i i •o n o
Zoning l'41;;)Q Ffood Zone: S Watershed: /Let Deed Book 8 Page& 38?it/P Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
VS—PD.(Size 05 x SSI#Bedrooms'. M Baths Basement(wlwo baN)N/A Garage: V Deck: Crawl Space: Slab: Slab'.
Mlle
(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 ,io bath)_Garage:_Site Built Deck: On Frame OR Frame
(Is the second floor finished?(_)yes (_)no Any other site built additions?( )yes (_)no
❑ Manufactured Home: SW_DW_TW(Size_ )#Bedrooms: Garage: (site built?_)Deck:_(site built?_)
❑ Duplex:(Size )No. Buildings. No.Bedrooms Per Unit:
❑ Home Occupation.#Rooms. Use Hours of Operation: #Employees'._
❑ Addition/Accessory/Other.(Size )Use: Closets in addition?(_)yes (_)no
Water Supply: V 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 (V)no
Does the properly contain any easements whether underground or overhead ✓
�( 5yyefi5 ( )no
Structures(existing or Erop so e�Single family dwellings: ) Lured Homes: Other(specify).
Required Residential Property
ts
perty Line Setbacks: Comments:
Pj
Front Minimum ^^S7 Actual 100
Rear �{ S 1911
1
Closest Side �� c
Sidestreeticorner lot
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03111
APPLICATION CONTINUES ON BACK
• 2toS1 p J
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: J X. S�+ enS� AA-/ r
41t Ct'. c)02. 1.. ',tks / 7“.3 ,S :7S nA1lec Cr /lc IAI--
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 statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
/J. C' /4,--- Ito& Y/e.'i47
Signature of Owner or Owner's Agent Date
'It is the 6wnerlapplicants responsibility to provide the county with any applicable information about the subject property,including but not limited
to:boundary information,house Iodation.undeidround or overhead basements,etc.The cotrnty or its employees are not responsible for any
- incorrect or missing Informa0on 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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% Moss Homebuilders & Realty Inc.
P.O. Box 577
Lillington, N.C. 27546
Moss Homebuilders& Realty, Inc. does hereby agree to build a dwelling for Mr. John
Scott Burgess and Ms. Megan Nicole Ferguson, according to plans designed by Donald
A. Gardner, Inc., design no. 1136-MR, The Hatfield. This dwelling is to be constructed
on a 2.37+/-acre parcel of land owned by Mr. Burgess, located at 4910 Overhills Road,
Spring Lake, N.C. with the following provisions and allowances:
1841 heated square feet main floor
612 square feet carport
335 square feet bonus room
Crawl-space foundation
Brick veneer foundation/columns per plans
Pressure-treated wood porches per plans
Fiber cement siding exterior to include soffit, fascia, and trim
Drive/walkway allowance: $3,000.00
Appliance allowance: $2,500.00
Cabinet and counter top allowance: $10,000.00
Recessed lighting allowance(12 @ $60 ea.) $720.00
Light fixture allowance: $1,800.00
Hardwood floor allowance @$7.50/sq. ft. $7,110.00
Carpet allowance @ $20/ sq. yd. $1,800.00
Tile allowance @ $12/sq. ft. $2,100.00
Landscaping allowance: $2,000.00
Water/Sewer tap allowance: $4,000.00
Master bathroom shower allowance: $3,500.00
Gutter allowance $800.00
Cost of engineering and updating of plans, if any, to comply with current local and state
building codes to be the responsibility of the owner
Homeowner is to obtain builder's risk insurance, construction loan, and pay all applicable
interest
The contract price for completion of the aforementioned dwelling with modifications is to
be$222,856.00(Two hundred twenty-two thousand eight hundred fifty-six dollars).
‘Q' a_A. -- Date /2 fl'c eon 2on
W. Alan Moss J hn Scot urgess
NCGCL# 58575 ,,Owner
President 1 �,'.!( �1'�-
Moss Homebuilders & Realty Inc. Mega S Nicole rguson
Contractor Owner
Appointment of Lien Agent: Details-LiensNC Lien Service https://apps.liensna.com/ser/filing/details.html?enlryNnmber-643082
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 04/27/2017
Entry #: 643082 Initially filed by: mosshomebuilders
Designated Lien Agent Project Property Print 8 Post
•r
Investors ane Insurance Company Lot 112S/Acres.odwpeas Job O
4
Hemet e.iNC
9101 Overhills
....,
Spring .NC 28390 ❑
Adams:l9 W.Hargett St.Stine Raleigh.NC County
xv6na Contractors:
Phone.80-6911-111.4 Please post this nonce on the lab Site.
Fat.913-189.1231 Property Type
Suppliers and Subcontractors:
Scan this image with your eaten phone to
view this filing.You can then file a Notice
1-2 Family Dwelling In Lien Agent for this project.
Owner Information
Date of First Furnishing
John Sean Burgess
4910 Ocrhills Road 06]8 101]
Spring Lade. NC 28390
United Stales
Emaik 2526mossa ginail coin
Phone:910-840-2111
View Comments10)
Technical Support Hotline;(8/38)690-7184
4/27/2017 11:21 AM
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